How many times or how much did you cry in this episode? Japanese articles talked about the viewers response of drying up tear ducts for this episode.
First off, medical terms. Some have been simplified in the dialogues, others are just further explanations for better understanding of the situation. Thanks to Google and medical journals :) I also thought there's no need to explain terms that have been used repeatedly and explained since Season 1 like VF or Echo.
Intracranial pressure - pressure in the skull
*term used by Shinkai when he describes Kanade's condition (when he called Aizawa and the last scene)
Angiography - examination by X-ray of blood or lymph vessels, carried out after introduction of a radiopaque substance.
*Natori's recommendation for further examination of Kentaro in the 1st ER
Pseudoaneurysm- collection of blood that forms between the two outer layers of an artery, the muscularis propria and the adventitia.
*one of the observations while examining Kentaro
Congestive Cardiomyopathy - the walls of the heart chambers stretch (dilate) to hold a greater volume of blood than normal. It's the final stage of many heart diseases and the most common condition resulting in congestive heart failure.
*Yuusuke and Akito's sickness
Anticoagulants - commonly referred to as blood thinners, are chemical substances that prevent or reduce coagulation of blood, prolonging the clotting time.
*What Inoue mentioned as medication for Yuusuke but they are unable to do so since he has an artificial heart
Communicating artery - a blood vessel of the brain that connects the left and right anterior cerebral arteries
*Usage of this was the simplest way to save Kentaro however, his was still underdeveloped so they had to find another way
Dura Mater - a membrane that envelops the arachnoid mater. It surrounds and supports the dural sinuses (also called dural venous sinuses, cerebral sinuses, or cranial sinuses) and carries blood from the brain toward the heart.
*Mentioned by Shinkai while operating on Kentaro but simplified it to membrane
diazepam - valium medication of the benzodiazepine family that typically produces a calming effect
*What Shinkai asked for to the nurse when Kanade was having a seizure in the last scene
Also, just a little correction on Ogata's first name. When I first wrote it in the story translation, I used Hirotsugu but I thought I heard his name was Hirofumi in Episode 3 thus that was used. However, it's actually Hirotsugu in his medical chart.
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While the previous episode asked questions and made you choose, this week, we were shown that there are different ways of saving a patient. Mostly, all of them are technical but surprisingly, just a smile goes a long way - it gives encouragement, it heals a patient's heart.
We saw that in the case of Yuusuke drawing strength from Mitsui and Kanade, from Aizawa.
Going back though to the different ways of saving a patient, we saw, one, through the surgery of Kentaro. The doctors found a way to remove the skewer without damaging his other organs. Two, the doctors fought ways to save Akito but a heart transplant would have been the best way if only they had a donor. Lastly, Kanade can only be saved through surgery. What has been hindering her though from that solution is not even a limitation like that of a donor so that gave Aizawa the resolve to talk to her to go into surgery.
Here are the interesting points (and questions) again for me:
- Saejima and Fujikawa so happy. I've been used to Fujikawa worrying for Saejima but it was so nice to see Saejima relaxing at Mary Jane's bar with the doctors looking really so happy and loving, talking to Fujikawa on the phone.
- Is "sore de" (and so?) somehow becoming Aizawa's catchphase? Like how "sono toori da" (exactly) is to Kuroda-sensei? Natori was the recipient this episode. I think this kid will finally learn his lesson next episode.
- Drunk Hiyama crying is so cute. Those sobs after talking about her place being taken by someone else, aside from pitying her would make you root for her more. I totally understand her being against Aizawa going to Toronto. I also love how she referred to Mitsui-sensei as her admired senior, having no regrets. I've always thought Hiyama was like Mitsui's daughter, especially in Season 1. And in Season 2, it was Tachibana who stood by her. So she's basically in that Tachibana family too.
- And you thought Aizawa was arrogant enough since Season 1 here comes Shinkai "then my hand is needed". But then I guess it's natural for surgeons to be arrogant? Remember what Kuroda said about Aizawa? I think he's a born surgeon, even the arrogance that comes with it (S1E5). Which also brings me, the 2 most skilled surgeons in Shohoku? While you could argue about how about Saijou-sensei? Of course saying the most skilled doctor will perform the surgery would assure the patient's family. Recalling S1E8 (unforgettable episode yo!!!), the matsuri incident injuring a family, Yuna-chan's father and grandfather both had to undergo surgery. Aizawa assured Yuna that the 2 most skilled doctors would do it. Yuna then asked, there are 2 people who are best? Witty kid.
