(Unnamed country) Refugee Camp
A medical group to aid thousands of sufferers (MSAP)
In Japan hospitals...
We certainly do not condone such practice
One Year Later
What happened? This scar...
It looks like a dragon
Hold on
Did you bring another woman home again?
Your girlfriend?
- Hello? - She's coming
Are you still there?
Don't step in here again.. Hurry up and leave
Ignoring me after doing it?
That's very evil
Ah.. right
You are
fantastic
It has nothing to do with me
I can't stand this... Answer the phone Ryutaro!
Just as I expected..
Hey... Ryu-chan!
You brought another new woman home again?
Who the hell are you?
I finally found you
I'm from Meishin University Medical Hospital
assistant professor of cardiac surgery department
Kato Akira
I want to recruit you
Me?
Yes..
Asada Ryutaro
Team Medical Dragon
Iryu (Dragon Doctor)
Iryu Team Medical Dragon Karte: 01
Translator & editor: indokid
Timing: tianj Raw: massaru
KEEP THIS A FREE FANSUB visit d-addicts.com
Uhmm...
Are you intending to invite Ryu-chan to work
at Meishin University Medical Hospital?
Hey!!
Isn't this great?
You can finally work again
You don't want to carry on living this kind of life right?
bringing home girls every night...
Miki.. Didn't you promise me if you experience any pain you would go for check-up?
If I need any doctor, isn't Ryu-chan right here..
I only want Ryu-chan to treat my sickness
Didn't I say?
I am not a doctor anymore!
And because of this
living a poverty life on borrowed money
One year ago
I joined the MSAP
While at the refugee camp saving thousands of lives
I've watched your operation
A patient was injured from a bomb blast
his abdomen was completely ruptured
He will eventually lose a lot of blood and die
In a place where medical equipments have not been properly maintained
To perform an operation to repair a ruptured abdomen
is extremely difficult
Furthermore the patient is in a shock state
there is the tiniest hope of success
However, with an accurate medical judgement,
extraordinary medical skills
and an excellent team work
It's like the work of a jazz band musician
And then using only 7 minutes to restore the abdomen
saving the patient's life
I was there too at that time
I was the nurse
Let me make it clear
Completely ignoring me...?
I hate to praise anyone
but there's no denying this
you are a genius
But you don't have any place to belong in Japan's medical world now
4 years ago
you are dispatched by North Japan Hospital to join MSAP
in an operation to aid thousands of lives
Half a year later.. after the hospital withdrew its team
You defied the professor's orders and chose to remain at the refugee camps
As expected, you are expelled by the hospital board
Under the influence of the professor of your former hospital,
no other hospital would hire you after you returned to Japan
How tragic
A genius has to live his life through borrowed cash and hiding until now
Hold on...
You
From just now, what are you trying to say?
I want you to help me in my medical thesis
Once my medical thesis is recognised
it would be a major stepping stone for my goal to attain the position of professor at the hospital
I've also prepared a good remuneration for you
I'm not interested in your university hospital
Good-bye
Hold up.. Ryu-chan..
Hey..
BATISTA...
Batista.. Are you interested in it?
Is it regarding Batista?
Your medical thesis..
Batista operation?
Batista operation
is named after a Brazilian surgeon Randas Batista, who invented this operation procedure
The operation is used to treat enlarged heart muscle
excising the enlarged heart muscle
and stitching it back to make it smaller, it's a difficult operation
My medical thesis is based on this
Currently in Japan hospitals, there hasn't been any surgeon who has successfully completed Batista
In the cardiac surgery world, it is considered an extremely high skill level operation
Isn't this the best challenge?
This is awesome
If the operation is successful..
you will be the first person to have done Batista
Then, my medical thesis would be recognised and I can become a professor too
At your age
Do you really think a woman as young as you could be a professor of a university hospital?
What wishful thinking
But you do hate this kind of woman. Right?
No No It's not hate.. Right?
Maybe...
Batista
cannot be done alone
It requires an excellent team
Our hospital staffs are very excellent
So how?
If you complete Batista it would be boost to your reputation
I could be a professor
It's a win-win situation for both of us
A giant white tower?
