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...
He's only kept himself alive through 
the cowardly trick of a transfusion.
Er hat sich nur durch diese
billigen Tricks am Leben erhalten.
Solo se mantuvo vivo gracias a ese 
truco sucio de la transfusión.
Solo sigue vivo gracias a ese 
truco sucio de la transfusión.
Il n’a pu survivre que
grâce à sa lâche transfusion.
Quel tizio è ancora vivo solo grazie 
a un trucchetto da vigliacchi, la trasfusione.
Ele só se manteve vivo por esses truques
 baratos, por uma transfusão covarde.