Freelance Surgeon Daimon Michiko
The money...
Is goneeeeeee!
Ah... Ah...
Oh!
No way! It is a house in a isolated location​!
Oh!
Hey! Excuse me.
Excuse me... Uncle do you live​ here?
Can I split and fillet the fish?
Because I do not fail.
- Yes... - Really?
Great work.
Oh, it is amazing!
- Where are you from? - Uh?
I arrived a short time ago from Brasil.
Where did you learn to speak Portuguese?
Well. I have been moving around here and there.
Then we are very similar.
You are a cook?
Or you have a fish shop.
Ha ha ha...! You might say it's a similar place,
- Occasionally I perform dismantling shows. - Ah!
I would like to watch.
We are going to eat!
Yes. Let's eat.
Oh! Hot!
As you can see...
Over the past 10 years, the reimbursement of loans has exceeded 200 billion yen.
Totei University Hospital Directors Meeting
It is expected that payments related to loans will be delayed in the next fiscal year.
In one year we will be bankrupt!?
The world famous Totei University Hospital!?
Hokkaido Lake Mashu 39th Branch.
- It is full of debts... - It is finally my turn...
Hey. We gathered here today to talk...
About the Totei University Hospital financial bankruptcy crisis.
And listen to the regional branch directors.
Totei University Hospital Director Hiruma Shigekatsu
Do you have any thoughts?
What should be done as a priority?
- I would like to borrow your wisdom. - He he...
Director of the Hokkaido Lake Mashu 39th Branch.
Ebina Makoto-kun. Please tell us your thoughts.
My respects.
Excuse me.
Hokkaido Lake Mashu 39th Branch Director Ebina Takashi
I think to overcome this crisis.
I believe in change and challenge.
He he...
- Don't talk... - Gyoi. (As you wish)
All the song of my love!
The fish in Japan are very weak.
In this situation, they will be eaten up by foreign species. That's why I only eat black bass. To protect the fishes in Japan.
Is that so?
- Ah! Can I have another Caipirinha? - Yes.
What have come here to do so deep in the mountain?
I heard that around here there is a hot spring that can be used for free.
I lost my way and was separated from my companion.
Aaah. Paradise. Paradise.
Medical Center Director Kanbara Akira
Michiko. Where have you gone?
Right?
Huh! But black bass like this is delicious. It has been a feast.
Lucky!
I am also very happy to have fun friends. Come on!
Let's dance my friend!
Oh!
Chinchin! Chinchin!
Oooh!
Sameshima.
Sameshima​!?
Are you okay?
Be strong!
Ugh! Ugh...!
Ugh! Ah...!! Uh...!
You are a doctor?!
Please help me... Please help me...
The left forearm does not have any blood flow.
The rescue team will take more than two hours!
If this is the case, his arm will be necrotic.
It will cause a crush syndrome.
Crush syndrome
* Medical condition characterized by major shock and kidney failure after a crushing injury to skeletal muscle.
- What are you going to do? - I will put it back later, so be patient.
If I don't do this, you will die.
Stop... Stop...
Because I do not fail.
Aaah!
"This is the story of a lone wolf female doctor."
"In 2019, the giant white tower completely collapsed."
"Japanese university hospitals are driven into huge deficits."
"The medical care that deals with the exchange of life."
"Has entered the age of economic weakness."
In response to the financial crisis of Totei University Hospital.
I found a silver bullet.
Total investment 300 Billions
Oh...!
We succeeded in receiving investment from an overseas medical fund.
That amount...
300 billion!
And you know, this fund.
Has a manager who is the best advisor.
To rebuild the Totei University Hospital.
I invited him to do this.
Well he is... Hmm.
I think it is safe to say that he is the greatest savior of this century.
Oh! Ha Ha Ha!
Gyoi. (As you wish) - Yes, thank you.
In a place like this...
Surgeon Kaji Hideki
In the depths of a forest...
Here!
Here! Here!
Er... I found Daimon Michiko in a place like this!?
Quickly!
Why are you here?
Shut up. Take the patient quickly to the hospital.
No way! You were the one who did this to that person?
It is possible to do a emergency operation to attach the cut forearm.
You were the one who did this to that person?
- Shut up! - Yes...
You showed me a brilliant technique.
Uncle... Who are you?
Goodbye.
I hope to see you again.
The doctor that doesn't fail.
Goodbye.
Ha ha ha...
It is the invasion of the Black Ships.
* The Black Ships was the name given to Portuguese vessels arriving in Japan in the 16th and 19th centuries.
Welcome. Thank you for coming.
Savior Nicholas Tange! Ha ha ha ha!
Nicholas Tange is not a savior.
