Original subtitles

After the devil of the operating room, Dr. Tokai, left Tojo University Hospital,

I received orders from Director Seigo Saeki and was sent to Australia

to meet with a certain man.

That man is a genius surgeon,

the only one in the world able to perform

direct anastomosis, an extremely difficult procedure.

Yukihiko Amagi.

This doctor, a carbon copy of Dr. Tokai, bets his patients' lives on a roulette.

He was like the devil himself.

I am a devil.

Beloved by God.

However, his skills were the real deal,

and Dr. Amagi succeeded in saving the patient.

Is this…

reality?

A real-life…

miracle.

Furthermore,

Dr. Saeki's newest objective…

Scouting Dr. Amagi

and making him director of his new hospital.

And doing so…

would bring about a new storm of chaos at Tojo University.

Hey, Dr. Sera.

What?

-Where's my souvenir from Australia? -I didn't have time for that.

I hear you brought us back a great souvenir.

-How did you do it? -It wasn't easy, you know.

There you are. Dr. Sera, come quick.

What is it? A patient?

No.

It's Dr. Amagi.

-Metz. -Here.

Even so…

He looks just like him.

Should I kick him out?

Leave him be.

-3-0. -Here.

Quiet!

-I'll lose my concentration. -Forgive me.

Oh, no.

Dr. Amagi.

What are you doing?

-Me? I'm studying. -We're getting complaints.

They're saying a strange doctor is showing up in the OR.

You Japanese are so stingy.

That's not the issue.

I want to find out why such an easy operation is taking so long.

If you're going, go now!

-Sorry. -Please continue.

-Dr. Amagi, you've got to-- -Metz.

Who is she?

Managing Nurse Nekota. She was Dr. Tokai's right hand.

Is that so?

-Enough! -Sorry.

Pardon me.

Forgive me. I'm leaving now.

For this operation,

we will perform left atrial appendage closure simultaneously,

using a new-and-improved Snipe device,

the Snipe Version 2.0.

SAFE AND PRECISE SURGERY

The documents are in the shared files.

-Please take a look. -Eight million yen…

That's a little expensive.

Fine things come at a price.

You're right. You're absolutely right.

I'm currently working on having it insured,

-so if you're interested-- -That's all right.

I have no need

for toys like that.

Dr. Amagi…

-That's Dr. Amagi. -He's looks just like Dr. Tokai.

Perfect timing.

-Please introduce the doctor. -Okay.

Today, we would like to welcome

Dr. Yukihiko Amagi.

With many years of experience

at the Gold Coast International Heart Center,

he's the world's leading authority on coronary artery bypass surgery.

Don't make me blush.

No need for modesty.

No.

That…

doesn't describe me at all.

What?

I…

perform an updated version of cardio bypass surgery.

I'm the only man in the world who can perform direct anastomosis.

Yukihiko Amagi.

Direct anastomosis.

A direct technique?

Yes! That's correct.

Coronary artery bypass surgery involves creating a detour

for blood flow around the blocked arteries

using veins from other parts of the body.

In other words, an operation that makes a shortcut for the blood to flow.

With this,

conditions like angina and myocardial infarction

can be alleviated, helping with insufficient blood flow.

This is a general surgical procedure.

However,

Dr. Amagi's direct anastomosis

doesn't use a bypass,

and it involves detaching the blocked artery

and directly inserting a healthy blood vessel instead.

A completely new approach.

Is that even possible?

I don't know.

Up until now,

countless doctors around the world have tried.

But the number of successes

is zero.

A technique like that would be a great benefit to Saeki Surgical Ward.

We're counting on you.

No.

I didn't come here for something so simple.

What do you mean?

As you already know,

a new Cardiac Surgery Center is being planned.

The reason I came to Japan…

is to make it mine.

What did you say?

Dr. Saeki.

Is this true?

Yes.

I've recommended him as the director of the new hospital.

Professor Saeki!

Dr. Amagi.

Why don't you explain what you're willing to do for us?

What is this new hospital to you?

-What is it to me? -Yes.

The future of medicine,

in my mind…

I think it's…

money.

-Money? -What are you saying?

You understand, don't you?

