A Life (A Life ~愛しき人~)

Previously on A LIFE

There's a tumor here.

If we leave it, the patient will die. Can you operate?

It's Mifuyu's scan.

I can't operate on family, right?

You're the only one who can do it.

Do you still have feelings for Mifuyu?

No.

Then you can do it, right?

Dr. Okita has decided to stay and work in this hospital.

I'll do my very best.

Even though I said a doctor like you don't belong here.

But it's great since I can watch your surgery again.

Stop increasing the pressure on me.

The surgery's fine but why don't you write research papers?

Do you write them?

Yes, you won't be acknowledged without writing research papers.

By who? -By who?

Huh?

Of course by the higher ups.

Note: Nippo University may not be a renowned medical university.

I mean, if you're a talented surgeon, you'd be acknowledged even if you're from Nippo University.

And? -And?

And...huh?

Why don't you write a research paper and get acknowledged by the higher ups then?

Ah...excuse me.

Sorry...sorry.

Those are heavy. -It's okay.

Good morning.

Good morning.

Dr. Hamura, the Director asked you to handle this patient.

A VIP?

A Japanese sweets craftsman.

From the Imperial Household Agency or something?

Deputy Director, please let me handle it.

Well, I guess the Director won't have any problem with Dr. Igawa.

Take good care of him. -Thank you!

Here.

Think you can handle Mifuyu's surgery?

Midbrain Brainstem

The tumor's in the midbrain of the brainstem

so I'm looking for the best surgical procedure.

I've no idea what to do too.

You're the only one I can count on.

I have a favor to ask.

What is it?

Can you let me join the brain surgeries too besides the one I'm doing now?

Of course.

I'll call you when I have any surgeries.

Thanks.

Mifuyu probably hasn't had any symptoms yet.

But when the tumor grows bigger, it's only a matter of time before it gets serious.

Yeah.

How much longer do you think?

If we don't do anything

6 months.

I think so too.

Can you tell her?

What?

I can't bring myself to tell her.

You're her attending physician.

Okay.

Good morning.

Good morning. -Good morning.

Good morning.

Morning, Shibata-san.

Look, this is Director's VIP patient.

What about it? -I'm in charge of him.

Bet you're the one who asked for it, right?

No. -Taking initiative is important.

W-wait, Dr. Hamura. Talk to you later.

Good morning.

Good morning.

Good morning. -Good morning.

Your seat's over there.

Good morning, everyone.

Thank you for gathering here early in the morning.

Regarding the medical malpractice by the plastic surgery department...

It's medical trouble.

Pardon me.

In regard to the medical trouble by the plastic surgery department

thanks to Sakakiba sensei's effort, we've agreed on a settlement.

However, it's a pity that Dr. Sekine, the attending physician wished to

transfer back to his hometown Yamaguchi.

Got kicked out, isn't he? -Obviously.

He's unlucky.

From now on, please pay more attention when dealing with patients.

There's no guarantee in medical care so please refrain from giving affectionate remarks.

For example, 'It's going to be fine."

Everyone please take note.

Yes.

Next, Dr. Okita who operated on the Director

will work in our hospital starting today.

He will be in charge of both cardiovascular and pediatrics surgery departments.

Dr. Okita, a word please.

Let's work together.

That's all?

I'm really sorry that the Director couldn't come.

No, don't worry about it. I heard that it was pretty bad.

This is Dr. Igawa who will be in charge of you.

I'm Igawa. Nice to meet you.

You're pretty young huh?

What about the doctor who operated on the Director?

Well, the Director himself took Dr. Igawa in from Mantenbashi University Hospital.

He's our young ace.

Japanese sweets craftsman Morimoto Yozo

Guess I can't judge a person by the appearance huh?

It's going to be fine.

Ah...let's begin the consultation.

Your appetite's showing. -Yeah.

This is not enough.

I can't wait to eat La Citta's cutlet.

What's wrong?

The headache's pretty strong recently.

Got you worried a lot, didn't I?

No, not at all.

I'm fine.

Thank you for saving my father.

Would you like to come back?

We need doctors like you.

Why did you let Dr. Okita return?

Isn't that going according to the Director's plan?

Besides

Wasn't he Dr. Mifuyu's ex?

I don't get it.

Of course you don't.

Nobody can see through me.

What?

Ah...sorry.

Note: Aortic aneurysm is an enlargement (dilation) of the aorta to greater than 1.5 times normal size.

The aortic aneurysm is huge.

Aortic aneurysm

It's Director's precious patient.

What's his occupation?

Japanese sweets craftsman.

It's my patient.

That's why you'll never be complete.

Craftsman huh?

Beloved Episode 2

Subtitle by avanpiper

Special thanks to furransu

Past =Old Injury

Morimoto Yozo-san, 70.

Due to an accident 10 years ago, he sustained injuries on the left lung and rib cage.

Flames from the car caused burn injuries on the neck.

Note: A common sign for patients with aortic aneurysm is voice hoarseness.

2 months ago, after his voice became hoarse, he was hospitalized for a checkup.

Distal Aortic Arch Aneurysm

Chest CT confirmed a 6cm aortic aneurysm at the distal aortic arch.

Immediate surgery is necessary but due to the past injury and adhesions

we can't do an open-chest surgery.

What's your plan?

Stent Graft/Thorasic Endovascular Aortic Repair

We can do TEVAR.

Note: Contrast CT uses dye that can increase risk of developing contrast-induced nephropathy (CIN) in patients with chronic kidney disease.

He also has mild kidney failure so contrast CT won't be done.

So I'll measure the size of the stent graft by using simple CT and order accordingly.

What?

N-no, you can do it huh?

Yes, I've done this much.

Wow, 500!

No...it's 50.

It's rare for someone at Dr. Igawa's age to have done 50 such surgeries.

Is that so? -Yes.

There's a huge 6cm aneurysm at this part of the blood vessel.

If it ruptures, your life will be at risk.

To prevent it from rupturing, it's better to do a surgery asap.

A surgery? But I still have to work.

It's a huge aneurysm so it may burst any time.

I'll take care of the shop, Dad.

Like hell I'll leave it to you.

Health is more important than the shop now, right?

The surgery procedure is called TEVAR.

We'll use a catheter to insert the stent graft inside the blood vessel with aneurysm.

By doing so... -That's enough.

I won't understand. What about side effects?

Left subclavian artery

Ah, right. It may disrupt the blood flow on the left subclavian artery.

So you may experience irregular numbness on your left hand.

Irregular numbness on my left hand? -Yes.

What about my right hand?

Medically it shouldn't happen.

You're sure? -Yes.

Ah...no

There's no guarantee in medical science but theoritically it shouldn't happen.

Which one is it?

Tell me clearly! Is it going to be fine?

It's going to be fine.

This is Mantenbashi University Hospital's Director, Professor Igawa.

Dr. Igawa's father.

I'm Okita.

Mantenbashi University Hospital Director Igawa Isamu

With the Director's courtesy, my son has been under his care.

He's young but ambitious. I'm looking forward to his future.

No, he's just a fool.

Dr. Okita

Please guide my son.

You're just flattering me. -I've heard.

About your work overseas and the Director's surgery.

Thanks to him, I'm able to live longer.