All language subtitles for A.Lone.Scalpel.2010.JAPANESE.WEBRip.x264-VXT.

So here you are.

The nurse who was working
with your mom when it happened...

said she never dreamt
it was a heart attack.

Sometimes, it starts with
just a stomach ache.

Is that so?

But still, having a heart attack
while at work at her clinic...

and then dying in an ambulance...

that's awful!

Mom always got
the short end of the stick.

That's not true.

She took a lot of pride in herwork.

She did? When?

Sure she did.

I wanted her to come to Tokyo
to work at my hospital.

It would have been easierfor her.

And now this...

what a joke.

Have you contacted yourfather?

I don't see the reason to.

It was always just Mom and me.

- So why bother?
- Maybe you're right.

We'd better head back.

Thank you.

I'm all right.

- Thanks.
- Thank you.

How long will you be here?

I'll get what I need,
then I'll be heading back.

They keep new doctors busy.

Well, best of luck then.

You were her pride and joy, Kohei.

A Lone Scalpel

You, too.
Thanks for everything, Teacher.

Another operation went wrong today.

I'm sick to death of nursing.

- Coopers.
- Yes.

I've been assigned to surgery duties
right after I came back to work.

After six months, I'm still not used to it.

Suction!

- Gauze!
- Yes.

Gauze!

Wipe me off! My glasses!

- Here.
- Peans.

- Peans! Quick!
- Yes.

Gently!

Where is it?

Here?

Gauze! More gauze!
Oxycell! The whole bottle!

Aoki? Find the dam bleeding!
Ready blood!

- Hurry it up! Suction. Suction!
- Yes...

The patient, stuffed with gauze,
was sent to Keiyo University Hospital.

The family wasn't told
what had happened.

They believed the doctor's words
that a small hospital has its limits...

that they should send
the patient to a hospital in Tokyo.

Another operation
that didn't fix anything.

The doctor said he'll be fine
after they re-operate on him.

I handled the scissors and forceps
that damaged the blood vessels.

I helped to harm the patient.

I'm an accomplice.

Hello?

Poor Kohei...

he's always the last one left.

I'm sorry.

Let's go.

I'm just a viewer...

but when do we get back
to regular programs?

Where are the kids' shows?
I want to see the cartoons.

I wanted to be a housewife...

and now I work in a sea of blood.

1989 will be Year 1 of "Heisei,"
the "Era of Peace Everywhere."

A new emperor, a new era,
but my life goes on as before.

This diary is my only confidant.

Sazanami Municipal Hospital

Those instruments are delicate
and expensive.

Don't throw them around like that.

This is a staff-only area.

My name's Touma. I'm starting work
tomorrow. Nice to meet you.

"What a jerk."

That was my first impression of Dr. Touma.

We were intending to make you
Chief Surgeon...

but Dr. Nomoto is from
Keiyo University Hospital...

and they want him
to remain in that position.

- Just tell them no.
- Mayor.

We have twenty doctors
who are from Keiyo here.

- We can't offend them.
- Nonsense.

- We can't offend them.
- Nonsense.
All you think about is face!

All you think about is face!

I want this municipal hospital
to be the kind of place...

that attracts the best doctors!

That's why we've had Dr. Touma
come all the way here!

If that's the case, I don't mind
not being Chief Surgeon.

No, we can't have that.

Not after Prof Hajima has introduced you...

Excuse me. Sir, the ambulance says
no other hospital will take the patient.

- All right.
- What's wrong?

It's the Onizuka Clinic.
The son and heir again.

What he thought was an appendix
was intemal bleeding.

- He sewed him up and sent him here.
- So what now?

If Dr. Aoki can't handle it,
we'll have to send him to Keiyo.

How long will to get there?

- About ninety minutes.
- That's risky.

The trip could make the bleeding worse.

And they won't operate on him right away.

Let's play it safe.
Let's send him straight there.

If he dies, well, his time is up.

I'll see him.

We can't let him die just to play safe.

There...

The hepatoma's ruptured.

What's ruptured? It's not his appendix?

It's not appendicitis.

A tumor on your husband's liver
has ruptured

A tumor? Ruptured? Honey!

Mrs. Hamano...! Please calm down.

Can you embolize here?

We don't have those catheters here.

Blood pressure?

Eighty overforty. Pulse 120.