He is the biggest cost cutter of this century.
Thank you. Ha ha ha!
It is a pleasure.
Ha ha ha .I don't know what you're talking about...
What are you talking about? Ha ha...
- Let's get acquainted! - Gyoi. (As you wish)
- Main conference room! - Gyoi. (As you wish)
How is your arm?
Like this.
That's the first step.
What are they talking about?
Let's hope they are not speaking ill of us.
Is there someone who can speak Portuguese?
Is that Portuguese?
Surgeon Hara Mamoru
If you can speak. Say hello to him.
Cost cutting without a doctor license.
Save the university hospital? There is no way he can save it.
Wow!?
There is no company that I cannot save.
You suprised me...
That's Japanese. You are ready, right?
I would also like to mention that I am an investor.
And also obtained a doctor's license in the past.
Seriously?!
"Meanwhile..."
"A freelance who does not belong to any of the University Hospital Medical Departments."
"More specifically a lone wolf doctor appeared."
"For example, this woman."
"She hates large groups. She hates authority. She hates restraints."
"With nothing but her skills and specialist licenses."
"As her weapon."
While being a doctor who can save people's lives.
Why did you become an investor?
People die not only from diseases but also from poverty.
Totei Imperial University Hospital is on the verge of death.
A large-scale operation is required immediately.
And a large amount of blood will be shed in the operation.
There will be an unbearable pain.
But there is no other way to survive.
Believe in me and follow me.
There is no company that I can't save.
"Surgeon Daimon Michiko."
"Also know as Doctor X."
Surgeon Daimon Michiko
English Translation Mario Silva
Vice-President Tange was called on a urgent business. and will not attend the meeting.
Really?!​
I am Samejima, the new secretary-general.
New Secretary-General Yu Samejima
I will explain on behalf of the Deputy Director.
Yes…
This is the 2020 reverse plan for the Totei University Hospital.
The theme is selection and concentration.
First we cut off the branches in deficit.
Restructuring of unnecessary doctor staff.
Pediatrics. Obstetrics and Gynecology. Reduction of emergency medical care.
We will consolidate 42 affiliated hospitals nationwide.
Wa...Wa...Wa...Wa... Wait a minute!
Various cost reduction measures have been proposed so far.
Medical equipment and pharmaceuticals are also being cut down considerably.
Further cost cuts can lead to a decline in medical quality.
- That's it! - Wa...Wa.. Wai... Wait a minute!
This Totei University Hospital is now on the verge of death.
To some extent, sacrifice comes with it.
Gyoi...
More energetic.
- Gyoi - Yes, thank you.
The first hospital to be closed is the 18th branch of the Oga Peninsula.
Kusatsu 25th branch.
Why our hospital? - Kasumigaura 29th Branch.
Yorosan 31st Branch.
Yazu 36th branch.
37th Branch of the Alps. The 38th Branch Hospital of Sado Island.
Everyone, don’t worry. I will protect you all.
Lake Mashu 39th Branch.
Huh? Our hospital, too? It's unbelievable!
What is the basis for that?! We are not making a deficit!
You shut us down, but the 16th branch should close prior to us.
You betrayed me!
Wa...Wa...Wai... Wait a minute!
How many times do you have to say the same thing?!
Without reform, there is no future for this Totei University Hospital!
- Understand? - Gyoi...
Next, we will introduce new leaders in business rationalization.
Professor Ushio Kazuma. Director of surgery for the next generation of intelligence surgery.
Nice to meet you.
Surgical department Director of the next generation of intelligence surgery. Ushio Kazuma
It is a opportunity. Please take care of me.
Incompetent doctors are replaced by AI.
* (AI) Artificial Intelligence
What the…?
Professor Mari Hamachi, Director of Next Generation Cancer Genome/Oncology Department.
Nice to meet you.
I am Hamachi.
Internal Medicine Department Director of Next Generation Cancer Genome / Oncology. Mari Hamachi.
In the future, surgery done by hand...
I think it will be unnecessary.
Please study the best you can and follow me.
Director in charge of next generation ultra-low invasive surgical treatment.
- Professor Kaji Hideki. - What?
Yes.
Wait ... Wait a minute! Why... Why is Kaji-kun the director?
He is not even a professor. He is not a professor!
Former director Ebina. I am deeply sorry about the 39th branch.
- Wait a minute. - Doctor Kaji...
Hara-kun, from now on, call me Director Kaji.
It is Kaji. Thank you.
Don't be foolish! What intelligence! Genome!
And low... what? Minimally invasive? When did you decide on that name?
You are looking so proud right now.
It is a cost cutter with no blood or tears.
You will be fired in no time. What a shock!
What is the rationalization to all of this!
