bringing in talented individuals from outside of the university and
creating a ventilation hole into a department that is closed up
that is my reformation
I would like to submit a new reformation idea pushing one step beyond Professor Noguchi's reformations
meaning, direct voting is done by all of Meishin's medical staffs
what hurts the most for Asada is
when patient dies in front of him
even for Asada, he won't be able to do anything for that patient..
Shibata Takashi
9 months old
situs inversus
a case that is one in a million
if we perform the operation..
I won't let it happen
I will do anything to stop it
please continue to report on the actions of Batista team
Ijyuuin
thanks for your guidance
3rd case Batista operation will
not be performed
they completely gave up on the third Batista operation?
it's expected
besides dilated cardiomyopathy, the patient only has a single coronary artery
on top of that, with situs inversus
and only 9 months old
Professor Noguchi will never approve it
without the professor's approval, they can't perform the operation
that means
the Batista team will have to be disbanded
and all the team members will be expelled
we don't have to put up with the supercilious actions of those people anymore
how about Professor Kitou's reformation plan?
at the upcoming professor's conference on the 16th
it will be approved if she gets majority votes
that means we will be able to vote in the professor elections
if it is approved, it's a big reformation for this hospital
if Professor Kitou's plan is approved
it's going to be troublesome
what are you going to do?
don't worry
- I have a plan - Please take care of it, Kirishima-kun
if I'm elected as professor, I will consider forming a new Batista team
comprising of young doctors
you have experienced Batista operation twice at such a young age
in the future, please serve as the "ace" of my Batista team
yes
I am looking forward to it
excuse me
night shift: Kihara, Ijyuuin
finally we're all alone together.. Harry Potter Ijyuuin YEY
&G$%KM&JK&$F&E
why no change form?
I feel sorry for the dispersal of Batista team
yeah
but.. no other choice, right?
can't operate on patients like that, right?
well... I will retrain you.. ok?
yes
what?
Takashi is...?
- sensei - what's the condition?
pulse has increased above 169
blood pressure decreasing
- it's atrial fibrillation.. bring AED - yes
set to 20 joules
move back
set to 50 joules, going
again at 50 joules
if his heart doesn't recover, it'll be critical
it's not working
there's no change
if we continue AED, this kid's heart will not be able to take it
contact his parents..
yes
hold on
can you let me take over?
are you stupid, you don't have any experience in this
just once, please let me handle the AED
right now, the position of the electronic patch is according to textbook right?
so?
this won't work..
for this situation, do..
what?
when I was researching dilated cardiomyopathy cases,
there was a similar case in which AED has no effect
but if you place the electronic patches on the back and front..
let's try it
again, 50 joules, ready?
yes
it's back!
you are studying well,
Ijyuuin...sensei
sensei
Takashi... almost died, isn't it?
why are you delaying the operation?
hey.. Takako
please perform it quick
didn't I say even if it's 1% success chance is more than enough
are you telling us to leave him until the spasm happens again?
transfer.. transfer him right away
What are you doing, Kato-chan?
why are you keeping a patient with such critical condition in our hospital?
what are you going to do if he dies in this hospital, HUH?
the professor conference is coming close, it's not the time to fool around
I understand
I have already notified Reiai children's hospital
after his condition stabilize, transfer him immediately
understand?
yes
Kirishima-kun, are you free after this?
yes
let's go eat together
I want to discuss some matters for future events
I understand
Ijyuuin
you can stay
you are Ijyuuin-kun, right?
yes
I heard you saved that kid?
I have heard about you from Kirishima
good job
it's nothing
I will be relying on you
thank you very much
I feel sorry for him.. having dilated cardiomyopathy at such a young age
the hospital I was working at before
there were a few cases of kids with DCM
their parents were the worst
after admitting their kids into the hospital,
not visiting even once
they can't accept the fact that their own child is dying
those weak parents
physically exhausted after transferring from one hospital to another
they have lost their spirit, and desire to be finally relieved
probably they thought that they shouldn't look at the things that will hurt them
Takashi's parents are visiting him everyday
how honourable
I want to do something to help them, but..
that's what happened..
I see..
I understand
excuse me... I'll leave it to you
< Shibata Takashi >
< Anesthesia for Heart Surgery >
Iryu Team Medical Dragon Karte: 10
madchuckles & his gf indokid
timing: tianj raw: chiisana_tantei
KEEP THIS A FREE FANSUB d-addicts.com
I heard there was some trouble yesterday, Professor Noguchi
What are you talking about?
if you are not careful, you will have a hard time at the professor conference
- it's getting worse - true
in his current condition, we can't even perform the CAG testing
I will go talk to his parents
what is that supposed to mean?
