The autopsy rate in Japan is low, but that doesn't mean it's zero.
UDI accepts official requests and general private requests, with about four hundred remains sent here for dissection and investigation each year.
So, even forensic Doctors in Japan are very busy.
Moreover, based on Sakamoto Makoto's 24 years of experience, he also knew that a high-end workplace like UDI was rare. Where would a regular forensic Doctor have such a good working environment, with remains even delivered to the door?
Similarly, precisely because it is truly hard work and low-paying, forensic Doctors are scarce, talent is constantly lost, budgets decline, and it's difficult to attract newcomers, leading to a vicious cycle.
The establishment of UDI was precisely in the hope of improving this situation.
"Aki-kun, working here, the worst thing isn't the 7K (Kitsui/Hard, Kiken/Dangerous, Kitanai/Dirty, Kurai/Dark, Kibishii/Strict, Kaerenai/Can't go home, Kyūryō ga Yasui/Low salary), but that guy who is 175.6 cm tall. You have to hold on. I'll take care of you if anything happens. Feel free to ask if you don't understand anything!"
Sakamoto Makoto, who had been in this line of work for twenty-four years, had no complaints about the job, and the working environment at UDI was genuinely good; there was nothing to dislike.
What put the most pressure on him wasn't the remains of various causes of death, but the man named Nakatado Kei.
"Partners who work with that man can't stand it for long and quit. If it weren't for Aki-kun joining the Chutang Gang, I don't know how much longer I could hold on..."
Sakamoto Makoto didn't want to say such negative words in front of Aki Tomoya at this time, only daring to mutter a word or two in his heart. He was afraid of scaring away this Tokyo University Risan student.
The terrifying nature of Nakatado Kei could only be truly experienced after facing him formally at work.
"Let's go."
Sakamoto Makoto pushed up his glasses and led Aki Tomoya outside the dissection room. Misumi Mikoto and Dr. Toukairin of the San Cheng Class were already making final preparations.
After attaching his name tag to the schedule board outside the dissection room, Aki Tomoya put on his protective suit with the help of Sakamoto Makoto.
The moment he put on his mask and gloves, the dissection room door slid open with a whoosh, and Nakatado Kei, who was already ready, said impatiently, "So slow, hurry up!"
"Yes!"
Sakamoto Makoto replied loudly and then gave Aki Tomoya a look.
Holding a camera and a clipboard, he followed him in.
Inside the dissection room, the Director and the funeral home staff who had brought the remains were present.
"The remains arrived at our funeral home two days ago, and the preservation status is quite good. Please."
The young man from the funeral home extended his hand, indicating for everyone to look at the remains in the coffin.
The remains were of a male, approximately forty years old.
"It hasn't been too long, but there's only one, huh? Which class should take it?"
Misumi Mikoto first took a rough look, then raised her head to look at the silent Nakatado Kei.
If there was only one set of remains and it wasn't too troublesome, they wouldn't need both classes. The rest was a matter of assignment.
Dr. Toukairin shook her head, subtly glancing at Nakatado Kei.
As they were deciding which class should take over, Nakatado Kei raised his head and glanced at Aki Tomoya, who was still looking at the remains, his eyes only slightly changed.
"Our class will take it."
Nakatado Kei said without turning his head. His tone sounded like he had no intention of discussing it, unequivocally taking over the dissection work for these remains.
Dr. Toukairin frowned. Although it wasn't impossible to give the work to someone else, Nakatado Kei's tone made her a little unhappy.
But after receiving a look from Misumi Mikoto, she didn't rush to say anything.
Nakatado Kei was interested in taking on the dissection and investigation of these remains. Misumi Mikoto thought that it was also Aki Tomoya's first day, so she had no intention of trying to snatch it.
"Okay."
Misumi Mikoto nodded, indicating she had no objections.
Since there was nothing for the San Cheng Class to do, they only needed to stay outside and be on standby.
"He really just gave it to him that easily, huh."
"After all, we also need to let Aki-kun get used to it. His first day is a dissection."
"Hopefully, he won't be too scared."
Chatting as they went, they walked out of the dissection room and leaned against the wall outside, planning to watch the newcomer's performance.
After the Chutang Gang took over, Director Kamikura Yasuo also opened the deceased's file and began explaining the situation.
"Mr. Tanshoto, thirty-eight years old, was admitted for treatment at the end of last month due to lower back pain for over half a year. Last Friday, July 15th, at 4:46 PM, a right kidney percutaneous nephrostomy was performed under local anesthesia..."
A right kidney percutaneous nephrostomy means that Mr. Tanshoto might have experienced urinary retention, hydronephrosis, stones, and other conditions.
And this clearly sounds related to the hospital, is it a medical accident?
Aki Tomoya raised his head, not expecting to encounter such a body on his first day of work. He couldn't help but glance at the deceased's face, which had already been prepared in the coffin.
"However, an accident occurred during the nephrostomy. Mr. Tanshoto was sent to the ICU for emergency treatment and was clinically pronounced dead at 5:45 PM on the same day after resuscitation failed."
He died in the hospital, it seems things are a bit complicated.
"The hospital's explanation was death due to anaphylactic shock, and they also explained this to the family. However, the mother and son, the two family members, believe the hospital concealed the true cause of death. They suspect the hospital failed to detect other diseases Mr. Tanshoto had, considering it medical negligence and intentional concealment. They are preparing to sue the hospital and have therefore commissioned us to conduct an autopsy investigation, hoping to uncover the true cause of death."
Kamikura Yasuo finished speaking and closed the file. He first solemnly looked at the body, then raised his head and looked at the three members of the Chutang Gang.
"I'm counting on you."
Such things are common. Kamikura Yasuo, Nakatado Kei, and Sakamoto Makoto are already used to them. However, whether the hospital concealed the truth still needs to be asked of the body itself.
Work began. The clothes were removed from the body, and then it was jointly moved onto the autopsy table. Nakatado Kei began performing the initial examination.
"The body length is 165cm, rigor mortis is dark red, does not fade under finger pressure, facial features are normal, petechiae are visible on the conjunctiva, lips and nail beds of both fingers are severely cyanotic."
As Nakatado Kei spoke, Aki Tomoya was responsible for recording back and forth beside him.
First, the external examination, then the autopsy. After subtly glancing at his recording speed, Nakatado Kei then called out to Sakamoto Makoto beside him: "Come here and help!"
"Yes, yes!"
The body was placed on its side, and then the surgical incision left by the operation began to be measured.
He then continued: "A one-centimeter surgical incision is visible eighteen centimeters below the right scapula and thirteen centimeters beside the spine."
The San Cheng Class outside watched the Chutang Gang working inside, then nodded.
"He seems okay, but we'll have to see if Aki-kun can handle it after the autopsy."
Dr. Toukairin said softly, while Misumi Mikoto nodded, then focused on watching inside.
After the full body examination was completed, Nakatado Kei, who was responsible for the operation, began the autopsy.
A T-shaped incision was made on the body for the thoracotomy, and it was held open with retractors. The full view inside the chest cavity made Aki Tomoya, working there for the first day, slowly furrow his brows.
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