Original subtitles

This kind of laparoscopic cholecystectomy that utilizes a single port laparascope is not yet widely used.

The benefit is that since the incision is small, postoperative recovery is speedy.

Next ... I will disconnect the cystic artery.

Senju sensei ... I'll be removing the gallbladder in ten minutes.

Wha ... ?

All right, I'll get ready.

Yukino Hamaoka-san, age 35.

Three days ago she came to the general diagnosis department with pain in her right back and a fever.

Gallstones were discovered after an ultrasound check, so the decision to operate was made since the pain was great and there is a possibility of inflammation.

She's still so young ...

The other benefit of a laparoscopic cholecystectomy is that since there is no abdominal opening or closing the length of the surgery is reduced.

Sagara sensei is well informed about the most advanced surgical techniques.

Thanks to this, Dogami General Hospital is able to offer the highest level of medical procedures.

I wonder who that is.

Hamaoka san ...

I'm going to detach your gallbladder now.

Hook.

Hamaoka-san works at a beauty parlor in Shibuya.

- She's a beautician? - Right.

- And her husband? - She's not married.

She divorced three years ago, and is raising her fifth grade daughter by herself.

- A single mother ... - What's happening with her daughter while she's hospitalized.

Since there aren't any relatives she can stay with, Nao-chan ... Her name is Nao-chan ...

- She'll be staying at home alone. - Alone?

If the surgery goes well, she'll be out in five days. If it's only that long, she said her daughter will be fine.

Can she cook for herself?

Since her mother is usually busy, apparently she often makes dinner for them both.

What a good kid!

Originally Sagara sensei worked for Tokyo Medical University Hospital ...

But I guess you could say I head-hunted him.

When detaching the gallbladder, you must separate it close to the gallbladder to avoid cutting into to the liver.

- Shall I administer a muscle relaxant? - No, I'll be finished soon. It'll be OK.

- Nao-chan. - Look! I got the high score again.

- I told you to turn off your phone in the hospital. - But this is just a game.

Games or texting, they're all not allowed. Especially here next to the operating room.

But ... I'm so bored.

Oh, it's over.

The surgery was a complete success, Nao-chan.

Mom!

She'll wake up in about three hours. Don't worry.

- OK, we'll take over from here. - Thank you.

Let's go, Nao-chan.

Sagara sensei.

Let me introduce you. This is Itokawa-san.

I'm Itokawa from Medical Journal Publishing.

Oh ...

You're from Medical Today.

"The 100 Top Surgeons of Japan."

It's a Medical Today special report.

We select the surgeons who are the best in their field.

And Sagara sensei has been selected.

Wow ...

Actually, we haven't decided yet.

But recently I've heard a lot of good things about Dogami General.

Really?

They say that since Sagara sensei joined the level of surgery has improved tremendously.

- Wow, sensei. - Congratulations.

- Like I said, we ... - Haven't decided yet.

Sorry.

It's best that I see for myself and ...

I'm not sure this is the best way to put it ...

But I'd like to inspect.

I see ...

Uhm ...

I am an incredibly average doctor.

- I am hardly a top surgeon. - No, no, no.

The surgery you performed today was fantastic.

Sensei, this is no time to be acting modest.

If any one of our doctors is among the top 100, our whole hospital will be very proud.

Our reputation will improve, and patients will pour in from all over the country!

- Director, please! No talking like that now. - Sorry, I got carried away.

- That's alright. Everyone expects that sort of thing. - I thought so!

But ...

Hn?

- If I am chosen ... - Yes?

- Can I be frank? - What is it?

Moriyama sensei is also a very respectable doctor.

- Moriyama sensei? - Yes.

Oh, that's right. We also have Moriyama sensei. He's our ace.

Oh, yes, yes! Sagara sensei is an excellent doctor of course ...

But Suguru-ch... I mean, Moriyama sensei, is also a superb surgeon.

That's right. There is also Sasai sensei, Danbara sensei, Takaizu...

In any case ...

Every member of our staff is highly qualified.

I would appreciate it if every member of our staff were considered for your top 100.

