phichan Releaseshttps://mangahelpers.com/t/phichan/rss2010-10-17T07:22:47+00:00/favicon.icoMangaHelpers Adminsadmin@mangahelpers.comhttps://mangahelpers.com/t/phichan/releases/25428Translation: Saijô no Meii 272010-10-17T07:22:47+00:00phichanadmin@mangahelpers.comSaijou no Meii – chapter 27 By phichan, to be used exclusively by Trinity Bakuma
Page 39
Chapter 27 – Ties of Obligation
Page 40
Sena: That’s a nice looking clinic.
Sena: Is this postcard from Dr. Haga? Mikoto: Yup.
Mikoto: He wanted us to know that he opened up a place in his hometown. Sena: Cool. Can I read it?
Sena: Let’s see…Dear Saijou Mikoto, Postcard: I found a great looking place to start a clinic, so I went ahead and rented it.
Page 41
Postcard: I was able to hire a wonderful nurse, and we are frantically preparing for our grand opening.
Haga: Isn’t she pretty? Though she doesn’t stand up to Toujou Meiko-chan. Mikoto: Haha.
Postcard: PS: Opening my own place means there are no ties of obligation, and it feels pretty nice. Sena: Wow. Miyabi: I’m glad he’s happy about how it all turned out. Ayame: Yeah.
Ayame: In the end, he was tied to his University like everyone else. This is for the best.
Mikoto: Hey Ayame. Mikoto: I don’t really get what he means by “ties of obligation”.
Ayame: Oh. Ayame: They don’t have that system in America do they.
Page 42
Ayame: It refers to the system in Japan where a medical department becomes a human resources organization, headed by a single professor.
Ayame: For example, let’s say there’s a Prof. A at Tokyo University.
Ayame: Prof. A not only is able to dispatch doctors to affiliated hospitals, but he actually also has the authority to send them to other various hospitals.
Ayame: He was talking about being stuck in that system.
Mikoto: How are they able to do that? Mikoto: The other hospitals are other hospitals right? Ayame: True, but…
Page 43
Ayame: Since all doctors are unique in their skill and experience, if left to their own devices, they would all want to work in the city. The rural areas wouldn’t have enough doctors.
Ayame: So the professors from various universities got together and decided that it was better for everyone if they evaluated their employees and dispersed them accordingly, to some extent forcefully. Mikoto: Hmm.
Mikoto: So, Dr. Shindou dispatches his workers too? Ayame: However
Ayame: This system has a glaring flaw.
Mikoto: A flaw? Ayame: Yeah.
Ayame: If this were a perfect world, the professors would all be unbiased in their decisions, but in the end they’re only human.
Ayame: The bad ones will abuse their power and send anyone they don’t like to waste away in the middle of nowhere.
Page 44
Ayame: Academic harassment, power harassment, sexual harassment…you name it and there’s probably a professor doing it.
Academic Harassment – Things like taking your employees papers for your own Bad Doctor: This paper is mine, right?
Power Harassment – Verbally and emotionally abusing your workers. Bad doctor: You’re the worst piece of trash I’ve ever seen!
Sexual Harassment – Using your authority to extort sexual favors. Bad doctor: You and me, tonight?
Mikoto: I wonder which one Dr. Shindou is. Shindou: I wouldn’t do any of those things!
Mikoto: So everyone is competing to get that kind of power? Ayame: Of course they are.
Ayame: And if it was only that, then it’d just be like any other company, employees looking to climb up the ladder. Ayame: But for doctors, it isn’t just vertical they climb, but also horizontal. Even the departments compete with each other within a hospital.
Page 45
Ayame: This is one reason why everyone hates you here.
Ayame: Let’s pretend this Heisei Central Hospital is a private hospital of equal scale called Alpha University Hospital.
Ayame: In Alpha hospital, the gynecology, pediatric surgery and orthopedic surgery departments are made up mostly of doctors from KO University.
Orthopedics Pediatric surgery Gynecology
Ayame: And the gastrointestinal surgery, neurology and cardiovascular surgery departments are made up mostly of doctors from TO university.
Cardiovascular surgery Neurology Gastrointestinal surgery
Ayame: The plastic surgery department was mostly KO University, but due to a certain incident the torch was passed from KO to HO, then from HO to TO university. At which point, doctors are brought in from different hospitals.
Plastic surgery
Ayame: And that’s how, even within a hospital, the balance of power can affect from which hospitals doctors are brought in from. As a result, there are constant struggles for power that are constantly changing the balance.
Page 46
Ayame: It’d be like if you took workers from Toyota, Nissan and Honda and put them to work in the same factory. They would be constantly competing with each other.
Ayame: That’s why faction forming is very common.
Ayame: Every department in every hospital wants to increase the number of posts they can dispatch to, so there isn’t much socializing between different university doctors. Mikoto: I see.
Mikoto: But what does that have to do with me being hated? Ayame: Everyone is scared of you.
Ayame: The primary powers of this hospital are Teiou University, lead by my brother, and Saihama University, lead by the Director. The departments from those hospitals are constantly fighting for hegemony.
Ayame: You came here by the recommendation of Prof. Shindou of Saihama right?
Page 47
Ayame: Everyone from Teiou sees you as Saihama’s secret weapon, no matter your actual intentions. Mikoto: What?!
Mikoto: That’s not my intention at all… Ayame: It’s not your fault.
Ayame: A normal hospital has enough competition as it is, but this hospital also has the “best doctor” privilege.
Ayame: If someone from Saihama or Teiou were to come out on top Ayame: It’s thought that not just he would hold all the power, but also the university he comes from.
Page 48
Ayame: It’s no surprise that someone as skilled and famous as you would be feared and hated.
Mikoto: *sigh* This just got a lot more complicated. Miyabi: No. Miyabi: This is only the beginning.
Miyabi: I’ve worked at several other hospitals.
Miyabi: I’ve seen a university’s entire surgery team get swapped out at a chairman’s single word.
Miyabi: It’s not uncommon that surgery teams from different schools use different procedures and techniques.
Page 49
Miyabi: Suddenly changing the attending physician only hurts the patient. Mikoto: Hmmm.
Mikoto: This is starting to anger me. Miyabi: Good.
Miyabi: Channel that anger into reforming our hospital.
Miyabi: Even if you won’t admit it, everyone else is starting to see you as the “best doctor”.
Miyabi: It seems you were only intent on fixing the lack of pediatric surgeons.
Miyabi: But for your sake,
Miyabi: The patients’ sakes,
Miyabi: And for the sake of all the doctors trapped in this god forsaken system
Page 50
Miyabi: I think it’s time you stepped up and became a leader.
Mikoto: A leader…
Miyabi: But that’s just me.
Sign: The next day Sign: Examination room 32
Page 51
Mikoto: So Mikoto: Your son had a surgery to repair a herniated diaphragm? Mom: Yes.
Mom: Because he was born without half his diaphragm, they immediately inserted a Gore-Tex prosthesis.
A healthy person’s diaphragm
Gore-Tex This patient’s diaphragm
Mom: It’s just, according to him, his stomach has felt taut. Mikoto: I see… Mikoto: Gore-Tex…
Mikoto: Where was that first surgery done? Mom: At a Teiou affiliated hospital.
Mom: But that attending physician got sent out to the countryside.
Mom: And I happened to hear that some amazing doctor has come to this hospital… Mikoto: Hahaha Mikoto: Is that so?
Page 52
Mikoto: We’ll take a closer look his stomach. If you could take him to the ultrasound examination room. Mom: Okay.
Sena: Um…Dr. Saijou. If his stomach feels taut, does that mean… Mikoto: Yeah.
