I, Kurihara Ichito, at Shinano University Hospital in Shinshu,
am a 10th-year gastroenterologist with the Third Class, Fourth Department of Internal Medicine.
Dr. Kurihara, two reports came in from the helicopter to the Emergency Department.
The urgent patient is a 66-year-old male.
＜Shibata Dairi. He's a fourth-year gastroenterologist.
FOURTH DEPARTMENT OF INTERNAL MEDICINE, THIRD CLASS SHIBATA DAIRI (RIKYU)
He likes Japanese tea so much, he's nicknamed Rikyu.
Rikyu, have you contacted Dr. Hojo?
I can't get hold of Dr. Hojo, after all
FOURTH DEPARTMENT OF INTERNAL MEDICINE, THIRD CLASS, MEDICAL INTERN AYAKAWA MEGUMI (MISS)
Ayukawa Megumi, medical resident
During her introduction in front of the clinical professors, she aspired to become a pathologist.
We've been calling her "Miss" ever since.
Me, Kurihara, in my 10th year. Rikyu, in my 4th year.
Miss, intern. Not present is
Dr. Hojo, nicknamed "Oni-Kiri," is our team leader.
That's the summary of the Fourth Department of Internal Medicine, Class 3.
There's a mountain of doctors out there.
All I have to do is take it easy...
Dr. Usami, I need to consult with you.
That's totally untrue
Of course, I'm aware of that, but...
There's one case that's been bothering me.
A hospital attached to a university's medical school. A university hospital.
University hospitals have 600 beds and more than 1,000 doctors.
At the top of the list are professors from each department of the university's medical school.
Associate professors, lecturers, assistant professors, medical staff affiliated with the university hospital, graduate students, residents, part-time doctors.
Graduate students, residents, part-time doctors.
They form a huge pyramid, and I am at the bottom of the pyramid.
I'm a graduate student.
A university hospital that provides cutting-edge medical care
Differences in status, rules, conventions, precedents, unreasonableness, absurdity, contradictions.
It's pandemonium with a big roof called authority on top of it.
By the way, the reason why my way of speaking is somewhat old-fashioned is because
I've been an admirer of Natsume Soseki since my school days.
Aah, I'm finally here.
(knock)
FOURTH DEPARTMENT OF INTERNAL MEDICINE, ASSOCIATE PROFESSOR USAMI SHOURYUU
As I told you on the phone.
There are currently no vacant beds in the gastroenterology ward.
But an urgent case of hematemesis is actually being brought in by helicopter.
What about beds in the Emergency Department? Full.
I owe the emergency department three days of beds
for internal medicine patients last week. So I need to manage this time.
How long have you been here, Kurihara-kun?
It's been 4 years since I came here from Honjo Hospital.
Oh, I see. I haven't told you about the bread story yet, have I?
Usami Sensei... There are 10 children here who are dying of hunger.
There's only one loaf of bread available.
What would you do?
Let's see...
This is Associate Professor Usami's specialty
so don't interrupt him and say, "It's an octopus in my ear."
By the way, Associate Professor Usami's nickname is "Baker"
You can't give one loaf of bread to ten children in ten equal portions.
That will not save any of them.
Then, would you give all the bread to the weakest child?
Then the remaining 9 children will not be saved.
If I were you, I would not give the bread to the children
who I judged would not survive. We don't give bread even to children
who seem to have enough to eat. Then, who do give the bread to?
If it were me, I would give the bread
to the children who are certain to survive the present.
And then... wait for the next loaf to become available.
I see.
This is not Honjo Hospital.
Don't forget that this is a special hospital with special bread.
That's all.
However, a patient with hematemesis is currently... (vibrating)
It's me. What's wrong? Rikyu.
Another urgent patient?
JOINT CONFERENCE ON GASTROENTEROLOGY AND NEPHROLOGY
The CT scan didn't show any lesions in the kidneys, but the blood test...
On this day, every Thursday morning, a joint conference is held
between gastroenterology and nephrology.
Where is our Team Leader Hojo of Class 3...
There
Nicknamed "Demon Cutter", Fourth Department of Internal Medicine, Class 3 Team Leader, Dr. Hojo
I don't know how sharp his sword is, and if it can even cut even demons.
In fact, I suspect that he's an alcoholic.
Always in the back seat again.
Good morning, Kuri-chan.
A hematemesis patient by helicopter in the morning, and then acute cholangitis?
The legend of Kurihara the puller is alive and well at the university.
Where were you this morning?
Oh, I feel sick.
New York. The new cabaret club in front of the station?
How about the bed?
I managed to get one for the hematemesis patient
But I couldn't get a bed for the cholangitis patient...
Can Dr. Hojo talk to Dr. Usami, please?
I'll save a bed for you on the 7th floor of the East Ward at 9:30.
(sighs)
What? Oh, no.
It's fine if you get pushed around by patients, but
But it's very tiring to be pushed around trying to get a bed.
It all depends on how Baker handles it.
"I'm not as old as you" Doctor? Doctor...
Doctor, Doctor!
Aah, I feel sick
Drama Special Kamisama no Karute Night Four (Finale)
I'm back, Toto-chan.
I'm back, Koharu.
Welcome home, Ichi-san.
I'm home, Haru.
Koharu, what were you doing playing?
Ladies and Gentlemen, I'm sorry for worrying you the other day.
Haru!
Haru! Haru, what's wrong? Are you okay?
I'm fine.
Actually, a baby...
A baby?
Ah, you're having a baby?
Haru canceled all her mountain photography jobs after that.
She went to give birth.
ICHITO'S DAUGHTER KURIHARA KOHARU
And now I get to hold an angel in my arms.
Delicious! Koharu
It's unusual for a graduate student with no money,
no time or freedom to go home at night, Koharu.
I have to work part-time after dinner.
What? Tonight too?
Graduate students don't get a monthly salary.
I have to earn the most I can working part-time and on duty.
I can't even pay my tuition.
So part-time work is your lifeline. Yeah.
I've got some news for you.
It's about the demolition of Ontake Manor that the landlord's son is planning.
Danshaku, it's an urgent matter, but it's a heavy topic for me right now.
No, no, no, no, but... Hey.
It's done. Please join us, Danshaku-sama.
Aren't you worried, Princess Haruna?
We are at the bottom of the bottom of society
We're in danger of being evicted.
Kaka-chan! Koharu.
I'll worry about tomorrow, tomorrow.
right? Koharu.
That's right! That's right.
Okay, Koharu... okay, Koharu, let's eat.
Let's eat...
I have to work every day and work part-time off duty.
