Original subtitles

Oh, I'm sorry.

I'm sorry.

Good morning.

Doctor Mano, good morning.

Good morning, Hasumi-san.

Good morning.

Good morning.

This line here is vacant, ma'am.

Do you have a patient's registration ticket?

A half year ago, I quit at the university hospital...

...and joined here at Sasai Memorial Hospital.

At first, I felt that the hospital's "patient first" principle...

...may not exist in university hospitals.

Whisky.

- I'm terribly sorry. - I'm terribly sorry.

- I've acknowledged it. - I've acknowledged it.

- Thank you so much. - Thank you so much.

But, in fact, it's just a mere slogan of...

...an intensifying battle for patient acquisition.

MANO CHIAKI

Physician

Listen here, Chiaki-chan.

When I was on duty, a man came...

...and was found to have a health drink bottle stuffed in his anus.

It was least expected to be a rectal foreign body series.

Even when I plunge my hand there, it was hard to remove.

Physician

KANEDA NAOKI

Moreover, the patient had myocardial infarction, [ Heart attack ]

He might die if I had kept focusing on his anus,

but if left that way and prioritize cardiac catheterization first, [ A procedure used to diagnose and treat certain cardiovascular conditions. ]

we have to do laparotomy and might even do colostomy. [ LAPAROTOMY, a surgical incision into the abdominal cavity. ] [ COLOSTOMY, performed to keep stool out of the colon. ]

It was the ultimate decision.

Is the patient just fine?

Yes.

When newcomer Makimura pressed his abdomen hard,

the bottle mouth finally appeared on his anus,

and after we took it out, we did the cardiac catheterization.

It's a beginner's luck.

I did this one.

As I haven't slept, it was of no use,

so I'm asking you today, Chiaki-chan.

Don't call her "Chiaki-chan" but "Chiaki-sensei".

Kanegon, you're younger than her.

I'm the senior at this hospital, Doctor Yoko.

Physician

HAMAGUCHI YOKO

She has to go for the hospital rounds fast or she'll be late for the outpatients, senior Kaneda.

I'll excuse myself first, senior Kaneda.

Good morning.

We will inform you of today's consultation hours.

Not yet?

It's already 9:00, so they'll be coming soon.

Is the doctor still late? [ As if he or she is an executive ]

Then, please take a deep breath.

Approximately 150 outpatients will be apportioned to 3 doctors.

To complete the medical examination by noon,

the consultation time for one person is about 3 minutes.

Of course, it doesn't end there,

and we always run out of time.

It's an abominable story, but soon after I came here,

I was told that they have an SML classification for patients.

First of all, there are ones who can understand immediately...

...when given a brief explanation of their condition.

They are called "S" which stands for smooth.

Your stomach on the left side hurts, right?

Well, sometimes my right hurts...

Even if they can answer right away,

they tend to twist their necks.

They are called "M" which stands for "Madorokoshii". [ Dull, sluggish ]

And L...

It's a bit painful, you know!

It's the initial for low pressure in English terms.

A typhoon-like type that causes a disaster. [ Contextually, those persons with bad temper. ]

Next patient, please.

Yes.

I didn't feel well today.

Look this.

My fingers are swollen.

I'm going to look at it now.

Asanuma Chieko-san.

ASANUMA CHIEKO

Hospitalized due to high blood pressure and dyslipidemia. [ DYSLIPIDEMIA, abnormal level of cholesterol and other lipids ]

It's a long story,

but in terms of classification, she's around "above the M".

At the time of the examination, my other sense has awaken up...

...as the patient has a peculiar "indication".

Throw up.

Excuse me. We've been waiting for an hour and a half!

I'm terribly sorry.

We call patients in order.

I couldn't see any swelling so far, so let's observe it first.

Okay.

Doctor,

let me have a blood test once in a while.

We just did that.

There were no abnormalities found.

When did you examine it?

Well...

It's been two weeks since then. I'll show you the data.

Oh, my bad. I forgot it.

Then, I'll see you next month.

Oh, by the way. Doctor, please look at this.

My fingers are swollen.

Does she has a short-term memory loss?

Dementia?

Asanuma-san. Excuse me, but how old are you?

I'm...

A lot.

I try to forget what I don't like.

Excuse me. Please let me examine you for a while.

Are in the year 2000's today?

2000...

