I don't have much to say or request.
I'm like an old soldier about to leave the front line.
As long as the Naniwa University Hospital
can grow stronger and better,
I don't have any problem with who becomes my successor.
Anyone will do?
That's why I think we should take this to national level.
Finding the best candidate in academic background, research and treatment.
But I think we should pick someone from our own institution.
It's not that easy to take this to national level.
I think that's for the best.
But, Nosaka
I doubt it's that easy to find the right candidate.
No, I think otherwise.
Other than academically strong, an excellent surgeon,
he must be someone respected by all.
Chief of Committee, there's a strong request for
selecting the candidate nationally.
Please make your decision.
Those who favour a national selection, raise your hands.
Three against three.
In that case, to select from our university,
or from the nation,
we need to let the members discuss it first.
No, Chief of Committee. I'm for national selection too.
Prof. Azuma and Dr. Imadu's pick, Kikukawa of Kanazawa University.
Just arrived yesterday.
It's too obvious if we sent it too early, that's why we waited for the last minute.
Trouble.
Right, who does Prof. Nosaka of Plastic Surgery recommend?
I'm sorry regarding that.
He wouldn't say anything and refused to meet with me.
You must think of something.
After all you're the "think tank" under the Ugai gang.
Show them what you're good at.
Before the application deadline,
there are fourteen candidates.
There've been heated discussions on their studies and background,
seven have been eliminated.
It seems that no one really fits all the criteria.
In that case, it doesn't matter about their specialty.
We'll pick one if there are
two candidates from the same university.
What do you think?
Just pick one?
Of the seven remaining,
there're 2 from Rakuhoku University, 2 from Kyushu University,
two from our own,
and one from Tohto.
One out of the two.
No, I oppose!
I don't mind picking one from other universities,
but not from our own.
It's only natural that our Asst. Professors become candidates,
it's not fair just to pick one out.
If we choose this way,
our sister universities like Wakayama, Nara, Tokushima and others
won't recommend anyone from now on.
We should keep Prof. Kasai of Tokushima University.
After three hours of discussions,
the final candidates have been decided.
We'll recommend these three to the board of professors.
From the sixteen professors of Basic Medicine and fifteen of
Clinical Medicine, there're a total of thirty one votes.
These will help elect the next professor of First Surgical Dept.
Prof. Kasai of Tokushima University?
Yes.
Annoying.
Sorry to disturb.
Youhei Sasaki whom you operated on,
he's been recovering well up to yesterday.
Today, he has difficulties breathing.
He's coughing, and has coughed up phlegm.
Looks like it's complications after the surgery.
Could you please take a look?
Nonsense.
It's a perfect surgery, how is it possible for complications?
The patient has difficulty breathing,
and has a temperature of 38 degrees.
It's pneumonia after the surgery. Use anti-biotics.
Yes.
He's been working here for a few years,
can't even take care of pneumonia after a surgery.
Prof. Kasai of Tokushima University is the problem now.
He's the Asst. Prof. Before, so to say?
Yes, six years my senior.
While he got transferred to Tokushima, I became the Asst. Prof.
He's indeed a strong match.
We have to put up with a fight.
In that case, people won't focus so much on opposing hiring Kikukawa.
No! Maybe people in my dept. Will turn to support Kasai.
It's not a big deal.
But why would Prof. Nosaka back up Kasai?
I guess Ugai's blood pressure has gone up.
If Zaizen becomes the professor, Ugai's gang will grow.
If Kikukawa gets elected,
Azuma, though retired, could still have some influence.
And if he teams up with Imadu of 2nd Surgical Dept, there'll be a new gang.
Very true.
In order to advocate for democracy within the hospital,
we must try to get Prof. Kasai elected.
Unbelievable! Just the few of us led by Nosaka
would really care about the future of this hospital.
Alright, let's begin.
Doctor, what's that?
Don't touch, fool.
These are the estimate counts, in order for Kasai to win.
Currently, fifteen professors from Clinical Medicine,
not including the sixteen from Basic Medicine.
The total is thirty one, we need sixteen to pass.
In that case, we need six more.
As long as we get six votes
from the sixteen professors of Basic Medicine, then we're fine.
How much?
100,000 or 200,000 each vote?
No, thanks, dad. I think I can get elected.
It's not just about self confidence.
Still missing a vote, Imadu.
Kikukawa gets six votes, and Zaizen seven from the Clinical Medicine.
No, at this time. Can't be too optimistic.
No. Second Surgical Dept, Neurology,
Otorhinolaryngology, Urology centre,
and myself.
Missing one vote is because we can't correctly estimate the votes.
