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Episode 16
First we need to perform a biopsy.
Looking at the initial endoscopy, it doesn’t look promising.
We need to find out if it metastasizes. We need to do the CT for that.
Prepare for further examination.
Yes.
Are all the parasites gone?
I’m already fine…fine.
When we drink, your face gets red.
It’s not because of the alcohol. It was the fish…fish.
You make sure you don’t get drunk on me because I won’t bother with you.
You don’t know but because of you I hurt my back so many times.
I understand. I will drink less.
Make sure you drink less.
Yes I know.
Eun Ji!
Where are you going?
There is a school reunion. Didn’t you know about it?
That’s right.
The Senior will be buying drinks.
Go & quickly change.
I need to do full shift for a patient.
Really?
Eun Ji! Come along. When he gets drunk you can carry him back on your back.
I will not able to manage him on my own.
What’s with you? I told you I'll be drinking less.
Yes, Senior…
Yes, we’re on our way…
Yes…yes…
Let’s go there quickly.
If you can find the time, call us.
Jin Sang!
At the moment, please don’t disclose this & keep it a secret.
Yes.
Fine.
Shall we go together?
No it’s fine. Enjoy yourself.
What’s wrong with her?
She knows you’ll be drinking again, that’s why.
It’s like being anxious for having a child who has fallen into a well.
That’s not it. She wouldn’t look as disturbed with me going for a drink.
We’re late. We need to get going.
The smell of alcohol…
Really! When Dr. Choi drinks, it’s really out of the ordinary.
Customer! Customer!
We are closing. Please go home & don’t sleep here.
Wait a moment.
You want to rest a moment before leaving?
Yeah.
This is the staff room of the Emergency Dept!
Where am I?
Where should you be?
Why did a Surgical Dept intern sleep in another Dept’s staff room?
Also the sun’s been up long since. Don’t you need to go for your rounds?
Oh Young Bum! How can you leave me alone like this?
Really…
Where is Choi Jin Sang & Oh Young Bum?
They are still…not yet here.
Not here yet?
They went to a school reunion yesterday. They must have drunk & still haven’t come back.
What…?! Still not back yet?
Yes.
No matter how much you drink when it’s time for rounds, they need to turn up.
Those wretched brats…can be so…
What’s the matter?
Nothing.
Let’s go.
Yes.
56 years old Kim Se Jung, came in with acute hepatic failure.
We found recurrence in the abdomen. We’re not yet treating the colon blockage.
Professor Ha Gi Tae?
Professor Han, because of personal reasons has temporarily left the hospital.
How is your breathing?
My stomach feels like it’s going to explode.
I’m having breathing difficulty.
I can’t tolerate it much longer.
Please help me find a way out of this.
Based on the test result, there is a new tumor recurrence that’s currently blocking the passage of your colon.
It has enlarged your anus.
So that’s why you have breathing difficulty & can’t take in solids.
Then what do we do now?
The normal procedure is doing resection of the primary tumor to eliminate the blockage.
However, we need to consider your general condition especially because you’ve suffered liver failure before.
After surgery, your post recovery period may not go well.
With your current condition, surgery is a risky option.
Although it may be hard, we need foremost your liver to function properly again.
Doctor, please perform the surgery on me.
I need to eat something & be able to breathe.
If not, I know it’s not going to be fine.
It’s alright even if I die during surgery.
Please I beg you.
You brat! What do you think you’re doing?
Are you writing a dissertation? Are you using this as an excuse?
You wretched brat! Is your brain aligned properly?
No matter how much you drink, you must come to do the rounds on time.
It is going to be soon that we’ll be accepting new interns.
What can the new 1st year interns be able to learn from you?
You brat! You won’t be able to make it to the 2nd year because I'll have you stay in the 1st. Understand?
What’s the matter?
It’s nothing.
What trouble have you done this time?
Nothing. I had some drink yesterday so I was late.
Doesn’t anyone make mistakes?
