1

00:00:02,020 --> 00:00:13,030

??
2
00:00:13,030 --> 00:00:17,030
So what I (Ijuin) talking about?
Now (Kato)?
3
00:00:20,030 --> 00:00:22,030
(Knock)
4
00:00:24,040 --> 00:00:28,040
(Noguchi) L & P hospital is proud of
? and ask them gathered to doctors who
5
00:00:28,040 --> 00:00:33,050
I'm afraid.
6 days .? 3 May one week after
6
00:00:33,050 --> 00:00:38,050
Of five-year-old boy
Would like to ask the operating of ASD.
7
00:00:38,050 --> 00:00:43,060
(Ijuin) Wakisaka Shou-kun.
. Atrial septal defect ASD.
8
00:00:43,060 --> 00:00:47,060
Usually if (Kato) ASD is
It is a catheter rather than operating.
9
00:00:47,060 --> 00:00:53,070
(Noguchi) this patient even. Doing so
Missing holes .? I have exceeded the 20mm
10
00:00:53,070 --> 00:00:56,070
And I do a lower edge missing.
11
00:00:56,070 --> 00:00:59,070
There is no (Kato) lower edge.
Moreover, large.
12
00:00:59,070 --> 00:01:04,010
You have the opportunity to arm (Noguchi) you guys
It's not difficult operations in any way.
13
00:01:04,010 --> 00:01:09,020
It's (Noguchi), but also on the careful

I want Nde prudent.

14
00:01:09,020 --> 00:01:11,020
Defintely (Kato)
It's the most important patient.
15
00:01:11,020 --> 00:01:15,020
Kato-chan indeed.
Sash .? I hope
16
00:01:15,020 --> 00:01:18,020
?, the parent company of this L & P hospital
17
00:01:18,020 --> 00:01:22,030
Wakisaka of vice president of L & P lease
'm A son.
18
00:01:22,030 --> 00:01:25,030
Even so (Arase)
The ? op that had been decided earlier
19
00:01:25,030 --> 00:01:28,030
It is a move on its own.
(Noguchi) Wakisaka vice president ?
20
00:01:28,030 --> 00:01:35,040
It's a next president of L & P.
Can not afford to fail absolutely.
21
00:01: 35,040 -> 00:01: 39,050
In posture perfect
I Give me so as to face.
22
00:01: 39,050 -> 00:02: 01,000
? ~
23
00:02: 01,000 -> 00:02: 05,000
. Elapsed It is also no good. (Sakurai).
.? I do not have a problem
24
00:02: 05,000 -> 00:02: 08,010
If there be some anxious
Please call at any time.
25
00:02: 08,010 -> 00:02: 10,010
Thank you (women).
26

00:02: 10,010 -> 00:02: 14,010

I'm fine (Sakurai) everyone.
Yes (woman).
27
00:02: 14,010 -> 00:02: 16,020
(Ryutaro) less
Please do not overdo it.
28
00:02: 16,020 -> 00:02: 19,020
As (Sakurai) It was said
You are careful not excited.
29
00:02: 19,020 -> 00:02: 25,020
This morning's 62 blood pressure of 108.
I have to drink neatly antihypertensive agents.
30
00:02:25,020 --> 00:02:27,030
Yes.
? with (Sakurai) heart
31
00:02: 27,030 -> 00:02: 32,030
Neurosurgeon can simultaneous operations is
It will not hard to find.
32
00:02: 32,030 -> 00:02: 35,030
If the United States.
.? Or (Sakurai) America
33
00:02: 35,030 -> 00:02: 39,040
But in the United States
? to become Excellent brain surgeon
34
00:02: 39,040 -> 00:02: 42,040
Money and time, can we take.
35
00:02: 51,050 -> 00:02: 56,050
(Okamura) Dr. Mike
I hear two-year wait.
36
00:02: 58,060 -> 00:03: 00,080
So the brain surgeon other
Are looking for.
37
00:03: 00,080 -> 00:03: 03,000
Oh man (Okamura). His more
Not stomach brain surgeon.
38
00:03: 03,000 -> 00:03: 09,000

In condition of Sakurai teacher

Not afford to wait two years.
39
00:03: 09,000 -> 00:03: 13,000
(Okamura) month after
Dr. Mike will come to Japan.
40
00:03:15,010 --> 00:03:21,010
Sakurai teacher (Okamura) L & P hospital
Have the op.
41
00:03: 21,010 -> 00:03: 23,020
But ....
The ? nor (Okamura) Other
42
00:03: 23,020 -> 00:03: 26,020
It is because of Sakurai teacher.
The ? to Dr. Mike
43
00:03: 26,020 -> 00:03: 28,020
To say the impossible
I had undertaken.
44
00:03: 35,030 -> 00:03: 38,030
And (Okamura) he
The ? to hospital reconstruction of America
45
00:03: 38,030 -> 00:03: 42,040
From the time you have been involved
Old .?'m an acquaintance
46
00:03: 42,040 -> 00:03: 44,040
And Dr. Mike
Team Dragon is ?
47
00:03: 44,040 -> 00:03: 50,040
Sakurai teacher if concurrent operations is
.? That is definitely helped
48
00:03: 50,040 -> 00:03: 53,050
You do not have a medical license in Japan
The ? also a doctor microphone
49
00:03: 53,050 -> 00:03: 55,050
It is a super medical Zone
? If at L & P hospital
50
00:03:55,050 --> 00:03:58,050

Surgeon is allowed.
51
00:03: 58,050 -> 00:04: 00,020
(Okamura) also cost the inner
? charge does therefore
52
00:04: 00,020 -> 00:04: 03,020
And do not worry.
53
00:04: 04,890 -> 00:04: 09,900
Well ? of you all in this
54
00:04: 09,900 -> 00:04: 12,900
It became as desired
I is not say.
55
00:04: 15,900 -> 00:04: 20,900
Also my hope now
I would like to hear.
56
00:04: 23,910 -> 00:04: 27,910
Hope?
Yeah.
57
00:04: 29,920 -> 00:04: 32,920
Asada teacher.
58
00:04: 36,920 -> 00:04: 41,920
Doctor of L & P
Please become.
59
00:04: 45,930 -> 00:04: 49,940
Reform of teacher Arase
? under the guidance of teacher Ijuin
60
00:04:49,940 --> 00:04:52,940
Also out
Has been level up.
61
00:04: 54,940 -> 00:05: 02,940
What is needed at the end of your
It is the procedure of genius.
62
00:05: 13,990 -> 00:05: 19,000
The ? To help Sakurai teacher
63
00:05: 19,000 -> 00:05: 24,000

You have to L & P

And I do not only come.
64
00:05: 24,000 -> 00:06: 11,990
? ~
65
00:06: 11,990 -> 00:06: 15,990
Son's (Okamura) Wakisaka Vice President
Op is I heard there.
66
00:06: 15,990 -> 00:06: 19,990
I'm (Noguchi) Yes.
(Okamura) I do not I have heard.
67
00:06: 19,990 -> 00:06: 23,000
Oh (Noguchi)?
Did not say? ?
68
00:06: 23,000 -> 00:06: 28,000
Busy Okamura-chan
Did not you forget?
69
00:06: 35,010 -> 00:06: 39,010
For surgery Sakurai
? at exorbitant amount of money
70
00:06: 39,010 -> 00:06: 43,020
A brain surgeon in the United States
I seems to be trying to call.
71
00:06: 43,020 -> 00:06: 47,020
It is because of Asada teacher acquisition.
72
00:06: 53,030 -> 00:06: 55,030
(Noguchi) I have not heard.
73
00:06: 55,030 -> 00:07: 08,980
? ~
74
00:07: 08,980 -> 00:07: 13,980
(Hero)
Emi! Are you all right? Emi! ?
75
00:07: 13,980 -> 00:07: 17,980
Emi! Emi! Come on! ?
76
00:07: 17,980 -> 00:07: 19,990