The problem lies in Basic Medicine.
We can never guess their votes.
As long as we can guarantee eleven votes from Basic Medicine.
Technically Okouchi is calling the shots.
But I don't think Basic Medicine is a problem.
Even if he's in charge, there're still swing votes.
If we could guarantee ten...
This is going to be an unpredictable game.
How about this, in order to secure our votes,
I'll pay Prof. Okouchi a visit tomorrow.
Imadu, I understand your point.
But, I refuse to be bossed around.
I'll vote for the best candidate,
the one who truly deserves it.
I'm really impressed with your way.
But, if only you would agree to vote for Kikukawa.
Let me be frank with you, I'll be fair.
Are you injecting Chloramphenicol?
Yes, once every six hours.
And what's Zaizen's diagnosis?
He said it's pneumonia after the surgery, and told me to use anti-biotics.
What do you think?
I agree with him.
He's warm and has been having a temperature.
He coughs, and has coughed up phlegm.
Follow me.
I thought it's pneumonia after the surgery.
But, I suggested to take a CT Scan.
Because I think the shadow in the chest might have something to do with it.
Go and get Zaizen for another consultation.
I wish.
But the election for the next professor is today,
that's why Dr. Zaizen is busy.
Sorry?
Let's focus on the academic background
medical research, and clinical achievements
of the three candidates. It's all being discussed.
And now, it's time for election.
Let's begin.
Let's vote for the best person for the post of Professor
of First Surgical Dept. Of Naniwa University Hospital.
Wait. I forfeit my right to vote.
Forfeit your right?
Zaizen and Kasai are both my students.
Now I have to decide,
to me it's like two brothers fighting.
No. I support Kikukawa for his success in medical research,
and his character.
But I can't just ignore my two students,
and vote for Kikukawa.
That's why I can only do this,
to forfeit my right to vote.
Excuse me.
Prof. Azuma is really something.
Let's begin.
Kikukawa Noboru.
Zaizen Goro.
Kikukawa Noboru.
Hiroshi Kasai
From the vote counts,
none of the three candidates receive more than half of the votes.
That's why, according to our regulations,
the one with the least votes, Kasai will lose this round.
As for the other two candidates, Zaizen and Kikukawa,
there will be a final election one week after.
Doctor. Youhei Sasaki doesn't seem to be doing well.
The anti-biotics aren't working.
He's coughing non-stop, with phlegm.
According to Dr. Satomi of First Internal Medicine,
he also thought it's pneumonia after surgery,
but now it seems...
What?
Why would an Asst. Professor of another department care?
How many years have you worked here?
Why do you panic over a small matter?
Are you good enough to be a doctor responsible?
Or you doubt my diagnosis?
Get ready for chest x-ray.
Yes.
The election is unpredictable.
But I knew it.
It was quite a speech.
But the vote...
No problem, it's for the best.
Look, twelve against eleven.
It's a close match.
I did it on purpose to get the swing votes.
With those, I can send Kikukawa to the final round.
Imadu, we must identify those
who originally voted for Kasai.
We must get the seven votes from Nosaka.
I'm sure they'll focus on Nosaka also.
An alliance?
Yes, our budget next year includes setting up a Pediatrics Clinic in Osaka.
As for the job openings for this Clinic,
Ugai said he could get you in charge.
Pediatrics Clinic.
But I always thought that Zaizen...
Even if you support Kikukawa,
you won't get anything out of it.
I mean, since Kasai has lost.
If that's the case, why don't you...
Long time no see.
I heard that Iwata gave Nosaka the money.
One hundred thousand a vote, 700,000 in total.
Great!
And he called himself a professor!
Pulling that act in the board room,
trying to get people's sympathy.
If only he didn't do that...
There's no use to think about that now.
You were over confident.
This time, you must get Nosaka's seven votes.
Goro, if you fail this round, it's the end.
What? You'll put in a blank vote?
Yes, I learnt that from Prof. Azuma.
Don't you agree?
I don't want to offend either side,
it's the only right thing to do.
I understand, but I beg you to think twice.
Since we're asking you a favour, we'd give you something in return.
I heard that the Japan Plastic Surgery Association is missing a director,
if you could become a director,
you'll become the Head of Plastic Surgery sooner or later.
And in the future when you...
Imadu, there's no need to paint it out.
No, I didn't.
Someone who could interfere about the position.
I'd only say this after discussing it with Professor Azuma.
You seem so sure, who gave you the news?
Prof. Funao of Tohto University.
What? Prof. Funao?
But, Nosaka
The condition is you must give us all your votes.