As a necessity, I have to make specimens for experiments on Sundays.
As a graduate student, my job is to do experiments
and dissertations to get a degree. However,
in order to make the specimen
I need to first clean and disinfect a lot of tools.
And I'm doing Dr. Hojo's share
As thanks saving a bed for a patient with acute cholangitis the other day,
I'm being forced to do this.
Excuse me. - Oh, what's wrong? Rikyu.
It's actually an elderly patient I admitted to the hospital as an emergency
for aspiration pneumonia a week ago. Is it an emergency?
No, he's already been treated for pneumonia and had a gastric bandage installed, and he's progressing well.
But he said he didn't have enough beds for further hospitalization.
It's Baker, he told Dr. Rikyu to discharge him immediately.
As Dr. Usami said...
Dr. Usami said it was strange that a patient with gastric bypass
was admitted to a university hospital in the first place.
He said it was an unnecessary patient.
Unnecessary? That's right, unnecessary!
There's no such thing as an unnecessary patient!
Am I wrong? Dr. Kurihara. You're absolutely right.
Don't tell me you... at Baker?
I found myself saying it back.
I may have been a little less careful with my words than I am now.
Choose.
You shouldn't talk back before you choose your words.
So you're watching me closely.
Am I wrong?
Your idea is correct.
But if the other party is Professor Usami.
Your act of talking back is wrong.
A bed at the university hospital is a special kind of bread.
If you piss off the baker, you'll never get bread again.
I didn't want to hear those words from Dr. Kurihara.
It's our job as seniors to gently squash the ideals of the young.
That's what we seniors do.
Well said, Kuri-chan.
Dr. Hojo, if you were awake, you could've said something...
Hey, Ichito. Long time no see.
I have a favor to ask you. - I refuse.
Hey! You're not looking so good these days.
All right, I'll make the best Sunayama blend I can find.
I have a patient here at the surgery.
Futatsugi Mio, 29 years old, female.
Housewife of a farmer in Azumino.
She has a husband and a 7-year-old daughter.
Yeah. She's a patient I performed an endoscopy on for a definitive diagnosis.
The day before yesterday, the surgeon confirmed that she has advanced pancreatic cancer.
Can you operate?
There were metastases in the lymph nodes around the aorta.
MRI also showed suspicion of liver metastasis.
The diagnosis was stage 4.
We concluded that resection was impossible.
Our professor gave the IC (Informed Consent)
I asked Futatsugi-san and his wife,
what they would do now that all that was left
was anti-cancer treatment or palliative care.
"What do we do" with a stage 4 patient?
MIO'S HUSBAND FUTATSUGI TAKAHASHI
PANCREATIC CANCER PATIENT FUTATSUGI MIO
What...should we do?
If you are a long-term patient, I can write you a referral to a different hospital.
The doctor who did the endoscopy for me,
I'd like to meet him.
Is it Kurihara Ichito of the Fourth Department of Internal Medicine?
Yes.
Dr. Kurihara listened to me carefully.
He also explained the endoscopy very carefully.
I'd like to see Dr. Kurihara.
A 29-year-old patient with advanced pancreatic cancer, stage 4!
Why is the Surgery Department taking on a surgical patient from the Fourth Department of Internal Medicine!
Such a high-risk case.
Did you just accept a high-risk case like this without even calling a joint conference? Class 3.
FOURTH DEPARTMENT OF INTERNAL MEDICINE CONFERENCE
Even if we called a conference anyway.
I'm sure they will complain like this.
Class 3 Leader, speak louder. Nah, I hate standing out.
It's obvious he'll be in the hospital for a long time.
There's no room for beds in the Fourth Department of Internal Medicine
How can the doctor say...That's right!
Class 3... Class 3 Chief!
Hahahahahaha.
Miss, what about "That's right"?
Excuse me, Dr. Kakizaki.
Fourth Department of Internal Medicine, Class 1 Leader, Dr. Kakizaki
FOURTH DEPARTMENT OF INTERNAL MEDICINE, CLASS 1 LEADER KAKIZAKI AKIRA
Advanced pancreatic cancer in a 29-year-old is certainly a difficult thing to deal with.
But I'm sure it'll be a valuable experience for the young doctors.
There comes Bodhisattva's Kaki. Thank you for the sermon!
I'm with Professor Kakizaki on this one.
FOURTH DEPARTMENT OF INTERNAL MEDICINE, CLASS 2 LEADER YASUDA SEIDOU
Fourth Department of Internal Medicine, Class 2 Leader, Dr. Yasuda
Every patient that gets treated at the Fourth Department of Internal Medicine, affects our reputation
It'll be a shame if we don't take it. It might turn the tables?
Dr. Kakizaki's the Class 1 leader. Yasuda Sensei's the Class 2 leader.
The leader of Class 3 is...
isn't he on vacation? It's you.
Besides, the surgery department would be grateful
if we could take on high-risk cases at
the Fourth Department of Internal Medicine.
CHIEF OF FOURTH DEPARTMENT OF INTERNAL MEDICINE MIZUSHIMA OSAMU
Chief of Fourth Department of Internal Medicine, Professor Mizushima,
I understand.
I'll find a bed for you.
Goal! Ahahaha!
It will be a really a good learning experience for the young ones.
Taking care of patients in their 20s at a university hospital...
It's not decided that I'll be taking care of them!
Ah...
It's not decided until I'll see her.
FOLFIRI-NOX is a four-drug combination of anticancer drugs.
It's the best chemotherapy we can do at this stage.
Is this enough to make a complete recovery?
I can't say for sure.
The side effects are severe.
According to the pancreatic cancer treatment guidelines, it's the first choice for patients with physical strength.
If you can endure it, you may be headed in the right direction.
This is actually the third time I've met with Dr. Kurihara.
Third time? Nine years ago at Honjo Hospital.
You took care of my father who was rushed in with heart failure.
Oh, I took care of your father.
Nine years ago, I was still a resident.
I don't know how much treatment I could provide...
No. That time, he said, "There is no rain that never stops.
There is no night that never ends.
Our family was encouraged by that
Thank you again, Dr. Kurihara.
I'm looking forward to working with you.
Dr. Kurihara! Mr. Oka's bleeding profusely in the toilet!
ULCERATIVE COLITIS PATIENT OKA NOBUHIRO
Aah!
Oka-san was just referred to us for
steroid-resistant ulcerative colitis.
What are his vitals? Blood pressure 110, pulse 94.
His level of consciousness hasn't dropped. Vitals are normal. Have we given ADA?* *Adalimumab
We're giving it to him now, but there's no improvement yet.
