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Ah~. Welcome.
That'll be 150 yen. Thank you.
Oh, no...
Michiko-chan, sorry to keep you waiting. I got some real fresh ones for you.
Look. Take these hot ones away!
- Help yourself! - What happened, Michiko?
- You're generous for a change today. - What do you mean for a change?
Eat up... Go ahead and have seconds.
I think it's going to snow or something. Riichi!
Oh, that's...!
Ron!
Look at this.
What? What? What? Ikkitsukan?!
Huh? What is it?
Man, what do I do...
Man, listen.
This girl here is the girl I operated on the other day, but...
"This is Kaji Sensei who operated on me?"
She's 23 years old! 23!
You're too...vulnerable.
- Huh? - Doctors, you know,
shouldn't become personally involved with patients so easily.
- Yes, but this is... - Women like that
can turn out be be a stalker.
- Stalker?! - Oh, it's been updated.
It says, "...the coolest doctor at Totei University Hospital!"
Retweet! Retweet immediately! Retweet to the whole world!
Are you really sure?
I won't do it.
If you're thinking about your future as a doctor,
I suggest you make sure you refrain from acting rashly.
You're beautiful today as always.
- Thank you. - Huh?
Daimon Sensei. You have a visitor at the reception desk.
Who is it?
Daimon Sensei, did you find a wallet last night?
Hey, hey, Demon... Don't tell me you pocketed the money.
So you're the person who found my wallet and...
- Yes. - I got a call from the police.
Thank you very much. You saved me a lot of trouble.
That's all right.
Oh, it's a wallet you found? You can leave it here.
You can leave it here.
Please let go.
I said please let go. I said let it go!
Michiko-chan, do you want to take these leftover taiyaki (fish shaped cake with red bean filling)?
Free for you. Take them, take them.
So this isn't much, but it's a token of my gratitude...
I'm a big fan of their taiyaki too.
Well then.
- Thank you. - Thank you.
Surgery Department Chief Saionji will now commence making the rounds.
Say, as another token of my gratitude, maybe I'll make an appointment.
for a comprehensive medical checkup.
Oh, really? Oh, hey, hey, hey.
She'd like to make an appointment for a comprehensive medical checkup.
This is the story of a lone wolf woman doctor.
You have that luxurious one where we can stay overnight for a few days, don't you?
- One that's top-of-the-line. - Yes, we do.
Then this way please.
In the year 2016, the collapse of the Ivory Tower was showing no signs of slowing down, and
medical care, which engages in human life, was losing sight of its direction.
Famous university hospitals exerted their effort to reinforce their brand power, and
in the meantime, highly skilled surgeons, lured by big money, flowed abroad.
The world of medicine plunged further into a global era where the law of jungle prevailed.
Meanwhile, freelance doctors not affiliated with any organization-
that is, lone wolf doctors - emerged.
For example, this woman.
Averse to groups, averse to authority, averse to constraints,
a medical specialist's license and her self-honed skill
are her only weapons.
Surgeon Daimon Michiko
Also known as Doctor X.
I'm in charge of all the schedule for the special S course comprehensive medical exams.
You know that, don't you?
No, I don't.
Look... Minami-kun, let me borrow this for a minute.
From the 22nd through the 24th, Kuga Sensei of the Liberal Democratic Party
has signed up for the special S course secret comprehensive medical checkup.
Double booking. It's definitely double booking.
- Oh, really? - What do you mean, "Oh, really"?
The entire Internal Medicine Team is on standby for the Kuga Sensei shift, and
there's no way we can deal with a regular patient...
let alone a special S course patient.
I should have dealt with her myself. I'm sorry.
You'd better pull yourself together.
If we can get through Kuga Sensei's medical exam without incident,
our hospital will gain prestige. You're the one who said that.
I'm terribly sorry.
- Can I go now? - Ah, seriously,
having our schedule thrown off due to just one surgeon's selfish reason
is a real inconvenience.
In the first place, a comprehensive medical checkup
for a patient of obscure background who didn't even come with a referral
- is something we can ill afford to accept. - I don't know what to say...
Listen. What if there's a problem?
