100:00:02,020 --> 00:00:13,030??

200:00:13,030 --> 00:00:17,030So what I (Ijuin) talking about? Now (Kato)?

300:00:20,030 --> 00:00:22,030«(Knock)

400:00:24,040 --> 00:00:28,040(Noguchi) L & P hospital is proud of ? and ask them gathered to doctors who

500:00:28,040 --> 00:00:33,050I'm afraid. 6 days .? 3 May one week after

600:00:33,050 --> 00:00:38,050Of five-year-old boy Would like to ask the operating of ASD.

700:00:38,050 --> 00:00:43,060(Ijuin) Wakisaka Shou-kun. . Atrial septal defect ASD.

800:00:43,060 --> 00:00:47,060Usually if (Kato) ASD is It is a catheter rather than operating.

900:00:47,060 --> 00:00:53,070(Noguchi) this patient even. Doing so Missing holes .? I have exceeded the 20mm

1000:00:53,070 --> 00:00:56,070And I do a lower edge missing.

1100:00:56,070 --> 00:00:59,070There is no (Kato) lower edge. Moreover, large.

1200:00:59,070 --> 00:01:04,010You have the opportunity to arm (Noguchi) you guys It's not difficult operations in any way.

1300:01:04,010 --> 00:01:09,020It's (Noguchi), but also on the careful

I want Nde prudent.

1400:01:09,020 --> 00:01:11,020Defintely (Kato) It's the most important patient.

1500:01:11,020 --> 00:01:15,020Kato-chan indeed. Sash .? I hope

1600:01:15,020 --> 00:01:18,020?, the parent company of this L & P hospital

1700:01:18,020 --> 00:01:22,030Wakisaka of vice president of L & P lease 'm A son.

1800:01:22,030 --> 00:01:25,030Even so (Arase) The ? op that had been decided earlier

1900:01:25,030 --> 00:01:28,030It is a move on its own. (Noguchi) Wakisaka vice president ?

2000:01:28,030 --> 00:01:35,040It's a next president of L & P. Can not afford to fail absolutely.

21 00:01: 35,040 -> 00:01: 39,050 In posture perfect I Give me so as to face.

22 00:01: 39,050 -> 00:02: 01,000 ? ~

23 00:02: 01,000 -> 00:02: 05,000 «. Elapsed It is also no good. (Sakurai). .? I do not have a problem

24 00:02: 05,000 -> 00:02: 08,010 If there be some anxious Please call at any time.

25 00:02: 08,010 -> 00:02: 10,010 Thank you (women).

26

00:02: 10,010 -> 00:02: 14,010 I'm fine (Sakurai) everyone. Yes (woman).

27 00:02: 14,010 -> 00:02: 16,020 (Ryutaro) less Please do not overdo it.

28 00:02: 16,020 -> 00:02: 19,020 As (Sakurai) It was said You are careful not excited.

29 00:02: 19,020 -> 00:02: 25,020 This morning's 62 blood pressure of 108. I have to drink neatly antihypertensive agents.

3000:02:25,020 --> 00:02:27,030Yes. ? with (Sakurai) heart

31 00:02: 27,030 -> 00:02: 32,030 Neurosurgeon can simultaneous operations is It will not hard to find.

32 00:02: 32,030 -> 00:02: 35,030 If the United States. .? Or (Sakurai) America

33 00:02: 35,030 -> 00:02: 39,040 But in the United States ? to become Excellent brain surgeon

34 00:02: 39,040 -> 00:02: 42,040 Money and time, can we take.

35 00:02: 51,050 -> 00:02: 56,050 (Okamura) Dr. Mike I hear two-year wait.

36 00:02: 58,060 -> 00:03: 00,080 So the brain surgeon other Are looking for.

37 00:03: 00,080 -> 00:03: 03,000 Oh man (Okamura). His more Not stomach brain surgeon.

38 00:03: 03,000 -> 00:03: 09,000

In condition of Sakurai teacher Not afford to wait two years.

39 00:03: 09,000 -> 00:03: 13,000 (Okamura) month after Dr. Mike will come to Japan.

4000:03:15,010 --> 00:03:21,010Sakurai teacher (Okamura) L & P hospital Have the op.

41 00:03: 21,010 -> 00:03: 23,020 But .... The ? nor (Okamura) Other

42 00:03: 23,020 -> 00:03: 26,020 It is because of Sakurai teacher. The ? to Dr. Mike

43 00:03: 26,020 -> 00:03: 28,020 To say the impossible I had undertaken.

44 00:03: 35,030 -> 00:03: 38,030 And (Okamura) he The ? to hospital reconstruction of America

45 00:03: 38,030 -> 00:03: 42,040 From the time you have been involved Old .?'m an acquaintance

46 00:03: 42,040 -> 00:03: 44,040 And Dr. Mike Team Dragon is ?

47 00:03: 44,040 -> 00:03: 50,040 Sakurai teacher if concurrent operations is .? That is definitely helped

48 00:03: 50,040 -> 00:03: 53,050 You do not have a medical license in Japan The ? also a doctor microphone

49 00:03: 53,050 -> 00:03: 55,050 It is a super medical Zone ? If at L & P hospital

5000:03:55,050 --> 00:03:58,050

Surgeon is allowed.

51 00:03: 58,050 -> 00:04: 00,020 (Okamura) also cost the inner ? charge does therefore

52 00:04: 00,020 -> 00:04: 03,020 And do not worry.

53 00:04: 04,890 -> 00:04: 09,900 Well ? of you all in this

54 00:04: 09,900 -> 00:04: 12,900 It became as desired I is not say.

55 00:04: 15,900 -> 00:04: 20,900 Also my hope now I would like to hear.

56 00:04: 23,910 -> 00:04: 27,910 Hope? Yeah.

57 00:04: 29,920 -> 00:04: 32,920 Asada teacher.

58 00:04: 36,920 -> 00:04: 41,920 Doctor of L & P Please become.

59 00:04: 45,930 -> 00:04: 49,940 Reform of teacher Arase ? under the guidance of teacher Ijuin

6000:04:49,940 --> 00:04:52,940Also out Has been level up.

61 00:04: 54,940 -> 00:05: 02,940 What is needed at the end of your It is the procedure of genius.

62 00:05: 13,990 -> 00:05: 19,000 The ? To help Sakurai teacher

63 00:05: 19,000 -> 00:05: 24,000

You have to L & P And I do not only come.

64 00:05: 24,000 -> 00:06: 11,990 ? ~

65 00:06: 11,990 -> 00:06: 15,990 Son's (Okamura) Wakisaka Vice President Op is I heard there.

66 00:06: 15,990 -> 00:06: 19,990 I'm (Noguchi) Yes. (Okamura) I do not I have heard.

67 00:06: 19,990 -> 00:06: 23,000 Oh (Noguchi)? Did not say? ?

68 00:06: 23,000 -> 00:06: 28,000 Busy Okamura-chan Did not you forget?

69 00:06: 35,010 -> 00:06: 39,010 For surgery Sakurai ? at exorbitant amount of money

70 00:06: 39,010 -> 00:06: 43,020 A brain surgeon in the United States I seems to be trying to call.

71 00:06: 43,020 -> 00:06: 47,020 It is because of Asada teacher acquisition.

