Will I die?
We will definitely save you.
This is a chance.
That child is the daughter of former Minister of Health, Labor and Welfare, Onda Tetsuzo.
Don't get the body fluid removal rate wrong this time.
Ogata-san!
Sudden chest pains and a drop in blood pressure.
It's definitely acute aortic dissection.
- This child... - Huh?
is RhD negative, RhD neg.
That means she's unable to undergo blood transfusion.
It is said that the storage of her blood hasn't been completed.
But there are aortic dissection complications?
What should we do, the great Dr. Asada?
Isn't this good?
The patient left Meishin for Hokuyou on her own accord.
The trouble has been drawn away by Hokuyou.
What should we do, Asada?
Undergo emergency operation now.
How do we do it without blood transfusions?
Contact the blood transfusion center.
Get as much as we can.
At least search for it first.
Please join the emergency operation.
We really need you, Nomura-san!
I'll guarantee the blood.
Got it.
Why is that child here?
She's looking for Asada's help.
She had problems with her aortic arch on the way here.
What happened over there?
Forcing that child into such a state.
What exactly happened?
It seems like your daughter escaped under the watch of the nurse.
How is she?
Is she alright?
I'm afraid she's having problems with her aortic arch.
She's not suitable for a transfer now, so she can only stay at Hokuyou.
Mr. Congressman, we apologize for all this.
Enough!
Hurry to Hokuyou now!
That child cannot be saved.
We cannot become enemies with Mr. Onda.
Emergency operation, huh? It cannot be done without a blood transfusion.
I break into a cold sweat everytime I think about if she had come to our hospital first, you know?
Dr. Ijyuuin,
I cannot do such a difficult operation.
If the patient dies because of my mistake...
I've already contacted the Touto Blood Transfusion Center.
- How is it? - It's useless.
The blood transfusion centers nearby don't have it.
Now no matter from where, we'll use it when we can get it.
If we were to search for people that aren't registered with the blood transfusion center, that are RhD neg...
Speaking of which...
What is it?
At the academic meeting, there was a doctor that performed a VSD operation on a RhD neg patient. [VSD: Ventricular septal defect.]
Where is the doctor from and what does she do?
Professor Ueda from Sanou University.
Professor Ueda?
She taught me at the surgical academic meeting too.
- Ijyuuin, contact that professor. - Huh?
Contact the patient through that professor and let her provide the blood.
You'll secure the blood.
- But... - The anesthetist cannot leave. Let Toyama be the assistant.
The top priority this time is to guarantee the blood.
I understand.
Dr. Kodaka, have you heard?
The emergency aortic arch operation...
Please assist Dr. Asada.
It's impossible to find the blood and the operation cannot be completed.
But...
That patient will die.
Plus, if doctors from Meishin are involved, then there'll be trouble.
Come back right away.
Yes.
Have you contacted Professor Ueda?
Yes, I got his contact details directly from the professor.
I'll go over there.
I will continue to contact the blood transfusion centers.
- I'm counting on you. - Yes.
Ijyuuin!
Sorry, I'm in a hurry right now!
The blood has not been found yet, right?
Yes.
What do we do?
Stop the blood circulation.
Stop the blood circulation?
Certainly, blood loss can be minimized this way.
A blood transfusion might not be needed either.
It's not going to work! The blood circulation can only be stopped for, at most, 40 minutes!
Beyond forty minutes, the patient's brain cells will start to die.
Complete the operation within forty minutes.
Forty minutes?
Complete the aortic arch and Bentall operations?
Using only forty minutes?
It's the aortic arch and Bentall operations.
The band operation is expanding the aorta
and then cutting off the root of the aorta that brought about the backflow in the aorta valve.
Replacing it with an artificial blood vessel, a left and right crown artery must be rebuilt.
Can all this be done in forty minutes?
It's all so disastrous. Usually at least two hours is needed to complete it, and there's no blood transfusion. How can it possibly be done!
There are no other ways.
