Ryutaro Asada's. ➡ After closing (Ryutaro) this hospital ,ja
. ➡ there are patients who lose their lives ,ja
So I'm coming back here. ,ja
I want to entrust the hospital out of the (Sakurai) you. ,ja
(Ryutaro) I will collect. ➡ The ideal teacher of Sakurai ,ja
The team. Best doctor who will agree. ,ja
And let me issue a power of 100% (Arase) as promised. ,ja
. ➡ pour our best to just to save (Kato) patients ,ja
It came to make with that kind of Asada hospital. ,ja
. ➡ you can not afford to leave here (Fujiyoshi) now ,ja
There is a girl who suffers from dilated cardiomyopathy in charge of the patient. ,ja
➡ In the equipment of that hospital before (Noguchi) any they ,ja
Patients who can not be treated will appear. ,ja
Please give to cooperate by all means (Noguchi) at that time. ,ja
It is the reason that (Okamura) exchange conditions. You get to go to India. ,ja
➡ you Todorokasu a name in the world expected (Noguchi) ,ja
Management consultant Okamura Gee. ,ja
Become (Kito) ally it after asked to observe the promise. ,ja
(Okamura) any team Dragon'll give to you. ,ja
(Noguchi) actor Hey uniform. ,ja
♬～
(Noguchi) Team Dragon Looks like we're all together at last. ,ja
One piece is missing but still (Okamura). ,ja
(Noguchi) and I heard are studying interesting somehow he? ,ja
. ➡ Yeah (Okamura) ,ja
➡ to be treated with regenerative medicine dilated cardiomyopathy ,ja
The. ➡ is a state-of-the-art medicine, even a global perspective ,ja
You continue to move to the hospital Sakurai indeed it would be impossible. ,ja
The ➡ to plan medical. Of us (Noguchi) world's most advanced ,ja
I mean artists most needed. ,ja
➡ research until it succeeds But. Yeah (Okamura) ,ja
Fujiyoshi teacher will not be away from the patient. ,ja
Hey patient. ,ja
The patient ➡ (Okamura) maybe ,ja
It may be willing brought him. ,ja
[Intercom] ,ja
It is. Regenerative medicine laboratory Yes (staff).
Let me turn to the analysis of marker factor it Well (Fujiyoshi).
Yes (staff). I found.
Is the (staff) Fujiyoshi teacher. Call.. ➡ oh (Fujiyoshi)
Is Fujiyoshi. Yes.
Do you have been doing together also. Or so (Fujiyoshi).
Oh (Ryutaro). Came to Sakurai hospital everyone.
➡ that there is worth going even discard the rich environment (Fujiyoshi) gold. Honor.
Aitsu-ra I'm determined.
Person of the patient (Ryutaro) You're what?
. ➡ that (Fujiyoshi) Recent liver congestion began to appear
. ➡ a decrease in cardiac function is in progress than I thought
Do not, but I hope it operating. It's very difficult state.
Is not it amazing I study (Hayakawa) Fujiyoshi teacher.
Ha (Kihara)? Fujiyoshi also. ➡'m part of the team Dragon
Clogging my disciples.
➡ new approach (Hayakawa) by this regenerative medicine is successful
Operations might not be necessary.
I do cure how without (Kihara) operations?
There (Hayakawa).
➡ were taken from the muscle of the thigh (Hayakawa) patients
Myocardial sheet. ➡ cultured skeletal myoblasts that are included in this
That is to create a sheet that has the same function as the muscle of the heart.
➡ If you stick them on the surface of heart muscle damaged the (Hayakawa) it
It seems to be a mechanism cardiac function of the patient's own would improve.
. Thigh is hahaha I would not necessarily be to the heart.
➡ Unlike transplantation because cells (Hayakawa) I
Also less prone to rejection ➡ compared to surgery
Burden to the patient's body is also much less.
(Hayakawa) Full revolution in the treatment of heart disease で す yo. (Kihara) revolution? ➡
There is no need for such a thing if there is a God my hand.
