Original subtitles

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It's lung cancer.

Lung cancer.

Just as one would expect from a doctor like you,

you warned me the other day about my cough. You surprised me.

It's because I have lung cancer.

Aya... I'll talk to him.

They think it's lung adenocarcinoma.

It's spread.

It can't be removed by surgery.

Stage 4...

-Yes. -I see.

-What about treatment? -I don't want treatment.

I've already decided.

To die without treatment...

how is that any different to Ishikawa's grandfather?

That's how I want to die.

Everyone will die someday.

Even if you have a family,

everyone dies alone in the end.

Alone...

Walk alone...

Don't depend on others, aim to live independently and freely

Walk alone like a rhinoceros

like a rhinoceros.

The monk's picture-story show 'Buddha and the Rhinoceros'

In other words, don't depend on other people, and aim to live independently and freely.

Do you understand 'walk alone like a rhinoceros?'

I don't understand.

Basically, Buddha says

live for yourself and don't flock around other people like Mr Rhino.

He said you should walk alone.

It may sound harsh,

but these are the words

of Buddha.

If you are sensible and work together,

you are well mannered and wise,

then you will gain companions,

you can overcome all dangers

and have joy in your heart,

your mind will be at peace,

then you can walk together with him.

Do you understand now?

I don't understand.

Ah... oh well.

I don't understand!

...But Dr Kojima coming here has been such a big help.

I thought for sure that Dr Matsumoto would be sacked

-and that you were his replacement. -Me too.

I invited Dr Kojima to join A&E.

Yeah whatever, what a great achievement.

I'm so glad you invited me.

Now, I feel calm, courageous and professional all the time.

I really wanted to become an A&E doctor like Dr Miyake.

So, it's not about Dr Matsumoto then?

Well, if you're aiming for someone, it should be her right?

I'm not exactly saying that Dr Matsumoto isn't calm, it's just, he's passionate.

It's exactly that passion that was the reason for his suspension.

-Ahh, wasn't it! -Keep squeezing.

What do you mean keep squeezing, that's all there is!

-Great, there's more yet! -Get out!

Aobadai accident and emergency centre.

A man in his 30's is unconscious after a collapse in Koizumi-cho.

There's also a second man in his 60's with a leg fracture.

-Two together. -We'll need 2 beds.

Okay, we'll accept both.

Call orthopaedics, they'll be here in about 8 minutes.

-The one in his 60's will be first. -Got it.

Aobadai accident and emergency centre.

A man in his 40's at a bowling alley is unconscious with a deformed right thigh.

Another fracture. Let's prepare.

-Come on. -Okay.

It seems that an iron bar fell from about 4 metres and hit his leg.

The man in his 30's will be here in about 5 minutes.

That'll be the man from the bowling alley.

-We'll take this one. -Go ahead.

Come on.

-Securing the line. -Okay.

Excuse me.

If 10 is the greatest pain imaginable,

how much out of 10 does it hurt now?

Erm... 3...

3? Disinfect the wound and prepare a blood transfusion.

Have we heard from orthopaedics yet?

Dr Aida from orthopaedics...

Ah... yes.

What on earth were you doing in the bowling alley to break it like this?

Don't laugh.

According to eyewitnesses, after bowling a strike,

he tried to do a backflip in front of the woman he was with.

Apparently, he failed and lost consciousness.

-What's so funny... ow! -And?

Did you hit your head?

What about the woman?

Looks like he has a broken heart too.

It's surprisingly easy to break a bone.

As it is, I'll to hand over to orthopaedics for the operation.

-Prepare for a CT. -Okay.

Please ask for Dr Marugame, he does a thorough job.

-Impossible. -Which one feels colder?

Dr Miyake, the next patient will be here soon.

Right, I'll leave it to you Dr Marugame.

He has an open fracture of the lower left femur.

Right, I'll cut your trousers.

Exactly how much are you cutting?!

I have to cut it or I can't treat you. Are you an amateur?

Why hasn't the nurse come?

Huh? I didn't know you could be so ki... so ki...

Ki.. ki... ki...? Are you hungry or something?

30 year-old male arriving.

You're at the hospital.

