Ouch...
Sorry, but how long more do we have to wait?
I'll check your blood pressure now.
Hey, can't we go in now?
We've waited for an hour already.
What? Seriously?
[Gastroenterologist] [Kurihara Ichito] [Honjo Hospital]
Today's supervisor is Kurihara-sensei?
Please check the shift schedule carefully.
Oops, I forgot to buy Yunker*. (* Yunker Kotei Eki - a health tonic)
I already bought that and put it in the fridge.
Thanks so much, Tomura-san.
What's up with this place?
It's not looking so good.
Didn't you see the hallway?
Things are good around here. All thanks to you.
It's always like this when I come here at night.
Since when this town has had so many people?
Normally they hide in subways...
...and then when it gets dark they emerge from the ground.
As if they were radish sprouts being grown and harvested into boxes...
...and then were transferred here.
[Emergency doctor] [Kurihara Ichito] [Honjo Hospital]
Stop talking gibberish.
It's starting.
Listening to your monologue will drive people crazy.
I'll turn your body over.
Umino-sensei, over here please.
Yes.
It hurts doesn't it?
Does it still hurt?
That's a stone.
There's a stone in your urinary duct.
Tomiyama-san. Please prepare intravenous drip infusion of Solulact 500ml.
Now let's get you to lie on your back.
Yes, slowly.
- Tomura-san. - Yeah?
Kurihara-sensei's handwriting is too messy I can't read it.
Ah, so tiny.
This is the patient with asthma just now. He asked for an intravenous drip, right?
Here you go.
Thank you.
Ah, Sensei.
Next is a bicycle accident. The X-ray is here.
The bone's broken.
Tomiyama-san. Please prepare a splint.
Yes.
Hey, when will you see to my child?
I'm so sorry but we have call you when it's your turn.
When do you want us to wait until?
- He's in pain! - We will call when it's your turn.
Please be quick!
His chest pain lasted for more than an hour...
...before the ambulance came.
What's his condition?
The blood pressure is 90/60.
His pulse is 60. It's irregular.
He can hardly move his head.
Does it still hurt, Sagawa-san?
Ouch! What are you doing?
It's correct. A case of ST-elevation myocardial infarction*. (* heart attack)
Please get in touch with a cardiologist right away.
Connect him to Kurihara-sensei.
Leave the patient with minor injuries for now.
We are focusing on the patient on Kurihara-sensei's bed.
Drop nitropen under his tongue and inject him with aspirin, please.
Yes.
Toyama-san, give him an injection. Prepare for intracardiac catheter.
We will move you now.
Please prepare
Umino-sensei, please take the phone.
We will take a look at your heart now.
There's a 48 year old man who collapsed at his house.
His chest pain seems to result from a possible dissection.
Dissection...
Sensei...
Please ask them to send the patient to Shinano Hospital.
We can't take this case.
Please send him to Shinano Hospital.
Kurihara-sensei, you got a call from Fukashi Hospital.
Seems that they want you to take care of a patient with digestive problems.
They want to speak to the doctor-in-charge.
It's Cardiologist Nishida-sensei.
Yes.
Umino-sensei, please come over here once you're done.
Thank you.
It's me, Kurihara.
Blood pressure 80/40. Pulse 60.
Saturation has risen to 95% after oxygenation.
Another patient.
That doctor is famous for handling multiple cases at the same time.
There was even one time 4 cases came...
...all at once, causing congestion at the entrance.
What do we do then?
Before that happens, we just ask someone to take over and go home.
Ouch...
That hurts huh?
But you shouldn't hate me for that.
I'm an internist.
Next time you go ride your motorbike in the middle of the night,
...you should look up who's on duty at the hospital.
Ouch!
Get me more bandage please.
"Kamisama no Karute - In His Chart"
As expected of you, Kurihara.
I heard it was super crowded again?
Compared to when I'm on duty, there aren't even half as many people.
Whenever Kuri-chan is on duty,
our hospital will gain 1.5 times our normal profit.
I also had to turn down a patient.
That can't be helped. Was his condition critical?
Someone with a dissection.
We can't do anything for him here anyway.
"Emergency doctors accepting patients 24 hours all 365 days"
But the reality is throughout those 365 days,
every morning, only doctors on call and medical trainees come to this place.
"Walking up a mountain track, I fell to thinking."
"Approach everything rationally, and you become harsh."
"Pole along in the stream of emotions, and you will be swept away by the current."
"Give free rein to your desires, and you become uncomfortably confined."
"It is not a very agreeable place to live, this world of ours."
[The Three Cornered World] [Natsume Soseki]
Wanna go with me to Shinano Hospital?
I can finally go back there come April.
Want me to introduce you to them?
Congrats.
Hey, Kuri-chan.
Your patients are waiting in the ward.
Yes.
Hey.
How about you? Go work for another 35 hours.
Yes.
That's no good, Kuri-chan.
Doctors have to think with their head. Otherwise things won't turn out well.
Visiting the gastroenterology department at Honjo Hospital,
nearly half of the patients...
...reek of alcohol.
No, no. I usually drink only 2 bottles every day.
That time it was just because I had a day off...
...so I drank like four bottles.
That's because I have many friends to drink with.
Like those friends from playing golf, mahjong or fishing.
If those friends ask me to drink, then of course...
2, 4, 3, 3, 5, 6...
...I can drink more than 6 bottles.
Okay, enough! Why don't I just die already?
I'll bring him with me too!
Kiri-san.
Didn't you promise that you wouldn't drink before coming here?
I didn't want to drink.
Your liver function is failing. Your pancreas is also being affected.
