Seems like the secret of the Black Pean is still being kept.
So it seems.
But please be careful.
Deal with this as usual.
Understood.
Should I move the old documents from the admin building to the storage room here, too?
Sure.
That's fine.
Then I'll get started.
Excuse me.
All of these?
Yes. Please take them to the ward storage room.
I'll leave you to it.
Yes, ma'am.
This is more than a day's work, isn't it?
You're right.
Excuse me...
If you're looking for the ward, it's this way.
How kind.
But don't worry.
I know this hospital well.
You're taking care of my son here.
Your son is a patient here?
No, no.
He's a doctor.
His name is Tokai Seishiro.
Tokai...?
You're Dr Tokai's mother?
Thank you for looking after him. - No, thank you!
I wanted to greet Dr Saeki,
but that boy isn't answering his phone at all.
Oh, really?
That boy doesn't care whether I'm alive or dead.
I'm sure that's not true. - It is!
In the meantime, would you like to have a meal together?
Ms Kinoshita.
Dr Tokai is performing emergency surgery at the moment.
Sera, the prosthetic blood vessel. - Yes, sir.
4-0. - Here.
I'm the lead surgeon, though... - Here you go.
Felt. - Ah... Please take over.
Felt, quickly! - Yes, I'm sorry.
Cut that part. - Yes, sir.
Here.
Suction. - Sorry.
The other day, Dr Tokai gave me some delicious rice with eggs.
What? - Oh?
I want to eat it too.
In that case...
won't one of you marry my son? - What?
You'll eat delicious rice for your entire life!
My husband always said "there are lots of types of food,
but rice is number one."
He always brought rice balls with him for surgeries.
Surgeries? - Yes.
He was a surgeon at Tojo University Hospital.
I see! Wow...
He always said
ordinary people make the best doctors.
Ordinary people make the best doctors? - Right.
I have a photo of him,
do you want to see it? - Yes!
Definitely.
Dr Saeki is in it too. - Wow...
Harue?
Harue, are you okay?
Harue? Harue!
Harue?
There's a large myxoma in her heart.
Myxoma: non-cancerous tumour of mucous connective tissue
It probably impacted and made her faint.
Should we tell Dr Tokai?
Not now. Dr Tokai is doing another operation.
Anyway, she needs emergency surgery. - Yes, sir.
Spoon. - Here.
I've removed the left atrial myxoma. - Yes, sir.
Next, let's close up the left atrium. 4-0.
Mother 4 missed calls
Excuse me.
Dr Tokai.
It's your mother...
Hey. She was in bad shape,
but Dr Kurosaki operated on her.
She's stable now.
Thank you.
I'm glad she's okay.
Could you leave?
Right. Well, then.
Take care.
Sir. I've arranged her tests. - Okay.
Tell Kurosaki he'll be treating her.
Yes, sir.
Still, I didn't expect to see a member of Dr Tokai's family.
Tokai must be worried, too.
I wasn't talking about that Dr Tokai.
I meant Dr Tokai Ichiro.
You're a disgrace to Tojo!
Do you know what you've done?
What would have happened if Saeki wasn't there?
How do you plan to take responsibility?
For Harue to come here now...
That's in the past.
But don't let people ask too much about it.
Be careful. - Yes, sir.
I can't believe they brought in Dr Tokai's mother.
I heard they'll do post-op tests tomorrow.
Tomorrow?
That reminds me. That thing will finally arrive tomorrow.
The thing everyone's talking about?
The "thing" everyone was thinking about was
Medical Precision Equipment Transport
Japan's first robotic surgical assistant, being developed by Daichi Juuko.
The Japanese Darwin: "Caesar".
Tojo will be doing the first Japanese trial,
and the first-class Dr Saeki will even be handling it.
What an honour.
How did Tojo end up testing the Japanese Darwin?
It came down to the plans of Dr Nishizaki
and the Ministry of Health.
Dr Saeki, isn't it?
Oh, the Ministry of Health's... - I'm Tomizawa.
It's an honour to meet you, Dr Saeki.
Good afternoon, Dr Saeki. - Ms Kinoshita, you're here too.
Dr Nishizaki invited us.
That's right, Dr Saeki.
Actually, it seems Mr Tomizawa read the SNIPE paper that came out the other day.
Oh, the SNIPE paper?
Your name was on that as a co-investigator, wasn't it?
Well, yes.
I thought that from now on,
medicine won't just depend on a single person's skill,
but will need the latest treatments to succeed as well.
Well, did you hear that?
What a wonderful ideology.
In fact, there's a brand-new medical device that could make that ideal come true.
