I, Tomoya Aki, am not a bootlicker

She also found a part-time job before the summer vacation.

I help out at the Metropolitan Library. Not only can I read books, but the work is also relatively easy. But for some reason I still feel very tired.

It's even more tiring than when I was in cram school.

"When I think about having to keep up with others, I can't relax at all. Even after entering college, I still don't have a chance to relax. Maybe I should think about asking you guys out to play when I have time during the summer vacation."

The first semester of the literature department was fulfilling for Sayaka Kudo, but she also suffered many setbacks.

In a place where outstanding people gather, the gap between them is more clearly seen. In a place like Qingying, competition is also invisible.

Sometimes she couldn't help thinking that the pinnacle of private education was such a cruel place, where one could see many cruel facts. The sharp contrast made people feel powerless.

And at the University of Tokyo, which is at the top of all the high schools in Japan, what about Tomoya Aki?

"How's Dongda?"

"…It's not bad, but you still have to watch your back. Of course, I'm referring to the system of the Faculty of Liberal Arts of the University of Tokyo. The intrigue and so on are not that exaggerated, but the mutual disdain between elites can still be seen everywhere. The good thing is that the friends I made are pretty good."

Aki Tomoya had thought in advance about what kind of people he would meet in college.

He was lucky enough to meet two top students, Takagi and Majima, who were compatible with him and whose family backgrounds were very different from his.

I got to know the people I should know in the same period, and I also had a nodding acquaintance with Suzuya, the current top of the same period, who Takagi didn't like very much.

But after having a brief contact with Suzuya, and hearing that he came from a family of doctors, and that the small circle he gathered in was also made up of people from the same family of doctors, Amaki Tomoya realized that he was also a guy with ambitions for the White Tower.

"By the way, I get along pretty well with a senior schoolmate. Maybe it's because of you, she takes good care of me and helps me a lot."

From the few words of Aki Tomoya, Kudo Sayaka could not fully imagine what the situation was like in the Science Class of the University of Tokyo.

However, he was still the same as before, and everything seemed to be arranged in detail.

Even when he encounters troubles, he can think things through faster than her.

While feeling envious, she couldn't help but want to seek comfort from such a person. She didn't know how to describe this feeling.

But when she used teasing words to talk about being taken care of by a senior, An Yiren couldn't help laughing: "The senior you are talking about, is it possible that she is the one I think of?"

"Yes, I've met him several times. He seems to be a nice person?"

"Is it still a question?!"

"Do you care?"

The gossipy mind was exposed at once.

But he was not fooled, he knew his female friend, Sayaka Kudo, very well.

Besides, it's nice to be taken care of by Kasumigaoka Utaha, isn't it...

"I don't have that much ability, but my senior sister is still very powerful. It would be good for you to learn more of her skills."

"Huh, don't you care if she approaches me with a purpose?"

"If she had a purpose, she wouldn't be looking for you."

Everything was discussed at the last social gathering. Based on what Tomoya Aki knows about Kasumigaoka Utaha, she will take care of Kudo Sayaka, so it probably has little to do with him.

Rather than saying that I'm still interested in him, it's more likely to say that I'm collecting material for him.

"Tsk, can't I fool you?"

It seems that he was right. Sayaka Kudo herself could still tell whether the people who approached her had a purpose or not.

I came into contact with Kasumigaoka Utaha because of a short essay.

Because of the habit she developed in the cram school, writing became a hobby. In addition to writing in class, Sayaka Kudo would occasionally write one or two articles.

After hearing from her the whole process of how they met, Aki Tomoya half-jokingly said, "Why don't you become a writer in the future?"

"…Are you teasing me?"

"No, it's not a bad idea to give it a try in college. Try submitting your work. If a publishing house takes a liking to it, it will become popular faster than earning money by working part-time."

I thought about the fact that Kasumigaoka Utaha wrote light novels, and now she probably has so much money that she can’t even put it all in her pocket. So from this perspective, writing novels is a good idea.

