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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.
05:40What should I do?
05:43I want to do two.
05:47There is no other option.
05:51I'm going to do three.
05:55I'm going to do three.
05:59I'm going to do two.
06:04I'm going to do three.
06:07If you need advanced technology, you can go to the treatment room yourself.
06:14Can you teach me how to use this?
06:18Let me try.
06:20I'll take this one.
06:24The commander is busy.
06:27I'll take this one.
06:31The commander is busy.
06:45The call continues.
06:56This is called a double-sided shogi board.
07:00You know, there are a lot of famous people who do this.
07:02It's almost the same.
07:04Like this, like this, like this.
07:06You have to remember everything.
07:08If you don't do it at the same time, you won't be able to do it all at once.
07:17This patient was serious.
07:20The inside of the pulmonary artery is crystallized with cholesterol.
07:25And it's twice the length of a normal myocardial infarction.
07:31If this happens, the blood vessels won't be able to expand easily.
07:39The secret weapon to get it out is the rotabrator.
07:44The secret weapon to get it out is the rotabrator.
07:52It's a very small drill with diamond particles embedded at the tip of the wire.
08:02With a drill that spins 3,300 times per second,
08:05it cuts the blood vessels that obstruct the blood flow.
08:15The delicate sensation of the fingertips controlling the wire
08:19is a result of experience in treating more than 6,000 people.
08:28The measured blood vessels are cut off,
08:32and healthy blood flow is restored with three stents.
08:40Thank you very much.
08:43Take a look at this.
08:45This is the inside of the stent in your blood vessel.
08:49Can you see it now?
08:59It was very scary, but there was no pain at all.
09:04There was no wound.
09:07It was a very sharp cut.
09:12I was very surprised.
09:14Is it difficult to cut?
09:17If you get used to it, yes.
09:19Some people find it very difficult.
09:23But I don't think it's easy.
09:25I don't use the word easy all the time.
09:28It's either simple or not.
09:30It's normal or difficult.
09:33He's been a doctor for more than 40 years.
09:37If he thinks about the lives he couldn't save,
09:40he doesn't think the word easy is appropriate for treatment.
09:47Sometimes he receives a call asking for a patient's admission.
09:53Is Misato Hospital here?
09:56Misato Hospital?
09:58Within 20 minutes?
10:00Please send a patient to my office.
10:07Whether it's day or night, he's always available.
10:12That's the policy he's been following.
10:23Although Misumi is a workaholic,
10:26he values the time he spends at home in the morning.
10:33The two younger sisters are elementary school students.
10:38When I come home at night, everyone is asleep.
10:42The only time I can talk on weekdays is in the morning.
10:49After breakfast, the girls start studying kanji.
10:58For elementary school students,
11:01it's good to focus on studying Japanese.
11:05As soon as possible,
11:07you need to learn the basic Japanese knowledge
11:11and the common sense of society.
11:15I think it's important to learn the basic Japanese knowledge.
11:21When you summon someone, you say,
11:23please come here.
11:25When you summon someone, you say,
11:27please come here.
11:30Are you having fun?
11:32Yes.
11:33I'm having fun.
11:39It was also Misumi's job to send him to school.
11:44What are you doing today?
11:46Building.
11:49Building?
11:50I want to build a house.
11:52I can build a house.
11:54Really?
11:57Hey, hey.
11:59Don't leave your stuff here.
12:05This year, the 68-year-old father
12:08still has a lot of work to do.
12:15He was born in Osaka in 1957.
12:19He dreamed of becoming a doctor since he was a child.
12:23He was inspired by the passion of a second-year elementary school student.
12:28He couldn't forget how passionate he was about becoming a doctor.
12:33In his sixth-year notebook,
12:36the curiosity of a boy who was obsessed with the mechanism of the heart is engraved.
12:45He went to the University of Ikashika in Tokyo and studied in the United States.
12:50He learned about home-therapy, which was advanced at the time.
12:54After that, he went from a trainee to a specialist in the United States.
12:59However, the road was steep.
13:04He was faced with unspeakable discrimination and bit his lips many times.
13:09He had no choice but to polish his skills to reverse the trend.
13:14He dared to walk across a hospital with a large number of medical exams.
13:19The technology, which was rejected by his vast experience,
13:23eventually led to a high evaluation.
13:27There is no such thing as quality over quantity.
13:30Without quantity, there is no quality.
13:33That's for sure.
13:35It's the same in the United States,
13:38but there are fewer medical exams.
13:41There are definitely fewer.
13:45Aya Kaneko was attracted to the existence of MISUMI
13:49and started working at this hospital.
13:52He was a trainee.
13:54He had a four-year career.
13:57He had more opportunities to receive treatment.
14:05However, his expression was frightening.
14:17He was a severe cancer patient with a sharp blood vessel in front of his liver.
14:25Kaneko, a trainee, was unable to overcome his difficulties.
14:35MISUMI entered the treatment room.
14:38MISUMI, a medical examiner
14:53There are few hospitals where young people are entrusted with difficult examinations.
14:58However, even if his workload increases,
15:02MISUMI continues to do it.
15:06Inside the catheter where Kaneko was struggling,
15:10MISUMI inserted a thin catheter.
15:16He was able to secure blood flow.
15:21I don't think I can do it as much as I thought I could.
15:25There are so many things I can't do.
15:29I think I need to study more.
15:34I'm too energetic.
15:38I don't think I can live passionately like that.
