Original subtitles

(Characters, places, organizations, and events in this show are fictional.)

There's a retroperitoneal mass in IVC.

It's a lump this big, yet you felt no sign at all, Win?

That's your homework.

Professor, what's wrong?

It's nothing. Maybe I stood too long in operations these past few days.

NSAIDs will do.

How could you get into a fight with kids?

Shoan was ganged up on, so I had to...

See?

- Ouch. - What's wrong, Win?

I might have sat down too long.

I stopped drinking alcohol for now as I'm taking NSAIDS for my back pain.

It's probably a little stiff.

- Are you alright? Shouldn't we do a test? - It's alright.

It might be just a tumor.

We'll have to wait for the MRI results from a radiologist first.

If you want to be sure,

you should do a biopsy.

Please don't tell anyone about this yet.

I want to be more certain first.

What about Prapas?

Don't.

Fine.

(Maysa - Missed Call)

(Episode 18: Missed)

Are you ready to go to another room?

The dog will go with you.

The dog is going.

I have to brush my teeth first.

Where are they taking that child patient?

To appendix surgery.

I feel bad for her.

Even we, who are adults, are scared of it.

She's a small child. Giving anesthesia to her is probably hard, isn't it?

It's difficult.

When a small child has to get surgery,

a doctor will let their parents go in during the anesthesia procedure.

An anesthesiologist will give an anesthesia balloon for a child to blow on.

If the parents are with them,

they'll be less worried.

And also...

The anesthesia will have a sweet smell.

That's nice.

If you're parents,

you probably don't want your child to be sick or in pain.

I hope

you'll be strong and healthy.

Has Win told you?

Yes.

Shoan, I have something to ask you.

Yes?

I've read that a child's intelligence

will be gained from the mother more than the father. Is that true?

It's true.

I'll explain it as simply as possible.

From various research, it's found

that the mother's genes are mostly kept

around the cerebral cortex

which controls your thought, logic,

language, and planning.

As for the father's genes, they're mostly kept

around the limbic system.

The limbic system controls your sex, eating, and emotions.

So, we can conclude that

a part of a child's intelligence comes from their mother.

As for the remaining 40-60 percent, it comes from their environment.

The more information I have, the more I'm concerned.

During the nine months in my belly, I don't know

if I could look after the baby well enough.

I'm worried that I will make a mistake.

I hope that when it's time for the baby to come out,

the baby will be strong and healthy.

Professor.

Goodnight.

Goodnight.

Win, do you want our baby to be a boy or a girl?

Anything is fine by me.

But if it's a girl,

she'll probably be so cute.

If it's a boy, I'll gladly take him to play around.

We should buy unisex clothes for now.

All of those children's clothes are so cute, Win.

I want them all.

For now, you have to sleep

because your baby is also sleepy.

Okay.

- Goodnight. - Goodnight.

Aren't you worried about safety at all?

What if this stuff hits people's heads?

How could you work like this?

- I'll report to the district office right now. - Please calm down.

The boss is here.

Please wait for a moment.

- What's the matter? - You.

- Is something wrong? - What happened, Em?

Dr. Nick, look at this.

Look at those stones. What if it hit our patients?

I'll be more careful from now on.

If something happens, you can call me.

You have to be more careful than this. It's really dangerous.

Yes. I'm really sorry about this.

Let's go, Em.

Why would you have that safety first sign then? What if it hit my head?

- Clean it. - Yes.

Sorry about that.

Please get the divorce paper from Mrs. Aum as soon as possible.

I don't want to wait long.

Today, the baby is 12 weeks and four days old.

From the ultrasound, you can see that it already has arms and legs.

What about the size and completion?

It's in accordance with the standard. Don't worry too much.

Since this is your first trimester,

we'll look at the nuchal thickening to see if it has Down syndrome.

The nuchal thickening is normal here,

but we still have to wait for the blood result from the mother.

Yes, and do we know the gender now?

Yeah. Is it a boy or a girl?

It doesn't show today.

Let's wait until the next ultrasound.

Yes.

Hello.

Win, you still have work to do, right?

I can just go back by myself.

I'll drive you home.

It's fine. You should go back to work.

Be careful, alright?

Sure. Don't worry.

I'm going.

- See you at home. - Yes.

Are you here by yourself?

- Yes. - Okay.

Well...

From the biopsy of your tissue from your peptic ulcer condition,

it's found that it's cancer.

But from the CT scan,

it still hasn't spread to nearby organs such as the lymph nodes

or other further organs.

