Resumo do episódio 39 de Thank You Doctor
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Xiao Yan's brother, Xiao Xu, arrived for a medical check-up. Xiao Yan, after diagnosing him with acute nephritic syndrome characterized by hematuria and proteinuria, expressed disappointment that he had been self-medicating despite being a medical student. She made him recite the pathology of the disease and insisted that he be admitted for anti-infection treatment, follow-up urine and renal function tests, and potentially a kidney biopsy.
Xiao Xu protested, mentioning his flight back to Switzerland the following day, but Xiao Yan was firm in her decision that he must stay. Meanwhile, Sun Fang Min's condition took a severe turn, culminating in ventricular fibrillation. Xiao Yan and Bai Shu acted swiftly, performing emergency defibrillation and administering epinephrine to stabilize her.
In a subsequent discussion about her critical state, Xiao Yan explained that Sun Fang Min was suffering from severe heart failure, which made it impossible to remove her from the ECMO machine without triggering arrhythmia and further worsening her heart failure. With her lung function showing no signs of recovery, a lung transplant emerged as the only remaining option.
Lu Ping'an acknowledged the precariousness of the situation, noting that even with a transplant, the survival rate was merely 50-60%, posing a significant risk to the hospital's reputation. However, Xiao Yan, Bai Shu, and Xu Yiran passionately argued that they could not abandon a patient as long as there was any hope. After careful consideration, Lu Ping'an decided to proceed with the transplant if Sun Fang Min herself consented.
When asked, Sun Fang Min weakly nodded her head, agreeing to the surgery. Xiao Yan encouraged her that she would surely live to see her son grow up and become a good mother, to which Sun Fang Min expressed her gratitude. As her blood oxygen levels remained critically low and her lung function continued to decline, her condition worsened rapidly, leaving Xiao Yan and Xu Yiran anxious. Amidst the growing despair, a compatible lung source was miraculously found.
A young man named Hao Hao had tragically died in a car accident at Xinrui Hospital, having previously signed an organ donation agreement. His lungs proved to be a perfect match for Sun Fang Min. Li Hongwei was overjoyed, urging Lu Ping'an to expedite the surgery. However, a significant obstacle arose when Hao Hao's grieving grandparents arrived at Xinrui Hospital and adamantly refused to allow the lungs to be taken.
With Sun Fang Min's life hanging by a thread, Lu Ping'an felt helpless. Xiao Yan volunteered to personally retrieve the organ and persuade the donor's family, with Bai Shu accompanying her on a motorcycle to bypass the evening rush hour traffic. At Xinrui Hospital, they found Hao Hao's grandparents consumed by grief, refusing their grandson's organs to be disturbed, even threatening Xiao Yan with a cane. It was Hao Hao's father who intervened, falling to his knees before his parents.
He tearfully pleaded with them to honor Hao Hao's last wish to help others, reminding them of the compassionate values they had instilled in him, such as not being selfish, empathizing, and helping others. Overcome with emotion, the grandparents reluctantly consented. Xiao Yan and Bai Shu swiftly transported the precious lung back to Tongshan Hospital, where Lu Ping'an and Xu Yiran anxiously awaited.
They rushed the organ to the operating room, where the Thoracic Surgery Department Director successfully performed the transplant. Li Hongwei and Sun Fang Min’s parents expressed profound thanks for their efforts. After the life-saving surgery, Xiao Yan and Bai Shu were deeply moved by Hao Hao's father's profound sacrifice. During their drive home, Xiao Yan reflected on the powerful motivation behind his actions.
Bai Shu suggested it was "father's love" and, at Xiao Yan's prompting, elaborated on his own understanding, linking it to his experience raising Little Guang. He described fatherly love as an emotion that, unlike motherly love, is often awakened at a specific juncture, likening it to a road guiding a child into the world that will never change until death.
He concluded that Hao Hao’s father, and even the grandparents, ultimately acted out of love, acknowledging the complexities of human emotions and the intergenerational transmission of life through such emotional bonds. Xiao Yan then mentioned a "secret" but playfully retracted it, prompting Bai Shu to declare that she now owed him one. Later, they visited Hao Hao’s father, who expressed immense pride in his son’s decision and relief that the transplant was successful, shedding tears of emotion.
