Original subtitles

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

(Do you wonder)

(why I let you join the team?)

(Because I want you to learn.)

(Think of it as if)

(I'm still your mentor.)

I just won't be standing there to guide you. That's all.

(I want you)

(to make a decision for me.)

I'll be in your care, Shoan.

Professor Win told me

if this was his surgery,

he would continue.

I believe that he can endure this surgery.

EKG to PEA.

Professor Chompoo, please analyze 5H5T.

I can't touch him now since it's PEA.

Keep compressing. Both lungs are balanced.

We'll now drop the...

Give him one milligram of adrenaline every four minutes.

Is there any change?

EKG to PEA. Keep compressing.

What's going on? I don't see anything wrong with the intraoperative.

Professor!

(Episode 20: Good Doctor)

Win has

a massive pulmonary

embolism.

I've done CPR and called for Professor San to give him ECMO,

but he still hasn't woken up.

I think he might have brain death.

We'll have to continue to examine his condition again.

But

I want his parents and Miss Maysa

to prepare for the worst.

May...

May...

(Pavilion)

Professor.

What should we do? Shoan wouldn't talk to anyone.

The only one who can answer that question is Shoan.

Professor, if Shoan doesn't get a hold of himself soon,

it'll become a big problem.

That's right, Professor.

Professor has taught me...

The answer is massive PE.

I was wrong.

I was wrong...

I was wrong...

Professor has taught me...

The answer is massive PE.

- What happened? - Go find out what you miss.

The answer is massive PE.

Do you remember? Soft tissue sarcoma that causes PEA cardiac arrest.

The answer is massive PE.

I was wrong...

I was wrong...

I was wrong...

I was wrong...

I was wrong...

I was wrong...

I was wrong...

Professor has taught me...

The answer is massive PE.

I was wrong...

I was wrong...

I was wrong...

Professor has taught me...

The answer is massive PE.

Everyone has done their best.

No one has blamed you at all, Shoan.

The answer is massive PE.

I can't help anyone.

I can't help anyone.

I can't help anyone...

I was wrong...

I was wrong...

I was wrong...

Professor has taught me...

The answer is massive PE.

I was wrong...

Professor has taught me...

The answer is massive PE.

Will Shoan ever be back to normal?

I think he will be back.

The board would like to evaluate

if Shoan is truly suitable to be a doctor once again.

I see.

I understand

that Shoan is grieving.

But if this continues to go on,

it'll turn into negligence of duty, Pas.

I want to help,

but I really can't.

I don't want any more bunnies to die.

Death isn't scary.

If you still love them,

they're not really going away.

They'll be here.

- What's going on? - The bed!

It's an emergency!

We have to move him.

Let's go.

There's a lot of blood!

Pek's condition has gotten worse.

His heart doesn't really contract.

So I couldn't perform a normal kidney dialysis.

I had to use hemodialysis continuously.

There's also esophageal varices bleeding.

- The best treatment right now... - I know.

Pek needs to get a kidney transplant.

I'm afraid

a kidney transplant might not be enough this time.

He might have to change his kidney, liver,

and heart.

It's fine if you're not ready to say anything.

You can just listen to me.

I also want to blame it on someone.

I also want to criticize someone.

I also want to be mad at someone.

Because if I'm angry,

I won't have to think about Win.

But the reality isn't like that.

Why does it have to be me?

Is it because I don't have feelings?

No, Shoan.

It's the opposite.

I think Win knew his condition the best.

He also worried about you the most.

- He wanted you to go further. - He didn't have to worry about me!

I don't want to know!

I don't want to know any more!

I want to be back to normal!

I want to be back to normal!

I don't want to know any more!

I don't want to know!

I know it's difficult, Shoan!

But we have to accept it so that we can go through it.

Do you understand, Shoan?

Dr. Prim.

The ER nurses

said Shoan didn't have the motivation to do anything.

Even with just closing the wound,

he didn't want to do it.

He just sat around and did nothing.

Isn't this going to get worse?

What if he gets suspended?

What if he gets fired?