I don't believe in election anymore.
Tsukuda was here a few days back, he seemed to be really worried about you.
Is everything alright?
Everything's fine.
I must become the Professor at all cost.
Goro, I've a good idea.
Hire a hit man, takes care of everything.
You're right.
You can't trust the election.
There's no use to be anxious.
Keiko, you...
Playing mind games like these will never end,
it's the most direct way to take care of the opponent.
But I guess there's another proper way.
Let me teach you guys.
Go to Kanazawa,
make sure the opponent gets poisoned, aren't you good at that?
Doctor, welcome.
Speak of the devil.
Have a seat, doctor.
No, thanks. Don't worry.
I was hoping to talk to you.
Thank you for your support.
A choice is consequential.
If I fail to get elected,
this will affect you all in the future.
That's why I can't cause you any more trouble,
why don't we put an end to this...
Doctor, what are you talking about?
Prof. Funao of Tohto University. We've a better plan.
What plan?
Keep calling the opponents to make threats.
Make him give up.
We'll spread the word when it's necessary,
tell the world that he's not professor material.
That's too much.
Doctor, the train has left the platform,
how can we jump off now?
As long as Kikukawa decides not to run,
then it will all be solved.
Then again, we're all academics.
I guess I could use a better and gentler way to convince.
I get it.
But we must visit Kanazawa once.
- Hello, Tsukuda. - This is what I think so far.
I just think election is unpredictable.
I didn't ask you to go to Kanazawa.
Doctor, we're all in the same boat.
You're so weak as the lead.
It's not just about you anymore.
Doctor, are you done?
Kanazawa
Doctor, is there no use for us to beg?
We understand this is a difficult thing to ask.
But we told you the truth.
To be honest,
you're just a pawn in this election game.
It's expected that in the end you'll lose.
Then what's the point in taking part in it?
For the sake of future democracy in Naniwa University Hospital,
we beg you to withdraw.
We're begging you, not for our personal interests or concerns.
Doctor, can't you grant us our wish?
I didn't come forward myself in this election.
But it's a decision by the board of Naniwa University professors.
Please leave.
Is that so? Fine, I get it.
Since you won't hear our humble request,
then we'll tell you what we think.
Even if you win the election,
our team of medical workers would never cooperate with you.
Without the support of our team,
a professor's fate is as good as nothing.
Goodbye.
Yes, but...
But, professor
If I join that complicated work space,
I can't concentrate in my research.
If you listen to those bozos and withdraw,
what about my reputation?
You must not talk to others on your own,
It's not just about you anymore.
No, I should be taking care of everything.
What? How?
If that's the truth.
I'll start an investigation and punish the medical workers.
- I'll take care of it. - Yes.
Sorry that it's got out of hand.
I can't leave you to it anymore,
I have to pay a visit to Osaka.
If Kikukawa loses, I'd lose my reputation too.
Also, Prof. Azuma, about those medical workers
Please keep this to yourself before I arrive.
Got it? Don't be rash.
Prof. Nosaka has seven votes.
Three votes from Clinical Medicine, other than Nosaka,
there's Inui of Dermatology and Prof. Kawai of Pediatrics.
The other four votes are from Basic Medicine's Pharmacology,
Biochemistry, Serology and Public Health.
And the four votes from Basic?
They were swing voters,
but they got convinced by Nosaka's advocacy for democracy.
The total is thirty one.
Yes, Prof. Azuma, will you forfeit your right?
I gave up my right in the first round,
so in the final round, I'll...
No matter it's 30 or 31, we could exceed the half, 16.
We got eleven last time, we need five more.
With Prof. Nosaka's three votes, we need two more.
Prof. Ichimaru of Public Health has applied for research funding
from the medical association?
Tell him, as long as he votes for Kikukawa,
I'll talk to the association to let him get his funding.
Got it?
We need one more.
Prof. Oka of Serology, what's his research subject?
Cancer cells reaction in blood serum.
Get him to apply for a cancer research funding from Department of Health.
I'll take care of it, then we've 16 votes.
And to be certain,
as long as this Pharmacology professor supports Kikukawa,
I'll vote for him in return of a favour
on the passing of a new drug.
Got it?
But, could we be sure about Prof. Nosaka's three votes?
Yes, because he genuinely doesn't like Zaizen.
And we spoke,
he knew that he could be a director in the Plastic Surgeons Association.
You brought this onto yourself.
I've nothing to do with the medical workers' visit to Kanazawa.
Stop making excuses.
It would have worked perfectly if he agrees,
but instead, you got Funao here in Osaka.
Chief.
