Mangahelpers Translationshttps://mangahelpers.com/translators/rss2009-07-24T16:07:27+00:00/favicon.icoMangaHelpers Adminsadmin@mangahelpers.comhttps://mangahelpers.com/t/meriken/releases/14387[English] [Translation] Say Hello to Black Jack 16 by Meriken2009-07-24T16:07:27+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 16 (pp. 171~190)
<171> =10:30 am. The vein for the graft has been extracted. =Preparations are underway to connect it with the clogged portion of the heart vessels.
=The chest is sliced open. The ribs cut apart. =The pericardium opened.
THUMP..
=Finally... =I'm finally back, huh.
<172> THUMP #16: Smile
<173> [x10]THUMP
<174> =Scalpel.
[bubble]SHLICK
SWUP S-SWUP
=As expected... =I don't see any deterioration in his skill. At least on the physical level...
<175> =Control it... =No doctor enters the operating room feeling 100% confident...
=If by chance, you find such a doctor... =They've unknowingly overestimated their own ability...
=Everyone is suppressing their anxiety... =And battling their own fears...
=He's fast... =Unbelievably fast...
=Control it...
=Because... =I want to see Mr. Miyamura smile...!!
<176> I am... A cardiac surgeon
THUMP
<177> WHOOSH
ZWHOOSH
BEE—
=Huh...?
<178> [x4]VRR
=What's going on...?
[x?]VRR
<179> =Ventricular fibrillation... =A rare, trembling contraction of the heart that occurs for unknown reasons during a heart operation.
=Ventricular...//Fibrillation...
=Shit!! The heart's getting pissed off!! =Commencing countershock!!
THUD
[bubble]ZZT
<180> =There's bleeding!! =I know!! The CPR takes priority!!
[x2]GRIT
[x2]GRIT
=No good!! It's not moving!! =Calm down!! We'll try again!!
=It's over... =Probably because I forced them into doing the operation...
THUD
=It's all my fault...
He's gonna die...
<181> Mr. Miyamura's going to die...
=Open your eyes!!
=If you're a doctor... =You can never avert your eyes...!!
=Move... [x3]=HUFF
<182> =MOOOOOVE!!
THUMP...
<183> [x3]=THUMP
=Continuing operation... [x4]=HUFF—
=Doctor... =We should stop the heart and switch over to the Heart-Lung Machine.
=There's no guarantee that the ventricular fibrillation won't start again. =It would be safer than continuing to operate on a beating heart... [x2]=HUFF—
=True, putting him on the Heart-Lung Machine would eliminate the risk of ventricular fibrillation... [x2]=HUFF—
<184> =But the patient also has liver cirrhosis. =Using the Heart-Lung Machine would exponentially increase the likelihood of death through liver failure...
=It's a safety measure!! =No one can blame you for putting him on the Heart-Lung Machine!
<185> =I can.
=We won't be using the Heart-Lung Machine.
=I trust... =My own decisions...!!
<186> =This person... =Is a true doctor...
=I'm glad... =I became a doctor...
<187> =Dr. Saito... =All my life... I've been walking... Trying to find out what was beyond this embankment...
=But... =All I had to do, was turn around...
<188> =Thank you.https://mangahelpers.com/t/meriken/releases/14252[English] [Translation] Say Hello to Black Jack 15 by Meriken2009-07-20T15:31:17+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 15 (pp. 149~168)
<149> =Impossible...
=A man who gave up the scalpel on his own... =Has no right to enter the operating room again...
=Please... =Stop believing in me...
<150> =No!!
#15: Selfishness
<151> =I don't want to give up...
=You're different from all those doctors at Eidai... =That's why I put my trust in you, Doctor...
=I thought you really cared about your patients...
=If this is reality... =Then I don't want to be a doctor...
<152> =If you're also going to abandon your patients... =Then I don't want to be a doctor anymore!!
=Don't be selfish... =Even if it is for the patient...
<153> =For the patient...?
=Yes... =This man is doing all this for the patient...
I'm the one... Who's really being selfish—
<154> =Dr. Saito... =Are you certain I'll be able to wield the scalpel again...?
NOD...
=But no matter how much trust you have in me... =The heart can betray the doctor too.
<156> =Dr. Saito... =I also wish to see Dr. Kita take up his scalpel again.
=But... =Medicine isn't a gamble.
=I won't turn a blind eye if worst comes to worst...
<157> PLICK
=So now I'm gonna go to sleep... =And get laid out on that operating table, huh...
=Thanks Doc... =Thanks for listening to all those selfish demands I made...
<158> =Come to think of it... =There's tens of thousands of people in Japan with the same disease as me, right?
=How many of us are lucky enough to meet a doctor we can really trust...?
=Getting a good doctor... =Makes all the difference, doesn't it...
=There shouldn't be any unreliable doctors in the first place...
<159> SWUP
=I'm satisfied, Doc.
=Even if the operation goes badly... =I was lucky enough to meet you...
DRIP..
=No... =There's no point unless you make it through...
<160> =I'll see you again, right...? =Doc...
=Of course...
<161> [x3]RATTLE
[sign]Operating Room
<163> CLICK
CLACK...
<164> =It's been awhile... =How's everyone been doing...?
<165> =Commencing the operation...
=Master... =Oneself...
<168> WHISHHH
The cardiac operating room... Anything can happen here...https://mangahelpers.com/t/meriken/releases/14251[English] [Translation] Say Hello to Black Jack 14 by Meriken2009-07-20T15:29:36+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 14 (pp. 129~148)
<129> =How...?
=How... =Could something like this happen...!?
<130> #14: Trust
<131> =That patient came in too late. [x2]=SPLASH
=Yes, the Heart-Lung Machine wasn't working too well today, [x2]=SPLASH =And the patient didn't have the strongest blood vessels in the first place.
GRUCK
=Anyone would be dead after having their heart stopped so many times... =That patient died because you weren't skilled enough...
=Isn't that right, professor...?
<132> =Patients with serious heart disease are bound to die anyways. [bubble]NUDGE =They should be grateful that I even chose to take up the manual labor that is surgery.
WHACK
=Cut it out!!//What do you think you're doing, Kita!!
=20 years ago— =I lost all hope in Japanese medicine, and flew overseas—
<133> =K Hospital in Australia. =I began my training as a cardiac surgeon under the guidance of Professor M, a world-renowned authority on heart surgery.
=H-H-Harro— =M-Mai n-name is Saburo Kita...
=I can do this... =I'm going to bring real medicine back to Japan...!
<134> =HUFF//HUFF =HUFF
=First one here. =I'm going to go around and check up on the patients!!
=G-Good morning!! =CLACK
<135> =How are you, Grandma? =Huh? You're feeling strange?
=Then let's take a look at your blood pressure.
=Professor M...//Are you always the first one to come here?
=I hold the highest position in this hospital. =So I arrive earliest to take care of my patients.
=This place is different...!! =I can learn something here...!!
<136> =5 days a week. For every waking moment of the day... =Surgery was the only thing I did, each and every day.
=I couldn't speak English very well.
=So I could offer no excuses for my own inexperience.
=I just had to keep coming to terms with myself.
<137> =How can I go quicker...?
=How can I suture more accurately...?
=How...? =How!?
=Alright— =Say Cheese.
CLICK =It was right around then that I started taking the pictures.
<138> =If trust has not been established between the doctor and the patient... =The smile appears somewhat awkward...
=But if a true relationship of trust has been established... =The patient breaks out in the best of smiles.
=Maybe I was so willing to come to terms with myself... =Because I really wanted to see those smiles...
<139> =Trust...
=Trust... [x2]CLICK
<140> [x2]KNOCK
CLACK
=You are Mr. Miyamura...?
=You must be Dr. Kita...
<141> CLICK
=Where did Dr. Saito go...?
=He went back home...
=Because I kept being selfish saying,//"It has to be Dr. Kita..."
<142> =Why... =Are you putting so much trust in me...?
=Well, you're the doctor that Dr. Saito trusts... =And I trust Dr. Saito...
=I'm not worthy of such trust... =Dr. Tori is more capable than I am now...
<143> =I believe... =Dr. Saito went home because he felt the same way...
=Because... =I want to see Mr. Miyamura smile!!
<144> Trudging through the rainy back-streets... I'm the wandering guitar player...
Pardon me, I'm just a drifting bird with nothing but a guitar on my back.
=Yes... =A man who's given up his scalpel once is no longer worthy of anyone's trust...
<145> =CLANG =CLO—NG
Trudging through— The rainy back-streets—
I'm— The wandering—
Guitar— Player—
<147> =What are you doing...?
=PARDON MEEEE
=What are you doing—!!?
=Please... =Do the operation.
=I- =I'm...
<148> =I'm gonna keep nagging you—!!https://mangahelpers.com/t/meriken/releases/14227[English] [Translation] Say Hello to Black Jack 13 by Meriken2009-07-19T02:54:56+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 13 (pp. 109~128)
<109> WHOOSHHH =This will just be for a short while...
BATHUMP
=I'll find you a good doctor no matter what it takes. =Please rest quietly at home until I contact you...
<113> =The days feel long now that I've laid down my scalpel...
=Surgery isn't a doctor's only job, of course... =But I've never spent a day feeling this relaxed ever since I became a doctor...
ZWISH..
=U- =Umm...
=Would you be willing... =To operate again...?
<114> =No.
ZWHOOSH
=Mr. Miyamura, the patient I mentioned to you before... =He's checked out of Eidai Hospital on his own accord.
=I made a promise to Mr. Miyamura. =I promised I would find him a reliable doctor...
=There isn't much time! =Mr. Miyamura's heart could stop functioning at any moment!
SHUCK...
<115> =What makes me so reliable?
=Uhh... I called up a lot of other hospitals, but... =Most of them told me they didn't want to mess with an Eidai patient...
