Surgeons (外科风云)

Faster, Brother!

Go faster, Brother!

Go faster!

Brother, Brother!

Brother, Brother!

- Let's go find Mom! - Let's go find Mom!

Let's go find Mom!

[Xiu Min Qi, Chief of Thoracic Surgery at Renhe Hospital]

That's impossible! I would never make that sort of mistake!

Chief Xiu, will you listen to me?

It’s impossible for me to have given a shot of penicillin. It was lidocaine.

It must be a mistake. Please investigate this further.

All right, that’s enough!

You were the only one to administer a shot.

He's now being treated for an allergic reaction to penicillin!

If not you, who else could it have been?

[Zhang Shu Mei, nurse in Thoracic Surgery at Renhe Hospital]

I... I was following the doctor's instructions.

There must be a misunderstanding.

I’m begging you, please investigate further.

Chief Xiu!

Chief Xiu, resuscitation was ineffective. The patient is dead.

Brother, I’m scared.

Chief Xiu.

Since you're the family of a fallen military hero

the hospital probably will not fire you.

We will further investigate this issue.

- Escort her home. - No...

Allow her to settle down.

- Ms. Zhang. - Chief, Chief!

- Come, Ms. Zhang. - I really didn't use penicillin!

I only used lidocaine! I didn't make a mistake!

I really didn't! I didn't do it!

Please investigate this further!

I really didn’t make a mistake! I didn’t kill anyone!

- Mom! Mom! - I didn't make a mistake!

- Mom! Mom! - I only used lidocaine!

[Fu Bo Wen, resident surgeon in Thoracic Surgery at Renhe Hospital]

Owen, are you up?

Yes, I'm showering!

Come down for breakfast.

That luggage is going to take a while to pass through customs.

You'd better go early.

All right. You know, you sound just like Mom.

Oh, cut it out. Just hurry up.

Got it.

[Chief surgeon of Cardiothoracic Surgery at University of California]

[Doctor in Charge: Zhang Mo Han, Primary Nurse: Zhou Qi]

Nurse Liu, Nurse Liu! Where's Dr. Lu?

She was on night shift until 2:00 a.m. She's sleeping inside.

Dr. Lu!

I’m sorry for waking you.

What is it?

Dr. Chen from the Emergency Room (ER) is looking for you.

He needs help again?

Chen Shao Cong isn’t on-call today.

He isn’t on-call.

Then what is he here for?

You can see for yourself.

- I know I drank too much. - Dr. Chen!

I know I drank too much.

- I know I have work later. - Slow down.

- I can't go home! - Dr. Chen!

- I won't wake up later if I go home. - Dr. Chen.

- You don't need to help me. - Go slowly.

Why are you assisting me? Why don't you hold on to the gurney?

- Hold on to the bed! - Lie down first.

- Hold the bed. - You're falling down.

Why are you holding me? Hold the bed!

Where's Lu Chen Xi? Why isn't she here yet?

- Why isn't Lu Chen Xi here yet? - Dr. Chen, lie down.

Here, let me.

One, two, three, up you go!

Stand steady.

Was it red or white?

Beer.

How many bottles?

Five... bottles...

Give him saline and naloxone.

He'll be embarrassed to stay in Observation.

Give him fluids in the office.

Chen Xi...

You know me so well. You know I'm thin-skinned.

Are you?

Chen Xi, listen.

The ER needs a strong man like you.

You have an easier time than I do moving patients onto a bed.

Go on. What happened this time?

Did she dump you? Or did you dump her?

- Mutual breakup. - Speak clearly.

She dumped me.

Since junior year of college, you have done this every time you were dumped.

Can’t you try anything new?

It’s new this time.

She blocked me even before we met!

Wake him at 7:00 a.m. and check his blood alcohol level.

- Don't let him work if it's too high. - Got it.

Was I snoring?

Dad, bear with it a while longer. I just checked. We’ll be seen soon.

Drink some water.

No... no...

Ma'am, where did you get water?

There's a beverage station in the back.

Dad, I’m going to get some water. I’ll be back.

- What’s wrong? - Something's happened!

Are you all right?

Get a doctor!

Dad, Dad!

What's wrong, Dad? Dad!

Doctor! Doctor!

Give me a hand to help him up!

Excuse me, let me through.

Here, lie him down.

Dad? Dad?

Let's take him to the ER.

Out of the way! Send him to the ER quickly.

He was coughing up blood. His airways may already be blocked.

Go to the ER and get a doctor.

Okay.

Dad!

I think we should take him to the ER!

He's turning blue from lack of oxygen. He won’t make it to the ER.

Come on, lift him up. Place his chest on top of my lap.

Cough it out!

Use some force.

Dad!

Here, turn him over.

Dad...

Everything's all right now, Dad.

Bed 1's blood loss post-op hasn't been fixed yet.

Give two units of washed red blood cells.

Okay.

- Why is Bed 2 still on alprostadil? - That...

- Stop immediately. - Yes.

Bed 3 had a blood transfusion yesterday.

Who ordered it?

[Chu Jun, fellow in Thoracic Surgery at Renhe Hospital]

Me.

Associate chiefs and attendings may go. The rest of you stay behind.

The patient has severe hemoptysis and had respiratory arrest four minutes ago.

Breathing returned after airways were cleared of obstruction.

Blood loss estimate is in excess of 400 milliliters.

All right, thank you.

Page Lu Chen Xi in Thoracic.

- Have her come down herself. - Okay.

- Thank you. - Excuse me.

All right, go on, there's nothing to see.

It was the family’s request.

They were afraid the elderly patient would be too weak to recover from surgery

so they wanted a blood transfusion to nourish the patient's body.

Dr. Chu, this blood is for medical use.

It can't be bought like shark fin or bird’s nest from a store.

The family members have voluntary blood donor certificates!

They promised they would donate the same amount of blood we used.

You’re saying the criterion for allowing a blood transfusion for a patient

is whether the family can make up for the deficit?

A lot of new clinical interns and fellows have joined our department lately.

I'll stress this again.

First, blood for clinical use is in extremely short supply.

Blood products are to be used on patients only when necessary.

Second...

Modern technology is still unable to guarantee that

blood products are free of unknown viruses.

We must put an end to unnecessary blood transfusions.

For the patient we were discussing, what was the volume of blood loss?

What were hemoglobin levels pre- and post-op?

I had four surgeries that day and another patient with chemotherapy.

Blood loss during the procedure was below 100 mL.

Hemoglobin was 130 grams per milliliter.

I don’t ask that you memorize every patient’s data

but did you check the medical records when you issued the transfusion order?

Did this patient need a blood transfusion?

I asked Chief Yang for a consult. He approved.

Chief Yang?

He looked at the medical records

and allowed you to give a blood transfusion to

a patient with no blood donor certificate who had lost less than 100 mL of blood?

Hello?

Okay, got it.

Dr. Lu, you’re needed in the ER.

There are only so many spots open for fellows every year.

When the unqualified ones get in, the qualified ones can't.

Treasure your spot.

Male, 65 years old.

Coughed up over 400 mL blood.

Respiratory arrest six minutes ago.

Bleeding continued after airways were cleared.

Does the patient have a history of hemoptysis?

What's the heart rate and blood pressure?

How long was he on pituitrin?

Has the cause of bleeding been determined?

My car! How could you walk into my traffic lane?

I'll be right there.

Sorry, sorry. I'll fix that for you.

Gosh, how do you do this?

Pay for it! My dad spent days building it in his hospital room. You broke it!

Stop shouting. Lower your voice. I'm working on it, aren't I?

What is this?

What is this?

Do you know how to do this?