"In this world,
the brain is the only unexplored region remaining."
- Mami? - Mum,
about what I just asked.
Can I really not continue to stay with you?
I'll do the awake brain surgery too.
Don't worry, I'll be with you.
What do you mean?
What is it if it's not an accident?
She tried to kill me.
That jerk.
Her brain is pretty swollen.
Dr Hamada, I'll start the stimulation.
- Please start anytime. - I'll get it ready.
Bipolar forceps.
We'll begin looking for her speech centre.
Satomi, can you hear me?
Yes.
Dr imadegawa is here.
We'll check your brain now.
Satomi.
You're doing a good job. It's me.
Takao!
If she says one phrase repeatedly, it's speech automatism.
The situation affects the brain a lot. Pay attention.
Are you okay?
You feel all right?
We'll begin, then.
Please start.
- Stimulation, please. - Yes.
Please say the thing drawn here.
Television.
Yes.
- What is this? - An eye.
Okay, stop the stimulation.
- Speech centre isn't here. - Okay.
- Stimulation, please. - Yes.
What do you mean?
You were nearly killed?
Yeah.
Or I wouldn't be so seriously injured.
She pushed me down.
- Listen to me. - No! Let go of me!
Do you know how tough it is for me?
You enrolled me in this school.
That's enough!
I skipped school, so she told me to go to school and we had a fight.
Sorry, I have to do a surgery.
I'll talk to you later.
No! That jerk will come again.
I'll ask the nurse to stay with you.
What?
You can take your time to talk to me later.
I am sorry.
I know you must be working, but...
Kaoru, sorry, but I am extremely busy now, I'll...
Mami didn't go to school today again.
You had no idea?
She has been taking days off frequently since a while ago.
We've asked for the school counselor’s help,
but she didn't want that and ran away to your home.
Sorry, I haven't got time now. I'll call you later.
Please...
Please give me back Mami.
But, well...
to a neurosurgeon,
the operating room is the most relaxing place.
Okay, what words did we ask you to memorize?
Shrine,
lily,
red.
Yes.
Well done.
The two of you work perfectly well together.
Just kidding.
That reminds me,
we didn't have a wedding cake at our wedding ceremony.
It brings back memories.
Okay, stop the stimulation.
Speech and memory are checked.
It'll be over soon.
It put quite a lot of strain on your body,
but you did well.
We'll do a general anesthesia now. Okay?
Dr Hamada,
- fibreoptic intubation, please. - Yes.
Protect the brain surface. Bipolar forceps.
I love you.
Darn, it's speech automatism!
Satomi.
L...
Satomi!
L...
Satomi!
She has generalized seizure!
Start a diazepam lV, propofol after that.
Pour cold saline solution on her brain.
Don't let her injure her oral cavity.
Yes.
"Operating time"
It's touching her internal carotid artery.
- Tumour forceps. - Here.
The blood is blocking the surgical field.
Bleeding like this is nothing.
- Curette, angled up. - Here.
I think I can manage to detach it from the internal carotid artery.
- Bipolar forceps. - Here.
Can you detach the optic nerve?
The tumour adheres strongly to it.
- Micro dissector. - Here.
Great assistance.
I can see the endoscope's light now.
- Micro Cooper. - Here.
I've almost done the resection too.
The upper and lower part will join soon.
- Bipolar forceps, angled up. - Here.
Suture done.
Thank you.
Thank you!
Now we have to wait until the anaesthetic wears off.
We won't find out until then.
Dr imadegawa often shouted at me in the operating room in the past.
Oh?
After he shouted at me,
I always cried here,
because I was angry at myself.
He said I tried to kill him, didn't he?
Tooru was severely injured.
It often happens after a brain surgery.
It's called delirium,
and delusion is a common symptom. He probably--
No, doctor.
It's true.
L...
did try to kill him.
"Top Knife"
Regarding Mrs Satomi imadegawa,
she still hasn't woken up from her coma.
We can only hope for her recovery.
Also, Tooru Soeno, whose head was pierced by a rebar,
has delusion caused by delirium.
He started saying something disturbing.
