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Episode 13

Lee Jin Pyo.

It�s been a while.

Dad! Dad! It�s all my fault!

Dad! I won�t do it again! Dad! it�s all my fault!

You only need to say one thing.

Say only this if the reporters ask you anything.

Today is the day we set up the center.

Lastly, our cancer center will depart from the perspective of simple and defensive medicine,

providing instead proactive medical treatment and service,

contributing to our promise to create a healthy society and positive energy.

That is all for the memorial conference.

I have a question Dr. Lee.

I am reporter Park Sun Jae from Dae Han Daily.

I received some news this morning.

I heard that Dr. Lee adopted a young child in the past, but gave him up when he was 12 years old.

Is this true?

I heard that the child who got abandoned is Dr. Ahn Joong Geun in Han Kook Hospital�s thoracic surgical department.

Is this true?

Is this true Dr. Lee?

It�s not true.

According to the subject�s content today, in this time now, Dr. Ahn Joong Geun

will provide us an explanation to this.

Can Dr. Ahn Joong Geun answer my question?

Is it true that after you were adopted by Dr. Lee Hyun Taek, you were also abandoned by him?

Please answer.

Please answer my question Dr. Ahn. Is it true?

Dr. Ahn.

Dr. Ahn.

No, it�s not true.

When I came to this hospital, that is the
first time that I met Dr. Lee Hyun Taek.

It�s not true.

Where is Jin Pyo right now?

Sit down.

Were you the one who asked the reporters to come?

Yes.

Then why did you deny it?

Since you were determined to do it, then you should have been honest.

That means your reason for coming to this hospital has fallen through.

Is that not the case? You came because you wanted revenge.

I knew you were very smart, and you studied well.

But I never thought you could get into medical school.

Since you�ve come this far already, why didn�t you tell the truth?

That way, you could�ve easily defeated me.

I don�t know what you�re hoping for.

Once the news has been revealed that the adoption rights were given up, you should�ve reached your goal.

No matter how much you try to deny it, being asked those kinds of questions in that kind of place�

Who wouldn�t believe it?

If this was what Chief Suh wanted, then I�ll do what you want me to.

The candidate for the chief� is it alright if I give that up?

Do you have nothing else to say besides that?

Aren�t you going to ask me how I lived these past years?

Shouldn�t you at least have worried about me in your heart?

Shouldn�t you at least say these things to me?

You raised me for 10 years.

Even if you raised a dog for that long and then abandoned it, you should feel heartbroken right?

Seeing each other again after 20 years�

Don�t you have anything else to say to me?

I understand the reason why you abandoned me.

It was because Jin Soo� Jin Soo died.

Having being married for 12 years before you received a precious child,

but it died because of a child you brought home for adoption.

I know that you wanted to kill me at that point.

But you didn�t kill me. Instead you let me go, and let me live.

I was really grateful to you.

I think about that quite often.

Jin Soo didn�t die because of you.

He was diagnosed with pulmonary sequestration at birth. He couldn't have lived for very long.

That kind of child...it was a relief that he lived the days he did.

That wasn�t your fault.

Then why did you abandon me? You raised me for 10 years! Why?!

Did you think I put Jin Soo in the water on purpose?

Did you think I was jealous of Jin Soo and I hated him?

That�s all not true. I was very happy when Jin Soo was born.

I was very happy that I got a brother.

Seeing how happy both of you were made me happy as well.

But if it wasn�t me who put him inside to get the toys�

If I wasn�t so careless, then Jin Soo might have been able to live for a longer time.

I�m sorry.

It�s my fault.

Watching you now, you still remind me of when you were little.

Your eyes were very big when you were little, and it seemed like you were frightened.

It wasn�t your fault.

I was very heartbroken when I sent you away at that time.

If a year later, a child hadn't miraculously been born, your mother wouldn't have lived until now.

So let go of these kinds of thoughts. It wasn�t your fault but mine.

I know that it wasn�t a humane thing to do.

But, I never once forgot about you in my heart.

You grew up well.

That was normally the time when kids your age would�ve easily walked down a wrong path.

Thank you.

There�s a strange smell.

What smell is there? There�s only the great smell of delicious pigs feet.

