01x01 - Episode 1

[bunniefuu]

Relax, Mr. Wu.

Relax.

-Are the anesthetics ready?
-Yes.

Hi, I'm Dr. Hsiao, your anesthesiologist.
What's your name?

Chang-xing Wu.

-What is your date of birth?
-June 30th.

-In which year were you born?
-In 1973.

All right, I'm going to give you
a reserve of oxygen.

I'm preparing you for general anesthesia.

Inhale slowly. Just listen to me.

To the patients, we are just some
masked anesthesiologist in green scrubs.

Anesthesia is just as common as injection
and blood draw.

Little did they know

that what's carried on the shoulders
of an anesthesiologist

is the possibility
of one being asleep forever.

All right.

The blood pressure is okay.
Take note of the blood pressure.

I have two more surgeries.
Help me update the narcotic record.

It's currently 10:30 a.m.

All recovery rooms have been occupied.

But there are three surgeries
and two medical checkups

-waiting for anesthesia.
-Wait for me.

I'm going to Room Two.
I'll be right there.

I'm the only anesthesiologist
who's working on the day shift.

I'm moving around different
operating rooms day after day.

Each place takes me five minutes.

I always keep on moving around.

There's one more in Room Three. Speed up.

All right.

Wait. Stop for a while.

There's a second degree
atrioventricular block.

What are you going to do?

The blood pressure, oxygen level
and ETCO2 look normal now.

I'll use atropine to raise
the blood pressure.

Atropine, 0.5mg.

-Atropine, 0.5mg.
-Yes.

-Bring in the TCP.
-All right.

Give double dose of dopamine.

-Double dose of dopamine.
-Hurry up.

The pacemaker is here.

Wait a minute.

There's no need.
The heart rate has improved.

If it happens again,
then we'll need TCP or dopamine.

Consult the cardiologist
after the operation

to see what the problem is.
You may continue now.

Every day, the anesthesiologist
overwork themselves

and push themselves to the limit.

You can say that they are the ones

who determine
whether the patient lives or dies.

I keep reminding myself
to stay alert no matter how tiring it is.

Hey! Good morning, Dr. Liang.

Wait.

Here, take this.

You like this, right?

Take care.

Hey, Dr. Lin.

-Good morning.
-Good morning.

Did I forget to get one more?

Mr. Yeh, are you here to sell insurance?

No, I'm here to show my solicitude
for the medical personnel.

You are?

-I'm just kidding.
-Okay.

My client is hospitalized today.
I'm here to check up on her.

-I see. That's so nice of you.
-Of course.

The STS always takes

-a good care of our clients.
-I'm going to the nurses' station now.

-Okay.
-Let's talk another time. Bye.

Bye.

You look pretty today.

Goodness.

Xiao-ying Zhang.

Xiao-ying Zhang, open your eyes.

The operation is over.

Yes. How are you feeling?

-It's painful.
-Is it painful?

I'll prescribe you some medicines later,
then you'll feel better.

Twenty-five milligrams
of local anesthetics.

Some IV.

Are you cold?

Yes.

She feels cold.
Turn on two more lights for her.

All right.

-Please monitor the vital signs.
-Okay.

When she no longer feels cold,

-ask Dr. Qu to explain things to her.
-All right.

Mom, this is our insurance agent, Mr. Yeh.

Nice to meet you, Mrs. Zeng.
I'm the insurance agent from STS.

My name is Jian-de Yeh.

You must have undergone
a lot of check-ups just now, didn't you?

You look tired.

Would you like to rest for a while?

I've had this sickness
for quite some time.

It can't be cured.

I would rather die earlier

so that I can meet my husband in Heaven.

I really don't want to undergo
the operation.

Mom, don't think too much.

The physician that Mr. Yeh recommended
is an expert in neurology.

He is an expert.

He is also the director of this hospital.

The director is performing your surgery.
Why are you scared? It'll be fine.

Yes, Mrs. Zeng. Don't worry.

Moreover, your insurance
is going to cover all your medical bills.

So, just thinks of this as your vacation
and rest well here.

-He's right.
-There's no need to think too much.

You should go on with your work. Bye.

-All right.
-Okay.

Mrs. Zeng, I'll leave first.

-Thank you.
-No problem.

Here's the record for the patient
in room 3A014.

Hey, pretty lady.

Aren't you the nurse
from the Anesthesiology Department?

What are you doing here?

I didn't have a choice.
They are understaffed.

So, I'm here to help them out.

We are all nurses of this hospital.

Gosh, your hospital management
is too much.

