(Chief's Office)
Excuse me, may I know who you are?
I'm Shindo Minato's dad.
But I think my dad hates me.
He always kicked and punched me.
Dr. Shindo is making rounds now.
Is there anything I can do for you?
I see.
Then please ask him to call this number.
Come in.
Excuse me.
What's the matter?
I have something to discuss with you regarding Dr. Shindo.
No problem.
- Thank you. - You're welcome.
- This is the blood test results. - Okay.
The blood sugar is a little high. Inject two units of insulin.
Okay.
Have we performed Takuya's urine test already?
Not yet.
That's his kidney post-surgery exam. Please do it soon.
- Okay, I understand. - He's impressive.
After he started going on duty, he became much more confident.
He's gentle and handsome.
How about making him your potential groom?
What are you talking about?
I want to become your potential groom.
My looks are completely at par with him.
Hey, Shindo.
Should I lend you a mirror so you can see yourself?
Dr. Takayama is looking for you.
I heard Dr. Shindo's dad beat him up when he was little.
Even though Dr. Shindo really wants to see his dad,
I'm not sure if I should give him his contact number.
Dr. Seto.
Let's keep this a secret from Dr. Shindo first.
- Pardon? - It will be fine.
Let me handle it.
All right. Thank you.
This is our department's resident doctor, Dr. Shindo.
I'm Tsutada from OB Gynecology. You're that legendary doctor.
I also heard about you, Dr. Tsutada.
You're a very outstanding doctor.
You save over 1,000 babies yearly.
After two failed marriages, you're totally focused on work.
Thank you for your compliment.
Dr. Tsutada, long time no see.
Gosh, Dr. Seto.
I haven't seen you for a while. You became so pretty.
There's no need to tell me those polite words.
Yes, they're polite words indeed.
There's a study that found 70 percent of Japanese women...
say polite words to maintain good interpersonal relationships.
What an interesting doctor.
Let's not talk about that first.
I have something to discuss with everyone today.
Next.
Let's have the joint discussion of OB Gynecology and Pediatric Surgery.
The patient's name is Mizuno Rika, 37 years old.
She's 37 weeks pregnant and currently under observation...
in the OB Gynecology ward.
This is where the problem lies.
Lymphangioma.
The baby has a huge lymphangioma in her neck.
That's right.
This might cause blockage in her trachea.
So I want to perform EXIT surgery.
EXIT?
First, OB Gynecology will perform a C-section...
to take the upper part of the baby's body out.
Afterward, Pediatric Surgery...
will perform tracheal intubation on the baby...
to keep the airways open then cut the cord and take her out.
Mrs. Mizuno suffers from peripartum cardiomyopathy...
after becoming pregnant.
We have to complete the surgery in 30 minutes.
Since the risk is so high,
do we really need to perform EXIT surgery for this patient?
if there's a huge amount of bleeding and we can't stop it,
there's a chance that both the mom and the baby might die.
Mrs. Mizuno knows that the risk is high.
But she still wants to perform surgery.
Instead of protecting ourselves,
we should prioritize the patient's wishes.
Dr. Takayama, which doctor do you choose to be your assistant?
Dr. Seto, please help me.
Yes.
And Shindo.
You're letting Shindo be your assistant?
Shindo has sufficient knowledge and excellent spatial control.
Shindo.
What should you do when you have difficulty intubating the baby?
Cut the tracheal tube immediately.
What if there is Intralymphatic hemorrhage?
Cut open the lymphangioma and perform drainage.
Shindo can surely help.
I understand.
Please perform the surgery well.
Yes. I'll surely save the baby and her mom.
This surgery is indeed very difficult.
Every second count.
We all have to focus and do our best.
Yes.
(Good Doctor: Episode 6)
Hi, I'm Dr. Seto from Pediatric Surgery.
I'm Shindo, Shindo Minato.
Nice to meet you.
That's so cute. Did you make that hat for the baby?
This is the only thing I can do for her.
Every time the baby kicks my stomach,
I think she's suffering.
Is she really that uncomfortable inside my stomach.
That's why she's also sick.
What are you talking about?
That's not the case at all.
But I also had a miscarriage with my first baby.
Sorry about that.
My friends all gave birth to healthy babies.
But I can't.
I'm so useless and I feel sorry towards the baby.
