1 00:00:00.000 --> 00:00:01.525 A doctor who specializes in cleaning up?? 2 00:00:01.525 --> 00:00:04.675 [Messages requested by other hospitals] These are the messages sent to me by doctors of other hospitals 3 00:00:07.874 --> 00:00:10.824 Patient referrals from the hospital! 4 00:00:10.824 --> 00:00:12.174 [Summary of patient request from other hospitals] (*Reading one case as an example of the request) 5 00:00:12.174 --> 00:00:13.824 [Fat transplant at hospital A - Side effects] In the meantime, she has not been treated at all while traveling to university hospitals 6 00:00:13.824 --> 00:00:15.774 [Request for a patient who can't be handled by hospital B! They're saying it's not their responsibility where she had fat transplants 7 00:00:15.774 --> 00:00:17.124 And they're not doing anything 8 00:00:17.124 --> 00:00:18.424 It's a very unfortunate situation 9 00:00:18.424 --> 00:00:19.724 At the fat transplant hospital 10 00:00:19.724 --> 00:00:22.023 [I really don't know;;] They don't know that it's their responsibility, that's why they're telling you they don't know 11 00:00:22.023 --> 00:00:24.173 (Why are we to blame for the inflammation that took years?) 12 00:00:24.173 --> 00:00:24.873 That's what they think 13 00:00:24.873 --> 00:00:25.873 [In fact, it can always be a problem!!] But even after many years 14 00:00:25.873 --> 00:00:27.723 They don't know the fact that it can cause problems 15 00:00:28.573 --> 00:00:31.972 SHINYU CLINIC 16 00:00:31.972 --> 00:00:35.572 Q. How did you start side effect therapy?? 17 00:00:35.572 --> 00:00:37.122 I'm not.. doing it because I want to do it 18 00:00:37.122 --> 00:00:38.072 Gangnam Station is really.. 19 00:00:38.072 --> 00:00:39.722 I think it's the most unusual neighborhood in the world 20 00:00:39.722 --> 00:00:41.322 [As the mecca of plastic surgery, there are so many side effects patients as well!] It's the mecca of plastic surgery 21 00:00:41.322 --> 00:00:43.522 But it also has a lot of side effects because it's done a lot 22 00:00:43.522 --> 00:00:45.221 So, for the first time, over a decade ago 23 00:00:45.221 --> 00:00:46.821 When I first settled down at Gangnam Station 24 00:00:46.821 --> 00:00:49.371 [Not sure about side effects treatment] I had no idea what to do with them 25 00:00:49.371 --> 00:00:51.671 That's why I've experienced a lot of trial and error 26 00:00:51.671 --> 00:00:53.321 So the fact that I've been through trial and error 27 00:00:53.321 --> 00:00:54.671 I could've solved it easily 28 00:00:54.671 --> 00:00:55.771 but I wasn't good at that time 29 00:00:55.771 --> 00:00:56.371 I don't know.. 30 00:00:56.371 --> 00:00:57.921 [It's been treated, but it took a long time] Even if it was something what would only take a day or two 31 00:00:57.921 --> 00:01:00.270 It would go on for a month or two, and I wash it every day 32 00:01:00.270 --> 00:01:01.670 [Both patient and me] The patient suffers and I suffer, too 33 00:01:01.670 --> 00:01:03.520 [The days when we cried(?) and complained to each other!!] We cried together 34 00:01:03.520 --> 00:01:06.520 PD / If you weren't sure, why did you get the patients? 35 00:01:06.520 --> 00:01:07.670 The patients were desperate.. 36 00:01:07.670 --> 00:01:09.370 If you go to a university hospital, they say it's okay 37 00:01:09.370 --> 00:01:11.119 They just give them antibiotics and tell the patients to come a week later 38 00:01:11.119 --> 00:01:13.319 University hospitals are mainly for cancer patients 39 00:01:13.319 --> 00:01:15.369 They're not hospitals that treat these side effects of plastic surgery 40 00:01:15.369 --> 00:01:16.919 Before I majored in surgery 41 00:01:16.919 --> 00:01:18.619 I originally worked in plastic surgery 42 00:01:18.619 --> 00:01:20.319 I have a plastic surgery mindset 43 00:01:20.319 --> 00:01:21.319 But the plastic surgeon 44 00:01:21.319 --> 00:01:22.918 Actually, we only think about cosmetic surgery 45 00:01:22.918 --> 00:01:24.068 But there are a lot of fields 46 00:01:24.068 --> 00:01:25.068 There are a lot.. among them 47 00:01:25.068 --> 00:01:26.468 All kinds of bedsore patients 48 00:01:26.468 --> 00:01:29.518 I see a lot of old and smelly wounds 49 00:01:29.518 --> 00:01:32.168 At that time, I learned how to treat patients from a plastic surgeon 50 00:01:32.168 --> 00:01:33.468 So I'm not a normal 51 00:01:33.468 --> 00:01:35.017 The mindset of general surgeons is different. 