Chapter 13 chapter Ten

Newtown, Massachusetts Wednesday, June 7, 2006 six in the morning: fifteen The house is always in chaos in the morning, just like the previous day, and Meghan and Christina have another fight over a piece of clothing.Jack didn't know the specific situation. He only knew that today it was the other way around. Megan didn't allow Christina to wear her clothes. As a result, Christina ran upstairs crying. Only Alexis is relatively normal.Jack felt she was the glue that held the family together.Craig hadn't woken up yet and said little, apparently the effects of the sleeping pills and Scotch hadn't worn off.

When the kids were off to school, Alexis said to Jack: What are your plans for transportation?Do you want to come with us or drive by yourself? I have to drive myself.The first stop is to go to the Langley Pearson Funeral Home and give them the signed relevant files so that the opening process can start.In fact, the real reason was that he wanted to play a game of basketball in the evening, but he didn't say anything about it. Then we'll meet in court? That's what I intend, said Jack, though he secretly hopes that HaroldLangley could do wonders and get Patience out that morning.Stanhope wrought from her eternal resting place.If so, Jack could do the autopsy right away, give Craig and Alexis the rough results in the afternoon, and then he could catch the commuter flight back to New York.That way he could use Thursday to finish his office work, start his honeymoon on Saturday morning, and even have time to pick up his plane tickets and hotel vouchers.

Jack was out the door before Craig and Alexis, got into the rental car, and onto the Massachusetts Thruway.He thought that since he had been to the Langley Pearson Funeral Home once, he should be able to find it soon.Unfortunately he was wrong.He drove this five-mile journey for nearly forty minutes, and his anger grew, and he finally arrived at his destination. While cursing in a low voice, Jack drove the car into the funeral home's parking lot while venting the stress of the journey.There were more cars than the day before, and he had to park at the very back.By the time he got to the front of the building, there were already people hanging out on the porch.Only then did he guess that there might be a farewell ceremony for the remains.When he entered the hall, he found that it was so.In the farewell room of the corpse on the right, someone was busy arranging bouquets and adding chairs.There was a coffin on the bier, and the deceased was very peaceful and peaceful.The whole room was enveloped in the pious religious music of yesterday.

Would you like to sign in first?a man asked him in a sympathetic whisper.This man is like Harold in many ways.Langley, just much bigger. I am looking for a funeral director. I am Locke, the undertaker.Pearson.Willing to work for you. Jack said he was looking for Mr. Langley.Following the direction Pierson pointed, he found Harold's office.Harold was busy at his desk. Mr. Stanhope signed the permit to open the coffin, and Jack went straight to the point, handing over the permit without even thinking about the pleasantries.The situation is very urgent now, and the corpse must be taken out immediately and transported to the embalming room here.

There was a funeral service this morning, Harold said.Immediately after the ceremony, I deal with it. Do you think it's possible to do an autopsy today?The deadline is approaching and time is really tight. Mr. Stapleton, this project involves the city, the burial company, the backhoe driver and the cemetery.Do you remember?Normally it takes about a week. Not a week, Jack emphasized.It must be today, not later than tomorrow at the latest.Jack shuddered at the thought that he might have to wait until Thursday, and didn't know how to explain it to Laurie. impossible. It's too much trouble for you, and we'd like to add five hundred dollars to the normal fee.Jack watched Harold's expression.He was motionless, almost as if he had Parkinson's syndrome.His lips were thin too, almost like Randolph's.

I can only say that I will do my best on this matter, but I cannot guarantee anything. That's all there is to say, Jack said, handing Harold a business card.By the way, can you tell me what the body is like now? Of course, Harold emphasized.The corpse should not have been corroded yet.As usual, we have done serious anti-corrosion treatment. The coffin is the best brand for eternal sleep, and it is equipped with the best cement tomb. How is the burial site: will there be a lot of water? no water.The tomb is on the top of the hill.It is a family burial site handpicked by old Mr. Stanhope.

