Write your resignation letter.
I'll sort out your mess in return for your severance payment of 10 million yen.
Extorting money from his coworkers and forcing them to resign,
the demon of the operating room: Tokai Seishiro.
Tojo University Hospital surgeon Tokai Seishiro
Now he's my preceptor.
Tojo University Hospital resident Sera Masashi
I work as a medical resident here,
at Tojo University Hospital,
where heart surgeon Dr Saeki
Tojo University Hospital Professor of Surgery Saeki Seigo
uses the Saeki method to perform mitral valve surgery without stopping the heart.
No one in the world can match his level of surgical skill.
Competing with Dr Saeki to raise his impact factor and become chair of the Society
is Dr Nishizaki of Teika University.
Teika University Professor of Surgery Nishizaki Keisuke
He sent his apprentice, Dr Takashina, with the latest medical device:
Tojo University Hospital new lecturer Takashina Gonta
the SNIPE.
We no longer need the “hands of god”.
And the first SNIPE operation in Japan
was performed on a patient under my responsibility.
Will this device replace human skill?
The SNIPE operation testing that idea was a great success.
But after that, the patient's condition suddenly changed.
Dr Takashina was at his wit's end.
Damn it.
And that's when Dr Tokai appeared.
So please, save her! I'm begging you!
Dr Tokai demanded compensation in return for saving her.
One hundred million.
Spend your whole life working here for me.
If it wasn't for Dr Tokai,
Mrs Minagawa would definitely have died.
I couldn't do anything.
I could have killed
my own patient.
I mean, what's with that SNIPE? - In the end, it's just a toy.
Because of what happened after the SNIPE operation,
Dr Takashina's position at Tojo University
has fallen by a huge margin.
If the patient had died like that,
Tojo University's reputation would have been damaged.
What a mess. Why did he even come here?
Well, he's not a doctor, he's a go-between for the SNIPE's manufacturer.
Yeah, that's right.
Move.
Excuse me.
You're so loud that I can't sleep.
Oh...
I assume you doctors can all do mitral valve surgery, right?
That go-between's surgery was a success, by the way.
What are you doing?
I'm not going to thank you.
Let me sleep.
The paper on Mrs Minagawa's SNIPE operation
was postponed instead of being published.
That had a big effect
on the impact factor contest too.
Thanks to Takashina, they couldn't get
the impact factor they wanted, either.
Oh, well.
At least the first SNIPE operation in Japan was a great success.
After this, there will be more cases in Japan,
and we can submit a more complete paper instead.
There's also the Society chair selection to consider.
I think this way is more reliable.
What we need most is
a high impact factor.
It's strange, the world of doctors.
Oh? - For patients,
a good doctor is one who can cure their disease.
But for doctors,
a good doctor is one who writes papers.
Why did you choose this restaurant?
Because it has a Michelin star.
Ha, so it's the same thing.
This restaurant's value is decided based on other people's criteria.
Everyone is constantly uneasy, wanting to be valued like that.
That world probably looks ridiculous from the outside.
Even so, doctors all want a good impact factor,
struggling for it with bloodshot eyes.
Because a doctor's value, future,
career, everything is based on it.
And the Society chair position too, perhaps?
Oh! You surprised me. - Oh!
I'm sorry. - No, no.
Here are today's shift handover reports.
Right, thank you. - Excuse me.
You're still practicing this late?
"Everything is practice."
Pele said that. - Pele?
Ah, he's the god of football.
Pele. - Oh...
Ah... - Sorry about that.
Excuse me.
I was frustrated.
I hated myself for not being able to do anything.
Ah...
I want to put Dr Tokai to shame.
I'm working hard to succeed on my own, too.
Thanks for your hard work. - Thanks for your hard work.
Okay.
Yes. - We have an emergency patient transfer from Sakuranomiya Hospital.
A male patient in his 60s. He had an abdominal aneurysm rupture.
We believe he needs emergency abdominal surgery.
He also has mitral valve disease and was scheduled for surgery next month.
We're taking him to operating room 1. - Okay, understood.
I'll tell Dr Tokai right away.
