Original subtitles

I'm the new surgeon starting today, Kousuke Sagara.

- Doctor, saturation is falling. - What!?

Move him to the cath room immediately!

Who are you taking orders from!?

You also said that this kind of thing happens at every hospital ...

But that ...

Is only the way that doctors think.

I'm sorry.

What we need to be thinking about right now ...

Isn't Sasai sensei or the director ...

But Ochiai-san.

What you're saying may be correct, but in my eyes you're just acting righteous.

Am I being fired?

Is this last night's operation?

Sagara sensei! Please, don't leave.

- How much will you pay me? - 10 million.

You must be kidding.

Thirty five million!

Thank you.

Are you saying that us other doctors are bad?

Yes, you're awful.

Cooper.

Kelly.

3-0.

Since it's quite difficult to see down so deep ...

We must suture carefully to avoid damaging any blood vessels.

Cooper.

It appears ... to have spread to the splenic hilum.

In these cases a combined pancreatectomy and splenectomy is best.

Why is Sagara sensei doing the surgery?

That was originally your patient, Sasai sensei.

If the patients can choose who operates ... then the surgeons should be able to choose who to operate on.

Oh, I don't care anymore.

What an ungrateful patient.

How can a patient switch doctors like that?

Patients nowadays have no morals.

I heard Sagara sensei forced the director to raise his salary.

You mean, because he saved Ochiai-san?

From 7 million a year all the way up to 35 million.

35 million!?

That doctor used a patient so he could get more money.

Scalpel.

See, much better now.

Get a good shot of this.

Now the patient can rest easy.

He was at Tokyo Medical University Hospital ...

But we'd never heard the name Kousuke Sagara at all.

But he did heaps of surgeries there, right?

Is he really that good?

He should just stick to his specialty, esophagus surgeries.

If he keeps interfering in other operations, he'll end up killing a patient.

At first I thought Sagara sensei was a good doctor ...

But I was wrong.

He's always got a big grin on when he's around patients.

That's a fake grin.

You...

Are a failure as a nurse.

Deep down he's actually a real monster

Drain tube.

Cooper.

Vital signs, Senju sensei.

Stable.

Minagawa sensei ...

I think you've been sending all of your patients that need surgery to Sagara sensei.

- No I haven't. - You don't trust me, do you?

- Moriyama sensei ... - Or maybe ...

You have ... special feelings ... for him?

- What? - Well ...

Since you are single, Minagawa sensei, I don't mind.

- But you shouldn't allow that to affect your work. - I do not!

Not in the least!

Then you ought to treat us with more respect.

Quit giving us the cold shoulder.

Cooper.

OK.

We're all done.

It's over, Kaneko-san.

Thank you, everyone.

You're welcome.

The tumor was completely removed.

If his postoperative recuperation goes well ...

Kaneko-san will be out of the hospital next week.

Thank you very much.

I'm glad I asked you to do the surgery, Sagara-sensei.

I guess that does it.

What's that?

Of all my patients ...

The only one left that needed an operation...

Was Kaneko-san.

Now I can quit without any worries.

You're quitting?

I'm ...

Going to change hospitals.

I've been wanting to for quite a while.

But when I thought about the patients waiting for operations ...

I couldn't bring myself to do it.

But since you came, Sagara sensei ...

I felt really relieved.

Why are you quitting?

Hmmm... Why ... ?

I'm just sick and tired of it ...

Dealing with the other people here.

I just want to start over.

I'm not tough like you, Sagara sensei.

I heard what you did.

Your bold salary negotiation.

They're saying, "He's just greedy!"

"He's like Jekyl and Hyde."

And all kinds of other things.

Are they really saying that?

But I think ...

You should be properly compensated for the job you do.

Forget about them and just work as hard as you can.

I'm rooting for you.

Bye.

Minagawa sensei.

Yes?

What hospital are you going to?

Mita Central Hospital.

They were looking for an internal medicine doctor.

I see.

Sagara sensei.

- I'm Shibuya from SI Pharmaceutical. - The medical rep.

