Hello.
Tachibana-sensei's on holiday...
Is something wrong?
She said she was going to the countryside.
Countryside?
Is she from the countryside?
She must be.
Her private life is a mystery, though.
She's only mentioned having a daughter.
Haven't you been lying?
I went to a grave.
Mao
You've been hallucinating, haven't you?
I've seen it several times.
Is it your daughter?
That's right.
What of it?
I know I'm hallucinating.
It's not hurting anyone, is it?
I need Mao.
It doesn't matter if she's a hallucination.
Tachibana-sensei is friendly and a good person,
but she doesn't really talk about herself.
That doesn't matter, does it?
It's not like we're friends here.
It's only a working relationship.
Severe.
I think not getting too involved
is the secret to getting along well.
That reminds me,
I haven't seen Iwakura-sensei today either.
She's gone to the TV studio to film "Rescue Doctor SOS".
Murakami-sensei is with her.
Ah, it's 2 o'clock.
It's about to start.
From familiar diseases to rare ones.
We will solve the mysteries
of all the diseases around you.
"Rescue Doctor SOS".
Our guests today are actor Dōjima Kenzō-san
and model Karin-chan.
I'm Dōjima.
Hello, I'm Karin.
And our doctor today.
Head of Analysis and Diagnosis at Tōkō University Hospital,
it's Professor Iwakura Yōko.
Hello, I'm Iwakura.
Now, for the first corner
Iwakura-sensei will make a diagnosis
based on familiar symptoms.
Leave it to Yōko!
First, a consultation with an audience member.
I may have slept awkwardly.
I have persistent neck pain.
Does it hurt you to eat or drink?
It does.
If you don't mind...
Push down your chin.
Does that hurt?
No.
Try pushing your forehead forward.
- Does that hurt? - Yes, very much.
I see...
You also have a fever.
What's your job?
I work in an office.
Ah~ Do you use a computer for long periods?
Yes, I do a lot of data entry.
I know what's wrong.
Now then, let's see the answer!
This is not from sleeping awkwardly.
Calcific tendinitis.
It's a disease that causes inflammation
in the long tendon of the neck
by the deposition of crystalline calcium phosphate.
There's no doubt.
Please visit your local orthopaedic surgeon.
Thank you very much.
Well done, Iwakura-sensei!
A swift diagnosis of the disease!
Even if the gods lie,
these eyes of mine will never lie!
- There it is! - Wow~ I heard it live!
As expected of Iwakura-sensei.
Let me have it.
It's mine! Give it back!
No, it's mine!
Mother, please control your children.
Me?
Stop it.
Next, a consultation with a viewer.
My child wakes with a fever every single morning.
What is causing it?
It's natural to worry about your child.
What do you think, Dōjima-san?
The kid doesn't want to go to school.
He's faking it.
Pardon?
There's nothing wrong with him.
Give him a slap and he'll knock it off.
But the fever is real...
Sending him to school will cure it!
You can't fuss over something like that.
- Give it to me! - I don't wanna...
Mother, please...
- It's a live broadcast. - Me?!
Calm them down or leave the studio.
They're nothing to do with me.
Seems fine to me!
It's good for kids to fight.
It's proof they're healthy.
Let children be children.
You mean I should just let them fight?
What if they get hurt?
Who are you?
I'm these children's mother.
You just keep nattering on.
Go to a commercial break!
Dōjima-san, calm down.
We're live.
Who do you think you are?
A doctor messing about on TV.
With that ridiculous catchphrase.
- Commercials are airing! - Think you're a celebrity?
What did you say?
If you're a doctor
you shouldn't be on TV,
you should see patients in a hospital.
Please calm down, both of you!
Dōjima-san, stop it.
How about you?
You think you're a big shot actor,
but you haven't had any roles at all lately!
Making boring comments on variety shows.
What was that?!
Say that agai...
Are you alright?
Dammit!
You're all...
Dōjima-san!
Stand aside!
Sensei, please.
He has a slight fever.