How you are able to agree with this?
- Kaji-kun, please change your mind! If I lose my job… - Professor Ebina, calm down.
- Doctor Ebina. It is useless. - Calm down. Dr. Kaji.
- What's going on? That woman. - Daimon-sensei...
Daimon, why is she here again...
Daimon. Long time no see.
- I'm going to get fired... - Your face is scary.
I am Daimon Michiko. Everyone, long time no see.
Doctor Daimon Michiko.
Why did you come to the Totei University Hospital?
It is decided, isn't it? To do surgery.
Ha ha ha ha!
That's stupid. I am not talking to you.
My Totei University Hospital.
I am trying to implement a bloody reform right now.
Someone like you. Is too expensive for us to pay.
I am not hiring a freelance surgeon.
Ah ah ah ah...
As always, thank you for your beautiful legs.
That's why in our hospital.
We have no use for you.
Please leave.
- Director Sakuma. It's been a while since we last met. - I'm sorry for the silence.
This time I was requested by Deputy Director Nicholas Tange.
Really?!​
I told him to call Doctor Daimon.
Eh! Why are you hiring such a rip-off woman doctor?
I don't know the reason!
- Ask Nikotan about that. - Nikotan!?
Hey, where is Nikotan?
Nobody knows Nikotan!
Nikotan, where are you?
Deputy Director Tange...
"Lara Tate Tate"
"Lara Tate Tate Talay Lale. Ole!"
Here we go. Please eat it quickly.
Eh! Wow... Well then, let’s have it.
Let's eat! Thank you for the food!
Thanks to all your hard work.
The doctors do their best and the patients can get better.
You are the angels who support this hospital.
Oh! Angels! Angels!
- Hmm...Hmm... - Delicious.
At last someone came that understand us.
Cafeteria Staff Kazuko Iwata
He is dressed like that.
- The new deputy director! - Eh!
- Is this Nicholas Tange-san? - Huh. It's my uncle?
Oh, are you acquainted?
Oh…
Welcome Doctor Daimon!
We meet again. Nikotan.
Once again, Doctor Daimon Michiko. Thank you.
Please wait a moment.
Just before signing the contract.
We will review the working conditions of Daimon Michiko.
Here you go.
Please.
Please turn.
Oh, are you going to do it again?
- It's the sixth time, so I'm good. - Oh, I'm good, too.
What is it? This. “For example, a paper survey"….
I will not do it
- "Academic Society Companion". - I will not do it.
-"Golf Pick-up and Drop-Off" - I will not do it.
-"Mistress Cover-up”. - I will not do it.
And so on. And so on.
I won't do any work that can be done without a doctor's license.
This is all.
That's not all. Who are you?
Doctor Daimon.
You are my ideal surgeon.
Welcome!
My revolutionary friend!
Oh, that's good! I want to be too!
Let’s do our best.
Let’s do our best…!?
It isn't “I will not do it”, but let’s do our best!?
Let’s do our best!
Oh. Ha Ha Ha!
"Oh, that's good! I want to be too!"
The Deputy Director is popular, isn't he?
Hospital Secretary Ikura Ruri
This Daimon Michiko is smiling. Is that right?
- I can't believe it. - What do you mean by that?
I also doubted my eyes.
I can't believe it.
I can't believe it ...
- The branch is closed... - Why did you come in?
Director, please...
- May i have your mercy, please. - What is this?
Manju Marimo... a souvenir from Hokkaido? Ha ha ha.
* Steamed yeast bun with filling. In this case in the shape of Marimo a spherical green algae found in Lake Mashu.
Oh! It looks good.
To eat? Yes, let's eat.
No, that is... Not that...
This is it.
- Ebina…. - Yes.
- Don't do that.
- But you know. - Yes?
Just keep this. Even though I have a doctor's license, I can't live as a doctor...
Oh, that's right. There was another one.
I can't live as a doctor.
- I told you to stop. - Yes...
How about a challenge? You as a taxi driver.
A taxi driver needs a high-level dual license.
It is definitely impossible for me.
It is good. Challenge yourself and take that test.
When it comes to exams. It is even more difficult. - Eh?
That is why I will tell you everything now.
Before I entered Totei University Hospital.
I joined St. Michael's Medical College.
My father sold all the rice fields.
That money. Why did he put it in?
- It was a backdoor admission?! - Backdoor!
If that's the case. Get out now through the backdoor.
- It's too heartless... - Ebina-sensei...
- Do not cry! - Director...
Oh... Well, wait.
What! Can you hire me?
You can't say stupid things in public!
- Well then​... If you are okay with Hira. Hira.
If you are okay with Hira. Would you like me to hire you at our Totei main hospital?