6... Gosh. I forget it.

What day is it today?

I'm too busy this morning from watching the news.

Doctor, are you saying that I'm out of focus?

I've even drive my car from home this morning.

I've had enough.

She's going to make excuses for herself soon.

It's a common fixed response from someone who has dementia.

Sensei, Asanuma-san has took 15 minutes of the time.

I'm sorry.

Fujii-sama.

Fujii Noriko-sama, please come in.

We beg your pardon.

Thank you very much for waiting. Please have your seats.

FUJII HIRAOKI

FUJII NORIKO

Are you the new attending physician here?

Yes.

As you may have told,

Suzuki who was in charge of you before...

...has already retired...

Anyways, please hurry up!

I understood.

Fujii Noriko-san.

You were suspected to have a liver tumor so you had an ultrasound and a CT scan.

Yes.

The examinations results are released, right?

Have you done it?

From your wife's liver,

there was something that looked like a tumor.

Does it mean cancer?

No. We don't know it yet.

You don't know?

Please have a liver biopsy on the next day.

Is that liver biopsy involves pricking the stomach with a needle?

That's right. It's to take out a tissue from the liver.

Let me see your condition today.

Do you feel anything?

I have swollen legs.

Oh, I'll see it for a moment.

Please do that liver biopsy right now.

I beg your pardon. I can't make a reservation right now.

Then, when can she have that?

Tomorrow?

At least, it would be after 3 weeks or 29 days.

She may have cancer, but she has to wait for 3 weeks!

I'm terribly sorry.

We're fully reserved at the moment.

What the hell are you!

A PET scan suggested that it might be liver cancer, [ Positron emission tomography ]

so we were told to come back for an examination the next week.

Then, do ultrasound and CT scan, [ Computed tomography scan ]

and had to wait another week before the results came out!

Hence, we came back today to hear for the results,

but you didn't know it yet, so we have to come back for an examination 3 weeks later!?

Don't mess around!

You stop that.

We may be one of your many patients here,

but her life is at stake here!

Do something so she can have the examination right now!

We won't get out of here until you manage to do it!

[ Dear Patient, Kizuna No Karute ]

[ (Work Environment on Patients - Reinstatement Assistance Study Session) Proposal ]

Doctor Chiaki, have you taken care of the outpatients?

Episode 1 Matrimonial Bond

It's quite hefty today.

I heard it.

Someone yelled at you for the liver biopsy appointment.

Are you okay?

"We shouldn't have come to a doctor like you."

"We'll just go to a university hospital!" He said.

I wrote a letter of introduction.

Aren't we fully booked?

I said that, but he didn't listen to it.

I understand the patient's anxiousness,

but abusive language is too much.

I want to provide medical care to the patients,

so I quit at the university hospital,

but I've been pressed for time.

As a doctor, I trust you, Doctor Chiaki.

Your wild intuition is genuine.

Wild intuition?

It happened several times, didn't it?

You found a lesion that everyone didn't notice.

Doctor Chiaki, didn't you say you grew up in the sea of trees?

That's why, you have that wild intuition.

I hope so.

I'm the first.

Hang on.

Seto-kun, please. Just give it to me only for today.

A game is a game, you know.

Everyone.

In today's advanced medical society,

between hospitals in the metropolitan area,

competition for patients is extremely high,

General Secretary

TAKAMINE SHUJI

and it's the same here.

The banker was out there talking so loud that people couldn't sleep.

Was the general secretary a banker?

To reorganize the management,

that former director was eagerly invited to come here.

He's a super elite.

My father lowed his head and warmly welcomed him.

Even after my father died,

the director wasn't able to match up with the general secretary.

He also undertakes the operation of the director and cabinet minister,

although he's only authorized to do brain surgery.

Director

SASAI SOICHIRO

Hospitals left behind in the times...

...are forced to go restructuring, merger, or even voluntary closure of business.

Clerk

NUMATA SHINYA

That's why, this hospital should increase its number of patients by 50%...

...by thoroughly implementing strategies for the priority of patients.

Then, director. Please give your official announcement.

Henceforth,

we will hold a patient priority committee meeting twice a week.

To all staff and doctors, please be sure to attend.

Twice a week...

I guess twice a week is hard.

You got me.

General secretary, I have a question.

What is it, Doctor Kaneda?

If we have more meetings,

we'll die before the patients.

