Freelance Surgeon
Daimon Michiko
Wait! Sayaka-chan! Oh... Noisy!
Oh...! Ah! Ah!
Oh...
Auntie. What are you doing!
Auntie!?
Auntie! What are you doing!
Fix it now!
You guys can't do this in this place!
Excuse me! All right, everybody, let's do it over there!
Come on, move, move!
All right, let's clean up! Let's see who is faster!
- You called me an auntie. - I didn't!
Nishiki-sama, we have been waiting for you.
Nishiki Group CEO
Toshiro Nishiki
We have been waiting for you.
Please.
Is it all right to go this far?
Ah! Ah...!
Oh!
Ah... I'm sorry, everyone.
Hey old man! What are you doing!
- Who do you think I am? - Who?
Doctor Daimon!
Doctor
Murasaki Kimihiko
Doctor.
Is this disrespectful woman a doctor?
She is just a part-time worker.
A part-time hospital worker... Is it okay?
Which one is disrespectful? The fallen domino. Put them back.
Quickly.
I'm very sorry.
She is a part-time worker that's very disrespectful.
- Let's go. -Yes.
Oh... Ah!
Just a minute! Hey you! Come on…!
Let's line them up again.
Kenji Furusawa
Older brother. You are fast!
Uh... It hurts...
Older brother!
Get out of the way. Get out of the way. Get out of the way...
- I'm going to touch you. - Older brother.
- Stretcher. Quickly! - Yes!
Nurse
Oma Masako
"This is the story of a lone wolf female doctor."
Tachycardia. Anemia in the palpebral conjunctiva
*Examining the color distribution of palpebral conjunctiva is a standard procedure of anemia diagnosis, which requires no blood test.
Anemia in the
palpebral conjunctiva
Blunt pain in the right side of the abdomen.
Let's take a CT.
Yes.
This patient is Furusawa-San. He was discharged today from room 403.
Discharged? What are you talking about?
Excuse me...
"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 an era of economic weakness."
Deputy Director of
Totei University Hospital
Nicholas Tange
Excuse me.
Nishiki Group CEO Toshiro Nishiki. He was hospitalized.
Oh. Director Hiruma referral...
I'm sure it's hereditary ATTR amyloidosis.
*Hereditary transthyretin amyloidosis (hATTR) is a rare, progressive, and fatal disease. It affects multiple organs and body systems, such as the heart, nervous system, gastrointestinal tract and kidney.
Hereditary ATTR amyloidosis
He wants a liver transplant.
Yes. If the operation is successful. We are going to have access to a fund.
They have promised to invest 10 billion yen.
Excellent!
Samba!
Ha ha ha ha!
Incredible!
I am Tange, Acting Director.
Why isn't Director Hiruma coming to say hello?
I'm sorry.
Director of the next generation
of intelligence surgery
Ushio Kazuma
Director of the next generation
ultra-low invasive surgical treatment
Kaji Hideki
The director is now being interrogated at the detention center...
Is this hospital safe?
I don't know...
Please rest assured.
Elite members of the Totei University Hospital.
Formed a medical treatment project team attached to Nishiki-san
We will treat you.
How are you?
Very bad!
Uh.... However. I can't retire yet!
This life is worth 500 billion!
Your 500 billion valuable body. Please entrust it to us.
- I heard about the investment. - Yes...
We will do the best treatment.
Uh... Yup...
Come now.
"Meanwhile..."
"A freelance who does not belong to any of the University Hospital Medical Departments."
"More specifically a lone wolf doctor appeared."
Surgeon
Tako Kohei
I'm bringing this patient back.
What!? Welcome back!
- An-chan, you are back! - I'm ashamed.
I haven't cured my illness yet, but I don't have money. So they kicked me out.
This hospital is that kind of place.
The poor people have to get out from their beds before they are cured.
- Doctor Daimon what do you mean? - Doctor Daimon...
- Oh, Daimon. Good morning. - Your face is scary.
I'm going...
"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 need a donor urgently from the relatives of CEO Nishiki.
Surgeon
Hara Mamoru
Donor
Organ Donor
Understood.
Hey. Good morning, Doctor Daimon.
Hey! How about greetings?
"Surgeon Daimon Michiko."
"Also know as Doctor X."
English Translation Mario Silva
Surgeon Daimon Michiko
Numbness and pain in both lower limbs due to peripheral neuropathy.