Now that a blood transfusion is impossible, there are no other ways.
We'll now begin the aorta replacement and Bentall operation.
- Scalpel. - Yes.
Got it. I'll tell Ijyuuin.
Forty minutes...
Heart-lung machine installation complete.
Body temperature must be significantly reduced.
Reduce the temperature of the bladder to 20 degrees Celsius.
Yes.
It's useless.
If it's an emergency aortic arch surgery, even if you go now...
But, doing the operation with no blood transfusion...
We can only believe in it.
Believe in that Asada's skills...
Heart stopped.
Bladder temperature, 20 degrees Celsius.
Flow down.
Insert SVC into current divider.
Stop blood circulation.
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:05
Translator Kyoichi
Lyrics Translators hadmish, motao
Timer ..::Tammy::..
Editor tenniscalgal13
QC Raspberry Latte
Karaoke SFX zeldAIS
Encoder/Coordinator scarlett0512
- Clipper. - Yes.
- Electronic knife. - Yes.
Suction.
Hello, is this West Tokyo Blood Transfusion Center? I'm from Hokuyou Hospital...
How is it on your side?
I've already reached the RhD neg blood donor, Kadowaki Taigo's house.
But she just left the house.
I'm afraid she's at the nearby shopping mall.
Got it. Go find her.
Listen up, the time limit is forty minutes.
Strip completed.
Stripping of the complicated aorta root only took three minutes.
But...
Even if it's Dr. Asada,
completing an aortic arch replacement and Bentall operation...
Cutting aorta.
- Scissors. - Yes.
What is that?
The band has cracked open all the way to the valve of the aorta.
During the preoperative examination...
it was clearly just the root of the aorta.
Why is it like that?
The change took place between the diagnosis and the operation.
If it's replacement of the arch of the aorta, it'll take much more time.
Normally, building another blood vessel would require sewing at two areas.
But building the arch of the aorta
would require branching the two blood vessels that transport blood to the brain
and the blood vessel on the right.
Including the building of these three important vessels, five areas need to be sewn.
Only up to here?
- There's nothing we can do. - Addition of aortic arch replacement surgery.
Huh?
There's still time.
But...
No matter how fast you are, completing the replacement within the time limit
while blood circulation is stopped is already impossible. And there's still Bentall...
I will not give up!
No matter what happens,
I will definitely not give up till the very end.
This is my team.
- Prepare three 24 mm artificial blood vessels. - Yes.
He still wants to continue?
Building another aortic arch will take up much more time.
It's all over.
Artificial blood vessels?
All done.
- Forceps. - Yes.
Sewing the end near the heart now.
- 4/0 Surgilon non-absorbent nylon thread. - Yes.
Let's go.
Kataoka-san.
How's Miwa?
Your daughter's now undergoing the rebuilding of the aortic arch and root
replacement surgery by stopping her blood circulation.
The blood?
What about the blood?
We're doing our best to search for it now, but it has yet to be found...
Darn it.
Sir, it's time for the internal meeting...
Use mine. Can my blood be used to save her?
Please calm down.
Miwa-san's blood type is called RhD negative, a very rare blood type.
Even if it’s your blood...
Is that so?
Even father and daughter, it's still impossible.
I'm watching my daughter about to die...
but I can't do anything again.
Again?
When Miwa-san was little, she was injured badly.
I couldn't do anything at that time either.
Sir, Everyday News seems to have received information and they're coming here now.
If we don't leave soon...
Sir, if scandals are released again, we can't win the election!
What about your supporters?
Sir.
The one doing the operation for Miwa-san is the best doctor here.
Can he save Miwa?
Yes.
Please.
- Scissors. - Yes.
Sewing near the heart completed.
Next is the sewing of the artery below the left collarbone.
- 4/0. - Yes.
There is? RhD neg blood type?
Yes, our center has kept 400cc.
400...
No, that's great. We want it, even if it's just a little.
Can you send it over right away?
Can't find her?
