Please do NOT hardsub and/or stream this episode
You are so easy in giving up on a patient. Is it because at this moment you have a different aim?
When you came by to look for me, you said your dream is not to be a medical practitioner but to be a medical malpractice litigation lawyer.
I?
Don’t you remember?
That…
It’s not important that you can’t recall.
It’s because that day what Dr Jung Ha Yun had said was sincere and it came from the bottom of your heart.
What do you think are the similarities between a Lawyer & a Doctor?
Both hands need to work to hold on to human life.
You said that to become a medical malpractice lawyer you wanted to defeat the Doctors in their selfishness.
Standing on behalf of the patient doesn’t necessarily need to be the opponent of the Doctors.
In the end, we would want the patient to benefit and transcend over the matter with their utmost effort.
If you think this way, shouldn’t you be more understanding of the patient’s suffering & sincerely give your concern to the patient?
Just merely using the library reference is no method of persuading & moving the patient’s heart.
This is the same as being a lawyer.
If you want to become an excellent lawyer, it’s not just the mere straight forward medical knowledge that is needed but actually using your effort in understanding the suffering patient.
If you just want to depend on medical knowledge, it is best that you cease doing this immediately.
The medical knowledge you have at hand is sufficient for you to become that lawyer.
You were indeed testing me.
Professor knows this all this time and also the answer, but you make me run around in circles.
The answer, it’s not with me.
The answer is between you & the patient must simultaneously go & search for it.
You definitely need to find that out.
Episode 7
Just merely using the library reference is no method of persuading & moving the patient’s heart.
This is the same as being a lawyer.
If you want to become an excellent lawyer, it’s not just the mere straight forward medical knowledge that is needed but actually using your effort in understanding the suffering patient.
If you just want to depend on medical knowledge, it is best that you cease doing this immediately.
The medical knowledge you have at hand is sufficient for you to become that lawyer.
Medical malpractice litigation lawyer?
Whoever attempts to do this, they will not to succeed.
In the beginning, she never had that kind of medical inclination.
What are mumbling about?
Gave me a fright!!!!
Wretched brat, do you think you need some psychological evaluation?
Why should I?
A person who was reprimanded & penalized is starting to smile to himself, just like a crazy person mumbling to himself.
These are symptoms of people with extreme depression.
As I see it, your symptoms look really serious.
Just don’t come here & talk nonsense.
Yes, I'm Choi Jin Sang….
What?….Yes…
I will come immediately.
What?
It’s the Chief! He said that I can resume to work.
How can the ban be lifted so quickly?
This is definitely…without me,
will be Surgical Dept have the best of luck?
You wretched brat!
Choi Jin Sang is here!
Yes, I understand.
There is a hospice discharge. (Hospice discharge is a terminal patient with extraordinary circumstances who will not live long. They are usually homebound.)
Isn’t that the job of a medical intern?
Do you think that your capability is better compared to a medical intern.
For the sake of the people who took over your shift, there are many medical interns who had not slept in days.
Quickly go & prepare!
Yes.
Be careful!
I’m ready.
Don’t you dare sleep on the ambu bag?
If you sleep, the patient will be in great difficulty.
Please be rest assured.
I will uphold the reputation of this Hospital.
Who’s going?
Choi Jin Sang!
Are you out of your mind?
Who allowed him to be responsible for this task?
We are really very tight on staff, so I had allowed him to go in replacement of a medical intern.
Do you know what the meaning of hospice discharge is?
A Doctor must be held responsible for the patient until the end.
If something happens on the road by any chance and we have Choi Jin Sang, who will bear that responsibility?
No, it’s not….
You know this as a fact, you are sending someone who is so irresponsible.
I have given a thought on this many times.
He is just forbidden from order authority.
We can’t be always observe him 24/7.
Then you should tie him down!
Choi Jin Sang!
Yes.
There’s a saying that once you have a medical license, you’ll always be a Doctor.
It’s like saying you may have a license to drive but it’s possible you can’t drive. Likewise, you may have a Doctor’s license but you can’t be a Doctor.
For someone to become a Doctor, you need a lot of effort and people to support you.
It’s really pitiful to allow people like you to become medical practitioner even if you’ve given the best of your ability.
