That guy again?
He gave the dermatology department hell today.
He's a real pain in the neck, isn't he?
Dr. Miyazaki, you're needed at the outpatient ward!
You know, though...
For as long as we're doctors we don't have any choice but to listen to him.
It isn't a surgeon who can tell whether or not...
... you've got cancer.
Diagnostic Pathology Department
It's a pathologist.
As far as Keiichiro Kishi is concerned, this is what all the doctors say:
"He's a real eccentric, but...
He's the best there is."
subs by kurokouchi on d-addicts/livejournal if you paid for these, you're a chump!
I'm so glad you got into your university!
I am, too!
That's my Karin!
I guess...
It's even better because I was thinking I might go to be with your father again in April.
What with you being all grown up now, and him working so far away these past five years alone...
That's great!
Going there is great!
I wanted to try living on my own, too.
I'll miss you a lot, but...
All daughters move out someday.
That's right!
I've still got to walk Leo, so I'll go on ahead!
Replace the water in his bowl too, okay?
Yeah!
Karin!
Karin!?
An ambulance!
Someone call an ambulance, please!
Based on his brain scans, we haven't found a problem.
You can rest easy now.
But...
He was showing the same symptoms they broadcasted on TV.
Having the same symptoms doesn't necessarily mean he had a stroke.
As soon as I saw it on TV, I really thought he did!
I had to take him here right away!
Well...
After the exam, I can say for sure it isn't a stro--
Exam or not, aren't there cases when it's too late for treatment?
Are you absolutely sure you didn't miss anything, Doctor?
I understand.
I'll explain the results to you one more time, all right?
How long were you at the outpatient ward?
I'm sorry.
I told you, if you keep doing things like that your work will never end.
I know.
Dr. Kosaka, we need you in the ER!
The patient is 18 years old and suffered a head injury.
There we go.
I'll show you how it's done, so come and help me.
All right.
The CT scans of your head are practically flawless, aren't they?
There isn't any haemorrhaging at all.
Thank you so much.
But you don't look so good.
Does it hurt?
Just a little bit.
And your hips?
Do you feel anything strange?
Oh... yes, but just a little bit.
The scans of your hips are...
Well, there aren't any outstanding problems.
Likely the discomfort you feel in your lower body is due to disc degeneration.
Disc degeneration?
There are intervertebral discs between the bones in your spine.
This is cartilage that acts as a type of cushion.
I believe the reason you feel pain below the waist is due to this cartilage becoming brittle.
Kageyama-san!
Good morning to you!
How do you feel?
I'm feeling all right.
Do you feel any pain anywhere?
No, I don't.
Um, will I be discharged any time soon?
If anything's on your mind, you can tell me.
I'm totally fine, though.
Dr. Kosaka!
About the patient we admitted yesterday, Karin Kageyama...
The one who might have disc degeneration?
Yes.
Well, um...
What do you think about performing a few more tests?
Like an MRI scan...
Chief!
Ah, good morning!
Karin Kageyama, an 18 year old female.
She was admitted with head trauma, fever, some nausea, and discomfort in her lower body.
Have you seen that girl?
Is she cute?
She's certainly not bad...
For now we've given her Ibuprofen.
It helped ease her headaches, nausea, and fever.
However...
Her lower body pain still remains.
We think it's disc degeneration.
Her hips, huh...
That she fell was a real stroke of luck if it led to detecting this.
You scanned her lower spine, yes?
Of course.
But after scanning...
We didn't find anything particularly strange about her bones.
What about an MRI scan?
Don't you think that's too much?
I suppose so.
It'd certainly mess with their insurance.
Have her checked by the orthopaedic ward.
Yes, sir.
I'll have her head there as she's being discharged.
Okay. And with that...
Excuse me!
What is it?
Um...
No, never mind.
All right! That ends today's conference.
What's wrong, Dr. Kishi?
Do you have any complaints?
Well, this is pretty amazing, isn't it?
I'd like to know more, too.
Especially since you haven't shown any evidence to the actual disc degeneration.
Surely you read about some new evidence I haven't heard of!
From which journal?
Dr. Kishi, we don't have the time for this!
Could it be that hip pain automatically means disc degeneration?
Without any damage to her brain, there's a high chance that's what it is.
