Gather everyone.
Asada is really hard to deal with.
The "Site Visit" schedule for our hospital has already been decided on.
This is the most important stage in the process of getting the approval.
Perhaps this might become the most important day in my life, too?
Once Meishin is near completion, the one that will be eliminated will be you!
He is that type of man!
How about becoming
partners with me?
What?
Otobe Yuuta-kun, nine years old. Dilated cardiomyopathy. [Dilated cardiomyopathy: A disease of the heart in which a portion of the muscle is dilated.]
Dilated cardiomyopathy...
I did a Batista for him two years ago.
An old friend of mine, while I was working in Africa's NGO.
He was with the Overseas Young Cooperation Team. This is his son.
He has a ten degree dilated cardiomyopathy.
The only way out then was to have the operation.
But...
As expected, his heart function has worsened once again.
His father died due to exhaustion.
Now the mother is raising Yuuta and his brother, all by herself.
He is now in another hospital.
Although we won't know without a thorough checkup,
there is a high probability that his tricuspid valve will not close fully and may also cause Extravasated Blood Liver Disease.
The possibility of the illness worsening is very high.
Nine years old...
What a harsh situation.
His parents once considered going overseas for a heart transplant.
- But... - Money, right?
Overseas transplant operations cost at least 100 million yen.
This patient, has no time.
No matter what, I want to save him.
Doctor!
Someone... someone...
Doctor?
Yes!
Nitroglycerine... [Nitroglycerin: Used as a vasodilator to treat heart conditions.]
Doctor.
Someone...
At the University, Noguchi and I were at the same level.
The one that changed him might have been me.
Cardiac ischemia. I'll go get Dr. Kitou now! [Cardiac ischemia: Abrupt blood flow obstruction to the heart.]
No.
You cannot get Kitou.
What are you saying?! If it's cardiac ischemia, just letting Dr. Kitou take a look will...
No.
This is a secret.
Now is not the time to keep secrets!
If this situation happens again,
I'm afraid it'll be myocardial infarction.
If this goes on like this, the site visit in five days might be...
No, this site visit must be completed successfully.
But...
I came back to reform Meishin.
I must succeed.
In this world, a thing called talent really exists.
I'll do it!
It feels like, perhaps someone like me has no talent.
His condition has deteriorated in the past year.
In this situation, liver, and kidney failure may occur.
I'm worried about his current well-being.
Doctor, you said before...
the next time a heart failure occurs, it's better to have a heart transplant.
Can a heart transplant only be done in America?
In Japan, the law does not permit donors under the age of fifteen.
This refers to donors of internal organs.
And in Japan, there were only ten heart transplant cases last year.
Since transplants started ten years ago, about 290 people registered in hopes of getting a transplant.
But only 49 people were able to receive one.
In Japan, it's difficult to perform a child heart transplant operation, right?
Then, how much longer does Yuuta have?
In view of his current condition,
he has two months.
Another patient who's here because of Asada's name.
People of today's generation are seeking proper medical attention.
Everyone is pinning their hopes on this team.
Who is the patient this time?
Her nine year old son.
Because his dilated cardiomyopathy has caused TR and congestive hepatopathy.
In spite of the patient's age,
we must consider a heart transplant operation.
What do you guys plan to do?
In Japan, organ donors under fifteen years of age are prohibited.
Plus, a transplant cannot be done unless performed at an accredited facility.
We know.
Then...
Will you only be satisfied if we reject this patient?
We know for sure that Meishin will ignore this case.
We know it may be impossible, but even a one percent chance is good enough.
A parent will take that chance and pin their hopes on it.
Would you toss out your own family member if an operation could not be performed?
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:09
Translator Kyoichi
Lyrics translators hadmish, motao
Timer Kazuya_
Spot translator jade_frost
Editor scarlett0512
QC Kazuya_
Karaoke SFX zeldAIS
Encoder/Coordinator scarlett0512
Excuse me.
Ah, um...
Dr. Noguchi is not feeling well because of a cold
so I will be attending to him.
Oh, is that so?
This is what I spoke to you about before. Jiseikai Commemoration Hospital's recommendation letter for Japan Capital's chairman, Yamano Fumihiko.
The chairman's dilated cardiomyopathy has already deteriorated to a stage where it's difficult to even board a plane.
If Meishin really becomes an accredited facility for heart transplants,
he wishes to be transferred here from Jiseikai Commemoration Hospital.
Being the first patient after we get the heart transplant accreditation,
he wishes to have the heart transplant operation in the new Meishin.
