Black Pean (2018) s01e01 Episode Script

1
I'm from Teika University.
Welcome. Please proceed
to the front entrance.
Yes. Okay.
Understood.
They're here.
Right, understood. I'm on my way.
They've entered the building.
Listen up! We only have five minutes!
Tojo University Hospital.
Known in the Tokai region,
but barely recognized on a national scale.
But today,
from the towering heights of Tokyo,
the giants of Teika University
are here on reconnaissance.
Professor Nishizaki, we welcome you.
It is my wish to learn all I can
from your university.
A great doctor as yourself?
Don't be silly.
What business do they have
with a small regional hospital like ours?
Teika University, with its cutting-edge
cardiac surgery technology
THE RACE FOR CARDIAC GLORY
and Tojo's own skilled surgeons
are in fierce competition.
TEIKA UNIVERSITY VS TOJO UNIVERSITY
The cardiac surgery department
where I work
attracts patients from all over Japan,
and even the world,
seeking the expertise of Dr. Seigo Saeki.
There's one more reason
for the competition.
The approaching elections
for the Chairman of the Surgical Society.
ELECTIONS FOR CHAIRMAN
Professor, it's time.
To earn the position to stand at the top
of 40,000 surgeons
Tojo's Dr. Saeki and Teika's Dr. Nishizaki
go head-to-head.
SAEKI VS NISHIZAKI
It's unclear why,
but today,
they will perform surgery on a patient
who suffers conditions usually deemed
to be ineligible for surgery.
They've come to watch us fail, I presume.
Dr. Saeki has risen to the challenge.
For Tojo University,
failure is not an option.
Dr. Saeki's operation will begin shortly.
Would you kindly fill me in
on the tools he will be using?
Much obliged.
Give us a close-up of the surgical tools.
Okay.
Those are Dr. Saeki's
black forceps.
Here's the doctor.
The heart-lung machine
is functioning well.
You got this far in 20 minutes.
Dr. Yokoyama, you've improved.
Thank you.
Don't stop the heart.
The Saeki Method on this case?
I thought he would stop the heart.
We will now proceed
with the on-pump mitral valve surgery.
-Let's begin.
-Yes, sir.
-Debakey.
-Here.
Cooley hook to Dr. Yokoyama.
-Metz scissors.
-Here.
The method that shook the world.
The Saeki Method.
The Saeki Method.
Unlike traditional heart surgery
that stops the heart,
it is performed while the heart
is still beating.
It reduces the time needed,
and it is easier on the patient.
It's also said to be
a hundred times more difficult.
He's able to apply stitches
while the heart continues to beat.
Incredible.
Yes?
Here's the Solulact.
-Call Dr. Saeki.
-Okay.
You'll be okay. We've administered the IV.
All ready. Don't worry.
Excuse me, miss.
-Hayata.
-Yes.
All set.
Mr. Miyazaki has experienced
an aortic dissection.
He's scheduled for tomorrow.
Miyazaki? His tissue is weak.
Take him to Operating Room three.
-I'll go there soon.
-You're going to operate?
This surgery lasts three more hours.
Should we ask someone else?
We have visitors today. Don't make a fuss.
Dr. Yokoyama, you go.
Take over until I get there.
Understood.
This is a crucial operation for you.
-Leave it to me.
-Thanks.
-Dr. Kakitani, be the lead assistant.
-Yes, sir.
-Hayata.
-Yes?
Prepare the intercom
and monitor for Room three.
Dr. Yokoyama is my supervisor,
and as Dr. Saeki's top pupil,
he is expected to take his place.
ROOM 3
Did you get the pump? Pick up the pace.
Dr. Sera, go help in Operating Room three.
Understood.
What's all the fuss? Did something happen?
No problem at all.
Please observe
Professor Saeki's operation.
-We're here.
-You're late.
-Forgive us.
-Get the valve.
-Yes, sir.
-You two, camera on.
Right.
Get Dr. Saeki on the line.
Understood. Excuse me.
-We're at 24 milliliters.
-You're connected now.
