I, Tomoya Aki, am not a bootlicker

Zhongtang, who was sitting on the dissecting table, didn't even raise his head and replied, "What?"

"Can I ask a question?"

Since he came to UDI, there has always been a question that has made him extremely curious.

“…Don’t ask me what it feels like lying on this.”

This time when he raised his head, Zhongtang Xi almost shouted "bastard". He saw something in the boy's eyes.

It's a pity that we can't ask this kind of question.

An Yilun would not be stupid enough to provoke this bad-tempered boss, and the other party had also made it clear that it was best not to ask.

I turned around and went back to the office. Director Kamikura Yasuo walked in from behind and said, "There is a new job."

Chapter 215 Plague in the Body (2/2)

"The deceased, Mr. Tu Jin, was driving a vehicle when it collided with a van on July 3 and was seriously injured. He was admitted to the hospital for emergency treatment on the same day and died in the hospital six days ago."

Director Yasuo Kamikura explained the situation.

Since there is only one body, only one squad is needed.

This time the work was assigned to the Sancheng class, and the recorder of the Zhongtang class, Tomoya Aki, assisted in the anatomical investigation.

"It's related to the car accident. Do you need a forensic examination? Is it because of compensation issues?"

Tokai Lin Xizi muttered.

It's not like I haven't come into contact with bodies related to car accidents before. As a forensic doctor on the scene, I've been to the scene of car accidents more than once or twice.

"Well, anyway, we just need to find the cause of death."

Misaki Mikoto said while looking at the body.

"I will leave the body to you now. I will take my leave now."

Mu Lin Yunnan from the funeral home said this and carefully walked out of the autopsy room.

The remaining people in the anatomy room were two people from the Sancheng class and the recorder from the Zhongtang class.

The first step is to examine the surface of the body.

"The body is 166cm long... the eyes are extremely sunken... the ribs are protruding on both sides... the abdomen is scaphoid... it is severely malnourished!"

"Yes."

He was seriously injured in a car accident and unfortunately passed away after more than 30 days of treatment. It seemed that he had persisted for a long time.

"A 12.5 cm longitudinal incision was made in the right upper abdomen. The lower third of the incision has not yet completely healed..."

After cooperating with Misaki Mikoto and Tokai Lin Yuko to record the external examination, the autopsy was then performed.

Still using a T-shaped opening, start checking the interior of the body.

When examining the abdomen, multiple organ failure was already evident.

“It’s seriously infected!”

When seeing the scene inside the abdominal cavity, Akitomo couldn't help but sigh.

Not only was the infection found in the chest cavity, but the situation inside the abdominal cavity was even more serious than expected.

"If the human body is a city, then the source of this outbreak of plague is inside the abdominal cavity!"

"Aki-kun, you really are good at using metaphors."

Misumi Mikoto nodded and replied.

She had expected this, but was still a little surprised when she saw the scene inside the abdominal cavity.

A fistula has formed, corresponding to the drainage tube found previously.

Meanwhile, Tokai Lin Xizi, who was standing by, asked with interest while working, "What do you think of Amami-kun?"

"...The source of the plague, the surgical site...The necrosis at the anastomosis site during the duodenal surgery was severe...It couldn't be simply due to the car accident, right?"

Aki Tomoya spoke intermittently, and in the end he was a little unsure of his guess.

In a month, he didn't see many corpses, but it was definitely more than the average person or medical student.

What I learned the most was about pathology.

After seeing the condition of the duodenum surgical site and recording the conditions described by the two forensic scientists next to him, he also subconsciously analyzed it.

The body is extremely malnourished and severely dehydrated, and the surrounding tissues are necrotic, which leads to purulent peritonitis with the formation of abdominal abscesses. Simply put, it is an uncontrollable plague, leading to more serious consequences.

"That's amazing. I'm increasingly tempted to recruit you from the Zhongtang class to our class!"

It's not right to take advantage of the opportunity to poach people, Dr. Dong Hailin!

But then again, although he had such a guess in his mind, he could not be completely sure. After all, he was not an experienced forensic scientist. He was just fortunate enough to come into contact with more corpses than ordinary medical students and knew more pathological knowledge in advance.

Tomoya Aki flipped through the papers on the recording board in his hand and saw that the first page had the deceased's information and happened to record the hospital where he had been before his death.

The deceased, Mr. Tu Jin, was hospitalized at the Affiliated Hospital of Teito Medical University.

"One of the colonies of the University of East Medicine?"

Tomoya Aki remembered what Takagi and Majima told him in the Science 3 class.

Associated hospitals.

The university hospital has many affiliated hospitals, which can be said to be part of the organizational structure of this white tower.

"This duodenal rupture was probably caused by a car accident, so an RY anastomosis operation was performed."

