I did a Batista for him two years ago.
His heart function has worsened once again.
No matter what, I want to save him.
I proposed a condition to Noguchi.
Let Yuuta-kun have the operation at Meishin.
And the ones performing the operation will be
your team.
It fully complies with the standard set by the Profession and Review Parliaments.
Thus, we have recognized Meishin University Hospital to be an accredited heart transplant facility.
If Yuuta's operation succeeds, the team can stay at Meishin with its current structure.
Make no mistake, he will be dead before the operation, right?
Excuse me.
Is that alright, doctor?
That scrub nurse has the best reflexes.
I've never seen someone handle the surgical tools with such speed.
So?
Arase too. He went over to Asada's team just like that.
There's no point in keeping them.
There are many people that can replace them.
And...
And?
The opponent that I'm facing
is not Asada.
The conference is going to start.
Genius scrub nurse?
That nurse?
And the anesthesiologist we saw last time that looked like a tiger cat was Dr. Arase?
He can determine a person's weight on sight alone.
He guessed my weight just like that.
Sounds like a phantom cat.
Or should I say, he's a weirdo.
Yo.
You've lost 1 kg.
Because I've stopped eating chocolates.
How's your son doing?
He's recovering quite well.
That's good.
Looks like we'll be working together again.
Yes.
Everyone's present, right?
Then, let's begin the conference.
Director Yamano of Japan Capital, who's in the Special Nursing Room
has contracted NYHA IV stage of dilated cardiomyopathy. [NYHA: New York Heart Association. IV Stage: The most serious stage.]
He's on the priority waiting list for the heart transplant.
You all know that if no suitable donors appear,
there's no way it can be confirmed.
But, considering the critical condition of this recipient
and the waiting time,
Director Yamano should be first on the list.
We must be well prepared for a transplant operation to take place at any time.
Otobe Yuuta, nine years old.
Congestion of the liver caused by dilated cardiomyopathy.
Although his name is on the internal organ transplant network waiting list,
and considering that he's only nine years old,
a suitable donor probably won't surface for a long time.
Until then, this team must do everything it can to help Yuuta hang on.
This is the second operation after the Batista Operation.
Considering the degree of thickness of the wound,
we can predict that this operation will be very difficult.
This team will step up on training and do our best.
How are you doing since your procedure?
Thanks to you, I feel great.
That's good news.
Asada really is a superb doctor.
I did the right thing letting him perform my operation.
Here...
Leave this here with me.
I would like to discuss the details of this contract...
Why did you summon Asada's team to this facility?
I thought you wanted to destroy Asada?
Didn't you say it was because of his beliefs as a doctor?
- I... - It'll be good if a donor appears, right?
For that child.
That's mine!
Keita, return it to him!
- I don't want to! - Keita, give it back!
He's really too much.
I'm sorry, Yuuta. I'll scold him later.
Can't I get out of bed?
No, no! You must lie down. Take it easy, okay?
Brother is so lucky, he can run around.
Dad's waiting! Hurry, come here!
Yuuta-kun's congestive liver disease is developing faster then we expected.
If any problems arise from his internal organs,
he'll be taken off the waiting list and will not be able to get a heart transplant.
A donor will appear.
Our top staff here at Meishin
will provide back-up using our fully-equipped facility.
Dr. Asada, can't we do anything other than just waiting for a donor that may never materialize?
Please follow me.
What's going on?
Ijyuuin.
You're going to be on Kitou's team.
Huh?!
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:10
Translator Kyoichi
Lyrics translators hadmish, motao
Spot Translator jade_frost
Timer Kazuya_
Editor tenniscalgal13
QC Kazuya_
Karaoke SFX zeldAIS
Encoder/Coordinator scarlett0512
What's going on?!
It will be very difficult to find a heart suitable for a child's transplant.
I'm afraid that Kitou's patient will undergo the heart transplant operation first.
But...
Until then, you'll learn about heart transplants from Kitou's team.
But...
Training will still continue under my guidance.
- What are you saying...? - Our battle is...
not with Kitou...
It's to treat the illnesses of our patients.
Accumulate transplant experience from Kitou's team, and prepare for Yuuta's operation.
So, Asada is here!
What do you mean by that?
If that child's transplant operation is unsuccessful,
Team Asada will be sent back to Hokuyou.
Ah? So, that means...
That man understands this.
Before he can find a heart for transplant, that child will die.
So no matter what, he must find reasons for the child to remain here.
