A doctor's job is to save patient. That's everything.
This is.. Team Dragon.
Team huh?
That man.. he's not looking at the patient. There's only darkness in his eyes.
Likewise for Batista and Norwood procedure.
There are first assistants and other assistants involved.
But their names remain unknown.
Congratulations, Miss Kito.
Thanks to you, our hospital is awarded IMA certification.
You're an excellent doctor. You've worked very hard.
What does this mean? I've told you.
The IMA certification is thanks to you.
President has also agreed to our proposition.
Soon, we'll be doing more difficult world-class surgeries.
- At this time.. Why? - Those can be done by Asada-sensei.
Of course, Asada is our core.
So, I'm just doing odd jobs?
Odd jobs.. but aren't we a team?
I've had enough of being ordered around.
What are you saying?
Tomorrow we will be doing David surgery. (TN: David procedure = Valve-sparing aortic root replacement)
Afterwards, patients awaiting heart transplants will be coming..
Thank you for everything.
Ijyuuin-kun!
Li Qiang Zhong, former director of China's Ministry of Health.
Equivalent to former minister of Japan's Ministry of Health. (TN: yes.. both translate to the same thing in English!)
He is the most appropriate first medical tourism candidate for Meishin.
He is coming for a full-body and cardiac checkups right?
Yes, 10 years ago, he suffered from angina.
He will be in Japan for a week?
The last three days, we have arranged a Kyoto tour for him.
He'll receive world-class health checks and a Japan tour before returning.
Back in China, he will be praising the wonders of Meishin's medical tourism to other influential figures.
Soon, we can expect many wealthy Chinese visiting our hospital?
But Li Qiang Zhong is known to be very strict in the bureaucracy.
He has fired countless men for little things.
I heard no one had seen him smile.
A difficult person.
Come in.
Excuse me, it's regarding our Ijyuuin.
Ijyuuin, ah, is it about cardiovascular medicine "renting" him?
This is Noguchi-sensei's request.
His existence is essential to our surgery.
Ijyuuin-sensei himself
wants to study catheter intervention under Kuroki-sensei.
Yeah.
I heard you have an intern who can speak Chinese?
Get her to follow Noguchi-sensei.
- Helper. - Yes.
Oh, right, Kato-chan.
I'm moving to the vacant Vice Chairman office on the 14th floor.
It seems to be directly above your office.
Well.. at best,
I'll be careful of my footsteps sound. Please.
- What is your purpose? - Purpose?
Are you trying to ruin my team?
In the world of doctors, there's no such thing as team.
Without a team, operations cannot be done.
Ijyuuin has realized,
that team, is actually only Asada and you.
Wow! Busy busy.
Are you making a mistake?
What? A VIP is coming.
Equivalent to former minister of Japan's Ministry of Health.
If that person likes Meishin,
there will be many Chinese coming to our hospital, such an influential person.
We must be extra vigilant.
So, what are you doing?
Isn't it obvious... an incredibly important.. odd job.
- Ah! - Dirty? Where? Where?
It has been hard ever since Ijyuuin-sensei left.
Your odd jobs are all given to me.
Is it?
But my opinion of you has changed a little.
You are surprisingly clever.
Even if you stay in cardiothoracic surgery, there's no operation to do.
Operations that come once in a while are all taken by Asada-sensei.
So, as compared to surgery, learning catheter intervention
is more promising.
I guess so.
I initially thought you were a brain-dead person,
but you shrewdly switched to Kuroki-sensei's side.
Well done, Ijyuuin-sensei.
With this, the scheduled operations will also be affected.
Can you try to convince Ijyuuin?
It's no use. He wants to learn catheter interventional treatment.
- But.. - In terms of endovascular treatments,
the accumulated experience from catheter is not a bad thing.
This is obviously Kuroki's plot.
We are doctors,
where he wants to go is his freedom.
David surgery, is it OK without Ijyuuin?
No problem.
It's fine if he left our team?
At the end, it's his own will.
It's meaningless to force him to stay in this team.
Tomorrow you'll be gone to Joyo for one week?
Without me, there's still Kato.
If anyone leaves we can continue running, that's a real team.
How is your research?
I've successfully extracted cardiac stem cells.
