"In this world,"
"the brain is the only unexplored region remaining."
This Niigata Prefecture Tournament decides who will go to Koshien.
Yuzawahigashi High School is leading 1 to 0 and 2 outs
at the bottom of the ninth inning.
They need one more player for their first time at Koshien.
The pitcher Kimura has thrown the ball.
It's a hit! Flying to left field!
Left fielder Harada is going to catch it!
Will Yuzawahigashi High School play at Koshien for the first time?
Mr Tamotsu Harada, 28 years old.
He was involved in an accident at a construction site on his way home.
Suffers a blow to the head,
open fracture and degloving of the left arm.
Blood pressure 110 over 74.
Heart rate 115.
SpO2 is 98.
The brain pursues one's ideal self.
- Let's give it our all. - Yes, doctor...
We want to think that we're better than we actually are.
Sometimes, it makes someone get carried away.
Sometimes, it becomes a strong pressure.
Wait a minute. That's...
Then, one is torn...
between the real self and the person they're supposed to be.
"Touto General Hospital"
It's difficult for Dr Miyama too.
She just complained that Dr Kuroiwa does all the surgeries,
now she even has to plan the workshop.
Oh, have you heard the rumor of their layoff?
Layoff?
It seems they'll make one of the doctors resign soon.
- That means they'll be fired? - Probably.
- In that case... - You reckon?
What's the matter?
I graduated as top of the class and I'm NS's promising surgeon.
Got a problem?
No.
A call. Someone's calling.
- Sorry, it's mine. - Yours?
- Yes? - Hang on. You're leaving?
Yeah?
- What have you been talking about? - Nothing.
Only chores?
I did all the arrangements for the workshop for you.
I can't even do surgeries and my skills will get rusty.
Neurosurgeons from all countries will come and it's important,
so I'm counting on you, Miyama.
Ah, you make that move?
I heard one of the neurosurgeons will resign.
Is that true?
Well...
It's my job to improve the environment of the workplace.
Right?
This is the only place.
Okay.
She's somehow irritated.
Dr Imadegawa.
I've got a good idea.
What is it?
What's the matter?
It hurts. My left hand...
A burning pain.
What's the matter?
Are you in pain?
It hurts...
My left palm hurts...
Mr Takushi Osawa, 40 years old.
You have migraine and non-convulsive status epilepticus.
You are a practicing physician?
Yes, at our parents' clinic with my two brothers.
I'm the youngest so I don't do anything.
Did someone refer you here?
I used to work at the NS Department here in the past.
Yes?
I gave up neurosurgery and took over our family's clinic.
Then...
An annoying symptom appeared not long after that.
An annoying symptom?
My other self started to show up in front of me.
So you said you worked at our NS Department?
I worked under Dr Miyama.
Dr Miyama fired me.
Yes.
About 500 people will come.
Then, after the meeting,
there'll be an information exchange meeting held at another venue.
Yes.
I think basically standing will be fine.
"Top Knife"
Found on a railway track and sent here by an ambulance this morning,
Miss Sayomi Kimoto, 20 years old.
She hit her head and has subdural hemorrhage,
so she'll stay for observation.
Got it.
Dr Miyama, you're busy preparing for the workshop this week.
Please let someone take over.
- Mr Kimoto's doctor will be... - I'll do it!
Well...
Dr Nishigoori. Okay, next.
Mr Tamotsu Harada, 28 years old.
Left hand damaged in an accident,
amputated due to difficulty in revascularisation.
His cranial bone is fractured, so he's admitted for observation.
He aimed to play at Koshien in high school,
and still plays baseball after he came to Tokyo after graduation,
and he aimed to be a pro.
I feel so sorry for that man.
And he feels a phantom pain.
Phantom pain.
One feels pain in an arm he lost,
the brain has a map built along all parts of the body.
The so-called Penfield's map.
What's wrong with you suddenly?
The brain's map is confused
and other senses enter the area of the lost left arm.
So he feels pain in his lost arm. That's phantom pain!
Shut up.
- How will we treat him? - At present,
there's no reliable treatment.
Besides medication,
only a psychological approach is possible.
Sorry, I can't help!
What's wrong?