He said his mother tried to kill him.
What's going on?
If it's true, we have to think about reporting it to the police.
Anyway, we'll do a check-up again to see if there's any haematoma.
He's now being watched 24 hours a day in the recovery room.
I'll go and ask him again.
That's all.
Guys, if you look gloomy, even our patients will be gloomy.
- Get to work now. - Okay...
- Thank you, guys. - Thank you...
She can breathe spontaneously.
I won't be surprised if she wakes up anytime soon.
Her vitals are stable too. It's a matter of time.
Yeah.
About what I talked to you the other day...
I've heard.
What happened with your son
has been tough for you.
I'm thinking about returning to America.
Yeah?
Please come back someday.
I'm sure...
that something good will happen.
Mrs Soeno!
Oh, no need to move your head.
Are you okay?
The MRI scan of your head and echo-cardiogram show no problem.
You're probably overworked.
Lie down for 30 more minutes, then you can sit up.
I'm sorry.
The nurse told me.
You have a busy job?
Yeah.
I've got a bit of financial problem.
Don't overwork yourself.
It's pointless if you come down with sickness.
Mrs Soeno?
On that day...
She tried to take me to school forcibly.
Your mum?
Why?
I haven't been going to school.
Because it's boring.
Why? But it's one of the most prestigious schools.
She forced me to go there,
so I couldn't keep up with it.
But you'll go to its high school too, right? You have a lot of time.
You know...
I've found out the secret of the universe.
Eh?
Just kidding.
It's the video game.
I shut myself at home and play it all the time.
Then...
I started to skip school altogether.
Listen to me.
No! Let me go!
Do you know how tough it is for me?
You enrolled me in this school!
- Me? - And everything else too!
Even when you gave birth to me.
Why did you give birth to me?
Don't think I'll obey everything you say!
That's enough!
Let go of me!
It was an accident after all, wasn't it?
Whatever the circumstance was,
when the child is injured, parents blame themselves.
They think it is their fault.
But that's not true.
I am afraid of myself.
I sometimes wish that my son was gone.
Well...
Everyone who has children would think so.
I gave birth to my son,
and got divorced,
and I've been making desperate effort at work.
But...
raising a child alone as a working mother,
it is...
a lot tougher than I imagined.
It was all my fault.
My son is totally innocent.
I do know that.
Even so...
when I am really exhausted,
I would think that he's unbelievably bothersome.
Are you saying that your mother did that?
I didn't say my mum did it.
I'm saying that it's the one that came to visit.
That person...
isn't really my mother.
What do you mean?
That person is...
an alien.
"Tohto General Hospital"
I'll do a test.
Maybe it's too easy for you and it's boring,
but please bear with me.
It's done.
So...
who is this?
Prime Minister.
Okay.
Who is this?
Fukuzawa Yukichi.
Okay.
Who is this?
Yoshikazu Ebisu.
Of course.
Who is this, then?
Mum...
possessed by an alien.
Okay.
That's all.
Thank you.
Alien?
Tooru has Capgras delusion.
Okay, explain.
Usually, if one recognizes the shape of a human face,
there are changes of emotion, like fondness or hatred.
However, if the right frontal lobe is damaged,
there is no change of emotion when they recognise faces,
and it causes Capgras delusion.
In Tooru's case,
he recognizes Yoshimi's face as his mother's,
but he can't feel the love and affection
that is usually felt naturally.
That is why his brain tells him that this isn't his mother,
and it's an alien that has possessed his mother's body.
We also tested his GSR, galvanic skin response...
Usually, if one sees a family member,
the GSR value rises rapidly.
But when we showed him his mother's photo, there was no reaction.
Mum...
We did another MRI scan for him.
Abnormal blood vessels found at the right front of temporal area,
it's a dural arteriovenous fistula caused by external head injury.
- Eligible for surgery? - Well,
We'll re-evaluate after doing an angio again,
but maybe we'd better hurry.
- See if any operating room is free. - Okay.
I've looked up some literature.
Capgras delusion
only affects the cognitive function of appearance.
If we only let him hear her voice, maybe he'll think it's his mother.
