Chapter 98 You Show Evidence!(1/2)
He Jiahui suddenly realized something and stopped suddenly.
"Jiahui, what's wrong? Did you get a wound?" Ah Li asked quickly.
"I'd better go find a wheelchair!" Qiu Junxuan said, going to find a wheelchair.
However, He Jiahui waved his hand: "It's not about the wound, it's just that I suddenly realized a problem. I'm afraid our investigation direction in this case is wrong."
"You mean, Nurse Zhou is not the murderer?" Qiu Junxuan asked.
"It's hard to say, come on, come with me to confirm a few things." He Jiahui said, leading the two of them to the nurse's station.
When we arrived at the nurse's station, the family member in Room 3 had not left yet and was still complaining to the nurse about the ineffective sedative.
He Jiahui asked: "Sir, you said the hospital injected sedatives into your family. Did that happen last night?"
The family members did not answer, but looked at He Jiahui and the other three people. One hospital gown and two casual clothes, they seemed to be the patient and visiting family members.
"Patients and family members, what are you asking for? I have to be wary of strangers." The man thought to himself.
Qiu Junxuan quickly took out his ID and said, "Sir, the three of us are police officers!"
"It turns out to be the police! By the way, I heard that a murder occurred here. A doctor was killed and a nurse was arrested. Is that nurse the murderer?" Instead, this man inquired about the case with the police.
"Sir, we can't tell you about the case. But don't worry, our police will definitely protect the safety of the citizens. Now that the suspect has been captured by us, you can rest assured for treatment."
He Jiahui first comforted him, and then asked: "I heard from you that your family members were injected with sedatives, but it had no effect. What happened?"
The man introduced: "This is how it is. My father is suffering from a tumor and was treated here. He recently underwent chemotherapy. The effect is very good and the tumor has shrunk a lot. However, the sequelae after chemotherapy are a bit serious.
Nausea, vomiting, general weakness, in short, I felt uncomfortable all over, and I couldn't sleep at night. Then the doctor said that I could inject some sedatives to relieve the physical pain, and I could fall asleep at night.
So yesterday the doctor prescribed a sedative for my father. I thought he could have a good sleep, but when I came to visit him this morning, he told me that he still didn't sleep all night last night, and the original symptoms had not disappeared.
.
In other words, the sedative prescribed by the doctor has no effect at all, and the medicine given by the hospital has no effect, so naturally I have to go to the nurse and ask for a clear explanation."
He Jiahui nodded slightly, and then asked the nurse: "Nurse, I know that it does take some time for many drugs to take effect from use. But things like sedatives should take effect soon after use, right?
"
The nurse answered: "Theoretically, sedatives take effect quickly, but they are also restricted by many considerable factors. For example, people who frequently use sedatives will develop drug resistance; and for example, individual differences in patients may affect a certain
Class sedatives are insensitive and may reduce the effectiveness of sedatives.”
"Then what category does this patient belong to?" He Jiahui asked.
"Medicine is inherently a very complicated issue. This requires a doctor to make a judgment." The nurse's answer was flawless.
He Jiahui said again: "Can I take a look at this patient's medical instructions?" He Jiahui asked again.
The nurse immediately shook her head: "I'm very sorry, medical orders are medical documents and are protected by law. We cannot disclose medical documents without the permission of our superiors, otherwise we will disclose the patient's privacy. Sir, if you want to see the medical orders, please
Show a search warrant."
Of course, He Jiahui didn't have time to apply for a search warrant, so he said: "If the patient's family members want to see it, then it won't be a breach of privacy, right?"
Then He Jiahui winked at the family member.
"Yes, I want to see the doctor's advice now!" the family member said immediately.
The mutual distrust between doctors and patients is not a phenomenon unique to mainland China. It is actually similar all over the world.
After the doctor finished speaking, the patient casually searched the Internet to verify whether what the doctor said was correct. It is not unknown abroad.
This was the case for the patient's family. The sedatives were ineffective, which made him question the hospital. In addition, He Jiahui mentioned the doctor's order, which was like a reminder to him, and the family members immediately expressed that they wanted to see the doctor's order.
He Jiahui then said: "Nurse, now the patient's family wants to see the doctor's orders. This shouldn't require a search warrant, right? He has this power."
The nurse nodded helplessly, then handed the tablet to the family member and said:
"This is yesterday's medical order in Ward No. 3, as well as the execution status of the medical order. It contains the doctor who issued the medical order, the time when the medical order was issued, the nurse who executed the medical order, and the time when the medical order was implemented. Each item is confirmed."
The family members took the tablet and lowered their heads to look at it. He Jiahui also leaned over to look at it.
"Midazolam injection 50 mg, plus sodium chloride injection 50 ml, pump continuously at 2 ml per hour. The doctor's order was issued at three o'clock yesterday afternoon, and the execution time was eight o'clock yesterday evening."
The next second, He Jiahui suddenly realized the problem.
"Midazolam injection? I remember that the ingredient midazolam was also detected in that needle!"
Thinking of this, He Jiahui asked: "Nurse, did any patients use promethazine and chlorpromazine as sedatives yesterday?"
"I'm sorry, sir, this involves patient privacy. Unless you have a search warrant, I can't disclose it," the nurse said with a straight face.
"I don't need to know which patient was sedated. I just want to know if you used promethazine and chlorpromazine on the patient yesterday! This is not a breach of patient privacy!" He Jiahui said.
"The medication status must be written in the medical record. As long as it is recorded in the medical record, it is considered the patient's privacy!" The nurse still had a cold attitude.