It means that it can still be fully treated.

What treatment do you recommend for this?

We'll have to perform surgery to remove your stomach

and nearby lymph nodes.

We'll wait for the lab results of the big tissues

to see if it has spread to other organs.

If it has, you'll have to get chemotherapy.

It depends on your decision. If you can make a decision quickly,

it can stop the cancer from spreading to other places.

Do I have to stay in the hospital for a long time?

The surgery process takes around five to seven days.

If there are not any complications, you can go home immediately.

We'll give you chemotherapy after you recover from your surgery.

During chemotherapy, you can go home.

You don't have to stay in the hospital.

What if I want to stay?

Well, our hospital

needs to prepare rooms for patients who really require it.

We're sorry.

Is it difficult for you to come and go to the hospital?

Yes.

That's alright. I think...

Let's just talk about your surgery for now.

As for your chemotherapy, we can talk about that later.

- Yes. Thank you, Doctor. - Thank you.

- Thank you. - Goodbye.

- Please wait outside. - Yes.

There's no patient anymore, Professor.

Thank you.

Thank you.

Shoan.

We have to postpone our simulation course for now. I'm a little busy.

If you want to practice more, should I ask Professor Prapas for you?

Yes.

Okay. For this case, I'll leave it to you and Shoan.

- Yes. - Yes.

The patient earlier...

He didn't tell the truth.

Really? There might have been something he didn't want to talk about.

Someone like me doesn't understand lying.

I can't lie either.

A lot of people say lying isn't good.

But I found that people sometimes lie

for good reasons.

And do you understand now it's not easy to tell the truth sometimes?

If you're lied to...

Should you feel good or feel bad

- if you're lied to with good reasons? - Shoan...

Why do you always like to ask me difficult questions?

I'm having a headache, you know.

A headache, like this.

Hello, Mom.

Yes.

Yes.

What's the matter?

- Good evening. - Good evening.

(Mr. Surashet Jatemeechai)

(Mr. Surashet Jatemeechai, Born 8th August 1965, Died 16th September 2024)

Your dad said we should only hold a funeral for a night.

We could hold the cremation tomorrow

so that he wouldn't cause more trouble for us.

Shoan, you can go home now. You don't have to worry.

Shoan, do you want to stay with your mother?

Yes.

Shoan can stay with you tonight, Aunt Yen.

I'll pick him up tomorrow. I already booked a hostel around here.

Alright.

- Thank you so much, Dr. Prim. - It's alright. I'll drive you home.

Is it hot?

Well, our house is old. We don't have an air conditioner.

Sleeping here isn't that comfortable.

Should I call a taxi and get you to a hotel?

It's fine.

This is what you're thinking, isn't it?

If I stay with you,

I might be uncomfortable.

But if I'm with other people,

I'll be more comfortable than being with you, right?

I understand

that I'm not like others.

Yes.

I admit

that it's really difficult for me.

I didn't know who I could ask for help back then.

I didn't have money or knowledge.

I could only think of one thing.

I had to separate you from your dad.

But the thing I was afraid of the most

was myself.

Why are you like this?

What are you doing?

- Why are you only causing problems? - Calm down.

Mom, don't hurt my brother.

Can you stop causing trouble for me?

I'm already tired enough.

Do you want me to die sooner?

You're causing problems for me every day.

- Do you know... - I

would be the one to hurt you.

I don't understand.

Why did you have to hurt me?

Is it because I'm autistic?

Or is it because I'm a bad omen?

Yes.

I admit

that I thought

you were a bad omen.

That's why I left you.

It's been 20 years

since you left him at an orphanage,

no matter what your reason was.

Doctor,

I took Shoan to stay at Mr. Kob's orphanage for a few days.

If it's not too much trouble,

I'd like you to go watch over Shoan.

When I find a residence in another district,

I'll secretly take Shoan back with me.

I'm sorry.

I'm sorry, Shoan,

for not protecting you,

and for not staying with you.

I'm sorry.

It's my fault.

It's my fault.

It's fine.

Don't cry.

Please don't cry.

(Mr. Surashet Jatemeechai, Born 8th August 1965, Died 16th September 2024)

- Good afternoon. - Good afternoon.

Good afternoon.

Thank you so much, Doctor.

Goodbye.

Thank you.

Goodbye.

Thank you so much, Doctor,

for everything.

It's fine.

And what are you going to do from now on?

I've been thinking.

I might do something here to make money for myself.

I don't want to trouble Shoan.

