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(Unnamed country) Refugee Camp
Medical group to aid thousands of sufferers (MSAP)
In Japan university hospitals
We certainly do not condone such practice
One Year Later
What happened? This scar...
It looks like a dragon
Hold on
Did you bring another woman home again?
Your girlfriend?
- Hello? - She's coming
Are you still there?
Don't step in here again.. Hurry up and leave
Ignoring me after doing it?
That's very evil
Ah.. Right
You are
fantastic
It has nothing to do with me
Answer the phone, Ryutaro!
Just as I expected..
Hey, Ryu-chan!
You brought another new woman again?
Who the hell are you?
I finally found you
I'm from Meishin University Hospital
asst. professor of cardiac department
Kato Akira
I want to recruit you
Me?
Yes
Asada Ryutaro
Team Medical Dragon
Iryu (Dragon Doctor)
Iryu Team Medical Dragon Karte: 01
Translator & editor: indokid
Timing: tianj Raw: massaru
KEEP THIS A FREE FANSUB d-addicts.com
Uhmm...
Are you intending to invite Ryu-chan to work
at Meishin University Hospital?
Hey!!
Isn't this great?
You can finally work again
You don't want to carry on living like this right?
bringing home girls every night
Miki.. Didn't you promise me you would go for check-up?
If I need any doctor, isn't Ryu-chan here?
I only want Ryu-chan to treat me
Didn't I say?
I am not a doctor anymore!
And because of this
living a poverty life on borrowed money
One year ago
I joined the MSAP
While at refugee camp saving thousands of lives
I've watched your operation
A patient was injured from a bomb blast
his abdominal aorta was completely ruptured
He will eventually lose a lot of blood and die
In a place where medical equipments have not been properly maintained
An operation to repair a ruptured abdominal aorta
is extremely difficult
Furthermore, the patient is in a shock state
there is the tiniest hope of success
However, with an accurate medical judgement,
extraordinary medical skills
and an excellent team work
It's like the work of a jazz band musician
And then using only 7 minutes to restore the aorta
saving the patient's life
I was there too at that time
I was the nurse
Let me make it clear
ignoring me..?
I hate to praise anyone
but there's no denying this
you are a genius
But you don't have any place to belong in Japan's medical world now
4 years ago
you are dispatched by North Japan Hospital to join MSAP
in an operation to aid thousands of lives
Half a year later, the hospital withdrew its team
You defied the professor's orders and chose to remain at the refugee camps
As expected, you are expelled by the hospital
Under the influence of the professor
no other hospital would hire you
How tragic
A genius has to live his life through borrowed cash and hiding until now
Hold on
You
From just now, what are you trying to say?
I want you to help me in my medical thesis
If my thesis succeeds
I can achieve my goal of professor position
I've prepared a remuneration for you
I'm not interested in university hospitals
Good-bye
Hold up, Ryu-chan..
Hey..
BATISTA
Batista.. Are you interested in it?
Is it regarding Batista?
Your thesis
Batista operation?
Batista operation
is named after a Brazilian surgeon Randas Batista, who invented this operation procedure
The operation is used to treat enlarged heart muscle
excising the enlarged heart muscle
and stitching it back to make it smaller, it's a difficult operation
My thesis is based on this
Currently in Japan hospitals, there hasn't been any surgeon who has successfully completed Batista
In the cardiac surgery world, it is considered an extremely high skill level operation
Isn't this the best challenge?
This is awesome
If the operation is successful..
you will be the first person to have done Batista
Then, my thesis would be recognised and I can become professor
At your age
Do you really think a woman like you can be a professor of a university hospital?
What wishful thinking
But you do hate this kind of woman. Right?
No No It's not hate.. Right?
Maybe...
Batista
cannot be done alone
It requires an excellent team
Our hospital staffs are very excellent
So..?
If you complete Batista it would be boost to your reputation
I could be a professor
It's a win-win situation for both of us
Great white tower? (Reference to "Shiroi Kyoto")
Welcome
to Meishin University Hospital
Doctor Asada
Don't get me wrong..
