The Triumphant Return of General Rouge (2009) - full transcript
Presented by
TBS (Tokyo Broadcasting System, Inc.)
TOHO CO., LTD.
Patient here!
Over here.
Severe burn injury, Doctor.
OK, on three.
1, 2, 3!
Can you hear me?
Male in his 30s, upper body burns.
Possible air passage, too.
Consciousness level 2.
Give me an 18-gauge PVC.
Patient!
Taking blood pressure!
Tell me what you get.
It's a store fire!
Burn casualties are high!
More?
Smoke inhalation victim!
Over there.
Fire's at a department store!
Full body burn victim!
Put him here for now.
Tojo ER.
Female, 20s, fulI body burns?
Yes, bring her.
Doctors! D.O.A.
Sorry, we're overbooked!
Wait in the hall.
What?
Tojo ER.
Female, 50s, chest injury,
oral bleeding? Yes, we'll take her.
No, we won't!
We will.
Just say "No"!
Tojo ER.
Male, 30s, upper burns.
Yes, bring him in.
We'll take them.
We'll take them all.
The Triumphant General Rouge
Dr. Numata!
We've debated this issue 3 times already!
Let it go!
There's nothing here about patient
side effects or adverse events.
That's your mistake.
What patient?
This was research on autopsy
imaging analysis.
The "patient" was dead!
As hospital GM, I'm saying...
you can't put a corpse
in an MRI machine.
You were in the U. S., Mr. Mifune.
Post-mortem MRI is common practice!
Japanese patients are more sensitive.
Most would find it very creepy to enter
a machine a corpse had passed through.
Don't you agree?
From an admnistrative standpoint,
we can't condone it.
The hospital bears MRI fees.
Tojo University School of Medecine
Ethics Committee
Quiet, please.
I object!
We solved the Batista murders this way!
Right, Chairperson?
Are you even Iistening to all this,
Chairperson Taguchi?
Chairperson Taguchi,
do you have an opinion?
We... I...
don't think it's my place.
Don't be silly.
After our director personally
recommended you for this post?
I absolutely insist.
Yes, but...
I really have no idea.
Who needs you?!
That's how he talks to his mother,
now that he's in colIege.
That's awful.
How's the numbness in your hand?
Oh, it comes and goes.
Then yesterday, he...
I can't eat bananas anymore.
Bananas?
Yeah, ever since my blood transfusion.
My girlfriend's really worried because
I used to love bananas.
She thinks I may die.
I'm terrified that the scar from
my operation wilI reopen.
I can see how you'd be worried.
I'm afraid to stick out my chest
when walk.
Or bloat my stomach with a beer.
Or squeeze hard on the toilet.
I can't raise my voice at work.
Why don't you give it a try
and puff out your chest?
Don't worry. This is a hospital.
Okay.
But don't blame me.
Take care.
Thanks! See ya!
Long day?
People send me their patients
for every little thing now.
It's alot of extra work.
Ever since Batista,
your stock has risen.
Don't say that.
You've got mail... Chairperson.
Stop it.
"Ethics Committee Chairperson"
"ER Chief Physician, Dr. Hayami..."
"has collusive relations with medical
supply company, Medical Arts."
"Look into cardiac catheter purchases."
"ER Head Nurse Hanabusa
is a co-conspirator."
Are you familiar with Dr. Hayami?
A little bit.
From my intern days.
People call him "General."
He tends to make decisions unilaterally.
That's earned him many enemies.
And some resent him becoming
Chief Physician so young.
But we can't ignore
this accusation.
Will you look into it?
Who?
Chairperson.
I...don't think I'm right for...
We're finally recovering from
the Batista scandal.
Another one could destroy us.
Make sure this remains strictIy internal.
Well... then...
if all goes well, can I
quit as Chairperson?
Two outs!
Medical Arts.
"...a collusive relationship..."'
Play ball!
Dr. Taguchi! Quick pose!
Beautiful!
Yamamoto, you stink!
Oh, you mean "General Rouge."
"Rouge"? I've never heard that before.
I have. It's the nickname
ER staff gave Chief Hayami.
General Rouge.
What would "Rouge" stand for?
Lipstick?
Cross-dresser?
Heard it comes from his getting
soaked in blood during an operation.
He continued operating with
a blood stained face.
So it means the "Bloody General."
Look. That's the "General 's" car.
Rouge.
Expensive wheels.
I heard he loves money.
Emergency Medical Care Center
This is going to prick a littIe.
Over here!
Easy now.
Can you hear me?
Male, 34.
He's vomited a lot of blood.
Monitor!
Turn sideways.
Saturation.
Running ECG.
Vital signs?
80 over 40, puIse 130...
respiration GCS 200.
Nurse Kisaragi.
JCS, not GCS.
Sorry.
Be accurate.
Give me 2 lines.
In place.
Take over.
Yes.
Condition?
I see.
What?
Female in an auto collision.
Multiple trauma, collapsed skulI.
Say no.
Yes.
Take her.
I thought he went home.
Bring her.
No!
All ICUs are full!
No beds!
Move Mr. Akatsu in Bed 3
to the surgical ward.
Impossible! He's still in a coma
from abdominal aortic surgery!
Half their nursing staff is in
pre-op for organ surgery.
They can care for him.
Dean Kurosaki will have a fit.
The old man's in Vienna
taking in an opera.
We're moving a patient to your ward.
So...
what brings an administrative
head to this remote sector?
Your air ambulance request.
The "reactivation of which you've
determined is not possible"...
"though it pains you to say so"
Precisely.
Wish I had a penny for every
time I've heard that.
This hospital is operating in the red.
Helicopters that cost 2 trillion yen
in annual upkeep alone...
are the last thing we need.
What's that heliport for, then?
Besides being a secret smoking area.
Smoking area?
Smoking is strictl y forbidden
on hospital grounds.
This won't do.
What does this mean?
I don't know.
Explain this to me!
Problem?
Alcohol poisoning patient.
How can you charge
this much for one night?
For one IV drip?
That's ridicuIous!
Ah, but it says 2 days.
What? I was here one!
The new day begins at midnight.
You were brought in at 11:55 p. m.
But that's 5 minutes!
Learn to moderate your liquor
and stop calling ambulances.
There you go.
Ready with CV.
Good.
Damn it!
Now?
Nothing.
No use.
CPA.
Take him back to Bed 3.
1 mg. epinephrine.
Then 20cc of saline.
I said CPA.
Let me.
Epinephrine.
I'll take over.
Go prep the OR.
Yes, ma'am.
What do you want?
How've you been?
Fine, thank you.
I thought you were scared of blood.
What do you want?
Epinephrine's in.
CV!
Well... um...
If I continue this for an hour,
how much do you think it costs?
30 bucks.
And listening to patient complaints?
20 dollars? 30?
About that.
Doesn' t seem fair.
ER Chief Physician, Dr. Hayami...
has collusive ties with the
Medical Arts company.
ER Head Nurse Hanabusa
is a co-conspirator.
We go in.
Retractor.
30 units of blood.
Type 0 if we're short.
Satinsky clamp.
Line.
She's back.
So what do we do next?
Emergency CT, then to OR.
Buzz. 60 points.
No time for CT.
You go directIy to OR.
You must be happy.
We saved a paying customer.
Hello, Doctor!
Return 3 as a commission?
I'll just take one.
Hello, ladies!
Mr. Isobe!
Did you enjoy the sweets?
Dr. Numata!
I'm really not cut out for
this kind of work.
Dr. Taguchi.
There is... ahem...
something I'd like you to have.
Oh no, no.
That would be wrong.
No, it's not...
I can't... really!
But it's only...
Absolutely not! No way!
I put the softball photos on a CD.
"For Dr. Taguchi"
I've been handling them out.
Shinya Isobe.
Medical Arts.
Suicide?
What?
A salesman jumped from the heliport.
He's dead.
Yes!
Police are here to see Dr. Taguchi.
Know a Mr. Isobe?
Yes.
You two argued before his death.
Huh?
Hear about Dr. Taguchi?
Killing Mr. Isobe?
Over a softball game.
Or a crime of passion.
Got to be a mix-up.
Could've been liquor.
It changes her.
She had too much to handle.
She was exhausted.
Still...
she's no killer.
I almost confessed doing it.
I'm so relieved you're innocent.
He was considerate to everybody.
Must've had pent-up stress.
Only God can spot signs of suicide.
You alright?
Yeah... I just got a chill.
Caught a cold in jail, huh?
I wasn't in jail.
Did you hear about Mr. Isobe?
Apparent suicide.
I spoke with him right before
it happened.
Hey... yesterday's footage!
Didn't see it.
Didn't tape it, either.
Some psychotherapist.
You couldn't spot a suicide.
You just listen to complaints.
So what do you want?