When we're at this age and look back at what we've done,

we will feel regret for the mistakes we've made in the past.

Yes.

But we can only think about it

as we can't go back to the past.

Yes.

We can't turn back time.

But we can choose not to repeat the same mistake.

- We'll get going, then. - Thank you.

Goodbye, Professor.

Thank you.

I'll go get the car, then.

Yes.

Shoan.

Have a safe trip.

Don't worry about me.

I'll call you later.

Yes.

Mom, there's something I'm wondering about.

If you were ready back then,

you wouldn't leave me, right?

Dr. Prim.

There's one place I want to go before we go back.

Sure.

I'll tell you the way.

At that abandoned salt storage,

Shin, my brother, died there.

Do you miss Shin?

I'm starting to understand lying now.

When I look at the moon

and think that Shin's over there,

I'm lying to myself.

In scientific theory,

it's impossible.

But when I think like that, it makes me feel really good.

You can forget about science sometimes.

You can focus on what makes you feel good.

Our lives

are better if we have someone we miss,

rather than not having one at all.

I'm serious.

Is it about to end?

The fact that I bring bad luck

and that I am the reason for everything that went wrong.

Is it really about to end now?

Don't think like this again.

Because that's not true.

From the test,

it's found that you have stage two sarcoma cancer.

There's a high chance it'll spread,

but there's more than 50 percent you can be fully cured of it.

So, if you can

make a decision about your treatment soon, that'll be good for you.

Will I be fully cured if I get surgery?

We'll do our best to help you.

Please cure me, Doctor.

Yes.

Although we've removed most of the tumor,

his...

His nerves have received a lot of damage...

From now on,

his lower body won't be able to move anymore.

I'm scared, Doctor.

It'll be fine if I'm cured after surgery.

But if I become paralyzed,

I'll lose the time I'll get to spend with my family

while I still have enough strength to support my family.

Professor Prapas said

a doctor needs to be used to saying goodbye.

When it's my dad,

I really feel like that.

It's true.

When you go through it yourself,

it's difficult.

I won't go home for now.

You have to settle the divorce soon.

I don't want to wait long.

- Thank you. - Em.

This is the morning patient.

Be careful.

Can you hear me?

- Doctor... - The patient is still conscious.

His BP is fine, but his pulse is rapid.

Pleum, set up the OR and perform a resuscitation on him.

Get someone to get Professor Win. Wait...

I'm Dr. Shoan Jatemeechai, a first-year surgical resident.

I would like to start a team briefing.

The surgical team, please introduce yourself.

I'm Professor Archawin, the main surgeon.

I'm Dr. Primlada, a fourth-year surgical resident.

I'm Dr. Panthep Chokeswate,

a fourth-year surgical resident.

I'm Dr. Thanaphat,

a third-year surgical resident,

- assistant three. - I'm Professor Chanida, the anesthesiologist.

I'm Nisara, the nurse anesthetist.

Kanchana Chanadda, the scrub nurse.

The patient is Phumiphat Viriyaacha,

43 years old. Known case CA stomach. He's waiting for surgery.

The diagnosis is penetrating abdominal injury with hemorrhagic shock.

We're about to explore laparotomy

to remove the steel rod and fix damaged internal organs.

Are the monitor and anesthesiologist's tools ready?

- Yes. - Is the pulse oximeter ready?

- Yes. - Does he have any problem with his airway or aspiration?

We're ready for rapid sequence induction.

Is there a chance he'll lose more than 500 cc of blood?

- Yes. - How will we handle it?

We've prepared a large bore IV

and we've activated a massive transfusion protocol.

The patient takes antibiotics before coming into the OR.

Ceftriaxone two grams,

and Metronidazole 500 mg. Both are two doses.

Two grams of ceftriaxone were already gone 10 minutes ago.

As for 500 mg of Metronidazole, it's still dripping.

Head Surgeon,

do you have anything to inform your team?

You can tell them for me.

Yes.

The patient was stabbed by a steel rod

from the left abdomen to the right back.

It's possible that he might have vascular injury, especially with IVC.

We might have to do IVC clamps.

Please prepare for that, Anesthesiologist.

Scrub nurse, prepare the tools for vessel repair.

The tools are clean and ready to be used.

As for the stomach cancer,

don't do anything with it for now.

Is there anything you have to tell the team, Anesthesiologist?

This is a high-risk patient.

There's a chance for intraoperative cardiac arrest and DOT.

Has the surgical team talked about risks with his family?

