Black Pean (2018) s01e02 Episode Script
Episode 2
1
You better resign.
Hand over your severance pay
and I'll make all this disappear.
Dr. Seishiro Tokai.
Forcing doctors to resign and taking
their money. The devil himself.
And now he's my mentor.
I am working as an intern here.
At Tojo University Hospital.
Here, our cardiac surgeon,
Professor Saeki,
performs surgeries without stopping
the heart with his Saeki Method.
It's a procedure not seen
anywhere else in the world.
He and Dr. Nishizaki of Teika University
are in fierce competition of Impact Factor
for the position of Chairman.
Together with his pupil, Dr. Takashina,
he brought a new surgical tool, the Snipe.
There is no longer a need
for the Hand of God.
Japan's very first Snipe operation
was performed on my patient.
The operation was a success
and proved the Snipe's ability
to replace the need for human hands.
Soon after,
the patient took a turn for the worse.
Dr. Takashina found himself
in a hopeless situation.
Damn it!
That's when Dr. Tokai arrived.
I'm begging you. Help this woman. Please!
But Dr. Tokai doesn't help out others
for free.
One hundred million.
Until you pay me off,
you're stuck here working for me.
If Dr. Tokai hadn't been there,
Ms. Minagawa would have died.
There was nothing I could do.
I could have caused
my own patient's death.
Who cares about the Snipe?
It's just a kid's toy.
After the Snipe operation,
Dr. Takashina's standing at Tojo
took a turn for the worse.
If the patient had died,
our image would have been spoiled forever.
What did he even come here for?
The trouble he caused
He's not a doctor.
Just a lowly Snipe salesman.
-You nailed it.
-Right?
Out of my way.
Oh, excuse me.
Keep it down. I can't sleep.
Right
I assume you're all able
to perform mitral surgery, right?
That salesman did it and succeeded.
What are you planning?
You want me to thank you?
Let me sleep.
Ms. Minagawa underwent the procedure,
but the paper's publication was delayed.
This also had a large influence
in the fight for Impact Factor.
Because of Dr. Takashina,
the Impact Factor we were hoping for
is out the window.
Don't worry.
Besides,
Japan's first Snipe surgery was a success.
We'll complete more cases in Japan
and submit a paper concerning
its high success rate.
Right.
We have the election
to think about as well,
so this will all work in our favor.
The most important thing now
is our Impact Factor.
A doctor's world is so mysterious.
Hmm?
From the patient's perspective,
a good doctor is one who can cure them.
But from your side,
a good doctor is one
who can write a good paper.
Why did you choose this restaurant?
Because it has a Michelin star.
It's the same for us.
This restaurant's value
is decided by one man's opinion.
It's a stressful reality,
but it's what everyone wants.
It must seem foolish from the outside.
Regardless,
all doctors strive for Impact Factor,
fighting for it in a blind rage.
It decides a doctor's worth. Their future.
In fact, it determines their entire life.
Is that also true
for the election for Chairman?
You scared me.
-Please excuse me.
-It's okay.
Here are the items for today's duty.
-Thank you.
-Forgive me.
You're still here practicing.
"Practice makes perfect."
Pelé's words.
Pelé?
Yes, the soccer star.
-That's Pelé.
-Okay.
-I see.
-Sorry.
No, forgive me.
It was frustrating.
Not being able to do anything back there.
I have to prove myself to Dr. Tokai.
I'll do my best
to become fully qualified too.
-Good night.
-Good night.
Okay.
Hello.
Emergency transport
from Sakuranomiya Hospital.
Male, sixties. Abdominal aortic aneurysm
about to rupture.
We believe he needs emergency surgery.
He's a mitral valve surgery patient,
scheduled for next month.
-We're taking him to OR one.
-Understood.
I'll tell Dr. Tokai.
Dr. Tokai.
-The cardiac surgeon has been contacted.
-Take him in.
Dr. Tokai.
Honey! Hang in there!
-We'll take over.
-Thank you.
Please, no.
Where are you?
-Thank you.
-Thank you.
-One, two, three.
-I'm taking off your glasses.
Damn it!
Dr. Tokai isn't here.
I have to do it myself.
Calm down. I know the procedure.
I've practiced countless times.
Remove the renal vein
if bleeding is controlled.
Dislocate below the renal artery.
Then I'll have to block
the abdominal aorta.
And then next
Impossible.
I can't do it.
Spatula.
-Gauze.
-What are you doing?
-Bring the gauze.
-Sorry.
Hurry up.
Yes, sir!
OPERATION IN PROGRESS
Um, they're operating at this hour?
There was an emergency patient.
Dr. Tokai is operating.
-Suction.
-Okay.
-Don't mess up.
-Sorry.
-Deeper.
-Yes, sorry.
Metz.
Right prosthesis done. Next is left.
-Four-zero.
-Okay.
-I'm done.
-What?
Doctor, the left stitches
Do it yourself.
-What?
-"Practice makes perfect."
You want to be Pelé, right?
-I
-An old athlete like that
-You don't know him, do you?
-I, well
-It's just
-Do it.
-You want to prove yourself, right?
-It's not like that.
-Dr. Sera
-Hey, intern. Are you okay?
Those are my orders. Any problem?
No Sorry.
Okay.
Calm down.
They're only stitches.
I've practiced for this.
Gauze!
Gauze! If we don't stop the bleeding,
she'll die!
Okay.
Metz, please.
Here.
I did it.
-Dr. Tokai.
-Forceps out.
Okay.
-Bring more gauze.
-Right.
Give me that.
You've killed a person.
No, sorry.
You've killed two.
Get out.
How dare you make light
of a patient's life.
Oh, you were watching?
Then why not do it yourself?
I've got my training report.
-Here it is.
-Thank you.
REPORT FORMS
"Training relocation request form"
TRAINING RELOCATION REQUEST FORM
Dr. Sera!
Come with me, please.
Mr. Koyama is trying to leave
the hospital.
Coming.
-Listen to me!
-Excuse me.
Doctor. My husband won't listen
and he says he's leaving.
I'm losing business deals left and right
because I collapsed.
-If I stay here, my factory will go under.
-Please relax.
-Please, I won't overdo it.
-You leaving is overdoing it.
They told me
my something-something valve is no good,
but I'm telling you, I'm totally fine.
That's a separate issue.
You still need to undergo surgery
to fix the underlying issue.
-As soon as possible.
-I don't have time for surgery.
I have deadlines coming up.
Let me out of here.
-Sir, you see
-Go ahead.
-I can go?
-Dr. Tokai
If you leave now,
you'll die before you make any deadlines.
And even if you decide to stay here,
you'll be dead in a month anyway.
Isn't there something we can do?
Won't surgery fix it?
-We won't know unless we try.
-Unless you try?
Surgery is a gamble.
In the end, it's a 50-50 chance.
