Black Pean (2018) s01e09 Episode Script
Episode 9
1
Tell me.
-Tell me!
-Dr. Tokai
Tell me!
Iinuma
Tatsuji Iinuma
Dr. Saeki!
Dr. Saeki!
Dr. Tokai!
It's Dr. Saeki!
It finally happened?
The professor collapsed?
What's his condition?
Understood, I'm on my way!
One, two, three!
Dr. Saeki!
-Take him to the operating room!
-Right!
Hold that.
-Sorry. I'm late.
-Hold it back more.
-Prepare for radiography!
-Bring his chart.
-Prepare a cardiac catheter!
-Right.
-Let me help.
-We don't need your help.
Go back to Teika where you belong!
-Get the aortic balloon pump!
-Okay!
-Move now.
-Go!
Right!
Dr. Tokai?
Emergency procedures on Dr. Saeki
have been completed
and he's currently stable.
As for his exam results,
a narrowing was found
in the left coronary artery.
We believe the cause is
anomalous left coronary artery
from the pulmonary artery.
Normally, the left coronary artery
should emerge from the aorta,
but in rare cases,
it originates from the pulmonary artery.
As a result, the heart
doesn't receive sufficient oxygen.
A serious condition
leading to impaired heart function.
Additionally, he's suffering
from mitral valve regurgitation.
He could suffer a fatal heart attack
at any time.
-We must operate at once.
-I can't believe this.
Dr. Saeki's own mitral valve
The only one at Tojo who can operate is
-Where's Dr. Tokai?
-He's nowhere to be found.
Oh! I saw him earlier!
During Dr. Saeki's procedure,
he took off somewhere.
-What?
-Dr. Sera, go track him down.
Right.
I saw him, but I have no idea
where he was heading.
-Where could he have gone?
-I'm sorry.
Say it!
Tell me!
Tatsuji Iinuma
-Tatsuji Iinuma.
-What?
The name Tatsuji Iinuma was searched.
Could that be
Yes, it does appear that Tatsuji Iinuma
is admitted here.
Which room?
-I would like to hear your reason
-Which room?
-He's on a restricted floor.
-Which room?
Room 421.
Ms. Kinoshita.
Dr. Tokai was here, wasn't he?
He's searching for Tatsuji Iinuma.
What is he planning to do?
Which way did he go?
Thank you.
Someone, call the guards!
-Please stop.
-You don't have permission to be here.
Dr. Tokai, what are you doing
at a time like this?
-Dr. Saeki is seriously ill!
-You save him then.
-Someone stop him!
-Someone, please!
-Just wait a second.
-Move it!
No one is here.
Dr. Saeki?
Yes?
-What about Mr. Iinuma?
-I released him as you ordered.
Dr. Saeki!
Dr. Saeki!
Release
Mr. Iinuma
I see.
I can't believe it.
Collapsing in my own hospital.
Please.
You have to focus on your own health now.
The election is around the corner
They've done it now.
Wait, Dr. Tokai
-Mr. Kobayashi.
-So it was you?
Could you please leave?
-Where did you send him?
-Who knows.
I simply released him,
on Dr. Saeki's orders.
Where he was transferred, I do not know.
You'll have to ask Dr. Saeki yourself.
Pardon me. Sorry.
-What is this about?
-How's the professor?
The emergency procedures were finished,
but he's still in danger.
He's fine. I'll save him.
And then I'll kill him myself.
I never thought I would have
a mitral valve problem myself.
I would prefer to operate on myself,
but I suppose that's not possible.
How would you like us to proceed?
-Dr. Tokai
-Where were you?
I'll operate.
What are you talking about?
So
Who else do you think could do it?
Okay, I'll be leaving then.
I refuse.
But who else can do it?
I hate to say it, but Dr. Tokai
is the only one with the right skills.
The Caesar.
Use the Caesar for your operation?
This will be a difficult procedure
requiring precise work.
I believe Caesar is the best option.
These are
my orders.
Yes, sir!
We will definitely
make the surgery a success!
The master of the scalpel's own surgery
and he chooses to have it done
with the Caesar?
The board has caught wind
of Dr. Saeki's condition.
I wasn't sure what would happen,
but this surely confirms my victory
in the board chairman election.
Dr. Saeki fell after covering up
your mistake, Dr. Nishizaki.
He was under too much pressure.
I've made no mistakes.
Dr. Saeki just happened to barge in
during my procedure.
You reap what you sow.
-Dr. Nishizaki!
-The age of the scalpel comes to an end.
Take care of yourself.
So the professor has put his fate
in the hands of technology.
A declaration of defeat, you could say.
Losing to a robot like this?
NO DATA
All the data is gone!
You're still here, Dr. Takashina?
There's nothing for you here.
Are you still trying to stand in our way?
Is everyone here?
About Dr. Saeki's Caesar operation,
I will lead the surgery.
Dr. Sekikawa and Dr. Kakitani will assist.
Okay.
I would also like to call on anyone
able to lend a hand.
Understood?
Dr. Saeki's life represents
the life of all patients in this hospital.
We must work together
and save Dr. Saeki's life!
-Right.
-Yes.
Dr. Sera. A word, please.
Yes?
We've received a complaint
from Sakura Hospital about Dr. Tokai.
At a time like this
Keep an eye on him, will you?
-What?
-There's no telling what he might do.
I have no intention
of dealing with him during this operation.
Got it?
Yes.
Leading up to Dr. Saeki's operation,
preparations began
to improve the skills of the entire team.
The operation at hand
will be full of difficulty.
Dr. Saeki requires a bypass operation
using the mammary artery
for the left coronary artery,
and mitral valve repair.
Two entirely different operations,
requiring an approach
from two separate locations.
But the doctor's cardiopulmonary function
was weak
and the time available after anesthesia
is just two hours.
Completing two operations in two hours
was thought to be impossible.
A Caesar operation like this
has never been done.
And in only two hours
-Shouldn't we ask Dr. Takashina?
-This is Tojo's operation.
We don't have room for traitors.
The only thing to do is rehearse
the operation and analyze the results.
Yes, sir.
You should be on that team, Dr. Takashina.
I've already betrayed Tojo twice.
That may be true,
but you've never betrayed a patient.
And on top of that,
you know more about the Caesar
than anyone at Tojo.
This simulator can be used, right?
The Teika team took all the data from it,
leaving nothing behind.
Like a game console without a game.
So, it can't help us after all.
Dr. Sera, aren't you supposed to be
watching Dr. Tokai?
-Yes, that's right.
-He just left.
What?
-Where?
-There.
Crap, that's not good. Now what do I do?
The Caesar.
You know it won't work.
It won't be just the election you lose,
but your life as well.
Dr. Tokai.
I want you to operate after all.
Did you think I'd come begging to you?
But the fact is
that you know it's the only way.
You don't care about saving my life.
You just want to know
about the patient I'm protecting.
Don't underestimate me, Dr. Tokai.
Sometimes, there are things
more important than life itself.
Even if I die,
I would never bow to a man like you.
My surgery will be done by the Caesar.
For my survival,
that is the only way.
Well then, if that's so
you can rest at ease
and die.
-Dr. Takashina
-I have something to ask of you.
Data?
Yes.
The data saved inside the Caesar
Simulator from the trials at Tojo.
Would you lend it to me?
I won't.
That data is three long years
of hard labor.
I value it like my own life.
