Scene 57 Time / Morning Setting / Guanghua Hospital, Taitung – Surgery Department Conference Room, Emergency Department Duty Room Characters / Yang Wenhua, Su Junsheng, Guo Xinmei, Shao Qingyang (Director), Chen Binghuang (Attending Physician), Two Doctors
△ Inside the conference room of Guanghua Hospital’s Surgery Department, Director Shao Qingyang is explaining the case of a breast cancer patient. Shao Qingyang: This breast cancer patient is the CEO of a certain corporate group, around forty years old. Because of work, she is requesting that she be able to return to her position as soon as possible.
△ Shao Qingyang takes an X-ray film of the patient’s chest out of the case file, turns around, and sticks it onto the projection screen. Shao Qingyang: Judging from the X-ray film, the patient’s cancerous tumor is approximately the size of a one-dollar coin in diameter. I am assigning this case to Wenhua to form a medical team to handle it. Wenhua’s minimally invasive surgery and plastic surgery techniques can just happen to satisfy the patient’s needs, and more importantly, afterward this patient is willing to donate a sum of money to support our rural mobile medical service this year.
Yang Wenhua: Alright, Director. After I reexamine the patient’s affected area, I will schedule the surgery date.
Chen Binghuang: Director, I have a suggestion. That is, ask the hospital to establish a separate Plastic Surgery Department and purchase the required equipment and instruments. From now on, cases of this kind can be handed over to Wenhua to handle.
Shao Qingyang: Binghuang, I can understand your thinking. I have already raised this to the hospital twice, but several successive hospital superintendents, based on medical cost considerations, believed that there are not many cases in this area that require plastic surgery, so none of them agreed.
Guo Xinmei: Director, in my view, plastic surgery has its own specialty and corresponding equipment and instruments. General surgery cannot replace plastic surgery. Plastic surgery ought to be separated from general surgery. Only then would it conform to the trend of specialized divisions in this era.
△ Su Junsheng hurriedly blinks at Guo Xinmei to signal her. Guo Xinmei: (OS) What are you doing? I wasn’t wrong.
Shao Qingyang: (smiles) Some of the more difficult or high-risk cases in the Surgery Department these past two years have all been handled by Wenhua. Establishing a separate Plastic Surgery Department, actually, as far as Wenhua is concerned, apart from showing respect for his expertise in plastic surgery, has no substantive meaning in terms of workload. Today’s meeting will end here. Everyone, go back and get busy.
△ After the meeting adjourns, the doctors split into two groups and leave the conference room separately. Yang Wenhua, Su Junsheng, and Guo Xinmei return to the Emergency Department on the first floor. Guo Xinmei grabs Su Junsheng at the doorway of the duty room, while Wenhua enters the duty room first.
Guo Xinmei: Junsheng, why did you want me not to speak just now?
Su Junsheng: Let’s talk over there.
△ The two walk over to the water dispenser nearby.
Su Junsheng: Xinmei, you’ve only just arrived, so you don’t know the reasons behind all this.
Guo Xinmei: What reasons behind it? I feel that Director Shao is deliberately suppressing Wenhua and not letting him stand out.
Su Junsheng: What you saw is actually only the surface of the problem.
Guo Xinmei: There’s something hidden in what you’re saying?
Su Junsheng: Attending Physician Chen is quite wary of Senior Wenhua, because Senior Wenhua is not only far above him in both knowledge and skill, but Wenhua’s proactive attitude toward work has always been highly valued by Director Shao.
Guo Xinmei: You mean Attending Physician Chen is worried that Wenhua will take his attending physician position in the future?
Su Junsheng: You’re thinking about the problem too simply, Xinmei.
Guo Xinmei: (gives a bitter smile) I’m thinking too simply. Indeed, I still haven’t figured out the corporate culture here.
Su Junsheng: Haven’t you noticed? In the entire Emergency Department Surgery Division, only Wenhua and I take turns on duty. Attending Physician Chen and the other two only handle outpatient clinics.
Guo Xinmei: Yes! Not long after I reported for duty, I discovered that problem. The workload distribution is obviously unfair. No wonder Director Shao took the initiative to ask me on the day I reported whether I was sure I wanted to follow Yang Wenhua.
