The bilirubin and enzyme levels are high.
- When this is done then please draw another blood sample. - Alright.
Jumbo-sensei.
What is going to happen to Kurahashi-san?
It's fulminant hepatitis.
Symptoms of hepatic encephalopathy are already showing.
It would be good if his situation got better with this plasma pheresis.
This is the third plasma pheresis.
He is not improving.
It is all because I took my eye off of him.
This would not have happened if I would be next to him...
It's seems that he doesn't have a long time anymore.
He is such a pathetic man for ending such a short life without leaving anything behind for society.
How can you say such a terrible thing?
Isn't Kurahashi-san your brother!?
He listened to everything you said and tried his best!?
If there is such a thing as a god then
he probably decided that he doesn't have any value in living anymore.
He is not finished yet!
He still has a life ahead of him!
Oh, are you saying that there is still a way to save him?
There is one way. A liver transplant.
That will be difficult. In case of an liver transplant
you have to request for a liver transplant
and register at the Japan Organ Transplant Network.
Then you wait in line. Do you have that time?
We don't. But...
But, what?
You are trying to say that in case of a live-donor liver transplant it is different.
Donors are most likely blood relatives.
But unfortunately he doesn't have any family.
Yes he has. You.
If you are also a health care professionals then you should watch out what you are saying.
Are you telling me to become a donor?
Can you say that there are no risks involved in becoming a donor?
Who is going to take responsibility if something might happen to me?
What will happen to this hospital? It will also be a great loss to the medical society.
I am a doctor that is destined to save thousands, tens of thousands of patients from now on.
There is a difference in the value of lives.
Tenryu-sensei, Urushibara-sama is here.
I understand.
I have lucrative lives that I need to save.
Excuse me.
The person that Tenryu-sensei is taking care of is Urushibara Masayasu, the secretary?general of the ruling party.
He recently made public that he has pancreas cancer.
That is correct. The secretary?general has trust in the skills of Tenryu-sensei
and requested to be operated by him.
How are you feeling at the moment?
So that means that this is a great opportunity to improve the reputation of him and the hospital.
Please don't say it like that!
Tenryu-sensei isn't someone that has that in mind!
But the end result will be like that...
Misawa-sensei, please take care of this.
What is it? What is the matter?
Where is the voice recorder...?
Ni-san, I'm sorry. Ni-san...
I heard from Asuka.
- The only way to save Kurahashi-kun is to do a live-donor liver transplant. - Yeah.
But Tenryu has no intentions of becoming the donor, right?
But even if he would become a donor.
We can't do a liver transplant unless the HLA matches. (HLA = Human Leukocyte Antigen)
And there is no guarantee that also a live-donor liver transplant
would be done successfully because it is that difficult.
I promised him that I would not let him die no matter what.
Are you saying that you are going to do the live-donor liver transplant with your own hands?
- If the situation would arise. - Do you have any experience with that?
- I have. - Oh really?
I was once there when it happened.
- What? - I was the second assistant.
- What!? That is all? - Good afternoon!
- Yes! - Is someone there?
Yes! What could Asuka be doing?
- Yes! - Oh hi. I came to get medicine.
Where did she go to?
She was just here.
- Could it be... - Did something happen?
Tagawa-san, did you see our Asuka somewhere?
- Yes I did. - Where?
At Shiomi street. She looked scary so I couldn't say hi to her.
She...
- Isn't that too fast? - Not at all, almost there.
Are you serious~
I am nowhere near it yet~
Oh man~
Hey! What do you think you are doing.
You are from the Baba clinic...
Hey, what do you think you are doing?
It's something very important. Give it back!
I know what you guys did to Kurahashi-san.
I can also call the police!
What~
- Give me a moment. - Hey hey, it was about to get good.
If you have any complaints then please tell it to this girl.
I am not the one that will get into trouble when the police find out.
The t-PA what stolen by the people of the Baba clinic, right?
Is it alright if this get out to the public?
Give it back!
It is also something important to me.
- Please give it back! - That's enough already!!
What are you and Tenryu's brother thinking.
Were you not treated badly by Tenryu and his brother?
You were being played around, used and thrown out, weren't you!
Why are you doing this?
Kurahashi-san didn't do this
because he wanted to do it. He just had no other choice
as to live like this.
He was only able to live a life like this.
What are you saying?
I also realized it and was taught.
That this world is not just filled with righteous and beautiful things.
That there are many people that can not live a life that they want to.
But Kurahashi-san is a precious patient of mine.
Stop saying all of that nonsense.
It's a waste of time saying anything to there guys.
You don't understand it, right? I'm sorry to have bothered you.
Oh, hey!?
Hey! You piece of shit!?
Stop that already!!