This is Dr. Yokoyama. Take a look.
We've halted circulation.
-So, it was an aortic dissection.
-All right.
Scalpel.
Dr. Saeki is monitoring a second surgery
as he performs his own.
He's superhuman.
Observe.
There's a tear in the ascending aorta.
-Replace it, Yokoyama.
-Understood.
We'll now apply prosthesis.
-It's on you.
-Understood.
-Intercom.
-Right away.
-Monitor off.
-Okay.
-Sound up.
-Okay.
-And now the real fun begins.
-Right.
Suction.
Be careful with the Cooley hook.
Yes, like that.
Next, we perform the aortic replacement.
-Let's begin.
-Yes, sir!
It's PSVT.
-Should we halt the operation?
-Calm down.
We'll continue like this.
Continue the surgery?
With heart contractions like that?
You don't need to worry.
Dr. Saeki does not make mistakes.
He knows exactly what he's doing.
No mistakes, you say?
It's a matter of discipline.
Dr. Saeki is the only man on earth
who's able to perform the Saeki Method.
The only one.
How's Dr. Yokoyama doing?
We should be getting a signal
from the doctor.
May I be excused for a moment?
Aortal replacement complete.
-Reduce blood flow.
-Right.
Blood flow reduced.
Blockage removed.
The heart is beating again.
-Transfusion!
-We need albumin.
Can we stop the heart?
I was given orders to perform aortal
replacement. It should be fine.
Can we contact the doctor?
He's in the middle of surgery.
Transfusion, hurry.
-Interns, transfusion.
-Okay!
Stop the blood! More gauze!
It's not there.
Go to the transfusion room.
-Four packs of RBC.
-Got it!
Miwa.
Get the Cooley hook.
The Cooley hook?
This is not the time to sleep.
Wake up.
-Room three!
-Right!
Dr. Saeki in operating room one.
In room three
-More! More! Hurry!
-All right!
Where is it leaking from? Here?
Where's my transfusion?
That's what's going on.
-Transfusion is ready!
-Hurry!
There's no pressure. We're losing blood.
There's too much blood!
I can't locate the source!
This is Dr. Saeki's patient.
If you let him die
Do you think I don't know that?
We have to call the professor.
We can't let Teika University
see what we've done here!
I'm sorry!
-More suction!
-Okay!
It's ventricular fibrillation!
Get me the DC.
-Right away.
-Right away.
Nekota
The tubes, hurry.
Should we call him?
-He can't be trusted.
-But
He's the only one who can help us!
You know what will happen
if we rely on a man like that.
A man like that?
Who are you talking about?
-If it means getting the help we need
-Quiet!
Stay back, Intern!
Nekota, the Cooley hook.
Nekota! I have no use for that!
Tokai
Who called him?
Was it you?
-Gown.
-Yes, right.
Out of my way.
What are you doing here?
You're not needed here. Get out!
Why have you only done
an aortal replacement?
Come on, tell me.
-Orders from Dr. Saeki.
-Is that so?
Was leaving a tear
in the base of the heart
an order as well?
What the hell are you saying?
Are you saying there has been a mistake?
A big mistake.
It was the monitor.
He was only looking
at the ascending aorta,
and he missed this tear
at the base of the heart.
He's right. I can't see it.
That why he gave the orders
The problem lies with the surgeon
who has continued operating,
blindly following orders without checking
for damage at the base of the heart.
Did you just want to save face?
Instead, your foolish mistake
has made the situation much worse.
This is what happens
when ignorant doctors take up the knife.
Pay me ten million
and I won't tell a soul.
You're kidding.
Ten million? You must be kidding me!
You better resign.
Hand over your severance pay
and I'll make all this disappear.
We still have ventricular fibrillation!
You're running out of time.
Doctor
-Doctor!
-I know!
Help me I'm begging you
Let's reconstruct the base.
-Clamp.
-Here you go.
-You're in my way.
-Sorry.
-Electroscalpel. Prosthesis.
-Yes, sir.
Reconstruction complete. Remove occlusion.
