Saijô no Meii 20

Saijou no Meii – chapter 20
By phichan, to be used exclusively by Trinity Bakuma

Page 80

Title: Hero

Page 81

Ryuuma: You want to treat my son?!

Ryuuma: Keep talking bullshit and I won’t let you off easy, punk!

Ryuuma: Because of my son’s intestinal malrotation, his intestines got constricted and they had to remove the small intestine.

Ryuuma: Now he only has 20 cm of small intestine.


Duodenum |
Stomach |
20cm | Same as left diagram, without
Small intestine | the “20cm”
Large intestine |

Kazuma’s small intestine Normal Small intestine


Ryuuma: So don’t…
Mikoto: I know about it.

Mikoto: That’s why he’s unable to naturally absorb the nutrients he needs and has to stay in the hospital to get nutrients intravenously.

Page 82

Ryuuma: Hpmh. If you know all that, then why would you bring it up?

Ryuuma: Although the small intestine will expand as a result of malnutrition, it almost never lengthens itself.


Duodenum stomach
Small intestine
Doesn’t Large intestine
Lengthen X Expands


Ryuuma: No matter how great a surgeon you are, you can’t make something short get longer without transplanting!

Mikoto: I know, but…
Ryuuma: Oh, I get it now.

Ryuuma: You were thinking of trying all too popular intestinal transplant, huh?

Ryuuma: Well I thought about that too.

Page 83

Ryuuma: But you know what? Of all the organs, the small intestines are one of the most prone to rejection after transplantation. Only 50% live for more than five years after the transplant.

Ryuuma: So I’ve decided not to transplant…
Mikoto: I wasn’t going to transplant.

Ryuuma: You dumbass! I said I’m not going to…

Ryuuma: Wait. Then what were you planning to do?
Mikoto: Lengthen the small intestines.

Mikoto: I’m going to cut apart the small intestines and reconnect them to make them longer!

Ryuuma: What do you mean?!
Mikoto: I’ll show you.

Page 84

Mikoto: First, take this piece of paper
Mikoto: And roll it into a cylinder and pretend it’s the 20 cm of small intestines.

Mikoto: In reaction to being so short, it naturally expands itself in order to absorb more nutrients.

Mikoto: At this point, we cut it lengthwise.
Mikoto: And reconnect them end to end…
Mikoto: And without transplanting, we can greatly increase the length of his intestines.\

Mikoto: This is called a Bianchi procedure.

Mikoto: With a new method that I’ve devised, I can increase it to four to five times the result. Maybe even more.
Ryuuma: Five…five times?!

Page 85

Box: The next day.
Sign: Pediatric Surgery.

Ryuuma: Phew…
Sfx: *sip*

Ryuuma: I couldn’t get any sleep last night ‘cuz of that guy.

Ryuuma: It’s true that if he can do what he says, Kazuma won’t be stuck in the hospital for the rest of his life.

Ryuuma: No, he could probably even live a perfectly normal life.

Ryuuma: But I don’t trust that Saijou guy yet…

Page 86

Ryuuma: Besides, why did he bring it up now?
Sena: Good morning!

Sfx: *glance around*

Sena: Is Dr. Saijou not here yet?
Ryuuma: Hpmh. You didn’t know?

Ryuuma: He’s been working consecutive shifts so he’s off today.

Sena: Th-then I’m trapped with this guy in this desolate room?!
Ryuuma: Kukuku.

Ryuuma: You look nervous.
Ryuuma: But wait til I tell you this.

Page 87

Ryuuma: Last night, Saijou said he would quit this pediatric surgery department.

Ryuuma: There were conditions of course…
Ryuuma: How’s that? Surprised?

Sena: …I see.
Sena: Aw man. Guess we’re moving again.

Ryuuma: What the hell?! Aren’t you the least bit surprised?!
Sena: Uh, not really?

Sena: I mean, there has to be a reason behind it.

Sena: If Dr. Saijou thinks it’s necessary, I’ll follow his decision.
Ryuuma: What the hell…

Page 88

Ryuuma: Who the hell are these people?!

Ryuuma: A guy who’s willing to sacrifice everything he’s worked for for a complete stranger’s son.
Ryuuma: And an idiot who follows his decision without hearing the details.

Ryuuma: What a weird group of people.
Sign: Internal Pediatrics.
Sfx: *knocking*

Ryuuma: Hey, is Metabo here?
*Short for Metabolic Syndrome (overweight) that he’s using as a nickname.
Metabo: Yeah I’m here.
Sign: Internal Pediatrics – Itou Hiroku.

