Doctor John (2019) s01e02 Episode Script

ALL CHARACTERS, ORGANIZATIONS, PLACES, AND
ASSOCIATIONS IN THIS DRAMA ARE FICTITIOUS
NEW BEGINNING OF LIFE!
IT IS UP TO YOUR MINDSE
Sir.
To a patient, an illness is despair,
and a doctor is hope.
That hope. Will you let him down?
What must I do…
-to save him?
-First of all,
tie your shoes.
And then…
follow the patient to the hospital.
That's the first step.
AMBULANCE
EMERGENCY ROOM
Blood pressure, 130 over 90,
heart rate, 50.
In a mental stupor.
Spontaneous but irregular breathing.
I guess we're in the same boat.
Check his vitals. Hook him up to an IV
and give him normal saline.
-Yes.
-Come here.
Doctor.
His kidneys.
Check his kidneys first.
Here is your coffee, sir.
What happened?
What is wrong with Inmate 5353?
Will he live?
-I don't know.
-What?
Whether he lives or dies
isn't up to me now.
It's up to Dr. Kang.
Si-young?
You don't know?
If you don't know what the problem is,
why did you tell me to check his kidneys?
-Well…
-Hold on.
No way.
-Don't tell me it's him.
-Pardon?
He didn't tell you to do this, did he?
Inmate 6238 at Chungil Penitentiary.
Do you know him?
-Are you crazy?
-What?
Did you give me an order
based on the opinion
of a disqualified doctor in prison?
-Well, the thing is--
-Did he say the patient was going to die?
Every single time.
I don't know what he told you,
but you shouldn't trust him.
-What is this all about?
-Doctor, the result is out.
RENAL FUNCTION TES
Did he name a disease too?
What was he suspecting?
What's going on?
His BUN and creatinine levels
are elevated.
The urinalysis for protein
turned out positive.
In any case, it was a good call
to check his kidneys.
So, what's his diagnosis?
UNCLE JEONG-NAM
Excuse me for a second.
Uncle.
Did they check his kidneys?
Yes, they did.
-What's the result?
-Positive for protein in the urine.
All right. Start a kidney biopsy.
A kidney biopsy?
Start right away. There's no time to lose.
Hold on.
Yes?
What's the disease you have in mind?
I don't think you'll believe me.
One out of 117,000.
There's only
a 0,00001 percent probability.
-What?
-In other words,
because of
that 0,00001 percent probability,
the patient might die.
So?
What's the name of the disease?
Angiokeratoma gives him
burning pains in his limbs.
Corneal clouding
irrespective of his sight.
He's not sweating at all.
Anhidrosis stops his sweating completely.
TIAs, which mean
transient ischemic attacks.
In addition, he's been experiencing
diarrhea, vomiting, and stomachache.
Therefore, the diagnosis is…
-Fabry disease.
-Fabry disease.
EMERGENCY ROOM
Fabry disease?
Which affects only 100 people
in the whole country?
Do you want to do a kidney biopsy
relying on that slim chance?
Still, all the symptoms are right.
Also, even though the chance is slim,
it also means
that the patient might die because
of that 0,00001 percent probability.
Fabry disease is hard to diagnose.
Also, that disease requires
enzymatic therapy.
-The medication is hard to come by.
-So?
Are you not even going to check for it?
What if it really is Fabry disease?
Then check his family history first.
Someone else might have it
as it's a genetic disorder?
What's your department?
Anesthesiology.
Same here. Which year?
Second…
year.
You can relax.
I'm just a fellow
who is on duty all the time.
What's wrong with being a fellow?
Si-young.
Just a second.
-Find out his family history.
-Yes.
One more thing.
You don't have to tell me what Inmate 6238
thinks from now on. I don't trust him.
Si-young, how did it go?
He's still being tested.
My goodness. Why did this happen
right before his release?
Will he recover?
We're suspecting a genetic disorder.
We need his family history to see
if anyone else has had the same symptoms.
Did you hear that? Find that out.
Tell his family to come
as soon as they can.
-Yes.
-Yes.
By the way, are you okay
with missing your flight?
You're staying, right?
I didn't say I'd stay.