Heads or tails, you live or
you die.
We won't know unless we try.
And if you still want to leave,
tell this guy.
We're scheduled to perform
aortic valve surgery this weekend.
That concludes the case report.
Any questions?
-If not
-Excuse me.
What is it?
It's about Mr. Koyama,
the emergency patient in Room 403
The patient who needs
mitral valve surgery?
Yes.
I just got word from the family
that they wish to undergo surgery.
You are aware that Dr. Saeki's schedule
is packed for the next two months.
We'll look into scheduling a date.
Thank you.
And when will that date be decided?
This patient might die tomorrow
and you can't make time for him?
Why not operate right away, Dr. Saeki?
Don't be rude.
We have many similar patients.
We can't play favorites.
But as a hospital, we simply can't afford
to allow our patients to die.
This is a problem.
Why not leave the patient with me?
-With you?
-I would like to perform Snipe surgery.
-Snipe surgery?
-That last patient almost died.
You've hardly used it.
How could you do it?
Who will take responsibility this time?
I will take responsibility.
Ms. Minagawa's condition changed rapidly.
But that was a problem
separate from the mitral valve.
The Snipe showed no issues.
Regardless,
you still endangered the patient.
Forgive me for talking back,
but her condition wouldn't allow
for the Saeki method either.
Ms. Minagawa's life was saved,
thanks to the Snipe.
And she's not the only one.
By using the Snipe,
anyone can perform mitral valve surgery.
We can save more lives.
Change the rules if necessary.
Let's leave our petty criticisms behind
and work together.
Understood.
Go ahead.
Let us look past the last time.
Let's use the Snipe.
For the patient's sake.
Thank you. I'll get started right away.
There is just one condition.
Condition?
We let someone else perform the surgery.
You will not be allowed
in the operating room either.
What is your objective?
I believe you mentioned before
that with the Snipe,
anyone can perform mitral valve surgery.
So there should be no problem
in having our doctors give it a try.
That is true, but
If your dream is realized,
and the Snipe becomes
the standard for Japanese surgery,
do you plan to be there to watch each one?
In other words,
this next surgery
is your dream coming true.
There's still time to back out
if you're uncertain.
Very well. I believe in the Snipe.
Then it's decided.
Now, who shall perform the surgery?
Hey, what are you doing?
Right. Let's have him do it.
You want to ask Sera?
-He's just an intern.
-You said anyone can use it.
Do you want to take back
what you just said?
I said it can be used by any surgeon.
Interns are not surgeons.
Please select someone with experience.
I was being hypothetical.
We'll leave the operation staff
to Dr. Kurosaki.
-Understood.
-Dr. Takashina,
get the patient's consent
for Snipe surgery.
-Understood.
-Do your best.
I seriously thought it would be Sera.
Cut it out.
It was just the professor joking around.
I would have been happy
even if it were a joke.
It seems like the professor
really likes you.
-Sera.
-Yes?
Can I talk to you?
Of course.
Mr. Koyama was unwilling
to undergo Snipe surgery.
Isn't there some way we can see Dr. Saeki?
The doctor's schedule is full.
So you're telling me
you want me to be a guinea pig
for that Snipe thing?
That's not what we mean.
Doctor.
I've brought our coordinator
to explain things in further detail.
Listen to her. Please come in.
Nice to meet you. My name is Kinoshita,
I'm a clinical trial coordinator.
-But why?
-She's an outstanding coordinator.
I'll do my best to provide
the information you need
to put your worries to rest.
Let me start by explaining the situation.
The Snipe is still in clinical trial.
The coordinator works
with the developer in America,
Tojo University's testing facilities,
and the patients themselves.
Research funds are given
by the developer to Tojo University,
as well as to the accepting patient.
This is called the "burden reduction fee."
Please submit it promptly.
I hear you are in need of urgent care.
Three million yen?
Given to the patient by that coordinator
who comes here often.
She lives up to her shrewd reputation.
So that means
the Snipe surgery is a go, right?
Pardon me. I brought a souvenir.
Oh, no. Did we get the same thing?
Daifuku from Mizuho? Don't mind if I do.
You've heard of them, have you?
One of Tokyo's best bean daifuku shops.
About Mr. Koyama
It seems he has accepted
the Snipe surgery.
It is my duty to ensure
all parties profit from the situation.
I was able to negotiate twenty million
for your team's participation
in the trial.
That should benefit you as well, I think.
That is true.
But it also means you'll be doing
Dr. Nishizaki from Teika a favor as well.
When the results
of the Snipe surgery are published,
Dr. Nishizaki,
being in charge of the research,
will see his Impact Factor
grow significantly.
I'm sure it will also gain him
many votes in the election for Chairman.
Yes, but if research continues
without positive results,
Tojo will continue
to get research funding.
One man's failure
is another man's success.
Be it Impact Factor or money.
And I
enjoy the fruits of their labor.
That's all.
I do have my doubts,
but it sounds like this is the only way.
Thanks to you, I'm finally ready.
Dear
It's fine. Let's stay positive.
I get free surgery and even reward money.
I can pay off my debts.
What could be better?
Even so
We'll give you full support
until the operation.
Please be at ease.
Excuse me. I'll feel your abdomen.
Pardon me.
You've killed a person.
Dr. Sera.
Sorry.
TRAINING RELOCATION REQUEST FORM
MASASHI SERA
Sera. Come here, please.
Coming.
We received Mr. Koyama's consent
and selected the operation staff.
I will now announce the staff.
Operating surgeon, Sekikawa.
Understood.
First assistant, Kakitani.
Yes, sir.
Second assistant
Sera.
-What?
-Dr. Sera?
Really?
Your answer?
Understood.
You may have your opinions,
but we won't accept failure
at Tojo University.
The selected members will begin
the preparation for surgery tomorrow.
That's all.
Dr. Kurosaki, please wait.
Why me?
It's your patient, right?
And being the one Dr. Saeki selected,
we can't leave you out.
Think of it as training.
In three days,
we will perform a Snipe surgery.
The operating nurse will be Nekota.
I will also ask Miyamoto and Hanabusa.
You newcomers need real-world experience.
Listen and learn from your superiors.
-Yes, ma'am.
-Yes.
Got it, Nekota?
Nekota?
I know where she is.
Excuse me.
I think Nekota is in here
Nekota.
Nurse Fujiwara is looking for you.
She wants you on the Snipe surgery team.
I came here to tell you about it.
The next day, the team was assembled
and the lectures began.
Upon hitting the mitral valve,
return this lever
to its original position.
Then, just pull the trigger.
That's it.
It really is easy.
That is the entire process.
Dr. Sekikawa, from the top.
Right.
About Nekota
She only ever works with Dr. Tokai
You should avoid interacting with her.
What?
I heard that
tons of nurses have quit because of her.
They call her the female Dr. Tokai.
