PICU 小児集中治療室 #11 命の物語、完結！試される、PICUの意義 2022年12月19日
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00:00A few days later
00:11Mr. Ueno
00:13Keigo-kun's surgery has been cancelled
00:15He's still breathing
00:16It's hard to tell if it's a surgery
00:18When's the next surgery?
00:19His body is under a lot of pressure
00:243 days later
00:253 days?
00:27It's okay, I'll wait
00:31It's okay
00:32Yes
00:40We're moving
00:411, 2, 3
00:43When he wakes up and finds out he couldn't do the surgery
00:48What will he think?
00:52I'm really sorry
01:03Dr. Fukuda, please
01:07Yes
01:0812 years old
01:12Doctor, what should we do?
01:21Yes, I'm from Okada Hospital
01:24Yes
01:32There was a bus accident near Hakubetsu Tunnel in Hakubetsu Town
01:3830 to 40 people were injured
01:44I understand
01:45I'll call you when I'm ready
01:48Yes
01:50I'm Dr. Fukuda from Dotonbori Hospital
01:53You came to my clinic?
01:55Yes
01:57There was a bus accident near Hakubetsu Tunnel
02:0030 to 40 people were injured
02:02He's in the 5th grade
02:04There's a big age gap between 11 and older
02:07Dr. Yano and Dr. Watanuki
02:09were calculating the amount of medication
02:12in the form of a table
02:13It's time for that table
02:15You should send it to the site
02:17I understand
02:18There were many people injured in the bus accident
02:21Dr. Fukuda was worried about that
02:23He's worried about the hospital nearby
02:25He's worried about the delivery
02:27He's worried about sending the patient to our hospital
02:29Of course
02:31Keigo is in our hospital now
02:35We should be careful not to make a mistake
02:38and take in the patients
02:40Yes
02:48Dotonbori Hospital
02:53Hello everyone
02:54This is Dr. Yano
02:56This is Dr. Watanuki from Dotonbori Hospital
02:59I'm Dr. Fukuda from Dotonbori Hospital
03:01We have a patient
03:04This is a malignant tumor
03:06The right ventricle is broken
03:08It's a open fracture
03:10It may damage the internal organs
03:12Please send it to our hospital
03:14Okadama's PICU will take it
03:21I want another ECMO
03:24Where can I borrow it?
03:26I'll put it in the emergency room
03:28Let's put the second one in the operating room
03:31Got it
03:32The nurse's shift is also in the emergency room
03:37This is Nozomu Suzuki, 11 years old
03:39He's suffering from a myocardial infarction
03:41It hurts!
03:43I'll call you back
03:44Ok
03:45Let's put him in the CPR
03:47I'll take the A-line
03:48He's bleeding a lot
03:49Nozomu, I'll take the X-ray
03:54It's a shock
03:57It's a bronchial hemorrhage
03:58I'll call you back
03:59Ok
04:00Let's pump the blood
04:01He's bleeding
04:02The patient will be in shock soon
04:03I'll take the X-ray
04:05He's bleeding a lot
04:07I can't control the amount of blood
04:11Please take him to the operating room
04:13Ok
04:16Hang in there
04:21A child with such a serious injury...
04:25Doctor, please
04:26This is a new blood sample
04:31Thank you
04:32Nozomu Sakuta
04:33He's bleeding a lot
04:35Please
04:36Got it
04:371, 2, 3
04:39Do you know where he is?
04:41He's at the hospital
04:42I brought his medical record
04:43Thank you
04:47There's a hemorrhage in the abdominal cavity
04:49Is it a surgery?
04:51Let's think of a home therapy option
04:53Got it
04:54Nozomu, I'm going in
04:55Ok
04:56Shiko, Keigo, it's time to wake up
04:59Ok
05:09Keigo, do you know?
05:17What?
05:20Actually, there was an earthquake during the surgery
05:26It was dangerous to continue the surgery
05:30So we postponed the surgery
05:34When?
05:35I don't know
05:37When?
