Mom, look. This flower is so pretty.
Yes, it is.
- You found a pretty flower. - Yes!
Hey.
It's almost cooked.
Let's play a little longer.
I'm sorry. I have to help with the preparations too.
You can go ahead and play a little longer.
Be careful.
Okay.
Misaki, the food is ready.
Is she not here?
Hey, Misaki.
Misaki.
Dr. Shiga.
Minato.
Why didn't you tell me that you're sick?
I'm not the one you should...
worry about.
I'm very worried about you.
I'm scared that we'll be apart.
I'll always be beside you.
The children are waiting for you.
They're anxious and scared, like you now.
Go.
Quickly.
I will be fine.
All right.
Doctor.
Iyo.
Are you all right?
Iyo.
Morishita Iyo has liver cirrhosis.
If left unchecked, it can lead to liver failure and eventually, death.
We must perform liver transplant immediately.
We have to transplant her liver too?
That means...
we need to transplant her liver and small intestine simultaneously.
But we can't perform such a surgery in our hospital, right?
This is the only way to save Iyo.
Shindo, let's explain the situation to her sister.
Yes.
Hello.
All right.
There's a critical patient in the emergency.
Yoshimoto Misaki, six years old.
She drowned in the river. She's now in a state of cardiac arrest.
Misaki.
What's the situation?
Ventricular fibrillation. She's now in a state of cardiac arrest.
Venipuncture.
- Prepare current. -Yes.
Fifty Joules. Hurry.
Charged.
Clear.
Arterial puncture.
Please confirm the waveform.
No, it didn't recover.
- One hundred Joules. - Yes.
Charged.
Clear.
Doctor.
Her heartbeat recovered.
- Thank you. - Thank you.
However,
she's currently unconscious and can't breathe on her own.
What's going on?
Her brain might have suffered severe impact.
Isn't she saved already?
I'm very sorry.
Based on her current condition, the possibility of her waking up...
is very low.
How can this happen?
Please come in.
Misaki.
Doctor...
Won't Misaki wake up anymore?
There's still a possibility, right?
This is a rare case, but there has been related reports.
Then please treat her.
Please save my daughter.
Please, doctor.
We'll do everything we can.
Please, please.
Please.
She also needs to transplant her liver?
The condition of her liver worsened and that led to cirrhosis.
We must transplant her liver immediately.
Regarding the liver,
we need to wait for a brain-dead donor.
Why...
Miss Morishita,
cases for simultaneously transplanting...
the liver and small intestines are very rare in our country.
I also don't have that experience.
Our hospital has never performed such surgery before.
However, based on Iyo's current condition,
it's very dangerous for her to transfer to another hospital.
We can only perform the surgery here if we want to save her.
We'll do our very best.
Can you leave Iyo in our hands?
Of course.
Please.
Please save Iyo. Please.
Please.
Doctor.
Don't worry.
We'll surely, surely cure you.
(Good Doctor: Episode 10)
Kuramoto.
Yes.
Give Yoshimoto Misaki another dose of vasopressors.
Yes.
(Treatment for Brain Dead Patients)
(Maintenance Infusion Therapy in the State of Brain Death)
(Case Report on Brain Death, Brain Death and Natural Death)
Hey, why did you give her another dose of vasopressors?
Misaki's blood pressure is very low.
With the use of vasopressors to elevate her blood pressure,
maybe it can help with the condition of her brain.
I didn't tell her parents clearly,
but there's no hope in that kind of condition.
The exam results are not out yet.
I still want to try, even with only one percent chance.
Simultaneous transplant?
Apparently, there's also a problem with your liver.
My body is really not good.
Why can't it survive on its own?
It's so embarrassing.
What are you talking about?
By the way,
they're releasing the magazine you like today, right?
I'll buy it for you.
Why can't we do it?
This is the only way to save her life.
Dr. Takayama, have you performed a simultaneous transplant before?
No.
You and our hospital both don't have prior experience on this.
If we allow you to perform such surgery,
- it will cause ethical problems. - However,
based on her current condition, there's no other way...
to save her if we don't perform the surgery here.
By the way, have you found a donor yet?
No, I haven't.
There's no point in discussing this.
Misaki...
has always been looking forward...
to camping with the whole family.
Because I was too busy at work,
I wasn't able to take her the whole summer.