Push the catheter control button
and advance the catheter
to the mitral valve.
Upon hitting the mitral valve,
return the lever to its original position.
This is a hospital.
Your shift is over, right?
I just finished mine too.
Please
take me off the operating team.
Giving up on being a surgeon?
I
I almost killed Mr. Koyama.
It was the same with Ms. Minagawa.
When I become a surgeon,
I might actually kill someone.
This is the number of people
I've killed during surgery.
But you, with your hands still clean,
you plan to back out?
I find that incredibly irresponsible.
Irresponsible?
I can still remember
each one of their faces.
Not a day has gone by
that it doesn't hurt me.
The only thing left for me to do
is to save hundreds
and thousands more lives instead.
You will become a surgeon too
and save hundreds and thousands of lives.
If you quit now,
it wouldn't be any different
than throwing away
thousands of precious lives.
You have one life to live
and it's your duty to become a surgeon.
You must not run away from it.
I hear all of your pupils
give up and quit on you.
It's true that your skill does save lives,
but it kills doctors.
Just what are you trying to do?
Doctors with bright futures,
hoping to save lives.
-You killed them.
-No, no.
It's the patients who would have
been killed by those doctors.
That's who I'm trying to save.
Truly skilled doctors
can do whatever they want.
Unskilled doctors
are better off dead.
You and I are polar opposites.
Dr. Tokai.
Would you like to make a bet?
Will Dr. Sera quit or not?
I don't bet on cheap odds.
One hundred million.
Both of our severance payments.
I believe he has a future.
How about you?
The staff worked tirelessly
preparing for the Snipe surgery.
Passed the left ventricle.
And I continued to wonder
if I really had the qualifications
to be there.
Now, entering the mitral valve.
Dr. Sekikawa?
Yes, no problem.
I will now insert the prosthesis.
Finished.
Next time, it will be the real thing.
Let's do our best.
Mr. Koyama's condition stabilized,
and his surgery was scheduled
for the next day.
Excuse me.
Did you need me?
-Give this to the nurses.
-Okay.
Pardon me.
And one more thing.
Yes?
TRAINING RELOCATION REQUEST FORM
You forgot to write the reason.
-It's incomplete.
-Why do you have that?
Write it now.
I'll sign it for you.
Write it.
Fine.
Dr. Tokai.
How many patients
have you killed in surgery?
I know how skilled you are.
But I
I can't treat lives
as mere things the way you do.
Dealing with human life
I'm scared. Life is fragile.
Is that wrong?
Zero.
I have never
killed a single patient.
If it's really so scary
that it makes you cry,
don't waste your time with relocation.
Just quit.
And get out.
Dr. Sera.
You're still here?
Yes.
I just can't relax.
"Practice makes perfect."
Those are nice words.
But practice isn't everything.
If it doesn't help you win the game,
it's meaningless.
Dr. Tokai said that surgery
is like gambling.
If that's true,
I'm the guy who keeps losing the game.
I can't take this anymore
Then why don't you quit?
Nekota
You think you're the one
who's the most afraid?
You caught me off guard.
You're here late.
I'm not allowed
in the operating room tomorrow,
so I thought I would do
what I can before I go.
It's like being a newbie doctor.
Tomorrow,
Japanese medicine will change forever.
Thanks to the Snipe.
It has been a while.
I've been so busy.
Playing nice with the professors
while also helping Teika.
No wonder you're busy.
I'm only trying to help everyone.
I enjoy working with the best in class.
The Snipe is undoubtedly
a top-class medical device.
Dr. Saeki is of course
a top-class surgeon.
And of course,
your skills are, too.
Would you like to observe
the operation with me tomorrow?
I would like to hear your opinion.
Dr. Takashina
will be out of here tomorrow.
Perhaps, I made the wrong choice?
See you.
TRAINING RELOCATION REQUEST FORM
If it's really so scary
that it makes you cry,
don't waste your time with relocation.
Just quit.
Why did I want to become a doctor?
Doctor
What even is a doctor?
Finally, the fateful day arrived.
Please wait in the waiting room
until the operation is finished.
Oh, dear.
Cut it out. What kind of face is that?
It's no big deal.
The doctor says
it will be over in no time.
I know, but
Don't worry.
When we get out of here,
we'll take that money
and take everyone out to eat yakiniku.
How can you say that at a time like this?
You think you're the one
who's the most afraid?
There's nothing to worry about.
Right, doctor?
It will be okay.
See? Well, here I go.
-Bring him in.
-Okay.
I never thought Dr. Sekikawa
would do this kind of operation.
If this succeeds,
does that mean
we'll all start using the Snipe?
If that happened
If that happened
Dr. Tokai!
Unskilled doctors
will be performing surgery.
-Professor Saeki.
-What are you all doing here?
This is no time to relax. Get to work!
-Sorry!
-Yes, sir.
Tokai, why are you here?
To observe?
No.
I wanted to see you walk out.
Thought I would give you my best.
Your attention, please.
What you're about to watch
is the future I've been dreaming of.
It's about to begin.
We'll now begin the on-pump mitral valve
surgery with the Snipe.
-Let's begin.
-Yes, sir.
Scalpel.
Electroscalpel.
You seem nervous.
It's not my style.
Sitting still while everyone else works.
That will be an issue
when you become a professor.
Would you make me a professor?
It will depend on how hard you work.
-Snipe.
-Here.
-He's sweating.
-Right.
Pardon me.
All right.
Time to insert the Snipe.
Inserting the Snipe.
Smooth sailing.
Now, through the left ventricle.
We're through the left ventricle.
Just like we practiced.
Next is the papillary muscle level.
Through the papillary muscle.
Good.
The final step.
We've reached the mitral valve.
We'll apply the prosthesis.
What's wrong?
I don't know. Something is stuck.
Did you apply prosthesis?
I'll try to remove it.
Take it easy.
The artificial valves have been dislodged!
Why?
Migration. What do we do?
What's going on?
What happened?
I don't know. The valves were dislodged.
How?
They were released at an unexpected angle.
Perhaps the problem was caused
by the doctor quickly switching the Snipe
into his dominant hand.
But why would he do that?
Dr. Sekikawa is left-handed.
Don't forget to switch the lever back.
It's his first Snipe surgery.
His nerves got the best of him.
Whenever Dr. Sekikawa performs
difficult operations,
Dr. Tokai is always there
to take over for him.
That means this is a human error.
-Blood pressure dropping!
-More fluid!
-We need saline and albumin!
-Right away!
Let's call Dr. Takashina.
Dr. Takashina!
Dr. Takashina!
Dr. Takashina!
Wait.
If you leave now
you'll never get to use
that toy of yours again.
Follow the manual.
Use the retrieval device
and locate the valve.
-Right. Prepare the retrieval device!
-Okay!
At this point, we better remove the Snipe.
