Brought to you by WITH S2 Written In The Heavens Subbing Squad
Episode 7
I'm going to check you now.
You have to relax your body a bit so I can do an examination.
Please give me some pain relievers. Some Demerol..
I cannot give you pain relievers just like that. Please endure it..
Please save me.
Then, let's get some Demerol.
What are you talking about? He's an addict.
No! I'm not! I feel like I'm dying!
You have to get the examination first even if you feel like you're dying.
Yes, you have to do the exam first.
We'll do the blood test and x-ray first. Intern!
Wow.. it's real. How did you know?
That patient's really an addict.
Are you an idiot? He's requesting medication with the name. You don't even know that?
Isn't there a doctor around here?
I asked if there's a doctor here!
Really! Aren't you guys doctors?!
Hey, look here!
Hey, student! You can't just throw trash in the.. Where'd he go?
You need to check in right? Let's go.
Kim Chang Soo's x-ray results have come out.
Thank you.
It's ulcer perforation.
Ulcer perforation..
Find an OR room for me. I need to go into surgery immediately.
It must've hurt a lot...
Where'd this patient go?
He just left a little while ago.
What do I do?
What do I do? He doesn't even know there's a hole in his stomach.
If we just leave him alone, he'll collapse.
Where'd he go? What do I do?
Are the preparations for the new medication going well?
Yes, we are proceeding with no problems at all.
I heard that the ACE inhibitor test is finished.
Yes, we have finished everything up to the third phase and we have gotten satisfactory results.
Only three out of two hundred were found physically unable to do it.
Oh, really?
It's not that I don't want to say it, it's because I don't think you'd want to know.
You know the person too.
If you just plan it, you could see him too often around you.
So we plan to immediately take it into production this quarter.
Our Dr. Ahn will be reporting it, so it'll be good to speculate on it. Then..
In conclusion, it means that they've produced a new medicine.
Yes, if it's three out of two hundred, then I think it's very possible to put it into production.
Are you preparing the thesis?
If that Dr. Suh gets to produce the new medicine,
do you know or do you not know that he'll definitely get the selection.
Aigoo, aigoo, my stomach. Aigoo.
Doctor!
Your stomach started hurting suddenly? When did it start?
Early this morning. Aigoo.
Doctor, don't you recognize me?
You gave me blood pressure medication for free.
Oh, how were you Ahjoomuhnee?
I met the nice doctor again.
I'm taking the medication very nicely, thanks to you. Aigoo..
Does it hurt alot?! Take her over there.
Did you find blood clots in the Rectal Exam?
It was only about to get smeared out.
It's mesenteric artery infarction.
What?
It's the condition when the intestines rot,
because of the blood clots in the blood veins that circulate blood in the intestines.
I think it's in its peak stage, so she must go into emergency surgery immediately.
Why did the patient get a thrombosis? Did she have an unstable heartbeat?
She did have some high blood pressure..
Good. Anything else?
Nothing really except that she got some pain relievers.
Also she's the patient that Dr. Bong gave the new medicine that Chief Suh created.
What? The ACE inhibitor.
Yes, we prescribed it after one month of arrival at the hospital.
We removed about one third of the infected intestinal area, but the rest of the healthy areas, we saved.
The surgery went well. There shouldn't be any difficulties going on with regular life.
Thank you.
How's your body feeling?
Are you alright?
Your face looks much better.
Yes.
The appendix patient had porphyria as well?
Yes.
You found that out yourself?
Yes. I found it exhaustingly by myself.
Take care of yourself.
Especially since it's our physical strength that keeps us going. You were too light.
Today's CPR team, please go to Ward 114.
Ward?
Today's CPR team, please go to Ward 114.
Are you two going out? Go for a deep kiss.
Sir, please breathe in deeply.
Sir, Sir.
Please prepare a C-line and foley over here.
Sir, Sir. Breathe deeply, deeply.
Sir, Sir.
This way.
What happened?
I don't know. I just came after I heard the broadcast.
Isn't it GC?
Give it to me and step aside.
Check if it's in.
It's in.
It's an unstable heartbeat. Hand me an ambu, first.
How did you care for this patient that we have to do CPR in the ward?
