I'm Konno Yuta, the resident. Pleased to meet you.
- Doctors, your opinion please. - Just return to your seat!
I still think we aren't taking enough time to promote communication.
It's an autocracy under the leadership of Professor Saeki.
- Please examine him properly. - That's the job of the attending physician.
At this rate, you won't be able to continue your residency.
Please don't make her wait any longer.
Once all the decision-making is left to the doctor,
- it's the patient's loss. - Be yourself and
do your best.
As long as you're a doctor,
you have to strive to earn the patients' trust.
I became a doctor to change myself.
- Good morning. - Hello.
- You're early. - I have some pretest examination to do.
Wait, let's go together!
I'm thinking about visiting the patients every morning.
Morning greeting is the fundamental step in promoting communication.
Do it while you're collecting blood sample.
There isn't enough time then.
You mean you're going to call on every patient?
Yes. I want other patients, in addition to
the ones under my care, to get to know my name.
I may be of help if something happens.
You're not a businessman courting clients.
Sawamura Sensei, right?
Yes.
He sure is a busy bee. Handing out business cards from early morning.
They say personal connections are MR's bread and butter.
I heard from Dad that their information network is incredible.
They get friendly with the staff and fish for information.
And they tentatively stake out a claim on
promising residents.
Aren't we being rated highly in a way too?
I'm more concerned how the nurses are rating me.
Hiroko-chan. Is anyone saying anything about me?
Not particularly. We're all busy lately.
Indifferent, huh?
Apparently, Sawamura Sensei's getting the most attention.
You work fast, make the right decision, and the doctors think highly of you.
But my aspiration is to be a surgeon.
Besides, Konno Sensei's the one who's getting the attention, isn't he?
- No way. - In the opposite way.
He didn't even get a business card from the MR.
Plus, he's an oddball.
Today too, he was talking about morning visits. I don't get it.
- Did something happen? - Iida-san in Room 308.
Seems he has a sore throat.
I'm checking his medical record before prescribing medication.
Was Iida-san under your care?
He's not, but it's a simple treatment.
Yes, but you're gonna get in trouble.
You should report it to the attending physician or the physician on call.
Attending physician or whatever, it doesn't matter.
To the patients, we're all doctors.
There's no way it doesn't matter!
A resident treating a patient who's not even under his care.
That kind of behavior will not be tolerated, Konno Sensei.
I'm sorry. I thought taking due precaution
and providing prompt treatment
- was a more efficient way to handle it. - Efficiency is not the issue.
But even if you weren't a resident,
treating a patient under another doctor's care is against the rule.
- Is that how it works? - That's how it works.
Anyway, please keep that in mind in the future.
You too, Niimi Sensei. Let's leave it at that for today. Okay?
See, didn't I tell you? Not do it on your own.
I was remiss.
That's not like you to repent so easily.
Yes. From tomorrow,
I'll just visit and talk about matters other than treatment.
He ain't repenting at all.
I'm at the outpatient clinic right now. Suzu
Name's Katsuragi.
We have a referral from Wakabayashi Memorial Hospital
to receive treatment at this hospital.
Very well. Please have a seat and wait.
- Excuse me. - Yes.
I was referred here by Sawaki Clinic.
Please leave the referral letter here and wait.
Come in.
I'm sorry you had to wait so long.
- I'm Morishita, your attending physician. - Pleased to meet you.
Please have a seat.
I read the referral.
I see you're undergoing dialysis for chronic kidney disease from a traumatic injury.
First thing I want you to do today is tell me about yourself.
It can be about your physical condition, your future treatment,
anything you're concerned about.
Oh, that's alright. I have this ready for you.
Uh... I'm sorry,
it looks like a child's toy, doesn't it?
You're being admitted to control your diabetes, right?
You'll be undergoing a few tests.
Uh... also,
I've been having pain in my stomach recently.
Could be gastroenteritis or something.
For the time being, we'll get an X-ray and do some blood tests.
Please wait outside for now.
- Ouch! - I'm sorry!
- Uh... - Yes?
Where's the reception desk for X-ray?
Go straight down this corridor, and
take the first right, and you're there.
- Thank you. - Take care.
Sorry. I got hung up.
I just got done seeing the doctor.
Where's your mother?
She went to turn in some paperwork.
I see.
How did you like Morishita Sensei?
He's really nice.
But he's stern with the residents.
It's like he really cares about you.
He listened carefully to what I had to say too.
I'm sorry be such a bother and take up so much of your busy time.
