"A case of treatment failure?"

"You can say that."

“This statement is a bit ambiguous!”

Nishikino Maki, who was unaware of the hidden truth, chuckled.

Aki Tomoya shook his head slightly and deleted the email silently.

It’s not that the treatment failed, but that the attending physician did not consider the possibility of recurrence of aortic dissection at all, which led to the patient losing the chance of survival.

Chapter 453: Pretty brave!

The actual cause of death was respiratory and circulatory failure caused by aortic dissection rupture, penetration of the esophagus and massive bleeding.

The hospital gave the diagnosis of respiratory and cardiac arrest following severe hemoptysis.

The former was the conclusion drawn from a subsequent more thorough pathological autopsy, and the latter was after the patient died in the hospital. Some were attributed to laryngitis and did not involve aortic dissection.

The ENT department affiliated with the University of Tokyo gave the following explanation: first, they did not conduct a more thorough pathological dissection; second, they might have figured out the cause of the heavy bleeding at the last moment.

The history of aortic dissection that they had always ignored.

"Even after surgery, there is still a possibility of re-rupture. When it ruptures again, the patient's left recurrent laryngeal nerve and esophageal wall are compressed. The body is already sending dangerous signals and the patient chooses to seek medical treatment. However, after the medical history was informed, the patient was only treated for laryngitis and vocal cord paralysis, and finally suffered from massive bleeding and respiratory and circulatory failure. Isn't this a terrible misdiagnosis?"

After completely deleting the email, Tomoya Aki casually said to Maki Nishikino who was standing beside him.

Whether it was that the ENT doctor did not have enough knowledge about aortic dissection, or that he was arrogant and felt that everything was under control, the fact is that the patient died.

After the bereaved family members learn the true cause of death, they will be held accountable for medical malpractice.

This is an obvious development.

When the bereaved family members find out that the patient had the opportunity to receive proper treatment, but his past medical history was not taken seriously, which eventually led to irreversible consequences, they will choose to sue the attending physician out of anger.

"That's really scary..."

This tragedy could have been avoided with a little more care, but it has now become irreversible and resulted in the patient's death.

Although she didn't know what exactly happened, she was able to hear some key information from what Tomoya Aki said.

Misdiagnosis and missed diagnosis: even after the patient provided his medical history, the attending physician did not pay attention.

In the end, people simply thought that the patient only had laryngitis and vocal cord paralysis, and missed the best time for treatment.

If the problem can be discovered quickly and surgery arranged, the patient still has a chance of survival.

But now, the patient has become a cold corpse lying on the dissection table.

At the same time, Nishikino Maki noticed something different on Tomoya Aki's face.

It's very strange, but I can tell you exactly how strange it is.

At this time, Tomoya Aki was not only thinking about the fault in this medical accident, but also whether his good friend Takagi Sai would really go to serve as a witness for the bereaved family and stand against the university hospital if the lawsuit really went to court.

Of course, doing so is the right thing to do, it couldn't be more right and it is full of justice.

As a person involved, Takagi also recommended a re-examination for aortic dissection when he knew the patient's medical history and the attending physician was aware of the patient's medical history.

As a result, this point was rejected. This is quite critical and may become a fatal point for the Tokyo University affiliation.

It would be fine if the attending physician lacked knowledge about aortic dissection, but the key point is that others had reminded him, but the attending physician still insisted on his own way. There is really nothing to say.

Takagi's testimony as a witness will be a crucial link and will probably determine the direction of the judgment.

Therefore, Takagi is indeed a suitable candidate and a necessary link to represent the side of justice.

But if he did that, no matter which side won the lawsuit, he would not want to continue staying in the university hospital.

At least university hospitals in Tokyo and even in the entire Kanto region would not welcome such people.

There is a high possibility that he will be transferred to the countryside.

Akitomo is also worried about Takagi, but not about his future.

Because no one needs to worry about Takagi's future.

The worst that can happen to this guy is that he returns to Kyoto early to inherit the family business.

What he was worried about was that Takagi would be bullied in the university hospital because he would be completely isolated after becoming a patient of the family of a deceased patient.

Such a result was bound to happen after Takagi decided to be a witness and testify for the people outside.

The incident happened in the ENT department of the Tokyo University Affiliated Hospital, but if it were to be exposed, it would affect the reputation of the entire Tokyo University Affiliated Hospital.

The University Hospital, with its famous white tower, represents the authority of the Japanese medical community and is watched by countless eyes.

"You must hold on..."

Aki Tomoya already had a prediction in his mind.

Takagi will definitely choose to stand against the university hospital. Since he has decided to speak out for this matter, he will definitely not regret it.

And he will also suffer undue blame for such a decision.

……

A week later, the news of the lawsuit against the Tokyo University affiliated school was published on newspaper headlines and broadcast on television.

But there was one very eye-catching content that Tomoya Aki and Mashima could not ignore.

A trainee doctor at the University of Tokyo Medical Hospital will serve as a witness and provide testimony for the plaintiff.

In other words, they want to publish unfavorable content against the hospital of their alma mater.

Just like what Tomoya Aki thought, after learning the true cause of death of the deceased, the bereaved family filed a lawsuit and demanded a determination of medical damages.

The Tokyo University affiliated school naturally acted very tough. They had to be tough because the deceased's family was determined to sue them and had no intention of discussing any private settlement.

However, the Tokyo University affiliated school might not have thought that there would be people inside who would help people outside and cause trouble for their own people.