So how do you explain the nausea and the fever?
The medicine has eased that away.
You some kinda moron?
What're you saying?
This really is the pits.
Hey, what're you trying to prove, anyway?
I'm saying your diagnosis is messy and premature.
Even the experienced docs here don't know shit.
Enough accusations!
This isn't the Pathology Department's business!
What's the number one thing you doctors should do?
It's to determine a clean, simple treatment based on collected data.
So what the hell is all of this?
You're saying that based on this data, it's got to be disc degeneration.
Even with so many doctors present...
Do none of you see anything wrong?
Or are you too scared to speak your mind?
Well, not like it matters.
Can you quit it with this crap?
It makes me ashamed to be called a doctor.
You keep your mouth shut!
Enough!
Perform an MRI scan on her hips.
Make sure it really is disc degeneration.
I'll trust you to arrange it, Dr. Kosaka.
Of course.
Are you satisfied now?
I'm wholeheartedly grateful for your cooperation.
Man, I'm beat!
It's just morning and I already had to shoot 'em down.
So you've gone and made another doctor submit to you, huh.
Yeah, duh.
There's always a reason and a mechanism to an illness.
That's what they always fail to understand.
It's not like that's new, though.
Aren't most doctors always like that?
Here're your tissues for examination.
They built up while you were out tearing the other departments a new one, so please hurry up.
Making me work early again, Morii-kun?
If I didn't, you wouldn't get anything done.
In this whole hospital, you're the only pathologist and I'm your only technician, so it can't be helped!
I know, I know! In any case,
I'll just take a breather and drink one cup of coffee.
These...
... must be done by today.
I know! I know that!
Do you really?
Can you really finish these by today?
Excuse me?
Please leave your request for an exam in the proper bin!
Just gimme some coffee, Morii-kun...
Um...
I'm Miyazaki from the Neurology Department.
I'd like to ask Dr. Kishi something.
About Karin Kageyama from this morning's conference...
I don't think it's disc degeneration, either.
She's been reluctant with talking about how she feels lately.
And I think that she might be hiding something from us.
The only ones who've questioned Kageyama-san's diagnosis are you and I, Dr. Kishi.
So I was wondering if maybe you'd like to see Kageyama-san for yourself, Doctor.
What?
You want me to meet the patient?
Yes, if you'll please!
Not meeting a patient face-to-face is one of the few privileges of a pathologist.
I suppose, but...
I think there're things data can't capture which you can only...
... see for yourself...
All you doctors...
You make mistakes because you're obsessed with the external symptoms.
You see, pathology...
It deals with examining what happens inside the body.
We look at patients' tissues and cells without meeting them.
Do you know why that is? What do you think?
Can't you meet someone at least this once?
Did you hear what I said?
I just want to know for sure! Um...
Please think about the patient's well-being!
Her well-being, huh?
Yes!
So why didn't you speak up?
Huh?
If you didn't believe their diagnosis, why didn't you say so?
No, that was...
You didn't because the one who diagnosed her was your superior.
You weren't brave enough to say you doubted it even with the lack of evidence.
It's funny how you talk about the patient's well-being.
The only person you're worried about is yourself.
Please wait!
Um...
What you're saying isn't wrong, Doctor.
Because I couldn't say it, I...
Why did the patient fall down?
Did she really fall?
What do you mean?
Ask whoever was with her how she was before and after the fall.
How did she look before the fall?
Was she having trouble breathing?
Did the headache come out of nowhere?
What do you mean?
Did she really just fall?
Or did she suddenly collapse?
Collapse?
Rather than the painkillers successfully improving her condition,
maybe the symptoms disappeared on their own.
For some reason, the blood flow in her brain stopped momentarily only to resume again.
And with that, the symptoms went away.
But that means...
My first guess would be...
TIA.
A transient ischemic attack!?
T/N: TIA is often referred to as a "mini-stroke" due to having the same symptoms for only 24 hours.
But she's only 18 years old!
It can't be TIA!
Can you say that with 100% certainty?
After experiencing TIA, there's always a chance of relapse.
Her blood flow might stop again any minute now.
I'll verify it with her mother immediately!
That doesn't happen everyday.
Usually the other doctors steer clear of you, Dr. Kishi.
Oh.
The coffee's watery today, Morii-kun.
