Original subtitles

10 years ago,

the one who destroyed Daimon Michiko's father's clinic...

wasn't me.

"Physician Referral Agency Kanbara"

- Ron! - Wah~ I lost again.

Who can it be at this hour?

But you sure suck.

Anything besides surgery, right?

Come on, Akira-san.

I'll do lots of surgeries this month, so lend me money~.

Michiko, watch your manners. You have a visitor.

Thank you.

Micchan, long time no see.

Have you forgotten this face?

I guess we haven't met since you went to med school.

I'm the tofu shop owner.

Musaka-san, the tofu man?

- No time no see~! - Micchan!

How did you know where to find me?

When I heard you succeeded your father and became a distinguished surgeon,

I had to come see you.

I'm sorry for interrupting your game. Please continue.

- Are you sure? - Just one more game, so

wait for me.

Micchan, I wouldn't do that if I were you.

- Really? - If you must, this one here.

Excuse me, but can the outsider please keep quiet?

Sorry, I wasn't thinking.

While saying I wasn't thinking...

Ron!

Look, look, look...! Kokushimusou! (super special combination)

Hey, what an upset win!

She sure did us in...

First time I ever got such a good hand! Thanks, Musaka-san!

Aw, this is nothing.

Thanks to Micchan's father, I'm still alive.

- Huh? - Then

were you a patient at the old Daimon Clinic?

Yes. Micchan's father operated on

my liver cancer 10 years ago and saved my life.

But shortly after that, he passed away.

I wanted to say a word of thanks to Micchan

for the care her father gave me at that time.

Thank you. Bye then.

Are you leaving already?

I got to see you, Micchan. I'm satisfied.

- Take care then. - Wait...

Musaka-san, are you all right?

I just got a little dizzy, I'm fine.

- Are you sure? - Yes. Thanks.

Please, it's nothing!

How can this be nothing? This is Musaka-san's, isn't it?

No...

Excuse me...

Don't worry. They may not look it, but they're all doctors.

Doctors?

y-GTP 250. Bilirubin level 3.0.

- Liver function numbers are extremely bad... - Porta hepatis...

What's your diagnosis, Akira-san?

A 6 cm tumor on the bile duct at porta hepatis.

It's possible the liver cancer from 10 years ago metastasized.

But a cure is possible if he gets surgery immediately.

But he favors Tanaka.

I don't think he'll switch sides so easily.

Anyway, handle this matter with discretion.

We'll talk again later.

Professor Busujima, you called?

I have to be at the main hospital for a while.

I'm appointing you the Acting Director.

Pardon me?

The director and professor's race at the main hospital is coming up,

so Professor Busujima's very busy.

I'm appointed the Acting Director...

I will do my utmost best.

The car from the main hospital is here to pick you up.

All right.

- I'm counting on you then. - Gyoi.

- Gyoi. - Gyoi.

Hello, Professor Torii's office.

Hello, Okumura-kun?

Professor. Did something happen?

Where do you think I'm calling from?

From the Director's desk?! Fantastic!

Oh, it's time for the Director's rounds.

Director's rounds. Talk to you later.

Professor Torii

will now begin the Acting Director's rounds.

Acting Director's rounds?

Does that mean Professor Torii's the next director?

It's not that simple.

Someone may be coming from the main hospital.

Besides, Professor's research hasn't been going too well lately.

Professor Torii? Professor Torii.

You should stick out your chest a little bit more.

You'll appear more dignified that way.

Very nice.

Oh, excuse me. I'm sorry.

He's acting like he's already the director, but...

He's acting like he's already the director, but is he going to be okay?

Look, even his secretary Okumura-kun is here.

He probably called her to show her his moment of triumph in the procession.

What is it, Daimon-kun?

There's a patient who needs to be admitted immediately.

Those matters should be discussed with the Office Manager.

I'm busy with the Director's rounds. Get out of my way..

- Office Manager, please. - No more new patients.

All the beds in the hospital are occupied now.

You always have a spare room, don't you?

That's out of the question.

That room's for emergency VIP patients. Ordinary patients can't use it.

Anyway, I'm begging you! If we don't operate right away,

- it'll be too late. - Anyway, the answer is no.

- You'll have to look elsewhere. - Gyoi.

This is the story of a lone wolf woman doctor.

University hospitals' medical offices were losing power, and

even medicine, which deals with life and death,

plunged into an era where the law of jungle prevailed.

- Recovery is progressing very well. - That's good news.

