This way.
Here they are.
Dr Nishizaki, welcome to Tojo University.
Thank you for coming to meet us, Dr Saeki.
We'll be in your care here for a while. I hope you'll cooperate with us.
You, too. Let's cooperate and make this surgery a success.
It didn't seem like the two universities would cooperate at all.
How did this even end up happening?
One week earlier
One week earlier, editor Ikenaga of the Japan Surgical Journal
and Dr Nishizaki came to visit.
A demonstration of the Caesar?
As you know, the next general meeting of the Surgeons' Society is planned to be held at Teika.
We'd like to present one final surgery there,
using the Japanese Darwin "Caesar" as the centerpiece of our presentation on our research results.
But the Caesar is here at Tojo now.
Even if you want to demonstrate it...
The surgery will be performed at Tojo
and broadcast to Teika's meeting hall.
The Japanese Darwin is gaining a lot of attention around the world.
We at the Japan Surgical Journal would love to report on this surgery too.
I see. So this test will be a grand event.
I understand.
That's fine for us.
I'm glad to hear it.
Should we have Takashina or Kurosaki as lead surgeon?
I'd like one of our Caesar researchers at Teika,
Sakaguchi here, to be lead surgeon.
I'd like Teika to be in charge of this surgery.
What do you think, Dr Saeki?
Fine.
So then... - So please act as lead surgeon yourself, Dr Nishizaki.
Me?
This is an important operation to commemorate the Caesar's completion.
Shouldn't the lead researcher be the lead surgeon too, Dr Nishizaki?
If it's too difficult for you,
then please let Tojo take charge of the surgery, as we have done so far.
I see.
I'll do it.
So we'll have Dr Nishizaki as lead surgeon at last.
That's something to look forward to.
It really is.
That Saeki struck a blow at the last minute.
But actually, isn't this good?
If you're lead surgeon, it will be a great chance to gain approval for the chair selection.
You'll definitely win, Dr Nishizaki.
Well, that's true.
I'm looking forward to that day.
I'll show you out.
But if we fail here,
it will all come to nothing.
Let's perform an on-pump beating-heart mitral surgery.
Yes, sir.
For better or for worse, this operation will decide everything.
So in the name of Teika, we absolutely have to succeed.
Yes, sir.
This will finally end the era of the scalpel.
Scalpel. - Here.
Scissors. - Here.
Ah, Dr Saeki really is amazing.
He is, but Nurse Fujiwara is amazing to keep up with his speed, too.
They've been working together for over 20 years.
That long...
They're closer than a married couple.
Next, I'll resect the apex.
Scalpel. - Here.
Huh?
Excuse me, that was my mistake. I'm so sorry for passing it too slowly.
Let's carry on. - Yes, sir.
Scalpel.
Scissors. - Here.
Tsk.
So it was the scrub nurse's fault.
It would have been more interesting if Saeki made a mistake.
That scared me, but it looks like there's no problem.
Was that really the nurse's mistake?
Huh?
I guess I'm wrong.
Our problem is the patient.
Takashina, you know why I sent you in here,
don't you?
Yes, sir.
To find a patient with a low risk of failure, a simple case.
A suitable patient for the demonstration.
I'm relying on you.
After that, the medical office was also told about the surgery for the Caesar demonstration.
The operating team will include some Tojo staff members.
Any volunteers?
We'll be "included" as assistants though, right? - Yeah!
Isn't this surgery all for Teika's benefit, anyway?
Why do we have to help our enemies?
That's what was decided.
I'll join the team.
I have the most experience operating with the Caesar here.
Thank you, then.
Any other volunteers?
Sera, don't you have experience?
But there are more senior doctors here...
Then I'll do it.
Dr Tokai?
You too, right?
Huh?
What do you mean?
I'll join the Caesar team.
The Caesar demonstration was scheduled 5 days later,
so Teika's staff came to Tojo to prepare for it.
We'd like to start preparing as soon as possible.
Of course. Until the operation, you're free to use the surgeons' medical office as you like.
Show them where it is. - Yes, sir.
This way.
Sorry, but I'm going out for a bit.
What about Teika?
Let them do what they want.
Hey, that's my desk! - What are you doing?
We have permission to use this room however we like.
Then where are we supposed to work?
If you want to work, please do it over there.