What is Hira? A lower position​?
Freshman.
Ah... I don't have any money.
Also our referral office.
The former landlord kicked me out.
It was a lot of other trouble moving everything and paying the fees.
Right? Ben Casey.
- We need to make a lot of money. - Yes...
So even if you were hugged by the deputy director,
Freelance anesthesiologist Jonouchi Hiromi
You didn't say "I will not do it".
Daimon-san has become friendly.
Nikotan is great for an uncle.
His cooking is delicious and the Nori was also excellent.
In addition. He lives in a house in a isolated location.
Hey, isn't there a bad guy for each people that lives in a house in a isolated location.
Yup.
Nicholas Tange. He is a second generation Japanese born in Brazil.
When he was young, his father's coffee farm collapsed.
The family separated.
It is useless.
This is also useless.
Nicholas as a boy washed dishes and cooked.
Graduated from São Paulo City Medical University with a scholarship.
He also obtained a Japanese doctor's license.
After that, as an investor. He saved a number of companies that were about to collapse.
He has climbed to his current position.
This is also useless.
- Hmm. - He is a hard worker.
But you know he is from Latin America. Do you think a horse fits with Michiko?
Anyway, I have to make money!
Oh, Akira-san, what happened to my rat coin?
Rato! Rat!
Wait a moment. What is a rat coin?
I don't know what it is, but...
It's worth about 100 times as much when you bought it.
- A hundred times? - It seems so.
Rat. I feel like luck is finally turning.
- Oh! - Hey, if you make a profit...
Let's move to a place like a white castle.
- No problem. - Michiko, I am sorry.
Ron!
Daisangen. Wow!
Hey. So when you get it back. It will become 100 times right away.
That's right!
That's right! Let's do it again!
“From now on."
"The director of the hospital will conduct a doctor's round.”
Oh, the deputy director is coming to work. Ha ha ha.
Oh​! Guten Morgen, Deputy Director.
* Guten Morgen (Good morning in German).
Hospital Director Hiruma. This is?
Ah, this is... Between the patients and the doctors.
Think of it as an important ceremony to deepen our bonds.
-Gyoi. - Ha ha ha ha ha...
Ah! Doctor Daimon. You should at least...
Come to work before the director starts the hospital round.
I will be in time for the operation. What do you want??
Daimon-sensei should concentrate only on the operation.
You don't have to do anything else.
Nikotan…
Is the best.
- Now... Did she wink? - It is scary.
It was so cute. The time she previously smiled.
I was the first to see such a cute Daimon. He he.
- Doctor Ebina. Were you there? - I was there.
I have been here for a while. I will stay here forever.
You know. Starting today, everyone will be my colleague.
- My name is Ebina Takashi. Nice to meet you. - Huh?​
Oh, that's what I can do to make a living.
It's not change and challenge. Ha ha ha ha. Nice to meet you.
Director's round... Go.
- What happened to Gyoi? - Gyoi!
- All this is useless. - I agree.
Director's Round
Discontinue
Well now, Nicholas Tange saw the hand-to-hand worship.
It is finally here, the cost-cutting storm that will sweep over.
Reduced the average examination time from 8 minutes to 5 minutes.
Average examination time
80% of outpatients were changed to reservations.
General outpatients are reduced as much as possible to increase consultation efficiency by 40%.
Increased revenue by 10%.
If we increase the occupancy rate by 25%.
Bed occupancy Rate
We will have a 8% increase in revenue.
There are six people in this four-person room.
In the afternoon, we add 10 inpatients for gastroenterology and Internal Medicine.
The doctors at the current Totei University Hospital.
Their turnover per person is just 35 million yen.
To put it on a profit-making basis.
We need to increase at least to 100 million yen per person.
- Ended. - Thank you for your hard work.
Let's have lunch together today.
Yay! Thank you very much.
Nurse Lino Kana
The biggest problem is the low number of operations.
When is the next operation?
- Oh. Deputy Director. - In 4 hours.
“4 hours are wasted.”
You can put a stomach cancer operation there.
Adjust the surgeon's shift.
- Let's have lunch another time. - Yes...
She is fast. It is splendid.
Hemostasis completed. I'm going to close it.
- 3-0 absorbable sutures. Quickly. - Yes.
“Do you want to do a total gastrectomy in an hour?”
I will end it in 10 minutes. I don't need an hour.
What about a break?
“Special Skills - Surgery. Hobbies - Surgery”
Incredible.
Number 1. Attack angle is too aggressive.
Take another centimeter in margin.
“Yes… OK”
Number 4. Your pace is slowing down. Watch out for useless movements.
OK, Manager.
Yaah! As expected, if you operate 4 of them. You will get hungry.