Let me know as soon as you have news. Most definitely. When Jack left the funeral home, the people on the porch had slowly entered the farewell room with solemn expressions.Jack got in the car and began to consult Alexis' revised map.She laughed when she heard that Jack was wandering around town with a map from the rental car company.Jack's next step is going to the medical examiner's office.There was much less traffic now, and Jack arrived at his destination in no time. The receptionist remembered him and told him that Dr. Wylie must be in the autopsy room at this time.Before Jack asked, she took the initiative to call and discuss with Dr. Wylie.A coroner's assistant came upstairs to the front desk and led Jack down to the anteroom of the autopsy room to wait.Two plainclothes officers hang around: one black, the other white.The white man was big, red-faced, and Irish.Everyone else was wearing a full suit of high-density polyethylene synthetic paper.It took several minutes for Jack to learn that the two plainclothes were waiting for Dr. Wylie's autopsy results.

Someone gave Jack a hazmat suit, which he put on before entering the house.Like the rest of the facilities here, the autopsy room is as good as it gets.In comparison, the autopsy room in New York is simply too backward.There are five autopsy tables in the house, three of which are in use.Latasha's one was the farthest from Jack, and she beckoned Jack to pass. Almost done, Latasha said through the plastic mask.I thought you might like to take a look. what's the situation?Jack asked.He was always interested in autopsies. A fifty-nine-year-old woman died in her bedroom after meeting a netizen.The bedroom was a mess with signs of struggle, nightstand turned over and bedside lamp broken.The two plainclothes police officers in the reception room thought it was homicide.She had a deep muscle cut on her forehead at the hairline.

Latasha pulled the woman's scalp down again.The scalp above her face had been peeled away to observe brain tissue. Jack bent down to take a closer look. The circular wound was sunken in, as if he had been hit by a hammer. Latasha went on to explain how she deduced it was an accident, not a homicide.The wooden floor had just been waxed, and a small piece of carpet was laid on it. The woman accidentally slipped and fell, hitting the bedside table, her whole body continued to rush forward, and her forehead hit the top decoration of the bedside lamp.This case illustrates how important it is to know the crime scene.The spiraling crown of the bedside lamp ends in a smooth disc, much like a hammer.

Jack said he admired Latasha's professionalism. It's routine, she said.What can I do for you? You said you could provide autopsy tools, and I decided to accept your offer.Everything is ready now, just waiting for them to take the body out of the ground as soon as possible.I'm going to do an autopsy at Langley Pearson Funeral Home. If it's after hours, I'd love to help, and I can bring a bone saw. real?Jack asked.He didn't expect the other party to be so generous.Glad to have you here to help. The case sounds quite challenging.Let me introduce you, this is our supervisor, Kevin.Dr. Carson.

The supervisor is doing the autopsy on station one.He was tall, lanky, affable, and spoke with a southern accent.He mentioned talking to Jack's supervisor Harold.Dr. Bingham is very familiar with him and usually calls him by his first name.He also said that Latasha told him the purpose of Jack's trip, and he supported her to help Jack process samples, and they could also help if toxicology tests were needed.He said that the medical department did not have the conditions to do toxicology tests on its own, but there was a first-class laboratory at a nearby university that was open 24 hours, and they could go there to do it. Go back and say hello to Harold for me, after Kevin finished speaking, he went to work on his autopsy. Be sure to convey, Jack replied.But Kevin had already bent down and was busy with the corpse in hand.Also, thank you for your help. Seems like a very approachable supervisor, Jack said and followed Latasha into the reception room outside the autopsy room. Indeed popular, Latasha agrees with him. A quarter of an hour later, Jack tidied up the basketball equipment in the trunk of the Accent, and put in a box of autopsy tools.Then he put the business card with Latasha's mobile phone number written on it into his wallet, and then he got into the cab and sat down. Although Alexis advised him to park in the parking lot next to Faneuil Hall, Jack felt content to return to the parking lot next to Boston Green, which was easier to find.He also enjoys walking around the Massachusetts State Capitol. Jack entered the courtroom and closed the door carefully, hoping to make as little noise as possible.At this time, the court clerk was reading an affidavit to a witness.Jack heard the name of the