Previously on Code Blue.
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It was an accident, not suicide.
It was an accident.
The fencing to the water tower was old and fragile.
Do you lie to family?
There was no other option.
The both of us, inexperienced, having a child
makes me feel guilty.
Her suicide... was my fault?
I'll decide my course on my own.
- I'm worried about you...
- You just want me to do as you like.
Why don't you be honest?
It's stage 4 of lung cancer.
In my own way, I'm trying to be a doctor till the very end.
Please understand.
He's brain dead.
You're confirming the DNR order.
His heart is pumping thanks to medicine, but
he's not actually living.
You did your best, didn't you?
Tsubasa.
It's bye-bye now, isn't it?
What would you like to do?
I want to hold him tight.
Please, hold him.
- This is medical malpractice.
- What?
(Surechigai - Snack Bar)
More than results
the process of exerting oneself is important.
People grow up and realize
how utter a lie that is.
People...
see nothing but results.
This is Saejima.
I'm not available right now,
please leave a message.
It makes sense for results to be bad if one slacks off.
The problem is when exerting oneself to the maximum
and still getting bad results.
At such times,
what should people...
This is Saejima.
What should we
do?
Hey, do something about that.
It's been a week already, right?
- She's been like that all this time?
- Yeah.
Maybe something happened between her and her dad.
Sake.
- What?
- Sake!
I got it.
I didn't think she could be so troublesome.
What!
Yes, yes! It's nothing!
What about the other one? Heard anything?
Beats me.
Yes, yes, yes. Seconds, right?
What's up with him?
I thought he was a fine man, but he won't utter a word.
I said I got it.
Happy?
What?
Happy?
Well, yeah. Bit by bit.
You're happy?!
Oh! No. I'm not happy.
Unhappy?
Yes, unhappy.
- Unhappy?
- Yes.
Yay!
- What about you?
- Unhappy. So unhappy!
Natural. Your face.
Your face is unhappy.
What is it?!
Aizawa.
- She has this character?
- You're just like always.
- What? You're unhappy?
- Again.
Wow.
Nice! I'm unhappy, too!
Is it okay to be unhappy?
I think so!
[Note: Pun on "Waratte ii tomo," a variety show]
Was that a gag?!
- Because she's been doing nothing but study.
- Poor child.
Let's drink, Aizawa. Let's drink our hearts out.
Good morning.
You were amazing yesterday.
So it seems. I just heard from Dr. Fujikawa.
You don't remember?
You totally raided Aizawa.
I don't know about what, but you persistently asked him things.
You don't even remember that?
Well,
I just met him and it seems he doesn't remember, either.
Really?
Yeah. I'll go ahead, then.
You don't remember anything?
Yeah.
Not even your conversation with Shiraishi?
It looked serious.
Well, she doesn't remember anything either.
You two were hitting it off.
This could develop into romance.
Ouch.
You have one message.
It's me.
Today
you have night shift?
For a while,
- you won't...
- Good morning!
Good morning.
Oh. Ph-Phone call?
It's okay.
I thought you were coming last night, so I waited...
Sorry. I was busy.
Dr. Morimoto and Dr. Mitsui are operating on the intestine-damage patient brought in this morning.
We're in charge of HCU.
Okay.
Good morning.
Morning.
- Shohoku Lifesaving Center.
- Requesting Doctor Heli.
In Kakuraisan Neighborhood 5, a couple climbing had an accident with falling rocks.
- The male was hit all over his body.
- Falling rocks?
Currently, the male guide made them take shelter in a mountain hut.
Anyhow, it's halfway up the mountain, so it will take the ambulance 2-3 hours.
Alright. We're taking off.
- Lucky! Looks interesting.
- Doctor Heli, engine start.
Hey!
Nogami-san.
- Take care of this.
- Doctor.
What?
You were Tsubasa's attending doctor, right?
Is there a problem?
Don't give me that crap, you murderer!
Calm down, calm down!
I'm her superior, Tachibana.
What's the problem?
Aizawa, Shiraishi. You go instead.
Okay.
Let's hear it.
This person...
...killed Tsubasa.
Let's go.
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Translator: suketeru
Timer: Dai-Chan Editor: qnhu
Special thanks to qop123
Did you hear something
about Dr. Hiyama?
I was there, too.
But...
This is Kimitsu East Fire Department.
What will happen to Dr. Hiyama?
We still don't know anything.
Prepare for echo.
Yes.
Didn't I tell you to get her consent?
Yes, you did.
Without that, we can't stick up for you.
Why won't she apologize?
Ah, that's...
As I said earlier,
please let us confirm the facts first.
Then just call her here!
First, we'll hear Nogami-san's story,
then we'll listen to said person.
Please let us deal with this appropriately.