5 years old 0 years old Growth
The body grows, but the Gore-Tex doesn’t. As a result, it becomes taut.
Mikoto: Since Gore-Tex doesn’t grow, it’s become too small for his body.
Mikoto: It doesn’t look too serious yet, but there might be a tear already. We’ll probably have to operate after the tests are done. Sena: I see…
Page 53
Mikoto: What’s wrong? Sena: Oh, nothing! It’s no big deal, but…
Sena: I’ve heard that Teiou and Saihama use different procedures for this surgery.
Sena: At Teiou, they just put in another, bigger piece of Gore-Tex.
Instert a larger piece of Gore-Tex
Sena: At Saihama, they peel off muscle from behind the ribs and use it as a surrogate diaphragm.
Peel muscle from the flank
Turn the muscle into a surrogate diaphragm.
Sena: Both procedures have their pros and cons and are in constant debate.
Teiou’s method: Replacing the Gore-Tex - Pro: The surgery is easy. - Con: Will need more surgeries as the body continues to grow. Saihama’s method: Peel off the flank muscle and use as a surrogate diaphragm. - Pro: As it is muscle, it will grow along with the body. Only one surgery needed. - Con: Since the flank muscle is thinner, when the abdominal pressure increases due to breathing, only the flank muscle expands. Page 53
Sena: Oh, but, Sena: Don’t get me wrong.
Sena: Although I’m from Saihama University, I’m still a resident and not yet interested in departmental competition. I’m okay with either procedure.
Sena: It’s just…no matter which you choose, some people will come to hate you more. Mikoto: I know.
Mikoto: You’re just worried about me. Sena: Yes. Sena: Phew.
Sena: But, there’s still not one more beneficial than the other, even for the patient. Guess he’ll end up alienating one faction or the other… Mikoto: But you know what?
Page 55
Mikoto: I won’t do either procedure.
Mikoto: First, we’ll go through the old incision and make our way around the rib cage to the back.
Enter through the old incision.
Enter the back.
Mikoto: Then, we’ll peel off the back muscle, pull it through the rib cage, and turn it into the diaphragm.
Peel the back muscle.
Pull the back muscle through the rib cage.
Turn the back muscle into a surrogate diaphragm.
Mikoto: Unlike the flank muscles, the back has bones for support so it won’t expand. There shouldn’t be any ill-effects. Sena: He’s right!
Sena: But, if you do that… Mikoto: I don’t care who I make an enemy.
Page 56
Mikoto: I’ve made up my mind.
Mikoto: To make others believe that I’m right,
Mikoto: I’m going to make myself the standard!
https://mangahelpers.com/t/phichan/releases/24735Translation: Saijô no Meii 262010-09-18T12:27:24+00:00phichanadmin@mangahelpers.comSaijou no Meii – chapter 26 By phichan, to be used exclusively by Trinity Bakuma
Page 21
Title: A Kind Person.
Page 22
Miyabi: My name is Koushima Miyabi. I’m an anesthesiologist.
Miyabi: I liked being an anesthesiologist because you weren’t often mixed up with what other doctors were doing, but…
Miyabi: Because of the incident earlier, I’ve gotten myself into big trouble.
Miyabi: I’ve realized one thing from this incident though: nothing good comes from getting into the affairs of others.
Miyabi: The kinder a person is, the more he risks losing.
Page 23
Miyabi: Saijou Mikoto is the perfect example. Mikoto: C’mon, please stop crying.
Sena: But, you were doing everything for the patient, yet…
Sena: You might get torn down by the evil mayor (the Asst. Director) just like the statue from the picture book “The Happy Prince”!
Page 24
Mikoto: What is she talking about? Miyabi: Yes, this is the harsh reality.
Sena: And his friend the sparrow (Ayame) will die from the cold. Mikoto: Um, isn’t that just a fairy tale? Miyabi: Mikoto did the right thing, but in the world of medicine Miyabi: It’s a thin line between life-saving and reckless acts. Miyabi: And there are always people who take advantage of this ambiguity.
Miyabi: As a result, potentially effective treatments would be constantly nitpicked and taken apart, and have been piling up over the years to collect dust.
Page 25
Miyabi: It’s the same for medical errors. There’s no one who can draw a perfect line between the unavoidable errors and the criminally negligent.
Miyabi: Because of that, it is unpredictable whether a court judge will favor or disfavor the doctor.
Miyabi: In other words, medicine is all about interpretation.
Miyabi: There is ample room for politics and evil to intervene. Mikoto: Hey. Mikoto: Where’re you going Miyabi?
Miyabi: Oh, just for a walk. Miyabi: Of course, it’s not just a walk.
Page 26
Miyabi: I wouldn’t normally get involved, but I am partially responsible for this mess.
Miyabi: If that man were to abuse his power as the chairman of the ethics committee and twist the truth on the report…
Miyabi: Then, as someone who witnessed the entire operation, I can’t stay quite. Miyabi: Excuse me.
Miyabi: I have to stand up to this wily, notorious, poker-faced man…!
Miyabi: This is odd…
Page 27
Miyabi: This is beyond poker-face.
Miyabi: He’s like a statue…no, a Haniwa! Miyabi: Um, Asst. Director?
Miyabi: Asst. …
Sadame: Ah.
Sadame: Oh, well if it isn’t Dr. Koushima. Sadame: What can I do for you? Miyabi: Well…
Page 28
Miyabi: It’s about yesterday’s surgery’s incident report… Sadame: Oh, you don’t need to worry about that.
Sadame: Please leave. Miyabi: But, I need to say something… Miyabi: What’s going on?
Miyabi: It’s like he’s lost all of his energy. Sadame: Oh, and another thing.
Sadame: If it’s about Dr. Saijou receiving a commendation from the ethics committee, the answer is no. Miyabi: A commendation?!
Miyabi: What are you talking about? Sadame: Enough talking.
Sadame: Please, just leave me alone for today.
Page 29
Miyabi: What was all that?
Miyabi: And what did he mean by a commendation from the ethics committee? Haga: Oh, Dr. Koushima.
Haga: I suppose I should apologize to you also about yesterday. Miyabi: Dr. Haga…
Miyabi: You’re actually just the person I was looking for.
Miyabi: If you’re even thinking about bending the truth in the incident report… Haga: Ah, yes.
Haga: I suppose I did bend the truth a little.
Page 30
Haga: In Dr. Saijou’s favor.
Haga: Oh, it was brilliant.
Haga: To see the Asst. Director freeze into a Haniwa like that…
Haga: And just for the hell of it, I also recommended that Dr. Saijou get a commendation from the ethics committee. Miyabi: For the hell of it…?
Miyabi: What in the world were you thinking?
Page 31
Miyabi: If you write the incident report in Mikoto’s favor, then your mistake will be made even worse looking.
Haga: True. Haga: Writing that report will end my career as a heart surgeon.
Haga: But more importantly…
Haga: I can stay a doctor.
Page 32
Miyabi: Dr. Haga… Haga: Saijou-kun opened my eyes during that surgery.
Haga: That licenses, colleges and titles don’t make you a doctor.
Haga: It’s your heart.
Miyabi: But… Haga: Aren’t you the same?
Haga: From what I’ve heard, you’re supposed be the lone wolf, mercenary anesthesiologist, scouted by the Director himself.
Haga: And yet here you are, talking up the Asst. Director and me. Miyabi: Well, that’s…
Page 33
Haga: Honestly, I’m very jealous. Maybe if I had friends like you guys when I was younger…
Haga: Dr. Koushima, please tell Dr. Saijou for me.
Haga: That his righteousness has gotten through to me.