Sagara ...

Moriyama ...

Director, this is clearly a double-edged sword.

If one of our doctors is chosen as one of the top 100 ...

The reputation of Dogami General Hospital will get a big boost.

However ...

If Sagara sensei is chosen, but Suguru-chan isn't ...

Moriyama-sensi will go bonkers and destroy this hospital!

- Why don't we withdraw from this competition? - But that would be a waste!

But ... the chances that any doctor other than Sagara sensei is chosen is ...

- One in a million. - You really think so?

They're all proper doctors after all.

- Proper doctors? Really? - Of course!

This is great!

Damn, these cream puffs are awesome too!

Told you so. Convenience store's are pretty incredible.

- Why'd you get into convenience store sweets? - Did you see someone having them?

Maybe so ...

And then you subconsciously craved them.

I wonder who was eating this stuff?

- What are you laughing about, Minagawa sensei? - Oh, nothing.

I just thought I saw someone eating that too.

- Convenience store sweets? - Who?

Oh, Sagara sensei.

- How are you? - Alright.

What's the matter?

- Huh? - You sure seem unhappy.

- I've never seen you like this. - Did something happen?

- Remember that guy that was watching my surgery today, Senju sensei? - Yeah?

He's ... the editor of this magazine.

Medical Today.

He's selecting the top 100 surgeons of Japan, or something like that.

- What? - Top 100 surgeons!?

Wait a second.

- Medical Today's choosing the best surgeons? - That's what it looks like.

Apparently there's going be a bunch of judges coming disguised as patients and staff. They'll be everywhere.

- Everywhere!? - Jeez, the things they do!

- You mean you weren't chosen, Sagara sensei? - Yes, they didn't want me.

They really should just be looking at my surgical abilities.

But they're also checking the character of the candidates. It's just not fair.

OK, I'm going on my rounds now.

Oh ... But ...

Apparently you are all still candidates. Do your best.

You're all candidates.

I wonder if they select the top 100 anesthesiologist too?

- Nope. - Nothing so dull as that.

It sure is getting warm in here.

What did you have last night, Nao?

Yakisoba.

- Did you add vegetables? - Of course.

Cabbage and carrots ...

And pork too.

Such a good girl.

- Hamaoka-san. The doctor's here to see you. - Good morning.

How are you feeling, Hamaoka-san?

- This is the doctor who did my surgery. - I know.

He's Sagara sensei.

You really are sharp, Nao-chan.

- She's a real smarty pants. - I'm no such thing.

What's her temperature?

Uhm ... It's been just over 39 since yesterday.

- 39? - Yes.

Let me check you.

- Hamaoka san, you don't have any allergies, correct? - That's right.

Have you been abroad recently?

- Abroad? - Yes, within the last six months.

- I could never take a trip abroad. - That's for sure.

I see.

Have your parents or any relatives ever had rheumatism?

- No, nobody. - I see.

Her surgery was a success, right?

Yes, it was. But, you see, each person recovers differently.

- Don't worry, Nao-chan. - I'll be just fine.

Order antinuclear antibody and immunoglobulin tests for her.

- Is there something wrong with Hamaoka-san? - She shouldn't be in that condition.

- What? - Why won't her fever go down?

The surgery went perfectly ...

Sagara sensei is really handsome.

He's really nice to me.

I wouldn't mind if you married that doctor.

He's a doctor. He'd never choose a woman like me.

Can't I wish ... ?

The top 100 surgeons in Japan!?

That's incredible!

Get picked, Ken-chan!

- Get picked? - Who cares about that kinda thing.

- I can't believe they also look at character. - That has nothing to do with doctoring.

I'd be really happy if you were chosen, Ken-chan. I could boast about it at the wedding.

If I were good enough to be chosen, then Danbara sensei would be too.

- Oh, but before me would be Sasai sensei. - Me?

- Are you kidding? You can't skip Moriyama sensei. - I told you I don't care about that.

But, there's all kinds of just average doctors, right?

If he doesn't have some kind of high status, I can't be proud of being married to him.

- Fumi. - Hm?