-Vitals? -Pulse 56, blood pressure 204 over 106.

Blood oxygen 96%, unequal pupil response.

-1, 2, 3. -I'm coming.

Order a head CT. What about the neurosurgery dept.?

They're in an op, they'll be another hour.

An hour?... Excuse me.

Hmm, a brain hernia?

Yohei?

No way.

-He's in VF! -Starting cardiac massage.

Set the timer for 2 minutes.

1, 2, 3, 4, 5, 6, 7, 8,

Dr Miyake, defibrillation?

Dr Miyake?

Swap.

Oh... sorry, I'm fine, I'll do it.

-He's in PEA, timer please. -Okay.

Well then.

-Adrenaline please. -Okay.

-Swap. -Okay.

Transfusion, quick!

Stand aside.

-Resuming. -Okay.

1, 2, 3, 4, 5, 6, 7, 8, 9, 10…

Excuse me, your child can't go in.

What's going on?

I'm a relative of Yohei Wada.

-Would you look after my child for a moment? -Okay.

Yohei.

-What colour do you like? -Pink.

Pink? Then let's use the pink.

Why was my husband left alone?

Actually, 5 years ago

he was diagnosed with olivopontocerebellar atrophy.

Olivopontocerebellar atrophy (OPCA)

Symptoms such as slurred speech and disorientation. Life expectancy of 5 - 10 years after onset.

Olivopontocerebellar atrophy?

But then he became a different person.

He cut off relationships with people.

He said he was decluttering. His personal belongings too,

important books and photos,

he threw them all away.

He started acting distant towards me and our daughter.

If this is the time to say goodbye, I...

He's my ex... Yohei Wada.

Hey, what?! Even I can have an ex-boyfriend you know.

Huh? So, why did you break up?

You're seriously asking?

Unbelievable.

Sorry. Huh? Huh?

It's because I wanted to be a doctor.

Come on.

He was a zoologist.

All year round he'd be abroad chasing wild animals.

He'd send me picture postcards from time to time,

with animals on, like elephants and wildebeest.

He finally found a place where he belonged.

Picture postcards, just like the olden days!

We are talking about 10 years ago, come on!

There were e-mails and phone calls,

but he was in remote locations.

So, he was a scholar,

and a bit of an eccentric.

Hmm, eccentric huh?

But he was an incredibly cheerful person.

What his wife described,

sounds like a completely different person.

What?

OPCA.

OPCA?!

He has olivopontocerebellar atrophy.

It developed 5 years ago.

He's already begun to lose motor function in his hands and feet.

He doesn't have much time left.

I understand.

So, in line with pressurising the government,

go ahead and take a shot at it using your channels.

Okay.

You don't have any desire to cross dangerous bridges... do you?

Don't you have any friends to cross the dangerous bridge with you?

Of course, if you have friends, they might save you,

but they might also drag you down.

If that's the case, it's much better to proceed alone.

Walk alone like a rhinoceros?

Rhinoceros?

Well, even if you have no friends,

you need as many sensible and capable people as possible.

Yes.

But first, the money.

I heard something interesting...

a certain big-shot celebrity...

is looking for a doctor to perform a coronary bypass.

It could be useful as good publicity.

Just what I was thinking.

-Coming in! -What?

-How are you? -Okay.

If you've come to hear about the op, everything went to plan.

What happened with the girl who was with you for your failed backflip?

-Miki chan is going out with me now. -Going out?

-never mind that, what happened? -What?

What happened to that other patient?

Huh? You're worried?

So that means you're a good doctor after all.

So you mean Chihara san with the open fracture?

-Not him. -Huh?

No, the other one.

Ah... Yohei Wada's doing well, his subdural haematoma...

That's not what I mean!

Dr Miyake knew that man.

Who is he?

This is just between you and me...

Huh, her ex?

He's reasonably good looking.

So that's the kind of person Dr Miyake is into.

But her ex is a patient,

it's unusual to see her get flustered.

What kind of person is he?

I think he's a very tolerant and gentle person, don't you?

-I think so too. -Why?

Because he was going out with Dr Miyake.

Of course.

Well I don't think so...

-Damned monk! -Sorry!

The only person I told was Dr Aida.

