Lifting down. 1, 2, 3.
A nasty blow to the head.
Vitals?
Blood pressure 80/50.
Pulse 120.
Level of consciousness?
300.
Ouch!
Are you okay? Want a hand?
No need, it's done now.
Thanks for waiting.
It's overdone.
It's good underneath this way.
Here you go.
Scrape it off and it's fine.
With us this morning is Minamino Kazumi,
a swimmer aiming for the Tōkyō Olympics.
The next Olympics are in Tōkyō, huh.
A medal?
Naturally I'm aiming for gold.
In 4 years you'll be 14, Mao.
In middle school.
I want us to watch together.
- Itadakimasu. - Itadakimasu.
Why are you going so slowly?!
Selection's beginning already.
Put some passion into it.
Gimme a break.
I'll sort it out.
Finally, Iwakura-sensei,
the day is coming when you'll carry the Japanese flag.
Don't be ridiculous, I'm not an athlete.
Ah, here's our anticipated star.
Hey, Minamino.
These are Iwakura-sensei and Murakami-sensei
of Tōkō University Hospital.
Iwakura-sensei will be our team doctor.
Ah, it's still being organised.
Since I'm a regular on a TV show.
Don't you know it?
"Rescue Doctor SOS".
Murakami-sensei.
You've heard of it, right?
Even if the gods lie...
Listen, I'm still practising.
He's nervous, isn't he?
Meeting a TV star.
I'll show you to the training room.
The swimmer, Minamino Kazumi?
He'll be hospitalised for tests today.
He asked Iwakura-sensei for help,
since she's Team Japan's doctor.
I'm a big fan.
Oh, I've seen this kid on TV a lot lately.
Olympic hopefuls are getting lots of attention.
The looks of an idol,
charming fans with his confident speech,
yet he lost his father at an early age
and delivered newspapers to help his mother get by.
He lost his father?
Interested?
It triggers our maternal instincts.
Uematsu-sensei, you're really into him.
Don't overreact.
I hope you'll keep this confidential.
He hasn't even told his coach or family.
Strange that he'd be so secretive.
What are the symptoms?
Whole body fatigue and muscle weakness.
Lately his body hasn't been moving as it should.
This is an Olympic athlete?
That's why he wants a second opinion.
Second opinion?
So another hospital has already diagnosed him.
Jōhoku Nerve Research Centre.
Director Fujishima himself.
Fujishima-sensei wouldn't make a mistake.
He's appeared with me on "Rescue Doctor SOS".
What's his diagnosis?
- ALS. - ALS?
It's hard to identify the onset in a muscular person.
ALS: Amyotrophic Lateral Sclerosis.
A neurodegenerative disease causing muscle weakness and atrophy.
No cure, only treatment of symptoms.
Although it's possible to slow the progression,
in 3-5 years
respiratory muscle paralysis will make breathing impossible.
With this, the Olympics will be...
Let's speak to Minamino-san.
- Wait. - Yes?
Minamino Kazumi said he wanted to see me.
It wasn't you.
You go and see some outpatients who haven't requested anyone.
You're very keen.
Very concerned for patients.
What's all this?
Why are you in Analysis and Diagnosis instead of Neurosurgery?
A surgical genius like you...
Nitta-sensei, why are you in Analysis and Diagnosis?
I...
Tachibana-sensei!
Wait for me.
You're finally here. Let's go.
Yes.
See you later, Nitta-sensei.
- What were you doing? - Chasing you.
Ah, you fixed your make-up.
I didn't.
Is it because you're meeting Minamino?
Minamino-san's report from the previous hospital.
Everything seems in order.
They fully tested the hormone levels.
The diagnostic clincher
was systemic muscle fasciculations.
Um, where are we going?
Iwakura-sensei is with the director.
They'll be discussing the diagnosis for a while.
You don't mean...
You were just told not to do anything.
I won't do anything, I'll just talk.
Ugh.
I don't believe it's ALS.
But the other hospital diagnosed it.
That was a mistake.
You're doctors, do something.
I'll definitely win a medal at the next Tōkyō Olympics.
- Even if you say that... - Fine.
Let's look for an illness other than ALS.
I'm counting on it.
You drink a lot of water.
I've got a dry throat.
Minamino Kazumi is adamant it's not ALS.
