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E11 - Desperation, Gout, and Rebellion

Source: Crunchyroll
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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.)
[00:40] ---
    ENUCLEATION CEREMONY
[00:48] ---
    It's all my fault.
[00:51] ---
    If only...
[00:53] ---
    I'd turned back then...
[00:58] ---
    It's all because of me...
[01:01] ---
    that he...
[02:42] ---
    EPISODE 11:
    DESPERATION, GOUT,
    AND REBELLION
[02:45] ---
    WHITE BLOOD CELL
[02:45] ---
    CELL
[02:49] ---
    Hey! Good work!
[02:55] ---
    Can't he hear us?
[03:02] ---
    Ugh! This is messed up!
[03:04] ---
    You've got that right.
[03:06] ---
    The blood vessel's full of the waste products
    it couldn't process.
[03:10] ---
    There's been even more greasy food
    and alcohol lately, so no wonder.
[03:16] ---
    I'm sure it's all an outlet for stress,
    but it's getting hard to take.
[03:20] ---
    He's totally not getting enough exercise.
    Just look at that!
[03:25] ---
    The place is teeming
    with Fat Cells, too, huh?
[03:28] ---
    Fat Cells.
[03:30] ---
    Cells that contain fat droplets
    or what we call "oil."

[03:36] ---
    They become enlarged with the consumption
    of high-calorie foods and lack of exercise,

[03:40] ---
    causing obesity.
[03:43] ---
    I know! We can't go on like this!
[03:45] ---
    No days off for us,
    and none of us are getting any sleep!
[03:50] ---
    If we don't get any time
    to take care of ourselves,
[03:52] ---
    of course it's only going to make
    our work environment worse.
[03:56] ---
    Seriously, what's going on
    with this body anyway?
[04:01] ---
    Sleep deprivation.
[04:03] ---
    The brain's waste products
    are absorbed by the cerebrospinal fluid

[04:06] ---
    and excreted into the bloodstream.
[04:09] ---
    But since this activity increases during sleep,
[04:12] ---
    prolonged sleep deprivation can lead
    to the impairment of brain functions.

[04:17] ---
    The discord among the cells is only growing.
[04:21] ---
    I just hope it doesn't lead to trouble.
[04:24] ---
    Emergency! Emergency!
[04:26] ---
    Bacteria sighting reported!
[04:28] ---
    White Blood Cells are to head
    to the site immediately!

[04:31] ---
    Repeat! White Blood Cells,
    please head to the site immediately!

[04:37] ---
    An unknown bacterium has been detected
    near the base of the left big toe!
[04:41] ---
    Here's a visual!
[04:44] ---
    What is this?
[04:46] ---
    This is...
[04:51] ---
    Senpai!
[04:52] ---
    Thank goodness we were able to catch up!
[04:54] ---
    There's a pathogen at large.
    They say it's in the left big toe.
[04:57] ---
    Why would it show up there, of all places?
[05:00] ---
    You can look into that later.
[05:03] ---
    - Right!
    - Right!
[05:16] ---
    Could the left big toe be any farther away?
[05:19] ---
    Wait, where are the germs?
[05:21] ---
    Since we're in the foot,
    could it be athlete's foot again?
[05:24] ---
    Well, not that anything could surprise us now.
[05:34] ---
    Wh-What kind of germ is that?
[05:39] ---
    It looks like really bad news!
[05:43] ---
    Look at you, totally freaking out.
[05:45] ---
    Who wouldn't freak out over that thing!
[05:47] ---
    That germ is gigantic!
[05:50] ---
    That one is definitely bad news!
[05:54] ---
    Don't you have any insight
    at all on him, Memory Cell?
[05:58] ---
    Memory Cell.
[06:00] ---
    A Lymphocyte that remembers
    the immune responses of antigens.

[06:04] ---
    When the same antigen invades the body,
[06:09] ---
    they're prepared to trigger
    accelerated antibody production.

[06:13] ---
    Nothing.
[06:14] ---
    Nothing here, either.
[06:16] ---
    Or here or there! It's all...
[06:19] ---
    That's...
[06:21] ---
    the first pathogen
    that we've ever encountered!
[06:24] ---
    First encounter... In that case...
[06:27] ---
    Right. Our first order of business
    should be to gather the data.
[06:31] ---
    White Blood Cells, phagocytose the target!
[06:33] ---
    Macrophages, identify the antigen!
[06:36] ---
    Copy that!
[06:37] ---
    Understood.
[06:39] ---
    Now then, let's go.
[06:47] ---
    Phagocytosis.
[06:49] ---
    The process by which White Blood Cells and the like
    engulf bacteria and other foreign substances,