witness: it was Herman.Doctor Brown. Jack stood by the door and looked around the courtroom.He saw the backs of Craig and Jordan, next to their respective attorneys and paralegals.The jury was as listless as yesterday, but the judge seemed engrossed.He was flipping through the files at hand and rearranging them as if he was the only one in the courtroom. Jack glanced at the gallery, and then met Franco's eyes.From a distance, Franco's eyebrows look like Neanderthals, and his eye sockets look like two featureless black holes. Jack thought about it, smiled and waved to him.He knew it was stupid, that he was mocking Franco, but he couldn't help himself.The adventurous nature in his bones has been on the rise a bit lately.He was the only one who survived the plane crash in his family, and it was this almost childlike coping that helped him overcome his guilt.He seemed to see Franco's body tense up, but he couldn't be sure.Franco continued to glare at him, but after a few seconds he shifted his gaze to his master, who pushed his chair away from the plaintiffs' box and made his way to the podium. Jack blamed himself for angering Franco and wondered if he should go to the hardware store and buy a pepper shaker.If the two clash again, Jack doesn't want to do it again.There is a huge difference in physique between the two, and it is he who really suffers from the fight. Jack continued to observe the gallery, again shocked by the number of people.He wondered how many of them were so-called court junkies, the inexplicable pleasure of watching other people, especially the rich and powerful, stand trial.As a successful physician, Craig was just the thing to satisfy these people's morbid curiosity. Jack finally found Alexis.She sat in the first row against the wall, near the jury.There seemed to be a few empty seats beside her.Jack walked over, apologized to the person next to him, and slowly moved towards the middle.Alexis watched him approach and moved her things to make room for him.Jack squeezed her shoulder before sitting down. Is it going well?Alexis asked quietly. It's a bit of an eyebrow, but it's out of my control now.How is the situation here? Pretty much the same as before.The start was slow as the judge dealt with a bit of an obscure legal issue.The first witness was Noel.Dr. Everett. That's definitely not in our favor. Yes.She comes across as a well-trained, caring and sensitive professional.Moreover, she is a local resident and participated in the rescue of Patience.I have to say, Tony handled it well.Both the way he asked questions and Noel's answers commanded the jury's attention.I even saw the three housewives nodding in agreement that it was not a good sign.Her testimony is basically the same as that of William.The same as Dr. Tudolph's, but I find it more convincing.It felt like everyone wished they had a doctor like her. How did Randolph behave on cross-examination? Not as convincing as when he asked Dr. Tardolph.But to be honest, Everett's performance is so good, he can't change anything.My feeling is that he just wants to get her off the witness stand as quickly as possible. It was probably the best strategy at the time, Jack said.Did you mention the issue of butler medical care? mentioned.Randolph attempted to dissent, but Judge Davidson fully supported the plaintiff's argument. Was there any mention of cyanosis? No.Why do you ask? This question has been bugging me.This is one of the things I would most like to know if an autopsy could be done. A sixth sense prompts Jack to turn and look across the courtroom at Franco.He was staring at Jack with an expression that was half grimace, half cruel smile.Thankfully, from Jack's perspective, Franco's left cheek was as red as Jack's.So far, the two are even. Jack sat down in the stiff gallery and turned his attention to the trial.Tony stood in front of the podium, Herman.Dr. Brown took the witness stand.In front of the judge's seat, the fingers of the court clerk kept busy on the typewriter, recording the whole process of the trial word by word.Tony is leading the witness to recount his impressive academic background and scientific research achievements, which has lasted for a quarter of an hour.He is not only the Chief of Cardiology at Boston Memorial Hospital, but also the Chair of the Department of Cardiology at Harvard Medical School. Randolph stood up a few times to offer to acknowledge the expert credentials of the witnesses in order to save time for the trial, but Tony would not stop.He wanted to impress the jury, which he clearly achieved.All gradually realized that there was no better witness in cardiology than he.The man's appearance and demeanor made him all the more convincing.Like Randolph, he had the airs of a Boston gentleman, but none of Randolph's condescending disdain.He has no indifferent sense of distance, and looks kind and gentle: the kind of person who will do his best to