I, Tomoya Aki, am not a bootlicker

When working as a trainee in a university hospital, one just needs to be obedient. Before the end of the trainee period, they have no responsibilities, so they just need to be obedient and others will take the blame.

The best thing is to spend the medical training period safely.

"Of course I understand this..."

Aki Tomoya replied somewhat helplessly, then thought of Takagi's last reply to him.

Gao Mu probably wants to try this again.

After all, Takagi is one of the parties involved.

Although Tomoya Aki wanted to help Takagi, he didn't have any good ideas for the time being.

The dim light in the room finally went out, and everything finally returned to silence.

The next morning, Aki Tomoya saw Moriyama again. They did not mention anything about what happened last night, but just went about their morning rounds according to the rules.

During the lunch break, after thinking for a long time, Tomoya Aki finally found Ichiru Sasaki after asking Moriyama.

"…Have you told Dr. Moriyama about this before?"

"I said that, and then I had no choice but to seek Dr. Moriyama's consent and come to see you, Dr. Sasaki."

Before coming to see Sasaki Ichiru, he also sought Moriyama's consent.

However, this can be considered as skipping a level.

I don’t know what Moriyama is thinking.

But this is not a university hospital after all, and there is no exaggerated and strict hierarchy. If we think optimistically, there shouldn't be too many problems.

Sasaki thought about it for a while, and after a while, he did not discuss what he said with Aki Tomoya, but told Aki Tomoya: "You should follow Dr. Yoshida from now on, before you rotate to the ICU."

He did not ask whether he wanted to help or not, but instead changed the supervising doctor for Tomoya Aki.

This made Akito a little surprised.

No hope?

Sasaki Ichiru doesn't want to take care of this matter?

Aki Tomoya sighed slightly in his heart and didn't say anything else. Instead, he said some polite words and left.

After leaving the department, he wanted to report to Yoshida Aoba. In the next month and a half, Yoshida Aoba would be his instructor instead of Moriyama who had outstanding abilities in large blood vessels.

But Yoshida Aoba has been missing since the morning. He was said to be taking a rest today. I guess he went somewhere to relax.

But it's really rare. Even if he was taking a rest, it was the first time I saw him leave the hospital and rest outside.

We'll talk about it after he comes back, along with his new supervising doctor, Yoshida Aoba.

Whether this is a good or bad thing, Aki Tomoya doesn't know what to say for the time being.

But it shouldn't be bad, at least Sasaki Ichiru didn't arrange anyone else to lead him, but let Yoshida Aoba be in charge.

According to Yoshida Aoba's position in cardiac surgery, it is not bad, but it cannot be said to be too good. I don't know where Sasaki Ichiru came up with this decision. Is he considering Moriyama?

But this is not what Aki Tomoya cares about now. He cares more about Takagi.

……

"The ENT department at the Tokyo University Affiliated Department is still led by Professor Taniguchi, right?"

Yoshida Aoba returned to the department and came to Sasaki Ichiru and asked.

"That's right. We have been gone for so long and have changed a group of people. Only those people have not been replaced."

Sasaki Ichiru answered.

"You're actually still concerned about what's going on there. What's the matter?"

"Nothing, just met up with someone I knew before, and he helped me confirm a small thing."

He knew someone at the cardiac surgery department of the University of Tokyo, and asked that person to help him confirm it.

"He's willing to help?"

"How is that possible? How dare you interfere in other departments' affairs without their consent? I just asked him to check the situation... You seem to know everything. Has An Yi-kun contacted you?"

Really just asking for help to confirm the situation.

But as for help, even if they know someone in the Tokyo University affiliated hospital, they would not get involved, because after all, the patient was admitted to the ENT department, not the cardiac surgery department of the Tokyo University affiliated hospital.

It would be better to say that because of this kind of thing, there are still people waiting to watch the fun.

"Even if you ask me to ask Director Monobu for help, Professor Taniguchi doesn't have a good relationship with him. If he finds him, let alone whether it will be effective, the young man who told Amami-kun about this will probably have a lot of troubles before the end of the rotation."

