This is the director of the new Meishin,
Dr. Kitou Shoko.
Is it true that Dr. Asada plans to form a new team at Hokuyou?
I will build the strongest team for the sake of the patients.
So basically, this is a gathering of useless doctors?
Chocolate, chocolate.
Do you really intend to work here?
There are patients here who need me.
I agree with Noguchi's vision.
Instead of saving one person in front of us,
we aim for medical care that will save 10,000 people, 10 years from now.
This is the reality.
This is capitalism!
Rot away with this hospital!
If a doctor doesn't reach out to help a patient in pain in front of him,
he is not a doctor.
What is this?
It's gauze.
Could it be that they forgot to remove it during the last surgery?
Altered?
There is only one person who will take along so many people to perform a bicuspid replacement.
Dr. Noguchi!
It would have been better if I didn't do that surgery.
This is a big scandal!
You live up to your reputation, Kataoka-chan.
Because people are astonishingly simple in the face of money.
He said he won't accept this.
Eliminate all contact with Asada and the others.
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.
Although, the female anesthetist who turned up later was somewhat better.
Female?
You're back?
Kodaka
Nanami
Take care.
Dr. Fujiyoshi.
Director.
Is there progress in the formation of the team?
From the looks of the members here, it's still not time.
Is that so?
Sold out?
Yes.
Not even one piece of chocolate?
Yes.
I'm sorry.
How useless.
It was impressive.
The gauzeoma surgery.
You were able to grasp my speed in the blink of an eye
and change the treatment.
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.
Oh, was that so?
You aren't an ordinary anesthetist.
Why haven't you entered the operating room all this time?
Hey...
do you have any chocolate?
Chocolate with more than 60% cacao?
I have a slight addiction.
If that is cured,
I'll enter the operating room.
Chocolate, chocolate, chocolate.
Hey, Four-Eyes.
Is it true that that Asada fellow is forming a team at this hospital?
- Huh? - A heart transplant team.
Yes, you could say that.
Transplant?
This is interesting.
This has nothing to do with you.
Hey, you!
Don't think you're entitled to make grand statements because you've done a Batista operation.
What do you mean?
I'm saying that anyone can do it once they identify the location of the degenerated part.
What Asada really wants is...
a person like me.
Is this Hokuyou Hospital? Please accept an emergency case.
17 years old. Female. Patient with acute abdominal pains.
Don't send me to Hokuyou!
I want to go to Meishin, Meishin!
- Come on, Marie! - Please.
Isn't it said that Hokuyou doesn't have any good doctors?!
It's impossible for you to go to Meishin now.
- I don't want to go to Hokuyou! - Calm down.
Or else your stomach will hurt even more.
[Hokuyou Hospital]
Call Dr. Asada!
Yes.
It hurts.
Emergency surgery. Operating room 3.
All right! It's time!
You're just in time.
There's an emergency surgery. Please help!
Huh? Huh?
Acute appendicitis?
The appendix?
Yes.
Kawasaki-san!
Coming. Excuse me.
So that's why...
Acute appendicitis?
Come on, you have should said so earlier.
Why do I have to join such a surgery?
You'd even say such a thing...
If that's the case, keep out.
Whatever illness it is,
the fact that the patient is in pain is something that doesn't change.
I get it.
Hey, ME the electro-scalpel's setting is 80-80.
Huh?
I think 40-40...
Get it done! You're too slow.
But...
Huh?
What?
We're starting.
Excuse me.
Where can I use my mobile phone?
Hey.
Do you have any chocolate?
Huh?
- Forceps. - Yes.
- Electroscalpel. - Yes.
Hey, ME what have you done?
The setting is too high! Didn't I tell you 40-40?
Stay calm.
Change the settings.
Hurry up!
Has it been set?
Yes.
I said 40-40.
- What are you saying? - I'm sorry.
If we keep going at this rate,
it won't be long before we're accredited as a heart transplant facility.
I'm sorry to say that no matter how much data you accumulate,
it will be difficult without a prominent figure to promote our cause.
A permit approval requires, what is called,
"a connected world".
Without that...
With Meishin Medical City,
our dream for special facilities for the wealthy will also be realized.
We have to be accredited quickly.
What shall we do?
He's here.