I have been calling her cell phone until now, but it's busy.
I have only confirmed 400cc here. It's still not enough.
Keep up the work. Continue searching at the shopping mall.
Got it.
Ijyuuin!
Dr. Kihara.
I heard about it. Two are better than one.
But...
[Dr. Noguchi]
Doctor.
Even in Meishin, there are real doctors.
Let's search!
Yes!
Yes, that's right!
- Scissors. - Yes.
Sewing of artery under the left collarbone completed.
- 4/0. - Yes.
Suction.
Hurry.
The next meeting will begin soon.
Hey!
You're going to watch the patient die and not do anything?
That patient wanted to go to Hokuyou herself.
If it happened here? Would you save her?
No matter where, that operation
is impossible without a blood transfusion, isn't it?
As opposed to saving someone in front of me, I want to save millions of people ten years from now.
This is the mission of Meishin.
If it's that fellow...
If it's Asada, he might be able to save both.
- 4/0. - Yes.
Sewing of left carotid artery completed.
How's the time?
There's still nine minutes left.
Alright.
Superb.
The rebuilding of the vessel near the heart, left collarbone artery, and carotid artery were actually completed so fast.
Once rebuilding the subclavian artery is completed, the rebuilding of the aortic arch will be done. [Subclavian artery: Supplies blood to the head and arms.]
It seems that rebuilding the aortic arch can be completed within the remaining time of the blood circulation stop.
But that is all they can do.
The blood has yet to arrive. What about the Bentall?
Is Kadowaki-san here?
I got the wrong person, sorry.
Woah, there are too many people aren't there?
Are you Kadowaki-san?
Ah, Kadowaki-san! Kadowaki-san!
Wrong, obviously got the wrong person.
What is it?
Aortic arch repair is...
Successful.
Next, the problem is the Bentall operation.
- Scissors. - Yes.
Rebuilding of the aortic arch and three branches is completed.
Completed.
Superb.
But completing the Bentall is already impossible, right?
How about the blood?
Then nothing can be done, right?
Asada made the worst calculations from the very start.
What are you doing?
It's already impossible, right?
Activate the heart-lung machine.
Nomura.
What are you talking about? The blood has not arrived yet.
Once activated, she can't be disconnected from the heart-lung machine anymore.
If it can't be disconnected, then there's no meaning in it, right?
Dilute it.
Huh?
According to the maximum extent of diluting the blood, increase the total amount
to guarantee the amount of blood.
What?
Largest extent of diluting the blood.
Dilute the blood?
Using this to increase the amount, to activate the heart-lung machine.
In this way, bleeding and damage of blood cells due to blood loss
will also be reduced because it's diluted.
Theoretically, even without blood transfusion, the heart-lung machine can be maintained.
Adjustment of the heart-lung machine and dilution are very difficult.
A single mistake and the oxygen in the brain will be insufficient.
Collaborate and analyze the blood data with the ME.
Then decide the degree of blood dilution. This is the job of an anesthetist.
And such technique management can't be done if it's not you.
You think too highly of me.
If you don't enter the operating room, that child will die for sure.
She's only 17 years old.
Are you just going to let her die in front of her father?
That child is the daughter of a congressman.
For my business, I cannot let her die.
I can't.
I really can't do it anymore.
If you don't take care of the management of the heart-lung machine,
she cannot be saved.
But...
if I continue doing it, it'll kill her.
I can't do it, I...
Not just you.
The people afraid of doing operations
is not just you.
When facing someone else's life, everyone is afraid.
But...
we are a team.
Even if you cannot do it by yourself,
behind you there are your teammates that support you.
You are not alone.
I'll do it.
- Give me Ringer and albumin. - Yes. [Ringer: type of blood substitute used in serious blood loss or dehydration.]
Preparation done.
Pump on.
I'll contribute a little too, I guess.
What is the amount of blood in the reserve now?
Red blood cells 15%, 5mg of hemoglobin per deciliter. 880ml in all.
