Relax, Mr. Wu.
Relax.
-Are the anesthetics ready? -Yes.
Hi, I'm Dr. Hsiao, your anesthesiologist. What's your name?
Chang-xing Wu.
-What is your date of birth? -June 30th.
-In which year were you born? -In 1973.
All right, I'm going to give you a reserve of oxygen.
I'm preparing you for general anesthesia.
Inhale slowly. Just listen to me.
To the patients, we are just some masked anesthesiologist in green scrubs.
Anesthesia is just as common as injection and blood draw.
Little did they know
that what's carried on the shoulders of an anesthesiologist
is the possibility of one being asleep forever.
All right.
The blood pressure is okay. Take note of the blood pressure.
I have two more surgeries. Help me update the narcotic record.
It's currently 10:30 a.m.
All recovery rooms have been occupied.
But there are three surgeries and two medical checkups
-waiting for anesthesia. -Wait for me.
I'm going to Room Two. I'll be right there.
I'm the only anesthesiologist who's working on the day shift.
I'm moving around different operating rooms day after day.
Each place takes me five minutes.
I always keep on moving around.
There's one more in Room Three. Speed up.
All right.
Wait. Stop for a while.
There's a second degree atrioventricular block.
What are you going to do?
The blood pressure, oxygen level and ETCO2 look normal now.
I'll use atropine to raise the blood pressure.
Atropine, 0.5mg.
-Atropine, 0.5mg. -Yes.
-Bring in the TCP. -All right.
Give double dose of dopamine.
-Double dose of dopamine. -Hurry up.
The pacemaker is here.
Wait a minute.
There's no need. The heart rate has improved.
If it happens again, then we'll need TCP or dopamine.
Consult the cardiologist after the operation
to see what the problem is. You may continue now.
Every day, the anesthesiologist overwork themselves
and push themselves to the limit.
You can say that they are the ones
who determine whether the patient lives or dies.
I keep reminding myself to stay alert no matter how tiring it is.
Hey! Good morning, Dr. Liang.
Wait.
Here, take this.
You like this, right?
Take care.
Hey, Dr. Lin.
-Good morning. -Good morning.
Did I forget to get one more?
Mr. Yeh, are you here to sell insurance?
No, I'm here to show my solicitude for the medical personnel.
You are?
-I'm just kidding. -Okay.
My client is hospitalized today. I'm here to check up on her.
-I see. That's so nice of you. -Of course.
The STS always takes
-a good care of our clients. -I'm going to the nurses' station now.
-Okay. -Let's talk another time. Bye.
Bye.
You look pretty today.
Goodness.
Xiao-ying Zhang.
Xiao-ying Zhang, open your eyes.
The operation is over.
Yes. How are you feeling?
-It's painful. -Is it painful?
I'll prescribe you some medicines later, then you'll feel better.
Twenty-five milligrams of local anesthetics.
Some IV.
Are you cold?
Yes.
She feels cold. Turn on two more lights for her.
All right.
-Please monitor the vital signs. -Okay.
When she no longer feels cold,
-ask Dr. Qu to explain things to her. -All right.
Mom, this is our insurance agent, Mr. Yeh.
Nice to meet you, Mrs. Zeng. I'm the insurance agent from STS.
My name is Jian-de Yeh.
You must have undergone a lot of check-ups just now, didn't you?
You look tired.
Would you like to rest for a while?
I've had this sickness for quite some time.
It can't be cured.
I would rather die earlier
so that I can meet my husband in Heaven.
I really don't want to undergo the operation.
Mom, don't think too much.
The physician that Mr. Yeh recommended is an expert in neurology.
He is an expert.
He is also the director of this hospital.
The director is performing your surgery. Why are you scared? It'll be fine.
Yes, Mrs. Zeng. Don't worry.
Moreover, your insurance is going to cover all your medical bills.
So, just thinks of this as your vacation and rest well here.
-He's right. -There's no need to think too much.
You should go on with your work. Bye.
-All right. -Okay.
Mrs. Zeng, I'll leave first.
-Thank you. -No problem.
Here's the record for the patient in room 3A014.
Hey, pretty lady.
Aren't you the nurse from the Anesthesiology Department?
What are you doing here?
I didn't have a choice. They are understaffed.
So, I'm here to help them out.
We are all nurses of this hospital.
Gosh, your hospital management is too much.
How dare they overwork you?
Hey.