How dare they overwork you?

Hey.

About the insurance policy
that I mentioned the other day,

you really need to consider it.

You are still young,
so the policy fee is cheaper.

What if one day
you fall sick from overworking?

I'll go to the outpatient clinic.

Here you go. This is my business card.

Call me if you have any questions.

Business card?

Right.

This is the one.

-I was just kidding.
-You must've practiced this a lot.

What?

It's the surgical demonstration.

The hospital didn't cancel it, did they?

My client's son is worried
about this surgery.

Don't worry.
This surgery is performed by the director.

The hospital prioritizes this.

But Mi, let me ask you something.

Do you know who the anesthesiologist is?

The anesthesiologist? Let me see.

The anesthesiologist is Dr. Hsiao.

He is very competent.

That's great.

I'm sorry.

Hey, why are you here again?

I had no choice. They are understaffed.

This is strange.
I'll talk to the Nursing Department again.

There's no need.

I'll only be here for two hours.
Why are you here?

You're working the night shift.
Why don't you go get some sleep now?

I'm sorry. Are you a doctor?

-I'm an insurance agent from STS.
-Sorry, it's my break time.

-Can we talk next time?
-It won't take long.

Are you aware of a policy
that covers medical dispute cases?

Have you purchased the policy?

We've just introduced
the policy especially for physicians.

-I'm sorry.
-This policy is more comprehensive...

It has a more comprehensive package.

I saw his name tag just now.

It's stated Anesthesiology Department.
His surname is also Hsiao.

He's the one.

-It's him?
-Yes.

You said he was competent.

-Hey.
-Yes.

Are you that tired?

Get some sleep if you're really tired.

Who is going to supervise
the nurses if I sleep?

Nobody needs your supervision.

According to the article 28,
section I of medical law,

-All right, stop it.
-without the physician's instructions...

You've said this too many times. Stop it.

What happened?
Your sleeping pills don't work?

No.

You're in a hospital. Go see a doctor now.

-What?
-Go see a doctor.

I might as well just look into the mirror.

Forget it. I'm going
to the nurses' station.

Who is on duty now?

-I'm in so much pain.
-Relax.

-Relax.
-Ma'am, let me examine you.

The doctor is going to examine you.

-Please be patient. Relax.
-Hold on. Relax.

-Relax.
-It's painful.

Ma'am, your cervix is dilated
to 3cm for now.

Just hold on a little longer.

-Oxygenate her if she's still in pain.
-Dear.

Come on, keep going.

-Inhale through the nose
-Ask my husband to come.

and exhale via your mouth.
He is on his way.

Dr. Wu, her amniotic sac is still intact.

The cervix is dilated to only 3cm.

Her cervix is only 20 percent effaced.

She has just entered
the first stage of labor.

We can anesthetize her
to perform a painless delivery.

Then get the anesthesiologist here now.

We've called him.

Didn't you talk to Mr. Speaker?

No anesthesiologist can perform
the painless delivery at the moment.

She has to bear the pain
for a little longer.

Bear the pain?

Who are you?

He is the director of the hospital.

Are you the director?

It's painful.

-Call the anesthesiologist here now.
-Dear!

Ask my husband to come over.

-Dr. Hsiao.
-Yes.

-Dr. Hsiao, there's an emergency case.
-What's the case?

Liver laceration, BP 80/50.

-Is the blood ready?
-Yes. It was sent to the operation room.

All right.

Let's go.

Sir, she can no longer bear the pain.

Her husband specifically chose
our hospital for her labor.

I have asked the attending physician
to call the anesthesiologist.

Tzu-chiang.

You are closer to Mr. Speaker.

You should handle this case.

Dr. Hsiao, this woman needs anesthesia.

-She needs to wait.
-No, she needs it now.

Is this that urgent?
Wasn't she just hospitalized?

She is stable.

It's not even three centimeters.
She can wait.

Dr. Hsiao, she can't wait.

This is more urgent, just ask her to wait.

Dr. Hsiao.

She is an important person.

I don't care who she is.
I have an emergency case now.

-I'll be right there.
-The director wants you there right now.

I don't care if it's the president.
I'll be there right after this.

-No, Dr. Hsiao.
-Get out of my way!

What's your problem?

You're not wearing your green
scrub and cap properly.

Who are you to say anything? Get lost now.

You should closely monitor the patient.

-CVP and A-line are both needed.
-All right.

Miss? Can you hear me?

Miss?

Blood pressure is 80/40,
I need to proceed the intubation.

All right.

LABOR ROOM ONE, IN USE

It's painful!