Why did those questions suddenly get asked?

There must be some reason why those questions got asked.

Hey, do you really think that our chief abandoned a child?

We should wake Dr. Park up.

Don�t wake him, let him sleep. He�s been working part time lately.

Does he have time for a part time job?

Lee Min Woo is getting punished as well.

Doesn't Dr. Lee only have one son who recently went to high school?

Compared to Dr. Lee�s age, isn�t his son too young?

That�s right, compared to his age, that child was born a bit later.

That means that before that child was born, he was in front of Dr. Ahn.

- That�s right, that�s what I mean.
- Hey, hey we don�t know anything.

So, don�t go around guessing.

Let�s eat this.

I�ve come to check up on the chest tube, so please move.

I�ve checked it already.

I see.

Have you made up with Chief Lee?

Is the surgery ready for this MDR Tb patient?

Yes.

Has the boyfriend and the family had their x-rays done and checked?

Yes, they had no problems.

Chief Lee�

I met him, but from now on at work, don�t mention anything like this, and don�t ask me any questions.

What you heard that day, just forget it all.

Just pretend that you didn�t hear it.

You understand?

Why aren�t you answering me? Did you hear what I said?

Yes.

Good.

But I want to ask you something.

Didn�t I say not to ask me anything?

I wanted to ask what time is the seminar tonight.

Now.

What a relief that he�s back to his old self.

There was a time where there was a barrier between them.

Even though I don�t know what they talked about,

I hope that the scar in his heart, no matter how small, will be able to make a good turn.

Kim Yoon Ji is a 16 year old student. She coughs up blood every time she coughs.

But because the reason behind her illness could not be found, she got transferred to a second hospital so�

Yoon Ji, this is Dr. Ahn Joong Geun.

When did you start coughing up blood?

It�s been a couple of years now. I coughed up a little at the beginning.

But it�s gotten serious lately.

Have I got cancer?

I heard that this is not a blood clot.

Is it like this all the time when you cough?

No, normally it�s not. It only happens when I�m on my period.

On your period?

So I suspect that it could be endometriosis of the lung.

Even though there have only been 20 cases in the world with this type of rare condition,

the fact that she�s coughing up blood during her period makes me very suspicious.

I think so too.

After this stage, you�ll get a conclusion once a check up is carried out. Go and prepare it.

What is that?

Endometrial implants have appeared on your lung.

If it really is this illness, then we�ll just need to operate to remove them.

It�s a simple operation, so don�t worry.

Then I won�t die? I don�t have cancer?

What are you doing?

I want to sleep.

Don�t you use this when you study?

When I�m tired, it helps me to sleep.

Really? Not bad.

I�m sleeping now.

Ok, good night.

Doctor! Hurry up and come over!

Alright, I�ll be right there.

Doctor, my stomach really hurts!

-Hurry over to bed no. 3.
-Yes, what is wrong with today?

My stomach!

There�s been an accident with a kindergarten bus. 20 children from that kindergarten are injured.

Get ready for this and follow me.

A kindergarten?

What is this?

Over here.

Stop running!

It�s a relief that no child was badly hurt, but I hope you can help give them all a check up.

- Go and reserve a room, get prepared.
- Yes.

Get down! Get down!

Let go!

Don�t touch anything. You�ve got a scratch here. Follow unni.

Just blow here. Good girl.

No, no, no, you can�t touch that.

Let me have a look. It looks like you�re hurt here.

This is my hair. Ok, let�s go.

Save him! Someone please help us! Is there a doctor over here?! Please save him!

Room No. 1. Let�s hurry!

A steel rod has inserted the lung area.

Because of the steel rod, it�s hard to make an assumption from the CT.

Go and get an OR room right away. We have to get the rod out and perform a wedge resection.

- Lee Min Woo, go get an OR room ready.
- Yes.

Doctor, there�s a nodule in the left side.

It�s very blurred, but it could be an artifact.

Then should we check up on the pictures 3 months before?

- This patient usually has check ups on a regular basis.
- Open the file.

Doctor, it�s not there.

It really isn�t there.

That means that there�s a higher possibility of lung cancer in its first stages, isn�t that right doctor?

It could be.

That means the operation room should be changed. What should we change it to?