The heart is beating.
Good. Next.
We'll perform
on-pump mitral valve surgery.
-You with the glasses.
-Yes.
You don't mean the Saeki Method?
-Debakey forceps. Cooley hook.
-Right away.
-Can you pull it off?
-How should I know?
But for ten million yen,
I'll give it my best shot.
-Pardon me.
-Okay. Let's begin.
There was only one man capable
and now there could be two.
Metz scissors.
-Metz.
-Here.
-Removing heart-lung machine.
-Okay.
-Black forceps, please.
-Yes, sir.
Black forceps?
The special surgical forceps
that Dr. Saeki uses to finish operations.
It's like a ritual.
It means the operation was a success.
Dr. Kitajima, go tell the family.
Tell them that Dr. Saeki
used the black forceps.
I'm off to Operating Room three.
-I'll leave you to stop the bleeding.
-Right.
Three hours and ten minutes.
-Faster than usual.
-Yes.
He's like God himself.
Ten million yen it is.
You can finish up.
Move it.
-Take over.
-Okay.
-Take these off.
-Right.
Two hours and fifty minutes
Tokai.
That was truly something.
I couldn't replicate it if I tried.
A dangerous operation like that
Director Moriya,
we'll discuss things later.
Right.
Until next time.
Thank you very much.
Dr. Saeki is indeed a skilled surgeon.
But he's just a small-town craftsman.
A man like him can't be entrusted
with the future of Japanese medicine.
I'm counting on you, Dr. Takashina.
Understood.
So Dr. Yokoyama's transfer
was because of that operation?
That's right.
He was your mentor.
But now, you'll be working with Dr. Tokai.
-This way.
-What?
-As for Dr. Tokai
-Yes?
He's in that room.
In fact, he lives there.
It's our nap room.
But since Dr. Tokai moved in,
it's like he's made it his own room.
Excuse me.
Pardon me.
What is it?
Taking a nap?
No, I
You were in the operating room
the other day.
-I was.
-I'm Dr. Sera. An intern.
What kind of person is Dr. Tokai?
It's incredible
that he was able to save that patient.
And using the Saeki Method
-Taking money
-Are you going to quit too?
Unskilled doctors are better off dead.
Dr. Tokai, I
-About Dr. Yokoyama's patient
-Out of my way.
It's a patient handover request.
Move it.
Your physician, Dr. Tokai
He's busy today
and he won't be able to see you.
I see.
My first patient. Ms. Taeko Minagawa.
Her husband died young.
She has no family to visit her.
Diagnosed with mitral regurgitation,
she has to undergo surgery by Dr. Saeki.
Ensuring her peace and comfort
is my duty, above all.
It's almost time for your check-up.
-Here's the machine.
-Thanks.
-I'll take this.
-What?
What is this thing?
-It's the new examination machine.
-What?
Dr. Tokai has asked us
to use this from now on.
Wait a minute.
Hold on. What?
-Don't you know how to use it?
-I
It's no good.
It's the new trial equipment
Dr. Saeki brought in.
He told you, didn't he?
Not a word. I'm serious.
I mean it.
And then the patients think I'm no good.
You were just unlucky.
About Dr. Tokai
Apparently, his interns are quitting.
Dropping like flies, one by one.
My condolences.
TOJO UNIVERSITY HOSPITAL
Yes, this is Dr. Sera.
It's about your operation report
from the other day.
-It's awful.
-What?
It says here that Dr. Tokai
took over operations from Dr. Yokoyama
and even performed the Saeki Method.
-That's right.
-Were you even there?
What?
They were fixing the conditions
for Dr. Saeki to operate. Nothing more.
-Isn't that right?
-So I heard from Nekota.
-I'm certain of it.
-What?
Got it?
The Saeki Method
is Tojo's groundbreaking
surgical technique
proudly featured
in the Japan Surgical Journal.
And you think
a veteran like Dr. Yokoyama
was pushed aside
by a low-brow surgeon like Tokai?
Impossible.
No.
It should never be mentioned.
Rewrite it.