=You didn't refuse because he was an Eidai patient... =I mean... That's not the only reason, but...
=Kiddo... =Are you skipping work? Showing up at this time of day...
=That's none of your business... =Please leave me alone...!
<116> BWHOOSH
=Why are you doing so much for that patient...?
=Because... =I want to see Mr. Miyamura smile...!!
<117> =Please! =Operate on Mr. Miyamura!!
[sign]Minrinkan Hospital
<118> =Alright...
=Bring Mr. Miyamura here immediately. =I'll arrange for an operation...
=But I won't be the surgeon.
=Heart surgery is all about medical teamwork. =You see, I was able to retire so quickly because I had someone ready to take over for me...
<119> =Allow me to introduce you to the current "ace" of this hospital.
=B-But... =I came to request an operation from Dr. Kita, and...
=My top apprentice not good enough for you? =He's a reliable man.
=I know!//He's probably a great doctor, and I'm grateful! =But... It's just...
=Just...?
<120> =I just don't like it!
=If I were Mr. Miyamura... =I wouldn't want anyone besides Dr. Kita to operate on me!
=I did all this because I trusted you, and...
=A doctor's personality has nothing to do with their reliability. =Ability is all that matters.
=If you really think it has to be me, then... =That's just your ego coming out...
<121> =Get in contact with Mr. Miyamura. =I'll introduce him to his surgeon.
=Th- =Thank you very much!!
=Yeah... =Everything turned out alright...
=I needed a doctor for the operation... =I should be happy right now...
<122> =Mr. Miyamura... =The hospital's agreed to take on your operation.
<123> =Hello, =My name is Ichiro Tori. I'm going to be the surgeon for your operation.
=To be honest, an operation using a Heart-Lung Machine, =Would cause irreversible damage to your liver.
=However... =An "Off-pump" surgery would lower this risk considerably.
=The technique hasn't found widespread usage as of yet, but...
=Cardiac surgery is usually performed while the heart is stopped. =During that time, the Heart-Lung Machine takes over for the heart, pumping blood through the body.
<124> =Off-pump refers to— =An operation performed directly on the beating heart. Without use of the Heart-Lung Machine.
=Surgery on a beating heart, will of course... =Be far more difficult than an operation where the heart is stopped.
=However, this avoids the vast majority of post-surgical complications that can occur after using a Heart-Lung Machine.
=We can operate as early as 2 days from now. =Let's try our best to get through this together.
<125> =Dr. Saito... =It wasn't the Dr. Kita you were telling me about.
=Don't worry. =Dr. Kita has complete faith in his skills.
=Yeah... =Can't get too greedy now, can I...
=I did ask Dr. Kita, but... =He told me he just couldn't do it this time...
=This time...?
<126> =So there's gonna be a next time!?
HUFF HUFF...
=S- =Sorry...
<127> =The day after tomorrow, they're gonna put me to sleep for the surgery...
=And if things go bad, I'm never gonna wake up again.
=I don't want to leave... =Any regrets...!!
<128> =Smile...https://mangahelpers.com/t/meriken/releases/12539[English] [Translation] Say Hello to Black Jack 12 by Meriken2009-05-22T16:13:33+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 12 (pp. 89~108)
<89> =You seem to be doing well, =Granny.
=All thanks to you, Master Professor... =Your edifying guidance— [x2]*mumble*
[x3]SCRIT
=Hey, =There's something going on in the surgical ward!
<90&91> #12: Vindication
=Mr. Miyamura!!
<92> [x2]CLACK
=Please calm down!! =Let's talk about this!!
=What seems to be the problem?
PLIT
<93> =I heard that my chances of surviving surgery at this hospital are quite low... =The intern from the internal department told me...
=I don't wanna die. =I'm gonna look for another hospital.
=Wha...?
=What are you blabbering about—!! =Who do you think you are—!!
<94> [x3]RABBLE
[x2]HUFF
WHUP
=Hey!! Get outta here!! =Someone close that door!!
=Don't close it.
<95> =I would like, =All the patients to hear this.
CLACK
=Mr. Miyamura, =Your operation is certainly very risky.
=But the same risk will be present at any hospital. =That is the nature of surgery.
<96> =You seem to believe that the level of surgical skill at this hospital is low— =Please explain to us how you reached that conclusion.
=Damn... =Mr. Miyamura... He's trying to leave the hospital.
=I heard you guys rarely ever do surgeries. =That's like being a chef who never goes into the kitchen.
=I see... =So you wish to undergo surgery at a hospital that performs as many operations as possible, "the more the better..."
<97> =Very well... =Then feel free to look for a hospital of that sort.
=Excuse me... =Let me through please...
=But Mr. Miyamura... =You're mistaken if you think those types of hospitals are the most skilled...
<98> =Their only objective is to process as many patients as possible. =They don't spend time and care on any patient.
=They're just in it for the money.
=Do you think people like that can provide you with proper medical treatment?
[x2]*mumble*
=Liar...!!
<99> =The Japanese medical system is extremely partial. =The "price" of an operation is the same no matter the caliber or number of the surgeons involved.
=For instance, Mr. Miyamura's cardiac bypass surgery costs, =854,000 yen.
=How many doctors will we have involved? =10 doctors!!
=What about a money-mongering hospital? =Naturally, they will have a far lesser number.
=Liar!!
=All of us are "certified professionals." =We have each undergone six or more years of surgical training and have memberships in the Association for Thoracic Surgery.
<100> =However, in Japan... =Anyone is allowed to perform any kind of surgery as long as they have a medical license.
=These so-called professionals hailing from godforsaken third-rate institutions. =They mechanically process patients every waking moment of the day...
=They think they're running a fast food joint.
=Please... =Think this over...
<101> =Liar!!!
[x4]HUFF
=Mr. Miyamura... =If you really think you should transfer hospitals, then by all means...
<102> =I promise I'll find you a good hospital...! =So please, do whatever you think is right...!!
=What are you talking about... =You're all talk anyways...!
=Stand back. =You are no longer Mr. Miyamura's primary physician.
<103> =Professor, =Have you ever heard of a doctor who performs over 200 surgeries each year...?
=Stand back.
=Shoo shoo! =A mere intern daring to disrespect the professor!!
=I've met and talked with a doctor like that!!
TICK...
=Hmm... =So... You betrayed this hospital and contacted an outside doctor...?
<104> =Th-//The doctor I met... =Doctor Saburo Kita, was absolutely not a money-monger!!
=Please... Expand your horizons...
=There's worlds, =Beyond your own...
<105> =You are unfit to be a member of this institution. =Turn in your resignation immediately.
=Well, Mr. Miyamura? =What will it be...?
=Are you going to leave this hospital?
<106> =I don't know. =I don't know what to believe anymore...
=Hey, Professor... =Have you ever cried because of a patient?
=It is unprofessional to cry for those reasons.
<107> =Then it's professional to pretend like nothing happened!?
=If you cry just to forgive yourself, then it's unprofessional... =But...//But...
=Stop.
<108> =Why are you trying so hard for me...? =Why do you care so much... About me...?
=Mr. Miyamura...
=Doctor Saito... =I'm putting my faith in you...https://mangahelpers.com/t/meriken/releases/12538[English] [Translation] Say Hello to Black Jack 11 by Meriken2009-05-22T16:12:59+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 11 (pp. 67~86)
<67> ZWUP
=Dad— =Phone call—
=Oh Yes— =Just a minute [note]Italics in this chapter indicates dialogue originally spoken in English. Recall that both the character's parents are English teachers.
[x2]GLOP
=Hello, I'm calling on behalf of the Eiroku University Hospital Cardiac Surgery Department. =You must be Eijiro Saito's father?
<68> =Long story short... =There is a chance Eijiro-kun may be dismissed from our hospital. #11: The Lawless Tower
=What's it mean Dad? =Is Eijiro no longer going to be working at the hospital...?
=I don't know... =They said "He has displayed a poor work ethic, and there is a possibility of him being asked to leave..."
="I remember you were a junior-high school English teacher...?//Being an educator yourself, this must be highly regrettable."
="After all the hard work he's put in to join our ranks, he'll end up as a physician in a small hospital somewhere." ="Furthermore, in the case of his dismissal, you will be returning his 20 million yen scholarship in monthly installments of 1 million yen..."
<70> TRRRRR
[x2]TRRRR
=He—y, Saito-kun— =A call from mommy—
=Mom... =I told you not to call the hospital...
=Huh...? =Fired...?
=Dad's worried sick!! =What in the world did you do over there!?
<71> =Mom believes in you, okay!! =We believe in you!!
[x2]CLACK
<72> =Over here. =Hurry so no one sees you! [sign]Storeroom
=Hey... =People've been talking about you...
=That you told Mr. Miyamura not to get surgery here. =The surgical department is furious.
=Your instructor probably let it slip to the nurses. =All the nurses are saying you're gonna be leaving Eidai soon.
<73> =Why do I have to be leave...?
=Sure, I told Mr. Miyamura the truth... =But it really is the truth...
<74> =They don't care about the truth! =Anyone who diminishes Eidai's reputation is their enemy.
=Then, is Mr. Miyamura going to be saved if I quit the hospital!?
[x2]HUFF—
<75> =Look, just try and be more careful.
=If they hear about you asking a non-Eidai surgeon to do the operation... =You're really gonna get kicked out of here.
=Shit... CONK
=I'm sorry... =Doctor Kita... He didn't agree to do the operation, right...?
<76> =Do you know any other good doctors...? =Or even people who might know good doctors...?
=I'm... =Pissed at myself...
=There's nothing I can do for Mr. Miyamura as a doctor...
<77> =But... =I won't stand to have him die...!!
<78> [x2]CLACK
PIP
=Ow!!
=Okay... That'll be it for today.
=D- =Doctor...
<79> =Uh... Uhh... =So... How is my body... Doing...?
