Why am I not part of today's aortic stenosis surgery? [Aortic stenosis: Narrowing of the aortic valve opening that increases resistance to blood flow from the ventricle to the aorta.]
Wasn't the Bentall surgery without blood transfusion a success because I was the first assistant?
You're afraid of losing to me? Huh?!
Hold it!
Tell me the reason why I'm excluded from the surgery!
As a doctor, you lack something crucial.
What is that?
You're making excuses because I'm more skilled than you are!
This old elevator's hella slow!
Your skills are better than Asada?
Self confidence is all you're good at.
Huh? Don't speak to me. Alcoholic!
Super doctor?
- I said don't speak to me. - I also was once called that.
Don't lump the two of us together.
Professor Toyama Masa?
That Tohto University professor?
Ah, I'm sorry.
That's right. He's his son.
All his siblings are lecturers at Tohto University and seem to be really outstanding.
And he's the youngest... He probably feels the pressure.
That's why he has such a bad temperament?
What is that?
Hmm?
Ah, my knife and fork.
I'm rather averse to dirt.
Huh? Don't you smell something weird?
Hmm?
Ah, this?
What are these!?
Hearts... Pig hearts.
This... this is your staple food?
How can that be?
It's this.
Freshman's Live. [The 11th Freshman's Live]
Ah, the competition that brings together cardiac surgeons from all across the country.
The stepping-stone for young doctors.
It's tomorrow. I'm practicing with these.
I see.
Good luck.
We must be on our way.
There's a surgery at 10.00 a.m. Let's hurry.
Kodaka won't join the surgery?
Yes.
It seems that the Bentall surgery was an exception for her.
She reluctantly joined because Kataoka persuaded her with her ability as hospital owner.
That's why she said she has no intention of joining the team in the future.
She's an absolutely troublesome woman.
Anyway, Nakamura-san, the person you'll be operating on, came all the way here because he heard of your reputation.
We're counting on you.
Okay.
Aortic stenosis.
The pre-operative echocardiography indicates aortic dissection.
I know.
There were patients who came the other day who'd like you to operate on them.
It's good to see this happen.
Patient numbers increasing little by little...
The Bentall surgery...
Is it true that you persuaded Kodaka to join?
That?
It was Congressman Onda's daughter. I certainly wouldn't have let her die.
Ah, Dr. Asada's surgery is at 10.00 a.m.
Okay. Let's go and see it.
Yes?
I'm confirming if you can accept this patient.
65-year-old female. Chest pains.
She's being transported from Futabadai Hospital. Provide emergency surgery.
Is Dr. Asada in?
Dr. Asada?
Actually...
It must definitely be Dr. Asada please.
The family strongly wishes to turn to another hospital if Dr. Asada isn't in.
Dr. Asada is now...
Asada is in.
Is that so? That's great. We'll arrive soon.
Okay.
Dr. Asada?
Asada's in the midst of another surgery.
That's different from what was said.
It's all right.
In aortic stenosis surgery, the crux lies in the detachment of the incised part.
Watch carefully.
Okay.
Aortic stenosis.
But since they don't want surgery should we use medicine to handle it?
This is an aortic valve replacement surgery.
Have you done it before?
What? It'll be done within 3 hours. I'll definitely be faster than Asada.
- Watch and see. - No!
We should wait until Dr. Asada's surgery is over and then...
Do you want to kill that old lady?
She'll die if we don't hurry and operate on her.
Now to treat aortic stenosis,
we'll conduct aortic valve replacement surgery.
Scalpel.
Forceps. Gauze.
- Scalpel. - Yes.
Gauze.
Electro-scalpel.
Forceps. Electro-scalpel.
Hook retractor.
B.O.N F u n S u b s © ~ Band Of Nuts F u n S u b s PRESENTS
Iryu Team Medical Dragon 2 Karte:06
Translator jade_frost
Lyrics Translators hadmish, motao
Timer Kazuya_
Editor tenniscalgal13
QC Raspberry Latte
Karaoke SFX zeldAIS
Encoder/Coordinator scarlett0512
Dr. Asada. Dr. Toyama...
Wow, I was surprised.
It's really in the blink of an eye.
Didn't I tell you that you wouldn't go wrong entrusting the surgery to me?
Yes.
Her condition has stabilized.
Why that worried look?
He took a mere 2 hours 30 minutes for the aortic valve replacement surgery.
Well, we heard of Dr. Asada's "hands of God" from our family doctor.
Upon hearing that, we requested to transfer here.
- For heart surgeries... - Yes?
The shorter the surgery, the lower the strain on the patient.
How long did you take...
for the aortic valve replacement surgery?
3 hours.
See!
Even with advance preparation he still needed that much time.
- Wow, I'm surprised. - This is the case.
Thank you very much.
You're welcome.
You must be tired.