But the cultivation method has not been found.
As long as it is not found, there's no practical application.
I see.
Hopefully, I can discover an alternative treatment to transplantation one day.
So more patients can be saved.
Yeah.
Let's meet again after operation.
- That patient? - Yeah.
Admitted earlier than expected.
13 years old. Dilated cardiomyopathy.
I heard Meishin has world-class doctors.
They will surely cure your heart, Toru.
I wonder.
Huh?
It'll be the same diagnosis.
Toru..
- Ijyuuin. - Stop it. It's no use.
I'm thinking ahead, hence I chose catheter.
It doesn't matter to Asada-sensei. Because you are a genius.
Even if you disobey President, you'll still be evaluated highly.
But, I am different.
Sensei, you won't understand how I feel.
I see. OK. Thank you.
Everything is prepared.
We just purchased a new PET for health checkup,
a high-speed helical CT (PET-CT), the most advanced medical equipment.
Even Li Qiang Zhong will surely be satisfied.
I think you should know, if he is not satisfied,
our IMA certification is meaningless.
I became good friends with Barry,
- I can do the same with Li Qiang Zhong. - Barry?
My nickname for Barack Obama.
Then, this Li Qiang Zhong will be your responsiblity.
Do a good job.
It'll be OK. It is said he is a genius doctor.
They are waiting for us, to save you, Toru.
Welcome to Meishin.
Hello, Welcome.
Meishin is proud to be using the most advanced equipments for your medical checkups, Mr Li.
Most advanced equipments for Mr Li's health checkup.
Now, commencing David surgery.
- Scalpel. - Yes.
- Tweezer. Gauze. - Yes.
- Electric knife. - Yes.
Translators & QCs: indokid, serene012 KEEP THIS A FREE FANSUB!
HD re-timing by: @ChrHd
Suturing vascular graft to autologous flap. 4-0.
Yes.
Ah!
- Enough. - Eh?
No need to control the thread, just maintain my operating field.
Ah sorry.
Operation completed.
This way, please.
Thank you. We are here.
It's so bright. Room is not bad right? Are you OK?
- Yeah. - I'll unpack.
Manabe Toru. 13 years old.
Severe dilated cardiomyopathy, and also paroxysmal atrial fibrillation.
Pleural effusion, and also high BNP values. (TN: Pleural effusion = excess fluid that accumulates in the pleura, BNP = Brain Natriuretic Peptide)
Mother and son has gone through so much.
Although the mother wanted a heart transplant abroad..
but with Toru's conditon, it's risky to leave Japan for transplant, plan is abandoned,
and is now placing her hope on the amended law. (TN: referring to Japan's organ transplant law)
How?
Left ventricular function is poor.
If we perform surgery, the risk is too great.
- There's no way. - Yeah..
Besides using diuretics and β blockers to stabilize,
we can only wait until a suitable donor appears?
Yeah.
Harbouring a glimpse of hope,
- just to see you, but.. - We have to do something..
The results are great, you don't look like 70 at all.
- Result's normal. You don't look like 70. - I'm not 70, only 69!
- He said he is 69 years old. - Ah, sorry.
A big shot from China..? So many doctors following.
Hey, we are meeting the doctors, OK?
To treat Toru's dilated cardiomyopathy,
a heart transplant is required.
As you know, the Organ Transplant Law has been amended.
In Japan, children under the age of 15 can have heart transplants.
But at this stage, there is no precedent for pediatric heart transplant in Japan yet.
However, there is hope.
Um.. I heard in this university,
there is an ongoing research for regenerative medicine?
Can it help with Toru's treatment?
That is being conducted by Fujiyoshi-sensei,
cardiac stem cell research.
In the future, it will be an effective treatment for dilated cardiomyopathy.
research is still ongoing.
When will it be completed?
I want to achieve it as soon as possible.
Will I still be alive by then?
That child in a wheelchair, is it heart disease? He doesn't look that good.
Do you care?
Severe dilated cardiomyopathy. Even Asada cannot do anything.
The patient knows of his own condition?
Yeah. Must be hard for him.
Ah, I forgot my purse.
I'll go take it.
Sensei.
Sensei, I can't be saved right?
No need to hide anything, I already knew.