=Arteriosclerosis of the left circumflex coronary artery and descending coronary artery due to the morphological changes caused by high blood pressure and dyslipidemia... =Impending myocardial infarction caused by temporary ischemia causing organic angina pectoris, combined with cirrhosis deriving from alcoholic liver disease...
=What's the point of telling you?
=You run a liquor store, right? =You're not a doctor, are you?
<80> =I don't know what that intern told you... =But it's not like we actually want to operate on patients.
=There's this thing called a surgical letter of request. =The patient requests an operation, so we operate...
=So you know... =We're doing it 'cause you asked us to.
=Well... =Try not to be so conspicuous about your thanks.
<81> =It leaves a nice impression on the professor. =I think most patients give around... 1 million yen?
=In the end, we're gonna be the ones... =With your heart in our hands...
<82> =Hello, =I'm sorry to be calling on such short notice, but you see...
=No way— =We wouldn't dare whisk a patient away from Eidai—
=Doctors... =What do they live for...?
=Patients... =What do they live for...?
<83> =If Mr. Miyamura dies because of Eidai's neglect... =Then this isn't a civilized society.
=If killing isn't a crime... =Then this isn't a constitutional state...
<84&85> The patient has the right to refuse or accept treatment after receiving ample explanation of their treatment process. The patient has the right to humane, courteous treatment. The patient has the right to receive an explanation of their illness, and the methods for treatment, in language they are able to understand. The doctor must not alter his demeanor based on the patient's religion, nationality, race, political alignment, or social status. The doctor must not receive any form of payment other than the agreed upon portion of the medical bill The patient has the right to choose his or her own doctor. (Excerpts from the World Medical Association Declaration of Lisbon et al.)
<86> =Professor's rounds— =Professor Fujii is making his rounds—!https://mangahelpers.com/t/meriken/releases/12408[English] [Translation] Say Hello to Black Jack 10 by Meriken2009-05-18T02:18:11+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 10 (pp. 45~64)
<45> =Why...?
=If you operate on Mr. Miyamura, =There's a chance you could save his life...
=Why... =Won't you perform the surgery...!?
<46> #10: The Last Drop
=There's a dying person—
=Right in front of you!!
<47> [x2]HUFF— =I'm sorry...
=I've performed thousands of surgeries throughout my life. =Of course, I was never able to save all of those patients.
<48> =To give an extreme argument, =It means I've killed numerous patients with these two hands.
=That's much too extreme... =You've also saved 100 times that number of people...
=I killed them. =Those who refuse to be conscious of that are unfit to practice medicine.
<49> =I killed a patient just two weeks ago.
=A 72-year old grandpa, =He passed away 2 days after his surgery.
=Nothing went especially wrong with the operation. =The direct cause of death was waste from the blood vessels clogging in his brain.
=But he died.//And he was my patient.
<50> =We had stopped the pulsation of the heart, and were using a Heart-Lung Machine.
=The machine takes over for the heart and lungs... =It fills the blood with oxygen, and sends it back into the body. (Heart-Lung Machine)
=However, a Heart-Lung Machine is still a machine... It isn't the real thing. =The blood flow differs from that created under natural circumstances.
=The blood flow peeled off the fossilized waste layers on the inside of the blood vessels.
=Like when you send water gushing through an old water pipe.
=The waste circulated through his body, =And settled in his brain.
<51> =That's how... =That grandpa died... PLIP..
=I still came here to sing that night...
=I don't see it as disrespecting the deceased. =I've performed thousands of surgeries up until now...
=250 a year...//That's 5 days a week. =You can't dwell in the past when there's so much work ahead of you.
<52> =I tried to sing... =The usual song, the usual way...
=A drop for every failed surgery... =Another failure, another drop... PLIP...
=Something kept on filling up the vessel of my soul.
=And that day... =That something began to overflow...
<55> =I'd kept on working by suppressing my impulse to cry out in fear...
=I'd believed, the more people I saved... =The more I could atone for those who died at my hands...
=I'm sorry... =There's nothing I can do for you...
<56> =The following day— =Mr. Miyamura was carried off to the surgical ward. [x3]RUCK
=I... =Didn't have the courage to look at him. [x5]RUCK
<57> [x6]RUCK
=He's gone... =And now you're no longer in charge of Mr. Miyamura.
=Don't dwell on it. =We've got lots of work to do. PAT
Out of time...
<58> =There's nothing more... =I can do for Mr. Miyamura...!!
[sign left]North Ward 4th floor//First Internal Department//Rooms 1401-1467 [sign right]Surgical Ward 4th floor//Second Surgical Department (Cardiac Surgery Department)//Rooms 3401-3455
<59> =Your operation's going to be on the 2nd of next month. =It's 8:00 in the morning, so don't forget.
=R- =Right...
=Well, it's not a really complicated operation. =The surgeon will be Professor Fujii, so you've got nothing to worry about.
THUMP
=Uh... =Uhh...
=I-Is my heart... Really going to last that long?
TICK..
<60> =Of course it's gonna last!! We told you already!!
=If you're dissatisfied, feel free to look elsewhere. =If you have anyplace to go, that is.
<61> =Th-//Thank you... =Very much...
=Don't be so hard on yourself... Saito... =You did everything you could as a doctor...
=Just go get some sleep... =I'll finish up these files for you...
CLACK..
<62> =Hey, Dekune-kun... =Was Mr. Miyamura looking at me...?
=...Huh?
=Just now... When he was being transferred... =Was Mr. Miyamura staring at me...?
=What are you talking about!? =He just glanced at you like,//"Thanks for trying so hard to help!"
<63> =So he was staring at me...
=Why shouldn't he!? =He wants to keep on living...//And we did nothing to help him!! We deserve it!!
=Mr. Miyamura hates me... =We're still linked by that one emotion...
<64> THUMP
=Mr. Miyamura... =There's nothing more I can do for you... As a doctor...
=Which means, =I'll just have to involve myself as a human being...!!https://mangahelpers.com/t/meriken/releases/12407[English] [Translation] Say Hello to Black Jack 9 by Meriken2009-05-18T02:01:57+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 9 (pp. 25~44)
<25> =Look, =To be honest, Eidai's cardiac surgery department is no good.
=If you're serious about saving Mr. Miyamura, then you need to transfer him to a hospital with better surgeons. =Understand?
=...Yes...
=Then how about this!?
=The implication of you, an Eidai doctor, transferring a patient to another hospital...
<26> =That's... =Serious treason against Eidai.
#9: Saburo Kita
<27> [x3]GATHUCK
=There's a cardiac surgeon working at a hospital about a 2 hour train ride from here.
=He's never been part of a medical society, and makes a living solely off of his own surgical skill. =A "lone wolf" if you will...
THUMP..
=This doctor performs over 250 bypass surgeries per year... =Eidai's 12 doesn't even come close.
=Well? =I'll introduce you if you're interested.
THUMP..
<28> =I'm sorry... =Please lend me 30,000 yen BOW
=Huh?
=I still have to sort out records and prepare for tomorrow's meetings. =It'll take me 2 more hours no matter how quickly I work.
=Wait... =What are you talking about, Dr. Saito?
=It's 10:30 right now. =Even if I finish at 12:30, there won't be any more trains, and I only have 860 yen in my pocket...
<29> =I'll pay you back, I promise! =Please lend me the taxi fare I need to get to that hospital!! BWUSH
=What are you talking about...? =I said I'd introduce you, but it's this late already...
=There isn't much time...
=Mr. Miyamura is going to be transferred to the surgical ward tomorrow...
=When that happens... =I won't be in charge of Mr. Miyamura anymore...
<30> =Come tomorrow morning, =Mr. Miyamura's going to be forced to undergo surgery at Eidai!!
=I can't. =You sound ridiculous.
[x3]TREMBLE
=Ugh—!! =Fine! You're making me look bad—!!
<31> [x7]SCRIT
=This isn't treason against Eidai...
=I just... =Want to save this person's life...
<32> THUMP...
<33> =That'll be 14,000 yen
BATHUMP
=He'll be at a bar called "K" in front of the station. =I talked to him on his cellphone.
<34> =Welcome— TI-TI—NG
=Huh? You're looking for someone? =Dr. Kita?
=Oh, =That's him! See...? The one singing...
<35> =Huh...? =That's the lone wolf? The expert surgeon...?
<36> =Nice to meet you. =I'm Eijiro Saito, the intern from Eidai Hospital introduced by Ms. Akagi.
=Right... Saito-kun.
=I've been singing that same song each night for so many years. =But I've never been able to sing it the same way twice.
=Hearts are the same. =I've operated on thousands of hearts, but none of them have been exactly alike.
<37> =Nice to meet you. =I'm Saburo Kita of Minrinkan Hospital.
=I see... =So you're asking me to operate on Mr. Miyamura.
=Y... Yes! =I'm sorry for disturbing you like this outside of work.
=No problem... I like a kid who cares about something other than money... =But you know...
<38> =If you aren't doing the same thing in 5 years... =Then... You're a fraud.
=Y-Yes... =So... About the surgery...
=Thing about heart surgery is... =The results always come right at your face...
<39> =Different kinds of surgery... =Let's say a surgery to remove cancer, won't kill a patient on the spot.
=No matter how badly the surgery goes, the patient will still wake up from the anesthetic... =But...
=With heart surgery, we make the slightest mistake... =And they die right on the spot...
[x2]TOCK TOCK TOCK
=Kiddo... =You know what the most important thing is for a surgeon...?
<40> =Is it skill?
=Skill is a foundation. =Imagination is what's more important.
=The day before, I imagine. =Every single aspect of the surgery, from opening the chest to closing it back up.
=I visualize tons of hypothetical hearts in my mind.
=But the heart in the real surgery is always different from what I imagined... =Expecting a vein to be one place, but not finding it there. That's normal.