What percentage ... of your reason for getting engaged to me ...

Is because I'm a doctor?

Good question!

- Ten percent's too low. - Probably around forty.

- Forty!? - A man's job is very important.

- Well, if you're not a doctor, then what's left? - OK, then how 'bout seventy?

- You're right ... If you weren't a doctor, there ... - Wouldn't be any reason to marry him.

What!?

- OK, ninety. - No, let's go to ... 100.

- 100, isn't it, Fumi-chan. - 100%!?

No ...

- That's it. It's thirty. - Really? Thirty?

- Fumi! - If you're chosen as a top 100 surgeon, then it'll be 100.

- Huh? - I don't want a plain old doctor.

A plain old doctor?

- Morning! - Good morning!

- Ooh! You're up and walking now! - Yes, thanks to you.

Let's all do our best today!

- You never know where the judges might be. - That's right.

- Thank you for your hard work. - Thank you.

That janitor looked like he could have been one.

- We've got to be on our guard. - Right.

Takagi-san. Yoshiko Takagi-san.

- Sensei, I'll call them. - No, no. It's alright.

Oh! Takagi-san!

- What's the trouble today? - Since yesterday my stomach's felt upset.

Ohh, ohh. That sounds awful.

I see, I see. Ohhh. OK, let's have a look.

The adhesion is quite bad.

This is going to be really difficult.

Metsenbaum.

That's Itokawa-san from Medical Today.

It might be difficult, but I can handle it.

- Taguchi-kun. - Yes?

May I have the ligature, please.

"May I"?

Well, I was quite surprised. All the surgeons' attitude toward the patients is remarkable.

- Huh? - Our doctors?

None of them look down on the nurses or other employees either.

I'm really impressed.

Well, yes. I guess that's why they are so trusted by their patients.

- Medical care can only be complete when doctors and nurses cooperate. - That's right.

However ... when considering skill as well ...

From an overall perspective ...

Sagara sensei's the one.

- I'm still going to look around a while. - Oh, one moment, please.

Uhm, sorry, but ... uhm ...

Uh...

If you're going to choose Sagara sensei, then ...

- Would it be possible to choose Moriyama sensei as well? Like, as a pair? - A pair?

And if you don't select Sagara sensei, then you can keep Moriyama sensei in.

Moriyama sensei is our top doctor.

- That's not the criteria for selecting the doctors. - Yes, of course. I understand that.

We must report to our readers a fair and accurate judgement.

As for Moriyama sensei, I will observe him some more ...

And then make a final decision.

Thank you so much for all you've done. Good bye.

- Observe? - If he observes any more, Suguru-chan will definitely be out.

Oh, what'll we do?

C'mon, do something.

- Lately the doctors are acting really weird. - They're suddenly all friendly ... to us and the patients.

Maybe they're more humble now that the head nurse became the assistant director.

- You think they're changing their ways? - That would be cool! This is becoming a nice place to work.

- Nurse. - Yes?

- I've got a question. - What is it, Nao-chan?

Are any of you nurses Sagara sensei's girlfriend?

What?

- His girlfriend? - You know, doctors and nurses often become couples, right?

- Why are you asking? - 'Cause my mom really likes Sagara sensei.

If he's got a girlfriend, then I've got to get them to break up.

- Nao-chan, that's not a child's business ... - So, are one of you his girlfriend?

- What? - You're kidding!?

- No! No, no! I'm not! C'mon, I'm not!

I swear it, Nao-chan.

OK.

- Nah ... she doesn't believe you. - She sure doesn't.

There's nothing between Sagara sensei and me.

But ... you went on a date, right?

We just ate together.

- Did he invite you? - It was just a diner!

- Ami-chan, let's do our rounds. - OK!

Hey, wait a second!

That's not ...

Mom!

Like I thought, Sagara sensei's got a girlfriend.

- You're kidding! - I asked at the nurse station.

You've got to mind ... your own business ... you know.

It's probably the nurse that's taking care of you.

Miyabe-san?

She's really pretty, too.

You might just have to give up on him, Mom.

- Sagara here. - Sensei!