Not at all.
Physicians have the obligation to listen to their patients' concern
so that they can put their mind at ease and receive treatment.
I remember learning that
doctors who cut off their patients
or send them off for tests without examining them
are worthless.
There's quite a wait right now.
It will probably be faster if you
got your blood test done first.
Oh... where is it?
That way.
Blood test, please.
Ah, you may be better off getting your X-ray first.
- There's a long wait around this time. - I see.
Kuwabara-san.
- Kuwabara Takuma-san. - Y-yes.
Oh, Kuwabara-san. Niimi Sensei is waiting for you.
What? I'm waiting to get tests...
He would like to talk to you in regards to your hospital stay.
I see.
Anyway, I'm glad your transition to Touo went smoothly.
It's because you talked to them first. Thanks.
It sounds like you can get a referral to psychosomatic medicine for your voice too.
And I can stop by your place on the way home too.
You dad won't like that.
Don't mind us.
But if you want to introduce us, that would be nice too.
Introduce what...
But I'm seeing you in a new light, Konno Sensei!
Ow.
Like how you quit a major corporation and
aspired to be a doctor for your sick fiancée. That's just so awesome.
It's not as great a story as you make it sound.
It is a great story. Isn't it?
It's a heartwarming story. Really.
It's wonderful how you're working so hard for a beautiful fiancée who's 5 years younger.
Oh? You seem to be in a bad mood, Shichou.
In spite of the fact that you act like you belong here.
What do you expect? She's the same age and she's still single.
What? Shichou, are you single?
Look, don't jump to conclusion just because I don't have a ring on.
It must've been about 10 years ago.
I heard from a friend that you got married.
I did get married. Although we divorced soon after.
- That's what I thought. - What's that supposed to mean?
Now, now, now...
I remember your fiancée was using sign language.
Yes, she's aphonic.
Aphonic?
You mean aphonia brought on by stress or other psychogenic factors?
That, as well as her chronic kidney disorder, was triggered by the same accident.
Suzu! Suzu...
7 years ago, when we went camping in the mountains,
she fell from the slope.
Yuta-san!
I'm sorry about this.
Is Suzu alright?
There's a lot of internal bleeding...
Kidney failure due to severe bleeding caused by ruptured spleen...
And she lost her voice too...
It's my fault.
If only I could've brought her to the hospital a little sooner.
But look at you now.
You became a doctor for her sake.
That's all the more reason you should stay out of trouble.
I understand that, but
since I finally got to be a doctor, I have my ideals too.
But if you lose your residency because of that, she's the one who's going to suffer.
Or rather,
Sawamura Sensei, don't you have your own ideal as a doctor?
Oh yeah, why did you choose to do your residency at Touo?
Despite graduating from Teito U.
They paid the most.
I'm realistic. After all, as far as doctors go,
the only that that matters is whether or not you can cure patients.
You can't save patients with a set of ideals, Konno Sensei.
- Now then, good night. - Good night.
There's nothing endearing about her. Honestly.
Well, in a way, she's quite refreshing.
But anyway, am I
- paying for her share again?! - Yup.
Regarding Nakamura-san in Room 301.
He still has occasional bouts of diaphragmatic spasms,
so be cautious.
And also, newly admitted to Room 303 today,
Kuwabara Takuma-san.
Kosugi Sensei and Sawamura Sensei will oversee his care.
He's here to get his diabetes under control, correct?
Yes. But his condition isn't that serious.
Just make sure he's not sneaking in food and taking his medication.
Alright then. Let's get started.
- Sawamura Sensei. - Yes.
About Kuwabara-san...
I'd like to manage his diet and determine the proper dosage of insulin.
Kuwabara Takuma-san in Room 303.
- Excuse me. You're Kuwabara-san, right? - Y-yes...
- Oh, are you my doctor? - No, I'm Konno, the resident.
- Resident? - I'm too old, I don't look like it, right?
I heard you were admitted today and dropped by to say hello.
Even if I'm not the attending physician,
I want all the patients to know me.
Huh?
If you run into any problems during your stay, please tell me.
I won't be able to do much in regards to your treatment, but
I can try to help you with anything else.
Well... Is it possible to
move to a shared room instead of a private room?
All the shared rooms are currently full.
Then when can I be discharged?
It depends on how well you respond to the treatment, but
usually hospitalization to keep diabetes under control is short-term, so
I don't think you'll be here too long.
Of course, we have to watch out for complications.
I see.
