Original subtitles

Doctors, please listen carefully.

Those days are gone when isha (doctors) were called

oisha-sama (with honorific) and all they had to do was treat illness.

The focus of future medical care lies strictly with kanja-sama (patients, honorific).

The most important thing to a hospital is patient satisfaction.

In other words, their quality of life.

The basics of medical care are sincerity and service.

Listen closely, by paying attention to the patient's wishes.

And sympathize, by reaching out to the patient's feelings.

These two are most important.

One-sided explanations and talking down to the patients

must be avoided at all cost.

Common sense and rules cannot be applied to monster patients

who are furious with dissatisfaction.

The thing to do is calm them down by listening attentively and sympathizing.

At times like that,

words like "so," "but," "then," "that's why,"

are likely to be used, but these words are all taboo.

Let me say it again.

"So," "but," "then," "that's why."

These words are all taboo.

Kaji Sensei. Kaji Sensei.

What is the most important thing for a hospital?

Yes. Uh...kanja satisfaction.

Kanja-...sama.

I beg your pardon. Kanja-...sama satisfaction and

their quality of life.

Next, Jonouchi Sensei. What are the basics of medical care?

Sincerity and service.

- Yes. Hara Sensei. - Listening attentively and sympathy.

Yes, that's exactly correct.

What do we do to prevent monster patients?

- Listen attentively and sympathize. - Exactly.

Now then, let's all repeat together.

Ready, go!

Excellent.

Daimon-san. Daimon-san!

You were sleeping, weren't you?

It seems...

a medical license is totally unnecessary for this conference.

I'll take a pass.

Stop right there! Who in the world

do you think we're holding this emergency compliance conference for?

- Excuse me? - Apparently, you feel no remorse.

Office Manager, please show her that video.

This is a video of

an informed consent meeting that was held a week ago.

No kidding...Hidden camera?

All meetings are recorded with the patients' approval.

As a precaution against lawsuits.

BUT if we do this quick and easy,

Yano-san's prostate cancer will be cured radically.

Did you say quick and easy?

Sensei, you don't understand a cancer patient's feeling.

THAT'S WHY I'm asking you to stay out of this.

Your son is a grown man.

Frankly, surgery scares me.

BUT,

if you have the surgery now, you'll be fit as a fiddle.

However, if you leave it as is, the cancer is sure to progress.

I don't want to die!

THEN sign this consent form.

Daimon Sensei.

Mama~!

SO are you doing it? Or not?

Make up your mind!

- Scary! - No matter what the circumstance...

that's uncalled for! "So," "but," "then," "that's why."

A whole string of taboo words.

But this patient

went home after a successful prostate cancer surgery.

Right?

We received a letter of complaint from the patient's mother.

"My son was threatened by a doctor by the name of Daimon

to sign the consent form and suffered a deep psychological scar."

How come? I saved his life!

That's what we call arrogance.

Even if the surgery is successful, if the kanja isn't satisfied,

we could be sued, is what I'm saying!

Kanja-sama.

Oh...exactly.

Anyway, that's enough for now.

But...we can't have lawsuits.

- It's a serious matter that affects business. - Gyoi.

- Gyoi. - Gyoi.

Daimon-kun, I'm counting on you too.

Gyoi.

Just kidding.

Since when are doctors in the service industry?

Isn't is kinda sad that even if you do what

you think is best for the patients, if they're not happy

they can still sue you?

But I'm wasting my breath

- talking to you about it, aren't I? - Yes you are.

I'm Hanayama. I was admitted to the special room today.

I cooked something for you.

- Just to introduce myself. - That's Hanayama Mitsue-san.

- Who's that? - Don't you know?

She's the pretty cooking expert who appears on TV.

She gets a lot of access on her blog as well.

I put extra special effort into it. Please help yourself.

Wow~ It's an honor to get to enjoy Hanayama Sensei's cooking.

How is it?

It's delicious indeed.

This croquette too...

It's a foie gras and natto colosseum.

...whatever it is, it's exquisite.

The lady doctor there too...

Forget about that onigiri and have some of this.