Anything can happen in a place like this.
Dr. Tokai doesn't deal with publications
and he will never be promoted.
As far as rank, he's below even me.
-But
-But he's good. The best.
We have no choice
but to follow him when operating.
Dr. Saeki knows this too.
This was supposed to be
Dr. Sekikawa's operation.
But it's Dr. Tokai doing the work.
I'll now take a pericardial graft.
-No artificial valves.
-Right.
Not using artificial valves?
That's not part of the plan.
I'll do a valve formation
with pericardial graft.
-I decided so just now.
-You can't just
It can heal naturally.
There's no use for artificial material.
Right
My apologies. You're in charge.
Take over.
-No, continue.
-Metz.
Everyone here looks up to Dr. Saeki,
hoping to perform
the Saeki Method one day.
Training tirelessly day after day.
But no one can do it.
That Dr. Tokai can do it so nonchalantly
Who will allow that?
Countless doctors have quit
because of him.
While his skills save patients,
he kills doctors.
That man is the devil himself.
It was Dr. Tokai's fussing, I presume?
Dr. Yokoyama's relocation.
It was his own choice.
Either way, the recent shortage
of personnel in cardiac is undeniable.
While patients increase,
the turnover rate drops.
So there's someone
I would like to introduce to you.
What are you planning?
This is Taeko Minagawa.
She's scheduled for mitral valve surgery.
Dr. Saeki will operate.
Dr. Tokai will assist.
Dr. Kakitani will be second assistant.
What's with the tone of voice?
The documents are a mess too.
-Dr. Saeki oversees this surgery.
-Sorry.
Enough.
Go over it again with Dr. Kakitani.
You should be up there, not me.
The editor-in-chief
of the Japan Surgical Journal,
Mr. Hideto Ikenaga, has requested
to observe the operation.
In medical academia,
publishing in journals
can influence the Impact Factor, which
evaluates a doctor's accomplishments.
Among these journals,
the one that holds great influence
is the Japan Surgical Journal.
Its editor-in-chief wields great power,
even in elections.
Dr. Saeki currently leads by six points
with an Impact Factor of 77,
while Dr. Nishizaki follows closely at 71.
A visit in preparation for the election?
This could gain Dr. Saeki
significant support.
That concludes my report. Professor.
Lastly, let me make an introduction.
As of yesterday, a new member has joined
our cardiovascular department
and he is here with us today.
Please come in.
Teika University's own Dr. Takashina.
He's an excellent doctor
who has studied medicine in America.
Due to our staff shortage,
Director Moriya has sent him to assist us.
So, Dr. Nishizaki asked for this.
Director Moriya will have a spot waiting
for him at Teika when he steps down.
But why bring a known enemy on board?
I'm Dr. Takashina.
I had the opportunity to observe
Dr. Saeki's operation
and I learned a great deal.
To return the favor to you all,
I have something to show you.
It's called the "Snipe."
It's a new medical device from America
and is yet to be used in Japan.
Its main application
is mitral valve surgery.
The goal is the same as the Saeki Method,
but the process is quite different.
With the flip of a switch,
the device can be used by anyone,
removing the need
for a surgeon's careful hand entirely.
Dr. Saeki's Saeki Method
allows for the repair of the mitral valve
while the heart beats,
significantly reducing surgery time.
Similarly, the Snipe
involves inserting a catheter
from the tip of the heart
while it continues to beat,
replacing the damaged valve
with an artificial one.
Taking one-third the time
of the Saeki Method,
and removing the need
for a heart-lung machine,
this method is unparalleled
in Japanese medicine.
Do you mean by using the Snipe,
the Saeki Method will become unnecessary?
I suppose it does.
How foolish!
Don't make a mockery of Dr. Saeki.
He's the best there is!
I have to ask.
Just how many people at Tojo University,
no, in the world,
are able to perform Dr. Saeki's method?
Correct.
Only one.
How useful is that method, then?
The Snipe, however, can be used by anyone.
It's equipped with micro-sensors
for automatic targeting
of the affected areas.
