The Third Hospital
Episode 4
Are you okay?
I don't want to fight someone like that already in the morning.
What are you looking at with your neck stretched out like that?
Uh... nothing.
Lee Eui Jin
Please get ready.
Yes.
Hello.
My name is Lee Eui Jin.
You went to The University of Music and Performing Arts Munich?
Yes.
Your grades are good, I'm sure you`ll do well.
Yes!
Let's hear you play.
Start.
This 37 y/o woman came to the ER on July 14, had ICH (intracerebral hemorrhage) surgery. It's day 1 post-op.
It is assumed that the hemorrhage was due to high blood pressure from pre-eclampsia.
No other specific illnesses were found on exam but...
But there were several bruises found on her body.
Were there any signs of TBI (traumatic brain injury) when she came to the ER?
There was nothing.
Where is the guardian?
He is outside.
Are you the husband of patient Park Jin Hwa?
Yes.
But...what's the matter?
Did you abuse Patient Park Jin Hwa?
Pardon?
What do you mean by that?
She was brought in as an emergency last night
And I performed surgery after seeing her head injuries.
When I examined her today, she has bruises.
Did you hit her?
This is ridiculous.
She probably got the bruise when she fell.
Do you know that the patient was pregnant?
You didn't know?
We assume that high blood pressure caused by pre-eclampsia led to ICH.
The patient will have to wake up to tell us what really happened.
Considering her current condition, you'll probably have to give up on the baby.
Excuse me...Doctor.
There's a baby in my wife's stomach?
Yes.
The baby
died?
It's still alive, but
the baby developing normally may be difficult.
Right now, rather than the fetus...
the prognosis of your wife Park Jin Hwa after surgery
is of more concern.
Mom.
There's a big problem.
What? You got found out by the doctor?
Did you request a consult from OB-GYN?
Yes.
Doctors,
What were the presenting symptoms for this patient?
His heart?
Are you asking me?
No, I'm not. It's his heart.
What's the reason?
Because of his speech impairment.
Check his pulse
Dr. Won Joo Hee.
Yes.
What is a definition of a normal pulse of a healthy person?
A doctor counts the number of beats per breath. The heart beats 4 times per breath.
The average is around 70 beats per minute.
It's not too rapid a beat, nor faint too much.
It's not too fast nor too slow.
It's stable and powerful.
And it has a good rhythm in it.
Did she sleep well?
Not really.
She had nightmares throughout the morning.
She told me she's scared to even sleep.
After tomorrow's surgery to remove her brain tumor
She'll get better.
Yes.
By the way, Doctor.
That Oriental doctor who performed the acupuncture...
Yes?
I would like her to get another acupuncture before the surgery.
Is it a problem?
Have you lost your mind?
I told him that it wouldn't be possible before surgery.
So, then?
As she has seizures once in a while,
The husband is having a really hard time.
Didn't you explain that she'll get better after the surgery?
Yes.
But he asked what we're going to do if she doesn't return to normal after surgery
But you know what's really weird?
What's so weird?
You're going to die all alone.
Your wife will run away from you.
She talked like she really knows me.
Who?
That patient?
Yes.
Ai, you!
Ayyy. That's absurd.
For real.
Oh!
Did you get patient Yang's permission?
Huh?
Actually...
Yes, I got it.
Did you consult with the psychiatrist?
Yes.
When will they see her?
They said in the afternoon when time allows.
Let's not do that.
Since she can get better after the surgery for her tumors
Tell them to come after she receives surgery.
-Then for today? -Cancel it.
Yes.
CT?
Yes.
Doctor.
Since the psychiatrist is willing to see her why don't we let them today and do the surgery tomorrow?
Why should we do that?
Well...first because they said they'd see her...
And the patient should be curious of her own state..
Aren't you the one who's curious?
Pardon?
Everyone's talking about her being possessed.
Aren't you saying that because you're curious, too?
No, that's most definitely not the reason.
It obviously is.
