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Statement of Ishiyama ( taken 17 July 1946 by Daty, not executed - in rough form) On 16-17 June Komori telephoned Ishiyama as he usually did before he brought a PW to the University and stated that he had 2 patients whose condition was very bad. As on 9 or 10 May Ishiyama suggested that the attitude of the patients and personnel at the University was very hostile, suggested that the sea water extraction should be injected, and Ishiyama refused. At 1500 Komori telephoned again, stated the patient’s condition was very poor, so he was bringing the patients to the University. When Ishiyama arrived at'the autopsy room, Komori and the patients were there, on the verge of death, heavily drugged, probably with morphine and scopolamin, an overdose, before arriving. Komori called about 1300, at which time he probably gave him a shot of the drug; then when he called back at 1500, another dose was given, according to what Komori told him in the autopsy room. Ishiyama gathered surgical equipment, sterilized it, brought it to the anatomy lab with Torisu, finding Komori there with 2 American PWs and another medical officer. Ishiyama drained 300 cc’s of blood from the right arm, transfused 200 ccs of Ringer solution and camphor. Another PW was drugged the same way, was lying at the opposite end of the room; Komori gave him the same treatment. Komori stated he gave a dosage 2 times greater than required to these PWs. They then applied artificial respiration for 20 minutes. To massage the heart, Ishiyama made an incision in the stomach, placed his hand below the heart, massaged it for 5-10 minutes, but the patient died about 1730. In the meantime Hirao or Torisu were applying artificial respiration to the other patient, but he died before a heart massage could be given. Komori said he brought the patient to operate on his lung, so he cut the parasteternal lire about 15 ccs , removed a rib examined the lung, and Ishiyama then put his left hand in between the incision and lifted the lung up a little, found it to be normal. At this time Sato, and, Ishiyama believes, Aihara remarked that it was the first time they had witnessed a lung operation and they said something to the effect that it was beautiful. Komori then massaged the heart and took cut the liver, examined the stomach and spleen, then replaced the liver and sewed the incision at the’ stomach and the breast. Ishiyama assisted Komori on this autopsy, it ending about 1830. Tsutsui brought back all the medical equipment. Ishiyama believes Yakumaru ;as there, is not sure, believes he and Sato were present at 2 operations, Aihara at one. Hirako was present at the first operation. No notes, memos, or records were taken at either the May or June operation. Ishiyama heard' from Komori that fee dissected the other body about 40 minutes after he left. Ishiyama then states that instead of 2 PWs being operated on about the 10 May there were 3, the 3rd a brain operation. A fractured bone was pressing the brain; Komori wanted the bone back to normal to relieve the pressure. Komori said it had been fractured 24 hours before. The patient was laid on his stomach, the area behind the head v/as sterilized and cleaned; Ishiyama gave a local, made a half moon incision using a Messer. The patient-bled quite profusely when Ishiyama made the incision, and Ishiyama used a Kocher Kiemne ISHIYAMA -2- to stop the flow, pulled back the skin and muscle. The bone showed no break, but was applying pressure to the -brain. The bone was drilled in 4-5 places, Ishiyama placed the gigli saw into the hole, and Hirao sawed the bone in 5-6 spots. The saw scratched the sinus occipitalis and the patient bled quite heavily and Ishiyama soaked cotton with Ringer Solution and applied it to the sinus occipitalis, for about 10 minutes, in which time he bled about 500 ccs. Ishiyama lifted the bone up where it had caved into the brain with a silver spatula, made a cross incision on the membranes, spread the incision, examined the brain, it not showing any damage except that it was a little red. Ishiyama then sewed the membrane, laid the bone back in place, sewed up the incision with 30 stitches, and the patient was placed on his back, but the patient was getting weaker, so Ishiyama ordered an injection of felatin and 400 cc's of Ringer Solution. Camphor oil and adrenalin were injected, but he died 30 minutes after the operation. At the brain operation Komori and Hirao assisted, Miki handled the medical equipment. Torisu left after the 2nd operation. Ishiyama seems to recall that Sato and Yakumaru were there for the 3rd operation, but he did not see them after it was over. Hirako is a brain specialist, has been experimenting, on the artery and vein of the brain, but Ishiyama is quite sure he was not at the operation. When the patient was brought in there was no head bandage, but his head was swollen a little. Hirao drilled the holes in the bone, sawed the bones with a gigli saw. Hirao handled the ligatur which stops the blooding. Komori wiped the blood held the haken, which spread the incision. On 16 or 17 June there were 3 PWs rather than 2. The 34d was also heavily drugged, was placed in another room. After the 1st two died, a couple brought in the 34d, and he was treated exactly as the first— an incision was made in the stomach and the patient was given a heart massage; Komori and Ishiyama applied artificial respiration on the patient for about 30 minutes but he died after being given the heart massage for 5-10 minutes. One of the patients had stomach ulcers, according to Komori, who therefore examined the stomach and sewed the incision. At the 3rd operation, Torisu, Hirao, Sato, Aihara and Tsutsui were present, no other nurse. The patient was given sea water extract; Ishiyama made and sewed the incision; he was operated on between 1730-1800. Only these two series took place that Ishiyama participated in, 1 about 10 May on 3 PWs, the 2nd on 16-17 June on 3 |