Su Junsheng: Because you followed Wenhua, the Director assigned you to the Emergency Department to rotate shifts with the two of us. Actually, in the meeting just now, Attending Physician Chen’s proposal to separate Plastic Surgery was, apart from not wanting the popular Wenhua to rise to his position in the future so that he could arrange his own people, part of an even longer-term plan: once Director Shao reaches retirement age, he himself can move up to the Director’s position.
Guo Xinmei: So that’s how it is! I never thought Attending Physician Chen was such a deeply scheming old fox!
Su Junsheng: Attending Physician Chen is Director Shao’s younger cousin. Before Yang Wenhua appeared, he had always optimistically believed that Director Shao would definitely pass the baton to him in the future. But Attending Physician Chen is lazy by nature, lacks ambition, and is fond of ease and hates hard work. Whenever he encounters difficult cases, he always tries to shirk them. Therefore, Director Shao has made up his mind to pass the baton to Yang Wenhua before he retires.
Guo Xinmei: But Director Shao’s arrangement and establishing a separate Plastic Surgery Department are two entirely different things.
Su Junsheng: Xinmei, think about it. If Plastic Surgery is separated out, then wouldn’t Attending Physician Chen be able to sleep easy from then on? Because Wenhua would no longer pose a direct threat to him. And nominally, his workload in General Surgery could also be reduced somewhat. But Wenhua’s scope of work would still have to extend into General Surgery, distracting him with those difficult cases that they do not want to touch.
Guo Xinmei: (thinks for a moment, nods) I understand! According to what you’re saying, Attending Physician Chen’s proposal really does have malicious intent. It’s like a weasel paying a New Year visit to a rooster!
Su Junsheng: (laughs) That’s exactly right!
Guo Xinmei: Then from now on I’ll have to be on guard against Attending Physician Chen and his group.
Su Junsheng: Actually, during a private chat, Senior Wenhua once revealed to me that after a few more years, once I have fully learned all of his skills, he will recommend me to Director Shao, and then he will return to the Alishan Health Clinic to serve his tribespeople.
Guo Xinmei: The Alishan Health Clinic? Wouldn’t that be wasting great talent and burying his abilities?
Su Junsheng: It certainly would. That’s why I’ve also been deliberately stalling him. With his knowledge, skills, and spirit of innovative research and development, maybe before long he will be recruited away by a large teaching hospital. At the very least, he would become the director of a department.
Guo Xinmei: You’re right. My father’s Fudan Hospital in Shanghai wants to recruit Yang Wenhua to establish a Plastic Surgery Department, but he seems completely uninterested.
Su Junsheng: That is exactly why Senior Wenhua deserves my respect. He is unlike some doctors who rack their brains trying to climb upward, packaging themselves as famous doctors, and then using the title of “famous doctor” to achieve both fame and fortune.
Guo Xinmei: Yes. With Yang Wenhua’s cutting-edge abilities, if he stayed in Shanghai to develop his career, his future would be limitless...
Guo Xinmei: (OS) Yang Wenhua, you truly are a benevolent doctor, but I cannot allow you to be buried in some poor and remote countryside.
Su Junsheng: In a couple of days, it will be Senior Wenhua’s birthday. These past two years he has taken care of me a great deal, both as a teacher and as a friend. I want to show my appreciation. Xinmei, let’s celebrate Wenhua’s birthday together, alright?
Guo Xinmei: (delighted) Of course!
Scene 58 Time / Night Setting / Guanghua Hospital Doctors’ Dormitory Lounge Characters / Yang Wenhua, Su Junsheng, Guo Xinmei
△ Inside the doctors’ dormitory lounge, there is a small cake and champagne drinks on the table.
△ Su Junsheng and Guo Xinmei each support Yang Wenhua from one side and bring him in. When Yang Wenhua sees the arrangement on the table, he finally remembers that today is his birthday.
Yang Wenhua: (smiles) Just now I was still wondering what matter had to be discussed in the lounge.
Guo Xinmei: Brother Wenhua, if we didn’t trick you like this, we were afraid you wouldn’t come.
Su Junsheng: That’s right! Wenhua, you always take care of us. It’s only right that we show a little appreciation.
△ Guo Xinmei lights the candles. The two of them have a tacit understanding and each takes out a birthday gift.
