----
We are going to remove the fistula.
There are infections around the thyroid area.
But we may not have to sever the thyroid.
- Start from where you can see the fistula. - Yes, sir.
Kyu Wan.
I will help you to hold onto your dreams.
I will do that.
The fistula is all removed.
Should I ligate it here?
Be careful. That way is to the front of the cartilage.
It may be difficult to salvage the laryngeal nerve.
Okay. Mixter.
Hold on.
What is it?
Kyu Wan can sing.
We can make Kyu Wan's dreams come true.
Explain.
Looking at the CT scan, it seemed unlikely that we'd be able to salvage the laryngeal nerve.
But, if you look at the direction in which the fistula has been taken off
and match it up with the image from the esophagography
if you enter near the laryngopharyngeal cartilage and the top bronchus...
And twist the thyroid cartilage counterclockwise...
we'll be able to salvage the nerve while ligating the fistula.
- That's right. - It will be possible to avoid the nerve.
Dr. Park was able to conjure up the image of even the nerves below the swollen tissue.
Then, Kyu Wan can sing again?
As long as the surgery goes well.
If he recovers well after the surgery, without any infection, I don't think there will be a problem.
Think about the results after the surgery is finished.
For now, just focus on the surgery.
Yes, sir.
Everybody, focus from now on.
Don't even breathe out loud.
We'll start with the area behind the thyroid cartilage.
Mixter.
Cut.
The fistula has been ligated.
- Good job, Doctor. - Good job.
Good job, Dr. Park.
Thank you, Professor Kim.
Dr. Park, please stitch him up nicely.
Make sure the stitches are even.
Okay.
Dr. Park.
Why aren't you saying anything?
I have nothing to say.
That's strange...
You are always scolding me as soon as we are out of the surgery room.
I have nothing to scold you about.
It's all thanks to Dr. Park Shi On.
I understand why you think Dr. Park should move departments.
I understand well why you made that decision.
I don't want to tell you what I think you should do.
But, I'm going to ask you for a favor.
Park Shi On...
Just see him for what he is.
Just as he is.
Excuse me.
Doctor?
Are you okay?
Yes. I just feel a bit dizzy.
I must have been tensed up.
Why were you so tense?
I used to just watch from the side...
but, I participated for the first time in surgery.
I was very scared.
That something may happen to the patient.
I must be a coward.
Just like the bunny I used to raise.
What was wrong with the bunny?
People think that bunnies are small and fearful.
But because a bunny's hind legs are two or three times as long as its front legs...
they run really fast.
That's why it's hard for predators to catch bunnies.
They are really smart, too.
That's why he didn't lose his liver to the turtle as the legend goes.
Bunnies eat their own poop.
That's true.
Doctor.
Bunnies have longer hind legs than any other animal.
So, like the bunny, you shouldn't crouch in fear. You should run around with strength.
Thank you.
For a man, you have very pretty nails.
They look like the crescent moon.
I'll be going.
Straighten out your shoulders like this.
Are you awake?
Just don't talk for one day.
It'll strain your throat.
Kyu Wan.
You can sing now.
Dr. Park found a way.
And the surgery went well.
So, you can do as you wish now.
Don't cry.
If you cry, you'll be in more pain.
Dr. Park's coming.
It hurts because the anesthesia is wearing off, right?
Good job, Kyu Wan.
I really don't understand.
You can really see three-dimensional images in your head?
Three-dimensional is defined as consisting of length, width, and height
in the x, y, z coordinates.
But, it's not that I just see simple three-dimensional figures.
I can conjure up images of three-dimensional objects at multiple angles.
What does that mean?
Normally, people just see it this way.
But, I can draw an image like this inside my head.
You must get so dizzy. How do you live?
It's not always like that.
Only when I focus to see it that way.
Then do you have this skill, too?
The ability to see even the hidden parts like an x-ray?
Stand in front of me.
Why are you laughing?
It's nothing...
Hey!
What are you laughing at?
Hey!
What did you look at? Where did you look?
Who would have that kind of ability in this world?