Fainting due to nausea or orthostatic hypotension is observed.
Genetically mutated proteins.
It is an incurable disease that develops due to amyloid deposit in the body tissues.
Amyloid Deposition
More than 95 per cent of it is made by the liver.
Currently as symptomatic therapy.
Director of Next Generation
Cancer Genome / Oncology
Mari Hamachi
Tafamidis is administrated.
We are trying to reduce the symptoms.
- Why? - What do you mean by "Why?"
It is the world's first approved treatment for this disease!
I'm asking why he doesn't transplant the liver.
Liver transplant
Let me do it!
It's not possible to transplant it right away.
Why is that?
I haven't found a donor yet.
What about his family?
We only need one family relative that can provide a healthy liver.
I'm consulting with Nishiki-san family. But...
Nishiki-san needs a liver transplant.
Can anyone please become a donor?
Madam. How about you?
What? Me?
Hey... come on.
My husband who is cheating on me.
For what reason I have to chop my liver for that person?
Ha... Haa... Eldest son...
I'm not good at it either. I don't even think about my parents.
- But… - He has a tendency for violence.
The violence wasn't done once or twice.
The second son. The second son... The second son!
It is impossible even if you gave me 100 million.
Everyone thinks he is going to die soon.
In the end, I couldn't get any agreement from any of them.
- It's awful... - That's right.
If you don't have a donor. I can't operate!
You are only thinking about whether you can do the operation?
Are there any other relatives?
If your wife gives up on giving affection. Wouldn't you have an itch for other women?
Then he might have one or two hidden children, right?
Well, that's it...
That lady... she has a daughter in the bottom of succession.
That? Tako-kun, you know more.
Surgeon
Ebina Takashi
Kaji-kun, you have to contact her right away!
- Do not give orders to the director! - Ah...
- Ebina! - I'm sorry I made a mistake.
Well in fact... The daughter ran away from home.
The family doesn't know where she is.
Missing?
That is a problem...
If that's the case, he should be hospitalized.
I have no choice but to do medical treatment to reduce the symptoms of peripheral neuropathy.
Doctor Hamachi, please.
Leave it to me.
Gyoi!
The surgical transplant project team should continue to explain to the relatives and find the donor as soon as possible.
GYOI!!!
GYOI!
So this is the end of the conference.
Wait a minute!
I haven't finished talking about this patient yet.
Who is this patient?
A liver cancer stage 3 patient who was discharged from the hospital at his own will.
Liver cancer stage III
Doctor Daimon took it back without permission...
Because if he leaves the hospital like this. He will die.
The larger rooms beds are full.
Bed Condition
General Outpatient
2 person room
3 person room
4 person room
6 person room
Private room
Room Full
Hospitalized today
Discharged today
Hospitalized tomorrow
Discharged tomorrow
And Doctor Tako decided that it was possible to treat him if he came to the hospital for regular treatment.
It is a big difference from the rich old man we just met.
So you are going to leave the poor patients behind?
No way.
The weight of the patient's life is the same for everyone.
- It's heavier than the earth. - I see.
Let's put Doctor Daimon in charge of that patient.
Then I will do the operation when I find a donor.
Of course. Okay? Doctor Daimon.
Okay. Nikotan.
Furusawa's lover
Yuri Nishiki
Hey, Daimon, this is an electronic medical record.
How do you open it?
I was letting my assistant do it.
Ah! I sent you an email.
Hey. How do you this?
- Shut up! - This is not easy...
Hey. How do you do electronic charts?
Hey you. Were you originally in charge of Furusawa Kenji-san?
Yes, but...
Outpatient treatment is possible.
What were you thinking, Octopus? This idiot! - Hey!
*Wordplay used on the character name Tako also means Octopus in Japanese.
What!? Hey! Director. This is power harassment!
Hey. Hey! A part timer shouldn't do power harassment.
Even if I say it, she is not the kind of person i can get through.
- Solve it yourself. - Eh!?
Tell me everything you didn't write in your medical record.
I didn't want to abandon him!
Because I'm a childhood friend.
He is your childhood friend?
He has no relatives.
That is why it's hard to find a donor.
The chemotherapy had no effect.
The liver reserve capacity is bad so we can't cut it.
Liver reserve capacity
*Before you can begin the liver transplant evaluation process, you must be free of cancer outside the liver and alcohol for at least 6 months.
