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One year ago, she bore a serious heart rupture while on duty,
therefore has two months blank.
Drinking cold water improves atrial fibrillation temporarily only.
Stop.
Today, I signed it.
Declaration of intention concerning resuscitation
I do not wish to prolong my life
Absolutely no medical treatment
I'm not going to live long.
I want to use the remainder of my life for seeing you.
I've ruined Dr. Kuroda's life!
What's the point in being an emergency doctor?
I won't go back. I'm staying here.
Ride the helicopter more than anyone else.
It's nearly Mom's death anniversary, right?
Could you tell me where Aizawa Kinue-san's room is?
Cutter.
Here.
When examining a patient with severe bleeding,
or more specifically,
catching sight of a senior doctor's accurate judgment in his field of expertise
and his swift ligature skills,
the Fellowship members
- become dazed from realizing their own inexperience. - Aizawa.
Aizawa!
Yes, sorry.
Then, the next thought follows.
"Is this..."
"...really me?"
"No, it's not."
I want to believe it's not.
But,
to begin with, what was the real...
...me?
Saejima-san, can you come here a moment?
Yes.
The care manager, Ochiai-san, must be worried.
Yeah. Say, Grandma.
Yes?
Who's Yamada Ichiro?
What?
I saw the visitors' book at the reception desk,
and Yamada-san
has come to visit you many times.
No.
I don't know him.
Today's the third day.
CO2 has built up.
Yes.
Sorry, I had to finish up a few things.
Satoshi.
Satoshi!
ALS, is it?
[Note: ALS = Amyotrophic Lateral Sclerosis]
Saturation is dropping.
You're going to intubate?
This patient
doesn't wish to have his life prolonged.
A DNR order? Are you sure?
[Note: DNR = Do Not Resuscitate]
Yes.
So the most we can give him is a mask.
Transferring hospitals would be difficult now.
Staying here like this is the only option.
Meaning this is the end?
Yeah.
Let me tell you.
I have few flights since I was hospitalized for two months.
And check-ups? I don't have time to rest!
- You could die if you fly with a blood clot. - You're exaggerating.
If I go to the Heart Surgery Department, they'll just give me a whole bunch of alternatives,
finally label it as patient responsibility, and kick me out.
If that's the case,
- I don't want that rumor to reach Dr. Tachibana! - Don't worry.
I've asked Dr. Kashiwabara of the Heart Surgery Department to keep it a secret under obligation.
Your meddling in my affairs this far is annoying.
Your true intention
is to reduce the number of rivals, isn't it?
- What are you saying? - Flights. Duty.
Haven't you already gained enough while I was away?
- Pretending to be a good person. - Enough with the animosity.
Animosity?
Animosity?!
Now, now, calm down.
Have a cookie.
Head injury and unsettled condition? Okay, we're on our way.
What was that?
I-I'll go.
Lemme go.
Calm down.
- Lemme go!! - We'll have to restrain him.
Lemme go!
- Are you going to calm down? - What happened?
Patient with diffused brain damage.
Sir!
- C-Calm down. - Lemme go!
Please calm down.
The helicopter's here!
It's dangerous here! Please stand back!
Please stand back!
Were you hit on your head here?
- Doctor. - Kitayama-san.
Do you understand?
How did he hit his head?
I threw
an ashtray.
What?
And it hit him.
An assault case?
- Please calm down. - Ouch!!
- In short, he just wants to return to his former self. - You're going to be okay.
Normally, he's a good-natured person who wouldn't hurt a fly.
And now that his brain is temporarily on strike,
he's lost his senses.
One symptom of diffused brain damage.
- Anyway, I wanted to ask... - Ah, about Yamada Ichiro?
Let's see, he constantly went to your grandma's room.
But I haven't heard of him before.
Maybe it's a fake name.
(Please cooperate with the verification of your insurance card once a month.)
(Yamada Ichiro)
The real you
has a conceited mouth, but you're hopeless when it comes to your grandma.
You're forever a granny's boy.
That hurts!
Do it yourself.