Hey!
Seriously...
Oh, no...
There's no other doctor who would attract attention more than Dr. Park.
The media would show great interest, too.
It'll be international news.
Just see Park Shi On for what he is.
Just the way he is.
I'm hungry...
Hey!
My treat! Let's celebrate the successful surgery.
And you are delivering it, yourself?
Awesome.
You guys worked hard. Let's eat.
Thank you.
- Thank you! - Thank you!
Where's Shi On's?
Why are we short one?
I think they cut it wrong.
Shi On, let's just share.
I'm okay. I'm not hungry at all.
You should eat this. I can't digest right now.
The human blender, Hong Gil Nam, can't digest?
Thank you.
Park Shi On.
Yes, Professor Kim.
Be on call at the hospital for 24 hours starting tomorrow.
Today will be the last day you go home.
Then, what about calls from outside our department and ER?
Follow the protocol for first year residents.
Yes!
I'm finally free from calls!
Hey!
Let's get him!
Get him!
Who hit me with a fist?
It really hurts.
Dr. Park Shi On...
I heard that you kept him in the pediatrics surgery department.
Yes.
I thought that would be better.
Was that because of my proposal to you regarding Dr. Park?
That, too.
But the biggest reason was his own determination.
That's too bad.
I only meant well with my proposal.
And the plan to scout pediatric surgeons from other hospitals...
and the agreement to accept funds from outsiders...
I will have to postpone those plans.
I think it's more important to improve our hospital internally, first.
We will focus on becoming the best team.
Postpone?
How much more time do you need?
I can't say...
I'll be going then.
Professor Kim.
I hope you won't take too long.
People start to calculate the flaws of someone that keeps them waiting.
What is it? You have something to say?
Thank you.
For not hating me.
I'll work hard.
I'll work really hard.
Shoot it.
Where are you going?
Again.
I know you made a fool of yourself in front of the guys from the neurosurgery dept.
If you humiliate our department in front of others one more time, you are dead.
Do you understand?
Yes.
Go.
Dr. Park!
Congratulations!
I heard you'll be a true resident starting tomorrow.
Why am I so happy?
Thank you.
Dr. Park, congratulations.
I won't cause any troubles in the future.
Please.
Are you going to keep looking at me like that?
You look especially cool today.
Although you are always handsome.
It's good that you know that.
How can you say that without even blinking an eye?
Professor Kim Do Han.
It's been awhile.
Hello, Professor.
It's so hard to see you these days. Happy that you are so successful?
I'm not that successful... I'm just busy.
Yeah, right...
What are you eating these days that you get prettier by the day?
I think it's because Professor Kim's taking such good care of me.
Oh, yeah! I have something to consult with you.
It must be congenital lymphangioma.
Yes, it developed near the lower head and neck area.
It's pretty large.
- How far along is the fetus? - 32 weeks.
We discovered it when it was 24 weeks old. But, it seems to be getting bigger.
I'm afraid that the baby's respiratory tract will get crushed during the delivery.
It will be fine if you perform the EXIT procedure.
What's the problem?
The mother is in a difficult situation.
She married into the house of the eldest son, and her husband is the only son in three generations.
Her father-in-law is a politician.
The mother-in-law is insisting on a delivery at home.
What's the reason?
She wants to put the baby up for adoption as soon as the baby's born.
What?
Why?
This happens sometimes.
When they find out the baby has abnormalities, the parent-in-law may object to giving birth.
But, in this case, they want to put the baby up for adoption.
No way.
This is not a deformity. It's just a cyst.
It can be fixed with surgery.
Didn't the doctor explain that to them?
She won't even listen to the doctor.
She believes that something will go wrong as the baby grows up.
I'm sure she doesn't want the baby to taint the family name.
Taint the family name?
What kind of a mother-in-law is that?
If the baby's really deformed, then the parents can be worried.
For the future of the baby.
But, there's something wrong here.
That's why the mother decided to have the surgery at our hospital.
But, she's having second thoughts because of her mother-in-law.