What? No?
I'll leave as soon
as he's diagnosed and stable again.
I can always find another flight.
Inmate 6238 made a good call.
What's with him?
He also said Si-young
was the one who will save the patient.
I'll be released next week.
I'll go to a big hospital then
like you told me to.
What if you die before your release?
Yo-han, it's today.
D-day.
Are you not done yet? Hurry up.
-Did you get your certificate?
-Of course.
Here it is.
1ST CLASS BARISTA CERTIFICATE
Your vocational training here paid off.
You could start working
as a barista as soon as you're out.
Yo-han, when I get a job,
come taste my coffee.
I'll brew a really good cup
of coffee for you.
All right.
Here you go.
Coffee tastes best when it's piping hot.
I can't drink something too hot.
My goodness.
Sometimes, you're just like a little kid.
You can't eat hot and spicy foods.
-It's perfect.
-I'm so relieved.
By the way, why are you so nice to me?
You were the first person.
"First"? What do you mean?
You were the first person
who didn't think
I was only pretending to be sick.
My mom was sick all the time too.
She was always laughed at by my dad
for pretending to be sick
until she passed away.
No refills. Please leave now, sir.
Can I make another phone call?
By the way, the doctor earlier
seemed to know Inmate 6238.
Do you mean Dr. Lee Yoo-joon?
He's the one who usually treats
our patients.
He made a couple of misdiagnoses,
and Inmate 6238 corrected them.
It totally hurt his pride.
I knew it. He seemed to despise him.
Inmate 6238 is his biggest enemy
even though they haven't even met.
Yes?
Inmate 6238?
Let me talk to him.
Yes. They're doing a kidney biopsy.
They're still finding out
about his family history.
All right.
What? Did he just hang up?
Why? Do you have something to tell him?
Didn't he ask for me?
No.
Uncle, can you call him back?
Inmate 6238.
There's a call for you.
-Hello?
-They're doing a kidney biopsy.
-I heard.
-Exactly.
-What?
-You asked me in the first place.
Why did you only talk to my uncle?
Are the results out yet?
-Of course not.
-Let's talk when they're out.
Hang on.
What am I supposed to do?
-What do you mean?
-You said
if I followed the patient to the hospital,
you'd tell me how to save him.
Did you tell the doctor on duty
to test him for Fabry disease?
You told me to.
That's how you save the patient.
Can you talk so that I can understand?
If prison officers told the doctor
the patient might have Fabry disease,
would he have believed them?
They would have wasted time
doing all kinds of tests on him
while the patient became worse.
Are you saying…
you just borrowed my mouth?
This time,
can I borrow your hands?
My hands?
Now, you need to find ERT,
which is the treatment for Fabry disease.
If you try to receive it
through a pharmaceutical company,
it'll take over a week.
The fastest way to get it
is to look for a hospital
that has a Nephrology Department.
And if they have any patients
with Fabry disease,
you can borrow the ERT from them.
You don't have any?
Hello, I'd like to talk
to the Nephrology Department.
I'm looking for ERT.
Can I talk to the Nephrology Department?
Dr. Lee!
-I found ERT.
-Where?
A university hospital
40 minutes away from here.
-We can borrow it if we go now.
-Did they agree?
I promised to return it
if it isn't Fabry disease
because I know it's very expensive.
But we don't even have
a definite diagnosis yet.
So I mentioned your name.
-What?
-You have a great reputation.
I heard you are
the most competent fellow here.
Well, I'm not exactly that competent.
This is a small neighborhood,
so word spreads fast.
And the elders tend to always ask for me.
Can you chart it and send it here?
Do you really think it's Fabry disease?
You told me earlier
that it's a 0,00001 percent probability.
I like that possibility.
I'll be back.
THANK YOU, DR. LEE!
My gosh.
-I'll be right back.
-Okay.
EMERGENCY MEDICAL CENTER
Tae-kyung, what did I tell you? I told you
I had a good feeling about this.
That patient that got taken
to the hospital earlier,
-do they know what his illness is?
-No, not yet.
But they already have a guess
as to what it could be,
and Si-young's trying her best
to find the cure.
