Saeki Seigo...
Tokai... Ichiro?
I don't trust that man, Saeki Seigo.
That guy...
He betrayed my father.
What happened? - Ma'am!
You've done enough here, so go back and do the drug checks.
But... - It's fine. I'll finish up here.
Yes, ma'am.
And then something unbelievable happened, shocking everyone at Tojo.
Welcome to the University of Teika.
Thank you.
That was after Dr Tokai's mother's operation.
Surgery consent form
At Tojo, operating on your own relatives is forbidden.
As punishment, I've decided to reduce your salary by a third.
A third...
If you have something to say, I'll listen for now.
Then listen to this:
I've been invited to go to Teika
for double my current salary.
Teika?! - Well, with this low salary...
I have living expenses, too.
Sir?
Tokai made his decision.
Thanks for your support.
Notice of Staff Change The following employee has resigned.
Tokai Seishiro (Cardiovascular Surgery)
He's throwing Tojo aside for money?
And for Teika, of all places!
Doesn't he have any policies as a doctor?
Right?
Um, Dr Tokai. - Deal with that stuff. I don't need this, either.
And so, Dr Tokai left Tojo without looking back.
Just as you told me, it seems like he'll do anything for money.
He threw Tojo aside and came here right away.
So what are you planning?
You do your job.
Okay, Takashina?
He just got here and he's already napping.
Why did Dr Nishizaki bring him in?
Who knows.
Anyway, he said not to let him do anything until the Society chair selection is over.
Teika University Surgeon Takeda Hidefumi
Meanwhile, Mr Tomizawa from the Ministry of Health, who is promoting the Caesar, came to Tojo.
Dr Saeki, I happened to hear that you're deliberately choosing difficult cases.
That's not my intention.
I'd like you to choose the least difficult patients from now on.
I would prefer you to select surgeries that will definitely succeed.
On that topic,
I hear that a patient called Yamamoto Shouko has been admitted here.
It's true, there is a patient called Yamamoto Shouko here.
It also looks like she's a candidate for Caesar surgery.
Dr Nishizaki must have suggested it.
He used Mr Tomizawa from the Ministry of Health to hurry the clinical trial along.
But how did he get our patient's data?
Someone must have sent it to Dr Nishizaki.
Yamamoto Shouko was one of Tokai's patients.
So it was Tokai?
Did he take our data with him as a gift to Teika?
In any case, we have to hurry.
Mr Tomizawa's requests are Japan's requests, after all.
Right. - In that case, sir,
would you let me take charge this time?
Well, I think anyone would be able to take this case without failing.
Make this a success for us.
Thank you.
What do you mean? I'm the one in charge of the Caesar.
Well, you did almost fail last time.
That was because there wasn't enough blood in stock.
These are Dr Saeki's orders.
You act as his support.
Yes, sir.
Dr Saeki?
Sorry to call you in so suddenly. I want to move on to the next test as soon as possible.
I'm happy to help.
Then I'll leave you to it. - Yes, sir.
Yamamoto Shouko, a senior nurse, was transferred here from a hospital in the next city.
That makes the blood vessels swell, so they're easier to see.
Oh, you're right.
To draw blood, you need strength and courage. - Got it.
Excuse me. I've called in the clinical trial coordinator I mentioned earlier.
Let me introduce you.
Excuse me. I'm Kinoshita...
Is something wrong?
Excuse me.
You! What's the meaning of this? Hey!
The trial explanation...!
Did something happen with Ms Kinoshita?
Kaori and I used to work together.
6 years earlier
Here you go. - Thank you.
During an operation, Kaori was working as the scrub nurse.
Hurry up with the venous line! Quickly!
But... - Set up the heart-lung machine.
Cardiac arrest. - Use Bosmin! We need more volume!
Why did you give him the venous line?
It should have been the arterial line! This is your fault!
She said she was innocent, but the lead surgeon refused to acknowledge his own mistake,
and blamed everything on Kaori.
And me, too...
They threatened to fire me if I didn't speak up against her.
Scrub nurse Kinoshita passed the doctor the wrong part.
She was forced to take responsibility
and had to leave the hospital.
Even though she was an excellent nurse,
nobody defended her.
Our greatest enemy is other people.
