Chapter 181
During the morning meeting, Mu Mian reported the autopsy results of the deceased, Sun Guanghua.
"The cause of Sun Guanghua's death was an intentional injection of insulin, which interacted with other medications in his body, causing a disruption in his blood sugar levels," Mu Mian paused and explained, "However, the deceased did not have diabetes, and no doctor had prescribed insulin for him."
Mu Mian continued, "We detected insulin in the IV bottle provided by the deceased's family, and the concentration was not low."
Fang Rui suggested, "In that ward, there is a patient with diabetes. Could it be that the nurse mixed up their medications?"
Chen Xue rebutted, "Although insulin can be administered intravenously for short-term use, hospitals rarely do so. It is usually injected subcutaneously.
We investigated and found that the other patient in the ward receives insulin subcutaneously, so the probability of a medication mix-up is very low."
Zhang sighed, "So, is this a medical accident or intentional murder?"
Dr. Zhang Yingying, Sun Guanghua's attending physician, was shocked when she learned the cause of his death: "I never prescribed insulin for him. How could there be an abnormal amount of insulin in his body?"
"What medications did you prescribe for him?"
Dr. Zhang printed out the medication list and handed it to Fang Rui and Mu Mian.
"Who was the nurse responsible for administering medications to Sun Guanghua that night?"
"Li Xiaolan. We were afraid the family might cause her trouble, so we've had her on leave for the past few days. Do you need to question her? I can call her in."
Dr. Zhang added, "But this incident probably has little to do with Li Xiaolan. The intravenous medications are centrally prepared and delivered by the Intravenous Medication Preparation Center. If there's a problem, it's their responsibility. Officers, you should investigate them first."
Fang Rui and Zhang then went to the Intravenous Medication Preparation Center to gather information.
The pharmacists there felt wronged: "We prepared the medications according to the doctor's prescription. The entire preparation process was error-free, and insulin would not have been included. Insulin is rarely administered intravenously; we wouldn't make such a basic mistake. There are surveillance cameras here, so feel free to check.
Could it be that the medications were tampered with during transport to the inpatient department? Or perhaps they were switched at the nursing station."
The issue was once again pushed back to the inpatient department.
Dr. Zhang speculated, "Could it be that the patient's family injected him with insulin and then added it to the IV bottle, deliberately framing the hospital to demand compensation? Insulin is not a controlled drug and is easy to obtain. What if the family staged this themselves?"
Fang Rui rebutted, "When the patient died, his family was not in the hospital; it was the caregiver who was taking care of him."
"Then could it have been the caregiver...?"
Fang Rui interrupted, "If the patient died, the caregiver would lose his job and have to find a new employer. What benefit would that bring him? There are other caregivers in the ward; if he tampered with the medications, it would be easy to get caught."
Fang Rui and his team had already investigated this caregiver. He had cared for many bedridden patients and was a professional with a good reputation. Most of the patients he cared for died naturally after their families decided to stop treatment. Therefore, the caregiver had little motive or possibility of committing murder.
This caregiver was also unlikely to be the serial killer, as he had only cared for this one patient in the past six months.Nôv(el)B\\jnn
Dr. Zhang had nothing more to say.
Fang Rui then asked, "Who was the nurse that accompanied you to Ye Jianmin's home for the house call?"
"Li Xiaolan. What does this have to do with Ye Jianmin?" Dr. Zhang was puzzled. She didn't understand why Fang Rui kept mentioning that impoverished patient.
"Please call Li Xiaolan in; we have some questions for her."
Dr. Zhang asked the head nurse to call Li Xiaolan and have her come to the hospital to cooperate with the investigation.
The hospital also immediately initiated a medical accident investigation.
Fang Rui then questioned Nurse Chen Shu, who was the girlfriend of Xiao Wang, and they had met during a previous dinner gathering.
"Captain Fang, Forensic Doctor Mu," Chen Shu greeted Fang Rui and Mu Mian warmly.
She was a lovely girl with big, beautiful eyes and a cheerful demeanor, often smiling. Mu Mian had a good impression of her.
Fang Rui asked, "Nurse Chen, were you responsible for patient 18?"
"Yes. Li Xiaolan and I are in the same team and we rotate shifts. This week, I worked the day shift, and she worked the night shift," Chen Shu replied.
"How is Li Xiaolan's work performance?"
Chen Shu said, "She has a great personality, is outgoing, and very talkative. She's very patient with patients, and she gets along well with the caregivers and patients in the ward.
It's just that she can be a bit careless. She once almost caused a medical accident by taking the wrong medication, and the head nurse caught it. She was reprimanded for that. If she weren't the director's relative, she would have been fired long ago."
Other nurses also complained that Li Xiaolan's work performance was poor and that she often received complaints.
The head nurse said, "Last time, she was supposed to draw arterial blood for a blood gas analysis, but she missed the artery five times in a row and was scolded by the patient's family. She's always causing trouble; she's just not very reliable."
Chen Shu tried to defend her, "That patient was very old, and his veins were hard to find. It's not entirely her fault."
"Well, how come we can find them? She just doesn't have the ability. This time, she injected insulin into a patient whose blood sugar was already low. What's the difference between that and intentional murder?"
The hospital set up a special office for Fang Rui and the medical accident investigation team to conduct their interviews.
Li Xiaolan was a young nurse, having graduated only a year ago. Upon hearing that the police wanted to question her, she was panic-stricken.
She explained tearfully, "Officers, I don't know what happened. He just suddenly... I immediately called the on-duty doctor..."
"Describe the situation at that time."
"That night, around three o'clock, the caregiver suddenly pressed the call button, saying the patient was showing abnormal symptoms. I immediately went to get the on-duty doctor. The doctor said to check his blood pressure, blood sugar, and draw blood for a routine test. After checking his blood sugar, I found it was very low. The doctor said to give him some glucose, so I did as instructed."
The on-duty doctor confirmed, "Yes, that's what I said, but who knew she would be so stupid as to add insulin to the IV bag."
"No, I didn't add insulin! I'm not that clueless. The patient was already hypoglycemic; why would I give him insulin? Besides, the doctor didn't prescribe it, so where would I get the insulin to add? Someone must be framing me!"
The on-duty doctor rolled his eyes, "That's not certain. You've made basic mistakes more than once. What stupid thing haven't you done?"
Li Xiaolan cried aggrievedly, "I was just out of school then; you didn't teach me properly, so how could I not make mistakes? I rarely make mistakes now."
Fang Rui asked, "Are there any other people who could have access to the IV bag?"
"Any nurse in the nursing station could."
The police investigated the hospital's medication delivery process. The preparation center would prepare the medications for the day by around nine in the morning and deliver them to the nursing station.
The prepared medications were stored in a room at the nursing station, where any nurse could access them. This means that all the nurses in that department had the opportunity to tamper with the medications.