They are our dear patients, Doctor Kaneda.

As the director, I really feel sorry.

However, our hospital is in a tough situation currently,

as what general secretary Takamine said.

I'm asking you to manage your time and deal with it.

Wait, sister.

Chiaki's sister

MANO MARI

I've been calling you many times. You must have called back.

I'm sorry, Mari.

I'm rushed off my feet today. [ Exceptionally busy ]

It was already late, so I thought I'd just call back tomorrow.

Okay, fine.

My sister is always busy.

How is mom? Is her forgetfulness severe?

Let's try to let her have a dementia test again.

It's been half a year.

Come back this Sunday.

It's your day-off, right?

Sunday is where my night shift starts and I have a lot of work to do.

Anyways, come back! Bye!

I mean, wait...

A few days after that,

I have to work for few days to get a break on weekends.

I have planned to return home on Saturday.

On the night shift...

Doctor Chiaki!

An intruder appeared.

That is...

How could you came at this time...

Good evening, Doctor Chiaki.

Good eveing.

My patient?

I don't remember him.

Why is he in such a place?

Why does he know my name?

Doctor Chiaki, you've been here for half a year, right?

It is popular that a kind female doctor came here.

Excuse me. If you don't have any business...

That's right.

I beg your pardon for today.

I will be seeing you from now on!

This was my encounter with Zama Atsushi.

ZAMA ATSUSHI

I hope you get well.

Thank you very much.

Wildlife hunters gather at our clinic.

The wounded hunter come to my father for treatment.

Welcome back, Chiaki.

Dad, I'm back.

- Welcome back, Chiaki-chan. - Mother, I'm back.

MANO YUKO

Chiaki's father

Chiaki's mother

MANO TORU

You must be hungry. I'll make food for you soon.

You said you ask for sushi for the lunch.

Was that so?

- Then, come inside. - Okay.

Mom, can I have this aroma oil?

Sure.

Please use it well.

The oil my mother makes is a magical one, so it's popular for the patients.

I got it.

I'm flattered with the compliments.

Osawa-san's grandma is a fan of this too, right?

How is she?

Who?

I'm talking about Osawa-san.

You see, the patients always bring vegetables to me.

Mom.

Want to rest in my room until the sushi comes?

Right.

After all, it should have been better.

To have her undergo a detailed examination of her dementia.

You're right about that,

but I'm thinking of getting mom to enter the facility.

Facility, you say?

A facility for demented patients.

I know she's been forgetful,

but would it be enough to just put her in the facility?

Sister,

you thought that I'm putting her in the facility...

...because I'm too lazy to take care of her, right?

That's not what I think!

It is!

You don't know anything!

Stop it, Mari.

It's natural for Chiaki to think that way.

When she came back six months ago, she's just lightly forgetful,

Even now, she's still calm, same as before.

What happened?

Her symptoms have progressed rapidly these days.

Mari-chan!

There was a noise at night.

Mari-chan!

She wandered around the neighborhood,

and was under police's care for three times.

Mom was?

She forgot to turn off the gas, which could have created a fire.

Dad!

Dad! No!

She was soak in water as she forgot how to turn off the toilet's shower.

It was a tough time.

For taking care of your mother,

for the clinic office works,

I have counted on Mari for those.

That's why,

she told me to put her mom in the facility.

A doctor from Koshu Medical School, who came to for a part-time job,

introduced me to a facility at Otsuki.

I talked to him for us to be included next week.

Chiaki, will you agree on it?

I...

I think it's better for her to go to the facility.

Thank you.

Please understand us.

I'm sorry.

I have pressed it all down...

...to you and to Mari.

Sister, just feel free.

Though I have been studying hard,

I'm still useless towards my patients.

Sister, you're sly.

How long will you have to keep studying?

You don't intend to transfer here at the clinic?

Sister, have you ever thought about dad?

I know. Dad is about to...

You don't know!

It's for mom.

Dad...

He wants to be near at mom.

Chiaki, you don't have to come back.

Dad...

Chiaki, don't worry.

Just do your job well.

But...

Even now, Mari could have felt burden,

but when your mother goes into the facility, she will have a load off her shoulders.

I couldn't do anything for your mother until now.

From now on, I will think about her happiness.

Father. Mari-chan. I'm in trouble.

What's wrong?

