What do you mean, Kato-chan?
Asada didn't operate on Fujiyoshi-sensei's daughter?
On top of that,
the aortic arch replacement surgery
was done by Kirishima-sensei of North Japan University?
Isn't he supposed to be
your rival?
What an excellent doctor he is
He finished the operation within 39 minutes from the time the heart is stopped
I am truly sorry
Did I
demand too much from you?
What?
maybe
Batista operation could be
too much for you?
Please wait
I promise that I will succeed in the Batista operation and
I will definitely make you the head professor at Meishin University
Should I really believe you?
give me a month
I will find the appropriate patient for the Batista Operation and
let Asada perform the operation
< World's Batista Operation and its performance and result >
As I thought..I don't think I can do it
What's wrong?
Mao-chan!
Whats wrong?
I don't know
She was just playing in the park...
Ambulance!
I am a doctor from a nearby hospital
I will carry her there
It's an emergency
There is a cut on her forehead,
prepare the gauze and the disinfector
yes
It's ok...
there isn't any concussion you don't have to worry
I am just going to stitch twice
give me the needle and hemostat
prepare the anesthesia
you are stitching?
Yes
Don't worry
Hold on
It will get well soon
tweezers
using the hair...
tying in a surgical knot?
that's right
cardiac surgical knot
the bleeding has stopped
is it really ok with that?
change the gauze after three days and
please don't wash the hair until then
the cut will heal in two days or so
Don't worry
thank you so much
I am very grateful that you took over
she's a girl so
I was so worried that a scar might remain...
Bye
Excuse me...
shouldn't we get the CT scan of head region just in case..?
Ijyuuin
her wound was shallow enough for the bleeding to be stopped by applying pressure
no need for examination or stitches
children are sensitive
just 2 stitches could cause a lot of stress
you should assess the nature of the injury before acting
add that to your textbook
also
practice the cardiac surgical knot
you won't be able to use it with your current ability
why did Asada-sensei choose me for the Batista Team member?
I have no skills at all
my legs shiver when performing surgery..
That's right
also you don't adapt well, pessimistic and also baby-faced...
hey, dont take it seriously I am just kidding
I am really troubled
Oh, really
then I will answer you seriously
what do you think is the
most important thing for a cardiac surgeon?
What is it?
Skill?
Experience?
Medical judgement?
It's anxiety
anxiety?
First-class cardiac surgeons
both before and after the operation
will have feelings of anxieties
worrying that patient's condition will suddenly change
or an unexpected situation may occur
always worrying
It's because of this anxiety,
they will perform operation with circumspection
It's because this anxiety,
they try to enhance their skills as well
it is this spirit
that will save the patient
certainly,
I am anxious...
Of course you need more than that alone
more importantly is
the strength to not be blinded by fear, and forgetting your strong points
I have any strong point?
I don't know...
<World's Batista Operation and its performance and result>
But I haven't agreed to join Team Dragon
You decide whether you want to join or not
Oh..?
Ijyuuin-kun!
What is it?
You're still troubled?
Not really..
You really have a small face and a small heart too
Leave me alone
Have you decided to join Team Dragon?
As your senior, my advice to you is..
Don't join
Why?
Batista is a very challenging surgery
and failures like you is chosen so that
they have a scapegoat to put the blame on when the surgery fails
"The operation is a success..
but this assistant messes up
failure assistant.."
Haha, Let's go, Let's go
Probably for Asada
he doesn't care if the operation fails or succeeds
what do you mean?
you don't know?
Asada is
transferring to ER department
what?
Kitou-sensei looks up to him
and specially came and invite him to help in ER
but he really has thought it through
If Batista is a success, it's great
If it fails, he can still work in ER
He is really a clever one
Let's stitch up the wound here
- 4-0 F - Yes
4~
5~
6~
7~
He's down
You can start his treatment
Annual wage of two hundred thousand
instructor position
this is the offer that ER is willing to give you
what do you think?
it isn't bad right?