It was such a rare opportunity for the whole family to go on a trip.
In the car,
I asked her to sleep first.
But she kept talking.
Look. This flower is so pretty.
She said that...
after she's done playing, she'll eat the corn we grilled.
Hey, it's almost cooked.
It should have been a happy day.
Yet it turned out like this.
You'll be fine.
Her body is still so warm.
She'll wake up soon.
The doctor is always by her side too.
(Cranial Neurosurgery Series 15 Brain Death)
(Patient age 15 and below, diagnosed with brain death. 32 cases.)
Seto, Misaki's exam results are out.
Hey, Keiko.
What's the matter?
She moved. Misaki's hand moved earlier.
Misaki.
Can you hear me?
I was holding her hand when I felt it move.
Doctor, how is she?
Did Misaki regain consciousness?
Please wait for a moment.
She'll be fine, right? She moved.
Right.
Misaki.
Based on exam results,
we can basically confirm that Misaki is brain dead.
Her heart can only last up to one week, at most.
Seto, how's Misaki?
She moved because of spinal cord reflex.
Right.
You look very sad since yesterday.
What's the matter?
If you're not feeling good, I want to cure you.
I don't understand.
As a doctor, if we can't cure the patients,
what else can we do?
Misaki only has...
about one week to live.
There's still one whole week.
In hours, there's there 168 hours.
In seconds, there's still 604,800 seconds.
There's still a lot we can do for Misaki.
(Morishita Iyo, 15 years old. Disease: Liver Cirrhosis)
Iyo.
Are you all right?
- Do you feel pain anywhere? - No.
I'm fine.
I'm sure you'll recover immediately after the surgery.
Iyo.
Is this really all right?
This means...
I have to wait for someone to die, right?
That person has a family that he or she loves too.
They'll be sad after he or she dies, right?
But I have to wait for that donor.
Is this really all right?
I was holding her hand when I felt it move.
She'll be fine, right? She moved.
- Excuse me. - Good morning.
Doctor, Misaki moved her hand again last night.
I was holding her hand then, so I'm very sure.
Mr. and Mrs. Yoshimoto.
Can we talk for a while?
Sure.
Based on Misaki's EEG,
we can't see any movements.
And there's no brain stem reflex either.
In other words,
Misaki is already in the state of brain death.
There's no possibility of her waking up anymore.
I'm truly sorry.
How can this happen?
Didn't you say there's still a possibility for her to be saved?
We already did our best.
But Misaki's circulation is worsening day by day.
Her heart...
will stop beating in about a week.
How can this happen?
In her remaining time,
I hope we can all consider...
what we can do for Misaki next.
This...
(What the Family Can Do)
This is for your reference.
I collated some information of what other parents in your situation...
did for their child.
Some parents want to extend their child's life as much as they can.
Some parents...
hope their child can breathe the air outside one last time.
There are also families...
who want to help other people through organ donation.
Organ donation?
There are families who made such decisions.
What are you talking about?
Her heart...
My daughter's heart is still beating.
But...
you want us...
to stop her heart ourselves?
You mean you want us to kill her?
No, that's not what I meant.
Misaki will...
have her seventh birthday in two days.
There are still lots of things she can do in the future.
Sports festivals, performances, piano recitals.
Misaki has always been looking forward to these things.
You want us to give up on all of that?
Misaki's still alive!
We don't need this.
Simultaneous liver and small intestine transplant?
However, the majority are against...
performing this surgery in our hospital.
Is there no other way?
Dr. Takayama must have made this decision...
because there's no other way.
Doctors would never watch patients die without saving them.
Because of that,
patients can feel at ease with putting their lives in our hands.
Hospitals...
were built based on this relationship of trust.
(Organ Donor Information)
(Morishita Iyo, 15, female)
(Short Bowel Syndrome and Liver Cirrhosis)
Seto.
Misaki's mom is requesting us...
to change the attending physician.
We can't do anything about it. It's nobody's fault.
You don't have to worry.
Okay.
Shindo, please take on this patient.
Yes.
(What the Family Can Do)
Keiko.
Get some rest.
Keiko.
It's all my fault.
It's my fault that Misaki...
What are you talking about?
It's not anyone's fault.
No.
If only...
I was there with her to watch her play,
Misaki wouldn't turn out this way.
Misaki, I'm sorry.
