E4 - Which Way the Wind Blows

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.)
[00:00] Elise
    Pleased to meet you. My name is Rose.
[00:04] Hans
    She looks like the daughter of
    a noble house, doesn't she?
[00:07] apprentice A
    Do you think she'll make it here?
[00:09] Graham
    Emergency patients and ones with
    external injuries can arrive at any minute.
[00:14] Graham
    Maintain a sense of alertness
    while you work here.
[00:16] Elise
    Yes, sir.
[00:17] Graham
    I have a meeting to go to.
[00:19] Graham
    Hans, please show Rose around for me.
[00:22] Hans
    Yes, Doctor Graham!
[00:25] Elise
    I look forward to working with you!
[00:27] Hans
    O-Oh, yes.
[00:29] Hans; internal
    Will she be all right?
[00:30] Hans; internal
    She seems like she'd faint
    at the sight of blood.
[02:06] Hans
    When a patient comes in,
[02:07] Hans
    we apprentices give them a simple
    examination and inform the doctors.
[02:11] Hans
    Then the doctor in charge of
    each case will treat them.
[02:14] Hans
    That's the system we use here.
[02:17] Elise; internal
    I see.
[02:18] Elise; internal
    This management system is a lot
    like the one in emergency rooms.
[02:23] Hans
    This room is for emergency
    patients with external injuries.
[02:26] Hans
    We keep surgical tools ready here.
[02:29] Elise; internal
    They all look like implements I've used before.
[02:33] Hans
    Um, Lady Rose?
[02:36] Elise
    Please feel free to call me Rose.
[02:38] Hans
    R-Really?
[02:41] nurse A
    We have a patient!
[02:42] Hans
    Bring them here right away!
[02:44] nurse A
    Yes, sir!
[02:45] Hans
    I'll teach you how to do an examination.
[02:47] Elise
    Yes, sir!
[02:49] patient
    M-My chest... I c-can't breathe.
[02:55] Hans
    Please bring the electric
    cardiac defibrillator!
[02:57] Hans
    And bring Doctor Graham here!
[02:59] nurse A
    Yes, sir!
[03:03] Elise; internal
    That's the wrong call.
[03:05] Hans
    Just hold on a little longer.
[03:06] Hans
    We'll examine and treat you right away.
[03:09] Elise; internal
    This is no time to run tests on his heart.
[03:12] Elise; internal
    Given his condition, before
    the doctor gets here he'll...
[03:18] Elise
    Please lend me your stethoscope!
[03:20] Elise
    We have to hurry! Every minute,
    every second, matters!
[03:24] nurse B
    U-Use this!
[03:26] Elise
    Thank you!
[03:33] Elise; internal
    I knew it.
[03:34] Elise; internal
    The sound of breathing on his
    left side is growing weaker.
[03:39] Elise; internal
    His jugular vein is overly
    swollen with blood.
[03:42] Elise; internal
    This is a tension pneumothorax.
[03:45] Elise; internal
    Too much air is escaping into the chest
    and putting pressure on the heart.
[03:48] Elise; internal
    It's causing him to go into shock.
[03:52] Elise; internal
    We have to treat him immediately, or else...
[03:55] Elise
    Get disinfectant solution and
    an injection needle ready!
[03:57] Hans
    Wh-What?
[03:58] Elise
    Hurry! Bring me an injection needle!
[04:00] Elise
    The thickest needle you can find!
[04:02] nurse B
    R-Right away!
[04:03] nurse B
    This is it.
[04:05] Elise
    Thank you.
[04:10] Hans
    Rose, what are you doing?
[04:12] Elise
    Please hold the patient down.
[04:15] Hans
    Huh? Right.
[04:25] Elise
    Don't let go!
[04:31] Elise; internal
    Just a little more.
[04:49] Elise
    Please forgive me for acting
    without permission!
[04:52] Elise
    The situation was just so urgent...