About the insurance policy that I mentioned the other day,
you really need to consider it.
You are still young, so the policy fee is cheaper.
What if one day you fall sick from overworking?
I'll go to the outpatient clinic.
Here you go. This is my business card.
Call me if you have any questions.
Business card?
Right.
This is the one.
-I was just kidding. -You must've practiced this a lot.
What?
It's the surgical demonstration.
The hospital didn't cancel it, did they?
My client's son is worried about this surgery.
Don't worry. This surgery is performed by the director.
The hospital prioritizes this.
But Mi, let me ask you something.
Do you know who the anesthesiologist is?
The anesthesiologist? Let me see.
The anesthesiologist is Dr. Hsiao.
He is very competent.
That's great.
I'm sorry.
Hey, why are you here again?
I had no choice. They are understaffed.
This is strange. I'll talk to the Nursing Department again.
There's no need.
I'll only be here for two hours. Why are you here?
You're working the night shift. Why don't you go get some sleep now?
I'm sorry. Are you a doctor?
-I'm an insurance agent from STS. -Sorry, it's my break time.
-Can we talk next time? -It won't take long.
Are you aware of a policy that covers medical dispute cases?
Have you purchased the policy?
We've just introduced the policy especially for physicians.
-I'm sorry. -This policy is more comprehensive...
It has a more comprehensive package.
I saw his name tag just now.
It's stated Anesthesiology Department. His surname is also Hsiao.
He's the one.
-It's him? -Yes.
You said he was competent.
-Hey. -Yes.
Are you that tired?
Get some sleep if you're really tired.
Who is going to supervise the nurses if I sleep?
Nobody needs your supervision.
According to the article 28, section I of medical law,
-All right, stop it. -without the physician's instructions...
You've said this too many times. Stop it.
What happened? Your sleeping pills don't work?
No.
You're in a hospital. Go see a doctor now.
-What? -Go see a doctor.
I might as well just look into the mirror.
Forget it. I'm going to the nurses' station.
Who is on duty now?
-I'm in so much pain. -Relax.
-Ma'am, let me examine you.
The doctor is going to examine you.
-Please be patient. Relax. -Hold on. Relax.
-Relax. -It's painful.
Ma'am, your cervix is dilated to 3cm for now.
Just hold on a little longer.
-Oxygenate her if she's still in pain. -Dear.
Come on, keep going.
-Inhale through the nose -Ask my husband to come.
and exhale via your mouth. He is on his way.
Dr. Wu, her amniotic sac is still intact.
The cervix is dilated to only 3cm.
Her cervix is only 20 percent effaced.
She has just entered the first stage of labor.
We can anesthetize her to perform a painless delivery.
Then get the anesthesiologist here now.
We've called him.
Didn't you talk to Mr. Speaker?
No anesthesiologist can perform the painless delivery at the moment.
She has to bear the pain for a little longer.
Bear the pain?
Who are you?
He is the director of the hospital.
Are you the director?
It's painful.
-Call the anesthesiologist here now. -Dear!
Ask my husband to come over.
-Dr. Hsiao. -Yes.
-Dr. Hsiao, there's an emergency case. -What's the case?
Liver laceration, BP 80/50.
-Is the blood ready? -Yes. It was sent to the operation room.
All right.
Let's go.
Sir, she can no longer bear the pain.
Her husband specifically chose our hospital for her labor.
I have asked the attending physician to call the anesthesiologist.
Tzu-chiang.
You are closer to Mr. Speaker.
You should handle this case.
Dr. Hsiao, this woman needs anesthesia.
-She needs to wait. -No, she needs it now.
Is this that urgent? Wasn't she just hospitalized?
She is stable.
It's not even three centimeters. She can wait.
Dr. Hsiao, she can't wait.
This is more urgent, just ask her to wait.
Dr. Hsiao.
She is an important person.
I don't care who she is. I have an emergency case now.
-I'll be right there. -The director wants you there right now.
I don't care if it's the president. I'll be there right after this.
-No, Dr. Hsiao. -Get out of my way!
What's your problem?
You're not wearing your green scrub and cap properly.
Who are you to say anything? Get lost now.
You should closely monitor the patient.
-CVP and A-line are both needed. -All right.
Miss? Can you hear me?
Miss?
Blood pressure is 80/40, I need to proceed the intubation.
All right.
LABOR ROOM ONE, IN USE
It's painful!
It's painful.
Why is it so painful?
I can't!