Just tell me clearly.
Which side are you on?
His side? Or mine?
Don't say reckless things, Sensei.
Don't make one more enemy for yourself.
One more enemy?
I'll give up alcohol.
- Right? - Yeah.
I threw away all his shochu.
Right now he's only drinking beer and barley tea.
Please throw away the beer too.
Do you like alcohol, Sensei?
I guess.
Can you quit drinking?
If someone tell you to quit alcohol, can you?
Of course I can.
How many years...
...do you think I've been coming here?
Those people who can actually quit...
...won't answer that quickly.
Tagawa-san from room 400.
It seems like the pain is too intense for him.
Okay.
Morphine is not taking effect.
Please increase the dosage.
I can't do that.
Even if that might relieve his pain, there's no point if it can also kill him.
Then...
Are you telling me to shut up and watch him?
I've always been by his side.
Unlike you, who just comes from time to time and leave right away.
You don't understand what Tagawa-san's been going through.
That's dangerous.
You are not in charge of only that one patient.
It's dangerous if you get too fixated on one single patient.
You will even cause trouble to other patients as well.
What do you mean?
I'm not favoring any particular person.
You are just attending to the patients because it's your job...
...but I can't do that.
Mizunashi!
Don't quarrel with Sensei.
But Head Nurse... I...
There are times we can't do anything besides rubbing the patient's back.
If you can't acknowledge your own powerlessness, you won't be able to continue this job.
Now go.
Don't enter the ward with that face.
Forgive her. This is her first time...
...caring for a patient with final-stage cancer.
We can replace her with someone else.
Then how is she gonna be able to grow?
That's true...
- Touzai. - What?
Do I look like I'm just doing my job perfunctorily?
What? You're bothered by a newbie's words?
Have you had lunch? Wanna go?
If you haven't, I can accompany you.
I'm honored to be invited...
...but I'm already married.
I can't accept your invitation.
You really can say such things with a straight face, can't you?
People call you "weirdo" because of that, you know?
Hurry up and get out of the world of Natsume Soseki already.
Who told you that?
Whether I read Soseki or Akutagawa...
...is definitely not something you would know.
Geez I actually don't know.
You're so annoying.
As a colleague, I'm just worried for you.
No one wants to have anything to do with you, really.
That's great. I'm a married man.
Weirdo.
Tagawa Jin-san. 62 years old.
Male patient with pancreatic cancer.
When it was discovered, the cancer had metastasized to the whole pancreas.
We stopped using chemotherapy.
He was hospitalized 2 weeks ago.
Under Furudanuki-sensei's instruction, we started giving him morphine.
He's been in intense pain for two days now. It could be that the cancer has metastasized to his bones.
We increased the dosage of morphine...
...but if we increase it too much, it might cause his breathing to stop...
...and he would die.
I have to adjust his dosage carefully.
5:20 pm.
Finally the drug I adjusted took effect.
Does it still hurt?
Thank you...
...Sensei.
Sorry.
Tagawa-san's smile is etched in my mind.
I'm back.
Haru?
"To Ichi-san. Thanks for your hard work."
I'm going for my location shooting.
Location shooting, huh?
"Also, happy wedding anniversary."
"Please take care of me for the year ahead."
Wedding anniversary...?
[Wedding anniversary]
How could I have forgotten about that...
Rika-chan.
What are you doing here?
What about your checkup?
The nurse will get angry at you again.
The pattern.
Pattern?
Where?
Here.
Look.
Look carefully.
Oh, you're right.
What do you see?
Rika-chan!
Sensei, please stop her!
Please don't run in the hallway.
Yes?
September 7th. 3:15 pm.
Tagawa Jin-san of room 400 passed away.
The cancerous cells from his pancreatic cancer metastasized much faster than we thought...
...to his bones. We tried all the drugs we could obtain,
...and with the adjusted dosage of morphine taking effect,
we could relieve his pain and help him pass the last three days in peace.
However, in his dying moments,
there came a request from his family.
In order to wait for his family members who would come later, I performed CPR on him.
23, 24, 25, 26, 27, 28, 29, 30.
Performing life-prolonging treatment on him under this condition...
...means risking the possibility of the patient going into a vegetative state.
10, 11, 12...
While hanging out there, waiting for his family members to come...
I continued doing CPR for almost 30 minutes and ended up breaking all of his rib cage.
"What the heck are you doing?"
I'm bad at dealing with sadness.
Ichi-san.
Welcome back.
Oh...
Did something sad happen today?
Don't be concerned.
This is my job.
It may be a bit sudden...
...but shall we go to the shrine now?
Right now?
I haven't properly visited it since I came back.
That's a long prayer.
I asked for the burden Ichi-san is carrying to be a bit lighter on your shoulders.
Thanks.
Let's go home?
Yeah.
I forgot to say this.
Welcome back.
Haru.
I'm home, Ichi-san.
There are those people, I guess.
Those guys that would forget their first wedding anniversary.
I'm mortified.
Someone who leaves our Princess Haruna alone...
...deserves a death sentence.
Thank you.
But I did get angry at him.
Facing the Southern Alps,
"Kurihara Ichito is an idiot!"
You shouted that?
Yes. And then there is this echo "Idiot, idiot, idiot-"
It echoed so many times.
Many times?
That's nice. I like it.
What's interesting about that?
It wasn't like I was idling around.
I don't want to hear the wrongdoer's excuses.
I agree. That's the job you wanted to have.
That can't be your reason.
If you use that as your excuse, your wife will abandon you.
The two of you should go out to the world and see what it's like.