Before any major incident happens, it is best that you give up this medical profession. You go & slowly give this thought a great consideration.
Quickly go & find someone else to go.
You are really... how can you be so despised by people?
Jae Sang! Come over here quickly.
Quickly…come quickly.
Ji Sang, Eun Ji is here.
Come let’s go.
Let me go! I’m not doing this anymore.
I know.
If you don’t want to do it anymore, don’t do it.
But now we need to go home…
Jin Sang…get up!!!
Han Gi Tae, what makes you think that you are so excellent?
He is just an off load surgeon.
Don’t say that.
Han Gi Tae’s ability skill is excellent.
You’re the one who is an off load Doctor.
As a Doctor, you’re even bullied & manipulated by certain nurses.
If you give this up, it will be the best solution for many people.
What?…
What are you saying?…
Why am I an off load Doctor?
Eun Ji! Why are you saying this now?
What he’s saying is way out of line.
The more he is looked down upon, it will be better for him.
It’s best for him to directly give this up.
This person is really a jinx.
Eun Ji...Eun Ji...
Aigoo! How can you fall to such stage?
Hand him over to me.
Thank you so much.
Are you crying?
Who says that I’m crying?
You’re so worried that he’s going to give up.
What are you going to do?
If I were being despised like him, I would also wish to give up.
So that’s why Senior you should treat him better, please don’t always treat him badly.
Where have you see where I haven’t taken care of him?
If you haven’t seen it don’t say such things.
Eun Ji, you just piggy back him until there, after that I will take over from you.
No need.
I will…
accept the surgery.
If it can be rearranged back to the stomach, why wasn’t this mentioned to me?
Dr. Choi Jin Sang had told me about this.
Once I’m fully recovered, the artificial stoma can be placed inside my stomach & I continue with my normal daily life.
Is that correct?
Yes, although there are some flaws & side effects in it, there is a possibility.
Then help me to schedule the surgery.
The answer was indeed really strange.
The patient’s condition is considered serious, so I never thought that the artificial stoma can be placed inside the stomach.
I never thought that a word from Choi Jin Sang can move the patient’s heart.
However, doesn’t this constitute as lying to the patient?
The patient’s chance of putting that artificial stoma back inside the stomach is next to nil.
The Doctors must able to give his patient hope, even if in the end it becomes a lie.
This patient had seen a ray of hope in Choi Jin Sang.
Why didn’t you call me to wake up?
Even if you get up, you don’t have any duty to do.
It’s better for you go back & rest.
- Don’t you any instructions for me to do? - There isn’t any.
How about you all, is there anything?
Dr Choi, will you help me mix the IV bags for me?
Yes.
I will help you next time.
The Professors are coming.
Choi Jin Sang!
Yes.
I heard that you had persuaded a patient to accept the surgery.
Yes?
Yi Min Su had finally agreed to accept the surgery.
He said it was you who persuaded him.
That…no it is not…this…
We must be like Choi Jin Sang. Have the sincerity of the heart to take care of our patient.
With sincerity, we can do the matters well.
From today, the penalty of Choi Jin Sang will be lifted.
Let him carry on with his duties.
Yes.
- After this, don’t ever make any mishaps again, do well. - Yes, I will do my best.
You, didn’t you say you wanted to resign?
That was alcohol talking. What’s wrong with you, really?
It looks like with the way I handled patient, I do have my method.
Last time there was an Ajumma who had her breast removed.
After she listened to me she agreed to accept the surgery.
I really had some persuasive powers.
You can really smile.
How about time you killed the rat with the back of your heel, do you think you were that outstanding?
Don’t come here & talk nonsense.
- Carry on with your duties. - Yes.
Honestly, we just came here…
Hey!…
Honestly I never intended to steal your work away from you, even if it’s like killing the rat with the back of my heel…
don’t be so saddened by this.
Are you here now pacifying me?
No, I’m not.
You are really outstanding.
How come you have the talent to be so persuasive?
I’ve been trying to persuade him for such a long time, but I couldn’t do it.
How can you be so quick in persuading him?
Just like what the Head of Dept said…
Sincerity of heart towards the patient.
Are you saying that I don’t have sincerity in my heart?
Am I not modest & kind towards the patient?
