I, Tomoya Aki, am not a bootlicker

He looked at Aki Tomoya worriedly.

"…Mashima, do you think I'm too arrogant for bothering with something that's none of our business?"

In the hospital corridor, Aki Tomoya whispered.

Moriyama's hesitation made him wonder if he was too arrogant.

Just because of Takagi's complaint, he is going to meddle in other people's business.

Maybe he should be the one to remind Takagi not to meddle in other people's business.

but……

Things shouldn't be like this.

"The overly arrogant ones are probably from the University of Tokyo."

"Oh, don't say that. Speaking of Dongda, you and I both graduated from Dongda, and we are all a bunch of arrogant people."

Aki Tomoya sneered.

Instead of giving him any comfort, Majima's words made him feel pretty fucked up.

He could even imagine what the consequences would be if the ENT department of the Tokyo University affiliated hospital still only treated laryngitis and vocal cord paralysis, and the patient's aortic dissection really ruptured.

"When the dissection penetrates the trachea and esophagus, hemoptysis and hematemesis occur. When the dissection compresses the superior vena cava, vena cava syndrome occurs, which then compresses the trachea..."

He whispered softly.

"The aortic dissection compresses the esophagus for a long time, causing the esophageal wall to degenerate and necrotize, compressing the recurrent laryngeal nerve and causing vocal cord paralysis. Eventually, the tumor continues to expand and breaks through the degenerative and necrotic esophageal wall, rupturing and bleeding..."

What will happen in the end?

What are the possibilities?

"Aortic dissection ruptured and penetrated the esophagus, causing massive bleeding and respiratory and circulatory failure and death."

Aki Tomoya expressed his imagination somewhat indifferently.

"I can understand that the otolaryngologists affiliated with the University of Tokyo lack knowledge about aortic dissection, ignore the symptoms of Stanford type A aortic dissection, lack experience, and cause misdiagnosis, but we are in the cardiac surgery department, right?"

The patient had a history of hypertension and hyperglycemia, Stanford type A aortic dissection, and had undergone ascending aorta replacement and aortic arch and descending aorta stent implantation.

It is understandable that ENT physicians lack knowledge about aortic dissection.

However, after learning the medical history of the patient mentioned by Takagi, Tomoya Aki, who works in the cardiac surgery department, could not ignore this fact.

He knew very well that if the aortic dissection ruptured again, causing compression of the left recurrent laryngeal nerve and resulting in vocal cord paralysis, this would be a dangerous signal from the body.

Majima silently looked at the current Aki Tomoya. He didn't look like a resident trainee who had just completed half a year of training. Instead, he looked more like an experienced cardiac surgeon.

He admired his friend's abilities, but he didn't know how to comfort his friend Tomoya Aki at this moment.

Because Moriyama, who was still on duty in the department, was also a doctor who graduated from the University of Tokyo like them. Since the matter was related to the university hospital, he was worried and did not agree to go and remind them.

As for them...

They are just medical trainees and there is a limit to what they can do.

"I don't know how to tell Takagi. I thought he was waiting for my news, but now, I can't let him meddle in other people's business."

Akitomo sighed helplessly.

Unlike them, Takagi is currently rotating in the ENT department of the University of Tokyo.

The patient was also within his reach.

Considering the patient's medical history, Takagi had already reminded him, but the result was also that Takagi was taught a lesson.

Takagi lost to someone's arrogance.

Some people always think that everything is under control, which is precisely unnecessary arrogance.

"Then let me tell you, this matter shouldn't have made you like this..."

Majima still looked at Aki Tomoya worriedly.

He had already taken out his cell phone, ready to contact Takagi and ask him to stop "meddling in other people's business" and just watch the fire from the other side of the river.

"No, I'll do it."

Aki Tomoya shook his head, took out his cell phone, and found Takagi on Line again.

When contacting Takagi again, the first words of Aki Tomoya were -

"Feel sorry……"

Chapter 450 Hippocratic Oath

"Sorry, please stay out of this matter."

Aki Tomoya said this to Takagi.

At 11:20 at night, after waiting for a long time, Takagi frowned after receiving a reply from Aki Tomoya.

"Why, didn't you say that maybe my worries weren't unnecessary?"

"Indeed, so if you don't want any trouble, just keep quiet for now until the rotation is over."

After hearing these words, Gao Mu couldn't help but sneer.

That's what Aki Tomoya said, which means the risk is established.

He didn't care, no one cared about his opinion anyway.

But at this time, Takagi wanted to know more details.

"Would you mind telling me more about it?"

"If aortic dissection ruptures again after surgery, then in the first stage, only treating acute laryngitis and vocal cord paralysis will lead to serious consequences."

That's right, if his concerns are true and someone still insists on having his own way, then Takagi had better not get involved in this matter anymore.

Anyway, when it comes down to it, their medical trainees have no clinical responsibilities, so there is no need for them to get involved in this muddy water.

"Just let me deal with the worst outcome."

"The worst outcome is that one's life is in danger. Do you still want to intervene in this matter? Even if I give you sufficient reasons, will anyone listen to your advice?"

“But this is not something that can be watched from the sidelines.”

Takagi knew that Akitomo was also telling him not to talk too much.

Takagi had no idea what Tomoya Aki did during this period of waiting.

But if the concerns are true and something really happens to the patient, the attending physician must be held responsible.

Thinking about how he was scolded for saying a few words, Takagi felt unhappy.