Welcome
to Meishin University Medical Hospital
Doctor Asada
Don't get me wrong..
I did not come for you
I've come to take a look at
the excellent staffs you mentioned
Whatever
You don't have an ID right now
anyway first write your name
Ah blue colour?
Eh?
This
What's wrong with that?
That's Meishin university ballpoint pen
Let's go
First, let's go meet the professor
Remember don't any trouble in front of the professor
Understand?
I...
Why do I come to work at this hospital for?
Everything right up to medical procedures
is decided by the professor of this hospital
Rather than patients..
we are more eager in pleasing the professor
Rather than surgical procedures,
we prescribe medicines from friendly pharmaceutical companies or senior doctors' preferences
Is this really what it means to be a doctor?
Actually
I wanted to take chances...
I'm sorry..
all this has nothing to do with you Kashima-san
But I have no other place to vent
Ah, Ijyuuin-sensei
yes?
- It's almost time to give patient Dokura-san at room 301 medicine. Is it ok to be late? - Dokura-san?
That...
Ouch!
Hold on!
Why do you ask that guy for?
But...
he would be a doctor one day right?
That brat
he has no talent at all.. useless intern
useless intern
Is it?
Recently in the midst of an aorta surgery, he fainted after seeing the patient's blood
Ne?
You two!
Head nurse!
This is not the time to fool around
Go check-up on room 308 patient
Understand?
Understood. We will head there immediately
Referring to him as "little brother"
Suits him
yes?
Just forget it
But I have found it
Ouch!!
and I thought I could definitely break the record yesterday
Not good.. Not good
And the suitor date is a flight attendant
How nice
Does that mean the standard has risen
Ah..
Ouch..
Ah.. I hurt my elbow.. Ijyuuin.. come take a look
yes
Ouch.. be gentle a bit
Is.. Is it arthritis?
Ah.. Not bad..
and what is the cause?
- Cause? - That..
The hint is: it's when the ball enters the hole, after you have tried hard
Hole?
Inside the hole..?
Is that..
Are you stupid? Of course it's because of playing golf
Yesterday's dinner gathering
with all the pharmaceutical company staffs
I'm really so happy
You too..
don't always just work at your table, do join us once in a while..
because pleasing the pharmaeutical company staffs is an equally important job too
But I don't know anything about golf..
I'll start practicing tomorrow
That is why you are useless
Do you know?
In this clinic department..
developing friendship is more important than anything else
Even though I am highly regarded by Professor Noguchi
but I still take good care of you
maybe you should show gratitude towards me
Thank you very much
Ah..
Eh? Who are you?
Asada Ryutaro
Pleased to meet you
Ah you are the doctor brought in by Kato sensei, who is formerly from North Japan hospital
I've heard about you..
I'm the professor's assistant, Kihara
I don't care about the system back in North Japan university..
but in this hospital we have a different system of doing things
Let me explain to you in details
Ah.. it's time..
Ijyuuin.. we have to leave
ok
(The head team is now making their rounds in the hospital.. Patients please remain at your beds)
The head team huh?
Good morning
Sensei..
Thank for your continuous care
As long as you are ok
lung cancer and is reaching end stage
Ah I see..
Admitted to this hospital for an operation
Looks like it's going to be difficult
Ah I see..
Then...
Entlassen
Take care ok?
Thank you
Just now..
is it referring to the lung cancer is at its end stage?
Patients would not understand hospital jargons anyway
Is that "entlassen" referring to "awaiting death"?
avoiding attempting low-success operations
such as operations requiring high medical skills
This is Professor Noguchi's policy
it's best you don't express your dissatisfaction
so.. progress observed
Get used to this...
I have to get used to this
Hey..Ijyuuin.. Be quick!!
Ok.. I'll hurry up
I invited him for the Batista operation
Asada-sensei
I'll just give you a brief introduction now
Oh.. It's you?
Pleased to meet you
Your pen, where is it?
I don't want to carry it
It's too heavy
I see..
Progress observed
You get out!
I won't hand over the patient to surgery department
What are you saying?
Is the patient in the room?
I've had permission from the professor
Without permission from me
then he is still under my department
How could you surgeons come in as you like?
You watch out!!
You bastard... What nerve..
I will report you to the professor
You wretched surgeons only care about increasing the medical fees of patients
and don't even bother to know their names
You are right
By dismissing the fact that the patient is a living human being
surgeons are only then able to carry out surgical operations
Huh?
What I mean is you don't have to treat every patient like he is a human being
where does a brat like you come from?
Huh?
Fujiyoshi sensei!!
Mr Yamasan has urgent abdominal pains
I'll be back soon
I don't know where you are from..
but don't ever appear in my sight again
He seems strange, isn't it?
Is it Asada?
Is it all right?
without him, Batista operation cannot be done
Hmm..
if medical thesis on Batista is successful
me being the professor of the department
would certainly be delighted
I'll leave it up to you
yes
Hey..
What's wrong?
Let me go
Your condition isn't that great
experiencing convulsions from effects of anesthetisation
What an inexperinced young bloke..
using 2 doses of medicine in one shot
Huh?
What are you babbling about?
What's wrong with your head?
Arase-sensei..
what are you doing in this kind of place?
Uhmm..
This...
I haven't seen you around.. intern?
More importantly..
Quickly carry him to a place out of public sight
He seems drowned
Under anaesthetic influence..
you seem to know his condition well
This brat?
is an outstanding anesthetist.. Arase Monji...
and you are?
Asada
Ah.. you are the..
Get up
and you are?
professor of emergency department.. Kitou Shoko
You don't have any reason to remember my name
Asada Ryutaro kun
so miserable huh? sensei you too
Aren't you the same?
overworking to attain your goal of becoming professor
I hope the work you put in does not go to waste
why are you are at this place?
I am leaving with Professor Noguchi for a conference dinner
That's a pity
Tomorrow make sure you properly introduce yourself to the professor
Understand?
And therefore
Meishin Hospital
will continue to focus in providing the best care to its patient
Thanks for your guidance
Thank you to everyone present
Your speech is great
Thanks for the support
Let me introduce
This is Kirishima from our hospital
Work hard
Thank you
You must be tired..
The staffs from North Japan Hospital are also here
The person beside Professor Sawada
is a person with the same position as you
He is known to be very capable
Like us, he is working in North Japan Hospital cardiac surgery department
He is your future rival
I will never lose to that person
Keep up that spirit
You have a question for me?
I need to know something
What is it?
But before that...
Your ex-colleague
named Asada Ryutaro. You know him?
Asada
Why?
I invited him over to help me
at Meishin?
from North Japan Hospital?
Yes
However
I heard he was banished from his former hospital
Didn't you know?
I have no idea
I see
Why do you have to specially seek out that person?
Batista
He can do it
Batista?
If my medical thesis on Batista is recognised
I would be able to achieve my goal to be a professor
He is an important pawn piece
Can he succeed?
He has the skills
Why don't you do the surgery yourself?
It's a Batista operation
If I were to take charge and failed the surgery
Then the professor position would be definitely be unattainable
I see..
So that's why you let him do the surgery
If the surgery is successful, then you would be a professor
If he fails, he would be considered as an outsider and no one would be affected
You are very cunning
That is why you like me right?
That's right..
You must achieve it also ok? Becoming a professor
In Meishin and North Japan Hospital
Both of us as professors
Leadin Japan's future cardiac field
would be us
You can count on me
This white suit really suits you, Ryu-chan
Hey.. So how is it working in this hospital?
Not too bad
the nurses here
Hey I am asking you a serious question
There isn't anyone here with teamwork spirit
Eh?
Without an outstanding team, Batista cannot be done
Just as I thought..
Without a team similar to MSAP period, it is impossible
As a doctor
It is my dream to perform surgery with that kind of team
Can money really make you happy?
How can that be...
Hey
Are you saying you wish to continue living that kind of life?
Do you really want to give up being a doctor?
patient transferred from Shiniku emergency department
in cardiogenic shock
Immediately contact staff from cardiocathric department
Shouta!!
