Original subtitles

Since the Saeki Method wasn't performed,

following the professor's decision, they switched to medicinal treatment

and Chairman Uesugi's life was saved.

Chairman Uesugi's condition is stable.

I see. That's a relief.

Are you okay, Professor Saeki?

Me?

You just seem a little off, that's all.

Director Saeki,

your operation on Chairman Uesugi deserves praise.

Vice-Director Ejiri.

A fantastic recovery. I would expect nothing less.

This should guarantee your victory in the Medical Association election.

It hasn't been decided yet. We can't let our guard down.

In any case, the internal medicine team supports you to the fullest.

I'll need all the support I can get.

I'm counting on you.

Thank you. I'll continue to do my best.

Vice-Director Ejiri, good afternoon.

Good afternoon.

Vice-Director!

I took care of the CT scan myself.

Thank you.

Why is he bowing his head to Internal Medicine?

If Dr. Saeki becomes president of the Medical Association,

Vice-Director Ejiri will take his place as Hospital Director.

What? Really?

-Dr. Saeki told me about his symptoms. -Right.

I was certainly surprised.

-I'm glad he's okay. -Yes.

This is the CEO of Uesugi Motors, Toshihiro Uesugi.

Thank you for caring for my father.

You must be Dr. Amagi.

Yes, that's me.

I'm Toshihiro Uesugi.

I've heard rumors you're charging exorbitant treatment fees.

I would very much like to speak with you.

Yes, the price is high,

but I promise to bring patients back from the depths of hell.

No.

I would like you to botch my father's operation.

Oh. Business at Uesugi Group has been on a downward trend in the past few years.

My father is involved in the group's medical division,

which is running at a loss.

-I wish he would just retire already-- -Pardon me.

We do not fail.

However,

I heard Dr. Amagi will do anything as long as the price is right.

I plan to receive half of Chairman Uesugi's assets.

I'm sorry to inform you that this operation will be a success.

While it's believed my father's assets are worth hundreds of billions,

in reality, the majority of it has been invested in medical research.

Only a few million yen is left.

So,

if you're willing to cooperate,

we would be willing to pay more than that amount.

Please, consider my offer.

-Let's go. -Okay.

What kind of man would wish for his own father's operation to fail?

Dr. Amagi.

You got this, right?

Of course, I do!

Is that so?

So you spoke with Dr. Amagi?

Yes. I followed your advice and made an inquiry.

Asking for my father's surgery

to be a failure.

Money is everything to that man.

He'll meet your demands.

You won't get ahead by chasing ideals like my father did.

What we should focus on is clearing out the chairman's faction

and making more profits.

You're right.

To achieve one's ideals,

you need money.

I see that you understand.

Well then. Let's get this settled.

It's not often you bring a guest, Dr. Saeki.

Could it be

that she's the next Hospital Director?

Oh my, I still have a long way to go.

You're a strange physician, Dr. Ejiri.

Getting along so well with surgeons.

What's interesting is that she's researching online care with the Elcano.

We've been working with Dr. Ogawa at Ishin University.

-You research remote consultation? -Yes.

Elcano was originally developed

to enable remote consultations for regional healthcare.

So, we from internal medicine decided to lend a hand.

Everyone is obsessed with Elcano.

Medicine is about people.

When you neglect the essentials, you lose everything.

Indeed.

Even though you're invested in Elcano, you've chosen to undergo surgery by me.

A most excellent decision.

It's true, at that time,

I bet on Elcano's failure.

However,

I haven't given up on it entirely.

Our research facility is painfully aware of the difficulties of its development,

so we have a long way to go.

That's the conclusion I made.

Research facility?

Yes.

Sorry to interrupt.

It's from the research facility.

What's the matter?

What?

UESUGI MEDICAL ADVANCED RESEARCH CENTER

Toshihiro?

What are you doing?

You must take care of your health.

You should be resting.

You're trying to sell off the medical division, aren't you?

I won't allow it. Get out!

They're only here for an inspection.

They're leaving soon.