It's his form of benevolence.
Send him to Kitou's team,
then we can bid farewell to the teary eyes and that kid and escape Meishin.
Is that so?
They are young,
but everyone in Team Asada has their beliefs.
That child will definitely be saved!
What?
Just as you were saved, Dr. Noguchi.
It may be time to "discharge" him too.
It's almost Christmas, right?
Yuuta-kun, do you have a Christmas wish?
- Something that I want? - Yes.
The hospital will be holding a Christmas party.
Santa Claus might be giving out presents. So, tell him what you wish for.
Okay, water!
I wish for water! I want to drink lots of water!
In order to decrease the burden to the heart,
try to limit the amount of water.
Even the cup used to take medicine is enough.
Is that too much to ask for?
Now it's the rehearsal of heart transplant.
The donated heart is effective for four hours.
If we consider transportation time, the operation is at most two hours.
This is the insertion duct for the heart protection liquid?
Yes.
Blood infusion from the opposite direction. Use two ducts to release blood.
When the heart has stopped, suture according to the left ventricle, right ventricle, aorta, and pulmonary artery.
At which temperature is the blood transfusion for the artificial heart set at?
28 degrees Celsius.
Thread to be 4-0 or 3-0?
Basically, it's 4-0.
After we have received information that the heart has been removed,
the receiving group will be in charge of sending the patient into the operating room.
I'll confirm the heart of the donor. If there are no problems, we'll open his chest immediately.
Then we'll begin the transplant.
How is Team Kitou?
Oh. Somehow I feel very tired.
You must show them some power viciously, viciously!
Huh? Where are we headed?
Yuuta-kun's room.
I'm going back.
I'm not good with kids.
Can you handle it if the patient doesn't make it?
Let's go.
I see. Please don't let him over-exert himself.
Thank you.
Are you alright? Do you feel uncomfortable?
Yeah, I'm fine.
Hey kid, do you like soccer?
Yeah.
Ronaldinho is great, right? [Ronaldinho: Attacking midfielder playing with FC Barcelona, from Brazil's national soccer team.]
Ronaldinho? I prefer Messi. [Lionel Messi: Striker playing with FC Barcelona, from Argentina's national team.]
Messi? He's good, right? I think the next World Cup will be his stage.
But Robinho will be there, too. [Robinho: Second striker playing with Real Madrid, from Brazil's national team.]
Brazil really cannot be underestimated.
What's wrong?
I wonder if I will be able to watch the next World Cup.
I really hate to see child patients.
One moment they're born, then their heart and liver...
This is bad, that is bad.
Seeing children like that,
makes me think there is no God in this world.
That's how it seems.
Yeah.
That child loves soccer so much.
I suppose he has never played soccer before, right?
Has probably never run like a child should.
I want him to be able to play soccer.
That wish can definitely be fulfilled.
Definitely.
You don't normally come here.
Yes, I'm here to help out a little.
Um...
There are so many flowers.
Everyone's really worried about you.
They're not worried about my health.
They're only concerned about what happens to my position after I die.
How can that be?
Not a single person cares about what happens to my body.
Ah, Dr. Asada. Thank you for coming to see him everyday.
Thank you so much.
Here it comes!
Alright!
Here!
Look, it seems they're getting along great.
Mother!
You'll catch a cold! Put your coat on!
- Mother. - Yes.
Am I needed?
Does this world need me?
What are you talking about?
You come here quite often, right?
Why?
Because you're a partner?
Stop lying about it.
A woman's lie is easy to spot.
Are you concerned about Yuuta-kun?
Or are you interested in things like heart transplants?
It's someone else's affair anyway. It doesn't matter to me.
It's so cold!
I'm going.
That's right.
You dropped this over there.
It's a precious item, isn't it?
I came to see Yuuta-kun. How is he?
The congestive liver disease is developing faster then we expected.
What will Dr. Asada do?
Look at this gathering here.
You don't have to stand here and talk.
It's alright to come to my office.
No, thank you.
Oh, in my office, you can't discuss ways to destroy me.
Oh yes, this.
The Director of the Japanese Association of Medical Sciences
wants to have a meeting to congratulate us on becoming a transplant organization.
Although I would like to reject him,
I heard that important people of the medical world will be there.
Kataoka-san, please join us.
You can probably make some deals.
Oh, but you're not invited. Excuse me.
Yuuta-kun?
Yuuta-kun!