You can't just come asking for that.
Isn't it part
of our collaborative research?
Our research was concluded
with the last trial.
You're wrong.
I haven't completed my paper just yet.
If this is about the paper,
I already have one.
I had Dr. Sakaguchi write it.
In fact,
I was just on my way to submit it
to Mr. Ikenaga
from the Japan Surgical Journal.
In that case
What was I working for all this time?
What was it for?
It was for me.
Well
you'll just have to
work a little harder.
Takashina.
Dr. Nishizaki.
What does the Caesar mean to you?
What is research to you?
Wasn't it made to save people's lives?
Thanks for all your work.
-Dr. Nishizaki!
-Hey! Stop!
You!
You call yourself a doctor?
Yes.
I am a doctor.
Tojo's doctor will be leaving now.
Make sure he's sent off properly.
Excuse me.
I wasn't trying to butt in.
Dr. Takashina.
I
I would like to ask you to operate.
To save Dr. Saeki's life,
we need your help.
The data from this operation
will be crucial for our case study.
It will also be a fine souvenir
for Teika University.
The chairman election win
will go to your team at Teika.
It pains me, but it's what we must do.
To save Dr. Saeki's life,
if we can keep him alive,
then so be it.
We must save his life. Nothing more.
Wasn't it made to save people's lives?
Please.
Please help us.
Thanks for all your work.
Dr. Nishizaki has thrown me under the bus.
I've dedicated everything
to writing my paper.
But now, Dr. Nishizaki
doesn't need me anymore.
He had someone else write it.
For years now,
I poured my heart and soul
into working for that man.
And as a result
this is what I get.
I have dedicated
years of work to Dr. Saeki,
supporting him.
So I understand your feelings
and your deep regret.
Let us support him together.
Please!
Dr. Kurosaki.
I would be
honored to help you.
With Dr. Takashina back on the team,
preparations for Dr. Saeki's
Caesar surgery continued onward.
We only have one week until the operation.
I would like you to dig up
any previous files
of similar Darwin operations.
We'll need to think globally.
I'll ask acquaintances from my time
studying in New York and Paris.
I can speak Italian and German.
I'll see what I can find there.
These guys
Right then. Everyone,
let's find simulation cases.
-Right!
-Right!
Listen up! Let's show the world
what Tojo University is made of!
-Yes!
-All right!
So Dr. Takashina is on the team now?
Yes.
They're ready to
"show the world what Tojo is made of."
Is that so?
-Just one thing.
-Yes?
I want to see them in action.
Could someone film it for me?
Certainly.
All right.
We don't need that. Get it out of here.
Please let us borrow your wisdom.
Make sure this constricted part
doesn't come off
Right there.
Where do we approach the coronary artery?
That's the question
We still haven't found a similar case.
We'll have to conduct simulations
and create a plan that way.
Like walking through an uncharted desert.
We must keep walking forward
believing we'll make it through.
Without a prior example,
simulations had to be done
for each variation of the arm insertion.
We're out of time.
This approach will make
the bypass take too long.
-Let's try again.
-Right.
Only a week remained until operation day.
Still without results to show
after hours of trial and error,
Dr. Takashina and the others
were becoming anxious.
Dr. Tokai.
We need your help to save Dr. Saeki.
Might as well just let me do it myself.
The doctor asked specifically
for the Caesar
Dr. Tokai is the only person
we can rely on.
But he and Dr. Saeki
continue to grow further apart.
If we can find the root cause of that,
Dr. Tokai may agree
to help with the operation.
The root cause?
I think it has something to do
with that person named Tatsuji Iinuma.
The person Dr. Tokai is searching for.
That picture you found with the forceps
might have something
to do with it as well.
But if you get in Dr. Tokai's way,
you'll be crushed.
I don't think
we should meddle in this too much.
It's to save the doctor.
I'm going to search
Dr. Tokai's room again.
Dr. Tokai?
Yes. I'm hoping to ask him
to operate the Caesar.
What will the professor say?
It's to save his life.
You're right.
I'll talk to Dr. Tokai myself.
I knew his father a bit, in fact.
I've wanted to talk to him
about this for a while.
Nothing. It's not here.
Maybe we should forget about it.
Dr. Tokai will be back soon anyway.
He just sits around here eating rice.
Rice?
Could it be
I found it.
This is the photo I saw.
There really is a pair of forceps.
The patient's name is Tatsuji Iinuma.
Physician's name, Ichiro Tokai.
Hey, Dr. Tokai.
I would like to speak to you.
It's about Dr. Saeki's Caesar operation.
Convince the doctor to use a scalpel.
If we don't, he'll die.
Dr. Tokai
Wait, Dr. Tokai.
Get a grip!
Dr. Tokai
Wait, Dr. Tokai.
Get a grip!
That photograph
Why do you have this?
Where did you get this?
Um
Give it back.
It's mine.
What are you doing, Dr. Tokai?
Why do you have that?
A grudge, is it?
You're the son
of Tojo's biggest embarrassment.
Get out, Dr. Tokai.
I thought I would ask for your help,
but I was wrong. We don't need you.
You'll never set foot
in the operating room again.
You'll wait at home until the operation
is complete, understood?
What?
This is my home.
Get out!
Dr. Kurosaki.
Did you know about that photograph?
It's none of your business.
Dr. Tokai is searching for Tatsuji Iinuma.
That's why he went to Teika University
and why he went to Sakura Hospital
when Dr. Saeki fell ill.
He's looking for Iinuma?
What is this about?
That's supposed to be left in the past.
What happened?
When I first joined this hospital,
that man was my mentor.
Dr. Tokai's father.
The doctor is mistaken.
Ichiro Tokai was an outstanding doctor.
But he was ambitious,
always aiming for the top.
He had difficulty getting along
with the other doctors.
He was put in charge of operating
on a patient named Tatsuji Iinuma.
A simple cardiovascular surgery.
Dr. Tokai, about Mr. Iinuma's
post-operation care
I happened to catch a glimpse
of the X-ray that he was holding.
-That's
-None of your business.
In the patient's chest
was a pair of forceps.
He left them inside the patient.
Clearly medical malpractice.
How will you take responsibility for this?
After his incriminating mistake,
Dr. Tokai was expelled from Tojo.
I've heard that the forceps
were removed in a secret procedure
and the story never gained traction.
Only a handful of our staff know
about Tojo's tainted past.
After that,
Dr. Saeki felt pity for Ichiro Tokai's son
and invited him into his practice.
That's Dr. Tokai.
That explains why he feels the need
to follow Dr. Saeki's orders.
I'm sure he resents it on the inside.
After his revered father was expelled,
someone had to take his place.
That was Dr. Saeki.
Dr. Tokai can't be trusted.
We'll operate on Dr. Saeki without him.
Dr. Sera.
You'll be joining the operating team.
We don't need Dr. Tokai's scalpel.
You'll be crushed.
Nekota
What were you talking
to Dr. Kurosaki about?
Does it have something to do
with Dr. Tokai being kicked out?
-Well
-Was it about Ichiro Tokai?
Do you know about him?
You.
What did you hear?
Nekota.
What are you doing here?
Get back to work.
Understood.
She's being obedient today.
So?
What did you hear from Dr. Kurosaki?
TOJO UNIVERSITY HOSPITAL
INTERN DORMITORY
-I missed dinner.
-You scared me.