Only then, Danshaku might be able to draw great paintings...
...and Gakushi-dono may have a shot at writing a great thesis.
Sorry, but I don't want that stuff.
Same for me.
But in the first place, what is the "society" that doctors live in?
The "society" they are in is...
...just normal.
What is called "a society" is something in which people aim to establish connections among each other.
For a doctor, all they have is the kind of connection they create inside the hospital.
That's what they think is right.
But in fact, they are wrong.
I've been out in this society I'm in for a long time.
But for a doctor, deep down he would look at the society I live in with condescension.
That's not true.
What I want to say is...
Nope, that's totally what you mean.
You should just acknowledge it.
Deep down in your heart, you always think that you're superior to us.
Gakushi-san. You have a phone call.
Okay~
I wonder who that is.
What's the matter?
Nothing.
There's no one in this world we live in...
...who could win Gakushi-dono in this sort of argument.
Hm? Who's calling him?
I don't really know, but...
...the call is from a woman.
A woman?
This painting is gonna be a masterpiece.
There can be no mistake about it.
This painting is gonna be a masterpiece.
Good morning!
Good morning.
Good morning~
"A guide to training period."
Nukita-sensei.
I received this strange letter.
Hmm?
It's a guide to training period sent by the gastroenterology department...
..of Shinano University Hospital.
Why don't you go?
I don't remember applying though.
I asked them to accept you.
I don't remember asking you to help me ask them.
You're right.
You want to have me work at the medical office of Shinano University Hospital?
No.
It's just that...
You should go take a look.
The medical office is a harsh place.
Doctors have to draw the patient's blood themselves.
You also have to write a thesis paper, and you have to handle all the test tubes.
If you don't do your job right, they might even chuck you...
...to an unknown faraway hospital.
It's a scary place.
Oh...
Doctor went to the medical office, huh?
Yes.
I hear that word from time to time but what's a medical office?
A medical office is...
Reputed lecturers from medical schools come together as the crop of cream.
In Japan, most doctors would probably belong to a certain medical office...
...but people like Doctor who doesn't belong to any...
...are called "outlaws."
Hm...
Then medical office doesn't seem like a nice place to me.
That's not really true.
A lot of doctors are there so of course there may be a lot of rivalry.
But thanks to those medical offices that assign doctors to famous hospitals,
medical treatment in local areas of Japan can become like today.
Why didn't he go there up until now?
If he transfers to work at Shinano University Hospital,
I guess he will have to move out of here.
You see...
...though he's a doctor, he doesn't have a car, right?
Oh. Things will end up that way?
I guess when you break out of the bottom of the society,
you will be able to live in a first-rate apartment.
In the medical checkup room, there are about 60 technicians...
...and a system of machines that operate 24 hours a day.
For outpatient care, the blood sample collected from patients...
...will be transported automatically to the laboratory...
...and be analyzed by this blood-testing system.
We have two of this automatic hemocyte analyzing machine XE-5000.
In an hour, it can process at most 300 blood samples.
It also supports the process of analyzing small blood samples from infants and small children.
This is the most state-of-the-art system in Japan.
We are now walking towards the emergency and critical care center.
Here we are implementing an identifier-based emergency system.
Patients with life-threatening emergency conditions will be tagged red.
Those with less threatening conditions will be tagged yellow.
Those with light injuries are divided into green rooms to receive treatment.
How many staff members are there in emergency outpatient care?
Doctors and medical trainees make up about 25 people.
We have double that number of nurses, I think.
25...?
I heard about it.
That in Honjo Hospital, there are 2 doctors and medical trainees in total...
...who are handling emergencies all night?
And yet all of you are giving treatment to that many people.
Everyone must be very accomplished individuals.
Motoki-san has a 40-year-long history of smoking.
As a result, his respiratory system is failing.
Furthermore, the patient cannot take a respite from his job.
And thus he cannot be hospitalized for a long period of time.
Since it is still at an early stage,
let's remove it.
Do we have any other suggestions?
Shall we give this a try before having the operation?
Using the endoscope, we will peel off the mucous membrane in the lower layer.
Wouldn't using the endoscope to cut it off...
...create too much of a lesion?
We need to find a way to reduce the strain it would have on the patient's body.
Taking that into consideration...
...is also our important task.
Kurihara-sensei?
Ah...
I'm from Honjo Hospital, and I'm here for training.
My name is Kurihara.
I've heard about you.
How is Nukita-sensei doing?
Sorry?
He was...
...my bad influence when we were in university.
Nukita-sensei and you were?
Furudanuki-sensei during university days...
I can't imagine it.
Are you also doing medical checkups in outpatient care?
Ah...
Yes.
This is for the next patient.
Thanks.
I went to my neighborhood hospital...
...and was told that the operation would be a hard one.
That's why I came here.
Are there anyone who came here together with you today?
No.
I don't have a family.
Don't you have any relatives?
There isn't anyone.
What were you told about your illness?
It's gallbladder cancer.
Sensei.
Could you perform the surgery for me?
What's your answer?
I will discuss this with other doctors from the department of surgery.
Yes.
It can be seen from here that the tumor is metastasizing into the hepatic portal vein.
This is a dangerous place to operate on.
The risk involved in having an operation is too high.
What treatment are you thinking about?
Well, I'm thinking of using chemotherapy to treat the cancer.
First, she will receive the combined therapy of gemcitabine and cisplatin.
Thanks for the hard work.
Azumi Yukino, 64 years old.
Female. Gallbladder cancer.
The tumor itself is not yet big, but the area is very dangerous.