- Problem like what? - A comprehensive medical exam is not covered by insurance.
Furthermore, our special S course is very expensive.
Can this person pay for it or not.
Ah... So that's what it's about.
- Please turn her down. - No, that won't do.
If word gets out that we turned down a patient after accepting her once,
who knows what kind of rumors will start flying.
It will impact the reputation of our hospital.
- Can I leave now? - Daimon Michiko.
You take responsibility as her guardian!
I'm not doing it.
You won't get away with "I'm not doing it," you know.
- Why not? - What will happen if
the raggedy wallet's owner, who you know nothing about,
doesn't pay for the special S course comprehensive medical exam?
What will happen?
Michiko, the guardian, will end up paying for it.
- That's what may happen. - What?!
Which means, in other words,
this Kanbara Doctor Referral Agency will end up paying.
The charge for that special S course comprehensive medical exam.
The special S course is awesome, isn't it?
What's the big deal about this special S course.
Just how awesome is it!
If it was meat, for example, it would be a full course meal of A5 rank Kobe wagyu steak.
What?!
A full-time concierge takes care of everything like at a hotel.
The room is a special private room.
Food is catered by a fancy restaurant.
There's no waiting time, and you won't ever run into other examinees.
Three days of being waited on hand and foot for a grand total of...
That's truly amazing.
What? I'm sorry.
Scary. Scary face.
Well, your rash behavior is what caused this, you know.
Resign yourself to it.
- What are you doing here? - Ah...
Well, she's a special S course guest after all.
I should introduce myself as the Surgery Department Chief.
I heard she's quite pretty.
Wow~. This service is indeed for a special S course guest.
Meals are catered by Joubert Robuchon.
Really? Misae is her name, huh?
Oh, come to think of it, the other day
she was intently following you with her eyes.
Oh, man...what do I do.
- What? - The thing is,
this happened many years ago, but back when I was at Onarimon Hospital,
the woman I saved by operating on her ulcers
had this same name, Misae.
But it's a story from the past.
And so that Misae...
Coming in.
Oh my goodness~. Saionji Sensei!
What a coincidence.
Long time no see~.
Nice to see you again...
Who would've thought we'd meet again like this...
You're still beautiful, as always.
- You know each other? - Yes.
Long time ago, we...
dated each other.
I didn't know you had a wife.
Oh, it's time for the conference.
Daimon-kun, that's what it is, so I'll leave the rest to you.
- Furin (affair)? - What are you talking about?
Furin, huh?
Purin (pudding),huh? Can't wait for dessert.
What is she thinking?
- Do you smoke? - I quit some time ago.
- What about alcohol? - Just a little bit of wine.
Everyone should do this once in a while.
I don't think it's an amount just anyone can afford...
- You're not asking, huh? - Pardon me?
In regards to the bombshell I dropped. About Saionji Sensei.
I have no interest in things like that.
Uh... Do you hurt anywhere?
Let's see...
I'm on my feet a lot so my back and lower back gets tight, but
it gets better right away, so it doesn't really bother me.
- Problems with constipation? - No.
You know, I have a pretty good eye for women.
Contrary to the way you look,
you actually don't have much experience with men, do you?
When was the last time you kissed?
- In 2 hours. - Huh?
Blood test.
I can't stand it anymore!
I'm just bored to death!
Ah~ I can't take it anymore!
All these back-to-back surgeries are killing me.
Oh my!
Demon-san looks all worn out from taking care of VIP-san.
- I wanna cut. - Huh?
No... Stop it! Stop it! Come on, don't!
- Excuse me. - Then let me cut.
Daimon Sensei, test results are in for Suyama Misae-san's special S course comprehensive medical exam.
All right~.
What's her problem...
This is...
What do you suppose...this is?
- MRI after this, please. - Huh? But...
Hey, hey, hey... Daimon Sensei, what are you doing?
CT.
This timeframe has already been reserved for Kuga Sensei of LDP.
- Isn't that right? - Yes...
- But she forced her way in... - This is urgent.
She isn't an emergency case nor a special patient. She's just here for a medical exam!
