Original subtitles

It can't be.

Dr. Tokai?

Tokai.

Can you perform direct anastomosis?

I won't do it.

I don't like gambling.

Come on, Dr. Tokai.

Sorry, I'm late.

Ms. Shiino?

She helped me.

We'll get it set up.

We've gotten consent from Chairman Uesugi to use the experimental Elcano Darwin.

He asked us to save Dr. Amagi's life.

If it's going to be direct anastomosis, have this one help you.

And you'll do the Saeki Method?

Elcano Darwin preparations are complete.

What?

Stop staring at me.

Using Elcano Darwin,

we will now begin direct anastomosis.

As well as mitral valve repair using the Saeki Method.

Let's begin.

Now starting direct anastomosis.

It has begun…

They have already finished the detachment.

Thanks to Elcano Darwin's motion compensation,

Professor Saeki is able to perform direct anastomosis.

-Ring size? -Let's use 32.

Okay. Let's begin.

All right.

-Tweezers. -Here.

-Cooley hook. -Right.

-Faster. -Right.

Okay.

-Faster. -Okay.

Okay.

-Hurry. -Yes.

They're so fast.

This brings me back.

The devil of Tojo University.

-Hurry. -Right.

Amazing.

At this rate, they'll be done in no time.

-Here we go. -Right.

Blood pressure dropping.

-Metz. -Here.

-Metz. -Here.

The heart has stopped.

Cardiac arrest!

-4-0. -Okay.

-Tweezers. -Here.

-Tweezers. -Here.

AMAGI

TOKAI

AMAGI - TOKAI

Direct anastomosis complete.

-Finished. -No change in cardiac arrest.

-Metz. -Here.

-Administer bosmin. -Right.

Let me take over.

Come back.

Amagi!

Amagi!

Amagi!

Heartbeat detected.

We have a pulse.

-Yes! -All right!

They did it!

Yes!

I'm glad.

Thank you.

Please tell Chairman Uesugi

that I'm grateful.

I will.

I'll close the chest.

Suction.

-Okay. -Tweezers.

Here.

-Tweezers. -Right.

-Gauze. -Here.

Thank you.

I'm not here to help you.

It has been six years.

I've been working hard.

Say something.

You haven't paid me a single yen. I thought you had quit.

Okay.

Close up for me.

Dr. Tokai.

Please teach me again.

You've made it this far. Don't kill him now.

Dr. Amagi.

What am I doing here?

Dr. Saeki operated on you with the Elcano Darwin.

Not only that.

Dr. Tokai was there as well.

I see.

Here.

This is from Dr. Tokai.

I…

How can I put this?

You don't have to say a thing.

It doesn't matter how much you know.

Our relationship won't change.

Right?

Right.

From now on…

you can continue to serve your master as a loyal dog.

I'm not a dog, you know.

We're colleagues.

I want to eat a canelé from Pâtisserie Blanc.

Go get me one.

Hold on a moment.

-Do they even sell those around here? -Hurry.

Got it.

I'm glad you're okay.

I'll be back.

Let's stay together forever, Seishiro.

Let's stay together forever, big brother.

SURGERY REPORT

SURGEON: TSUKASA AMAGI

Is there a problem?

No.

I just wanted to check something.

Actually, I…

I got this from the lab.

NAME: SEIGO SAEKI

You're making a swift recovery.

I am.

How are your eyes, sir?

So you noticed after all.

I'm impressed.

You were still able to operate.

I heard my beloved brother was there.

I called him in.

I couldn't just let you die.

First,

thanks for saving me.

I will pay you back.

I know you're still recovering, but in that case,

I need you to do something for me.

A public operation for the International Cardiac Association.

A public operation?

The selection process for the new hospital will begin soon.

If we can show the world what we can do,

we'll be able to bring in talent from around the globe.

Understood.

It would be my pleasure.

The final push for the new hospital.

I'm counting on you.

One more thing, sir.

Was the reason you took interest in me

because I'm Tsukasa Amagi's son?

Or…

because I'm Ichiro Tokai's son?

What are you getting at?

I'm talking about the truth that the black forceps are hiding.

You needed to redeem yourself for Ichiro Tokai.

I would like to get the facts straight.

Because you left a pair of forceps inside of a patient's chest,

Ichiro Tokai was expelled from Tojo for medical malpractice.

Ichiro Tokai, with only a short time left to live,

decided to take the fall to salvage your career.

Six years ago,

you, who successfully swapped in the black forceps,

were able to seal the truth away forever.

They don't show up in X-rays,

and will turn to ash during a cremation.

The black forceps out of carbon.

You were quite thorough.