I received a letter accusing you
of shady dealings with Medical Arts.
Who leaked that?
Doctor, you don't mean...
I'm kidding.
But why send that to you?
I really don't know.
So as Ethics chair,
do you believe it?
Oh, no.
Yet you interrogate?
I'm not interrogating.
It's just that...
What's wrong?
Nothing.
I just thought Mr. Isobe...
You sure you're alright?
What's come over me?
Strange.
This is supposed to be an A-rated ER.
But it deserves a B or C.
Far too few doctors.
You're interns, aren' t you?
What school? I'm Tokyo U.
Mr. Shiratori!
Do something!
What happened?
Traffic accident.
This hurt?
Just a simple fracture.
"Just" ?
What do you mean "just" ?
A bone fracture effects
the entire body.
Teenage girl, overdose,
duration unclear!
Administer a tranquilizer.
Vitals?
Leve 300. Others stable.
I recognize her.
Yeah, she's a regular.
Saturation.
Gastric lavage.
Hey, don't ignore me.
That's wrong.
Wrap from the periphery
not from above.
I'm not a guinea pig.
My card's in my coat pooket.
I know.
You cracked the Batista case.
Mr. Shiratori something.
I'm Shiratori from the Ministry of
Health and Labor.
You the chief?
Our ratings determine your subsidies.
Quiet!
We don't treat minor injuries here.
But you know that, right?
Do something.
Gulliver! GuIliver!
Gulliver's not this small.
The Gulliver-Lilliputian size ratio
is about 100 to 7.
I 'm sorry "little" Keisuke, but
pediatrics had the only vacancies.
No, this is perfect for catching
the killer off guard.
"Killer"?
This is a surprise.
What happened?
Get this. I was the victim of
a hit-and-run motorcyclist.
How awful.
But it's no average hit-and-run.
It's a murder plot.
Keisuke Shiratori.
Ministry of Health and Labor.
"ER Chief Physician, Dr. Hayami..."
"has collusive relations with medical
supply company, Medical Arts."
"Look into cardiac catheter purchases."
Someone here is quietly
plotting my assassination.
Actually, a nearby identical letter
was sent to Dr. Taguchi.
Really?
But her letter was hand-written.
And also named Head Nurse
Hanabusa as a co-conspirator.
Yours was typed.
Mine had more info.
Don't look so smug.
Anyway, someone's trying to kilI me.
I think you're over-reacting.
I see these two letters as an
attempt to defame Dr. Hayami.
Well, my ministry cannot ignore this.
And Dr. Taguchi lacks the
sleuthing skilIs to find the truth.
So, I've got to save you again.
Growing farsighted already?
No, it's the gradual loss of
lens elasticity...
distorting the ability to focus
on items at arm's length.
Normal in one's early 40s.
Farsighted.
This is business letterhead.
I see that.
What stands out about this letter?
It's dry tone?
I'm disappointed.
Let me explain to save time.
This letter names Nurse Hanabusa
as a co-conspirator.
I know.
Depending upon which one of our
Ietters is the original...
the writer either added, or deleted,
the line about Nurse Hanabusa.
It would seem so.
That means two different
interests are at play here.
Okay.
Or the same person wrote both.
Hmm, so what do you suggest?
Who resents Dr. Hayami?
Well, there is someone.
And he's due to drop by.
You OK, Mr. Shiratori?
So you're the one who resents
Dr. Hayami!
Hey!
That's right.
What do you think is ER's
biggest problem?
Bad treatment of patients?
We treat life or death patients.
Your problem can be treated
at a neighborhood clinic.
But once we accept a patient,
we must treat them.
And Dr. Hayami accepts them alI.
He's got us working 24-7.
He's killing us.
More patients, more money.
No wonder you're thriving.
"Thriving"? That's a joke.
Know what your hospital fee pays for?
The pediatrics ward.
Really?
Take these gauze bandages.
Unlike medicine, they're not covered
in the cost of treatment.
So burn patients cost alot.
ER's not making a cent!
With money, we could
hire more doct...
And you call yourselves "A-rated"?
We have enough doctors.
No problem there.
Bye-bye, Gulliver!
It's not a single but don't complain.
Anything away from "toddler land."
ER has such a wonderful staff.
Thanks to Chief Hayami?
Yes, the General, I mean...
Dr. Hayami, is our leader.
And he and the head nurse
are like peas in a pod.
Nurse Numata?
Is that how it looks?
It's not?
She supports him very strongly.
But she can't support him alone.
Can you fill this in for me?
My hand's numb.
Sure.
4-syllabic word for "Okinawa."
Starts with "A"
"Ankimo"? "America"?
It's "Awamori" . May I?
Back off!
Handwriting's not a match.
Strange.
Any others who resent Dr. Hayami
or Nurse Hanabusa?
I'vee no choice but to use the informant.
"Informant"? Is there such person?
Informant?
The "anti-Hayami" group is...
Dr. Komatsu of Internal Medicine,
brain surgeons Takano and Matsuoka.
Nurse Hayashi and
Dr. Gondo in Pediatrics.
That many?
Dr. Hayami has enemies all over
this hospital.
Same goes for Nurse Hanabusa.
She's alI business.
Been that way from the start.
But why are they so hated?
There are 8 ICU beds.
That's not enough when
Dr. Hayami takes all comers.
So patients get sent to other wards.
Other wards hate it.
Exactly.
I hear Surgical Ward 1 keeps
recovered patients longer...
so they can fill beds and
refuse Dr. Hayami.
Very political.
Surgical Ward 1?
You know.
Dean Kurosaki.
He's been in Vienna since last week.
Who's closest to Dean Kurosaki?
That would be neuropsychiatrist,
Dr. Numata.
Quiet please.
They're both Ethics Committee
vice-chairmen.
The chairperson's right here.
Unbelievable.
I agree. But I'll be quitt ing soon.
I second that.
Thank you.
How may I help you?
We're re-evaluating the ER ward...
Do that later.
Yes.
Your committee is debating
the future of ER.
Chairperson Taguchi seems clueless,
so I've come to you, "Vice"-Chairman.
If a "Vice"-Chairman will do.
Sorry.
I've heard much about you.
That you're highly respected here.
You're the "real" power behind
the Ethics Committee.
You being sarcastic?
No.
Unlike that odious
ER Chief, Dr. Hayami...
you're the most respected
man in this hospital.
That's an overstatement.
But I won't deny it.
I despise Hayami.
And I'm sure Dean Kurosaki
joins me in that sentiment.
Hayami has many enemies.
It must've been humiliating
for Dean Kurosaki...
to see his junior, Takashina,
named hospital director.
And see Hayami so favored
by the Director.
What's your point?
You hate Dr. Hayami.
While the "General" basks in glory...
you smolder in a dark hole.
Then Taguchi is appointed
Ethics Chair over you...
making you and Kurosaki into
a hospital laughing stock.
You conspired with Kurosaki
to destroy Hayami...
by sending out letters
accusing him of corruption!
"Letters"?
What letters?
Interesting.
So you think I wrote these?
Didn't you?
I'm afraid not.
But if the accusations are true...
we have a big problem.
We'll take it up in committee.
Under Item 7 of committee code,
we will hold a special session.
Komine, set the date.
Summon Director Takashina, too.
OK with you, Chairperson Taguchi?
I'd like to be an observer.
OK with you, Chairperson Taguchi?
By the way, Mr. Isobe of Medical Arts
visited you often.
All suppliers do.
Why'd you show him the letters?
Now it's public!
Why's he here?
Follow that man!
Who?
Been a while, Mifune.
Shouldn't you be resting?
So you knew I was here and
you didn't pay me a visit?
Acquaintances?
Formerly my junior at the ministry.
Got a U.S. Master's degree on
ministry money, and then quit.
We call him "eat-and-run Mifune."
Why's he here?
He's GM in charge of improving
hospital management.
GM? I see.
If anyone can save this hospital
from failure, you can.
I'm doing my best.
Don't you find Dr. Taguchi
highIy expendabIe?
No, she plays a very important
role here.
Although she could prescribe
more medecine.
That won't work.
I'll bet Dr. Numata is efficient at that.
And at reducing patient visit times.
Yes, you're correct.
Not planning a major overhaul,
are you Mifune?
Drastic reform creates friction.
It must be done prudently.
What is it?
Good luck. I'm rooting for you.
He and Numata are working together.
Can two bad personalities
Iike that get along?
You're so naive.
Unlike you, Numata can't idly
listen to patients all day.
"Idly"?
He's the type who seeks profit
from high patient turnover.
Forget bedside manner.
Drugs make patients happy.
He keeps them coming back
for more.
He doesn't need any more investment
except rooms and chairs.
That's why they get along.
Hello.
What do you want?
Just wondering about you.
I saw them bring you in.
Should I leave?