Under the pretext of budget cuts, Japan gave up

on leading the world in cutting-edge advancements.

As a result, all of Japan's best doctors went overseas

and Japanese healthcare

is dead and gone.

That's right.

You're all working…

in a graveyard.

-What? -A graveyard?

That's why the new hospital

will sell top-level healthcare techniques at a premium price.

And only those who can afford it will receive surgery.

Those will be the rules.

Move it.

I would like to ask you all something.

If two patients with the same condition, one rich and one poor, asked for surgery,

who should I choose?

Doctors must not choose their patients based on financial reasons.

That way of thinking

is the downfall of Japanese healthcare.

No further discussion.

First things first,

you'll have to prove to us that you can walk the walk, Dr. Amagi.

I'll have to set the stage.

The stage?

The world's greatest surgeon is debuting in Japan.

For that,

we'll need to present our guests

with a grand public operation. I believe that would be fitting.

A public viewing?

This place is full of dull good-for-nothings.

In the past, there was constant momentum for reform.

It was all disrupted by one doctor.

Seishiro Tokai.

-I'll cover it up for ten million. -The Snipe will succeed.

Then do it yourself!

However, after Dr. Tokai left,

the doctors halted their progress.

Our new hospital must become the world's leading medical facility.

The reason being, Professor Saeki and Ishin University's Dr. Sugai

were in fierce competition

for the highest position in Japanese healthcare,

the seat of president of the Japan National Medical Association.

FORECASTED VOTE COUNT

The success of the new hospital held the key to winning the election.

That's why…

I need your help.

In that case…

I'll need an assistant.

-What's up? -Look at this.

What's this?

NOTICE OF EMPLOYMENT

MINJAE PARK

PRECEPTOR: GONTA TAKASHINA

This won't do at all.

What's the problem?

I came to Japan to learn from Dr. Amagi.

I don't want you to be my mentor.

You don't beat around the bush, do you?

Be seated.

Japanese people never share their true thoughts.

But Dr. Amagi is different.

He always speaks his mind clearly.

The only one who considers the future of Japanese healthcare

is Dr. Amagi.

-Hey, Dr. Sera. -Yes?

-Did you see this? -Huh?

MASASHI SERA YUKIHIKO AMAGI

DIRECT SUPERVISION

Hey, Juno.

Juno!

-Over here. -Huh? Yes?

My luggage is at the front desk. Bring it up for me.

My condolences.

Amidst all this,

because of the reshuffling, I was asked to hand over

a patient of mine to Minjae.

The patient's name was Takamichi Shigeno.

The owner of a pastry shop.

He's suffering from mitral valve insufficiency and pulmonary emphysema.

Snipe surgery is necessary for his recovery.

But because of the high price of surgery,

Mr. Shigeno was faced with the choice of paying for surgery…

RECIPE NOTES

…or continue medicinal recovery.

TAKAMICHI SHIGENO

-Grandpa! -Hey!

Yui!

-Visiting again today? -Yes.

I brought you one of these.

-I wanted you to try them. -Let's see…

-How is it? -Well…

The apples are a little burnt.

Maybe use a bit less sugar too.

Sugar…

I still have a long way to go.

There's a special trick to making this apple pie.

-What's that trick? -Well…

That's a precious company secret.

I'll teach you the recipe when I get out of the hospital.

Yes!

Mr. Shigeno! You can't be eating that before we draw your blood.

-But it's… -I only had one small bite.

If your blood sugar rises, it will affect the test results.

Let's see how much time we have until the test.

It's fine. The time has been changed.

Nekota.

Did you get the doctor's permission?

I said it's fine.

Understood.

I know her! She's a regular customer!

Mr. Shigeno! It's a pleasure to see you.

You again?

I would like to ask you for the apple pie recipe

and selling rights.

That's why I'm here.

I have no intention of giving up my flagship product.

I see…

However, your daughter has already agreed.

Mom did?

Listen!

Get out of here.

Until next time.

-Nice to meet you. -The pleasure is all mine.

I'm still studying Japanese, but I'll do my best!

TAKAMICHI SHIGENO

You're selling the apple pie recipe?

-How did you know that? -You're the worst, Mom.

