Before game 5, Akagi himself destroys the 1,400 cc of blood he had lost so far.
The game reaches East Hand 4, where initially it looks like luck is in Akagi's favor.
But just before that hand ends in a draw, Yasuoka makes the terrible mistake of shifting the drawing order. Thus Washizu gets a haneman tsumo win, causing Akagi to lose 600 cc of blood. Combined with the 1,400 cc of blood he has already lost, it's exactly the lethal amount of 2,000 cc. Ougi and Yasuoka can't do anything but watch Akagi have his blood extracted...
But if he thinks, "No, that's not true," 
and discards the tile,
Aber wenn er trotzdem den Ziegel ablegt
und ich Mangan bekommen …
Pero si descarta la ficha pensando 
que no es así y consigo un mangan...
Pero si descarta la ficha pensando 
que no es así y consigo un mangan...
Même s’il sent que
c’est sûrement autre chose,
Ma se dentro di sé pensasse che non è possibile 
 e la scartasse, avrei un mangan.
Mas se ele acreditar que não é verdade 
e descartar a peça, eu conseguiria um mangan.