B.O.N F u n S u b s © ~ Band Of Nuts F u n S u b s PRESENTS
Iryu Team Medical Dragon 2 Karte:01
Translator Kyoichi
Lyrics Translators hadmish, motao
Timers ..::Tammy::.., _Toki_
Editor/QC Kazuya_
Karaoke SFX zeldAIS
Encoder/Coordinator scarlett0512
Her condition's changed since noon, it's critical!
Her SCT's going down, her oxygen to the maximum!
Are you okay, Jasmine?
Maximum oxygen!
Medical management is not going to control her heart failure.
VS!
Standby defibrillator!
Starting CPR!
Where is he? Is he coming?
He must be on his way here.
Go on flow!
Go on flow.
Keep flow.
Open the Ventricular assist device (VAD).
The condition of one of the patients on the waiting list
for cardiac transplant has deteriotiated rapidly.
Do you think we can get over that?
Dilated cardiomyopathy?
If she just suffer another cardiac arrest...
I put her chances of survival at less than ten percent.
That's why we asked him to come...
He could change a survival rate of ten percent to one hundred percent.
Scissors.
Yes.
Excuse me.
Prepare 4/0 shock pressure.
Hurry.
Yes.
Water.
Yes.
Umm...
Reducing the volume here first would be...
Huh?
Oh, right.
Release the blood!
Yes.
It's ready. Here.
I'm okay.
Everybody okay.
Shock!
Come out of the bypass.
Easy.
Coming out of the bypass!
Start VAD!
It took only 15 minutes to perform the VAD.
Unbelievable!
Almost no bleeding.
A regular doctor would need 7 hours.
Really unbelievable.
It's my fault!
I seem to have broken the blood vessel wall during repair!
It would be better to do interdiction once more.
You don't need to tell me that!
Begin interdiction.
Yes.
Dr. Egami!
It would be better to let this part flow down first, then use the partial forceps.
What?
We won't be able to make it if we don't repair it fast!
I'll do the repair.
Excuse me.
- Flow down. - Yes.
- Partial forceps. - Yes.
- Suture. - Yes.
- 4/0 thread. - Yes.
- Scissors. - Yes.
- Flow down. - Yes.
Remove interdiction.
Hey! That was a really impressive operation you've just performed!
I've never seen such a perfect evert placement.
And you were doing surgery at the refugee camp last year
and then you were doing a year for transplant.
I can offer you a position here. What do you think?
Or, do you have something to do at another hospital?
That's terrible.
Doctor!
That was our hospital's Professor!
You should have thought about it.
It's your fault the Professor looks bad now!
But not even doing a flow down,
is worse than a trainee doctor.
There are all kinds of Professors that just write theses and have no actual experience.
When is Dr. Kato coming back?
She is at UCLA as a guest Professor and fighting hard over there.
At least two or three years, I guess?
That's so long...
Really now...
I never thought that they would let that guy replace Dr. Kato!
I wonder what our University Hospital is thinking.
That's true.
Oh by the way, have you seen the reception area?
Two or three years ago, there were so many patients that they had to queue for two to three hours.
Today, it's empty again.
Totally empty.
Totally empty?
But that's true too. Right, right...
Have you seen this?
Ranked by operation success rates.
The patients nowadays are getting smarter too.
They use this to decide which hospital to go to. What a headache!
What's our hospital's ranking?
Ouch!
You should know by seeing the Professor's skills!
We didn't even make it past the pre-selection stage.
If we used dorama as an example, we' d be off the air!
As expected.
Reformation of treatment methods...
reducing consultation fees many times.
The hospital management has gone through big changes.
Anyway, if we don't have more patients...
whether the University Hospital is able to continue on is a problem, too.
That's how times are now.
It is no longer an era that emphasizes the Professor's power.
If this goes on...
our hospital really will close down.
I wonder if Team Dragon can be assembled once more.
Is it true that someone's gathering the team members again?
Yes.
I received a message sent to everyone.
To everyone of Team Dragon...
Meishin's crisis...
It will close down if this goes on...
To save Meishin, I hope everyone can assemble once more.
"Team Dragon"
"Gather"
This...
was from who?
I don't know.
I don't know the address and there was no sender's name either.
I guess it's Dr. Kato right?
But...
Dr. Fujiyoshi went to Fukuoka.
Dr. Arase doesn't seem to have any enthusiasm.
Anyway, we won't be able to gather anyone.
If only that person would come back?
That person?
Yes.
Definitely, he could save Meishin...
No...
He may be the only one that can save the University Hospital.
[Professor's Office] [Egami Akira]
Transfer?
You know Hokuyou Hospital, right?
It has been taken over by an overseas investment company recently.
I know. I was a part-timer there before.
And so?
Please go there.
Since you can nitpick at me, the Professor in the operating room,
use those skills of yours and rebuild that hospital.
[Dismissal Order]
Unbelievable.
These underhanded tactics are what's wrong with this hospital.
Is he really back?
Is it him?
He's back. Could it be...?
Is it him?
It can't be true, can it?
Excuse me.
Excuse me, please let me through.
I'm back.
Nn...Noguchi-sensei.
It's really cool here.
Big trouble!
The new boss called him back urgently from Thailand!
Why?
[Risk Management Department] [Head of Department] [Noguchi Takeo]
Rebuilding!
He's the linchpin of executing Meishin's reconstruction.
If this goes on, Meishin will be closing down.
There's no leeway for the choice of methods already.
Indeed, Dr. Noguchi has gone through all types of hardship before
and he knows a lot of people in the University Hospital.
Then what?
Don't tell me he has regained his Professor status again?
Not just that.
He's been appointed by the boss to be Head of Risk Management.
He has the power to appoint and dismiss all the Professors.
Above the Professors?
Team Dragon's situation is even more tenuous.
This way...
the possibility of Asada coming back will be absolutely nil!
So scary! What will he do this time?
Transfer to a hospital in Romania?
[Team Dragon]
[Gather once more]
The patient that was introduced last time is here.
Let them in.
Yes.
Sorry for the disturbance.
Madam's dilated cardiomyopathy is a type of heart disease
whereby the heart becomes larger.
It is at an advanced stage.
It is already a very dangerous situation.
Is there a way to remedy it?
Only an operation.
Then...
please do the operation!
But the difficulty of the operation is too high.
The operation can't be done?
Other hospitals said the same thing!
We've been discarded like this!
The truth is, even if operated on,
I can't be saved?
Doctor?
Only one person...
Huh?
Only one surgeon...
can complete this operation.
Japan has reached the first hospital elimination period.
The past three years...
over 100 hospitals have closed down due to poor management.
Operating hospitals are the same as non-governmental enterprises.