Guo Xinmei: (hands it over) Big Brother, here is your birthday gift. Open it and have a look.
△ Yang Wenhua opens the gift from Guo Xinmei: a heart-shaped gold necklace.
Yang Wenhua: Xinmei, this gift is too expensive!
Guo Xinmei: Not expensive, not expensive. It was given to me by my father when I graduated from medical school.
△ Guo Xinmei picks up the necklace and puts it on Wenhua.
△ Yang Wenhua opens the gift from Su Junsheng: an electric razor.
Yang Wenhua: Junsheng, this razor is very practical.
Su Junsheng: Yes! You don’t need to wait for someone else to shave your beard for you. First shave it clean yourself.
△ At this moment, the pager at Yang Wenhua’s waist beeps.
Yang Wenhua: The Emergency Department duty desk is looking for me. There may be an emergency patient. I’ll go return the call.
Guo Xinmei: (complaining) Why did the duty desk have to pick this moment? What a buzzkill!
△ Yang Wenhua walks to the corner, picks up the office phone, and presses the extension.
Yang Wenhua: This is Yang Wenhua. Alright, understood. I’ll go over immediately.
Su Junsheng: An emergency?
Yang Wenhua: Mm. A traffic accident victim. The internal bleeding is critical. Surgery must be performed immediately.
Guo Xinmei: Big Brother, I’ll go with you first. Junsheng, I’ll trouble you to take care of things here.
Su Junsheng: Alright. I’ll come meet up with you after I clean up.
△ Yang Wenhua and Guo Xinmei quickly walk out. Xinmei climbs onto Wenhua’s motorcycle, and they head for the hospital.
Scene 59 Time / Night Setting / Guanghua Hospital Emergency Department Duty Room, Emergency Room, Operating Room Characters / Yang Wenhua, Su Junsheng, Guo Xinmei, Duty Doctor, Nurse, Injured Patient
△ Yang Wenhua and Guo Xinmei hurried to the Emergency Department, jogging into the Emergency Department. They quickly changed into doctors' gowns and entered the emergency room. △ The injured person on the emergency treatment table was a young man injured in a car accident, his consciousness gradually becoming blurred. Duty Doctor: The injured person may have severe internal bleeding. If Dr. Yang is not confident, then let the injured person be transferred to the Christian College in Taitung.
△ Yang Wenhua examined the injured person's condition and noticed that the injured person's heartbeat and blood pressure monitor readings were gradually slowing. Yang Wenhua: The injured person may have ruptured internal organs. We have to race against time. Give him a blood transfusion first, then push him into the operating room.
△ The nurse immediately brought over a blood bag and gave the injured person a blood transfusion. Three nurses pushed the injured person toward the operating room, with Yang Wenhua and Guo Xinmei following closely behind. △ The group of medical personnel entered the operating room and immediately took their respective positions. The lights above the operating table lit up, and the injured person received gas anesthesia. △ Holding an ultrasound stethoscope, Yang Wenhua moved it back and forth twice across the injured person's chest cavity and abdominal cavity. Yang Wenhua: Both the liver and the spleen are ruptured. The amount of bleeding is more than 2,000 ml. I have found the bleeding points.
△ At this moment, Su Junsheng pushed the door open and entered. Yang Wenhua: Junsheng, hurry and take your position. Su Junsheng: Okay, Senior.
Yang Wenhua: (pointing at the ultrasound screen) The injured person has two bleeding points, one in the liver and one in the spleen. I will handle the liver, and you handle the spleen repair. Keep an eye on the amount of bleeding at all times.
Su Junsheng: (looking at the ultrasound screen) Okay.
Yang Wenhua: Xinmei, give me the scalpel and hemostatic forceps. Guo Xinmei: (handing them over) Here.
△ Using the scalpel, Yang Wenhua made an "I"-shaped incision about three centimeters long below the injured person's right chest rib, then inserted the hemostatic forceps to clamp the bleeding artery.
Yang Wenhua: Xinmei, give me the catheter. Guo Xinmei: (handing it over) Here. Wenhua, will three centimeters be difficult to work with?
Yang Wenhua: If the bleeding point is located accurately, three centimeters is enough. The injured person's body fat layer is not thick.
