Black Pean (2018) s01e05 Episode Script
Episode 5
1
Dr. Saeki will be hurting from this one.
Either way,
I must thank you for helping me raise
my Impact Factor significantly.
Dr. Takashina used Professor Saeki,
completed the Snipe surgery,
only to list Dr. Nishizaki's name
at the end of his paper.
With this, Dr. Nishizaki's Impact Factor
had overtaken Dr. Saeki's,
virtually guaranteeing his victory
in the chairman election.
-I guess this makes you top of the class.
-Dr. Matsuoka.
I couldn't pull off what you did.
JIN MATSUOKA
Working at a two-bit hospital like Tojo,
sucking up to the local doctors
to gather new cases.
Don't get it twisted.
I was there to help patients.
Nothing more.
Without treatment,
there would be no research.
I bet they set up a special position
for you at Teika, right?
It will be sad to part ways,
but once Koharu Shimano is discharged,
I will also be leaving.
POSTOPERATIVE RESULTS
KOHARU SHIMANO
Soccer?
Yeah.
She made a promise with Dr. Sera
to play soccer together once she's better.
-Can we?
-Koharu, the doctors are busy.
Sure.
We'll play soccer soon.
It's a promise.
Yay!
-I'll do my best to get better.
-Good.
Oh, Koharu!
Is Dr. Takashina quitting Tojo University?
After what happened
But the operation was a success.
Koharu looked so happy.
Hmm I think
Dr. Takashina is a wonderful doctor
from the patient's perspective.
Isn't that enough?
I don't know much about research
or academic papers.
Whatever people may think,
he was able to bring Koharu
back from the brink.
If that doesn't make him a good doctor
Dr. Takashina.
Yes?
Um
Why didn't you put Dr. Saeki's name
at the end of the paper?
I'll be looking forward to the paper.
Dr. Seigo Saeki Don't believe him.
To Dr. Saeki, the Snipe
was nothing more than
a tool to win the election.
I only chose Dr. Nishizaki
so that I can continue to save lives
utilizing the Snipe.
Remember
pretty words alone
can't save a single life.
And so, the battle over the Snipe
was brought to an end.
But more foul play was at hand
This is why you should order
to have detailed blood tests done.
KOHARU SHIMANO
BODY TEMPERATURE
I see.
Are you being serious?
Yes. My name was included
in the Japan Surgical Journal
as a contributing author.
I request the removal
of the Snipe paper from the Journal.
Dr. Saeki,
you realize the removal of the paper
will also cause significant damage
to your own career.
I'm well aware.
As a doctor, I cannot allow
for an unfinished paper to be made public.
But the final case with that
seven-year-old girl was very valuable
as the surgery could
only succeed thanks to the Snipe.
I believe the success of that operation
more than justifies
the publication of the paper.
Unfortunately, that patient
is still in the hospital,
and she is scheduled
for advanced blood testing.
-Blood tests?
-Yes.
Just in case.
In that case,
we can make a formal decision
after the blood tests come back, correct?
Very well.
Mr. Ikenaga.
You seem to be quite invested
in this paper.
I believe it is impressive research.
Or is it because
it's Dr. Nishizaki's paper?
Goodbye. We will talk soon.
Withdraw the paper?
Dr. Saeki came to us
to negotiate with the Journal directly.
He said that the last Snipe patient
needs more blood tests.
I can't believe it.
He's just being a sore loser.
We cannot simply ignore
what Dr. Saeki proposed.
Finish the tests
and get that patient out of there.
Got it?
Understood.
Well, well
Dr. Saeki is full of surprises, isn't he?
You don't plan on giving up
your Impact Factor that easily,
do you?
You seem to be enjoying this.
A clash of the elite. What's not to enjoy?
STATUS: NORMAL
There's no problem here.
She'll be discharged.
What?
According to blood tests,
there's an infection
in her heart's septum.
She'll need treatment right away.
Wait.
If it's an infection in the septum,
it wouldn't be unheard of to miss it.
-What?
-Pretend you didn't catch it.
Have her discharged.
If the public finds out
that the Snipe has caused an infection,
it would be a good reason
to have the paper withdrawn.
If she leaves the hospital,
the cause will remain unknown.
-But
-This is an order.
If you wish to succeed as a researcher,
you need to think ahead.
Dr. Takashina.
Hello, Dr. Takashina.
-Hello.
-Hi.
Koharu will be released soon.
She's almost ready to play soccer.
Yes. That's right.
What is it?
DISCHARGE PERMISSION FORM
Turn this in.
When the kid leaves, so do you.
And then, the Snipe
will be popularized nationwide.
Saving hundreds of lives. But
Aren't you happy about your research?
Dr. Takashina, what was that about?
We'll be able to release Koharu, won't we?
Dr. Takashina
Dr. Takashina promised
to make me all better.
Don't worry, Koharu.
I'll help you get better.
I promise.
We'll play soccer soon.
Yay! I'll do my best to get better!
Promise.
Pretend you didn't catch it.
Have her discharged.
I'm such a fool.
DISCHARGE PERMISSION FORM
I
am a doctor.
What do you want?
It's Koharu Shimano
This is about
the infection in her heart, I presume?
So you knew about it.
I need you to call
an emergency conference.
Aren't things working out well for you?
Didn't you say you were finished
with Tojo University?
How did the infection happen?
During the last operation,
we closed a hole in the septum wall.
SEPTUM
MITRAL VALVE
However, the stopper came loose.