Emi!
"Emi ..."
77
00:07: 19,990 -> 00:07: 21,990
Or (hero) okay? Come on!
(Personnel) 39-year-old female .?
78
00:07: 21,990 -> 00:07: 23,990
Ambulance difficult breathing and fever.
79
00:07: 23,990 -> 00:07: 29,000
(Hero) Emi! Emi! Emi!
80
00:07: 29,000 -> 00:07: 41,010
? ~
81
00:07: 41,010 -> 00:07: 45,010
Kiriyama's Well (Kihara).
Please, stop the next breath.
82
00:07: 45,010 -> 00:07: 49,020
Kihara teacher.
Test results of Kiriyama Emi's?
83
00:07: 49,020 -> 00:07: 54,020
It is suspected (Kihara) peripartum cardiomyopathy.
(Okamura) peripartum cardiomyopathy.
84
00:07: 54,020 -> 00:07: 57,020
(Kihara) to is a nasty case
? possibility of long-term hospitalization because high
85
00:07: 57,020 -> 00:08: 00,040
Receptor becomes stable
Thank you ... changing hospital.
86
00:08: 00,040 -> 00:08: 02,960
(Okamura) I will accept.
? even. Nay (Kihara)
87
00:08: 02,960 -> 00:08: 04,960
Heart disease in pregnant women's
? litigation risk is high
88
00:08: 04,960 -> 00:08: 09,970
In accordance with management policy of L & P ....
(Okamura) this patient ?

89
00:08: 09,970 -> 00:08: 11,970
I will accept at home.
90
00:08:11,970 --> 00:08:22,980
??
91
00:08: 22,980 -> 00:08: 25,990
(Okamura)
The ? In order to help the "Sakurai teacher
92
00:08: 25,990 -> 00:08: 30,990
You have to L & P
It 's no choice but to come "
93
00:08: 30,990 -> 00:08: 49,000
? ~
94
00:09: 11,950 -> 00:09: 13,960
It should put to (hero) here.
Thank you (Emi).
95
00:09: 13,960 -> 00:09: 15,960
(Knock)
Yes (hero).
96
00:09: 20,960 -> 00:09: 23,970
To (Ijuin) Contact
It is Ijuin of cardiac surgery.
97
00:09: 23,970 -> 00:09: 26,970
(Emi) cardiac surgery?
(Ijuin) Kiriyama's ?
98
00:09: 26,970 -> 00:09: 29,970
In the wake of pregnancy
? the function of the heart is reduced
99
00:09: 29,970 -> 00:09: 33,980
Of the disease called peripartum cardiomyopathy
.? There are doubts
100
00:09:33,980 --> 00:09:36,980
A decrease in cardiac function future
? If progress
101
00:09: 36,980 -> 00:09: 40,980
Surgery for assisting a heart

Might be required.
102
00:09: 40,980 -> 00:09: 44,990
(Emi) surgery?
Baby?
103
00:09: 44,990 -> 00:09: 48,990
You have been a fertility treatment much (hero)
And I'm a child that was finally bestowed.
104
00:09: 48,990 -> 00:09: 52,990
I'm okay?
I think you filled?
105
00:09: 52,990 -> 00:09: 57,000
Yes (Ijuin). Kiriyama's
? at 23 weeks of gestation current
106
00:09: 57,000 -> 00:10: 01,000
Baby is twins.
? up to 24 weeks and a delivery can be safely
107
00:10: 01,000 -> 00:10: 03,000
? to see how in the medical therapy
108
00:10: 03,000 -> 00:10: 07,010
Cesarean section if the situation permits
.? Have the birth
109
00:10: 07,010 -> 00:10: 10,950
Heart surgery mom then
Consider.
110
00:10: 10,950 -> 00:10: 15,950
Teacher.
The ? even me something Moshimo
111
00:10: 15,950 -> 00:10: 18,950
Only baby
Please help absolutely.
112
00:10: 18,950 -> 00:10: 22,960
Nephew (hero). What are you saying.
113
00:10: 22,960 -> 00:10: 25,960
Okay.
114

00:10: 25,960 -> 00:10: 29,960

With the baby
Let's do our best to be able to discharge.
115
00:10: 29,960 -> 00:10: 31,970
Yes (Emi).
116
00:10: 31,970 -> 00:10: 34,970
Had been (Noguchi) wait.
Wakisaka Vice President .?
117
00:10: 34,970 -> 00:10: 37,970
Here I will this time surgeon
.? Is Kato
118
00:10: 37,970 -> 00:10: 41,980
Cardiac surgery in children ? professional
119
00:10: 41,980 -> 00:10: 46,980
Entering the five fingers in the country
It is a very excellent doctor.
120
00:10: 46,980 -> 00:10: 49,980
(Wakisaka) Thank you.
Kato teacher.
121
00:10: 49,980 -> 00:10: 52,990
Result of (Kato) inspection
Edge of the bottom of the defect hole ?
122
00:10: 52,990 -> 00:10: 54,990
.? Was the type that you are missing
123
00:10: 54,990 -> 00:10: 57,990
Be closed in the catheter
You can not but ?
124
00:10: 57,990 -> 00:11: 01,000
The weight 20kg
Enough to ? is physique
125
00:11: 01,000 -> 00:11: 04,000
To undergo surgery
It is the best timing.
126
00:11: 04,000 -> 00:11: 06,000
Do you (Wakisaka) Yes.
(Noguchi) Nothing ?

127
00:11: 06,000 -> 00:11: 12,000
There is no need to worry.
Thank you (Wakisaka).
128
00:11: 14,940 -> 00:11: 18,950
(Kato) Shou-kun.
I because do not have to worry.
129
00:11: 18,950 -> 00:11: 20,950
When I wake up
Because they all finished.
130
00:11: 20,950 -> 00:11: 22,950
Yeah (Shou).
131
00:11: 26,960 -> 00:11: 29,960
(Hayakawa) 35-year-old male.
Aerial ? during lunch break after
132
00:11: 29,960 -> 00:11: 32,960
The. Systemic fall from a height of about 3m
I have also head bang out.
133
00:11: 32,960 -> 00:11: 34,960
Conscious level than (Katsura) a little while ago
Has dropped.
134
00:11: 34,960 -> 00:11: 36,970
(Hayakawa) Let's hurry.
Enter (Shaeda) stretcher.
135
00:11: 36,970 -> 00:11: 39,970
Lower (Everyone) fence. Yes.
Transfer.. 1, 2, 3 Yes.
136
00:11: 39,970 -> 00:11: 43,970
Do you know. (Hayakawa) Nogi-san?
Is the hospital.
137
00:11: 43,970 -> 00:11: 46,980
I turn off the (Inohara) clothes.
(Hayakawa) E1 V1 M4.?
138
00:11: 46,980 -> 00:11: 48,980
You intubation. Cervical collar
Please remove.