Dr Nishizaki is leading its development at the moment.
It's a Japanese Darwin.
I told Mr Tomizawa
that he should definitely ask you to help with its development, Dr Saeki.
With Teika's research
and Tojo's practical skills,
if the two universities join forces,
I believe we can complete the Japanese Darwin
and stop foreign manufacturers from taking over.
They played me.
I'm sure Dr Nishizaki's aim is
to raise his impact factor.
You gain impact factor by publishing papers in scientific journals.
Currently, Dr Saeki's score is higher.
But if the Japanese Darwin is completed,
all of its impact factor will go to the project leader, Dr Nishizaki.
There was no merit for Dr Saeki.
But the Japanese Darwin just cleared the animal testing phase, didn't it?
Since the Ministry of Health is involved, you can't ignore this.
And you're here as their watchdog?
If the Japanese Darwin is completed,
it will advance Japanese medicine a long way.
If I can help with that...
And so, with many different motives, the Japanese Darwin "Caesar" arrived at Tojo as an uninvited guest.
Caesar was a hero and cornerstone of the Roman Empire.
In Latin, it's pronounced "kaiser".
This Caesar will be a cornerstone for reforming the future of medicine.
That's why it was given this name.
Well, it's certainly shiny!
It's smaller than the foreign Darwin.
And it has 1 arm instead of 4.
That 1 arm is multipurpose.
It can perform ligation, suturing and many other tasks.
Japan's latest technology has been condensed into this ultimate medical robot.
Let's put Takashina in charge of the Caesar.
Is that okay?
I know he seems to have cut ties with Teika,
but there was that SNIPE business, and...
We need someone to take responsibility if there are any problems.
Oh, I see.
By the way, how is Tokai Harue's condition?
They're running her tests right now.
Hm.
However...
Dr Tokai.
Here...
Tokai Harue's post-operative test results found something awful.
You overlooked this tumour in the left atrium's pulmonary vein?
Yes.
Overlooking things in the pulmonary vein is always possible to some extent,
for an average doctor.
In any case, we'll have to hold a conference and decide how to deal with this.
Set that up now. - Yes, sir.
But it had to be Tokai's mother, of all people...
About Tokai Harue,
according to her test results,
tumour remains were left in her cardiac pulmonary vein.
Dr Kurosaki.
Why were these tumour remains left behind?
Dr Kurosaki.
Why were these tumour remains left behind?
In yesterday's surgery, I removed the myxoma,
but it was very difficult to see into the pulmonary vein,
so I left part of the myxoma behind.
So you're saying you overlooked them?
So this patient's dangerous condition...
Dr Kurosaki,
who is responsible for it?
That's enough, Tokai.
I understand your feelings,
but overlooking the pulmonary vein can't be helped.
You can't put all the blame on the lead surgeon.
I see.
Dr Tokai's stepping back obediently today.
You can't judge everyone by Dr Tokai's standards.
In that case, isn't the hospital responsible?
Huh? The hospital?!
Chief Moriya.
As a relative of the patient Tokai Harue,
I demand 20 million yen in compensation.
20 million? - Of course.
It's clearly medical malpractice.
Like Dr Saeki said,
isn't this an expected complication?
But I have never overlooked a single thing.
Then I will operate on her again.
I refuse.
What? - The hospital's rules allow it, don't they?
As the patient's representative, I can't accept it at all.
You can't be thinking of operating on her yourself.
Twice in Tojo's history,
surgeons have failed when operating on close relatives.
Since then, doctors have been banned from operating on their own families.
It's one of Tojo's strictest rules.
Of course, I know that.
So what will you do?
Until we've discussed compensation,
put her surgery on hold.
20 million for medical malpractice?! - Yeah.
But I really doubt they'll agree to it.
Maybe it's because this is his actual mother.
Well... I think he's just after more money.
I mean, he refused to let Dr Saeki operate on her.
Dr Saeki? - Yeah.
That reminds me, I heard Dr Tokai's father used to be a surgeon here at Tojo.
Really? - Yes.
His mother told me so.
She had a photo of the two of them with Dr Saeki.
I did think Dr Saeki and Dr Tokai had an unusual relationship.
I wonder if something happened.
Tokai was more defiant than I expected.
I'm so sorry, it was my fault.
Don't worry. When the patient wakes up,
we can just have her agree to the surgery.
I can discuss it with her myself. - Yes, sir.
Even so,
I didn't expect to hear the words "medical malpractice" from Tokai's lips.
Indeed. After what his father did,
he's probably feeling resentful in return.
Dr Tokai, good afternoon.
I heard about your mother.
