Saijô no Meii 15

*******For use in Trinity BAKumA scanlations ONLY*******

p168:

[A few days after the ethics council meeting]

Ayame: So, finally, the operation is the day after tomorrow.

Sena: Right.

Sena: Speaking of which, we got through that council inquiry pretty well.

Sena: Especially since ethics approvals require unanimous agreement of the

members.

Sena: After all that, I thought the assoc. director would reject us

outright...

Ayame: No way that'll happen.

p169:

[World's first NOTES]

Ayame: To be able to do a cutting-edge procedure like NOTES is a pretty

big deal...

Ayame: Along with chairman Taira, most of the council members would want

the operation to go ahead, as long as there's parental consent.

Ayame: As long as that consent has been given, there's no way that power-

hungry bastard would go as far as rejecting the application and go against

the chairman and the other members.

Sena: I see...

Ayame: And, brother probably thinks there's a big chance that we won't

succeed.

Ayame: Since NOTES is just endoscopic procedure... with Mikoto's skill,

chances are in our favor...

Ayame: However, in this case, that won't be the end of the matter.

Sena: ...What do you mean...?

p170:

Sena: You mean because of the difficult angle of approach from the

stomach?

Ayame: Exactly.

Ayame: The stomach, unlike the vagina, is difficult to sterilize. On top

of that, even if you empty it by asking the patient to fast pre-op,

Ayame: you won't be able to stop gastric secretions.

Ayame: If you open a hole in the stomach, there is the danger of those

gastric secretions infiltrating the peritoneum, causing peritonitis*.

* See chp 13.

Ayame: Even if we circumvent that from happening, and there's no

peritonitis...

Ayame: My brother will go around spreading rumours of what a risky

operation it is.

NOTE: There are individual differences in the amount of gastric

secretions, and furthermore infiltration of the peritoneum by these

secretions doesn't mean peritonitis will absolutely occur. However,

clinically, such does not constitute a successful operation.

Sena: Oh no, what'll we do?

Ayame: Don't ask ME...!!!

p171:

Ayame: As I was saying, NOTES through the stomach is a world-first, no one

can forsee what'll go wrong. That's why Mrs. Sawa was so worried,

right...?

Ayame: ???

Ayame: Oh yeah, Mikoto! How on earth did you persuade the mother?

Ayame: We never got to hear the end of that story?

Mikoto: [Damn.]

Mikoto: You've found me out.

Ayame: Huh? Found out?

Ayame: What are you talking about? How can you hide these things from us?

Sena: That's right!

Mikoto: Well~~~, if I tell the truth, both of you will definitely get

angry at me...

Ayame: Wha? Me? Get angry?

p172:

Ayame: No way man!

Sena: I won't get angry either!

Ayame: Thanks to you, I was able to see my brother make a fool of himself

for the first time in my life!

[PFFFFF]
[CRACK!]

Ayame: I am actually full of gratitude! Hehehe.

Sena: ... so he's grateful for THAT...

Mikoto: Is that so...

Mikoto: Alright, I'll give you a hint.

Mikoto: I copied Werner Forssman.

Ayame: Werner...

Ayame: Oh, the famous...

Sena: ?

p173:

Ayame: That would mean that you...

Ayame: You damn idiot!!

Mikoto: Upff...
[WHACK!!]

Sena: ...he... hit him!?

Sena: What are you doing all of a sudden, Dr. Ayame?

Sena: You just said that you wouldn't get angry...

Ayame: I'm NOT ANGRY!

Ayame: It's just...

Ayame: I'm quite upset!!

Sena: Whaaaa!?

Sena: How's that different from being angry?

p174:

Ayame: Hey you, so you were okay with that?

Mikoto: Of course.

Ayame: Well, in THAT case, alright.

Ayame: But if you pull something like this again, I definitely won't

forgive you!

Mikoto: .......

Sena: Are you alright, Dr. Saijou!?

Mikoto: Yeah...

Sena: Even so, Dr. Ayame... that was just too much!

Sena: I don't really understand, but to suddenly use violence...

Mikoto: It's alright.

p175:

Mikoto: It's because, even so, Ayame has a good heart...

Sena: ?

Sena: Haa...

Yamada: Oh, it's Sena. Long time no see.

Sena: Yamada...

Yamada: Dr. Saijou is amazing, as usual.

Yamada: Tomorrow you're doing NOTES through the stomach, right? A world-

first...

Sena: Yeah... you heard, huh.

Yamada: Of course.

p176:

Yamada: Right now, the whole hospital is talking about it.