Dr. Saeki is indeed praised
for his perfectionism.
And that's exactly the reason
Dr. Saeki is so highly regarded.
This device allows for precision
that is a hundred times greater.
Humans have their limits.
But technology
will continue to evolve forever.
I see now. So that's your plan.
You plan to use the Snipe
to lure away our patients
who come here seeking hope
from the black forceps.
Dr. Saeki is only able to save one,
maybe two lives in a single day.
However, the Snipe can be used by anyone.
Think of the thousands of patients
eagerly awaiting your care.
They can receive that care right away
with the Snipe.
There is no longer a need
for the Hand of God.
Geez. Why? What's the reason?
She just doesn't want surgery.
-What should we do?
-Hospitals are full of surprises.
What should we do?
Even if the operation
does indeed save my life,
I'm still all alone.
Even if I continue to live
Don't say that.
You have a chance here.
There are thousands of patients
hoping for surgery from Dr. Saeki.
I suppose that's right.
-Yes.
-That's right.
And why should I care?
It's no good.
Ms. Minagawa, what is it?
Ms. Minagawa, are you okay? What's wrong?
Doctor, your orders.
-Your orders, please!
-Right.
-Dopamine, please.
-Okay.
-And get Dr. Tokai!
-Right away.
-No, get Dr. Kakitani.
-He's out right now.
-We need a lead doctor.
-That's you.
Levels dropping.
She's in shock.
Doctor.
Doctor!
Get the respirator!
-Okay.
-Respirator!
Here.
Move it.
Taking over.
It's in. Ambu bag.
-Take over. Hurry.
-Right.
-Prepare ultrasound.
-Okay.
She needs an antibiotic drip.
-Needle, please.
-Right.
Blood pressure stabilized.
-Order a CT scan.
-Right.
-Take it from here.
-Okay.
You did well today.
If that patient had died,
it would have been the end for Tojo.
You are truly serving me well.
That surgery the other day,
was it to save me the burden?
You, somehow,
pulled off the Saeki Method.
What?
What do you mean?
It doesn't matter.
There is only one man
who can use the black forceps.
I often dreamed of it as a kid.
Becoming a doctor, living that life.
Saving patients' lives
with grace, never faltering.
I dreamed of it constantly.
But despite becoming a doctor
That goes
for me too.
It's no good.
Just like Ms. Minagawa says.
Why is the curtain open?
What?
Speaking of,
Ms. Minagawa is always saying
It's no good.
TAEKO MINAGAWA
MOM
What is it, Mom?
You finally answered.
So, did you get the rice I sent?
I got it. It's too much,
even if I eat it every day.
Don't you have someone to enjoy it with?
No. Just me as usual, unfortunately.
How pitiful.
After all, you're a doctor.
You should be seeing
five to six women regularly.
-Why did you become a doctor?
-Is that why you called?
-I'm hanging up.
-Wait a second.
How is Dr. Saeki doing?
Your father would be proud.
His son is working in the same hospital
as his former colleague.
Work hard for your old man.
Yes.
I'll send more rice.
-Wait.
-Bye.
I live to see another day.
Dr. Sera.
Ms. Minagawa. Would you please come here?
Look.
You've been watching that old tree,
hoping it will bloom, right?
Leaving the curtains open all day.
That sakura tree
In the year I was born,
it was the very first to bloom.
What? You were born around here?
My house was just beyond
that apartment building over there.
-I see.
-I lived there for many years
until I got married and left home.
That sakura tree and I
lived during the same time
through the Showa and Heisei eras.
It bloomed beautifully last year,
but this year
We are at the end of our short lives.
I went and had a look.
It's budding.
It is indeed withering,
but it hasn't given up just yet.
This is not the end.
The tree will bloom again.
I have to see it through
and watch it bloom.
That's right.
Maybe if the tree can do it,
so can I.
You can.
That's right.
The patient was in shock before.
This is not the time to operate.
What are you talking about?
Mr. Ikenaga from the Journal is here.
Do you think postponing
will help us in the election?