We still can't be sure of Nosaka's votes.
Can't be, we had a deal.
My father-in-law of the medical association has taken care of it.
Even if Nosaka's fine,
but what about Prof. Okouchi of Basic Medicine?
He's always been neutral,
if he finds out about the medical workers' Kanazawa visit.
The votes who supported you would go to Kikukawa, not good.
If we don't do anything,
you wouldn't get elected even if I'd try to help.
Get to it!
About Prof. Okouchi,
I've turned you down before.
Satomi, it's a matter of life and death.
A matter of life and death?
Yes, sorry. Could you talk to Prof. Okouchi...
Someone as able as you, why would you get involved with this?
Able? In an election,
no matter what the choice is, favours and cash are essential.
I think it's really lame.
Don't be a professor if you don't get elected.
Sorry?
Looks like we've our different paths.
I won't ask you for anymore favours.
Zaizen, I just want to tell you one thing,
About Youhei Sasaki's condition.
You have no right to criticise me.
I've done everything.
What if... the cancer has spread to the pleura?
How would you handle it?
You've outstanding skills,
you should think more about your patients.
All you're concerned of are the test tubes and microscopes.
But, only the humans are alive.
No. Even the medical studies are alive.
Zaizen...
Honey...
Your patient Youhei Sasaki
- A shot in the heart. - Yes.
Doctor, could you get Dr. Zaizen please?
I've called his home, he's not there.
I don't know where he is, we have to wait till tomorrow.
How could this be? My husband is dying.
If you can't find Dr. Zaizen, please find Dr. Satomi.
I can't do that, because your husband is our patient.
If I go find Prof. Okouchi, it's absolutely useless.
I could only ask Kansai medical association.
But anyway, we're leading even in the estimate counts.
Right, Nosaka didn't turn the money back.
That means even if Funao tries to talk to him, it wouldn't matter.
And, Hayama has just delivered the rest of the payment.
Nosaka seemed happy, he called and said he's got it.
No! We can't be sure until the time of the vote count.
I'm worried about the votes of Basic Medicine.
Tsukuda went to Kanazawa, it was no use.
All because I didn't plan it out properly.
Very well, I'll take care of it.
But, in that case...
No, I must!
I could never lose to those who use power in their positions.
We have cash, we could do something.
Goro, where does Prof. Okouchi live?
Alright, I'll go with you.
You're right.
If we lose, it will affect the Kansai Medical Association's reputation.
It's the most important in the final phase.
What do you take me for?
I'm a respectable scholar.
Do you think you can bribe me?
The university is an ivory tower for education.
What do you take professors for?
Maybe it works with those despicable professors, but not me.
Get the hell out!
Bunch of fools!
Don't die, honey.
You can't leave me on my own.
Please don't die!
Time of death, 3:20.
It's you.
You killed my husband!
And now, let's begin the final round of vote.
Zaizen Goro.
Kikukawa Noboru.
Zaizen Goro.
Kikukawa Noboru.
Zaizen Goro.
Kikukawa Noboru.
Zaizen Goro.
Final vote.
Zaizen Goro.
The next professor of First Surgical Dept has been elected,
let me give you the news.
The total vote count is thirty.
Zaizen has sixteen votes,
Kikukawa has fourteen.
There's a difference of two votes.
You're the next professor.
Will you accept the post?
I'd be more than happy to.
How much you've put me through, Zaizen.
It's all because of you that I've got the post.
I'd never forget what you've done for me.
Kikukawa, it's my fault. I don't know how to apologise to you.
Sorry.
Thank you for all your help. Excuse me.
Congratulations on Dr. Zaizen's promotion.
Cheers.
Congratulations!
- Thanks. - You're welcome.
Please.
- Dr. Hayama, please. - Thanks.
Where's Nosaka?
There he is.
Come on in!
Congratulations, Zaizen.
Thanks.
Thank you, Nosaka. I owe you one.
Not at all, we got something out of it.
But, Nosaka. According to my counts,
and the votes from you, we should get nineteen.
Yes.
I was trying to get seven votes,
but got sabotaged.
They got two votes.
From the final count.
That's why I should return those two.
No, keep it, Nosaka. Don't worry about it.
Enjoy.
Good evening.
Here come the girls! Take good care of the guests.
Sorry I'm late.
Sorry about the election.
What's going on, Imadu?
Please explain.
Good question.
Two votes under me have turned to Zaizen.
But if your eleven votes were correct,
on top of my five votes, there should be sixteen,
and you should win.
The eleven votes were all there.
You only needed five votes under your seven votes.
Are you suspecting me?
