Original subtitles

The way to save Kotaro-kun is a liver transplant.

I'm not Kotaro's real father.

The only one who can save Kotaro is you, Takasugi-san!

I too have a family. I can't do it.

I'd like Team Moriyama to perform a surgery.

I've developed stage two cancer on the pyloric portion of the stomach.

If Sagara sensei isn't around, then you'll be the top doctor, right?

Kill him.

OK, let's begin.

Are we ...

Going to tape this?

I don't need to record my surgeries.

I'm going to create the incision for the laparoscope.

Scalpel.

There's a lot of adhesion.

- Shall I prepare a blood infusion? - That's unnecessary.

What?

- I hope it's going OK. - Don't say that kind of thing!

It'll be just fine ...

Oh, your fever's going up.

When will Sagara sensei be coming back?

Sensei promised me.

He said he'd make it so I could play soccer outside.

Sagara sensei will be back for sure.

He will.

Ohhh! Here's the tumor. ... Well! Would you look at that?

I guess Sagara sensei has a lot of stress, huh?

I wouldn't expect him to, though.

Hm? This looks like inflammation from an ulcer.

Suguru-chan ...

Sensei, he's hemorrhaging.

Hemorrhaging?

Moriyama sensei, his BP is falling.

There's not a person around that thinks you're the one who changed Dogami, Moriyama.

After being bested by Sagara, you've got a lot of gall showing your face around me.

- BP's fallen to 80 over 40. - What should we do?

If Sagara sensei isn't around, then you'll be the top doctor, right?

What are you doing, Suguru-chan!?

- Heart rate has fallen to 60! - Moriyama sensei!

Kill him.

- Suguru-chan! - Stop the bleeding now!

I'll stop the bleeding!

Moriyama sensei!

Sagara sensei!

- BP's fallen to 80 over 40. - What would you like to do, Moriyama sensei!?

This much hemorrhaging is no problem.

Clip.

Albumin.

The hemorrhaging has stopped.

BP has returned to normal.

I'm going to isolate the right gastroepiploic vein.

- Sagara sensei. - Sensei!

- Here. - Thanks.

The surgery went off without a hitch.

Thank goodness.

- Let's take him to his room. - He's all yours.

Suguru-chan! Thank you so much. You did a great job.

I left ...

A piece of gauze inside him on purpose.

- Wha? - Eventually it will rot inside him ...

And cause real havoc.

Suguru-chan ...

How could you do that?

I'm kidding.

- What? - I am a doctor, after all.

You're Kamiyama sensei, right?

- Yes. - You know Kousuke Sagara, don't you?

You worked with him here at Tokyo Medical University Hospital until last fall.

I didn't get your name.

I'm Moriyama from Dogami General Hospital.

Are you the one ... who performed Sagara-kun's surgery?

Yes, I'm the one.

- How did it turn out? Did it go well? - It went perfectly.

- There's no need to worry about him. - Oh, I see.

- Thank you for coming here to tell me. - That's not why I'm here.

Huh?

Why did Sagara sensei want me to do the surgery?

He got his tests here, and you discovered his cancer, right?

Didn't he really want to have you and your colleagues perform the operation?

I tried again and again to convince him to do so.

I told him to get his operation here, and that we'd cure him for sure.

But, Sagara ...

If one of their own doctors got sick but said he wanted to be treated at another hospital, the whole staff would be disappointed.

What's needed to make Dogami General a great hospital is ...

The doctors, nurses and staff ...

Must all trust each other.

First of all ...

I myself have to trust in Moriyama sensei and the other doctors 100% ...

Or else we'll never achieve complete trust.

Before Sagara was a lot more mild mannered.

But when he got that determined look in his eyes ...

There was nothing I could say to convince him otherwise.

- So dramatic. - Excuse me?

Sagara sensei will be out of the hospital in a week.

Be assured that he will be fine.

Sagara sensei.

How are you feeling?

- Not bad. - That's good to hear. The tumor was completely removed.

Unfortunately, it hadn't spread.

