[The Girls' School Teacher] (Episode 18, Chapter 6)

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Chapter Six: Hospital Expansion

The next few days were incredibly busy.

Not only with teaching, but also with the Suzuki Private Clinic, where a patient from America had flown in

.

This elderly man, practically carried in on a stretcher, was a top-tier billionaire from Utah. He needed

heart bypass surgery and aortic dilation. While the surgery itself was simple for me, it required considerable

effort .

The equipment and materials needed were far beyond what Japan could provide; they had to

be ordered directly from Switzerland and Germany. Fortunately, after agreeing to treat this critically ill American patient, I had made preparations in advance. A long

list had already been drawn up, and modern equipment, instruments, and materials worth hundreds of millions of dollars were once again airlifted

to Japan.

This massive purchase, however, only consumed one-tenth of Kyoka's recent profits, and even her plan to double

the clinic's size had no impact.

The Suzuki Private Clinic's profits mainly came from treating wealthy and

aristocratic patients, as well as those undergoing medical checkups; the former received one-tenth of their fortune, while the latter received 50 million yen each, not a penny

less.

Speaking of the rule of "donating one-tenth of one's fortune after treating a wealthy patient," I'm reminded of Yoshimasa Asai

.

Asai's status as one of Japan's top five richest people is truly well-deserved.

The day after his mother was discharged from the hospital, he personally visited her, accompanied by his secretaries who presented me with a mountain of documents for my signature.

Upon opening them, I found they were all transfer agreements for shares in companies he controlled. A quick glance suggested a value of

at least 15 billion US dollars.

15 billion US dollars!

This is a fortune many tycoons could never possess in a lifetime, yet Asai, without batting an eye, strictly

adhered to my rules and donated it.

On the table lay the share transfer agreement worth 15 billion US dollars. Even I felt a bit of admiration for Asai

, let alone Kyoka beside me. Seeing me place the share transfer agreement in front of her, the beautiful

young woman's breathing quickened.

Once she signed the documents, from that day forward, she would be among Japan's top 100 super-rich, a

meteoric rise indeed.

If Kyoka hadn't known that Mr. Nak was actually Yanagi Toshio, her man, she certainly wouldn't have dared to say

anything. But now that they were family, Kyoka's mindset was much more relaxed, and she dared to participate in some

decisions.

The beautiful young woman hesitated for a moment, then rejected the tempting idea, pushing the share transfer agreement back to

Asai Yoshimasa.

Kyoka knew in her heart that the reward of 15 billion US dollars was simply too astonishing. If it ended up in her husband's and

her own hands, and they lacked the ability to protect this wealth, instead becoming a source of trouble, the disadvantages would outweigh

the advantages.

As for Asai Yoshimasa, he certainly didn't want that. Money wasn't the issue; credit was paramount. Money

given away could be earned back, but breaking faith and not giving away even a tenth of the family fortune would be highly immoral

, and the Asai family's reputation would be completely ruined.

Neither of the two individuals held firm to their principles, so neither was willing to compromise. In the end, I suggested that Asai Yoshimasa withdraw the

share transfer agreements and instead donate $500 million annually to the Suzuki Private Clinic for thirty years.

This mutually acceptable solution was immediately agreed upon.

In this way, Asai Yoshimasa avoided losing a tenth of his fortune at once, and the annual donation of

$ only a small fraction of his earnings, not fundamentally impacting his business.

Similarly, the Suzuki Private Clinic not only avoided the danger of "possessing a treasure that invites trouble" but also received

a continuous large sum of money each year, allowing them to cope with any future changes.

However, after this incident, I realized that the rule of "receiving one-tenth of the family fortune"

was becoming somewhat

inappropriate Therefore, I discussed it with Kyoka, and decided that everyone could handle the matter at their discretion from now on. For wealthy individuals with good reputations,

the limit would be $50 million; for those with bad reputations, it would remain one-tenth of their fortune… We would not disclose

who received how much money.

Such a regulation doesn't fear backlash; even Yoshimasa Asai dutifully paid 15 billion US dollars.

How many others dare claim to be richer than him?

Kyoka has never been a money-grubber, and now with so much money, she's even more determined to help more people.

Once all the materials and equipment arrived, my first action was to call Kyoka, Akiko, Keiko, and Akira Tominaga to

my office and explain the surgical procedures I was about to perform in detail.

The three beautiful girls were unaware of how rare this opportunity was, but Akira Tominaga was trembling with excitement.

