Thanks to you, Analysis and Diagnosis has a good reputation.
The swimmer doping revelation and the schoolgirl poisoning case.
You not only uncovered the patients' illnesses,
you also exposed crime and dishonesty.
It's highly impressive!
Since the doctors in A&D are all women,
we've been getting requests from women's magazines for interviews.
A&D is flourishing.
But all of you
were opposed to the department at first, weren't you?
Well, we back winners.
It's all thanks to you, Iwakura-sensei.
Ah, thank you for saying so.
I know, Iwakura-sensei.
Why not give us your catchphrase?
- What?! - Go on, please.
Okami, wouldn't you like to hear it live?
Yes. Please, Iwakura-sensei.
No, I couldn't.
Even if the gods lie...
These eyes of mine never lie.
That's the one!
Thank you very much, thank you.
Please don't ask again.
Even under Director Kitabatake's regime,
there's still no prospect of turning a profit.
At the next board meeting,
Director Kitabatake is sure to be dismissed.
Let's toast the appointment of Director Iwakura.
- Okami. - Of course.
Your predecessor should definitely come
to the real appointment party, too.
We haven't seen her lately. How is she?
Well...
She is enjoying a quiet and comfortable retirement.
Iwakura-sensei.
Thank you for your continued patronage now I've taken over.
I truly appreciate it.
There's no need to thank me.
I'm indebted to the previous okami, Shizuka-san,
so I was shocked to hear she was unwell.
How is she?
She's doing well, thank you.
Ah, I'm glad.
She's done so much for me,
I'd like to pay her a visit.
Could you tell me where she's living?
I'm sorry, but even if it's you
I cannot give out that information.
It's her own fervent wish
to keep things hidden from customers.
That's true.
It's unfortunate, but I understand.
I will continue to devote myself
to becoming an okami worthy of her legacy.
Please continue to support me.
Of course.
When I'm appointed director, we'll have the party here.
I shall look forward to it.
See you.
Is something wrong?
Aren't you feeling well?
You shouldn't eat things like that.
That's why you shouldn't eat them.
Does your chest hurt?
I'll call an ambulance.
Shizuka-san!
What are you doing here?
What are you doing, Mother?
I'm busy, so don't cause trouble.
Leave me alone!
What's that for?
Nursing Home
Yōfūen
Hey, Mother!
Ah, I'm sorry.
Thank you for your help.
Is everything okay?
I'm a doctor.
Is there anything I can do?
It's early onset dementia.
Please don't concern yourself.
Dementia?
- Thank you. - Ah, good.
- Shizuka-san, let's go. - Stop it! Stop!
- Stop! - Let's go back.
- Let go! Stop! - Everything's fine, don't worry.
- Let's go back. - Let go of me!
Come along.
Shizuka-san, please don't struggle.
Mother, let's go.
- Let me go... - You're fine now.
Help me! Help me!
Please help!
- Please help! - It's alright, Shizuka-san.
They'll kill me...
Something bothering you?
Mao.
You're worried about me, too.
Mao?
Medical Team
Lady da Vinci's Diagnosis
Subtitles by Candylemon
Why should we visit a clinic?
There's a request from the Visitation Department
Requests from elderly care homes are increasing,
and we're the only department with people free to visit.
Therefore, it's been decided
that A&D staff will also visit clinics.
Are other departments cooperating with this?
Only Analysis and Diagnosis.
What of it?
I don't feel we're being treated equally.
Quite right, we aren't equal.
You were in surgery, Nitta-sensei, so you wouldn't know.
There's a hierarchy in this hospital.
Director Kitabatake calls A&D the last bastion,
but really we're ranked below the other departments.
For just one patient,
many doctors here perform many hours of examinations,
so we create a financial deficit.
We should accept other requests willingly.
Okay.
So, for this afternoon,
I'd like two people to visit the nursing home Yōfūen.
Yōfūen?
Me! I'll go.
Anyone?