Yeah
I just purely
want to buy your skills
As long as you work for me
in any kind of field within ER, you can do anything you like
It matches you, isn't it?
probably
negotiation success?
Night Shift: Asada, Ijyuuin
one, two, three
transferred from ER
arrhythmia spasm
already unconscious
start taking necessary steps
- athrophine - yes
- Monitor - Yes
athrophine is ready
please
This should do for now... continue to observe
arrhythmia spasm
46 year old, male
heart failure...
- move to the next - yes
transferred from ER
arrhythmia spasm, 34 year old, female
What's going on?
3 consecutive cases of arrhythmia spasm?
Iryu Team Medical Dragon Karte: 04
madchuckles & his gf indokid
timing: tianj raw: chiisana_tantei
KEEP THIS A FREE FANSUB d-addicts.com
what's going on?
In one night, three cases of
critical arrhythmia spasm patients hospitalised
What were the circumstances when they collapse?
The first patient Inagaki Daisuke, 13 years old
suddenly collapsed in CD shop
he had been studying till late night for his midterm exams the day before
he was feeling stressed out
and went to CD shop for a relief
Ishida Yoshi, 46 year old has
sick synus syndrome
he was playing mahjong for long time
It is believed his spasm was due to fatigue
Nozaki Shigeko, 34 years old
with third degree heart block
she had just returned from a trip to Italy last night
the cause would be due to exhaustion from the long trip
all three have pacemakers transplanted
I believe the spams are due to the pacemakers not being able to cope
the pacemaker is the model that is used in Meishin, and its branch hospitals
MIRAHK co.'s new model
SP200
there is no report of pacemaker model being defective
so, by chance they just happened to collapse on the same day?
how are their conditions now?
Ishida-san and Nozaki-san have stabilized, they would be discharged tomorrow
Inagaki Daisuke has not recovered...
what is he suffering from?
sinus bradycardia
its a type of arrhythmia
His pulse is the only one that has not stabilised
Sensei
could you please tell my mom
that she can leave now...?
we're a dual income family so my mom is very busy and tired
I will be ok
heart-failure
all of them have heart failures?
heart-failure
Oki
for all of them, the doctor-in-charge is..
Oki
you are in charge of him?
Oki Sensei
Are you ok?
you look tired
No, not at all
is Asada still bothering you?
Uhmm.. no..
He's preparing for the Batista operation,
yet still helping in ER?
What a guy he is
that kind of man is always troubling new recruits like you
you belong to the hospital team
for people like you, as long you are willing to work hard, you will stand out one day
Work hard
yes
If you have any trouble, come to me anytime
we can discuss it together
Thank you so much
For: Asada-sensei From: Emergency centre Takeshima
I have something to tell you
What is it?
Are you really transferring to ER?
You are not seriously considering it, right?
Batista operation
We must complete it within one month
One month?
Because you didn't do the aortic arch replacement surgery
for Professor Noguchi, That's why
Why did North Japan University take over the operation?
It was an emergency situation
and only asst. professor Kirishima is able to operate on the case
In the hospitals here
there other outsider internists coming in to help in emergencies
maybe one of them had secretly transferred the patient over to North Japan Hospital
What the hell are you talking about?
Even though North Japan University is our rival
but why would they want to stoop so low and do such a thing?
Where are you going?
I have things to attend to
That patient was in a critical condition
he was brought to our hospital
I was the only one who can do aortic arch replacement surgery
So I did it
critical condition?
I had no choice but to do the surgery
But this is a great loss to me
Asada did not get the chance to do the surgery
That Batista surgeon?
If this continues, Asada may be expelled from hospital
and I won't be able to be Professor
don't worry
you are an excellent asst. professor
even if he were to be expelled, you can still do it
Because I am always on your side
Don't worry.. Akira
I will never leave you
never will..