Please take care.

I'll be praying for the success of the operation.

Okay, let's go and continue our talk…

Please forgive me, Dr. Amagi.

No problem.

He's too focused on short-term profits.

We never see eye-to-eye.

Business requires forward investment.

We must leverage the technology

for autonomous driving in cars.

I know. Why don't we go have a look?

By simply having the patient perform basic actions

according to Elcano's instructions,

various data such as body temperature, pulse, and blood pressure

are transmitted to the physician instantly.

-Is this for remote consultation? -Yes.

An experiment using the internal medicine version of Elcano.

A doctor who is 35 kilometers away

is watching now, from Ishin University.

Professor Ogawa!

-I'll change Elcano's lens. -Greetings.

Very well.

Dr. Ejiri?

What are you doing there?

We're accompanying a VIP.

I didn't know you were cooperating with Ishin University, Dr. Ejiri.

Only with permission from Dr. Saeki.

Don't get any strange ideas.

Please continue your research.

This is really something.

Elcano conducting consultations without the presence of a doctor.

This is a major step forward for regional healthcare.

Thank you.

There's one more thing I would like you to see.

Pardon me.

Isn't that…?

It's direct anastomosis.

That's correct.

During the clinical trials,

it had studied the movements of Dr. Amagi's right hand.

We'll need Dr. Amagi to work with Elcano Darwin

and complete many surgeries together.

I agree.

I'm also excited to play with little Elcano again.

"Little Elcano?"

Hello Dr. Saeki. Ms. Shiino, too.

Thank you for publishing Tojo's paper last month.

It's unfortunate that the Elcano Darwin article was rejected.

It was a difficult decision,

but it was nearly a major incident, as you know.

Now that the recovery of Elcano seems unlikely,

you will likely win the presidential election, don't you think?

Your Impact Factor is also ahead by a significant margin.

See you at the next Internal Medicine conference, Dr. Ogawa.

Yes. Next time, we'll test Elcano on a real patient.

But we won't be able to use it for a while.

There's a security issue.

Actually, we're making some moves behind the curtain.

-A facial recognition system? -Yes.

Ishin University seems to have addressed the security issues

by adding cutting-edge biometric authentication

Currently,

only Professor Sugai has access. It's being strictly managed.

So they intend to monopolize Elcano.

Luckily, we have Chairman Uesugi on our side.

Actually, I have one more important thing to share.

MEDICAL DIVISION SPLITS FROM UESUGI GROUP

LED BY PROFESSOR TATSUO SUGAI

What?

What is this about?

The medical group is going solo?

That means Professor Sugai is working with Uesugi Motors?

Chairman Uesugi didn't mention this.

It means the CEO has turned against him.

It seems Professor Saeki has been outmaneuvered by Professor Sugai.

But…

TOSHIKAZU UESUGI

I didn't know anything either.

Mr. Toshihiro has been advancing his plans quite skillfully.

I suppose so.

Let's hear what Chairman Uesugi has to say.

How dare you!

Pardon me.

What have you done this time?

I'm merely covering the deficit that you created.

I wiped your ass for you.

You little…

Mr. Uesugi. Please calm down.

Just you wait until my surgery is over.

I don't care if you build a new company,

but as chairman of the group, I will stop you as soon as I can.

You really don't get it, do you?

You don't know where you stand.

What?

There are many within the group as well.

There are already people looking to switch over to my faction.

And you? You don't have much longer to live, do you?

Toshihiro!

Don't get heated now.

This is exactly the problem with you.

You've got to be calm or you can't assess business--

That's enough.

It looks like I'm in your way.

I'll be going now.

Take care, Father.

Here.

What people will do for money.

But this is an issue within the Uesugi Group.

-There's nothing we can do. -That won't do!

At this rate, the Elcano research will become merely a tool for profit.

I won't--

I can't have that.

Are you okay?

Sorry,

why is it so important?

I was born on an isolated island.

I see.

My little brother fell ill when I was young.