Dr. Sekikawa.
The professor is watching you.
If we don't get this right
We have to fix this!
Damn it.
Dr. Takashina.
Dr. Takashina!
Dr. Takashina, are you watching?
We need help. Please help us.
-Stop it, Dr. Sera!
-Dr. Takashina!
The professor gave him the order.
Dr. Takashina won't come.
We'll solve this ourselves!
Hey.
Hey, Sera!
Hey!
-Sera.
-Dr. Takashina.
We need you.
We need your help.
Please.
Somewhere down the line,
in this future of yours,
this problem will happen again.
When it does,
do you plan to run to the rescue?
You said so.
This is the reality
of that dream of yours.
Dr. Takashina.
Dr. Sera.
It's just as Professor Saeki says.
Doctor
I vowed to take
full responsibility.
-Where's the retrieval device?
-Two packs of saline.
Right!
-Get the heart-lung machine ready.
-Right.
What are you doing? Go back.
For the sake of the future.
-Go back!
-And you won't regret it?
I don't want to regret it.
The patient is fighting for his life.
We must help him.
You told me yourself.
You can't walk away from a life in danger.
Dr. Takashina!
You're the one who's running away!
Why is this happening?
Hurry and take out the Snipe.
I brought the retrieval device.
Thank you.
-Dr. Takashina.
-Doctor
Forgive me.
Just focus on saving the patient.
Calm down.
Follow the manual
and retrieve the artificial valve.
-Retrieval device.
-Here.
I'll take over.
It appears they're on the right track.
Everything should be okay now, right?
We'll see.
Almost at the artificial valve.
Blood pressure dropping!
A hemorrhage in the left ventricle?
A hemorrhage
The artificial valve has embedded itself
and is tearing the muscle.
-Heart-lung machine!
-Right!
-Bring the transfusion tubes.
-Right.
-Transfusion!
-Right.
-Guidewire.
-Right.
Can they pull it off?
If they don't act soon,
the patient will bleed out.
-Dr. Sera, connect the veins.
-Right.
-Here you are.
-What's happening?
If you don't hurry, the heart will tear.
-You must retrieve it now.
-I can't.
Be careful or the tissue will tear.
I'm trying to stop the bleeding.
It won't hold!
What should we do?
Oh, no. There's no time.
Dr. Saeki.
Transfusion is no good.
We can't do it
Damn it
Where's Dr. Tokai?
Dr. Tokai
I'll cover it up for ten million.
Write your resignation letter.
Then I'll help you.
What are you saying?
The artificial valve is stuck.
The patient is losing strength.
I can do it.
-How?
-Because it's me.
We're losing blood!
Understood.
Please go ahead.
-Take it out!
-Okay.
-Heart-lung machine engaged.
-Okay.
I'm going to sew him up.
-Starting from the outside. Scalpel.
-Here.
-Electroscalpel.
-Okay.
-Suction.
-Okay.
-Running out of time.
-Right.
-Thoracotomy device.
-Yes, sir.
-Two pieces of felt.
-Okay.
-Forceps.
-Okay.
All right. Four-zero.
Hang in there, dear.
Hang in there!
Metz.
Repair complete.
-He's so fast
-The valve extraction was the issue.
One wrong move and the patient will die.
-Metz.
-Okay.
-Debakey.
-Here.
With a Debakey?
He plans on grabbing it directly?
Removing the valve like that
Can he see the entanglement
just by looking at it?
Got it.
Okay. Removal complete.
Close it up.
Let's continue to the mitral valve.
What are you saying?
The patient's heart is weak.
It's too dangerous to carry on.
And whose fault is that?
Do you plan on closing him up?
His heart will stop if you close it.
He'll die.
If we don't operate now, he'll die.
Brain monitor levels dropping.
There's no time. Only ten minutes
until blood flow to the brain stops.
Let's do it on the beat.
At a time like this?
The Saeki Method?
-Let's open you up. Scalpel.
-Here.
-Broaden your field of view.
-Right.
We have five minutes.
-Five-zero.
-Here.
Only two minutes!
Repairing the valves
under these conditions
Amazing.
Brain monitor level dropping!
Less than one minute left!
-Metz.
-Here.
Mitral valve repair complete.
He did it
Dr. Tokai, what about the stitches?
You do it.
Right, doctor?
It will be okay.
Okay.
-Dr. Sera, let me
-I'll do it.
Thank you.
All right.
Metz scissors, please.
Yes.
Dr. Tokai.
Take out the forceps.
Okay.
Blood pressure
stabilized.
Suturing complete.
Dr. Tokai.
Well done, doctor.
You too.
SCHEDULED FOR RECONSTRUCTION
I apologize for the damage I have caused.
I disobeyed the professor's orders
and entered the operating room.
Professor Saeki,
did you know this would happen?
Even as technology advances,
there's always room for error
when the human hand is involved.
Everyone who is involved in medicine
must never forget this fact.
Everything is as I expected.
There is nothing perfect in this world.
Even so,
I plan to make the Snipe the perfect tool.
Dr. Takashina.
I
Are you really leaving our hospital?
It was Dr. Tokai who saved Mr. Koyama.
But if you hadn't been there,
we couldn't have operated at all.
Forget about me.
What about you?
What?
What do you plan to do?
Going forward.
TRAINING RELOCATION REQUEST FORM
I plan
to be prepared.
Thank you.
-What?
-Are you ready, then?
-Huh?
-Dr. Tokai?
We made a bet.
Our resignation letters and severance pay.
We bet on whether you would quit or not.
Dr. Tokai and I bet on this operation.
But
You ruined the whole thing.
What?
What do you mean?
I'm glad you decided to stay, Dr. Sera.
That's not
Well, either way you'll be fired.
Fired?
You went directly
against the professor's orders.
Oh, no
What should I do?
-You should hurry and go apologize.
-Right!
Oh, no.
Dr. Tokai.
I would like to thank you.
You helped me find the Snipe's weak point.
You were just lucky this time.
You should get out of here.
When I finish my paper,
and the Snipe is put into practical use,
you'll be the one who's out of here
because all you have is skill.
You and I are truly polar opposites.
We cannot coexist in one place.
Two sides of the same coin.
Heads or tails, life or death.
Will it be me who leaves?
Or you?
That's all there is.
What will become of that intern?
Intern?
The one who disobeyed your orders
and called for Dr. Takashina.
Pardon me.
What?
No one is here. What should I do?
Who are you talking about?
Are we getting sushi tonight?
That's right.
A three-star restaurant.
You know that there's only one route.
Touching the nerves could result in death.
Stick it in the mitral valve
and pull the switch, right?
You have any problems with that?
Don't mess with me!
If we fail
The Snipe will be
out of your hands completely.
We're friends, not enemies.
-We need assistance!
-Dear!
Who will you save? Who will you kill?