That means he didn't even get diagnosed
yet, and he's in a bad condition.
Well, yes.
Let Si-young go.
What?
Why?
It's her first patient after the accident.
If something goes wrong,
she won't be able to handle it.
Where can you buy those things?
I'll be released next week.
I'm meeting my sister after years.
I'd love to get a bracelet for her.
-Uncle.
-Hey.
What's wrong?
Nothing.
It's been a while
since I've seen you so excited.
Let's go.
Si-young.
How about you take your hands off this
after you give them that cure?
I'll… I'll take you home.
Why all of a sudden?
You wanted me to stay.
I'm worried you might have a hard time.
And it's such a rare illness.
I heard there's like
a 0,00001 percent probability.
Yes.
There's only
a 0,00001 percent probability.
-It's one out of 117,000.
-Exactly.
But, you see,
that's exactly how it was with me.
When I left the hospital,
the probability of my returning
felt that low.
I thought 0,00001 percent
was practically impossible.
So I kind of feel like I might get better
if this patient gets better.
That's all.
I even got the cure.
The probability has now increased
to 0,0001 percent.
I guess you're right.
It doesn't matter
how low the probability is.
In the end, it's all just a 50-50 chance.
It either exists or it doesn't. You either
live or you die. It's one or the other.
Let's go.
First of all, tie your shoes.
There's always a time limit to a patient.
If they're not treated then,
it'll be too late.
So a doctor always needs
to be ready to run.
I'm all done.
Let's go, Uncle.
Did you look into the patient's family?
Yes, they found his sister's number
and called her.
But apparently, the number doesn't exist.
To be honest,
no one ever came to visit him.
His dad left when he was young
after his parents got divorced,
and he lived with his mom and sister.
It seemed like
he's really fond of his sister.
He got locked up in prison because of her.
Someone stole four months' worth
of salary from her.
So he went to get that money for her,
but ended up in a fight.
The other person got hurt
during the fight,
but he had no money
to pay for the settlement.
-Stop.
-Wait.
No, please don't do this.
Don't go inside.
Dad!
Good morning.
Good morning.
My gosh, you should start getting ready.
Is anyone coming today?
No.
No one's coming?
Not even your parents or your friends?
Or maybe a girlfriend?
Did the hospital call?
No, not yet.
Dr. Kang even gave up
her plane ticket for that patient,
so I'm sure we'll hear good news.
It's negative?
We couldn't find any signs
of zebra bodies.
That means it's not Fabry disease.
We're wasting time right now
because of Inmate 6238.
I told you not to trust him.
Do you even know why he got imprisoned?
No, but why--
Then don't trust him,
respect him, or be loyal to him.
I'm warning you
because I almost got fooled myself.
What do you mean?
Why did he get imprisoned?
MEDICAL OFFICE
INMATE SEARCH
CHUNGIL PENITENTIARY, 6238, CHA YO-HAN
MURDER
DOCTOR IS SENTENCED
TO THREE YEARS IN PRISON
No doctor in this world can
or should be allowed to say
he did his duty after killing a patient.
Even if it was because
of a disease, malpractice…
or euthanasia.
MYEONGWON UNIVERSITY HOSPITAL
CAUSED A PATIENT'S DEATH
KIDNAPPER AND MURDERER
YOON SEONG-KYU, WHO…
TWO SIX-YEAR-OLD CHILDREN DIED LAST YEAR
What happened?
It's not Fabry disease.
-It's not?
-Not according to the biopsy.
-So?
-They suspect FSGS,
-and they will treat him for that.
-Treat how?
With steroids?
Yes.
The steroids will kill his kidneys.
Fabry disease is often mistaken for FSGS.
His current symptoms…
Cha Yo-han.
Right?
That's your name.
The anesthesiologist who murdered
his patient three years ago.
Was that you?
PROSECUTOR SON
Prosecutor Son.
Yoon Seong-kyu's guardian?
Okay.
I'll be ready.
The case that rocked the nation
three years ago.
The patient had terminal anal cancer,
and you administered
a lethal amount of painkillers.
For that, you were sentenced
to three years.
Was that you?
Yes.
What did you say?