Dōjima-san,
can you hear me?
Yeah...
What's the matter?
I feel chilly.
And my stomach...
Food poisoning?
Have you eaten any raw food?
- No... - Any seafood?
No...
What's wrong?
My right arm hurts...
Right arm?
It's unbearable...
Pain in the right arm.
This isn't normal pain.
I can feel the artery.
It's not an embolism.
Get him to our hospital.
Eh? What about the broadcast?
Just do something else!
That was tiring!
- You're too slow! - Let's go!
Wait for me!
Children should be lively.
Medical Team
Lady da Vinci's Diagnosis
Subtitles by Candylemon
That seems to have stopped the pain.
Look at this.
It's slightly red.
- Is it cellulitis? - I think so,
but draw a boundary line just to be sure.
Okay.
Iwakura-sensei,
is it true Dōjima Kenzō is here?
Dōjima Kenzō! It's him!
Hey there, calm down.
Is he that famous?
What? You don't know him?
The terrifying action star, Dōjima Kenzō!
You don't know "Asura Death Fists"?
- No... - Seriously?!
Iwakura-sensei, you must know.
- Well, maybe... - You have to heal him.
I'll maximise our media exposure.
Fine, calm down.
I'm working to treat him.
Iwakura-sensei!
The redness has spread beyond the line.
This is bad.
X-ray the affected area,
- then do a blood culture. - Okay.
The X-rays show slight soft tissue swelling,
but no bone fractures.
I see.
Iwakura-sensei!
Ah, you're...
I'm sorry for the late introduction.
I'm Dōjima's manager, Satō.
I apologise for what happened earlier.
You're helping Dōjima even after he was so rude to you.
It's nothing.
It's only natural for us as doctors.
You're too kind.
How is he?
He needs hospitalisation.
We have to investigate the cause of his collapse.
Is it really a disease?
Pardon?
Do you know something?
I hesitate to say it.
Please, tell us.
It may be key to curing him.
This is just between us,
but it might be a curse.
- A curse? - Yes.
What makes you think that?
The other day, he went on location
to a village in the mountains.
It's said to be a haunted spot.
Kagura hot spring, huh?
Hey!
You're here again?
It's dangerous, go home!
Go on, scram!
Same goes for you lot.
Get lost.
You'll be cursed
Cursed?
The master of the inn here was deceived by an acquaintance
and got into serious debt.
The family all hung themselves.
A family suicide...
Ever since then,
every company that's tried to buy the inn
has suffered a series of misfortunes.
No one comes here anymore.
You really will be cursed.
Come on, let's go.
What shall we do, Dōjima-san?
Stuff and nonsense.
There's no such thing as curses.
But if anything happens...
Nothing will happen.
You lot wait here.
I'll go and look.
Wait! We'll go together.
Come on, let's go.
Huh? The battery's suddenly...
- Don't you have a spare? - I only just changed this.
Maybe it really is cursed...
Dōjima-san!
Dōjima went deeper and deeper alone.
And then?
After a while,
he came back and said we should change location.
Why was that?
He said there really was a ghost.
He's not the type to make jokes,
so with hindsight...
You can't go and mess around at a haunted spot!
Anything could happen if you offend the spirits.
So you think it's true?
- Nasty. - Scary.
Huh?
Don't tell me you believe in curses.
- Cold. - Give me a break.
This isn't a curse.
Then what...?
- An infectious disease. - Infectious disease?
Fever, with pain, redness and swelling of the right arm.
They're all symptoms of infection.
When he entered the ruins alone,
he may have hurt his right arm.
That could be when he was infected.
But the manager didn't mention anything like that.
There was no scratch, either.
Infection can enter through even a minor scratch.
The symptoms all fit.
The infection could be streptococcus or staphylococcus,
or an anaerobic bacterium like clostridium.
Clostridium would show in the X-rays.
There was no soft tissue gas.
Most bacteria wouldn't cause such pain so suddenly.
- It's flesh-eating bacteria. - Flesh-eating bacteria?
