- Micro-scissors. - Yes.
Peeling away the arachnoid membrane.
I can see the tail of the tumour.
Ah~ The cerebellum is slightly swollen.
The field of view is too narrow.
It will be impossible to see if any remains.
- Bipolar. - Yes.
- Tube on. - Yes.
Sensei, what are you doing?
We can't compress the cerebellum further,
so I'm switching to the drill method.
Now?
With that, we can fully remove it.
It's too dangerous to switch methods now.
If it fails, what...
It won't fail.
And I'll take responsibility.
Close the dura mater.
- Are you sure? - Do it.
Tachibana-sensei?
Blood pressure 170, pulse 120.
Reduce blood pressure.
Yes, the brain's swollen.
- Mannitol. - Yes.
- Head up. - Yes.
- Hyperventilation. - Right.
Haemorrhage in the surgical field.
Prepare for decompression craniotomy.
Prepare for urgent decompression craniotomy!
Hurry!
Can't measure blood pressure.
Ventricular fibrillation.
Why?
- Press! - Prepare NDC 150.
Yes. 150 charge.
Will DC really work under these conditions?
Stand back.
No pulse.
Resume heart massage.
Why?
Tachibana-sensei!
Tachibana-sensei.
What's wrong?
Tachibana-sensei?
I'm sorry.
Let's continue.
- Forceps. - Yes.
Needle holder. - Yes.
Superb.
To switch methods and finish so quickly
showed consummate skill.
Finish up, please.
Hallucination?
Again?
It's the first time I've had one at the hospital.
And I was in surgery.
So that's why?
Resignation
Because the patient might die next time?
What about that time?
Have you remembered?
I see.
Here are the Department of Neurosurgery offices.
Ah, right.
Thank you.
You were a real help.
How about I buy you dinner as thanks.
Kitabatake-sensei.
Yo, Tachibana-sensei.
It's been a while.
You're quitting this place?
Not just this hospital, I'm quitting as a doctor.
Why?
I'm afraid to hold a scalpel.
Such a respected neurosurgeon is?
Could it be
the after effects of that incident?
I don't know.
I've been made director of Toko University Hospital.
They said it had to be me.
Congratulations.
So I've made a Department of Analysis and Diagnosis
A specialist diagnostic department
who use analysis to identify unknown illnesses.
- Like a General Medicine department? - No, more advanced.
General Medicine is the first step to treatment.
Analysis and Diagnosis is the last bastion.
They save patients other doctors can't.
Last bastion...
I've gathered skilled doctors,
but there's one piece missing.
A doctor passionate about saving patients...
A doctor like you,
who will work to the end to keep them alive.
Could it be, you're asking me?
I've already told you, I'm...
You don't have to operate.
They're diagnosticians.
Shall we go?
You're so pushy.
But you never tried to refuse.
Uh-oh, late on my first day.
Excuse me, coming through.
Sorry, sorry...
I'm sorry!
Good morning!
Good morning.
- Kōta-kun, good morning! - Good morning.
Kōta, I have to go now.
See you.
I'll leave him with you.
Huh? Kōta-kun?
Kōta-kun?
Are you alright?
What's wrong?
Excuse me, move aside.
Sorry. Are you okay?
- Call an ambulance. - Already have, it's coming.
- Ah, from earlier. - 360 yen.
The cost of the coffee you spilled.
I'd only had one sip.
Here.
Ah, hey, my change!
140 yen!
Are you alright?
The ambulance will be here soon.
Medical Team
Lady da Vinci's Diagnosis
Subtitles by Candylemon
The Board of Executives
have decided to dismiss Director Kitabatake.
Does that mean Iwakura-sensei will be made director?
She was originally meant to become director.
She'll be where she belongs.
The previous director picked Kitabatake.
That's in the past now.
The previous director can't argue from beyond the grave.
Chief Secretary Sasaki.
Make arrangements with the Board, please.
Leave it to me.
Opening the door.
Kōta-kun, we've reached the hospital.
Prepare to lift.
1, 2, 3...
Here we go.
It was great again this week.
"Rescue Doctor SOS".
I love that show.
Really? It's that good?
Yes.
Your precise diagnosis.
The way you present a watertight case.
And your catchphrase is just the greatest.
Even if the gods lie...