Because of this, he told me I won’t make it to 2nd year & I’ll stay at 1st year.
Come with me.
Good morning.
Give me a piece of rubber tube.
For tourniquet?
Yes.
Here it is.
Thank you.
Do you have Lister scissors with you?
Yes.
Have them all carefully sutured.
Look at this 1…2…3…4.
There are10 pieces. You need to spend 2 nights to suture them into 1 piece.
Does Professor Kim need to do this?
It’s to teach Dr. Choi a lesson.
Teach me a lesson?
Why does he need to teach me a lesson?
Are you asking because you don’t know?
Weren’t you late during the rounds?
Doctor, you should accept your penalty.
I was just a little late.
Is this seen as a big mistake?
The patient requested the surgery after the test resulted in a recurrence.
Based on his condition, surgery is not possible.
If we don’t take any action, sooner or later it will escalate to further deterioration.
The patient said he’s having breathing difficulty & finding it hard to eat.
It will be hard for his health to recover for the better.
We need to wait for his liver to function completely.
The problem lies in his colon.
Although as of now we need to pay attention to the colon blockage, surgery is very risky.
If the surgery is not done well, it can have serious side effects.
If we rush to perform this surgery, it might end up with a grievance.
What’s the matter?
The patient Kim Se Jung…
He’s insisting of going through the surgery. However his present condition doesn’t permit him to do so.
Not long ago he came in with hepatic failure. Whichever side we look at it, it will be difficult to undergo this surgery.
Professor Kim Do Hoon is in a difficult situation.
Taking over the case to treat him on behalf of Professor Han Gi Tae has left him with a dilemma.
No matter what the reason is…Professor Han Gi Tae should, for the sake of the patient, treat him all the way.
By the way, can you contact Professor Han Gi Tae?
I’ll see him today. We have an appointment to meet.
Really?
Professor!
Oh! You’re here.
You come here everyday?
I go here everyday for 6-7 hours.
I didn’t have the time then when others were playing golf.
Maybe I’ll be able to change my attitude here.
Whatever I start out to do, I want to see it finished.
I wish to be at par with that of my friends’ standards so I can’t stand down.
That…Professor…
Hmm…
The patient Kim Se Jung has a recurrence.
Now he has a colon blockage. We’re worried about his condition.
Also, the patient insists of undergoing surgery.
Professor Kim Do Hoon is in a dilemma over this.
I no longer have concern on the matter.
Don’t waste your effort on this.
Let’s go for some drinks before you go.
What are you thinking so deeply?
Are you having regrets now that you’re getting married?
I just booked the honeymoon vacation.
Oh!
You didn’t forget that the next thing on the schedule is to see the wedding dress.
Hmm…
How many invitation cards should we print?
Although we are keeping this simple, we still need to send wedding invitations.
That…
Hello!…Yes…
No need…I will come over…Yes.
Who was that?
Hmm…
It’s nothing.
I need to go out for a while.
It’s an advance stage of stomach cancer.
Based from the results, we can see that it has also metastasized to the colon.
What are you going to do after knowing the results?
If it has metastasized to the colon, it’s considered as 4th stage cancer.
I’d like to remind you again not to disclose this yet and keep it a secret.
My eyes are getting dry.
Eun Ji! I really can’t go on living.
I'm already so busy. Why should I be wasting my time & effort doing this?
Really...
The Professor Kim Do Hoon that I trust is giving me a hard time.
I don't know but does he dislike me?
My eyes are dry & my hands are getting numb.
That wouldn’t kill you.
You’re in Medical so you don’t need to do this, do you?
I have always been holding on but now I really can’t tolerate this anymore.
Idiot!
What?
When will you ever mature?
Eun Ji!
What’s wrong with you?
Is there something you want to say to me?
None.
I understand you all too well.
When I went to the school reunion, you were like that. What are you so sensitive?
There’s nothing.
Patient Kim, although I know it’s painful, you need to lie down properly.