Streptococcus pyogenes or Vibrio vulnificus.
Both cause necrotizing fasciitis.
The infection enters the muscles
and causes soft tissue death.
The damage can't be repaired,
so if it spreads to the internal organs
it's often fatal.
I questioned Dōjima-san immediately after he collapsed,
and he said he hadn't eaten seafood.
And in the mountains,
water and seafood won't be infected with Vibrio vulnificus.
So if it's Streptococcus pyogenes
is that a fulminant streptococcal infection?
Fulminant streptococcal infection.
That's right.
Judging from the pain and redness,
necrotic fasciitis has started.
We have to cut away the dead tissue immediately.
There's a time limit of 24 hours from onset to save him.
Dōjima-san developed symptoms at about 2 pm today.
It's 4 pm now,
so we have 22 hours left.
That's not much time.
Uematsu-sensei, please hurry and do a Gram stain from the blood culture.
We'll begin treatment for fulminant streptococcal infection.
Then we'll make an incision to confirm necrotizing fasciitis.
If we're right, it should be excised immediately.
- Yes. - Yes.
- Infectious disease? - It's not a curse?
It isn't a curse.
But it's even more frightening.
What do you mean?
It's flesh-eating bacteria.
Flesh-eating bacteria?
It's a fulminant streptococcal infection.
If necrotizing fasciitis develops,
it could destroy all the muscles in the arm.
If it progresses further
it could cause multiple organ failure
and even death.
He's going to die?
Judging from the pain and redness of the arm,
I believe it has already begun.
It's essential to remove the affected tissue
within 24 hours of onset.
You'll cut off my arm?!
First we'll make an incision.
If we confirm the condition we'll remove it.
Dōjima-san, let them treat you quickly.
You can still save him, right?
Yes.
- No! - Dōjima-san!
I've been shooting a movie.
If my body is damaged,
all the filming so far will be wasted.
What are you saying?!
You might die!
There'll be other film work.
No.
I've got to be in this one.
Dōjima-san...
I won't let you cut it!
It's his first big role in a long time.
As you know,
his acting work has decreased lately
and he knows it's a critical time.
But to say that...
Murakami-sensei, for now let's start antibacterial drugs.
Administer meropenem and clindamycin.
Okay.
Manager-san, please continue
trying to convince Dōjima-san.
Yes.
21 hours remaining.
We have to remove the dead tissue.
I'll come back to check on him,
but if anything changes, call.
Thank you.
Dōjima-san, as they said...
I don't care what anyone says.
Listen,
don't say anything unnecessary to the director and staff.
I'll be discharged tomorrow.
That's not... Dōjima-san!
- Where are you going? - For a smoke.
You can't smoke in the hospital.
Shut up.
Go back to the office.
Got it?
The actor Dōjima Kenzō-san was urgently admitted to the hospital today.
So it really is true.
What's wrong with him?
He's currently undergoing diagnosis, so I can't give details yet.
His attending physician is Iwakura Yōko
of Analysis and Diagnosis.
Is he expected to recover?
Professor Iwakura is working to treat him as best she can.
You're not answering our questions!
That's right! Tell us something!
That is all!
Looks like a major incident.
Dōjima-san is refusing treatment.
Why would he do that?
It might affect the film he's shooting,
so he doesn't want his body altered by treatment.
Just for a film?
- Even though he might die? - Yes.
I'm impressed.
Giving up his life for something.
He's a man among men.
For Tamaru-sensei's sake, I'd...
What's up?
You don't look too lively.
Well, that's why you're in hospital.
I'm the same.
I'm talking to you,
so it's rude not to answer.
What is it?
Can't you answer?
Why are you feeling down?
I'm afraid to have surgery.
Surgery?
I see, surgery.
That's a frightening thing.
But a man mustn't run away!
I'm too scared not to run.
Don't be a fool.
Have some courage!
Your parents will be worried.
Don't you care about that?
If you're a man,
however afraid you are, you must stand...