I couldn't find my wallet. Did you see it, Mari-chan?

You could have left it somewhere in the room.

I'll find it.

A thief came in and stole it.

It's all right. She says it several times every day,

My dear.

If you say it's a thief, Chiaki will be taken aback,

Chiaki-chan, it's a thief.

Hurry up and call the police!

- Say, dear. Mari-chan. - I got it.

Let's search it for a while.

It's not there. My wallet is not there.

Good morning.

Good morning.

Oh, Doctor Chiaki, good morning.

Thank you for watching over here.

Oh, this is a souvenir from Yamanashi.

Please eat this.

You went back home!

Were you at ease?

Well...

- Oh, right. Doctor Yoko. - Yes.

I picked this up on the stairs earlier,

but do you have any idea about this?

It's describing about myocardial infarction, right?

Ah, Kanegon said he was on duty just last week about myocardial infarction,

so maybe it's his memo.

I'll take care of that.

Oh, I beg your pardon. I'm asking you.

Not good... There's no vacant time at all.

What? Okay, I got it.

Hey!

Fujji-san.

When I went to a university hospital,

we were told to wait for 3 weeks for the liver biopsy.

What does that mean!

Even university hospitals gets fully booked.

Don't make excuses!

Why are you sending us around!

Fujii-san, you're talking in the middle...

Do something to get a liver biopsy here today!

I'm really sorry. It's difficult to do that.

What do you think of other people's lives!

Doctor Mano, are you okay?

Hasumi...

Your head was hit. Please lie down.

Well, it's already fine.

How about Fujii-san?

Security guard

HASUMI ISAO

We already settled the matter,

then general secretary Takamine told him not to make a big fuss.

They went back home.

That's a relief.

The outpatient...

Oh, Doctor Mano.

We were about to visit you right now.

You had a trouble in front of other patients.

I'm really sorry for that.

You see, about the outpatient...

I wonder if you still feel like working at the university hospital.

The doctor's elite disorder is such a pain.

Elite disorder?

Most doctors are praised and raised,

thus, any of them has a strong desire to be acknowledged.

"Thank you" from patients can make the doctor very pleased.

Won't you get delighted if you were thanked and appreciated?

To put it in the other way around,

if you continue to be unable to obtain the reward of appreciation,

your sense of futility gets worse...

...and eventually your heart breaks.

As patients pay to seek for medical care,

in the first place, they are not obligated to thank the doctor.

And yet,

...doctors with elite disorder want to be thanked.

A doctor collapses as he or she seeks for someone's "Thank you".

- Thank you for the good work. - Oh, Doctor Chiaki, are you okay?

I'm just okay.

Oh, I'm sorry to have my patient examined.

Yes.

Open the consultation room.

You have to be used to it. From here on, it's hell, Chiaki-chan.

- Please call the patient. - Yes, doc.

Eventually, the outpatients has greatly exceeded.

I'm hungry.

What is this?

There's a sign of something unpleasant.

Is it just me?

A doctor collapses as he or she asks for appreciation.

You've done well, Doctor Chiaki.

You see, that bill...

It must have been tough for you that a troublesome person appeared today.

I'll take this from you. Be thankful for it.

I can't afford to let you pay it.

Wait a minute!

This is the pilaf payment for that table over there.

You're making me in trouble.

Please wait!

Excuse me. Wait...

Isn't this the unpleasant sign I felt earlier?

Doctor Mano!

Oh, Fujii-san.

That is...

I got a call from an acquaintance who came to the hospital...

...and saw you thrust away by my husband.

Please have a seat.

I'm really, terribly sorry.

Oh, not at all.

I am sorry for making you feel uneasy.

Have a seat.

If this had happened,

I wish I didn't talk to my husband about the examination.

Your husband is thinking of you.

Oh, that's not it.

But he is worried about you, so...

My husband...

...was just angry as he couldn't save face.

Save face?

I might be diagnosed of cancer,

so he told my son and daughter about it.

They said, "My dad made my mom have a hard time."

That's how he became defensive just to save face.

He said, "I've been doing my duty as a husband."

Is that really it?

I'm not expecting from him anymore.

Whatever I say, he just stick to his standpoint.

I will just find other places for me to be examined.

I'll excuse myself.

Oh, excuse me.

This one...

Please use this if you like it.

This is...?

Massage your swollen feet with this.