Mixture of saturation of vein oxygen must be less than 60.
Increase oxygen level for now.
Adjust the total amount to 3.9 liter.
Yes.
We'll now begin the Bentall surgery.
- Scissors. - Yes.
Toyama, you'll do the artificial transplant of the compound blood vessel.
Got it.
700ml.
700?
No matter how large the extent of dilution, using it to circulate in the heart-lung machine
the blood must still be provided for use by the body.
Once the blood amount is less than 700ml,
no matter how well the heart-lung machine is operated,
she won't be able to be disconnected from the machine after the operation.
If she can't be disconnected, she'll die.
If the blood doesn't come before the blood level drops below 700ml...
the patient will die.
This line...
is the deadline.
Hello, this is West Japan Blood Transfusion Center.
I'm now in a traffic jam. The cars won't move at all.
The 400cc blood is jammed on the road because of a traffic accident.
This is Kadowaki. I can't answer your call now.
Darn it. Just when I can finally get a little more time.
Ijyuuin!
I only know that she was called out.
But where on earth is she?
So handsome.
Kadowaki-san, how have you been recently?
- Nothing new has happened recently in our family at all. - That's not bad. Your family is considered good already.
Then let's ask him out now.
Please, Congressman Onda.
The blood has not arrived yet?
Take note not to make the opening of the blood vessel too big.
The blood is in a diluted state so there is more medication to block the blood vessels than usual.
To reduce the consumption of oxygen, reduce the temperature to below 15 degrees.
Add ice cubes.
If the temperature is too low, the thickness of the blood will increase.
Now we have successfully kept the time for the activation hemoglutination enzyme at 300 seconds. Vein oxygen saturation kept at 60.
What was that? That anesthetist and that ME...
...are really doctors here?
Aortic arch removal finished.
Separation of the root's decomposition spread is faster than expected.
We have to hurry.
- Scissors. - Yes.
Urine released.
Add another syringe full of albumin.
Yes.
Donor has not been found yet?
The 700ml level will be reached soon.
Ijyuuin, the blood from the transfusion center will probably not make it.
Then I'll ask Dr. Kihara to search for Kadowaki-san.
I'll go and bring the blood over.
- Hurry up. - Yes.
The urine is turning red.
It's hematolysis urine. Prepare Haptoglobin. [Hematolysis: Destruction of blood tissue; Haptoglobin: Plasma protein that binds hemoglobin.]
The coronary artery bypass technique transplant from the blood vessel is completed.
Start to separate the coronary artery.
Yes.
Next will be sewing the coronary artery bypass to the blood vessel and rebuilding of the coronary artery.
But the blood amount in the haptoglobin is already less than 800ml.
Left coronary artery branch completed. Next will be the right.
The right coronary artery has already cracked.
Toyama, hurry and intercept a vein from the leg.
- Then the sewing of the coronary artery bypass to the blood vessel... - I'll do it.
- 3/0 heart repair particle non-dissolution thread. - Yes.
- Sewing scissors. - Yes.
It's already useless.
There isn't enough blood...
Not yet? The blood is not here yet?
Who are you?
I'm Ijyuuin from Hokuyou. Leave the rest to me.
I heard about it already. I'll leave it to you then.
- The blood is here. - Okay.
Too late already?
Aortic arch replacement operation
is completed.
- We did it! - We did it!
We finally succeeded!
We finally completed it successfully!
We did it.
A really superb team!
It ended successfully.
It's a miracle!
Great.
- Here's the blood. - Yes.
Starting to replenish the blood.
Sending the blood.
Is that so?
It's completed successfully?
Those people from Hokuyou...
She was saved?!
Yes.
He successfully completed an operation with no blood transfusion?!
Unbelievable.
Dr. Noguchi, I'm afraid that Congressman Onda is going to be furious.
Excuse me.
I'm really sorry! My conscience took over accidentally!
I went to help them secure the blood...