He was brought to a mainland hospital by helicopter,

but they didn't make it in time.

He passed away.

It wouldn't have been difficult to treat him.

Back then…

if we only had the Elcano and Darwin to cooperate for treatment,

they could have saved my brother.

Halting research for investment purposes…

should never happen.

I agree.

If we can treat Chairman Uesugi,

things will change for the better.

Let's make this operation succeed.

Yes.

-Prepare the documents for the conference. -Right.

Professor Ejiri?

What are you doing here?

I'm doing some studying here for Elcano's research.

Remote operation technology, right?

We might not even have a chance to use Elcano at Tojo University.

Shall I introduce you to Professor Sugai?

-Pleased to be working with you. -That goes for us, too.

Thank you for coming, Dr. Amagi.

I certainly wasn't expecting a visit from you.

I wanted to hear details on the compensation regarding your request.

I see. The conditions have changed, actually.

The medical group belongs to me and Professor Sugai now.

The chairman is already out of the picture.

Once the chairman is better,

do you really think he'll turn a blind eye?

I thought it would be better

if we removed any possibility of worry.

While he's asleep during surgery.

You're just like the rumors.

No, even better than they say.

This is the company stock.

I'll give you one percent of the value.

I believe it's worth this much.

What do you think?

Well, well. Professor Saeki.

So you're busy making the rounds

and greeting board members before the election?

EVENING TALK ON THE FUTURE OF MEDICINE

It appears you're hard at work to secure the position yourself, Professor Sugai.

Perhaps we should call him CEO Sugai.

Either is fine by me.

I might have a new title soon following the election.

We have a suggestion for you regarding just that matter.

I would like you to schedule my father's operation

on the day of the election.

I suppose I could.

This is a big operation for the Medical Association.

We're hoping we can broadcast it live from the election ceremony.

Is a public operation really suitable for that occasion?

I've just received permission from the board.

They think it would be fitting indeed.

Of course, if you aren't confident in your ability to succeed,

we won't force you.

Confidence?

I have no doubt about the success of Tojo University's operations.

We'll have to get the patient's consent first,

but I would be happy to make it a public operation.

That won't be an issue.

I've provoked him a little and already got his consent.

CONSENT FORM

TOSHIKAZU UESUGI

I'll be looking forward to it.

As will I.

Chairman Uesugi's operation will be a public operation.

That sounds fun.

However, it may result in stealing the spotlight from the main event.

This operation will likely determine the fate of the election as well.

I'm counting on you, Amagi.

To proceed with the regurgitation afflicting your mitral valve…

On the same day as the election,

they decided to hold a public operation.

…to remove blockage in your coronary artery.

Yes? Hello?

It's Ikenaga. Good to see you the other day.

The pleasure is mine. What is it?

I've heard some interesting news.

Thank you for your time.

You've aligned yourself with Tojo University, haven't you?

And that choice unfortunately ended in failure, did it not?

Forgive me.

I heard Mr. Toshihiro talking to Dr. Amagi in secret.

You know the details as well, don't you, Professor Sugai?

I'll do anything for Elcano.

Please let me work for you.

The outcome has already been decided. Why are you saying this now?

That's right.

That's asking too much.

You're right.

While you may have taken the lead in the presidential election,

it hasn't been decided just yet.

Please let me help you plan a strategy

to capture the final swing votes.

Very well.

Though I can't say how it will affect our relationship.

Thank you.

So?

The Elcano Darwin.

What do you mean?

If we can bring the Elcano to the election,

we can complete its final demonstration.

If we can just clear the security issue we've been dealing with,

the presidential seat will be yours.

Don't be fooled, Professor Sugai.

-It isn't that easy to get votes. -You're right.

That's not all I have to offer.

COMPANY PROFILE ZHONGWANG ELECTRIC

I've invited President Wang of China's Zhongwang Electric

to come to the election.

President Wang of Zhongwang Electric?

That's one of China's biggest companies.

If we can show him a robust security system,

he will be interested in investing.

This could be of great substance to the new company.

