Resumo do episódio 16 de Thank You Doctor
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Despite her husband and the medical staff's strong recommendations, Lin Li Xia was determined to be discharged from the hospital. Xiao Yan implored her to reconsider, emphasizing the value of the life she carried. She recounted her experiences as an aid doctor in regions plagued by war, where pregnant women, even under the most dire circumstances, clung to hope and trusted medical professionals to deliver their babies. Xiao Yan displayed photographs from her time abroad as proof of these hardships.
Overwhelmed with emotion, Lin Li Xia suddenly fainted again, prompting the medical team to rush her to the operating room. Lin Li Xia underwent a Cesarean section and gave birth to a daughter. The baby was fragile and was immediately transferred to the nursery. Assisted by her husband, Lin Li Xia visited the nursery, her heart swelling with joy as she watched her daughter sleep peacefully through the glass. She and her husband expressed profound gratitude to Xiao Yan.
Observing this heartwarming scene, Bai Shu remarked on Xiao Yan's surprisingly gentle nature. Later, Bai Shu, enjoying a rare day off, was disturbed by a phone call from Xu Yiran. He was informed that two emergency patients were arriving, and the Emergency Department needed immediate assistance. Without hesitation, Bai Shu sprang into action and sped to the hospital.
On his way, he received a speeding ticket but later acknowledged the penalty as a consequence of his actions, understanding that even with good intentions, rules must be followed. One of the emergency patients was an elderly woman, Huang Shu Fen, who had been critically injured after being struck by a food delivery driver on a motorcycle. She suffered a ruptured spleen, massive internal bleeding, dangerously low blood pressure (60/40), and respiratory failure, leading to hemorrhagic shock.
Bai Shu swiftly ordered dopamine, norepinephrine, and an ultrasound. The scan revealed cardiac tamponade (pericardial effusion) and extensive bleeding in her abdominal cavity. Recognizing the urgency, Bai Shu performed an emergency pericardial puncture in the Emergency Department to relieve the cardiac pressure, as there was no anesthesiologist available. He then arranged for immediate surgery, including preparations for an open chest and laparotomy, and contacted the Cardiac Surgery Department to prepare an extracorporeal circulation unit.
The food delivery driver, who had caused the accident, was distraught. He quickly offered all the money he had to cover Huang Shu Fen's initial hospital fees and anxiously waited outside the operating room. Soon after, Huang Shu Fen's son arrived. Upon learning the driver was responsible, he physically assaulted the driver and confiscated his ID card, demanding that he gather more money to cover ongoing expenses.
Following a successful heart repair and spleen removal, Huang Shu Fen was transferred to the EICU. A few days later, her condition had stabilized significantly, and Bai Shu informed her that she could be moved to a general ward. However, Huang Shu Fen vehemently refused, insisting on staying in the EICU and demanding the use of the best imported medications, stating that "someone would pay."
Bai Shu patiently explained the limited resources of the EICU and urged her to vacate the bed for other patients in critical need. The delivery driver, having managed to borrow 40,000 yuan from his parents and relatives, pleaded with Huang Shu Fen to transfer to a general ward. She feigned intense chest pain, and only ceased her theatrics when Bai Shu offered to perform another surgery to investigate.
The driver expressed his despair, explaining that his monthly income barely covered a single day's EICU fees, and he was heartbroken by her additional demands for compensation for lost wages and emotional distress.
Bai Shu tried to make Huang Shu Fen understand that her actions were wasting valuable medical resources and infringing upon other patients' rights, but she remained unmoved, claiming her low education meant she only understood that she had been hit and was not causing trouble or owing money. With the situation at an impasse, Bai Shu advised the delivery driver to seek official clarification from the traffic police regarding accident responsibility.
The police investigation concluded that both parties shared fault: Huang Shu Fen had run a red light, and the delivery driver had been speeding. Consequently, they were each responsible for half of the medical expenses. Huang Shu Fen tearfully conceded to moving to a general ward but then claimed her meager pension couldn't cover her share and implied the driver should cover all previous costs, attempting to guilt-trip him.
