pertwk Page 184
Page 184
"The infection is so severe!"
Upon seeing the image inside the abdominal cavity, Aki Tomoya couldn't help but exclaim in amazement.
Not only was an infection found in the chest cavity, but the condition inside the abdominal cavity was also more serious than expected.
"If the body is a city, then the source of this plague outbreak is inside the abdominal cavity!"
"Aki-kun, you really know how to use metaphors."
Mikoto Misumi nodded and replied.
She had expected this, but she was still somewhat surprised when she saw the scene inside her abdominal cavity.
A fistula has formed, corresponding to the previously discovered drainage tube.
Meanwhile, Tokai Rin Yuko, who was working nearby, asked with great interest, "What does Aki-kun think?"
"...The source of the plague, the surgical site...the necrosis at the duodenal anastomosis site is so severe...it can't be just because of the car accident, can it?"
Aki Tomoya spoke haltingly, and in the end, he seemed unsure of his own guess.
In a month, he didn't see that many corpses, but he certainly saw more than the average person, especially a typical medical student.
What I learned most was about pathology.
After seeing the condition of the duodenal surgical site and recording the descriptions given by the two forensic experts beside him, he subconsciously analyzed the situation.
Severe malnutrition and dehydration of the body, necrosis of surrounding tissues, and complications such as purulent peritonitis with the formation of abdominal abscesses can occur. In short, it is an uncontrollable epidemic that leads to even more serious consequences.
"Wow, that's amazing! I'm increasingly eager to recruit you from Zhongtang Class to our class!"
Taking advantage of the situation to poach someone's talent is not a good idea, Dr. Donghailin!
However, even though he had this suspicion, he couldn't be completely sure. After all, he wasn't an experienced forensic scientist; he was just fortunate enough to have handled more cadavers than the average medical student and knew more about pathology in advance.
Aki Tomoya flipped through the papers on the record board in his hand, and saw that the first page contained information about the deceased, including the hospital where he had been before his death.
The deceased, Mr. Tu Jin, worked at the Imperial Medical University Affiliated Hospital.
"Is it one of the colonies of the University of Tokyo's Faculty of Medicine?"
Aki Tomoya recalled what Takagi and Majima had told him during his third science class.
Related hospitals.
The university hospital has many affiliated hospitals, which can be considered part of the organizational structure of this white giant.
"This duodenal rupture was likely caused by a car accident, hence the RY anastomosis surgery."
Mikoto Misumi's voice rang in Tomoya Aki's ears. He tapped his pen lightly with his finger and then wrote it down completely.
"It's possible that the cause of death wasn't a car accident."
Aki Tomoya looked at the body and muttered to himself.
……
After the autopsy investigation is completed, the remaining step is pathological examination, which involves examining tissue sections.
Aki Tomo didn't go with them after that, because she had other things to do.
“Aki-kun, you noticed it when we were doing the dissection, didn’t you?”
Just after Aki Tomoya walked into the office and sat down, Misumi Mikoto asked a question.
"...Well, after cutting it open, it's much clearer than on the surface. There are very few factors that suggest death from a car accident now. Instead, the problems caused by the surgery are more concerning."
He took off his glasses and wiped them with a handkerchief, recalling everything he had seen.
"Duodenal injury, postoperative anastomotic fistula formation, leading to diffuse purulent peritonitis, severe malnutrition, and secondary multi-organ infections..."
Whether the cause of death was a car accident or surgery, Aki Tomoya had a vague answer in his mind.
If there were medical records of the deceased during their hospitalization, that would provide a clearer picture.
However, it's unlikely that a hospital can provide one.
They might not even know that, due to disputes over compensation with the other party involved in the car accident, the bereaved family brought the body here for an autopsy.
Just now, when I went out, Aki Tomoya, out of a bit of curiosity, asked the director, Kamikura Yasuo, about the situation of the deceased's family.
"This time, the hospital really did have a cover-up problem."
In fact, the bereaved family did not know the real cause of the death, believing that the injuries caused by the car accident were too severe and uncontrollable, leading to death.
Someone at the Affiliated Hospital of Beijing Medical University is probably in for some trouble.
"The rest is Dr. Tokai's report, right, Dr. Misumi?"
"Yes, and there's also the analysis of cause and effect..."
Although there is still the element of analyzing causal relationships, everyone is well aware of it.
"Aki-kun, you're very likely to become a good doctor in the future, right?"
Mikoto Misumi suddenly looked at him with a wistful expression.
Aki Tomoya was somewhat puzzled and asked in return, "Doctor Misumi thinks so highly of me?"
"Well, this isn't the first time, is it? I'm sure Aki-kun will learn from this."
"Thank you so much for your compliment."
While discussing the autopsy investigation of the deceased Mr. Tsuchikane, Aki Tomoya only noticed the message on Line during the lunch break.
I haven't had time to take out my phone, and only now have I seen a lot of messages on LINE. One is a message from Sayaka Kudo last night, and the other is a message from my childhood friend Eriri.
"Are you asleep?"
It was 2 a.m., and she was still awake!
Then it's Eriri's turn.
"I can't wait for the 21st!"
That's not all, there's another one.
"That wasn't posted by me!"
Chapter 216 The Landlord's Silly Daughter (1/?)
WTF?
What the hell?
It's a bit confusing; she said it, yet she didn't.
"..."
I don't know what's wrong with her.
"You're so worried about it?"
After sending the message, he put down his phone and looked at Tokai Rin Yuko, who had just walked into the office.
"Tissue examination, apart from soft tissue damage, confirms that it was left over from a car accident. The multiple organ failure of the body did not occur independently, but rather influenced each other, interacted with each other, and were even mutually causal. The fistula at the anastomosis site was the cause."
So, this means the problem was caused by the surgery.
"The main cause of death was not the car accident, but the duodenal anastomosis."
We can basically start writing the report now.
Because it involves a university hospital, the report on the analysis and determination of causal relationships is more complicated.
Following that, there may be an analysis of the involvement of medical malpractice.
However, they do not have the deceased's complete medical records from his time at the hospital, nor do they currently know anything about his condition during his hospitalization.
Neither report was easy to write.
But there's one thing they don't need to worry about.
The UDI Institute for Unnatural Deaths' budget is determined by the Ministry of Health, Labour and Welfare and the National Police Agency, not by university hospitals.
Some hospitals even have a poor relationship with the police, and it's common for them to refuse requests for autopsies and investigations. UDI just needs to do its job.
We must not conceal anything, nor falsify anything; we must analyze things from an objective, fair, and professional perspective.
"I feel like I'll be hated by the people at the university hospital after I finish writing this report!"
"Looking at the data in my hand, I can't help but sigh," said Tokai Rin Yuko.
Those who study medicine in Japan are more or less aware of the authority or reputation of university hospitals.
"It's alright. If I ever go to the university hospital, I will never admit to knowing any of you!"
At this moment, Aki Tomoya joked.
Mikoto Misumi and Yuko Tokai burst out laughing.
"You're really heartless!"
While being criticized by senior colleagues at the research institute, a new reply arrived on my Line phone.