The Great White Tower Chapter One
EngSub: ImageHaHa(Adapted from Tantanjuran) Spell Checked by Hinakun
Good Morning, everyone Good Morning
Hi Yanagihara Yes
Here's Patient's CT Scan and MRI, be prepared Yes
Coming in
Mr. Turukawa from Rm 2365
Slept well last night? Yes
All ready
Give me your hand please
Naniwa University- Faculty of Medicine and Hospital
Just like a festival
A group of people depends on people's lives for a living
Director, we are the same
Prepare for anesthesia Thanks
Thank you Mr. Turukawa, Do you hear me?
You will now be under general anesthesia Make a deep depth, please
Excuse me
Good Morning Good Morning
Just on time
Under the direction of the Medical Director
This equipment upgrade is really worth the money
(Prof Ugai-Internal Medicine, Faculty Head) Yes, other Med University couldn't match
Should show it off in today's press conference
(Naniwa University Hospital- Director) Of course!
I hope there should be no problems
Such an important surgery, if there is any mistake....
Don't worry Dr Zaizen, the doctor in charge, has good skills
(Professor Asuma - lst Surgery dept) Isn't it, professor Yes
It's time
Where is Dr Zaizen?
What? In the morning....
It is not the time to discuss
Fool! Go find him quick Yes
Is Dr Zaizen here?
I am looking for him too
Sorry
It's time, where is Zaizen
Sorry, already sent someone for him
First Surgery dept - Asst Prof Zaizen Goro
Ready? Yes
How's the patient
Blood pressure 100/60 Pulse 85
Condition Stable
It seems he has slept
Dr Zaizen, Prof Ugai is up there, Prof Asuma also...
Operation on esophageal carcinoma is now in progress
Due to patient's age, we should minimize the time required
Thanks everyone
Thank you
Scalpel
It hurts
How is it?
Sorry
Ms Kamiyama
Yes?
Where's Dr Zaizen?
Already in the operation room What?
(Chief Nursing Officer - Kamiyama Kimiko) How can one be late in such an important surgery
Important surgery?
You don't know?
Patient is Mr. Turukawa the Councilor
Oh
That's why the media was here early in the morning
Everyone in First Surgical Dept is nervous
It is unusual to operate on an incumbent Councilor
When the news was released His support was rising
Perhaps it is planned
Operation on esophageal cancer takes a long time
May be I come back later
First dept of Surgery intern - Yanagihara Hiroshi
Who's he?
You don't know him yet you talk to him!
He's First Internal Medicine's Dr Satomi Dr Zaizen's classmate
Classmate?
Professor has many students...
The operation would be finished if you don't go now
Internal Medicine - Asst Prof Satomi Shuji
Dr Satomi
Thank you You're welcome
Excuse me, everyone
Yes
Patients do not have seats
Sorry
Scissors
Forceps
Scissors
suction
Some water for you
Already extended to the main artery It is troublesome, doctor
How? Need to consult Cardiology?
No, just cut by small sections
Just follow the plan
Artery forceps
Tsukuda, clamp the artery in this angle
Yana, excuse me OK
Yes
Scalpel
Don't stretch!
Sorry
Tsukuda, What are you doing?
Quick!
Suction!
Huge blood loss, 400
Blood pressure descending 50
Prepare for blood transfusion Yes
Stop the bleeding
Wipe my goggle Yes
Tsukuda
Tsukuda!
Don't release before the blood vessel is repaired
If you miss, the patient will die
But you will not die, be calm
Blood transfusion ready We don't need it yet
It's OK now
Yes
Scalpel Yes
Marvelous
He has his way
Prof Asuma has such an outstanding successor It is amazing
you can retire next year
If so, I would be happy!
Are you not satisfied with Zaizen? No
He has great ambition
What is wrong with ambition?
Nowadays, young people are too complacent
It is not bad to have ambitious doctor once in a while
Perhaps he did this to make people like him
Let me listen to this
Thanks doctor
Deep breath
very good, one more time
OK, it's done
Thank you
Thank you.
Let me take down your goggle
Operation time: 4 hr 35 min
The Great White Tower - Chapter One
Internal Medicine - consultation room
Is it painful in this area?
It is painful around there
Here? Yes , it is there
OK
I was awaken by the pain last night
Doctor, can you start the treatment earlier?
I still need some more testing
Dr Satomi Why do you need so many testing?