Please say a few words.
Please tell us your view on the imminent election.
Congressman Onda.
Please tell us your view on the imminent election.
How are you doing?
I'm quite well.
But I don't understand the rumor.
I heard that the doctor who operated on me is a very famous heart surgeon.
Is that so?
Well, he's very handsome and on top of that very kind!
He asked things like, "Are you alright?" or "Does it hurt?".
Ah! He's irresistible!
Miwa, didn't you say that you have chest pains once in a while?
Why don't you get a consultation here?
For all you know, you might get that doctor.
Dr. Asada!
Can you see Yamada-san in ward 211?
Okay.
Excuse me.
Hi.
It's been a long time.
I'm here because of your request, but the election is near.
Please keep it short.
Yes.
[Report on Heart Transplant Facility Accreditation]
Heart transplant facility?
If you, the former Health Minister, are willing to lend your influence,
it makes matters easier.
And then?
The number of successful medical cases is rising steadily.
Outstanding surgeons have also been gathered both domestically and abroad.
The criteria for an accredited facility are...
A facility's basic conditions are
surgeons' standards,
implementation system.
These must all be in place.
You know very well.
As would be expected.
I have never been questioned by the bureaucrats.
Yes.
And what benefits do I get?
If Meishin is successful,
we will become a model case for the advanced medical hospitals the Health Ministry is promoting.
You will have overwhelming influence over the Health Ministry.
That's all?
Noguchi, the representative, has hidden clout in the medical association.
If you do him a favor,
the medical association will be your ally in the next election.
I understand.
Meishin will become Japan's most prominent medical facility.
Would you like to experience it for yourself?
There's a conference. Come.
Hey, who are they?
The world's top surgeons that I've recruited,
and members of Team Kitou.
Hmm...
From now on, you'll do surgeries with them.
Can they keep up with me?
You must do your best not to be left behind.
I heard that Team Kitou has been built up at Meishin.
It brings together the best members.
Noguchi will probably raise the level of publicity significantly from now on.
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:04
Translator jade_frost
Lyrics Translators hadmish, motao
Timer Kazuya_
Editor tenniscalgal13
QC / Encoder doggieusa
Karaoke SFX zeldAIS
Coordinator scarlett0512
What was that yesterday?
Why did you push the blame on me?
The likes of a ME shouldn't be giving his views to doctors!
You are the one who shouldn't push the blame on others.
Whether it's the mistake of the ME or not,
a qualified surgeon is one who is able to follow up on that.
It was a mistake that couldn't be patched up.
This idiot!
You are the one who should enter the operating room!
Let's have a challenge there!
Hey, what are you doing?
This is the medical department!
Please stop it.
Are you alright?
Ss...sorry. Just now...
No. It's okay.
Well, what Dr. Toyama said was odd.
Besides, that alcoholic...
Ah, no.
Dr. Matsudaira was right.
There's no need to take that guy's words to heart.
Aren't we...
on the same team?
Wait a minute...
Sorry.
No one's ever told me that I'm part of a team.
It's nothing.
I'm afraid.
Huh?
I’m...
afraid of doctors.
Afraid?
There are many surgeons who think that they are the best in the world.
There are those who look down on us, co-medical staff.
I think it's true...
Even at the previous hospital, I was harshly yelled at and kicked about by a professor.
That doctor was a surgeon who was called the department's ace.
Now we'll do a bicuspid valve surgery...
I was in charge of the dialysis treatment for a patient who developed post-operative kidney failure.
Doctor! It's about Mizoguchi-san of ward 304.
His blood pressure has gone down.
I think the dialysis body fluid removal rate should be reduced.
- The usual 2 kg is okay. - Please take a look at this.
- The burden on the heart... - Are you a doctor?
Why are you giving me your opinion?
Body fluid removal has to be done carefully
for patients with reduced cardiac function.
If it is excessive, it will be dangerous.
But, the attending physician has the authority to give instructions.
Without a choice, I followed his instructions
and did the body fluid removal as usual.
However...
Hey, what are you doing?
The blood pressure dropped due to the excessive body fluid removal rate.
Ventricular fibrillation occurred.
Fortunately, he survived.
But...
that surgeon, afraid that he would be blamed for his mistake by the professors,
blamed me.