<41> =But even if the vein is missing, the surgery's already started. =The longer it takes, the closer the patient gets to dying.
=But I've already imagined this situation, =So I'm able to hold firm and keep myself from panicking.
=Then the bleeding begins, and then arrhythmia.//If I give up, the patient dies. =I desperately fight the urge to turn and run away.
=In the end, song and surgery are both about coming to terms with yourself.
<42> =The most important thing... =Is the strength to overcome your own weaknesses...
=He's totally different from the doctors at Eidai...
=Maybe this doctor... =Will be able to save Mr. Miyamura...
=Maybe he could really... THUMP
<43> =I've got to see it...!!
GATHUCK =P... =Please...
=Please!! =Please perform surgery on Mr. Miyamura!!
<44> =I'm sorry, but I can't operate on that patient...
=You see... =I'm no longer a surgeon...https://mangahelpers.com/t/meriken/releases/12399[English] [Translation] Say Hello to Black Jack 8 by Meriken2009-05-17T15:32:26+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 2, Chapter 8 (pp. 5~24)
<5> =PT (prothrombin time) activity 43.7%,//Blood Ammonia 92µg/dl. =Mr. Miyamura also has hepatocirrhosis...
=Surgery is difficult when PT activity has dropped under 50%. =Using a Heart-Lung Machine will worsen the condition of his liver, making it unlikely for him ever to recover. [note]Heart-Lung Machine; A device which substitutes activity of the heart and lung. It allows the heart to cease beating for the duration of the surgery.
=We're in quite a bind...
<6> The likelihood of a successful surgery, Is dangerously low...!!
#8: Confession
<7> =In yesterday's meeting with the cardiac surgery department, =We decided to have you undergo a coronary artery bypass surgery.
=A coronary artery bypass... =Is a surgical process where an additional vein is attached to the clogged portion of the heart.
=You could think of it as creating a detour around a clogged pipe. =The vein used will be taken from your chest.
<8> =The date, =And others details will be determined later...
=Does Mr. Miyamura... =No longer have the energy to get up from bed?
[x2]CLACK
=Why can't we tell him the truth...?
<9> =Article 23 of Japanese medical law states, =A doctor cannot perform any action that could worsen a patient's condition.
="Anxiety" would be harmful to the condition of his heart...
=But... =But that's just...
=An excuse.
=What if we tell Mr. Miyamura the truth and he tells the other patients...? =That will only worsen our standing when worst comes to worst.
<10> =Besides, what difference would it make? =He still needs surgery.
=You've got a lot of work to do. =Don't lag behind by thinking too much...
=You're telling me... =To stop thinking...?
<11> [x6]SCRIT
=He—y you interns— =Put yesterday's test results on the records, okay—
=Hey Saito, you eat lunch yet? =Nope... [x5]SCRIT
=Dr. Dekune— =Your patient's family wants an explanation of their illness—
<12> [x5]CLAT
=Oh—So Mr. Toda's not here today— =Said he caught a cold and couldn't make it to the hospital—
=Crap... This late already... =I've gotta go make the afternoon rounds... [x5]CLAT
=Saito—Let's go eat dinner— =Can't... Still working. [x3]CLAT
=Dr. Saito,//The reports on the patients leaving the hospital tomorrow.
=Hey you, =Go get us some food.
<13> [x3]=HUFF
[x3]=HUFF... [x2]GRUCK [package]Original Lunches
=Damn it... =What am I doing...?
=Why... =Am I doing all of this...? [x5]HUFF
<14> TRIP
[x3]=Ah...
=Go buy them again. =And we're not paying for them.
*faint..*
=Don't stop...
=Don't stop... =Thinking...
<15> SNO—RE
=U...Uh...
<16> =Do I really have to go in by myself...?
=I'm needed in the cardiac surgery department. =It's probably about Mr. Miyamura's surgery.
=But...
=Don't act like a child. =Hospital rounds are your responsibility.
=Excuse me...
<17> BUZZ—
=You've lost some weight...
=We're keeping you on heparin drips and nitrol. =Let me know if there's anything you need...
=Hey... Doc...
<18> =When my old man died in the hospital... =The doctors never really explained anything to us.
=Doctors really are scary, huh.
=Just didn't feel comfortable to ask... =Funeral was over and the old man was all bones before I even realized it...
=Guess it's gonna turn out the same for me...
<19> PLIT
[x3]SHUFF
=The truth is... =You need surgery immediately...
<20> =The only reason we haven't operated yet, =Is because the hospital just finds it more convenient.
=Your hepatocirrhosis has worsened, so the surgery will be extremely dangerous... =Honestly, there's very little chance you'll recover afterwards...
=I... =Don't know what to do anymore...
=I'm sorry...
<21> =You're not cut out to be a doctor.
[x2]=HICK
[x2]=But...
=Oh well, =Either way, you'll won't be able to interfere with him anymore...
=Mr. Miyamura will be transferred to the surgical ward tomorrow... =Your job is finished...
<22> =Your job is now finished...
=I suck... =All I did was make Mr. Miyamura feel even worse...
=I... =Come closer,//Thou art beautiful. =Please, just stop it okay!!
=Hah-hah-hah—//The more headstrong they are, the better it gets—!!
=I'm livin' the life! Yeehaw—!! VROO—M
<23> CLACK =Ms. Akagi...
=Oh... =Dr. Saito
=Thanks for yesterday, =You really helped me out. CLACK
=You heading home? =Oh wait, you've still got your gown on... CLACK
=Ms. Akagi...
=Wha...? =Hey...
<24> =And...? =You're just going to say goodbye to Mr. Miyamura like that...?
[x2]SHAKE
=Then there's only one thing you can do!
=Have Mr. Miyamura file for a transfer immediately... =Transfer him to another hospital with better doctors...!!https://mangahelpers.com/t/meriken/releases/12235[English] [Translation] Say Hello to Black Jack 7 by Meriken2009-05-13T04:46:51+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 7 (pp. 94.5~104)
<94.5> =My dream... =Is to buy a 24-speed bicycle.
[x3]=HUFF
=Eiroku University Hospital, aka//"King of the Hill." =So named after this long hill that I'm climbing.
SWU—P
PHWIT
<95> #7: The "Topnotch" Trap
[x7]=HUFF—
=BLAM
=How was it? Did you enjoy the ride?
=It was hot.
=Hah-hah-hah,//Yes, air-conditioning doesn't work on a convertible. =But actually, riding this way during the winter is also quite chic.
=Say no to littering...!!
GRIP.. [x2]=PSST [x3]HUFF—
<96> =I see... =So you ended up clamming up after his question...
=Yes, I mean... =Mr. Miyamura actually needs surgery immediately...
=But the patient asked you whether he could trust the hospital, right? =Saying nothing would scare him even more.
=It's necessary to fib, at times. =Communication improves a doctor's impression.
=So there's less chance of being sued when you screw up.
=B-But...
=You're doing nicely. =We'll decide whether to have surgery in tomorrow's meeting with the surgical department.
=U...//Umm... =I'm sorry about yesterday...
=But we're really doing our very best to help you... =Please... Have faith in us...
<97> =Most heart problems are treated at the internal department. =But more serious problems require surgical attention.
=So at Eidai, the internal and cardiac surgery departments hold an inter-departmental meeting once a month. =Where they determine a candidate's summary and suitability [note]Suitability; The need to perform surgery.//Summary; A candidate's chances of surviving surgery.
=Here it is,
[sign]Case Conference Room
=Don't lose your nerve... =Inside are all cut-and-pasters from another planet...
=You'll live as long as you don't talk back... CLACK
=Uh—This is the X-ray of the chest.
=Speak the hell up—!!
=Forget about those! =How's the ultrasound on the mitral valve!!
=This is the cardiac surgery department... =The one in the back is their boss, Professor Yoshinari Fujii...
<98> =Oh... =I saw him this morning...
=He's more of a politician than a doctor. =Loves money, women, and power.
=Come back after you've run a heart-cath!! =Next! First internal, CABG candidate! [note]CABG; Coronary artery bypass graft
=I'm Saito from the first internal department.//The patient is Mr. Kazuo Miyamura, age 38.//He runs a liquor store.
=There's shrinkage along both the left anterior and the left circumflex. =The tests revealed heavy blockage of 93 and 91%.
=Surgery. =Surgery.
=We currently have him on heparin and millisrol...//Next we have the blood analysis.
=We get the idea! =Why didn't you bring him in before he got like this!
SHUP...
<99> =So... Then... =When can you perform the surgery?
=That's up to us. =Just keep watching him till we decide when.
=B-//But... =He complained of chest pains several times yesterday, so...
TICK...
=Look, kiddo... =We're the ones always covering your asses...
=We cardiac surgeons know the heart better than anybody... =Just leave everything up to us, yes...?
=We're the "King of the Hill..." =There's nothing that we can't handle.
<100> =The next department is farther than a foreign country...
=What's wrong Saito— =We got off early tonight, let's party—
=Sorry, I want to study up on heart disease a little more. =I'm low on cash too...
=Try having more fun! =Life's too short to be miserable!! VREEEM
=I'm taking the bus, okay!? =No, I'm not kidding!
[x2]=Come on—
=Please go away!! =Hah-hah-hah—You're playing hard to get, aren't you—?
=I shall return—! VROOOM =Adios—
=Oh... =It's Professor Fujii and that littering lady...
[x3]*impatience*
<101> [x3]=CLACK
TING TII—NG
=TING =TII—NG
=Uh... It's a bit far to walk... =Might take over 30 minutes with heels...
SWU—P
=Gosh, why would anyone ever build a hospital on a mountain...? =Plus the bus only comes every half hour...
=I've been around a lot of hospitals, but this has gotta be one of the worst...
=Huh? =You work at the hospital?