We'll be seen as irresponsible.
Operate on a different patient, perhaps?
I've already forwarded
the patient's info to Mr. Ikenaga.
What good is it if the patient dies?
The Saeki Method will be difficult
under these conditions.
But the patient
is only going to get worse.
At that point,
we would have to call it off altogether.
Oh, my.
This is quite the dilemma.
Dr. Takashina has an idea
about Ms. Minagawa's surgery.
He suggests we use the Snipe
instead of the Saeki Method.
Using a scalpel would cause
too much pain to the patient.
We can reduce that burden with the Snipe.
-Perfect conditions to use it.
-What about permission?
What about the Ministry of Health?
We must solve that first.
We only need permission
from the university's ethics committee.
Which is led by Dr. Saeki.
Do you plan to play into our weakness
and use us as your guinea pigs?
If you're still unsure,
should we call it off?
We couldn't
We need to think about prioritiies.
Stubbornly halt the surgery
and crush Tojo's reputation,
or save the patient
and break new ground with the Snipe.
It may indeed bring about
the end of the Saeki Method.
But using the Snipe is our only option
to overcome this problem.
You should consider yourselves lucky
to have my help.
Lucky?
The chance for Tojo University
to introduce this new technology
to the world
is a grand opportunity, right?
We would only be assisting the enemy.
Leaving the surgery to someone else
We can change the rules, if needed.
I have a motto.
"We must not waste life
being bound by petty rules."
I say
we accept Dr. Takashina's offer.
We know where our priorities lie.
With our patients.
However, for the sake of our university,
we must not fail this surgery.
Dr. Tokai and I will assist.
Don't be ridiculous.
Having Dr. Tokai assist is fine.
-But you as well, Dr. Saeki?
-It doesn't matter to me.
This operation requires no assistance.
Just in case. Got it, Dr. Tokai?
Doctor's orders.
Just one thing.
If you ask me to take over,
even for a second,
I would like to ask that you submit
your letter of resignation.
What do you think?
What do you say?
Very well.
But, if I succeed
You, Dr. Tokai,
will be the one resigning.
For Tojo's sake.
Based on what I've heard around,
you're quite the problem child.
I'll be there.
You better be too.
In other words, a surgery
that normally takes four hours
will be performed in less than one.
This will greatly reduce
the burden on your body.
I see.
If we have your permission,
please sign here.
Excuse me.
Dr. Sera.
Yes?
I would like to ask for your opinion.
-Me? No, I'm not
-Answer her,
Dr. Sera.
I think
you should accept.
You'll do great.
Have you made up your mind?
Is this the right thing to do?
What do you think, Dr. Tokai?
Doctor? Doctor.
I'm begging you. Say something.
She's your patient, right?
She's your patient!
-I'm going to change.
-Okay.
Excuse me. You're an intern, right?
That's right.
My name is Kinoshita.
KAORI KINOSHITA
Clinical trial coordinator.
How was the new genetics tester?
That new machine?
-Indeed.
-I see.
CLINICAL TRIAL COORDINATOR
It was a bit confusing at first,
but it worked out
Thanks for your cooperation.
Sure.
Will you be going there?
-Yes, for a study group.
-Study group?
Pardon me.
All this French cuisine
What kind of study group is this?
A laser scalpel,
invented by Daiichi Industries.
Utilizing an all-new CO2 laser technology,
allowing for improved incisions.
Just like that.
-Right. I'll try it on a few patients.
-Thank you.
Is it always like this?
-This is a study group.
-"Try it out"?
Patients are people.
They're things.
You
Don't you have a heart?
Does having a heart
save lives?
Truly skilled doctors
can do whatever they want.
It's just like what Dr. Takashina says.
People like you shouldn't be doctors.
I'm leaving.
I'm going home.
-I have a question.
-Yes?
I would like you
to look into something for me.
The fateful day finally arrived,
the day of the surgery.
This way.
Why is Dr. Nishizaki here?
The editor-in-chief requested
that he join us.
Come on pick up.
This is Taeko Minagawa. Thank you.