Rehabilitation Ward
That kills!
Come again.
No one's ever just sat with me
without talking.
I'm not much of a doctor.
I probably can't give you
any medical help.
But if you want to talk,
come see me
They call my office the
"Complaint Department."
May I?
Sure.
Are you...?
investigating something?
What? Why do you ask?
I heard rumors.
He's like a child, you know.
The "General"?
Yes. The spoiIed general.
What does "Rouge" in
"General Rouge" stand for?
I'd never heard it.
Remember the Joto Department
Store fire 10 years ago?
Yes, but I was still a student then.
Over 100 people of varying
injuries were brought here.
It was after 7 p.m.
Most of the doctors had gone home.
We were between nurse shifts, too.
It was the most understaffed
time of the day.
Among them was a much
younger Dr. Hayami.
The Director was overseas.
Dr. Hayami made
a hospital-wide announcement.
"I repeat. We are receiving dozens
of fire victims!"
"I'm declaring emergency status!"
"Staff in all wards are to report to me."
ICU beds were quickly filled.
But Dr. Hayami continued to
accept all medic requests.
ER was overflowing with patients.
They filled the hallways.
But eventually, he had to start
turning people away.
Ah... I see.
Hence the "Bloody General."
"Bloody"?
"Rouge" stands for "bloody."
No.
It doesn't?
Since that day, it's like
he's been possessed.
He couldn't bear to refuse patients.
There was no air ambulance.
If there had been, he could've
saved more lives.
What does it mean?
It's a bizarre development.
So there's more than one accuser?
No. The letters are too similar.
Very puzzling.
We want you to attend an
Ethics Committee meeting.
The Health Ministry received
a Ietter, too, huh?
Yes.
But it was typed.
His letter didn't mention
Nurse Hanabusa.
I use Medical Arts' catheters
because they're superior.
So the accusation is groundless?
Hmm, I wonder.
What 's in here?
What do you think?
Spoils from Medical Arts?
Precisely.
Would you like to see?
No.
Don't you feel responsible
for Mr. Isobe's death?
He couldn't satisfy your demands,
so he took his life.
What other reason is there?
He even chose your sacred
spot, the heliport.
If you have evidence of collusion,
show it to me.
Thanks for your time.
Wait a second.
Not you.
Excuse me.
I must thank you.
That suicidal girl patient
came to see me.
She did?
She said she's glad she met you.
She may be brought in
on an overdose again.
Yes.
But she might also stop
doing it forever.
A lot of the patients brought
to us are attempted suicides.
All I can do is keep them alive.
Pump the stomach,
stop the bleeding.
Use precious blood only
to see them die later.
You see, a lot leave the hospital
only to return again.
Those patients need
early mental care.
Yes.
I'd like you to handle that,
Dr. Taguchi.
But...
we'd need to ask...
Numata? Forget it.
I want to ask you.
Understood.
If you think I can help.
By the way.
Tomorrow's meeting
should be exciting.
The accuser could've been Mr. Isobe.
If he found it increasingly difficult
to meet Hayami's demands.
But this letter can't be his.
Oh, you finally bought glasses.
Can you see well now?
Too well... even the stain
of the ink.
A ballpoint pen was used,
and I spotted ink puddles.
Once after Hanabusa's name.
And once after "Head Nurse".
That means there was hesitation.
What does that tell us?
Don't know yet?
There are two possibilities.
Hesitation about which title to use?
Or whether to use a titIe
aften her own name at all.
Ms. Fujiwara.
You've known all along
who wrote this.
It's been too long, Ms. Fujiwara.
You've become a fine nurse.
No, not yet.
Why did you do it?
I guess I can't fool you.
I found this in the trash in ER.
Probably thrown out as a misprint.
I just happened to spot it near
the top of the plastic bag.
So it had to be written by somebody
on ER staff,
Infusion?
Hurry.
No, we go with double.
Infusion here, too!
So you rewrote it and
sent it to Dr. Taguchi.
And added your name.
Which means...!
the accusations are true?
Let us begin this special meeting
of the Tojo Ethics Committee.
We have Director Takashina and
attorney Nomura with us as observers.
I came straight from Narita,
but the traffic was miserable.
Forgive my tardiness.
Sorry I'm late.
I was doing a tracheotomy.
Let's see...
is the defendant's chair for me?
Please look at the paper in your hand.
It contains an accusation sent to me
a week ago...
describing kickbacks received
by Dr. Hayami.
The accuser...
The accuser is not important
at this time.
What's important is determining
the veracity of the cIaim.
Dr. Hayami. You profess innocence...
Hold on, Dr. Numata.
I never said I was innocent.
The accusation in the letter...
is true.
Dr. Hayami, wouId you explain?
Haven't any of you wondered how
ER gets by?
5 yeans ago when I became Chief,
I was told...
"Don't worry about what things cost."
"But make a place that
turns away no one."
'"The air ambulance is not off limits."
Isn't that right, Director?
Yes.
So I readily accepted.
We were to employ a system involving
cooperation of various physicians.
But what I saw in reality was...
not enough beds,
and no cooperation!
Dr. Igarashi.
Last month you refused to help why?
"Too many outpatients."
Yet you were in the cafeteria.
Is that where you see patients?
No, circumstances...
I reported that to the Risk
Management Committee.
But it was soon stricken
from the record.
By Dr. Murakami?
It wasn't! I mean...
Dean Kurosaki.
What?!
Rumor has it you keep your ward
at full occupancy...
so that you can refuse patients.
I don't allocate beds.
The nurse station does.
GM Mifune.
What is it?
When you arrived...
you told me you planned to
cut money-losing divisions.
Not "cut."
"We must not fail", you said.
You miIked patients
with minor injuries...
slashed labor costs,
cut personnel!
Those remaining haven't been
home in a month.
Finances are dire.
But so are people in need
of treatment!
So you're saying...
the money you got in kickbacks was
used for ER treatment?
Mainly equipment and perishables.
Even so, we remained in the red.
Be that as it may...
you've admitted to collusive ties
with a supplier.
As Vice-Chairman, I must
address your accountability.
Dr. Numata is right.
It is a serious breach
of commercial law.
Dr. Hayami, you have abused
your authority for some time.
10 years ago, you openly
broke rules during the Joto fire.
Even though some called you
the "General" for it...
you usurped Dean Kurosaki's authority.
Your hot-blooded reckless actions
ultimately caused a major fiasco.
Dr. Numata
You just said what I've been
wanting to let out for years.
But this time. Dr. Hayami's
transgressions are criminal.
And even wanrant litigation.
We defer to you, attorney.
If it can be established it
was done for personal profit...
he can certainly be charged
with malfeasance.
But...
But?
Is augmenting hospital operation
a breach of trust?
How do we know that Dr. Hayami
didn't receive personal favors?
The evidence...
is here.
Dr. Hayami handed me every
receipt from the supplier.
I kept them in this file.
It proves Dr. Hayami received no
personal patronage whatsoever.
Why did you keep them?
I told you to shred them.
This way, I could order
necessary items, too.
Such arrogance from thieves!
Yeah, the letter names you
as a co-conspirator!
The issue was exposed from inside ER.
So someone must've viewed your
behavior as improper.
The source...
was me.
Head Nurse.
But why?
To fall together.
Obviously, your conscience
got to you.
But you partnered in this crime.
We must prosecute this.
Director!
What action do you propose
against Dr. Hayami?
There's no need.
Resignation Request
Excuse the wrinkles.
I've had this for years.
Wait!
You can't just resign and
get off scot-free!
When I heard of the letter...
I felt as though I'd written it.
In fact, consider it my accusation.
Dr. Hayami is a brilliant physician.
But as a manager, he's like
a wilIful 3 years old.
I refuse to see him go unpunished.
He shouId receive...
a punitive dismissal.
You've still got a lot to learn.
ER doctors need to
remain calm at all times.
Now this issue is settled.
I don't know you,
but I respect your bravery.
So if I may...
as Ethics Committee Vice-Chairman...
I heneby request the punitive dismissal
of ER Chief Hayami...
and Head Nurse Hanabusa.
Dr. Numata, you aren't
qualified to do that.
What do you mean?
I have another letter here.
Reads almost the same but this
one was sent to me.
As I suspected, the one who sent it...
was you, Dr. Numata.
I did not write that.
I never said you did.
It was sent to you, and you
forwarded it to me.
You hoped it would lead to closing ER.
Ridiculous.
What proof do you have?
Plenty. Right here.
So you knew, Mr. Shiratori.
When did you realize it?
Process of elimination.
What in the hell are you
talking about?
Dr. Numata, it was I who sent
you the letter.
It then arrived at the Health Ministry.
Who else but you would send it?
Is this true?
Why send a letter damning yourself?
I thought it would go to the Ethics
Committee, and I'd be dismissed.
