Where is Iinuma Tatsuji?
That's the one thing I can't tell you.
Iinuma Tatsuji
Please make every effort to prevent this patient's details from leaking out.
By the way...
your heart
isn't completely healed yet.
The Caesar surgery was only an emergency treatment.
If you have another attack,
you'll be dead within hours.
I recommend more surgery as soon as possible.
But the only one who can do that
is me.
So I'll ask you again.
Where is Iinuma Tatsuji right now?
You're using your scalpel to threaten a patient?
That's not how a doctor should behave.
I saved your life.
That means it's mine to use as I like, isn't it?
I can't tell you.
In any case, I have no intention of going into surgery now.
The chair selection is in 3 days.
I wonder if you'll survive that long.
Then perhaps you should come with me, as my attending physician.
The vote will take place at the meeting in Tokyo.
If anything happens to me before that,
no one will know where Mr Iinuma is.
Maybe you should keep an eye on me?
Is it okay to stop looking for him?
Iinuma Tatsuji.
I have a good idea of where he is.
Then I can stop helping you now, can't I?
Well, then.
Even if that patient is involved in medical malpractice?
Medical malpractice...
There's no way I can allow that. - That's what I thought.
Well, then...
Should I tell you about it?
Aortic dissection...
So Tokai really left me like this.
Is it alright to keep Mr Iinuma waiting here?
The only one who can operate on that patient
is me.
Please look after him while I'm away.
Understood.
I've been arranging things with the board members,
but it looks like the votes are tied for now.
They shouldn't be tied!
It was supposed to be my complete victory!
I think Tojo's paper is superb, showing a clear vision of the future.
Ikenaga and Takashina...
how could they betray me at the last moment?!
This weekend,
Dr Saeki will be attending the Surgeons' Society meeting in Tokyo as planned.
Will he be okay? I heard that his condition is dangerous.
Tokai has agreed to come with us.
While he's away, the person in charge of the Saeki Surgery will be...
Takashina.
We'll be relying on you. - On me...?
Those are Dr Saeki's orders.
So Dr Takashina finally earned Dr Saeki's trust?
It's frustrating, but consider what he did for him.
Let's support the professor together.
I'll leave things in your care.
Yes, sir.
Dr Tokai.
Just when you thought you'd been thrown aside by the great Dr Nishizaki,
you became Saeki Seigo's right-hand man...
"When one god abandons you,
another picks you up," right?
What you said before...
Won't you tell me what you meant by that?
Saeki Seigo... don't trust him.
That guy...
He betrayed my father.
He's the god of death.
Excuse me.
It's time for your meal--
Excuse me.
Dr Tokai, about the schedule for the trip...
I found it. There really is a pean here.
Patient: Iinuma Tatsuji.
Attending physician: Tokai Ichiro.
What happened?
Leaving a pean behind... It was clearly medical malpractice.
Tokai Ichiro made that mistake
and was fired from Tojo as a result.
Tokai Harue
Hanabusa!
Dr Sera?
About that pean, what if Dr Tokai was mistaken about...
Aren't we done with that now?
Izumo, Shimane prefecture Tokai Harue
Mr Iinuma! Where did you go?
Oh, just to the shop downstairs.
If you need anything, please ask me.
That's what I'm here for.
I'm grateful for everything you're doing, but...
It's like I'm being held captive. - It's not like that.
Please just rest here.
Rest? When will my surgery even happen?
At Sakura Hospital they said I would need surgery soon, but...
Surgery?
Mr Iinuma? Mr Iinuma?
Please make every effort to prevent this patient's details from leaking out.
Mr Iinuma's condition suddenly got worse. -Get haemostatic drugs!
Get haemostatic drugs. I'll be right there. - Yes, ma'am.
Ah! - Oh! - Excuse me.
What's wrong? - It's nothing.
That private room...
There shouldn't be a patient in there.
I'll treat him. - Your wounds haven't healed yet!
The patient takes priority! - Right now, you're a patient too!
You won't be able to go to the chair selection.
Where are the haemostatics?
Not here. You have to get them from the storage area. - Got it.
Was someone taking haemostatics?
That wasn't in the handover documents...
Ah, head nurse. - Did you tell anyone?