-Of all people! -By the mercy of Buddha...

I don't care if he's your host bar friend, that's the worst!

-He's not my friend! -Huh?

Dr Miyake, it's your ex-boyfriend.

-He's regained consciousness. -Huh?

You wife told me about your illness that started 5 years ago.

You spoke to Haruka?

I'm a doctor.

Don't worry.

I know my manners.

It started when I was in Argentina, I began to feel unsteady on my feet.

What were you pursuing then?

The elegant crested tinamou.

Tinamou?

The males do everything from egg incubation to child-rearing.

-Oh... -And in the winter...

What does it matter, I'm going to die soon anyway.

Why did you save me?

Because I did.

-You know... -Does it even make sense...

to save this body...

with a life expectancy...

of no more than a few more years.

It must be difficult,

for someone who loved their fieldwork so much.

-But... -It's fine.

You used to say...

"If you can imagine..."

"that 10 is the greatest pain..."

"about what level are you now?"

That's how you used to compare everything.

Now it's 1.

What's that?

The pain... of this condition.

Even if you worry, it won't change anything.

I'm already prepared.

Yohei!

Ah.

Thank goodness!

You woke up.

What about your job?

You didn't have to come all the way here.

No, it's fine.

I was relieved to hear what Dr Hamada had to say.

It's okay isn't it.

Comedian - Shin Miyoda

At first, I thought you didn't have the aura of a doctor.

Maybe a friend of a friend?

Or even a cousin?

I can't remember your name, but I kinda recognise your face.

I'm in your hands.

Well Miyoda san, please allow me to explain...

Even if you tell me, I won't understand.

In surgery, it's the doctor who has the hard work.

It'll be fine.

Because I'm lucky.

Right, well.

Can I have your signature?

-It's okay, it's okay. -I'm sorry... this girl.

It's Miyoda.

Is Shin Miyoda in our hospital? He's really famous isn't he?

Yeah, he's a comedian. Dr Hamada is operating on him on the 20th.

He said I could come and observe.

I'm actually on a day off that day, do you mind?

It's no problem at all. Go ahead and study hard.

-Thank you. -Is that Dr Hamada?

I wonder what's going on?

I didn't think you'd accept it...

Miyoda san's op.

He has low cardiac output.

I can't believe you're performing an aortic bypass on him.

It's a risky procedure even for you Dr Hamada.

It may be risky,

but it's greatly outweighed by the benefits.

That's right, it's a chance to make friends with celebrities.

That's right, that's not what you mean is it?

A talented person?

Of course, celebrities have a mental resolve that's as hard as iron.

That you can be so cheerful when you have a condition like that.

The patient is lying.

Huh?

He's lying.

I'm coming in.

It's unbelievably painful.

Paracetamol is no good, prescribe loxoprofen.

You always prescribe paracetamol for your patients, don't you?

As a medical intern, you should be quiet and do as I...

-Excuse me! -Hara!

Give me some Indian banana juice! Jerk!

Wasn't that completely as you were expecting?

I was lying.

Huh, lying?

I didn't realise until I became a patient myself.

Whether it hurts or not, I'm just showing off.

If it doesn't hurt, I get lonely so I lie and say that it does.

That's what it's like becoming a patent.

A lie?

Ah, hello, this is Matsumoto from Aobadai Accident and Emergency Centre.

That new lung cancer drug trial,

it's reached the third phase. Yeah, that.

Yeah, yeah.

Oh really, okay.

I know it's difficult...

I'm really impressed with the doctor's stance

towards OPCA patients.

I know it's unreasonable, I just wanted to ask for a favour.

Really.

That's unfortunate.

Thanks.

Is it about Wada san?

Is there anything I can do?

It's no use. It's all down to the relatives.

...and I'm not a relative.

Ah, don't get me wrong, it's not like I have some lingering affection or anything.

I know.

It doesn't matter if they're a lover, a friend or a family member, they're all like family.

Is there someone with lung cancer?

Yeah.

Someone who just wants to carry on being happy.

Wada san, good morning. Wada s...

Yohei!

Yohei.

Does it... hurt?

CT quickly!

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Put in another A line.

An A line.