I don't want to lose another good doctor.

It's done.

Dr. Prim.

There was a package for you this morning.

Thank you.

Em, No. 8 and 20 patients have changed their medication. Please watch them.

Yes.

I didn't get to hear an answer from her.

Everyone, thank you for coming

to the GMM Solid Organ Transplant Committee's meeting today.

We have a patient who requires an organ transplant urgently.

I...

I'll let Dr. Primlada, the chief resident, present the case for you.

Prim.

The patient is a 15-year-old male with type O blood.

Rh positive PRA class I 0%, Class II 51%. Underlying

ESRD from autoimmune nephropathy.

On regular hemodialysis three times per week.

Recently,

there's been intradialytic hypotension

so we couldn't pull out UF.

He also has LV global hypokinesia

with pulmonary hypertension.

He's now in ICU with an upper GI bleed with aspiration pneumonia.

He's on ECMO and runs CRRT in the ICU.

The latest lab result is on the screen as you can see.

Combined organ transplant for kidney, liver, and heart at the same time

is the best treatment for this.

Professors, do you have any questions

about this case?

Feel free to ask.

For dilated cardiomyopathy, have you done coronary artery angiography?

The CAG result is normal coronary.

What about upper GI bleeds?

How's the EDG result?

The EDG result is that there's EV bleeding.

We've done rubber band ligation.

There's no re-bleed anymore.

What about the infection?

Has his aspiration pneumonia gotten any better?

It's gotten better, Professor.

Has the patient received heart surgery before?

Never.

I agree with combined organ transplants for three organs.

Prim, I'll leave you

to do an additional workup and CT scan for his chest and whole abdomen.

Also, look at the aortic in his stomach.

- Yes. - Does anyone have anything else to add?

If not, I'll consider that we're now on the same page.

This is considered now our plan of action.

I'd like to appoint Professor San to be the leader of the surgery.

If we get a donor who's compatible with this patient,

we'll call for another meeting to plan for surgery.

When we plan for surgery, I'll invite

Professor Pranya to the meeting. He has done three organ transplants

successfully for the first time in Asia six years ago.

I'll invite him to ask for his opinion.

That's great.

I'd like to end the meeting now. Thank you, everyone.

- Thank you. - Thank you.

I was thinking of Shoan when we talked about organ harvest.

Yeah. I still think of his cold container.

Nick.

If I punch him again, will he get a hold of himself?

You can try.

(Exit)

Shoan's wounds

are really deep.

Can't we do anything at all?

Do we have to wait

and do nothing like this?

I think deeply in his heart,

he still has the spirit of being a doctor.

I believe he'll realize that

there are a lot of people who worry about him

and they are ready to help him

get it back.

Shin...

Please help your brother.

(See? You got this as soon as you made a wish.)

If you don't want any more bunnies to die,

you have to be a doctor

like Dr. Prapas

(so that you can save everyone from dying.)

I will never allow a doctor in your condition to operate on a patient.

You don't like me

- because I am different? - You're well aware of that.

You should reconsider yourself.

You're not suitable as a surgeon.

Your hands

and your brain

can still save a lot of people.

I believe

that these hands

will save a lot of people.

I believe

that you can become more than a surgeon.

(I'll be in your care, Shoan.)

Good evening, Professor.

(Reception)

(Appointment)

(Diaphragm.)

(Spleen.)

Gallbladder, pancreas,

small intestines,

large intestines.

Okay. What about this?

That's inferior vena cava.

And aorta.

Good job.

Good evening. Please get out of the car.

Where are you taking these to?

To the city.

I'd like to see your driver's license.

- Please let me get it first. - Of course.

- Tell me when you get it. - Yes.

What is inside?

Fruits?

Hey, follow him!

Captain.

He's running away. What should we do?

He can't run far. Don't worry.

- Let's take a look at what's inside. - Yes.

Headquarters,

there's a suspect running away from Ratchada's checkpoint.

He's a 45-year-old male wearing a gray shirt.

Help.

Help.

What should we do, Captain?

- That's a human's voice. - What?

