Original subtitles

(Thank You, Doctor)

(Adapted from Sheng Li's novel "ICU 48 Hours")

(Episode 21)

No matter what,

you shouldn't have taken him away without discussing it with me.

That's very wrong.

About that,

I didn't think it through.

I apologize.

Okay.

That's a good attitude.

Remember that.

Don't do that next time.

Is there anything else?

After thinking about it again,

I think that what you said this afternoon...

makes sense a little.

What did I tell you this afternoon?

You said that you knew I want what's best for Xiao Guang,

but I get too involved with everything.

I control everything and restrain him.

He needs space to grow.

You even said...

that he should have a normal childhood.

Anyway,

your point was...

if he's unhappy,

it's meaningless no matter how long he lives.

You remember quite well.

Then do you think I'm right?

Well, it didn't feel good to hear it,

but it makes sense.

Just a little.

You should give Xiao Guang more space.

As long as it's safe,

let him grow up freely.

That's how he can live happily, right?

I'm his dad. I understand that very well.

That's good.

It's late. Get some rest.

You'll go bald if you stay up late too often.

Bye.

Hello?

Go bald?

You were right about Yu Ming Ming's issue.

She's just a child.

But she's also an individual.

She has the right to know what she's about to face...

and what has happened to her.

Dad, it's already so late.

What's wrong with you?

Why did you come to my room instead of sleeping?

Are you trying to scare me?

Yes.

I wanted to scare you.

But you found out.

Actually,

I wanted to apologize to you.

There's something...

I've been keeping from you for a long time.

Did you find a mom for me?

Don't be ridiculous.

Dad, no matter what you did wrong,

I'll forgive you.

Actually,

it's about your illness.

I didn't tell you the truth before.

Your illness...

It's thalassemia.

It's severe too.

I know.

I've done some research online.

I already knew it was incurable a long time ago.

The doctor said I would die when I was 3 and 6.

But Dad, look.

I'm eight years old now.

I'm still alive and well.

When did you find out?

When I was six.

Come on, Dad. It's no big deal.

If you feel sorry,

take me to the amusement park one more time.

You little brat.

Don't push your luck.

I knew you wouldn't give in so easily.

But Dad, I'm really happy.

You finally told me about this.

There are no more secrets between us now.

Are you hiding something else from me?

I finally don't have to pretend that I don't know.

You have no idea how hard it was to act dumb.

So you mean...

I should give you...

the Best Performance Award.

Of course.

That's correct.

One more thing, Dad.

How did you finally come around?

Who made an iron tree like you bloom at last?

Who did you learn your idioms from?

Who are you calling an iron tree?

Are you the flower on the tree?

I'm not the flower.

Ms. Xiao is the flower.

Come, let me hug you.

Hello?

I told Xiao Guang everything just now.

I was quite surprised.

Are you free now?

Let's meet and talk.

Hello, what would you like to drink?

- A cup of coffee, please. - Okay, please wait a moment.

What did Xiao Guang say?

He told me...

that he knew about his condition a long time ago.

He had been acting in front of me all these years.

That makes sense.

Xiao Guang is a smart kid.

It's hard to hide it from him.

There's something we doctors in the ER always say.

A doctor is also a patient's family member...

once he takes off his gown.

So regarding Xiao Guang's matter,

I understand your reasoning.

Thank you.

Previously, the two of us argued...

about Yu Ming Ming's treatment.

At that time,

I actually kept thinking...

whether I should tell Xiao Guang the truth or not.

Hello, miss. This is your coffee.

But when you're facing your own family,

it's really hard.

On the way here, I kept thinking.

Xiao Guang and I have been living together for so many years.

I've always thought that we were very close...

and we had no issues between us.

Little did I know,

being overprotective actually gave him more pressure.

The way I see it,

Xiao Guang is such a kind kid.

When he was playing along with you,

I'm sure he was also very happy.

You just need to talk it out.

If you like Xiao Guang so much,

why have you never asked me about his mom?

Why should I ask about that?

Everyone has their own secrets that they don't want to talk about.

You'll tell me when you want to.

Actually, Xiao Guang is my brother and sister-in-law's child.

He was born with a severe case of thalassemia.

Sometimes, I wonder...

why his fate is so cruel.