Please eat this to relieve your weariness.
It's her favorite.
Oh?
- Please. - Okay.
Don't stand on ceremony. Take more.
Oh my. Well then, I'll take it.
- Yes. - Please take care.
Ijyuuin...
I heard you're taking part in Freshman's Live?
Given your skills, I think it'll be difficult for you to make it through the preliminary round.
But, give it all you've got.
What do you mean by not approved?
250,000 yen for building work?
There's no need to repair the facilities.
But, this is the minimum cost required.
- If something happens along the way... - Before anything happens, this hospital will be reborn as another facility.
I'm sorry. Let's move on.
This is the latest medical testing equipment for the early detection of cancer?
It's PET-CT.
Each machine costs 100 million yen including installation costs.
You plan to purchase 4 of them...
People with wealth and power ultimately desire health.
This expense should be written off within 5 years.
[Third successful live liver transplant] [Meishin transplant team's steady achievement]
Great! Dr. Kitou!
Furthermore, we've had 2 successful live lung transplants.
If we continue to add to these surgeries, the heart transplant accreditation will be close at hand.
Wonderful.
By the way, is that matter all right?
Of course it is.
I know what I'm doing.
I feel rather disgusted.
The harder we work, the more Noguchi benefits.
As for Hokuyou,
the vision to destroy the hospital and specialize in health checkups seems to be progressing smoothly.
At the rate things are going, it may fold up in less than half a year.
Yes.
Dr. Fujiyoshi said patient numbers have increased little by little through word-of-mouth but it's like a drop in the ocean.
That fellow...
Huh?
At least if that fellow joins the team...
That fellow?
Ah, that Dr. Kodaka, the anesthetist?
Didn't she join?
No.
Her darkness...
won't go away like that.
He took 2 hours 30 minutes for the aortic valve replacement surgery!
- I heard he's faster than Dr. Asada. - That's amazing.
And I heard Tohto University's Professor Toyama is his father!
No wonder. That's expected of an elite family.
Hey! It is said that he detached the incised part of the aortic valve in a flash.
That's certainly terrific skills.
Hey! Center-part.
Even if you just read books, your skills won't improve.
Damn, that Toyama.
Huh?
What happened, Ijyuuin?
- You're too close. - Hmm?
I said you're too close!
Hey, now isn't the time for you to play.
Professor Noguchi has finally started to form a transplant ethics committee.
Ethics committee?
Because the legal aspect must be dealt with for heart transplants,
high caliber lawyers and intellectuals have been summoned.
Preparation is steadily underway.
But more than this, you haven't introduced me to Dr. Kodaka.
Huh?
I'm busy.
Hey!
I cannot bear it any longer.
Kihara Takehiko, 37 years old.
I'm serious about this!
You're too close!
- Give me a hand! - There's no time for that.
I have natural curls!
Typhoon No. 24 which continues to move north with strong force, is approaching Tohoku at a speed of 15 km per hour.
Dr. Ijyuuin, isn't Freshman's Live early tomorrow morning?
Yes.
I have to board the first bullet train.
Then, it's better if you go back early.
It seems that the typhoon is going to hit with full force.
Hey, it's raining terribly outside.
The rain is so heavy.
- If it continues like this, we'll have to spend the night here. - Will taxis come?
Staying over tonight.
How are you?
Thanks to you, I'm fine.
It seems like torrential rain.
Ah....
I hate typhoons.
Why?
Hmm?
I come from a scholarly family.
When I was a child, I was forcibly taken to cram school even though it was said that there'd be a typhoon.
It was ridiculous.
I was scolded even though I scored 90 marks. I was completely exhausted every day.
Well... I'm also completely worn out now.
During such moments,
eat candy and relax.
There's no candy?
Ah, I got some from your husband.
When you're tired, eating candy is the best cure.
Well...
lately I couldn't eat candy but could only take medicine because my chest hurt every morning.
But I feel relieved because you've cured me.
You're the same as Granny...
Hmm?
I don't fit in my family.
All my brothers had good grades.
That's why I'd often skip cram school and go to Granny's house nearby.
Granny would let me have candy whenever I came over.
To Granny, I was great even when I ate meals,
even when I was covered in dirt because of playing.
Even though I didn't do anything, she'd stroke my head.
I was happy.
But, you're outstanding now.
Well, perhaps if I am a lecturer at Meishin.
Hmm?
There was a senior lecturer over there who said something unreasonable. I beat up that fellow.
And was transferred here.
I guess it's not a problem.
A surgeon competes with his skills so it doesn't matter where I go.
I'll soon transform this place into the best hospital.
You're rather cocky.
I guess so.
After all human beings are alone.
But if you're too resolute,
you'll burst.
Just like this.
Human beings...
cannot do anything alone.
They draw on their surroundings to live.
Excuse me, I'll leave first.