He acknowledged the societal and cultural challenges surrounding organ donation, especially for older generations who value resting in peace, noting that it's a recent medical development hard for many to accept. As they drove home, Bai Shu noticed Xiao Yan’s fatigue and adjusted her seat to allow her to rest. Upon reaching her doorstep, Bai Shu mentioned a ringing sensation in his ears. Xiao Yan, having experienced similar discomfort, offered to massage his ear.
In that moment, Bai Shu impulsively leaned in and kissed her. Flustered and blushing, Xiao Yan quickly exited the car and hurried into her house. Later that night, Bai Shu sent a text message, openly confessing his feelings for her. Xiao Yan’s reply, simply telling him to "drive safe at night" and "see you tomorrow," filled Bai Shu with joy, as he interpreted it as acceptance of his feelings.
The next morning, a cheerful Bai Shu proudly shared this with a skeptical Xu Yiran, even as he found himself and Xiao Yan the subject of a hospital-wide notice, presumably related to the kiss. Xu Yiran, however, teased Bai Shu, suggesting Xiao Yan's reply simply meant for him to leave quickly and that he was being self-delusional.
Still in high spirits, Bai Shu brought breakfast for Xiao Yan, but his joy was interrupted when Xiao Yan received a call from Katherine, confirming that her application to return to her previous position in Switzerland had been approved. Meanwhile, Sun Fang Min regained full consciousness, asking if she was still alive. Her family reassured her, bringing immense relief and happiness. In another incident, a drunk assailant injured himself and then assaulted Jiang Shan, the head nurse.
Lu Ping'an rushed to intervene but was pushed to the ground by the assailant. Security guards quickly arrived and subdued the assailant. Despite having strained his leg in the altercation, Lu Ping'an expressed deep concern for Jiang Shan, offering her ice for her bruised face. He then confessed his admiration for her, acknowledging her struggles since Xian Yun’s accident and emphasizing his respect for her and Xian Yun’s relationship.
He assured her he had no intention of disturbing her but gently conveyed that life must inevitably go on. Lu Ping'an opened his heart to Jiang Shan for the first time, feeling relieved, and Jiang Shan, touched by his sincerity, thanked him and agreed to listen to his woes. Later, Xiao Xu was discharged from the hospital.
As Xiao Yan gave him advice on managing his nephritis, he subtly referred to Bai Shu as "future brother-in-law," much to Bai Shu's delight and Xiao Yan's mild embarrassment. Some time after her recovery, Sun Fang Min posted a video online, celebrating the birth of her healthy baby and encouraging other women with lymphangioleiomyomatosis (LAM) to consider pregnancy. Upon discovering the video, Xiao Yan immediately informed Lu Ping'an, who promptly confronted Sun Fang Min.
He explained that her successful pregnancy was an extremely rare exception, not a precedent, stressing the severe, life-threatening risks of pregnancy for LAM patients. He urged her to delete the misleading video, and Sun Fang Min, realizing the gravity of misguiding others and the potential to harm them, promptly agreed. However, the video had already garnered significant media attention, leading Reporter He to seek an interview.
Lu Ping'an firmly declined to be filmed and instead engaged in a serious discussion with the reporter about media ethics. He criticized the romanticization of high-risk pregnancies "in the name of love," highlighting the enormous medical and financial burdens placed on families, the astronomically low success rates, and the tragic consequences of such risky decisions, citing numerous cases of mothers and children dying.
He urged the reporter to prioritize patient safety over sensationalism, which ultimately led the reporter to reconsider future reports of this nature. Recognizing Lu Ping'an's exceptional leadership and unwavering medical integrity, the hospital board decided to promote him. Concurrently, Jiang Zhongjing offered Xiao Yan the position of EICU Director, praising her ability to handle complex situations and her deeper understanding of a doctor's role gained from working with patients' families.
However, Xiao Yan expressed her desire to return to Switzerland to complete her unfinished research and to be with her aging parents, noting she had only initially signed for a year at Tongshan Hospital. Jiang Zhongjing then informed Bai Shu of his planned transfer back to the cardiac surgery department. To Jiang Zhongjing’s surprise, Bai Shu requested to remain in the Emergency Department, a decision Jiang Zhongjing ultimately accepted after confirming Bai Shu's resolve.
Later, Xu Yiran informed Bai Shu of Xiao Yan’s decision to resign and return to Switzerland. Bai Shu confronted Xiao Yan, pleading with her to stay, but she reiterated her commitments to her unfinished research and her parents in Switzerland, stating that she believed returning was the best choice for her. She expressed gratitude for having known everyone at Tongshan Hospital.