I murdered my patient?
Why did you use that word?
People usually call it euthanasia
instead of murder.
There's no difference.
You gave up on your patient.
You abandoned him.
You made him breathe his last breath.
You stopped his heart.
What's the difference?
You're laughing?
I'm surprised.
Grab any doctor you see
and ask what they think of euthanasia.
Their answer will be one of two,
they're for or against it.
Most won't even want to discuss it. Why?
Because they think
it's the most pointless discussion.
So,
how come a second-year resident
has such a detailed opinion on the topic?
Was that…
something to rush here for?
Betrayal?
Fury?
It looks more like despair.
You thought I could give you hope,
but now, you think I can't
and you're in despair.
Aren't you?
Have you tried it?
Did you…
do it too?
Did you?
Did you give up on, abandon a patient,
make him breathe his last breath,
or stop his heart?
Could you have saved him?
Could he have been treated?
Could he have been revived and cured?
Answer me! Could you have saved him?
No!
I couldn't have!
I couldn't have.
I couldn't…
save him.
Was there nothing you could do?
Was there no way you could save him?
Except stopping his pain?
Is that why you did that?
Did you stop his pain?
If you can't cure pain,
you should stop it.
If the doctor does nothing,
the patient's torment doesn't stop.
Even at this moment,
the patient feels pain.
Park Jung-bo.
He feels pain even in this moment.
Go.
Go…
and make him better.
Open the gate.
Darn it.
Dr. Kang, I have bad news.
Inmate 5353 disappeared from his room.
-He disappeared?
-Hurry.
It has to be Fabry disease.
It's rare, but sometimes,
the biopsy doesn't show zebra bodies.
Run an enzyme test one last time.
KYUNGWON HOSPITAL
WARD 3
Find him, quick.
What happened?
They undid his handcuffs
when he had a seizure.
-He disappeared while the guard was gone.
-He's not in the toilets or other rooms.
Check the security cameras
and search outside.
He couldn't have gotten far. Hurry.
-Okay.
-Hurry.
Go.
You go that way.
Search that way.
Where did he go?
A COZY GENERAL HOSPITAL, KYUNGWON HOSPITAL
-He's not here?
-No.
KYUNGWON HOSPITAL
Over there.
Park Jung-bo.
What if he's passed out somewhere?
Dr. Lee.
He's over there.
-What?
-Move slowly and quietly.
No.
Dr. Lee.
-Calm down.
-Mr. Park Jung-bo.
I hear it.
I hear it. I hear her.
What do you hear?
My mom's voice.
I hear my mom's voice.
Mr. Park Jung-bo.
Mr. Park Jung-bo.
Were you told
if he has a history of mental illness?
No.
Then why was he on the roof?
Why did he suddenly want to kill himself?
What if it wasn't a suicide attempt?
He said he heard his mother's voice.
What if that was
an auditory hallucination?
An auditory hallucination?
It's not common, but some Fabry patients
suffer from psychoses like--
Have you forgotten?
It's not Fabry disease.
It has to be Fabry disease.
It's rare, but sometimes,
the biopsy doesn't show zebra bodies.
Run an enzyme test one last time.
Get out of here.
You're not needed anymore.
Please leave.
Stay out here.
I was sick of her saying she was sick.
I told her to stop pretending to be sick.
My wife ended up dying
before she turned 40.
I can't let him die like that.
I'll make him better.
Uncle, who was that?
That was Inmate 5353's father.
Did his wife die of the same symptoms?
I don't know,
but his daughter died not long ago.
His daughter? How?
Chronic renal failure?
Inmate 5353 has an older brother
who isn't well either.
His mother died in her 30's,
and his sister has a history of CKD.
Can there be a clearer family history?
If the mother has Fabry disease,
her offspring has
a 50 percent chance of inheriting it.
Isn't this why Fabry disease
should be diagnosed early?
It's totally treatable,
but many people miss out and die
because of a late diagnosis.
If only they'd known what they had,
his mother and sister
-wouldn't have died.
-Is it a definite diagnosis?
So, for one last time,
how about running an enzyme test?
What if he has another seizure while
we run a test and wait for the result?
What if it's still negative?