From the tenderness rebound, it looks like abdominal muscle guarding.
It seems that the stercoral perforation has enlarged.
The abdominal x-ray is out.
The colon has ruptured and there’s fecal contamination on the peritoneal cavity.
As I’ve said before, based on your current health situation & liver function, undergoing this surgery is not yet possible.
Please save me. I want to undergo the surgery.
If I need to write a letter of consent, I will do it.
Please I ask of you. Please perform that surgery for me.
Although I feel sorry for the patient, wouldn’t it be better if we observe a while longer before we decide?
But the patient has pleaded to have this surgery.
This is a risky operation.
Although it is the patient’s request, what if the the outcome of the surgery will not be successful?
It will be the Professor who has to bear resposibility.
Professor…
Hmm…
I heard that you are in a dilemma over patient Kim Se Jung’s request for surgery.
Hmm.
I’m the patient’s Doctor in charge before he was transferred to the Surgical Dept.
When he was in Medical, he’s always been complaining.
He was really stubborn & wouldn’t listen.
It has really given us a headache.
Even if he undergoes the surgery, if something happens, there will be repercussion.
I think…
Whatever you are saying, I know what you mean.
Compared to Kim Se Jung’s surgery, the condition of Professor Kim seems more urgent.
You should decide whether you want to take the anti-cancer treatment or undergo surgery.
I’m sorry if I said something I’m not supposed to.
No…thank you for your concern.
But Professor you are different from the others.
Thank you for being able to make such a difficult decision for my sake.
Please save me. I’m willing to accept the surgery.
After this you definitely must to take care of patients like me. Please do that.
This way, there will be someone who will be able to survive from this.
Yes…Yes Professor.
Prepare for surgery.
The surgery will be my 1st surgery in the morning.
Yes, I understand.
What is it?
Did he say he wants to proceed with the surgery now?
Yes.
Really! I am speechless.
He still wants to take that kind of risk.
What’s the matter?
Professor Kim Do Hoon has decided to perform the surgery on patient Kim Se Jung.
What? There is a great possibility that it will result in table death.
Yes. No matter who persuades him, he wouldn’t listen.
This decision is done because of empathy.
Nobody can predict the end result.
That is what I’m trying to say.
So that is why he always comes second.
He even asked me to do such a useless exercise.
It’s because he knows it is for your own good.
You have nonsense things coming out from that mouth of yours.
No, I’m just saying….Why are you so serious & staring at me with those huge eyes of yours?
I really respect the decision of Professor Kim Do Hoon.
Fine! Go & respect him well.
Wouldn't he need to go & prepare for the mortality conference for this?
How about letting this case go?
You’re going to get married soon.
I know that the Dept Head has his apprehension but I still want to proceed.
Are you alright with that?
Are you alright?
This is the patient’s final chance of survival.
Prepare for surgery.
There is a possibility of acute hepatic failure.
(NPO = Latin abbreviation of “Nothing by mouth” meaning a general fast on food or water) In addition, he has done NPO & the general condition of the patient has not been well.
If it’s possible, we need to finish this surgery as soon as possible.
I will try my best.
Knife…
The tumor is in the mesentery.
The rest of the small intestines has been seriously affected.
The recurrence has spread to a greater area than perceived.
If we do resection of the tumor, the stomach will obtain the remnants of the recurrence.
(Short bowel syndrome is a condition due to loss of half or more of their small intestine removed because of surgical removal or disease of the small intestine) Then in saying this…there is a possibility that a short syndrome might arise.
We will do resection of the whole tumor. We can only do that.
Curved 9”…
Professor! The mesenteric artery has ruptured.
Suction…
Tie…
Tie.
Cut.
Suction…
Take this down.
Tie…
Tie.
Cut...
Cut.
Suction…
Professor, there is bleeding.
Prepare 2 bags of blood.
Yes.
Cut…
Cut.
Suction…
Tie…
Tie.