Yui, wait.

Yui!

Dad, you've got to sell off the rights.

Let's get your surgery.

I will do no such thing.

-The medicine is enough. -Dad, listen.

Mr. Shigeno.

Mr. Shigeno, if you undergo surgery and you are cured,

you'll be able to spend more quality time with your granddaughter.

-Doctor. -Yes?

That Yui of mine.

She seriously plans on taking over the shop for me.

That's why she…

continues to try her best and brings me samples.

If we lose sight of it now,

her dreams will be crushed too.

Understood.

-Thank you. -You're welcome.

Thank you for your patronage.

You visit Grandpa's shop sometimes, right?

This is for you if you would like…

Here.

What?

Thanks.

The apple is burnt. This is way too sweet.

You'll never be a pro at this rate.

Oh. Want some?

Thanks for the snack.

What was that?

Yes, thank you for your cooperation.

DIRECTOR OF ISHIN UNIVERSITY HOSPITAL MR. TATSUO SUGAI

Dr. Sugai.

-How wonderful. -Thank you.

MR. GONTA TAKASHINA

Excuse me, I'll be leaving now.

Dr. Takashina.

I've heard about you.

You are an incredible doctor,

introducing the Snipe to Japan and fighting for equality.

Thank you for your kind words.

However,

I hear quite the miser of a doctor

has joined the new hospital project at Tojo University.

Where did you hear that?

I've got the devil's ears.

And I would like you…

to become one of the devil's disciples.

It's quite simple.

Keep me informed on the new hospital.

Just whisper into my ears what they are up to.

In return…

when I become the president of the Japan National Medical Association,

I can promise you a very comfortable position.

I believe Professor Saeki

is also fighting for that position.

What?

Dr. Park.

Here are the results of Mr. Shigeno's tests.

-Thank you. -Here you go.

Why have they included an echocardiogram?

Left atrial thrombus, and in the main coronary artery,

he has 99 percent constriction?

The situation is not good.

-This is bad. -Honestly,

even if we were to perform Snipe surgery…

For now, we have to do everything we can.

-Start heparin treatment right away. -Right.

Did you get the lab results?

It's a worst-case scenario.

What?

This is great.

How so?

Grandpa.

Don't worry.

I'll be better soon.

Thank you.

Mr. Shigeno's situation is critical,

so we'll be watching from the nurse's station.

-Dr. Sera. -Yes?

We'll have the money ready right away.

Please perform Snipe surgery.

Please.

About that…

-I would like to have a word. -Okay.

Unfortunately, the conditions have changed.

After the lab results,

we've found that his left coronary artery has 99 percent constriction,

and performing Snipe surgery would kill him.

Oh, no.

Then why is he…

Why is he here in the first place?

There are so many doctors here.

Why can't you help him?

Come and sit.

Doctors are not gods.

Thousands and thousands of patients die at hospitals every day.

Doctors are human.

Miracles aren't easy to perform.

You may cry,

or scream,

but everybody dies one day.

Dr. Amagi.

-Watch your language. -However,

there is just one doctor who can save your grandpa.

And that's me.

Please.

Help him.

However, to receive surgery from me,

you have to place a bet.

-Stop right now. -A bet?

-Let's go outside. -What do you mean?

I'll do it.

What do I have to do?

I'll give you three days

to complete your apple pie recipe. How about that?

If you can do it, you win.

If not, you lose

We'll select a judge here.

What do you think?

Okay.

It's quite simple.

If you don't bake it right, your grandpa will die.

Work like your life depends on it.

What the hell is this?

On July 11th at the Tokyo International Pavilion,

as the Japan National Medical Association's main program,

we will host a grand show.

The International Pavilion?

That place is for concerts.

After receiving an invitation from the organizers at Ishin University,

preparations were made immediately.

In fact, it will be the stage of miracles.

Ishin University?

-Why host it in a rival territory? -What?

Well, they'll be covering all the costs for it,

and a special guest speaker will be there.

Right, Dr. Takashina?

Dr. Takashina, a presenter?

I also received an invitation.

Very well.

A stage like that

will give Tojo a chance to shine as well.

Let's all work together on organizing the staff.

