Doctor John (2019–…): Season 1, Episode 18 - Terminal, Incurable: part 2 - full transcript

What Yo Han thought was just a temporary loss of balance has now developed into auditory distress and dizzy spells. He falls down the stairs several times, before Shi-young finds him and gets him away from the nosy reporter.

ALL CHARACTERS, ORGANIZATIONS, PLACES,
ASSOCIATIONS ARE FICTITIOUS

I like you.

I…

like you.

You can trust us.

Oh, Dr. Cha.

Reporters, this is Dr. Cha Yo-han
of our Pain Management Department.

Don't get off.

Dr. Cha, I have a question.
How's the patient doing right now?

What was the process
of making the diagnosis?

How do you feel about
discovering such a rare disease?



First of all, I cannot reveal
any personal information.

So I cannot go into detail
about the patient.

He's right.

Instead, tell them about melioidosis.

I think it'd be better to ask

the doctors in Infectious Diseases
about that.

Bye, then.

How do you feel about being reinstated
after the euthanasia incident?

I'm sure it's a sensitive issue
to patients.

Has anyone refused to get treated by you?

No, not really.

I don't go around telling people
that I euthanized a patient.

Don't you think you should inform patients
since they also have a right to know?

-What do you think, Director Kang?
-Well…



Well, regarding that issue--

We won't be answering any questions
regarding that specific issue.

I'm Han Myung-oh, the hospital's attorney.

Today's briefing
is about a melioidosis patient.

So you can email us
regarding any additional questions.

Excuse me. Please make way.

He's right.

Today is about
how Dr. Cha found melioidosis.

The articles you write today
should be focused on that.

How haughty of him.

Must I really run away like this?

It's not something
you should talk about right now.

Prosecutor Son came by this afternoon.

He even visited Chief Min.

Why? Did he come to give her a warning?

Yes, he even mentioned the fact
that her daughters are learning from you.

"A student who's learning from
someone who euthanized a patient

is trying to make her father
die with dignity."

He can easily create that scenario.
It won't even take much effort.

Get in.

-What?
-Dr. Cha asked me

to drive you home since it's late.

Get in.

You had a rough day, didn't you?

Dr. Cha had it worse.

He really is obstinate.

I know he's competent and confident.

But he really worries
the people around him.

I'm scared he might make a mistake
and end up ruining his life.

I hope you understand.

I'm only saying this
because he put me through a lot.

He really is obstinate.

When he's focused on something,
that's the only thing he cares about.

Once he makes a decision,
he makes sure he gets it done.

If someone tries to stop him…

-He tells you not to overreact.
-Exactly.

I've heard him say that to me
so many times.

He always tells me I'm overreacting

when he's the one
who's actually overreacting.

It's because he's so old-fashioned.

I mean, who puts in
that much effort these days?

He really should have a limit.

You seem to know him very well.

I've known him for over three years,

but he rarely talks about himself
or lets me help him out.

So it's very hard to predict
what's on his mind.

Get home safely.

Thank you for the ride.

No problem. Rest up.

Okay.

Mission accomplished.
Where are you? Are you home?

I'll check the articles,
so you should get some rest.

And…

don't forget that everyone
needs to be careful right now.

That includes you, Chief Min,

and Dr. Kang.

CALL LOG

I like you.

I…

like you.

REPORTER AHN SEUNG-HYUN

I GUESS CHA YO-HAN WON'T SHOW

REPORTER AHN SEUNG-HYUN

Hello?

I took the photo on my way out
after the press conference.

They showed up
in front of the press together?

It was by chance.

I wanted to ask more questions
about what happened three years ago.

The hospital attorney stopped me.

I want you to release an article tomorrow.

-Okay.
-And…

I'll keep an eye on Cha Yo-han
and Kang Si-young for a while.

It seems like what they have
is a lot deeper

than just
a professor-student relationship.

We can't show any flaws

to those who are against
what we're trying to do.

We can't let an unnecessary scandal
tarnish our ultimate goal.

I'm also worried,
so I'm keeping an eye on them.

