I would like Tsuruta-sensei to once more work at this Shirane general hospital.
Chiarman... That is not funny anymore.
Ni-san. (Ni-san means brother)
Were you doing alright?
What is that facial expression of yours.
If there is something bothering you then tell me.
Is Tsuruta-sensei really someone that is an eyesore to you?
It is definitely true that he is an obstacle for me to realize my ideal medical system.
I have to realize the community health care unification network system no matter what.
You will stay on my side, right?
Yes.
You are the only one that understands me... The same goes for me.
I am the only one that can love you until your death.
I will do anything if it is for you.
Good boy.
Please fill this in. Your name goes here... Alright.
Akemi-san! and Shota-san.
Wasn't your inspection still a while ahead?
That is so but...
Did something happen?
This...
There is no doubt about it. You are 6 weeks pregnant.
Akemi-san... We did it!
- Congratulations! - Good for you, you have overcome the first hurdle now.
Thank you. It is all thanks to Jumbo-sensei and all of you guys.
I gave up being a woman by having Basedow's disease...
I wasn't even able to give birth to even 1 child of the person I loved...
I am even unable to give birth to your child...
I also. I also thought about it in my own way.
I thought about it... I thought about it and that is why I am here now!
Don't think that your life only belongs to you!
Your life also belongs to people like the obaachan that wants life together with you and to this guy.
I was able to get married to Sho-chan and on top of that we got a child...
It is still too early to rejoice.
At the moment the thyroid hormone values are stable.
But you are not completely cured from Basedow's disease yet.
You need to be extra careful from now on until the birth.
- You also understand this, right? - Yes.
But it is alright, I will be there for Akemi-san.
Ask me anything and I will be right there.
Be careful, when she gets excited, bad things happen.
That is so mean Jumbo-sensei! Hey that hurts.
Then we will go home now... Thank you very much.
- Take care of yourselves. - Take care of yourselves.
What is the matter?
It's nothing. I just tripped on the chair.
Oh man, you are so clumsy. Keep yourself together
- you are going to become a father. - I am sorry.
- Come here whenever you want if something is up. - Alright. Thank you sensei.
You too.
There is more meat so eat a lot.
Alright... This is such good meat. Wasn't this expensive?
Yes it was. But from now on
I will need you to work extra hard.
So this is a carrot and stick policy. That gives me the chills.
But I can't believe it...
That there are 2 children here.
We have to really take care now.
We have overcome many things...
Akemi-san, you have not eaten at all.
I am alright. You should eat.
That's alright. I want my child to eat it.
My child?
- Eat a lot. - Alright...
I was thinking a lot how to receive Tsuruta-sensei to Shirane.
I am thinking about dissolving the surgery and internal medicine department
and create a "general consultation department" for consulting the patients.
And I would like him to become the head of that department.
If you have made that decision
then I have nothing else to say to that.
I will work together with Tsuruta-sensei for the community health care unification network system.
You don't have to do that...
I am also thinking of making Tsuruta-sensei responsible for that.
What do you mean by that?
How about it... What about you
focus on the surgery department and use that amazing talent of yours
freely for surgeries?
You are the leading surgeon in Japan.
I think this will be the best for you and this hospital.
If that is your wish then I will be happy to do so.
When did the headaches start?
2-3 weeks from now I think.
- Why didn't you come right away. - I thought that it would go away after a while...
Your blood pressure is quite high. Do you have anything else that you can think of?
- Other things... - Shota-san, did you loose some weight?
I just thought it was me loosing weight because of the summer.
Come to think of it I would get occasional backaches during my work.
And sometimes I would get heavy heart palpitations and get nausea.
That is not just you loosing weight because of the summer you have tons of subjective symptoms that are showing.
- I am sorry. - You have backaches...
Let's do an echo on you.
- We will make some preparations, so this way please. - Alright...
- Are you alright!? - I am alright, thank you.
His wife finally got pregnant...
I hope that my diagnosis is incorrect.
I can't be certain with just a echo
- but there is a possibility that it is pheochromocytoma. - Pheochromocytoma?
It is a tumor that develops on the sympathetic ganglion cells along the adrenal medulla or the spinal cord.
And because of the catecholamine hormone that is released from that tumor
symptoms arise like high blood pressure, headaches, heart palpitations and weight loss.
In most cases the pheochromocytoma are benign.
But in 10% of the cases it is malignant.
In that case it will spread to the bones and liver and it will be very difficult to get rid of.
In the worst case... your life will be at risk.
