Prof Zaizen begins the morning round
Rewrite the medical records?
Just restatement of facts
We don't call that facts
This is forgery
You want to run away to avoid
If you don't want to help Mrs. Sasaki to reveal the truth..
You are despicable
You only need to repeat what you've just said in court
then you can save the victim's family
I am willing to testify
Today, I shall not only to review the written records..
I need to see all related records like x-rays
(Suspected to have been spread)
Goro..
Sorry to disturb you early in the morning
Want to ask you a favor
Prof Zaizen
Please comment
Is it true that you misdiagnose?
What do you feel to be involved in lawsuit when just become a Professor
The family said that you killed the patient
Stop here
No authorized entry here
Excuse us, excuse us
Prof Zaizen
Dr, you know how much you would affect the University by what you did
I will not change my mind
Oh.. Honey
Let the guest in
I just try my best to patient
You may relieve your burden through going to testify
But your deeds would affect the doctors and patients of the University
Please leave
Your wife knows this?
This incident would affect your family
Please leave
Alright, I would leave for now
But, please consider it carefully
I would come to visit you again
Honey
Don't worry
What?
Who is the plaintiff's lawyer
Mr. Sekiguchi for whom I am working now
What? Saeko
Mr. Sekiguchi is an experienced medical malpractice lawyer
This time he accepts the case
How can you help him to sue the University
Though Zaizen Goro is a bit arrogant
Resign from your job immediately
I am the former Professor of the University
and my daughter is now suing my successor
Though this is incidental
No one will forgive this
This is not incidental
I joined him because I know he specialized in medical malpractice
Because I want to understand the doctor profession
I think it is fate that I involved in Zaizen's case
I would stay until the end of the case
You cannot do that
Medical malpractice lawsuits are not as simple as you think
The consequence of this...
would lead to un-repairable effects
and that would hurt you
I don't care
I just want to understand more the profession my dad devoted his life
Forgive me
What is the matter?
Returned again?
It was intended to be distributed during PTA meeting
But one of them is a doctor of the University
They said "It would have poison inside"
It is not easy to reopen the shop
It is the seed you planted yourself, isn't it?
I don't know what you have said to the lawyer
Do you love money that much?
You want to get a large sum by this?
No
Not for money, I only want to help Youhei
Don't think people would understand you
A lunch box shop involved in disputes
No one would order from it
All these cancellations are good evidence
Sorry to surprise you all
When lawsuit is launched, you have to prepared to change your lifestyle
Mrs. Sasaki
Do you really want to show the truth by lawsuits?
After documents exchange, then comes the witnesses cross-examination
Then it is the key part
Cross-examination?
Besides Prof Zaizen
You have to go to court as plaintiff too
After cross-examinations of witnesses
Specialists would testify
This we call expert witness
Then the judge will decide
But...
Anyone is willing to testify for father?
I intend to ask prof Ookouichi
Dr Satomi is willing too
Dr Satomi is willing?
Why so late?
Good morning
You still have the mood?
It is the same as usual, isn't it?
I become a defendant
Even though, our relationship remains the same
You try every means to hurt me and remains high sounding as this
Are you going to testify?
I do not intend to hurt you, just state the facts
Don't be that high sounding
You are on the side of the patient against me
I wish you can be a good doctor
I don't understand what you are saying
you acted different from what you said
I would let you know in court
Great White Tower - Chapter 14
Stand please
(First witness cross-examination)
The court is now open
Witness cross-examination
Are all witnesses ready?
Yes
Please come forward
Doctor, thank you for coming
Please take your oath
After the oath, if you say something untrue
You will be prosecuted
Please testify honestly
Yes
During the period Prof Zaizen left for international conference
You are the one in charge of the treatment
What is the last time you saw Sasaki Youhei
January 19 evening
after being informed by Dr Yanagihara
Please describe the situation then
Mr. Sasaki is well now?
Difficulty in breathing
Cannot reach the desired oxygen saturation
Even after the intubations
normal breathing cannot be restored
Until 22nd, cardiac arrest
Resuscitation was then administered
But it was no use
23rd, pronounced dead
27th day after the surgery that things deteriorated
What do you think is the cause?
