Brought to you by WITH S2 Written In The Heavens Subbing Squad
Next announcement will be made by Dr. Ahn Joong Geun from Seoul University Hospital, Surgical Department.
It is about the new medicine, the ACE Inhibitor.
I'm Ahn Joong Geun from the Seoul University Hospital, Surgical Department.
*ACE inhibitor - agents used to treat hypertension, heart failure and myocardial infarction.
I will now announce...
the side effects and problematic points of 7th generation ACE inhibitor,
derived from the 6th generation ACE inhibitor.
In the study conducted from January to December of 2006,
300 patients were reported to have had heart failure.
First of all, the people in the 5th generation showed improvement of 2.5%.
The creatinine in the 6th generation was 10%,
while in the 7th generation there were 3% , both having no signs of renal failure.
The ejection fraction that was 20% in the 6th generation increased to 40% in the 7th generation.
However, pounding of the heart and breathing problems increased,
from 5% in the 6th generation up to 25% in the 7th generation.
Among the disqualified, six showed serious side effects of having unstable heartbeats.
One escalated to the point where CPR had to be done.
Another had 1/3 of their small intestine removed because of embolism and is currently hospitalized.
My conclusion is that there is something wrong with the medicine.
So for the 7th generation ACE inhibitor, it is too early to be released.
The decision is that it is too early to release it.
The release is to be delayed and we'll report on it again once more tests are done.
That is all.
You son of a bitch!
How can you do this to me? Are you trying to get back at me?
You son of a bitch!
It couldn't have been helped, Doctor. I'm sorry.
What is what?
Get this son of a bitch out of my sight. Immediately!
There were only two cases out of all the cases, and among the results gathered in 22 months, 23 recovered fully.
And there were no changes in the liver.
Tonight, we are taking over.
Now getting our Cancer Center will only be a matter of time,
With Lee Gun Wook's essay tonight, Seoul University Hospital's GS has elevated to another level.
To the general surgeons!
Cheers!
Nice work.
That was it. You showed them right.
You saw Chief Suh's expression right?
I kind of felt apologetic to him.
No, no. You did it right.
If I'm up to it, I can always expel your Uncle from this hospital...
You remember, don't you?
That small boy who stayed at your Uncle's home when you were young...
Dr. Jo, Dr. Park, and Chief..
Starting tomorrow I'll be ending my leave and will be going to the cardiac department.
Thank you up to this time.
Especially you, Chief. You were anxious because of me, weren't you?
No, I wasn't.
That's too bad.
Won't see you?
Even if you do, we'll still be in the same building and the same department.
But still..
You guys worked hard, and you work hard when you leave.
Thank you.
Let's go to the karaoke.
Going?
Yeah, they called me so I have to go in.
I have to go too. Let's go together. Stay here and I'll go get the car.
You didn't drink?
Yeah, I have to go into surgery tomorrow so I didn't drink.
Wow... The car's very nice...
You finished your leave.
Yes, to today's date.
I'm going to the cardiac department tomorrow.
Time passed very quickly.
You worked hard. You put in a lot of effort.
I learned a lot because of you. Thank you.
It's too bad. You'll do well.
But... Is there something wrong?
Your expression is too serious for a person who just got one step closer towards a cure for cancer.
Is that so?
Actually, you've been like that these days.
I have a lot to think about these days.
Oh...
That door's broken.
Hold on.
This only opens from the outside.
I keep telling myself that I should fix it, but since I ride it by myself, I keep forgetting.
Go in, quickly.
You're not going in?
Yeah, I'm going home.
Then... because of me...
Go in.
Um...
Want to go out with me?
No.
I don't date residents.
Is that a rule?
Yes.
Oh... That's a strange rule.
Go safely, Doctor.
Hello, I am first year Bong Dal Hee. Having safely completed the trasfer,
I will be joining the cardiac surgical department starting today.
Kim Hyun Bin.
She was in our department?
This is too much, right after transferring.
The only thing I did was clap.
