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...
Which means you weren't in tenpai yet
when you discarded that west wind?
Also warst du nicht in Tenpai,
als du den Westwind abgelegt hast?
¿O sea que no estabas en tenpai 
cuando descartaste el shaa?
¿O sea que no estabas en 
tenpai cuando descartaste el shaa?
Ça veut dire que
Ma allora quando ha scartato l'Ovest 
non era ancora in tenpai?
Está dizendo que você não estava
em tenpai ao descartar o Oeste?