Dr Ugai said she has a small tumor in the stomach
It would all be cleared after the surgery
It is not gastric cancer?
It is true that there is a small tumor
For safety reason, carry out the gastroscopy procedure will be better
It's necessary to test further
Please explain this surgery in detail
I am Asuma
Councilor Turukawa's operation was planned last month...
Excuse me, would Dr Zaizen, doctor in charge, explain to us
Zaizen, please answer this
Yes
I am Dr Zaizen As revealed to the public...
He has esophageal carcinoma
I will explain to you in detail later
Our surgical dept, under the guidance of Prof Asuma, has completed this surgery successfully
why the time is shorter than expected?
Please pass me the microphone
Please
It's because of the accurate action of Dr Zaizen, no other reason
This is the result of advanced medical skills
Dr Zaizen
Cancer cells are completely removed No sign of metastasis
I can assure you all ...
He will recover in 4 wks time
How is Councilor Turukawa's cancer condition
Cancer cells extends to the outer membrane...
Hey , what are you doing?
Have a nice day.
Come Kyoko hasn't arrived yet?
Is her car here?
Don't know What? You don't know
So noisy What are you arguing about?
It's a great event, you see
Oh
Oh I see your husband is on TV
Dad , don't make a fuss It is embarrassing
It is not a fuss don’t pretend you don't care
You should be proud of him
I can't wait to embrace my grandson
This is sexual harassment
Nothing called sexual harassment in gynecology
This will become the headline
Goro, you will be proud of yourself before the Professor
What you save this time is a great councilor
Papa What's the matter
It's shifted
Oh, the wig is not well placed
This is not important Call Goro quick!
Shall we meet tonight, Goro?
What, bleeding from the main artery?
At that time, I thought that was it
stupid
If that was messed up, it would be a great trouble.
I put it here Thank you.
I was nervous when I saw Dr Zaizen
Don’t brag, you have done nothing
Your performance is not bad today
Thank you Thank you
Sorry for that just then
Who is on duty tonight?
Mr. Kuroba
Tell him to note the blood pressure and lung capacity 48 hr after surgery
Got it
Also....
Take this to buy something to eat for everyone
This...
Is that so? No..
Just kidding
Thank you everyone Thank you.
Doctor, thank you
Excuse me ,doctor He is Internal Medicine's Takeuchi
We are of the same class
I am Takeuchi I brought the info for the coordinating meeting
Thank you.
He is Dr Zaizen
He is too famous to be unknown
First Dept of Surgery - Prof Asuma Teizo
First Dept of Surgery - Asst Prof Zaizen Goro
Hey, honey, I am in Dad's office
He is so happy
Give me the phone, give me...
Move, move
Hi Goro, I saw the TV
Under this situation, the prof's successor should be you
Pa, far from it
You don't need to be so humble
Come here quick after office hour
Sorry I have to go to dinner with the team
Oh, sorry about that
OK, o have a good relationship with the subordinates is also important too
Alright, I understand, just come tomorrow after office hour
I know. Yes Bye
(You have mail!)
I want to consult you on a patient Would you come over and look? Satomi
(mail deleted)
Dr Satomi, there is a seminar tomorrow morning Thank you.
Prof Ugai, have a minute?
This is the patient info
This is my patient
Your diagnosis is gastric cancer
Level of electrolyte is too high
so?
So besides gastric cancer, it is highly likely to be pancreatic cancer too
On the safe side, better to do the MRI and consult surgical
You're still having that bad habit
How can it be both when she is only in her thirties
It would be overreacted to do the MRI
Then how about the other 500 surgical outpatients
Better go ahead for the gastrectomy
and let the patient feel at ease
Thank you Thank you
Doctor, the info you need Thank you.
What are you going to do?
Nothing special
If it is pancreatic cancer , we have to act fast
I would consult surgical tomorrow
Please come along You will learn a lot
Then this will be in conflict with Prof Ugai's view
Had to compete with time when it comes to pancreatic cancer
Too many worries will just delay the treatment
Is you!
Why?
Are you going to do the operation today?
Only diagnosing is meaningless
I know
Today's operation seems interesting
only it seems too much overboard
Not good? I like it.
Too much in front of the media better not to be rejected by the Medical society
That is the worry only for the incompetent
Goro...
