This is the aorta.
-It seems weak, so pull it gently. -Yes, sir.
Teacher Kim, his SBP dropped to 60s.
His cerebral oximetry is dropping below 40.
I'll increase it and start transfusing blood.
I'm sorry.
I'm very sorry, Teacher Kim.
It's okay. Stay calm.
Okay.
Prolene number four.
Dr. Kang, we have an emergency.
You need to come take a look at this.
I think it's ulcer perforation.
Ulcer perforation?
Who told you to notify that way?
-Where did you get your training? -I'm sorry.
The patient is a 34-year-old male
and had intermittent abdominal pain for a few months.
He came in complaining abdominal pain this morning.
He has no special medical history. According to ROS--
Are you doing a presentation or what?
So what's his condition at this moment?
He's showing abdominal rigidity
and severe tenderness.
I did a CT scan as I couldn't find out the cause in the X-ray.
It's here.
Hello? What happened?
It is ulcer perforation. He needs an operation right now.
How are things going there? Did they start cannulation?
Not yet.
I will operate on the patient with perforation. You stay there.
I can't finish the whole procedure
within 20 minutes without you.
It's already been delayed by 10 minutes with the damaged aorta.
It can no longer be delayed.
But this patient can't wait until then.
If something goes wrong, it may lead to sepsis.
They are still working on vessel dissection here.
It'll take about 1 hour and 10 minutes until they have
the heart-lung machine connected.
Including the time delayed,
it will take about 1 hour and 20 minutes.
-What do you mean? -Within that time,
we can operate on the patient with ulcer perforation.
If we work together.
Laparoscopy or open?
If we find the perforation quickly, it will be easier with laparoscopy.
But if not, we will have to cut the abdomen open.
We don't have time to take a risk.
-Okay. You will be cutting it open. -Okay.
-Ms. Eom. -Yes.
Is Dr. Yang on standby today?
Yes, he's in the company house.
Call him. We have an emergency operation.
Yes, Dr. Do.
-Dr. Woo. -Yes.
Move the patient to the operating room immediately.
Yes, Dr. Do.
-This is operating room. -Just listen to me.
We have an emergency patient with ulcer perforation
and I'm operating on him.
Don't tell Teacher Kim.
I will be back before he has the heart-lung machine connected.
Just keep me updated on your progress every 10 minutes.
Okay.
I will do that.
Can we start?
Yes, please.
Scalpel.
Pad.
Bovie.
Kelly.
Scalpel.
Retractor.
Irrigation.
Keep it coming.
Dr. Nam.
Give him heparin.
Injecting heparin.
MS. JEONG: THEY STARTED CANNULATION
They started cannulation.
Do you see it?
I think it's around the lesser curvature.
LESSER CURVATURE: CURVATURE OF STOMACH
Bovie.
Prolene number four.
Cut.
Scalpel. Pass me cannula.
Dr. Yun, clamp on.
Suture.
Cut.
-Connect the suction line. -Irrigation.
Keep at irrigation.
That's it. Clamp off.
Let's do the inferior vena cava.
Yes, sir.
He's fast.
Dr. Shim.
What do you think? Is it going well?
So far, he's abiding by the standard procedure.
He's really fast, though.
It's been only 80 minutes,
but he is already working on the inferior vena cava.
He will do risky things
to shorten his surgical time.
Don't miss it when he does.
I understand, sir.
I found it. Suture.
Cut.
-Cut. -Cutting.
Cut.
STARTED CANNULATION OF SUPERIOR VEIN CAVA
Dr. Kang,
Teacher Kim just finished the cannulation of inferior vena cava.
He's starting the cannulation of superior vena cava.
They'll catch up to us at this rate.
Cut.
Okay, all done.
Apply irrigation for ten minutes and finish up.
Close him up in ten minutes.
Irrigation.
Pad.
Hemovac, please.
Doctor. She says you have to come back in ten minutes.
-Suture. -Should I use a stapler?
Yes.
Maintain tension by making fine subcutaneous stitches.
Use a stapler to stitch up.
-Cut. -Cut.
Doctor, you have to come right now.
-Cut. -Cutting.
Stapler.
Okay.
Dr. Woo. Please finish him up and dress him.
Yes, Dr. Kang.