Who will be responsible, then?
There's nothing more to do here.
What do you mean?
He'll be transferred.
It's what his father wants
and I'll respect his wishes.
The best thing is to send him
to a bigger hospital.
What if he gets worse?
Because we ruled out Fabry disease,
once he's transferred,
they'll start testing from scratch.
What if he has acute renal failure
and has to be on dialysis forever?
Do you think you're making sense?
It's not entirely improbable.
We'll trust in the chances
within our time and resources
and start with the most probable.
You're just a part-timer.
You said it's a temporary gig.
Why are you so obsessed with him?
Do you know how different you are
from yesterday?
Stop it now.
You've done enough.
You did your best.
Si-young.
I reached his older brother.
He's on his way.
It's too late.
-What?
-He's being transferred.
Well, that was…
His father was so adamant.
There's nothing I can do now.
You tried hard.
Ever since last night.
No.
"Need to visit Nephrology
at a tertiary hospital. Urgent."
If only I'd listened.
If only I'd sent him to a hospital.
Hi.
-A transfer?
-Yes.
-He'll be transferred.
-It'll be a mess if he's transferred.
They'll have to start over.
There's nothing we can do.
They can't do anything here.
You have the cure.
The cure?
Si-young got some yesterday.
Put it in his room.
Put it next to the bed.
I'll come over.
What? Hello? Hello? Inmate 6238.
What was that about?
What did he say?
He wants you to put the cure by the bed.
The cure?
Yes, the cure.
Thanks, Uncle.
Thank you.
Si-young.
Dr. Lee.
Do you have more to say?
Just prepare the ERT medicine.
The hospital he'll be transferred to
could need it.
It takes a while to procure.
Just in case.
That's why we went
to such lengths to get it.
It's the ERT medicine.
Take it, just in case.
Pass it on to the hospital
he'll be transferred to.
-Okay. I'll do that.
-No.
He has to be injected right now.
The patient has Fabry disease.
How many times must I say
he had no zebra bodies?
It's rare, but depending
on where the tissue was from,
zebra bodies might be absent.
Said who? Inmate 6238?
Are you crazy?
You believe it's Fabry disease because
a doctor who lost his license said so?
Get out.
Get out right now.
Dr. Lee Yoo-joon
whom I've heard so much about?
Who are you?
Nice to meet you.
I'm Inmate 6238.
Excuse me.
Wait. How did you get here?
Inmate 6238.
As of noon today, he's a free man.
A few years ago, a patient came
to Myeongwon University Hospital's
Nephrology Department.
After suffering from albuminuria,
she deteriorated rapidly
and required dialysis.
Her kidney biopsy
showed she had FSGS.
That's exactly what
Dr. Lee diagnosed Jung-bo with.
The patient's sister
offered to give her a kidney,
but guess what her biopsy showed?
Thick and clear zebra bodies.
She had Fabry disease.
Did she?
-Then why did her sister--
-Not show the same?
It's not that she didn't.
They were obscured by the many dead cells.
Just like Jung-bo's case.
You can't transfer him now.
While they search for a diagnosis,
he could deteriorate beyond help.
He must be treated here.
Treatment comes
after a definite diagnosis.
A definite diagnosis?
What's the prevalence rate
of Fabry disease?
You know what it is.
One out of 117,000.
-It's very rare.
-Not at all.
If you include all the people
who couldn't get a diagnosis
despite visiting many hospitals,
resorted to alternative medicine,
lost their savings, and died,
Fabry patients…
are more numerous than you think.
They can live if they're just diagnosed,
but many people died because they weren't.
We don't have that diagnosis yet.
You want to inject an expensive cure
to an ambiguous case?
Why should I take such a risk?
It's the patient who's taking the risk.
You flooded him with steroids.
If his kidneys fail and
can't even withstand transplant surgery,
-who'll take the blame?
-How dare you threaten me?
This is a warning, not a threat.
From the patient's whole body.
He's my patient!
You might have been
a famous professor of medicine,
but he's my patient right now.
So stay out of it.
Are you really sure
it's not Fabry disease?
It's true that you're his doctor.
But I followed his condition for a year.