It's just because of your naive way to estimate the votes.
Are you certain about those eleven votes?
Enough, you two.
It's all over now.
I just want to see how Zaizen
could face others as a professor, by using despicable means to win.
Goro, when are you hanging up
your new license as a professor at home?
Dad, that's next March.
Because Prof. Azuma retires next March.
Who knows? He may retire early.
I guess he must feel tired after this election,
he might resign sooner.
Dream has come true! I'm in heaven.
Women and cash! All you want!
I want to dance! Great.
Prof. Azuma retired soon after the election,
he's been working as the Head in a small hospital nearby.
Everyone got a promotion,
Kanei is Asst. Professor, Tsukuda as Instructor.
Zaizen gang rules the First Surgical Dept.
Honey, Sunday Magazine wants to interview you.
You said I'm home?
Yes, was I wrong?
Hasn't the court noticed you?
We never thought that they'd sue you.
We'd like to hear what you think.
The charges against me are wrong.
I haven't spoken to the party involved.
Suing me like that? They shouldn't insult doctors,
ruin my reputation.
It's a misunderstanding.
The papers have exaggerated.
It's all over! We fought so hard.
Before the surgery for the stomach cancer,
the cancer cells have spread to the lungs.
You didn't check thoroughly before the operation.
Yes. I've got the lawyer Sekiguchi to look into it.
Mr. Sekiguchi, is this the truth?
Yes, according to Asst. Prof. Satomi, also from Naniwa University,
it's his diagnosis.
Also from Naniwa University?
Yes, and these are our charges.
Not only that he failed to carry out all necessary tests prior to surgery,
he mis-diagnosed pleurositis as pneumonia.
I see.
The amount you're asking, eight million, that's very high.
Of course.
Because it's obvious that Dr. Zaizen made the wrong diagnosis.
Until when do I need to keep worrying about him?
It's the first time
the hospital is being sued by patient's family.
I've been through enough during the election.
I thought it's all over once you're the professor.
And now, this.
Sorry.
Please hand me your resignation.
My resignation?
Is there another way out of this?
About the patient's family suing me,
you honestly don't know anything?
But I heard from Yanagihara that you're keen in autopsy.
What's going on?
Because I'd always use autopsy results
to determine whether my diagnosis and treatment is right.
That's why I suggested it.
Maybe it's your good intention,
but you could be doing this
on purpose to a new professor like me.
Zaizen, stop insulting me.
About the death of the patient,
you should be more humble and find out the truth.
You made a mistake.
- You didn't do a scan for his chest. - Watch your words!
You have no right to criticise me.
You said that you'd pay me more once you've become professor.
That I can move to a better apartment.
I've looked at some new apartments in Yodogawa today,
and now.
Although I am not sure,
but I knew this would come.
I'm amazed at how I didn't realise you're excess baggage.
It's your fault.
Listen well.
It's over between us.
Because I can't be running off to some countryside clinic with you.
I've to go to work soon, and so do you.
Oh, you don't have anywhere to go now?
There's a saying "never be an adopted son as long as you've a bowl of rice"
Maybe your wife has already gone mad.
Worrying...
and getting angry about the money she lost in the stock market.
Then you get kicked out from the Zaizen family,
have nowhere to go.
Oh, there's still one place.
Okayama.
What?
Go to Osaka station, take a train back.
Go back to your mother! Hurry!
Knock yourself out!
You killed a patient because of a mis-diagnosis.
What kind of a man are you?
Killing a patient because of a mis-diagnosis? Impossible.
I didn't do anything wrong, didn't make any mistake.
How could I be wrong?
That's right. I was never wrong.
Never made any mistakes.
Goro.
Sorry to disturb you at this hour.
This is really rude, I'm not happy about it.
Or you're too embarrassed to resign in the hospital?
That's why you're here?
No. I'd never resign.
What? You won't listen to my order?
It's not that, it's only because I wasn't wrong.
I'm sure the court would agree.
You know? The court is the same as election.
You'd never know...
Don't be over confident in yourself.
You should think about me.
If I give my resignation,
would you benefit from it?
During the election, you made it obvious
that you were backing me up.
Even if I resign, and lose the court case,
what about the university's reputation?
I guess running for the Dean would be out of question for you.
Since we've got to this point,
the only thing to do in order to win the case and keep the
university's reputation is to tell everyone that I didn't make a mistake.
And you don't need to worry about yourself.
Other than this,
can you think of a way to save us both?
Could the CT Scan prove that Zaizen made a mistake?
It's up to the court.
Could it be possible
to notice the transfer of the cancer cells at an early stage?