-Got a rice cooker?
-Dr. Tokai. Yes, I do, but
I see
You heard the whole story.
But going forward,
you must focus on your duties as a nurse.
You need to keep it a secret.
That goes for Nekota
and your close friend Dr. Sera too.
If I were to tell Dr. Saeki,
I could have anyone fired in an instant.
Do you understand?
Yes, ma'am.
Um, everyone here is asleep
so try to keep it down.
-I know that.
-Okay. Thanks.
-Hold it.
-What is it?
These are in my way.
Sorry.
I was practicing and
Average guys like me
need to practice at home to keep up.
I bet you do.
I have to keep up with my studies.
I've been put on the Caesar team
and asked to conduct simulations.
I don't know if I'll be able to help.
There has never been a case like this.
I still can't grasp exactly
what the Caesar can do and how.
The doctors
are having a hard time as well.
Out of time again.
I hope we can find a way.
Go find it yourself. Go ask.
Ask? But where?
If you're looking for cases or papers,
go to the best source we've got.
About the Caesar paper submitted recently,
we've gotten confirmation
on its publication
in the next issue of the Journal.
Thank you.
It will be out just before the election.
Just in time.
this is all thanks to you, Mr. Ikenaga.
This time, I'll finally exceed
Dr. Saeki's Impact Factor.
I will win the chairman election.
Well. As for Dr. Saeki himself,
he's not exactly in a position
to compete anyway.
I hear his operation
will be quite difficult.
That's right.
We were once great rivals,
but I do pray for his swift recovery.
I'll pay you back after the election.
Until then.
Victory
is mine.
You call yourself a doctor?
Yes. I am a doctor.
Come in.
-Excuse me.
-Pardon me.
Sorry for the short notice.
Dr. Sera would like to speak to you
about the Caesar operation.
Yes.
I see.
You don't plan on asking me to show you
Dr. Nishizaki's Caesar research, do you?
The paper would indeed
give you a good hint
about Dr. Saeki's operation,
but I cannot provide that information.
A paper is a doctor's life.
I know.
There's no way he'll show you the paper
before it's published.
-So what should we do?
-Are you stupid?
Maybe.
Well, in that case,
maybe you should just ask him anyway.
"So what should we do?"
So what should we do?
What?
Um,
these are Dr. Saeki's clinical records.
Would you be willing to share any advice?
There's no way he'll give us any advice.
You're right.
Well then,
just go tell him what you want to say.
It's simple.
Make him get angry at your stupidity
and come home.
Advice?
Are you stupid or what?
Yes.
You're asking the wrong person.
Sorry, but I'm a very busy man.
Forgive us.
Make him get angry at your stupidity
and come home.
That job you're so busy with
What is it exactly?
From my point of view,
all you do is give out Impact Factor
and get people promotions.
-That's what it looks like to me.
-Dr. Sera.
These papers,
they're like students' essays.
You give them a big thumbs up
and throw a big party
to pat yourselves on the back.
I don't see the fun in that at all.
I'll be leaving now.
Please wait.
Please
What is it you want?
Showing up like this.
A doctor asking for help like this,
it's absurd!
I'm not a doctor.
Even in the face of a life
that needs to be saved,
I'm useless.
I'm not a doctor at all.
I'll tell you about the doctors I know.
One never shies away
from life-threatening decisions,
leading the way
and fighting to save lives every day.
Another believes in technology,
hoping to create
a future where more lives will be saved.
And one more.
This man is like the devil himself,
always saying the craziest things,
getting me into trouble too.
But he always saves lives, without fail.
With his own hands,
he saves the lives in front of him.
I respect them all.
They are all great doctors.
At Tojo University,
they're working away
on operation simulations.
But they are not making any progress.
Searching the globe for medical cases
that could give a hint
on making the operation a success.
They've all thrown away their pride
of using a scalpel
in order to save one man's life.
That's because Dr. Saeki's life
represents the lives of the thousands
of patients awaiting his care.
Of course I know
there's nothing I can do.
But I won't give up.
I cannot give up on a life
that is right in front of me.
That's why I'm here.
I'm trying to do everything I can.
I want to be a doctor too.
So I ask you, please.
Won't you help us?
I beg of you.
I beg of you!
Please!
I indeed recall seeing
a case similar to Dr. Saeki's
where the Darwin was used.
A report of a similar successful surgery.
Still unknown to the world,
it's from a small research magazine
in America.
I have connections,
so I'll ask about it myself.
You will?
Thank you.
No.
After all,
that's what these papers are for.
When I was young,
I was diagnosed with a rare sickness.
They said I wouldn't live long.
But despite the odds,
my physician at the time
scoured the globe for papers
and found a way to treat me.
Research by someone,
somewhere in the world
will save people in other countries.
That's what papers are for.
As you said,
it's not for someone's promotion.
It's to save lives.
Making sure they're read is my job.
Thank you for reminding me.
I pray for your success.
Thank you.
This is the report
I received from Mr. Ikenaga.
This is indeed similar
to Dr. Saeki's case.
We hadn't thought of this approach.
Finally, the light
at the end of the tunnel.
All right. We'll use this
to form a new plan.
-Right.
-Understood.
The new plan was different
from previous simulations.
Instead of two operations
using separate entrance routes,
they would enter through one hole
and do both a bypass and the mitral valve.
A completely new approach.
By operating with only one opening,
surgery time would shortened,
making the impossible possible.
The only way.
Thanks to you, Dr. Tokai,
we've finally found a way to operate.
I didn't think
you would actually find something.
I did.
But we don't have time and we don't know
if this method will actually
Don't think about it, just do it.
If you kill the doctor,
I'll kill you all.
I have to keep him alive for now.
So you can find out more
about that patient?
-Why were you trying to
-So I can kill Dr. Saeki myself.
This is our plan.
It is theoretically possible.
We'll continue simulations
for further analysis.
If you succeed,
it will be a world-first for the Caesar.
That's right. I would consider
writing a paper about it.
Dr. Takashina,
what happened to the Caesar paper
you were working on?
Actually, Dr. Nishizaki
had someone else write it for him.
My paper no longer holds any value.
It's tucked away inside my computer.
I'm glad to hear that.
What?
-Raise it, 60 degrees.
-Deeper
Time out.
-Dr. Saeki?
-Professor!
-Get the electrocardiogram.
-Okay!
Professor!
A heart attack?
Take him to the operating room!
-Hey!
-Wait!
Understood. I'm on my way.
Dr. Tokai. The professor's condition
has taken a turn for the worse.
They're doing an emergency surgery.
We will now perform
a coronary artery bypass
and mitral valve repair surgery
with the Caesar.
No matter what,
we must save Dr. Saeki's life.
-Right.
-Okay.
-All right, insert the arm.
-Right.
Even with simulations not yet complete,
because of the heart attack,
operating time was shortened even further.
We only had one hour to operate.
TIME LIMI
59 MINUTES REMAINING
We've reached the internal mammary artery.
Proceeding with the dissection.
So, they're dissecting
the internal mammary artery
to use for the coronary bypass?
This is the best option for the patient.
Dissection complete.
That was the first hurdle.
Next is the hard part.
Let's begin the bypass.
Dr. Tokai, are you sure
you can go in there?
Dr. Tokai.
Confirming position
of the left coronary artery.
Damn
I can't see the coronary artery at all.
We'll have to insert the Caesar.