When he was two years old,

my brother and his wife passed away in a car accident.

Since that day,

I've been raising him as my own son.

When he was six,

his condition worsened...

and he almost didn't make it.

But he's a strong kid.

He has been hanging in there until now.

I...

I believe that everything will turn out fine.

This is also something we must learn from Xiao Guang.

No matter what happens,

he faces it all with such a positive attitude.

Thank you for telling me about Xiao Guang.

Since you know one of my secrets now,

shouldn't you...

tell me one in exchange too?

I'll...

tell you when there's a chance.

Cheers.

Thank you for the coffee, Dr. Bai.

Excuse us.

Please make way.

Excuse us.

Move aside.

The patient is a female. She's 43 years old.

She fainted in her home.

She's unconscious and has a high fever.

Her neck is stiff.

She's unconscious and has a high fever.

Her central nervous system could be infected.

We should request meropenem for the patient.

Take her to the EICU...

and have a neurologist come for consultation.

Okay.

We can't wait for the guardian.

We need to do a lumbar puncture...

for a definitive diagnosis as soon as possible.

Report it to the medical office.

Thank you.

Dr. Xiao.

How is it?

The report shows a low possibility of a CNS infection.

What about the other tests?

Are there any abnormalities?

The blood test shows high levels of C-reactive protein.

Her liver and kidney functions are not bad.

According to her chest and abdomen CT scan,

there's leakage in the perirenal space.

So it's still an infectious disease,

but the infected area is unknown.

Her respiration rate and heart rate have increased.

The respiration rate is 30 and the heart rate is 130bpm.

The blood pressure is 80 over 40.

The patient is experiencing chills.

It's septic shock.

The source of the infection may be the urinary system.

Ms. Jiang.

I need 1,000ml of saline solution.

- Go and get it. - Okay.

- What about her blood oxygen? - It's 85 percent.

Dial up the oxygen flow meter to 5L per minute.

Both lungs sound low-pitched.

Moist rales can be heard.

The patient may also have acute respiratory distress syndrome.

Tang Hua.

Run a blood gas analysis on her.

- Okay. - Ms. Jiang.

Prepare for intubation.

Okay.

Sorry. The subscriber you dialed cannot be reached.

Sorry. The subscriber you dialed...

You still couldn't get in touch with Xu Han Wei's family?

No, Ms. Jiang.

I'm so anxious.

- Keep calling. - The subscriber you dialed...

Dr. Xiao. The test results are out.

Partial pressure of oxygen is 47mmHg.

The oxygen saturation is 81mmHg.

Thank goodness we intubated her right away.

Otherwise, the patient would've been in danger.

But the problem now...

is her illness is evolving too fast.

If it's sepsis caused by a urinary tract infection,

acute respiratory distress syndrome shouldn't develop this quickly.

Then where could the infection be?

Infective endocarditis?

Let's do another bedside ultrasound.

The ejection fraction is 50 percent.

I don't see any vegetation on the heart valves.

The overall activity is fine.

Then why?

What should we do next?

Let's run the biochemical tests again.

Check her brain natriuretic peptide levels and blood culture.

Take a partial blood sample...

and send it for next-generation sequencing.

Dr. Xiao.

Xu Han Wei's biochemical tests are done.

The results will be out in the afternoon.

You still haven't reached her family yet, have you?

Not yet.

It's probably due to the time difference.

No one has been picking up.

It was her neighbor who discovered that she fainted at home...

and brought her to the hospital.

According to her neighbor,

it seems her husband took their daughter abroad...

for a winter camp.

Xu Han Wei's company has been busy.

She couldn't get time off,

so she didn't go with them.

Who knew this would happen?

I hear the patient's condition is quite serious.

If she passes away,

they might not be able to see her for the last time.

Touch wood.

Can't you hope for the best?

Besides, with Dr. Xiao's medical skills,

I believe the patient will definitely make it through.

I believe in you, Xiao Yan.

Can't you say something too?

Do you have nothing better to do?

You're always taking sides.

Keep calling her family in the afternoon.

When the report comes out,

there will be things that we have to discuss with them.

Okay.

How are her vital signs?

Her blood pressure has been critical.

It's 92 over 65.