We have to change it to a lobectomy.

That�s right.

Change the operation room straight away, Bong Dal Hee, you�re scrubbing in.

Yes.

Bong Dal Hee, you�re doing well.

Thank you!

Good work.

This patient is lucky.

It�s thanks to this operation that we discovered the cancer.

You did great.

Let me know once the patient�s family has arrived.

Yes.

Doctor!

He may need to go in for surgery again. They say it�s CAGB.

Something.

The dopamine is 120 and 80. They�re taking him to OR Number 5 right now.

Alright, Bong Dal Hee you go up first. Ask Lee Min Woo or anyone else to come.

Why Doctor? I can do it.

No, you go up.

I�ll do it. I can do it.

I told you to go up, so go up.

Can I ask you why you wouldn�t let me participate in the operation room just then?

Is it because of my health that you are giving me this special treatment?

What special treatment?

While you were in the operation room before, you weren�t concentrating enough.

That was a penalty.

Also because of that incident inside the elevator that time,

you were rude and unreasonable towards me.

We are only staff at work. Who are you being rude to?

I was just a bit excited that day.

It doesn�t mean I like you.

I�m not interested in a woman, who likes someone else.

Alright?

I understand.

Good.

Then will you be using this kind of method again to give me a penalty next time?

That�s right.

So go and get a sound wave check up.

I�ll regulate it depending on the result.

It�s fine.

I will look after my own body.

It�s for your own good.

She has to have these check ups.

After the operation, the possibility of getting infected will be higher.

So he does know that Bong Dal Hee�s health is not so good.

Oh my, he doesn�t�towards Bong�

- Please help me check up on the CBC and ESR.
- Yes.

Thank you.

Seung Min, let�s go and eat something delicious after the check up today. What do you think?

Seung Min, you don�t believe mommy?

Daddy has gone to America. He�s not at the hospital.

Seung Min, the elevator�s here. Let�s go.

Please wait! Thank you.

What are we going to do now?

I don�t know�what should I do now?

Well�.I guess I�m going to have cave�

I�ll let you go. You can go.

That�s not what I meant, not at all.

I know. But�you keep looking somewhere else.

You gave a warning from the start, so I won�t blame you much. Don�t worry.

And the truth is, I�m really busy too. I barely have time to sleep or eat, so dating is very hard�

even though we didn�t really date.

And I really can�t do two things at once.

I got dumped by my boyfriend because I kept putting him off since I had to study to graduate.

So, this time I�m dumping my boyfriend first because I don�t want to get dumped again.

Am I fired?

Yeah, you�re fired.

Am I really fired?

Yeah, you�re really fired.

You know...

I told you about those two people who served justice by getting into an accident.

Do you remember?

Yeah.

Before that, I really hated those two, but at that moment I ended up forgiving them.

After I received the call, I ran to the emergency room,

and the first thing they asked me was about how the other was doing,

and not about themselves when they themselves were dying.

That�s when I put both hands up and said to myself...

people who love should stay together and live happily.

Doctor, you still love Dr. Jo Moon Kyung, you know that right? And Seung Min too.

You never said Doctor, and you keep calling me that now.

You realized that? You�re right.

I didn�t call you that on purpose since we were dating,

but I think it�s only right I replace that name, Doctor.

I like you a lot.

I know.

I like you a lot too.

Do you want to go out with me?

Let�s try it then�.let�s start.

We parted�it�s another failure in my dating life, but I have no regrets.

I met the person that was the best, and even though we only met for the shortest time,

I was nervous the whole time and happy.

*ESR= 50 is a dangerous level of infection, 20 is normal.

It�s 40�.the white blood cell count is okay still�.

No, this is fine still�.even though it�s a bit higher than normal, it�s okay, it�s okay.

You didn�t get caught replacing me, right?

No.

Thank you.

Give it to me. Give it to me and go.

I�ll do it.

It�s fine. Go ahead.

What the heck?

I�m sorry.

Check if this patient is clean.

Okay.

Oh my god�

Is he clean?

He has an STD.

What?

I don�t know if it might help, but I was poked last year too.

Come here, come here.

Put it there.

- Does it hurt?
- No.