If that's what the professor wishes,

let's do it.

Let me take the lead.

-No. -What?

You don't have what it takes.

What did you say?

Dr. Kurosaki is a top-class heart surgeon.

I didn't observe your operation just for kicks.

In your previous operation,

you were easily distracted…

Quiet!

…and became agitated.

Performing surgery on the public stage, in front of a large audience,

with a temper like that simply won't do.

That's my reason.

Amagi…

And with that, I would like to introduce our chosen staff.

As first assistant…

May I ask for your help, Dr. Kakitani?

-Me? -Actually…

this is to save Dr. Kurosaki's face by at letting his subordinate in.

I don't care who does it.

As for second assistant,

Juno. I mean…

Dr. Sera.

-Understood. -And Nekota as operating nurse.

Ms. Nekota is absent today.

I will tell her myself.

Thank you. Also, Hanabusa.

-Okay. -Anesthesia, Sawada.

-The top of each department. -For ME…

-Abe and Tanigawa. -He knows what he's doing.

That will be all.

Very well.

But have you found a patient to use as your subject?

Yes. Our patient for the public operation will be…

Mr. Takamichi Shigeno.

We will perform mitral valve repair and surgery on the coronary artery

by using direct anastomosis

However, because I still haven't determined the patient's luck,

it's more accurate to call him a potential candidate.

What does he mean?

Those are Dr. Amagi's rules.

Indeed.

The patient must bet half of their assets,

and only if they win will I perform the surgery.

If they lose, there's no surgery.

Those are the rules.

Placing bets on patients?

In fact,

Mr. Shigeno's bet has already begun.

PUBLIC OPERATION ANNOUNCED

SHIGENO BAKERY

TEMPORARILY CLOSED

GRANDPA'S APPLE PIE

MAKE SWEETS TO GIVE SMILES

APPLE STEWING CHART

I messed it up again.

If you don't bake it right, your grandpa will die.

Work like your life depends on it.

Asking for a day off

during the public operation?

Because it's hosted

by your alma mater, Ishin University?

Because the surgeon is Dr. Amagi.

During Dr. Kurosaki's operation,

I heard there was a small blunder.

However,

that alone

is not reason enough.

I request that you be present

for the public operation.

These are…

the director's orders.

Nekota?

I bought these at a new bakery.

Want to try one?

I know…

they may not look great,

but they taste amazing.

What is this about?

-What? -This taste…

It's Shigeno's unique rice flour apple pie.

But that shop is closed.

Where did you get this?

Tell me.

Thank you for your help, Hanabusa.

I asked her to get these to set some things up

I placed a bet

on whether or not you would be able to tell

if it was Shigeno's apple pie or not.

-You used me as a bet? -That's right.

This is…

the one chance I needed to determine Mr. Shigeno's fate.

But…

Mr. Shigeno is in the hospital.

She made the real thing.

The girl did it.

Ms. Nekota.

Thank you.

Your side of the bet

will be giving me the sales rights for the apple pie recipe.

You will lease the rights to your apple pie recipe from me

and perpetually pay me a portion of the profits.

You'll pay for your grandpa's medical fees yourself in the future.

I understand.

I'm begging you.

Please operate on my grandpa.

Well done, indeed.

Everything is going exactly as you hoped.

-A public surgery? -Yes.

Dr. Amagi hopes to put on a grand show.

He'll definitely accept your offer.

The symposium is a flagship event for Ishin University.

If the public surgery is a success,

it will be a huge win for you, as the professor who made it happen.

And if we fail?

The surgeon's mistake,

perhaps?

And for tomorrow, we'll have to see how it goes.

That…

will depend on how you handle things.

I understand.

Finally,

the day of the fateful public surgery arrived.

Japanese cardiac surgery is advancing rapidly,

thanks to you for introducing the Snipe to Japan.

I look forward to today.

Thank you.

Thanks to you,

the day of the event is finally here.

As for your goal,

whatever it may be,

I'm grateful.

One more thing.

I also heard

another presenter was added this morning.

Excuse me.

PRESENTER WAITING ROOM

Where's Dr. Amagi?

He's probably…

in the lobby?

-What's wrong? -You won't believe who's coming.