It's so cramped!
Look, isn't that a Caesar simulator?
If they have something that useful, they should have let us borrow it from the beginning!
Sakaguchi.
Yes, sir.
We're holding a meeting,
so can you leave?
What?!
Thanks for your hard work!
What are they doing in our workplace?
Dr Saeki said to let them do what they like,
but isn't this going too far?
About the demo patient,
Tojo University has offered us these three patients to choose from.
All three are severe cases, aren't they?
They deliberately chose difficult patients, after all.
We'll choose the patient the day before operating, based on their test results.
The lead surgeon is Dr Nishizaki.
The assistants will be myself and Dr Takashina.
About the other staff members... - This is so long!
Dr Nishizaki, do you want this operation to succeed?
Of course.
In that case... - Stop it, Dr Tokai. Excuse me.
The assistants will be me and him
Anyone else will just be in the way.
It doesn't matter who the patient is.
I mean, I'll be there.
Whoever the lead surgeon is, it will succeed.
Aren't you pleased, Dr Nishizaki?
What do you mean?
I've called one more person, too.
I'm the scrub nurse, Nekota.
Congratulations,
Chairman Nishizaki.
Nekota is on the team too?
Yes, Dr Tokai is more serious than ever this time.
But Dr Tokai wouldn't even look at new devices before.
That's true.
Why is Dr Tokai acting like he's helping Teika?
Of course, the patient's life is the most important thing,
so we want the Caesar operation to succeed.
But what about the chair selection?
Tokai wants me to lose.
Is that what you're trying to say?
Either way, since it's come to this I have no choice but to let him do it.
I'm going out for a bit.
But we have a medical safety meeting after this.
Hold it without me.
Dr Saeki has been going out a lot recently.
If he's not here, there's no way to stop Teika doing whatever they want.
They'll take over before long.
After that, as the day of the operation drew closer, we ran a simulation.
Okay, follow me. - Yes, sir.
How many Caesar operations has he done so far?
This is the first time he's touched the Caesar.
I've finished placing the annuloplasty ring.
Next, 4-0. - Here.
Good. Okay, doctor.
Please go ahead.
Okay.
Done.
As expected, that was wonderful. Well done.
You too. And you as well. You have some skill.
You have some skill too, doctor.
Well, please do the real thing like this too.
This demonstration will be led by Teika.
Are you all just going to stand there and watch?
Run tests on the three candidate patients.
Yes, sir.
You're being very cooperative this time.
You deceived me before.
Were you unsatisfied with something?
You didn't have a good rice cooker.
By the way, at the same time as you left Teika,
a man called Takeda left us too.
Then I'll give you a discount.
In exchange, give me that.
We found evidence that someone used Takeda's ID to access Teika's host computer.
The strange thing is what they accessed.
From the 100 or so affiliated hospitals in Teika's national network,
they seemed to be searching for a single patient.
They searched for the name "Iinuma Tatsuji".
Iinuma Tatsuji?
However, there were no hits.
Unfortunately, it doesn't seem like that patient is at one of our hospitals.
I wonder why they were looking for that patient.
Then shouldn't you be investigating that Takeda?
And what are you planning this time?
If this surgery succeeds,
I will definitely win the chair selection.
If that happens, your beloved Dr Saeki will lose.
So didn't I say I would help you?
Let's both do our best,
great doctor Nishizaki.
Meanwhile, a patient called Kobayashi Ryuichi
jumped the long queue of patients waiting for surgery with Dr Saeki
and was admitted to our hospital.
It's an honour to be operated on by you, Dr Saeki.
Until your surgery next week, Tokai here will be treating you.
He's a man I trust.
I'm relieved to hear that.
Okay, I'm going out for a bit.
Oh-- yes, sir.
Excuse me.
Dr Saeki isn't at the university much these days.
Maybe he's skipping work to slack off.
What are you saying? That's not it.
I mean, it's weird that he's doing this now.
Go and check.
What?
Follow him and see where he's going.
Are you going over there today too?
If so, I'll come with you.
I can go by myself.
Are you worried about something?
No.
Is it really alright to follow him?
Well, Dr Tokai said
that he's skipping work to slack off. I want to prove that's not true.
Sorry for dragging you with me.
It's fine. My shift just ended, so it's okay.