She could very well become an emergency case.
- I'd still like to see the MRI too. - That's why I'm telling you the MRI after this
- is reserved for Kuga Sensei... - Hurry up with the MRI!
- Yes! - Hey~!
Emergency Conference
I heard she's Saionji Sensei's mistress.
You mean his ex-girlfriend?
You mean his partner in adultery?
- What the heck is that? - It's huge.
I've never seen anything that big.
Could it possibly be pancreatic cancer?
That's a possibility, but...
It's too big. If it's pancreatic cancer.
If pancreatic cancer got to be this big,
it's often accompanied by pain. It would also interfere with the patient's daily life.
This will require inpatient treatment.
Daimon-kun. What do you deem this to be?
Daimon-kun!
I don't have a clue!
"I don't know" isn't going to cut it, you know.
I won't know until I get in there.
Here it comes. The let-me-operate plea.
- I'll do the surgery. - Excuse me?
From what I've seen, it may be a soft tissue tumor that grew.
That's right. It's a fact that Kitano Sensei's an authority on soft tissue tumors.
- But I'm her attending physician... - I've done 35 surgeries on soft tissue tumors.
What's the logic for not letting me perform the surgery?
Okay! Roger that. Roger that.
Let's have Kitano Sensei perform this surgery.
But you know, if this tumor did,
in fact, grow this big...
this clinical case would be unprecedented.
It may be the first case of its kind in the world.
It will be a wonderful selling point for Totei University Hospital.
Anyway, a surgery that would garner the attention of the world
has to be done by a doctor who's
officially affiliated with Totei University, don't you think?
- Gyoi. - Gyoi.
No. I'm going to do it.
Wait a minute.
- Saionji Sensei. - Yes?
So what's going on? Your relationship with your mistress.
Oh...huh? I'm mean, uh, that's...
You were having an affair, weren't you? With a patient.
I don't believe this is the place to discuss that...
Reckless behavior can prove fatal, you know.
Did you get it resolved?
Of course. That woman and I...
I mean...that patient and I, I swear to God,
have absolutely nothing to do with each other.
Now then...I have some business to attend to. If you'll excuse me now...
What about her feelings?
- Huh? - Something about the fact that
she chose our hospital to get a comprehensive medical exam
is somewhat disconcerting.
What? I just happened to find her wallet.
Including that, can't it be possible that everything was set up?
What? Which means what?
That this patient got hospitalized here at Totei University Hospital
with the intention of doing something?
Then what's her intention?
Uh, I... have no idea at all.
- Can I ask you a question? - Sure.
Was it before the surgery that you, how do I say,
dated, or got to know this Suyama-san? Or was it after?
Oh, that was... the latter, of course.
- Ah, is that right.... - Is that an issue?
No, no. I was just curious about the timeline, that's all.
Remember, I'm operating on her.
Scary~!
- The vindictiveness of a spurned woman? - What vindictiveness...
They probably just met again by chance.
Probably.
But from your perspective, Michiko, you felt something uneasy about this Misae-san, huh?
Kinda...
But it doesn't matter anymore. No use thinking about it.
I don't have a clue!
More importantly, what I find disconcerting is
the size of the tumor on the MRI.
- Yeah, that's right. - Pancreatic cancer,
soft tissue tumor, intraperitoneal abscess
- are highly unlikely. - Highly unlikely.
Say, how about leiomyosarcoma? A fairly big one.
I thought about that too, but
no evidence of ulcer or necrosis was observed, so
- it's highly unlikely. - Then what is it?
That means you have to wait until you get in there.
Ah... I sure wanted to operate on her.
- Then why don't you volunteer to be his assistant? - Heck no.
Who wants to assist a guy who speaks weird English like him.
Oh my God! Amazing!
Hello, everybody.
How you doing?
Now then, let's begin the distal pancreatectomy.
But I'm glad you volunteered to be my first assistant.
Thanks.
Scalpel.
Incision.
Monopolar.
How long has it been since you broke up?
I guess about 20 years...
20 years?!
It's like a woman you spurned 20 years ago refused to give up and
was waiting alone at a tavern for a man she knew would never come.