Dragon also operating team also ➡
Day to become a relic of the past I may be close.
(Kihara) Foa! Oh (Hayakawa).
[TV] "It is a pond Pocha"
When will be able to use the (Ryutaro) myocardial sheet?
Two years at the earliest (Fujiyoshi) authorized to go down.
(Ryutaro) or wait until then?
Although put out the application for approval to the FDA (Fujiyoshi) America.
(Fujiyoshi) ➡ In the context of future soon
You might have to also think of heart transplantation in the United States.
Or so (Ryutaro). To tell me at any time if anything.
So. Oh.
[TEL]
Yes. It was found. Go immediately.
(Fujiyoshi) was what? (Yuka) teacher.
(Nurse) saturation does not increase. (Fujiyoshi) Ambree.
Yes (nurse). ➡ came from another teacher (yes Fujiyoshi)
It'll be fine. (Yuka) Kana.
. ➡ Because Neo put drugs (Fujiyoshi) from now
Do you Kaeyo a mask. Oxygen Yes.
Yes (nurse).
Condition has deteriorated (Fujiyoshi) heart failure progresses.
➡ (Yuka) forever If you wait
Will it do be able to use myocardial sheet of teacher?
Why does the way in (Yuka) other?
(Yuka) myocardial sheet is useless if the surgery?
Risk is too high for emergency operations in this state.
Operations that take many hours to a small body like Kana-chan ....
So How can I?
(Yuka) is Kana ➡ left this
Will it do not but continue suffering?
It seems six-year-old girl patient (Ijuin) of Fujiyoshi teacher.
That will not do probably overlap with the daughter that Kato died.
«We've now taken (Shaeda) CT. Yes (Kato).
Operations of appendicitis will contain (Shaeda) from 3:00.
Keep in check (Ijuin) also Arase teacher.
(Shaeda) I found.
[Intercom] (staff) teacher.
[Intercom] ,ja
Is. L & P ER Yes (doctor). [Intercom]. ➡ (members) 60 Young Men
It has complained of nausea and chest pain. Is it acceptable?
First 療室 is not empty in severe patients (doctor) now. Refuse it.
I'm sorry (doctor).. (Kito) kinda Accept now.
(MD) え っ? (Kito) bleeding は?
[Intercom] ,ja
(Hayakawa) circulator surgical で す. は thou? (Kihara) what?
(Hayakawa) ER is I Hikiukero patient.
(Kihara) How many of which patients with ER.
(Hayakawa) staff. ➡ seems hands full
I'll refuses.. (Kihara) and alternately Oh Oh. Because it is already 5:00.
(Cough)
While it is Kihara surgical director.
➡ If you had unruly do in his place
The first place and I have to accept.
So who such ER director of .... New you have fun? ➡
It's not got to go home earlier Hayakawa. Even though I'm talking.
(Kihara) circulator. ➡'m Yeah Nettsu 's subcontractors of the ER
➡ after entering from the front entrance
. ➡ of not only seeing patients who stepped on the procedure properly
And there. Has fallen. Anymore Geez!?
I'm sorry I'm sorry.. Oh.
I'm sorry. (Hayakawa) it with a (Kihara) care.
It 's what kind Geez (Kihara). ➡ The patients with ER
Naive that I say will Mawaso cardiovascular.
And (nurse), please. To go through (personnel) stretcher.
Little (Kihara)?
(MD) rude. (Kihara) ち ょ っ.
It's Kihara surgical director but. ➡ It is a teacher. (Doctor) cardiovascular
I ask patients there. ST elevation. ➡ of aVR
There is a possibility of triple vessel disease. Operating ... application.
In what hand I do decide? ➡ Na even if said suddenly such a thing
Would not operating room is not vacant. ➡ (Kito) operating room if not empty
And should I do it in the catheter.
With. What (Kihara) Kito ... teacher in a place like this?
There is no need to explain (Kito) to you. ➡
The cormorant. ➡ that. Yea. (Kihara) Carrying the catheter laboratory early
.... (Kito) scheduled tourniquet 200 also filled catheter laboratory.
