Listen to me.
I saw Ryohei at the canteen earlier.
- Then he talked to me. - What?
How nice.
My heart is beating so fast.
Iyo.
- Iyo. - Doctor.
Is she 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,
we'll abolish...
the Pediatric Surgery...
and OB Gynecology departments within the year.
Everything is going according to plan.
Thank you for your assistance.
Bye.
Ryohei.
We're transferring to another department 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 Iyo...
received lots of blood transfusion.
So she has lots of antibodies.
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 about it carefully before making a decision.
No.
I want to donate it to Iyo.
She only has me.
As long as Iyo is saved,
I'm willing to do it no matter how small the chances are.
Iyo.
Hey.
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.
(Instructions on Treatment, Examination and Medical Symptoms)
Hey, Shindo.
I heard that Ms. Shiori plans to donate an organ to Iyo.
Yes. We're going to check if she's a suitable donor.
But we have to keep this from Iyo first.
Wait. 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 due to 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 the Brain Surgery Department.
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 Takega Ryohei, 17 years old.
He received head trauma when playing basketball,
which cause brain contusion.
He has hydrocephalus later on.
He needs to undergo surgery for the hydrocephalus.
So we asked all the experienced pediatric surgery doctors to come.
Indeed.
The brain ventricles 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 want to ask everyone if there's 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, right?
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 worsen,
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.
We'll abolish the Pediatric Surgery...
and OB Gynecology departments within the year within the year.
You mean Ryohei?
He moved to the room next to you.
That's fate, right?
Are you encouraging me to pursue my love?
What should I do?
Excuse me.
What's the matter, Vice Chief?
Is there a patient named Takega 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'd 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 the Pediatric Surgery Department.
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...
Look at this.
It's about a weak team that went to the national competition.
Are you lending it to me?
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.)
Hey, Shiori.
Shiori.
Ryohei said I can watch his basketball game.
Really? How nice.
What should I wear then? I should wear shorts, right?
No, will that show too much skin?
Shiori.
Yes.
I'll go buy some drinks.
(Test Results: Match)
This way, we can transfer Ms. Shiori's small intestine 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 and convincing her...
as soon as you can...
is also part of the job 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?
Do you know how many surgeries I have undergone?
Five.
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 up my stomach?
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.
I'm the only one...
she can depend on.
If our parents are still alive,
what would they tell her?
I'll convince Iyo.
Just wait.
I'm Iyo's attending physician.
Let me handle it.
(Good Doctor: Episode 9)
Please, Iyo.
You must 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 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 to me.
There's a famous pediatric surgery hospital in Boston.
And I heard that the pediatric surgery department...
in this hospital will be abolished 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, I need to perform surgery.
Takega 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 abolished 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 your 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 up my stomach?
I've had enough.
I definitely won't undergo surgery.
(Togo Memorial Hospital Reform.)
(In 2019, the hospital will change...)
(into a hospice care 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 to let her smile happily with 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.
I'll try my best to save more children this time.
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 new you 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 the scars...
on my stomach, right?
Every time I attend Physical Education classes,
I do my best to hide the scars.
But even so, others will still see them.
And I'll smile happily to bluff my way through it.
In this surgery...
my sister is the donor.
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.
She does works that she is not familiar with daily.
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.
Whatever. 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 afford my medical bills.
I'm sorry, Shiori.
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 her 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 feel sorry for the departments...
that will be abolished.
Had you not make the right decision,
Togo Memorial Hospital would have been 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 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 found 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.
Will Iyo's summer love be over...
in this case?
All right. Go back to work.
Ryohei!
- Ryohei! - Ryohei.
- Ryohei. - Ryohei.
- Ryohei. - Ryohei, can you hear me?
Bring the crash cart and stretcher over here.
- 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.
Hi, this is Shindo.
Ryohei?
All right. I'll be there right away.
Stretcher coming through.
Ryohei!
- Please. - Please wait here.
Is what you said over the phone earlier true?
Ryohei's hydrocephalus worsened...
and caused 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're going to perform ventricular puncture.
We'll use a catheter to drain the cerebrospinal fluid...
into the abdominal cavity.
- Scalpel. - Yes.
Gauze.
Separate the adhesion after opening the abdomen.
Leave the catheter in the abdomen.
Scalpel.
- Tweezers. Gauze. - Yes.
- Toothed tweezers. - Yes.
Electrosurgery diathermy forceps.
(Operating Room)
After cutting the muscles, use a vascular hook to prop it open.
Yes.
Then we'll do a craniotomy. Give me the craniotomy drill.
- Hold the head. - Yes.
- Saline. - Yes.
- Seto, help prop it open. - Yes.
- Skeletal traction. - Yes.
- Go deeper. - Yes.
Dural incision completed, proceed with ventricular puncture.
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.
In that case, there might be a chance that it'll adhere again.
What should we do?
Extend 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. Mayo Dissecting Scissors.
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. Help prop it open.
Yes.
The adhesion is very light.
We should be able to drain the cerebrospinal fluid here.
We've already ensured there's space for the drainage.
Thank you.
- I'll also do my best. - Yes.
Blood oxygen saturation is dropping.
Why?
From what it seems like, it might be heart disease.
Confirm the patient's heart condition immediately.
- Echocardiography. - Yes.
- Large gauze. - Yes.
- One more. - Yes.
Freeze.
The right ventricle is enlarging.
Why did this suddenly happen? What's the reason?
Blood oxygen 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 it's myocarditis,
the left ventricle should also be enlarged.
- Blood oxygen saturation is at 85. - Remove.
It's very 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. - Give me tweezers.
Peritoneal clamp.
The surgery was a success.
The hydrocephalus symptoms will also be alleviated.
Thank you very much.
However,
Ryohei must be wondering why...
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.
Your legs are already...
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 so bad.
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 sad ever 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 didn't give up.
What?
He never gave 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.
In this case,
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.
Shiori.
I'm not going to become unhappy by donating my organ to you.
I want to do this...
so 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, Shiori.
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.
(Bravely venture out. The world will change for you.)
(Wheelchair Basketball. Kozai Hiroaki)
Dr. Takayama.
You saved my son.
Maybe pediatric surgery...
indeed provides value that can't be measured by figures.
However, if we continue a department that cannot produce profit,
this hospital would 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.
Don't mention it.
That's 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 undergo 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 Shiori can share their happiness.
Just like this popsicle.
Pardon?
Compared to eating it alone,
it tastes even better when shared with you, Dr. Seto.
Iyo and Shiori are the same.
Sharing the happiness would make them even happier.
It's very delicious.
Iyo.
Shiori.
- 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.
Hi, I'm Shindo.
May I ask why you're looking for me?
Where's Shindo?
He doesn't seem to be here.
Look at this.
- This is... - Morishita Iyo's liver.
There's liver cirrhosis.
In that case, we can't perform small intestine transplant.
How are you and Ryohei?
I told you there's nothing between us.
Really?
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, ever leave you.