I persevered with three years of fertility treatments.
And finally got pregnant.
But still...
With surgery,
the baby's lymphangioma would surely be healed.
She'll become healthy again.
She can surely wear the hat you made.
When the baby moves in your stomach, that means she's healthy.
She must want to see her mom sooner.
Let's all do well on the surgery.
It's a difficult surgery, right?
Doctor, I want to ask you a favor.
It doesn't matter what happens to me.
Please save this baby.
Mrs. Mizuno.
This child is very important to me.
(Modern Surgery Thoroughly Explains EXIT Surgery Skills OB-Gyn Surgery)
What's going on?
Dr. Takayama wants Shindo to remember all these by tomorrow.
No way.
He can't remember all that, right?
He should have high expectations in asking you to be his assistant.
You have to do well.
Yes.
- Can you handle it? - Yes.
"Surgery standard for the latest treatment...
in pediatric surgical diseases.
Fetal treatment. EXIT Surgery.
Using the laryngoscope, confirm if the trachea is blocked."
Are you Minato?
(Entrance past visiting hours)
Hey, you didn't forget what I look like, right?
It would be good...
if you're not here!
Minato.
I miss you, Minato.
You've grown up to be an outstanding man.
Iyo, I want to ask you something.
Is there any restaurant you would recommend for a dinner for two?
Why are you suddenly asking that?
Are you going with someone you like?
Yes, that's right.
- Who are you going with? - When are you going?
Tonight.
I was invited to dinner.
Isn't that a date then? You're so impressive.
Shindo is dating someone.
I'm so frustrated!
- Who are you going with? - My dad.
My dad came to see me yesterday.
My dad said he has always wanted to see me.
What? It's your dad?
Dr. Shindo said...
that he's going to dinner with his dad tonight.
All right.
(Investigation Results)
(Behavioral Investigation Shindo Ko, age 65 years old)
Are you okay?
To have dinner with just your dad?
Yes. I booked a popular three-star Michelin restaurant.
Excuse me.
May I ask who you are?
I'm her husband, Mizuno Satoru.
Well, why don't you go and see Ms. Rika?
She'll be really happy to see you.
Actually, I'm against performing EXIT surgery.
We fought because of this.
We don't really talk after that.
Why?
Why are you against performing the EXIT surgery?
If we don't perform surgery, the baby won't be able to breathe.
And the baby might die.
I heard that if we perform surgery on my wife's current condition,
it will increase the burden on her heart and endanger her life.
How can I agree to such a dangerous surgery?
I can understand how Mr. Mizuno feels.
However, all surgeries have risks.
Since Ms. Rika really wants to perform surgery,
we should all do our best.
Yes. I want to save the baby inside Ms. Rika as well.
It's time. I have to go.
Are you going to have dinner with your dad?
Yes. Contact me immediately if there's any problem with Ms. Rika.
Do you have time right now?
Welcome.
My name is Shindo Minato. I have a reservation for two.
I reserved a table near the window that can see the night view.
Mr. Shindo, right? We've been waiting for you.
- This way, please. - Okay.
The other night,
I accidentally overheard your conversation.
My brother was also autistic.
You couldn't tell your girlfriend about this,
yet you told Dr. Seto.
How about you?
You already know...
what the Vice Chief wanted to use Shindo for, right?
Did you forget how much Chief Shiga helped you?
Do you really need to go that far to eliminate pediatric surgery?
There's no other way.
I can only follow what the Vice Chief says.
I heard the banks refused our request for funding.
If we follow the proposed reforms,
this hospital will be able to make a profit.
We've entered a new era.
One out of three people is an elderly person.
That means our hospital...
will join the New Nippon Medical Group?
That way, we can get a huge funding from them.
I want to keep this hospital no matter what.
Even so,
you can't watch the patient in front of you die.
You don't see what's most important.
What do you know?
Every time I want to find someone to discuss with,
who always prioritizes his work?
I'm sorry.
I don't want to fight with you.
Calm down and reconsider this.
Why did you suddenly ask me to come over?
I'm having dinner with my beloved son.
I know your motive.
Excuse me.
We're very sorry, but we're closing.
Dad!
Dad.
Why didn't you come?
I waited for you.
Please wait for a moment.
Let go of me!
If I don't see you,
I can make a lot of money.
What do you mean?