139
00:11: 48,980 -> 00:11: 50,980
Yes (Inohara).
140
00:11: 50,980 -> 00:11: 53,980
Hayakawa. Patient's full stomach.
141
00:11: 53,980 -> 00:11: 55,980
Yes (Hayakawa).
Thank you Sellick method.
142
00:11: 55,980 -> 00:11: 57,980
(Inohara) I suppressed.
143
00:12: 02,990 -> 00:12: 05,990
(Inohara) okay?
(Tomoko) is okay.
144
00:12: 05,990 -> 00:12: 09,000
It is damage to the femoral artery.
Bring me angiorrhaphy set.
145
00:12: 09,000 -> 00:12: 11,000
Yes (Katsura).
146
00:12: 13,940 -> 00:12: 15,940
Kelly.
Yes (Katsura).
147
00:12: 15,940 -> 00:12: 19,940
Vascular tape.
Yes (Katsura).
148
00:12: 19,940 -> 00:12: 21,940
5-0 proline.
149
00:12: 27,950 -> 00:12: 30,950
Please fixed (Hayakawa) stomach tube.
Yes (Inohara).
150
00:12: 34,960 -> 00:12: 36,960
Hayakawa.
Yes (Hayakawa).
151
00:12: 36,960 -> 00:12: 39,960
If there is bleeding from the nose
Towards the oral insertion is good even stomach tube.

152
00:12: 39,960 -> 00:12: 41,960
.? That (Hayakawa) it was found
153
00:12: 41,960 -> 00:12: 44,970
Is the base of the skull fracture on CT
If it is confirmed that there is no ....
154
00:12: 44,970 -> 00:12: 47,970
It is good even from the nose in that case.
Yes (Hayakawa).
155
00:12: 49,970 -> 00:12: 51,970
(Kihara) Oo. Ijuin.
Now? Return?
156
00:12: 51,970 -> 00:12: 53,980
Towards Sakurai hospital now.
Or so. There (Kihara).
157
00:12: 53,980 -> 00:12: 55,980
Now of Anou VIP ....
. ?Ne there.
158
00:12: 55,980 -> 00:12: 57,980
Wonder there is an op of VIP?
159
00:12: 57,980 -> 00:12: 59,980
Boy of 5 years old.
It is the operating of ASD.
160
00:12: 59,980 -> 00:13: 02,980
Because it is surgeon of Kato
Do not worry.
161
00:13: 02,980 -> 00:13: 04,990
So I'll even go out
Kana no?
162
00:13: 04,990 -> 00:13: 06,990
Yes., Please Makashi to us.
163
00:13: 06,990 -> 00:13: 08,990
Some patients of peripartum cardiomyopathy
Would you?
164
00:13: 08,990 -> 00:13: 10,930
When N is any chance I ....

(Ijuin) Socci ?
165
00:13: 10,930 -> 00:13: 13,930
It is said to Okamura
Because I was now in charge.
166
00:13: 15,930 -> 00:13: 17,930
There (Ijuin).
167
00:13: 20,940 -> 00:13: 22,940
In (Ijuin) after a long time
Per I was out.
168
00:13: 22,940 -> 00:13: 24,940
Please.
169
00:13: 24,940 -> 00:13: 30,950
There (Kihara) ....
Ijuin! ?
170
00:13: 30,950 -> 00:13: 36,950
Pottsun.
Or. Tsundere What guy?
171
00:13: 39,950 -> 00:13: 43,960
I wonder if me born to healthy?
(Hero) and .?'m fine
172
00:13: 43,960 -> 00:13: 48,960
'S teacher
It would have me say so? Okay.
173
00:13: 48,960 -> 00:13: 50,970
Yeah (Emi).
174
00:13: 50,970 -> 00:14: 05,980
? ~
175
00:14: 05,980 -> 00:14: 07,980
Why (Kato)?
176
00:14: 10,000 -> 00:14: 15,920
Treatment of perinatal in the case of emergency
Medical litigation risk is high.
177
00:14: 15,920 -> 00:14: 18,930
? would you always

178
00:14: 18,930 -> 00:14: 22,930
Reject
Is not that a patient do?
179
00:14: 22,930 -> 00:14: 28,930
The patients to other hospitals
I can not help even transferred.
180
00:14: 30,940 -> 00:14: 35,940
I will always help out at a hospital in.
181
00:14: 35,940 -> 00:14: 46,940
? ~
182
00:14: 53,960 -> 00:14: 59,970
(Kato) Okamura's
? while said to be different from the Noguchi
183
00:14: 59,970 -> 00:15: 03,970
Why
Would'm teamed up?
184
00:15: 03,970 -> 00:15: 07,980
In (Kito) each other
? as a business partner
185
00:15: 07,980 -> 00:15: 09,940
When there is a utility value
Will do think.
186
00:15: 09,940 -> 00:15: 13,820
For business only?
187
00:15: 13,820 -> 00:15: 18,820
Unlike Team Dragon
They are not monolithic.
188
00:15: 18,820 -> 00:15: 24,830
What you have seen in the earlier
Completely different.
189
00:15: 24,830 -> 00:15: 29,830
What's in his
Would've been visible?
190
00:15: 33,840 -> 00:15: 38,840

It's called human Okamura

I'm involved in the foundation.
191
00:15: 38,840 -> 00:15: 40,840
Huh?
192
00:15: 40,840 -> 00:15: 46,850
Okamura Unlike Noguchi
.? That it is possible to suppress the feeling
193
00:15: 46,850 -> 00:15: 52,850
But when the hoop is out
Should figure real he comes into view.
194
00:15: 52,850 -> 00:16: 11,910
? ~
195
00:16: 11,910 -> 00:16: 14,910
Sakurai teacher.
Teacher.
196
00:16: 14,910 -> 00:16: 19,910
(Sakurai) 's. Dawn reluctantly.
Haha~tsu.
197
00:16: 19,910 -> 00:16: 21,910
You deposit.
Yeah.
198
00:16: 26,920 -> 00:16: 31,920
Asada is came
I have survived really.
199
00:16: 33,930 -> 00:16: 35,930
Should I have
? even if things like fall
200
00:16: 35,930 -> 00:16: 41,940
Give me if you guys can have
This hospital's okay.
201
00:16: 41,940 -> 00:16: 44,940
Would not that the patient is in trouble.
202
00:16: 51,950 -> 00:16: 53,950
(Shou) this.
This (wife of Wakisaka).

203
00:16: 53,950 -> 00:16: 55,950
. 5-year-old .? (Kato) Wakisaka Shou-kun
204
00:16: 55,950 -> 00:16: 59,950
To the lower edge deficient ASD
? perform the lower edge formation
205
00:16: 59,950 -> 00:17: 01,960
I will close the ASD.
206
00:17: 01,960 -> 00:17: 04,960
Because there is no lower edge of (Arase) deficit hole
I was diagnosed with operations apply.
207
00:17: 04,960 -> 00:17: 07,960
To prepare for (Kato) elementary school
I have hope radical.
208
00:17: 07,960 -> 00:17: 09,950
I can be minimized (Ijuin) surgery scar
? In part sternum incision
209
00:17: 09,950 -> 00:17: 11,900
Do you want to approach.
Well (Kato).
210
00:17: 11,900 -> 00:17: 13,900
(Ijuin)
Please be sure that you prepare 5-0.
211
00:17: 13,900 -> 00:17: 15,900
Yes (nurse).
The ? 90 minutes or less (Arase) anesthesia time
212
00:17: 15,900 -> 00:17: 17,910
Aim.
Yes (Everyone).
213
00:17: 17,910 -> 00:17: 19,910
I 10 minutes aortic interruption time.
214
00:17: 19,910 -> 00:17: 21,910
To their own simulation
Let's equipped.
215
00:17: 21,910 -> 00:17: 23,910
Yes (Everyone).