Because my sister is divorced and alone,
it feels like she's being taken lightly.
No, that is absolutely not the case.
Right, Naomi?
- Yeah.
- To think that my nephew Tsubasa
was treated halfheartedly and killed by such a young doctor!
I just can't let it go.
Disclose that this doctor called Hiyama let Tsubasa die,
and, as a hospital, make an official apology.
Then punish that doctor.
It will be out where it should be.
Let's go.
Oh, let me show you out...
No, thank you.
Let's work out a counter-plan immediately.
This way!
In here!
The wind was strong, and it got dangerous so we changed to a safe route.
And the rocks...
Where was he hit?
The chest. He was trying to protect his wife.
Dear!
- Dear!
- Nemoto-san!
The doctors are here!
- Dear!
- I'm Aizawa from the Shohoku Lifesaving Center.
- Dear!
- Do you understand?
It's an open thoracic injury.
This is bad.
- Intubation right away.
- Yes.
I'll use the table.
Nogami Tsubasa-kun
became brain dead after three days of operations on the entire body.
On the tenth day,
Dr. Hiyama was to obtain consent to stop treatment.
Namely, without having a DNR order signed
she stopped adding to the vasopressor and removed the artificial respirator.
In no time, Tsubasa-kun went into cardiac arrest.
Yes.
Why didn't you get a DNR order?
I thought there was no need to.
Why?
Tsubasa-kun's mother...
With Nogami-san there...
Well...
There was a sort of mutual trust.
I thought we had that.
Meaning, after your mutual understanding you removed the artificial respirator?
Yes.
Looks like she doesn't think so.
That's enough.
Dr. Tachibana, if the artificial respirator hadn't been removed
how long would Tsubasa-kun's heart have lasted?
Probably, one day at most, 10 minutes at least.
What do we do?
Excuse me.
- If I can end this by apologizing...
- What are you saying?
Do you understand?
You're being sued for murder.
This won't end even if we take away your medical license!
You can't admit a fault so easily.
We will not make an official apology.
We'll resist till the end.
Assistant Director, is that okay?
Let's do so.
For now, you are indefinitely
banned from participating in all kinds of treatment and examination.
Until we get a settlement that makes everyone happy,
do not approach any patients.
Of course, you're also prohibited from entering the examination area.
Do you agree, Chief Tadokoro?
Yes.
I'm sorry.
I was the one to tell you to take the southwest route.
I'm sorry.
It's not use. Neither blood pressure nor saturation is rising.
It's a large hemothorax.
Transporting him is hazardous. Should we do a thoracotomy first and stop the bleeding?
Yes. Prepare for thoracotomy.
Yes.
Are you operating here?!
Is it okay?
- Will it be okay?!
- Excuse me, I'll explain later.
She's a really enthusiastic doctor.
That might be the case.
You surely know how good she is.
But
in this sort of situation, results are what count.
Yes.
A single word from the family chokes the life out of a doctor easily.
I'm reluctant, too.
Ending a young doctor's career because of something like this.
We
are in your hands.
Excuse me then.
It's my fault.
Though you stopped her.
Yes, it's your fault.
If we're imprudent, Hiyama's life as a doctor will end.
Back then you should have been harder on her.
Hiyama is
not a bad doctor.
That's why.
She's a good doctor, like you.
She thinks of her patients as she does about herself.
That's why it's no good.
Patients! Patients! Patients!
You were like that, too.
Every time I was with you, I felt I was about to choke.
Everything that happened at the hospital, you'd take it with you home.
I...
...never had time to relax.
It was the same with the pregnant woman incident.
"Ah, just as I expected." I knew it would happen one day.
The same as Hiyama.
That enthusiasm
hurts her and those around her.
You were like that in the past, too.
That's why!
I...
...became strong.
If Hiyama can't continue being a doctor,
how do you plan on taking responsibility?
We had confirmed Tsubasa-kun's brain death.
It looks like
I made the same mistake
again.
I'm a failure as a supervising doctor.
Mistake, huh.
I wonder what a mistake is.
Even if you're right
but the results turn out bad, people call it a mistake.
The one sure thing is
you don't know how to protect yourselves.
Both Hiyama
and you.
Is he okay?
Blood is oozing out!
Say, is it okay?
The pulmonary apex is strongly adherent.
Damage to the lower lobe is major.
The hemorrhage is too bad, makes mending difficult.
Blood pressure down to 50.
This is bad.
Can you see the ligament?
Just barely.
Cut it.
We'll try from the hilar area.
Okay.
Okay, cut.
We'll block the hilar area and stop the bleeding.
Forceps.
What is it?
Saejima.
I was sure I put them in.
We can't block it without the forceps.
They are not there.
I'm sorry.
You forgot the forceps?
Yes.
So you can't block the vein.
