Chapter 19 Section 19

It took more than three minutes to light a cigarette because the wind was too strong.Nanao held the first cigarette in her mouth, and quickly put the second one on her ear.He wanted to light the second one before the first one finished sucking the fire. He is outside the hospital; by the night entrance.The cigarette butts and ash in the upright ashtray will be full at any time. It can be seen that not only the visiting visitors, but also many patients sneak out from the ward to smoke. Halfway through the inhalation, two men emerged from the hospital; one was wearing casual sportswear, the other was wearing a sports jacket over pajamas, and both appeared to be about forty-five years old.

"Hey, I finally have a cigarette to smoke. Speaking of this, I obviously have a bad stomach. If it's a bad lung, it's fine, but why do you have to ban smoking even if you have a bad large intestine! Don't you think so?" The patient's man complained. "Oh, because people's internal organs are connected together, so when the intestines are not good, you probably can't smoke." The man who looked like a visitor handed out the cigarette case. The patient couldn't wait to take out a cigarette, passed it under his nose as if smelling incense, and put it in his mouth.

The visitor lights his cigarette with a Zippo lighter, and then lights himself. Nanao watched the two people's actions from the side, thinking that he would also use a lighter in the future. "However, is it okay for you to live in this hospital?" The visitor pointed at the building with a cigarette. "No problem? What do you mean?" "Didn't it cause a lot of commotion? They threatened to blow up the hospital. I saw it on TV." "Oh, that. The doctor came to explain, and said that if we were worried, we could go through the transfer procedures. At first I didn't know what to do, but later I found it troublesome, so I just said that it's fine now. Anyway, then It's probably a prank, right? If you have to take everything seriously, how will you live these days!"

"Yeah, it's probably a prank." The visitor agreed with a relaxed tone, and lowered his voice slightly, "But, is the rumor true?" "Rumours? What are you talking about? Medical negligence?" The patient also lowered his voice. "Well, I heard that it seems to have hidden a lot." "Hidden? Are you saying that the hospital is at fault?" Well, the visitor nodded, and then glanced at Nanao, it seems that he still cares about the eyes and ears of others.Nanao turned around, took out his mobile phone and pretended to dial, he didn't mean to eavesdrop, but he didn't want to interrupt their conversation either.

"Where did you hear that?" asked the patient. "Let me tell you, I have a colleague's mother who was hospitalized here before, and he said his mother died for no apparent reason." "How to say?" "I didn't ask for details, but it seems to be a nosocomial infection. MR... what is it? It seems to be a disease made up of a bunch of English letters." It should be MRSA infection, Nanao guessed.This is a common nosocomial infection. "That's right! I had an irrelevant disease, and I was hospitalized for an operation, but within two days of staying here, I got that disease and died before the operation. Don't you think this is strange?"

"It's very strange! Did you get some strange germs in the hospital?" "Yeah, if I hadn't been hospitalized, I wouldn't have that kind of disease. How can the family accept this?" "How did he deal with it? Did he protest to the hospital?" "Of course he went to question the hospital, but according to the hospital's explanation, it means that it was not a fault, and it seems that the disease cannot be avoided." "What is this? So he can forget it?" "No, he was not convinced. He asked the lawyer he knew or something, but they also said that there was no way to deal with this kind of thing, and then let it go."

The patient groaned. "It can't be handled." "I'm not too sure, but isn't it difficult to prove medical negligence? We ordinary people can't do anything about it! We don't have common medical knowledge. If they keep things in the hospital secret, we'll have nothing to do." "It's kind of scary when you think about it." "Yeah, that's why I asked you if this hospital is important." "If you ask me, I can't answer it. Like me, it's just a polyp cut, so there shouldn't be any outrageous mistakes."

"I can only ask God to bless me." The two put out their cigarettes and returned to the hospital.Nanao waited for them to leave before taking down the cigarette clipped to her ear.As they talked, he dropped the first cigarette into the ashtray and, with some effort, lit the second. Regarding MRSA infection, Nanao also has a little knowledge.The so-called MRSA refers to the drug resistance of staphylococcus for some reason. Staphylococcus itself can be said to be ubiquitous, but healthy people will not get sick.However, it is a different matter if the bacteria become resistant to drugs. Children, the elderly, and hospitalized patients often develop the disease. Since there is no specific drug, it is often reported that it causes enteritis, pneumonia, and even sepsis and kills them.Just hearing the words nosocomial infection, it is indeed easy to determine that the hospital is not well managed. However, since it is impossible to predict who or what kind of medium the bacteria will be infected with, it is almost impossible to completely prevent it. Only the sick patients can be isolated and treated according to the symptoms. As long as the hospital has no shortcomings in this regard, the hospital cannot be held accountable.Based on the content of the conversation between the two just now, Nanao thinks that the Teito University Hospital is not wrong.Only when it is determined that the cause of the infection is clearly due to insufficient prevention work and improper treatment after the onset of the disease can the hospital be held accountable.

What is medical negligence?It is actually quite difficult to define.The Medical Affairs Law defines it as all medical malpractice when medical behaviors cause harmful results.Among them, except for the cases caused by force majeure, it is regarded as medical negligence.That is, it is caused by intention or negligence, but usually there is no intentional situation. According to this statement, it feels that the definition of medical negligence is quite clear, but in reality, the question is whether it is force majeure.Most of the disputes in the lawsuit are about this point. As for the reason, the patient and the hospital had different views on the cause of the accident.When an accident occurs, the hospital, including physicians, will appeal to the unavoidable external factors, such as the characteristics of the disease or the constitution of the patient.In contrast, patients put the problem on personal factors such as the lack of ability and negligence of medical staff, which will naturally lead to conflicts.The threatening letter stimulated this part of the conflict, and the mood of the patients was obviously shaken by it. Nanao still doesn't know whether this shaking is also the purpose of the prisoner.