Yes, that operation
was scheduled to take place at Meishin
aortic arch replacement surgery
I had followed your orders, everything is fine now
No one is suspicious
Hereafter, please continue to look after me
Kirishima-sensei
well then.. goodbye
Hey
What's the matter?
Including the two already discharged,
please explain the conditions of those three again in details
Why?
Is there any problem?
Just do it
For Ishida-san
I was playing mahjong for a long period of time
all of a sudden
my chest area started hurting...
probably I had been playing for too long?
After coming back from the trip
I felt like eating Japanese food, so I was preparing, then all of sudden...
probaby I was on the airplane for too long.. that's why?
I stayed up overnight for the exam preparation
Just for a break I went to shop for CD
then, right before I left the shop all of sudden...
So?
Ishida-san was playing mahjong
probably it was an electronic mahjong table
Nozaki-san collapsed when using the IH rice-cooker
Inagaki-san who went to the CD shop
collapsed at the entrance security gate
All 3 of them
collapsed near devices emitting microwaves
microwaves?
Then...
the fault is with the pacemaker
I've checked the records
of patients from Meishin and branch hospitals who had reported problems in their pacemakers
all the causes were classified as heart failures
not a single one was reported as defective pacemaker
and also, the doctor-in-charge for all cases
is Oki-sensei
him alone
In other words, all the patients who are using MIRAHK co.'s pacemaker
were examined by Oki-sensei
even if it was not the case, they were all classified as one type of sickness(heart failure)
so as to not disclose the problem in the pacemakers
How cruel
Hey, wait
Let's stop this
Do you have concrete proof?
Isn't all these just your assumption?
treating assumptions like it were facts
you even investigated the machines used to diagnose the disease
Isn't this too much?
Doing all these unecessary stuffs
and bringing up weird suspicions
but what if something happens to the patient
For Asada-sensei, it doesn't matter right
even if you were expelled from department of cardiac surgery
you have ER to go to...
If I were to act like you, I would be in big trouble
Sorry... but everything I had heard here
I don't want to hear anymore
Hey, Ijyuuin-kun
We have no time to take care of him
We have to quickly collect MIRAHK co.'s pacemakers and
replacing them with a different model
I can't believe it
This is the truth
This model causes a mode change error when exposed to electromagnetic waves within a radius of 1 metre
I have proofs to back this claim
we can't discuss in the hospital so..
we invited you here
what do you want a machine specialist like me to do?
prepare me a pacemaker that has no report of failure for more than 3 years
because there is one more patient who was implanted this uncontrollable pacemaker at the hospital
If his condition goes wrong
we need to change the machine
I need it before that
If not
we have no choice but to implant the defective pacemaker model again
But
this pacemaker is...
The patient won't wait
Do it quick
yes
Can't sleep?
Sensei
I am scared sometimes
why?
I have a weak heart since young
so
I am worried that one day, this heart of mine
might stop all of a sudden
thats why, I'm putting my hands on the chest to assure myself
but I will fall asleep when doing this
Sensei
um?
could you stay here for a bit?
Yeah
sure
Is it true that you are checking on MIRAHK co.'s pacemaker?
my patient's pacemaker
is uncontrollable
so it's defective?
Yes
MIRAHCK co.'s pacemaker
SP200.. stop using it
What are you saying?
you are blowing up the matter over one defective pacemaker
all you have to do is replace it with a new one
What if there is more than that one bad machine?
Stop it
Do you have any proof?
For all the patients who reported the ill condition with MIRAHK co.'s pacemakers
you diagnosed all the causes as "heart-failure"
I've checked the remaining pacemakers
The result is as follows
that pacemaker model is defective
I'm going to change it
You can't change the pacemaker model
MIRAHK co. 's pacemaker
development leader is
Professor Noguchi
that model was developed under the supervision of Professor Noguchi
I am just in charge of compiling the clinical report
To disclose the defects of that pacemaker
means defying Professor Noguchi
Can you do that?
for you...
yeah...