Bai Shu intervened, directly addressing her "moral kidnapping" and reiterating his personal experience of willingly accepting a speeding fine despite rushing to save a life, emphasizing that everyone must take responsibility for their actions. The delivery driver, firm but apologetic, reiterated his financial struggles and insisted on following the traffic police's decision. Despite Huang Shu Fen's protests, Bai Shu instructed Chen Zhi to proceed with the transfer paperwork.
Meanwhile, Jiang Shan's husband, Jiang Xian Yun, who was paralyzed, had a fall at home while attempting to get water. His caretaker, Old Pan, helped him up. Xian Yun then asked Old Pan to buy green beans for lunch and open the window for fresh air. Shortly after Old Pan left, Xian Yun, having written a suicide note expressing his sorrow and wishing Jiang Shan a better life, jumped from the fourth-floor window. Old Pan heard the fall upon returning.
Xian Yun was rushed to Tongshan Hospital's Emergency Department. Bai Shu immediately examined him and prepared him for surgery. Jiang Shan arrived, devastated and overwhelmed with grief. Old Pan revealed to Bai Shu that a month prior, Xian Yun had been diagnosed with late-stage pancreatic cancer at the Fifth Hospital, a fact he had hidden from Jiang Shan due to fear of worrying her, telling Old Pan it was just a visit to an old friend.
This diagnosis explained his unbearable pain and his desire to end his life. Lu Ping'an later confirmed this information with the Fifth Hospital and advised Jiang Shan to seek a second opinion at Tongshan Hospital's oncology department. Jiang Shan sat outside the operating room, weeping, while Lu Ping'an tried to offer comfort.
After the surgery, the lead surgeon, Director Liu of General Surgery, confirmed that Xian Yun's immediate condition was stable, but the biopsy, performed by Director Yu from Oncology, unequivocally confirmed late-stage pancreatic cancer, with the cancer cells having spread throughout his entire pancreas. The prognosis was uncertain, dependent on his mental state and the rate of tumor progression. Jiang Shan requested leave to be by her husband's side.
Xian Yun eventually regained consciousness and immediately expressed anger at being saved, wanting only to die due to the agonizing pain. Jiang Shan, overcome with guilt for not knowing about his illness sooner despite being a nurse, pleaded with him to hold on, hoping for new medical advancements.
Xian Yun, however, was resolute, stating he could no longer endure a life without dignity, meaning, or value, and viewed himself as a burden to Jiang Shan, who even considered resigning to care for him. He demanded to see Bai Shu. Xian Yun thanked Bai Shu for saving him but reiterated his wish not to be resuscitated, citing his unbearable pain, which he believed Bai Shu, as a doctor, could not comprehend.
Bai Shu, upholding his professional oath, explained that his duty was to save lives and he could not simply watch a patient die. He offered morphine for pain relief, but Xian Yun countered that the relief was temporary and the pain would return twofold. Xian Yun compared his existence to a "half-crushed cat" on the road, a paralytic now suffering from cancer, merely waiting for death.
He implored Bai Shu that if his condition worsened again, he should not be saved, offering to sign any document to absolve the hospital of responsibility. Bai Shu, while acknowledging Xian Yun's suffering, called his request selfish, arguing that his life held immense value and meaning for Jiang Shan. Xian Yun, frustrated, threatened to sue Bai Shu and Tongshan Hospital if he were saved against his will in the future.
Bai Shu chose to interpret this threat as a "wish to live" and advised Xian Yun to rest. Jiang Shan apologized to Bai Shu, explaining the immense toll Xian Yun's illness had taken on him, and Bai Shu advised her to remain vigilant to prevent any further attempts at self-harm. Later, Xiao Yan, discussing the case with a colleague, reflected that sometimes, a patient's wishes should be respected.
