Medical Top Team (메디컬 탑팀)

Episode 6

Come in.

Dr. Park Tae Shin. What is it?

This is patient Eun Ba Wi!

We'll move her at three.

One. Two. Three!

Professor, her oxygen saturation level is going down.

Hurry and intubate her!

Blade.

Tube.

Vice President, please help me.

It's not a matter that can be decided easily here and now.

Please help me, Vice President.

Ba Wi has to be saved.

Vice President, help me!

Save Ba Wi! Please save her!

Please, save Ba Wi!

Ba Wi must be saved!

Vice President! Please save Ba Wi!

FiO2 is 1.0, but oxygen saturation level is not improving.

Her paCO2 is 60 and paO2 is 40.

This is not good. We should perform ECMO immediately. Prepare it. ... Yes.

Should I call Dr. Park again?

No. I can do it.

How's her electrocardiogram (ECG/EKG)?

Her pulse is 160 and BP is 70/50.

Inject saline ASAP and get the defibrillator ready.

She's having a respiratory failure. We need to perform ECMO immediately.

No, since she's having an atrial fibrillation, we need to treat her arrhythmia first then perform ECMO.

Otherwise, her heart will not survive ECMO.

I'll do it!

30 joules!

It's charged! -Clear!

50 joules!

It's charged.

Clear!

Her heart rate is decreasing.

Her BP is rising.

I'll perform ECMO.

the blood is drained from the body, oxygenated, and then returned to the body

I know very well the dangers of living donor lung transplant surgery.

If we start counting the risks, you'll find plenty.

I still want to do it.

I have participated in a few living-donor lung transplantations while at San Diego Hospital.

If an opportunity arises,

I would have the heart to stand up to the challenge.

It's done.

Her blood pressure is back to normal.

Please check her ABGA and check X-ray.

Yes.

Is it finished?

Yes, he performed ECMO.

Let's try and see if we could remove the machine one to two days later.

I guess that's the only option you have,

since you're still against the living-donor transplantation.

Please check the blood test and the picture.

Performing a living-donor lung transplantation

is quite a big gamble for our hospital.

Yes, I know very well.

But, I'll do well and succeed.

I must succeed.

I heard Chief Han is against performing this surgery.

It's not important to me whether Chief Han approves or not.

All I'm thinking about is to get this surgery performed as soon as possible.

In any case,

I don't think this matter can be decided immediately.

Ba Wi is a pitiful child whose parents abandoned her.

I understand very well how that feels.

Still, even though I've lived this long.

Ba Wi is only 8 years-old.

Vice President, don't you have children?

Please think about it carefully as a mother.

Unfortunately,

I don't have any children.

I've never been a mother.

Even if I wanted to help her out of compassion, there are many limitations I have.

I still need to consider all the possible

consequences that may come with the transplantation.

Ultimately, you're saying it can't be done.

I understand. Please excuse my imposition.

Let's take some time to think it over more carefully.

How is Ba Wi?

She hasn't developed ARDS yet.

Let's remove the ventilator tomorrow and also wean ECMO and see.

No, there's not time to wait.

As we delay more her chance of survival goes lower.

If it can't be done at this hospital, I'll need to look for another hospital.

Professor. Living donor transplants are performed abroad.

Why can't we do it yet?

Our country allows, by law,

brain-dead donor transplants only for now.

Usually, the prognosis for a living-donor transplantation is much better than for a brain-dead donor transplantation.

It's really an unfortunate situation.

We need two donors for a living donor lung transplant, right?

It depends, but in Ba Wi's situation, she needs a right and a left lower lobe separately.

It's difficult to find even one donor, let alone two.

How on earth...

Chief Han!

Yes?

What are you going to do about patient Eun Ba Wi's lung transplantation?

We're waiting for a brain-dead donor.

So that's why the talk of living donor transplant came up.

Pardon?

I heard Dr. Park went to see the vice president yesterday.

He must be desperate. I hear he begged and begged more.

He requested permission for the surgery.

It looks like the Top Team will not do a living-donor transplantation?

I guess that's why Dr. Park ran to the Vice President.

That's understandable. You don't need to gamble,

and take risks.

Dr. Park, let's talk.

Did you go see Vice President?

Yes.

Our Team decided again it. Why did you talk to Vice President about it?

In order to save Ba Wi! I have to do whatever it takes.

Why? You don't like it?

Oh, right. You two don't get along.

Dr. Park, if you continue to act this way,

I don't know what I'm supposed to do.

I'm sure I told you the first time we met.

I'm a dangerous person.

I can't participate in the meeting today.

I need to find out about something. I'm sorry.

Oh! Dr. Park, where are you going...

Dr. Park!

I don't think this is something you should deal with emotionally like this.

Then, what should I do?

I understand your frustration. However, in our hearts, all of us also want to save Ba Wi.

Professor Seo. Right now,

I don't care about other people's feelings.

Except for saving Ba Wi.

Is Ba Wi alright?

I'm worried to death since I'm so busy with my hospital work and can't go visit her.

I found where Ba Wi's mother is.

Doctor!

What? Is there something wrong with Ba Wi?

No.

Well... I wish you'd cheer up.

Even though I wouldn't be much help to you,

I support the living donor transplant to Ba Wi.

I hope it happens as you wish.

Wow... Suddenly I feel like there's nothing I need to fear anymore.

Because Dr. Choi Ah Jin is on my side.

What's this? Getting all serious all of sudden...

I really mean it.

Did someone say you don't?

Call me if there's anything wrong.

Okay. See you later.

Yes. Dad also misses my Emily a lot.

Study hard.

Please be obedient to your mom.

Uncle.

Again, again!

No. You don't need to put your mom on the phone.

Tell her it's okay.

Bye, Emily.

Is Emily doing well?

She just sent this to me.

My Emily is pretty, isn't she?

Aigoo, how pretty! She doesn't look like you at all, Uncle.

By the way, how are things over there? Isn't it little serious?

How did you know?

Doc Park went nuts.

Because Chief Han wouldn't allow Ba Wi's surgery, he's clashing with Chief Han.

I didn't know Doc Park's affection toward Ba Wi was this intense.

Is that so?

Yes. Because Chief Han opposes the patient Eun Ba Wi's surgery,

Doctor Park is looking for another hospital.

In my opinion, you should make a decision, Vice President.

Let's do the patient Eun Ba Wi's surgery here.

Well, I don't know.

If we decide to do it, shouldn't the Top Team do it?

The living donor lung transplant is very difficult and hasn't been done in Korea, right?

The Top Team was created to do such procedures.

But they wouldn't do it because something might go wrong.

People are saying that you are supporting only the Top Team.

We, the Thoracic Surgery Department, will make it a success.

If you get to do it,

are you confident, Chief Jang?

Yes, I am. I want to try it.

Hello.

Vice President.

I'm here to see the patient Eun Ba Wi.

Ba Wi's enduring well.

We will take off the ventilator and tube soon.

It's a relief.

Thank you for your hard work.

It's nothing.

Wow. It's your car, Ahjussi?

I didn't know that you own a car, Doc Park.

Do I look even more attractive since I have my own car?

No, not at all!

Strong denial.

It's a little weird.

Well, anyway, where do you want to go, kid Eun Ba Wi?

Me? Umm...

To where my mom is.

Ah, this Ajumma.

She used to work at my restaurant about 3,4 months ago.

You don't know where she is now?