Hamaoka-san's stopped breathing!

What!?

Hamaoka-san! Hamaoka-san!

Mom!

Mom!

Hamaoka-san!

She suddenly had a seizure and stopped breathing.

- How long has she stopped? - Only two minutes.

Epinephrine 0.25.

You've gotta save Mom, sensei!

Epinephrine administered.

Good. She's started breathing.

- Hamaoka-san? Can you hear me, Hamaoka-san? - Mom!

Mom!

Get an oxygen mask, three liters.

You're certainly looking better.

You'll be out of here soon. You can do it.

Do your best until then. Keep it up. Keep it up.

- Moriyama sensei. - Yeees?

Good to see you again.

Oh, the medical rep. Energetic as usual.

Oh, that's right. Please, tell me. What is the medicine you wanted to talk about?

I heard about the top 100 surgeons.

All you doctors are really friendly now, and the hospital's become a more cheerful place.

- Are you being sarcastic? - Oh, no! Of course not. It's a good thing.

Actually, I know Itokawa-san of Medical Today.

- The man in charge of selecting the 100 top surgeons. - Excuse me?

Shall I save a seat for you with him tonight? You can get closer to Itokawa-san that way.

- What's your name again? - Shibuya.

Shoko Shibuya from SI Pharmaceuticals.

Shoko-chan, huh?

You'll go far in this world.

What's the matter?

You're both looking concerned.

- This patient's recovery isn't going well. - After gallstone surgery, she had a seizure so bad that her breathing stopped.

- Oh, dear. Why? - That's what we don't know.

So this even happens to you, Sagara sensei?

Yukino Hamaoka.

She's 35. For some reason her fever didn't subside after surgery.

If anything, she's getting worse.

I really wonder ...

What's going on.

Maybe it's a postoperative complication.

Like an infection where she was operated on, or a bile leak.

No, I don't think so. Nothing shows up on her CT scan.

- Then she's got an allergy. - Those tests turned up negative as well.

Then I have no idea.

Today ...

I'll be leaving right on time, so I'll be seeing you.

Of course you don't know. If Sagara sensei doesn't know, then how could you.

This has nothing to do with me.

Since you used an indwelling bladder catheter, could there be an infection in the urinary tract?

If that were true, her urine would be turbid.

Oh, yeah, you're right.

I've never seen anything like this.

Oh, hello.

See you.

Yukino Hamaoka ...

Could you ...

Tell me how your mother said she was feeling?

She's your mother, right?

She felt lethargic ...

And couldn't breathe ...

I wonder what's wrong ...

Is your mother a housewife?

Does she work?

She's a beautician.

So she meets lots of different people.

Hey ...

- Who are you? - Hm?

Can't you tell?

Mom's doctor is Sagara sensei.

Don't touch my mom without permission!

All right.

Little brat.

Is she gonna get better?

Can ... this hospital help her?

You'd better ask her doctor.

Nao-chan!

Are you going home?

- What's wrong. - Nothing.

What are you doing for dinner? Will you make it yourself?

- Be careful using the stove. Try to use the microwave as much as ... - Leave me alone!

Not eating for one day's no big deal!

Wait! Nao-chan!

- Head Nurse. - Yes?

- I'd like to ask you about Hamaoka-san's daughter. - Her daughter?

I just wonder if she's OK all alone while her mother's in the hospital.

- She's only 10, so I'm worried about her. - You're worried?

Like, if she's able to make enough for herself to eat.

I understand that. But what about it?

I want to visit her to see how she's doing.

I saw Nao-chan just now, and she was kinda upset, so I was just worried.

You sure have changed, Miyabe-san.

- Huh? - Before you'd never have concerned yourself with that kind of thing.

But, you know ...

Our job is ... caring for the patients.

Going to their homes and taking care of their children is not part of our job.

In fact, it's more likely to cause Nao-chan to worry.

Miyabe-kun.

- Can I have a look at Hamaoka-san's medical record? - Sure.

- Here it is. - Thanks.

Did you hear us talking?

Yep.

I realize it's something a nurse shouldn't be doing, but ...