- Did you have a look at the catalog? - Yes.

There's one drug I'd like to try.

Really?

Then I'll take your order right now.

Before we do that ...

I've got a favor I want to ask you.

Sure!

Gladly!

Do you Mita Central Hospital?

I can't believe we're losing Minagawa sensei. What'll we do?

Looks like we've got to search for a doctor again.

It's not easy to find cheap but qualified doctors.

I know that!

We'll rush and end up getting someone like Sagara sensei again ...

Well, on the first day he gladly accepted the 7 million salary ...

- But the next day he's totally different, and demands 35 million. - You're the one who hired him!

Ohh... Sorry about that.

Oh, I'm just so fed up with running a hospital.

Yes?

Come in.

Oh, Sagara sensei.

- Good to see you. - Good to see you too.

Uhm ...

I have something I like to discuss seriously.

Again? What is it?

Oh, have a seat.

Director ...

Let's accept emergency patients at night.

Emergency patients at night?

We're already a designated emergency care hospital, so we should accept patients at night too.

But we already do.

That hardly counts.

You just hired a part-time doctor to meet the requirements.

But we haven't had any problems so far.

That's only because either we've never had any tough patients, or ...

We've refused to accept ambulances' requests to bring patients in.

The ambulance people know that when they bring patients here, they won't get good care.

Can you really call this an emergency care hospital?

The night duty doctor ...

Must be a staff doctor that can properly diagnose and treat patients.

Staff doctor?

You mean Moriyama sensei or Sasai sensei?

Right.

Impossible.

Why?

You don't know?

What about you, Sagara sensei? How can you say that?

I said that ...

I'd raise your salary, but ...

I never asked you for your advice on how to run this hospital.

What I want you to do, Sagara sensei ...

Is to perform as many operations as is possible.

That's because ...

Operations are the most efficient way to make money, right?

That's right.

See! Then you should allow in even more patients that need them.

The patients who need operations the most ...

Are emergency care patients.

Auto accidents, appendicitis, strokes, heart attacks ...

Emergency care is the way to get some high-profit patients.

From looking at the schedule, I see the operating room is hardly used at all in the morning.

What a waste!

That's because the doctors are seeing outpatients then.

If critically ill patients arrive in the evening, the number of operations will increase.

In addition, the skills of the entire staff will improve ... and the hospital's reputation will improve ...

And the number of patients will also increase.

- Isn't that right, sir? - Oh, yes.

- Am I wrong, director? - No.

OK, then assign Takaizumi sensei and Sasai sensei to night duty.

Of course, me too.

Well ... but ...

I don't know if the doctors will be willing to do that.

That's right. If they have to work at night, then they'll have to have the daytime off.

No problem. I'll work double what everyone else does.

What?

I mean, I'm getting 35 million, right?

Oh, that's right.

How's the postoperative ICU that you promised coming along?

It's moving ahead.

Yes, tomorrow all the equipment will be ready.

Great! You work fast.

Thank you so much.

But, uh ... Sagara sensei ... you see ...

About that ...

We'll be ...

Taking it ... from your salary.

Go right ahead.

Please pay for it from my 35 million.

OK ... Sir ...

- About the night shift rotation ... - Yes, I'll put it together.

Thank you.

What is with that guy ... ?

Starting today there will be two doctors on night duty.

Tonight it's Takaizumi sensei and Sagara sensei.

From now on we'll be accepting patients more regularly for nighttime emergency care.

The inpatient nurses will be requested to work emergency duty more often.

I'm counting on you night duty nurses.

Yes, ma'am.

Who's idea was that?

That's all I have to report today.

- Miyabe-san. Yes?

Can I see the CT scans for Baba-san in room 501?

OK.

- Here. - Thank you.

Sagara sensei ...

What did you mean by that?

Hm?

You said I was a failure as a nurse.

I've been one for nine years, and perform my duties properly.

You're probably right.

Then why did you say I'm a failure?

Well, you never smile.

What?

Even if a nurse is a little unsure of herself ...

If she always smiled, patients would prefer her ...

