Thank You Doctor Episode 33 Recap
> Thank You Doctor Recap
Despite urgent efforts from medical staff including Bai Shu and Xu Yiran, Bi Guo Hua, who suffered severe burns, suddenly experienced cardiac arrest. Despite their desperate attempts, he succumbed to his injuries at 1:40 PM. The old woman who was with him was heartbroken, blaming herself for his death. Her son, Xiao Peng, and daughter-in-law, Xiao Ling, tried their best to comfort her in her grief.
Meanwhile, doctors were in consultation regarding Sun Fang Min, a pregnant woman diagnosed with pulmonary lymphangioleiomyomatosis (LAM), a rare and severe respiratory disease. Medical experts explained that this condition, commonly seen in women of childbearing age, involves progressive breathing difficulties, pneumothorax, and pleural effusion, with respiratory failure as the primary cause of death.
They noted that the patient's condition had progressed to a mid-to-late stage, making continued pregnancy highly dangerous and likely fatal for both mother and child, with a maximum survival period of ten years post-diagnosis. Both the Obstetrics and Gynecology department and Pediatrics recommended immediate termination of the pregnancy due to risks like fetal distress, growth restriction, neonatal asphyxia, stillbirth, and potential harm from necessary medications.
While Xiao Yan felt terminating the pregnancy was too cruel, the expert panel, including the head of OB/GYN, emphasized the significant risks to the hospital's reputation and operations should a mishap occur, a sentiment Bai Shu openly scorned as prioritizing institutional concerns over patient life. Lu Ping'an acknowledged the issue but urged that the patient must be persuaded to terminate the pregnancy.
Sun Fang Min's husband, Hong Wei, returned from abroad and also expressed his disagreement with her decision to continue the pregnancy, having consulted numerous hospitals both domestically and internationally, all of whom advised against it. Xiao Yan urged him to talk to his wife.
The old woman who had been with Bi Guo Hua requested to speak with the police, despite her son, Xiao Peng, and daughter-in-law, Xiao Ling's objections about the hefty compensation (over one hundred thousand yuan) involved in the fire. She confessed to starting the fire, explaining that Bi Guo Hua had been unwell and his room was cold, so she had bought him an electric heater.
Fearing faulty wiring, he had never used it, but she, without his knowledge, turned it on for him when he was gravely ill. The heater malfunctioned, leading to the uncontrollable fire. She insisted on taking full responsibility, refusing to let Bi Guo Hua bear the blame even in death, recounting his kindness to her despite his past misdeeds as a young man.
After a heated argument where Xiao Ling expressed reluctance due to the significant financial burden, Xiao Peng and Xiao Ling agreed to sell their newly bought car to help cover the compensation, assuring her that they would face this challenge as a family, which deeply moved the old woman. Sun Fang Min awoke to find Hong Wei beside her, urging her to consider termination.
Xiao Yan and Tang Hua also presented international case studies of pulmonary lymphangioleiomyomatosis pregnancies from authoritative journals, many of which unfortunately resulted in adverse outcomes or even death. Sun Fang Min, however, remained defiant, recounting a childhood car accident where she miraculously survived, claiming she was "lucky" and different from the cases presented. She threatened to discharge herself if the hospital wouldn't support her decision to carry the baby to term.
Xiao Yan sternly warned her of the severe dangers of giving birth at home, such as umbilical cord complications, hemorrhages, or respiratory failure, emphasizing that it would effectively mean killing her own child. Sun Fang Min eventually agreed to stay in the hospital but reaffirmed her determination to have the baby.
Hong Wei later explained to Xiao Yan that his wife's fervent desire to be a mother had transformed her and that she simply wanted to keep the child, promising to continue trying to persuade her. Xiao Yan reiterated the critical importance of Sun Fang Min remaining hospitalized due to her precarious condition.
Later, Lu Ping'an suggested discharging Sun Fang Min, calling her a "time bomb" and expressing concern that any mishap could lead to the closure of the EICU, especially since no other hospital was willing to take her case. Bai Shu, however, argued passionately against abandoning the patient, accusing Lu Ping'an of prioritizing his career over a patient's life and warning of the disastrous public image consequences for Tongshan Hospital if they were seen as "leaving her to die."
He stressed that one life is as invaluable as many. Xiao Yan echoed Bai Shu's sentiment, stating that they could not simply turn the patient away. Faced with their united front, Lu Ping'an reluctantly agreed to explore the option of a joint consultation with other departments, provided they could persuade them, as the EICU alone could not manage the complex case.
