Sister, listen to me.
I saw Ryohei at the canteen earlier.
- Then he talked to me. - What?
How nice.
My heart was beating so fast.
Iyo.
- Iyo. - Doctor.
Are you all right?
- Iyo, are you all right? - Iyo.
Iyo.
So...
those in favour of the reformation,
please raise your hand.
Based on the majority rule,
the reformation is passed.
Next,
we shall reduce the departments that aren't in line...
with the reformation.
Firstly,
the Pediatric Surgery...
and OB Gynecology departments...
will be abolished within the year.
Everything is going according to plan.
Thank you for your assistance.
Bye.
Ryohei.
We're moving over soon.
Let's go back to your room.
A transplant?
The tube inserted in Iyo's chest caused an infection.
We gave her antibiotics and she is temporarily stabilized.
But if left unchecked, it can cause sepsis and liver damage.
It will threaten her life.
We need to perform small intestine transplant in order to save her.
We can receive small intestine donation...
from brain dead patients.
But in Iyo's case...
she has received lots of blood transfusion to date.
So she has lots of antibodies in her body.
That's why rejection is very likely...
when we perform the transplant.
Family can also donate, right?
That's true.
If a family member donates the organ,
it might inhibit the rejection reaction.
But the donor...
might experience some complications.
Please think over carefully before making a decision.
No.
I want to be Iyo's doner.
Her only family is me.
If Iyo can be saved,
I want to do it no matter how small the chance.
Iyo.
Sister.
Are you all right? How are you feeling?
What...
What happened to me?
The doctor said that you're slightly anaemic.
But Dr. Minato said that you just need to rest and you'll be fine.
I see.
That's great.
(Morishita Iyo. Short Bowel Syndrome)
Hey, Shindo.
I heard that Ms. Shiori plans to to be Iyo's doner.
Yes. We're checking if she's a suitable donor.
But we have to keep this from Iyo first.
Wait a min. Why?
Because Ms. Shiori said that Iyo might hesitate.
She wants to find the right opportunity to tell Iyo.
We'll have to wait until then.
It seems like their parents have passed away.
They died in an accident three years ago.
Since then, Ms. Shiori has always been taking care of Iyo by herself.
Thank you for taking care of me.
Why are you being so polite?
Sleep well.
- Bye. - Bye.
She's still so young. That's incredible.
Won't there be a problem?
Ms. Shiori is enduring everything by herself.
Excuse me.
I'm Morioka from Neurosurgery.
Is Dr. Takayama here?
What's the matter?
I want to discuss a patient with him.
This is the Pediatric Surgery floor.
The patient's name is Takigawa Ryohei, 17 years old.
He hit his head when playing basketball,
causing brain contusion.
He had hydrocephalus later on.
He needs to undergo surgery for hydrocephalus.
So we're gathering all the experienced pediatric surgeons here.
Indeed.
The brain ventricles have expanded due to the cerebrospinal fluid.
Usually, the cerebrospinal fluid is drained into the abdominal cavity...
in order to relieve pressure from the brain.
But this patient has a history of peritonitis.
There's serious adhesion in the abdominal cavity.
We can't treat him with the usual method.
So I'd like to ask everyone if there's another way.
Can't we drain it through the chest and atrium?
There's a large volume of cerebrospinal fluid, right?
Our only choice now is through the abdominal cavity.
Does that mean there's no way to cure this patient?
And there's another problem.
He injured his lumbar vertebrae when he fell.
Both of his legs are currently paralysed.
Even if the hydrocephalus is relieved,
it might be difficult for him to walk again.
Does Ryohei know about this?
We haven't told him yet according to his parents' wishes.
He thinks that if the hydrocephalus is relieved,
the paralysis in his legs will also be cured.
Let's try our best to do what we can.
If the hydrocephalus worsens,
it will disturb consciousness and threaten his life.
We must find a treatment method soon.
Yes.
Please. Thank you.
- Thank you. - Thank you.