I know your motive.
(Sits down at the usual spot and orders alcohol)
(Initial Investigation Report: 65 years old, unemployed, in debt)
Take this.
But please don't go near Minato again.
As soon as I get the money, I have no use for you.
Haven't you always wanted to see me?
Don't you like me now because I've become a doctor?
Are you kidding me? Why would I want to see you?
You destroyed my life.
I don't understand.
I don't understand what you're saying.
You jerk. Have you forgotten?
You should have saved Sota.
At that time, they saved you first.
That's why it was too late to treat Sota and he died!
Sota died because of you!
You're lying. Dr. Shiga told me...
that even though it was a shame, Sota died on the spot.
He said Sota didn't suffer and went to heaven.
You're lying!
Don't touch me!
It would be good if you're not here.
Dr. Shiga.
My dad said that you saved me first. That's why my brother died.
But you told me...
that even though it was a shame, Sota died on the spot.
Who's telling the truth?
Please tell me the truth.
When you and Sota were sent to the hospital,
you both were still alive.
I didn't want to confuse you. So I didn't tell you. I'm sorry.
But Sota definitely didn't die because of you.
At that time, you had more chances of surviving.
That's why I saved you first.
If the situation were reversed, I would have saved Sota first.
No. You shouldn't give up no matter what the circumstances are.
You should have saved my brother first.
If you saved my brother instead of me,
then everyone would be happy.
- Minato. - I'm the one...
who should go to heaven instead.
After Minato was born, his mom died from illness soon afterward.
Since then, his dad had always refused to acknowledge him.
And the one who had always supported him...
was his brother, Sota.
But that day,
when Sota was sent to the hospital,
it was already too late.
Why did you save him? You should have saved Sota!
Hey, save Sota!
At that time, I already felt that Minato shouldn't live with his dad.
Dad!
But no matter how bad the parents are,
children still want to be loved by them.
Dad!
Minato started living alone in the orphanage.
Sota.
Where's Sota?
When is he coming back?
Your brother...
is in a place called heaven.
Heaven?
Like this. Place your hand in front of your chest.
There's a door that goes to heaven there.
When you feel sad and lonely,
you can knock on that door anytime.
Your brother can surely hear what you want to say.
To Minato,
the pain from the loss of his brother...
is something that won't ever go away in his entire life.
But I believe...
that precisely because Minato knows how painful it is...
to lose someone important to you,
he'll surely become an outstanding doctor.
Minato.
Be a doctor in the future.
Minato, you're not stupid.
You're incredible.
Sorry.
You both were still alive.
Sota died because of you!
I'm sorry.
Hey, where's Shindo?
I haven't seen him since morning.
Is he absent without leave? Are you kidding me?
Never mind. Maybe he got lost.
Right.
But that's...
Hi.
What?
- Ultrasound. - Yes.
- Blood oxygen saturation, 90. - Change to the oxygen mask.
- Yes. - What's the matter?
She's suddenly not feeling well.
The baby.
Ms. Rika.
- Resuscitator. - Yes.
- Prepare to intubate. - Ms. Rika.
It's due to angina pectoris.
The symptoms temporarily stabilized after injection of vasodilator.
But she hasn't regained consciousness yet.
We can't predict her condition.
Because of what happened, the baby is suffering from vasoconstriction.
If we don't perform EXIT surgery immediately and take the baby out,
we wouldn't be able to save the baby.
We can't perform surgery.
If we perform surgery in her current condition,
the patient's heart would not be able to take it.
She would be in danger.
Then what about the baby?
What will happen to the baby?
If we don't perform surgery now, the baby would die inside the womb.
If Ms. Rika finds out about this after she wakes up...
Even so, we still can't perform EXIT surgery.
What if the mom dies?
That would be a big problem.
In the past 20 years,
there has been no precedent of the mom dying in our hospital.
That's why we've always prioritized the mom.
The same goes in this case.
There are risks indeed.
However, there might also be a chance to save her.
Should we ask the opinion of the patient's family?
I'll discuss the situation with the patient.
Don't say anything unnecessary.
If we cut the tracheal tube in a situation when we cannot intubate,
surgery time would lengthen.
It will take a toll on the mom's body.
That might endanger her life.
If the surgical risk is that high, then never mind.
Please prioritize my wife.
I understand.