52 00:01:35.017 --> 00:01:36.567 It's also different from plastic surgeons! 53 00:01:36.567 --> 00:01:37.867 Typical plastic surgeons 54 00:01:37.867 --> 00:01:41.517 [There's not so many chance to see messy wounds...] don't usually encounter such messy wounds 55 00:01:41.517 --> 00:01:43.617 However, having gained experience in unusual places 56 00:01:43.617 --> 00:01:45.467 [Importance of experience] it helped a lot later when I specialized in surgery 57 00:01:45.467 --> 00:01:48.366 and breast sub-specialty 58 00:01:48.366 --> 00:01:48.916 So 59 00:01:48.916 --> 00:01:50.216 through some unique experiences 60 00:01:50.216 --> 00:01:51.216 that's how I ended up here! 61 00:01:51.216 --> 00:01:52.716 (Subscription) High level people 62 00:01:52.716 --> 00:01:55.566 Q. What do you feel when you're referred a patient? 63 00:01:55.566 --> 00:01:56.766 I feel a huge burden 64 00:01:56.766 --> 00:01:57.766 because I have to resolve the issue 65 00:01:57.766 --> 00:02:00.165 There are quite a few doctors who come here directly 66 00:02:00.165 --> 00:02:00.965 with their patients! 67 00:02:00.965 --> 00:02:02.115 They are desperate 68 00:02:02.115 --> 00:02:03.765 even though they are busy themselves.. 69 00:02:03.765 --> 00:02:04.915 I, too 70 00:02:04.915 --> 00:02:06.915 have had cases where I had to refer a patient 71 00:02:06.915 --> 00:02:08.015 to a university hospital 72 00:02:08.015 --> 00:02:09.265 due to post-surgical inflammation or complications 73 00:02:09.265 --> 00:02:11.765 [Unknown cause] Such unexpected inflammations can occur 74 00:02:11.765 --> 00:02:15.614 even after a regular surgery 75 00:02:15.614 --> 00:02:17.464 So, when other doctors ask me 76 00:02:17.464 --> 00:02:18.914 to resolve such issues 77 00:02:18.914 --> 00:02:20.014 I have no choice 78 00:02:20.014 --> 00:02:22.064 but to do it.. but the pressure is immense 79 00:02:22.064 --> 00:02:23.864 PD/ It's fascinating, though 80 00:02:23.864 --> 00:02:27.563 how people know to refer cases to you 81 00:02:27.563 --> 00:02:29.313 I didn't know that 82 00:02:29.313 --> 00:02:30.263 Apparently, most breast surgeons 83 00:02:30.263 --> 00:02:32.063 are aware of me 84 00:02:32.063 --> 00:02:33.163 even professors 85 00:02:33.163 --> 00:02:34.263 at university hospitals 86 00:02:34.263 --> 00:02:35.863 This can sometimes be a problem.. 87 00:02:35.863 --> 00:02:37.012 (after surgery) because when I suggest further examination 88 00:02:37.012 --> 00:02:38.862 or surgery at a university hospital 89 00:02:38.862 --> 00:02:41.212 getting some MRI 90 00:02:41.212 --> 00:02:42.012 But they often believe 91 00:02:42.012 --> 00:02:43.362 it's unnecessary 92 00:02:43.362 --> 00:02:46.012 because they trust my initial work 93 00:02:46.012 --> 00:02:50.211 [Reason for asking for university hospital's help] For instance, after surgery, if a suspicious lesion is found 94 00:02:50.211 --> 00:02:52.511 it's safer to remove more 95 00:02:52.511 --> 00:02:53.911 It feels safe 96 00:02:53.911 --> 00:02:54.561 But the patient said 97 00:02:54.561 --> 00:02:57.461 that the university professor knows me 98 00:02:57.461 --> 00:02:59.961 and says further surgery 99 00:02:59.961 --> 00:03:01.561 isn't necessary 100 00:03:01.561 --> 00:03:04.010 (Quite uneasy...) 101 00:03:04.010 --> 00:03:06.060 Oh.. I wish we had done a bit more surgery... 102 00:03:06.060 --> 00:03:07.360 I just feel uneasy about it 103 00:03:07.360 --> 00:03:09.010 There were times like that too 104 00:03:09.010 --> 00:03:10.710 I’ve been doing this for more than ten years 105 00:03:10.710 --> 00:03:12.760 so they must know that there's a hospital like this, right? 106 00:03:12.760 --> 00:03:14.210 It’s not that I’m saying I’m great or anything 107 00:03:14.210 --> 00:03:15.610 [I’ll continue to strive to be a better doctor] The doctors at university hospitals are 108 00:03:15.610 --> 00:03:17.009 mainly specialized in breasts 109 00:03:17.009 --> 00:03:19.359 [End of the story about a clean up specialist doctor!] while I can’t do that and handle other surgeries instead 110 00:03:19.359 --> 00:03:20.759 In short, the fields have diverged 111 00:03:21.159 --> 00:03:27.133 Watch other videos