Original subtitles

(Thank You, Doctor)

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

(Episode 38)

Stage 4 liver cancer?

It was checked by Ruirong Hospital.

We just got the test results.

She wants to take the kid to have a meal at home today.

You don't have to tell me that.

You didn't spend much time with the kid before.

Now,

her mom is sick again.

You should spend more time with them.

Ping An.

Let's go.

I'll get going then.

Mr. Zhao.

This is Dr. Bai from the Emergency Department.

He used to be a top doctor in the Cardiac Surgery Department.

Mr. Zhao had coronary artery bypass surgery...

and aortic valve replacement at their county hospital before.

When he came to travel this time, he felt uncomfortable in his chest.

I did an electrocardiogram,

stress test, and cardiac catheterization.

I can't breathe.

During a routine checkup,

he suddenly found it hard to breathe and kept coughing.

It's getting worse now.

Also, he has tachycardia.

I can hear pathological murmurs in his mitral valve and aorta areas.

Could it be mitral stenosis...

or subclinical myocardial infarction?

It is more likely to be peripheral leakage...

caused by suture avulsion.

In this case,

should we let him return to the same hospital...

to continue with the treatment?

How can he move in his current condition?

How about this?

Let's do an echocardiogram first.

Aortic regurgitation.

Moderate to severe reflux.

We need to get him to the EICU.

Sir, what should we do next?

Contact the county hospital that performed the surgery.

It's best to do it as soon as possible.

We should leave this matter to the local county hospital, right?

Mr. Zhao just had surgery.

Considering the adhesion and pressure of further surgery,

opening his chest again is too risky.

It's safer to treat conservatively with medicine.

If we don't have a second surgery,

the patient's quality of life will be greatly affected.

But we have a problem.

Mr. Zhao is too old.

It's too risky if he undergoes another surgery.

How about this?

Contact the local hospital first.

Let's see how it goes, okay?

Everything was done properly.

There was no problem.

That's right.

There was no problem with the surgery.

Could it be that the calcification...

and deformation of Mr. Zhao's autologous valve...

affect the suture of the valve...

and cause the suture to fall off?

That's why it causes peripheral valve leakage...

and aortic reflux.

In this case,

I suggest that Mr. Zhao should be given...

the best treatment without surgery.

With Mr. Zhao's current condition,

there won't be any problem in performing another thoracotomy.

I watched the videos and records...

given by the county hospital five times.

He has sufficient healthy muscles and vasculature in his heart.

He can fully handle the intensity of thoracotomy.

But after the surgery, Mr. Zhao has been very weak.

That's because the suture is torn off and regurgitated.

Let's do another surgery to fix this problem.

I'm sure he'll get better.

I agree with Dr. Bai.

The patient in Bed Number 9 has difficulty breathing.

Honey.

Honey.

- What is it? - What's going on?

Doctor.

Blood saturation, 90. It's still dropping.

All right. Don't worry.

Intravenous injection.

0.4mg of Cedilanide.

- 40mg of Furosemide. - Okay.

Excuse me.

Sir.

Have you made up your mind?

Are you still worried about the risk of surgery?

The Emergency Department...

is a non-profit department.

We reveal the details of society...

and all patients.

The EICU is for saving people.

If we can save the patients,

we don't have any reason...

not to treat patients.

Do you understand?

I also want to say...

Sir.

You're becoming more and more like a real chief.

What do you mean?

Do you mean I used to be a fake chief?

Jokes aside,

no matter what kind of plan we formulate for the patient,

we still have to listen to the patient's opinions in the end.

You still have to talk to the patient...

and the patient's family after this.

- Okay? - Okay, don't worry.

Mr. Zhao, how are you?

Are you feeling better?

A little better.

Dr. Bai.

Will my husband never be able to get out of bed in the future?

If you choose conservative medication,

he might still be able to get out of bed.

Does that mean from now on,

I have to go to the hospital...

for treatment?

Yes.

You should also know...

that if you choose conservative medication,

it can only relieve the symptoms of reflux...

and it can't solve the peripheral valve leakage.

I want to travel around the world.

I don't want to go to the hospital all the time.

If that's the case,

there's another option.

Second surgery.

Another surgery?