How is she?
Has she entered the labor room?
The cervix is now dilated to ten centimeters. It's too late.
Luckily, we didn't delay the labor.
Otherwise, she won't be able to have a normal delivery.
But...
Yes?
She is the House Speaker's wife.
So, what?
Don't forget that you're a doctor.
EMERGENCY ROOM
The delivery went smoothly.
But we didn't give her anesthetics for the painless delivery.
She requested to be transferred to another hospital.
How could you allow that?
The two of you need to solve this.
Keep her at all costs.
Yes.
RENXIN HOSPITAL REGIONAL TEACHING HOSPITAL EVALUATION
Hey, help her out. Give her a hand.
Be careful.
Slowly.
Yes, handle with care.
Okay.
Mr. Speaker, listen to me.
-Because... -Dr. Wu, you put my wife in such pain.
I'll never come to your hospital again.
No, Mr. Speaker. Let me explain.
-Our anesthesiologist had an emergency... -Dr. Wu.
Dr. Wu, please move away.
Sir, your drink is ready.
-Thank you. -Thank you.
Have the housemen report themselves to the Radiology Department?
I've just checked it out. They're all there.
Right, I've got some feedback.
We're short of physicians
-in the Medical Department. -Yes.
Remind me to hold a meeting with the head of departments.
All right, no problem.
Medical Department.
Dr. Chen.
I couldn't persuade her to stay.
She left.
Why?
Who was the anesthesiologist on duty last night?
I didn't see him last night. I need to check.
Didn't you go to get him last night?
Tell the director who was it.
What?
Hurry up.
It's him.
Last night, he was on duty.
Dr. Hsiao?
Hey, Dr. Hsiao.
Dr. Hsiao...
I've gone through your budget.
Obviously, there are a lot more adjustment and refinement needed.
The officers from the Ministry of Health have been visiting our hospital
to evaluate us as a regional teaching hospital.
In order to pass the assessment,
I hope the heads of departments would urge the staffs
to perform their best.
RENXIN HOSPITAL REGIONAL TEACHING HOSPITAL EVALUATION
Regarding the construction of the Cancer Institute,
is it possible to get it done before the assessment?
Dr. Chen, I've reduced the expenses in other departments
and diverted the funds to support the construction.
So, the construction will go on as planned.
Since our budget is tight,
we need to divert the funds from other departments.
I hope we can go through this tough time together.
Causing problems during the assessment is unacceptable.
Whoever is showing negligence
will be harshly penalized.
That is all for today's meeting.
Head of Anesthesiology Department, Dr. Liao,
please stay for a while.
The others are excused.
Last night, Dr. Zheng-xun Hsiao from the Anesthesiology Department
refused to anesthetize our VIP for painless delivery.
Can you explain this?
That was because Dr. Hsiao received a serious case at the time.
It was an emergency case due to a liver laceration.
-He couldn't be at two different places. -Let me ask you this.
Before the VIP's cervix was dilated enough,
the emergency patient had achieved a stable anesthetic effect.
He could've left the patient to the nurses temporarily
and go back afterwards. Am I wrong?
But Dr. Hsiao determined that the patient was severely traumatized
due to a liver laceration.
The patient could go into a coma anytime.
I've told you many times
that this VIP is the wife of the councilman.
Mr. Speaker plays a key role in the upcoming assessment.
Now, we've displeased him.
Could Zheng-xun Hsiao bear the consequences?
The problem is we don't have enough anesthesiologist.
I didn't have enough manpower.
You know that, don't you?
We can't blame Dr. Hsiao for this.
Please sit down.
I know it's hard for all of you now.
I hope you can bear with me.
We need everyone's cooperation to pass the assessment.
Could you please remind Dr. Hsiao of that on behalf of me?
Goodness.
Hey, didn't you see the red light?
-Dr. Hsiao. -Dr. Yang.
Be careful when you jog. I almost hit you just now.
I'm sorry, I've been feeling unwell.
I've been wanting to consult a doctor.
Do you know any psychiatrist?
You refused to come back for a follow-up.
I guess you don't find a psychiatrist like me helpful, do you?
You know I'm an anesthesiologist, I'm really busy.
Have your insomnia and globus pharyngis gotten any better?
I've been having trouble sleeping again.
I think consultation and counseling can barely help.
Medication won't help either. It will only alleviate the symptoms.
That's why I'm jogging.
If you don't open up and talk to your psychiatrist,
no psychiatrist can help you.