Sorry, it's time for my surgery. I'll leave the rest to you.
He has surgeries all day and night.
He's really incredible.
But he seems to be very anxious lately.
I feel like he purposely arranged a full schedule for himself.
Pediatric Surgery and OB Gynecology departments...
will be abolished within the year.
You mean Ryohei?
He moved to the room next to the room next to the room next to you.
That's fate, right?
Does it mean I should pursue my love?
What should I do?
Excuse me.
What's the matter, Vice Chief?
Is there a patient named Takigawa Ryohei here?
Starting today, Pediatric Surgery will be responsible...
for treating Ryohei.
I'm his attending physician.
I've seen his medical record.
You haven't found a way to treat his hydrocephalus, right?
Both of his legs are still paralysed too.
We'll do our best to treat him.
But we might need to perform a very difficult surgery.
However, Dr. Takayama is here.
We'll surely be able to find the best treatment for Ryohei.
I see.
All right then.
How rare for the Vice Chief to be interested in a patient.
Ryohei.
Hi, I'll be your attending physician starting today.
I'm Seto from Pediatric Surgery.
Please treat me kindly.
(Come back soon. You have to get better.)
- You really like basketball. - Yes.
This has always been my habit.
I can calm down just by cleaning my shoes.
Excuse me.
- Excuse me. - Iyo, are you all right now?
Her white blood cells and C-reactive protein figures are stable.
It's fine to walk around a bit.
I heard you fainted. I was very worried about you.
It's great that you're well now.
There's no problem now.
- I'm just anaemic. - I see.
Come and have a seat.
Do you like playing basketball?
I've joined the team since primary school to senior high.
But we're a weak team who'll lose in the regional competition.
By the way...
Won't you read this?
It's about a weak team that went to the national competition.
May I?
You'll surely like basketball and keep your spirits up.
- Here. - Thank you.
After I get discharged from here,
can I go watch your basketball game?
Of course.
That's great.
This one. I like him.
Iyo and Ryohei are both smiling very happily.
But they both don't know the truth.
I feel so miserable.
Seeing them smiling happily without knowing the truth...
makes my heart ache.
But their families must surely be more miserable.
So we must try our best to do what we can.
Dr. Shindo.
This is Ms. Shiori's test results.
Thank you.
(Togo Memorial Hospital Organ Donor Matching Guide)
(Small Intestine Transplant)
(Stenosis and complete rejection might occur.)
(It's possible that another surgery is required.)
(Patient receiving the organ might die from complications.)
Sister!
Sister! Sister!
Ryohei said I can watch his basketball game.
Really? That's great.
What should I wear then? I should wear shorts, right?
No, will that show too much skin?
Sister?
Yes.
I'll go buy some drinks.
(Test Results: Match)
This way, we can transplant Ms. Shiori's small intestines to Iyo.
- Iyo would be cured. - Have you told Iyo already?
Not yet.
Her sister doesn't want to let her know.
Considering the patient's feelings is worthy of praise.
However, this is an urgent matter.
If another infection occurs, it will threaten her life.
Telling her about her condition soonest...
and convincing her too...
are important jobs of an attending physician.
All right. I'll do my best.
You're so troublesome. Get out!
- Iyo, calm down. - Stop it. Get out!
What's the matter?
You're with her, right?
You see me so happy without knowing the truth.
You must be laughing at me.
I already know everything.
(Organ Donor Matching Guide, Small Intestine Transplant)
(Possibility of dying)
I'm not doing the surgery.
Why?
You know how many surgeries I have undergone so far, right?
Five! Five times!
My stomach has been cut open that many times.
I couldn't walk after surgery because of the pain.
And you want me to undergo surgery again?
I'm not going to get well anyway.
How many times are you going to open my stomach before you feel satisfied?
I've had enough.
I definitely won't undergo surgery.
Iyo.
Sorry.
I originally planned to tell her myself.
But it turned out this way.
It seems I still can't take care of her on behalf of our parents.
Yet I'm the only one...
she can depend on.
