StarFox Releaseshttps://mangahelpers.com/t/starfox/rss2010-04-25T13:02:01+00:00/favicon.icoMangaHelpers Adminsadmin@mangahelpers.comhttps://mangahelpers.com/t/starfox/releases/21877Translation: Saijô no Meii 232010-04-25T13:02:01+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p142:
[Nap room]
[HAAAAAA~~]
Saijou: Good morning, I'm Mikoto Saijou.
Saijou: The pediatric surgery department has finally been revived, and
I'm normally quite a positive person...
Saijou: But recently, I realized something terrible.
Saijou: I couldn't totally follow what Ayame was saying, but it seems
that I'm not a popular guy in this hospital...
[For inset, see Chapter 22, p139&140]
p143:
Miyabi: fuu..
Saijou: Maybe I should ask that person.
Saijou: Uh, excuse me...
Miyabi: Oh, hello.
Miyabi: Dr. Saijou.
Saijou: ?
p144:
Saijou: Do you know me?
Miyabi: Of course.
Miyabi: There's no one in this hospital who hasn't heard of Mikoto
Saijou.
Saijou: Oh... [Oh dear, it looks like I'm VERY unpopular...]
Miyabi: I'm an anesthetist, Miyabi Koushima... Just call me Miyabi.
Saijou: Alright. Saijou: You can call me Mikoto.
Saijou: Pleased to meet you, Miyabi.
Miyabi: Oh, the pleasure's mine.
Miyabi: To be honest, I've been thinking about you the whole time.
p145:
Miyabi: I'm really happy to finally meet you in person.
Saijou: Huh?
Saijou: So you don't hate me?
Miyabi: ???
Miyabi: Hate you? Why?
Saijou: Errr... well to be honest...
Miyabi: Oh, I see... so it's like that, huh...
Miyabi: Well, putting aside the reason why there's so much conflict... The world of doctors in Japan is quite unique, it's very insular...
p146:
Miyabi: It's not exactly like elementary school, you can't be friends
with all 100 people.
Saijou: AWWWW~~
Saijou: Well, what about 99 people?
Miyabi: Ahaha, you just don't give up, do you Mikoto? You're such a
typical doctor.
Miyabi: I'm not sure about 99 people, but do you really need to worry so
much about those around you?
Miyabi: I've been recruited to this hospital, but whether it's here or
the hospital I was at before, I don't have a single friend.
Saijou: .......
Saijou: So you were REALLY unpopular.
Miyabi: That's right, just like you, bud.
Miyabi: However, there is a saying...
p147:
Miyabi: "Being hated by those one has not met or know is testimony to
one's greatness"
Miyabi: So we must have some great talent that people are jealous of.
[Pediatric Surgery]
Saijou: I'm back.
Sena: Welcome back, doctor.
p148:
Sena: Did you rest well?
Saijou: Oh, Miss Sena, it's good that you're here.
Saijou: Actually, I made a new friend in the corridor...
Sena: [a new friend?!]
Saijou: Let me introduce you, this is Dr. Miyabi Koushima.
Saijou: Dr. Miyabi will do.
Sena: ! [What is this pretty woman...?!]
Sena: [This is bad, this is dangerous!!] Oh, Dr. Miyabi, you're so beautiful...
Sena: Can you give me some tips on how to look gorgeous? [Ohohohoho]
149:
Sena: [I won't lose to you, you old hag!!]
Miyabi: Hmm.
Miyabi: Please excuse us for a second, Mikoto.
Miyabi: Miss Sena, I am a man.
Sena: !!
Sena: Wha...what... oh.. no.. I mean, of course, I already knew that!
Miyabi: Don't overdo it.
Miyabi: I get it quite often.
Sena: I'm sorry...
Saijou: ?
p150:
Saijou: What did you say to Miss Sena?
Miyabi: The magic word.
Miyabi: Don't worry about it.
Saijou: Huh...
Saijou: There are others I'd like you to meet- Dr. Sakamoto, the
department head, but he isn't here right now...
Saijou: And then there's Ayame Kiryuu of cardiovascular surgery...
Miyabi: You're really nice, Mikoto. [fufufu]
Saijou: ..... what do you mean?
p151:
Miyabi: Because you're trying share what's yours with others.
Miyabi: But I think you should be careful.
Miyabi: That side of you may be your gift... but sometimes, kindness brings
misfortune.
Saijou: ...... oh bother.
Miyabi: Exactly, that's why I think it's better not to worry too much
about what goes on around...
Ayame: [GRRRRR~~]
Ayame: Man, Ayame: This really sucks!
p152:
Saijou: ...Ayame. What's the matter? You look pissed off.
Ayame: Oh it's nothing really.
Ayame: I was supposed to be the surgeon in this surgery coming up, and
all of a sudden, they make me assistant.
Saijou: Huh, but why?
Ayame: Well actually... I have a surgery from 9 tomorrow morning in
theater 5. It's a pulmonary artery atresia*. [TL note: Atresia is the congenital absence of a normal opening.
Pulmonary artery is the artery taking deoxygenated blood from the heart
to the lungs.]
Sena: Huh?
Sena: Pulmonary artery atresia... isn't that in newborn babies?!
Ayame: Uh huh.
Ayame: There's this dumbass who's my senior- he went to the director and
nagged him for permission.
Sena: But why, all so sudden?
Sena: I thought our cardiovascular surgery department doesn't do
pediatric cases...
Ayame: That's why I'm telling you, this guy is a real dumbass!
p153:
Ayame: Pediatric surgery's been revived, and Mikoto is qualified to
operate on infant hearts.
Ayame: That idiot is so conscious of Mikoto that he's using this
operation to show off our skills [the cardiovascular surgery department].
Sena: But... a reason like that...
Sena: It's absurd for an adult-heart surgeon to operate on an infant
heart, though maybe not the other way around.
Ayame: My thoughts exactly.
Ayame: There are many cases of medical accidents where surgeons with only
experience in operating on adults have tried to do surgery on children.
Ayame: That's why I was originally scheduled to be the surgeon, and him
as the assistant.
Miyabi: So he got all up himself, and because of your links with Mikoto,
scheduled you as the assistant and himself as the surgeon...
Ayame: That's right.
p154:
Ayame: Uh, so who are you, anyway?
Saijou: Oh, Miyabi is an anesthetist.....
Miyabi: I'm Miyabi Koushima.
Miyabi: Pleased to meet you.
Ayame: Sure. [Miyabi Koushima..... that sounds familiar....]
Ayame: Hey hang on! You're the anesthetist for the operation tomorrow,
aren't you? [I saw your name on the schedule board]
Miyabi: Oh, you noticed?
Miyabi: The director, after being pushed by your superior for permission,
seemed quite worried about this operation.
Miyabi: So the director asked me himself to be in the operation tomorrow.
Saijou: Wow.
Saijou: I knew you must be really good.
Miyabi: You're probably just as good, Mikoto.
Miyabi: But to be honest, I too am worried.
p155:
Miyabi: Of course, I intend to do my job without mistakes...
Miyabi: In pediatric heart surgery, one mistake by the surgeon means
instant death on the operating table... It doesn't matter what the anesthetist does.
Sena: .....
[Dying on the table...]
Sena: Please, can't you do anything, Dr. Ayame?