[04:55] Hans
    I, um...
[04:57] Graham
    What's the patient's condition?
[05:01] Graham
    This is...
[05:04] Graham
    Who did this?
[05:07] Graham
    Rose, did you do this?
[05:10] Elise
    Yes, I did.
[05:13] Graham
    Why did you perform this treatment?
[05:15] Elise
    Air was escaping into his thoracic cavity.
[05:17] Elise
    I judged that it was putting
    pressure on his lungs and heart.
[05:20] Elise
    I used this treatment to
    release the trapped air.
[05:24] Graham
    A pneumothorax? And a tension
    pneumothorax at that.
[05:30] Graham
    Well done.
[05:32] Graham
    A tension pneumothorax can lead
    to death if not treated immediately.
[05:35] Graham
    It's an emergency case.
[05:37] Graham
    Thanks to Rose, this patient survived.
[05:41] Hans; internal
    Doctor Graham is famous for never
    complimenting anyone.
[05:46] doctor A
    But how did you know it was
    a tension pneumothorax?
[05:50] Elise
    The patient's sudden difficulty breathing
    made me suspect a pneumothorax,
[05:54] Elise
    and when I used the stethoscope,
     I couldn't hear any sound from the lungs.
[05:59] Elise
    That's something which happens when
    air blocks the transmission of sound.
[06:05] Elise
    The patient's jugular vein
    was swollen as well,
[06:07] Elise
    so I decided it had to be
    a tension pneumothorax,
[06:09] Elise
    which puts pressure on the heart.
[06:13] doctor A
    Incredible! That's quite impressive!
[06:16] doctor A
    Will you tell me more about it?
[06:18] doctor B
    I'd like to hear more, too!
[06:19] doctor A; adlib; background
    What about the risk of hemorrhaging?
[06:20] Graham; internal
    This young girl hasn't even been here for
    half a month yet, and she's already done this.
[06:21] doctor B; adlib; background
    Can I ask you a few questions?
[06:23] doctor A; adlib; background
    It was quite an impressive call.
[06:25] doctor B; adlib; background
    It was.
[06:25] doctor A; adlib; background
    And once you'd started on it...
[06:26] Graham; internal
    As I thought, this girl is something
    rarely seen, a true genius.
[06:27] doctor B; adlib; background
    Will you teach me how to do it next?
[06:29] doctor A; adlib; background
    I'd love to know more.
[06:31] doctor B; adlib; background
    When will you have time?
[06:33] nurse B
    That's her.
[06:34] nurse B
    She's the one who used an injection needle
    to open a patient's chest and save him.
[06:37] nurse C
    Really?
[06:38] nurse C
    But she looks like a young noblewoman
    raised in a beautiful, happy world.
[06:43] Elise; internal
    It's natural that they'd be suspicious of me.
[06:46] Elise; internal
    But I just can't ignore a patient
    right in front of me!
[06:51] nurse A
    Miss, there's an emergency patient!
[06:54] Rose
    I'm coming!
[06:55] nurse B
    Oh, she's so reliable!
[06:57] nurse C
    Isn't it lovely to have such a
    wonderful doctor here?
[07:03] Hans
    People tend to be captivated
    by Rose's appearance,
[07:06] Hans
    but what's really amazing is her skill!
[07:09] Hans
    And not just the pneumothorax,
    her other examinations, too.
[07:12] apprentice A
    I see. I see. I see that you
    really like that girl, Hans.
[07:17] Hans
    Huh? No, I, um...
[07:20] apprentice A
    I know! Why don't you invite
    her to the festival?
[07:25] Hans
    That's a good idea.
[07:26] Hans
    Since it only happens once a year,
     it wouldn't seem odd to invite her.
[07:34] Hans
    No, I can't. I'm not a suitable
    match for her at all.
[07:38] apprentice A
    Right. Well, she is a
    beautiful young noblewoman.