I guess she's made up her mind. Seeing that she came to see you.
I think someone convinced her.
Who?
The infamous doctor in our hospital.
The resident in your department.
What did you tell the patient?
Tell me!
Professor Kim Do Han from the pediatrics department will perform the surgery...
is not what I said.
I told her to go see a doctor from the OBGYN department.
You did the right thing.
Right, Professor Kim?
How did you convince her?
I used to be autistic.
But, with the help of many people, I was able to overcome my handicap.
Although, I'm not completely well...
I still have gotten a lot better.
So now, I'm going to become a doctor.
But, all your baby needs is a surgery to remove the cyst.
It's not a hard handicap to fix.
As long as the surgery goes well, he will grow up to be healthy.
That's all I said.
Will she be able to get the surgery?
She said she will come with her mother-in-law tomorrow, so we'll have to talk then.
Dr. Cha, get the files ready.
So that we can explain it easily to the guardian.
Yes, Professor Kim.
Dr. Park, today's the last day you get to go home.
- We can't just let it pass. - Then, what should we do?
Should we eat something special?
Are you going to be cooking again?
Hey...
What's wrong with your face?
Don't worry. I won't be cooking.
How about traditional Korean food?
Traditional Korean food?
- With how many dishes? - How many dishes?
Five dishes were for regular citizens who were well off.
Seven to nine dishes were for noble families.
And 12 dishes were for the king's royal table.
Personally, I prefer to have at least seven dishes.
Really? Seven dishes?
Then, maybe you should get hit seven times before eating?
Then... five dishes.
I'll just get hit five times.
There's somebody who's going to join us today.
Hello.
Dr. Park is a real resident now.
Everyone has welcomed him.
I see.
He knows so much that other doctors are amazed.
In a few years, he will be a great surgeon.
If your parents knew, they would have been very happy.
Very happy.
You should eat, too.
I'm fine.
You should eat a lot.
What's wrong?
It's nothing.
Dr. Park.
Please follow after this great doctor here.
And please become a good doctor.
Okay.
I always listen to Dr. Cha Yoon Seo.
And I'm going to become a good doctor.
I promised my brother.
Excuse me...
You're here?
Why did you keep Dr. Park Shi On?
Why did you take on that burden when you don't have to?
Let's not talk about that.
Why should we?
You don't think about me at all.
Do you know what I have been up to for your sake?
What do you mean?
I'm the one who stopped the financial support to our hospital.
As the first step to making the chairwoman step down.
And I also fired the executive director.
- You... - Yeah.
I'm going to become the chairwoman.
I'm going to get a good sponsor, and strengthen the foundation.
I'm going to make you the director.
- No one will be able to touch you. - Is what you said all true?
Yes.
More things will happen in the future.
How can you do that?
- Especially to the chairwoman and the director. - You'll understand me one day.
Forget it. Just quit right now.
Tomorrow.
I don't want to.
Chae Kyung.
You always tell me not to get involved with your work.
This is my way.
Don't touch it.
Fine. I won't touch it.
But...
if you don't quit now, don't think about seeing me anymore.
Why did you hesitate when the lady put food on your spoon?
That...
It felt like I dreamed about that in my dreams.
Like deja vu?
No, it wasn't that.
I don't know how to explain it.
Then from now on, you should keep thinking about that event.
You might think of something else.
Okay.
Oh, right!
There's something I need to ask before you start your regular shift tomorrow.
Dr. Park Shi On.
What is a doctor to you?
Last hope.
Even when everyone else gives up on the patient...
It's the doctor who needs to take care of the patient until the end.
Good.
Then, what is a patient to you?
A friend you will have to part with.
A patient is someone you need to treat as a friend.
A patient is someone I need to treat, so that he is healthy even when he is away from me.
So that he will never have to come see me again.
Good! Good!
Shi On, it's not anybody else who made you change like this.
You've come this far on your own.
So...
Believe in yourself more.
Do you understand?
Thinking about it...
you haven't been hiccuping since yesterday.
I know...
There's a 12 year old girl in the ER with abdominal distention.
