the patients require Arase's skills
let me know when you have decided on the second Batista operation
all the staffs for the team have been assembled
it is the best team
it was a difficult decision, but
I've decided not to nominate you for the professor position
I'm bringing in a new candidate from outside the department
what is going on?
the new candidate you chose from outside is from North Japan...
come in
excuse me
I will be relying on you
thank you for coming, Kirishima-sensei
I will make an announcement about you in the next professor's conference
please come in
it's still early, but I have already prepared your office
- rest there - yes
bringing in talented individuals from outside of the university and
making a ventilation hole into a department that is closed up
that is my reformation idea, Kato-chan
you're performing the second Batista right?
- for that high school student - yes
Kirishima-sensei, could you please take a look at her operation?
sure
also, Kirishima-sensei, it is pretty immediate but...
oh, you can leave now
about that case I was talking about, did you take a look at the papers I sent you?
can't be
what a pity that it is Kirishima
Kirishima was dating Kato-sensei before
in spite of that, why did he..?
what's going to happen to us?
we will all be expelled
when the next professor is chosen, opposing factions will be expelled out of the university
that's how medical departments in universites work
what's going to happen to Kato-sensei?
what a drastic thing Professor Noguchi has done
what's going to happen during the professor's election?
how about Kato-sensei?
you need a professor's nomination in order to run as a candidate
there won't be a situation where other professors will nominate a previous candidate of Professor Noguchi
so she won't even be able to run as a candidate then
but, what a surprising move from Professor Noguchi
getting an ace from North Japan, who is a rival to our university
no one could have anticipated that reformation idea
anyways, Kato-sensei is in a downfall after all
should we greet Kirishima-sensei?
of course
if we are thought to be on Kato-sensei's side, we will be expelled too
right, Kihara?
bastards!
we should show support to Kato-sensei
don't you guys have any willpower?
although he is going to be a professor
how can I easily obey a person whom I don't know much about?
we are such failures
right! don't you think!
excuse me
Kirishima-sensei, congratulations on your inauguration to professor
my name is Kihara
I'm not perfect, but please remember me
entered the wrong room?
< Murano Rina >
your condition is great
nothing to worry about
- sensei - yes?
can I take a digital picture?
of course
Rina-chan
these are the comrades who are fighting alongside you
Murano-san's ECG (Electrocardiogram)
both QRS, and PR intervals are good
I brought all of you into this mess
you could survive in ER
please take Ijyuuin-kun along with you
at least, I want to do something for him
the patient is waiting
don't think of unecessary stuffs
- Ijyuuin - yes
we might not be able to use Kato today
- prepare your surgical loupe too - what?
if something happens, you're going to replace Kato
Second Batista operation
5....6....7...
she's down
- commencing intubation - yes
nice to meet you, Yamada clinical engineer
- preparation done, bring in Asada now - yes
not much of an audience today
We will begin the Batista Operation
- scalpel - yes
I am Kirishima, I was invited to head the department of cardiac surgery
you're observing too?
Kato
yes
condition isn't bad
we will do this on-beat again
what an early invitation.. the professor's election has not even started yet
Professor Noguchi asked me to look around the university for now
that I would be leading later on
what high self-confidence..
you too
leading the ER of Meishin university
at the top of the line in Japan ER, and also published a thesis
yet you are still setting your sights on bigger goals
you're the same as me
they are starting to identify the diseased region
Kato, touch this
there are diseased cells in between PM and the side
this is the diseased region
using the tip of the middle and index fingers, apply slight pressure
and move in parallel
Just as I thought.. I can't feel it
Ijyuuin, you try
what?
you can feel it?
Ijyuuin-kun
the texture was different for an instant
that intern
even just for an instant, he was able to feel the diseased cells
insert the gauze to fix the heart
yes.. hand me the tweezer
Batista cannot be done alone
it requires an excellent team
What are you saying? He's just an intern
he hasn't been poisoned by the medical department
- hemostatic forceps - yes
Miki-san is retrieving the graft?
