Episode 10
What happened?
Please call Dr. Jo Moon Kyung.
Yes.
Are you serious? Did Professor Song really pass away?
What do we do?
Don't blame yourself. It's not your fault.
Who could've persuaded Professor Song? Even his wife couldn't persuade him.
Want to go out? Should I drive you?
It's fine, just go ahead of me.
I'm asking as a friend.
Don't you need a friend on a day like this?
You still don't know, don't you?
You don't know how much pain I was in because of you.
Fine. I was the one who started it, and throughout the marriage, I was the one who liked you more.
That's why I got more hurt.
Because that was something that had to do with me, I'm not bitter against you.
But the thing I can't stand is that you still don't know...
How much despair you put me in.
You think I only lost these last seven years?
Lee Gun Wook disappeared.
That Lee Gun Wook that overflowed with ambition and confidence,
who had nothing to lose and open young man disappeared,
and an old scarred man remained inside of me.
Young Lee Gun Wook, even if it was Professor Song Kang Soo,
even if it was the heaven like Professor Song,
would not have agreed to that surgery to the end.
Even if he had to 4 days and 3 nights, 11 days and 10 nights,
I would've just put a hole in the doctor's small intestine.
Just go.
Go. I want to be alone.
Doctor.
He came in just like this.
It looks like hepatic coma.
Doctor, our Dong Gun didn't get worse, did he?
Take out the lab with the CT results and check his blood-alcohol content levels.
What happened to Dong Gun?
You didn't hear?
I heard. I heard but it doesn't make sense.
It hasn't been long since he was discharged after the cancer cells decreased,
So how can the cancer spread to the peritoneum (tissue lining the abdomen)?
Then you didn't expect this kind of result?
Then what do we have to do?
What else can we do? If it's long, it will be 1 month.
Leave. I'm so resentful to you.
If we had just let him alone like Dr. Jo Moon Kyung told us to,
our Dong Gun could've lived for another 2, 3 months.
Leave.
I told you to leave!
I heard Dong Gun came in.
It won't be of any use. They said it spread to the peritoneum already.
Doctor, can't Dong Gun try radiation treatment?
What about using immunity diagnosis?
Although the chemotherapy had no effect, this can.
Dr. Bong.
Or what about getting a surgery, Doctor.
A surgery may be the most sure possible way.
Dr. Bong!
Yes, Doctor. We have to do something.
How can we just look on? Or... Or...
Dr. Bong Dal Hee! Get a hold of yourself!
Get a hold of yourself! There's nothing else we can do.
Nothing!
All we can do now is give the child medicine like Morphine to ease the pain.
There's nothing, understand?!
And it's not Dr. Bong's fault.
It's my fault.
Give him some pain relievers. Please?
At least some pain relievers.
Give him some Morphine.
No. 30 mL already went in. Please wait a while.
I don't think 30 mL is enough. Just give him some more.
I can't. 30 mL was the order.
Please give it to him. There's no limit to Dong Gun on Morphine.
Then at least give a call to the doctor in charge of treatment. Now!
Why did you come again? Leave.
Leave! You don't have the qualification to be here.
Who's the one who made Dong Gun like this? Why are you here?
Please leave! Leave!
Dong Gun. Dong Gun.
Dong Gun, what can I do?
Doctor, Dong Gun is in so much pain.
30 mL.
Alright.
I'll put in 20 mL more. No more than that.
Give him 3 mL of midazolam.
Yes.
Leave! You don't have the qualification to be here.
Who's the one who made Dong Gun like this? Why are you here?
How is he?
I prescribed him midazolam and up to now, there are no problems.
Have you gotten permission for patient So Hyun Jung?
No. I haven't gotten it yet.
Tomorrow's the day of the operation, yet you still haven't gotten the permission?
I will get it by today so that there will be no complications with the surgery.
Don't worry. The guardian said that he was going to be late.
Did you do tracheal suction for the post-op lung cancer patient?
No. I will be doing it a little later.
Then what have you done?
Why are you all high and mighty when you haven't done anything at all?
So you're saying that I should wake up the sleeping patient to take out his phlegm?
I'm waiting until he wakes up.
Are you sure you couldn't do it because you were dating?
You should do all your duties first if you must date even if you were to die.
And must you meet Lee Gun Wook?
What about Seung Min? Don't you even worry about Seung Min?
Must you break up a whole family like that?