- What do you mean "unfortunately"? - Thank you, Moriyama sensei.

Next is to take care of Kotaro-kun.

- Huh? - I mean Kotaro Yashiro's live-donor liver transplant.

But you can't use his parents' livers, right?

His real father says he won't donate his.

The possibility of performing the live-donor transplant ...

Is nil.

Sensei.

I don't want you thinking about work right now.

OK.

If only they could use my liver for the transplant ...

Oh, darling.

Kotaro Yashiro?

- How is he? - I'm sorry but ...

- Is his condition still bad? - May I ask who's calling?

Hello?

- Who was that? - He wouldn't give his name, but asked how Kotaro-kun was.

What?

Daddy!

- Sorry we took so long. - Mommy bought me a pretty sweater.

That's great, Remi. So, what's it look like.

- I'm not telling. - You're not?

- I read your article, Hagiwara sensei. - It was quite fascinating.

Thank you.

Excuse me.

I'm Shibuya from SI Pharmaceuticals.

You're those famous doctors from Sengokukai, Hagiwara sensei, Shiroyama sensei and Azuma sensei, right?

I told those Sengokukai doctors that Moriyama sensei successfully completed Sagara sensei's operation.

How did they take the news?

They got pretty sour looks.

That's good. Oh! Ouch!

- Are you alright? - I'm fine. I'm fine.

That's good. Now Professor Sengoku will hear about my operation too.

Sensei.

I did just like you asked me to, but ...

- What are you doing this for? - You'll find out soon enough, Shibuya-san.

- I will? - That's right.

- I appreciate what you've done very much. - In that case ...

- Here are our new product catalogs. - OK, OK. Of course I'll have a look at them.

- If you would please. - Oh! You surprised me!

- Shibuya-san! - Are you making a sales call to his hospital room?

- I'm sorry. - It's alright. I asked her here.

- Good-bye, Sagara sensei. Call me anytime. - Sure.

Good-bye.

- Thanks. - No problem.

Sagara sensei!

- Yes? - I told you not to think about work, didn't I? You're a patient right now!

I only want you thinking about getting better!

Good-bye.

Does she really need to get so angry?

You're taking this much too lightly. Though it was only early stage, it was still cancer.

I understand that. I may not look it, but deep down I'm very relieved.

- You sure didn't look frightened to me. - I was frightened to death.

- I worried it might have spread, or they'd find it had infiltrated once they opened me. - Really?

- I didn't realize you were an average human, Sagara sensei. - Of course I'm an average man. Owww...

- OK, let me check your pulse. - Here you go.

Miyabe-san ...

She watched over you all night after your surgery.

She even had herself put on the shift schedule to be here.

[Kousuke Sagara]

[Sengokukai]

Why didn't you come here last week, Moriyama.

- Sengokukai members must attend at any cost. - That's the Sengokukai rule.

Last week ... I had to prepare for an operation.

I'm sorry, Sengoku sensei.

Was it Sagara's surgery?

Isn't it disgrace enough that my own student is looked down upon by a Tokyo Medical University guy ...

But then you have to go and save him.

What a joke!

You've got that right!

It doesn't matter who the patient is, we must help them.

- It's common sense. - Shut up!

I heard your hospital is planning to do a live-donor transplant.

Don't get too cocky and forget your place in this world.

Get cocky ... ?

Do you really think that such a plain old private hospital like Dogami General could perform such an advanced operation?

You'll just end up killing the patient ...

And get sued.

- A live-donor transplant! Can you believe it!? - Impossible! Give it up! Give it up!

- Don't you know your limits? - You must be kidding, Moriyama.

What are you laughing about?

I'm glad I came today.

It's times like this that one must make clear one's position.

From today ...

Remove my name from the Sengokukai member roll.

Of course.

I'm here!

Moriyama sensei!?

Sensei!

Sensei!

I'm sorry!

Are you drunk, sensei?

- I got this at a liquor store and chugged it on the way over. - You chugged it?