Let's get some blood work done first. And a colonoscopy.
We need to get to the endoscopy room as soon as possible... (vibrating)
I'll be there after I see Baker
Dr. Kurihara, please don't leave me alone!
Miss. Oka-san's the first patient you're in charge of, right?
Yes! It's too much for a resident to handle!
Put all your strength in your belly and struts your stuff in front of the patient.
Patients react the most to Doctor's panic
You won't lose.
Yes...
Do you know why you're here?
It's Shibata-kun from Class 3.
Just when I thought we had finally transferred a patient with gastric bypass,
we're hospitalizing another patient again for long-term care
You're in charge of his patients.
Speed up the bed rotation.
Ah~ You're working hard.
Ah...
Where has Dr. Hojo been all this time?
London. I'm exhausted and tired.
London? Isn't that the old cabaret club in front of the station?
Correct.
You're under a lot of stress, aren't you, Kuri-chan?
Well, for now, just do your best to save Baker's face.
You have to protect Rikyu.
If you don't protect Rikyu, he might get sent to the backwoods.
Doctor, how dare you...
Rikyu, how long have you been there...
My name is Shibata. It's time for ward rounds.
Does Dr. Kurihara agree?
Agree to what? Rikyu.
Changing a patient's treatment or forcibly transferring them
to another hospital in order to rotate beds.
It's true that internal medicine and the emergency department are fully booked.
But there are beds available in ophtamology, dermatology, and other departments.
But they don't want to rent or lend them.
That's shifting the burden to the patients. That's right.
It's really unreasonable. It's unreasonable as hell.
If you say that's usually the case for university hospitals
I will scream, "What is a university hospital?"
But we're doctors. We shouldn't scream.
I think it's the patients who want to scream.
So I'm thinking.
What are you thinking about?
I'm thinking about what a doctor should be like
at a university hospital.
I'm still thinking while in the midst of it
I have a headache thanks to you.
I'll bring you an infusion of Hypericum* next time. *St. John's wort
Hypericum erectum?
It's good for headaches. It's my favorite tea.
Are you convinced by my answer now?
I'm not convinced.
But Dr. Kurihara gave me an unusually serious answer.
I was a little relieved.
I'm always serious.
But you've always had a strange way of saying things.
I was dissatisfied that you would force a joke
to avoid giving a proper answer
Soseki Natsume, the great writer of the Meiji era (1868-1912), left these words.
"Seriousness, means you are fighting with real swords"
So the stories about the eccentric Kurihara are true
Aww, Rikyu... Hahahahahaha...
Suddenly, blood came out of my stool, like I was about to die.
I'd wonder if it was coming out again.
I was terrified every time.
I'll never let you die.
I will definitely cure you.
How can a doctor say absolutely?
It's okay!
If the medicine doesn't work, maybe there's something else going on.
Something else?
Let's do some tests.
Don't worry, this is a university hospital, Oka-san.
Please leave it to me.
I promise I'll cure you!
Hypericum is good, but...
Haru's coffee is the best in the world.
By the way, today
The landlord's son came to see me today.
Does he want to evict us?
No, he was just saying hello.
He's been working for a government office in Tokyo for a long time.
He was worried about his father's age, so he came back to Shinano.
And when he saw that Ontake manor was still standing.
He was very surprised.
I see. He was very surprised.
Ontake manor is said to be 100 years old.
I see. That is a big deal.
It's not earthquake-proof at all, so it's dangerous in case of an earthquake.
Isn't that an eviction request, after all? Haru.
Is that so?
I hadn't noticed.
It's been two weeks since we started
chemotherapy for Mio-san
myelosuppression* is severe. *A condition in which bone marrow activity is decreased, resulting in fewer red blood cells, white blood cells, and platelets.
Rikyu, how is Futatsugi-san's condition?
Her weight has dropped a little, but her appetite has come back.
There are no side effects other than myelosuppression.
But since last week, no one was allowed to visit. She can't even see her family...
It's an anti-infection measure. His immune system is down.
Even a mild cold can be fatal.
But she can't even leave her room.
Why don't we change the medicine?
She's so bold to say such a thing.
We can't do that.
FOLFIRI-NOX is the most powerful regimen.
It's only been two weeks. She's barely finished the first course.
I think we should start the second course to see if it's effective.
But if it's not working...
she will be locked up in a hospital room for nothing, you know?
Pointless! Choose your words a little more carefully.
Rikyu, where's Dr. Hojo?
He's at Futatsugi-san's MRI. She's with her husband and Risa-chan.
Dr. Hojo, you're unusually motivated today.
That's because she's the leader of Class 3... Miss!
Think for at least 3 seconds before you say anything.
Dr. Hojo is your boss, for the time being
Risa-chan?
Mama, can she heal?
Doctors aren't magicians.
So I can't promise that I'll cure her for sure.
However...
I'll do everything I can.
I promise you that much.
At noon, I took Oka-san's CT scan at the request of his daughter.
There's a two-centimeter-long mass on his pancreas.
The CT scan taken at the local hospital where he was first diagnosed three months ago
showed no mass.
His daughter ordered a bunch of tests out of nowhere
and we might be on to something
This shape indicates pancreatic cancer...
Yeah, I think so too.
Oka-san followed by Futatsugi-san.
You have the second patient with advanced pancreatic cancer in Class 3 of the Fourth Department of Internal Medicine.
(vibrating sound)
It's me.
Is Oka-san bleeding again?
Futatsugi-san's and Oka-san's tumors
were very similar in shape.
Are you keeping the resident doctors working until this hour?
Oka-san's bleeding was treated earlier.
I'm sure you're aware that
university hospitals nationwide have established guidelines
for resident labor management in order to
improve the harsh working environment for residents.
Residents are not allowed to work at all during the night
except for the designated number of shifts.
Be careful, Kurihara-kun.
If word gets out that the Fourth Department of Internal Medicine is too strict,
it'll affect the number of applicants who want to join our department next year.
If the number of applicants decreases, Dr. Usami will be in a tight spot.
You're an interesting man, aren't you?
I'm sorry. I was so sleep deprived...
I took it out on Baker. This reflects badly on me.
The ever-changing situation of beds
is easier to grasp with analog.
If you write it down, it gets into your head better.
Do you do that every day?
If I don't do it, who will?
Is that Futatsugi-san?
No, it's Oka-san who's in the hospital for ulcerative colitis.
Advanced pancreatic cancer was also discovered a while ago.
We're having a conference with the surgery department on Oka-san the day after tomorrow.