Her respiration rate is 30.

And her heart rate is 130bpm.

Her temperature is 39.2 degrees.

What about her blood oxygen?

Her blood oxygen has been sitting around 92 percent.

She's already intubated,

but her blood oxygen is still so low.

How about this?

Arrange a beside chest radiograph for her...

and do a blood gas analysis.

Okay.

The X-ray looks good.

There are no obvious signs of pneumonia or pulmonary edema.

The place where the tracheal intubation tube is...

looks fine too.

Arrange another bedside ultrasound.

Okay.

The cardiac muscle's overall activity is weak.

The entire heart is basically in peristalsis.

Her ejection fraction is only about 25 percent.

There are still no signs of vegetation.

Dr. Xiao.

The test results are out.

The patient's inflammation levels are too high.

Her liver, kidney, and heart are progressively deteriorating.

The partial pressure of oxygen is still only 61mmHg.

This isn't good.

Her cardiac muscle is deteriorating too fast.

I don't think the ventilator alone can maintain oxygenation in her.

We need to call the Thoracic Department...

and a cardiac specialist...

to work together to perform extracorporeal membrane oxygenation.

We need to discuss this with Dr. Lu.

Request third-line antibiotics for the patient.

Okay.

Look at this.

Dr. Lu.

We received a patient in the day today.

This patient is suffering multiple organ failure.

And worst of all,

she has severe myocardial suppression.

Septic shock and cardiogenic shock...

could cause the patient to go into cardiac arrest at any moment.

We want to put the patient on ECMO.

But we can't get in touch with the patient's family.

Before we connect the machine to the patient,

I think we need to explain the situation to her family...

and get their consent.

This patient has a very high chance of dying.

I think at this point, we should save the patient first.

But it's too expensive.

And this patient's condition is a special case.

The success rate of treatment is only 20 to 30 percent.

Whether the patient's family can bear such a high expense...

and the high risk is a problem.

Yes.

You're both right.

Let's do this.

Before we put the patient on ECMO,

we'll keep trying our best to contact the patient's family.

I'll submit a request to the hospital right away.

During this period of time,

try your best to maintain the patient's vital signs, okay?

- Okay. - Okay.

Dr. Xiao, we got in touch with the patient's family.

They've agreed to put her on ECMO first.

They also ask that we take a curative care approach.

- Let's begin. - Come on.

Dr. Xiao, it's ready.

Do a bedside ultrasound.

Okay.

Dr. Xiao.

The patient's ejection fraction is only 25 percent.

The patient's upper extremity temperature is too low.

ECMO can't maintain the blood supply to the patient's vital organs.

If we can't solve the blood supply problem,

it could cause upper extremity necrosis...

and brain damage.

The only thing the patient can rely on now...

is an intra-aortic balloon pump.

I'll consult with a cardiologist...

about performing bedside intra-aortic balloon pump therapy.

Ms. Jiang.

In the meantime,

the patient's platelets and hemoglobin...

will progressively decline.

If her blood supply isn't maintained,

the patient's risk of death may increase.

So you need to contact the blood bank.

You need to secure a supply of platelets,

red blood cell suspension, and other blood products.

I'm on it.

Tang Hua.

During this time, monitor her invasive blood pressure,

ambulatory EEG, and her coagulation status.

Okay.

You've had a long day. Have a cup of coffee.

Thank you.

How is Xu Han Wei?

After we connected her to an ECMO,

we inserted an intra-aortic balloon pump in her aorta.

We've also contacted the blood bank.

She is stable for now.

By the way, according to Xu Yi Ran,

you contacted the patient's family whenever you had time today.

You were the one who reached them.

Thank you.

You're welcome.

This machine is called ECMO.

It pumps the blood from the patient's body,

which is then oxygenated by the machine...

and is pumped back into the patient's body.

Doctor.

My wife will wake up, right?

Don't worry.

The patient's condition is getting better.

If everything goes well,

we should be able to take her off the ECMO.

Thank you, doctor.

Thank you.

Thank you.

We did next-generation sequencing on the patient's blood sample.

E. coli and the human herpes virus was detected.

We think the urinary tract was the source...

of the E.coli infection,

leading to septic shock.