Dr Zaizen's surgery is successful
He has confirmed and re-confirmed that there was spread in lymph nodes
It is fate
that the situation deteriorated
I know now
The hospital has tried its best to save him to no avail, right?
Yes
Cannot save him
I have no further questions
Any questions from plaintiff attorney? Yes
I want to ask..
What you have just said concerning Mr. Sasaki
When did you know his situation?
It was..
What should I do?
Inflammation after surgery
when Dr Yanagihara asked me what to do
Please state the exact time and date
I remembered it was January 8 evening
January 8
That is one day before Prof Zaizen left for international conference?
Yes
That is to say, Dr Zaizen knew the situation before he left
Did you examine the patient?
No
Knowing his own patient's situation deteriorated that he did not examine him?
Prof Zaizen was busy preparing for the conference
Dr Yanagihara thought it was infection after surgery
Prof Zaizen told him to use antibiotics
Such instruction is totally correct
Is the antibiotics effective?
Once the fever was subsided, but it came back the day after
Effective or not?
No
You followed Zaizen's instruction but the result was not effective
Why?
This...
The result showed that it was not infection after surgery
That is to say..
Dr Zaizen misdiagnosed
Under that situation, anyone would diagnose it as infection after surgery
But Zaizen did not examine the patient before leaving
Without examination and gave instruction..
Let us think this would lead to Sasaki's death
This is a hypothetical guess
I object
I and Dr Zaizen have already tried our best
We have not ignored anything
Just blame the doctor by the results
Then no one can administer treatment
You cannot do things only by passion
Is the case for Naniwa University here?
Thank you
Are you someone from Zaizen's side?
No, I am Zaizen Goro's....
What did you say?
You are the family member of Zaizen Goro?
Excuse me, how are you?
Let go to the other side
Please answer this as autopsy doctor
The reason of death is not infection after surgery..
but due to problem of lymph node in lung
That is to say, cancer cells in lung
Is it primary or secondary?
The cells discovered in lung
consists of cells of oesophagus
It should be secondary
According to the result, when would be the spreading began
It should much earlier
About how early
It is difficult to state the exact time
Judging from the results
It should have been spread well before the surgery, this is for sure
So he was operated when the cancer cells have been spread
Is it not he should not be operated under the metastatic condition
When spreading is confirmed
Treatment other than surgery should be employed
Thank you
No further questions
Any questions from defense attorney?
The main focus is : whether it has been spreaded"
and "Is surgery needed?"
These should be the clinical judgments of the doctors
So I cannot agree with the opinion of the doctor doing the autopsy
I have no further question
To the point
Let me ask
As an autopsy doctor, who do you think the treatment given by Dr Zaizen
What do you think
In this situation, the spreading was occurred well before the surgery
This is not disputable
But he operated on the patient
It showed that he did not consider the spreading cause
But if Dr Zaizen ignored the examination before surgery
without considering the possibility of spreading
and did the surgery right away...
Then he was negligent as a doctor
I have to say he lacked the awareness of a doctor
How come?
Thank you
Not really
Something that should not be disclosed to media
It looks serious
No one dare to sue such a top notch University as Naniwa
May I ask..
Oh
Your relationship with Zaizen Goro?
We are colleagues in work
Oh
May I ask..
It says here "misdiagnosis..
causing patient's death"
Is this true?
I am afraid the truth would be disclosed later
If Goro really misdiagnosed
His family should apology to patient
What did Dr Zaizen say?
He said "don't worry" in the phone
This child would not jeopardize people's life
He was obedient since young
When I had influenza, he took me to hospital on his back
He said " I shall be a doctor when I grow up"
"to save patient"
He studied till midnight everyday
He would not lie
Prof Zaizen
What do you think about witness's testimony
especially on that sentence " lack the awareness of a doctor"
Please say something , Prof Zaizen
Prof...
What do you feel?