Over a nurse whose perfect but never smiles.

OK.

Thanks.

I smile!

You do?

I told you I'm sorry.

I don't wanna do night duty either.

If we don't make a decision about invitations today, they won't get printed in time.

The people at the hotel told you the same thing, right?

Oh, c'mon! That can wait, can't it?

Since when did night duty start anyway?

Ken-chan, you promised me that you'd never do such troublesome work.

I'll make time tomorrow.

I promise!

Bye.

What a pain in the ass.

- Stocks? - Christ, you surprised me!

Are you like a day trader?

- Do you think doctors can play the stock market? - No, not at all.

I don't understand that stuff at all.

Here, have this.

Deluxe roll cake.

These things you have to eat with a spoon. Here.

Convenience stores sure have gotten fancy lately.

Go ahead. Have it.

Thank you.

Wow, Takaizumi sensei. So you play the stock market.

Are you making money?

Well, about ten million yen.

Ten million!?

Have a look at this.

You have to sell right when it reaches its peak.

If you miss your chance, you'll lose big.

Then you have to check it every day.

Every day?

You have to check every hour.

Every hour ...

Won't you think it over again, Minagawa sensei?

I'm sorry, but no.

My son has his high school entrance exams this year.

Since his father isn't around ...

I want to help him out as much as possible ...

Is that really the reason you're quitting?

Isn't it something Moriyama sensei or those others said ... ?

No ...

Nothing like that ...

He's my nephew ...

And I know he can be a bit arrogant ...

Seriously, director ...

It's nothing like that at all.

Why did you decide to become a doctor, Takaizumi sensei?

Huh?

Is your father a doctor?

That's right.

Ever since I was a boy I was told to become a doctor and take over Dad's clinic.

That's why you became one?

Yes.

But, you know ...

You worked hard to get into medical school. Good for you.

It's the same one Dad graduated from. He contributes a lot of money to them.

No, no ...

You passed the national exam as well.

Well, I had to live up to what was expected of me.

Actually, I'm the third generation of doctor in our family.

Really!

And ...

When did you decide to start saving people's lives?

What?

I mean, when did you decide to become a doctor so you could save lives?

I've never even thought about that.

It went up.

Shit ...

Should I sell now ... ?

No ...

I'll wait a little longer.

- So you're on night duty? - Oh, Minagawa sensei.

What are you doing here so late?

I was speaking with the director.

I heard you're leaving, sensei.

That's too bad.

I'll miss this place too.

Maybe I'll quit too.

If I go back to my Dad's clinic, I'll be assistant director.

- Yes? - We've had a call from an ambulance.

It's a 58 year old female with pain in her right abdomen.

- Can we accept her? - An emergency care patient, right?

Certainly, we'll take her.

- Emergency care? - In five minutes. OK.

- What? We're really getting a patient? - Let's go.

I wish he'd asked me before he accepted.

We're here! We're here, Masako!

- You're at the hospital now. We'll take care of you. - Hang in there! Hang in there!

You'll be alright!

I think that's good enough for today.

Minagawa sensei.

Uhm ... Sagara sensei was wondering if you could come.

Me?

Oh, sensei.

Could you look at these?

What's your opinion?

She's complaining of pain in her right abdomen.

Her right abdomen?

From the looks of these, I don't see any problems.

But she's in extraordinarily severe pain. Isn't that right Takaizumi sensei?

Huh? Oh, yes.

When did the pain begin?

About six hours ago.

Her temperature?

36.8 degrees.

BP?

110 over 70.

Pulse 100 and regular. CRP and white blood count are slightly elevated.

- If she had a gallstone we'd see it. - That's right.

There was blood in her urine so I suspected stone in the urinary tract, but nothing shows clearly on the x-ray.

- How are her kidneys functioning? - Normal as well.

And CVA pain?

Nothing especially.

It can't be pyelonephritis either.

- Does this hurt? - Y-Yes!

- How about here? - Yes! That hurts!

How come you never said anything before it got this bad!?

I'm sorry ...