Dr Tokai!
The heart surgery team on duty have been contacted. -Okay, bring him in.
Dr Tokai!
Huh?
Hang in there, dear.
We're taking over. - Thank you.
Oh no...
Where is he?
Here he is. - Ready.
One, two, three. - I'll take his glasses.
Damn it.
I can't find Dr Tokai. Do I have to do it myself?
Stay calm. You know what to do.
You've practiced this over and over.
If there's not too much blood, divide the renal vein,
then clamp below the renal artery.
Next, you have to clamp it properly below the abdominal aorta.
Then... then...
It's impossible.
There's no way I can do it.
Spatula.
Gauze. - What are you doing?
Hurry up, bring more gauze. - Sorry.
Quickly.
Yes, sir!
Operation in progress
They're operating at this time of night?
An emergency patient came into cardiac surgery.
Dr Tokai is operating.
Suction. - Yes, sir.
Do it properly. - Yes, sorry.
All the way in. - Yes, excuse me. - Scissors.
Okay, I'm done with the right blood vessel prosthesis. Next, the left one.
4-0. - Here.
I'm finished. - What?
Doctor, you haven't sutured the left side.
Do it yourself.
What? - "Everything is practice."
Don't you want to be like Pele?
Well... - An athlete from so long ago.
You've never heard of him, have you? - No, um...
That's... - Do it!
Don't you want to shame me? - No, that's not it.
Dr Sera... - Is it okay for a resident to do this?
Are you questioning my orders? - No, I'm sorry.
Okay.
Stay calm. It's just stitches.
You've practiced this plenty of times.
Gauze, gauze. - If we can't stop the bleeding, she'll die!
Okay.
Scissors, please.
Here.
I did it.
Dr Tokai. - Remove the pean.
Yes, sir.
Ah!
Bring more gauze. - Right away.
Give that back.
So you've killed one person.
Oh, sorry.
Is this the second one?
Move.
The way you treat your patients' lives...
Oh, you were watching?
Why didn't you do it, then?
Here's my resident's report.
Thank you. - Thanks for your hard work.
Change of residency application form...
Oh, Dr Sera.
Could you come with me?
Mr Koyama says he's leaving the hospital. - Okay.
I know that! - Excuse me.
Doctor, he says he's leaving! He won't listen to me!
I lost a big client because I collapsed.
If I stay here, my factory will be ruined. - Please calm down.
It's fine, I won't do anything stupid. - Leaving now would be stupid!
I don't really get it, but they said my something-valve is bad.
But I'm perfectly well now.
You were treated for a different part of your body,
and you need one more operation to cure you properly.
As soon as possible. - I don't have time for an operation.
We're getting close to a deadline. Please let me leave the hospital.
Like I said, that's... - Go ahead.
Is it okay? - Dr Tokai!
But if you leave now, you'll die before that deadline anyway.
Having said that, even if you stay here,
you'll be dead in a month.
Then what should we do? Will the surgery cure him?
We won't know until we try. - You won't know until you try!?
Surgery is a gamble.
In the end, it's like two sides of a coin.
Heads or tails, life...
or death.
We won't know until we try.
Oh. If you still want to leave the hospital,
please tell him.
And so his aortic valvuloplasty is planned for this weekend.
That's all of the case reports. Is there anything else?
If not... - Uh, um...
What is it?
About Mr Koyama Kaneto in room 403, who was brought in as an emergency patient recently.
Oh, that patient who needs mitral surgery?
Yes. Earlier, he and his family
officially requested surgery for him.
As you know, Dr Saeki's surgery schedule is full for the next two months.
We're in the process of coordinating things for that patient still.
Yes, sir.
When will that coordination be finished?
That patient could die tomorrow,
so there's no time for "coordination", is there?
Why can't Dr Saeki operate on him right away?
Don't be so disrespectful. There are a lot of patients like this one.
We can't give one person special treatment.
But as a hospital,
we can't stand idly by while a patient dies, either.
It's a problem, isn't it?
Then could I take that patient?
"Take"? - I'd like to do a SNIPE operation.