- Didn't you have a Sengokukai meeting today? - Sengokukai?

- I quit! - What!? You quit!?

I can't stand being around those stuck up jerks.

- Way to go! - This is where you belong, sensei.

- You're the Team Moriyama leader! - You're the life of the party!

You lift our spirits!

That's right! That's right!

I'm really glad you're back!

I'm not.

Huh?

What suits me better ...

Is that kind of gathering of the elite.

The leader of Team Moriyama?

Am I ...

Just a big fish in a little pond?

- How are you feeling today? - Perfect.

- I want out of here. - Not yet.

- Do your stitches hurt? - Not in the least.

- Like I said, I think you can release me now. - No!

- And your breakfast ... - I ate it all.

- I'll say it again, let me out. - No way! You stay here for three more days.

Moriyama sensei.

We can do it if you like.

What?

We can do it if you like.

- That live-donor transplant. - What!?

Quit pulling my leg.

I'm serious!

- Are you OK? - Sensei?

- I drank too much last night. - Oh, that's right.

Last night was your Sengokukai get-together, right?

- How come you know that? - How come? All the surgeons know.

Those jerks ...

They made fun of our hospital.

Really?

- Did they say we couldn't possibly perform a live-donor liver transplant? - Yes, they did!

They said we'd kill the patient and be sued!

- Let's put those jerks to shame! - That's why I'm saying let's do the live-donor transplant! Owwww...

Moriyama sensei ...

Thank you.

I'm not doing this for you.

I'm ...

Doing this for my own pride!

- I don't care. That's fine too. - No it's not!

You're Sagara sensei's main doctor, Moriyama sensei!

How dare you be talking about work with a patient that should be in bed recovering!

Miyabe-kun.

I know that you can see how Kotaro's color is worsening.

If we just wait around for a donor that may never materialize ...

We'll never be able to save that boy.

All we can do is try to convince his father.

We've got to ask him to be a donor.

But, as doctors, we're not allowed to do that.

Ultimately it must be Takasugi-san's own decision.

Then what should we do?

Uhm ...

Actually ... there was an anonymous call to the nurse station.

- A call? - Anonymously?

- A middle-aged male asked about Kotaro-kun's condition. - Really?

I think it's Takasugi-san.

- I'm discharging myself. - What!?

- Sensei!? - I just need to control what I eat now.

- In fact, I'll probably heal faster if I'm moving around. - Moriyama sensei!

- Maybe so, but ... - Thanks to your wonderful surgery, just look at how healthy I am!

Sagara sensei!

Don't blame me if your sutures open.

Boom!

Kotaro-kun.

Sagara sensei.

I'm back.

Sooner than you promised.

That's right.

I'm home, Maki.

[Makoto Takasugi Investigation Results]

Isn't the way we're seated strange?

- No, not really. - Yes it is!

Two adult men sitting right next to each other when the other side's empty.

Takasugi-san will be here soon.

Those waitresses are giving us funny looks too.

And I shouldn't have ordered a sundae.

You've got a sweet tooth, don't you, Moriyama sensei?

I got this way without realizing it.

In that case, have mine too.

I'm recovering from surgery.

Why did you order it?

Oh, she's here.

Uhm ...

- You're Naoko Takasugi, right? Makoto Takasugi-san's wife ... ? - Yes.

- I'm Sagara from Dogami General Hospital. - I'm Moriyama.

Please, sit down.

Uhm ... Did my husband have some sort of tests run at your hospital?

Lately he hasn't been eating well, and seems obsessed with something. He's gotten me and my daughter all worried about him.

Is he hiding something?

Yes, he is.

Please listen to us calmly.

When we married ...

He told me that ...

He had a son from his previous marriage.

But, I didn't know ...

Until yesterday ...

When the doctors told me ...

That his son Kotaro was ill ...

And he'd been asked to be a donor.

That's what ...

He'd be worrying over so much.

But ...

Now he's my husband and the father of our daughter, Remi.

So to give a part of his own healthy body and be on medication his whole life, all for the sake of someone he has no relationship with anymore ...