If there are no profits, they will be eliminated without hestitation.
Our Meishin too.
Patient numbers are diminishing every year.
Operations are in a difficult state too.
Thus, I have been entrusted fully by the boss,
and have returned from Thailand.
I will be supervising the management of all matters,
overseeing the general situation of Meishin,
and be the leader of the Risk Management Department.
I intend to devote all my efforts into managing the hospital,
and carry out an extensive reform.
We have heard about the fame of Dr. Noguchi.
We feel very honored that Dr. Noguchi has returned.
I can also contribute to Meishin's reconstruction.
Hey...
Yes?
I heard that you are transferring Ijyuuin to Hokuyou Hospital.
He might have been,
influenced by that Dr. Asada.
He seems to be a little proud and arrogant these days.
Moveover, he was a member of Team Dragon that caused your transfer to Thailand.
I heard that...
Hokuyou Hospital was bought out by an overseas investment company.
Hokuyou...
Yes.
Dr. Noguchi, please work hard and prevent Meishin from becoming the second Hokuyou.
This place is in need of a savior, right?
What?
It's really in need of one...
A savior that can save Meishin.
That's right.
Dr. Noguchi, you are that savior!
Mm, no problem.
It will definitely get set up.
Leave the rest to me.
Best regards.
So this is Meishin University's affiliated hospital.
It's a rare sight to see such a wine glass.
I bought them in Thailand.
I understand. Is it okay to send her here?
Traffic accident?
I think it was a hit and run.
It says Kataoka Kazumi, 30 years old on the I.D. card.
Injured in a traffic accident.
Currently unconscious.
Blood pressure 60, pulse 120.
How is it?
Results from ER.
Pericardium crushed, arteries burst, internal bleeding in the abdomen.
Looks like it's no use.
Even if we do an emergency blood transfusion, the heart will still not work.
If it becomes long-term hospitalization, there are not enough beds and it will become a burden.
It can't be helped.
Take it as excessive blood loss, then?
If that's the situation, the family members will have nothing to say, right?
Let's start disinfection.
- Pass me iodine. - Yes.
We just have to do our best to retain the entire heart and brain.
Looks like ER can't cope with it anymore.
After Dr. Kitou went to America, the lifesaving rate has been going down.
Now our ER is showing negative numbers.
It's a vicious cycle here.
Moreover, these people have never had any enthusiasm.
- 10 more bags of blood. - Yes.
Blood pressure below 62.
- Another adrenaline injection. - Yes.
Weak heartbeat, unable to measure blood pressure.
- More adrenaline. - Yes.
Looks like it's useless.
Heartbeat has stopped.
Switch off the machine,
and prepare the death certificate.
Yes.
Ryu-chan!
What are you guys doing?!
Hurry, perform heart massage!
- Miki, scalpel. - Yes.
- Electric drill. - Yes.
- Rib spreader. - Here.
Don't give up!
There's still hope!
Yes!
Let's go.
Anesthetist, increase volume!
Are you kidding me?
He's back.
Asada
Ryutaro
Come back...
Come back here.
Her heartbeat is back!
Doctor!
Let's take it from here!
- Tell me the situation. - Yes.
Traffic accident, external injuries, chest and abdomen were hit. Chest hit caused arteries to burst, crushing her pericardium.
Left side abdomen hit badly, causing internal bleeding.
Understood. Extend the operation time this way.
Restore all injured parts in one swoop.
First, suture the heart.
Immobilize the bleeding artery at the same time.
Simultaneously?
Maybe I'm a newbie, but can a person restore all these at the same time?
At this rate of blood loss, it'll be too late if we don't do both together!
- Prepare anesthetics. - Yes.
Hurry, Dr. Arase!
Arase?
Hurry, go! He's the only one that can keep up with my speed!
Yes!
- Hurry, contact Dr. Arase! - Yes.
Doctor, if it's bleeding like this...
You take over!
He's using his hand to search for the injured part.
Can this type of thing be determined?
Interdiction has been over two minutes!
It's here.
- 4/0 thread. - Yes.
- Anesthetist. - Yes.
Has the anesthetic level been adjusted already?
Yes.
Oh, not yet.
Anesthetic volume adjustment completed!
There's still 60 ml, continuing anesthetic.
Long time no see, 75 kg!
You lost 1 kg of weight!
Give me a stand!
Requires 3 mg to 5 mg.
Yes.
Share.
Oxygen level 1.0.
Breathing level 6.
Rate.
Indl 0.5 ml, continuing anesthetic.
We'll have to hurry!
Blood pressure 82.
Stable already!
Superb!
These two are superb!
He's really...
Asada Ryutaro.
What is it?
Why did he just do things on his own?
Professor Egami.
He's handling things too rashly!
Even if he performed Batista operations in the past...
Going in and taking over without the main surgeon's approval...
If we are sued for malpractice because of such a thing,
Dr. Noguchi, you'll be the first one that will be hit.
How is the patient?
Huh?
She's now in CCU.
Her condition is stable.
Please hand out a suitable punishment.
Warn all the medical staff.
She was clinically dead, then?
Yes.
Her heartbeat stopped
her heart was damaged,
liver and kidney were injured.
They were all very serious.
Then he went into the operating room on his own,
and started the operation?
Yes.
He didn't get the approval of the main surgeon either?
That's right.
Totally acting on his own?
Yes.
Doctor.
Beautiful!
Dr. Asada.
This is the skill we need right now.
Not restricted by the old regulations of the University Hospital,
putting the patient's life as the first consideration.
Quick-witted handling and superb operating skills that can save the lives of patients.
These doctors are what Meishin needs right now.
Doctor!
Hospital regulations?
Power of professors?
You're too old-fashioned.
Who cares about regulations?
What if this hospital closes down?
But...
From now on,
we'll have to depend more on doctors like Dr. Asada,
who have the skills to be a true billboard for Meishin.
I've prepared for you...
the position of Guest Professor in the Chest and Heart Internal Department.
I hope you can utilize your clinical skills...
Wait a minute!
Guest Professor?
Then what about me?
You...
like to drink wine, right?
We have a hospital in Yamanashi.
Please go there.
What the hell?
I am...
This is a silk tie that's made in Thailand.
I think it suits you.
Asada-kun.
Welcome to Meishin.
Meishin will be ushering in a new era.
Since our establishment,
we have been an University Hospital.
We will be abolishing the old rules of all the medical departments,
and increase our clinical skills,
as the main support of the second generation of reform.
The matter of raising our clinical skills,
has attracted complaints and discord from many here.
Thus, we have invited top-notch doctors from overseas who are well-versed in clinical procedures.
The best among them...