I did not come for you
I've come to meet
the excellent staffs you mentioned
Whatever
You don't have an ID right now
write your name
Ah.. blue colour?
Huh?
This
What's wrong with that?
That's Meishin ballpoint pen
Let's go
First, let's go meet the professor
Remember, don't start any trouble in front of professor
Understand?
I...
Why do I work at this hospital for?
Everything right up to medical procedures
is decided by the professor
Rather than patients,
we are more eager in pleasing the professor
Rather than surgical procedures,
we prescribe medicines from friendly pharmaceutical companies or senior doctors' preferences
Is this really what it means to be a doctor?
Actually
I wanted to take chances
I'm sorry
all this has nothing to do with you Kashima-san
But I have no other place to vent
Ah, Ijyuuin-sensei
yes?
- It's almost time to give patient Dokura-san at room 301 medicine. Is it ok to be late? - Dokura-san?
That...
Ouch!
Hold on!
Why do you ask that guy for?
But
he would be a doctor one day
That brat
he has no talent, useless intern
useless intern
Is it?
Recently in an aorta surgery, he fainted after seeing the patient's blood
Ne?
Ne?
Ne?
Hey!
Head nurse!
This is not the time to fool around
Go check-up on room 308 patient
Understand?
Understood. We will head there
Calling him "little brother"?
Suits him
yes?
Just forget it
But I have found it
Ouch!!
and I thought I could definitely break the record yesterday
Not good, Not good
And the suitor date is a flight attendant
How nice
Does that mean the standard has risen
Ah..
Ouch..
Ah, my elbow.. Ijyuuin, come take a look
yes
Ouch!! be gentle
Is.. Is it arthritis?
Ah.. Not bad
and the cause?
- Cause? - That..
Hint is: when the ball enters the hole, after you had tried hard
Hole?
Inside the hole..?
Is that..
Are you stupid? Of course it's because of playing golf
Yesterday's dinner gathering
with all the pharmaceutical company staffs
I'm really so happy
You too
don't just work at your table, do join us once in a while
pleasing the pharmaeutical company staffs is equally important job
But I don't know anything about golf
I'll start practicing tomorrow
That is why you are useless
Do you know?
In this clinic department
developing friendship is more important than anything else
Even though I am highly regarded by Professor Noguchi
but I still take good care of you
maybe you should show gratitude towards me
Thank you very much
Ah
Eh? Who are you?
Asada Ryutaro
Pleased to meet you
Ah you are the doctor brought in by Kato sensei, who's formerly from North Japan
I've heard about you..
I'm the professor's assistant, Kihara
I don't care about the system in North Japan University
but in here, we have a different system
Let me explain to you in details
Ah.. it's time
Ijyuuin.. let's go
yes
(The head team is now making their rounds in the hospital.. Patients please remain at your beds)
head team huh?
Good morning
Sensei
Thank for your continuous care
As long as you are ok
lung cancer, reaching end stage
Ah I see..
Admitted to this hospital for operation
It seems difficult
Ah I see
Then...
Entlassen
Take care ok?
Thank you so much
Just now, is it referring to end-stage lung cancer?
Patients don't understand hospital jargons anyway
Is that "entlassen" and "awaiting death"?
avoiding attempting low-success operations
such as operations requiring high skills
This is Professor Noguchi's policy
don't express your dissatisfaction
so, progress observed
Get used to this
I have to get used to this
Hey,Ijyuuin!! Be quick!!
Ok.. I'll hurry up
I invited him for the Batista operation
Asada-sensei
I'll just give you a brief introduction now
Oh.. It's you?
Pleased to meet you
Your pen, where is it?
I don't want to carry it
It's too heavy
I see..
Progress observed
You get out!
I won't hand over the patient to you
What are you saying?
Is the patient in the room?
I've had permission of professor
Without permission from me
then he is still my patient
How could you surgeons come in as you like?
You watch out!!
