"Aikawa-sensei."
"The time I spent with you on Mikotojima..."
"...is very dear to me..."
"...and has become my treasure."
"To come to a remote island and give medical care, you must be filled with passion, Aikawa-sensei."
"It's people like you..."
"...who make me think that that is what doctors must have been like originally."
"A person's environment controls their lives."
"The place where you truly should be..."
"The place that truly needs you..."
"I'm sure that it exists."
"Please, if at all possible, just one more time..."
"...could you come back to Tokyo?"
"I'll look forward to that."
"Aikawa-sensei..."
"I want to see you."
Aikawa-sensei.
My parents are waiting for you.
Yes.
Ah, hello.
- This is our Secretary General... - I'm Hisatsune.
I'm sorry, um... I don't have a business card...
Ah, no, that's fine.
- I'm Aikawa. - Hello.
Ah, Akiko-sama... Akiko-sama is to wait in the lobby.
"Director's Office" I see...
Thank you for coming from so far away.
Thank you very much for your trouble over our daughter on that occasion.
Ah, no...
First off Aikawa-sensei...
...I thought I'd take you around for a close look at our hospital's medical facilities we're so proud of.
It is his doctrine that the funds we pour into capital investment...
...walk a fine line in their disregard for profits.
That way of speaking makes me look bad, Chief Director Tasaka.
Hisatsune-kun.
To welcome Aikawa-sensei to our hospital, I've prepared the contract.
"Physician Employment Agreement"
I'm not saying you need to sign it right away.
If you read through it carefully...
...I think you'll understand the enthusiasm we have here.
- I'll leave now. - Yeah.
Excuse me.
"Come to think of it, I never did hear..."
"...what your dreams were, either."
"Did you have any dreams?"
"As for me... I do."
Well then, excuse me.
Ah, by the way. Which medical university did you graduate from?
Ah...
- Well... - There's no need for modesty.
- "Kanto Medical University." - "Kanto Medical University."
I was a junior to Director Muraki of the island clinic.
Ah, I see. It's that.
As I recall, we don't have anyone here from "Kanto Medical University" do we?
Since it's a third-rate medical university.
Director Muraki himself would often refer to it that way.
Whichever one you came out of, it doesn't change your value to us.
I've been looking for a doctor like you for a long time.
I need you.
I want your help.
And, I'm wondering what you think of our daughter?
Eh?
To selfishly get to the point...
...we have two daughters.
When it comes to marriage, it would be expected that her husband be adopted into our family.
In other words, that means you would inherit this hospital someday.
It's up to you.
I want to hear your true intentions without reserve.
Heiwa Fansubs Presents: "Kumo no Kaidan" "Staircase of Clouds"
Episode 4: "The Unlicensed Doctor Goes to a Major Hospital! The Kiss of Betrayal and Ambition"
How's it gone after that?
- About what? - Huh?
Well, have you had any contact from Saburo-kun?
I see...
Aki, aren't you going to try and contact him yourself anymore?
- Why? - "Why"?
You like him, don't you?
He left this island to go over there without telling anyone, didn't he?
If anyone's to make contact, it should be him, right?
Say.
Why are you acting so stubborn?
What?!
What's this about, you! Oi!
What do you mean when you say Saburo-kun has left the island?!
Ah, then I guess he didn't tell you anything either...
With a genuine doctor like Yamanaka-sensei around...
...wasn't it was painful for him?
You were tormenting him again, weren't you Setsuko-san?
Eh?!
That's not true!
Because Setsuko-san said to Saburo-san...
..."if you had a license, you'd make a good doctor." Right?
What is that rascal intending?
You may think I have bad taste...
...but I prepared the rough outlines for this place.
I thought we could live here right away.
"Director Muraki"
It's okay not to take that?
Ah... yeah.
I heard from Dad a little while ago.
You didn't give him an answer right away.
Neither about becoming a doctor at our hospital or about me.
Here you go.
Thank you.
What about you?
I came by car.
If I didn't have to go back, then I could drink.