It's fallen since he got here.

Is Keiyo the closest place
they can do TAE?

That's right.

Ninety minutes is too risky.

We'll have to open him up.

- You mean...
- We have to operate

- Operate?
- Get everyone ready.

Honey!

It wasn't my day.

That jerk suddenly wanted to operate.

Why did old man Hamano
pick today of all days?

Towel forceps.

Shall we?

Do you have Fogarty forceps?

Sorry?

We're not that specialized.

Well, then get me...

a Nelaton catheter and cotton tape.

Yes, Doctor.

Mrs. Nakamura, a gown...

Oh, sorry.

Vitals?

Blood pressure falling.

Let's hurry.

Pardon.

Help me.

Ready?

Yes.

Here we go...

- Scalpel.
- Yes.

That was the first scalpel
I gave to Dr. Touma.

Gosh, that's bad!

Coopers.

- Expose the porta hepatis.
- Yes.

- Like this?
- Wider.

Ligature forceps.

Cotton tape.

Peans.

Tying off.

Time that, please.
And get a vessel loop ready.

Yes, Doctor.

It stopped!

It's temporary.

We'll clamp the right hepatic artery.

Tweezers.

Coopers.

In his hands, the Coopers
were like a different instrument...

than in Dr. Nomoto's hands.

Vessel loop.

Clamp a mosquito on it.

Yes, Doctor. I'm sorry.

Here.

Don't rush.

It's for him.

Mosquito.

Bulldog forceps.

Tie-off time?

Seven minutes.

Sorry, 6:54.

Okay. Untying.

It's stopped.

It didn't take ten minutes.

It was like magic.

Looks like the pressure is off, huh?

- Let's send him to Keiyo.
- No.

How's his pressure?

100 over sixty. Stable.

Let's go for it.

Go for it?

Let's take out the right hepatic lobe.

It will bleed again
and spread the cancer.

Let's get it while he's open.

Wait a minute. A liver resection?

We send big operations to Keiyo.
That's standard practice.

- Standard practice?
- Yes.

You'll let that stop you?

Let's do it.

Dr. Touma studied organ transplants
in Pittsburgh.

But Yano and I have never done
a liver resection before.

Just tie the sutures tight.

We'll take it slow.

Yes.

Yes.

The large blood vessels in the liver
could hemorrhage at any time.

We all watched anxiously as
Dr. Touma performed the operation.

Sorry.

Three millimeter suture.

Three millimeter suture.

- Grab it.
- Sorry.

Tie it.

Metzenbaums.

Sorry.

Fifteen minutes.

Restart circulation forfive minutes.

Untying.

- Hold gauze on it.
- Gauze.

Deeper in.

Aspirate.

Are we all right?

We're fine.

So we can do this.

It's the patient in front of you
who matters during surgery.

Not standard practice.

Yes.

Metzenbaums.

- Stitches holding?
- Yes.

Removing specimen.

With precise, unwasted motions...

old man Hamano was pulled back
from the brink of death.

That's all the tumor out?

Yes.

I'd never thought surgery
could be so beautiful.

The feeling I had when I was
first capped as a nurse...

rose in me again.

Old man Hamano
had his appendix out?

It wasn't his appendix.

The operation took five hours.

But he's fine.

It went well?

- He's a tough old bird.
- He'd better be!

The Hamanoya keeps us in business!

That's true.

- What do you want to eat?
- Bluefin.

Now that's a lad who knows his fish!

You're a fisherman's grandson for sure!

- Hi.
- Oh, hello!

I'll make supper tonight.

Today, we saved a life
we wouldn't have saved before.

The excitement of that
stayed with me for weeks.

Dr. Touma? Well done!

The Mayor's delighted with
your operation on Mr. Hamano

It's a bright new dawn!

Shimada you found a better doctor
than we ever dreamt!

Make him Chief Surgeon.

But what about Keiyo?

Make two departments.

Keiyo can't complain
if he's head of Surgery Two.

Surgery Two?

Well?

- Well?
- It's a good idea.

Dr. Touma, if you would be kind...

This is a municipal hospital,
so City Hall sets the terms of employment.

It's salary plus fees...

You can handle that.

Fine.

- But I have one request.
- Yes?

I knowwe're out in the sticks...

but can we stop saying that
someone's "time is up?"