Is just plain unfair!

But ...

But ...

We're always ...

Telling our daughter ...

To become a kind and generous person.

Be someone ...

That helps others in need.

If I ...

Abandoned Kotaro now ...

That would make us liars to our own daughter.

Sensei ...

You said that ...

If my husband became a donor ...

You'd do everything you could to reduce the impact on his health, right?

- Right. - Yes.

Then I'll donate.

Use my liver ...

To save Kotaro.

Thank you so much!

Thank you so very much!

Takasugi-san.

Takasugi-san ...

Mrs. Takasugi ...

That was a very brave ...

And admirable decision you have made.

Thank you.

But ...

I haven't ...

Told Remi that I have a son.

Please don't tell Kotaro ...

That his real father is someone else.

When they're both ...

Much older ...

And can understand it ...

- Let's explain to them together, all four of us. - Certainly.

Thank you.

Thank you.

Sensei ...

You absolutely must ...

Save Kotaro.

Of course we will.

We'll save him for sure.

- They found a donor? - Yes.

And the doctors are eager to perform it too.

A live-donor liver transplant ...

In this liver transplant procedure, a part of the liver will be removed from the donor, Makoto Takasugi ...

And transplanted into the recipient, Kotaro Yashiro.

This procedure will be performed by two separate teams.

Me and Danbara sensei and Takaizumi sensei will make up the team which removes the part of the liver from the donor.

- Yes sir. - Got it.

Sasai sensei and I will be the team that transplants the liver into the recipient.

Certainly.

The procedure will be performed in adjoining operating rooms and start simultaneously.

The coordinators keeping track of the progress will be ...

Me and Miyabe-san.

Thank you. I'll do my best.

The time it takes for the Moriyama team to remove the portion of the liver from the donor ...

And for the Sagara team to remove the affected liver must be less than five hours.

These procedures must be completed at nearly the same time.

- OK. - I know.

The removed portion of the liver will be placed in cool preserver and then moved to the Sagara team and transplanted into the recipient.

- Can we really handle this, Sagara sensei? - How long in total will it take to complete this procedure, Minagawa sensei?

Approximately 11 hours.

- Wha? - 11 hours?

- You're still recovering, Sagara sensei. Do you have the strength for this? - It'll be awfully hard on you.

For the answer to that ...

You'll have to ask my doctor.

- Oh. - He's recovered quite well enough already.

Any patient that I operate on recovers quickly.

- There you have it. - Ahhh...

I was just making sure. That's all.

However ...

Whether he can concentrate for 11 hours or not is another story.

Can you handle it, Sagara sensei?

I'm very confident ...

In my ability to concentrate.

You're awfully sure of yourself, sensei.

But it's times like this ...

That one makes mistakes.

I'll remember that.

On the day of the operation all the newspapers as well as four weeklies and three medical journals will be here to cover the event.

- But no TV? - TV?

Don't you see? A private hospital is going to attempt a live-donor surgery. Why shouldn't it become national news?

But the only time these things become news is when there's a mistake.

- How dare you jinx us by saying such a thing! - Sorry.

- Postpone it!? - I can't put off this surgery to hold a wedding reception.

We'll have the ceremony, since it'll end before noon, but no reception.

- You've gotta be kidding me!? - C'mon! You've gotta understand!

A child's life depends on this surgery.

- Fine. Then let's call off the wedding. - Huh?

- The engagement's off too! - Fumi!

You're awful ... A real jerk.

The biggest hurdle in this surgery are the hepatic vein and portal vein anastomoses connecting the donor liver with the recipient liver.

- It's a race to keep the new liver from being damaged. - Right. The time that can be spent on these two procedures is ...

45 minutes.

If it takes more than an hour ...

- It's all over. - It's all over?

The transplanted liver will be unable to function ...

And ultimately the patient ...

Will die.

Let's do a final review of the procedures.

First, what's the donor's physical condition.