And (Kato) please.

216
00:17: 23,910 -> 00:17: 13,322
You (Everyone) please.
217
00:17: 32,920 -> 00:17: 35,920
There (Emi).
218
00:17: 35,920 -> 00:17: 39,930
Please (Okamura).
Thank you (Emi).
219
00:17: 39,930 -> 00:17: 44,930
(Okamura) physical condition How is?
Oh (Emi). It is easy dive now.
220
00:17: 44,930 -> 00:17: 48,940
(Okamura) drug .? I'm worked
221
00:17: 48,940 -> 00:17: 52,940
Also mom if the trend continues
Baby is okay.
222
00:17: 52,940 -> 00:17: 59,950
Do you (Emi) Yes.
Ah. .? Was good
223
00:17: 59,950 -> 00:18: 04,950
We quite
? children will not be able to
224
00:18: 04,950 -> 00:18: 07,960
.? Fertility treatment, if not well
225
00:18: 07,960 -> 00:18: 13,900
Husband or I give up anymore
And I had me saying I .?
226
00:18: 13,900 -> 00:18: 18,900
Could. Moreover 's twins
? when it was found
227
00:18: 18,900 -> 00:18: 21,900
The face of that person
It is really joyful.
228
00:18: 24,910 -> 00:18: 28,910

There (Emi). Another ?

229
00:18: 28,910 -> 00:18: 31,910
A ribbon of light blue
I want to give, but put ?
230
00:18: 31,910 -> 00:18: 33,910
It has been forgotten and to prepare.
231
00:18: 35,920 -> 00:18: 38,920
Until (Inohara) Ryutaro-chan
To L & P?
232
00:18: 38,920 -> 00:18: 43,920
Not is not mean that you have decided yet.
So (Inohara).
233
00:18: 46,930 -> 00:18: 52,930
Ryutaro-chan But if you go (Inohara)
I can op Sakurai teacher.
234
00:18: 52,930 -> 00:18: 54,930
Yes.
235
00:18: 59,940 -> 00:19: 01,940
The ? than that of the hospital (Inohara) now
236
00:19: 01,940 -> 00:19: 04,940
That Sakurai teacher
Should not you think?
237
00:19: 06,950 -> 00:19: 10,950
For the patient in front of (Inohara) Eyes
.? Do your best
238
00:19: 10,950 -> 00:19: 13,950
In order to save the teacher.
239
00:19: 23,020 -> 00:19: 25,020
I do my best (Wakisaka) proceeds..
Good luck (wife) proceeds..
240
00:19: 25,020 -> 00:19: 28,030
It became. With (Wakisaka) peace of mind.
Good luck (wife) proceeds..
241
00:19: 28,030 -> 00:19: 31,030

(Wakisaka) It's okay.

242
00:19: 31,030 -> 00:19: 34,030
Earnestly
Thank you very much in advance.
243
00:19: 34,030 -> 00:19: 39,040
Facilities and the best L & P hospital is proud of
Because it is the doctor who best.
244
00:19: 39,040 -> 00:19: 42,040
Please wait with confidence.
245
00:19: 45,040 -> 00:19: 47,040
(Arase) Otachidai.
Yes (nurse).
246
00:19: 51,050 -> 00:19: 55,050
Of VIP in patients (Hayakawa) L & P
.?'m Likely operating
247
00:19: 55,050 -> 00:19: 58,060
Kato Ijuin teacher teacher teacher Arase
In general mobilization.
248
00:19: 58,060 -> 00:20: 02,060
(Katsura) VIP You.
I want to go to (Inohara) tour?
249
00:20: 02,060 -> 00:20: 04,060
Kamawanzo (Sakurai) if you want to go.
.? To no visit today
250
00:20: 04,060 -> 00:20: 06,060
I will somehow Asada and me.
251
00:20: 06,060 -> 00:20: 09,070
Operating high-level Well (Hayakawa) is
.? I want to see
252
00:20: 09,070 -> 00:20: 13,070
But Mr. Ikeno .? of 402 in room
253
00:20: 13,070 -> 00:20: 17,070
Do not have my
I'm picky. Fufu~tsu.
254

00:20: 23,010 -> 00:20: 25,010

I'm going (Hayakawa) rounds.
255
00:20: 30,020 -> 00:20: 33,020
It is the emergency of (Tomoko) chest thump.
Thank you.
256
00:20: 35,030 -> 00:20: 44,040
The one. 6 (Arase) five.
.? Nyatsu Nya
257
00:20: 44,040 -> 00:20: 46,040
Yes. .? Fell
258
00:20: 46,040 -> 00:20: 48,040
The Come call Ijuin and Kato.
Yes (nurse).
259
00:20: 48,040 -> 00:20: 57,050
? ~
260
00:20: 57,050 -> 00:20: 59,050
(Sound to open the door)
261
00:20: 59,050 -> 00:21: 13,060
? ~
262
00:21: 13,060 -> 00:21: 17,070
(Kato) for ASD than this
.? To carry out the closure surgery
263
00:21: 17,070 -> 00:21: 19,070
Female.
Yes (nurse).
264
00:21: 19,070 -> 00:21: 2,109.0
(Ijuin) forceps. Gauze.
Yes. Yes (nurse).
265
00:21: 2,109.0 -> 00:21: 23,090
(Kato) Power female.
Yes (nurse).
266
00:21: 27,010 -> 00:21: 30,010
[TEL] (the sound of the vibrator)
267
00:21: 30,010 -> 00:21: 32,020

Yes (Okamura).
268
00:21: 32,020 -> 00:21: 34,020
Huh?
269
00:21: 38,020 -> 00:21: 40,020
And (nurse) please.
(Nurse) cart.
270
00:21: 40,020 -> 00:21: 42,030
(Hero) Emi.
(Okamura) Kihara teacher.
271
00:21: 42,030 -> 00:21: 44,030
(Kihara) is a sharp aortic regurgitation
Are emerging.
272
00:21: 44,030 -> 00:21: 46,030
AR?
? hormone fluctuations due to (Kihara) pregnancy
273
00:21: 46,030 -> 00:21: 48,030
The ? by dose load
274
00:21: 48,030 -> 00:21: 50,030
Aortic valve annulus expansion
? The proceeds rapidly
275
00:21: 50,030 -> 00:21: 53,040
... The aortic regurgitation.
(Hero) teacher. Teacher Emi?
276
00:21: 53,040 -> 00:21: 56,040
(Emi) ... baby.
Baby okay?
277
00:21: 56,040 -> 00:22: 00,040
(Kihara) in this situation.
(Emi) ... please.
278
00:22: 05,050 -> 00:22: 07,050
"Emily? Emily "
279
00:22: 09,050 -> 00:22: 13,060
(Hero) ... Emi.
To (Okamura) operating room.
280

