Brought to you by WITH S2 Written In The Heavens Subbing Squad
Episode 14
Can't you save them both?
The chances of survival are too low.
The person who receives the surgery first will have the higher chance to live.
Doctor.
Can't we do both surgeries at the same time?
Of course, there's danger of infection,
and there's a big risk for upsetting the vitals and raising blood pressure during the cesarean surgery.
Blood pressure will rise. I understand it'll be dangerous.
Dangerous?
Once the vital sign bursts, the patient will die immediately.
But if the anesthesiologist can make sure to keep the vitals stable..
You think adjusting the systolic pressure in the middle of surgery is an easy thing to do?
But we can't just give up on the patient and the child.
This patient used her life to protect her child.
She requested countless times that, if something like this should occur, we had to save the child first.
If you can do this, I will never forget you in this lifetime.
Doctor, I know I constantly shoot off my mouth, but based on your abilities, is this possible?
Anesthesiogist, can you handle the blood pressure?
Although I can't guarantee 100%, I can try.
I will do my best to be careful to prevent infection.
Fine. Then let's try it.
Thank you.
The Auxiliary Artery Cannulation will take 30 minutes. [Auxiliary Artery Cannulation: Supporting the fluid and artery]
- You'll be responsible for keeping the blood pressure low. - Yes.
We're depending on you.
- Keep the systolic pressure between 90 and 100. - Yes.
Let's start.
Scalpel.
Auxiliary Artery Cannulation is ready.
The baby's Apgar Score is 7. [Apgar Score - a system for evaluating an infant's physical condition at birth.]
The Cardiopulmonary Bypass is already connected.
Pump on. Start the cooling process.
Honey, are you awake?
The baby?
She's fine. A daughter who's just as pretty as you.
Healthy?
Healthy. Very healthy.
Honey, thank you.
You're really magnificent. Thank you.
Bong Dal Hee. Come with me.
The ER wants me. I'm going now.
You said you recently had surgery?
The risk of an allergic response to the surgery's CREN is rather big.
Is there anything wrong in the ultrasound?
Your ultrasound's fine.
Your white blood cell count is 13000 and your ESR is 40.
At those levels, the only possibility is inflammation of the inner lining of the heart.
Your bones will swell, and the heart will often violently.
Before I thought it might have been due to the stress of the first term.
If the inflammation of the inner lining in the heart continues to develop and symptoms worsen,
there's a possibility of embolism and damage to the lining. [Embolism - obstruction of a blood vessel by a blood clot]
That will require you to receive another surgery. Understand?
Yes.
Don't push yourself too hard, be careful.
Take your medicine in case of an emergency. Rest if you're tired.
Make sure to eat more and get enough sleep.
Don't make yourself too tired. Got it?
Yes.
It's nothing.
I'm fine.
There's no need to be so scared.
You don't remember?
You were in the same situation in your sophomore year of college.
You survived that time.
That's right. I still remember.
Even that time, going on antibiotic treatment,
You were able to put up with those hectic two undergrad years.
That's right. I'll be fine.
It's nothing. I'll just have to be more careful that's all.
I'll be fine.
What are you doing running around here and there morning till night?
Come with me.
What are you still doing in a daze? Let's check the ultrasound.
Doctor.
Thank you for worrying about my health problems,
but I'll see to my own body.
What can you do?
I'll be careful. I'm a doctor too.
Then, you still haven't noticed how your legs have swollen?
My legs are swollen because suddenly I forgot to take Lasix for a couple of days.
Particularly that day I fell asleep.
Now I remember to take Lasix.
You don't need to worry.
I did the blood test and the ultrasound. The doctor said there's nothing to worry about.
Even though the blood test says so, how was the ultrasound conducted?
Can you make an accurate judgment doing it by yourself?
That's why I just went to be examined by another specialist.
They said there's nothing abnormal.
Really?
There's nothing abnormal?
Yes. Thank you for worrying about me.