We can assume the infection started there.
I see.
If such dangerous risks are involved,
we'll have to reduce the use
of the Snipe at our hospital.
Wait a moment.
The Snipe isn't the direct cause.
You will share the patient's details
at the conference.
So they've named
the Snipe operation as the cause.
No, the operation itself was a success.
No matter the results of the operation,
if we cannot earn
the Impact Factor, it's a failure!
You have nowhere to return to.
I don't want to see your face ever again!
Is it Dr. Takashina?
What?
Takashi
Who the hell is that?
Mr. Matsuoka.
I have high expectations for you.
Yes, sir.
And so the Snipe paper
returned to blank pages.
Dr. Nishizaki's Impact Factor was reduced,
putting Dr. Saeki back in the lead.
An infection has been confirmed
in Koharu's septum wall.
If the bacteria spreads,
her heart could fail at any moment.
We must operate immediately
to remove the infection.
It has been decided that due to her blood
being unable to congeal,
a thoracotomy is extremely dangerous.
Dr. Tokai. What do you think?
We can't operate.
We should try medication.
Let's take a further look
at medicinal treatment.
This concludes the conference.
Wait.
There is one other way we can save her.
You're saying that now? What is it?
The Darwin.
Darwin?
Darwin.
A surgical robot developed in America.
With a high-spec camera
and three operating arms,
it can perform
extremely precise operations.
Unlike standard thoracotomy,
it needs only small holes to operate,
greatly reducing any bleeding.
Darwin could work for Koharu's surgery.
Yes, we might be able to use the Darwin.
We don't have a Darwin in Tojo.
Not at Tojo, but there is one at Teika.
We'll release the patient to Teika
and operate there.
Are you saying
we just give up our patient to Teika?
It would be shameful
to give her right back!
It's the only way to save her.
Even if that's so,
will Dr. Nishizaki even accept
your suggestion?
That's
As of today, I'm removing you
as attending physician.
Koharu Shimano's new doctor will be
Dr. Tokai.
Conference concluded.
First at Teika University,
and now, at Tojo.
Dr. Takashina lost his standing.
Meanwhile, Dr. Tokai took over
as attending physician.
To care for Koharu,
he introduced a blood-producing medicine
called Nespa.
-Her hemoglobin count is 12.
-Give her 20 ml of Nespa.
Right.
Where's Dr. Takashina?
Isn't he coming today?
Listen, Koharu.
Instead of Dr. Takashina,
Dr. Tokai will be taking care of you now.
Koharu.
Dr. Takashina is off the team.
Off the team?
-What is
-Don't mind him.
Cut it out, will you?
All you need to do is relax, okay?
Okay
Koharu is still a child.
You can't say things like "off the team"
Choose your words better.
Dr. Tokai.
These are Koharu's documents.
How long do you plan
on continuing medicinal treatment?
Who knows?
Nespa does increase blood count,
but it will not cure her completely.
Wait a second.
-If her condition gets worse
-If that girl loses her life,
it will be blamed on the Snipe.
Dr. Nishizaki will be responsible too
as the person who promoted it.
You got orders from Dr. Saeki, didn't you?
So what?
You do it then.
You do it.
How's the medicinal treatment going?
Who knows? We just started.
A doctor like you choosing
medicinal treatment is quite a surprise.
I use medicine like any other doctor.
As long as it helps my clinical trials,
I don't mind either way.
Koharu. It's almost time
for your medicine.
He said Dr. Takashina is off the team
Don't worry.
He'll be back. I know it.
Really?
He promised, didn't he?
It'll be okay,
so keep doing your best, alright?
Okay.
Let's take your medicine now.
Dr. Takashina.
The results of Koharu's new tests.
-Here it is.
-Thanks.
She's stable, thanks to the medicine.
But it can't go on forever.
She won't live much longer.
Can't we do something?
Koharu has always believed in you,
Dr. Takashina.
You're the only one she can depend on.
But you
Don't give up so easily.
You said we can change the rules.
You have to change the rules.
You must carry on with Koharu's operation.
Dr. Takashina!
It's Mr. Makino in 302.
He has taken a turn for the worse.
-Mr. Makino, can you hear me?
-Mr. Makino!
-Deep breaths.
-Mr. Makino!
-Thromboembolism of the lungs.
-Mr. Makino!
-Who's on duty?
-Dr. Sekikawa and Dr. Tokai.
I've brought Dr. Tokai.
Dr. Tokai. Take a look.
What a pain in the ass.
The right and left pulmonary arteries
are totally clogged. Furthermore
a heart operation in his youth
left severe adhesions
so a thoracotomy is out of the question.
We can't operate.
There is one way.
We open from the left
and remove the blood clots.
Both from the left? Is that even possible?
It has never been done,
at least not in Japan.
What do you mean?
I assisted at such a surgery
during my time in America.
There's no way you could do it.
You were just an assistant.
Move it.
No.
I'll do it.
Dr. Tokai, please assist me.
Sometimes you need to change the rules.
I'll take responsibility.
What?
Dr. Tokai, please assist me.
Sometimes you need to change the rules.
I'll take responsibility.
We'll now begin the removal of blood clots
within the pulmonary arteries.
Cooper.
Dr. Sekikawa. Start the heart-lung machine
and lower it to 18 degrees.
Okay.
-Scalpel.
-Here.
-Halt circulation.
-Right.
Let's remove the clots.
Magill forceps, please.
