Saijô no Meii 18

Saijou no Meii – chapter 18
By phichan, to be used exclusively by Trinity Bakuma

Page 40

Title: What can’t be fixed.

Page 41

Sena: Hello, everyone.
Sena: My name is Sena Maria. A resident.
Sena: If you’re wondering why I’m introducing myself, it’s because…

Sena: I’ve been reborn!

Doctor: Whoa.
Doctor: That girl is really pretty.
Doctor: Do you know who that is?
Doctor: No…
Sena: Fufufu, no one even recognizes me…

Page 42

Sena: Until now, I was useless and kind of dumb,
Sfx: *glistening*
Sena: But from now on, I’ll be a female doctor worthy of being the face of the revived pediatrics department.

Sena: Maybe I can get Dr. Saijou to notice me too…
Mikoto: Good morning
Kid: Good morning, doctor!
Sena: Ah.
Sena: Good morning, Dr. Saijou!

Mikoto: Good morning Sena-san.

Sena: But this guy is pretty dense.

Sena: What do I do if he doesn’t notice at all?!
Sena: Fufufu, let’s do our best today—
Mikoto: Ahh!

Mikoto: Sena-san…are you wearing make-up?
Sena: Yay! He noticed!

Page 44

Mikoto: Yea, you look really cool!
Sena: Wow! I’m so happy I could die!

Sena: Are you off to take a nap, Dr. Saijou?
Mikoto: Yea.

Mikoto: I had a lot of patients last night and didn’t get any sleep.
Sfx: *Yawn*

Sena: So while we were eating last night, Dr. Saijou was on duty.

Mikoto: Dr. Matsunaka from the emergency department will be with you while I’m gone.
Mikoto: Though at this hour it should just be normal outpatient examinations, so there shouldn’t be any problems.

Mikoto: If something happens, don’t hesitate to wake me up.
Sena: Okay!
Sena: Gotta do my best!

Page 45

Sena: I’m a little nervous since Dr. Saijou isn’t here,
Sena: but I need to take this opportunity to build up experience to become a better doctor!
Sfx: *Hmph!*

Sign: Emergency Department.

Matsu: Hello there, Sena-kun. Happy to be working with you.

Sena: Same here. I look forward to working with you.

Matsu: Hmmm. You have very cute hands.
Sena: Eh?
Sfx: *rubbing*

Matsu: Oh, I’m sorry.
Sfx: *hahaha*

Page 46

Matsu: You’re just exceptionally beautiful today.
Sfx: *smirk*
Sena: Thanks…
Sena: Come to think of it…

Sena: I remembering hearing rumors from the nurses that this guy is actually just a perverted old man…

Matsu: I’m envious of Dr. Saijou for being to work with such a cute girl every day.

Sena: Please…don’t say that…
Sena: What do I do?

Sena: How long are we gonna be alone together…

Sena: Oh yeah! Maybe Dr. Ayame will come visit like he always does!

Page 47

Sena: I have to thank him for last night anyway…
Sfx: *click*

Doctor: This is the cardiovascular department.
Sena: Um… This is Sena from the emergency department.

Sena: Is Dr. Ayame available?
Doctor: Oh, Dr. Ayame is operating right now.

Sena: …I see.
Sena: Of course. Dr. Ayame has his own work.

Matsu: Hey, Sena-kun.

Matsu: Since there won’t be any patients any time soon, shall I show you the basics of an emergency examination?
Sena: Eh?!

Sena: No, that’s quite alright.
Matsu: No need to be shy.

Page 48

Matsu: Why don’t you lay down right there.
Sena: What?!

Sena: Yes! This is the ER!
Receptionist: This is the front desk.
Matsu: Tch.

Receptionist: There’s a child here who says his stomach started hurting on his way to school.

Receptionist: Shall I send him to you?
Sena: Yes please!

Sena: We have a patient, Dr. Matsunaka!
Matsu: I see.

Page 49

Matsu: So…how do you feel now?

Boy: Umm…it feels better now, but my stomach hurts and I feel like throwing up.

Sena: Nakajima Tetsuya, 12 years old. Sudden stomach pain and fever, nausea…

Sena: He looks a little pale, but he came here on his own and isn’t covering his stomach in pain.

Sena: It doesn’t look too serious from the outside.
Matsu: Okay, we’ll get x-rays and blood tests.

Matsu: And Sena-san, ready the ultrasound.

Page 50

Matsu: Hmm, it looks like some bacteria got into the gastro-intestinal tract and is causing inflammation.

Matsu: Bacterial gastroenteritis. Basically, your stomach has the flu.
Boy: The flu?

Matsu: I’ll get you some medicine, so you can go home once that IV runs out.
Boy: …okay.
Sena: Gastroenteritis…?

Sena: Hey, Tetsuya-kun. Could I feel your stomach too?
Boy: Um…okay.

Sena: Does it hurt here?
Boy: Yeah.

Sena: I knew it.

Sena: Dr. Matsunaka, a word…

Page 51

Sena: Dr. Matsunaka, isn’t there a chance that he has appendicitis?

Sena: His stomach is pretty swollen for gastroenteritis, and his blood test came back with a CRP of 2.4…That’s a little high.
Matsu: Hahahaha.

Matsu: Please, you’re just a resident. Yet you have a problem with my diagnosis?

Sena: That’s not…
Matsu: Well, whatever.