00:22: 13,060 -> 00:22: 15,060

Soon!
281
00:22: 18,060 -> 00:22: 21,030
[Mike] is Ijuin teacher. Kiriyama's
It is a severe AR due to the AAE.
282
00:22: 21,030 -> 00:22: 22,900
Op as soon as possible [microphone].
(Noguchi) What are you saying? ?
283
00:22: 22,900 -> 00:22: 25,900
It's not the middle of now operating.
This patient's VIP What!
284
00:22: 25,900 -> 00:22: 27,910
[Mike] Ijuin teacher.
? (Noguchi) from this operation
285
00:22: 27,910 -> 00:22: 29,910
That comes out is Ijuin
Not allowed.
286
00:22: 29,910 -> 00:22: 31,910
In (Ijuin) now cut off during aortic
.? Not tied up
287
00:22: 31,910 -> 00:22: 33,910
Teacher to someone else.
But (Okamura) ....
288
00:22: 33,910 -> 00:22: 35,910
(Kihara) Kiriyama-san. Firmly.
Shock vital .?
289
00:22: 35,910 -> 00:22: 38,920
It does not have 's leave this. Operating room
.? By connecting monitor Once in
290
00:22: 38,920 -> 00:22: 41,920
Isogeyo!
Yes (Everyone).
291
00:22: 41,920 -> 00:22: 44,920
Transfer (Kihara).
(Everyone) Yes 1, 2, and 3.
292
00:22: 44,920 -> 00:22: 47,930

(Kihara) Okamura.
The .? Let's help alone maternal
293
00:22: 47,930 -> 00:22: 51,930
I have a Bentaru surgery.
[Mike] (Okamura) that will not do.
294
00:22: 51,930 -> 00:22: 54,930
Power supply (Everyone) aak. Pump
Please connect. Hey!?
295
00:22: 54,930 -> 00:22: 56,930
. Oxygen teacher?
296
00:22: 56,930 -> 00:22: 58,940
(Kihara) 5 l.
Yes.
297
00:22: 58,940 -> 00:23: 00,940
You Asada teacher please.
Sorry .? (Tomoko)
298
00:23: 00,940 -> 00:23: 02,940
Asada teacher in treatment now.
299
00:23: 02,940 -> 00:23: 13,950
? ~
300
00:23: 13,950 -> 00:23: 17,960
(Alarm sound)
301
00:23: 17,960 -> 00:23: 19,960
The 10 liter (Kihara) oxygen.
I will raise the oxygen.
302
00:23: 21,990 -> 00:23: 24,990
Nephew (Kihara).
What should I do?
303
00:23: 33,000 -> 00:23: 35,000
(Okamura) Asada teacher.
304
00:23: 39,010 -> 00:23: 41,010
Please Help
305
00:23: 43,010 -> 00:23: 47,020
If it is not you

I have patients that can not be helped.

306
00:23: 47,020 -> 00:23: 50,020
That patient is absolutely
I do not want to die.
307
00:24: 02,030 -> 00:24: 04,030
Thank you.
308
00:24: 04,030 -> 00:24: 13,030
? ~
309
00:24: 16,970 -> 00:24: 18,970
(Kihara) oxygen saturation is more and more
.?'s. Pulmonary edema has declined
310
00:24: 18,970 -> 00:24: 20,970
'S leave this
Otosuzo life to both mother and child.
311
00:24: 22,980 -> 00:24: 26,980
I still have (Kihara)
.? No choice but to do the surgery Bentaru
312
00:24: 26,980 -> 00:24: 28,980
Kashima of the instrument out and Harada Sensei
Call!
313
00:24: 28,980 -> 00:24: 30,980
Yes (nurse).
314
00:24: 30,980 -> 00:24: 55,010
? ~
315
00:24: 55,010 -> 00:25: 00,010
(Kihara) hypothermic extracorporeal circulation than this
And ? to circulatory arrest under
316
00:25: 00,010 -> 00:25: 03,020
Perform Bentaru surgery. Females.
Yes (nurse).
317
00:25: 03,020 -> 00:25: 06,020
(Sound to open the door)
318
00:25: 06,020 -> 00:25: 17,970
? ~

319
00:25: 17,970 -> 00:25: 19,970
(Kihara) Asada.
320
00:25: 21,970 -> 00:25: 23,970
(Noguchi) Asada!?
321
00:25: 26,970 -> 00:25: 28,970
David's surgery.
322
00:25: 30,980 -> 00:25: 32,980
(Kihara) David surgery?
Or not it Bentaru? ?
323
00:25: 32,980 -> 00:25: 34,980
In the hypothermia from cardiopulmonary bypass
Circulatory arrest ....
324
00:25: 34,980 -> 00:25: 36,980
So even able to save the mother
Fetus is not Sukekara.
325
00:25: 36,980 -> 00:25: 38,990
But (Kihara) ....
And ?
326
00:25: 38,990 -> 00:25: 42,990
Of the anti-coagulant by performing Bentaru
? internal use is mandatory
327
00:25: 42,990 -> 00:25: 46,990
And during childbirth heart surgery is successful
There is a possibility of causing major bleeding.
328
00:25: 46,990 -> 00:25: 51,000
(Kihara) birth!?'s This state.
.? David surgery Nante unreasonable
329
00:25: 51,000 -> 00:25: 53,000
The baby who gave up ... is.
Do not give up.
330
00:25: 53,000 -> 00:25: 55,000
Oh (Kihara)?
331
00:25: 55,000 -> 00:25: 59,010
By performing the surgery David at room temperature

Mother and children I can save both.

332
00:25: 59,010 -> 00:26: 02,010
(Kihara) I at room temperature.
.?'s Unreasonable for such
333
00:26: 02,010 -> 00:26: 04,010
Ischemia time allowed for brain
The short horribly.
334
00:26: 04,010 -> 00:26: 07,010
[Microphone] with such a (Noguchi) unreasonable
? If you become even a lawsuit rumor
335
00:26: 07,010 -> 00:26: 10,020
Who takes responsibility for that?
The ? also Asada chan much
336
00:26: 10,020 -> 00:26: 12,020
Alone
It will not do anything.
337
00:26: 12,020 -> 00:26: 20,960
? ~
338
00:26: 20,960 -> 00:26: 22,960
(Sound to open the door)
339
00:26: 22,960 -> 00:26: 30,970
? ~
340
00:26: 30,970 -> 00:26: 32,970
The ? and (Arase) David surgery
341
00:26: 32,970 -> 00:26: 34,980
In earnest for the first time in a long time
It looks like get to prearranged.
342
00:26: 34,980 -> 00:26: 36,980
Also (Ijuin) mom
Baby twins also ?
343
00:26: 36,980 -> 00:26: 38,980
Let's help everyone.
344
00:26: 41,980 -> 00:26: 43,980
Why not?

[Mike] (Noguchi) hey hey.