A SNIPE operation? - The patient is dying.
Even though you can't use it properly, you want to operate?!
Who'll take responsibility if something goes wrong again?
I'll take responsibility.
It's true that Mrs Minagawa's condition deteriorated back then.
But that was because of a splenic aneurysm rupturing, not related to her mitral valve.
There was no problem with the SNIPE.
All the same, you put the patient in danger, didn't you?
Let me rephrase that.
In any case, she was in a dangerous condition
where the Saeki method couldn't even be used.
Mrs Minagawa's life was saved
because we had the SNIPE, wasn't it?
This doesn't only apply to that patient.
If we use the SNIPE,
anyone can do mitral valve replacement surgery.
We can save more people's lives.
We can change the rules if we need to.
Can't you forget these trivial criticisms
and cooperate with me?
I see. Fine.
I won't argue about the previous case.
For the patient's sake, I'll accept the SNIPE operation.
Thank you. In that case--
However, I have one condition.
A condition?
It won't be you that performs the operation.
What's more, I won't even let you into the operating room.
What do you mean? - You just said that if we use the SNIPE,
anyone can do mitral valve replacement surgery.
If that's true, it should be fine for another member of staff to use it.
That's true, but-- - After all,
if the SNIPE becomes standard practice in this country like you want it to,
do you plan to attend every surgery?
So let's make this next surgery
into the reality you're aiming for.
If you're worried, will you give up?
That's okay. I believe in the SNIPE.
Then it's decided.
Well then, who should we pick as the surgeon?
Hey! What are you doing?
That's right. Let's have him do it.
Huh? - Not Sera?
He's a resident! - You said anyone can use it.
Are you taking that back already?
I meant that any surgeon can use the SNIPE.
A resident isn't a surgeon yet.
At least choose someone with surgical experience.
What an extreme argument.
I'll leave the rest of the surgical staff up to Kurosaki.
Yes, sir. - Takashina,
get the patient's consent for the SNIPE operation.
Yes, sir. - Do your best.
So you've really become a surgeon, Sera.
Seriously, leave it. Dr Saeki was just joking.
Well, I'd be happy even if it was just a joke.
It seems like he really likes you.
Sera? - Yes.
Got a minute? - Yes.
Mr Koyama didn't approve of the SNIPE operation.
But why won't Dr Saeki perform surgery?
It won't fit in his schedule.
So that means I'll be a guinea pig
for this SNIPE thing? - No, it's not like that.
Um, doctor?
I've brought in a coordinator to explain it to you in detail.
Come in.
Nice to meet you. I'm Kinoshita, a clinical trial coordinator.
Why is she here? - She's an excellent coordinator.
I will support you however I can
so that Mr Koyama will accept this treatment.
Let me explain this clinical trial to you first.
The SNIPE is currently in the clinical testing phase.
The coordinator mediates between the SNIPE's American manufacturer,
the trial site, Tojo University,
and the patient being studied.
And Tojo University, which conducts the trial,
is paid research expenses by the manufacturer.
Also, patients who consent to take part in the trial
are paid compensation as well.
Please accept this. I asked for your compensation to be paid in advance.
3 million?! - Yes, the coordinator
working with us gave that to the patient.
She's as shrewd as they say, isn't she?
Then the next SNIPE operation will definitely go ahead, won't it?
Excuse me. I brought you a gift...
Oh, you already have something?
Oh, are those mame-daifuku from Mizuho? I'll take them, I'll take them.
As expected, you know of them.
They're one of the top 3 mame-daifukus in Tokyo.
So Mr Koyama
agreed to the SNIPE operation?
It's my job as coordinator
to arrange things for everybody's benefit.
The Saeki surgical department's fee for cooperating with the trial
will be 20 million this time.
Won't that be useful for you, professor?
Heh.
But you're not just doing me a favour.
Dr Nishizaki at Teika University will be grateful too.
If he can write a paper about the success of the SNIPE,
Dr Nishizaki is the principal investigator,
so it will do wonders for his impact factor.
The votes for Society chair
will swing in his favour too, won't they?