Regardless of whether it is effective or not, if they go over to give a reminder and they don’t appreciate it, and the things they are worried about happen, then who leaked the information in the university hospital?

What will happen if we find out who leaked the information?

To be honest, Sasaki Ichiru didn't want to interfere in this matter, let alone tell Director Mononobe.

"And don't forget how we were kicked out of the university hospital."

Sasaki Ichiru reminded Yoshida Aoba that he'd better not have too many thoughts.

"...They always fight like this without any bottom line. We are no longer in the university hospital. Can't we do this?"

Yoshida Aoba said sarcastically, and then planned to go find Director Mononobe himself.

Looking at his back, Sasaki said suddenly, "You should finish your own business first. What's the point of hiding in the hospital and not going home?"

"It's not your turn to remind me!"

Yoshida Aoba went to find Director Monobe angrily.

The director of the property department, who knew about these things, became interested, but gave him a perfunctory answer.

Three days later, Tomoya Aki received an excited scolding from Takagi, and he could only vent his anger through words.

On the fifth day of the patient's admission to the hospital, he suddenly suffered from bleeding from the mouth and nose, respiratory and cardiac arrest, and died after failed rescue efforts.

The clinical diagnosis given by the Tokyo University Affiliated Hospital was that the cause of death was respiratory and cardiac arrest following massive hemoptysis.

On the day before the patient's death, he had a fever again, obvious throat pain, cough, sputum, and chest pain when coughing, but they only gave him cough and expectorant treatment.

"I want to suggest that the deceased's family conduct a more thorough pathological autopsy!"

"Have you thought it through?"

"At worst I can go back to Kyoto!"

Chapter 452 Autopsy Report

Return to Kyoto?

Upon hearing this, Amaki Tomoya couldn't help but bite his lip. He could tell how determined Takagi Sai was.

This was at the cost of his future as a member of the University of Tokyo.

A more thorough pathological autopsy will be conducted and handed over to a forensic agency to determine the cause of death and identify medical errors.

"If you go to the bereaved family and serve as a witness, do you want to go back and inherit the family business now?"

Aki Tomoya asked worriedly.

It's not as simple as just returning to Kyoto.

He was going against the university hospital.

No matter how hospitals, regions, and internal organizations fight with each other, they are all family members in the end.

He switched sides at the Tokyo University affiliated school. Instead of returning to Kansai, his father's arrangement allowed him to continue working as a trainee doctor at a university hospital and wait to be transferred to become a formal doctor.

Competition between university hospitals is fierce, but at times like this, they are quite united.

Even if a doctor has a conscience, he can only shut up under the general trend and the pressure of reality.

Of course, Takagi's family owns a hospital in Kyoto, so he has the right to say, "At worst, I can just go back to Kyoto!"

But with such deeds, the university hospital would not welcome him, and returning to his hometown in Kyoto would really mean returning to his hometown in Kyoto to inherit the family business.

But maybe he can also endure for two years, study abroad, and continue to choose the neurosurgery he wants.

In fact, he doesn't need others to worry too much, but whether it is worth it or not, Akitomo is not sure.

"Takagi, you still want to go into neurosurgery, right?"

"It's the same when you go abroad after completing your training as a doctor."

He really said so.

But as his good friend, Akitomo knew very well that Takagi did not want to go to a foreign country, and he would rather stay in Japan.

Takagi is from Kansai, his hometown is Kyoto, and he has been in Tokyo for six years, but after all, Tokyo is not far from Kyoto.

If he didn't miss home, he wouldn't have pestered them so often and acted so lonely.

"We must fight the lawsuit and make them feel the pain!"

Even if you just go as a witness, it's fine.

Accusing the Tokyo University Medical Hospital and acting as a witness as an insider, Takagi is not simply the enemy of the Tokyo University Medical Hospital, but the entire university hospital.