[07:42] Hans
    It's true that I was drawn
    to her looks at first,
[07:48] Hans
    but after seeing her like that...
[07:50] Hans
    I can't help falling for her.
[07:53] Elise
    About the patient with the
    dislocation earlier...
[07:56] Elise
    I lifted their hand in the
    direction of the dislocation
[07:59] Elise
    then rotated it away from their body to fix it.
[08:02] Graham; internal
    She can even perform the
    Kocher technique for dislocations.
[08:05] Graham; internal
    Rose's skill isn't just natural talent.
[08:08] Graham; internal
    It's as if she's already perfected her art.
[08:11] Graham; internal
    As though she was born with medical
    skills engraved into her body...
[08:16] Elise
    Doctor, is something wrong?
[08:19] Graham
    Huh? No, it's nothing.
[08:22] Graham; internal
    What am I thinking?
[08:27] Graham
    Oh, that's right. Today is the festival.
[08:30] Elise
    The festival?
[08:32] Graham
    Yes.
[08:33] Graham
    It happens once a year.
    One of our few pleasures.
[08:36] Graham
    Even those stationed in
    the aid center...
[08:38] Graham
    This is the one day when most head
    straight home instead of working overtime.
[08:46] Graham
    You should wrap up your work
    early and go see it, too.
[08:49] Graham
    You've experienced a lot since your
    first day. You must be tired.
[08:52] Graham
    Taking mental breaks and relaxing...
    They're both very important.
[08:56] Elise
    Thank you for your thoughtfulness,
    Doctor Graham!
[09:03] nurse B
    Doctor Graham, we have a patient
    with a serious injury!
[09:09] Graham
    This is...
[09:16] Ron
    What do you think?
[09:18] Ron
    Can his life be saved?
[09:21] Graham
    It will be difficult.
[09:23] Ron
    What do you mean? Explain it to me!
[09:26] Graham
    The bullet passed through his spleen.
[09:29] Graham
    It will be difficult to stop the bleeding.
[09:32] Graham
    I'm very sorry, but there's
    nothing we can do.
[09:46] Graham
    That's...
[09:48] Graham
    the crest of the imperial family!
[09:51] Ron
    I'll give you any reward you like.
[09:53] Ron
    Just please save this patient,
     whatever it takes!
[10:01] Graham; internal
    But throughout the entire empire,
[10:05] Graham; internal
    there is no method of treatment
    for a pierced spleen.
[10:10] Graham
    I'm terribly sorry, but—
[10:12] Elise
    We understand and accept.
[10:15] Elise
    We will do everything in our power.
[10:18] Graham
    Rose, what are you saying?
[10:26] Ron
    You're...
[10:31] Ron; internal; in Linden's voice
    Elise?
[10:47] (Flashback) Randall
    It's a once-a-year celebration.
    Things will be lively.
[10:51] (Flashback) Linden
    I see.
[10:53] (Flashback) Randall
    I thought that you wanted this inspection so
    that you could see your people flourishing.
[10:59] (Flashback) Linden
    No, I have some minor business
    at Teresa Hospital.
[11:03] (Flashback) Randall
    I thought that you might be feeling unwell.
[11:06] (Flashback) Randall
    You've seemed tired lately.
[11:09] (Flashback) Randall
    And you aren't sleeping
    well at night, are you?
[11:12] (Flashback) Linden
    It doesn't matter.
[11:20] Linden; internal
    Ever since that day 15 years ago,
[11:23] Linden; internal
    I've never once had a peaceful night's sleep...
[11:27] Linden; internal
    because of that recurring nightmare.
[11:32] (Flashback) Randall
    Why don't you have them examine
    you at Teresa Hospital?
[11:36] (Flashback) Randall
    There are many trustworthy
    doctors at that hospital.
[11:40] (Flashback) Linden
    It isn't a problem. I'm already taking
    the medicine prescribed to me.