The one and only
who has researched and developed new techniques for the Batista operation,
and has performed it successfully.
Dr. Asada Ryutaro.
He was at America's Miami University,
engaging in research in transplant operations.
He has rushed back to Japan to participate in Meishin's reformation.
Plus,
at the core of Meishin's reform,
we have recruited professors from all over the world to perform the public Dor Operation.
It will be named "Live Demonstration".
[Public Dor Operation. Operating room will be connected and broadcasted through the venue]
Dor Operation is for restoring a dilated left ventricle to a normal size,
by removing scarred tissue and using a circular suture.
Can this type of operation be performed publicly?
From here, we will be announcing the excellent standard of Meishin's clinical techniques.
Who will be conducting this operation?
Of course it's...
Dr. Asada Ryutaro.
Huh?
Is that so?
But Dr. Noguchi is really formidable!
Yesterday's enemy has become today's friend.
Utilizing Asada's reputation to the fullest.
No...
it should be the reputation of "Team Dragon".
Outstanding doctors can bring in customers.
Which means large numbers of patients will come here specifically.
Isn't that good?
This way you can continue to stay at Meishin!
This is good, it's good!
But I don't think Dr. Asada will agree to making the operation public.
Then, just make him agree.
No matter what means we use,
to Dr. Noguchi, doctors are commodities.
Commodities used to bring in customers.
The wind's strong!
Blood pressure and other vital signs, reduction of wound inflammation are all stable.
Is it alright to move to a normal ward?
It must have been tough.
Heard that it was a hit and run?
Yes.
The police came by.
But we turned them away, saying that your condition is still unstable.
Then...
Dr. Asada was the main surgeon of my operation?
When you were sent here,
your heart had practically stopped already.
Heart ruptured,
organs injured,
and the situation was very critical.
Absolutely on the verge of death.
In that condition,
Dr. Asada used only 30 minutes,
to complete the heart, liver, and kidney repair work,
by himself.
Faced with repair of such complicated and multiple wounds,
there was only one person, and only 30 minutes were used to complete the repair and rescue?
You understand clearly.
I'm the writer of a medical magazine,
and also participated in the editing for "Circulation World".
"Circulation World"?
Isn't that the professional magazine about the circulatory system in humans?
Really?
Then, after you are discharged, please, write more reports about Dr. Asada.
Of course.
I can never forget a doctor's clinical skills.
Please allow me to interview you.
Great, that's great.
Excuse me.
I've never heard anything about a public operation.
Isn't this a great chance for the younger generation to learn about your skills?
Today's work has ended, right?
How about a glass of wine?
Recently, I've been in love with wine.
Even a live operation should place the well being of the patient at the forefront,
and performed with a proper foundation,
not as a tool for publicity.
Whether your operations are public or not,
there are lots of patients who wish to accept
My operations are not a spectacle to be seen.
Never mind.
Then, how about this?
The commission that a great doctor should receive...
This is my belief.
Not bad, right?
Public operations are not tools for making money.
Besides...
my skills are not that cheap.
Then...
please key in the amount you like.
This tiny calculator...
does not have enough digits.
After the Refugee camp,
you went to Philidelphia's Gloria Sartland clinic too?
Gloria. That's America's number one...
No, that's the world's top cardiac hospital, right?
Yes.
I've learned the majority of the heart transplant operations.
Then why did you come back to Meishin?
Dr. Asada, you're not the one who sent this?
No.
You are still the same guy who likes to do things with no rules!
Heart, liver, and kidney repair.
Would a regular person attempt that in only 30 minutes?
Slowly, this hospital is getting interesting.
Don't tell me, everyone can gather again this time?
Exactly.
Dr. Fujiyoshi!
Weren't you in Fukuoka?
I came here this morning.
Long time no see, Asada.
Yes.
What's wrong?
I hope to...
call on everyone's strengths again.
What do you mean?
I'm referring to the revival of Team Dragon.
It's an advanced stage of dilated cardiomyopathy.
Due to enlargement of the myocardium
the internal part of the heart expands prominently
causing the heart to pump blood ineffectively.
It is an untreatable case.
The patients are suitable for the Batista operation.
The patient is Togashi Yukari, 35 years old.
She has been rejected by many hospitals
thus, has no confidence in such an operation.
She heard that we had completed the Batista procedure,
and came specifically to Fukuoka to see me.
It seems very serious already.
Even with our team's skills,
the risk is still very high.
If the operation is done now,
we may be able to save her.
Maybe.
What's wrong?
This is...
a baby.
This patient is...
seven months pregnant.
Seven months?
A pregnant woman's dilated cardiomyopathy?
Yes.
The dilated cardiomyopathy unknowingly worsened.
Regular checkups at the gynecologist did not discover this illness, either.
This is bad.
She's giving up the baby, then?
It's already seven months.
It must be hard on the mother, too.
However,
the mother's life is more important.
Don't tell me...
This patient said that
she wants to give birth to the child.
- What? - That's impossible!
The baby is already seven months old,
there's still three months until birth.
This patient's heart can only last for two more months.
If we don't operate now, the mother will die.
But if we operate now,
the baby won't be able to live.
The patient said...
she will not give up her child!
The dilated cardiomyopathy has reached an expansion diameter of 2.83. [Diameters past 2.7 are serious stage cases]
The condition may trigger a heart failure at anytime.
In addition,
there's a chance of it affecting the pregnancy.
She should be operated on right now.
- Going on like this... - My wife...
only has two months left to live?
That's correct.
I won't give up the baby.
But,
you'll die before your baby is born.
You're telling me to kill my baby?
To kill my own child?
Yukari...
This isn't what we talked about earlier!
You told me that this doctor could save me!
Calm down.
Let go!
Let me see Dr. Asada!
Let me go!
Why won't Dr. Asada do the operation?!
This is a very difficult operation.
It must be checked carefully first...
What?
You're going to force me onto another hospital?
Please calm down.
Stop it! Let go!
Please come here for a moment.
- Please calm down. - Let me go!
Togashi-san!
Let me see Dr. Asada!
- Please calm down! - Over here.
Let me go!
Yes.
Please help me out.
Goodbye.
Togashi-san has calmed down now.
I am on overnight duty.
I was hoping to get some sleep.
It's tiring, isn't it?
Because people in the medical industry are disappearing.
But Togashi-san is a bit too willful, isn't she?
With this illness, she wants to live on and have the child too.
It's clearly impossible.
But...
I can understand her feelings.
Huh?
The fetus has grown so big already...
It's hard to say things like...
"Yes, I'll give it up"
But then,
what should we do?
Just let her die with her child like this?
Maybe she has already thought of that.
Is that so?
To Togashi-san,
the child inside her,
and her life are connected.