He has to undergo surgery?

Will that work?

Surgery will damage his vitality.

Surgery after surgery...

How can...

my husband endure it?

Actually,

it's not just a matter of harming his vitality.

A second surgery...

may cause more severe bleeding than the first one.

It may even lead to death.

It's too dangerous.

We'll go with the conservative approach.

If the second surgery goes well,

can I be cured?

If the surgery is successful,

you'll be as healthy as before.

That won't do.

Honey.

We can't risk our lives.

Dr. Bai.

Are you confident?

Mr. Zhao, don't worry.

I will work with experts from the Cardiac Surgery Department...

to help you formulate the safest plan.

Thank you, Dr. Bai.

There is no obvious deformation...

found in the patient's annulus.

It's not a problem with the annulus.

The lobules didn't get in the ventricles.

That's right.

It opens normally...

and goes in the right direction.

- Silk suture. - Okay.

The patient's autologous valve ring doesn't match the artificial valve.

Yes.

After suture,

the lobules can't be closed completely.

There will be an opening...

large enough to allow blood to flow back.

Go and get another valve.

Yes, Dr. Bai.

Are you feeling better?

After a few days.

you'll be fine.

Thank you.

Keep up the good work.

Sir, I'll get back to work.

It's so sour.

I see.

Okay.

Thank you, Dr. Liu. You've worked hard.

Okay.

Bye.

Okay.

Ping An.

Why are you here again?

What?

Do you find me annoying?

Just say what you want.

I'm busy here too.

Xiao Yu got first place.

I asked her what she wanted as a gift.

She said she wanted a plush toy.

She also said you never gave her a plush toy.

You got the highest score on the exam this time?

That's great.

I'm proud of you.

How about...

we go buy a plush toy this weekend?

Thank you, Dad.

I only want the one I like the most.

I know you work hard.

I can't waste your money.

Good girl.

Let's go together this weekend.

There's no need.

I'll take Xiao Yu there myself.

You're not feeling well.

You should rest at home.

Ping An.

Do you despise me?

I'm sorry.

I know it's not good for me to bother you all the time.

However,

this body of mine...

- doesn't have much time left. - Li Ming Hui.

How long are you going to keep up the act?

What do you mean?

Xiao Yu.

Did you see that?

Your dad is going to find you a stepmom.

That's enough.

I don't want to argue with you in front of the kid.

Tell your dad that you don't want a stepmom.

You want us to be together.

- Tell him now. - Li Ming Hui.

Stop using Xiao Yu as a cover, okay?

I just called Dr. Liu from Ruirong Hospital.

You don't have liver cancer at all.

It's just an uneven fatty liver.

I'm sorry.

I didn't mean to lie to you.

You know what's on your mind.

What's on my mind?

I just want to give Xiao Yu a complete family.

Xiao Yu can't live without her dad.

That was not what you thought back then.

Lu Ping An.

I'm Xiao Yu's mom.

Am I not as good as that woman?

There's nothing to compare.

I know I've let you down in the past.

But I'm back now, aren't I?

Do you hate me that much?

I used to hate you,

but not anymore.

Let bygones be bygones.

We can't turn back time.

But there's one thing.

We're Xiao Yu's parents.

We should fulfill our responsibilities.

What do you think?

Xiao Yu.

Let's go.

Dad, I'm a good girl.

Don't abandon me.

Xiao Yu.

Remember this.

I'll always be by your side...

and you'll always be my sweetheart.

All right?

Dad.

Will you still buy me plush toys in the future?

Of course.

Didn't we agree?

We'll buy it this weekend.

Listen to your mom.

Go.

I'll call you this weekend.

Bye, Dad.

(Tongshan Hospital)

Come in.

- Sir. - Ms. Jiang.

This is the treatment plan for Bed Number 9.

I need your signature.

Ms. Jiang.

I'd like to have a word with you.

Have a seat.

My ex-wife was here...

Sir.

It's okay.

I'm fine.

That's good.

She has always been like that.

She doesn't care about other people's feelings.

When I first met her,

I thought she was a straightforward person.

I thought things would get better...

after we made adjustments.

After we got married,

she got even worse.

She complained about me every day.

She said...