Who is it?

Yasujima?

Kyoya Yasujima.

A surgeon from Ishin University's sister school in Texas.

But it wasn't surgery that made him famous.

He's known for verbally crushing his enemies at seminars like this one.

They call him "Yasujima the Crusher."

Dr. Takashina was one of his victims.

Hey!

It has been a while, Dr. Takashina.

The seminar in LA, right?

Welcome to Japan.

I'm so envious of you.

From the forefront of global healthcare

down to a small backwater hospital like Tojo University.

How is it?

The retired life.

What a coincidence.

-You two know each other? -Yes.

Seven years ago,

Dr. Takashina presented his Snipe research at a conference in America.

One of the presenters was Dr. Yasujima.

Dr. Takashina left America soon after.

So why is Yasujima presenting here?

This is the operating surgeon. Dr. Amagi.

-I'm looking forward to it. -As am I.

I'm hoping for a great public surgery.

We have a wonderful conference planned for today.

I am very grateful.

In preparation,

we received help and support from many doctors.

Representing the sponsor of today's event, Ishin University,

I offer you thanks and a warm welcome.

I've never had stage fright like this before.

You're too self-conscious.

What?

Nobody is looking.

At you, that is.

You're right.

Regarding mitral stenosis and calcification of the valve ring,

it is our university's belief that these issues

should be addressed thoroughly.

I'm counting on you.

As promised,

there will be a professor position at Ishin University with your name on it.

Thank you.

I assure you

I will fulfill my obligations.

We'll now move on

to today's main event.

A public operation

conducted by Dr. Yukihiko Amagi,

presented to you

by Tojo University's lecturer Takashina,

and Texas University of Medicine's Associate Professor Yasujima.

And of course, today's leading role…

Tojo University's

Dr. Amagi.

Ladies and gentlemen, thank you for waiting.

Dr. Amagi will now begin his operation.

It's showtime.

Nonetheless,

this operation will be just like any other.

We will now commence mitral valve repair surgery

and a coronary artery bypass using direct anastomosis.

Scalpel.

I would like to explain the operation.

Hey, hey.

Isn't this a rare sight, right from the start?

KYOYA YASUJIMA

Dr. Amagi is only watching?

I only take care of the heart.

I see.

I feel bad for the assistants who don't get to enjoy the best parts.

That being said,

I doubt they could perform direct anastomosis, anyway.

TATSUO SUGAI

The chest is open.

The heart-lung machine is on.

Moving on,

we will now repair the mitral valve.

-Clamping forceps. -Here.

-Tweezers. -Right.

-Metz. -Right.

-Suction, please. -Okay.

Can you do more?

-I can't see. -Okay.

He's so fast.

Lift it…

Okay. 4-0.

-Syringe, please. -Right.

-Metz. -Here.

Mitral valve repair complete.

-Get me a chair. -Right.

Now, we'll detach the left internal mammary artery.

-Fine tweezers. -Here.

-Electroscalpel. -Here.

Let's go.

Forgive me.

You don't need to apologize.

It doesn't bother me.

-8-0. -Right.

The assistants and nurses are nervous.

In an environment like this…

But Dr. Amagi is keeping his cool.

They've finished the separation of the left internal mammary artery.

They will now begin the grafting process.

What do you think, Dr. Yasujima?

Detaching the left mammary artery is interesting indeed.

The reason being,

it puts the patient's life in extreme danger.

At our prestigious Texas University of Medicine,

the post-operation occlusion rate

is an impressive 38 percent.

When I perform this operation,

I use a method called LITA-LAD,

keeping the patient's safety in mind.

What's with this guy?

That is what Dr. Yasujima is known for.

Ignore him, Dr. Amagi.

Incidentally,

it would appear Dr. Amagi is quite the gambler.

And even in surgery,

this temperament is showing, don't you think?

A fine explanation.

Yes.

It's all a gamble.

Don't talk to him.

While it is indeed difficult,

I place my bet on the highly effective direct anastomosis method.

I've performed this surgery hundreds of times,

and my occlusion rate remains at zero.

I'm busy, so forgive me if I misheard you,

but I believe you said your rate

at Texas University of Medicine is 38 percent.