How is Satomi?
Either way, we have a long way to go.
Yeah.
Dr Miyama, you have been working since last night, right?
Well...
Go home now.
Dr Nishigoori and Dr Kozukue are on duty.
But l...
Relying on others doesn't necessarily mean you're weak.
Welcome home.
I am home.
You are still up?
Mami, do you have a minute?
Kaoru told me.
Why didn't you tell me anything?
Am I just your chatting partner?
Of course you aren't.
I'm glad I've come to stay with you.
I always assumed you hated me.
When I was in nursery school...
- Mum! - Sorry, I'm in a hurry.
At that time,
you didn't look back even once.
Because of that, I thought you really didn't care about me.
How can I not care about you?
Yes.
Now I know that.
You put a lot of effort into your job.
And, Mum,
I am proud of you.
I'm not as good as you think.
I make mistakes all the time.
I fail in various things.
Even surgeries...
There have been times when they haven't gone well.
I've been shouted at by angry family members,
and it wasn't just once or twice.
However...
I didn't run away. Never.
Whatever people do, even when I was shouted at,
I accepted everything.
Maybe that's the only thing I'm proud of myself.
Call Kaoru once.
Whatever you decide to do,
you have to take the first step.
Yes, keep the blood pressure below 160.
There might be postoperative bleeding, so pay attention.
Thank you.
Morning.
"Sorry, I have to go first"
Wait, Mami,
have some fruits at least.
You must be exhausted after a day's work.
Enjoy some Chuhai first!
Thank you.
Mum!
Mami?
You're late, so I came.
I'm so sorry.
Oh, I'm starving!
- Hungry? - Yeah.
- Let's have something nice! - Yay!
What happened?
My son attacked me.
I tried to peel off her face's skin.
I thought, if I peeled it off,
an alien would come out.
And?
I gave him some sedative.
There's venous reflux on the brain surface
and it's expanding gradually.
We have to do something before it bursts and bleeds.
I'll have another surgery?
So stay still on your bed.
Don't play video games secretly.
The device is taken from me anyway.
Oh, it is.
Dr Miyama.
Mum still hasn't come?
Why doesn't she visit me at all?
Is it...
because I said that to her?
- Listen to me. - No! Let me go!
Do you know how tough it is for me?
You enrolled me in this school!
Me?
And everything else too! Even when you gave birth to me.
Why did you give birth to me?
Is that why...
she doesn't come?
When I was pregnant with my son,
I found my husband cheating on me.
Did you?
After so many things,
I just couldn't forgive him,
so I decided to have the baby alone.
I was stubborn.
It was my arrogance.
Tooru knows all these.
But Tooru wants to apologise to his mother.
Sorry, I'm busy and haven't got time.
You look tired.
You haven't changed.
When a patient's disease is hard to treat, you always look like this.
Please make it short.
Kaoru collapsed. She overstressed herself.
She's worn out and I can't bear to see it.
She hasn't been sleeping much since Mami left.
Give us back Mami.
She has run away from home to your place.
We tried to think about how to solve Mami's problem,
but she wanted to run away from it and went to your home.
You need time to face Mami's problem properly.
Can you do that?
Did you see your family like you do with you patients?
If you can't do that, give her back to us.
I can't do that.
She will decide what she'll do.
It isn't what I should say.
I'm in a hurry.
I'm sorry.
Excuse me.
Would you ask my mother to come?
Please!
Okay.
I'll ask her to.
Tooru?
Tooru, are you okay?
Tooru, can you hear my voice? Tooru.
Tooru!
Tooru? Tooru!
Yes?
Tooru collapsed?
I'm coming.
- Second floor's corridor. - Yes!
- How's he? - JCS two-digit code.
Please check on him.
Tooru, can you hear me?
Tooru?
His arteriovenous fistula is probably bleeding.
CT scan then operating room.
- Move him to the stretcher. - We'll move you.
One, two, three.
Stretcher coming.
Tooru!
Tooru, hang in there! Tooru!
Mum?
Mum, I'm sorry.
We'll do an urgent neurosurgery now.
We'll do an urgent surgery.