send the chicks back to the nest.His white hair is neatly combed, giving him a grandfatherly look.His sitting posture is very upright.His clothes are very neat, but not too elegant, looking comfortable and casual.He was wearing a paisley tie.He's a bit too self-effacing, and it takes Tony's constant questioning before he reluctantly admits what awards and achievements he has won. How could such a medical guru be a witness for the plaintiff in a malpractice lawsuit?Jack whispered to Alexis.But this is actually just a rhetorical question, and no one is expected to answer it.He couldn't help thinking of Noel.Everett once unannounced her thoughts on stewardship medicine, which us old-school physicians resent very much.Maybe Dr. Brown is one of them, because the concept of stewardship medicine is at odds with the professional codes espoused in academia.Herman.Dr. Brown was more qualified to represent academia than anyone else at the trial. Doctor Brown, Tony said, gripping the edge of the lectern with stubby fingers.Before we discuss Patience.Stanhope's avoidable accidental death before No, Randolph emphasized.The jury is still out on whether Mrs Stanhope's death could have been avoided. Objection works!Judge Davidson declared.Watch your wording! Before we discuss Patience.Before Stanhope's unexpected death, I wanted to know what you and plaintiff Craig.Has Dr. Berman had any contact. Have been in touch. Can you explain your relationship to the jury? "No, your honor," said Randolph angrily.The question is irrelevant to this case.Or if the question has some inexplicable connection to the case, Dr. Brown may be biased against the defendant, and I object to his inclusion as an expert witness in the case. Invite lawyers for both sides to come to the bench, Justice Davidson said. Tony and Randolph walked obediently to the bench. I would be very angry if you repeated what happened on Monday, Judge Davidson said.You are all experienced lawyers.Don't be so ignorant!You all know the rules.As for the question just now: Mr. Fasano!Should I believe that your present question is indeed relevant to this case? Of course, your honor!The plaintiff's argument focused on Dr. Berman's attitude towards patients, especially towards Patience.Stanhope's attitude.I appeal to the attention of the Court that plaintiffs use the derogatory categorization of problem patients.Dr. Brown can help us understand where this attitude comes from, and how Dr. Berman behaved during his third year of medical school and during his residency.Later testimony and Patience.The Stanhope case is directly relevant. Well, I allow you to ask that question, Judge Davidson said.But I want you to connect it to this case as soon as possible.Have I made it clear enough? Very clear, Your Honor, Tony said, a smug smile playing on his lips. Don't act like you've been wronged, Judge Davidson told Randolph.Your objection has been noted.I feel that if Mr. Fasano's connection does hold, the testimony will be more valid than harmful.Of course I admit that there are both possibilities, but the job of the judge is to make a judgment.As compensation, I will give the defendant as much latitude as possible during cross-examination.As for the issue of bias, you had ample opportunity to discover this during the pretrial discovery phase, and you didn't contest it.There is, however, an opportunity to remedy this issue on cross-examination. I hope the trial will be expedited, Judge Davidson added.I was going to have a week to try this case, and it's already Wednesday.Given the timing of the jurors and myself, I expect the case to close on Friday, barring unforeseen circumstances. Both lawyers nodded in agreement.Randolph returned to his dock seat and Tony returned to the podium. The objection is void, Judge Davidson declared loudly.The trial continues. Doctor Brown, Tony cleared his throat.Can you explain to the jury that you and CraigIs it related to Dr. Berman? During his third year of medical school, I was his supervisor during his internal medicine internship at Boston Memorial Hospital.This is my first contact with him. Can you explain what this means?None of the jury members went to medical school.Tony pointed to the jury seat, and several jurors nodded in agreement.Everyone was engrossed except for the assistant plumber who was still studying his nails. During the third year of medical school, or more accurately, during the entire four years of medical school, the internal medicine internship is the most important and challenging.It is the first time for students to have long-term contact with patients, and they are responsible for the whole process from admission to discharge, and participate in diagnosis and treatment under the strict observation and guidance of other medical staff and supervisors. Dr. Berman's group is under your direction.Is there a lot of people in this group? not much.Only six, to be exact.Teaching