That’s not what I meant.
Hey!
When are you going to resign?
What?
Aren’t you doing this to become a medical malpractice litigation lawyer.
It’s not because you want to be a Doctor but for the sake of being a lawyer.
It is because you had these intentions all this time that’s why incidents like this will happen.
You can always at any time be able to resign from this. With this in your heart, how can you able to sincerely look after the patient?
I have never once had that thought when I take care of a patient.
How can you say such a thing?
No, it’s not that, it’s not what I meant.
You must be sure to yourself which road you’re going to take.
Do you really want to be a Doctor or a Lawyer?
Yes…Yes…I’ll be right over.
Where….are you not feeling well?
No I’m not….I’m fine.
Everybody listen to this carefully.
Now the schedule is really tightly packed & full.
Each person will have their additional loads.
I have already done an allocation roster for the patients that’s posted outside on the bulletin board.
You need to be sure & thoroughly clear about your patient’s notes & records, there must not be any faults. Understand?
Yes.
Doctor? There’s a slight problem to this.
Why?
It will be hard to get normal diagnostic treatment for patients.
Since the Doctors have to be responsible for so many patients, problems and mixed ups may occur.
So then what?
No matter what, we should at least have a better solution than this.
Can we allow Kang Buk hospital to send some staff over?
In the medical law, this is seen to be recommended.
Are you again lashing out your law practices?
There is already as difficulties in handling the patients’ schedules.
Don’t come & tell me about medical law.
It looks like Dr. Jung Ha Yun’s health is not well.
In terms of her present condition, to be laden by many patients, she’s deemed to be hesitant.
Are you really sick?
I’m not…I’m fine.
That's better. In the 1st year of surgical intern, there is no time to be sick.
If you want to live like human beings, then don’t become a Doctor.
If it’s not a terminal illness, you need to work, do you understand?
Yes…yes…yes…
I understand...I'll go there right now…yes.
It’s about the appendicitis patient who was just recently admitted.
I need to go to ICU.
- If something comes up, call me. - Yes, please don’t worry.
Dr. Choi? Aren't you penalized? Why are you here?
According to the schedule, it’s my turn to be here today.
Then you should do well, don’t let the Medical Officer gets worried.
Yes.
This is delicious.
That is for our supper.
I’m sorry.
It looks like we don’t have much patients today…
really…it is really quiet…quiet.
When did the ER MOs get so upset easily?
Are you so counting the doughnuts?
I’ll just go and pay you back with the doughnuts.
Where did you buy these doughnuts?
This brat…really….
did you know that saying that the ER has no patient is a taboo.
You haven’t finished the sentence and the patients will come flowing in.
That…that…
I’m sorry…
I’m sorry, everyone.
You better leave here quickly.
Don’t come here & be idle. Go upstairs to stay idle.
I’ll call you to come down if there is an emergency.
Yes.
Doctor! Doctor! There’s an accident….motorcycle…
there are 3 victims
Aigoo! You!…
This is really…it’s not one but three…three victims
What are you all doing? The situation is an emergency.
Quickly…hurry up.
Really! This blabber mouth of mine should be sewn.
What?
That…no…your spleen may be ruptured, we need to take a CT scan.
Yes.
Doctor! Doctor! What to do?
The baby is going to come out.
- Doctor Yoon! - Yes.
There is a patient from Buk Han San coming in now.
Aigoo…this is really…Shee Hoo…
- quickly find someone to attend to her quickly - Yes…go over there quickly.
Don’t be too nervous…
Calm down…breathe…slowly…yes…slowly
I don’t know if it’s because of the arrest that the condition had become as such.
When he entered the ER, what was his condition?
Is the cardiac really stable?
The EKG result doesn’t show any abnormality.
It’s because of Appe that he was admitted.
Why did he directly go into an arrest? This is really strange.
It has arrived…over there…
Quickly!
What’s the condition?
It’s a male…42 years old, slipped & fell over the ravine at Buk Han San.
- Come quickly!!! - Yes.
What is the status?
Suspect multiple trauma injuries & internal bleeding.
A few minutes ago he experienced breathing difficulty, could be some blockage to the breathing passage.
Careful! 1…2…3.