But even so
I still have something I must do.
I surely cannot be saved right?
Yeah.
As expected.
Regardless of how hard doctors tried, there are still patients who cannot be saved.
Just like me?
That's right.
Patients who are unwilling to battle their disease, like you.
If you don't have the will to fight the disease yourself,
No matter what doctors do, it's hopeless.
What doctors can do
is only to reach out to patients who want to stand up.
The will to stand up, is from the patient himself.
Wire is out.
From the checkup results, digestive system is normal,
currently, your body is healthy.
This is Mr. Li's hometown Yunnan cuisine.
During your hospital stay, it's best you eat the food you are used to.
Not bad.
Although he did not smile,
but from what I feel, Mr Lee is in a good mood.
It's akin to a married couple, satisfying his stomach is the most important.
Tomorrow is the cardiac checkup, do a good job.
Oh. Shouldn't you be in Joyo University for a week?
- Tomorrow onwards. - Take care.
If you are not back early, your department may disappear.
Farewell Farewell Farewell..
I'll come back in the afternoon.
- Umm.. - Yeah?
- Bring me a DVD. - What?
"Suberanai Hanashi". There's one at home. (TN: comedy variety show)
I want to laugh a little.
Toru..
Later, it's been a while, I want to go for a walk.
Yeah.
Wow. Busy busy, I need to attend a society.
Why are you attending a society?
Of course it is.. an incredibly important.. odd job!
What kind of spa I will be enjoying..? Haha.
All right. See ya!
See you.
Have you finished the summary? Be quick.
I was helping as an interpreter, how tiring.
We're short-handed, there's no choice.
I'm not getting a deserving salary for all these work.
You can quit and go else where. I won't stop you.
I would have left if it's possible.
But only this place accepts me.
Why are you working so hard? Super-duper hardworking.
And yet President doesn't like you, your subordinate abandoned you.
Whenever I look at Kato-sensei..
is this what I will become? It's a painful feeling.
I'm going for my rounds.
Not good. This requires immediate treatment.
Aorta is meandering left and right. (TN: yeah, that's what he said!)
Why is it so winding?!?
Mr Li, it appears that part of your aorta
has a little swelling.
Requires immediate treatment.
This is bad, if operation is required,
then my Kyoto tour is gone!
Please do not worry. Meishin to proud to have
the world's best cardiovascular catheter interventionist, Kuroki will quickly cure you.
Are you sure it can be cured?
Failure is absolutely not tolerated.
Do you understand?
Yes.
The medical tourism participant, Mr Li, former director of China's Ministry of Health,
was diagnosed with aortic aneurysm.
Stent-graft placement operation.
Ijyuuin, come with me.
Yes.
Asada-sensei, operation at Joyo University, do your best.
It's a special request by Professor Kojima.
You may be required to be in Joyo University for a few months.
- That's for me to decide. - Please.
Sending the stent-graft to the lesion.
Then, remove the knob, and deploy.
What doctors can do
is only to reach out to patients who want to stand up.
The will to stand up, is from the patient himself.
No problem. It will surely be a success.
I'll leave it to you, Kuro-chan.
Kato-chan.
I heard you admitted a child awaiting transplant?
You are so busy, and yet very well-informed.
It's because I have unusually large eardrums.
I heard the first medical tourism patient,
during his cardiac checkup, aortic aneurysm was found?
I hope catheter can solve this smoothly.
- Excuse me. - Can that child be saved?
What are you talking about?
Even if a donor is found,
How can you ensure that he can receive the transplant?
Or is it, that child was admitted here,
- just for "performance" to President. - Stupid!
Treating patient as a tool..
You'd better stop now, Kato-chan.
Besides your trump card Asada-sensei is being rented to Joyo University.
It's just for a week.
No. If the other party is satisfied,
President may let him stay there forever.
Ridiculous. Your words..
It seems like Asada-chan is also quite willing.
What are you saying?
Poor thing.
The patient exploited just for the survival of surgical department,
- is just a child.. - Enough!!
Can that child be saved?
Poor thing.
The patient exploited just for the survival of surgical department.
How..
Now, commencing thoracic aortic aneurysm
Stent-graft placement operation.
- Yes. - 18 Gauge.