If our parents are still alive,
what would they tell her?
I'll convince Iyo.
Please rest assured and wait.
I'm Iyo's attending physician.
Let me handle it.
(Good Doctor: Episode 9)
Please, Iyo.
Please do the surgery.
I know you hate the pain after surgery.
But if we succeed this time,
you'll become very healthy.
Ms. Shiori will also be very, very happy.
Shut up!
Get out!
Leave me alone.
Ryohei.
- I'll be back tomorrow. - Thank you.
Why are you here?
Can you drain the...
cerebrospinal fluid into the urinary tract?
No. Ryohei has a history of vesicoureteral reflux.
Can we drain it into the jugular vein then?
That might cause cerebrovascular insufficiency.
It doesn't seem like anything will work.
Dr. Takayama, what do you think?
Takayama.
Sorry.
Excuse me.
Dr. Takayama, Dr. Seto, Ryohei's mom is asking for you.
I want to transfer Ryohei to another hospital.
What's the matter?
A friend recommended another hospital,
a famous pediatric surgery hospital in Boston.
And I heard that the pediatric surgery department...
in this hospital will be gone within the year.
Within the year?
It's impossible.
Those are my reasons. I'll go ahead.
What's going on?
Yes?
All right. I'll be right there.
Sorry, another surgery.
Takigawa Ryohei is your son, right?
I'm very sorry.
I overheard your conversation.
Why didn't you contact me?
We haven't seen each other for years.
He's not your concern anymore.
Ryohei already has a new dad.
Transfer him to another hospital immediately.
The Pediatric Surgery here would be gone within the year.
How come?
I'll introduce a good hospital to you.
It would be dangerous if Ryohei transfers to a hospital overseas.
His condition might worsen...
and it'd cause disturbance to his consciousness.
We'll surely find a way to treat Ryohei.
Please give us a little time.
I won't hand him over to you pediatric surgeons.
This concerns your son's life.
I'll go ahead.
(Small Intestine Removal)
I'm not going to get well anyway.
How many times are you going to open my stomach before you feel satisfied?
I've had enough.
I definitely won't undergo surgery.
(Togo Memorial Hospital Reform)
(In 2019, the hospital will change...)
(into a hospital for the elderly.)
Please come in.
I don't know.
I don't know what to do.
What's the matter, Minato?
I want to get Iyo back in high spirits.
I want her to smile happily with Ms. Shiori again.
But Iyo said she doesn't want to be treated.
She said she doesn't want to undergo such painful surgery anymore.
That's quite hard.
But Minato,
I'm not Iyo's attending physician.
You are.
You see Iyo every day.
And your attention is on her.
You'll surely be able to understand what she's feeling.
There won't be a problem. You can surely deal with Iyo...
even without me.
You have to do your best.
Yes. Thank you.
Is what she said earlier true?
That was their decision during the board meeting.
Don't tell the others first.
I don't want to cause unnecessary worry.
Please explain it to me.
If our department is abolished,
what would happen to the children here?
There's no other pediatric surgery hospital in this area.
And there would be more children...
- who would be transferred here. - Of course, I know that.
But I can't do anything.
I can't change their decision.
You should understand since you're part of this institution.
Then what should we do?
We're doctors.
We can only use our hands...
to save the patient in front of us.
There's still time.
From now till then, I'll try to save as many children as possible here.
Please help me.
I thought about it.
Very carefully.
I've seen how you've always worked hard to get well.
You never stopped doing that.
But the Iyo now is not the person I know.
Why don't you want to undergo surgery?
Please tell me the real reason.
Please.
Doctor.
You've seen them, right?
The scars on my stomach.
Every time I attend PE classes,
I do my best to hide the scars.
But even so, others will still see them.
And I'll smile happily and cover it up.
This surgery...
my sister will be the donor, right?
And that means...
my sister would also have scars.
I definitely don't want her...
to have such a sad experience.
After our parents passed away,
I've already given her too much trouble.
Dad.
Mom.