Bleeding from the right ventricle.
-Gauze.
-Right.
-Dr. Sekikawa, wipe the camera lens.
-Right.
There isn't enough time.
They won't finish at this rate.
Dr. Tokai!
Dr. Tokai is here!
Is he trying to operate instead?
If he's trying to make an incision now,
it will take even longer.
-Stop him!
-Now, please!
Dr. Tokai.
They're not going to let you in there.
-I know that.
-What?
We have to stop him.
We've been ordered to keep him out.
Where's Dr. Tokai?
He's not coming.
So he gave up after all?
-Sorry, I'm late.
-Where were you?
Sorry.
Dr. Takashina, is there anything I can do?
-Get me one pack of transfusion.
-Right!
It has been 40 minutes.
Saturation is dropping.
Damn
If we go over the hour limit,
his heart could stop at any time.
-We have to save him no matter what!
-Right.
-Right.
-Let's work together.
I can finally see
the left coronary artery.
Hold the heart back with gauze.
-Got it.
-Here.
We have ventricular tachycardia.
The heart couldn't handle the pressure.
Doctor, let's remove it.
Right.
I've lost sight of it again. Damn it.
It has been 45 minutes.
We only have 15 minutes left.
TIME LIMI
14 MINUTES REMAINING
I can't reach it
It's right there.
Fifteen minutes is not enough.
-What is it?
-Dr. Takashina.
If the Caesar goes in any further
it will only damage the heart.
We can't go any further than this
Oh, no
So the professor
Dr. Saeki
can't be saved.
What are you saying?
That cannot be.
I won't accept the professor's life
being taken away!
Dr. Saeki,
for years and years,
has saved hundreds and thousands of lives!
God!
The devil!
I don't care who!
Please!
Please!
Please save the professor!
-Dr. Takashina?
-We need 4-0.
Right.
-It moved.
-The arm moved.
What is going on?
Excuse me.
I'll tell you what.
All right.
First, we stop the bleeding
in the right ventricle.
Remote operation.
Dr. Tokai gave me the orders.
Dr. Tokai.
They're not going to let you in there.
-I know that.
-What?
I'll use the other Caesar in the office.
Remote operation.
Go get permission to use the Caesar
in the operating room.
Go.
REMOTE OPERATION CONNECTING
-Sorry, I'm late.
-Where were you?
Sorry.
Dr. Takashina, is there anything I can do?
REMOTE OPERATION REQUESTED
-Get me one back of transfusion.
-Right!
It has been 40 minutes.
Saturation is dropping.
REMOTE OPERATION ACCESS GRANTED
I'm sorry I didn't have time to explain.
We thought the simulator was of no use.
Using it like this is
Your plan wasn't bad.
It was actually quite good.
This approach could indeed work.
But
You aren't able to see
the coronary artery.
The Caesar cannot be inserted any further
in this condition.
If you can't get in deeper,
we'll have to pull the heart out.
Pull it out? How?
-With a suction cup.
-A suction cup?
We'll use a suction cup
and pull the heart out.
You can't just
Right ventricle suture complete.
You're up.
-Right ventricle suture complete.
-Fifty minutes elapsed. We have no time!
TIME LIMI
9 MINUTES REMAINING
Dr. Takashina.
-What is it, Dr. Takashina?
-Dr. Takashina.
-Dr. Takashina, the next steps, hurry!
-I know.
We'll now proceed with
the left coronary artery bypass surgery.
-Bring a suction cup.
-Suction cup? That wasn't in the plan.
I've got one ready.
All right. Here we go.
-We'll do anything we can!
-Right!
Here.
The heart is coming toward the Caesar.
The heart won't stabilize like that.
There's no arm to hold it like the Darwin.
-I'll suture with one hand.
-With one hand?
The left arm will hold the heart
and the right will suture.
Got it.
Almost at one hour.
Come on let's make it work!
TIME LIMI
4 MINUTES REMAINING
He's using his right hand only.
Amazing. I've never seen it done.
Hurry up with the thread. Stay focused!
Hurry up with the thread. Stay focused.
Got it.
-Suction!
-Suction!
Sorry.
-Blower next.
-Blower next.
-Hurry up.
-Let's pick up the pace.
-Right!
-Okay!
-Arai.
-Yes?
Get the blood flow pumps.
What?
Okay.
-Amazing.
-The arm is moving so much faster.
We might actually make it.
Bypass complete.
Bypass complete.
We did it in an hour.
We made it.
But the mitral valve surgery
still needs to be done.
-We've made it this far.
-Damn.
Use the heart-lung machine.
What?
We'll do it on-pump beating heart style.
The Saeki Method with the Caesar?
Is that possible?
Who knows?
But we have to try.
Dr. Takashina!
Understood.
We'll now use the Caesar
to perform on-pump beating heart
mitral valve repair surgery.
-What?
-The Saeki Method with the Caesar?
Those were the orders.
Turn on the heart-lung machine.
-Right.
-Blood flow pumps!
Here they are.
Here.
-Hurry.
-Right.
All right. Next
We will begin mitral valve repair.
-Right.
-Okay.
His skills are godlike.
It's like watching Dr. Saeki operate.
Doctor.
It's all right.
You're doing great, Dr. Takashina.
Thank you.
Dr. Takashina.
Using my real hands
is a hundred times easier.
Complete.
What's his condition?
Blood pressure
Stabilized.
All right!
All right!
-We did it!
-We did it!
It was written here the whole time.
Dr. Tokai is really an incredible person.
He is.
Professor.
So I'm still alive.
-We're glad you're here.
-If I'm still alive,
then there's more work
to be done.
NEW MESSAGE
After that, the new issue of the Japan
Surgical Journal was published.
Congratulations, Dr. Nishizaki.
Thank you. You've done well too.
What the hell is this?
Saeki
It's a Caesar paper
written independently by Tojo University.
Apart from the paper itself,
the video attached was great.
The Saeki Method executed
through remote operation of the Caesar.
MEDICAL ROBOT CAESAR PAPER
A top-notch surgery made possible
by a top-notch surgeon
using top-notch technology.
I won't stand for this!
It's against the rules
of collaborative research!
I've decided that the paper from Tojo
will better benefit future patients.
Thank you for your time.
What Hello?
Takashina
JAPAN SURGICAL JOURNAL
This is pretty good work.
You put your life on the line
for this paper.
It's all thanks to your cooperation.
Was Dr. Tokai's use of the Caesar
part of your plan as well?
Dr. Tokai won't let me die just yet.
Forgive me,
but if you'll excuse us
Thanks to you, I live to see another day.
I take it you've come here to kill me now.
Where is Tatsuji Iinuma?
I cannot tell you that.
There's something
I still have to do.
You must be careful not to leak
information about the patient.
Okay.
All right.
Please take care of him.
This sure brings me back.
You know, a long time ago
I was once admitted here at Tojo.
Is that so?
TATSUJI IINUMA
I told you, didn't I?
There's only one man in this world
who can use the black forceps.
I'm not ready to hand them over
to you just yet.
Then I'll just have to take them myself.
By the way
FINAL EPISODE
My father lost everything
to these forceps,
and now, it's your turn!
So we finally meet.
-The patient comes first.
-You're a patient too!
The forceps
It's almost time.
This is where it will all end.
Stop, Dr. Tokai!
You've opened up the gates of hell.