Doesn't anyone want to go?
I will!
Me!
- You can't go. - Why not?
Obviously because I don't want trouble.
Aren't you a large thorn in my side?
I don't think so...
Right, Murakami-sensei?
Tamaru-sensei and Uematsu-sensei.
You will go on the visit, please.
Okay.
Um... We'll be finished by 5, won't we?
If you finish early, you're free to go home.
I would love to go!
I'm counting on you both.
Yes.
Now then, Murakami-sensei,
let's go and report that they'll visit.
Tamaru-sensei!
- Tachibana-sensei. - Let me see the documents.
Ah, here.
I know she's not scheduled for this visit,
but there's supposed to be a resident there called Shizuka-san.
I'd like to know her medical history and family structure,
if you can get them.
Why do you want them?
Do you know her?
Slightly.
She seems to have early onset dementia,
but something is off.
She also has chest pains and gait abnormality.
I don't think it's ordinary dementia.
What's her surname?
I only know her given name.
I thought you knew her?
Never mind that, just investigate.
I need more clues if I'm to investigate.
Oh, you're getting motivated, Detective!
I'm not a detective!
I hear you're excluded from visiting clinics.
So fast.
I think if I could visit
I'd become a popular primary care doctor.
Oh~ That's great.
Pardon?
There are lots of elderly people in long-term care facilities.
Rather than waiting for unknown patients,
there's an advantage to working at a clinic
with patients you already know.
If you can be more closely involved in their nursing and medical care
it's a win-win situation for everyone.
Even if you've been excluded from clinic visits,
please work hard without giving up.
I'm cheering for you.
- Mm... Let's see... - What's the matter?
Room 302...
That didn't resonate, somehow.
You're doing well.
- Please take care. - Thank you, Sensei.
You're welcome.
- Call the next patient. - Okay.
Huh? Where's Tamaru-sensei?
I haven't seen her for a while.
You're kidding?
If it's just me, it'll never end.
Shizuka...
Let go!
Stop!
Someone help me! Stop!
"Shizuka".
Shizuka-san, please calm down!
I told you to leave me alone!
Stop! Stop!
Shizuka-san, please calm down!
I'll help.
- Please calm down. - Go away!
- Shizuka-san! - Stop!
Shizuka-san has early onset dementia, doesn't she?
Yes.
If things have progressed that far,
wouldn't it be better for her to live with her family?
Shizuka-san's home is a long-established restaurant called Sanada,
passed down through the generations.
This is just between us,
but the current okami and her predecessor Shizuka-san
don't have a good relationship.
It would be difficult for them to take her back.
I see...
There are people around them who say
she used her mother-in-law's dementia as a way to get rid of her.
From what I saw myself and heard from the staff,
Shizuka-san only seems to have early onset dementia.
I see.
That doesn't explain her gait abnormality.
Iwakura-sensei!
We completed the nursing home visit.
Thanks for telling me.
You can go now. Good work.
Iwakura-sensei, may I report something?
What is it?
You didn't go.
There's a woman in the home with early onset dementia,
but her condition is strange.
I don't think dementia alone can explain it.
She used to be okami of a restaurant,
and her family's circumstances mean they can't take her home.
Okami of a restaurant...
What's her name?
Sanada Shizuka-san.
If it's her, it's early onset dementia.
- You know her? - Yes.
Then could you sort things out for her?
I can't do that.
Why not?
She doesn't want a customer to see her condition now,
that's why she retired from her work.
I may be a doctor,
but she would still be uncomfortable.
Let's consider Shizuka-san's symptoms.
Dementia, gait abnormality, chest pains...
Her violent behaviour may be due to the illness, too.
We'll add aggression to the list.
It's possible there are different diseases causing each symptom,
but it's also possible they're all due to one.
What other diseases cause symptoms of dementia?
Creutzfeld Jakob disease.
Pick's Disease, and hypothyroidism.
Are there any with dementia symptoms plus gait disturbance?