It's only two weeks.
But it's good that you're not alone. Dr. Ahn also came down last night.
How is your breathing?
The air's very good here, so it'll be a bit more easier to breathe.
Hello! I'm Bong Dal Hee who just transferred to the cardiac surgical department today.
You're surprised right?
I was kicked out too, because I clapped at the conference yesterday.
But after I heard that you were going to be here, I came here happily.
Then I'll sit down and eat.
Why transfer when you're just going to date in the hospital?
Go back to the surgical department.
Can't you date in a hospital?
A hospital is a place where people live anyway.
You can, but do you only think of yourself?
Didn't you think of Seung Min?
He said that he got sudden chest pains while driving.
Does it hurt here?
Blood Pressure 120/70, Heart rate 100.
Take a chest CT and a lab test. I think it's aortic aneurysm.
Okay.
Please be careful.
I.. have AIDS.
I don't want to make trouble for other people.
Okay.
Please wait here a minute.
The CT results are out.
*Aneurysm - localized abnormal dilatation of a blood vessel.
There's a high possibility of a crack in the aortic aneurysm.
If we just leave it alone, we don't know when the aneurysm will burst.
We'll have to do emergency surgery.
Arrange an OR room immediately.
Doctor, that patient has AIDS.
I haven't seen the chart yet, but he said so himself.
No, you can't perform the surgery. Send him to a tertiary hospital.
Because our hospital is a secondary hospital, we don't have a chest surgical department,
so chest surgeries would be impossible. We don't have bypass either.
Subclavian artery is possible without bypass.
What about the possibility of Hodge paralysis?
Hodge paralysis is possible but if we join the arteries together within thirty minutes, we can succeed.
Even so, don't you know that you need to take special preparations when operating on an AIDS patient?
We don't even have people prepared for it.
The patient can't survive until he arrives at a tertiary hospital.
This just can't happen because you say you want to do it.
You need a scrub, an anesthesia personnel,
with at least two to three other people, but what about their safety?
AIDS is not something that can be transmitted through the respiratory system or anything like that, is it not?
Although it would be nice to have special preparations...
Do you think patients will come to our hospital if they hear that we operated on an AIDS patient?
Look. After hearing that the patient have AIDS, they all left.
I'm a doctor so I wouldn't know those kind of things.
We're doing the surgery at all costs.
Quickly arrange an OR room please.
Who's going to assist the surgery? Who'll scrub in?
I'll do it.
Anyone else?
No one else?
Then, I'll be the scrub.
Now all we need is just one assist. Who's going to do it?
Then you, Dr. Jung, come in.
Huh?
Quickly prepare for an operation. Every second is important.
- Give me another glove. - Me too.
No. Your hands could get bulky and it'd be even worse.
Don't put them on.
We have to finish within an hour at the latest.
All of you please focus.
Knife.
Clamp.
What are you doing?!
Suction!
Are you okay?
Dr. Jung, go get another suction.
- Don't just stand there. - Yes.
How about you, Nurse Ko?
I'm alright. You can't do the operation without me.
I'm alright as well.
I'm alright.
Good. We'll continue. What about the vitals?
They're dropping. Please hurry.
It's done. You can take off your hand now.
Wrench.
It's done. We'll now close it up.
Needle.
We'll finish up the operation.
Give it.
It's ok.
Give it.
Be careful.
I'm not an idiot.
I've seen Nurse Ko get poked with needles multiple times in the past,
but she never got any bad results.
And the probability is only 0.4%.
It's not easy to get picked out of a mere 0.4%. Don't worry.
I'm not worried. The danger is only 0.3%.
Right. Only 0.3%.
You didn't know?
It's already been a week.
No wonder... I was wondering why I didn't see her after all that meddling.
Isn't Chief Suh a bit too much?
How can he chase someone away just because they clapped?
Has the results for the cancer patient come in?
Yes. The FAP has come out.
Really? Does he have a son?
Yes, he does. He's already fifteen years old.
Let's go.