I guess it's about time now…

since I heard he's fully ready.

Is everything finally ready, sir?

SEOUL HANSE MEDICAL CENTER

Okay, you may enter now.

Make sure you install the monitor
in the right place.

BUSINESS AGREEMENT SIGNING CEREMONY

"Zinmu Rijund"?

It's unbelievable.

Are we finally getting managed
by Zinmu Rijund?

Come on. Please hurry.

They're number one in domestic sales,
patented medical devices,

and are known for supporting
clinical trials and research.

-Are you talking about Zinmu Rijund?
-Wow.

Dr. Cha really brought about
a huge change here.

This is all so amazing.

-Let's take a photo.
-Okay.

-Let's go.
-Gosh, unnecessary.

Hurry.

Our faces aren't that important.

What's important is Zinmu Rijund's logo.

Here we go. One, two, three.

Hello!

-Hello.
-Hello.

Please stand next to each other.

Great. Please pose for the camera.

Heart. Thumbs up.

We can do it!

Could the two in the middle shake hands?

Please applaud.

Where's Dr. Cha
when he should be the star?

Exactly.

I can understand the director
and chief being here,

but why is Dr. Kwon here?

-Exactly.
-My goodness.

This morning, Chief Min
asked Dr. Cha to come,

but he rejected the offer.

He's so antisocial.

I know, right? You should be
sociable at work like them.

All right.

It's a masterpiece!

You're so handsome!

I look so nice.

Not only that. We're receiving
support from Zinmu Rijund.

Well, things are going quite well, Chief.

You're right. The media is doing
its best to sugarcoat him.

"Sugarcoat"?

His patients
are extremely content with him.

It's natural for them to think
he's competent.

Yes, you are totally right.

I heard my dear Dr. Cha
will be presenting at a symposium.

-"My dear Dr. Cha"?
-I heard it's about analgesia.

Yes. It's not common.

I thought it'd be helpful
for other doctors as well,

so I said to do it.

That was a wise decision.
I'll tell the PR team about it.

I should go now.

By the way, did you see the article?

-Which article?
-You didn't?

Exactly which article?

Hello.

Did you not sleep well?

I should be asking you that.

Don't get me started.

My kitten was crying all night long.

You have a kitten?

Well…

It just happened.

Hello, Dr. Cha.

Please don't joke around with me today.

I'm not in the mood.

-That's not it.
-Why do you keep teasing me?

-Wait.
-What about Dr. Cha?

-He's behind--
-He has nothing to do with me.

-Going up.
-Aren't you getting in?

Well…

Coffee. You should go first.

Door closing.

Let's buy coffee.

What?

Did you get home safely?

Yes.

Why…

Why aren't you saying anything
about what happened yesterday?

Not saying anything is my answer…

to yesterday's incident.

Door opening.

Thank you…

for what you said.

I'm grateful to hear that.

Here's your coffee.

-Thank you.
-Enjoy.

What's all this?

Cats go crazy over them.

One a day should be enough.

And this is for the joints.

This is a brush.

What's this?

It's a toy.

They like it when you shake it.

When did you prepare all this?

Everything's great…

but there's something more important.

You meet someone.

There was a rough patch at first,

but we started to like each other.

What's the next step, then?

Do you not know?

We should give it a name.

How pretty.

Isn't it adorable?

Dad...

can you call my name at least once?

Say, "Si-young."

I miss your voice.

What is that?

It was you.

No wonder.

He always had a clean shave.

Hello, I'm Jung Chan-seok
from Zinmu Rijund.

I see.

Your hospital's Pain Management Center
will get a makeover.

We will be supporting you
with whatever you need.

Thank you. We were in need
of a lot of equipment anyway.

Feel free to tell me
when you need anything.

I'll see you at the symposium tomorrow.

Goodbye.

This morning…

I found this article.

EUTHANASIA DOCTOR RETURNS
AFTER THREE YEARS

What did I say, director?

However successful he is,

Dr. Cha won't do us any good
by becoming a public figure.

-Stop it.
-Okay.

