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Ahh... that feels good.
So... I'll be back.
Dr Kojima, you're a lifesaver, thanks.
-Thank you so much. -Thanks.
Excuse me.
I came to help too, where's my thanks?
Hey hey hey, look at me you jerk!
-We're very grateful to you too Dr Aida. -So you should be.
If it weren't for Dr Kojima,
accepting a patient like that would have been risky.
By working with all departments,
I want to accept all patients,
I want to save all those lives, like the Thousand-Armed Kannon.
But we only have two arms.
-Orthopaedics also opposes. -Don't decide that on your own.
-I'm the manager. -Sorry, it's just that...
Saving everyone is not something an individual in a private hospital can do.
After all, isn't the A&E department
essentially propped up by black labour?
No, I don't think so.
That's weird coming from you Dr Matsumoto.
If we're told that we must accept all patients, then we have to change the way we work.
Most interns quit A&E because the work is too tough.
Tanaka, to be a lifesaving emergency doctor...
I also have no intention of joining A&E.
I'm not buying it no matter how enthusiastic you are. No thanks.
Huh?
-Hey hey hey... -D... Dr Matsumoto.
Ah, and while I think of it,
that patient you're having a hard time with,
how about trying amiodarone?
How about trying?
Just what do you think you are you doing...?
Tanaka is the son of the distinguished family in Katsuyokai hospital
Your father's a leading brain surgeon, right?
I don't care if you're some distinguished son, you're still nothing more than an intern.
-Calm down Dr Matsumoto. -Even if the Kannon only has 1000 hands...
Only has 1000 hands?
Chairman!
If you don't have the capacity in your heart to manage 1000 hands,
you won't be able to save anyone.
If you get emotional, it will be impossible, right?
Erm, what is it?
There has been an inquiry that came directly to me
from the family of a patient who was brought to A&E last month.
How is your compliance?
How is our compliance... erm...
Er... well, Chairman.
Well, I'm going to get some food.
Hey, Tana...
Dr Miyake, you're good at drawing!
A Thousand-Armed Kannon that saves all lives.
I was wondering how his arms were connected, so... the skeleton...
That's... the shoulder blade.
Yeah, but it has a thousand arms, right?
Most statues actually have 42 arms.
That's why...
they have a spine like this.
-Your artistic skill... -So, the shoulder blades
overlap like a mountain range.
So that means the shoulder muscles
are like this? That can't be right.
There wouldn't be enough force to move them.
Even if you say you'll use your 1000 arms to save,
you can't do that without the power.
Ah! The Thousand-Armed Kannon
looks like it has eyes on every hand.
-Eyes?! How are the nerves connected? -It's disgusting.
Hey, tell me how, hey?
-Yeah, the nerves. -The connection to the nerves...
So, you helped A&E?
I'm sorry, there was a patient with arterial damage, but somehow...
And Dr Kojima was somehow in the vicinity?
Do you want to become a no---rmal surgeon?
-Huh? -I,
I want to save patients that can only be saved by me.
Patients with incurable diseases,
only I can do it.
I'll use my skills to save with these hands.
I think that you can do that too.
Huh?
These are the operations for next week,
you'll join as my first assistant.
-Thank you so much! -But!
On the condition,
that from now on, you cease your involvement with A&E.
-Huh? -Substitute work
should be done by substitute people.
Yeah, when I'm done here, I'll go back to uni and study brain surgery.
Dad was right about Professor Kato. I'll talk to him.
-Okay, I'm sorry to have bothered you. -Yoshida! Come on!
Okay! Sorry, there's an emergency.
-Thanks. -Koichi Nagasawa san, 58 years-old.
Consciousness level 3 of 100. Pulse 95, showing signs of arrhythmia.
Blood pressure 110 over 190.
He was drinking in a club in Ginza,
it seems he fell down some stairs. And, this was in his bag.
What is it?
It's an anticoagulant. A treatment for thrombosis?
Let's hope we can stop the bleeding.
That's severe.
Acute subdural hematoma along the median line of the brain,
and traumatic subarachnoid haemorrhage.
Dr Matsumoto! Nagasawa has hemiplegia on the right,
If we operate on the brain now, there's a strong chance of haemorrhage.
-It's pretty severe. -Consider the post-operative prognosis.
We'll do it. If we don't operate, we can't save him.
Got it. I'll contact the brain surgery dept.
-Make preparations! -Got it!
Okay!
Erm, excuse me,
we just had a call to say Koichi Nagasawa was brought in.
Koichi Nagasawa san? Please wait here a moment.
-We're family. -Operating on a patient like that,
with traumatic subarachnoid haemorrhage and a subdural hematoma.