-Here.
-Miwa, bring the 4-0.
Right.
Amazing. Such a delicate operation
This is Dr. Takashina's real skill.
-Metz.
-Right.
Operation complete.
Vitals all clear.
You look like you're about to die.
Dr. Takashina.
Forgive me for earlier.
I might be out of place asking this,
but how will I take
responsibility for this?
Thanks to you, I've finally realized
I have nothing else to lose.
But
That's why I have more work to do.
Tell Koharu that I'll be back soon.
Okay.
Hey. What are you doing here?
Dr. Nishizaki.
Dr. Saeki plans to let Koharu die.
If the patient dies,
you will take responsibility
for the Snipe's role in her death.
Is that a threat?
May I use the Darwin?
What?
That's not what I expected to hear.
Darwin is Teika's star surgeon.
I can't allow such a high-risk patient
to transfer
in case the surgery fails.
I won't be transferring her.
I wish to borrow Darwin.
-Borrow?
-That's right.
There will be no trouble for Teika.
If there are any problems,
I will take full responsibility
as part of Dr. Saeki's department.
I'm begging you.
Fine.
But I don't plan on letting you use it.
Dr. Matsuoka.
The Darwin is your specialty.
This is a chance for us
to gather new cases.
Show Tojo the real strength
of Teika University.
Leave it to me.
I will succeed, Dr. Nishizaki.
You have my word.
-Dr. Matsuoka as operating surgeon?
-Yes. That was the condition.
Acting quite recklessly, don't you think?
I no longer have anything to lose.
Very well.
Thank you.
I'll begin preparations right away.
And so, the Darwin came
to Tojo University.
It doesn't even compare to the Snipe.
Four arms. That's a robot all right.
Amazing. It can write on a grain of rice?
Rice is for eating.
What?
NAP ROOM
I had heard rumors,
but it can really write
on a grain of rice.
Like the common folk watching
the Black Ships' arrival in Edo, right?
You bunch of hillbillies.
Hillbillies?
That's what he called us?
He gives me a bad feeling.
How long do they plan
on using this medicine?
Dr. Tokai said they would use it
until the operating day.
Really? Until the very end?
It must be doing something.
Trial medicine something to do
with receiving cooperation funding?
That's part of it, right?
So it's all for money in the end?
Mr. Tomizawa.
We've received warm praise
from the Ministry of Health
regarding the Darwin operation.
Thank you for your support.
The world of Japanese medicine
is outdated.
I want to change that.
This will require adopting
the latest medical technologies
and virtually eliminating
the skill gap among surgeons.
I agree completely.
Unfortunately, there are
a number of people that don't.
People with great authority
who favor the skills of a surgeon.
Putting it that way,
the Darwin operation taking place at Tojo
could serve to be quite valuable for us.
Simulations of Koharu's
Darwin surgery began.
-Scissors in the left hand.
-Right.
All right. All set.
I have no doubt we'll succeed.
Good job.
Dr. Matsuoka.
This is the first Darwin surgery
on a child, right?
Are you sure it will be okay?
Listen.
Do you know how many times I've done this?
The lot of you at Tojo
are a bunch of killjoys.
Dr. Tokai, here.
-The Darwin documents.
-I don't need them.
I have nothing to gain.
Nothing to benefit from this operation.
The only thing I hope for
is for Koharu's life to be saved.
I will do whatever it takes
to ensure her safety.
People change, huh?
Things change when you lose everything.
But you did help me realize something.
In university hospitals,
doctors with no interest in promotions
are the strongest.
Doctors like you, Dr. Tokai.
Excuse me, Dr. Tokai.
Dr. Tokai
What's this
The fateful day finally arrived.
He's here.
Greetings, Dr. Saeki.
It has been quite a while.
Likewise. It's good
to see you looking well.
Well, ever since the Snipe paper
was withdrawn,
I haven't slept much.
We should be grateful it was withdrawn
before something bad happened.
Your good name was in jeopardy.
I hear that today's surgery
will be crucial
to the success of the paper.
I hope to learn a lot.
I'm glad you're here.
Dr. Nishizaki. Please, this way.
Live feed, please.
Please begin.
Okay.
-Here we go.
-Tojo's first robotic operation.
Koharu
More. More. Stop.
The cart is in place.
We will now begin septum infection
removal surgery with the Darwin.
-Docking.
-Right.
By the way, I heard from a little bird
that your team was planning
to let the patient die.
I'm happy to be able to help.
We're grateful to you
for lending us the Darwin.
And enlisting such a skilled doctor.
Failure seems unlikely,
even in a worst-case scenario.
Of course.
Inserting forceps.
The holes are so small. Will it work?
There's hardly any bleeding.
Maybe the day when we aren't needed
anymore will really come.
No way. I'm not losing to any robot.
But seeing something like this
All right. It's showtime.
The tip of the forceps
have reached the pericardium.
-Set the electroscalpel to 25.
-Right.
Starting the pericardial incision.
Thanks to the Darwin,
even the most difficult of surgeries
can be made possible.
Right atrium open. Give me visuals.
Right.
RIGHT ATRIUM
BACTERIA
Soon reaching the site of infection.
Now, the hard part.
Hard part?
There's no such thing.
Let's proceed to remove the infection.
-Such precise work.
-That's the Darwin's power.
Now it just needs to be removed
It appears to be a success.
Time to finish up.
That was a piece of cake.
Removing bacterial site.
Okay.
-What the
-What is it?