But the fact is, for most people, writing novels is a dead end.

"I believe your lies! Hahaha!"

Kudo Sayaka replied unhappily that she was not a newbie and that she had also been broadening her horizons during her first semester at university.

The two then laughed out loud on the phone at the same time.

"Writing? If I were to write, I would write about our stories in the cram school!"

"Hey, that's a great idea! Remember to write me in a cool way!"

"Bah, I'd rather spend more ink on Mr. Tsubota and Mr. Harumi than write more about you, the bastard who always hits me!"

She also could not forget that during her school days, she was often hit unintentionally by Aki Tomoya.

But because of this, she could not forget the help and encouragement given to her by her deskmate.

"Stingy woman!"

They chatted until about ten o'clock, then they hung up the phone and agreed to go out when they had time.

After going to bed, he got up early the next day and went to UDI.

"The test data is out..."

After visiting the laboratory first, Makoto Sakamoto came to the office, opened the data, and placed it in front of Nakadashi Kei, who was rarely in the office.

At the same time, people from the hospital where the deceased Mr. Keiichi Tansho was hospitalized also visited the UDI Institute.

=

Chapter 197: Medicine and Poison (1/3)

Medical disputes happen everywhere, but in Japan, apologies are used to resolve all disputes. If apologies don't work, a lawsuit will have to be filed. However, the success rate of medical dispute lawsuits is generally not high, and it is also difficult to win in Japan.

Especially if the other party is a university hospital, don't expect the doctor to risk his future to help testify in court.

Sending the patient to remote areas is a common practice in university hospitals.

The hospital where the deceased was hospitalized was a private general hospital in Shinagawa Ward, Tokyo. After the deceased was hospitalized, it was discovered that the deceased suffered from kidney disease and his urethra was blocked, so he had to undergo a nephrostomy under local anesthesia.

But no one expected that the deceased would die in the hospital like this.

"That's right. Mr. Tansho's kidney disease was not fatal. The cause of death was not the kidneys, nor was it due to other organs."

The examination report in Makoto Sakamoto's hand, together with the autopsy records, all indicate that the cause of death of Keichi Tanosuke was not in the kidneys, but was definitely related to this local anesthesia surgery.

"Mr. Tansho has stones in the upper right ureter and severe hydronephrosis of the right kidney, with multiple stones. However, from a pathological point of view, kidney disease is not fatal. The problem lies in the treatment process."

After showing the test data to Nakadō Kei, Makoto Sakamoto came in front of Aki Tomoya and explained it to him.

"During the autopsy, we found laryngeal edema, pulmonary edema, and obvious cyanosis of the lips and fingernails. Then, the test results showed that the concentration of MCT in the heart blood was 25.80 ng/mL and the total IgE was 168.12 IU/mL. Both data exceeded normal values."

Laryngeal edema, pulmonary edema, eosinophilia which was not mentioned in Makoto Sakamoto's words, and allergic indicators of heart blood mentioned are all characteristics of allergic reactions.

The normal value of MCT is less than 13.5, and the total IgE is less than 100, but both data of the deceased exceeded the normal value.

Based on the autopsy and three tests, death caused by mechanical injury and kidney disease can be ruled out.

"Dr. Sakamoto, is this a lidocaine allergy or lidocaine poisoning?"

Aki Tomoya looked at the data displayed on the tablet.

The problem occurred during the surgical treatment. Combined with the hospital's explanation that the death was due to anaphylactic shock, we need to investigate the drugs used in this local anesthesia surgery.

Lidocaine was indeed found in the toxicology test.

This local anesthetic drug, which is widely used in clinical practice, can be fatal if used in excess of the standard. Medicine is also a kind of poison and will have an impact on the body.

"Lidocaine poisoning can be ruled out. Comprehensively analyzing the cause of death, it is the same as the explanation given by the hospital: death from acute allergic reaction, that is, death from anaphylactic shock."