Are you worried about something?
No.
What are you doing, Konno Sensei?
Oh, I was just paying a visit to the new patient.
Don't you think that's unnecessary? He's not your patient.
I'm sorry.
Then, Kuwabara-san, if you need anything.
- I'm Sawamura, your attending physician. - Pleased to meet you.
This month again, we maintained the top spot
for occupancy rate and rate of referral from other hospitals.
The board of directors are ve...ry pleased as well.
We're the model case for hospital ward management after all.
Thanks to your effort.
Other hospitals are barely staying afloat.
But it's not that hard to be profitable.
There are just
three important things you need to remember.
One is bed control.
Next is laying the groundwork with various related parties.
And lastly...
Come in.
Excuse me.
Oh~ This is unusual.
For you to come here without being called.
There's something I'd like to discuss with you, Professor Saeki.
That sounds ominous.
Oh~ Are you...
- a resident? - Yes, I am.
The constipation medication doesn't seem to suit me.
Can you change it for me? - Oh, you'll have to
talk to your attending physician about that.
But that resident doctor, what was his name...
he comes every morning and said I could ask him anything.
- What? - Yes.
- Excuse me then. - Hey, sonny.
Sorry to trouble you, but can you go buy me juice?
- Excuse me? - Orange juice.
I'm thirsty as heck.
I'm afraid we can't take requests like that.
That guy Konno, your buddy, said
we can ask him anything.
He meant that as a doctor.
You're a resident, aren't you?
You guys are only good for running errands.
Here. Buy one for yourself too.
- Uh... - Here.
Will you stop it, Konno Sensei.
Why do I have to be told to run errands!
I'm sorry. Apparently, there was some misunderstanding.
Other doctors are complaining too.
They said their patients are worried their condition's deteriorating
because you told them to ask you anything when you're not their attending physician.
Really?
Stop making your morning calls too.
Hospitalized patients are all
suffering from an illness and they're very sensitive.
I'm sorry. I thought if I listened to their concerns
they'd feel more reassured.
Listening to those gripes and complaints is the nurse's job.
Didn't I tell you before? Doctors aren't in a service business.
You as usual excessive behavior is indeed as usual.
I'm sorry.
You better not be doing any more unnecessary things.
It's less stressful for both doctors and patients to
maintain a certain distance.
For the time being, please refrain from approaching my patients.
If something happens, I'll raise a stink immediately.
Morishita Sensei.
- Going home now? - Yes.
About Katsuragi Suzu...
Ah, she's your fiancée, right?
Please take good care of her.
That goes without saying. I'm her primary doctor after all.
And so, how's her condition?
Is she considering a transplant?
That's what her family is considering.
Of course, I am too.
I see.
At any rate, she'll be in it for the long haul.
It's important she gets support from her family and people around her.
Yes, I understand.
Hang in there.
Of course, we'll have to watch out for complications.
After careful deliberation,
I decided against it.
The need for a system to collaborate with other departments
will be greater in the future.
When considering the improvement of patient care system...
I understand. I do.
You have a point there.
But you know, Morishita Sensei,
there's no profit in that for us.
I'll think about it again. Thank you for your valuable suggestion.
Excuse me.
He's a good doctor, but he's getting hard to handle.
Yes... But
I can see where Morishita Sensei's coming from too.
Oh, we were interrupted in the middle of our conversation the other day.
The three important things
to keep in mind in order to make a profit.
First is bed control.
Next is laying the groundwork with various related parties.
What do you think the last one is?
Well?
Don't say righteous things like it's for the patient's sake.
That's the most important thing.
According to spirometric evaluation,
FEV1 has not gone down and is stable.
We plan is to continue the medication
with aminophylline, while administering steroid as necessary.
Specifically, FEV1 was 95.5 percent this time,
as opposed to 64 percent the last time.
Our plan is to continue periodic spirometric evaluation
irrespective of the occurrence of attacks.
That's all.
She's every bit as good as they say.
Yes. We definitely want her to stay after she's completed her residency.
Yes, complete opposite of someone else I know.
You look depressed, Konno Sensei.
I was told not to make morning visits anymore.
It had the opposite effect and I caused more concern for the patients.
You really should lay low, you know.
Right now, I'm thinking of what else I can do.
Don't think, I say.
Blood-sugar level is stable, so
as long as you don't forget to take your medication, you should be fine.
Can I be discharged then?
We'll have to wait and see a little longer. But the treatment is
progressing very smoothly so you can rest assured.