No, I didn't.
I gave him emergency treatment. His condition is stable,
but there could be a pleural haemorrhage.
He may need surgery soon.
Please show me this patient's data. - I can't do that.
This patient is a special case,
so his details are restricted. - Restricted?
Those are the professor's orders.
I'm sorry for turning up here so suddenly.
You're young, so eat a lot, okay? - Okay.
Japanese bodies are made from rice, you know.
Right.
Um, what kind of doctor was Dr Tokai's father?
What kind?
A normal doctor.
Always trying his best for every single patient.
Sometimes he didn't come home for days. - Oh...
Ah, do you want to see my husband's photo album?
It's in that boy's room. - Yes.
Come in. - Excuse me.
He practiced surgical knots this much?
Amazing.
No...
This is amazing!
That boy...
He used to work at the municipal hospital. - Huh?
After his father died,
he suddenly said he would go to Tojo University Hospital
and started working as hard as he could.
Fortunately, Dr Saeki took a liking to him.
Dr Tokai did all this to become a doctor at Tojo...
Seishiro,
what kind of doctor do you want to be?
A normal doctor is fine.
No matter what era we live in, people never change.
Doctors are doctors.
You're fine as you are. Become a normal doctor.
What are you talking about?
Should I send him to hell?
He's in a private room,
and it seems head nurse Fujiwara is having him monitored 24 hours a day.
Even if you know where Mr Iinuma is, it won't be easy to make a move.
It'll work out somehow.
I mean, it's already decided.
I only need one chance.
Then everything will be over.
Tomorrow is the chair selection, at last.
Let's toast to Dr Saeki's victory.
Cheers! - Cheers!
Sera. - Yes, sir.
Excuse me.
- Keep an eye on Tokai.
Until we get back to Tojo, don't leave his side for a moment.
Don't even take your eyes off of him.
These are your professor's orders.
Yes, sir.
Thank you. - Excuse me.
How pointless.
After this, editor Ikenaga from the Japan Surgical Journal will come to greet you.
I'll be waiting in my room. - Yes, sir.
Sir! - Sir!
Pericardial fluid is leaking into his thoracic cavity.
We can't perform thoracentesis here!
What should we do? - I'll do it here.
What? Here?
I'll roll this up. - Okay.
Wet towels.
Go and get more wet towels!
Get ready to carry him to his room. - Yes, sir.
Get a stretcher. - Yes, sir.
I'll let you live this long.
Your hell is still waiting for you.
Dr Saeki.
Ah...
Editor Ikenaga is worried about you.
I told him he should leave, but...
It's fine. Bring him here. - Yes, sir.
Go and get him. - Yes, sir.
Where's Tokai?
I think he's resting in his room with Sera.
I see.
Dr Saeki.
How are you feeling? - Well...
It'll be okay if I'm here, won't it?
Society Chair Selection Day
It's handover time. I have to leave for a moment,
but you'll be fine, won't you? - Yes.
What's wrong? - I'm going for a walk.
I just want to get a drink.
Please stay in bed! - It's fine, isn't it?
I'll go and buy whatever you need.
Fine.
A drink, wasn't it? I'll be right back.
That was fast.
Who are you?
Oh no.
Dr Tokai, it's time...
So we meet at last.
What? What is a pean?
It's a surgical tool.
Will you wait?
That tool is inside your body.
Huh? There can't be anything like that.
It will show up on an X-ray. Let's go.
That's enough. Get out! My attending physician is Dr Saeki.
I only believe what Dr Saeki says.
I've been doing that for years, and that's why I'm still in good health.
For years?
You had heart surgery here at Tojo a long time ago, didn't you?
And Dr Saeki was the lead surgeon.
Right?
So what if he was?
So you admit it.
I'll take that as evidence. - Evidence?
To expose Saeki Seigo's crime.
Dr Saeki hasn't committed any...
Mr Iinuma! - Give him oxygen.
Yes, sir. - You, get the X-ray machine. - Yes, sir.
Mr Iinuma, are you okay?
Yes, this is Fujiwara.
Tokai disappeared. He probably went over there.
I'll check right away.
Dr Tokai went to Tojo?
Call Kurosaki. I need to ask him something.
