The Third Hospital
Episode 8
Students, welcome to the surgical observation today..
In fact, the glioblastoma you're going to see today
is the most aggressive & most malignant brain tumor.
Unlike other brain tumors that have the 5-year survival rate of over 65%,
glioblastoma has the median 2-year survival rate of 20% after first diagnosed,
and the 5-year survival rate is about 7%.
Even though cerebral infarction is the 2nd most common cause of death for Koreans,
there are less applicants for Neurosurgery residency each year and there aren't enough neurosurgeons.
What I am hoping to get from you who aspire to be the true doctors is your attention and support.
That is the reason I allowed your observation for this difficult awake brain surgery.
Bayonet. [Bayonet: surgical forcep]
Is this gentleman napping because he has no patients?
No matter that we have no patients, you shouldn't be taking a nap in the middle of the day, should you my dear?
Honey, Hye In's dad? How can you just sleep so recklessly?
Honey.
Hye In's dad.
Are you not sleeping?
Why are you doing this? Come to your senses, Honey. Honey! Honey!
Is he okay?
Will we be arriving at the hospital soon? Yes.
Everyone, you're lucky today.
It takes about 1 hour to make 1cm incision through cerebellar folium (brain folds), however
The tumor's not located deep in the center of the brain, but is at the prefrontal lobe which controls motor skills.
It looks like we won't have to spend the night here.
Why isn't she picking up her phone.
The result is that it is a cerebral hemorrhage. I think you should go see another doctor.
What?
There isn't a doctor in this hospital who can do surgery on someone who's here as a result of a cerebral hemorrhage.
Then what are you telling me to do?
Take him to a bigger hospital. We'll prepare him for the transfer.
So, where are you telling me to go?
Please wake him up.
Yes.
Check his mental status.
Yes.
Patient, please try to open your eyes.
Patient, open your eyes a bit more, please.
Patient, can you tell me your name?
Lee...Yeong Shik.
Please speak loudly. We are checking your nerve function.
You heard him, right? Where do you live?
I'm sorry I'm interrupting you during your surgery, but something urgent came up.
What is it?
It involves Jin Hye In's dad.
He collapsed.
What?
He is currently unconscious after having cerebral hemorrhage.
Hurry and go.
Yes.
Why isn't it coming down?
Did something happen?
My dad collapsed as a result of a cerebral hemorrhage.
Because they lived in a little village, there weren't any nearby hospitals to give him the surgery he needed.
They're moving him to a bigger hospital right now.
Your father should come to this hospital.
I'm sorry, but are you that confident?
To take responsibility of taking extra transfer time to ask my father to our hospital.
Give me your hand.
Are you afraid I'll put a ring on it?
It will relieve some of your nerves.
Your dad will be alright, right?
He's going to be alright, Mom. Don't cry.
1,2,3
We will be arriving in 15 minutes. Please prepare a stretcher.
Doctor, what are you doing?
When you see where he sweats, you can tell the location of cerebral hemorrhage.
We have to turn your father around on his side.
Okay.
What are you doing with the needles?
I am redirecting the blood flow from going to upper body and changing it to flow to the lower body.
Doctor. Isn't it forbidden to use acupuncture needles on a cerebral stroke patient as it is deemed dangerous.
In order to prevent severe language disorder and paralysis of the body, we must open up the thrombus within 3 days of the stroke.
While it's true that it's dangerous for the patient to be in pain as he feels the needle,
but I am using the high speed technique in order for him not to feel anything so you don't need to worry about it.
His BP is rising!
Hello! Do you have anything like Mannitol? [Used to reduce acutely raised intracranial pressure]
What's going on? Did you do something wrong?
Hey! Do you have anything to reduce the Intracranial pressure?
I asked if you have any medication to reduce Intracranial pressure!
Oh god, what can we do?
Hey!
His BP is rising!
Hello! Do you have anything like Mannitol? [Used to reduce acutely raised intracranial pressure]
Oh my god!
Hey! I SAID, don't you have anything to reduce the intracranial pressure!
Help me lie him down. Hold him.
What are you doing?!
He had blood pooling in his brain so I am letting it out.
Give me some of that cotton.
Quickly!
Where Is Dr. Jin's father's hospital again?
It's been said that her dad will come to our hospital.
Do you know how far away her house is from this hospital, yet she's coming here?
Are you in your right mind?
It looks like there is no doctor in that area who can do surgery on a person with a cerebral hemorrhage.
Get an ambulance ready.
We'll meet up with their ambulance halfway at a hospital and borrow and OR.
We're going to do surgery right away.
Doctor, you are going to borrow an OR and do the surgery yourself at a small local hospital?
Then do you want to do it?
I understand.
Ah, Min Hyuk. It's me Doo Hyun.
I'm going to have to borrow an OR at another hospital. You can help me out, can't you?
Professor.
I don't think you need to go anymore.
I just talked to Dr.Jin and she said they will arrive in 10 minutes.
What about the patient's health?