Coming through!
I'm sorry!
- Ah, oww... - Are you alright?
Just... Ouch.
Why...
What was that just now?
Cannula, start will 2 litres.
- The X-ray's here. Get ready.
This won't take long.
He's an emergency patient brought here earlier.
6 years old, male, vomiting blood.
He complained of abdominal pain.
Why do we have to examine him?
Isn't he an emergency patient?
Yes.
Then send him back.
I don't have the time,
with TV, interviews and so on.
I'm snowed under.
Aren't you the one who called to say we should treat him?
It wasn't me.
Eh?
Who did that without asking?
It was me.
I was on my way here when I saw the patient collapse.
I first examined him, so he's my patient.
That was you earlier!
The one who knocked Sensei down in the corridor.
I did?
Don't pretend you don't know.
It was you.
Who are you, anyway?
Tachibana Shiho.
I start work here today.
Today?
Well, I shouldn't say it myself,
but I'm the Tachibana who was head-hunted.
Head-hunted?
Did you know?
I haven't heard anything.
Must be miscommunication from above.
As you see, I've been issued ID.
You're the department head, Iwakura-sensei, aren't you?
That's right.
I never miss your TV show.
- Uh... - "Rescue Doctor SOS".
That's right!
It's a great show.
- You watch it? - Of course!
Your catchphrase gets me every time.
"Even if the gods lie..."
Give me a moment.
Ah, that's right!
The patient's X-rays.
Could you get the monitor?
Okay...
- That was forced. - She was faking.
Masuyama Kōta-kun's abdominal X-ray.
There's something in the stomach.
Some sort of sharp fragment?
- Like a small nail... Nail?
It's damaged the inner wall of the stomach.
That's why he vomited blood.
He's a child, so maybe he swallowed it by mistake.
He's 6, he wouldn't swallow a nail.
Ah, it often happens, right?
There are needles in pre-prepared food.
- Contamination? - That's right.
It's frightening.
There are strange people in the world.
We should check with the patient before concluding that.
I see!
As I'd expect of you.
Always check with the patient to make sure.
I'll leave that to you.
Me?
With a veteran like you as their doctor,
you can put patients at ease.
You're the department head, and you're on TV.
Well, we're all committed behind the scenes,
while you take the leading role with patients.
And someone should remove the foreign object from the stomach.
You do it, he's your patient.
That's no good, I don't operate.
What the...?
That's my condition for working.
Nitta-sensei's a surgeon, right?
This person.
Nitta-sensei, thanks for earlier.
For arranging the ambulance.
Could you remove the object?
Don't want to.
Huh? You don't?
There's no need for me to bother
when it can be done easily with an endoscope.
Surgeons have high pride, don't they?
From neurosurgeons to heart surgeons.
Ah, I know.
Don't forget my 140 yen change.
I'll do it.
This is Satomi-sensei.
Ah, Satomi-sensei,
you're an emergency doctor, right?
I'll leave it to you, then.
Ah, naturally Iwakura-sensei will speak to the patient first.
Please.
I'll do it.
- What's her problem? - Full of herself.
She said she was head-hunted.
What's that damn Kitabatake thinking?
Bringing that incomprehensible woman here.
Listen, you two.
Don't listen to her.
- Okay. - Okay.
Nitta-sensei, you too.
Got that?
Really?
I never listen to anyone.
By the way,
Tachibana-sensei is a famous neurosurgeon.
She's famous?
I don't know.
You two, hurry up and speak to the patient.
- Okay. - Okay.
As you can see, continuing from last year,
Toko University Hospital's budget
has reached its greatest ever deficit.
I therefore reluctantly propose
that Director Kitabatake resign...
Well~ That's not good.
Iwakura-sensei has increased the debt.
What do you mean?
She's just ordered new medical equipment.
A cyber knife for neurosurgery.
A hybrid OR system for cardiovascular surgery.
I haven't heard about that.
That's odd.
I sent you a list.
Oh? It's here.
So that's where it was.
Total expenditure 3,550,510,000 yen.
That's...obviously impossible for us.
I've told her about the deficit.
Iwakura-sensei.
Why did you send that woman?
Pardon?
The one you head-hunted.
Ah~ Sorry, I forgot to tell you.
Ah, I did head-hunt her,
but she's good value for money.