- Help. - Can you hear it?

I can hear a voice.

- From inside? - Yes.

Yes.

What should we do?

- That's a human voice. - Yes.

Let's take a look at one of these boxes. Get it out.

Yes.

Be careful.

- Help... - Help...

Help...

Watch out.

- Slowly. - Help...

Help...

Help...

- Help... - Help...

Help...

Help...

Help...

Since there are a lot of people inside, they probably have asphyxiation.

A lot of them have weak pulses. Need to perform CPR immediately.

We only have these many ambulances?

Yes. There are two ambulances for now. I already asked for more.

More are coming. There's pretty bad traffic.

- It's fine. Let's help them for now. - Can you handle that side?

No...

Help...

Help...

Can anyone do CPR here?

Can anyone do CPR here?

No ambulances have come yet.

- Yeah. - Can anyone do it?

Can anyone do it?

Me.

- I've learned about it. - Okay.

- Sergeant, go get him here. - Yes.

- You can begin. - Please start with this one.

1, 2, 3, 4, 5,

6, 7, 8, 9, 10, 11,

12, 13, 14, 15, 16,

17, 18, 19, 20,

21, 22, 23, 24, 25, 26,

27, 28, 29, 30.

(6, 7, 8, 9, 10.)

(11, 12, 13)

(14, 15.)

Shin. Shin, wake up.

1, 2, 3, 4, 5,

6, 7, 8, 9, 10,

11, 12, 13,

- 14, 15. - Doctor.

My kid is fine now. Thank you so much.

Thank you for the robot.

- He really likes it. - I'll probably miss you, Doctor.

(You're so funny, Sea Lion Doctor.)

- Doctor... - Thank you

- for saving my wife. - A doctor's job is to save lives.

Thank you, doctors.

It's a doctor's job, sir.

(I want to take this opportunity)

(to give dying lives a chance to survive.)

That's why I want to be a doctor.

Let me do this myself.

I'm a doctor.

Doctor, there's one injured person here!

His breathing seems weird. Please take a look.

What you've done earlier was already good.

Can you do that for me?

Yes.

It might be tension pneumothorax. We have to do ICD.

- Do you have equipment? - Yes.

- Please bring it here. - Yes.

Doctor, please take a look here.

Yes.

His pulse is still there.

He's considered a yellow patient.

(At Ratchada Road, )

(the police have found the truck smuggling aliens.)

(With the narrow space)

(and hot weather, )

(those factors cause them to suffocate.)

(The rescue workers and police are trying to help them.)

(But with a lot of injured people, )

(they have to ask for help from people in the area.)

(From this incident, )

(there's someone who records a video of an upstanding citizen.)

(He stepped in to perform CPR to save the victim's life.)

(We've learned later that he's only 15 years old.)

(Hello, Doctor.)

(I'm a daughter of Mr. Prathip Thepphotha, )

(who you treated two years ago.)

(My dad has already passed away.)

(He insisted that I send this Buddha amulet to you.)

(When you see this, )

(I hope you can be proud of it.)

(He said he got a lot more from you than just a treatment.)

(As for me, )

(I'd like to thank you as his daughter)

(as you gave me some more time to be with my dad.)

(Why)

(do you want to be a doctor?)

(So I think what's important)

(is what we do)

to not forget your answer to this

throughout your whole career as a doctor.

(#TheAnswerToTheBeginning)

You're back, Doctor?

Yes.

I've heard about you from the nurses.

I thought you might not be back again.

I was a coward.

I was afraid I would make another mistake.

I understand that.

I'm also afraid of that.

My parents died because of me.

On that day,

a drunkard drove his car and crashed into us.

But I was the driver.

Sometimes, I think

that if I had died instead,

everything might have been better.

It's because when you survive

while seeing your loved ones die,

it's devastating.

Pek was the one who said that.

I just want Pek to get a chance to become an adult.

I want him to live normally like other people.

We've now had a donor who's compatible with the patient.

Today, I've invited Professor Pranya from Sirirat

to be our adviser. He'll also help with the planning.