Even if there is an opportunity to sit back and watch, he can still wait for his supervising doctor to get into trouble.

But speaking from the bottom of our hearts, this is not something we can just sit back and watch.

"…I personally don't recommend you to talk too much."

"Don't worry about it. It's not my fault. It's clearly my business, but I made you worry. Anyway, let's stop here. I will find a way to make that guy listen."

Takagi didn't want Aki Tomoya to worry about this matter anymore. He himself was already very upset because of being taught a lesson.

Although he didn't know what Aki Tomoya had done during this period of time, at least Aki Tomoya's reply made him feel that his worries were not unnecessary.

"That's it anyway. Go to bed early. I'm sleepy too."

He ended the topic directly and had no intention of continuing to talk to Tomoya Aki about this matter.

This is their own business as a subsidiary of the University of Tokyo. Now that Tomoya Aki is in the Kanto General Hospital in Taito District, there is no need to worry about it.

Takagi will try his best to find a solution for what happens next.

After giving Majima beside him a helpless look, Tomoya Aki said goodbye to him and returned to his room.

"It's so late, is there something wrong?"

Yoshida Aoba woke up in the middle of the night and heard some noise at the door, looking towards Aki Tomoya.

He checked the time, thinking something was wrong.

Aki Tomoya shook his head, indicating that there was nothing worthy of Yoshida Aoba's help.

Sitting on the bed, Aki Tomoya thought about it again and couldn't help asking Yoshida Aoba: "Doctor Yoshida, if you knew that a famous patient in another hospital might have been misdiagnosed or missed, and it was a matter of life and death, would you remind him?"

Yoshida Aoba narrowed his eyes and asked sleepily, "What hospital?"

"University Hospital."

"Tsk, then just stop interfering. Forget it, a private hospital is reminding a university hospital. It's not the private hospital's turn to interfere in a university hospital."

Yoshida Aoba sighed.

If you think about it carefully, the university hospital has long represented the authority of the Japanese medical community, and the white tower is not just talk.

If private hospitals interfere in the affairs of university hospitals, they will just be asking for trouble or wasting their efforts.

Coming from a university hospital, it was easier for him to understand how stubborn some people were.

"Have you ever encountered a similar situation?"

Yoshida Aoba thought that it was impossible for Aki Tomoya to ask him such a question on a whim.

He must have encountered some similar situation.

"...My classmate at the Tokyo University affiliated school told me about the situation, and I'm personally very worried."

Then, Tomoya Akimoto described in detail what happened tonight.

A patient with a history of hypertension, hyperglycemia, and aortic dissection was admitted to the ENT department of the University of Tokyo due to throat pain. However, due to the ENT doctors' lack of knowledge about aortic dissection and the possibility of re-rupture of aortic dissection after surgery, they only treated laryngitis and vocal cord paralysis.

When Tomoya Aki said that he was worried that the vocal cord paralysis was caused by compression of the left recurrent laryngeal nerve, Yoshida Aoba nodded.

"I am worried that the aortic dissection may have compressed the esophagus for a long time, causing the esophageal wall to degenerate and necrotize, and compressing the recurrent laryngeal nerve to cause vocal cord paralysis. Now we only need to do ** enhanced angiography to know if this is the case. But if we wait until the tumor continues to expand and breaks through the degenerated and necrotic esophageal wall and ruptures and bleeds, it will be terrible..."

Even after expressing his worries, Tomoya Aki still couldn't calm down.

On the other side, Yoshida Aoba propped up his head and looked at him for several seconds, then sighed and said, "You went out just now, didn't you go to see Dr. Moriyama?"

"Yes, that's right. After all, he is my supervising doctor. If there is anything, I will definitely tell him directly."

"Oh, let alone asking Moriyama to help and remind the Tokyo University affiliated department, even if you ask me, I won't do it!"

Yoshida Aoba said helplessly.

They are now working well in a private hospital in Taitung District, so there is no need for them to interfere in the affairs of the university hospital. And to be honest, this matter has little to do with them. The patients are not from their hospital, so they cannot take care of matters that far away.

But the dilemma is that even though we know a person’s life is in danger, intervention now might save the person. However, even if we intervene, it might not have any effect. Is it a waste of effort, or should we just stop here?

"I always feel that if that patient dies, it's as if I watched him die..."

Aki Tomoya didn't want to say that he felt any guilt about this matter, but he certainly couldn't face it calmly.

However, he has fought for it and tried. If there is really no way to save it, he can only say that he has tried his best. At least he has tried it instead of just watching.

"Hippocratic Oath."

Yoshida Aoba muttered something in a low voice, so quiet that only he could hear it clearly.

"Dr. Yoshida? What did you just say?"

Akitomo didn't hear clearly what he just said.

"Nothing, I just feel like another person is about to be kicked out of the university hospital."

Chapter 451 I Can Return to Kyoto

If the worst-case scenario is established and the worst-case scenario happens, someone will indeed be kicked out.

The consequences of making mistakes in a university hospital are not something that anyone can easily deal with.

"Tell your friend not to meddle in other people's business. Although trainee doctors have no clinical responsibilities, if you know there are pitfalls, don't get involved..."

Yoshida Aoba gave him a piece of advice.

To be honest, it is difficult for them to interfere in the affairs of the Tokyo University affiliated school.

When Tomoya Aki suddenly told him this, Yoshida Aoba guessed something.