Black Pean (2018) s01e06 Episode Script
Episode 6
1
The black forceps' secret
is still being protected.
Indeed.
But I must ask you to be cautious.
Please dispose of this as usual.
I understand.
And the old administrative documents,
shall I move them
to the storage room here?
Yes.
That's fine.
Then I'll start on that soon.
Excuse me.
Is this everything?
Yes. Please bring it
to the hospital storage room.
Thanks again.
-Right.
-Okay.
We can't do this in a day.
You're right.
Excuse me.
If you're looking for the hospital,
it's that way.
Thank you very much.
But that's okay.
I know this hospital quite well.
They're taking care of my son.
So you're here to visit him?
No, not like that.
He's a doctor.
His name is Seishiro Tokai.
Dr. Tokai?
You're Dr. Tokai's mother?
-It's a pleasure to meet you.
-Likewise.
I thought I would pay a visit
to Dr. Saeki,
but my son never answers his phone.
Is that so?
That boy
He couldn't give a damn
if I were alive or dead.
Completely apathetic.
-That can't be.
-I mean it.
How about we all get some lunch?
Ms. Kinoshita.
Dr. Tokai is in an emergency operation.
-Dr. Sera. Artificial valve.
-Right.
-4-0.
-Right.
-I'm supposed to be the operating surgeon.
-Here it is.
-Felt.
-Oh, please.
-Felt, hurry.
-Right, sorry.
-You should have it cut.
-Okay.
Here.
-Suction.
-Sorry.
The other day, Dr. Tokai made me
a delicious egg-on-rice bowl.
-He did?
-Wow.
I would love to try that.
Would either one of you be so kind
as to marry my son?
What?
You'll be able to eat delicious rice
for the rest of your life.
My husband was a lover of food,
but he loved rice the most.
He would always make rice balls
to bring to operations.
-Operations?
-That's right.
He was a surgeon at Tojo University.
He was a surgeon? Wow!
My husband would always say,
"The most ordinary people
make the best doctors."
-Ordinary people make good doctors.
-Right.
I have a photograph.
-Would you like to see it?
-Yes.
Certainly.
Dr. Saeki is in it too.
Really?
Ms. Harue?
Ms. Harue, are you okay?
Ms. Harue?
Ms. Harue!
Ms. Harue?
There's a large tumor inside her heart.
She likely fainted when it incarcerated.
We have to tell Dr. Tokai.
He's in another operation. Not now.
-We need to do an emergency surgery.
-Right.
-Spoon.
-Here.
-Left atrial myxoma excision complete.
-Okay.
We'll move on to suturing
the left atrium. 4-0.
MOM
4 MISSED CALLS
Pardon me.
Dr. Tokai.
It's your mother
You're here. It was a sudden incident.
Dr. Kurosaki operated on her.
Her condition is stable.
Thank you.
Let's be thankful that she's all right.
Can I ask you to leave?
I see. Very well.
Take care.
-Doctor. I prepared the test.
-Thank you.
Tell Dr. Kurosaki that he'll be in charge.
Right.
What are the odds
of Dr. Tokai's family being admitted?
I'm sure he's worried as well.
I'm not talking about that Dr. Tokai.
I'm talking about Dr. Ichiro Tokai.
You are a disgrace!
Do you understand what you've done?
What would we have done without Dr. Saeki?
How will you take responsibility for this?
Harue coming here at a time like this.
It's a thing of the past.
However, make sure it's not investigated.
-Be careful.
-Understood.
I can't believe
Dr. Tokai's mother is here.
We'll do the post-op exam tomorrow.
Tomorrow?
By the way, it sounds like
it will finally be here tomorrow.
Oh, that?
The thing on everyone's mind.
MEDICAL SUPPLIES ON BOARD
Japan's first operating robot
developed by Daiichi Industries.
The domestically produced Darwin,
also known as Caesar.
Its first clinical trial in Japan
will be done at Tojo,
and it will be handled
by the esteemed Dr. Saeki.
What an honor.
Why did Tojo become the trial facility
for the new Darwin?
Thanks to Dr. Nishizaki,
and the involvement of
the Ministry of Health.
Excuse me.
You're Dr. Saeki, right?
-Yes. And you must be from the ministry
-I'm Tomizawa.
It's an honor to meet you, Dr. Saeki.
-Hello Dr. Saeki.
-Ms. Kinoshita, you're here too?
We were invited by Dr. Nishizaki.
That's right, Dr. Saeki.
Mr. Tomizawa was kind enough
to read the recently published
Snipe article.
Oh, that one
Your name was included
as a research partner, correct?
Yes, well
The future of medicine relies
not only on individual skill
but also on the integration
of the latest medical technologies.
Wow. Did you hear that?
Truly a fantastic philosophy.
There is, in fact, a new device
that can make your philosophy a reality.
Dr. Nishizaki is leading
the development process
of a domestically produced Darwin.
Mr. Tomizawa has asked for your help.
He's suggesting that we ask
for your cooperation
in the development process.
Research from Teika University.
Practical skill from Tojo University.
If both universities join forces,
we can surpass the foreign-made products
that rule the industry.
I believe we can complete our own Darwin
with this method.
They got me.
All Dr. Nishizaki is looking for
is Impact Factor.
Impact Factor is gained from being
published in academic journals.
Currently, Dr. Saeki is leading the race.
But if the domestically produced
Darwin is completed,
the Impact Factor will be given
to the project leader, Dr. Nishizaki.
There was no benefit for Dr. Saeki.
It would appear the new Darwin
has only just passed animal trials.
With the Ministry of Health involved,
we can't simply ignore it.
And you plan to oversee it, don't you?
If a Japanese Darwin is developed,
it will be great progress
for Japanese medicine.
I hope that
I can lend a hand in that.
Thus, despite various unclear motives
the Japan-made Darwin, Caesar,
arrived at Tojo University
as an unwelcome guest.
"Caesar" is the hero
who laid the foundations
of the ancient Roman Empire.
