(There's a full moon tonight. I remember how you used to like it.)
(Dad says he loves you.)
My goodness.
I should tell them...
after the ethics commission makes their decision.
If they decide against taking him off the ventilator,
it'll be more painful to them.
Other than the two members from outside,
6 out of the 12 in-house members are your allies.
(Ethics Commission)
Kim Chang Sik, your junior, is the head of the commission,
so it'll be easier to gather a consensus.
Hello.
You selected the commission members?
Yes.
Here's the list.
I want them to meet as soon as possible.
Like I said before, closed to the public.
Of course.
You've grown. I'm glad you pulled through.
What happened to your eyes? Is something wrong?
I'm allergic to cats.
Give him to me then.
Did you visit your dad?
I couldn't visit my dad.
Seeing him made me depressed, then afterwards, I felt sad.
So I couldn't visit often.
You visit him every day.
How did you know?
I saw you. I'm always watching you.
I see you.
You don't know the phrase?
Why do you...
- look at me? - You're pretty.
I didn't mean your face.
Then what?
You do nice things that don't show.
You have a pretty heart.
The moon's so pretty too.
(Gyeongseo University Hospital)
How do you feel?
I don't know yet.
The first treatment...
needs to work if it's to be successful.
Let's see how things go after a couple more rounds.
Okay. Can I go now?
Why are you in such a hurry?
Today...
I return to work.
(Emergency Medical Center)
- Mr. Son Seok Ki? - Yes.
He's one of our cancer patients.
- Symptoms? - Nausea, vomiting, stomach pain,
difficulty in breathing, and chest pain.
Put him on a bed.
We'll move you.
Son Seok Ki?
We'll give you a painkiller and antiemetic.
Stay until you're stable.
I'll prescribe it right now. Hang in there.
- Check his vitals. - Okay.
That patient.
What are his vitals?
Give him a painkiller and antiemetic.
(First round of cancer treatment)
(CT follow-up in 2 months)
Who are you?
Prescribe him nitroglycerine.
Are you saying a young man has a myocardial infarction?
- Who are you... - He was...
treated with 5-FU.
A side effect of that...
is a contraction of the coronary arteries.
Get some nitroglycerine.
Mr. Son, we have your medication.
Keep it under your tongue and let it melt slowly.
Cha Yo Han?
(Emergency Medical Center)
How do you feel?
Much better.
So, earlier on...
Pardon?
Never mind.
If you feel the same symptoms again, come right in.
Okay.
What do you think is the role of doctors?
I'm sure she wants to see you too. Let's go to Mom.
We need people who determine what is most beneficial to patients.
I believe that's a doctor's duty.
A righteous decision on life?
Is euthanasia a part of it?
Of course.
Death isn't always the righteous option.
- All that I'm doing... - Mom.
is striving to determine what's best for the patient until the end...
when the decision between life and death must be made.
(Memento mori, Latin for "to remember death")
- Lieutenant Kim. - Sir.
National Forensic Service finished analysing the video.
Okay, I'll be there.
(Would You Like Coffee)
13 iced americanos...
and one iced mocha.
- Thank you. - Goodbye.
- Chungil Penitentiary? - Yes.
One of my sources was there.
I met him yesterday after his release.
And?
He knew Cha Yo Han very well.
Chungil Penitentiary's Inmate 6238?
I watched him very carefully.
He's very weird. He's almost unique.
If this gets out, no hospital...
will want to hire him.
What were you told?
- Hello. - You have an emergency.
Come this way.
- What's this? - What's this?
Over there.
- 1, 2, 3. - 1, 2, 3.
Welcome back!
Congratulations on your return, Dr. Cha.
Isn't this too much for someone who just got disciplined?
That was uncalled for.
You deserve to be welcomed back.
I brought coffees.
- Thank you! - Thank you.
She drew this herself.
It looks just like you.
This is yours.
Thank you, doctor.
Gi Seok.
Gi Seok, open your eyes.
Gi Seok. Wake up. Gi Seok.
Gi Seok.
- Gi Seok. Gi Seok. - Doctor.
He collapsed in the gym.
He's breathing but is unconscious.
Temperature 40.5℃, pulse 125.
BP 92 over 50.
- Let's move him. - Gi Seok.
1, 2, 3.
Doctor! It's Gi Seok. Save him.
- Doctor. - Ma'am.
Let me have a look first.
- Take her to the side. - Calm down and come with me.
Gi Seok. Gi Seok.
- Are you okay? - Gi Seok.
He has CIPA.
He doesn't respond to pain.
Get me a stethoscope.
There's a bruise to his side.
Did it happen before his fall or due to it?
Gi Seok.
One ampule of Ativan.
Gi Seok.
The brain CT shows no abnormalities.
He still has a fever despite the medication.
Couldn't the seizures just be a febrile fit due to the fever?
Other test results?
At 9.2, his CRP is high,
and ANC is 615.
Infection focus?
Infiltration of the right lung.
Could it be pneumonia?
Put him on antibiotics.
Piperacillin and tazobactam.
- Okay. - Okay.
This is the part you mentioned.
I enlarged it as much as I could,
but I don't see anything.
A white gown and short, black hair.
A man who doesn't wear glasses. That's all we can tell.
That's right.
- Hello? - Mr. Son.
Do you know they're airing Dr. Cha's episode of "Our Famous Doctors"?
I'm busy right now. Let's talk later.
You must watch it.
Watch it.