- Put it there.
- Yes, it does hurt.

You need to take penicillin right away.

- Bring it.
- Yes.

- Run faster.
- Yes.

I�m putting the shot.

Doctor Park, I�

I�m sorry.

You should be more careful. Penicillin really hurts. This is penicillin.

Penicillin?

Did you get an STD?

Yeah.

You should have used a condom.

I�m regretting it a lot right now as it is.

I�m going to be fully prepared next time.

Do you want me to buy you a box?

It�s fine, I have a lot.

Oh�

I�ll come back later.

Okay.

I�ll explain it to her�.how it happened, I will definitely explain it to her.

You better explain it to her.

Yeah.

It is a pregnant hemopneumothorax patient.

Get a chest tube ready, and get someone in gynecology to come.

Okay.

1, 2, 3.

It�s hemopneumothorax. Block the thoracic duct. (*Hemopneumothroax = blood in the lungs with oxygen)

If the blood pressure is 60/40, there�s a shock in the body, and if you do that procedure right now, it�s worse for the patient.

-Try to get another line, and get the blood out.
-Yes.

- And give her 30mL of dopamine.
- 30, okay.

We need to raise the blood pressure as fast as we can.

Did someone come down from gynecology?

Doctor, please save my daughter-in-law, please save the baby.

She�s in arrest! Intubation!

Doctor, at least take the baby out. At least save the baby please.

Doctor, please push the ambu bag. (*ambu bag = bag that helps mandatory breathing)

Support the right side of her butt.

Doctor, please take the baby out.

How many weeks has been since the baby was conceived?

25.

They finally conceived a baby after 10 years of marriage. The mother would want the same thing. Please, I beg you, take the baby out.

One more dose of lidocaine and epinephrine.

What did they say at gynecology?

They said it will take them at least 20 minutes to get someone down.

20 minutes? 20 minutes isn�t going to do�.

Doctor, please.

Okay, I understand.

Please get ready to get the baby out.

Okay.

Please stand outside. Take her.

The patient is in neutral shock right now. If you take the baby out, you�re giving up on the mother.

In a CPR situation, it�s better if we take the baby out of the mother whether than focusing too much on saving the mother.

The baby is only 25 weeks old, and during a CPR situation I thought the survival rate for the baby is high

if taken out within four minutes and already a minute has passed.

That�s why we need to rush it.

- Hurry up please.
- Okay.

Doctor, if you open the patient up right now, she may die.

But, if you hold on cutting her open, there�s a higher chance she�ll survive.

Retractor.

I�m going to die. I can�t do this.

Stop whining. Doctor Lee took an entire week of full duty without any time off because of you.

Exactly, I will one day pay you back.

Your eyes tell otherwise that you don�t want to.

You�re pretty fast at reading between the lines.

Do you have to stand so close together with your butts almost touching?

What�s the survival rate when you take the baby out when the fetus is only 25 months old?

It�s not too high. But in emergency situations they usually take the baby out if after 25 weeks, why?

We had an emergency pregnant patient come in with Hemopneumothroax, and the baby was exactly 25 weeks old.

And by trying to get the baby out, both the baby and the mother died.

Oh. Bong, about Doctor Ahn, about that STD�.

Doctor Ahn got an STD?

He doesn�t look like that kind of person.

Yeah, TS doctors are like that.

They look normal, but�

You too shouldn�t just fall over a tall, handsome guy. TS doctors, not you Bong, the males are all just�.

I don�t know�.quite dark.

That�s what you call a mistake from making hasty generalizations.

Why are you looking at me?

Wow, the soup is foggy and nicely cooked.

These taste best when you eat it right after it�s cooked.

Should I call her out?

I just need to have her drink some of this.

No, if Min Hee found out, she�s going to get angry.

She is coming back this Sunday, so I can wait and give it to her then.

This is cooked very nicely.

I think we�re going to have to do the surgery.

Oh, look it�s Chief Lee, how have you been?

I heard the news. You�ll be running against Chief Han in the hosptial elections.

It seems it�ll be much easier since you forfeited in the run.

Why did you forfeit?

I was looking very forward to running against you, a very worthy and challenging opponent.

It�s a shame.

Since you forfeited either way, I hope you will support me all the way.