Caesar is a Latin name.
This Caesar will be the foundation
to change the future of the medical field.
That's how it got its name.
Wow. It's beautiful!
It's a bit smaller than the foreign model.
And only one arm instead of four.
With this one arm,
multiple tasks such as migrating
and suturing can be performed.
Incorporating the most advanced
technology in Japan,
it is the ultimate medical robot.
We'll leave the Caesar to Dr. Takashina.
Are you sure?
He seems to have cut ties with Teika,
and there was the Snipe incident.
We need someone to take responsibility
if something happens.
Right. I see.
How is Harue Tokai's condition?
She's currently being examined.
I see.
However
Dr. Tokai.
Here.
In Harue Tokai's exams,
something awful was discovered.
An overlooked tumor in the pulmonary vein
of the left atrium?
That's right.
Overlooking the pulmonary vein
is not an entirely uncommon error.
For a novice surgeon.
Let's have a conference and form a plan.
Get it started at once.
Understood.
Of all people
Why did it have to be Dr. Tokai's mother?
About Harue Tokai.
In her exams,
we discovered a tumor
in the pulmonary vein of the left atrium.
Dr. Kurosaki.
Why was the tumor overlooked?
Dr. Kurosaki.
Why was the tumor overlooked?
We removed the myxoma
in the surgery yesterday.
However, it was extremely difficult
to see the pulmonary vein
and part of the tumor was left unremoved.
So you mean it was human error?
So the one who put
the patient in danger was
Dr. Kurosaki.
Who's responsible for this?
Drop it, Tokai.
I understand how you feel,
but a pulmonary vein oversight
is not unreasonable.
We cannot cast the blame on the surgeon.
I see. Understood.
Dr. Tokai is actually backing off.
Nothing would get done
if we did everything by his rules.
I'll place responsibility
on the hospital.
What? On the hospital!?
Director Moriya.
As a family member of the patient,
I demand a settlement of 20 million yen.
-Twenty million?
-It's only fair.
This is medical malpractice.
Just as Dr. Saeki said, this kind of thing
is not uncommon.
I haven't made a single error
in my entire career.
Then let me operate on her.
I decline.
-What?
-That's hospital logic, isn't it?
Completely incomprehensible
from the patient's perspective.
You're not planning on operating
on her yourself, are you?
Twice in Tojo's past,
doctors have failed
while operating on family members.
Since then, we have banned doctors
from operating on people close to them.
This is Tojo University's rule.
Of course I know that.
Then what do you plan on doing?
Until this is settled,
we put the operation on hold.
-Twenty million for a medical error?
-Yes.
However you put it, he's asking too much.
It is his mother, after all
I think it's more about the money.
He even turned down
Dr. Saeki's offer to operate.
-He did?
-Yes.
I heard that Dr. Tokai's father used to be
an operating surgeon at Tojo too.
-Seriously?
-Yes.
His mother told me.
She even had a photograph of him
with Dr. Saeki.
I've had the feeling
that Dr. Tokai and Dr. Saeki
have some sort of special relationship.
Yeah.
I wonder what happened.
I didn't think Dr. Tokai
would react like that.
Forgive me. It's all my fault.
Don't sweat it.
When the patient wakes up,
we'll get consent for a second operation.
-I'll take care of the negotiations.
-Thank you.
But still
I never thought I would hear Dr. Tokai
say the words "medical malpractice."
Absolutely. Is he trying to get back at us
for what his father did?
Dr. Tokai. Good afternoon.
I heard about your mother.
I don't know what to say
It's none of your business.
I also heard that you
refused Dr. Saeki's operation.
It is true that medical malpractice
cannot be overlooked.
Asking for a settlement is only fair.
However
Is that really
the only reason you refused?
It's none of your business.
It's you.
Where am I?
You're at Tojo University Hospital.
We were having lunch and I
I'm glad you've woken up.
Dr. Saeki seemed quite worried.
Dr. Saeki? He did?
After what my husband did
Now, I'm the one causing him trouble too.
Yes?
Have you decided on a test patient
for the Japanese Darwin?
We have a candidate,
but no negotiations have been made.
I see. Make sure you are well-prepared.
Understood. Everything is going well.
But because this will be
the first human trial,
I think it's best to be extra cautious.
Cautious? What are you talking about?
So what if it's a human trial?
It's just another test subject.
No different than an animal.
Got it, Dr. Takashina?
I asked you to infiltrate
Dr. Saeki's inner circle
in order to secure the Japan-made Darwin.
If you don't get me results,
I'll mean it next time.
You'll have nowhere to return to.
Begin the testing at once.
Understood.
I need nurses in the emergency room!
-Hurry!
-Okay!
Hurry up! Go!
There was an accident
at a nearby construction site!
-Twenty-seven victims are on their way.
-Twenty-seven?
Everyone on your feet! Let's go.
Okay!
Dr. Tokai. We need you.
Got it, Dr. Takashina?
I've asked you to infiltrate
Dr. Saeki's inner circle
in order to secure the Japan-made Darwin.
Begin the testing at once.
Dr. Takashina.
I'm glad to see you looking well.
I'm Dr. Takashina, a cardiac surgeon.
Nice to meet you.
I'm feeling much better.
I would actually like to have
a word with you about that.
-I'll be leaving then.
-No.
I would like you to stay here.
All right then.
I'm going to speak to you frankly.
While we performed
emergency surgery on your heart,
there appears to be a tumor
left in your pulmonary vein.
We'll have to perform a second operation
as soon as possible.
But you don't need to worry.
We have the perfect solution
for this case.
With the approval of Dr. Saeki,
we'll operate using brand-new technology
recently introduced to Tojo.
-Dr. Saeki approves?
-Yes.
Are you familiar with Darwin surgery?
You guys, over there!
We need antibacterial! Now!
Antibacterial! Bring antibacterial!
-This is not good. He needs surgery.
-Okay.
-We'll do it here.