Sign: Pediatric surgery. Sena: Dr. Ayame!
Sena: Is it true that Dr. Haga is leaving this hospital?! Ayame: Yeah…
Page 34
Ayame: Apparently, he’s quitting heart surgery and moving back to the little town where he’s from and opening a small cardiovascular medicine practice.
Ayame: Really… Ayame: He’s such an idiot.
Ayame: It takes so long to refine the technique for heart surgery, and now he’s thrown it all away.
Ayame: Well, that loser probably wouldn’t have gotten any better anyway. At least he was able to show off one last time. Sena: Hold on…
Sena: That’s enough, Dr Ayame!
Page 35
Sena: You don’t have to go that far! Sena: Dr. Haga ended up doing the right thing!
Page 36
Miyabi: Hey, Sena-san.
Miyabi: It’s about this picture book. Sena: Yes?
Miyabi: It’s true that in the end, the prince’s statue gets torn down and the sparrow dies. Miyabi: But, in the very, very end…
Miyabi: Don’t the prince and the sparrow get taken to heaven?
Sena: Oh…!
Page 37
Sena: That’s right…
Miyabi: My name is Koushima Miyabi. I’m an anesthesiologist.
Miyabi: I’ve come to realize something from all this.
Page 38
Miyabi: Kind people don’t always lose everything.
Miyabi: Eventually, they gain something important and irreplaceable. https://mangahelpers.com/t/phichan/releases/24256Translation: Saijô no Meii Omake 12010-08-26T11:34:39+00:00phichanadmin@mangahelpers.comSaijou no Meii – Volume 4 Omake (cover) + Table of Contents By phichan, to be used exclusively by Trinity Bakuma
K: This is rather sudden, but we can only have three Omakes in this volume K: It’s a page issue. Hat: That…really is sudden.
Hat: Oh well. It’s gonna hurt the “Real-life Accounts of Pediatric Surgeons” section though. Hat: Since it takes up a lot of pages. K: I know, which is why it’s been decided that we’ll do real-life accounts of a different sort.
K: It’ll be called “Hashiguchi’s Real-life Account of Quitting Smoking”!! Hat: Quitting Smoking?!
K: It’ll be a way for you to inform our young readers of the toxins and other dangers of cigarettes through your abstinence from smoking. Sfx: *swipe*
K: So, you are now prohibited from smoking. Hat: Are you serious?!
Table of contents
Chapter 25 – The Happy Prince Chapter 26 – A Kind Person Chapter 27 – The Obligations of Medicine Chapter 28 – The Mystery of Life Chapter 29 – Conventional Wisdom Chapter 30 – What isn’t perfect Chapter 31 – Mikoto’s Weakness Chapter 32 – Mikoto’s Illness Chapter 33 – My Own Rule Chapter 34 – The Skilled Newcomer https://mangahelpers.com/t/phichan/releases/24086Translation: Saijô no Meii 252010-08-16T05:17:23+00:00phichanadmin@mangahelpers.comSaijou no Meii – Chapter 25 By phichan – for exclusive use by Trinity Bakuma
Page 3
Chapter 25 – The Happy Prince
Page 4
Sign: Pediatric Surgery
Ryuuma: Hey, I remember this.
Sena: A picture book?
Sena: Oh, isn’t that “The Happy Prince”? Ryuuma: Yeah.
Ryuuma: I read this to Kazuma a few years ago.
Ryuuma: I found it while I was sorting my things. Sena: Fufufu.
Page 5
Sena: I liked that story too.
Sena: If I remember right, it’s about a statue of a happy prince that helps the town’s poor and sick.
Sena: The prince’s statue asks a sparrow to take his sapphire eyes and gold leaf to the people in need…
Sena: And in the end, the statue gets torn down because it lost all its beauty. Ryuuma: That’s right.
Ryuuma: It’s a sad but moving tale…
Page 6
Ryuuma: It reminds me of Saijou… Sena: Huh?
Ryuuma: The happy prince.
Ryuuma: Saijou is always saving people, no matter what the cost.
Sena: You’re right!
Sena: He’s so cool! That’s what a doctor should be! Ryuuma: True…
Ryuuma: But, I’m a little worried.
Page 7
Ryuuma: Just like how the happy prince’s statue gets taken down because it loses all its jewels and gold leaf…
Ryuuma: Saijou may end up losing something really important.
Ryuuma: Doesn’t it feel that way?
Haga: Are you crazy?!
Haga: How can you not care if you lose your medical license?!
Page 8
Haga: Besides! I’m the one who messed up the surgery! Haga: Why would you… Saijou: It’s okay.
Saijou: I’m doing this for myself, not anyone else.
Ayame: …(sigh).
Ayame: Alright Mikoto, I’ll assist you.
Ayame: Here’s what we’ll do.
Ayame: First, we’ll administer heparin into the patient, then you and I will stick an indwelling needle into the aorta and the pulmonary artery respectively.
Pulmonary artery Aorta
Pull out Blood flow External needle Internal needle
O – The indwelling needle is used for IV drips. There is an internal needle (a hard needle) inside an external needle (a soft tube). Once inserted into a blood vessel, you pull out the internal needle, leaving behind the external needle.
Page 9
Ayame: Once they’re inserted, I’ll hold onto both of the needles so they don’t pop out while you pull out the internal needle from the one in the aorta and connect the tube.
*The two hands holding the needles both say “Ayame”. The hand(s) holding the tube says “Mikoto”
Ayame: Then you’ll do the same with the one in the pulmonary artery to secure the blood flow.
Ayame: Lastly, you’ll suture in the needles so they don’t pop out on their own.
Ayame: Okay? Mikoto: Yeah.
Ayame: Still, this is way easier said than done. You can’t imagine the kind of blood spurt that’ll come when you pull out the needle from the aorta.
Ayame: So Miyabi… Miyabi: I know.
Miyabi: I don’t particularly like this plan either, but there’s no other choice.
Page 10
Miyabi: I’ll do my best to keep the patient stabilized when the time comes. Ayame: Good.
Mikoto: Let’s start.
Mikoto: Inserting the indwelling needle into the aorta.
Mikoto: Insertion complete. Saijou: Ayame!
Ayame: Insertion into the pulmonary artery complete.
Ayame: We’re running out of time, Mikoto! Ayame: I’ve got the needles. Just pull them out and connect the tube! Saijou: Okay.
Page 11
Sfx: *heart thumping*
Ayame: Once that needle comes out, it’s gonna be a geyser of blood.
Ayame: It all comes down to how fast Mikoto can connect the tubes.
Saijou: Here I go!
Page 12
Sfx: *Woosh*
Sign: Pediatric Surgery.
Ryuuma: What’d you say?!
Ryuuma: There was trouble? Sena: Yes.
Page 13
Sena: I just heard this from a nurse. Dr. Ayame is gathering clinical engineers to setup a heart-lung machine.
Ryuuma: Are you serious?
Ryuuma: A heart-lung machine during a pulmonary atresia surgery means big trouble!
Ryuuma: I hope it all goes okay… Saijou: We’re back! Ayame: Yo. Miyabi: Hello.
Sena: You’re all back?! Ryuuma: Hey! You guys!
Ryuuma: We heard something went wrong! Is everything okay?! Saijou: Yeah.
Page 14
Saijou: There was a mishap during the surgery, but it all ended okay.
Saijou: Right, Ayame? Ayame: Indeed.
Ayame: Thanks to Mikoto, we were able to buy enough time to attach the heart-lung machine. The patient is fine.
Ayame: In the end, we were able to connect the artificial blood vessel and complete the original purpose of the surgery. Sfx: *phew* Ryuuma: That’s good…
Ayame: But, no matter how well the patient does…
Ayame: There’s no telling what’ll happen to us.