Yamada: A world-first... that means along with chairman Taira and all the

big-shots, every junior doctor who has time to spare will come and stand

in.

Sena: Oh... is that so...

Yamada: What's up with you? You don't seem very excited.

Yamada: Even if you're just assisting, to be part of a world-first

operation should be a really big deal for any surgeon.
[I'm so jealous]

Sena: Oh, it's not that big a deal...

Sena: Yamada, to be honest...

Yamada: ?

p177:

Yamada: What? Dr. Ayame and Dr. Saijou had a fight!?

Sena: Yeah...

Sena: Because of that, we haven't even had the chance to discuss the

specifics of how to insert the endoscope through the stomach...

Yamada: Right...

Yamada: So then, you're saying that it's quite possible for the operation

to go terribly wrong, right in front of the entire audience....

Sena: Y..yeah...

Yamada: Well then, it's you're job to make sure that those two reconcile

with each other!

Yamada: From what you're saying, Dr. Saijou didn't seem to mind, even

though he was punched in the face...
Why don't you find out why Dr. Ayame got so angry, then get him to cool

off?

Sena: .........
[He's right!]

p178:

Sena: I got it. Thanks, Yamada.

Sena: I'll go and try to persuade Dr. Ayame.

Yamada: That's right. You go do that.

Yamada: Good luck!

Sena: Thanks!

[Cardiovascular Surgery]

Sena: Is this it...? Is Dr. Ayame here...?
(Click)

p179:

Sena: There he is! Dr. Ayame!

Sena: Teehee! He's sitting there reading a book about NOTES.

Sena: So he is seriously thinking about it.

Sena: I don't know why he got so upset before, but if that's the case,

it'll be fine.

[tap tap]
Sena: Doctor.

Ayame: Oh it's you. What do you want?

Sena: Oh, um...

p180:

Sena: I thought, well, tomorrow's the big day, so maybe.. um.. the three

of us could get together and um... discuss the operative procedures...

Ayame: NO WAY.
From now on, I'll be taking care of work here in cardiothoracic surgery.

Ayame: To talk to 'that' bastard is a waste of my time.

Sena: 'That' bastard...?!

Sena: Dr. Ayame called Dr. Saijou 'that bastard'...

Ayame: Anyhow, I'll leave time free just before the operation so it'll be

alr...

p181:

Ayame: Wh.. wh.. WHAT are you doing!?

Ayame: Hey! Don't cry! Oi!
[Uuu... Waaaah~~~]

[Whisper whisper]

Ayame: O..Okay, I get what you want to say! But there are other people

here...

Sena: Oh... you're so mean... and to think that I trusted you so...
[Wah~~~]

[Whisper whisper]

Sena: UWAAAAH~~~~~
[Waa waa]

Ayame: AARRGH! Alright alright, just get OUT!

p182:

Ayame: Man! Honestly, what the hell are you?!

Sena: Well, since you, Dr. Ayame, think badly of Dr. Saijou...
[hic.. hic..]

Ayame: It can't be helped!

Ayame: Hey, have you not heard of Werner Forssmann?
[He's a Nobel laureate, y'kno]

Sena: ...I tried searching that name on the net... but nothing came up...
[hic.. hic..]

Ayame: Man, you probably typed in Berner, didn't you?

Sena: Huh?

Ayame: It's Werner.

Ayame: Werner Forssmann, the German physician.

p183:

Ayame: Back in 1929... at a time when there was hardly any technology

around, he put himself under local anesthetic and inserted a catheter into

his own arm.

Ayame: Not knowing when the catheter might pierce a vein... he risked his

own life and was able to pass a catheter into his own heart.

Sena: Oh wow...

Sena: So Dr. Saijou did what he did...

Sena: ...!?

Sena: You don't mean he actually...!?

Ayame: Exactly.

Ayame: That idiot actually went ahead and put himself under local

anesthetic without telling us, and put a hole in his own stomach with an

endoscope.

Ayame: In other words...

p184:

Ayame: Without giving us a chance to even think about anything, that

bastard had already figured out the safest way to open a hole in the

stomach.
[It would be weird if the mother didn't give consent after that]

Sena: ........

Sena: ........

Sena: I'm not sure if I can forgive him...

Ayame: See?

Ayame: I mean, it was pretty immature for me to go and punch him, but dude, at least discuss things with us first, y' know?

Sena: That's right!

Sena: I won't forgive you, Saijou~~~~~~!!!

Ayame: ......I can't forgive you either!
[For crying out aloud in my department!]

Mikoto: That's why I didn't want to say anything...

[The moral of the story: Always discuss things with your colleagues first!]