Dr. Noguchi, the interviewee of the media that you have been worrying about...
If it's Chairman Yamano, then there's nothing to be picky about, right?
Is there anything you are unhappy with?
No, it's not that.
Any problems with the site visit?
Isn't it five days away? What problems could there be?
That's fine, then. Excuse me.
That's enough, isn't it?
What are you so anxious about?
Oh, this is so cold!
I'm not suitable.
Not suitable.
The stitching that I was practicing just now,
Dr. Toyama doesn't even need thirty seconds to do it.
But no matter how I do it, I can't.
Working alongside Dr. Asada,
there was a time when I thought, "will I be as great as he is one day?"
That's true.
Toyama is superb.
His skills alone make him a genius.
At his age, performing an abdominal aorta artificial blood vessel replacement operation in only 60 minutes,
it's unbelievable.
But Asada is even greater than that.
You are just considered a normal person.
If you work hard, you can do slightly better than normal people, I suppose.
However,
isn't that enough?
Huh?
Know one's own limitations.
In other words, understand what you are capable of.
No matter what kind of job it is, the ones who are really supporting the situation,
are the tens, even hundreds of thousands of normal people that are around the genius.
But, the jobs of these normal people
are no less significant than that of a genius.
Although it's rather ordinary,
it's a special job that belongs to oneself.
It's a job that is unique to that individual.
Only you can be honest with yourself.
You can do that, too.
Stick out your chest and stand proudly.
He's a good colleague, isn't he?
I used to have a friend like that, too.
At that time, if I had interacted more sincerely with him,
his life might be different from what it is now.
The paperwork for Chairman Yamano's transfer is done.
About that...
Is that so? I'm counting on you.
Dr. Noguchi has not recovered from his cold yet.
So shall we end here for today?
You don't look good.
Because he's ill.
Please take care.
Doctor.
Let Dr. Kitou take a look at you and you can be at ease.
That's true.
Then...
That's true. Doing that will save me.
But on the other hand,
the next day she'll be sitting there.
Then she'll replace me, the site visit will be completed successfully
and she will build up the new Meishin.
That's who she is.
But if this goes on, your life will be...
Then, it's equivalent to letting me die!
If the site visit cannot be completed successfully,
then it's equivalent to letting me die.
But in the midst of the site visit, it might arise.
No! It won't arise.
I won't die, either.
No, no, no!
I've realized it.
In this world, there is only one doctor that can save me.
Doctor...
In this world, only one person...
I never thought that you would visit in such a manner.
Have a cup of coffee.
Do you still remember?
We used to always drink coffee together.
Drinking diluted coffee in the duty room,
discussing the future of Japan's Cardiac Department.
At that time, you were a pure person who worked very hard.
But unfortunately, I possessed greater skills.
Being at the same level, I was the one first selected as main surgeon.
From that time onwards, you gave up on continuing to train your own skills.
You chose to use scheming methods to achieve authoritative power.
Pleasing the other professors and destroying your rivals who disagreed with you.
When I was transferred to a District Hospital under your despicable instigation,
you said this...
"I have abandoned the identity of a doctor."
From then on, no matter what happens,
I will always remember what you said and remind myself,
I am still a doctor.
Noguchi?
I know.
The things that I have done, I've known all along how despicable they were.
I was afraid to admit this.
I was scared.
I hoped to be saved.
I don't want to die.
Don't wish to die.
Please save me.
Please save me...
Save me...
Are you serious?
Noguchi has contracted unstable Angina pectoris?
He even said that he wishes to be treated here?
Why? Do it at Meishin!
If the people at Meishin know, his seat will be threatened.
I don't care! All along he's let so many patients die without doing anything.
Cure him as we like?
Plus, he wishes to be fully healed before the site visit in three days.
The heart transplant committee will send people to Meishin for the inspection.
They will decide whether to give Meishin the heart transplant accreditation.
Even if we decide to do it and operate on him tomorrow, in two days...
he has to go back completely healthy?
This is not something that can be fixed so easily.
He said Dr. Asada is the only one that can do this.
Don't kid! There's no possibility that we'll accept it!
Asada.
You've decided, right?
Yes.
Right?
I've heard about Noguchi from the Director.
What are you going to do?
I guess I don't even need to ask.
He'll be undergoing the coronary artery screening checkup tomorrow.
Why? You plan to accept him?
We're talking about Noguchi!
Because he's a patient.
If there's a patient suffering in front of me, I have to help him.
That's what a doctor must do.
