Tell me. Tell me! - Dr Tokai...
Tell me! - Iinuma...
Iinuma Tatsuji.
Dr Saeki?
Dr Saeki!
Dr Tokai! It's Dr Saeki!
It happened?
He collapsed?
What's his condition? I see. I'll be right back!
1, 2, 3.
Dr Saeki! Dr Saeki!
Take him to the operating room! - Yes, sir.
Sorry, I'm late. - I can't see, push it in further.
We need imaging! - Bring a catheter. Prepare for cardiac catheterisation.
I'll help too. - We don't need your help!
Go back to Teika with the rest of them.
Get me a balloon pump! - Yes, sir.
Dr Tokai?
After Dr Saeki's emergency treatment,
he is stable for now.
However, his test results showed stenosis of the left coronary artery.
This was probably caused by his ALCAPA syndrome.
Anomalous Left Coronary Artery from the Pulmonary Artery
aorta
pulmonary artery
coronary artery
The left coronary artery usually starts from the aorta,
but in very rare cases it starts from the pulmonary artery instead.
This means the heart doesn't get enough oxygen,
severely affecting its ability to function.
At the same time, he also has mitral valve incompetence.
mitral valve
He could have a fatal myocardial infarction at any time.
He urgently needs surgery. - I can't believe it.
Dr Saeki's mitral valve?
Apart from Dr Saeki, the only person at Tojo who can do this operation is...
Where is Tokai? - Um, I couldn't find him anywhere.
Oh, I saw him!
He was going somewhere while Dr Saeki was being treated...
What? - Sera, go and find him now!
Yes, sir.
I saw him too, but I don't know where he was going.
Where could he have gone? - I'm sorry.
Tell me.
Tell me!
Iinuma Tatsuji.
- Huh?
They searched for the name "Iinuma Tatsuji".
Maybe...
It does seem that a Mr Iinuma Tatsuji was admitted here.
Which room?
I'd tell you if I could, but... - Which room?
He's on the restricted-access floor. - Which room?
Room 421.
Ah, Ms Kinoshita.
So Dr Tokai did come here, after all.
He's looking for Iinuma Tatsuji, isn't he?
What is that guy trying to do? Which way did he go?
Thank you.
Hey! Call security!
I'm sorry, you can't go any further. - You don't have permission to come in here.
Dr Tokai! What are you doing at a time like this?
Dr Saeki has collapsed, you know. - Then you help him.
Someone please stop him! You can't go in!
Please wait a minute! - Move!
Huh? There's no one here.
Dr Saeki?
What about Iinuma? - I had him discharged, as you ordered.
Dr Saeki? Dr Saeki!
Have Iinuma discharged.
I see.
I can't believe I collapsed at a time like this.
Please, just think about your own health for now.
But the Society chair selection is so soon...
He did this.
Huh? Dr Tokai...
Mr Kobayashi. - So it was you, after all.
Would you please leave?
Where was he transferred to? - Who knows.
I just discharged him, as Dr Saeki ordered.
I don't know anything else about where he went.
If you still have questions, please ask Dr Saeki himself.
Excuse me. Sorry.
What's going on? - How is Dr Saeki?
The emergency treatment is done, but his life is still in danger.
It's fine. There's no problem because I'll save him.
And after that, I'll kill him.
Who would have thought I'd have mitral valve problems?
I'd like to operate on myself, but I suppose that's impossible.
Ah... What should we do?
Dr Tokai? - Where were you?
I'll operate on you.
You can't just declare that yourself!
Who else can do it, then?
Okay. Then that's all.
I refuse.
But then who will operate?
It's frustrating, but Dr Tokai is the most skilled doctor we have.
The Caesar.
Operate on you with the Caesar?
It's an extremely difficult operation that needs precise techniques.
I think the Caesar is the most appropriate choice.
Those are your professor's orders. - Yes, sir.
We'll definitely make this surgery a success.
He's the one claiming the authority of the scalpel,
yet he chose Caesar surgery?
I wondered what would happen if the board members heard about Saeki's illness,
but this means I've won the chair selection.