Subtitle translation by: Tom Grathwol
You better resign.
Hand over your severance pay
and I'll make all this disappear.
Dr. Seishiro Tokai.
Forcing doctors to resign and taking
their money. The devil himself.
And now he's my mentor.
I am working as an intern here.
At Tojo University Hospital.
Here, our cardiac surgeon,
Professor Saeki,
performs surgeries without stopping
the heart with his Saeki Method.
It's a procedure not seen
anywhere else in the world.
He and Dr. Nishizaki of Teika University
are in fierce competition of Impact Factor
for the position of Chairman.
Together with his pupil, Dr. Takashina,
he brought a new surgical tool, the Snipe.
There is no longer a need
for the Hand of God.
Japan's very first Snipe operation
was performed on my patient.
The operation was a success
and proved the Snipe's ability
to replace the need for human hands.
Soon after,
the patient took a turn for the worse.
Dr. Takashina found himself
in a hopeless situation.
Damn it!
That's when Dr. Tokai arrived.
I'm begging you. Help this woman. Please!
But Dr. Tokai doesn't help out others
for free.
One hundred million.
Until you pay me off,
you're stuck here working for me.
If Dr. Tokai hadn't been there,
Ms. Minagawa would have died.
There was nothing I could do.
I could have caused
my own patient's death.
Who cares about the Snipe?
It's just a kid's toy.
After the Snipe operation,
Dr. Takashina's standing at Tojo
took a turn for the worse.
If the patient had died,
our image would have been spoiled forever.
What did he even come here for?
The trouble he caused
He's not a doctor.
Just a lowly Snipe salesman.
-You nailed it.
-Right?
Out of my way.
Oh, excuse me.
Keep it down. I can't sleep.
Right
I assume you're all able
to perform mitral surgery, right?
That salesman did it and succeeded.
What are you planning?
You want me to thank you?
Let me sleep.
Ms. Minagawa underwent the procedure,
but the paper's publication was delayed.
This also had a large influence
in the fight for Impact Factor.
Because of Dr. Takashina,
the Impact Factor we were hoping for
is out the window.
Don't worry.
Besides,
Japan's first Snipe surgery was a success.
We'll complete more cases in Japan
and submit a paper concerning
its high success rate.
Right.
We have the election
to think about as well,
so this will all work in our favor.
The most important thing now
is our Impact Factor.
A doctor's world is so mysterious.
Hmm?
From the patient's perspective,
a good doctor is one who can cure them.
But from your side,
a good doctor is one
who can write a good paper.
Why did you choose this restaurant?
Because it has a Michelin star.
It's the same for us.
This restaurant's value
is decided by one man's opinion.
It's a stressful reality,
but it's what everyone wants.
It must seem foolish from the outside.
Regardless,
all doctors strive for Impact Factor,
fighting for it in a blind rage.
It decides a doctor's worth. Their future.
In fact, it determines their entire life.
Is that also true
for the election for Chairman?
You scared me.
-Please excuse me.
-It's okay.
Here are the items for today's duty.
-Thank you.
-Forgive me.
You're still here practicing.
"Practice makes perfect."
Pelé's words.
Pelé?
Yes, the soccer star.
-That's Pelé.
-Okay.
-I see.
-Sorry.
No, forgive me.
It was frustrating.
Not being able to do anything back there.
I have to prove myself to Dr. Tokai.
I'll do my best
to become fully qualified too.
-Good night.
-Good night.
Okay.
Hello.
Emergency transport
from Sakuranomiya Hospital.
Male, sixties. Abdominal aortic aneurysm
about to rupture.
We believe he needs emergency surgery.
He's a mitral valve surgery patient,
scheduled for next month.
-We're taking him to OR one.
-Understood.
I'll tell Dr. Tokai.
Dr. Tokai.
-The cardiac surgeon has been contacted.
-Take him in.
Dr. Tokai.
Honey! Hang in there!
-We'll take over.
-Thank you.
Please, no.
Where are you?
-Thank you.
-Thank you.
-One, two, three.
-I'm taking off your glasses.
Damn it!
Dr. Tokai isn't here.
I have to do it myself.
Calm down. I know the procedure.
I've practiced countless times.
Remove the renal vein
if bleeding is controlled.
Dislocate below the renal artery.
Then I'll have to block
the abdominal aorta.
And then next
Impossible.
I can't do it.
Spatula.
-Gauze.
-What are you doing?
-Bring the gauze.
-Sorry.
Hurry up.
Yes, sir!
OPERATION IN PROGRESS
Um, they're operating at this hour?
There was an emergency patient.
Dr. Tokai is operating.
-Suction.
-Okay.
-Don't mess up.
-Sorry.
-Deeper.
-Yes, sorry.
Metz.
Right prosthesis done. Next is left.
-Four-zero.
-Okay.
-I'm done.
-What?
Doctor, the left stitches
Do it yourself.
-What?
-"Practice makes perfect."
You want to be Pelé, right?
-I
-An old athlete like that
-You don't know him, do you?
-I, well
-It's just
-Do it.
-You want to prove yourself, right?
-It's not like that.
-Dr. Sera
-Hey, intern. Are you okay?
Those are my orders. Any problem?
No Sorry.
Okay.
Calm down.
They're only stitches.
I've practiced for this.
Gauze!
Gauze! If we don't stop the bleeding,
she'll die!
Okay.
Metz, please.
Here.
I did it.
-Dr. Tokai.
-Forceps out.
Okay.
-Bring more gauze.
-Right.
Give me that.
You've killed a person.
No, sorry.
You've killed two.
Get out.
How dare you make light
of a patient's life.
Oh, you were watching?
Then why not do it yourself?
I've got my training report.
-Here it is.
-Thank you.
REPORT FORMS
"Training relocation request form"
TRAINING RELOCATION REQUEST FORM
Dr. Sera!
Come with me, please.
Mr. Koyama is trying to leave
the hospital.
Coming.
-Listen to me!
-Excuse me.
Doctor. My husband won't listen
and he says he's leaving.
I'm losing business deals left and right
because I collapsed.
-If I stay here, my factory will go under.
-Please relax.
-Please, I won't overdo it.
-You leaving is overdoing it.
They told me
my something-something valve is no good,
but I'm telling you, I'm totally fine.
That's a separate issue.
You still need to undergo surgery
to fix the underlying issue.
-As soon as possible.
-I don't have time for surgery.
I have deadlines coming up.
Let me out of here.
-Sir, you see
-Go ahead.
-I can go?
-Dr. Tokai
If you leave now,
you'll die before you make any deadlines.
And even if you decide to stay here,
you'll be dead in a month anyway.
Isn't there something we can do?
Won't surgery fix it?
-We won't know unless we try.
-Unless you try?
Surgery is a gamble.
In the end, it's a 50-50 chance.
Heads or tails, you live or
you die.