We need to look into it, it would help our work.
Do you plan on taking a stand?
No, not just me.
I guess lots of doctors will appear in this case.
It doesn't seem so, Satomi.
Sanin University wrote that they need an Asst. Prof.,
I think you're the best man for the job.
I'll let you testify in court.
Yes.
Don't say anything wrong.
You must prepare your answers beforehand.
Answers and what?
I need to think it over before telling you.
Just do as you're told and you'll be fine.
Yes, thanks, Professor.
Lawyer, please.
He failed to carry out all necessary tests and obligations prior to surgery,
and then he mis-diagnosed pleurositis as pneumonia.
Lawyer, they aren't familiar with those terms.
They won't know what
you're talking about.
Doctors always won in previous medical cases.
Zaizen, that's before WWI I.
A lot of people have gained medical knowledge after the war,
you can't be sure the doctors always win.
Please don't say such discouraging words.
As for the plaintiff's lawyer,
he claims to be advocating for the rights of the citizens.
A person with a different opinion.
I can handle him on my own.
I won't bargain with you about your rate.
The deposit is one million,
you'll get another three after we've won.
What do you think?
I could accept that.
It's a deal then!
Please.
After 6 rounds of correspondence between plaintiff & defendant,
the court case is about to begin.
Well, Zaizen must resign now.
In that case there will be a new election.
But we can't recommend Prof. Kasai anymore.
It's hard to tell what's going to happen in court.
All rise.
Let's begin with the death of Youhei Sasaki.
From the statement of the nurse Chiyoko Ukawa,
no key elements could be identified for or against both parties.
Then it's the defendant's witness.
You were the doctor responsible,
you must have checked on Youhei Sasaki.
Yes.
Did you have any questions at the time?
Regarding the symptoms of pneumonia after a surgery?
Yes, I noticed that the anti-biotics didn't seem to work well enough.
Not well enough?
But there's a huge difference between the symptoms of both.
I couldn't explain more on it as I don't have the expertise.
Next, the judge sends for witness Kanei.
The plaintiff's lawyer and the defendant's lawyer
both questioned witness Satomi
regarding the death of Youhei Sasaki,
but couldn't reach a conclusion.
Let's wrap up today,
next time we'll look into the direct cause of death.
We'll invite Prof. Okouchi who did the autopsy on Youhei Sasaki.
You don't think it's Prof. Zaizen's own problem?
With so much attention from the society,
if we get judged or criticised.
It's not just Prof. Zaizen's problem,
this will affect the reputation of Naniwa University Hospital.
That's why we must make sure Zaizen wins.
What do you mean?
If it's so unfortunate that Zaizen was found guilty for the malpractice.
What about the university's reputation?
As fellow staff,
it's very important for us to safe keep the reputation.
For a life,
I think it's important for doctors to find out the truth.
I swear I'll tell the whole truth.
Plaintiff's lawyer, please begin.
Did you do an autopsy on Youhei Sasaki?
Yes.
Why did you do the autopsy?
It's his family's request.
Did they have doubts about the cause of death?
No, the autopsy wasn't carried out
simply for the doubts regarding the cause of death.
The point is what you're trying
to find out.
1. Pancreatic cancer surgery failed.
2. Did the pancreatic cancer cells spread elsewhere?
3. Is there a connection between the cause of death& pancreatic cancer?
Please tell us what you think.
1. About the pancreatic cancer surgery,
checking the inside of the abdomen,
no ascites.
It's perfect.
I can't see any swelling or inflammation.
It's a perfect surgery! I'm impressed.
2. About the spread of cancer cells,
for example spreading to the lungs,
as for the truth of this.
The lower lobe of the left lung has tumour of the size of a thumb,
it's obvious that it's cancer.
In that case the direct cause of death is pleurositic cancer
The cancer cells have spread to the lungs, right?
Yes.
Your honour
I rest my case.
Silence... please.
I'd like to ask Prof. Okouchi,
I've read your autopsy report.
The red area on the lungs, could it be symptoms of pneumonia?
Going by what I saw and the lab tests,
there were pneumonia symptoms on the red area on the lungs.
Yes.
Then, as per Youhei Sasaki's medical report,
there's pneumonia after the surgery.
I can't tell whether it's pneumonia after the surgery,
or it's a complication because of the pleurositis.
Hard to say.
I understand.
I've one more question for Prof. Okouchi, Your Honour.
Did Youhei Sasaki die of the cancer cells
spreading to the lungs from the pancreas?
Pancreatic cancer transferring to the lower lobe of the left lung,
it multiplied quickly for some reasons and led to pluerositis.
