660. Iron Evidence
(500 words, etc.)
What was presented to everyone was the misfortune brought about by the car accident in 1996, and more than 20 people were infected with hepatitis C due to it.
However, once blood products have quality problems, it is impossible to just be one of the bags of problems, and they often occur in batches. If ***d company loses this lawsuit, then other hepatitis C patients who have accepted their brand of blood products will emerge like mushrooms after a rain.
The compensation at that time will not be able to be handled by dozens or millions, and it will definitely be an astronomical figure.
Now the company wants not only to win the case, but also to regain its reputation that has been smashed to pieces. Otherwise, with the situation of highly concentrated cash-based blood products market, even if it wins a lawsuit, it will continue to fall due to capital, brand and product sales issues, and in the end it will not be able to escape the fate of being swallowed by major manufacturers.
By then, the amount of money that can be given in annexation may not be even a fraction of the money now, it is just a chronic death with a blunt knife cutting flesh.
Instead of doing this, it’s better to sell the company to Chinese people now.
But Joseph, the boss of ***d, was unwilling to give up. He was unwilling to establish a company that had been in the past 40 years. In order to help him get out of trouble, he found a team of medical lawyers and even used his relationship to find Niaid's director, hoping to prove that his company was innocent.
"Mr. Severe, please tell me about your profession."
"doctor."
“Where is working now? What position is it?”
“niaid, the National Institute of Allergy and Infectious Diseases in the United States, I serve as the director.”
Siphon is only 1.7 meters tall and looks much shorter than the plaintiff's lawyer in front of him, but in just two sentences, everyone in the audience believed that this short man was definitely professional: "What I mainly study is viral infectious diseases and their immune mechanisms."
"Dr. Sifer must be very familiar with the hepatitis C virus?"
“That’s natural.”
The plaintiff's lawyer smiled with relief, suddenly changed his mind and asked: "I would like to ask, if all production processes of a blood product company comply with national regulations and have always been subject to quality supervision, will hepatitis C still be infected?"
This is a very strange question.
When the defendant's lawyer asked, it was impossible to put the two attributions of "production process complying with national regulations" and "accepting supervision" on the head. When the plaintiff's lawyer asked, hepatitis C virus would not come up and confirm that the company's blood products did contain hepatitis C virus.
The stranger the situation, the more it means that the other party is prepared.
Lu Zishan knew very well that the other party knew that she had put a lot of effort into interpersonal relationships and hepatitis C tests, and it was unwise to do it on it. So after a few smooth confrontations, she had guessed that the other party would focus on the production process.
Whether it is the production process of blood products, the transmission and inactivation of hepatitis C, relevant professional knowledge is required. Lu Zishan has no doctors in the United States and experts in this field, and lawyers in several teams have no relationship in this field, so she can only find Qi Jing.
Who knew that my original move to defend against the other party was likely to become the most critical link now.
She must trust her husband. In the clinical field, Qi Jing must be in the first echelon. But now it is related to the production process of blood products and has left the clinical scope. Whether Qi Jing's knowledge reserve can keep up with the other party will have to be questioned.
Lu Zishan's worries quickly became reality, and things turned to her unknown territory without warning.
"If it were before 2004, I might have said that the previous sentence was impossible. But science is always moving forward, and medicine is even more so. This year's view may not be effective next year."
Sifer made a very simple opening remark, then looked at a piece of material at his hand and said: "In 2004, the hepatitis C research team led by Professor Castillo from Spain reported for the first time a new hepatitis C virus infection model."
"Oh? New model?" the defendant's lawyer was very curious and asked, "Can you ask Director Sephe to give a good introduction?"
"Ordinary hepatitis C virus infection will cause patients' serum to be covered with RNA of hepatitis C virus, so existing serological examination methods can quickly detect hepatitis C." Sief said with the report in his hand. "But the infection reported in 2004, hepatitis C virus will hide in mononuclear cells in hepatitis cells and peripheral blood, which is called occult hepatitis C virus infection (oci)."
The defendant's lawyer frowned: "That is, this infection will make the serological test invalid?"