What do you think?

Let's do it.

Professor Sugai!

This is our chance!

Very well.

Zhongwang Electric!

Finally, the fateful day arrived.

JAPAN MEDICAL ASSOCIATION PRESIDENTIAL ELECTION DAY

9TH PRESIDENTIAL ELECTION

The day is finally here, Professor Saeki.

You're right.

It looks like they've brought something quite impressive.

Elcano is an important doctor to us at Ishin University.

I see.

Professor Sugai! Hello.

-Good to see you. -Greetings.

President.

President Wang!

Please take care of me today.

We'll do our best.

Ms. Shiino?

And now,

led by Ishin University's Professor Sugai, a demonstration of the Elcano Darwin.

The election is about to begin.

-I hope Dr. Saeki takes it. -He will.

-Got to have faith. -That's right.

Cannot verify.

Professor Tatsuo Sugai, confirmed.

Regarding the security issues,

that problem has been solved with new facial recognition software.

Elcano, the vascular anastomosis experiment, please.

Roger.

Currently, I'm the only person able to use it.

But in the future,

any certified doctor will be able to use it.

Without having to rely on expert doctors,

everyone will be able to get the necessary treatment equally.

That's the future I want to build.

How contrived.

With the support of Mr. Toshihiro Uesugi of Uesugi Motors,

we have established a new venture focused on medical AI technology.

I am fully committed, with my utmost dedication,

to advancing Japanese healthcare towards a brighter tomorrow.

And next,

a presentation by Tojo University's Professor Seigo Saeki.

I am Seigo Saeki, Hospital Director at Tojo University Hospital.

Instead of boring you with my words, I would like to show you a demonstration.

An operation only Tojo University could perform.

An operation of the highest order.

YUKIHIKO AMAGI

GONTA TAKASHINA

We'll now begin surgery

for ischemic heart disease and mitral valve regurgitation.

Yes.

-Snipe, please. -Here.

Mitral valve replacement complete.

No problems with the artificial valve.

-Great. -I'll take over, then.

-Thank you. -Juno.

-Open the chest. -Right. Proceeding.

Dr. Takashina is great.

It all depends on Dr. Amagi's direct anastomosis.

I have no doubt they'll succeed.

I'll now begin direct anastomosis.

-Metz. -Here.

-Micro tweezers. -Here.

Gauze.

Gauze.

More gauze, please.

-More suction please! -Yes.

Dr. Amagi.

What happened?

Get 7-0 and 8-0.

-Right. -Right.

We need water too.

Is that a mistake?

A mistake?

Impossible! Dr. Amagi?

-I can't believe it. -What's happening?

What happened?

There was a lot of adhesion of the coronary artery, that probably ripped.

The coronary artery ripped?

Let's run the heart-lung machine. Should I open near the groin?

Orders please, Dr. Amagi.

I wish we could perform direct anastomosis in two places at once.

Can you do it, Juno?

No, I cannot.

Then unfortunately we have no choice.

Hey, wait.

Dr. Amagi, wait.

-Say something! -Dr. Sera!

-We have to stop the bleeding! -Right.

We'll run the heart-lung machine. Hurry.

-I'll open the groin. Metz. -Here.

-Please help. -Understood.

You're not doing this for money, are you?

Sorry.

Everyone, please calm down.

We are currently dealing with the situation.

There's no recovering from this.

A precious life was taken by Tojo University.

Professor Saeki.

How will you take responsibility?

Responsibility, you say?

Very well.

I'll take responsibility

and take over the operation.

What are you talking about?

Even if you go now, there isn't enough time.

The patient needs direct anastomosis.

It's impossible.

No, it's not.

It's possible.

With this.

The Elcano Darwin.

Dr. Sekikawa, please contact Tojo University.

Dr. Kakitani, prepare the surgeon console.

What is this?

We're borrowing the surgeon console.

You can't do that!

We've brought Darwin. We'll set it up now.

What is this?

They want to do it remotely.

Remote operation?

So that's why you brought the Elcano here?

