The most enlightened doctor

After learning that the body had been delivered to the entrance of the hospital, Yu Zhiming knew that this was a planned incident of forced abortion.

Although he was dissatisfied, he didn't dare to gamble.

The mother of the deceased who was standing on the top of the building was just bluffing and went up with the determination to succeed or not.

Yu Zhiming understands a little more.

Even if it is a bluff, if the situation develops to a certain extent, it can force people to jump.

In this case, Yu Zhiming will do a good examination of the deceased and restore the truth...

Nearly an hour later, the pathological anatomy room of the hospital laboratory department.

Yu Zhiming, who was well prepared, waited for the deceased's body under the witness of Dr. Han, the director of the laboratory department, and Dr. Cui Zhitan, the general surgeon.

In addition to the two young doctors, there was also a short-haired man in his thirties who rolled the body over on a gurney.

As soon as he entered the anatomy room, the short-haired man knelt down towards Yu Zhiming and banged his head.

The other party's sudden move made Yu Zhiming a little confused.

The short-haired man straightened his upper body, still kneeling, facing Yu Zhiming's gaze and said, "Dr. Yu, this head was knocked on by me and my cousin's family on behalf of my dead cousin."

"With this last resort, we really have no other choice. We ask for your understanding, Dr. Yu."

"When this incident is over, my cousin and his family will definitely come to apologize and express their gratitude."

Yu Zhiming said coldly: "This matter is over, there is no need to come to the door, I don't want to see any of you again."

"Let's get started, I don't have much time to delay."

Following his words, the two young doctors moved the body covered with white cloth to the autopsy table in front of Yu Zhiming, and then stepped aside.

Yu Zhiming was about to lift off the white cloth when he saw the short-haired man who stood up not only did not leave, but instead took a step closer to the dissecting table.

"Why are you still here?"

The short-haired man replied: "I promised my aunt that I would watch Dr. Yu do the examination with my own eyes and inform my aunt and others of the examination results as soon as possible."

"Aren't you afraid? I need to dissect."

The short-haired man gritted his teeth and said, "I sell meat in a butcher shop, and I have killed pigs myself."

"He's my cousin, there's nothing to be afraid of!"

"It's up to you. It's okay to have family members witness it."

Yu Zhiming replied casually, and then ordered: "Bring him a trash can to avoid vomiting all over the floor."

After he said this, he stopped caring about the short-haired man. He stretched out his hand to lift the white cloth and threw it aside.

The naked body of a middle-aged man was revealed in front of Yu Zhiming.

The body has been thawed by warm wind, but due to the previous freezing, it looks a little blue and a little soft.

At a glance, Yu Zhiming saw a suture incision about 20 centimeters long on the lower abdomen of the corpse.

Apart from this, there were no wounds on the front of the body.

He put his hand to the left chest of the corpse and carefully explored the heart for a while.

No organic disease of the heart was found, and no signs of myocardial infarction were found.

Yu Zhiming speculated that the cardiac arrest was most likely caused by neurogenic causes.

He lifted the body again and saw an obvious puncture wound between the second and third lumbar vertebrae.

He explored the puncture wound and found out that the anesthesia needle penetrated from the spinous process space here and reached the subarachnoid space.

Laying the body flat, Yu Zhiming removed the sutures on the lower abdominal incision, and then used a dilator to expand the incision to expose the surgical site.

Yu Zhiming saw the manually sutured colon.

This surprised him.

Since the invention of the intestinal stapler, intestinal anastomosis has basically been performed using this convenient and efficient artifact, and manual anastomosis and suturing are rarely performed.

However, using an intestinal stapler requires removal of a small additional section of intestine.

Considering that the deceased had colon necrosis, the necrotic colon needed to be removed. In order to preserve as much of the colon as possible, it was reasonable to use manual suturing of the intestines.

However, seeing the location of the colon surgery anastomosis, Yu Zhiming also had a clear idea of ​​why the deceased suffered a cardiac arrest.

During the surgical anastomosis of the intestines, the colon mucosa is stimulated, and the intestinal tract is stretched, which causes vagus nerve excitement and activates 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 the anesthetic suppressed the pain, it failed to eliminate the intestinal stretch reflex and activated the cardiac inhibitory center?

Because of this case, Yu Zhiming had seen it in more than one medical journal!

So, the real person responsible is the anesthesiologist?

Yu Zhiming, who felt that he had discovered the truth, could not hide his excitement. He reached out to grab the intestinal anastomosis site and rubbed it in his hands to find more evidence.

The next moment, Yu Zhiming heard the sound of vomiting "Uh-huh...".