- Kentaro's surgery to remove the iron skewer. From Shiraishi's explanation to the actual surgery. We were treated to see the details which were just...amazing. Taking the previous season's injured family as reference again, grandfather had to undergo a surgery in his colon so Kuroda was in charge assisted by Aizawa and Hiyama. While the father's surgery was in the head so it was Saijou-sensei assisted by Shiraishi and Fujikawa. Now we see Aizawa heading the surgery himself as the new interns watch.
- Saejima asked, what is the most important thing in being a flight nurse? Yukimura's answers weren't wrong, it's even like a textbook answer, to copy from Aizawa. Following though the episode's theme that there are ways to save a patient and it's not all technical, apart from being skilled, a nurse should also be wary of the patient's anxiety and be able to relieve everyone's worries on location. But Yukimura maintained that sour face the entire time they were on location especially when the mother kept on panicking. Aizawa had to be the one to tell her calm down. Something Saejima would have said immediately for sure had she be the one on duty. The way Saejima was able to convey this to Yukimura also shows her maturity (as contrast to her shouting at Shiraishi - S1E2) and sincerity. It made well up as well as I recall how Hiyama and Shiraishi consoled Saejima too after Tazawa Satoshi passed away (S2E5). Hiyama said seeing Saejima in her seat in the heli lessens her worries. That's how indispensable Saejima was to them, Shiraishi added. What a big gap from the arrogant Yukimura huh
- Tachibana's fervent desire to save Akito, his desperation. I felt he was not just fighting for Akito, but Yusuke as well. It was so heart breaking that even when everything was crumbling down - the condition isn't improving, hemorrhages and all, Tachibana just urged Akito to hold on ;(
- Tachibana family: Fireworks, crying Yuusuke and Mitsui's laughter. Crying fest continues. The things and lengths you do for your family, your loved ones especially when they're on the brink of death. Please save Yuusuke and make this family happy again.
- Aizawa's words to Kanade: you are strong. If it's you, it will be alright. Apart from encouragement, faith in one person goes a long way. Aizawa may have said questionable things but like what he said in the previous episode, a doctor prioritizes life and if there is a way to save a patient, it should be done.
- Ogata has a freakin wife?!?!! How dare you?? Is all I can say
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As for the next episode, Yamapi just mentioned in his radio show this morning that the 5th episode will also considerably move one to tears. It's that type of story for tears to flow T___T The last episode also made him cry too since he's weak on things about parent and child. He immediately cries, he admitted.
STORY #5 (2017.8.7 MON UPDATE)
With Amano Kanade (Tanabe Ririka)'s emergency operation and supporting another patient's sudden change in condition althrough the night, Aizawa Kousaku (Yamashita Tomohisa) is unusually completely exhausted at their medical office. There, Fujikawa Kazuo (Asari Yousuke) carries in his arms a box of tomatoes as he reports for work. It's the tomato that the pregnant Saejima Haruka (Higa Manami) can only eat. Fujikawa complains that Saejima does not accept other food and if there's no tomato she gets in a bad mood but he looks happy in saying so. Hiyama Mihoko (Toda Erika) consults Shiraishi Megumi (Aragaki Yui) on the case of a guy you worry about having a wife but hides it under a story of a friend. However, with Shiraishi answering in a loud voice don't go into adultery, the other party Hiyama's consulting was mistakened and regrets it.
At that time, Shohoku Lifesaving Center receives a request for Dcotor Heli for an under construction drainage system worker who made the rising water spill hitting the rescue, injuring one member too. Shiraishi, Natori Souma (Arioka Daiki), Yukimura Futaba (Baba Fumika) boards the heli. Arriving at the site, Natori treats the conscious rescue veteran Kurata Masatoshi (Ohtani Ryosuke), Shiraishi and Yukimura transports the unconscious worker Yoshizaki Takashi (Hasegawa Shinya) to the Lifesaving Center by heli.
In the 1st ER, while Yoshizaki is being treated, Yukimura notices Saejima looks strange. Then the next moment, Saejima collapsed.
On the other hand, Kurata who was sent to another hospital suddenly changed condition and he was returned to Shohoku Lifesaving Center. Natori who decided on Kurata's condition trembles, however...