-Here?
-Here?
-Nekota.
Bring me an incision set
and electroscalpel.
Okay.
Get me some scissors, hurry.
This trial in particular
is of great significance.
The affordable and compact
Japan-made Darwin, named Caesar.
If we can fully implement it,
small, local hospitals like this one
will be able to use it as well.
In some cases
where a skilled surgeon is present,
much like your talented son,
the machine won't need to be used.
But unfortunately,
I am just an ordinary doctor.
And unfortunately,
that's the case for most doctors.
My husband would always say,
"The most ordinary people
make the best doctors."
We need the Caesar.
There are countless patients
like yourself that we need to help.
For their future as well,
can I ask for your cooperation?
I understand.
I'm happy to help in any way I can.
Thank you.
In that case,
may I ask for your signature, please?
OPERATION CONSENT FORM
Over here, please.
Dr. Tokai, what about this one?
Don't you kill a single one of them.
Move!
-Almost done.
-Okay.
-Metz.
-Here.
Pulmonary vein suture complete.
-That was fast.
-Sew up the left atrium.
Okay.
Wait. You can't ask an intern to do that.
I see
-Please.
-Here.
He'll do it.
He has the skill. Don't worry.
Hey, can you do sutures
on the left auricle?
Interns are not allowed to do that yet.
Sera is always having
a hard time with Dr. Tokai.
But it would seem our boy here
doesn't realize how much he's improved.
-No time to waste! Move it!
-Okay.
Finish the connection for me.
Right.
You finish up.
He's incredible.
Doing all this by himself.
Oh, Seishiro.
What's that?
Meeting again after all this time
and that's the first thing you say?
Caesar trial documents.
Trial?
The consent forms
have already been signed and submitted.
A nice doctor visited me just now
and explained it thoroughly.
I've decided to trust him.
Why are you writing that?
Listen.
The doctor told me.
If the device can be made popular,
they'll be able to save
countless more patients.
He is such a caring doctor.
Not like you,
always so narrow-minded and cold.
Always thinking about yourself.
Causing trouble around here, I'm sure.
What did you do?
The Caesar
was specifically designed
by the Japanese for the Japanese.
You could say it was made
specifically for your mother.
Don't get it twisted.
I explained everything
about the treatment in detail
and got her approval.
This is what she wants to do.
It's what you want.
I always put the patient's wishes
and needs first.
And tomorrow,
-we will hold the trial operation.
-Impossible.
Until I've got a settlement,
I said the operation is on hold.
It's always about the money, isn't it?
What?
Participating in this medical trial
is your mother's best option.
I may not be as skilled as you,
but I have the Caesar.
I will save lives with technology.
I don't trust that technology.
Putting her life in the hands
of some cheap machine.
What a foolish patient.
I promise to show you
that the Caesar can succeed.
For your mother, and myself.
And if it fails
you can both die.
The patient agreed to Darwin surgery?
Forgive me.
While I was occupied, Dr. Takashina
It doesn't matter.
If the patient has agreed,
all that's left is to hope for success.
Are you sure it's okay?
This will support
the Caesar's development
And it will erase your error as well.
Isn't that just ideal?
That's true, but
Listen.
In my hospital,
there is no room for error in surgery.
Even the slightest error.
Understood.
Dr. Tokai agreed to use the Caesar?
Yeah.
Using a robot for his mother's surgery
I can't believe he agreed.
Yeah
But because it's family,
he won't be allowed in the operating room.
That's right.
So even if something bad happens,
we can't count on Dr. Tokai
to save the day, can we?
Right. If he even touches a scalpel,
he'll be fired.
Fired?
It looks like you're prepared.
With the Caesar, we'll only need to make
incisions in two places.
There will be no burden on the patient.
With a precision camera
installed on the arm,
we'll be able to perform a high-level
operation with full internal visual.
-Dr. Takashina.
-Harue Tokai is asking for you.
I'm so sorry to disturb you.
No problem. Dr. Tokai is always
helping me out.
-He is?
-Yes.
That boy?
You can't be serious
-I mean it.
-Ouch.
-Are you all right?
-Yes.
So
-What can I do for you?
-Right
I would like to talk about
tomorrow's operation.
It's nothing much.
Just one thing.
I'm always nagging you
to eat more and get enough sleep.
Be a helpful person.
That's all you need to do.
People survive by helping each other.
There's only so much
you can do on your own.
It hurts
Mom?
The residual tumor is causing disturbances
in her blood flow.
Then we'll be able to operate
with the Caesar as planned.
But the patient's blood is Rh-minus.
Because of the accident earlier,
we don't have enough transfusion.
There's only 600cc remaining.
Only 600cc?
The Caesar doesn't need an incision.
It can be done.
If something goes wrong,
we won't have enough blood.
I will complete the operation
without trouble.
The fateful day arrived
sooner than planned.
Preparations complete.
We will now use
the Japan-made Darwin, Caesar,
to remove a residual tumor
in the pulmonary vein.
-Let's begin.
-Yes, sir.
The arm is now entering the body.
Japan's own Darwin at its first operation.
Who knew it would happen so soon?
I'm thankful we got the patient's consent.
I've called him in
as a family member of the patient.
-Remove the blood.
-Okay
It's earlier than scheduled
-The first robotic surgery.
-Let's hope it works out.
-Opening the left atrium.
-Right.
It can work so precisely. Amazing.
It works even faster
than the foreign model.
Amazing! It's beating all expectations.
The Caesar is able to operate
with only two small incisions.
The final challenge is the tumor
stuck to the pulmonary vein.
Will they be able to remove it?
They can't miss by 0,1 millimeter.
Don't worry, it's a robot.
They don't make mistakes.
We'll now remove the tumor.
It's all going according to plan.
Removal complete.
Debakey.
Okay.
Tumor removal complete.
-4-0.
-Right.
Left atrium closed.
We did it.
Flow down. Declamp.
Well done!
It's small, but we have bleeding.
-What?