He glanced at the short-haired man holding a trash can and vomiting in disgust, and asked casually: "What are the professional titles of the two surgeons who performed the operation?"

"Just a doctor, uh..."

"He is the deputy chief physician, uh..."

"My cousin's family also trusted me with connections, uh..."

Yu Zhiming said confidently: "Not one, but two doctors. Their incision styles are very different."

The short-haired man resisted the urge to vomit, and asked eagerly with a pale face: "Doctor Yu, are you sure that it was two people who 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 not regular. It is obvious that he lacks experience. He is most likely a young resident doctor."

"Such an obvious difference, I can't mistake it."

The short-haired man said excitedly: "Dr. Yu, that Dr. Chang said that he performed the operation alone. During the medical malpractice investigation, he also said that he performed the operation alone."

"Dr. Yu, do you mean that he lied?"

Yu Zhiming nodded and said, "If he really insists that he performed the surgery from beginning to end and no one else was involved, then he must be lying."

The short-haired man asked again: "Dr. Yu, he lied. Does that mean that he is fully responsible for my cousin's death?"

this……

Yu Zhiming replied cautiously: "I can't say for sure. You should clarify your responsibilities through judicial channels."

"Actually, in my opinion, your cousin's cardiac arrest is most likely the anesthesiologist's fault..."

Before Yu Zhiming finished speaking, he saw the short-haired man take out a mobile phone from the outer pocket of his jacket.

"Aunt, did you hear that?"

"Dr. Yu definitely said that two people performed the surgery on my cousin, not him alone."

"He lied."

The short-haired man shouted loudly: "That bastard lied, aunt, let's call the police to get justice for my cousin."

He shouted again: "My cousin died unjustly..."

Yu Zhiming was so noisy that he had a headache, and then he motioned to the two young doctors on the side to get this guy out.

This time, the short-haired man did not insist and left the pathological anatomy room half-heartedly.

When the man went out, Cui Zhitan let out a long sigh.

"Dr. Yu, I can confirm that the reason why Dr. Chang lied is because he allowed interns who were not qualified to operate to participate in the surgical process."

"This is not allowed under the regulations."

"I just didn't expect that something unexpected happened during the operation. In order not to take responsibility, he lied."

Cui Zhitan added: "That intern is probably his close nephew and descendant."

Yu Zhiming nodded understandingly.

If you had been honest and clear from the beginning, it would be okay to say that you would only be punished and lose money.

Now that the matter has become serious, the social impact has come out, and if it is found out, the result can only be severe and severe punishment.

This also alerted Yu Zhiming.

You must abide by the rules in everything you do, and even if an unexpected situation does occur, you can face it calmly and openly.

Don't let a small mistake turn into a big mistake just to cover it up, and then get out of hand.

Yu Zhiming sighed and stopped thinking about it. He instead said, "Dr. Cui, Director Han, I suspect that the anesthesiologist's anesthesia was not appropriate enough, which activated the cardiac inhibitory center during the operation, causing the deceased's cardiac arrest!"

Cui Zhitan said with interest: "Please tell me in detail..."

Yu Zhiming described his analysis and judgment in detail.

Cui Zhitan and Director Han also examined the body, and looked through the surgical records left by the short-haired man, as well as the medical accident appraisal report.

The two of them unanimously agreed with Yu Zhiming's judgment...

The autopsy ended at nearly 12 noon.

When Yu Zhiming left the pathological anatomy room, Zhou Mo, who was waiting outside, came up to him and returned the cell phone he had taken to Yu Zhiming.

"Doctor Yu, the results of Zou Xuan's MRI at Ning'an Hospital have come out, and there is something really found."

Yu Zhiming walked outside non-stop, signaling Zhou Mo with his eyes to continue.

"The MRI image shows that Zou Xuan's hypothalamus has several small calcifications dotted here and there."

"Doctor Yu, this should be easy to treat, right?"

Yu Zhiming said: "The hypothalamus is located deep in the brain, so it is difficult to operate and can only be treated with drugs."

"In her case, even if the calcification points are small, it will take a long time to resolve."

Zhou Mo and Yourong smiled and said: "It's much better to find the problem than to be unable to solve it like before."

"Their mother and daughter will only be grateful to you."

Yu Zhiming smiled softly, then Zhou Mo turned around and said, "The director asked me to tell you that the woman from Hangzhou went downstairs after receiving the news from here."

"She is now taken away by the police and will probably be punished by public security."

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."

At this moment, Yu Zhiming's cell phone rang.

It was a call from Teacher Qi Yue.

"Zhiming, the nephew of Dr. Chang, a seventh-year student at Binhai University School of Medicine, admitted that he participated in the operation..."

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