Cerebral infarction,
Normal pressure hydrocephalus.
There's chronic subdural haematoma,
and Parkinson's disease.
But what about the chest pains?
No one disease can explain all the symptoms.
We'll have to think about it from another perspective.
Maybe the wife took revenge for her mother-in-law's bullying
and forced her to take poison.
Eh?!
Nitta-sensei, you're not just cool, you're icy.
Surely no one would poison a member of their own family!
No, it definitely happens.
Behaviour that wouldn't bother you much from a stranger
can create a deadly hatred when you have to live with it
from a member of your family.
Shellfish poisoning impairs memory.
That's true...
Tamaru-sensei, could you come with me?
Where to?
A poison tasting.
Mmm~! Delicious!
This sake is delicious.
- Excuse me. - Come in.
I am the okami, Sanada Mei.
Does our food suit your tastes?
Yes, it's absolutely delicious.
Sorry about before.
I'm sorry you had to see something like that.
This is an amazing coincidence.
It's not a coincidence.
Tamaru-sensei here wanted to ask you something.
That's why we came today.
Tachibana-sensei?!
Are you also a doctor?
We're from Tōkō University Hospital's Department of Analysis and Diagnosis.
I see.
I hear the director and professors there
are always indebted to you.
Tamaru-sensei, get on with it, please.
- Why do I have to do it? - Quickly!
- I can't say that. - Quickly!
Am I right in thinking
there's something you want to say to me?
No, there's nothing I want to say.
Can't be helped.
Well then, I'll speak on her behalf.
The truth is, she believes Sanada Shizuka-san's illness
may not be simple early onset dementia.
Then what could it be?
We don't know that yet.
It could be her daughter-in-law
hates her and has poisoned her.
...That's the rumour.
We came to see if it was true.
That's quite amusing.
Such amusing people
are surely wasted as doctors.
I'd like you to become geishas here.
In that case,
feel free to have Tamaru-sensei.
Although she's less amiable than me.
Hey, Tachibana-sensei!
So, is it true?
Did you poison your mother-in-law?
Doctors these days are good at playing games.
You wouldn't want to stay too long,
so I shall answer frankly.
I have not poisoned my mother-in-law.
Although that should be obvious.
Then you won't mind if we examine her?
I cannot allow that.
Another doctor already diagnosed early onset dementia,
so why would you interfere in our family's problem?
I don't mean to interfere.
I just want to diagnose Shizuka-san's illness.
Why don't you understand?
That is precisely the same thing.
Please don't overstay your welcome.
Can you please leave things alone now?
- I can't. - But...
If Shizuka-san's illness endangers her life,
will you say the same thing?
Let's hurry up and identify what's wrong.
Okay.
2 years ago
What's all this?
It's dripping wet!
It should be obvious that you wipe off the excess water!
I'm sorry.
Hurry and correct it.
Yes.
What did you leave it there for?!
I'm sorry!
You can't attend on customers
and can't even clean satisfactorily.
When will you be able to run this place alone?
Don't take an okami's work so lightly.
Do you have the resolve for it?
I'm sorry.
I'll try harder, so please forgive me.
You're all talk and no action.
For Mother's Day,
I thought we could take a trip together.
That would be a waste of time.
If you have the time for that,
please learn the work of an okami a day sooner.
I need you.
What's that reaction for?
That's a confession, right?
No way.
I want to take a woman from this nursing home to the hospital.
I need you to help with that.
Please think before you say things like that to me!
Shizuka-san, we're going out.
What sort of examination are you going to do?
When I met Shizuka-san before,
something bothered me.
Is there something wrong?
Please let me do some tests at the hospital to find out.
I'd appreciate your cooperation.
Okay.
Shouldn't we let her family know?
It could cause trouble later.
That's a point.
Hello.
Sanada-san, how old are you?
Fifty...
...nine
What day, month and year is today?
Where are we right now?
In a house? Or a hospital?