It was the only way to save that patient's life.

That's correct.

But from an objective point of view,

you only have the position of professor which you hold now,

thanks to Ichiro Tokai taking the fall.

Get to the point.

Actually,

my father…

had these.

There are plenty of forceps just like these.

That's what I thought too.

Right up until my father died.

NAME: TSUKASA AMAGI DOCTOR: GIB AGUTTER

When I heard the news of his condition,

I rushed from the Gold Coast to France.

When I arrived…

-Dad. -…this is what he told me.

Yukihiko.

Yukihiko.

The black forceps.

The promise…

was broken.

Promise?

Dad?

Those were his final words before he stopped breathing.

Dr. Saeki.

Why did my father have those?

Dr. Saeki.

What was the promise of the black forceps?

What are you talking about?

I have no idea.

Dr. Saeki.

Don't make such a scary face.

Don't worry.

I will pay you back for saving my life.

You need rest.

Soon after, Dr. Amagi returned to work.

To advance the establishment of the Cerisier Heart Center,

preparations began for the operation at the International Cardiac Association.

Also,

Dr. Amagi chose his patient.

The patient was Yui Shigeno.

She's the granddaughter of Takamitsu Shigeno,

whom Dr. Amagi had previously operated on.

-In fact, a lump was found -Are you okay?

-in her left coronary artery. -Yes.

Why did this happen to her?

Doctor.

Please.

Please operate on her.

I'm begging you.

Very well.

However, there is one condition to receive surgery from me.

This time…

Want to try my newest creation?

-Thanks. -You missed out last time, Dr. Sera.

I've been waiting for this.

I'm so happy.

-Can I have one? -Go ahead.

-Thank you. -They look great.

I'm really happy now.

Thanks, Yui!

Why did you do that?

-Give that back. -It's great!

-Take your pick. -You crafted that?

Tails!

These are the results of her examination.

She has a coronary aneurysm.

The peripheral parts are quite narrow, making traditional bypass difficult.

I will be able to perform direct anastomosis.

The patient will be delivered by helicopter to the public operation.

This will be the world's first direct anastomosis performed on a child.

I think the audience will be in for a treat.

And how much did you charge her for this?

A price you certainly can't afford, Dr. Kurosaki.

As for the operating personnel, Dr. Takashina will be the first assistant.

For second assistants,

I would like to ask Dr. Kakitani and Dr. Sekikawa.

Pardon me.

What are you doing?

Yui is my patient. I won't have this.

That's why I'm leaving you out.

That doesn't answer my question.

Here's the true consent form.

Huh?

OPERATION CONSENT FORM

The operation is scheduled for the day after the public surgery.

What is this about?

The schedule overlapped with the Hospital Director election.

Yes.

To be able to appeal to the world, I cannot afford to be absent.

I would like you to give a speech at the election for me.

Understood.

If you think that's best.

Sir.

Do you have a minute?

What are you doing here?

Tell me where the patient you operated on eight years ago is.

Eight years ago?

-Well, that's out of the blue. -Give me a break.

Well, then.

How about the patient that Tsukasa Amagi operated on at Tojo University?

Does that ring a bell?

Five years before my father died,

I discovered a certain paper.

CORONARY ARTERY GRAFT

What are you doing?

Forget what you've seen.

Never make this public, okay?

My father was angry because he wanted to seal away

the dangerous procedure known as direct anastomosis.

Nevertheless, just before he passed away…

Black forceps.

The promise…

was broken.

Promise?

And of course, that paper…

I found it while sorting through his belongings.

I thought it had certainly been discarded,

but it was carefully preserved.

YUKIHIKO IS THE ONLY ONE WHO CAN PERFORM TOKUNAGA'S SURGERY

I soon returned to the Gold Coast and investigated Mr. Tokunaga's operation.

Can you believe the timing?

That's when I met Juno.

It's from our hospital director--

I was surprised, to be honest.

-I couldn't believe I had been scouted -Please accept it.

by the infamous Seigo Saeki who owned the black forceps.

At first I wasn't sure what to do.

I thought something bad might happen if I were to go to Tojo.

But in the end,

God showed me the way.

To find out if there was a patient named Mr. Tokunaga at Tojo or not,

I searched the archives for any records.

I found no trace of a patient named Mr. Tokunaga.

However,

one day, I found a single page to be missing from that book.

But I did find it,

at that house.

After that,

I lost consciousness

and thought I'd go see my father in heaven.

But…

A miracle happened.

Mysteriously, when I came to,

the operation record had disappeared.

So, sir.

Give it back.

I know nothing about it.

I have no reason to hide Dr. Tsukasa's operating records.