Omori-san.
What seems to be the matter today?
Omori-san?
Yes.
Were you beaten up?
Ah, no.
For my wrinkles
I went and got
botox injections done.
But I feel all sluggish.
Botox, you say.
Yes.
It was a minor cosmetic surgery?
Yes.
Let me take a look.
Ah, hold on, Omori-san!
Omori-san. Someone come help!
Are you okay?
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Translators: seri & suketeru
Timer: Dai-Chan
Editor: qnhu Special thanks to qop123
A case of anti-aging mania. It's the buzz now.
Could she have gotten the infection from going to Thailand for the botox injections?
Well, we don't know how unsanitary the place she went to was.
Her husband is here, right?
Yes.
I'll go talk with him.
Ah, I'll do it.
Thanks.
Omori Natsu, 52 years old.
What's scary is not to have wrinkles at 52.
Men prefer it when women are younger though.
Oh, aren't you a young one.
What are you trying to pull?
Hmm?
Dr. Mitsui is not very far from here.
She and I are strangers now. And I become impudent when with you.
I'm scared.
Of what?
Of whether you'll accept me for who I really am.
Well, don't force yourself. It's fine if you don't accept me.
- I'll leave the rest to you. - Okay.
He's had three stitches to his head, and the skull doesn't seem to have any abnormalities.
I'm so glad.
However, your husband's consciousness seems a little low,
so we're having him undergo a CT scan and MRI.
It's an allusion.
You're blowing this out of proportion.
But, we don't know if there are any dormant brain diseases.
That is true.
Throwing the ashtray, as husband and wife, that is an assault case.
I didn't mean for it to hit him.
I'm regretting what I did.
We'll be reporting what happened to the police.
This is...
...your third year in the Fellowship?
Yes.
That's around
the time I was in the best of shape.
I also remember skipping work.
If I'm not mistaken,
you were in the Heart Surgery Department.
Yeah.
Just like you.
Everyday I went into operations.
Out of all my classmates, I was the first to start operating.
That was my pride.
I was at the top of my field.
(Diagnosed with ALS.)
And then...
when I developed this disease,
I was at your age now.
Ah.
Sorry, I was up all night.
You're so young.
What?
It won't last, your face that is.
Once you pass 30, it's all downhill from there.
That is
something that can't be helped.
Everybody ages.
I think to be able to accept that is something important.
As of now, you're not in such a horrible situation.
You think so?
Look at this spot.
It wasn't here one week ago.
This is what you call aging.
But...
I don't think your husband cares about that.
I already know.
Soon, you will too.
It was a heart valve operation.
One of the stitches
wouldn't connect to the blood vessel properly.
It was so strange.
My hand
wouldn't move right.
I went to a neurologist.
There,
an EMG of my hand was taken.
[Note: EMG = Electromyography]
It scared me.
There was a ripple mark I had never noticed before.
It was ALS.
If it was a rapid progression case,
I'd be bedridden in a year.
It was my first time
seeing this disease.
And actually,
it was happening to me.
It's funny.
A brain tumor.
In the left temporal lobe.
There's going to be a pathological change in the memory nerve relatively soon.
It's going to be a high-risk operation, right?
I will explain it
in depth to the family.
The tumor is located quite deep in the brain.
There are two choices for this treatment.
Either through an operation to cut it out,
(Consent Form: Removal of brain tumor via opening skull operation]
(Consent Form: Radiation therapy)
or radiation therapy.
However, the tumor is located in the language and memory section of the brain.
Even if we remove the tumor,
you may lose your language abilities.
There is also the possibility of losing your memory.
What do you mean?
What's going to happen to my husband?
Calm down!
Let's listen till the end.
The possibility of memory loss and such is the problem.
Even with today's medicine, there is still a lot of uncertainty in relation to the brain.
It could be that there won't be any complications at all.
If I don't do the operation,
what about radiation therapy?
The risk of disorders remaining is low.
However,
we can't guarantee its effectiveness,
there's danger of the tumor remaining unaffected.