- Sorry?
- It's not nice.

Mikado.

- Mabuhay!
- Cheers!

Aoki.

I heard you've been telling everyone
about that "Pittsburgh" operation.

- You'd ratherwork for him than me?
- No.

- Liar!
- Well...

I saw Dr. Touma's resume.
He moved around a lot.

Maybe it's because he causes problems
wherever he goes.

You think so?

I get that impression.

Aoki.

A good dog gets to wear a nice collar.

Yours says "Keiyo University,"
so take good care of it.

I will.

Good night.

The Keiyo doctors here
are all bad-mouthing Dr. Touma.

Why?

Because of him, people think
we can cure everything here.

Face matters more to them
than their patients.

They want to stay out of trouble.

That's disgusting.

If they have no fatalities,
they can move to a bigger hospital.

They like things to be kept cool.

So when someone like Dr. Touma
tums up the heat...

they get bumt.

Doctor, we're ready.

Dr. Touma?

Miss Oka, put on the second tape
from the right in the top row.

Music? In an operation?

Yes.

Please.

"Duty Surgeon: Tetsuhiko Touma"

People are saying great things
about that doctor you found.

Yes.

But he's a bit eccentric,
so I don't knowwhat to make of him.

He talks to me like I'm a patient too.

And you love it.

- I do?
- Yes.

You like this new doctor.

I guess so.

Here's your dad's medicine.

Thank you.

By the way, does arranged marriage
interest you?

Arranged marriage? Why?

Your dad asked me to set something up.

He did?

I'm no rush to get married.

That's what I told him.

That's what I told him.
Who'll look after Dad if I get married?

Who'll look after Dad if I get married?

He's hopeless in everything.

That's true.

But he's got someone in mind.

He does?

And who's the poor sucker
my father's fallen for?

It had spread from the rectum
into the uterus and the bladder.

That involves Gastroenterology,
Gynecology, and Urology...

but Dr. Touma did the whole thing
then and there.

By himself?

And then with a young
breast cancer patient...

he took the breast off,
then did reconstructive surgery.

The patient was delighted.

I was amazed.

As a surgeon, he covers all the bases.

That's wonderful!

Dr. Touma is our city's Black Jack!

Well, it's not like in comics or on TV.

The reality is different.

Ourwork is more like...

knitting a sweater, one stitch at a time.

You hang in and hang tough,
proceed surely and steadily.

That's why enka music fits in so well.

Enka?

That's different.

Anyway, Doctor...

it must be hard living here alone.

If you find yourself
at loose ends in that way...

feel free to come and talk to me.

Dad...

In that way? What way is that?

Well, you know, "that way."
How do I put it?

It's nice to have a woman there...

to make you miso soup for breakfast.

Oh, don't worry about that.
I just have toast.

It takes less time.

Too bad, Dad.

All Dr. Touma thinks about is his patients.

Doctor, I guess you didn't know this.

This was meant to be
an arranged marriage meeting.

Oh.

Between who and who?

Doctor, could I ask for a favor?

That enka music during operations
is a bit too much.

That's strange, Miss Oka.

What's better than Miyako Harumi?

- Classical music?
- No, that'd put me to sleep.

Frankly, I hate that music.

I can't concentrate with all that warbling.

You're not wielding the scalpel.

Yes, but we need teamwork.

Let's take a vote then. Majority wins.

Good idea.

Miss Oka, will you accept
the opinion of the majority?

- In good grace?
- Of course.

Okay, who's in favor of Miyako Harumi?

Yano?

I'm sorry. How about rock?

No way.

I'd be cutting too hard.

I can't believe you guys.

She's a national treasure.

That was brave!

It was funny to see him pout
like a child with toys taken away.

But if you could get here earlier...

Mrs. Nakamura?

Yes?

Are you listening?

- Sorry.
- What's so funny?

Nothing. I'm sorry.

Here he is!

My diary isn't so full
of complaints anymore.

Does that show, I wonder?

Kohei laughs a lot more now,
instead of crying.

There.

I want to help Dr. Touma more...

and not hold him back.

I want to get better.

I practice the movements
of the operation...

so that its rhythm art flow
will be a part of me.

Hi, Makoto.

- Good moming.
- What are you doing?

Look.

A swallow's nest?