It's because you have to work today!
Yeah, gotta work today...
This is Miyazaki from Sobokai Daiichi General Hospital's Neurology Department.
It turns out she fell because her lower leg suddenly went weak!
And the reason a young 18 year old went through TIA is?
Her heart rate isn't irregularly quick...
Blockage to her Willis Circle?
T/N: The Willis Circle is a connection of arteries that supplies blood to the brain.
In that case you should be performing MRI scans on her brain, not her hips.
I'll arrange for it right now!
You're too late!
Hasn't it been 18 hours since she collapsed?
And even if you booked it, the test would happen tomorrow.
In the event that her symptoms remain, by that time she'd either have haemorrhaging or blockage.
If I say it's because she went weak in her legs, it'd be bumped up to today!
And do you think Dr. Kosaka and the chief would approve?
The entire Neurology Department agreed that it was intervertebral disc degeneration.
So what do I do!?
What time's the MRI scan for her hips?
It's in an hour.
Can we change it to a brain scan?
And using Dr. Kosaka's ID, we can access the reservations for the MRI machine.
Who?
Who else?
I can't!
That's against the hospital rules!
I'll be punished for it!
Without the assigned doctor, the tests under insurance can't change!
That means her insurance won't cover it!
And then the Chief'll kill me!
Could you shorten your damn excuses?
"I'm scared, so I can't do it."
"I'm not ready to bear that kind of responsibility, so it isn't worth the effort."
But...
I don't even know the password for logging-in!
You don't?
No.
I think a memo with the password is somewhere in his drawer, but...
He has the key.
So you need the key to open it.
That's why it's impossible!
I can't do it!
We don't have time.
You know that, right?
If she experiences TIA again, her blood flow will stop.
It takes only 4 minutes for brain cells to be irreparably damaged.
What'll you do?
If you can do something...
Then do it and help.
It's not just for the patient.
Do it for yourself, too.
And I'll be your accomplice.
What's wrong?
Kageyama-san!
Say...
Are you hiding something?
Does your head hurt?
I...
I have to do my best on my own, now.
My mum...
She plans on going to live with my father.
I need to be brave on my own.
My mum...
I don't want her to worry any more!
That's why...
Kageyama-san?
It'll be okay!
It'll be fine.
Why're we out here?
About this morning...
We got off on the wrong foot.
I figured I oughta say sorry.
Cheers!
It's funny how you talk about the patient's well-being.
I don't want her to worry any more!
We don't have time.
You know that, right?
I can quit being a doctor any time, anyway.
Dr. Kosaka!
What?
I'd like you to see Karin Kageyama's MRI results right away.
If you would please!
Why is it a brain MRI scan?
Excuse me.
If you'll look here, you'll notice a new sign of stroke.
And here there's blockage in her Willis Circle, showing an abnormal blood vessel.
What do you mean?
According to Kageyama-san's mother, at the time of the fall her lower leg suddenly grew weak before she collapsed.
I suspected it to be TIA.
In any case, there wasn't any time!
Do you know what it means to decide this on your own?
I'm really very sorry!
You'll be fired as punishment!
Dr. Kosaka!
Karin Kageyama claims to have a severe headache!
Excuse me!
She suddenly said her head was hurting!
Kageyama-san!
Let me take a look at her!
We'll check her blood pressure!
You said she'd be fine yesterday, right?
That she wasn't haemorrhaging?
We've just received new test results, and there's a chance this headache is a sign of bleeding.
I believe she'll go into surgery soon.
Contact Radiology and Neurology.
Yes, sir!
Karin, it's going to be okay!
Mama's going to wait for you, okay, Karin?
Thanks to Dr. Kosaka, the MRI scan was performed on the brain.
After discovering blockage in her Willis Circle, emergency surgery was performed and safely prevented cerebral haemorrhaging.
Dr. Kosaka.
You did well!
No, no, no!
It was because of the Chief's guidance.
I wouldn't say that...
It's not just for the patient.
Do it for yourself, too.
And I'll be your accomplice.
Excuse me.
I owe you for the other day.
Thanks for your hard work.
Um...
Dr. Kishi...
You did good, kid.
Please let me join the Pathology Department!
What?
No way.
He said "no way".
Please let me!
She said "please let me".
What do you know?