He's scheduled to be released next Tuesday.

I can't...

To fill the critical shortage in the medical field,

freelance,

in other words 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.

Hello.

Director Busujima. Do you remember a patient by the name of Musaka Motohiko?

Musaka? I'm not sure...

The patient you left to die 10 years ago.

He was refused hospitalization and surgery by you, the Surgery Chief at the time,

and ended up getting surgery at Daimon Clinic.

As a result, he lived in good health for 10 years, but

one month ago, a tumor was found in porta hepatis...

That's unfortunate.

So? What do you want me to do?

Surely, you won't leave him to die

a second time, will you?

Musaka-sama, this way please!

What a splendid room...

Come in, come in.

You should've told me sooner that he's Director's special patient.

Seriously, you are so dense.

Musaka-sama, if there's anything you need,

please don't hesitate to tell us.

- Please. - Thank you very much.

If you'll excuse me.

Micchan, this room is too nice for me.

I know I'm gonna die anyway.

We won't know that until we test you, do we?

I was told at every hospital that it was inoperable.

Since my wife passed away 3 years ago, and

I got to see Micchan again, I can die without any regrets.

Just hurry up and get ready and go to the lab.

Making the Director's rounds must have been tiring.

It's great being the Director. Look at all this stuff I got.

I love these chocolates!

One box costs 10,000 yen, you know.

- Can I open it? - Sure, go ahead.

Morimoto-kun, you may go now.

Share that with the medical staff.

- Thank you! - Thanks for your help.

Thank you. Excuse me.

When you were leading the procession,

you looked wonderful.

I wish Director Busujima didn't have to come back.

Hey, now.

That's okay. I'll get it.

Hello?

Yes.

I did it...! I finally did it...!

Professor?

That was the international conference selection committee . My research paper was selected.

I'll get to present it in Paris!

Congratulations!

Luck is finally coming my way.

Professor~!

I'll check on that immediately.

It's about Musuka-san who was admitted to the special room.

What is it suddenly? You should at least knock.

I'd like to operate on him immediately. Please schedule him for surgery.

- The patient you mentioned this morning? - Yes.

If he's your patient, I'll leave it to you. Do as you please.

Thank you.

Professor Torii, I have the results of the retest from the other day.

Leave it there. I'll take a look later.

But...

It's gonna get busy!

Excuse me.

It won't take long. Please stay still,.

Attention, everyone.

My "K-RAS Genetic Mutation" was

selected from among countless research papers.

I'll be presenting it at the international conference in Paris next month.

Professor, you did it!

Congratulations!

Thank you, thank you. Thank you.

However, we can't let our guard down yet. The conference is only a month away.

I'll have to devote myself to the research paper.

Any of you who have free time, please cooperate.

Yes, Professor! we'll be happy to help you!

Professor, I wish I could help you, but...

Kaji-kun, you're busy with surgeries. The rest of you, please help.

I'm not doing it.

I know that. But you'll regret not helping.

This will be a historical presentation that may open a new door to genetic medicine.

Talk you later.

He's on top of the world.

If he succeeds, forget about the Director of a satellite hospital,

he might get a big promotion to the main hospital.

I don't know, he's pretty meek.

I bet he's taking his mistress to Paris too.

What? Mistress?

I know don't how he keeps it from his wife.

I'm sure she's known for a long time ago.

Right about now, I bet his wife's gathering evidence to

take him to the cleaners after the divorce.

It sounds real coming from you who's gone through a divorce.

Uh...Who's this mistress?

You moron! The whole hospital knows.

- Do you know too? - Of course.

What?! Who's the mistress?

Oh, it's time to collect blood.

Daimon Sen...

You're not interested in something like this, are you?

Nope.

But I know.

What?! How can even Daimon Sensei know!

They were embracing earlier.

Yuck!

Who was he embracing? I'm a member of the medical staff too.

- Please tell me! - You're annoying.

Why don't you go help out with the research paper?

Morimoto-kun, let's go!

Are you eyeing the gratuity from a VIP again?

Who's this Musaka-san in the special room?

Tycoon? Investor?

- Owner of tofu shop. - Surely you jest...

If it permeates the hepatic artery, it could be bad...

We have to hurry.

- Yes. - This is Shiraki from Radiation.

Professor, have you had a chance to look at the test results?

Oh, that. No, I've been too busy, I forgot about it.

Please look at it right away. And get a CT scan immediately.

Please.

I'm back~.

Professor, for your late night snack,

I bought you Stamina Moo Moo Bento.