If you want to suture the intestine which already has a case of edema, you have to do it slowly.
I’m sorry.
Hold it tightly.
Yes.
The BP has dropped. We need to prepare for FFP. (FFP = Fresh frozen plasma)
We just need to suture the artery well then it will be fine.
Quickly do it in the fastest time.
I understand.
Cut…
Cut.
Irrigation…
It should be fine.
Contact the ICU. They need to observe the extubation.
Yes, I understand.
Professor, you have done well.
Dr. Jung Ha Yun, you too have put your effort on it.
Well done.
Yes. You too have done well.
Just close it up properly.
Yes.
You rarely see this.
Although he is seen to be boring & quiet, however in times like this he deserves all the respect.
Close the retractors.
Did you watch the surgery?
I was so afraid that my whole body was in cold sweat.
All in one spirit.
When Professor Kim Do Hoon is operating, doesn’t he look mesmerizing & sexy?
What?
Don’t think just because you’re getting married that you can rest easy. Make sure you hold on to him tightly.
These types of men are really in demand.
Really…
Are you tired? You look really worried.
You really look tired.
I have something to say to you.
What is it?
I'll tell you tonight.
Fine. I will wait for you outside.
Professor!
I have completed the suture.
Give me the Lister scissors.
Suture the pieces together again.
Professor, do you know how much time it will take to suture this back together?
So that’s why you need to do this properly.
You know very well that I’m just a 1st year resident, I don’t have the time to waste on this kind of exercise.
Wouldn’t it better to use this time to go look after the patient?
I don’t understand why you are doing this to me?
Suture it!
How am I going to do it any better?
Really! What is going on here?
Jin Sang, I have something to say to you.
Why are you treating me this way?
Why is everybody trying to reprimand me? Are they hoping to chase me out?
Choi Jin Sang! You are an idiot.
If you go on living in this world like this, how are you going to survive?
Why do you think the Professor is asking you to do this? What was his real intention behind this?
Didn’t you give a serious consideration on the meaning of his intention?
What…is the matter?
I know…I know.
Who says I don’t know what the intentions of the Professors are?
I just think that this is annoying.
Professor Kim Do Hoon…has stomach cancer.
It’s in the advance stage. There’s a possibility it has metastasized to the colon.
How…can this be?
What do you have to say?
You’re me making me nervous.
Except for you canceling the wedding, I’m willing to listen to anything.
Hye Soo…
Really…I’m very sorry.
Wouldn’t this be because…you want to call off the wedding?
Yes…I don’t have the confidence to go through with it.
I’m sorry.
What is this actually?
What is the problem?
I really want to give my best effort to give this a try but I’m afraid it will be difficult on me.
I’m beginning to lose confidence.
How can a person be so fickle minded?
When are you going to stop being like this?
Senior, you really are sick. You’re a patient who has a serious mental problem.
This disease, I will treat you and let me be responsible so you won’t have second thoughts.
It is not curable.
So please…this is just…
I…from now on no matter what the reason is…don’t think could ever forgive you.
What is it?
Nothing.
Professor!
Hmm…
We run some test on patient Kim Se Jung. His lungs are normal & breathing easily and his intestines are seemed to be clear.
Is his BP (blood pressure) stable?
We are slowly decreasing the dosage of dopamine & will continue observing him.
What haven’t you had dinner?
Because of…something.
You also don’t have much of an appetite.
I do.
If you stay at the operating theatre, you starve the whole day then after you’ll suddenly eat.
Will the stomach encounter a problem because of that?
The stomach holds a lot of emotions and sensitive to stress.
No matter how busy you are, you need to eat your meals on time.
Yes.
Right. What are you going to do from now on?
Are you going to proceed to 2nd year of residence?
I haven’t decided yet.
No matter what route you choose, you’ll definitely do well in your choice.
This is because you are really bright.
If by chance I continue with this profession, the Professor is one of the reasons why.