My sister must be sad too.
Dad!
But she never cried in front of me.
In order to support me,
she dropped out of music school...
and gave up on her dream.
Everyday, she does work that she's not familiar with.
This is a list of spare parts to be shipped today.
I told you the summary should be classified by the departments.
Sorry.
- Miss. - Yes.
Hey, where's the cigarette?
We don't sell cigarettes.
Come on. Just give them to me.
Sorry, we...
I told you to give the cigarettes to me.
I'm really sorry.
She works so late at night just to pay my medical bills.
I'm sorry, Sister.
What are you talking about?
Don't mind me.
- Please rest. - I'm fine, really.
Just finish this and get some rest, okay?
No matter how tired she is,
she does her best to take care of me.
She's already so tired.
But she keeps telling me...
that she's fine.
I...
don't want to become more of a burden anymore.
I don't want her to be unhappy...
just so I can live.
(Pediatric Surgery)
This is the fund we've agreed to provide before.
This much?
Yes.
I hope you can become part of the New Nippon Medical Group...
and work hard to increase our profits.
There's no need to pity the departments that will be abolished.
Had you not make the right decision,
Togo Memorial Hospital would have gone bankrupt.
Thousands of workers would have lost their jobs.
Regardless of the era,
sacrifice is required to benefit the majority.
As a businesswoman, you made the right decision.
We can only use our hands...
to save the patient in front of us.
(Diagnosis and Treatment Guidelines for Hydrocephalus)
Everyone has something they want to protect.
Ms. Shiori wants to protect Iyo.
And Iyo wants to protect Ms. Shiori.
They're both important, so there is no way to satisfy them both.
But I want to protect Iyo...
and all the children here.
You're right.
(Diagnosis and Treatment Guidelines for Hydrocephalus)
Are you studying to save Ryohei?
Even though...
he's transferring to another hospital,
at least I should find a treatment method...
for that hospital as a reference.
I can only do this much for him.
The journey is far.
Be careful. You can do it.
Thank you.
Please say goodbye to Iyo for me.
Thank you for everyone's help.
Now, will Iyo's summer love be...
the. end.?
Come on. Go back to work.
Ryohei! Ryohei!
- Ryohei! - Ryohei.
- Ryohei.
- Ryohei, can you hear me?
- Bring the crash cart and stretcher here. - Yes.
- Ryohei. - Ryohei!
Hello.
I'll be right over.
Iyo, let's do the liver tissue examination.
This examination is important to access your current condition.
Hello, this is Shindo.
Ryohei?
All right. I'll be there right away.
Stretcher coming through.
Ryohei! Ryohei!
- Please. - Madam, please wait here.
Is what you said over the phone earlier true?
Ryohei's hydrocephalus worsened and...
has disturbance to his consciousness.
His current situation is very dangerous.
We'll do our best to save him.
Please.
I beg you. Please save my son.
Please.
We'll do our best.
- Please. - Please.
We'll perform ventricular puncture.
Cerebrospinal fluid will be drained with a catheter...
into the abdominal cavity.
- Scalpel. - Yes.
- Gauze. - Yes.
Separate the adhesion after opening the abdomen.
Leave the catheter in the abdomen.
- Scalpel. - Yes.
- Tweezers. Gauze. - Yes.
- Toothed tweezers. - Yes.
- Bipolar. - Yes.
(Operating Room)
After cutting the muscles, use a vascular hook to prop it open.
Yes.
We'll do a craniotomy. Drill, please.
- Hold the head. - Yes.
- Saline. - Yes.
- Seto, prop it open. - Yes.
- Skeletal traction. - Yes.
- Go deeper. - Yes.
Dural incision completed.
Proceed with ventricular puncture.
We'll confirm the condition of the abdomen.
- Retractor. - Yes.
The adhesion is more serious than we expected.
It's difficult to drain the cerebrospinal fluid to the abdomen.
Be careful to leave some space after separating the adhesion.
If that's the case, there might be a chance it'll adhere again.