Hey, Doctor Park.
Yes.
Is your shoulder aching and hurting you?
Yes, a little bit.
You're still tired after waking up from sleep?
Your back hurts, too, right?
Wait, how do you...
When I look at you properly I see,
the ghost sitting right on your shoulder.
Yes.
Doctor Kim Doo Hyun!
I think you need to go and check on patient Yang right away
Please move out of the way
Please move out of the way.
Doctor! Please save her!
Tie her arms and legs!
Hurry, hurry
You've gotten a lot better.
Yes.
Just a moment.
Yes.
Doctor, it's me, Jeong Tae Seop.
Patient Yang is having another fit!
She's a Neurosurgery patient.
Let them handle her.
Doctor!
Doctor.
Save my wife! Yes?
I'm in the middle of treating my patient, so let's talk about it later
They're going to take her to the psychiatric ward!
That isn't something I can help with.
Doctor, if you don't help...
She definitely came back to her senses after you treated her!
If they send her to the psychiatric ward,
they're going to make her into a crazy person!
What will happen? Doctor!!!
There's no use for you trying your best with all you've got.
Stop that.
Do you think that your father thinks of you as his son?
To your father...
there's no one else but him.
He's here.
You may go inside now, they're finished.
Are you all right?
Am I you?
What's with the attitude? I was trying to be thoughtful.
Do you think your father thinks of you as his son?
It's proof that Doo Hyun isn't of your bloodline..
Where is Seung Hyun?
You punk!
There's no one else but him to your father.
The Future of Integrated Medicine Begins at Seohan National Medical Center!
Yes.
Get Dr. Kim Doo Hyun.
I will.
Profile: Kim Seung Hyun
Enter.
Director..
Deputy Minister Lee and Assemblyman Park have arrived.
Really?
I hope you're not too surprised,
that we came to see you so suddenly.
You two are such welcome guests.
Suddenly what.
A sudden visit like this shouldn't be welcome but,
we need to check how this hospital
made with the taxpayer's money is going along.
Of course.
You should definitely be concerned like this.
Aigoo.
Director Chae!
It's been a long time!
What brings you two here?
Have you been keeping well?
I apologize for calling such a busy person over.
It's not a problem.
No matter how busy I am, if you two have come,
I should run quickly over!
Deputy Minster Lee and I thought we'd be unwelcomed guests,
but with this much welcoming, our plans are ruined!
Ah.
You asked me to come.
It's good that you came by.
Please, Dr. Kim, over here.
Do you remember the emergency surgery that you saw on the opening day?
This is the friend behind that surgery
Dr. Kim Doo Hyun.
My gosh. Glad to meet you!
Deputy Minister Lee, we came here unannounced on purpose,
at least, you should not overstay our welcome like this.
Right. Let's get up.
That's right.
Really?
No way!
A female doctor being married to a male nurse? Isn't it worse than Romeo and Juliet?
That's what I said!
That female doctor must have some BIG flaws or something, don't you think?
I find the fact that Nurse Lee is married weirder.
Will you be paying with cash or credit?
Nevermind.
I've suddenly lost my appetite.
What happened?
He's a patient who came by our ER about 2 months ago
for a fall during night hiking.
What hurts the most?
Everything hurts. Everything.
How come my bone's still not healed after months of having a cast?
A big hospital like this can't even fix a bone!
Take some X-rays, then let's check the results.
Yes.
What?
It's me, I passed the audition!
What a disaster!
Yes?
What's the matter?
I came to ask you a question on an urgent matter.
Eui Jin, I'll phone you later.
Yes.
This is a medical chart of a patient who was admitted to our ER 2 months ago.
He was discharged after a treatment for a fall during a hike.
This isn't our chart
but a chart from Orthopedics.
That's correct. Back then, it was considered as a simple fracture,
so he got a cast and was discharged.
He fell down the stairs today.
He's in the ER now.
So?