-Please stay calm.
The Caesar is ready to perform recovery.
-Bring transfusion.
-Right.
They have to transfuse blood quickly.
But because of the accident
this afternoon,
there's hardly any transfusion left.
What's happening?
It would appear to be a hemorrhage
in the aorta.
The Caesar's camera gives a limited view.
They must have damaged the tissue
while finishing the operation.
This is the last of the transfusion.
-Blood pressure, 82!
-The bleeding won't stop!
-What should we do?
-We stop the bleeding with Caesar.
-Dr. Kurosaki. Your support, please.
-Got it.
Not enough blood?
The patient's blood type is not common.
She has Rh-minus.
Do what you can to collect more blood.
We need Rh-minus!
Contact all local hospitals
and facilities.
-Understood!
-Understood!
-How much do we have left?
-200cc.
That's all?
Toyoake Hospital has some!
It will be here in one hour.
One hour that's too late.
-We're looking for Type A Rh-minus.
-Excuse me.
Does anyone here
have Type A Rh-minus blood type?
Type A Rh-minus.
Is there anyone who can cooperate?
Damn it! Finding Rh-minus is not easy.
It'll take more time.
-We don't have enough time.
-Blood pressure dropping more!
This is bullshit.
Isn't there anything you can do?
If this operation doesn't succeed,
development of the Caesar
will be halted completely.
That's none of my business.
I've also been prohibited
by the patient's family from operating.
But
At this rate,
the patient will lose her life.
The only person besides me
who can save her, is Dr. Tokai himself.
You didn't want me to do it,
so you refused.
If that's the case
You'll have to do it yourself.
However,
due to Tojo's rules,
you'll have to face punishment.
If that doesn't bother you,
then go.
-We got the transfusion.
-That's all?
Sorry, this is all we have so far.
Here you go.
-Where is the bleeding coming from?
-We don't know.
-Blood pressure, 72.
-She's running out of blood.
We can't retain blood volume!
-Dr. Tokai
-What are you doing here?
You don't have permission to operate.
-Let it go. I'll take responsibility.
-Professor?
Dr. Tokai
Move this.
You're in my way.
Get out of the way.
-I'll open up.
-Okay.
A median sternotomy now?
-Scalpel.
-Here.
Impossible. Even if you find the wound,
there is not enough blood.
If it's blood you need, I have it.
I'm Type A Rh-minus.
I have no infections. I can help.
Get me blood donation packs.
-Hurry!
-Right.
We cannot let this operation fail.
Use as much as you need.
Help me out.
Okay.
-Twister.
-Here.
-4-0.
-Right.
-Two pieces of felt.
-Okay.
Found it. I'll suture now.
-Cover me.
-Right.
-More suction.
-Okay.
-Suction. Deeper.
-Right.
-Move the PA.
-On it.
-Don't pull too hard.
-Right.
-Deeper.
-Okay.
Dr. Takashina! That's enough
Keep going.
It's no good.
Dr. Takashina's blood is not enough.
-Go deeper with the suction.
-Right.
-More to the side.
-Understood.
We have transfusion!
Bacteria-free and fully inspected.
-This is all of it!
-Bring it here!
Right.
-Here.
-Thanks.
They made it
-Prepare the Metz.
-Okay.
-Metz
-Here.
Suture complete.
What's her condition?
Blood pressure
stabilizing.
They saved her
Recovering from a condition like that
Dr. Tokai really is something.
Dr. Tokai knew about
Dr. Takashina's blood type all along?
-You finish up.
-Okay.
Dr. Tokai
I'm very sorry.
You had planned from the beginning
to operate on your mother, right?
You're surprisingly hard to kill off.
Dr. Tokai has broken
Tojo University's rules.
We cannot simply ignore this.
-You're right.
-Please wait.
Before that
Would you take a look at this, please?
Dr. Tokai, it's about
your mother's condition.
Post-op exams show no problems.
-I see.
-Yes.
Also
Look at this.
It's your mother's consent form.
OPERATION CONSENT FORM
You can see here
that a request was added to the note.
"If my condition worsens
and my life is in danger,
I would like to request
that my son, Dr. Tokai,
finish the operation."
The patient's wishes
are the first priority.
This means that your actions
will have no consequences.
What an incredible woman,
your mother.
Good morning.
Could you help me up?
Sure.
Where is he?
Dr. Tokai is currently in another surgery.
I see.
So
he wasn't fired after all.
How did you know
I'm sorry.
I heard it.
So even if something bad happens,
we can't count on Dr. Tokai
to save the day, right?
Right. If he even touches a scalpel,
he'll be fired.
Fired?
I know the trouble
he has caused all of you.
But I couldn't allow him to get fired.
He still has work to do.
He still has patients to save here.
He has to make it up to you all.
I don't mind if I come in second place.
That boy, to me,
is everything.
You don't have to worry about me.
Dr. Sera?
-Are you crying?
-I
-I'm sorry.
-Hey.
When you see Dr. Saeki,
please give him my regards.
I will.
So you're saying the Caesar
still has issues?
That's right.
However,
analysis and countermeasures
have already been taken.
You don't need to worry.
You've finished the analysis?
Well done, Dr. Nishizaki.
Tojo University operates,
and Teika University analyzes.
HARUE TOKAI
As for the election,
I expect to present a good paper by then.
CARDIAC SURGERY PAPERS
"Seigo Saeki"
"Ichiro Tokai"?
Dr. Tokai.
Tell me just one thing.
Why were you against Dr. Saeki
operating on your mother?
Because I don't trust that man.
That man
betrayed my father.
A person's greatest enemy is other people.
No matter where I go,
my job remains the same.
It seems this patient's case
is perfect for the clinical trial.
How did they get
our patient's information?
I even wished she would die.
You've betrayed the patient!
What is Teika researching, a cover-up?
Hurry up and save the patient.
He's the devil of the operating room.
You're still running away
after all this?
Tell me. Who was it?