Yes, well, that's…

You see…

What I'm trying to say is…

The number of methods to choose from is vast.

Then, two years ago…

your mitral valve enlargement surgery featured in the International Journal…

Tell me.

Care to tell me about that?

The report didn't mention any complications.

But in reality,

the patient experienced issues with the aorta after surgery,

underwent multiple reoperations

and passed away.

No! That patient…

It was…

There's a rumor they covered up your medical malpractice.

Amagi…

If it were to be looked into…

Your career would be over, I believe.

-Where did you hear that? -Well…

-I've already found a skilled buddy. -Not true.

ISHIN UNIVERSITY MEDICAL HOSPITAL

-We've been waiting for you, Dr. Yasujima. -Thank you.

Right this way.

Thanks to her,

I was able to find his weak spot.

Professor Sugai…

Forgive me.

About that professor position…

I've decided to go with another candidate.

Take care of yourself in America.

Professor, wait.

What you should do is hurry up.

Forget about the position.

You might lose your doctor's license.

I'm glad we were able to talk about this before things got worse.

Sorry, Dr. Takashina. I seem to have sent your friend home.

Would you mind taking over his part of the commentary?

Understood.

It's faster if I just show you.

And next,

I will perform direct anastomosis.

-Metz. -Here.

If the doctor fails,

the patient will experience cardiac rupture.

Advanced measures will need to be taken

to expose the left main coronary artery.

Bulldog.

-Metz. -Here.

-8-0. -Here.

Can he even see it?

Operating with a narrow field of view.

You see…

Only my hands know what to do.

-Metz. -Here.

Operation complete.

The heart is so beautiful.

The heart is so beautiful.

All right.

If you have any questions, please attend the reception.

Though there is a small fee.

That was amazing.

Doctor.

Is something wrong?

It was calcified.

There was calcification around the mitral valve.

Should we have removed all of it?

This surgery was strictly for the coronary arteries

and mitral regurgitation.

Repeated surgeries are a burden.

We have to do it now.

Operating doctors.

Is there something wrong?

Fine work.

Dr. Amagi.

Follow me.

Let's go get our money.

If you have something to announce, please do so.

Well…

There is calcification around the mitral valve.

You mean to say,

the operation isn't finished yet?

No.

Dr. Amagi is finished.

And he told you to finish up, right?

Think about the patient. It must be done.

Is it too difficult for you?

Where did the surgeon go?

I'll leave the decision to you.

This is…

Tojo University's operation.

Are you just going to ignore it?

-Right! -Make a decision, Tojo University!

-We'll continue. -Doctor, wait.

-Dr. Kakitani. -My glasses.

-Okay. -We should tell Dr. Amagi.

No. As the first assistant,

I will perform surgery to remove the calcification.

-Prepare mydocardial protection. -Right.

Clamping forceps.

Hurry up!

Tweezers, Metz.

Give Dr. Sera the Cooley hook.

-What are they doing? -Explain this!

What's happening?

So, as you can see,

they are removing the calcification around the mitral valve.

It's all right. This isn't a difficult procedure.

Just relax. It won't take long.

Metz.

Removal complete.

-We've got bleeding! -Gauze please.

More gauze!

-Why? -Gauze! Suction!

-Right! -Please bring more gauze!

SHIGENO FAMILY WAITING ROOM

-The patient is bleeding. -This isn't good.

-Call the nearest hospital. -Right.

A hemorrhage?

Check on the event hall.

-Okay. -Should they be watching this?

-Hurry! -Right!

-Doctor. We've got to stop the heart. -Myocardial…

Get the myocardial protection…

-No, the clamp! -Right.

-How is it looking? -We're losing volume.

Blood pressure falling!

That's why Dr. Amagi didn't touch it.

-We need transfusion! -Hurry!

-More suction. -Right!

A rupture in the left ventricle?

We need more suction, please.

-Right! -I'm holding it down.

-Can you suture? -Understood.

-Suction. -Hurry!

Let's close the heart up.

-More! More suction! -Move!

-Clamp forceps! -Here.

Can we stop it?

I can't see! I can't see anything!

That poor patient.

Killed by Tojo University.