Take him to the ICU when you finish.
Call us if anything happens.
Yes, Dr. Do.
-Is the heart-lung machine ready? -Yes, it is.
Pump on.
-Are you ready? -Yes.
Pump flow down.
Cross-clamp.
Pump flow up.
Turn off the artificial heart.
We will now take out the artificial heart.
Are you ready, Dr. Kang and Dr. Do?
Yes, Teacher Kim.
Changing positions.
Removing the batteries, the TET, and the controller.
Scalpel.
Bovie.
Dr. Do looks
very good on screen, President Do.
-Army retractor. -One more, please.
Do you need coffee?
Would you like something to drink or some snacks?
Where's the restroom?
Go straight and turn left in the middle of the hall
and turn right from there.
Thank you.
DOCTOR'S OFFICE, TEACHER KIM, CHIEF OF GENERAL SURGERY
You really made up your mind, didn't you?
Dr. Bu Yong-ju.
The batteries have been removed.
The controller has also been removed.
Finally, I will pull out the TET.
This is good.
They finished two minutes faster than we expected.
Good job, both of you.
Metzenbaum.
From now on,
we'll be going non-stop.
This is quite amazing.
Isn't it magnificent?
I'm not a doctor myself so I don't know very well,
but what I do know is that
what they're doing is amazing.
What's your role at this hospital?
I'm the manager of this hospital, Jang Gi-tae.
MANAGER JANG GI-TAE
If you're the manager,
you must know everything about this hospital.
It's a bit embarrassing for me to say,
but you could say
that I'm the one who pulls the strings behind the scene.
I see.
The connective unit, please.
Long forceps.
Prolene number four, please.
The artificial heart, please.
How's the pump flow?
It's 5.8 liters.
I will remove the air from the artificial heart.
Increase the volume, please.
Turn on the artificial heart.
All right.
How is this possible?
What? Did you find a fault?
No, it's not that.
Every part of the operation was done by the standard procedure.
There is something abnormal about this.
What's abnormal about it? What is it?
It was
so quick.
It was quick?
If the adhesion is too severe like that,
it takes at least three to four hours until pump on.
However, it took him
only four hours and five minutes to change the heart.
-This is just-- -Is that all? Is there anything else?
There is one other thing.
What is it? Tell me.
It was...
too perfect.
I knew it.
You've still got it.
Dr. Yun.
Touch it.
Me?
This is the first artificial heart
you've ever changed.
It took another two hours
to control bleeding and to stitch him up.
The entire operation was
finished in 6 hours and 2 minutes.
It took 6 hours and 2 minutes.
Everyone, great job.
-Great job. -Great job.
Great job.
Here.
Great job, Dr. Nam.
Great job.
That's how Teacher Kim
and we
created yet another miracle.
INTENSIVE CARE UNIT
You're here.
-How's my father? -He's resting inside.
It looked like the operation went well.
One of his veins
was touched during the operation.
We'll have to wait and see how he recovers.
He's doing very well.
His blood pressure, CVP, ABGA, and VBGA are all stable.
Okay.
What about the patient with ulcer perforation?
Dr. Kang just checked in on him.
It looks like the operation went well.
Make sure you check in often until the chairman wakes up.
If anything happens,
call me right away.
I'll stay by his side.
I'll take turns with Dr. Yun, so don't worry about it.
-Thanks. -Sure.
Of course.
How is my father doing?
He's doing well so far.
All of his vitals are stable.
It'll take
about 6 to 12 hours for him to wake up.
It'll be either late tonight or tomorrow morning.
It looked like
you touched an aorta by mistake.
President Do.
You seem to be clueless since you specialize in internal medicine.
Sometimes, we touch an aorta during a surgery
if there is an adhesion in veins.
You even brought a heart surgeon with you.
Didn't he tell you about that?
The moment the aorta popped,
the oxygen saturation of his brain dropped below 40.
It did drop, but it was around 38.
Then it went right up.
What if something goes wrong because of that?
I doubt anything will go wrong because of that, President Do.
I surely hope so.
Especially if you don't want any trouble.
Why?
You should go and pray on it.
Pray that he won't wake up.
What are you talking about?
I am worried about the chairman.
You surely are.
Excuse me.