He played baseball,
so the great sense of loss should be the cause.
However, there's nothing a neurosurgeon can do.
Let's pray that his head's injury isn't serious at least.
Next.
What's the matter? Hurry up.
Okay.
Mr Takushi Osawa, 40 years old,
a practicing physician in Saitama.
Takushi Osawa...
Osawa...
In the last two years he's had frequent headaches,
but he only took painkillers.
He had an MRI scan the other day.
We found a three-centimeter tumor in his left insula.
- It's huge. - Yes.
He also has symptomatic epilepsy, so he's admitted for observation.
The focus was also identified by Video-EEG Monitoring.
And his major complaint is...
he sees his other self.
His other self.
A doppelganger.
It always looks at him and smiles.
Yes! Doppelganger is an illusion that's also called autoscopy.
If the posterior left insula is damaged,
the image of his body is detached from reality.
Cases of patients seeing an illusion of themselves have been reported.
This is unusual.
Among them, Mr Osawa experiences heautoscopy,
which is extreme, even as a kind of autoscopy.
He doesn't only see his own self, but he talks to it too.
I think his brain tumor caused it.
A patient who feels pain in his phantom hand
and a patient who is at the mercy of his phantom self.
Dr Miyama fired him?
He said it clearly.
He wanted to sit the certification exam 10 years ago,
but as his boss, she didn't sign it.
She didn't let him sit the exam!
Isn't she too strict?
He was promoted from intern to neurosurgery too.
Do you know him?
No, only Dr Imadegawa would know a doctor from 10 years ago.
That reminds me, you tried so hard to explain despite not being asked,
because your job's at risk.
You came here after being a medical intern too.
You always make our Ice Lady angry.
Guys, do you know what the White Devil loves?
It's Ice Lady. You got it wrong.
White Devil...
The White Devil will come.
The White Devil's coming!
What's the matter?
How ironic.
I was fired by the NS Department but I'm being treated here.
Maybe it's a punishment for me.
Anyway, don't think about anything unnecessary.
Relax, and have a good rest.
Where is Dr Miyama?
She is busy now, but I think she'll visit soon.
Yeah?
The window here can't be opened now?
No. it wasn't like this in the past?
You could open it, some 10 years ago.
Without a doubt, because I jumped out of it.
Because Dr Miyama said I couldn't be a neurosurgeon.
So expensive!
Really?
It's true that he jumped off the building.
Luckily, the roof of the bicycle parking area acted as a cushion
and he only fractured his leg.
So is it true that Dr Miyama fired him?
Who knows?
But...
not every person can become the person they want to be.
Suitable or not, luck...
When various elements combine...
things don't go well for most people.
Well...
Even so, life continues.
Unlike a TV drama.
Yeah.
Dr Nishigoori.
Mr Osawa is still thinking about Dr Miyama.
He...
What is Mr Osawa's other self like when he sees it?
This is the one who fired you.
Are you okay with doing nothing after she made a fool of you?
Of course I'm not.
What will you do, then?
Hello? Hello? Oh, I'm sorry, I was in a lift.
I'd like a dual screen projection at the first venue.
- Good afternoon. - One side will be...
- I got you a cup of cafe latte. - the speaker's face.
- It's the famous... - What? The projector is broken?
- Wait, we can't have that. - Doctor...
How can it happen at a banquet hall? Fix it!
I will have it myself.
"Mr Takushi Osawa"
Mr Osawa.
Dr Osawa?
"Doctors' Office"
"Documents of Workshop Miyama"
"Miyama"
Good afternoon.
The fifth floor, please.
Rumor has it that you fired many people.
It's true, after all?
No.
I mean...
Looking at your attitude towards Dr Kozukue lately,
I just thought you were surprisingly nice.
There are only two kinds of neurosurgeons.
The best neurosurgeons and those who should never be one.
He was the latter.
That's all.
Darn Miyama wasn't there?
No.
She's avoiding me.
Right?
So...
you have to do it.
Do it.
So she can't hold a scalpel again.
"Surgery Centre"
Oh, Mr Takahashi's blood pressure is high,
give him some anti-hypertensive drug.
Okay.
You'll go home now?