05:39Three days later
05:44God doesn't want me to live
05:50What are you talking about?
05:52That's not true
05:54God wants me to live
06:00God wants me to die
06:08That's not true
06:10You'll be fine
06:12Next time, we'll do the surgery in the best condition
06:30A few days later
06:40We received a call
06:42Dr. Watanuki, Dr. Tojo, and Dr. Yano will be there
06:46There's no jet
06:48We're doing emergency treatment
06:51After the emergency treatment, Asahikawa and Kuchiro's hospital will move
06:57We'll be there
07:10Five more
07:12No, four more
07:17We'd like to transfer you to PICU
07:21Hina Tachibana
07:23Hina Tachibana, 10 years old
07:25She was diagnosed with acute lymphocytic leukemia
07:27She's been in our clinic since she was 7
07:29Hina, you're back
07:33I was doing my best
07:35The transplant was successful
07:38But she developed GVHD
07:41It's a serious lung disorder
07:43Dr. Suzuki from our clinic told us to observe her again
07:48I heard she was doing her best
07:51I heard she got worse
07:53It's worse than last time
07:56I'll take care of her
08:00Take care of her
08:09Hina Tachibana
08:17Let's transfer her
08:23Thank you
08:53Hina Tachibana
09:10Thank you
09:23Hina Tachibana
09:28She's in critical condition
09:30She's in critical condition
09:33All four are in critical condition
09:39I'm glad Keigo came back
09:42But it's hard for Hina to come back
09:46Even if the treatment is difficult
09:48We'll do our best to keep her alive
09:51That's our job
09:55Keigo's VF is scary
09:59So watch her closely
10:14What's wrong?
10:18Listen to the sound of her chest
10:31Stretch her
10:34What's wrong?
10:35She's in critical condition
10:37Her heart rate is weak
10:39Her pulse is weak
10:41Is it a heart attack?
10:43It's possible
10:44What's her name?
10:45Saya-chan
10:47It was Saya
10:52Saya-chan
10:54Do you understand?
10:55The doctor is here
10:57She'll be fine
10:59I'll bring the portable air conditioner
11:01And a set of painkillers
11:04Yes
11:05I'll prepare the disinfectant
11:06Thank you
11:07Saya-chan
11:09Hang in there
11:12Mom
11:16Mom
11:19I'll be back soon
11:21Saya-chan will be fine soon
11:24So hang in there
11:30The blood pressure is rising
11:40I'll take it
11:55The blood pressure is rising
12:01Let's send it to the PICU
12:04That's...
12:09Excuse me
12:12Mr. Ham
12:16Wait a minute
12:19I'll be back soon
12:26Now
12:28We have a fifth patient
12:31But
12:33We can't accept any more patients
12:39What will happen to them?
12:41We'll take care of them in the ICU
12:43But I heard there are other ICUs
12:46Some of them are available
12:48We'll have to pay for them
12:50Watch what you say
12:52We can't do anything about it
12:58We can't do anything about it
13:00There are many hospitals in Hokkaido
13:03They're helping us
13:05But we can't say there's no hospital that refuses to treat patients
13:08Kawamoto
13:10I don't understand
13:13If we can't manage them
13:15We'll have to abandon our children
13:19I don't think this is the right place
13:27Do you think this is enough?
13:31If the VF happens
13:33We'll have to take care of the life-threatening patients
13:36And the blood cancer patients
13:41We'll be able to treat the most serious cancer patients
13:45We'll be able to treat the most serious cancer patients
13:48Do you think so?