I'm sorry. He had herniotomy and was supposed to be discharged tomorrow.
What? Tomorrow?
Catch an elevator!
Yes!
Clear.
Shock.
Charge 200 Joules again.
200 Joules charged.
Clear. Shock.
He's back.
What happened? How can a patient who's supposed to be discharged tomorrow get an unstable heartbeat?
I don't really know.
He had high blood pressure but not an unstable heartbeat. And there were no signs or symptoms of it at all.
Open up his charts.
Yes.
Doctor... This patient is one of the ACE inhibitor testers.
There are no problems with his charts.
Maybe there's something wrong with the new medicine.
Even if he has high blood pressure, it shouldn't be severe enough to get an unstable heartbeat.
Open up every patient's charts who has mesenteric artery infarction.
Yes.
What happened right now!
Your patient's going under CPR and its crazy out there.
What are you doing here?
So what happened to that patient?
What do you mean what happened? He got moved to the intensive care unit.
You knew about it didn't you?
Are you leaving now?
Yes. Well, what happened with you?
I'm preparing a lot for the thesis.
Did someone ask that? When did you say you were going to finish up on the family register?
- That, I'll do that on my own. - You'll do it yourself?
If you knew what to do, why make a situation like this?
Uncle, please.
If I tell you to clean up, then do it.
Why does Seung Min have to remain in our family register? Aren't you even angry?
Are you an idiot to be fooled for seven years?
Do you want your mother and father to come up and make this a big incident?
Seung Min hasn't even been discharged yet.
Does that even matter when you eventually have to do it anyway?
Then, you'll do it after Seung Min's discharged?
Fine, I'll take that you'll do it then.
And tell Moon Kyung not to appear in my sight for the time being.
With my current state, I cannot possibly say anything nice.
And do the preparations for the thesis thoroughly.
Show them something really worthwhile.
I think we should just leave.
I'll get the thesis next time.
What is it?
I have something to say.
I thought I should tell you first.
I think there's something wrong with the new medicine Professor Suh is preparing.
I just performed surgery on the patient with mesenteric artery infarction and he's taking that new medicine.
And a few hours ago, a CPR occurred in a ward,
and that patient was also in the process of taking that new medicine too.
Those two patients don't have absolutely no reason why they would've had an unstable heartbeat.
So?
Can you not understand or are you pretending not to understand?
Those two have no reason to get an unstable heartbeat except the new medicine.
So there's a problem with the new medication.
I'm saying that you examine it.
Alright. Now get out.
What?
Can't you understand Korean? I told you to get out.
Forget it. I was too kind.
Why should I come all the way over here and tell you this kindly?
I should just report this as an issue publicly at the hospital.
If it's like this, it'll probably be damaging for you.
Maybe so.
Maybe so? Are you that confident?
Are you that NOT confident?
Don't you think you have what it takes for this thesis as well?
The material you'll present should at least get you started.
What kind of intestine-rotting disease is that?
It's because a blood clot blocks the blood vein going into the stomach.
You're taking the blood pressure medication I gave you right?
Of course. I'm so thankful to you.
Every time I take it, I think of you, and I'm eating all of it.
It's nothing, Ahjoomuhnee.
How did you feel after you took the medicine?
Did you feel uncomfortable anywhere at all?
Nothing except that I was breathless.
Breathless?
But after I took that medicine, the pressure in the back of my neck disappeared.
Oh..
If you're breathless when your stomach is normal, then that means that the heart is being overstrained.
If the heart is overstrained, an unsteady heartbeat can occur.
Maybe there's something really wrong with the medicine?
Maybe I shouldn't have prescribed the medicine to her?
Mom!
Mom..
Mom...
Must you do the work that I told you not to do even if I die?
Yes.
Why? Why do you like this work so much?
You're going under so much distress while you work this late at night.
Don't laugh. I hate you enough already.
What mother would think her daughter to be pretty when she doesn't listen?
Mom.
Eat this day and night without fail.
I'm worried for your weak heart.
Mom, when did you..
Just promise me that you'll quit this job if your body gets strange in any way.
Mom doesn't need a doctor.
A healthy daughter who will live for a long, long time next to Mom is the prettiest daughter for me.
Just promise me that.
Ok.