I bought a smaller house.

She also said I didn't earn enough money,

not ambitious,

and content with the status quo.

So during that time,

I worked overtime at the hospital...

to make more money.

Maybe I was too naive.

She said...

she couldn't see hope being with me.

Then it got worse.

We fought very frequently.

In the end, she wanted a divorce.

Later on,

Later on, she really took Xiao Yu away.

After the divorce,

I became very lost.

Living as a married couple,

if we can't understand each other,

and support each other,

then being together...

is quite painful.

Maybe it's a relief...

to be apart.

Maybe.

Later on,

I put all my focus on work.

Every day,

I think about how...

to come up with a better treatment plan...

and what better treatment to help patients.

I know they all talk about me behind my back.

They say I've changed.

I've become a snobby person.

But that's not true.

I just want to use such means...

to distract myself...

so that I won't think...

about the great mental pain that divorce has caused me.

Everyone talks about me behind my back...

that all I care about is sales...

so that I can get promoted and get a raise.

That's not true.

I just don't want to...

and don't dare to stop myself.

You haven't changed.

You insist on operating...

on the patient with a broken finger who has given up treatment.

That's the best proof.

Don't worry about what other people think...

or say.

Those who truly understand you...

don't need your explanation.

I really envy Xian Yun.

He suffered so much,

but he still has you.

You've always been there for him.

I'm sorry. I...

I shouldn't have told you this.

I...

But these words have always been held in my heart.

In the past few years,

I don't know...

who I can talk to about these words.

I'm really sorry.

Sir.

If you have something to say,

you should let it out.

If you hold it in for too long, you'll get sick.

Next time,

if you still want to talk to someone,

I'm here.

I'm here to listen.

Thank you.

You should get back to work.

I'm sorry for taking up your time.

Take a look.

If there's no problem,

then you can sign it here.

What's the matter?

I'm processing Zeng Xu Ming's discharge.

Discharge?

We've discussed it.

I want to take Xu Ming back to his hometown...

to recuperate for some time.

Xu Ming is from Qingdao.

He grew up by the sea.

He loves the smell of the sea the most.

I think he will feel better looking at the sea.

It'll help him get better, right?

Apart from this,

I can't do anything else for him.

Xu Ming.

Where is he?

Hi. What's the matter?

Have you seen Xu Ming?

Zeng Xu Ming, stop right there!

Where are you going?

You don't want me anymore?

I'm paralyzed.

I'll be like this for the rest of my life.

But you're different.

You will have a better life after you leave me.

You think I didn't want to leave you...

because I felt guilty...

for saving that kid...

and not saving you in the first place, right?

You're wrong to think that way.

When I first saw you paralyzed,

I regret it too.

I thought about it too.

If I had saved you first, what would happen?

But soon, I let go of the burden in my heart.

Because I know my boyfriend and I are the same.

If you were me,

you would make the same choice as me.

I'm sorry, Li Shuang.

I was narrow-minded.

I'm sorry.

I'm sorry.

I'm sorry.

Bai Zhu.

I'm a good friend, right?

Here, have two skewers.

"Apart from this,"

"I can't do anything else for him."

Nothing.

Chen Li Shuang said that today.

Why do I feel like you're talking about yourself?

The skewer looks good today.

Of course, I stayed behind to grill it.

You stayed behind to grill it?

All right, I'll try it.

What's wrong? You feel like coughing?

Are you okay?

Doctor.

As the baby grows,

the pressure on the patient's heart will become greater.

It will also increase hemoptysis.

It's hard to stabilize pulmonary lymphangioma.

The daily oxygen consumption will also increase.

We need to pay close attention...

to the situation of the mother and baby.

If necessary,

deliver the baby as soon as possible.

This will lessen pressure on her heart and lungs.

The patient's chance of survival will be higher then.

It's a solution.

At the moment, the baby is only 28 weeks old.

It weighs about 1kg.

To deliver a normal baby,

37 weeks is a minimum.

The patient's safety comes first.

There are still many precedents...

for the survival of 1-kg fetuses in the country and abroad.

No.

1kg is still too small.

Even if there's a precedent,

no one can guarantee that this baby will survive.