13:52Everyone's life is at stake
13:56This is the kind of place
13:58This is the kind of place
14:04Even if we're saved on the spot
14:06If we die here
14:10There's no point
14:13I agree
14:15Even if we save the children
14:18We can't manage them
14:20I want to accept it
14:23But I don't think we can manage them until the VF happens
14:28We nurses
14:30Just follow our will
14:33And do our best
14:37Dr. Ueno
14:40We
14:43Doctors and nurses
14:45In the end
14:48I don't think we can do anything
14:52We can only ask for help
14:57In a limited time
14:59With a limited number of people
15:01We have to do what we can
15:05But
15:07Illnesses and injuries
15:10They attack the patients like devils
15:14And try to take their lives
15:19I am
15:21A doctor who saves lives
15:26Even if I can't do anything
15:28Even if in front of me
15:32A life is lost
15:35Even if I see it
15:39If there's no other way
15:42Until that moment
15:46I want to do something
15:49Even if it's a struggle
15:51Struggle and struggle
15:55I want to keep my life in this world
16:02It's a little different
16:05To be saved or not to be saved
16:08It's really frustrating
16:11We
16:13No matter how hard the patients work
16:16It may be a world that doesn't matter
16:19But
16:21Children
16:23God is mean
16:25I can't help it
16:27Like giving up
16:29I really want to avoid such a sad thing
16:36I think I learned it from my teacher
16:42I should do something until the end
16:52I
16:57I can't tell you that I understand
17:02Think about Keigo
17:05He has to endure three more days
17:09It's a miracle that he made it this far
17:12Three more days
17:16I should have made a bigger PICU here
17:27Save children all over Hokkaido
17:33With a big dream
17:43I understand
17:46What?
17:50I didn't think it would be like this
17:53Mr. Tojo was on the phone
17:58I know
18:02I was preparing to make a PICU
18:06Another hospital
18:13I never thought you'd call
18:19Doctor
18:21Please help me
18:38I heard you opened a lot of beds
18:41I heard you took care of the girl in the center
18:43I heard you took care of the boy in the head
18:47You asked me a lot
18:54The staff of the ICU over there
18:57I wanted to make a PICU
18:59It's a fact that I've been preparing for years
19:04You lost the trial, didn't you?
19:07I heard
19:09I'm glad it's over
19:16You're amazing
19:18You're really great
19:22That's right
19:24I'm better than I thought
19:26Let's get to work
19:28Yes
19:29Medical staff, firefighters, police
19:33We're working together
19:37I believe that you will save the lives of the children
19:45I think it's better to avoid negative expressions
19:48If anything happens, I'll get a bashing from the residents
19:51I need to give the residents the right information
19:56At the same time, I need to help the people on the scene
20:00We have to save lives no matter what
20:03In order not to waste our time
20:08I'm sorry
20:10I'm sorry
20:12I'm sorry
20:37I'm sorry
21:08Thank you for the food
21:10Thank you for the food
21:12Thank you for the food
21:14Thank you for the food
21:16We'll do our best
21:18We'll do our best
21:20Yes
21:38Nanoka-chan is coming in
21:40Ayato-kun is coming in
21:44Sakuta-kun?
21:46Doctor
21:52How do you feel?
21:55This is Sapporo Hospital
21:58Doctor
22:02It was really cold
22:07It was really cold
22:12Captain, we found a woman in need
22:15Captain, we found a woman in need
22:17Can you say her name?
22:19This way, please
22:21Do your best
22:23Can you say her name?
22:29Yuki-chan, hang in there
22:38The hospital will take her in
22:40The hospital will take her in
22:42Yuki-chan is in a critical condition
22:44I know
22:46I'll take her in the next plane
22:48Will she be able to handle the weather?
22:51There is a strong wind warning in the Tohoku region
22:55Doctor
22:57There is a strong wind warning in the Tohoku region
23:00There is a strong wind warning in the Tohoku region
23:03Doctor, the helicopter won't fly
23:07Doctor, the helicopter won't fly
23:09We can't fly until the snow stops
23:13We can't fly until the snow stops
23:14If that happens, the helicopter will not be able to fly from Sapporo
23:18But the helicopter will be here in two days
23:21Will we be able to fly?
23:23Mr. Ueno, let's take Yuki-chan to the Dotou Airport
23:27Mr. Ueno, let's take Yuki-chan to the Dotou Airport
23:29Would you like to call the doctor jet?
23:31We have no choice
23:37I understand. I'll ask the reporter.