The local hospital refused to carry out her operation.
The patient went to Shinano University Hospital herself to request for an operation.
Found his nipple area.
Tube, please.
Thanks for the nice job.
Since symptoms of AOSC* have started, (* Acute Obstructive Suppurative Cholangitis)
I decided to perform biliary drainage on him.
Why didn't you cut open his nipple?
The patient has some sign of DIC due to his old age. (*Disseminated intravascular coagulation)
Cutting through his nipple area may cause hemorrhage.
As expected from someone trained by Nukita-sensei.
I have nothing to complain about your skills and judgment.
Sensei, if it's okay with you,
why don't you participate in the seminar on endoscopic surgery in October?
Though it's a small learning experience, Professor Waldring from Germany...
...will be coming as well.
What do you think?
Professor Waldring?
We will exchange opinions regarding the topic of...
...using endoscope to discover and treat tumors.
If we could make progress with our research,
we would be able to save many many more lives.
My presence will not be significant.
If it's someone who have both skills and passion,
you are always welcome.
Kurihara-sensei.
I heard that a professor noticed you.
Rumors travel fast in a university hospital.
Things like someone got noted by someone else.
This type of rumors travels especially fast.
There's also the rumor that your are transferring to the gastroenterology department next year.
Of course I will welcome you.
Let's be good friends over here next year.
You put that in coffee?
Wanna try?
Professor Takayama is influential in the world of endoscopy,
and he's also famous in clinical medicine.
He is highly respected by every medical practitioner.
What's more, he rarely praises people.
Yet he praised you.
That's some pretty amazing thing, you know.
"I'm done with training. Will be going home now."
"In Shinano University Hospital, not just internists and surgeons..."
"...but radiologists and pharmacists also team up..."
"...and decide on which treatment to give to every patient."
"Moreover, the number of such teams is many."
"Emergency and critical care center..."
"...is organized in a way that can even provide treatment to victims of natural disasters when called for."
"This place can also become the ideal image of Honjo Hospital."
"The system of medical checkups is also very efficient."
"X-ray examination, CT..."
"...catheter treatment can handle patients 24 hours a day."
"Besides, for medical checkups, they use state-of-the-art machines that have very high performance."
"Here, even at night..."
"...they will still be able to give treatment to many patients."
"Furudanuki-sensei and I together handle 70 patients."
"While I was set on my work,"
"...five years have passed without my realization."
"The difference between my much forgotten knowledge and theirs is..."
What a long text message.
I'm back.
Welcome back. How was it over there?
I learned a lot.
Oh yeah? Good for you.
I heard Professor Takayama and you were classmates?
Yeah. I didn't tell you?
He invited me to the seminar on endoscopy in October.
I see.
Oh, he said that the three of us should go drink together some time.
Oh yeah?
That's good.
Well then...
Yeah.
I'll be leaving now.
Excuse me.
Yes?
Hosoda-sensei who was supposed to be on duty today...
...has a flu.
Could one of you be on duty today?
Today's my mother's birthday.
But if I remember correctly, last year your mother...
Ah, Tomura-san.
I was so busy this past week, right?
Since Kuri-chan wasn't here.
- Yes. - Right?
Here you go.
And here I am thinking that I could get some sleep today.
That should be my line.
Please be kind to me.
Is anyone home?
Yes?
Um, is Tachibana Sensuke here?
Tachibana?
Gakushi-san's mother.
I wonder if something's wrong.
Maybe he's also going to leave this place soon.
- This is for the next patient. - Thank you.
Hello.
May I come in?
Yes.
Please come in.
They told me I only have half a year left.
You mean?
My time left.
There's no treatment, and I only have half a year left.
They asked me to spend the remaining time doing what I love.
They said that to you?
What I love...
I don't know what to do...
Sorry for bothering you.
I know even this hospital doesn't have any way to cure me.
Do you want to come here for your next outpatient session?
Yes.
Thank you so much.
You idiot!
Without exception,
...giving treatment to a patient who doesn't have the prospect of being cured...
...is not the job of a university hospital.
In Azumi-san's case,
the moment it was decided that her operation is impossible,
her fate is sealed.
Why didn't I realize that...
Kurihara-sensei.
I'm so sorry.
I'm sorry for...
...saying rude things to you when we talked about Tagawa-san.
I'm really sorry.
I heard from Head Nurse Touzai that the week before he passed away,
you stayed over at the hospital to take care of him.
I'm...
...ashamed.
Someone like me who only works during work hours...
...and goes home right away when it's over.
That's natural.
If even the nurses have to work without sleeping...
...such a hospital will become a horrible place.
I have learned my lesson.
In the end,
I'm just pulling everyone back.
When you take care of Tagawa-san,
he was calm and could sleep well.
That's something I can't do.
What I mean is that you are important.
To Tagawa-san,
...how things end up or the result of his treatment...
...don't carry that much meaning.
Sorry to bother you while you're eating.
Thank you.
What an angel.
Aren't these books important to you?
Princess...
Well, they are good books I guess.
But I don't have any use for them anymore.
Can I have them then?
Ichi-san likes them.
Doctor huh...
Yes.
Among us...
...the only one who had his wish granted is Doctor.
In medical school...
...we would often call Doctor "crybaby."
Without any of us knowing it,
he would cry so much in front of the door.
We would often force him to drink and ask him about stuff...
He cried during training when a nurse got mad at him.
During clinical training,
...he would cry while looking at the family members of a patient whose death was confirmed.
He would cry while talking to a patient with an incurable illness.
What was funny was...
...he would cry in the morning while going to school.