But if you keep succeeding in clinical trials,
Tojo University will keep getting clinical trial fees, won't you?
One person's failure
becomes another person's success.
Whether it's their impact factor or their money.
I'll take
the things that taste good.
That's all.
I'm a bit worried,
but I know this is the only way.
So I'm ready.
Dear...
It's fine, don't worry about it.
I get the surgery for free and even get paid compensation.
That means I can pay my debts.
What could be better?
Even so...
We'll support your health as much as we can until the surgery,
so don't worry.
Excuse me. I'll be touching you a bit.
Excuse me.
So you've killed one person.
Sera.
Sorry.
Change of residency application form
Sera, come here.
Yes, sir.
Mr Koyama agreed to the SNIPE operation,
and the surgical staff were chosen.
Okay, I'll announce the staff.
Operating surgeon: Sekikawa.
Yes, sir.
First assistant: Kakitani.
Yes, sir.
Second assistant:
Sera.
What? - Sera?
Respond! - Yes, sir.
I know you all have your own thoughts,
but Tojo University can't allow this surgery to fail.
Those of you who were chosen will start preparing for the surgery tomorrow.
That's all.
Dr Kurosaki, please wait.
Why me?
He's your patient, isn't he?
Plus, Dr Saeki ordered it,
so you have to participate.
Treat it as a learning experience.
This SNIPE operation will take place in 3 days.
The scrub nurses will be Nekota,
Miyamoto and Hanabusa.
You new kids have to get used to it as soon as possible, okay?
Please learn a lot from your seniors.
Yes, ma'am.
Nekota, that's fine with you, isn't it?
Nekota?
So she's over there again.
Excuse me.
Um, is Nekota in here?
Nekota.
Nurse Fujiwara was looking for you.
She said you'll be on the team for the next SNIPE operation.
Well, I've delivered her message, so...
The SNIPE operation team got together from the next day
to start the lectures.
Once it reaches the mitral valve,
don't forget to retract this lever.
Then you just pull the trigger.
That's all.
It really is simple.
Other than that, just follow the usual process.
Okay, Dr Sekikawa. From the beginning.
Yes, sir.
About Nekota...
Why does she only associate with that surgeon, Dr Tokai?
It's better not to get involved with Nekota.
What?
Apparently a lot of nurses have quit because of Nekota.
She's the female Dr Tokai.
Press the button to release the catheter, then insert the catheter into the mitral valve.
When it reaches the mitral valve,
don't forget to retract the lever at the end.
This is a hospital, you know.
You're done for the day, aren't you?
I just finished too.
Please... remove me from the surgical team.
You're giving up on becoming a surgeon?
I...
almost killed Mr Koyama.
The same thing happened with Mrs Minagawa, too.
If I become a surgeon,
next time I'll really kill someone.
This is the number
of people I've killed in surgery so far.
You haven't killed anyone yet,
but you're giving up on becoming a surgeon?
Don't you think that's irresponsible?
Irresponsible?
I still remember
everyone of these patients' faces.
Not a day goes by when I don't regret my own lack of ability.
All I can do is save 100 times,
1000 times, 10,000 times as many lives.
In future, you can become a surgeon
and save hundreds and thousands of lives.
If you give up now,
you'll abandon those thousands of lives,
and you'll have killed them.
Now that you've held a life in your hands once,
it's your duty to become a surgeon.
I won't let you run away from that.
I hear that all your residents have quit, haven't they?
It's true that you save patients with your skill,
but you kill doctors.
What's the point of doing that?
You're killing the patients that those doctors would have saved in future.
No, no, no.
The patients those doctors would have killed in future...
I saved them.
A skilled doctor
can get away with anything.
A doctor with no skill
should just die.
You and I are complete opposites.
Dr Tokai.
Will you make a bet with me?
On whether Sera will give up on becoming a surgeon.
I try not to make cheap bets.
Ten million.
Our resignation letters and severance pay.
I believe in his future.
What about you?
As the real SNIPE operation drew closer,
the team of staff ran simulations over and over.
It's through the left ventricle.
While I wondered
if I was qualified to be there.