Thank you for the meal.
You know​...
I can't believe a hard worker like you would be reprimand​ed.
Ah... It has become a strange world.
I need to earn money.
Nurse
Oma Masako
My brothers are still small and I have to send them money...
Admirable.
Because my body is healthy. I aspire to be foolish.
But it's good. I have been working up to this year.
"Stay Hungry, Stay Foolish."
* Never be satisfied with what you receive. Only a fool is ready to risk everything for nothing. Be that fool.
It's the words of Steve Jobs who I adore.
Steve Jobs (Apple)
Well. I was impressed.
A good old Japanese who is serious and hard working.
I will support you from the bottom of my heart.
I don't want to be touched. You are exaggerating! He he he.
What's wrong?
Auntie?
- Lend me this. - Ah. Yes.
Ah...
I'm just a little flustered. It's okay.
For the time being, let's do a heart and chest examination
- Really. I'm okay. - Let's go.
Doctor Daimon is a friend.
It is easier to hear and talk honestly about this matter.
Ah... If the Deputy Director says so.
It's a big difference from the director so far.
Doctor Tange is kind to people like us.
He is a good man.
Are you single?
Ow! It hurts.
- Come on, don't move. - Ah...
“Pulmonary embolism."
"There is a possibility of deep vein thrombosis."
Well... Who's voice this is?
It is an AI diagnosis that the deputy director put in.
“Nice to meet you, my name is AI.”
“Artificial intelligence will diagnose your disease name faster and more accurately.”
Eh! Hey you. Is pulmonary embolism a serious disease?
Aunty, your blood pressure is low, and you will be hospitalized today and have a IV drip.
So i'm going to do some additional tests tomorrow.
I don't want to be hospitalized. I have to get back to work.
If you don't listen, you will die.
What?
“The current remark is inappropriate.”
Noisy eye (AI)!
Hold on... Doctor Daimon! This is a billion unit system.
- Noisy! - It's not “noisy”….
“To reform this irrational and low-productivity Totei University Hospital."
"I will introduce an AI system to all hospitals. "
Oh.
The AI navigation operation is about to begin.
- "I will be done soon." - "Thank you very much."
- “Your welcome!” - “Welcome!”
Auntie...
What do you think you are doing? It's my patient.
This patient was diagnosed with pulmonary embolism by AI.
I haven't done a contrast CT yet. And I'm not sure it is a pulmonary embolism.
Daimon-kun!?
"Calculations in progress."
“I'm preparing for the operation.”
Please wait a moment!
- Auntie! - What is it Doctor Daimon?
Doctor Tange said...
If I have surgery and remove the clogged blood vessels. I can live longer.
I'm grateful!
Hey, let's stop this operation today.
- What? - What are you talking about?
Doctor Daimon is worried.
“I'm afraid that Iwata-san is scared of surgery.”
I'm not such a coward.
Let's do a better examination. It's not too late.
That's annoying. Please drag out this female doctor.
Hey Auntie, you are definitely better that way.
Doctor Daimon... Please go back now!
“Auntie, Auntie... Auntie!”
That guy as expected is just a con-man.
- Who's that? - Nikotan.
He is not good as a con-man. He is a cost cutter, right?
If you don't have very high communication skills.
You are not going to be successful.
It was written in the book there. Hmm?
Tsk... It's shady.
More importantly, Michiko.
Rat coins are rising again!
"Gungung Gungun Gungun Gungun"
Going swimmingly​!
Hey, you are working! Are you okay?
The deputy director is a lifesaver.
Thanks to him, I feel so much better.
Ouch, it hurts... Ouch...
Are you okay?
- Oh, I'm sorry. - Please be careful.
Auntie. Your right arm hurts, doesn't it?
Come with me to inspect it again.
Huh? And say among other things that "I'm going to die."
Do you feel threatened? Come on!
Eh….
- Ah... - Deputy Director!
- Please help me. - What can I do for you?
Thanks to the surgery. I'm able to work again.
Thank you very much.
And yet this person threatens me.
If you don't check it, you will die.
Doctor Daimon. Patients get anxiety after surgery.
Please refrain from talking and behaving this way.
Hey, was that operation really needed?
What do you mean?
Let's not do this in front of the patient.
Don't worry. The surgery was successful.
I came here today to deliver a cheerful celebration.
Feel free. It was hand made by Deputy Director Tange.
Oh, my! Inari-san!
This is delicious!
Come on, everyone. Please feel free.
Doctor Daimon. Feel free.
Let's have it. Well, then...
Wow, for me... Is it okay?
Ah…!
- Ah... Are you okay? - Uh....
Uh...!