Mister?
Are you okay?
Oxygen, 6 litres.
- How is he? - He had an asthma attack.
- What was in the IV? - Meropenem.
Is it anaphylaxis?
He's not supposed to have any drug allergies.
He hates doctors, so he's always avoided them.
Intubate immediately.
Adrenalin.
Intubating.
Dōjima-san has pulled through somehow.
I can't believe meropenem caused anaphylactic shock.
We can't use any other drugs from that line.
In that case,
we're left with penicillin-based antibiotics.
If he's allergic to meropenem,
he may also be allergic to penicillin.
We need a graded challenge test.
A graded challenge test?
To determine whether it's safe to use penicillin-based antibiotics.
- Tamaru-sensei. - Yes.
As a precaution,
Uematsu-sensei is culturing bacteria
to check the possibility of non-fulminant streptococcal infection,
but we don't know anything yet.
Bacterial culture normally takes 24 hours to show results.
Without fully identifying the pathogen,
we can't be sure which antimicrobial to choose.
There's a limit to what we can do.
We don't have much time left.
If only Tachibana-sensei was here...
We'll start with from 1/100 of a 4.5 g dose.
Ah, he's developed hives.
It's no good.
We can't use penicillin.
It might trigger sepsis.
Sepsis is triggered by infection.
Pathogens invade the blood
and cause inflammation throughout the body.
If it causes septic shock,
his blood pressure could drop and cause organ failure,
which could be fatal.
In that case, we have no choice.
We'll use vancomycin, since it doesn't cause allergic reaction.
Switch to administering vancomycin.
We have to prevent sepsis.
I see.
Understood, thank you.
What a coincidence, Iwakura-sensei.
Why are you riding from here?
The director's office is on the top floor.
I tried using the stairs for exercise,
but this was my limit.
My knees were giving out already.
So, how's Dōjima-san?
Not good.
He refuses to let us remove the dead tissue.
He has drug allergies,
so we can't use antimicrobials.
What bacteria is causing it?
Have you identified it?
We did a gram stain,
but couldn't identify it.
This is bad.
We're attracting public attention.
If a celebrity patient dies,
it'll be a heavy blow to the hospital.
Besides which, the media
have extensively reported that you're Dōjima-san doctor.
If worst comes to worst
it'll damage your reputation...
I don't care about that.
I will save him.
Dammit!
Mister?
Oh, hey, kid.
Are you okay?
Yeah, I'm fine.
- It looks painful. - It's not even a fart.
- Ah. - Ah.
That got it out.
It hurts really, doesn't it?
I'll be fine.
Listen, we're men.
However hard things get,
we can't make people worry.
I'll keep fighting.
So you do the same.
Don't make your parents worry.
You already know what to do.
Yes, I know.
I'll have the surgery.
That's why you're a man.
It's a man's promise, okay?
Yes!
Just gently.
Right now,
I'm making a big movie.
You'll watch if you can, right?
Yeah!
Cooling's here.
His body temperature's over 40°C.
Blood pressure 74, pulse 160.
I'm putting on a mask.
It's septic shock.
The bacteria have spread through his whole body.
Tamaru-sensei, switch to ringer.
We'll raise blood pressure with noradrenalin. Prepare it.
And an intravenous infusion of immunoglobulin!
And a core temperature monitor!
Vancomycin and clindamycin
can't keep up with the condition.
Septic shock has begun.
It's hopeless.
The area affected is expanding.
We have to remove the necrotic tissue.
Dōjima-san hasn't agreed to it.
- But at this rate... - I know.
But Dōjima-san is resolved as an actor.
We can't ignore that.
There must be something.
The time limit was 24 hours.
6 hours left.
- Mum! - Shōta.
I'm going for my tests.
That's right, good luck.
This is Tachibana Shiho.
I can't come to the phone right now.
I'm sorry.
If you'd like to leave a message...
If only Tachibana-sensei was here...
Tamaru-sensei, do you have a moment?
Yes.
I have a favour to ask of you...