Am I dating a married man right now?
Break up a whole family?
Isn't it?
Are you a pervert?
Is it your hobby to spontaneously aggravate and insult people without warning?
Or are your feelings all mixed up?
Have you ever been seriously dumped by a woman?
What?
Don't worry.
I'll date after I do all my duties even if I don't eat and sleep.
Is that true? Dong Gun?
You didn't know? Dr. Bong didn't show any hints of it?
She didn't seem like that.
I didn't know at all, since she took care of her matters normally yesterday and today.
What happened, interfering.
With that personality, it would've been a big shock.
She's not showing it, but of course it would've been a shock.
The night before yesterday she didn't sleep a wink and was up all night reading those documents.
Dr. Jo, when are you off this week?
Why?
I have two tickets to a musical.
Oh, how bad. I'm full all this week.
Really? Then tell me when you're off.
You're ready?
- Yes. - Let's go.
Want a cup of coffee?
Thank you. Give it.
Let's go to drink it.
Are you in your right mind? There's going to be staff rounds soon.
Oh.
You're out early.
I heard that there's going to be a medical conference at the end of this month.
Many who supported the Cardiac Center were disappointed in you,
and most of them who owed much to the results of your report turned their backs to you.
Then that's no different than it being already decided, Chief.
But we still have to be careful.
If we just get the Cancer Center then I'm sure of the position for the next hospital director.
You must be entrusted for the Surgical Department.
That's why I go around the hospital.
Are you out, Chief Suh?
Are you continuing the new medicine?
I heard that there was a medical conference at the end of this month.
I heard. I guess we'll find out when we open the cap.
Yes, of course.
Long time no see, Gun Wook.
Yes.
You remember, don't you?
That small boy who stayed at your Uncle's home when you were young...
Tomorrow is Professor Song's memorial ceremony.
The funeral ceremony will be held at his alma mater, and the memorial service at the church.
Why are you telling me that?
I just wanted you to know.
Since you were the last person operating on him in his last moments, when he died without any final words.
Are you awake?
Your mom went out for a moment.
How long can I live?
Please tell me...
So that I can at least say what I need to say to Mom, Dad, Grandma and Aunt...
Seeing how you talk, I don't think Han Dong Gun's going to have any problems.
Right. I have something to tell you too.
I'm sorry for causing you trouble and not listening to you up to now.
I did it because I got mad.... being sick.
I'm sorry too.
About how I couldn't make your sickness better.
I'm really really sorry.
No. It's not you, no one can do it.
Give me one ampule of Morphine.
I was wondering how Dong Gun was doing.
Go on in.
I don't want to see you to the end, but Dong Gun wants to see you.
Dong Gun.
Why are you coming now? I waited for you.
Sorry.
You know 1st years are usually busy.
Sorry.
Hey, you're really cool today.
Don't cry.
It's not your fault.
I did it because I said I would.
I don't regret it, Ahjumma.
So don't you regret it.
If we hadn't done anything,
I would have been waiting for the die I would die, so I would've been more scared.
But didn't I endure it well? Bravely?
Yeah. You endured it really well.
Ahjumma... Are you really holding my hand right now?
But I don't feel anything.
I guess the cancer must have spread up to my brain.
I must be really dying.
No, I didn't hold it really tightly.
It's because I didn't hold tightly.
You can feel it, right?
Can you feel it, Dong Gun?
You can feel it, right?
You can't feel it?
You can feel it, right? You can feel it?
Stop it, Ahjumma. I told you to stop.
Stop it.
If you keep doing that, then I'll want to live.
I'll want to live.
I'm crying in the end because of you.
I didn't want to cry to the end...
Dr. Bong. You have to eat or you'll faint.
Yeah, you should eat. You haven't been able to sleep or eat lately either.
Either way dying and living is one's luck and hangs from the heavens.
Of course. I totally agree with that.
People who are meant to live will live even if they hang a homeless guy inside themselves,
and some will die from heart paralyze even if the operation went well.
If you feel guilty thinking you killed someone,
you can also fall into supreme arrogance thinking you saved someone else.
It's your people.
What does that have to do with our department?
Sorry. I'll leave first.
The shock will be big. They got chemotherapy after insisting.
How is Dong Gun's condition right now?
It seems like he's almost there.
Aren't you cold?
I'm not cold at all.
My condition is very good yesterday and today.
Of course. You have to.