I already said I'd quit the Neurology Department.
I really did.
I can't just go back there!
Isn't there anything for her, Dr. Kishi?
I'll lend this to you.
Tell me what it's afflicted with.
If you can't do something this easy...
We don't need you here.
Thank you so much!
The last time I touched a microscope was in med school!
Did you figure it out yet?
Um...
The hell did you learn in med school, anyway?
Well, as far as pathology goes...
I forgot most of it after the board exams.
I wanted to be a doctor, see?
Aren't pathologists doctors, too?
I meant doctors who treat patients.
I feel awful.
It really must hurt...
Sato-san.
How're you feeling today?
Doctor...
I was ready for the worst, but...
Chemotherapy really does hurt.
You've been fighting this well.
The number of cancer cells should've dropped by now.
After that, all that's left is the surgery.
I see.
I'll get better as soon as I can.
It's a good thing we found out about it early.
We owe you so much, Dr. Fujiwara.
Welcome ba--
Oh!
Looks like there's finally some new blood around here!
Um...
You sure are a young one!
How long have you been a doctor?
2 years now.
In this place...
Isn't the man you work under difficult to deal with?
Um, may I ask who you are?
Say...
Won't you go out with me?
I'm sorry?
Ah, Dr. Kishi!
Huh?
I gotta pee.
Please don't run away, Doctor!
What the hell, you brat? Don't get in the way!
The hell is with you? Man...
Listen to me, okay?
You let someone new here.
She ain't one of us.
What?
Dr. Miyazaki popped her little head in here, but Dr. Kishi won't let her join.
Please go away.
Why do you always have to treat everyone so rudely?
Hurry! Just get outta there!
Won't you offer me a cup of coffee?
What do you say, Morii-chan?
I don't really have a choice, huh?
You plotting with the Chairman again?
He's a respectable man, you know!
I bet that's him calling right now!
Morii-kun, cancel that coffee order.
Yes, sir.
Who was that man?
That was Professor Nakaguma of Keiro University's Pathology Department.
A professor from Keiro!?
Yeah.
That's his official title, but he's got authority over a lot of hospitals and their personnel.
Doesn't that mean he knows almost everything?
More than that, Professor Nakaguma...
Also happens to be Dr. Kishi's old mentor.
What in the world is it like in the world of pathology?
Morii-kun, you still got coffee?
You told me not to make any.
No way...
This is the Pathology Department.
Yes.
Yes, if you'll give me a moment.
Dr. Kishi, it's Dr. Fujiwara from Respiratorial Medicine.
Yeah, here I am.
The number?
Got it.
You some kinda moron?
Don't joke around.
You're a doctor, right?
He's gonna chew someone out again.
Chew them out!?
Chew them out!
Have a safe trip.
This has to be cancer.
The amount of chromatin,
the circular cell system, the shape of the nucleus...
All of these correspond to cancer cells.
The NSE blood test returned a high value,
there's a huge chance the lungs have a small carcinoma,
and yet you never gave the full diagnosis.
Is this where the cancer started, or where it spread to?
You need to perform more tests to find out what kind of cancer it is.
I mentioned that in the biopsy notes.
Because pathology claimed it to be cancer, and assumed it was a small lung cancer,
he was undergoing chemotherapy before the surgery.
But it appeared to have no effect.
So now it's pneumonia?
Right.
I've taken full responsibility for it.
And now the patient's walking good as new inside the hospital.
Don't you think forcing chemotherapy on him was an unnecessary load?
It isn't my department who picks the treatment.
To begin with, I suspected it to be pneumonia all along.
I'm telling you, it can't be anything but cancer.
Oh, really?
There it is!
Looks like the Pathology Department's trying to give the full diagnosis themselves!
You have to perform more tests to find out the type of cancer!
That's enough.
You trying to kill your patient?
Give me a break here, you twit!
The patient doesn't need any more unnecessary burdens to bear!
We've already chosen the type of exam,
and we've already chosen a treatment.
The doctor in charge here is me.
Here's our list of possibilities.
That's not in the diagnosis.
There's definitely a tumour.
All right.
Um...
What is it?
Don't you think you just made a mistake about it being pneumonia or cancer?
Hell no.
Yes you did!
It's officially been diagnosed as pneumonia, and if you want to fight that it's already too late.