Page 15
Ryuuma: I see…
Ryuuma: So because Mikoto thought that setting up the heart-lung machine would take too long, Ryuuma: You guys thought it necessary to first connect the aorta and the pulmonary artery? Ayame: That’s pretty much it.
Ayame: If we hadn’t done that, that kid would’ve definitely lost brain function from lack of oxygen. Miyabi: Exactly.
Miyabi: As an anesthesiologist, I agree with them on that point.
Miyabi: Even looking back on it now, there were no other options. I can say with certainty that it was the only way.
Page 16
Miyabi: It was the only way, but… Sena: But what?
Sena: You guys saved the patient. Shouldn’t you be getting praised for it? Ayame: That’s not how it works.
Ayame: It was a success so I can’t imagine we’d lose our licenses for it, but it doesn’t change the fact that it was an unorthodox procedure.
Ayame: It’s anyone’s guess as to how the ethics committee will react once they see the incident report.
Sena: It’s not that big a deal if it gets reported is it?
Sena: Dr. Haga was the one who screwed up, Dr. Saijou did nothing wrong. Ayame: Now listen closely…
Ayame: Do you know who writes the incident reports? Sena: No…
Page 17
Ayame: The lead surgeon does!
Ayame: In this case, Haga does.
Sena: But, if he lies about anything someone will notice… Ayame: Maybe.
Ayame: But at the very least he can downplay his own mistakes.
Ayame: “I accidentally nicked the arterial duct, but it wasn’t that serious of a problem. Rather, Dr. Saijou’s actions were more dangerous.”
Ayame: …is something he could write. Sena: But that’s…
Sena: Wait, hold on a second!
Page 18
Sena: The ethics committee should be able to see through that kind of incident report! Ayame: Ideally, yes.
Ayame: But normally, the ethics committee chair is held by the hospital’s Asst. Director. Sena: Normally?
Sena: Then, you’re saying… Ayame: Yeah, that’s what I’m saying.
Ayame: This hospital’s ethics committee chairman is my brother.
Ayame: He now holds enough power to get rid of Mikoto and the rest of us.
Page 19
Sign: Asst. Director’s Office.
Haga: I am very sorry. Haga: I can’t even begin to apologize for my carelessness. Haga: It was all my fault.
Haga: I was too preoccupied with Saijou and attempted a surgery I wasn’t prepared for. Haga: Of course I’ll accept whatever punishement… Brother: Dr. Haga.
Brother: I don’t know what you’re talking about. Haga: Huh?
Brother: If we punished every doctor that accidentally cut one or two blood vessels, we wouldn’t have any surgeons left in Japan.
Haga: But, that’s not… Brother: While it’s true that the one you cut was particularly bad,
Page 20
Brother: The ones who really need to be punished are the one who performed a dangerous life-saving measure just to show off their skills.
Brother: Well, at the very least…
Brother: It would be in your best interest to write that in the incident report.
Brother: But that’s just my opinion. Sfx: *glare* Haga: What is he saying…?! https://mangahelpers.com/t/phichan/releases/22722Translation: Saijô no Meii Omake 32010-06-04T04:12:06+00:00phichanadmin@mangahelpers.comSaijou no Meii - vol3 Omake By phichan To be used exclusively by Trinity Bakuma
Page 180
Omake <3 *A continuation from the 5 panels on the front cover.
Afro: Hello, everyone.
Afro: This is Irie Kenzou. For some reason, I’ve been brought out to show you how amazing real pediatric surgeons really are. K: Enough with the introduction, just get on with it. Hat: Yeah, yeah!
Page 181
Hat: I gotta draw up 9 pages of this you know!
Afro: Then let’s begin!
Afro: As far as surgeons in the field of pediatrics go, this is the man we have to mention.
Afro: He is Dr. Iwanaka Tadashi, a professor of Tokyo University, and he is also the supervisor for our medical content.
Afro: There are numerous things about Dr. Iwanaka we could talk about, but first we’ll talk about his amazing surgery speed.
Page 182
Afro: One day, when we were interviewing him for ideas… K: Um, I have a question for you Dr. Iwanaka. Iwanaka: What is it?
K: You said earlier that a normal doctor could take up to two hours on an adrenal gland tumor removal, right?
K: So isn’t Mikoto doing it in forty minutes too fast? Iwanaka: Not at all.
Iwanaka: Since I can do it even faster.
Afro: And so, most of Mikoto’s surgery times are based off of this man’s surgeries.
Page 183
And so, page 93 of the first volume seemed sort of ridiculous as they were based off of this interview. Flashback: Refer to ch2 p21
Afro: So for those readers who are skeptical that people as good as Mikoto exist, there is actually someone even better in real life.
Afro: Also, Dr Iwanaka is very particular about the medicine.
Afro: For example, while interviewing for the ovarian cysts from this volume… Iwanaka: By the way, K-san, Irie-san.
Iwanaka: When Mikoto is pulling the cyst through the stomach, you should have him cut it with a laser rather than draining it out. K: Eh?
Page 184
K: Draining is no good? Iwanaka: Nope.
Iwanaka: The contents of most ovarian cysts have the viscosity close to water so it’s easy to drain, Iwanaka: But sometimes the cyst has mucinous contents, which are thick and syrupy.
Mucinous (syrupy) Most Ovarian Cysts (watery)
Iwanaka: First of all, it’s impossible to tell what the contents of the cyst are before surgery
Iwanaka: so if it happens to be mucinous, you would be unable to drain it because it’s too thick.
It’s too thick to drain! Iwanaka: A surgeon of Mikoto’s caliber would use the laser to prepare for either outcome. K: I see…
Afro: …and that’s why on page 24 of volume 3 Mikoto cuts the cyst with a laser.
Afro: Unfortunately we were unable to fit this explanation into the manga itself, but we’re giving it to you now.
Hat: Wow, Dr. Iwanaka really is amazing. K: Right?
K: What’s more, even though he’s made professor, he still goes to sleep at 12 and wakes up at 5 every day to save children’s lives.
Page 186
K: No matter what time I go to sleep, it’s all I can do to wake up by five in the evening. Hat: That’s pretty amazing too.
Hat: What kind of lifestyle is that?! K: Now, let’s put my sleeping habits aside…
K: In a way, Dr. Iwanaka is the closest real life semblance of Mikoto. Afro: True.
Afro: Then next, we will introduce the man closely resembling Ayame.
Afro: This is Dr. Suzuki Takaaki, a pediatric heart surgeon and professor at the Saitama Medical University, the man whom I think is the closest to Ayame.
Page 187
Afro: This man boasts an attractive face and figure. I wonder if this is what Ayame will look like when he gets older?
Afro: He listens to every question in a calm and collected manner. Afro: And answers in a cool voice.
Afro: For example, when we were interviewing for this last chapter…
K: I see. So he would directly connect the aorta and the pulmonary artery with an IV tube.
Afro: But, Dr. Suzuki, if he chose to use such a high risk life-saving technique, wouldn’t he later be criticized for it? Suzuki: Most likely, but…
Suzuki: It’s what I would do.
Page 188
Afro: And so, Dr. Suzuki Takaaki’s true power… Hat: Hold up a sec, you guys.
Hat: We only have a few panels left. Afro: Oh really?
Afro: Then, we’ll put the setup here. Hat: Think about the page distribution!