Dr. Tokai!
Dr. Tokai!
Isn't Dr. Saeki operating?
They'll be revealing a new procedure.
Everyone is here.
Shall we introduce the Snipe?
Snipe?
I'm grateful to be given this opportunity.
Surgery is surgery.
There is no changing that.
By the way,
there's no sign of Dr. Tokai yet.
-Dr. Sera!
-Where's Dr. Tokai?
He's nowhere to be found.
Forgive us. Dr. Tokai is absent.
We're out of time.
Dr. Kakitani will assist instead.
He's a pain in the ass as always.
There's no difference if he's here or not.
And now, Case 847.
Off-pump mitral valve surgery
using the Snipe.
Dr. Sera. Dr. Tokai
wasn't in the other ward.
I'll check the nap room again.
Assistance wasn't necessary after all.
Why don't you sit back and have some tea?
How kind of you.
Have you seen Dr. Tokai?
-He wasn't there.
-Look harder.
-What?
-The sofa.
-The sofa
-The sofa?
Dr. Tokai! Dr. Tokai!
-What are you doing here? It has started!
-Keep it down.
-Are you afraid of losing the bet?
-What?
Are you running away?
-What the hell?
-Come on. We're going.
NEW MESSAGE
FROM KAORI KINOSHITA
What is it?
NOW PRINTING
-Where are you going?
-Move it.
Nekota, bring the document
to Dr. Kurosaki and the professor.
-Okay.
-Not from me.
Got it.
Let us introduce the Snipe.
Professor Nishizaki. Let's begin.
So that's the Snipe?
My pupil brought it back from America.
-This was just delivered.
-What is it?
Dr. Tokai, hurry!
The Snipe has entered the heart's apex.
Through the left ventricle.
Almost at the mitral valve.
This is Kurosaki.
Stop the operation, please.
What's the issue?
I've just received
new information on the Snipe.
According to these documents,
a number of problems have occurred
during Snipe surgeries in America.
Including death.
Excuse me. Professor, read this.
This is news to me.
Dr. Takashina,
did you withhold information
from us and the patients?
-What's this about?
-It's true there have been incidents.
We've looked into it.
Who told you?
Tokai.
Sorry, I'm late.
I see. So this was your doing.
-Nurse.
-Hayata.
Yes.
Why now? We're almost finished here.
I'll take over.
Take your little toy and get out.
She has no strength.
If we stop now, she'll die.
The professor and I will take over.
There's still time.
You plan to do the Saeki Method?
-The Snipe is safer.
-That thing has killed people.
This tool has a future
in saving thousands of lives.
Forget the future. I'm talking about now!
The Snipe is her only hope.
It will succeed. I have no doubt.
Continue the surgery.
Use the Snipe.
Dr. Tokai,
this is Dr. Takashina's operation.
I take full responsibility.
-Volume up.
-Yes, sir.
Let us continue.
Professor!
We're already finished.
A new era begins now.
Professor Nishizaki. We did it.
Excuse me.
Dr. Tokai, about the Snipe documents
It was her, right?
The coordinator you met yesterday.
Well
Are you really going to leave?
-Why?
-What?
It will be him who leaves.
What?
We saw the Snipe succeed.
You lost the bet.
You'll see soon enough.
Are you awake? The operation is all done.
It's a success.
You can rest without worry.
Where's Dr. Sera?
Dr. Sera?
What do you mean?
I'm telling you.
That old woman is going to die soon.
What? Why?
-What is it, Ms. Minagawa?
-It hurts
-Where does it hurt?
-Here
Why do you say that?
-What do you mean she'll die?
-Keep it down.
-What do you mean?
-Move it.
This.
A rookie like you wouldn't understand.
-Dr. Takashina.
-Hang in there.
He didn't do his homework.
-Dr. Sera!
-I told you.
-Is Dr. Sera there?
-Yes.
-Dr. Sera! Dr. Sera!
-Yes!
You have to hurry.
Ms. Minagawa is in pain.
Okay.
-Call the operating room.
-Right!