Does the result mean that the hospital did not conceal the real cause of death of the deceased?

"Lidocaine allergy, this is really rare, but lidocaine is widely used because allergic reactions are rare..."

Tokai Lin Xizi sighed.

How can I describe this kind of thing? It's like when you are walking on the road and a rock falls from the sky and hits you on the head.

"I don't know whether the bereaved family will accept our explanation..."

Aki Tomoya smacked his lips, had an allergic reaction, and died directly in the hospital. Most people really cannot accept this.

Similarly, the word "allergy" may not sound like a big deal, but after seeing a dead person with your own eyes, it's scary to think about it.

However, UDI is only responsible for autopsy investigations. Medical litigation is a matter between the hospital and the bereaved family, and the results of the investigation are only for reference.

Now you can start writing the report.

Regardless of whether the bereaved families can accept it or not, UDI must inform them of the results.

As for whether they will sue the hospital in the future, it has nothing to do with them.

"Doctor Nakadoh, the attending physician of the deceased Mr. Tansho wants to see you. Are you available?"

"what?"

The deceased's attending physician specially visited UDI today.

The man came to find out the cause of death of the deceased.

The three people from the Zhongtang class arrived at the reception room next door and saw a man who was about 40 years old and dressed in formal clothes.

"Mr. Tansho was my patient. He underwent a local anesthesia surgery on the afternoon of the 2th. There was an abnormality during the puncture. After discovering this, I immediately injected him with 10mg of epinephrine and mg of dexamethasone. Although Mr. Tansho was sent to the ICU for further rescue, unfortunately, the rescue was ineffective. We concluded that he died of lidocaine anaphylactic shock."

Do you mean to say that everything went well during the operation, including the emergency treatment carried out after the abnormality occurred, and the hospital was not at fault?

"If Mr. Tansho's family wants to sue me or the hospital, it would be a waste of effort given the preoperative consent form and the video."

After saying this, the man sighed, as if he wanted the UDI people to convey his message to the bereaved family.

"We are only responsible for the autopsy investigation. Other matters have nothing to do with us."

Zhongtangxi replied unceremoniously.

UDI does occupy a key position in this medical dispute, because whether the bereaved family can gain an advantage in the lawsuit depends entirely on the autopsy report presented by UDI.

However, the fact is that the hospital did not hide any truth or cover up the real cause of death, and the people at UDI were also well aware that this lawsuit would not be easy to win.

"The bereaved family doesn't want to hear our hospital's explanation and takes the hospital to court at every turn. It's a headache for us."

I tried to make the grief-stricken relatives understand, but it was not so easy to gain their forgiveness, otherwise the body would not have been sent here.

But the words of this attending physician sounded a little cold.

I came here just to let UDI convey the message that time should not be wasted, and I have no idea how he felt after his patient died.

"What hospital could have avoided such a tragedy? Our doctors are not gods. We have tried our best to save the patient. People die in hospitals every day. Lidocaine allergy is rare! And our preoperative notice also explained it. I hope you can calm those two down. There is no benefit in suing the hospital."

The deceased's attending physician bit his lip after saying this, and suddenly became a little agitated.

"Excuse me for disturbing you today."

The man lowered his head, stood up and left the reception room, looking like he didn't want to stay here for long.

Zhongtang Xi snorted impatiently and left here in boredom.

The remaining people in the reception room, Tomoya Aki, Makoto Sakamoto, and the director, looked at each other.

"But it is impossible to say that the hospital has no responsibility at all. The court should accept the case, but just like what that person said, the chances of winning are too small."

Kamikura Yasuo sighed.

Based on the conclusions of the current investigation, it is not certain whether the bereaved families will be able to accept it, as they are still angry about the death of their loved ones.

Chapter 198 Whose Responsibility is it (2/?)

"Are you in cahoots with those murderers?!"

Angry roars coming from the reception room next door made people frown.

The director has informed the bereaved family of the results of the appraisal, but was met with angry rebukes.

"That's true."