Hat: What about the punch line?! Afro: Hell if I know! Sfx: *various hitting/punching sounds
K: And as you can see, not only are the doctors we interview amazing, but our writer and artist are amazing as well. K: They're fighting (lol). Sfx: *BAM*
Sfx: *more fighting sfx* K: So I ask our readers to watch over us with open hearts <3
Text: Volume 4 is amazing too! We’ll see you there! https://mangahelpers.com/t/phichan/releases/22555Translation: Saijô no Meii 242010-05-28T04:30:27+00:00phichanadmin@mangahelpers.comSaijou no Meii – ch24 By phichan
To be used exclusively by Trinity Bakuma
Page 159
Title: Primary and secondary.
Page 160
Ryoma: kukuku Ryoma: So Saijou is gonna dress like a girl so he can observe?
Ryoma: That’s gotta suck for him. Sena: Yeah.
Sena: I do feel bad for putting through this, but… Sena: I just have this really bad feeling…
Ryoma: Well it’s not surprising.
Ryoma: Among pediatric surgeries, pulmonary atresia isn’t an especially difficult one to fix, but… Ryoma: The littlest mistake can turn into a huge problem fast. There are a lot of cases that end up that way.
Page 161
Sena: Mistakes? Ryoma: Yeah.
Ryoma: Do you know what pulmonary atresia is? Sena: Yes.
Sena: In a healthy heart, the blood circulates like this.
From the upper body To the rest of the body To the lung To the rest of the body From the lung To the lung From the lung From the lower body.
A healthy heart
Sena: A heart with a pulmonary atresia has its pulmonary valve closed. Instead a hole forms between the atriums for the blood to flow through.
Hole (how the blood flows through)
Closed off (pulmonary valve)
A heart with a pulmonary atresia.
Ryoma: That’s right.
Ryoma: But in that state, no matter how much blood flows through the hole, blood never gets to the lungs. The blood doesn’t get enough oxygen and the child will die.
To the lungs – To the lungs
Closed off Where the blood should flow. Where the patient’s blood is flowing.
Even with a hole opened up, since the pulmonary valve is closed off, blood can’t get to the lungs.
Page 162
Ryoma: It’d all be okay if you have this arterial canal, though. Sena: Right. *Arterial canal.
Sena: With the arterial canal connection, blood can still make it to the lungs.
From the upper body To the rest of the body Arterial canal. To the lung From the lung The Pulmonary Atresia To the lower body. To the lung From the lung From the lower body.
Sena: Unfortunately, this canal naturally closes up soon after birth, so we have to surgically insert an artificial vessel in its place.
Artifical vessel. The arterial canal naturally closes on its own.
The pulmonary atresia.
*Everyone has this arterial canal and it always closes up on its own. For healthy people this isn’t a problem, but people with a pulmonary atresia will die without it. Ryoma: But this arterial canal is narrow and extremely fragile.
Ryoma: In an actual case, one doctor unknowingly severed this arterial canal while peeling away other blood vessels in the vicinity. Sena: Realy?!
Page 163 Sena: If the arterial canal gets severed before the artificial canal is put into place, the blood won’t get to the lungs and get any oxygen…
Sena: That’d be the worst thing that could happen… Ryoma: Hey, hey.
Ryoma: I understand that you’re worried, but there’s no need to be so scared is there?
Ryoma: It’s not like there’s definitely going to be a mistake.
Ryoma: No matter how stupid this guy is, he’s not gonna be stupid enough to cut what he isn’t supposed to cut.
Ayame: If I was cutting, this’d be no problem but…
Ayame: Our lead surgeon is this tool. Sign: (Ayame’s dumbass senior) Chief physician of the cardio-vascular department – Haga Jyunichi *The chief physician is like a chief in a regular company.
Ayame: This douche bag, all he does is show-off and brag about himself even though he has no skills or experience. Miyabi: We have a problem Ayame.
Page 165
Miyabi: Your chief is talking to Mikoto.
Miyabi: If he finds out who she is… Ayame: Nah.
Ayame: It’ll be fine.
Haga: Toujou Meiko-san, is it? What a beautiful name. You’re the first one here to observe my surgery. Meiko: Y-yes…
Haga: Recently, there’s been this upstart pediatric surgeon who apparently got the MSA in America, acting all high-and-mighty.
Haga: You know, pediatric surgeons aren’t even a big deal in America.
Haga: I would know, since I’ve been to Harvard.
Page 166
Miyabi: That guy worked at Harvard? Ayame: No, it was a study abroad.
Haga: I must have performed on at least a thousand bodies…
Miyabi: A thousand is an impressive amount. Ayame: They were all on mice.
Ayame: You know how it goes.
Ayame: People who use their connections with their university medical department to study abroad, but all they do is practice on mice. Miyabi: Ah yes, those people.
Miyabi: They have no skills or know any English, so all they can do is practice on mice. Sfx: *Hahahaha Ayame: Yeah, that’s this guy.
Ayame: All he’s ever done is cut up mice, but when he comes back to Japan he starts bragging to everyone. Haga: I’m sure there will be much to learn from observing a top notch surgery by an adult heart surgeon.
Page 167
Haga: You appear to be quite the beauty, but you can’t become a great surgeon like me with looks alone. Ayame: The only good thing about him is he’s too much of an idiot to be so close to Mikoto and not realize it’s him.
Haga: Oh, and Dr. Ayame. Ayame: yes.
Ayame: What is it? Haga: Well, it’s not a big deal, but…
Haga: There’s only one observer so far, so maybe we should wait a little longer. Ayame: This dumbass…
Ayame: Did he really think he’d get observers for this surgery? Ayame: Listen, Dr. Haga.
Page 168
Ayame: All we’re doing for this surgery is implanting an artificial canal in place of the arterial canal that will close up on its own. We’re only cutting through two thirds of the pericardium.
Artifical canal Arterial canal
2/3 incision
Pericardium.
Ayame: It’s one of the simplest of pediatric surgeries and is hardly anything new.
Ayame: So one observer is enough. Haga: That’s where you’re wrong.
Haga: When that Saijou person operated, I heard that many people came to observe, even though it wasn’t an especially new procedure.
Haga: I bet he was just so jealous of my skills that he pressured the young doctors to come watch. Haga: He’s such a deceitful man. Sfx: *shake Ayame: Miyabi, can I please punch this guy? Miyabi: Hold it in.
Page 169
Haga: We will now begin the operation on a one month old with a pulmonary atresia. Haga: Hmph. In the end, only one observer came.
Haga: Oh well. Haga: Scalpel.
Haga: Even if it’s just one person, at least someone is learning from my abilities.
Page 170
Haga: I’ll show her just how amazing a cardiovascular surgeon really is!
Haga: Cutting through the middle of the chest. Haga: Removing the right thymus.
Haga: Debakey forceps. Miyabi: Hmm. He’s quicker than I thought.
Miyabi: Despite his loudmouth and idiocy, could he actually have above average skills?
Haga: Beginning severing of the brachiocephalic trunk.
brachiocephalic trunk
Pericardium.
* The bottom diagram is a view of the heart without the pericardium. The brachiocephalic trunk is circled. In the diagram there are gaps between the blood vessels, but in actuality there aren’t any. When performing surgery, it is necessary to peel them apart.
Miyabi: No, he’s just trying to show off by speeding through. He’s not being careful at all.
Haga: Hand me the electric scalpel. Ayame: Heh, his speed as surpassed his actual skills.
Page 171
Ayame: When it comes to surgery, it’s more important to do everything properly and carefully, rather than quickly. But this guy…
Ayame: Hm? Ayame: What’s that?
Ayame: There’s something…
Ayame: Wait a second, Dr. Haga.
Haga: Finished peeling away the brachiocephalic trunk.
Ayame: I said wait a second! Haga: Shut up!