Where are you going?

I've got to do something.

By the way,

the professor post I offered Dr. Yasujima is open.

Someone call Dr. Amagi!

But where is he?

Gauze!

It was like watching the work of God.

Don't let your guard down. It might be the devil.

Madame.

-Long time no see. -Dr. Amagi. So good to see you.

Your operation was amazing.

Thank you very much.

Is Dr. Amagi here?

-Gauze! -Stop the heart.

-Doctor. -We need more gauze!

-Okay. -Damn it!

Let me take over.

-I've dealt with ventricular rupture. -Dr. Takashina.

We have to focus on saving the patient's life.

-Right. -Yes.

-Is the myocardial protection ready? -Yes.

-Flow down. -Right.

-I'll clamp the aorta. Forceps, please. -Right.

-Metz. Tweezers. -Here.

There is an announcement.

Dr. Yukihiko Amagi.

Please return to the operating room.

-Metz. -Here.

Okay.

Left atrial suturing complete.

-I'll remove the clamp. -Okay.

If this stops the bleeding…

It's still hemorrhaging.

-Gauze, please. -Gauze.

-Gauze. -More suction!

-Right! -Oh, no.

The left atrium is too fragile to stop the bleeding.

We can't do anything with the tissue this weak.

Turn down the heart-lung machine.

Let's wait for the bleeding to stop.

Dr. Takashina.

I don't think the bleeding is going to stop.

No…

If something happens to the patient, it won't look good for you.

-We can't let that happen. -That doesn't matter!

They're screwed.

Grandpa…

GOOD LUCK CHARM

Mr. Shigeno put everything on the line for this operation.

We're doctors.

We put everything on the line for surgery as well.

You want to save him, don't you?

Gauze, please.

Finally, there he is.

I called for him.

Dr. Amagi is back.

Dr. Amagi.

You've made quite a mess.

Right?

Did you enjoy yourselves?

If so,

then move it.

We need a large piece of felt.

FELT

-10x10 felt. -Right.

-Metz. -Here.

Can you still move?

I'll do it.

-Suction, please. -Right.

Juno.

Prepare the prolapse.

Okay.

PROLAPSE

Lift it up.

He held the felt to the ruptured part.

-4-0. -Right.

Suturing.

How can he see this?

He's suturing by pure feeling?

Fixing a rupture…

like that?

Suction.

Gently.

It's so precise.

-Metz. -Here.

Increase volume.

Right.

The bleeding…

It stopped…

Amazing.

-Mic. -Right.

How was that?

The show

is now over.

He is the greatest surgeon on earth.

Dr. Amagi!

Thank you for your hard work.

I'm glad you've been discharged safely.

Thank you.

Here.

It's for you.

Nekota. Take it…

The flavor was good,

but the presentation needs work.

Inside and out,

I'll keep doing my best to make it perfect.

Please visit the bakery when it reopens.

Excuse me.

I'll take one.

I'll have one too.

What?

What?

Thank you very much.

Why does she get one?

You really love this rice flour apple pie, don't you, Nekota?

-Nekota-- -Japanese bodies…

are made of rice.

That's what Dr. Tokai said…

Dr. Amagi.

Thank you…

Thank you so much!

In exchange for the pie,

I'll give you this.

Sometimes, depend on God.

I don't want it.

I…

I'll put in the work myself.

Ishin University was up to something…

You knew it all along, didn't you?

And one more thing…

As an Ishin graduate,

I would like you to do something for me.

The public operation…

Dr. Sugai

seems to have invited a troublesome guest.

Please identify that person

and report back

to Amagi.

So this is all…

in your hands, Dr. Saeki?

What I aim for…

is the world's greatest cardiac surgery hospital.

SAKURANOMIYA CARDIAC SURGERY CENTER

To make that happen,

HEAD OF THE NEW CENTER

I need him too.

YUKIHIKO AMAGI

MEDICAL INCIDENT REPORTS

MEDICAL INCIDENT REPORTS

I'll set a time limit of 30-minutes.

The selfish ones will ruin the organisation.

The rich are a higher priority!

I want you to operate.

The success rate of this operation is zero percent.

Subtitle translation by: Tom Grathwol