Oka-san's bed probably won't be available for a while.
FIRST SURGERY DEPARTMENT & FOURTH INTERNAL MEDICINE DEPARTMENT JOINT CONFERENCE
Pancreatic cancer was detected too late.
It's a mass that wasn't there three months ago.
Besides, Oka-san was just admitted to the hospital this month...
What about the steroids? What about the possibility of autoimmune pancreatitis.
IgG4 is within normal range.
The possibility of autoimmune pancreatitis is extremely low.
If that's the case, why didn't you take a CT scan for screening right away?
That's why...
There was nothing on the CT scan 3 months ago...
That's enough.
I'll deal with... - No that's fine.
As far as we're concerned.
I'd like to hear the Fourth Internal Medicine Department, Class 1 leader, Dr. Kakizaki's opinion.
That was a merciless way to get us off on the wrong foot.
What does Dr. Kakizaki, the leading expert on the pancreas, have to say?
Dr. Kakizaki's away at an international conference in Boston.
He'll be back in 3 days at the earliest.
Ah.
Then the conference will be after that. No, but!
If it's advanced pancreatic cancer, we have to take action quickly.
It's only appropriate to conclude after Dr. Kakizaki gets back.
No, but... if we push back the Internal Medicine Department now,
and we rush to start preparations after the surgery is decided after all,
we would be blamed for already being consulted earlier,
wouldn't Surgery Department get laughed at?
Sunayama.
Then what are you going to do?
I'll start the pre-surgery examination of Oka-san in collaboration with the internal medicine department.
That way, we can operate immediately after the definitive diagnosis.
It's pancreatic cancer that was discovered only 2 days ago.
It's a bit extravagant to try to conclude everything here.
Let's do it then. Today's conference is over.
Jiro, thank you. Hey, come on.
It's you and me, right?
If you remove the authority and gamesmanship from University Hospital.
ONLY TRASH REMAINS
there would be nothing left but trash.
I'm getting very depressed.
Bargaining is the one area I'm weakest in.
I once trained at a ryotei* in Tokyo when I was young. *Traditional Japanese Restaurant
I thought it would be a good way to train myself.
But you know what?
However, everything from preparation to serving was completely unacceptable.
The procedures were completely different.
I was so fed up that I was ready to quit my job as a chef.
I suddenly realized.
that worrying is a sign of growth.
A sign...
Sea Bream from Akashi
Huh.
(vibrating sound)
Yes, this is Kurihara.
Dr. Kakizaki!
That's right. I'm still in Boston.
Dr. Kurihara, regarding Oka-san's tumor.
It's not pancreatic cancer.
Regarding Oka-san's tumor.
It's not pancreatic cancer.
I think it's probably autoimmune pancreatitis type 2.
Type 2? I've never heard of type 2 before.
That's right.
Type 2 cases aren't seen very often.
It's the first time I'm seeing it myself.
Seeing?
Baker mentioned this
and sent me the CT scan and data by e-mail.
He said he was curious about the images and wanted to take a look.
Dr. Usami?
Oka-san is in the hospital for ulcerative colitis
Advanced pancreatic cancer has also been discovered.
That time...
University hospitals are places
where there are patients with diseases
we have never seen before
And there are also doctors who can narrow down
the diagnosis with just a glance at those images.
Doctors who are geeks in their respective fields butt heads and come up with answers.
That's what university hospitals are for, Dr. Kurihara.
That's what a university hospital is!
Are you taking an early morning walk, Futatsugi-san?
Oh, you caught me
There's no one around at this hour, so I thought it'd be okay to leave the hospital room.
I know it's not the most praiseworthy thing to do,
but I'm glad I was the one who found you.
I need a change of scenery once in a while.
Nice ball!
It was my husband who found this place for me.
He said he could show me how Risa is doing from here.
He married into my family* *A man who takes his wife's family name
He's a little unreliable at times.
He's meticulous and kind.
I wonder if the day will ever come when I can play with Risa again.
If the myelosuppression stops, we can play catch, basketball,
or anything together. But if it doesn't stop,
I won't be able to get out of here forever.
My family is here with me.
I didn't realize how difficult
and precious that was.
I totally didn't realize that when I was healthy.
I'm so frustrated.
After that, Oka-san
was given a definite diagnosis of autoimmune pancreatitis type 2.
He was put on medication at the department of internal medicine.
I've been working on Futatsugi-san's anticancer treatment,
and changed the anticancer drug to a two-drug combination of Gem and Paclitaxel.
Her bone marrow suppression improved and her physical strength recovered.
STENT PLACEMENT
In addition, we performed ERCP and placed a stent to prevent bile duct obstruction.
Open it. Yes.
Two weeks later.
The patient was discharged.
From now on, as an outpatient, we'll continue administering the anticancer drug
I'm going to win this thing, Dr. Kurihara.
That's the spirit.
Risa. Mama
Ah, hahahahahaha.
Risa, you've grown up.
When Dr. Kurihara changed from the four-drug regimen to the two-drug regimen.
I was a little worried,
but it turned out to be a success, didn't it?
The treatment plan we formulated
is not a choice between right and wrong, yes and no.
It's about what the patient values the most,
we value it together and look for a third way.
We must search for a cure. Be adaptable.
That's probably the doctor's...
That's the doctor's... what?
I beg your pardon. I was speaking very highly of you.
Hey, Rikyu-chan.
That's the doctor's what?
Hmm?
What?
Seriousness!
Hahaha, that's embarrassing!
Seriousness eh?
That's what Dr. Kurihara says.
What are you laughing at, Miss!
It was only a week later.
I'm fine.
Dr. Kurihara. Hello. How is she?
She's had a fever of 40 degrees Celsius since this morning. Blood tests show severe inflammation.
Biliary tract enzymes are elevated too.
CT scan? Here it is.
The stent is clogged and she has cholangitis.
She's on the verge of sepsis.
It's common in pancreatic cancer. We'll perform emergency ERCP to replace the stent.
How's the X-ray room? We're already holding it.
But Dr. Futatsugi-san insisted she doesn't want to be hospitalized.
Why is that? Futatsugi-san.
If I'm hospitalized again, I won't be able to go home.
If I'm going to die locked up in a hospital again.
I want to die at home.
Mio... what are you saying?
I asked my husband not to call an ambulance either...
I've just been released from the hospital. Let me go home like this.
Please, let me die at home.
Mama!
Mama won't die. It's okay, Risa.
Mio, please. You have to get treatment.
I absolutely don't want to be hospitalized.
Then we'll go without hospitalization.
Huh?
