I came back to Japan because I want to build a team.
We need medical institutions where anyone can receive equal medical care, and healthcare for the local community.
Your hospital, which has made this its objective, is bankrupt.
What do you intend to do with Hokuyou Hospital?
Steadily transfer unprofitable Meishin patients to Hokuyou.
Hokuyou will undoubtedly become Meishin’s rubbish dump.
Do you intend to throw everything away for that old man?
Meishin is my hospital.
I won’t let anyone remain who defies my plan.
He wants to completely destroy our team.
75kg. Don't let them destroy you.
Completely destroy him at Hokuyou.
I don’t have time.
I will build the strongest team for the sake of the patients.
Considering the bicuspid valve replacement he had in the past, his artificial valve could be functioning partially. [*A heart valve between the left atrium and ventricle.]
There's also a possibility of constrictive pericarditis. [Constrictive pericarditis: Inflammation of the sac surrounding the heart.]
Call Asada.
That surgery will be a failure.
Is this Meishin University Hospital?
Please accept an emergency case.
Male. 70. In a state of shock.
His vitals are...
Huh? Not possible?
Okay.
It’s impossible.
The present Meishin won’t take any risk with such an elderly person.
- Let's send him to Hokuyou. - Okay.
[Hokuyou Hospital]
Excuse me.
Please take this.
You’re the ME, aren’t you?
I’m Ijyuuin.
Please give me your guidance.
Umm, this...
I don't drink caffeine.
What?
I’m the sort who doesn’t drink caffeine.
To think I went to the trouble to buy this.
- Umm, if you don’t mind, please take this. - Huh?
It's coffee, if you'd like...
I only drink espresso.
What was that?
Who does he think he is?
Huh? Why?
- Fling. - Huh?
Did you say something?
- Queen of flings. - Huh?
Her?
Kodaka Nanami.
Anesthetist.
Age unknown.
Rumored to have been shunned from the medical department when her fling with a professor came to light.
Is that so?
Can we really form a team here?
- Team? - Ah!
You’re here?
You reek of alcohol!
You're that youngster from the Batista team?
Well, yes.
How can an elite be demoted to such a hospital?
Demoted!
Well, I guess so.
Team...
Team, team, team!
If you can form one,
try and do it!
He’s drinking in the department.
Is that okay?
[Matsudaira Kotaro, gastroenterological surgeon 33 years old, alcoholic Hasn’t held a scapel in years]
Is it going to be alright?
With these people...
Hello?
There’s an emergency case.
Vitals: blood pressure 70/30, pulse 110.
He’s in a state of shock.
Nishizawa-san!
It’s a sudden heart attack.
Prepare a dilator.
Is it because of the tumor?
Bring him to the ICU first.
Asada will change everything?
We will fall into difficulty?
I wonder?
Meishin’s new savior is here.
Come in.
Grandfather!
His condition is temporarily stabilized after the vasodilatory drug we gave him.
But if he has another attack...
Doctor, please save him.
Please.
A complete pre-surgical evaluation has been done.
We’ll perform an emergency surgery now.
This is the director of the new Meishin.
Dr. Kitou Shoko.
Huh, emergency surgery?
- I didn’t hear about it. - It’s not a question of whether or not you heard about it. We want you to help.
The ME too!
Emergency surgery?
What? What?
Surgery?
Will you let me operate?
Well, anyhow please help.
It's an emergency.
Okay.
Let's go everybody!
The vision of Meishin Medical City resonates deeply with Dr. Kitou.
She is staking her entire career as a doctor on realizing this medical city.
You're the director of Hokuyou Hospital?
Yes.
Is it true that Dr. Asada plans to form a new team at Hokuyou?
Excuse me.
Dr. Asada.
What about the others?
Well...
Aries, Aries.
This month's horoscope is...
Disregard one's surroundings, believe in one's self?
Hmm, what about love?
You'll have a chance encounter.
It can't be helped.
We'll go ahead with these members.
Let me do it.
I've heard rumors about you.
My technique isn't inferior to yours.
Okay.
You'll stand opposite.
Opposite?
That's first assistant.
Ah, Dr. Fujiyoshi!