Do you have any other concerns?
No.
You can go buy something at the concession stand if it's under 80 calories.
Excuse me.
Good afternoon, Kuwabara-san.
Oh, uh...
I'm Konno. I'm sorry I haven't been coming to see you.
That's alright...
- Excuse me. - Aren't you buying anything?
Is something wrong with Kuwabara-san?
No, I just thought he looked out of sorts.
No one's come to visit him since he was admitted.
- Does he have a family? - I think he's alone.
I heard he recently quit his job. He doesn't have any
- close friends either so he's all alone. - You sure know a lot about him.
For a 37-year old divorcee, his situation hits too close to home.
May I come in?
I can't eat all this by myself.
I got caught in the company's personnel reduction.
I'm having a hard time finding a new job.
I've been managing to get by with side jobs,
but then I came down with this.
You've been through a lot.
Times are bad, it can't be helped.
Besides, it's my own fault I got sick.
Sickness isn't caused by anyone.
Don't think of it like that.
That may be true, but
I came to the hospital and got tests without knowing what was going on.
When they use difficult terminologies to explain things to me,
I feel like I'm being scolded.
I'm scared of doctors to start out with.
The male doctor who first examined me at the outpatient clinic
and the attending physician... that lady doctor too.
They're very brisk and businesslike,
someone like me can't keep up with their pace.
If you have questions about your treatment,
all you have to do is ask, and they'll be happy to explain.
I can't do that, knowing they're busy. I feel like
I'm being bothersome if I take up their time.
So someone like you,
Konno Sensei, is unusual.
What's the matter?
It's nothing, I'm fine.
Does it hurt? Let me take a look.
No, that's alright. It'll get better right away.
Since when have you had the pain?
Shortly before I came here.
- But really, I'm fine. - I'll go get your doctor.
No...please don't!
I want to get out as soon as possible.
If I have to stay any longer, I'll be strapped financially too.
Kuwabara-san.
I'm fine, really.
What are you doing, Konno Sensei?
There's something that's bothering me.
I thought I told you to leave my patients alone!
Konno Sensei, what is it this time?
- He was looking at Kuwabara-san's medical record. - Why?
Konno Sensei, please explain.
Kuwabara-san is experiencing pain in the abdominal area.
It's not a natural symptom of diabetes.
I thought it might be an indication of a different disease.
He never told me anything like that.
Apparently, it comes and goes, and doesn't last too long.
Also, it seems Kuwabara-san wants to be discharged as soon as possible.
Are you saying that's why he kept it from me?
- Your name. - Pardon me?
Kuwabara-san didn't even remember Sawamura Sensei's name.
The male doctor who first examined me at the outpatient clinic
and the attending physician... that lady doctor too.
So what about it?
It means a relationship of mutual trust hasn't been established.
Because you look too busy, he can't ask about his treatment,
neither can he confide in you.
Konno Sensei, treatment of patients is being performed with utmost care
by everyone, including the medical advisors. I don't believe there's been an oversight.
Then please examine him properly one more time.
We can't do that.
That's a complete loss of face for the attending physician.
What face... That has nothing to do with it.
In regular businesses, double-checking and triple-checking
is the natural thing to do.
Possibility of oversight exists for everyone.
In Kuwabara-san's case, he's intentionally not saying anything, so
- if a proper examination was done... - Enough is enough!
I do my work with responsibility.
You, who can't do anything but spout idealistic theories,
have no right to preach to me!
Sawamura Sensei.
Konno Sensei, I want you to submit a statement of repentance this time.
They call that department of internal medicine's specialty.
To make them write statement of repentance with a ruler like that.
I heard it means straighten your attitude.
Good night.
Scary~. She's finally snapped.
This is really awkward.
When there's friction among residents.
Are you still working today? Suzu
Hello.
That's okay. I know a little from a long time ago.
I wanted to surprise him
and came without telling him,
but my plan failed.
Overtime today. I'll probably be late.
It's more like detention than overtime.
Did he get in trouble again?
Has he always been like that?
Even in business enterprises,
I don't think you can get away with being idealistic like him.
He used to agonize over that.
I think he used to get reprimanded by his boss at lot too.
You're being way too naive.
But what will Kurata-san do...
Just think about yourself!
So he's been the same way all this time.
I don't know if he's the same or not, but
by becoming a doctor, he started a new life for himself.
I would he should live more intelligently.
More so since he became a doctor for your sake.
Is he saying he did it for me?