Haga: The surgery is going well. Ayame: Like hell it is!
Ayame: Look! There’s a major bleed! Sfx: *glub*
Page 172
Haga: Oh that.
Haga: While I was peeling away the brachiocephalic trunk, I had to cut an abnormal blood vessel. It doesn’t go anywhere important.
Abnormal blood vessel. Aorta Pulmonary artery.
Haga: An abnormal heart like this is bound to have extraneous blood vessels like this.
Haga: Anyways, I’m binding them with a ligature now, so be quiet. Ayame: Listen to me!
Ayame: It’s true that extraneous blood vessels aren’t surprising for a heart like this, but… Ayame: What you just cut…
Ayame: Was probably the second arterial canal!
Page 173
Haga: The second arterial canal?! Ayame: Yeah!
Ayame: Some children have two arterial canals, but the one on the right (the person’s right, the diagram’s left) is hard to find before you open the person up.
From the upper body To the body To the body Hard to find To the lung The Pulmonary Atresia From the lung
* Not only is the right arterial canal rare, but when it does exist it gets hidden behind the lung on images (x-rays, sonogram, etc.) so it is extremely hard to find during examinations.
Ayame: You don’t even know about that?! Haga: I-I do know about that!
Haga: But, even if that’s what I cut, if I connect the artificial canal right away… Miyabi: This isn’t good, Ayame.
Miyabi: I started transfusion and administered phenylephrine, but the oxygen is still dropping!
Miyabi: It looks like he did cut the arterial canal. Ayame: Shit! Haga: Now, everyone calm down.
Page 174
Haga: I told you, since there are two, if the other one can hold… Ayame: Are you fucking serious?!
Ayame: That’s sometimes the case, but since the oxygen saturation is still dropping, the one you cut must have been the primary canal and while the other one is the secondary canal!
From the upper body To the body Secondary To the body Primary To the lung The Pulmonary Atresia From the lung
Ayame: The secondary canal hardly does anything! Haga: No way…
Haga: This can’t be happening…
Page 175
Haga: I, I didn’t know. It’s not my fault…
Haga: Do something about this. Ayame: Useless piece of shit.
Ayame: But now’s not the time worry about him. Ayame: Get a heart-lung machine ASAP!
Ayame: And call for any clinical engineers to get in here! Doctor: Okay!
Ayame: Miyabi, have you given him prostaglandin?! Miyabi: I did!
Ayame: Good, then lower his body temperature as low as you can and… Miyabi: Already on it!
Page 176
Miyabi: I’ve lowered the room temperature and am preparing ice packs and cooled down transfusions.
Miyabi: You don’t need to worry about my end. You just concentrate on your part. Ayame: Thanks! Ayame: Thank god he’s reliable!
Ayame: But no matter how good he is…
Ayame: It’ll take at least fifteen minutes to setup and attach the heart-lung machine.
Ayame: Even if we do save his life, the lack of oxygen will affect his brain. Ayame: Cutting the pericardium!
Ayame: poor thing…
Page 177
Ayame: He’s just a little baby…
Ayame: Damn! Ayame: What would…
Ayame: What would Mikoto… Ayame: What would he do?
Ayame: That’s right! Mikoto! Ayame: What’s he doing?!
Ayame: With his help, maybe we can do this quicker… Mikoto: It’s no use Ayame.
Page 178
Mikoto: We won’t make it in time with that. Ayame: Mikoto!
Haga: Mi-Mikoto…?
Haga: Is that Saijou Mikoto?! Haga: What did he…
Ayame: What do you mean we won’t make it? Do you have another idea? Mikoto: Yeah.
Mikoto: I prepared these while I was putting on my gown.
Mikoto: We’ll stick these right into the heart! Ayame: Two indwelling needles and…an IV tube…
Ayame: Wait! Are you thinking…!
Page 179
Ayame: Are you thinking of sticking them into the aorta and the pulmonary artery to act as the arterial canal?!
Mistakenly severed (ligatured to stop the bleeding) Aorta Pulmonary artery
IV tube
Sfx: *nod*
Ayame: Are you serious?! That’ll cause a major bleed! Mikoto: If we attach the tube right away, we can avoid enough bleeding.
Mikoto: Right now, getting oxygen into the blood is more important than some bleeding. Ayame: But…
Ayame: Are you sure, Mikoto?! If you mess up, you could lose your medical license! Miyabi: He’s right Mikoto.
Miyabi: Even if you succeed, who knows what repercussions there’ll be. Mikoto: But I can’t just let him die.
Page 181
Mikoto: There’s this one doctor whom I respect the most.
Mikoto: He sacrificed everything to save a child.
Mikoto: I don’t care if I lose my license.
Mikoto: I’m still a doctor.
https://mangahelpers.com/t/phichan/releases/20357Translation: Saijô no Meii 202010-03-02T01:23:42+00:00phichanadmin@mangahelpers.comSaijou 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. https://mangahelpers.com/t/phichan/releases/20275Translation: Saijô no Meii 192010-02-26T23:02:14+00:00phichanadmin@mangahelpers.comSaijou no Meii – chapter 19 By phichan, to be used exclusively by Trinity Bakuma
Page 62
Title: A Strange Sort of Doctor
Page 63
Box: Heisei committee meeting.
Doctor: Well then. We are all in agreement that we will revive the pediatrics department in the Heisei Central Hospital.
Doctor: Right, Mr. Chairman? Taira: Yes. Brother: Hold on a second.
Doctor: Associate Director…was there something you wanted to add? Brother: Indeed.
Brother: After seeing that man’s abilities, I am in full support for reviving the pediatrics department, but… Brother: Hpmh. I’m actually against it.
Page 64
Brother: No matter how good a doctor he is, the more patients that pediatrics gets the more money we’ll lose. Brother: I was just wondering who will be chief of the department.
Brother: Of course Dr. Saijou is one possibility, but… Brother: If he becomes chief, he will be laden down with administrative work on top of surgery.
Brother: It would be a great loss for this hospital if a genius such as he were to burn out from all that extra work. Doctor: I see.
Doctor: But, is there anyone else qualified for the position? Doctor: All the pediatric surgeons have been abolished from this hospital, so there isn’t anyone else as experienced…
Brother: No, there is one.
Brother: He transferred to respiratory surgery and currently has nothing to do with pediatrics, but he does have experience.
Page 65
Brother: The former Asst. Chief of the pediatrics department, Dr. Sakamoto Ryuuma.
Sign: Emergency Department.
Sena: We did it, Dr. Saijou!
Sena: The committee has officially revived the pediatrics department. Mikoto: Yup.
Mikoto: We have our own room now, so let’s get ready to move. Sena: Hehe. Just leave the heavy lifting to me! Ayame: Hpmh! Ayame: Sheesh.
Page 66
Ayame: Don’t get too happy. Ayame: Though pediatrics is back, Mikoto isn’t the chief.
Ayame: I’m sure my brother has something to do with that. Sakamoto Ryuuma? I bet he’s some no good doctor. Sena: Aww…
Sena: It’s true, I haven’t heard anything about this doctor…
Mikoto: Apparently, he used to be a great doctor, worthy of his name, but… TL note: She is referring to Japanese historical icon, Sakamoto Ryoma.
Sena: After the pediatrics department got dismantled, his son has been hospitalized for his condition. Now he’s become a strange sort of doctor. Mikoto: His son…
Mikoto: Do you mean Sakamoto Kazuma? Sena: Oh? You already knew?
Sena: His son has some condition that can’t be fixed through surgery, so he’s been under the care of internal pediatrics*. * The internal medicine for children.