Given the patient's condition,

whether she's giving birth now...

or waiting until 37 weeks,

she is at great risk.

So I suggest we respect the patient's wishes.

Sure.

He has been fine in my belly for more than 190 days.

If I lose him because of the premature birth,

I can't accept it.

You promised me.

But you have hemoptysis now.

I'm tough.

It's all right.

Xiao Min.

We had a deal.

You can't change your mind.

Since the patient insists,

we'll wait until the full term.

However, we need to have a backup.

If the patient's condition is good,

we'll perform a cesarean section at 37 weeks.

If something unexpected happens,

we have to have an emergency plan.

Let's take a look at her situation.

How's the patient's condition?

His heart is beating faster.

That means her cardiopulmonary function has deteriorated.

We can't wait any longer.

Call the OB-GYN, Pediatrics,

Respiratory, and Cardiac Surgery Department...

for surgery.

- Okay. - Doctor.

My daughter will definitely...

give birth to the child smoothly, right?

We'll do our best...

to make sure the mother and the baby are safe.

Please come with me.

Okay.

The surgery is very dangerous.

Some accidents may occur.

For example,

after the placenta comes out,

her blood pressure will drop.

When her blood pressure drops,

her heart won't have enough blood supply.

It can easily cause...

malignant arrhythmias...

and even cardiac arrest.

But don't worry.

As a doctor, I'll do my best...

to protect the mother and the baby.

However,

if something happens,

I hope for your kind understanding.

Okay?

Thank you, doctor.

Thank you.

We'll do our best.

Okay?

Xiao Min.

Xiao Min, what's wrong?

Are you not feeling well?

- What's wrong? - I'm a little scared.

Don't be scared.

Come on.

Honey.

Honey.

I'm scared.

Xiao Min.

Don't be like this.

You make me feel bad.

Let's not...

Let's not have this child.

I'll tell the doctor right now.

We're not having the baby.

Honey, I'm fine.

I'm fine.

I just couldn't control my emotions.

I'm fine.

I'm fine now.

Xiao Min.

I'm begging you.

I'm begging you.

Let's not...

have this child.

Hong Wei.

Let's not be silly.

We've already come this far.

I'm tough.

I'll be fine.

I'm sure I'll be fine.

About...

About me crying just now, don't tell my parents.

I don't want them to worry.

I'm thirsty.

I'll get you some water.

Lie down.

Xiao Min.

Xiao Min.

Xiao Min, what's wrong?

- My stomach hurts. - Your stomach hurts?

Your stomach...

Doctor!

Take her to the operating room.

Call all the specialists.

The patient's heart rate...

indicates high pressure in the pulmonary artery.

Pay attention to monitoring various vital signs during surgery.

Okay.

Scalpel.

Let's cut the skin.

The operation starts at 12:14am.

(Tongshan Hospital)

(Room number, Name, Department, Code number, Status)

This is bad. The uterus is bleeding.

Gauze.

The bleeding won't stop.

Her blood pressure is dropping.

Get 2,000ml of blood...

and 1,000 ml of plasma fibrinogen.

Get me five prothrombin complex concentrates.

- Miss... - I'm going to get some blood.

What's going on?

I don't know.

Mother. She'll be fine.

- She'll be fine. - This is...

Who is Sun Fang Min's family?

- We are. - We are.

The baby is out. It's 1.5kg.

Just to let you know that...

the baby has been sent...

to the intensive care unit of the Pediatric Department.

Don't worry.

Miss, Xiao...

Sun Fang Min.

- How is Sun Fang Min? - She bled a lot during the surgery.

We're trying to save her.

She bled a lot during the surgery.

What should we do?

Mother, don't worry.

Let's trust the doctor.

She'll be fine.

She'll be fine.

Little fellow.

Please watch over your mom.

I found the source of the bleeding.

Hemostat.

Where's the blood?

Go and take a look.

Here comes the blood.

Sun Fang Min, 28 years old.

Type AB, Rh-positive.

Six units. Confirmed.

Sun Fang Min, female, 28 years old.

Type AB, Rh-positive.

It's confirmed.

The bleeding has stopped.

Who's Sun Fang Min's family?

- We are. - Doctor.

We've stopped the bleeding.

