Please do NOT hardsub and/or stream this episode
In the CT scan we can’t see the nodules.
Professor, the result is out…..
It’s Cancer recurrence.
Episode 5
Handle & settle this.
How are we going to relate this to his family?
I heard that it’s a recurrence.
Yes.
The patient’s condition?
He’s not doing well.
No matter what you do, you must save him.
This is the only way for you to redeem yourself, Professor Kim.
Why have you come out so fast?
Was there any mistake?
Quickly tell me, please?
The pancreatic cancer had a relapse.
His condition is not well. We can’t proceed further with the operation.
I’m really sorry.
Didn’t you say that he had Cholangitis?
Now you’re telling me it’s a recurrence.
What do you want us to do?
That person has immensely believed that you can save him, Doctor.
If you didn’t have the confidence, why did you do the surgery?
This is going to be embarrassing.
When will the patient be going for the cancer treatment?
Because of the surgery, it can only start after a month.
Because of this surgery, he had missed the opportunity to go for treatment.
What are we going to do about this?
We can’t all completely put the blame on Professor Kim.
Let’s stop regretting the outcome of this.
Why didn’t I prevent him from proceeding with the surgery?
Regret usually comes after.
The patient’s family will not just stand and let this pass if there are side effects from the surgery.
After the suture, when he came out of the theatre, he didn’t even say a single word.
All of us are going to die of anxiety.
A lawsuit was filed on Professor Kim last year. He’s always involved on matters like this.
This will badly affect his medical career.
Last year?
Yes, there was a patient who ruptured a main artery. When you look at him, there’s really no hope.
Professor Han Gi Tae said that if the patient goes through the surgery, he will die.
But he stubbornly still went through with the surgery.
So the surgery resulted in death?
No, it didn’t.
However, the patient almost died. This will bring down his confidence.
All of the sudden this “gown” (medical occupation) is very difficult.
Do you know anything?
It’s not me. I really don’t know what’s happening.
Ah! Sheesh! What’s the matter?
He’s here.
Dr. Jung Ha Yun is not here yet.
If it’s just Jung Ha Yun, it’s fine.
Do you know why I ask you to gather here? You should know at least a little.
Min Tae Hyuk!
Yes.
Even if you graduated from another medical school, do you think it makes any difference?
Yes. Probably there are times that you feel that there’s a difference because you graduated from another school.
But I differ in your opinion.
Probably you think we can depend on the University to live an easier life here.
Graduating from another university will not give you special privileges.
Do you understand?
You’re way out of line here. When did I say that?
If it’s not, then what is it?
What’s reason you were not willing to enter the surgery?
Oh Young Bum!
Yes. I didn’t say anything about the matter.
I know that you wouldn’t do it, so I didn’t ask you.
As you all know, a Doctor will receive the highest rating this month.
Who will that be?
Wouldn’t that be Baek Hyun Woo?
Incorrect!
Baek Hyun Woo will have the lowest rating.
This month, the highest rating will go to...
Choi Jin Sang.
I have reconsidered the rating system because he followed the surgery’s rules & regulation in this incident.
Baek Hyun Woo!
Yes.
I wouldn’t want to say this but I thought you would come.
Honestly speaking, after this incident, I’m really disappointed in you.
Before, Choi Jin Sang seems to be lacking.
But I have to acknowledge his performance on this incident.
He has what it takes to be a Surgeon.
After this incident, no matter what your reasons have, you must not reject any surgery or else you’ll be punished.
I hope all of you understood what I just said. Carry on.
Senior, where are you?
No matter what you do, you must save him.
This is the only way for you to redeem yourself, Professor Kim.
You’re still not off work?
I was going to observe the patient’s condition who underwent the surgery.
I heard.
Don’t think of it as complicated.
You just based your decision on your diagnosis. You’ve done no wrong in that.
I’m sorry.
I don’t really have much to say.
Suction!…
Crile!….
Crafoord!…
Hold this!
What are you doing daydreaming in the surgery?
If you can’t concentrate, please get out of here immediately!
I’m sorry.
For the patient’s survival, there are times we need to make a decision.