Subtitle translation by: Tom Grathwol
The black forceps' secret
is still being protected.
Indeed.
But I must ask you to be cautious.
Please dispose of this as usual.
I understand.
And the old administrative documents,
shall I move them
to the storage room here?
Yes.
That's fine.
Then I'll start on that soon.
Excuse me.
Is this everything?
Yes. Please bring it
to the hospital storage room.
Thanks again.
-Right.
-Okay.
We can't do this in a day.
You're right.
Excuse me.
If you're looking for the hospital,
it's that way.
Thank you very much.
But that's okay.
I know this hospital quite well.
They're taking care of my son.
So you're here to visit him?
No, not like that.
He's a doctor.
His name is Seishiro Tokai.
Dr. Tokai?
You're Dr. Tokai's mother?
-It's a pleasure to meet you.
-Likewise.
I thought I would pay a visit
to Dr. Saeki,
but my son never answers his phone.
Is that so?
That boy
He couldn't give a damn
if I were alive or dead.
Completely apathetic.
-That can't be.
-I mean it.
How about we all get some lunch?
Ms. Kinoshita.
Dr. Tokai is in an emergency operation.
-Dr. Sera. Artificial valve.
-Right.
-4-0.
-Right.
-I'm supposed to be the operating surgeon.
-Here it is.
-Felt.
-Oh, please.
-Felt, hurry.
-Right, sorry.
-You should have it cut.
-Okay.
Here.
-Suction.
-Sorry.
The other day, Dr. Tokai made me
a delicious egg-on-rice bowl.
-He did?
-Wow.
I would love to try that.
Would either one of you be so kind
as to marry my son?
What?
You'll be able to eat delicious rice
for the rest of your life.
My husband was a lover of food,
but he loved rice the most.
He would always make rice balls
to bring to operations.
-Operations?
-That's right.
He was a surgeon at Tojo University.
He was a surgeon? Wow!
My husband would always say,
"The most ordinary people
make the best doctors."
-Ordinary people make good doctors.
-Right.
I have a photograph.
-Would you like to see it?
-Yes.
Certainly.
Dr. Saeki is in it too.
Really?
Ms. Harue?
Ms. Harue, are you okay?
Ms. Harue?
Ms. Harue!
Ms. Harue?
There's a large tumor inside her heart.
She likely fainted when it incarcerated.
We have to tell Dr. Tokai.
He's in another operation. Not now.
-We need to do an emergency surgery.
-Right.
-Spoon.
-Here.
-Left atrial myxoma excision complete.
-Okay.
We'll move on to suturing
the left atrium. 4-0.
MOM
4 MISSED CALLS
Pardon me.
Dr. Tokai.
It's your mother
You're here. It was a sudden incident.
Dr. Kurosaki operated on her.
Her condition is stable.
Thank you.
Let's be thankful that she's all right.
Can I ask you to leave?
I see. Very well.
Take care.
-Doctor. I prepared the test.
-Thank you.
Tell Dr. Kurosaki that he'll be in charge.
Right.
What are the odds
of Dr. Tokai's family being admitted?
I'm sure he's worried as well.
I'm not talking about that Dr. Tokai.
I'm talking about Dr. Ichiro Tokai.
You are a disgrace!
Do you understand what you've done?
What would we have done without Dr. Saeki?
How will you take responsibility for this?
Harue coming here at a time like this.
It's a thing of the past.
However, make sure it's not investigated.
-Be careful.
-Understood.
I can't believe
Dr. Tokai's mother is here.
We'll do the post-op exam tomorrow.
Tomorrow?
By the way, it sounds like
it will finally be here tomorrow.
Oh, that?
The thing on everyone's mind.
MEDICAL SUPPLIES ON BOARD
Japan's first operating robot
developed by Daiichi Industries.
The domestically produced Darwin,
also known as Caesar.
Its first clinical trial in Japan
will be done at Tojo,
and it will be handled
by the esteemed Dr. Saeki.
What an honor.
Why did Tojo become the trial facility
for the new Darwin?
Thanks to Dr. Nishizaki,
and the involvement of
the Ministry of Health.
Excuse me.
You're Dr. Saeki, right?
-Yes. And you must be from the ministry
-I'm Tomizawa.
It's an honor to meet you, Dr. Saeki.
-Hello Dr. Saeki.
-Ms. Kinoshita, you're here too?
We were invited by Dr. Nishizaki.
That's right, Dr. Saeki.
Mr. Tomizawa was kind enough
to read the recently published
Snipe article.
Oh, that one
Your name was included
as a research partner, correct?
Yes, well
The future of medicine relies
not only on individual skill
but also on the integration
of the latest medical technologies.
Wow. Did you hear that?
Truly a fantastic philosophy.
There is, in fact, a new device
that can make your philosophy a reality.
Dr. Nishizaki is leading
the development process
of a domestically produced Darwin.
Mr. Tomizawa has asked for your help.
He's suggesting that we ask
for your cooperation
in the development process.
Research from Teika University.
Practical skill from Tojo University.
If both universities join forces,
we can surpass the foreign-made products
that rule the industry.
I believe we can complete our own Darwin
with this method.
They got me.
All Dr. Nishizaki is looking for
is Impact Factor.
Impact Factor is gained from being
published in academic journals.
Currently, Dr. Saeki is leading the race.
But if the domestically produced
Darwin is completed,
the Impact Factor will be given
to the project leader, Dr. Nishizaki.
There was no benefit for Dr. Saeki.
It would appear the new Darwin
has only just passed animal trials.
With the Ministry of Health involved,
we can't simply ignore it.
And you plan to oversee it, don't you?
If a Japanese Darwin is developed,
it will be great progress
for Japanese medicine.
I hope that
I can lend a hand in that.
Thus, despite various unclear motives
the Japan-made Darwin, Caesar,
arrived at Tojo University
as an unwelcome guest.
"Caesar" is the hero
who laid the foundations
of the ancient Roman Empire.
