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...
Basically, I had my transfusion 
done before the game started.
Ich hatte meine Transfusion also,
bevor das Spiel überhaupt begann.
En resumen, me hice una transfusión 
antes de que empezara el juego.
En resumen, me hice una transfusión 
antes de que empezara el juego.
En clair, j’ai préalablement
reçu une transfusion.
In breve, ho fatto rifornimento di sangue a priori.
Estou dizendo que fiz a transfusão
 antes mesmo da partida começar.