But I don't think I'll be of any help.
No, no, that's not true.
I want another witness with me. Plus it would look suspicious to follow him alone,
but with two of us we can pretend it's a date or something.
A date?
Huh? Oh, sorry, sorry, no.
We'll just say it was a date.
We'll say so? - Yes, we'll say so.
Okay.
No, I mean, we don't have to just say...
Dr Sera!
Come on...
Huh?
We lost him.
It's because you were saying weird things! - Sorry.
No good.
Dr Tokai threw me off this time.
Can't we take that guy off the team?
You mean Dr Tokai?
I'm in the lead role here. Even though he's just an assistant,
it'll be a problem if he stands out too much.
And there's one more problem: the patient.
Are there no other candidates?
I'm looking for simpler cases, but...
None of these will be straightforward.
Isn't Saeki planning to operate no matter who we pick?
He picked out difficult patients to make us fail.
It's Saeki's usual strategy.
He probably put Tokai on the team to get in my way during the real thing, too.
He wouldn't go that far. - Takashina, don't you get it?
If you don't do something, you'll lose your seat at Teika.
Rather than looking for a patient, look for an excuse to get rid of Tokai.
Let's achieve something great.
Something great.
Where's Sera today?
On a date with a woman.
Huh?
Forget that, are you feeling alright?
You're leaving the Caesar alone.
I thought I'd talk to my teammate Dr Tokai for a bit.
Did the great Dr Nishizaki tell you to get me off the team?
You do anything your bosses tell you, don't you?
It's to get the SNIPE and the Caesar out into the world.
I believe in them.
And you, Dr Tokai.
You've shown no interest in new medical devices before now,
so why are you doing this now?
I don't like robots,
but this time there's something I dislike even more.
You mean Dr Saeki?
I'll help you this one time.
But you've followed him so faithfully up to now.
Why?
I don't understand what you believe in.
I don't have any beliefs.
The only thing I believe in is myself.
Dr Tokai. Here are Mr Kobayashi's test results. - Hm.
Move.
This is...
Sakura Hospital.
Oh, Mr Kobayashi?
I don't think I saw his reports. What sort of patient is he?
He's a special case brought in by Dr Saeki.
This is top secret, okay?
Mitral valve failure?
It's a simple case that could be used for the Caesar trial.
Dr Saeki will operate on this patient.
As for the trial, you have three candidates already.
Well, well. Dr Saeki.
Is it okay today? - Yes.
Let's go to the examination room.
Did he say "examination room"?
Yes. I wonder if he's ill.
Scalpel.
It's almost time. Haven't you found another patient?
There's a patient called Kobayashi,
but he's already been scheduled for surgery with Dr Saeki.
Then let's steal him from Saeki.
But... - If we can use his patient,
we'll have proof that my Caesar is better than Saeki's black pean.
And if it's a simple case,
we won't need that Tokai's help either.
Takashina.
Let's achieve something great.
Got it? Great.
So where did he go?
To Sakura Hospital. I think he was getting some kind of test done.
Sakura Hospital... - Yes.
Um, in Dr Saeki's operation earlier,
I saw his scalpel waver for a moment.
Do you think there's something wrong with him?
His heart. - His heart?
Dr Takashina? - Ah.
About Dr Saeki...
Is that true?
You can make a good report to the great doctor now.
Yes.
That's true.
Then go and tell him right away.
Dr Saeki has a heart problem?
That's what Dr Tokai said.
Hanabusa, didn't you say you saw an X-ray with a pean in the heart?
Yes.
What if the patient in that X-ray
is Dr Saeki?
I'll go and look for that X-ray, so can you look into the data records, Hanabusa?
Yes, I'll try.
Yes? - Dr Sera, did you find it?
No, I can't find it anywhere. How about you?
I searched for Dr Saeki's name,
Your search for "Saeki Seigo" did not match any reports.
but there's no medical record for him at all, let alone an X-ray.
No medical record either?
Anyway, I'll keep looking for a bit.
Okay.
They searched for the name "Iinuma Tatsuji".
Oh, hang on.
Yes?
Could you search for the name "Iinuma Tatsuji" as well?
Iinuma Tatsuji?
Yes, just in case.
Got it. I'll call you back when I'm done.