Or a facility?
House.
It's early onset dementia.
- Are you sure? - Yes.
The weather is lovely today, isn't it?
Does she have vitamin B12 deficiency?
We tested for that at the start.
The blood test results were all fine.
I see.
Then let's do an MRI and high-level function tests.
- Come on! - Wait... Huh?!
Don't worry.
We'll soon know what's wrong with you.
Hey, what are you doing?!
Sanada-san...
We couldn't not contact the family.
Taking a dementia patient away
without the consent of their family.
What you did was abduction!
Abduction?!
Didn't you get the family's permission
before making me test her?
Sanada-san, please let me examine Shizuka-san a little more.
In just a little while
we may know what's really wrong with her.
I refuse.
Just because you're a doctor,
that doesn't give you the right to do unsolicited examinations.
From now on, please stay away from her.
She asked me to help her.
Help me! Help me!
That was the dementia talking.
I believe she meant those words.
Excuse me.
Tachibana-sensei, what's going on here?
Okami...
Iwakura-sensei!
My, Iwakura-sensei,
welcome to the Sanada restaurant.
Please do come in.
I will show you to your room.
What are you spacing out for?
Line up the footwear,
and take their bags!
You really are thoughtless.
Do you have the awareness for an okami?
I do apologise.
Hurry up.
What are you doing?
Shizuka-san, this isn't the restaurant.
There's no need for that.
Let's go.
Why did you do something like that?
Thanks to you,
the restaurant will be a laughingstock.
Shizuka-san, let's go.
Gently does it.
I told you, didn't I?
She doesn't want outsiders to see.
I am a doctor.
I can't abandon someone who is suffering.
You see only the patient's illness,
you're completely blind to their circumstances.
Forcing unwanted medical treatment
can upset a patient's life.
Their family's life, too.
Will you take responsibility if that happens?
I will go and apologise to them.
You will stay away from them.
Saving patients...
...is a doctor's responsibility, isn't it?
I think so, too.
You've changed your tune.
What happened?
I'm a doctor, after all.
Shizuka-san's pulse was incredibly strong.
It might be water hammer pulse.
Water hammer pulse...
Blood vessels suddenly expand and suddenly contract.
When Shizuka-san complained of chest pain,
it could have been caused by aortic insufficiency.
If that's true...
I apologise for getting you involved in our family's troubles...
Ah, no, it was all our fault.
- I apologise. - No need.
You may have noticed,
but my mother and wife don't get on well.
Um... If I may...
I know I shouldn't ask,
but how long have they been like this?
On Mother's Day 2 years ago,
my wife invited my mother to go on a trip with her.
But my mother refused, saying it would be a waste of time.
Ah, that would hurt...
I can't say they were ever close,
but that made things worse.
When did Shizuka-san's symptoms of dementia
first start to appear?
About a year ago.
Can it progress so far in just a year?
My late father was a playboy,
so my mother had to work hard.
I'm sure that led to this.
Do you remember anything else
about your mother's condition a year ago?
Did she complain of any physical issues?
Well... Not really.
Ah, but about 2 years ago
she said her chest sometimes hurt.
Her chest hurt...
Okami.
I reacted over-emotionally earlier.
I apologise for my behaviour.
Not at all, likewise,
I apologise for the rudeness of our hospital staff.
Please do visit again.
Thank you for your help.
Goodbye.
I'm glad they forgave us.
With this, the matter is closed.
I wonder about that.
Ah, Iwakura-sensei.
How come you're here so late?
Something was bothering me.
Is that so?
You're like Tachibana-sensei,
if something is on your mind you have to confirm things immediately.
Please, don't compare me with her.
It's not pleasant.
You're exactly alike.
Humans instinctively dislike those most similar to them.
Well, I support you both.
Work hard, please.
How are we alike?
Dementia.
Gait abnormality.
Increased aggression.
Chest pains.
Water hammer pulse.
Haven't you drunk too much?