We won't know unless we try.
And if you still want to leave,
tell this guy.
We're scheduled to perform
aortic valve surgery this weekend.
That concludes the case report.
Any questions?
-If not
-Excuse me.
What is it?
It's about Mr. Koyama,
the emergency patient in Room 403
The patient who needs
mitral valve surgery?
Yes.
I just got word from the family
that they wish to undergo surgery.
You are aware that Dr. Saeki's schedule
is packed for the next two months.
We'll look into scheduling a date.
Thank you.
And when will that date be decided?
This patient might die tomorrow
and you can't make time for him?
Why not operate right away, Dr. Saeki?
Don't be rude.
We have many similar patients.
We can't play favorites.
But as a hospital, we simply can't afford
to allow our patients to die.
This is a problem.
Why not leave the patient with me?
-With you?
-I would like to perform Snipe surgery.
-Snipe surgery?
-That last patient almost died.
You've hardly used it.
How could you do it?
Who will take responsibility this time?
I will take responsibility.
Ms. Minagawa's condition changed rapidly.
But that was a problem
separate from the mitral valve.
The Snipe showed no issues.
Regardless,
you still endangered the patient.
Forgive me for talking back,
but her condition wouldn't allow
for the Saeki method either.
Ms. Minagawa's life was saved,
thanks to the Snipe.
And she's not the only one.
By using the Snipe,
anyone can perform mitral valve surgery.
We can save more lives.
Change the rules if necessary.
Let's leave our petty criticisms behind
and work together.
Understood.
Go ahead.
Let us look past the last time.
Let's use the Snipe.
For the patient's sake.
Thank you. I'll get started right away.
There is just one condition.
Condition?
We let someone else perform the surgery.
You will not be allowed
in the operating room either.
What is your objective?
I believe you mentioned before
that with the Snipe,
anyone can perform mitral valve surgery.
So there should be no problem
in having our doctors give it a try.
That is true, but
If your dream is realized,
and the Snipe becomes
the standard for Japanese surgery,
do you plan to be there to watch each one?
In other words,
this next surgery
is your dream coming true.
There's still time to back out
if you're uncertain.
Very well. I believe in the Snipe.
Then it's decided.
Now, who shall perform the surgery?
Hey, what are you doing?
Right. Let's have him do it.
You want to ask Sera?
-He's just an intern.
-You said anyone can use it.
Do you want to take back
what you just said?
I said it can be used by any surgeon.
Interns are not surgeons.
Please select someone with experience.
I was being hypothetical.
We'll leave the operation staff
to Dr. Kurosaki.
-Understood.
-Dr. Takashina,
get the patient's consent
for Snipe surgery.
-Understood.
-Do your best.
I seriously thought it would be Sera.
Cut it out.
It was just the professor joking around.
I would have been happy
even if it were a joke.
It seems like the professor
really likes you.
-Sera.
-Yes?
Can I talk to you?
Of course.
Mr. Koyama was unwilling
to undergo Snipe surgery.
Isn't there some way we can see Dr. Saeki?
The doctor's schedule is full.
So you're telling me
you want me to be a guinea pig
for that Snipe thing?
That's not what we mean.
Doctor.
I've brought our coordinator
to explain things in further detail.
Listen to her. Please come in.
Nice to meet you. My name is Kinoshita,
I'm a clinical trial coordinator.
-But why?
-She's an outstanding coordinator.
I'll do my best to provide
the information you need
to put your worries to rest.
Let me start by explaining the situation.
The Snipe is still in clinical trial.
The coordinator works
with the developer in America,
Tojo University's testing facilities,
and the patients themselves.
Research funds are given
by the developer to Tojo University,
as well as to the accepting patient.
This is called the "burden reduction fee."
Please submit it promptly.
I hear you are in need of urgent care.
Three million yen?
Given to the patient by that coordinator
who comes here often.
She lives up to her shrewd reputation.
So that means
the Snipe surgery is a go, right?
Pardon me. I brought a souvenir.
Oh, no. Did we get the same thing?
Daifuku from Mizuho? Don't mind if I do.
You've heard of them, have you?
One of Tokyo's best bean daifuku shops.
About Mr. Koyama
It seems he has accepted
the Snipe surgery.
It is my duty to ensure
all parties profit from the situation.
I was able to negotiate twenty million
for your team's participation
in the trial.
That should benefit you as well, I think.
That is true.
But it also means you'll be doing
Dr. Nishizaki from Teika a favor as well.
When the results
of the Snipe surgery are published,
Dr. Nishizaki,
being in charge of the research,
will see his Impact Factor
grow significantly.
I'm sure it will also gain him
many votes in the election for Chairman.
Yes, but if research continues
without positive results,
Tojo will continue
to get research funding.
One man's failure
is another man's success.
Be it Impact Factor or money.
And I
enjoy the fruits of their labor.
That's all.
I do have my doubts,
but it sounds like this is the only way.
Thanks to you, I'm finally ready.
Dear
It's fine. Let's stay positive.
I get free surgery and even reward money.
I can pay off my debts.
What could be better?
Even so
We'll give you full support
until the operation.
Please be at ease.
Excuse me. I'll feel your abdomen.
Pardon me.
You've killed a person.
Dr. Sera.
Sorry.
TRAINING RELOCATION REQUEST FORM
MASASHI SERA
Sera. Come here, please.
Coming.
We received Mr. Koyama's consent
and selected the operation staff.
I will now announce the staff.
Operating surgeon, Sekikawa.
Understood.
First assistant, Kakitani.
Yes, sir.
Second assistant
Sera.
-What?
-Dr. Sera?
Really?
Your answer?
Understood.
You may have your opinions,
but we won't accept failure
at Tojo University.
The selected members will begin
the preparation for surgery tomorrow.
That's all.
Dr. Kurosaki, please wait.
Why me?
It's your patient, right?
And being the one Dr. Saeki selected,
we can't leave you out.
Think of it as training.
In three days,
we will perform a Snipe surgery.
The operating nurse will be Nekota.
I will also ask Miyamoto and Hanabusa.
You newcomers need real-world experience.
Listen and learn from your superiors.
-Yes, ma'am.
-Yes.
Got it, Nekota?
Nekota?
I know where she is.
Excuse me.
I think Nekota is in here
Nekota.
Nurse Fujiwara is looking for you.
She wants you on the Snipe surgery team.
I came here to tell you about it.
The next day, the team was assembled
and the lectures began.
Upon hitting the mitral valve,
return this lever
to its original position.
Then, just pull the trigger.
That's it.
It really is easy.
That is the entire process.
Dr. Sekikawa, from the top.
Right.
About Nekota
She only ever works with Dr. Tokai
You should avoid interacting with her.
What?
I heard that
tons of nurses have quit because of her.
They call her the female Dr. Tokai.