We're going to use ERCP to replace the stent in the bile duct.
How about we go home immediately after the waking up from anesthesia?
Can he do that? There's no way he can do that.
Doctor.
When you're done... I can go home, right?
You can go home.
ERCP in the X-ray room.
I'm against it. ERCP for young women carries a high risk of acute pancreatitis.
And moreover, Futatsugi-san has advanced pancreatic cancer.
At the very least, she should be hospitalized for a day and given antibiotics.
If we send her home, we won't be able to handle any sudden changes!
How about going straight to the hospital after ERCP?
Just get her husband to agree to it, and then we'll just cover it up.
If we do that, we'll lose Futatsugi-san's trust.
Next time, she'll probably refuse to even go to the hospital.
But I think it's totally irresponsible to go home right after the procedure.
It's not after the procedure. I said we're going home immediately after the anesthesia wakes up.
Hah?
Anesthesia usually wears off in two to three hours.
But a young internist in his fourth year.
I think it's possible for a young internist in his fourth year to accidentally administer too much anesthesia.
Oh, me? That's right.
We'll use more anesthesia to keep her sedated until tomorrow afternoon.
Then we'll administer a bunch of antibiotics.
Post-surgery management will be done in the Emergency Department's treatment room, so she won't be hospitalized.
Once her vitals are stable, she can go home.
More anesthesia...
Is that cheating?
But I'm in my tenth year, so I can't help but see through the ruse.
It's not good to put the resident girl in the crosshairs.
What do you think, Rikyu?
I understand...completely...no, carelessly!
I'll administer more anesthesia.
Dr. Rikyu
Oh, you may go home, young lady.
Why am I the only one getting excluded?
Baker is picky about the resident's working environment.
If I make them participate in fraudulent treatment, the retribution will be unimaginable.
I don't want to go. Please let me be a part of it.
Miss, I thought you'd help me...
I don't want to!
I've always wanted to be a pathologist.
But there's something I learned during my training at Class 3.
The patient isn't under the microscope, she's right in front of you.
I give you permission to be involved.
Open it. Yes.
You're awake, Futatsugi-san.
Your fever's back to normal. Blood pressure, too.
Dr. Kurihara will be here in a little while to check on you.
Dr. Kurihara...
Dr. Kurihara and his team were with me all night last night.
One night...
I heard all the necessary procedures were completed.
Let's go home, Mio.
Thank you, Doctor.
Futatsugi-san is back to outpatient treatment.
Oka-san, who has autoimmune pancreatitis type 2.
recovered dramatically with medical treatment. He was discharged.
Ah~.
Thank you, Ayukawa-sensei. I feel like I survived safely.
Hehehe, no, I didn't do anything serious.
But since Oka-san is my first patient.
I will never forget it.
Oh, really?
First? First?
Doctors and patients go through a lot together. The day the patient leaves the hospital,
that's the day all the hard work disappears for the doctor.
I have a report to make to everyone.
Dr. Hojo. Two extremely tough cases, Futatsugi Mio-san
and Oka Nobuhiro-san, have been discharged.
Dr. Hojo, Leader of Class 3.
recently wrote a paper
which was recently accepted for publication in the International Journal Pancreatic Medicine.
(Applause)
Needless to say, the International Journal Pancreatic Medicine
is the world's leading authority on pancreatic research.
Dr. Hojo has been recognized as a world class researcher.
Not only that, but he also greatly enhanced the significance of
the Fourth Department of Internal Medicine.
Dr. Hojo, go ahead.
Well then, I'd like to thank you all for
for supporting me through this grueling clinical work.
So let's go out for a drink on my treat tonight.
(Applause)
Ladies & Gentlement, do you believe in God?
If a benevolent God exists,
things that would never happen often happen in medicine.
Not long after this day.
the anticancer drug stopped working on Futatsugi-san.
The tumor has grown two sizes.
There were new metastases in the liver as well.
The tumor marker was five times higher than before.
No severe symptoms yet,
but from now on, it's expected to get worse week by week.
Is there nothing more you can do?
We'll switch to a third-line anticancer drug.
The time we have left may be shorter than we thought.
I was reading a book with Mama. That's great, Risa.
I'll go get the car then. Yeah.
How are you feeling? Futatsugi-san.
Very good.
Did you finish your difficult talk?
I'm still going strong, Doctor.
With my husband and Risa by my side.
I can still fight.
But you know...
when I die, I want to die at home.
That's really all I want to ask of you, Doctor.
I'm home.
Ichi-san, welcome back.
Where's Koharu? This way.
Doctor, let me introduce you.
This is the person we've been waiting and waiting for,
He's the son of the landlord.
Nice to meet you. I'm Ouka.
Nice to meet you. I'm Kurihara.
Oh! Your cup is empty.
One more cup. No, I'm fine
Ooka-san, the Magistrate.
Do your best to entertain him
What are you doing just standing there? Sorry, sorry.
The audience we have been waiting for has finally come
Let's share a drink of joy with the Magistrate.
Can you please stop calling me that?
Is there any change in your father?
Yes, it's just that he's getting old
and he says that running a rented house is becoming a burden.
So I did it. That's splendid!
You know, it's easy to tear down this old Ontake manor.
And yet, you've returned to your parents' home.
I didn't know you were going to return to your family and take over the management of the Ontake manor.
I have no intention of taking it over.
Hahahahahaha! Hahahahahahahaha! This is more nonsense!
For example, are you Danshaku?
I understand you're a painter by profession. How much do you earn a year?
Annual income...
And you, Kurihara-san, do you have a regular job?
What? I heard you often come home late at night or at dawn.
That can't be helped. I'm at the hospital.
Oh... excuse me, is there something wrong with your health?
No, no, I'm not visiting the hospital, I work there
Um... What?
Doctor is really a doctor, Magistrate.
What? He's not just a doctor.
He is famous within Shinano University Hospital
He's an excellent doctor with a brilliant mind!
Ehh? I'm surprised.
There's a certain flow to things.
I am indeed a doctor.
Magistrate, let's have a drink.
Thank you, excuse me. Oh~ whoa~ whoa...
A doctor from a university hospital in a rundown house like this.
No, no, no, this is the Ontake-manor
It's still in the plain category. That's being modest.
You're a doctor at a university hospital? Yes.
I'll drink
Whoa! Ah~! Sweet, sweet.
The magistrate turned out to be an unparalleled theater buff
INSEPERABLE NEIGHBORS
The more we got drunk, the more we came to know each other.
The issue of eviction from Ontake Manor was finally put to rest.