I wasn't wrong.
He doesn't know.
Doesn't know what?
Saying it was pneumonia is the most bullshit thing.
Basically, the patient has no idea how bad he's got it because the diagnosis was incomplete.
Which means...
He needs a proper diagnosis, right?
That's right.
We need to identify the cancer.
Or at this rate, the patient will die.
Hello!
Here's a sample for breast cancer.
She's asked for a rush job on a pathological diagnosis.
We're given a sample of extracted tissue to check if it contains cells for breast cancer.
Then we determine how much breast tissue has to be removed.
The on-going surgery in the operating room's been paused, so they need results in 10 minutes.
I see.
Who's that?
This is Dr. Miyazaki.
That's Dr. Hosoki, a surgeon.
I'm Miyazaki.
What a funny little girl.
How do you stay motivated when the Pathology Department doesn't treat patients?
Well, that's...
See, all you do is give your opinions, but the real people who give diagnoses are the attending physicians.
So why're you in pathology?
Well, if you're asking why...
More importantly, it looks like Dr. Kishi's gone soft for you.
Hey...
Why'd you let this little girl in?
Honestly, that little bitch...
Who's the bitch?
I seriously doubt respiratory's little bitch Fujiwara's got his diagnosis right.
But that's Dr. Fujiwara for you.
Is it?
He refuses to change his views on things even if you try to show him the truth from a different angle.
He gives poor diagnoses all the time.
All the time?
Isn't that scary?
And the patient doesn't know a thing.
I've prepared the sample.
There's nothing wrong.
You're done already?
Case closed.
Thank you.
I'll head back to the OR.
See you later!
Hope you do good.
About Fujiwara's patient's samples,
have you done immunostaining?
T/N: Dying tissues so they can be seen better under a microscope.
I've got to block the sample first.
It's your time to shine, Morii-kun.
It'll be ready for you tomorrow morning.
'till tomorrow, then.
Are you going home already?
Not having overtime is another perk to pathology.
Thanks for today.
Thanks to you, too.
Thanks for working so hard today!
He wouldn't go see the patient, huh...
It kicked!
The baby's lively today.
Oh, really?
It's been moving quite a bit for a while now.
How do you feel?
Right. I'm doing better, just like you said.
You'll be discharged any time now.
What about the surgery?
You've recovered extremely well.
You gave me something to fight the cancer, right?
Let's see about getting you out of here.
I'm so glad...
I am, too.
Without a doubt, the lung cells are cancerous.
You haven't gone home yet?
It's 1 in the morning.
I'm usually still in the hospital by this time, anyway.
You sure are serious about this, Dr. Miyazaki.
Well, are you always here this late, Morii-san?
About twice a week, more like.
It sure sounds tough being a lab technician.
The truth is...
This place needs five people for tech.
So working overtime alone isn't anything new to me.
Only he and I work here,
and what with the way Dr. Kishi is, he doesn't notice how much stuff piles up.
Thank you so much.
But can you really do all that alone?
Yeah.
Because Dr. Kishi trained me.
I guess there isn't a point to me joining the two of you after all.
Nah, see...
It's always been tough being the only person around to knock some sense into Dr. Kishi.
What made you choose to work as a technician in pathology?
Should I not have asked?
I don't have much of a reason.
I just need a job to put food on the table.
Well, I'll nap a bit back home and come back at dawn.
Thanks for everything.
You, too.
Where is she?
Guess she didn't have anything to report.
I feel like she's been worrying a bit about Dr. Fujiwara's patient.
She's seeing him?
Probably.
She sure loves patients...
Where do you want to eat?
Let's have your favourite.
Tonkatsu!
Sato-san?
We're all ready for your discharge today.
Thank you so much!
I didn't think I'd be able to leave the hospital so soon.
We didn't even have the surgery.
I'm glad I had such a good doctor.
Umm...
Yes?
How many months along are you?
I'm in my last month now.
I hope you take care of yourself.
Dr. Kishi!
Did you know Sato-san's being discharged today?
Doctor!
Sato-san's celebrating right now.
He has no idea he has cancer and he's leaving the hospital!
It isn't neuroendocrine tumours, either.
She's already awfully sick--isn't it our turn yet?
I'm so sorry.