I am truly sorry
we can't perform the operation without an approval from the professor
that's a rule of the medical department
I've already agreed to carry out the operation even if it's only 1% success possibility
what do you mean by transferring to another hospital?
you're going to throw him away?
you're going to throw him away after saying a lot of things to get our hopes up?
it's exactly the same thing North Japan did
you're the one who told us to believe in real doctors
was that all lies?
about the hospital transfer date..
what's real about you?
you're the worst kind of doctor
Takako
my brother... Kirishima must be laughing at us
so you're not performing the operation?
wise decision..
even though I understand the feelings of a mother
we don't know what will happen at the professor conference
sensei, what was that about Kirishima's mother that you wanted to tell me about?
Kirishima's mother?
I heard she left home after the divorce when Kirishima was a secondary school student
what's wrong with that?
his father, Kirishima Takeo was
a very honorable cardiac professor at my university
he was supposed to be the next head professor, but
because of this one scandal, he left the university
scandal?
he had an arranged marriage with
the university's superindentent's daughter, who was much younger than him
afterwards.. probably she coudn't tolerate Professor Kirishima's personality..
what?
Kirishima's mother didn't divorce..
she committed suicide
leaving behind young Kirishima
she jumped off a building in front of the young Kirishima
the Professor wanted to make his only son, Kirishima, a doctor, so
he "Spartan" trained Kirishima
probably for him, his only relief was his mom
but his mom... right in front of him, she left him
in a cruel way
the following it's my own theory, that
his tenacity and offensiveness character is coming from there
but.. that doesn't justify what he is doing now
that man is cruel
I will never forgive him
yes
excuse me
after I'm elected as professor, I have a lot of work for you to do
I'm relying on you
me too, my pleasure
I see..
that's how it is
I won't let you fight a losing battle
how reliable you are.. Kirishima
on shift? working hard..
condition is settling
he's sleeping well
he would probably start speaking half a year from now
like "dad"
I want to let his parents hear
his first words
transfer to Keiai children's hospital is set at 11:00a.m tomorrow
same day as professor conference
is that so?
transfer tomorrow at 11:00 a.m ?
yes
I'll leave it to you
alright
nothing we can do..
I will be going to Harvard for around 10 days for a new research
why don't you come along?
yes
also, leave tomorrow night free
Professor Noguchi wants to have dinner with you after the professor conference
yes
so, it's tomorrow...?
yeah
< day of the professor conference >
- finally it's the day - yes
I heard that kid is transferring today
really?
everything is settled then
today is going to be an eventful day for you and me
no problem.. condition has settled
his parents are here
condition has stabilized
we're preparing to take him to KI children hospital
they're going to throw you to KI children hospital, Takashi...
< Kirishima Gunji >
Take care..
Excuse me
let's start moving
let's start the conference by discusssing the procedure for the next professors election
concerning the reformation plans submitted by Professor Noguchi and Professor Kitou, that...
may I have a moment?
Excuse me
Professor Kitou's new and improved reformation plan is highly fabulous
I just want to express my entire support on this, before voting
thank you very much
well then, we will start voting
may I have a moment too?
what is it?
it's about the professor conference
you said even if Professor Noguchi loses in the votings, it's set so that Professor Noguchi would win anyways?
can you tell me more in detail?
current departments are at the stage where reformations are necessary
and being moved by that passion..
I submitted an interesting reformation plan for all of us
afterwards, Professor Kitou submitted her new reformation plan
suggesting granting voting rights to all the medical staffs
this idea is way more drastic than mine
amazing.. what young minds can do..
but I would do anything for the reformations of the medical departments to happen
so.. why should I go against this new reformation plan?
I highly support it
I'm cancelling my reformation plan, and
I would like to express my entire support on Professor Kitou's new reformation plan
how could that..?
even if Professor Kitou wins
and voting rights is granted for all the medical staffs
it's not that bad either..
you got the medical staffs on your side by hinting on their possible promotions
that way, majority votes from the medical staffs is guaranteed
this is the list of the medical staffs
on top of that
at this professor conference, Professor Noguchi
will cancel his reformation plan, and support Professor Kitou's reformation plan
in that way, Professor Noguchi's reputation will dramatically increase
Professor Noguchi will be able to serve as a leader again
and the medical staffs will vote for me
you're amazing, Kirishima-sensei
it's about time.. for the result of the conference
I wonder what's happening at the professors conference
Ijyuuin-kun, we will have a grand celebration..
what's wrong?
I have to wear contacts soon,
becuase I'll be wearing a surgical loupe
surgical loupe?