"You... should have known."
"You should have known..."
"...what to do at that time."
"The staircase to the future that would take you upwards..."
"...was a just an illusion of lies..."
"...you had begun to make."
"Before going beyond the point of no return..."
"...you should have revealed you were a fake..."
"...and apologized to all those around for having tricked them."
"And then gotten out of that apartment."
"Right now..."
"...is the last chance to do that."
"You... should have known that."
Ah, Aki!
What's wrong, Aki! Are you okay?
Can you get up?
Let's get you up...
Do you dislike me?
It's true, isn't it?
After allowing some man I didn't even like to use my body...
...and then nearly dying from an ectopic pregnancy.
You'd hate a woman like that, wouldn't you?
Well, that's...
Even if you did save me...
...and were gentle with me...
That was only because...
...you're a doctor, isn't it?
Nothing more or less.
That's...
...wrong.
You're wrong.
You are gentle, but...
But always being so very gentle...
...is wrong somehow.
You always put up a wall around you...
...and avoid me.
I feel you never show me who the real you is!
If you feel you dislike a woman like me...
...or even hate me...
If you think that...
...then I'd much rather you told me that clearly...
...than even being saved by you.
That's true, isn't it?
You deserve...
...to get a proper answer.
Until just now...
...I couldn't decide.
I was at a loss.
I...
...love...
...you.
In other words, the engagement between me and Akiko-san has been sent back to square one.
You're saying she has someone she loves, right?
He's a surgeon, same as you.
I'm thinking of having him work closely with you.
Is that right.
Well then, since I'm on duty, I'll be going.
Sorry about this, Nogami-kun.
I genuinely love Akiko-san even now.
Those feelings have not changed.
Yes?
Over at the bar counter...
...there's this dreary image of two men's backs.
The friendship between Nogami-kun's parents and your wife runs deep.
What about it?
If Nogami-kun and your daughter were to wed...
...the balance of power within the hospital would tilt more than ever towards your wife.
In order to avoid that...
...this marriage cancellation has been a godsend to you.
I just want my daughter to be happily married. That's all.
So you say.
But your wife wouldn't like it...
...if your daughter's marriage partner was anyone other than Nogami-kun, right?
Moreover, you...
"Director Muraki Director Muraki Director Muraki"
"Aikawa Saburo"
These are just leftovers from my part-time job though.
I said I didn't need to eat.
Eh?
Since you came so early this morning, I thought for sure you hadn't had breakfast yet.
- I'll eat it, but... - Yeah.
Your hips are still bad, so why are you working part-time at a bento shop?
You have to stand the entire time, don't you?
At my age, I can't pick and choose what jobs I get.
You won't have to worry about money anymore.
Eh?
Because I'm...
...getting married.
Eh? Really?
But... I'll be entering their family as a son-in-law.
I see...
They're a family of doctors.
Is that right.
Hmm...
Saburo, you love this person, right?
And she loves you too, doesn't she?
Yeah.
In that case, I won't say anything about it.
Thanks for the food.
Saburo...
Truth is...
The place is Tokyo's Tasaka General Hospital...
"Tasaka"...
That's the girl who had that ectopic pregnancy...
I'll be employed there as a surgeon from here on.
Eh? You...
I felt I should properly meet with you Director...
...and tell you about this.
Do you yourself...
...understand what you're saying?
I pounded medicine into you because...
...I thought you wanted to become the doctor...
...for this island and for this island only.
For a major hospital in Tokyo...
Am I not fit for it?
I've already finalized the contract.
They presented me with unprecedented terms.
Money, huh?
There's also that, certainly.
Because I've tasted all too well...
...the pain of being without money ever since I was a child.
Still...
...the work you'll be doing is...
In this world...
...it's taken for granted that people will chase after money...
...using whatever means they can, isn't it?
On the other hand...
...those people who live honestly and watch where they are going...
...are seen as fools who'll die in a gutter.
I have been accepted for my worth.
I was told, "We've been searching for a doctor like you."
