LRAB Page 165
Page 165
"Mr. Keiichi Tadokoro, 38 years old, was admitted to the hospital at the end of last month for treatment due to lower back pain that had lasted for more than half a year. On Friday, July 15th, at 4:46 PM, he underwent a right nephrostomy under local anesthesia..."
The right kidney was punctured and a fistula was created, which means that Mr. Tadokoro may have suffered from urinary retention, hydronephrosis, kidney stones, or other conditions.
This sounds like it's clearly related to the hospital; is it a medical malpractice case?
Aki Tomoya looked up, surprised that his first day on the job would involve encountering such a corpse. He couldn't help but glance at the already prepared face inside the coffin.
"However, an accident occurred during the colostomy procedure. Mr. Tadokoro was sent to the ICU for emergency treatment, but died clinically at 5:45 p.m. that day after the resuscitation failed."
He died in the hospital; things seem a bit complicated.
"The hospital explained that the death was due to anaphylactic shock and also explained it to the bereaved family. However, the mother and son believe that the hospital concealed the true cause of death and suspect that the hospital failed to detect that Mr. Tadokoro had other diseases. They consider this to be medical negligence and deliberate concealment, and are preparing to sue the hospital. Therefore, they have commissioned us to conduct an autopsy investigation in the hope of finding out the true cause of death."
After finishing speaking, Kamikura Yasuo closed the file, solemnly glanced at the body, and then looked up at the three men in the middle class.
"Please."
Such things happen often, and Yasuo Kamikura, Kei Nakado, and Makoto Sakamoto are used to it, but whether the hospital concealed the truth or not, we should ask the deceased himself.
The work began with removing the clothes from the body and then working together to move it to the autopsy table, where Nakado began the preliminary examination.
"The body is 165cm long, with dark red livor mortis that does not fade when pressed, normal facial features, visible hemorrhages in the cornea, and severe cyanosis of the lips and fingernail beds."
As Nakado Kei spoke, Aki Tomoya took notes back and forth.
First, examine the exterior, then proceed with the dissection. Nakado glanced discreetly at the speed at which he was recording, then called out to Sakamoto Makoto beside him, "Come help!"
"Yes Yes!"
The body was placed on its side, and then the surgical incision left by the surgery was measured.
He continued, "A one-centimeter surgical incision can be seen 18 centimeters below the right scapula and 13 centimeters beside the spine."
The Sancheng team outside looked at the Zhongtang team working inside and then nodded.
"It seems okay, but we'll have to see if Aki-kun can pull through after the autopsy."
"Tokai Rin Yuko said softly, while Misumi Mikoto nodded and then looked intently inside."
After a full examination of the body was completed, Nakado Kei, who was in charge of the surgery, began the autopsy.
A T-shaped incision was made on the body to open the chest, which was then fixed with an expander. The full view inside the chest cavity made Aki Tomoya, who was on his first day of work, slowly frown.
Chapter 195 The Words of the Remains (1/?)
Disembowelment is nothing more than this.
The inside of Aki Tomoya's chest cavity was also uncomfortable for him; even with a mask and protective shield, some odor still rushed into his nasal cavity.
He wasn't particularly afraid of the corpse, but the moment the chest was opened was when he really got serious.
"photo!"
"Yes."
Nakado Kei's impatient voice pulled Aki Tomoya back to reality.
He swallowed hard, suppressing his discomfort, and raised his camera to record the event.
"help."
Urging Makoto Sakamoto on, Nakado Kei skillfully began conducting an anatomical investigation of the thoracic cavity.
Keeping up with this person's pace isn't so easy.
"No intrapleural bleeding...no pericardial effusion...no coronary artery sclerosis."
"The left lung weighed 600g and the right lung weighed 650g. The cut surface showed congestion and significant edema."
Compared to Nakado Kei, Sakamoto Makoto can be said to be much gentler.
However, Aki Tomoya, who calmly examined the body's internal organs while taking photos and making notes, gained a deeper understanding of the nature of his work.
After Makoto Sakamoto finished extracting blood from his heart and examining the chest cavity, he proceeded to examine the abdominal cavity.
They first took a picture of the inside of his abdomen, and Aki Tomoya's brows were slightly more relaxed than before.
"There is no bleeding in the abdominal cavity, but there is a light red fluid."
It was Makoto Sakamoto's turn to cooperate, collecting the liquid mentioned by Nakado for subsequent analysis.