Sena: Like maybe ask the director to put you back in as the surgeon.....
Ayame: The director probably wants that too.
Ayame: But that dumbass is stubborn, there's no way he'll cooperate.
p156:
Ayame: Let alone skill level, I'm his junior after all, so all the
director could say was to bear it just this once.
Sena: Oh, I see...
Sena: Well, there's a first for everyone right? So I get that even
inexperienced people operate sometimes...
Sena: But something like this has happened before... I have a bad feeling
about this...
Saijou: ...... [Yeah...]
Saijou: Well, how about I stand in on the operation?
Saijou: With Ayame as the assistant, Miyabi as the anesthetist, and with
me watching as well, it'll be okay.
Sena: Erm, in that case, maybe...
Miyabi: Ah, that sounds like a plan.
Miyabi: I also agree. Please stand in.
Ayame: Yeah, that sounds good.
Ayame: However, Mikoto.
p157:
Ayame: If you're going to stand in tomorrow, you can do so on one
condition.
Saijou: ?
[Next day-]
Saijou: Uh, Ayame.
Saijou: Do I really need to look like this, just to stand in?
Saijou: Maybe it's okay for Miyabi, but I'm a little...
Ayame: There's no choice.
Ayame: As I said yesterday, my senior is openly jealous of your talent.
[Inset, refer p152, p153]
p158:
Ayame: If he finds out that you're watching, and starts trying to compete
with you, it'll only help cause an incident.
Ayame: Therefore, just for today...
Ayame: You will be standing in as the mysterious Dr. Meiko Toujou*. [TL note: The kanji for Sai in Saijou's name is 'West', Tou is 'East'.
The kanji for Mikoto and Mei in Meiko are the same.]
Saijou: ...... [Scratch scratch]
Miyabi: I told you so. At times, kindness brings misfortune.
Saijou: ..... [You're the one who asked me to do this...]https://mangahelpers.com/t/starfox/releases/21805Translation: Saijô no Meii 222010-04-22T10:34:34+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p123:
Sakamoto: Without making any excuses, with honest eyes...
Sakamoto: Prepared to accompany Kazuma right down to the depths of hell,
this is the kind of doctor that I trust!
p124:
Sadame: Pffft...
Sakamoto: What's so funny?
Sadame: Oh, excuse me.
Sadame: I'm not making fun of you.
Sadame: In fact, I absolutely agree with what you just said.
Sakamoto: Eh?
Sadame: To be absolutely honest...
Sadame: If I myself were to become sick, I'd want him to be the surgeon.
Sakamoto: Huh? [What the hell is this guy saying...?]
p125:
Sadame: What are you so surprised about?
Sadame: Taking like/dislike out of the equation, there's no mistaking
that he is a top-class surgeon.
Sadame: It's the same in this operation.
Sadame: Dr. Sakamoto, have you caught onto what Saijou is trying to do to
Kazuma?
Sakamoto: Uh, no...
Sakamoto: I still don't get it...
Sadame: Well since I think I get it now, why don't I tell you.
Sadame: Just now, my brother Ayame said that the greater omentum is
firmly adhered to the small bowel....
[From p115 (Chapter 21) Ayame: It's no good, Mikoto!
Ayame: It looks like the greater omentum (the mesentery hanging down from
the stomach and the transverse colon) is too extensively adhered to the
small intestine!
[L to R: mesentery, small intestine, greater omentum, large intestine,
stomach, Diagram of adhesion]
p126:
Sadame: ...and also, Saijou said that the adhesion was mainly on the
opposite side to the mesentery...
[From p118 (Chapter 21)] [Saijou: Since the adhesions on the small bowel opposite the mesentery
are so extensive, I'll split it transversely instead of down the middle!] [L to R: Circle: Transverse cut, X: Cutting through the middle]
Sadame: So just to recap, putting it all together... The greater omentum, connected to the stomach, is basically stuck to the
small intestine.
Sakamoto: Obviously. [Diagram 1(top right): same as on previous page] [Diagram 2(main diagram): From top to bottom, Liver, gall bladder,
stomach, Greater omentum (Large letters+hiragana in the middle), large
bowel (right hand side), small bowel (lower left)]
Sakamoto: That's why he cut transversely, obviously.
Sakamoto: That way they can separate the adhesions as little as possible
and still get away with it.
Sadame: Exactly.
[Diagram: ] [Top 4, L to R: Greater Omentum, Adhesion, Small intestine, Colon] [Left side: Transverse Cut, On either side of curved arrows: Reflect,
Reflect] [Right Side: Midline cut, in between arrows: separate] [Box label: To cut through the middle as shown on the right, all
adhensions need to be removed first. To cut transversely, however, only
partial removal of adhesions is required.]
p127:
Sadame: However, as you were saying, dividing transversely would result
in the part of the small intestine, separate now from its mesentery, from
Sadame: It's because blood vessels have grown in from the greater omentum
through the adhesions.
Sakamoto: !
Sadame: Normally, the formation of adhesions by themselves wouldn't
result in angiogenesis (formation of blood vessels), but if the adhesions
are so extensive that removal is difficult, then that's a different
story...
Sadame: In that case, angiogenesis can occur.
Sadame: That man, most probably...
p128:
Sadame: He's already seen that this adhesion isn't like most adhesions,
he's seen the new blood vessels coming in from the greater omentum. [Diagram: Upper left: Greater Omentum, Bottom left: Normal adhesion
(transparent), Right: Adhesions with penetrating vessels, Bottom right:
Small intestine]
Sakamoto: But how... that's...
Sadame: Well, if you think of all the other things this man's been doing
up till now, it's probably not that surprising.
Sadame: Operations using adhesions in this way have been done before...
Sadame: even though there are only a few cases in the whole world of it
being done in humans.
Sakamoto: ......
Sadame: Oh.
Sadame: I didn't notice till just now...
Sadame: What's really amazing is that there. [What he's wearing on his head]
Sakamoto: ?
p129:
Sakamoto: The surgical loupe... what about it?
Sadame: Remember, he's doing a bowel extension on a 9 year old child.
Sadame: If he didn't need to visualize very fine vessels, why would he be
wearing a loupe?
Sakamoto: !!
Sadame: Actually it's rather odd that Ayame, as first assistant, is not
wearing a loupe in the first place.
Sadame: Normally, since both the surgeon and the assistant should be
viewing the same operating field, unless there's a special reason,
there's no reason for the surgeon to be using the loupe.
Sakamoto: So, you mean that Saijou...
Sadame: Exactly. He foresaw the adhesions forming in this way, and that
he would need to confirm the presence of those vessels himself, right
from the start...
p130:
Sadame: Even with the current medical technology, it is impossible to
vizualize the extent of adhesions before opening up the abdomen...
meaning that he was already anticipating these eventualities.
Sakamoto: What... what a freak...
Sadame: How fortunate...
Sadame: ...for Kazuma, to have met with such a talented surgeon.
Sakamoto: .....
Saijou: OK, let's wash out the abdominal cavity.
Ayame: Yessir.
Sadame: Oh look, it looks like the operation is drawing to an end.
Sadame: Well, it looks like it's time for me to go now...
p131:
[Please stay tuned for the upcoming antics of the Associate Director]
Sakamoto: Wait, just hang on a sec!
Sakamoto: I mean, just what the hell are you, anyway?
