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...
Tiles for the starting hand and each draw are
taken from a hole in the middle of the table,
Die Starthand und gezogenen Ziegel
kommen alle aus dem Loch in der Mitte.
Tu mano inicial y los saques vienen 
del agujero en el centro de la mesa.
Tu mano inicial y los saques vienen 
del agujero en el centro de la mesa.
Toutes les tuiles
sont tirées dans un trou.
Una volta iniziata la partita,
si pesca da un buco al centro del tavolo.
Tanto a mão inicial como 
as compras vêm do buraco.