Say Hello to Black Jack 8

Say Hello to Black Jack, Volume 2, Chapter 8 (pp. 5~24)


<5>
=PT (prothrombin time) activity 43.7%,//Blood Ammonia 92µg/dl.
=Mr. Miyamura also has hepatocirrhosis...

=Surgery is difficult when PT activity has dropped under 50%.
=Using a Heart-Lung Machine will worsen the condition of his liver, making it unlikely for him ever to recover.
[note]Heart-Lung Machine; A device which substitutes activity of the heart and lung. It allows the heart to cease beating for the duration of the surgery.

=We're in quite a bind...


<6>
The likelihood of a successful surgery,
Is dangerously low...!!

#8: Confession


<7>
=In yesterday's meeting with the cardiac surgery department,
=We decided to have you undergo a coronary artery bypass surgery.

=A coronary artery bypass...
=Is a surgical process where an additional vein is attached to the clogged portion of the heart.

=You could think of it as creating a detour around a clogged pipe.
=The vein used will be taken from your chest.


<8>
=The date,
=And others details will be determined later...

=Does Mr. Miyamura...
=No longer have the energy to get up from bed?

[x2]CLACK

=Why can't we tell him the truth...?


<9>
=Article 23 of Japanese medical law states,
=A doctor cannot perform any action that could worsen a patient's condition.

="Anxiety" would be harmful to the condition of his heart...

=But...
=But that's just...

=An excuse.

=What if we tell Mr. Miyamura the truth and he tells the other patients...?
=That will only worsen our standing when worst comes to worst.


<10>
=Besides, what difference would it make?
=He still needs surgery.

=You've got a lot of work to do.
=Don't lag behind by thinking too much...

=You're telling me...
=To stop thinking...?


<11>
[x6]SCRIT

=He—y you interns—
=Put yesterday's test results on the records, okay—

=Hey Saito, you eat lunch yet?
=Nope...
[x5]SCRIT

=Dr. Dekune—
=Your patient's family wants an explanation of their illness—


<12>
[x5]CLAT

=Oh—So Mr. Toda's not here today—
=Said he caught a cold and couldn't make it to the hospital—

=Crap... This late already...
=I've gotta go make the afternoon rounds...
[x5]CLAT

=Saito—Let's go eat dinner—
=Can't... Still working.
[x3]CLAT

=Dr. Saito,//The reports on the patients leaving the hospital tomorrow.

=Hey you,
=Go get us some food.


<13>
[x3]=HUFF

[x3]=HUFF...
[x2]GRUCK
[package]Original Lunches

=Damn it...
=What am I doing...?

=Why...
=Am I doing all of this...?
[x5]HUFF


<14>
TRIP

[x3]=Ah...

=Go buy them again.
=And we're not paying for them.

*faint..*

=Don't stop...

=Don't stop...
=Thinking...


<15>
SNO—RE

=U...Uh...


<16>
=Do I really have to go in by myself...?

=I'm needed in the cardiac surgery department.
=It's probably about Mr. Miyamura's surgery.

=But...

=Don't act like a child.
=Hospital rounds are your responsibility.

=Excuse me...


<17>
BUZZ—

=You've lost some weight...

=We're keeping you on heparin drips and nitrol.
=Let me know if there's anything you need...

=Hey... Doc...


<18>
=When my old man died in the hospital...
=The doctors never really explained anything to us.

=Doctors really are scary, huh.

=Just didn't feel comfortable to ask...
=Funeral was over and the old man was all bones before I even realized it...

=Guess it's gonna turn out the same for me...


<19>
PLIT

[x3]SHUFF

=The truth is...
=You need surgery immediately...


<20>
=The only reason we haven't operated yet,
=Is because the hospital just finds it more convenient.

=Your hepatocirrhosis has worsened, so the surgery will be extremely dangerous...
=Honestly, there's very little chance you'll recover afterwards...

=I...
=Don't know what to do anymore...

=I'm sorry...


<21>
=You're not cut out to be a doctor.

[x2]=HICK

[x2]=But...

=Oh well,
=Either way, you'll won't be able to interfere with him anymore...

=Mr. Miyamura will be transferred to the surgical ward tomorrow...
=Your job is finished...


<22>
=Your job is now finished...

=I suck...
=All I did was make Mr. Miyamura feel even worse...

=I...
=Come closer,//Thou art beautiful.
=Please, just stop it okay!!

=Hah-hah-hah—//The more headstrong they are, the better it gets—!!

=I'm livin' the life! Yeehaw—!!
VROO—M


<23>
CLACK
=Ms. Akagi...

=Oh...
=Dr. Saito

=Thanks for yesterday,
=You really helped me out.
CLACK

=You heading home?
=Oh wait, you've still got your gown on...
CLACK

=Ms. Akagi...

=Wha...?
=Hey...


<24>
=And...?
=You're just going to say goodbye to Mr. Miyamura like that...?

[x2]SHAKE

=Then there's only one thing you can do!

=Have Mr. Miyamura file for a transfer immediately...
=Transfer him to another hospital with better doctors...!!