Since the patient's not getting better with Western medicine,
the patient and his guardian want to try Oriental medicine.
It's been two months, his bone hasn't healed at all.
Really?
I'll go down after seeing two more patients.
Ask them to wait a moment.
Yes.
Ah, Doctor Jeong.
Yes?
It hasn't been long since the patient's previous injury, and he fell down stairs,
It could be that something else is the problem.
Pardon?
He could have lost balance because of an organ
that has a blockage of qi and energy.
What I mean is you need to approach the problem
through the balance of qi of a whole body, then look at the problem area
not merely looking at a local symptoms like Western medicine.
Examine the patient very carefully
to make a diagnosis before I come down.
Yes.
Presenting symptoms -- The patient's reported symptoms used to diagnose the cause of his illness.
Oriental and Western doctors use this room together?
Yes.
Not just regular inpatients,
but ICU patients are also cared for by both Western and Oriental medicine doctors.
Especially the ICU patients are cared for by
Neurology, Neurosurgery,
and Oriental Cerebral Disorders Dept.
Cerebral hemorrhage or infarction in Western medicine is called Joong Poong in Oriental Medicine.
They are the same condition after all.
That's why they treat the patients
in the same room.
Good bye.
Patient Yang?
How do you feel?
Doctor that was my..
Ah, er...the surgery should go well, so
You shouldn't worry too much about it, Ms. Yang.
Ms. Yang?
Did you hear what I said?
Doctor.
Yes?
I think I'm all better now.
Do I still need the surgery?
This way.
Yes.
Visiting the OR without a notice is asking too much, isn't it?
Ah..that's not possible in the surgery center.
The surgeons in the operations are very sensitive so,
if we go with no word beforehand,
they'll be displeased
and we'll end up disturbing the surgery.
Is that so?
In the OR room, the doctor is king.
Is it not a matter of a person's life?
Let's continue.
Hey, intern.
Yes?
I heard you are also from America.
Yes.
Where? LA?
LA, me too!
High school?
Uh, I...
But...why did you choose Western? Don't you know Oriental is popular overseas?
The way to get the money is not this Western stuff but Oriental medicine!
Okay?
Choi Hyeon Seok!
Yes.
Did you notify Dr. Kim Seung Hyun?
Dr. Jeong went to notify him.
Which patient is it?
Ahh...there are so many patients today. It's totally packed.
Yah. You're on the night shift tonight, right?
What, how did you know? Have you been stalking me?
We're always packed with patients when you're on the night shift..
You attract patients well, you must have good luck.
I should open up a shop.
Where's the Doctor Kim? He didn't come with you?
He said he'll come after seeing two more patients.
Please do something. He's had a cast for 2 months, but nothing happened. Does this even make sense?
The patient was injured on a mountain not long ago
He then fell again on stairs.
This may not be a simple fracture.
Examine the patient very carefully to make a diagnosis before I come down.
It is possible that you have another problem than the simple fracture.
Another problem?
He could have a blockage of qi and energy.
He could have lost balance and fell becuase of an organ not working properly.
We should not merely look at
a local symptoms like Western medicine,
but need to approach the problem through the balance of qi of a whole body,
then look at the problem area.
What?
You should not merely look at the local problem like Western medicine?
Why are you eavesdropping on other people?
How can I not hear when you're talking so loud? DIdn't you want me to hear?
Did I say something wrong?
It is true that Western medicine is only microscopically looking at the symptoms.
Doctor Jeong, that's enough.
Is that so? Is that why you "macrscopic" doctors perform a show of putting bandages all over a patient?
You call that medicine? It's witchcraft!
Witchcraft?
Your words are a bit overboard.
Choi Hyeon Seok, can't you stay put?
Aish, seriously. Why are you all being like this?
It's a fight.
I was very bored today. Let's go see what's going on.
It must be reassuring to have a skilled doctor like Dr. kim at your hospital.
More than ressuring.
He is fit to be the next hospital director.
Evidence-based medicine? stop joking.