Please do not misunderstand.
-I was honestly worried about-- -I know.
Anyway, thanks for today.
Call me as soon as he wakes up.
I'll be at a hotel nearby.
Won't you go in?
I don't want to see
my dad like that.
Call me when he wakes up.
Chairman Shin.
The operation went well.
I made
a mistake in the middle.
But nothing went wrong because Teacher Kim covered for me.
As long as you don't give up,
you'll be up in no time.
Okay?
-When he was unconscious... -Did you see him?
-Doctor. -Doctor!
-Doctor, are you okay? -Aren't you tired?
-I'll make a visit soon! -May I take a picture?
-Sir! -Doctor!
-I respect you! -Can you wait?
Everyone, calm down. Teacher Kim just finished
a very difficult operation.
I do apologize that he can't make any time for you all today.
Please do return to your seats. Thank you for understanding.
-Doctor! -Please open the door!
Okay, I will let you see him.
Please return to your seats.
Yes?
Teacher Kim.
I'm so sorry to intrude.
What is it?
First of all, I'd like to congratulate you
for a successful operation.
It was such a touching live operation.
Teacher Kim, you truly are good.
Right?
What's the occasion?
Oh, well. It's...
There is someone here
who wants to interview you
about this special artificial heart operation.
No, thanks.
Don't say that. Could you do this for the publicity of
of Doldam Hospital and yourself?
No, I'm not talking to any reporter.
Hello.
I'm sorry a mere reporter like me came to bother you.
Mr. Oh, you said you'll walk in when I give you the sign.
You can't do this.
It's been a while, Dr. Bu.
I haven't seen you since Jang Hyeon-ju's incident, right?
What's wrong?
I think it's infection. He has a 38 degrees fever.
Ms. Cho.
Check his vital signs
and give him propacetamol.
Yes, Dr. Yun.
Go eat something. I will stay here.
I'm okay.
I heard you skipped breakfast.
You should go eat something.
You will be working at night, too.
Thank you.
Did you ask for me?
What's the difference between chest PA and chest AP?
They are taken in different positions.
PA is taken in a standing position and AP is taken in a lying position.
What should you do with the patient with ulcer perforation, then?
In a standing position.
Then is it PA or AP?
Of course, it is PA.
Is this PA or AP?
What?
This is AP.
And you reported to me that there was no free air.
I'm sorry.
I made a mistake giving an order.
I told you to be better, not sorry.
-I told you to be better. -I'm sorry.
-I'll be better from now on. -Forget it. Just go.
Don't you think you went too far?
-What? -I know she made a mistake,
but you were way too harsh.
It's not that Dr. Woo made a wrong diagnosis or something.
She notified you of the ulcer perforation,
and had the patient undergo an operation before it was too late.
Mr. Park.
You are just picking on everything she does.
You are not just pointing out her mistakes.
You keep insulting her character.
I'm saying this because it makes me very uncomfortable to watch.
-Mr. Park. -Excuse me, Mr. Park.
Mind your own business.
What happened just now was between doctors.
It's not for a nurse like you to intervene.
This is my area.
I'm sorry, Dr. Do.
I will talk to him.
We have patients here. Can we stop now?
-You were wrong on this one. -Ms. Oh.
I know you don't like the way he works,
but you can't complain about it like that.
You get what I'm trying to say, right?
Hi.
President Do.
Hello.
Manager Jang.
Get him out of my office.
Pardon?
Did I make you feel uncomfortable?
Yes, you did.
Why?
Do I remind you of some bad memories?
Do you two know each other?
I'd say yes,
but we are not friends or something.
I don't even know
what President Do said to incite you.
I'm not talking to a journalist like you for even a second,
so get out of my office now.
Dr. Bu Yong-ju.
This is your problem.
You treat journalists like trash
as if they'd do anything for money.
It is very offensive.
You are trash.
I'm not worse than you who killed a patient
by having your junior doctors perform a surgery for you.
At least I didn't kill a person.
There is more than one person
who suffered
and turned their backs on the world because of your ridiculous reports.
So I'm telling you to reveal the truth with evidence
instead of avoiding me.
If you keep shying away from it,
it will just breed more misunderstandings.
Why would I
explain myself with evidence to a scum like you?
People want to
know the truth.