What happened?
Seems like I will be employed by Meishin for the time being.
In order to gather the team for the Batista operation,
he seems to want to make use of me
to promote the reconstruction of this hospital.
He hasn't given up on trying to bring you into the public operation plan.
Dr. Noguchi is very difficult to handle, now that he has all of Meishin's authority.
Nevermind that.
How does Togashi-san's operation look?
As expected,
it's very difficult, isn't it?
What's wrong?
Nothing.
Togashi-san was here again just now.
I told her that Dr. Asada's not around, so she left.
A few days ago,
she was screaming "Get Dr. Asada out here!" in the lobby.
Is that so?
Recently, there are a lot of patients like that.
Getting me to do this and that.
Concerned only about their requests.
Whenever there's something they're unhappy with,
they'll use a commanding tone.
Is this the bad influence of mass media?
Ijyuuin?
Yes.
Maybe after your training, you want to become an outstanding surgeon?
No, I'm not that...
A doctor's job is not just about reading medical records.
Remember that.
"Meishin University Hospital will be having public operations."
"Holding the first public demonstration of saving lives."
Look, this is great!
It said that they'll be recruiting over 1200 outstanding medical personnel from all over Japan.
Once this succeeds,
the fame of Meishin will rise in an instant!
But Dr. Asada said that he won't agree to do such an operation.
Oh yeah.
- Ouch! - What's with that face? You'll go bald!
Recently I've been pestered by that person every day.
That person?
Dr. Asada's patient.
She calls the hospital every day.
Asking "Is Dr. Asada in? Hurry, operate on me!"
That person?
Togashi-san.
You're here.
Yes.
Today, Dr. Asada...
I've seen him already.
He still said, if we don't give up the child...
the operation is too risky.
Umm...
We asked you to give up the child
because we are thinking about your well being.
Definitely not because we take this situation lightly.
I understand.
Honestly...
Togashi-san's dilated cardiomyopathy operation
would be difficult even if you weren't pregnant.
There can be no hesitation at all.
I understand.
Then,
please forgive me for being so forward,
but you can still get pregnant again, right?
Now, you should cure your illness as quickly as possible.
Fourteen years.
Huh?
It has been fourteen years.
I have been with my husband for fourteen years.
Finally, we have a baby.
Calculating the dates,
ovulation stimulation agents,
peritoneoscopy and,
artificial insemination.
We did all those things,
and finally we have a baby.
Infertility treatment?
We don't have a "next time".
Dr. Fujiyoshi.
You're here?
Yes.
My wife does not know.
He will kick inside my stomach.
Huh?
Kick with all his might.
This baby is already our child.
A wonderful child.
Our families think so too.
That's why, when we conceived this child,
we were so happy.
That's why...
even if I die like this,
before that,
even if it's just for one minute,
no... even for just one moment,
I want to hug this child.
Even if it's just a split second,
if I can see this child be born
it'll definitely make me feel that...
living with this disease until that moment was all worth it.
Togashi-san.
I will have her...
give up the baby.
What do you mean?
Right now, she will never do the operation for the sake of the baby.
She will die if this goes on.
But, the baby?
The baby...
This baby...
was our dream.
But,
Yukari's life is the most important one.
Is that so? [Gynecology Department]
It has to be at least eight months for premature delivery, which is 28 weeks.
To give birth before that will be very dangerous.
The baby will die.
As expected.
Who's the guy?
Doctor of which department?
The one from the Cardiac Department, isn't it?
Huh? What?!
No, it's not me!
How many months pregnant do I look to you?
No worries, I will keep it secret for you.
I won't tell anyone you came by, alright?
You're wrong, I tell you!
It's impossible, as expected.
[Anesthetics for Gynecology]
[Togashi Yukari]
Umm...
It's really impossible, isn't it?
The probability of Togashi-san getting pregnant...
She said that this is her last chance, right?
We're going to operate on Togashi Yukari.
Then...
The baby will...?
No.
We're going to save the mother and child at the same time.
Wait.
How are we going to save them?
36 weeks.
36 weeks?
Nine months.
These are the detailed medical records of Togashi-san.
MRI scan,
X-rays,
and the results of other check-ups.
Considering the condition of the fetus
wait for the baby to be 36 weeks old,
then undergoing Caesarean that won't be too much for the heart.
After that?
Then depending on the recovery status of the mother
undergo Batista.
I see.
The faster the Batista operation, the better for the mother.
On the other hand,
the later the fetus is taken out
the higher the chance of survival.
Monitor the status of the fetus,
wait until the last minute,
then undergo Caesarean section.
After that, undergo Batista?
Yes.
Under such circumstances, the heart can be saved until the last moment.
Of course...
balancing those conditions will be very difficult.
A slight operational mistake
can cause the death of the mother or the fetus.
Wait a minute!
The burden brought on the body by Caesarean section...
What if heart failure occurs?
That possibility is high.
In that case,
Batista and Caesarean...
done at the same time.
Done at the same time?
Can that be done?
We have to try.
But...
the anesthetics for such a situation?
How will the anesthetics be handled?
That's right.
Batista procedure definitely needs full anesthetics.
But we won't be able to estimate the effect of full anesthetics on the fetus.
Even if it can be born, the fetus will also die of suffocation.
First anesthesia will be from the spine to undergo the Caesarean.
After the fetus is delivered safely,
we'll switch to full anesthesia for the Batista procedure.
Dr. Arase.
From spinal anesthesia to full anesthesia...
handling the timing, anesthetics and the respiratory system management
are all very difficult!
But...
we have to try.
Save the newborn,
then undergo Batista.
Head surgeon,
Anesthesiologist,
Scrub nurse,
Artificial respiration system.
An error for just a split second will be fatal
for the mother and the fetus.
However...
together we can do it.
We performed the Batista procedure for a nine month old baby.
As long as we proceed with all we have,
success is not impossible.
Yes.
Let's go.
First, looking from the incision spot
the left ventricle is noticeably expanding.
The diameter of the final stage expansion of the left ventricle is 98mm.
The expansion is this part of the ventricular sidewall.
So this time we'll be doing the original Batista.
This time it's not the safe or overlapping method.
There seems to be some residue left on the heart walls.
We'll have to leave an even larger incision spot on this part.
- Scissors. - Yes.
According to the use of this incision,
a 15mm long incision should be left.
Yes.
Next is the formation technique of the bicuspid valve.
The heart won't be beating in this mock situation.
The actual operation will be done while the heart is beating.
Ijyuuin, be fast when performing childbirth suction. Make sure the child is out.
Yes.
- It'll be fine after the head comes out successfully. - Good.
- Miki. - Yes.
At the same time, prepare a free bending suction tube.