You can`t even properly explain the mechanism of actions and you say that it`s a medical science?
It`s just a difference in medical perspective. So stop it.
A difference in medical perspective... Are you siding with them because your Dad`s an Eastern medicine doctor?
I'm not taking any sides
If your medical perspective is different,
Why do oriental doctors take MRIs and CTs?
Can't you diagnose them just by looking?
You guys,who talk about the invisible flow of life energy
Using imaging equipment is a logical contradiction.
Mangjin is the Eastern medicine method of diagnosing by seeing.
We want to look inside,somthing that we couldn`t do in the past.
to look at it properly and make sure.
Is that wrong?
If that`s the case, then I guess hanboks...
Have to be handsewn without the use of sewing machines?
What are you talking about ? Are you joking?
Hey ,first year, stay out of this.
What do we do? Hey, you should say something!
Stop mentioning the number of years.
I'll talk to you later.
You all seem busy.
Since we're sticking our noses in
it must be very bothersome.
Aigoo, bothersome? Why would you think a thing like that
We still need more funding to operate the hospital.
Please take a good look around and,
put in a good word when deciding next year's budget.
It's from the Emergency Room.
What is it?
We've got a big problem!
Honestly, Eastern medicine is a philosophy of medicine, How is it scientific?
Talking gibberish about the yin-yang, five elements, and Chinese zodiac...
How are you guys different from fortune tellers? Am I wrong?
You are right.
You're talking about Science?
That's why the misdiagnosis rate of cancer is 44% in the US, the epi center of modern medicine?
That's right. When you are scientifically prudent, the misdiagnosis is still possible.
If you do it your unscientific way, it's a recipe to kill someone!
In 1967, the death rate in Colombia dropped by 35% when doctors went strike!
Same year, the death rate in California, US went down by 18% when doctors went strike!
In 1973, the death rate in Israel dropped by 50% during the strike. I'm not sure what you're talking about.
You want to die, don't you?!
Hey, get back. What are you doing?! Hey! Hey!
Le'ts stop bothering busy doctors and just take a peek at the ER and head out.
Sure, let's do that.
You can't just leave. You need to at least eat a meal with us before you leave.
That is right.
Since it's been so long, let me take you all out to eat. I know a great restaurant too.
Sir!
What is it?
Deputy Minister Lee! Assemblyman Park!
Right now the Emergency Room is busy, so we shouldn't go in there.
Is that so?
Then, we'll just look briefly from the entrance.
Should we do that?
No, no, no. You've come all the way here, don't do that.
First, go and have a meal and when you're finished you can take your time
By the time, most of the patients should be taken care of.
There's no need when doctors are busy.
Since there are emergency patients just in time.
We'll take a short look without disturbing them and leave.
No, I mean...
you won't be able to eat after seeing blood on the ER patients.
We are used to that, but laypersons lose appetite and what not.
Let's do what I suggest.
Have lunch first, then take your time to look around.
Our ER is the epi center of the collaborative practice of Western and Oriental medicine.
What are you all doing?
I never thought the hospital is like this. The doctors are neglecting their duties and flighting each other!
This is unbelievable! What's going to happen if the words get out?
Really, this is the first time something like this has happened. Please believe me.
Never happened or not, if you can't collaborate, at least you shouldn't fight each other.
What's with the highly educated doctors fighting like that?
Assemblymens at the Aseembly do much more than just fighting. Side kicks and all!
Compare to that, that was like kids' play.
What?
I'll report this to the higher-ups.
This is not something we can just put aside.
Ahhhh, Mr. Deputy Minster.
Things like that happens at any work place.
Don't make this into such a big deal.
Is here any work place?
This is a hospital. A hospital!
On top of that, this hospital runs on a huge sum of taxpayer's money.
The investment when through as the government wanted this area to be the hub medical center in Asia.
Otherwise, you couldn't even dream of a hospital like this!
What I'm trying to say is,
I'm not saying this is a good thing.