The hospital still can't contact his family.

If there's an emergency,

we'll do our best to help the patient first.

Roger that.

If there are not any more questions,

I'd like to end the team briefing.

Excuse me, is there a patient from an accident called

Phumiphat Viriyaacha?

Phumiphat Viriyaacha...

Are you his family?

Yes.

The patient didn't say that he had a family.

Please take a look at the document and sign it.

If there's an emergency,

doctors have to save the patient's life before asking for permission.

At this spot?

From the data, he has to get surgery for his cancer.

Please take a look.

Cancer?

Yes.

We have to go from the xiphoid process and go around the right navel,

to the pubis.

After that, we have to finish four-quadrant packing soon.

But the steel rod has to be as still as possible.

Then, we'll see how many organs have been injured.

Pleum, grab the rod.

Nick, Richardson retractor.

Yes.

He's so lucky.

The luckiest guy in the world.

Yeah.

There's only a small bowel injury

and

tear mesentery.

The steel rod got really close to the IVC.

His stomach cancer also hasn't spread. He's really lucky.

Stop getting excited about his fortune. Come on, Nick.

Let's cut some of his intestines and remove the rod.

Professor Win, you're also lucky.

I really thought we might have to perform resuscitation.

If the angle changed only a little bit and the rod hit IVC,

I think the patient might have had cardiac arrest in the ER.

That's true.

And about your back pain in the OR the other day...

Has it gotten better?

All scrub nurses from that OR are extremely worried.

I'm still alright.

Well, I'm in my forties now. When I have to stand for a long time,

it can be pretty bad for my body.

Okay.

Prim, tie it here.

Yes.

Well...

It's almost done. We'll connect his intestines and do gastric lavage.

Nick and Pleum, you two will slowly get the rod out.

But the rod is really close to IVC.

If it cuts IVC,

it can lead to stomach bleeding.

That's right. Good job, Shoan.

Well then, I'd like to proximal-distal control IVC.

I'll have to ask for vascular slings.

I also might have to clamp IVC.

Yes.

DeBakey forceps and Satinsky clamps, please.

Okay.

Okay.

Nick, Pleum.

- Remove the rod slowly. - Yes.

Taking the specimen.

Thank goodness for Shoan. If it really cuts IVC, we'll be in trouble.

The patient is stable now.

He'll be able to move into a normal ward soon.

Yes.

As for his cancer,

we'll wait for his condition to recover first.

I really...

Thank you so much for helping my husband.

- Will Dad wake up soon, Doctor? - Hm?

He'll wake up tomorrow.

What is on your neck?

It's from Taekwondo.

I got second place. I want to show the medal to my dad quickly.

I like it when Dad plays with me.

When he wakes up, he'll probably be really happy.

When Dad wakes up, do you have to divorce him?

Dad, wake up soon.

It's probably because he has cancer.

That's why he asked for a divorce.

He's afraid he might become a burden.

Do I have to try to understand that, Doctor?

I...

For him, I think...

I don't think it's an easy decision.

It's done. I'll give it to you.

- Wow. - But don't throw it in the hospital.

This paper plane is really powerful.

It won't be good if it hits other patients.

Yes.

No.

I'm just kidding.

For example, Doctor...

What if something happens,

my son and I...

Will we have to live and pretend like we know nothing?

Why...

Why can't we let a father stay with his son for a little longer?

Let them

say goodbye to each other.

Dad, wake up.

Dad, wake up.

You're such a tease.

Your dad will get better soon since he has this great support from you.

He'll wake up tomorrow. Are you happy?

Yes, I'm happy, but Mom isn't.

Why do you think like that?

When we drove here, Mom was crying.

She might have cried because she was happy

that your dad was getting better.

The doctor made this for me.

Have you thanked him?

- Thank you. - Thank her as well.

- Thank you. - Sure.

- Thank you once again. - Goodbye.

- Let's go. - Bye-bye.

Don't throw it in the hospital.

What?

You act like...

- Like what? - Excuse me.

Hello, Mom.

I'm at the hospital.

Hello, Mom.

Hello, son.

Have a seat.

I came here to visit my friends I used to share rooms with.

I also brought some food for them, so

I also cooked some for you.

Thank you.

Wow, lotus stem?

With shrimp.

There's khai phalo at the bottom.

Thank you.

It's your favorite, isn't it?

Yes.

Are you only here to visit your friends?

Well, I'm also here to apply for a job.

I'm going to work here in this hospital.

But if you find it uncomfortable,

if you don't like it, it's fine...