Of course, now then I�ll be off.

Did you have a good talk with uncle that day?

How should I call you?

Hey, I�m talking to you Lee Jin Pyo.

Who�s Lee Jin Pyo?

I�m Ahn Joong Geun.

Why are you like that? Why do you keep denying?

You and I had a good relationship in the past.

Yeah Doctor Jo. No it�s fine, go ahead.

Tomorrow?

I�m free. Are you sick?

What�s wrong with your voice?

Really? Be careful.

Is it Dr. Jo? Is she sick?

She is. What�s that got to do with you?

Get things straight.

Doctor Jo Moon Kyung

Emergency Room?

I just took care of one patient and leaving.

I have plans. I�ll see you later.

You sick?

Yeah, I just don�t feel too good. How�d you find out?

I overheard your conversation with Dr. Ahn.

Take good care of your body.

Thank you.

Dr. Jo.

Yeah?

It�s nothing, it�s nothing.

Go on ahead.

Jo Moon Kyung.

Doctor Jo Moon Kyung?

Jung Min.

It�s been a while.

Yeah, it�s been a while.

It�s a pleasure to see you.

You�re the same as always.

No way, you�re a lot more glamorous than before. Then again obviously, you are a top star now.

Me?

No? Movies, musicals, I heard you�re the best.

I never knew, but since Jo Moon Kyung says so, I guess so.

It�s really been a while. It�s been about 7 years?

Yeah, about that long.

But what are you doing here?

Mom�s in the hospital.

Is she not doing too well?

It�s not serious.

I�m sorry. I have to go.

Yeah, okay.

Oh wait.

Can I call you?

I got your number as soon as I got to the hospital in exchange for an autograph.

Yeah, call me.

Who�s the father? Who�s Seung Min�s biological father?

I don�t think it will be too good if you found out.

You know him too.

If you plan to, you can see him everywhere.

Oh, it�s him. Oppa, an autograph please. Oppa!!! A sign please.

It�s really been a while, it�s been about 7 years?

Patient Go Ji Young. She has marfan syndrome and currently 26 weeks pregnant. (*marfan syndrome = connective tissue disorder)

It's a relapse of a late stage type A disease that causes a tear in the aorta.

You probably already know well, but marfan syndrome during pregnancy is very dangerous.

It�s because while the baby is growing inside. It may also catch the disease.

Currently, you have a unstable blood pressure and there are other substances getting in the way,

so there�s no way to tell when you will collapse.

It�s a shame, but you need to give up on the baby and go right into surgery.

If you take the baby out right now, the lungs won�t be fully developed and will have a low chance of survival in the incubation,

but one more week will increase the survival rate tremendously.

Give me one more week.

Your state is very unpredictable, and you may as well collapse tomorrow.

And when you do collapse, it�s a death right away.

Ji Young, let�s do the surgery.

No, I can�t let our baby die again.

Three years, after 13 weeks of conception we had to give up the baby.

I can�t do it again, give me one more week.

No, it�s very dangerous.

I don�t care if I die.

If you die, so does the baby.

If I collapse, you can just get the baby out. I already researched on it.

When the mother collapses, you can save the baby as long as you get it out within the next four minutes.

Are you going to keep being this stubborn?

What�s the point of you dying and the baby living?

I still want to have the baby.

No! You�re having the surgery.

Doctor, please perform the surgery.

Are you crazy? You want to kill our baby again?

Doctor, can�t you let patient Go Ji Young go on for another week?

This isn�t to be taken care of with just emotions.

I just checked the CT from six months ago and there�s no difference in the state.

Even though it�s hard to control the blood pressure, it�s getting easier since yesterday after giving nifedipine and labetalol. (*nifedipine & labetalol = controlling blood pressure)

I think with this state, it�s okay for another week.

Don�t you know that with marfan syndrome she can collapse anytime?

But if you control the blood pressure well for one week, the survival rate for both the mother and baby increases.

But if you perform the surgery right now, she has to give up on the baby and that�s such a big burden on the patient.

Of course danger follows, but with the current state it�s possible.

I will stay by the patient 24 hours a day.

I�ll put my life on the line and control the blood pressure.

Please give me permission Doctor.