[06:53] ---
    and break them down.
[06:55] ---
    No taste?
[07:01] ---
    How awful. To think
    that our attacks are ineffective...
[07:05] ---
    It's no good! We can't acquire immunity!
[07:08] ---
    We still can't identify the pathogen!
[07:12] ---
    Now that it's come to this,
    we'll have to do whatever it takes!
[07:15] ---
    Everyone, Battle Formation One!
[07:18] ---
    Battle Formation One!
[07:20] ---
    We've received a request
    to get into Battle Formation One.
[07:23] ---
    Did you say "Battle Formation One"?
[07:26] ---
    Meaning we're up against a bacterium
    that powerful?
[07:29] ---
    All units, head to the left big toe immediately!
    And deploy reinforcements in the rearguard!
[07:35] ---
    Battle Formation One!
    All units, head to the left big toe!
[07:40] ---
    If there's some collateral damage, so be it!
[07:42] ---
    Break through no matter what!
[07:45] ---
    Battle Formation One, deployed!
[07:48] ---
    Battle Formation One has been deployed!
[07:50] ---
    Commence full assault!
[07:53] ---
    Fire!
[08:09] ---
    Hey, kiddo! You'd better make a run for it!
[08:12] ---
    They say we're being attacked
    by a new strain of bacteria!
[08:15] ---
    Really, what's going on these days?
[08:19] ---
    Oh my!
[08:20] ---
    I wonder if he's okay.
[08:39] ---
    Hey, you there!
[08:40] ---
    Hey, I'm talking to you!
[08:45] ---
    You were with him the other day, weren't you?
[08:53] ---
    Hey there, aren't you going to stop by
    for some tea today?

[08:57] ---
    Hey, if there's ever anything
    you want to grumble about, give me a holler!

[09:01] ---
    My, my, how heartless!
[09:05] ---
    You know, I haven't seen him lately.
[09:08] ---
    He used to stop by all the time
    and chat with me.
[09:14] ---
    Oh right, you're him, right?
    His classmate, the honor student?
[09:19] ---
    Huh?
[09:20] ---
    He used to talk about you all the time.
    You could see how proud he was of you!
[09:27] ---
    When work gets really tough
    and all I want to do is bail,

[09:30] ---
    I make myself think of him.
[09:32] ---
    When I think, "Hey, he must be delivering oxygen
    like the super straight arrow that he is,"

[09:37] ---
    it gives me just enough energy
    to dig in and work harder.

[09:41] ---
    Well, I guess you could say
    he's a friend I can trust.

[09:44] ---
    No way would he ever betray me.
    And I don't ever want to betray him, either.

[09:52] ---
    You can't just make friends
    that you can trust, even if you want to.
[09:57] ---
    So, make sure you take care of him, all right?
[10:01] ---
    I...
[10:03] ---
    couldn't take care of him.
[10:05] ---
    What?
[10:07] ---
    I...
[10:09] ---
    Hey you!
[10:17] ---
    SPLEEN
[10:18] ---
    The spleen.
[10:20] ---
    About the size of a fist,
    it's a spongy and soft organ.

[10:24] ---
    It's made up of White Pulp and Red Pulp.
[10:28] ---
    Red Blood Cells, please line up, proceed
    through the gate and undergo your screening.

[10:42] ---
    This is as far as you're going.
[10:45] ---
    All right.
[10:47] ---
    Red Pulp.
[10:49] ---
    Filters the blood
    and removes unneeded material.

[10:53] ---
    In addition, it monitors
    the Red Blood Cells' condition,

[10:56] ---
    sorting out abnormal, old or damaged cells
    that can no longer function.

[11:04] ---
    Thank you so much
    for all your hard work until now.
[11:13] ---
    Aside from sorting blood and sending it
    to the muscles when needed,

[11:20] ---
    the spleen's other functions include producing
    mature B Lymphocytes and T Lymphocytes,

[11:24] ---
    and destroying the Red Blood Cells
    sorted by the Red Pulp.