Yes, sir.
Dr Tokai.
What are you doing?
There's a pean inside this patient's chest. - A pean?
What are you talking about?
Dr Saeki left me in charge here. Don't just do whatever you want!
It's head nurse Fujiwara. I'm going to tell her what you're doing.
Yes? - Dr Takashina, where are you now?
I'd like you to check the private room, if you're free.
I'm in that private room now.
Did anything happen?
Trust me.
What's wrong? Did something happen?
Well,
the patient wants something to drink.
Is vegetable juice okay?
Ah. Yes,
I'll leave it up to you.
Will you properly explain what's going on?
I'll show you.
It can't be...
There's really a pean.
My father was blamed for this medical malpractice.
It's all Saeki's work.
We need to get the patient's testimony about that.
Dr Tokai, the reason you've stayed at Tojo following Dr Saeki's orders...
It was related to this, wasn't it?
That's why I need this patient to live.
That pean that started everything...
I'll remove it.
But without Dr Saeki's permission...
If we need to...
We can change the rules.
Today,
I'll finish everything.
Dr Nishizaki or Dr Saeki,
Society Chair Selection - Meeting Hall
who would make the best chairman?
After hearing both of their research reports,
the board members will decide.
I am looking forward to the result too.
Sir, about what you ordered.
It's ready.
Miwa, get the rib retractor. - Right away.
When the A-line is done, prepare for insertion.
What are they doing?
What are you doing? Please leave.
I'll call someone. - Go ahead.
But if you do,
everyone will find out about the pean Dr Saeki left behind, won't they?
I won't let you get in the way.
We're ready.
Miwa, leave now.
What? Why? - We don't need you.
Move.
You must understand.
We're operating on Dr Saeki's patient without permission.
You're a talented, promising nurse.
Think about your future.
Please leave!
Okay, I'm removing the pean. - Yes, sir.
Scalpel. - Here.
Let's move on to the research reports.
First, let's hear from the University of Teika's professor of surgery, Dr Nishizaki Keisuke.
Let's start by separating the adhered tissue.
Electrocautery knife. - Here.
The Japanese Darwin "Caesar" has received high praise,
and is only a step away from becoming part of standard practice in Japan.
In order to avoid future dependence on foreign manufacturers,
I think we should focus our efforts on promoting
independent Japanese research into cutting-edge medical devices.
However, those who boast of their individual skill and claim authority based on that
might not be too interested in that path.
Okay, I've separated it.
Give me the scissors. - Here.
Even this part took a long time.
I can see it.
I can see it!
However,
how many truly skilled doctors are there in Japan?
And how many patients can those doctors save in their lifetimes?
So we meet at last.
There's really a pean inside his heart.
I'm taking it out.
He's bleeding. Blood pressure is falling. - I can't see where it's coming from.
Get a Satinsky clamp. - You can't do this alone.
I'll go. - And I'll stop the bleeding.
Hurry up. - Then please take over.
Sorry, I'm late. Here's the Satinsky.
Here you go.
He was left in my care. He's my patient!
Nekota, you support Dr Tokai.
I'll do all the peripheral work.
The bleeding is getting worse.
3-0 for sutures. 2 sheets of felt. - Yes, sir.
In order to save a greater number of patients,
we should promote the latest treatments,
not just rely on the skill of a few special surgeons.
Nothing is more essential than developing treatments that can save tens of thousands of people.
Now, we'll take a 15-minute break.
Dr Saeki's presentation is next.
What are we going to do?
Scissors next. - Yes, sir.
Scissors. - Here.
The bleeding has stopped for now.
I must remove that pean.
There are so many adhesions.
That's because it's an antique.
We'll just have to hope the patient has enough strength.
If I can remove this pean, the patient will be saved.
After that, I'll have him testify about this crime properly.
At last.
With this, it will all be over.
No, anything but that! I have to stop him!
I won't let you go. - Get out of my way.
Stop!
Don't remove it.
Dr Saeki? Dr Sera?
Dr Saeki! - How did he get here?
By helicopter ambulance.
I got Kurosaki to arrange it.
Er...
I, Kurosaki, will give Dr Saeki's research report on his behalf.