They'll have baby birds like you...

with their mouths open, going "Food!"

I don't mind my mouth open and go "Food!"

- You do.
- I don't!

- You don't?
- I still want to see!

Sorry!

Good moming, Namiko.

I'll be late.
Ride me to the bus stop.

See you!

"Surgery Schedule"

Here you go.

My husband owes Dr. Touma
his life, you know.

They thought it was his appendix,
but it was cancer!

They say Dr. Touma was like a magician.

Doctor, this is on the house.

No, nothing for free.

There you go again!

- Please! Just this once.
- Nope.

We don't do operations forfree either.

You're his friend, right?

Please tell him not to stick
to the rules so much.

- Right?
- I will. Thank you.

- Have as much as you like.
- Come on!

Let's eat. The fish here is excellent.

You're right.

Remember that place in Pittsburgh?

It's the only Japanese restaurant around.
They charge ridiculous price for lousy food.

That's right.

Anyway, I'm surprised.
When did you start at Keiyo?

April.

They're starting liver transplants,
so I'm a professor there.

It will be a while before Japan
recognizes brain death.

So rather than waiting for that,
we can save more patients...

by encouraging living donors.

Our university's doing that.

But why are you way out here?

I've been thinking for a while.

We need to do better at regional medicine.

Regional medicine?

But the idea of you
fixing hemorrhoids out here...

I have mixed feelings about it.

You're my only competitor in Japan.

I'm not ambitious like that.

"Closed Until Further Notice"

The fishmonger died, a year after
Dr. Nomoto operated on him.

Thank you for everything.

I'm sorry we didn't save him.

No, Doctor.

My fatherwas happy
you were treating him.

He was fond of you.

He won't be there anymore, but please
come and buy yourfish from us.

Thank you very much.

We'll just put a bypass in.

And leave the cancer alone?

It's okay. We'll cure the jaundice
and he can go home.

That's not right!

- We've to send him to Keiyo!
- Aoki!

Who do you think you are talking to?

- But he'll die...
- Don't give me orders!

Why didn't you come out?

Why? You were there.

This was yourfault!

Aoki, give it a rest, will you?

You could have got that cancer
it you'd wanted to!

If you'd done the operation right
in the first place!

Then you wouldn't have to lie
about finding it too late!

Be quiet!

You shortened Mr. Imazumi's life
just to save face!

Settle down!

I've envied Yano all along.

I want to assist in your operations too.

We'll work together some day.

Thank you.

But a year ago...

I lacked courage.

Because of that, a patient died.

I'm not worthy to continue as a doctor.

Remaining as a doctor is a lot harder
than becoming one in the first place.

Why not try Pittsburgh?

Here's a letter to Dr. Starzl.

Use it if you like.

It's an unpaid fellowship though.

- It's over my head.
- No. It's not.

You can handle it.

Makoto's there!

- Teacher!
- Hi.

Come on.

Kohei!

Come here.

Let's start.

Let's go.

Again.

Ready, set, go!

Come on! Let's go that way.

Come on!

Wait!

Look out!

Hurry...

You caught us!

Dr. Touma's been here for six months...

and were all ready
to follow him anywhere.

Metzenbaums and Cooper scissors,
Peans and mosquito forceps...

I felt his warmth and passion
when I gave them to him.

There's no hurry in his operations.

Precise and assured,
he worlds steadily at it.

"Save the patient."

With that one thing in mind,
he never gives up, no matter what.

He devotes himself entirely
into each and every operation.

We had good news today.

The newspaper ran an article
on Makoto's volunteer activity.

Namiko, look at this.

Very good, Kohei!

What is it?

How amazing!

Look, Kohei! It's Makoto.

Mom!

Mom, I'm hungry.

Let's eat.

Makoto! This is great!

Mom, what are you doing?
That's embarrassing!

- What's so embarrassing?
- Why did you show them that?

Show me the swallows!

Oh, the swallows?
Show him the swallows.

Ready?

There they are!

- Can you see them?
- Yes.

I envy how they get along so well.

Will Kohei and I be happy like that
when he's in high school?

As the roots of our welfare system,
regional medicine is vital.

The time will soon come...

when even public hospitals will struggle.

Now is the time to build a firm foundation.

Our hospital won't go broke!

Order, please!

Order!