I thought the sake might give me strength.
It's a delicious sake I discovered recently.
Have you worked things out?
I still don't get it, Mao.
- Stop that. - Nope.
I won't let you go.
Let go!
Why don't you like it?
It's because I love you.
It's not that I hate it,
it just hurts because you're too strong.
Ah, I'm sorry.
See, I've let go.
When you're drunk you don't know your own strength.
Sorry.
- Thank you. - Ah, good.
- Shizuka-san. - Stop it! Stop!
Stop! Let go!
What's wrong?
Hurt by your rebellious daughter?
That's it.
Shizuka-san wasn't being aggressive.
She didn't want to be touched because it was painful.
Thank you, Mao!
Thank you~
Please, lewwe go.
I won't. Say it again.
- Lewwe go. - Lewwe go. Adorable.
Wait, please!
Please, stop this!
If you keep on doing this, we'll get into trouble!
It's not just dementia,
if she also has a cardiovascular disease
Shizuka-san could die if she's not treated now!
Shizuka-san, please don't worry.
Let's get you out.
We'll take it slowly.
We'll test her spinal fluid, then everything will be clear.
It was reported you had abducted an elderly woman.
Would you accompany us to the station?
Tachibana-sensei...
Sorry, but can we do this later?
I have to examine the patient.
If you won't cooperate,
we can arrest you instead.
Huh?
Please stop all this.
Did you make the report?
You ignored my request that you stay away,
so I had no choice but to call the police.
Please accompany us to the station.
Huh? Whoa whoa, wait...
Why should I...? Let go!
If this becomes a criminal case,
it'll cause trouble for the whole hospital.
Quickly, find Chief Secretary Sasaki.
Will do.
Let go...
Tamaru-sensei!
I'd like to visit the nursing home Yōfūen
with the aim of medical treatment.
But didn't the others just go there?
There's a patient there I want to examine.
I see.
I'll contact the Visitation Department immediately.
Hey! Don't run in the hospital!
What's going on?
The police have taken Tachibana-sensei!
On suspicion of abducting a woman from a nursing home.
She tried that again?!
We're going to alert Chief Secretary Sasaki!
Iwakura-sensei, where are you going?
I'll have to do it myself.
Sensei!
Please, just let us examine her!
Okami!
Iwakura-sensei...
Okami...
Please let me examine Shizuka-san.
I refuse.
Please leave us alone from now on.
Iwakura-sensei, it's Tachibana-sensei.
Please move aside.
Shizuka-san, excuse me a moment.
Sorry about this.
Shizuka-san, do you understand?
Please watch this finger.
That's right, keep watching it.
This is...
What's wrong with her?
Shizuka-san doesn't have early onset dementia.
Please don't lie to me.
It's true!
I don't care if Tachibana-sensei is an abductor.
But if she's not treated immediately,
I can't guarantee Shizuka-san will survive.
Doesn't that matter to you?
That goes for the police, too!
This is a matter of life and death.
Do you want to interfere with that?
Release Tachibana-sensei immediately!
Mother?!
- Shizuka-san? - Mother?
Shizuka-san!
She just pressed her back!
I can't feel a pulse on the left.
Nitta-sensei, contact Cardiovascular Surgery.
She needs emergency surgery.
Hurry and arrange it!
- Tamaru-sensei. - Yes.
The operation was successful.
I'm glad.
As you realised, it was aortic dissection.
Please watch for postoperative pneumonia.
We will.
Please leave her remaining treatment to us.
You're Tachibana-sensei from West Tōkyō General Hospital, right?
Yes.
Pleased to meet you,
my name's Takasugi.
Hello.
Thanks for your good work today.
So I've met you at last.
See you.
I want to know the reason.
She's a famous neurosurgeon,
so why is she in A&D?
Good work.
- Iwakura-sensei. - Hm?
A short while ago,
you said you didn't care if I was an abductor.
Did I say that?