ER might then be rebuilt.
But I didn't expect him to pass it
to the Health Ministry.
November 11, 2008.
Just listen to the audio.
Ignore the pictures.
I'm in Dr. Numata's office.
What about Hayami?
ER wilI die.
No management sense.
Matter of time
Dr. Numata, telI me more
about your plan.
What wouId your "MentaI
Care Center" look Iike?
Do that later.
Almost done.
We'll use the vacant 7th floor
and clear one more floor...
to treat depression, anxiety neurosis,
panic and stress disorders.
More drug prescriptions
and high patient turnover?
You could say so.
The Mental Care Centen will
become the hospital's...
most profitable and efficient unit...
headed by neuropsychiatrist,
Dr. Numata.
What floor wilI you clear?
We'll shrink ER, Pediatrics and Obstetrics.
It's hard to find veteran doctors
for those.
Legal risks are high.
ER is a money pit, and
refusing patients damages image.
Your biggest pet peeve.
Neuropschiatry's a growth sector.
Dr. Hayami wilI destroy himself...
but it'd be nice to have something
decisive to take him down.
We'd like you, Mr. Isobe, to go
dig up something on him.
Where'd you get this?
From Mr. Isobe.
Dr. Numata, GM Mifune.
If we put economic principle
over everything, as you say...
our health system would crumble.
We're fIying over Sakuranomiya City!
You can see a coIumn of smoke
rising from the expressway.
A gasoIine truck has roIIed over
and burst into fIammes.
The fire has since spread to
a nearby shopping malI.
There's just been another explosion!
Mobilize all hospital staff.
Set up triage and call
off-duty personneI.
Move ICU patients into general wards.
All of them?
All of them.
But victims may go elsewhere.
We're overreacting.
They're all coming here.
Dr. Hayami, status?
Summoning all hands, Sir.
Understood. I'm putting Dr. Hayami
in command.
Emergency vehicuIes to main entrance
We wilI be cIearing the Iobby to make
room for arriving patients.
If you must see a doctor today,
2nd floor! Please hurry!
If it can wait, please go home!
We must clear this area for
arriving emergency patients!
Not here! Main entrance!
That's where they're arriving.
Why did Dr. Taguchi have it?
Have what?
The secret recording.
Isobe gave it to her.
He told me he didn't
give it to anyone.
What?
Here. This is a bugging device.
But it's just a mike. A recording
device must be elsewhere.
Why do you have that?
'Cause I seized it from Isobe!
When?
Where?
Please stop that!
See? Right here!
A bugging device!
Where's the receiver?
Who put you up to this?
Dr. Hayami?
Does he have the recording?
No... no.
Really?
Really! Truly!
So no one has it yet?
No.
Oh my God.
Huh? Bad move?
I had to!
For the Mental Care Center!
What's wrong?
They need help downstairs.
Who're you calling?
You're calling security! Why?
Dr. Numata, we're a team!
I thought we were a team!
Don't do this, Dr. Numata!
Don't be so cold, Dr. Numata!
You plan on turning me in!
Dr. Numata!
The poIice let me see Isobe's
personal effects.
So I went out and bought
the same thing.
Gets really great reception.
Thank you for forwarding
the letter, Dr. Numata.
For that, I give you credit.
"Ethics", my ass.
Male, 40s, burn trauma, level 300.
Female, 30s, stomach contusion.
Male, 20s, multiple wounds, CPA.
I don't need the reports!
Tell them that!
Just bring them!
Bring them all!
Yes, we're taking them.
Taking everyone.
Dr. Sato, Deputy Chief!
Open the lobby now.
Start triage.
Wait!
Be sure.
Your judgment is my judgment.
Have confidence.
If your hands are free,
heIp transport people!
You! And you! Come!
They'll be coming!
Hear me? If you're free,
help with transport!
Hold on! Doctor!
Direct burnsl
You're in a hospital.
Respiration over 30!
Burn trauma, back to feet.
Status "Red"!
Next!
Female 20s, broken leg,
vitals stable.
You're okay.
Next, come on!
Chief.
Your face is pale.
Our leader can't look so pale!
I haven' t grown a b i t.
That's what it meant.
"General Rouge."
Careful. Coming through.
Can you say your name?
It's a hospital.
Oxygen 10 liters, 2 PVCs!
Triage tags!
Is this it?
Thanks.
What's it for?
Prioritizing treatment.
Inhalation burn! Red!
Red means top priority.
Broken ribs, yellow!
Yellow means not life-threatening.
Green!
Green means light injury.
No breathing.
Black.
Black means deceased
or beyond recovery.
But...
A line must be drawn.
Might keep us from a life
we can actually save.
Yes, come on!
GM Mifune. The curtain.
Lower the curtain. Quickly!
Dean Kurosaki!
Red patient!
It hurts!
Go slowly. Thanks.
If you can walk, come this way!
Can you say your name?
Don't lift your head.
Feel any pain?
What a mess! What a mess!
Check for bleeding first!
OK, I'm here now!
Somebody, tell me!
I'm lost here!
How're you doing?
There's space by the column.
Right over here.
Ma' am! Don't tear that off!
Why isn't anyone tending
to my husband?
Why are no doctors here?
Dr. Sato! He may still be...
No, black is correct.
My husband's still alive!
You can't leave him!
Oonoussi on. Ni ght cruna fracture. Ye ow!
He's alive!
I'm sorry! I'm so sorry!
We don't have enough stretchers!
Head Nurse!
Take them all!
What are those?
Where'd those come from?
Medical Arts.
Over here!
Spread them out.
There's been another auto pileup
near the site.
AmbuIances are stuck in traffic.
I'm cIose to the disaster site.
The shopping mall is just behind
that building.
The fire stilI rages.
A continuous stream of people...
with C02 poisoning and burns
are being carried out.
It's absoIute panic down here.
An acquaintance?
My wife and daughter!
They're doomed!
What kind of talk is that?!
TV choppers are up.
Why is there no air ambulance?
There is.
Mr. Shiratori.
You underestimate me.
Just took one call to my superiors.
Mr. Shiratori!
Please return home if you can.
Payments can be delayed.
Retunn home if you are able.
Payments can be delayed.
Return home if you are able.
Payments can be delayed.
Isobe was kiIled for associating with me.
He was from a small island.
When a teen,
his mother suffered a stroke.
With no emergency service around.
She died.
He often said an air ambulance
could've saved her.
You won't change your mind?
It's too late to retract it now.
I've been holed up in the hospital.
Let me go to where the fish is good.
Still, I can't accept this.
You have to receive your penalty
from the Ethics Committee.
What?
The issue is whether you received
any personal patronage or not.
If so, you must accept the
committee ruling.
As God is my witness, I took not a cent!
If you have proof...
Will you obey?
Of course.
February.
'"Chupa Chups Iollipops."
$7. 35.
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Return 3 as a commission?
I'll just take one.
Grand total: $209. 32.
SoIid evidence of personal
patronage covering 3 years.
But...
As Ethics Chairperson.
I sentence you...
to spend 3 years working wherever
Director Takashina tells you to.
A northern hospital needs
an ER physician.
Lots of activity. Short on staff.
You'd be perfect for it.
Up north, huh?
I hear the smelt is delicious.
Bravo.
Taguchi... Chairperson.
Mr. Shiratori!
How sad.
No one to see you off?
The party was inside.
I'd appraise your effort
this time at about this.
Bring me a Phalenopsis orchid.
Health Ministry.
I can breathe again.
Hokkaido's coId.
In 3 years, you'd better come back.
I'll give you some advice.
A leader must be willful.
And sometimes,
he must be downright mean.
Hated by his subordinates?
If it can save one extra life.
You don't have to quit.
Thank you... for everything.
Wait.
I hate cold weather.
I'm...
fine with it.
At last, your wish has come true.
Our first air delivery.
What?
Hurry and help me!
Watch it! Vibration.
Not him again.
I fell off a mountain.
The other foot this time?
Don't call a heli for this.
Brrr... it's cold.
Kimiko Taguchi
Yuko Takeuchi
Keisuke Shiratori
Hiroshi Abe
Koichi Hayami
Masato Sakai
Executive Producer
Yasuhiro Mase
PIanner
Minami Ichikawa
Producers
Kanjiro Sakura
Akihino Yamauchi
Takeshi Sato
Original Novel by
Takeru Kaido
ScreenpIay
Hiroshi Saito
Yoshihiro Nakamura
Music
Naoki Sato
Cinematography
Yasushi Sasakibara
Lighting
Miyanobu Inori
Sound
Masatoshi Yokomizo
Art Direction
Hirokazu Kanamasa
Editing
Hirohide Abe
Theme song
EXILE
Director
Yoshihiro Nakamura
(c) 2O09 "The Triumphant General Rouge"
Product on Committee
TBS (Tokyo Broadcasting System, Inc.)