I'm sorry, Misaki.
Why didn't I...
hug her more?
Why didn't I listen more to her requests?
If I knew this would happen, why didn't I...
(Patient information: Yoshimoto Misaki)
Mom, look. This flower is so pretty.
Yes, it is. You found such a pretty flower.
Good morning.
I'm Shindo Minato. I'll be the attending physician starting today.
Hi, Misaki. I'm Shindo Minato.
The weather is so nice today. It feels so good.
Does it hurt anywhere?
Excuse me.
There are bed sores behind her ankles.
We need to increase the frequency of changing her position.
Dr. Shindo.
I'm sorry...
that you have to take her on under this situation.
I'm very happy to help.
You've always been the one helping me.
I've always wanted to be able to help you one day.
I can finally help you. I'm very happy.
You'll feel very energetic after eating an ice cream.
When you're feeling miserable, I'm willing to share it with you.
Let's share this.
Excuse me.
You're Morishita Iyo's attending physician, right?
Yes.
What's her condition?
It's not good.
If we don't perform surgery immediately...
after receiving organ donation, she'll die.
However, there's no decision yet...
whether surgery can be performed here or not.
Why?
I heard that this is a very risky surgery.
But we can save her if we perform the surgery here.
This matter cannot be decided upon easily.
I don't understand. We can save her if we perform the surgery here.
Why can't we do that?
Isn't the hospital a place that saves the sick and injured?
I really, really want to save Iyo.
Ms. Morishita.
I'm a staff in this hospital.
How do you feel right now?
I'm fine.
You've been staying here for a while, right?
Do you hate the hospital?
This place...
already feels like home.
Home?
Not only me,
all the kids who are staying here feel the same.
The nurses are like our brothers and sisters.
We're back.
Rintaro.
The doctors...
are like fathers and mothers.
They're especially gentle.
If not for this hospital,
I'm not sure if I can hold on until now.
Excuse me.
Misaki.
Happy seventh birthday.
This is my gift for you.
Well,
I heard she likes flowers the most.
Nawa and Keita...
and everyone decorate their room with things they like.
Misaki would surely be very happy.
Doctor.
Why are you doing this?
I want Misaki to feel happy.
Misaki must want to happily spend her time with her parents,
instead of being sad.
I have something I want to give you.
You've grown in the blink of an eye.
You were so little before.
Do you remember?
When Misaki was three years old,
we brought her to the fireworks festival for the very first time.
We were talking about how pretty the fireworks are.
Yet she said the birds would get hurt.
Poor birds.
What a kind-hearted child.
Even if I was so tired after coming home from work...
Dad, welcome home.
She'd say welcome back while running to welcome me by the door.
All my exhaustion disappears...
after seeing her smile.
I can't imagine...
I also don't want to imagine...
our life...
without Misaki.
I just can't...
bear the thought of...
Misaki leaving us.
I can't bear it.
Right, Keiko?
Sorry to keep you waiting.
I have a favour to ask you, doctor.
(Dr. Shindo calling)
Hello.
Please come to Misaki's room immediately.
Today is Misaki's seventh birthday.
I asked Dr. Shindo...
to let us have a party here.
Misaki's parents said...
they hope that Dr. Seto can also attend.
Of course.
As long as both of you don't mind.
Before this,
I have something to tell you both.
My wife and I had a discussion last night.
We've decided...
to donate Misaki's organs.
After what Dr. Shindo said, I realized...
we can't only feel sad.
We can still do some things together with Misaki.
At that time,
I saw what you prepared for us.
We saw this.
(What the Family Can Do)
(Families who want to extend patient's life)
(Organ Donation Information Choose based on parent's wishes)
When we think...
that a part of Misaki can become a part of another person's body...
and continue living somewhere,
I think that we can always celebrate her birthday...
next year and even afterwards.
I also...
took a look at it.
It says...
what we can do for our child.
You saw how we were so confused and we couldn't accept the fact.
So you wanted to bring us some hope, right?
I am...
truly sorry.
Thank you.
I'm the one who should thank you.
Let's celebrate Misaki's seventh birthday together.
Let's shower her with lots of love.
Please also let us celebrate with her.
Happy Birthday.
Thank you, everyone.
One, two.
Happy birthday to you
Happy birthday, dear Misaki
Happy birthday to you
Misaki, happy birthday to you.