I understand the situation
You
for a week
go help out in Fujisawa branch hospital
they lack the manpower
Don't worry too much
While you are gone
Oki-sensei will look after your patients
Right?
Sure
MIRAHK co. and
Professor Noguchi's connection is supposed to be classified information
Really?
But, what a guy Asada is...
What?
well, because
only a rebellious guy like him
dared to defy the professor
Probably he is seriously moving into ER
at least he still has this opportunity
After all, who cares what will happen to the patients
annual wage of two hundred thousand
why wouldn't he go to ER, right?
He realized that Batista is impossible and gave up
No matter how brilliant his skills are
you perform an operation with a team
but
he couldn't find any skilful person to join him
He's really fast to escape... ne?
ne?
Let's go for tea sometime...
what
They are really fast to escape as well
Inagaki-kun
if his condition continues to be stable, would he be discharged?
that's right
then he would experience another arrhythmia spasm and be hospitalised again
and another replacement of the same pacemaker model
and then after a while, another arrhythmia spasm
and the cycle continues on...
but
we have requested a new pacemaker from machine specialist Irie
a different model other than from MIRAHK co.
when Asada-sensei returns
he will implant the new one
I don't think so...
You seems troubled again
Fujiyoshi-sensei!
Asada was expelled to Fujisawa Hospital?
yeah
for a week
me too
what?
i will be transferred soon
since I rebelled against the department professor a while back
to a branch hospital in Kagoshima
for three months, I was just informed
But before that..
I really wish the Batista operation would be a success
Sensei, you are very strong
huh?
I could never be like you
I
I was criticising Asada-sensei in my mind a little while ago
Why didn't he argue with Professor Noguchi?
and fight for the sake of the patient
but
after thinking about it... I am worse
I couldn't do anything by myself
always leaving it for others to do
Sensei, you are very strong
I am not
no one is really strong
but
we could be strong for someone
huh?
although no one is strong..
but we could become strong for the sake of another person
In this world, there will be a person who needs you
if you think that way there is nothing to be scared of
Ijyuuin-kun
you're not alone too
there is a person who needs you
for sure
bradycardia
Inagaki-kun!
patient's condition has suddenly changed
pacemaker is not responding to the program
prepare the new pacemaker quickly
there is a sudden change in CCU's Inagaki-kun's condition
the pacemaker is not responding to the program
contact Asada-sensei quickly
yes
How is Inagaki-kun?
There is no need for that
No need to call Asada
Prepare for the operation
I will implant the new pace maker
You finally came
Thank you very much
< MIRAHK SP200 >
Is this MIRAHK co's?
Of course it
why do I have to go against Professor Noguchi?
I don't care what Asada says
condition has stabilised
right
The new pacemaker
is it prepared?
yes
But this implant operation is supposed to be
carried out by Asada-sensei
Since the patient's condition has stabilised
we can move him back to CCU and temporarily use medicinal treatment to sustain
You're just a nurse, stop giving suggestions!
I'm sorry
Commencing operation
Scalpel
Sensei
Would you please stay with me for a bit?
Please wait
What?
Uhmm..
the pacemaker
I can't let you have it
Huh?
What are you saying?
This pacemaker is defective
If you implant it
the patient will be in danger
What are you saying, with shivering legs?
Move
I won't move
Move!
I won't move
Why are you brainwashed by Asada also?
Move, Ijyuuin
No, I won't
Ijyuuin
This kid can only depend.. on me alone
How tiring...
Don't interfere with my patient
What are you saying?
I will do the implant
but
I won't use MIRAHK company pacemaker
This is Professor Noguchi's choice
you have no other choice
Where do you think this is?
University Hospital
Best medical place in Japan!
Do you wish to rebel against a professor with a high position in Japanese health care?
Huh?
Hey!
Do you realise what you have done?
what you just crushed was the Professor himself
So?
the Professor is smashed into pieces under my foot
You.. what are you going to do?
that is the only pacemaker we have left
crushing it
what are you planning to do?
you want to let this patient
suffer like this?