Patient is sent over from Shiniku Hospital
Hisago Shouta, involved in traffic accident and in cardiogenic shock state
an "awaiting death" patient?
Blunt heart trauma
it does seem critical
I know that too
Just by looking at this X-ray scan, I've already analysed the patient
Ah...
It looks there is another cardiac tamponade
How could the doctors at Shiniku Hospital not able to detect this?
Hey, Ijyuuin Move out
yes
Please use the operation room with observation deck
Intern
What is it?
Is that guy
really capable?
he is right about the cardiac tamponade
But the proper surgery procedure is tricky to figure out
or does he have any other plan?
Anyway...
This has nothing to do with the level of surgical skills
Because it's just an "awaiting death" patient
Awaiting death?
is another name for Shiniku Hospital Shiniku.. awaiting death (Shiniku has similar pronouncation as "awaiting death")
to not affect insurance ratings
doctors still have to treat hopeless patients
Even in the case of no treatment
to avoid the increase of hospital's death toll
the patient is transferred here
to the patient's family, dying in a well-equipped hospital, they will accept it more easily
In other words,
This is a patient whose life or death does not matter
As long we follow standard surgery procedure
the outcome of operation is unimportant
Sensei!
The operation.. Please do me the favour
No matter what
please bring Shouta back alive
No matter what...Shouta..
Please..
Hand me the scalpel
yes
- micro-scalpel - yes
cardiac tamponade
due to injuries, blood flows out of the myocardium
and accumulates between the myocardium and pericardium
causing compression in the heart
the operation requires opening up the myocardium
and drain out the excess blood
and I was wondering where else could you be
this time at the surgery observation room huh?
There's no way
I doubt the patient can be saved
opening up myocardium
start drawing out blood
The blood pressure indicator...
heartbeat..31
the heart.. has stopped beating
the operation is successful
but the patient has died
Ijyuuin
stitch his operation wounds
operation is over
Ah... how tiring
Ryu-chan!
What are you trying to do?
Continue the surgery
Don't act at your own will!!
The surgical procedure was flawless
the operation is successful!
Are you doubting my expertise?
Intern..
Observe carefully
It is not natural for the heartbeat to suddenly stop due to cardiac contusion
There must be other reasons
What are you planning..?
And so
We should investigate the real cause of the heart failure
scalpel
Hurry up! We don't have much time left
yes
- fluid evacuator - yes
Please pass over the equipments
- rib spreader - yes
- tweezer - yes
It's right here
perforation of heart
because of this bleeding continues
using the thumb to directly apply pressure?
Here comes..
using the thumb to apply slight pressure to remedy the time needed to stitch the perforation
using bare hands to perform cardiac massaging..
and using only one hand...
It has begun
Gently Slowly
Like molding a ball..
Gently
And then slowly
start increasing the pressure
Incredible
Just merely "molding" actions
his fingers and inner palm are not only flexible, and is also able to maintain an equilibrium
his exceptionally long sesamoid bone in his thumb
is giving him supreme control of the fingers muscles motors
Isn't this
the ideal surgeon hands
In the past...
the same thing happened before
During the war in Middle East,
while attending to a patient in a surgery
The hospital was bombed
everything went up in flames
The doctors and everyone else quickly fled the building
But he did not care about himself, continuing to perform cardiac massage on the patient
In the midst fiery blue flame
trying his best all alone
He could not save that patient at that time
After that..
blue is an unlucky colour to Ryu-chan
Do you get it.. intern?
a patient whose life does not matter...
does not exist!
Come back...
Come back!
Please..
start beating for me
Heartbeat has recovered
It's revived!
Are... Are you kidding me?
Welcome back
Little one
Now let's start treating the heart perforation
yes!
- 4-0 stitching tool - yes
- Scissors - yes
Heart perforation is treated Bleeding has ceased
- Stitching is completed - yes
yes
- 3-0 - yes
Impossible..
He treated the heart perforation within 5 minutes
Why is there such a doctor in our hospital?
Unbelievable..
reviving a heart that has stopped beating
in the blink of an eye
What is this speed?
This is..
Asada Ryutaro
Sensei!
Shouta??