That reporter. What's his name,
and where does he work?

Soon, we'll discuss whether to take
Chairman Kang off the ventilator.

Officially and publicly.

Based on his current condition,

it will be very controversial.

I don't want you to influence
this discussion in any way,

wittingly or unwittingly.

Keep that in mind
whenever you speak or act,

and be very cautious.

Okay. I understand what you mean.

Go and see your new equipment.

-Be very careful.
-This is amazing.

Come along, everyone.

Isn't it awesome?

Gosh.

I brought the drinks you ordered.

-Drinks?
-Who ordered these?

Who else could it be?

It's a special day, so it's my treat.

Enjoy yourselves!

-Thank you.
-Thank you!

Thank you.

Here.

Hello.

-Hello.
-Hello.

Dr. Cha. Congratulations.

-Congratulations.
-Congratulations!

It's nothing.

It's the new model.

It's nice.

AP, AP, let's go.

One, two, three.

AP, AP, let's go!

Time for a meeting.

Thirty-seven, female.

Pain on the left side of her face.

Wait. Her name is Yoo Ri-hye?

Is it the Yoo Ri-hye we know?

-Yes.
-What?

No way, no way.

I was a huge fan.

YOO RI-HYE

She's my ideal type.

Mine too. I cried when she announced
her marriage and retirement.

-Me too.
-Me too.

She got divorced
and came back not long after.

She was in many dramas
and films until two years ago.

Yes. Two years ago,
she got a rare cancer and stopped acting.

That's true. I heard she's still
being treated. What does she have?

Olfactory neuroblastoma.

Yes. It spread all over,

and she stopped additional treatment.

Do you mean there's nothing
that can be done?

That's right.

What kind of disease
is olfactory neuroblastoma?

CHAE EUN-JEONG, 11 MISSED CALLS

I was in court. Is something wrong?

Listen carefully.

I think the time you mentioned
came sooner than we thought.

Present her photo.

A caretaker at Hanse told me.

She was admitted today, and…

Cha Yo-han is her doctor.

Cha Yo-han will ruin himself.

We just need to wait...

for him to meet a patient who only has…

pain and death left.

Mom, she looks scary.

You can't say that.

Let's go.

Where did her eye go?

YOO RI-HYE SUFFERING FROM RARE CANCER

Inside her nose. Is that the tumor?

MRI and CT.

The MRI shows
the eye is being pushed outward.

Olfactory neuroblastoma is a disease

where a tumor in the nasal cavity
grows larger.

As her tumor grew,
her face became disfigured,

and she lost her sight,
sense of smell, and taste.

How long has her face been disfigured?

-About two years?
-In her case,

if chemo or radiation's of no use,

is pain relief all we can offer?

Yes.

Her pain must be immense.

This patient requires pain relief
urgently and desperately.

We have to block the semilunar ganglion.

Let's do that procedure
with the RF equipment

-that came in today.
-Okay.

Dr. Cha.

The patient's here.

Dr. Lee, have you done this before?

Stop.

No. I just observed it once.

It's really tough.

It takes a long time to find
the right ganglion.

Lie down here.

It's a little cold.

Hello.

Hello, I'm Cha Yo-han,
and I'm here to relieve your pain.

It's a sensitive procedure,
and you'll feel discomfort.

It could be painful.

We'll begin.

Drape.

TO SANITIZE THE SURGICAL AREA
AND COVER WITH CLEAN CLOTH

I'll cover with a sterile cloth.
Don't be alarmed.

Set to 33 degrees.

Adjust angle.

Five more degrees.

Okay, that's fine.

Tweezers.

Check.

Check.

Local anesthetic.

Needle.

I'll go through the foramen ovale
to the nerve.

Okay.

HOLE IN THE SPHENOID BONE

Check.

Check.

Lateral view.

That's fine.

Check.

Check.

Check.

Sensory check. RF.

SENSORY CHECK: TO CHECK FOR SENSES

-Will it work in one go?
-I don't know.

Can anyone do it on their first try?

We'll start at 50 hertz, 0,3 ampere.