How is she?!
Bringing a patient without permission,
she's caused chaos!
Oh, there's trouble?
I refuse to accept her.
Kōta-kun,
what did you eat in the morning before you started to feel bad?
Maybe you don't remember?
What about the day before?
If he doesn't remember the day he collapsed,
he won't remember the day before.
I can remember.
Even group date partners from 2 months ago.
We couldn't confirm anything.
I can't tell Iwakura-sensei.
Do you know what day 1st November is?
No.
Black Tea Day.
In the Edo Period, someone called Daikokuya Kōdayū
went to Russia and became the first Japanese person to drink black tea.
Listen, Tachibana-sensei.
Yes?
Should you be sitting here drinking tea?
Worried about the patient?
It's fine, Iwakura-sensei's taking charge.
You can't give work to Iwakura-sensei.
She's the empress of this department.
She'll take revenge on you.
I know.
Then why?!
Because it's fun.
Now, shall we go and speak to that person?
Takasugi-sensei, may we sit with you?
Takasugi-sensei from Cardiology.
Takasugi?
No, beyond him.
This must be a difficult time for you.
- I'm Kōta-kun's doctor, Tachibana. - I'm Tamaru.
I'm Kōta's mother.
Oh? Could it be
you're the cooking expert Masuyama Miki-san?
- Yes. - I thought so!
I'm your fan.
I have your recipe book.
Thank you.
Tamaru-sensei, this is Masuyama-san!
Don't you know? She's on every morning.
In between news bulletins.
- How many times have I seen it... - None.
I'm sorry, youngsters these days know nothing about cooking.
What's the show called?
- "Delicious Miki Recipes". - Ah, that's it!
I always watch it.
The way you finish things off
is beyond an amateur's imagination.
You're such a pro.
Um... How is Kōta?
His condition's stabilised.
It's not life threatening.
I see.
Still, I was surprised when I saw the X-rays.
Something like that in his stomach.
Something like what?
A nail.
Nail?!
The sort carpenters use.
Ah, I know what you mean,
but why...?
It wasn't in cooking?
Cooking?
Isn't there cooking that uses nails?
When I visited my grandma in the country,
she boiled them with...beans?
Ah, black beans.
That's to give them a vivid black finish.
Could you have accidentally left a nail in something like that?
I wouldn't forget that.
I'm a professional chef.
Maybe he ate it by mistake, then.
Could it be Kōta is being bullied...?
Someone forced him to swallow it?
Bullying. That's a possibility.
But there's one more.
One more?
One more.
Abuse.
You're listed as his guardian in his medical record.
It would normally be the father's name.
Since it's not,
his father must not be around.
Kōta-kun was alone when he collapsed.
The other children were all with their mothers.
The school bus was coming, so...
You could have waited until it arrived.
Being a mother is a job, too.
You can't let your career affect your child.
Do you suspect me of something?
There are things you can say and things you can't.
I'm just discussing possibilities.
I'll sue you for slander.
I didn't mean it like that.
Tamaru-sensei, apologise.
Quickly.
Um, we're very sorry.
Excuse me.
Why did I have to apologise?
And why did you say that?
But we know now it isn't abuse.
Because she threatened to sue.
Did you purposely make her angry to check that?
I'm a single mother, too,
so I well understand her pain.
Tamaru-sensei, I have a favour to ask.
A favour?
That Tachibana-sensei's a strange one.
But she's got Iwakura-sensei moving.
Have some sympathy.
She's frightful.
And she's manipulative.
It's Uematsu-sensei again.
Do something, Tamaru-sensei.
She won't stop calling us.
It's interfering with work.
She'll invite us on another group date.
Hello, Fujimoto here.
Ah, Uematsu-sensei...
See you, Tamaru-sensei.
Uematsu-sensei has fully locked on to Fujimoto-san and Watanabe-san.
Tamaru-sensei!
Ah... Miyabe-san.
Fancy meeting you here.
- Maybe it's fate. - I doubt it.
Are you going somewhere?
I'll take you in my car.
- No need. - Don't hold back.
No, I really don't need it.
Goodbye.
Ah, that's right!
I've found a great bar near the station.
- Want to go sometime? - I'm too busy.
When will you be free?
I'm available 24 hours a day.