TOHO CO., LTD.
Patient here!
Over here.
Severe burn injury, Doctor.
OK, on three.
1, 2, 3!
Can you hear me?
Male in his 30s, upper body burns.
Possible air passage, too.
Consciousness level 2.
Give me an 18-gauge PVC.
Patient!
Taking blood pressure!
Tell me what you get.
It's a store fire!
Burn casualties are high!
More?
Smoke inhalation victim!
Over there.
Fire's at a department store!
Full body burn victim!
Put him here for now.
Tojo ER.
Female, 20s, fulI body burns?
Yes, bring her.
Doctors! D.O.A.
Sorry, we're overbooked!
Wait in the hall.
What?
Tojo ER.
Female, 50s, chest injury,
oral bleeding? Yes, we'll take her.
No, we won't!
We will.
Just say "No"!
Tojo ER.
Male, 30s, upper burns.
Yes, bring him in.
We'll take them.
We'll take them all.
The Triumphant General Rouge
Dr. Numata!
We've debated this issue 3 times already!
Let it go!
There's nothing here about patient
side effects or adverse events.
That's your mistake.
What patient?
This was research on autopsy
imaging analysis.
The "patient" was dead!
As hospital GM, I'm saying...
you can't put a corpse
in an MRI machine.
You were in the U. S., Mr. Mifune.
Post-mortem MRI is common practice!
Japanese patients are more sensitive.
Most would find it very creepy to enter
a machine a corpse had passed through.
Don't you agree?
From an admnistrative standpoint,
we can't condone it.
The hospital bears MRI fees.
Tojo University School of Medecine
Ethics Committee
Quiet, please.
I object!
We solved the Batista murders this way!
Right, Chairperson?
Are you even Iistening to all this,
Chairperson Taguchi?
Chairperson Taguchi,
do you have an opinion?
We... I...
don't think it's my place.
Don't be silly.
After our director personally
recommended you for this post?
I absolutely insist.
Yes, but...
I really have no idea.
Who needs you?!
That's how he talks to his mother,
now that he's in colIege.
That's awful.
How's the numbness in your hand?
Oh, it comes and goes.
Then yesterday, he...
I can't eat bananas anymore.
Bananas?
Yeah, ever since my blood transfusion.
My girlfriend's really worried because
I used to love bananas.
She thinks I may die.
I'm terrified that the scar from
my operation wilI reopen.
I can see how you'd be worried.
I'm afraid to stick out my chest
when walk.
Or bloat my stomach with a beer.
Or squeeze hard on the toilet.
I can't raise my voice at work.
Why don't you give it a try
and puff out your chest?
Don't worry. This is a hospital.
Okay.
But don't blame me.
Take care.
Thanks! See ya!
Long day?
People send me their patients
for every little thing now.
It's alot of extra work.
Ever since Batista,
your stock has risen.
Don't say that.
You've got mail... Chairperson.
Stop it.
"Ethics Committee Chairperson"
"ER Chief Physician, Dr. Hayami..."
"has collusive relations with medical
supply company, Medical Arts."
"Look into cardiac catheter purchases."
"ER Head Nurse Hanabusa
is a co-conspirator."
Are you familiar with Dr. Hayami?
A little bit.
From my intern days.
People call him "General."
He tends to make decisions unilaterally.
That's earned him many enemies.
And some resent him becoming
Chief Physician so young.
But we can't ignore
this accusation.
Will you look into it?
Who?
Chairperson.
I...don't think I'm right for...
We're finally recovering from
the Batista scandal.
Another one could destroy us.
Make sure this remains strictIy internal.
Well... then...
if all goes well, can I
quit as Chairperson?
Two outs!
Medical Arts.
"...a collusive relationship..."'
Play ball!
Dr. Taguchi! Quick pose!
Beautiful!
Yamamoto, you stink!
Oh, you mean "General Rouge."
"Rouge"? I've never heard that before.
I have. It's the nickname
ER staff gave Chief Hayami.
General Rouge.
What would "Rouge" stand for?
Lipstick?
Cross-dresser?
Heard it comes from his getting
soaked in blood during an operation.
He continued operating with
a blood stained face.
So it means the "Bloody General."
Look. That's the "General 's" car.
Rouge.
Expensive wheels.
I heard he loves money.
Emergency Medical Care Center
This is going to prick a littIe.
Over here!
Easy now.
Can you hear me?
Male, 34.
He's vomited a lot of blood.
Monitor!
Turn sideways.
Saturation.
Running ECG.
Vital signs?
80 over 40, puIse 130...
respiration GCS 200.
Nurse Kisaragi.
JCS, not GCS.
Sorry.
Be accurate.
Give me 2 lines.
In place.
Take over.
Yes.
Condition?
I see.
What?
Female in an auto collision.
Multiple trauma, collapsed skulI.
Say no.
Yes.
Take her.
I thought he went home.
Bring her.
No!
All ICUs are full!
No beds!
Move Mr. Akatsu in Bed 3
to the surgical ward.
Impossible! He's still in a coma
from abdominal aortic surgery!
Half their nursing staff is in
pre-op for organ surgery.
They can care for him.
Dean Kurosaki will have a fit.
The old man's in Vienna
taking in an opera.
We're moving a patient to your ward.
So...
what brings an administrative
head to this remote sector?
Your air ambulance request.
The "reactivation of which you've
determined is not possible"...
"though it pains you to say so"
Precisely.
Wish I had a penny for every
time I've heard that.
This hospital is operating in the red.
Helicopters that cost 2 trillion yen
in annual upkeep alone...
are the last thing we need.
What's that heliport for, then?
Besides being a secret smoking area.
Smoking area?
Smoking is strictl y forbidden
on hospital grounds.
This won't do.
What does this mean?
I don't know.
Explain this to me!
Problem?
Alcohol poisoning patient.
How can you charge
this much for one night?
For one IV drip?
That's ridicuIous!
Ah, but it says 2 days.
What? I was here one!
The new day begins at midnight.
You were brought in at 11:55 p. m.
But that's 5 minutes!
Learn to moderate your liquor
and stop calling ambulances.
There you go.
Ready with CV.
Good.
Damn it!
Now?
Nothing.
No use.
CPA.
Take him back to Bed 3.
1 mg. epinephrine.
Then 20cc of saline.
I said CPA.
Let me.
Epinephrine.
I'll take over.
Go prep the OR.
Yes, ma'am.
What do you want?
How've you been?
Fine, thank you.
I thought you were scared of blood.
What do you want?
Epinephrine's in.
CV!
Well... um...
If I continue this for an hour,
how much do you think it costs?
30 bucks.
And listening to patient complaints?
20 dollars? 30?
About that.
Doesn' t seem fair.
ER Chief Physician, Dr. Hayami...
has collusive ties with the
Medical Arts company.
ER Head Nurse Hanabusa
is a co-conspirator.
We go in.
Retractor.
30 units of blood.
Type 0 if we're short.
Satinsky clamp.
Line.
She's back.
So what do we do next?
Emergency CT, then to OR.
Buzz. 60 points.
No time for CT.
You go directIy to OR.
You must be happy.
We saved a paying customer.
Hello, Doctor!
Return 3 as a commission?
I'll just take one.
Hello, ladies!
Mr. Isobe!
Did you enjoy the sweets?
Dr. Numata!
I'm really not cut out for
this kind of work.
Dr. Taguchi.
There is... ahem...
something I'd like you to have.
Oh no, no.
That would be wrong.
No, it's not...
I can't... really!
But it's only...
Absolutely not! No way!
I put the softball photos on a CD.
"For Dr. Taguchi"
I've been handling them out.
Shinya Isobe.
Medical Arts.
Suicide?
What?
A salesman jumped from the heliport.
He's dead.
Yes!
Police are here to see Dr. Taguchi.
Know a Mr. Isobe?
Yes.
You two argued before his death.
Huh?
Hear about Dr. Taguchi?
Killing Mr. Isobe?
Over a softball game.
Or a crime of passion.
Got to be a mix-up.
Could've been liquor.
It changes her.
She had too much to handle.
She was exhausted.
Still...
she's no killer.
I almost confessed doing it.
I'm so relieved you're innocent.
He was considerate to everybody.
Must've had pent-up stress.
Only God can spot signs of suicide.
You alright?
Yeah... I just got a chill.
Caught a cold in jail, huh?
I wasn't in jail.
Did you hear about Mr. Isobe?
Apparent suicide.
I spoke with him right before
it happened.
Hey... yesterday's footage!
Didn't see it.
Didn't tape it, either.
Some psychotherapist.
You couldn't spot a suicide.
You just listen to complaints.
So what do you want?
I received a letter accusing you
of shady dealings with Medical Arts.