Iinuma Tatsuji
Nekota.
What are you doing in here?
Nekota, you always sleep in Dr Tokai's room, don't you?
Have you ever seen an X-ray image in there?
It shows, well...
a pean... - What are you talking about?
Miwa,
I don't know what you're looking for,
but if you get in Dr Tokai's way,
I'll crush you.
Okay.
The patients all seem to be in good condition.
Yes.
Whoever you choose, they'll be in perfect shape for the operation.
I see.
Anything else to report?
Do you think there's something wrong with him?
His heart.
No. - Okay.
I'll think carefully about which patient to choose,
so please carry on with their treatment.
Yes, sir.
A doctor neglecting his own health, is it?
How can a heart surgeon have heart problems?
I wonder what you're talking about.
I've had my suspicions about this, but that patient Kobayashi...
He does need surgery, but it hardly seems urgent.
Even though it's a mild case, you had him admitted so quickly.
Such preferential treatment.
It's a favour for someone I know.
Anyway, how's the Caesar operation coming?
Oh, apparently they've chosen a patient called Kudou.
Well, I'll be there,
so it will be a success.
So that means I'll lose the chair selection.
That's fine.
Don't hold back. Give it everything you've got.
But don't forget, Tokai.
No matter how great this Caesar device is,
it comes down to people in the end.
People will win.
And so, the fateful day arrived.
Why didn't you tell Dr Nishizaki about Dr Saeki?
I'll tell him after the surgery.
Whatever our positions are, if I think about the patient,
I think it's best to have Dr Tokai on the team.
That's my decision, based on my beliefs.
Beliefs, huh?
Finally, the Japanese Darwin's abilities will be known throughout the Japanese medical field. - Yes.
Dr Saeki will be giving an opening speech by relay broadcast today, won't he? - Yes.
I'm looking forward to that, too. - Right.
Ah, excuse me.
We're about to start. What is it?
We have a problem.
We can't find Dr Saeki anywhere.
What?
We haven't been able to contact him all morning. - He's supposed to speak before the operation.
The Society board members will think poorly of him if he misses this.
Actually, there's one more problem.
Until the operation ends, please wait in the family waiting room.
We'll let you know when it's over.
Thank you.
Excuse me.
Well, well. Dr Saeki.
Why is the director of Sakura Hospital here?
That's Mr Kobayashi's father.
Well, well. Thank you for looking after my son. - It's nothing.
Please treat him well today.
Today?
You haven't heard?
Apparently today's joint operation with Teika will be on Mr Kobayashi.
Huh?
Why?
Hey, what's happening? - That's what we want to ask!
Dr Kurosaki says he showed you that patient's chart earlier, Dr Takashina.
You were "thrown out" of Teika, but weren't you secretly working with Dr Nishizaki all along?
That's too corrupt!
That patient was scheduled with Dr Saeki, and you stole him away.
No, it wasn't me! - Then who was it?
It was me.
Dr Tokai.
This morning, at Dr Tokai's request, I explained the trial to Mr Kobayashi and got his consent.
Why did you do that?
We're starting to set up! Please hurry!
Like he said.
Hey. - The camera.
Everyone at the University of Teika,
today we'll be performing the Japanese Darwin "Caesar"'s culminating surgery,
and it's my great honour to demonstrate it for you.
Originally,
we planned for Dr Saeki to say a few words here,
but he's nowhere to be found.
It seems the professor has some kind of serious heart problem.
His heart?
He shouldn't have said that in front of the society board members.
Today's patient was originally scheduled for surgery with Dr Saeki,
but he's in no condition to act as lead surgeon.
Therefore, for the sake of this patient, we've decided to operate using the Caesar.
I see, so that's the situation.
I'm worried about Dr Saeki, but the patient is lucky to be operated on with the Caesar.
Furthermore, we ran a simulation of this patient's surgery earlier
using Teika's staff members.
As such, we'll proceed with these staff members.
That's how it is, so would you please leave?
Tokai, thanks for the useful information.
But this and that are separate things.
What are you doing?
You too. - What?
This surgery is by Teika, for Teika.
It's nothing to do with a Tojo employee like you.
Once again,
we'll be using the Japanese Darwin "Caesar" to perform mitral valvuloplasty.
So this operation is all for Teika's benefit?