72 00:06: 53,030 -> 00:06: 55,030 (Noguchi) I have not heard.

73 00:06: 55,030 -> 00:07: 08,980 ? ~

74 00:07: 08,980 -> 00:07: 13,980 «(Hero) Emi! Are you all right? Emi! ?

75 00:07: 13,980 -> 00:07: 17,980 Emi! Emi! Come on! ?

76 00:07: 17,980 -> 00:07: 19,990

Emi! "Emi ..."

77 00:07: 19,990 -> 00:07: 21,990 Or (hero) okay? Come on! (Personnel) 39-year-old female .?

78 00:07: 21,990 -> 00:07: 23,990 Ambulance difficult breathing and fever.

79 00:07: 23,990 -> 00:07: 29,000 (Hero) Emi! Emi! Emi!

80 00:07: 29,000 -> 00:07: 41,010 ? ~

81 00:07: 41,010 -> 00:07: 45,010 Kiriyama's Well (Kihara). Please, stop the next breath.

82 00:07: 45,010 -> 00:07: 49,020 Kihara teacher. Test results of Kiriyama Emi's?

83 00:07: 49,020 -> 00:07: 54,020 It is suspected (Kihara) peripartum cardiomyopathy. (Okamura) peripartum cardiomyopathy.

84 00:07: 54,020 -> 00:07: 57,020 (Kihara) to is a nasty case ? possibility of long-term hospitalization because high

85 00:07: 57,020 -> 00:08: 00,040 Receptor becomes stable Thank you ... changing hospital.

86 00:08: 00,040 -> 00:08: 02,960 (Okamura) I will accept. ? even. Nay (Kihara)

87 00:08: 02,960 -> 00:08: 04,960 Heart disease in pregnant women's ? litigation risk is high

88 00:08: 04,960 -> 00:08: 09,970 In accordance with management policy of L & P .... (Okamura) this patient ?

89 00:08: 09,970 -> 00:08: 11,970 I will accept at home.

9000:08:11,970 --> 00:08:22,980??

91 00:08: 22,980 -> 00:08: 25,990 (Okamura) The ? In order to help the "Sakurai teacher

92 00:08: 25,990 -> 00:08: 30,990 You have to L & P It 's no choice but to come "

93 00:08: 30,990 -> 00:08: 49,000 ? ~

94 00:09: 11,950 -> 00:09: 13,960 It should put to (hero) here. Thank you (Emi).

95 00:09: 13,960 -> 00:09: 15,960 «(Knock) Yes (hero).

96 00:09: 20,960 -> 00:09: 23,970 To (Ijuin) Contact It is Ijuin of cardiac surgery.

97 00:09: 23,970 -> 00:09: 26,970 (Emi) cardiac surgery? (Ijuin) Kiriyama's ?

98 00:09: 26,970 -> 00:09: 29,970 In the wake of pregnancy ? the function of the heart is reduced

99 00:09: 29,970 -> 00:09: 33,980 Of the disease called peripartum cardiomyopathy .? There are doubts

10000:09:33,980 --> 00:09:36,980A decrease in cardiac function future ? If progress

101 00:09: 36,980 -> 00:09: 40,980 Surgery for assisting a heart

Might be required.

102 00:09: 40,980 -> 00:09: 44,990 (Emi) surgery? Baby?

103 00:09: 44,990 -> 00:09: 48,990 You have been a fertility treatment much (hero) And I'm a child that was finally bestowed.

104 00:09: 48,990 -> 00:09: 52,990 I'm okay? I think you filled?

105 00:09: 52,990 -> 00:09: 57,000 Yes (Ijuin). Kiriyama's ? at 23 weeks of gestation current

106 00:09: 57,000 -> 00:10: 01,000 Baby is twins. ? up to 24 weeks and a delivery can be safely

107 00:10: 01,000 -> 00:10: 03,000 ? to see how in the medical therapy

108 00:10: 03,000 -> 00:10: 07,010 Cesarean section if the situation permits .? Have the birth

109 00:10: 07,010 -> 00:10: 10,950 Heart surgery mom then Consider.

110 00:10: 10,950 -> 00:10: 15,950 Teacher. The ? even me something Moshimo

111 00:10: 15,950 -> 00:10: 18,950 Only baby Please help absolutely.

112 00:10: 18,950 -> 00:10: 22,960 Nephew (hero). What are you saying.

113 00:10: 22,960 -> 00:10: 25,960 Okay.

114

00:10: 25,960 -> 00:10: 29,960 With the baby Let's do our best to be able to discharge.

115 00:10: 29,960 -> 00:10: 31,970 Yes (Emi).

116 00:10: 31,970 -> 00:10: 34,970 Had been (Noguchi) wait. Wakisaka Vice President .?

117 00:10: 34,970 -> 00:10: 37,970 Here I will this time surgeon .? Is Kato

118 00:10: 37,970 -> 00:10: 41,980 Cardiac surgery in children ? professional

119 00:10: 41,980 -> 00:10: 46,980 Entering the five fingers in the country It is a very excellent doctor.

120 00:10: 46,980 -> 00:10: 49,980 (Wakisaka) Thank you. Kato teacher.

121 00:10: 49,980 -> 00:10: 52,990 Result of (Kato) inspection Edge of the bottom of the defect hole ?

122 00:10: 52,990 -> 00:10: 54,990 .? Was the type that you are missing

123 00:10: 54,990 -> 00:10: 57,990 Be closed in the catheter You can not but ?

124 00:10: 57,990 -> 00:11: 01,000 The weight 20kg Enough to ? is physique

125 00:11: 01,000 -> 00:11: 04,000 To undergo surgery It is the best timing.

126 00:11: 04,000 -> 00:11: 06,000 Do you (Wakisaka) Yes. (Noguchi) Nothing ?

127 00:11: 06,000 -> 00:11: 12,000 There is no need to worry. Thank you (Wakisaka).

128 00:11: 14,940 -> 00:11: 18,950 (Kato) Shou-kun. I because do not have to worry.

129 00:11: 18,950 -> 00:11: 20,950 When I wake up Because they all finished.

130 00:11: 20,950 -> 00:11: 22,950 Yeah (Shou).

131 00:11: 26,960 -> 00:11: 29,960 (Hayakawa) 35-year-old male. Aerial ? during lunch break after

132 00:11: 29,960 -> 00:11: 32,960 The. Systemic fall from a height of about 3m I have also head bang out.

133 00:11: 32,960 -> 00:11: 34,960 Conscious level than (Katsura) a little while ago Has dropped.

134 00:11: 34,960 -> 00:11: 36,970 (Hayakawa) Let's hurry. Enter (Shaeda) stretcher.

135 00:11: 36,970 -> 00:11: 39,970 Lower (Everyone) fence. Yes. Transfer.. 1, 2, 3 Yes.

136 00:11: 39,970 -> 00:11: 43,970 Do you know. (Hayakawa) Nogi-san? Is the hospital.

137 00:11: 43,970 -> 00:11: 46,980 I turn off the (Inohara) clothes. (Hayakawa) E1 V1 M4.?

138 00:11: 46,980 -> 00:11: 48,980 You intubation. Cervical collar Please remove.

139 00:11: 48,980 -> 00:11: 50,980 Yes (Inohara).

140 00:11: 50,980 -> 00:11: 53,980 Hayakawa. Patient's full stomach.