What's happening? The forceps won't budge.
The forceps won't move?
What happened?
Blood loss increasing.
The arms are hitting each other!
This isn't good.
The arms' movement is limited
when working on the body of a small child.
Damn it.
That's what I was afraid of!
Any sudden movements will tear the heart!
What's happening?
Can you move the arms?
-Wait.
-What are you doing, Dr. Matsuoka?
Get ready for conversion.
Koharu
This is not looking good.
Someone has to go help.
But no one at Tojo knows how to use it.
What's this
Dr. Tokai
Hey, Miwa!
We're losing more blood!
Dr. Matsuoka. We have to withdraw.
I'm the operating surgeon.
I'm going to remove the infection.
Know your place, Dr. Takashina!
I never had one to begin with!
-I'll be right back.
-Okay.
-Dr. Takashina!
-Continue the operation!
Dr. Tokai!
-Move the arms.
-We can't. The blood won't stop.
-Then get transfusion!
-She's allergic to blood transfusion!
-We told you!
-I can't get a visual!
-Suction! Get the blood out!
-Right.
Dr. Tokai!
We need your help.
Let's go.
Suction on max!
She can't lose any more blood!
Damn it. We're toast.
Dr. Tokai!
Tokai?
Dr. Takashina.
What do you think you're doing?
You didn't take the patient's small body
into consideration
in adjusting the robotic arms.
This is your fault.
You call yourself a pro with the Darwin?
-Write your resignation letter.
-What?
I'll save you for your severance pay.
Ten million yen.
Don't be a fool! I don't have ten million
Then what?
Let the child die
in front of the great Dr. Nishizaki?
Dr. Matsuoka. Out of the way.
What?
Get out!
Move it.
-Dr. Takashina. No. 3.
-Two cm to the right.
-No. 1.
-Three cm to the left.
The arms will move now.
-The forceps moved.
-We'll take them out.
I'll open up her chest.
You can't do that.
She's allergic to transfusion.
-So we'll use her own blood.
-Her own blood?
So that's why you were using Nespa,
a blood producer.
You've been collecting her blood.
-Nekota, how long will she last?
-I can give you 30 minutes.
Thirty minutes, starting now? Impossible!
Watch me do it.
Tojo University can do it.
-Move the cart.
-Right.
-Get ready!
-Okay.
There's already a hole. Let's connect it.
-Scalpel.
-Here.
-Wipe it.
-Okay.
-Electroscalpel.
-Okay.
-Open it.
-Right.
Think of the next step.
We'll open the chest.
-Open it up!
-Retractor.
-Opening chest.
-Remove blood from the heart and lungs.
Use suction, you!
-Nekota, muscle hook.
-Here.
-Bring it, hurry!
-I'll cut it off with the forceps.
Reclamped. Remove the blood.
-Lend me a hand. Open.
-Right.
Amazing.
He's just as precise as the Darwin.
-No, he's better.
-Suction!
I knew he was incredible.
-Dr. Tokai
-Drain all the blood!
It seems like
it was a difficult operation.
To operate on a child's small body,
more precise preparation was necessary.
It was Dr. Matsuoka, right?
He doesn't understand true surgery.
Taking it out.
-Got it. Suture, 4-0.
-Right.
-Suction!
-Right.
-Metz.
-Here.
-Suture complete.
-Vitals stabilized. No problem.
You finish up.
Dr. Tokai.
Thank you.
This is nothing.
I am a doctor, after all.
The operation was a success.
We learned a great deal, thanks to you.
Professor Nishizaki.
I'm glad to hear that.
I'll be leaving now.
Mr. Ikenaga. I will speak with you soon.
Dr. Nishizaki!
Dr. Takashina. Amazing follow-up.
-Thank you.
-I have something to talk with you about.
Please come see me later.
Yes, sir.
You have nowhere to return to.
Wait, please! Dr. Nishizaki, please!
After the operation,
Koharu made a full recovery
and she was soon to be discharged.
Wow! I bet you're ready to play soccer.
Yes!
What about Dr. Takashina?
He's getting some special training too.
Dr. Takashina, you're awful.
Want me to show you?
-Please.
-Okay.
It looks like
I'll get to stay at Tojo after all.
What?
A nationally produced Darwin at Tojo
That's right. Teika is working alongside
Daiichi Industries
to produce a Darwin right here in Japan.
I would like to entrust you
with the first clinical trial.
But
We'll gather the cases and you'll finish
the paper before the elections.
We'll be able to gather
more Impact Factor.
Understood.
I'm relying on you.
This project is also being backed
by an acquaintance
in the Ministry of Health.
The Ministry of Health?
That's why this project
has to succeed.
It's our last chance.
There's no running away
from where I've found myself.
-Let's try again.
-Let's do it twice.
Let's go!
One Two Two times!
Excuse me.
I have a package for you.
Thank you.
I'll be taking my leave.
If both universities join forces,
I believe the new Darwin can achieve this.
-Ms. Harue?
-This trial is of great significance.
Can I ask for your cooperation?
What a foolish patient.
The black forceps' secret
is still being protected.
A medical error?
What are you saying?
There is no room for error in surgery.
I also heard that you refused
Dr. Saeki's operation.
It's none of your business.
Dr. Tokai's mother
I think it's more about the money.
-Twenty-seven victims are on their way.
-Not enough blood?
Do what you can to collect more blood.
She's running out of blood.
That man betrayed my father.