I finally found it.
A copy of the surgical record.
Alright. I'll come back right away.
Nishizawa-san has been taken to our hospital.
Who?
Nishizawa-san, the man you tried to fix by calling him a claimer.
His heart is abnormal.
Well...
Please leave the rest to me.
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:03
Translator jade_frost
Timer Dismantle
Spot Translator motao
Editor tenniscalgal13
QC autuymnrain
Karaoke SFX zeldAIS
Encoder doggieusa
Coordinator scarlett0512
Anesthetist,
you're not done with the intubation?
- Ah, yes. Right away. - You're slow! You're trying my patience!
[Time under anesthesia]
The anesthesia took 90 minutes to set in.
If it was Dr. Arase, it would be 30 minutes.
Now we'll perform pericardiectomy. [Pericardiectomy: Surgical removal of part of the sac surrounding the heart.]
Scalpel.
- Forceps. - Gauze.
We'll open the chest.
- Forceps. - Yes.
- Harmonic. - Yes. [Harmonic: An ultrasonic cutting and coagulating scalpel]
- Clamp. - Yes.
- You're pretty fast. - Open your side too.
Yes. Yes.
- Forceps. - Yes.
- Harmonic. - Yes.
Watch carefully and learn.
Boy.
So this is why.
That's why Dr. Noguchi opposed it all that time.
It's dangerous, Asada.
Incision to open chest completed.
PA is high! [PA: blood pressure]
Anesthetist, can you bring it down?
Hey, anesthetist!
Oh, no...
We can't depend on him. Let's proceed.
We'll separate the adherent pericardium.
- Forceps. - Yes.
- Harmonic. - Yes.
- Forceps. - Yes.
- Stille. - Yes. [ Stille: Bone cutting forceps.]
Ijyuuin.
Is that female anesthetist in the department?
Yes.
- Go and get her. - Huh?
Right now?
This anesthetist, alone, won't do.
Okay.
We can adequately handle the separation of this adhesion.
[Constrictive pericarditis]
[Surgery will be tough]
Huh?
What is this?
This is...
A tumor?
Even if it is, it's too big.
I've never seen one like it before.
This is the cause of the ventricular failure.
What is this?
Gauze.
Huh?
Gauze?
[Gauzeoma]
Gauzeoma.
It's the adhesion of gauze to the heart which becomes similar to a tumor.
Why is there a gauze?
Could it be that they forgot to remove it during the last surgery?
- That's right. - You must be kidding.
Nishizawa-san underwent a bicuspid valve replacement at Meishin 8 years ago.
Most likely, the surgeon, bewildered by the bleeding, left the gauze behind in the heart.
That gauze adhered to the heart, developed like a tumor, and put pressure on the heart.
I can't believe it.
That gauze was left inside for 8 years.
Doctor, the bad premonition you had has come true.
Yes.
This extent of adhesion will make the separation of the gauzeoma difficult.
Further pressure and the blood pressure can't be maintained.
We'll perform surgery to separate and extract the gauzeoma.
This is getting interesting.
Anesthetist, raise the volume.
Extraction of gauzeoma?
Yes. That will be quite difficult.
Our staff isn't at its best.
Even with Dr. Asada's skills, I don't know if the surgery will be successful.
Isn't that your aim?
If you don't mind, shall we go to Hokuyou together right now?
Seeing the affiliate hospital will serve as useful reference in the future.
Let's begin.
The gauze, closely adhered to the thickened epicardium, has become one with the heart. [Epicardium: outer layer of the heart wall]
This has to be detached little by little.
But if overdone, it will result in damage to the myocardium. [Myocardium: heart's muscular wall]
It will be extremely difficult to make sure of this.
Impressive.
He's steadily separating it.
Please.
The patient's life is in the balance.
I said I have an appointment at the beauty salon.
What are you saying?
You're on duty.
I haven't administered anesthetics for years.
I've already forgotten how it's done.
Aren't you from the Department of Anesthesiology?
Hey.
What is it?
That middle parting is on purpose?
It isn't!
Come, take of your glasses. Your glasses.
Hey, please stop it!
Please stop it!