- That's okay, I'll stick with this. - Don't be shy now.

Food that doesn't bring happiness impoverishes the soul.

- Really, no thanks. - Why?

Foie gras and natto colosseum is

one of my most popular recipe.

The naming is weird and it tastes bad.

Daimon-kun!

It's a nice name. Isn't it?

Yes!

It appears it's not to the lady doctor's taste.

Everyone, please help yourself.

That woman can't appreciate the taste of Hanayama Sensei's

full of happiness cooking.

As you can see, she's the kind of person who can

gobble down her food while looking at organs.

Okay, on to intestinal blockage surgery.

Hey, wait a minute...

This is the story of a lone wolf woman doctor.

Is the food ready yet? How long are you gonna make us wait!

I'm sorry, but we're serving in order...

What're you gonna do if I get sicker from hunger!

- Ow, ow, ow...! - It's cold here. Your room...

Shut up and bring me the food!

I never asked for your help!

University hospitals' medical offices were losing power, and

even medicine, which deals with life and death,

plunged into an era where the law of jungle prevailed.

To fill the critical shortage in the medical field,

freelance, in other words lone wolf, doctors emerged.

For example, this woman.

Averse to groups, averse to authority, averse to constraints,

a medical specialist's license and her self-honed skill

are her only weapons.

Surgeon Daimon Michiko.

Also known as Doctor X.

As a measure to reinforce compliance,

we've placed five suggestion boxes throughout the hospital.

The following are today's complaints and suggestions.

"Wait time is too long at the outpatient clinic."

"I can't sleep because the patient next to me snores too loud."

"All the nurses and staff are ugly. Do something about it."

How rude...!

Well anyway, please take appropriate steps to ensure that

the complainers don't become monster patients.

- Gyoi. - Gyoi.

These days, internet forums and blogs

have a big impact as well.

We are on the watch 24 hours a day.

"My cooking is getting rave reviews at Teito University"

"Third Hospital where I was admitted for tests."

"The single doctors were especially impressed."

"Delicious, exquisite, they said."

"But there was one obnoxious lady doctor."

Isn't this you she's talking about?

"She criticized my cooking and

kept on chomping on her onigiri."

"She's probably a surgery freak

who doesn't have a boyfriend she can cook for and

she's probably leading a very lonely life," she says.

Hanayama Mitsue's a thirty-something single woman herself, huh?

Akira-san, why are you reading her blog?

I tried making this "Exquisite Squash that

Grabs Men's Stomach!"

I guarantee you, it won't' be good.

No, it's very good.

Good?

It's good. Why?

- It's delicious. - I think I'll try this next time.

"Handsome Men's Sautee to Fulfill Women's Stomach,"

This is fantastic...how come?

Stage 2 esophageal cancer, huh?

Has the patient been told?

Yes. Hanayama-san took it in stride, but

for a cooking expert, esophageal cancer is hard to take.

She should have the surgery as soon as possible.

- Yes. - But it's strange.

Esophageal cancer shouldn't cause taste disorder.

What are you talking about? I heard you got into trouble

with this patient as soon as she was admitted.

I merely stated the fact that her food tasted bad.

That's what's wrong with you.

You hurt the patient's pride.

She'll get sued one of these days.

You ate her food, didn't you?

Did you really think it was good?

Something must be wrong with your taste buds.

To tell you the truth...

You idiot! That was just lip service

to keep the patient happy.

It had a different flavor, didn't it?

Yeah, I could only taste the spices in my croquette.

Is that kind of seasoning the trend these days?

See? You guys thought it tasted bad too.

We can't say that to a cooking pro, though.

Compliance-wise, you guys did the right thing.

Her recipes are good, but the food she makes is bad.

Professor, she's planning to do the surgery.

Fat chance. Sensitive female patients like that

need good psychological care. Hara-kun, you do the surgery.

Yes!

The assistant is, let's see...

Daimon-kun. You're Hara-kun's assistant.

Huh? Me?

Are you sure she'll be okay as the assistant?

I'm going to surgery.

Hara-kun, take this opportunity to

educate her as to what medical care really is.