It's painful.

Why is it so painful?

I can't!

How is she?

Has she entered the labor room?

The cervix is now dilated
to ten centimeters. It's too late.

Luckily, we didn't delay the labor.

Otherwise, she won't be able
to have a normal delivery.

But...

Yes?

She is the House Speaker's wife.

So, what?

Don't forget that you're a doctor.

EMERGENCY ROOM

The delivery went smoothly.

But we didn't give her anesthetics
for the painless delivery.

She requested to be transferred
to another hospital.

How could you allow that?

The two of you need to solve this.

Keep her at all costs.

Yes.

RENXIN HOSPITAL
REGIONAL TEACHING HOSPITAL EVALUATION

Hey, help her out. Give her a hand.

Be careful.

Slowly.

Yes, handle with care.

Okay.

Mr. Speaker, listen to me.

-Because...
-Dr. Wu, you put my wife in such pain.

I'll never come to your hospital again.

No, Mr. Speaker. Let me explain.

-Our anesthesiologist had an emergency...
-Dr. Wu.

Dr. Wu, please move away.

Sir, your drink is ready.

-Thank you.
-Thank you.

Have the housemen report themselves
to the Radiology Department?

I've just checked it out.
They're all there.

Right, I've got some feedback.

We're short of physicians

-in the Medical Department.
-Yes.

Remind me to hold a meeting
with the head of departments.

All right, no problem.

Medical Department.

Dr. Chen.

I couldn't persuade her to stay.

She left.

Why?

Who was the anesthesiologist on duty
last night?

I didn't see him last night.
I need to check.

Didn't you go to get him last night?

Tell the director who was it.

What?

Hurry up.

It's him.

Last night, he was on duty.

Dr. Hsiao?

Hey, Dr. Hsiao.

Dr. Hsiao...

I've gone through your budget.

Obviously, there are a lot more
adjustment and refinement needed.

The officers from the Ministry of Health
have been visiting our hospital

to evaluate us
as a regional teaching hospital.

In order to pass the assessment,

I hope the heads of departments
would urge the staffs

to perform their best.

RENXIN HOSPITAL
REGIONAL TEACHING HOSPITAL EVALUATION

Regarding the construction
of the Cancer Institute,

is it possible to get it done
before the assessment?

Dr. Chen, I've reduced the expenses
in other departments

and diverted the funds
to support the construction.

So, the construction
will go on as planned.

Since our budget is tight,

we need to divert the funds
from other departments.

I hope we can go through
this tough time together.

Causing problems during the assessment
is unacceptable.

Whoever is showing negligence

will be harshly penalized.

That is all for today's meeting.

Head of Anesthesiology Department,
Dr. Liao,

please stay for a while.

The others are excused.

Last night, Dr. Zheng-xun Hsiao
from the Anesthesiology Department

refused to anesthetize
our VIP for painless delivery.

Can you explain this?

That was because Dr. Hsiao received
a serious case at the time.

It was an emergency case
due to a liver laceration.

-He couldn't be at two different places.
-Let me ask you this.

Before the VIP's cervix
was dilated enough,

the emergency patient had achieved
a stable anesthetic effect.

He could've left the patient
to the nurses temporarily

and go back afterwards. Am I wrong?

But Dr. Hsiao determined
that the patient was severely traumatized

due to a liver laceration.

The patient could go into a coma anytime.

I've told you many times

that this VIP is the wife
of the councilman.

Mr. Speaker plays a key role
in the upcoming assessment.

Now, we've displeased him.

Could Zheng-xun Hsiao
bear the consequences?

The problem is
we don't have enough anesthesiologist.

I didn't have enough manpower.

You know that, don't you?

We can't blame Dr. Hsiao for this.

Please sit down.

I know it's hard for all of you now.

I hope you can bear with me.

We need everyone's cooperation
to pass the assessment.

Could you please remind Dr. Hsiao of that
on behalf of me?

Goodness.

Hey, didn't you see the red light?

-Dr. Hsiao.
-Dr. Yang.

Be careful when you jog.
I almost hit you just now.

I'm sorry, I've been feeling unwell.

I've been wanting to consult a doctor.

Do you know any psychiatrist?

You refused to come back for a follow-up.

I guess you don't find a psychiatrist
like me helpful, do you?

You know I'm an anesthesiologist,
I'm really busy.

Have your insomnia
and globus pharyngis gotten any better?

I've been having trouble sleeping again.

I think consultation
and counseling can barely help.

Medication won't help either.
It will only alleviate the symptoms.

That's why I'm jogging.