The B.P looks to be around 120.
And we've also received the CT scans
taken at the local hospital.
It looks like you'll be able to perform surgery as soon as they arrive.
Really?
Yes.
Oh, right. Oriental Doctor Kim Seung Hyun
is accompanying the patient in the ambulance and performed some emergency measures.
I already arranged the surgery room.
So I will stay here.
You can verify the CT of Dr. Jin's father.
We're almost there. Please get ready.
We're almost at the hospital.
He should be alright, right?
When he's done the surgery he will be alright, right?
Oh, right. Oriental Doctor Kim Seung Hyun has accompanied them
and performed some first aid measures.
Go straight in.
Careful, careful.
Thank you.
I won't forget your kindness.
You wait outside.
No thank you. I will stay in here.
You are going to assist in your father's surgery?
Yes.
That's very brave of you but you should just stay outside.
Let me watch.
Is this the first time watching the surgery of cerebral hemorrhage?!
Is it that you want to watch us drilling a hole in your father's head?
Go outside. It's because I worry about you.
Yes.
Jin Hye In.
Yes?
Even though I always do...
I'm going to try really hard on this operation.
If you believe in me, then don't worry and just wait.
Okay. I will not worry.
Let's start.
Scalpel.
Suction.
It is the first time in your surgery that Doctor Jin is not present.
I will complete the suture myself. [stitching up after an operation]
Pardon?
I said I will personally suture the scalp myself.
Do you not understand me?
Yes, I understand.
Are they still in surgery?
Yes.
I couldn't even thank you earlier as I was so out of my mind.
Doctor.
I can't be sure when your husband will regain consciousness,
but the surgery went well.
Oh, thank you!
Really, really thank you!
Don't just close your eyes and stay still.
Hurry and open your eyes and wake up.
Your pretty daughter...
will probably be waiting for her dad.
It is negligent of work to leave your daughter and stay like this.
Doctor.
This is 3 amples (15ml) of Ceresyn injection, right?
Yes.
Dad, you too,
it is negligent of work for leaving your daughter, Hye In, and being like this.
You will wake up as if nothing had happened, right?
I'm in charge of Seung Hyun's car!
Ah-whew! [Sighing]
Are you now giving me this car?
I am paying back double for the benefit I have received from my teacher.
You got your house taken away and your car.
Everything is taken!
So all you have to do is to give your life away?!
As if!
Because I'm busy I have to go.
Oh. Thank you.
When I get my first paycheck from the Orchestra, I will buy you a bicycle!
I'm leaving.
Be careful driving!
Alright
Hey, Eui Jin, there's a car!
Hey! are you alright?
I'm ok.
I'm sorry.
Oh! It's Seung Hyun's car.
Subtitles brought to you by the Third Ward Team@viki.com.
Hello. I'm going to rely on you.
What am I going to do?
(The person you called is temporarily unavailable. Please try again later.)
What am I going to do?
I hit your car. I'm very sorry. I called but you didn't answer.. So I'm leaving my information.
I hit your car. I'm very sorry. I called but you didn't answer.so I'm leaving my information.
Let's start it over at A.
Pretend in your mind that this wasn't a rehearsal but a live performance.
How embarrassing it would have been.
Go to the hospital to get examined. Bring a doctor's note back that states there is no problem with your hand.
Yes.
Oppa.
My arm is weird.
I'm in the middle of making the rounds so I'll call you later.
-How's the patient's vital signs? -It's normal.
Has he regained his consciousness?
He is still in the Semi Coma state. [a stupor from which the patient may be aroused to painful stimuli] But the test result shows improved liver functionality.
Let's start.
Patient Jin Yeong Ho. 57 years old. It's been 5 days since subarachnoid hemorrhage operation.
Vital is stable and his breathing is good. But he has not regained consciousness yet.
It is possible that damage to the brain could be broader than expected due to the hemorrhage or blood circulation disorder. Take the MRI and double check again.
Yes.
If the vital is stable, can't we use Hwe Yang Goo Chim to get this consciousness back? [9 needle points to regain Yang(life, positive) energy]
This is the end for today's rounds. Thanks for your hard work.
Mr. Lee, are you regaining consciousness?
Can you see me?
If you can hear me blink your eyes.
Is he awake?
Yes.
Wow. Miracle.
Patient. please look into the light.
Yes, that's good. Please tell us your name.
Hey, no way.
Hey, are you sure about that? I'll confirm it.
Stop lying.
I'm telling the truth this time.
Ugh, you don't believe a person's word. What's the matter?
I think I'm getting a punishment.
Because I learned that a doctor cannot be overcome with emotions,
that if a doctor gets emotional,
the doctor could potentially endanger the patients.
So even when I saw the patients suffering,
I had pretended to be rational and cool and turned my back on the patient's suffering many times.
But seeing my father lying down like that,
I feel like I'm being punished.
How embarrassing. It's not like me.
Ah, Jin Hye In! What in the world is wrong with you?!