A promising ace of the surgical department and
a ME poor at communication.
It was clear who the professors would have faith in.
What is going on?
- Huh? - Mizoguchi-san's case wasn't my mistake.
Here, look!
You said to keep the body fluid removal rate as it is.
Hey!
You can't say that.
I somehow saved him. That's all that matters.
Anyone can fail.
What is important is having the honest courage to acknowledge it.
- It wasn't my mistake. - Don't raise your voice!
How many times have I told you to properly obey the instructions of doctors?
Geez, I thought it was just his head but even his ears are bad.
Hopeless fellow, isn't he?
Since then, I... How should I say it?
I cower when I'm in front of surgeons.
I'm sorry for making you listen to my story.
It's nothing.
That's why I was happy when you told me I'm part of the team,
but it's not possible for me.
Not possible.
But...
Thank you.
Umm...
I'm not quite sure,
but I can say this.
At least Dr. Asada
wouldn't do such a thing.
He definitely wouldn't betray teammates who fight beside him.
He's this sort of person.
You've come to visit today?
Thank you for the chocolate last time.
Ah, yes. This is my gift in return.
Huh?
Ah, yes.
I've eaten them.
I'm sorry.
- Doctor? - Hmm?
Are you friends with Dr. Asada?
Dr. Asada?
Umm... that's tricky.
Why?
Could it be that you like him?
No.
Because he's handsome.
Definitely.
No, that's not it.
My chest hurts a little.
Chest hurts?
What's the matter?
Come, let me take a look?
It's beating, beating.
You're love-smitten.
I'm certain.
Is that so?
Yes.
Ah, look! Speak of the devil.
I'll leave you young people to yourselves.
Hey, that child said she likes you.
Take a look at her.
It's Marfan's syndrome and there's AR.
I've already given him a greeting on your behalf.
You are in excellent health.
These are the results of the thorough checkup.
There's no problem with your blood pressure, brain, heart, liver or other parts.
There are 3 advanced medical devices, MDCT.
The heart imaging scan is completed in a matter of minutes.
Modern, isn't it.
You're well informed.
All that's left is the facility director's qualifications.
Onda-sensei.
Hmm?
What?!
Marfan's syndrome is a disorder that affects connective tissue
and in 50% of the cases, it is passed down from parent to child.
It is physically characterized by long bones in the fingers and toes.
The symptoms for Marfan's syndrome vary.
Some people have severe symptoms, others are mildly affected.
A prominent symptom is cardiac valvular disease and aortic disorder.
In your case, your mother died due to cardiovascular disease,
and because you said you have chest pains,
we found that you have an enlarged aortic root and aortic valve reflux after reviewing your echocardiography, CT.
The valve at the site where blood is pumped from the heart to the body is the aortic valve,
and the thick vessel connected to it is the aorta.
In your case, the aortic valve and aorta are enlarged.
This has caused backflow of blood.
This is annul aortic ectasia, AAE [AAE: Dilation of proximal aortic root.]
and attendant aortic regurgitation, AR. [AR: A disease in which the aortic valve weakens or balloons, preventing the valve from closing tightly.]
According to the echocardiography,
the enlarged aortic root is over 55 mm.
This confirms that there's a severe aortic valve reflux.
Therefore, we assess that surgery is necessary.
Umm...
Yes?
Am I...
going to die?
Because my mother also died of the same illness.
You will be alright.
We will...
certainly save you.
Please have faith in his skills and leave this to us.
We will do our best.
Rest assured.
For now, let's go through the admission procedure.
Your family...
I live together with my aunt.
What about your father?
Congressman Onda's daughter?
Yes.
To be exact, she's the daughter of his lover.
That lover died four years ago.
Now it seems that she is living with his younger sister.
That child...
has Marfan's syndrome.
Test results confirm AAE and AR.
She contacted her aunt after she was hospitalized at Hokuyou.
A comprehensive pre-operative examination will be done once more.
This is our chance.
Chance?
According to my sources, he has no children with his legal wife.
He can't publicly acknowledge her but he dotes on that child.
Save that child here,
and buy his favor.
I see...
Have you heard...
the talk about Team Kitou?
Yes.
I've also been included.