If there's anything I can do...
It's nothing to do with you.
I heard you refused to let Dr Saeki operate.
Of course, medical malpractice can't be overlooked.
I think it's natural to want compensation, too.
But...
Is that really the only reason you refused to let him operate?
It's nothing to do with you.
You...
Where am I?
A hospital room at Tojo University Hospital.
I was eating with you two, and...
I'm glad you're awake.
Dr Saeki was worried about you too.
Dr Saeki?
My husband caused so much trouble for him,
and now I have too.
Yes?
Have you picked a test subject for the Japanese Darwin yet?
I've picked one out, but we haven't discussed it yet.
I see. I'm sure you won't miss anything in your preparations.
I won't. Everything's fine.
But this is the first test on a human, after all.
I thought I should be careful.
Careful? What are you talking about?
Just think of humans as test subjects like the other animals.
Do you understand, Takashina?
The reason I snuck you into Saeki's inner circle was to create this Japanese Darwin.
If you don't get results,
this time there'll be no place for you to come back to.
Hurry up and start the trial.
Yes, sir.
Any nurses who are free, please go to the emergency department!
Hurry, hurry!
There was an accident at a nearby construction site!
They're bringing in 27 patients who were injured in the collapse. - 27?!
Anyone who's free, go and help!
Yes, sir!
Dr Tokai! Please come and help.
Do you understand, Takashina?
The reason I snuck you into Saeki's inner circle was to create this Japanese Darwin.
Hurry up and start the trial.
Dr Takashina?
I'm glad to see you're awake.
I'm Takashina, a heart surgeon.
Nice to meet you.
I'm feeling better.
Actually, I wanted to talk to you about that.
Then please excuse me. - No.
I'd like you to stay, Ms Kinoshita.
Okay.
I'll get straight to the point.
Harue, you were given emergency treatment for your heart,
but there are still tumour remains in your pulmonary vein.
You need another operation as soon as possible.
But please, don't worry.
We have the best method for your case.
Under Dr Saeki's leadership,
the latest surgical device has been brought into Tojo.
Dr Saeki's? - Yes.
Have you heard of the Darwin?
You, over there!
Bring disinfectant!
Someone please bring disinfectant!
He's in bad shape. Bring him to the OR. - Yes, sir.
It's fine, I'll do it here. - Here? - Here?!
Neko-chan, get a thoracotomy set and electric scalpel. - Yes, sir.
Hurry up and get scissors.
So this clinical trial is very significant.
If we can bring the low price, compact Japanese Darwin,
that is, the Caesar into standard use,
even small regional hospitals will be able to use it.
Of course,
outstandingly skilled doctors like your son might not need to rely on this device,
but unfortunately, I'm an ordinary person.
Most doctors are ordinary people like me.
He always said
ordinary people make the best doctors.
In future, the Caesar will be used to save many people like you who ought to be saved.
For the sake of that future,
will you cooperate with me?
I see.
If I can be useful, then...
Thank you. - In that case,
please sign this consent form.
Surgery consent form
Over here, please.
Dr Tokai, what about this patient?
Don't kill a single person.
Get moving!
Almost done. - Yes, sir.
Scissors. - Here.
Pulmonary artery sutures complete. - He's so fast.
You close the left atrial appendage.
Yes, sir.
Wait. You can't let a resident do that kind of thing.
Ah...
Please. - Here.
I said he'll do it.
He's doing well... There's no problem.
Hey, can you suture a left atrial appendage?
They don't let me do that much yet.
It's because Dr Tokai's always making Sera work hard.
But I don't think he realises how far he's come, does he?
Don't zone out. Get to work!
Okay, please connect this for me.
I'll leave the rest to you.
He's really amazing.
He did that much all by himself.
Oh, Seishiro.
What is this? - You're seeing your mother after so long
"Caesar heart surgery" info for trial participants
and those are your first words?
They're clinical trial documents for the Caesar. -Clinical trial?
She agreed to surgery with the Caesar. She already signed the consent form.
A nice doctor came in earlier
and explained it all to me. I decided to leave it up to him.
Why did you sign something like that?
You know,
he said that if this device becomes more widespread,
they'll be able to save the lives of even more people.
He's aiming high.
Not like you, so stubborn, anti-social
and self-centred...
I'm sure you're causing problems for everyone again too, aren't you?
You did this.
This Caesar is a medical device
made for Japanese people and adapted to the Japanese body.
It's no exaggeration to say that it was made for Harue.
Please don't misunderstand.
I explained the significance of this trial to Harue properly,
and she understood.
This is what Harue wanted.