Who leaked that?
Doctor, you don't mean...
I'm kidding.
But why send that to you?
I really don't know.
So as Ethics chair,
do you believe it?
Oh, no.
Yet you interrogate?
I'm not interrogating.
It's just that...
What's wrong?
Nothing.
I just thought Mr. Isobe...
You sure you're alright?
What's come over me?
Strange.
This is supposed to be an A-rated ER.
But it deserves a B or C.
Far too few doctors.
You're interns, aren' t you?
What school? I'm Tokyo U.
Mr. Shiratori!
Do something!
What happened?
Traffic accident.
This hurt?
Just a simple fracture.
"Just" ?
What do you mean "just" ?
A bone fracture effects
the entire body.
Teenage girl, overdose,
duration unclear!
Administer a tranquilizer.
Vitals?
Leve 300. Others stable.
I recognize her.
Yeah, she's a regular.
Saturation.
Gastric lavage.
Hey, don't ignore me.
That's wrong.
Wrap from the periphery
not from above.
I'm not a guinea pig.
My card's in my coat pooket.
I know.
You cracked the Batista case.
Mr. Shiratori something.
I'm Shiratori from the Ministry of
Health and Labor.
You the chief?
Our ratings determine your subsidies.
Quiet!
We don't treat minor injuries here.
But you know that, right?
Do something.
Gulliver! GuIliver!
Gulliver's not this small.
The Gulliver-Lilliputian size ratio
is about 100 to 7.
I 'm sorry "little" Keisuke, but
pediatrics had the only vacancies.
No, this is perfect for catching
the killer off guard.
"Killer"?
This is a surprise.
What happened?
Get this. I was the victim of
a hit-and-run motorcyclist.
How awful.
But it's no average hit-and-run.
It's a murder plot.
Keisuke Shiratori.
Ministry of Health and Labor.
"ER Chief Physician, Dr. Hayami..."
"has collusive relations with medical
supply company, Medical Arts."
"Look into cardiac catheter purchases."
Someone here is quietly
plotting my assassination.
Actually, a nearby identical letter
was sent to Dr. Taguchi.
Really?
But her letter was hand-written.
And also named Head Nurse
Hanabusa as a co-conspirator.
Yours was typed.
Mine had more info.
Don't look so smug.
Anyway, someone's trying to kilI me.
I think you're over-reacting.
I see these two letters as an
attempt to defame Dr. Hayami.
Well, my ministry cannot ignore this.
And Dr. Taguchi lacks the
sleuthing skilIs to find the truth.
So, I've got to save you again.
Growing farsighted already?
No, it's the gradual loss of
lens elasticity...
distorting the ability to focus
on items at arm's length.
Normal in one's early 40s.
Farsighted.
This is business letterhead.
I see that.
What stands out about this letter?
It's dry tone?
I'm disappointed.
Let me explain to save time.
This letter names Nurse Hanabusa
as a co-conspirator.
I know.
Depending upon which one of our
Ietters is the original...
the writer either added, or deleted,
the line about Nurse Hanabusa.
It would seem so.
That means two different
interests are at play here.
Okay.
Or the same person wrote both.
Hmm, so what do you suggest?
Who resents Dr. Hayami?
Well, there is someone.
And he's due to drop by.
You OK, Mr. Shiratori?
So you're the one who resents
Dr. Hayami!
Hey!
That's right.
What do you think is ER's
biggest problem?
Bad treatment of patients?
We treat life or death patients.
Your problem can be treated
at a neighborhood clinic.
But once we accept a patient,
we must treat them.
And Dr. Hayami accepts them alI.
He's got us working 24-7.
He's killing us.
More patients, more money.
No wonder you're thriving.
"Thriving"? That's a joke.
Know what your hospital fee pays for?
The pediatrics ward.
Really?
Take these gauze bandages.
Unlike medicine, they're not covered
in the cost of treatment.
So burn patients cost alot.
ER's not making a cent!
With money, we could
hire more doct...
And you call yourselves "A-rated"?
We have enough doctors.
No problem there.
Bye-bye, Gulliver!
It's not a single but don't complain.
Anything away from "toddler land."
ER has such a wonderful staff.
Thanks to Chief Hayami?
Yes, the General, I mean...
Dr. Hayami, is our leader.
And he and the head nurse
are like peas in a pod.
Nurse Numata?
Is that how it looks?
It's not?
She supports him very strongly.
But she can't support him alone.
Can you fill this in for me?
My hand's numb.
Sure.
4-syllabic word for "Okinawa."
Starts with "A"
"Ankimo"? "America"?
It's "Awamori" . May I?
Back off!
Handwriting's not a match.
Strange.
Any others who resent Dr. Hayami
or Nurse Hanabusa?
I'vee no choice but to use the informant.
"Informant"? Is there such person?
Informant?
The "anti-Hayami" group is...
Dr. Komatsu of Internal Medicine,
brain surgeons Takano and Matsuoka.
Nurse Hayashi and
Dr. Gondo in Pediatrics.
That many?
Dr. Hayami has enemies all over
this hospital.
Same goes for Nurse Hanabusa.
She's alI business.
Been that way from the start.
But why are they so hated?
There are 8 ICU beds.
That's not enough when
Dr. Hayami takes all comers.
So patients get sent to other wards.
Other wards hate it.
Exactly.
I hear Surgical Ward 1 keeps
recovered patients longer...
so they can fill beds and
refuse Dr. Hayami.
Very political.
Surgical Ward 1?
You know.
Dean Kurosaki.
He's been in Vienna since last week.
Who's closest to Dean Kurosaki?
That would be neuropsychiatrist,
Dr. Numata.
Quiet please.
They're both Ethics Committee
vice-chairmen.
The chairperson's right here.
Unbelievable.
I agree. But I'll be quitt ing soon.
I second that.
Thank you.
How may I help you?
We're re-evaluating the ER ward...
Do that later.
Yes.
Your committee is debating
the future of ER.
Chairperson Taguchi seems clueless,
so I've come to you, "Vice"-Chairman.
If a "Vice"-Chairman will do.
Sorry.
I've heard much about you.
That you're highly respected here.
You're the "real" power behind
the Ethics Committee.
You being sarcastic?
No.
Unlike that odious
ER Chief, Dr. Hayami...
you're the most respected
man in this hospital.
That's an overstatement.
But I won't deny it.
I despise Hayami.
And I'm sure Dean Kurosaki
joins me in that sentiment.
Hayami has many enemies.
It must've been humiliating
for Dean Kurosaki...
to see his junior, Takashina,
named hospital director.
And see Hayami so favored
by the Director.
What's your point?
You hate Dr. Hayami.
While the "General" basks in glory...
you smolder in a dark hole.
Then Taguchi is appointed
Ethics Chair over you...
making you and Kurosaki into
a hospital laughing stock.
You conspired with Kurosaki
to destroy Hayami...
by sending out letters
accusing him of corruption!
"Letters"?
What letters?
Interesting.
So you think I wrote these?
Didn't you?
I'm afraid not.
But if the accusations are true...
we have a big problem.
We'll take it up in committee.
Under Item 7 of committee code,
we will hold a special session.
Komine, set the date.
Summon Director Takashina, too.
OK with you, Chairperson Taguchi?
I'd like to be an observer.
OK with you, Chairperson Taguchi?
By the way, Mr. Isobe of Medical Arts
visited you often.
All suppliers do.
Why'd you show him the letters?
Now it's public!
Why's he here?
Follow that man!
Who?
Been a while, Mifune.
Shouldn't you be resting?
So you knew I was here and
you didn't pay me a visit?
Acquaintances?
Formerly my junior at the ministry.
Got a U.S. Master's degree on
ministry money, and then quit.
We call him "eat-and-run Mifune."
Why's he here?
He's GM in charge of improving
hospital management.
GM? I see.
If anyone can save this hospital
from failure, you can.
I'm doing my best.
Don't you find Dr. Taguchi
highIy expendabIe?
No, she plays a very important
role here.
Although she could prescribe
more medecine.
That won't work.
I'll bet Dr. Numata is efficient at that.
And at reducing patient visit times.
Yes, you're correct.
Not planning a major overhaul,
are you Mifune?
Drastic reform creates friction.
It must be done prudently.
What is it?
Good luck. I'm rooting for you.
He and Numata are working together.
Can two bad personalities
Iike that get along?
You're so naive.
Unlike you, Numata can't idly
listen to patients all day.
"Idly"?
He's the type who seeks profit
from high patient turnover.
Forget bedside manner.
Drugs make patients happy.
He keeps them coming back
for more.
He doesn't need any more investment
except rooms and chairs.
That's why they get along.
Hello.
What do you want?
Just wondering about you.
I saw them bring you in.
Should I leave?
Rehabilitation Ward
That kills!
Come again.