Is giving up on the patient’s life can be called overly defensive diagnosis on medical practice?
Don’t you think & feel that this is slightly out of line?
You should consider what the patient might be feeling and still be professional.
If they were to put their life in the hands of this kind of a Doctor, what will that patient feel?
Are you alright?
Yes.
Do you want this, Doctor?
Isn’t this for the 1st incision that was awarded to you? It’s yours.
Why would I want it?
I feel that I don’t necessarily need this scalpel.
Who says that a Surgeon doesn’t need the scalpel?
I’m just saying…
How are you?
Choi Jin Sang! Jin Sang!
Have you seen it?
What?
Come & take a look quickly.
What is it actually?
You’ll know when you see it.
What is it? What?
Come look at ….this…
I always knew that person is not thinking straight. But I never thought that he’ll give you all As.
Baek Hyun Woo got all Fs.
How could this be?
It looks like you have all Fs. What are you going to do?
Are you happy that you have all As?
Isn’t what you’re saying is nonsense?
If it wasn’t our abilities we’re comparing, I’ll be dancing away.
If it’s going to be this way, shall we challenge each other on who can become the top Doctor?
Are you joking?
Why would I?
Congratulations!
This is indeed Baek Hyun Woo.
Even if he gets all Fs, he doesn’t even blink an eye.
That brat, why can’t he…?
In this situation why wouldn’t he be angry?
You wretched brat!
He has more inner strength “qi” compared to you. That’s why he can perform well. (Inner strength “qi” is usually found in mangas that practices martial arts.)
No matter what, these are all As.
What’s the use of inner strength “qi” if they’re all Fs.
No matter what, congratulations!
Thank you!
Doctor! Please come quickly and see this patient Lee Eun Sup.
Why?
His condition is not good.
Vitals!
There’s fever & his blood pressure is low.
- Put in the NSAID fluid. - Yes
Wouldn’t this give him shock?
Quickly call Professor Kim. Please find if ICU has any empty bed.
I know.
Patient Lee, can you hear me? Where do you not feel well?
The patient’s condition is deteriorating quickly.
If it’s blood infection, he may not able to live long?
Yes.
Moreover his condition wasn’t well to begin with.
If his condition doesn’t improve, it may just be days.
What are the legal implications on this matter?
I have accessed and seen the medical records of this case.
Legally, this shouldn’t be of major concern.
However, the concern is what are the responsibilities that the Hospital needs to bear.
You better explain this well to the family of the patient.
With this situation, there might be someone who’s going to manipulate them.
They may not be thinking right to make such decision.
I understand.
But the patients in that department are really concerned with the incident.
It’s becoming a real headache.
Concerned patients?
I heard that they accepted Professor Kim’s diagnostic error but they are feeling uneasy with the surgery.
They’re all inquiring about the case and I’m really getting fed up.
You should clearly explain to them the facts to appease them.
If this was done using Han Gi Tae’s robotics, it would have been better.
Now this common incident had spoilt everything.
Which department has asked you for consultation?
Who’s looking into the case?
That may be difficult.
Difficult?
Since they heard there's a possibility of a law suit, everybody 's avoiding in accepting the case.
What?
How can they give up on the patient just because they were afraid of being sued?
I’ll go & settle this matter.
You?
Yes.
Since you had given me such high marks, I'll repay you with this.
Can you do it?
Please put your trust in me.
Why does it have to be me? Do you think I’m capable of taking the case?
Why wouldn’t you be capable?
There are many Doctors who listen to you.
I just want to ask a favor from my best friend regarding this matter.
You are really!
Please help me out.
if I go & beg & no one wants to take this up, what are you going to do?
This is really too much, why are people so selfish?
It looks like you have changed a lot.
He isn’t your patient, why are you so worried?
Dr Jung Ha Yun can’t settle this, so I’m helping her out.
Is that it? Now it’s because of Dr. Jung Ha Yun?
No it’s not.
I heard that you & Dr Jung had an encounter of some kind?
Is that true?
No we didn’t!!!
If you didn’t, just looking at your reaction, there must be something that has happened.
You lout!
What do you mean by this? Are you kidding me?