It's about to reach the mitral valve.
Dr Sekikawa?
Oh, it's okay.
Well then, I'm placing the prosthetic valve.
Done.
Good luck with the real thing.
Thank you.
Mr Koyama was in stable condition,
and as planned, the surgery was scheduled for tomorrow.
Excuse me.
Um, you wanted to see me?
Give this to the head nurse. - Yes, sir.
Excuse me.
Oh, and one more thing. - Yes?
You haven't filled in a reason for your change of residency application.
It's incomplete. - Why do you have that?
Write it now.
I'll sign it for you.
Write it.
I'll write it.
Dr Tokai,
how many people have you killed in surgery up to now?
I know you're skilled, Dr Tokai.
But I...
I can't treat lives as objects like you do.
Being responsible for someone's life...
it's scary. Life is scary!
Can't you do it?
Zero.
Up to now,
I've never killed anyone.
If it's so scary that it makes you cry,
don't say something as light as "I'll transfer".
Quit already.
Move out of the way.
Dr Sera?
You're still here?
Yes.
I can't calm down.
"Everything is practice."
Those are good words.
Practice alone is no good.
If you're no use in the real match,
it's meaningless.
Dr Tokai said that surgery is a gamble.
If that's true,
I'll lose that bet every time.
I can't do any more than this...
Then you should quit.
Nekota...
You think you're the one who's most afraid?
You saw something embarrassing.
You're still here this late?
It's because I can't be at the real thing tomorrow.
If I don't do everything I can...
I'm just like a newly-trained doctor, aren't I?
Tomorrow, the history of Japanese medicine will change.
The SNIPE will change it.
It's been a while.
I've been busy lately.
Right. You have to smile at Dr Saeki,
and even deal with Teika University, so you would be busy.
I'm just trying to help everyone.
And I like first-class things.
There's no doubt that the SNIPE is a first-class medical device.
Dr Saeki is first-class too.
And of course,
your scalpel, Dr Tokai.
If you like, will you come to watch the surgery tomorrow too?
I'd like to hear a first-class opinion.
Takashina will leave this place tomorrow.
Did I make the wrong choice, then?
Goodbye.
If it's so scary that it makes you cry,
don't say something as light as "I'll transfer".
Quit already.
Why did I even want to be a doctor?
What on earth is a "doctor"?
And so, the fateful day arrived.
Please wait in the waiting room until the surgery is finished.
Dear... - Idiot!
Why are you making that face?
It's not that big of a deal.
Didn't the doctor say so? It'll be over in a flash.
Even so!
I said it's fine!
When I'm out of hospital, let's use the clinical trial money
to take everyone from the factory out for yakiniku.
Don't say things like that now!
You think you're the one who's most afraid?
You don't need to worry.
Right, doctor?
It'll be fine.
See? I'll see you later.
Please take him in. - Yes, sir.
So Sekikawa gets to do the first mitral surgery...
If this operation succeeds,
will we start using the SNIPE too?
If that happens...
Dr Tokai?
Doctors with no skill
will start doing surgery.
Dr Saeki. - What are you doing?
If you have time to slack off, go and work!
Sorry. - Yes, sir.
Tokai, why are you here?
To observe?
Oh, no.
It seems you'll be leaving soon,
so I thought I'd come and say goodbye.
Please watch.
What happens next
is the future I'm aiming for.
They're ready to start.
Let's start this SNIPE-based off-pump mitral valve surgery.
Thanks for your support. - Thank you.
Scalpel.
Electrocautery knife.
You don't seem very relaxed.
It's not my style,
staying still while everyone else is working.
That'll be tough when you become a professor.
Do you think I can become a professor?
That depends how things go from now on.
SNIPE. - Here.
Sweat. - Yes.
Excuse me.
Okay.
It's time to insert the SNIPE.
I'm inserting the SNIPE.
It's going smoothly.
Keep going like that until the left ventricle.
It's through the left ventricle.
Just like in the simulation.
Keep going past the papillary muscle.
It's past the papillary muscle.
Okay.
The last step.
It's reached the mitral valve.