Subtitle translation by: Tom Grathwol
Tell me.
-Tell me!
-Dr. Tokai
Tell me!
Iinuma
Tatsuji Iinuma
Dr. Saeki!
Dr. Saeki!
Dr. Tokai!
It's Dr. Saeki!
It finally happened?
The professor collapsed?
What's his condition?
Understood, I'm on my way!
One, two, three!
Dr. Saeki!
-Take him to the operating room!
-Right!
Hold that.
-Sorry. I'm late.
-Hold it back more.
-Prepare for radiography!
-Bring his chart.
-Prepare a cardiac catheter!
-Right.
-Let me help.
-We don't need your help.
Go back to Teika where you belong!
-Get the aortic balloon pump!
-Okay!
-Move now.
-Go!
Right!
Dr. Tokai?
Emergency procedures on Dr. Saeki
have been completed
and he's currently stable.
As for his exam results,
a narrowing was found
in the left coronary artery.
We believe the cause is
anomalous left coronary artery
from the pulmonary artery.
Normally, the left coronary artery
should emerge from the aorta,
but in rare cases,
it originates from the pulmonary artery.
As a result, the heart
doesn't receive sufficient oxygen.
A serious condition
leading to impaired heart function.
Additionally, he's suffering
from mitral valve regurgitation.
He could suffer a fatal heart attack
at any time.
-We must operate at once.
-I can't believe this.
Dr. Saeki's own mitral valve
The only one at Tojo who can operate is
-Where's Dr. Tokai?
-He's nowhere to be found.
Oh! I saw him earlier!
During Dr. Saeki's procedure,
he took off somewhere.
-What?
-Dr. Sera, go track him down.
Right.
I saw him, but I have no idea
where he was heading.
-Where could he have gone?
-I'm sorry.
Say it!
Tell me!
Tatsuji Iinuma
-Tatsuji Iinuma.
-What?
The name Tatsuji Iinuma was searched.
Could that be
Yes, it does appear that Tatsuji Iinuma
is admitted here.
Which room?
-I would like to hear your reason
-Which room?
-He's on a restricted floor.
-Which room?
Room 421.
Ms. Kinoshita.
Dr. Tokai was here, wasn't he?
He's searching for Tatsuji Iinuma.
What is he planning to do?
Which way did he go?
Thank you.
Someone, call the guards!
-Please stop.
-You don't have permission to be here.
Dr. Tokai, what are you doing
at a time like this?
-Dr. Saeki is seriously ill!
-You save him then.
-Someone stop him!
-Someone, please!
-Just wait a second.
-Move it!
No one is here.
Dr. Saeki?
Yes?
-What about Mr. Iinuma?
-I released him as you ordered.
Dr. Saeki!
Dr. Saeki!
Release
Mr. Iinuma
I see.
I can't believe it.
Collapsing in my own hospital.
Please.
You have to focus on your own health now.
The election is around the corner
They've done it now.
Wait, Dr. Tokai
-Mr. Kobayashi.
-So it was you?
Could you please leave?
-Where did you send him?
-Who knows.
I simply released him,
on Dr. Saeki's orders.
Where he was transferred, I do not know.
You'll have to ask Dr. Saeki yourself.
Pardon me. Sorry.
-What is this about?
-How's the professor?
The emergency procedures were finished,
but he's still in danger.
He's fine. I'll save him.
And then I'll kill him myself.
I never thought I would have
a mitral valve problem myself.
I would prefer to operate on myself,
but I suppose that's not possible.
How would you like us to proceed?
-Dr. Tokai
-Where were you?
I'll operate.
What are you talking about?
So
Who else do you think could do it?
Okay, I'll be leaving then.
I refuse.
But who else can do it?
I hate to say it, but Dr. Tokai
is the only one with the right skills.
The Caesar.
Use the Caesar for your operation?
This will be a difficult procedure
requiring precise work.
I believe Caesar is the best option.
These are
my orders.
Yes, sir!
We will definitely
make the surgery a success!
The master of the scalpel's own surgery
and he chooses to have it done
with the Caesar?
The board has caught wind
of Dr. Saeki's condition.
I wasn't sure what would happen,
but this surely confirms my victory
in the board chairman election.
Dr. Saeki fell after covering up
your mistake, Dr. Nishizaki.
He was under too much pressure.
I've made no mistakes.
Dr. Saeki just happened to barge in
during my procedure.
You reap what you sow.
-Dr. Nishizaki!
-The age of the scalpel comes to an end.
Take care of yourself.
So the professor has put his fate
in the hands of technology.
A declaration of defeat, you could say.
Losing to a robot like this?
NO DATA
All the data is gone!
You're still here, Dr. Takashina?
There's nothing for you here.
Are you still trying to stand in our way?
Is everyone here?
About Dr. Saeki's Caesar operation,
I will lead the surgery.
Dr. Sekikawa and Dr. Kakitani will assist.
Okay.
I would also like to call on anyone
able to lend a hand.
Understood?
Dr. Saeki's life represents
the life of all patients in this hospital.
We must work together
and save Dr. Saeki's life!
-Right.
-Yes.
Dr. Sera. A word, please.
Yes?
We've received a complaint
from Sakura Hospital about Dr. Tokai.
At a time like this
Keep an eye on him, will you?
-What?
-There's no telling what he might do.
I have no intention
of dealing with him during this operation.
Got it?
Yes.
Leading up to Dr. Saeki's operation,
preparations began
to improve the skills of the entire team.
The operation at hand
will be full of difficulty.
Dr. Saeki requires a bypass operation
using the mammary artery
for the left coronary artery,
and mitral valve repair.
Two entirely different operations,
requiring an approach
from two separate locations.
But the doctor's cardiopulmonary function
was weak
and the time available after anesthesia
is just two hours.
Completing two operations in two hours
was thought to be impossible.
A Caesar operation like this
has never been done.
And in only two hours
-Shouldn't we ask Dr. Takashina?
-This is Tojo's operation.
We don't have room for traitors.
The only thing to do is rehearse
the operation and analyze the results.
Yes, sir.
You should be on that team, Dr. Takashina.
I've already betrayed Tojo twice.
That may be true,
but you've never betrayed a patient.
And on top of that,
you know more about the Caesar
than anyone at Tojo.
This simulator can be used, right?
The Teika team took all the data from it,
leaving nothing behind.
Like a game console without a game.
So, it can't help us after all.
Dr. Sera, aren't you supposed to be
watching Dr. Tokai?
-Yes, that's right.
-He just left.
What?
-Where?
-There.
Crap, that's not good. Now what do I do?
The Caesar.
You know it won't work.
It won't be just the election you lose,
but your life as well.
Dr. Tokai.
I want you to operate after all.
Did you think I'd come begging to you?
But the fact is
that you know it's the only way.
You don't care about saving my life.
You just want to know
about the patient I'm protecting.
Don't underestimate me, Dr. Tokai.
Sometimes, there are things
more important than life itself.
Even if I die,
I would never bow to a man like you.
My surgery will be done by the Caesar.
For my survival,
that is the only way.
Well then, if that's so
you can rest at ease
and die.
-Dr. Takashina
-I have something to ask of you.
Data?
Yes.
The data saved inside the Caesar
Simulator from the trials at Tojo.
Would you lend it to me?
I won't.
That data is three long years
of hard labor.
I value it like my own life.
You can't just come asking for that.