Push the catheter control button
and advance the catheter
to the mitral valve.
Upon hitting the mitral valve,
return the lever to its original position.
This is a hospital.
Your shift is over, right?
I just finished mine too.
Please
take me off the operating team.
Giving up on being a surgeon?
I
I almost killed Mr. Koyama.
It was the same with Ms. Minagawa.
When I become a surgeon,
I might actually kill someone.
This is the number of people
I've killed during surgery.
But you, with your hands still clean,
you plan to back out?
I find that incredibly irresponsible.
Irresponsible?
I can still remember
each one of their faces.
Not a day has gone by
that it doesn't hurt me.
The only thing left for me to do
is to save hundreds
and thousands more lives instead.
You will become a surgeon too
and save hundreds and thousands of lives.
If you quit now,
it wouldn't be any different
than throwing away
thousands of precious lives.
You have one life to live
and it's your duty to become a surgeon.
You must not run away from it.
I hear all of your pupils
give up and quit on you.
It's true that your skill does save lives,
but it kills doctors.
Just what are you trying to do?
Doctors with bright futures,
hoping to save lives.
-You killed them.
-No, no.
It's the patients who would have
been killed by those doctors.
That's who I'm trying to save.
Truly skilled doctors
can do whatever they want.
Unskilled doctors
are better off dead.
You and I are polar opposites.
Dr. Tokai.
Would you like to make a bet?
Will Dr. Sera quit or not?
I don't bet on cheap odds.
One hundred million.
Both of our severance payments.
I believe he has a future.
How about you?
The staff worked tirelessly
preparing for the Snipe surgery.
Passed the left ventricle.
And I continued to wonder
if I really had the qualifications
to be there.
Now, entering the mitral valve.
Dr. Sekikawa?
Yes, no problem.
I will now insert the prosthesis.
Finished.
Next time, it will be the real thing.
Let's do our best.
Mr. Koyama's condition stabilized,
and his surgery was scheduled
for the next day.
Excuse me.
Did you need me?
-Give this to the nurses.
-Okay.
Pardon me.
And one more thing.
Yes?
TRAINING RELOCATION REQUEST FORM
You forgot to write the reason.
-It's incomplete.
-Why do you have that?
Write it now.
I'll sign it for you.
Write it.
Fine.
Dr. Tokai.
How many patients
have you killed in surgery?
I know how skilled you are.
But I
I can't treat lives
as mere things the way you do.
Dealing with human life
I'm scared. Life is fragile.
Is that wrong?
Zero.
I have never
killed a single patient.
If it's really so scary
that it makes you cry,
don't waste your time with relocation.
Just quit.
And get out.
Dr. Sera.
You're still here?
Yes.
I just can't relax.
"Practice makes perfect."
Those are nice words.
But practice isn't everything.
If it doesn't help you win the game,
it's meaningless.
Dr. Tokai said that surgery
is like gambling.
If that's true,
I'm the guy who keeps losing the game.
I can't take this anymore
Then why don't you quit?
Nekota
You think you're the one
who's the most afraid?
You caught me off guard.
You're here late.
I'm not allowed
in the operating room tomorrow,
so I thought I would do
what I can before I go.
It's like being a newbie doctor.
Tomorrow,
Japanese medicine will change forever.
Thanks to the Snipe.
It has been a while.
I've been so busy.
Playing nice with the professors
while also helping Teika.
No wonder you're busy.
I'm only trying to help everyone.
I enjoy working with the best in class.
The Snipe is undoubtedly
a top-class medical device.
Dr. Saeki is of course
a top-class surgeon.
And of course,
your skills are, too.
Would you like to observe
the operation with me tomorrow?
I would like to hear your opinion.
Dr. Takashina
will be out of here tomorrow.
Perhaps, I made the wrong choice?
See you.
TRAINING RELOCATION REQUEST FORM
If it's really so scary
that it makes you cry,
don't waste your time with relocation.
Just quit.
Why did I want to become a doctor?
Doctor
What even is a doctor?
Finally, the fateful day arrived.
Please wait in the waiting room
until the operation is finished.
Oh, dear.
Cut it out. What kind of face is that?
It's no big deal.
The doctor says
it will be over in no time.
I know, but
Don't worry.
When we get out of here,
we'll take that money
and take everyone out to eat yakiniku.
How can you say that at a time like this?
You think you're the one
who's the most afraid?
There's nothing to worry about.
Right, doctor?
It will be okay.
See? Well, here I go.
-Bring him in.
-Okay.
I never thought Dr. Sekikawa
would do this kind of operation.
If this succeeds,
does that mean
we'll all start using the Snipe?
If that happened
If that happened
Dr. Tokai!
Unskilled doctors
will be performing surgery.
-Professor Saeki.
-What are you all doing here?
This is no time to relax. Get to work!
-Sorry!
-Yes, sir.
Tokai, why are you here?
To observe?
No.
I wanted to see you walk out.
Thought I would give you my best.
Your attention, please.
What you're about to watch
is the future I've been dreaming of.
It's about to begin.
We'll now begin the on-pump mitral valve
surgery with the Snipe.
-Let's begin.
-Yes, sir.
Scalpel.
Electroscalpel.
You seem nervous.
It's not my style.
Sitting still while everyone else works.
That will be an issue
when you become a professor.
Would you make me a professor?
It will depend on how hard you work.
-Snipe.
-Here.
-He's sweating.
-Right.
Pardon me.
All right.
Time to insert the Snipe.
Inserting the Snipe.
Smooth sailing.
Now, through the left ventricle.
We're through the left ventricle.
Just like we practiced.
Next is the papillary muscle level.
Through the papillary muscle.
Good.
The final step.
We've reached the mitral valve.
We'll apply the prosthesis.
What's wrong?
I don't know. Something is stuck.
Did you apply prosthesis?
I'll try to remove it.
Take it easy.
The artificial valves have been dislodged!
Why?
Migration. What do we do?
What's going on?
What happened?
I don't know. The valves were dislodged.
How?
They were released at an unexpected angle.
Perhaps the problem was caused
by the doctor quickly switching the Snipe
into his dominant hand.
But why would he do that?
Dr. Sekikawa is left-handed.
Don't forget to switch the lever back.
It's his first Snipe surgery.
His nerves got the best of him.
Whenever Dr. Sekikawa performs
difficult operations,
Dr. Tokai is always there
to take over for him.
That means this is a human error.
-Blood pressure dropping!
-More fluid!
-We need saline and albumin!
-Right away!
Let's call Dr. Takashina.
Dr. Takashina!
Dr. Takashina!
Dr. Takashina!
Wait.
If you leave now
you'll never get to use
that toy of yours again.
Follow the manual.
Use the retrieval device
and locate the valve.
-Right. Prepare the retrieval device!
-Okay!
At this point, we better remove the Snipe.
Dr. Sekikawa.