I'm placing the prosthetic valve.
What's wrong?
I don't know. I think something got caught.
Was the prosthetic valve placed correctly?
I'll take it out for now.
Don't force it.
The prosthetic valve has fallen into the ventricle!
Why?
Migration. What should we do?
What happened?
What did you do?
I don't know. The prosthetic valve suddenly dropped down.
Why!?
The prosthetic valve was probably released at the wrong angle.
When he placed the valve,
he suddenly switched the SNIPE into his dominant hand and caused this disaster, don't you think?
Why did he swap hands?
Sekikawa is left-handed.
Don't forget to retract this lever.
This is his first SNIPE operation.
His slight fear made him use the device incorrectly.
Also, whenever Sekikawa does a difficult operation,
he gets his usual assistant Tokai to operate instead.
So it's human error.
Blood pressure is dropping! - We have to maintain volume!
Saline and albumin! - Right away.
Should we call Dr Takashina?
Dr Takashina!
Wait.
I won't let you leave this room.
If you do, you'll never use that toy again.
Follow protocol and use a retrieval device to recover the fallen prosthetic valve.
Yes, sir. Prepare a device to retrieve the prosthetic valve.
Yes, sir. - In that case,
let's take the SNIPE out for now.
Dr Sekikawa.
Dr Sekikawa, Dr Saeki is watching too.
You know what will happen if we don't fix this, right?
We have to deal with this somehow!
Damn it!
Dr Takashina.
Dr Takashina!
Dr Takashina, are you watching?
We need your help. Aren't you coming?
Sera, stop it! - Dr Takashina!
Sera! These are Dr Saeki's orders.
Dr Takashina won't come.
We have to do something ourselves.
Ahh!
Hey! Sera!
Hey!
Sera. - Dr Takashina.
Please come.
We need your help.
Please.
The same thing will definitely happen again
somewhere in the future you dreamed of.
When that happens,
do you plan to run over every time?
Didn't you say so?
This is the reality you were aiming for.
Dr Takashina.
Sera.
Dr Saeki is right.
Doctor!
I will accept whatever happens here.
Where's that retrieval device?! - Two more packs of saline.
Yes, sir.
Set up the heart-lung machine so it's ready for use.
What are you doing? Go back.
This is for the sake of the future.
Go back! - Won't you regret this?
I don't want to regret it.
The patient is fighting without running away.
So we have to save him.
Didn't you tell me so, doctor?
Once you've held a life in your hands, you can't run away.
Dr Takashina!
You're the one running away!
How did this happen?
Just take out the SNIPE!
Here's the retrieval device.
Got it.
Dr Takashina. - Doctor...
I'm sorry.
Just think about about saving the patient for now.
Calm down.
Follow protocol and remove the prosthetic valve with the retrieval device.
Retrieval device. - Here.
Give it to me.
So they're trying to retrieve it, then.
They'll be okay, then?
I wonder.
It's almost at the prosthetic valve.
Blood pressure is falling!
No way. Is the left ventricle haemorrhaging?
Haemorrhage? - When the valve was released,
it got stuck in the cardiac muscle and tore a hole.
Start the heart-lung machine. - Yes, sir.
Arterial and venous lines. - Right away.
Transfusion. Guide wire.
Will they make it?
If they don't stop the bleeding soon, he'll die of blood loss.
Okay, Sera. Connect from the vein. - Yes, sir.
Here. - Is it working?
If we force it out like this, the heart will rupture.
We have to retrieve it soon. - It's impossible!
Don't move it so roughly. The muscle is tearing more.
I've got my hands full trying to stop the bleeding now.
It's too much already!
Then what should we do?
It's no good. They won't make it.
Dr Saeki?
The transfusion can't keep up.
It's no good.
Damn it...
Where is Dr Tokai?
Dr Tokai.
I'll sort out your mess for 10 million yen.
So write your resignation letter.
Then I'll save you.
How will you save us? The prosthetic valve is stuck in the cardiac muscle.
The patient has no strength left.
I can do it. - How?
It's me, so I can do it.
His volume is dropping.