Tang Hua expressed her annoyance at Bai Shu's arrogant demeanor, though Xiao Yan pointed out that her perception might be biased, suggesting she might find such a personality "cool" in a female doctor. Unbeknownst to them, Sun Fang Min was grappling with a haunting nightmare of losing her child. Upon waking, she tearfully revealed to Hong Wei that she had researched her disease and knew she would not live beyond ten years.
As an only child, she desperately wanted to leave a legacy for her parents and a child to care for Hong Wei, compensating for her eventual loss and serving as a continuation of her life. Overhearing this heartbreaking conversation from outside the room, Xiao Yan was deeply moved. Xiao Yan sought out Dean Jiang Zhongjing to plead Sun Fang Min's case, only to find Bai Shu already there advocating for the same.
Dean Jiang, along with Lu Ping'an, was discussing the difficult situation when Bai Shu presented a groundbreaking case from an overseas hospital where a patient with pulmonary lymphangioleiomyomatosis had successfully delivered a healthy baby. Impressed, Dean Jiang agreed to admit Sun Fang Min and establish a care plan, tasking Lu Ping'an, Xiao Yan, and Bai Shu with coordinating with other departments, whose cooperation would be crucial for a safe pregnancy.
Bai Shu enthusiastically offered to share the case study with the other departments, and Xiao Yan thanked him sincerely. Eager to share the good news, Bai Shu and Xiao Yan went to Sun Fang Min's room, but she had disappeared. After checking surveillance footage, they located her on the third-floor rooftop.
Xiao Yan, with impressive agility she had honed during her time with international medical aid (Rescue Without Borders), leaped out a window to reach her, telling her the hospital had agreed to register her case. Overwhelmed with relief and joy, Sun Fang Min burst into tears. Bai Shu expressed admiration for Xiao Yan's skills, admitting he felt inferior.
That night, at home, Bai Shu was seen watching motorcycle stunt videos, leading his son, Xiao Guang, to shrewdly deduce that his father was practicing to impress Xiao Yan. The Emergency Department later admitted Gao Ming, a patient experiencing convulsions and unconsciousness. Lu Ping'an assigned the case to Bai Shu. Xu Yiran recognized Gao Ming as a former patient who had undergone a successful radical gastrectomy at Tongshan Hospital, with all cancer cells removed.
Gao Ming, an artist, had serialized his journey with cancer into a popular comic, which was later published, and he donated all his royalties to help children from struggling families. Bai Shu and Xu Yiran checked on Gao Ming, who reported a headache and trembling hands, making it difficult to draw. Despite his previous successful surgery, Gao Ming worried about his parents.
Although his scans were clean, Chen Zhi initially speculated brain metastasis, then suggested drug side effects as a possibility, prompting Bai Shu to order an MRI. During their discussion, Bai Shu elaborated on his commitment to becoming the best doctor, driven by a desire to directly help patients rather than just research, though he remained wary of ungrounded optimism.
A young girl named Ying Ying, alerted by news of Gao Ming's hospitalization online, arrived at the hospital, accompanied by her parents. They explained that Gao Ming was her "savior"; a year prior, Ying Ying's hand was severely injured in a meat grinder, and her family couldn't afford the necessary surgery. Gao Ming, then a patient, had drawn a comic for her and mobilized online support, raising the funds for her surgery within an hour.
Although Ying Ying still suffered nerve damage, her family was immensely grateful. Bai Shu personally escorted Ying Ying to Gao Ming's room, where she presented him with a drawing she made with her left hand, promising to become a cartoonist as great as "Brother Xia Tian" (Gao Ming's pen name). Gao Ming was deeply moved by her heartfelt gesture. Later, a man was stopped by traffic police for driving against traffic.
Highly agitated due to multiple pressing commitments including a phone call from his boss and needing to deliver keys to his girlfriend (also on the phone), he became distressed and began coughing up blood. Emergency doctors, including Tang Hua, examined him. Initial blood tests revealed decreased platelets and hemoglobin, elevated creatinine, and a small amount of pleural effusion.
Ruling out infection due to the absence of fever and normal white blood cell count, they considered that high heart dynamics might be causing blood to flow into his lungs, leading to hemoptysis, and planned further cardiac examination.
