7 - Prescribed Poison

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(Please feel free to edit the speaker names if incomplete or inaccurate. Names are handled on a best-effort basis depending on the info on the source file. Dialogue is left as is.)
SIGN    19th November (Tuesday) 18:20
SIGN    This anime is a work of fiction and has no relation to any actual person or organization. The medical
    procedures and equipment used in the show may vary from what is used to treat individual symptoms.
[00:16] Owashi
    We will now vote on it.
SIGN       
      November 19th, 2024 18:00
     Agenda: "Abolishing the Department of Investigative Pathology"
[00:25] Owashi
    All in favor of abolishing the Department
    of Investigative Pathology, raise your hand.
SIGN    Ameku M.D.: Doctor Detective
SIGN    Tenikai General Hospital
SIGN    18th November (Monday) 08:35
[02:03] Takao
    What's this all about?
[02:06] Owashi
    Maybe you should reflect
     on your own actions.
SIGN    Subject:  Notice of Emergency Department Directors Meeting (September 18th)
SIGN    To all hospital department directors
SIGN    This is Ameku (Mazuru) from admin.
SIGN    In accordance to the request of the hospital director, an emergency department directors
     meeting will be held according to the guidelines below.
SIGN    Please make sure to adjust your schedule to attend.
SIGN    ° Meeting Details
        November 19th (Tues) at 18:00
         4F Meeting Room
          Possible abolishment of 
          the Department of Investigative Pathology.
SIGN     4F Meeting Room
SIGN     Possible abolishment of the 
    Department of Investigative Pathology.
[02:10] Owashi
    You give patients your diagnosis
    even when it's not asked for.
[02:14] Owashi
    You examine patients without
    the attending physician's permission.
[02:17] Owashi
    You got involved in some bizarre incident
    that temporarily shut down the ER.
[02:23] Owashi
    And now, you've created
     an even worse problem.
[02:28] Takao
    What?
[02:29] Owashi
    You're being sued.
[02:31] Takao
    Huh?
[02:33] Mazuru
    We've received a complaint
    from Suzuhara Soichiro's family.
[02:37] Mazuru
    They claim Takao misdiagnosed him.
[02:41] Takao
    I have never made a misdiagnosis.
[02:44] Owashi
    It doesn't matter if there was
    actual medical malpractice or not.
[02:47] Owashi
    The mere fact that a lawsuit was filed
    affects the hospital's credibility.
[02:52] Owashi
    As a core hospital supporting
    the medical care in this region,
[02:56] Owashi
    we must take appropriate
    disciplinary action.
[03:02] Yu
    Dr. Takao, isn't Suzuhara Soichiro...
[03:07] Takao
    Yeah. The child admitted to
    the emergency room back in August.
[03:12] (Flashback) Takao
    Hypervitaminosis A.
[03:14] (Flashback) Takao
    Stop giving him vitamin A and
    the symptoms will clear up quickly.
SIGN    Medical
    Notebook
SIGN    Blue
SIGN    berries
SIGN    Strong
SIGN    Flavor
SIGN    When you want to refresh a tired brain
[03:20] (Flashback) Takao
    Good grief.
[03:21] (Flashback) Takao
    I'm amazed a parent would feed their kid
    so much, it'd make their symptoms that bad.
[03:28] Takao
    He lost consciousness at home last week
    and is currently in pediatrics.
[03:33] Yu
    He lost consciousness?
[03:36] Kumagawa
    I don't think the hypervitaminosis A
    was a misdiagnosis.
SIGN    Tenikai General Hospital
SIGN    Pediatric Department Director
SIGN    Kumakawa Daijiro
[03:43] Kumagawa
    After stopping the supplements,
    his vitamin A levels returned to normal.
[03:47] Kumagawa
    The swelling in his extremities went down
    and his pains and headaches subsided.
[03:52] Kumagawa
    However, his nausea and vertigo
    continues to get worse.
[03:55] Mai
    He's normally energetic, but every few days,
    he suffers half a day of dizziness.