At any rate...

while some may want to buy gold,
or even lottery tickets...

our 100 million foundation fund
should be retumed to our citizens.

By improving municipal hospitals...

believe we are making a gift
to those who will live...

in the aging society to come!

Mayor!

Mayor Okawa was brought in
by an ambulance.

He was bleeding from the veins
in his esophagus...

due to cirrhosis of the liver.

He's semi-conscious.
He needs a transplant.

Mayor Okawa is this hospital's lifeline.

We can't let him die.

Can we get one abroad?

I'm afraid he's in no condition
to be moved.

No airline would take him.

I see.

Isn't there any otherway?

Doctor, please!

A mother just had part of her liver
transplanted into her daughter.

Isn't there some way
to do that with my brother?

That's living donor transplantation.

How does that work?

His diseased liver will be removed...

and be replaced with part of
a healthy one from a living donor.

That's living donor transplantation.

However, this has never been done
from one adult to another.

But that's my father's only hope, right?

I'm afraid so.

Shoko, let's do it.

You'll be all alone if he dies.
You've always been Daddy's girl.

- Will you operate here?
- That's impossible.

The donor's liver and
Mayor Okawa's liverwill be removed.

Such an operation requires
top surgeons and a lot of staff.

Prof Sanekawa at Keiyo University
is an expert in transplantation.

It might be possible over there.

Doctor, please!

Take half my liver
and give it to my brother.

Please ask that professor to save his life.

Shoko, you ask him too!

Shoko...!

It's an important decision.

Think carefully before you answer.

Doctor!

If I decide to give my father my liver...

can it be with your scalpel
instead of that professor's?

All right.

Then please!

Save my father.

- Ma'am!
- Makoto...

Speak to me! Makoto!

Move the stretcher away.

- Cut open his clothes.
- Makoto...

Ma'am, please stand.
It's dangerous.

Makoto...!

Makoto...!

Makoto has cerebral contusion
resulting from a head injury.

When he went out to celebrate getting
into a social work course at college...

he was hit by a truck
right in front of his mother.

Teacher?

If you need anything, please tell me.

You should get some rest.

Makoto...

gets up from bed...

and calls out to me, "Mom."

I keep dreaming that whenever I sleep.

He's going to wake up today.
The miracle will happen today.

I keep telling myself that, but...

They say he's gone.

That he's brain-dead.

That his brain is just like tofu now.

It's not even vegetative state.

His eyes will never open again.

They say there's no hope.

The doctor came right out
and told me that today.

Why?

His heart is still beating so strongly.

His hands are still so warm.

Why...?

Makoto was diagnosed
as clinically brain-dead.

It was thought that his heart
would stop within two weeks.

He could have part of my liver.

Why does Shoko's blood match
and mine doesn't?

Doctor...

are you sure my liver can't be used?

Mr. Okawa's liver is quite large.
But yours is very small.

I'd have to take
most of your right lobe...

which is about two-thirds of the organ.

- That could put your life in danger.
- But...

It's all right.

- Dad...
- Shoko...

It's okay.

Your mother's waiting for me
on the other side.

We'll get rebom...

and then the three of us...

can be together again.

No!

Here we go!

I read about...

a girl in America whose life
was saved by a heart transplant.

The donorwas a medical student
who was brain-dead just like Makoto.

When the transplant succeeded
and she got better...

she carried out his ambition
and became a doctor.

What he wished for...

and the woman he saved
were united and lived as one.

I was moved.

I didn't think I could ever bring myself...

to give an organ of Makoto's
to someone else.

But now...

I can't stop thinking about it.

Makoto is a boy who always wanted
to help people in need.

As much as I can,
I want to honor that part of him.

That's something I can take comfort in.

Would you take...

an organ from Makoto
and use it to help someone?

Doctor...

Japanese law doesn't recognize
brain death.

If he performs that operation...

But...

that's the very last thing...

my boy can do to help someone else.

Let's do it.

Dr. Touma...

Mr. Okawa and I have always
worked togetherfor his hospital.

I'd love to save him too, but...

We can't do this, Sir.

Perhaps if he were still Mayor...

but he's not now.

And you guys have to tell him no.

We have told him no.

The law hasn't changed.
It's too much of a risk.

That heart transplant in Sapporo
brought about a murder charge.

Murder charge?

I've gone beyond the standard
Takeuchi Criteria for brain death.