Oxygen. Quickly! Contact the laboratory and the radiology department.
- Stretcher. Hurry up! - Yes!
UUH! UHH…!
Kazuko Iwata, 64 years old. She is a serving staff at our hospital,
5 days ago she underwent a catheter thrombus suction for a pulmonary embolism.
Catheter Thrombus suction
*Aspiration Thrombectomy. A thrombectomy is the removal of a blood clot .
Today, dyspnea and hemoptysis appeared.
* Difficult or laboured breathing and coughing up of blood.
Airway Bleeding
Stage 1 tumor in the right lung, suspected chest wall infiltration. Nodule is 2 cm in size.
This stage is usually a small cancer or tumor that has not grown deeply into nearby tissues. It also has not spread to the lymph nodes or other parts of the body.
The so-called Pancoast type lung cancer.
* Named after an American doctor called Professor Henry Pancoast in 1932. Cancers in the top part of the lung are rare.
Pancoast type lung cancer
That's why I said to do a contrast CT.
A special dye called contrast material is needed for some CT scans to help highlight the areas of your body being examined.
-Really... - Does this mean that the AI misdiagnosed it?
What is the diagnosis of the AI?
Surgical treatment is extremely difficult...
This is where oncology comes into play.
Chemotherapy and local radiation therapy.
Chemotherapy is done with a combination of carboplatin and paclitaxel.
Treatment used to treat ovarian, womb, cervical and lung cancer. Injected directly into a vein.
Carboplatin Paclitaxel
- Gyoi! - But with that treatment...
The AI says the 5-year survival rate for patients is 20 percent.
What? That's all you can do?
The patient is old and a 100% treatment cure it's impossible.
I will cut it.
You just want to cut it.
- You stay out of it​. - Auntie was originally my patient.
Surgical treatment compared to medical treatment.
You are lowering the survival rate by another 10 percent?
Surely in the AI ​​analysis...
AI. AI. Seems like a idiot person's parrot...
Errr... Let me see...
- Who is that again? - Intelligence.
Ushio Kazuma. Director of surgery for the next generation of intelligence surgery.
- Leader. - Huh!
I didn't attach it.
- Well, it doesn't matter. - I heard you.
You failed the operation according to the AI, right?
It was not a failure.
I cleaned all the blood clots.
But you overlooked another tumor.
At that time, there was no u complaint of upper right limb pain.
Upper right limb pain
The X-ray image shows the tumor hiding in the clavicle.
I just couldn't find it even with the AI.
You know...
Doctors don't blame patients for their mistakes.
That's why I told him to leave it to internal medicine.
Errr... Let me see...
Genome.
I am Hamachi, the Director of Next Generation Cancer Genome/Oncology Department.
Internal medicine can't save you.
Don't blame the patient's age.
Anyway, the auntie that this person was about to kill.
I will operate and save her.
The deputy director was listening.
If you say that, then...
Let's have Doctor Daimon do the re-operation.
It's better not to underestimate Daimon.
She is a woman who doesn't choose any specific way to do the operation.
However, there are conditions.
There is no mistake in the AI diagnosis.
If you want to operate. You have to do it according to AI navigation.
Doctor Daimon. Please.
Daimon. What are you going to do? Are you going to to step down?
I can't get off.
Okay. Nikotan.
Hey. Nikotan is a terribly stingy guy.
The hourly wage of the operations has been severely cut.
Really?
But I want to do an operation with Daimon-san for the first time in a long time.
So I came.
That girl. I saw her at another hospital.
It seems like she is secretly working the night shift.
From here on, Kazuko Iwata-san...
“From here on, Kazuko Iwata-san..."
"We will perform a resection of the right upper lobe chest wall."
Resection of the right upper lobe chest wall.
Vitals...
"Blood pressure: 123/76. Heart rate: 65. Sinus."
…are.
Let's do it.
Excuse me.
“Then follow the AI ​​navigation."
"Please start. "
- Gyoi - Okay. Nikotan.
“In addition to the right collar incision with a scalpel, make a midean sternotomy.”
- OK AI. Scalpel. - Yes.
AI-chan, is really working hard today.
Who gave the name AI to AI?
He he he... It was me. Me.
Deputy Director Tange also praised my sense of humour. Ha ha ha!
Aoi-chan. What do you think? Oh my god, such bad taste.
Ha Ha. Oh, I see. Thank you!
Completed sternum exposure.
“Remove the right sternoclavicular joint.”
OK. AI. Cooper. - Yes.
AI. I have removed the joint.
“Please cut the right first rib.”
Okay AI. Rib Shears.
* Invented by Canadian surgeon Henry Norman Bethune
Rib Shears
It's fast.
Chest wall resection completed.