Have a good day.
Thank you for coming right away.
With this heat
I can't do anything without a air conditioner.
This is the good thing about a town electrics store.
Huh? You really start saying different things once you get married.
Shota-kun!? Are you alright Shota-kun!?
- I'm sorry, I am alright. - What do you mean with "I am sorry"...
What is the matter, I will call Akemi-san.
- Don't tell this to Akemi-san. - What!?
- The Baba clinic... - What? The Baba clinic?
- Please contact the Baba clinic... - The Baba, The Baba clinic.
- Alright, the Baba clinic then... - Hey! Shota-kun!
Shota-kun!! What is the matter? Are you alright, Shota-kun!!
- Shota-kun!! What is the matter!? - Masami, he collapsed!
Your blood pressure is really high.
Your blood test won't come in until tomorrow but
it is quite sure that it is pheochromocytoma.
What will happen to me?
I can't be for sure until we remove the tumor first.
Remove it... Do I have to go into surgery?
Unless we do an abdominal operation
we won't know if it is benign or malignant.
Give me 2-3 months... Can it not wait 2-3 months?
At least until Akemi gets into her stable period...
Unless we can determine it is benign, it is better to get an operation as soon as possible.
In any case
I can't just stay quiet about this to Akemi, can't I?
If she would get an panic attack when she finds out about the illness...
She is already 41 and she has the trauma of her previous miscarriage.
If this child won't work out too
then we can't rule out that she will give herself up to despair again...
We really can't have her get a miscarriage again.
I understand. I will come up with a treatment that will not reach your wife's ears.
- Jumbo-sensei... - Don't worry!
I will make sure that you will get cured from your tumor and I will also make you have a baby safely.
Tenryu-sensei, is there something that I can do?
Something you can do?
The community health care unification network system
was a great tool to get rid of the Baba clinic and Tsuruta.
I didn't imagine that he would be the one to get the system.
Tenryu-sensei...
There is nothing that you can do anymore.
If only you would have published the scandal
that happened 12 years ago before the chairman forgave him...
- I am so sorry! - I am so disappointed in you.
- Please give me one more chance. - Do as you want.
I am sure that we can still use that scandal for something.
There is no doubt about it by looking at the catecholamine value in his blood.
Then that means that we can't do the operations here.
There is no other thing to do than to write a letter of introduction to Shirane and have them take care of him.
I can't do that because I made a promise to him.
Jumbo-sensei...
If we would leave everything up to Shirane
then this will definitely reach the ears of his wife.
But this is a big operation.
There is no anesthetist here and no matter how good your skills are
we can't do that operation here! Do you understand that?
You might be right that at a big hospital
they won't consider the requests of the patient. But even so
in some cases we need to entrust them with a patient...
- This is what is difficult about a town doctor. - I will ask the chairman
if I can use the facilities at Shirane.
- Are you serious? - I am sure that the chairman will understand.
- Did something happen? - No it's nothing.
You seem down.
On occasions... I start think
that Jumbo-sensei is an amazing person...
Like he is not a doctor that would be at a small clinic as ours...
Occasionally... Just occasionally.
If you think that way then it must be like that.
But he is not good with handling people. He is not good at all!
He doesn't explain what he is saying and doesn't listen to you.
It's alright because it's me and Chikusa-san.
But now a days if you look down on people like that then nobody will follow you.
It's not something to laugh about.
He looks like this and raises his eyebrow like this.
And when he opens his mouth he says "You are no good, get out of here".
It doesn't look like him at all but somehow it does.
No matter how hard I try
I won't get one kind word from him.
It is so easy to get nice words from someone.
- I will give you those as much as you like. - Kurahashi-san?
You keep talking about him even though we are here alone.
- I am sorry, I didn't mean to... - It's alright.
To be honest, I am worried about a patient.
A tumor was found on the husband of a patient
- that has Basedow's disease... - Is it bad?
We can't operate on him with the facilities at our place.
If I think about the fact that if Jumbo-sensei would be at Shirane instead of our place...
Please enter. It's open.
- This room isn't that bad. - Ni-san...
There was someone that saw you together with the girl of the Baba clinic.
- It seems that you two are quite close. - I am sorry, I didn't mean to hide it...
I am not here to persecute you. I am just worried about you.
- You have done well as my brother. - What?
You understood me the most out of everybody.
- The weakness of Tsuruta also known as Jumbo. - Those were not my intentions...
Tsuruta considered the former head of the Baba clinic as his mentor.