345
00:26: 43,980 -> 00:26: 46,980
Is important operations in the [microphone] you guys.
346
00:26: 51,990 -> 00:26: 53,990
(Kito) Mettsu~en.
Yes (nurse).
347
00:26: 53,990 -> 00:26: 56,000
(Kito) I am the first assistant
I wonder if your dissatisfaction?
348
00:26: 56,000 -> 00:26: 58,000
(Noguchi) Miss Kito.
349
00:26: 58,000 -> 00:27: 01,000
Systemic management (Kato) is Arase
.? Was perfect
350
00:27: 01,000 -> 00:27: 04,000
Maintain anesthesia she
I have taken over without any problems.
351
00:27: 04,000 -> 00:27: 07,010
I was under the guidance of (Kito) Arase
Excellent anesthesiologist.
352
00:27: 07,010 -> 00:27: 10,010
[Mike] that what selfish.
353
00:27: 13,010 -> 00:27: 15,030
I'll have to take (Kito) self pericardium.
I patch closure.
354
00:27: 15,030 -> 00:27: 16,950
And (Kato) Running suture.
5-0.
355
00:27: 16,950 -> 00:27: 18,950
Yes (nurse).
356
00:27: 24,960 -> 00:27: 26,960
[Mike] is (Okamura) Arase teacher. You ...?
357
00:27: 26,960 -> 00:27: 30,960
Ginseng (Arase) operations staff

It should have been left to me.

358
00:27: 30,960 -> 00:27: 32,970
Please Wait (Shimizu)!
? in extracorporeal circulation of pregnant women under
359
00:27: 32,970 -> 00:27: 34,970
Management of. Anesthesia Nante open-heart surgery.
360
00:27: 34,970 -> 00:27: 36,970
The wonder that I So (Arase).
361
00:27: 38,970 -> 00:27: 40,970
(Arase) sound of the fetal heart monitor
Set .? White
362
00:27: 40,970 -> 00:27: 42,970
Otachidai.
Yes (nurse).
363
00:27: 49,980 -> 00:27: 51,990
.? That (Inohara) was slower
364
00:27: 51,990 -> 00:27: 53,990
Thank you very much in advance.
And (nurse) please.
365
00:27: 53,990 -> 00:28: 01,990
? ~
366
00:28: 06,000 -> 00:28: 09,000
I do David surgery than this.
367
00:28: 09,000 -> 00:28: 11,000
Female.
Yes (Inohara).
368
00:28: 11,000 -> 00:28: 13,000
(Ijuin) forceps. Gauze.
Yes (Inohara).
369
00:28: 16,940 -> 00:28: 18,950
Female power.
Yes (Inohara).
370
00:28: 18,950 -> 00:28: 21,950
(Okamura) Bentaru surgery

The ? the aortic root

371
00:28: 21,950 -> 00:28: 24,950
An artificial valve with an artificial blood vessel
.? Surgery to replace
372
00:28: 24,950 -> 00:28: 28,960
I is an anti-coagulant permanently
Since ? that requires taking warfarin
373
00:28: 28,960 -> 00:28: 34,960
Risk of bleeding during childbirth increases
.? Lead to death of mother and child both worst
374
00:28: 34,960 -> 00:28: 38,970
On the other hand in David surgery
? for self-valve is preserved
375
00:28: 38,970 -> 00:28: 41,970
There is no need to warfarin.
Just ? image and precise valve formation
376
00:28: 41,970 -> 00:28: 43,970
Precise calculation .? that it does not cause reflux
377
00:28: 43,970 -> 00:28: 46,970
Within a limited time they
? end
378
00:28: 46,970 -> 00:28: 50,980
Extremely high procedure
It is requested by the operator.
379
00:28: 50,980 -> 00:28: 59,980
But should you can do it Asada teacher.
Me doing help.
380
00:29: 09,000 -> 00:29: 11,000
(Arase) and it is this state
? extracorporeal circulation time
381
00:29: 11,000 -> 00:29: 15,020
It's 60 minutes to have at best.
(Kihara) 60 minutes .?
382
00:29: 15,020 -> 00:29: 18,940
The exact procedure in such a short time
Do Me Not to be done.

383
00:29: 18,940 -> 00:29: 20,940
Do.
384
00:29: 23,940 -> 00:29: 26,940
Ponpuon.
(ME) Ponpuon.
385
00:29: 31,950 -> 00:29: 33,950
Came out (ME) full-flow.
386
00:29: 33,950 -> 00:29: 36,960
Count start.
Yes (nurse).
387
00:29: 36,960 -> 00:29: 38,960
(Nurse) extracorporeal circulation
Was started.
388
00:29: 38,960 -> 00:29: 41,960
(Arase) Yoshi.
It's 133 and 120 fetal heart.
389
00:29: 41,960 -> 00:29: 43,960
Aoruta clamp.
Yes (Inohara).
390
00:29: 45,970 -> 00:29: 48,970
Flow down.
(ME) flow down.
391
00:29: 48,970 -> 00:29: 52,970
Backup.
Retro start.
392
00:29: 52,970 -> 00:29: 54,970
(ME) Retoropuregi
Was started.
393
00:29: 59,980 -> 00:30: 04,990
(Arase) maternal cardiac arrest.
130. and stability fetal heart rate 120.
394
00:30: 04,990 -> 00:30: 07,990
. Mettsu~en to Aoruta transection.
Yes (Inohara).
395

00:30: 07,990 -> 00:30: 09,990

(Ijuin) Harken.
Yes (Inohara).
396
00:30: 09,990 -> 00:30: 11,990
(Kihara) Yanker.
Yes (Inohara).
397
00:30: 11,990 -> 00:30: 22,940
? ~
398
00:30: 22,940 -> 00:30: 25,940
(Nurse) extracorporeal circulation
I was after five minutes.
399
00:30: 29,940 -> 00:30: 32,940
Aoruta transection end.
400
00:30: 44,980 -> 00:30: 47,980
Opening of (Ijuin) left coronary artery
It is lower than normal.
401
00:30: 47,980 -> 00:30: 50,990
(Arase) trimming is difficult.
402
00:30: 50,990 -> 00:30: 54,990
(Kihara) left cusp is low.
If you have to add also the formation of the cusp.
403
00:31: 01,000 -> 00:31: 03,000
I'll do the formation of the cusp.
404
00:31: 03,000 -> 00:31: 06,000
Trimming of coronary artery button
Ijuin.
405
00:31: 06,000 -> 00:31: 09,010
I leave it to you.
Yes (Ijuin).
406
00:31: 09,010 -> 00:31: 11,010
. Mettsu~en to trim the Valsalva sinus.
Yes (Inohara).
407
00:31: 11,010 -> 00:31: 14,010
Is (nurse) fetal heart rate
Has increased.

408
00:31: 14,010 -> 00:31: 16,010
(Arase) ME. OkuchiAtsushi it?
Is (ME) 35.1 degrees.
409
00:31: 16,010 -> 00:31: 18,010
(Arase) Okuchi-ryou it?
(ME) is 3.2 liters.
410
00:31: 18,010 -> 00:31: 20,020
The warm (Arase) belly around
OkuchiAtsushi also .? Raise twice
411
00:31: 20,020 -> 00:31: 22,020
Okuchi-ryou to 3.5 liters from it
It up.
412
00:31: 22,020 -> 00:31: 24,020
Yes (ME).
(Arase) magnesium drip started.
413
00:31: 24,020 -> 00:31: 26,020
Leave this. (Ijuin) Arase teacher
Is it okay to have continued?
414
00:31: 26,020 -> 00:31: 29,030
(Arase) you guys white focus on the surgical field.
I asked the management of the fetus.
415
00:31: 29,030 -> 00:31: 31,030
. Ritodrine IV (Arase) Leave it.
Yes (nurse).
416
00:31: 31,030 -> 00:31: 34,030
It's marking of Kihara. Artificial blood vessel.
.? That (Kihara) it was found
417
00:31: 34,030 -> 00:31: 37,030
To come with 26mm straight graft.
Yes (nurse).
418
00:31: 39,040 -> 00:31: 42,040
Trimming the end.
. 5-0 entering the formation of the left cusp.
419
00:31: 42,040 -> 00:31: 44,040
Yes (Inohara).
(Ijuin) Mettsu~en.

