That Asada guy
really is gifted
His surgery proficiency is top-notch
but with him around
even I got caught up in that troublemaker's antics
Although I'm just a small-fry doctor
If I'm continuously in the professor's bad books
Sensei
Sorry
You specially came to check up on my sickness
I'm sorry
I walked into the wrong ward
I.. I have this habit of visiting unconscious patients
Ah, I mean...
patients who are asleep
and then spouting nonsense.. therefore...
Thank you
No.. it's not that
I'm sorry
I'll leave now
Regarding the Batista operation,
we are currently searching for a suitable patient to operate on
Ah
And then
the operation before..
remember don't ever mention a word to Professor Noguchi
Because I've already covered up for you
Thanks for your troubles
As a punishment
you have to be on duty for a period of time
with "little brother"
little brother?
I will be working with Asada?
But I thought I'm with you, Kihara-sensei?
I arranged it
If I don't do this
How can I have the chance to get my revenge..
But why do I have to be with that troublemaker..
If something bad were to happen.. what should I do?
Work hard people
Ah Kato-sensei
Please hold on..
Wait up!
Kato-sensei!
I've prepared the thesis
Please let me get through today without trouble..
(On Shift: Asada, Ijyuuin) - Hey intern
what is it?
Quick grab something to eat
or you would be hungry later
If anything happens
I would immediately contact Kihara-sensei
Kinoshita?
It's Kihara sensei
yes
Brief me on situation
It's an urgent appendicitis operation
What are you doing?
You are the head surgeon
Huh?
You picked up the call
therefore you do it
What are you saying?
I'm just an intern
So what?
I've only performed simple surgeries under supervision
At your age in foreign countries, it's common to have done hundred over surgeries of this kind
But..
this is Japan hospital
Do as what you are ordered
Uhmm..
it's just an appendicitis operation
it's not really that hard of an operation
I understand
I'll do it
just do it
What is he thinking?
- Scalpel - yes
I've read this in the textbooks..
starting from the navel, 3 fingers away to the surgical point
- gauze - yes
If anything happens
please lend me a hand
it's your operation
so it's your responsibility
Calm down, sensei
I just have to cut open the skin area underneath this..
- Pincers - yes
Just like the textbook says...
I'll just have to remove the appendix
It's gone
Gone?
I can't find the appendix...
- Sensei - Asada Sensei
Douglas pouch
check the Douglas pouch
Douglas pouch?
Is it the gap between the rectum and uterus?
There it is!
- Prepare for removal - yes
Why do you let me do the surgery...
What if anything happens?
Do you get it?
Real surgery is unlike medical examples from textbooks
So for surgeons,
without experiencing actual operations, it's impossible to improve
Keep that in mind
Even though you're right
If anything happens to the patient...
Wait up
Are you going to interfere with patient of other doctors again..
He's really..
Obachan
Sasaki-san!!
Are you ok?
Call the doctor in charge
The doctor in charge is not present
What do you mean not present?
her condition... there is risk of infection
That's not true
It's due to anti-carcinogen
anti-carcinogen?
Medication from ABC pharmaceutical company, called TMT3
this new type of anti-carcinogen is now at its experimental stages
experimental?
What do you mean?
using a patient suffering from lung cancer, to test the effects of a new medicine
However
the side-effects is severe...
this TMT3..
Due to excessive strong ingredients, hospitals have forbid the use of it
the other hospitals have ceased using it
The medicine destroys cancer cells
but the patient's life is also endangered
That end-stage cancer patient
Is it right to let her endure this suffering?
end stage?
Then..
It's because it's a dying cancer patient
Since she is going to die, they used her to achieve something
is it the doctor's own agreement
to let the patient undergo this experiment?
Iryu Team Medical Dragon Karte: 02
Translator & editor: indokid
timing: tianj raw: massaru
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Nice shot!
Uhmm.. Professor Noguchi
I've heard the focus of your hospital cardiac department this year
is on Batista operation
And also because of this inviting a surgery specialist to the hospital
News does travel fast
What's going on at Togo-sensei's side?
Us..
Thanks to your support, we are one step away from completing the experimental stage of TMT3
After we announce beneficial effects of the medicine
then everything will go according to plan
I see..
Is that the anti-carcinogen?
As long as you give your approval to our new medicine
the value of your stocks would be doubled
No.. Tripled
It's right here
Save!
Then I'll leave it to you, Shibusawa-kun
10 medical cases left
Leave it to me
Hello all
Ah, Asada Sensei
Miki!
This white suit really does suits you
How's your health?
Getting better
But even before I'm fully recovered, I can always count on you
Ah, I brought this
What is it?