Isn't it part
of our collaborative research?
Our research was concluded
with the last trial.
You're wrong.
I haven't completed my paper just yet.
If this is about the paper,
I already have one.
I had Dr. Sakaguchi write it.
In fact,
I was just on my way to submit it
to Mr. Ikenaga
from the Japan Surgical Journal.
In that case
What was I working for all this time?
What was it for?
It was for me.
Well
you'll just have to
work a little harder.
Takashina.
Dr. Nishizaki.
What does the Caesar mean to you?
What is research to you?
Wasn't it made to save people's lives?
Thanks for all your work.
-Dr. Nishizaki!
-Hey! Stop!
You!
You call yourself a doctor?
Yes.
I am a doctor.
Tojo's doctor will be leaving now.
Make sure he's sent off properly.
Excuse me.
I wasn't trying to butt in.
Dr. Takashina.
I
I would like to ask you to operate.
To save Dr. Saeki's life,
we need your help.
The data from this operation
will be crucial for our case study.
It will also be a fine souvenir
for Teika University.
The chairman election win
will go to your team at Teika.
It pains me, but it's what we must do.
To save Dr. Saeki's life,
if we can keep him alive,
then so be it.
We must save his life. Nothing more.
Wasn't it made to save people's lives?
Please.
Please help us.
Thanks for all your work.
Dr. Nishizaki has thrown me under the bus.
I've dedicated everything
to writing my paper.
But now, Dr. Nishizaki
doesn't need me anymore.
He had someone else write it.
For years now,
I poured my heart and soul
into working for that man.
And as a result
this is what I get.
I have dedicated
years of work to Dr. Saeki,
supporting him.
So I understand your feelings
and your deep regret.
Let us support him together.
Please!
Dr. Kurosaki.
I would be
honored to help you.
With Dr. Takashina back on the team,
preparations for Dr. Saeki's
Caesar surgery continued onward.
We only have one week until the operation.
I would like you to dig up
any previous files
of similar Darwin operations.
We'll need to think globally.
I'll ask acquaintances from my time
studying in New York and Paris.
I can speak Italian and German.
I'll see what I can find there.
These guys
Right then. Everyone,
let's find simulation cases.
-Right!
-Right!
Listen up! Let's show the world
what Tojo University is made of!
-Yes!
-All right!
So Dr. Takashina is on the team now?
Yes.
They're ready to
"show the world what Tojo is made of."
Is that so?
-Just one thing.
-Yes?
I want to see them in action.
Could someone film it for me?
Certainly.
All right.
We don't need that. Get it out of here.
Please let us borrow your wisdom.
Make sure this constricted part
doesn't come off
Right there.
Where do we approach the coronary artery?
That's the question
We still haven't found a similar case.
We'll have to conduct simulations
and create a plan that way.
Like walking through an uncharted desert.
We must keep walking forward
believing we'll make it through.
Without a prior example,
simulations had to be done
for each variation of the arm insertion.
We're out of time.
This approach will make
the bypass take too long.
-Let's try again.
-Right.
Only a week remained until operation day.
Still without results to show
after hours of trial and error,
Dr. Takashina and the others
were becoming anxious.
Dr. Tokai.
We need your help to save Dr. Saeki.
Might as well just let me do it myself.
The doctor asked specifically
for the Caesar
Dr. Tokai is the only person
we can rely on.
But he and Dr. Saeki
continue to grow further apart.
If we can find the root cause of that,
Dr. Tokai may agree
to help with the operation.
The root cause?
I think it has something to do
with that person named Tatsuji Iinuma.
The person Dr. Tokai is searching for.
That picture you found with the forceps
might have something
to do with it as well.
But if you get in Dr. Tokai's way,
you'll be crushed.
I don't think
we should meddle in this too much.
It's to save the doctor.
I'm going to search
Dr. Tokai's room again.
Dr. Tokai?
Yes. I'm hoping to ask him
to operate the Caesar.
What will the professor say?
It's to save his life.
You're right.
I'll talk to Dr. Tokai myself.
I knew his father a bit, in fact.
I've wanted to talk to him
about this for a while.
Nothing. It's not here.
Maybe we should forget about it.
Dr. Tokai will be back soon anyway.
He just sits around here eating rice.
Rice?
Could it be
I found it.
This is the photo I saw.
There really is a pair of forceps.
The patient's name is Tatsuji Iinuma.
Physician's name, Ichiro Tokai.
Hey, Dr. Tokai.
I would like to speak to you.
It's about Dr. Saeki's Caesar operation.
Convince the doctor to use a scalpel.
If we don't, he'll die.
Dr. Tokai
Wait, Dr. Tokai.
Get a grip!
Dr. Tokai
Wait, Dr. Tokai.
Get a grip!
That photograph
Why do you have this?
Where did you get this?
Um
Give it back.
It's mine.
What are you doing, Dr. Tokai?
Why do you have that?
A grudge, is it?
You're the son
of Tojo's biggest embarrassment.
Get out, Dr. Tokai.
I thought I would ask for your help,
but I was wrong. We don't need you.
You'll never set foot
in the operating room again.
You'll wait at home until the operation
is complete, understood?
What?
This is my home.
Get out!
Dr. Kurosaki.
Did you know about that photograph?
It's none of your business.
Dr. Tokai is searching for Tatsuji Iinuma.
That's why he went to Teika University
and why he went to Sakura Hospital
when Dr. Saeki fell ill.
He's looking for Iinuma?
What is this about?
That's supposed to be left in the past.
What happened?
When I first joined this hospital,
that man was my mentor.
Dr. Tokai's father.
The doctor is mistaken.
Ichiro Tokai was an outstanding doctor.
But he was ambitious,
always aiming for the top.
He had difficulty getting along
with the other doctors.
He was put in charge of operating
on a patient named Tatsuji Iinuma.
A simple cardiovascular surgery.
Dr. Tokai, about Mr. Iinuma's
post-operation care
I happened to catch a glimpse
of the X-ray that he was holding.
-That's
-None of your business.
In the patient's chest
was a pair of forceps.
He left them inside the patient.
Clearly medical malpractice.
How will you take responsibility for this?
After his incriminating mistake,
Dr. Tokai was expelled from Tojo.
I've heard that the forceps
were removed in a secret procedure
and the story never gained traction.
Only a handful of our staff know
about Tojo's tainted past.
After that,
Dr. Saeki felt pity for Ichiro Tokai's son
and invited him into his practice.
That's Dr. Tokai.
That explains why he feels the need
to follow Dr. Saeki's orders.
I'm sure he resents it on the inside.
After his revered father was expelled,
someone had to take his place.
That was Dr. Saeki.
Dr. Tokai can't be trusted.
We'll operate on Dr. Saeki without him.
Dr. Sera.
You'll be joining the operating team.
We don't need Dr. Tokai's scalpel.
You'll be crushed.
Nekota
What were you talking
to Dr. Kurosaki about?
Does it have something to do
with Dr. Tokai being kicked out?
-Well
-Was it about Ichiro Tokai?
Do you know about him?
You.
What did you hear?
Nekota.
What are you doing here?
Get back to work.
Understood.
She's being obedient today.
So?
What did you hear from Dr. Kurosaki?
TOJO UNIVERSITY HOSPITAL
INTERN DORMITORY
-I missed dinner.
-You scared me.
-Got a rice cooker?