I'll think about the clinical trial,
so could you choose someone else as my coordinator?
I heard what happened.
So you were a nurse?
Back then,
I even wanted her to die.
Please do as she asked and find a different coordinator.
So she had that kind of past...
Ms Kinoshita was friendly with Dr Tokai, wasn't she?
I wish we could ask him about this....
But he's gone.
This is a pain to sort out, isn't it? - Ah...
Dr Nishizaki, it's about time we received some more data, isn't it?
I'll check it out. Yes, sir.
Dr Tokai.
How do you like Teika?
Who are you?
I'm Takeda.
You don't remember?
Please try not to get lost, at least.
What do you mean, you want a break?
If you take such a long break, it'll cause problems for us.
But I want a break. - What's going on?
Since Dr Tokai isn't here,
Nekota doesn't want to work either.
Please do your work. Those are your orders.
Why are nurses so lazy these days?
If you don't do as you're told,
you can leave, just like Dr Tokai did.
Chief, I'll instruct her properly myself.
Okay, Nekota?
Really! Nurse, please deal with her!
Isn't Chief Moriya kind of strict lately?
He's running back and forth between the Ministry and Dr Saeki, so he's taking it out on us.
It can't be helped.
If you don't do what you're told, it's over.
You mean that so far,
Dr Saeki was deliberately choosing dangerous patients for the trial?
Yes. After using the latest technology,
his surgeries always end up using a scalpel.
In other words,
it's to show off the importance of the surgeon's skills.
Even though he should be focusing on safe cases for the sake of the research.
But don't worry.
This time, Mr Tomizawa from the Ministry of Health is helping us with the trial,
so we've chosen a patient that can't fail.
Yamamoto Shouko
You chose them?
You're saying you have Tojo's patient data?
Well, I have someone helping out.
I recruited one of their medical staff who was supporting Dr Saeki from the shadows.
With this,
Tojo won't try any more difficult operations, will they?
So in 2 days, we'll perform surgery for your mitral insufficiency.
Okay. Um, doctor...
I'll talk to you tomorrow.
Yes? Dr Nishizaki, just a moment.
My neck has been hurting lately. - Oh?
I can't move it properly. - I see.
I guess I slept on it funny.
It seems like something happened between Dr Tokai's father and Dr Saeki. - What?
I overheard something earlier.
I don't trust that man, Saeki Seigo.
He betrayed my father.
Betrayed? - Yeah.
That reminds me. While moving those documents from the admin building,
I found an old paper. - A paper?
Yes, written by Dr Saeki and Tokai Ichiro.
So by "betrayed", he meant...
This was the only thing left in the documents we moved from the admin building.
How nostalgic.
I learned a lot from Dr Tokai Ichiro.
"A university hospital is based on both practical skill and research,"
he always said.
I was so arrogant back then, but he always took me down a peg.
That's all in the past.
What are you doing? - I can't use this computer.
Not without an ID. - Lend me yours.
Huh? I'm sorry, but there's important data on there,
so I can't let you touch it.
What, are you planning to write a paper or something? - A paper?
It seems Mr Super Doctor from Tojo
has never written a paper.
Online shopping. - What?
Apparently there's no rice cooker in this hospital.
Rice cooker?
What are you doing?
Don't mess with that!
I'm checking that the arm's movements have been fixed.
I'll do that.
I can't give you the chance to tamper with top-secret data.
You think I'm stealing patients' data?
I didn't say that.
Anyway, what's happening with the new trial coordinator?
You're an employee at Tojo,
so you have to work hard too.
Your tiger prawn.
I hear they're finding another coordinator to replace you.
The patient wasn't satisfied with me.
All kinds of things happen in life.
Did you know about it? My...
medical malpractice.
Then why have you been using my services up to now?
I'm a coordinator with a history of medical error.
If that got out, people could lose faith in the hospital.
I don't care about the past. I believe in what's in front of me.
You're an excellent person.
You're excellent, so I'll use you.
The past is something people make up themselves.
What really happened...
What really hurt...
Only those who were involved know that.
How is the Caesar doing? - We've checked it carefully.
I'm expecting great things from it. - Yes, sir.
Oh, please give Dr Takashina the ethics committee document.
Yes, sir. - Oh, yes.