[11:44] (Flashback) Linden
    I'm sure I'll recover before long.
[11:45] (Flashback) Randall
    Still...
[11:47] (Flashback) Linden
    This is tedious. You worry too much.
[11:50] (Flashback) Randall
    It's only natural to worry
    about one's master.
[11:53] (Flashback) Randall
    You take too little care of
    yourself, Your Highness.
[11:58] (Flashback) Linden
    I'm lucky to have the
    subordinates that I do.
[12:01] (Flashback) Randall
    And I'm fortunate to serve
    such a magnanimous master.
[12:24] (Flashback) Ron
    What is it?
[12:25] (Flashback) Randall
    It's just that no matter how many
    times I see Your Highness's...
[12:28] (Flashback) Randall
    the Romanoff imperial family's gift of
    disguise, it strikes me as masterful.
[12:32] (Flashback) Ron
    Randall, we're in the
    middle of an inspection.
[12:35] (Flashback) Ron
    Watch what you say.
[12:37] (Flashback) Randall
    I'm terribly sorry.
[12:40] (Flashback) Ron
    You know a lot about this area.
[12:43] (Flashback) Randall
    Actually, my wife gave birth
    to our son at Teresa Hospital.
[12:48] (Flashback) Randall
    As I visited the hospital, I
    naturally came to know the area.
[12:51] (Flashback) Ron
    I didn't know. Congratulations.
[12:56] (Flashback) Randall
    This route is dark, but it will take us
    directly to Teresa Hospital.
[13:09] (Flashback) mugger
    G-Give me everything you've got!
[13:12] (Flashback) Randall
    If you don't want to get hurt,
    depart immediately!
[13:24] (Flashback) Ron
    Randall!
[13:25] (Flashback) Ron
    Randall!
[13:32] Elise
    We understand and accept.
[13:34] Elise
    We will do everything in our power.
[13:36] Graham
    Rose.
[13:38] Ron; internal
    Elise?
[13:39] Ron; internal
    She's only just started
    working at this hospital.
[13:42] Ron; internal
    What does she think she's saying?
[13:44] Graham
    The spleen has countless blood
    vessels running through it,
[13:46] Graham
    and a bullet has pierced it!
[13:48] Graham
    Most of the blood vessels have been severed.
[13:51] Graham
    It's impossible to stop the bleeding!
[13:53] Elise
    I understand that.
[13:55] Graham
    Then what are you suggesting?
[13:57] Elise
    We just need to remove the spleen.
[14:05] Graham; internal
    There wouldn't be any need to stop
    the bleeding within the spleen.
[14:09] Graham; internal
    If we remove the spleen and tie
    off the blood vessels there,
[14:13] Graham; internal
    we can stop the hemorrhaging.
[14:14] Graham; internal
    It's so simple, but no one
    has thought of it before.
[14:18] Graham; internal
    This way of thinking is
    virtually revolutionary.
[14:21] Graham; internal
    But...
[14:23] Graham
    The spleen is located in the deepest
    part of the abdominal cavity.
[14:26] Graham
    What will you do about the stomach, pancreas,
[14:29] Graham
    intestines, and greater omentum nearby?
[14:31] Elise
    First, I'll sever the ligaments
    supporting the spleen.
[14:34] Elise
    Then, I believe all that needs be done
    is to rotate the position of the spleen.
[14:38] Graham; internal
    An ordinary person like me has no chance
    of understanding what she's saying.
[14:43] Graham
    Then, who are you suggesting
    will perform this surgery?
[14:46] Graham
    I don't have the ability to do it.
[14:48] Elise
    Please allow me to do it.
[14:52] Graham
    You're asking me to allow an apprentice
    to perform a surgery of this magnitude?
[14:56] Elise
    I am aware that I am overstepping
    in asking this of you,
[14:58] Elise
    but if he's left in this state,
    this patient will die!
[15:02] Elise
    If we use this method to operate,
    there's a chance that we can save him!