- connect the PROBE connector into ECO - yes
Batista is a difficult operation
I can't let surgeons handle everything
you were the first anaesthetist who can catch up with me
this is...
my team
Kato
prepare to dissect
blood is getting thin
there is too much blood flowing from the sternum
- increasing dose of solution, bring the Ringer's solution - yes
wouldn't the blood get even thinner if you do that?
it'll take at least 100 years before you can give any suggestion me, mid-split
even if hemoglobin level is under 10, everything is fine
if you use MAP, there will be more stress for the patient
she's young, so the solution will do
I have already calculated the amount too
amazing
but I'm more worried of bad surgeons increasing the internal bleeding that would
after all lead to transfusion of blood
in the case of blood transfusion,
temporal anemia would cause the heartbeat to increase temporarily
are you really going to make it with on-beat?
who do you think you're talking to?
the real operation starts now
stay focus
- scalpel - yes
cutting the heart without one bit of hesitation
not only fast, but also following the rhythm accurately despite alterating pulse of the heart
- forceps - yes
done extracting the diseased region
now, stitching up the cut
- x-o - yes
please take a sample of the Cytokine
- prepare 5cc SPITS - yes
- body temperature, is 35.2 degree celsius right? - what?
yes.. and blood temperature is 37 degree celsius
- should I increase? - increase it to 38 degree celsius
they're going to finish the operation significiantly faster than the previous one
as expected, including Arase into the team made a big difference
by making Arase take care of the physical condition
Asada can put 100% concentration on the operation
also, the technique and adaptation to deal with the changing conditions of the operation
you can see all the members having those qualities
alright
now stitching up at back part
- x-o - yes
- scissors - yes
done stitching
they've become a great team
so, do you have anything to tell me?
Professor Noguchi's reformation idea is very aggressive
but if it is approved, I will be able to become professor
are you going to go against Professor Noguchi's ideas?
of course not
I highly agree of the reformations needed to change the closed up departments
I knew you would say that
also.. if I become professor, the Batista team will be disbanded
Asada will have to go to ER,
since we have the same goals..
I will want to work with you together from now on
let's make Meishin a world-renowned university
excuse me
FLOW DOWN
finished disconnecting from heart-lung machine
all that is left is the stanching stage
This team..
I will save it...
Iryu Team Medical Dragon Karte: 09
madchuckles & his gf indokid
timing: tianj raw: chiisana_tantei
KEEP THIS A FREE FANSUB d-addicts.com
I heard Batista operation succeeded
good, good
then, we don't have much to talk about anymore
its about the Batista thesis
the main point of my thesis is the diseased region
the method to identify the diseased region
if I could find the way to figure it out..
Kato, you look pathetic
you want to be a professor that much?
I'm nominating Kirishima-sensei, so
you can't even run as a candidate in the professor election
do you understand?
the thesis won't do anything
I don't care anymore, the team will be disbanded
you should pack your stuff too
I have no intention of becoming a professor anymore
I just hope you leave this young and maturing team alone
also, I want to develop a procedure to identify the diseased region
if we could do that
successful cases of Batista operation will dramatically increase
lots of patients will be saved
Kirishima-sensei could write the thesis for me
what?
for that, I will hand you all the Batista research data I've collected up to now
if you could use it to figure out a way to determine the diseased region
this is the data
why does she want to gather the Batista team at this time?
could it be about the disbanding of the team?
what's going to happen to us?
all of us are here
why gather us formally?
you must all feel unsettled from the fact that I was left out as a candidate for the professor election
it doesn't matter
are you alright, Kato-sensei?
don't worry
the Batista team will continue to exist
Professor Noguchi...?
I gave my collection of data
including the method to identify the diseased region
Professor Noguchi has accepted it
your research data?
but, wouldn't your thesis involvement will be zero then?
continuing the existance of the team is more important than that
also, if this team stays
you will be able to continue performing Batista operations even under Kirishima
a lot of patients can be saved
you sure that the team members will stay even under Kirishima-sensei's control?
that's right
for now, I may leave the team after the 3rd case of Batista operation
for the replacement, I will find a new first surgical assistant
that's all I want to say
let's drink a lot today
what's wrong?
let's drink
today, I heard from my friend, a nurse from North Japan that
what?
the patients who had Batista operation under Kirishima in North Japan were..
all NYHA class 2
NYHA class 2?
you're kidding?
class 2... that means they are able to go back to their normal lives just by taking internal medicine
Batista should only be performed to NYHA class 4 or above
to increase his thesis data collection
that means, they operated on patients who do not need the operation
just for the thesis..
how much more awful could he get
Kato
this team will be no use without you
under Kirishima's control
no Batista operation will be performed for the sake of the patient
this team needs you
stop that, there's nothing I can do
this team will be the last team for me
last, and
the best team
for that, we need you
stop it
do you all know what would happen if you get involved with me?
that's why, the team should just continue without me
Kato-sensei, you're the one who started this team
I can't imagine the team without you, sensei
can't help it..