And to keep the tea hot...

I kept it here.

- Here. - Thanks.

You can go home first today.

It got cold suddenly, didn't it?

It must be even colder in Paris.

I'll have to buy a new coat.

Okumura-kun.

I'll buy you a new coat.

I can't wait.

- But... - Yes?

I may not be able to go to Paris.

What are you talking about!

Don't worry. I'm sure you can finish your research paper.

Build up your stamina, and hang in there.

Moo, moo.

CA19-9 is 135.

CEA, 25.

It can't be... malignant...?

Hello.

Yeah, I'll be late again tonight. Yeah.

What? Kentaro's grades went down again?

No... I still have work to do today.

All right. You can tell me tomorrow.

- I told you I'm working! - Knock it off!

This is...

Hilar bile duct cancer.

The tumor is approximately 3 cm.

I'd say Stage II.

Is it more advanced?

I can't believe this. I don't even have any symptoms...

You're always telling your patients yourself that

liver and bile ducts are silent organs.

Please have surgery as soon as possible.

You've got to be kidding! Not at an important time like this.

Professor...

Shiraki-kun, don't tell anyone about this.

Please!

We will now begin this week's pre-surgery conference.

First case. Musaka Motohiko-san, 62 years old.

10 years ago, he had surgery to remove liver cancer. There was no relapse, but

1 month ago, a tumor was found in the area of porta hepatis.

Test results confirmed a 6 cm tumor.

Pre-surgery diagnosis is stage 3 hilar bile duct cancer.

From the image, preservation of the portal vein is...

Hilar bile duct cancer.

It's believed there's quite a bit of adhesion as well.

Professor Torii.

Professor Torii?

- Have you decided on the primary surgeon? - Huh?

I'll be the primary surgeon.

I have the Professor's permission already.

Wait a minute.

Resection of hilar bile duct cancer is dangerous unless it's done by an experienced surgeon.

Professor, I'll perform the surgery.

This patient is Director's special patient.

There will be trouble if anything happens to him.

I think we should go with

Kaji Sensei, who has a lot of experience...

Yes...you're right. Let's have Kaji-kun do it.

Why? That's not what you told me.

You said you'd leave it to me, didn't you?

Yes. But Daimon-kun...

Oh, no. This is...not good.

Even I can't cut this.

Preoperative diagnosis is extremely difficult for hilar bile duct cancer.

Speaking from my experience,

this is impossible to remove.

Impossible to remove...?

Even Kaji Sensei can't do it?

Hilar bile duct cancer is

the most difficult surgery among gastrointestinal cancer,

since you have to cut into the porta hepatis area where

bile duct, portal vein, hepatic artery are intricately intertwined.

In this patient's case, it's too far advanced in the area.

Liver function is poor and his general condition is not good.

The only thing we can do is treat him without surgery and prolong his life.

Why can't you operate on him? It can be done.

Daimon-kun, can you do it?

Yes. I can do it.

- Are you serious? - I'm serious.

It's a major surgery lasting more than 12 hours involving hepatectomy,

bile duct excision, and lymph node dissection. The patient can't endure it.

He'll bleed to death during surgery.

Hey, why are you pretending to be asleep?

Resection of the right liver lobe, the bile duct,

and the caudate lobe.

And then detach the bile duct cancer from the portal vein and hepatic artery

and cut it off just before it enters the liver.

After that, connect the intrahepatic bile duct...

It may take Kaji Sensei 12 hours, but

- I can do it in 6 hours. - What?

I'm fast. Furthermore, I never fail.

The high regard you have for yourself is abnormal! This patient's gonna die.

If we don't do anything, he'll die.

- No, he'll die if you operate on him. - I'll save him by operating on him.

- I'm telling you resection is impossible! - No,

No, it's not impossible.

Professor, please talk to her.

Daimon-kun, is it really possible?

- Yes. - And you won't fail either.

That's right.

Perform the surgery.

Professor!

You can leave it to me.

You can't be serious.

Professor's usually so cautious... What happened to him today?

Now then, the primary surgeon for

this procedure will be Daimon Sensei.

Continuing on with the next case...

Musaka-san, the date of your surgery has been decided.

The day after tomorrow. Daimon Sensei will be your primary surgeon.

I'm Morimoto, her assistant. Pleased to meet you.

Micchan, are you really operating on me?

Micchan. At every hospital I went,

I was told it was inoperable and they gave up on me.

But can you really operate on my cancer?