=Kaori Akagi. =I've been a nurse at the surgical department since last month.
<102> =Hmm— =So they won't schedule the operation even though the patient's dying, huh...
=Surgical, internal, medical societies and all... =I think they ought to be more considerate of the patients... [x2]=HUFF
=Men are all the same. =All they wanna to do is show off.
=I'm no better, =Talking behind their backs like this. [x2]=HUFF
=Hey, Dr. Saito. =If you were a patient, what kind of hospital would you go to for surgery?
=Huh?
=Well, I guess it would have to be a university hospital. =Worst comes to worst, they've got more doctors on hand than anyplace else! [x3]=HUFF
=Idiot... =More doctors just means more lack of skill.
<103> =The more surgeries you do, the better you become... =Hospitals that have lots of doctors actually aren't that good at surgery.
=Oh yeah...
=There are 18,000 bypass surgeries performed each year.//And Japan has about 3,000 cardiac surgeons.
=So a doctor does six per year, on average... GLANCE..
=But in order for a doctor to maintain surgical skills, =They need to do at least 100 surgeries a year.
=I took a peek at Eidai's records. =Of all those cardiac surgeons, only 12 of them actually performed surgeries last year...
=B- =But the head of the surgical department said there's nothing they can't handle...
=Well it's the all-powerful Eidai... =They can't even imagine there being people better than them.
=That's why "topnotch" really means dangerous.
<104> =Doctor Kume... [sign]Case Conference Room =There was something I noticed about Mr. Miyamoto's blood test...
=This is bad...
=Mr. Miyamura's body, =Won't withstand this surgery...https://mangahelpers.com/t/meriken/releases/12233[English] [Translation] Say Hello to Black Jack 6 by Meriken2009-05-13T04:45:50+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 6 (pp. 83.5~94.5)
<83.5> =Kazuo Miyamura, age 38. =He runs a small liquor store over in Shimono village.
=He was brought in from Tomihisa Hospital just last night. =Based on his symptoms and his ECG, he's been diagnosed with angina. [note]ECG; electrocardiogram
=He may need bypass surgery depending on the test results...
<84> #6: The First Lie
=We're getting the test results this afternoon! =We'll let you know as soon as possible.
=Uh... You might be worried about having a young doctor like me, but... =I'm officially in charge of looking after you!
=So... If there's anything you need... =Please don't hesitate to ask.
<85> =2 days after switching from surgical to internal— =We're once again swamped in work, with no time for proper meals. [x3]=DRIP
=He—y//Saitoh, Dekune—! =Time to make rounds—//Then we're checking those test results— =Yes sir!!
[label]=Tempura Soba [bubble]=Yummy
=Here in the first internal department, we treat patients suffering from heart attack, angina, and other heart-related diseases. =Hello— GRUCK =Which is why it's sometimes called the circulatory department.
=Therefore, =The vast majority of the patients here suffer from heart problems.
=How are you, Mr. Tamura? =You're getting a stent tomorrow, right? [note]Stent; A "brace" used to maintain the size of the inner area of the vein after it has been enlarged, allowing for improved blood flow.
=Are you nervous again this morning? =No, I'm fine today.
=This instructor's a pretty nice guy, huh— =He's kinda homo though... [x3]=ROLL
[sign]=First Surgical Department
THUMP...
<86> =How are they? =Mr. Miyamura's test results...
[x2]THUMP..
=91% in the LCX... =93% blockage in the LAD. [x2]SCRATCH [note]LCX; Left circumflex coronary artery//LAD; Left anterior descending coronary artery
=Could block up completely any time. =That would be instant death.
=Instant death...?
=You saw it during the rounds... =Heart disease isn't just for old people. [x2]SCRATCH
=Heart attack ranks #3 in cause of deaths in Japan behind cancer and strokes. That's 6.42 million patients... =1 in 20 people in Japan die from heart attacks.
=1 in 20 people... =Means we need to get him surgery as soon as possible, right?
=No no, we can only decide on surgery after the next meeting with the cardiac surgery department. =That's how it works.
=What do you mean...?
<87> =Here's a true story from our hospital a couple years ago. =The coronary artery burst while they were running a cath-scan in the internal department.
=Cath-scan?
=What we were doing just now.//You insert a catheter into the coronary artery and test for things like vein structure.
=The blood pressure dropped quickly and the body went into shock... =We called the cardiac surgeons immediately... Nothing more could be done without an emergency operation.
=The professor is currently unavailable. =Please wait until the evening surgical meeting.
=Evening!? =We can't wait that long! It's not even noon yet! There's nothing going on in the operating rooms!!
=We can't operate without the professor's permission.//Please wait until he returns.
=That patient ended up dying...
=The professor is the only one that matters... =They've got no interest in covering for a physician...
=That's how our cardiac surgeons work...
=The next department is farther than a foreign country... =That's reality in a university hospital...
<88> =So... =We have the results from the tests.
=Uh... The heart pumps blood flow to the entire body, =But the heart itself also needs blood...
=So the coronary artery... =The thin veins running along here, supply it with blood.
=In your case... =We've found that the base of the left veins are clogged up. GLANCE
=S-So...//To make sure the veins doesn't clog up completely, =We're going to give you medication that makes the blood smooth, and expands the size of the veins!
=Liar.
=We won't know the details until the next surgical meeting. =But they might operate on you over at the surgical department!
=He's actually going to die unless he gets immediate surgery...
<89> =Feeling guilty?
=There's nothing you can do about the hospital system. =Your job is to stand strong with the patient.
=Doctors can only try and cure the patient. =The patients are the ones who are cured.
=Please don't hesitate to ask if there's something you want to know. =I'll answer as best I can.
=Mr. Miyamura,//I'm just a lowly intern, but... =Even interns have their role to fulfill in the hospital.
=I mean, we were normal people just a few months ago.
<90> =Don't you think that makes us. =The doctors closest to normal people...?
FART
=Not me, I guess... *foul odor*
*sigh...*
=You see... =I don't even understand why I became a doctor...
=My full name is Eijiro Saito. =My parents taught English in junior-high, and I'm their second son.
=Saito's a boring family name... =I hated that and studied really hard...
=This might sound childish... =But I hated myself for being so "normal."
<91> =My goal was just to get into Eidai medical school. =I hadn't really thought about what it means to be a doctor...
=When I got in, a lot of the people around me were really well off... =And that made me hate myself even more... But...
=My parents went so far in debt... =Just to get me into school.
GRIP
=I... =Want to become a good doctor...!!
=Hey Doc...
=You know... =I don't know why I'm here right now...
<93> [x2]TH-THUMP
=Half a year ago my left shoulder started to hurt.//I went to the clinic nearby and they said it was just tension. =But it didn't get better at all, so I went to a bigger hospital...
=But all they did there was tests, and didn't make me better at all. =The doctors told me the tests take time, so I just took their word for it...
=And then I keeled over while I was at work...
=They carried me over to the usual hospital, =But they told me they couldn't do anything and sent me over here...
=I live in Shinano village... =There's another university hospital on the way...
=Why'd I get sent all the way over here?
=Well, because... =Tomihisa Hospital is an Eidai affiliate//And it must've been easier for their doctor to transfer you here
=So it was just convenient for the hospital...?
=Hey Doc... =My life is in your guys' hands, right...?
<94.5> =Can I, =Really trust you guys...?https://mangahelpers.com/t/meriken/releases/12211[English] [Translation] Say Hello to Black Jack 5 by Meriken2009-05-12T15:03:37+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 5 (pp. 73~83.5)
<73> =Atami Hot Springs.
[x3]=ROLL
[x2]=ROLL
[sign]11th Head Professor//Sir Ichiro Kasukabe
=Hey,//Do you know what's up with these statues...? =Oh, this is—You know, that Eidai thing...
<74> WHOAAA =And now!! =Here's our most beloved mentor, Professor Kasukabe!!
#5: The Surgical Department, the Internal Department, the Medical Society, and Saito
[sign]91st annual//Eiroku University First Surgical Department Medical Society Trip
=This trip has always been a tradition of the first surgical department. =I give you my sincere thanks for helping to elevate our department to these heights.
=You may relax in the hot springs, and drink to your heart's content. =Please enjoy yourselves and forget all about work.
=Look at all these people... =These are all members from the "medical society...?"
=Everyone hates long introduction, so in summary... [x2]*mumble*
<75> =An apple a day keeps the doctor away, =If you throw it at him... [x2]*mumble*
[x3]CLAP..
[x3]CLAP
WHOAAA [x?]=CLAP
WHUP
=Wha... =Dr. Shiratori!?
=Follow my lead. =This is a departmental tradition.
=Hurray—!! =Hurray for Professor Kasukabe—!!//Hurray for Professor Kasukabe—!!
<76> KATO—NK
=This is the world of medicine.
=Watch carefully, Saito... =Hospitals are the same as corporations.
=The best talents don't always make it to the top. =The ones who navigate these "societies" the best are the ones that do.
=OH...//OH... =OHHH—
=You may have heard of a "medical society" before. =In university hospitals, each department has its own "society" of graduates.
=Doctors working at the university hospital, other state hospitals and private hospitals— =Even physicians are associated with the society of their Alma Mater. [from top left]HEEHEEHEE//BWAHAHA//SQUEAL—
=Professor, =Could you consider sending us some veteran doctors?
=Professor, =Please bestow upon me a professorship...
<77> =So why are doctors working outside of the university hospital subject to its whims?
=Hurra—y for Kasukabe first surgical department!!
=Most of Japan's hospitals can be classified by affiliation. =Hi-yah!! =They are essentially "chain stores" of one of the university hospitals.
=Professor. =You see, the new director at our hospital is a U-of-X grad, and...
=Of course, being "chain stores" doesn't mean they're tied financially. =However, medical fraternities control the personnel appointments of its affiliated hospitals. Congratulations— [3x]=PSHHH
=If a smaller hospital requires new personnel, =They get it by asking for one from the medical society.