If something really happened, why do you say I’m a lout?
You’re really funny.
So this incident really happened?
No…nothing happened
Something did!
Eun Ji! Eun Ji!
Why is this matter making her so jealous?
How are you? I’m Surgical Department 1st year intern Choi Jin Sang.
So?
Sepsis? What happens with sepsis?
Sepsis is a blood infection from post surgery.
The patient’s condition is not well that’s why there is a high chance that sepsis might occur.
Recovery will be difficult.
Doctor, you need to save him.
No matter what you must save him.
The Doctor is here!
His condition had been always like this.
Even there is discomfort, you must endure & pull through.
We have already been using a high dosage of Dopamine. We still can’t bring up the blood pressure.
Do we need to change to an alternative medication?
With the present condition, continuing with the treatment is deemed fruitless.
Remove the Ventilator.
Allow him to leave by saying his last wishes.
I had seen so many Doctors when I had this disease.
They’re all just the same.
They can’t do anything for me & just allowed me to wait to die.
But Professor, you’re different from the others.
Thank you for being able to make such difficult decision for my sake.
After this, you must definitely continue to take care of patients like me.
Someday, there’ll be someone who will survive from this.
Yobo!
Don’t do anything stupid.
Don’t sue them, do you hear me?
Now…at this time.
Have you heard?
Professor Kim’s patient died.
Yes.
It was easily settled than expected.
Instead of a lawsuit, the patient thanked him for the surgery.
What?
It looks like Professor Kim’s luck is really great.
He avoided being sued.
Bingo!
Can this do?
It’s no different from the IV bottle. This should work.
Isn’t this great? I’m really a genius.
It really does work.
Quickly, the glass.
It’s working.
Give this a try, that’s the next course of action.
Let me look as you go & do it yourself. I wouldn’t tell you.
The next, what is it?
Once we stir this well, it will become a really nice drink where you can get drunk.
What's Jin Sang doing now? If he sees this, he’ll definitely go crazy.
Speaking of the devil, he’s here.
Jin Sang! Do you want to drink a glass?
What are you doing?
I wish to get drunk.
I can’t pass through this day with a clear head. It’s too difficult.
Are you alright?
It must be hard on you.
Yes, that’s correct.
I’m in the middle of being confused.
What does this mean to the patient?
After making the patient accept the surgery, it even made his life to end quicker.
With what happened, I should hold grudges on Professor Kim because of his diagnostic error.
But even this is very hard for me to do.
The reason why I entered the Surgical Department is to be close in doing operation.
But with this kind of situation, I don’t know whether I have done the right decision.
Right!
The last time you gave me the golden scalpel.
I should give you something in return.
I don’t have anything that I really want.
It’s nothing special.
Don’t let anyone know of this?
I know.
This is really a great gift.
Come quickly!
Where are you taking me?
Quickly come with me!
Quickly hurry & settle this.
You should able to handle this. Eun Ji, quickly go in.
What’s with this brat? Every time he drinks, he ends up drunk like this.
- Please go in quickly. - Hurry! Hurry!
What wretched brat are you?
Get out! Get out of here!
It’s me.
Eun Ji? Eun Ji?
What's wrong? What have you been drinking?
Eun Ji! I'm really suffering inside.
With what?
I…I don’t really know what I’m supposed to do?
I really want to follow Professor Han Gi Tae to become an outstanding Doctor.
Recently, I find that Professor Kim is more admirable than Han Gi Tae in charisma.
What am I to do?
Professor Kim has really my style.
Each time there’s an incident, I want to be the like Professor Kim.
Why am I drawn to him?
What am I to do?
Jin Sang, you were always like that.
You can’t pretend that it’s not. That’s why it’s hard.
Come! Jin Sang is a really good boy…Go & sleep…sleep. We’ll all go to sleep.
Let’s go to sleep, our Jin Sang.
Sleep...Sleep...Go to sleep.
No matter what, the ended really nice.
We’re lucky that the patient had left a word with his family.
That will be all.
How’s Professor Kim?
He didn’t report to work today.
For the patient, he made a difficult decision that ended up this way.
The family is furious.
It’s hard being a Doctor…really hard.