How much is the bleeding?
About 2000, I think.
It will be bad if more comes out.
Have you ever performed a pulmonary hilar twist?
Hilar twist?
No.
Hold the lung with both hands
and twist it by 180 degrees.
That way
you block air and blood flow.
The pulmonary apex is strongly adherent.
Will it take long to detach?
Yes.
There's no time to do it slowly.
Even if the lung gets torn, let's detach it in one go and perform the hilar twist.
I heard.
I'll leave on-location judgment to you.
But either way, if you don't bring him in quickly, he won't make it.
Okay.
I'll make a wider opening between the ribs.
Scalpel.
Yes.
What's going on?
What's the scalpel for?
We're close to the pulmonary artery. Be careful.
I'll try to pass my finger into the hilar area.
Thank you.
Answer me, please!
He'll be okay, right?!
He can be saved, right?! Hey!
Anything is okay, prepare what we have for inspection.
Okay.
Adhesion of upper lung lobe is left.
If he goes into cardiac arrest because of the hilar twist,
I'll do a left thoracotomy and perform cardiac massage immediately.
Alright.
- Mayo scissors.
- Yes.
The pulmonary apex is torn.
I'll go on.
If we twist the lung completely, the bleeding will stop.
Blood pressure 50.
It's not rising.
More transfusion.
I'll do the pumping.
Blood pressure 62. The decline stopped.
There's no time to close the chest. Let's do packing and transport him.
I know. Get all the gauze we have.
Yes.
He can hold about 30 minutes. Can we make it?
The wind is strong today. I'm having them look for a safe route.
On the west side of Kakuraisan, the route that goes northwest.
How long will it take?
Roughly, 17 minutes.
Roger.
How much longer?
- 5-6 minutes.
- Okay.
Bring him in.
Yes.
What are you doing?
Are you stuffing his body with gauze?!
It's a necessary measure called packing.
Just hurry, please!
If he isn't saved, I...
It's my fault.
If I... If I hadn't told them to go that way,
this wouldn't have happened!
You couldn't predict the rocks would fall, right?
Yes.
Then it's a hindsight-based opinion.
You're free to have regrets, but
please don't complain all over the place
and get in the way.
Alright. Let's transport him.
Yes.
The wind is blowing again.
We're pressed for time.
Yes.
Let's fly
like we always do.
Yes.
Alright.
ETA?
In five minutes.
Let's wait in the First Aid Room.
Okay.
SpO2...
I know it's not picking up with one lung.
Keep pumping instead.
Get new albumin.
Yes.
We're almost there.
Dr. Tachibana and Dr. Mitsui are in the First Aid Room.
Let's hurry.
Okay.
I'll take over.
Insert blood steadily.
Yes.
I'm bringing the lung back. Forceps.
Here.
I'll cut off the lung.
Okay.
- Changing into two intubations.
- Entering level 1.
- Fixate.
- Yes.
Dr. Aizawa.
- These are the instructions for Nemoto-san.
- Okay.
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Dr. Hiyama.
Aoki-san.
The mister with the leg fracture that I examined yesterday.
He might be the last patient I examine.
If this were to happen, I should have gotten that consent letter signed.
Patients' families
aren't to be trusted.
I was such an idiot.
You're the first one
that doesn't think so.
In Tsubasa-kun's case,
you looked for a possibility till the very end.
When he was judged brain dead,
you were the one that suffered the most.
I watched you.
The first time
I was thanked
was when I inserted the IV drip needle instead of the nurse.
It was a 73-year-old lady in her final stage of cancer.
So many IV drips were done,
so I just couldn't hold the vein.
But,
somehow I was able to find it and insert the needle.
"You're so good."
"It doesn't hurt at all."
"Thank you."
That's why
just that "thank you,"
I must never forget it.
I've come so far thinking that.
Nonetheless, today...
...I was called a murderer.
To be looked at
with such hateful eyes was my first time.
I've...
I've taken its toll, a little.
Dr. Hiyama.
Don't worry.
Even if it goes into court,
you don't have to testify.
I'm
sorry about earlier.
What for?
What?
Nemoto-san's vitals are now stable.
We're even.
Forgetting the forceps is irrelevant.
Results are what count.
Today's hilar twist is the same.
If results are good,
you're told you were courageous.
If they're bad,
you're called a murderer
and taken to court.
No one can avoid that process.
That's our job.
I chose this job
thinking that was good.
That's how it was supposed to be.
At times,
it helplessly becomes meaningless.
It's me.
Today you have night shift?
For a while, you won't be able...
Are you okay?
...to answer the phone.
I'm fine.
Of course not,
after what happened.
I'm sorry.
No.
I mean Satoshi-san.
After something like that, there's no way you can do your job normally.