Is there any other way but liver transplantation?
That's why he was in the hospital waiting for a donor.
But... The treatment costs were falling behind and it was a waste occupying a bed.
I was told by the office to urge him to leave...
Once discharged from the hospital.
How about switching to outpatient treatment?
Eh…?
I told him myself.
Tako-kun... Are you still friends?
Huh?
Do you understand the feelings of those who have been abandoned from the hospital?
The feelings of the person who has lost his place...
- Do you understand? - Ha...
- It's not "Ha". - I'm sorry... I'm sorry.
Ebina-san. Excuse me... Since there is nothing wrong with Tako-kun.
- So do you understand Hara-kun? - I don't know.
- What about Daimon? - What?
Your face is awful.
What's going on?
- What's going on? - Hey. Tako-kun...
Go over there now!
Do not say "over there". It becomes power harassment...
Furusawa-san, what are you doing? Please go back to bed.
Furusawa-san!
Ah, hey... Ken-chan! Don't overdo it.
I can't bother the hospital anymore.
- Ah... wait a moment! - If you leave now, you will fall down again.
Doctor Daimon...
Oh, you are Doctor Daimon?
I heard you helped Ken-chan.
Thank you very much.
Not particularly. I haven't helped him yet.
Oh, hey...! It's okay.
- Hey! Girlfriend? - Ah... yes.
Then get married quickly. When you become a wife, you can give him your liver.
Eh…
Oh... Excuse me. This doctor is a little different.
Doctor Daimon. We can't get married.
Why?
Her father has to definitely approve me...
Obviously.
I don't earn much money and as a bonus, I become ill.
I can't even pay for hospitalization...
But... I want to be with Ken even if it is opposed by people all over the world.
Yuri... I'm going to get rid of my illness.
I want to get married, after being accepted by your father.
Ken-chan...
- Things like that are annoying. - Huh?
I just want to do the op. I won't let you leave the hospital until then.
Wait...! Doctor Daimon!
Doctor Daimon! Give my liver to Ken-chan.
I beg you, please!
Please use my liver for the transplant surgery.
I can't.
Why is that?
In Japan, living donor liver transplants between people not related are not allowed.
Liver transplant
Love can't save Ken-chan.
Only a liver from a donor who meets the requirements can be used.
Today, we will do a laser Doppler inspection.
It's all inspected. When I will we able to transplant!
Hey!
You again!
Is this hospital okay with part time workers bad habits?
Anyway. Did you found a donor?
As expected, not yet...
If you find one, let me do the surgery.
Even part-time workers are better than these people.
What the hell are you talking about?!
We are very sorry. Let's go.
Doctor Daimon.
The deputy director wants to have lunch together.
Why?
Love and marriage are troublesome. Surgery is the only way to live...
Doctor Daimon is distorted, right?
She is a woman who can only love the organs that a flesh-and-blood man can't even look at.
Tako-kun, what do you want to do?
I'm rooting for Furusawa and her.
Make people all over the world smile with Domino.
He is talking about things like dreams.
Domino?
Yup... This is it.
Hey.
There are domino teachers. It seems fascinating, doesn't it?
I will quit my job as a doctor and become a domino teacher.
Doctor Ebina. What are you talking about?
Isn't that better? - Ha ha ha ha...
Hey, can you eat Domino?
No, it's tough.
Well, but if Furusawa marries her. It would be a awesome hypergamy…
*Someone who marries a wealthier spouse and moves to a higher social class.
Well, he doesn't have that kind of greed.
- A awesome hypergamy? - A awesome hypergamy?
Ah…
Excuse me... Wait... Wait...
This Feijoada (bean stew).
I cooked it all night long.
Really?
Deputy Manager Secretary
Samejima Yu
- It's delicious! - That's good.
The deputy director brings his own bento box every day to reduce costs.
From a managerial point of view you can see the pinch we are.
I was appalled when I came.
If this main hospital collapses. All the branches will also fall like a Domino.
Many doctors will be fired.
As a result, many patients will not be able to be saved.
The reforms that I'm trying to do right now.
Doctor Daimon. I hope you understand.
Ha...
Excuse me... Are you listening to the director's story?
Doctor Daimon?
Ah! It was delicious!
In Japan…
Eating the food from the same pan.
... Those are good words.
Doctor Daimon. Will you fight together as a friend of the management reform?