In prison.
I'm not like you.
I won't risk my license like that.
Have him transferred.
What are you doing?
You're not a doctor!
Don't you know it's illegal
to treat without a license?
Dr. Kang, are you a doctor?
Yes.
I'm a doctor.
What on earth…
-I'll take responsibility.
-Will you?
How?
-Treating when you aren't staff…
-I'll accept any punishment.
But if we don't do anything,
the patient continues to suffer.
Not because of the illness,
but because the doctor
did nothing.
Dr. Lee.
His brother's here.
-Jung-min.
-Father.
Jung-bo.
Why are you sick too?
I'm sorry, Father.
Why are you sorry?
It's all my fault.
He's on dialysis.
Doctor, please save my sons.
I'm not afraid of losing them.
I'm more afraid that they'll die,
like their mom and sister,
not knowing what they have.
What kind of illness is it
that's so cruel to us?
Please save my sons.
Do a kidney biopsy on the brother.
You'll see it right away.
I see it.
He'll live.
You saved him, Dr. Kang. And…
Dr. Lee.
What is it?
It's definitely Fabry disease.
Then, will he get better?
Yes. Both of your sons can be treated.
Thank you, doctor. Thank you.
Dr. Lee, thank you.
Well…
Si-young, thank you. You did well.
Inmate 6238?
Oh, we shouldn't call him that anymore.
He's Cha Yo-han now.
He just left.
He left? Where did he go?
Anywhere, I guess. He's free now.
Welcome back, Professor Cha.
Wait!
Wait!
Dr. Cha!
Cha Yo-han!
Dr. Cha!
Dr. Cha!
Dr. Cha!
Can I…
go back?
Can I do well?
HANSE MEDICAL CENTER
I have an announcement to make.
It is about Kang Si-young,
a second-year resident
of the Anesthesiology Department.
I'm considering
accepting her back.
She's been undergoing psychotherapy.
Recently, it was diagnosed
that she doesn't have PTSD.
She completed
the training process successfully
and always received
excellent resident evaluations.
However,
we can't be sure
if she's ready to treat patients
without being affected by the incident.
It was just an accident.
I guess how long it takes
to recover from an accident
depends on the person.
Yes, it was an accident.
Still, there were other things
she needed to work on even before that.
Like what?
Excessive empathy
with her patients, of course.
Yes. From the first year,
her examinations took too long.
She was even ordered not to talk
to her patients for longer than a minute.
That could be
a strength too.
Residents often fail to understand
their patients well enough.
But her excessive empathy
often clouded her judgment as a doctor.
Who knows if the incident happened
because--
Aren't you sick of chicken breast yet?
Why does it have so much protein anyway?
I'm sorry.
I caused you all trouble
by quitting so suddenly.
And now, I shamelessly came back.
I'm really sorry.
Nice to see you again, Si-young.
Nice to see you too, Jun.
"Nice to see you again,
Dr. Heo."
You're only a second-year.
We're not in the same year anymore.
I'm a fourth-year.
Show some respect.
Yes.
Everyone, we're late. Let's go.
Stop eating chicken breast.
-Mi-rae.
-Don't call me by my first name.
I'm a third-year now.
I had…
two choices.
I could either run away or come back here.
I saw it.
Your one-way ticket to Madagascar.
Why didn't you just go?
You're not going to last long anyway.
KANG SI-YOUNG
Dr. Kang, are you a doctor?
Yes, I'm a doctor.
ANESTHESIOLOGY
It's my first day back at the hospital.
I'm sorry it took so long.
I won't let you down.
Excuse me.
CHA YO-HAN
We meet again.
SPECIAL THANKS TO JEON NO-MIN
AND JUNG IN-GI FOR THEIR CAMEO PARTS
This person is a murderer.
He is a doctor.
He killed a person.
Male, 38 years old.
This patient had an emergency canthotomy
two days ago.
The patient refused
any treatment or tests.
He wanted Dr. Cha to be prohibited
-from approaching him.
-Do you want to learn from me?
-But don't learn these things.
-We say no!
What is going on?
Is Cha Yo-han in?
I haven't seen Professor Cha
in three years.