-Dr. Tokai. Yes, I do, but
I see
You heard the whole story.
But going forward,
you must focus on your duties as a nurse.
You need to keep it a secret.
That goes for Nekota
and your close friend Dr. Sera too.
If I were to tell Dr. Saeki,
I could have anyone fired in an instant.
Do you understand?
Yes, ma'am.
Um, everyone here is asleep
so try to keep it down.
-I know that.
-Okay. Thanks.
-Hold it.
-What is it?
These are in my way.
Sorry.
I was practicing and
Average guys like me
need to practice at home to keep up.
I bet you do.
I have to keep up with my studies.
I've been put on the Caesar team
and asked to conduct simulations.
I don't know if I'll be able to help.
There has never been a case like this.
I still can't grasp exactly
what the Caesar can do and how.
The doctors
are having a hard time as well.
Out of time again.
I hope we can find a way.
Go find it yourself. Go ask.
Ask? But where?
If you're looking for cases or papers,
go to the best source we've got.
About the Caesar paper submitted recently,
we've gotten confirmation
on its publication
in the next issue of the Journal.
Thank you.
It will be out just before the election.
Just in time.
this is all thanks to you, Mr. Ikenaga.
This time, I'll finally exceed
Dr. Saeki's Impact Factor.
I will win the chairman election.
Well. As for Dr. Saeki himself,
he's not exactly in a position
to compete anyway.
I hear his operation
will be quite difficult.
That's right.
We were once great rivals,
but I do pray for his swift recovery.
I'll pay you back after the election.
Until then.
Victory
is mine.
You call yourself a doctor?
Yes. I am a doctor.
Come in.
-Excuse me.
-Pardon me.
Sorry for the short notice.
Dr. Sera would like to speak to you
about the Caesar operation.
Yes.
I see.
You don't plan on asking me to show you
Dr. Nishizaki's Caesar research, do you?
The paper would indeed
give you a good hint
about Dr. Saeki's operation,
but I cannot provide that information.
A paper is a doctor's life.
I know.
There's no way he'll show you the paper
before it's published.
-So what should we do?
-Are you stupid?
Maybe.
Well, in that case,
maybe you should just ask him anyway.
"So what should we do?"
So what should we do?
What?
Um,
these are Dr. Saeki's clinical records.
Would you be willing to share any advice?
There's no way he'll give us any advice.
You're right.
Well then,
just go tell him what you want to say.
It's simple.
Make him get angry at your stupidity
and come home.
Advice?
Are you stupid or what?
Yes.
You're asking the wrong person.
Sorry, but I'm a very busy man.
Forgive us.
Make him get angry at your stupidity
and come home.
That job you're so busy with
What is it exactly?
From my point of view,
all you do is give out Impact Factor
and get people promotions.
-That's what it looks like to me.
-Dr. Sera.
These papers,
they're like students' essays.
You give them a big thumbs up
and throw a big party
to pat yourselves on the back.
I don't see the fun in that at all.
I'll be leaving now.
Please wait.
Please
What is it you want?
Showing up like this.
A doctor asking for help like this,
it's absurd!
I'm not a doctor.
Even in the face of a life
that needs to be saved,
I'm useless.
I'm not a doctor at all.
I'll tell you about the doctors I know.
One never shies away
from life-threatening decisions,
leading the way
and fighting to save lives every day.
Another believes in technology,
hoping to create
a future where more lives will be saved.
And one more.
This man is like the devil himself,
always saying the craziest things,
getting me into trouble too.
But he always saves lives, without fail.
With his own hands,
he saves the lives in front of him.
I respect them all.
They are all great doctors.
At Tojo University,
they're working away
on operation simulations.
But they are not making any progress.
Searching the globe for medical cases
that could give a hint
on making the operation a success.
They've all thrown away their pride
of using a scalpel
in order to save one man's life.
That's because Dr. Saeki's life
represents the lives of the thousands
of patients awaiting his care.
Of course I know
there's nothing I can do.
But I won't give up.
I cannot give up on a life
that is right in front of me.
That's why I'm here.
I'm trying to do everything I can.
I want to be a doctor too.
So I ask you, please.
Won't you help us?
I beg of you.
I beg of you!
Please!
I indeed recall seeing
a case similar to Dr. Saeki's
where the Darwin was used.
A report of a similar successful surgery.
Still unknown to the world,
it's from a small research magazine
in America.
I have connections,
so I'll ask about it myself.
You will?
Thank you.
No.
After all,
that's what these papers are for.
When I was young,
I was diagnosed with a rare sickness.
They said I wouldn't live long.
But despite the odds,
my physician at the time
scoured the globe for papers
and found a way to treat me.
Research by someone,
somewhere in the world
will save people in other countries.
That's what papers are for.
As you said,
it's not for someone's promotion.
It's to save lives.
Making sure they're read is my job.
Thank you for reminding me.
I pray for your success.
Thank you.
This is the report
I received from Mr. Ikenaga.
This is indeed similar
to Dr. Saeki's case.
We hadn't thought of this approach.
Finally, the light
at the end of the tunnel.
All right. We'll use this
to form a new plan.
-Right.
-Understood.
The new plan was different
from previous simulations.
Instead of two operations
using separate entrance routes,
they would enter through one hole
and do both a bypass and the mitral valve.
A completely new approach.
By operating with only one opening,
surgery time would shortened,
making the impossible possible.
The only way.
Thanks to you, Dr. Tokai,
we've finally found a way to operate.
I didn't think
you would actually find something.
I did.
But we don't have time and we don't know
if this method will actually
Don't think about it, just do it.
If you kill the doctor,
I'll kill you all.
I have to keep him alive for now.
So you can find out more
about that patient?
-Why were you trying to
-So I can kill Dr. Saeki myself.
This is our plan.
It is theoretically possible.
We'll continue simulations
for further analysis.
If you succeed,
it will be a world-first for the Caesar.
That's right. I would consider
writing a paper about it.
Dr. Takashina,
what happened to the Caesar paper
you were working on?
Actually, Dr. Nishizaki
had someone else write it for him.
My paper no longer holds any value.
It's tucked away inside my computer.
I'm glad to hear that.
What?
-Raise it, 60 degrees.
-Deeper
Time out.
-Dr. Saeki?
-Professor!
-Get the electrocardiogram.
-Okay!
Professor!
A heart attack?
Take him to the operating room!
-Hey!
-Wait!
Understood. I'm on my way.
Dr. Tokai. The professor's condition
has taken a turn for the worse.
They're doing an emergency surgery.
We will now perform
a coronary artery bypass
and mitral valve repair surgery
with the Caesar.
No matter what,
we must save Dr. Saeki's life.
-Right.
-Okay.
-All right, insert the arm.
-Right.
Even with simulations not yet complete,
because of the heart attack,
operating time was shortened even further.
We only had one hour to operate.
TIME LIMI
59 MINUTES REMAINING
We've reached the internal mammary artery.
Proceeding with the dissection.
So, they're dissecting
the internal mammary artery
to use for the coronary bypass?
This is the best option for the patient.
Dissection complete.
That was the first hurdle.
Next is the hard part.
Let's begin the bypass.
Dr. Tokai, are you sure
you can go in there?
Dr. Tokai.
Confirming position
of the left coronary artery.
Damn
I can't see the coronary artery at all.
We'll have to insert the Caesar.
Bleeding from the right ventricle.