When we asked him why,
...he said because that day we were having experiments on animals,
he couldn't bear to kill them.
Someone like Doctor...
...has turned from a crybaby to an excellent physician.
He's still crying...
...even now.
It's just that...
...his tears are not flowing anymore.
These are some vegetables we harvested from our own fields.
Thank you so much. Can you please put them in the box over there? Thank you!
Let's take a deep breath.
Sorry?
Honjo Hospital...
...is dispatching doctors to a clinic situated far away from the town.
In my case, once a week...
...I would travel to the clinic deep in the mountainous region.
- Breathe in. - What?
Please take a deep breath.
Take a deep breath?
Yes.
Good work.
Thanks.
Kurihara-sensei?
Oh, Sensei. You have a call from Honjo Hospital.
Thank you.
Hello?
Ah, Azumi-san had blood in her bowel discharge...
...and was transported here by ambulance.
What are her vital signs?
Her blood pressure is 90/40. Her pulse is 108.
She's conscious.
Measure her red blood cell count and biochemistry. Prepare for blood transfusion.
I'll be back in 50 minutes.
Until then, please follow Doctor Sunayama's instructions.
Okay. Take care.
We will try to do something over here. Don't rush and have an accident on your way.
How kind of you.
But as I said before, I'm already a man with wife...
Ouch...
Comparing this to her CT image taken before,
I can't believe this is from the same patient.
Her tumor is spreading extensively.
It infiltrated the wall of the large intestine, causing the hemorrhage.
Rather than half a year,
she might even not be able to survive another month.
What are you gonna do?
I'll think about it.
Even if you think about it, there's no treatment for this.
I'm not gonna think about the treatment.
I'm thinking about...
...how to break this news to her.
You don't look so well.
Sensei.
Why did I bleed?
Don't worry about me.
Please tell me everything.
The gallbladder tumor in your body has grown bigger than we thought.
It infiltrated the wall of your large intestine.
The bleeding yesterday...
...was caused by that.
I see...
What should I do?
At present,
...we can only observe the progress of the tumor.
Will you...
...let me stay here?
Or rather...
...can I stay here?
Of course.
For the kind of gallbladder cancer...
...that infiltrated even the intestine, causing hemorrhage,
I wonder if there's any chemotherapy that will still have an effect on the tumor at this stage.
There is chemotherapy that can treat gallbladder cancer...
...but should I use it?
Maybe I should give up on chemotherapy already.
But there's still the risk of bleeding during bowel movement again.
What do I do?
If we use radiation therapy,
there is a chance we can stop the hemorrhage.
But if we want to use radiation therapy,
this hospital can't do that.
[Takayama Shuichirou]
No...
I don't want to move to another hospital.
If it's for treatment,
you can still come back here, Azumi-san.
Please... please let me stay here.
Please.
Please let me stay here.
Though you agreed to my request, I'm so sorry I can't do that anymore.
The same patient also asked for an operation before.
Oh, it's okay. That happens quite a lot.
Oh, right. Kurihara-sensei.
Our university discovered this rare medical cause.
If it works for you, next week we will be have a conference on that.
Would you be able to come?
Next week?
I'll check my schedule.
I'm done.
Let me check.
Okay.
Eh...
Oh?
Where's number 11?
Rika-chan.
There are three black candies.
There are four yellow candies.
Okay?
I ate 2 black candies...
Then, how many do we have left?
5!
You got it!
Then how about this?
Oh, it's 5, not 6.
Yeah.
Azumi-sensei.
You're good at teaching.
Not at all.
Oh, there you go.
Rika-chan, come.
When it comes to teaching,
my husband is much better.
Your husband was a teacher?
When he teaches, even students who hate arithmetic...
...would look at the blackboard with twinkling eyes.
I can't do that.
After I die...
...what are you gonna do, Haru?
No.
When she talked about her husband...
...who already passed away,
she looked happy.
Haru, too.
After I die,
will you talk about me like that?
I refuse.
If you die before I do,
I will badmouth you.
If you don't want that,
please live longer than I do, even if it's just 1 minute or 1 second.
Okay, Ichi-san?
Danshaku-san.
Going for shooting?
What's wrong? You look troubled.
I want to draw...
...but I can't.
I want to draw something really special now.
Because I'm here now,
I have to draw it.
Sensei!
Are you going out?
Yeah. I'll be back soon.
Hey. Do you know if Azumi-san doesn't like to stay in room 413?
She always leaves the room and sit at a corner of the hallway.
Maybe she doesn't like another patient there.
Can you ask her next time?
Sure. I'll be back in the evening.
Yes?
Oh, Sensei.
I can't contact Kurihara-sensei.
Is he there?
Kuri-chan is out.
What should I do? Can we ask him to come back?
We have a patient who vomited blood after consuming too much alcohol.
That's really bad.
Keep still.
Or else we can't treat you.
Find his vein. Draw his blood.
For blood transfusion, we are ordering 4 packs.
Got it.
Kurihara-sensei, as Professor Takayama had told you before,
the schedule for the seminar on endoscopy is out.
Please make October 20 free.
I'll talk to my superior.
Grandma.
Oh, I'm fine.
What's wrong, Azumi-san?
Sorry.
This...
Azumi-san, please lie sideways.
What's the matter?
Come quickly. Azumi-san is bleeding.
- Please call a doctor here. - Okay.
Her blood pressure is falling.
Sensei?
Bring Rika-chan outside.
Okay.
Rika-chan, let's go outside.
Yamano-sensei, please give your instructions. What do we do?
Get a hold of yourself, Sensei.
What's wrong?