is very strict. That is, as the supervising physician, you have regular contact with these students. There are touches every day. This makes it easier to observe the overall performance of each student, right? You can say that.This is a critical time in their lives, marking the beginning of their transition from student to physician. The generation and transformation of attitudes is important during this time. extremely important. As the supervising physician, are you responsible for the generation and transformation of these attitudes? heavy responsibility.Students tend to be more positive toward patients, while overworked and stressed healthcare workers tend to be more negative toward patients.As supervising physicians, we need to strike a balance between these two attitudes. Is there a difference between the two?Tony put on a look of disbelief on purpose.Can you explain it? The amount of knowledge that trainees need to master and reproduce at any time is enormous, and it is updated every year.Residents are under a lot of pressure and sometimes forget the fundamental humanitarian spirit of their work.The humanitarian spirit is the foundation of professional quality.Facing suffering and life and death every day will also gradually produce an unhealthy coping style. Tony shook his head in confusion.I said this, you see right.In short, trainees have a tendency to belittle individual patients the way individual trees can be overlooked by focusing too much on the forest. It is possible, said Dr. Brown.The key is not to underestimate this phenomenon. We'll all do our best, Tony said with a small smile, which made several of the jurors laugh with him.Now continue to discuss the defendant Craig.Doctor Berman.How was he doing during his internship? Overall excellent.Of the six students, he was always far and away the most knowledgeable and best prepared.I admire his memory.I remember once asking about the blood urea nitrogen index of a patient. Is it the result of the blood urea nitrogen test? Yes.At that time, it was a question sentence, in order to emphasize that being familiar with the patient's renal function is very beneficial to the treatment.Dr. Berman said the test results without thinking, which made me think he made it up.Students often play this trick to hide their lack of preparation.I checked later and he was absolutely right. So Dr. Boman got a high grade in this class? He got an A. But you just said that overall it was excellent. I say so. Can you tell us why? This feeling has always haunted me, and it intensified when Dr. Berman went to Boston Memorial Hospital as a resident. what does it feel like In my impression, his character be opposed to!cried Randolph.Rationale: The witness was neither a psychiatrist nor a psychologist. The objection was invalid, Justice Davidson said.As a physician, the Witness had exposure to the above-mentioned fields.If the plaintiff has comments, he may raise them during cross-examination.Witnesses can continue. I think Dr. Boman is very competitive, and he cared too much about the evaluation given to him by the chief resident at that time, so he regarded patients as a means of competition.He actively seeks out the most valuable patients so that his reports are always the most interesting from a professional point of view and receive the highest evaluation. In other words, do you feel that Dr. Berman used patients as a means of advancing his career? That's what it means. And that attitude doesn't meet current standards of professionalism, does it? Yes. Thank you, Doctor Brown, Tony said.He paused to look at the jury, making eye contact with each juror, letting everyone appreciate the weight of the testimony. Jack leaned down and whispered to Alexis: I finally understand what you mean to Tony.Fasano's review.He is really good.Now not only butler medical care, but also medicine itself and the inherent brutal competition in the medical industry have become objects of court challenge. What bothered me the most was that he interpreted Craig's accomplishments as being too competitive.He probably expected Randolph to emphasize Craig's accomplishments during cross-examination. Tony resumed his questioning.He concentrated his firepower on Patience.In the rescue process of Stanhope, he quickly got to the point and let Dr. Brown prove that it is very important to start rescue as soon as possible when encountering a heart attack patient.By reviewing the medical records, it can be concluded that due to Craig's delay in diagnosis, the possibility of Patience's survival is greatly reduced. A few more questions, Doctor Brown, Tony said.you know williamDoctor Tardolph? know. He is a graduate of Boston University School of Medicine, did you know that? Know. You know Noel.Doctor Everett?Did you know she graduated from Tufts Medical School? I know both. Three cardiologists, from three of the best medical schools in the Boston