There's something I must tell you.
After antibiotics and fever reducer,
he's still unconscious with a fever.
He's breathing on his own, but pneumonia's advancing,
so we took the usual precautions.
Saturation is in the lower 90 percent.
We might have to put him on a ventilator.
Where's his mother?
Ma'am.
Did he show any symptoms after he left the hospital?
No.
Then was he hurt recently...
or on a trip?
He didn't do anything special.
Or go travelling.
What could it be?
The antibiotics and fever reducer didn't work.
Is this his?
I guess so.
Ma'am, is this Gi Seok's phone?
Can we take a look?
Yes.
We might find something useful.
Like notes or photos.
There could be texts he exchanged with friends.
Okay. Go ahead.
(Gallery)
He collapsed in the gym, right?
- Yes. - Was he exercising?
He didn't before,
but once his vacation started, he said he wanted to train.
Every day, he measured his weight, body fat,
and muscle mass.
He's thin and his muscle mass and body fat are below average.
He couldn't be on a diet.
Did he want to gain muscle?
It's possible.
Steroids.
Could that be it?
You know how some people...
inject steroids illegally to bulk up?
A side effect is the suppression of the immune...
Those aren't the same steroids.
- What's wrong with you? - Unlike the usual steroids,
anabolic steroids that are said to increase muscle mass...
don't suppress the immune system.
That's right. I got confused. Sorry.
What if Gi Seok was too?
You mean what if he mistakenly injected the wrong steroids?
Yes.
Shall I call his mother...
and ask her to check his gym locker and belongings?
Say we'd like to take a look.
- Okay. - Okay.
The patient you'll be meeting today...
has a disorder where his body doesn't tell him what's wrong.
He cannot feel pain.
He's a patient who's suffering from CIPA.
(CIPA patients can't feel pain, heat, or cold.)
This is the ANI which shows us his level of pain...
through the changes...
of his heart rate.
When a normal person feels pain, his or her heart rate changes...
and the ANI figure suddenly goes down like this.
But this patient shows...
- a steady graph... - Are you watching?
- He doesn't feel the cold. - Yes.
What is it you wanted to tell me?
The patient can't feel the cold.
I met a reporter I know today.
One of his sources...
stayed at the same penitentiary as Cha Yo Han.
So what?
From what he saw, Dr. Cha...
was weird, almost unique.
He sutured himself without anaesthesia?
Yes.
But other than that, there were many other oddities.
(Cha Yo Han)
Doctor.
This was what was in his gym locker.
- This is his school bag from home. - Open it.
There's nothing here.
I found it.
Ordinary steroids.
Run a galactomannan test.
If the steroids suppressed his immune system,
he could have aspergillosis.
(Infection of Aspergillus fungi)
Ask Dr. Kim of Infectious Diseases...
for a consult right now.
- Okay. - Okay.
To maintain our body temperature,
we must secrete sweat.
Unique?
They worked outdoors one summer day.
- It's so hot. - Can't you do it properly?
It's hot. Let's finish up quickly.
Faster.
- My gosh. - I'm exhausted.
Patients don't sweat,
so it's hard for them to regulate their temperature.
Anidrosis or the lack of sweat is another characteristic of CIPA.
Cha Yo Han didn't sweat a drop.
- Bring some over here. - Gosh.
It's so hot.
Don't you have manners?
Hey, pull yourself together.
- I feel much better. - Nice and cold.
I feel so much better now.
(Kang Si Young)
What did the results say?
Gi Seok has respiratory failure.
Ambu bag.
Succinylcholine, one ampule.
(Succinylcholine: a muscle relaxant)
- What do we do now? - We'll intubate.
He doesn't know even when he's hurt.
- Gi Seok. - He gets hurt often.
He breaks bones.
(Patient's guardian)
His skin too.
Even if it's infected,
we don't know unless there are signs at the surface.
He has to be really careful.
So in the hospital,
(Calls)
I always asked the doctor to prescribe antibiotics...
so that he wouldn't get infected.
What did you say earlier?
Cha Yo Han often took antibiotics?
Yes. The source was a drug dealer...
who knew his stuff.
But he noticed something very odd.
Like what?
If he took antibiotics that often,
that means he got hurt or infected often.
If that's true, the antibiotics must be taken with something else.
Dr. Cha took nothing else.
He never required any painkillers.
(Patient's guardian)
He didn't need any.
He didn't feel any pain anyway.
- Do you mean... - Yes.
Painkillers.
Cha Yo Han's a patient.
He has what that boy has.
I have CIPA.
Congenital insensitivity to pain with anhidrosis.
He put on a show this far.
How can someone...
who has CIPA treat patients?
I will report him myself.
(Restricted area)
Put him on the ventilator.
Doctor.
Doctor. I can't move.
Gi Seok. Gi Seok.
I hear you.
But I can't speak.
(As soon as you find this patient, call an ambulance.)
(Doctor in charge: Cha Yo Han)
- Just like you. - Yes. Just like me.
Save me.
I want to live, Doctor.
Save me.
Doctor.
I want to live.
Doctor. I want to live.
Save me.
(Doctor John)
Director Kang, I have bad news.
What on earth...
Dr. Kang, is it true?
What is?
Doctor.
Why did you do it without telling me?
In case you didn't do it.
Were you influenced by him?
Is the post that was recently uploaded on our website true?
The post that you're a CIPA patient who can't feel pain.
Dr. Cha's here.
I'd wanted to meet you.