He's perfectly separating the gauzeoma, which has adhered to that extent, without injuring the heart.
As expected of him.
- Change the tip. - Yes.
Let me do it.
What's left is the separation from the ventricular apex. Alright?
Okay.
Give it a shot.
Harmonic.
- Hurry up! - Yes.
He's fast.
The layer he is separating is also precise.
Not bad.
Anesthetist, how is the intraperative CO? [CO: carbon monoxide]
Huh, ah.
You still haven't measured it?
Hurry up, you idiot!
CO: 4.8, CI 3.02 [CO: carbon monoxide; CI: cardiac index]
Okay.
That's alright.
Bucking!
Inadequate depth of anesthesia?
The left ventricular apex has been damaged.
Anesthetist, what are you doing? This is your mistake!
Turn the surgery over to me.
I'll secure the suture line after the incision.
- Harmonic. - Yes.
It's your fault!
Prepare suction!
If he doesn't quickly repair the damage, it will be too late.
Ryu-chan.
Okay.
Raise the volume.
Calm down.
Do a head down.
Yes.
Toyama, give me some view.
- Pump standby. - Yes.
Increase the depth of anesthesia.
- Use a muscle relaxant. - Yes.
Bucking?
I came a little late.
You!
Ijyuuin, help with the femoral vein catheterisation.
Yes.
I understand.
I've just arrived.
We'll speak later.
What's the matter?
It seems there was bucking.
Hence the left ventricular apex was damaged.
At this rate, it's likely that there'll be a death bed.
Surgical death.
You're a doctor?
From your conduct, I think that you're a doctor,
or at least possess similar knowledge.
If not, it'd be impossible for you to know so much.
No.
I'm a business person.
Let's go.
- Ijyuuin. - Yes.
Now we'll repair the damaged part.
- We must be quick! - Yes.
Let's change places.
- 4-0 surgical suture. - Yes.
The blood pressure has dropped to 40?
If he can't do the repair,
it's likely that the patient will die from excessive blood loss.
We'll protect them.
We'll protect the patients who come here.
I want to build the strongest team for the sake of patients.
Pledget. [A small pad used to medicate, drain, or protect a wound or sore.]
Such speed!
Good.
Use a short-acting beta blocker to adjust the heart rate. [Beta blocker: slows heart beat, lessening heart muscle and blood vessel contraction force]
Rather than tachy, brady is easier for repair. [Tachy: rapid heart rate; Brady: slow heart rate]
Yes.
- Scissors. - Yes.
Repair of damaged portion completed.
After this, we'll excise the gauzeoma.
Gauzeoma excision completed.
Blood pressure restored to 80.
Alright.
All that's left is to stop the bleeding and then close the chest.
Yes.
Thank goodness! He made it through.
- Let's go. - Okay.
The surgery is over.
Thank goodness!
The postoperative management won't be a problem?
Huh?
Yes, I'll manage.
Please.
Yes.
Grandfather!
What are you doing?
It's all because this guy didn't do a proper job in anesthesia management.
Still, there's no need to hit him.
I won't work with such a hopeless team.
Are you alright?
Why didn't you say anything?
Dr. Asada.
Huh?
He's a good man.
What are you saying?
This isn't the time to say such a thing!
Don't be jealous, don't be jealous.
I'm not jealous!
Do you really intend to give up the vision of the medical city and work here?
Yes.
Human beings are given talents.
No doubt this small hospital needs doctors to work here.
But there are also the chosen people who should exercise their talents on the world stage.
People just like you and me.
Not making use of your given talent, that alone is a sin.
Why?
There are patients here who need me.
That’s all.
As I expected.
It seems that the Asada Ryutaro I know no longer exists.
The complete egoist who only thought of honing his skills.
That's why Asada Ryutaro was a genius.
I agree with Noguchi's vision.
Instead of saving one person in front of us,
we aim for medical care that can save 10,000 people 10 years from now.
I will use all of my resources to advance this cause.
You will just rot away with this hospital for the sake of that one person before you.
I heard that Dr. Kitou is Meishin’s General Director
and Meishin Medical City’s executive committee member.
That was why she came from America?