Dr Saeki covered for your mistake, Dr Nishizaki,
and collapsed from overexertion.
I haven't made any mistakes.
Saeki barged in when I was about to treat the patient.
He's just reaping what he sowed.
Dr Nishizaki! - With this, the era of the scalpel is over.
Take care.
So Dr Saeki is trusting technology with his life.
He's declaring our department's defeat.
Did we really lose to this robot?
No data
There's no data left on here!
You're still here, Dr Takashina?
You don't have any more business here. Are you still trying to get in our way?
Is everyone here?
For Dr Saeki's Caesar surgery,
I will be the lead surgeon.
Sekikawa and Kakitani will be my assistants. - Yes, sir.
I want anyone else who's free to help as needed.
Got it? This is to save Dr Saeki's life,
which means the lives of all of this department's patients.
Let's work together and protect Dr Saeki's life!
Yes, sir.
Sera, do you have a moment? -Yes, sir.
We received a complaint from Sakura Hospital about Tokai.
At this difficult time...
You keep watch over Tokai.
Huh? - I don't know what he's up to.
I don't want him to have anything to do with this operation. Okay?
Yes, sir.
And so, in preparation for Dr Saeki's surgery,
everyone in the department started work.
For Dr Saeki's surgery this time,
there are a lot of difficulties.
He needed a left coronary bypass operation using the internal thoracic artery
Mitral valve repair
LCA bypass surgery
brachiocephalic artery
and mitral valve repair, a completely separate operation,
so two separate approaches were needed.
However, because of his impaired heart and lung function,
he could only be kept under anaesthesia for 2 hours.
Finishing both operations in this time would be very difficult.
The Caesar has never been used for simultaneous operations like this before.
And there's a 2-hour time limit, too.
Shouldn't we ask Dr Takashina to help after all? - This is a Tojo surgery.
We don't need that traitor.
In any case, we have to keep running simulations to verify this approach.
Yes, sir.
They should have put you on the team too, Dr Takashina.
I'm the man who betrayed Tojo twice.
But Dr Takashina,
you've never once betrayed a patient, have you?
And this is Caesar surgery. No one at Tojo knows more about the Caesar than you do.
I mean, you can use that simulator, can't you?
But Teika took all its data with them. It's completely empty.
It's like a games console with no software.
So you mean it's useless?
Sera, weren't you supposed to be keeping an eye on Dr Tokai? - Yeah.
I was. - But he just left.
Huh? Where?! - That way.
Oh no, no no no. What should I do?
The Caesar.
It will definitely fail, you know.
If you do this, you won't just lose the Society chair position,
you'll lose your life.
Tokai, please...
operate on me after all.
Did you think I'd beg you like that?
But really, that's the only choice you have left.
It's not as if you really want to save my life.
You just want to know where the patient I'm protecting is.
Don't underestimate me, Tokai.
Sometimes, there are more important things than a person's life.
I, Saeki Seigo, would rather die than bow down before you.
This surgery will be done with the Caesar.
This is the only method that will save my life.
Then please just stay here quietly
and die.
Takashina? - I'm here to ask you for something.
Data? - Yes.
Could I borrow the data that was saved on the Caesar simulator you left at Tojo?
No.
It took us 3 years to collect that data here at Teika.
It's worth as much as my life.
You're asking for too much.
But isn't this part of the joint research project too?
That research ended with the last test.
No.
My paper isn't finished yet.
We already have that paper.
I had Sakaguchi write it.
I'm just about to send it to editor Ikenaga at the Japan Surgical Journal.
So everything I've done so far... what was it for?
What was it for?
It was for me.
Well, at least do your best,
Ta-ka-shi-na.
Dr Nishizaki.
What is the Caesar to you?
What is research to you?
Doesn't it exist to save people's lives?
Thanks for all your hard work up to now.
Dr Nishizaki! - Stop it! Hey!
Ah!
You!
You still call yourself a doctor?
Yes.
I'm a doctor.
It seems this doctor from Tojo is leaving.
Please show him out.
Excuse me.
I'm really not trying to get in your way.