If you don't open up
and talk to your psychiatrist,

no psychiatrist can help you.

My clinic is around. Think about it.

I need to perform
the surgical demonstration next week.

Who will be the anesthesiologist?

Sir, it will be Dr. Hsiao.

Dr. Chen, are sure you want
Dr. Hsiao to work with you?

It's true that Dr. Hsiao is stubborn,

but in terms of experiences and expertise,
he's the best in our hospital.

Ask him to spare some time to see me
in the director's room.

Yes.

-Hi, Mi.
-Hi.

You're smart to avoid the director.

He really dislikes salespersons like you.

Yes, he's famous for being stingy.

He's not stingy, he's just economical.

That's right, I've prepared you
an insurance policy.

Have a look.

-Let me explain it to you.
-Mi, what are you doing?

The first scheduled surgery is starting.

Hey!

-What happened to you?
-Oh my God.

Did you not sleep again last night?

That must hurt. Are you okay, Dr. Hsiao?
Do you remember me?

I'm an insurance agent from STS,
I'm Jian-de Yeh.

You didn't get my name card,
I'll give you one now.

He refused to take my name card again.

Ignore him. That's just who he is.
He only cares about his work.

-Can you give this to him?
-Sure.

Thank you. This is for you.

-All right. I've got to go.
-All right. Bye.

-Take a look at it later.
-Okay.

Call me if you have any questions.
I'll be there for you anytime.

Please come in.

Take a seat.

I just want to talk to you today.

How long have you been working here?

Nearly two years.

How's everything?

Do you think our hospital
needs to improve on anything?

I've talked to the head of department
regarding my opinions.

I don't think you asked me here

to hear my complaints
about the management.

If it's about the painless delivery
of your VIP,

I don't think I've done anything wrong.

According to the medical law and ethics,

the physician has the authority

over the prescription and treatment
or the method of referral for his patient.

It shouldn't be influenced
by any medical organization...

Pharmaceutical manufacturers,
biotechnology companies

and health insurance systems.

Dr. Hsiao.

I know the medical law
and ethics better than you.

I'm not here to question you today,
don't be too sensitive.

I just want to say, since you knew
that she's the wife of the councilman,

can't you at least show
some respect for her?

You should apologize
and give her an explanation.

I did not do anything wrong to her.
Why should I apologize?

I know.

From a professional point of view,
you didn't do anything wrong.

But from a social point of view,
the hospital is just like a society.

You must be professionally
and socially good.

The ultimate goal of our hospital
is to become a medical institution.

So, we're trying our best
to pass the assessment.

I know about the assessment.

But I don't think
these two things are related.

You don't think so?

Listening to you

makes me feel that you should have been
the director of this hospital.

I merely want to work as a physician.

Politics is too complicated to me.

Politics.

You merely want to work as a physician.

All right.

Then we should work hard respectively.

I'll fight for the resources
and you continue your work as a physician.

You need to cooperate with me.

You'll be my anesthesiologist
for the upcoming demonstration.

Please show me
your proficiency and expertise.

Of course.

The anesthesiologist should be in control
while he is in the operating room.

Dear Dr. Hsiao.

It's my demonstration surgery.

I'm the main player.

I'm asking you, the supporting player,
to fully cooperate with me.

We will be in control together.

Do you understand?

I understand.

Dr. Chen, if you're done, I have to go.

Mrs. Zeng, eat more.

How could the physician treat you
if you are too weak?

Come on.

Or do you want Guo-zhang to feed you?

Come on, Guo-zhang.

Put it aside, I'll feed her later.
Let me sort this out first.

Guo-zhang.

-Let me read this first.
-Come here.

Hey.

-Guo-zhang.
-Mr. Yeh.

-Hi.
-Hi.

Hi, Mrs. Zeng.

Are you looking for me?

It's nothing. It's just that
I don't really understand this part.

-This? This is actually very easy.
-Okay.

Just like in the first part.

-Because Mrs. Zeng is hospitalized,
-Yes.

-she is entitled to claim the insurance.
-Yes.

About the second part,

if anything happens during the surgery,
she can claim the insurance.

Goodness, nothing will happen.
We don't need the documents.

-Of course.
-Nothing will happen.

Yes. My bad.

-Okay. All right.
-Goodness.

Keep the documents.

Is this why you're here
to take care of me?

You brought me
to a small hospital for the surgery.

The surgery won't go well.

That will be good.

If it doesn't go well, I'll be set free.

Mrs. Zeng.

Don't say that.

We're lucky this time.

I've arranged the director
to perform the surgery on you.