A major hospital like that...
...told me they wanted me...
...and that I was...
..."essential" to them.
They said that to someone like me...
I don't think...
...such a thing...
...would ever happen to me again.
But...
But, just if...
...they do find out I'm unqualified...
At that time I will absolutely never trouble you Director, or the people of the clinic...
...or anyone of the island about it either.
You can just stick to saying that I deceived all of you.
You!
Do you intend...
...to sever connections with me and everyone else on this island?!
By coming today...
...I intended to make a clean break.
For everything until now...
...thank you very much.
I guess it'd be best for you to have a proper check-up done.
You've been sick in bed all this time.
I'm fine.
Aki...
...ever since we were kids, you've never had even one person that you've embraced.
Ever since long ago, when you nearly died of that ectopic pregnancy...
...you've kept all your troubles inside yourself, alone...
Stop it.
I'm sorry.
Anyhow, if it's this strong an illness, it must be a very severe disease.
I'm not ill.
- You can't just decide that... - It's a baby.
Eh?
Because that's what it is.
Does he know about this?
In that case... In that case, you should let him know right away.
He left this island without saying a word to me.
That's the sort of man he is.
So? Is this a situation to be so stubborn?
You want him to know, don't you?
You really do want Saburo-kun to know, don't you?
Where's your cell phone?
Your cell phone! Contact him right away.
Where's your cell phone?
Where is it?
Your cell phone!
- Aki! - Stop it!
Were you...
...sleeping, holding on to that all this time?
I'm such a fool, aren't I?
Call him right away.
Leave already!
Hello, this is the Aikawa residence.
I called you once before. I'm Suzuki Akiko.
Ah, hello.
Saburo-san and I are seeing one another.
Yes.
Saburo-san seems busy, and it's been very hard for me to reach him.
Ah, I'm sorry.
When he came by this morning he...
He was there this morning?
He came to tell me about your marriage.
Eh?
I forgot to ask him when it is...
...but have you set a date for the ceremony already?
Hello?
Akiko-san?
- I... - Yes?
I...
...am pregnant.
Ah, my... I thought so.
I thought that might be the case myself.
Since he brought it up out of the blue and all.
And? What month are you in?
Ah, probably...
"To look for you..."
"To look for you I had decided..."
"...I would become an unpleasant woman."
"I had become the kind of woman..."
"...I had said I wouldn't become."
Sensei, geez! How many times do I have to tell you before you understand?!
- But... - The one here a moment ago was Kiyo-san.
The next person up is Kimi-san and Miki-san was yesterday!
Wrong! Miki-san is their surname!
Ah, yes, yes.
One "yes" will do!
Yes!
All the doctors up until now have been careful about such things.
Anyhow Sensei, hurry and become familiar with the people of this island.
Yes!
Ah, and then, Yamanaka-sensei.
After this you'll need to make a house call on the Soneda-san's grandmother.
Ah, yes. Roger that.
"Mikotojima Medical Clinic"
At a place called Tasaka General Hospital in Tokyo...
...is where I'll be working.
I see...
And so for myself...
...as long as I'm there...
...I want to give it a try.
Is that all?
Eh?
The reason why you're going to Tokyo.
That's... all.
Farewell.
Take care.
"Tasaka General Hospital"
Excuse me.
You start today, right?
I'll take you around the hospital and introduce you.
Yes.
I believe this intestinal obstruction is due to colorectal cancer.
Our first procedure should be to eliminate the obstruction and release the pressure.
And, if it is cancerous, to then cut out the primary lesions.
The issues for this person's case are they are elderly, have diabetes...
...and have had an angina attack...
When considering the postoperative quality in this person's case...
...I think the best approach should be to go with a laparoscopy.
There'll be an operation on a VIP this afternoon.
- A VIP? - Yeah.
Chief Secretary Kataoka of the "People's Party."
He was admitted here secretly last week.
Um Director, what is it?
Allow me to introduce you.
Newly joining the surgical team...
...this is Aikawa Saburo-sensei.