141 00:11: 53,980 -> 00:11: 55,980 Yes (Hayakawa). Thank you Sellick method.

142 00:11: 55,980 -> 00:11: 57,980 (Inohara) I suppressed.

143 00:12: 02,990 -> 00:12: 05,990 (Inohara) okay? (Tomoko) is okay.

144 00:12: 05,990 -> 00:12: 09,000 It is damage to the femoral artery. Bring me angiorrhaphy set.

145 00:12: 09,000 -> 00:12: 11,000 Yes (Katsura).

146 00:12: 13,940 -> 00:12: 15,940 Kelly. Yes (Katsura).

147 00:12: 15,940 -> 00:12: 19,940 Vascular tape. Yes (Katsura).

148 00:12: 19,940 -> 00:12: 21,940 5-0 proline.

149 00:12: 27,950 -> 00:12: 30,950 Please fixed (Hayakawa) stomach tube. Yes (Inohara).

150 00:12: 34,960 -> 00:12: 36,960 Hayakawa. Yes (Hayakawa).

151 00:12: 36,960 -> 00:12: 39,960 If there is bleeding from the nose Towards the oral insertion is good even stomach tube.

152 00:12: 39,960 -> 00:12: 41,960 .? That (Hayakawa) it was found

153 00:12: 41,960 -> 00:12: 44,970 Is the base of the skull fracture on CT If it is confirmed that there is no ....

154 00:12: 44,970 -> 00:12: 47,970 It is good even from the nose in that case. Yes (Hayakawa).

155 00:12: 49,970 -> 00:12: 51,970 (Kihara) Oo. Ijuin. Now? Return?

156 00:12: 51,970 -> 00:12: 53,980 Towards Sakurai hospital now. Or so. There (Kihara).

157 00:12: 53,980 -> 00:12: 55,980 Now of Anou VIP .... . ?Ne there.

158 00:12: 55,980 -> 00:12: 57,980 Wonder there is an op of VIP?

159 00:12: 57,980 -> 00:12: 59,980 Boy of 5 years old. It is the operating of ASD.

160 00:12: 59,980 -> 00:13: 02,980 Because it is surgeon of Kato Do not worry.

161 00:13: 02,980 -> 00:13: 04,990 So I'll even go out Kana no?

162 00:13: 04,990 -> 00:13: 06,990 Yes., Please Makashi to us.

163 00:13: 06,990 -> 00:13: 08,990 Some patients of peripartum cardiomyopathy Would you?

164 00:13: 08,990 -> 00:13: 10,930 When N is any chance I ....

(Ijuin) Socci ?

165 00:13: 10,930 -> 00:13: 13,930 It is said to Okamura Because I was now in charge.

166 00:13: 15,930 -> 00:13: 17,930 There (Ijuin).

167 00:13: 20,940 -> 00:13: 22,940 In (Ijuin) after a long time Per I was out.

168 00:13: 22,940 -> 00:13: 24,940 Please.

169 00:13: 24,940 -> 00:13: 30,950 There (Kihara) .... Ijuin! ?

170 00:13: 30,950 -> 00:13: 36,950 Pottsun. Or. Tsundere What guy?

171 00:13: 39,950 -> 00:13: 43,960 I wonder if me born to healthy? (Hero) and .?'m fine

172 00:13: 43,960 -> 00:13: 48,960 'S teacher It would have me say so? Okay.

173 00:13: 48,960 -> 00:13: 50,970 Yeah (Emi).

174 00:13: 50,970 -> 00:14: 05,980 ? ~

175 00:14: 05,980 -> 00:14: 07,980 Why (Kato)?

176 00:14: 10,000 -> 00:14: 15,920 Treatment of perinatal in the case of emergency Medical litigation risk is high.

177 00:14: 15,920 -> 00:14: 18,930 ? would you always

178 00:14: 18,930 -> 00:14: 22,930 Reject Is not that a patient do?

179 00:14: 22,930 -> 00:14: 28,930 The patients to other hospitals I can not help even transferred.

180 00:14: 30,940 -> 00:14: 35,940 I will always help out at a hospital in.

181 00:14: 35,940 -> 00:14: 46,940 ? ~

182 00:14: 53,960 -> 00:14: 59,970 (Kato) Okamura's ? while said to be different from the Noguchi

183 00:14: 59,970 -> 00:15: 03,970 Why Would'm teamed up?

184 00:15: 03,970 -> 00:15: 07,980 In (Kito) each other ? as a business partner

185 00:15: 07,980 -> 00:15: 09,940 When there is a utility value Will do think.

186 00:15: 09,940 -> 00:15: 13,820 For business only?

187 00:15: 13,820 -> 00:15: 18,820 Unlike Team Dragon They are not monolithic.

188 00:15: 18,820 -> 00:15: 24,830 What you have seen in the earlier Completely different.

189 00:15: 24,830 -> 00:15: 29,830 What's in his Would've been visible?

190 00:15: 33,840 -> 00:15: 38,840

It's called human Okamura I'm involved in the foundation.

191 00:15: 38,840 -> 00:15: 40,840 Huh?

192 00:15: 40,840 -> 00:15: 46,850 Okamura Unlike Noguchi .? That it is possible to suppress the feeling

193 00:15: 46,850 -> 00:15: 52,850 But when the hoop is out Should figure real he comes into view.

194 00:15: 52,850 -> 00:16: 11,910 ? ~

195 00:16: 11,910 -> 00:16: 14,910 Sakurai teacher. Teacher.

196 00:16: 14,910 -> 00:16: 19,910 (Sakurai) 's. Dawn reluctantly. Haha~tsu.

197 00:16: 19,910 -> 00:16: 21,910 You deposit. Yeah.

198 00:16: 26,920 -> 00:16: 31,920 Asada is came I have survived really.

199 00:16: 33,930 -> 00:16: 35,930 Should I have ? even if things like fall

200 00:16: 35,930 -> 00:16: 41,940 Give me if you guys can have This hospital's okay.

201 00:16: 41,940 -> 00:16: 44,940 Would not that the patient is in trouble.

202 00:16: 51,950 -> 00:16: 53,950 (Shou) this. This (wife of Wakisaka).

203 00:16: 53,950 -> 00:16: 55,950 . 5-year-old .? (Kato) Wakisaka Shou-kun

204 00:16: 55,950 -> 00:16: 59,950 To the lower edge deficient ASD ? perform the lower edge formation

205 00:16: 59,950 -> 00:17: 01,960 I will close the ASD.

206 00:17: 01,960 -> 00:17: 04,960 Because there is no lower edge of (Arase) deficit hole I was diagnosed with operations apply.

207 00:17: 04,960 -> 00:17: 07,960 To prepare for (Kato) elementary school I have hope radical.

208 00:17: 07,960 -> 00:17: 09,950 I can be minimized (Ijuin) surgery scar ? In part sternum incision

209 00:17: 09,950 -> 00:17: 11,900 Do you want to approach. Well (Kato).

210 00:17: 11,900 -> 00:17: 13,900 (Ijuin) Please be sure that you prepare 5-0.

211 00:17: 13,900 -> 00:17: 15,900 Yes (nurse). The ? 90 minutes or less (Arase) anesthesia time

212 00:17: 15,900 -> 00:17: 17,910 Aim. Yes (Everyone).