Wow. Now that's Showa (era). That's enka (Japanese style music).
Stop that!
?? "I'm still alone..."
Huh? What's this?
- No way... - This is...
Gossypiboma*.
* foreign object, such as a mass of cotton matrix or a sponge, that is left behind in a body cavity during an operation
Gossypiboma?!
Hey...
Gossypiboma.
Gossypiboma?!
Gossypiboma?
Isn't gossypiboma...
A mass caused by gauze in the body.
In other words, it means gauze was left behind in the abdomen during surgery.
Which means... medical error.
Close up!
Close her up right now. Close her up at once.
The surgery is canceled.
Then let's detach the mass from the transverse mesocolon.
Metzen.
I told you the surgery is canceled!
It's inoperable. Inoperable!
Inoperable?! Why? This is a simple procedure.
Stop grumbling, Daimon! Close her up right now!
That doesn't make any sense.
- Hey, get out of my way. - Get her out of here.
Get her out.
Hey... stop it. Hey!
Let go! No~!
Wait! I...
Hey... Why was it inoperable?
Removing a gossypiboma like that can be done easily!
- What? - Presumably...
this is supposed to be a trustworthy university hospital, right?
So what?
Maybe it doesn't matter to a carefree freelancer like you, but
this is an extremely delicate problem.
Excuse me?
The Surgery Department Chief at Totei University Hospital
left behind a gauze in a patient's abdomen.
Do you think it's something that can be publicized?
Surgery Team is to gather in the Director's office at once.
You really did it this time, Surgery Department Chief Saionji.
20 years ago, right?
But it's amazing how it lasted until now...
An unbelievable mistake.
Uh... Where's Daimon Sensei?
Gauze...was left behind?
Yes.
- In here? - In there.
From the surgery 20 years ago?
Was it you?
Apparently...it was.
What are you going to do?
Do a surgery and take it out.
I thought you and I were finished long time ago, but
looks like we were connected by a strange twist of fate.
You...went and told her?
- You told the patient herself?! - Yes.
Hey...come over here. Come over here. Over here.
Uh, this... What was your name?
- Oh, uh...it's Saionji. - Ah, Saionji-kun...
Saionji-kun forgot the gauze in your abdomen,
- is that what you told her? - So?
Demon...
- You're a part-timer, aren't you? - I'm a freelancer.
Don't argue with me about everything I say, seriously...
- More than likely, this is... - Huh?
- revenge. - Revenge?
Resenting the fact that she was spurned by Saionji Sensei in the past,
she found out about the existence of the gossypiboma when she got a physical somewhere,
capitalized on that and tried to blackmail...
Hey, listen...
Misae, who was a hostess at that time...
Um... She was a hostess? Where at?
- At Ginza, but... - Oh, really?
- What about it? - He was just curious.
I'm sorry. Please continue.
Misae, who was a hostess, failed in the management of
a cosmetic company she was running as a side business,
and got into a huge debt.
It's probably still haunting her.
Hence, by blackmailing me... I mean, Totei University Hospital,
I think she's trying to extort big money...!
- Oh my God, that's dreadful! - Hey, listen...
Look, we're working out a countermeasure right now!
- Please, be quiet, okay? - Gyoi...
- We need to operate ASAP!
I told you, for Totei University Hospital it's a grave matter...
It's a graver matter for the patient!
- I'll do the surgery. - Wait...
Wait a minute! Wait!
- Saionji Sensei! - Yes...
It's because you always look down on women that things like this happen.
Uh...um, that's...
For the time being,
I imposed a gag order on the hospital staff who knows.
There's only a handful of people here who knows the truth.
I appreciate your...thoughtfulness.
You think of everything, Deputy Director Kubo. Bikkuripon (what a surprise).
If you have time to stress over it,
the first thing you should do is be proactive and come up with countermeasures.
That should go without saying.
...What a clingy woman.
You're in a real fix, aren't you?
Is that right... So it was gossypiboma, eh?
But you sure left behind a helluva thing.
Furthermore, to the wrong person.
I feel your pain.
What a bad son you are.
There's Saionji Sensei.