[Fumi-chan]

Does this cause pain here?

It seems to me that her bowel sounds are weak.

Her stomach also appeared a little hard.

- Could it be acute intestinal inflammation? - Like diverticulitis?

- That's one possibility. - No, that's impossible.

If it was an intestinal tract problem there'd be symptoms in the digestive system, like diarrhea or vomiting.

You're right.

If it were acute inflammation of the pancreas, her blood test would show elevated amylase levels, but it's normal.

How about enzymes and inflammation in the biliary tract?

There appears to be inflammation, but her biliary enzyme counts are normal.

Which means that ...

A kidney tumor?

That's it.

From the CT scan results ...

We have confirmed that there's a tumor on your right kidney.

A tumor?

But ...

It can be taken care of through surgery.

However ...

It appears to have progressed quite far already.

From this you can see that it has metastasized to the neighboring lymph glands.

And you can see it has permeated around the kidney as well.

So, for this operation ...

The kidney must be removed from the surrounding tissue ...

And the surrounding lymph glands where it's metastasized must be cleaned out as well.

So, my wife ...

Should go to a hospital that specializes ...

- That's right. A hospital with a urology department ... - No.

Her surgery can be performed here.

If you leave it to me ...

I'm absolutely confident that it can be taken care of.

Really?

That's right.

Dear ...

Sagara sensei ...

That's your name, right?

Yes.

If ...

If my wife died, I wouldn't know what to do!

My wife ...

Is the only one that can take care of our home.

I've always ... been so busy with work ...

That I've never been able to treat her right.

But ... she ...

Never complained once ...

And supported me the whole time.

Dear ...

This year ...

I retired ... from my job.

So now ...

It's my turn ...

To pay her back for all that.

I want ...

To go to Kyoto together ...

And make dinner for you ...

And always ...

Help you out ...

So ...

Please ...

If she died now, I wouldn't know what to do!

From now on ...

My wife ...

Is going to lead a happy life.

Can you really ...

Save her?

Can you really ... promise to do that?

I promise.

I will definitely ...

Save your wife.

Thank you.

I want you ...

To perform the surgery, Sagara sensei. Please!

Please!

Please.

Certainly.

OK ...

I'll explain what's to be done before the surgery.

Why did you make that promise, sensei?

What if it doesn't go well?

What should I say then?

Well, you should allow yourself a way out.

A way out?

Yeah.

You always say the craziest things, Takaizumi sensei.

Whaaat?

You came to visit him again today? You two sure get along well!

Even if a nurse is a little unsure of herself ...

If she always smiled, patients would prefer her ...

Over a nurse whose perfect but never smiles.

- Ami-chan. - Yes?

Tell me ...

What kind of expression do I usually have?

I mean ... how do I usually interact with the patients?

I think ... you are very earnest with them.

Earnest?

You could say serious ...

Serious ...

Sometimes you're even scary.

What's wrong, sempai?

Oh ... uh ...

Go ahead. That's all.

OK.

Scary?

- Is that so? - Yes, isn't it crazy?

Is that so?

- What's so? - Huh?

It's nothing.

She's having surgery here?

I'm doing it.

Kidney cancer is not your specialty, Sagara sensei.

While I was at Tokyo Medical University Hospital ...

I assisted in those kinds of surgeries many times. I'll be fine.

- Fine? Yeah, right. - The patient's in critical condition, right, Takaizumi sensei?

Yes, it's very serious. It's even metastasized to the lymph glands.

That kind of patient we always send to Shotoku University Hospital right away, Sagara sensei.

Why do you want someone else handle it when we're able to perform the surgery here?

That's right. The patient says she wants Sagara sensei to do the surgery too.

You, internal medicine doctor, have no say in this.

Wait, aren't you quitting Minagawa sensei?

I don't want to get lectured by someone who's quitting.

Sagara sensei ...

It's kidney cancer that's already metastasized.

It's also permeated around the kidney and there's a possibility of accretion.

It's even permeated the retroperitoneum.

There could be a lot of hemorrhaging.

Removing it from where it's adhered ...