Caesar is a Latin name.
This Caesar will be the foundation
to change the future of the medical field.
That's how it got its name.
Wow. It's beautiful!
It's a bit smaller than the foreign model.
And only one arm instead of four.
With this one arm,
multiple tasks such as migrating
and suturing can be performed.
Incorporating the most advanced
technology in Japan,
it is the ultimate medical robot.
We'll leave the Caesar to Dr. Takashina.
Are you sure?
He seems to have cut ties with Teika,
and there was the Snipe incident.
We need someone to take responsibility
if something happens.
Right. I see.
How is Harue Tokai's condition?
She's currently being examined.
I see.
However
Dr. Tokai.
Here.
In Harue Tokai's exams,
something awful was discovered.
An overlooked tumor in the pulmonary vein
of the left atrium?
That's right.
Overlooking the pulmonary vein
is not an entirely uncommon error.
For a novice surgeon.
Let's have a conference and form a plan.
Get it started at once.
Understood.
Of all people
Why did it have to be Dr. Tokai's mother?
About Harue Tokai.
In her exams,
we discovered a tumor
in the pulmonary vein of the left atrium.
Dr. Kurosaki.
Why was the tumor overlooked?
Dr. Kurosaki.
Why was the tumor overlooked?
We removed the myxoma
in the surgery yesterday.
However, it was extremely difficult
to see the pulmonary vein
and part of the tumor was left unremoved.
So you mean it was human error?
So the one who put
the patient in danger was
Dr. Kurosaki.
Who's responsible for this?
Drop it, Tokai.
I understand how you feel,
but a pulmonary vein oversight
is not unreasonable.
We cannot cast the blame on the surgeon.
I see. Understood.
Dr. Tokai is actually backing off.
Nothing would get done
if we did everything by his rules.
I'll place responsibility
on the hospital.
What? On the hospital!?
Director Moriya.
As a family member of the patient,
I demand a settlement of 20 million yen.
-Twenty million?
-It's only fair.
This is medical malpractice.
Just as Dr. Saeki said, this kind of thing
is not uncommon.
I haven't made a single error
in my entire career.
Then let me operate on her.
I decline.
-What?
-That's hospital logic, isn't it?
Completely incomprehensible
from the patient's perspective.
You're not planning on operating
on her yourself, are you?
Twice in Tojo's past,
doctors have failed
while operating on family members.
Since then, we have banned doctors
from operating on people close to them.
This is Tojo University's rule.
Of course I know that.
Then what do you plan on doing?
Until this is settled,
we put the operation on hold.
-Twenty million for a medical error?
-Yes.
However you put it, he's asking too much.
It is his mother, after all
I think it's more about the money.
He even turned down
Dr. Saeki's offer to operate.
-He did?
-Yes.
I heard that Dr. Tokai's father used to be
an operating surgeon at Tojo too.
-Seriously?
-Yes.
His mother told me.
She even had a photograph of him
with Dr. Saeki.
I've had the feeling
that Dr. Tokai and Dr. Saeki
have some sort of special relationship.
Yeah.
I wonder what happened.
I didn't think Dr. Tokai
would react like that.
Forgive me. It's all my fault.
Don't sweat it.
When the patient wakes up,
we'll get consent for a second operation.
-I'll take care of the negotiations.
-Thank you.
But still
I never thought I would hear Dr. Tokai
say the words "medical malpractice."
Absolutely. Is he trying to get back at us
for what his father did?
Dr. Tokai. Good afternoon.
I heard about your mother.
I don't know what to say
It's none of your business.
I also heard that you
refused Dr. Saeki's operation.
It is true that medical malpractice
cannot be overlooked.
Asking for a settlement is only fair.
However
Is that really
the only reason you refused?
It's none of your business.
It's you.
Where am I?
You're at Tojo University Hospital.
We were having lunch and I
I'm glad you've woken up.
Dr. Saeki seemed quite worried.
Dr. Saeki? He did?
After what my husband did
Now, I'm the one causing him trouble too.
Yes?
Have you decided on a test patient
for the Japanese Darwin?
We have a candidate,
but no negotiations have been made.
I see. Make sure you are well-prepared.
Understood. Everything is going well.
But because this will be
the first human trial,
I think it's best to be extra cautious.
Cautious? What are you talking about?
So what if it's a human trial?
It's just another test subject.
No different than an animal.
Got it, Dr. Takashina?
I asked you to infiltrate
Dr. Saeki's inner circle
in order to secure the Japan-made Darwin.
If you don't get me results,
I'll mean it next time.
You'll have nowhere to return to.
Begin the testing at once.
Understood.
I need nurses in the emergency room!
-Hurry!
-Okay!
Hurry up! Go!
There was an accident
at a nearby construction site!
-Twenty-seven victims are on their way.
-Twenty-seven?
Everyone on your feet! Let's go.
Okay!
Dr. Tokai. We need you.
Got it, Dr. Takashina?
I've asked you to infiltrate
Dr. Saeki's inner circle
in order to secure the Japan-made Darwin.
Begin the testing at once.
Dr. Takashina.
I'm glad to see you looking well.
I'm Dr. Takashina, a cardiac surgeon.
Nice to meet you.
I'm feeling much better.
I would actually like to have
a word with you about that.
-I'll be leaving then.
-No.
I would like you to stay here.
All right then.
I'm going to speak to you frankly.
While we performed
emergency surgery on your heart,
there appears to be a tumor
left in your pulmonary vein.
We'll have to perform a second operation
as soon as possible.
But you don't need to worry.
We have the perfect solution
for this case.
With the approval of Dr. Saeki,
we'll operate using brand-new technology
recently introduced to Tojo.
-Dr. Saeki approves?
-Yes.
Are you familiar with Darwin surgery?
You guys, over there!
We need antibacterial! Now!
Antibacterial! Bring antibacterial!
-This is not good. He needs surgery.
-Okay.
-We'll do it here.
-Here?
-Here?
-Nekota.