I'm not a kid anymore.
I understand my body more than anyone else.
I hope you won't worry about my health problems anymore.
Need to sleep more.
Sleep for 1 hour.
There's too much gas in the ileus leading to irregular bowel movements, causing her to be like that.
Where?
Look here. It's here.
This is all gas.
I see. Why is it suddenly this way?
It's not suddenly. Didn't you say she had kidney surgery two months ago?
It's common to have this after surgery.
Grandmother, you said just now that it doesn't hurt anymore?
And you can pass gas?
That's it then.
The ileus is cleared.
Blood tests were normal. And pictures didn't have anything abnormal.
She's ready to leave the hospital.
That's it?
Yeah. It's not a big deal. All she needs is to clear the ileus.
Once the tubes are pulled out, you can leave.
Mom, the doctor said you can leave the hospital now. Get up.
It's really been a while since we last saw each other, right?
Exactly 7 years right?
Our opinion is to keep the patient for observation for a few more days.
Even if you do surgery, you still need 2 to 3 days.
I need to talk to Dr. Jo. Leave us for a moment.
What?
You didn't hear? I told you to get out!
Leave us.
We'll talk later.
Is it him?
Seung Min's biological father.
Oh Jung Min? The movie star?
Is it? That person is Seung Min's birth father?
How do you know?
Hey, Jo Moon Kyung.
You're really impressive.
Seung Min's father is such a famous person.
Why did you not say it earlier?
That kind of person could have showed off a bit?
Why keep it from him?
Why did you two break up?
You were so affectionate and in love.
You two don't seem to be lovers separated for 7 years.
More like lovers who just had a date yesterday and coming face-to-face again today.
Why are you like this, Dr. Lee?
Why?
Did that guy break up with you when he heard you were pregnant?
So you took the opportunity to accept the ignorant me who was right next to you?
Dr. Lee.
Now that I mention it. At that time he was just a nameless fellow. It was you who dumped him?
But after you dumped him, you realized you were pregnant.
So you seized the opportunity.. Me, who had a nice background and pursued you relentlessly?!
Get out.
I said get out!
That man is Seung Min's birth father.
How could you bring me and Seung Min to his concert?
You read his online blog, and yet act as if you don't know anything?
Didn't you go out with him?
It wasn't just a casual relationship, that was a guy who'd go with you to the end!
How can that kind of guy pretend not to know anything?!
Then what do you want me to do?
What should I do?
Because he was someone I dated.
The man whom I sent away.
That's why I shouldn't go to his concert? Don't read his news? I have to be like that?
You could also come up with an excuse to pass it over!!
Without even bothering to ask, who was the one who advocated to go to the concert in the first place?
Who consistently read news on him, even when I said, "Stop reading. Go to bed."
and replied saying it's his favorite actor, and read the news all the way through? Who was it?
So that's why you're not at fault?
There's no need for you to take responsibility for yourself?
Enough!
When we are already at this stage, why do we still have to talk about this?
We're already settling the family register matter,
Our divorce took place ages ago,
So why are we still fighting over such matters now?
Who is Seung Min's father? Who was I dating before I met you?
Such things are still so important to you now?
They still make you so angry and so uncertain now?
Don't tell me, now you still have a shred of infatuation left for me?
No, how could I?
You're right. I'm crazy. Why do I have to bother with this?
I was really curious. Even to a stranger, it's enough to stir up curiosity,
How can I not be curious when it's a kid I've raised for six years?
But now, I completely understand everything. Now, I can.
Now we're taking the scan.
Yes, I'll call you right away.
You still haven't stopped your side job?
I just stopped yesterday.
I worked through last night.
I'm off this weekend. When are you going to be off?
This weekend, I'm off too.
Then, how about we go to a movie together?
You watch it yourself.
I, of course, am going to catch up on my beauty sleep!
Where are you going?
Push this now.
Are you a man?
Dr. Park should pull with some strength.