Where's Kurihara?
He's not here today. Nukita-sensei is also out for an urgent business.
Prepare for blood transfusion. Change the intravenous drip.
Yes.
Let's have your head fall back a little.
We'll lift your legs up.
We'll lift your legs now.
Is it cold?
Yes it is.
Then let's get you a blanket.
Alright, it's fine now.
Azumi-san, you'll be fine.
Please stay calm.
What happened?
Oh, you're back.
Report no. 1 to Kuri-chan.
The patient who vomited blood...
...after heavy drinking and was transported here, Yokoda-san.
He has esophageal varices.
I stopped the bleeding and got all the blood stains.
Oh, I'm sorry.
Then, report number 2.
Azumi-san of room 413.
She bled again.
Sunayama-sensei from surgical department took over for us.
He happened to be around the surgical ward at that moment.
Thank God he was there.
I had a dream.
My husband...
...was a teacher from a community school.
When it's crowded...
...he would have 10 students.
Where's the school?
Hotaka Ariake.
In the schoolyard...
...there is this huge cherry blossom tree.
Before it snows,
he would build snow sheds...
...with the people from the neighborhood.
He...
...is a master at that.
Our neighbors would ask for his help.
He would become busy very quickly.
I see...
Sensei.
Maybe we should move Azumi-san to room 400.
We won't know when such emergency will happen again.
Because of this window, Touzai.
What?
In the ward, she can only see it from this window.
Azumi-san's...
...hometown.
Welcome home, Ichi-san.
Oh.
I'm back.
It'll become lonely around here when Gakushi-dono moves out.
It'll be lonely, I guess.
There were so many people here before.
And yet now there are only us left.
No one wants to stay in such an old inn anymore.
Before, farewell parties used to be so much fun here.
Farewell party...
How was it like?
[413] [Azumi Yukino]
Short hair suits you too, Azumi-san.
I heard you asked a hairdresser to come here and give you a haircut. Is that right?
I don't want it to be a hassle later on.
Located right next to the nurse station...
...and specially for patients with serious illnesses...
...is room 400.
I can see everyone here.
Good work.
October 7, there's no more bleeding.
Blood pressure is more or less stable.
Though luckily there's no more bleeding since the last time...
...sometimes there is fresh blood mixed in her bowel discharge.
If considerable hemorrhage happens,
the possibility of her condition taking a sudden turn is high.
She doesn't complain about the pain, but it is definitely strong.
Since yesterday she's been feeling very drowsy as a side effect of morphine.
From the gallbladder, where will the tumor will spread until...?
At best hopefully it will not bring her more intense pain.
Welcome!
Hi.
Yes?
I'll have that, and any kind of snack, please.
Sure!
Thanks for yesterday.
Azumi-san's case.
No prob.
But you must be careful.
Don't be too fixated on one patient.
That won't happen.
Here you go!
It's just that...
Welcome!
- Ah... - Oh.
Good evening.
Hello. You came here alone?
No, I didn't.
Tell me earlier.
Can I have the bill please?
It's fine, Kurihara. We can keep talking.
I won't be disturb you two.
- Here it is. - Thank you.
What?
What are they doing?
You're back.
Haru, didn't you have a shooting today?
I postponed it to tomorrow.
Here, Ichi-san, you too.
What are you doing?
What is... this?
Departure cherry blossoms.
How is it?
A masterpiece, right?
Departure?
I...
...am a loser who runs away...
...who drops everything halfway and return to the countryside.
My pop died.
He told me to quit it and come home.
I'll help out with my mother's plantation.
I always act all self-important...
I have to apologize to all of you.
Actually, I...
...did not go to university.
To be called "gakushi"... (Gakushi means a university graduate)
I acted as if I was an excellent student and all ...
...but I kept failing the exam.
I stopped studying for them a long time ago...
I like Nietzsche's books...
...but I don't even know how to write a thesis.
My father died because of overworking...
...yet I lived off the allowance he worked so hard for and led a carefree life.
Please disdain me. Please forget everything about me.
Why did you draw all this stuff?
Aren't you stupid?
What are you gonna do now?
This floor, these walls...
...and you guys. Everything is dirty and messy.
Everyone has known all along...
...that you're not a university student.
Those people who left this place too.
Everyone knew.
Every year...
...I would receive lots of gifts...
...from your mother at the end of Bon Festival.
She always wrote on them...
"Please take care of my son."
That became my
So though I wanted to give you something as a present...
...but since I haven't been drawing for some time...
...I couldn't draw.
Though Princess Haruna...
...suggested this to me,
...all I made was those flower petals.
But I'm glad I did this.
I glad I could do this.
I'm glad...
...we made all this mess for you.
I'm done dreaming.
I'm gonna stop being a child...
...and make a life out there, Doctor.
Among us,
the only one who realized his dream is you.
Please work hard.
You're wrong.
Sure, I became a doctor.
But...
What should I work hard for?
Even if I work every day,
things just keep falling out of control.
Even if I try to scoop things back together,
...even if I try not to think about it,
many lives are still lost.
It shouldn't be like this.
I'm wavering every day.
Is this okay?
Is this the kind of doctor...
...I always wanted to become?
But...
There are things I've come to understand as I keep at my work.
What is crucial to someone who pursues learning...
...is fighting spirit, not educational background.
...is passion, not public appearance.
If you truly want to pursue learning to the end,
you definitely can do farm work in your break.
Rather than a thesis written by someone famous...
...I want to read yours.
There's no shame about it.
The eight years we spent together...
...wasn't a waste.
Nietzsche said this.