Yes.
Just in case, we have to verify the conditions of both operations.
- Scalpel. - Yes.
- Artery forceps. - Yes.
Umbilical cord removed.
Next, move on to Batista.
Starting full anesthesia.
- Scissors. - Yes.
Okay, that's good.
Next will be the formation technique of the bicuspid valve.
Full anesthesia. Starting from the left.
Thank you for taking care of me.
- Be careful on your way back. - Please take care.
Yes.
Are all preparations for the operation done?
Yes.
The last ordeal,is that tanuki* old man. [*In Japanese folklore is a raccoon-dog, a mischievous, shape-shifting creature.]
What?
You guys want to perform Batista on a pregnant woman?
- And you want to save the newborn and the mother? - Yes.
What is that?
If she's pregnant for 36 weeks,
- the probability of saving them both... - No, no, no!
I am the Head of Risk Management.
Such an operation will never be approved!
But if it's successful...
Meishin's reputation will shoot up in an instant.
How can it possibly be successful?
Perform Batista on a pregnant woman and save the fetus?
If it fails, the live public operation will be ruined!
- But... - If it fails,
what will we do if there's a lawsuit?
That will be a huge dilemma!
It's the patient's wish to deliver the child.
- She asked Dr. Asada to operate understanding all the risks. - No!
You're going to beg with your head bowed?
If it fails, we'll definitely be sued for malpractice.
That is what the patient will do.
Rather than that, the most important thing now
is the success of the public operation!
The public operation...
I will perform it.
I will definitely make it a success.
In exchange,
allow me to perform this Batista procedure.
Is there any guarantee of success for that Batista?
I will be performing it.
Is there a better guarantee that that?
No way.
I cannot approve it.
[Hokuyou Hospital]
You are?
You are Dr. Ijyuuin, right?
I am Kataoka Kazumi, the one saved by Dr. Asada.
How do you know my name?
Because Team Dragon is very famous.
I've heard about it.
About the patient with dilated cardiomyopathy.
Huh?
From Togashi-san?
Can you explain to me the circumstances in greater detail?
I am a medical journalist.
I might be able to help you.
I see.
Dr. Noguchi's power cannot be challenged.
If we can't get the approval, the operation cannot be done.
Dr. Noguchi...
There were rumors that he's fond of playing tricks.
Yes.
We have requested to admit Togashi-san to Hokuyou Hospital
and let Team Dragon perform the operation there.
And...?
It turns out, I was over-estimating myself.
Why do you say that?
Because I did not clarify things,
and said terrible things...
To Togashi-san?
I feel that I've unwittingly
become the type of doctor that believes
that all it takes is to find a cure for the disease.
But even if that's possible, it's all meaningless if the patient loses all hope in living.
I...
will convince Dr. Noguchi.
Huh?
- But... - I will also contact Hokuyou Hospital.
It will be alright.
Leave it to me.
Let's just say...
I have some influence there.
Even so...
If it wasn't for Dr. Asada
I would not be here now.
If there's something I can do to help you doctors,
I will give it my all.
These are the cardiac researchers from Hokuyou Hospital.
Dr. Fusei, Dr. Tokura, and Dr. Iwashita from Gynecology.
How do you do?
As mentioned before, this operation is a special case.
Considering the possibility of failure,
Dr. Noguchi of Meishin University Hospital has stipulated
that this operation cannot be done under the Meishin name.
Thus, we have invited doctors from Hokuyou Hospital to assist in the operation.
Yes.
Officially, the operation will be conducted under the Hokuyou name
and Hokuyou's doctors will be used.
Doctors from Meishin are joining in as assistants.
Yes.
But in fact, the operation will be carried out by Team Dragon.
Please understand.
Yes, understood.
Please guide us along.
You did well in convincing the owner of Hokuyou Hospital.
Hokuyou Hospital does not have much business,
so they want to work together with Meishin University.
There's no downside for them.
You even managed to convince Dr. Noguchi.
I promised to promote Dr. Asada's success in our magazine prominently.
On the other hand if he had not approved the operation,
refusing to save a dying patient would have resulted in bad PR for Meishin.
Playing both ways. Superb. You do know how to use some tricks.
To thank my savior, it's the least I could do.
Umm...
Thank you so much.
It's alright.
I should be the one saying that.
Come in.
I've already spoken to the owner of Hokuyou Hospital.
Remember,
the operation to take place there, has no connection with Meishin.
Get it?
Yes.
To me,
the success of the public Dor Operation is enough.
I want everyone to know about the potential of Meishin's doctors.
Utilize those hands of yours.
I'm really a little hesistant.
I'm not really clear about this public operation.
But doctor, you'll be there at the Batasuta...Batasuta?
- It's Batista. - Yes, yes. That's it.
You're the one that has successfully performed so many Batista operations.
You're a world-renowned doctor.
That's why I agreed to this public operation.
Is that so?
I read the newspapers. Team Dragon.
I'm at ease knowing Team Dragon will perform my operation.
Doctor, I trust you.
I will do my very best.
Your condition appears stable. No further symptoms of heart failure.
One more week until the Caesarean procedure.
According to this situation, it'll be fine right?
Thank you.
See you then.
Here.
This is a safe delivery amulet I got from the temple near my place.
My wife is also pregnant, so it was no trouble.
Arase?
Your child?
You're married?
with Kaori-san? The girl that was shot.
I never imagined I would.
A man like me, actually have a child.
So...
never mind. Good luck.
Thank you very much.
This place has a high capacity venue.
This is the original place where Meishin was reborn.
Indeed. It truly is great, Dr. Noguchi.
This has the feel of the Olympics. Finally it's going to be held tomorrow.
I have a feeling this will be a grand event that will go down in history!
Not listening at all.
Dr. Asada!
What is it at this hour?
Is it Togashi-san?
The Public Operation is tomorrow right?
There's a sudden change in her condition.
She's having complications. The strain on her heart is significant!
She won't make it if we don't operate right away!
- DOA, DOB, change to Number 3! - Yes.
Prepare for emergency measures!
- Yes. - Transferring to emergency room now!
Damn, it's only one week away from the target date!
It's pregnancy induced hypertension. The pressure on the heart is greater than expected.
If this goes on, she won't make it past twelve hours.
An immediate operation is impossible.
The Gynecology Department is not prepared yet.
- More importantly, Arase is not around. - What should we do?
If we prepare now, it might be ready for tomorrow afternoon's...
But tomorrow is the live operation...
Can we reschedule that operation?
Doctor, I trust you.
I will do my very best.
No, I promised to do it.
But...
Postponing it is impossible now.
If I don't do it, Noguchi will find someone else to replace me.