She's been NPO since yesterday. And there is rebound tenderness.
We administered pain medication, and asked to prepare for a sono.
You're taking notes?
I need to take notes, so I can remember the patient's condition better.
Hello.
You know who I am, right?
You're Yoo Chae Kyung, the general manager from the management planning department.
Are you happy that you got to stay in your department?
Yes, I'm very happy.
Just as happy as the day I bought my first toy robot with my saved up allowance money.
Don't cause any troubles in the future.
For the sake of Professor Kim who made it possible for you to stay here.
Are you offended by what I said?
No.
I just don't understand.
What don't you understand?
'For the sake of'...
I don't understand the meaning of those words.
Please teach me later.
You look very down today.
No.
What do you mean? I can tell that you're not feeling well.
Cha Yoon Seo.
Yes?
What do you think it means to do something for the sake of someone?
That's a vague question.
Between lovers or between friends?
If I need to pick...
Between lovers.
It must mean you feel bad
for not being able to take good care of Chae Kyung these days.
I haven't dated much, so I'm not sure.
For the sake of...
Just being there?
Not being negligent or indifferent.
Just being there for them.
But, I think that is the hardest to do.
Although it's hard, I think it's what makes a relationship last.
Are you there for me?
What?
Not as lovers, but as colleagues.
Oh...
You know well...
I'm only in my second year of fellowship, but I bother you so much.
Although I bother you a lot, you always make a wise decision.
Putting me in my place at the end.
I always lose to you.
Thank you.
For losing to me.
Do you have to do this?
I told you before.
Even if I give up my seat as the director, I'm still a doctor.
I will stay by you.
The executive director isn't around. There's no one to bother you anymore.
And the vice president won't be able to do much without the executive director around.
That has nothing to do with my resignation. Please accept it.
Director Choi.
I won't be stepping down immediately. I will finish off my duties...
and see to it that a new vice president comes in before I leave.
It will be better to replace the vice president, right?
He is talented, but a hospital is not the place for him.
Please take care of that.
I will.
Dr. Han, what's the difference between gastroschisis and omphalocele?
The difference is...
Sun Joo...
You don't need to go into details in your intern years.
You haven't even decided on your department, yet.
I was just curious. There are two babies in the NICU with this diagnosis.
It won't be too late to find out in your residency.
I haven't seen any students who rush become successful.
Dr. Park.
Yes?
Do you know about the difference between the two?
The shape and location of the navel are normal.
And the intestines stick out in both instances due to lack of tissue at the top of the navel.
But in gastroschisis, the bowels are not covered up, and it's more frequent in premature babies.
I see.
But, why are you talking to me so formally?
That...
Because today's the first time I'm talking to you.
I guess that's true.
From now on, you can talk to me more comfortably.
Yes.
Okay.
There's a definite difference in the treatment of the two?
Don't you think Shi On has changed in the past day or two?
He was like a child before.
It's not that he's changed.
He probably just returned to how he was when he first came here.
Returned?
This is my personal opinion.
Dr. Park was able to control himself before coming to this hospital.
Looking at how he saved the child at the train station and saved Sung Ho.
But, when he came to our hospital, he felt there was nothing he could do.
He was teased, suspected, and ignored...
That's why he crouched, feeling small.
Thinking about the first time he came here, I think you might be right.
Right.
But, I think he overcame that after operating on Kyu Wan.
He regained his confidence.
And he got everyone's approval.
You!
You're not going to greet me?
Hello.
Hey!
Why are you over-doing your greeting?
I wasn't overreacting. I was showing my respect for you.
I decided to respect you after seeing your hand the other day.
That kid...
Why does he keep talking about my hand?
Even after the surgery, his head shape can change as he grows up.
As we told you, it won't be any abnormal changes.
There won't be any problems with the child's physical or mental growth.
How can you guarantee that?
It's still possible.
If you consider everything possible that could go wrong...
there would be no end. And it would be the same for any diagnosis.
Enough!
My daughter-in-law is going to have the baby at home.