I'm Aikawa. Very nice to meet you.
This is our Surgery Team's Ace, Nogami-kun.
This is Abiko-kun of the same Surgery Department.
This is the Anesthesiologist, Ishiguro-kun.
I'm late.
This is the Surgical Department's lone woman, Takamiya-kun.
So you're the doctor I've been hearing about.
Director, may I go on?
OK. Well then, you're going with a laparoscopy?
There haven't been any other opinions.
Aikawa-sensei, what is your opinion of this?
Eh? Ah...
If you have any questions, please ask.
Ah, no, I'm fine.
There's no need to feel reserved.
Um...
Given these image findings...
...the primary tumor is quite large...
...and there's a suspicion it has adhered to the adjacent organs and metastasized to the lymph nodes.
What stage is it in?
At worst, maybe a Stage IV.
In that situation, with a laparoscopic approach...
...the intra-operative risks would be greatly higher...
The operation time would be difficult to read.
Yes.
As the Anesthesiologist, wouldn't you really want to have that pointed out...
...Ishiguro-sensei?
Huh? Ah, I guess.
If it is colon cancer...
...given Nogami-kun's ability with a laparoscope, wouldn't a laparotomy take far less time?
Then is it Aikawa-sensei's opinion that a laparotomy operation is the best way to go?
Ah, yes.
I was present for a laparotomy operation on a colon cancer at the island.
Really?
Excuse me.
Secretary Kataoka has been complaining of feeling abdominal bloat and is in intense pain.
This can't wait until the afternoon.
- He needs an emergency operation. - Yes.
- I'll be going to Kataoka-san. - Yeah.
- Nogami-kun. - Yes?
As a means for avoiding complications afterwards...
...I agree you should perform the laparotomy operation safely.
Understood.
In that case, I shouldn't be the one to do it.
I apologize for it being his first day here...
...but could I ask Aikawa-sensei to perform the operation?
I've heard you are a very excellent Sensei.
For Nogami-kun to hand it over to you...
How about it? In lieu of making those greetings.
Ah Sensei. I'm Kanagawa. Nice to meet you.
I'm sorry that circumstances forced you into this.
Ah.
For the time being, I will act as your First Assistant.
Here.
Sorry I'm late; I'm the Chief Nurse, Ikegami.
Nice to meet you.
I'll be in charge of the outside work.
Very nice to meet you, too.
"To keep the scalpel from going left, add an additional 10cm to 15cm to the skin incision..."
"...straight down the middle."
We'll move the drape.
"Ligate the surrounding blood vessels."
"Ligate and remove both ends around the excision and then extract the primary tumor."
Aikawa-sensei?
Ah, yes.
Well then, we will now begin the S-shaped colon resection...
...to release the colorectal cancer obstruction.
- Let's work together. - Let's work together.
- Scalpel. - Yes.
- Hook pins. Electric scalpel. - Yes.
- Hook pins. - Yes.
- A blade apex to open the peritoneum. - Yes.
Inserting gauze.
- Electric scalpel. - Yes.
- Gauze. - Yes.
- Have retractors ready. - Yes.
Dear. The one supposed to be in charge of this operation was Nogami-kun, wasn't he?
So why is Aikawa-sensei performing it?
Well, it was due to the circumstances.
He said he was from "Kanto Medical University," didn't he?
Ah, um, would it be okay for me to watch from here?
Ah, go ahead.
I'll be observing...
Yeah.
Having cleansed the IMA roots along the lymph nodes...
...I will separate the left colic arterial bifurcation with ligation.
- Kelly. - Yes.
- 2-0 thread. - Yes.
- Cooper. - Yes.
He's doing very well.
I have removed the primary tumor. Performing the anastomosis. (reconnection of two blood streams that have branched apart)
Will you go with an instrument anastomosis?
No, I'll sew it by hand.
- If you would please. - Yes. Entering the anastomosis.
Lend me that.
- 3-0 absorption thread. - Yes.
- Sesshi. - Yes.