It's a handmade stuff by my mother.

Patients from our clinic said that that is a magic oil.

Magic oil?

Two years ago, I started Russian martial art systema to resolve my insufficient exercise.

After started doing systema breathing,

my hands no longer quiver when suturing wounds on duty.

You can use systema, a martial art, to return home safely.

Systema Lecturer

KIRA DAISUKE

Even in a combat, you can breathe and relax without stiffening your body.

It's based on the former Soviet special forces' training,

but it's like a self-defense technique that's not aimed for a combat.

Kira-san has already done judo, aikido, Philippine martial arts called arnis,

and become an expert who has came to do systema.

I'm not an expert...

Gather!

Well, from here, we're going to do strike workout.

- I'm the weakest at workouts. - Yes. Is that okay?

This is a training to quickly restore normality when faced with extreme suffering.

Okay.

Okay. Okay. Okay.

Okay. If your spine bends, you can't recover from the damage.

Yes. Breathe. That's right. Good.

- You've done well. - Oh, Doctor Chiaki, you came just right.

I have a good news!

What's going on?

Yes. This is Fujii speaking.

This is Mano from Sasai Memorial Hospital.

You have your phone number in the emergency contact address.

Five days later, there's a vacancy for the biopsy appointment.

By all means, I would like you to come with your wife.

I think it's faster than waiting for your turn at the university hospital.

I'll let my wife go alone this time.

Well then.

Please wait a minute.

There's one thing I'd like to ask.

Welcome back.

I'll warm up the dinner.

It's okay. I already ate.

Is that so?

I'm sorry.

I hate the smell of that scent.

Oh, return this.

I specially got that from someone.

Sit down.

Sit down!

Sorry.

I was not serious to you.

What? What's wrong with you?

I... didn't even massage your shoulders.

I've never said kind words to you.

If you weren't there,

I wouldn't even know where my socks are,

I don't even know how to cook rice...

...or how to use the washing machine!

It's only inconvenient at first.

You'll get used to it soon.

If you weren't there,

I don't know what I'm going to do next year when I retire...

...and I don't even know how can I live!

As what Hiroki and Manami said.

It's all my fault that this happened.

That's why...

Don't die.

I'm asking you... to live.

- Good morning. - Oh, good morning.

Fujii-san is waiting over there.

When you asked me to massage my wife's legs...

...I thought that I was stupid.

Hey you.

I'm sorry. I wasn't able to explain it well.

I couldn't do anything to my wife until now.

I couldn't do anything for my mother until now.

Maybe all men who have been dedicated to work...

...thinks that way.

I'm sorry for all the things I've said to you.

No. I was an immature doctor.

No.

I was saved by you.

Then, we'll be leaving from here.

Doctor Mano...

Thank you so much.

The general secretary said that a doctor collapses as I seek for someone's "Thank you".

Certainly, it's preposterous to ask for gratitude.

Looks like it has calm down.

Thank you, Doc.

But a doctor looks forward from a "Thank you" from his or her patient.

That's definitely correct.

So? How's Fujii-san's liver biopsy?

Did you have the results?

It was an early-stage liver cancer.

I see.

Since it has not metastasized, and can be removed through surgery,

I'm going to get her admitted to the surgical ward.

These days, one of out of two persons gets cancer.

Even if one has it or not,

we're on the era of living with it.

I hope we will be able to compromise with this illness.

I think your husband will support you well.

Right.

Doctor, did you say I'm out of focus?

You see, I've talked about this before...

I'm good, thanks.

Asanuma-san, please bring this with you.

Please take care.

- Next person, please. - Yes.

Zama-sama. Zama Atsushi-sama.

Doctor Chiaki, hello.

This person is not a regular patient.

It's his first visit.

Zama Atsushi-san.

What did you do today?

Please give me some sleeping pills.

There are days when I can't sleep as I have to take care of my mother.

Patients who suddenly need sleeping pills need to be paid attention.

Zama-san, please tell me about your symptoms.

I told you I can't sleep.

I can't prescribe a suitable medicine...

...unless I have specifically pointed out whether you're having trouble falling asleep...

...or you're waking up at night and not being able to sleep.

I guess it will be so hard to treat you for dinner.

I'll take this from you. Be thankful for it.

This was the beginning of the battle against monster patient Zama Atsushi.

[ To be continued ]