Aren't I already?
Really!
Why on earth can't it be done?
Is Dr. Lee having some brain problems?
What is he thinking? He even brought this patient in here.
Do us a favor please.
If I let this patient lie down here, other patients won't want to.
Then just give him a wipe.
Occasionally patients do smell,
Or they could be dripping with blood. So you're not going to do the CT scan for them?
That's why I'm telling you to clean him up then come again.
We'll have to get the scan done first in order to decide whether to clean him up.
I already said no.
Why not? Because he's a patient on welfare?
This is preferential treatment on your part.
Preferential treatment to patients is a serious medical misconduct.
Yes. So give him a scan now.
You're here?
That fierce fella already saw us here just now.
Get up here quickly.
Really! What medical misconduct?
Lie down here.
You said she could be discharged. Look what happened now!
38.8 degrees.
Seems like strangulation. Use Lefulen and get a CT done first.
Painful!
It's strangulation. This is the ileus CT taken this morning.
What on earth have you done? Did you even look at the CT?
It's so clear that there's fluid around the intestines. This is definitely inflammation urine.
You let this patient discharge in her condition?
What? Her small intestines have decomposed?
We're sorry. She must be operated on immediately. We'll try our best to save her.
Earlier today, we were distinctly told there was nothing wrong with her.
Clearly, all the X-rays and CT scans were taken and we were told there was no problem.
What is going on? Didn't you say she could be discharged?
I'm asking you, what is going on?
How could her intestines decompose in just a few hours?
Preparations for the operation are completed.
Let's start. Scalpel.
Bovey.
Looking at the CT results, we couldn't tell it was this decomposed.
Hey! Park Jae Bum!
You think you did well? Aren't you the chief?
I'm sorry.
Why aren't you raising your head?
Raise your head and take a good look!
Because of your mistake, see what state the intestines have become!
If you had hospitalized her for ileus,
At least you should have put her on a fast.
Anesthesiologist, I'll be exposing the small intestines. Please hold the vitals steady.
Yes.
Bovey. Forceps.
You hold it down.
What? Dr. Park?
Yes.
CT showed clearly the ileus.
But he didn't realize it and discharged the patient.
He could be charged for this.
The small intestine had to be removed?
Yes, all of it.
The problem is the patient is elderly and on top of that, she has diabetes.
There's no way to tell if she will recover.
The operation is just finished and she has been transferred to the high dependency ward. This is so worrying.
But why are you lying down here?
You're not feeling well?
No, I just feel a little tired and there wasn't any operation this afternoon.
I wanted to just take a nap but I slept till now without even hearing my alarm.
I have to get back to work now.
It seems you had 2 prior operations.
Any problems with your heart?
When you were stabbed, I was the chief doctor.
I saw it in the operation room when we were preparing you for the operation.
Oh!
It's the heart valve?
Yes.
Then the heart valve has already been changed twice?
You have to be careful. If you have to be operated on, the chances of infection is really high.
If there's anything I can help with,
Nope.
I mean I'm alright.
This is an ASO patient.
He needs bypass operation so he has to be admitted immediately.
Because he is a criminal so he has to recover real fast.
If possible, do his operation immediately.
Yes.
He needs to be operated on right away. Find an operating room and prepare immediately.
You can take it slow.
Change Bong Dal Hee because she was involved in that incident earlier.
There's no need. I'm fine.
Just do as I say.
I'm really ok. I think a doctor needs to encounter such things too.
You have the right attitude but just do as I say.
I really have no problem with it.
Let me be in charge.
He's the first patient I'm getting here in the ER.
Ok.
She's an elderly with diabetes too.
Chances are high for sepsis and her lungs may be overburdened.
Make sure to check the charts and report to me.
How's her blood sugar now?
Insulin is adjusted to 100.
Park Jae Bum, aren't you focused yet?
Yes.
She's a patient who will slip into low blood sugar easily. You must do a good job regulating it.