No one's ever just sat with me
without talking.
I'm not much of a doctor.
I probably can't give you
any medical help.
But if you want to talk,
come see me
They call my office the
"Complaint Department."
May I?
Sure.
Are you...?
investigating something?
What? Why do you ask?
I heard rumors.
He's like a child, you know.
The "General"?
Yes. The spoiIed general.
What does "Rouge" in
"General Rouge" stand for?
I'd never heard it.
Remember the Joto Department
Store fire 10 years ago?
Yes, but I was still a student then.
Over 100 people of varying
injuries were brought here.
It was after 7 p.m.
Most of the doctors had gone home.
We were between nurse shifts, too.
It was the most understaffed
time of the day.
Among them was a much
younger Dr. Hayami.
The Director was overseas.
Dr. Hayami made
a hospital-wide announcement.
"I repeat. We are receiving dozens
of fire victims!"
"I'm declaring emergency status!"
"Staff in all wards are to report to me."
ICU beds were quickly filled.
But Dr. Hayami continued to
accept all medic requests.
ER was overflowing with patients.
They filled the hallways.
But eventually, he had to start
turning people away.
Ah... I see.
Hence the "Bloody General."
"Bloody"?
"Rouge" stands for "bloody."
No.
It doesn't?
Since that day, it's like
he's been possessed.
He couldn't bear to refuse patients.
There was no air ambulance.
If there had been, he could've
saved more lives.
What does it mean?
It's a bizarre development.
So there's more than one accuser?
No. The letters are too similar.
Very puzzling.
We want you to attend an
Ethics Committee meeting.
The Health Ministry received
a Ietter, too, huh?
Yes.
But it was typed.
His letter didn't mention
Nurse Hanabusa.
I use Medical Arts' catheters
because they're superior.
So the accusation is groundless?
Hmm, I wonder.
What 's in here?
What do you think?
Spoils from Medical Arts?
Precisely.
Would you like to see?
No.
Don't you feel responsible
for Mr. Isobe's death?
He couldn't satisfy your demands,
so he took his life.
What other reason is there?
He even chose your sacred
spot, the heliport.
If you have evidence of collusion,
show it to me.
Thanks for your time.
Wait a second.
Not you.
Excuse me.
I must thank you.
That suicidal girl patient
came to see me.
She did?
She said she's glad she met you.
She may be brought in
on an overdose again.
Yes.
But she might also stop
doing it forever.
A lot of the patients brought
to us are attempted suicides.
All I can do is keep them alive.
Pump the stomach,
stop the bleeding.
Use precious blood only
to see them die later.
You see, a lot leave the hospital
only to return again.
Those patients need
early mental care.
Yes.
I'd like you to handle that,
Dr. Taguchi.
But...
we'd need to ask...
Numata? Forget it.
I want to ask you.
Understood.
If you think I can help.
By the way.
Tomorrow's meeting
should be exciting.
The accuser could've been Mr. Isobe.
If he found it increasingly difficult
to meet Hayami's demands.
But this letter can't be his.
Oh, you finally bought glasses.
Can you see well now?
Too well... even the stain
of the ink.
A ballpoint pen was used,
and I spotted ink puddles.
Once after Hanabusa's name.
And once after "Head Nurse".
That means there was hesitation.
What does that tell us?
Don't know yet?
There are two possibilities.
Hesitation about which title to use?
Or whether to use a titIe
aften her own name at all.
Ms. Fujiwara.
You've known all along
who wrote this.
It's been too long, Ms. Fujiwara.
You've become a fine nurse.
No, not yet.
Why did you do it?
I guess I can't fool you.
I found this in the trash in ER.
Probably thrown out as a misprint.
I just happened to spot it near
the top of the plastic bag.
So it had to be written by somebody
on ER staff,
Infusion?
Hurry.
No, we go with double.
Infusion here, too!
So you rewrote it and
sent it to Dr. Taguchi.
And added your name.
Which means...!
the accusations are true?
Let us begin this special meeting
of the Tojo Ethics Committee.
We have Director Takashina and
attorney Nomura with us as observers.
I came straight from Narita,
but the traffic was miserable.
Forgive my tardiness.
Sorry I'm late.
I was doing a tracheotomy.
Let's see...
is the defendant's chair for me?
Please look at the paper in your hand.
It contains an accusation sent to me
a week ago...
describing kickbacks received
by Dr. Hayami.
The accuser...
The accuser is not important
at this time.
What's important is determining
the veracity of the cIaim.
Dr. Hayami. You profess innocence...
Hold on, Dr. Numata.
I never said I was innocent.
The accusation in the letter...
is true.
Dr. Hayami, wouId you explain?
Haven't any of you wondered how
ER gets by?
5 yeans ago when I became Chief,
I was told...
"Don't worry about what things cost."
"But make a place that
turns away no one."
'"The air ambulance is not off limits."
Isn't that right, Director?
Yes.
So I readily accepted.
We were to employ a system involving
cooperation of various physicians.
But what I saw in reality was...
not enough beds,
and no cooperation!
Dr. Igarashi.
Last month you refused to help why?
"Too many outpatients."
Yet you were in the cafeteria.
Is that where you see patients?
No, circumstances...
I reported that to the Risk
Management Committee.
But it was soon stricken
from the record.
By Dr. Murakami?
It wasn't! I mean...
Dean Kurosaki.
What?!
Rumor has it you keep your ward
at full occupancy...
so that you can refuse patients.
I don't allocate beds.
The nurse station does.
GM Mifune.
What is it?
When you arrived...
you told me you planned to
cut money-losing divisions.
Not "cut."
"We must not fail", you said.
You miIked patients
with minor injuries...
slashed labor costs,
cut personnel!
Those remaining haven't been
home in a month.
Finances are dire.
But so are people in need
of treatment!
So you're saying...
the money you got in kickbacks was
used for ER treatment?
Mainly equipment and perishables.
Even so, we remained in the red.
Be that as it may...
you've admitted to collusive ties
with a supplier.
As Vice-Chairman, I must
address your accountability.
Dr. Numata is right.
It is a serious breach
of commercial law.
Dr. Hayami, you have abused
your authority for some time.
10 years ago, you openly
broke rules during the Joto fire.
Even though some called you
the "General" for it...
you usurped Dean Kurosaki's authority.
Your hot-blooded reckless actions
ultimately caused a major fiasco.
Dr. Numata
You just said what I've been
wanting to let out for years.
But this time. Dr. Hayami's
transgressions are criminal.
And even wanrant litigation.
We defer to you, attorney.
If it can be established it
was done for personal profit...
he can certainly be charged
with malfeasance.
But...
But?
Is augmenting hospital operation
a breach of trust?
How do we know that Dr. Hayami
didn't receive personal favors?
The evidence...
is here.
Dr. Hayami handed me every
receipt from the supplier.
I kept them in this file.
It proves Dr. Hayami received no
personal patronage whatsoever.
Why did you keep them?
I told you to shred them.
This way, I could order
necessary items, too.
Such arrogance from thieves!
Yeah, the letter names you
as a co-conspirator!
The issue was exposed from inside ER.
So someone must've viewed your
behavior as improper.
The source...
was me.
Head Nurse.
But why?
To fall together.
Obviously, your conscience
got to you.
But you partnered in this crime.
We must prosecute this.
Director!
What action do you propose
against Dr. Hayami?
There's no need.
Resignation Request
Excuse the wrinkles.
I've had this for years.
Wait!
You can't just resign and
get off scot-free!
When I heard of the letter...
I felt as though I'd written it.
In fact, consider it my accusation.
Dr. Hayami is a brilliant physician.
But as a manager, he's like
a wilIful 3 years old.
I refuse to see him go unpunished.
He shouId receive...
a punitive dismissal.
You've still got a lot to learn.
ER doctors need to
remain calm at all times.
Now this issue is settled.
I don't know you,
but I respect your bravery.
So if I may...
as Ethics Committee Vice-Chairman...
I heneby request the punitive dismissal
of ER Chief Hayami...
and Head Nurse Hanabusa.
Dr. Numata, you aren't
qualified to do that.
What do you mean?
I have another letter here.
Reads almost the same but this
one was sent to me.
As I suspected, the one who sent it...
was you, Dr. Numata.
I did not write that.
I never said you did.
It was sent to you, and you
forwarded it to me.
You hoped it would lead to closing ER.
Ridiculous.
What proof do you have?
Plenty. Right here.
So you knew, Mr. Shiratori.
When did you realize it?
Process of elimination.
What in the hell are you
talking about?
Dr. Numata, it was I who sent
you the letter.
It then arrived at the Health Ministry.
Who else but you would send it?
Is this true?
Why send a letter damning yourself?
I thought it would go to the Ethics
Committee, and I'd be dismissed.
ER might then be rebuilt.