Also, what was with that anticoagulant medication?
The prognosis is really bad isn't it? Even with the operation
there's a good chance he'll be bedridden or even vegetative.
Excuse me, are you talking about...
Koichi Nagasawa san?
Let's begin surgery for the cephalohematoma removal and brain decompression. Scalpel.
Pleased to meet you, let's do our best.
Please wait! It's Nagasawa's wife,
-she wants you to stop the surgery immediately. -Huh?
The doctor in charge will be along to explain...
I'm Dr Matsumoto, you're Nagasawa's...?
I heard... about my husband's condition.
After the operation,
he could be left bedridden or even in a vegetative state, right?
While it's true, there is an element of risk,
if we don't operate right away, your husband will die.
You said the prognosis was bad, didn't you?
That's true isn't it?!
I'm sorry to say that if he suffers brain damage, there is no cure.
Damage to motor functions...
and brain death are both a possibility.
I knew it...
But for us doctors, we simply can't lose hope when it comes to life-saving treatment.
That's why I don't want you to care for him!
But... are you sure you won't regret that?
How can I possibly understand... when I'm told something like that so suddenly?!
He's only 58, how many years does he have ahead...
I'm sorry, but we are in a race against time...
I know that! That's why you're saying...
Mum, that's enough!
It's fine, just do the operation. Please.
Okay.
Okay, hurry up and start!
What were you doing?
I was just explaining my thoughts.
I'm just an intern so what do I know?
She just overheard and took it seriously...
Overheard?
-So, what are you going to do about it? -Sorry.
These are patients and families! It's irrelevant that you're just an intern!
Anyone could be watching you!
Right?
You know...
But I don't think I was in the wrong for saying that.
You may be able to prolong his life, but in my opinion the prognosis is bad.
If you increase the number of patients in this condition, it will block beds.
Then we won't be able to accept patients that we would be able to save.
Would you say that if it were a member of your own family?
Yes, I'm from a doctor's family,
there is a limit to what medical care can achieve.
I don't like it, but I accept it.
I have something to say to you...
saying that you will save any patient
is your own self-indulgence.
-Self-indulgence? -Because it's the family that provide the care.
Shouldn't that be the deciding factor in saving patients?
If that were the case, then why back then
didn't you say something to the family? Why were you silent?
Were you prepared to let the operation be stopped just like that?
You didn't decide to let the patient die of your own accord, did you?
I don't like people like that.
When a life is on the balance,
don't decide between who lives and dies unless you're prepared for the consequences.
You're a doctor, aren't you?
What great self-control.
In general, if you want to save people,
it's probably a good idea not to get emotional.
Don't get emotional!
Ah, I think I'll stick this up over here, right?
Self-indulgent?
I wonder what it really means to save someone.
The surgery was completed without complications.
We used therapeutic hypothermia to protect the brain, lowering the body temp to 34.
We're raising the temperature slowly while waiting for swelling to go down.
Mum?
Er... are you okay?
Of course I'm not okay!
After this, there's more...
he's not going to be okay...
-I'm sorry. -It's fine.
Oh... what is it, dammed monk?
Yes.
As Buddha was nearing death
he said to Ananda who was grieving and wailing...
He said that...
even if I die, I should do it well, right?
That's pretty much it.
The idea of me contemplating Buddha doesn't change anything.
I...
guess you could say I'm enlightened?
What the hell, you've been on the wrong side of me for some time.
Ariga san.
Are you in difficult circumstances right now?
I am, but that's only to be expected,
I'm dying, aren't I?
Ahh, but...
I'm not worth the worry.
If I die, Kami san will be as sad as anyone.
I wish I could die after her.
Because of me, she'll be in mourning. I don't want her to mourn.
I'll let her nurse me till my final moments.
I don't exactly know what's bothering you,
But just like me,
perhaps it would be good for you to be meddlesome.
Damned monk.
Meddlesome eh?
It's meddlesome to reach out a hand
to someone who's lost the courage.
I say that as someone who's been saved by a dammed monk's courage.
Make no mistake.
Thank you so much.
It's beautiful isn't it?
Yes.
How's the brain pressure?
It went up a little, so we've not brought it fully back up to temperature yet.
Keep an eye on the blood pressure and the glycerine.
Yes.
-Let me know if there's any change in the brain pressure. -Okay.
About the other day...
thanks to Dr Kojima, we managed to save a patient.
Well that's great.
In the future...
Dr Kojima's last op in A&E was a success,
as she was advised by you Dr Matsumoto.
I'll turn her into a top-notch brain surgeon.