To make money from the rich patients.
And drive the poor out of the hospital.
That's Nicotan's real intention, isn't it?
Doctor Daimon! If I don't do that.
I can't save this dying hospital.
Feijoada (bean stew) and Pão de Queijo (Cheese bread) are the best.
Thank you for a delicious meal.
My friend.
Talk to us a little more...
I will not do it.
Even eating the food from the same pan. I don't get involved with anyone.
Excuse me. Deputy Director.
Deputy director. I think we can find a donour for Nishiki CEO.
Really!?
The missing lady was found.
Yuri Nishiki. She was in this hospital today.
She came to visit his lover.
Is that her?
Ah... Actually...
You should have said it as soon as possible, this octopus!
- It's power harassment! - I was sworn to secrecy!
She doesn't want to be known as the daughter of the Nishiki group...
Somehow please persuade her to be a donor.
That is... I think it's difficult.
She hates her father and ran away from home.
Please ask her to accept it at all costs!
Gyoi!
- What happened to your “Gyoi” !? - Power harassment.
I told you to tell me everything that wasn't written on the chart!? This octopus!
Don't worry about money anymore.
I will work hard and save up for the surgery.
Yuri. I can't force you to do that.
It's okay.
That's why Ken-chan is working hard. Right?
Yuri! Are you still going out with that man!?
Dad...
- Well... - I'm sorry. Don't blame Yuri-san.
- Are you hospitalized here?!? - Yes...
No matter what you told me. I'm by Kenji's side.
I need Ken-chan.
What's that…!?
Nishiki-sama. You are going to hurt your body.
Oh! Oh! it's the worst!
Those who aren't productive, there is no reason to help them.
Father... why do you do that?
- You are the worst! - Stop. Yuri.
Uh... Uh...
Ken-chan... Ken-chan!?
Oh, Doctor. Ken-chan...!
- Ken-chan...? - Hey, Kenji! Hey, are you all right!?
Possibility of intra-tumoral bleeding of the liver cancer. Stretcher!
Intra-tumoral Bleeding
Ah... yes!
Ken-chan... Ken-chan, hold on!
- Bring it quickly! - Oh... yes!
Ken-chan...
Are you Yuri Nishiki? Can I have a minute?
Yes…
Your father is hospitalized...
Can you make up your mind for the sake of your father?
I hate him.
I don't want to give my liver to my father.
Yuri-san... Excuse me.
I'm the leader of the Department of Surgery in charge of next-generation intelligence surgery.
There isn't a person who isn't afraid of an operation.
But don't worry.
I will take responsibility and do a perfect surgery.
I have done more than 100 transplants so far.
There was never a failure.
I'm not afraid of surgery.
That person... Is not a parent.
You have only one dad!
Who are you...?
Oh, I'm sorry… My name is Ebina. I'm a surgeon.
Um... I have a daughter just like you.
I'm sorry I raised my voice just now.
Well... My daughter is in a terrible rebellious period right now.
Your father will die soon. My mouth is already saying terrible things.
But then... If he really died.
You wouldn't be in a position to quarrel. And you would feel lonely.
Stop that…!
It is a violation of ethics for a doctor to force a transplant.
But Yuri-san.
Everyone wants to save his father's life...
I don't... That's enough!
Although the Nishiki Group is the owner company.
It is insulated from the children.
Because there is no successor to the group. If CEO Toshiro Nishiki dies.
The capital flows out due to inheritance problems.
Dozens of affiliated companies may close in a domino bankruptcy
Medical Center Director
Kanbara Akira
- This is terrible... - What is a domino bankruptcy?
It's like the domino's falling down one after another until there is nothing.
Oh. But none of the relatives want to donate organs, right?
Freelance anesthesiologist
Jonouchi Hiromi
That's right. He's a stingy, arrogant, power-hungry father.
I am hurt and you want to take my precious liver. I'm not going to give it up.
Right? If he dies early, your inheritance will come in.
Even if you have money, it's unfortunate that you don't have a family to be a donor.
Even if there is love, there is no money. And a young man who can not get an operation.
Which one is happier?
There are donors here, but there are various troublesome circumstances.
Mi-chan, are you not going to do it today?
Oh, no more! Let's leave her alone and do it with the three of us.
That's right. Let's do it.
- Oh! - What are you doing...?
- It's useless! - It is already messed up.
