Resumo do episódio 34 de Thank You Doctor
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Kai Yang, riding his motorcycle, was distracted by back-to-back phone calls from his boss demanding his return and his girlfriend urging him to bring her keys. In his panicked state, he ran a red light. When a traffic officer stopped him, Kai Yang suddenly began coughing up large amounts of blood. The officer immediately transported him to Tongshan Hospital's Emergency Department. In the Emergency Department, Xiao Yan examined Kai Yang.
She discussed his condition, noting he had no fever, a normal white blood cell count, and no toxins or drug components in his blood. His bronchoscopy was clean, his lungs showed no issues, and his upper and lower gastrointestinal tracts were also clear. She suspected the hemoptysis might be due to the heart pumping too forcefully, causing blood to rush into the lungs, and instructed for a cardiac examination.
Soon after, Kai Yang's girlfriend arrived, distraught and regretting having pressured him to deliver keys. She recounted that the police officer who brought Kai Yang in explained he had collapsed on the street after days of working excessive overtime, overwhelmed by stress. Xiao Yan empathized with Kai Yang, observing that the fast pace of modern society left many people exhausted and in suboptimal health.
She highlighted that some individuals prioritize spending on luxuries like bags and cars but neglect their health check-ups. Tang Hua agreed, emphasizing the importance of early detection through physical examinations for timely treatment. Meanwhile, discussions revolved around Gao Ming's condition. Bai Shu inquired about Gao Ming's MRI results, with Xu Yiran noting that although not yet officially confirmed, it appeared to be brain metastases.
Shortly after, Bai Shu received the confirmed results: Gao Ming's cancer had indeed metastasized to his brain. His parents were devastated, questioning how the disease could progress so rapidly in just over a year since his stomach cancer diagnosis, especially for their 22-year-old son who had just graduated college.
They desperately asked if there was any hope, but Bai Shu could only offer that radiation therapy might delay the progression for some time, confirming there was no other way to treat brain metastases. Overhearing the conversation, Gao Ming felt immense sorrow at the thought of causing his parents more grief. Kai Yang's condition suddenly worsened, and he collapsed, unable to breathe. Bai Shu and Xu Yiran quickly intervened, observing lung compression and pleural effusion with low protein.
Although his liver enzymes were normal and heart was functioning, a trace of blood in the fluid, increased bilirubin (predominantly unconjugated), and progressively rising creatinine levels led them to suspect hemolytic uremic syndrome, a form of renal failure. They promptly arranged for continuous renal replacement therapy. Bai Shu reflected on the importance of rest and not dwelling on the past, advocating for looking forward.
Shortly after, the Emergency Department received an urgent call about multiple car accident victims arriving within minutes. Xiao Yan, despite her earlier efforts, immediately plunged back into work, successfully resuscitating two suffocating patients. Exhausted, she slumped at a desk to rest. A head nurse encouraged her to take a nap, and as Xiao Yan drifted off, Bai Shu gently covered her with a blanket.
Separately, Old Pan delivered a letter to Lu Ping'an that Jiang Xian Yun had entrusted him with before his passing. Old Pan apologized, explaining he had forgotten about it and only found it recently while tidying up. The letter indicated that Jiang Xian Yun had discovered Lu Ping'an's secret financial assistance and was returning the money, expressing his desire not to owe anyone. Jiang Shan witnessed Old Pan giving something to Lu Ping'an and later approached Old Pan to inquire.
Old Pan then revealed that Lu Ping'an had been secretly giving him 3,500 yuan each month to supplement Jiang Shan's salary, with strict instructions not to tell her. Old Pan also remarked on Lu Ping'an’s exceptional kindness towards Jiang Shan. Later, Jiang Shan spoke with Lu Ping'an, who, flustered, admitted he just wanted to help her. Jiang Shan simply offered her heartfelt thanks. Gao Ming woke up, determined to continue drawing despite his head still hurting.
When Bai Shu suggested he rest, Gao Ming explained it was his birthday and he felt he didn't have much time left, making every brushstroke a luxury. He sketched the Emergency Department staff, playfully commenting on their caricatures with Bai Shu and Xu Yiran. He then posted his drawing on Weibo, expressing a wish for everyone's good health. Later, he entrusted Bai Shu with a watch, a gift from his parents from his last birthday, which he had sold online.
He explained he wanted to use the money to book a high-end restaurant for his parents’ wedding anniversary the following day, as they had sacrificed their jobs and normal lives for his medical treatment. He hoped, even for just one meal, they could live for themselves and enjoy. Bai Shu promised to help him. When Gao Ming's parents arrived with food, Bai Shu gently urged them to spend as much time as possible with their son.
Kai Yang's condition gradually improved. Xiao Yan and Tang Hua advised him not to push himself too hard, reminding him that good health was the most important thing and that living by the side of loved ones was the greatest happiness. Kai Yang and his girlfriend decided that after his discharge, they would return to their hometown. Later, Bai Shu sat in the hospital lobby, looking visibly distressed.