Thanks.

As expected, it's a pulmonary embolism

It's on the right artery, it's severe.

Yohei? Yohei!

-Is there an operating room free? -I'll find out.

But we have to consider the risk with the OPCA.

True, but we can't do nothing.

-Yohei! -What about cardiology?

They're performing Shin Miyoda's op today.

And Dr Kojima has a day off today.

-Ambu bag please. -Okay.

-Here's the ambu bag. -Thanks.

Excuse me, we have an emergency pulmonary embolism, would you be able to operate?

Ah, I said on the phone before, today I don't...

Please delay Miyoda's operation.

Dr Matsumoto, are you talking as a doctor right now?

Or is it because he's a relative of a friend?

Does it even matter either way?

I just want to save the patient.

I can't do it so I'm begging you!

Help us, please!

I can't.

Please refrain from sentimental logic.

The procedure is risky,

and I turned it down after considering what could be gained.

For an OPCA patient who has been symptomatic for 5 years,

An operation using extracorporeal circulation to remove a pulmonary embolism

is more likely to put his life at risk.

If he doesn't have the op now, he'll die.

It's a gamble. Gambling on an op like that,

will lower my medical record...

I don't want to bring it down.

Is your own reputation that important?

It's important.

It certainly is important.

What is your goal?

I don't understand you at all.

Hamada!

Sorry, it was no use after all.

-Gown please. -Okay.

Dr Matsumoto, the saturation level is falling.

We'll have to be quick without the heart-lung machine.

The artery is severely blocked.

-Hurry. -Okay.

-Vitals? -His rate's at 40.

-Let's come together. -Okay.

-Dr Kojima. -Sorry I'm late.

-Thank you. -Sorry but please hurry.

-Gown please. -Okay.

I'm about to start the beating heart coronary bypass.

-Please go ahead. -Please.

Dr Kojima?

If you damage the pulmonary artery,

it's difficult to repair.

You don't have to worry.

Okay.

Thank you.

Thanks for that.

I'm sorry it took me so long to realise.

Before Miyoda's op, I was doing some personal practice at Seimei hospital.

No, I'm sorry for bringing you in on your day off.

It's nothing.

Well... as a doctor, I might have confused private and public matters.

No... I did.

That doesn't matter.

I'm just glad I could help.

I had a call from Dr Hamada.

He asked me to bring him some documents.

I understand, I'll borrow it from Professor Minami.

If you please.

Oh, and that OPCA patient in A&E?

He's having emergency surgery for a pulmonary embolism.

If you damage the pulmonary artery, you won't be able to repair it.

They're unbelievable aren't they? A&E.

Because of that coincidence, I understood.

And so...

Yeah.

I'm so glad the timing worked out.

-Thanks. -It's nothing.

Ah, of course, I have to go and observe Dr Hamada's op.

Ananda, a good friend.

The blood vessels are a little hard to expose, a 7-0 please.

It's moving more than I thought. I'll hold it down.

You're late.

Sorry.

Okay, with that it's okay.

-That's right. -Next thread please.

-okay. -Thanks.

-Right, well I'll leave before you. -Thanks.

-Thanks. -Thanks for that.

-Dr Segawa. -Yes.

Did you see the swelling in his groin?

Isn't there a possibility of inguinal hernia?

I don't need you to tell me, I'd notice if there was something like that.

Sorry.

How do you feel?

Congratulations.

It's past midnight.

Today is your 40th birthday isn't it?

Thank you...

...is that what you think I'd say.

It's what I hope you want to say.

There's no way I can say it.

Supposing I...

were in your situation,

with your distress,

I'm sure I'd want to close off my heart too.

Yeah.

But you know...

I'm the one in this situation,

I just want to be alone!

That's what I think...

without doubt...

Dr Miyake.

Happy Birthday

Here, Risa asked me to give it to you.

Put it wherever you like.

Okay.

This is delicious!

As you can see, he's full of life.

I'm full of life thanks to this doctor.

A round of applause for the doctor.

Well... the press conference was a big success.

You're skilled at public talking. Were you part of a rakugo society?

No no, it's just a natural ability.

-Sorry, I'll just be a moment. -Okay.

Hello.