213 00:17: 17,910 -> 00:17: 19,910 I 10 minutes aortic interruption time.

214 00:17: 19,910 -> 00:17: 21,910 To their own simulation Let's equipped.

215 00:17: 21,910 -> 00:17: 23,910 Yes (Everyone).

And (Kato) please.

216 00:17: 23,910 -> 00:17: 13,322 You (Everyone) please.

217 00:17: 32,920 -> 00:17: 35,920 There (Emi).

218 00:17: 35,920 -> 00:17: 39,930 Please (Okamura). Thank you (Emi).

219 00:17: 39,930 -> 00:17: 44,930 (Okamura) physical condition How is? Oh (Emi). It is easy dive now.

220 00:17: 44,930 -> 00:17: 48,940 (Okamura) drug .? I'm worked

221 00:17: 48,940 -> 00:17: 52,940 Also mom if the trend continues Baby is okay.

222 00:17: 52,940 -> 00:17: 59,950 Do you (Emi) Yes. Ah. .? Was good

223 00:17: 59,950 -> 00:18: 04,950 We quite ? children will not be able to

224 00:18: 04,950 -> 00:18: 07,960 .? Fertility treatment, if not well

225 00:18: 07,960 -> 00:18: 13,900 Husband or I give up anymore And I had me saying I .?

226 00:18: 13,900 -> 00:18: 18,900 Could. Moreover 's twins ? when it was found

227 00:18: 18,900 -> 00:18: 21,900 The face of that person It is really joyful.

228 00:18: 24,910 -> 00:18: 28,910

There (Emi). Another ?

229 00:18: 28,910 -> 00:18: 31,910 A ribbon of light blue I want to give, but put ?

230 00:18: 31,910 -> 00:18: 33,910 It has been forgotten and to prepare.

231 00:18: 35,920 -> 00:18: 38,920 Until (Inohara) Ryutaro-chan To L & P?

232 00:18: 38,920 -> 00:18: 43,920 Not is not mean that you have decided yet. So (Inohara).

233 00:18: 46,930 -> 00:18: 52,930 Ryutaro-chan But if you go (Inohara) I can op Sakurai teacher.

234 00:18: 52,930 -> 00:18: 54,930 Yes.

235 00:18: 59,940 -> 00:19: 01,940 The ? than that of the hospital (Inohara) now

236 00:19: 01,940 -> 00:19: 04,940 That Sakurai teacher Should not you think?

237 00:19: 06,950 -> 00:19: 10,950 For the patient in front of (Inohara) Eyes .? Do your best

238 00:19: 10,950 -> 00:19: 13,950 In order to save the teacher.

239 00:19: 23,020 -> 00:19: 25,020 I do my best (Wakisaka) proceeds.. Good luck (wife) proceeds..

240 00:19: 25,020 -> 00:19: 28,030 It became. With (Wakisaka) peace of mind. Good luck (wife) proceeds..

241 00:19: 28,030 -> 00:19: 31,030

(Wakisaka) It's okay.

242 00:19: 31,030 -> 00:19: 34,030 Earnestly Thank you very much in advance.

243 00:19: 34,030 -> 00:19: 39,040 Facilities and the best L & P hospital is proud of Because it is the doctor who best.

244 00:19: 39,040 -> 00:19: 42,040 Please wait with confidence.

245 00:19: 45,040 -> 00:19: 47,040 (Arase) Otachidai. Yes (nurse).

246 00:19: 51,050 -> 00:19: 55,050 Of VIP in patients (Hayakawa) L & P .?'m Likely operating

247 00:19: 55,050 -> 00:19: 58,060 Kato Ijuin teacher teacher teacher Arase In general mobilization.

248 00:19: 58,060 -> 00:20: 02,060 (Katsura) VIP You. I want to go to (Inohara) tour?

249 00:20: 02,060 -> 00:20: 04,060 Kamawanzo (Sakurai) if you want to go. .? To no visit today

250 00:20: 04,060 -> 00:20: 06,060 I will somehow Asada and me.

251 00:20: 06,060 -> 00:20: 09,070 Operating high-level Well (Hayakawa) is .? I want to see

252 00:20: 09,070 -> 00:20: 13,070 But Mr. Ikeno .? of 402 in room

253 00:20: 13,070 -> 00:20: 17,070 Do not have my I'm picky. Fufu~tsu.

254

00:20: 23,010 -> 00:20: 25,010 I'm going (Hayakawa) rounds.

255 00:20: 30,020 -> 00:20: 33,020 It is the emergency of (Tomoko) chest thump. Thank you.

256 00:20: 35,030 -> 00:20: 44,040 The one. 6 (Arase) five. .? Nyatsu Nya

257 00:20: 44,040 -> 00:20: 46,040 Yes. .? Fell

258 00:20: 46,040 -> 00:20: 48,040 The Come call Ijuin and Kato. Yes (nurse).

259 00:20: 48,040 -> 00:20: 57,050 ? ~

260 00:20: 57,050 -> 00:20: 59,050 «(Sound to open the door)

261 00:20: 59,050 -> 00:21: 13,060 ? ~

262 00:21: 13,060 -> 00:21: 17,070 (Kato) for ASD than this .? To carry out the closure surgery

263 00:21: 17,070 -> 00:21: 19,070 Female. Yes (nurse).

264 00:21: 19,070 -> 00:21: 2,109.0 (Ijuin) forceps. Gauze. Yes. Yes (nurse).

265 00:21: 2,109.0 -> 00:21: 23,090 (Kato) Power female. Yes (nurse).

266 00:21: 27,010 -> 00:21: 30,010 [TEL] (the sound of the vibrator)

267 00:21: 30,010 -> 00:21: 32,020

Yes (Okamura).

268 00:21: 32,020 -> 00:21: 34,020 Huh?

269 00:21: 38,020 -> 00:21: 40,020 And (nurse) please. (Nurse) cart.

270 00:21: 40,020 -> 00:21: 42,030 (Hero) Emi. (Okamura) Kihara teacher.

271 00:21: 42,030 -> 00:21: 44,030 (Kihara) is a sharp aortic regurgitation Are emerging.

272 00:21: 44,030 -> 00:21: 46,030 AR? ? hormone fluctuations due to (Kihara) pregnancy

273 00:21: 46,030 -> 00:21: 48,030 The ? by dose load

274 00:21: 48,030 -> 00:21: 50,030 Aortic valve annulus expansion ? The proceeds rapidly

275 00:21: 50,030 -> 00:21: 53,040 ... The aortic regurgitation. (Hero) teacher. Teacher Emi?

276 00:21: 53,040 -> 00:21: 56,040 (Emi) ... baby. Baby okay?

277 00:21: 56,040 -> 00:22: 00,040 (Kihara) in this situation. (Emi) ... please.

278 00:22: 05,050 -> 00:22: 07,050 "Emily? Emily "

279 00:22: 09,050 -> 00:22: 13,060 (Hero) ... Emi. To (Okamura) operating room.

280

00:22: 13,060 -> 00:22: 15,060 Soon!

281 00:22: 18,060 -> 00:22: 21,030 [Mike] is Ijuin teacher. Kiriyama's It is a severe AR due to the AAE.