What're you doing here again?
Were you able to prove it was cancer?
Not yet.
But I'm sure that he has it.
How troublesome! You know, unlike you pathologists, us doctors have patients waiting for us.
Did you tell your patient everything?
Without any concrete diagnostic reasons, there's no reason to keep a patient confined.
Now think about all the other cancer patients just waiting for an empty bed before they go under surgery.
Don't change the subject!
You just let out a patient with cancer.
You trying to kill him by waiting 'till it's too late?
Unlike you pathologists, we doctors never have special benefits,
and we have no choice but to think of the costs!
It isn't part of your job to deal with patients directly.
So stop running your irresponsible mouth!
Are you listening?
Your department gave no certain proof that it was cancer.
Have you never experienced differing opinions among other pathologists?
There's no 100% guarantee that your diagnosis is right.
Dr. Kishi, I'm genuinely concerned about how much you interrupt the other departments.
I'm very deeply sorry.
Why don't we try this?
For one thing, try wearing a white coat.
A coat.
For all you know, maybe people might start to feel differently about you.
I think you'd fit into a size L coat.
No, maybe you're more of an XL.
If you'll excuse me.
Before you start poking around into other departments' business, please think about your place in this hospital.
The reason you're here to begin with is to perform pathological exams.
Unless you want your department dissolved.
It shouldn't be hard to convince Professor Nakaguma.
Are you on your way home?
How nice it must be, being a pathologist with a schedule.
You quack doctor.
Dr. Kishi!
Hold on!
Please hold on a second!
What do we do?
About what?
About what Dr. Fujiwara said earlier...
Are you really just going to step down like this?
Sato-san's life depends on us, doesn't it?
Aren't you the same Dr. Kishi who made me break the rules?
You know...
The one who chooses the types of exams,
and the one who chooses the treatments are the doctors.
Is there nothing the Pathology Department can do?
I told you this before, didn't I?
The only ones who see the patients are their physicians.
Those doctors.
And the ones who save their lives...
Are those doctors, too.
Oh, you haven't gone home yet?
I want to find out what disease this is by tonight.
Thanks for today!
Thanks for working hard today, too.
Mori-kun, my coffee?
Make your own every once in a while.
But the only reason I wanna drink it is 'cause Morii-kun's here!
The one who makes the coffee is the coffee machine!
What're you up to?
I...
I don't understand a thing.
About pathology.
At the time...
There's nothing wrong.
You're done already?
Dr. Kishi said it so easily, but...
That one sentence held a lot of weight, didn't it?
It did.
The patient's life depended on it.
It's not a surgeon who determines if someone has cancer, it's a pathologist.
If you're looking for a good hospital,
you have to find one with a good pathologist.
Dr. Kishi's word must be real trustworthy, huh?
No matter what...
He stands by his diagnoses with absolute faith.
There's no room for doubt.
But the same can't be said about his private life.
What you know about Dr. Kishi...
We went to med school together.
We've known each other forever.
I know a lot.
A lot?
Wanna hear it?
First.
He's an old soul.
Second.
We were in a physical relationship.
Physical!?
All right...
I wonder if it's peripheral lung adenocarcinoma.
Or a squamous cell carcinoma in the glands...
Open up!
Morning.
Good morning to you, too.
There isn't any proof anywhere for what Fujiwara's saying.
I checked all night.
It's done.
I'll take a half-hour nap.
Thanks for this.
Shinichi Sato, 35 years old. We suspected him to have pneumonia.
After much improvement, he was discharged yesterday.
Well, here's to another day of cooperation.
We'll work well today, sir.
Well, well, well, if it isn't Dr. Kishi!
What now?
Well, this is pretty amazing, isn't it?
Discharging a patient before something bad happens, I mean.
He was discharged because nothing bad will happen.
Nothing at all?
No, man, there's a huge problem.
With your ridiculously unclear diagnosis,
you claimed it to be pneumonia.
If it turns out to be false...
They're all gonna call you quack doctor.
Chief!
Today's conference ends here.
How do you explain the high ratio of Ki-67 proteins?
The pneumonia led to lymphoma?
And about the presence of synaptophysin?
But the earlier treatment showed no effect on the cancer cells...
The tests for TTF-1 showed negative, though.
That's just...