"That's Takagi-kun!"

Majima said to Aki Tomoya worriedly.

The newspapers and TV stations have explained the whole incident very well. It was just a case of aortic dissection rupture after surgery that was misdiagnosed as acute laryngitis and vocal cord paralysis.

After being admitted to the ENT department of the University of Tokyo, the attending physician did not pay attention to the aortic dissection, which eventually led to the patient's death from massive bleeding and respiratory and circulatory failure.

"Who else could it be but him? Sure enough, he chose this."

Aki Tomoya smiled, but there was no smile in his expression.

Even though his name and appearance have not been revealed, since Takagi has made this choice, his hard days are about to begin.

"Your friend is really young and hot-tempered. He is going against the university hospital..."

Yoshida Aoba came over at some point and sighed softly beside them.

He thought that the Tokyo University affiliated hospital would be plagued by medical disputes, which is something that all hospitals often encounter.

However, what he didn't expect was that someone would stand up and openly resist the university hospital.

That's really courageous!

Chapter 454 I Won’t Be a Mute

When Tomoya Aki heard the words "young and vigorous" from Yoshida Aoba, there was no smile on his face.

I was in a university hospital, but now I chose to stand on the opposite side.

To some people this may be youthful vigor, which may not be a wrong description, but Akitomo is reluctant to call it appropriate.

Using this to describe Takagi is too shallow.

All Takagi did was stick to his principles.

"No matter what the outcome of this matter is, your friend can forget about staying in the Tokyo University Affiliated School anymore."

Yoshida Aoba looked regretful.

In his opinion, a guy who is just a medical trainee should not stand up.

University hospitals are pretty brutal.

Exclusivity, and solidarity.

It's ironic that in a place like a hospital, there are power struggles and changes, but at some point, everyone will unite.

As they always said in college, there are no outsiders in the medical department.

This is especially evident in the University of Tokyo School of Medicine.

But the key point of this matter is that Takagi should have been an insider in the university hospital. There is no need to elaborate on the cost of speaking for an outsider.

To be this hero, you naturally have to be determined to pay the price for a comeback.

Regarding the price mentioned by Yoshida Aoba, Akitomo had no intention of refutation.

At least in the university hospital in Tokyo, Takagi can forget about it from now on.

The influence of the Tokyo University affiliated school is not limited to Tokyo, and Takagi is just a trainee doctor now.

After this matter is over, I will probably be transferred to a remote area. If I don’t accept the transfer, I will have to resign or apply to other university hospitals.

Perhaps he doesn't even have the chance to resign, because he is just a trainee doctor now.

Today's trainee doctors also have the option of going to other hospitals for training.

However, don’t even think about going to a good university hospital.

The person who was kicked out of the Tokyo University affiliated school was standing on the opposite side of the university hospital and causing trouble for his own people.

"You don't look too worried about your friend?"

Yoshida Aoba noticed that Aki Tomoya's reaction was not as excited as he had imagined, and couldn't help but ask curiously.

Logically speaking, Tomoya Aki should be quite worried about his friend's future right now.

Did he only offend the Tokyo University affiliated school and his alma mater?

No, to put it in the smallest detail, not to go that far, but all the hospitals in the entire Tokyo metropolitan area that are affiliated with the Tokyo University Medical Hospital are on the blacklist.

The profession of doctor is very popular in Neon.

Especially after the reform, it is harder than ordinary jobs, but it also has more security.

As a medical trainee just after graduation, you can earn at least 300,000 yen a month. This is the baseline, and your life is much better than that of most graduates.

The average annual income in Japan is around 4 million yen, and most people's salaries increase based on their age and length of service, and doctors are no exception.

But in terms of starting point and legal income, medical graduates are much better off.

The average salary for a typical graduate is 220,000 yen, and it would be good if they can get 190,000 yen after tax deduction.

However, the treatment of trainee doctors in Japan has increased a lot now. The baseline salary for trainee doctors in university hospitals is 300,000 yen excluding subsidies, and those in the Tokyo University affiliated hospital can earn more than 4 million yen in the first year.

As for Tomoya Aki, since he works in a private hospital, he has calculated that without the year-end bonus and various subsidies and benefits, his salary before tax is probably over 6 million.

After the medical reform, my financial future is truly guaranteed, and it is true that my starting point is higher than most people. There is a reason why the profession of doctor has been among the top three in Japan for so many years.

On the surface, doctors earn a lot, and better doctors naturally earn more.

In terms of financial prospects and career, before the reform, Japanese medical students had to meet age and qualifications requirements. However, now private hospitals are eligible to accept medical trainees, breaking the monopoly of university hospital medical departments, and the minimum security is much better than most professions.

"He doesn't want us to worry too much. This guy thinks very clearly..."

Akitomo said helplessly.

Takagi doesn't need others to worry about his money or future.

No matter how bad this guy is, he can always return to Kyoto to inherit the family business.

He does have the capital and the confidence to resist the injustice of the university hospital.

Akitomo had to admit that if it were him, as the trainee doctor involved in the incident, he would probably have a lot of hesitation.

After what happened to Takagi, she definitely couldn't stay at the Tokyo University affiliated school, but at least she could still return to Kyoto.

But it would be a lie to say that I'm not worried at all.

They went to serve as witnesses and accuse the Tokyo University affiliated school. All of those people who had good relations with the school were very worried about Takagi.

Standing against the University of Tokyo affiliate is no joke.

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