What happened to Dr Saeki? - I wonder.
At Tojo University, we...
So he ran away at the last moment?
You gave up your chance at the chair to come here?
Are you that afraid to have your past revealed?
I'm here to save that patient's life, Tokai.
Don't remove that pean.
You just want to protect your own authority.
I said, don't remove that pean. - Shut up!
It's almost over.
Dad! It's almost over!
Look at this, Saeki!
This pean is undeniable proof of all your crimes.
Stop it, Tokai! - This is your end!
Hey. Apologise.
First, apologise to me.
Then apologise to my father, too.
This pean stole everything from my father,
and now it will take everything from you!
Stop!
Goodbye,
Saeki Seigo.
Dr Tokai.
Blood pressure is 50! - 3-0, 3-0.
I'll stop the bleeding. - Pressure. 3-0. 3-0!
Bring gauze. As much as you can find!
Saturation is dropping. - Miwa, gauze!
Dr Tokai. - He's in VF!
Damn it! No matter how much I tie this, he won't stop bleeding!
If even Dr Tokai can't stop it...
3-0! - Here.
You've opened the gates to hell.
Dr Saeki...
Stand aside, Tokai.
I'll treat him.
When you pulled the pean out, you damaged the aortic arch.
Switch with me. - First, I'll suture the aortic arch.
Start the heart-lung machine. - Yes, sir.
Cool it to 25 degrees. - Yes, sir.
Cooper scissors. - Here.
What are you planning to do?
Tokai, listen.
If I couldn't help him, there's no way you can.
Just listen!
It wasn't left in by accident.
On that day, there was a huge bus accident nearby,
and a lot of patients were brought in.
I noticed an admitted patient, Mr Iinuma, whose condition suddenly got worse,
and I had to treat him.
But the operating rooms were all full, and there weren't enough people or supplies.
Mr Iinuma wouldn't stop bleeding, no matter what I did.
With no other choice,
I left the pean inside him and completed his treatment.
It was the only way.
Just after that,
I had to go to Africa for a long-term medical assistance project.
But then, something unexpected happened.
I thought Mr Iinuma had been discharged safely,
but he was brought in for emergency treatment while I was away.
Dr Ichiro ended up having to treat him.
When he looked inside Mr Iinuma's chest,
he must have been surprised.
Take deep breaths.
We need to perform centesis. - Yes, sir.
I heard about what was happening, but there was no phone service and no time.
I sent Dr Ichiro an urgent telegram.
Dr Ichiro understood that the pean had been a necessary treatment.
He left the pean in place,
and finished the surgery to treat Mr Iinuma.
But after that,
Kurosaki happened to see your father holding an X-ray image.
He immediately reported it as malpractice,
and Dr Ichiro was criticised by everyone.
You're a disgrace to Tojo!
In the end, Dr Ichiro didn't object,
accepted it as his own mistake
and left Tojo.
I heard about it from the professor after I got back to Japan.
By then,
Dr Ichiro had already taken ill and died.
And I received a letter from Dr Ichiro.
To my dear friend, Saeki Seigo,
You don't have to say anything.
Doctors should only think about their patients.
Save people.
Save Mr Iinuma.
I'm entrusting everything to you.
Knowing he didn't have long to live, Dr Ichiro protected me,
and still burdened with the disgrace of medical malpractice,
he left this world.
This is the truth.
Your father,
Dr Tokai Ichiro saved my life.
"It's all my fault."
If you'd said that,
my father wouldn't have ended up dying with those feelings.
Why didn't you say anything?
If saying that would have saved the patient, I would have done.
In that case, I would have happily accepted being fired.
But then who would help this patient?
If someone just removed the pean, this patient would die.
Tokai, even you couldn't heal him.
There's no way someone who overestimates their own abilities could save this patient.
That's why I couldn't tell anyone.
I don't care if you hate me.
I don't care if you kill me.
But I'll protect this patient with my life, if I have to.
That's what this black pean is for.
It's a warning to myself,
to remind me that we doctors aren't perfect.
So I'll never forget that,
so that I won't be arrogant,
but diligently train my skills every day,
and keep asking what medicine really is.
It's a symbol of my resolve.
It's enough for me to be the only one who uses the black pean.