The second special criminal investigation team can't say that this case has been officially included in the investigation.Nanao and Sakamoto are gathering information at the Teito University School of Medicine and Hospital.What the Hospital Affairs Bureau said cannot be taken seriously, because it is impossible to judge whether they are really open and honest. To publicize medical negligence and apologize for it -- Nanao has not yet fully grasped what the prisoner requested for the second time.At least, no such disputes have occurred in the Imperial University Hospital in recent years.There was a case about ten years ago where a patient was diagnosed with stomach cancer and underwent gastrectomy, but it was actually just a stomach ulcer and no surgery was needed.In this case, the attending physician apologized, and the patient and the hospital reached a settlement.

If the threatening letter is purely a prank, it is of course okay. If it is not, then the prisoner should have a clear and firm motive.In this way, the prisoner may later present facts that sparked his motives.Nanao speculates so. Perhaps, the key has not yet appeared. However, after thinking this way, he smiled bitterly alone, a kind of masochistic smile.When the case is really established, he will probably be transferred from the front line. Two years ago, there was a case of intimidation against a large credit company.The prisoner held the company's customer list and said he would publish it on the Internet, and the threatening letter was also sent through the Internet. Nanao and others analyzed the emails and found out that the prisoner mainly used the Internet cafe in Shinjuku. Finally, the ambush investigators successfully arrested the prisoner.The prisoner was a former employee of the company, who took the customer list with him before leaving. So far, no problems, until a startling discovery is made in the prisoner's list. That list is the details of ex-convicts.There are not only names, addresses, criminal records, appearance characteristics, etc., but there are thousands of people. There is only one organization that can collect such information, and someone from the Metropolitan Police Department must have been involved in this matter. However, the subsequent investigations did not progress, and the correct statement is that they were suppressed by high-level officials.Nanao feels anxious, because the police are going to repeat the same mistakes of being criticized as protecting their own shortcomings. Nanao acted according to her own judgment.He finds out that the company has ex-cops and investigates the people who came into contact with them.As a result, a certain person was found.Surprisingly, this person occupies an important position in the Metropolitan Police Department and is suspected of receiving high compensation from the company. However, Nanao's investigation was interrupted here, because he was ordered to investigate other cases, a small case that was not enough to dispatch the Metropolitan Police Department. Soon, people from the Metropolitan Police Department were arrested, but it had nothing to do with the person Nanao was chasing. However, the police did not conduct further investigations into the matter.Members of the opposition party raised formal questions in the National Assembly, but the chairman of the National Public Safety Commission's reply was only a formality-"We will strengthen the handling to prevent similar incidents from happening again", that's all. However, Nanao continued to be under invisible pressure after that.Like this time, it is his main job to do basic investigations for cases that cannot be determined to be hoaxes.If an investigation is formally launched, his name will be excluded from the list of responsibilities. What is the mission of the police?He questions every day.Prevention of crime, in the event of a crime, to try to arrest the criminal should be like this, but he really dare not say that today's police organization has a thoroughly practiced system. He thought of the words of his respected senior Himuro Kensuke - life is born with a mission.Whenever he understood this sentence carefully, he felt anxious, and was overwhelmed by the thought that he hadn't fulfilled his mission. The second cigarette is almost burnt to the filter.He threw the cigarette into the ashtray and walked into the hospital. After entering the door, the window of the guard room was on the left. "Is there anything wrong?" he asked one of the guards. "No." The middle-aged guard shook his head. Nanao nodded and started walking forward. A man, possibly a fractured patient, came out of the toilet in the hallway, his right arm hanging from his shoulder, and a woman was waiting outside. "It's so fast." The woman said. "There's someone inside. Let's find another toilet. The person inside is still humming happily." After the couple left, Nanao also passed the toilet.However, after walking a few meters, he turned back and opened the toilet door. It can't be called intuition, and I didn't believe in the so-called criminal police's intuition.What made him feel strange was the term humming. The men's room has two side-by-side urinals and a queen-size toilet inside with the door closed.The man just now probably wanted to get a tuba. Nanao also urinates by the way, and listens with her ears up. There are indeed humming sounds coming from inside, as well as the sound of clothes rubbing against each other, and the sound of rattling metal, maybe it is a belt or something. Nanao left the toilet and walked forward.This corridor is located next to the night entrance and exit, and few people pass by during the day, and there are no people now. He stopped again, always feeling that something was wrong, so he went into the toilet again. The sound of humming and clothes rubbing could still be heard inside. Since there was a sound, the people inside should not have passed out.But he knocked on the door anyway, "Excuse me, are you okay?" Sure enough, there was no response, and Nanao became nervous all over. He stretched out his hand and twisted the doorknob, and it opened as soon as he turned it. It turned out that it was not locked.He opened the door directly. At this moment, he heard a click.At the same time, Nanao confirmed that there was no one inside, the toilet lid was closed, and there was something on it, like a black box. He immediately sensed the danger, and the next second, the box was belching smoke violently.