That accident 7 years ago is the reason, right?
Suzu! Suzu!
Suzu! Suzu!!
I think that just gave him an excuse.
Because his life
is his own,
I want him to keep on chasing his ideals.
Even though that way of life
may be tougher on him, I think.
Kuwabara-san, do you have a minute...
Kuwabara-san!
Where are you going at this hour?
Please pretend you didn't see me. I really don't have any money to spare.
- That's not... - I left all the money I have.
Good bye then.
Kuwabara-san?
I'm alright...
Kuwabara-san?
Get a hold of yourself!
Someone! Is someone around?!
Are you alright?
- What happened?! - Morishita Sensei! The patient is...
He's a diabetes patient.
He had been experiencing intermittent abdominal pain.
It might be a concurrent rupture of an abdominal aortic aneurysm.
Call surgery right away! Hurry!
Yes!
Please hang in there.
I'll be right there.
I'll take care of this. Hurry up and go.
Thanks.
How's Kuwabara-san?
He's in surgery.
We almost lost him.
Are you trying to say that it's my fault?
The patient intentionally kept it from me. I...
You'd know if you paid attention.
You're absolutely right, Sawamura Sensei.
You can't save patients with just a set of ideals.
But I don't think doctors who only have skill and knowledge
but no ideals can save patients either.
What are you doing, Konno Sensei?
I'm looking up financial aid policies for medical expense.
There has to be a service Kuwabara-san can use.
That's not a doctor's job, is it?
Konno Sensei.
I heard about Kuwabara-san.
- Thankfully, the surgery went well... - I heard you made it a point to
call the operating room and not the doctor on call.
I received a complaint saying that internal medicine should back off.
It was an emergency situation, so it slipped my mind.
Even then, don't you have any common sense? In the first place...
It couldn't be helped this time.
Mistakes like that happen when you're in a hurry.
However, Morishita Sensei...
Niimi Sensei, you performed the initial examination on Kuwabara-san, didn't you?
- At that time did you examine by touch? - Huh?
If you had,
you might have noticed signs of rupture of abdominal aortic aneurysm.
- That's because... - You didn't because you were too busy.
Isn't that right?
Excuse me.
Remember, a mistake is still a mistake.
Don't make light of minor details.
Yes.
Ah~ Konno Sensei.
How do you feel?
I'm sorry for causing you trouble.
That's right. Didn't I say you can confide in me?
This is paperwork to apply for medical financial aid.
Do you mind if I give you a little explanation?
It's already been explained to me.
Huh?
She brought it earlier.
My attending physician, Sawamura Sensei.
Sawamura Sensei.
What is it?
Thank you, about Kuwabara-san.
I got this for him too.
He's under my care. Don't meddle in someone else's business.
You're right.
I'll give it a try in areas other than meddling.
- What's that supposed to mean? - I just thought of a way
patients can confide in me freely at any time.
What's this?
My business card.
My contact info is on there so
if anything happens, feel free to call me anytime.
Oh... Other than running errands, that is.
But I'm not under your care.
That doesn't matter.
If it's regarding personal matters, I can try to help you as much as I want.
From now on, I want to take proactive steps to converse with everyone.
I'm not sure what that means.
Hey, Konno Sensei.
You don't need to tack on Sensei to my name.
Huh?
Just call me Konno. I'm still a resident.
Excuse me.
I'm Konno, the resident.
Business card...
You're gonna be reprimanded again, Konno Sensei.
This is the fastest way to get my name remembered.
Yes, but you were told just the other day.
That doctors aren't in service business.
Then what do you think a doctor's job is?
That would be to treat patients.
Of course it is.
But in order for patients to be convinced and receive treatment,
I think it's necessary for doctors to pay attention and explain in
understandable terms to reassure the patients.
That's...
Customer service, isn't it? Patients are our customers after all.
Ah, Konno Sensei.
This came into my hands too.
I see you're doing something unusual again.
I thought if I could be of help to the patients.
That's very admirable of you.
I have business cards too, but
I only pass them out to
people from pharmaceutical companies and
medical equipment manufacturers and MRs.
Is that right.
The people you should be passing out business cards to
aren't the patients, Konno Sensei.
Kijima-san!
We couldn't help Kijima-san here.
Shouldn't we be looking at a possibility to save him at another hospital?
If that gets found out, we're going to be in big trouble.
People like him tend to get totally absorbed and eventually self-destruct.
Doctor's words carry a lot of weight. You don't need to come after today.