282 00:22: 21,030 -> 00:22: 22,900 Op as soon as possible [microphone]. (Noguchi) What are you saying? ?

283 00:22: 22,900 -> 00:22: 25,900 It's not the middle of now operating. This patient's VIP What!

284 00:22: 25,900 -> 00:22: 27,910 [Mike] Ijuin teacher. ? (Noguchi) from this operation

285 00:22: 27,910 -> 00:22: 29,910 That comes out is Ijuin Not allowed.

286 00:22: 29,910 -> 00:22: 31,910 In (Ijuin) now cut off during aortic .? Not tied up

287 00:22: 31,910 -> 00:22: 33,910 Teacher to someone else. But (Okamura) ....

288 00:22: 33,910 -> 00:22: 35,910 «(Kihara) Kiriyama-san. Firmly. Shock vital .?

289 00:22: 35,910 -> 00:22: 38,920 It does not have 's leave this. Operating room .? By connecting monitor Once in

290 00:22: 38,920 -> 00:22: 41,920 Isogeyo! Yes (Everyone).

291 00:22: 41,920 -> 00:22: 44,920 Transfer (Kihara). (Everyone) Yes 1, 2, and 3.

292 00:22: 44,920 -> 00:22: 47,930

(Kihara) Okamura. The .? Let's help alone maternal

293 00:22: 47,930 -> 00:22: 51,930 I have a Bentaru surgery. [Mike] (Okamura) that will not do.

294 00:22: 51,930 -> 00:22: 54,930 Power supply (Everyone) aak. Pump Please connect. Hey!?

295 00:22: 54,930 -> 00:22: 56,930 «. Oxygen teacher?

296 00:22: 56,930 -> 00:22: 58,940 (Kihara) 5 l. «Yes.

297 00:22: 58,940 -> 00:23: 00,940 You Asada teacher please. Sorry .? (Tomoko)

298 00:23: 00,940 -> 00:23: 02,940 Asada teacher in treatment now.

299 00:23: 02,940 -> 00:23: 13,950 ? ~

300 00:23: 13,950 -> 00:23: 17,960 (Alarm sound)

301 00:23: 17,960 -> 00:23: 19,960 The 10 liter (Kihara) oxygen. «I will raise the oxygen.

302 00:23: 21,990 -> 00:23: 24,990 Nephew (Kihara). What should I do?

303 00:23: 33,000 -> 00:23: 35,000 (Okamura) Asada teacher.

304 00:23: 39,010 -> 00:23: 41,010 Please Help

305 00:23: 43,010 -> 00:23: 47,020 If it is not you

I have patients that can not be helped.

306 00:23: 47,020 -> 00:23: 50,020 That patient is absolutely I do not want to die.

307 00:24: 02,030 -> 00:24: 04,030 Thank you.

308 00:24: 04,030 -> 00:24: 13,030 ? ~

309 00:24: 16,970 -> 00:24: 18,970 (Kihara) oxygen saturation is more and more .?'s. Pulmonary edema has declined

310 00:24: 18,970 -> 00:24: 20,970 'S leave this Otosuzo life to both mother and child.

311 00:24: 22,980 -> 00:24: 26,980 I still have (Kihara) .? No choice but to do the surgery Bentaru

312 00:24: 26,980 -> 00:24: 28,980 Kashima of the instrument out and Harada Sensei Call!

313 00:24: 28,980 -> 00:24: 30,980 Yes (nurse).

314 00:24: 30,980 -> 00:24: 55,010 ? ~

315 00:24: 55,010 -> 00:25: 00,010 (Kihara) hypothermic extracorporeal circulation than this And ? to circulatory arrest under

316 00:25: 00,010 -> 00:25: 03,020 Perform Bentaru surgery. Females. Yes (nurse).

317 00:25: 03,020 -> 00:25: 06,020 «(Sound to open the door)

318 00:25: 06,020 -> 00:25: 17,970 ? ~

319 00:25: 17,970 -> 00:25: 19,970 (Kihara) Asada.

320 00:25: 21,970 -> 00:25: 23,970 (Noguchi) Asada!?

321 00:25: 26,970 -> 00:25: 28,970 David's surgery.

322 00:25: 30,980 -> 00:25: 32,980 (Kihara) David surgery? Or not it Bentaru? ?

323 00:25: 32,980 -> 00:25: 34,980 In the hypothermia from cardiopulmonary bypass Circulatory arrest ....

324 00:25: 34,980 -> 00:25: 36,980 So even able to save the mother Fetus is not Sukekara.

325 00:25: 36,980 -> 00:25: 38,990 But (Kihara) .... And ?

326 00:25: 38,990 -> 00:25: 42,990 Of the anti-coagulant by performing Bentaru ? internal use is mandatory

327 00:25: 42,990 -> 00:25: 46,990 And during childbirth heart surgery is successful There is a possibility of causing major bleeding.

328 00:25: 46,990 -> 00:25: 51,000 (Kihara) birth!?'s This state. .? David surgery Nante unreasonable

329 00:25: 51,000 -> 00:25: 53,000 The baby who gave up ... is. Do not give up.

330 00:25: 53,000 -> 00:25: 55,000 Oh (Kihara)?

331 00:25: 55,000 -> 00:25: 59,010 By performing the surgery David at room temperature

Mother and children I can save both.

332 00:25: 59,010 -> 00:26: 02,010 (Kihara) I at room temperature. .?'s Unreasonable for such

333 00:26: 02,010 -> 00:26: 04,010 Ischemia time allowed for brain The short horribly.

334 00:26: 04,010 -> 00:26: 07,010 [Microphone] with such a (Noguchi) unreasonable ? If you become even a lawsuit rumor

335 00:26: 07,010 -> 00:26: 10,020 Who takes responsibility for that? The ? also Asada chan much

336 00:26: 10,020 -> 00:26: 12,020 Alone It will not do anything.

337 00:26: 12,020 -> 00:26: 20,960 ? ~

338 00:26: 20,960 -> 00:26: 22,960 «(Sound to open the door)

339 00:26: 22,960 -> 00:26: 30,970 ? ~

340 00:26: 30,970 -> 00:26: 32,970 The ? and (Arase) David surgery

341 00:26: 32,970 -> 00:26: 34,980 In earnest for the first time in a long time It looks like get to prearranged.

342 00:26: 34,980 -> 00:26: 36,980 Also (Ijuin) mom Baby twins also ?

343 00:26: 36,980 -> 00:26: 38,980 Let's help everyone.

344 00:26: 41,980 -> 00:26: 43,980 Why not?

[Mike] (Noguchi) hey hey.

345 00:26: 43,980 -> 00:26: 46,980 Is important operations in the [microphone] you guys.

346 00:26: 51,990 -> 00:26: 53,990 (Kito) Mettsu~en. Yes (nurse).

347 00:26: 53,990 -> 00:26: 56,000 (Kito) I am the first assistant I wonder if your dissatisfaction?

348 00:26: 56,000 -> 00:26: 58,000 (Noguchi) Miss Kito.

349 00:26: 58,000 -> 00:27: 01,000 Systemic management (Kato) is Arase .? Was perfect

350 00:27: 01,000 -> 00:27: 04,000 Maintain anesthesia she I have taken over without any problems.

351 00:27: 04,000 -> 00:27: 07,010 I was under the guidance of (Kito) Arase Excellent anesthesiologist.