Surgeon Bong Dal Hee. It does look cool.
I'm sorry that I left you with your grandma at the village.
I'm sorry.
But at the time, living and eating was the most important thing, so it's your Mom with the problem.
Mom, that..
So this time, do it right. Like you want people to see, till the end. Alright?
Ok.
You're this pretty.
It would've been so nice if there wasn't a scar on your chest.
Let go of me.
Let's go together.
What do you mean go together?
Mom! Go carefully!
Alright. Go inside, it's cold. Go inside.
Alright.
Go inside.
It seems like its internal bleeding.
What about the hemoglobin?
It's 7.0.
It's spleen rupture. Prepare an OR room and get a surgeon.
This is Kim Hyun Bin, oh, Dr. Park.
Our CABG patient needs to undergo emergency surgery because of a ruptured spleen.
Among the surgeons, who can do the surgery?
Dr. Lee Gun Wook is almost done with his surgery?
It's alright. I'll do it. Just catch a surgical site.
Doctor.
I told you I'm doing it.
Are you doing the suction properly?
Hear rate is falling.
Be careful!
Doctor.. Dr. Lee Gun Wook would've been done with his surgery by now.
Give me a different right angle.
Doctor, I'll go and..
Which surgery room is he in?
Number three.
Monitor his vitals carefully.
Yes.
- You're doing a CABG surgery. - Why would you touch the spleen?
What? You're all high and mighty. You open up the stomach just on your own way?
Are you going to do it or not?
Ask me a favor formally, and I'll do it.
You can't?
Hey, Lee Gun Wook.
Dr. Lee Gun Wook.
Lee Gun Wook!
I'll ask you a favor.
What?
Right, I'm asking you a favor.
Vigle.
Please hurry.
We can't put any more blood transfusions in.
Heart rate keeps falling.
Are you doing suctioning properly?
Put another suction in.
I got it. How are the vitals?
Heart rate is going up.
Wrench.
Tie.
Don't you know how to say greetings?
Like, “thank you"?
Forget it. I have no intention of hearing it anyway.
But instead, examine the new medicine.
Don't make a big incident you can't fix after all dumbness.
I guess you can know if you look at their charts,
but they have no reason to have unstable heartbeats.
Except for the new medicine.
Really? Something like that happened?
Starting now, we will start the Ward 114 case conference.
Hold on.
Professor Suh, I don't know if you heard about this report before hand, but..
have you gotten the report about the two patients,
one of which Dr. Lee Gun Wook operated on who had mesenteric artery infarction,
and the other patient that needed CPR after he got a hernia surgery with an unstable heartbeat?
I haven't gotten a report.
I thought so.
Those two patients are patients in our department,
but coincidentally, they're both people who have been tested for your new medicine.
Oh, is that so? So what?
Those two patients both don't have heart problems,
and they're both people who would have no reason to get an unstable heartbeat.
What would be the problem?
Wouldn't it be the new medicine?
What are you saying?
I'm saying that there could be serious side effects of that new medicine.
With what evidence are you saying this nonsense?
What side effects?
Then why would those two patients suddenly get unstable heartbeats?
An unstable heartbeat can occur if you have high blood pressure.
Don't you know that the chances of getting an unstable heartbeat because of high blood pressure is very slim?
No matter how small, it is still possible that it can occur.
I've never heard of an unstable heartbeat so serious that CPR had to be performed.
But..
And the more serious thing is the Embolism patient.
This patient got an after effect so serious that she had to get one third of her small intestine cut off.
For now, I think you should postpone the announcement of this new medicine, and reinvestigate it.
Chief Lee!
Then are you going to just say that these two patients were victims of mere insignificant side effects?
That is just pure lack of information!
The reason that the patient had to have some of her small intestine removed is not because of Embolism.
What?
The most decisive reason that the patient had some of her small intestine removed is..
Dr. Lee Gun Wook missed CTR for the thrombus patient three days ago.
What are you talking about?
Three days ago, when the patient came to the ER,
she was simply treated and released.
But that patient,
had a thrombus. That is..
..what Dr. Lee Gun Wook missed.
What on earth is this?
Should I open up the picture for you?
Yes. Open it immediately.
Oh.. You can see a small thrombus there.
