Hospital Playlist (Wise Doctor Life / Seulkirowoon Uisasaenghwal / 슬기로운 의사생활)

How's the liver? Are you heading here now?

We have a problem, Professor Ahn.

-What's wrong? -The donor's liver is too thick.

It looks like it weighs over 500g. And her AP must be as thick as 8cm.

What should we do?

This liver seems too big for Ji-a. It won't work.

I think you should give up.

No, we'll proceed as planned.

I'm going to do this.

Hello.

-You're still here? -Yes.

Did the painter Mr. Jang Hong-do leave for the day?

Yes, Mr. Jang was...

I mean, he was here, but he left just now.

All right. You should get going too.

Okay.

Want to see a liver transplant?

Yes.

Thank you.

For a baby to get a liver transplant, the size is the most important factor.

If it's too big, the results will be fatally affected.

For a baby, we'd usually cut a brain-dead donor's liver in half,

but this donor's liver is much bigger than we expected.

Even if we cut it in half, it'll still be too big for the baby.

Ji-a is only six months old.

So, Ji-a can't get the surgery? Will she have to wait for another liver?

She doesn't have a "next time."

Her liver can't release the bile, so hepatocirrhosis is worsening rapidly.

She vomited blood and had blood in her excrement.

She won't last more than a week.

-Then what do we do? -What?

I'm sorry.

Then what do we do, Professor?

She can't get the surgery and won't live if we don't do anything.

-What do we do? -We'll perform the surgery.

But you said even the half-cut liver is too big.

-We can cut it again. -What?

What? What's wrong?

I'm really sorry.

Did you say we can cut the liver again?

Yes.

We'll cut the half-cut liver in half again.

It happens occasionally. Of course, the surgery will be very difficult.

Still, we have to do it.

It won't be easy,

but this is the last and only way to save the baby.

-Ji-a. -Please, God...

Here.

-Three, three, three. -Three, three, three.

-Liver coming out. -One.

-Gosh, it must have been hard for her. -Two.

-Three, four. -I'm amazed she held out with that liver.

-Five, six. -Ji-a is really amazing.

-Seven, eight. -Seven, eight.

-Nine. -Nine, ten.

The liver is here.

Thank you. Thanks for your help, Dr. Jang.

You said you were by the traffic light across the street.

You got here so fast.

-Did you run? -Thankfully, the traffic wasn't so bad.

But the elevator in this building is broken,

so I ran up here.

I mean, I didn't run.

I quickly...

I walked quickly. Just walked.

I was being careful to deliver this safe and sound.

My gosh, Gyeo-ul.

Great job.

It looks like we're done, Professor.

Yes, thanks for all your help.

-We're ready, Professor. -Okay.

Would you like to try the next External Ventricular Drainage?

What?

You're in your third year, so it's about time.

Get ready.

Thank you.

The liver has been cut, so it's bleeding a lot.

Forceps. Quick.

This will take a while. Ik-jun.

Yes, I'll let her parents know.

There's a lot of bleeding, Doctor.

Yes, she's still okay though.

Focus. You have to do a thorough job with the suction.

-I can't see. -Okay.

Pass me the gauze.

Doctor.

Is Ji-a well now?

Did the surgery go well, Doctor?

Yes.

It went well.

Why are you crying? It went very well. Ji-a is such a strong girl.

Please don't cry. People will think that the surgery didn't go well.

Thank you.

Thank you, Doctor.

Thank you so much for everything. We'll never forget this.

There was more bleeding than we had expected, so it wasn't easy.

But we managed to get it under control.

She's stable now, and we'll move her to the ICU shortly.

The transplant went well,

so she'll be fine as long as the liver works well.

The surgery went successfully, so Ji-a will recover soon.

-Thank you. -This must've been so hard for you.

You held out very well.

I don't know how I can express my gratitude.

Thank you so much.

Ji-a could live because she was lucky enough to find a brain-dead donor.

This is truly a miracle.

And we were very lucky to find a young donor.

We owe it all to you, Doctor.

Thank you so much, Doctor.

Thank you.

All I did was perform the surgery.

Pardon?

You should thank that person instead.

-Who? -Who?

Age 22, female.

Tall and slim.

A traffic accident victim.

I'm talking about the donor.

The person who gave Ji-a the liver.

I can't give you

more information about the donor as it's against our rules,

but Ji-a could live thanks to her.

I'm so ashamed, Doctor.

I'll thank her for the rest of my life.

I was only thinking about my baby.

-I'm so sorry. -We're sorry.

No, don't be sorry. I fully understand.

But every year, on Ji-a's birthday,

please thank her

with all your heart.

-We will. -Yes, thank you.

Thank you.

Then I'll see you in the PICU later.

Okay.

Thank you.

Yes. Can you send this to me with the image?

Yes, thank you. Will do.

-Still, I'm worried. -Don't be.

The contractions are under control, and the baby is doing well too.

-She'll be fine. -Do you have to keep using the drugs?

As I explained before, those drugs are completely fine.

I'll go through them again with you.

Just a moment, please.

That patient, Park Mi-jeong. What was her cervical length again?

-Hold on. -It was 1.5cm.

I see, 1.5cm.

-Dr. Chu. -Yes, Professor.

The C-section patient bled a lot because her contractions weren't good.

Check the pad and keep an eye on her contractions.

Yes, sir.

Doctor, my wife says that she's in a lot of pain. What should I do?

I checked her five minutes ago but didn't notice any changes with her cervix.

I'll check in a bit and give her an analgesic if needed.

Can you please check now?

Sure.

-Dr. Chu. -Yes?

We're giving Sin Hyo-jeong ritodrine at 12gtt per minute,

but she has tachycardia.

Oh, let's bring it down to 8gtt. And check her vitals in an hour.

Okay.

We'll see how the baby is doing

and keep the baby in the womb for longer if needed.

Is there a chance that the baby will be weak compared to other babies

or can't live for long?

No, that won't happen.

My mom also had a very hard time when she had me.

-Really? -In my case...

My mom is diabetic, and she got pregnant unexpectedly.

She's diabetic?

Patient Seo Jeong-won's episiotomy site looks pretty good, doesn't it?

Yes, I checked in the morning. She doesn't have a hematoma. All good.

Dr. Chu, can you have a look at this NST?

Jeong Min-gyeong is exhibiting decelerations.

Let's hydrate her.

Give her 3L of oxygen via nasal prong in the lateral position.

Okay.

-Doctor. -My sister's baby was born prematurely,

but she's so optimistic and easygoing though.

I was worried about her even though I'm an ob-gyn,

but she said she was happy to meet her baby early.

-My gosh, really? -Yes.

-Doctor. -Yes?

I'm really hungry.

Can I eat something?

Let's check fetal movements. Hold on. I'll be with you in a minute.

She'll have a healthy baby, and the baby will stay healthy.

My sister's baby is already two years old. Do you want to see photos?

Yes, I'd love to.

-Dr. Myeong. -Yes?

We need to check Sin Ha-yun's fetal movements,

and we have to check Jeong Min-gyeong for decelerations.

Also, we have two C-sections scheduled,

so we have to get ready. We have a lot to do.

Okay, got it.

Doctor, you're very straightforward.

Have a good day.

You too.

Well... I'll go check the C-section patient's pad.

Okay.