- Yuuta-kun! - Yuuta-kun?
Yuuta-kun, it's going to be alright!
Yuuta-kun!
Yuuta-kun, can you hear me?
Yuuta-kun, it's going to be alright!
How is it?!
Jaundice has worsened!
Yuuta-kun!
Yuuta-kun, can you hear me?
Yuuta!
Cirrhosis?
If this continues, it'll become dangerous.
Yes.
He will not be able to have a heart transplant.
Isn't there anything we can do?
Cirrhosis?
Yes.
Then, the problem is no longer whether to have the transplant or not.
Poor thing.
Is this a bit flashy, for the party?
What shall we do?
If this goes on, even if there is a suitable donor,
he can't have the heart transplant.
We're going to perform a live liver transplant.
This is the only option for Yuuta-kun.
But...
Luckily, Yuuta-kun and his mother's liver are compatible.
His mother has agreed too.
First, we'll do a live liver transplant to revive his liver functions.
Then, we'll wait for a heart donor.
The live liver transplant must be successful.
Until a donor is found,
leave Yuuta-kun's liver to me.
Please.
Mother, you're going to be hospitalized?
It's fine.
She's going to give a part of herself to Yuuta, so he'll be able to recover.
No, no!
Keita, it'll be fine!
You're his older brother, so please be strong.
I can't!
I'm fine with it.
I don't want it.
Yuuta.
Winter in Japan is very cold.
Unlike Tanzania.
Do you remember?
Your father helped dig a well...for the local people.
Day after day, his body all covered in sand and soil.
Digging up the barren land.
Your father taught me to never give up on my beliefs.
Why don't you try to fight a little longer?
How long?
How long do I have to fight?
Until I complete your operation.
Can you promise me?
Until now, I've seen many different doctors.
None of them could make me a promise.
Doctor, can you?
Although you said that I'd definitely get well two years ago.
I promise.
Really?
Yes.
Yuuta, I promise to cure you.
[Transplant Network]
There's a donor?
We found a donor at Chuetsu University Hospital.
Yamano-san is the number one suitable candidate.
Lymphocyte Toxin Crossmatch Test results were negative.
The recipient also wishes to undergo the heart transplant.
It's already packed and is being sent here now.
I see.
On the day of my party, the first transplant recipient.
What a joyous occasion!
That's so great!
Who's going to retrieve it?
I'm counting on you.
Yes.
From removing the heart to the transplant, only four hours is permitted.
We will get all the preparations done for the transplant.
Yes.
Ijyuuin!
Dr. Kihara!
Good luck!
That's great.
Ijyuuin is already heading towards Niigata.
Darn it! Does that side have priority?
This child's situation is not so simple.
Plus, today he has to undergo a live liver transplant.
Yes.
It has to be successful.
It will be a long day.
Mrs. Otobe, let's go.
Okay.
Then, I'll go and prepare first.
I'm sorry.
Thank you, mother.
What are you talking about?
It's really just cutting a little away.
Your mother is very strong, so don't worry.
Alright?
Let's go.
It'll be fine.
It will go smoothly.
It'll definitely be a success.
Here.
I'm returning it to you.
Be strong.
Okay, be strong.
Alright!
It's about time we get ready too.
- Suction. - Yes.
We'll inject the anesthesia now.
Fast innervation.
The doctors that will treat you now are all the best.
Everyone will definitely make you well again.
Yeah.
Finish the operation quickly and welcome a great Christmas with your mother.
- Standing board! - Yes!
[First Anesthesiologist] [Arase Monji]
One...
[Second Anesthesiologist] [Kodaka Nanami]
Two...
[M E] [Nomura Hirohito]
[Scrub Nurse] [Satohara Miki]
Three...
[Gastroenterological Surgeon] [Matsudaira Kotaro]
Four...
[Clinician] [Fujiyoshi Keisuke]
Five...
[Second Assistant] [Toyama Seiji]
Six...
[First Assistant] [Ijyuuin Noboru]
Seven...
Alright, he's asleep.
[Main Surgeon] [Asada Ryutaro]
We'll now begin the operation to remove the left section of the donor's liver.
- Scalpel. - Yes.
- Begin injecting anesthesia. - Yes.
The donor's heart has just been removed!
Okay!
Red blood cells after induction are 8.1 g/dl.
There are signs of anemia.
Do we make it right first?
- So that we don't increase the burden, we better be cautious. - Yes.