Listen!
I'm busy right now.
Call me when you'll have time!
I'll be waiting!
He's locked onto me!
It's simple surgery, so it won't take long.
You'll be fine.
You're leaving already?
Auntie Michiko's coming in my place.
I'll be back tomorrow morning.
See you then.
I thought you only cared about difficult operations?
That's right.
Then why?
I'm slightly intrigued.
It really is a nail.
There's something else.
Something besides the nail.
Eh, that's...
Hello~!
Everyone, I'd like a word with you all.
Will you listen?
What, Obasan?
Obasan?
Everyone, a weird obasan's here.
A weird obasan!
Who's a weird obasan?
I'm an onēsan.
- Obasan? - No, Onēsan.
Ow!
Weird obasan!
I'm a single girl in my mid-twenties.
- I'm not an obasan. - Obasan~!
Obasan~! Obasan~!
Pesky brats!
I'll get you~!
Tachibana-sensei.
What is it?
Why won't you do surgery yourself?
I've heard rumours about you.
However difficult the surgery
you were always successful,
like you had God's hands.
I'm not that big a deal.
At most I've got cat's paws?
Is there some reason
you're refusing to operate?
Not particularly.
Ah, excuse me.
Hello?
That's the new doctor in Analysis and Diagnosis?
Yeah.
It's rare for you to chat to a colleague.
You never did in Cardiology.
Interviewing potential witnesses isn't a doctor's job.
Especially children.
So?
Have you learned anything?
It seems Kōta-kun is popular.
He hasn't been bullied.
I see...
- Popular. - Yes.
Well then, take a sample of the park's soil.
Why?
We found some in Kōta-kun's stomach.
Not just a nail, but soil.
Soil?
Eh, that's...
Anything entering the stomach is usually digested in 3-5 hours
and moves to the small intestine.
Since this soil was left in the stomach,
he must have eaten a lot.
It's not from a sandpit.
It's probably from a flowerbed.
Take a sample from anywhere like that.
Sample?
Then, by tomorrow,
analyse whether it matches the soil from his stomach.
Counting on you.
But soil analysis isn't...
Hello?
Hello~?!
She hung up.
That confirms it.
Tachibana-sensei's using power harassment.
I'm leaving.
Could I borrow that spade?
No!
Seriously?
Then give me this soil?
No.
Miki-san's so pretty...
Ah, I want hamburger.
I've got the results of the soil analysis.
I had to go and ask the university's Faculty of Agriculture.
Thank you. How are they?
I collected from 5 places,
but I found a match with Kōta-kun's.
I knew it.
The park is close to Kōta-kun's house.
Where in the park was it?
Under the cherry tree.
Cherry tree.
Anything else?
We need conclusive evidence.
Evidence?
What sort of evidence?
I feel more like a detective than a doctor.
Sounds good.
Detective Tamaru.
"Detective"...
Hi.
Mind if I eat with you?
Itadakimasu.
Eat up.
Itadakimasu.
Your mum's working again today?
She's a busy lady.
Since she's a professional chef,
do you get amazing meals at home?
Mm.
That's great.
If you always eat like that,
the food here must taste awful.
It's yummy.
This is?
In the hospital there's always someone around.
Doctors and nurses.
I see.
Your condition's good.
You're eating well, too.
You can go home in 2 days.
Go home?
Why are you spying on him?
Tachibana-sensei's told me to.
When you called me,
I thought you wanted to go to a bar.
But it was this.
You can go home now.
I can't leave you here alone!
Don't worry about me.
I, Miyabe Kōhei,
am fully prepared to spend the night with you.
Spend the night?
Ah, no!
I didn't mean...
- Whoops... - Ah.
He's looking for something.
What's he doing?
Tissue paper?
He's eating tissue paper!
You're going to eat soil?
Won't that make you sick?
I wonder.
I've never eaten it before.
Is this for Kōta-kun?
I want to know why a 6-year-old boy would eat soil.
How did he feel when he ate it?
Why did he have to eat it?
Tell me, Kōta-kun.
In the hospital there's always someone around.
Go home?
He must have eaten a lot.
Do you get amazing meals at home?
You're leaving already?
There are things you can say and things you can't.
Have you worked it out?
Good, you haven't eaten yet.
Sit here.