I'll begin.

Do you feel the electricity
where your face hurts?

Yes.

Ganglion confirmed.

How's her pulse and BP? All normal?

-Yes, normal.
-Lidocaine.

I'll inject the anesthetic.

Ma'am, if you don't feel any pain,
please raise your right arm.

From 75 degrees for 60 seconds,

-start coagulation.
-The coagulation will begin now.

We'll keep an eye on you for a few days.

Let me know whenever you feel any pain.

Good work.

-Good work.
-Good work.

-He is truly amazing.
-He really is.

Good work, doctor.

Are you okay?

Yes. I'm fine. I was slightly dizzy.

That's why you should eat and sleep well.

Since you're always working late
and not eating well,

your body has become weak.

Should I show you
a really nice restaurant?

You'll feel better after eating.

I'm feeling fine now.

I don't think I can see patients

because I need to prepare
for the symposium.

-Please tell the others.
-Okay, I will.

Ri-hye.

I'll bring Min-seok over,
so why don't you meet him?

I'd like to go to my hospital room.

-Okay.
-Will you keep doing this?

Will you not see your one and only son?

Please hurry!

I refuse to have any visitors.

Please don't let anyone in.

Do you understand?

Okay.

May I go in?

She doesn't wish to see anyone.

Will she never see him again?

Are you talking about her son?

After the divorce,
her ex took care of him.

He didn't let her meet her own son,
so they've barely met.

Why do you think
she's refusing to meet him?

My sister's only source of joy
and way of communicating with him

was through texting.

WHILE FILMING

She sent him photos every day
so that he'd remember her face.

She never skipped a day.

Two years ago,
she was diagnosed with cancer.

And she couldn't tell him about it.

She kept postponing…

MOM, I GOT AN AWARD!

…and postponing.

I TRIED COOKING TODAY
IT WASN'T TASTY

Mom, did you not film today?

I LOVE…

She could neither tell him…

that she'd be dying soon…

nor show him her changing face.

Mom, why aren't you sending
photos of yourself these days?

I miss you.

Mom, come on.

MOM, WHY AREN'T YOU SENDING
PHOTOS OF YOURSELF THESE DAYS?

After being diagnosed with terminal cancer

and losing her vision,
she stopped contacting him altogether.

Then did he only recently find out
about his mom's illness?

Yes.

I told him about it

and finally persuaded his dad
to allow him to come.

But she's refusing to meet him.

She says he'll be shocked to see her face.

She doesn't want to be remembered
as a monster.

Did Yoo Ri-hye receive
any additional analgesics?

No, she just fell asleep.

If she feels pain, please administer PRN.

I'll be at the symposium tomorrow,
so let me know if anything happens.

Yes, doctor.

You're working so hard
late into the night.

I'm reporter Ahn Seung-hyun
from Social Times.

We met briefly yesterday. Do you remember?

How do you feel about
getting reinstated again

after the euthanasia incident
at Myeongwon?

Oh, yes. This is a restricted area.

How did you get in?

Is it?

I waited to ask you a question.

Could you spare me some time?

I only give official
and planned interviews.

The exit is that way.

Dr. Cha!

He's coming.

Dr. Cha.

-Dr. Cha.
-The reporter is coming.

The reporter… The reporter is coming.

-The reporter?
-He's coming here.

Dr. Cha. Dr. Cha!

EMERGENCY MEDICAL CENTER

Dr. Cha!

Doctor.

He has a high fever and is unconscious.

Any other symptoms?
Abdominal pain or vomiting?

We don't know. Please run some tests.

Okay. Show them to the waiting area.

-Start with a blood test.
-Yes.

Please do a brain CT too.

A brain CT?

He might have bumped his head
into something when he fell.

Okay. Let me show you
where you should wait.

Come this way.

INFLUENZA VACCINATION

He took sick leave recently too.
Is there something wrong with him?

But why did you bring him
to another hospital?

I didn't want people at ours
to start talking.

Makes sense.

The tests are over.
Please wait for the results.

Okay.