Although Xiangjiang is very strict about the privacy management of medical records, the nurse's attitude clearly made it clear that he was deliberately trying to embarrass He Jiahui. Perhaps the nurse felt that He Jiahui was working in tandem with the patient's family members to cause trouble for them.
"It has to be business, right? In that case, don't blame me for falling out." He Jiahui was suddenly annoyed. He snorted coldly and said:
"The police found promethazine and chlorpromazine in the syringe used to kill Dr. Liu. Now I suspect that these two tranquilizers came from your hospital, which means that your hospital provided the murderer with the murderous drugs.
If I apply for a search warrant, I will also use this reason. Do you think this is good or bad for your hospital? Not only did the hospital have a murderer, but it also provided assistance to the murderer and provided drugs used in the murder. This
If word got out, what would those gossip magazines write?
I heard that Dean Lu is very image-conscious! I can’t say whether the relevant personnel will be held accountable, or whether someone directly responsible will be sacrificed!"
After hearing these words, the nurse's expression suddenly solidified.
Seeing that the threat was effective, Ho Ka Fai continued, "Of course, Sirs are not unkind. As long as citizens are willing to cooperate with the investigation, Sirs will not waste police resources and go through the procedures to apply for a search warrant."
In addition, I stress again that I am not interested in patients’ personal information. I just want to know whether any patients used the two sedatives promethazine and chlorpromazine yesterday.”
Ho Jiahui was also a master of interrogation back then. Many criminals with good psychological quality could not pass Ho Jiahui's test. How could a nurse be He Jiahui's opponent? He could be manipulated by Ho Jiahui in just a few words.
"Promethazine and chlorpromazine are commonly used sedatives in our oncology department. They should be useful yesterday!" The nurse reluctantly chose to compromise.
"What I want is not 'should', but exact information." He Jiahui continued to press.
The nurse took the tablet computer, checked it on it, and then said: "It is true that a patient used promethazine and chlorpromazine yesterday."
"What's the dosage?" He Jiahui continued to ask.
"They are all conventional dosages, 25 mg of promethazine solution, plus 25 mg of chlorpromazine solution, intramuscular injection. There were two such orders yesterday afternoon," the nurse replied.
"The total is 50 mg of promethazine and 50 mg of chlorpromazine." He Jiahui nodded, and then asked: "Who is the doctor who gave the order?"
"Well..." The nurse hesitated again.
I talked about the dosage of sedatives before. Because it is a routine dosage, the nurse can tell you.
This is just like the instructions on the medicine that say "Two tablets three times a day." Anyone who is sick must take medicine according to this standard. Even if it is told, it does not constitute the disclosure of medical record information.
But if we talk about which doctor gave the medical order, this involves the issue of confidentiality of medical records, and the nurse dare not disclose it at will.
He Jiahui saw the nurse's dilemma and said, "Let me ask another question, was it Dr. Cai Shude who gave the medical order? If not, you can deny it immediately."
He Jiahui's subtext is, if it's not, you deny it, but if it is, you don't have to admit it. In this case, you didn't say anything, I guessed it myself, and you don't leak medical record information.
As expected, the nurse did not deny it, but responded with silence.
"As expected!" He Jiahui sighed softly and said to Ah Li and Qiu Junxuan beside him: "We arrested the wrong person. The murderer is not Zhou Yuting."
"We arrested the wrong person again? The murderer is not Zhou Yuting, who is it?" Ah Li asked a silly question.
"There are only three suspects in total. If it's not Deng Qiaomei or Zhou Yuting, who else could it be!" He Jiahui said, took out his mobile phone and dialed Huang Qifai's phone number.
"Sir Huang, I am He Jiahui. I have discovered another important clue. The murderer is not Zhou Yuting. We have arrested the wrong person. Bring someone back quickly and don't forget to bring forensic evidence!"
…
Huang Qifa returned to the hospital in a hurry.
"You said on the phone that you found an important clue. What was it?" Huang Qifai asked straight to the point.
"I need forensic evidence to verify my guess. Are the forensic witnesses here?" He Jiahui said and looked behind Huang Qi.
"Here we come, right behind." Huang Qifai said.
"Please let the forensic examiner check whether there is midazolam in the infusion pump in Ward 3," He Jiahui said.
"Midazolam? It sounds familiar!" Huang Qifai thought for a moment and said, "I remembered that this substance was found in the syringe that killed Liu Guoqiang. Could it be that those midazolam were just
From Ward 3? The patient in Ward 3 is an accomplice?"
Huang Qiqi's imagination is still very rich, and he still hasn't used it in the right place.
He Jiahui shook his head helplessly: "I will tell you the details after a while, let's let the forensics test first!"
The forensic team immediately started to take action. After the examination was completed, they came back and reported: "We tested the infusion pump in Ward 3 and found that there was only normal saline in it and no midazolam was found."
"As expected, in this case, there is evidence." He Jiahui took a long breath and continued, "Sir Huang, prepare to arrest people!"
"Who to arrest?" Huang Qiqi asked subconsciously.
"There are only three suspects in total, and you have arrested the remaining two. If you arrest more people, who else can you arrest?" He Jiahui asked in return, and then said;
"By the way, there used to be a doctor here named Sun Jiacheng. He has gone to the UK. Please help me find his contact information. There is something I want to confirm."
"Sun Jiacheng? Is that the doctor Deng Qiaomei mentioned who had a conflict with the deceased? I remember that he immigrated to the UK more than half a year ago. He is not here, so he should have nothing to do with the case. What do you want to do with him?" Huang Qifai asked.
To be continued...