Sakamoto: You realize what a genius Saijou is, yet why do you try to get
in his way?
Sadame: Kukuku... well, I'll ask you.
Sadame: Who the hell would try to tear down someone they don't even
recognize?
Sakamoto: !
Sadame: When one understands that they don't have a chance against one's
opponent, they have 2 options...
Sadame: You can train and train, in the hopes of surpassing them...
Sadame: Or to try and pull them off their pedestal!
Sakamoto: Hmph.
p132:
Sakamoto: So let me guess, you're the latter, huh?
Sadame: ...I won't say that you've hit the nail on the head...
Sadame: People are weak... I'm not the only one who believes this...
Sadame: ...especially those who do not have that man's resolve.
Sakamoto: ?
Sadame: Well, whatever. [SNAP!]
Sadame: If you're still thinking of sticking with him, I hope you're
prepared to face the consequences.
Sakamoto: .....
p133:
[A few days later-] [Pediatric Surgery]
Internist: Hmmm, it seems that Kazuma is doing well since the operation.
Internist: I'll wait a little longer, then I'll start getting him to eat
normally again.
Internist: Especially since his small bowel needs a workout in
preparation for Dr. Saijou's next, novel procedure.
Sakamoto: Hey, hey! Don't think you can say things like that then overdo
it!
p134:
Sakamoto: Kazuma isn't a pig like you, you know.
Internist: Hey, I know, I know! [HAHAHAHAHAHA]
Sakamoto: ..... [Hahaha]
Sakamoto: Thank you, Saijou. I don't know how to thank you...
Saijou: No, no, please don't mention it. [Oh]
Saijou: You needn't thank me.
Sakamoto: Oh yeah, I get it.
Sakamoto: Rather than my thanks, you'd rather me work hard for pediatric
surgery, right?
Sakamoto: I don't know when I'll get sent off somewhere else (TL note:
e.g., rural posting. There is an implicit negative connotation. ), but
wherever I go, that won't change a thing!
p135:
Sakamoto: I'll give it my best from now on, believe me!
Saijou: Dr. Sakamoto...
Internist: Oh yeah, Dr. Saijou, there's something I want to ask you.
Internist: It's regarding the novel surgical procedure... [BAM]
Internist: Uh, what are you doing?
Sena: I musn't tell anyone, so it's better that I don't hear about it!
Internist: Huh???
Sena: ~~~~
Ayame: You idiot.
p136:
Ayame: The first operation was a success, so it's okay to talk about the
second one.
Sena: Oh, is that so.
[Teehee] Ayame: I'm sorry, Dr. Itou. She's a bit stupid. [Please ignore her]
Itou: Oh... right.
[Diagram: (Top to bottom) This operation, Planned operation] Itou: Since we ran into some unexpected adhesions, the small intestine
didn't end up looking like as planned...
Itou: Will this affect the next operation in any way?
Saijou: No, not at all.
Saijou: My new procedure involves cutting the small bowel in a zig-zag
fashion, it really doesn't matter whether it's curved or straight... [TL note: This procedure is actually called 'Serial Transverse
Enteroplasty', developed by Heung-Bae Kim's team at Harvard Medical
School (J Pediatr Surg 2003, 38(3):425).]
Itou: Is that so.
Sena: Zi...Zig-zag?
Saijou: That's right.
p137:
Saijou: For example, let's say that this is the bowel.
Saijou: I just make cuts like so...
Saijou: And here we go.
Saijou: I'm not sure exactly how many times, but now it's many times
longer!
Sena: Oh, I see!
Sena: That's amazing! So this is the new procedure!
Sakamoto: Yes, that's right.
p138:
Sakamoto: I was really surprised too, the first time I heard it- but the
small bowel does get fatter after a while, so it's fine to cut it this
thin.
Sakamoto: Cutting with the GIA stapler, you don't even have to suture the
cut ends, so it's much safer. [GIA Stapler (See Chapter 2) can cut and simultaneously seal the cut end
automatically.]
Sakamoto: It's such a brilliant idea, it's only natural to think that
he's no match for... [Sadame: When one understands that they don't have a chance against one's
opponent, they have 2 options...]
Sakamoto: .....
Sena: ?
Sena: Did you say something?
Sakamoto: Well, to be honest, I...
p139:
Ayame: I see, so my brother actually...
Sakamoto: Yeah.
Sakamoto: Maybe he was just trying to provoke me, I don't know...
Sakamoto: but I got the impression that there are many others who don't
think good of Saijou.
Saijou: Hey Ayame, why do people hate me?
Ayame: It's because you're stupid as well.
[Sena: You and I are alike, doctor(heart)]
Ayame: I'm joking.
Ayame: Okay, seriously though, we really need to take this seriously.
p140:
Ayame: Tales of the medical world in Japan have been told through
countless novels and TV shows... that's just how political it is.
Ayame: Let's face it, even if you were to become a professor, medical
faculty get paid less than those doctors who run their own practice, and
it's not like they have a whole lot of power, either.
Ayame: So, why do they fight each other...
Ayame: Do you understand why, Mikoto?
Saijou: .....https://mangahelpers.com/t/starfox/releases/21552Translation: Saijô no Meii 212010-04-13T14:20:50+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p100:
Sadame: Ho, I see, I see.
Sadame: Well, Dr. Sakamoto, you're telling me that you won't be joining
me in getting rid of pediatric surgery?
Sakamoto: Yeah.
Sadame: It's so like you to come and tell me all this yourself.
Sadame: If you hadn't, at least you'd have fooled me for a little
while...
Sakamoto: Well, that's right.
p101:
Sakamoto: But delaying things would only cloud my judgment.
Sakamoto: I've realized that I've been wrong all along.
Sadame: Oh dear.
Sadame: You get involved with Saijou and now this.
Sadame: That guy is a freak, he even went and opened a hole in his own
stomach just to test out an operative procedure.
Sadame: What you see in him, I just don't...
Sakamoto: Of course that is unusual.
Sakamoto: But, what about Werner Forssmann (two 's's and two 'n's plz),
who inserted a catheter into his own heart...
p103:
Sakamoto: Jesse Lazear who deliberately allowed himself to be infected in
order to test whether mosquitoes can transmit yellow fever, and died as a
result...
Sakamoto: Barry Marshall, who drank a petri-dish of Helicobacter pylori
(capital H, italics) to show that can cause gastritis and gastric ulcers
and received the Nobel Prize for it...
Sakamoto: For typhus, Helena Sparrow... Cholera... Max von Pettenkofer... Polio... Jonas Salk... Leprosy... Socrates Lagoudaky... Carrion Disease... Daniel Carrion... And many more, doctors who experimented on themselves in order to save
lives.
Sakamoto: Without such self-sacrificing heroes, modern medicine wouldn't
be where it is today.
Sadame: Kukuku, now that you say it like that...
p104:
Sadame: As you say, there are too many unknowns with any new therapies...
animal experiments alone cannot guarantee safety in most cases.
Sadame: Even the NOTES through the stomach had been tested in pigs, but
pigs' resistance to peritonitis is very different to that of humans. It
wasn't surprising that the medical community hadn't embraced the
procedure yet.
Sadame: Yet this man devised a method using a "Sando" Balloon (TL note: a
Japanese invention, probably meaning "Sandwich" Balloon) and not only
that, went on to prove its safety on himself... a true "hero"...
