When Yu Zhiming learned that the body had been delivered to the hospital entrance, he knew that this was a planned abdication.
Although he felt dissatisfied, he did not dare to gamble.
The deceased's mother standing on the roof was just bluffing. She went up there with the determination to die if she failed.
Yu Zhiming understood a little better.
Even if it is just bluffing, if the situation develops to a certain extent, it will force people to jump.
In this case, Yu Zhiming will conduct a thorough examination of the deceased and restore the truth...
Nearly an hour later, in the pathology and anatomy room of the hospital's laboratory department.
Yu Zhiming, who was well prepared, waited for the body of the deceased in the presence of Dr. Han, director of the laboratory department, and Dr. Cui Zhitan, a general surgeon.
In addition to the two young doctors, there was also a man in his thirties with a crew cut who pushed the body over on a gurney.
As soon as he entered the autopsy room, the man with a crew cut knelt down in front of Yu Zhiming and kowtowed.
The other party's sudden action made Yu Zhiming a little confused.
The man with the crew cut straightened his upper body, still kneeling, and met Yu Zhiming's gaze. He said, "Doctor Yu, I kowtow to you on behalf of my deceased cousin and all his family members, young and old."
"We have no other choice but to resort to this desperate measure. We hope that you will understand, Doctor Yu."
"Once this matter is over, my cousin and his family will come to apologize and express their gratitude."
Yu Zhiming said coldly: "Let's put this matter behind us. There's no need to come to my house. I don't want to see any of you again."
"Let's get started. I don't have much time to waste."
As he said this, two young doctors moved the corpse covered with white cloth to the dissection table in front of Yu Zhiming, and then stepped aside.
Yu Zhiming was just about to uncover the white cloth when he saw the man with a crew cut who had stood up not only did not leave, but instead took a step closer to the dissecting table.
"Why are you still here?"
The crew-haired man replied, "I promised my aunt that I would personally watch you, Doctor Yu, perform the examination and inform my aunt and the others of the results as soon as possible."
"Aren't you afraid? I need to be dissected."
The man with the crew cut gritted his teeth and said, "I work as a butcher and I've slaughtered pigs myself."
"He's my cousin, there's nothing to be afraid of!"
"It's up to you. It would be nice if there were family members to witness it."
Yu Zhiming replied casually, and then ordered: "Get him a trash can, so that he won't vomit all over the floor."
After he said this, he no longer cared about the man with a crew cut. He reached out and lifted the white cloth and threw it aside.
The naked body of a middle-aged man was completely revealed in front of Yu Zhiming.
The body had been thawed by warm air, but because it had been frozen before, it looked a little bluish and soft.
Yu Zhiming immediately noticed the sutured wound about 20 centimeters long on the lower abdomen of the corpse.
Apart from this, there were no other wounds on the front of the body.
He reached out his hand to the left chest of the corpse and carefully examined the heart for a while.
No organic heart disease or signs of myocardial infarction were found.
Yu Zhiming speculated that the cardiac arrest was most likely caused by neurogenic reasons.
He lifted the body again and saw an obvious puncture wound between the second and third lumbar vertebrae.
He examined the puncture wound and found out that the anesthetic needle had entered the interspinal space and reached the subarachnoid space.
Laying the body flat, Yu Zhiming removed the sutures on the incision on the lower abdomen, and then used a dilator to expand the incision to expose the surgical site.
Yu Zhiming saw the manually sutured colon.
This surprised him a little.
Since the invention of the intestinal stapler, intestinal anastomosis has basically been performed using this convenient and efficient device, and manual anastomosis and suturing are rarely performed.
However, using an intestinal stapler requires removing a small section of the intestine.
Considering that the deceased had colon necrosis, the necrotic colon needed to be removed. In order to retain as much colon as possible, it was reasonable to use manual suture of the intestine.
However, after seeing the location of the anastomosis during the colon surgery, Yu Zhiming had a clear idea of why the deceased had suffered cardiac arrest.
During the intestinal anastomosis surgery, the colon mucosa is stimulated, and the intestinal tract is pulled, causing vagus nerve excitement and activating the cardiac inhibitory center, leading to cardiac arrest.
The reason why the vagus nerve is excited and the cardiac inhibitory center is activated during surgery is most likely due to incomplete anesthesia blockade.
Although anesthetic drugs suppressed the pain, they failed to eliminate the intestinal traction reflex and activated the cardiac inhibitory center?
Yu Zhiming had seen such cases in medical journals, and more than one!
So, the person who is really responsible is the anesthesiologist?
Yu Zhiming, feeling that he had discovered the truth, could hardly hide his excitement. He reached out and grabbed the intestinal anastomosis site, rubbing it in his hands to find more evidence.
The next moment, Yu Zhiming heard the sound of vomiting, "Uh uh..."