If only I’ll be able to have that confidence you have in your work….
Why should I be the reason?
I have done this profession conscientiously for 3 years but…after 10 years or 20 years, I’m not sure if I can be like the Professor.
For the sake of the patient Kim Se Jung, you proceeded to perform a risky surgery and this has really moved me.
If it wasn’t done well, just like the patient Lee Eun Sup, this can lead to a malpractice case and may face litigation.
Professor…really.
It’s because there is no other alternative to take.
Dr. Jung has a wrong perception of me.
You don’t know but I can be fickle minded.
Don’t think that I did not hesitate. I could have easily rejected the surgery.
If I were still a resident, I would have rejected the idea. Even now, I hesitated.
Professor, is it because you’re getting married that’s why you are nervous?
You really seem strange today.
This is really the taste of Wando that I remember.
Who sent this over?
During the medical mission, we discovered a Grandfather who has an early stage of cancer.
Look at this piece, it’s so fresh.
Jin Sang, give this a try.
It is Wando’s grandfather who sent this over.
No need, you can have it.
What’s wrong with you?
Is something the matter?
Nothing.
Eat…eat.
It is delicious.
It’s really fresh.
Have some.
Have you heard it?
What?
Professor Kim Do Hoon…
Hyung!
Has called off the wedding!
What?
Called off the wedding?
Yes. I just heard from Nurse Bae of the Emergency Dept. Both of them called off the wedding.
Why?
The reason is not known.
Professor Kim Do Hoon is also on leave today.
What? Called off the wedding?
That’s what been said.
This is really…They’re not children anymore to play such childish games.
There must be a reason to it.
Where is Professor Kim?
He didn’t come to work today.
He’s not taking calls either.
We don’t need to confirm this. It looks like it’s true.
What is actually going on here?
Where is Professor Song?
She’s in the office.
Is she?
Professor Song...
Dept Head, is there something wrong?
I am no longer the Dept Head.
It’s a habit already.
It’s not what I meant.
I actually don’t really want to be the Dept Head again, so I don’t want people to call me Dept Head but I feel that it would be difficult.
I will continue to address you as Dept Head.
Really?
You don’t drink coffee. Would you like tea?
There’s no need for that. Take a seat.
What happened?
You’ve been going back and forth these past 10 years and not getting any younger anymore. Why did this happen?
I also don’t know.
There is recently a popular song called “Don’t you cry”. Now I understand the meaning of the lyrics.
What would be the reason behind this?
I really don’t know either.
Suddenly it has come to this…I don’t have any hope anymore.
Now it is really…it looks like this is really the end of the relationship.
Professor Song, you should also know he is not a person who backs out from responsibility.
There must be some reason behind this.
I’m sorry that this made you worry.
It’s a useless thing to bother you with.
The rumor said that this often happens to Professor Kim.
What do you mean?
In the past, he had called off his wedding.
Doctor Kim Soo Young & Professor also called off their wedding.
Isn’t that a made up story?
Jin Sang! Come & listen to this.
Brat!
Don’t talk about nonsense.
What’s wrong with you?
Hyung! Please continue with the details.
What did Professor Kim do next?
So, I will tell you the gist of the story.
You brats!
Do you all have so much time to spare?
1st year interns!
Yes.
Do what Jin Sang is doing now. Submit this to me tomorrow.
Understand?
This is all your fault.
Go & get it, you brat!
Why should I be the one taking it?
I found a nice restaurant.
Which day are you off this week?
The day after tomorrow.
Isn’t that Jin Sang?
It’s him.
Parasite!
What are you doing outside? It’s freezing.
What’s wrong? You seem to be down.
Are you not feeling well?
I have something to tell you.
Is this true?
I heard this from Eun Ji. It’s confirmed.
He requested them not to disclose this to anyone.
Really...Professor Kim…is really pitiful.
This is really way out of line for Professor Kim to treat people like this.
Professor Song must have received a serious emotional blow.