Something for Batista operation Team Dragon
This star represents me
as the first member of Team Dragon
So.. have you decided on the other members?
What's wrong?
Can you do me a favour
Huh?
What is it?
Shibusawa-sensei called for me
to check up on Mrs Sasaki?
yes
because an operation may be carried out.. Youroshiku onegashimas
yes
Shibusawa Sensei!
I really hope you would stop the medicinal treatment
What do you know?
It's the will of the patient's family
But.. the vomitting is very severe
and she has difficulty swallowing through the oesophogus
Even if I stop medication, she won't live long
So even if success chance is small, I still have to try
That is a doctor's duty
Is it not?
What are you doing here?
Browsing patient data of other department
Just as I thought..
She can live at most 3 more months
end-stage disease
No treatment could save the patient's life
The degree of the side-effects
is determined by the doctor himself
Furthermore
due to the complications that arises, cancer cells may slightly be reduced
But even if no noticable change
That medicine..
will still be accepted
For the pharmaceutical company, as long as there is a hospital that is willing to use the medicine
Whatever the outcome, the medicine will still be "effective"
This is too much
The hospital is acting for its own interests
But..
Such treatment requires the patient's agreement beforehand
Even if the patient is informed of the medicine
they wouldn't know the seriousness of side-effects
If the patient transfers to another hospital
maybe she would receive a better medicinal care there
It's no use
The head doctor would not agree to release the patient
I'm sorry.. This has nothing to do with me
You also knew of the anti-carcinogen case?
and its strong side-effects...
this new medicinal treatment to treat cancer
To both the patient and her beloved...
it's like a last-hope miracle medicine
But the patient's family members
aren't informed of the aching and vomitting medicinal effects
It will be kept a secret from them?
Yes
Because
we need both the patient and her family members approval for the treatment
And also, Sasaki-san is a patient of respiratory department
Me being from cardiovascular department
couldn't interfere
You surgeons are unable to do anything also
That's how it is being a surgeon huh?
Please stop pursuing this matter
If word goes to Professor Noguchi
Ijyuuin!
What is it?
Aren't you close to that patient?
No.. it's not like that
And if
doctors have any close relationship with patients
we would be reported to the directors
I see..
I'm sorry..
Thanks to you
I feel so much better
Oh yes..
Are you that young doctor's superior?
That Sensei had specially came to check up on my sickness
Really..
I've received so much care from the doctors
You are all good people
Hmm... Sensei!
I'm Mr Sasaki
Are you the doctor who once came to check on her?
No.. I...
My wife has told me everything
A young doctor came to visit her
I'm really thankful for that
Hmm..No.. I'm just an intern
Besides I belong to a different department
Excuse me
Hmm.. excuse me..
In the future...
Is it possible for you to visit her more often?
No.. This..
She looked so happy when she told me about you
It's the first time a doctor visited her ever since she is admitted here
From then onwards
she seems to be more determined
never showing any signs of suffering the times I'm with her
If only that medicine works as promised...
Sensei
This.. would you like one?
It's my favourite food
my husband has been buying it for me
But because of the medicine...
the vomitting has become worse
But.. so as to not upset him
all this while, I've been hiding them here
Although I really do want to eat..
Is this really happening?
Interfering with the affairs of Shibusawa-sensei of respiratory department. Is it true?
He has the nerve ordering me to stop using the anti-carcinogen
I'm truly sorry
I will write the report
Interfering with patients of other departments
You are committing the biggest crime of the hospital
What are you thinking?
Since you are a hospital staff
then you should strictly obey the hospital rules
I.. have not joined any hospital department staff
still a lone doctor
What?
But this kind of organisation
does not exist anywhere else
Asada Sensei!
What do you surgeons know about medicinal department?
Outsiders should just keep quiet
Sensei!
Good morning
Excuse me..
I'm sorry Do you mind taking care of her for a while?
I'm sorry I need to use the restroom
Thank you
Wait up..!
I'm sorry, sensei..
Thanks
Sensei...
Is that person out of sight?
Eh?
Yes
Are you ok?
feeling tired?
Infront of that person..
I don't want him to worry
He is very sensitive
Thanks to you
I feel much better
You are worthy to be called a doctor
although at such a young age
yet so brilliant
You have a cellphone?
Ah, that?
I can't remember when my son gave it to me
But I still haven't learnt to use it
It's easy
No.. I can't.. I can't
I'm too old to learn
That's not true..
When you are old
you become incapable of doing anything
especially learning new things..
always bringing inconveniences to people around
How I wish I could just die sooner..?
This Obachan..
Don't disturb me
So passionate...
Writing a report?