You can't do that. You went on a rampage at a time like this.
A domino effect...
Ah!
Doctor Daimon...
You are also saying the same thing as the other doctors?
I absolutely hate it.
I don't want to give my organs to my father.
That's right.
But...
Would you like to help Ken-chan?
Can you help Ken-chan?
Umm....
It depends on your hard work.
Ah!
Hey... How long are you going to keep me locked up in this place?
You still haven't found a donor!?
I understand how you feel. Please be patient for the time being.
If it's the case that your body is in pain...
Oh, that's enough! Use the money and buy organs!
There is a lot of money!
I will give you 10 billion or even 20 billion, so go buy a liver!
I understand.
- "Understand"? - Doctor Ebina..!
- Should I buy a liver? - Oh!
If you do that, you will get caught.
I'm sorry. I won't buy the liver.
… Oh it's you again.
Doctor Daimon. Do you understand? This is Nishiki CEO's room.
I brought a donor.
Yuri...
Yuri! You are down, you know...
Father...!
I didn't know about my dad's illness.
You didn't even tell my mom and my brothers.
Dad, you have been suffering alone.
I'm sorry... I couldn't notice it.
There's no one but Yuri-san who will give a liver to a father like you, right?
Huh, you are the gold digger!
You got involved to that man who is broke.
How much do you want 1 billion? 10 billions?
I don't need any money.
I want my dad to be well.
Yuri...
Daimon-kun, you can do it.
The 5-year survival rate for a living-donor liver transplantation is 80%.
The incidence of complications is 15 percent.
In other words, it is a difficult operation with risk.
If it fails. It's better for you to be healthy. There's a possibility of losing your life.
Don't you think it's better to stop?
Yuri... Are you sure?
Doctor Daimon...
I will not fail.
Thank you!
Living Donor liver transplantation
Preoperative conference
Document
Confidential - Handle with Care
This is a living liver transplant of Toshiro Nishiki.
The donor is the daughter. 23 years old, Yuri Nishiki.
Preoperative conference
Blood type is compatible. The liver function is also normal.
HLA typing is also fine.
*HLA typing is a kind of genetic test used to identify certain individual variations in a person’s immune system. The process is critical for identifying who can safely donate to a person who needs a transplant.
HLA typing
- The surgeon is... - Yes!
- Yes!
I have a track record of over 100 live-donor liver transplants in the United States.
Since it is a very important operation...
I am also in charge of the surgical department in charge of the next-generation intelligence surgery.
No, No. Here...
I am the director of the next generation ultra-low invasive surgical treatment.
I brought the donor!
Everyone is motivated.
Everyone thinks it's profitable.
The Nishiki group has money.
- As expected it's money. - Yes.
Nikotan!
Let's just stop her.
Like the operation in the other day.
An uncontrolled doctor who goes out from the predicted value of the AI.
It is too dangerous.
Skills are nice... I'm sure.
Then, in the surgical removal of the donor side....
Doctor Kaji, please.
Yes.
Nishiki Toshiro-san transplant operation...
Doctor Ushio. It is an operation that will determine the fate of the Totei University Hospital.
Please cooperate with Doctor Kaji.
Gyoi.
What?!?
Damn!
Come on!!
From now on, Nishiki Yury-san donor surgery will be performed.
Donor surgery
- Please take care of me. - Please take care of me.
- Scalpel. - Yes.
From now on, Nishiki's Yuri-san donor surgery will be performed.
Yuri Nishiki
- Please take care of me. - Please take care of me.
- Scalpel. - Yes.
- "Monopolar". - "Yes"
Nishiki Toshiro
Living Donor Partial Liver transplantation
Laparotomy is complete.
“Please cut and separate the falciform ligament.”
Cut and separate
the falciform ligament
Okay, AI.
- Monopolar. - Yes.
Separation of the falciform ligament completed.
"Expand the surgical field with a liver retractor.
Liver retractor
"Please remove the hepatic portal vein."
Removal of hepatic portal vein
Okay, AI.
Removal of the hepatic portal vein​ is finished. Let's raise the right liver.
Liver swelling is higher than expected.
Liver swelling
This makes it complicated to treat the short hepatic veins, right?
Short hepatic veins treatment
“Please detach and move the liver from the retroperitoneum”
Liver detachment/moving
Okay, AI.
- Metzen. - Yes.