15:44It's been a few years since he started to put more effort into the training of young people.
15:51The doctor's way of working reform, which has been whispered for a long time,
15:56has been strictly restricted from April this year,
16:01such as overtime work and continuous working hours.
16:07Even if the doctor tells you not to work too much,
16:11when someone's life is at stake,
16:14you have to work too much.
16:17But that's the law.
16:20So what should you do?
16:22We have no choice but to raise them.
16:25Each person responds to the needs of the time by improving their skills.
16:29MISUMI, who thought so, listened to the opinions of the young people.
16:35What do you do when you go home early in the morning?
16:41I go home at 8.30.
16:43Why do you go home early?
16:45Please go home early.
16:47I check the time card.
16:50I check if the people in the morning are studying at all.
16:54How do they accept the world's trends?
17:01I think there are times when I have to work hard.
17:04I think I have no choice but to do my best when I'm young.
17:08I think the doctor's job is to save people's lives.
17:12I think everyone is looking for a hospital because they are in trouble.
17:17I don't think much about that.
17:23Treatment is not the only part of the doctor's job.
17:28MISUMI participated in an international seminar with Kaneko.
17:35On behalf of the hospital, she announced the latest blood donation.
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 the summer?
17:55Yes.
17:57I'm nervous in the summer.
18:01She finally confirmed the English manuscript she had prepared two months ago.
18:05Are you nervous in the summer?
18:07Yes.
18:09But it's okay.
18:14This is it.
18:16I understand my mission today is to talk about clinical value of angioscopy.
18:22Let's take a break.
18:24Okay.
18:28Ishiya, who was invited from abroad,
18:31participated in the seminar with domestic veterans.
18:37However, six-month follow-up coronary angiography
18:41showed significant stenosis and osteo-RCA.
18:47It went well.
18:49It's okay.
18:50If you make a mistake on the way, you can go back again.
18:56You must be nervous.
18:58It was a good experience.
19:02The patient who was entrusted by Kaneko on this day
19:05was a patient with an unstable thoracic nerve,
19:08which is not unusual to cause a myocardial infarction at any time.
19:15A 70-year-old woman has a severely constricted pulmonary vein.
19:21Normally, surgery can also be considered.
19:26Normally, surgery can also be considered.
19:33Myocardial infarction is a serious defect.
19:38If it doesn't swell up normally,
19:41I may have to use a special device.
19:48I'll change the medicine.
19:50Please move your arms a little.
19:52I'll change the medicine.
19:57As expected, her blood vessels were so strong that she couldn't even pass the guide wire.
20:07The senior doctor who supports her gives advice.
20:11I'll move the wire a little.
20:14I'll move the wire a little.
20:17I'll move the wire a little.
20:24She repeated the push and pull process while rotating the wire.
20:32It took 40 minutes to reach the liver.
20:40The myocardial infarction is quite strong.
20:43The motor is normal.
20:46I'll use No. 1.
20:51No. 1 is the size of the drill attached to the rotor blader.
20:57This was the first time that Kaneko used this treatment device in a real battle.
21:03No. 1
21:07No. 1
21:10Misumi left the operation of the rotor blader to Kaneko.
21:17Do you know the program called Honkiki?
21:24There was a program called Honkiki.
21:28I'll move the wire a little.
21:37I'll move the wire a little.
21:43I'll move it a little more.
21:52First, Misumi shows the script.
21:58It took 10 seconds.
22:02It took 10 seconds.
22:06It's hard.
22:15First, press the button.
22:18Slowly.
22:22Do it in the same order.
22:25Do it in the same order as the motor blader.
22:28Press the button.
22:31It's perfect.
22:34Don't forget the basics.
22:37Loosen the wire.
22:40Loosen the wire.
22:43Pull the wire.
22:46Loosen the wire.
22:49The blood flow was restored.
22:54The risk of cardiac arrest was greatly reduced.
22:59The risk of cardiac arrest was greatly reduced.
23:02I've been touched a few times before, but this was the first time that I was completely alone.
23:08I've been touched a few times before, but this was the first time that I was completely alone.
23:14I've been touched a few times before, but this was the first time that I was completely alone.
23:20I'm nervous.
23:24I'm tired.
23:29It's the first time for everyone.
23:33You have to gain experience to improve your skills.
23:38It's a path that many people have walked.
23:44Harvesting is important.
23:48I think I have a lot in my head.
23:51I think I have a lot in my head.
23:54I'm nervous.
23:58It's not summer anymore.
24:01I'm nervous in summer.
24:04I'm nervous.
24:07I like it.
24:10I'm nervous.
24:11I'm nervous.
24:12I'm nervous.
24:13I'm nervous.
24:18What do you think?
24:20A relaxed feeling hiding in the natural face.
24:24A relaxed feeling hiding in the natural face.
24:25A relaxed feeling hiding in the natural face.
24:26Everyone, follow me.
24:29The next passionate continent is Yuta Watanabe.
24:35Why did the world-famous basketball player choose Japan now?
24:41I want to play basketball with a good face like the second chapter begins.
24:59The next passionate continent is Yuta Watanabe.
25:03Why did the world-famous basketball player choose Japan now?
25:07I want to play basketball with a good face like the second chapter begins.
25:11Why did the world-famous basketball player choose Japan now?
25:15I want to play basketball with a good face like the second chapter begins.
25:19Why did the world-famous basketball player choose Japan now?
25:23I want to play basketball with a good face like the second chapter begins.