[11:30] ---
    Red Blood Cells, do not stop. Please keep moving.
[11:39] ---
    What's the matter? Keep going.
[11:43] ---
    Please process me.
[11:46] ---
    I can't work anymore.
[11:50] ---
    A cell who can't work doesn't deserve to live.
[11:54] ---
    Please...
[11:56] ---
    process me.
[12:00] ---
    You're still young...
[12:02] ---
    and you're not malfunctioning in any way.
[12:05] ---
    Get back to work.
[12:08] ---
    Do you hear me? Get back to work.
[12:13] ---
    Because of me...
[12:15] ---
    Because of me, a friend of mine died.
[12:18] ---
    Even though he trusted me.
[12:21] ---
    I just wasn't the guy he thought I was.
[12:26] ---
    I betrayed him.
[12:28] ---
    I'm a useless cell who isn't fit to live!
[12:34] ---
    I'm begging you.
[12:36] ---
    J-Just end things for me, please!
[12:44] ---
    Please...
[12:46] ---
    put an end to me.
[12:51] ---
    Don't get the wrong idea!
[12:55] ---
    This isn't a place
    where the useless get processed!
[12:58] ---
    It's where the curtain goes down
[13:00] ---
    on the lives of the Red Blood Cells
    who've carried out their duties to the end!
[13:03] ---
    And it's my job to determine who they are!
[13:07] ---
    Somebody died because of you?
[13:09] ---
    You're useless?
[13:11] ---
    Who do you think you are?
[13:13] ---
    You have a long way to go
    before you can find purpose in your job!
[13:18] ---
    Get up! Get up on your feet and move on!
[13:21] ---
    Work! Cell!
[13:23] ---
    Work!
[13:36] ---
    Due to the battle with the unknown pathogen,
    there are signs of inflammation everywhere!
[13:40] ---
    At this rate, the damage is only going to spread
    to the surrounding areas!
[13:44] ---
    What the cell are we supposed to do?
[13:46] ---
    Um, there's something
    that's been bothering me.
[13:49] ---
    What is it?
[13:50] ---
    Suddenly showing up in a strange spot
    like the base of the big toe...
[13:54] ---
    Keeping even its infiltration point from us...
[13:57] ---
    Is there a cell capable of such a thing?
[14:01] ---
    Meaning it didn't come from outside.
[14:04] ---
    Then, where the cell did it come from?
[14:07] ---
    What's this displaying?
[14:08] ---
    It's a graph showing
    the uric acid levels in this area.
[14:12] ---
    Uric acid? But these levels are...
[14:15] ---
    Yes. They've been hovering
    around the danger zone for days now.
[14:20] ---
    Uric acid.
[14:21] ---
    A waste by-product formed
    during the breakdown of purines,

[14:25] ---
    the energy substance produced in the body
    when food is consumed or metabolized.

[14:31] ---
    It is particularly insoluble in the bloodstream
    of the extremities where the body temperature is low,

[14:35] ---
    such as the lower torso and fingertips,
    and is conducive to buildup.

[14:39] ---
    Uric acid.
[14:41] ---
    A mysterious pathogen.
[14:44] ---
    I see! So, that's what it is!
[14:48] ---
    What is it?
[14:49] ---
    He's...
[14:50] ---
    No, I mean that thing is no pathogen.
[14:53] ---
    What?
[14:56] ---
    Unscathed.
[14:57] ---
    Seriously?
[14:59] ---
    We know what it is!
[15:01] ---
    It's uric acid that didn't get dissolved
    in the bloodstream

[15:04] ---
    and ended up crystallized as urate.
[15:07] ---
    Crystallized uric acid?
[15:09] ---
    Uric acid is a purine metabolite.
[15:12] ---
    When there's excess purine intake
    due to gorging, uric acid levels soar,
[15:16] ---
    and we've been mistakenly attacking
    that urate crystal as a pathogen.
[15:22] ---
    We've actually triggered gout!
[15:28] ---
    Gout.
[15:30] ---
    Occurs when uric acid, a waste product
    in the bloodstream, forms sharp crystals.

[15:33] ---
    When these are attacked by White Blood Cells,
    inflammation ensues, causing severe pain.