Be careful.
Toyama did the valve replacement in 2 hours and 30 minutes.
Motor bike is not possible, huh? Okay.
Dr. Ijyuuin!
Yes?
Right.
I took 2 hours and 30 minutes for the aortic valve replacement surgery.
What about that?
How long did you take, dad?
You're a professor at Tohto University but you don't have sufficient clinical experience, do you?
It's a private hospital after all. There are no medical cases for a dissertation.
What?
- If you're picking a quarrel, I'm hanging up. - Wait!
Tell my brothers.
Skills make a surgeon.
If it is skills, I won't lose. I'll surpass all of you!
I'll be better than all of you!
Dr. Toyama!
- What's the matter? - It's Godai-san in ICU.
Her heart has stopped.
It's a blackout.
We were struck by lightning.
What about our power generator?
Move aside!
- How is it? - No good.
As was suspected, a power generator in the east wing has broken down.
We'll systematically move patients to the west wing starting with those with serious illnesses.
Okay. Let's do it!
Transport the patients to the west wing!
Okay!
- Don't panic. Calm down. - Yes.
- It'll be fine. - Yes.
Hey!
This doesn't concern me.
Her heart has stopped!
Why?! My surgery was flawless!
Doctor! Hurry and transport her to the operating room!
The elevator can't move because of the blackout.
But if we don't hurry, she'll sustain brain damage.
- Have you charged it? - Yes.
It's no use.
We must reopen her chest here.
In the ICU?
I'll call Dr. Asada now!
There's no need to call Asada!!
Let's do it! Emergency surgery!
Okay!
- Prepare for intubation. Rib retractor! - Okay!
PCPS and hypodermic syringe too. [PCPS: Percutaneous cardiopulmonary support system.]
Okay!
Disinfectant.
- We'll perform intubation! 7.5. - Okay!
Be careful.
- Let's turn. - Okay.
- Laryngoscope. - Yes.
- Gloves. - Here.
- Intubation tube. - Yes.
- Orient towards the aorta. - Yes.
All right.
- Ambu. - Yes.
- Fixed. - Okay.
- Surgical light. - Yes.
Everyone, this way.
Okay.
PCPS inserted.
- Start. - Yes.
- Suction tube. Bandage. - Yes.
Raise negative pressure.
Okay.
Cardiac arrest?
Let's stop the bleeding.
- Forceps. - Yes.
- 4-0 surgical suture. - Yes.
- Forceps. - Yes.
- Scissors. - Yes.
- Water. - Yes.
Damn. It won't stop.
Maybe the bleeding is because the inner membrane is damaged.
It can't be fixed from outside.
We'll cut open the aorta.
- Flow down. - Okay.
Aorta clamp.
Back up.
- Inject cardioplegia to stop the heart. - Okay.
The bleeding is at the face of the aortic valve.
If the valve isn't replaced, it can't be repaired.
What?
When prosthetic valve replacement surgery is conducted for aortic stenosis,
forcible detachment of the incised valve ring will cause bleeding.
Stupid.
This is my mistake?
I heard that the Bentall surgery without blood transfusion was a success.
The only ones who can keep up when Asada gets serious is just me...
and you.
Your skills haven't gotten rusty.
Join Asada's team.
Stop joking.
That occasion was an exception.
Is that all you wish to say?
I'm going home.
You're still bothered by that matter?
This is simply impossible.
- This is... - Anyhow, we have to stop the bleeding!
Okay.
I still haven't found Dr. Asada.
The auxiliary power has run out.
Don't worry.
We still have an uninterruptible power source.
How long can it last?
About half an hour.
Let's switch over to batteries for the equipment that can use batteries.
Turn off the fridge and monitors that we aren't using because they're consuming electricity.
Okay.
Doctor, remove the valve and stop the bleeding.
Ah...
If we don't hurry, there's a possibility that we may have to do a Bentall surgery.
Dr. Toyama!
Toyama!
Dr. Asada!
What are you doing?
This person is your patient!
She has entrusted her life to you.
She's your patient.
You have a responsibility.
To the very end.
Don't you run away from that!
We'll remove the prosthetic valve, repair the inner membrane and replace the valve again.
- Forceps. - Yes.
- Scissors. - Yes.
We'll proceed with repairing the inner membrane.
- 4-0 surgical suture. - Yes.
The uninterruptible power source has also run out.
The lights are completely out.
Dr. Toyama.
Dr. Toyama. Do your best.
I'll manage the volume.
Dr. Asada.
Human beings... cannot do anything alone.
They draw on their surroundings to live.
Let's continue.
PCPS is running on battery. It's all right.
Let's go!
It can't be sucked in. Use a syringe for suction.
Yes.
The repair requires a deep visual field.
Shine the light from Toyama's back.
Okay.
Repair of the inner membrane completed. We'll replace the valve again.