He is the top surgeon in this area.

There's no need to worry. I mean it.

It's better for me to die.

It doesn't matter who the surgeon is.

Excuse us for a moment.

Mrs. Zeng, I know you're in pain.

But can you stop talking
as if something bad is going to happen?

We all want you to get well soon.

Otherwise, why would we arrange
a director to perform your surgery?

It's just you and me in here.

Just be straightforward.

You're doing this for the money,
aren't you?

What should I do to make you trust me?

This the amount that you asked for.

I've counted it. It should be correct.

By the way, everything will go
as planned, right?

Don't worry.

I've talked to the people
around the deputy director.

You can count on me.

All right.

You need to make sure it goes well.
I hope this is worth the investment.

No problem.

I have to go now.

I'm counting on you.

Don't worry about it.

It'll be fine.

All right.

Thank you.

Hi, I'm your anesthesiologist.
I'm here for the preoperative visit.

Okay.

Hi.

-Is she asleep?
-Yes.

Is she still in pain?

Yes, she always says that she's in pain.

What's your relationship with the patient?

I'm her son's girlfriend.

-I see.
-Yes.

-I'll prescribe her some painkillers.
-Okay.

Where's the preoperative evaluation form
and clinical history that she's filled in?

Right.

This should be the one.

Yes, that's right.

Okay.

I...

The details...

Regarding the details,

I will talk to her son
or reconfirm with her.

-All right.
-I'm sorry.

All right, I'll come back later.

Thank you.

Zheng-xun.

Hey.

Do you remember me?

Zhao-ying Song. Do you remember me?

It has been a while.

Yes, it has been a while.

I'm sorry. I thought
you didn't recognize me.

-That's why I didn't greet you.
-It's okay.

I do recognize you, but I wasn't sure
if it really was you in there.

Are you okay?

Your cough sounds serious.
Did you catch a cold or...

No, it's been like this
for quite some time.

-It has been more than 20 years, right?
-Yes, nearly.

How are you?

I'm fine.

How about you?
Are you still living in Beitou?

No, I moved.

So, are you living with your family?

No, I'm living alone.

Are you single?

That's impossible.

You are a doctor.

Doctors are not well-paid these days.

-Excuse me.
-Sure.

You haven't changed at all.

You, too.

I shouldn't disturb you anymore.
You should get back to work.

-Please take care of Mrs. Zeng.
-Okay.

Drink it.

You can start now.

Other than insomnia,

I've been coughing badly.

I've told you the other day.

Insomnia and globus pharyngis
are caused by the same thing.

You get globus pharyngis due to stress.

When you're extremely anxious
or depressed,

you feel like you have food
stuck in your throat.

It'll affect your diet and cause vomiting
when it becomes too serious.

Your condition is quite serious now.

It will lead to psychoneurosis eventually.

Dr. Yang, do you have any suggestions?

You need to come regularly
for consultation and relieve your stress.

Avoid overworking yourself.

It's better to rest for a while
and relax your mind.

That's impossible.

It's impossible for an anesthesiologist
to take leave now.

There's a surgical demonstration
next week.

-It is very important to our hospital.
-Is it more important than your life?

My job is to save lives.

Nothing else is more important than that.

Considering your current condition,
you can continue to take sleeping pills.

But if you really want to solve this,

you need to escape
from your hectic life now

or find the source of stress.

From my point of view,

you're numbing your emotions
with your work to run away from the pain.

It'll slowly numb your emotions
if it stays like this.

Eventually, you will be
emotionally paralyzed.

Why don't you open up

and let out your feelings?

Did you take the pills last night?

When are you free next week?
I'll arrange your next follow-up.

I'm on leave next Thursday.

Considering the patient's age and the fact

that the size of the kidney stones
is larger than 2.5cm,

the director decided to perform PCNL,

percutaneous nephrolithotomy
to shorten the operation time

and minimize the blood loss.

That's all from me. Thank you.

Thank you, Dr. Wang, for your report.

Since the patient will undergo
the operation in prone position,

Dr. Hsiao will advise us
on the way we handle

the respiratory tract and anesthesia.

Dr. Hsiao.

Estimated surgery duration is one
and a half hours. Begin the surgery.

NEXT EPISODE

It's malignant hyperthermia.
We need to use dantrolene.

How can this happen?

When I was assisting the surgery,

Dr. Hsiao seemed tired and unfocused.

How could you step into the OR
without getting enough sleep?

What actually happened
in the operating room?

-b*stard!
-What are you doing?

You k*lled my mom. Don't you know that?