I'm not uncomfortable with it at all.

Thanks.

Mom.

I got to join a special surgical team.

Do you want to hear more about it?

Do you want to tell me about it?

I want to hear it.

I really want to hear it.

I'll start then.

There's a patient who has stomach cancer.

However, he's unlucky as he was stabbed by a steel rod

from a construction site.

It goes from his right abdomen to his back.

I had to join the OR. The rod was really close to IVC.

The surgery has become difficult. I...

I saw it and I told Professor Archawin.

Professor Archawin praised me as well. If I...

Oh, good morning, Miss May.

Good morning.

- Are you here to see Professor Win? - Yes.

He's inside the No.7 examination room.

Does he have a patient with him?

I don't think so.

You can go in.

Thank you.

You seem so refreshed recently.

Retroperitoneal sarcoma?

Yes.

It looks pretty big from the MRI results.

It's next to the duodenum,

head of the pancreas, and right kidney.

There's also a tumor thrombus in IVC.

Listen, if we want to do an en-bloc surgery to remove all of them,

we have to remove a lot of organs.

Yes.

Well...

I'll go call Professor Benz. He's also from your class.

He's an expert on sarcoma cancer.

I'll ask him to join the surgery.

We have to start planning your surgery as soon as possible.

Win, nowadays,

the standard for equipment and talent is a lot better than in the past.

The safety and success percentages are also a lot higher, Win.

I understand.

For the tumor IVC thrombus,

if it's too close to the heart,

the chance to remove the entire tumor is almost impossible.

You might have to open my chest to clamp suprahepatic IVC.

And...

Have you told your family?

- No. - What?

I...

I want to be more certain first.

And May...

May is pregnant. I don't know how I should tell her.

Win?

What are you talking about?

Win, do you think I didn't care

about what I said at our wedding?

You might think it's useless to tell me

as I can't help you anyway.

But please don't ruin the chance of me being beside you.

I'm so afraid.

I'm also afraid.

I'm afraid if something really happens,

I'll miss the chance to be with you.

(My son and I...)

Will we have to live and pretend like we know nothing?

(Why...)

Why can't we let a father stay with his son for a little longer?

You still have me and your baby.

We'll fight against it together.

(Conference Room)

Thank you for attending this meeting today.

I'm really sorry for the sudden notice,

but there's really an emergency.

Professor Archawin, I'll leave it to you.

Thank you, everyone.

I'd like to start then.

This is an extremely rare cancer case.

The patient is a 41-year-old male.

He has had right back pain for two months

with flatulence around his xiphoid process after meals.

After taking NSAIDs and PPI, his condition hasn't improved.

Recently, the patient has fallen unconscious.

We suspect it might be from hypovolemia.

These are the MRI results.

From the nature

of the tumor, I think it's retroperitoneal sarcoma.

The best treatment for this patient

is an en-bloc surgery removing the tumor

along with the nearby organs.

There's a chance we can remove all of them.

Excuse me.

There's the IVC close to the tumor.

Which method are we going to use for this surgery?

If we have to remove the IVC tumor thrombus,

we'll have to rely on Professor Kan from CVT

to open up ICV to get the tumor out.

However, if we do that,

there's a high chance of complications.

We'll have to give him anticoagulants

and wear equipment for PC protection.

I'd like to say something to the doctor who will perform the incision.

This is an extremely dangerous case.

I'd like to prepare an emergency team, in case the plan falls through,

to be on standby from the beginning of surgery.

Yes, Professor.

Everyone,

for this surgery, there'll be a first-year resident

joining the surgical team.

It's Dr. Shoan.

Yes.

Let me clarify.

The first reason is

that he's a highly capable first-year resident.

His track record in the OR

is extremely good.

I've heard about him.

It'll be good for him to get a chance to see a difficult

and complex surgery.

Yes.

And the second reason

is that I'd like to authorize him to make a decision for me

during surgery.

Excuse me.

Normally,

the authority to make a decision is for a surgeon.

That's true.

But for this case,

I want you

to make a decision for me

who will be a patient

during this surgery.

Are you saying

you're the patient?

I'll be in your care, Shoan.

I can't do this.

Why can't I do this?

- What do I have to do? - Don't keep it to yourself.

Do you know that everyone's here

to share their feelings with you?

I believe that you

can become more than a surgeon.

The lump invades the IVC more than we thought.

I don't know if he can endure this.

Professor Win would want to continue the surgery.

I believe that he can endure this surgery.