My clinic is around. Think about it.
I need to perform the surgical demonstration next week.
Who will be the anesthesiologist?
Sir, it will be Dr. Hsiao.
Dr. Chen, are sure you want Dr. Hsiao to work with you?
It's true that Dr. Hsiao is stubborn,
but in terms of experiences and expertise, he's the best in our hospital.
Ask him to spare some time to see me in the director's room.
Yes.
-Hi, Mi. -Hi.
You're smart to avoid the director.
He really dislikes salespersons like you.
Yes, he's famous for being stingy.
He's not stingy, he's just economical.
That's right, I've prepared you an insurance policy.
Have a look.
-Let me explain it to you. -Mi, what are you doing?
The first scheduled surgery is starting.
Hey!
-What happened to you? -Oh my God.
Did you not sleep again last night?
That must hurt. Are you okay, Dr. Hsiao? Do you remember me?
I'm an insurance agent from STS, I'm Jian-de Yeh.
You didn't get my name card, I'll give you one now.
He refused to take my name card again.
Ignore him. That's just who he is. He only cares about his work.
-Can you give this to him? -Sure.
Thank you. This is for you.
-All right. I've got to go. -All right. Bye.
-Take a look at it later. -Okay.
Call me if you have any questions. I'll be there for you anytime.
Please come in.
Take a seat.
I just want to talk to you today.
How long have you been working here?
Nearly two years.
How's everything?
Do you think our hospital needs to improve on anything?
I've talked to the head of department regarding my opinions.
I don't think you asked me here
to hear my complaints about the management.
If it's about the painless delivery of your VIP,
I don't think I've done anything wrong.
According to the medical law and ethics,
the physician has the authority
over the prescription and treatment or the method of referral for his patient.
It shouldn't be influenced by any medical organization...
Pharmaceutical manufacturers, biotechnology companies
and health insurance systems.
Dr. Hsiao.
I know the medical law and ethics better than you.
I'm not here to question you today, don't be too sensitive.
I just want to say, since you knew that she's the wife of the councilman,
can't you at least show some respect for her?
You should apologize and give her an explanation.
I did not do anything wrong to her. Why should I apologize?
I know.
From a professional point of view, you didn't do anything wrong.
But from a social point of view, the hospital is just like a society.
You must be professionally and socially good.
The ultimate goal of our hospital is to become a medical institution.
So, we're trying our best to pass the assessment.
I know about the assessment.
But I don't think these two things are related.
You don't think so?
Listening to you
makes me feel that you should have been the director of this hospital.
I merely want to work as a physician.
Politics is too complicated to me.
Politics.
You merely want to work as a physician.
All right.
Then we should work hard respectively.
I'll fight for the resources and you continue your work as a physician.
You need to cooperate with me.
You'll be my anesthesiologist for the upcoming demonstration.
Please show me your proficiency and expertise.
Of course.
The anesthesiologist should be in control while he is in the operating room.
Dear Dr. Hsiao.
It's my demonstration surgery.
I'm the main player.
I'm asking you, the supporting player, to fully cooperate with me.
We will be in control together.
Do you understand?
I understand.
Dr. Chen, if you're done, I have to go.
Mrs. Zeng, eat more.
How could the physician treat you if you are too weak?
Come on.
Or do you want Guo-zhang to feed you?
Come on, Guo-zhang.
Put it aside, I'll feed her later. Let me sort this out first.
Guo-zhang.
-Let me read this first. -Come here.
Hey.
-Guo-zhang. -Mr. Yeh.
-Hi. -Hi.
Hi, Mrs. Zeng.
Are you looking for me?
It's nothing. It's just that I don't really understand this part.
-This? This is actually very easy. -Okay.
Just like in the first part.
-Because Mrs. Zeng is hospitalized, -Yes.
-she is entitled to claim the insurance. -Yes.
About the second part,
if anything happens during the surgery, she can claim the insurance.
Goodness, nothing will happen. We don't need the documents.
-Of course. -Nothing will happen.
Yes. My bad.
-Okay. All right. -Goodness.
Keep the documents.
Is this why you're here to take care of me?
You brought me to a small hospital for the surgery.
The surgery won't go well.
That will be good.
If it doesn't go well, I'll be set free.
Mrs. Zeng.
Don't say that.
We're lucky this time.
I've arranged the director to perform the surgery on you.
He is the top surgeon in this area.