Will do.

I'll teach her medical care that reaches out to patients!

However, do not say a word in front of the patient.

- You just need to do your duty in silence. - This...

Let's keep this matter a close secret.

We have to preserve the image of Hanayama Mitsue who pursues happiness and health.

- Come in. - Excuse me.

- Hanayama-san, here's your meal. - Thank you.

What is this... Does this have any seasoning at all?

I can't eat something this.

But...

Nakamura-san, does the scar from your surgery still hurt?

Don't try to be brave if it hurts. Just tell us, okay?

Yes, thank you.

Saito-san, you're looking good today.

Sensei, my grandchild visited me today and

gave me a shoulder massage.

Ah, is that right? That must've been nice.

Thank you.

Talking with patients is part of medical care too.

If you can connect with each other, it's easier to treat them.

I suppose you wouldn't want to do anything that doesn't

- require a medical license, right? - Yes. It's a waste of my time.

You'll find out soon enough.

That the basic of medical care is reaching out to the patients.

Hey.

Sorry to keep you waiting. I'm Hara, your primary surgeon.

- Oh. - This is Daimon, my assistant.

Sensei, just in case anything should happen,

I'm having my lawyer sit in at this meeting.

Here's my business card.

Thank you. So you're a lawyer.

Yes, being that there's lot of medical troubles nowadays.

Let me start with an explanation of this surgery.

Hanayama-san's cancer is in this part of the esophagus.

After removing the cancer,

we will perform a surgery to reconstruct the esophagus by stretching the stomach.

- Is this surgery safe? - Professionally,

she's concerned about problems she may have with eating.

Well...

Because the stomach decreases in size,

you may experience loss of appetite and weight loss post surgery.

On rare occasions, abnormality in the voice or dysphagia

may occur due to recurrent nerve paralysis.

And what is that?

Difficulty in chewing and swallowing.

If I get those disorders,

what will happen to me as a cooking expert?

I understand your concern.

However, that doesn't mean it happens to all patients who have this surgery.

We will perform the surgery with meticulous care, so

let's do our best together.

How can you say such a thing!

Why don't you try getting esophageal cancer too?

Unless you do, you won't know how I feel!

I apologize for my insensitivity...

I changed my mind. I'm not having the surgery.

There are other ways to treat it besides surgery, right?

We will switch over to anti-cancer drugs and radiation treatment.

But still, if you switch over to internal medicine treatment...

If you don't have the surgery, the possibility of radical cure will diminish.

We cannot sign the consent form.

I understand.

- No way! Why? - You stay out of this.

Let me perform the surgery. I'll make sure it goes well.

You're the one who said my food tasted bad, aren't you?

I don't trust you.

Hanayama-san, you have trouble tasting, don't you?

Didn't you notice any symptoms?

I'm a cooking expert. That's rude!

Daimon! I apologize!

I'm suing! Sue her for defamation!

- Very well. - I tell you, you should get it removed.

Anyway, I'm not having the surgery.

You idiot! A demand for apology arrived from the lawyer via content-certified mail!

Apology meaning money?

That attitude...no, your mere presence

- is a noncompliance. - I just told her the truth.

That's why you're an idiot! What doctor goes around

babbling the truth in front of patients!

I'm very sorry. In my presence too...

A surgeon's worth is in cutting, isn't it? Besides, if she has the surgery,

that patient would be cured 100 percent.

Under the circumstance, it doesn't matter! Whether the patient is cured or not,

as long as we don't get sued, who gives a shit!

- Office Manager. - Yeah!

Oh, I'm sorry.

I, of all people, lost my composure.

Please be more careful in the future.

I have gathering to attend at the main campus after this, so

if you'll excuse me now.

Bring the car around!

You know, you're constantly causing trouble, but

- you have insurance, don't you? - Insurance? For what?

Medical malpractice insurance. In case you get sued.

What? Don't tell me you don't?

- No. - What?

What was that?!

You idiot! How can a freelance surgeon not have insurance.

That's insurance in case a mistake is made during surgery, right?

I don't make mistakes.

This is what Hanayama-san wants.

I have no choice but to transition her to internal medicine.

I never said anything.

Why are you making excuses?

Sounds like Daimon Sensei caused an uproar again.

She's just a freelancer. Why doesn't she just quit.

On top of that, she doesn't even have a practicing doctor's insurance.

- Really? - I hope she goes bankrupt.

As I recall, Jounouchi Sensei had it rough back then too.

That was clearly a false accusation. You won the case, didn't you?

But still, it went on for a whole year. I got called in all the time, and

- I could hardly work. - That was a tough break for you, huh?

Which was tougher? That or your divorce court?

Unlike yours, ours was an amicable divorce.

Right.

Morimoto-kun, what's the matter?

I've been thinking about it a lot lately, but

if I was the patient, I hope I come across a surgeon who's skilled at surgery

rather than a surgeon who's a skilled talker, and

if I was a patient going under the knife, I'd want a surgeon with good hands

rather than a surgeon who gives a good impression.

Are you referring to Daimon-kun?

- Oh, uh... - When did you

- get brainwashed by Demon. - That lady doctor is dangerous.

I'm sorry about what happened at the meeting.

Is that supposed to be an apology?

Thank goodness I don't have to see you anymore since I switched to internal medicine.

Hanayama-san.

I still think you should have the surgery. As soon as possible.

Are you still on that subject?

To me, getting cured is to regain

the delicate, flawless sense of taste.

Quality of life. It's a natural thing for a professional.

Please listen to the advice of a professional surgeon too.

If you give me any more advice,

I'll sue you for real.

What's gotten into you? Surely you're not trying to

- up your girl power by learning to cook. - Of course not.

She sure goes to the dentist a lot.

"I went to see a dentist again."

"I don't know if it was my imagination, but my back molar was hurting."

"But I didn't have gingivitis or cavity,

and the dentist complimented me on my nice teeth."

Her blog's all about bragging, isn't it?

Why are you reading such an old blog?

She should get surgery as soon as possible. But she says she'll sue me

- if I give her any more advice. - What? Are you getting sued?

I just got a content-certified mail from her lawyer.

Oh my God! How can you be reading a blog at a time like this.

We have to work on damage control immediately!

I'll go get water.

Hello.

Hanayama Sensei, excuse me over the phone.

I'm Kanbara, Daimon Michiko's manager.

I apologize from the bottom of my heart for any rudeness on our part.

I was wondering if I could stop by with a melon to apologize.

With Daimon, of course. She would like to

- offer her heartfelt apology as well. - Why? I'm not doing it!

I decline your offer. I get nauseous just picturing

that lady doctor's face in my mind.

Please don't be like that.

I really feel like throwing up...

Hello? Hello?

I wonder what happened. She got quiet suddenly...

Hello? Hello?

Hanayama-san? Hanayama Mitsue-san?

Sensei! Sensei!

- Sensei!! - Hello!

She said she was nauseous and felt like throwing up.

What about the melon?

Arterial bleeding confirmed at esophageal cancer ward.

What are you doing! Daimon-kun!

Hanayama-san coughed up blood, right? Did you stop the bleeding?

- We're trying to with a clip, but... - You're in my way. Move.

The bleeding can't be stopped through an endoscope. Take her to the OR immediately.

- What? What? - Emergency surgery!

Hold it! You've got to be kidding.

- We don't have a consent form. - Which OR is available?

Wait, you can't do this! Hanayama-san doesn't want surgery.

Before surgery can be performed, the patient or family has to give consent!

Daimon Sensei, weren't you off today...?

We're starting surgery now. Call Jounouchi Sensei!

- What surgery? - Just call her ASAP!

No! Get her family's consent first!

She'll die while we're arguing about that!

- Anyway, please come right away. - I can't today.

Please. It's an emergency surgery.

- Isn't there an anesthesiologist on duty? - Another doctor won't do.

Daimon Sensei said to call Jounouchi Sensei ASAP.

I told you I can't. I'm busy right now.

Professor Torii, I sorry to bother you on your day off.

What?! Surgery without consent?