I don't even get paid for this
I said stop..
we are a team
that's all about it
she will be relieved after performing the third Batista operation
I see...
What would you do when they found the third Batista patient?
soon enough..
you looking for me?
let Kato be professor
to run as a candidate, she need a nomination from a professor
please nominate her
you are a funny guy after all
how could you ... after rejecting my offers how shameless
if Kato wins.. I will transfer to ER
I promise
but if Kirishima becomes a professor
you will be expelled instantly
if that happens, you will come running to me, right?
nope..if that team is gone
there is no point of me staying at this university
I understand what you want to say
but Kirishima had talked to me.. and I can't go against Professor Noguchi's reformation idea
sorry about that, Asada-kun
I drank too much..
feels bad....
- Ijyuuin, internal line(phone) - yes
it's from Kirishima-sensei
what do you want from me?
I have observed your Batista operation
you're trying hard
you were able to identify the diseased cells too, right?
no... not at all..
- it was just for an instant - no
at your age, it's amazing
would you..
like to work for me?
you're still young
I will give you the opportunity to perform more Batista operations
what do you mean?
please sit
as you know, I was nominated by Professor Noguchi
I will be leading the cardiac surgery department
frankly, I would have to expel you to a branch, since you're on Kato-sensei's side
isn't that right?
but, I don't want to do such a thing
there will be no point of reformation, if I do that
you're an excellent doctor
I want you to expand your research topics under me
what are you going to do to the other members?
you don't need to worry about them
they all have got skills
they will survive anywhere
I'm giving you this chance
you're too kind to others
why don't you think about your future more
always saying, team this, team that
who's going to take care of you if you're expelled?
don't bury yourself with your own hands
excuse me
what you see infront of you is the reformation idea that is suggested by Professor Noguchi of the cardiac department
to be applied for the next professor election
its a little late but..
whoever is for this reformation idea, please stand up
can I have a minute?
what is it?
by reforming the tradition of the candidate chosen from the highest position within the university and
and bringing a new candidate from another university
professor Noguchi's reformation idea is highly honorable
a person like me shouldn't just
praise the reformation idea of my senior
I consider just applauding is rather rude
therefore
I would like to submit a new reformation idea pushing one step beyond Professor Noguchi's reformations
even if you bring a candidate from outside of the university
but if the votings are still under the influence of professors
this voting procedure would be communist
so nothing has changed except a candidate was chosen from the outside of the unversity
then?
I consider to spread the voting right which is so far only permitted to the professor but also to
professor, asst. professor,
even to the interns, this is the key theme of my reformation idea
therefore, direct voting is done by all of Meishin's medical staffs
direct voting?
how could this be
to make this happen, we need opposing candidates too, therefore
I, Kitou Shoko, from ER will
nominate asst. professor Kato Akira from the department of cardiac surgery as the next professor
what did you say?
you could run as a candidate if you have a nomination from a professor right?
fight it
why did you do that?
I just want to show what a real reformation is to those geezers
and that Noguchi.. I don't want him to expel Asada, who will then come to me after having no choice
I get everything I want by myself
I hate owing favors to others
anyways, the rest is up to you
by the way
are you aware of Kirishima's mother?