Subtitle translation by: Tom Grathwol
Dr. Saeki will be hurting from this one.
Either way,
I must thank you for helping me raise
my Impact Factor significantly.
Dr. Takashina used Professor Saeki,
completed the Snipe surgery,
only to list Dr. Nishizaki's name
at the end of his paper.
With this, Dr. Nishizaki's Impact Factor
had overtaken Dr. Saeki's,
virtually guaranteeing his victory
in the chairman election.
-I guess this makes you top of the class.
-Dr. Matsuoka.
I couldn't pull off what you did.
JIN MATSUOKA
Working at a two-bit hospital like Tojo,
sucking up to the local doctors
to gather new cases.
Don't get it twisted.
I was there to help patients.
Nothing more.
Without treatment,
there would be no research.
I bet they set up a special position
for you at Teika, right?
It will be sad to part ways,
but once Koharu Shimano is discharged,
I will also be leaving.
POSTOPERATIVE RESULTS
KOHARU SHIMANO
Soccer?
Yeah.
She made a promise with Dr. Sera
to play soccer together once she's better.
-Can we?
-Koharu, the doctors are busy.
Sure.
We'll play soccer soon.
It's a promise.
Yay!
-I'll do my best to get better.
-Good.
Oh, Koharu!
Is Dr. Takashina quitting Tojo University?
After what happened
But the operation was a success.
Koharu looked so happy.
Hmm I think
Dr. Takashina is a wonderful doctor
from the patient's perspective.
Isn't that enough?
I don't know much about research
or academic papers.
Whatever people may think,
he was able to bring Koharu
back from the brink.
If that doesn't make him a good doctor
Dr. Takashina.
Yes?
Um
Why didn't you put Dr. Saeki's name
at the end of the paper?
I'll be looking forward to the paper.
Dr. Seigo Saeki Don't believe him.
To Dr. Saeki, the Snipe
was nothing more than
a tool to win the election.
I only chose Dr. Nishizaki
so that I can continue to save lives
utilizing the Snipe.
Remember
pretty words alone
can't save a single life.
And so, the battle over the Snipe
was brought to an end.
But more foul play was at hand
This is why you should order
to have detailed blood tests done.
KOHARU SHIMANO
BODY TEMPERATURE
I see.
Are you being serious?
Yes. My name was included
in the Japan Surgical Journal
as a contributing author.
I request the removal
of the Snipe paper from the Journal.
Dr. Saeki,
you realize the removal of the paper
will also cause significant damage
to your own career.
I'm well aware.
As a doctor, I cannot allow
for an unfinished paper to be made public.
But the final case with that
seven-year-old girl was very valuable
as the surgery could
only succeed thanks to the Snipe.
I believe the success of that operation
more than justifies
the publication of the paper.
Unfortunately, that patient
is still in the hospital,
and she is scheduled
for advanced blood testing.
-Blood tests?
-Yes.
Just in case.
In that case,
we can make a formal decision
after the blood tests come back, correct?
Very well.
Mr. Ikenaga.
You seem to be quite invested
in this paper.
I believe it is impressive research.
Or is it because
it's Dr. Nishizaki's paper?
Goodbye. We will talk soon.
Withdraw the paper?
Dr. Saeki came to us
to negotiate with the Journal directly.
He said that the last Snipe patient
needs more blood tests.
I can't believe it.
He's just being a sore loser.
We cannot simply ignore
what Dr. Saeki proposed.
Finish the tests
and get that patient out of there.
Got it?
Understood.
Well, well
Dr. Saeki is full of surprises, isn't he?
You don't plan on giving up
your Impact Factor that easily,
do you?
You seem to be enjoying this.
A clash of the elite. What's not to enjoy?
STATUS: NORMAL
There's no problem here.
She'll be discharged.
What?
According to blood tests,
there's an infection
in her heart's septum.
She'll need treatment right away.
Wait.
If it's an infection in the septum,
it wouldn't be unheard of to miss it.
-What?
-Pretend you didn't catch it.
Have her discharged.
If the public finds out
that the Snipe has caused an infection,
it would be a good reason
to have the paper withdrawn.
If she leaves the hospital,
the cause will remain unknown.
-But
-This is an order.
If you wish to succeed as a researcher,
you need to think ahead.
Dr. Takashina.
Hello, Dr. Takashina.
-Hello.
-Hi.
Koharu will be released soon.
She's almost ready to play soccer.
Yes. That's right.
What is it?
DISCHARGE PERMISSION FORM
Turn this in.
When the kid leaves, so do you.
And then, the Snipe
will be popularized nationwide.
Saving hundreds of lives. But
Aren't you happy about your research?
Dr. Takashina, what was that about?
We'll be able to release Koharu, won't we?
Dr. Takashina
Dr. Takashina promised
to make me all better.
Don't worry, Koharu.
I'll help you get better.
I promise.
We'll play soccer soon.
Yay! I'll do my best to get better!
Promise.
Pretend you didn't catch it.
Have her discharged.
I'm such a fool.
DISCHARGE PERMISSION FORM
I
am a doctor.
What do you want?
It's Koharu Shimano
This is about
the infection in her heart, I presume?
So you knew about it.
I need you to call
an emergency conference.
Aren't things working out well for you?
Didn't you say you were finished
with Tojo University?
How did the infection happen?
During the last operation,
we closed a hole in the septum wall.
SEPTUM
MITRAL VALVE
However, the stopper came loose.