Get the respirator….monitor…prepare for Intubation. - Yes.
Endotracheal Tube!
Get Dr. Yoon here.
Just say that you don’t know how to do it.
How long have you done the chest compression?
4 times. No matter what angle I tried the mouth is too tight, wouldn’t go in.
Give me the laryngoscope. - Yes.
Inform the Surgical & Anesthetic Dept to come quickly…
Yes.
Give to me the Endotracheal tube!
- We need to do a Cricothyrotomy. - Yes.
The airway catheter. - Yes.
- It’s done. You can bring the ambu bag. - Yes.
The airway is now open…over here.
Enter the PRC (PRC is platelet rich concentrate)
Is everything alright?
Yeah.
Doctor, the ambu bag can’t go in.
What?
Doctor, there is feedback through the airway catheter.
There is blood deposit, that’s why the airway is being blocked.
Shouldn’t you be doing the tracheotomy?
Really! Why isn’t the Surgical Dept here yet?
Look at the patient’s face.
In 5 minutes, it will be dangerous.
What are you going to do?
Quickly put him on the ventilator.
What is the status?
His larynx didn’t open, we want to do tracheotomy…
he is already dead.
Announce the time of death & contact the guardians.
Yes.
- Please enjoy your meal. - Thank you.
Isn’t that Jin Sang?
Why are you letting your food lay here idle, is it for a memorial?
What’s wrong, you don’t have an appetite?
No, just a little.
What’s the matter with you?
There isn’t.
Do you think I don’t know you at all?
It’s written all over your face.
Did you make trouble again?
No. I did not.
That….yesterday I was on duty at the ER.
A patient came who had slipped & fell at Buk Han San and was badly hurt beyond recognition.
I heard the person expired.
But…if Joon Hoon Hyung have done the tracheotomy, the patient would have been saved.
Why is that?
I heard it was C-spine, the matter was serious. (C-spine is the cervical spine)
Then you should open the airway to insert the balloon.
The quickest will be done in just 3 minutes & the end result would have been different.
That…how can there be such an error of judgment?
Have you done a tracheotomy procedure before?
If you haven’t done it, then don’t say anything.
Then it shouldn’t be all Joon Hoon’s error.
Joon Hoon had done his best with his ability.
Is it an error that his ability and experience are limited?
If so, we Doctors will not be able to survive.
Don’t say that you don’t have an appetite.
Quickly eat up. Ah! Really don’t have the appetite.
Thank you.
Are you not feeling well?
Go & have it checked.
It may be that the hospital has infection of pneumonia or there may be other reasons.
I…have a request.
Just bear for this a moment….
Why do you really need to be like this?….having to torture yourself.
Before you became to this, what were you doing?
Dr Jung, don’t you have any family members?….Friends?…..
Where is your house?….
When you are off work, do you have a place to go home to rest?
Do you have proper meals every day?
When you are tired, is there someone to look after you?
No. Do you allow someone to look after you?
What is the reason that a person should bear all of this?
Really, the both of them.
Even if this is the Surgical Dept, they still administer the treatment.
Can this be allowed?
What are you implying by saying this?
Are you asking because you don’t know?
What I’m saying is I saw with my own 2 eyes what you two were doing.
What did you actually see with your own eyes?
Dr Jung Ha Yun has now gotten pneumonia, it has now infected to the diaphragm muscles of the lungs.
What is the Chief resident doing?
Isn’t it when we don’t understand, you are here to educate us?
Force…Batter….Reprimand, will we be able to function properly?
If it isn’t terminal illness, you need to work.
Are these the words of a Doctor who save lives?
Are 1st year interns not seen as humans so if they are not feeling well, they still need to persist?
I only knew after you had said it.
Don’t go for diagnostic, just rest.
Are you alright?
I’m fine.
What’s the matter, Senior?
You don't look too bad.
Are you really here to see me that’s why you came to the hospital?
Is there anywhere you are not feeling well?
You have now completely become a Doctor.
What’s wrong with your face? It looks the color is off.
Is that so?
You don’t even have time to look at yourself on the mirror.
This is this month’s periodicals, there is a write up on your thesis.
It should have some value in this hospital.
It should?
If you were to come out from the hospital, there will be people who’ll queue up for your services.