△ Using the scalpel, Su Junsheng made an incision about two centimeters long on the upper left abdomen of the injured person, then inserted the hemostatic forceps to clamp the bleeding artery.
Yang Wenhua: Xinmei, give me the hemostatic cotton. Guo Xinmei: (handing it over) Here.
△ Yang Wenhua leaned his face closer and examined it through a head-mounted magnifying lens. Guo Xinmei: (OS) So this is microsurgery? Not only must your eyesight be good, your technique also has to be up to standard.
▲ Camera cuts.
△ Guo Xinmei stitched up the wound. Guo Xinmei: (making an OK gesture) Mission accomplished.
▲ Camera cuts.
△ Yang Wenhua, Su Junsheng, and Guo Xinmei walked out of the operating room and each removed their masks.
Guo Xinmei: Amazing! It was finished in just about an hour.
Su Junsheng: (smiling) When we encounter this kind of acute internal bleeding patient, we have to be fast, ruthless, and accurate!
Yang Wenhua: With the help of 3D ultrasound equipment, we can very quickly grasp the patient's internal bleeding condition and locate the ruptures and bleeding points.
Guo Xinmei: But that also requires being bold and meticulous, doesn't it?
Yang Wenhua: (stretching out one hand and imitating a commercial gesture) Trust me! You can make it!
△ Yang Wenhua's sudden joking gesture made Su Junsheng and Guo Xinmei laugh.
Scene 60 Time／Night Setting／Guanghua Hospital Doctors’ Dormitory Lounge Characters／Yang Wenhua, Su Junsheng, Guo Xinmei
△By the time the two motorcycles returned to the dormitory, it was already midnight. The three of them looked slightly tired. △The three walk into the lounge. Junsheng and Xinmei take a cake out of the refrigerator, and Xinmei relights the candles. Guo Xinmei: Big Brother, make a wish and blow out the candles.
△Yang Wenhua closes his eyes, puts his palms together, and lowers his head to make a wish. Afterwards, Wenhua blows out the candles in one breath and cuts the cake for his two companions.
Su Junsheng: Senior, there’s champagne too.
△Yang Wenhua opens the champagne bottle and pours out the champagne drink. △The three sit around the square table, eating cake and drinking champagne.
Guo Xinmei: Big Brother, Junsheng, I’m gradually beginning to understand this kind of lifestyle where you have to be on standby at all times. But it really is exhausting.
Yang Wenhua: We have limited manpower here. Quite often, one person has to do the work of two.
Su Junsheng: (smiling) The capable do more work, but are often overworked. That’s just how the work of medical personnel in a small city is.
Yang Wenhua: The two of you should rest earlier tonight. Tomorrow morning at ten o’clock, there is still a breast tumor removal surgery, with Xinmei as the lead surgeon.
Guo Xinmei: Got it. But right now, I want to relax a little.
Yang Wenhua: (smiling) The capable do more work. Xinmei, the half plate of cake on the table is left for you to relax with.
Guo Xinmei: That won’t do. Half a plate of cake has at least three thousand calories.
△Su Junsheng and Wenhua look at Xinmei’s serious expression, and the two smile knowingly.
Scene 61 Time／Day Setting／Guanghua Hospital Surgical Operating Room Characters／Yang Wenhua, Su Junsheng, Guo Xinmei, Wang Meixue (patient), Two Nurses
△Inside the surgical operating room, Su Junsheng serves as assistant, monitoring the patient’s heartbeat and blood pressure instruments, and passing equipment.
△Through a small headset microphone, Yang Wenhua instructs Guo Xinmei to insert the imaging catheter and miniature electrosurgical knife into the patient’s breast through a small incision.
Yang Wenhua: After finding the tumor, cut off the surrounding blood vessels one by one.
Guo Xinmei: Understood.
△Guo Xinmei looks at the 3D ultrasound imaging screen, using both hands to control the imaging catheter and the miniature electrosurgical knife.
Yang Wenhua: Use the forceps to clamp out the tumor. Use the catheter to drain out the blood and tissue fluid.
Guo Xinmei: Okay.
△Guo Xinmei uses the forceps to clamp out a tumor, then inserts the catheter to drain out the blood and tissue fluid.