I've tested auditory brain-stem response...

an EEG, and a CT scan
of cranial blood flow.

All that?

Mr. Makoto is completely braid dead.

If any part of his brain was alive
I wouldn't touch him.

Sapporo's case was different.

But most importantly...

his motherwants
to have his organ donated.

A doctor might agree with that.

But the police and public won't.

If Mr. Okawa dies in the operation,
they'll say we killed two people.

Who will be responsible for that?

You can say an
overly ambitious surgeon...

threatened the Director
with physical violence.

Blame it on me.

- We can't do that.
- Sir.

What are the chances of success?

Think fifty-fifty.

Fifty-fifty...

If we do nothing,
it's for sure that Mr. Okawa dies.

If we operate, there's a greater than
fifty percent chance of saving him.

All right. Do your best to save Mr. Okawa.

- Sir?
- Keep it top secret.

That won't last.

There'll be criticism
from the public and the media.

Then I'll take responsibility and resign.

Wait a minute!

It won't end there!

Who'll be responsible from the city?
Me!

This will infuriate
Keiyo University Hospital.

What if they pull out all their doctors?

I'll take full responsibility.

You have to look after the hospital
and its patients.

You have to look after the hospital
and its patients.
- But...
- This is the only way for us to save a life.

- But...
- This is the only way for us to save a life.

It's a doctor's duty to save lives.

Let's do it.

I agree with you.

Let me assist in the operation.

I want to assist, too.

Please let me assist you.

You guys are crazy!

I'm not responsible forwhat happens.

I have nothing to do with this!

I argued, but they won't listen!

Please!

Do something to stop it!

You Keiyo doctors keep this place
going. You're my only hope.

Mr. Murakami...

don't worry.

Leave this to us.

We can't allow any criminal activity
in this public institution.

We'll stop him foryou.

Thank you very much!

As Office Manager, maybe it's best
if you take leave on that day.

Thank you... I'll do that.

Oh, and please don't tell anyone
you heard this from me.

Deceased donor transplant, huh?

How are you going to stop it?

We'll let him do it.

If he fails, he fails.

If he succeeds, we'll chase him out
for breaking medical rules.

Is this the Chiba Police?

Sazanami Hospital is planning to do
a deceased-donor transplant.

Brain death.

The law hasn't been changed
to allow that.

It's patently illegal.

This is an outrage!

It's a great scoop for a newspaper.

They're committing murder
to get credit for a Japan's first.

- What?
- It's murder, I'm telling you!

I can't excuse such moral turpitude
in a fellow doctor.

That's right.

Get to the bottom of it. Play it up big.

It will sell.

May I knowyour name?

What is it?

Sazanami Hospital planning to do
Japan's first brain death liver transplant.

Brain death liver?

What's that?

Maybe it was a secret...

but the press has it.

They're even calling me up.

The Committee on Brain Death
doesn't even call it "death" yet.

What happens if you get charged?

Don't rush things. You'll get hurt.

I don't have that privilege.

I have to do this.

Succeed orfail, you will still lose.

You'll lose your career
and yourwhole future.

This transplant is the only way
I can save the man's life.

Your ambition is not in transplants.
You said that, right?

Yes. This isn't about ambition.

Then why are you risking everything
for this operation?

My mother died when I was a kid...

from a misdiagnosis
at the only hospital around here.

They called it mild enteritis,
when it was her appendix.

She wasn't the type to complain.

But it just kept getting worse.

By the time she went back
to the hospital two days later...

the appendix had burst.

She was full of pus
and hurting too much to breathe.

This is bad.

Get her to the university hospital.

Doctorwhy can't you
take her appendix out now?

Get ready an ambulance.

Please save her!

I can't do anything for her.

Doctor!

Please operate!

Please save my mother now!

It was too late by the time
the university hospital operated on her.

Sepsis had brought on kidney failure...

and she died five days later.

I've never forgotten that day.

So that's why you decided to be a doctor.

Thank you for coming here.

I've got to go get ready.

What if they charge you with murder...

and lift your scalpel for helping this man?

What would your mother say?

What I see in front of me now
is a patient who needs help...

and the mother of a brain-dead boy
who wants the patient to live

That, and the pain they feel.

If I ignore that and don't operate...

I am no doctor.