Sadame: If NOTES gets developed further, that man may go on to become a
Nobel laureate someday.
Sakamoto: .....
Sadame: However, Dr. Sakamoto, I think it'd serve you well to remember
this.
p105:
Sadame: The saying that "The best-doctor falls into hell"!
Sadame: This saying has been around for around 2000 years, and originally
meant, "Even the best doctor is human, and will go to hell because of
his/her greed"...
Sadame: But nowadays, "The better the doctor, the more they will strive
and struggle for the patient, but finally will end up failing"... this is
the cry of the doctors of today.
Sakamoto: ?
Sakamoto: Just what are you getting at?
Sadame: In other words,
Sadame: If you're going to side with that man, I hope you're ready for
the same hell as him!
Sakamoto: .....
p106:
[Pediatric Surgery]
Sena: Oh, wow- that's awesome, Dr. Sakamoto!
Sena: So you really parted ways with the associate director?
Sena: You're too cool, sir! I'm going to stick with you forever!
Sakamoto: Ho, you mean you're going to come with me even if I get exiled
somewhere?
Sena: Teehee, well... that's kinda...
Sakamoto: Hey, I'm just kidding.
Sakamoto: As long as Kazuma gets better, even if I get posted somewhere
else, it'll be alright.
Sakamoto: After this, Saijou, it'll all up to you.
Saijou: Hehe, leave it to me.
Ayame: Right.
p107:
Ayame: So, anyways, since that's taken care of, what's the plan for the
operation?
Ayame: I don't know what you're thinking about with this new procedure,
but somehow you say we can lengthen Kazuma's 20cm long small intestine by
4-5 times?
Saijou: Right. So first, we take the small intestine which has been
getting wider all this time, then double the length using the Bianchi
procedure...
Sena: Oh, I've heard of that too.
Sena: You take the widened small bowel, divide it down the middle, then
join them end to end, right?
[Top to bottom, duodenum, stomach, large bowel, small bowel]
Saijou: Yep.
Ayame: Well, that's correct.
p108:
Ayame: However, in actual fact you must also consider the mesentery,
which supplies blood to the bowel... so to avoid cutting the blood
vessels, you should first part the mesentery of the widened small
bowel...
[Top to bottom, Widened small bowel, Blood vessels, Mesentery]
Ayame: then you need to stretch the mesentery whilst joining the cut ends
of the bowel into an 'S' shape, it's a bit tricky you know.
Sena: Oh...
Sena: On top of it being a difficult procedure...
Sena: In the end you only double the length of the bowel, that's why gut
transplantation is the standard treatment, or so I've heard...
Saijou: Yes, that's why on top of the Bianchi, we use another procedure
to lengthen it 4-5 times.
Saijou: But first, we need to succeed with the Bianchi...
p109:
Saijou: then we wait another 3 months to allow the small bowel to
recover, then do another operation.
[3 months] [Next procedure] [A little while post-surgery, the small bowel will widen again, and in
addition the mesentery will lengthen.]
Sena: Another operation?
Sakamoto: Hold it right there.
Sakamoto: I think your idea for the operation is great, but don't tell
anybody just yet.
Sakamoto: I don't want Kazuma to end up hearing about it and then to get
his hopes up for nothing...
Sakamoto: In any case, if this Bianchi doesn't succeed, then the next
operation won't happen anyway.
Saijou: Understood.
Sena: Awwww~~
Sena: I won't tell anyone, please please tell me~~~~
Ayame: Quit it.
p110:
Ayame: If you can't tell anyone anyway, there's no point in hearing about
it.
Ayame: You'll just have a hard time trying to keep your mouth shut.
Sena: Oh, I see!
Sena: I see your point of view!
Sakamoto: .....
Sakamoto: Definitely shouldn't tell this girl...
Ayame+Saijou: Exactly.
[A few days later]
[Day of the operation]
Saijou: The patient is Kazuma Sakamoto, who is 9 years old. We will be
performing a small bowel extension on him.
p111:
Saijou: Scalpel.
Sakamoto: .....
Sadame: Well well, if it isn't Dr. Sakamoto.
Sadame: Aren't you going to help out with your son's operation?
Sakamoto: No.
Sakamoto: It's not that I think it a taboo to cut my own family, but I'm
just not feeling like it.
p112:
Sakamoto: It's good enough for me to just watch from here.
Sadame: Fufufu, a wise decision.
Sadame: You love your son too much, if you were to harm him in any way,
it would be most terrrible.
Sakamoto: Mind your own business.
Sakamoto: And so what? Why the hell are you here anyway?
Sakamoto: This operation's just a Bianchi, nothing you'd be interested
in.
Sadame: I wonder about that.
Sadame: Bianchi is a well known procedure, but it's so difficult that
only a few surgeons in Japan have actually done it.
Sadame: I think that makes it interesting enough for me to watch? [Though
I see there are other spectators]
p113:
Sakamoto: Hmph, do whatever you want.
Sadame: Well about that, Dr. Sakamoto...
Sadame: I'm a little worried, you know.
Sakamoto: Wha, about what?
Sadame: I'm talking about the best doctor going to hell, of course.
Sakamoto: !?
Sadame: Didn't I tell you? "The better the doctor, the more they will
strive and struggle for the patient, but finally will end up failing".
Sadame: A few days ago, you listed for me the names of a few of these
good doctors... They were fortunate that people still remember their names!
Sadame: Many other good doctors tried brave new approaches to therapy,
but ended up being forgotten.
Sadame: Others have been labeled 'murderer' or 'crazy', and took these
burdens to the grave!
Sadame: So I'm just trying to point out that Saijou, too, won't always be
successful.
Sakamoto: !
Sakamoto: Pfft, what garbage.
Sadame: Oh, you really think so?
Sadame: No matter how perfect you think Saijou is, what happens in
surgery, one can never predict...
Sadame: Take this operation, for example- what about the formation of
adhesions?
p115:
Sadame: In anyone who's been operated on once before, adhesions will form
so that their organs will be stuck together...
Sadame: Even with modern technologies, there's no way of knowing how the
organs are stuck together before you actually open them up!
Sakamoto: .....
Sadame: Kazuma's had a major surgery to remove his small bowel, so
maybe...
Ayame: It's no good, Mikoto!
Ayame: It looks like the greater omentum (the mesentery hanging down from
the stomach and the transverse colon) is too extensively adhered to the
small intestine!
[L to R: mesentery, small intestine, greater omentum, large intestine,
stomach, Diagram of adhesion]
Mikoto: ...Yeah.
Mikoto: It's too bad...
Mikoto: But in this case we'll have to give up on the Bianchi...
Sakamoto: !
p116:
Sadame: Oh, just what I was saying.
Sadame: I understand how you must feel about bowel transplants, with the
high risk of rejection... But any form of small bowel extension, including the Bianchi, is an
extremely difficult task.
Sadame: Sometimes the adhesions are sooooo extensive that operating
itself becomes impossible.
Sakamoto: No... no way...
Sakamoto: So then, Kazuma...
Sadame: It looks like transplantation is the only way now.
Sakamoto: .....
Sadame: It's not too late for you yet, Dr. Sakamoto.