The patient...
put his life in my hands and agreed to the public operation.
Isn't there anything else that can be done?
45 minutes.
45 minutes?
Complete the operation in 45 minutes, then rush to Hokuyou Hospital.
The live operation starts at 10 am.
At 11 am, we'll perform Togashi-san's operation.
Are you crazy?
Dor Operation needs a heart bypass procedure.
No matter how fast, it'll take two hours.
- How is 45 minutes enough? - There is no other way!
I will make it somehow and show you.
Call Arase.
He'll do tomorrow's public operation. Without him, we cannot succeed.
I understand.
Only you can do it.
Come give me a hand.
Doctor?
You're still awake?
I can't sleep...
Tajima-san,
there's something I need to talk to you about.
Huh?
[Day of Live Demonstration]
Then we'll wait for you at Hokuyou Hospital.
Asada, Arase, we're counting on you guys.
He's really good at directing people!
Let's go!
We have no choice.
We'll now introduce the host of this live demonstration operation.
She's a Guest Professor at Meishin.
She developed a Trembling Elimination Device at Chicago University, the founding place of ER.
Professor Kitou Shoko!
Today's seminar is also brought together by Dr. Kitou.
I'm Professor Kitou.
Please allow me to explain.
We will now introduce the panelists.
Doctor, please hurry and begin the operation!
Germany, Frankfurt University Cardiac Department, Professor Franz Meier.
[Meishin University Hospital, Dor Operation]
Harvard University Pediatric Cardiac Department, Professor Michael Kane.
[Hokuyou Hospital, Batista Operation]
Excuse me.
Installation done.
It's time. Dr. Asada, please begin.
Gentlemen, feel free to ask any questions.
Please go ahead, Dr. Asada.
Long time no see.
Now we'll begin with Cardiac Bypass and Dor Operation.
- Scalpel. - Yes.
Pliers.
Electroscalpel.
What is the time frame for today's operation?
45 minutes.
45 minutes?
Please wait a minute.
Performing Cardiac Bypass and Dor Operation within 45 minutes?
That's right.
Please ask now if you have questions.
Interesting man, he hasn't changed a bit.
Oh yes.
The operation at Hokuyou is today too. So the time has been reduced to 45 minutes.
What is going on?
Uh...
[Hokuyou Hospital, Batista Operation]
[Hokuyou Hospital, Batista Operation's Viewing Room]
With this type of illness, what tactics will Dr. Asada take to gather the blood vessels?
From the images, they are all narrow blood vessels. According to the characteristics of the vessels,
I need to cut the two arteries on the sides and connect it to the right artery.
- Incredible speed. - The link has been completed in less than five minutes.
What is the procedure used to gather the blood vessels?
Blood flow at the ventricle is obstructed, so the cell mortality rate will decrease.
So the bypass is done in the CX RCA procedure.
After the connection is created, LAD is used for bypass.
- Pliers. - Yes.
- Suction tube. - Yes.
Then how is the boundary for cardiac muscle removal decided?
Done using the sense of touch.
A working muscle and dead muscle can be distinguished by touch.
Ah? By touch?
Bed adjustment.
[Hokuyou Hospital, Batista Operation]
[Meishin University, Dor Operation]
Looks like it can be done within 45 minutes.
Incredible.
Hmm?
Backflow in the bicuspid valve.
- Don't tell me... - Begin external hydromass circulation right away.
- Starting it now! ME can be used straight away! - Yes.
[Hokuyou Hospital, Batista Operation's Viewing Room]
The connective tissue holding the bicuspid valve is damaged.
The connective tissue of the bicuspid valve is damaged? This is bad.
Undergoing MVR is too late now.
MVR?
That will take at least two hours!
Blood pressure 67.
The condition is critical now!
Asada!
[Meishin University, Dor Operation]
- Prepare artificial heart, speed up. - Yes.
- 3/0 thread. - Tourniquet, two.
Scalpel.
Blood transfusion tube.
[Hokuyou Hospital, Batista Operation]
[Meishin University, Dor Operation]
Blood vessel tube.
[Hokuyou Hospital, Viewing Room]
- Pump on. - Yes.
External circulation has began.
Alright. The reconstruction of the blood vessel path is complete.
After that, it's the stitching of Dor, MVR, and LAD.
But the biscuspid valve replacement operation will take two more hours.
No.
- I'm done here. - What do you mean?
Did I say that I will be the head surgeon until the end?
What?
Up until now, it has been simple stuff.
I'll give you passing marks.
What is going on?
Change of Head Surgeon.
What did he say?
What is going on?
What are you talking about, Asada-chan? You're the lead character.
What do you mean, you're switching places with the doctor next to you?
The new surgeon is a Guest Professor of the Cardiac Department at Columbia University.
Kirishima Gunji.
Kirishima?
Only you can do it. Come give me a hand.
I understand.
This is Dr. Kirishima that I told you about earlier.
Of course, he has taken part in pre-operational checkups.
He has also gotten the permission of the patient.
What a turn of events!
So the meaning of 45 minutes has been to change the Head Surgeon.
I see...
Hurry, get going.
From here on, it's my stage.
It's time to let people see my powers at work.
That's right. This is the live performance that Meishin's proud of.
I'll leave first.
We'll begin repairing the bicuspid valve backflow. After replacing the bicuspid valve,
we'll go into Dor Operation as planned.
According to the condition of the patient's heart, it will be done by keeping the heart beating.
On Pump Beating?
Can that really be done?
- Scalpel. - Yes.
- Pliers. - Yes.
From the opening, the damaged connective tissue can be seen.
While repairing the expanded tissue due to the heart disease,
we will repair the connective tissue also.
This is also the topic that Dr. Kirishima has been researching.
A revolutionary new technique of repairing a cardiac muscle valve.
[Hokuyou Hospital, Batista Operation]
This way we won't be able to make it.
It's no good!
Use artificial heart!
Yes!
Dr. Arase prepared the anesthetics yesterday. Please retrieve it!
Yes.
Baby...
My baby...
Not here yet,
Asada?
[Hokuyou Hospital, Outside Batista Operating Room]
Now, we'll begin Caesarean and Batista at the same time.
We'll go according to the mock operation.
Let's go.
Blood pressure stable.
Alright.
Begin anesthetics outside the membrane.
Already doing it. Amount is 2.5, lowering her head.
Let's begin.
- Scalpel. - Yes.
Arterial forceps.
Electroscalpel.
Entering the uterus.
That's fast.
Opening the uterus.
Anytime.
I'm prepared here too.
- Scalpel. - Yes.
Full dilation.
Scalpel.
Not crying.
Ijyuuin.
Yes.
He's a very healthy boy.
Thank you.