area, agreed with Craig.Dr. Berman to Patience.Stanhope's rescue was substandard.Are you surprised by this? Not surprisingly.This only shows that everyone agrees that heart attack patients need to be rescued in time. Thank you, Dr. Brown.Questions are over.Tony packed up the documents on the podium and walked back to the plaintiff's table.Both his assistant and Jordan patted him on the arm, applauding his performance. Randolph stood up slowly and walked to the podium.He straightened his coat and put his platform wingtip feet on the rail at the bottom of the podium. Dr. Brown, Randolph said, everyone agrees that under the premise of complete facilities, patients with heart attacks need to be rescued in time, and I agree with this point.But it is not this issue that needs to be discussed in this case, but Dr. Berman's opinion of Patience.Whether Stanhope's rescue was up to par. Insisting on going to Stanhope's clinic instead of sending the patient to the hospital in time did delay the timing of rescue. But there was no definitive diagnosis until Dr. Berman arrived at the Stanhope home. According to the plaintiff's testimony during the discovery phase, Mr. Stanhope had told him that Patience had suffered a heart attack. That's just the plaintiff's testimony, Randolph said, but the defendant said in his testimony that Mr. Stanhope made a point of ruling out a heart attack.He did not say for sure that Patience.Stanhope had symptoms of a myocardial infarction, medically known as a myocardial infarction.If it cannot be proved that it was a heart attack at that time, there is no delay in treatment.right? Yes, but she did have a heart attack.It is clearly written in the medical record.The medical records also said she had a problem with the stress test. But what I want to say is that at the time, Dr. Berman was not sure whether Patience had symptoms of a heart attack, Randolph said.He will refer to this in his next testimony.Let's put this question aside for a moment and discuss the medical school issue you just mentioned.Did you get an A in your third-year internal medicine practice? Yes. Are there any interns you've been paired with getting A's? there is none left. Did they all want an A? probably. How did you get into medical school?All previous courses must be A's, right? Of course. How can I get an internship at the best hospital, like Boston Memorial Hospital? Must be all A's. On the one hand, the academic circle condemns competition as anti-humanitarian, and on the other hand, it bases the entire evaluation system on competition.Don't you think it's hypocritical? Competition and academics are not mutually exclusive. What you're talking about is just an ideal state, reality is another matter.Competition does not breed enthusiasm in any field.You also stated in your testimony that medical students must master a great deal of information in order to do well on their exams.I have another question for you in this regard.In your experience as a student and as a supervising physician, is there a lot of competition for the so-called most valuable patients?We all don't want to deal with ordinary patients. It should be like this. Because it gets the highest rating when it is reported that way. almost. That is to say, all students, especially good students, use patients to varying degrees to achieve the dual purpose of learning and career advancement. Maybe. Thank you, Doctor Brown, said Randolph.Next, we discuss the issue of outpatient visits.From a professional point of view, how do you evaluate the outpatient service? I think the effect is limited, the tools are not complete, and timely and effective treatment cannot be carried out. That said, physicians are often reluctant to go out to the clinic.Do you agree? agree.In addition to incomplete tools, it also involves the issue of efficient use of resources, and it takes a lot of time to go back and forth to the patient's home.The same time can be used to diagnose and treat more patients. Clinic efficiency is low. Yes, so to speak. How do patients rate the clinic? be opposed to!Tony almost stood up.hearsay evidence. Judge Davidson took off his reading glasses and gave Tony a look of disbelief. invalid objection!he said angrily.Anyone can be a patient, and Mr. Brown's testimony is based on his own experience.The trial continues. Do I need to repeat the question I just asked? No, said Dr. Brown.He seemed a little hesitant.Patients mostly prefer outpatient clinics. What do you think of Patience.What does Stanhope think about outpatients? be opposed to!Tony stood up again.speculative testimony.Witnesses have no way of knowing what the deceased thought of the outpatient. The objection stands, Justice Davidson said with a sigh. I assume you have read the medical records provided by the plaintiff? Yes. Then you must know that Dr. Berman was in Patience.Stanhope made several home visits during his lifetime, often late