You’re a little strange.
Have you forgotten the purpose why you’re here in the 1st place?
Are you here to be a Prosecutor for malpractice suits to fight for the rights of the patients?
Now you’re already considering the point of view of the Doctors.
Isn’t that strange?
Aren’t you diverting from your stand?
What if you’re dealing with this matter as a lawyer?
You’d definitely say that Kim Do Hoon made an error that brought the patient his hasty death.
You’d immediately raise the issue of a lawsuit against the hospital, wouldn’t you?
It looks like your experimenting period has ended and you’re now willing to become a Doctor for real.
The sun had rise from the west. Just a call & you’re here immediately.
Of course, there’s a patient I should quickly attend to.
I can even fly down the stairs.
You seem to have changed all of a sudden.
I’m in the midst of trying to be the top Doctor.
I will try & do well.
Yes.
Who’s the patient?
It looks like Inguinal Hernia.
I have asked Radiology to take a “sonar” on the case.
You just affirm whether it is.
Yes I understand.
Professor Kim?
He didn’t report to work today.
I heard from the Professors that he’ll be taking a few days off.
Professor! Professor!
What is it?
It's an attempted suicide. Beside him a bottle of pesticide was discovered.
It is paraquote poisoning. We have no time to lose.
Quickly set up an Intubation for irrigation.
Professor, your arm.
Quickly wash it down. Paraquote can burn your skin.
That could be serious.
Stabilize the patient first.
A better alternative is intervention as this will increase the survival rate.
Check Surgery whether they can perform irrigation.
There’s no time. Quickly go & wash.
Check the blood time then bring in the sodium, DT Nitrate Urine Test.
If there’s a change in condition, get in the plasma for 24 hours.
The risk of renal failure is very high.
- Ask Cardiology to come & examine him as well. - Move aside.
Didn’t you say it was dangerous?
Thank you.
Quickly!
Professor, I would like to see you.
Professor.
I'm sorry.
Do you want to drink this together?
Come in.
This looks very nice.
I thought being a Doctor wouldn’t have this kind of taste.
I haven’t been working that hard on making money.
There’s nothing I can offer you to eat.
It’s alright.
This matter has given the Professor a really big shock.
It’s confirmed as wrong diagnosis.
However, I do believe what the Professor has done was correct.
Yes. Initially, I would have thought what the Professor was doing was out of kindness.
Pretending to be kind to the patient…
Pretending in showing concern for the patient...
Pretending being a fine Doctor…
If it’s not kindness, what is it?
I want to peel off that kindness layer by layer.
But it looks like I won’t be able to.
Our understanding on Doctors is not the same.
It’s making me very exhausted.
Why is it so exhausting?
I need…to beat…the Doctors.
From the start, I don’t even have the slightest intention of becoming a Doctor.
My only goal is to become Republic of Korea’s most accomplished medical Prosecutor to expose the transgression & strip off the dignity of medical practitioners.
If there’s an error in diagnosis, they usually gather up to create evidence against the victim, those evil Doctors.
I want to wipe them off of the face of the earth. That’s my aim.
It’s because of Professor that I’m starting to waver. That why I’m very tired.
I’m in front of your house.
You must be having a headache thinking the whole day.
Can I come in?
Come in.
Were you at home all day?
She seems to be going through a hard time because of the patient she was in charge of.
I’m also going through a hard time.
Do you know how I feel?
Can you at least show me some consolation?
What am I to you, Senior?
I have made so many calls and sent many text messages. You’re not in the least concern.
I thought that I can’t get any consolation.
That’s because I can’t even forgive myself.
Where else can I go for comfort?
Didn’t the patient wholeheartedly thank you for it?
This is already more important than what others think.
Just let it go.
You need to get permission from the family.
They will come in the evening.
I’ll send your medical records.
Yes.
Next…also…
Going out is restricted.
If there’s an urgent matter, you need to consult your Doctor in charge and then get a written permission.
The Doctor in charge is Choi Jin Sang
Yes.
Next…
That….
Valuables?
You need to be careful with your valuables.
Hand it to the Nurses’ Station for safekeeping.
