Hospital Playlist (슬기로운 의사생활)

Okay. I'm just five minutes away. I'll head straight to the OR.

Gosh, who's on duty today?

-What about galbi? -Right.

-Level one. -It needs the spicy sauce.

Right, half and half.

-Start without it and add it later. -It has to be moist.

-Yes, very moist. -Totally.

Then we should also…

Professor!

-Get in. -Hello.

Doors are closing.

-Are you there yet? -Yes, I'm waiting out front.

-Did you stay up all night? -Yes.

-Thanks. -No problem.

"MINUET IN E MAJOR" BY BOCCHERINI

Hey, bear. I'm on my way to get a coffee. Do you want iced Americano?

Yes, sure.

-You're early. -Yes, I have surgery.

Hey! I totally know this song.

Do you want to bet?

-How much? -Let's do 100,000 won.

If I know the song, you pay me. And vice versa.

Deal?

-I'll pass. -Darn it.

It looks like you know.

Yes! I've listened to it so many times that I'm sick of it.

What's the title?

"Hello, this is the English listening comprehension section

of the 2021 College Scholastic Ability Test.

Please…

Please relax and listen carefully.

We advise all exam supervisors

to check the speaker to ensure optimal volume.

All…

All examinees must write their names

and examinee identification numbers on the left side

of the answer sheet before the test begins…

Please double-check to make sure all the information is correct."

That freak.

He's such a freak.

Jeong-won.

Ahn Jeong-won.

Yes.

Appointments start in ten minutes.

Right.

KIM JUN-WAN AHN JEONG-WON

Song-hwa has emergency surgery this early?

Yes. She said it won't take long though.

Hold on.

I was going to do something.

What was it?

It was something urgent.

Go shave first.

Right.

I'LL BE OUT OF SURGERY IN THE EVENING! SEE YOU LATER

Seung-chae is next, right?

Yes.

I hope she succeeds today.

You did it!

She practiced a lot at home.

She started practicing winking nonstop

a week before the appointment.

I should give you a prize.

What would be good?

Stickers. Here.

Thank you.

Compared to her blood work from last month,

everything has gone up a little.

I think she can take less potassium.

Sure. What about sodium?

If that looks good too,

I think we can cut down on the supplement.

Sure. She's taking vitamin D as well, right?

Yes. I give her four drops a day.

And I also give her probiotics once a day.

That's great.

Why don't we change her feeding tube since you're already here?

I changed it a few days ago.

You're more of an expert than I am now.

Seung-chae is gaining weight optimally at the moment,

and she looks energetic and healthy every time I see her.

I know it can get complicated with all the meds she has to take.

You're doing an amazing job.

For three years, she's had no infection caused by the central venous catheter,

all thanks to you.

And kids at Seung-chae's age usually have a big increase in appetite,

but you've been keeping it under control.

Professor Ahn.

I actually wanted to talk to you about that today.

Okay.

Recently, I told her not to drink water.

Then I caught her drinking tap water while washing her face.

Also, she asks for food more often these days.

And unlike before,

she struggles with the injections these days.

She wants to go outside and play with her friends

but has to stay home and get injections,

so I think she's very frustrated.

I've been coaxing her into getting the injections,

and I've been making sure she never overeats,

but I don't think it'll be easy going forward.

And that being said,

when you were going over the different treatment options,

you mentioned that a small bowel transplant was one of them.

You said she might need it because she only has a few central veins left now.

You said she's okay for now

but also suggested we get her on the waitlist

just in case she'd need it later on, so I registered her for it.

Out of fear,

I've been telling you that I wasn't interested in that option,

but I now want to consider going that route.

I'm aware that it's a difficult procedure with a low success rate.

And that's why I was initially against it.

But seeing Seung-chae asking for food all the time…

I want to cook her a proper meal for once.

I would like to give it a shot.

I want Seung-chae to get a small bowel transplant.

Okay.

Ma'am, can we talk about this again

after I give it some thought?

I want to make sure we're making the best decision for Seung-chae.

Let me think about this for just a couple of days.

Sure, of course.

All right.

Seok-min, do you see the aneurysm neck here?

Yes.

I took care of the dissection. Do you want to clip it?

Well…

Okay, I'll try.

RESTRICTED ACCESS

Nice. You weren't even nervous. You got it in one go.

Seriously, you did a great job.

I never got it right at the beginning. Well done.

You sure have the talent.

I'm flattered. Thank you for giving me the chance to try it.

Since this was your first time, you have to buy me lunch.

Okay. I'll treat you today.

Let's do one last check for bleeding.

Irrigation, please.

-Hello. -Hello.

-Hello. -Hi.

The patient is a kid, but the condition is quite serious.

The professor of Radiology.

I see.

And is he a fellow in Pediatrics?

Yes.

Professor Kim Jun-wan is here, so can we get started now?

Yes, we should.

All right.

Choi Eun-dam, age seven.

A male patient with Marfan syndrome.

Oh, dear. The enlarged heart is pressing on the lungs.

He has severe scoliosis.

Four years ago, he received MR repair at age three

from Professor Kim Jun-wan at Kangwoon Medical Center.

At the moment, he is being treated

for kyphoscoliosis in OS at Kangwoon Medical Center.

They recommended surgery due to progression of AR and MR

shown in the tests done recently because of his shortness of breath,

but his guardians wanted him to be seen by Professor Choi Gyeong-hui.

I see that the aortic sinus is enlarged too.

Well, I'm sure they took measurements.

Can we see it from a higher angle?

Sure.

It does look like he needs surgery.

Why did the doctors at Kangwoon not proceed with surgery?

They thought the aortic regurgitation wasn't too serious.

They did recommend surgery

but didn't want to do it right away, so they've been using meds.

If they go ahead with this surgery,

they'll have to work on the mitral valve, the aortic valve,

and even the aortic root.

It'll be complicated, and his lungs aren't doing well either.

So they suggested surgery but haven't been able to

finalize the date yet.

His dyspnea started to worsen notably a few months ago,

so his mother kept waiting,

but she wants Eun-dam's surgery to be done by the doctor

who performed his first heart surgery.

That's why she brought him to Yulje.

Do you think it's doable?

We should do it.

But I'm not sure if his vitals will hold up during the anesthesia.

Because of his kyphoscoliosis,

he won't even be able to lie on his back.

The left ventricular contractility and the size

tell me that the symptoms won't be too severe.

So I don't want to put pressure on the patient by expediting the surgery.

The regurgitation looks quite severe on the ultrasound,

but it seems to be still functioning,

so let's see the patient and decide when the surgery should be done.

He has an appointment with me,

so we can discuss this again after I check the kid's condition.

Next is Ms. Kang Seo-ju.

Okay.

Hello.

Hello, Professor Yang.

Hello.

Let's sit down.

Well, everything looks good.