Desmin and CD99 were positive.
In other words...
It's DSRTC.
A desmoplastic small, round cell tumour.
T/N: An aggressive and rare cancer classified as a soft tissue sarcoma.
It isn't lung cancer.
It was cancer that spread.
There's a chance a larger tumour is present in the abdomen.
What the Pathology Department suggests is
you perform a CT scan on his abdomen immediately.
A CT scan of the abdomen...
You can take it, can't you?
Of course.
This isn't common knowledge at all.
It's no surprise to go on thinking it was pneumonia.
Well, this patient sure is a lucky one!
Aren't you just insisting on unnecessary exams again?
All you want to do is upstage me with your "chance finding"!
The job of a doctor.
It's to save their patients, right?
Say, everybody...
One of your doctors is willing to kill someone to save costs.
I'd like you to remember this very well.
Are you listening?
For as long as all of you are doctors...
My words are absolute.
Isn't it great...
... that you won't end up a murderer?
Damn it!
God damn it!
It'll be okay.
It'll definitely go well.
I'll definitely be healed.
Dr. Kishi?
You gave me a prepared sample to work on, but...
I couldn't figure it out.
It looked like peripheral lung adenocarcinoma.
Or a squamous cell carcinoma in the glands.
But...
There weren't any decisive factors that could help me choose.
I just...
I couldn't make the right diagnosis.
I'm sorry.
I just couldn't understand a thing.
No matter how much I thought about it...
Or how fondly I looked at pathology...
I'm just pathetic in the end.
All I know is how to treat patients.
I don't know how to save lives at all.
I just...
I know I'm not smart, but pathology's just impossible.
I'm sorry I let you down.
You pass.
I pass?
You can never be totally sure if one disease is something else or not.
It's like rolling dice. No matter what you pick, it's a gamble.
It's not about the diagnosis.
If you aren't confident about it, then you shouldn't take responsibility for it.
Like for things...
That you aren't...
Totally sure of.
So your answer was just fine.
Pathology...
It undoubtedly means questioning other doctors.
And patients never thank you for anything.
All there ever is...
Is responsibility.
And no-one to help you with your diagnosis.
So what'll you do?
If you want to give it a shot...
Then come to the Pathology Department.
??????????
Hanabira ga kaze ni fukare
Petals are floating in the wind
??????????
Inochi no you ni chitteiku
Scattered like many little lives
I'll do it.
Please let me join the Pathology Department!
??????????????
Tada oikakete kanashimi mo naku
Go ahead and chase them let the sadness melt away
No regrets?
??????????
Tohou ni kurerundarou
Isn't this how we reach the end of the road?
Never.
?????????
Namida fukanai to hora
Even if you don't wipe your tears away, look
??????
Sakura ga kirei dayo
The cherry blossoms are beautiful
Thank you so much!
Oh, that creme-filled bread...
Dr. Kishi gave it to me!
???????
Kowaresouna hodo
These fragile limits
But I was the one who asked for it...
Um...
Why won't you wear a white coat?
??????
Mune ga kurushikute
Might twist your chest in pain
Because it'd make it obvious I was a doctor.
?????????
Ashita ga mienakute mo
You might not see a hope for tomorrow
Oh, Kageyama-san!
Hello, Doctor!
How do you feel?
?????????
Tada utau shikanakute
But for now, just keep singing
I really am one of the luckiest people alive.
'cause Dr. Kosaka got to figure out she was suffering from a stroke.
????????????????
Yurari yurari yurari yurari na
Floating, floating, floating, floating
I'm so glad my doctor was so good.
??????? ????
Yurari sakura saiteru
The cherry blossoms in full bloom are floating
You're right.
He really is an incredible doctor.
????????
Tashikani ikiteiku
No matter what, keep on living
Well, this is my floor.
Thank you for everything.
???????
Ano sakura mitai ni
Just like those cherry blossoms
Say, Dr. Kishi, have you ever wanted your patients to tell you they were thankful?
?????????
Kotoba janai mono ga
It isn't something you can explain with words
Hell no.
I'm sure even just a little bit...
Hell to the no.
Are you sure about that?
Shut your mouth!
??????
Kokoro ni saki hokore
Let your heart bloom proudly
???????
Ano sakura mitai ni
Just like those cherry blossoms