[04:01] Mai
    He vomits repeatedly and
    loses the ability to walk properly.
[04:07] Mai
    If it's a really bad episode,
     his mental awareness drops.
[04:10] Kumagawa
    It seems to be an amplified side effect of the
    carbamazepine he takes to prevent seizures,
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
[04:17] Kumagawa
    but there's no change
    in his blood concentration.
[04:20] Kumagawa
    We suspected a possible
    endocrine or nervous system disorder,
[04:24] Kumagawa
    so we did an MRI, an ultrasound,
    and physiological tests.
[04:28] Kumagawa
    We ran every test we could think of.
[04:32] Takao
    And they turned up nothing abnormal?
[04:36] Yu
    How's the family doing?
[04:38] Mai
    His mother is always by his side
    during visiting hours, but...
[04:43] Yu
    But?
[04:45] Mai
    She's pretty overprotective.
[04:48] Yu
    Overprotective?
[04:49] Mai
    Her name's Momoka-san. She always has a lot
    of detailed demands for the hospital staff.
[04:55] Mai
    I hear it's because
    she's an active nurse herself.
[04:59] Yu
    A nurse?
[05:00] Kumagawa
    Well, I'm sure she's just
    really worried about her child.
[05:05] Kumagawa
    It seems she's raised him alone.
[05:17] Momoka
    You! What are you doing here?
[05:20] Takao
    I'm here to examine him, of course.
[05:22] Momoka
    Huh? Your misdiagnosis is the
    whole reason So-chan is even in here!
[05:28] Momoka
    Get out!
[05:29] Takao
    I refuse.
[05:30] Momoka
    Are you crazy?
[05:32] Momoka
    I'm currently suing you for malpractice!
[05:35] Kumagawa
    You're being sued?
[05:37] Soichiro
    Mom?
[05:38] Momoka
    Oh, So-chan, I'm sorry for waking you.
[05:42] Soichiro
    It's fine.
[05:45] Momoka
    Don't come near my child!
[05:47] Takao
    Listen, what's more important to you:
    your kid getting better or suing me?
[05:53] Momoka
    Well, his health is the most
    important thing to me, naturally.
[05:57] Takao
    Then, let me do my examination.
[05:59] Takao
    The fastest way for him to get better
    is for me to examine him.
[06:03] Momoka
    I don't trust you.
[06:05] Takao
    I don't care if you sue me or not.
[06:09] Takao
    Either way, I'm going to examine
    Suzuhara Soichiro and give my diagnosis.
[06:14] Takao
    That's my job.
[06:25] Takao
    I'm starting the examination.
[06:49] Kumagawa
    Figure anything out?
[06:51] Takao
    Yeah, I have.
[06:54] Takao
    I can find no abnormalities.
[06:56] Momoka
    What the heck? That's just admitting
     you don't know what's wrong!
[06:59] Takao
    You're wrong. Nothing's abnormal about
    his health when he isn't experiencing a flare-up.
[07:05] Takao
    That in itself is very valuable information.
[07:09] Takao
    And in cases like these,
    it's often because...
[07:16] Kumagawa
    Taka-chan?
[07:17] Yu
    Hey, what are you doing?
[07:22] Takao
    Did you bring this in with you?
[07:24] Momoka
    That's right. I have him drink one every day.
[07:27] Momoka
    I got permission from the hospital.
[07:32] Takao
    Kotori.
[07:34] Takao
    Grab all the juice.
[07:36] Yu
    Huh?
[07:37] Takao
    Hurry it up.
[07:38] Yu
    O-Okay.
[07:38] Momoka
    Wait, what's the meaning of this?
[07:40] Takao
    We'll get the university's forensic lab
     to examine the contents.
[07:44] Momoka
    What?
[07:45] Takao
    His physical exam and test data show no
    abnormalities, but he gets regular flare-ups.
[07:50] Takao
    There's a possibility
    a substance is poisoning him.
[07:55] Momoka
    Poison?
[07:57] Momoka
    Are you trying to imply I've been 
    feeding my own child poison?!