-Ms. Minagawa!
-It's only a little pain.
Painkillers.
-Ms. Minagawa.
-Dr. Sera!
-Are you okay?
-It hurts, doctor.
Hang in there, Ms. Minagawa.
Ms. Minagawa!
Dr. Sera
-What's this?
-It's her CT scan results.
An aneurysm?
-Her spleen could burst.
-It already has.
She has abdominal hemorrhaging.
Ms. Minagawa.
-Call Dr. Saeki!
-Right.
-Ms. Minagawa.
-A hemorrhage? Why?
The operation was perfect.
On her heart, yes.
But that's all you saw.
Replacing bad valves with new ones.
You should know
that it can cause other issues.
That's why I had to stop you.
The case files had a similar story. Death.
You saw it, didn't you?
Before the surgery,
you saw her CT scan, didn't you?
You thought it was safe
to replace the valves.
If this woman dies, so do you.
I see. But that's your patient.
I'll leave it up to you.
Is there a problem?
It's nothing.
Hang in there, Ms. Minagawa.
Hang in there.
-Thank you.
-Yes.
-Here she is.
-One, two, three!
We'll perform emergency surgery.
-What's her blood pressure?
-Sixty.
-Antibiotics.
-Right.
-Drapes, too.
-Okay.
Electroscalpel.
There's too much blood. Suction!
More gauze!
-Transfusion!
-Right!
-Transfusion! Gauze!
-On it!
Bring gauze!
Damn it. She's losing too much blood!
-Gauze!
-Here.
Transfusion ready.
It's too late.
Gauze!
Blood pressure 50.
-Four-zero.
-Right.
Doctor
Doctor!
Are you ready to give up?
Cough up your severance pay
and I'll help.
What are you talking about?
At a time like this!
Can't you see this?
She's losing too much blood.
If we don't stop the bleeding, she'll die!
Then do it yourself!
Damn it!
Gauze!
How much do you want?
What will it take for your help?
That woman is my patient.
Hoping to see the sakura bloom,
she believed me and accepted surgery.
It's my obligation as a doctor
to save her.
But
But, I
I'm a doctor, but I can't do anything.
As much as it hurts to say,
you're the only one who can help.
If it's money that you want,
I'll pay for it myself.
I'm begging you. Help this woman.
Please!
Please!
Please!
Please!
Please!
Please!
I'm begging you!
We don't have time. You'll help me.
He has no surgical experience!
-I'll do it.
-Wash your hands.
Yes, sir.
I see. So Dr. Tokai is taking over.
Understood.
Forgive me.
OPERATION IN PROGRESS
-Suction, hurry!
-Blood pressure 50!
-A big needle!
-Twenty-six.
-Put it in there!
-Right!
-More suction!
-Okay.
-More!
-Okay.
-Metz! Hold this.
-Twenty-six milliliters.
Blood pressure down to 49.
Getting lower.
Doctor, I can't find the wound.
Then why don't you
take the whole thing out?
-Hold it.
-What?
-Hold it!
-Yes, sir!
Hurry!
Needle.
-Metz.
-Right.
-Bleeding stopped.
-Blood pressure stabilized.
Sixty.
Seventy.
One hundred million.
What?
Until you pay me off,
you're stuck here working for me.
TOJO UNIVERSITY HOSPITAL
FORMER WING
TAEKO MINAGAWA
The splenic artery.
You knew, right?
But you let Dr. Takashina
use the Snipe anyway.
You expected it all along.
I suspect Takashina
will lie low for a while now.
You've done well, Tokai.
You truly are
serving me well.
X-RAY FILM
MR. TATSUJI IINUMA
CHES
doctor: ICHIRO TOKAI
Surgery is a gamble.
You live or you die.
I'm scared. Is that wrong?
Do it.
You want to prove yourself, right?
Tomorrow
Japanese medicine will change forever.
Will it be me who leaves? Or you?
Everything is as I expected.
Please come.
The patient is fighting for his life.
Just quit.
And get out.
Subtitle translation by: Tom Grathwol