If a father has Familiar Adenomatous Polyposis, it will be carried on into the child 100%.
In the case of FAP, it will progress into cancer by the age of 25 if not treated.
While in the early stages of adolescence, the colon has to be taken out.
I heard that you both have a son.
If he's fifteen, it is good to have a test done.
Don't worry, Doctor.
There will be no chance of passing it onto my son.
My wife had him in her first marriage.
We married when he was two years old.
The heavens helped us.
Something big could've happened.
Jo Ara, I even had to get surgery because my intestines ruptured,
but you never came to visit.
Are you going to keep looking at me like you stare at a bug?
Give it.
Give me the morphine!
I don't have any.
You want to die?
Give it to me while I'm saying it nicely!
Don't be stubborn.
I told you even a doctor can't get pain reliever drugs easily.
I told you not to touch my temper!
Lower your eyes.
It's only until the day after tomorrow.
If you want to live quietly, bring it without fail.
Who is it? Who is that guy?
What are you doing? Let me go.
I can't.
You know what you were just doing in there?
Who is that guy that made you do that kind of thing?
Tell me.
Who is it?
What does it have to do with you?! Why? Are you interested in me?
But too bad, I have no interest in a short and ugly person like you.
Sorry that I'm short and ugly.
Do you want to go out with me?
No.
I don't date residents.
Then why stay still when I kiss you?
And why hug me out of nowhere?
A love that I haven't even started ended.
I think love is a never-ending disease for me.
Will a day come when my love will be saved?
It's positive?
How? It's just 0.3%.
Aren't the results wrong?
Aren't there cases where the results come out wrong?
There are very seldom cases.
Then, don't you have to run a second blood test to be sure?
When will you...
The second blood test will be out a week later.
The results must have come out wrong.
I'm not trying to sympathize,
it's just that I've never heard of a case where the disease can be transmitted just because of a needle prick.
And you...
Can't you be quiet?!
It's a rupture.
Since we have to go into an emergency operation immediately, prepare for an operation.
What are you talking about?
The blood test results showed you're positive. Are you in your right mind?
Discontinue all your operations until your second blood test results come out.
Alright.
Aren't those the basics?
A professional like you should've discontinued them by yourself without me having to tell you.
What'd I say? I told you not to have that operation.
See if there's a doctor who can do the surgery. If nobody's available, quickly send him to a different hospital.
Are you done eating?
Then I'll drink some too.
What are you~
No, it's wrong. It has to be wrong.
It'll mean a huge loss to Korean medical history. It's got to be wrong.
Are you out a breath a lot?
AOL and an ambu bag!
Call Dr. Ahn Joong Geun! It's an emergency!
It's massive hemoptysis. There's also a huge amount of blood pouring into the test tube.
It's a massive rupture.
If we don't take out the clot, he'll die.
It's an emergency situation, so find an OR room immediately.
Dr. Lee Dan Woo, wake the anesthetic doctor immediately.
Prepare a double lumen ET tube.
Doctor! Who's going to do the operation?
There's no chest surgeon in this hospital.
Should we prepare to transport him?
Are you in your right mind? Can't you see the blood spilling?
Then can't you do it because it's an emergency?
You do it.
Huh?
You do it. I'll be the supervisor, so you just do what I tell you to do.
How can I take out a lung?
Taking out a lung is appendectomy in TS, and one of the basic of the basics.
You're telling me that you've never done this before?
You don't have to be nervous.
Just do what I tell you to do. What are you doing?
Tranfer him quickly!
Hold the knife.
Knife.
Get a hold of yourself!
Hold it again.
First, open the chest.
It's only been a week since the last surgery, so the adhesion shouldn't be severe.
Just follow it slowly.
Start.
Yes.
Ok, that's enough. We're going to find the cause of the clot no matter what.
*Hilum - The root of the lungs.
First find the hilum.
I don't see it. I don't see anything because of the blood.
Use the suction.
Do you see it?
I don't see it.
Pull it back more.