But I didn't expect him to pass it
to the Health Ministry.
November 11, 2008.
Just listen to the audio.
Ignore the pictures.
I'm in Dr. Numata's office.
What about Hayami?
ER wilI die.
No management sense.
Matter of time
Dr. Numata, telI me more
about your plan.
What wouId your "MentaI
Care Center" look Iike?
Do that later.
Almost done.
We'll use the vacant 7th floor
and clear one more floor...
to treat depression, anxiety neurosis,
panic and stress disorders.
More drug prescriptions
and high patient turnover?
You could say so.
The Mental Care Centen will
become the hospital's...
most profitable and efficient unit...
headed by neuropsychiatrist,
Dr. Numata.
What floor wilI you clear?
We'll shrink ER, Pediatrics and Obstetrics.
It's hard to find veteran doctors
for those.
Legal risks are high.
ER is a money pit, and
refusing patients damages image.
Your biggest pet peeve.
Neuropschiatry's a growth sector.
Dr. Hayami wilI destroy himself...
but it'd be nice to have something
decisive to take him down.
We'd like you, Mr. Isobe, to go
dig up something on him.
Where'd you get this?
From Mr. Isobe.
Dr. Numata, GM Mifune.
If we put economic principle
over everything, as you say...
our health system would crumble.
We're fIying over Sakuranomiya City!
You can see a coIumn of smoke
rising from the expressway.
A gasoIine truck has roIIed over
and burst into fIammes.
The fire has since spread to
a nearby shopping malI.
There's just been another explosion!
Mobilize all hospital staff.
Set up triage and call
off-duty personneI.
Move ICU patients into general wards.
All of them?
All of them.
But victims may go elsewhere.
We're overreacting.
They're all coming here.
Dr. Hayami, status?
Summoning all hands, Sir.
Understood. I'm putting Dr. Hayami
in command.
Emergency vehicuIes to main entrance
We wilI be cIearing the Iobby to make
room for arriving patients.
If you must see a doctor today,
2nd floor! Please hurry!
If it can wait, please go home!
We must clear this area for
arriving emergency patients!
Not here! Main entrance!
That's where they're arriving.
Why did Dr. Taguchi have it?
Have what?
The secret recording.
Isobe gave it to her.
He told me he didn't
give it to anyone.
What?
Here. This is a bugging device.
But it's just a mike. A recording
device must be elsewhere.
Why do you have that?
'Cause I seized it from Isobe!
When?
Where?
Please stop that!
See? Right here!
A bugging device!
Where's the receiver?
Who put you up to this?
Dr. Hayami?
Does he have the recording?
No... no.
Really?
Really! Truly!
So no one has it yet?
No.
Oh my God.
Huh? Bad move?
I had to!
For the Mental Care Center!
What's wrong?
They need help downstairs.
Who're you calling?
You're calling security! Why?
Dr. Numata, we're a team!
I thought we were a team!
Don't do this, Dr. Numata!
Don't be so cold, Dr. Numata!
You plan on turning me in!
Dr. Numata!
The poIice let me see Isobe's
personal effects.
So I went out and bought
the same thing.
Gets really great reception.
Thank you for forwarding
the letter, Dr. Numata.
For that, I give you credit.
"Ethics", my ass.
Male, 40s, burn trauma, level 300.
Female, 30s, stomach contusion.
Male, 20s, multiple wounds, CPA.
I don't need the reports!
Tell them that!
Just bring them!
Bring them all!
Yes, we're taking them.
Taking everyone.
Dr. Sato, Deputy Chief!
Open the lobby now.
Start triage.
Wait!
Be sure.
Your judgment is my judgment.
Have confidence.
If your hands are free,
heIp transport people!
You! And you! Come!
They'll be coming!
Hear me? If you're free,
help with transport!
Hold on! Doctor!
Direct burnsl
You're in a hospital.
Respiration over 30!
Burn trauma, back to feet.
Status "Red"!
Next!
Female 20s, broken leg,
vitals stable.
You're okay.
Next, come on!
Chief.
Your face is pale.
Our leader can't look so pale!
I haven' t grown a b i t.
That's what it meant.
"General Rouge."
Careful. Coming through.
Can you say your name?
It's a hospital.
Oxygen 10 liters, 2 PVCs!
Triage tags!
Is this it?
Thanks.
What's it for?
Prioritizing treatment.
Inhalation burn! Red!
Red means top priority.
Broken ribs, yellow!
Yellow means not life-threatening.
Green!
Green means light injury.
No breathing.
Black.
Black means deceased
or beyond recovery.
But...
A line must be drawn.
Might keep us from a life
we can actually save.
Yes, come on!
GM Mifune. The curtain.
Lower the curtain. Quickly!
Dean Kurosaki!
Red patient!
It hurts!
Go slowly. Thanks.
If you can walk, come this way!
Can you say your name?
Don't lift your head.
Feel any pain?
What a mess! What a mess!
Check for bleeding first!
OK, I'm here now!
Somebody, tell me!
I'm lost here!
How're you doing?
There's space by the column.
Right over here.
Ma' am! Don't tear that off!
Why isn't anyone tending
to my husband?
Why are no doctors here?
Dr. Sato! He may still be...
No, black is correct.
My husband's still alive!
You can't leave him!
Oonoussi on. Ni ght cruna fracture. Ye ow!
He's alive!
I'm sorry! I'm so sorry!
We don't have enough stretchers!
Head Nurse!
Take them all!
What are those?
Where'd those come from?
Medical Arts.
Over here!
Spread them out.
There's been another auto pileup
near the site.
AmbuIances are stuck in traffic.
I'm cIose to the disaster site.
The shopping mall is just behind
that building.
The fire stilI rages.
A continuous stream of people...
with C02 poisoning and burns
are being carried out.
It's absoIute panic down here.
An acquaintance?
My wife and daughter!
They're doomed!
What kind of talk is that?!
TV choppers are up.
Why is there no air ambulance?
There is.
Mr. Shiratori.
You underestimate me.
Just took one call to my superiors.
Mr. Shiratori!
Please return home if you can.
Payments can be delayed.
Retunn home if you are able.
Payments can be delayed.
Return home if you are able.
Payments can be delayed.
Isobe was kiIled for associating with me.
He was from a small island.
When a teen,
his mother suffered a stroke.
With no emergency service around.
She died.
He often said an air ambulance
could've saved her.
You won't change your mind?
It's too late to retract it now.
I've been holed up in the hospital.
Let me go to where the fish is good.
Still, I can't accept this.
You have to receive your penalty
from the Ethics Committee.
What?
The issue is whether you received
any personal patronage or not.
If so, you must accept the
committee ruling.
As God is my witness, I took not a cent!
If you have proof...
Will you obey?
Of course.
February.
'"Chupa Chups Iollipops."
$7. 35.
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Chupa Chups IolIipops
Return 3 as a commission?
I'll just take one.
Grand total: $209. 32.
SoIid evidence of personal
patronage covering 3 years.
But...
As Ethics Chairperson.
I sentence you...
to spend 3 years working wherever
Director Takashina tells you to.
A northern hospital needs
an ER physician.
Lots of activity. Short on staff.
You'd be perfect for it.
Up north, huh?
I hear the smelt is delicious.
Bravo.
Taguchi... Chairperson.
Mr. Shiratori!
How sad.
No one to see you off?
The party was inside.
I'd appraise your effort
this time at about this.
Bring me a Phalenopsis orchid.
Health Ministry.
I can breathe again.
Hokkaido's coId.
In 3 years, you'd better come back.
I'll give you some advice.
A leader must be willful.
And sometimes,
he must be downright mean.
Hated by his subordinates?
If it can save one extra life.
You don't have to quit.
Thank you... for everything.
Wait.
I hate cold weather.
I'm...
fine with it.
At last, your wish has come true.
Our first air delivery.
What?
Hurry and help me!
Watch it! Vibration.
Not him again.
I fell off a mountain.
The other foot this time?
Don't call a heli for this.
Brrr... it's cold.
Kimiko Taguchi
Yuko Takeuchi
Keisuke Shiratori
Hiroshi Abe
Koichi Hayami
Masato Sakai
Executive Producer
Yasuhiro Mase
PIanner
Minami Ichikawa
Producers
Kanjiro Sakura
Akihino Yamauchi
Takeshi Sato
Original Novel by
Takeru Kaido
ScreenpIay
Hiroshi Saito
Yoshihiro Nakamura
Music
Naoki Sato
Cinematography
Yasushi Sasakibara
Lighting
Miyanobu Inori
Sound
Masatoshi Yokomizo
Art Direction
Hirokazu Kanamasa
Editing
Hirohide Abe
Theme song
EXILE
Director
Yoshihiro Nakamura
(c) 2O09 "The Triumphant General Rouge"
Product on Committee