Dr Nishigoori will go to the operating room first.
Do a craniotomy first. I'll be there in 15.
- Yes. - Yes.
Tooru knew it was his mum.
He recognised his mum
because his AVF bled and hurt his optic chiasm.
He couldn't see?
If it's just her voice, he knows it's his mum.
Mum!
Mami!
I've made up my mind.
I won't run away anymore. I promise.
I'll take on all my problems myself.
Goodbye.
Elevator.
How's it going?
Doing suction on the haematoma to reduce pressure.
Okay.
Reduce enough suction to not let it bleed again.
We'll probe into the anterior cranial base to remove the AVF.
- Let's hurry. - Yes.
- Bipolar forceps. - Here.
Here.
- Loosen the head holder. - Yes.
Done.
Okay, stabilize it.
Done.
I can see the arteriovenous fistula.
Should we clamp it or coagulate it?
How's it going? I'll help.
Thank you!
Micro dissector.
Here.
Okay, Nishigoori, I'll take over.
Okay.
It's near his olfactory nerve.
Burning it will affect it. Let's clamp it.
Nishigoori, put a straight clip there.
Got it.
One with an 8mm long blade would be good.
Here.
Put two there.
- One more identical clip. - Okay.
Here.
Okay.
- Micro Cooper. - Here.
Satomi.
You've woken up?
You are back?
Satomi...
Stopped the bleeding.
Okay, thank you guys.
Thank you, doctor...
Thanks, everyone.
It's only the suture left. I'll do it.
Thank you.
- Weight, please. - Yes.
- Get some Adherus. - Yes.
Thank you.
Thank you...
Would it have been quicker if I hadn't cut the falx cerebri?
No, that was fine.
I'm glad we kept all the bridging veins intact.
Yeah.
It was brilliant.
Mum.
Tooru?
Mum.
Mum is here with you.
I'll be here, always.
Mum.
Tooru Soeno's condition is stable.
His intracranial pressure has reduced a lot too.
Yeah?
Satomi has also regained consciousness?
Her speech function hasn't fully recovered.
I think various problems will appear.
Yes.
I really understand now.
There are only a few things that a neurosurgeon can do.
Me too.
I thought doing surgeries perfectly
was the way that a neurosurgeon should be.
But...
it isn't wrong,
but it isn't right either.
There is only a small part that a neurosurgeon can do.
What is your decision on the department head's post?
I'll accept it.
I see.
But I'll do surgeries too,
as I have so far.
Because that is the neurosurgeon that I aim to be.
Good morning, everyone.
Our department head! Good morning.
- Good morning. - Morning.
Not "department head," it's former department head.
Everyone,
thank you so much.
No, don't mention it.
By the way, you'll come tonight, right?
The new department head's inaugural party? Of course.
See you.
- See you. - See you...
It's nice to see a man with a woman.
By the way,
what's going on between her and Kijima now?
- What? - Don't tell me...
Dr Nishigoori, are you interested in gossip now?
Not gossip.
Love is a matter of the brain's function.
I'll approach from that angle too.
I want to wear three hats.
I see!
I can't say I don't get it at all.
"Inaugural Party of Department Head Miyama"
Oh, drinks!
- There you go. - Okay.
- Thanks. - Thank you.
- There you go. - Thanks.
- Don't drink yet. - Okay...
Thank you.
Yay!
Until the speech.
- There you go. - Thanks.
A moment, please.
Keep company with you?
The brain is wired in a way that one can't endure loneliness.
But you can't love people?
Your brain really piques my curiosity!
So... you mean my brain, not me?
- You're as crazy as always, Sacchi. - Huh?
Mr Kijima, it's time.
Oh.
Okay, guys! New department head, Dr Miyama will give a speech!
Here we go!
- New department head! - Gosh...
I, Miyama, have been appointed the new department head--
New Department Head!
The ER called.
Large-scale accident at a factory, nearly 20 injured.
Are you kidding me?
Guys, it's time to work!
Hurry up!
- We're coming now. - Yes.
Hurry.
"Top Knife"
"This drama is a work of fiction"