Can you think of anything else it might be?
The main symptoms are whole body muscle weakness and fatigue.
Guillain-Barre Syndrome.
Damage to the nervous system causes muscle weakness.
But Guillain-Barre has rapid onset.
The progression here is much slower.
CIDP would explain it.
Myasthenia gravis.
What else?
Let's stick with those for now.
Guillain-Barre, CIDP, myasthenia gravis.
Shall we try those lines first?
Well, whatever.
Iwakura-sensei will have considered these, too.
She'll at least do a spinal fluid test.
- Then what else... - More importantly,
there's somewhere we should go.
Somewhere we should go?
Medical Team
Lady da Vinci's Diagnosis
Subtitles by Candylemon
- Here? - That's right.
Minamino's environment might have caused the disease.
We'll carefully investigate that.
Look, as expected of a top athlete.
The final stretch is something else.
You're well-informed.
I set the Nippori Middle School 50m crawl record.
They nicknamed me "Sailfish".
- Sailfish? - You know sailfish?
The world's fastest fish.
It travels at 105km an hour,
although it's been recorded going 110km an hour.
- The dorsal fin... - Excuse me!
The general public aren't allowed in here.
Please leave.
Sorry.
The door was open so we just came in.
We should have spoken to reception.
- Tamaru-sensei, apologise. - Eh?
Quickly.
We're sorry.
I heard Iwakura-sensei had been made team doctor.
We came to check the current health of all the athletes.
No problem, we do daily checks.
Where's Minamino-san?
I'm his fan.
He's resting for a while.
His mother in the countryside is unwell.
Ah, his mother...
Still, we have high expectations of him.
Yes, he's talented and works hard.
Although he has a reputation for talking big.
In fact he's a really kind guy,
very sensitive.
Now I think of it, you were making notes earlier.
Ah, I record the times.
This is incredibly detailed.
Since he put in all that effort, you have a look.
Coach Shiozaki.
What are those trophies?
On top of the shelf.
Ah~ Those?
- Could you show me? - Of course.
Thanks.
Photograph those.
There are so many!
Here we go again.
Couldn't you have asked to borrow it?
There's no way he'd let us.
We might be shot as spies for a rival country.
I don't think we'd be shot.
It's surprising to hear Minamino-san is sensitive though.
Must be pretty stressful always hiding his true self.
Stress could also have caused the disease.
That may be enough.
Have you set up a cerebrospinal fluid examination?
He's being prepared for a lumbar puncture.
If you save Minamino,
your fame will increase even further.
There's only one Team Japan doctor.
I don't have time for more TV appearances.
Ah, looks like Minamino-kun is ready.
Uematsu speaking.
Ah, Fujimoto-kun, good work.
I'll be there soon.
Eh?
Mm, understood. I'll be right there.
What's wrong?
It's Minamino-kun.
What?
- What do we do? - This is bad...
Why isn't he here?
He was already gone when we got here.
Ah, he hasn't left the hospital.
- Split up and search. - Okay.
You should go, too.
Right.
Nitta-sensei.
Director Kitabatake.
May I sit here.
Go ahead.
How's Tachibana-sensei getting on?
Doing well?
Why did you pick Tachibana-sensei for Analysis and Diagnosis?
She's a neurosurgeon, isn't she?
You seem very interested in Tachibana-sensei.
Perhaps you feel some kinship as a fellow surgeon?
It's true you're alike.
Your surgical skills equal Tachibana-sensei's.
That's significant in someone so young.
That skill is meaningless if we can't operate.
Was Tachibana-sensei...
...driven out like I was?
Do you want to go back to Cardiology?
If I said I want to go back...
...would you let me?
Analysis and Diagnosis has only just been set up.
They need outstanding people like you.
Takasugi-sensei.
You'll definitely come back.
How?
Don't say that so lightly.
Where are you going?
Analysis and Diagnosis.
I have nowhere else to go.
That reminds me,
I heard one of your patients had disappeared.
I haven't seen him.
Watanabe-san, what's wrong?
Minamino-san has disappeared.
Minamino-san has?
He was meant to have a lumbar puncture.
The whole department are searching for him.
Excuse me.
He wasn't in the lobby.
Tachibana-sensei.
He's probably there.
What?
He's here?