23:44I'll do my best to adjust it. Please head to Toto Airport.
23:48Dr. Jett, I'm sure you made a reservation.
23:51I'll open it, no matter what.
23:53The problem is that Dr. Jett is not secured as a private jet.
23:58That's why it's used as a private jet when it's important.
24:02If you get in trouble, please tell me. I'll negotiate directly.
24:07Hang in there, Yuki.
24:10Doctor...
24:12I'm on my way to the airport.
24:17Please tell my mom and dad.
24:27I love you.
24:37I won't tell them.
24:40You won't die.
24:43So please tell them directly.
24:50I'm sure something good will happen.
24:58I'm sure you'll have more fun.
25:03That's right.
25:06Don't be a coward. Hang in there.
25:11Hang in there.
25:26I made it in time.
25:28Let's get ready.
25:29Okay.
25:42Yuki Touma, 10 years old.
25:44She's been in a coma for a long time.
25:48Yuki, we're at the hospital.
25:53One, two, three.
25:56I'll take off the stretcher.
26:00Listen to the sound of my chest.
26:06Her blood pressure is dropping.
26:07Adrenaline.
26:08She needs to stay in bed.
26:09Adrenaline.
26:10Adrenaline.
26:12I'll give her a heart massage.
26:14I'll give her a heart massage.
26:15Before she stays in bed, let's do a burn shot.
26:17Okay.
26:18One, two, three, four, five, six, seven, eight, nine, ten.
26:21I'll give her a heart shot.
26:22I'll give her a heart shot.
26:23One, two, three, four, five, six, seven, eight, nine, ten.
26:32I'll give her a heart shot.
26:36I'll give her a heart shot.
26:57Go to the toilet.
26:59Okay.
27:00Break a leg.
27:13She stopped panting.
27:19Her pulse is skyrocketing.
27:22She's back.
27:24Alright.
27:25Proceed to continue the adrenaline injection.
27:26Yes.
27:27I'll give you the tires.
27:29Bring the concrete.
27:30Yes.
27:36Grandpa!
27:38The child's reproductive organs have been confirmed.
27:40So there were no casualties this time?
27:44That's right.
28:05Welcome back.
28:06Thank you for your hard work.
28:17I'm sorry to ask this so soon,
28:19but let's have a meeting.
28:23Yes.
28:27The victims in this accident are 37 in total.
28:3218 minor casualties.
28:3414 serious casualties.
28:36They are now being managed at their respective ICUs.
28:40And...
28:42one deceased.
28:46Hotaru Ishikawa.
28:4811 years old.
28:50She was found dead in an accident caused by her parents.
28:53Unfortunately,
28:55her discovery was delayed.
28:59I'd like to think about
29:02how we can save her.
29:09Um...
29:11I went to the scene and felt that
29:15there was a disaster in another area,
29:17so there weren't enough people.
29:20Shouldn't the medical institution and the government
29:22conduct training on large-scale disasters?
29:27That's a good idea.
29:28I thought it would be good to have a medical examiner at the scene.
29:31They can tell if it's a surgery or not,
29:34and if it's something simple,
29:36they can treat it on the spot.
29:38But if a precious medical examiner
29:40goes to the scene
29:43and can't do the surgery here,
29:45it'll be a disaster.
29:46Why don't we hold a study session
29:48at the ICU and the hospital?
29:52That's a good idea.
29:56Did Hotaru Ishikawa have any external injuries?
30:00No major external injuries.
30:04She was found dead in an accident caused by her parents.
30:11I don't think everything will be solved easily,
30:16if...
30:20if Dr. JET can come to Okadama
30:24and send medical supplies, doctors and nurses
30:28to the scene as soon as possible.
30:33If we have more beds at home,
30:36Dr. JET can transport more children
30:39as soon as possible.
30:41And...
30:44if such an environment is established,
30:48there will be more room at the scene,
30:51and Hotaru Ishikawa will be found
30:55as soon as possible.
31:01She may have been found
31:03alive.
31:06If that's the case,
31:08it's really frustrating.
31:13I guess so.
31:16Maybe so.
31:24I have something to tell you.
31:28Dr. JET will be sent to Okadama Airport.
31:32Dr. JET will be sent to Okadama Airport.
31:37The earliest is next year.
31:41And...
31:43Dr. Nonomura from Sapporo PICU
31:46will be appointed as the chief of the PICU.
31:51But...
31:53I...
31:56will quit.
32:00Why?
32:01Please tell me why.
32:02It's a long story.
32:04You decide it yourself.
32:06In order to send Dr. JET to Okadama,
32:09we were told by the government
32:11that we had a bad relationship with a nearby hospital.
32:16To send Dr. JET to Okadama Airport,
32:21doctors and nurses must be at our hospital
32:24or Okadama Airport
32:26at all times
32:28to be able to fly 24 hours a day.
32:31Only our hospital can do that.
32:36We need the understanding of the nearby hospital.
32:40It's best to ask the people of Sapporo PICU.
32:46That's it.
32:48Can't you do that?
32:54Do you mean that Hokkaido should be done by Hokkaido people?
33:02That's why you want to quit?
33:12Yes.
33:14I don't want to.
33:17Doctor,
33:19you said this is the last job, right?
33:24This is the last place.
33:27As you said,
33:32there are still many problems.
33:36And
33:39there are lives we couldn't save.
33:44In such a stupid situation,
33:46well, I shouldn't say stupid,
33:50but in such a stupid situation,
33:53it's strange that you're gone.
33:57I don't want to do it.
33:58Ue-chan,
33:59you always carry your own luggage.
34:03Let's share it.
34:06That luggage.
34:10Doctor.
34:12Our PICU
34:15is just beginning.
34:19Please let me do it
34:21under your guidance.
34:27Please.
34:47I stopped sending doctors.
34:51Tanabe-sensei.
34:53Tanabe-sensei.
34:55I'm sure of this.
34:57This is not enough.
35:02We will build our own PICU.
35:07Okadama Airport will be frozen in winter
35:10and won't be able to use it.
35:13We have a related hospital in Chitose.
35:16We will build a PICU near Shin-Chitose Airport
35:18and prepare for the operation of this jet.
35:21Does that mean
35:23you will cooperate with us?
35:27You can do whatever you want.
35:51I'm sorry.
36:03You're really not honest.
36:05It's not honest.
36:06It's hard to understand.
36:08You just said it.
36:11You said
36:12you will cooperate with us
36:14when we build our own PICU
36:16and don't have enough beds, right?
36:18You said you will protect us
36:20when we don't have enough beds, right?
36:23Why can't you say that, Tanabe-chan?
36:28You were happy about this, right?
36:32Yes.
36:33We made a lot of money
36:36by building a PICU.
36:38No.
36:39We built it with our own money.
36:41That's good.
36:44That's good.
36:45You didn't want to quit, did you?
36:47You idiot!
36:50Shiko-chan said that to me.
36:52That's pathetic.
36:54Don't worry.
36:56I'm an old man
36:57who is on the side of an old man.
37:03But at that time,
37:04I was on the side of Shiko-chan.
37:07Because
37:09I wanted her to stay.
37:12I think
37:14I can do more for you.
37:18Do you think so?
37:21I do.
37:25You do.
37:32It's interesting
37:34to be a doctor.
37:37Right?
37:47Hina-chan.
37:49How do you feel?
37:52I thought you wouldn't come here anymore.
37:59You don't have to hurry.
38:01The doctors
38:03are always here.
38:06Yeah.
38:14I'm sorry.
38:15What's wrong?
38:16The last girl who was transported
38:18wasn't Yuki-chan.
38:19It was Fuki-chan.
38:21I was so encouraged by Yuki-chan.
38:25Oh.
38:26Dr. Watanuki.
38:28Your hand
38:30wasn't shaking
38:32when you were with Saya-chan.
38:38What I'm trying to say is
38:41you'll be fine.