- Left hepatic vein is disconnected.
Left hepatic vein disconnection
- Metzen. - Yes.
Yuri Nishiki
Lobe graft transportation
Lobe graft
Completed extraction of the left hepatic lobe graft.
*Hepatectomy is the surgical resection (removal of all or part) of the liver. While the term is often employed for the removal of the liver from a liver transplant donor.
The graft is ice-cooled and refluxed with a preservative solution.
- Gauze. - Yes.
Hepatic veins reconstruction with CryoGraft.
*Maintaining hepatic inflow and appropriate venous drainage is important for maximizing the capacity of the retrieved graft in liver transplantation. Cryo-preserved venous allografts are used for implanting.
- Lower the magnifying glasses. - Excuse me.
- 6-0 monofilament sutures - Yes.
I will start hemostasis work.
- Monopolar. - Yes.
Nishiki Toshiro
“The left lobe graft has been extracted in the first operation room."
Left lobe graft
“Total hepatectomy within 30 minutes."
Total hepatectomy
"Please be prepared to accept the graft."
Okay, AI.
Doctor Ushio.
OK, AI.
Ligation and resection of the short hepatic veins.
- 4-0 absorbent sutures. - Yes.
“Treatment of the short hepatic vein is important.”
"Please proceed carefully with the detachment."
- "Surgery is complete" - "Well done!"
- “Carry the graft to the second operating room” - “Yes”
They are carrying the liver graft from operation 1 to 2.
It is going well.
I brought the graft.
Nishiki Toshiro
We're almost done with the hepatectomy.
Total hepatectomy
"Please proceed carefully with the detachment of the blood vessels."
Okay, AI.
Is it really okay? The blood pressure has dropped to 70!
Okay... Okay, AI.
Inferior vena cava damage
The inferior vena cava is damaged!
“We are behind schedule.”
“Please hurry the whole liver extraction.”
No problem! It's okay.
Suction is not good enough!
Bleeding volume exceeded 1000!
- Suck it up! - I'm sorry!
It's not okay, is it?
This will damage other blood vessels one after another!
It's a domino effect.
“Please stop the bleeding!”
"Okay... Follow the AI ​​instructions"
“Please calm down. What are the AI's instructions?”
“The weight of the left lobe graft is less than expected.”
“Less than 30% of the required liver weight.”
"There is a risk of causing postoperative small-for-size graft syndrome."
*In living donor liver transplantation, optimal graft size is estimated from values like graft volume/standard liver volume and graft/recipient body weight ratio. Grafts with insufficient functional hepatic mass can produce a life-threatening condition
Small-for-size graft syndrome
What should I do?
“Transplant surgery is interrupted."
"Immediately after hemostasis, please stop the operation.
Hemostasis or haemostasis is a process to prevent and stop bleeding, meaning to keep blood within a damaged blood vessel.
Danger. Please stop the operation
- What? - You're joking, right!?
AI's instructions are absolute.
- Gauze! - Yes.
Oh, my God...
What will happen to the investment in Totei University Hospital Fund?
- 10 Billions! - Eh?
If it fails, 10 billion investment will be impossible to attain.
What was that!?
Hey, get out of the way!
Doctor Ushio, do not give up and do your best!
It's 10 billions lost if this surgery fails!?
“10 Billions!”
As instructed by AI. It's inoperable
- Gyoi! - Gyoi!
Wait... what will happen to the donor?
You already removed the daughter's liver!?
As instructed by AI. It's inoperable
- Gyoi! - Gyoi!
Wait... what will happen to the donor?
You already removed the daughter's liver!?
- Gauze. - Yes.
- Suture Needles. - Yes.
Daimon Michiko...!
“Get out of the way.”
Ah, so much damage to the blood vessels...
Is this also an AI instruction?
“Please stop the operation."
Danger. Please stop the operation
“Please stop the operation."
- Noisy! Cut the sound. - Yes.
“Please stop the operation."
“Stop...”
Added a surgical technique.
Portal vein and inferior vena cava shunt to prevent small-for-size graft syndrome.
Portal vein/inferior vena cava shunt
Vascular damage. Cut off the inferior vena cava. Hemostasis.
- Okay. Ice crash preparation. - Yes.
- Satinsky. - Yes.
*Satinsky Vena Cava Atraumatic Forceps.
Why are you dazed?