You know what I hated the most because I was sick?
It was when everyone treated me like a patient.
I didn't like it when I was sick and when I couldn't eat what I wanted to.
Although it was easy to grasp the toilet and hurl up the food I had swallowed,
but what I hated the most was when Mom cried because of me,
when people said, "It's him," "Aigoo," "Tsk, tsk," "How sad, how sad."
But you weren't like that so I liked it.
I liked you because you showed me worms and you treated me not like patient but like Han Dong Gun.
And the sweet potato were delicious too.
You...
Thank you, Noona.
You have to become a good doctor.
You'll be able to become one without fail.
The word "Noona" is really awkward.
Move!
It's ventricular fibrillation.
Prepare the defibrillator. 200 Joules!
200 Joules ready.
Clear. Shock!
Again 200 Joules.
200 Joules ready.
Clear. Shock!
Please... Please...
Atropine! Epinephrine! One ampule more!
Child Han Dong Gun..
Time of death: 11:32 PM.
Dong Gun. Dong Gun.
Dong Gun.
My son.
Dong Gun!
Where is the patient?
Clear. Shock!
Again 200 Joules.
It's ventricular arrhythmia.
You can't do it with electricity. You'll have to massage it.
He's a CABG patient. What're you going to do if the graft explodes?
How long has it been?
It's been 1 minute and 30 seconds.
If no air goes to the brain, there's meaningless even if the heart lives.
Dr. Ahn is coming. You can't. Wait a little while.
Ahjumma... I want to live.
Can't you save me?
We can't wait any longer.
What good is it when the heart lives? He'll just fall into a coma.
Give me one epinephrine.
Dr. Bong. What're you going to do if the graft explodes?
Blood's coming out of the pericardium (sac enclosing the heart) drain!
It means the graft has ripped. What do we do?
That's why I told you not to do it!
Switch with me.
What're you going to do?
We have to bind it. Prepare some wire for me.
Prepare the kit!
Are you saying open up the chest, with just the two of us?
Then what can we do? There's no blood pressure.
Hurry, betadine.
Dr. Ahn's on his way.
You don't know when he's going to come. We can't let another one die again.
Pour the betadine. One ampule of lidocaine.
I can't see. I can't see anything.
Suction and prepare warm saline.
Yes.
How much is the blood pressure? Is there one?
No.
What are you doing?!
There was sudden pressure on his heart and his graft burst.
Move.
What on earth did you do?
Bong Dal Hee.
Bong Dal Hee!
Did Bong come?
No.
Isn't it the fourth day already?
What's going on? If that happens, won't we miss the deadline?
Should we go find her?
Can we move? We do surgery all day and at night we're overloaded with cases.
Yeah, that's right. She's not picking up her phone either.
She'll come, right?
We don't know. The CABG patient and also Dong Gun.
With that kind of personality, wouldn't this be kind of fatal?
There's no call from her and she won't pick up.
It seems Dr. Bong is falling behind.
There are a numerous other suitable first-years who can fill Dr. Bong's position.
I'll call Jung Eui Soo to come back.
Leave it alone. Wait.
I told you to wait. Wait.
What on earth did you do?
I'll do it even if I die. It doesn't matter if it takes ten years off my natural life span.
It's doesn't matter if I put in a mechanical valve early and have to take Morphine all my life.
I'm going to do this work.
This phone is turned off. After the beep, it will connect to voicemail and will record.
Take the kimbap here!
Yes.
Eat plenty.
Thanks for the food. Goodbye.
Goodbye.
Goodbye. Come again.
Eat plenty.
Hey. Can you spend your vacation like this?
This is better. Helping by working easily by my Mom's side.
I'm telling you something's up.
It's not her vacation.
Just pretend you don't know.
You know what's going on?
I don't. I don't want to know either.
And it's good if she gives it up.
Mom.
Next is patient Han Dong Gun's case.
The speaker is Dr. Jo Moon Kyung.
I'm Jo Moon Kyung.
It's been a long time since I stood for the mortality conference.
Han Dong Gun was not fit for chemotherapy when he started receiving it.
The reason why I permitted the chemotherapy was because of lost passion.
Like many seniors and co workers, my major life was just a short moment.
I always cried for the patients' pain and death and fell into despair,
But at some point, seeing patients suffer, I decided to become a doctor as my career.
Of course, I have an excuse.