I've arranged a special breakfast today.
I'm not hungry.
Don't worry about that.
Kōta-kun, here you go.
Try it.
Is it good?
Yummy.
I'm glad.
Kōta-kun...
You ate the nails and soil yourself, didn't you?
Mm.
Soil's surprisingly edible.
I tried eating some yesterday.
I researched it.
Apparently it's used in French and Vietnamese cuisine.
Humans are amazing.
We'll eat anything.
Do they really eat it?
For people in those countries,
eating soil like that is natural.
But eating it for other reasons
is a bit of a problem.
There's a disease called allotriophagy.
You get ill from eating things that aren't food.
Like tissue paper and soil.
It happens when your heart hurts
from enduring too much.
The reason you ate soil
is because of enduring things, isn't it?
You've been feeling hurt.
Your mother is worried.
She wouldn't worry about me.
Why not?
Mum loves her work more than me.
Goodbye, see you tomorrow.
Collecting me from nursery...
Sorry I'm late!
Kōta-kun, I'm here to collect you.
Sorry I'm late.
Let's go home.
Come on, the babysitter is waiting.
Eating meals at home...
I hope you enjoy it.
Eat up.
Itadakimasu.
Delicious!
There are two key points this time.
The first is to finely chop beef tallow
and add that.
The second key point
is to kneed it over and over again.
They're very simple points,
so please try them at home.
Mum was never there...
That's right,
you wanted her to be with you.
You wanted to say it but couldn't.
You kept on enduring,
feeling unbearably lonely.
That's why...
Mum doesn't care about me.
Do you hate your mum's cooking?
Because it's the same as her shows.
Those rice balls
were made by your mum.
The omelette, sausages and miso soup.
Everything.
Kōta.
I'm sorry.
I didn't notice your feelings at all.
Kōta, you like hamburger, don't you?
Your mum told me.
Did you know?
The hamburger on TV and the ones you eat
are completely different.
The look the same,
but the hamburgers you eat
are full of vegetables you find hard to eat.
Didn't notice, did you?
Your mum wants you to eat those vegetables at least a little,
so you can grow up healthy.
She does care about you.
You're very precious to her.
Kōta.
Mum.
From now on,
I'll spend as much time with you as I can.
Kōta-kun, it's fine to say selfish things occasionally.
Your mum will be happy, too.
Mm.
If his unsettled feeling goes away,
so will the allotriophagy.
He'll be discharged tomorrow.
Yes.
Delicious?
By chance there was a nail in the soil he ate.
That's why he vomited blood.
But thanks to that the allotriophagy was found.
That's right.
Still, it's good.
His relationship with his mother seems better.
Tachibana-sensei,
when did you notice the allotriophagy?
It seems like you knew from the start.
Hmm, when was it?
Kōta-kun had spoon-like fingernails.
Spoon-like fingernails
suggest an unbalanced diet lacking iron.
Then foreign matter in his stomach caused haematemesis...
Well, it was half intuition.
Intuition...
Incidentally, where are Iwakura-sensei and Murakami-sensei?
At the TV station.
For Iwakura-sensei's show filming.
Murakami-sensei went with her.
Ah, it's 5 o'clock.
Uematsu's leaving.
See you.
- Good work today. - Good work today.
Group date again today?
Again today?
She has them every day.
She's desperate to get married.
Everyone here is so strange.
Department of Analysis and Diagnosis.
Ah, Fujimoto-san.
If you want Uematsu-sensei, she already left.
What?
Understood.
I'll be right there.
Tachibana-sensei!
Kōta-kun's condition suddenly changed!
Kōta-kun, don't worry.
How is he?
He suddenly began struggling to breathe.
It was simple allotriophagy, so why...
Prepare for X-ray.
Then contact his mother.
Kōta-kun, I'll just look in your mouth.
The airway isn't blocked.
It hurts...
Kōta-kun, what happened?
Kōta-kun?
Kōta-kun!
He's unconscious.
Prepare suction.
There's no pulse.
Ventricular fibrillation. Prepare defibrillator.
Let's move.
Eh? Kōta has?
Understood, I'll be right there.
Masuyama-san?
Are you okay?!
Wake up!
TV studios are incredible!
Today's set isn't good enough.
Budget cuts, perhaps.