Isn't it what you wanted?
The patient's wishes take priority over everything else.
First thing tomorrow,
I'll perform the trial surgery. - Impossible.
I said that until we've discussed compensation,
her operation will be on hold.
So it's about money?
Huh?
Agreeing to the trial is the best choice for Harue.
I don't have your skill, Dr Tokai,
but I have the Caesar.
I will save people with technology.
I don't trust that technology.
Putting her life in the hands of this crappy machine...
What a stupid patient.
You'll see, I'll definitely succeed with the Caesar.
For Harue's sake, and for mine.
Then if you fail,
both of you will die.
She agreed to the Darwin surgery?
I'm sorry.
I just popped out for a moment, and Dr Takashina...
No, it's fine.
If that's what the patient herself wants, all we can do is hope it succeeds.
But... is it okay?
This will support the development of the Caesar.
It will erase the mistake you made while operating.
Isn't that good?
Yes, but...
Got it?
At the Saeki Surgery,
surgical mistakes can't happen.
Not even small ones.
Yes, sir.
Dr Tokai agreed to the Caesar? - Yeah.
Letting a robot operate on his own mother...
I'm surprised Dr Tokai accepted that. - Yeah...
But since she's Dr Tokai's relative, he can't operate on her, I suppose.
Yes, that's true.
So even if something does go wrong,
we can't expect Dr Tokai to fix it, can we?
Right. If he even touches a scalpel,
he'll be fired. - Fired?!
You're well prepared.
With the Caesar, we only need to make two holes in the body.
There's no burden on the patient.
There's a high-definition camera inside the arm,
so we can do a high-level operation while looking directly at the affected area.
Dr Takashina, Tokai Harue is calling for you.
I'm sorry, I know you're busy. - No, no.
I owe Dr Tokai a lot.
Him? - Yes.
That boy?
No way.
It's true.
Are you okay? - Yes.
Then...
You wanted to see me?
I wanted to talk to you about tomorrow's surgery.
It's nothing major. Just one thing.
Like I always say: if you can eat well, sleep well,
and help people, you're doing fine.
People live by helping each other.
There's not much you can do alone.
It hurts...
Mum.
We think the tumour remains are damaging her circulation.
If so, we can use the Caesar to operate as planned.
But her blood type is Rh-.
Emergency transfusions for the accident earlier really depleted our blood stocks.
There's only 600 cc left.
600 cc...?
If we use the Caesar instead of a scalpel, it's possible.
But if the slightest thing goes wrong, you'll run out fast.
I can finish the surgery without any problems.
And so, the fateful day arrived, ahead of schedule.
We're ready.
Then let's start surgery using the Japanese Darwin "Caesar"
to remove residual myxoma from the pulmonary vein.
Ready.
I'm inserting the arm.
This is the first Japanese Darwin operation. And so soon!
I'm glad you got the patient to agree.
I invited him as the patient's family member.
It started early, then.
The first robot surgery. - I hope nothing goes wrong.
I'm opening the left atrium. - Yes, sir.
Myxoma
Left atrium
Wow, it's so precise.
It responds as quickly as the foreign one, as well.
Amazing. It's more powerful than I expected.
The advantage of the Caesar is that you only need to make two holes in the patient's body.
But the ultimate question is
can it remove the myxoma stuck in the pulmonary vein?
He can't miss by even 0.1 mm.
Well, it's a robot. It won't make mistakes like that.
Okay, now I'll remove the myxoma.
Great. It's going according to plan so far.
Excision complete.
DeBakey. - Here.
The myxoma has been removed.
4-0. - Here.
I've closed up the left atrium.
We did it.
Flow down. Remove the clamp.
Oh, well done!
It's only small, but she's bleeding.
What's wrong? - Stay calm.
The Caesar should be able to deal with this too.
We're transfusing. - Yes, sir.
If they don't transfuse soon...
But we used almost all of the blood for the accident earlier...
What happened?
It seems they can't stop the bleeding from her aorta.
Even the Caesar's camera has a limited view.
When they clamped the aorta, they must have damaged the tissue further back.
Aorta
This is the last of the blood we have.
Blood pressure is at 82. - She's still bleeding!
What should we do? - We'll stop her bleeding with the Caesar.
Dr Kurosaki, please support me. - Okay.
There's not enough blood?
It's because she has rare Rh- blood.
Get blood from wherever you can.
Contact all the nearby hospitals to see if they have any Rh- blood.
Yes, sir!
How much blood is left for transfusion? - There's 200 cc left.
That's all?!
Toyoaki Hospital has some!
It will take 1 hour to get it here.
1 hour... That's too late.