Because in our department ward, we pass on two to three children every day.
When I decided that there was no point in continuing chemotherapy for Dong Gun,
one TS major came to me and strongly supported Dong Gun's chemotherapy,
while she made a stronger rapport with Dong Gun than me.
I saw my 20 year old passion in that person.
That made me angry.
That made me jealous and made me want to go back.
That was the decisive mistake.
Because I'm not a major but a professional,
and because I wasn't in my 20's but in my 30's.
At any moment, I should've been like a professional,
and should've laid a thorough and collected medical decision,
and should not have dreamed of a foolish miracle,
because it hung on the child's few months left to live.
The reason of Han Dong Gun's death is because of my mistaken decision.
A surprise that you came to someone else's conference.
How embarrassing.
So be it.
You were cool and brave.
There were some things that I didn't say.
Honestly, that TS major is currently dating my ex husband.
I wonder if that was why I was so worked up about it. To be honest, that pains me most.
It's me. Seung Min seems to be a bit out of breath.
He's not. It's because he just came back in from outside.
It's alright.
Okay.
Excuse me, but did you come to our house?
Are you by chance Dr. Bong's mother?
Yes. I'm Dal Hee's Mom.
Hello. Nice to meet you.
I'm Lee Gun Wook who works at the same hospital as her.
Can I see Dr. Bong Dal Hee for a moment?
Yes. Hello.
Dal Hee's inside at the moment. Hold on a second.
She locked the door.
Dal Hee. Dal Hee.
Dal Hee. A guest is out here.
Dal Hee! Dal Hee! Da...
By chance did something big happen at the hospital?
No, nothing has happened.
There's nothing like that. Then, I'll be going.
Yes, I guess you'll have to go back for today.
What's going on?
Tell me.
What's going on that you don't sleep and now you hide from even people?
Did you do something big?
Tell me.
I tried not to know anything, but now I don't think I can help it now.
What's happened?
What's happened when you said you'd do this job to the end, and nailed my heart down?
Why are you being like this? Dal Hee.
Did you...?
Yes.
Because of me, a person died.
A 12 year old boy died while getting chemotherapy that I insisted on.
If I hadn't insisted, then he's a child that would still be alive.
He could've lived at least a few months more, but I insisted.
That's not all.
A CABG patient died because of me.
I was conducting CPR because of heart shock when a ventricle burst and died.
I decided that that was the way to save the patient,
but in the end it was my decision that made the patient die.
How can this kind of person become a doctor?
It's like how a frog comes out of his mouth whenever he opens it. Like a frog prince.
Whenever I make a decision, a person dies.
I really am able to kill someone like this, without even holding a knife.
What would happen when I hold a knife later on?
So I'm going to listen to what Mom told me to do.
I can't do it anymore.
A person like me can't become a doctor.
I can't become involved in determining if people live or die anymore.
I can't. I can't.
Right. Did anyone tell you to do it?
You thought well.
Unni.
You came?
He came to our house to see you so...
Dr. Bong Dal Hee.
I need to speak with you.
I don't have anything to say to you.
I have something to say, so just come out and listen.
You think everything's done if you just run away and hide?
You're going to give up, right?
Then of course you should give up.
A coward and ignorant person like you would be saving peoples' lives by giving up.
That's what I said in the first place. I told you not to become a doctor.
You can give up, but shouldn't you do the mortality conference before you leave?
Who are you asking to report when you're the one who killed the person?
Come and do the mortality conference.
It's tomorrow. Report it.
You can give up, but shouldn't you do the mortality conference before you leave?
Who are you asking to report when you're the one who killed the person?
Thanks, Noona.
You have to become a good doctor.
I did it because I said I would.
I don't regret it, Ahjumma.
So don't you regret it.
I will give an explanation of February's cardiac surgeries.
In the cases involving adult hearts,
there were 12 patch-up surgeries, 13 CABGs,
8 vascular, 1 other.
And in total there were 35 surgeries.
Of the rest, regarding TJ, TOF and other surgeries,
There were 17 surgeries in all.
Now we will move on to the Mortality Case Conference.
First case report will be Dr. Bong Dal Hee.
I'm 1st year Bong Dal Hee.
Patient Jung Sang Hoon, 62 years old.
He received a CABG surgery.
A sudden cardiac arrest occurred, and during CPR,
We attempted open cardiac massage, but we weren't able to revive him.