The hospital will not be responsible for any loss.
Yes.
Well done! It’s an A.
Should I give you a score?
There’s no need.
What’s with her lately?
That…how should I know?
- What happened…. - You gave me a fright!
Last night, why didn’t you answer your phone?
I had to do full shift & look after your patients.
I haven’t slept a wink. Look at my blood shot eyes.
Let me have a look.
Thank you, my baby.
You smell of alcohol. Really!
I should get some sleep for a while.
Dr. Choi Jin Sang!
When are you going to write the letter of permission for the patient Kang Young Hwa?
Hyun Woo! Hyun Woo!
What?
Can you see my eye balls are really blood shot? Can you see it?
My eye bags have not receded.
It looks like you’re wearing a pair of binoculars.
That’s why I need a favor.
With the condition I’m in, I’m in no position to meet the patient.
Can I pass to you the medical records & help me write the letter of permission?
Who’s the patient?
The patient is Kang Young Hwa.
I understand. You go & sleep.
Thank you.
Look at you eating!
I was only left with just this & you even ate it up.
This is really annoying…really.
Are you eating lunch just now?
I haven’t eaten anything today.
I’m going to starve to death.
Yes, you will. But you need to watch it.
If you continue this way, Han Gi Tae will not able to recognize you.
You’ll be going to your funeral.
What do you mean?
I’m a man.
Who says you’re not?
I’m sorry.
Choi Jin Sang.
Yes.
You better clean your mouth.
I have lived this long and I haven’t come across a brat like you.
You need to do your rounds and you still have time to go & eat.
I just praised you once and you can’t even maintain a good behavior for 3 days.
I’m sorry.
If it was before you’d have a quick death.
Dr Choi Jin Sang!
The patient Kang Young Hwa is not in her room.
Did you send her for examination?
What? I…didn’t
The patient Kang Young Hwa, isn’t she scheduled for a blockage artery operation for tomorrow?
Yes she is.
She didn’t say anything?
She did or not?
She didn’t.
Please hold a little longer. It will be over soon.
Dr Yoon!
How are you?
Did you see the patient Kang Young Hwa?
I haven’t seen her from where I came from.
We’ll look for her within the hospital premises.
Choi Jin Sang! What are you doing?
Yes…yes.
Surgical Department patient Kang Young Hwa, if you are in the hospital premises, please return to the Surgical Department.
I repeat, Surgical Department patient Kang Young Hwa, if you are in the hospital premises, please return to the Surgical Department .
Surgical Department patient Kang Young Hwa, if you are in the hospital premises, please return to the Surgical Department.
What’s going on?
The patient who’s going for the scheduled surgery tomorrow is missing.
Who’s the patient?
The patient is Kang Young Hwa.
The patient with the blocked artery.
Maybe she heard the paging & returned to her room.
We’ll go there & have a look again.
Go & look for her in the ward.
Yes.
Surgical Department patient Kang Young Hwa, if you are in the hospital premises, please return to the Surgical Department.
I repeat, Surgical Department patient Kang Young Hwa, if you are in the hospital premises, please return to the Surgical Department.
Baek Hyun Woo! What happened to the patient Kang Young Hwa?
It’s not…me…that…
How can you permit her to leave?
There’s no permission given.
She said she hasn’t got one but because it looks very urgent.
She promised that she will return as soon as she’s done.
Don’t worry.
She hasn’t been back. What am I going to do?
I will mention this to the chief.
Are you crazy?
For the sake of sleeping, I handed my patient to someone else. I’ll be dead meat.
You mustn’t tell that I handed the patient to you.
I know. If anything comes up I’ll give you a call.
Still?
Yeah.
Ms Kang Young Hwa!…Yeah!…
Then…who is this calling…
A TA patient?
Yes, the Emergency services called. Her heartbeat is slow & there are external injuries.
- We’re still not clear if it’ll require emergency surgery. Just inform the Surgical Department. - Yes I understand.
How are you?
Yes.
You’re exercising well. It looks like you’ll be discharged soon.
Yes.
Wait! Is your room number 903?
Yes.
Have you seen the patient Kang Young Hwa?