Yes, you do.

SURGERY REPORT SURGEON: TSUKASA AMAGI

You were too naive.

SURGERY REPORT SURGEON: TSUKASA AMAGI

You proved your guilt by hiding it.

Now I know it was an inconvenience for you.

Furthermore, on this operation record,

all the names listed besides Tsukasa Amagi's were fake.

That's when I finally understood.

Mr. Tokunaga's operation eight years ago…

It failed, didn't it?

You blamed this failed operation entirely on Tsukasa Amagi.

That's why my father said the promise of the black forceps was broken.

Isn't that right?

Whatever.

I'll follow my father's last words.

Now, tell me where Mr. Tokunaga is.

Where is he?

I cannot tell you.

Mr. Tokunaga's care

is completely in my hands.

I won't let anyone touch him.

Not even you.

Then I'll do it without asking.

After the public operation,

I will locate Mr. Tokunaga,

and operate on him just like my father wished.

I will make sure the world knows

the evil that you've done.

Now, move it.

GET WELL SOON!

RECIPE NOTES

You'll get through this.

How was she?

Was everything okay?

She was really nervous.

Of course, she was.

JUNO

Nurse Fujiwara.

What is it?

-I've finished my rounds. -Thank you.

What is it?

Tomorrow is the big day.

Look how far we've made it.

I'll be rooting for you.

Thank you.

By the way, Professor Sugai,

I heard you'll be coming to Tojo University tomorrow.

I want to see the fall of Professor Saeki

with my own two eyes.

Yes.

TAXI AREA

-Thank you. -Thanks.

Sera?

It has been a while.

It sure has!

What are you doing here?

INTERNATIONAL CARDIAC ASSOCIATION

Have preparations for the patient's arrival been made?

About that…

Our patient

won't be making it today.

-What? -Don't worry.

I've found a new patient.

His name is…

Eichi Tokunaga.

What is it?

EIICHI TOKUNAGA

Professor Saeki,

Mr. Tokunaga has a visitor.

It's Dr. Sera.

What did you say?

I thought he might do that.

Last night…

I've got a favor to ask.

Understood.

A patient at Fujimi Recovery Center.

Right.

I'll make a call to arrange the transfer.

How dare you!

I'll call you back.

Cut the crap, Amagi.

-I'm being earnest. -No.

Mr. Tokunaga.

He can't be saved.

Not even by you.

-He can't? -That's right.

That's why I was planning on operating on him with the best technology

after the new hospital is completed and fully functional.

If you mess this up,

the patient will die in front of everyone.

Always falling into sophistry.

I won't fall for your tricks.

OPERATION CONSENT FORM DIRECT ANASTOMOSIS

As I'm sure you know, Mr. Tokunaga is bedridden.

He has no relatives to sign the consent papers for him.

That's why,

as the one bearing responsibility for him,

I would like to ask you for your consent.

I already told you.

I cannot accept it.

If I don't receive your consent,

I'll expose the truth about the malpractice

that you committed upon Mr. Tokunaga.

I imagine

it would be the biggest scandal

that the Japanese Medical Association has ever seen.

And you think they would believe you?

Your life,

or the patient's.

The question is…

which will you save?

Professor Saeki.

Please have Mr. Tokunaga transferred by helicopter.

The location is the Tokyo International University of Medicine.

Understood.

Putting the patient before yourself…

The very standard of a doctor.

You devil.

Please use this room.

This is great.

I'll enjoy watching your victory from here, Ejiri.

I'll do my best to deliver good news to you.

You're changing the patient?

If something happens, the entire world will know.

Don't worry.

I'll be taking full responsibility.

Yes, Dr. Amagi. We'll be there shortly. Please be ready.

Here are the latest exam reports.

This is…

The three main branches of his coronary arteries,

the right, anterior, and circumflex branches,

are all obstructed.

Impossible.

Perfect for appealing to the world.

Dr. Amagi.

Don't tell us we'll have to perform direct anastomosis on all three?

Is that a bad thing?

I can't endorse it.

We'll do direct anastomosis on one of them

and perform a regular bypass on the remaining two.

We can't do that.

Why?

During a previous operation, his saphenous vein

and thoracic artery were taken out.

Give me a break.

That means…

Right.

The only way to address the three sites with the remaining thoracic artery…

performing direct anastomosis on all three is the only viable option.

Don't worry.

If everyone follows my orders, the operation will be a success.

All right. Let's get ready.

-Right. -Okay.

Dr. Amagi.

What did you bet on?

As caretaker, you should get back to the hospital.

Was it on Mr. Tokunaga's operation?

Just because.

It's meaningless for me to bet when I'm the surgeon.