Washing is finished.
Wound closure.
- 3-0 needle. - Yes.
- Sesshi. - Yes.
- Clipper. - Yes.
All done.
Seems it ended safely.
Yes, somehow or other.
Chief Secretary Kataoka is a very important person to this hospital.
As the Chief Director, I give you my thanks.
You're very gracious.
Aikawa-sensei, thanks for your hard work.
- Hello there. - Ah, hello.
You made your debut operation right away? Incredible!
It was a sudden VIP surgery, wasn't it?
It's only that you have a great deal of luck about you.
- Well then, excuse me. - Yeah.
Okay!
Aikawa-sensei! Thank you for arriving at your post early.
Ah, no.
Ah, you're just in time.
Let's see... I'd like to get a hold of your doctor's license for the time being.
The Executive Office has said they want a copy of it as part of the regulations.
Well, it's just a formality.
I'm sorry, um right now...
Ah... That's fine, that's fine. It doesn't have to be right now.
I've left it at my parent's home.
Then whenever you next return to your parent's home...
...could you bring it back with you?
Very well.
Doctor's license...
- Yes? - Saburo?
Yeah.
About Akiko-san? The one you're going to marry.
- Eh? - Look, Suzuki Akiko-san.
She called me about it.
Su... Suzuki Akiko?
Looks like we'll have a happy event, won't we?
What are you talking about?
Well, it may be embarrassing...
...but you should have told me about it.
That's being rude to Akiko-san.
Moreover, she said you've been very hard for her to reach, too.
Make sure you give her a proper call, okay?
Hello?
Hello? Saburo?
Sorry, I'm still in the middle of work.
I think...
...Saburo-kun probably won't be coming back here anymore.
What do you intend to do from here on?
I don't know.
Say...
I think I'd be fine...
...if you let that child inside you be raised by me.
Eh?
I'll become the father.
Takaoka-kun...
Are you drunk?
I did drink a little...
...but I'm speaking soberly here.
Don't joke around.
It's because I love you...
I've loved you all this time, Aki.
Just...
...forget about that guy already.
I want to be together with you.
And what about my feelings?
Aki?
Aki, what's the matter?
Aki, is your stomach in pain?
- It's blood... - Eh?
No!
Let's go.
- What's wrong? - Director.
- Aki-chan is... - What's this about?
Aki... is pregnant.
Eh?!
Save it...
Please save it.
The baby... My baby.
Calm down, calm down.
The bleeding is severe.
It might be...
No!!
- Calm down! - No!
It's ready.
Smells good.
After we're married, we'll eat like this every day.
I'll look forward to that.
Ah, about that emergency operation on Secretary Kataoka you performed the other day.
Thanks to that, your reputation at the hospital has jumped all at once.
It's because I was so engrossed by it.
Papa said this too, but you are the possessor of a huge amount of luck.
I hope that's true.
Excuse me a moment.
"Takaoka-san"
Sorry, I'm going out for a bit.
Okay.
Hello?
Saburo-kun.
This is awkward to talk about though...
Yes?
You haven't gotten...
...a call or something from Aki, have you?
Ah... no.
Nothing.
I see...
Um... Is something wrong?
Yeah.
Aki...
...got pregnant.
Did you know about it?
Yes.
But...
...she lost it.
Eh?
And then...
...she's been missing for the last 3 days.
Missing?
Someone said they had seen her standing on top of a cliff yesterday.
Since this morning, people from the island have been searching the ocean below that cliff.
I don't believe it though.
If...
If you do get some sort of contact from Aki...
...be sure and let me know about it.
Please.
"You will no longer..."
"...receive any word from me."
"Because I cannot meet you..."
"...my beloved."
"Because..."
"I..."
"...have died."
This Drama is fictional All names including island and hospital names are fictional.
In addition, the practice of medicine by unlicensed persons is prohibited by law and parts played during this drama such as nurses giving anesthesia is also prohibited by law.
"Towards the Forbidden Marriage With the Major Hospital's Daughter"