Page 89

Metabo: I’ve gotten a little fatter recently. That nickname suits me more now.
Ryuuma: Seriously?

Ryuuma: I don’t care how fat you get, but don’t let it affect your health.

Ryuuma: You’re my beloved son’s primary physician you know?
Metabo: I know, I know.

Metabo: If I got sick, I’d be scolded out by a scary yet surprisingly indulgent father.
Ryuuma: It’s not that surprising is it?

Ryuuma: Pediatricians, regardless of whether they’re in internal or surgery, all like kids unconditionally.

Ryuuma: For me, it’s to the extant where I almost want to play a masked hero on TV.
Metabo: Whoa!

Metabo: I really can’t picture that.
Ryuuma: Shut the hell up.

Page 90

Sfx *laughing*

Metabo: So, what brings you here today?

Metabo: If you’re here to see Kazuma, he’s studying with a volunteer teacher right now.
Ryuuma: Ahh, the hospital classes.

Ryuuma: It’s nice that teachers volunteer to teach kids who can’t leave the hospital.

Ryuuma: The fact that Kazuma can live here happily and that I can continue working is all thanks to them.

Ryuuma: But that’s not why I’m here. I have something to ask you.
Ryuuma: Last night, a doctor suggested an interesting type of surgery for Kazuma.

Page 91

Ryuuma: I came right away to see what you thought about it.
Metabo: I don’t see a problem with it.
Metabo: Do the surgery.

Ryuuma: But…I haven’t even told you about the surgery…

Ryuuma: Weren’t you the type of internal doctor who hated the simple surgeries?!

Ryuuma: What I was a pediatric surgeon back then, you would always butt heads with me on whether someone needed surgery or not.
Metabo: Yeah, we did didn’t we.

Metabo: But I don’t make judgments based on just the surgery. I also look at the surgeon.
Metabo: It’s my job to leave things in the hands of surgeons I trust.

Metabo: And I believe in Dr. Saijou.
Ryuuma: I see…Well if you say so…

Page 92

Ryuuma: Hm?

Ryuuma: Wait, you knew that it was Saijou who suggested it to me?
Metabo: Of course I did.

Metabo: Dr. Saijou spends his days off with the kids in internal pediatrics.

Metabo: It’s Dr. Saijou that’s teaching today.
Ryuuma: What was that?!

Ryuuma: Isn’t it school teachers that come to teach?!
Metabo: They do.

Metabo: But they can’t come every day, and doctor’s are capable of teaching some things.

Metabo: But Dr. Saijou is the real deal.
Metabo: Apparently he did the same thing while he was in America.

Page 93

Metabo: He gives fun lessons that actual teachers are impressed by.
Ryuuma: I can’t believe it!

Ryuuma: Kazuma would talk about a funny bugman doctor teaching his lessons.

Ryuuma: It must’ve been that guy.

Ryuuma: Which means, I’ve been mistreating the man who’s been helping my son the most.

Ryuuma: Hey, Itou.

Ryuuma: Why did he wait until now to bring up the surgery?

Ryuuma: If it’s such a great idea, he should’ve mentioned it sooner…
Metabo: It wouldn’t have mattered.

Page 94

Metabo: It’s only just recently that Kazuma’s intestines have expanded enough for the surgery.

Ryuuma: So that’s why…!

Ryuuma: Honestly, I had doubted him.
Ryuuma: I thought that he only brought up the surgery in order to win me over and save the department.

Ryuuma: Damnit! I’m such an idiot! How could I be so dense?

Ryuuma: When did I become such a twisted doctor that I couldn’t see other people’s virtues?
Kazuma: Ah! Daddy!

Page 95

Kazuma: I didn’t know you were coming today.
Ryuuma: Kazuma.

Kazuma: I wanna show you the bugman doctor that’s been teaching me stuff!
Kazuma: He’s right…

Kazuma: Huh? Where’d he go?

Kazuma: He was here a second ago.

Page 96

Ryuuma: You know what, Kazuma?

Ryuuma: I bet he doesn’t want to see me.

Kazuma: Eh? Why?

Ryuuma: Isn’t it obvious?

Ryuuma: The bugman doctor

Ryuuma: Doesn’t seek the gratitude of others.
Ryuuma: Saijou, I will entrust you with my son’s surgery.

Page 97

Ryuuma: So please make it a success.
Ryuuma: He’s a hero just for kids.
Kazuma: Okay.