It can't be helped. I just have to do it.
That aside,
you saw the gauzeoma surgery when you were at Hokuyou the other day, didn't you?
Yes. What about it?
Did you see a female anesthetist?
Female?
Ah! The one who came in midway?
But I was speaking with Dr. Fujiyoshi and didn't quite watch her.
I see.
What about it?
Who is she? An acquaintance?
Yes.
Outstanding?
A troublesome fellow.
More than me.
Kodaka knew in an instant that it was AR from the heart murmur?
Yes.
This difficult surgery requires her skills for the intraoperative care.
She won't join the surgery?
It's impossible.
Nomura.
There'll be an AAE, AR root replacement operation, Bentall surgery, soon. [Bentall surgery: performed to repair the root of the aorta.]
Join us.
Hey, hey, hey!
What are you saying?
This fellow can't speak to people properly. What can he do if he joins the operation?
We are professionals.
A professional won't need the superfluous.
But he dragged me down the last time.
An operation is about teamwork.
If you don't understand this,
stay out.
- What? - Stop it.
You have no chance of winning.
- What? - And...
this Bentall surgery too.
This operation won't go well.
From now on for your pre-operative examination,
you'll be undergoing various checkups before the surgery.
Dr. Asada, your attending physician, will come soon to explain them to you.
Yes.
Dr. Asada!
We've come to get you.
I'm your attending physician. Fujiwara from Meishin University Hospital.
How can that be?
This is Congressman Onda's wish.
But she's already been hospitalized.
He desires the surgery to be done at a more superior medical institution.
What is going on?
She is being transferred.
To Meishin's suite.
Why?
Because she's a valuable patient.
That child is the daughter of former Health Minister, Onda Tetsuzo.
- But her name... - Because she's illegitimate.
His wife is someone else.
It doesn't matter whose daughter she is. She's our patient.
Meishin has the best doctors
and Japan's best facilities.
A patient has a legitimate right
to accept better medical care.
Can all of you oppose that?
This time it's stealing a patient from us?
Look, it's better if I stay at this hospital.
It's your father's wish.
Father...
That person?
So,
shall we go?
Oh?! Just a moment.
Isn't it Nomura?
He's a doctor recruited by Team Kitou from Keishin Hospital.
Why are you here?
Ah, yes!
Hokuyou is the hospital you were transferred to?
How are you?
You're still an ME?
That's good.
Someone still wants you.
Don't get the body fluid removal rate wrong this time.
Hey, watch your words!
Thank goodness.
If you had your surgery at a hospital with such an ME,
you'd lose your life.
The patient...
has gone to Meishin?
That's right!
No one would want to have surgery done at such a hospital.
Ignore him.
Dr. Ijyuuin.
Yes?
Thank you for standing up for me just now.
Dr. Kitou here will give you thorough medical attention.
She's one of the world's leading surgeons so please set your mind at ease.
My father is a lawmaker that's why such a room was immediately arranged.
But the old lady waiting at the information desk was told that her hospitalization is a month away.
Well, your father is happy that you came here.
But he won't see me.
Why?
Because I'm illegitimate?
He'll be in a bind if this goes public.
It'll be fine if you're in such good spirits.
Your pre-operative examination will begin in the afternoon.
We'll see the test results and decide on the method of treatment.
Yes.
We're already giving your daughter special treatment,
and we'll use our entire medical system.
Please rest assured.
Yes.
Goodbye.
Yes?
Ogata Miwa in the suite,
has AAE and AR due to Marfan's syndrome.
She's a suitable patient for Bentall surgery.
According to test results,
this patient has an antibody disorder
Furthermore, it's the extreme, peculiar antibody Rh17.
If it's Rh17...
Yes.
It's Rhesus D negative, RhD neg. [RhD neg: Blood type that doesn't contain D antigen on the surface of red blood cells. If exposed to RhD positive blood, antibodies are produced against it.]
There are only a few people with RhD neg in Japan.
That's right.
It means this patient can't have a blood transfusion.
Can't have a blood transfusion?
Undergoing Bentall surgery without blood transfusion.
RhD neg?
It's already a difficult surgery!
Don't kid me.
She can use her own blood.
We'll draw and store her blood beforehand.
During the surgery, we can use that for blood transfusion.