Happy Birthday.
Mr. and Mrs. Yoshimoto.
One, two.
We're taking the picture now. Smile.
All right. Smile.
You said you wanted a dog before, right?
I'm sorry we weren't able to give you a real one.
I...
wrote you a letter.
Can I read it out loud?
"To Misaki.
Until now, I still can't believe...
Wait. Don't do that.
You're so healthy.
Now you turned out this way.
Your dad and I...
prayed to the heavens many times...
for you to wake up soon.
We want to see you smile again...
and talk to you more.
We want you to hold our hands tight.
We want to feel your warm hugs.
We've been praying...
every single day.
However,
the heavens...
couldn't grant this wish for us.
Now,
we know...
that we can donate a part of your body...
to other patients who are suffering.
At first, we didn't want to do that.
But...
no matter what happens, we don't want to say goodbye to you.
So we've decided to donate your organs.
Misaki.
We're sorry if this is something you don't want to do.
We're sorry that maybe it will really hurt.
Your dad and I...
have always taken care of you...
with so much love.
Even though...
we'll be apart in the future,
but no matter how far we are from each other,
we'll always...
love you, Misaki.
Misaki...
Happy seventh birthday.
Lastly,
your dad and I would like to thank you...
for being our child.
Love, Dad and Mom."
Thank you.
Thank you, Misaki.
Misaki, thank you.
We must follow...
her parents' wishes.
Yes.
Dr. Shindo.
Thank you.
Really.
Thank you very much.
Yes.
The Organ Transplant Network contacted us today.
They found a donor that matches with Morishita Iyo.
Please allow me to perform simultaneous liver...
and small intestines transplant for Morishita Iyo tomorrow at 10am.
Please.
I told you many times already...
that we can't perform simultaneous organ transplant surgery here.
If you want to perform surgery, find another hospital.
I'm done.
Please wait.
Let's perform her surgery...
in our hospital.
If you do that, I'll immediately cut the funding.
It doesn't matter.
You're giving up the hospital...
your dad left you just for one person?
As long as I can save one person's life,
it doesn't matter if I lose this hospital.
This hospital is built...
to save patients' lives.
I'm this hospital's president.
I'll make the final decision.
Please prepare for the surgery at once.
We'll do our best...
to save her.
Who's the donor?
A child younger than you.
But I can't reveal who she is.
Is it really all right to do this?
To do the surgery at all costs?
That child cannot survive.
I'm very sad that we can't let her...
become an adult.
However, she can...
continue living...
inside your body...
and grow into adulthood with you.
That's really great.
It's something to be proud of.
Only you can do that.
Iyo.
We're turning the corner.
You have to say goodbye here.
You can do it...
Misaki.
Go.
Go into the operating room.
Before we harvest the organ,
let's thank the donor and her family...
and have a moment of silence.
Let's begin.
Okay.
Let's perform the surgery.
Yes.
- Scalpel. - Yes.
- Tweezers. - Yes.
- Gauze. - Yes.
- Tweezers. - Yes.
Gauze.
Iyo.
It's almost time.
Iyo.
You'd be fine.
(Protection Amulet)
Iyo...
your expression is so exaggerated.
You're so noisy.
See you later.
Doctor.
Let's go.
You'd be fine.
We're ready.
Next, we're performing cross-clamping.
- Perform infusion. - Perform infusion.
- Mayo Dissecting Scissors. - Yes.
- Ice. - Yes.
Infusion completed.
Please.
Start removing the heart.
- Mayo Dissecting Scissors. - Yes.
- Tweezers. - Yes.
- Mayo Dissecting Scissors. - Yes.
Please.
Just relax and close your eyes.
- Start anesthesia. - Yes.
- Please. - Yes.
(Protection Amulet)
- Liver extraction completed. - Please.
- Tweezers. - Yes.
- Mayo Dissecting Scissors. - Yes.
The liver is here.
Please.
All right. No problem. Next, remove Iyo's liver.
Yes.
Tweezers.
- Vascular forceps. - Yes.
- Mayo Dissecting Scissors. - Yes.
Hi, this is Operating Room Two.
All right.
Please.
Start removing donor's small intestine.
- Scalpel. - Yes.
- Tweezers. - Yes.
- We're performing the implant now. - Yes.