Takashina.
I'd...
like you to be lead surgeon.
To save Dr Saeki's life,
we need your abilities.
The data from this surgery will make a valuable case report.
I'm sure it will make a great gift for Teika, too.
And then your side will definitely win the chair selection.
That's frustrating, but I don't care about it now.
If this will save Dr Saeki's life,
if only Dr Saeki will keep on living,
we'll be fine with that.
I want to save his life. That's all.
Doesn't it exist to save people's lives?
Please help us.
Thanks for all your hard work up to now.
I've been abandoned by Dr Nishizaki.
I sacrificed everything for this paper,
but Dr Nishizaki had already let someone else write it.
For years now,
I whole-heartedly devoted myself to him.
And this is how it turned out.
I've followed Dr Saeki for many years too,
supporting him.
So I understand your feelings, your regrets.
Support him with me, please!
Dr Kurosaki.
Please let me help too.
And so, Dr Takashina joined us again,
and Tojo continued to prepare for Dr Saeki's Caesar surgery.
There's only one week left before the operation.
There were no similar cases in the Darwin's records,
but I'd like you to do a global search.
I'll ask my colleagues from when I studied abroad in New York and Paris.
I can speak Italian and German, so I'll search for any articles.
Those kids...
Well then, get to work with the simulations or searching for case reports. - Yes, sir!
Okay! Let's see that Tojo University spirit!
Yes, sir!
So Takashina joined the team, too.
Yes.
It's a chance to demonstrate his Tojo spirit.
I see.
I have a request. - Yes?
I want to see how everyone's doing.
Can we film them?
Understood.
Right, okay.
I really don't need these, so take them.
I'd like to hear the doctor's thoughts...
[speaking foreign languages]
The stenotic part is in here, so we can't take that...
So it's like that?
Where should we approach the coronary artery from? - That's the question.
We haven't found any similar cases yet.
We'll just have to keep running simulations to make a plan for the operation.
So we're crossing the desert without a map.
Let's believe we can find our way
and keep walking until we do.
For this unprecedented operation,
we had to run various simulations, starting from the arm's insertion point.
Time up.
It takes too long to do the bypass with this approach.
Let's try again. - Yes, sir.
With just a week to go,
repeated trial and error still hadn't produced good results,
and Dr Takashina and the others grew more and more impatient.
Dr Tokai.
Won't you help us save Dr Saeki?
If that's what you want, you should just let me use a scalpel.
Dr Saeki said to use the Caesar...
Dr Tokai's really the only one we can rely on, isn't he?
But the chasm between Dr Tokai and Dr Saeki is getting wider all the time.
So if we can find the reason,
maybe Dr Tokai will cooperate with us for the surgery.
The reason?
It's probably related to this "Iinuma Tatsuji".
Dr Tokai is looking for him.
The pean image you saw before might be related too, Hanabusa.
If you get in Dr Tokai's way,
I'll crush you.
But we shouldn't get too involved... - This is to save Dr Saeki.
I'm going to search Dr Tokai's room again.
Tokai?
Yes, I'd like to ask him to control the Caesar.
But what would we tell Dr Saeki?
This is to save Dr Saeki's life!
That's true.
I'll talk to Tokai.
I knew his father a bit too.
I've been thinking that I should have a proper talk with him.
It's no good. I can't find it.
We should get out of here soon.
It's almost Dr Tokai's lunch break, too.
He always just eats rice in here, though.
Rice?
Could it be...
I found it.
This is the image I saw before.
There really is a pean here.
Patient: Iinuma Tatsuji.
Attending Physician: Tokai Ichiro.
Oh, Tokai!
I need to talk to you.
About Dr Saeki's Caesar operation...
Please persuade him to let me use a scalpel.
If not, he'll die.
Dr Tokai.
Wait, Tokai.
That's enough!
Dr Tokai.
Wait, Tokai. That's enough!
That image...
Why do you have this?
Where did you get this? - Um, I...
Give that back.
It's mine.
What's the meaning of this, Tokai?
Why do you have that?
So it's a reverse grudge?