It's only been three days, how could Dr. Lee Gun Wook spot that?
It's still a thrombus. And it's an abdominal thrombus.
Dr. Lee Gun Wook, did you even see this patient?
How can you make a mistake such as this?
If you hadn't missed the thrombus and had taken rightful action three days ago,
the patient's small intestine wouldn't deteriorate.
Ahn Joong Geun!
What the heck are you doing right now?
You should've at least told me first.
I told you first as the bare minimum.
Because that is the greatest respect you can give to a fellow colleague and is common sense.
But you backstabbed me today in the most pathetic, cowardly and insensible way.
Fine. I missed the thrombus.
I am 100% wronged and responsible because at the time,
I didn't even look at the CT and I fully believed in the chief's words.
Starting now, I will accept responsibility.
I will go to the patient immediately and I will tell her the truth and even follow the rules of the law.
Of course you have to do it.
Right. Of course I'll do it.
And after that, I'm not going to leave you alone.
I won't ever let you announce that new medicine because I'll find out what's wrong with it.
Watch and see. I'll find out without fail.
Why? Because you've hit rock bottom as a doctor.
This is not the Cancer Center's, Heart Center's nor the Surgical Department's problem.
Neither yours or mine.
It's only the medicine's problem.
It's about the medicine that many patients will eat in the future.
It's me. All the cases and files dealing with the patients taking the new medicine is to be kept underwraps.
No one is allowed to view them without my permission.
No one! Ever!
Didn't Dr. Ahn Joong Geun hammer it in too much?
Dr. Lee threw the first attack anyway.
But why does he backstab a person in such a dirty way?
“Should I should open up the picture for you?”
It's a huge hit.
“Should I open up the picture for you?”
What do you think Dr. Bong?
A thrombus is a thrombus, but isn't the reason WHY the thrombus formed more important?
You're really frustrating.
We're not talking about the medicine here.
The Embolism patient ate the medicine and said that she was breathless.
Doesn't that mean that the heart is being overstrained and that there's a problem with the medicine?
- Really.. - Leave her alone. She's special. Special.
She must've been a loner in her school days.
You can't prove that it's purely because of the medicine.
Then why do you think the thrombus formed?
It could've been that the heart was weak in the past.
No.. I know it very well because I’m the head doctor for the patient.
and it was even me that prescribed it to her.
Why? You three didn't prescribe it to anyone?
We aren't intermeddlers, alright?
He was unconscious in the street.
That way.
- An intern, quickly! - Yes!
One, two, three!
Find an OR room and reserve an emergency room quickly!
We're having an emergency operation.
This patient has an ulcer perforation since the day before yesterday. Quickly, quickly!
Ok.
Clean and start the suction.
Yes.
It's a mess.
How did he endure it 'till it became like this?
Irrigation...
Suction..
Hold this.
Yes.
Right angle.
Nothing except that I was breathless.
Hello, Ahjoomuhnee.
Hello, Doctor. Thanks to you, you don't know how well I'm taking the medicine that you gave me.
After you ate the medicine, did you feel uncomfortable anywhere?
No, I didn't.
Oh..
When you came to the emergency room, I've prescribed a antihypertensive medicine for you.
Oh, I remember. You're that Doctor.
Yeah. After you ate the medicine, did you feel uncomfortable anywhere?
Yeah, it’s me. You have the files on the patients right?
You don't? Double check it.
It's there, right? How many?
Twenty people?
Let me talk to him. I need to make sure.
Yeah, right now. Yes.
I have something to tell you.
What is it?
I gave some of the new medicine to an Embolism patient.
And I also prescribed it to two other patients who had undergone surgery.
Thankfully, the two other patients have been taking the medicine with no bad side affects,
but the Embolism patient said that she got breathless.
That was the same for the hernia patient.
And those two got unstable heartbeats.
So?
So I thought I needed to tell you this truth.
I thought that maybe there was something wrong with the new medicine or something that needed to be clarified.
Alright. Go out.
I told you to go out.
It's not for you to meddle in this.
Do you really think the patient lost her small intestine because of a thrombus, Doctor?
Is the issue of missing the thrombus more important than knowing how the thrombus was formed?
If a thrombus hadn't formed in the first place, the small intestine wouldn't have been lost right?