- He was having an affair. - What a sleazeball, huh?
- He's really disgusting. - He's got some nerve.
Well, Chief Saionji got what he deserved, don't you think?
But who would've expected the past to come bite you at this late date, huh?
Yeah... it's certainly true that
from the image alone it looks like a tumor.
I guess back then, they were still using gauze that didn't show up on X-rays.
Being that it's been 20 years, there must be quite a bit of adhesion.
How the heck do you detach this?
Isn't this...
What?
What's wrong?
Hey~!
What? What's the matter?
It actually was inoperable...
Hey.
Insert contrast agent, please.
What's going on? Is it something bad?
Don't talk.
Different angle.
As a future measure,
foremost is to prevent this from leaking outside of the hospital at the very least.
Especially to the media.
Minami-kun, do you have any ideas?
Re-write the record to show that 20 years ago, the doctor who performed the surgery
wasn't Saionji Sensei but some other third party doctor.
Isn't that considered...falsification of data?
Isn't that a crime?
It's quite risky, but
in order to protect the reputation of Totei University Hospital, I believe we have no choice.
- No, we have no choice. - Indeed.
I never heard this conversation.
Continue the discussion after I leave.
- Hey! - I didn't call for you.
I didn't call for you, nor will I ever call for you.
- I want to perform an emergency surgery. - Huh?
If things remain as is, she's gonna die.
Emergency Conference
Take a look at this.
20 years ago at Onarimon Hospital, a doctor who was working there at the time
left behind a gauze during an ulcer surgery.
That was really a terrible thing you did.
And after 20 years,
it turned into gossypiboma... foreign-body granuloma
which has now attached itself to surrounding tissues and organ.
- We know that already. - We have a dire situation on hand.
What are you talking about?
The surgery to remove gossypiboma isn't that difficult in itself.
You even tried to proceed with it at that time too, remember?
That decision to stop the surgery...was correct.
Oh?
So you've finally come to understand the so called grownup's situation, huh?
You do have the ability to learn after all...
Shut up and listen.
If we had continued with the surgery at that time,
this patient may have died.
- What do you mean? - Take a look at this image.
The truth is, behind this gossypiboma,
there exists a pseudoaneurysm that could rupture any minute.
Right here. Gossypiboma is wrapped around hematoma (an abnormal collection of blood) outside of blood vessel.
In other words, at that time,
if we had tried to forcefully detach this gossypiboma,
the aneurysm would've ruptured at once and the patient would've bled to death.
This pseudoaneurysm
is believed to have been here for quite some time.
The fact that it hadn't ruptured until now is
because this gossypiboma attached and wrapped itself around it.
In other words, the gossypiboma ended up protecting the patient's life, huh?
Oh my God...!
It's too ironic...
Ah, is that right?
So thanks to...that gauze Saionji Sensei left behind,
I was able to avoid death until now?
Yeah... Well, that's probably it.
If I leave it alone,
I can continue to go about my daily life like before, right?
To go on living with the item he left behind.
Is that an option too?
No.
Knowing that gossypiboma exists
and not doing anything about it, that's not an option for me.
But...
if things don't go well, I could die, right?
That's not gonna happen either.
Because I never fail.
Then the surgery will be at 10 AM tomorrow as scheduled.
Please have this signed.
Surgery Consent Form
I've done a lot of reckless things until now, but
maybe I'm getting a chance to start all over again.
From now on, I intend to clean everything up.
That took a long time just to obtain an informed consent.
What were you talking about?
As her attending physician, I have the duty of confidentiality.
What did...she say?
That she intends to clean up everything.
Clean up everything...
While detaching the gossypiboma that's attached itself,
reconstruct the blood vessel without rupturing the aneurysm...
That's a difficult task...
But don't you think
the least Chief Saionji could do is help out as an assistant?
I refuse to have anything to do with immoral people.
What's immoral... It's a matter of concern as a human being, isn't it?
- Operation room is all ready. - Okie doke.
Under epidural and general anesthesia,
vitals are stable.
We will now begin tumor mass removal and
artificial blood vessel replacement surgery of the abdominal aorta.