We can assume the infection started there.
I see.
If such dangerous risks are involved,
we'll have to reduce the use
of the Snipe at our hospital.
Wait a moment.
The Snipe isn't the direct cause.
You will share the patient's details
at the conference.
So they've named
the Snipe operation as the cause.
No, the operation itself was a success.
No matter the results of the operation,
if we cannot earn
the Impact Factor, it's a failure!
You have nowhere to return to.
I don't want to see your face ever again!
Is it Dr. Takashina?
What?
Takashi
Who the hell is that?
Mr. Matsuoka.
I have high expectations for you.
Yes, sir.
And so the Snipe paper
returned to blank pages.
Dr. Nishizaki's Impact Factor was reduced,
putting Dr. Saeki back in the lead.
An infection has been confirmed
in Koharu's septum wall.
If the bacteria spreads,
her heart could fail at any moment.
We must operate immediately
to remove the infection.
It has been decided that due to her blood
being unable to congeal,
a thoracotomy is extremely dangerous.
Dr. Tokai. What do you think?
We can't operate.
We should try medication.
Let's take a further look
at medicinal treatment.
This concludes the conference.
Wait.
There is one other way we can save her.
You're saying that now? What is it?
The Darwin.
Darwin?
Darwin.
A surgical robot developed in America.
With a high-spec camera
and three operating arms,
it can perform
extremely precise operations.
Unlike standard thoracotomy,
it needs only small holes to operate,
greatly reducing any bleeding.
Darwin could work for Koharu's surgery.
Yes, we might be able to use the Darwin.
We don't have a Darwin in Tojo.
Not at Tojo, but there is one at Teika.
We'll release the patient to Teika
and operate there.
Are you saying
we just give up our patient to Teika?
It would be shameful
to give her right back!
It's the only way to save her.
Even if that's so,
will Dr. Nishizaki even accept
your suggestion?
That's
As of today, I'm removing you
as attending physician.
Koharu Shimano's new doctor will be
Dr. Tokai.
Conference concluded.
First at Teika University,
and now, at Tojo.
Dr. Takashina lost his standing.
Meanwhile, Dr. Tokai took over
as attending physician.
To care for Koharu,
he introduced a blood-producing medicine
called Nespa.
-Her hemoglobin count is 12.
-Give her 20 ml of Nespa.
Right.
Where's Dr. Takashina?
Isn't he coming today?
Listen, Koharu.
Instead of Dr. Takashina,
Dr. Tokai will be taking care of you now.
Koharu.
Dr. Takashina is off the team.
Off the team?
-What is
-Don't mind him.
Cut it out, will you?
All you need to do is relax, okay?
Okay
Koharu is still a child.
You can't say things like "off the team"
Choose your words better.
Dr. Tokai.
These are Koharu's documents.
How long do you plan
on continuing medicinal treatment?
Who knows?
Nespa does increase blood count,
but it will not cure her completely.
Wait a second.
-If her condition gets worse
-If that girl loses her life,
it will be blamed on the Snipe.
Dr. Nishizaki will be responsible too
as the person who promoted it.
You got orders from Dr. Saeki, didn't you?
So what?
You do it then.
You do it.
How's the medicinal treatment going?
Who knows? We just started.
A doctor like you choosing
medicinal treatment is quite a surprise.
I use medicine like any other doctor.
As long as it helps my clinical trials,
I don't mind either way.
Koharu. It's almost time
for your medicine.
He said Dr. Takashina is off the team
Don't worry.
He'll be back. I know it.
Really?
He promised, didn't he?
It'll be okay,
so keep doing your best, alright?
Okay.
Let's take your medicine now.
Dr. Takashina.
The results of Koharu's new tests.
-Here it is.
-Thanks.
She's stable, thanks to the medicine.
But it can't go on forever.
She won't live much longer.
Can't we do something?
Koharu has always believed in you,
Dr. Takashina.
You're the only one she can depend on.
But you
Don't give up so easily.
You said we can change the rules.
You have to change the rules.
You must carry on with Koharu's operation.
Dr. Takashina!
It's Mr. Makino in 302.
He has taken a turn for the worse.
-Mr. Makino, can you hear me?
-Mr. Makino!
-Deep breaths.
-Mr. Makino!
-Thromboembolism of the lungs.
-Mr. Makino!
-Who's on duty?
-Dr. Sekikawa and Dr. Tokai.
I've brought Dr. Tokai.
Dr. Tokai. Take a look.
What a pain in the ass.
The right and left pulmonary arteries
are totally clogged. Furthermore
a heart operation in his youth
left severe adhesions
so a thoracotomy is out of the question.
We can't operate.
There is one way.
We open from the left
and remove the blood clots.
Both from the left? Is that even possible?
It has never been done,
at least not in Japan.
What do you mean?
I assisted at such a surgery
during my time in America.
There's no way you could do it.
You were just an assistant.
Move it.
No.
I'll do it.
Dr. Tokai, please assist me.
Sometimes you need to change the rules.
I'll take responsibility.
What?
Dr. Tokai, please assist me.
Sometimes you need to change the rules.
I'll take responsibility.
We'll now begin the removal of blood clots
within the pulmonary arteries.
Cooper.
Dr. Sekikawa. Start the heart-lung machine
and lower it to 18 degrees.
Okay.
-Scalpel.
-Here.
-Halt circulation.
-Right.
Let's remove the clots.
Magill forceps, please.
-Here.
-Miwa, bring the 4-0.