People of today's generation are seeking proper medical attention.
Everyone is pinning their hopes on this team.
In the end it devastates the hearts of the patients who were waiting for the transplants.
Would you toss out your own family member if an operation could not be performed?
With this,
the contract with Goldberg Brothers has reverted back to a blank piece of paper.
Didn't you know?
Foreign investment groups thoroughly investigate matters,
whether they are people or things, to properly determine potential assets.
A top sales leader carefully researches everything,
interpersonal relationships, family constitution, lifestyle,
all the way down to favorite foods and health status.
If the leader of a potential financial enterprise has health problems,
shouldn't we take a wait and see approach?
What are you trying to say?
Asada is willing to accept you.
I, of course cannot let you accept the treatment without saying anything.
I'm the owner of Hokuyou.
I decide what kind of patients to accept.
If you wish to be treated in that hospital...
there is a condition.
That jerk Noguchi is really coming for a checkup?
Yes, because Dr. Asada is kind by nature.
Unlike someone I know.
What on earth is he thinking?
Fujiyoshi, too.
Dr. Fujiyoshi also has a good character.
Unlike someone I know.
Are you talking about me?
Yikes!
I will definitely not eat these peas.
Why are you guys in there?
Really...so naive.
Everyone is like that.
LAD's slow-progressing illness change has been found. [LAD: Left anterior descending coronary artery.]
Hoping to recover quickly using normal treatment will be rather difficult.
Surgery is the only truly feasible method.
I want to go back without any mishap
for the site visit the following day.
If I can't go back,
it'd be as good as being dead.
Are you kidding?
We plan to do Noguchi's operation.
Why?
It's Noguchi!
No matter who he is, Noguchi is still a patient.
This is the objective of the team.
Save with all our might.
Oh well.
Let's forget that it's Noguchi.
Got it.
But, how do we do the operation?
If the catheter is also impossible, he won't be able to return the day after next.
Wrong.
There is a way.
I proposed a condition when letting Noguchi come to our hospital.
Condition?
Let Yuuta-kun have the operation in Meishin.
And your team will perform the surgery.
I've heard about Yuuta-kun's illness
and I've also paid attention to the heart transplant field.
- I think we should observe his condition. - But...
If it's not an accredited transplant hospital, then we can't do it.
Of course, the important thing is that Meishin can be recognized after the site visit.
If Yuuta's operation succeeds, the team can stay in Meishin with its current structure.
What?
What will happen to Hokuyou if the team is gone?
This is your motive.
Remove the team from Hokuyou and destroy Hokuyou. Is that it?
It's not that either.
Why should we believe you?!
You have no choice!
Yuuta-kun has little time left!
Is it really alright?
Now, Yuuta-kun is our priority.
Please think about the patient in front of you.
Doctors should only think about their patients.
Improving the work environment is my job.
Time to have the operation.
You understand the promise that we made, right?
Yes.
It includes allowing me to secure financing for Meishin Medical City.
I'll tell you this.
Goldberg Brothers is already aware of your heart illness.
You...
The relationship between Goldberg Brothers and Meishin
will end here.
I will pray...
for your operation to be a success.
Injecting anesthesia.
My innervation is really fast.
Fast innervation!
Alright, asleep.
That was fast!
- Prepare tube insertion. - Yes.
We'll now be focusing on LAD's slow-progressing illness change
and undergo coronary artery bypass surgery.
Use Mid CAB to undergo the operation. [Mid CAB: Accessing the heart through a small 6-10 cm incision.]
Yes.
Mid CAB?
Yes. Usually they will open the chest by cutting from the front
and undergo the coronary artery bypass operation.
Mid Cab will do an incision under the left chest
and undergo the operation through the ribs.
By not opening the chest from the front, the wound will be very small.
Artificial heart and lungs are not needed either, so the patient's burden will be very small.
It will allow him to attend the site visit the following day.
But it's LAD's slow-progressing illness change.
Isn't it too difficult to do Mid CAB when there's limited view?
The only one that can do it...
is this team.
- Tweezers. Electro-scalpel. - Yes.
- Weight liner. - Yes.
- Tweezers. Gauze. - Yes.
- Endoscope. - Yes.
- Coagulation, 40. - Yes.
Opening chest, half-lungs breathing.
Ready, anytime.
Chest opener.
Everyone is anticipating perfectly and responding to what they should do.
Drift away the inner chest artery.
- Tweezers. Harmonic. - Yes.
- Muscle hanger. - Yes.
Drift near the broken boundaries position.