Let's not do this. I am a doctor, I don't want to create more injured people.
Shut up!
You piece of shit!! Ouch!
- Watch out! - Ouch!
Hey, are you alright?
- I am not alright! - You piece of shit!!
Alright then, it seems that I have to become serious too.
Let's go!!
We are going to run away! As if our lives depend on it!
- Hey wait! - Get out of the way!
Don't do things that you can't do.
How long where you there already?
I wanted to rush in but then I heard your voice.
Then I listened to what you were saying.
I don't remember what I said because I was all excited.
I also don't remember anything of it.
But we need to deliver this to your precious patient.
Alright.
We got it back.
Please don't worry anymore. Everything is alright now.
Kurahashi-san?
- Kurahashi-san!? - What is the matter!?
Please end your visit now.
What about this?
Kurahashi-san tried to get this back risking his own life.
To protect you. He risked his own life for your position and reputation.
- And? - "And?"...
Are you saying that I should provide my liver because he did all of this for me?
- That is something that you need to decide. - Then that answer is already out there.
I am someone that has a big operation ahead of me today.
I have to save a lucrative life with these hands.
I have no time to be involved with a thing like this!
What are you doing!?
I don't want to let him die.
I don't want to let him die, no matter what.
What do you think you can do about that.
Please let me do the live-donor liver transplant.
Please let me take care of your life and that of Kurahashi's.
Stop saying something that stupid. Listen. First of all a live-donor liver transplant
brings risks to the donor
but it might happen that at first it looks like it was a success but then the liver doesn't function properly
with as a result that the patient dies.
Do you think someone like you can do such a complicated surgery?
Helping someone that is suffering in front of you.
Isn't that what a doctor is about?
He won't be saved if we don't do something.
We don't have any time anymore.
Giving everything, even if that means shortening your own life for the patient.
Isn't that what a doctor is about!?
You haven't change at all from 12 years ago.
That is just whitewashing and idealistic thinking.
Do you still not understand that we live in a world where all of that doesn't apply!
To be able to survive in this medical society
you have to get rid of your ideals!
I have been living a life where I got rid of those stupid feelings.
And then you are the one that appeared in front of me.
You put dirt on my career with your personal actions!
You haven't changed at all.
Why don't you want to change after you have made mistakes?
Why can you keep whitewashing things!?
12 years ago when I was thrown out of Shirane.
I didn't see anything in front of me anymore.
I even thought of quitting being a doctor because I didn't have the confidence anymore.
Then why didn't you quit? Why are you here today!?
I was saved by Baba-sensei.
- By Baba-sensei? - Yes.
I thought about the sensei
and inspired myself that I should not give up.
Tenryu-sensei. You are an amazing surgeon.
In the time that I met you for the first time you were someone that I looked up to and that I wanted to become.
My respect towards your skills still hasn't changed.
But the things that you didn't teach me.
Baba-sensei taught me.
Baba-sensei would always treat every patient that was in front of him with respect.
He didn't care if they were rich or not.
No matter who it was he treated them as they were family.
He always laughed and cried together with the patients.
I wanted to become a doctor like him. That is all.
You are not allowed to cry!
It is not allowed for a doctor to become emotional with the patient and cry!
You were crying!
The first time when I met you and was working under you.
You cried for the little children that were left behind when their mother passed away.
But you didn't show those tears to that family.
I wanted to become like you.
Please remember those feelings of that time.
Please go back to the you from back then!
You were not a doctor that would ignore his own brother!
I have no intentions of going back to then. There is no need to go back.
He said
that he is someone that shouldn't have been born!
Is it alright to leave him, after saying that!?
Please get out of here.
Get out of here!!
Kurahashi-san risked his own life to try to get this back.
He risked his own life to protect your position and reputation.
Ni-san...
Hello, this is Tenryu.
I will be right there.
Urushibara-sensei. You could say that the future of this country is resting on your shoulders.
I am honored that I could be of an assistance to you.
I would like the surgery to be a success and for you to get back to work as soon...
Jiro...
What is the matter?
Oh it's nothing... I am sorry.
Ni-san...
- Please. - Thank you.
Don't mention it.
I am sorry.
About what?
There are so many things that I don't know and things that I can't do.
Why are you saying that now? I know that all too well.
You are right.
But you might have grown a little bit.
What?
It means that you are starting to become like your father.
The time might have come that I don't have to scold you anymore.
What do you mean by that?
Sensei...
Forget about it, hurry up and go to bed.
We are going to perform an pancreaticoduodenectomy on Urushibara Masayasu-san.
- I ask for you cooperation. - Yes.
Scalpel.
Metzen scissors.
Mayo scissors.
Ni-san...
Jiro!?
Tenryu-sensei.
Let go of me!