That doesn't mean she can't come to A&E...
Of course, I have acknowledged her
-but... -Hey,
why do you hold such a grudge on the A&E department?
Do you have some kind of problem with me?
Yeah.
I can't help anyone who interferes with my future projections.
Do you think I'm a terrible doctor who's going to let patients die?
Well, if that's a grudge then go ahead.
Hold a grudge against me.
I'm all ready.
Now I'll extract the internal thoracic artery.
-Okay. -Give Dr Kojima
the electric scalpel.
Huh?
Huh, okay.
I'll go ahead.
If you please.
-If you please. -Okay.
-The electric scalpel please. -Okay.
Oh, what's this? You can do it with your right hand.
-Yes. -Clip that branch there.
Okay.
That's it, don't dissect it.
Be careful and quick.
Okay.
-Forceps and blower please. -Okay.
Right, thanks Dr Kojima,
Is it centrally aligned?
-Yes. -Then...
that's good.
Well done.
-Thank you so much. -Okay.
-64 points. -Huh?
That's your score for today.
-I'm sorry. -A score of more than 60 points is a pass.
I'll give you a detailed breakdown of your score in a graph later.
A graph?
Thank you so much.
The next op is the VSD.
But operating on a child is a bit much for me...
This is a chance for you to experience a child's ventricular septal defect in a general hospital.
You don't often see it.
You're lucky.
Lucky?
Isn't it a bit cold in those clothes?
It's late... you should go home.
What's...
Sorry, sorry.
Can I touch it?
What happened?
And this one too, can I take a little look?
Sorry.
How did you do them? Did you get hit?
-I fell over. -Fell?
Hey, are you okay? I'm sorry.
Hey! Pervert!
-Huh? -No way!
-No, you're wrong. -Don't come near me.
-Somebody help! -No, you've got it wrong!
You're wrong!
I saw him, he was lifting the child's clothes and looking at his chest.
I told you, that's not it, I'm a doctor,
I was just trying to have a look at the kid's injuries.
-Can I see your ID? -My ID? I'll just get it out.
Give me a break, seriously?
Hold on.
Huh? Just a minute. Maybe it's in my locker?
What?
What is this? Is it... cosplay?
I'm a doctor and a monk.
-What the hell kind of lie is that? -Huh? But it's true.
Well then, read me some sutras.
-Huh? -A sutra.
Dr Matsumoto?
Dr Matsumoto!
Ah, Dr Kojima! Dr Kojima! Help me! Help me Ananda!
It's me! It's me!
Miamaw-subs.com Twitter: @Miamaw2
Don't do things that could be easily misconstrued doctor.
I wasn't doing anything that could be misconstrued.
-Well... if that's all. -Ah, just one thing.
That child's injuries...
there is a risk of abuse.
Please take him into protection and contact child welfare services.
Please.
I'll take you home.
I'm fine. Goodbye.
That sweatshirt is G Jumper Musashi right?
Wasn't he actually an old man that transformed into a kid?
He played volleyball, didn't he?
-Basketball. -Ah, was it basketball?
So, are you a first-year student just like Musashi?
-I'm second year. -Ah, I got it wrong.
So, is it South Aobadai primary school on the corner over there?
-Yeah. -Great, I got one!
-Your name? -Kaito Shinagawa.
Kaito kun? That's a cool name.
Kaito kun,
What happened?
Can you tell me the truth?
-I'm fine. -Don't worry,
cause I'm a doctor.
With these hands, I help other people.
If you're in pain or in difficulty
then I want to make it better.
Think of me as an uncle.
I just really want you to talk to me.
Did your dad or your mum do anything to you?
It's because I was bad.
-Kaito kun. -It's okay, we've got it.
Is this the way to your home?
Excuse me.
-Erm... -No, no.
-Erm!!! -What! What! What!
May I ask who you are?
He's a teacher from South Aobadai primary school, Ueki sensei.
He wants to see Dr Matsumoto.
It's about what happened with a child from my class a few days ago.
The police told me about Dr Matsumoto.
The police?
-What did Matsumoto do? -Ah, well...
Hi.
Huh? What?
Is this... Dr Matsumoto?
Yes... huh?
Excuse me... eh?
No, no, no... What?
So, the single mother remarried a younger man, then the abuse started...
How can somebody do that to a child?
Not all parents love their children unconditionally.
If a child doesn't do exactly as the parents' want
they'll refuse to acknowledge them.
Yeah well, in the hospital, I've seen it all from parents and family members,
all kinds of unpleasantness,
such as neglect of care.
I've been watching that kind of stuff since I was a kid.