The operation is a success
his condition has also stabilised
Thank you so much
What have you done?
I recognised your skills
but this will bring me much trouble
Barging into the operation room, lecturing the surgeon and operating on his patient
If this news gets to the professor, you are in big trouble
This is unforgivable...
If it's unforgivable
do you want to go back in and kill the patient?
Ryu-chan!
- Follow me! - yes
Kato-sensei!
What is wrong with that Asada?
He has no respect for me, barging in like that and taking over the operation
Even if this is unreasonable to you
I will report this matter to Professor Noguchi..
Is that what you want?
Kihira Sensei
What is it?
Say something for me!
Your medical thesis
"String sign", on the relation between frank-starling curve and artery grafts
Do you mind showing it to me for future research data?
yes?
If I find it excellent
I will recommend it to Professor Noguchi
Is it ok?
I.. I am more than happy
Then let me reconfirm something
yes?
The operation just now
That one..
From start to the end, you are the head surgeon
Isn't it?
Ah...
You alone took control of the operation
and miracuously saving the patient's life
Right?
If this news gets to Professor Noguchi, he would be delighted
having such a capable surgeon working for him
Wouldn't this be lying?
Ah.. It's not a lie
Please do say so..
Then... excuse me
I'm off to wash my hands..
yes!
Uhmm Kato-sensei!!
That lab data I will hand it quickly
Careful on your way out! Have a nice day!
Hey.. you are really quitting Meishin hospital?
You saw it too..
rather than patients, they are more focused on pleasing the hospital board
That is what a university hospital really is
But..
Didn't you just save a patient's life in that hospital?
Even though is not an ideal hospital
there are many patients awaiting to be treated by you Ryu-chan
Listen..
I don't want to repeat this twice
I don't want to be a doctor anymore
Wait up
Hey.. Slow down
For Ryu-chan, doctor is the best profession for you
Shut up!
Ryu-chan..
So..this is it?
You can't give up being a doctor
Actually you are afraid. Right?
Huh?
Batista operation
No confidence to attempt it?
For Batista operation,
you need the best medical team
Then go form one
you alone
is already the best team, isn't it
Forget it
Miki-san?
Miki!
Miki-san!
Her breathing has stopped
but her heart is still beating
Based on these symptoms
her two lungs have simultaneously developed pneumothorax
There is no doubt about it
Due to the formation of holes on the lung lobes inside the lung thorax
Burst of air flows out and builds up pressure inside the lung thorax
And no matter how hard you inhale
the lung is unable to be restored to its original shape
If both her lungs have reached this stage
her life would be endangered
I'll go call the ambulance
and then order my unit...
There's no time!
If we were to wait for help, it would be too long
Even if help comes in time, there is risk of brain damage
But..
Let me borrow this
What are you trying to do?
Hold her for me!
Eh?
Quick.. do as you are told!
This woman has very bad temper
She hates to be ridiculed
This emergency treatment..
Using a pen to pierce into her lung thorax
in order to let the air inside escape
and thus allowing the lungs to restore to its normal state
Such crude method
But..
if this action was not carried out
she may die
Forcing me to do such troublesome things
Just as I expected..
You saved me
I surrender
Miki
Since you said I could form my own team
Huh?
This person here..
though she is not qualified to be a real woman
But as a nurse, she's first-rate
Miki
After you are fully recovered
You will be the first person to join the new "team dragon"
yes
Asada sensei
When Miki-san has recovered
please invite her to join our hospital
I'll make it clear first
I did not come for your medical thesis
but to perform surgeries for patients
I understand
In the process of forming my team
The changes it would bring to this hospital
does not concern me
Sure
Don't be mistaken
Just watch your back
I almost forgotten
The pen I borrowed
although it is broken
Let's go
Will you let me witness another miracle?
Asada Ryutaro
Batista operation
is one of surgery procedures used to treat over-enlarged heart muscles
as opposed to only having the option of heart transplant
it provides sufferers an improved alternative
It is becoming the preferred method and gaining popularity
Other than requiring an unparalled medical technology
there are still lies an assortment of difficulties
However recently
after significiant technology improvements
the surgery success rate is much higher