Sadame: If you come back to my side once more...
p117:
Sadame: I can use my contacts to arrange for you the small bowel of a
brain-dead patient who has the lowest risk of rejection for Kazuma, no?
Sakamoto: What the hell...
Sakamoto: Kazuma, what am I supposed to do now...
Sakamoto: Must I betray your savior, Saijou, yet again?
Saijou: Dr. Sakamoto!
Saijou: I want to give up on the Bianchi and try a totally different
approach, please give the guardian's consent!
p118:
Sakamoto: A totally different approach?
Saijou: Since the adhesions on the small bowel opposite the mesentery are
so extensive, I'll split it transversely instead of down the middle!
[L to R: Circle: Transverse cut, X: Cutting through the middle] [* The explanation's useless, it's evident from the picture!]
Sakamoto: What...!!
Sakamoto: That's crazy! If you do that, the part of the gut disconnected
from the mesentery will die off! [L to R: Mesentery, Ischemia]
Sakamoto: Without the mesentery, there'll be no blood flow!?
Saijou: Don't worry! [L to R: Blood supply, No blood flow]
p119:
Saijou: Please trust me!
Sakamoto: .....!
Sadame: Fufufu, what an unexpected place for a decision, eh?
Sakamoto: .....
Sadame: On one hand, you can throw in your lot with Saijou and stake it
all on a mystery procedure without any prior explanation....
Sadame: Or, you come with me and take the plain old bowel transplant.
Sakamoto: ...Alright, I understand.
p120:
Sakamoto: Saijou, I will trust you!
Saijou: Yessir!
Sadame: Fufufu, that's right, that's right, I thought you'd see things my
way...
Sadame: Or not!?
Sadame: But why!?
p121:
Sadame: The bastard hasn't even explained to you the risks and possible
complications of what he's about to do!
Sakamoto: An explanation, huh...
Sakamoto: Well, I'll ask you. Why do YOU explain risks and complications
before a surgery?
Sadame: Hahaha, isn't it obvious?
Sadame: If you don't explain these things beforehand, then something goes
wrong, there'll be trouble, right?
Sakamoto: Is that so...
Sakamoto: In other words, the explanation before the surgery is to get
you, the doctor, out of trouble...
Sakamoto: It has nothing to do with respect for the patient!
Sadame: ....!
p122:
Sakamoto: I understand just how much you want me back, but it's probably
best that you shut your arrogant mouth. [To say that bowel transplant, with a 5-year survival rate of 50% is the
easy, standard way...]
Sadame: But I... I...
Sakamoto: I've said it before, haven't I? The more one worries about
these things, the more it clouds one's resolve!
Sakamoto: What's important is how far he's willing to go for Kazuma, not
some silly explanation.
Sakamoto: Without making any excuses, with honest eyes...
Sakamoto: Prepared to accompany Kazuma right down to the depths of hell,
this is the kind of doctor that I trust!https://mangahelpers.com/t/starfox/releases/20087Translation: Saijô no Meii 172010-02-20T13:52:19+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p24:
Sena: [EEEEEH?!]
Sena: So you mean, that time, Dr. Saijou...
Sena: He spilt the contents of the cyst in the stomach!?
Ayame: Yep.
Ayame: Cyst diameter: 8 cm... the gastric incision being only 2cm, you'd
think that there's no way for it to pass through...
Ayame: but Mikoto, as soon as he started pulling the cyst through the
incision, made an incision in the cyst itself using the laser.
p25:
Ayame: So as you pull on the cyst, its contents would get queezed out
like toothpaste...
Ayame: and the cyst is through in no time.
Sena: Oh, I see.
Sena: But won't there be a risk of the cyst cells metastasizing if you
release them within the body like that?
Sena: Considering that...
Ayame: Even if it's within the body, if it's the stomach, it's fine.
Ayame: The internal lining of the stomach, unlike other parts of the
body's interior, is made of ectoderm, so tumor cells can't attach to it.
* All organs and tissue of the human body are composed of either
ectoderm, mesoderm and endoderm. Parts composed of ectoderm (such as
skin, esophagus, and stomach lining) can not be infiltrated by tumor
cells by simple contact. Cancers or tumors do occur in the ectoderm, but
occur by different reasons, not through external contact.
p26:
Ayame: Well, I'm sure there are a lot of interns who don't know this.
Sena: Eheheh...
Sena: The Assoc. Director didn't seem like he knew either.
Ayame: No, my brother knew about it.
Ayame: However, though he knew about it, he didn't realize it at the
time.
Sadame: Sto..sto..stomach..!?
Ayame: Perhaps because it took Mikoto only a split second to open the
hole in the tumor...
Ayame: or rather, since it was a world-first operation, he probably
couldn't imagine anyone going to such lengths to care for the patient's
best interests.
Sena: .....
Ayame: In other words, THAT is the difference in their attitudes towards
the patient.
Ayame: It was because Mikoto was looking out for the patient's best
interests to the very end...
p27:
Ayame: that he was able to far surpass my brother's imaginations.
Sena: .... Looking out for the patient's best interests to the very end, huh...
Sena: Dr. Saijou sure is amazing...
[508: Sewa, Nasuka] [Ahahaha]
Mikoto: You're laughing too much. [Ahahaha]
Nasuka: But, it's so fun being with you, Dr. Saijou.
Mikoto: But, even though we didn't open you up, an operation is an
operation.
p28:
Nasuka: You should at least rest yourself today.
Nasuka: Hmph.
Nasuka: .....
Nasuka: Erm... Dr. Saijou...
Nasuka: Since one of my ovaries was operated on, does that mean it'll be
harder for me to have kids?
Mikoto: Not at all.
[Tumor] [Operation (Arrow)] [Recovery (Arrow)] Mikoto: Ovaries are kinda strange organs... as long as you leave a
healthy part, it regenerates back to its original form.
Mikoto: So, not really...
Nasuka: Oh, I was soooo worried...!
p29:
Nasuka: Err... since I want to be an actress, I haven't really thought
about having children till now...
Nasuka: ...but... I've kinda got a crush on this guy all of a sudden...
Mikoto: Oh really? Mikoto: Looks like she's in puberty.
Mikoto: You don't have to worry! I'm sure you'll be able to have a cute
baby, Nasuka-san!
Nasuka: You really think so!?
Mikoto: Yeah...
Nasuka: Okay then, Dr. Saijou.
Nasuka: Please go out with me!
Mikoto: !?
p30:
Nasuka: Maybe not right now, but if it's you and me, I'm sure it'll be a
cute and clever child!
Sena: .....
[Oh doctor~~~ doctor~~~~]
Nasuka: Doctor, PLLEEEASE~~[heart]
Sena: Is that what you mean by looking out for the patient's best
interests till the end?
Ayame: Well...
[Emergency]
Mikoto: Uh, Sena-san...
Mikoto: We seem to be running low on Ringer, could you... [BANG]
p31:
Sena: Yes, heres the Ringer!!
Mikoto: Oh... y,you're so prepared...
Sena: Yes! Thank you!
Sena: Without a doubt, I'm going to have an ugly baby. Therefore, this
is the least I can do!
Mikoto: B..baby?
Mikoto: Hey, Ayame...
Mikoto: Why's Sena-san acting so pissed off?
Ayame: It's your fault, you know.
Mikoto: Huh!? What'd I do wrong this time!? [Snicker snicker]
p32:
Ayame: Yes you did, you did.