Xu Yiran, noticing his mood, correctly guessed he was thinking about Gao Ming’s deteriorating health. Bai Shu expressed a somber view, stating that the world often offered more despair than hope. He admitted that while he still believed in miracles, he was also learning to accept reality, attributing this newfound maturity to Xiao Yan's influence.
As they spoke, they observed a poignant scene: a young woman diligently caring for her boyfriend, a car accident victim who had suffered lower body paralysis after she bravely saved a child from being hit by a truck, leaving him unable to evade the vehicle. On their wedding anniversary, Gao Ming's parents celebrated at the high-end restaurant he had booked, video calling him to share their joy and praise his choice.
They promised to return with him next year, and Gao Ming, despite his pain, encouraged them to be happy every day. Shortly after, Gao Ming updated his Weibo again, sharing a new sketch—a heartfelt cartoon drawing of the Emergency Department staff—along with a message thanking them for their care. However, his condition rapidly deteriorated, and he suddenly suffered heart failure.
Bai Shu rushed to initiate resuscitation, but Gao Ming’s parents intervened, revealing that their son had already signed a Do-Not-Resuscitate order and wished to donate his organs, desiring a peaceful departure and to give the gift of life to others.
Gao Ming had left a final message, stating his departure was "as quiet and beautiful as autumn leaves," and expressing his hope that his loved ones would "live brilliantly like the summer flowers," also donating all his publishing fees to help others. Overcome with grief, Bai Shu quietly handed the watch Gao Ming had sold to his father. Later, Bai Shu retreated to the restroom, weeping in private over Gao Ming’s death.
Xiao Yan later discovered a drawing Gao Ming had given her previously—a touching sketch depicting Bai Shu gently covering her with a blanket as she had dozed off at her desk. She was deeply moved by the gesture. A new patient, a young woman named Qian Qian, was brought to Tongshan Hospital's Emergency Department by her mother after collapsing at home. Doctors quickly determined her collapse was due to heart problems caused by weight-loss pills with unknown ingredients.
Qian Qian's mother explained that neither side of their family had a history of obesity, and her father was of normal weight. Despite numerous hospital visits, various diets, and rigorous exercise, Qian Qian had never been able to lose weight, even after drastically cutting out meat and carbohydrates or eating only apples for a week. This led Xiao Yan to suspect pathological obesity, rather than simple physiological obesity.
Qian Qian's mother stressed that her daughter was incredibly sensitive and had low self-esteem regarding her weight, asking the medical staff to avoid discussing it. Xiao Yan promised to be mindful but insisted on weighing Qian Qian, explaining it was a fundamental step for accurate diagnosis and treatment. Qian Qian vehemently refused, tearfully proclaiming herself a "d"mn fatty," and expressing her exhaustion with judgmental stares, feeling like a "walking piece of meat."
She believed that "normal people" could never comprehend the depth of her self-disgust, adding that she felt "short, fat, and ugly." Xiao Yan, understanding her pain, confided a personal secret: in junior high, she was nicknamed "Toad" because her face and neck were severely covered in pimples, leaving scars visible even now.
She recounted how she desperately tried to scratch them off, leaving her face bloody, until her mother intervened, realizing Xiao Yan’s profound sensitivity and self-loathing, and dedicating years to her treatment. Overhearing Xiao Yan, Bai Shu chimed in, sharing his own childhood experience of being exceptionally short and often ridiculed, even by his classmates who questioned if he was truly his brother’s sibling or if he was "pulling down the family's average height."
He reassured Qian Qian, explaining the power of genetics and how he himself had a remarkable growth spurt of 30 centimeters around the age of 20, eventually surpassing his older brother in height. He encouraged Qian Qian to believe in her potential, given her family’s healthy genetics. Reassured by their shared stories, Qian Qian agreed to be weighed.
As she walked away, Bai Shu subtly drew Xiao Yan's attention to Qian Qian’s noticeable limp, prompting Xiao Yan to perform a further examination on her leg. During the examination, Qian Qian asked about the safety of liposuction. Xiao Yan explained that all surgeries carried risks, but liposuction could be an option if her obesity was physiological rather than pathological, pending test results.
She also affirmed Qian Qian's autonomy over her body as an adult, while stressing the importance of careful consideration. Qian Qian expressed gratitude, saying Xiao Yan was unlike other doctors she had met. Concurrently, in the hospital lobby, a saleswoman named Huang Li Li was aggressively promoting an "all-natural fruit juice" to an elderly patient with a cold.
She claimed that 85% of medicines were ineffective and that fevers were merely the body's natural detoxification process, advising the patient to avoid doctors and instead rely on her juice, which she touted as a cure-all made from super-fruits like Gac melon, sea buckthorn, chestnut rose fruit, and goji berries. She also cited dubious statistics about medication side effects and misdiagnosis rates. Bai Shu, passing by, overheard her.
He confronted Huang Li Li, challenging her dubious "statistics" and firmly reminding her that Tongshan Hospital strictly prohibited the promotion of health products within its premises. He warned her that he would call security if she did not leave immediately. Coughing dismissively, Huang Li Li eventually departed, but not before attempting to hand out her business card, still proclaiming her "detoxification." Bai Shu then advised the patient to disregard such fraudsters.