You think it's suicide?
He can't bear the stress anymore.
Someone that fixated on winning a medal
wouldn't commit suicide.
Ah, Nitta-sensei!
Are you looking for Minamino-san, too?
You can't reach the roof from here.
It's a place where people can train without being disturbed.
That's right.
Ah, wait!
Your body's not moving well?
Skipping an important test to practise?
It's my routine.
I always train at this time.
Who cares about training?
Your life may be in danger.
I have no choice, I'm a swimmer.
This is my job.
You're frightened really, aren't you?
Anyone would be.
We might confirm the ALS diagnosis.
- It's nothing to be ashamed of. - I'm not!
In that case, stop making excuses and have your test.
The whole hospital has been searching for you.
We all have work to do.
Don't you think that's caused trouble?
I was just about to go back.
I see.
Before you do, sit down there.
Why?
You're still arguing?
Cross your legs.
- Which way? - Either is fine.
What are you doing?
Relax your muscles.
Testing for tendon reflex.
Okay, thanks.
You can go back now.
Ah, from now on
no training while you're in hospital.
Leaving is also forbidden.
If you need the toilet, ask a nurse.
Water is only permitted with meals.
Drinking too much will affect your test results.
That was cruel.
Wasn't that going too far?
There was no tendon reflex.
Even though ALS causes hypersensitivity.
It's possible it isn't ALS.
It gives us cause for hope.
Please wait.
Wait, Minamino-san.
I understand how you feel.
How would you know?
I lost a parent young, too.
Both parents in my case.
I had no relatives who would take me,
so I grew up in an orphanage.
I studied frantically in order to leave there,
got a medical school scholarship,
and just as you became a swimmer,
I became a doctor.
That's not like my swimming.
I'm sorry.
But...
...you fulfilled your dream.
I'm still an intern though.
I'm always anxious.
Wondering if I'll be a good doctor.
But I can't turn back.
I have nowhere to call home,
so I have to keep on moving forward.
You have to keep moving forward?
Tachibana-sensei and the others may be blunt and insensitive,
but they all want to help you
and they're thinking hard about how to.
So please trust us.
Here you are!
We've been searching for you.
Don't tell me you dragged him away with you.
- I didn't. - Are you sure?
Don't let a little girl like her fool you.
Will he have the lumbar puncture now?
- I'll help. - No thanks.
You may be an intern, but you're clumsy.
Let's go, Minamino-kun.
You don't have to hold onto me.
I can't let you wander off again.
We're ready to begin.
Tell us if it hurts.
Wait a moment.
Muscle fasciculations...
Begin.
Right.
There'll be some slight pressure.
Everything is fine.
If it's not ALS, he'll be okay, won't he?
We have to keep searching for what it is, though.
Completely normal.
No abnormalities in the cerebrospinal fluid.
The test was negative?
Unfortunately it must be ALS.
We also observed muscle fasciculations
as Fujishima-sensei recorded.
There's no doubt.
But it might not be ALS.
Not ALS? What do you mean?
There was no tendon reflex.
Tachibana-sensei tested.
Wouldn't there be one with ALS?
The test must have been badly performed.
I'll test it myself.
Carefully.
Why are you all here at once?
- Instrument. - Here.
Sit with your legs over the edge.
This again?
That's right.
Relax your muscles.
Ah...
Tendon reflex.
This is impossible.
The spinal fluid also confirms it.
There's no doubt.
Tell me what's going on.
What did the spinal fluid tell you?
It showed no abnormalities.
What does that mean?
It's possible...it really is ALS.
Enough.
Please wait.
Please come back.
- The diagnosis isn't certain yet! - Let go!
Get lost!
Leave me alone.
- Huh? - Minamino-san?
My strength...has gone.
- What's wrong? - It's gone...
Tamaru-sensei, stretcher.
Minamino-san, are you alright?
What's going on?
- Paralysis of limbs in progress. - Seriously?
Isn't that the swimmer, Minamino Kazumi?
- Looks like him. - See?
- It's him! - It's Minamino!
- Minamino Kazumi's here! - Please stop that.
No photos!
- No photos! - Tachibana-sensei?
- Who are you? - Miyabe, from Thelonious Pharmaceuticals.
- Pleased to meet you. - Miyabe-kun...