I wish it is... It's an apology letter
I hate to write this kind of letter
The culprit, is it that person you invited
the trouble-maker?
Asada Ryutaro
Having the best surgery skills and also a headache-inducing rebellious character
Batista, any progress?
not for now
still seeking out a suitable patient
The surgery staff?
so far only a nurse enlisted by Asada
enlisted a nurse?
They had worked at NGO together
What should I write...
to ease the anger sentiments of the other person?
Ah, Sensei!
It's an emergency call
Eh.. I'm not..
Can you receive the call?
I think so...
After all we are an ER hospital
You stupid!
Accepting the patient without first checking his identity
Furthermore
the patient is in critical condition and in a shock state
It's impossible for us to save him!!
But Meishin is an ER hospital
Stupid!
Do you realise what you have done?
Do you know the nationality of the patient you had admitted?
According to emergency report
He is a foreigner
But...
Human life takes precedence over nationality
What precedence?
The worst case he doesn't have health insurance
That means we to pay his hospital fees
The hospital
is not a charity organisation
Everything will be fine
Don't bring him down
I'm sorry..
We made a mistake
a new staff accepted the call
Our staffs are all very busy
I'm really sorry
Then how about you?
I'm in the middle of something
Sorry.. please find another hospital to go
The patient is a foreigner.. we would get rejected no matter where
What are you waiting for?
Hurry up and put him down
Incoming
Excuse me
What are you doing?
Get out of the way!
I understand.. He's your close friend right?
Don't worry
I am a doctor
What's up?
The patient is unconscious Hurry up!
ok!
Who are you?
Asada of cardiac surgery department
The surgery staffs are busy right now
Then let me handle this alone
The blood pressure cannot be determined
There may be excessive bleeding in the abdomen
Hey, you are not authorised to continue
bring him in
ok!
Hold on!
The patient is in a shock state
can you really do the operation alone?
I have an assistant
Ijyuuin of cardiac surgery department
What are you saying?
How can that guy possibly help?
He's very capable
at least more than you
Let's go, Ijyuuin
patient has excessive bleeding in his abdominal cavity
Echo Free Space visible
Prepare cutting open the abdominal region
- scalpel - yes
- rib spreader - yes
There's too much blood to see anything
How could this surgery be authorised..
Who will take responsibility? This is too much
Big Brother
A surgery is going on?
Who is he?
Liver is damaged
3 injured regions
S4, S6, S8
Using Pringle maneuver
Pringle?
Pringle maneuver
Using vascular clamp to clip the portal triad
and thus preventing blood flow into the liver
during the short time the bloodflow is stopped,
stitching up the wounds on the liver
The blood vessels are clipped
commencing wound treatment stage
- Stitching tool - yes
Ijyuuin
check for other wound parts
yes
Can he do it?
The last time I've seen a Pringle maneuver, the surgery failed and patient died
The wound regions..
even if it's only one, it's already very difficult
but now there are 3 altogether
- Scissors - yes
the first wound has been stitched up
How fast...
It's not even 5 minutes
- Scissors - yes
The 2nd wound has been stitched up
His blood pressure
is dropping 80-60
can you stabilise it?
1 more wound region left..
Ijyuuin
Do you find other wound regions?
No
The last region S6 Lift up the liver for me
yes
bblood pressure is dropping! 40!
I can't stop the bleeding
- Speed up the fluid extractor - yes
Ijyuuin
There must be one other wound region undetected
Go find it
it is abnormal for bleeding to start at this point
My 2 hands are searching right now..
but yours are not
How can I not have found the other wound...
I've murdered the patient...
Hurry up
It has reached this outcome.. Just as I expected
Even if the wound region is found
there's no time left
In the end, any kind of treatment could not save the patient's life
Emergency department operations are not easy after all
It's not over yet
Eh?
Ijyuuin..
Calm down!
But.. there's no time
Leave it to me
- Tube - yes
- Insert it for me - yes
Schrock shunt
This can buy us some time
Schrock shunt?
By directly connecting the atrium sinistrum to the liver vena cava
to create an alternative bloodflow pathway
thus providing extended time to locate the wound
Schrock shunt...
He's really good That big guy
What kind of person is he?
- Bosmin 10cc - yes
- forceps - yes
Do you get it? Ijyuuin
It's the same principle as finding the appendix
If it's you,
you can do it
So calm down and start looking
Ganbatte
I found it!!!
Right here
Yosh... Commencing restoration stage
- 5-0 - yes
- Hurry up - yes
How could this be...
Hey you!
interfering with other department case
disregarding opinion of others
Don't think I will let you off
What?
It has come to this What else can you do?
What can you do?
A doctor from the cardiac surgery department
accepting an emergency call without authorisation
is a very serious matter...