Mosquito.
Forceps.
Detaching the tumor mass from transverse mesocolon. Lower the loupe, please.
Excuse me.
Metzen.
- Saionji Sensei. - Y-yes...
Isn't this what you're really thinking?
Pardon me?
Daimon Michiko, fail.
But you know... as frustrating as it is,
she never fails, to the point you almost hate her,
that damn Daimon Michiko!
What's up with that, huh?
Misae
is saying she's going to clean everything up.
What?
More than likely, after she's released, she's going to turn me in...
That's a terrifying thought!
Everything will be made public...
That's not good! That's definitely not good!
- What? - Please help me.
- What? What? - I beg you.
This can only be resolved now with money!
...you mean hush money?
Please... Please! Somehow...
somehow won't you loan me a sizable amount of money!
Hey, hey, hey, hey! What the heck...!
I beg you! Please!
Hey. Looks like the surgery's over.
Gossypiboma removed. Replacing with artificial blood vessel.
Look at her...
That Daimon Michiko, so full of confidence!
We won't have to worry about the aortic aneurysm rupturing anymore.
Done.
Vitals, 111 and 76, NSR.
This is just the beginning.
- Good job. - Good job.
Good job.
5 million yen...
Oh...hello.
Hello.
- Uh... I heard you were going home today. - Yeah.
Uh... I apologize if I sound extremely rude, but
about what happened this time...
You're just the person I wanted to see.
In fact, I was going to go look for you.
Oh...huh? Here...
20 million yen?!
Actually, I've been nominated by the ruling party
to run in Tokyo's next gubernatorial election.
Ah, gubernatorial election... Gubernatorial election?! Wait...
Actually, I rebuilt my business after I was dumped by you.
I established a strong connection with the political world.
- Oh, is that right! - That's why
this is hush money.
What?
I want you to keep quiet about the fact that I was your mistress in the past.
Anyway... It's a rare opportunity and
I thought I'd become Tokyo's governor and clean up everything in the world.
Clean up everything...
It's a crucial period for me from now on.
It's not good for skeletons to be found in the closet.
- You understand, don't you? - Y-y-yes...sure.
I don't want to get tripped up by a scandal
with a nobody from the past.
A nobody?!
Yes...
Were you perhaps under the impression that
women who were spurned by men all lead a miserable life?
Anyway, it would be wise to forget about a thing you left behind somewhere.
But...should that become a bother now,
you've got to get rid of it.
So long. Good bye.
Hey...wait...
H-hey! H-hey!
Wait...! H-h-hey...! Hey!
A nobody!
20 million...
She actually paid you hush money?
Yes...
I sure got dissed.
That can't be helped though, huh?
- What~? - What do you mean "What"...
This is hush money, right?
- It's me... - No, no.
- It's me who need to keep quiet, right? - That's not...
Stop, please.
Hi!
Thankfully, because you found this,
I was able to get refreshed both mentally and physically.
While I was at it, I was also able to dispose of my bothersome past.
What a relief!
That's a lie, isn't it?
Weren't you treasuring that old wallet all this time?
What?
Because it was a present from him.
Sorry. I took a look inside when I found that wallet.
Oh well, it doesn't matter to me either way.
This is the story of a lone wolf woman doctor.
For example, this woman.
Averse to groups, averse to authority, averse to constraints,
a medical specialist's license and her self-honed skill
are her only weapons.
Melon for you.
Invoice for you.
W-w-w-wait...! What's this 25 million yen?
80 percent of the invoice this time
is considered hush money in regards to Saionji Sensei.
- That's true, but... - Oh?
Underneath this is... Excuse me for a minute.
Oh, my! You're so well prepared.
Are you, by chance... clairvoyant?
Oh, you are...
A great success~!
Surgeon Daimon Michiko.
Also known as
Doctor X.
If they're at the same time, I can't work on both of them.
I'm a beauty expert.
If you don't lose weight, it's the end of Yotsuba Sisters.
It's not because I have great expectation of your skill that I called for you.
Assistants shouldn't pick fights with surgeons!
Even as an assistant, I never fail.
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