Toyama, we need to ensure the view.
- Got it. Muscle... - Muscle hanger, please.
Yes.
I'll ensure the view.
Dr. Toyama, please continue.
Please coordinate with Dr. Asada.
Yeah.
Drifting of the inner chest artery completed.
Now we'll open the heart membrane.
Yes.
The coronary artery's surface calcification is worse than expected.
This way, the bypass cannot be done because the coronary artery has become too hard.
Shall we open the chest? It'll be better to have a larger view.
Asada.
No, we'll continue like this for now.
- But... - No!
We must consider the patient's QOL.
QOL, Quality of Life.
The patient said he'd risk his life for the site visit that takes place two days later.
Considering his QOL, the smaller the incision, the better.
We'll continue Mid CAB like this.
Got it.
Let's continue.
But bypass cannot be done as the hardening has intensified.
What should we do?
Open the coronary artery and retreive the inner membrane fully.
Using the inner chest artery to form a new coronary artery.
Coronary artery formation?
Even if it's cutting from the front, such operations are already very difficult.
Just from this view?
Seems like only we can do it.
Lots of bleeding can be predicted.
Prepare blood transfusion.
Blood can be recycled using CATS to retrieve the blood.
Let's do it. Stabilizer.
LAD opened. Inner mirror excision.
Yes.
- Mosquito. - Yes. [Mosquito: A type of forceps.]
- Suction. - Yes.
Inner mirror excision, down.
- Diamond blade. - Yes.
- Sprayer, three liters. - Yes.
If there's a patient suffering in front of me, I have to help him.
That's what a doctor must do.
Why?
Because they are patients.
If there's a patient suffering in front of me, I have to help him.
That's what a doctor must do.
Heart tip and root, both points match together.
- 8-0 thread. Suture device. - Yes.
Coronary artery tweezers.
Sprayer.
Head down, right rotation.
Vital signs are stable.
- Sharp-ended scissors. - Yes.
Mid CAB completed.
Stick out your chest, Ijyuuin.
This year's cold is really irritating, isn't it?
I was actually down for three days.
But I'm fully healed now.
Welcome.
I have been waiting for your arrival. Please.
We are very concerned about the mental status of the heart transplant patients before and after the operation.
We have also gathered specialized doctors.
Meishin possesses the country's most high-class medical facilities.
We have achieved the highest level of the world's praises.
The representative will be here a little later.
Let's have a chat first.
Defective provision?
To put it simply, Dr. Noguchi, if you're unable to uphold your obligations in this deal,
this contract will be invalidated.
Or if it changes to provisions that are profitable for us.
That's what it is about.
I'm really sorry. Because it is such a big proposal,
we wish to be more cautious. This is the representative's wish.
Please understand.
Alright.
There are no problems with my health.
This deal is considered a success.
The representative is here.
The representative of Goldberg Brothers.
Mr. Douglas Williams.
Hi.
404 billion yen in financing has finally been confirmed.
Was that a representative from Eagle Partners?
I've already cut all my ties with Kataoka-san.
But her wish is for us to accept Asada's team and the transplant patient.
The condition to accept the team is that the operation has to succeed.
If it fails...
The patient is a nine year old with dilated cardiomyopathy.
Plus, he has gone through a Batista operation before.
First, finding a heart donor in Japan is already impossible.
And there is also a possibility of TR and congestive hepatopathy.
Make no mistake, he will be dead before the operation, right?
Although unfortunate for the patient,
it is clearly the person who formulated such a brainless plan who is at fault.
They should tell the patient the truth.
That is proper consideration for the patient.
Right from the start...
Right from the start you've had such plans and you still had the operation at Hokuyou...
Do you know of a saying that goes "Recover from the scar, forget the pain"?
My recovery time seems to be much shorter than others.
From the site visit that was done at Meishin University Hospital a few days ago,
it fully complies with the standard set by the Profession and Review Parliaments.
Thus, we have recognized Meishin University Hospital to be an accredited heart transplant facility.
I heard that that group from Hokuyou are coming back.
Is Asada's team really coming back to Meishin?
He's returned at last.
Isn't it getting interesting?
Welcome back.
Is this your new team?
Yes.
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] Yuuta!
Congestion of the liver caused by dilated cardiomyopathy.
He cannot undergo the heart transplant if organs other than the heart are in poor condition.
The child will die by the time a transplantable heart is found.
A donor has materialized.
If he's suffering from a disorder, the heart transplant can't be done! It's against regulations...
I know!
What?
Your medical license will be revoked.