Yeah, my domestic helper will stay overnight today,
so I'm finally free from that kid.
I got to have some fun with the ladies.
I'm speechless. I feel so sorry for Tamotsu.
I hope you'll be punished by heaven.
"Mr Tamotsu Harada"
Tamotsu, 6 years old.
He is your son.
How are you? Does it hurt?
Yeah.
Yes, a bit.
I see.
I'll tell them to use a stronger painkiller instead, then.
Dr Kuroiwa.
You are the best neurosurgeon in the world, right?
I've seen you on the telly.
Well, yeah. I'm more handsome now than on the telly, right?
Harada...
I think someone already told you.
Surgeons can't do anything about a phantom limb.
No?
I'm sorry.
Doctor...
Has there been anything you regret?
- Regret? - Yeah.
Are you the person you dreamt to be?
Well...
I've been giving it my all in order to be who I dreamt to be.
Both at work and when I have fun.
Just like that.
It's a great life.
The accident was unfortunate.
It was unlucky, but...
No.
It isn't about that.
Doctor.
You want to chop your leg off?
Yes.
From here. Cleanly.
If a train runs over my leg, it would be broken,
then it would be chopped off...
So please,
will you chop my leg off for me at this hospital?
It's the so-called BIID, body integrity identity disorder.
She thinks a part of her body isn't hers,
and it makes her feel unpleasant.
It's the same as an illusion in a sense.
Just like the malfunction that causes confusion in the brain's map,
the cause is still unknown and there's no treatment.
But the person's agony is unbearable,
that's why she attempted suicide and tried to chop her leg off.
Anyway, I gave her some haloperidol.
Okay.
I contacted Psychiatry's Dr lwashita.
He'll come when he's free.
How ironic.
A patient lost his arm and is suffering from phantom pain,
but the other wants to chop off the leg she has.
And one sees his other self, which he doesn't want to see.
"Touto General Hospital"
Good morning.
How are we today?
You know, I recalled various things.
I told you that I am now the person I dreamt to be,
but when I think about it, I've gone through quite a lot.
I was deceived by a creepy woman,
and I suddenly have to look after her son for her.
It's crazy.
I'm not joking.
I'm a determined bachelor.
Well, I'll soon find the woman who has fled,
and get her to take her son back at once.
So I'm far from the person I dreamt to become,
with regards to my private life.
Is that your son?
Well, yeah...
But you'll make her take him back?
The bond between parent and child...
is something like an illusion.
I speak from experience.
What? You hit where it hurts.
Ouch...
You've cheered up a bit. Thank goodness.
Doctor, my regret...
isn't losing my arm.
It's that I couldn't play at Koshien.
Because I made a mistake.
This Niigata Prefecture Tournament decides who will go to Koshien.
Yuzawahigashi High School is leading 1 to 0 and 2 outs
at the bottom of the ninth inning.
Just one more player for their first time at Koshien.
The pitcher Kimura throws the ball.
It's a hit! Flying to left field!
Left fielder Harada is going to catch it.
Will Yuzawahigashi High School go to Koshien for the first time?
Oh, Harada dropped it! The batter reaches home.
Second runner reaches home too!
The situation is reversed and the team says goodbye!
Niigata Nogyo will play at Koshien after the dramatic victory!
Yuzawahigashi won all other matches this season,
but unbelievably, they made a mistake in the finals.
Yuzawahigashi, what a shame!
They needed just one more step, just one more out,
but they made a regrettable mistake.
"Yuzawahigashi, Niigata Nogyo"
Because of the mistake I made,
the effort our team made in three years was all in vain.
Everyone's effort was wasted by the mistake I made.
That's why I couldn't stop playing baseball.
I continued but not because I like it.
It's because I couldn't face my teammates.
Doctor.
You said the phantom limb
is my memory of the moment it was amputated, didn't you?
Yeah.
My left hand still feels it.
It feels how I dropped the ball...
a long, long time before my arm was amputated.
Academic meeting, paper, results...
Casablanca pop-up cafe.
Oh, no. I see an illusion after writing the paper all night.
You must be kidding me!
Wake up. I have to wake up!
There you go.
Here we go!
It's more expensive this time. Yes.
Good idea, isn't it?