There's no need to worry. I mean it.
It's better for me to die.
It doesn't matter who the surgeon is.
Excuse us for a moment.
Mrs. Zeng, I know you're in pain.
But can you stop talking as if something bad is going to happen?
We all want you to get well soon.
Otherwise, why would we arrange a director to perform your surgery?
It's just you and me in here.
Just be straightforward.
You're doing this for the money, aren't you?
What should I do to make you trust me?
This the amount that you asked for.
I've counted it. It should be correct.
By the way, everything will go as planned, right?
Don't worry.
I've talked to the people around the deputy director.
You can count on me.
All right.
You need to make sure it goes well. I hope this is worth the investment.
No problem.
I have to go now.
I'm counting on you.
Don't worry about it.
It'll be fine.
All right.
Thank you.
Hi, I'm your anesthesiologist. I'm here for the preoperative visit.
Okay.
Hi.
-Is she asleep? -Yes.
Is she still in pain?
Yes, she always says that she's in pain.
What's your relationship with the patient?
I'm her son's girlfriend.
-I see. -Yes.
-I'll prescribe her some painkillers. -Okay.
Where's the preoperative evaluation form and clinical history that she's filled in?
Right.
This should be the one.
Yes, that's right.
Okay.
I...
The details...
Regarding the details,
I will talk to her son or reconfirm with her.
-All right. -I'm sorry.
All right, I'll come back later.
Thank you.
Zheng-xun.
Hey.
Do you remember me?
Zhao-ying Song. Do you remember me?
It has been a while.
Yes, it has been a while.
I'm sorry. I thought you didn't recognize me.
-That's why I didn't greet you. -It's okay.
I do recognize you, but I wasn't sure if it really was you in there.
Are you okay?
Your cough sounds serious. Did you catch a cold or...
No, it's been like this for quite some time.
-It has been more than 20 years, right? -Yes, nearly.
How are you?
I'm fine.
How about you? Are you still living in Beitou?
No, I moved.
So, are you living with your family?
No, I'm living alone.
Are you single?
That's impossible.
You are a doctor.
Doctors are not well-paid these days.
-Excuse me. -Sure.
You haven't changed at all.
You, too.
I shouldn't disturb you anymore. You should get back to work.
-Please take care of Mrs. Zeng. -Okay.
Drink it.
You can start now.
Other than insomnia,
I've been coughing badly.
I've told you the other day.
Insomnia and globus pharyngis are caused by the same thing.
You get globus pharyngis due to stress.
When you're extremely anxious or depressed,
you feel like you have food stuck in your throat.
It'll affect your diet and cause vomiting when it becomes too serious.
Your condition is quite serious now.
It will lead to psychoneurosis eventually.
Dr. Yang, do you have any suggestions?
You need to come regularly for consultation and relieve your stress.
Avoid overworking yourself.
It's better to rest for a while and relax your mind.
That's impossible.
It's impossible for an anesthesiologist to take leave now.
There's a surgical demonstration next week.
-It is very important to our hospital. -Is it more important than your life?
My job is to save lives.
Nothing else is more important than that.
Considering your current condition, you can continue to take sleeping pills.
But if you really want to solve this,
you need to escape from your hectic life now
or find the source of stress.
From my point of view,
you're numbing your emotions with your work to run away from the pain.
It'll slowly numb your emotions if it stays like this.
Eventually, you will be emotionally paralyzed.
Why don't you open up
and let out your feelings?
Did you take the pills last night?
When are you free next week? I'll arrange your next follow-up.
I'm on leave next Thursday.
Considering the patient's age and the fact
that the size of the kidney stones is larger than 2.5cm,
the director decided to perform PCNL,
percutaneous nephrolithotomy to shorten the operation time
and minimize the blood loss.
That's all from me. Thank you.
Thank you, Dr. Wang, for your report.
Since the patient will undergo the operation in prone position,
Dr. Hsiao will advise us on the way we handle
the respiratory tract and anesthesia.
Dr. Hsiao.
Estimated surgery duration is one and a half hours. Begin the surgery.
NEXT EPISODE
It's malignant hyperthermia. We need to use dantrolene.
How can this happen?
When I was assisting the surgery,
Dr. Hsiao seemed tired and unfocused.
How could you step into the OR without getting enough sleep?
What actually happened in the operating room?
-Bastard! -What are you doing?
You killed my mom. Don't you know that?
Subtitle translation by Gwen