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...
Once the starting hands are drawn, 
the dealer draws one more tile from the hole.
Der Geber zieht noch einen Ziegel,
wenn alle ihre Starthand haben.
El dealer saca una ficha extra cuando 
todos tienen su mano inicial.
El dealer saca una ficha extra 
cuando todos tienen su mano inicial.
Après la première main,
le donneur tire une autre tuile.
Il banco estrae una tessera extra dopo
che tutti hanno pescato la mano iniziale.
O mão compra uma peça a mais depois 
que todos tenham montado a mão inicial.