Detective.
Yes!
Miyabe-san~!
Oh, Tamaru-sensei!
There's somewhere I want you to go with me.
Are you asking me on a date?!
So Tamaru-sensei is...
The treatment isn't showing an effect yet.
It's possible our diagnosis is wrong.
But we haven't come up with any other possibilities.
That's why I want to try something else.
Murakami-sensei, you and the others stay with Dōjima-san.
We have to keep hoping until the very last moment.
"Welcome to Kagura, Village of Secret Water"
A hot spring?
Eh?! A hot spring?
Could it be, she wants to...
Infected while visiting a haunted spot...
Ah, excuse me.
Yes?
I'm looking for the Shinsen Inn.
Do you know where it is?
We're spending the night there.
It's over there.
It's not an inn anymore though.
- It's just ruins. - Ruins?
I know.
Don't go there, it's haunted.
Haunted?
A film crew went there the other day
with that actor named Dōjima.
He went in spite of our warnings,
and sure enough he was cursed.
I want to go there.
Thank you very much.
Hey...
Aren't we going to the hot spring?
Hot spring?
What are you talking about?
Let's go.
Tamaru-sensei, they said it's haunted...
What happens if we're cursed?
Miyabe-san, go home if you're frightened.
I can't leave you here alone.
If it's for you,
I'm resolved to give up my life.
I'll be a man among men!
Huh?
Wait...
There's something behind you.
Please stop that.
You're joking right?
I'm scared, it hurts,
it hurts, I'm scared...
I'm going on ahead.
Wait, Tamaru-sensei, I'm scared!
Kenji's gotta be lying.
Could it be true?
No way, he's a wimp.
That time before,
I bet he found it on the ground.
Hey, you boys.
- Who's this old woman? - Dunno.
Who are you calling old?
She's angry! Run!
I'm still young!
Honestly...
So this place is haunted...
I hope the curse isn't real.
I hate this!
I'm frightened!
That's dangerous.
Wait, are you Kenji-kun?
Did your friends tell you to do that?
Hmm?
They told me to get that.
It does look good.
No one comes here, so they grow well.
Because it's haunted, right?
Listen, Kenji-kun.
Do you often play here?
Yeah, it's our playground so we come every day.
Every day?
Do you know this man?
You do?
Blood pressure is down to 80.
Increase noradrenalin.
It's already at the maximum
but his blood pressure isn't responding.
We can't increase infusion or noradrenalin further.
Platelet system is undetectable.
Bleeding has started.
There's nothing more we can do...
Kenji-kun.
This man is in hospital right now.
When he came here,
we think bacteria got into his body.
I'm a doctor at the hospital he's in.
If things don't change,
the bacteria will kill him.
In order to save him,
I want you to tell me what you know.
But it's a secret.
So you do know something.
I promised.
I said I wouldn't tell anyone.
He said it was a man's promise.
A man's promise...
You can't break it easily, then.
Promises should be kept.
It's important to keep promises.
But saving a life is also important.
Which is more important right now?
Saving him.
That's right.
Will you tell me?
They told me to pick one the day before yesterday, too.
I was climbing the tree when that man came.
Hey, what are you doing?
Don't run away!
Up to no good, weren't you?
What are you doing here?
Tell me.
My friends told me to get that akebi up there.
Oh, that, huh?
That's too high for a kid to climb.
If I don't get it, they'll tease me.
I see, so that's it.
Alright, go and get it.
What's that?
Did you think I'd help you?
That's why they tease you.
Go on.
Go for it!
Just a bit further.
Stretch!
- Ow ow ow... - Ouch...
- Are you okay? - Ow...
Sit up.
Oh, you did it!
You're all dirty.
Oh, I see something good.
Come over here.
Oh.
Lower your head.
How about it?
Feels good, right?
You did well.
Thank you, mister.
Nah, I didn't do anything.
You did it all by yourself.
But...
Don't say any more.
A kid like you might not know,
but I'm an actor.
