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...
That time, though...
Dieses eine Mal aber, fühlte ich mich,
als seist du nicht mehr am Leben.
Pero esa vez... en esa ocasión de 
verdad no parecías estar vivo...
Pero aquella vez... en esa ocasión 
de verdad no parecías estar vivo...
Mais à ce moment…
Tuttavia, quella volta, solo quella volta, 
ho avuto la sensazione non fossi davvero vivo.
Mas naquele momento, e só nele,
eu não senti que você estivesse vivo.