Moreover, this patient has long-term type 2 diabetes,

so her immune system is extremely weak.

Immunoparalysis activates the viruses...

lurking in tissues and cells,

such as the glands, ganglia, and B cells.

This caused an apparent infection,

leading to fulminant myocarditis...

induced by human herpesvirus.

It then triggered myocardial suppression.

We quickly gathered the Thoracic and Cardiac Departments...

to perform emergency surgery.

Eventually, the patient's vital signs recovered.

I heard...

Xiao Yan and Bai Zhu had an argument.

I wouldn't call it an argument.

Everyone just has different perspectives.

Xiao Yan felt that we should get the family's consent...

before performing ECMO.

But Bai Zhu felt...

that treating and saving the patient should come first.

But in the end,

the two of them came to an agreement...

and found a compromise.

I guess they found a common ground.

The two of them are becoming more and more in sync.

So with everyone's joint efforts,

we saved the patient's life.

The patient's family also expressed their gratitude to us.

They highly approved our treatment plan.

The two of them discussed Jiang Xian Yun's case the other day.

It stirred up a lot of emotions.

I heard he was lost for a while.

- Yes. - It's all right now.

He has thought things through...

and he knows how to put himself in other people's shoes.

This is a good start.

Dr. Lu.

Congratulations.

You got two formidable doctors.

It's all thanks to you, Dr. Jiang.

Mr. Jiang.

It has been raining for the past few days.

I know even if you don't tell me.

You must be uncomfortable.

It just so happens to be sunny today.

I'll take these bedsheets...

and your blanket...

and wash them for you.

When you sleep on clean sheets,

you'll surely feel comfortable.

When you're comfortable, you'll be in a good mood.

When you're in a good mood, you'll have a good appetite.

What do you want for lunch?

Mr. Jiang.

He fell asleep.

(Jiang Xian Yun)

Dr. Lu.

This is a letter...

that Mr. Jiang gave to me a long time ago.

He told me to give it to you...

when he is no longer around one day.

(To Dr. Lu Ping An)

- What's the situation? - The patient is 58 years old.

She suddenly felt chest pain and a shortness of breath...

when she was square dancing.

She couldn't breathe.

But her blood pressure, pulse, and breathing are normal.

Ma'am, can you hear me?

Yes.

Your breathing sounds normal too.

Why do you have chest pain and shortness of breath?

Ma'am, how long have you been feeling like you can't breathe?

- I... - Xu Yi Ran.

The result of the bacterial culture for bed seven is out.

- My goodness. - Mom.

- Mom? - Mom, what's wrong?

- Tang Hua. - What's wrong with my mom?

She suddenly felt chest pain and a shortness of breath...

when she was square dancing.

She couldn't breathe.

Did you examine her? What's the cause?

Don't worry. We're examining her right now.

She should be fine.

Why do you suddenly feel chest pain and shortness of breath?

Tang Hua, I don't know either.

It just happened.

Mrs. Tang, you'll be fine.

Tang Hua.

I suggest you bring your mom to get a thorough checkup.

Mom, let's go for a checkup now.

Her chest X-ray and ECG look fine.

The are no problems with her lungs or heart.

Dr. Xu.

- Tang Hua. - How is it?

Her blood test is normal. It's not anemia.

What could be wrong with her?

Mom.

Aside from the chest pain and shortness of breath,

do you feel any other discomfort?

I can't breathe.

My chest feels too tight.

I feel like I'm dying.

Mom.

Can you stop talking about dying?

We're examining you right now.

Should we check her BNP and D-dimer levels?

Okay.

Dr. Xu already told me.

The results of her BNP and D-dimer test will be out soon.

Mom.

Stop humming. Aren't you tired?

You'll be fine.

Dr. Tang.

Your patient is here for a follow-up.

Okay.

Tang Hua, you go ahead.

I'll take care of Mrs. Tang for you.

Mom.

I'll go and take a look first.

I'll be right back.

You're pretty much all recovered now.

I'll prescribe another course of medication for you.

Take them again when you get home.

After that, come back for another follow-up.

You should be fine after that.

Thank you, Dr. Tang.

All right. Go and get your medicine.

We have the test results.

Everything is normal.

Everything is fine,

but why does she have chest pain and shortness of breath?