Certainly. His liver is functioning normally, but his neutral fats and cholesterol levels are slightly elevated. And ...

I'm so tired ...

Oh, Miyabe-kun. Are you finished?

- Yes. You too? - Uh-huh.

- How are the preparations? Are you all ready? - I believe so.

Oh! Excellent.

The transplant coordinator is a very important position.

- Do your best. - I will.

- All I had today was breakfast. - Shame on you! You're still recovering.

But my body's fine.

If you're going to eat now, how about if I show you a place that's really delicious?

- Hn? - It's a new place that just opened near here.

- They serve healthy dishes, so it suits you perfectly. - Is that so?

Oh ... but ...

Today I've got to get home and brush up some more.

Oh, I see.

OK, then. Good night.

Good night.

Today here at Dogami General Hospital a live-donor liver transplant will be performed for a patient with cirrhosis.

The recipient is a ten-year old boy. The donor is a 40-year old male ...

A close relative.

Why did the patient decide to have a live-donor liver transplant performed at this hospital rather than an experienced university hospital?

First of all, we are very confident in our hospital's medical ability to successfully perform a live-donor liver transplant.

And secondly ...

There is a great trust between the patient and the doctors here.

That's the reason why.

- I've told Remi ... that you're on a business trip. - OK.

Take care of things while I'm away.

Sure.

Don't worry. It'll be just fine.

OK, let's go now, Takasugi-san.

Here you are.

- There's no reason to be afraid, Kotaro. - After this operation you'll be all better.

Will I be able to play soccer?

- Of course! - We'll play together.

OK, we'll be going now.

Please wait in his room.

When I take over this hospital ... right away I'll get rid of the general hospital label ...

And turn this into a members only clinic for the rich.

- You'd probably make lots of money that way. - But ...

Once we start doing things like live-donor transplants, I won't be able to get away with that.

Dogami General is basically announcing that we're becoming a leader in clinical medicine.

Since you got here ...

Everything's been thrown into chaos.

We really should be concentrating on the operation right now.

Now, yes ...

I'm ready to begin.

Over the next four hours we're going to remove the recipients affected liver.

Then the moment we finish we'll receive the donor's liver and begin the transplant.

It will take 11 hours to complete the entire procedure.

It's going to be a long battle, so let's all do our best.

Yessir.

Sagara team is ready.

OK, I'm ready.

Sagara sensei is ready.

I'm ready too. Start anytime.

Moriyama team is ready.

9:02.

OK ... begin the operation.

- Ready everyone? - Ready!

Start the video.

Scalpel.

Electric scalpel.

- Are you ready? - Ready!

We're now going to begin the live-donor liver transplant donor surgery.

Scalpel!

OK, thank you.

Director.

The operation has just begun.

What time is it?

Kotaro ...

OK.

Dissection of the liver parenchyma complete. Next ... we'll excise the portal vein.

Yessir.

Satinsky clamp.

- Pull that back. - Yessir.

- There's a lot of adhesion. - Uh-oh. Adhesion.

The portal vein ... We'll have to cut it very short.

But that means ...

Anastomosis will be very difficult.

But Sagara can handle it.

OK, we're cutting it! Metsenbaum.

I'm going to make the the inferior vena cava perpendicular.

- OK, completed. - Vessel loop.

- OK, complete. - Pean clamp.

We'll temporarily block the inferior vena cava.

Towel.

How long has it been?

- Four hours. - OK. The last step is taking care of the bile duct.

- Is the transfer table ready? - Yes, it's ready.

Cooper.

OK.

- Let's remove it. - Tray.

The donor liver has been removed.

- It will be delivered to you in 30 minutes after preparation. - Got it.

Vital signs?

Stable.

We're finished.

- As always, Sagara sensei. Very fast. - We'll remove the liver now.

- The cirrhosis is very bad. - It sure is.

Just as planned, we'll block blood flow from the separated end of the vena cava. Then we'll shape the cut ends of the left hepatic vein and portal vein.

We must complete that within 30 minutes.

Sagara sensei.