A patient that�s pregnant with marfan syndrome�s death rate is 50%.

I already talked to your husband, but if something goes wrong anytime,

I am going to immediately take you into the operation room and try to save you first.

During this week, if your tissue is to rupture, you will die.

But before then, let�s try to give it another week, just like you asked for.

Thank you, thank you honey.

I will get through this.

If the blood pressure drops below 90, the baby may be in danger.

If the blood pressure is too high, then the tissues may burst.

The blood pressure has to always be around 100.

TEE can increase blood pressure, so don�t do it too often.

Okay, I will keep it in mind.

If the blood pressure drops below 90, the baby is in danger.

Please give her dopamine with a full drip. (*full drip = as much as possible into the system *dopamine = hormone-like substance, is an important neurotransmitter, similar to adrenaline). Hurry.

Okay.

Patient, are you okay? Your chest hurts a lot, right?

Okay, you�re doing well. You�ll get through it.

Her amount of urine is getting smaller. Please check it more often.

Her blood pressure just keeps dropping. I�m going to have to do TEE, please get ready for it.

Okay.

The size is the same and no cardiac tamponade or AR is present. (*cardiac tamponade = the compression of the heart caused by blood or fluid accumulation in the space between the myocardium and the pericardium. *AR = leakage of blood back through the aortic valve)

So everything is okay so far?

Yeah, everything is fine up to now. You�re doing really well, you just need to pull through for 3 more days.

Doctor�.if I die, please save the baby first.

Don�t say that. You�re doing really well. You�ll get through it.

But still, you don�t know what will happen, no matter how much my husband is against it, please.

I want to repay the debt I owe to my baby

that was unfortunate to meet me as its mother and had to leave the world.

I want this baby to see the world.

At least for this baby, I will to give it life.

Please doctor, please.

Promise me.

Okay.

Thank you.

It�s okay, it�s okay�.40 is okay.

Get up Bong Dal Hee.

Huh? Did the blood pressure drop?

No. Hurry up and show me your ankle.

Why?

It�s swollen.

It�s not swollen.

Let me see.

It�s because I was leaning over. When I sleep leaning over, my ankle gets swollen usually.

Get up. Let�s go do an echo.

I took a blood test just a few days ago but the ESR was only 40 and the white blood cell count was perfectly normal.

That can change just over one day.

And only 40? That�s 20 higher than normal. (*ESR= 50 is a dangerous level of infection, 20 is normal.)

If it�s that high, you should start being more careful.

Am I a man to you?

No, right? I�m not a man to you, right?

So get up. Let�s go do an echo.

Hurry up and get up, I already know your state, and I can�t just ignore it.

I said to get up already.

Let�s just do an echo. Like you said, it�s normal, so we�re just double-checking everything is normal.

Why do you keep declining?

Get up already.

Doctor!

I think it�s an AR. There wasn�t one before, but I hear a murmur now. (*AR = leakage of blood back through the aortic valve. *murmur= unusual sound in heartbeat)

It is an AR. It�s an impending rupture. We have to take her into the operation room right now.

Call Kim Hyun Bin and Min Woo, and call someone from gynecology. It�s an emergency, so call up Operation Room 1.

We need at least 30 minutes for her to get on the bypass.

It�s going to be hard for the baby to hold on that long,

but if we take the baby out first then the mother will be in danger.

Can you not save both of them?

The survival rate is low.

The person who we do the surgery on first has the higher survival rate.

I know it�s hard, but please make a decision quickly.

Doctor!

Brought to you by WITH S2
Written In The Heavens Subbing Squad

Main translators: wingyee, sparklinghugs

Spot translator: javabeans

Timer: doozy

Editor/QC: julier

Coordinators: mily2, ay_link

You can go.

He said we can leave.

You said nothing was wrong. What�s going on?

What did you do?

You know him too.

If you plan to, you can see him everywhere.

Has it been about 7 years?

Who�s on duty?

Dr. Jo Moon Kyung

Jung Min.

Why can�t you raise your head?

Park Jae Bum, save the grandmother.

That�s when I was crazy over Dr. Jo.

Where have you been all day?

I�m thankful that you�re caring about my health, but I�ll take care of it.

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