The patient is unconscious. We can't get a hold of her family.

She can't do that. Stop her.

But if left untreated, she may bleed to death...

She can't do what she can't. Keep her alive with transfusion for now.

We'll get sued if we perform the surgery without consent.

Professor, I made reservations at a restaurant after this, and

I want to go shopping too.

Do whatever you can to stop the surgery!

Speed up the IV.

- Suction inside the mouth. - Got it.

Starting suction.

Prepare for differential lung ventilation.

Won't we get into trouble for this?

- Is it true we don't have a consent form? - What? You've got to be kidding.

This is a noncompliance. I refuse to do it!

Position the patient lying on the left side.

I refuse!

Stop it...stop it!

- What are you going to do if you get sued? - Jounouchi Sensei!

- Get the differential lung ventilation ready. - Wait a minute.

You don't even have insurance, do you?

MAP in units of 10. Hurry!

The hospital won't protect you, you know!

No answer still...

Hello... Director!

I heard from Professor Torii that

Daimon-kun's about to perform a surgery without the patient's consent.

I tried to stop her, but it's also true that it's an emergency...

Why don't you go ahead with it.

Daimon-kun isn't officially a member of our medical staff.

If something happens, we'll have her, not the hospital, take responsibility.

If the surgery is successful, our hospital's fame will rise.

It's a good deal.

I trust you'll take care of it.

- Anesthetics? - All set.

- Wait. - I can't wait.

Let's at least contact her family...

Which is more important? The family's consent or the patient's life?

I'll be the first assistant.

Arterial bleeding due to esophageal cancer.

First, we'll open the chest. After stopping the bleeding, resect the esophagus.

In addition, we will open the stomach and reconstruct using the colon.

Reconstruct with colon?

Scalpel.

Forceps. Rib shear.

First assistant. Hurry up with the forceps.

Hand me the forceps.

Hurry up and expose the ribs.

Rib spreader.

Hello. Mai?

Sorry I had to leave in the middle.

You didn't fall while running, did you?

I didn't fall, Mama. First place!

First place? That's awesome. You did it!

I'll be there as soon as I can, so

so you listen to your teacher and be a good girl.

Okay.

Your daughter?

Don't call for me on weekends again.

Thanks for your hard work.

Excuse me.

Hara-kun, this is Hanayama-san's lawyer.

I'd like to hear about the surgery you performed without the patient's consent.

She almost died from hemorrhagic shock.

The surgery was necessary to stop the bleeding.

How is Hanayama-san's condition?

She was in critical condition for a while, but she's stable now.

Thank you for saving her life.

However, Hanayama-san was refusing that surgery in order to

to preserve her other life, her work.

Once Hanayama-san regains consciousness, we will start a lawsuit.

What?! But...

You knew you could be sued even if

you saved a life!

Say something.

You can't sue us!

What?

Daimon Sensei

didn't perform the surgery Hanayama Sensei refused.

What does that mean?

The surgery I had originally planned was

esophagectomy with gastric tube reconstruction by stretching the stomach.

In that case, there's a risk of post surgery disorders,

such as difficulty in swallowing, which

would have hindered her work as a cooking expert.

However, the method used by Daimon Sensei today

utilized the colon, not the stomach, to reconstruct the esophagus.

Gastric function preserving esophageal reconstruction.

It's an extremely difficult operation, but

since most of the stomach is left intact,

it's considered the best method to preserve gastric functions.

Hanayama-san's esophageal cancer was completely removed.

Her condition is stable.

I believe she can continue

her normal activities as a cooking expert.

Are you still going to start a lawsuit?

I will talk it over with her once she wakes up.

Did she really perform such a flawless surgery?

Yes.

Ah, this feels good!

1 week later

Professor Busujima will now

make the Director's rounds of the surgery wards.

It appears Daimon-kun's surgery went well.

Yes. The patient's recovery is going well too.

Excellent.

Director! Director! Director!

- Excuse me... - What is it?

It was all for naught.

That lawyer says they're suing.

Wasn't Daimon-kun's surgery successful?

It was. But

it must mean the patient wasn't satisfied with the result.