Could you go like this, over there.
I've heard about you from Tamaru-sensei.
- Many times... - No photos!
Stop taking photos!
- Everyone make way. - Miyabe-kun, lift his legs.
We're going to move you.
1, 2, 3.
- Stand back. - Make way.
Stretcher coming through.
For now, you have to rest.
Try to take things easy.
Tamaru-sensei is so caring.
- She seems to like him. - Eh?!
What the hell is this?
There's a big fuss on social media.
Thanks to you, the office is being flooded with phone calls.
Iwakura-sensei, why didn't you ask before admitting him here?
You need to consider the hospital.
He only came here for a second opinion.
Don't try to blame this on me.
Yes, this is Sasaki.
The media are already...?
Switch the TV on, now!
Minamino Kazumi, expected to represent Japan...
It's our hospital.
There has been no official announcement from the hospital,
but it's rumoured he could be seriously ill.
Ah, could I have a moment?
It's Miyabe-kun.
What are you doing?
I'm transmitting a warning.
Don't tell them anything.
What's the situation in the hospital?
- There's a huge fuss. - A huge fuss?
That's right.
I helped carry him inside.
Ah~ He's talking~!
The media will descend on the hospital
and interfere with normal business.
Oh? Everyone's here.
- Iwakura-sensei. - What is it?
Just as I'd expect.
Huh?
If a celebrity like Minamino-san is here,
it will be good publicity for us.
Iwakura-sensei, I'm impressed.
You have a good eye, admitting Minamino-san so quickly.
Well, yes.
Determining the cause of unknown illnesses
was the reason I created Analysis and Diagnosis.
Excellent work.
The whole world will know about us.
That was your intention?
Naturally.
Who do you think I am?
This is raising our profile.
What will happen?
You know what you're doing, don't you?
What?
If you make a mistake,
this department's reputation will fall.
You and I will also receive personal criticism.
Of course, I don't think that will happen.
Iwakura-sensei,
can rely on everyone in Analysis and Diagnosis.
Well then.
Ah, Director.
Staff conference, first thing tomorrow morning.
- Yes. - Yes.
- Tamaru-sensei. - Yes?
I've got a favour to ask.
A favour?
That sounds ominous.
I'll treat you to lunch.
This has been bothering me.
Here and here.
Both were the days before contests,
but he was much slower than usual.
Minamino-san is devoted to practising,
so why would he lose that spirit the day before contests?
There must be a reason behind it.
In any case...
Why do I have to do this?
We're testing how the time varies
when you always swim seriously.
Why don't you swim yourself?
Aren't you a sailfish?
You're closer to his age than I am.
So, what shall I do?
- 50m crawl, 10 lengths. - 10 lengths?!
Take your mark.
1 minute 7. Rather slow.
That's why you should swim yourself.
9 more lengths.
You seriously want 10 lengths?
- Yes. - Eh~?!
No more...
Tachibana-sensei, do you know what you're doing?
You said Minamino didn't have ALS.
Is everything okay?
Calm down,
this is necessary for diagnosis.
I can't calm down.
Actually, I want to ask you something.
What is it?
Has Minamino-san had any injuries?
Injuries?
Yes, tell me anything you remember.
Just before the selection for Rio,
he fell off his bike and fractured his left wrist.
Because of that, he couldn't compete for selection.
It was his left wrist he injured?
Yes, that's right.
Did he have any other bruising?
He said he'd also hit his head.
He was wearing a helmet,
so it wasn't injured.
His head?
Murakami-sensei, what's going on?
I told you all yesterday, didn't I?
Yes.
Hey, Satomi-sensei.
Where are Tachibana-sensei and Tamaru-sensei?
How should I know?
Ah, here they come!
You're late.
What were you doing?
Minamino-san is unlikely to have ALS.
Huh?
He sustained a nasty blow to the head in a past cycling accident.
Blow to the head?
The trauma could have caused this.
It could be cervical spondylosis or cervical disc herniation.
Chiari malformation from trauma.
The previous hospital only took cervical X-rays.
X-rays can't show cervical spondylosis or Chiari malformation.
We never considered a neck injury.
When he was examined,
the muscle fasciculations had already spread to the tongue.
Symptoms of neck lesions don't normally affect the tongue.
For now, let's do an MRI scan.