[15:05] Elise
    No! I will save him, no matter what!
[15:09] Ron
    Can you really do it?
[15:11] Elise
    I want to save this patient!
    Please, trust me!
[15:18] Ron
    Very well. Make sure you save him.
[15:25] Graham
    If we're going to perform surgery, we'll
    need one more person to act as assistant.
[15:30] Graham
    Everyone else is busy with other patients.
[15:33] Graham
    Even if we send an urgent summons...
[15:35] Ron
    Then I will help.
[15:37] Graham
    What?
[15:38] Elise
    But, sir...
[15:40] Ron
    Two years ago in the Angelie War, I had
    to perform various medical procedures.
[15:45] Ron
    I should prove helpful.
[15:49] Elise
    Then, um, Lord...
[15:51] Ron
    Please call me Ron.
[15:54] Elise
    As you wish, Lord Ron.
[15:59] Elise; internal
    His condition suggests that the
    damage to the spleen is severe.
[16:03] Elise; internal
    Even with surgery, he's quite likely to die.
[16:06] Elise; internal
    Even from the perspective of
    my past life, this is a serious case.
[16:09] Elise; internal
    I can't let my focus waver
    for a single moment.
[16:14] Elise
    Now, I will begin.
[16:18] Elise; internal
    The bleeding is severe.
[16:20] Elise
    Lord Ron, use gauze to apply
    pressure and limit the bleed area!
[16:24] Elise
    Use as much gauze as you can!
[16:26] Ron
    Understood.
[16:28] Elise
    Doctor Graham,
[16:29] Elise
    use this instrument to move the stomach
     and intestines toward me a little.
[16:33] Elise
    At the same time, lift the ribs.
[16:36] Graham
    All right.
[16:38] Graham; internal
    She isn't hesitating at all. It's as though
    she's done this surgery countless times.
[16:44] Graham
    What should I do next?
[16:47] Elise
    I will now remove the spleen.
[16:49] Elise
    If we detach the spleen from where it's
    connected to the pancreas behind it,
[16:53] Elise
    the spleen will come away, and
    we'll be able to remove it.
[16:57] Graham; internal
    If she can do this as envisioned,
    removing the spleen is possible.
[17:02] Graham; internal
    But that's only if she can do it...
[17:05] Graham; internal
    if Rose can do it.
[17:07] Elise
    Doctor Graham.
[17:09] Elise
    I can do this!
[17:11] Elise
    If you will trust me, doctor,
    we will save this patient!
[17:17] Graham
    All right.
[17:24] Ron; internal
    I'm not well-versed in medicine, but her
    handling of the tools shows she's the real thing.
[17:29] Ron; internal
    My father's presence is absolute
    in his dominion over this empire.
[17:33] Ron; internal
    The moment he wished for it,
    our engagement was all but finalized.
[17:37] Ron; internal
    But Elise straightforwardly defied my
    father in an attempt to become a doctor.
[17:42] Ron; internal
    I had thought that I didn't care
    who my fiancée was, but...
[17:51] Elise
    The surgery on the affected
    area is now complete.
[17:53] Graham
    It was perfect.
[17:55] Graham
    It was just like being in a dream.
[18:07] Elise
    Lord Ron?
[18:09] Elise
    The surgery ended successfully.
    I believe he will recover with time.
[18:14] Ron
    Allow me to thank you once more.
[18:16] Elise
    Not at all. It's all thanks
    to your assistance, Lord Ron.
[18:20] Elise
    You did truly good work today.
[18:22] Ron
    I only did what should be done.
[18:26] Ron
    Regarding the reward I promised,
[18:28] Ron
    tell me what you want. Anything you wish.
[18:31] Elise
    You shouldn't be saying that to me,
[18:33] Elise
    but to the hospital's accountants.
[18:35] Elise
    After all, I'm the one who only
    did what I should as a doctor.