Here is a great hero who slept soundly through all this commotion.
She had a high fever of almost 40 degrees Celsius since the morning. Her blood pressure was 95-40.
2 WEEKS LATER
It's the same as the last time she had stent trouble.
But she didn't want to go to the hospital, and she told her husband not to call an ambulance.
The troubled husband called the doctor's office earlier.
Did you properly persuade her that she would die if left untreated?
Her husband gave her a hard time. But Futatsugi-san
is adamant that she die at home.
Well,
I guess we have no choice then.
No choice?
Team Leader! I want to have a proper discussion as Class 3.
We've gathered here for Dr. Hojo.
Please be quiet. I'm hungover.
Rikyu. Futatsugi-san's house is in Azumino, isn't it?
Yes, it's about 30 minutes by ambulance.
I'll go out there and bring her back
Hey, Kuri-chan, even if you're a doctor, you can't do that.
Then I'll write the death certificate over there.
Either way, we need a doctor.
You can't make house calls without permission from the medical office.
If we apply to the medical office now, when do we get the approval?
Three days from now.
Class 3 is already on Baker's blacklist.
I won't allow you to ignore the rules any longer.
Unfortunately, I've never ignored the rules.
You administered more anesthesia than necessary during Futatsugi-san's ERCP.
That was my mistake. I'm sorry.
I'm glad you consulted me.
I can't let you guys run amok any longer either.
If you piss off Baker, you won't just lose your bed.
You'll be sent away.
I'm Futatsugi-san's doctor.
I'm the leader of Class 3.
If you're in a medical office where rules are more important than saving the lives of dying patients.
I have no regrets no matter where I get sent.
Rikyu, get a map.
I'm coming with you. Why are you making a big deal out of this?
You take care of the hospital wing while I'm gone.
But... but!
Then I'll go with you. You know what, Miss?
That's enough. Take her with you.
Huh? One or two, doesn't make a difference
Suit yourself.
I'll go get the map. Okay.
(sound of door opening)
You're a really strange person...
Dr. Kurihara.
That's what everyone says. It's annoying that way
I'm not going to the hospital.
You can be hospitalized today, the stent will be replaced and if the fever goes down...
I don't need to hear that kind of theory anymore.
What do you mean by "theory"?
What percentage of this medicine is effective?
What are the side effects?
How much longer can I live?
Rather than theories, a doctor should figure out
Why did I get this disease?
Please tell me
I'm only 29.
Risa is only 7 years old.
How did this happen?
What's wrong with me?
I'm not getting locked up in a hospital again.
I'd rather die of weakness without seeing my husband or daughter.
I'll die here.
This is my home.
I'm not afraid of dying.
I'm only afraid of being hospitalized again
I'm only afraid of not being able to come home.
I'll make sure you come home. You're lying.
I know that much too.
If I'm hospitalized again...
I won't have the strength
to come back.
That's our field over there.
It's a buckwheat field.
Every year we pick the berries and make buckwheat flour.
We make soba.
Let's make soba again this year, Mio...
Let's eat freshly made soba together.
So please...
Please take the treatment.
Mio-san.
I don't know how much time you have left.
Even I, a doctor, don't know
But if you only have 3 months left.
Is there no point in living in the present?
If you have one month left, would you rather die now?
I assure you.
That's absolutely not true.
I made a promise to Risa-chan.
I'll do everything I can as a doctor.
Risa.
I'll make sure...
I'll make sure you get back here.
Risa.
Mama
needs to lower her fever.
Miss, call an ambulance.
Yes
Do you know why you're here?
You made a house call without permission from the medical office, violating medical office discipline.
Therefore, you must be disciplined.
Yes.
Kurihara Ichito-kun.
You are prohibited from working part-time for 6 months from today.
Starvation Tactics?
With all due respect, taking away an unpaid graduate student's part-time job as well...
How is a family of three supposed to live?
That's enough!
I'll quit this hospital myself!
Kurihara-kun... Baker!
Kurihara-kun... Damn you Baker!
When I escaped into the delusion that...
(Knock)
Excuse me. Hm?
I don't remember calling for you.
I don't remember being summoned either.
Usami-sensei,
can't you pass down a lighter punishment?
No, I won't.
If you're getting rid of Kuri-chan,
then resident Ayukawa needs to go too.
If you don't follow the rules and dispose of the resident Ayukawa too, it'll be a oversight.
But... if you get rid of the resident doctor,
the reputation of the department of internal medicine will be ruined among them.
Because by far, the coolest thing
is what Kuri-chan and the girl's did this time.
We will become the villains.
Well, I'm not much of a villain.
I wonder how many residents will apply to join the Fourth Department of Internal Medicine next year.
If we're not careful, we'll get zero applicants, which is unprecedented
That's why he gave Miss permission at the time.
Don't tell me you were arguing with me to make excuses for making house calls.
Did you implicitly put her up to it?
Part-time work is prohibited for one month.
Thank you for your help.
Resident Ayukawa, who was made to reluctantly obey Kurihara-kun and accompany him.
Dr. Hojo's verbal warning is fine.
Then...
The Devil Cutter
Hojo-sensei, you saved my life. I'd like to thank you.
Don't mind
Ah,
it was the spring of my third year as an internist.
I was sent to a hospital on an isolated island called Oyakata Village.
It was the only hospital around there.
Patients came to the hospital every day.
Both minor and major illnesses, the sick and the infirm came crying to the hospital.
There were only two doctors, the director and me.
The director collapsed from overwork.
Every day was a battlefield.
I was inexperienced, and I let a lot of patients die.
It was the first time I cried out to the medical office.
It took a while, but after 6 months,
the medical office sent two doctors and the chaos finally stopped.
The number of dying patients decreased.
The one who saved Oyakata Village from medical collapse was not me.
I wasn't the one who was crying.
It was the unreasonable and contradictory
but immensely powerful university medical bureau.
The power of the medical bureau is supporting medical care in rural areas where there are no doctors.
Dr. Hojo.
That's why I've decided to rise in the medical bureau.
Even if I have to suck up to the top, even if I have to squash the ideals of the bottom.
I'll pile up papers and rise to the top.
I'm going to break down this authoritarianism and make things more open.
This is the reform of the university medical office.
So until then, don't clash with the baker.
When I make the change.
I need a serious doctor like you as my right-hand man.
In this case, seriousness
doesn't mean following the rules.
It means serious competition.
So I'll see you later.
Doctor, where are you going?
Not telling you
Ichi-san.
What's up?
I think
I'll start working in mountain photography soon.
I'll take Koharu with me when I go to meetings.