You ***!! What nerve!
I will report you to professor
You wretched surgeons only care about increasing the medical fees of patients
and don't even bother to know their names
You are right
By dismissing the fact that the patient is a living human being
surgeons are then able to carry out operations
Huh?
What I mean is you don't have to treat every patient like he is a human being
where does a brat like you come from?
Huh?
Fujiyoshi sensei!!
Mr Yamasan has abdominal pains
I'll be back
I don't know where you are from..
but don't ever appear in my sight again
He seems strange, isn't it?
Is it Asada?
Is it all right?
without him, Batista cannot be done
Hmm..
if Batista thesis is successful
me, being the department professor
would be delighted
I'll leave it to you
yes
Hey
What's wrong?
Let go
Your condition isn't that great
experiencing convulsions effects of anesthetisation
What an inexperinced young bloke..
using 2 doses of medicine in one shot
Huh?
What are you saying?
What's wrong with your head?
Arase-sensei..
what are you doing in this kind of place?
Uhmm..
This...
I haven't seen you around, intern?
More importantly
Quickly carry him to a place out of public sight
He seems drowned
Under anaesthetic influence..
you seem to know his condition
This brat?
anesthetist of ER.. Arase Monji
and you are?
Asada
Asada
Ah.. you are..
Get up
and you are?
professor of emergency department.. Kitou Shoko
You don't have any reason to remember me
Asada Ryutaro kun
so miserable huh? sensei you too
Aren't you the same?
overworking to attain your goal of becoming professor
I hope the work you put in does not go to waste
why are you are at this place?
I am leaving with Professor Noguchi for a conference dinner
That's a pity
Tomorrow make sure you properly introduce yourself to the professor
Understand?
And therefore
Meishin Hospital
will continue to focus in providing the best care to its patient
Thanks for your guidance
Thank you everyone
Your speech is great
Thanks for the support
Let me introduce
This is Kirishima asst. professor
Work hard
Thank you
You must be tired..
The staffs of North Japan are also here
The person beside Professor Sawada
is asst. professor Kirishima
He is known to be very capable
Like us, he is working in North Japan cardiac surgery department
He is your future rival
I will never lose to that person
Keep up that spirit
You have a question for me?
I need to know something
What is it?
But before that...
Your ex-colleague
named Asada Ryutaro. You know him?
Asada
Why?
I invited him over to help me
at Meishin?
from North Japan Hospital?
Yes
However
I heard he was banished from his former hospital
Didn't you know?
I have no idea
I see
Why do you have to specially invite him?
Batista
He can do it
Batista?
If my thesis on Batista succeeds
I can achieve my goal to be a professor
He is an important pawn piece
Can he succeed?
He has the skills
Why don't you do the surgery yourself?
It's a Batista operation
If I take charge and fail the surgery
Then the professor position would be unattainable
I see..
that's why you let him do the operation
If successful, then you would be professor
If he fails, he is considered as an outsider and no one would be affected
You are very cunning
That's why you like me right?
That's right..
You must achieve it also ok? Becoming a professor
In Meishin and North Japan
Both of us as professors
Leading Japan's future cardiac field
would be us
You can count on me
This white suit really suits you, Ryu-chan
Hey.. So how is this hospital?
Not too bad
the nurses
Hey I am asking you seriously
There isn't anyone here with teamwork
Huh?
Without an outstanding team, Batista cannot be done
Just as I thought..
Without a team similar to MSAP period, it is impossible
As a doctor
It is my dream to perform surgery with that kind of team
Can money really make you happy?
How can that be...
Hey
Are you saying you wish to continue living that kind of life?
Do you really want to give up being a doctor?
patient transferred from Shiniku emergency department
in cardiogenic shock
Immediately contact cardiocathric department staff
Shouta!!
Shouta!!
Patient sent over from Shiniku
Hisago Shouta, involved in traffic accident, in cardiogenic shock state
"awaiting death" patient?
Blunt heart trauma
it does seem critical
I know that too
Just looking at this X-ray scan, I've already analysed the patient
Ah...