[08:00] Takao
    It's obvious to all that
    you care deeply for your son.
[08:04] Takao
    Kuma did all the tests he could think of,
    eliminating all possible diseases and disorders.
[08:09] Takao
    The only thing left is the possibility
     that he's being poisoned.
[08:13] Takao
    What he consumes while
    in hospital is severely limited.
[08:16] Takao
    It's impossible for the hospital food to be
    poisoned with something in regular intervals.
[08:22] Takao
    So the only other possibility is that something
     in this juice is affecting him like poison.
[08:29] Yu
    Looking at the ingredients, there doesn't
    seem to be anything that could poison him.
[08:34] Takao
    There's no guarantee what's in it
    matches the ingredients listed.
[08:37] Takao
    So we'll get forensics to take a look.
SIGN    Tenikai General Hospital
SIGN    19th November (Tuesday) 09:15
SIGN    Call
[08:45] Mai
    Fetch the emesis basin.
[08:45] Momoka
    So-chan! So-chan! Hang in there!
[08:46] Nurse D
    Right.
[08:47] Mai
    So-chan, are you having problems breathing?
[08:49] Momoka
    So-chan! Save him!
[08:49] Nurse D
    I have the suction prepared.
[08:51] Mai
    Get the oxygen, just in case.
[08:51] Momoka
    So-chan! So-chan! So-chan!
[08:52] Nurse D
    Yes. Should we put in a line?
[08:54] Mai
    Please.
[08:55] Nurse E
    Ma'am, please calm down.
[08:55] Momoka
    So-chan! Hang in there!
    Hurry up and save him!
[08:58] Takao
    I see. Is he stable now?
[09:01] Kumagawa
    Yeah.
[09:03] Kumagawa
    Also, he drank some more of that juice.
[09:06] Takao
    What?
[09:07] Takao
    We grabbed them all. How did he have juice?
SIGN    Pediatric Department
     Extension 01
SIGN    Connected
[09:11] Kumagawa
    His mother brought it in this morning.
[09:13] Kumagawa
    She wanted him to drink it
    with his breakfast, no matter what.
[09:18] Takao
    So that juice must be to blame after all.
[09:23] Takao
    It's here.
[09:25] Takao
    Hold on a second.
[09:33] Takao
    Huh?
[09:36] Yu
    Dr. Takao?
[09:39] Takao
    There's nothing wrong with the juice...
[09:59] Yu
    Thanks.
[10:03] Mai
    This is still wrong.
[10:06] Mai
    I can't believe Dr. Takao's being sued and
     Investigative Pathology is being shut down.
[10:11] Mai
    There are so many cases
    only Dr. Takao can solve.
[10:16] Takao
    My uncle wants to turn me
    into a convenient pawn.
[10:21] Takao
    He's trying to take away the place
    I can freely examine patients,
[10:26] Takao
    so I'll obediently only examine patients
    other departments ask me to.
[10:30] Mai
    What will happen to you, Dr. Kotori?
[10:34] Yu
    I'm from the university hospital,
    so I'll have to go back.
[10:41] Mai
    No way.
[10:43] Takao
    Damn it. What in the world is going on?
[10:46] Takao
    It has to be poisoning!
[10:48] Takao
    It all slots into place if the juice has
    some ingredient that's harmful to him.
[10:53] Takao
    Any answer is fine. What have you
    noticed about Suzuhara Soichiro?
[10:59] Mai
    Um...
[11:01] Yu
    Maybe it's actually some kind of allergy?
[11:04] Mai
    So-chan doesn't have any food allergies.
    Though he says he doesn't like fruit much.
[11:09] Takao
    Kuma would never miss something
    as simple as an allergy.
[11:12] Takao
    Get yourself a working brain, idiot.
[11:14] Yu
    Y-You don't have to go that far.
[11:17] Takao
    Give me more plausible ideas.
[11:19] Takao
    Did you actually learn
     anything here?!
[11:22] Mai
    U-Um, let's all calm down.