Chest wall resection
*Chest wall resection involves the partial or full surgical removal of soft tissue, cartilage, sternum and/or ribs.
“Put the thoracic drain and close the chest to finish.”
I will not do it.
Right lung lobectomy added.
- What? - Huh?
- Median sternotomy. Scalpel. - Yes.
“Navigation is disconnected.”
“Stop the procedure. Please stop it.”
Monopolar.
First assistant, hold the pin.
What? Quickly!
Hey, follow the AI's judgment.
Doctor Daimon!?
“Please stop. Please stop.”
No way... From the beginning.
Did she intended to ignore the AI?
I told you not to underestimate Daimon Michiko.
Hey Daimon! Stop!
I got it. Stop it.
Nurse change.
Hey! It's not a nurse change. I'm telling you to stop operating!
You are sleeping, aren't you? Change.
Ah!
Blood pressure dropped to 70. Breathing condition is extremely deteriorated!
- Gauze! - Yes.
Vasopressor.
- Vasopressor! - Yes…!
* a drug or other agent which causes the constriction of blood vessels.
- Second assistant. Suction! - Oh. Yes...
“Danger. Danger”
“Doctor Daimon don't do it.”
- Kelly Forceps. - Yes.
Excuse me!
If you have time to apologize, please get it.
Yes.
Blood pressure 60. Infusion fully open.
“Daimon. No more, the patient's condition is dangerous."
Doctor Daimon. Let's stop the bleeding and withdraw.
I will keep going.
- Gauze. - Yes.
"What are you going to do!?"
If you let the patient die during the operation, you will be sued for surgical malpractice!
"Who is going to pay the compensation?"
“The Tange plan for a simultaneous 6 people operation method using AI."
"It will come to nothing! "
“It's a loss of 20 billion dollars!”
“In operations. Don't be influenced by your heart!”
Otherwise, you are fired!
Shut up!
Do you know if it will cost billions of dollars?
I will never kill my auntie.
Because I will not fail.
I'm sorry to have kept you waiting.
- Confirmation of the bleeding point. Vascular clip. - Yes.
I will proceed to the exposure. Metzen.
- Tweezers. - Yes.
Finished.
Blood pressure: 130/84. Heart rate: 72. Sinus.
Control the drain. Pay attention to the breathing.
Doctor Daimon. As expected, it was a wonderful operation after a long time.
Congratulations!
The 20 billion loss. We avoided it.
Why Daimon Michiko the one who won't fail.
Against the AI...
It looked like something was going wrong. I saw it, but it wasn't?
This wasn't a failure.
She noticed a pulmonary artery damage in the back of the middle lobe of the right lung.
It was one of the processes that had consequences when they proceed with the resection.
It probably happened during the operation of the pulmonary embolism.
A slight intravascular membrane dissection.
It seems that she was aware of it from the beginning.
With the exception of the incident when the nurse dropped the medicine vials and broke it.
It was entirely Doctor Daimon.
I wonder if it was a planned operation.
My god. As expected. She is a fearless doctor.
Daimon Michiko overcame a serious illness.
She is completely rehabilitated. That's what you are saying. Right?
You were in the operating area?
- I wasn't there. - I wasn't there!
I was not there.
I'm the manager...
Ah! It feels good!
Michiko. Finally I was able to bring you in.
We can charge a lot of operating fees.
Right?
Paradise! Paradise!
Hi hi hi!
In today's operation...
Why did AI misinterpret the decision?
It wasn't a AI failure.
What do you mean?
The patient has a extremely rare disease.
Combined with rare complications.
For the AI, there were only a few cases to learn.
The AI categorizes data.
From the pattern derived from that. The predicted value is outputed.
And it makes efficient decisions.
This unique case is missing from the categorization.
In some cases, it may deviate from the predicted value.
Like these two isolated dots.
One is today's patient's symptoms and the other is Daimon Michiko.
We have this very specific case.
Daimon Michiko found it without distinguishing it from other incidents.
Perhaps that woman doctor doesn't categorizes the patients.
In other words, she is always facing the patient in a one-to-one equal relationship...
For us.
She is an uncontrolled worker.
Do you want me to fire her?
No. The first person to cut is...
- What…? - What is it?
- We are from Tokyo District Public Prosecutor's Office. - Eh?
You are Hiruma Shigekatsu, right?
Oh... Yes I am... Why?
- Wait a minute! - What?
The previous suspicion should have cleared up. This is a misunderstanding.
If you are already under arrest. Please arrest me too.
What are you talking about?
The bid price was sent to the contractor. He was receiving a huge amount of kickbacks.
It's definitely not confined to the director. Sexual harassment, power harassment, among other things.