Mrs. Tang is getting older now.

Having functional chest pain...

is normal.

Don't be too nervous.

Do you think my mom should undergo other checkups?

Young man.

How is Tang Hua's performance at work?

Is she getting along with everyone?

Don't worry, Mrs. Tang.

She gets along with everyone very well.

Mrs. Tang, I would like to ask you something.

What kind of men does Tang Hua like?

Tang Hua.

Chen Zhi, go out.

I'll be at the door then.

Call me if you need anything.

Don't worry about it.

Dr. Xu, what are you doing here?

Why are you out so soon?

You can spend more time with Mrs. Tang.

Go away. It's none of your business.

Chen Zhi is just trying to be nice.

Go back to work.

Okay.

You should get back to work too.

I'll take care of Mrs. Tang for you.

There's so much drama every day.

Mrs. Tang.

Are you feeling better now?

Here, have some water.

- Thank you. I feel much better. - Don't mention it.

Your surname is Xu. What was your name again?

Mrs. Tang, my name is Xu Yi Ran.

"Yi" as in number one, and "Ran" as in "then".

Just call me Xiao Xu.

Xiao Xu.

Xiao Xu, do you have a girlfriend?

Give me the medication record for bed five.

Tang Hua.

What's wrong with my mom?

Give me some water first.

What's wrong with my mom?

She's fine, but I'm not.

What's wrong with you?

Slow down.

In that short period of time,

your mom almost asked about my entire family tree.

If I didn't come out,

she probably would have found out about my dad's first love.

(Doctor's Office 3)

Are you all right now, Mom?

I'm fine now.

I'll get you a taxi.

Wait.

I have something to tell you.

Listen to me.

Okay, go ahead.

First, Dr. Lu doesn't really suit you.

Dr. Lu?

Mom, what are you thinking?

Calm down.

I have to start analyzing from the highest rank, right?

I've asked around about Dr. Lu.

He's a good person, steady, and down-to-earth.

He has quite a bright future.

But he has been married before.

He's also too old.

He's over 10 years older than you.

He's probably only a few years younger than me.

Dr. Lu is indeed a pretty good man.

You can consider him.

Do you want a spanking?

How can you joke about your own mom like that?

I think you're the one who's joking with me.

Dr. Lu really isn't suitable for you. Am I right?

He's divorced...

and he has a kid with his ex-wife.

It's unfair to you if you end up with him.

So I've eliminated him.

Gosh, thank you so much.

You're welcome.

Also, there's that Chen Zhi.

He's quite handsome,

but his family is too poor.

He can't even afford to buy his own place.

He's also a bit slow-witted.

He's not very capable.

If you marry a man like him,

the rest of your life will be hopeless.

That's why I've eliminated him too.

Thank you again.

You're welcome again.

And Dr. Bai...

I didn't get to see him.

The inspection on him is pending.

Mom, your analysis today is especially accurate.

Now, I'll take your bag...

and send you home first. Come on.

There's no rush.

Here, have a seat.

Next,

we're going to talk about the biggest catch of the day.

Don't tell me you have your eye on Xu Yi Ran.

Our minds are in sync.

Xiao Xu is really great.

Mom.

Do you know what we call Xu Yi Ran?

A casanova. He's a playboy.

As long as you're a female...

from the age of 7 or 8 to the age of 70,

if you go over to him,

he'll run over immediately.

He'll ask you what you need and try to get friendly with you.

He's the last person you should have your eye on.

Don't try to fool me.

I've met enough people in my lifetime to know.

Xiao Xu is great.

He is handsome and nice.

He comes from a good family and he is well-liked.

His career is promising too.

Everything about him is great.

Mom.

I have something to do later.

I won't argue with you anymore.

Go home and rest.

I'm quite busy here.

Don't worry about other things.

I have my own plans.

I'll wait for you to finish work.

Chen Zhi.

Did you hear everything that my mom and I said just now?

I...

- What did you say? I just... - Stop pretending.

Regarding you,

I actually agree with my mom for once.

From now on, focus all your energy on work.

I believe you'll become a good doctor.

(Tongshan Hospital)

- Here. - Thank you, Dr. Xu.

Goodbye.

What's wrong?