And when the time came to use this black pean,
I would stop working as a surgeon.
This is what I've kept living for.
And now,
that's over too.
Black pean.
Yes, sir.
Farewell,
Tokai Ichiro.
Suction.
Yes, sir.
Blood pressure is at 80. It's stable.
It stopped.
Let's close him up.
Tokai.
Doctors aren't perfect.
There are still things we can't do.
Let's hurry up and close his chest. - But...
The black pean is made from a special type of carbon.
It won't show up on X-rays,
and it will turn to ash when he's cremated, too.
Let's close him up.
Those are your professor's orders.
Yes, sir. Get some 5-0. - Yes, sir.
Nurse, please support me.
Yes, sir.
The black pean's role is over.
And so is mine.
From now on...
Dr Saeki! - Dr Saeki!
Take him to Operating Room 2. - Dr Saeki! - Sir!
1, 2, 3. - It's aortic dissection.
Prepare to close up. - Yes, sir. - Where's Dr Tokai?
Dr Tokai. Dr Tokai!
Dr Tokai.
After the tone, please leave a message of up to 3 minutes.
Dr Tokai, where are you? Dr Saeki has collapsed!
Please come right away!
Also, when Dr Saeki collapsed...
Er...
At the Saeki Surgery department of Tojo University,
we performed on-pump, beating-heart...
You already talked about that!
Where has Dr Saeki gone?
The truth is he had to return to the hospital urgently.
I'm very sorry for the inconvenience!
Is Dr Saeki the only doctor at Tojo?
You really are too dependent on the skills of a particular individual.
This is exactly what I was worried about.
I don't think someone as busy as Dr Saeki
would be able to take on the job of Society chair.
He's bleeding so much. Gauze!
Here. - His blood pressure is 80.
His heart and lungs are failing.
Dr Sera, where is Dr Tokai? - I don't know!
Quickly, start the heart-lung machine! - Yes, sir.
It doesn't seem like Dr Saeki will be coming back.
Should we start the vote?
Right, well then...
May I speak?
I would like to speak in Dr Saeki's place.
Actually,
I spoke with Dr Saeki last night.
Will you really be okay? I mean, your health.
Please keep this a secret from the board members.
You want it that much?
The chairman's seat.
My life is no longer just my own.
There are so many different people I owe my life to.
More than anything, I have to show people
what was entrusted to me,
and what I learned through my own experience.
Doctor...
I believe
that a doctor must always be humble.
A surgeon's skill
and the latest treatments both have their limits.
We should prioritise life,
and not rely on them too much.
That's why they should both complement each other,
and raise each other up.
The latest research saving the lives of many future patients,
and high-level skills saving the patients we see suffering in front of us.
Both of them are essential.
Two contradicting aims.
For the future of medicine, we need both of them to coexist.
That is Dr Saeki's goal.
Blood pressure is still dropping. - Damn it!
The tear is too big, I can't stop the bleeding!
Is there nothing more we can do?
He's in cardiac arrest!
Dr Saeki!
Adrenalin, one shot! - Yes, sir.
I'll start cardiac massage.
Your father,
Dr Tokai Ichiro saved my life.
Sera: One voicemail Sera: One missed call
Dr Tokai, where are you? Dr Saeki has collapsed!
Please come right away!
Also, when Dr Saeki collapsed...
Dr Saeki! - Dr Saeki!
Tell Tokai...
You're fine as you are.
Normal is fine.
Doctors...
should only think about their patients.
Save them.
Tokai...
Just save people.
I'm entrusting everything to you.
That's what he said.
Whether you're building up more research
or refining your skills,
it comes down to people in the end.
As imperfect people aim for perfection,
medicine continues to move forward.
That is what Dr Saeki thinks
and what he hopes for.
His pulse isn't coming back!
Don't give up!
If we give up, it's over.
Don't give up.
If we give up...
I can't do any more...
It's not over yet.
It's not over yet!
It's not over yet.
It's not over yet, is it?
Dr Tokai.
Move.
Yes, sir.
Gown. - Yes, sir.
He's been in arrest for 5 minutes.
It's fine, we still have time. Let's keep going. - Yes, sir.