400 ml of blood drawn every week and
we can't operate until 1200 ml is accumulated.
That means the earliest date for the surgery is three weeks later.
What if an emergency surgery is needed before that?
I'll contact all the blood transfusion centers nationwide,
and secure blood somehow.
In any case, no price is too steep.
Whatever we do, we can't let her die.
Yes.
Well then, excuse me.
And, can the blood be secured from the blood transfusion centers?
Well,
I've asked all the blood transfusion centers nationwide but...
This is vexing.
This is a Bentall surgery.
But if we can store her blood...
There's a good possibility of massive bleeding during the surgery.
If the blood isn't sufficient, what will we do?
She'll die.
Damn it.
I thought it would be a chance but
it's stirred up a hell of a lot of trouble.
If she wasn't Onda's daughter, she'd already be kicked out.
[Life-threatening problems; Blood transfusions of incompatible blood types]
[Book on blood]
You can go back.
Because I won't go anywhere even if you aren't keeping watch.
Ogata-san.
I'm here to draw your blood.
Okay.
Even if it's RhD neg, you'll be fine.
If your blood is stocked up, you don't have to worry.
Given my antibody disorder,
RhD neg, was a result of a blood transfusion, wasn't it?
When I was very small,
I fell off a cliff and sustained serious injuries.
Deep in the woods.
My mother carried me and desperately searched for a hospital.
It was probably the blood transfusion I had then.
Anyhow, from now on, what is important is that we stock up a lot of your blood.
It's stirred up a hell of a lot of trouble.
If she wasn't Onda's daughter, she'd already be kicked out.
If the blood isn't sufficient, what will we do?
She'll die.
Whatever illness it is,
the fact that the patient is in pain is something that doesn't change.
We will...
certainly save you.
Here's the data regarding ASO.
I've completely become Dr. Noguchi's liaison.
You couldn't join Team Kitou?
You sure don't say nice things.
It's not that I couldn't join,
but that I didn't join.
Mmm...
That aside,
does Dr. Kodaka have a boyfriend?
I don't know.
To think she used to be at Meishin and I didn't know about it!
Blind spot!
She was right under my nose!
What type of man does she like?
Could it be someone like me?
Long-haired, good-looking older brother?
Good-looking older brother.
- Ogata-san! - She's not Ogata! Kodaka!
I'm talking about Kodaka.
Hey!
Huh?
What's happened?
This is rather far from Meishin.
I'm feeling a little tired because I walked here.
Walked?
I knew this hospital was better...
Where's... Dr. Asada?
Strenuous exercise with an AAE, AR condition...
Ogata-san!
Sudden chest pains and a drop in blood pressure.
It's definitely acute aortic dissection. [Aortic dissection: a tear in the inner wall of the aorta causing blood to flow between the layers and forcing them apart.]
- This child... - Huh?
is RhD neg.
RhD neg?
That means she can't have blood transfusions?
It seems that it was discovered by Meishin's pre-operative examination.
It is said that the storage of her blood hasn't been completely done.
But there are aortic dissection complications?
What should we do? Great Dr. Asada.
You shut up!
Yes. Okay.
It is undoubtedly aortic dissection.
The stored blood isn't sufficient.
Surgery can't be done.
In any case, let's contact the blood transfusion centers.
They should have a little RhD neg blood.
That's fine.
Even if there's RhD neg blood at the blood transfusion centers,
we don't know if they'll make it in time.
Furthermore, Bentall surgery itself is extremely difficult.
The patient left Meishin and went to Hokuyou of her own free will.
What happens afterward is Hokuyou's problem.
Hokuyou should do something.
What if they aren't able to manage?
Then, that's their problem.
It has nothing to do with Meishin.
The trouble has...
been drawn away by Hokuyou.
What?!
We cannot possibly do the surgery without blood transfusion.
What should we do, Asada?
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] We'll perform an emergency surgery.
If blood transfusion can't be done, how can they operate?
After all, if the blood can't be found,
that patient will die.
What are you going to do?
The limit is 40 minutes.
If you don't go into the operating room,
that child will certainly die.
Whatever happens, I won't give up until the end.
I'll leave Kawasaki-san to you, Dr. Kihara.
We are a team.