How can this person give so much hurt to another person?
There must be something wrong with him mentally.
It must be connected to avoidance.
Connected to what?
Avoidance!
This is the 1st time I have heard of such disease.
I heard that if a person is afraid to have a relationship and doesn’t have a sense of responsibility, this is connected to avoidance.
Since I did not come to you, you were the one who came to me.
Men like him usually meet a woman and after a marriage proposal they usually get cold feet.
Please forgive me. But just like that he will run away.
Professor Park, is there a possibility that you have those kinds of symptoms?
No! I don’t have it.
I…will never be that kind of a man.
I…for the sake of marrying Sang Mi, have waited a lifetime for you.
Please eat.
It’s finished.
I’ve checked it already. There shouldn’t be any problems.
Fine, well done.
Well done.
This is all Professor Kim’s doing.
This is the result for making people like that.
Really! After this, he shouldn’t dare appear in the ER.
That…Professor…
I heard your life is really relaxed & enjoyable.
You heard it from Baek Hyun Woo?
Hmm…
It’s because of your attitude that you must do your best.
You haven’t change a bit.
My golf friends said I was bored, isn’t that interesting?
I went to play by myself but don’t feel it is so.
Come & give it a try.
I’m not like you who left the hospital.
I don’t have the time for that. You should know all too well.
Yes it seems.
I’m sorry for the things I left in your hands, including the patient Kim Se Jung.
I heard the surgery was successful.
Oh...
It’s because of you.
If I was still in the hospital, I would never perform the surgery.
Instead of staying here, why don’t we go for drinks somewhere?
No need. My present condition is not suitable to have drinks.
Actually I have something to ask you.
Isn’t this cancer?
Hmm... It is stomach cancer at 4th stage.
Has it already metastasized somewhere?
It has gone to the colon.
Ultrascan?
There isn’t anything.
We have to open up the abdomen to know all the details.
What do you want from me?
I don’t have any connection with this anymore.
You to need to perform the surgery.
A person who have given up his scalpel. Why bring this up?
If it’s stomach cancer, you will be able to perform the surgery.
I can’t do the surgery that’s why I am asking you.
Who is the patient?
It's me.
Hye Soo…
When did you come?
How can you do this? How can you treat me like this?
You can disclose it to anybody. The least you could’ve have done is tell me about it.
What am I to you, Senior?
Aren’t I the person you love?
Didn’t you say you want to marry me?
How can you just decide on your own & die alone?
Hye Soo…
These past 2 days, I’ve hated you because I thought you didn’t love me.
Also I was really annoyed thinking you decided to marry me because you have no choice.
This is what I was thinking. I felt so pathetic.
No matter what I say to you now may sound like an excuse. However please listen to what I have to say.
When I was 7, my father passed away because of a quarry mining accident.
I became an orphan.
My mother had since passed away much earlier.
It was hard becoming a Doctor.
When I was young, I liked a girl. We met at the hospital.
She was the one who brought me out of loneliness.
But she died.
I thought to myself all the people I like will eventually leave me.
I don’t know when I started isolating myself.
I fear that when I love someone, they would leave me.
However, Hye Soo, you have endured & patiently waited for me.
If I have you, I’m not sure whether I’ll be able to recover from this.
I have never imagined that I’ll be one who’ll be leaving you.
I’m so afraid of leaving you alone.
No matter if it’s to me or you, I really don’t want to experience it again, Hye Soo.
Senior, aren’t you just doing it for your own benefit?
You may be saying what you’re doing is because you love me but I don’t see it like that.
What kind of love would allow you to do this to me?
If you are afraid of leaving me all alone, isn’t making an effort to carry on living a better choice?
To survive & to look after me is much better, isn’t it?
Hye Soo…As a doctor, you know how bleak my condition is. I don’t want to give you any false hope.
No…I can’t give you up.
Even if you can only live for just another day, I can’t give up on you.
I want to get married.
Hye Soo…