When we go to the mountains, I'll ask you to take Koharu.
Is that okay?
Of course.
I'm not allowed to work part-time, even if it's only for a month.
I made you worry about money.
My inadequacy is starting to sink in.
I'm sorry.
I'm fine.
Even if things aren't okay, Ichi-san, me, and Koharu.
If the three of us are together, everything will be fine.
Seven times three, 21?
7×4 20...
Add 7 to 21.
28? Yeah.
Futatsugi Mio-san's pancreatic cancer
was continuing to worsen.
I don't know if it's okay to continue depriving her of her strength with anti-cancer drugs like this...
Bye bye.
Doctor, I have to do my homework now. Good bye.
It's tough. Be careful driving home.
Okay.
Dr. Kurihara.
How are you doing? Futatsugi-san.
Do I look like I'm in bad shape?
I don't see it.
You've been in the hospital for two weeks. I have a sneaking suspicion
that you're going to start screaming about going home soon
and embarrass the faithful doctor.
But there's no sign of that.
Then take me for a walk as a reward, doctor.
I'd be happy to.
When was the last time you and I met here?
It seems like a long time ago, but it was just two months ago.
Two months...
it really does feel like a long time.
Risa's always whining about having more homework.
She's trying her best to cheer me up, acting normal.
You're trying acting normal too.
No, you're calm as if you're enlightened.
It's because I decided to trust you.
I'm not alone.
My husband and Risa are here.
That's why I have to do my best to live even for a day.
I decided to believe in the Doctor who taught me that.
Courage is nobility under pressure.
What's that?
It's a quote by Hemingway.
You're definitely brave.
Can I go home?
You can go home.
Normally, you'd have to wait until you're better able to eat.
Let's get you ready for life after discharge
What about the anti-cancer drugs?
If you take them, you won't be able to go home.
Thank you very much.
Shall we take a little more of a walk?
I was answering naturally.
It wasn't that I didn't have my doubts about stopping the treatment.
But the more we talked, the more my hesitation disappeared.
We're having a discharge conference for Ms. Futatsugi-san.
I'd like you to attend the conference
and submit your requests to the home nursings.
You're stopping the treatment?
That's right.
Are you giving up on a full recovery?
That's right.
What is medicine for...?
What are they hospitalizing you for...
For what purpose are they administering harsh medicine...
It would be difficult to discharge Futatsugi Mio-san
We, the Home Nursing department and social worker Ichihara-san
and Care Manager Sawada-san came to this conclusion
This is also the final decision of the Community Relations Office.
Could you explain your reasons?
The biggest problem is that the first aider's anxiety is too strong.
That's her husband, Futatsugi Takashi-san.
In our meeting, he told us he wasn't confident
about taking care of his wife at home.
But if anything happens, Class 3 will take care of it.
In light of our hospital's current discharge guidelines.
I can't recommend it.
Guideline No. 1, if the patient wishes to be discharged,
carefully determine if it's based on sound judgment.
Carefully assess whether it is based on a calm decision.
Futatsugi Mio-san once emotionally
refused to be admitted to the hospital, didn't she?
I don't think she has the ability to make a calm decision.
Guideline No. 2: Whether or not the environment is safe for the first caregiver to take care of the patient.
As I said earlier,
her husband's anxiety is considerable.
Isn't that right, Sawada-san? Ah, yes.
After all, he's got quite a mental burden.
And we, too, are worried about a person that young,
taking care of a terminally ill patient at home.
As a university hospital, for patients who've stopped treatment
we can't keep patients in the hospital forever.
Please cooperate with the Community Relations Office to improve the bed situation in the Department of Internal Medicine IV.
So please transfer the patient instead of discharging her.
Transfer?
What does that mean?
Near Futatsugi-san's house is Azusa River Hospital
There's a bed available now, and they offer end-of-life care.
No! Futatsugi-san says she wants to go home!
If you don't feel comfortable talking to Futatsugi-san.
As a social worker and I can convey the message
Are you all...
idiots?
Idiot? Rikyu...
Futatsugi-san says she wants to go home.
So why are we talking about transferring her to a hospital for end-of-life care!
Dr. Shinbata, please be careful what you say.
Look at Futatsugi-san, not the guidelines!
All Futatsugi-san wants is one thing... to be discharged!
According to our hospital's discharge guidelines, that's a no.
That's why you guys are idiots.
You're idiots!
Drink some water, Rikyu.
It's not polite for a doctor to call a staff member an idiot.
I take back what I said.
It's not something you should say to someone's face.
No matter how
stupid you are!
I beg your pardon! Why you... Listen to me!
It's only natural for Futatsugi Mio-san to become emotional under the current situation.
It's your words that are outrageous, saying that she's not calm!
Her husband's anxiety is quite understandable.
His beloved wife is dying,
leaving behind a seven-year-old daughter
How can he not be anxious?
Her husband is living every day as if he's being crushed by anxiety!
So, here! That's why what you need is not a guideline.
To a young couple in such a state.
It's to tell the young couple that it's okay, we're here for them!
Mio-san can't stay calm. Her husband is so anxious.
That's not why he can't leave the hospital!
But getting him out,
is our job!
But as a matter of fact, this case is beyond the reach of the Community Relations Office.
That's our conclusion.
I see.
I heard a rumor you took on
a young pancreatic cancer patient. But you know what?
If we don't help him out, we'll get scolded by the university medical office.
We won't be able to get replacement doctors.
Please do something about that.
Please
(Knock)
Excuse me. - Oh.
You wanted to see me? Director Itagaki. Nurse Tonomura!
Dr. Kurihara! It's been a while.
I was transferred from the Emergency Department to the newly established Home Nursing Department at Honjo Hospital last year.
Actually, I was wondering if I could consult with you, Tonomura-chan.
Kuri-chan had a run-in with the Home Nursing department from the university at the discharge conference.
*The Buddhist statue with eight faces and six arms - signifying one person performing many activities
He's been working hard like Hachimenrokupi* and now he is getting hit from all sides
Oh, that's good
Let's have our home nursing department take care of that patient.
Dr. Itagaki. Please wait. Nurse Tonomura...
sorry, former chief nurse Tonomura.
Don't you want to know more about the case?
Kurihara's in trouble, isn't he?
If that's the reason you're taking on the case, that's good enough for me.
Good! Now we just have to figure out how to make house calls.
Be that as it may, we're still short of doctors...
Okay, I'll do it!
Dr. Raccoon!
(laughs)
Am I too impatient? Am I too theatrical?
Doctor! Tozai. It's been a while.