If I did that...
What would happen?
The tumor would grow larger,
and become life threatening.
It's a hard decision to make.
Please carefully consider both options,
and tell us of your decision.
They will choose the operation.
It's a doctor's job to guide patients to choose the best option.
You did well.
Please take care so that you don't spill it.
Stop that!
There's some seasoning, shall I sprinkle it?
Please don't worry. That was only because he's lost his senses.
He'll be back to normal soon.
I can't take it!
Is that really my husband?
Well, everybody naturally likes younger women.
- What? - Ah!
Not me! I like mature women!
What am I saying?
Oh!
Geez, sir!
You got a nosebleed from touching a bottom.
What's wrong?
Call Dr. Saijo.
He has a skull base fracture.
Absorb over there.
Okay.
Found it.
The middle meningeal artery is split.
I'm going to solidify it. Bi-polar.
Here.
Why did I end up with the anti-aging woman?
Because the real you is someone who can't accept it.
Did you have an operation?
Basal skull fracture and an epidural hematoma.
Did the ashtray guy, Kitayama-san, have an operation?
- They're still thinking about it. - Of course they would be.
Lose your memories and live a long life? Or choose to stay as you are and die?
It's the ultimate choice.
As long as you get the consent form, you'll get an operation, right?
You can't miss such an unusual case, after all.
Oh, Dr. Tachibana!
About Komiyama-san...
Operation went well, and he's now in the ICU.
That's a relief.
Guess he fell and hit his head when he was having a fit in the morning. Good job noticing it.
Ah, oh, yes.
Well,
it was my first time seeing a double ring.
You're a good doctor.
Pardon?
Yeah.
You're able to steadily manage what you need to do,
and your concern for the patients is good.
You guys should follow Fujikawa's example.
For you.
Thank you.
You've made a decision?
It was love
at first sight.
For him.
What?
We met,
and the next day, he proposed.
"Won't you be with me?" he said.
And his knees
were shaking a little.
I see.
[Note: "boku" - courteous way of saying "me" for males; as opposed to "ore" which is very colloquial]
Even till now, that was the only time he said boku.
Just this past week,
all he said were things like, "Hey, tea," and "Hey, food."
It'd make you want to throw an ashtray, wouldn't it?
Do you have
someone you love?
Yes.
Did you ever fight
and think about breaking up?
I did.
Really?
Then I'm sure you understand.
Once you think about breaking up,
you can't remember anything but the good things.
It's so...
...unfair.
You can also choose for him not to undergo the operation.
If he has the operation,
the possibility of him losing his memories is high.
He'll even lose his memory of proposing to you.
He'll become a different person.
Instead,
even though it's short, you can spend each passing day with the husband you know...
Saejima-san.
That's something for the patient to decide. Also...
"What does a nurse know?"
Anyway,
- you should... - You've changed.
You weren't so cold-hearted before.
You may have been a know-it-all princess,
but you had warmth.
So cold.
Whoa!
Don't scare me like that!
Are you a spirit of great fortune?
It's my first time.
For what?
Being praised.
Since coming here,
- it's the first time. - Is that so?
I feel sorry for you.
I'm so glad
I've come this far.
So,
you were praised?
Yeah.
Good for you.
Here.
Cheers!
Cheers.
(Consent Form: Removal of brain tumor via opening skull operation]
(Patient Signature - Kitayama Haru)
Did you get consent for the operation?
Yes.
I see.
Was my
explanation of the operation
misleading?
No.
It was doctor-like.
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Dear.
I'm in your care.
Transferring. 1, 2, 3.
Doctor.
Yes?
In the off chance that something goes wrong,
I want you to tell my wife something.
Because I'm not good at talking,
I could never tell her this.
In my whole life,
there hasn't been anyone else.
If I were to be reborn,
I want to be with her again.
Understood.
(To the patient who will undergo heart disease examination)
Omori-san?
- Call Dr. Mitsui. It's an emergency. - Got it.
Nagao Fire Department, requesting Doctor Heli.