Prof Asuma from 1st surgical will begin the morning round
Thanks, professor
Prof Asuma's morning round
Is it alright? The doctor is coming
Prof Asuma is coming to you for the morning round
(Naniwa First Surgical dept's young authority)
Just lie down It doesn't matter
Professor Asuma Thank you.
Good Morning
You look great!
Surgery after 5 days
Abdominal condition normal
According to the test reports, you will recover in no time
Get well soon Thank you.
Good Morning How do you feel?
It's already 10 days after surgery
Blood sugar is around 150
Any sign of infection to the gall bladder?
No
Then just do as you planned
Don't worry
How do you feel?
Misdiagnosis from former hospital delaying the time for treatment
It's already removed after last week's surgery
Noticing a delayed treatment from former hospital doesn’t mean you get the credit
Anyone can tell from a detailed gastroscopy
It's only the former hospital's personnel failed to notice
Everybody should remember this
Good results, don't worry
Yesterday Councilor's operation was too reckless
Reckless?
You think it is too reckless?
Surgery is no marathon
It is not only the speed that matters
Should consider the patient's age and strength and proceed carefully
and you even makes guarantee in front of the media
Only police would do that
It was because once it is closed, it will delay treatment or it cannot be removed completely
that is why I have to hurry
Are you rebuking me?
No
Don't be over-confident on your medical skills
Sorry
Doctor
What? Go quick!
It was first diagnosed as gastric cancer
It can not be confirmed like this
The possibility of pancreatic cancer is high
Would you look at her?
May be tomorrow
Today I have to take care the media interview and VIP patients
I understand
How's that?
Nothing
Are you alright? Why do you ask?
Nothing in particular
Ah, I would not take it to the heart
When you are old aged, you becomes jealous
He will retire in 6 months May be I need to learn more
I see! See you later
(Naniwa University First dept of surgery's emerging surgical authority)
You are back! Papa
I am back
Your Mom is not home?
She went to the association
You seemed to be very tired
I shall retire next year of course I am tired
Would you get married before I retire?
Taking on that issue again?
You are graduating next year Anyone good in your mind?
Dad, I want to tell you something
My marriage partner will not be anyone in the world of Papa and grandpa’s
If I really need someone in Medical profession Then I just prefer a general practitioner
General practitioner?
State University Prof's daughter marries a general practitioner?
I would never agree to that
Medical world is advancing so rapidly
If you are not researching in an University You could not survive
Pa, if you fight for power and lose yourself
I would rather just keep what I have now
I think our late brother would feel the same
Sorry, I should not mention our late brother
Mom, you are back!
Doctor wives' association meeting adjourned?
What are you doing?
I lose face today
Why is your face cut in half in today's magazine while Zaizen is in the front middle
Recently, everyone is gossiping that Zaizen is the head of Naniwa but not you
It is because you are too slack off
I have to go
Why do you act like that?
You are going to retire
You need to gather more political muscle
and you let Zaizen get to the front Don't know what you are thinking
Singing:" Use oars to check water's depth...
That is the fisherman's idea..."
Sorry, I am late You're here, Goro
Come... Sit and eat
Welcome Why are you still sitting here, go quick
Thank you
It's good Thank you
How are you recently? I am just a hospital employee
Don’t mention it
Young and growing authority on esophagus surgery
It was heard that Papa had good business
Just so-so
Birth rate is decreasing Obstetrics is not going to survive
Business is a bit slow
Not many people in the waiting room
You have more nurses than patients Sorry
When doctors are over supplied Doctor should not only concern about ethics
Mathematics is also important
Doctor need to know Mathematics?
I think your calculations will not be bad
After this surgery, you should be able to secure the professor chair
I doubt....
Expertise is not a problem Only the personal relationship is the concern
Of course
If expertise can solve everything then there will be nothing difficult
How to overcome this depends on you
That is why I treasured you in the beginning to allow you to be married into this family
and now you said expertise is not a problem but relationship...
why hesitate?
Anyway, I wish you can get to the professor chair of Naniwa University
Not only I can get famous because of you
and all those insults and shame will be gone
You know, when you have money, you want prestige
Prestige is the ultimate goal
When you get the prestige, money will follow
money can generate money only
Take this
To be a professor, this is indispensable
But this is so expensive...
You will earn this back anyway
Invest the money on you as a blue chip is really worth the money
Don't stand on ceremony, take it
I will not disappoint you
That is Zaizen Goro!
my good son-in-law
Thank you Papa Drink please
I appreciate that you come amid your busy schedule
Don't say that We are all busy
Any worries?