So that means that his only daughter must be an important person to him too...
Can you not ask her to marry you and take her out of the Baba clinic?
- Ni-san... - If she would stay under Tsuruta any longer
she will also become bad eventually.
To Asuka-san the Baba clinic is like her father.
It won't matter if I would ask her to marry me...
Have more confidence in yourself.
Weren't you the fist guy that she was with?
I have been living my life only thinking about you.
Of course that will not change from now on.
I am very grateful for that to you.
We have the blood of the same father running through us.
Nobody can cut that connection that we have.
Me and you...
Are the only family members that we have in this world...
Oh that is right... I put in some good words
at a better research facility than this one.
You will be contacted by them by tomorrow.
It is better that you leave this place as soon as possible with that girl.
- This way please. - Alright.
Please have a seat.
- Akemi-chan. - Oh, good afternoon.
Thank you for the fixing of the air conditioning the other day.
- It was a big help that he came right away. - That is good to hear.
Call us anytime. I will make him go over to you right away.
By the way, is Shota-kun alright!?
Huh? What do you mean?
It is no doubt a pheochromocytoma like Tsuruta-sensei diagnosed.
Please do the operation here.
I have heard so from the chairman.
But as long as he will get operated at Shirane.
We will be responsible in case something would happen.
No matter what the chairman would say. It would be the best
if I, as the head of the surgery department would perform the operation.
I understand.
But I would like to be there too.
There is a patient that has Basedow's disease who is pregnant.
I would like to ask you to do this to lower the psychological stress to her and the risk of an miscarriage.
Alright, I understand. I will perform the operation.
And I will ask you to be the first assistant.
- Is that alright with you? - That is alright.
But this is really something that you would do
you put the invitation of the chairman on hold and asked him to use our facilities.
Isn't it so that you actually should put the Baba clinic under our umbrella?
I have no intention of getting rid of the Baba clinic.
It is such a waste that someone with as much talent as you would end up just as a town doctor.
But if that is the will of the patient then so be it.
In the unfortunate case that it has spread to your bones
it might not be possible that we remove it with an operation.
Because of the sudden increase of catecholamine
there are also cases when you might die because of an intracerebral bleeding.
Is there some family member that will be there at the operation?
My wife has Basedow's disease so...
Tsuruta-sensei has told me that.
Informed consent.
By performing an medical operation we will inform the patient and the family correctly and get their consent.
To us doctors this is very important.
There is no need for informed consent from the family.
I will take responsibility if something would happen. That is okey, right?
It will be of no burned to both Shirane and you.
I don't know what to do...
Please! I do not want to shake her up.
I want her to have a save delivery.
Then is it alright if we advance with the fact that there is a consent with you and Tsuruata-sensei?
Yes.
- My husband is inside. - You can't just go in there...
Why can't I go in!?
Akemi-san! Why are you here!?
- Jumbo-sensei... - Akemi-san!
What is the meaning of this!? Why are all of you at Shirane!?
Please tell me! Does he have some bad illness?
Akemi-san it's not what it looks like. Please calm down.
Don't get excited. It will influence the child that is in you.
We don't have the right facilities at our clinic.
So I asked the chairman if I could borrow them.
He will get an operation for a illness that is called "pheochromocytoma"
but it's not such a big operation. And I will also be there at the operation.
So you will also be at the operation?
- Yes. I promise. - Then... everything is alright then?
I am sorry. I wanted to talk to you about this once the results were in.
The only thing that you have to think of is to be able to show the face of his child to your husband.
Please leave this up to us Akemi-san.
You are a mother now. You should act stable now.
That is right... I completely lost it.
I am sorry. Your mother is such a flustered person.
Jumbo-sensei was thinking of you two the whole time.
The reason that he didn't tell you is because he is worried about your body.
I feel bad for what I did. I shouted at him.
It's going to be alright. Jumbo-sensei understands
everything about us.
That is right. We were able to be together
because of Jumbo-sensei, Asuka-chan and the others.
- Akemi-san. - Yes?
I am sorry that I got this in this important time...
Sho-chan...
I will be alright. All that I want is for
you and the child in you to be healthy.
Alright... Me and the baby will stay healthy.
Both of us will be here for you.
- Is it about that patient that you were talking about? - Yeah...
I keep thinking about it.
What if Jumbo-sensei would be a doctor at Shirane.
- Jumbo-sensei again. - Oh, I'm sorry. It was not my intention...
You forgot this the other day, didn't you?
Thank you.
Asuka-san... How do you feel... about me.