Really
If Prof Ookouichi testifies, it is no good to Zaizen
Doctors are trying their best to defend
Feels like two to nothing in a game
He said something like " lack the awareness of a doctor"
Don't know what the judge would think after hearing that
Don't say anything, Papa
The lawsuit has just started, isn't it? Mr. Kunihira
Not optimistic
but no pessimism either
really?
This is the first cross-examination
Next would be Dr Yanagihara and Mrs. Sasaki
Plaintiff is an outsider
we can grasp any opportunity to turn the table
Go directly into Zaizen's cross-examination
Dr Zaizen and who?
Asst Prof Satomi, internal medicine
How come? Not only Prof Ookouichi, but him?
Naniwa's internal me
Satomi said he would say the truth
Would this just against Goro
You can say so
How come
You are not angry
Be calm
Have to think how to react to his testimony
We have to depend on the testimony of Yanagihara
Don't worry
He listens to me
that is good
Dr Yanagihara seemed
losing confidence
someone without confidence is deceitful
Anyhow, deceit is deceit
To destroy him is easier than smashing an ant
Refer him as an ant?
Let's do this to Satomi
We cannot be destroyed by an ant
There are still ways
Prof Ugai, you have to help
Mr. Kunihira, Mr. Iwada
Goro did not accomplish anything yet since becoming a professor
Please help him to get over this
Thank you
Today's cross-examinations were alright
Thank you
But we should be careful
Next time, Dr Yanagihara's testimony should be on our side
You mean he will not say the truth?
So you have to say the facts
But..
I don't know whether I dare to say it in the court
You cannot be timid now
Don't worry
No meetings and no recitation needed
Just calm down to answer question honestly
May be I am too naive
Just sue without considering any consequence
Please come in
Thank you
Come in please
Sorry I'm late
Dr Satomi
Dr Satomi is willing to testimony as the third witness
Thank you doctor
Really thanks
I just say the facts as a doctor
Just because no one was willing to say the truth made us suffer
Your turn next time
Yes
Why so depressed?
No, just nervous as this is the first time
Let us organize
Two goals for this court appearance
Correctness of surgical procedure
Care after surgery
Yes
For the second point, just said we have tried our best
For the first one
When asked why surgery as spreading was suspected
How would you answer
This...
Don't discover any sign of spreading
No shadow during examination
No, "Don't discover shadow" is a lie
There was a shadow
After consideration, it was taken as infection
No one consider that was a spreading
There is a shadow
Is it a sign of spreading?
I said it was an infection
The shadowed discovered before surgery may be spreading...
How many time do I need to repeat myself
According to my judgment, it was not infection that hurt Mr. Sasaki
It should be related to the shadow discovered earlier
I...
What?
The shadow in the lung was not considered as spreading
Is this a lie?
Then
Nothing
Even I say as you've instructed
But Dr Satomi knew what had happened
If he spoke that
Anything would be revealed
You are right
So I have to discuss with you now
Who is to blame for this lawsuit
It is all you
You were not convincing when giving explanation to the family
and let them suspect the reason of death
Then you told Dr Satomi
Then caused the autopsy by Prof Ookouichi
Sorry
I have said before
I valued you
We both use scholarship to finish medical school
If you can graduate..
You know how happy will be your parents
Work hard, Yanagihara
For your future
When testifying, remember my words
Alright
alright, no problem
Go to school
Be careful not to be hurt during PE lesson
Yes
Go to school now
Be careful
More and more healthy
Honey
I...
The bulb
Bulb?
Too high, would you please replace it?
Sorry I don't notice it
What?
Please don't testify
It is the first time a doctor testify for patient's family
Therefore I should go
There should be someone who tells the truth
Why it should be you
I have to be responsible for Mr. Sasaki
Then are you responsible to me and our son
You will be fired after the testimony
No, it would not
It would be too late if it would
Honey
What is your reason of doing research so hard
Is it not for the patients?
All these would be in vain if you testify
No, it would not
Alright
It would
So..