at night.From the medical records, what is the usual diagnosis in these clinics? Most are gastrointestinal disturbances triggered by anxiety. What kind of treatment? Symptomatic treatment or placebo. Have you ever had pain symptoms? Had. Where is the pain? Mostly in the abdomen, occasionally in the upper abdomen. The so-called mid-upper abdominal pain is sometimes called chest pain, right? Yes, you are right. You read the medical records and think Patience.Was Stanhope a little hypochondriac? be opposed to!Tony said loudly, but didn't get up this time.Hypochondria was never mentioned in the medical records. The objection was invalid, Justice Davidson said.The court would like to remind the plaintiff's attorney that this is your own expert witness. Judging from the medical records, it is indeed possible to infer the possibility of hypochondria. Dr. Berman is often in outpatient clinics.You also mentioned just now that most physicians are unwilling to do this.Moreover, the outpatient clinic is often late at night, and it is necessary to face a woman who is obviously suffering from hypochondria.Don't you think these can prove Dr. Boman's attitude and enthusiasm for the profession of doctors? I don't think so. Randolph was taken aback for a moment, obviously surprised, and even raised his eyebrows.Your answer doesn't make sense.Can you explain it? I thought so.Patients can enjoy butler medical services only after paying a high consultant fee, which is said to be 20,000 US dollars a year.In this case, they naturally consider outpatient service as one of the essential services.Therefore, it cannot be said that Dr. Boman's willingness to go out to the clinic is doing good deeds and thinking about patients. But there is such a possibility. It is possible. Dr. Brown, can you be honest with me, are you biased against Butler Medicine? Prejudice, of course, said Dr. Brown angrily.He has maintained a detached and peaceful state until now, similar to Randolph's style.Clearly, Randolph's question was on point. Can you tell the court why there is such an overreaction? Dr. Brown took a deep breath and calmed down a little.Butler medical treatment fundamentally violates the three principles of professionalism of medical staff. Can you elaborate? Yes, said Dr. Brown, returning to his usual professional demeanor.In addition to patient welfare and patient autonomy, social equity is also one of the fundamental starting points for the professionalism of medical staff in the 21st century.In the medical field, social justice is reflected in the elimination of discrimination.Butler Healthcare runs counter to this principle. Do you feel that your over-the-top views on Butler Medicine will prevent you from remaining neutral in your testimony involving Dr. Berman? do not think so. Can you tell us why?Because according to your words, this runs counter to common sense. As a well-informed physician, Dr. Berman should know that men and women have different symptoms when they have a sudden myocardial infarction.As long as the doctor suspects that a female patient, especially a female patient who has passed menopause, may have a heart attack, he should first treat it as a heart attack until it is not diagnosed as a heart attack.Pediatrics also has a similar phenomenon. As long as the doctor suspects that the patient may have meningitis, he has the responsibility to treat it as meningitis and perform a spinal tap.Physicians should do the same when a female patient shows signs of a heart attack.Since Dr. Berman suspected heart disease, he should take appropriate measures. Dr. Brown, said Randolph, it is often said that medicine is not a science but an art.Can you tell everyone what this sentence means? The meaning of this sentence is that physicians cannot rely on facts alone, but must also have judgment.Judgment is not objective and can be learned, so it is an art. In other words, medical knowledge is also limited. Indeed.No two people are alike, not even twins. Don't you think that on the night of September 8, 2005, the situation that Dr. Berman faced was a bit special?It was the second time he visited the Stanhope's clinic in one day, and he knew that the patient was hypochondriac.Don't you think this situation requires extreme judgment? Any diagnosis and treatment requires judgment. Here I am asking about the night of the incident. Yes.It does require great judgment. Thank you, Doctor Brown, Randolph said, and began to organize his notes.Questions are over. Witnesses can retire, Judge Davidson said.Then he turned to the jury and continued, It's almost noon and I think it's time to let you go to lunch too.Anyway, I'm hungry.Remember not to discuss the case with other people, nor among jurors.He tapped the gavel.Court is now adjourned.Court session resumes at 1:30 p.m. All rose, and the court clerk announced loudly.The judge stepped off the presiding seat and entered the inner court.