- 3-0 metal fiber surgical suture. - Yes.
- Suture ring. - Yes.
Ijyuuin.
Do it carefully.
Yes.
The periphery is too dilated.
Where's the vasopressin? [Vasopressin: Hormone regulating the body's retention of water.]
Inside the first-aid compartment. [Vasopressin: Hormone regulating the body's retention of water.]
Nomura, I'll inject the vasopressin.
Yes, please.
- Next one. - Yes.
The battery for the PCPS has run out.
We can't maintain the circulation.
Switch over to manual.
Okay.
Yes.
Okay.
A bit more.
- Flow down. - Yes.
Remove clamp.
- Back up. - Yes.
There's no bleeding.
Valve replacement completed.
- We did it! - We did it.
Lately I couldn't eat candy but could only take medicine because my chest hurt every morning.
What's going on?
Ijyuuin, gather a graft.
Huh?
There's also constriction of the right coronary artery.
Asada, the movement of the right ventricle doesn't seem right.
What do you think?
Yes.
The patient has aortic stenosis coupled with right coronary artery stenosis.
Because it was an emergency surgery, I didn't realize it.
But the patient said she experienced chest pains every morning.
That's why I tried palpating the right coronary artery.
It's too dangerous to do a bypass surgery in such a dark environment.
It's better if we close her chest and operate again another day.
This is an elderly patient.
If she has a heart attack, it'll be too late.
To save her,
we can only do the bypass now.
Ijyuuin.
Yes.
Now we'll perform bypass surgery of the right coronary artery.
Surgical magnifying glass.
- Stabilizer. - Yes.
- Clover scissors. - Yes.
I'll take over.
Graft gathered.
Okay.
- Scalpel. - Yes.
Vaporizer.
- Snare. Adding in the anesthetics now. - Raise the volume.
Coordinate the lights a little more.
Please. Head down.
Surgery...
completed.
We did it!
We completed it without mishap.
Thank goodness.
Yes.
It was impressive.
Even Ijyuuin, who gathered the graft in the dark.
You had to stand back and watch because of your injury.
But, you'd have taken over the surgery from him even with that hand if it was needed, wouldn't you?
Who knows.
Why was there another surgery?
- What happened? - That's because...
Dr. Toyama.
Doctor.
I'm very sorry.
It was my oversight.
Because my handling was rough during the first surgery,
there was bleeding from the aortic valve
and we had to operate again.
I'm entirely responsible for this.
I'm sorry.
I understand what you said.
For surgeons, it's not just skills that matter
but also looking out for the patients.
Right?
I'll join the team.
Whether as first, second or third assistant,
I want you to have a better look at my technique.
Then...
you'd surely be willing to hand over your position as lead surgeon.
Besides,
I'd like to perform a surgery with them again.
I see.
Last month, there were 12 cases of surgery for coronary artery disease.
16 cases of valvular disorder.
And 5 cases of left ventricular reconstructive surgery.
Excellent.
That is the list of patients transferred to Hokuyou this month.
Well, that place is pitiful.
Okay. Thank you.
Excuse me.
I've already had a meeting with the lawyer you introduced.
The establishment of the transplant ethics committee will have great significance after we get the Health Ministry's recognition.
Yes.
Did you know?
Godai-san...
She had hoped you would perform her surgery.
It seems Meishin originally declined to treat her.
There's no limit to their lack of mercy.
Discharged?
Yes.
But she left something in my care.
This is for you from Godai-san.
Here.
To Dr. Toyama,
I'm healthy again thanks to you.
I'm glad that you performed my surgery.
I heard about it.
You didn't make it to Freshman's Live because of my surgery.
I'll teach you to make up for that. Don't worry.
I won two years ago by a wide margin.
Unbelievable.
Hey.
You and Noguchi intend to destroy this place, don't you?
Hokuyou will have a team ready too.
One that won't be to your liking.
Hey.
I heard you've joined the team.
Get on well, boy.
What did you say?
Ah! It's Super Doctor!
Super Doctor!
The reminiscent tone of the rain
I can hear every time I close my eyes
I didn’t notice until now
A flower blooming in the concrete
Everyone is naturally given one heart
Before I knew it, I forgot this, however,
The flower gave me
Encouragement and motivation
In my big and small chest
They will be active eternally
As long as I can hear your voice
I will not give up. I’ll be there,
I’ll be there
[Preview] Live donor liver transplant.
Former gastroenterological ace?
This time it's mom who is not well.
Go all out and cure her like you did for me.
It'll be dangerous if we don't operate soon.
What is going to happen?
Dr. Matsudaira.
Takami-san! Do you hear me?
Takami-san!
I have a date.
God's realm will be close at hand.
- 2-0 surgical suture. - Yes.
He'll definitely return as long as he's still a doctor.