Yes (doctor).
(Kito) catheter laboratory of the brain outside the will is free this time.
. Excuse me No (Kihara).
. Haha surgical director is not it keeps on being said.
(Kito) Yes heparin 5,000 IV. (Nurse).
➡ If you occur in a medical malpractice in this way (Kihara)
What to do? (Kito) Medical malpractice does not occur.
I as long as I'm having. Hurry (doctor) line.
You can not (nurse) line secure. Put (Kito) Central.
Yes (doctors and nurses).
➡ in a week (Okamura) teacher from when you come
. ➡ the acceptance rate of the ER is now up 30%
And later with the correct decision in. ER hydrofluoric and distributed to the expert.
A result of adopting the gateway method of Kito teacher suggestions was to appear immediately.
(Kito) ER is. ➡ to become the gateway entrance to the patient
Patients entered from the entrance admitted to L & P then.
L & P is ➡ it is possible to acquire new patients from becoming to be hospital
It also leads to the stabilization of the management.
Bad. ➡ should not you talk also for (Okamura) Who
➡ Crush the hospital in such a manner as to disregard the income
Because let's not annoy the patient and his friends.
I specialist hospital management expected.
➡ what Kito teacher that is understood (Okamura) Medical is not a charity
I'll think of Integrated Medical true. (Kito) Fu~u.
That's why I chose you.
♬～
(Noguchi) Chateau Garuda 82-year-old I truly different.
Did you fit in (Okamura) your mouth? . ➡ I like this I. Yeah (Noguchi)
You're taste worthy to celebrate the success.
Because it is a big step for (Okamura) us.
(Noguchi) General Manager も medical SAR big favor で は ni idea ➡
The. ➡ I was saying me to proceed as soon as possible
The careful examination of the new health care it's fine, but ➡
Medical care in Japan ➡ from world-class because of that
It's that lags behind the ➡
It because it was deadly as a business.
. ➡ Yeah (Okamura) ,ja
➡ long time if hangs in clinical trials to be recognized
The ➡ Before outstanding research also be put to practical use
Will be preempted by other countries.
➡ medical special zone was observed
The ➡ in medicine has not been approved in Japan
➡ The trial becomes to be able to exceptionally
Medical care in our country will be a major step forward.
It is nice to me here, I is not in Japan anymore.
♬～
(Ijuin) vine Gil.
♬～
➡ down as soon as approval of (Fujiyoshi) myocardial sheet
Culture of the cells. ➡ you are already underway so that it can start the trial immediately
But the possibility that the patient's heart does not have to it came out.
And for some reason I came here so (Arase)?
The ➡ until it can be use (Fujiyoshi) myocardial sheet
I want to have a weak heart somehow.
(Kato) BNP has risen to 900 units.
(Kato) I'm not afford too much of time.
(Ijuin) EF is also off to a 20%. ➡ and in this state
Time to be placed on a heart-lung machine is limited.
(Sakurai) It is not a simple operations.
Not easy, but nor impossible.
I If this team.
I transplanted the first choice of treatment. ➡ When donor appears if
Ijuin. Eh you are. Do it the transplant surgery?
(Kato) Ijuin kun ➡ for heart transplant
I am proud of the number of cases of domestic top-class now. It reasonable personnel selection.
Donor of children quite even (Katsura).
I do left ventricular angioplasty donor unless appear.
But TR is also beginning to advanced right ventricular pressure also rises.
The heart. ➡ of six-year-old girl to say that it has been (Kato) extension
Blood pressure is not put out if too small.
I will not get down from a heart-lung machine And then (Katsura).
I use the sizer this time.
Do not worry about that by performing the suture of the left ventricle while sizing.
That's good.
Ventricular assist device may be required temporarily after surgery.
I keep arrangements over there.
Although I'm operating Tteyuu stow if doctor (Arase) Other.
Success rate up to 10% if I multiply the anesthesia well (Arase).