Mikoto Misumi's voice rang in Tomoya Aki's ears. His fingers lightly tapped the pen and then recorded it all.

"It's possible that the death was not caused by a car accident."

Aki Tomoya looked at the body and muttered.

……

After the autopsy of the body is completed, what remains is the pathological examination and examination of the tissue sections.

After that, Akitomo did not follow because he had other things to do.

"An Yi-kun, you also noticed it when we were doing the autopsy earlier, right?"

Misaki Mikoto asked after Aki Tomoya walked into the office and sat down.

"...Well, after the incision, it's clearer than on the surface. There are very few factors that cause death in car accidents now. Instead, problems caused by surgery are more concerning."

He took off his glasses and wiped them with a handkerchief, recalling everything he had seen.

"Duodenum injury, postoperative intestinal anastomosis fistula formation, leading to diffuse purulent peritonitis, extreme malnutrition and secondary multi-organ infection..."

As to whether the cause of death was a car accident or surgery, Tomoya Aki had a vague answer in his mind.

It would be clearer if there were medical records of the deceased during his hospitalization.

However, it is probably impossible for the hospital to provide it.

They may not even know that because of disputes over compensation with the other party in the car accident, the bereaved family sent the body here for an autopsy.

Just now when he went out, out of curiosity, Tomoya Aki asked the director Kamikura Yasuo about the situation of the deceased's family.

"This time the hospital really has a problem of concealment."

In fact, the bereaved family members do not know the real cause of death of the deceased. They believe that the injuries caused by the car accident were too serious and could not be controlled, leading to death.

I'm afraid someone is going to be in trouble at the Imperial Capital Medical University Affiliated Hospital.

"All that's left is Dr. Tokairin's report, right, Dr. Mitsuzumi?"

"Yes, and we also need to analyze the cause and effect relationship..."

Although there is still a level of cause and effect analysis involved, everyone knows it.

"An Yi-kun, there is a high possibility that you will become a good doctor in the future, right?"

At this moment, Misaki Mikoto suddenly looked at him with emotion.

Akitomo was a little confused and asked, "Doctor Sancheng thinks so highly of me?"

"How should I put it? This isn't the first time this has happened. Amami-kun will surely take this as a warning."

"Thank you very much for the compliment."

While chatting about the autopsy investigation of the deceased Mr. Tsuchikane, during the lunch break, Aki Tomoya discovered the message on Line.

I didn't have time to take out my phone, and only now did I see a lot of messages on Line. One was a message from Sayaka Kudo last night, and the other was a message from my childhood sweetheart Eriri.

"Are you asleep?"

It was two o'clock in the morning. It was a pity that she hadn't gone to bed yet!

Then there's Eriri's.

“I’m really looking forward to the 21st!”

It’s not over yet, there’s another one.

"That wasn't sent by me just now!"

Chapter 216 The Landlord’s Silly Daughter (1/?)

WTF?

What the hell?

It was what she said, but it wasn’t what she said, it’s a bit confusing…

"..."

I don't know what's wrong with her.

"You're so concerned?"

After sending the message, he put down his phone and looked at Tokai Lin Xizi who had just walked into the office.

"After a tissue examination, apart from the soft tissue damage, it can be confirmed that it was left over from the car accident. The multiple organ failure of the body did not occur independently, but influenced and interacted with each other, and even caused each other. The fistula at the anastomosis was the cause."

In this case, the problem was caused by the surgery.

"The main cause of death was not the car accident, but the duodenal anastomosis."

You can basically start writing the report.

Because it is related to a university hospital, the analysis and report on the causal relationship is more complicated.

This may be followed by an analysis of the involvement of medical errors.

However, there is no complete medical record of the deceased in the hospital, and they currently do not know about his condition during his hospitalization.

Neither report was easy to write.

But there is one thing they don't have to worry about.

The budget of the UDI Institute for Unnatural Death Research is determined by the Ministry of Health, Labor and Welfare and the National Police Agency, and definitely not by the university hospital.

Some hospitals even have very bad relations with the police, and it is common for them to be rejected when commissioned to perform autopsies and investigations. UDI only needs to do its job well.

There must be no concealment or falsification, and the analysis must be conducted from an objective, fair, and professional perspective.

“I feel like after I finish writing this report, the people at the university hospital will hate me to death!”

Tokai Lin Xizi sighed as she looked at the data in her hand.

People who study medicine in Japan more or less understand the authority or nature of university hospitals.

"It's okay. If I go to the university hospital in the future, I will never admit that I know you all!"

At this time, Tomoya Aki said jokingly.

Misaki Mikoto and Tokai Lin Yuko burst out laughing.

"You are so heartless!"

While I was being criticized by my senior colleagues in the research institute, I received a new reply on my Line account.