Nurses are human, too.
And Saejima, the ice woman, is human too.
- Ice woman?
- Oh! No!
I mean...
Everyone makes mistakes.
I commit heaps of mistakes even without anything.
Thank you.
I think Satoshi-san is around.
What?
Well, 49 days haven't passed yet.
[Note: Buddhists believe the dead get reborn after 7x7 (49) days.]
His spirit is wandering around here.
Sometimes I get chills down my spine.
But you know,
I think one shouldn't be dragged by one's past forever.
People need to face forward and walk on.
Sort of like, "Walk and Walk."
He,
even in that condition,
always had a goal.
See?
He lay a goal in the near future, and lived to reach it.
Repeating that,
he lived, even if just for a little longer.
Even though they were really small goals.
He was amazing.
Yes?
Dad?
It's me.
What is it?
What are you taking along with molecularly-targeted drugs?
Molecularly-targeted drugs?
Did you do it?
Yes.
I tried it,
but it didn't work.
Then what about the BLP vaccine?
There are effective examples for lung cancer where,
due to Mack-1 positivity, HLA matches.
Megumi.
Alternatively, there's arterial injection chemotherapy.
Calm down, Megumi.
Who do you think I am?
You need more before a 3-4-year surgery youngster can beat me.
Both in knowledge and skill.
Actually,
did you catch a cold?
Your voice is a bit hoarse.
Are you drinking ginger tea?
That will warm you up.
You don't have time for groceries, right? Shall I get your mother to send some?
You have one message.
It's me.
Today
you have night shift?
For a while
you
won't be able to answer the phone, right?
Anyway,
I somehow
got through Christmas.
Next,
is till spring, right?
In spring
let's go see the cherry blossoms.
There's
a really nice
place.
Listen,
Haruka.
I really want to
take you there.
I want to
show you
those cherry blossoms.
Then,
the next
goal is...
To delete this message, press 7.
To save it, press 9...
Nemoto-san looks stable.
Yeah.
This is
the latest treatment report.
I thought you might be interested in reading.
You remembered?
Yeah.
I wish it were a lie.
About my dad as well.
Do you remember?
What I told you.
But,
both pathology and image,
indicate malignant cancer progress.
They indicate that he will soon die.
Nonetheless, all I did was say horrible things.
I...
...envy you that his death ended up being a lie.
I'm sorry.
It's okay, every now and then.
You're an exaggerated honors student.
I wonder if it's better that he's alive.
Even if I'm being lied to.
(Nogami Tsubasa)
(Deceased)
What would you like to do?
I want to hold him.
I want to hold him tight
in my arms.
Why are results
such harsh things?
Six years in medical school,
over 100 medical books.
All that time
devoted preposterously, believing it was for the sake of saving patients in the future.
All that
gets blown away once bad results appear.
With just one mistake,
you lose everything.
Yes?
Alright.
And then,
doctors hurt.
Since those bad results are chains,
that bring unpredictable consequences along with them.
I'm sorry.
Class was packed.
Want a drink?
No.
Alright.
What did you hear?
From your grandma about me.
I heard you had died.
That you divorced, then died right after.
I asked her
to tell you that.
Was Mom
ill?
Yes.
Mentally,
a little.
Was it after I was born?
This is sweet.
The research world
that your mother and I were in
was a severe place.
Research that was done in 10 years,
if one day,
no...
if it is announced one hour earlier
everything becomes useless.
Results are everything.
That's why,
raising a child...
Well,
it's a difficult world.
But
when she got pregnant with you,
your grandma and I
were wild with joy.
And your mother
decided to give birth to you.
However,
at birth
due to atonic hemorrhage
the womb was removed.
She was no longer able to have children.
She thought it was divine punishment because she was distressed about giving birth.
She blamed herself.
That's why she fell ill?
I thought that looking at me made her suffer,
so I left home.
Though it was a theory I made up on my own.
But
I heard she was recovering little by little.
That was just when she...
Sorry.
Back then
I...
...wanted a child.
But
looking back now,
maybe I was envious of your mother.
I...
...was a failure in school.
Your mother that was walking
way ahead of me...
How can I put it...?
I wanted to pull her
down to where I was.
By having a child
I probably felt she'd come back next to me.
(Aizawa Seiji-sama)
Thank you
for telling me the truth.
When I
heard that you were alive,
I was surprised, but
I had no special emotions.
It felt like it didn't matter after such a long time.
But...
...today I thought of you as the worst ever.
I even thought you were abominable.
If this is how it's going to be,
I wish I hadn't met you a second time.
Excuse me.
Hiyama.
Yes.
An enforcement letter has come.
In 30 minutes,
the court will come for preservation of evidence.
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Translator: suketeru
Timer: Dai-Chan
Editor: qnhu
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