Neko, is the heart-lung machine ready? - Almost.
Start it as soon as possible. - Yes, sir. Starting it now.
Cool the heart and lungs as much as you can. - Yes, sir.
Get prosthetic vessels and as much gauze as you can.
Switch with me. - Yes, sir.
Loupe. - Here.
Scissors. - Here.
Stop his circulation. - Yes, sir.
Okay, 3-0. I'm suturing. - Yes, sir.
Keep bringing more gauze.
Sera, follow him with the thread. - Yes, sir.
Follow me. - Yes, sir.
Takashina, I need deeper suction. - Yes, sir.
It's time to count the votes.
University of Teika, Dr Nishizaki.
Tojo University, Dr Saeki.
Yes!
University of Teika, Dr Nishizaki.
More suction. Prosthetic blood vessel.
Open it wider, I can't see. - Yes, sir.
Sera, deeper suction. - Yes, sir.
Gauze! - Gauze, please!
University of Teika, Dr Nishizaki.
Tojo University, Dr Saeki.
Prosthetic valve placement complete. Removing the clamp. - Yes, sir.
Get the DC defibrillator just in case. - Yes, sir.
There it is.
He's in VF! - Dr Tokai?
If we can't get him back from this, we can't save Dr Saeki.
DC. - Here.
At times like this, your voices can reach him.
Call out to him. - Dr Saeki.
Dr Saeki!
Come back! - Here I go.
Dr Saeki! - Dr Saeki!
Sir! - It's not working.
Dr Saeki! - Come back.
Come back! - Sir!
Come back to us! - Dr Saeki!
Dr Saeki! - Here I go.
Still no good. - Please!
Please live! - Come back, come back.
Come back. - Come back!
His pulse is back, and his blood pressure has recovered!
Dr Tokai...
Dr Saeki...
Tojo University, Dr Saeki.
This is the last vote.
Tojo University, Dr Saeki.
Aaaahhh!
Ha! Aaaaahhh!
Let's go.
Dr Nishizaki!
Go where?
Research. To do research.
That's what a doctor does.
Why did you save me?
I brought you into Tojo
to at least try to atone for my crimes.
But you...
Your talent for surgery was immeasurable.
By hating me,
you could keep refining your skills.
I wanted to see you improve even more.
That's what I thought.
Even if I had to die like you wanted me to.
Tokai.
You're fine as you are.
Normal is fine.
Doctors should only think about their patients.
Save them.
Just save people.
Those are the words of
a doctor I truly respect.
Are you leaving?
At a university hospital,
someone has to take responsibility.
Then what about me?
What will happen to me?
I still have a lot to learn.
I've been struggling so hard to keep up with you, to be useful, Dr Tokai.
And now you're just leaving -- isn't that too much?
Don't you want that hundred million yen?
Dr Tokai, I owe you 100,000,000 in debt.
But...
I haven't repaid any of it yet.
So you can keep making me work hard.
You can order me around.
Please don't leave.
Fine.
Anyway, I'm hungry. - What?
Go and cook some rice for me.
... Rice? - Hurry up!
Yes, sir.
Goodbye.
Become a good doctor.
Dr Saeki became the chair of the Japanese Society of General Surgeons,
and after the necessary organisational reforms,
he quickly handed the position over to another university professor,
and is working as an instructor to train his successors.
You need to feel the needle more.
Meanwhile Dr Nishizaki, still aiming for the Society chair position,
put his efforts into new research and development.
I want that impact factor!
Impact factor!!
Dr Takashina is using what he learned from both of them,
bringing in the latest treatments as the brains of the Saeki Surgery,
and focusing on research.
But just like me,
every now and then,
he looks lonely.
Dr Tokai did that?
Statement of support fund deposits
It seems that he donated all that money to a support group for victims of medical malpractice.
I certainly never saw Dr Tokai spend any money. - Right.
Dr Sera, are you eating too?
I told you, I won't eat it!
I decided to eat it together with Dr Tokai.
And when will that happen?
I'm holding onto this grudge. - That reminds me,
there was a deposit from an unknown source the other day.
The amount was 10 million.
10 million? - Does that mean...
It can't be.
Move.
For 10 million yen,
I'll sort out your mess.