Also, administer heparin and penicillin to Ms Yamamoto.
Yes, sir. - Yes, sir.
Dr Tokai was treating her before,
and he didn't order any penicillin, did he?
Dr Kurosaki said so, though.
Anyway, let's finish this quickly. I'll go to Ms Yamamoto,
so you take the ethics committee documents to Dr Takashina, please. - Okay.
Excuse me.
It looks like the next trial subject has been decided. - Yes.
I'd like you as support, too. - Me?
She was Dr Tokai's patient,
but you treated her too.
I'll talk to Dr Kurosaki about it. - Oh, but I'm not...
In that last operation,
you followed Dr Tokai's instructions without a hitch.
Seeing you work like that,
I've decided that I need you on the staff.
Thank you.
Dr Takashina, here's the ethics committee document. Thanks.
What about Ms Yamamoto's infusion?
Miyamoto is giving her heparin and penicillin now.
Penicillin? - Yes, on Dr Kurosaki's orders.
No, that's bad. Ms Yamamoto is allergic to penicillin.
Sera. - Yes, sir!
What are you doing?!
Ms Yamamoto, are you okay?
Penicillin G Calcium
Oh, thank goodness.
Excuse me.
I'm so sorry! - I'm sorry!
Actually... - I can't believe...
I was saved by her.
Allergic? - They were about to infuse the patient with it.
What are you saying?
Dr Kurosaki never gave that order to begin with.
You two misheard his instructions.
Um... - I'm sorry.
Really, if you can't do your work properly,
you can just quit.
There are lots of people who can replace you.
Dr Kurosaki, don't you have an important trial to prepare for?
Yes, sir. - Then, dismissed!
Why? - It's nothing.
Nothing happened, so it doesn't matter.
After that, Ms Yamamoto was introduced to her new trial coordinator.
This is the clinical trial coordinator, Mr Yamauchi.
Pleased to meet you. I'm Yamauchi.
I'll be in charge of the clinical trial this time.
Can't Kaori do this, after all?
I'd like her to take charge of my case.
She said that? - She's saying she won't accept the trial
unless you do it, Ms Kinoshita.
You're the only one who can do it, so you can't refuse, can you?
Yes?
Yes. Yes.
How are you getting on at Teika?
Huh? - If you like, please accept these.
In fact, they're from the oldest rice-ball shop in Tokyo.
How thoughtful. I mean, I left all my rice behind.
People at Tojo think you're a thief, Dr Tokai.
Huh?
It seems someone's leaking patient data to Dr Nishizaki.
Hm...
So did you come here for a checkup today?
I'm here on business.
Teika is helping me out, too.
But you look ill.
Hey, isn't that bad? - That's Dr Takeda's operation. What's wrong?
Guess I'll have to wait.
Hurry up!
He's still in VF. - Damn.
Still in VF! - What should we do?
If we continue, this patient will die here.
Stop the operation. - But...
It's over! Turn off the camera, quickly!
Y- Yes, sir!
Why are you here? Outsiders should stay out.
So he had a myocardial infarction, after all.
How did you know?
The patient's neck was hurting, right?
If you looked at his coronal artery, you'd have seen it clearly.
So? What will you do?
Wasn't this in your paper?
What are you doing? Turn the camera off now!
Don't. If you turn it off, I'll kill you.
I suppose you're trying to end the operation as soon as possible.
To make it look like the patient sadly died after the surgery.
What are you studying at Teika? Cover-ups?
Someone throw him out!
If you've got that much free time, hurry up and treat the patient.
It's too late for him.
10 million.
Write your resignation letter.
I'll sort out your mess in return for your severance payment of 10 million yen.
Don't be stupid.
He's still in VF! - We're out of time!
Okay, then. I'll go and tell the great doctor.
Okay! Okay!
Help me.
Move.
I'll take out the internal thoracic artery. Rib retractor.
Rib retractor! - Yes, sir!
Help me. - Yes, sir.
Chair. - Yes, sir.
Electric scalpel.
Tsk.
I'll give you a list, so prepare these for me:
stabiliser, CO2 blower, holder, Beaver scalpel,
micro-scissors, micro-needle holder and 8-0.
Get moving! - Yes, sir!
You take out the saphenous vein. - Yes, sir.