He glanced disdainfully at the man with a crew cut who was vomiting non-stop while holding a trash can, and casually asked, "What are the titles of the two surgeons who performed the operation?"
"Just a doctor, uh..."
"He's the deputy chief physician, uh..."
"My cousin's family also used some connections, uh..."
Yu Zhiming said confidently, "It's not one doctor, but two doctors, and their styles of incisions are very different."
The crew-haired man, trying hard to suppress the urge to vomit, asked anxiously with a pale face, "Doctor Yu, are you sure that two people performed the surgery on my cousin?"
Yu Zhiming said in a deep voice, "One person's incision is very experienced. The other person's incision is irregular, obviously lacking experience. He is most likely a young resident."
"Such an obvious difference, I won't make a mistake."
The man with the crew cut said excitedly, "Doctor Yu, Doctor Chang said he performed the surgery alone. During the medical malpractice investigation, he also said he performed the surgery alone."
"Doctor Yu, do you mean that he lied?"
Yu Zhiming nodded and said, "If he really insists that he performed the surgery from start to finish without anyone else's involvement, then he is definitely lying."
The man with the crew cut pressed on, "Doctor Yu, he lied. Does that mean he's fully responsible for my cousin's death?"
this……
Yu Zhiming replied cautiously, "I can't say for sure about that. You should clarify the responsibility through legal channels."
"Actually, in my opinion, your cousin's cardiac arrest was most likely the anesthesiologist's fault..."
Before Yu Zhiming could finish his words, he saw the man with a crew cut take out a cell phone from the outer pocket of his shirt.
"Auntie, did you hear that?"
"Doctor Yu confirmed that two people performed the surgery on my cousin, not him alone."
"He lied."
The crew-haired man yelled, "That bastard lied, Auntie. Let's call the police and seek justice for our cousin."
He shouted again: "My cousin died unjustly..."
Yu Zhiming was given a headache by his noise, and then signaled to the two young doctors beside him to get this guy out.
This time, the man with a crew cut did not insist and left the pathology and anatomy room reluctantly.
After this person left, Cui Zhitan sighed.
"Doctor Yu, I can confirm that Dr. Chang lied because he allowed an intern who was not qualified to perform the surgery to participate in the operation."
“This is not allowed according to regulations.”
"It's just that he didn't expect an accident to happen during the operation. In order to avoid taking responsibility, he lied."
Cui Zhitan added: "That intern is most likely his close nephew or nephew."
Yu Zhiming nodded in understanding.
If you confess the truth at the beginning, it would be easy to deal with. You will just be punished and have to pay compensation.
Now that the matter has become a big deal and has had a social impact, and has been investigated, the only result is severe and strict punishment.
This also made Yu Zhiming alert.
You must abide by the rules when doing anything, so that even if an unexpected situation occurs, you can face it calmly and openly.
In order to cover it up, a small mistake will not become a big one, which will become unmanageable.
Yu Zhiming sighed, stopped thinking about it, and said, "Doctor Cui, Director Han, I suspect the anesthesiologist's anesthesia was not appropriate, which activated the cardiac inhibitory center during the operation and caused the deceased's cardiac arrest!"
Cui Zhitan said with interest: "Tell me in detail..."
Yu Zhiming recounted his analysis and judgment in detail.
Cui Zhitan and Director Han also examined the body and looked through the surgical records and medical accident appraisal report left by the man with the crew cut.
They both agreed with Yu Zhiming's judgment...
The autopsy was completed around noon.
When Yu Zhiming came out of the pathology and anatomy laboratory, Zhou Mo, who was waiting outside, came up to him and returned the phone he had taken for him to Yu Zhiming.
"Doctor Yu, the results of Zou Xuan's MRI scan at Ning'an Hospital are out, and there are indeed findings."
Yu Zhiming walked outside without stopping, signaling Zhou Mo with his eyes to continue.
"MRI images showed that Zou Xuan's hypothalamus had several small calcification spots."
"Doctor Yu, this should be easy to treat, right?"
Yu Zhiming explained: "The hypothalamus is located deep in the brain and is difficult to operate on. It can only be treated with medication."
"In her case, even if the calcification is small, it will take quite some time to alleviate the symptoms."
Zhou Mo smiled proudly and said, "Finding the problem is much better than being at a loss as before."
"They will only be grateful to you."
Yu Zhiming smiled softly, and then heard Zhou Mo say, "The director asked me to tell you that the woman from Hangzhou went downstairs after receiving the news from here."
"She has been taken away by the police and will probably be punished for public order violations."
After a pause, Zhou Mo continued, "The director also said that you have done what you should do in this matter."
"Don't get involved in the rest of the matter. Just let the relevant departments in Hangzhou handle it themselves."
Just then, Yu Zhiming's cell phone rang.
It’s a call from Teacher Qi Yue.
"Zhiming, Dr. Chang's nephew, a seventh-year student at Binhai University Medical School, admitted to participating in the operation..."
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