It's a surgical field evolution. 4-0 absorbent sutures.
Yes.
Creates a new route for the portal vein to flow into the inferior vena cava.
Inferior vena cava
Hepatic artery
Portal vein
Shunt
It suppresses the portal pressure rise and increases the blood flow from the hepatic artery...
Does it mean that liver transplantation is possible even with a small-for-size graft?
Portal vein and inferior vena cava shunt preparation and total hepatic resection (hepatectomy) are complete.
I will put the graft in. Give me the left lobe graft.
Yes, it's over.
Bravo!
A moment…
Doctor Daimon. What are you doing? - “Keep it in immaculate​ condition.".
- "Is it ice-cooled?" - "Oh... yes"
- I'll get this. - Do you want it?
- What kind of thing? - What's now?
It is the liver removed from this patient, right?
Well, isn't that good?
Where did she take it...?
Oh! She entered the operating room over there.
- Did it go well? - Yeah, it was a little troublesome.
I'm sorry to have kept you waiting.
Vital: Blood pressure: 127/82. Heart rate: 78.
Kenji Furusawa
Let's get started.
From now on, from Nishiki Toshiro-san.
We will perform a living liver transplant to Kenji Furusawa.
Living donor liver transplantation
- Scalpel. - Yes.
What the hell is going on?
Nishiki Yuri-san became a donor.
It was also to save her beloved boyfriend.
What did you say…?
Dad, I have one request.
What is it? I will give you the money.
It is different.
Can you sign this as well?
The liver removed from you.
It is a consent form to let other patients use it.
What do you mean?
Dad, please. I want you to help me.
It's for him...
That's the liver of her father.
To let a third party who is urgently in need to use it.
It was a consent form.
Transplantation from the primary recipient to the secondary recipient...
Can also be approved by third parties other than relatives.
In this way from Yuri-san to her father.
Living donor
1st Recipient
2nd Recipient
From her father to Yuri's lover.
The liver was provided.
Name it.
Living domino liver transplantation
Living domino liver transplantation.
- Sealing device. - Yes.
Yes. It's over.
Doctor Daimon.
Thank you for helping Furusawa!
And octopus too.
Congratulations!
A moment... Ebina-chan.
I know how he feels.
Huh?
- Can I have a minute? - No...
Hey... it's better to stop. Ebina-chan!
You know... It may be none of my business, but at the beginning everyone feels like that.
But you're not the only one who's has been overcome by the sense of defeat.
Daimon Michiko is no longer an ordinary doctor. It can not be helped.
Another change and challenge. He he.
If you like, we can go out tonight to a Red Lantern restaurant. We split the bill.
*A cheap place eating and drinking place. The red paper lantern hangs outside the restaurants.
If I remember correctly you are a novice?
That's right. I'm sorry. I'm a novice.
I'm sorry for saying unnecessary things...
No matter what. I forget I'm a novice. He he.
I didn't absorb it into my body. Somehow I don't care...
You did your best. You did your best.
- I was impressed. - Ha ha.
Hey... where's Ken-chan?
Ah... He is still sleeping under anesthesia.
It is all right now.
Your father's liver was pretty weak.
But it was eligible enough to be donated to your boyfriend.
Doctor Daimon. Thank you very much.
Because I do not fail.
Unbelievable!
Ha ha ha... Amazing, isn't it?
Asking a rich father to become a donor and get him to accept the marriage.
I owe it to Doctor Daimon.
I just did the operation.
That's a very annoying story even for an octopus.
Ah, I see... Ha ha ha....
I'm so hungry.
Ah, Akira-san!
It was a good operation, so I will buy you a taiyaki as a reward.
*Taiyaki is a Japanese fish-shaped cake. It imitates the shape of the tai (Japanese red seabream), The most common filling is red bean. There are also several other shapes.
Oh, I'm so happy!
But... What?
- Oh, ho ho ho...! - What is it? What? What?
- Ha Ha Ha...! - It's okay… Let's go. Let's go…
- Please give me two! - Yes, please take.
- Two? - Yes. See you. Thank you for this.
- Hot! - This is me.
Yay! Whoo! It's the best.
Come on, let's have it.
It looks delicious! Look! Look! Look! Look...
- Okay! - I'm going to go in.
Oh, wait a minute... Wait a minute.
Umm! Huh. Hmm?
Huh? It's big. Something I don't know...