What should we do?
How about extending it until the back of the liver?
Based on the CT scan results,
adhesion on the back of the liver is less serious.
Ryohei has a history of peritonitis caused by appendicitis.
The area of adhesion should be at the bottom of the abdomen.
Yes. The adhesion on the top part of the abdomen might be less serious.
Extend it until the back of the liver.
Tweezers. Metzenbaum.
Tweezers. Lever.
Adjustment space has been reserved through the subcutaneous channel.
- Toothed tweezers. - Yes.
- Perforated tube. - Yes.
Next, extend until the back of the liver. Prop it open.
Yes.
The adhesion is very light.
We should be able to drain the cerebrospinal fluid here.
We've ensured there's space for the drainage.
Thank you.
- I'll also do my best. - Yes.
Saturation is dropping.
Why?
From the vitals, it might be heart disease.
Confirm his heart condition.
- Echocardiography. - Yes.
- Large gauze. - Yes.
- One more. - Yes.
Freeze.
The right ventricle is enlarging.
Why did this suddenly happen? What's the reason?
Saturation has reached 90.
Could it be congenital heart disease?
We didn't have any findings during the pre-operation exam.
- Could it be myocarditis? - If were the case,
the left ventricle should also be enlarged.
- Saturation is at 85. - Remove.
It's dangerous. If this continues, it'll cause...
brain damage due to lack of oxygen.
Doctor, what should we do?
Should we stop surgery?
Doctor.
Remove the retractor and surgical towel.
- Remove them now. - Yes.
Freeze.
There's thrombus. A big thrombus in the vein.
Because he lost feeling in his legs, thrombus formed in the vein.
Part of the thrombus flowed with the blood to the pulmonary artery...
and caused pulmonary embolism.
Economy class syndrome.
Nakajima, contact Radiology.
We'll perform hybrid heart surgery to remove the thrombus.
Yes.
- Let's start the surgery again. - Yes.
Toothed tweezers.
- Perforating tube. - Tweezers, please.
Peritoneal clamp.
The surgery was a success.
The hydrocephalus symptoms will also be alleviated.
Thank you very much.
However,
Ryohei will be wondering why in spite of that...
both his legs cannot move.
I can understand how you feel.
But for your son's sake,
I think it's better if you tell him the truth.
Ryohei, this is Mom.
Can you hear me?
You're so brave.
The doctor said the surgery was a success.
Ryohei.
Sorry, Ryohei. Sorry.
Your legs are already...
I'm sorry. I'm sorry.
I'm sorry...
I'm sorry.
What's the matter?
I was so silly.
I even told Ryohei I'm going to watch his basketball game.
I'm the worst.
It seems like Ryohei already knows.
I see.
To him, what matters is the future.
I want to do everything I can...
for Ryohei.
Don't run.
How is it?
Iyo has been in low spirits since that day.
Yes.
This is my first time to see Iyo that way.
Iyo.
Iyo, I want to show you something.
Why did you bring me here?
Ryohei hasn't given up.
What?
He has never given up.
Actually, I know about it.
Even with surgery, my legs won't be able to move again.
Not long after I checked in,
I heard Mom crying and talking to the doctor.
What do you mean his legs would always be numb?
How can he live if he can't walk?
Please think of a way to help him.
I beg you.
Darn it.
Move.
Move! Darn it!
I also thought...
that I've become different from ordinary people.
With such a body,
I can't play basketball anymore.
I've tried giving up many times, but I couldn't.
Even though I turned out this way,
I still want to play basketball.
It's silly, right?
I won't laugh at you.
I'm also different from ordinary people.
So people told me that I couldn't become a doctor.
But I worked hard and never gave up. That's why I'm here.
Now, many people are supporting me.
That's why I can become a doctor.
I won't laugh at you.
I won't laugh at the things you like.
I really, really support you.
Doctor.
How about here?
A little more to the right.
You have five minutes.
After that, wait until you're better before practicing again.
Thank you.
All right.