She gave up her position as Chicago University’s visiting professor and came to Meishin.
She’s serious about it.
Why?
In a certain sense, Dr. Kitou is a complete realist.
If she could become the top Japanese authority in the world’s cutting edge medical care,
she’d even join hands with Noguchi.
The idea!
Asada, you’re just in time. Come here for a minute.
Ijyuuin, you too.
Gauzeoma?
If there's a way out of that...
Please leave the rest to me.
This is Nishizawa-san's surgical record from eight years ago.
The young doctor called Yamamoto who did the bicuspid valve surgery bothers me.
He was suddenly transferred to a district hospital right after this surgery.
It was very sudden.
This is...?
Operating surgeon: Yamamoto Kunihiro
On a closer look, it is clear that this part of the font is different from the rest.
Altered?
The surgical record?
Another person was the actual operating surgeon.
Look at the surgical team.
There are too many nurses and assistants.
There is only one person who would take along so many people to perform a bicuspid valve replacement.
Dr. Noguchi!
That's right.
It would have been fine if I didn't do that surgery.
Excuse me.
You're hindering me. Take your hand away.
- Gauze. Quick. - Yes.
The drug has been stopped?
How is his liver functioning?
It's still not done.
Where is it coming from?
Suck it up.
Gauze.
How is this?
Good. The bleeding has stopped.
Isn't this good?
It's likely that after that, Nishizawa-san complained of health problems and they took a CT at his request.
They realized that gauze had been left behind.
But no one dared to inform Noguchi.
Ah! Dr. Noguchi!
Doctor, thank you for the surgery.
What's the matter?
He had a slight, lingering fever, so he had a check up.
They said everything is fine.
But he seems to be in pain.
Everything is fine?
Yes. They said nothing is abnormal.
That's too much.
Doctor?
I see. It's probably a cold.
Oh?
I'll make sure they prescribe medication for his cold.
Really? That would be great.
Well, he has been saying that he doesn't feel good here.
How can there possibly be a problem if Professor Noguchi performed the surgery, I said.
Madam, that's not the case.
Huh?
I'm a professor so I won't personally perform surgery.
The surgeon was Dr. Yamamoto.
I was present because I was concerned.
Is that so? I assumed...
Oh, no. I've made a mistake.
Well then, take care.
That's outrageous!
It's a serious medical error.
In addition, it's a heinous cover up.
That's why they called Nishizawa-san a claimer and tried to bury the matter.
We certainly...
have a duty to speak.
That's right.
This is a big scandal!
It'll be a medical malpractice lawsuit, won't it?
Nishizawa-san.
We have something to say...
Dr. Fujiyoshi.
Dr. Asada, too.
What's the matter?
Could it be about the gauzeoma?
If that's the case, I'm about to convey a message from Dr. Noguchi to Nishizawa-san.
Although he's no longer around, this was a mistake made by a surgeon of Meishin.
Dr. Noguchi also feels a heavy responsibility.
Needless to say, your entire medical bill will be paid for.
- He also wants you to accept some consolation money. - Wait a minute!
In the first place, the surgeon was...
It's not a matter that will be closed if money is paid.
But Nishizawa-san has already accepted.
Nishizawa-san, if you wish, you can file a medical malpractice lawsuit.
Medical malpractice lawsuit?
- Such a serious matter... - This is sufficiently serious.
Filing a lawsuit costs a great amount of money.
Won't it be fine if it is won?
I'm afraid, in that case, Meishin will hire Japan's top lawyers.
Furthermore, the trial will take time.
Do you intend to have an elderly Nishizawa-san make countless trips to the courthouse?
This is 200 million yen in consolation money.
Please accept it.
Nishizawa-san,
I heard that your wife, who couldn't be here with you today, has poor health and is recuperating at home.
Won't you accept it for the sake of your wife?
I think she's at home, worried about you.
From now on, the both of you can put this money to some use.
I'm sure your wife will also be happy to accept it.
Rather than striving in vain,
we should open our minds to the best way that benefits the both of us.
Nishizawa-san seems more amenable than you doctors.
That is Dr. Noguchi's...
No.
That is your way of thinking?