It'll look like Teika perfected the Caesar by themselves, too.
That's because it was Teika that really perfected it.
What?
You're stealing our achievements as well as our patients?!
First, I'll open up the pericardium.
That patient and Dr Saeki's health... You told him everything?
Why?
To bring down Saeki Seigo.
Well, there was something I wanted to check, too.
Check?
It seems like he's been planning to get rid of you right from the start.
Anything else to report?
No.
You didn't need your "beliefs" after all.
But he threw you out too, Dr Tokai.
That's true.
It comes down to people in the end.
People will win.
So it's people in the end?
Well, wake me up when it's over.
Pericardial incision complete. Next, let's prepare for cardioplegia.
Dr Nishizaki is first-class with the device, too.
Clamp the aorta. - Yes, sir.
Clamp forceps. - Here.
Not that one!
Get the clamp Dr Nishizaki always uses.
Come on!
What are you doing? - Hurry up!
Don't they seem a bit flustered?
Darwin surgery is a team battle.
As well as the lead surgeon, the assistants need to be able to follow the arm too.
They don't have that much experience.
What are you doing? Hurry up! - I'm sorry.
Clamping complete.
Okay.
The left clamp is out of view.
Huh? - This is bad!
There's an aortic lesion!
Put pressure on the bleeding part!
Suction, suction!
Quickly. Add more volume! - Yes, sir.
This is really bad.
What are you doing?! Suction!
It's no good! He won't stop bleeding!
Damn it.
Mic volume
You can't come in here!
Doctors with no skill should just die.
But I'll let you live for now.
Didn't I say so?
If I'm here, it will be okay.
I'll stop the bleeding. You can stay there
and keep operating with the Caesar.
Then you'll succeed.
Congratulations, chairman.
I'll sort out your mess.
Neko-chan. - Yes, sir.
Okay, move.
Move!
4-0. - Here.
Dr Saeki...
The professor! - Dr Saeki?
I'll take over, Tokai.
This is a joint operation.
If Dr Nishizaki wants to step down as lead surgeon, I'll take his place.
Is that okay?
Dr Tokai, I said I'll do it.
Move!
Switch with me.
Yes, ma'am.
Get this out of the way. - Yes, sir.
I'll make a small incision in the chest and suture the lesion to stop the bleeding.
Remove the clamp. Flow down.
Scalpel. - Here.
Takashina, Sera, you help.
Yes, sir.
Electric scalpel. - Here.
Get the rib retractor ready. - Yes, sir.
4-0. - Here.
Scissors. - Here.
Blood pressure is stable.
Next, we'll do MICS on-pump beating-heart mitral surgery.
Scalpel. - Here.
Dr Saeki...
Who said that Dr Saeki was ill?
Have you ever seen better scalpel work?
Scissors. - Here.
Black pean. - Yes, sir.
This is Tojo University!
This is Tojo's pride, Dr Saeki operating!
Done. I'll leave the rest to you. - Yes, sir.
Did you think I'd lose?
This is who I am.
The black pean.
I didn't lose.
My assistant just made a mistake with the arm's position.
You...
You're all fired!
If you throw people away,
you aren't qualified to save people.
Great work! - Well done!
Oh, doctor. Thank you very much.
I didn't do anything. - No, no.
I just heard that my son's surgery went well. I'm so relieved.
Mr Kobayashi,
you're the director of Sakura Hospital, aren't you?
I finally understood something.
What's that?
How your son jumped the queue for admission.
You have a close enough relationship with Dr Saeki
that you were able to ask him for a favour.
But in exchange, you're treating his heart condition.
His heart? Dr Saeki's? - Oh?
You don't know about that?
Then why is he visiting your hospital?
There's a patient he doesn't want Tojo to know about.
That's why he keeps going there in person, over and over, and only just made it in time to treat the patient today.
Who is it?
What are their symptoms?
How old are they?
What's their name?
Are you going to spit it out soon? - What are you doing?
Tell me. Tell me!
Dr Tokai, what are you doing?
Move.
Tell me.
Tell me!
Dr Saeki?
Dr Saeki!
Tell me!
Tell me!!
Iinuma...
Iinuma Tatsuji.
Are you okay?
Ah, Dr Tokai!
It's Dr Saeki!
It happened?