Mikoto: Huh~~~~?
Mikoto: In that case, I guess I should apologize...
Ayame: Before you do that, let me take care of it first.
Ayame: Thanks to you, we were able to drive my brother into a corner
again...
Ayame: So I want to return the favor.
Mikoto: ?
Ayame: Hey Sena.
Sena: Dr. Ayame.
Ayame: Are you going home now?
Sena: err, yes.
Ayame: In that case, you're having dinner with me.
p33:
Sena: This... isn't this like the most high-class Western hotel peninsula
in town?
Sena: Dinner at a place like this...?
Ayame: I'm not only going to have dinner with you.
Sena: What!?
Ayame: Well, you'll see soon enough.
p34:
Staff: Well well, if it isn't master Kiryuu. Welcome, welcome.
Staff: I've reserved the VIP lounge, so please head in this way.
Ayame: Thanks. [Wobble wobble]
Sena: Wow... we're being treated like VIPs.
Ayame: VIP... well you could say that. The owner used to be a patient of
mine while I was overseas.
Ayame: So I kinda get treated special.
Sena: Oh, is that so...
Sena: Oh this is so delicious... this is authentic, Dr. Ayame...
p35:
Sena: This beef, sauted in red wine as well as this purple reduction
is... taste like this takes quite a bit of work.
Ayame: Hmmm...
Ayame: Seems like even you know your food. [Chew chew]
Ayame: A lot of people who become doctors are rich... [tuition's
expensive, y'know] Perhaps you're a daughter of some wealthy family?
Sena: Um?
Sena: Oh no, no... I wouldn't call it anything like that...
Ayame: I see. Well, you don't have to answer that question, but...
Ayame: You like Mikoto, right?
Sena: Well, yes...
[COUGH COUGH]
p36:
Sena: What's the big deal, all of a sudden!! I mean, I'm not....
Ayame: You can't fool me.
Sena: Who..who's trying to fool...
Ayame: It won't work even if you have to heads.
Sena: Yes, I admit it. I'm sorry.
Ayame: Well, you don't need to apologize...
Ayame: If that's the case, couldn't you at least act a little more lady-
like?
Ayame: Hitting, yelling, crying, acting overall like an idiot... even if
it's Mikoto, you think he'll ever warm to you?
Sena: You're right...
[I'm really getting it this time... but he's absolutely right, I can't
answer back...]
Ayame: And also, how come you don't wear any make-up, aren't you an
adult? [I mean I know you're busy and all, but...]
Ayame: Having succeeded such a big operation in front of chairman Taira,
my brother can't do anything against you.
As my brother was saying, you can even revive the pediatric surgery
department right now...
Ayame: In that case, you're the female face of pediatric surgery.
Sena: ....!
Ayame: All the more reason why you should aim to become an attractive
female doctor, inside as well as out.
Sena: [It's just as Dr. Ayame is saying...]
Sena: Health work is busy, and it's so easy to become loose with such
things...
p38:
Sena: Even when I look at my seniors, the neat and tidy ones are more
attractive than the untidy ones.
Sena: If I don't become more like that, I won't be able to energize the
newly revived department...
Sena: Plus there's no way I'll be able to win Dr. Saijou's heart without
doing that.
Sena: But, to be really honest, I'm not so good with putting on make-
up....
Ayame: Hmph.
Ayame: That is why I said that I'm not only going to have dinner with
you.
Ayame: The expert make-up artist/stylist of this hotel will guide you on
how to apply make-up suitable for a tidy healthcare professional.
Ayame: Well, that'll at least take care of the outside...
p39:
Ayame: And that is where you'll be born anew!
Sena: !
Ayame: How about it? Are you done?
Sena: Just a little more.
Ayame: Hmph.
Sena: Please stop rushing already~~~~
Ayame: Well, I don't know how much this will change things...
Ayame: She doesn't seem too bad, so maybe...
Sena: Sorry for keeping you waiting, Dr. Ayame.
p40:
Sena: How do I look?
Ayame: Woah...
Ayame: Not bad, I thought you were someone else.
Sena: Yessss!
Sena: Oh dear, what'll I do~~~~??? Dr. Saijou is such a man of action...
Sena: What if he suddenly proposes to me tomorrow?
Ayame: ....... [It seems that only the outside has changed...]https://mangahelpers.com/t/starfox/releases/19449Translation: Saijô no Meii 152010-01-31T04:16:27+00:00StarFoxadmin@mangahelpers.com*******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!]https://mangahelpers.com/t/starfox/releases/19229Translation: Saijô no Meii 132010-01-26T06:39:28+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p132:
Mikoto: Surgery... without any scars?
Nasuka: Yes.
Nasuka: I'm willing to do anything for that!
Nasuka: So please...
Nasuka: Doctor... I beg of you!
Mikoto: .....
p133:
Ayame: Hmmm...
Ayame: Surgically remove an ovarian cyst without leaving behind any scars,
huh.
Mikoto: Yeah.
Sena: Oh, dear... this is quite a situation.
Sena: No girl would want scars on their body, and on top of that this girl
is a current junior idol dreaming of becoming an actress...
Sena: I mean, I understand how she feels, but a scarless operation? Is
that really even possible?
Ayame: Exactly.
p134:
Ayame: What the hell did my brother refer this kid to you for?
Ayame: Since it is him we're talking about, there's no doubt that he's
trying to set up a trap for you, but...
Ayame: If it's a procedure that doesn't exist, then you can't really screw
it up either.
Sena: Oh, wait!
Sena: I think I understand.
Sena: The associate director must actually be a huge fan of this girl!
Ayame: No way.
Ayame: I thought I was bad, but the guy we're talking about doesn't show
his emotions, and is the ultimate narcissist.
p135:
Ayame: From way back, when beautiful women confessed their feelings for
him, my brother would treat them like idiots and send them away.
Ayame: The very reason that he's not afraid to use whatever means to rise
to the top is because he really thinks he's been chosen by some god or
something.
Ayame: I can't imagine a guy like that would even consider becoming a fan
of somebody else.
Sena: Oh... is that so...
Ayame: Anyhow, enough about my brother... what are you going to do about
this, Mikoto?
Ayame: Ovarian cysts, unlike other kinds of tumors, don't easily become
malignant so it may be possible to just let it be...
Ayame: but even so, leaving it for too long is dangerous as it may
rupture, or predispose to ovarian torsion.
Mikoto: Exactly.
p136:
Mikoto: So that's why I decided that I should operate on her according to
her wishes.
Ayame: Is that so?
Ayame: Well, good on you.
Sena: That's great.
Ayame+Sena: !!! What did you say??!! What do you mean, doctor??!!
Ayame: We can't do it, that's the whole problem!
Sena: Yes, yes, exactly!
Mikoto: It can be done.
Mikoto: There are actual cases...
Mikoto: You definitely know about it.
p137:
Ayame: Wha.. you don't mean...?!
Ayame: N.O.T.E.S.???
Mikoto: That's correct.
Sena: What's that? Something up North?
Ayame: Not North, it's NOTES.
Ayame: Natural Orifice Translumenal Endoscopic Surgery (NOTES).
p138:
Ayame: In other words, it is endoscopic surgery, where you insert the
endoscope through a natural orifice of the body: the mouth, the vagina or
the anus, in order to perform abdominal or thoracic surgery.
