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...
How many millions of yen do you 
think this man made me wager?
Ich musste so viele Millionen
in diesem Spiel einsetzen.
¿Cuántos millones crees 
que me hizo apostar?
¿Cuántos millones 
crees que me hizo apostar?
Combien d’argent m’a fait parier
cet homme, à ton avis ?
Quest'uomo qui, sai quante decine di milioni 
mi ha fatto scommettere?
Sabe quantos milhões esse
 homem me fez apostar?