At a construction site in Toribayama, two people are pinned underneath an iron bar.
We're heading over.
When you have more information, contact us.
Doctor Heli, engine start.
This wasn't here yesterday?
There was only a small one.
What of the bacteria culture?
Besides this, there's no signs of bacteria.
It's necrotizing fasciitis.
[Note: Necrotizin Fasciitis (NF) also known as flesh-eating disease/bacteria]
Necrotizing fasciitis?
We have to cut off the arm before it spreads all over.
Arrange for the OR.
Okay.
This is Shohoku Doctor Heli. We just took off.
Heading to Katsura.
Arrival in 20 minutes.
Is there a place where the helicopter can land?
It's deep in the mountains. The white car won't make it.
Piston with the helicopter?
With the round trip taking 40 minutes it will be difficult.
I'm Tachibana from Shohoku Lifesaving Center.
I'm Fujikawa.
Safety confirmed?
It's all okay. This way.
Yes.
Over there.
Hang in there!
- You'll be fine, Yamada! - Put him down slowly.
We had the iron pole that was on top of him quickly removed.
Where's the other person?
Oh, over there.
Fujikawa, take care of him.
Yes.
I'm Tachibana from Shohoku Lifesaving Center.
Understand? Do you understand me?
I'm Fujikawa from Shohoku Lifesaving Center.
- He was struck by the iron pole? - Yes.
He's a little light-headed, but he's okay.
Let me examine him. Let's sit down.
Slowly, please.
Okay.
It hurt till a moment ago, but I'm fine now.
Hey, Inoue! Hey!
Inoue-san!
Inoue!
Inoue-san!
Hey!
Dr. Aizawa, phone call.
Okay.
Please, step back.
Take over.
Yes!
- Phone. - Here.
One was struck on the face, abdomen and thigh by an iron pole.
Femoral artery also injured. Tube!
Don't know about the other one. Anyway, once I've stopped the bleeding I'll head over.
Alright. I'll prepare transfusion blood and the vascular surgery set.
Transfusion emergency first degree. Prepare 10 units.
Yes.
What is it, Doctor?
Please, step back.
Tell me it's a joke.
Prepare for echo.
Yes!
A lot of fluid has accumulated.
Let's perform drainage.
Yes.
Move!
It will be a little cold.
What is it? What's happening, Doctor?!
Step back, please!
You can save him, right? Hey!
Calm down!
Inoue-san.
Blood has accumulated in your chest.
We'll drain it by inserting a tube.
- Prepare for anesthesia. - Yes.
The progress of necrosis is terribly fast.
This is bad.
Shock isn't improving.
It's a massive hemothorax.
Over 500 is coming out. What do we do?
I have my hands tied here.
No time to call for a substitute, either.
Get instructions from Aizawa.
- Connect me to Fujikawa, please. - Right away.
Yesterday you were with me for the lung abscess operation, right?
Yes.
You'll be fine, then.
You can do it.
Hello?
Fujikawa?
But...
...his lung is injured!
He also has a massive hemothorax.
Listen carefully.
On highways,
railway accidents.
We've seen a lot of awful scenes.
And,
we overcame them.
Compared to other departments in the same period of time,
we've had a lot more cases.
You can do it.
No matter the circumstances,
I definitely will not
hang up on you.
You're just saying that
so you can get another interesting case.
You'll be fine.
Ventilation and fixation, please.
Yes.
Scalpel.
Make an incision till the breastbone.
Go in from the fifth rib.
Got it.
- Cooper. - Here.
Pull, please.
Can you see it?
It's no use, I can't see it.
Blood is gushing out.
In that case,
block the hilar area in one go with the Satinsky clamp.
Satinsky.
Yes.
That's where you'll start stitching.
I clamped it.
Did it stop?
Yes.
Alright.
- Now just bring him here... - Oh, no!
Oh, no!
Blood is flowing out.
It won't stop.
The carotid artery has weak pulse.
What's wrong?
He probably has a great vessel injury.
Can't measure blood pressure.
Heart massage.
Doctor.