In other words,
Youhei Sasaki's death was caused by the transfer of cancer cells
for some reasons led to pluerositis. That referred to Prof. Zaizen's
surgery, right?
Your question is more than what I did in the autopsy,
it's a question for Clinical Medicine.
You should go and talk to the doctor.
OK, last question.
What do you think about the way
Prof. Zaizen treated the patient?
I guess he must have his grounds for cutting into the pancreatic cancer
and not worrying about the spread of the cells.
The question is whether he went overboard or not.
If he didn't do the test before the surgery,
and cut into the patient without knowing the spread of the cells.
The nit's a wrong move for a doctor.
The witness has suggested Prof. Zaizen to take a CT Scan?
Yes.
And your base is?
The patient had a history of Tuberculosis,
technically the shadow could be from before.
The shadow is round,
and it's quite distinct.
To be safe, I suggested Prof. Zaizen to take a CT Scan.
And Prof. Zaizen didn't think it's necessary?
He refused me even though I tried several times.
Your Honour
Silence, please continue.
In order to explain more regarding Prof. Okouchi and Dr. Satomi's points,
we'd like to invite a medical specialist.
Your Honour, we'd like to invite our own too.
Welcome, we've been expecting you.
Sorry, I'm late.
I was chatting with Prof. Ugai about the specialist.
It wasn't a good day at the court.
If being found of malpractice,
even equipped as the university hospital,
there won't be any free assistants anymore.
It's the patients' complaints only if they have any.
No matter what, you must win the case.
And if something else comes up,
we'll stick together, the medical association,
and will be backing up Prof. Zaizen.
If we have to, we'll have something in black and white.
Thanks everyone.
I'd say former Prof. Azuma would be the best.
But I heard that there were some incidents
between you and Prof. Zaizen during the election.
Anyone who couldn't stand neutral between
the plaintiff and defendant. I'm sorry.
Oh you know about that.
I'm a lawyer after all.
Doctor, a specialist
plays a large role in this case.
I hope you could recommend someone reliable.
I get it. It was being reported in the newspaper.
I understand why you're here.
As a specialist,
I think Prof. Ichimaru of Tohoku University is the most suitable.
I'm really impressed with Satomi in this case.
By giving such statements against Zaizen would affect his own future.
He must be really determined... very impressive.
Not everyone could do that,
not even dad.
Before dad retired from the university hospital,
did you try to reform the way how
the medical school is run? It's authoritative and feudalistic way.
No, you didn't, dad.
You were just happy being at the post for sixteen years.
And for Dr. Satomi with such a noble character,
there's no space for him in the university hospital,
it's really sad.
The Plaintiff's side has appointed Prof. Ichimaru
of Tohoku University as the specialist.
The cancer cells have spread to the lungs,
that means the whole body has been infected.
That's why it's pointless to do the lung operation.
It shouldn't be done.
But according to the specialist for the defendant's side, Prof. Itou
of Chiba University, pancreatic cancer could lead to pain
when food is trying to pass through.
Inability to absorb the nutrients at normal rate leads to sooner death
Even it's obvious that the cancer cells have spread to the lungs.
There're many examples of cutting off the pancreatic cancer cells could heal.
That's why, surgery was the right thing to do.
As for whether the pancreatic cancer surgery
was the right move, we need to discuss it on another date.
Let's focus on whether the diagnosis was wrong.
It's your turn on the witness stand tomorrow.
What you say in court determines your future.
You understand?
Yes.
I'll do my best.
You're the first to notice Youhei Sasaki's change in condition?
Yes.
Did Prof. Zaizen decide that it's pneumonia after surgery?
No.
I made that diagnosis.
Dr. Satomi, do you agree with that?
Yanagihara isn't telling the truth.
Didn't you tell me when I went into the room,
that you're giving the patient anti-biotics as instructed by Zaizen?
Then you're the one, not Prof. Zaizen who decided that
it was pneumonia after the surgery?
Yes.
But Dr. Satomi claims that Prof. Zaizen instructed you.
Why the difference?
Please face forward when you answer the question.
Yes.
Asst. Prof. Satomi has remembered it wrongly.
Remembered it wrongly?
Yanagihara, you claim that Dr. Satomi
has remembered it wrong, you have any support for this claim?
Silence? Then Dr. Satomi's statement is right.
Yanagihara, look over here.
What you say can save this lady,
and the patient's death won't be meaningless.
If you've a doctor's conscience, please speak the truth.
Do you agree with Dr. Satomi?
Come on.
No, I don't.
Cheers.
Well done!