I'm thought of as fearsome.
If it gets out that I helped a bullied kid,
it'll wreck my reputation.
So don't tell anyone.
You got the fruit yourself.
That's what happened.
Alright?
It's a man's promise.
He washed with water from this well?
It's quite warm.
It's like bathwater, isn't it?
That reminds me...
Hot spring?
The hot spring?
Has it mixed with the well water?
If the septic shock keeps progressing,
he'll have multiple organ failure.
It's too...
Are those blisters?
He went on location to a village in the mountains.
- Have you eaten any raw food? - No...
In the mountains,
water and seafood won't be infected with Vibrio vulnificus.
- It's Tamaru-sensei. - Give it to me.
It's Iwakura.
Have you found something?
I don't know if it helps,
but Dōjima-san and a local boy
used water from a well in the ruins.
- A well? - Yes.
The water has mixed with a hot spring, so it's lukewarm.
What in degrees?
Pardon?
The temperature of the well water.
I'd say about 20°C.
- Try tasting it. - Tasting it?
Quickly!
Salty.
It tastes salty.
Check if Dōjima-san has a history of liver disease.
Okay.
Excuse me.
Chronic hepatitis C.
The liver value was high in the blood tests, so it's certain.
Administer minocycline and ciprofloxacin immediately.
They don't do much for streptococci.
Are you sure about using them?
It doesn't make sense to administer them at this stage...
Dōjima-san's infection
isn't streptococcus or staphylococcus.
It isn't?
It's Vibrio vulnificus.
Vibrio vulnificus?!
Vibrio vulnificus...
It's found in coastal waters and ocean sludge.
It's a bacterium found widely in seafood.
But Dōjima-san didn't eat raw seafood,
and he was infected far from the sea.
That's why we dismissed it.
But there are mountainous places scattered throughout Japan
with the components of seawater.
Somewhere like that,
it wouldn't be impossible to find Vibrio vulnificus.
In a healthy person,
even if they touch contaminated water
it shouldn't cause problems.
But Dōjima-san has chronic hepatitis C.
For those taking steroid medication
for liver disease, asthma, etc.
or those taking iron medicine
for iron deficiency anaemia etc.
in rare cases it may be serious.
Dōjima-san's right arm
got a slight scratch he thought nothing of.
it contacted water contaminated by Vibrio vulnificus,
and became infected.
As he has blisters with the redness...
There's no doubt.
I'll prepare minocycline and ciprofloxacin immediately.
- Cipro, please. - Understood.
You're fine now.
You'll soon recover and be discharged.
Iwakura-sensei...
You saved me.
Ah...
I didn't save you.
The boy you helped at the haunted house
helped you back this time.
Him, huh?
The akebi kid.
He told the story, since it was to save you.
That's how we found the causative bacterium.
What the hell?
That kid's grown up a lot already.
Ah, also...
There's something else.
Hey, mister!
Shōta-kun's surgery was completed successfully.
I kept our man's promise.
I see.
You did well.
Oh~?
What?
Is this the real you?
The supposedly child-hating actor.
I don't really hate kids.
When I was a kid,
the men around were like thunder.
Children were nagged every day,
and scolded.
That's right.
Looking back as an adult,
you remember how much it taught you.
But these days, everyone
pretends not to see.
I feel sorry for the kids.
You're actually a good person, aren't you?
Hey, stop that!
Don't go ruining my image.
Okay.
Even so...
You noticed about him.
Because even if the gods lie,
these eyes of mine never lie.
Yep!
Ah...
I'm looking forward to your film.
Oh, hooray!
Mao
Congratulations, Mao.
It's your 12th birthday.
2 years have already passed since then.
Mao...
We'll always be together, forever.
Forever.
The cause is still unknown.
This wound...
You're remembering Mao-chan, aren't you?
If we don't do it we won't know the truth.
Why are you so upset?
Tachibana-sensei will operate?
She has to have surgery.
I'll do it.
I have to save Hikari-chan.
For Mao's sake, too.