He firmly believed that there would be lessons to be learned from mistakes.

Akitomo also knew very well that he could never change Takagi's decision.

If he really wanted to help him, he should provide solid advice now.

To do a more thorough pathological autopsy, it is important to entrust this matter to a neutral and authoritative organization, which must be carried out.

And it has to be done quickly, otherwise, as we all know, the family members may choose to cremate the body.

"The Forensic Medicine Research Institute where I worked before, are you interested?"

"You mean the UDI? Is that okay?"

"It is a national research institute after all, with the Ministry of Health, Labor and Welfare and the National Police Agency as its backing. Moreover, when I was there, they had already dealt with the Dongyang University Hospital during the MERS incident. There is no need to worry about the Dongyang University Hospital putting pressure on them."

To be fair, Tomoya Aki, who has been there, knows it better than anyone else.

At least when he was there, the director of a university hospital was brought down because of their UDI investigation results, which exposed the fact of the MERS virus leak.

Similarly, he had experienced many incidents such as medical disputes and medical errors, especially Suzuya, whose father had been indirectly affected by them during his time.

If we leave it to them, we should be able to get a fair answer.

"But you have to be quick. You have to convince the family members as soon as possible to conduct a more thorough forensic autopsy."

Instead of handing it over to a hospital for autopsy, a third-party forensic medicine institution will conduct a pathological autopsy to determine the cause of death, which is more convincing.

Respiratory and cardiac arrest after massive hemoptysis?

This is just the statement given by the hospital. The Tokyo University Affiliated Hospital did not give a clear statement on the actual cause and effect.

……

Following Aki Tomoya's advice, Takagi secretly contacted the deceased's family, informed them that there was another hidden story behind the deceased's death, and suggested that they perform a more thorough pathological autopsy.

As a semi-collaborator, Aki Tomoya contacted UDI after a long time and explained some of the situations he knew in advance.

A week later, UDI gave Tomoya Aki, who had been concerned about this matter, an appraisal report that he could reveal to him.

"Male, 12 years old... A blood clot was attached to the left anterior wall of the esophagus 17-7 cm below the epiglottis... A hard object could be felt on the left side of the corresponding esophageal wall... The esophagus was separated, and necrosis and erosion of the esophageal wall were found where the blood clot was attached. The edges of the residual rupture of the esophagus were blunt... There was a 2.0cmX1.5cm rupture in the intima of the left wall of the descending aorta 6 cm below the aortic arch. The edges were irregular and the texture was hard. There was a 3Xcm3cmX cm cystic tumor in the interlayer at the rupture, and a large amount of blood clots were attached..."

During the lunch break, Tomoya Aki stayed in the department and looked at the report sent in the email.

He stared at the appraisal given over there, thinking in his heart.

"Ami-kun, is this the autopsy report?"

Suddenly, a female voice sounded in my ears, and Nishikino Maki had returned without me noticing.

"I just found a random report and read it..."

"Hmm...did you see anything?"

She didn't read the report carefully, but just glanced at it and read a little bit.

The report did not contain much content, so Tomoya Aki could only analyze it based on what he knew.

"Aortic atherosclerosis, aortic dissection, aortitis, subacute aortic dissection, esophagitis, esophageal wall necrosis, aortic dissection after stenting..."

He paused for a moment, then continued, "The esophageal wall was necrotic and eroded at the site where the blood clot was attached, and a residual rupture of the esophagus was seen inside. There was a 6XcmX3cmX3cm cystic tumor in the dissection at the corresponding aortic rupture. Combined with the pathological changes, it is considered that the aortic dissection compressed the esophagus for a long time, causing degeneration and necrosis of the esophageal wall, compressing the recurrent laryngeal nerve and causing vocal cord paralysis. Eventually, the tumor continued to expand and broke through the degenerated and necrotic esophageal wall and ruptured and bled, followed by symptoms of vomiting blood, and finally massive bleeding led to respiratory and circulatory failure and death."