Really?
- Where's my snack? - Iwakura-sensei!
Someone's been taken ill!
Taken ill?
Please help!
Tamaru-sensei, to 70.
- Stand back. - I've changed it.
It's not working.
Intubation.
Tamaru-sensei, prepare it.
Respirator standby.
The doctor's here!
- Make way. - Excuse me, coming through.
It's Kōta-kun's mother!
Are you alright?
Her pulse is rapid.
She looked pale this morning.
She didn't seem well.
No cyanosis.
Cardiac failure due to anaemia.
Murakami-sensei, call our hospital
- to prepare to admit her. - Okay.
Excuse me.
Can you hear me?
Iwakura-sensei.
Cardiac failure in parent and child.
I doubt it's coincidence.
That's right.
But coincidences do happen sometimes.
The chance of them having cardiac failure at the same time...
Spoon-like fingernails.
This child has iron deficiency anaemia.
Kōta-kun had allotriophagy.
He's had insufficient iron
due to inadequate nutrition.
He vomited blood in that state,
wasn't able to replace it,
so infusion overloaded the heart and caused cardiac failure.
His mother has anaemia,
but no sign of iron deficiency.
The cardiac failure has another cause.
It's not just put on for TV.
Who are you referring to?
After a diagnosis of allotriophagy,
I'm simply following the logical steps.
From now on,
I won't leave things here to you.
Are the 2 cardiac failures coincidence?
Is that even possible?
If it's not coincidence, what is it?
There's no arrhythmia, so I don't think it's a toxin.
Perhaps an allergy or infection?
For instance, a Legionella pneumonia infection from their bathroom.
Air conditioning leads to mould, and hypersensitivity causes organ failure.
That would explain them both developing symptoms.
It might be caused by their living environment.
What are you talking about?
Didn't you see the blood test results?
The mother high degree of anaemia.
There's no cyanosis.
It's reasonable to conclude anaemia caused the cardiac failure.
Whether or not she vomited blood,
we should suspect major haemorrhage like her son's.
But the mother shows no sign of other bleeding either.
We'd know if she'd lost that much blood.
If it didn't leak externally,
it may be in the abdominal cavity.
- Uematsu-sensei. - Yes.
- Do a CT scan of the mother. - Okay.
I don't know what Kitabatake said to bring you here,
but this is my department.
These are my patients.
I'll show you I can save them.
Tachibana-sensei, what should we do?
Hmm...
Let's do our own diagnosis.
First we'll consider the possibility of allergy or infection.
Miki-san and Kōta-kun's living area
includes their home and Miki-san's workplace,
the cooking school and TV station,
and the park where Kōta-kun plays.
Let's split up and visit those.
To search for a pathogen.
You mean we're going to investigate?
That's right, otherwise we can't heal them.
Nitta-sensei, you'll help us too, right?
No abnormalities in the abdominal cavity.
When blood cells leak with rupture,
LDH levels get very high.
A reduction in haemocytes without haemorrhage
could mean haemophagocytic syndrome.
Let's do a bone marrow puncture.
But her platelet count is dropping.
If the body can't heal the bleeding from the puncture...
That's why it has to be now.
If it's haemophagocytic syndrome,
she needs urgent steroid treatment.
No likely sources of infection here.
How about there?
Nothing here, either.
I didn't think you'd come with me.
Are you seriously interested in something other than surgery?
I'm slightly intrigued.
By Tachibana-sensei.
Eh~
It's rare for you to care about someone else.
The result of the bone marrow puncture.
Very few erythroblasts.
Same for megakaryocytes.
It's not haemophagocytic syndrome.
How about abnormal haematopoietic stem cells?
Maybe aplastic anaemia.
We can't say for sure
without the results of a biopsy.
The mother's cardiac failure was caused by aplastic anaemia?
If that's true...
The worst case scenario.
I see. Understood.
Murakami-sensei called.
They suspect Miki-san has aplastic anaemia.
That's very dangerous.
Let's go back to the hospital.
I'm not going back.
We haven't eliminated the possibility of allergy or infection.
Tachibana-sensei.
Excuse me, coming through.
Sorry, sorry...
Wait for me!
This is Kōta-kun's nursery.
What's wrong?
Did you have fun?
Let's go then.
Excuse me a moment.