Right.
Amazing. Such a delicate operation
This is Dr. Takashina's real skill.
-Metz.
-Right.
Operation complete.
Vitals all clear.
You look like you're about to die.
Dr. Takashina.
Forgive me for earlier.
I might be out of place asking this,
but how will I take
responsibility for this?
Thanks to you, I've finally realized
I have nothing else to lose.
But
That's why I have more work to do.
Tell Koharu that I'll be back soon.
Okay.
Hey. What are you doing here?
Dr. Nishizaki.
Dr. Saeki plans to let Koharu die.
If the patient dies,
you will take responsibility
for the Snipe's role in her death.
Is that a threat?
May I use the Darwin?
What?
That's not what I expected to hear.
Darwin is Teika's star surgeon.
I can't allow such a high-risk patient
to transfer
in case the surgery fails.
I won't be transferring her.
I wish to borrow Darwin.
-Borrow?
-That's right.
There will be no trouble for Teika.
If there are any problems,
I will take full responsibility
as part of Dr. Saeki's department.
I'm begging you.
Fine.
But I don't plan on letting you use it.
Dr. Matsuoka.
The Darwin is your specialty.
This is a chance for us
to gather new cases.
Show Tojo the real strength
of Teika University.
Leave it to me.
I will succeed, Dr. Nishizaki.
You have my word.
-Dr. Matsuoka as operating surgeon?
-Yes. That was the condition.
Acting quite recklessly, don't you think?
I no longer have anything to lose.
Very well.
Thank you.
I'll begin preparations right away.
And so, the Darwin came
to Tojo University.
It doesn't even compare to the Snipe.
Four arms. That's a robot all right.
Amazing. It can write on a grain of rice?
Rice is for eating.
What?
NAP ROOM
I had heard rumors,
but it can really write
on a grain of rice.
Like the common folk watching
the Black Ships' arrival in Edo, right?
You bunch of hillbillies.
Hillbillies?
That's what he called us?
He gives me a bad feeling.
How long do they plan
on using this medicine?
Dr. Tokai said they would use it
until the operating day.
Really? Until the very end?
It must be doing something.
Trial medicine something to do
with receiving cooperation funding?
That's part of it, right?
So it's all for money in the end?
Mr. Tomizawa.
We've received warm praise
from the Ministry of Health
regarding the Darwin operation.
Thank you for your support.
The world of Japanese medicine
is outdated.
I want to change that.
This will require adopting
the latest medical technologies
and virtually eliminating
the skill gap among surgeons.
I agree completely.
Unfortunately, there are
a number of people that don't.
People with great authority
who favor the skills of a surgeon.
Putting it that way,
the Darwin operation taking place at Tojo
could serve to be quite valuable for us.
Simulations of Koharu's
Darwin surgery began.
-Scissors in the left hand.
-Right.
All right. All set.
I have no doubt we'll succeed.
Good job.
Dr. Matsuoka.
This is the first Darwin surgery
on a child, right?
Are you sure it will be okay?
Listen.
Do you know how many times I've done this?
The lot of you at Tojo
are a bunch of killjoys.
Dr. Tokai, here.
-The Darwin documents.
-I don't need them.
I have nothing to gain.
Nothing to benefit from this operation.
The only thing I hope for
is for Koharu's life to be saved.
I will do whatever it takes
to ensure her safety.
People change, huh?
Things change when you lose everything.
But you did help me realize something.
In university hospitals,
doctors with no interest in promotions
are the strongest.
Doctors like you, Dr. Tokai.
Excuse me, Dr. Tokai.
Dr. Tokai
What's this
The fateful day finally arrived.
He's here.
Greetings, Dr. Saeki.
It has been quite a while.
Likewise. It's good
to see you looking well.
Well, ever since the Snipe paper
was withdrawn,
I haven't slept much.
We should be grateful it was withdrawn
before something bad happened.
Your good name was in jeopardy.
I hear that today's surgery
will be crucial
to the success of the paper.
I hope to learn a lot.
I'm glad you're here.
Dr. Nishizaki. Please, this way.
Live feed, please.
Please begin.
Okay.
-Here we go.
-Tojo's first robotic operation.
Koharu
More. More. Stop.
The cart is in place.
We will now begin septum infection
removal surgery with the Darwin.
-Docking.
-Right.
By the way, I heard from a little bird
that your team was planning
to let the patient die.
I'm happy to be able to help.
We're grateful to you
for lending us the Darwin.
And enlisting such a skilled doctor.
Failure seems unlikely,
even in a worst-case scenario.
Of course.
Inserting forceps.
The holes are so small. Will it work?
There's hardly any bleeding.
Maybe the day when we aren't needed
anymore will really come.
No way. I'm not losing to any robot.
But seeing something like this
All right. It's showtime.
The tip of the forceps
have reached the pericardium.
-Set the electroscalpel to 25.
-Right.
Starting the pericardial incision.
Thanks to the Darwin,
even the most difficult of surgeries
can be made possible.
Right atrium open. Give me visuals.
Right.
RIGHT ATRIUM
BACTERIA
Soon reaching the site of infection.
Now, the hard part.
Hard part?
There's no such thing.
Let's proceed to remove the infection.
-Such precise work.
-That's the Darwin's power.
Now it just needs to be removed
It appears to be a success.
Time to finish up.
That was a piece of cake.
Removing bacterial site.
Okay.
-What the
-What is it?
What's happening? The forceps won't budge.