If Nao-chan has some problem, then it would affect her mother's recovery, right?

Ultimately it's for the patient, so I just thought she would allow it this one time.

[Sunrise Palace #102] [3-44-3 Renjaku-machi, Mitaka City]

You've got to obey the rules.

Thanks.

Sagara sensei!

Oh!

- Please take me along. - What?

You're going to Nao-chan's home, right?

But ... the head nurse told you not to.

A doctor going to a patient's home is also against the rules, right?

I'm ...

This is a house call.

A house call?

Even when the patient's in the hospital?

If this were a small village in the countryside, the doctor would also go check on the family.

And of course a nurse would accompany him.

OK, fine. Let's go together.

OK!

What? ... You're sitting in back?

This isn't a date, after all.

- Alright, I'm ready. - OK.

- Good evening, sir. - Good evening.

Good night.

[Yukino Hamaoka] [Sagara sensei, here are the latest test results.]

Woah! I wasn't expecting that!

- Hello? - Shubuya here. I'm waiting in the lobby.

- Itokawa-san will be going directly to our meeting place. - Ohh...

Do you still have work, doctor?

Just a little longer.

Could you go ahead and keep Itokawa-san company for a while. I'll be there soon.

OK, sure.

And, can you say good things about me?

Yeah, yeah. Like you always do.

Thanks.

Good evening, Nao-chan.

- We decided to drop by. - Wha ... ?

Thanks for letting us ...

Oh dear. This doesn't look good.

Are you eating, Nao-chan?

Yeah, I am.

- Your mom said you can make all kinds of things. - But I'm all alone now.

There's no point if Mom's not here.

You've got a point.

You're only 10 after all. It's asking too much to expect you to do everything by yourself.

But I can.

Five days is no big deal.

I can do it all alone.

But Mom's not getting better at all!

Sensei ...

You said she'd be better in five days.

But she's just getting worse.

Everybody at the hospital's a liar!

Mom's gonna die ...

She's gonna die, I just know it ...

Nao-chan ...

Nao-chan.

I'm sorry.

I ...

Lied to you.

But ...

I never ...

Imagined this would happen.

Your mom's illness ...

Should have gotten better after surgery.

When the surgery goes well ...

She really should be better in five days.

Then why ... ?

Why?

That's what I'm working so hard to figure out now.

And that's why I came here to your home.

I thought I might find the cause if I looked at her everyday life.

By coming here, I thought I might discover something that I didn't know before.

I promise you.

I will ...

Make your mother better for sure.

Your mother ...

Will get better for sure.

So, Nao-chan ...

Can I have a look around your house?

Nao-chan ...

Please believe Sagara sensei.

Thank you.

- Here's our medicine box. - Oh, thanks.

- Here you go, Nao-chan. - Thanks.

[Medication Record]

Methopromine ...

That was four months ago.

What's this?

This is ...

What's this?

This is ...

- Hello, Sagara speaking. - It's Moriyama.

Yukino Hamaoka-san ... is that her name?

The one who's condition's been worsening since her operation ...

There's gotta be a cause for that.

Since nothing's showing up on x-rays and CT scans ...

Then maybe ...

She already had an autoimmune illness.

- I see. - The only thing I can think of is ...

This patient has some other disease.

I'm not sure what it might be though.

Moriyama sensei ...

Have you been concerned about Hamaoka-san?

Not really.

I was just thinking about it, that's all.

Thanks to you ... my own suspicions have been confirmed about this.

- What? - Thank you.

If you already knew that, then don't be asking ...

For my advice.

What? Lookit the time!

I've gotta put this away.

I'll never make it in time.

- Hamaoka-san, how are you feeling today? - I feel much better.

- Until yesterday I felt awful. - I thought so.

I'm glad to hear that.

Actually, last night I changed the medicine in your IV.

I've added quinine.

It's for malaria.

- Malaria? - That's right. It's a tropical disease.

Tropical ... ?

After testing your blood again, Hamaoka-san, we finally discovered that you have malaria.

But you'll be fine now. Your fever's gone down. After a week of treatment, you can leave the hospital.