Yang Wenhua: Cauterize the blood vessels and tissue in the tumor cavity.
Guo Xinmei: Okay.
△Guo Xinmei uses the miniature electrosurgical knife to cauterize the blood vessels and tissue in the tumor cavity.
Yang Wenhua: Fill it with the patient’s own fat.
△Guo Xinmei picks up the injection syringe and injects the patient’s autologous fat into the tumor cavity.
Yang Wenhua: Suture the incision.
△Guo Xinmei picks up the surgical needle and sutures the incision.
△Guo Xinmei makes an OK gesture.
Guo Xinmei: (O.S.) For cosmetic medicine, minimally invasive surgery will definitely become the mainstream treatment in the future.
Scene 62 Time／Night Setting／Courtyard of Guanghua Hospital Doctors’ Dormitory Characters／Yang Wenhua, Guo Xinmei
△In the courtyard of the doctors’ dormitory, Wenhua is reclining sideways on a lounge chair, enjoying the cool air and looking at the stars. Guo Xinmei walks over and sits beside him.
Guo Xinmei: Thinking about something, Big Brother?
Yang Wenhua: (smiling, pointing with his finger) Look. The starlight in the night sky—much of the light they emit comes from hundreds or even thousands of years ago.
Guo Xinmei: Yes. How short a human life is.
Yang Wenhua: Actually, a few decades are enough for us to complete our dreams and fulfill some wishes.
Guo Xinmei: Big Brother, with your such superb surgical skills, you should go to a big city like Shanghai and develop your expertise in cosmetic medicine.
Yang Wenhua: Fame and fortune have never been my purpose in studying medicine. What I think about is providing better medical services in poor and remote places where medical care is needed most, saving and extending the lives of poor people. Compared to digging huge amounts of money out of rich people’s pockets, that gives me a greater sense of achievement and belonging.
Guo Xinmei: Big Brother, if you had lived in ancient times, you definitely would have been a knight-errant. I admire your altruistic spirit of being content with a simple life.
Yang Wenhua: I’m only doing what I want to do.
Guo Xinmei: (gathering her courage) Big Brother, if a girl were to take the initiative and confess her feelings to you, would you…
Yang Wenhua: (smiling) I can only say: I’m sorry. There is already someone in my heart.
Guo Xinmei: (disappointed) Is it your first love?
Yang Wenhua: Mm. I already have a promise with her.
Guo Xinmei: (probing) Then what about Lin Xiuling? I know she likes you.
Yang Wenhua: Xiuling is a good girl. I cannot give her a beautiful mistake.
Scene 63 Time／Day Setting／Taoyuan Airport Departure Hall Characters／Yang Wenhua, Su Junsheng, Guo Xinmei, Travelers
△Inside the Taoyuan Airport departure hall, Guo Xinmei is pulling a suitcase, accompanied by Yang Wenhua and Su Junsheng.
Guo Xinmei: Big Brother, Junsheng, thank you for your careful guidance over these past six months. This trip has given me a great deal.
Yang Wenhua: Xinmei, you’re welcome to come to Taiwan again whenever you have time.
Guo Xinmei: Big Brother, let me hug you.
△Yang Wenhua opens his arms and lets Guo Xinmei hug him.
Guo Xinmei: (whispering into his ear) Big Brother, I’ll be waiting for you in Shanghai.
△Guo Xinmei shakes hands with Su Junsheng.
Guo Xinmei: Junsheng, when you have time, you’re welcome to come to Shanghai and see me.
△Guo Xinmei pulls her suitcase and walks into customs, then turns around and waves to the two of them.
Scene 64 Time／Day Setting／Entrance of Beautiful Lady Cosmetic Clinic Characters／Lin Xiuling, Zhao Xiaodong, Passersby
△Lin Xiuling has just gotten off work and walked out of the clinic when Zhao Xiaodong, holding a bouquet of flowers and wearing a smile across his face, appears.
Zhao Xiaodong: Xiuling, Xiuling.
△Lin Xiuling treats Zhao Xiaodong as if he were air and walks expressionlessly toward the parking lot. Zhao Xiaodong chases after her and reaches out to stop her.
Zhao Xiaodong: Don’t be like this. You’ve already tormented me for half a