Now connecting.

Disconnecting from election ceremony.

Connecting to Tojo University.

Don't touch that!

-8-0. -Right.

-Remove the gauze. -Right.

So that's what your research was for, Dr. Ejiri.

Inside Elcano,

data on the right-hand motions for direct anastomosis have been saved.

In that case, I will remotely control the left-hand motions.

But only Professor Sugai has access.

You can't control Elcano.

Yes, you're right.

To save this patient's life,

our only choice is to cooperate.

You probably thought you gained control of Elcano in the new company, right?

Unfortunately,

it appears Mr. Toshihiro's intentions are different.

What?

I introduced him to President Wang.

They've already had several meetings in secret.

Why?

You need money, don't you?

To cover the deficit you created yourself.

The well-informed editor-in-chief told me everything.

While covering up the failure of his hotel business,

he was compensating for the deficit.

To fix his problem,

he promised the rights of future Elcano developments

to Chinese physicians.

It's all here in this contract.

Where the hell did you get that?

You still don't get it?

Ms. Shiino introduced President Wang to you as a trap.

What?

This is President Wang of Zhongwang Electric.

We knew that you were seeking investment from foreign companies.

We knew you would take the bait…

-Metz. -Right.

…if we dangled it in front of you.

What does this mean?

A trap?

What do you mean, a trap?

What do you mean, a trap?

Professor Sugai.

Please make your decision.

Let's go.

Thank you.

The two men fighting for the top of the Japan Medical Association.

have joined hands

to save one patient's life.

This is truly a historical

operation!

Professor Tatsuo Sugai. Confirmed.

Elcano verification complete.

Let's save this patient.

How's it looking?

We're ready to start.

-We'll now begin direct anastomosis. -We'll now begin direct anastomosis.

Because of the time limit,

Dr. Amagi has decided to perform direct anastomosis in two spots at the same time.

He messed up on purpose,

to get Dr. Saeki's assistance.

-Metz. -Here.

-Tweezers. -Right.

-Bulldog ready? -Okay.

-Bulldog. -Here.

-Metz. -Here.

Metz.

-8-0. -Okay.

-Metz. -Here.

Operation complete. The heart is so beautiful.

The heart is so beautiful.

I knew Dr. Saeki would succeed.

What a splendid operation.

Thank you,

Professor Sugai.

Of course.

Let's move on to the voting.

BALLOT BOX

BALLOT BOX

The next President of the Japan Medical Association is…

VOTING RESULTS

…Professor Seigo Saeki.

-All right! -You did it!

Thank you.

Dr. Amagi.

I'm sorry.

For what?

It's just…

I'm sorry I accused you of doing it for money.

Now Mr. Saeki has been elected as President.

This is good news for the Cerisier Heart Center.

Are you sure about this?

Leaving in the middle of a meeting.

I was planning a big send-off for you.

I'm not really a fan of things like that.

I'll be seeing myself out quietly, thank you.

Very well.

Also…

Please send my regards to Professor Saeki.

I will.

Chairman Uesugi.

One more thing.

What is it?

You knew it all along, didn't you?

That it was your son who made the deficit.

That he was trying to make a new company.

And even more,

while playing dumb,

it was you…

pulling the strings all along.

I am truly grateful to you, Dr. Amagi.

In order to fight against my idiot son,

I needed to stay alive a little longer.

Even if things aren't ideal,

I'm still his father.

Thank you for everything.

Father, huh?

Well then. Let us begin.

Please, Professor Saeki.

Thanks to all of your continued support,

I have been elected president of the Medical Association.

However, we have one more important election to keep in mind.

Deciding who will take my position as Hospital Director.

I would like to take this opportunity

to declare that I, Seigo Saeki,

am running for re-election.

Vice-Director Eijiri, I need your advice.

What do you want?

Sir, I have a question.

When Chairman Uesugi collapsed,

why didn't you perform the Saeki Method?

Sir?

Keeping secrets isn't good.

Subtitle translation by: Tom Grathwol