I heard you will be putting the baby up for adoption.
That means you will be giving up on the baby.
The mother wants to raise the child after giving birth.
Right, Mrs. Lee Soo Jin?
Don't interfere anymore.
We will take care of our own business.
How many times do we need to tell you that it's not a handicap?
- Dr. Cha. - The baby just has a cyst.
It's not a handicap.
And even if he does have a handicap, you have no right to control a life.
How dare you...
Get up.
You're not getting up?
Please rethink this.
This baby needs the surgery.
There's nothing to think about.
Let's go.
Mrs. Soo Jin.
- Mrs. Soo Jin. - That's enough, Dr. Cha.
Hello.
Did you decide to have the surgery?
Why did you talk to my daughter-in-law about this nonsense?
The surgery is needed. It's very urgent.
You don't even look normal.
You can't even fix your own illness. How can you fix someone else's?
I'm sorry, Doctor.
I'm really sorry.
Excuse me.
Yes, Doctor?
Don't cry.
If you cry, many people will be sad.
But when the baby is born crying, many people will be happy.
Why aren't you getting in?
Thank you, Doctor.
Stop moving it.
I'm sorry.
Doctor Park!
How did you know I was here?
You don't think I would know after being in the hospital all these years?
You'll be in the hospital 24 hours?
Yes.
It feels like we are living in the same house.
Is that In Hye?
Why are you here?
I can tell that's Dr. Hong.
It's so early, why are you sleeping?
Mind your own business.
Dr. Hong! I can see your underwear.
Your butt is eating your pants.
Do you still get the hiccups when you see that girl?
No.
It's not hiccups...
Your heart starts racing?
Yes. That's right.
You've entered the second phase.
- Second phase? - Yes.
It's called love-sickness.
That's what this illness is?
What are you going to do? The symptoms are going to get worse.
You don't want to confess your love to her?
I like you. I love you.
Like that.
No.
I don't know about liking or loving someone.
What do you mean? It's what you are feeling right now.
If you can't do it, you should express yourself in other ways.
You're pretty... You're beautiful...
That's what I say to Eun Ok.
It's different when you say it to her...
Oh my God...
Isn't it the same?
It's completely different.
If you can't confess your love, then compliment her.
Even if it makes your skin crawl, you should express yourself.
Okay. Express myself.
I don't know who it is, but I'm jealous.
Like they say...
The most amazing miracle is making your loved one's heart race.
Dong Soo has gotten a lot healthier.
I know.
He's almost normal now.
He's healthy. Why are you sighing?
That mother... Mrs. Lee Soo Jin.
I keep thinking about her.
I see...
Mrs. Lee Soo Jin.
There's not much that we can do.
We can only do something if she is in the hospital under our care.
It's not like we can go out, and convince the patient.
I...
I hope you will convince her.
No.
There's a definite limit.
It's separate from the hospital's rules or regulations.
Whether I like it or not, I need to respect the patient's decision.
But, this time...
I'm having a hard time respecting that decision.
You have a pretty heart.
The director at the orphanage once told me...
'A pretty heart is like pollen from a flower. It will fly far away, and start a new flower.'
I wish I could fly away like she said.
You will fly away.
Far away.
If you cry, many people will be sad.
But when the baby is born crying, many people will be happy.
Did you get your mother-in-law's permission?
I don't need her permission. This is my baby.
What about your husband?
He's in the USA.
He won't be back until the end of the year.
There's no use in asking him, anyway.
He'll do whatever his mother wants.
If your mother-in-law finds out, she won't be happy.
That's okay. I won't change my decision.
Then, we will respect your decision.
What about you, Professor Min?
I respect that decision, too.
It's thanks to that resident doctor.
Without him, I wouldn't have been able to do this.
I'm so grateful.
You didn't get to sleep?
No.
We had three patients simultaneously at dawn.
I guess you had a tough first night.
Fortunately, everything went well.
They didn't need surgery, either.
Park Shi On.
I think you are right.
Pollen.
Pollen...
Pollen?