Nothing special
Something concerning the selection of my successor
that troubles me a little bit
I wondered when you mentioned about the ambition of Zaizen
That man has a strange desire
I felt that his ethics doesn't measure up to be a Professor
You can blame me of not understanding him enough
before selecting him to be Asst Prof
It is convenient to have such a competent assistant
Unlike my Dr Satomi, just has ideals
Ideal is the mother of ambition
Ambition will change a person
Then why not select someone else?
In that case, that person would just follow your policy after you retire
I haven't decided
Welcome! Escort captain
Such a good combination today!
Why so late?
I light for you
What are you discussing? Seems interesting
May I join you?
Welcome!
I take this for you
Welcome!
How are you? Nice to meet you.
I am Zaizen Mataichi
I run a clinic in Dojima
Please
You are a doctor also!
Only a small clinic
Cannot compare to State University Medical Dept
Today, all famous doctors are here
Have to celebrate it a bit
Asami Yes?
What a beautiful Captain
That is why it's a venue for State University professors
You are lucky to have such a talented son-in-law
Goro is a good son
I love him more than my daughter
Excuse me It is from hospital I have to go
Hi
Goro
Don't blame me for saying too much
Do you know what they are talking?
No
You may not be the professor's successor
And then?
It seems Professor Asuma has some prejudice on you
Medical doctors are strange just as I said
Who can be the professor besides me?
So aggressive You really want to be the professor
I worked so hard for that old man
Not only on research grant applications...
or reading research papers..
I take care everything for him
Promoted me to Asst Professor but not Professor? No way
That is true
Perhaps people think Asst Prof and Prof are the same
but authority-wise there is a big gap
Just like Director and Asst Director
No, should be Director and Secretary
I am going to hang up
You have good luck recently You better be careful
Where is the good luck?
Over-confidence would ruin your future
Want to climb higher One has to be more cautious
Both of you should know this
Zaizen Goro comes from a single parent family
His father died when he was young He depends on scholarship to go to Naniwa University
We worked together I agreed to married him into my family
Frankly, I don't think he can achieve so much
Dad, don't say it anymore
State university is a venue for fair competition
Not money, not power but your own strength
Yes May be I lost my words
Perhaps this is the view of a small practitioner
I thought Power is everything
Nothing like that
Just because of that Prof Asuma puts me to Asst Prof
You have to thank him
If you are my parents for next life...
Prof Asuma would be my father in my medical career
Everybody is here Let's toast
Good Please
I'll come over tomorrow at 10:30 am
May I ...
I am not having cancer?
For your concern, I ask the Surgical Dept to see you tomorrow
Surgical dept?, sounds scary
I've found a most trustworthy surgeon for you
May I...
Have a second?
What?
Concerning Ms Nishi's sickness..
just treat it as I haven't asked
What? I don't want to be in conflict with Prof Ugai
This is not a problem of conflict It is a matter of ...
Excuse me, I have to go
Hey, Takeuchi.
You are back! Not slept yet?
Haven't eaten? yep
Fever on Yoshito seems dies down
He can attend the athletic meet
But he doesn't want to go
Tell him tomorrow I 'll take him this Sunday
Is it good to promise him so quick?
Don't force yourself I'll videotape it
Drink
You drink too
Hi Mom How are you? Goro?
I have sent the money for this month Thank you
I will be promoted to Professorship next year
Until that time, you need not be so tired you'll come and live with me
Don't worry about me Living with you just give you a burden
No one will say anything when I am the Professor
Goro, don't push too hard
I am very satisfied when you became a doctor
I am not working hard only for Mom
I am working for myself
I wanted to test my own strength
Saeko
This dress is for the Medical Association
After school, send this to Dad in the hospital
Me?
What's wrong It is so near your school.
I don't want to go to hospital If I saw Dr Zaizen,
I am not sure that I can behave
Thank you
I am leaving Be careful
This may bring troubles to miss nurse
That's correct Pancreatic cancer
You think so too?
Gastric carcinoma alone will not be like this
Amazing, you can discover this
Are you 100% sure?
This is rare
Even if you don't ask me I want to have the patient
Let me see the patient
Thanks
But... What?