The donor's liver has severe sclerosis.

And there was much adhesion, so I had to cut the portal vein short.

Arterial anastomosis will take a lot of time.

- Sclerosis? - And the portal vein's short?

I understand.

- But, Sagara sensei ... - Problems can't be avoided in surgery.

- But we've got to complete the anastomosis in under 45 minutes. - Even if we transplant it, the liver will die.

It'll be fine. ... Just relax and perform it according to plan.

Dear ...

It's alright. Everything will be alright.

OK. The hepatic vein graft formation is complete.

- Are you ready to transport it? - Yes.

OK! Take it away!

- I'm delivering the donor's liver now. - Don't slip.

- It's in your hands now, Sagara sensei. - Thank you, Moriyama sensei.

Kotaro-kun ...

- OK, here it comes! - 4 hours 30 minutes. We're right on time.

- Here's the donor liver. - It's here!

Put it here.

Sasai sensei, open the incision wider.

OK ...

Now we'll first anastomose the hepatic vein, then the portal vein, and reinstate circulation.

The time limit for restarting circulation is 45 minutes.

You can go now, Miyabe-san.

I want to be here till the end.

I want to be with Kotaro-kun.

Certainly. Watch from there.

- Thank you. - Sasai sensei ...

- We'll make a continuous suture. - OK. Clamp.

Oh, darling ...

Dear ...

My dear!

Darling!

The surgery was completed so that Takasugi-san can live the healthiest life possible from now on.

Thank you.

I should be the one thanking you.

Th...

Thank you.

Let's move him to the postoperative ICU.

Well done, Moriyama sensei.

It's still not over.

Everyone.

At 1:47 p.m., the transplant surgery for the recipient began.

- I have a question. - Yes?

- Were there any problems with the removal of the donor organ? - Well ...

The surgeon was our ace, doctor Suguru Moriyama, so I have no doubt it went perfectly.

Success of the transplant depends on the time needed for reattaching the blood supply, is that correct?

Yes. That procedure is being handled entirely by doctor Kousuke Sagara.

He is our other ace.

Heart rate, 80. BP 120 over 80. Vital signs normal.

Next suture please.

- It's taking a long time. - How many minutes has it been?

- 15 minutes. - They've only got 30 more.

BP is falling.

- Let's hurry. - I'll do my best.

Sensei, BP is 80 over 40.

Senju sensei, use a vasopressor to somehow maintain his BP.

Yessir.

Oh, Director.

- How's the time? - It's been 22 minutes.

Only 23 more.

- Dear God ... - Please save Kotaro.

Save him!

30 minutes.

Sagara sensei.

- Only 15 more minutes. - Cooper!

OK. The hepatic vein is complete. Next the portal vein.

- He's only starting the portal vein now? - Oh no! He'll never finish in 45 minutes.

Under normal circumstances this is difficult. Can you actually anastomose this short poral vein in 15 minutes?

- The hepatic vein took 30 minutes too. - 6-0 absorbent suture.

- Sagara sensei! - You'll never make it!

Are you giving up now after coming so far?

Will you be satisfied with just attempting a live-donor liver transplant?

Kotaro-kun ...

He's ...

Entrusted his life into our hands.

Kotaro-kun's parents ... and Takasugi-san ... and his wife ...

They've ...

Placed their hopes in us.

We must succeed ...

In this operation ...

If we cannot save Kotaro-kun ...

It's all for naught.

At this hospital right now ...

There shouldn't be a single doctor that would give up now.

- Sagara sensei's absolutely correct. - That's right.

Heparin solution.

Hurry!

BP 110. Heart rate 86.

- It's improving! - The time?

Ten more minutes.

We'll make it.

We'll make it for sure.

He's so fast!

Amazing!

Five minutes left.

He's gonna do it.

Goooo!

Go! That's it! Go! Gooo!

Release the air. Loosen the clamps.

Suturing complete. Cooper.

Remove clamps.

Circulation restarted.

We did it.

- How's the time? - No minutes left. We completed it in 45 minutes.