Yes, it looks like she went out somewhere.
Did she by any chance say where she was going?
She didn’t say. But she said she had informed the Doctor in charge that she’s leaving.
What? Inform?
Yes.
The condition is not good. She’s unconscious.
Identification!
When she was found, her heart beat is already weak.
- How long have you been doing the chess compression massage? - About 25 mins.
Intubation.
Intubation!
Get the ECG monitor.
Compression!
Open her mouth.
Atropine.
Stop for a while…
It's DOA. (Death on arrival)
No need to proceed with emergency. The heart had stopped for a long while.
If it was earlier, it would have been…
I will resume CPR.
She had been unconscious for too long.
It’s not worth trying.
We can’t just stand here. We have to try.
Declare the time of death.
Yes…Kang Young Hwa…pm
What are you doing? It’s already declared DOA.
I will not let this woman die just like that.
Don’t create trouble. This is the ER.
Professor Song had declared her dead. What’s with you?
We need to do emergency. Please prepare the IV for atropine.
What’s going on?
The heart had stopped way too long.
But he’s desperately doing CPR.
The heart beat has returned.
- Quickly send her to the Operating theatre for emergency. Prepare the portable x-ray and do a brain CT scan. - Yes.
She’s Senior’s patient?
Yeah.
She’s the missing patient for tomorrow’s scheduled surgery.
I’m really worried now.
If she needs to do surgery, why is she allowed to leave the hospital?
It’s also without permission.
Can’t say. Maybe there’s a reason why she did.
She didn’t say. But she said she had informed the Doctor in charge she’s leaving.
Professor….it’s nothing.
The blood test came back with nothing abnormal.
The hemoglobin count is normal.
The chest x-ray is normal. There’s no abnormality detected.
The CT results are out.
The Chest CT didn’t find any internal bleeding.
However, the brain CT scan is not good.
NS said that most likely there’s a chance she’s brain dead.
What?
Dr Baek?
Is something the matter?
Nothing.
Doctor! After a few days of exercise, my appetite has increased.
It would have been a problem, if I hadn’t exercised. Have I done well?
Yes…that patient Kang Young Hwa.
Yes. Hasn’t she returned?
Yes.
Is it really true that the Doctor in charge permit her to leave the hospital?
Of course! I saw her with the Doctor in charge talking about it.
Why? Did something happen?
No, just continue with your exercise.
I need to tell you something.
What?
Since the matter already escalated.
I have to admit that I permit her to leave the hospital.
This can’t do.
Both of us will be surely be dead.
Don’t be a hero just yet, just sit & wait.
If you get involved, this matter will get complicated.
Do you want to add to the mistakes of the Doctor in charge?
The best thing you can do is to just to sit & wait.
Looking at the situation, what’s the use of waiting?
The error started when I asked you to help me.
This is my mistake.
It’s a grave mistake when the Doctor in charge mishandles the patient.
So I’m taking full responsibility.
You just pretend that nothing happened.
Just tell them the truth.
When a crisis like this happens, we need to handle this in the most comprehensive way and not purposely conceal it to the end.
Yes, that’s right. You being the Surgeon, this is really comprehensive.
But I’m afraid with the patient’s situation, we’ll be expelled from the hospital.
I’m thinking on what I should be doing and my head is about to explode.
I’m in the stage of being very ashamed.
How can I bear this responsibility?
Choi Jin Sang, let’s talk.
Let’s talk next time.
Come with me!
When are you going to reveal this?
Reveal what?
Do you wish to idly stand at this?
What do you mean?
Was it you who permitted the patient to leave?
There’s someone who had witnessed it.
What….witness? Who said it?
Is that so important now?
It’s confirmed that that it was permitted by the Doctor in charge.
It had been seen. Do you still want to deny it?
The last time I last saw the patient was at dawn, however, she went missing all of a sudden.
You…really are going to be so low & be despised for this?
After the patient went out, she came back brain dead.
Isn’t your heart shaken by this incident?
I’m also a human being.
What makes you think that I don’t have any reaction to this incident?
However, I didn’t have any knowledge that the patient had left the hospital.
Choi Jin Sang!