Is an incredibly difficult procedure.

Since the chances of kidney cancer reappearing is high, postoperative care is really tough.

That's enough. Quickly, call Shotoku Hospital.

OK.

There's no reason to worry about postoperative care, Moriyama sensei.

I asked the director to establish a postoperative ICU.

It should already be all set up.

As for a reason to send her to Shotoku Hospital ...

There isn't one.

But that's still no reason for a doctor to try to handle this when it's outside his specialty!

What'll you do if you make a mistake.

I'm not going to make a mistake.

I'm am perfectly confident that I will succeed.

That's why I'm doing it.

How can you make a statement like that?

The patients ...

Put their lives into our hands.

But then you doctors assume there will be a mistake ...

And make excuses up front to prepare a way to escape responsibility.

That's cowardly!

If I make a mistake ...

I will get on my hands and knees to apologize to to Kinouchi san.

If he doesn't accept my apology, then I'll give up being a doctor.

That's the attitude ...

That I approach every operation with.

You'll give up being a doctor?

How can you act so righteous!?

You're just trying to justify your actions!

If you kill a patient at this hospital, we're the ones that'll have to pay the consequences!

Quit your shouting!

What if the patients heard you?

Director ...

Perform the surgery, Sagara sensei.

Really?

If you say that you are confident that you can succeed ...

I'm sure it'll be fine.

Director!

What could be more wonderful than if we can perform an operation here ...

That could only be performed at a university hospital until now!?

Do you have any idea how difficult this operation is?

Of course I do!

I'm a doctor too, you know!

But ...

Now ... the operating of this hospital is most important.

This is ...

An excellent opportunity for increasing the number of patients.

Do your best, Sagara sensei.

Thank you. I will.

Oh, that's right.

I'd like Takaizumi sensei to assist in the operation.

If you would, please?

- What!? - Well, you were the night duty doctor when the patient was admitted.

- But I ... - Good idea.

OK, Takaizumi sensei. Please assist Sagara sensei in the surgery.

Whaa ... ?

I leave the rest to you.

Thank you very much, Takaizumi sensei.

Obasan ...

What was up with that?

Close the door.

Why are you supporting that guy?

- I'm doing no such thing. - You just did!

Suguru-chan ...

By successfully performing a difficult operation, the hospital's reputation improves.

This is something that you yourself should be thinking about, Suguru-chan.

- You're going to run this hospital someday, right? - Then let me do the operation.

- I'll do it! - What if you make a mistake?

Make a mistake?

- I won't let you do something so impossible. - I can do that operation too!

Why do you feel you have to compare yourself with Sagara sensei?

I ...

I hate that guys guts.

He ...

He's not the kind of person you think he is, obasan.

He's got something up his sleeve ...

- He might be trying to take over this hospital. - Oh, cut it out.

Stop that.

The operation ...

Will be performed by Sagara sensei.

You yourself ...

Have your own patients, right?

Return to work, Moriyama sensei.

Here you are.

Oh, Minagawa sensei.

Oh, I'm sorry.

- You were planning out the operation ... - No, it's OK. I'm all set.

I already know what I'm going to do.

Thank you.

Hot cocoa.

- I heard you have a sweet tooth. - Yes, a big one.

Thank you.

That's good!

Why are you having Takaizumi sensei assist?

I didn't think ...

You could stand spoiled brats like him.

You're right, I can't.

He's not serious about this job.

Then why?

Good question.

Sagara sensei.

I bet that when Kinouchi-san was brought in ...

You already knew what the problem was ...

That she had kidney cancer.

You just wanted Takaizumi sensei ...

To watch you and I discuss the situation, didn't you?

You wanted to tell him, "Pay more attention to being a doctor!"

Right?

I bet ...

You want to change this hospital, Sagara sensei.

And if I do?

- Is that the whole reason you came here? - Are you kidding?

It was just so bad when I got here.

I understand that Takaizumi sensei may not be serious ...

But isn't that kind of thing normal in most hospitals?

Normal ...

Only doctors think like that.