The one thing that I'm curious about is why the doctor that told me not to become a doctor,
and made me want to die is not concerned about this issue.
This is an issue about medicine, about people, about a person's life.
Like there's an ulcer perforation before a drug addict, before missing a thrombus,
I think there's a reason why it formed.
You know that reason as well, but you’re choosing to close your eyes to it.
I'm sorry. It really hurts, right?
I'm really sorry.
A leukemia patient undergoing treatment has a growth.
Since our side has done its part, we'll stand by for one or two more days,
and if it can't be helped, we'll have to do surgery.
You have to watch out for Sepsis. It might become worse.
Still, we’ll wait for one more day. It might weaken.
Fine. Let's wait one more day.
Dr. Huh, could you step outside for a bit?
Yes.
I know it’s dirty and cheap, but I still have to know.
Who is it?
The person I can see close from home, the bastard that I know, who is it?
I'm telling you to tell me. Who is it?
Tell me.
You've fooled me for these past seven years, so can't you tell me at the least? Who is it?
Let's finish up the family register.
What?
Let's finish up the register.
If we keep this up, either you or me will break down.
Finish it up.
Honestly, I didn't think up to that point,
but after hearing Chief's words,
that was when I thought about it.
I heard it when I was going up to the twelfth floor.
So I thought about it...
and there was no reason not to finish up the family register.
If you're not going to be a father for Seung Min,
it's funny to just leave the register lying around like that.
And it'll get in the way for your new start.
That's the same for me as well.
Why? You don't know people's events.
Right. You don't.
I don't think there's nothing else in the world that can happen.
Right. So you do that.
I didn't know until Seung Min was born.
Finish it up by this week.
And don't try to find out Seung Min's real father.
He's a person that has nothing to do with you, and it's my last pride.
And until Seung Min gets discharged, why don't you come home and pack up your stuff?
Your things are here and there, everywhere in the house.
If you don't have the time, I'll pack up for you and I'll send it.
Fine, I'll pack it then send it to you.
Ah, just take it off refreshingly. So timid.
It's sewed up nice, right?
Gently, slowly.
Where'd the tail go?
Dragon's tail.
Dragon's tail, my dragon's tail.
Dragon's tail.
This is a dragon?
I thought it was a boa constrictor.
I’ll do the dressing now.
I said I'd get it ready.
Ey, hang up, it's about time for her to come out.
Ey, hang up, hang up. Ara, Jo Ara!
Wow.. Our Ara's luck is coming out.
Why stand so stiff, Jo Ara?
You're really too much.
It's been years since we last met, hm?
Just say what you need to say.
Get some Morphine.
What?
Morphine. You can get some because you work at a hospital.
Are you crazy? Even a doctor can't gain access to it that easily.
Do you want to get really embarrassed in front of the hospital?
You wouldn't want people know about my existence too.
It's only till the day after tomorrow.
You know my temper.
Let go of me, you bitches!
You think I won't know that you're trying to kill me?
Let go of me, bitches! Let go!
Some Haloperidol.
Quickly, quickly!
Please save me, please, please save me!
My clothes are getting all wet.
You used the lemon scent.
You told me to use that one.
Cute, you obey what I say too.
Touch my hair so I can sleep.
In a bit.
I stood for fourteen hours today.
It must've been exhausting.
Did you do a Whipple?
Yeah, because of a TA.
Did Seung Min say that his stomach hurt today?
No, not today.
I hope that we can pass over this without a surgery.
Little rascal. He's like me in those little things too.
I know. He's like you from one to ten in all the bad things.
A bad temper, a picky eater, and even a hernia now.
I never heard of having a bad temper although I'll admit that I have a picky taste.
You don't sleep when you're mad.
If you're feeling bad, you don't eat.
If someone's eating something when you're feeling bad, you want to hit their mouth, right?
You're like that but you don't have a bad temper?
It's bad.
Are you feeling good right now?
Yeah. Why?
I'm hungry.
Really? Should I cook you some Ramen?
No. Just sleep.
You said you had a fourteen hour operation. Close your eyes.
Moon Kyung.
Hm?
In a day, I like this time the very best.
There wasn't a lot of luggage as I thought there was.