HUH?
There you go
prepared quickly
Medtron co.'s newest model
it has passed the maker check
That was hard
telling me to prepare this all of a sudden
I will take full responsibility
starting operation to replace the patient's pacemaker
Move
- scalpel - Yes
no time to waste
yes
Don't block my way
Open up his incision
yes
- pacemaker - yes
Alright
- let's stitch up - yes
- 3-0 - yes
vital is stable
Everything is ok
Sensei
Thank you
Operation done
move him to CCU
yes
Ah, really?
yes
then we are doing the surgery..
expel him!
Report
defectiveness 5 to 7 %
defectiveness 5~7%
oh...
you checked this while in Fujisawa hospital?
I see
So
the pacemaker that I recommend is
a defective model?
within this year, there are 7 cases of the same failure that had happened in the branch hospitals
what a mistake you made
umm
Thanks for your detailed report
Thank you
Oki-kun
I appreciate you for bringing the report on pacemaker
but that report
Didn't I tell you to append a line
Didn't I?
Huh?
To write:
"Please note that electromagnetic waves can cause malfunctioning problems"
Didn't I tell you to add this line?
yes
Don't create trouble for me
ask the maker to check more carefully
if anything happens, it is our responsibility
Anyway, make sure you add that line to this report
Get MIRAHK co. to retrieve all of their pacemakers
Ok
You
do you like Kiritanpo (mochi rice)?
yes?
thats great
In Akita
there is vacancy in the branch clinic
go there
and take a break
Professor, wait I just want to...
defective is no good
for pacemaker and for staff too
Right?
well done
Asada-sensei
there will be lack of staff due to this
please come back to us from today onwards
What the hell does "thank you" mean
there is no way to alter the pacemaker data so he's adding an addendum
what a cunning old geezer
Probably MIRAHK co. has a good relationship with Professor Noguchi
so they will treat it as "internal failure", instead of labelling it as defective
Both the maker and professor won't be affected
But
Oki-sensei, who was only following the Professor's orders all along
has to bear all the responsibilities
expelled to another hospital and will never be able to come back to department
Professor Noguchi put
both you and Oki-sensei on a scale and chose you
meaning.. he had chosen Batista operation
What do you mean?
We had found the appropriate patient for the Batista operation
From the branch hospitals
we will receive two Batista patients
two of them?
After I had told him the news
Professor Noguchi chose you over Oki-sensei
Excuse me.. please make way for stretcher
Asada... Asada-kun!
You have something to tell me?
You want more than two hundred thousand yearly?
I am looking for an excellent anesthetist
Huh?
I need the assistance of an excellent anesthetist
so that I can put 100% concentration on the operation
So?
I have been watching him all the time while I was at ER
I want him
1...
getting the patient into sleep by counting to 7 slowly is the preferable way to anesthesize a patient
determine anesthetic concentration based on the weight and condition of the patient
he always gets the patient to sleep at 7
7~
He's down
I want him
in my Batista team
For that... you came to ER?
< World's Batista Operation and its performance and result >
It's image training
image training?
all the first-class surgeons
possess a realistic image of the human body in their mind
that they can use to operate for training purposes
It's a technique that can only be mastered with intense concentration and thorough understanding the human body
he is now
performing Batista surgery
3 patients
huh?
in my current image
I may fail 3 out of 10 patients
but
if you were to join the team
it will be reduced to 2
Ijyuuin
This team
needs you
In this world, there will be a person who needs you
if you think that way there is nothing to be scared of
you're not alone
there is a person who needs you
for sure
thank you
Listen.. intern
a patient whose life does not matter.. does not exist!
not saving a life that could be saved
that is also a crime !
If it's you, you could do it
Let me...
Please
It's finally here..
the patient for the Batista operation
Female Dilated Cardiomyopathy 55 year old
Patient Name: