情熱大陸 2025年1月19日 三角和雄（心臓内科医・＃1336）
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#EnglishMovie #cdrama #drama #engsub #chinesedramaengsub #movieshortfull
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TVTranscript
00:00🎵
00:31When I try to climb the stairs, my chest hurts.
00:35A man in his 70s came to see me for the first time on this day.
00:41The doctor told me the cause of his chest pain in words that were not vague.
00:47You see, even at the right stage, it's broken.
00:5199%.
00:53It's not completely clogged, but it's clogged.
00:59Compared to a healthy heart,
01:02a man's carotid artery is thinner on the way,
01:05and blood flow is impaired.
01:09It was a chest pain.
01:13I don't know when to do it, but I'll do it now.
01:18I think it's dangerous if I don't do it now.
01:21I think it's better to use it now.
01:29The first patient was to be treated on that day.
01:38The treatment used was a 1-2 mm-long tube.
01:44It's called a catheter.
01:49The tube is inserted into the blood vessels in the wrist,
01:53and sends it to the carotid artery of the heart.
01:59When it reaches the narrowed artery of the liver,
02:03the metal called stent is inflated like a balloon,
02:07securing the necessary blood flow.
02:12The stent is left in the blood vessels as it is.
02:19Kazuo Misumi, a world-renowned doctor of cardiac catheters.
02:29Don't take deep breaths.
02:33The blood vessels themselves don't feel any pain.
02:37The carotid artery is only in the wrist,
02:40so the patient is conscious.
02:44The catheter is inserted into the liver,
02:47securing the stent.
02:52The treatment took about an hour.
02:59It was pretty good.
03:03The stent is inserted into the carotid artery,
03:07and the treatment is done.
03:11The results are obvious.
03:17It's not a big deal.
03:20It doesn't hurt at all.
03:25It's easier than a tooth treatment.
03:32The risk of a carotid artery disease is reduced,
03:36and the patient can be discharged the next day.
03:43The patient relies on his skills.
03:49He's a world-renowned doctor.
03:53I'm glad he's doing it.
03:57I believe in the hospital's technology.
04:00I'm a third-party doctor.
04:04Dr. Ishii, who has dedicated himself to treating patients,
04:08is also the director of the General Hospital,
04:11where more than 1,500 staff members work.
04:16He has been in charge of the hospital for 20 years,
04:19but has only been in charge for one year.
04:24The biggest challenge now is the training of trainees.
04:40There are many changes in the way doctors work.
04:46But how should doctors work?
04:51I've been chasing the days of facing difficulties.
04:57The number of treatments at Chiba-Nishi General Hospital
05:01is more than 3,000 a year,
05:04and it is the largest in Japan in the past 14 years.
05:10The special floor is dedicated to new patients.
05:15Misumi designed and painted the bridge of her favorite spaceship, Yamato.
05:23She can treat six patients at the same time in six treatment rooms.
05:31While watching the monitor,
05:35Misumi gives instructions.
05:40One OCT, please.
05:48How is it?
05:51Two OCTs, please.
05:54One OCT, please.
06:05How is it?
06:08Two OCTs, please.
06:15If she needs advanced technology, she goes to the treatment room.
06:21Let me know if it's too hard.
06:25Let me know if it's too hard.
06:31The commander is busy.
06:45The call continues.
06:50One OCT, please.
06:56This is a multi-surface machine.
07:00Many famous doctors use it.
07:03It's almost the same.
07:06You have to remember everything.
07:09If you don't do it at the same time, you won't be able to do all the injections.
07:15This patient has a serious condition.
07:24Cholesterol has accumulated inside the liver.
07:29It's twice the length of a common myocardial infarction.
07:34In this case, blood vessels can't be opened easily.
07:44The secret weapon is a rotor blader.
07:52It's a very small drill with diamond particles at the tip of the wire.
08:02With a drill that spins 3,300 times per second,
08:05she cuts the blood vessels that obstruct the blood flow.
08:15The delicate sensation of the fingertips controlling the wire
08:19is the result of experience in treating more than 6,000 people.
08:28The measured blood vessels are cut off,
08:32and a healthy blood flow is regained with three stents.
08:40Thank you very much.
08:43Take a look at this.
08:45You can see the inside of the stent inside the blood vessel.
08:59I was very scared, but there was no pain at all.
09:04There were no scratches.
09:07It was just a scratch.
09:12I was surprised, too.
09:14Is it difficult to cut?
09:17If you get used to it.
09:19Some people find it very difficult.
09:23But I don't think it's easy.
09:26I don't use the word easy.
09:28I think it's simple or not.
09:30Normal or difficult.
09:35For more than 40 years as a doctor,
09:38if you think about the lives you couldn't save,
09:41the word simple is not appropriate for treatment.
09:48Sometimes, you can get a call asking for a patient's admission.
09:53Is this Misato Hospital?
09:56Where is it?
09:57Misato Hospital?
09:59In 20 minutes, right?
10:00I'll be right there.
10:02Please send me a message.
10:06Whether it's day or night,
10:09we always respond.
10:12That's the policy we've been following.
10:23Although Misumi is a worker-holic,
10:26she values the time she spends at home.
10:32The two younger sisters are elementary school students.
10:37When I come home at night, everyone is asleep.
10:41I can only speak on weekdays in the morning.
10:51After breakfast, the girls start studying kanji.
10:57Kanji
11:00For elementary school students,
11:03it's good to focus on studying kanji.
11:07As soon as possible,
11:09you should find common sense as a societalist
11:14and basic Japanese knowledge.
11:21When you summon someone, you say,
11:24please come.
11:26When you exchange kanji,
11:28you do it by hand.
11:30Are you having fun?
11:32Yes.
11:33I'm having fun.
11:39It was Misumi's job to send her to school.
11:44What's the title today?
11:46I don't have a title.
11:49You don't have a title?
11:51No, I don't.
11:57Hey, hey.
11:59Don't leave your bag here.
12:05This year, the 68-year-old papa
12:08still has a long way to go.
12:15Born in Osaka in 1957,
12:18Misumi dreamed of becoming a doctor since she was a child.
12:22She was inspired by the passion of a second-year elementary school student,
12:27Ryuma Chinetsu.
12:33In her sixth-year notebook,
12:36she notes the curiosity of a boy
12:39who is obsessed with the mechanism of the heart.
12:44She went to Tokyo Ikashika University and studied in the U.S.
12:49There, she learned of a home-therapy treatment.
12:54After that, she went from a trainee to a specialist in the U.S.
12:59However, the road was steep.
13:03She was faced with unspeakable discrimination
13:06and bit her lips many times.
13:09She had no choice but to hone her skills
13:13and dared to visit many hospitals.
13:19Her vast experience and skills
13:22eventually led her to a high position.
13:27There is no room for quality.
13:29If there is no quantity, there is no quality.
13:31That's for sure.
13:33If you go to an American university,
13:36there are fewer places where you can win.
13:39That's for sure.
13:45Aya Kaneko is one of the trainees
13:47who was attracted to the existence of MISUMI
13:50and started working at this hospital.
13:54She has four years of experience.
13:57She has more opportunities to be entrusted with treatment.
14:01However, her facial expression is getting frightened.
14:13She has a sharp curve in the front of her liver.
14:16She is suffering from a myocardial infarction.
14:21Kaneko, the trainee, was unable to overcome this difficulty.
14:27MISUMI immediately went to the treatment room.
14:41When you do this,
14:43you move at this moment.
14:45If you fix it here,
14:47you fix it here.
14:51She was entrusted with a difficult procedure.
14:54There are few hospitals that can entrust young people with difficult procedures.
14:58However, even if she has more work to do,
15:02MISUMI continues to do it.
15:07Inside the carotid artery where Kaneko was struggling,
15:11she inserted a thin carotid artery.
15:17She was able to secure blood flow.
15:21I don't think I can do it better than I thought.
15:25There are so many things I can't do.
15:30I think I need to study more.
15:34I'm too energetic.
15:39I don't think I can live passionately like that.
15:43Over the past few years,
15:45she has been able to contribute to the development of young people.
15:51Due to the long-whispered change in the way doctors work,
15:55from April this year,
15:57overtime work and continuous working hours
16:00have been strictly restricted.
16:06Even if I tell the doctor not to work too much,
16:11when someone's life is at stake,
16:14I have to work too much.
16:17But that's the law.
16:19So what should I do?
16:21I have no choice but to raise my children.
16:25She responds to the needs of the times by improving each person's skills.
16:29With that in mind,
16:31MISUMI listened to the opinions of young people.
16:35Have you ever been asked to go home right away?
16:41I go home at 8.30.
16:43Why?
16:44Because they ask me to go home early.
16:47They check my timetable.
16:49They check if I have any plans to go home early.
16:54How do they accept the world around them?
17:01Sometimes I have to work hard.
17:04I have to work hard when I'm young.
17:08I think doctors work to save people's lives.
17:12I think people come to the hospital because they're in trouble.
17:17I don't think there's anything wrong with that.
17:24Treatment is not the only job of a doctor.
17:28MISUMI participated in an international seminar with Kaneko.
17:35On behalf of the hospital,
17:37she will announce the latest blood test results.
17:42Are you nervous?
17:46It's okay.
17:48There are more people than I thought.
17:51It's summer.
17:53Are you nervous in summer?
17:55Yes.
17:57I'm nervous in summer.
18:01She finally confirmed the English manuscript she had prepared two months ago.
18:06Are you nervous in summer?
18:08Yes.
18:09But it's okay.
18:11It's too bad.
18:14It's here.
18:16I understand my mission today is to talk about clinical value of angioscopy.
18:22Let's take a break.
18:24Yes.
18:26At six months after the stent...
18:28Doctors from overseas and domestic veterans were invited to talk.
18:36However, six months follow-up coronary angiography
18:40showed significant stenosis at the osteum of RCA.
18:47It went well.
18:49It's okay.
18:50If you make a mistake on the way, you can go back.
18:55You're nervous, aren't you?
18:58It was a good experience.
19:07The patient who was entrusted by Kaneko
19:10was a patient with an unstable thoracic nerve
19:14that could cause cardiac arrest at any time.
19:19A 70-year-old woman has a severely constricted thoracic nerve.
19:26Usually, a thoracic surgery can be considered.
19:33Stenosis is a serious defect.
19:38If it doesn't swell normally,
19:41I may have to use a special device.
19:48I'm going to change the device.
19:50Please turn your arm a little.
19:57As expected, the defect was so severe
20:00that she couldn't even pass the guide wire.
20:07The senior doctor who supports her gives advice.
20:11Turn the wire a little more.
20:16I'm looking this way, so I'll turn it this way.
20:24While turning the wire,
20:27she repeatedly pushes and pulls.
20:32It took 40 minutes to finally reach the liver.
20:36It's pretty strong, isn't it?
20:39The motor is normal, isn't it?
20:42Let's go with No. 1.
20:46No. 1 is the size of the drill attached to the rotor blader.
20:51It was Kaneko's first time using this treatment device.
21:07Misumi entrusts the operation of the rotor blader to Kaneko.
21:15Do you know the program called Honkiki?
21:21There was a program called Honkiki.
21:24It's like this.
21:27It's like this.
21:29It's like this.
21:31It's like this.
21:33It's like this.
21:36It's like this.
21:39It's like this.
21:42It's like this.
21:45It's not good to do it for 10 seconds.
21:52First, Misumi shows the template.
21:56It took only 10 seconds.
21:59It's hard.
22:02Okay, here we go.
22:05First, press the button.
22:08Slowly.
22:11At the same speed.
22:14At the same speed.
22:17Like a car wiper.
22:20Like a car wiper.
22:23At the same speed.
22:26Like a car wiper.
22:29Close it.
22:32Perfect.
22:35Don't loosen it.
22:38Don't loosen it.
22:41Don't loosen it.
22:44Pull it.
22:47Don't loosen it.
22:51The blood flow is back.
22:54The blood flow is back.
22:57The risk of cardiac arrest has been greatly reduced.
23:00The risk of cardiac arrest has been greatly reduced.
23:10I've been touched a few times,
23:13but this is the first time I've been touched by myself.
23:16but this is the first time I've been touched by myself.
23:19I'm so tired.
23:22I'm so tired.
23:25I'm so tired.
23:28It's the first time for anyone.
23:31It's the first time for anyone.
23:34You have to gain experience to improve your skills.
23:37It's a path that Misumi has walked.
23:40It's a path that Misumi has walked.
23:43It's a path that Misumi has walked.
23:47You must be very nervous.
23:50You must be very nervous.
23:53You must be very nervous.
23:57It's not summer yet,
24:00I'm nervous in summer.
24:07But I don't mind.
24:10But I don't mind.
24:13Can I do it like this?
24:18How was it?
24:20I can't stop thinking about it.
24:24Everyone, please follow me.
24:31Next time on Jounetsu Tairiku, Yuta Watanabe.
24:35Why did the world-famous basketball player choose Japan?
24:41It's like the beginning of the second chapter.
24:43I want to play basketball with a good face.