Please.
Please perform matching.
- Magnify it. Line five. - Yes.
Kidney extraction completed.
Organ extraction completed according to plan.
Please close.
- Tweezers. - Yes.
- Line three. - Yes.
Tweezers, please.
Cooper scissors.
Matching completed. Prepare reflex.
Yes.
Hepatic vein removed.
Portal vein removed.
Flow.
Please flow.
Blood is starting to flow again.
All right. Next, perform arterial matching.
Tweezers. Line seven.
Yes.
Remove small intestines.
Removal completed. Inform them.
Yes.
Small intestines delivered.
Dr. Takayama, liver vascular function is insufficient.
The portal vein is distorted. It will become necrotic.
Restore the distorted portion.
Yes.
Blood pressure is dropping.
The blood started flowing. Why did this happen?
Is there haemorrhage anywhere?
We don't see the location of haemorrhage.
If this continues, her heart will stop.
It's a systemic allergic reaction caused by immunosuppressive agents.
Just inject some epinephrine.
Inject epinephrine and steroids.
Yes.
Match the portal vein again. Hurry.
Yes.
- Vascular forceps. - Yes.
Another one.
- Shindo. - Yes.
Acutenaculum.
- Drainage, please. - Yes.
Tweezers.
Doctor.
The surgery was very successful.
This is great, Iyo.
Where's my sister?
Iyo.
Shiori.
Hashiguchi.
Please move the bed.
You did great.
Thank you.
Shiori...
your expression is so exaggerated.
You're so noisy.
Thank you...
Shiori.
Dr. Minato.
It's so great to have you as my attending physician.
Thank you.
You're welcome.
Gosh.
Iyo, this is great.
Dr. Minato, good job.
Iyo, good job too.
That's enough.
All right.
Misaki...
you did great.
You must have had a hard time.
Excuse me.
The organs you've donated...
have all been transplanted accordingly.
Based on the reports, the organs are all functioning healthily.
Misaki...
is also...
continuing to live in a new place.
I heard that the surgery was very difficult.
That's right. Our Pediatric Surgery department has never performed...
simultaneous liver and small intestines surgery prior to this.
But I firmly believe that our team...
can surely be successful.
Minato...
you did great.
Yes.
You've already become an outstanding pediatric surgeon.
But you still have many things to learn.
You have to continue learning as a doctor.
Yes.
I'll learn more and more things.
I want to become an even more outstanding pediatric surgeon.
What would you do next regarding the hospital operation?
You don't need to worry about that.
Just continue doing your work.
Thank you.
Michi.
(Resignation Letter)
(Takeshi Oishi)
Someone might inquire regarding funding lately.
Please look favourably upon Togo Memorial Hospital then.
Shindo.
You did great.
Yes.
Thank you.
Keiko.
We received a letter.
To the Organ Donor Family.
Thank you very much for donating your beloved child's organ to me.
I can now go to school...
and experience the life I once had.
This is amazing.
I want to watch wheelchair basketball games.
Now, I can experience all of this every day.
I've decided to do one thing.
Ever since I was little, I've been in and out of the hospital.
I spent most of my time in the hospital.
I witnessed the nurses and doctors...
saving lives right before my eyes.
Please make way.
They work so hard in order to save lives.
- Inject two doses of antibiotics. - Okay.
Prepare saline solution.
Perform surgery after relieving intestinal torsion.
Yes.
What outstanding doctors.
Iyo.
- Dr. Minato. - Iyo, long time no see.
Long time no see.
- Let's do a checkup. - Sure.
One day,
I'll also become an outstanding pediatric surgeon like them.
I'll treasure this life...
that's closely connected with your daughter's.
I'll also become someone who can save other people's lives.
Thank you very much.
I'll live on with her from now on.
She's living very healthily.
That's right.
- Dr. Minato, good morning. - Good morning.
Good morning.
- Let's play together soon. - Let's play together soon. Bye.
Sure.
Dr. Shindo.
Want to eat together?
Sure.
It seems I also started liking rice balls lately.
I want to eat it.
Sure. Here.
Thank you.
But this is not the rice ball I like.
It has to be white for it to be good.
And it has to have seaweed.
You're so picky.
This is good too. Give it a try.
It's delicious.
See? I told you.
Yes.
(I hope every child will grow up and become adults.)