352 00:27: 07,010 -> 00:27: 10,010 [Mike] that what selfish.

353 00:27: 13,010 -> 00:27: 15,030 I'll have to take (Kito) self pericardium. I patch closure.

354 00:27: 15,030 -> 00:27: 16,950 And (Kato) Running suture. 5-0.

355 00:27: 16,950 -> 00:27: 18,950 Yes (nurse).

356 00:27: 24,960 -> 00:27: 26,960 [Mike] is (Okamura) Arase teacher. You ...?

357 00:27: 26,960 -> 00:27: 30,960 Ginseng (Arase) operations staff

It should have been left to me.

358 00:27: 30,960 -> 00:27: 32,970 Please Wait (Shimizu)! ? in extracorporeal circulation of pregnant women under

359 00:27: 32,970 -> 00:27: 34,970 Management of. Anesthesia Nante open-heart surgery.

360 00:27: 34,970 -> 00:27: 36,970 The wonder that I So (Arase).

361 00:27: 38,970 -> 00:27: 40,970 (Arase) sound of the fetal heart monitor Set .? White

362 00:27: 40,970 -> 00:27: 42,970 Otachidai. Yes (nurse).

363 00:27: 49,980 -> 00:27: 51,990 .? That (Inohara) was slower

364 00:27: 51,990 -> 00:27: 53,990 Thank you very much in advance. And (nurse) please.

365 00:27: 53,990 -> 00:28: 01,990 ? ~

366 00:28: 06,000 -> 00:28: 09,000 I do David surgery than this.

367 00:28: 09,000 -> 00:28: 11,000 Female. Yes (Inohara).

368 00:28: 11,000 -> 00:28: 13,000 (Ijuin) forceps. Gauze. Yes (Inohara).

369 00:28: 16,940 -> 00:28: 18,950 Female power. Yes (Inohara).

370 00:28: 18,950 -> 00:28: 21,950 (Okamura) Bentaru surgery

The ? the aortic root

371 00:28: 21,950 -> 00:28: 24,950 An artificial valve with an artificial blood vessel .? Surgery to replace

372 00:28: 24,950 -> 00:28: 28,960 I is an anti-coagulant permanently Since ? that requires taking warfarin

373 00:28: 28,960 -> 00:28: 34,960 Risk of bleeding during childbirth increases .? Lead to death of mother and child both worst

374 00:28: 34,960 -> 00:28: 38,970 On the other hand in David surgery ? for self-valve is preserved

375 00:28: 38,970 -> 00:28: 41,970 There is no need to warfarin. Just ? image and precise valve formation

376 00:28: 41,970 -> 00:28: 43,970 Precise calculation .? that it does not cause reflux

377 00:28: 43,970 -> 00:28: 46,970 Within a limited time they ? end

378 00:28: 46,970 -> 00:28: 50,980 Extremely high procedure It is requested by the operator.

379 00:28: 50,980 -> 00:28: 59,980 But should you can do it Asada teacher. Me doing help.

380 00:29: 09,000 -> 00:29: 11,000 (Arase) and it is this state ? extracorporeal circulation time

381 00:29: 11,000 -> 00:29: 15,020 It's 60 minutes to have at best. (Kihara) 60 minutes .?

382 00:29: 15,020 -> 00:29: 18,940 The exact procedure in such a short time Do Me Not to be done.

383 00:29: 18,940 -> 00:29: 20,940 Do.

384 00:29: 23,940 -> 00:29: 26,940 Ponpuon. (ME) Ponpuon.

385 00:29: 31,950 -> 00:29: 33,950 Came out (ME) full-flow.

386 00:29: 33,950 -> 00:29: 36,960 Count start. Yes (nurse).

387 00:29: 36,960 -> 00:29: 38,960 (Nurse) extracorporeal circulation Was started.

388 00:29: 38,960 -> 00:29: 41,960 (Arase) Yoshi. It's 133 and 120 fetal heart.

389 00:29: 41,960 -> 00:29: 43,960 Aoruta clamp. Yes (Inohara).

390 00:29: 45,970 -> 00:29: 48,970 Flow down. (ME) flow down.

391 00:29: 48,970 -> 00:29: 52,970 Backup. Retro start.

392 00:29: 52,970 -> 00:29: 54,970 (ME) Retoropuregi Was started.

393 00:29: 59,980 -> 00:30: 04,990 (Arase) maternal cardiac arrest. 130. and stability fetal heart rate 120.

394 00:30: 04,990 -> 00:30: 07,990 . Mettsu~en to Aoruta transection. Yes (Inohara).

395

00:30: 07,990 -> 00:30: 09,990 (Ijuin) Harken. Yes (Inohara).

396 00:30: 09,990 -> 00:30: 11,990 (Kihara) Yanker. Yes (Inohara).

397 00:30: 11,990 -> 00:30: 22,940 ? ~

398 00:30: 22,940 -> 00:30: 25,940 (Nurse) extracorporeal circulation I was after five minutes.

399 00:30: 29,940 -> 00:30: 32,940 Aoruta transection end.

400 00:30: 44,980 -> 00:30: 47,980 Opening of (Ijuin) left coronary artery It is lower than normal.

401 00:30: 47,980 -> 00:30: 50,990 (Arase) trimming is difficult.

402 00:30: 50,990 -> 00:30: 54,990 (Kihara) left cusp is low. If you have to add also the formation of the cusp.

403 00:31: 01,000 -> 00:31: 03,000 I'll do the formation of the cusp.

404 00:31: 03,000 -> 00:31: 06,000 Trimming of coronary artery button Ijuin.

405 00:31: 06,000 -> 00:31: 09,010 I leave it to you. Yes (Ijuin).

406 00:31: 09,010 -> 00:31: 11,010 . Mettsu~en to trim the Valsalva sinus. Yes (Inohara).

407 00:31: 11,010 -> 00:31: 14,010 Is (nurse) fetal heart rate Has increased.

408 00:31: 14,010 -> 00:31: 16,010 (Arase) ME. OkuchiAtsushi it? Is (ME) 35.1 degrees.

409 00:31: 16,010 -> 00:31: 18,010 (Arase) Okuchi-ryou it? (ME) is 3.2 liters.

410 00:31: 18,010 -> 00:31: 20,020 The warm (Arase) belly around OkuchiAtsushi also .? Raise twice

411 00:31: 20,020 -> 00:31: 22,020 Okuchi-ryou to 3.5 liters from it It up.

412 00:31: 22,020 -> 00:31: 24,020 Yes (ME). (Arase) magnesium drip started.

413 00:31: 24,020 -> 00:31: 26,020 Leave this. (Ijuin) Arase teacher Is it okay to have continued?

414 00:31: 26,020 -> 00:31: 29,030 (Arase) you guys white focus on the surgical field. I asked the management of the fetus.

415 00:31: 29,030 -> 00:31: 31,030 . Ritodrine IV (Arase) Leave it. Yes (nurse).

416 00:31: 31,030 -> 00:31: 34,030 It's marking of Kihara. Artificial blood vessel. .? That (Kihara) it was found

417 00:31: 34,030 -> 00:31: 37,030 To come with 26mm straight graft. Yes (nurse).

418 00:31: 39,040 -> 00:31: 42,040 Trimming the end. . 5-0 entering the formation of the left cusp.