Even one moment of negligence can result in hypoglycemic shock.
Yes.
Dr. Jo, the digestive department needs a tissue operation to be done.
Who's the Chief Doctor?
It's Dr. Jo Moon Kyung.
Go ask Dr. Han.
Also, all operations scheduled for this week must be done by Friday.
If there are any emergency ops over the weekend, call me and I'll come right away.
Yes.
Oh! There's something here.
Something's stuck on me? What is it?
Something small.
What are you so happy about?
I like Mom!
Me too! I like you most in the whole world.
I like Dad too!
Let's go. Let's get your checkup done.
Yes.
Is son-in-law Lee really stubborn in not wanting to acknowledge Seung Min?
Why are you bringing it up again?
You know too that we're settling the family register now.
Then who is Seung Min's real father?
Who was it? Didn't you say he wasn't a married man?
Why won't you talk about him?
Moon Kyung,
don't you know how much the kid needs a father?
Yes?
Yes. This is Jo Moon Kyung.
I am Oh Jong Min.
Jong Min!
Yes, I have time.
Let's meet then.
How's the patient?
Unconscious, still having sepsis.
Dr. Park, even in this situation, you should still eat some.
I just don't have the appetite. You guys eat.
Even so, you must still eat.
At such a time, you should eat to gain some strength.
So that you can figure out whether to be charged or seek their forgiveness, what else can you do?
Fool! So why must you borrow money from those loan sharks?
This is all because you had to repay that debt so you worked day and night resulting in you being overworked.
Why did you have to borrow that money?
Dr. Park.
Hey! Park Jae Bum!
Why did you hit him at this sore point?
It's because I'm anxious too.
What will happen if that granny really dies?
Within 70 hours, the fever has dropped to 38 degrees. She's on antibiotics now.
We'll only know her actual condition after the test results are out.
Why are you here?
I'm her doctor-in-charge.
How could you be my mother's doctor-in-charge?
Till now, I still can't forget,
The way you yawned when you spoke to us.
Did you think I'll forgive you? Even till I die, I won't forgive you.
Even after I'm dead, I'll remember distinctly your yawning face.
Blood pressure is dropping again, it's 60/40 now.
Dr. Park, get it up immediately.
What?
Aren't you the doctor-in-charge?
Her blood pressure's dropping, try to get it back up.
Dr. Park!
I can't do it. It's better if you do it.
Stay focused. Do you want your patient to just die like this?
Find a way to do it.
Now!
The blood pressure is now 60/40,
Up the dopamine to 25.
Yes.
She's diabetic so give her some glucose, please.
Blood sugar level is 40, it's hypoglycemia.
Then add 50 mL of glucose, please.
Yes.
Give it to me.
Sit.
In my first year, I caused a patient to die too.
That was the time I was crazy over Dr. Jo, I wanted to see her all the time.
On that day, I had just finished work and I wanted to go see her but suddenly an old man was admitted to the hospital.
I gave him a CT, took a quick look and didn't find anything wrong.
So I discharged him and hurriedly went off.
But after a few days he became unconscious and was admitted to the hospital again.
Anyone can tell from looking that it's intestinal embolism (blockage).
But at the time, I was the one who didn't diagnose it.
That old man stayed in intensive care for 2 months then he passed away,
After multiple times trying CPR and administering shots.
Many times, I was grabbed by the collar and beaten up by his family members,
The old man who died hardly regained consciousness but he did call me over once when he was alert,
He said he already told his family members to drop charges against me and asked me not to worry.
But to be serious, from then on.. I treat each patient will all my might.
At that moment, I felt so painfully regretful.
Is there a surgeon who wasn't responsible for one or two deaths in their hands?
A junior I know once said, every time I drink, I remember those who died because of my mistakes.
He'd be yelling out each of their names and crying for them.
So I told him, don't do that, occasionally call out the names of those you have saved too.