- I don't do that at all. - Ebina!
Well... Is it that?
Is it better to bribe an official of the Ministry of Education, Culture, Sports, Science and Technology?
- I don't do that at all. - Ebina!
Are you involved too?
What? I'm not aware of...
- Hiruma Shigekatsu. - Yes...
Regarding the purchase of expensive medical equipment.
We will arrest you on the suspicion of violation of the Law that prevents involvement in bid-rigging.
Arrest...?
I'm... I'm not going to the public prosecutor's office.
Because I don't remember.
Because you are under arrest, you will be moved forcibly.
Oh, is that so...
Hey, hey... Wait a minute.
I may not be able to walk. What do we do? What do we do?
- Ebina. What do we do? - Gyoi! Right away!
There is this thing. Ah!
- Shall we go? - Please.
I knew it.
You were on the other side of the world. The one who invited you to come from Brazil.
Wasn't that me?
Me to you... Are you going to return your debt?
My job is to save this dying hospital.
And for that reason. What's not necessary to do it.
It's you.
Huh... I'm used to the public prosecutor's office.
I'm sure I will be back without an indictment.
Best regards. I will see you later. He he he.
- Ebina. - Gyoi.
See you later.
You were betrayed by Nicholas, right?
Yes. Ebina. Yes. Ebina.
You are Bella Bella Bella Bella.
Excuse me.
Oh! This is it. The next director. Professor Nicholas Tange.
Daimon Michiko is indebted to you
It is a Melon.
Here is your invoice.
Give that.
Here is an invoice from us.
Ha?
Doctor Daimon violated the contract by not following the AI.
She did the operation without permission.
This is the operating room usage fee for the time she used.
Labor costs, drug charges, and total costs including the breach of contract.
Oh!?
I can't pay.
I ask for your forgiveness.
After this... Please treat me favorably.
... and convey my message to Doctor Daimon Michiko.
Ah. Ah.
Oh. You are feeling better.
This time it was really pleasant.
Really? That is good.
This is for Doctor Daimon.
What is this? A bento box? Is it okay?
* Bento is a Japanese box lunch.
Keep it. You don't have any money, right?
My stomach is very hungry. Thank you.
Hee hee hee. I'm so happy!
See you.
During surgery in my dreams.
Someone put his hand here.
Did you see the deputy director in your dream?
A soft and warm hand.
Nikotan is a predator.
What?
Aaah... Oh my God.
Akira-san, look. I have found that rat coin!
- Rat coin? - I told you! Rat coin.
- There was a rat coin! - That's right!
Let 's take a look, Michiko.
Let's do that.
CAUTION ! Rat Coin. A big crash.
A Big crash.
No way! Ah!
Yeah! Are they up again?
No problem. It's going great.
Ooooh!
Huh? Michiko. What is this?
What? Ah! It's a bento box that the auntie from the cafeteria gave me.
I was waiting for you to eat it with me.
Hee!
- Ah! - What? Does it look delicious?
It looks delicious!
Auntie. You were saving up money.
- Hey, Michiko. - Hmm?
Bento side dishes are all my favorite foods.
I will make something delicious for Michiko.
Okay.
Hey. Akira-san.
I don't understand it well, but it looks something serious.
"It's an unjustified arrest. Don't point your microphone at me anymore!"
“Ebina! It's because you kept talking too much."
"That this become a serious problem. "
What's wrong?
Come to think of it. I haven't met this person very often.
- I was concerned and afraid that this was going to happen. - What?
Doctor Daimon.
Couldn’t you just let it be water under the bridge and start fresh?
That Auntie from the cafeteria.
She looks a lot like my old lover.
I was very upset during the surgery.
I was totally wrong. I'm really sorry.
I didn't think, I would be able to say such terrible words to a friend of mine.
Friend?
You are a wonderful doctor.
She is an important friend.
Thank you for helping Kazuko Iwata.
After this, let's celebrate her recovery from illness
Please come.
Let's make a toast with Caipirinha.
I won’t do it. Because it is useless.
"For example, this woman."
"She hates large groups. She hates authority. She hates restraints."
"With nothing but her skills and specialist licenses."
"As her weapon"
We will start the pancreatoduodenectomy.
* Major surgical operation most often performed to remove cancerous tumours off the head of the pancreas. It is also used for the treatment of pancreatic or duodenal trauma, or chronic pancreatitis.
Scalpel. Yes.
"Surgeon Daimon Michiko."
"Also known as Doctor X."
This life is worth 500 billion!
I don't want to give my liver to my father.
So you are going to let a large room full poor patients die without helping them?
I can't bother the hospital more than this.
I want to be with Ken-chan.
Because I will not fail.