Let go of me!!
Tenryu-sensei! What is the matter?
Sensei!
Please go back to the you of back then.
You were not a doctor that would ignore his own brother!
Shut up!!
- Sensei! - Sensei? Tenryu-sensei!?
I will become the one who will operate on him.
- Misawa-sensei! Please work in front of me. - Alright.
Tenryu-sensei?
Hey... Please don't do that!
What is this all about!?
- What is going on? - I don't know.
Hey!
Do you want something from me?
What is this place? It doesn't even have proper medical facilities.
What were you doing in such a dirty place?
Being a town doctor.
So you were performing medical activities is such a place...
So you, who was disobeying me was working in such a place.
Right... This is jealousy, isn't it? You were jealous of me.
You were jealous of me, who is in this position and has a good reputation.
That is why you were trying to obstruct me in every direction I went to.
You grabbed my arm during the operation and stopped me!!
You grabbed my arm like this.
Good for you. Things went exactly like you planned.
I am finished now. Everything that I have buildup until now
has been taken away from me by you and Jiro!
- Please die, both you and Jiro! - Hey!
He said that he shouldn't have been born? That is exactly what should have happened.
This wouldn't have happened if he wouldn't have existed!
Please die quickly!
Stop with that bullshit!
Kill me! Please kill me!
I am a doctor! It is my job to save people's lives!
I made a promise to Kurahashi that I would take care of you!
I will also save you!
Stop it! Stop whitewashing things!
Don't you understand!?
The reason that you can't operate anymore is because you have doubts in your heart!
It is because you have regrets!
You are the one that wants to save Kurahashi more than anybody else!
You are that kind of doctor!
It's all over now...
I was supposed to save thousands, tens of thousands of patients from now on...
I can't save anybody anymore.
Who is going to forgive a doctor that ran out of an operation room?
Even if nobody would forgive you.
There is a person that needs you right now.
There is patient that is waiting for you!
Saving a patient that only you can save.
Isn't that that where you should start from?
He followed me even though he got taunted
and was treated badly by me.
He was the only one...
That would follow someone like me...
Jiro is my brother!
He can have my liver if that is what it takes to save him!
Tsuruta-sensei. Please be there at the operation.
To save him...
Please lend me your hand to save him.
After some test it was determined that the HLA matches.
And there are no other complications.
Isn't it amazing.
We can do the transplant here.
Tenryu-sensei is going to save you.
Soon, you will be saved soon so please hang in there.
So the day has come.
I heard that you called for a surgeon especially from Kyushu.
Yes. Nikaido-sensei from Satsuma university
is the world leader in live-donor liver transplants.
It sure wouldn't have been a good idea for someone as inexperienced as you to do it.
It's enough for me to just be there.
Thank you for being there for him.
Don't mention it...
Satonaka-kun...
Tenryu-sensei, I heard about the live-donor liver transplant.
Is that so. There were some things that changed my mind.
I wanted to talk to you one more time.
I have to apologize to you...
Isn't a live-donor liver transplant dangerous?
I would be troubled if something would happen to you.
Because I want you to die with my own hands.
Satonaka-kun...
Because I am the one that loves you the most, Tenryu-sensei.
Are you not happy that you are being killed by me?
Answer me! Answer me already!!
Come on! Say it!! Say that you are happy.
I exerted everything for you!
You can at lease say this!
What? I can't hear you!
I can not die now!
Wait!
Tenryu-sensei!
Someone!!
Answer me! Answer me!!
Get away from him! What are you doing!!
Someone bring a stretcher!!
- Tenryu-sensei has been stabbed! - Hurry up and bring him to a examination room!
We are not going to use a stretcher. The bleeding is too much! Somebody, do a hemostasi!
Tenryu-sensei!!
Call Tsuruta-sensei.
Save Jiro no matter what.
Tenryu-sensei got stabbed!? What is his situation?
He is in a critical situation because of the heavy bleeding.
Tenryu-sensei asked me to call for you.
He told me to save Jiro no matter what.
I understand. I will be right there!
Jumbo-sensei!
- How is he? - He is unconscious because he went into hemorrhagic shock.
Most likely his liver is also damaged...
He is in no state to give part of his liver for the live-donor liver transplant.
We have to cancel the surgery.
- Let me take a look at him! - I can't let you do that! It goes against the hospital regulations.
I don't care about that! I was called by Tenryu-sensei!
- He asked me to save Kurahashi! Get out of the way! - Hold on!
- Get out of the way Mi-chan! - Get out of the way little boy! - But...
I will allow it.
Chairman!?
Please do this Tsuruta-sensei.
Alright.
This is not good.
This is a situation where he needs an abdominal operation right away.
What will happen to the live-donor liver transplant?