Because of you, we made it through.
Exactly.
And now, your future will be bright.
That's right.
Asst. Prof. Satomi is a pain in the neck.
Who cares? He's from the time of the dinosaurs.
No, he's just too idealistic.
When will the court's specialist make a decision?
Tomorrow, probably.
Don't know who that is, it's all up to him now.
Maybe we'll need to face the consequences with Zaizen.
That hurts.
Your wife Kyoko has never appeared in court.
How's she?
How could she be? Still the same.
She's out of this world.
That's her style.
That hurts.
Hello, Prof. Zaizen, I'm Kawano.
About the court appointed specialist
Yes, I heard they've made a decision.
What? Prof. Funao of Tohto University?
Hello...
Yes, when it comes to cancer
He is the top in Japan's medical world.
If Zaizen and his gang tries to work on him
it'd be of no use
I'll go and listen to Prof. Funao at the court.
What? Zaizen didn't deserve the post in the first place,
I want to see him lose it.
Could you tell us about Youhei Sasaki's pancreatic cancer?
Did the cells spread to the lungs before the surgery?
With the advanced tests these days,
is it possible to know ahead?
Or not?
No, it's not possible.
With what's available now,
even with X-rays,
and analyzing the phlegm
In this case I don't think it's possible
to notice the transfer of the cancer cells before the surgery.
But, as noted in the records,
it's another question whether
a CT Scan should have been taken.
During the autopsy, the cancerous tissue on the lung
was found to have become the size of the top of a thumb.
But according to an X-ray film,
it's very small.
It's hard to spot clearly even in a CT Scan film.
There's no other way to determine whether it's an old TB case,
or a transfer of cancer cells, except take out the lungs and check.
Unfortunately with what's available,
I don't think it's possible
to spot whether the cells have been spread before the surgery.
Moving on,
about the medical records after the surgery.
It's got more to do with the University Hospital
rather than medicine.
I've read about the statements by Dr. Satomi and Dr. Yanagihara.
Personally I think Dr. Yanagihara's statement is false.
I'd believe Satomi's statement to be more correct.
Even if Prof. Zaizen didn't make a mistake prior to the surgery,
obviously this is malpractice.
But I must be clear,
that it's normal to have pneumonia after surgery.
Though Prof. Zaizen was wrong,
but the results would be the same.
How's that?
In other words, if the spread of cancer cells to the lungs started
to multiply after the surgery, even being spotted at an early stage,
there's nothing we could do about it at this stage.
It's impossible to save the patient no matter what.
As for the death of the patient,
it wouldn't mean much even we say it's a wrong diagnosis.
But too bad, the wrong diagnosis is the right diagnosis,
in the end it's the same.
Then according to you,
Prof. Zaizen had no other choice but treat the patient that way,
that he wasn't wrong?
Prof. Zaizen was wrong and is responsible,
though there's no way to determine it.
When he heard Asst. Professors suggestion,
even he refused to hear,
he should do the CT Scan.
It's important to take all kinds of tests.
As a clinical doctor, he wasn't thorough.
Then Prof. Zaizen made an obvious mistake.
I didn't say that.
That's not what I meant.
No?
Could you be more specific?
It's about the right thing to do,
it's about conscience.
And Prof. Zaizen lacks conscience.
If you want my opinion,
Prof. Zaizen should observe this case, stop being so arrogant and
over confident; he can't trust all his feelings.
He must learn to be thorough and humble,
how he treats others,
that way, he can improve his skills.
And I'm sure he could become a good professor.
It's over.
I just hope the judgment would speak the truth.
But Zaizen won.
I can't accept that.
Thanks to the professor, Naniwa University is saved.
I don't know how to thank you.
More than anything this case is about the medical world.
If a professor of a national university has been found guilty
of malpractice, citizens won't trust the hospitals,
and they won't trust the medical system.
We're on the same boat,
it's only natural that I tried to help.
Even though we had our differences before.
You're right.
Now that the case is almost over,
and I mentioned the post at Sanin University.
I made a decision,
maybe you're not happy with the way we run stuff here,
but this is about your own career, you should know.
I get it.
Chief.
All charges have been dropped.
I won the case!
Congratulations.
There's another piece of good news.
Satomi has been promoted as a Professor, he'll transfer to Sanin University.
Sanin University? Great.
Still a Professor after all.
Congratulations.
Chief, I need to go do the rounds.
Zaizen.
Yes.
Don't forget what Prof. Funao said.
You know? Don't be arrogant and over confident;
Be thorough and humble,
treat others better.
Yes.
Professor Zaizen will start the rounds.