- Thank you so much. - You're welcome.

- Good morning. - Dr. Prim, you can begin.

Well then...

From the latest lab result this morning, CBC hematocrit

is around the same at 22%.

There are 220,000 platelets.

The coagulogram is a little prolonged. PT 17.

PTT 35.

BUN and creatinine have decreased.

BUN is now at 37.6. Creatinine is now at 5.8.

Electrolyte is normal. Liver function is still the same.

When is the estimated time for cross-clamp time?

We have to go to Phetchabun Hospital.

We have to land at Phitsanulok and get a car to Phetchabun.

It'll take around four hours.

We can do cross-clamp time around noon.

No, that's too long.

Excuse me.

For three organ transplants on one single person,

if it takes more than four hours to transport organs,

it can affect the function of the new heart.

I agree with him.

He's right. For three organ transplants,

if it takes too long, it can affect the function of the new heart

which might be about off-pump.

It can affect the cold ischemic time of other organs.

What he said was exactly right.

Yes, Professor.

Professor San, Professor Benz, what do you think?

I agree with Professor Pranya and Shoan,

but I don't think it's easy to find another compatible donor.

Yes?

Okay. Yes.

Everyone,

a coordinator told me that we just got a new donor

who is compatible with our patient.

He's in Bangkok.

In Bangkok?

- Yes. - This is so lucky.

It really is.

Can we still change the plan?

I don't think there'll be any problems.

Nick, Pleum, you'll go to harvest the organs.

Prim, help Professor San with the heart.

I'll get the liver ready with Mummim

and Shoan. Can you do it?

I can.

Do you have anything to add, Professor Chompoo?

Since this is three organ transplantations,

at which step should we give immunosuppressant to him?

And how many doses should we use?

You can follow the protocol of a heart transplant.

Use 20 mg of basiliximab per IV before the incision.

Use 500 mg of methylprednisolone for bypass

and 500 mg before removing the heart clamp.

Everything he said was exactly right.

Professor Prapas,

he's really a gem just like everyone says.

- He's really good. - Yes.

I'm glad that we get to operate together again, Doctor.

Yes.

Okay.

(Shoan.)

(Are you okay?)

Pleum, perform a suction.

Good.

Metzenbaum scissors.

Right angle.

Pleum, perform a suction here.

- Yes. - Okay.

- Good. - Just a bit more around this.

Metzenbaum scissors, please.

Get ready for SVC and IVC.

- Right angle. - Will the heart be here soon?

Yes.

I'll do an aortic cross-clamp in half an hour.

Yes.

- Is the heart ready? - Yes.

Please give it to me.

Open it. Good job.

I think we can transplant the heart in time.

Okay.

(It's another achievement for Thai doctors. They have performed)

(three organ transplants on a single patient.)

(This operation took around 13 hours.)

(It's another achievement for Thai doctors, )

(after the first successful three organ transplants in Asia)

(in 2017.)

- Are you going? - Yes.

This is Professor Prapas' lunch box.

Let me see.

You're ready.

I'll leave after I finish organizing your fridge.

You don't have to come every week. I can do it myself.

You won't have time for it.

I want to do it for you.

Okay.

I'll get going then.

- Sure. - Goodbye.

I'll go wait over there.

Take your time.

- Hello. - Hello.

He is finally here to see his brother?

- Hello, Doctor. - Hello.

- Hello, Doctor. - How are you?

The pain has lessened, hasn't it?

Overall, his condition is better.

His body hasn't shown a sign of rejection for the new organs.

With some rest, I think he will get to go home in a few days.

Thank you so much.

Thank you so much.

If you have any questions, you can ask our residents or nurses.

- They'll report it to me. - Okay.

- I'll excuse myself then. - Yes.

Goodbye.

- I'll leave him to you. - Yes, Professor.

- Miss Paan. - Yes?

Thank you so much.

For what?

Pek asked me a question that I couldn't answer the other day.

But I got the answer from you.

What did I ask you, Doctor?

You asked me,

"Why would a doctor save anyone if everyone has to die anyway?"