419 00:31: 42,040 -> 00:31: 44,040 Yes (Inohara). (Ijuin) Mettsu~en.

420 00:31: 48,980 -> 00:31: 50,980 . 5-0 to close the (Kato) the right atrium.

421 00:31: 50,980 -> 00:31: 55,990 (Kito) forceps. Rabashu. Yes (nurse).

422 00:31: 55,990 -> 00:32: 06,000 ? ~

423 00:32: 06,000 -> 00:32: 09,000 (Kato) Mettsu~en .?

424 00:32: 09,000 -> 00:32: 12,000 Operations end. (Kito) incision .? I small

425 00:32: 12,000 -> 00:32: 16,010 Cheers for good work. I expected.

426 00:32: 16,010 -> 00:32: 34,020 ? ~

427 00:32: 34,020 -> 00:32: 37,030 (Nurse) extracorporeal circulation I have passed 45 minutes.

428 00:32: 37,030 -> 00:32: 48,970 ? ~

429 00:32: 48,970 -> 00:32: 50,970 Mettsu~en. Yes (Inohara).

430 00:32: 52,980 -> 00:32: 57,980 Artificial blood vessel sewn end of the aortic valve. Coronary artery button?

431 00:32: 57,980 -> 00:33: 00,980 (Ijuin) trimming Ended.

432 00:33: 00,980 -> 00:33: 02,990 Enter the reconstruction of coronary arteries followed. 5-0.

433

00:33: 02,990 -> 00:33: 04,990 Yes (Inohara). (Kihara) Soccer-up.

434 00:33: 04,990 -> 00:33: 06,990 Yes (nurse). ? as is (Arase) flow

435 00:33: 06,990 -> 00:33: 08,990 Water removal start. Yes (ME).

436 00:33: 13,000 -> 00:33: 15,000 I've passed (nurse) 50 minutes.

437 00:33: 23,010 -> 00:33: 25,010 Mettsu~en.

438 00:33: 25,010 -> 00:33: 27,010 Coronary artery reconstruction end.

439 00:33: 27,010 -> 00:33: 29,010 I move to the artificial blood vessel peripheral anastomosis. 4-0.

440 00:33: 29,010 -> 00:33: 31,010 Yes (Inohara). (Ijuin) forceps.

441 00:33: 31,010 -> 00:33: 34,020 Yes (Inohara). (Alarm sound)

442 00:33: 34,020 -> 00:33: 36,020 (Arase) fetal heart rate is lowered.

443 00:33: 36,020 -> 00:33: 38,020 Hurry. Yes (Ijuin).

444 00:33: 38,020 -> 00:33: 40,020 Are you sure that you want to administer the (ME) Neoshine? (Arase) boosting agent ?

445 00:33: 40,020 -> 00:33: 43,040 It could induce uterine contractions. Let me raised to 3.9 liters the Okuchi-ryou.

446 00:33: 43,040 -> 00:33: 44,960 Blood volume of (ME) reservoir I can not send it less.

447 00:33: 44,960 -> 00:33: 46,960 And return the (Arase) cell saver blood. Yes (ME).

448 00:33: 46,960 -> 00:33: 49,970 (Arase) Riuomingu. Yes (ME).

449 00:33: 49,970 -> 00:34: 17,990 ? ~

450 00:34: 17,990 -> 00:34: 20,000 4-0. Yes (Inohara).

451 00:34: 20,000 -> 00:34: 22,000 (Ijuin) Miku Ritz gauze. Yes (Inohara).

452 00:34: 22,000 -> 00:34: 25,000 Yes (Everyone) retro up.. Yes football up..

453 00:34: 25,000 -> 00:34: 28,000 (Inohara) fibrin glue. Yes (nurse).

454 00:34: 28,000 -> 00:34: 32,010 (Kihara) wow. David surgery ? without even circulatory arrest

455 00:34: 32,010 -> 00:34: 36,010 It is! Do in such a speed. Asada indeed.

456 00:34: 40,020 -> 00:34: 45,960 . Flow down end anastomosis. (ME) flow down.

457 00:34: 45,960 -> 00:34: 47,960 Aoruta Dekuranpu.

458 00:34: 47,960 -> 00:34: 50,960

Backup. And (ME) backup.

459 00:34: 59,970 -> 00:35: 02,970 Was (Ijuin) ROSC. Fetus?

460 00:35: 09,980 -> 00:35: 12,980 Is (Kihara) heart sound Only one heard.

461 00:35: 12,980 -> 00:35: 14,980 Oh (Ijuin)!? (Arase) heart rate monitor also ?

462 00:35: 14,980 -> 00:35: 16,990 Only one not out.

463 00:35: 16,990 -> 00:35: 43,950 ? ~

464 00:35: 43,950 -> 00:35: 46,950 (Kihara) is earlier fetal heart rate The ? when it was reduced

465 00:35: 46,950 -> 00:35: 49,950 It was not you or what? ? Nante help the mother and child both after all

466 00:35: 49,950 -> 00:35: 51,960 I was reckless .... SHUT UP!

467 00:35: 51,960 -> 00:36: 02,970 ? ~

468 00:36: 02,970 -> 00:36: 05,970 Arase. Head down.

469 00:36: 05,970 -> 00:36: 07,970 The rotation of 30 degrees to the left. (Oh Arase).

470 00:36: 11,980 -> 00:36: 13,980 Oh (Kihara)?

471 00:36: 15,980 -> 00:36: 18,980

There are heart sound (Kihara) Both people.

472 00:36: 18,980 -> 00:36: 21,980 (Ijuin) was good. (Oh Arase).

473 00:36: 32,000 -> 00:36: 35,000 Pump-off. (ME) Pump Off .?

474 00:36: 35,000 -> 00:36: 40,000 Was artificial cardiopulmonary arrest. Was 59 minutes (nurse) extracorporeal circulation.

475 00:36: 40,000 -> 00:36: 43,020 . Tube clamp to Deca New Configuration. Yes (Inohara).

476 00:36: 43,020 -> 00:36: 44,940 Sternal wire. Yes (Inohara).

477 00:36: 44,940 -> 00:36: 46,940 (Ijuin) wire clamp. Yes (Inohara).

478 00:36: 46,940 -> 00:36: 48,950 I (Arase) CVP okay.

479 00:36: 48,950 -> 00:36: 50,950 (Kihara) wire cutters. Yes (Inohara).

480 00:36: 50,950 -> 00:36: 52,950 Sternal wire.

481 00:36: 52,950 -> 00:37: 04,960 ? ~

482 00:37: 04,960 -> 00:37: 10,970 (Emi) They are both moving cheerfully. Yeah (hero).

483 00:37: 10,970 -> 00:37: 13,970 Mother nor baby ? to help both

484

00:37: 13,970 -> 00:37: 16,970 Performs David surgery I was successful safely.

485 00:37: 16,970 -> 00:37: 18,980 It is not performed in the (Kihara) Normal Although was a very difficult surgery ....

486 00:37: 18,980 -> 00:37: 23,980 (Hero) teacher. Thank you all!

487 00:37: 25,980 -> 00:37: 28,990 Please do your best birth.

488 00:37: 28,990 -> 00:37: 34,990 Yes (Emi). Really. Thank you very much.