I will brief the EXIT procedure that will be performed on Mrs. Lee Soo Jin.
First, with a c-section...
Take the baby's torso out.
Dr. Sung?
We will use airway intubation to ensure the baby gets air, and cut the umbilical cord.
And deliver the baby.
The important thing here is that we only have about 30 minutes.
We will use Ritodrine and Nytroglycderin to suppress the uterine contractions.
But that cannot exceed 30 minutes.
If we pass that time, the patient will be in danger.
There's danger of metrorrhagia...
and if the bleeding continues...
she could die from hypovolemic shock.
It may seem that 30 minutes is a long time, but that's not true at all.
It won't be easy to use airway intubation on this baby.
Looking at past cases, there were many that exceeded the 30 minutes
and even impossible cases.
If we fail with the airway intubation, do we need to perform tracheostomy?
Yes.
And that must be done quickly, too.
I have a question.
If we fail the airway intubation and need to perform tracheostomy...
what happens if trachea is hard to access due to the lesion of lymphangioma?
Or tracheostomy is difficult to perform due to sudden internal bleeding?
That's possible, but as you can see in the MRI, there's not much lesion in the front side of trachea.
What if...
What if there's a sudden bleeding which causes edema...
Dr. Park.
Sit down.
Once airway intubation is done, we need to perform the surgery to remove the lymphoma.
Normally, we would start the surgery after moving the baby to the NICU...
But in this case, we can't lose any time.
I have a question.
What if... Just in case...
If there is an unexpected complication
and we must choose to save either the mother or the baby...
who do we need to save?
For the past 25 years, there have been no patient deaths during the delivery.
But, if that happens...
You have to save the mother. That's the priority.
I'm sorry.
Our youngest member is still very immature.
No, don't be.
I'm amazed.
How can a resident in his first year be so knowledgeable?
He is definitely special...
Thank you for understanding.
Teach him well.
We may have Kim Do Han Jr. on our hands.
Seriously...
You should ask questions cautiously.
When all of the professors are there...
I had more, but I held back.
I was so tense just watching you.
Asking about all the worst case scenarios...
I wasn't asking about worst case scenarios.
I was asking about cases that I've seen on paper.
Then, why don't you answer?
If you have to save only one, who would you save?
Well...
Dr. Park!
Yes.
Go, and sleep for one hour.
Just one hour, starting now.
Thank you.
Hurry, and go.
I don't think the manager or the cleanup hitter will be easily convinced.
I'm sorry.
Even if wait, I don't think there will be any changes in the result.
Yes.
I think it's time for you to come in.
Soo Duk...
I'm sorry.
Yes, Professor.
Thank you.
Don't worry too much.
The best team will perform the surgery.
I'm not worried.
I trust you.
Just wait a bit.
In a few days, you won't be crying because of sadness.
You'll be crying out of happiness.
What do you think you are doing?
You know well how big your handicap is, right?
Yes.
To overcome that, it won't be enough just to be good.
If you want to get acknowledged, there's something you must do.
You must surpass me.
I know that you can't perform any surgery as a resident.
But, you must surpass me in all other ways.
To the point that others won't notice your handicap.
But...
there's still so much that I don't know.
And how could I possibly surpass you?
I'm teaching you the way to remain in this hospital.
Yes.
Okay.
Stop!
You can't take her like that.
How can you take a patient by force?
Let go of her.
Let go!
I told you to let her go.
Seriously.
What do you think you are doing?
Is this how you always take care of things?
Stop interfering, and take care of your own business.
It is our business to protect the patient.
- Take her. - You can't take her.
She must stay at the hospital.
You can't ever, ever take her.
You want to lose your jobs?
If you think you can do that, try.
I...
I won't go.
I'm going to have the baby here, and have the surgery.
Really?
Then, get a divorce before the surgery.
If you have the baby here, I won't take care of you or the baby.
Fine, I'll do that.
I don't want to raise my child in this family.
She is in danger.
Mrs. Soo Jin.
Move her to the treatment room. Take the EKG, and bring the tocolytics.
Hurry!
----