Bring me an incision set
and electroscalpel.
Okay.
Get me some scissors, hurry.
This trial in particular
is of great significance.
The affordable and compact
Japan-made Darwin, named Caesar.
If we can fully implement it,
small, local hospitals like this one
will be able to use it as well.
In some cases
where a skilled surgeon is present,
much like your talented son,
the machine won't need to be used.
But unfortunately,
I am just an ordinary doctor.
And unfortunately,
that's the case for most doctors.
My husband would always say,
"The most ordinary people
make the best doctors."
We need the Caesar.
There are countless patients
like yourself that we need to help.
For their future as well,
can I ask for your cooperation?
I understand.
I'm happy to help in any way I can.
Thank you.
In that case,
may I ask for your signature, please?
OPERATION CONSENT FORM
Over here, please.
Dr. Tokai, what about this one?
Don't you kill a single one of them.
Move!
-Almost done.
-Okay.
-Metz.
-Here.
Pulmonary vein suture complete.
-That was fast.
-Sew up the left atrium.
Okay.
Wait. You can't ask an intern to do that.
I see
-Please.
-Here.
He'll do it.
He has the skill. Don't worry.
Hey, can you do sutures
on the left auricle?
Interns are not allowed to do that yet.
Sera is always having
a hard time with Dr. Tokai.
But it would seem our boy here
doesn't realize how much he's improved.
-No time to waste! Move it!
-Okay.
Finish the connection for me.
Right.
You finish up.
He's incredible.
Doing all this by himself.
Oh, Seishiro.
What's that?
Meeting again after all this time
and that's the first thing you say?
Caesar trial documents.
Trial?
The consent forms
have already been signed and submitted.
A nice doctor visited me just now
and explained it thoroughly.
I've decided to trust him.
Why are you writing that?
Listen.
The doctor told me.
If the device can be made popular,
they'll be able to save
countless more patients.
He is such a caring doctor.
Not like you,
always so narrow-minded and cold.
Always thinking about yourself.
Causing trouble around here, I'm sure.
What did you do?
The Caesar
was specifically designed
by the Japanese for the Japanese.
You could say it was made
specifically for your mother.
Don't get it twisted.
I explained everything
about the treatment in detail
and got her approval.
This is what she wants to do.
It's what you want.
I always put the patient's wishes
and needs first.
And tomorrow,
-we will hold the trial operation.
-Impossible.
Until I've got a settlement,
I said the operation is on hold.
It's always about the money, isn't it?
What?
Participating in this medical trial
is your mother's best option.
I may not be as skilled as you,
but I have the Caesar.
I will save lives with technology.
I don't trust that technology.
Putting her life in the hands
of some cheap machine.
What a foolish patient.
I promise to show you
that the Caesar can succeed.
For your mother, and myself.
And if it fails
you can both die.
The patient agreed to Darwin surgery?
Forgive me.
While I was occupied, Dr. Takashina
It doesn't matter.
If the patient has agreed,
all that's left is to hope for success.
Are you sure it's okay?
This will support
the Caesar's development
And it will erase your error as well.
Isn't that just ideal?
That's true, but
Listen.
In my hospital,
there is no room for error in surgery.
Even the slightest error.
Understood.
Dr. Tokai agreed to use the Caesar?
Yeah.
Using a robot for his mother's surgery
I can't believe he agreed.
Yeah
But because it's family,
he won't be allowed in the operating room.
That's right.
So even if something bad happens,
we can't count on Dr. Tokai
to save the day, can we?
Right. If he even touches a scalpel,
he'll be fired.
Fired?
It looks like you're prepared.
With the Caesar, we'll only need to make
incisions in two places.
There will be no burden on the patient.
With a precision camera
installed on the arm,
we'll be able to perform a high-level
operation with full internal visual.
-Dr. Takashina.
-Harue Tokai is asking for you.
I'm so sorry to disturb you.
No problem. Dr. Tokai is always
helping me out.
-He is?
-Yes.
That boy?
You can't be serious
-I mean it.
-Ouch.
-Are you all right?
-Yes.
So
-What can I do for you?
-Right
I would like to talk about
tomorrow's operation.
It's nothing much.
Just one thing.
I'm always nagging you
to eat more and get enough sleep.
Be a helpful person.
That's all you need to do.
People survive by helping each other.
There's only so much
you can do on your own.
It hurts
Mom?
The residual tumor is causing disturbances
in her blood flow.
Then we'll be able to operate
with the Caesar as planned.
But the patient's blood is Rh-minus.
Because of the accident earlier,
we don't have enough transfusion.
There's only 600cc remaining.
Only 600cc?
The Caesar doesn't need an incision.
It can be done.
If something goes wrong,
we won't have enough blood.
I will complete the operation
without trouble.
The fateful day arrived
sooner than planned.
Preparations complete.
We will now use
the Japan-made Darwin, Caesar,
to remove a residual tumor
in the pulmonary vein.
-Let's begin.
-Yes, sir.
The arm is now entering the body.
Japan's own Darwin at its first operation.
Who knew it would happen so soon?
I'm thankful we got the patient's consent.
I've called him in
as a family member of the patient.
-Remove the blood.
-Okay
It's earlier than scheduled
-The first robotic surgery.
-Let's hope it works out.
-Opening the left atrium.
-Right.
It can work so precisely. Amazing.
It works even faster
than the foreign model.
Amazing! It's beating all expectations.
The Caesar is able to operate
with only two small incisions.
The final challenge is the tumor
stuck to the pulmonary vein.
Will they be able to remove it?
They can't miss by 0,1 millimeter.
Don't worry, it's a robot.
They don't make mistakes.
We'll now remove the tumor.
It's all going according to plan.
Removal complete.
Debakey.
Okay.
Tumor removal complete.
-4-0.
-Right.
Left atrium closed.
We did it.
Flow down. Declamp.
Well done!
It's small, but we have bleeding.
-What?
-Please stay calm.