[11:26] Mazuru
    Takao.
[11:28] Mazuru
    It's almost time for the meeting.
[11:30] Takao
    Just a little longer.
    Let me think a little longer—
[11:33] Mazuru
    No.
[11:34] Mazuru
    If you don't attend, the Investigative Pathology
    Department will definitely be shut down.
[11:43] Mazuru
    Takao. Let's go apologize
    to Suzuhara Momoka-san.
[11:47] Takao
    Sis...
[11:49] Mazuru
    If she's willing to withdraw
    her complaint with an apology...
[11:54] Takao
    I won't apologize.
[11:57] Takao
    It doesn't make sense.
[12:00] Takao
    The logic is flawed.
[12:04] Takao
    I can't read the feelings of others
    or the mood in a room.
[12:10] Takao
    That's why I make up for it with logic.
[12:13] Takao
    Going against logic is
    like going against myself.
[12:21] Mazuru
    You're right.
[12:23] Mazuru
    I'm sorry, Takao.
[12:27] Takao
    Sorry, Sis.
[12:33] Takao
    I'm off.
[12:43] Takao
    Fruit?
[12:46] Yu
    Dr. Takao?
[12:48] Takao
    Mai.
[12:48] Mai
    Y-Yes?
[12:50] Takao
    Did Suzuhara Soichiro tell you 
    why he didn't like fruit?
[12:53] Mai
    Um...
[12:54] Mai
    He says the fruit tastes bitter sometimes.
[12:57] Takao
    Bitter?
[13:02] (Flashback) Mai
    But every few days, 
    he suffers half a day of dizziness.
[13:04] (Flashback) Takao
    Hypervitaminosis A.
[13:06] (Flashback) Takao
    He lost consciousness at home.
[13:06] (Flashback) Kumagawa
    The carbamazepine
    he takes to prevent seizures.
[13:09] (Flashback) Mai
    Though he says he doesn't
     like fruit much.
[13:10] (Flashback) Mai
    He says the fruit tastes 
    bitter sometimes.
[13:22] Takao
    Suzuhara Soichiro's life is in danger.
[13:25] Yu/Mai
    Huh?
[13:28] Takao
    This mystery...
[13:30] Takao
    I'll deliver my diagnosis for it.
SIGN    Ameku M.D.: Doctor Detective
SIGN    19th November (Tuesday) 18:18
[13:39] Owashi
    Tenikai General Hospital needs to show society
    it's taken proper responsibilty.
[13:53] ---
    We will now vote on it.
SIGN       
      November 19th, 2024 18:00
     Agenda: "Abolishing the Department of Investigative Pathology"
[13:56] Owashi
    All in favor of abolishing the Department
    of Investigative Pathology, raise your hand.
[14:01] Takao
    Are you sure, Uncle?
[14:04] Takao
    I wonder how the public will see us if we shut
     the Investigative Pathology Department.
[14:10] Takao
    Will they see us as a clean hospital
    that got rid of a problematic department?
[14:14] Takao
    Or will they see us as fools
    who succumbed to an unjust lawsuit?
[14:20] Owashi
    Unjust lawsuit?
[14:22] Takao
    Yeah, that's right.
[14:24] Takao
    I would never have given
    a wrong diagnosis. I'm a genius.
[14:28] Members
    There it is.
[14:30] Members
    She never changes.
[14:31] Members
    On what grounds does she—
[14:39] Momoka
    Hold up!
[14:45] Takao
    Great job, you two.
[14:49] Owashi
    Takao, what is the meaning of this?
[14:52] Takao
    I asked them to bring these here.
[14:58] Kumagawa
    That juice...
[15:00] Takao
    Although I didn't expect them
    to bring her along, too.
[15:04] Takao
    Let me introduce you all.
    This woman is Suzuhara Momoka.
[15:07] Takao
    She's the one who's currently suing me.
[15:11] Takao
    And now, I will get her
    to retract her complaint.
[15:14] Momoka
    You must be joking!