Your father was a disgrace to Tojo!
Leave, Tokai.
I wanted to ask for your help, but we don't need you after all.
I won't let you into that operating room.
Until Dr Saeki's surgery is over, you can stay at home!
What?
But I live here.
Get out!
Dr Kurosaki.
Do you know something about that image?
It's none of your business.
Dr Tokai has been looking for Iinuma Tatsuji.
That's why he went to Teika,
and to Sakura Hospital when Dr Saeki collapsed, too.
He's looking for Mr Iinuma? But why?
That's all over!
What happened?
Just after I joined this department, my advisor was
Tokai's father.
You're wrong, sir.
Tokai Ichiro was an excellent doctor.
But he was very ambitious, aiming high,
and he didn't get on well with the previous professor.
And then, he operated on a patient called Iinuma.
It was a mild case and a simple heart surgery.
Dr Tokai, about Mr Iinuma's postoperative treatment...
I happened to see him looking at Iinuma's X-ray.
That's... - It's nothing to do with you.
And in the chest,
there was a pean.
Leaving a pean behind...
It was clearly medical malpractice.
How do you plan to take responsibility?
Tokai Ichiro made that mistake
and was fired from Tojo as a result.
The former professor managed to keep the pean incident secret
and avoided any further problems.
It's a black spot in Tojo's history that only a few people know about.
After that, Dr Saeki took pity on Tokai Ichiro's son
and deliberately invited him to his department.
And that was Dr Tokai.
That's why he only ever followed Dr Saeki's orders, isn't it?
But he must have hated him on the inside.
His father, an excellent doctor, was thrown out
and Dr Saeki took over the department instead of him.
We can't trust Tokai.
We'll have to do Dr Saeki's surgery without him.
Sera, you join the operating team too.
We don't need Tokai's scalpel.
I'll crush you.
Nekota? - What were you talking to Dr Kurosaki about earlier?
Could it be related to Dr Tokai leaving?
Um... - Was it about Tokai Ichiro?
You know about that?
Ah...
You.
What do you know?
Nekota?
What are you doing in here?
Get back to work at once.
Yes, ma'am.
She's obedient today.
Well?
What did Dr Kurosaki tell you?
I missed a meal. - Ah, you surprised me!
There's a rice cooker here, right? - Dr Tokai? There is, but...
I see, so he told you that much.
But after this, please stick to your duties as a nurse.
And don't talk about things that don't concern you.
Not to Nekota, and not to your friend Dr Sera, either.
A few words from me to Dr Saeki
is more than enough to get a single resident fired, after all.
Do you understand?
Yes.
Um, everyone else is asleep, so please keep quiet.
I know that. - Okay, here you are.
Hey, hey! - Yes, yes, yes.
Move this stuff.
Oh, sorry.
I was practicing.
Ordinary people like me have to practice at home too, if we want to keep up.
I suppose you would.
I have to study this, too.
I joined the Caesar team, so I have to run simulations too.
I don't know what I can do to help, but it's an unprecedented case,
and I don't even know what the Caesar can do or how it works.
I think my seniors are at their limits too.
Out of time again.
If only there was some way to make a breakthrough.
Go and ask if there is one.
Go where?
To the place with the most case reports and papers in all of Japan.
I'm calling about the Caesar paper you sent the other day.
We've officially accepted it for publication in the Japan Surgical Journal's next issue.
Ah, thank you!
It will be published just before the chair selection takes place.
You made it.
Editor Ikenaga, it's all thanks to you.
This time, my impact factor will beat Dr Saeki's at last.
My victory in the chair selection will be guaranteed.
Well, it seems like that's out of the question for Dr Saeki anyway, doesn't it?
I hear that Dr Saeki needs a very difficult surgery.
Yes. He used to be my rival,
but now I'm just praying for his health.
I'll send a gift after the chair selection.
Goodbye.
I'm the winner.
You still call yourself a doctor?
Yes. I'm a doctor.
Come in.
Excuse me. - Excuse me.
Sorry for dropping in so suddenly.
It seems Dr Sera wants to talk to you about Caesar surgery.