Alright. Now it's your turn.
I'm so relieved.
Please be strong!
Ijyuuin-kun.
It is only the beginning now.
You don't want this child to feel the pain of losing his mother, do you?
Your husband is waiting for you, too.
Arase, full anesthetics.
See you later.
Don't worry. I'll definitely bring you back.
One.
Two.
Three...
What a huge heart!
She has managed to survive this long.
It's to Dr. Fujiyoshi's credit.
No, it's not just that.
There's also the great desire to become a mother that has sustained her.
Install the artificial heart.
Undergoing alteration of the bicuspid valve.
- Scissors. - Yes.
Make adjustments approaching from the left ventricle.
- Sewing thread. - Yes.
Scissors.
Bicuspid valve alteration, complete.
Finally he's starting the Batista operation.
We'll now determine the degenerated portion.
It's here.
From here to here.
Ijyuuin.
Come confirm it.
Yes.
What's wrong?
The baby...
The baby?
has symptoms of HLHS.
[HLHS: A congenital abnormality in which the left side of the heart is severely underdeveloped.]
HLHS, Hypoplastic Left Heart Syndrome?!
A heart disease of newborns!
HLHS?
A hereditary heart disease in newborns!
What...?
If nothing is done, the fatality rate within one week is 70 percent.
The foramen ovale is blocked, blood pressure is down.
Unconscious and unable to circulate the blood efficiently, it's critical.
If we don't operate fast, he'll die of circulatory failure.
What? Dr. Asada hands are tied now.
Asada.
What should we do?
Ijyuuin.
You'll do the Batista.
Huh?!
- What did you say? - There's no time!
This is the only solution.
- But.. - This is the only way!
Even if I die like this,
before that,
even if it's just for one minute,
no, even for just one moment,
I want to hug this child.
I'll do it.
I've seen Dr. Asada's operations hundreds of times.
I have practiced a lot, too.
Ijyuuin.
Can we do this?
We have to.
From now on, Ijyuuin will be the head surgeon for Batista.
But who will be Dr. Asada's assistant?
I'll do it.
Who else can do it?
Everyone,
I'm counting on you.
From here, we'll cut off the degenerate portion.
- Scissors. - Yes.
I promise...
you will see your child.
What is going on? They actually changed the head surgeon for the Batista?
Plus the newborn has HLHS.
The fetus will survive the pregnancy in many cases, and will appear normal,
thus it is difficult to discover the disease.
The innate left ventricle and aorta show obvious pathological change.
The bloodflow from the heart to the body will not be smooth.
To make up for it, blood circulation from the atrium can only be fixed by opening a new path and the aorta.
Thus, if either the opening or the aorta is blocked,
the baby will die.
HLHS.
A rare illness with a probability rate of one in a few hundred thousands.
So you've done an HLHS operation before?
No.
No?
You're going to do an operation you have no experience in?
That's insane.
No matter how good you are, the heart of an adult and newborn are totally different.
It's just like asking a neurosurgeon to perform a respiratory tract operation.
What are you planning to do?
- Make a call for me. - What?
There's someone who can do it.
How can that be?
Don't tell me...
We have to gamble on this possibility.
I've told her the situation.
Ah wait, doctor!
I heard about the newborn with HLHS.
The foramen ovale is blocked, Norwood operation must be done right away. [Norwood: complex first stage operation for HLHS.]
Foramen ovale is blocked, can it be cut open?
It can't.
It's bluish purple and still in an unconscious state.
Have you done congenital heart operations before?
No.
I'm sorry to say, it's impossible.
But this is beyond your abilities.
Wait until I get there.
I can't wait for you!
This is ridiculous! You don't have any experience and still want to perform a Norwood operation!
Not to mention trying to pass on instructions over the phone.
Kitou!
I can't just wait here
and watch this child die.
In the other operating room,
Ijyuuin is fighting a battle now.
[Hokuyou Hospital, Batista Operation]
In Meishin's operating room,
Kirishima is also fighting a battle.
[Meishin University, Dor Operation]
I can't let them fight,
and do nothing myself.
I understand.
I will bet on your skills.
Starting here...
we will perform The Norwood Operation.
What is he thinking of doing?
He's going to perform an operation he's never done before over the phone?
Does this mean he can close his eyes and operate via instructions?
That's impossible.
From the center, cut open the front part of the sternum carefully.
Open the chest.
Scalpel.
Gauze.
They're really doing it.
The anatomy of a newborn is very fragile.
The formation of each organ is very small.
Chest bone scissors.
A slight mistake will cost the baby his life.
- Chest opener. - Yes.
Plus, depending on directions over the phone is ridiculous.
Cut open the heart membrane carefully, showing the heart.
Scissors.
It's so small.
Tell me the situation now.
Aorta at 2mm.
Surrounding arteries, 10mm.
Artery crown, 7mm.
The heart seems to only have a right atrium. The left atrium has taken its shape already.
The heartbeat rate of the right atrium is very high
and there's the backflow of the bicuspid valves.
What did you say? Backflow of bicuspid valves?
If you continue with the Norwood operation like this,
too much bloodflow in the pulmonary artery will cause the valve backflow to be more serious.
Heart or respiratory failure will definitely occur.
Are there any other methods?
In the past, Dr. Norwood
has used RV-PA streaming to undergo insertion of tubes.
Because it doesn't match with the small heart of the newborn
and a large opening is created,
it will create a bacterial infection with heart failure and will not succeed.
That also means that nothing can work now.
No.
I want to continue the operation.
Asada.
So long as there's a small possibility, I will not give up.
But the outcome is inevitable.
Even so, I want to continue!
I understand.
It doesn't matter what I say.
Then begin installing the artificial heart.
Installation of artificial heart.
Okay.
Heparin, in. [Heparin: Injectable anticoagulant.]
After sewing the artificial blood vessel to the artery, begin the work of the artificial blood vessel.
- Preparation complete. Begin artificial heart. - Yes.
Blood circulation stopped. Wait till the temperature of the rectum drops to 18 degree Celsius.
Temperature of the rectum has dropped to 18 degree Celsius.
The body temperature dropped very fast.
After the blood circulation has dropped,
you only have forty minutes.
Taking more time than that might cause brain damage to the newborn.
Begin.
Beginning.
- Stop blood circulation. - Yes.
The foramen ovale at the atrium will expand a lot.
Do not let the blood from the left atrium flow back to the right atrium.
Arterial forceps.
Scissors.
Build another aorta.
Yes.
Bent pliers.
- 8/0. - Yes.
Construction of new aorta completed.
It only took thirty minutes.
Next, remove all external circulation quickly.
- 2/0. - Yes.