The professor is watching you.
If we don't get this right
We have to fix this!
Damn it.
Dr. Takashina.
Dr. Takashina!
Dr. Takashina, are you watching?
We need help. Please help us.
-Stop it, Dr. Sera!
-Dr. Takashina!
The professor gave him the order.
Dr. Takashina won't come.
We'll solve this ourselves!
Hey.
Hey, Sera!
Hey!
-Sera.
-Dr. Takashina.
We need you.
We need your help.
Please.
Somewhere down the line,
in this future of yours,
this problem will happen again.
When it does,
do you plan to run to the rescue?
You said so.
This is the reality
of that dream of yours.
Dr. Takashina.
Dr. Sera.
It's just as Professor Saeki says.
Doctor
I vowed to take
full responsibility.
-Where's the retrieval device?
-Two packs of saline.
Right!
-Get the heart-lung machine ready.
-Right.
What are you doing? Go back.
For the sake of the future.
-Go back!
-And you won't regret it?
I don't want to regret it.
The patient is fighting for his life.
We must help him.
You told me yourself.
You can't walk away from a life in danger.
Dr. Takashina!
You're the one who's running away!
Why is this happening?
Hurry and take out the Snipe.
I brought the retrieval device.
Thank you.
-Dr. Takashina.
-Doctor
Forgive me.
Just focus on saving the patient.
Calm down.
Follow the manual
and retrieve the artificial valve.
-Retrieval device.
-Here.
I'll take over.
It appears they're on the right track.
Everything should be okay now, right?
We'll see.
Almost at the artificial valve.
Blood pressure dropping!
A hemorrhage in the left ventricle?
A hemorrhage
The artificial valve has embedded itself
and is tearing the muscle.
-Heart-lung machine!
-Right!
-Bring the transfusion tubes.
-Right.
-Transfusion!
-Right.
-Guidewire.
-Right.
Can they pull it off?
If they don't act soon,
the patient will bleed out.
-Dr. Sera, connect the veins.
-Right.
-Here you are.
-What's happening?
If you don't hurry, the heart will tear.
-You must retrieve it now.
-I can't.
Be careful or the tissue will tear.
I'm trying to stop the bleeding.
It won't hold!
What should we do?
Oh, no. There's no time.
Dr. Saeki.
Transfusion is no good.
We can't do it
Damn it
Where's Dr. Tokai?
Dr. Tokai
I'll cover it up for ten million.
Write your resignation letter.
Then I'll help you.
What are you saying?
The artificial valve is stuck.
The patient is losing strength.
I can do it.
-How?
-Because it's me.
We're losing blood!
Understood.
Please go ahead.
-Take it out!
-Okay.
-Heart-lung machine engaged.
-Okay.
I'm going to sew him up.
-Starting from the outside. Scalpel.
-Here.
-Electroscalpel.
-Okay.
-Suction.
-Okay.
-Running out of time.
-Right.
-Thoracotomy device.
-Yes, sir.
-Two pieces of felt.
-Okay.
-Forceps.
-Okay.
All right. Four-zero.
Hang in there, dear.
Hang in there!
Metz.
Repair complete.
-He's so fast
-The valve extraction was the issue.
One wrong move and the patient will die.
-Metz.
-Okay.
-Debakey.
-Here.
With a Debakey?
He plans on grabbing it directly?
Removing the valve like that
Can he see the entanglement
just by looking at it?
Got it.
Okay. Removal complete.
Close it up.
Let's continue to the mitral valve.
What are you saying?
The patient's heart is weak.
It's too dangerous to carry on.
And whose fault is that?
Do you plan on closing him up?
His heart will stop if you close it.
He'll die.
If we don't operate now, he'll die.
Brain monitor levels dropping.
There's no time. Only ten minutes
until blood flow to the brain stops.
Let's do it on the beat.
At a time like this?
The Saeki Method?
-Let's open you up. Scalpel.
-Here.
-Broaden your field of view.
-Right.
We have five minutes.
-Five-zero.
-Here.
Only two minutes!
Repairing the valves
under these conditions
Amazing.
Brain monitor level dropping!
Less than one minute left!
-Metz.
-Here.
Mitral valve repair complete.
He did it
Dr. Tokai, what about the stitches?
You do it.
Right, doctor?
It will be okay.
Okay.
-Dr. Sera, let me
-I'll do it.
Thank you.
All right.
Metz scissors, please.
Yes.
Dr. Tokai.
Take out the forceps.
Okay.
Blood pressure
stabilized.
Suturing complete.
Dr. Tokai.
Well done, doctor.
You too.
SCHEDULED FOR RECONSTRUCTION
I apologize for the damage I have caused.
I disobeyed the professor's orders
and entered the operating room.
Professor Saeki,
did you know this would happen?
Even as technology advances,
there's always room for error
when the human hand is involved.
Everyone who is involved in medicine
must never forget this fact.
Everything is as I expected.
There is nothing perfect in this world.
Even so,
I plan to make the Snipe the perfect tool.
Dr. Takashina.
I
Are you really leaving our hospital?
It was Dr. Tokai who saved Mr. Koyama.
But if you hadn't been there,
we couldn't have operated at all.
Forget about me.
What about you?
What?
What do you plan to do?
Going forward.
TRAINING RELOCATION REQUEST FORM
I plan
to be prepared.
Thank you.
-What?
-Are you ready, then?
-Huh?
-Dr. Tokai?
We made a bet.
Our resignation letters and severance pay.
We bet on whether you would quit or not.
Dr. Tokai and I bet on this operation.
But
You ruined the whole thing.
What?
What do you mean?
I'm glad you decided to stay, Dr. Sera.
That's not
Well, either way you'll be fired.
Fired?
You went directly
against the professor's orders.
Oh, no
What should I do?
-You should hurry and go apologize.
-Right!
Oh, no.
Dr. Tokai.
I would like to thank you.
You helped me find the Snipe's weak point.
You were just lucky this time.
You should get out of here.
When I finish my paper,
and the Snipe is put into practical use,
you'll be the one who's out of here
because all you have is skill.
You and I are truly polar opposites.
We cannot coexist in one place.
Two sides of the same coin.
Heads or tails, life or death.
Will it be me who leaves?
Or you?
That's all there is.
What will become of that intern?
Intern?
The one who disobeyed your orders
and called for Dr. Takashina.
Pardon me.
What?
No one is here. What should I do?
Who are you talking about?
Are we getting sushi tonight?
That's right.
A three-star restaurant.
You know that there's only one route.
Touching the nerves could result in death.
Stick it in the mitral valve
and pull the switch, right?
You have any problems with that?
Don't mess with me!
If we fail
The Snipe will be
out of your hands completely.
We're friends, not enemies.
-We need assistance!
-Dear!
Who will you save? Who will you kill?
Subtitle translation by: Tom Grathwol