Yes.
You're not asking to see Dr Nishizaki's Caesar paper,
are you?
It's true that it could contain some hints for Dr Saeki's surgery.
But I can't show it to you.
Papers are a doctor's life, after all.
Yes, sir.
Well, he won't let you see an unpublished paper.
Then what should I do? - You're an idiot, aren't you?
Yes. - Then as an idiot, shouldn't you just ask for it like an idiot would?
Say "Then what should I do?"
Then what should I do?
Huh? - Um, this is Dr Saeki's medical record.
Can't you give me some advice?
No, he won't tell me anything.
Well, that's true.
So,
go and say what you want to say.
That is, go and get scolded like an idiot.
Advice?
Are you an idiot?
Yes.
You're asking the wrong person.
I'm sorry, but I'm busy with my own work.
My apologies.
Go and get scolded like an idiot.
The work you're so busy with...
What is it?
To me, it looks like all you do is
raise the impact factors of famous people to promote them.
Dr Sera!
I mean, a paper is like an essay,
you give gold stars to the well-written ones,
then those distinguished adults cheer and you fawn over them.
What's so great about that? I don't understand the point of it.
I'm leaving.
Please wait a minute. Please!
What do you want?!
You show up and ask for my help, even though you're a doctor. Even you can't be this stupid!
I'm not a doctor.
A person's life is in danger right in front of me,
and I can't do anything about it.
Someone like that can't be a doctor.
The doctors I know...
One of them never backs down,
always standing at the forefront, fighting to save lives every day.
And one of them believes in technology,
trying to save the lives of the future.
And there's one more,
who's like a demon.
He's always saying unbelievable things and manipulating me,
but even so, he always saves people's lives.
Just using his own skills,
he always saves the lives of those in front of him.
I respect them all.
They're the best of all doctors.
At Tojo,
they're running endless simulations to prepare for the surgery.
But the simulations aren't going well at all.
So they're desperately searching for similar case reports based on foreign-made Darwin machines.
Right now, Tojo is throwing away its scalpel-based pride,
and everyone's trying to save a single life.
That's because Dr Saeki's life,
includes the lives of thousands of patients who are waiting for him to operate on them.
Of course, someone like me
can't do anything to help,
but I still can't give up!
I can't give up on the life in front of me.
That's why I want to do anything I can.
I want to be a doctor too.
So please,
won't you help us?
Please!
I do remember seeing
a paper on a successful case of Darwin surgery that was similar to Dr Saeki's case.
It was in a little-known journal
published by a small American research centre.
It's difficult to access, so I'll make enquiries for you myself.
You will?
Thank you.
It's nothing.
That's what papers are for, after all.
When I was young, I had a rare disease,
and was told I wouldn't live.
But my doctor back then
collected papers from all over the world and found a way to cure me.
Anyone's research from anywhere in the world
could save someone's life in another country.
That's what papers are for.
It's not to promote people, like you said.
It's to save lives.
Once again, I remembered that my job is to act as their mediator.
I hope you succeed.
Yes, sir.
This is the paper editor Ikenaga found for us.
It really is similar to Dr Saeki's case.
We hadn't considered that approach.
We've seen the light at the end of the tunnel.
Okay, let's make a plan based on this.
Yes, sir.
Unlike our previous simulations,
Mitral repair surgery
Coronary bypass surgery
using two holes for the two operations,
Coronary bypass surgery Mitral repair surgery
this new plan involved doing the bypass and mitral surgery
one after another through a single hole.
Opening one hole should reduce the operating time,
and could be the only way to make the impossible possible.
Dr Tokai, thanks to you we finally found a method that might work.
So you really did find one. - Yes.
But there's not much time left, so we need to find out if this will really work.
There's no "if". Just do it.
If you kill him, I'll kill you all.
I need him alive, for now.
So you can find out where that patient is?
Why are you so... - It's so I can kill Saeki.
We'll be following this plan.
In theory, it should work.
We'll keep running simulations until the last minute to make sure.
If you succeed, this method will be a world-first for the Caesar, won't it?