I'll lay down my scalpel.

"Resignation"

I'm more and more afraid
that after tomorrow's operation...

Dr. Touma will resign
and leave this hospital...

taking all the responsibility by himself.

I'm sorry.

I shouldn't have put that on.

I was checking the procedure.

It's okay.

You're studying hard, aren't you?

Just let me see that.

We're going to do this "piggyback" style.

We'll cut the recipient's liver
at the hepatic vein...

not the inferior vena cava.

At this margin...

afterwe trim it...

we connect it to the donor's
inferiorvena cava margin.

Like that.

I see.

Blood is going to flow through
the transplanted liver soon.

It was empty of blood.
Now it starts to tum red.

There, it's changing.

The life forces of the donor
and the recipient are united now.

What is it?

Nothing.

Doctor, promise me something.

After the operation,
no matter what happens...

you won't leave.

I promise.

I'll put everything I have
into that operation.

Please do.

Dr. Touma is a poor liar.

Welcome back.

You're looking well.

You can show us
what you've leamt in Pittsburgh.

You're joking.

I was only there for six months.

To be able to participate in
Dr. Touma's operation...

it's like a dream.

A detective showed up
at the bustling hospital.

I don't have time to debate this
with you, Detective.

If you insist on doing this...

you risk being charged
with murder, you know that?

Are you prepared for that?

Are you?

I am merely performing
my duty as a physician.

Excuse me.

Mrs. Takei...

If you'd like to say goodbye...

Makoto...

thank you.

Thank you for being my son.

The operation began with
the removal of Makoto's liver.

All I had to do was to stay calm...

but my knees were knocking.

Let's get started.

- Let's do it.
- Okay.

Can you confirm if a liver transplant is
taking place from brain-dead donor?

I can't answer that now!

Step back please!
You're disturbing our patients!

- Start Ringer's.
- Starting.

Remove cannula clamp.

Extracting.

After two hours,
Makoto's liverwas removed.

It's done.

It's a beautiful, clean liver.

We will do everything we can
to put it to good use.

Thank you.

Thank you.

- Let's do it.
- Yes...

Doctor...

Which one?

- You don't mind?
- Play all you want.

Then...

this one please.

Help me, please.

- Are you ready?
- Yes.

- Do your best.
- We will.

Scalpel.

He's acting completely alone.

We're out of the loop.

So you were not informed
of this operation?

Not at all.

It is most disturbing.

Howwould you describe
Dr. Touma as a doctor?

Concemed only with his reputation...

a grandstander
who disturbs hospital routine...

that kind of doctor.

Is it possible the Mayor
paid Dr. Touma to do this?

I'm sure he did.

Dr. Touma has deceived the organ donor
and his family.

My heart aches for them.

Well...

Let's go.

Doctor! A picture, please.

I have spoken out only because
of my conscience as a doctor.

I ask for no pictures,
and that I remain anonymous.

Three millimeter suture.

Three millimeter suture.

The hardest work
was the back of the liver...

and no one could help.

One false move
would cause massive bleeding...

yet he soldiered on alone.

The cutting of each single vessel
so tiny as to make one dizzy...

went on for three hours.

Extracting.

Metzenbaums.

Tweezers.

The press is here.

It might be best to leave
where no one can see you.

Thank you...

but I will leave togetherwith Makoto.

I will neverforget your son.

- It's a body!
- A comment, please!

As a mother,
could you give us a comment?

Please go ahead.

Makoto's liverwould be joined
to Mr. Okawa.

And with it, our hearts, too, were united.

Gasping for breath, Keiko explained.

"I wrapped the blanket
around the fox..."

"and it ran away
dragging the blanket."

"I grabbed it and pulled..."

"but it slipped out of my hand."

Eight hours into the operation...

the hepatic and portal veins
were connected.

Mr. Okawa's blood flowed into
Makoto's liver.

This was the most anxious moment.

Blood pressure?

120 over eighty-one.
Pulse stabilizing.

Removing portal vein clamp.

As the blood started flowing,
the liver took on a vivid color.

Mr. Okawa's and Makoto's
life forces had joined.

Removing forceps.

Reflowing.

The biliary tract was now connected,
and the worst was over.

Twelve hours after we had begun,
the goal was in sight.

Now there was only one item left.

The last Coopers, from my hand to his.