=Meaning, smaller hospitals can only turn to them to obtain new personnel, =HUP =And it's difficult for doctors to find work unless they join a medical society.
=Being uncrossable organizations. =Some even call them "Medical Mafias!!"
=And the dictator of all that goes on, including personnel matters, =Is the don of the society, the head professor.
=You join a frat, the professors are gods. =Your entire career rests on the professor's opinion of you.
<78> =There's severe inflammation around the appendix.//We'll be exfoliating from the base.
=...Yes sir!
=Maybe I'm not cut out to be a surgeon... =Huh? [sign]=Doctor's Changing Room
=I mean, even if you're good at surgery, the only ones who make it are the suck-ups, right? =I can't work with people like that...
=Won't matter if you're in surgical or internal med. =It's the same everywhere.
=Well, you may be right though. =Surgical's too cut-and-paste jock-ish for you to handle.
=Anyways,//Let's go group dating— =That again?
<79> [sign]=Nurses' Lounge
=Hey hey nurses— =Wanna go group dating—? [x2]=SNAP
=Doctors are #1 on the list of best jobs to marry— [x2]=SNAP =YEE—HAW
FWHOO—SH
=Interns have shitty pay, =But they still act all snobby so they make piss-poor boyfriends.
=Damn you—I'm gonna kill myself—!//There's no such thing as a real Angel in White—! DA—SH
=Doctor!! =The old lady in Room 509 is coughing blood!!
=What's the purpose of medicine... =Isn't it to protect people from sickness and injury...?
=Why are there fraternities... And dictators...
=What are we, anyways...
<80> [x3]=GLUB
=Phew— =A little beer after duty is an awesome treat, isn't it.
=Awesome...? =That old lady passed away though...
=You're being too hard on yourself. =You can't do your job if you're down all the time.
=It's almost September. =You're almost finished with your internship in the surgical department.
=You interns will be working at all kinds of different departments.
=But Dr. Saitoh... =Come back to our department when you're finished, all right?
<81> =Umm... Dr. Shiratori... =Do you have to join a medical society no matter what?
TICK..
=Of course it's not enforced... =But you'll have to find work on your own after you're down with the internship.
=Even if you do find work, =All the important spots will be filled by society members.
=So, promotions are out of the question. =You can't even do basic research, so you won't be able to write papers or receive any degrees.
=Your only future, =Would be playing "stray doctor" at a small hospital somewhere... CRI—CK
=I don't know what's troubling you about the system, =But you'll need to make it to the top if you want to change anything.
=And, =With those words, my internship at the first surgical department has ended.
<82> =September— =Our new internships begin.
=The First Internal Department. =At Eidai, they specialize in circulatory ailments, meaning heart problems like high blood pressure or angina//Which is why they're sometimes called the circulatory department.
[x3]CLACK
=Anybody... =CLACK CLACK— =Know what's inside this box...?
=When surgeons try to find out, =Their only choice is to cut open the box and peek inside...
=We figure out without having to open the box; from the sound, the weight. =That is internal medicine.
=I'm Kume, your instructor. =I'm going to introduce you to your new patient.
=In here.
<83.5> =Kazuo Miyamura, =Age 38—
=In due time... =I would begin my fierce struggle with the "medical society" over this patient's care.https://mangahelpers.com/t/meriken/releases/12210[English] [Translation] Say Hello to Black Jack 4 by Meriken2009-05-12T15:02:23+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 4 (pp. 56~72)
<56> 1:20 am—//75 year-old Toshio Kaneko's condition has suddenly deteriorated, causing his heart to cease function.
[x4]=HUFF
[x2]=HUFF [x2]GUSH
[x2]=HUFF [x2]GUSH =Come back...
<57> Come back...!!
#4: Summer Clouds
=I am sorry to say, =But there is no further likelihood of your father recovering consciousness.
=His pulse has returned after emergency resuscitation. =But liver and heart complications, and the loss of pulse have caused damage to his brain cells. [x2]*mumble*
<58> [x2]=PSHHH—
=Why didn't you just let him die...? =Dr. Saito...
=You even ran the stomach dialysis I forbade... =I don't want to be a broken record, but this kind of treatment is a waste of taxpayers' money.
=Dr. Shiratori... =Is it that wrong for a doctor to want to save their patients...!?
=I have seen hundrends of patients like this. =Those who go quietly should be left alone.
=Then, you're telling me to just watch them die...?
=That's right...
<59> =We have no idea what we're doing... =It's your call...
*mumble*
=We'll be removing the patient from life-support.
=Gramps... =Are you really not conscious...?
=If you could move your body... =Isn't there still anything you still want to tell your family...?
=Please, tell me... =Do you really want to go out this way...?
<60> =July 6th— =Three days after removal of life-support.
=Gramps... =Nobody's come to see you anymore...
=They paid all that money for your surgery... =But now they won't even come see your face...
=What was it really...? =Was that 1 million yen their parting gift to you...?
SQUEAK...
PLAT..
<61> [x4]SCRUB
=Good morning.
=What are you doing...?
=D-Doctor. =He still needs to be cleaned even if he's comatose... [x2]SCRUB
=It grew...
=His beard... =It grew...
<62> =Help me out, Doc...
=Help me out... Doc... =I don't wanna die yet...
=Do something Doc... =They call you doctors for a reason...
[x3]WHUSH
=Even if there's only a 1% chance of complete recovery... =It's wrong to end treatment by the doctor's hand... [x3]CLACK
=You might as well cut his stomach open. =Better than doing nothing.
You're a doctor. You may be a rookie, but you're still a doctor...
<63> I am//A Doctor...!!
KACHUCK
=What is it... =Dr. Saito...?
=P...//Please... =Allow me to run a stomach dialysis and blood transfusion on Mr. Kaneko...
=Please!! =Let me put Mr. Kaneko back on life support!! SWUSH
<64> =How many times do I need to say...? =Useless life-support is a social evil.
=You just want to feel like you've done your best. =There's not enough money around to feed that sort of self-contentment!
=When I first saw you performing Mr. Kaneko's surgery... =I was really moved...
=If I became sick myself... =I'd want a doctor like you to operate on me...
=What were you thinking about during that surgery, doctor...?
=If you thought he'd die anyways... =Why did you operate on him so carefully?
=I'm a surgeon. =I take pride in my own work.
=Wasn't it because you wanted to save that old man!?
<65> WHUP
=It's true that life-support patients threaten medical finance. =But isn't it our duty to try to save patients, even if they only have a 1% likelihood of survival?
=Don't be a fool! =An attitude like that closes the door on the future of medicine.
=That doesn't make any sense!//You performed an unnecessary surgery and threatened the finance too...
=Professor's orders. =Not my doing...
=That's not fair... =If the professor told you to eat poop, would you...
=I'm prepared! =I will become a professor at this university no matter what it takes!
=As a professor, I will change this university...//Then all the other Eidai affiliated hospitals... =And change Japanese medicine!
=Ultimately... That is the way to save the most lives...!
=That's not what I wanted to hear...
=Doctor. =What do you think of that patient?
<66> =Don't you... =Want to save that patient...!?
=I'm restarting the dialysis and the transfusion.
=The doctor in charge of that patient. =Is me...!!
<67> July 7th— Mr. Kaneko's dialysis and transfusion treatments have restarted—
=Doctor!//Hold up your side properly! =Geez, doctors always leave everything up to nurses!
KACHUCK..
=Ah...
<68> =Shortly after restarting treatment, =The old man's family began to come to the hospital again—
=Dr. Shiratori... =I don't know whether this old man wants to truly live...
=But... =At least, his family wants him to live strong...
=Strong...
<70> =Toshio Kaneko, =Deceased. Age 75—
=My first patient...
=These are all the belongings. =Thank you so much.
=I'm sorry, =If only I could have done more...
=Doctor...
=We gave a million yen to the professor when grampa became sick... =We really wanted him to live...
=But what about having to take care of him at home...? =That crossed our minds too...
=So when you told us he was going off life-support...//We felt too guilty to come see him...
<71> =Grandpa died a good death...
=Thank you... =For not giving up on him...
=There's nothing good or bad about dying.
=You're all the same once you die... =I couldn't save that patient.
=Dr. Saito. =How long are you going to keep this up...?
=There's no limit... =To how many of these patients you'll meet along the way.
<72> [building]Eiroku University Hospital
=Hi, =I was wondering if you'd hire me for night-duty again...https://mangahelpers.com/t/meriken/releases/12188[English] [Translation] Say Hello to Black Jack 3 by Meriken2009-05-11T04:45:19+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 3 (pp. 44~55)
<44> [x2]CLACK
=You were still here, Doctor? =Yes, I just wanted to check...
=60 units of blood platelets =6 injections of Plasmanate Cutter,//5 grams of Venilon.
=You did all this to Mr. Kaneko? =Dr. Saito?
<46> =Yes!! =The patient seems to be doing well!
=Don't try and do anything on your own... =I will give you the orders for his treatment.
=Thank you so much,//Doctor! =Gramps would be proud of being operated on by such a distinguished professor! [from top]Toshio Kaneko//Makoto Kasahara//Naoyuki Yoshimura//Kazuaki Takahara
=He's been doing well since the surgery. =The surgery itself was a complete success, but there are still complications with his heart... [x2]*mumble*
=There's nothing more we can do, quite honestly. =He might not recover without another lung complication... Plus, there's always heart failure.
=By the way, this is Dr. Shiratori. He was my assistant surgeon. *bows* =That over there is the intern in charge. He is... Uhh—
=I'm Saito!!
<47> =You've recovered quite well. =We'll send you home this afternoon.
=Hey Doc. =How 'bout you give me a drip infusion before I leave!