Can we really proceed this way?
Ms. Rika said that compared to her own life,
she wants us to prioritize the baby.
But she's unconscious now.
Her family is the one who will make the final decision.
Since her husband doesn't want to perform the EXIT surgery,
we can't do anything about it.
Your call is being transferred to the voice mailbox.
You're there and listening, right? Answer your phone.
I just want to inform you as you're the surgical assistant.
Ms. Rika had angina pectoris.
I want to discuss something with you.
I'll wait for you at the office. You have to come.
(Pediatric Surgery)
Look at this.
I can't listen to you.
I can't become a doctor anymore.
I'm here to tell you this.
Dr. Shindo.
I've always believed...
that my brother also hoped that all kids can grow up to become adults.
However, maybe that's not what my brother wanted.
My brother always helped me.
But when he needed help the most,
I was in his way.
That's not the case at all.
It is.
My brother is so pitiful.
While I was receiving treatment,
he must have felt terrified.
And very much in pain.
No matter how much I pound myself in the chest,
I can't hear my brother's voice again.
I don't know what to do anymore.
I can't fully understand...
your regrets and sorrows.
But Chief Shiga said...
Precisely because Minato knows how painful it is...
to lose someone important to you,
he'll surely become an outstanding doctor.
Precisely because you survived,
you can do some things now.
I understand how...
Mr. Mizuno feels.
He just wants to prioritize his wife's life.
I can also understand how Ms. Rika feels.
As compared to her own life, she wants to prioritize the baby.
And that's why...
I want to save the both of them if possible.
I can't forget what she said.
This child is very, very important to me.
No matter what happens,
I want to save Ms. Rika's baby.
So...
So I hope you can help me.
I'll wait for you at the hospital tomorrow.
I won't change my mind no matter what you say.
If we don't perform the EXIT surgery,
my wife would be saved.
It's logical to save the person I can save.
I can't bear it if my wife leaves me.
I can't imagine...
how I'd live if my wife is not beside me.
Minato, be a doctor in the future.
Sota!
Wake up!
Sota!
The one who survives will suffer in pain.
I understand that.
I understand how you feel.
However, it's the same for Ms. Rika.
When she wakes up and finds out that the baby is not here anymore,
she'd suffer in pain.
No matter how much she cries, that pain won't go away.
The pain in her heart wouldn't heal.
She'll always feel the pain.
Where's the baby?
Why did this happen? Sorry.
Sorry.
(You need to perform self-injection for home infertility treatment)
(Injection method)
We don't need to go this far.
I don't want to just give up.
Sorry. I'm too willful.
But I really want to become a mom no matter what.
I'm home.
Are you pregnant?
It's a girl.
I hope we can have a smooth delivery this time.
You're already working so hard.
You'll surely be able to give birth to a healthy baby.
I thought of a nice name.
What is it?
It means the fruit of our love.
What do you think about naming her Aishi?
That's a little embarrassing. It's too direct.
Really? I think it's nice.
She moved.
Our baby is inside.
If possible,
I also want to save the baby.
However,
I really don't know what I should do.
I want to save both of them.
My brother left me alone and went to heaven.
I'm still so sad...
and lonely until now.
I don't want anyone else to feel this pain.
Regardless if it's you or Ms. Rika,
I don't want you to feel this kind of pain.
Soon...
Ms. Rika would become a mom.
Now, only you...
can make Ms. Rika become a mom.
You mean Mr. Mizuno agreed to perform the surgery?
He knows the mom would be in danger,
but he still wants to keep the baby.
Half.
If we can reduce the bleeding during surgery to half,
then we can reduce the toll it takes on the mom's body.
That way, both of them will be saved.
Idiot. That's impossible.
It is.
Before we remove the uterus, use the tissue fixation pin...
to fixate the area around the uterus.
We can reduce the bleeding that way.
This is purely theoretical.
Indeed. If we implement hemostatic procedures before the C-section,
there's a possibility to reduce the bleeding.
Since both the patient and her family agree to perform the surgery,
we should try this.
Mr. Takayama, are you serious?
Since there's a possibility to save them both,
we should prioritize what the patient and her family want.
However, we need to complete the entire surgery in 15 minutes.
We have to stop the surgery if there's any danger...
to the mom's life.
That is my condition.
Okay.