Why are you looking at me like that?

What happened?

Dr. Xu.

Tang Hua's mom likes you.

She wants you to be her son-in-law.

She likes me?

Mrs. Tang has good taste.

But that's normal.

Dr. Xu, what do you mean by that?

Don't worry.

I don't have any feelings for Tang Hua at all.

But for your sake, I need to think...

about how to make her mom completely give up on me.

Dr. Xu, what is it?

Lin Zhi.

Have you ever dated anyone?

Dr. Xu.

What do you want?

Help me out.

I'm afraid I can't do this.

I've never done this before.

It's okay. It's my first time too.

Why don't you consider someone else?

No, you're the one.

I...

- Xiao Xu, you're here. - Mrs. Tang.

I'm here to do some other checkups on you...

to see if I missed anything.

Have a seat.

You're so thoughtful.

I'll take your blood pressure, okay?

Okay.

Lin Zhi, check Mrs. Tang's blood pressure.

Okay.

Mrs. Tang, you have to take off your jacket first.

Okay. That's right.

Okay.

Didn't I tell you to take Mrs. Tang's blood pressure?

Why are you coming to me?

I see that you're sweating.

I'm concerned about you.

What are you doing? Mrs. Tang is here.

Take her blood pressure.

Okay.

Mrs. Tang, have a seat. It's okay.

I'll sit.

Mrs. Tang, I'm taking your blood pressure now.

Okay.

Xiao Xu.

Does Ms. Lin work in the Emergency Department?

Yes, she works in our department too.

Why have I never seen her before?

She has always been here.

Ms. Lin.

You're young and pretty.

Mrs. Tang, your blood pressure is normal.

Thank you.

Xiao Xu.

Come here.

Xiao Xu.

Tell me the truth.

Are you and Ms. Lin...

in a relationship?

No.

We have...

a pure work relationship.

You're not telling me the truth.

You can't fool my sharp eyes.

Mrs. Tang, it's clear that you've been through everything.

No one can hide anything from you.

I'll tell you the truth then.

Lin Zhi is my fiancée.

We're getting married.

You're getting married?

Yes.

I didn't hear anyone in your department say that.

We want to keep it a secret,

so we didn't tell anyone in the department.

It will be a surprise.

Mrs. Tang. You have to keep it a secret for us.

A secret...

I'll keep it a secret.

What a pity.

What did you say, Mrs. Tang?

Nothing.

I'm saying you have to cherish each other.

- Cherish each other. - We'll cherish each other.

Mrs. Tang, if there's nothing else, we'll get going.

Okay.

What a pity.

She probably won't be interested in me now.

Dr. Xu.

Please don't ask me to do such a thing again.

It will be so embarrassing if others find out.

I'm just too popular with people's moms.

Dr. Xu, you're becoming more and more like Dr. Bai now.

Stop.

You can say I'm like anyone but him.

I don't want to be hated.

The hot pot in front of you is almost overcooked.

Dr. Xu.

Every time you get upset about Tang Hua,

you look half-dead.

Can't you do something new?

Chen Zhi.

Dr. Xu.

How can I make Tang Hua accept me?

Love can't be forced.

I told you a long time ago.

You two don't suit each other.

No one is born as a good match.

We can become suitable as we spend more time together.

It's like how I couldn't eat spicy food before.

But after spending more time with you guys,

I can handle it now.

Why are all young people so stubborn?

They say...

stubborn people don't turn back until they hit a wall.

You've already hit the wall so many times.

Why won't you give up?

Is Tang Hua that charming?

Forget it.

You're already like this.

Hitting your head on the wall one more time won't hurt.

I'll give you some advice to save you from suffering.

Are you willing to help me, Dr. Xu?

I'm not helping you. I'm giving you advice.

I'll tell you about my experiences so you don't take the wrong path.

Do you know...

what's most important when it comes to pursuing girls?

Sincerity.

Everyone has that. No one cares.

Pursuing a girl...

takes skills.

But no matter how many methods there are,

the principle is the same.

Ultimately, there's only one core tactic.

It's not about sincerity. It's about being thoughtful.

I am thoughtful.

That's not called being thoughtful. You're just crazy.

When I say "thoughtful",

I mean you need to cater to what she wants.