See, they all look happy. Right?
- Guys, drink as much as you want. - Thank you.
I wonder if they're happy over the coffee or the handsome guy.
We really should provide our staff with a comfortable work environment.
Oh, Miyama, we prepared this for you.
You see, you must be tired from doing preparations for the workshop.
The hospital won't pay for this.
Please pay for it yourself.
Keep drinking.
- Luncheon meeting will be at... - No way.
Well, just one cup. Don't drink more than that.
A heart shape!
You're having the second cup.
Yes, the second.
Mr Osawa?
Dr Miyama!
Don't run inside the hospital.
Sorry.
- But this latte is for you. - Thank you.
It's been a long time.
"ERROR Stopped for emergency causes"
I tampered with it.
It won't move for sure.
I wanted to talk to you, Dr Miyama.
Sorry, you two,
but it's the only way to talk frankly to her.
Wait, let's do it calmly...
Shut up.
Don't get involved. He'll hurt you.
- Sorry, please let us through. - Excuse me.
- Sorry. - Excuse me.
We're fixing it, please wait.
Excuse me.
Dr Miyama, is anyone else with you?
Miyama, Kijima, patients, Miss Kimoto...
and Mr Osawa are here.
Kijima?
Kijima? Mr Kijima?
It's Mr Kijima, isn't it? Why?
Mr Kijima? What?
The people outside are so noisy.
You okay? Not feeling well?
- Let her lie down. - Yes.
Why is it like this?
My leg...
I want to cut it off,
- so I tried to make it rot. - What?
No, she'll have a cardiac arrest.
When did you do it?
Since yesterday...
At night.
What's wrong?
Her leg's been tied up for too long
and the congestion caused compartment syndrome.
Relaxing incision has to be done at once.
Start the lift and open the door!
- It can't start. - What?
That's how I made it.
How could you!
At least let them give me the surgical tools.
Let them send the tools from there. I'll do the surgery here.
That isn't a problem, right? You're after me, aren't you?
Fine.
Dr Miyama, what do you need? I'll bring them.
Not a man.
Send a woman. Let her bring the tools.
I'll go.
It's the only thing I can put effort into.
Midazolam, saline IV, and lots of gauze.
Okay.
What do you want to talk about?
Why?
Why didn't you let me take the neurosurgery cert exam?
I needed your signature to take it.
But you refused to sign it every time.
I couldn't even take the exam.
I worked so hard...
I worked so hard for it!
Why?
Do you have the right to not let me take the exam?
Why?
Because you were too weak to become a neurosurgeon.
What do you mean?
Dr Osawa, your memory is confused.
You jumped off the building not because I didn't sign the form.
It was because a patient passed away.
You had been looking after her since your internship.
Little Koko Mishima. Do you remember her?
I am Ao.
She had myelomeningocele and had a surgery when she was born.
She had been in and out of hospital after that too.
You were busy,
but you looked after her devotedly,
just like she was actually one of your family.
Her tethered cord syndrome caused by the lipoma got worse,
and she had to have surgery.
You made desperate efforts at that time too.
The surgery was difficult,
but the tethered nerve was untethered well.
It was a miracle.
But after the surgery,
when Koko tried to walk on her own feet the first time,
a blood clot flowed away,
causing a brainstem stroke in no time...
and she passed away.
At that time,
we couldn't even have known that there was a blood clot.
It was inevitable.
It can't be...
He became mentally unstable.
We were worried about him, but he attempted suicide soon after that.
So she didn't sign the form for his certification exam entry?
Yeah.
Please do it.
Sacchi!
I've brought the surgical tools.
Take it.
- Miss Kimoto. - One more.
I'll cut your leg open here.
Kijima, put it on her leg.
- This? - Yes.
- Hurry up. - Yes.
Dr Osawa, help me too.
You're still a doctor, right?
Kozukue, can you come down?
Yes.
Okay...
I'm coming.
One, two...
Start a Midazolam IV route,
- and disinfect her leg. - Yes.
- Use this. - Yes.
I think it's started.
She tied it tightly, so there'll be blood.
- Cut straight to the fascia. - Yes.
- Hold it. - Yes.
Okay.
Open the anterior compartment.