[18:40] Elise
    I'm sure you'll be shocked
    when you see the bill.
[18:43] Elise
    At this hospital, the commoners and
    nobility are charged different sums.
[18:49] Elise
    Please don't be angry later if you
    think you've been overcharged.
[18:54] Ron
    Then, I'll take my leave.
[18:57] Elise
    Lord Ron?
[18:59] Ron
    I'm all right. No need to worry.
[19:02] Elise
    You look pale.
[19:04] Elise
    May I check your temperature?
[19:08] Ron
    I-I'm perfectly fine!
[19:11] Ron
    I experience this level of
    dizziness all the time.
[19:14] Elise
    If you experience dizziness regularly,
    it may indicate something else.
[19:19] Elise
    It won't take up much of your time.
[19:21] Elise
    Won't you allow someone to examine you?
[19:23] Ron
    Don't worry about me! Worry about Randall!
[19:26] Ron
    I'd like to transfer him to the
    Imperial Cross Hospital tomorrow.
[19:30] Ron
    Will that be all right?
[19:31] Elise
    Yes, I don't think it will be a problem.
[19:34] Elise
    I'll send the surgery report, too.
[19:37] Elise; internal
    A splenectomy is still an
    unfamiliar surgery for them,
[19:42] Elise; internal
    so I'll have to be as detailed as possible
    in describing the procedure.
[19:46] Ron
    Please do. Thank you.
[19:47] Elise
    Lord Ron! If your symptoms persist,
    please come back to the hospital!
[20:02] wife; adlib
    I was really worried, you know?
[20:05] Randall; adlib
    I'm so sorry.
[20:05] wife; adlib
    Are you all right now?
[20:07] Randall; adlib
    Yes.
[20:09] Elise
    Doctor, here is the report on
    the recent splenectomy.
[20:13] Graham
    Thanks.
[20:17] Elise
    Is something wrong?
[20:19] Graham
    It's just...
[20:22] Graham; internal
    Her handwriting is appalling.
[20:24] Graham; internal
    Is this the handwriting of a genius?
[20:27] Graham; internal
    Is she testing me because I'm
    just an ordinary person?
[20:32] Gaut
    What is this awful handwriting?
     It looks like a child's scribblings.
[20:36] Ven
    Forget that! Hurry up and read it!
[20:40] Ven
    What do you think? A splenectomy!
[20:43] Ven
    It's truly a miraculous
    surgery, don't you think?
[20:47] Gaut
    It has to be a lie.
[20:51] Gaut
    I'll acknowledge the strength of the theory,
[20:53] Gaut
    but a surgery like this
    simply isn't possible.
[20:56] Gaut
    I don't know who wrote this,
    but it's all just a clever fantasy.
[21:01] Ven
    It's no fantasy!
[21:03] Ven
    That patient is at the Imperial
    Cross Hospital where I work!
[21:07] Ven
    And despite the fact that his spleen was
    pierced by a bullet, he's still alive!
[21:12] Gaut
    That's ridiculous.
[21:14] Ven
    And this patient was transferred
    from your Teresa Hospital!
[21:19] Ven
    Who is it? Which doctor performed
    this miraculous surgery?
[21:24] Gaut
    Transferred to Imperial Cross Hospital?
[21:28] Gaut
    Could this patient's name be Randall?
[21:31] Ven
    Yes, it is!
[21:33] Gaut
    He was a patient from the
    day of the festival.
[21:36] Gaut
    That day, Professor Graham would
    have performed the surgery.
[21:42] nurse A
    Excuse the intrusion.
[21:44] nurse A
    Doctor Graham, the director is asking
    you to come to his office immediately.
[21:50] Graham
    Has something happened?
[21:52] nurse A
    He said something about a
    surgery from the other day.
[21:56] Graham
    All right.
[21:57] Graham
    Rose, come with me.
[21:59] Elise
    Y-Yes, sir!
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