    I'm not retracting my complaint!
[15:18] Takao
    I will now explain what is happening
    inside Suzuhara Soichiro's body.
[15:23] Takao
    Not a bad deal, right?
[15:26] Takao
    If I succeed, your son will get better.
[15:31] Takao
    If I fail, I'll fall to my knees and beg for
    your forgiveness right here and now.
[15:38] Takao
    Okay, it's showtime!
[15:46] Takao
    The key to this case was the juice, after all.
[15:50] Takao
    Suzuhara Soichiro is currently
    being treated in our pediatric ward.
[15:54] Takao
    That means he only ingests the food
    provided by the hospital and this juice.
[15:58] Takao
    Even so, he shows signs and symptoms
    of being poisoned at regular intervals.
[16:05] Takao
    We checked out the juice,
    and found no harmful ingredients inside.
[16:12] Takao
    However...
[16:15] Takao
    Kotori, drink this pineapple juice for me.
[16:18] Yu
    Huh?
[16:26] Yu
    So bitter.
[16:28] Mai
    Bitter?
[16:28] Yu
    This isn't pineapple juice.
[16:31] Takao
    That bitter flavor is
    grapefruit juice, right?
[16:35] Yu
    Yeah. That's it.
[16:39] Yu
    It's grapefruit?
[16:41] Kumagawa
    Grapefruit?
[16:48] Takao
    That's right.
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
SIGN    Carbamazepine
[16:51] Takao
    Suzuhara Soichiro currently takes
    carbamazepine to prevent seizures.
[16:56] Takao
    Any nurse or doctor would know
    the flavonoids in grapefruit
[17:02] Takao
    inhibit the CYP3A4 enzyme used to
    metabolize carbamazepine for several hours.
[17:09] Takao
    Due to this, the carbamazepine
    can't be metabolized,
[17:12] Takao
    sharply but temporarily increasing
    his blood concentration,
[17:14] Takao
    and manifesting as
    the symptoms of a drug overdose.
[17:17] Yu
    H-Hold on a second.
[17:20] Yu
    That might solve the mystery
    of Soichiro-kun's symptoms, but...
[17:23] Mai
    Why does that carton
    have grapefruit juice in it?
[17:27] Takao
    Good question. We now get
    to the heart of this mystery.
[17:32] Takao
    Take a closer look at
    the folded area at the top.
[17:38] Yu
    There's a small hole.
[17:40] Takao
    It's a hole made by a syringe.
[17:43] Takao
    The culprit swapped out
    the carton's contents.
[17:46] Yu/Mai
    What?
[17:47] Kumagawa
    "Culprit"?
[17:50] Yu
    Who in the world...
[17:52] Takao
    Suzuhara Soichiro was suffering
    from symptoms of poisoning.
[17:56] Takao
    The symptoms always
    appeared in the morning,
[17:58] Takao
    and the medicine was
    administered by nurses.
[18:01] Yu
    Are you saying one of the nurses did it?
[18:03] Takao
    No.
[18:04] Takao
    I checked the shift records.
[18:05] Takao
    No nurse was on duty all the days
    the symptoms manifested.
[18:09] Takao
    Plus, the symptoms started
    before he was hospitalized,
[18:12] Takao
    so it's unlikely to be
    anyone at this hospital.
[18:16] Takao
    It's someone who knows the
    side effects of carbamazepine,
[18:19] Takao
    and knows when Suzuhara Soichiro
    takes his medicine.
[18:25] Takao
    You're the culprit.
[18:29] Takao
    Suzuhara Momoka.
[18:31] Momoka
    Huh?
[18:32] Mai
    Wait. What?
[18:35] Yu
    His mother?
[18:37] Kumagawa
    What's going on?
[18:39] Momoka
    I'm the culprit?
[18:41] Momoka
    I've heard all I'll take from you!
[18:43] Takao
    Suzuhara Momoka has an illness.
[18:47] Takao
    A serious one that
    threatens her own son's life.
[18:51] Momoka
    What? I'm sick? What in the
    world are you talking about?!