Ayame: In the US in March 2007 and France in September of the same year,
there have been cases of successful cholecystectomies (gall bladder
removal) through the vagina.
Sena: Oh wow, that's amazing! You mean that kind of procedure
actually...!?
Ayame: Yeah, that's right.
Ayame: However, Mikoto, NOTES hasn't been registered yet as a standard
medical procedure...
Ayame: and unlike the cases in the States and France, this isn't a
cholecystectomy, we're trying to remove an ovarian cyst! That means
there's an angle problem, since you need to go from the mouth through the
stomach lining in order to carry out the excision.
(Author's Note: in order to go through the vagina, the endoscope must be
bent to almost a U-shape, making it terribly difficult to cut)
p139:
Ayame: If you were to do it, it would be a world-first. You can't do it
without passing it through the hospital's ethics council.
Mikoto: I know.
*: Ethics Council: a committee that approves new procedures such as NOTES
according to the associated humanitarian and ethical aspects.
Mikoto: However, she is a minor, so we first need the consent of her
parents.
Mikoto: So it depends on whether she can persuade her parents...
Mikoto: So we go from there.
Mikoto: So you're really okay with this?
p140:
Mikoto: As I just explained to you, this operation, if we go ahead with
it, will be a world-first.
Mikoto: Furthermore, there is the danger that when we penetrate the
stomach using the endoscope, that the stomach contents will leak into the
peritoneum*.
(* Translators' note: abdominal cavity surrounding the internal organs,
but normally sterile and closed from the outside world)
Mikoto: Hence there is the post-op risk of peritonitis*, making this a
highly dangerous procedure.
(* inflammation of the peritoneum, which can be life threatening)
Nasuka: I understand.
Nasuka: But I still want to go ahead with it.
Mikoto: Right.
Mikoto: Mrs. Sawa, is this fine with you?
Mum: Yes...
Mum: I leave Nasuka in your hands.
Mikoto: ....I understand.
Ayame: That's unusual...
p141:
Ayame: In times like this, it's usually the mother who has trouble
consenting...
Ayame: This person is unusually calm...
Mikoto: In that case, could you please sign this consent form?
Mum: Yes.
"Squeak squeak"
Mikoto: Well, take care then.
Mum: Thank you very much, doctor.
Ayame: ...seems that it all went a little too easily.
Sena: You think so?
Sena: It's probably because, as fellow woman, she understands her
daughter's feelings about scarring her body.
Ayame: Yeah, whatever.
Sena: Oh, that's right!
p142:
Sena: Now that I think of it, Dr. Ayame, something amazing's happened.
Ayame: What do you mean?
Sena: Because of fear of the associate director, there haven't been many
staff volunteering to join the department...
Sena: But recently 3 young doctors expressed an interest in pediatric
surgery.
Ayame: Hmph.
Ayame: Are you sure they're not a bunch of useless goons?
Sena: No no, that's not so.
Sena: I checked things out myself for that very reason.
Sena: All three seem to have good reputations for their skill, and on
their way to the top!
p143:
Sena: Dr. Ayame, if you don't hurry up and move to our department (from
cardiothoracic surgery), places in pediatric surgery are going to fill up!
Ayame: Hmph, well, fill up all you want.
Sena: [Oh, come on~~ You gotta be joking~~]
Ayame: Even so, everything's going as predicted.
Sena: [Wait up, Dr. Ayame~~ PWEEEASE~~]
Ayame: No matter how much brother tries to get in the way, Mikoto's
reputation is spreading within the hospital, through the nurses and even
people like this...
Ayame: Even fairly recently, we successfully completed a procedure of a
standard- enough to get the attention of the medical world.
No one will be able to stem the tide.
Ayame: But I am worried that this "tide" may be too strong...
Sena: [What would we do without you, Dr. Ayame~~?]
Sena: [Dr. Saijou and I are counting on you~~]
Ayame: I don't know about reviving pediatric surgery, but if, at this
stage, the situation arises that chairman Taira comes to esteem Mikoto...
p144:
Ayame: There's no doubt that brother will REALLY try to destroy Mikoto!
Sena: I'm exhausted!
Ayame: You sure are stubborn.
Sena: Well, that is my strong point!
Ayame: That's the spirit! Use that to endure the Ethics Council.
[Seating arrangement]
Bottom four below the square: leftmost label reads: In attendance: Then, names under the circles are (left to right): Maria, Ayame, Nasuka,
Mother
Bottom side of square: left label reads: Applicant for procedure: Name next to circle: Mikoto
Starting from lower left side of the square, going clockwise: Council member (Citizens' representative) Council member (Lawyer) Vice-chairperson of the council (Associate Director Kiryuu) Chairperson of council (Director Noguchi) Scribe Council member (Chairman Taira) Council member (Director of Internal Medicine)
Ayame: You probably haven't had to sit in one of those council meetings...
Ayame: The seating arrangement is something like this.
(Author's note: Typically, as above, the ethics council is comprised of a
couple of medical doctors, one legal professional, and one layperson to
represent public interest. )
Ayame: Not only the director Noguchi and my brother, the associate
director, but chairman Taira will be there as well as a council member...
Ayame: It'll be quite an intimidating council meeting.
[GULP...]
p145:
Ethics Council of Heisei Central Hospital
Sena: Uhmm... so... who was chairman Taira again?
Ayame: On the right, further in from us.
p146:
Ayame: The one giving off that "old man from the mountains" type of
atmosphere... that's chairman Taira.
Sena: Oh... oh.
[Chairman of the Board of Directors of Heisei Central Hospital, Masamori
Taira*]
*The characters for Taira and Masa can be pronounced as 'Heisei'.
Sena: Uh... and the monk over there looks scary...
[Head priest of Hanshoku Temple, Ryu Kuroyanagi]
Ayame: He's the citizens' representative, it's typical for them to be
monks like that.
Ayame: It seems that there are a lot of old men in this council.
[Director of Internal Medicine, Hitoshi Nekota] [Lawyer, Hajime Suzuki]
Ayame: We've been called here just in case there's a funeral.
Sena: EEH???
Sena: Is that for real?
Ayame: I'm kidding.
p147:
Ayame: Oh, don't get too nervous.
Ayame: Of course this council meeting concerns the application for the use
of NOTES...
Ayame: But if we were to make a bad impression on chairman Taira, it will
probably become impossible to revive the pediatric surgery department...
Ayame: So this is a real important meeting.
Sena: Tha, that makes me even more nervous!
Ayame: [he he he]
Ayame: I know.
Sena: This man... I really hate him... I really really hate him...
Noguchi: Alright then, I'd like to open the ethics council inquiry.
p148:
Noguchi: However, there is one problem, and I'm afraid that this council
dismisses this application for the use of NOTES.
Noguchi: The problem being that by the mother of Nasuka Sawa, Mrs. Megumi
Sawa...
Noguchi: The consent for this operation has been withdrawn.
[!?]https://mangahelpers.com/t/starfox/releases/19228Translation: Saijô no Meii 122010-01-26T05:32:00+00:00StarFoxadmin@mangahelpers.com*******For use in Trinity BAKumA scanlations ONLY*******
p114:
Sena: Tremendous powers...?
Ayame: Yeah.