Let me go make a phone call.

-Sorry?
-I was on my way to my mom.

I should probably tell her I'll be late.

Okay.

Thank you.

For helping me.

You talk like you're the only one worried.

I'm worried about Dr. Cha too.

Dr. Cha.

We're in the emergency room.
How do you feel?

You collapsed in front of the exit
on the first floor.

Do you remember?

What about the reporter?

We hid in time, so he didn't see you.

Sir, you woke up.

How do you feel?

-I feel fine.
-Good.

The test results are in.

-Nothing--
-Excuse me.

Vitals.

Blood test.

CT?

Did you ask for a CT too?

Everything seems normal.

Pardon?

Well, yes.

You can go once you're done with that.

Thank you.

Why?

Let's go.

No. You need to rest.

Dr. Cha.

Are you okay?

Yes, I'm fine.

Why are you here?

Dr. Kang called me when you collapsed.

Are you leaving already?

Where's the car?

Are you sure you're okay?

You even have to give a presentation
at the symposium tomorrow.

I'm fine.

I'll do everything as planned.

Thank you for today. See you.

Will you be okay?

Pick you up tomorrow?

You don't have to.
I'll see you at the symposium.

I'm sorry I keep nagging,

but you shouldn't drive
for the time being, okay?

I know. I'll take a taxi.

Is he really okay? My goodness.

Are you okay?

I have something to tell you.

Come in.

Care for tea?

What is it?

There's something wrong
with your body. What is it?

I hear a ringing in my ears,
and I feel a bit dizzy too.

Ringing?

-Yes.
-Get a checkup.

-You have a doctor, right?
-Yes.

Then go to him tomorrow.

You should cancel the presentation
and go to the hospital.

-I'll take care of it.
-You'll go, right?

-You'll get a checkup, right?
-I'll take care of it.

What if you collapse again?

If it wasn't me who found you back there…

It shouldn't happen…

but if this incident repeats itself,

it'll be a problem if someone else
finds you in that state.

But if no one finds you,
that would be horrible.

Just thinking of that…

In the ER, the doctor was asking me
where you were hurting

and what the symptoms were…

but I couldn't answer.

Even if I had been conscious,
I wouldn't have been able to answer.

-That's my illness.
-My point exactly.

Let me help you.

You monitor
your unresponsive body endlessly

and even have to hide the fact
that you're doing so.

Let me help you.
I'll do everything that I can.

Hey.

You look too serious.

It's not that big of a deal.

I'm fine.

You're not fine.

-You need my help.
-Si-young.

My illness, what's happening
inside of my body…

isn't a curse.

Everyone gets sick in their lifetime.

I'm not an exception.

I'm not saying you're different.

But you won't be able to detect
any symptoms.

But for me, I know my body very well…

and I'm used to my illness.

Good work today. I'll see you tomorrow.

Is it because you feel uncomfortable
about my feelings for you?

I'll handle…

my own feelings.

Please don't refuse my help
just because of that.

You're helping me enough.

Keeping someone else's secret means…

that you're willing to put up
with many things.

You're already doing that,
and that's enough.

You should go. I need some rest.

A pain-relieving procedure?

Yes, she was admitted
to the hospital for that.

And Dr. Cha is in charge.

How bad is her condition?

I saw her face this afternoon.

I've never seen a patient
in such awful condition.

She was diagnosed
as terminally ill recently.

From what I know, they offered her to sign
the advance medical directive.

-Did she sign it?
-Not yet.

-How about going to a hospice?
-She refused that as well.

That beautiful lady was diagnosed
with such a terrible illness.

I doubt she wishes to fight through this.

She has a son.

-Bye.
-Bye.

He's only eight years old.

Imagine how heartbroken she must be.

Prosecutor Son, it's me.

The cancer cells have spread,
so she stopped receiving treatment.

She's refused to go to a hospice.

YOO RI-HYE HAS RARE CANCER

I heard one of your members…

went to Switzerland not long ago.

I heard about the assisted suicide.

This is all I have on her.