I haven't told her the cancer yet
The patient is very afraid of surgery
Please tell her in an indirect and smooth way I know
Is it painful here? Yes
It's alright Please sit up slowly
Doctor...
I would explain it now
You have cancer
It is an early stage stomach cancer but at the same time pancreas has cancer too
Doctor..
It's good It's good?
It's good that it's discovered early
If it's too late, it may be inoperable for pancreatic cancer
You are lucky
Need operation? Are you going to cut my tummy
If it is cancer, it has to be removed
Is it Dangerous? My wife can be saved?
Mom...
Don't worry if I operate on you You'll be fine after operation
You can remove it?
Yes
Don't worry I can guarantee you'll be saved
Thank you Thank you
Hey Zaizen
Why do you do that?
You promised to do it indirectly
Yes, I do it with smooth heart
You call that 'smooth'?
Zaizen
Is that you get this rare case that you lose yourself?
This is really a rare case I don't want the other doctor has it
But Satomi, cancer is cancer It has to be removed
Nothing to hide
That is the view of surgeons
You cannot just remove bad cell to make people live
If you do not care about the hurt inside
Is this really a treatment?
and...
and what?
Why do you say she'll be alright after operation?
It may have already spread Is it too irresponsible to say this?
Very unlikely to have spread
Would a patient give herself to a doctor without confidence?
The patient accepted the fact after my explanation
She has the courage to receive the operation, isn't she?
To tell patients about medical theories..
you had better tell them 'it is alright' to make them worry-free.
Excuse me
Doctor is not God
They are human beings just like patients
Don't use those childish theories
What is most important now is the treatment
I'll inform you When I have the operation room arranged
Ms Nishi.. Nishi
Too many outpatients, I can't recall
The one you thought having gastric cancer
but I think she has pancreatic cancer too
you are still on that patient? Yes
Because it is highly probable to be pancreatic cancer I have consulted surgical
Are you done yet?
Not because I doubt you She must be gastric cancer
Impossible to be pancreatic cancer for that age
You cannot over-generalize that
In most recent 5 yrs, there are 8 cases..
so?
What you want to say is there are flaws in my practice
That is not the issue
Enough! I don't have time for your absurd theory
Carry out the gastrectomy quick
Waste so much time for one patient How can our University survive
Handle this case quick
then you can take care all these patients
I am Dept Head Ugai
It makes me difficult...
Take the CT for Mr. Oki
Dr Satomi, excuse me Please sign here
Dr Satomi
Schedule change for the Operation room?
Yes, there is an emergency surgical patient
Hope you can change the schedule
What surgery?
Gastric carcinoma and some unidentified shadow
not VIP patient, no referral
It will not bring trouble to Prof
If there is enough man power, I have no comment
All personnel concern agreed
Then why ask me?
You cannot say that
All surgery should be approved by Prof Asuma
What's matter, why so humble suddenly
You do not value my opinion
The young Esophageal surgical authority
you over praise me
I have a lot to learn from you 'Authority' is not referring to me
Even you said no In the magazine interviews last time
It was written " Young authority"
I'm sorry Didn't know why they wrote that
You don't need to apologize to me
You do nothing wrong you don't need to apologize
I talked too much
It's because I over spoken that they wrote that
I felt guilty
So easy to make apology
It seems there is no place for me
I'm really sorry
I acknowledge the schedule change
Be careful Don't make mistake
Don't forget you are the Professor's successor
I understand
Watch out!
Thank you This is the ball
Thank you
Good One more time
you are good
Sorry
make a better kick!
Good
don't use hands
Good
hold this!
All gone!
Goro, Come and entertain me!
Date for the surgery is fixed
I will give you the necessary info later
Thank you
Just relate the mis-diagnosis to her first doctor
I will
I'll tell Prof Ugai on the day of surgery
Prof Ugai?
The mis-diagnosing doctor is Professor Ugai?
What?
That's bad
What?
I'm sorry Let someone does it
I will not do the surgery
Wait
You just said that is a rare case You will take it even I don't ask
Yes, I have said so
But antagonistic to Prof Ugai will bring troubles
Is that because Prof Ugai is the faculty head?
You don't want to affect your future and refuse the case?
I am not that cheap
I just don't want to make Prof loses face
Then Prof Asuma will give me something to hear
It would be trouble later here in the State University
As a doctor, your responsibility is to save patient regardless?
Doctor is not God
Doctor is human