If you count all of them, you can count till the sun rises.
When I said that, he said he couldn't even remember their names,
Those whom he saved.
It's the same for me too.
I only remember those who died because of my mistakes.
Very distinctly, their final moments and even how painful they looked.
Our job is really very cruel, right?
Park Jae Bum,
you must save that granny.
Don't let yourself live having to remember that granny forever.
You must pull yourself together.
You must, do you understand?
Yes.
I'm sorry.
Have you been doing well?
Yes, how about you?
Oh! I've been better, at least on the surface.
So under the surface, you haven't been well?
Of course it's bad, almost terrible.
Why? Did something happen?
Yes. I opened the cover to Pandora's Box.
Something like that. How are you?
I'm actually not too good.
My body's not behaving.
Are you very sick?
No, really nothing.
Just a little.
But I believe I'll get well quickly.
Yes, that will happen.
You'll make it, I trust you.
Thank you.
See you again.
Yes, you go on.
Hey! Lee Gun Wook,
what's wrong with you?
What's do you mean what's wrong?
You still haven't straightened things out?
What haven't I straightened out?
Why are you seeing Dr. Bong and yet interfering with Dr. Jo too?
If you're dating Dr. Bong then you should clear up your relationship with Dr. Jo.
Otherwise then don't see Dr. Bong, shouldn't you?
Why are you dating Dr. Bong while still seeing Dr. Jo?
You...
like Dr. Bong?
You don't have to know. Just straighten out your matters.
I..... I'm not dating Dr. Bong.
Didn't you know? We're not dating anymore.
Your operation will be tomorrow at 8 am so after dinner tonight you will have to abstain from all foods.
Are you feeling unwell anywhere?
Many areas.
For a long time my hair's not been washed, the itch is killing me.
My feet too, haven't been washed for very long, it's so itchy.
Other than these, I mean do you have any pain anywhere?
Areas in pain?
Headaches all the time since yesterday.
My limbs are tied up all the time so they hurt too.
If your head is hurting, do you need a painkiller injection?
Better than that, can you kiss me on my face?
I think if the lady doctor would give me a kiss, my condition would improve immediately.
Our pretty lady doctor, when you're frightened, you look cute too.
Joking, I'm just joking.
If there's nothing else, I won't disturb you any longer.
Lady doctor,
then could you hold my hand for a while?
Maybe it's because of the operation, my heart is very unsettled.
Just hold my hand for a while..
With your white and beautiful hands.
Just once...
warmly...
I only asked to hold your hand for a while, did that sound sickening to you?
I understand.
Then just go.
I'm going to change your dressing.
How do you feel now?
The pain is much better, right?
Is there anywhere in particular you're in pain?
Sir!
CPR! Patient Cha So Ja has lost consciousness.
He's brain-dead.
While sleeping, a large blood clot blocked a vital artery.
At the point when he was discovered, he was already too seriously brain-dead,
there's no point in using a blood coagulant.
Ah! Just one more year and he'll be released from jail.
Because this man said he wants to donate his organs.
Maybe he had a premonition, the night before the operation, he requested me to fill this up for him.
Maybe it's because of the operation, my heart is very unsettled.
I only asked to hold your hand for a while, did that sound sickening to you?
Just once, hold my hand for a while with your white and beautiful hands.
Warmly.
Tonight, a criminal patient became a beautiful and warm person.
He left this world, more beautiful than a flower.
And tonight in the world somewhere, there are 5 patients,
who will receive new life.
Can you give me an injection?
It's Lasix because I've been really tired lately.
I'll do it.
The other day, I was really bad, right?
You realized that?
Because I was so sad and angry.
I was diagnosed with infectious endocarditis in its early stage.
Really? So how?
I have to make sure to take my antibiotics regularly and be careful.
See, aren't I taking the initiative to ask for help for my injections?
Don't rough it out. Isn't it better you take a week off to rest?
How can I do that? I've taken sick leave twice already.