Ryohei said...
he'll still continue playing the basketball that he really likes.
He said he hopes that you can watch him play when he's able...
to join a competition on a wheelchair.
Incredible.
Ryohei is so incredible.
You're incredible too.
You're very, very incredible.
I heard Ms. Shiori say that.
She said she's the person she is today...
because of you.
Wait.
When you were eight...
I don't want to.
...you had small intestine surgery for the first time.
At that time, you were scared to be alone and you always cried.
You were also initially afraid of injections.
You never stopped crying.
- No. - Injections and I...
are both your best friends.
Don't be scared.
But you've now become a role model.
Here. Let me have the injection first.
What?
All right. Done.
See? It's fine. It will just hurt a little.
After the surgery, no matter how painful the wound was,
you never stopped your walking training...
no matter how miserable you felt.
- What's the matter? - The Iyo...
who likes to cry doesn't exist anymore.
You can go home after you get well.
So you have to work hard, okay?
It's all right. Don't be scared.
Ms. Shiori said that she's seen you go through many painful treatments.
And you've become even braver.
You've always inspired her and she gets courage from you.
To Ms. Shiori, you're not a burden.
You're like a sun that gives her courage.
She believes in you.
She believes that you'll surely be able to get through this surgery.
Iyo.
Iyo, you've misunderstood.
When I found out that I can be your organ donor,
even though I was a bit anxious,
I was very happy.
Whenever you're having a hard time,
all I can do is watch.
But...
I feel that I can finally help you this time.
Sister...
I'm not going to become unhappy by donating my organ to you.
I want to do this...
so that we would both be happy.
You also want to get well...
so you can watch Ryohei play basketball, right?
Don't worry.
The surgery will surely go well.
Thank you, Sister.
Doctor.
Thank you.
Dr. Shindo told me already.
You've never given up.
You insisted on finding a way to treat me.
Ryohei.
I'll do my best.
You spent so much effort to save me after all.
(Bravely venture out. The world will change for you.)
(Wheelchair Basketball. Kozai Hiroaki)
Dr. Takayama.
You saved my son this time.
Certainly, pediatric surgery...
provides value that can't be measured by figures.
However, if we continue a department that cannot make profit,
some day this hospital will become bankrupt.
That's a fact.
However,
there's something I forgot to tell you.
Well...
You saved my son's life.
Thank you very much.
That...
is the responsibility of a pediatric surgeon.
The patient underwent multiple abdominal surgeries.
So the degree of adhesion in the abdominal cavity is high.
Around 10cm in the body...
Thank you for your hard work.
Thank you.
I heard that Iyo finally consented to the surgery.
Yes.
Ryohei's determination gave Iyo the courage to try again.
Ryohei and Iyo are both so brave.
We have to do our best too.
Yes.
After the surgery next week,
Iyo and Ms. Shiori can share their happiness.
Just like this popsicle.
Pardon?
Compared to eating it alone,
it tastes much, much better when shared with you, Dr. Seto.
Iyo and Shiori are the same.
Sharing the happiness would make them much, much happier.
It's very delicious.
Iyo.
Sister.
- How do you feel? - I'm fine.
- I brought some clothes for you. - Thank you.
I brought new clothes today.
Let me see.
Dr. Takayama.
This is Iyo's tissue examination result.
Thank you.
Hello, I'm Shindo.
May I ask why you're looking for me?
Where's Shindo?
He doesn't seem to be here now.
Look at this.
- This is... - Morishita Iyo's liver.
There's liver cirrhosis.
In that case, we can't perform the small intestine transplant.
How are you and Ryohei?
I told you there's nothing between us.
Really?
Iyo!
Iyo! Iyo!
Iyo! Iyo! Iyo!
(Chief's Office)
Dr. Shiga!
Don't worry. We'll help you.
(Final Episode's Preview)
Simultaneous transplant?
That's the only way to save her.
Misaki.
Please save my daughter.
Doctor, please don't leave me.
I'll never, never leave you.