Yes. I won't fail either.

Does that mean I can live?

Micchan, you're Daimon Sensei's daughter after all.

Thank you.

Thank you.

- Raise your head! - Thank you...

Daimon Sensei, is your father a surgeon too?

- I don't engage in that kind of small talk. - Let me change the question then.

Did you used to be called Micchan?

That's cute. From now on,

is it okay if I call you Micchan Sensei?

Hey, let me see the images again.

- Are these Musaka-san's? - Yes, they are.

Let me show you more detailed ones.

Yes, these are Musaka-san's... Huh?

Then whose were those?

They're not Musaka-san's, are they?

Does that mean there's another patient with a severe case of hilar bile duct cancer?

No, there isn't. I told you, they're Musaka-san's.

Those are definitely someone else's.

If it's not a patient...

What are you mumbling about?

Michiko, you're operating on Musaka-san, aren't you?

I've done that surgery too, but it's a tough one.

You're on your feet for more than 10 hours without eating or drinking.

-You can't even go to the bathroom... - There's one more person

There's one more person I have to operate on.

Professor, you don't look well.

Are you working too hard on your paper?

If you push yourself too hard, you'll make yourself ill.

You have to unwind once in a while.

You're right. How about living it up at Ginza tonight, huh?

Professor Torii, this is terrible!

I just heard an unbelievable rumor!

Busujima...Director Busujima's trying to bring Professor Hijikata

from the main hospital to this Surgery Department 2!

- What? - Please come with me!

Run! Run, run! Run!

Hijikata's that guy who became a professor at Chicago Medical University

at the age of 38 and returned home to a hero's welcome, right?

He's the star of Teito Medical University.

If that Professor Hijikata's coming to Surgery Department 2....

What the heck is Director Busujima thinking...

Torii-kun must've heard by now that

Hijikata-kun's coming to the Third Hospital.

Isn't that a good thing?

It would be a good stimulus for Torii-kun too.

Let's have him work like mad in preparation for the international conference.

Research and papers are the only things he's got going for him.

He sure doesn't have a knack for surgery or politics.

What are you planning to do?

I think it's best to have him

have a friendly competition with Hijikata-kun.

If he doesn't make it,

there are other satellite hospitals in the rural area where business is slow.

He can take it easy and do his research there.

He more or less destroyed Daimon Clinic, didn't he?

I guess.

He rejected all patients who were referred by Daimon Clinic,

and wouldn't allow them to be hospitalized or have surgery.

A private practitioner cut off by University hospital is pretty pathetic,

What made him turn against the clinic to that extreme?

When Busujima was running for Surgery Chief...you know, he needed money, right?

He raised funds from all over the place, and

he approached Daimon Clinic, who was his classmate.

However, Daimon Sensei refused.

Because he saw through Busujima's character as a surgeon.

Busujima, who became the Surgery Chief, bore a grudge against him for that, and

he put pressure on other affiliated hospitals as well.

That asshole, Busujima!

Akira-san, how do you know all this?

We were classmates at medical school.

Riichi.

You were classmates with Michiko's father and Busujima too?

Busujima loved power since he was a member of the medical staff.

I love money. Daimon Hiroshi was the only genuine doctor.

Saddled with the clinic's debt, Michiko had it tough too.

That's why I took over her debt for her.

Ron!

So why did Akira-san quit surgery?

That's a secret.

Morimoto Sensei, Musaka-san in the special room...

Sensei!

Musaka-san, are you all right! Musaka-san!

Musaka-san, are you all right? Excuse me, I'm opening your gown.

- Hello. - Daimon Sensei, please come right away.

Musaka-san's condition took a sudden turn.

He has impaired consciousness. His hands are trembling.

Micchan, what's the matter? You look so serious.

Morimoto, what's going on?

Oh...uh...

Didn't you say his consciousness was fading?

- It was for a while, but... - Micchan, that's the truth.

When Morimoto Sensei came, I felt relieved and it went away.

- Be quiet for a minute. - But it's true...

So since you're here anyway, let's have some fun.

- I'll go pour some tea. - Thanks.

You had surgery done at a clinic?

Yes. I don't know why, but I couldn't get treatment at the university hospital.

Daimon Sensei himself took the scalpel and removed the cancer.

And this time, his daughter Micchan...

Micchan Sensei fought hard for you

- at the conference too. - Is that right? Thanks.

You gave me strength to live when you said you'd operate on me.

Even before getting the surgery, I feel all better

as if the cancer disappeared.