But in the end, I still didn't manage to help out with anything.
Meishin is not related to this operation in any way.
Anyway, I'm really very sorry!
You did a good job.
What?
I'm really glad I came to Hokuyou Hospital.
This is returning your favor. I forgot about it.
I'm a person who returns what I borrow.
This contains 70% cocoa. It's an adult flavor.
Thank you.
- Sir, this time... - About the heart transplant facilities, take it as if I've never said it.
The people that did the operation for my daughter at Hokuyou,
aren't they supposed to be at Meishin?
Someone of high authority like you really has some problem since you chased them out.
I have nothing else to say to you.
Sir.
Aren't you a little too arbitrary?
What did you say?
Congressman Onda, didn't you know?
Miwa-san's operation was done by our doctor from Meishin.
What?
We have a doctor named Kihara.
He hurried and helped Hokuyou under my instructions.
Borrowing the operating room there, he made the operation a success.
What rubbish are you talking about?
Right, Kataoka-chan?
This is the truth, Sir.
How can I believe it?!
That time, you were the one who told me that the best doctor in Hokuyou is...
No, you have to believe this.
If not, I will use "Former Health Minister has an illegitimate daughter" as the headline
and add it as the front page news in the Weekly Magazine.
Plus, there's the embezzlement problem in the office at Koji Town.
This should be news that either party has yet to be exposed right?
You...
Miwa-san's operation was done by a doctor from Meishin.
Sir, you will follow the original plan
and fully assist Meishin's heart transplant facilities in getting the accreditation.
Sir, this is...
a "win-win" situation.
When did you start having this idea?
Because of depending on the officials, the Congressman have also been contempt.
Saying it this way is not right either.
But I have never asked for anything from them.
This is truly for the citizens. A better strategy should be practiced...
He's always very busy.
But it's not my business.
If it's for your own belief,
sometimes you have to sacrifice something.
His love for you is not fake at all.
How can it be?
Where is it?
Don't tell me giving me money every month is love.
When you were young, you became seriously injured during vacation and were sent to the hospital, right?
That time, the one that sent you there
was not your mother.
It was Congressman Onda.
It's a lie!
Congressman Onda risked a big scandal to search for a hospital for you.
His secretary thought about his political career, so he hid the truth.
This time, he worried a lot about you too.
To conceal this, he went through a lot too.
Kataoka-san.
The one that sent her to the hospital then was her mother.
Why did you make up that lie?
If the child makes a fuss and the media manages to reveal some of his secrets,
Congressman Onda will be in big trouble, right?
I will be troubled too.
I'll excuse myself.
Hey...
can you help me give this to that person?
We're counting on you.
This is the agenda for the reassignment of doctor-in-charge of the patient.
I never thought that you could do so great.
I should say, the anesthetist that did the operation with you was outstanding.
Doctor!
This is all thanks to you.
What?
Thank to you...
I finally understood what it is to be part of a real team.
What are you saying?
Thank you so much.
Assistant.
Yes.
I have something I want to ask you.
This is really rare.
What is it?
How do you send a text message?
Miwa!
Good morning!
Morning!
Have you been studying properly?
Um, I was thinking of studying properly yesterday.
- Then it should be about the same as me? - Let's work hard together.
Dismissal?
- Me? - Of course.
As the doctor-in-charge, who will take responsibility, if not you?
Alright, you may go now.
Then, I'll excuse myself too.
Hey.
Did you think that it was good to save that girl?
Huh?
Of course, because she's the daughter of Congressman Onda.
Just that?
Yes.
Then, that's fine.
I don't wish that my business partner plays overly humanitarian jokes with me,
Kataoka-san.
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] As a doctor, you lack something crucial.
There are doctors with better skills than Asada!
This hospital will be reborn as another facility.
It's a blackout.
The elevator can't move because of the blackout.
We must reopen her chest here!
You're still bothered by that matter?!
I'm very sorry. It was my oversight.
To very the end.
Don't you run away from that!