Ayame: Hey, do you know what kind of person typically owns these private hospitals?
Sena: Now that you mention it...
Sena: ...hospitals aren't corporations, so they're probably not shareholders...
so that means...
Ayame: So...
p115:
Ayame: There's a landlord. L.A.N.D.L.O.R.D.
*: The medical director of a hospital must be a medical doctor, but administrators such as the chairperson of the board of trustees are typically owners of the hospital grounds. They may or may not be doctors themselves.
Ayame: This hospital is also like that, the actual owner is the supposed descendant of the Taira clan, Masamori Taira.
Ayame: Along with this hospital, Heisei Central Hospital as the center, he is the owner of 57 branch hospitals around Japan.
Sena: Oh... for real?
Sena: but... what does that have to do with power?
Ayame: Two points. One is that Taira-san, unlike typical proprietors, has a personal interest in medicine, and once was a medic himself.
Ayame: And the other point being...
p116:
Ayame: ...that he is an elderly man, but has no children of his own.
Sena: In other words, you mean...
Ayame: Yes, exactly.
Ayame: Taira-san has already announced that "The one chosen as THE BEST DOCTOR in all the Heisei hospitals will inherit his fortunes".
Ayame: In other words, the one who is chosen...
Ayame: That person will rule over Japan's biggest family of 57 private hospitals in one night.
p117:
Sena: Yes, th..that certainly is a lot of power.
Sena: However, there is still something that I don't understand.
Sena: Even if the associate director wants to be chosen so badly, even if pediatric surgery doesn't make a lot of money... that shouldn't be a reason why he should oppose the revival of the department!
Sena: To treat people's lives lightly just for the sake of profit...!
Ayame: Well... the thing about Taira-san is...
Ayame: Of course he doesn't think people's lives should be taken lightly, but he believes firmly that administration skills are an important part of being an excellent doctor.
Ayame: Pediatric surgery is difficult, medical mishaps are common, plus will result in financial deficit.
Ayame: To my brother who has climbed the ladder this far to become the associate director and wants to earn points without any problems, the pediatric surgery deparment is nothing but a troublesome obstacle in his path.
p118:
Ayame: In other words, you and him are like oil and water... and will never be able to tolerate the other's existence.
Associate director's office.
Bro: Fu... I lost this time, eh.
Bro: If I were to join in the operation, no matter how skilled the surgeon, I should have been able to dig up at least a little bit of dirt...
Bro: That man... is not normal!
p119:
Bro: Instead of dirt, the pre-op preparations, execution of the surgery itself, was so so impressive that I was totally taken by surprise...
Bro: In this case perhaps it would be wiser to endorse the revival of the pediatric surgery department, and bear with the losses...
Bro: But if we did that...
Bro: I would also have to anticipate the worst case scenario, which I do not want.
Sena: I got it! I just had a really great idea!
p120:
Ayame: What?
Sena: Saijou-sensei should be chosen for that "Best doctor"! (He is the 'best' (saijou) after all...)
Ayame: Haha, I would second that.
Ayame: So, how about it? Wanna give it a shot?
Mikoto: Nope.
Sena: Huh??? But Why?
Mikoto: Well, devoting time to admin takes time away from the operating theater,
Mikoto: and also reduces the number of patients that I can see.
Sena: Well, sure, but...
p121:
Ayame: But it would be worth it, right?
Ayame: If you use the power of the chain of 57 hospitals, not only will you be able to achieve your dream of increasing the number of pediatric surgeons, you will also be capable of revolutionizing Japan's health care system!
Ayame: In the very least, you can't just sit back and let someone who's only interested in selfish ambition like my brother take the position.
Ayame: That's partly why I wanted to throw my brother out and take over this hospital.
Mikoto: Sure, I can understand that.
Mikoto: Well, if that's the case...
p122:
Mikoto: How about we let Sena-san take that role?
Sena: Wh... who me?
Phone: Ring ring...
Mikoto: Yes, this is E.R.
Phone: This is reception, is Saijou sensei...
Mikoto: Yes, Saijou speaking.
Phone: Oh, yes.
Phone: We have a patient here to see you, with a referral from the associate director.
p123:
Mikoto: From the associate director?
Mikoto: Oh, OK. I understand.
Phone: Click.
Ayame: What was that about? Something about big bro?
Mikoto: Yeah...
Mikoto: Apparently a patient has just arrived for me with a referral from the associate director.
Ayame: WHA???
Ayame: Did you get a patient referral from big bro?
Mikoto: Nope.
p124:
Mikoto: Maybe it's just a mistake...
Sena: Maybe.
Ayame: ...very suspicious...
Ayame: Hey, just be careful, Mikoto.
Ayame: Big bro is probably quite nervous, thanks to your superior skills exceeding his wildest imaginations.
Ayame: Recently there have been some incidents where patients have stabbed doctors or otherwise been quite violent.
Ayame: Even if it's just a kid, keep your guard up, and if it's some weirdo, it's better to politely send them elsewhere (N.B. it is actually illegal for doctors to refuse request for care, though they can refer to another doctor).
Mikoto: Sure, got it.
Mikoto: Thanks for your concern.
Ayame: Whatever.
p125:
Ayame: If anything comes up, just give us a call on this.
Ayame: Hmmm...
Ayame: Is that the kid?
p126:
Ayame: To be a pediatric patient, you need to be under 15, but she looks quite mature.
Ayame: And that face... I get the feeling I've seen her somewhere before...
Ayame: Well, whatever.
Ayame: At least she doesn't give off the vibe of someone who'd stab a person...
Ayame: ...plus I'm sure they'll call if something happens...
p127:
Mikoto: So, you're Nasuka Sawa-san, correct?
Mikoto: What brought you to hospital today?
Nasuka: I'm sorry?
Mikoto: Oh, I'm sorry.
Mikoto: I must have miscommunicated with the associate director...
Mikoto: To be perfectly honest with you, I haven't heard anything about your circumstances...
Nasuka: Oh, is that so...
Nasuka: Actually I was examined at a branch of Heisei Central, the Second Heisei Hospital.
Nasuka: These are copies of my patient history and test results.
p128:
Nasuka: It would probably be easier for you to read these rather than me try to explain, right doctor?
Mikoto: Ovarian cyst...
Mikoto: It doesn't look too good...
Mikoto: Do you experience any pain?
Nasuka: Not right now...
Nasuka: But sometimes the pain comes on quite suddenly, and it's hard for me to bear.
Mikoto: Oh, is that so...
Mikoto: If these test results are accurate, I am inclined to say you need surgery...
Nasuka: I thought so...
Nasuka: I was told the same thing by the doctor at Second Heisei.
p129:
Nasuka: But that complicates things.
Mikoto: Complicate things?
Nasuka: No matter what, I don't want any scars on my body.
Nasuka: To be honest, I'm actually like a junior idol, and want to become an actress in the future!
Nasuka: So, to have a scar on my belly would mean...
Mikoto: Sure, but...
Nasuka: Doctor, please! You're my last hope!
Nasuka: The doctor at Second Heisei, after consulting with the associate director here...
p130:
Nasuka: ...said that you might be able to do it.
Nasuka: Dr. Saijou, you can do it, right?
Nasuka: Without making incisions on my abdomen, without making holes with endoscopy...
Nasuka: the operation that leaves not a single scar on the body at all!