[15:40] ---
    As pain can be triggered
    merely by a gust of wind,

[15:43] ---
    it came to be known as "painful wind."
[15:48] ---
    Then,
[15:49] ---
    that means that, in trying to protect this body...
[15:53] ---
    we've actually been abusing it instead?
[16:00] ---
    I-I don't believe this.
[16:06] ---
    What does it matter?
[16:09] ---
    Unless we inflict this much damage,
[16:11] ---
    this body will never hear our cries.
[16:16] ---
    Rookie?
[16:19] ---
    No matter how hard we work, it's useless.
[16:23] ---
    We have to change this body.
[16:30] ---
    Open your eyes, dammit!
[16:33] ---
    Do something about this work environment,
    or there'll be no turning back!
[16:38] ---
    Stop gorging on food and drink!
    Stop smoking, too!
[16:41] ---
    Get enough sleep!
[16:43] ---
    Exercise, dammit!
[16:45] ---
    He's right!
[16:47] ---
    How the cell...
[16:48] ---
    How the cell can we work
    under these conditions?
[16:51] ---
    Give us more vitamins!
[16:53] ---
    Let us rest once in a while!
[16:55] ---
    You're consuming too much nicotine!
[16:57] ---
    Cut back on the alcohol!
[17:07] ---
    Knock it off.
[17:11] ---
    Come on, enough already!
[17:16] ---
    Knock it off!
[17:17] ---
    I said knock it off!
[17:18] ---
    Please don't stop me!
[17:26] ---
    You're absolutely right.
[17:28] ---
    But what good will this do?
[17:32] ---
    There's nothing else that I can do anymore.
[17:38] ---
    All I can do is make an appeal
    to this body like this.
[17:44] ---
    I know.
[17:46] ---
    No matter how hard we work,
[17:48] ---
    unless this body changes,
[17:51] ---
    this code black environment
    will never change!
[17:54] ---
    That's why we're all suffering.
[17:57] ---
    I know only too well how you feel.
[18:00] ---
    I don't know how many times
    I've lost hope for this body myself.
[18:04] ---
    In this world...
[18:06] ---
    cells are born and die
    at a breakneck pace.
[18:12] ---
    We may all be different...
[18:14] ---
    but we're all here to protect this body
    and to carry out our tasks.
[18:21] ---
    What we need to do as the ones left behind
[18:24] ---
    is to keep this body going. The body
    that our dear friends risked their lives to protect.
[18:30] ---
    Not destroy it.
[18:34] ---
    Let's take better care of it.
[18:37] ---
    This world that our friends put their lives
    on the line to protect...
[18:43] ---
    And you yourself, as well...
[18:50] ---
    It wasn't your fault that he died.
[18:54] ---
    See? You forgot these.
[19:01] ---
    Don't blame yourself anymore.
[19:04] ---
    Don't try to shoulder the load by yourself.
[19:07] ---
    Don't try to shoulder the load by yourself.
[19:22] ---
    Please hear it.
[19:24] ---
    Us cells crying out...
[19:27] ---
    This body has reached its limit!
[19:34] ---
    The White Blood Cells have ceased their attacks
    on the urate crystal and have settled down.
[19:40] ---
    The ingested coichicine
    appears to be working.
[19:44] ---
    Coichicine.
[19:45] ---
    Inhibits microtubule polymerization
    by binding to a protein called "tubulin,"

[19:53] ---
    inhibiting White Blood Cell activity,
    leading to an anti-inflammatory effect.

[19:58] ---
    Used to treat gout.
[20:01] ---
    As prolonged use can cause damage
    to reproductive organs,

[20:05] ---
    it must be taken with caution.
[20:07] ---
    Even if we've suppressed
    White Blood Cell activity,
[20:11] ---
    nothing will change unless the purine levels
    decrease and the uric acid levels go down.
[20:15] ---
    But if this kind of inflammation keeps
    recurring, it's going to be grim.
[20:20] ---
    Aren't the naturally-supplied purines
    going to decrease?
[20:24] ---
    I don't know.
[20:25] ---
    Can this body stop neglecting
    its health after all these years?
[20:29] ---
    And I really hope that the damage from all that
    drinking and smoking will come to a stop.
[20:34] ---
    The risk of a gout attack increases
    when the blood uric acid level rises above 7 mg/dL,

[20:42] ---
    and this state continues
    for several years.

[20:44] ---
    Female hormones can induce
    the flushing out of uric acid,

[20:48] ---
    and so, 90% of gout patients are male.
[20:52] ---
    This is how close to the edge
    this body's been driven by psychological stress.
[20:58] ---
    I wonder who the real villain is here.
[21:13] ---
    Come on, rookie! Run! Run!
[21:15] ---
    You're never going to be done at this rate!
[21:17] ---
    I'm sorry!
[21:19] ---
    Jeez, we're even more understaffed than ever.
    What the cell can we do?
[21:23] ---
    The blood vessels are deteriorating
    by the day, too.
[21:27] ---
    Whoa!
[21:29] ---
    And it's going to be a while
    before the rookies will be of any use.
[21:41] ---
    Oh my gosh! The oxygen!
[21:43] ---
    Hey! What are you doing?
[23:19] ---
    PREVIEW
[23:20] ---
    Man, you really had me worried!
[23:22] ---
    RETURN
[23:22] ---
    To think that the coronary artery
    could get completely clogged like this...
[23:26] ---
    THE HEART
[23:26] ---
    This condition is...
[23:27] ---
    Ah, ah...
[23:28] ---
    DEMISE
[23:29] ---
    We will now hold an emergency
    meeting for all cells.
[23:31] ---
    RETURN, THE HEART, AND DEMISE