[18:55] Takao
    You have Munchausen syndrome by Proxy.
[19:02] Takao
    Patients with this mental disorder
    will often mistreat their child in secret
[19:06] Takao
    by physically harming them or poisoning
     them to fabricate serious illnesses.
[19:11] Takao
    Then, they put on the act of a tragic heroine.
[19:13] (Flashback) Soichiro
    Mom.
[19:15] Takao
    All so that others will see them
    as the courageous mother
[19:19] Takao
    who diligently cares for her darling son.
[19:23] Momoka
    You're wrong. I'm not—
[19:24] Takao
    You caused the hypervitaminosis A
     on purpose, too.
[19:29] Takao
    You were upset when I found out
    and sued me to get revenge.
[19:37] Takao
    It's no wonder we couldn't find
    any traces of poison in his body.
[19:41] Takao
    It was just juice, after all.
[19:43] Takao
    But for Suzuhara Soichiro,
    it became a poison.
[19:49] Momoka
    D-Do you have any proof?
[19:51] Takao
    I'm sure we'll find it
    if we search your house.
[19:54] Momoka
    Huh?
[19:56] Takao
    The syringe with traces of grapefruit in it.
[20:03] Takao
    Kotori, call the police.
[20:05] Yu
    Uh, right.
[20:07] Momoka
    Hey, hold on.
[20:08] Momoka
    Don't call the police. I'll apologize!
[20:11] Momoka
    I'll retract my legal complaint,
    so don't involve the police—
[20:12] Takao
    That's enough!
[20:15] Takao
    What you did was pure child abuse.
[20:18] Takao
    You misused your knowledge as a nurse
    to carry out a meticulous and harmful plan.
[20:25] Takao
    You're a criminal.
SIGN       
      November 19th, 2024 18:00
     Agenda: "Abolishing the Department of Investigative Pathology"
[20:38] Takao
    Now then, Uncle. What's happening with
    the Department of Investigative Pathology?
[20:43] Owashi
    Well, I suppose if the lawsuit
    was illegitimate to begin with...
[20:47] Owashi
    The motion should be rejected.
[20:52] Mazuru
    Takao!
[20:54] Owashi
    Of course, this meeting no longer
    holds any meaning, either.
[21:01] Owashi
    The Department of Investigative Pathology
    will continue as normal.
[21:09] Mai
    To solving the case...
[21:12] Mai/Yu
    Cheers!
[21:15] Mai
    You were so cool today, Dr. Takao, like always.
[21:20] Takao
    Naturally.
[21:21] Mai
    And now that Investigative Pathology is safe,
[21:23] Mai
    Dr. Kotori doesn't have to go back
    to the university hospital.
[21:29] Mai
    What's wrong?
[21:31] Yu
    I wonder how Soichiro-kun's doing.
[21:35] Mai
    I heard the divorced father's taking him in.
[21:39] Yu
    I see.
[21:42] Takao
    If we'd left things as they were,
    it might've been too late for him.
[21:48] Takao
    We did all we could as doctors.
[21:52] Yu
    You're right.
SIGN    Mail
SIGN    You have a new message
SIGN    Open
SIGN    Close
[21:56] Mai
    Oh, by the way, when are you
     buying me a new bike?
[22:01] Yu
    If I have to buy you a bike, too...
[22:04] Mai
    You do.
[22:05] Yu
    I'll have to take out two loans...
SIGN    Blood
     Pressure
SIGN    Temp
SIGN    Pulse
SIGN    (reg)
SIGN    Height
SIGN    Weight
[22:07] Mai
    You will.
[22:08] Yu
    Hey, wait a second.
[22:10] Yu
    Shouldn't Dr. Takao be
    reimbursing you for the bike?
SIGN    regular bone marrow examination
SIGN    detected recurrence of leukemia
[22:12] Mai
    No. Dr. Takao destroyed 
    the bike saving you.
SIGN    Miki Kenta
SIGN    years
    old
[22:22] Takao
    Kenta...