- Hello. - Hello.
I brought a lot here.
- Stent graft. - Yes.
Wire is out.
Arrived at descending aorta lesion. Deploy!
- Let's go. - Yes.
OK. Thoracic aortic aneurysm Stent-graft operation completed.
Successfully completed.
Ah, finished. It's OK.
Thank you.
- Li Qiang Zhong smiled! - Great!
Mr Li will go for the Kyoto tour as planned.
Congratulations, President.
After this, Meishin will be very busy.
Yes. All right.
- Toru? - Yes.
I can't find him anywhere.
All right. I'll help you find.
- Thank you. - Yes.
- Can you hear me? - Stretcher is here!
- Ambu! - Yes. (TN: Ambu = self-inflatable resuscitation bag)
- Apply pressure on the bleeding legs! - Weak pulse. Shock state.
Here we go! 1.2.3. Here we go! Hurry up!
Incoming stretcher! Incoming stretcher!
- I've not seen. - I see.
Keep moving! Breathing, circulation and consciousness are all critical!
Immediate intubation on arrival. Level 1!
- Incoming stretcher. - Hurry!
I heard he jumped from the roof into the courtyard.
Jumped?
Hey, I heard someone jumped?
Yeah, I saw a dazed patient going up the stairs.
- I was wondering if he's that child. - That child?
A boy? Carrying a Rubik's cube?
Yes, yes. He's carrying it.
- Here, thank you. - Turning.
Monitor prepared? Check vitals!
- Moving! - 1 2 3!
- Intubation! - Cut his clothes.
Echo!
The monitor is turned on.
- Immediately ask for cardiac consult! - Yes.
Hey! The condition?
I'm his doctor. He's admitted for dilated cardiomyopathy.
In short, mitral and tricuspid valve are injured.
Mitral and tricuspid valve? Only Asada can handle this.
There's only Professor Kato now.
Professor is now in an operation! But there's severe degree of regurgitation!
Acute heart failure, need urgent cardiac treatment!
All right! I'll go.
Manabe-san!
- Hey, go call Kato-sensei! - Yes!
- 8-0. - Yes.
- Kato-sensei! - I've heard.
There's coronary anastomosis here,
I cannot leave in this condition.
- That, but.. - Asada is at Joyo.
- I'll contact him. - Immediately after this.
Until then, ask consultation from Cardiology.
All right.
Meishin's Asada-sensei is in today's operation.
Really? So we can receive his coaching?
No idea, we have to observe and study.
Hello? Hey, operation is starting!
- Let's go! - Yes.
- Gauze please. - Yes.
Saturation is dropping fast!
Check respiratory! Blood gas analysis!
- There's PVC! - Cardiac staff not here yet? (TN: PVC = Premature Ventricular Contraction)
Heart is stopping soon!
Kuroki-sensei!
Need emergency treatment for acute heart failure!
- I would like to ask for consult from Cardiology. - Consult?
Apparently, the patient has dilated cardiomyopathy.
- That child? - Someone, please!
Kato will come immediately after her operation.
I've been trying to contact Asada-sensei in Joyo,
but failed.
You can go, Ijyuuin.
Do a good consult, on behalf of Cardiology.
All right.
Li Qiang Zhong seemed very pleased.
After this, the number of Chinese patients would be explosive.
Well, this was much easier than my Barry strategy.
Anyways, are you done moving?
Thanks for your concern.
After all, my arowana partner,
his tank is too heavy to be moved, so no hurries.
The view on the 14th floor is presumably different right?
This is the 15th floor. When will you be moving here?
Here? This.. I wouldn't dare.
Higher than the 14th floor is more suitable for you.
- No, no, that.. - 14th floor. No,
higher than the 15th floor.
Do you like spicy bean curd?
This is a flight ticket to Shanghai. Please board right away.
Go Shanghai's Sei An Central Hospital as director.
To further strengthen your ties with China.
Fly to the world!
Thanks to you, Medical Tourism is also on track to its next stage.
You don't have to worry about here.
- Came up here? - Yes.
Only this staircase can lead to here.
I see.
- Blood pressure less than 60! - It's too late!
- Sensei, please. - Yes.
Eh?
Asada.. sensei.