I'm sorry.
My father is a neurosurgeon.
But my mother passed away with a brain tumor.
But what saddens me...
not because my mother passed away with a brain tumor,
but while she was alive,
she was hated by my father and then passed away.
How a person lives is much more important than how one dies.
So, what I am trying to say is...
Let's go there.
Where?
Let's go to your father.
If we get your father to wake up faster, then we don't have to watch you whine.
Thank you.
Doctor... um.
Doctor.
Doctor! Wait a minute!
Move.
I know what I did was wrong.
I know I wasn't supposed to do that without your permission.
But if you think about what I'm going through.
This girl...
I know why you are mad.
But don't you think you can understand this once?
Let go.
Because it was my dad.
I had no choice, so do you think
you can reconsider it?
That's why...
That's why I can't forgive you.
If you had believed in me this wouldn't have happened.
Subtitles brought to you by Third Ward Team @ viki.com
Teacher, this is Hye In...
I'm in the middle of driving. Hang up.
Teacher, wait. Wait for a moment and listen to me.
Please...
It's not that I didn't believe in you.
I was just so desperate that I felt like I had to hang on to a straw.
So? Hanging onto that straw after drowning...so do you feel like you are alive now?
Fine.
I'll forgive you this once because you are being irrational since it is your father.
But, I'm not letting it go the second time.
Dad...
Dr. Doo Hyun said the second time is not allowed.
What am I going to do?
The information you had asked for, I have saved it in folder #3.
Yes, thank you.
Doctor...
Dr. Kim Doo Hyun found out
that you gave my dad the acupuncture treatment.
He said he will forgive me, but not the second time.
I don't know what to do.
Do you want me to tell him?
No.
He is going to be even more upset then.
Then we could use acupuncture needles only during the rehabilitation.
I...
what should I do?
" I have to do what I think is right," just think like that.
Work hard.
I feel bad for Dr. Jin as well.
I know right.
What's the point of Oriental and Western treatments when a person's life is on the line?
Just take care of this.
Yes.
Take them out after 20 minutes.
Yes.
Dr. Doo Hyun found out.
that you gave my dad the acupuncture treatment.
He said he would forgive me, but not the second.
I am going to give acupuncture treatment to patient Jin Yeong Woo. So prepare for it.
But doctor.
We have not received the collaboration request from Neurosurgery for patient Jin Yeong Woo yet.
In addition, patient Jin Yeong Woo is Doctor Kim Doo Hyun's patient.
Not only that, Doctor Jin Hye In has not requested anything, either.
I'll take responsibility for it. Satisfied?
But ...
Doctor Jin,
is your Dad still...?
Yeah.
Jin Hye In.
Yes?
Follow me.
I feel some strange air current flowing here. What could that be?
Dr. Kim Seung Hyun is giving treatment to Dr. Jin's father now, right?
Yes, I think so.
Wow, crazy...
There's going to be a huge ruckus if Doctor Kim Doo Hyun finds out!
What to do?
In my opinion, Professor Kim Seung Hyun likes Doctor Jin Hye In.
Couldn't it be about his medical belief or something like that?
Eh, what medical belief!
I know he could act up sometimes...
but he is over his boundary when he knows Dr. Kim Doo Hyun would go bezerk!
But still...it seems like its like that.
There's no mistaking it.
There was CT scan done on patient Jin Yeong Woo today, right?
Right.
Let's look.
Yes.
Excuse me, Doctor.
Can I say something?
What is it?
Well, speaking here wouldn't be..right, so
Why don't we go outside.
Doctor Kim Seung Hyun, Doctor Kim Doo Hyun has arrived.
Don't take them out.
Take them out
in 5 minutes.
Doctor!
Did Jin Hye In ask you to do this?
No she didn't. I'm doing this on my own.
Let's go outside and then talk.
You stay right here!
You are ignoring me like this?
Get up...get up!
Fight back, you jerk!
Isn't this what you wanted?
Fight back! Attack me!
Doctor!
Stop it, please stop!
I told you not to follow me here.
My father,
patient Jin Yeong Woo,
I request collaboration.
Cooperation with oriental medicine
please consent to it.
Dr. Jin is patient Jin Yeong Woo's daughter before she is a doctor.
Shut up and get out of my sight.
What I have asked the doctor is collaboration treatment with Oriental medicine.
Why should I?
Do you know the mind of the patient and the patient's guardian?
Doctor, I'm sorry.
I know I shouldn't be like that to you.
I am sorry.
Should we go diving in the Han River together?
I feel like I'm about to throw up.
What?No!
Did you see me beating up my wife?!
You are the one who killed her. And why are you putting that all to my mother?!
You crazy!
If something goes wrong with her arm, then your life will be over!
What do you mean we lost the anti-cancer research institute?
When a mere girl died, you quit being a doctor.
Are you really my son?!
He has one more son that's amazing that he's been hiding.
The son that you've been hiding?
Why doesn't Doctor Kim say it?