69novels Page 400
Page 400
“I don’t know how to tell Takagi. I told him to wait for my news, but now I can’t let him meddle in other people’s business anymore.”
Aki Tomoya sighed helplessly.
Unlike them, Takagi is currently rotating through the Department of Otolaryngology at the University of Tokyo.
Patients were also within his contact range.
Considering the patient's medical history, Takagi had already given a heads-up, but as the result was, Takagi was reprimanded.
Takagi lost to someone's arrogance.
Some people always think they have everything under control, but that's just unnecessary arrogance.
"Then let me explain. This matter shouldn't have caused you this much trouble..."
Majima still looked at Aki Tomoya with concern.
He had already taken out his phone, ready to contact Takagi and tell him to stop "meddling" and just stand by and watch.
"No, I'll do it."
Aki Tomoya shook his head, took out his phone, and found Takagi on LINE once again.
When Aki Tomoya contacted Takagi again, his first words were—
"Feel sorry……"
Chapter 450 The Hippocratic Oath
"Sorry, you should stay out of this."
Aki Tomoya said this to Takagi.
At 11:20 p.m., Takagi, who had been waiting for a long time, frowned immediately after receiving a reply from Aki Tomoya.
"What, didn't you say my worries might not be unfounded?"
"Indeed, so if you don't want any trouble, just keep quiet for now until the rotation ends."
Upon seeing these words, Takagi couldn't help but scoff.
If Aki Tomoya said that, then the risk has been established.
He didn't care, since no one cared about his opinion anyway.
However, at this point, Takagi wanted to know more details.
Would you mind telling me more about it?
"If the aortic dissection re-ruptures after surgery, then treating only acute laryngitis and vocal cord paralysis at this stage will lead to serious problems."
That's right. If his concerns are valid and someone insists on going their own way, then Takagi should probably stay out of this.
In any case, they have no clinical responsibility as medical trainees, so there's no need for them to get involved.
"Just accept the worst-case scenario from me."
"The worst outcome is that your life will be in danger. Do you still want to get involved in this? Even if I give you sufficient reasons, will anyone listen to your advice?"
"But this is not something we can just stand by and watch."
Takagi knew that Aki Tomoya had told him not to talk too much.
Takagi had no idea what Aki Tomoya had done during the waiting period.
However, if the concerns are valid and the patient does end up having an accident, the attending physician will definitely be held responsible.
Remembering how he was lectured for saying a few words, Takagi was still annoyed.
Even if he were given the opportunity to observe from the sidelines, he could simply sit back and wait for his supervising doctor to get into trouble.
But honestly, this shouldn't be something we can just stand by and watch.
"...I personally don't recommend that you say too much."
"Just leave this alone. It's my fault. It's clearly my problem, but I made you worry. Let's just leave it at that. I'll find a way to let that guy hear it."
Takagi didn't want Aki Tomoya to worry about this anymore, as he himself was already quite troubled by being reprimanded.
Although it's unclear what Aki Tomoya did during that time, at least his reply made it seem to him that his worries were not unfounded.
"That's all for now. Get some rest, I'm sleepy too."
He ended the conversation abruptly, not intending to continue discussing the matter with Aki Tomoya.
This is a matter for the University of Tokyo, and since Aki Tomoya is currently at Kanto General Hospital in Taitung Ward, there's no need to worry about him.
Takagi will try his best to figure out what to do next.
After giving Majima a helpless look, Aki Tomoya parted ways with him and returned to his room.
"It's so late, is something wrong?"
Upon waking up midway through the night, Yoshida Aoba, hearing the noise at the door, looked at Aki Tomoya.
He glanced at the time, thinking something was wrong.
Aki Tomoya shook his head, indicating that there was nothing worth Yoshida Aoba getting up to help with.
Sitting on the bed, Aki Tomoya thought for a moment and couldn't help but ask Yoshida Aoba, "Dr. Yoshida, if you knew that a patient in another hospital might have been misdiagnosed or missed, and that the patient's life was at stake, would you go and warn them?"