Sensei!

This is great, Director!

It's still to soon to celebrate.

Now we've got to suture the hepatic vein then anastomose the bile duct and jejunum. These and other delicate procedures will take another five hours.

- We need to keep up our concentration until the end. - Yesssir.

Yessir.

Five more hours.

I need to take a break. I can't take much more.

- Get hold of yourself! - I'm fine. I'm fine.

- Moriyama sensei? - Sagara's still recovering himself.

His strength will never hold out for another five hours. We'd both better prepare ourselves to take over at any time.

Ohh ... OK.

- Kotaro! - Kotaro!

Kotaro-kun.

Sorry for taking so long.

The operation was a complete success. It went very well.

So, Kotaro will be OK?

He should be able to play soccer this spring.

- Thank you, Sagara sensei. - Thank you.

No ... Thank you.

- Isn't it great, Kotaro? - Kotaro!

Kotaro.

OK, Mr. and Mrs. Yashiro. We'll be taking Kotaro to the postoperative ICU.

We'll go with you.

- Miyabe-san. - OK.

Sagara sensei.

Oh, Moriyama sensei.

You did quite well.

Thank you.

- You overdid it. - What?

- I was waiting for my turn the whole time, stretching the whole five hours. - Oh, dear ...

Sorry about that.

I thought this was a team effort.

Then, why don't we have a drink together. My treat.

That's the first time you've invited me, Sagara sensei.

Is that so?

No thanks.

I think I'll pass.

That's not the kind of relationship I have with you.

Ohh, pretty scary. Pretty scary.

The operation ...

Moments ago ...

Was completed.

- Was it successful? - Yes. At present there are no problems.

Congratulations, Director.

- Over there, Director. - Oh, over there?

Takasugi-san.

The operation was a success.

Is that ...

Kotaro ... ?

That's your son ... who you gave your liver to.

You've really grown ..

Kotaro ...

[Four months later]

Yesterday this patient came to the general diagnosis department complaining of pain in his right upper abdomen.

- What do you think was the cause of the pain? - Gallstones or urinary calculus? - It could be ...

They've all got such fresh faces.

- It reminds me of Takaizumi sensei a few years ago. - Yeah ...

- While I was still feeling like a student. - But now you're a newlywed.

- That was a flashy wedding you had. - Stop it. Quit bringing that up.

- What's with this letter? - Nice, isn't it?

Kotaro-kun sent it. He says he can play soccer now.

He's healthy now, that boy.

- But ... - It was so wonderful, it made me cry.

- His parents are overjoyed too. - Why's he say thanks only to Sagara sensei?

- He doesn't thank me at all! - Really?

- There's a special present for you, Suguru-chan. - A present?

That's right. ... Kotaro-kun drew this.

- It's you. - That's right! A picture of you!

There wasn't one of Sagara sensei. There was only one of you, Suguru-chan.

- Only one of me? - Oh, aren't children just wonderful?

- He's a good artist. - It looks just like you.

Uh-oh.

M... Moriyama sensei?

Sagara sensei!

- Oh, Minagawa sensei. - I finally found you.

- I was at the convenience store. - There's a patient I want you to see first thing this afternoon.

- He's had several bouts with gallstones. - Alright. We'll have a conference about it later.

Oh, that's good.

- It feels so nice outside. - Sure does. Especially in this garden.

Sagara sensei.

Yes?

Stay at this hospital forever, OK?

- What's that for? - I bet you've been invited to a lot of places.

But ...

I will stay here ... forever.

You see ...

I like this hospital ... and ...

It will still take a long time ... before this place becomes an ideal hospital.

- Please ... be gentle with us. - Same here.

Not there yet, huh?

Not yet, but ...

- I've got a dog too. A French bulldog. - Really?

- What's his name? - Toshio.

- Toshio? - Yeah, he just looked like a Toshio-kun.

- You're funny, Miyabe-san. - What? Me? Why do you say that?

Am I really?

I'm telling you, that's really what he looked like.

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