Matsu: Did you actually see the ultrasound?

Matsu: If it was appendicitis, the appendix would be swollen and easily visible, but Tetsuya’s appendix was perfectly normal.


Appendix
\
\

A typical ultrasound showing appendicitis.


Appendix
\
\

Tetsuya-kun’s ultrasound.

Page 52

Matsu: Do you intend open up a child’s stomach in his condition?
Matsu: I couldn’t take responsibility if something happened.

Matsu: Not to mention he said he was starting to feel better.

Matsu: We can’t afford to get so involved with every patient with a minor illness.
Sena: Yes, but…
Sena: What…what would Dr. Saijou do in this situation?

Sena: He has always had the kindness and courage to stand up for his patients…
Sena: Then, how about this.

Sena: We can at least admit him for observation.
Sena: And if it turns out to be nothing…

Page 53

Sena: I’ll let you teach me those basics of emergency examination. Just the two of us.
Sfx: *gulp*

Sign: On-call room. (The sign literally says “nap room”, but I’m pretty sure it’s the Japanese equivalent of an “on-call room”.)

Sfx: *yawn*
Mikoto: That was a good nap.
Mikoto: I didn’t get any calls. Did everything go okay?

Ayame: Hey, Mikoto!
Ayame: Sena’s in trouble!
Mikoto: Ayame…

Page 54

Mikoto: What trouble?
Ayame: Just come with me!

Ayame: One of Sena’s patients’ had a sudden change in their condition.
Mikoto: A sudden change?
Mikoto: Why?

Ayame: I’ve been in surgery and a nurse just told me, so I don’t know the details, but…

Ayame: While you were sleeping, a patient came in with a perforating appendicitis.

Mikoto: Perforating…so the appendix ruptured and made a hole?
Ayame: Exactly.

Ayame: Normally, appendicitis just means an inflammation of the appendix, but perforating is different.
(the author’s * at the bottom is just explaining what perforation means, so I just melded it into the dialogue)

Page 55

Ayame: When the appendix ruptures, pus spills into the abdomen, so it doesn’t looked swollen on the ultrasound.

Appendicitis

Ruptures
l
V
Perforated Appendicitis Typical appendix.

<-- Pus spills out
O – As shown in diagram above, if the pus spills out, the swelling goes down and looks like a normal appendix.

Ayame: When the pus spills out, the pain goes away and you think you’re okay.

Ayame: It’s easily misdiagnosed as bacterial gastroenteritis, but it’s a big problem.

Ayame: Since his condition changed so suddenly, it must’ve caused peritonitis. If we don’t take care of the pus, there’s a chance that abscesses will form in his pelvis.
Mikoto: Yeah.

Sign: Operating.

Mikoto: Dr. Matsunaka!

Page 56

Matsu: So you came, hotshot.

Matsu: Did you get a good rest?

Mikoto: Yeah. How about the patient?

Sfx: *point*

Matsu: He’s fine.

Matsu: It’s all thanks to your disciple.

Matsu: She’s one hell of a woman.

Matsu: I completely misdiagnosed it, yet she literally put herself on the line to stop me.

Page 57

Matsu: How in the world did you raise her to be like that?
Mikoto: Hehe. I didn’t do anything.

Mikoto: She just has the potential.
Matsu: Maybe.

Matsu: I bet she’ll become an amazing doctor.

Matsu: Just like you.

Ayame: Huh. So she held out her own.

Mikoto: Where is Sena-san?
Matsu: Dunno. Bathroom maybe?

Matsu: Well, next time you see her, tell her I was impressed.
Mikoto: Okay.

Page 58

Matsu: Just one more thing.

Matsu: During surgery, you have to match up with the lead surgeon.

Matsu: If she keeps assisting at your pace, I’ll never catch up.
Mikoto: I’ll be sure to tell her that.

Sena: Oh man…

Mikoto: Hey, Sena-san!
Sfx: *surprised*

Sena: Don’t come any closer! Don’t look at me!

Sena: My make-up got all messed up during surgery!
Mikoto: What are you talking about?

Page 59

Mikoto: This is the prettiest I’ve ever seen you.

Mikoto: Right Ayame?
Ayame: If that’s what you say.

Sena: Waa~~~nnh, Dr. Saijou~~~
Sfx: *sobbing*

Sign: Emergency Department.
Ayame: It seems recently,
Ayame: that Dr. Matsunaka has gotten pretty amazing.

Page 60

Ayame: The nurses say he’s taken more interest in patients and has become a better doctor overall, like he’s a different person.
Sena: I know.

Sena: He said I reminded him of his old self when he had more passion.

Sena: I didn’t really do anything, but I’m really happy about it.
Ayame: Heh.

Ayame: Thanks to Mikoto, now even the girl he’s nurtured has started to affect others.

Ayame: Like an infinite tree diagram.

Ayame: Oh, by the way.

Page 61

Ayame: Why did you stop wearing make-up?

Ayame: Was it because it gets messed up?
Sena: Well no…I just realized something from that incident.

Sena: You know how…
Ayame: Oh, I get it.

Sena: Even without make-up I’m so pretty…
Ayame: No matter how much she grows as a doctor…

Ayame: You can’t fix stupidity.
Sena: I wouldn’t want to get so pretty that everyone falls for me <3
Sena: You be careful too, Dr. Ayame.