489 00:37: 41,000 -> 00:37: 42,970 «(Footsteps)

490 00:37: 42,970 -> 00:37: 47,970 (Okamura) Asada teacher. Today ... really.

491 00:37: 51,840 -> 00:37: 53,840 I'm sorry.

492 00:37: 56,850 -> 00:37: 59,850 I do not seems.

493 00:38: 04,850 -> 00:38: 08,860 .? It was cheers for good work (Kato)

494 00:38: 08,860 -> 00:38: 10,860 Also operating beyond I ended safely.

495 00:38: 10,860 -> 00:38: 17,870 So (Kito). Why Anna even (Kato).

496 00:38: 17,870 -> 00:38: 19,870 ? time was in (Okamura) America

497 00:38: 19,870 -> 00:38: 25,870

Peripartum cardiomyopathy due I lost my acquaintance.

498 00:38: 28,880 -> 00:38: 33,880 I went to 23 weeks (Okamura) pregnancy ? day

499 00:38: 33,880 -> 00:38: 37,890 .? That has caused the sudden heart failure

500 00:38: 37,890 -> 00:38: 40,890 The ? by rapid inspection

501 00:38: 40,890 -> 00:38: 44,930 And peripartum cardiomyopathy immediately It has been diagnosed but ?

502 00:38: 44,930 -> 00:38: 51,930 She also baby I have lost their lives.

503 00:38: 51,930 -> 00:38: 56,940 (Kito) she It was fiance Okamura.

504 00:38: 56,940 -> 00:39: 09,950 ? ~

505 00:39: 09,950 -> 00:39: 13,960 The ? to hospital (Okamura) she was carried

506 00:39: 13,960 -> 00:39: 17,960 I can be the treatment of peripartum cardiomyopathy .? That were some Doctor

507 00:39: 17,960 -> 00:39: 23,970 Bed nor the operating room .? That had been vacant

508 00:39: 23,970 -> 00:39: 30,970 But she was not subscribe The ? In the insurance

509 00:39: 30,970 -> 00:39: 34,970 Treatment at the hospital It could not be received.

510

00:39: 37,980 -> 00:39: 45,980 (Okamura) at home after all I have to take over a breath.

511 00:39: 49,930 -> 00:39: 59,940 (Okamura) I ? something important

512 00:39: 59,940 -> 00:40: 02,940 I lost two at the same time.

513 00:40: 07,940 -> 00:40: 13,940 Is (Okamura) it And I'm a health care system in the United States.

514 00:40: 15,950 -> 00:40: 18,960 No matter how (Kito) ? can have an excellent doctor

515 00:40: 18,960 -> 00:40: 21,960 .? There are patients who do not able to save

516 00:40: 21,960 -> 00:40: 26,960 Okamura you despair that its ? that specialize in medical

517 00:40: 26,960 -> 00:40: 29,970 I became a management consultant.

518 00:40: 29,970 -> 00:40: 34,970 It is the figure of his real.

519 00:40: 34,970 -> 00:40: 46,980 ? ~

520 00:40: 46,980 -> 00:40: 52,990 Even in the health care system (Okamura) of Japan Patients are spilling.

521 00:40: 52,990 -> 00:40: 34,792 I am also in the American-style The ? not a Japanese style

522 00:40: 34,792 -> 00:41: 01,990 The mechanism of the new medical I want to make.

523 00:41: 09,010 -> 00:41: 15,010

It is a large borrowed to Asada teacher I ended up made??.

524 00:41: 18,010 -> 00:41: 26,010 Doctors to help patients Also borrowed loan neither.

525 00:41: 33,030 -> 00:41: 41,040 I was the face of the doctor today.

526 00:41: 41,040 -> 00:41: 55,040 ? ~

527 00:42: 01,990 -> 00:42: 03,990 Is not called Asada?

528 00:42: 03,990 -> 00:42: 08,000 Operations (Okamura) Sakurai teacher end ? until you can return as a doctor

529 00:42: 08,000 -> 00:42: 11,000 Acquisition of Asada teacher You decide to wait.

530 00:42: 11,000 -> 00:42: 16,010 I sweet. ? it is too sweet

531 00:42: 16,010 -> 00:42: 19,010 Only heard It's going to be a tooth decay.

532 00:42: 19,010 -> 00:42: 22,010 Excuse me.

533 00:42: 22,010 -> 00:42: 54,980 ? ~

534 00:42: 54,980 -> 00:42: 57,980 Lassen entry.

535 00:42: 57,980 -> 00:43: 05,990 ? ~

536 00:43: 05,990 -> 00:43: 07,990 The .? Na no worries Well (Sakurai)

537 00:43: 07,990 -> 00:43: 09,990 Always and something ? If there is a different feel

538 00:43: 09,990 -> 00:43: 15,000 You've got to contact us immediately. Huh?

539 00:43: 15,000 -> 00:43: 23,010 Oh man. You know. Hmmm Yesss.

540 00:43: 23,010 -> 00:43: 26,010 Also (Inohara) patients Is not feel she was worried?

541 00:43: 26,010 -> 00:43: 30,010 The body. Yea I (Sakurai) Nainda not mean being worried.

542 00:43: 30,010 -> 00:43: 32,010 Huh? So what?

543 00:43: 35,020 -> 00:43: 40,020 (Sakurai) Thank you as always. Oh (Inohara)?

544 00:43: 40,020 -> 00:43: 47,020 If you do not the words just fine thanks I was scolded me not transmitted.

545 00:43: 51,970 -> 00:43: 54,970 Is this true? Ah.

546 00:43: 54,970 -> 00:43: 56,970 Dr. Mike is coming to Japan.

547 00:43: 56,970 -> 00:43: 58,980 Is operating Sakurai teacher Well (Ijuin) I I can?

548 00:43: 58,980 -> 00:44: 01,980 He even of Japan (Kato) It should not have a medical license.

549 00:44: 01,980 -> 00:44: 04,980

(Arase) L & P is .?'s Super Medical Zone

550 00:44: 04,980 -> 00:44: 06,980 Mike Baldwin Can surgeon.

551 00:44: 06,980 -> 00:44: 10,990 Why (Ijuin) is such a thing?

552 00:44: 10,990 -> 00:44: 13,990 Okamura was me moving.

553 00:44: 16,990 -> 00:44: 21,990 The operations of the highest level of difficulty in the brain and heart It will be carried out simultaneously.

554 00:44: 24,000 -> 00:44: 26,000 The me Be prepared thorough.

555 00:44: 26,000 -> 00:44: 28,000 Ah. Yes (Ijuin).

556 00:44: 28,000 -> 00:44: 43,000 ? ~

557 00:44: 46,960 -> 00:44: 56,970 ? ~

558 00:44: 56,970 -> 00:45: 02,970 Okamura-chan a lot somehow Harmonious Looks like good.

559 00:45: 02,970 -> 00:45: 06,980 [TEL] (the sound of the vibrator)

560 00:45: 06,980 -> 00:45: 08,980 Yes (Okamura).

561 00:45: 11,980 -> 00:45: 13,980 Oh (Okamura)?

562 00:45: 13,980 -> 00:45: 21,990 ? ~

563

00:45: 21,990 -> 00:45: 24,990 I can not help Sakurai.

564 00:45: 24,990 -> 00:45: 45,010 ? ~