You're right.

I have a favor to ask.

Let me help with Mr. Tokunaga's operation.

No way.

Why not?

Because don't want me to be a part of risky operations?

I haven't told you yet, Juno.

No.

The reason I'm able to perform direct anastomosis.

I'll tell you.

It was my mother's operation.

When I had gained a good amount of experience as a doctor,

I had to perform bypass surgery on my mother, who was suffering from angina.

AVOID MAKING IMPORTANT DECISIONS.

On the day of the operation, her horoscope warned of bad luck.

-She hoped to postpone her surgery. -It'll be okay. Don't worry.

But I said it would be better to have the surgery as soon as possible.

I persuaded her to proceed with the operation.

During the operation,

a myocardial infarction occurred.

Metz.

ST is elevated.

Micro scissors.

Metz.

We tried multiple times, but each bypass became clogged.

It was a certain death.

Color of the heart is looking bad due to ischemia.

But then…

I remembered that paper.

Scissors.

As a result of being absorbed in what I had learned in that paper,

I was able to introduce direct anastomosis to the world.

Direct anastomosis

under those conditions?

I told you, didn't I?

You couldn't do it if you tried.

You see,

it's a gift given to me by god.

But that operation…

was the first time

and the last time

that my patient died.

The patient's temperature is rising.

It's hyperthermia.

It's rising above 40 degrees Celsius.

Administer dantrolene.

We don't have any.

That's impossible.

Go find it right now.

No way.

That's when I started to impose my patients to test their luck.

I don't want to see another accident like that.

Did you…

get to test his luck this time?

Excuse me.

Yes?

Yui has been put on oxygen.

I was planning on asking Nurse Fujiwara, but she's not here.

The oxygen should stabilize her condition by distributing vasodilators.

Keep an eye on her.

I'll take a look as soon as I get back.

Thank you.

See you soon.

Hurry and get back to your own patient.

Understood.

In return, promise me this.

Succeed in the operation and come back to Tojo.

I'll be waiting with Yui.

Of course.

Pardon me.

Progress Report 23.

Five minutes until the direct anastomosis public surgery.

I have an announcement about a change in today's patient.

DR. YUKIHIKO AMAGI DIRECT ANASTOMOSIS

Due to the patient's worsening condition, we've changed to a different patient.

However, the operation displayed will be the same.

Using direct anastomosis,

-and coronary bypass surgery. -That patient!

Thank you.

What is he doing here?

Let the show begin.

DR. YUKIHIKO AMAGI DIRECT ANASTOMOSIS

Let's begin.

-Scalpel. -Here.

First, current Vice Director and cardiology specialist.

Professor Ejiri will take the stage.

HOSPITAL DIRECTOR ELECTION NORIE EJIRI

Thank you for the introduction.

I'm the Vice Director of Tojo University Hospital,

Norie Ejiri.

Thank you for taking time out of your busy day

-to come to the election today. -Dr. Sera.

-I appreciate your support. -Sorry, I'm late.

-Thank you. -I was taking care of Yui.

-Hey. -What?

Come with me.

The chest is open, Dr. Amagi.

I'll dissect the internal mammary artery.

-Metz. -Here.

What's wrong?

This is…

You. Did you bring out Mr. Tokunaga?

-Do you know what you've done? -Yes, I do.

However,

the only person who can cure Mr. Tokunaga's heart is Dr. Amagi.

…even for Nurse Fujiwara,

who has long supported Tojo University alongside Professor Saeki,

the change in patients is not easy to accept.

Ladies and gentlemen.

The patients must be our first priority.

We must think of their lives.

What is she doing here?

We have but one hope.

To make it come true,

Tojo University Hospital must return to its roots.

For that to work,

a new director must be hired.

On top of that,

Professor Saeki is currently battling a certain illness.

Due to the effects of glaucoma,

Professor Saeki's work is being hindered by poor sight and hearing.

He's been hiding the truth while continuing to operate.

Operating in that condition? That's too dangerous!

Will they really appoint a new director?

What's going on?

-Why is this happening? -Quiet, please.

-Dr. Sera. It's Yui. -We understand how you feel.

I didn't expect the adhesion to have progressed this far.

What should we do?

We can't risk even the slightest rupture.

Don't worry. I'll continue.

-Excuse me. -What?

The patient's temperature is rising rapidly.

This is…

Could it be malignant hyperthermia?

-The patient's temperature is rising. -It's hyperthermia.

We don't have any.

Calm down.

Administer dantrolene at once.

I'm sorry.

We don't have any.

MALIGNANT HYPERTHERMIA

Subtitle translation by: Tom Grathwol