Prepare for blood transfusion.
- Bring four units of MAP. - Yes. [MAP: Mannitol, Adenine, Phosphate]
- Gosset-shaped chest opener. - Yes.
Don't we have to open Magen? [Magen: Stomach.]
Okay, no problem.
Next, we'll begin with the excision.
We'll do it using the method that stanches the wound.
- Toothless forceps. - Yes.
Toothless forceps.
Blood pressure's lowering. What exactly is going on?
Medication to raise the blood pressure is not working.
This is bad.
Shock reaction due to an allergy after blood transfusion.
Under these conditions, we won't be able to undergo the transplant.
- Inject steroids. - Yes.
Specialized plane is at the airport. It'll take around twenty minutes to reach it.
- Please hurry! - Yes.
Blood pressure is 47! The urine is unable to be discharged!
Heart transplant...
is not possible!
The donor's heart is going to be a waste.
We have to contact the Transplant Network.
I'll make the call.
What?!
I'm afraid if it goes on...
What about the transplant? The donor heart is in transit, right?
If an unfortunate situation occurs in the process of transplant,
we need to contact the Transplant Network immediately.
Then, I'm afraid it'll be sent to the next recipient.
I see. It means it has been cancelled?
To put it simply, yes.
Doesn't that mean that we have failed?
Well...
Because it was before undergoing the heart transplant...
Oh, you should have said that earlier.
What?
Pass this message to Dr. Kitou. Tell her to work harder next time.
Well, that's too bad.
Although it's a pity that there aren't any gifts,
I can still go to the party peacefully.
[Transplant Network]
Big trouble!
What happened?
Yuuta-kun's donor has materialized.
Heart transplant...
can be done.
The liver...
has been taken out.
It can't be stopped now.
Because Dr. Kitou's patient was not able to undergo the transplant,
Thus it's being replaced...
After getting the call from the Transplant Network,
considering the suitability, transportation distance and time,
it's impossible for the others on the waiting list because they are too far away. Thus it can be sent to Yuuta-kun.
Yes.
They just called to inquire about the recipient's condition.
Asking if he can undergo the transplant.
Live liver transplant has just begun.
At this point...
it's not possible.
Damn it!
Why is it like this...
Before a donor is found, leave Yuuta-kun's liver to me.
I want him to be able to play soccer.
Can you promise me?
I promise.
Yuuta, I promise to cure you.
Contact Arase.
What for?
Heart transplant.
- We'll operate on Yuuta-kun's chest! - What are you saying? You want to...
Don't tell me...
Yes.
While doing live liver transplant,
we'll do the heart transplant!
Transplanting at the same time?
Are you crazy?
You're planning to do that?
It's a nine year old child.
We don't know if there will be suitable donors in the future.
Even if there is, we don't even know if we can get it.
In that case...
we have to take this gamble!
Matsudaira will definitely succeed in the live liver transplant.
After the liver functions are up again,
it'll be the heart.
Wait a minute. If he's suffering from a disorder, the heart transplant can't be done! It's against regulations...
I know!
Your medical license will be revoked.
Is this alright, Asada?
You won't be a doctor anymore.
I don't care.
If doing that...
can save a patient.
Let's do it.
Alright, let's start preparing!
At the same time?
Heart transplant.
Putting an adult's heart...
Let's go.
Putting an adult's heart in a child's body?
Unbelievable.
This is bad.
If Dr. Noguchi knows that Yuuta-kun is going to undergo a heart transplant
and it'll be done while doing the live liver transplant...
Plus, if he knows an adult heart is going to be used on a child...
Even if it takes all the doctors in Meishin,
they'll stop Ijyuuin from sending the donor's heart here.
Then the transplant will have to stop!
Dr. Noguchi left after confirming the operation schedule on the day itself,
we have to keep him in the dark and do it.
Come in.
Just like usual, I'll leave it here.
You've worked hard.
I'll take my leave.
It's a fight to win or die.
Yes.
I'm counting on you for the follow-up work.
Leave it to me!
Come in.
What is this?
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 heard that you're conducting a live donor liver transplant and heart transplant concurrently.
Japan's first simultaneous heart and lung transplant.
The probability of success?
0.1%.
Stop them now!
I'll definitely have the heart delivered.
This heart is useless.
What are you doing, Asada?
Wouldn't it be better if you hurried?
This is bad!
Nothing is impossible.
Transplanted heart...
The greatest team.
This team is the best team.