If that is so, do you want to have a partnership with me?
Honestly speaking, I have a favor to ask from you.
I have received a case of medical malpractice, it involves this hospital’s ER department.
What is that about?
Not long ago, there was a patient who slipped & fell at Buk Han San.
Yes, I had heard of it.
However his guardians said, before he came into the hospital, his condition wasn’t that critical.
After he came into the hospital, he was suddenly declared dead.
To say the least, it is a little strange.
So I want to know about this case before I accept this lawsuit to sue.
So can you able to help me?
Please come over here.
Do you work at the ER Dept?
Yes.
Can you help me?
I'm going to die soon.
Where’s the remote? The program is about to be on.
You bunch of brats, really.
What is this?
Come & look at this…Quickly come & see this!!!
What is it that we need to come over?
The medical malpractice litigation lawyer that holds a scalpel.
Isn’t this Dr Jung Ha Yun?
We didn’t know of her intention & was kept in the dark.
This is really venomous…really poisonous.
For the sake of becoming a medical malpractice lawyer, she caught pneumonia, so why she is so hard?
After becoming a Doctor, she has another profession to go to. She is really outstanding.
Is it?
I don’t understand why when she passed her bar exams, she wanted to become a Doctor?
She really has completely other intentions in mind.
- What is this? - Please take a look.
Choi Jin Sang!
When the patient who fell down at Buk Han San was admitted to the hospital, weren’t you on duty at the ER Dept that day?
Did you by any chance see what had happened?
You had seen it?
Why?
If you had seen it, I want to know what the situation was like?
At the ER, there’s no time to bother about other people’s business.
But….why do you need to know about that?
It's just…
What is this?
Should we be friendly with Dr Jung, or should we keep a distance?
It’s really hard to make a decision.
I heard that you will not be competing with us so we feel like really rejoicing.
Wouldn’t you be staying for the whole period of 4 years as intern?
Do you want this, Doctor Baek?
Isn’t this for the 1st incision that was awarded to you? It’s yours, why should I want it?
I feel that I don’t necessarily need this scalpel.
Who would say that a Surgeon doesn’t require a scalpel?
I am just saying…
I should have told you from the start.
I’m sorry.
Honestly speaking, I felt that I had a common significant aim with Dr Jung and I feel really privileged.
No matter what the aim is, there shouldn’t be much a difference.
It’s really great that you’re doing what you want with your utmost effort.
There is no need to feel sad just because there are people who are against it.
Don’t forget there are also people who support you in this.
This is really very interesting.
So that is why I am asking you to be careful.
You should have checked the surgical instruments before it’s considered finished.
I’m sorry.
What’s the matter?
When we were about to close up the patient, an instrument was accidentally left behind the abdomen.
We nearly sew the abdomen up.
It was almost a near fatal accident.
Does it need for you to make an error and be beaten up so that you can regain your concentration?
I helped you watch your back; it’s not just 1 or 2 times...
We can casually go & advertise…this is really…
What’s wrong with Dr Jung?
She is the Doctor’s paparazzi, so all of you must be extra careful.
Doctor’s paparazzi?
She became a Doctor as part of her education to become a medical malpractice litigation lawyer.
Is this true?
I felt that there was something.
Father...
Father…
Father...
Didn’t you say that the surgery was successful?
If he is transferred to the ICU, does it mean that he will never recover?
How can this all be sudden like this?
Although the surgery is successful, the condition of the liver was never really good.
Is it because his condition had improved that you removed the ventilator?
In surgery, after the anesthesia wears off it will have ABGA, after that we will remove the extubation ventilator from the patient.
When the Doctor in charge affirmed the result of the examination, there was no other abnormality.
We have done our best, we are really sorry.
Don't you think they need to hear the testimony of the patient’s guardian.
If you can’t bring out substantial evidence to say other wise, there is no way we can win this case.
I can really understand your anxiety on the matter but it ends here.
From the medical notes, there isn’t any problem in that.
But there is just a point to note.
At that moment they should perform the Tracheostomy procedure, they should had done the incision at the windpipe, but they didn’t perform it.
Tracheostomy procedure?
It seems like they used the dilation procedure of airway catheter to insert into the wind pipe,
however there was some blood deposit at the site, so the airway was blocked.