Since doctors are very stressed and tired, they are very tense when it comes to a medical point of view.
What did you say when we were discussing the opening of this hospital?
You said "the intergrative medicine is the only future medicine has. All the doctors are aware of that."
And now you're saying they have academically different point of view?
It's useless to keep talking. Let's go.
No, no, no. Please don't be so angry. Let's grab something to eat and talk over this issue.
Do you think I want to eat now? Budget for next year? No way. We'll have the intergrated part taken out.
What do you mean by taken out? You mean closing the hospital?
When did I say closing?
We'll taken out that title "Intergrated" and turn it into a regular hospital then sell it off!
You were the force behind the opening of this hospital. Now that you're talking about taking off
the "intergrated" of the name for such a small mishap, this will be a mishap on your vitae as well!
Would you be pleased if we show you the results of intergrated medicine?
If you give us some time, we'll prove to you
that intergration medicine is the only way to go.
Fine. We'll give you 6 months.
Medicine is not like manufacturing out of a factory. You want us to provide the result in 6 months?
We can't give more than that. As you know, there will be bugeting session for next year in 6 months.
We cannot pour in tax money into a hospital which cannot show us a solid vision.
Whatever it will be, I'm sure you'll prove yourselves.
Remember that. We'll get going now.
Let's go, Deputy Minister Lee.
Yes.
Ingnorant folks! Even if they don't have any medical background, does it even make sense?
They think treating patients is like fixing broken electronics. Jeez.
I've got an idea, but ...
Fix your hair.
How long have you had folliculitis?
About a year I think. But why?
I'll tell you in a bit.
Dr. Won Joo Hee.
Yes!
Prove your diagnosis.
Since he has folliculitis on his chin, it seems he has a problem with his kidneys.
He told us that it's been over a year. Is this Shil Jeung or Huh Jeung? [Sil Jeung: bad energy in the body]
Acute symptoms are usually Shil Jeung and chronic symptoms are usually Huh Jeung, so it's Huh Jeung.
Where is Huh and where is Shil? [Huh Jeung: body has lowered immune system]
It's Shin Eum Huh, Huh Yang Sang Hang and Huh Hwa Sang Yeom. [Kidney has lowered immune system.]
Is that all?
Hm?
The patient didn't come to the hospital becuase of folliculitis.
The patient came today because he fell down the stairs today on the leg that he's been wearing a cast on for two months without improvement. Does that ring a bell?
Dr. Won Joo Hee.
Where's are you?
I'm sorry. I don't know.
So, Dr. Jeong Tae Seok, you said Western medicine only looks at the local symptoms?
Yes.
So Dr. Ahn, you said that traditional medicine isn't medicine, but it's acutally witchcraft?
Yes.
If two people are both booked in for assaults,
Ultimately, we must look at who threw the first punch.
I think that Dr. Jung Tae Seok is most at fault in this fight.
Dr. Jung was only pointing out scientific differences in views,
but that Resident went a little too far.
Are the Oriental doctors sitting over there all shamans or something?
He only said that because he was angry.
He shouldn't have started sayint things like Western medicine is narrow minded or something like that.
How can that be differences in scientific views?
This is obviously demeaning to our field.
So, why are you making trouble by saying whatever you want!
Are you so smart?
I understand. Since this was caused by our Resident's thoughtlessness, I'll take care of it.
Doctor Jeong Tae Seok!
Pack your things.
Director!
I agree that I am at fault. But it isn't just me.
Quiet! How can you have more words when you're the one who started this mess!
Le'ts wrap up this incident about here.
I didn't say that modern doctors only look at local symptoms.
Alright, then who did?
I'm asking you who did it.
Dr. Won Joo Hee. Where is Dr. Won? Did she say that?
No.
Then who did it?
You've heard of Yin and Yang and the five elements, right?
Among those, the five elements - wood, fire, metal, soil, & water represent the flow of the energy. Body has representing organs for each.