Page 67
Sena: As expected, you’ve been checking up on the children in internal pediatrics while you’ve been working in the ER.
Sena: Ehehe, I guess I wasn’t much use after all. Ayame: …I thought you said you could handle all the heavy lifting…
Page 68
Sena: But I’m so happy now!
Sena: Up until now, we were only borrowing space from the emergency department, so our examinations and our desks were in the same room.
Sena: But now we have this room all to ourselves!
Sena: We can do examinations in another room, and our desks can be filled with our own stuff rather than medicines! Sfx: *lala~~* Ayame: That’s not something to be so amazed over.
Ayame: Well, whatever. Since we’re done moving, I’m gonna head back to my department.
Page 69
Ayame: Later. Mikoto: See you later, Ayame. Sena: Thank you so much!
Sena: By the way, is that desk for Dr. Sakamoto? Mikoto: I would imagine so. Mikoto: No one else should have one.
Sena: It looks old, but kept very clean.
Sena: Maybe it’s because he just moved, but there doesn’t seem to be any personal items on it. Ryuuma: It’s not that I don’t put any on, sweetheart.
Sena: I’m the resident… Ryuuma: I already know you guys’ names. Ryuuma: No need for introductions.
Ryuuma: And as long as I’m the chief here, you’ll need to follow two rules.
Sena: Two rules…? Ryuuma: Yeah. Simple right? Just two.
Page 71
Ryuuma: First, don’t disobey me.
Ryuuma: And second…
Ryuuma: Don’t ever, disobey me.
Page 72
Sena: What the hell is his problem?! Sfx: *whispering*
Sena: “Don’t ever, disobey me” Sena: What a jerk! Sena: Rawr!
Sena: I get why everyone calls him strange. Sfx: *whispering* Ryuuma: I’m not strange or anything, sweetheart.
Sena: Geh!
Ryuuma: I have pretty good hearing, so I can hear everything you say from over here.
Ryuuma: From now on, no more whispering in this room at all possible. Sena: Wha…!
Page 73
Sena: That’s ridiculous… Sfx: *chair clattering* Ryuuma: I told you not to disobey me.
Ryuuma: In this hospital, the department chiefs are especially powerful. Ryuuma: I could send anyone I want to another hospital if I wanted.
Sena: You like it here, don’t you?
Sfx: *inhale* Sena: Ready, and…
Page 74
Sena: Sakamoto, you jerk!
Echo: jerk, jerk, jerk…
Sena: Phew, that felt good.
Sena: Maybe I’ll do another one. Ayame: Hey now…
Ayame: No matter how deserted this place is, this isn’t the ocean or the top of a mountain. Sena: Dr. Ayame…!
Page 75
Sena: Just the person I wanted to see! Here me out! Sena: That Sakamoto guy… Ayame: I got the jist of what’s going on.
Ayame: This must be a huge disappoint for you guys. Sena: It is!
Sena: Just because he could transfer us wherever, he thinks he can do whatever he wants… Ayame: No…
Ayame: My brother is the one doing what he wants…
Sena: What do you mean? Ayame: You just said that the chief could send you wherever. Ayame: Well, then who can forcefully transfer the chiefs?
Sena: You mean… Ayame: Yeah, my brother and the director himself.
Page 77
Ayame: My brother probably used his power to put pressure on Sakamoto. Sena: E-even so…
Sena: I still can’t forgive Sakamoto!
Sena: Just because he doesn’t want to get transferred doesn’t mean he has to take it out on us… Ayame: Normally, yes.
Ayame: But that guy has a sick son, doesn’t he?
Ayame: Unless he opens up his own practice, he’s not gonna make much money.
Ayame: So if you were going to be sent away with your sick kid, forced to buy a new house in an unknown place…
Page 77
Ayame: What would you do?
Ryuuma: Kazuma…
Ryuuma: I’d do anything for you… Mikoto: Fufufu.
Mikoto: So you do have some personal items. Mikoto: Dr. Sakamoto.
Page 78
Mikoto: You sure put Kazuma’s picture in an elegant frame. Ryuuma: Damn. So you already know about my kid.
Ryuuma: Of course I have more belongings around, Ryuuma: But there’s no reason to bring them here.
Ryuuma: This department is just gonna get trashed soon anyway.
Ryuuma: I’m the Associate Director’s lap dog. Now that you know, you should just leave pediatric surgery. Mikoto: I don’t mind.
Ryuuma: Hpmh. I heard you were stubborn. But I have no intention to stop harassing you…
Ryumma: …wait, what did you say? Mikoto: I don’t mind leaving.
Page 79
Mikoto: But in return, I want you to follow two rules. Ryuuma: What?!
Mikoto: First, let me treat your son.
Mikoto: And second…
Mikoto: You must let me treat your son! https://mangahelpers.com/t/phichan/releases/19894Translation: Saijô no Meii 182010-02-13T03:27:07+00:00phichanadmin@mangahelpers.comSaijou 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. https://mangahelpers.com/t/phichan/releases/19752Translation: Saijô no Meii 162010-02-07T18:46:36+00:00phichanadmin@mangahelpers.comSaijou no Meii – chapter 16 By phichan, to be used exclusively for Trinity Bakuma
Page 4
Title: The Difference in Size
Page 5
Sena: Geez, I was really worried about you Dr. Saijou! Sfx: *punching*
Sena: Even if it’s for the sake of the patient, don’t ever do that again! Sfx: *punching* Mikoto: Sorry! Sorry! Ayame: Hey, come on, Sena.
Ayame: I get how you feel, but I think you should forgive him already. Sena: How can you say that?!
Sena: You hit him too, you know! Ayame: True…but… Sfx: *scratch*
Ayame: I actually held back. Sena: Oops… Sfx: *stinging pain*
Sena: Oh man…I really lost it… Sfx: *cough* Sena: A-anyway, it’s almost time for that important surgery.
Page 6
Sena: Time to refocus ourselves and do our best! Sena: Yea~~! Ayame: …well, I guess that was all an expression of her affection, but…
Ayame: Women are scary, Mikoto. Sena: Yea~~! Mikoto: …yeah. Sfx: *stinging pain*
Sfx: *Bang*
Sfx: *a lot of people are there*
Page 7
Ayame: Wow. Ayame: I’m surprised. Even the observation room is full.
Sena: Of course it is.
Sena: After all, this is the first NOTES procedure done through the stomach. Mikoto: Hehe Mikoto: Everyone really wants to learn. Ayame: I don’t think so.
Ayame: There are some here for other reasons. Brother: Well, if it isn’t Dr. Saijou.
Brother: I heard from the patient’s mother.
Brother: To think you tested on yourself in order find out how to safely pass through the stomach.
Brother: You are indeed the best of the best.
Brother: I was just speaking Chairman Taira up there.
Page 8
Brother: With a doctor of your caliber, we thought it would be okay to revive pediatric surgery.
Mikoto: What? Really? Brother: Of course.
Brother: If this surgery is completed in a proper manner, the Chairman, Director and I will all support it. Brother: We will be happy to revive pediatric surgery.
Brother: I am only here to observe, but… Brother: The rest of you have an important task ahead of you, so give it your all! Mikoto: I will.
Sena: Isn’t that great doctor? We just need to succeed in this surgery. Ayame: Hold on, something isn’t right.
Page 9
Ayame: It’s true that my brother’s initial plan went to hell, and there’s not much he can do at this point, but…
Ayame: I doubt that that conniving man has given up. Sena: You’re over thinking it, Dr. Ayame.
Sena: The more conniving a man is, the more likely he is to change character and take sides with the better man.