Anyone with A-negative blood... - Excuse me.
Is there anyone here with blood type A negative?
We need type A, Rh negative blood. Can anyone help?
Damn, it's not easy to find Rh- blood!
The blood will still be a while.
Then we won't make it. - Blood pressure is still dropping.
This is bullshit.
Can't you do something to help?
If this operation fails,
the Caesar's development will fall through.
That has nothing to do with me.
Also, the patient's family refused to let me operate on her.
But... - If you don't do something,
this patient will die.
Other than me, Tokai is the only one who can save her.
You refused my help.
So the only option is for you to do it.
However...
According to Tojo's rules,
if you do this, we'll have to punish you.
If you're okay with that,
then go.
Here's some more blood. -That's all?
Sorry, that's all there is for now. Here you go.
Have you found where she's bleeding from? - Not yet.
Blood pressure is 72. - We're out of blood already.
Her volume's too low! - Ahh...
Dr Tokai... - Why are you here, Tokai?
You don't have permission to operate on her.
It's fine. He'll take responsibility later. - Sir?
Dr Tokai...
Get that out of the way.
Move it!
Take it out.
I'll make an incision. - Yes, sir.
You're doing a midline incision now? - Scalpel. - Here.
You can't. Even if you can find where she's bleeding, we're out of blood already.
We have blood.
My blood type is A Rh-.
I don't have any infections, so we can use it.
Get me an auto-transfusion pack.
Quickly! - Yes, sir.
I can't let this surgery end in failure.
Use as much as you need.
You, help me. - Yes, sir.
Okay, twisters.
4-0. - Here.
Then two pieces of felt. - Yes, sir.
Found it. I'll suture it.
Follow me. - Yes, sir.
More suction. - Yes, sir.
Suction further in. Move the PA aside.
I'm moving it.
Don't pull on it too hard. - Yes, sir.
Further in! - Yes, sir.
Dr Takashina! If we take any more...
Keep going.
It's no good. Dr Takashina's blood alone won't be enough.
Suction further in. - Yes, sir. Move it further aside.
Yes, moving it now.
Here's the blood! Checked for infections, checked for type.
It's all ready! - Set it up right now!
Yes, sir.
Here you go.
They made it...
Get the scissors ready. - Yes, sir.
Okay, scissors. - Here.
Finished the sutures.
Vitals?
Her blood pressure is...
stable.
They saved her.
Successfully saving her from that condition...
As expected of Dr Tokai.
So he knew Dr Takashina's blood type.
Employee name: Takashina Gonta
Okay, I'll leave the rest to you. - Yes, sir.
Dr Tokai...
I'm so sorry.
You were planning to operate on Harue yourself from the start, weren't you?
You're still not dead, huh?
Tokai broke the rules of Tojo University.
We can't overlook this.
That's right. - Please wait.
First...
will you look at this?
Dr Tokai, about your mother.
The post-operative tests found no problems.
Really. - Yes.
Also...
Please look at this.
This is the consent form your mother signed before the surgery.
She added a condition here,
a few words to express her wishes.
"If my condition becomes really dangerous,
I would like my son, Dr Tokai, to be the final operating surgeon."
The patient's wishes are prioritised over everything else.
So there's no problem with what you did, Dr Tokai.
She's amazing, isn't she?
Your mother.
Oh, good morning.
Help me sit up?
Of course.
That boy...
Dr Tokai is operating on another patient right now.
I see.
Then he wasn't fired after all.
How do you know about that?
I'm sorry.
I overheard you.
So even if something does go wrong,
we can't expect Dr Tokai to fix it, can we?
Right. If he even touches a scalpel,
he'll be fired. - Fired?
I mean, that boy is always causing trouble for other people.
He can't just go and get himself fired.
Before that, he has to stay at this hospital,
save a lot of patients,
and repay everyone.
My problems can come later.
That boy is the most important thing for me.
I don't mind being left until last.
Dr Sera?
You're crying? - Yes.
I'm sorry. - Hey.
Thank Dr Saeki for me too.
Of course.
So you're saying there are still problems with the Caesar?
Yes,
but we're already working on the analysis and solution,
so don't worry about it.
You're analysing it already? As expected of you, Dr Nishizaki.
Tojo does the operations
and Teika does the analysis.
Before the Society chair selection,
I should be able to write a good paper.
Ah! Oh...
Saeki Seigo...
Tokai... Ichiro?
Dr Tokai.
Tell me one thing.
Why didn't you want Dr Saeki as the operating surgeon?
I don't trust that man, Saeki Seigo.
That guy...
He betrayed my father.