Qi is representing water, flows from top to bottom just like water. Kidneys, bladder and bones are qi organs.
You fell down the stairs because you were dizzy, right?
Yes.
Your bone isn't healing because there's something wrong with your kidneys.
Why would a problem with the kidneys affect his bones?
Bad kidneys makes the same qi organ bones weak, so your fracture didn't heal.
Since you've got bad bones, marrow didn't make enough blood. That's how you've got anemia.
Your chin is linked to your kidneys. So when your kidneys get better, the folliculitis will go away as well.
Dr. Kim, what did you say to Tae Seok? Your chin is linked to your kidneys. So when your kidneys get better, the folliculitis will go away as well.
Dr. Kim, what did you say to Tae Seok?
Emergency. Emergency.
I'm sorry, but the ICU is calling for assistance.
I'm sorry.
Doctor, here.
It seems like a septic shock caused by aspiration pneumonia getting worse.
What should we do?
If we don't treat the septic shock, it could be fatal.
Please get the intubation ready.
Yes.
Give her 1 mg of epinephrine through IV quickly.
Yes.
I'm here.
Call Dr. Kim Doo Hyun! Hurry!
Move over. Yes.
I heard you told that Resident that modern medicine only looks at local symptoms.
Is that true?
Yes.
He must had his reasons. There must have been an misunderstanding when it got taken out of context.
Dr. Kim Seung Hyun, please explain the situation carefully.
Even if we listen to the context,
his offensive words toward our field of study won't chagne, will they?
How could a Staff doctor be so reckless and say whatever like an Intern?
Is there anyone here who are less educated than you, Dr. Kim Seung Hyeon? Huh?
Say some execuses or something!
I'm sorry, but there's a situation in the ER.
I only told the truth.
She's going into V-fib. [Ventricular fibrillation: uncoordinated contraction of the ventricles]
Dr. Kim, make sure to hold the Ambu bag properly.
Yes.
The patient still hasn't recovered from v-fib.
Prepare the DC (Direct Current cardioversion).
Give her one ample of atropine through IV quickly!
Call the guardian.
200 J.
Clear!
Shock.
300 J!
300 J
Clear.
Shock.
I told you to call Dr. Kim Doo Hyun!
Clear.
Shock!
300 J.
Clear.
Shock.
I told you to get Dr. Kim Doo Hyun!!!
Move it.
How much atropine and epinephrine did you give her?
3 mg of atropine and 7 mg of epinephrine. Should I give her more?
That's enough.
You only told the truth?
What "truth" did you tell?
Modern medicine only looks at local symptoms. You only see the tree, not the forest.
Am I the only one who knows the truth?
This guy. What do you think you're doing?
Why are you guys like this?
Everyone calm down and take your seats.
I said, take your seats.
So
Dr. Kim Seung Hyun, you're didn't do anything wrong?
I'm not sure why you are punishing me for my personal opinion,
By looking at all the doctor's face,
It seems I was wrong.
My apologies for causing a harm to the hospital without intention.
I will take responsibilty and resign.
Unlike partial collaboration like now,
we are going to run a task force
to have a fully collaborative team.
- Collaboration? It's going to fail for sure. Mark my words. - Can you call yourself a doctor?
Id' like to introduce
the chief of the collaboration project.
My name is Kim Ha Yun.
The reason you came to this hospital was...
I have to make sure he doesn't run away again.
What?
Eui Jin. Lee Eui Jin.
Arrrgh. Lee Eui Jin!
I already feel wronged for losing my daughter-in-law. Then the police investigation?
Why are you framing my innocent son!
If the cause is unkown, we can approach the problem with Oriental medicine...
The cause is unkown, but it's not incurable!
What?
- What's the matter? - You said Dr. Kim Ha Yun will make things better, but... He has a weak point. If everything fails, we'll need to use that.
- Who prescribed this herbal tonic? - The patient was getting better after Oriental medicine treatments...
You can't discharge this patient.