I got the answer from two good doctors,

and from you, Miss Paan.

With those three answers, I can conclude that

everyone will die. Doctors will die as well.

It's natural for humans.

But saving people

is also natural for doctors.

Therefore,

we should do our best to do our duties. That should be enough.

We'll take our leave then.

- Goodbye. - Goodbye, Doctor.

- Goodbye. - Goodbye.

Goodbye.

Have a lot of rest.

You don't have to be stressed.

Congratulations.

My bro! That's my bro!

Congratulations.

For most of us here,

I don't think this year has been easy.

During this whole year,

in our hospital,

a lot of things have happened.

Good things,

bad things,

and new things.

And also

we suffer some loss.

But what I want to say is that

this is once again a reminder of a philosophy that says

life

is uncertain.

And the people who can teach us

about the treatment and the way of life

aren't anyone else.

They're the people who we're trying to save.

That's right. It's our patients.

You have to accept

that we, doctors,

are just humans.

We're not perfect.

If one day

in the future,

when you have

doubt,

when you feel hopeless,

when you question what you're going to do

and can't find an answer

when that time comes,

go back

to the first day you wanted to be a doctor.

Think of

the reason

why you wanted to be a doctor.

I hope

that these questions and answers

will take us

to the path where we can be ourselves the most.

I'd like to express my congratulations

to every doctor here.

I wish you good luck.

I hope you'll be a good doctor

in your own way.

Thank you.

(My brother told me)

(that I was still a little different from other people.)

(I still like to do things in an organized manner.)

(I can be too direct and catch people off guard.)

(I still look like a robot for most people.)

(But inside, )

(I know I've changed so much.)

First, we'll perform a vertical incision on the abdomen.

Then, we'll go into the cutaneous...

Please stop, Doctor.

I don't understand what you're saying.

- Can you say... - Please calm down.

Let me think.

(I'm happy)

(that I get to do what I really like.)

(And that is treating people and operating.)

(I'm still trying to find out what it is to be a good doctor.)

(I once wanted to be what people called normal.)

(I thought they should have understood what I was.)

(But when I think like that, )

(I found that)

(I was hurt by people's expectations.)

(In the end, I understand now)

(that what I want is so basic and normal.)

(I just want someone to believe)

(and see my own specialness.)

(Just a few people who can say)

(that they believe in me.)

Dr. Prim, hello.

There are a lot of patients every day.

But it's still okay.

(Have you stopped drinking extra sweet lattes?)

Yeah, but I drink extra sweet black coffee instead.

(You can't. You have to stop drinking that, or you'd become a hippo.)

(Don't forget to eat vegetables.)

I know that.

You should go. You'll get annoyed if you're late again.

- Okay. - (Goodbye.)

Bye-bye.

You haven't gone home, Doctor?

Come on, Doctor. There are a lot of patients waiting now.

Let's go.

Hello.

Yeah!

(Welcome back, Professor!)

Hello, Mummim, a second-year resident.

Nick.

Where are the others?

Pleum is picking up the first-year resident.

By the way, what is a fellow like you doing in a resident's break room?

If I have to say it politely,

I'll say it's because I'm lonely. But for real though,

I'm just not really busy.

You're so annoying.

What's this?

I heard you guys from the outside.

Pleum, where is the new girl?

She's in the toilet. She's probably nervous.

Nick.

Has Prim contacted you at all?

- Prim? - Yeah.

It's like she's disappeared.

We're probably not important enough for her to call us.

Are you sulking or what?

Come in.

Good morning, I'm Bua, a first-year resident.

Let me introduce myself again.

I'm Pleum, a fourth-year resident. She's Mummim, a second-year resident.

As for me,

I'm Nick, a fellow in plastic surgery.

- He already has a girlfriend. - That's enough.

And that's all of us?

There's another one.

He's just arrived.

Good morning. I'm Dr. Shoan Jatemeechai, 27 years old.

I'm a second-year resident.

I have high-functioning autism.

I like bunnies. I like to look at the moon, and I like drawing.

I can watch TV for hours.

Nice to meet you.