I don't see anything. There's just too much blood.
Heart rate is falling. It's dangerous.
Find it quickly! It's the hilum!
You rockhead. I said hilum!
Bong Dal Hee.
Bong Dal Hee, look at me.
Get a hold of yourself! You can do it!
You're ignorant but you're not a coward.
Even in the death conference, you didn't make excuses.
Today you took this job and stood there without saying a word.
So don't be a coward now. If you lose, then the patient dies!
Get a hold of yourself, Bong Dal Hee!
Dal Hee, you can do it.
Keep that in mind.
Yes, Sir.
Good, try it again. Quickly.
Suction. More suction.
I found the hilum!
The dark red artery connected to the hilum, that's the clot.
I found it! I see the bronchus.
It's the white blood vessel between the red one and the bronchus.
That's the clot.
I found it!
Hold it with the clamp. Quickly!
Now... We get rid of the lung as quickly as possible.
Yes.
Good job.
That intestine rupture patient.
Where is he?
What are you talking about?
If you know, just say it. His scar hasn't closed up completely,
so if he keeps wandering around it could get bothersome. There's a possibility of intestine adhesion as well.
He disappeared?
He's gone since this morning. You didn't know?
Yeah, I didn't know.
You really didn't know?
Why were you like that?
Really...
Eun Suk.
I saw that he was your patient after I saw his charts.
They say that he suddenly lost consciousness.
What was he doing when he suddenly...?
Just suddenly...
Raise him up so I can take off his clothes.
How did the child get this?
That is...
Hey!
At school, by the kids...
You did it, didn't you?
Did you make the kid like that?
This lady...
You can't even measure up to a beast!
Really, are you crazy?!!
Dr. Jo!
Ahjumma, answer me.
Who made your son like that?
If you're mother with just a slightest bit of conscience left, answer me.
Who made your son get to that state?!
Calm down. Why are you doing this?
Don't cry.
Don't cry and answer me.
Are you still a mother?
How can you just stand and watch the child become like that?!
Dr. Park, take Dr. Jo out of here.
- Quickly! - You're not even human.
What?
If you're human, you can't do that!
Don't cry!
You don't have the right to cry!
If you don't have any strength, you should've at least run away with your son!
Being weak isn't an excuse. That's crap!
Shut up.
I think it's spleen trauma.
Call the internal surgery department, take an emergency CT, and lay out a plan.
Wow, it's strange to be outside the hospital now.
I thought going out every one hundred days would be great,
but how come going home once a week is so awkward now.
Hey, don't you want to see Dr. Bong?
Without her, it is kind of empty.
Who am I talking to right now?
Be quiet.
You bastard!
Dr. Jo.
Dr. Jo!
Dr. Jo! Dr. Jo! Dr. Jo!
Isn't he that guy?
I can't even feel a pulse.
I think it's hypothermia.
Move him. What are you doing? Quickly!
My back's not that great.
- Are these all the heat packs? - Yes, that's all.
Patient's temperature is 25 degrees.
Keep pumping.
Not moving. One ampule of atropine.
No you can't. Not until you raise it up to 30 degrees.
If you're tired, Dr. Park can do it. Move.
No, I'm going to do it.
Put in an IV and some warm nutrient liquid.
Fine. Get an IV.
Put in a Levin Tube and if you put a substance in and out, it gets a little better.
Oh, and also a warm blanket Doctor.
We don't know how long he was out there like that.
Do everything you can.
Someone she knows?
Prepare for CPR. 200 Joules charge.
Ready.
Move away. Shock.
- Dr. Jo, let's switch. - Move.
He's back. I think you can stop now.
Doctor, I'll leave you with the ambu.
That intestine rupture person.
The Morphine addict. That patient...
He's my oppa.
My blood brother.
It has been several years since I had seen him.
He left home when he was small.
My first memory of my father was of him holding a hammer and beating us.
My weak mother didn't think of taking us and running away but just stood there getting beaten.
That's when I thought being weak is a sin.