ZINMU RIJUND TO FUND SEOUL HANSE

Zinmu Rijund, a pharmaceutical company,

decided to support
Hanse's Pain Management Center.

They're currently bringing in
new medical equipment.

Wait a minute.

"Death Talks."

Isn't that the meeting
you went to yesterday?

Yes.

DEATH TALKS

It's the same logo.

Zinmu Rijund.

What do you think the relationship is
between the two?

They could get volunteers
for their clinical trials.

But seeing how they displayed
their logo like so,

there must be more to it.

ZINMU RIJUND'S VISION IS WORLD-CLASS

ANESTHESIOLOGY SYMPOSIUM

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

It's tomorrow.

Those from Hanse Medical Center
will be there too, right?

DEATH TALKS

Zinmu Rijund
is keeping themselves quite busy.

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

DEATH TALKS, LEE SANG-HEE

SPONSORED BY ZINMU RIJUND

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

DALBIT FOUNDATION

ZINMU RIJUND'S SAFE AND FAST ANESTHETIC

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

This symposium is a hit.

It's teeming with people.

Things have been crazy the past few days,

so I'm sure that's gathered more people.

You're right.
So many people are interested.

You should add this.

You might upset your stomach.

There are so many people here.
This symposium is very popular.

Let's go inside.

Did you get in touch with Dr. Cha?

No. What about you?

I called him this morning,
but he didn't pick up.

He should be okay, yes?

CHA YO-HAN

LATEST VIEWS ON TREATING CIPA PATIENTS

I think

doctors share a similarity with
detectives of a Violent Crimes squad.

The culprits are illnesses
that attack our patients.

And we're the detectives
who need to find them.

One day, we meet a criminal
that's very hard to catch.

He doesn't say a word,

and something we haven't yet identified
slowly begins to attack from inside.

The illness I'll be discussing is…

the genetic transmission
of hereditary sensory

and autonomic neuropathy type IV, CIPA.

With this illness, the criminal is silent.

In other words, it numbs your senses
and ability to feel pain.

Patients keep biting their tongue
once they grow teeth.

Their hands and feet
are repeatedly injured and deformed.

They rub their eyes to the point
where they damage their corneas.

Despite losing bits of their tongue
and tearing their corneas,

they don't feel pain,
so they can't stop these actions.

They're also less able to secrete sweat

to lower their body temperature,

so more than 50 percent
die before age three of a fever.

In other words, a patient's
average life span is very short.

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

SPONSORED BY: ZINMU RIJUND

The case I'll present today

disrupted the definition of CIPA.

A patient who could feel no pain
started to feel pain.

It'll sound interesting,
but hard to understand.

So instead of explaining,
I'll take questions.

Ask whatever you want.

SPONSORED BY ZINMU RIJUND

PRESENTER: CHA YO-HAN

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

Yes. What's your question?

It must've been a mysterious case.

The cause.

Based on your analogy, it would be a lead.

You must've felt lost,
not having any clues or leads.

How did you grasp the problem first?

Thanks for using my analogy.

The starting point to solving the mystery…

was the phantom limb pain.

A real ghost pain. Phantom limb pain.

He felt pain when there was none.

My team flipped that hypothesis.

It's not that he didn't feel pain.
There was no pain.

Having no pain…

I don't understand what you just said.

There was no pain, so he felt pain?

I apologize. Could you say that again?

I'm sure you'll explain later,

but from what I know,
phantom limb pain, CIPA,

and central sensitization

are all related in some manner…

Yes. So, about that...

I was talking to
a second-year resident on my team

when I got the hint.

-What's wrong?
-I don't know.

I'm sorry. I'll answer again.

Doctor.

Have some water.

ANESTHESIOLOGY AND PAIN MANAGEMENT
SYMPOSIUM

PRESENTER: CHA YO-HAN

Prosecutor. I think it's today.

The day you talked about.

What? Yoo Ri-hye…

What about her?

Please don't do this.

Shouldn't you let me do whatever I want

to free myself from my illness?

How much time do I have left

to live as a doctor?

I don't think you have long.