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...
You didn't win, but judging from 
your waits and the dora at the end,
Sie haben nicht gewonnen,
aber die Form ihrer Hand war gut.
Usted no ganó, pero la forma de su mano 
desde el dora a la composición eran buenas.
Usted no ganó, pero la forma de su mano 
desde el dora a la composición eran buenas.
Vous n’avez pas gagné, mais votre dernière
attente et vos dora étaient bonnes.
Non è riuscito a vincere, ma la mano aveva 
una buona disposizione finale e un dora.
O senhor não venceu, mas sua mão
 era sólida, inclusive com dora.