This is not a situation where we can think about that!
Tenryu-sensei's life will be in danger if we don't act fast.
Are you saying that we should give up on the transplant?
Jumbo-sensei...
Where is Nikaido-sensei right now?
Nikaido-sensei is expected to arrive here this evening.
I think he is on the way from Kyushu right now...
- So that means that he would probably be here in a few hours. - Yes, most likely.
We are going to do an operation on Tenryu-sensei right away.
We are going to stop the bleeding and take part of the liver out for the transplant at the same time.
Then we will wait for Nikaido-sensei to arrive to do the live-donor liver transplant.
We are going to prepare everything so that the transplant can be done the moment he arrives.
That is ridiculous! It's not possible to treat the external wound
- and take out the liver for the transplant. - There is no other way!
This is the only way to save the brothers Tenryi-sensei and Kurahashi!
- But... - I will take full responsibility.
- I understand. Let's do it! - Thank you very much.
- The wound is deep. - Can it be transplanted?
- It is difficult to repair it. - Then what are you going to do?
Luckily the left lobe is not damaged.
We are going to use this wound to stop the bleeding and remove the left lobe.
It's alright, we can transplant it!
Electric scalpel.
We are going to move him. 1, 2, 3!
There is a possibility that he will be delayed for a long time!?
Yes. In case his flight gets canceled because of the bad weather, he would not be here here until tomorrow morning...
Are you saying that he won't be here by this evening!?
Yes, there is a possibility that might happen.
I understand.
- What are you going to do? - We can't wait until tomorrow morning.
Tsuruta-sensei...
If he is not going to be here then all we can do is to do it with the people that are here!
- That is absurd! - We are already doing something absurd.
We are just going to do something that is a bit more absurd.
But Tsuruta-sensei, you have no experience with a live-donor liver transplant.
No matter how much of an veteran you are, there is always a first time, right? That time is now.
I will save these two no matter what!
We have no choice but to do this.
- Electrical scalpel. - Yes.
I understand.
They are going to continue the operation with the staff that is there today.
Now the transplant is going to begin.
Now the real work is going to start.
We are going to start with the live-donor liver transplant.
- I ask for your cooperation. - Alright!
Nikaido-sensei!
Scalpel.
Nikaido-sensei has arrived!
He is changing clothes right now.
He made it in time...
It seems that you were tense, which is rare for you.
That is what happens with a first time experience!
Am I alive?
Yes.
Thanks to your brother.
Ni-san...
Jiro...
According to the periodic medical check?up, there is nothing wrong with both Tenryu-sensei and Kurahashi-san.
It was a transplant from a world leader after all.
But if you wouldn't have been there.
What would have happened if you wouldn't have called me to that place.
I... take pride in the fact that I was able to work under you.
I will hold that pride in my heart and do my best from now on.
Sensei! Are you really going away!?
Why are you saying this now.
If both you and Chikusa-san are not going to be here...
I can't do this!
You can do this even if we are not here.
I can't!
It seems that Tenryu-sensei has stepped down from his position as the head of the surgery department
and is going to be spear heading the community health care unification network system as a doctor.
He will protect the Baba clinic.
Oh! But what about the borrowed money?
You lend us 100 million yen, right!? I can't return that to you yet.
Are you talking about this?
That was all made up.
I came up with this together with your father.
With my father? Why!?
You would have thrown me out right away if it wasn't for that, right?
Yes...
But... But I can't accept this!
I don't want this! I want to learn more by working under you!
You are so noisy.
- Oh, Asuka-chan. - Yes.
I hear that Kurahashi-san went to Hokkaido.
Yes, he recovered after all.
That is great but he didn't have to go all the way to Hokkaido.
Oh~ He said he was going to do some research on the sculpin species.
- I completely thought that you guys were going to get married. - Oh no...
It's too early for me to get married!
Don't say that. Before you know it...
Oh hey Asuka-chan is working at the moment, so leave it at that.
Oh Seiji-san, it is your turn. This way please~
- Please take care of him sensei. - Hello. - Alright.
Have a seat please.
- Alright. - Is it really going to be alright with Misawa-kun.
- There you go again! - Don't worry, he is actually doing quite well.
Quite well... You too Asuka-chan...
And Tenryu-sensei is also giving his support.
- So don't worry. - That is reassuring.
- Tenryu-sensei... - Sensei stop mumbling and hurry up!
Alright.
Thank you.
I need to go to Namisato-mura so I will go this way.
I am going to Oomakidani-mura so I still need to go a long way.
Are you going to be alright without me?
My next doctor seems to be good looking and a man's man.
I am looking forward to it!
- See you then. - Alright.
Thank you Chikusa.
- Do your best! - We will!
Take care of yourselves.