As an excellent doctor, Akira Tominaga understood that having the surgeon explain things in detail beforehand, followed by a second demonstration in

the operating room , was equivalent to

imparting all the surgeon's wisdom and experience… Doctors who selflessly share their knowledge are extremely rare, let alone

a super-skilled doctor like Dr. Nak!

Kyoka, with her keen observation skills, was curious about Akira Tominaga's reaction. After asking her some questions and receiving

the answer she wanted, the three girls' gazes softened considerably.

Although Tominaga Akira was honest and somewhat dull, it didn't mean he lacked observation skills. Observing

the tender look in Kyoka's eyes when she looked at me, he concluded that Miss Kyoka must like the professor. And if the professor did

n't like Miss Kyoka, why would he be practicing medicine in this small clinic? —That professor's friend, Liu Junxiong,

was just a shield they used to cover up their relationship.

It must be said that honest people can also have sharp eyes, but Tominaga

Akira was a meticulous person. Although he had guessed it, he would never say it aloud. He simply resolved in his heart to show even more respect to Miss Kyoka, his yet-to-be-official

teacher's wife .

Heart bypass surgery and arterial dilation are both considered moderately difficult surgeries in surgery.

The main factors that cause both to occur together are overwork, obesity, and old age/frailty.

The heart's main burdens are overwork and obesity; the former damages the heart's vitality, while the latter directly compresses the heart.

The narrowing of arteries is due to excessive nutrition leading to thickened blood and poor blood flow, as well as the decline in blood vitality

caused by aging.

These two conditions are interdependent.

Poor blood flow results in insufficient blood supply to the heart, leading to reduced heart function.

Conversely, reduced heart function also slows blood circulation, making blood vessels more prone to

aging and narrowing.

This wealthy man from Utah, seventy years old, tall and obese, had long been overburdened by years of overwork and irregular

eating habits The fact that he had managed to hold on until today was a testament to his remarkable willpower.

"Dr. Nach, if you can save me, I'll give you a hundred million dollars!"

the obese old man weakly said to me as I examined him.

"If you say that again, get back to America,"

I replied coldly. "If I can't even save you with such a minor surgery, how can I

treat other patients?"

Even if you're a tycoon or an official, you still have to smile at ordinary teachers because of your children's education.

Similarly you wouldn't be arrogant when facing a doctor who holds your life in his hands.

Hearing this, the wealthiest man in Utah, instead of being angry, chuckled .

"Alright, alright, I'll shut up, Mr. Nach. I'm entrusting my old life to you!"

My seemingly insulting words were actually conveying a message: your surgery

is really , so don't be nervous.

Hearing me confidently scold him, especially since the doctor I was scolding was America's top doctor, the tycoon felt

even more comfortable: "See? Dr. Nach said he can save me, what am I worried about?"

I even mentioned

this .

A doctor's responsibility is not just to treat illnesses and perform surgery. A crucial aspect is instilling confidence in patients. Only when

patients don't give up can they activate their own vitality. Otherwise, no matter how hard the doctor tries, it's merely an external

factor; without the patient's cooperation and will to live, failure is inevitable.

Different strategies are needed for different patients. For example, a super-rich man at the peak of his life

might feel better and happier if scolded or spoken to coldly. A poor,

ordinary person , however, needs gentle and careful encouragement, as he often lacks respect and encouragement; this can warm

his heart and help him regain his spirits.

Although the three beautiful girls and Tominaga Akira nodded admiringly, I knew they

all shortcomings. Tominaga Akira's coldness was suitable for the first type of patient, but getting him to say a few encouraging words

was difficult. Similarly, the three beauties, including Kyoka, were incredibly charming; they were

better than for speaking with a stern face…

The surgery went very smoothly, successfully completed in just five hours.

This was only because I deliberately slowed down so they could observe carefully; otherwise, at my normal pace,

it would have taken at most two hours.

The four of them benefited greatly from this surgical observation. Because I had Sugiko and Nanako

help, they didn't have to do anything but watch attentively. Furthermore,

they which further reinforced their understanding.

After the surgery, the obese old tycoon was wheeled to the intensive care unit by the nurses under Akiko's direction.

As I instructed, the obese old tycoon would stay in the ICU for two days until his vital signs were

completely stable before being moved to a ward for slow recovery and recuperation.

Speaking of which, the obese old tycoon had quite a large entourage. His entourage, arriving by private jet, included

his wife and children, bodyguards, and nurses—more than fifty people in total.