That patient
does not have health insurance coverage
Letting him stay at this hospital
the hospital has to pay for his medical fees
I hope your department can bear half of the fees
Sensei, can you suggest another compromise?
Never mind Noguchi Sensei
If this was further investigated the fault lies with us
I would take responsibility for the fees
The foreigner's treatment fees would be fully paid by the emergency department
The matter isn't over yet
but it wouldn't affect you
What do you mean?
If only the patient has the money to pay, no one would say a word
Those old geezers are the same
Why..?
I've been informed of the operation
If it were us, we couldn't have saved the patient
But Asada Ryutaro managed to save him
So?
That kind of surgery operation
is especially fascinating
It's a surgery skill level that you can never achieve, right?
Ok it's done..
I'll send it now
Take a look at this
this is what youngsters often refer to
as text messaging
Using this, you can send one to me also
Try sending me one
Eh, this?
Just as I said, Sensei is brilliant..
Anyone can do it too
Why don't you try, Umiko-san?
I won't be able
I...am...
The words are too small..
It's hard for me to see
It's too difficult
You can do it
as long as you are willing to try, you can do it
Ok?
I...
- am.. - Sensei
Hold on for a while
Sensei
My disease is at end-stage, isn't it?
I've already known this
But.. although my disease cannot be cured
I wish to leave this world comfortably
That person, my husband, is an exceptionally gentle person
Whenever he sees me suffering in pain
he would be very concerned
I feel sorry for him
I see..
so she has known her condition
yes
Subsequently, both of you have to deal with this
that anti-carcinogen medicine
Not only it has severe side-effects, it will not yield the results you hope for
Are you saying it's ineffective?
Regretfully.. yes
But.. it's a new medicine there's a chance it will be effective
It only adds to the patient's suffering
I believe cancer-curing medicine does not exist
You..
How could you be so straightforward?
You should spare a thought to consider the feelings of others
Those were indeed mentioned in bits and pieces before
But I've never been fully informed
But..
In this hospital, the only person who is honest enough to tell me the facts
it's you alone, Sensei
Transferring to another hospital?
What are you saying? Sasaki-san...
Is it for real?
Didn't you say you would be placing your hope on the new medicine?
Don't you get it?
Your wife's cancer is at its end stage
It's not easy to have noticable results in a short time
Or is it someone has told you unecessary stuffs
Uhmm.. is it the Asada guy?
Sensei
What is it?
I... only want her to leave this world without much suffering
Meddling in other affairs again
Your department's Asada
After all these.. requesting to transfer hospital now
How can I possibly find a replacement case
If I can't find one in time
my career is over
If I only I could find a replacement, I wouldn't do this
Since it's a dying cancer patient anyway
Isn't this the same as murdering the patient?
Since you like this medicine so much
Why don't you give it a try?
Maybe then you would understand what the patient is going through
Please forgive me...
- You must come and visit us ok? - yes
ok.. ready?
Thank you so much
Sensei
I'm really grateful
Sasaki-san
Take care of yourself
yes
Shall we move out?
Excuse me
Thanks for your care and concern
- Really? - yeah
- Look for the heart arteries - yes
- Observe the monitor carefully - yes
Sasaki Umiko san
has just passed away
I see
What you have done.. I've heard it all
What do you want to say?
Creating troubles for the respiratory department
what's the point of transferring to another hospital?
In the end, isn't the outcome the same?
This.. is from Sasaki-san
Text message from this morning
Sensei
Thanks for taking care of me
I'm really thankful
Sensei.. thanks to you
I am finally able to eat sakura roll
Living my life happily
Hereafter, continue doing your best
Sasaki Umiko
Recalling the steps to send text message
and then struggling to type it out
Ijyuuin
This text message
let it be an inspiration for you
He is really getting out of hand..
Although I do look forward to Batista operation
Currently we are still searching for a suitable patient
It won't take long
before Professor Noguchi is able to climb up to the head of Meishin
Your words are really promising
But.. actions speak louder than words
If you fail the Batista operation
Then both you and Asada-kun prepare to
"entlassen" (leave the hospital) So...
work hard
You have decided the 2nd Batista team member?
Who is it?
is Ijyuuin
Ijyuuin?
"Little brother"?
What are you saying?
He's just an intern
That's the reason...
He hasn't been poisoned by the tea served in this clinic
In this clinic,
there is still many other talented individuals
In Japan's corrupt hospitals
talented doctors are nowhere to be found
I'll use my own special training method to train that kid
- It's scalding hot! - huh?
Let me eat this ok?
I'm sorry..
- Take this away - yes
So you've come to this place too?
Miki...