It looks there is another cardiac tamponade
How could the doctors at Shiniku Hospital not know this?
Hey, Ijyuuin Let's go
yes
Please use the room with observation deck
Intern
What is it?
Is that guy
really capable?
he is right about cardiac tamponade
But the proper surgery procedure is tricky to figure out
or does he have any plan?
Anyway
surgical skill level doesn't matter
it's just an "awaiting death" patient
Awaiting death?
is another name for Shiniku Hospital Shiniku.. awaiting death (Shiniku has similar pronouncation as "awaiting death")
to not affect insurance ratings
doctors still have to treat hopeless patients
Even if no treatment
to avoid the increase of hospital's death toll
the patient is transferred here
to the patient's family, dying in a well-equipped hospital, they will accept it more easily
In other words,
This is a patient whose life does not matter
As long we follow standard procedure
the outcome of operation is unimportant
Sensei!
The operation.. Please do me the favour
No matter what
please bring Shouta back alive
No matter what...Shouta..
Please..
Please..
Hand me the scalpel
yes
- micro-scalpel - yes
cardiac tamponade
due to injuries, blood flows out of the myocardium
and accumulates between the myocardium and pericardium
causing compression in the heart
the operation requires opening up the myocardium
and drain out the excess blood
and I was wondering where else could you be
this time at the surgery observation room huh?
There's no way
the patient cannot be saved
opening up myocardium
start drawing out blood
blood pressure indicator
heartbeat..31
heart.. has stopped beating
the operation is successful
but the patient has died
Ijyuuin
stitch his operation wounds
operation is over
Ah... how tiring
Ryu-chan!
What are you doing?
Continue the surgery
Don't act at your own will!!
The surgical procedure was flawless
the operation is successful!
Are you doubting my expertise?
Intern..
Observe carefully
It is not natural for the heartbeat to suddenly stop due to cardiac contusion
There must be other reasons
What are you planning..?
And so
We should investigate the real cause of heart failure
scalpel
Hurry up! We don't have much time left
yes
- fluid evacuator - yes
Please pass over the equipments
- rib spreader - yes
- tweezer - yes
It's right here
cardiorrhexis
because of this bleeding continues
using thumb to apply pressure?
Here comes..
applying slight pressure to remedy time needed to stitch the perforation
using bare hands to perform cardiac massaging..
and using only one hand...
It has begun
Gently Slowly
Like molding a ball
Gently
And then slowly
increasing pressure
Incredible
Just by molding actions
his fingers and inner palm are not only flexible, and is also able to maintain an equilibrium
his exceptionally long sesamoid bone in his thumb
is giving him supreme control of the fingers muscles motors
Isn't this
the ideal surgeon hands
In the past
the same thing happened before
During the war in Middle East,
while attending to a patient in a surgery
The hospital was bombed
everything went up in flames
The doctors and everyone quickly fled the building
But he did not care about himself, continuing to perform cardiac massage
In the midst fiery blue flame
trying his best all alone
He could not save the patient at that time
After that..
blue is an unlucky colour to Ryu-chan
Do you get it.. intern?
a patient whose life does not matter...
does not exist!
Come back...
Come back!
Please..
start beating for me
Heartbeat has recovered
It's revived!
Are... Are you kidding me?
Welcome back
Little one
Now let's start treating cardiorrhexis
yes!
- 4-0 stitching tool - yes
- Scissors - yes
Heart perforation is treated Bleeding has ceased
- Stitching is completed - yes
yes
- 3-0 - yes
Impossible
He treated the heart perforation within 5 minutes
Why is there such a doctor in our hospital?
Unbelievable
reviving a heart that has stopped beating
in the blink of an eye
What is this speed?
This is..
Asada Ryutaro
Sensei!
Shouta??
Shouta??
The operation is a success
his condition has also stabilised
Thank you so much
What have you done?
