Dr. Sadao was in a position of trust. The predicament had put before him conflicting values. He faced the dilemma; whether he should he fulfil his duty as a doctor or his duty as a true nationalist, a loyal patriot. Dr. Sadao had spent a couple of years in America while he was a student of surgery. At that time, he went through racial prejudices and bias. He struggled with the issues of duty, wartime medicine and racism. Ultimately, he preferred to save the life of the enemy risking his own.

He stood up for his beliefs without thinking about the repercussions and chose humanity over nationality. He took the soldier in, provided him shelter- operated upon him and takes utmost care of him. Not only that, he helps the American to escape.

Dr. Sadao informed the General about the American prisoner and told him that he had operated him successfully. He made it obvious to him that he cared nothing for the man and he is enemy to him. The general promised his help and said that he would not be arrested. The General suggested that he would send his personal assassins to kill the prisoner and then remove his body from Sadao's house, to get rid of the American prisoner. The plan was not executed because the General forgot his promise to send the assassins. The old General had a long expressionless face, which seemed to reflect the cold and calculated ruthlessness of the man as a general. He had an unusual sense of humour and seemed to generate fear in others' hearts quite effortlessly. The General is self-centered and he thinks of his own interest.He does not take any action against Dr Sadao for sheltering the enemy. He is suffering from serious ailments and he always needs his services. He does not get him arrested because he knows that in that case he would not be able to get his services. 

As a doctor, Sadao knew the value of human life. He risked his own life by saving the American sailor, even though he knew that he could go to prison for hiding a prisoner of war. He cleaned the Americans wounds, fed him and nursed him back to health. When the American was feeling healthy, he gave him provisions such as food and a boat, and helped him to escape from Japan. As a Japanese citizen, he fulfilled his duty by telling the General about the American. Even though the General forgot to send his assassins, Sadao could not be blamed for the American escape. Thus we can say that Sadao carried out his responsibilities, as a doctor, and as a Japanese citizen both.

The American soldier was thrown out of the waves by the waves. He staggered a few steps till he fell on his fours. After crawling a few steps, he fell unconscious. Dr. Sadao found him wounded and unconscious. He found that the soldier had a gunshot wound on the right side of his lower back and it had reopened when the young soldier had hit against rocks. The soldier was bleeding profusely.