I don't remember at all.
Thank you for rescuing me.
So Shizuka-san had neurosyphilis.
He husband must have infected her.
The disease progressed unrecognised for 10 years,
causing symptoms of dementia and aortic insufficiency.
She seemed aggressive because her spinal cord was being attacked
and causing lancinating pain,
so touching her limbs hurt her.
Dementia, gait disturbance, chest pains, lancinating pain.
The symptoms were all due to neurosyphilis.
It was misdiagnosed as early onset dementia,
then aortic dissection occurred in the nursing home
and it was almost too late.
It's good that Iwakura-sensei's quick thinking
allowed her to diagnose what was wrong.
Was it Iwakura-sensei's quick thinking,
or Tachibana-sensei's instructions?
Neurosyphilis caused Argyll Robertson pupils,
which are very distinctive.
The pupils don't react to light,
but contract to focus on an object nearby.
If you can confirm a failure of the light reflex,
you can diagnose it without testing the spinal fluid.
That's right.
Then shouldn't it just be Tachibana-sensei who gets the credit?
Who cares about that?
What matters is healing the patient.
Oh, where's Iwakura-sensei?
She said there was something else she wanted to heal.
Tachibana-sensei?
I'll leave that to Iwakura-sensei.
Iwakura-sensei,
thank you for saving her.
Thank you.
Mei-san can you forgive her?
To be honest,
I don't think I can forgive her.
Come on...
We're a family.
It's because she's family I can't forgive.
I wanted to get on well with my mother-in-law.
That's why
I can't forgive her for saying it would be a waste of time
when I invited her on a trip.
When she said "A waste of time",
I don't think she meant she didn't want to spend time with you.
When Shizuka-san had chest pains,
she thought she didn't have much time left.
That's why she wanted you to take over even a day sooner.
I believe that's what she meant by "A waste of time".
That would be a waste of time.
If you have the time for that,
please learn the work of an okami a day sooner.
That's...
The Shizuka-san I know is like that.
She was very concerned with appearances.
However, unfortunately
we can't know her true intention anymore.
What do you mean?
Please listen to this calmly.
Yes.
The aortic surgery was successful,
and the other symptoms will improve with treatment.
But Shizuka-san's lost memory
will never come back.
Having progressed so far,
the dementia symptoms caused by the neurosyphilis
will remain even with treatment.
No...
Even so...
...that doesn't matter.
Even if she forgets,
I will always remember.
Everything she taught me
I will remember forever.
The current okami
is just like the previous one.
- Truly, thank you so much. - Thank you.
Mother?
When you're feeling better,
let's go home together.
Director Kitabatake.
What are you daydreaming about?
I had a date cancelled at the last minute.
Want to go, too?
...Creating a business alliance
with the Shiroishi Group for Medical Care
aimed at the formation and development of appropriate local medical care.
It has been safely completed.
Iwakura-sensei gets things done.
It's essential for both medical and nursing care
I negotiated this business alliance,
but I asked Iwakura-sensei to do the ceremony.
Shouldn't you have done it yourself?
No, Iwakura-sensei is well-received by the media.
Having her at the ceremony
created a higher chance of news coverage.
I see.
When it gets discussed, other nursing homes
may want medical alliances like it.
That's right.
Well, everything this time
is thanks to the dream team of Tachibana-sensei and Iwakura-sensei.
Please carry on the same way.
I have no intention of teaming up with her.
Please don't dismiss my support like that.
I'll get the job done regardless of your support.
Because if something bothers me I have to confirm things immediately.
You're just the same.
Hm? Nothing at all.
- Hm? - See you.
What do you mean, "The same"?
The same as what?
Heh.
"Heh"?!
- It's not me! - Calm down!
A disease that moves a person against their will?
Are you being fooled by a trick?
His condition suddenly changed.
Tachibana-sensei! We have to hurry!
You make everyone around you unhappy.
You've been fooled by a trick.
We're going to find out now.