They meticulously documented every part of the abdominal cavity, with even the recorders working tirelessly, taking photos and making notes back and forth. The efficiency and decisiveness displayed by the Zhongtang team in their work made them a force to be reckoned with.
“左肾200g……13.5cmX7cmX4cm……右肾240g，大小……”
"The renal pelvis and calyces of the right kidney are significantly dilated, with a 0.8 cm long puncture hole visible at the outer edge... Multiple stones of varying sizes were found in the right kidney..."
Subsequent examinations revealed stones in the kidney and the right ureter, which explains why the deceased underwent a nephrostomy at the hospital.
But to die in the hospital from a simple puncture and fistula procedure under local anesthesia is something no one could have imagined.
The bereaved family also believed that he could not have died in the hospital like that, and there must have been other reasons. They suspected that the hospital had concealed the truth and caused his death, so they planned to conduct an autopsy here and prepare to sue the hospital.
"No abnormalities were found in the urethra below the gallstone."
As he spoke, Zhongtang glanced back at the remaining organs in his abdominal cavity.
The outcome will only be known after a complete autopsy.
"The stomach is normal..."
No problem here.
The same thing happened when they started examining the intestines later.
"No intestinal obstruction or torsion was found... No bleeding was detected in the peripancreatic tissue..."
For forensic pathologists, the body can speak, especially a well-preserved one. By dissecting and investigating it, eliminating possibilities step by step, and conducting a full-body examination, they can search for the last messages left by the deceased.
The deceased's remains can tell them exactly where the problem occurred.
I made the final note, took the last photo, and lost track of how much time had passed on the dissection table.
Meanwhile, on the dissection table next to them, the Misumi team had also begun their work at some point.
They accept commissions for autopsies and investigations from all over the country. In addition to potentially having to go to crime scenes at the request of the authorities, bodies are frequently brought here.
"Move quickly."
Nakado looked back at Sakamoto Makoto and Aki Tomoya, who were busy at work.
The autopsy is not the end of the process. There are still histopathological, biochemical, and toxicological examinations to be conducted, which are all tasks that clinical forensic technicians must perform.
That's when it's time for Makoto Sakamoto of the Nakado class to step in.
However, before that, there are follow-up tasks after the autopsy. After Makoto Sakamoto preserves the tissues to be tested, puts the organs back in, sutures the body, and finally cleans the autopsy table.
"Forensic protective suits are very dangerous, so be careful. The remains themselves are also very dangerous."
"You still have time to lecture others? Hurry up and do something! You're infuriating!"
Nakado's impolite voice left Sakamoto Makoto speechless with bitterness.
He could only endure the situation with the Nakado faction, but the performance of the newcomers next to him still left a very good impression on him.
At least in the face of the strong presence of the Zhongtang faction, the newcomers did not back down.
Previously, when we asked other people in the research institute to help us as recorders, they were all scared off by the power of the Nakado faction and eventually refused to come at all.
Now that we have a formal recorder in the class, the work is much easier, and most importantly, someone is sharing the pressure.
……
"Well done, Aki-kun."
After finishing her work, Mikoto Misumi returned to her office and praised the newcomer in the department.
It's rare to see someone so calm when watching an anatomy for the first time, especially a student who has just entered the medical school.
"People from the University of Tokyo are different. When I first went into the dissection room to see the cadavers, I was really scared."
Tokai Rin Yuko walked in, rubbing her neck.
"No, I just don't feel anything about the body, and this is a normal body. But when the autopsy was performed, I was still scared. Because of this, Dr. Nakado said it to me many times. I seemed to be much slower. I just hope it didn't interfere with the work."
Aki Tomoya dared not boast. He was indeed frightened when he first started dissecting the body. When he looked in the mirror afterward, he found his face was pale.
Especially when the organs are taken out one by one, he can't face them without changing his expression.
Dissection is exhausting. Even just being a recorder feels physically and mentally draining, especially since it was my first time doing it.
Forensic scientists who have been on this front for a long time, although they are used to dealing with all kinds of corpses, have suffered a lot in the early stages.
"Aki-kun, want to come to the lab?"
Makoto Sakamoto appeared at the doorway and poked his head out to look at Tomoya Aki inside.
"of course."
Aki Tomoya handed out the book, got up and walked out, politely nodding to the two from Misumi's class.
A day at UDI goes by quickly, especially when you're working.
It was very late when I got home.