-Gauze.
-Right.
-Dr. Sekikawa, wipe the camera lens.
-Right.
There isn't enough time.
They won't finish at this rate.
Dr. Tokai!
Dr. Tokai is here!
Is he trying to operate instead?
If he's trying to make an incision now,
it will take even longer.
-Stop him!
-Now, please!
Dr. Tokai.
They're not going to let you in there.
-I know that.
-What?
We have to stop him.
We've been ordered to keep him out.
Where's Dr. Tokai?
He's not coming.
So he gave up after all?
-Sorry, I'm late.
-Where were you?
Sorry.
Dr. Takashina, is there anything I can do?
-Get me one pack of transfusion.
-Right!
It has been 40 minutes.
Saturation is dropping.
Damn
If we go over the hour limit,
his heart could stop at any time.
-We have to save him no matter what!
-Right.
-Right.
-Let's work together.
I can finally see
the left coronary artery.
Hold the heart back with gauze.
-Got it.
-Here.
We have ventricular tachycardia.
The heart couldn't handle the pressure.
Doctor, let's remove it.
Right.
I've lost sight of it again. Damn it.
It has been 45 minutes.
We only have 15 minutes left.
TIME LIMI
14 MINUTES REMAINING
I can't reach it
It's right there.
Fifteen minutes is not enough.
-What is it?
-Dr. Takashina.
If the Caesar goes in any further
it will only damage the heart.
We can't go any further than this
Oh, no
So the professor
Dr. Saeki
can't be saved.
What are you saying?
That cannot be.
I won't accept the professor's life
being taken away!
Dr. Saeki,
for years and years,
has saved hundreds and thousands of lives!
God!
The devil!
I don't care who!
Please!
Please!
Please save the professor!
-Dr. Takashina?
-We need 4-0.
Right.
-It moved.
-The arm moved.
What is going on?
Excuse me.
I'll tell you what.
All right.
First, we stop the bleeding
in the right ventricle.
Remote operation.
Dr. Tokai gave me the orders.
Dr. Tokai.
They're not going to let you in there.
-I know that.
-What?
I'll use the other Caesar in the office.
Remote operation.
Go get permission to use the Caesar
in the operating room.
Go.
REMOTE OPERATION CONNECTING
-Sorry, I'm late.
-Where were you?
Sorry.
Dr. Takashina, is there anything I can do?
REMOTE OPERATION REQUESTED
-Get me one back of transfusion.
-Right!
It has been 40 minutes.
Saturation is dropping.
REMOTE OPERATION ACCESS GRANTED
I'm sorry I didn't have time to explain.
We thought the simulator was of no use.
Using it like this is
Your plan wasn't bad.
It was actually quite good.
This approach could indeed work.
But
You aren't able to see
the coronary artery.
The Caesar cannot be inserted any further
in this condition.
If you can't get in deeper,
we'll have to pull the heart out.
Pull it out? How?
-With a suction cup.
-A suction cup?
We'll use a suction cup
and pull the heart out.
You can't just
Right ventricle suture complete.
You're up.
-Right ventricle suture complete.
-Fifty minutes elapsed. We have no time!
TIME LIMI
9 MINUTES REMAINING
Dr. Takashina.
-What is it, Dr. Takashina?
-Dr. Takashina.
-Dr. Takashina, the next steps, hurry!
-I know.
We'll now proceed with
the left coronary artery bypass surgery.
-Bring a suction cup.
-Suction cup? That wasn't in the plan.
I've got one ready.
All right. Here we go.
-We'll do anything we can!
-Right!
Here.
The heart is coming toward the Caesar.
The heart won't stabilize like that.
There's no arm to hold it like the Darwin.
-I'll suture with one hand.
-With one hand?
The left arm will hold the heart
and the right will suture.
Got it.
Almost at one hour.
Come on let's make it work!
TIME LIMI
4 MINUTES REMAINING
He's using his right hand only.
Amazing. I've never seen it done.
Hurry up with the thread. Stay focused!
Hurry up with the thread. Stay focused.
Got it.
-Suction!
-Suction!
Sorry.
-Blower next.
-Blower next.
-Hurry up.
-Let's pick up the pace.
-Right!
-Okay!
-Arai.
-Yes?
Get the blood flow pumps.
What?
Okay.
-Amazing.
-The arm is moving so much faster.
We might actually make it.
Bypass complete.
Bypass complete.
We did it in an hour.
We made it.
But the mitral valve surgery
still needs to be done.
-We've made it this far.
-Damn.
Use the heart-lung machine.
What?
We'll do it on-pump beating heart style.
The Saeki Method with the Caesar?
Is that possible?
Who knows?
But we have to try.
Dr. Takashina!
Understood.
We'll now use the Caesar
to perform on-pump beating heart
mitral valve repair surgery.
-What?
-The Saeki Method with the Caesar?
Those were the orders.
Turn on the heart-lung machine.
-Right.
-Blood flow pumps!
Here they are.
Here.
-Hurry.
-Right.
All right. Next
We will begin mitral valve repair.
-Right.
-Okay.
His skills are godlike.
It's like watching Dr. Saeki operate.
Doctor.
It's all right.
You're doing great, Dr. Takashina.
Thank you.
Dr. Takashina.
Using my real hands
is a hundred times easier.
Complete.
What's his condition?
Blood pressure
Stabilized.
All right!
All right!
-We did it!
-We did it!
It was written here the whole time.
Dr. Tokai is really an incredible person.
He is.
Professor.
So I'm still alive.
-We're glad you're here.
-If I'm still alive,
then there's more work
to be done.
NEW MESSAGE
After that, the new issue of the Japan
Surgical Journal was published.
Congratulations, Dr. Nishizaki.
Thank you. You've done well too.
What the hell is this?
Saeki
It's a Caesar paper
written independently by Tojo University.
Apart from the paper itself,
the video attached was great.
The Saeki Method executed
through remote operation of the Caesar.
MEDICAL ROBOT CAESAR PAPER
A top-notch surgery made possible
by a top-notch surgeon
using top-notch technology.
I won't stand for this!
It's against the rules
of collaborative research!
I've decided that the paper from Tojo
will better benefit future patients.
Thank you for your time.
What Hello?
Takashina
JAPAN SURGICAL JOURNAL
This is pretty good work.
You put your life on the line
for this paper.
It's all thanks to your cooperation.
Was Dr. Tokai's use of the Caesar
part of your plan as well?
Dr. Tokai won't let me die just yet.
Forgive me,
but if you'll excuse us
Thanks to you, I live to see another day.
I take it you've come here to kill me now.
Where is Tatsuji Iinuma?
I cannot tell you that.
There's something
I still have to do.
You must be careful not to leak
information about the patient.
Okay.
All right.
Please take care of him.
This sure brings me back.
You know, a long time ago
I was once admitted here at Tojo.
Is that so?
TATSUJI IINUMA
I told you, didn't I?
There's only one man in this world
who can use the black forceps.
I'm not ready to hand them over
to you just yet.
Then I'll just have to take them myself.
By the way
FINAL EPISODE
My father lost everything
to these forceps,
and now, it's your turn!
So we finally meet.
-The patient comes first.
-You're a patient too!
The forceps
It's almost time.
This is where it will all end.
Stop, Dr. Tokai!
You've opened up the gates of hell.
Subtitle translation by: Tom Grathwol