Yoshida Aoba squinted, still somewhat sleepy, and asked, "What hospital?"
"University Hospital".
"Tsk, then let's not interfere. It's better for a private hospital to remind a university hospital. What right does a private hospital have to meddle in a university hospital's affairs?"
Yoshida Aoba sighed.
Upon closer examination, university hospitals have long represented the authority of the Japanese medical community; the "white tower" is not just a figurehead.
For private hospitals to meddle in the affairs of university hospitals is either asking for trouble or a waste of effort.
Having come from a university hospital, he could more easily understand just how stubborn some people could be.
Have you encountered a similar situation?
Yoshida Aoba believed that Aki Tomoya couldn't have asked him such a question on a whim.
They must have encountered something similar.
“...My classmates at the affiliated high school of Dongda University told me about something, and I am personally very worried.”
Aki Tomoya then went on to explain in detail what happened that night.
A patient with a history of hypertension, hyperglycemia, and aortic dissection was admitted to the Department of Otolaryngology at the affiliated hospital of Dongda University due to sore throat. However, because the otolaryngologists lacked knowledge about aortic dissection, they did not consider the possibility of re-rupture after aortic dissection surgery and only treated laryngitis and vocal cord paralysis.
When Aki Tomoya expressed his concern that the vocal cord paralysis was caused by compression of the left recurrent laryngeal nerve, Yoshida Aoba nodded.
"My concern is that the aortic dissection might be causing long-term compression of the esophagus, leading to esophageal wall degeneration and necrosis, and potentially compressing the recurrent laryngeal nerve, resulting in vocal cord paralysis. Is that the case? We only need to do a contrast-enhanced esophageal angiography to find out now, but if we wait until the aneurysm continues to grow, breaks through the degenerated and necrotic esophageal wall, and ruptures and bleeds, that would be terrible..."
Even after expressing his concerns, Aki Tomoya still couldn't calm down.
On the other side, Yoshida Aoba propped her head up and looked at him. After several seconds, she sighed and said, "You didn't go out to see Dr. Moriyama, did you?"
"Yes, that's right. After all, he's my supervising doctor, so I'll definitely talk to him directly if there's anything."
"Sigh, let alone asking Moriyama for help, or even asking him to remind the University of Tokyo Affiliated High School, I wouldn't agree to it even if it were me!"
Yoshida Aoba said helplessly.
They're doing well working at a private hospital in Taitung District now, so there's no need for them to meddle in the affairs of the university hospital. And frankly, this matter doesn't have much to do with them; they're not patients at their hospital, so they can't concern themselves with such a distant issue.
The dilemma lies in knowing that someone's life is in danger, but intervention now might save them. However, even if intervention is done, it might not be effective. Is it a waste of effort, or should we just stop there?
"I always feel like if that patient dies, it's as if I watched him die..."
Aki Tomoya doesn't want to say that he feels any guilt because of this, but he certainly can't face it calmly.
However, he did try and made an effort. If there was really no way to salvage the situation, he could only say that he had done his best, at least he had done something, instead of just watching.
The Hippocratic Oath.
Yoshida Aoba muttered something under his breath, so softly that only he could hear it.
"Dr. Yoshida? What did you just say?"
Aki Tomoya didn't hear what he just said.
"It's nothing, it's just that I feel like someone else is going to be kicked out of the university hospital again."
Chapter 451 I'll just go back to Kyoto
If this fear is true and the worst-case scenario occurs, then indeed someone will be kicked out.
Making a mistake in a university hospital has consequences that are not easily resolved by just anyone.
"Tell your friend not to get involved. Although medical trainees don't have clinical responsibility, if you know there's a pitfall, don't get involved..."
Yoshida Aoba gave him a piece of advice.
To be honest, it's difficult for them to interfere with things at the University of Tokyo Affiliated Hospital.
Aki Tomoya's sudden mention of this made Yoshida Aoba guess what was going on.