"Rejoicing in our joy,"
"...not suffering over our suffering,"
"...makes someone a friend."
I will never forget you.
We'll do a cheer for you.
Hurrah!
You're back.
You must be tired.
Thanks for your hard work.
Have you bought it for me?
Castella*. (*popular Japanese sponge cake)
You promised me, right?
Castella?
Castella number one.
Telephone number two.
Three o'clock snack is Bunmeidou*. (*a famous Castella brand )
Castella number one.
Telephone number two.
Three o'clock snack is Bunmeidou.
You know the Castella in this song?
Yes.
What's wrong?
Excuse me.
Yes?
May I meet Kurihara Ichito now?
If you're asking for Sensei, he's in the middle of a medical checkup.
Oh...
He's skipping lunch and is still at work since there are so many people.
I see. Thank you very much.
Kudou-san, please come inside.
Yes.
What's the matter?
The pattern.
Pattern?
You're right.
- Sorry. - Yes?
- Sorry. - Ah, yes?
I want to visit Azumi-san.
You want to see her?
Kurihara Ichito asked me to come.
Kurihara-sensei?
Azumi-san.
Kurihara-sensei's wife came to visit you.
I'm Kurihara Haruna. Nice to meet you.
I came to give you this.
Castella?
Delicious.
Whoa. She said delicious.
Thank you so much.
Not at all.
What? Do you still want to eat, Azumi-san?
- Here you go. - I want to eat some more.
Whoa, so beautiful.
Oh.
This place.
Hotaka's mountain side.
When... when did you take this?
Last spring.
Ah...
What a big tree.
There is...
...a schoolyard here.
A school building over here.
This huge cherry blossom tree...
...is still there, huh?
I want to show it to Sensei.
Our...
...and his hometown.
Sensei.
Yeah?
Do you know what day is the day after tomorrow?
The day after tomorrow?
It's someone's birthday.
Birthday?
I said this many times before, but I'm already man with wife...
Not mine.
October 20 is Azumi-san's birthday.
Azumi-san's?
Can't we let her see the mountains one more time?
If the weather is nice,
we can see a beautiful Hotaka from the rooftop.
Her hemoglobin is decreasing.
Give me some time to think.
"Azumi-san's birthday"
[Shinano University Hospital] [Seminar on endoscopy]
Good night.
Sensei.
Can you open the drawer?
It's a promise, okay Sensei?
If he comes down from Heaven to pick me up,
I don't want to make him wait for me.
Yes. Come in.
Kurihara.
Is it true you turned down Professor Takayama's offer to attend the seminar?
I need to do something else tomorrow.
What the heck are you thinking?
Professor is okay with it because he's that kind of person.
But other doctors are very angry.
Azumi-san huh?
I told you not to get too fixated on one patient, didn't I?
I don't have that intention...
You were chosen.
You just don't get it.
You...
...were nominated by Professor Takayama.
You can save many lives by using cutting-edge treatment.
You...
...just don't want to abandon the patients who are in front of your eyes.
What do you want to do?
What are you gonna do?
Do it now.
Call him and say you will attend the seminar.
Just shape up and get it already!
Do you know...
...how much control this one step will give you in your future as a doctor?
Don't make others disappointed of you.
Hey, Haru.
Yes?
Why do you take pictures?
I wonder why.
Unlike your job,
people won't be troubled even if my job disappears.
It can't feed a hungry stomach, nor does it help us withstand the coldness.
But...
...even if it's just a little moment,
maybe I could save someone's heart.
Maybe I keep taking photos because I believe in that.
We are similar in that, aren't we?
I guess we are.
Right?
And then...
...tonight, what are you pondering upon, Ichi-san?
You're gonna be alright, Ichi-san.
You're gonna be alright.
Ready, go. There, there.
That's it.
Whoa. You're good. Push straight.
Slowly. Alright, alright.
That hat...
...looks good on you.
This was a present from him.
It was from 35 years ago.
I want to bring this to my grave.
Sensei.
After I die, please put this on me.
Rika-chan, shall we go?
- Okay? - Yeah.
Ready, go. Alright.
Straight, straight.
One, two, one, two. We are turning.
It's fine, Kuri-chan. I'll take care of the rest.
Go.
Sensei!
Where should I go?
Whoa~
- Azumi-san. - Hm?
It's warm.
Right?
Thank you.
Isn't it cold?
You are all...
...this kind to me.
Please enjoy every moment.
We are also cheered on by you, Azumi-san.
Yes?
- Welcome! - Welcome.
Hey, Kuri-chan. Over here.
Good evening.
You're misunderstanding us, Kurihara-sensei.
In our university,
we use expensive technologies to conduct research...
...and find new ways of treatment.
Our mission...
...is to create the path where medical treatment should go forward from now on.
He really holds high hopes for you, Kuri-chan.
He wants you to work at the medical school starting from April.
I want Kurihara-sensei to see more of the whole wide world.
I will pay you.
However,
I feel really anxious.
You don't have the strength to wholeheartedly commit to being a doctor.
Please study many new syndromes and improve your skills.
I'll make necessary preparations for that.
You have a bright future now, Kuri-chan.
I'm so happy.
Will Honjo Hospital be alright...
...even when I'm gone?
Of course!
Nukita-sensei.
Why did you stop working for your medical office?
It's more fun over here. Plus research is not my thing.
Fun?
I could do something to help people who are facing death.
You know, in golf,
when you hit from the bunker...
...like this!
It's even more exciting than when you get the ball in.
I shouldn't have asked you.
Go be worried.
Young people who don't feel worried ever are the brazen ones.