I recognised your skills
but this will bring me much trouble
Barging into the operation room, lecturing the surgeon and operating on his patient
If this news gets to the professor, you are in big trouble
This is unforgivable...
If it's unforgivable
If it's unforgivable
do you want to go back in and kill the patient?
Ryu-chan!
- Follow me! - yes
Kato-sensei!
What is wrong with that Asada?
He has no respect for me, barging in like that and taking over the operation
Even if this is unreasonable to you
I will report this matter to Professor Noguchi
Is that what you want?
Kihira Sensei
What is it?
Say something for me!
Your medical thesis
"String sign", on the relation between frank-starling curve and artery grafts
Do you mind showing it to me for future research data?
yes?
If I find it excellent
I will recommend it to Professor Noguchi
Is it ok?
I.. I am more than happy
Then let me reconfirm something
yes?
The operation just now
That one..
From start to the end, you are the head surgeon
Isn't it?
Ah...
You alone took control of the operation
and miracuously saving the patient's life
Right?
If this news gets to Professor Noguchi, he would be delighted
having such a capable surgeon working for him
Wouldn't this be lying?
Ah.. It's not a lie
Please do say so
Then... excuse me
I'm off to wash my hands..
yes!
Uhmm Kato-sensei!!
That lab data I will hand it quickly
Careful on your way out! Have a nice day!
Hey.. you are really quitting Meishin hospital?
You saw it too..
rather than patients, they are more focused on pleasing the hospital board
That is what a university hospital is
But..
Didn't you just save a patient's life in that hospital?
Even if it's not an ideal hospital
there are many patients waiting to be treated by Ryu-chan
Listen..
I don't want to repeat this again
I don't want to be a doctor anymore
Wait up
Hey.. Slow down
For Ryu-chan, doctor is the best profession for you
Shut up!
Ryu-chan..
So..this is it?
You can't give up being a doctor
Actually you are afraid. Right?
Huh?
Batista operation
No confidence to attempt it?
For Batista,
you need the best medical team
Then go form one
you alone
is already the best team
Forget it
Miki-san?
Miki!
Miki-san!
Her breathing has stopped
but her heart is still beating
Based on these symptoms
her two lungs have simultaneously developed pneumothorax
There is no doubt about it
Due to the formation of holes on the lung lobes inside the lung thorax
Burst of air flows out and builds up pressure inside the lung thorax
And no matter how hard you inhale
the lung is unable to be restored to its original shape
If both her lungs have reached this stage
her life would be endangered
I'll go call the ambulance
and then order my unit...
There's no time!
If we were to wait for help, it would be too long
Even if help comes in time, there is risk of brain damage
But..
Let me borrow this
What are you trying to do?
Hold her for me!
Eh?
Quick.. do as you are told!
This woman has very bad temper
She hates to be ridiculed
This emergency treatment..
Using a pen to pierce into her lung thorax
in order to let the air inside escape
and thus allowing the lungs to restore to its normal state
Such crude method
But..
if this action was not carried out
she may die
Forcing me to do such troublesome things
Just as I expected
You saved me
I surrender
Miki
Since you said I could form my own team
Huh?
This person here..
though she is not qualified to be a real woman
But as a nurse, she's first-rate
Miki
After you are fully recovered
You will be the first person to join the new "Team Dragon"
yes
Asada sensei
When Miki-san has recovered
invite her to join our hospital
I'll make it clear first
I did not come for your thesis
but to perform surgeries for patients
I understand
In the process of forming my team
The changes it would bring to this hospital
does not concern me
Sure
Don't be mistaken
Just watch your back
I almost forgotten
The pen I borrowed
although it is broken
Let's go
Will you let me witness another miracle?
Asada Ryutaro
Batista operation
is one of surgery procedures used to treat over-enlarged heart muscles
as opposed to only having the option of heart transplant
it provides sufferers an improved alternative
It is becoming the preferred method and gaining popularity
Other than requiring an unparalled medical technology
there are still lies an assortment of difficulties
However recently
after significiant technology improvements
the surgery success rate is much higher