The kids must've packed it up really well last year.
Seems like it. Still, you strained yourself. Thanks.
It's nothing.
If there's something left behind in the future, I'll send it over.
And if there's something important that was let behind, call.
Ok.
Go then.
Oh, ok.
Oh, what about the family register?
Let's talk about it later after Seung Min's discharged.
Ok.
I'll leave now.
Go.
Go back in.
Is something wrong?
Were you surprised?
Yes, a little. But I'm happy.
Please go on, then.
Ok.
You're working hard.
You came?
You heard about the Morphine disappearance yesterday, right?
Let's take care of it more carefully.
If just one pain reliever drug disappears, a problem can come up.
Yes.
Give it. Some Morphine.
Give me some quick. Quick!
I'm telling you. I'm dying of pain, Ara!
I'm telling you to give me some Morphine quickly!
- Quickly give me the morphine now. - Hey!
How can you do this to me!
How can you do this to me, Jo Ara!
What is this?
A stretcher!
I think he's intestines ruptured. Move him quickly.
Let's go.
It's done. Go on.
Isn't this Morphine?
I heard some Morphine disappeared in the middle wing yesterday.
It must be your doing.
No, it's mine.
What? What are you saying?
I was about to give it to an Osteosarcoma patient, but I forgot. It's for real.
The Osteosarcoma patient was in too much pain.
Make sure. Name? Name?!
Ahn Jung Hyun.
Is it there?
Yes. Yes, it's here.
Ahn Jung Hyun, 47 years old, got a third level diagnosis and is undergoing anti-cancer treatment.
That's enough.
If you took it, you should've given the shot immediately, why do you carry it around?
Yes, I'll be careful.
Let's go.
I'll see you later.
Was it really yours?
Dr. Jo.
Did anyone tell you to do that? Why interfere?
Who is that person?
Who is it? Tell me later!
After researching the first twenty cases,
there was a discrepancy between the files you had given me.
Four among twenty had bad side effects regarding their heartbeats.
If you count the two that are in the hospital right now,
you can say that there are six people with bad side effects.
This is evidence of lack of research and of serious side effects.
Let's postpone the announcement, Doctor.
Doctor.
Can't we just exclude the people who had side effects?
Doctor.
Ok. Let's do that.
But, take out the Embolism patient.
Either way that embolism patient can just be filed under corrupted data.
Doctor.
It's just eight out of two hundred twenty people.
Among those, only two got unstable heartbeats.
This is the minimum, Joong Geun.
It's the world's verbal promise, and in the steps of production,
these amounts of side effects and problems naturally occur.
Through these problems and side effects, new medical advances and new medicines are made.
If you postpone it to the next conference...
I hung my life on the line for this.
To you it might be just a medicine, but to me it's my whole entire life and my bloody tears for the last three years.
For this medicine, I stayed up countless days and nights as I took care of and studied many patients.
Joong Geun, it's my dream.
It's my fifty year old dream.
It's Suh Jung Hwan's fifty year old dream.
I who started at rock bottom, without any parents or siblings. I climbed myself up to this very point.
Does this make sense?
If people were prescribed the new medicine,
shouldn't they have signed and passed the agreement papers?
It's that.. all of the medicine was retrieved yesterday.
Who?
I’m on my way back from Wuhl Leh Pharmacy.
I went to go get the files on the people that got your new medicine but she said that you retrieved the files already.
I never did such a thing.
Please postpone the announcement.
The new medicine has already shown severe side effects to two people.
Stop being impertinent and get out, Lee Gun Wook.
If I'm up to it, I can always expel your small Uncle from the hospital.
What are you talking about?
You remember, don't you?
That small boy who stayed at your Uncle's home when you were young..
Now you understand?
Of course, why would a smart person be comfortable?
Get out now.
It's Suh Jung Hwan's fifty year old dream.
I who started at rock bottom, without any parents or siblings. I climbed myself up to this very point.
Next announcement will be made,
by Doctor Ahn Joong Geun from the surgical department of Seoul University Hospital.
It is about the new medicine, ACE inhibitor.
I'm Ahn Joong Geun from the surgical department of Seoul University Hospital.
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Timer: Victory Editor/QC: schizoar
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