My father became like that whenever he drank.
One day he even asked me,
"Do you want to get beaten right now or after you're done with homework?"
Dr. Jo, that's enough.
One day, my father was drunk again when I was alone.
My father started hitting me but then suddenly he kept saying that he hurt so much that he could die.
"Ara, your father's dying."
"Your father's dying. Come on out."
But I didn't go out until the very end.
I covered my ears and didn't go out of my room until the very end.
And then he really died.
It was embolism and thrombosis of the abdominal aorta.
We transferred him to the hospital late at night, but my father died because it was too late.
I really thought that it'd be good to have him die.
Covering my ears and keeping put, I kept thinking that my father would just die like that.
Dr. Jo.
If I had just called the ambulance a little earlier, my father would've lived, right?
He would've beaten us to death afterwards though..
Stop it now...
He would've beaten us to death like crazy afterwards, but if I had gone out at the time...
If I had gone out during the time I was wishing for my father would die...
Stop it, stop it. Dr. Jo.
It's not your fault. Anybody would've done that.
Coffee, please.
Yes.
Seung Min's getting discharged tomorrow, right?
Yeah.
I want to take Seung Min home tomorrow, is that alright?
I don't know if it's good for him to see you all the time.
I want to... for the last time.
I thought about it for a long time, Moon Kyung.
I really thought about it for a long time, but I don't think I can do it.
I know it's not your fault, and there's nothing in my head that I don't understand,
but my heart can't accept it.
I think there's some kind of barricade that can never be removed between my heart and head.
I can't do it.
I understand. I told you I understand.
I'm sorry.
I don't want you to say that.
What about the family register?
About that.. I'll do whatever you tell me to do.
If you want to finish it up, then you can do it.
It doesn't matter if Seung Min remains in my register. It's alright.
I don't really want to.
Let's finish it up.
It's funny. Although there are apologetic and troublesome feelings left behind,
those feelings will disappear in time.
By that time, it'll be embarrassing to even talk to you.
Our new beginning will come quicker than we expect, and it'll be polite for the other party.
I told you before.
You don't know what'll happen to people.
As for me, I have no thoughts of living a long, long life all by myself.
Since you know that, I'll step up the legal procedures.
I heard that the process is a bit picky, but I'll make sure that there's nothing that'll make you worry.
I'm going.
I want to discharge Seung Min.
Is that alright?
No, you can't.
Mom, Daddy's not coming today either?
Yeah.
It's all done. Let's go.
Yes.
Yesterday was a week since the last test. We have to take a second blood test.
It's so early in the morning.
Is time a problem right now?
We have to quickly take a blood sample, quickly get the test taken, and quickly get the results.
Congratulations, Doctor. It's non reactive.
For congratulations sake.
Just one can. You can't?
Give it.
How do you feel?
No, that's a stupid question.
Thanks to you, I experienced something very immense.
I think I climbed a huge mountain.
That lung removal surgery.
Thank you.
Lung removal is one of the basic of the basics, but for me it seems like I've climbed the Himalaya Mountains.
What is it that you did?
You just did what I told you to do.
Yes...
But you did the basics.
And you did well in the operation with the AIDS patient.
If you hadn't caught and stopped the blood vessel fast enough, the patient could've been in danger.
He could've died if you hadn't.
Good job.
Today's a historical day with a couple of reasons.
After I met you, this is the first time I've heard a compliment from you.
So this means that I can train under your instruction, right?
You're going to let me go into your operating rooms even when we go up to Seoul, right?
I won't date, so give me permission.
I got rejected.
Am I allowed?
Emergency room.
Are you alright?
Is there something wrong?
Then because of me.
Want to go out with me?
I don't date residents.
Is that a rule?
Yes.
That's a strange rule.
Brought to you by WITH S2 Written In The Heavens Subbing Squad
Main Translator: Beeni Spot Translator: o2_intake
Timer: jann Editor/QC: schizoar
Coordinators: mily2, ay_link
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