Causing trouble to others because of me, I'd feel really bad so I don't like that.
This specialist training itself is too much for you, isn't it?
A little.
But 2 years ago, I had a similar condition once every 3 months.
But look at me now, it's been more than half a year before I relapsed.
So this says you're older now.
Yes. It shows I've grown so much older.
I... really like this job now very much.
So no matter how, I'll work at it till the very end.
Actually, it's possible I won't live that long.
Within this period, I might faint and become a patient.
Even so, till the final moment of my unforeseen future, I'll work very hard to give my best.
Because only then I've given it my all.
“Dal Hee, don't be too sad or angry.”
I keep telling myself that.
And who knows, I might really be able to make it to the end.
I heard when one keeps dreaming the same dream over a long period, she will be nearer to achieving her dream.
Do you know since when I've been having this dream?
I know. You should give it a try. I'll give you a special shot.
Make it less painful.
You're trying to be coy.
Who says it's painful?
You're not bad at all.
Much better than you.
Drink it.
Come in and sit down.
Ahjumma, how long more for the kimbap?
It's done. It's done. Eat more.
- Ahjumma, one ddeokboki over here! - Got it.
I have it ready. Eat quickly.
- Ahjumma, give me some more soup please. - Got it.
This bad girl. I'm so busy but where did she run off to? Really!
- Ahjumma, hurry, give it to me. - I know.
You must be growing old.
You used to drink the whole first glass in one gulp.
This is wine. It was soju back then.
When you're driving nowadays, do you still go bare feet?
No.
You've changed? It was because of that I got attracted to you.
Since my ex-husband didn't like it, I stopped that habit.
He's quite a fussy guy.
You knew, right? That I'm divorced.
That's why I called you. I heard about it a few months back.
What about you, Jong Min? Do you have a girlfriend?
When I heard about your wedding, I took it real hard.
Because I never thought you'd marry so soon after we broke up.
For a few months, I was practically an invalid.
Although it got better later on because of my work.
Occasionally I see news of your growing popularity and I'm really happy for you.
I don't have a girlfriend now. You don't have a boyfriend too, right?
What makes you so confident about that?
Just by one look.
Jo Moon Kyung,
let's start over again.
In the past, I had nothing so I cruelly pushed you aside because I didn't want you to suffer with me.
But now, I think I won't do such a silly thing anymore.
Even if you're unwilling now, just accept it first.
At least give me a chance to pay you back for all the food & wine money I owe you.
Which floor is the Research Center on?
12th. Your Mom should be resting now.
I think so too.
When I heard about your wedding, I took it real hard.
Even if you're unwilling now, just accept it first.
How much longer do you plan for your kid to live without a father?
Don't you know how much the kid needs a father?
Maybe, you know someone by the name of Lee Gun Wook?
Ah, that's lucky! Of course, I pressed the quick dial 1 button.
He drank here then he fell asleep.
No matter how I yelled, he won't wake up.
Where is that?
Dr. Lee! Dr. Lee! Dr. Lee, wake up.
Hey! Jo Moon Kyung!
You're awake?
Want something to drink?
Hey! Because of you, I'm going crazy.
Because of you, I'm really going crazy.
Towards you, I can't accept nor forgive.
I can't forget you yet I can't start over again in your arms.
Because of you, I can't see anyone else, I can't start over again.
But, how can you do that in front of me?
You're seeing that guy so overtly?
How can you treat me like this? In your heart, am I worth nothing?
If you have to meet him, you should do so out there.
In this hospital, in this hospital where I am..
I'm really going crazy.
But why can't I forget you?
In your heart, I'm just the gum that you chewed on and spit out.
Why? Why? Why can't I forget?
Brought to you by WITH S2 Written In The Heavens Subbing Squad
Main Translators: aoiyuki291, ai* Spot Translator: javabeans
Timer: julier
Editor/QC: schizoar
Coordinators: ay_link, mily2
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