All you can do for people suffering abuse is talk and listen.
It's like being tortured by the fact you're powerless to help.
No. You shouldn't turn your gaze away from reality.
The Thousand-Armed Kannon has eyes in his hands,
to scoop up the suffering of all people.
I don't suppose you're seriously going on about the Thousand-Armed Kannon again?
I'm always serious.
I guess it would have been better without the surgery after all.
Since then, my mother hasn't come to visit him once.
In the past, my dad was a bit of a player.
They used to call him 'Zagin's Kou chan'.
Zagin? Oh, Ginza?
That's from the Showa era.
In those days, he would get drunk
and fool around with the owner of his favourite bar, over and over again.
That's why mum...
When he got sick,
it was a family problem she didn't want to deal with.
It's pretty clear.
It's pathetic.
Every family has some sort of issue.
I'm a failure who somehow managed to slip into a local medical school.
But that's not enough to satisfy my father.
Dr Matsumoto, there's bleeding from the catheter entry point.
-There's subcutaneous haemorrhage as well. -Excuse me.
If it's a DIC this is bad.
a condition in which clots form in blood vessels and cause organ failure and bleeding
-Can you take some blood so we can check? -Okay.
Well done for noticing the subcutaneous bleeding.
-It wasn't me it was Dr Tanaka. -It was Tanaka?
Dr Tanaka's been keeping a close eye on this patient.
He's been paying attention to every detail.
That's Ukrainian fried rice isn't it?
Give me a bite.
I don't want to.
Well done for noticing the signs of DIC.
So it is that.
If we'd found it any later, it could have been risky.
There was a similar case in the early days of my training.
Hey, give me a bite.
I don't want to.
Thanks.
Thanks to you, we can save him.
But,
in what condition?
Can you really say I saved him?
Huh?
Nagasawa san's wife hasn't been to visit him since.
Ojisan?
You must be tired after the club, let's go out for a meal this evening.
What is this?
Ah, Teru kun? Sorry, sorry.
Dad mistook you for mum and sent you the message by mistake.
-I'll pass you over. -Hey, hey, hey.
-Hello, Teru kun? -Put it up to your ear.
I'm so sorry, I just bought a new smartphone.
I'm not used to it yet, I'm sorry I messaged you by mistake.
Same as always. Are you on good terms with your wife?
No, no, no.
Could I ask for your opinion?
If a husband and wife had been together for many years,
when he ended up hospitalised and unconscious,
and she wouldn't come to see him,
what do you think that means?
I see, yes...
I'm not sure, but maybe...
she's just afraid to see him,
Afraid to see her family change.
Afraid?
-Ah, there, there. -Here?
Ah yeah, you almost got caught by the police, didn't you?
How do you know about that?
Well, that's because I polish every corner of this hospital.
-That's true. -Oh, that person...
That woman who was shaking off the doctor's hand in front of the ICU the other day.
Nagasawa san's wife?
Every day she comes to the hospital and wanders around.
-Huh? Really? -Yeah, I've seen her on the rooftop and in the bookshop.
Just now, I saw her in the staff canteen, she was eating fried rice!
Nagasawa san!
You come to the hospital every day, don't you?
-Huh? -Today,
why don't you come in and see your husband?
His current condition is still showing a lack of consciousness.
Even if he wakes up, we don't know to what extent
he will be able to recover.
Is that so?
He was such a cool guy,
but so pathetic.
Zagin's Kou chan.
What are you going to do?
One of your secretaries has been calling over and over.
The owner of your bar
wants to come and see you.
Give me a break!!
You can't see anyone looking like this can you?
Apart from me.
From now on,
your meals, your toilet,
everything...
I'll be in charge of.
Be prepared.
Dad...
Dad... dad!
Doctor? Dad! Dad! Dad?
Nagasawa san? Nagasawa san, can you hear me?
Dad!
Dad!
Thank goodness.
I'm so glad.
Thank you for staying alive.
Dad, thank you.
Dad, thank you.
-I'm so glad. -Mum.
Thank you for living.
Thank goodness... thank goodness.
Hi dad, it's me.
I've decided to stay here a little longer to carry on my training.
to find out what it means to save people.
I'm sorry to cause you more trouble.
Please send my apologies to Dr Kato from brain surgery.
Tanaka.
Thanks for what you did.
Yeah.
-Well, to start with... -But!
A&E is turning black! Or something.
Isn't that the current trend? I want to change that kind of thing.
Okay.
Aren't you off duty today Dr Matsumoto?
Go home!
Ah, erm... where's Dr Matsumoto?
Stretcher coming through! Please step aside.