If we find something, there's no choice but to operate.
Is that really true?
It all depends on the MRI result.
If it's cervical spondylosis or Chiari malformation
it can be treated with surgery.
Will I be able to swim again?
Yes.
Minamino-san?
My... My body...
It hurts!
Help me, Tamaru-sensei...
What's wrong?
Excuse me.
I'm going to touch.
Prepare for emergency blood testing.
Minamino-san, try to stay calm.
What's going on?
He suddenly complained of whole body pain,
then haematuria occurred.
Here are the blood test results.
Blood CK is over 10,000.
10,000?!
He's already developed renal dysfunction.
I've begun fluid replacement.
It's not ALS,
and not cervical spondylosis or Chiari malformation.
What's causing all this?
You're thinking again?
You always have a hard time.
It's no longer possible it's ALS.
Everything else we considered is also wrong.
His times were always bad before contests.
Head contusion may have caused damage.
His blood CK has risen sharply.
The evidence is gathered,
but it doesn't fit together.
It's strange things don't fit.
That's right.
It's strange.
Maybe some of the evidence is wrong?
There's an extra piece mixed into the puzzle.
That's why it can never be completed.
Or something?
An extra piece...
What's causing all this?
It's not ALS,
and not cervical spondylosis or Chiari malformation.
Both were the days before contests...
I'll definitely win a medal at the next Tōkyō Olympics.
You drink a lot of water.
I've got a dry throat.
Minamino-san's report from the previous hospital.
Everything seems in order.
You're awake?
It seems I'm still alive.
One thing after another...
Why does everything happen to me?
Proper treatment takes time...
Can you guarantee I'll be cured?
If I don't get an Olympic medal,
it'll all be meaningless.
When my dad died,
my mum let me go on swimming.
I won't be able to repay her.
All my efforts up to now...
...will be for nothing.
Why is it always me?
Minamino-san?
Arrhythmia... Ventricular fibrillation!
- Try to stay with me, Minamino-san. - What's wrong?
CPA. Emergency cart and DC.
Okay.
Minamino-san, hang in there.
Minamino Kazumi-san's blood tests?
Our lab tests were all done correctly.
Fujishima-sensei,
this is very impolite of me,
but could the samples have been mixed up?
That's not possible.
Excuse me...
Ah, hello.
About Minamino-san's blood tests.
What is it?
I transported the blood taken that day.
When I took it to the lab,
the lab technicians were just changing shifts.
I handed it over properly,
but there may have been a delay before processing.
I'd better go.
Thank you very much.
I see. So that's it.
Things are stable today,
but at this rate we don't know what will happen.
Tachibana-sensei.
You're late. Where were you?
Are you listening?
T-wave low.
U-wave high.
QT looks like it's extended.
Do you notice anything from this?
T-wave low,
U-wave high,
QT extended?
Hypokalaemia.
He needs immediate potassium.
Minamino-san doesn't have ALS.
He has hypokalaemia.
Hypokalaemia
causes diarrhoea, vomiting, muscle weakness and fatigue.
If numbness increases, it can cause arrhythmia and cardiac failure.
It can be fatal.
The early symptoms are similar to ALS.
Why didn't the blood tests show it?
I don't think Fujishima-sensei overlooked it.
The blood wasn't processed immediately.
So the original low potassium state
changed over time to a normal value.
If it wasn't processed immediately
it was simply human error?
But what caused the hypokalaemia?
Probably a diuretic.
That's the most common cause of hypokalaemia.
Diuretics force water out of the body as urine.
That drains away the potassium.
That's why that was low.
Magnesium was lost the same way,
which caused the muscle fasciculations.
That was the basis for the ALS diagnosis.
Wait a minute.
What about the tendon reflex?
That shouldn't happen with hypokalaemia.
That's why it didn't when I first tested.
It suddenly appeared for the second test
because we'd limited his water intake.
So it was a reflection of the dehydrated state.
That's all the mysteries solved.
Hypokalaemia can be cured by correcting the potassium level.
I'm glad.
We can save Minamino-san.
There's another problem though.
What?
Why was Minamino Kazumi using a diuretic?
There's only one reason an athlete would use one.
Ah, there you are.
Tachibana-sensei, Tamaru-sensei.
You're looking much better.