Inoue?
Doctor.
Did he die?
Hey, Inoue!
Doctor, what's going on?
Hey, what's going on, Doctor?!
Hey!
(Inoue Masatoshi)
(Chest CP)
[Note: CP = chest pain]
(Deceased)
It was the best you could do in that setting.
Can't do much to treat a great vessel injury.
If it were Aizawa...
What?
If Aizawa
had been on location,
he would have been saved, right?
Perhaps.
He often assists in chest operations after all.
But that's all there is to it.
You
are better than him in many other things, so don't worry.
Like what?
What?
What things?
You
know yourself quite well.
I heard from her husband
that before coming to Japan, they had a fish meal at a restaurant.
As we thought.
It's a vibrio vulnificus infection.
The so-called flesh-eating bacteria.
Liver cirrhosis, fish sashimi, hot place.
All conditions are present.
But nothing was found in the bacterial cultivation.
If we don't suspect it's vibrio, we can't find it.
With necrotizing fasciitis, chances of rescue are less than 10%.
There's nothing we can do.
It's sad.
Considering she had someone she could grow old with.
Kitayama-san,
do you know where you are?
Do you know who I am?
What about this person?
No.
It's because he just woke up from anesthesia.
(Flight duty: Mitsui & Shiraishi)
(Morimoto & Shiraishi)
(Shiraishi & Tachibana)
- Good work. - Thanks.
You're on duty today as well, right?
Aren't you working too hard?
You should think about your health, too.
Dr. Shiraishi.
Everyday...
...I recall.
When Dr. Kuroda
had that accident.
The moment I held his right arm down,
the sensation of the lukewarm blood overflowing.
I can't forget.
I...
...was told by Dr. Kuroda
to fly more than anyone else.
(To the patient who will undergo heart disease examination)
(Hiyama Mihoko)
Hiyama-san.
Hiyama-san! Hiyama-san!
What the...
I finally understood.
You usually talk assertively,
yet when it's about you, you're a coward that shakes like a child.
That's who you really are.
I noticed, too.
You pretend to care about the patients
but really you can't stand things not going your way.
Typical of haughty doctors.
That
is who you really are.
I'll walk down my own path no matter what I'm told.
Say.
Why...
...am I not you?
Liquid diet, please.
Lend me a pen, will you.
Here you go.
It's a tiger.
That's a cat.
Why does everyone say it's a tiger.
What happened with your husband since that day?
Looks like he can't recognize me.
He thanked me
for being kind to him.
But,
there's still plenty of time.
Thank you.
Actually,
there's a message from your husband.
Kitayama-san, how are you feeling?
I'm good.
Oh, excuse me.
Yes?
Well,
we only met yesterday, but...
Won't you...
...be with me?
It's okay to forget the patients you save.
It's the patients you weren't able to save
that you should remember.
Kato Naoki,
Maeyama Shoko,
Higashi Shoji.
The patients I couldn't save this week.
Just one week.
In one month,
in one year, I'd become hopeless.
I'm just like you.
A surgeon
can't avoid death.
Inoue
Masatoshi.
That name,
don't forget it.
While looking for myself, what I found
was my miserable self becoming despicable.
Doctor, please.
Yes.
I'll help.
Thanks.
But facing that self,
whether I should come to a halt, appalled.
Or go one step forward.
Depends on oneself.
So?
Alright.
Whether the direction we're facing is in front of us or behind us,
even that is not certain, but...
Thank you.
...we
want to take a step forward
together with our useless selves.
How's the pain?
It's okay.
She sprained herself when she went to the restroom.
The pain seemed to be unbearable, so I gave her painkillers.
Okay.
She's a bit delirious, but
she'll settle down.
Excuse me.
Sorry for the trouble.
Natsumi.
Grandma.
Mom died a long time ago.
It's Kosaku.
Rest well, Grandma.
...killed her.
You
killed Natsumi.
...killed her.
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Translators: seri & suketeru
Timer: Dai-Chan
Editor: qnhu
Special thanks to qop123
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