Can I be up can be use (Fujiyoshi) myocardial sheet.
. ➡ Let me doing it to have something to it
You are left this surgery I have only you guys.
I do my best.
I'm certain (Arase) is one problem.
Equipment of the hospital 's not enough if you become a surgical emergency (Arase).
➡ and PCPS at least (Kato)
I need approval of Bud for backup.
The. ➡ must also evaluate the three-dimensional in 3D or echo (Ijuin) 3DCT
Correct sizing can not be preoperative examination is not a accurate.
Or that it's impossible in this hospital.
There is only over there.
(Noguchi) Team Dragon has brought the patient?
➡ The early (Okamura) than I thought
Chance was me jumped from the other side.
It seems to be patient (Okamura) of Fujiyoshi teacher.
♬～
(Yuka) is incredible hospital.
Environment of uniform (Fujiyoshi) is state-of-the-art equipment of only this ➡
It is not so in the country.
Dr. He will do (Yuka) ... surgery.
It is a surgeon (Fujiyoshi) I trust most.
Is not it all right Well (Yuka).
Yeah Kana. (Kana) (Yuka) It was good.
(Hayakawa) Team Dragon I hear they come.
(Kihara) は っ? (Hayakawa) Expansion of the cardiac muscle disease Zhang Full ➡
That's right do out in the pediatric operations. ➡ it than I of (Kihara) surgical director
What you've got to know before.
. ➡ I did not have the name of the (Hayakawa) Kihara teacher
Team Dragon did you graduate is already?
.... I'm ... supervision. Cormorant is ... that. Yeah, you know what I.
I'm seen the operating team of the Dragon (residents) rumor.
Yeah (Hayakawa). (Kihara) you guys ➡
I'll look Oke well open eyes. ➡ that I be supervised
The Tteyuu operations of Team Dragon ... I.
Study of (Hayakawa) Fujiyoshi teacher or was not in time.
. ➡ you do not know the greatness you just saw (Kihara) once
Do not be too early. It can be seen from the horror ... the second time.
It is the teacher of Asada (Fujiyoshi) surgeon. (Yuka) Thank you for your consideration.
(Fujiyoshi) Asada teacher ➡ the difficult operations of small children to this
It is an excellent surgeon who has succeeded in a number.
It 's helpful to (Yuka) Kana? Yes (Fujiyoshi).
Do not harambee together. Yeah (Kana).
♬～
. Dr. Asada to the hospital L & P Welcome.
It is a management consultant of Okamura. L & P Nice to meet you.
I have heard about you of (Okamura) teacher.
Sakurai hospital ➡ team of Asada teacher is applied
It must be no doubt encouraging.
There is a hospital that must not be lost.
I think so too.'s Why ➡
And I do not spare the cooperation of Sakurai to hospital.
Specialist Excellent has many (Okamura) out to the ➡ In terms of facilities
We are proud to be entering the five fingers in the country.
The. ➡ environment would be the best Asada teacher to wield arms
Please feel free to use what is available please.
I appreciate it
➡ operating and technology of the highest peak (Okamura) of Asada teacher
Marriage of state-of-the-art medical equipment.
Wine of the finest ➡ what is poured into suitable glass
Because is intended to demonstrate its true value.
➡ wine of precious mistake if the choice of glass
It is because that could mess with the mellow flavor.
I just do my best for the patient in front of you.
♬～
I do my best for the patient in front of you.
The best choice at this stage it is overlapping.
Well (Kato). (Yes Ijuin).
Standing before Kato.
Second assistant は Ijuin.
Yes. Me to prepare for the sizer.
I'll have to prepare the stage (Arase) maximum.
Operations start at 10. Am 15. January tomorrow.
Plan to 13:00 end time by taking into account the age of 6-year-old patient.
3 hours? ➡ (Fujiyoshi) If you come any more
The patient's heart does not have. (Arase) and Oke leaving.