The patient is fine for now.

Thank you.

I was so scared.

I was so scared.

She's all right.

She's all right.

- She's all right. - She's all right.

She's all right.

Hong Wei.

Go check on the baby.

- Well... - Don't worry.

We're here.

Xiao Min will be fine.

Okay.

I'll go check on the baby.

Usually,

for patients with pulmonary lymphangioma,

there are three stages to giving birth.

The first stage is during pregnancy.

The second stage is during childbirth.

Luckily, she passed these two stages.

The third stage is the hardest.

After childbirth,

the blood in the body needs to be discharged.

It'll cause a huge burden on the heart and lungs.

Therefore, most maternal deaths...

occur in the month after childbirth.

Anyway,

we can't let our guard down this month.

Look at him.

He's so cute.

He looks like you.

He pursed his mouth when I went to see him.

He is so cute.

When you get better,

let's go see him together.

Don't cry.

All right.

Rest for a while.

The patient woke up,

but his vital signs are unstable.

Her oxygen saturation is only 90 percent...

and it's falling.

If it doesn't go up,

it will cause blood pressure to drop,

heart rate to accelerate,

and even death.

Don't jinx it.

I missed you so much.

Don't give me that.

You've been in Shanghai for so long.

Why did you only visit me today?

I'm busy with my exchange studies at Ruirong Hospital.

I just finished studying, so I came to see you.

Are you surprised?

I'm more shocked than surprised.

You don't mean what you say.

Have you not received flowers for a long time?

This is bad.

A rival has appeared.

Why are you coughing?

I stayed up late to write my thesis...

and I caught a cold.

I'm fine. I took cold medicine.

You have a fever.

Come with me for a checkup.

- It's okay. I really don't need it. - Listen to me.

Okay.

He dropped something.

Give it back to him.

(I love you)

Tell me. Where do you feel unwell?

Sore throat, cough, fever,

and muscle soreness.

It's obvious that you didn't attend class.

You don't come to the hospital when you are sick.

Can this be solved by taking medicine by yourself?

Yes.

It's all my fault.

How should I write the main complaint?

Sore throat and cough for three days,

accompanied by fever for half a day.

What else is there to write?

Current medical history.

Sure.

Pay attention in class.

Give me a break.

I didn't want to come for a checkup because I knew you'd do this.

When people hear that we are medical students,

they are so envious and ask us,

"Do you not have to spend money to see a doctor?"

"Isn't it very convenient?"

They don't know...

that we have to avoid our teachers and classmates...

when we see a doctor?

Otherwise, it'll turn into an exam.

What's your highest temperature?

39 degrees Celsius.

Is there any other discomfort other than sore throat and cough?

I also feel a little lethargic and my muscles ache.

Have you done any strenuous exercise?

No.

Have you been out of town?

Any contact with chickens, ducks, or fowl?

No.

Any diarrhea or abdominal pain?

Frequent and painful urination?

I don't think I have painful urination.

But my urine is quite dark.

There's even some foam.

I don't need that.

Open your mouth.

Let's do a hematuria test and a flu swab.

It's just a normal cold.

There's no need for a urine test, right?

Fine.

I'll go.

You have an Internet celebrity beauty.

She has a handsome guy.

That's what you call...

I was about to say something to you.

Are you frustrated?

No, it's just...

Someone suddenly appeared...

and you don't even know what their relationship is yet.

Do you have to do this?

Can't you be more open-minded?

You still remember that I like to drink sugar-free drinks?

I bought it for you.

It tastes as good as before.

Let's have dinner tonight.

I have a night shift.

I'm going back to Switzerland tomorrow.

Aren't you going to do me the honor?

It wasn't easy for me to come here.

Your test results are not out yet.

What if you can't leave tomorrow?

Can't you just hope that I get better?

That's enough.

Let's have dinner at the cafeteria.

Cafeteria?

What's wrong, Dr. Bai?

It's nothing.

Young man, don't give up.

Although Dr. Xiao has many admirers,

of course,

some are outstanding,

I have faith in you.

You can do it.

Who's courting Dr. Xiao?

Don't be shy.

Aren't you courting Dr. Xiao?

What are you talking about?

She's my sister.

Have some water.