Yes, good enough to write a paper on it.
Takashina.
What happened to the Caesar paper you were writing before?
Actually, Dr Nishizaki got someone else to write it instead,
so my paper is worthless now.
It's just taking up space on my computer.
That's good.
Oh?
Raise it to 60 degrees, then go deeper.
Time's up! - Right...
Dr Saeki? - Sir!
Set up the ECG! -Yes, sir!
Sir!
An infarction? Just take him to the operating room!
Hey! - Yes, sir!
Got it. I'll head over right away.
Dr Tokai, Dr Saeki's condition has suddenly got worse.
They're starting emergency surgery now. - Tsk.
Let's start the Caesar-based coronary bypass surgery
and mitral repair surgery.
Whatever happens, we will save Dr Saeki!
Yes, sir.
Please insert the arm. - Okay.
Although our simulations weren't complete,
the myocardial infarction reduced the operating time,
and the time limit was just one hour.
Time remaining
Internal thoracic artery
We've reached the internal thoracic artery.
I'll detach it now.
So they're going to detach the thoracic artery and use it for the coronary bypass?
It's the best choice for the patient.
It's detached.
We've passed the first hurdle.
The difficult part starts here.
Okay, moving on to the bypass.
Dr Tokai, is it alright for you to barge in like this?
Dr Tokai?
Check the position of the left coronary artery.
Damn it, I can't see the coronary artery at all.
I'll just have to push the Caesar further in.
The right ventricle is bleeding.
Gauze. - Here.
Sekikawa, wipe the camera lens. - Yes, sir.
There's no time. They won't make it like this.
Dr Tokai... Dr Tokai is here!
Is he planning to take over the operation?
If he tries to do a thoracotomy now, it will take too much time.
Let's stop him! - Yes, this way!
Dr Tokai.
There's no way you'll get into the operating room.
I know that. - What?
We've got to stop him. We were ordered not to let Dr Tokai in.
Huh? Where's Dr Tokai?
He's not going to the operating room.
So he gave up.
Sorry, I'm late. - Hurry up!
Excuse me.
Dr Takashina, can I help you with anything?
Prepare one pack of red blood cells. - Yes, sir.
40 minutes down. Saturation is decreasing.
Damn it... If we go over an hour,
his heart could stop at any time.
We have to protect Dr Saeki!
Time remaining
Yes, sir. - Here you go.
I just caught a glimpse of the left coronary artery.
Please press on the heart with a cotton ball. - Got it.
Here.
Ventricular tachycardia!
The heart can't take such strong pressure.
Doctor, let's take it out for now. - Right.
I lost it again. Damn it...
45 minutes down. We only have 15 minutes left!
Time remaining
I can't reach it.
But it's so close...
With only 15 minutes, it's impossible.
What's wrong? - Dr Takashina?
Even if I push the Caesar further in,
it will only damage the heart.
There's nothing more I can do...
It can't be.
So then, he'll...
Dr Saeki can't be saved.
What are you saying? That can't be true.
I won't let you give up on Dr Saeki's life!
For years and years,
Dr Saeki has saved hundreds, thousands of patients' lives!
I don't care if it's God, the devil,
or anyone!
Please...
Please!
Please save him!
Dr Takashina? - 4-0, please.
Here.
It moved. What's happening?
What's going on?
Excuse me.
This is going on.
Okay, first I'll stop the bleeding from the right ventricle.
Remote operation?
Dr Tokai told me what to do.
Dr Tokai.
There's no way you'll get into the operating room.
I know that. - What?
I'll use the other Caesar that's in the medical office.
It's remote operation.
Go and authorise it to access the Caesar in the operating room.
Go.
Remote operation Accessing...
Sorry, I'm late. - Hurry up!
Excuse me.
Dr Takashina, can I help you with anything?
Remote access requested
Prepare one pack of red blood cells. - Yes, sir.
40 minutes down. Saturation is decreasing.
Access authorised
I'm sorry. There wasn't time to explain.
I thought that simulator was useless,
but it can do this?
Your plan wasn't bad.