The ➡ while Ijuin. I have received the papillary muscle
Yes. Oke creating artificial chordae. It but it is from the anterior papillary muscle.
Pledget will go in the quarter.
What are you tricuspid valve? I go by Kay method.
And it probably best. I'll prepare the NO.
It should put the (Arase) PA line.
Ah. Regurgitation of Kato mitral valve?
Prosthetic valve replacement surgery is not possible because it is children.
Can not be used even ring. Use self pericardium.
Biventricular pacing? The person who was there said.
Hold in reserve.
What? (Inohara) A~tsugomen'nasai. ➡
The nostalgic Sakurai hospital of old like the came back.
Of the time it was outside I Asada (Kato) a long time ago? ➡ until midnight (Inohara) every night
What I do best for patients.
It was not allowed to fight discussion like this with everyone.
"I will preserve Adam queue Bits in artificial blood vessel replacement surgery"
"You're also required drainage of the spinal cord"
"I try to Mawaso at half flow. Artificial heart-lung Yes ..."
The ➡ "Do not get a half-flow" (Sakurai)
"Full of renal artery blood flow is it big da"
"Do not hesitate to turn in full flow"
(Swine original) "President. President", "で も ..."
I also I'll keep simulation firm so as not to put Ika.
To help the patient and what even then.
♬～
You can not sleep?
Do not worry.
What surgery doctor good most Asada teacher.
(Kana) something? (Fujiyoshi) u san World で something.
We can go to Kana. Elementary school Well (Kana)?
Go.
(Kana) Absolute? (Fujiyoshi) u san. Absolute.
. (Kana) was also good friends can be a lot of kit.
Please rest in peace so (Fujiyoshi).
Good night. Yeah (Kana). (Fujiyoshi) Good night. Cups. Good.
I truly excellent (Kito) management consultant.
(Okamura) of What a story?
➡ in the gateway (Kito) that the patient
Team Dragon set foot in L & P.
➡ what goes in the tip of the entrance But (Kito)
They do not know yet.
Belief of team dragon ➡
It will do the best for the patient in front of you.
I just only helped it.
I hope the success of the operations.
♬～
[TEL] (sound of the vibrator)
Hello.
[TEL]'m a time of (Miyuki) tomorrow.
Tomorrow? . ➡ Oh (Miyuki)
Preliminary inspection of. Ceremonial hall that have forgotten after all.
Operating a very Aue. Sorry. Tomorrow is ever fall.
(Miyuki) operations? ➡ (Ijuin) we would not do
I do a great op that may not Sukekara.
Or along. 'S it. ➡ It can not be helped
➡ patients who come to AkiraShin relying things we Ijuin Mr.
I mon are we a lot.
Yeah. Oh.
➡ The'll be going alone tomorrow Well it
Good luck op.
I will also contact. Thank you.
Result of (doctor) Fujiyoshi teacher. Workup Although I was out.
This?
♬～
Chip.
♬～
(Fujiyoshi) Asada.
(Fujiyoshi)'s stop operating.
♬～
(Ijuin) What does it mean? I stop operating.
Result of HIT (Fujiyoshi) inspection is discovered.
HIT. (Kato) ヘ bread ri nn cause thrombocytopenia.
Can not use heparin.
It is not turning the heart-lung machine If you can not be used (Ijuin) heparin.
➡ If you can not use a heart-lung machine in the state (Kato) of this heart
Operating'll unreasonable. Can not be (Inohara) operations?
(Kato) Argatroban? (Fujiyoshi) patients with heart failure ➡
It is developed hepatic congestion. (Kato) I I do not use it 's.
(Arase) because I argatroban is hepatic metabolism.
➡ If it is how to put a myocardial sheet
Treatment is to be without administration of heparin.
Approval of myocardial sheet is not down yet but (Fujiyoshi)!
Do you can not do anything to (Ijuin) we?
♬～
. ➡'m please to (doctor) pardon
What do you do not go to be loaned to the person who left the AkiraShin?
Life (Ijuin) human'm at stake.
It is going to be responsible for my Tara (doctor) Barre.