Coopers.

Together, we have
completed the operation

Thank you, everyone.

Thank you...

Well done!

Okay.

There.

How I'd hated operations...

and now I was part of
an operation like this.

It was like being in a dream.

Take over. I'll go talk to the family.

Mrs. Nakamura? Are you all right?

I'm fine.

Thanks.

You did a great job.

More life!

Naoto! Sing louder!
Put some life into it!

One, two, three...

Two, two, three...

Open your mouths wide.

From the stomach.

Brighter! Louder!

Go.

The charges against Dr. Touma
were dropped.

The diagnosis of brain death
was legitimate...

and both sides had agreed
to the operation.

But what decided
more than anything else...

was Teacher's letter of thanks
to Dr. Touma.

As you're on drugs
to suppress your immune system...

you're susceptible to germs,
so stay away from crowds.

And no sushi or anything raw
for the next year.

And absolutely no alcohol,
of course.

That'll kill you for sure this time.

Oh, I won't be dying anytime soon.

I'd leave too many women crying.

Dad! Stop it...

At least be serious
when the doctor's here.

He may talk like that...

but ever since the operation,
he's a different person.

He would look out of the window
and get tears in his eyes.

Well...

the town shines in the moming sun...

and you can hear
the paper carriers' bikes.

These ordinary things
just look so new to me.

I really do feel like I've been rebom.

So you're really leaving?

Yes.

I heard that the donor
was a seventeen year-old boy.

It's a small town.
You can find out these things easily.

I'm going to do all I can
for the town to pay him back.

His resignation's been accepted.
It's only natural.

You can't go breaking the rules
just because you're ambitious.

What's this?

Mr. Okawa's charts.

Why do you have them?

I promised Dr. Touma...

I'd follow up on Mr. Okawa after he left.

Why?

Why are you cleaning up his mess?

Dr. Nomoto, there are rumors about you.

That you ignored a cancer case...

- and lied to his family...
- Aoki...

You left an unmetastasized cancer
to spread.

That is medical misconduct.

- Nonsense.
- A Board of Inquiry will decide that.

Touma did not act out of ambition.

If anyone was trying to do that,
it was probably me.

His scalpel shines like no other.

"Was A LiverTransplanted
To Make A Doctor's Name?"

The time to part drew near.

I felt like I was going to cry
like a little girl.

Mrs. Nakamura...

Thank you.

I don't knowwho'll replace me,
but things will be fine with you around.

Do you best to help
the new doctor, all right?

Well?

Are you angry?

Yes.

Why?

You lied to me.

You promised you wouldn't leave.

You're right.

I'm sorry.

Mrs. Nakamura...

in that operating room,
you were like my right hand.

I hope we can
work together again one day.

No, thank you.

You're too rough on people.

Sorry.

Dr. Touma, we're ready.

You too, Mrs. Nakamura.

Shall we?

Everyone, you can cry on the inside,
but smile on the outside.

That's right!

- Come here!
- Quick...

- Are you still mad?
- I'm smiling.

Thanks.

Doctor, thank you.

Take care.

Thank you.

See you.

Just then, I suddenly realized...

I hadn't said a word of thanks
to the doctor.

Doctor...

thank you for everything!

You, too.

I worked you hard
through all those operations.

I couldn't wait to do all those operations!

I wanted to get near and feel
I was the closest to you!

I haven't said this before,
but I really love Miyako Harumi!

I really like her songs!

Thank you.

You are a fantastic nurse.

I'll neverforget those words.

"You are a fantastic nurse."

You'll be back for her Forty-Ninth Day?

You'll get the ashes from the temple?

Don't worry.

Here. You probably eat out all the time.

- You need, yourveggies.
- Okay.

- And don't be a picky eater.
- Okay.

- Your health is very important.
- Okay.

For me, too.

I'm working out at the Community Centre
Mr. Okawa started.

- What is it?
- Nothing.

I was just thinking
how everything's connected.

Well, it sure is. You're connected too.

Take care.

I'll be fine. Mom gave me
something important.

Hey! What are you all doing?

Back to work!
You want to see him?

There you go!
Now, back to work!

I'm sorry.
This is a country hospital.

When a newyoung doctor comes,
they all get excited.

Anyway, the Director will be back soon.

Scalpel.

Tweezers.

Clamp.