The truth?
So...
If you find out the truth,
do you have the courage to tell it to the world?
He is
Dr. Ahn Wu-yeol, thoracic surgeon at Geosan Medical Center.
It seems he was very impressed by the operation.
He praised you a lot.
It was Teacher Kim who did a good job.
It is true that he is good,
but he couldn't have done it without a good first assistant.
I guess you saw I made a mistake.
It was delayed
by more than 10 minutes because of my mistake.
You are very modest.
She is a talented doctor I've supported since she was young.
She is my friend's daughter,
but I feel like she's my daughter.
I'll take this moment
as the end of our relationship.
We recently had a conflict.
Are you still upset with it?
No, that's not it.
I just scolded you once as a senior and a father.
You can't treat me like this because of that.
I've put a lot of efforts into making you a decent doctor.
Young kids are all like that these days.
It is just our generation who tried everything
to humbly beg pardon and pacify their seniors.
But young people these days break off contact instead.
I'm sorry.
I should have given it more thought.
Anyway, I'm pleased to meet you, Dr. Yun.
I want to talk to you about the operation
when we get a chance.
Well, actually, you are single, right?
In fact, Dr. Yun is also single.
She's always busy working at the hospital.
Just like you.
I think you two would
make a cute couple.
Don't you think, President Do?
Spare some time to come visit me.
Let's have dinner together with Dr. Ahn.
Excuse me.
Dr. Yun, what are you doing? Teacher Kim is looking for you.
Teacher Kim?
You should hurry. It seems to be urgent.
Okay. Please excuse me.
Where is Teacher Kim? Is he in the office?
He's in the staff room.
In the staff room?
What's going on?
You didn't have lunch yet, right?
You said Teacher Kim wants to see me.
What do you want to eat? Jajangmyeon or pizza?
It is all we can order for delivery.
Next time you are in such a situation,
just leave the place without hesitation.
You don't have to listen to the nonsense.
Do you want me to hang up a sign on your back?
Yun Seo-jeong is taken.
Do not touch her. Like this.
If the same thing happens again,
I will go tell President Do everything.
I'll tell him you have a boyfriend.
That I am that boyfriend.
I will say that.
Don't be ridiculous.
Why? Do you think I won't do that?
Do you want me to tell him now?
Pizza.
I want to eat pizza. I'm starving.
I knew it.
You must be hungry.
Let's talk about that again after eating lunch.
What do you want to drink?
Anything.
Do you want coke or sprite?
Anything.
That has to be the most difficult answer to work with.
I can't order pizza like this.
Excuse me, Mr. Park.
Yes?
About your taking my side earlier...
I do appreciate it,
but I hope you won't do that again.
I have much to learn,
and I still make a lot of mistakes.
Getting corrected even in such a way
is a big help for me.
Getting corrected and getting looked down upon
are two different things.
Either way,
I think it's something I have to cope with.
-That being said-- -But still, I don't think
it's right for you to be mistreated.
That's the way
I was taught here.
No matter how young, I was respected.
I was scolded when I made a big mistake,
but I was never looked down upon as a person.
People will do it more if you just let them.
They think it's okay.
I didn't say that to Dr. Do to take your side.
If I saw any other person being treated like that at this hospital,
I would have done the same.
This is the emergency room.
Ms. Oh. It's me.
I need you in the president's office. It's an emergency.
Reporter Oh?
What about him?
He's blackmailing me saying he'll expose Teacher Kim of his past.
Starting with how he got kicked out of Geosan Medical Center,
he went on about a woman named Jang Hyeon-ju.
Why did you take that reporter to Teacher Kim's office?
I didn't know this would happen.
All I wanted was publicity for our hospital
by letting the word out on the success of the operation.
I only did it for our hospital's recognition--
Chairman Shin hasn't even woken up yet.
Why did you get ahead of yourself?
That's a bit harsh, Ms. Oh.
How is that getting ahead of myself?
President Yeo, why would you leave in the middle of a conversation?
I forgot that I need to go down to Sokcho.
I'm sorry. I'll have to leave early.
Why would you go to Sokcho at a time like this?
Gosh, you're so gullible.
My goodness.
I'm not doing this for my own good.
I'm doing everything for the hospital.