I'm sorry (Ijuin). (Doctor) again. Slightly.
I take responsibility because.
♬～
I can not surgery?
The ➡ to stop anesthesia in the activity of the heart in (Fujiyoshi) surgery
Joins the heart-lung machine. ➡ that when the heparin
And I use a medicine to prevent blood from clotting but. ➡
➡ The Kana-chan results of preoperative examination
It turns out that you can not use the heparin.
(The plus) え っ?
In other words, you can not do surgery because it is not turning the heart-lung machine.
Probably (Yuka) lie? So Cana?
. ➡ and He will heal me even (Yuka)
. ➡ Do're not saying that even okay
Is that it was a lie?
There is no (Fujiyoshi) Sorry.
Do you really can not do (Yuka)? Do you do not somehow? ➡
If I'm not the best facilities in Japan? ➡
Number also does not it? Have a successful difficult surgery? ➡
Thank you. Please help Kana.
Unfortunately in the state is now operating ....
Can not.
Excuse me, sir.
Such (Yuka). Episode is not it different.
Do I abandon the Kana? ➡
➡ amazing teacher because they are a surgery
And are you looking forward to that child 's I and able to go to school.
Hey.'ll Please do something? Why it the world? ➡
What? Why can not you? Hey!
(Sound of weeping plus Full ki)
♬～
Did you say the (Hayashida) Fujiyoshi teacher? ➡
The place where you are doing a careful examination for the clinical trial of myocardial ... sheet.
So you do not meet the deadline. ➡ patients with HIT
You can not do is operating. It is not there so can only rely on the heart muscle sheet.
It takes time to approval of (Hayashida) trial ➡
This is to ensure the safety.
➡ If you do not use myocardial sheet now
It is going to be a patient of one person killed.
It ➡ studies regenerative medicine due After (Hayashida) failure
. ➡ There is a possibility that lagged behind the '20 '10
Patients can not save If that happens huh sorry're alone.
Life's a life, even one person!
Excuse me because it is a time of apo (Hayashida) next.
I do not have time anymore. Because I need your help.
Please wait.
Kimi expected (Noguchi) was also unexpected?
. ➡ Nantes was surely HIT
It can not be used to still myocardial sheet of Fujiyoshi teacher.
You're sorry. ➡ The team also how much Dragon
The ➡ not be used in myocardial sheet that can not be operated
Hands and legs and we will not even out.
♬～
«The color of chocolate it is. ➡ be nice to (Kana) school bag
I think. Mom be nice to Which is good but also pink. Happened?
Well (Yuka). ➡ so I (Kana)
I make a lot of friends I wish to become elementary school. ➡
I want to play with tag in the park with everyone you've finished school.
(Yuka) it'd be great.
It 's good call your friend also (Kana) a house?
"The. Daddy go home within" (Juri)
I ask the snack (Kana) mom. Everyone.
♬～
I go to America.
Approval of myocardial sheet is what went down?
Early likely than Japan but. Hate.
Myocardial sheet of Kana-chan has been completed already.
➡ so that treatment can be immediately as soon as approval is down
I'm going to proceed with the preparation. Or so.
Call the patient it is scheduled in two weeks.
I ask that among patients who do not have me.
Oh. Come home to cure sure.
[TEL]
Fujiyoshi.
Ho!?
(Kihara) is bad. It is bad?
(Fujiyoshi) Kihara! Mr. (the plus)!?
(Kihara) rapid mitral regurgitation has occurred.
(Fujiyoshi) mitral Benten countercurrent!? Mitral chordae rupture Benten Full da.
Ruptured chordae tendineae can not be cured only by operations. It is not possible operating But (Kihara).
➡ chordae you (Fujiyoshi) tear is not able to repair
Can not be used even myocardial sheet. (Yuka) teacher. Cana .... ➡
Please help the teacher. Kana. Thank you. I'll do anything.
Are you going to do if (Kihara)? To cardiac arrest 's as it is Asada..
♬～