In business, I always look for ways for mutual gain.
- I strive for a win-win solution. - This isn't business!
Damn!
What kind of woman is she?
To think she has a pretty face.
The surgeon was Dr. Noguchi!
Don't raise your voice.
I was also shocked.
But there's no proof.
The copy of the surgical record.
Impossible. Impossible. Impossible. Impossible.
The lips of the entire surgical team are sealed.
Between Dr. Noguchi and that old man,
who is scarier?
After all, there’s the saying, “If you can't beat them, join them."
By the way, why are you here?
Because this is our business partner,
I've come here today to get data for the publication of my thesis.
I'll come around again.
Wow! Wow!
Sssssssstrike! Strike! Strike! Strike!
Oh.
A strike here too.
A twinge. I feel a twinge.
I like that type very much.
It can't be helped.
I don't have a good understanding of lawsuits.
I hate to admit it, but it would certainly be helpful if we had that money.
There are no problems with the results of the blood sample that was taken.
It's fine.
Thank you, doctor.
Doctor...
Yes.
Was the talk about the gauze just now true?
Yes.
If you wish to file a suit, we will give you our full cooperation.
Lawsuits...
I may suddenly die while the proceedings are going on.
Is your wife...
alright?
Eight years ago, your wife accompanied you.
She must be worried.
My wife no longer knows what’s going on.
Especially these days...
She wasn't that healthy.
During my previous surgery, she'd say "Let's go to the hospital" or the like.
She was always taking care of me.
When a person is absorbed in caring for another person, they will forget about their own affairs.
Three years ago, all of a sudden it happened.
She’s stayed at home since.
She can’t go out on her own anymore.
However,
her alma mater has an alumni reunion in the neighboring prefecture, even now.
I see.
Only then does she seem to have various recollections.
She'd strangely perk up.
In the morning, no, before she goes out, she will put on lipstick and her hat.
To her, it's the only time in the year that she goes out.
And my role is to accompany her.
If we aren't together, she can't go.
I see.
That's why. That's why,
I have to get well.
I can’t collapse.
I can’t.
Is that so?
Nishizawa-san has been safely discharged?
This morning.
You're true to your reputation, Kataoka-chan.
Because people are astonishingly simple in the face of money.
People can't live on their ideals.
Those fellows should understand a little of that by now.
Be careful.
Take care of your health.
I'm glad that I came to seek medical treatment at this hospital.
I think my wife, who pressed me to go for the check up eight years ago, will certainly feel the same way too.
Thank you very much.
Let's go.
Can we have a meeting after this?
Yes.
Ah!
Yes.
This is a message from Nishizawa-san.
He cannot accept this.
Also, he said that even without your concern, his wife will be well.
Shall we walk up?
It's alright.
My heart has healed.
This is the reason.
Please give me your cooperation once again.
In the end, you came over to Dr. Noguchi’s side.
In any case, you will follow my instructions from now on.
And you should eliminate all contact with Asada and the others.
I’m going to see an operation.
Because they’re our affiliated hospital.
It won’t be any use.
There's only an anesthetist who caused bucking.
Although the female anesthetist who turned up later was somewhat better.
Female?
A surgical team is like a multiplication table.
If a zero is put in, everything will be zero.
Even if Asada, alone, is a hundred, that team is hopeless.
It could be minus rather than zero.
You understand, don’t you?
The conference is going to start.
But...
If a minus is multiplied with a minus,
it becomes a plus.
And it will be a fairly big plus!
What are you saying?
You’re back?
Kodaka... Nanami.
The reminiscent tone of the rain
I can hear every time I close my eyes
A flower blooming in the concrete
I didn’t notice until now
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] Call Dr. Asada!
Emergency surgery. Operating Theater 3.
Hey, ME what are you doing?!
They're Team Kitou members.
If we have your support, the Former Minister of Health, Labor and Welfare,
discussions will be faster.
Let me see.
She has Marfan syndrome. AR has appeared. [AR: aortic regurgitation]
That means this patient can't have a transfusion.
In any case, no price is too steep.
Ogata-san! Are you alright? Ogata-san!
What shall we do, Asada?