- Well, I guess it can't be helped. - Excuse me?

The hospital claims no responsibility.

Daimon-kun, who performed the surgery on her own, will be held accountable.

Ah... Gyoi.

Michiko, bad news... We're in real trouble this time.

Doctor Daimon Michiko of Teito Medical University Affiliate

Third Hospital's Surgery Dept. 2, performed surgery on Hanayama Mitsue

to remove esophageal cancer without

consent based on adequate explanation.

As a result, the patient is suffering from

taste disorder and other complications after the surgery.

Because of this, it has become difficult for the patient to

continue her activities as cooking expert, and

she is in danger of losing her career and fame.

The patient hereby demands that

Doctor Daimon, together with Teito Medical University Affiliate

Third Hospital make a payment

to the patient in the amount of 100 million yen for damages.

Taste disorder...100 million yen...

What on earth is this!

It has no taste! There's no way I can eat this!

It's porridge, so it's only lightly seasoned...

I told you I don't want to eat it.

It's very good.

It's because of the surgery I can't taste anything!

My life is ruined because of you!

Hanayama-san, that started way before the surgery, didn't it?

You noticed symptoms of taste disorder from

about a year ago, didn't you?

But as a cooking professional,

you had to fake it so that people around you wouldn't notice.

Daimon Sensei, what are you talking about?

I read your entire blog.

You saw the dentist several times in the past year

complaining of a toothache, right?

Your tooth isn't the cause of that pain.

It's not related to esophageal cancer either.

Then what is it?

It's glossopharyngeal neuralgia.

What in the world...

A tumor forms on the membrane encasing cerebral nerves,

putting pressure on the nerves,

subsequently causing taste disorder.

None of the doctors here mentioned

anything about a tumor.

They were probably preoccupied with the cancer and overlooked it.

It bothered me a little so

I asked to see a detailed image...

Who did you say were you?

I'm Shiraki from Radiology.

It's hard to tell, but can you see this little spot here?

Is this...cancer too?

98 percent of the tumor in glossopharyngeal neuralgia is benign.

If it's still this size after a year...

I'm sure it's benign.

I see...

But...how did you find it when

the other doctors overlooked it?

Because the food you cooked tasted too bad.

You're still rude!

But the food made with your recipe prior to

a year ago was fantastic.

Well thank you.

If you have the surgery to remove the tumor, the taste disorder will be cured.

The sense of taste from back then... will return?

Really?

Let me do the surgery.

I don't make mistakes.

Well, since the scar from your surgery is clean too,

maybe I will...

I'm counting on you.

Say, Michiko.

Hanayama-san sent you her new cookbook.

- Not interested. - I'll read her letter out loud.

Daimon Sensei, how are you?

I, Hanayama Mitsue, recently entered marriage after a whirlwind courtship

with Nakano Sensei of internal medicine, who I met during my hospital stay.

- What? - Here, picture.

My cooking knocked him down.

I wanted to share my happiness with Daimon Sensei,

please try cooking once in a while.

My recommendation for you is on page 36.

Girl Power UPpuru (Apple) Pie...

Leave me alone!

She's got zero girl power.

Averse to crowds, averse to authority, averse to constraints,

a medical specialist's license and her self-honed skill

are her only weapons.

Surgeon Daimon Michiko.

Also known as...

Hanayama-san sent over some food to thank us.

"To all the single doctors

Carnivore Male Power UPpuru (apple) Meat Pie."

Huh? Carnivore Male Power Up with Uppuru? Hanayama-san...

Delish!

Yeah! It's good!

She even cured her taste disorder...

You talking about Demon again?

There's no way she can do one flawless surgery

after another!

Delicious...!

Actually, it's so-so.

Kaji Sensei, Kaji Sensei!

Do you remember the story of that mysterious doctor?

Ah, you mean that amazing surgeon in Cuba?

There's a continuation to that story.

The patient who had this surgery died the following month.

Seeking to know the cause of death, the family filed a lawsuit against the hospital.

However, to this day, the hospital

has not released the identity of the primary surgeon, Doctor X.