During that time, the graft burst.
Dr. Bong Dal Hee.
Don't you know that the patient was in danger after the graft burst?
Yes, I did know.
If you knew that, why cut into it?
If we didn't, the chances of the patient falling into a coma was just way too high.
Then why didn't you just start with an open cardiac massage?
Because I was just a 1st year and because I had not ever done it before, I was afraid.
Then you should've waited for me.
Didn't Lee Min Woo tell you several times that I was coming?
But we did not know when you would come and could not wait.
The percentage of a graft bursting isn't high during an open cardiac massage,
But at the time, the patient's heart had stopped for 1 minute and 35 seconds.
And a little while after, the chances of the patient falling into a coma was high so I could not wait.
Fine. Let's say that the graft burst.
Then how should you handle it?
To prevent further damage to the graft, and provide support,
Do an open cardiac massage, and look for a surgical site for the burst graft.
So what did you do?
I immediately tried to provide support and conducted an open cardiac massage.
What medicine did you use?
Lidocaine and epinephrine.
Then what did you do wrong?
I'll ask again.
When you opened up the chest, what color was the blood?
Dark red.
You're right. It wasn't a graft, it was the right ventricle.
It could sometimes occur during CPR.
And I had to go in to take over.
Listen carefully.
There was no graft burst in the first place.
It was probably a spasm.
You just acted and handled the situation in the most precise and best way.
What did you do wrong? If there is, say it.
Do you get it now, Dr. Bong Dal Hee?
You made the patient die once again,
but in the medical decisions, there were no mistakes whatsoever.
If you had not done anything because of a graft burst like Lee Min Woo,
the patient would've fallen into a coma.
Because I arrived at the scene exactly after 7 minutes and 30 seconds.
So why run away?
Now that you're learning more, are you going to become more timid?
This phone is turned off. After the beep, it will connect to voicemail and will record.
I'm crying in the end because of you.
I didn't want to cry to the end...
You weren't sleeping?
How can I sleep when you're rustling here and there next to me?
Why can't you sleep continuously?
Then, come back down with me.
I don't think you can get a hold of your heart here.
You can't keep on not sleeping and eating well.
Let's go down sometime next week.
How come there's no answer?
Mom... What can I do?
I think I'm crazy.
When I close my eyes, I still see Dong Gun's painful face that even Morphine couldn't ease,
but then I still I think of the hospital.
What?
I keep thinking of it through my heart.
I keep making excuses.
Have I failed because of the heart and lung cancer patient?
The patient next to him has to do a tracheal suction and completely take out the phlegm.
He probably took it out, right?
Has the sugar level for the esophagus cancer ahjussi gone up any more?
That's really dangerous.
Ahjussi liked me.
He exercised if I went.
Is he exercising well?
That's how I disgustingly put those words on my lips.
Dong Gun's last words to me were...
"You have to become a good Doctor."
"You'll be able to become one without fail."
Dong Gun told me to become a good doctor,
he told me, since he told me, can't I become one?
What?
Mom. I've gone crazy, right?
I'm not in my right mind, right?
Yeah, you're crazy. Crazy.
You couldn't even stand or sit for days because your body and heart wasn't well,
You'll just ruin yourself, not eating or sleeping!
So after a few days, do you still want to do this job again? You said someone died because of you.
A person died because of you!
You're right. I'm not in my right mind.
I'm not.
Unni..
Let's go down today, Mom.
Let's do that.
We cannot wait any longer, Doctor.
The other first years have strong backgrounds and there are no assists who can go into surgery with the professors.
I'll call Jung Eui Soo back.
Calls?
They're not going through. Her cell phone's turned off as well.
Alright. Just wait up to today.
Let's start.
Kang Soon, 57 year old male, chest pains.
Are you okay?
Where are you the most uncomfortable?
Let's move him first.
Let's go.
Are you okay? Are you uncomfortable anywhere?
Mom, I think that patient's suffering from pneumothorax (air in the pleural cavity).
If it's the pneumothorax, he can die in a few minutes.
Are you okay?
I think it's pneumothorax.
Hold on. It'll only take 5 minutes. Just 5 minutes.
Excuse me. I apologize, but I'm a doctor.
I'll see the patient for a moment.
Are you out of breath?
Breathe deeply.
It's hemopneumothorax.
Do you have a ? needle?
- Yes. - Give it to me, quick.
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Timer: jann
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