Gosh.
That Jang Hyeon-ju
really follows Teacher Kim wherever he goes.
It wasn't even his on own will to make others operate on her.
Why do you think he's not even trying to justify himself?
Bu Yong-ju. That's the kind of a man he is.
He's unfriendly and stubborn as a rock.
I think he feels somewhat responsible
for the death of Jang Hyeon-ju.
Even so, it's not something that should be buried.
What President Do and the main hospital
did to Jang Hyeon-ju and some of the patients there
and how they put all the blame on Teacher Kim.
Isn't it about time we put the matter in its true light?
It won't be easy.
It's highly unlikely that they left any evidence of what they did.
But still, I can't understand
why Teacher Kim is keeping quiet about it.
Moreover,
it involved the death of his favorite pupil.
Rather than mourning the deceased,
he made an inevitable choice to save some child's life.
Let's just say that's the case.
Some child?
Who's that?
That's as much as I can say.
I made a promise to Teacher Kim that I'll take it to my grave.
-Let's take a CT scan. -Yes, Doctor.
Sir.
We'll go take a CT scan shortly. Please sit tight.
Are you busy?
He's experiencing right flank pain.
There's hematuria and he's waiting for his turn on the abdomen CT scan.
It looks like an ureter stone.
I think so, too.
That ulcer perforation patient in the morning...
I heard you performed the operation.
I'm sorry. They said it could develop into a sepsis.
I made the decision without your permission.
-Great job. -Okay.
What?
Forget it if you didn't hear.
-Please continue. -Yes, Teacher Kim.
You found this in Teacher Kim's room?
I think that's what Bu Yong-ju wanted to do
at Doldam Hospital.
Bu Yong-ju, you swine.
Some malicious dream you've been dreaming.
I can't believe he's been plotting such nonsense.
It's not impossible, so to speak.
If this operation finishes successfully,
Chairman Shin will completely have
Bu Yong-ju's back.
That won't happen.
It's bad news for Bu Yong-ju,
but it looks like
fortune is still on my side.
He's not waking up.
BP, CVP, ABGA, and VBGA.
Everything is stable.
How long has it been since the operation?
It's been nine hours.
We should wait and see
until the 12-hour mark.
Patients of old age
tend to take longer to wake up.
I understand.
What are you talking about?
What do you mean? He's not awake?
Do you know what time it is?
DIRECTOR SHIN
Yes, Director Shin.
As soon as I got the report saying he's yet to awake,
I'm on my way to Doldam Hospital.
I'll have to go there
and get a grasp of the situation.
Yes. I understand.
Dr. Nam.
Where are we on propofol and pentalene?
I stopped the injection after the 12-hour mark.
Just in case.
Every indicator was in the normal range all night.
There was almost no bleeding, so we started giving him heparin.
He hasn't had any crisis.
Why is he not waking up?
-Teacher Kim. -Yes?
Chairman Shin's guardian is outside.
I'll go.
No, you should keep by his side.
Let's go.
Page Mr. Gu.
What happened?
Why hasn't my father woken up yet?
You said it'll take 6 to 12 hours at most for him to wake up.
It is 10 a.m. now.
19 hours have passed since his surgery ended.
It rarely happens, but it's not impossible.
We have to wait at least for two or three days.
Why are you going back on your word?
You said 12 hours. Why did that become 2 to 3 days?
In most cases, patients wake up in 12 hours,
but when they don't,
we need to check their condition for between 48 and 72 hours.
That's what I meant.
All you do is check his condition?
You should be doing everything you can. You'll just check on him?
I did everything I could do during the surgery.
The surgery went well,
and we minimized the hours of putting him under anesthesia.
In this situation, all we can do is
wait for the patient to wake up.
There's nothing else we can do.
That's not true.
The fact that he hasn't woken up yet means
that there may be a problem in his brain.
You should take a CT scan immediately.
I am his doctor.
Therefore, I'm the one who decides whether to take a CT scan.
How dare you?
What do you mean by that?
Are you trying to stall for time or something?
Can't you see what are connected to his body?
Four infusion pumps,
two tubes from the artificial heart, and four chest tubes.
In total, there are ten tubes connected to his body.
What if something goes wrong while we take a CT scan
with all the tubes connected to him?