Finished separating the internal thoracic artery.
So fast... - Okay, done.
You're too slow!
I'll do it. Get out of the way. - Yes, sir.
What skilled hands.
So this is Tojo's demon of the operating room.
Get the scissors ready.
Okay, scissors.
Okay, I've finished suturing.
You do the rest. - Yes, sir.
Doctors with no skill should just die.
You can write that in your paper.
I thought you might be more obedient after moving to Teika,
but you're the same as always. - There's a patient.
I save them. That's it.
No matter where I go,
what I do doesn't change.
Hm.
This isn't enough.
That's all I could get on such short notice.
Then I'll give you a discount.
In exchange,
give me that.
Excuse me.
Once again,
I've been put in charge of your case, Ms Yamamoto.
About earlier...
Thank you.
I...
Let me explain this clinical trial to you right away.
Ms Yamamoto gave her consent,
and the second Caesar operation was finally scheduled.
Ms Kinoshita!
Thank you so much for saving us from the mistake with Ms Yamamoto's IV drip.
Um, why did you agree to be Ms Yamamoto's coordinator?
There's a patient. - There's a patient.
I save them. - I save that person.
That's it. - That's it.
I changed jobs, from nurse to coordinator,
but what I have to do hasn't changed.
Dr Tokai taught me that.
Dr Tokai?
I'm just doing my own job to the best of my ability.
But...
There's one problem that can't be solved just by wanting to help.
People.
People? - For patients
and for people working in medicine,
the greatest enemy isn't disease.
Our greatest enemy is...
other people.
Our greatest enemy is other people.
Ms Yamamoto said the same thing.
Back then, I was weak
and I couldn't do anything.
The reason Ms Yamamoto decided to agree to the trial
was for the sake of future medical treatment, for other people.
It was because she wanted to help people.
Neko.
I have a job for you.
And so, the fateful day arrived.
Kaori?
I want to talk to you about something.
The doctors are waiting.
Please hurry.
If you want to talk...
I'll listen to you after the surgery.
I hope it goes well.
Okay.
Let's perform aortic valve replacement surgery using the Japanese Darwin "Caesar".
Yes, sir.
I hear it's a simple operation this time. - Yes.
But of course, it requires precise work,
since they need to suture the aorta.
That can easily be done using the Caesar,
so we can watch without worrying.
The clamp is set.
I'll cut into the aorta. - Yes, sir.
The arm is moving more smoothly than before.
So the improvements are going well.
We all went to so much trouble to learn to suture, and it can do it that easily?
Done.
I'll remove the clamp.
Vitals?
All fine. - Yes!
A complete success. Good, good.
Please take care of the rest.
Thank you.
Please wait!
Move the ultrasound scanner towards the left atrial appendage. - Yes, sir.
That's... - A wandering clot!
Clot = a hardened mass of blood; can cause strokes.
A clot?! - But there was nothing in the tests...
Left atrium
Clot
Dr Takashina... - We have to remove it immediately.
Dr Kurosaki, let's stop the operation for now.
The operation we planned was a success.
If you cause problems by doing something unnecessary,
it will all go to waste!
Do you understand, Dr Kurosaki?
We're stopping.
If we leave it, the patient's life will be in danger!
If we treat it now, we'll still be in time!
It wasn't in the plan. There's no choice but to stop here!
That's for us to decide!
You're betraying your patient's trust!
I'll treat her.
Help me. - Yes, sir.
Sera, please support me. - Yes, sir.
Then let's remove the clot from the left atrial appendage.
Yes, sir. - Clamp forceps, please.
Dr Kurosaki!
I'm the lead surgeon here. Don't just do whatever you want!
The clot doesn't matter now!
That's right, Dr Kurosaki.
Then do you mind if I report this entire conversation to the patient?
What are you doing?
We can change the rules if we need to.
We can't let a patient die because of regulations!
Do what you want!
I'm opening up the left atrium. - Yes, sir.
Set up the pump's venous line. Get some 4-0.
Yes, sir. - And a spoon.
Yes, sir.
Here.
Give me the ultrasound. - Huh?
I'll do it. - Here you go.
Will they be okay?
Take out the clot. - Yes, sir.
I've removed the clot.
There's none left in there, is there?