Sena: The Associate Director must have realized he couldn’t match up to Dr. Saijou and decided instead to take his side. Ayame: I really wish I could be that idiotically optimistic.
Sena: Hm? Did you say something? Sfx; *turn* Ayame: Nope.
Ayame: I can only pray that you’re prediction is right.
Page 10
Brother: Now, everyone, are we all ready? This is the Associate Director of Heisei Central Hospital, Kiryuu Sadame.
Brother: Today, Dr. Saijou will attempt the first ever NOTES procedure through the stomach.
Brother: And since there are many young doctors at this hospital, most of you probably won’t know what will be going on.
Brother: Hence, I will provide simple commentary on during the surgery, so please don’t worry. Ayame: Bah. He neglected to mention that earlier. Sena: Does it really matter?
Sena: He probably wants to ask us for forgiveness by praising Dr. Saijou during the commentary
Sena: Depending on how well praises us, I might just forgive him. Sfx: *Ahem Ayame: How optimistic can you be?
Page 11
Ayame: I don’t care what you say. There’s no way he would go that far.
Ayame: I’m betting he’s figured out some critical flaw to this surgery that we haven’t realized yet.
Ayame: So I’m sure this commentary is… Mikoto: It’s alright.
Mikoto: Even though it’s a world first, I’ve done it already on myself. There’s no flaw.
Mikoto: So it doesn’t matter what the Associate Director is thinking.
Ayame: …I hope so.
Page 12
Mikoto: Now then, we will begin the extirpation of the ovarian cyst using the NOTES technique.
Mikoto: Inserting the endoscope.
Mikoto: Passing through the esophagus.
Mikoto: Inserting air through the forceps. *Inflating the stomach makes the surgery easier.
Mikoto: Ayame, I’m going to cut open the stomach. Ayame: ‘kay.
Mikoto: Incision complete. Sfx: *whirrrr*
Mikoto: Once we’re through the stomach wall, inflate the SAND balloon. Ayame: Got it.
Page 13
Sfx: *inflate*
Sfx: *Whoa* Brother: Amazing.
Brother: I imagine most of you already figured it out, but as soon as Dr. Saijou passed the endoscope through the stomach wall he inflated the balloons. O – Like in the picture below, you attach a rubber tube called an S-tube, and then inflate two balloons to pinch the stomach wall.
Brother: In doing this, they have prevented any leakage of gastric juices, which could lead to peritonitis.
Brother: By the way, it seems that Dr. Saijou tested the safety of this technique on his own body.
Brother: Although cutting your stomach doesn’t cause too much pain, it still shows his tenacity towards the surgery. Sena: See? He only wants to compliment him. Ayame: You just keep thinking that.
Page 14
Sena: Eehhh~~?! Mikoto: Next, send more air into the abdomen and head down.
Sfx: *whirr* Mikoto: Okay. Now approaching the ovary.
Mikoto: I see the ovarian cyst.
Brother: We have finally reached the ovarian cyst.
Brother: Now we reach the problem of suctioning out the inside of the cyst.
Brother: The hole made in the stomach is about 2 cm, but the ovarian cyst at the very least is 8 cm in diameter, even after removing the healthy ovarian shell.
Proper way to sever. 8 cm
cyst
Actual ovary.
O – Like in the diagram above, the ovarian cyst is normally gouged out from the actual ovary.
Page 15
Brother: So, if you don’t first suction out the inside of the cyst,
The shriveled cyst can be First suction out the inside of the cyst pulled through the hole <-- Shriveled <-- Suction before cutting it out of the ovary.
The cyst is too large Removing the cyst without to pass through the hole <-- X <-- Extraction first suctioning out the contents.
Brother: the cyst will be too large to pull through the stomach wall even after removing it from the ovary.
Brother: However, even if you were to stick a needle into the cyst for suction,
Brother: Some of the contents are guaranteed to spill out as soon as you stick it in.
Brother: I am sure you are all fully aware that spilling the contents of a cyst into the body has the risk of spreading it somewhere else.
Brother: Though I am sure that Dr. Saijou would never do something so dangerous…
Ayame: Oh crap!
Page 16
Ayame: I see. So this is what my brother was after! Sena: What do you mean?
Ayame: Like my brother said, when you extract a cyst using the NOTES technique, you have to first drain the inside of the cyst or else it won’t fit back through the hole.
Ayame: But if you do that, a good amount of tumor cells will definitely spill out into the body Ayame: Planting themselves around the peritoneum, leading to tumors.
Ayame: Of course, it’s not 100% that the spillage will lead to tumors,
Ayame: So there are doctors who don’t think twice about sticking the needle in during a laparoscopy, despite the risks.
Ayame: So we’re pretty screwed if they attack us on those risks we’re taking. Sena: R-really?!
Page 17
Sena: So the Associate Director plans to criticize us in front of all these people on the risks we’re taking? Ayame: Exactly. Mikoto: Removed the cyst from the ovary.
Mikoto: Okay, now we’re taking the cyst to the stomach without breaking it. Ayame: Hey, wait!
Mikoto: You can’t just remove the cyst like that, no matter what my brother says!
Ayame: If we don’t drain the cyst first, it’ll be too big to fit through the hole! Mikoto: Why?
Ayame: What do you mean, why…
Ayame: Don’t tell me he can’t whether the 8 cm cyst is larger than the 2 cm hole?!
Mikoto: Removing the balloons.
Page 18
Mikoto: We’re gonna push the cyst through the stomach. Ayame: Seriously?!
Brother: Oh may, what’s going on here?
Brother: They’re trying to pull the 8 cm cyst through the 2 cm hole.
Stomach )) Cyst As seen from the side.
Brother: The cyst is fully swollen with the fluids inside, so it should be impossible to squeeze it through. Brother: Hmph. You don’t know when to give up, do you?
Brother: Are you getting desperate because of the dangers I pointed out?
Brother: No matter how hard you try, you won’t be able to fit a large thing through a small hole unless you can use magic. Brother: What does Dr. Saijou plan to do?
Brother: Due to the size of the cyst, i…
Page 19
Brother: Iiiiiiiiii?!
Doctor: Iiiiiii? Doctor: What’s an iiiiiiiii?
Brother: Oh, excuse me.
Brother: Un…unbelievable.
Brother: The 8 cm cyst is passing through the 2 cm hole. Brother: Am I seeing things?
Brother: Is this man really a wizard?! Brother: No…of course not…
Doctor: Um…Associate Director?
Page 20
Doctor: We have no idea what’s going on. Doctor: Could you please explain it to us? Doctor: It’d be really helpful. Brother: Yes…of course…
Brother: Not good!
Brother: I can’t explain it to them since I have no idea what’s going on.
Brother: I won’t like it, but I guess I’ll praise him some more to buy some time.
Brother: Even though it’s a surgery that’s never been done before, Dr. Saijou already devised a special technique for it! Brother: But if I don’t start explaining it soon…
Brother: I’ll just be praising him for the rest of the surgery. Brother: Dr. Saijou’s demeanor itself…
Brother: Shows what a great doctor he is… SFX: *whisper whisper* Doctor: Hey, maybe he doesn’t know what’s going on himself. Doctor: Maybe…
Page 21
Brother: Damnit. This is so humiliating.
Mikoto: Okay. Ovarian cyst has been extracted. Brother: You’ll pay for this, Saijou Mikoto…
Brother: I’ll get you back for this for sure. Sfx: *shake with anger* Brother: A-anyway, to all the young doctors… Sfx: *whisper whisper* Mikoto: Surgery complete!
Brother: Let us take after Dr. Saijou and carry the future of Japan’s medicine… Sena: See? He just wanted to compliment him. Ayame: Yeah, whatever.