Why didn't you tell me the truth, Hamaoka-san?

To tell you the truth ...

Yesterday we visited your house without your permission.

Wha ... ?

I just couldn't determine why your condition wasn't getting any better.

But then ...

I found this in your closet.

This is ... one of those bags you get when you buy duty free goods when traveling abroad.

The receipt says Indonesia on it.

And the date is October 28, 2011.

One month ago ...

You caught malaria there.

Then ...

After your surgery when your health was poor, it manifested itself.

I never imagined ... that's what the problem was.

Have you been abroad recently?

- I could never take a trip abroad. - That's for sure.

Right now ... I'm relieved that your condition's improving ...

But I'm also angry with myself for not discovering the cause sooner ...

And vexed as to why you didn't tell me the truth.

It's really disturbing me.

When I first asked you ...

You said that you hadn't gone abroad in the past six months.

When a patient lies ...

It doesn't matter who the doctor is ...

We can't make you better.

I'm sorry.

I myself ...

Thought that this trip might have been the cause too.

I thought it was punishment for doing something I shouldn't.

Something you shouldn't do?

I'd been seeing a man.

We went to Indonesia together.

I lied to Nao ...

I told her I was going to a friend's wedding in Hokkaido.

Two nights and three days over a weekend.

Why ...

Why couldn't you tell Nao-chan the truth?

Because ... he's married.

I'm so stupid.

If I'm going to date someone ...

Then it should be someone who could become a father to Nao.

But an affair ...

I could never tell Nao that.

Are you still seeing him?

I think it's over.

He didn't even come to visit me here.

But ...

It's for the best.

The trip ...

Wasn't any fun at all.

When I thought about Nao being all by herself ...

I'm sorry, Nao.

Sensei ...

I apologize.

If I had died ...

Nao ...

Would have been alone forever.

Thank you.

Thank you so very, very much.

Miyabi-kun.

I think ...

We shouldn't tell Nao-chan about the malaria.

I think Nao-chan will just be happy that her mom's better.

Sure.

Thank you so much.

Nao-chan.

Sorry I kept you waiting. OK, let's go back and see your mother.

Is Mom gonna ...

Get better?

She's fine now.

Japan's top doctors, huh?

- There must be tons of surgeons all across Japan. - Making it into the top 100 is totally impossible.

- That's right. - Aw, too bad you guys.

- But I was sure one of you would be chosen. - I'm sure next time one of you will.

Lately everyone's had nothing but good things to say about all of you.

- Good things? - Like what?

You're sincere with the patients, and kind to the nurses and staff.

You've all really become much more respectable.

Yeah, I heard that too.

The nurses are even saying so.

- More respectable ... - Really ... ?

I wouldn't know, myself.

But isn't it great news that one of Dougami General's doctors was selected.

Why!?

Why was Sagara chosen!?

- Moriyama sensei. - Just relax, Suguru-chan. Relax!

I treated that four-eyes Itogawa to dinner! I even paid for his liquor!

- Bu.. but wait! Wait! You ... you're in here too, Suguru-chan! - That's right!

- Where is it? - On the last page.

Oh ... Here it is. Look! "Supplementary list. Doctors to keep your eye on."

See, at the very bottom. Last but not least.

See? Look! Look!

- Where? - Here. Here. Here.

I'd like an immediate test run on Hasimoto in 203.

I'lll input the details here.

- Sensei, we saw the magazine. - Huh?

This!

Oh ...

Aren't you happy?

There's lots of perfectly good doctors that don't appear in there too.

But if that brings in more patients, then I guess it's a good thing.

OK.

Take care of this, please.

- And I was going congratulate him too. - I don't know why he can't be happy about this kind of thing.

- Isn't that the truth. - He should be happy like he was then.

- Hey! Moriyama sensei's in here too! - What!?

- No way! - See? Just his name.

- Oh dear. It's so small. - And he tried so hard, too.

Well, even getting his name in there is pretty good, right?

- Congratulations, sensei. - Yes. Very good. Very good.

Well done. Well done.

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