I endure no matter you hard you work
I restrain myself from talking to you
in a wish not to disturb you
Only for this
But now you are going to leave the University for this
My suffering would be in vain
I hope to continue the research
and wish to be accepted by everyone
But to say the truth
and don't let Mr. Sasaki's sacrifice in vain
that is the only thing I could do
I hope the University could understand
You mean you have to resign?
The professional world is small
No hospital would employ a doctor acted against Naniwa
In previous case, any doctor involved in this situation
would have no place to go
but resign
This is lawsuit
It would change the whole life of a person
Want to stop him?
It would be a headache if he won't come
If Dr Satomi does not testify, this lawsuit would end
Dr Satomi has family
Is it good to involve him?
I am involved too
I wanted to give up..
but..
I come to see what I can help
When I talked to Dr Satomi, I decided to take this case
You are the same, Aren't you?
Willing to help in this lawsuit
Would it be a quarrel with your retired father?
yes..
But now you are here
Is this out of your own will?
yes
No matter who, he will come
No matter what happens, he will continue to be a doctor
I trust him
yes
Dr Yanagihara
Still hesitating?
Go home and rest, you have to testify earlier tomorrow
Is it alright?
to change the record?
and make false testimony?
Lying is no good
Have to lie if want to stay here
May be I could see only Zaizen's good points before
If you suffered so much
then just spit out the truth
In fact, you have discovered the spreading long long ago
and you suggested Dr Zaizen to examine him
But Zaizen insisted on surgery
and the patient died because of this
If you were relocated because of this
I would accompany you
I want to stay here
I want to be a doctor
Thank you
Come here
Stand please
Now the second session for witness cross examination
Witness and plaintiff please come forward
Thank you
What is the result of the research?
It needs to start from DNA
to show the medication able to suppress cancer
Great, really the work of a award scholar
What's the matter?
Today is the day for Zaizen's case
I need to talk with the lawyer
Can you treat me in the afternoon?
alright
Thank you
Oh, there is another thing
Next time, there is a conference in Miami on cancer research
Are you interested?
Department of Health will send observer too
If you can publish your article in this conference
it surely will help to extend your work
Thank you
Then take your wife with you
and get a good rest for a good
Sorry, but that day..
I know
You need to testify for the patient's family
That is why I recommend you
If you don't want to go that is alright too
Then you are not able to carry out research in Japan anymore
An irrelevant person and a once in a life time chance, whichever is more important?
Think it careful
I have said what I wanted to say
I am leaving
Thank you
There is a shadow
When you saw the shadow, did you suspect it was a spreading?
No
You found a shadow but no suspicion
Not completely out of suspicion
But after consideration discussion, we thought that it was because of infection
Was that the judgment of Zaizen Goro?
No
Mr. Sasaki was a smoker, 30 cigarettes a day
Got pneumonia half a year ago
That was my
Would anyone other than you consider that shadow was from infection?
Is that so
May I submit evidence B1, page 13
Please
This is a copy of Mr. Sasaki's medical record
Please read this
The content has been changed
Did you remember the original wording?
No
you forgot what you wrote?
I couldn't remember
Now may I present evidence A1 no. 13
That is a photo for the place corrected
Please read what was written
Please read
Suspected to have been spreaded
Please continue
Need further examination
Was that written by you?
Yes
That means you have suspected the spreading
Because you were suspicious, therefore you wrote this
No further questions
I wanted to ask some more
Dr Yanagihara
What did you use to write?
Ball pen or pen
Ball pen or ink
Would you have made a mistake?
Sometimes
That is normal
Doctor is just a normal person
What did you do what you made a mistake?
Correct it
Please describe it clearly
Use correcting fluid
Were you doing the same thing when writing Mr. Sasaki's record?
Yes
Because you made a mistake therefore you correct it
Made a mistake therefore corrected it
No further questions
I wanted to ask something too
It would not take long
Just one question
Mr. Yanagihara
You said you made a mistake therefore you corrected it
Therefore you were not forging the record
Yes
This is a serious question
It would affect both the plaintiff and the defense
but also dictates who should take the responsibility
Please answer this clearly
Please answer
Have you changed the record?
As a doctor
As a human
Please answer this honestly