In this situation, the Tracheostomy procedure should be performed.
However, I don’t know why they never did.
So you’re saying if that procedure was performed, he would have been still alive?
It would seem so.
What…a pending law suit?
This morning I received a call from the other party’s attorney.
He said if they had done the Tracheostomy procedure, the patient would've lived.
The pending law suit is against us on why we didn’t perform that procedure.
Dr Song, what’s happening here?
Looking at the situation that night, it’s hard to point the error to Dr Yoo Jung Hoon.
He had done the dilational cricothyrotomy but then some problems occurred & referred them to the ENT dept.
I also rushed quickly to the ER.
At that time the patient’s condition suddenly turned for the worst.
This is really….
However, how did the family know that Tracheostomy procedures should have been done?
If there isn’t anyone at the ER who revealed this to the family, how did this happen?
Law Suit?
Professor, this situation can be perceived as medical malpractice.
At that moment, we were at our wits end & didn’t have any other choice to rectify the situation.
But how did they actually know about it?
Was it among us who had revealed this?
Doctor, could it be Dr Choi Jin Sang?
Hyung, what’s the matter?
Why are you hitting me?
- Is it you? - What?
You’re the one who told the family.
What did I actually say?
Last time there was a patient from Buk Han San.
His family had filed a law suit.
They said that I didn’t use the Tracheostomy procedure, that is why the patient is dead.
Weren’t you who said this?
What do you think of me?
It’s not me. I have never met the family of the patient.
When a patient who fell down at Buk Han San was admitted to the hospital, weren’t you on duty at the ER dept that day?
Did you by any chance see what had happened?
Wouldn’t that be…
You finally came with a decision.
I think you need to consider this very carefully.
I support you being a medical malpractice lawyer & also know all too well why you did this.
Even if this happens to me, I won’t able to understand what your feelings are like.
With this law suit, you need to come out as a witness in court.
Even as the witness, since you were not there in the scene of the incident, it will be hard to accept as a confirmation.
No matter what, this pending law suit, don’t think that this will just end so easily.
Come with me.
Dr Jung, did you do it?
You told the patient’s family that Jung Hoon Hyung had done wrong.
I dare not to believe that you had done it.
Are we eating on the same rice bowl of being medical practitioners at the hospital?
How can you do this?
Did you do this because of this reason that you came here?
I’m just using my own sincere conscience to say this truth.
Is Jung Hoon Hyung a criminal that you are hot in pursuit?
It’s because it was his 1st time that’s why he was afraid to do it.
Do you necessarily need to take this matter to great heights?
It was not my intention that this escalated, I just want to the truth to be revealed.
In that kind of situation where the Tracheostomy procedure was not done, this affirmed that there was a problem.
In that situation, there was no choice, there was nothing that he can do.
There was no one with experience on site.
Are Doctors robots…machines?
We cannot go according to procedure step by step to determine correct action.
Fine! If that is considered as a situation that had no choice, so why didn’t you explain clearly to the family?
Did you all state clearly the error of judgment made?
It’s because Doctors are always like that, always having to conceal the truth from the family, this is why the patient loses trust in Doctors.
Do you think by doing this mistrust will immediately disappear?
This can even go to a law suit, who will dare to become Doctors now?
Why do you always say the worst over such petty things?
However, this is clearly a medical malpractice.
So then what?
Are you planning to exchange your Doctor’s white gown to continue to audit us, is that it?
Stop it.
Don’t interfere in this.
Dr Jung is just doing this out of her own conscience, this is not for us to prevent her.
Conscience? Fine!
Whether it is conscience, fine…or sincerity, fine & all of that.
Don’t you feel that we are being betrayed?
From what I heard from Dr Jung’s mouth, it tells me clearly that we are being betrayed.
Why is the Surgical Dept continues to retain Dr Jung?
If Dr Jung enters the operating theatre all of you must be at the highest level of concentration.
In our Medical Dept also, how can we dare accept Dr Jung Ha Yun’s patient?
What happened?
Let's start.
Dept Head, we have something to say to you.
What is it?
This is generally an agreement from the medical faculty that I am relaying this.
It’s our choice not to work with Dr Jung Ha Yun.