To make sure the blood flows towards the pulmonary arteries that are in recovery,
insert a 3mm PTFE tube between the left subclavian aorta and the pulmonary artery. [PTFE: artificial artery]
This creates a new bloodflow, forming a BT shunt. [BT shunt: temporarily used to direct blood flow to the lungs while the infant is waiting for corrective surgery.]
Beginning BT shunt.
Arterial forceps.
- 3mm PTFE tube. - Yes.
- 7/0. - Yes.
- Scissors. - Yes.
Cancel external circulation.
That's it. Up until now was The Norwood Operation.
Superb.
He actually performed The Norwood procedure.
But what to do next?
After the operation, it causes atrioventricular valve regurgitation easily. This method is unable to adjust the amount of blood flow to the lungs.
Too much blood in the lungs will cause a rise in blood pressure.
After that, there's no way to save it.
I can only guide you
up to this stage.
Although The Norwood was a success, but the patient...
There was no other way.
It was inevitable. Everyone did their best.
This is bad.
Diastolic pressure is going down, the heart function is also unstable.
Brady. [Brady: slow heart rate]
If this goes on, the heart will stop.
- Asada. - Switch pump on again.
Pump start.
Bring a 5mm PTFE tube.
What?
- Prepare a 4mm crown artery too. - Yes.
Wait. Dr. Kitou's guidance did not mention such a method.
I'm giving up Norwood.
Changing it to RV-PA Conduit.
- This is a method from the past, it will still fail in the end... - Wrong.
Considering the circulation movement of the bloodflow, this is the most ideal method.
What do you mean?
What is different from Norwood is
the size of the streaming device.
The problem is the excessive amount of bloodflow in the streaming device
and the area removed is too big.
Preparation of tubes done.
So you're remaking an artificial artery of this size.
Yes.
Pinning hope on this possibility, you have been searching for new paths?
It might work, 75kg.
Let's go.
- Control anesthetics. - Yes.
Needle.
- Puncher. -Yes.
- 6/0. - Yes.
[Meishin University, Dor Operation]
Scissors.
[Hokuyou Hospital, Batista Operation]
The bloodflow has stopped.
- Doctor, please shut down the circulator. - Yes.
Alright.
[Hokuyou Hospital, Newborn HLHS Operation]
- Scissors. - Yes.
RV-PA sewn.
Operation complete.
End circulation.
Diastolic pressure is not going down. This will work.
- Be careful of latter stage stitching. - Yes.
What did he do?
Bicuspid valve and Dor Operation complete.
Batista...
complete.
HLHS...
complete.
[Meishin University, DOR Operation]
[Hokuyou Hospital, Batista Operation]
[Hokuyou Hospital, Newborn HLHS Operation]
What kind of person is he?
Just hanging on to a thin line of hope, he invented a new way to save people.
If not for you,
this child would not have been saved.
Thank you.
I would not have been able to save him myself.
Although this is just being polite.
Asada Ryutaro...
He did well.
He's like his mother, a very strong child.
What a headache.
I came here to watch your public operation and I actually had to do it.
Under the circumstances, the only one I could ask to help was you.
I guess that's true.
My team is a good one, too.
Yes.
One day, my team will be as good as your team.
I'll be waiting.
Oh, excuse me!
Look at this!
- What? - Look at this.
[Batista Operation successful for nine months pregnancy]
[Meishin University Hospital Cardiac Surgical Department's pioneering work]
[Undergoing public operation at the same time]
What is going on?
These operations are done by Hokuyou Hospital!
These people are really cunning.
The owner of Hokuyou is really smart.
Huh?
If the operation succeeds, Professor Noguchi will say that Meishin did the Batista Operation.
So using the success of Batista as bait, the discussion is to cooperate with Meishin's business.
Business cooperation?
That means, having Meishin pay a large fee,
transferring the doctors over from Hokuyou Hospital.
Hokuyou Hospital gets the money.
We can increase our Gynecology, Urology, and Cardiac Department manpower.
Both parties gain.
If no one investigates these matters, no one will know.
Plans were made from the beginning, predicting the Batista would succeed.
They are really the elite! Would other places do such things?
But if doctors come to Meishin, what happens to Hokuyou?
It doesn't matter. They are a foreign investment company.
They only think about the money.
The hospital fails, the building is sold, then everything is over.
The owners there do not consider patients as human beings.
Oh, Yamashita! What about today?
It's no good.
Today, I'm going home to "service my family".
There you go again!
What did "this" mean just now?
This?
To put it simply, it's like this.
This is it. Quotation marks.
Foreign investment companies' medical sales use it a lot.
What about it?
Foreign investment company?
Wait, hey!
What was that?
Eight months ago, a hit and run accident occurred at Meishin University Hospital.
Today, the police arrested a woman named Matsuzaki Yuriko for the hit and run.
The reason being, the suspect's son was staying at a hospital taken over by the victim's foreign investment company.
The suspect's son died under the care of the hospital.
Hatred grew in the suspect, thus creating this tragedy.
The hospital used tough policies dictated by the foreign investment company.
The police are currently investigating the details of this case.
Is that so? Thank you so much!
I'm free anytime.
Then, I'll wait for your invitation.
Thank you so much, goodbye!
It's great! Media requests are coming in nonstop.
Meishin will become famous.
Hokuyou will get their large sum transfer fund, too.
Dr. Fujiyoshi!
What's wrong?
This, this email.
I also received it.
You didn't distribute this?
No.
Umm...
Togashi-san was referred to you by someone, right?
I think it was some medical reporter.
You dropped this.
Did you think it would turn out like this from the beginning, owner?
Of course, we are an investment company,
and will not do things if there's nothing to gain.
But, the hit and run incident was indeed a little unexpected.
But because of that, I was able to experience Dr. Asada's operation.
Using the hospital to make money. I didn't think there were such experts.
Doctors are commodities, too?
Human lives are the most valuable, Dr. Noguchi.
Team Dragon is the best commodity.
All these were arranged by Kataoka-san!
Recommending Dr. Fujiyoshi to Togashi-san,
writing emails to Team Dragon members
and having the operation at Hokuyou, too!
We have been tricked by that woman!
The reminiscent tone of the rain
I can hear every time I close my eyes
I didn’t notice until now
A flower blooming in the concrete
Everyone is naturally given one heart
Before I knew it, I forgot this, however,
The flower gave me
Encouragement and motivation
In my big and small chest
They will be active eternally
As long as I can hear your voice
I will not give up. I’ll be there
I’ll be there
[Preview] I'm always considering a new technique that exceeds Batista.
These are my rules.
Stop treating that patient.
You're not qualified to be a doctor.
This will break up the team.
This type of hospital should be close down!
I am a doctor.