I just totally...
...don't know what to do now.
What do I want to do?
What should I do?
I really don't know.
Not many people know what to do in your situation.
A long time ago, there was this sculptor...
...who casually chiseled two splendid figures of Niou*. (*guardians of the Buddha)
When spectators praised him,
this was what he told them.
"It wasn't me who created the two Niou."
"I just digged out the Niou..."
"...that was hidden inside the wood."
The truth is, maybe...
...the answer is already there somewhere inside your heart.
You're up really early today.
I think...
...I'll stay over at the hospital for a while.
Have a good day.
Write me...
...your name.
Your name.
Sensei.
My name?
"Stop at one."
If you combine these two together,
that would make the character for "righteous."
Ichito.
As you live,
you may feel the urgent need of moving forward.
What is truly important...
...perhaps lies with the very first place...
...you were at the beginning.
Got it?
Ichito...
Mom-!
Mom!
Hang in there. We'll be done soon.
What are you doing? He's in pain!
What are you doing?
I haven't done anything yet.
Hang in there. It's gonna be over soon.
[A call from Nurse ST4F] Hang in there. It's gonna be over soon.
[A call from Nurse ST4F]
It's gonna be over soon. [A call from Nurse ST4F]
Mom~! [A call from Nurse ST4F]
Mom~!
Azumi-san, can you hear me? Azumi-san?
Bring me blood transfusion bag.
Yes.
You're gonna be fine. Sensei is coming over soon.
Can you hear me, Azumi-san?
- Azumi-san. - Azumi-san!
Azumi-san.
What were her vital signs 30 minutes ago?
Hemorrhage shock.
Prepare intravenous drip.
Yes!
Sensei.
Her blood pressure is falling.
I'll go prepare for blood transfusion.
Dopamine is also ready.
Artificial respirator too.
Shall we carry out intubation?
Sensei.
No need.
Let's stop.
Yes.
Her husband is calling her.
She could finally see him now.
Let's just look over her.
Because I promised you, right?
Azumi-san.
11:15pm.
Death confirmed.
You did a good job.
Azumi-san.
Yes?
Sensei. A slipping incident happened on highway no. 118.
Two ambulances are on their way. One person is under shock.
The other person seems to have external wound on his abdomen. They'll be here in 20 minutes.
Call the doctor on call Honma-sensei.
Please also contact other doctors in the hospital just in case.
Yazaki Hideo-san. 33 years old. Male.
Seems to have obtained external wound from the slipping incident.
What are his vital signs?
Blood pressure 90/60. Pulse 120.
Please come with me this way to complete the procedure.
Are you okay, Yazawa-san?
Take a good rest at home for today, okay?
We are done.
There are still some people left, but you should take a break.
Ah, no.
I'm fine. Let the trainees rest first.
Just do it, Sensei.
Now, go.
Here.
It was inside Azumi-san's drawer.
"To Kurihara Ichito-sensei"
"To Kurihara Ichito-sensei."
"When you read this letter,"
"...that means I already reunited with my husband in his place."
"After being told by the doctors in the university hospital..."
"...that there's no treatment and that I only have half a year left,"
"I was in despair."
"My heart screamed out."
"I couldn't gather my thoughts properly for many days."
"Instead of reaching out to someone, I just cursed my fate."
"When I came to my senses,"
"I opened the envelope I received at the hospital."
"At that time, the records were long and very detailed."
"I noticed the handwriting..."
"...and thought I wanted to meet the doctor who wrote this..."
"...one more time."
"Thinking that, I kept looking for you..."
"...and ended up coming to this place."
"Having an illness..."
"...is an extremely lonely thing."
"After my husband left me behind..."
"...and right when I thought I finally became used to the loneliness,"
"I got this illness and was rejected by the doctors from the university."
"I thought I would die without anyone knowing."
"But at this hospital,"
"I was saved from my loneliness."
"It was because I met the doctor whom I could depend on."
"Till the very end,"
"I couldn't believe I could be this happy."
"Truly, life is full of unexpected things."
"You and the others..."
"...made the final moments of my life..."
"...so warm and illuminating."
"The words you wrote me..."
"...were mostly things I couldn't understand."
"But to me,"
"it was the records from God."
"Sensei, from now on,"
"...please give many more people..."
"...the warm moments you've given me."
"Even if you can't cure their illnesses,"
living is enjoyable
"From Heaven,"
"with all my gratitude,"
"Azumi."
I would like...
...to work here from April onwards.
As I thought,
...I can't go to the medical office.
What?
Just as he expected, huh?
He said that...
...you're similar to me, Kuri-chan.
Takayama said this to me afterwards.
"Kurihara-sensei will reject me."
I'll tell you this: you will regret it.
Sorry?
I regret it.
When I think that if I do research, I could be like him,
I feel deep disappointment.
It's tough to be out here.
If you do this exhausting work for your whole life, you will definitely feel distressed.
You're such an idiot.
Kuri-chan.
Yes.
When I'm about to break down,
please save me.
Thank you.
Where's your camera?
I don't have it.
I have to go to the shrine to express my gratitude today.
To express gratitude...?
Gratitude for what?
This is serious.
Let's go home.
You can't be out in this cold.
- I'm fine. - Let's go home quickly.
- You don't have to be in such a rush. - I'll carry this.
I'm fine.
Please stay next to me for a little while more.
Sit down.
You have been...
...saying prayers at that shrine all this time?
Yes.
But...
...the God there is not the God of childbirth though.
It doesn't matter. God is God.
I see.
Yes.
Our prayers did reach the Gods, right?