How are you doing? I'm fine.
I finally crossed the 30 (year old) mark. Of course you did.
I'd be surprised if you suddenly crossed 40. What about the doctor?
No need to ask. You and I are the same age.
That's not what I meant... there's a rumor that you're making a big splash at the university.
Everyone's worried that you'll be sent to the outskirts.
I choose the time and difficulty to take my own path.
and leave the people to their own devices.
You haven't changed a bit...
From the next day on, former chief nurse Tonomura wielded her power.
She rode to Shinano University Hospital with a social worker from Honjo.
They held a series of interviews with Mr. and Mrs. Futatsugi and re-selected a care manager.
They made detailed decisions on everything
from the home nursing schedule to emergency response.
One week later, Futatsugi Mio-san was discharged from the hospital.
Well then...
Please take care of yourself.
If anything happens, please contact me immediately.
Yes
What's wrong?
A candle burns brightly for a moment just before it goes out, right?
I thought now might be my time.
Futatsugi-san. There were many times when I wondered
if this was the right time.
But my candle
won't go out.
Every time it burns up, it becomes faint,
but it doesn't go out.
Because every time it becomes fait
doctor will surround the fire
and protect it.
The big wind and the small wind
The doctor's hands surrounded and protected me.
Thank you very much.
Dr. Kurihara.
I'll live my life to the fullest.
Let's go home, Mio. Yes.
Risa-chan.
I have a favor to ask.
No matter how hard things get.
I want you to smile as much as you can in front of Mama.
Ah.
When I get buckwheat seeds, I'll make buckwheat noodles.
Please come and eat it when you have time.
Yes! I will definitely come.
I love soba too.
I'm looking forward to it.
Do you know why you're here?
No.
I got a complaint from the Community Relations Office.
You pushed for
the discharge of Futatsugi Mio-san
Listen, there are 10 children here who are dying of hunger.
There's only one loaf of bread available.
What would... What would you do?
This is not a delusion.
This bread isn't small. Rather, it's large.
In fact, it's quite plentiful.
These loaves are being held dearly in the university hospital.
But the way they're distributed is complicated and bizarre. Doctors are bound by rules and regulations.
It's not even easy to discharge a single pancreatic cancer patient.
What would you do now?
Kurihara. I would
take those loaves of bread and give them to starving children.
The university hospital forgot to distribute
the precious special bread itself.
Do you even know what you're talking about? Yes.
That's enough talking about bread, Dr. Usami.
I want to talk about the patient.
You don't seem like a man who fits in at the medical office.
You should step back
After this day, the days continued to be eerily quiet.
I'd occasionally hear from former chief nurse Tonomura,
to update me on the progress of Futatsugi-san.
And.
She can't eat anymore.
She's getting worse every half a day.
It's difficult for her to sit up. She's bedridden.
She spends her time playing "Ayatori"* *String figure formed by manipulating string on, around one or multiple people's fingers
with Risa-chan sometimes.
Drink up, Ichito.
Futatsugi-san's blood pressure...
It's dropping considerably. It's below 80 today.
Director Itagaki will be arriving soon.
She's conscious, but she can't talk anymore.
She probably won't last until morning.
Don't come, Doctor.
If you come, you'll only disrupt Mio-san's last moments.
It's her last time with her family.
I understand.
(sound of email being received)
TONOMURA KATUSKO 11:55PM O-tsukare-sama (what Japanese people say at the end of a work day - implying that Mio-san has just passed away)
*he is singing "Ode to Early Spring", published in 1913, lyrics by Kazumasa Yoshimaru and music by Akira Nakata.
♬"Spring is only a name"
♬"and the wind is cold"
♬"the valley is full of nightingales"
Have a good day Ichi-san. Come back soon Daddy
I'll see you later, Koharu.
Haru, let's take Koharu to lunch at the school cafeteria today
At the university?
I got a notice from Usami-sensei last night.
He asked me to come to Professor Mizushima's office first thing today.
It's probably a personnel transfer.
I want to show Haru and Koharu the university I work at.
OK, I'll see you at lunch.
I'm off then.
(See you later) My wife's expression doesn't change
I think I'll do the same.
(Knock)
Excuse me.
Do you know why you're here?
It's about personnel matters for next year. Yes.
Dr. Kurihara Ichito.
You're to be Class 1 leader of the Fourth Department of Internal Medicine next year.
Yes. Yes?
Next year, Class 1 Leader Dr. Kakizaki.
will be promoted to Director of the Endoscopy Center. This is a personnel transfer in accordance with that.
What? The Fourth Department of Internal Medicine has
received a much larger number of applicants for next year than usual.
Ayukawa-kun is also hoping to join the Fourth Department of Internal Medicine.
Miss is going into clinical practice.
A lot of things happened, but in this regard.
Professor Mizushima and I both greatly appreciated your work.
That's all. You may leave.
Are you okay with the complaint from the Community Relations Office?
It's not good. But it's Professor Mizushima's decision.
University hospitals are home to a wide variety of doctors.
It's a truly diverse group.
It's an incoherent and uncoordinated group.
I agree.
Kurihara-kun, I believe
that a medical office with many troubled doctors
who are united can provide better medical care
than a bunch of doctors who can't get their act together.
That is the weapon of the Fourth Department of Internal Medicine.
And it just got even stronger with the addition of yourself.
I'm sure Usami-kun will continue to talk about bread.
You should continue to talk about patients.
We at the Fourth Department of Internal Medicine received this from the family of Futatsugi Mio-san.
On the front page of a small postcard.
there were words of gratitude for us written in precise script
by Mio-san's husband, Futatsugi Takahashi-san.
His dear wife had passed away, yet he spared a thought for us
And that was the end of it.
THANK YOU DOCTOR
FUTATSUGI TAKAHASHI FUTATSUGI RISA
Kurihara-kun.
Oh, yes.
Thank you for your hard work.
It's my first time here.
It's a beautiful, spacious university.
Haru, you haven't heard anything about personnel changes?
I'm interested, but I'm not worried.
I'll go anywhere as long as my family is with me.
I guess so.
Dr. Kurihara, I heard the news!
Let's get out of here, Haru. What?
It'll be trouble if we get caught. Run, run.
Why are you running away? He's so weird
Doctor, Dr. Kurihara! Run!
Miss, catch him!
This drama is a work of fiction and the names of the characters and organizations are fictitious.
STORIES ABOUT PEOPLE
NOT STORIES ABOUT DOCTORS
DRAMA SPECIAL KAMISAMA NO KARUTE
THANK YOU FOR WATCHING