- I got an octopus... Hmm. - The octopus is big.
Akira-san. That one is bigger than the octopus!
That's not the case. It's identical.
An investment contract of 10 billion yen was concluded from the Nishiki Group.
What's going on with the 2020 Totei University Hospital reverse plan?
The closed sites of Lake Mashu, Oga and Kusatsu.
All of them are planned as resort apartments for Chinese and Australians, and funds are likely to be raised for redevelopment.
It's not enough...
And what about the branch offices that can be closed?
Within six months, you can organize five more hospitals.
Okutama 17th Branch. Yonaguni 5th Branch.
Wajima 10th Branch. Ibigawa 12th Branch. Genkai 20th Branch...
It is possible to plan a redevelopment plan of 20 billion yen.
Acting director.
Kambara-san from the doctor's referral office, is here to see you.
Acting director.
The cost cutting seems to be going well.
More importantly.
Melon.
Here is your bill.
At this time... It's a joke.
In addition, Deputy Director Tange has just served melons for breakfast as a dessert.
Oh, excuse me for this.
Then, can you send it to the director Hiruma at the detention center?
I don't know who leaked it.
He is exhausted by the daily rigorous interrogations.
And melon is the favorite of Director Hiruma.
I understand.
This time, Daimon Michiko performed Japan's first of it's kind, AI-navigation living domino liver transplantation.
I will give the credit to director Ushio.
Gratitude and contribution from the Nishiki Group and a huge investment in the regeneration fund.
I think it's cheap...
OK?
We do not offer any discounts.
Thank you! Nikotan.
Tantantan Tantan Tantan.
Bravo! Yes!
Nikotan Tantantan Tantan…
Congratulations on your discharge.
Thank you very much.
Congratulations! Congratulations!
Doctor Tako. Thank you for all your help.
I'm glad I was able to have surgery!
The liver you got may develop amyloidosis in the future.
It connected you to life. Take care of it!
Yup.
We have one more thing to inform...
After this we are going to the municipal office.
We are getting married.
Eh!
From now on? Congrats!
- Checkmate! - Checkmate!
- Thank you very much. - Congratulations.
It was really good.
What is this?
Doctor Daimon also has a heart that is pleased with people's happiness.
If you get married and your family grows. You can transplant the liver again.
Salvage repeated liver transplantation.
When I think about it...
I get fired up! Ha ha!
Ha ha ha ha...
As expected she just wants to perform surgery...
Congratulations. It was good.
Doctor Daimon Michiko. The living domino liver transplant was amazing.
I'm glad you succeeded.
It was really good.
Exactly like a goddess that doesn't fail.
I'm glad you could save a rich patient.
Congratulations on your discharge.
Congratulations.
Yup.
Thank you for your donation.
You... You are pretty good at it.
- Ha! - Ha!
The scars from the surgery are beautiful too. I like it!
Thank you very much
- If there's anything again. I will ask you. - Yes.
- We look forward to seeing you again. - Yes.
This AI navigation living domino liver transplantation.
Can you publish it now in a thesis.
Ha!
- "Ha!"... What is "Ha!" - Hey, hey, hey...
Director Ushio was praised for something today.
- What's wrong? - That person. He failed the surgery!
That's right.
If Daimon-sensei hadn't recovered it he would have been in a lot of trouble. Let alone he would have to leave the hospital by now.
That's true.
Isn't it?
But in the end, the organization is like that. That's what makes him get ahead.
How are you doing, Director Hiruma? He he..
Come to think of it, you got a big reward, didn't you?
Ah!
That's what I did... I forgot...! - He he.
- Huh? - I forgot….
I forgot? Again...
Ah…
Watch out! Watch out! Hey. Hey...!
Wait... Wait...! Wow!
Good luck!
Keep going! Awesome. Awesome. Awesome...
Keep going! Keep going!
"She hates large groups. She hates authority. She hates restraints."
"With nothing but her skills and specialist licenses."
"As her weapon."
“Ready, Steady.”
Go, go!
Hooray!
Yay!
"Surgeon Daimon Michiko."
"Also know as Doctor X."
Common people. Hello!
- Isn't it stupid? - The Wide show (tv tabloid show) is already here.
The minister has tongue cancer. It's a inexhaustible news item​.
- I'm home! - I have the right to decide.
That sort of thing in the world is refered as a conjecture.
Because I don't fail.