- huh? - what's wrong?
the stars are back, all of a sudden
condition has suddenly changed
- condition? - what?
yes, it was stable before.. but it's inconsistent suddenly
operation within the department requires the approval of the professor
but right now, the professor is in the middle of conference
no other choice..
without the approval of the professor
in that case, we will commence emergency operation
yes
for this day, we have been preparing as much as we could
what....what do you mean?
that child.. we will save his life
thank you very much
use internal line, emergency calls
- let's go - yes
condition of patient at room number 511 has suddenly changed
emergency operation, quickly prepare
I understand
OK..
let's go
I got it... I will prepare the operation room
- Batista emergency operation? - yes
patient's condition has suddenly changed
since its 11:00a.m
the same time as professor's conference.. Ijyuuin, what is...
thanks to you..
everyone thought Batista team was disbanded so we can do rigorous training
Kirishima-sensei
let me say one thing
you promised me a lot of things to influence me to your side
but I'm very clear about this.. I could never follow in your footsteps
probably, in the past, no matter how hard I try, I would never win against you
but..
there's one thing
that I would not lose to you
I have
my comrades..
I have my comrades, who I could rely on from the bottom of my heart
just with that
I've already surpassed you
and I can say that confidently
sorry for deceiving you
but to save the patient, there is no other choice
Excuse me
trouble, there's big trouble
Batista team is performing an emergency operation
- what? - you're lying right?
it's the TRUTH
Batista operation is starting
well then, in conclusion.. Professor Kitou's reformation plan will be approved....
excuse me
what are you doing?
be mindful of the occasion
what's wrong?
well....
what?
Batista.. emergency operation!!
he did it again
take him
good, everyone is here
yeah
sorry for being late
the real performance is starting
let's go
Team Dragon
they have planned well..
Kirishima-sensei
What's going to happen?
it's getting interesting
but I have another plan
nurse, prepare the IV set
20 gauge
Anesthetist Arase Monji
Clinical Engineer Maeda Kouichi
Nurse Satohara Miki
Internal Medicine Fujiyoshi Kensuke
- good, attaching - yes
- next, arterial puncture.. 24 gauge - yes
amazing, attaching the arterial and venous perfusion tubes that quick
it's about time for you to sleep
1..2..3..
it's not like the baby could count
5..6..7..
he's down
he's really down!
- can't believe it - even for a baby?
alright, call Asada now
Second Surgical Assistant Ijyuuin Noboru
First Surgical Assistant Kato Akira
Head Surgeon Asada Ryutaro
what is this?
the positions are reversed
the personnels, and even the heart-lung machine
are at their mirror image positions
We will begin the Batista Operation
- scalpel - yes
- tweezer and gauze - yes
even the hand holding the scalpel is reversed
I get it.. in Batista operation, the left ventricular muscle is at the furthest point from the head surgeon
however, in this case with situs inversus
the left ventricular muscle is right in front of the head surgeon
therefore the positioning is awkward
- electric scalpel - but..
if you stand on the reversed side like Asada
the left ventricular muscle is at the furthest point from the head surgeon so the operation can be performed similar to usual
but
this only works under one condition
only if you can perform the operation with the left hand as efficiently as with the right hand
being able to operate with the reversed hand without any disorder... meaning....
all of them have no sense of incongruity in their actions
these guys must have practiced like crazy
how small
about 8cm diameter
if both blood tubes of the heart-lung machine are inserted
they wouldn't have enough visual field to perform the operation
finally.. reached the heart
since we couldn't perform a thorough examination pre-operation
we don't have much information from this point on
don't miss out even on the smallest detail
opening up heart valve
- scalpel - yes
- tweezer - yes
going
amazing
you can see the structure of coronary artery clearly
children's heart doesn't contain much fat that's why..
this baby, does he really have a single coronary artery?
yeah
coronary arteries which are supposed to be emerging from both the left and right side is
emerging twice at the left side only
the left coronary artery is covering for the missing artery on the right
what's going on.. Kirishima-kun?
what are you going to do?
we can't just go into the operation room and stop them
there is no need for that
the operation will be stopped soon
because of the patient's unstable condition, they couldn't perform enough examination pre-operation
there is another fatal disease on that kid
that they don't know about yet
a fatal disease that makes it impossible to perform the operation
what is this?
coronary artery aneurysm
there is an aneurysm forming at the right rear of the covered coronary artery
but in the CAG testing
we didn't detect any abnormalities
why did this happen?
the aneurysm is expanding externally so it does not affect the heart blood circulation
that's why we couldn't see this in CAG testing
probably, he was also diagnosed with MCLS
that caused the coronary artery aneurysm
if we continue with the operation and irritate the heart
parts of the aneurysm may break and block the blood vessel
if that happens, he will die of acute myocardial infraction
that can't happen
< situs inversus > < coronary artery aneurysm >
if the operation continues
it's 100% that the patient will die
what are we going to do?
Asada-sensei
we shouldn't forcibly continue an operation that we know for sure we won't succeed
Batista.. terminated