420
00:31: 48,980 -> 00:31: 50,980
. 5-0 to close the (Kato) the right atrium.
421
00:31: 50,980 -> 00:31: 55,990
(Kito) forceps. Rabashu.
Yes (nurse).
422
00:31: 55,990 -> 00:32: 06,000
? ~
423
00:32: 06,000 -> 00:32: 09,000
(Kato) Mettsu~en .?
424
00:32: 09,000 -> 00:32: 12,000
Operations end.
(Kito) incision .? I small
425
00:32: 12,000 -> 00:32: 16,010
Cheers for good work. I expected.
426
00:32: 16,010 -> 00:32: 34,020
? ~
427
00:32: 34,020 -> 00:32: 37,030
(Nurse) extracorporeal circulation
I have passed 45 minutes.
428
00:32: 37,030 -> 00:32: 48,970
? ~
429
00:32: 48,970 -> 00:32: 50,970
Mettsu~en.
Yes (Inohara).
430
00:32: 52,980 -> 00:32: 57,980
Artificial blood vessel sewn end of the aortic valve.
Coronary artery button?
431
00:32: 57,980 -> 00:33: 00,980
(Ijuin) trimming
Ended.
432
00:33: 00,980 -> 00:33: 02,990
Enter the reconstruction of coronary arteries followed.
5-0.
433

00:33: 02,990 -> 00:33: 04,990

Yes (Inohara).
(Kihara) Soccer-up.
434
00:33: 04,990 -> 00:33: 06,990
Yes (nurse).
? as is (Arase) flow
435
00:33: 06,990 -> 00:33: 08,990
Water removal start.
Yes (ME).
436
00:33: 13,000 -> 00:33: 15,000
I've passed (nurse) 50 minutes.
437
00:33: 23,010 -> 00:33: 25,010
Mettsu~en.
438
00:33: 25,010 -> 00:33: 27,010
Coronary artery reconstruction end.
439
00:33: 27,010 -> 00:33: 29,010
I move to the artificial blood vessel peripheral anastomosis.
4-0.
440
00:33: 29,010 -> 00:33: 31,010
Yes (Inohara).
(Ijuin) forceps.
441
00:33: 31,010 -> 00:33: 34,020
Yes (Inohara).
(Alarm sound)
442
00:33: 34,020 -> 00:33: 36,020
(Arase) fetal heart rate is lowered.
443
00:33: 36,020 -> 00:33: 38,020
Hurry.
Yes (Ijuin).
444
00:33: 38,020 -> 00:33: 40,020
Are you sure that you want to administer the (ME) Neoshine?
(Arase) boosting agent ?
445
00:33: 40,020 -> 00:33: 43,040
It could induce uterine contractions.
Let me raised to 3.9 liters the Okuchi-ryou.

446
00:33: 43,040 -> 00:33: 44,960
Blood volume of (ME) reservoir
I can not send it less.
447
00:33: 44,960 -> 00:33: 46,960
And return the (Arase) cell saver blood.
Yes (ME).
448
00:33: 46,960 -> 00:33: 49,970
(Arase) Riuomingu.
Yes (ME).
449
00:33: 49,970 -> 00:34: 17,990
? ~
450
00:34: 17,990 -> 00:34: 20,000
4-0.
Yes (Inohara).
451
00:34: 20,000 -> 00:34: 22,000
(Ijuin) Miku Ritz gauze.
Yes (Inohara).
452
00:34: 22,000 -> 00:34: 25,000
Yes (Everyone) retro up..
Yes football up..
453
00:34: 25,000 -> 00:34: 28,000
(Inohara) fibrin glue.
Yes (nurse).
454
00:34: 28,000 -> 00:34: 32,010
(Kihara) wow. David surgery
? without even circulatory arrest
455
00:34: 32,010 -> 00:34: 36,010
It is! Do in such a speed.
Asada indeed.
456
00:34: 40,020 -> 00:34: 45,960
. Flow down end anastomosis.
(ME) flow down.
457
00:34: 45,960 -> 00:34: 47,960
Aoruta Dekuranpu.
458
00:34: 47,960 -> 00:34: 50,960

Backup.
And (ME) backup.
459
00:34: 59,970 -> 00:35: 02,970
Was (Ijuin) ROSC.
Fetus?
460
00:35: 09,980 -> 00:35: 12,980
Is (Kihara) heart sound
Only one heard.
461
00:35: 12,980 -> 00:35: 14,980
Oh (Ijuin)!?
(Arase) heart rate monitor also ?
462
00:35: 14,980 -> 00:35: 16,990
Only one not out.
463
00:35: 16,990 -> 00:35: 43,950
? ~
464
00:35: 43,950 -> 00:35: 46,950
(Kihara) is earlier fetal heart rate
The ? when it was reduced
465
00:35: 46,950 -> 00:35: 49,950
It was not you or what?
? Nante help the mother and child both after all
466
00:35: 49,950 -> 00:35: 51,960
I was reckless ....
SHUT UP!
467
00:35: 51,960 -> 00:36: 02,970
? ~
468
00:36: 02,970 -> 00:36: 05,970
Arase. Head down.
469
00:36: 05,970 -> 00:36: 07,970
The rotation of 30 degrees to the left.
(Oh Arase).
470
00:36: 11,980 -> 00:36: 13,980
Oh (Kihara)?
471
00:36: 15,980 -> 00:36: 18,980

There are heart sound (Kihara) Both people.

472
00:36: 18,980 -> 00:36: 21,980
(Ijuin) was good.
(Oh Arase).
473
00:36: 32,000 -> 00:36: 35,000
Pump-off.
(ME) Pump Off .?
474
00:36: 35,000 -> 00:36: 40,000
Was artificial cardiopulmonary arrest.
Was 59 minutes (nurse) extracorporeal circulation.
475
00:36: 40,000 -> 00:36: 43,020
. Tube clamp to Deca New Configuration.
Yes (Inohara).
476
00:36: 43,020 -> 00:36: 44,940
Sternal wire.
Yes (Inohara).
477
00:36: 44,940 -> 00:36: 46,940
(Ijuin) wire clamp.
Yes (Inohara).
478
00:36: 46,940 -> 00:36: 48,950
I (Arase) CVP okay.
479
00:36: 48,950 -> 00:36: 50,950
(Kihara) wire cutters.
Yes (Inohara).
480
00:36: 50,950 -> 00:36: 52,950
Sternal wire.
481
00:36: 52,950 -> 00:37: 04,960
? ~
482
00:37: 04,960 -> 00:37: 10,970
(Emi) They are both moving cheerfully.
Yeah (hero).
483
00:37: 10,970 -> 00:37: 13,970
Mother nor baby
? to help both
484