The forceps won't move?
What happened?
Blood loss increasing.
The arms are hitting each other!
This isn't good.
The arms' movement is limited
when working on the body of a small child.
Damn it.
That's what I was afraid of!
Any sudden movements will tear the heart!
What's happening?
Can you move the arms?
-Wait.
-What are you doing, Dr. Matsuoka?
Get ready for conversion.
Koharu
This is not looking good.
Someone has to go help.
But no one at Tojo knows how to use it.
What's this
Dr. Tokai
Hey, Miwa!
We're losing more blood!
Dr. Matsuoka. We have to withdraw.
I'm the operating surgeon.
I'm going to remove the infection.
Know your place, Dr. Takashina!
I never had one to begin with!
-I'll be right back.
-Okay.
-Dr. Takashina!
-Continue the operation!
Dr. Tokai!
-Move the arms.
-We can't. The blood won't stop.
-Then get transfusion!
-She's allergic to blood transfusion!
-We told you!
-I can't get a visual!
-Suction! Get the blood out!
-Right.
Dr. Tokai!
We need your help.
Let's go.
Suction on max!
She can't lose any more blood!
Damn it. We're toast.
Dr. Tokai!
Tokai?
Dr. Takashina.
What do you think you're doing?
You didn't take the patient's small body
into consideration
in adjusting the robotic arms.
This is your fault.
You call yourself a pro with the Darwin?
-Write your resignation letter.
-What?
I'll save you for your severance pay.
Ten million yen.
Don't be a fool! I don't have ten million
Then what?
Let the child die
in front of the great Dr. Nishizaki?
Dr. Matsuoka. Out of the way.
What?
Get out!
Move it.
-Dr. Takashina. No. 3.
-Two cm to the right.
-No. 1.
-Three cm to the left.
The arms will move now.
-The forceps moved.
-We'll take them out.
I'll open up her chest.
You can't do that.
She's allergic to transfusion.
-So we'll use her own blood.
-Her own blood?
So that's why you were using Nespa,
a blood producer.
You've been collecting her blood.
-Nekota, how long will she last?
-I can give you 30 minutes.
Thirty minutes, starting now? Impossible!
Watch me do it.
Tojo University can do it.
-Move the cart.
-Right.
-Get ready!
-Okay.
There's already a hole. Let's connect it.
-Scalpel.
-Here.
-Wipe it.
-Okay.
-Electroscalpel.
-Okay.
-Open it.
-Right.
Think of the next step.
We'll open the chest.
-Open it up!
-Retractor.
-Opening chest.
-Remove blood from the heart and lungs.
Use suction, you!
-Nekota, muscle hook.
-Here.
-Bring it, hurry!
-I'll cut it off with the forceps.
Reclamped. Remove the blood.
-Lend me a hand. Open.
-Right.
Amazing.
He's just as precise as the Darwin.
-No, he's better.
-Suction!
I knew he was incredible.
-Dr. Tokai
-Drain all the blood!
It seems like
it was a difficult operation.
To operate on a child's small body,
more precise preparation was necessary.
It was Dr. Matsuoka, right?
He doesn't understand true surgery.
Taking it out.
-Got it. Suture, 4-0.
-Right.
-Suction!
-Right.
-Metz.
-Here.
-Suture complete.
-Vitals stabilized. No problem.
You finish up.
Dr. Tokai.
Thank you.
This is nothing.
I am a doctor, after all.
The operation was a success.
We learned a great deal, thanks to you.
Professor Nishizaki.
I'm glad to hear that.
I'll be leaving now.
Mr. Ikenaga. I will speak with you soon.
Dr. Nishizaki!
Dr. Takashina. Amazing follow-up.
-Thank you.
-I have something to talk with you about.
Please come see me later.
Yes, sir.
You have nowhere to return to.
Wait, please! Dr. Nishizaki, please!
After the operation,
Koharu made a full recovery
and she was soon to be discharged.
Wow! I bet you're ready to play soccer.
Yes!
What about Dr. Takashina?
He's getting some special training too.
Dr. Takashina, you're awful.
Want me to show you?
-Please.
-Okay.
It looks like
I'll get to stay at Tojo after all.
What?
A nationally produced Darwin at Tojo
That's right. Teika is working alongside
Daiichi Industries
to produce a Darwin right here in Japan.
I would like to entrust you
with the first clinical trial.
But
We'll gather the cases and you'll finish
the paper before the elections.
We'll be able to gather
more Impact Factor.
Understood.
I'm relying on you.
This project is also being backed
by an acquaintance
in the Ministry of Health.
The Ministry of Health?
That's why this project
has to succeed.
It's our last chance.
There's no running away
from where I've found myself.
-Let's try again.
-Let's do it twice.
Let's go!
One Two Two times!
Excuse me.
I have a package for you.
Thank you.
I'll be taking my leave.
If both universities join forces,
I believe the new Darwin can achieve this.
-Ms. Harue?
-This trial is of great significance.
Can I ask for your cooperation?
What a foolish patient.
The black forceps' secret
is still being protected.
A medical error?
What are you saying?
There is no room for error in surgery.
I also heard that you refused
Dr. Saeki's operation.
It's none of your business.
Dr. Tokai's mother
I think it's more about the money.
-Twenty-seven victims are on their way.
-Not enough blood?
Do what you can to collect more blood.
She's running out of blood.
That man betrayed my father.
Subtitle translation by: Tom Grathwol