=Those things totally get my energy back up. =I always get 'em at the clinic near my workplace when I'm feeling down.
=Hmm— =A drip infusion...
=Are you aware of the contents of those drips? =Mr. Kuwazawa?
=500 cc of drip infusion is essentially 25 grams of glucose. =It amounts to only 100 kilocalories of energy. About half a glass of milk.
=Which means—What? =Those drips don't really do anything?
=Yes... =They're just a token procedure.
=Japan is the only place that offers them to patients that aren't dehydrated.
<48> =That was surprising... =Seeing Dr. Shiratori smiling like that to his patients...
=But it's kind of weird for a doctor to refuse a drip infusion...
=There isn't much in those drips, but the injection raises the cost around 1,000 yen. =Patients only pay 10%, so it's 100 yen for them though.
=Sure, the hospital makes 1,000 yen. =But that kind of waste builds up and bankrupts the state's medical funding.
=Yeah, I got nailed for using up too much stuff today too... =I wonder if that was also about trying not to spend too much...
=No point in trying too hard—... =It's 38,000 yen no matter how much you work... [x2]TAP
=No!! =I'm trying to make up for what I did on night-duty!!
=Then go back there and make it up. =W...Well...
<49> =CLACK
=Heading home tonight, Doctor...?
=There was a letter waiting for me in my apartment.
=It was from that doctor I was on night-duty with. [letter]To Eijiro Saito,//What's up Eidai-grad.//You don't seem to be answering my calls, so I sent you a letter.//That patient from before is recovering well.//Come back [^]for night duty[/^] sometime. [bubble]YAY [signature]Tsuchida
[x2]TICK
PEEEP
=You have, one message. =PEEEP//He—y it's mom—
=How are you Yujiro— =The Bon Festival's coming up— I'm looking forward to seeing you again—
<50> =Umm... Dr. Shiratori//There's been no urine since yesterday... =His BUN has gone up to 110... We need to run a stomach dialysis... [x3]CLAT
=Leave him as is... [x3]CLAT
=But Doctor... =At this rate, Mr. Kaneko will...
CLAT...
=You still don't get it? =The reason for that operation...
=Huh...?
=The patient was brought in unconscious from his home... =But the operation took place the following day.
=Don't you see why the dying patient wasn't operated on immediately?
=It was already too late.
<51> =B...But... =You still did the surgery though...
=The professor's orders.
=I thought I'd told you about the professor receiving 1 million yen from the patient's family. =We cut into that old man's body just because of the money.
=You see... =Further treatment is useless.
=Insurance lowers the medical expenses to several thousand yen per month, but... =In reality, that sort of treatment is far more expensive than that.
=The remainder is paid through the state's medical funding, contributed to by taxpayers. =You're going to use that much money to pay for an old man who has no hope for recovery?
=Currently, Japan's medical bill is 50 trillion yen... It's said to grow to 80 trillion within the next 15 years =Where are you going to get all that money from...?
<52> =Japan's medical finance is on the verge of collapse... =Wasteful life-support is a social evil...!!
=Then why'd you operate...?
=If you think life-support is a social evil, then... =Why didn't you go against the professor's orders...!?
=I'm no better...
=I... DRIP =Couldn't talk back to Dr. Shiratori, either...
=I wasn't thinking about the patient at all...
<53> ="This is a test..."//"I'm a real doctor if I can save this person..." =I was only thinking about myself this entire time...
=Even back on night-duty, I was just worried about my own mistakes... =And didn't bother to think about the patient until I saw that letter. [highlighted]That patient from before is recovering well.
=Gramps...
Do you...//Want to live...?
<54> CLACK—..
=Death prowls the hospitals at night—
=Of the 1,100 patient capacity at Eiroku University Hospital, =Two pass away on average each night...
=It's an emergency!! =Doctor!! Wake up!! [x4]BAM
=Mr. Kaneko's condition as worsened!! =Please wake up!!
<55> =There's no pulse.https://mangahelpers.com/t/meriken/releases/12187[English] [Translation] Say Hello to Black Jack 2 by Meriken2009-05-11T04:40:00+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 2 (pp. 31~43)
<31> Doctors... What are we anyways...?
=It's been a week— =And I still don't have my answer...
[x3]TRRR
<32> #2: Eels in God's Hands
=I'm not able to come to the phone. =Please leave a message after the beep.
=Hey—It's Ushida from Seido Hospital =The director wanted to know if you could do night-duty again—
=Give me a call when you get this message. =I'll call again later.
=One week ago—//I ran off during night-duty, leaving a dying patient. =If the director hadn't shown up, that patient would definitely be dead...
=He would have died on his own... =You might as well cut his stomach open...
=I... =Am still unable to leave this room...
<33> =I just wanna go back home—!!
=HONK
GUSSSH
=July— =My life at the university hospital continues.
=All right... Now that we're in July... =You interns are done with your 3 months of basic training...//Now you'll be starting some specialized work.
=You seven will be interning in the first surgical department.
=Kuniya Dekune. =Eijiro Saito.
<34> =Good morning—! =It's time to take blood samples—!
=PSHHH...
=Hey Doc, you guys make a lotta money, right? =You wanna come meet my daughter—?
=Why does everyone think doctors are rich?
=My monthly salary is 38,000 yen!//I can't even pay the rent unless I do night shifts!
=Don't come complaining to me, Saito.
[x2]SPLASH
=Come on in when you're ready. =We'll begin shortly—
=For those of you who don't know, university hospitals are special hospitals that are involved in education, research, and consultation. =They're affiliated with the medical department—//Which means university hospitals...
=Do not exist for the sole purpose of curing patients. [sign top]Eiroku University Medical School [sign bottom]Eiroku University Hospital
=Today's patient is a 75 year-old male. =Cirrhosis, caused by an aneurysm in the esophagus, has rendered him comatose.
<35> =I am currently in the first surgical department. =Which mostly deals with surgery on the esophagus, stomach, intenstines, and liver.
=There are two types of internships available at university hospitals. =In the first type, interns pick their department at the beginning and stay there.
=In the other, interns rotate around different departments throughout their 2 years of training.
=Eiroku University Hospital offers the rotating internship. =So we switch around every 2~3 months and study in all kinds of departments.
=And during those 2 years. =We must choose our own field of expertise.
=Professor Kasukabe will be arriving shortly. =The professor will personally operate for us today.
<36> =SW—UP
[x4]*mumble*
=Professor Kasukabe, aka God's Hands. =The Miracle of Eidai. Not a single surgery of his has gone wrong over the past 30 years.
=Scalpel.
SWOOP
=*flash*
=THUMP...
[x4]*mumble*
<37> UPPP
SWOOP
=Feels quite different from an eel.
=A remarkable incision, professor.
=Hmph.
=I'll leave the rest to you. =I will return to my research.
PATHUMP...
=Let's continue the surgery. =You, get back over here.
=What was that...? =Just now...?
<38> =This doctor... =He isn't fast, but he's really careful with his work...
=I definitely wouldn't come to a university hospital if I were sick, ...
[x3]MUNCH
=I mean, we'd be butt-naked on the table. =And have interns like us see our dicks, right...?
=Hey, Saitoh— =Let's go group dating... I'm sick of looking at dicks—
=I can't... =I don't have the time or the money.
=Then just do that night-duty thing again. =You get 80,000 yen each night, right?
<39> =I can't...
=Hey, Dekune-kun... =What was the point of the professor showing up at that operation...?
=I've heard rumors that incisions are the only thing he does... =He just dissects eels all day...
=But he's never made an operating mistake in 30 years, right...?
=Incisions for 30 years... =Yeah, he probably hasn't made any mistakes... [sign]Meal Tickets
=Guess being a professor... =Has nothing to do with being a good doctor...
=The people who write a thesis and get a doctorate... =Just keep researching and churning out papers and become professors.
=The people that run around the hospital for their patients... =Keep honing their skills, and can't become professors...
<40> =But... =Why does he even try if he's not confident in his skills?
=He's still a "professor..." =There must be some kind of reason...
=It's the money.
=The professor received about a million yen from the patient's family. =The family must have been content knowing an Eidai professor would be the one operating...
=Oh... =You're the doctor who was operating just now...
=I'm Takahisa Shiratori from the first surgical department. =I'm going to be your instructor from now on.
=Come with me after you're finished. =There's some work I need you to do this afternoon.
<41> =This patient... =Is the one that was in the operating room just now...
=His condition is stable for now. =But it'll be unlikely for him to ever recover consciousness.
=Comatose from a serious liver disorder... =The aneurysm in the esophagus has caused serious internal bleeding and damage...
=Dr. Saito, =I'm placing you in charge of this patient.
=Inject him with Lasix (a diuretic) to keep the urine flow and write his post-surgical report. =That will be all for now.
=Dr. Dekune. =I'll introduce you to your patient later.
=Oh... =I'm doing this alone...?
=What are you talking about...? =All hospitals have their interns handle these things on their own.
<42> =The only doctor in charge of this patient— =Is you.
=Today— =I've officially been put in charge of a patient for the first time...
=My mission is to protect this old man's life...
=Toshio Kaneko, age 75— =Brought in after falling unconscious at his home yesterday.
=This person's life... =Is in my hands...
=You're a doctor... =Doesn't matter if you're a rookie, to the patients, you're still the doctor.
=This is a test...
<43> =A test to see if I can become... =A real doctor...!!https://mangahelpers.com/t/meriken/releases/12182[English] [Translation] Say Hello to Black Jack 1 by Meriken2009-05-10T23:23:26+00:00Merikenadmin@mangahelpers.comSay Hello to Black Jack, Volume 1, Chapter 1 (pp. 1~30)
<1> =Eight thousand... [banner]Eiroku University Medical School Graduation Ceremony
=Every year, there are eight thousand graduates from the 81 university hospitals across the country.