38:42You'll be fine.
38:45It's pretty bad.
38:59It's nice
39:00to be young.
39:03It's good to have fun at work.
39:06Dr. Tojo,
39:07have you ever been in love at work?
39:13Did you just laugh?
39:14No, I didn't.
39:15You did, didn't you?
39:16No, I didn't.
39:17You did, didn't you?
39:23Well,
39:26I'll come back
39:27next time.
39:30I'll be waiting.
39:33Good luck.
39:42Good luck.
40:12It's because
40:14I can see
40:15the deep
40:16canyon
40:17at my feet.
40:21I run
40:22with all my strength
40:24on a clear road.
40:27Whether it's glass
40:30or ice,
40:32I have no doubt
40:34that I can
40:35save my feet.
40:39I'm going to
40:40save my feet.
41:05It's cold, isn't it?
41:07It's cold.
41:11Here you go.
41:17How's your heart?
41:20It's much better.
41:22I feel good.
41:24That's good.
41:26But don't push yourself too hard.
41:27Okay.
41:30I'll take good care of
41:31my heart.
41:34I'll have a heart transplant
41:36and become a doctor
41:37like Shiko.
41:40I'm happy, but
41:42there are
41:43a lot of jobs
41:44in the world.
41:45Like what?
41:48Like a pilot,
41:50a school teacher,
41:52a cook,
41:54or a bus driver.
41:56What kind of job
41:58do you want
41:59to do when you're born?
42:00What kind of job do you want to do?
42:10I guess I'll be a doctor.
42:13I see.
42:16Well,
42:17it's a pretty good job.
42:30I'm running for sure.
42:33I'm making sure.
42:36There's no other way.
42:37Nanako,
42:38I'm glad you made me a good girl.
42:41I feel like I'm like Minami.
42:43No, you're not.
42:44You're a complete stranger.
42:46I'm not a stranger.
42:48I got Minami's kanji.
42:50I'm like a grandchild.
42:51I'm glad, Mom.
42:53You're my first grandchild.
42:54I don't know
42:55if I can be a real grandchild.
42:57I know. I can.
42:58Don't decide on your own.
43:00It's a good job, though.
43:01I know.
43:05Ta-da!
43:12Congratulations!
43:13Congratulations!
43:19What's your goal when you're 28?
43:22Well,
43:23I guess it's a job.
43:24I want to learn English
43:25so I can work abroad.
43:27That's cool.
43:28It's not my birthday,
43:29but what's your goal, Yuta?
43:32Well,
43:33I'm still interested in medical care
43:35in rural areas.
43:37I heard there's an initiative
43:38with the local government,
43:40so I want to join
43:41and work with them
43:43to support them
43:44as much as I can.
43:46That's amazing.
43:47I think you can do it, Yuta.
43:49What about you, Momoko?
43:51I guess
43:52I want to raise Komako.
43:55Oh, and I want to go to a massage parlor.
43:56It's not a goal,
43:57it's a desire.
43:58That's nice.
44:00How about you, Take-chan?
44:04Well,
44:08I want to be like my dad.
44:11I don't remember at all, though.
44:15He was a really nice guy.
44:17He was kind.
44:19Mom praised him a lot.
44:23And,
44:24I want to find someone
44:26who's like a mother to my dad.
44:29I don't know about kids,
44:31but I want to become a family
44:34and live here
44:36while being a doctor.
44:41You can do it!
44:42Huh?
44:46What?
44:55Huh?
45:01Hello, this is Shikota.
45:04Yes.
45:07Okay, I'll be right there.
45:24Thank you for watching!
45:27Soundtrack CD, Novela Espon,
45:29Blu-ray, DVD box,
45:31and the theme song sung by Miyuki Nakajima
45:33will be presented to the audience.
45:35For more information, visit the program's website.
45:38The latest episode of PICU, Shouni Shuchuu Chiryoushitsu
45:40is now available for free on T-Bar.
45:43FOD is now available for free on past episodes.
45:45Up to episode 3, it's always free.