Would you take responsibility?
-This is your biggest problem. -What?
You rate yourself too highly.
You never admit what you did wrong.
I'm sure all you thought of was a perfect surgery.
You finished such a difficult surgery in six hours and two minutes.
It's something you can draw attention with. But!
I guess you didn't consider the possibility
that Chairman Shin would not wake up.
So you are flustered
and you can't accept the reality. Am I right?
Stop beating around the bush. Make it short.
What's your point?
I've been curious
why you pushed ahead with such a risky surgery
even though he has terminal lung cancer.
Did you take such a big risk just for this?
Just for this?
This is a mere shabby branch hospital,
and you are working with
an anesthesiologist who is going through a medical litigation,
a fellow who has been kicked out from the main hospital,
an ER doctor who had PTSD in the past,
and the staff members of a countryside hospital
who haven't even worked in a general hospital.
What did you dream of with such poor team members?
A trauma center?
Was that what you wanted from Chairman Shin
in return for his surgery?
A trauma center?
Is that why you operated on him
even though he has terminal lung cancer?
THE BIZARRE CASE OF SURGERY FRAUD AT A COUNTRYSIDE HOSPITAL
THE GENIUS SURGEON BU YONG-JU PUSHED AHEAD WITH A SURGERY,
AND CAUSED THE CHAIRMAN TO FALL INTO A COMA
As of this moment,
you are disqualified from your position as his doctor.
-Dr. Shim. -Yes, President Do.
You're in charge of Chairman Shin as of today.
Take a CT scan immediately.
Yes, President Do.
If the result shows
that he has cerebral infarction,
you will not only go through a medical litigation
but also lose your doctor's license.
-What are you waiting for, Dr. Shim? -Yes, President Do.
Could you please move aside?
Please let me go in.
Did you even wash your hands?
Are you really going in there
dressed like that?
In the ICU?
-Mr. Gu. -Yes?
From now on,
don't let anyone enter the ICU without my permission.
Especially
this one and that one
shouldn't go in there.
Don't let anyone go through this door.
Yes, Teacher Kim.
What are you doing?
I'm protecting my patient as his doctor.
-What? -Are you really
going to let him die?
Here.
Can you read this?
POWER OF ATTORNEY
This is the letter Chairman Shin wrote himself
before the surgery.
The full decision-making authority
in every possible situation that might happen after the surgery
has been given to me.
I have been given the full authority.
That's what this letter is about.
I am the president of the main hospital.
How dare a mere surgeon at the branch hospital
try to stop me with a piece of paper?
How dare you?
I'm sure he had it notarized.
I guess that means
it has a legal effect.
Am I right, Manager Ju?
The corporation lawyer has notarized the letter.
I was there, too.
You were there, too?
The fact that it has a legal effect
means that it carries legal binding force, I guess.
So stop interfering my work and get lost.
Do you not understand what I said?
I said, get lost.
As soon as Chairman Shin regains his consciousness,
we will get in touch.
You.
You should have stopped him when he was doing this.
Were you helping him instead?
He trusts Teacher Kim more than anyone else.
So do I.
If things go wrong for him,
you will be finished, too.
THE FOUNDATION PLAN OF TRAUMA CENTER AT DOLDAM HOSPITAL
The era of rampant facts.
The world where what powerful people say is considered as a fact
while powerless people's words are considered as a wild rumor.
Hello.
-What brings you here again? -I just
came here to have udon.
Can I have a bowl of udon?
With their own opinions and lies
that distort the truth,
people insist their opinions are the facts in this world.
THE BIZARRE CASE OF SURGERY FRAUD AT A COUNTRYSIDE HOSPITAL
PHOTOS, DOLDAM HOSPITAL
PERSONNEL RECORDS, KANG DONG-JU
PERSONNEL RECORDS, YUN SEO-JEONG
STUDENT ID, JANG HYEON-JU
If you find out the truth,
do you have the courage to tell it to the world?
Hello?
It's me. Oh Seong-jae.
What if
I say that I have the courage to tell the truth to the world?
Will you tell me the truth?
The truth is
always rooted on facts.
Can you tell me the truth?
Dr. Bu Yong-ju.
But not all the facts are
always right.
Subtitle translation by Ryan Oh