00:37: 13,970 -> 00:37: 16,970

Performs David surgery
I was successful safely.
485
00:37: 16,970 -> 00:37: 18,980
It is not performed in the (Kihara) Normal
Although was a very difficult surgery ....
486
00:37: 18,980 -> 00:37: 23,980
(Hero) teacher.
Thank you all!
487
00:37: 25,980 -> 00:37: 28,990
Please do your best birth.
488
00:37: 28,990 -> 00:37: 34,990
Yes (Emi). Really.
Thank you very much.
489
00:37: 41,000 -> 00:37: 42,970
(Footsteps)
490
00:37: 42,970 -> 00:37: 47,970
(Okamura) Asada teacher.
Today ... really.
491
00:37: 51,840 -> 00:37: 53,840
I'm sorry.
492
00:37: 56,850 -> 00:37: 59,850
I do not seems.
493
00:38: 04,850 -> 00:38: 08,860
.? It was cheers for good work (Kato)
494
00:38: 08,860 -> 00:38: 10,860
Also operating beyond
I ended safely.
495
00:38: 10,860 -> 00:38: 17,870
So (Kito).
Why Anna even (Kato).
496
00:38: 17,870 -> 00:38: 19,870
? time was in (Okamura) America
497
00:38: 19,870 -> 00:38: 25,870

Peripartum cardiomyopathy due

I lost my acquaintance.
498
00:38: 28,880 -> 00:38: 33,880
I went to 23 weeks (Okamura) pregnancy
? day
499
00:38: 33,880 -> 00:38: 37,890
.? That has caused the sudden heart failure
500
00:38: 37,890 -> 00:38: 40,890
The ? by rapid inspection
501
00:38: 40,890 -> 00:38: 44,930
And peripartum cardiomyopathy immediately
It has been diagnosed but ?
502
00:38: 44,930 -> 00:38: 51,930
She also baby
I have lost their lives.
503
00:38: 51,930 -> 00:38: 56,940
(Kito) she
It was fiance Okamura.
504
00:38: 56,940 -> 00:39: 09,950
? ~
505
00:39: 09,950 -> 00:39: 13,960
The ? to hospital (Okamura) she was carried
506
00:39: 13,960 -> 00:39: 17,960
I can be the treatment of peripartum cardiomyopathy
.? That were some Doctor
507
00:39: 17,960 -> 00:39: 23,970
Bed nor the operating room
.? That had been vacant
508
00:39: 23,970 -> 00:39: 30,970
But she was not subscribe
The ? In the insurance
509
00:39: 30,970 -> 00:39: 34,970
Treatment at the hospital
It could not be received.
510

00:39: 37,980 -> 00:39: 45,980

(Okamura) at home after all
I have to take over a breath.
511
00:39: 49,930 -> 00:39: 59,940
(Okamura) I ? something important
512
00:39: 59,940 -> 00:40: 02,940
I lost two at the same time.
513
00:40: 07,940 -> 00:40: 13,940
Is (Okamura) it
And I'm a health care system in the United States.
514
00:40: 15,950 -> 00:40: 18,960
No matter how (Kito)
? can have an excellent doctor
515
00:40: 18,960 -> 00:40: 21,960
.? There are patients who do not able to save
516
00:40: 21,960 -> 00:40: 26,960
Okamura you despair that its
? that specialize in medical
517
00:40: 26,960 -> 00:40: 29,970
I became a management consultant.
518
00:40: 29,970 -> 00:40: 34,970
It is the figure of his real.
519
00:40: 34,970 -> 00:40: 46,980
? ~
520
00:40: 46,980 -> 00:40: 52,990
Even in the health care system (Okamura) of Japan
Patients are spilling.
521
00:40: 52,990 -> 00:40: 34,792
I am also in the American-style
The ? not a Japanese style
522
00:40: 34,792 -> 00:41: 01,990
The mechanism of the new medical
I want to make.
523
00:41: 09,010 -> 00:41: 15,010

It is a large borrowed to Asada teacher

I ended up made??.
524
00:41: 18,010 -> 00:41: 26,010
Doctors to help patients
Also borrowed loan neither.
525
00:41: 33,030 -> 00:41: 41,040
I was the face of the doctor today.
526
00:41: 41,040 -> 00:41: 55,040
? ~
527
00:42: 01,990 -> 00:42: 03,990
Is not called Asada?
528
00:42: 03,990 -> 00:42: 08,000
Operations (Okamura) Sakurai teacher end
? until you can return as a doctor
529
00:42: 08,000 -> 00:42: 11,000
Acquisition of Asada teacher
You decide to wait.
530
00:42: 11,000 -> 00:42: 16,010
I sweet.
? it is too sweet
531
00:42: 16,010 -> 00:42: 19,010
Only heard
It's going to be a tooth decay.
532
00:42: 19,010 -> 00:42: 22,010
Excuse me.
533
00:42: 22,010 -> 00:42: 54,980
? ~
534
00:42: 54,980 -> 00:42: 57,980
Lassen entry.
535
00:42: 57,980 -> 00:43: 05,990
? ~
536
00:43: 05,990 -> 00:43: 07,990
The .? Na no worries Well (Sakurai)

537
00:43: 07,990 -> 00:43: 09,990
Always and something
? If there is a different feel
538
00:43: 09,990 -> 00:43: 15,000
You've got to contact us immediately.
Huh?
539
00:43: 15,000 -> 00:43: 23,010
Oh man. You know.
Hmmm Yesss.
540
00:43: 23,010 -> 00:43: 26,010
Also (Inohara) patients
Is not feel she was worried?
541
00:43: 26,010 -> 00:43: 30,010
The body. Yea I (Sakurai)
Nainda not mean being worried.
542
00:43: 30,010 -> 00:43: 32,010
Huh? So what?
543
00:43: 35,020 -> 00:43: 40,020
(Sakurai) Thank you as always.
Oh (Inohara)?
544
00:43: 40,020 -> 00:43: 47,020
If you do not the words just fine thanks
I was scolded me not transmitted.
545
00:43: 51,970 -> 00:43: 54,970
Is this true?
Ah.
546
00:43: 54,970 -> 00:43: 56,970
Dr. Mike is coming to Japan.
547
00:43: 56,970 -> 00:43: 58,980
Is operating Sakurai teacher Well (Ijuin)
I I can?
548
00:43: 58,980 -> 00:44: 01,980
He even of Japan (Kato)
It should not have a medical license.
549
00:44: 01,980 -> 00:44: 04,980

(Arase) L & P is
.?'s Super Medical Zone
550
00:44: 04,980 -> 00:44: 06,980
Mike Baldwin
Can surgeon.
551
00:44: 06,980 -> 00:44: 10,990
Why (Ijuin) is such a thing?
552
00:44: 10,990 -> 00:44: 13,990
Okamura was me moving.
553
00:44: 16,990 -> 00:44: 21,990
The operations of the highest level of difficulty in the brain and heart
It will be carried out simultaneously.
554
00:44: 24,000 -> 00:44: 26,000
The me Be prepared thorough.
555
00:44: 26,000 -> 00:44: 28,000
Ah.
Yes (Ijuin).
556
00:44: 28,000 -> 00:44: 43,000
? ~
557
00:44: 46,960 -> 00:44: 56,970
? ~
558
00:44: 56,970 -> 00:45: 02,970
Okamura-chan a lot somehow
Harmonious Looks like good.
559
00:45: 02,970 -> 00:45: 06,980
[TEL] (the sound of the vibrator)
560
00:45: 06,980 -> 00:45: 08,980
Yes (Okamura).
561
00:45: 11,980 -> 00:45: 13,980
Oh (Okamura)?
562
00:45: 13,980 -> 00:45: 21,990
? ~
563

00:45: 21,990 -> 00:45: 24,990

I can not help Sakurai.
564
00:45: 24,990 -> 00:45: 45,010
? ~