How... I want to be together with you.
Actually... I have been asked to join a research facility at the Shizuoka marine university.
When it comes to evolutionary ecology and morphology
they are the leaders in that field in Japan.
I was asked by a professor over there to join them and write research papers.
He said that if things go well he would recommend me to become a associate professor.
An associate professor... That is amazing!
Now you can do as much research of the fish that you love so much.
But, um... If you would ask me to not go
I would refuse this offer. This isn't a bad place anyway.
It would be a bad thing to just do my research in peace, right here next to you.
No! You are not allowed to do that!
This is a nice offer... I should not be the reason for...
I feel the same way.
I want to stay close... to you.
I beg you to not refuse this.
If you are going to refuse this then I will...
Will you come along with me?
You don't have to do something like that. You have to protect
the Baba clinic together with Jumbo-sensei.
I don't know... If continuing the Baba clinic is really a good thing
for the patients and for Jumbo-sensei.
Jumbo-sensei refused the offer from Shirane, didn't he?
I kind of understand how Jumbo-sensei feels.
I am sure that he can't just stay there and do nothing.
For both the Baba clinic and you...
I am sorry for what I did the other day.
- I said something that I shouldn't have... - No you didn't.
I heard that Shota-kun got admitted in Shirane.
Yes. It's not such a difficult disease anyway.
So everything will be alright.
Thank god! That is a relieve...
You know, when the husband of Uohachi-san said that he lost weight because of the summer
and got an operation at Shirane, it was already too late. So I was so worried...
Oh hey... What is the matter?
Akemi-chan! Oh no... Are you alright!?
I am alright. I am alright.
I am sorry... Did I again say something that I shouldn't have?
Not at all... I am really alright.
I am sorry that I came here unannounced.
Don't mention it... You helped me a lot with the thing about my wife the other day.
Not at all... I just did what I could.
Please sit down... What is the reason that you came here today?
I heard that you were trying to recruit Jumbo-sensei to work at this hospital.
Yes that is correct. But unfortunately
I have not received a favorable answer yet...
I understand how you feel. But at the moment...
We really need someone like Tsuruta-sensei at Shirane...
That is not why I am here. I don't want Jumbo-sensei
to end up just as a town doctor.
You...
Please don't give up with Jumbo-sensei refusing.
Please have Jumbo-sensei be received at Shirane!
I am willing to close the Baba clinic if it is for that sake.
Enter.
Excuse me.
Why is the girl from the Baba clinic here?
She came to say that she is willing to close the Baba clinic.
With this we can receive Tsuruta-sensei without any reserve.
- You are right. - Oh and I have to go to Kyushu all of a sudden now.
In my absence I will leave you in charge of all matters.
- So please do this. - I understand.
Will you be able to publish the article about the scandal that happened 12 years ago before the surgery tomorrow?
I will ask them to replace it with an article that was supposed to be published tomorrow.
Well good.
Don't get so stuck-up!
What is going on with raising your voice.
I got an phone call from the chairman.
It seems that you went and met with the chairman.
Why did you go to the chairman?
I will decide if I will close the Baba clinic or not.
Listen very carefully.
I will not close this Baba clinic even if my life would depend on it.
But... If you would be at Shirane from the beginning.
Shota-kun could have gotten the operation without Akemi-san having to worry in the first place.
You don't understand a single thing.
I just... Don't want you to be bound to a small clinic like this that my father left behind!
- "Like this..."!? - Jumbo...
Enough already. I have nothing else to say to you anymore.
It is as Jumbo said.
You didn't understand why Jumbo was so fixated to this Baba clinic.
The whole time that you were together with him you didn't figure that out.
He said "I have nothing else to say to you anymore".
Like he is abandoning me...
So he didn't understand how you felt...
That is because I don't understand anything at all...
I don't understand at all.
I don't understand anything anymore.
I want you to come with me.
Kurahashi-san...
You just have to be next to me.
The time has finally come...
It's going to be alright. We have
Jumbo-sensei that is with us.
That is right.
I am going to be operated in the best facility by the best doctor.
What more do you want.
You are right.
Thank you for doing this today.
Tsuruta-sensei... I can't
allow you to be at the operation anymore.
What do you mean?
This.
The scandal that got you kicked out of Shirane has been written about.
You are portrayed as a killer doctor that killed the wife of the chairman.
I have already talked about this with the chairman.
That is something between you and the chairman. No matter what the truth is.
What will society think of when they read this article?