It was well thought-out.
This approach really might have worked.
But...
I can't see the crucial coronary vein.
We can't push the Caesar in any further.
If we can't push the Caesar in, we should pull the heart out.
Pull it out? How?
With a suction cup. - A suction cup?
Use a suction cup to pull the heart out.
That's...
Okay, I've sutured the right ventricle. Now what are you going to do?
Right ventricle sutured. - 50 minutes. We're almost at the limit!
Time remaining
Dr Takashina.
What should we do, Takashina? - Dr Takashina!
Dr Takashina, the next step! - I know!
Let's start the left coronary bypass.
Get a suction cup. - A suction cup? That wasn't in the plan...
Here it is.
Okay, let's do this!
Let's do everything we can! - Yes, sir!
Here.
The heart is moving closer to the Caesar.
But it won't be stable like this.
There's no arm to hold it there, like the Darwin has.
I'll suture it with one hand. - With one hand?
I'll hold the heart in place with the left hand and suture with the right hand only.
Got it.
We're almost at one hour! - We can make it!
Time remaining
He's really only using the right hand.
Wow. I've never seen anything like this.
You're too slow with the thread. Don't zone out!
Got it.
Suction, suction! - Suction, suction!
I'm sorry. - Then the blower. - Then the blower.
Hurry up. Let's raise the pace! - Let's raise the pace!
Yes, sir.
Arai. - Yes?
Get the arterial and venous lines. - What?
Right away.
Amazing. - The arms are moving even faster.
They might make it like this.
Bypass complete.
Just within the hour.
We made it.
But there's still the mitral valve left.
We only made it this far. Damn it.
Start the heart-lung machine. - What?
We'll keep going with on-pump beating-heart mitral surgery.
The Saeki method, using the Caesar?
Can you do that?
I don't know.
But what other choice is there?
Takashina!
Understood.
Next, let's use the Caesar
to do on-pump beating-heart mitral surgery.
What? - The Saeki method, with the Caesar?
Those are the lead surgeon's orders. Start the heart-lung machine.
Yes, sir. - Arterial and venous lines.
Here they are.
Here.
Quickly. - Yes, sir.
Good. Okay.
= Let's start repairing the mitral valve.
Yes, sir.
This is superhuman.
It's like watching Dr Saeki operate.
Doctor. - It's nothing.
Carry on, Takashina.
Yes, sir.
Takashina.
It's 100 times easier by hand.
Done.
Vitals?
His blood pressure is...
stable!
Yes!
Yeah!
So it was written in here.
Dr Tokai really is amazing.
Yes.
Sir?
So I'm still alive.
I'm so glad you're safe. - Since I'm still alive,
there's something I need to do.
After that, the next issue of the Japan Surgical Journal was published.
Congratulations, Dr Nishizaki.
Thanks. You did well, too.
What is this?
Saeki...
That Caesar paper was independently developed by Tojo.
As well as the paper,
the attached video is wonderful, too.
They performed the Saeki method using the Caesar, and by remote control, too.
A first-class surgeon used a first-class medical device
to perform an extremely first-rate surgery.
I can't accept this! It breaks our joint research agreement!
I think Tojo's paper is superb, showing a clear vision of the future.
Well, excuse me.
Hello? Hello?!
Takashina...
It's a pretty good paper.
That's because you bet your life on it, Dr Saeki.
It's all thanks to your cooperation.
Did you predict that Dr Tokai would use the Caesar, too?
It would be bad for Tokai if I died now.
I'm sorry, but could you leave?
Thanks to you, I'm still alive.
So now you're here to kill me again, are you?
Where is Iinuma Tatsuji?
That's the one thing I can't tell you.
There's still something I have to do.
Please make every effort to prevent this patient's details from leaking out.
Yes, ma'am.
Then I'll leave him in your care.
How nostalgic...
You know, a long time ago,
I was a patient here at Tojo.
Yes, I heard.
Iinuma Tatsuji
Didn't I say so?
Only one person in the world can use the black pean.
There's no way I'd hand it over to you now.
Then I'll steal it from you.
By the way...