Initially, they insisted that Kyoka allocate them a separate courtyard to facilitate the care of the obese old

tycoon—of course, they dared not tell Mr. Nak about this; they only dared to bully this Japanese beauty.

Unfortunately, Kyoka, though outwardly gentle, was inwardly strong and fearless of the powerful. She immediately rebuffed them, telling them they could either

take the patient to one of the hospitals that had allocated them space, or find

a hotel to stay in and have a few people help care for the obese old man after he was admitted to a general convalescent ward.

The obese old man's family was furious, but dared not utter a word of protest.

They had spent a great deal of money and connections to obtain this opportunity to seek treatment from Dr. Nach; to give it up

now tantamount to playing with the old man's life.

In the end, they had no choice but to submit and book a nearby family-run hotel for the stay.

Japan's land resources are already scarce, especially in Tokyo, where land is incredibly valuable. At the peak of the bubble economy

, the price of all land in Tokyo exceeded that of the entire United States, even though the total land

area is less than one-twentieth the size of the United States. This gives an idea of

how astonishingly high land prices in Tokyo were at that time.

With a decade of continuous economic recession, Tokyo land prices have fallen significantly compared to their initial levels,

but they are still unaffordable for ordinary people, especially in areas like Suzuki Private Clinic. Each household is a long-time Tokyo

resident, and buying their houses to expand the clinic would require a substantial amount of money.

Even though the surrounding residents know that Suzuki Private Clinic is benevolent and willing to help the poor, if

they sell their houses to Kyoka at a low price, they themselves will be homeless, thus keeping the total house price high.

A simple detached house has at least 500 square meters of usable area. Based on the compensation exceeding

the market valuation by 150 to 200 percent, and assuming 500,000 yen per square meter,

that 's 250 million yen—this was the price for the first expansion. That expansion was relatively small,

simply demolishing the original three-story inpatient building and one-story outpatient building to rebuild two five-story buildings, plus

a large garden, for a total of only sixteen households.

Upgrading a clinic to a hospital would require at least a multi-functional operating room, a medical examination

and rehabilitation building, and correspondingly, at least 2,000 square meters of garden, lawn, and water features.

Kyoka asked Sugiko and Nanako to help coordinate the matter. The final agreement was to relocate 100

households , receiving 29,000 square meters of land. After deducting roads and green space outside the clinic,

the usable area was only about 20,000 square meters.

According to the two beautiful negotiators, even a second-tier municipal hospital in Japan couldn't compare to

the luxurious size of their clinic.

Indeed, having such a large clinic in Tokyo was truly luxurious.

However, the cost was astronomical.

For the second relocation, a total of 100 households were involved, and Kyoka signed a check for 32 billion yen.

This was only the first step in the hospital's renovation and expansion. The subsequent construction work and all necessary hospital

equipment also be major expenses. Given Tokyo's high labor and material costs, the accounting firm

's budget had already reached 20 billion yen. In Nanako's words, "We're not building a house of bricks and stones,

but one of gold!"

Nanako's words were somewhat exaggerated; in fact, the culprits behind such exorbitant costs were

none other .

Take the demolition compensation as an example. As soon as they heard that Suzuki Private Clinic was going to be expanded,

the top ten yakuza groups in Tokyo, including the three leaders of the Yamaguchi-gumi in Tokyo, the second son of the Inagawa-kai, Akira Inagawa, and the younger brother of the Sumiyoshi-kai chairman,

all rushed to Kyoka's door, respectfully requesting that she entrust the job to them, guaranteeing a price that would

satisfy her. Don't doubt how they got the information so quickly; how could yakuza not

know this ?

Don't misunderstand, the bosses of Tokyo's top ten yakuza groups were definitely not in it for the money, but because they

finally had this opportunity to curry favor with Dr. Nak, so why not seize it? If

they could handle this demolition job well for Dr. Nak, aside from anything else, Dr. Nak wouldn't be able to refuse if he or his family were injured or ill in the future,

right?

Violent demolitions exist everywhere. With their involvement, the compensation might be reduced by billions of yen, or it

might be even lower, but the reputation of Suzuki Private Clinic would be ruined. Therefore, Kyoka refused without hesitation.

The same applies to the construction of the building. The girls don't know the meaning of thrift; the building and

equipment are all the highest standards of the Swiss medical school. In addition to the $100 million I purchased,

nearly $500 million worth of equipment, medicine, and materials will be delivered after the building is completed.

But this is good; better equipment and better conditions will allow them to save more patients and help them

recover sooner.

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