It's thanks to you two.
I've lost some muscle tone, but I can retrain.
I'll soon get back on form.
First-class athletes are mentally tough.
The way you're going,
I'm sure you'll set a world record.
I guarantee it.
Not at the Tōkyō Olympics,
but in the Styx.
There's a problem.
Which matters more: a gold medal or your life?
Your body is exhausted.
Because of doping.
You nearly died trying to hide your doping.
You took a diuretic before contests,
to mask the fact you'd taken a banned substance.
That caused hypokalaemia.
Wait a minute.
Me? Doping?
There's no way I would.
That's not funny, Sensei.
- Do you have proof? - Proof?
If you do, show me.
You see? There is none.
That's right, unfortunately...
There is some.
Did you think I'd say there wasn't?
The proof is in Coach Shiozaki's time charts..
He keeps very detailed records.
They show it very clearly.
They're only times.
How does that prove anything?
"Only"?
Look at this.
You had extremely slow times here,
and here.
Both were days before contests.
This was the Japanese Championships,
and this was the selection for America.
- I was tired. - Tired?
With all your strict practice it should have been easy.
I just couldn't do it on those days.
That's right.
But these were unusual drops.
Close to 5 seconds slower than other days.
We tested it.
The crawl for 10 lengths of 50m.
I timed them all.
Well, she's an amateur,
so I only looked at the first 3 lengths.
But the times were all similar.
Only the first 3 lengths?
That was Tamaru-sensei, an amateur.
A pro like you wouldn't have 5 second differences.
- I took it easy. - That's also wrong.
You practised while in hospital,
and didn't let your times slip.
On the days your times were poor,
your body had low potassium and couldn't move well.
In other words,
it was due to doping.
As expected, doping is bad for your health.
It took a few days after contests for the doping to wear off.
This is the proof.
Will you still deny it?
Ah~! You got me.
That's right!
I've been doping!
But you know,
if you don't get caught, it's the same as not doing it!
You're that desperate for a medal whatever it takes?
RESULTS ARE EVERYTHING!
I'm only doing this for a gold medal.
Tamaru-sensei,
I want to fulfil my dream like you.
Aren't you swimming for your mother's sake?
Who knows?
Can't be helped.
- Tamaru-sensei, let's give up. - What?
He said it himself.
In the end, there's nothing we can do.
It's all up to him.
Will you risk your life for a medal?
No...
I don't know you feel.
But I think I can understand how your mother feels.
Because I have a child, too.
For a mother,
our children are our gold medals.
Irreplaceable.
More precious than anything.
No parent could bear it
if that precious child died before them.
Even if you turned to doping,
ultimately you're doing this to repay your mother.
The spirit your practised with
was pure.
Minamino-san.
Whatever happens, you can start over.
If you have a dream.
Welcome back.
I'm home, Mao.
You've been drawing?
I, Minamino Kazumi,
in order to win contests,
and because I was hungry for an Olympic medal,
violated the rules in full awareness,
and committed doping.
I cannot forgive myself for doping,
but more importantly...
This is for the best.
I gave in to my greed
and turned to doping.
For an athlete, doping
Yes.
should never be overlooked,
I crossed the line.
Shocking.
That Minamino-kun was doping...
Iwakura-sensei's not team doctor anymore either.
The Swimming Federation were against it.
Ah!
- May I keep this? - Eh?
Ah, go ahead...
His days as a pro are over.
I'm sure he'll make a comeback.
Are you really okay with this?
What?
Do you think that swimmer
will be able to make a comeback?
You stole that man's dream.
He would've died if he'd gone on that way.
You make everyone around you unhappy.
Ah, Nitta-sensei.
Want to have lunch together?
Tachibana-sensei's treating me.
Tachibana-sensei.
Nitta-sensei, over here.
What shall I have to eat?
All that swimming was hard work.
- The maximum is 1,000 yen. - Eh~?
- Including drink. - Eh~?
Don't "Eh~?" me, I'm paying 1,000 yen.
You're surprisingly stingy.
Eat whatever you want.
They all developed food poisoning.
It's not ordinary food poisoning.
There's just one with no symptoms.
There's a way to track it down.
A challenge?
Isn't that dangerous?
But that's the only way.
Are you ignoring my orders?
This is to save the patients.