Seto, Shindo, prepare yourselves.
Yes.
We're going to perform EXIT surgery.
- Scalpel. - Yes.
- Tweezers, gauze. - Yes.
(Operating Room)
Break the sac.
- Take the baby out. - Yes.
- Inject artificial amniotic fluid. - Yes.
Blood oxygen saturation sensor connected.
- Tracheal tube. - Yes.
- Laryngoscope. - Yes.
- Shindo, perform drainage. - Yes.
The swelling in the neck is very serious.
It's because of internal hemorrhage.
Because of the surgery, there's intralymphatic hemorrhage.
- Intubate. - Give me the tracheal tube.
Yes.
I can't see the glottis.
- Tilt it a little backward. - Yes.
Five minutes left.
It's hard to intubate.
This is bad. The mom is bleeding too much.
Cut the tracheal tube.
- Scalpel. - Yes.
- Shindo, open. - Yes.
Extend the lymphangioma to the front part of the trachea.
We can't cut it under these circumstances.
There's too much bleeding. The mom won't be able to handle it.
Please wait. There should be another way.
There's intralymphatic hemorrhage.
In this case, we're not sure where to cut the tracheal tube.
Ultrasound. Please perform an ultrasound.
Before the baby cries, the trachea is full of amniotic fluid.
We can find the position if we perform an ultrasound.
- Prepare to perform an ultrasound. - Yes.
Less than three minutes left.
Blood pressure dropped to 60. The situation is very dangerous!
There's no other way.
Let's give up on the baby.
Wait. Please wait a little more.
Do you want to let both of them die?
- Stop the surgery. - Yes.
In the second and third tracheal cartilage.
Cut it there and the baby can be saved.
Okay. We'll cut it. Scalpel.
- Kelly Bent Hemostat. - Install oxygen tube.
Yes.
The airway is open.
- There's no time. Hurry. - Yes.
- Cut the cord. - Yes.
- Pean hemostatic forceps. - Yes.
- Mayo dissecting scissors. - Yes.
Cut it.
How's the baby?
It's a healthy baby girl.
Look.
She's your mom.
I finally saw you.
Rika.
I'm sorry...
I...
Let her wear this.
(Aishi)
You have to take good care of her.
You named her.
Rika.
Thank you for giving birth to our child.
(Aishi)
You taught me another thing again.
No matter how hard you work,
there are still lives you cannot save.
But...
no matter how much you hate your helplessness,
you can never give up on your desire to save patients.
Precisely because you stayed strong on that desire,
Aishi is able to meet her parents.
No matter what other people say,
you're an outstanding doctor.
Minato, be a doctor in the future.
(Togo Memorial Hospital Shindo Minato)
Minato.
Let's eat together.
I understood when I saw Aishi.
I understood why I didn't go to heaven.
It's to save children.
It's because my kind-hearted brother...
really wants me to be a doctor.
He wants me to save children.
Minato.
So I won't say that again.
Thank you for saving me.
I want to be an outstanding doctor.
My brother and I want children to grow up and become adults.
So from now on,
please always support me.
I will, Minato.
I'm very much looking forward to your growth.
Yes.
You're really willing to fund us, right?
Of course.
Our group will do our best to support you.
So can you please give me an answer?
President.
This is your last chance to keep the hospital.
Please.
Okay.
(August 12, Sunday. New Mail Message: Togo Michi)
(Sender Togo Michi. Let's break up.)
There's no problem. Her condition is very good.
Thank you, Dr. Shindo.
You're welcome.
Can I go play at the Game Room later?
- Of course. - That's great.
What are you going to play?
(Medical Representative Togo Memorial Hospital: Shiga Akira)
(Patient Name: Shiga Akira.)
(Exam Results: Stage Four Gastric Cancer)
(Already metastasized to the liver and lungs.)
(Medical Facility: Japan Central Cancer Treatment Center)
(Technician: Takeuchi Shuhei)
The ovary?
If it's malignant, we have to remove the ovary.
You can reconsider about our marriage.
Nanako!
They both love each other. Why must they break up?
This is my attending physician, Dr. Handsome.
My name is not Dr. Handsome. My name is Shindo Minato.
Proposal?
Just because she's sick, she can't love anyone?
If we don't handle this, it might endanger her life.
If you feel miserable, then let me heal you.