The Caesar is ready to perform recovery.
-Bring transfusion.
-Right.
They have to transfuse blood quickly.
But because of the accident
this afternoon,
there's hardly any transfusion left.
What's happening?
It would appear to be a hemorrhage
in the aorta.
The Caesar's camera gives a limited view.
They must have damaged the tissue
while finishing the operation.
This is the last of the transfusion.
-Blood pressure, 82!
-The bleeding won't stop!
-What should we do?
-We stop the bleeding with Caesar.
-Dr. Kurosaki. Your support, please.
-Got it.
Not enough blood?
The patient's blood type is not common.
She has Rh-minus.
Do what you can to collect more blood.
We need Rh-minus!
Contact all local hospitals
and facilities.
-Understood!
-Understood!
-How much do we have left?
-200cc.
That's all?
Toyoake Hospital has some!
It will be here in one hour.
One hour that's too late.
-We're looking for Type A Rh-minus.
-Excuse me.
Does anyone here
have Type A Rh-minus blood type?
Type A Rh-minus.
Is there anyone who can cooperate?
Damn it! Finding Rh-minus is not easy.
It'll take more time.
-We don't have enough time.
-Blood pressure dropping more!
This is bullshit.
Isn't there anything you can do?
If this operation doesn't succeed,
development of the Caesar
will be halted completely.
That's none of my business.
I've also been prohibited
by the patient's family from operating.
But
At this rate,
the patient will lose her life.
The only person besides me
who can save her, is Dr. Tokai himself.
You didn't want me to do it,
so you refused.
If that's the case
You'll have to do it yourself.
However,
due to Tojo's rules,
you'll have to face punishment.
If that doesn't bother you,
then go.
-We got the transfusion.
-That's all?
Sorry, this is all we have so far.
Here you go.
-Where is the bleeding coming from?
-We don't know.
-Blood pressure, 72.
-She's running out of blood.
We can't retain blood volume!
-Dr. Tokai
-What are you doing here?
You don't have permission to operate.
-Let it go. I'll take responsibility.
-Professor?
Dr. Tokai
Move this.
You're in my way.
Get out of the way.
-I'll open up.
-Okay.
A median sternotomy now?
-Scalpel.
-Here.
Impossible. Even if you find the wound,
there is not enough blood.
If it's blood you need, I have it.
I'm Type A Rh-minus.
I have no infections. I can help.
Get me blood donation packs.
-Hurry!
-Right.
We cannot let this operation fail.
Use as much as you need.
Help me out.
Okay.
-Twister.
-Here.
-4-0.
-Right.
-Two pieces of felt.
-Okay.
Found it. I'll suture now.
-Cover me.
-Right.
-More suction.
-Okay.
-Suction. Deeper.
-Right.
-Move the PA.
-On it.
-Don't pull too hard.
-Right.
-Deeper.
-Okay.
Dr. Takashina! That's enough
Keep going.
It's no good.
Dr. Takashina's blood is not enough.
-Go deeper with the suction.
-Right.
-More to the side.
-Understood.
We have transfusion!
Bacteria-free and fully inspected.
-This is all of it!
-Bring it here!
Right.
-Here.
-Thanks.
They made it
-Prepare the Metz.
-Okay.
-Metz
-Here.
Suture complete.
What's her condition?
Blood pressure
stabilizing.
They saved her
Recovering from a condition like that
Dr. Tokai really is something.
Dr. Tokai knew about
Dr. Takashina's blood type all along?
-You finish up.
-Okay.
Dr. Tokai
I'm very sorry.
You had planned from the beginning
to operate on your mother, right?
You're surprisingly hard to kill off.
Dr. Tokai has broken
Tojo University's rules.
We cannot simply ignore this.
-You're right.
-Please wait.
Before that
Would you take a look at this, please?
Dr. Tokai, it's about
your mother's condition.
Post-op exams show no problems.
-I see.
-Yes.
Also
Look at this.
It's your mother's consent form.
OPERATION CONSENT FORM
You can see here
that a request was added to the note.
"If my condition worsens
and my life is in danger,
I would like to request
that my son, Dr. Tokai,
finish the operation."
The patient's wishes
are the first priority.
This means that your actions
will have no consequences.
What an incredible woman,
your mother.
Good morning.
Could you help me up?
Sure.
Where is he?
Dr. Tokai is currently in another surgery.
I see.
So
he wasn't fired after all.
How did you know
I'm sorry.
I heard it.
So even if something bad happens,
we can't count on Dr. Tokai
to save the day, right?
Right. If he even touches a scalpel,
he'll be fired.
Fired?
I know the trouble
he has caused all of you.
But I couldn't allow him to get fired.
He still has work to do.
He still has patients to save here.
He has to make it up to you all.
I don't mind if I come in second place.
That boy, to me,
is everything.
You don't have to worry about me.
Dr. Sera?
-Are you crying?
-I
-I'm sorry.
-Hey.
When you see Dr. Saeki,
please give him my regards.
I will.
So you're saying the Caesar
still has issues?
That's right.
However,
analysis and countermeasures
have already been taken.
You don't need to worry.
You've finished the analysis?
Well done, Dr. Nishizaki.
Tojo University operates,
and Teika University analyzes.
HARUE TOKAI
As for the election,
I expect to present a good paper by then.
CARDIAC SURGERY PAPERS
"Seigo Saeki"
"Ichiro Tokai"?
Dr. Tokai.
Tell me just one thing.
Why were you against Dr. Saeki
operating on your mother?
Because I don't trust that man.
That man
betrayed my father.
A person's greatest enemy is other people.
No matter where I go,
my job remains the same.
It seems this patient's case
is perfect for the clinical trial.
How did they get
our patient's information?
I even wished she would die.
You've betrayed the patient!
What is Teika researching, a cover-up?
Hurry up and save the patient.
He's the devil of the operating room.
You're still running away
after all this?
Tell me. Who was it?
Subtitle translation by: Tom Grathwol