What are you doing?
Sorry, don't worry about us.
So that's it...
You've contacted the blood transfusion department?
They're on their way.
Okay.
Iwakura-sensei.
Whatever you do, it's hopeless.
Miki-san's cardiac failure was caused by aplastic anaemia.
The fact her son's heart failed too was just a coincidence.
Kōta-kun has a good chance of recovery,
so we'll focus on treating him.
We can save them both.
What are you talking about?
Consider the situation.
I have considered the situation.
It wasn't coincidence that parent and child both had cardiac failure,
it was inevitable.
Tachibana-sensei, I'm here.
Thanks.
Start transfusion immediately.
- I'll test. - Okay.
What did you mean, "it was inevitable"?
Their cardiac failure had different causes.
The fact it happened at the same time
has to be coincidence.
Aplastic anaemia as cause would've made it coincidence.
However, Miki-san
developed a bone marrow aplasia attack.
Bone marrow aplasia attack?
What could cause that?
Parvovirus.
Parvovirus?
I visited Kōta-kun's nursery.
All the children were wearing face masks.
It couldn't be...
Right. It could.
Erythema infectiosum.
Slapped cheek syndrome.
Kōta-kun became infected,
and transferred the parvovirus to Miki-san.
So that means
slapped cheek syndrome caused the heart failure?
It wasn't just that.
There's one other key.
I'm sure Iwakura-sensei already knows.
Hereditary spherocytosis.
Correct.
Patients with hereditary spherocytosis
can experience bone marrow aplasia attack
and rapidly progressing anaemia causing acute cardiac failure.
Miki-san and Kōta-kun have always had this disease.
Because of their hereditary spherocytosis,
this occurred.
That's why they developed it at the same time.
Not coincidence but inevitable.
But Kōta-kun had iron deficiency anaemia.
Didn't the infusion cause cardiac failure?
Aplasia seizure was added to iron deficiency anaemia.
It would have happened even without iron deficiency.
Temporary intangible seizure.
With blood transfusions to end the acute phase,
Miki-san and Kōta-kun can both be saved.
Mum.
Kōta.
Ah.
How's Tachibana Shiho doing?
She has a shockingly brazen attitude.
Right?
She was the same with me when I was teaching her.
You're the same.
What?
I don't know what you're thinking.
- What do you... - Don't pretend you don't know.
The Department of Analysis and Diagnosis.
Did you create the department
just to bring Tachibana Shiho here?
You can see right through me.
It's all for my ideal of medical care.
Ideal of medical care?
Able to save anyone from any disease.
Even patients other doctors can't help.
Analysis and Diagnosis is the first step towards that.
That's just a daydream.
Reality has limits.
You're the ones setting the limits.
In order to achieve that,
how many people will be sacrificed?
Have you considered that?
What about the doctors burdened with this?
Doctors aren't machines.
Our bodies and minds get exhausted.
Rather than a hopeless ideal,
you should face the medical reality before you.
If you neglect reality for an ideal,
the hospital can't function.
If I replace you as director,
I'll abolish this department immediately.
It will drag us down.
Remember that.
Is that so?
I'll probably forget, so would you remind me?
Good work today.
What were you two discussing?
That's a secret.
Ah, but it wasn't a lover's spat.
I know that much.
So, any first impressions here?
It's not a bad place.
You see?
You should believe what your mentor says.
Will you stop calling yourself my mentor?
I'm showing my appeal.
There are too many heartless people around lately.
Well, I'll stick around for a while.
Good, let's go for a drink.
No thank you.
Huh?
Good work today.
You're horrible company.
It's great they've both been discharged safely.
It is.
Ah, look.
...Scheduled to co-star in the programme.
Professor Iwakura Yōko of Toko University Hospital
performed immediate first aid,
followed by continuing treatment.
I wanted to help her
by making full use of the skills I've developed
to save her any way I could.
The staff who saw what happened
have all praised your rapid response.
I just did what any doctor should.
Please give your "Rescue Doctor SOS" catchphrase.
- Which camera? - This one.
Ah, here.
Even if the gods lie,
these eyes of mine never lie.
She's taking all the credit.
That's it.
These eyes of mine never lie.
I feel better now.
Tachibana-sensei?
What's wrong?
Nothing.