The blood's blocking my view.
Yes.
Sacchi, what's that?
Isn't that awful? It's swollen from the inside!
It's her muscle. We moved it out of the skin to reduce pressure.
Muscle!
Here we go...
Somehow...
I can't keep watching, so may I speak?
Ignore me and pretend it's background noise.
This lady orders straight tequila from time to time.
Not shots, and she orders many glasses.
She usually has single malt whiskey.
Then, I asked her colleagues about it,
it's when she has to do performance evaluations.
It's tough for the fired one,
but it's tough for her too.
I think she's washing her feelings away with strong spirits.
That's all. The background noise is over.
The pressure has reduced quite a lot.
Now you understand.
You need courage and thick skin.
They are important to a neurosurgeon.
"Emergency call"
It's opened!
- You okay? - Yes.
Excuse me.
Dr Oda, only relaxation incision was done,
avoid reperfusion injury when you untie it.
- Okay, we'll move her now. - Excuse me.
Kijima, help them.
Let's move her.
One, two, three.
- Stretcher coming. - Yes.
- Putting her down. - Yes.
Putting up the rails...
- Mr Osawa... - This is bad!
Maybe it's epileptic seizure.
Excuse me.
- Get a stretcher. - Yes.
His SpO2 is only 85.
- Get an ampule of diazepam. - Okay.
Kozukue, can you assist in a surgery?
You pulled an all-nighter.
Yes, I'm used to staying up all night for revision.
- Loosen the clamp. - Yes.
It's loosened.
- Stabilize it here. - Yes.
Stabilized.
- Bipolar forceps. - Here.
- Tumor forceps. - Here.
Okay.
Okay, put your right hand in first.
Next, put your left hand in too.
How does it feel?
It feels like you have your left hand, right?
Indeed.
A neuroscientist, Dr Ramachandran, invented this therapeutic device
to treat phantom pain.
If you use it to get used to the sensation,
the phantom limb and the phantom pain may go.
Yeah?
He didn't seem very happy.
A surgeon can't cure someone's emotional wound, I guess.
But even you do something besides surgery too?
You asked me to get in touch with them, and I did.
Let's see how that will go.
Number five, left fielder, Harada.
Uniform number seven.
- Kimura. Guys... - Hey.
Hey...
What?
We've heard. What a shame.
We had no idea that you still played baseball.
We're surprised.
You didn't keep in touch at all
and didn't come to any class reunion.
Don't act like a stranger. You worked so hard on your own!
You're the only one among us who still played baseball.
At that time...
I'm sorry.
At that time...
I couldn't catch it and I'm sorry!
What are you talking about?
You did very well.
We all know that.
Gosh, you caught the ball!
"Aim for Koshien, Yuzawahigashi"
The batter hit it!
Flying to left field!
Left fielder Harada is going to catch it!
Left fielder Harada caught it!
Yuzawahigashi plays at Koshien for the first time!
They'll play at Koshien for the first time!
Sorry.
I'm sorry.
I'm so sorry.
Thank you.
Thank you...
People pursue their ideal self,
and are confronted with the reality.
In most cases, our real selves are so dull that we hate ourselves.
But we have no choice but to bear our burdens...
while believing that there must be someone who will accept us,
even though we're dull.
It's enough.
Stop blaming yourself.
You did your best in your own way.
"Bar Casablanca"
Wait, what?
You can balance your relationship and work?
Well, I...
I got intimate with him.
Do you call that intimate?
- You're both so pretty. - Thank you.
Is it okay to have a neurosurgeon like this?
Totally absurd.
Kijima, tequila, straight.
Coming!
No! Give Dr Miyama oolong tea, in a bucket!
Your tequila.
Oh! Tequila... Oh!
This isn't oolong tea. Not oolong tea!
Give her a bucket of tea!
She wants to see her at work.
My mother never talks about her job.
I can't recognise faces. Not yours either.
Someone pushed me down the stairs.
Her male friends visit very often.
It's attempted murder if it's true.
Look for him.
I'm your mum's right-hand man.
She relies on me too much.
Kozukue!
See? Right away.
- Thank you! Thank you so much! - Wait.
I don't worry about that.
You can worry about it.