The husband's here, I'll leave the rest to you.
Ready, set, 1, 2, 3๏ผ
If there's no abnormality in the chest or abdomen, let's go for a head CT ASAP.
-Prepare a 7.5mm tube. -Okay.
-Stretcher coming. -What's the condition?
A 10 year-old boy on his bicycle, he was hit by a truck and thrown 6m.
The knee joint, tibia and fibula might be broken.
-Got it, Dr Yoshida, will you do a full body assessment. -Okay.
-No change? -Right, I'm coming.
From now on, you cease your involvement with A&E.
Erm...
It's fine, I'll come back later.
I'm sorry, but I saw a local paediatrician,
and he said it was only a cold... but this isn't right, something's wrong.
Please, this is completely different from a normal cold! Please!
-How old is she? -She's five.
I saw our GP the day before yesterday because she said she had a stomach-ache.
-Please excuse me. -Today she has a fever of 39 degrees.
She's cold... a fever, and a slow pulse...
I'll examine her. Please call a nurse over.
Please come this way.
-She's gone into VF. -Defibrillator, please get help!
I'm sorry, please wait outside.
Rino! Mama's here!
Rino chan! You can do it! Rino chan!
Ukrainian fried rice!
An emergency? How old?
5 years-old?
Ah, no... you're...
going to be a top-notch heart surgeon, aren't you?
This is Matsumoto. Dr Kojima?
Got it, I'm coming now.
-Dr Kojima. -Huh, I thought you went home.
Condition?
She has transitioned from acute myocarditis to fulmant myocarditis.
She was in temporary VF
and Dr Kojima decided to put her on PCPS.
Somehow, her heart has resumed. As expected of Dr Kojima.
On top of the rare symptoms, she's just a toddler.
Thank you, even though it will cause you trouble.
These hands... are meant to save people.
That's a good way to think.
Thank you.
Thank you so much.
Thanks for that.
Lately, I've been thinking,
I wonder what kind of doctor I should be.
I thought it was amazing to see Dr Hamada's cutting-edge techniques,
and I thought it was amazing to see you get arrested by the police.
But I didn't get arrested.
I couldn't find the answer.
But just now,
I could see my hands moving of their own accord.
Doctor,
-I want to come to A&... -Dr Matsumoto!
We have a patient who's coming by taxi, he's asked for you.
-It's the teacher Ueki sensei. -Huh?
Ah, thanks!
-Ueki sensei! -Ah, Dr Matsumoto.
It's Kaito's sister Aira.
They've been in care together in a children's home.
They have just returned to school, so I was talking to them.
She's been continuously pressing her stomach, it looks painful.
Aira chan, do you have a stomach-ache?
You're at the hospital now so hang in there.
-The doctor's got you now. -Here we go.
Hang in there. Thank you.
-You'll be okay now Aira,
Hang in there.
-Right, let's go. -Okay.
-Condition? -Genital bleeding.
-There's a possibility of abuse. -Huh?
Ready, set, 1, 2, 3!
Aira chan, you're Kaito kun's sister, right?
I met Kaito kun the other day.
-Kaito... told me. -I see.
What happened?
I...
I...
Aira chan, you didn't do anything wrong.
Nothing wrong.
It's not your fault.
Dad... Dad isn't bad.
-Dad... -I know, I know, I know.
Let's all do our best.
You've persevered for long enough already.
You'll be okay. You can rest easy now.
Prepare the transfusion! Echo please!
Haemorrhagic shock?
There's abdominal swelling.
It's not menstruation.
Is this...
A foetal sac?
Ectopic pregnancy?
For christ's sake!
-Immediate transfusion, type O! Prepare for intubation! -Okay!
We'll open her here, let's go.
Let's hurry!
Her heart's stopped.
-Adrenaline please! -Okay!
-Set the timer for 2 minutes. -Okay.
-Are her parents here yet? -Not yet.
30 minutes have passed.
-Call Ueki sensei. -Okay.
I'm sorry, I'm sorry.
I couldn't save you!
I'm sorry, I'm sorry... I'm sorry.
This way.
-Ueki sensei, welcome. -Ah.
I'm from the Aobadai police station.
Could we have a little chat.
Ah, sensei.
What do you think you're doing? Just now...
My customers were drinking, I had to leave them.
-It's her appendix or something right? -The police are here too.
Huh? Why? Was there an accident?
You know what you've done to Aira san, don't you?
-Has that brat said something?! -Huh? What?
-It's nothing!
You did that to Aira... Aira...
What the hell? Who believes anything a kid says?
She was the one who provoked me.
These hands...
are meant to save people.
Don't get emotional!
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