Okay.
Please.
Turn it down. - Yes, sir.
The heart-lung machine is running. - Okay.
I'll suture it like this.
I can do it from the outside. Scalpel. - Here.
Electrocautery knife. - Here.
Suction. - Yes, sir.
We don't have time. - Yes, sir.
Prepare the rib retractor. - Yes, sir.
Two pieces of felt. And get some tweezers. - Yes, sir.
Give me that. 4-0, right?
Hang in there, dear.
Hang in there!
Scissors. - Here.
Repair complete.
So fast... - The problem is retrieving the prosthetic valve.
If they fumble it, the heart will rupture and the patient will die.
Scissors. - Here.
DeBakey. - Here.
You're going to grab the valve directly with DeBakey forceps?
With a DeBakey?
Can he see the muscle where the valve is stuck?
Got it.
Okay, retrieval complete.
Let's close him up.
Let's open the ribs up and sort out the mitral valve.
What are you saying? The patient's heart is already very weak.
It's dangerous to keep working on it.
And whose fault is that?
Will you close this up? Huh?
If you do, his heart won't beat. He'll die.
If we don't operate now, he'll die.
Brain monitor values are falling.
There's no time. Considering the blood flow to his brain, 10 minutes at most.
Then we should do a beating-heart procedure.
The Saeki method? Under these conditions?
The Saeki method?!
Can we open this up more? Scalpel. - Here.
Expand the operating field. - Yes, sir.
5 minutes left. - 5-0.
Here.
2 minutes left.
He's even repairing the valve under these conditions...
Amazing.
Brain monitor values are still down.
Less than 1 minute!
Scissors. - Here.
Mitral valve reconstruction complete.
He made it.
Dr Tokai, the apex still needs sutures.
You do it.
Right, doctor?
It'll be fine.
Yes, sir.
Sera, I can... - I'll do it.
Please.
Okay.
Scissors, please.
Here.
Dr Tokai.
Remove the pean, then.
Yes, sir.
Blood pressure is stable.
Suturing complete.
Dr Tokai.
Good work, doctor.
Good work.
July 2018 Planned reconstruction
I caused a lot of trouble this time.
I disobeyed your instructions and went into the operating room.
My sincere apologies.
Dr Saeki,
did you predict all this from the start?
No matter how far medicine develops,
since people are involved,
mistakes are always possible.
No one involved in medical treatment
should ever forget that.
Everything happened as I expected.
Nothing in this world is perfect.
Even so,
I want to make the SNIPE perfect.
Dr Takashina.
Um...
Are you really leaving this hospital?
In the end, it was Dr Tokai who saved Mr Koyama,
but if you weren't there,
Mr Koyama wouldn't even have been able to have the operation.
Forget about me,
what about you?
Huh?
What are you going to do now?
I'm prepared.
Thank you.
What?
Is that okay,
Dr Tokai?
We made a bet.
Our resignation letters and 10 million in severance pay.
About whether you'd quit surgery or not, you know?
Because of that surgery, I owed Dr Tokai.
But now...
It's your fault that we ended up even.
Huh?
What do you mean?
You really decided to stay, didn't you, Sera?
I... - Well,
it doesn't matter, because you're going to be fired.
Fired?
Since you disobeyed Dr Saeki to that extent.
Ah!
What should I do?
Go and apologise, quickly! - Right!
Oh no...
Dr Tokai.
Thank you for helping me.
Thanks to you, I found out the SNIPE's weak point.
You were just lucky this time.
You should get out of here as soon as possible.
If I finish my paper
and get the SNIPE to be used in daily practice,
people like you who are just craftsmen will be thrown out.
You and I are complete opposites in everything.
We can't exist in the same place.
In the end, we're two sides of a coin.
Heads or tails, life or death.
I leave,
or you do.
That's all.
By the way, what will happen to that resident?
What resident? - The one who disobeyed you,
and dragged Dr Takashina away.
Excuse me.
Huh?
Ah, what should I do?
I don't know who you mean.
Are we having sushi tonight?
Yes.
It's a three-star restaurant tonight.