=And you are the country's top 80 graduates!
<2> =You are the future of Japanese medicine!
#1: Intern's Eve
<3> [sign]Eiroku University Hospital
=Saito, you sleepy...? =Yeah, I was on-duty 'till just now. [sign]Operating Room
=I've been here 24 hours since yesterday morning. =Me too. [x2]SCRUB
=Helping out at the professor's lab... =Only got 3 hours of sleep... [x2]SCRUB
=Then I win.
=I only got 2 hours!
<4> =Three months after my graduation from Eiroku Medical School— =I am working as an intern at Eiroku University Hospital.
=PSHHH...
PSHHH—
=Look, Saito! =You don't need to make a face every time you make an injection!
=An intern is basically a doctor-in-training.
=To become a doctor, you study medicine for 6 years. =Then pass the standardized medical exam.
=However, that exam only tests your knowledge of medicine. =And doesn't require any hands-on training.
=That's why most graduates work as interns for 2 more years after obtaining their medical license.
=Saitoh, expand the incision. =Yes sir!
<5> =*sigh...* =I hate myself for being so hungry after surgery.
=Hey Saito... =I'm gonna lose my mind if I keep going like this...
=SLUUURP
=What're you talking about! =We're the backbone of Japanese medicine!
16 hours of work per day, on average. Monthly salary only... 38,000 yen—!!!
Not daily but monthly salary.
[x2]SHWI—CK
=And it's not like our hospital is that stingy. =State hospitals pay a little more, but over 70% of privately-owned hospitals pay less than 100,000 yen to its interns per month.
=You can't make a living on that. =So—
<6> =Well then, Saito-kun. =You'll be on night-duty tonight.
[sign]Seido Hospital
=Eijiro Saito, age 25. =Eiroku University Medical School graduate...//First time on night duty at this hospital... Hmm...
=An Eidai grad... =So you're elite, eh... [note]Eidai, short for Eiroku University
=Yes sir! =I'll try hard to live up to Eidai's reputation!
=Since this is your first night, there'll be another doctor on-duty. =Ask him to show you the ropes.
=Good luck. =This is the reality of an intern.
<7> [x2]KNOCK
=Hello, nice to meet you! =I'm Saito, Eidai-grad. Reporting for night-duty.
[x3]HUFF
=Uh... Umm... =I'm from Eidai, here for night-duty... [x2]HUFF
*STOPS..*
=Eat... =Eat while you can...
=And sleep. =Sleep while you can...
KACHICK
BLAM [sign]Night-duty Room
<8> [sign]Emergency Entrance
=Seido Hospital...//Capacity 120 patients... =Large hospital serving many of the patients in the area... Huh...
=Three doctors on staff...//The director, and that guy Ushida-san... =Ushida-san and I are alone for tonight...
[x3]TRRR
[x2]BWHOOP
=It hurts—!! =It hurts—!!
=Hurry up!! We're in battle from here on out!! =Yes sir!!
<9> =The patient is male, age 20!! Motorcycle accident 30 minutes ago!
=Left leg is broken!!
=Blood count, chemistry, and blood type ASAP!!
=Get 10 packs of rich red blood cells!!
=Eidai-grad!! =Inject 1000 ml of lactec and hydrocodone!!
[x2]*trembling*
=You're behind!! Eidai-grad!! =Cross match his blood samples when you're done!!
=I'm sorry... =I was totally useless in there...
=No time to be depressed.
=The real deal begins... =Right now...
<10> =TRRR
[x2]AAAGGGHHH
=Dr. Ushida!! =Her blood pressure's dropping!!
=Just shut up and do the transfusion!! =She'll be fine if she's got this much energy to struggle!! [x1.5]AAAAAA
TRRRRRR
=An accident!! =Patient hit his chest and appears unable to breathe!!
=60s male!! =Head-on collision on the crosswalk, he's unconscious!!
[x2]BWOOP
=Wow... This guy's amazing...
<11> [x2]CHIRP
[x6]PLOP
=What are you smiling for... Eidai-grad...
=This hospital is wonderful... =It never turns back any emergency patients...
=You're sounding like a layman... =Geez...
=There's a points system for everything a doctor does... =42 points for an enema... 12 for a blood sample...
=Insurance companies pay doctors based on the total number of points. =A 10 yen per point rate standard. [diagram from top]First timer fee//Late hours fee//Ultrasound//Standard blood test//Diagnosis//Total
=Huh.
<12> =But it's not the same for car accidents... =The hospital fees are paid by the car insurance companies, not medical insurance.
=It's called "free rate treatment." =And the doctor can set the per point standard to whatever they want.
=...Are you saying... =We can charge whatever we want for car accidents...?
=Did you notice...? =All of the patients we accepted were from car accidents...
=The per point rate for car accidents at this hospital is 40 yen. =We're charging four times the standard rate.
=In the end, it's all about money... =We're not volunteers, you know...
[x2]CREAK...
=The pay was 80,000 yen. =In just one night, I'd made more than twice my monthly salary as an intern—
<13> =3 hours of sleep again last night... =Medical interns lead the unhealthiest lives in Japan... [x2]SCRUB
=And...? =What about you...? Night duty... [x2]SCRUB
=Yeah
[x3]CRICK
[x2]CRICK
=Wonder who that was... =Another deceased, huh...
=Should I really keep this...? =The 80,000 yen...
=Why not...//You earned it...
=But... =This kind of money...
<14> =I... =Don't want to be a dirty doctor...
=You know... =I never wanted to be a doctor in the first place...
=I was just scrambling to get into the best college... =And here I am, a doctor...
=Doctors... =What are we, anyways...?
=I'm paying you 100,000 yen tonight... =Huh!? [sign]Seido Hospital
=You're alone starting tonight. =I can pay more if you wish.
=Oh... =That's not...
=Worried?
<15> =There are currently 24,000 doctors in Japan. =What do you think of this figure?
=One doctor per ever 500 people in the country...//That's better than most developed countries in the world... =I think it's a figure to take pride in...
=An exemplary answer... =But you're forgetting the key point...
=The number of hospitals.
=Japan has a good number of doctors, but an even greater number of hospitals. =That's why even a hospital like mine has only 3 doctors on staff.
=Meaning... =The number of doctors per hospital in Japan is quite small.
=I understand...
=Doctors are human too. We have families... =There's no three doctors can work every day and cover the night shifts.
<16> =I felt like I was doing something horrible— [sign]Emergency Entrance
=I needed money.
=The only doctors on night-duty are interns— =That's not uncommon outside university hospitals...
=In fact, that's normal for hospitals in Japan. =Don't go driving late at night if you value your life...
=The possibility of receiving proper treatment in the case of an emergency is next to none.
<17> =That's how this country sleeps... [text]In a survey given to 79 of the country's university hospitals,//Only 2% were revealed to have explicitly prohibited night-duty for interns.//80% of interns on night-duty were revealed to have experienced free rate treatment.//And over 90% of interns said they gave treatment,//With serious doubts in their own expertise.//That is the reality of the situation.//(Survey conducted by the National Medical Student's Association)
<19> [x3]BWOOP
=Car accident, 20s male. =Multiple contusions and possible fractures across the entire body.
=Level 30. =Respiration 24, pulse is 120.
=Please hurry! =We're ready to transport!
[x4]BWOOP
[x3]TRRR
<20> [x?]SCRAT
=We're ready here!! [sign]Emergency Entrance =The ambulance is arriving in 10 minutes!!
=Doctor!! We need you in the operating room!! Now!! =I know!!
[x2]TRRR
TR =H-Hello— =Is this Dr. Ushida's...
=Ya—y. You've reached Ushida. I can't come to the phone so please leave a...
=Doctor!! Please wake up!! =It's an emergency!! We might need an operation!! *snore—*
=SHIT!! CRASH
[x3]SCRUB
=It's here!! =The ambulance is here!!
[x2]BWOOP
<21> BAM
[x2]PANT
=Ruptured internal organs...
<22> [x2]PRRR
=I am out at the moment. =Please leave a message after the beep.
=What's happened to him...? =He's not coming back.
=Shit... No director either...!
=I can't...
=There's a ruptured liver and a hol somewhere in the digestive tract... =I've never handled a big operation like this...
[x2]PANT
=What am I supposed to do...? =He's going to die unless I...
[x3]CLACK
=I can't...
KACHICK
<23> =Director...
=The head nurse called...
[sign]Operating
<25> [x2]CLACK
KACHICK
<25> =There you are... =Saito-kun...
=Wh-What happened... =To the patient...?
<26> =Why didn't you operate...?
=He would have died on his own... =You might as well cut his stomach open...
=But... =I'd be a murderer if I screwed up...
=Better than doing nothing... =You left that patient out to die...
=No!! =It's your fault for putting an intern like me in charge alone!!
=Don't admit patients if there's not enough doctors!! =You just want to collect the insurance money!!
=So?
=We save lives... =What's wrong with taking money?
<27> =Besides, what does money, =Have to do with your not operating?
=You're a doctor... =ZUP.. =Doesn't matter if you're a rookie. To the patients, you're still the doctor.
=A murderer? ZUPPP =It's his fault for getting into an accident in the first place...
=Always operate... =Don't spit righteous bullshit to my face.
=If you're righteous, you're weak.
=If you're strong. =You're evil.
<28> =You cease to be an ordinary human being, the moment you obtain your license. =You're a doctor.
=Be strong...
=Mornin'— =Eidai-grad—
=Dr. Ushida...
=Sorry 'bout last night—... =I totally drank myself to sleep and didn't hear you calling...
=ZUP
=What? =Depressed again?
<29> =Long time ago... =I did the same thing...
=Told him he was wrong... =Told the director... Medicine isn't about money...
=I still think he's wrong...
=But ya know... =Thinking that doesn't do you any good...
=He's saved lots of lives... =That's the reality...