It will hurt the integrity of Shirane general hospital if we would accept the return of the killer doctor that was kicked out 12 years ago.
Now is not the time to go over this.
The hospital staff that saw this article are also disturbed.
The people of the board also have their opinion. Unfortunately the chairman
had to go away all of a sudden and is in Kyushu since last night.
He told me that. So what!?
Now that the scandal is out.
We need to postpone the decision of you being able to attend the operation until the chairman comes back.
What is more important to you? Shirane or the patient!
Tsuruta-sensei. You can't solve things with a 2 answer question,
things are not that easy. Before the chairman left
he told me that I would be in charge of all matters while he was away.
So think of the decision that I make as the decision of the chairman.
The wife of the patient is in a unstable situation right now.
I want to protect the child in her no matter what.
The operation will be performed as scheduled.
We as doctors have 1 thing to do.
That is to remove the pheochromocytoma from the patient. Is that not correct?
Both of them are my patients. I beg you... Please let me be there.
If I will be there then at least she will be at ease.
If that is the case then I won't mind him being transfered to the Baba clinic now.
That is not possible.
Why not? Is he not your patient?
You know that we can't perform the operation to remove the pheochromocytoma at the Baba clinic.
Then there is no other way than to go along with my decisions.
If you would have accepted the offer from the chairman
and came to Shirane...
The situation might have turned our different.
I have no business with you anymore. Please excuse me.
My name is Tenryu Ichiro, the head of the surgery department of this hospital. I will be performing the operation of your husband.
Um... Where is Jumbo-sensei?
Tsuruta-sensei will not be attending this operation.
What... What is the meaning of this!?
I am sorry. Something came up that I am unable to attend it.
But don't worry. Tenryu-sensei is more skilled than me.
Why? Jumbo-sensei... You promised me!?
Your husband already accepted this.
In the unfortunate case that it has spread to your bones...
Stop it! I told you that a informed consent is not needed.
That was the case when you were the one responsible.
As a hospital we need to inform the risks to the family members.
Please don't do it!
Risk?... What is this risk!?
- Just tell me. - Akemi-san...
In the unfortunate case that it has spread to your bones
it might be possible that we can't remove it with an operation.
There are also cases where he might die because of an intracerebral bleeding.
I would like you to understand that.
This can't be...
The time has come so please excuse me.
You said everything will be alright! You said it was a simple operation!
- Was that all a lie? - Calm down.
It hasn't been determined that it is malignant yet.
Tenryu-sensei said that it could happen.
The chances that the pheochromocytoma is malignant is 10%.
Then if it is that 10%, does that mean that Sho-chan is going to die?
Is that what you didn't tell me?
All of you knew... All of you knew and I didn't!
Think about how Shota felt for not telling you!
- Sho-chan... Sho-chan! - Akemi-san!
- Sho-chan! Sho-chan! - Akemi-san. Please calem down.
- Don't get excited! - Sho-chan! Sho-chan!
Akemi-san!
The baby...
- Forceps. - Yes.
To the back.
I am sorry. Personnel only from here.
- She is my patient. - I have instruction from Tenryu-sensei.
That patient has Basedow's disease and is 6 weeks pregnant. She also has an irregular pulse.
Jumbo-sensei... The baby.
Please save our baby~
The operation of Kiritani Shota was a success.
Thankfully it was benign but I was very thoroughly with the operation.
He is a important patient of you after all.
It would be the best if you can take that girl with you as soon as possible.
But be sure to ask Tsuruta-sensei first.
I am sorry that I was unable to make you give birth.
It is not your fault.
The operation of Sho-chan was a success...
We will do our best and try again.
I am sorry.
If only you would have been at Shirane.
Because of your article a life that was supposed to be born has disappeared.
Do you realize what you did!?
I warned you that... terrible things will happen... if Jumbo would come to Shirane...
Kurahashi-kun... What are you doing here at this time of the day?
I came here today because
- I have something to ask Jumbo-sensei. - What is it?
I will get strait to the point.
Please allow me to have Asuka-san.
Kurahashi-san...
Unfortunately I am not the parent of her.
You are not a child anymore so make a decision yourself.
But for me this Baba clinic...
I told you not to get stuck-up.
You don't understand anything.
I will come and pick you up tomorrow morning. Let's go together.
Play around with that girl and dump her so that she can't recover from it anymore.
I owe him my life. Please help him
The next 4 hours are critical.
If we are going to waste time then we will just watch the patient die.
I can't be a town doctor if I am afraid of being sued.