Take it easy tomorrow and go to sleep as early as possible.

If you feel your consciousness fading, call the nurse immediately.

She's as unsociable as ever, isn't she. She took after her father.

But she's actually really good... Ah, yes.

- Someone's coming. - Oh, no.

Musaka-san?

Musaka-san...?

What are you doing?

Not you too, Daimon Sensei!

Won't you join us too?

Okay, here we go.

I can't get a match at all.

I'm gonna turn things around big time.

I got a match!

Daimon Sensei. Daimon Sensei!

ER called. An accident patient with external injuries on the left chest and

the abdominal area needs emergency surgery.

Bruising on the left lung, damage to multiple organs including left kidney and spleen.

He's in hemorrhagic shock. Even after administering catecholamine,

blood pressure is barely 60!

Scalpel.

The left splenic artery is ruptured and bleeding heavily. We will repair it.

Lower the loupe, please.

8/0 nylon.

Sweat.

There's a crack in the spleen.

But in this case, pressure hemostasis should work.

- Prepare to administer hemostatic. - Please bring the hemostatic drug.

Gauze.

Excuse me.

Musaka-san, good morning. How are you feeling?

Please don't tell anyone about night.

I'll be reprimanded. Please don't say anything.

Musaka-san?

The left kidney is severely damaged.

- Hemostasis is difficult. Remove the left kidney. Got it.

Curved kelly.

How's the blood pressure?

It's improving with transfusion. 90 over 50.

We did everything we could, but...

I heard that patient of yours

was laughing in good spirits last night?

Hey, say something.

I'm angry and frustrated with myself.

If I had operated on him 3 days sooner, he would've survived...

I'm angry and frustrated with myself.

All surgeons experience that sort of thing...

- You should be used to it by now, huh? - No, I'm not used to it.

I'm angry and frustrated with myself.

I don't like sick people.

What do you mean?

Then why did you decide to be a doctor?

I decided to be a surgeon because I don't like sick people.

I want to operate on them and save them no matter what.

Somewhere in this hospital,

there's a patient with the same cancer as Musaka-san.

What...? Wait a minute!

Professor! I got this much ready for your research paper.

Director.

Sorry for interrupting your work on your paper.

So...did anything happen during my absence?

Please rest assured. Professor Torii

did a fine job as acting director.

Is that right? I'm glad to hear that.

Gyoi.

- Director... - Yes?

Is it true that Hijikata-kun's coming to this hospital?

Yes. Ah, come to think of it, he was once

your assistant, wasn't he?

He's young but outstanding, so I decided to bring him.

So you're bringing him here?

We don't need two professors in Surgery Department 2.

I served the Third Hospital to the best of my ability.

I worked hard for this hospital,

bringing in more patients and training an outstanding medical staff.

In addition, my research paper received high praise at the conference,

and I flatter myself that I raised the value of the hospital.

I know that.

However, in order to further increase the number of patients and

for the hospital to rise in the ranks and survive in times like this,

we also need a star like Hijikata-kun.

It's true my sole interest lies in research and I'm not flashy.

But a professor's worth shouldn't be determined by

superficial things such as

star quality and having worldly-wise ways.

- Torii-kun! - I will not give up the Surgery Chief's seat.

The international conference is right around the corner.

I'll achieve huge success in Paris and protect my Surgery Chief's position.

No matter what it takes!

Surgery Chief's position? International Conference?

Now's not the time to be talking about stuff like that.

Daimon-san, we're discussing complex matters.

- Refrain from... - If we don't hurry,

the damage will be irreversible.

Like Musaka-san.

- Like Musaka-san? - What are you talking about?

Surely you're not saying Professor Torii...

Indeed, I have absolutely no idea what you're talking about.

Professor Torii.

Like Musaka-san, you have

hilar bile duct cancer, don't you?

Surgery Chief's position or your life.

Which one are you going to choose?

Is what she said true?

It's just a false allegation.

It's nothing but nonsense.

At an important time like this, right before the international conference,

what kind of nonsense are you bringing up!

But...even if it was true,

this is not the place to talk about it!

You're getting yourself in trouble here!

Director, as you can see, I'm perfectly healthy.

Please believe me.

Please don't...cast me aside.

Daimon-kun.

You've made a cancer patient out of Torii-kun in front of everyone.

What for?

Do you want to bring him down!

Are you stupid or what?

It's because we don't have a moment to spare, of course!

Professor Torii...

let me operate on you.

I won't fail.