Mother?
you... professor election usually involve an information fight
what are you going to do without knowing about your rival?
be careful
don't worry about this kind of reformation idea
it wouldn't work
even if it did
I don't believe the medical staffs will go against you just to take Kato-sensei's side
that outsider Batista team..
great, Team Dragon would be able to stay on
if Kitou-sensei's reformation idea is accepted, and
we could get the medical staffs' support from the success of the 3rd case of Batista operation
an appropriate patient for the third Batista operation was just found
that was quick
he was just transferred from Meiwa hospital
we will go meet the parents of the approved Batista operation patient
parents?
we were sent from one hospital to another
and were rejected so many times
all the hospitals we've gone to up to now, none of them would accept my son, Takashi
- let go of me - it will be done quickly
it will done quickly, so stay still
hey, Nobuo wait, don't run in the hallway
forcing a young kid like that
what violence
no, that's not it
even for kids, in order to cure his illness
we need to carry out his medicinal treatment strictly
wait Nobuo
don't come
it will be done quickly
could you..
he's going after that kid?
even for operations,
just it being a big operation doesn't mean it will cure the patient entirely
even if the operation is a success, the period before the patient is fully recovered
there is a need for observation for a long period of time
as an internal medicine specialist,
he would take care of his patients even if it took years
the kid didn't escape from that doctor
a kid who had one bad experience at the hospital
will be afraid of the white robe
to cure your illness, you need to take the blood test
do you understand?
it seems like nothing but
he's the only doctor who could do that
you don't need to have faith in hospitals
but, I want you to have faith in real doctors
- this is the medical record - yes
before Meiwa hospital, you were at the North Japan Univeristy hospital?
that hospital... I don't want to talk about it
saying a lot of good things, and empty promises at the end
this is...
third Batista patient was chosen right?
yeah
medical record?
what is this?
complete inversion of internal organs?
a case that is one in a million
complete inversion of internal organs
all the organs and blood vessels are placed the other way around
the experience from normal operations won't help in this case
it's easy to make mistakes when locating veins
besides dilated cardiomyopathy,
he's also diagnosed having a single coronary artery
single coronary artery
normally there is one coronary artery each emerging from the left and right side
but in this case, from only one left coronary artery it is branching into two
are we operating then?
not only that
this time.. the patient's heart is only this small
what?
how could it be..
Shibata Takashi
9 months old
this patient was under Kirishima while at North Japan
but he wasn't given any medical treatment
then transferred to several hospitals
before he was brought here to Meishin
this operation is too difficult..
also, Professor Noguchi won't approve of this kind of operation
I know you are hurrying for the third case, but this is ridiculous
it will fail for sure
you're not going to say that you're doing this operation, are you?
I would never approve this, you understand?
Kirishima-sensei
performed operations on patients with NYHA class 2 for his thesis, who don't need the operation at all
and to patients like Takashi who really need the operation
he chose to give it up
do you really want that kind of person, to lead the medical department?
how interesting..
let me make this clear
from the point when I made you an asst. professor
I had no intent to make you a professor
your beliefs are too strong
what do you mean?
forcefully placing ideals into reality
such person is very dangerous to be placed at the top of the organization
sailors who sail the ship with only beliefs
would eventually sink the ship
you're already at a point to
"Entlassen"
I will become a professor at Meishin
you will be working under me
let me ask you one thing
manipulating Professor Noguchi,
forcing Kato-sensei into a downfall,
and disbanding the Batista team
isn't that enough?
why bring that baby..
is bringing Takashi-kun one of your schemes?
what hurts the most for Asada is
when patient dies in front of him
without him being able to do anything
isn't that it?
but for a person like him
he would still struggle to find a way
just for that? just to put Asada-sensei into despair?
if we perform the operation..
I won't let it happen
I will do anything to stop it
I can't let them do an operation that is obviously going to fail
sensei
Batista operation.. are you doing it for us?
pardon me for being straightforward.. the situation is very hard
right now, we're thinking of some strategy to work it out
sensei..
if this continues.. my child.. Takashi won't make it
that's why, as a parent... I would do anything to save him
being born into this world not long ago, and dying like this
I feel sorry for him
sometimes, he will look at me
very deeply.. into my eyes
as if he's asking "why am I born?"
please
no matter how difficult it is, even with 1% possibility of success, as long there is a chance his life can be saved,
please perform the operation for him
please
have you decided?
I will go talk to Noguchi
so that's the final decision on the third case?
thanks for coming
you don't need to feel guilty for the patient
human beings should only think for themselves
and not being moved by strange feelings
only those who worked for themselves will succeed eventually
I've prepared a room for you
if you don't wish to stay in the department office, use it anytime
please continue to report on the actions of Batista team
Ijyuuin-kun
yes
thanks for your guidance
that baby? what about it?
you're not going to say that you're performing the operation right?
huh?
the third case of Batista operation
will not be performed