No, it's fine.
Thank goodness...
Somehow, they pulled it off with no more problems.
I'm glad they succeeded,
but how dare you speak to the operating room like that!
My apologies.
Miyamoto, I can finish the rest.
Nekota?
We've finished cleaning up already...
Before that, there's one more thing we have to clean up.
Well, it didn't go exactly according to plan,
but the surgery was a complete success.
Mr Tomizawa from the Ministry will be pleased too.
Let's start the next trial as soon as possible.
I'll leave it up to you. - Then about the new trial...
Dr Tokai?! - What do you want?
Didn't you go to Teika?
I found this at Teika, you know.
That's our patient list.
So it was being leaked to Teika, after all.
I didn't do it!
Who else could it be? - Unfortunately,
it wasn't Dr Takashina.
This shows the ID of the person who accessed it on Tojo's host computer.
In other words, that's the person who copied and stole the data.
Whose ID is it?
Excuse me.
On Dr Tokai's orders, I looked up who owns the ID.
0019292
0019293
0019294
Miyamoto Ayumi.
It's her ID.
What have you done?
So you were connected to Teika?
How much did they pay you?
Do you know what you've done?!
You've caused a real problem here!
What really happened?
I've seen a scared face like yours before.
She passed the doctor the wrong part.
Will you tell me what happened?
It's okay.
I will definitely protect you.
Your father has lung cancer, right?
He's being treated at Tojo,
in a private room, even.
That's impossible with your salary, isn't it?
Did someone arrange things for you?
And in exchange,
they made you copy the data.
What?!
Who was it?
Say it.
Who was it?
Don't cry.
Hey.
Say it.
Who was it?!
You taught her well, didn't you?
Chief Moriya.
Chief?
No, that's ridiculous.
I don't know anything about it.
She just stole it by herself!
And you're even trying to blame it on me?
You're still trying to run away this late in the game?
You're as bad as a doctor abandoning an operation in the middle.
What a shameful hospital director.
You're worse than me.
Is there any proof that I made her steal it?
Give me a break, you bastard.
This is an email you sent to Teika University.
The patient data was attached to this message.
There's a nice guy over at Teika too.
He kindly let me borrow his ID.
Then when I logged into his PC,
Nishizaki, I'm sending our hospital's patient list. Please check the attachment.
Moriya Nobuaki
your email appeared.
Chief Moriya.
Rumour has it that you have a post lined up at Teika's affiliate hospital after retiring here.
Leaking patient data outside for your own profit
is undeniably a crime.
So that will probably fall through as well...
Please wait, Dr Saeki!
I'll do anything! Just don't kick me out!
Then I'll ignore this, on one condition.
I'll do anything you say.
I'd like you to accept Tokai's return from Teika.
You must be getting bored over there by now, right?
Please pay double his salary from your own accounts.
Okay.
Dr Tokai...
Thank you.
So you're coming back to Tojo?
There's still something I have to do here. - What?
Dr Tokai, you're back?
Yeah. So Sera...
Ah...
I'm so sorry.
Our greatest enemy is other people.
But...
they're also our best ally, aren't they?
What?
When I had to quit nursing,
I was really frustrated.
But thanks to that, I found the work I'm doing now.
Our positions are different, but we both have the same aim.
We're comrades in arms.
That's fine.
I always planned to cut Moriya out at some point.
Why didn't you tell me about this?
It stopped everyone at Tojo from suspecting you, didn't it?
Carry on with the trial and finish the paper.
Yes, sir.
But Dr Saeki might stop me from finishing the paper, like he did with the SNIPE.
Don't worry. I'm prepared for that.
Saeki can't do anything now.
Come in.
Excuse me.
Dr Nishizaki, if what you said the other day is true,
then we have big problems with Dr Saeki as a researcher.
I want to ask you what your real intentions are.
Please, go ahead.
Oof!
Ah, we packed it up but now we're putting it back.
What a pain.
That guy really only thinks about money, doesn't he?
I wonder.
Dr Tokai said
"There's still something I have to do at Tojo".
Huh? Something to do?
A pean?
You know,
I saw a strange picture here before.
A picture? - An X-ray image.
There was...
a pean in the heart.
What?!
Why did Dr Tokai have that picture?