There's something to do with a company in Singapore,

A Richard Poe wants to talk to you.

-What do you want to do? -Put him through straight away.

Hello, this is Hamada.

Ah, TV, I see, you saw it.

No no, It's embarrassing.

Right now?

Yes of course.

I'll visit you soon. Well then.

Small children aren't allowed into the ICU.

I'm sorry.

I'm going to sleep anyway.

I'm sorry.

Even though I'm a doctor I don't understand patients' feelings.

The other day, a colleague of mine who's a doctor,

no, he's a friend...

He was hospitalised the other day with a fracture.

He said that for the first time, he understood a patient's feelings.

Patients tell lies.

When it hurts, they put on a brave face and say it's fine.

They pretend to have accepted the situation and be prepared.

It's nothing more than showing off...

to the people around you.

You should express your true feelings.

Wouldn't it be okay to depend on others a little?

At the very least to your relatives.

As Buddha said, if you're not on good terms with family, friends and associates,

then just like the rhinoceros

you are merely walking alone.

But it's wise to work together.

If you can find a sensible companion that you can trust,

then you can walk together.

There must be someone around you like that.

Someone who understands your pain and torment.

A person who is a life companion and a friend.

You're just preaching at me.

I may be a doctor...

but I'm also a monk.

Oh.

Well...

Doctor monk...

What would you do in my place?

My wife is still young,

my child is small,

they have a long life ahead after my death.

So...

It's better if I don't leave anything behind.

They can forget...

and move on.

That would be better.

Wada san,

Standing independently by yourself,

doesn't mean withdrawing alone...

Until you die,

you have made the decision to be lonely,

but right now, your family are also lonely.

What are you going to do?

Talking about my death,

that's harsh coming from a doctor.

I'm going to die...

just tell me honestly.

Because you're a monk.

A rhinoceros?

I don't care about Buddha.

Huh?

Even among rhinoceroses, the white rhinos live in groups.

They inhabit the savannah.

The larger groups can be as many as 20 individuals.

Erm...

Can I ask you a favour?

I'll give you some pain relief.

Miyoda san has developed an intestinal obstruction.

It's a suspected...

-inguinal hernia. -Inguinal hernia?

Dr Kojima pointed it out after the operation.

-Unexpected... -Why didn't you treat it?

Well, it's such a rare occurrence.

I didn't think it was necessary.

Sorry.

I'm so sorry.

I've been able to reposition it for the time being and he's settled.

But he needs emergency gastroenterological surgery.

-Dr Kojima, erm... -It's because you're a friend.

Because I worked with you in cardiology.

Please inform gastroenterology.

Right now, A&E is very busy.

Thank you so much for taking care of me.

Congratulations on being discharged from the hospital.

Thank you so much.

Papa!

Risa.

Papa are you okay now?

Yes.

Ah, Dr Miyake, thank you so much for yesterday.

Thanks to Dr Miyake's introduction,

I'm supposed to be meeting a famous OPCA doctor.

I only did what I could as a doctor.

Papa.

Let's go home.

Oh yeah...

I'm sorry...

that my reply is late.

Thank you Risa chan I love you so much From Papa.

My birthday reply.

For your papa's birthday medal.

It made me so happy.

That was the most happy I've ever been

with a birthday present.

The doctor got some pictures for me.

This is a white rhino.

-White? -Yes.

White rhino.

Remember...

If you remember me...

that would be nice.

Yes.

Ryoko!

Are you okay? You shouldn't run like that.

I'm not okay...

my hands and feet don't work,

and I'm out of breath.

But thank you.

I'm glad you saved me after all.

Thanks to your help,

I was able to turn 40,

and receive a card from my daughter.

If you live for one day,

you might be able to experience a day's worth of good things.

Actually I still have some hope about this body,

I wonder if there's some good there.

10.

My level of pain is actually 10.

I lied.

I can't be prepared to die.

I want to live,

even if it's just for one more day.

My life wasn't bad.

I'm also 10.

My level of regret is 10.

I'm sorry.

Thank you...

for being in my life.

I'm glad we met.

Ojisan.

Aya, you as well.

Ojisan.

Today, please don't lie to me.

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