I wonder what the patients think.

Remember, you're quitting this hospital because you're fed up here.

If everyone in this hospital ...

Were working together as one to help the patients ...

Would you have quit, Minagawa sensei?

It would be a lot quicker to find another hospital ...

Than to wait for this hospital to change.

Let's change this place together.

Don't quit, Minagawa sensei.

This hospital ... needs you.

I've got a position waiting for me ...

Already.

I wish you had come here sooner, Sagara sensei.

Good bye.

This is Shibuya from SI Pharmaceuticals.

I found out the name and number of the human resources manager at Mita Central Hospital.

Hold on a second.

OK, go ahead.

OK ...

Takasugi san.

Thanks.

What? That's all you want?

Yep. That's plenty.

You're a fast worker.

Thank you.

I'm looking forward to hearing from you again.

Thank you.

Even after speaking to her frankly, she wouldn't listen ...

The only thing left is to use force ...

Maki.

Make me ... a promise.

A promise?

That you ...

Become a good doctor.

OK ...

We are going to perform a complete excision of the kidney due to kidney cancer.

Since the cancer cells have greatly metastasized ...

There is a risk of heavy hemorrhaging. It will be difficult.

Concentrate, everyone.

Yes sir.

Start recording.

Scalpel.

- Hooked forceps. - Hooked forceps.

Electric scalpel.

Looks like it's begun ...

Sagara sensei's operation.

Who cares.

Concentrate on our own operation.

Guess you're right.

Metsenbaum.

See, there it is.

The cancer has made the kidney enlarge this big.

Get me a better view of it.

Good.

I'm going to carefully separate it from where it's adhered to the surrounding tissue.

Blood's getting mixed in a little.

Forceps.

Stop the hemorrhaging with the electric scalpel.

Minagawa sensei.

I've enjoyed working with you.

I have too.

Thank you very much.

OK, next we're going to perform total ligation of both the arteries and veins of the right kidney.

It's here.

Senju sensei, take care of that.

Suture.

Patient number 01603 ...

Cooper.

Mom ...

Masako ...

Kelly.

2-0.

For the veins of the right kidney, leave the lower vein longer and double stitch it so it does not come lose.

Kelly.

2-0.

- Mizuki san. - Uh-huh?

Can I ask you to take care of Yoshioka-san's IV?

Why?

I can't help thinking about Kinoshita-san's operation ...

- Sorry. - Hey, wait ...

OK ...

I'm going to remove the kidney.

Metsenbaum.

Dad!

Sagara sensei ...

I wish I could go too ...

And see the fall colors on Arashiyama.

Your wife's operation ...

Was a complete success.

When she's released ...

Please take her to Kyoto.

Thank you so much.

Sagara sensei ...

Thank you so very much.

Let me thank you too.

Masako.

Isn't it great ...

Isn't it great, Masako!?

Thank you! Thank you!

I'm counting on you ...

To take good care of Kinoshita-san.

Certainly.

Hey, did you hear? Kinoshita-san's operation was a success!

- Seriously? - That's incredible!

They said it was amazing.

If everyone in this hospital ...

Were working together as one to help the patients ...

Would you have quit, Minagawa sensei?

It would be a lot quicker to find another hospital ...

Than to wait for this hospital to change.

Let's change this place together.

Don't quit, Minagawa sensei.

This hospital ... needs you.

Hello, Minagawa speaking.

- This is Takasugi from Mita Chuo Hosptal HR department. - Oh ... I'm looking forward to working there from next week.

I hate to tell you this, Minagawa sensei ...

But we'd like to reconsider our offer to you.

Excuse me?

This is very difficult to say, but ...

A doctor that better suits our needs was introduced to us.

What?

I'm sorry, Minagawa sensei.

How can he do operations like that?

Whaaat?

Hey!

What about Sagara sensei's operation?

- It ended quite a wile ago. - What!?

Sagara sensei's already gone home.

Is this your car, doctor?

A domestic car! How unusual.

All the other doctors have really nice cars.

This is my wife's car.

Good night.

Good bye.

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