"It is indeed possible," Sipher said. "There have even been cases where serum hepatitis C virus antibodies are negative, which we call serologically negative oci."
The defendant's lawyer gasped and couldn't help but say, "In this case, wouldn't this OCI patient avoid the serological examination before blood collection at the blood station?"
"You are right, serological examinations are too low to OCI patients."
At this point, the two of them had actually expressed the purpose of the defendant. Seeing that the chaotic interpersonal relationship was not enough to pass the blame on the patient and hepatitis C was unable to get rid of it, he simply turned the blame on the hepatitis C itself: "If you want to find out the OCI now, what method will your institute choose to use?"
"The gold standard for OCI examination is to detect the RNA of Hepatitis C virus from biopsy, but the risk of liver biopsy is too high, so we will use alternative methods first." Sieffer explained, "It is mainly to use ultracentrifuge to concentrate serum to check the Hepatitis C infection of peripheral blood mononuclear cells. Although the sensitivity is lower than that of liver biopsy, it is also 57%." (1)
"How sensitive is liver biopsy?"
“61%.
“That’s so difficult to check?”
"It is indeed difficult to check. We do not recommend liver biopsy unless the patient is suspected to have Hepatitis C virus infection in clinical practice, and the serological test is negative, plus the ultracentrifugal serum concentration test is also negative.
After hearing this, the defendant lawyer nodded with satisfaction: "Can I understand that the blood collection station of my client's company cannot do such an examination?"
"Definitely not possible!"
"That means that the blood from the OCI patient is likely to be present in the blood materials collected by the company I am concerned about?"
"It's not just your company, but all blood stations around the world have this potential danger, but the chance is very, very low..."
Before he could finish his words, the defendant's lawyer snatched the words: "Sephew, thank you. Your testimony fully proves that the hepatitis C virus infection in the plaintiff's body, even if it really comes from our company's blood products, is very likely caused by a blood donor suffering from OCI. So..."
Sipher gently tapped the document on his hand with his index finger, with a serious expression: "Can I finish the words first?"
"So, the plaintiff's accusation is false." The lawyer was completely immersed in his own rhythm and said to him with a smile, "Mr. Severe, your testimony is enough to prove everything."
After saying that, he quickly turned around and prepared to pick up all the production licenses and regulatory qualification certificates of ***d company. With the testimony and the evidence they had prepared long ago, it can prove that the company is innocent: "The next one is these certificates of conformity..."
Unexpectedly, Sipher gave him no face and slapped at the table: "Thomas! Let me finish my words!"
The force of slapping the table was not strong, and the shouting was not loud, but it was enough to shock the lawyer. Even the judge on the side was stunned, not knowing what Sipher wanted to do: "Witness, this is the court."
Sipher cleared his throat: "Sorry, Judge, because my speech just now has caused panic to many people present. I must explain some of the data afterwards to dispel their concerns."
"Okay, please say."
Sipher continued, in his own duty, "Although the existing methods have not been able to fully screen out all OCI in ordinary blood links, surveys have shown that the incidence of OCI in blood donors is only 0.15%. In addition, hepatitis C virus itself has the possibility of self-healing, so everyone does not need to panic too much."
The incidence rate of 0.15 means that only 15 out of 10,000 blood times will appear in OCI patients. Originally, a person would receive blood transfusions and blood products in his lifetime, and the probability is already very low.
But for Lu Zishan, the probability is not zero no matter how low it is.
As long as there is such a possibility, the defendant's lawyer will push everything to OCI, and the things he has prepared for two years will be gone.
She sat in the plaintiff's lawyer's seat and listened to this, and she was a little confused. She never thought that there would be a hepatitis C virus infection that could not be detected by serological examination.
Serological examinations have always been the gold standard for hepatitis virus infection. Once you check, you will know that if the blood products cause the user to be infected with hepatitis C, it must be that there is a problem with the internal supervision of the blood products company. In the past two years, Lu Zishan has prepared too much evidence, but she has not prepared for this issue, because in her cognitive dimension, this is the most unlikely place to happen.
But now something is the most unlikely place to happen.
Just like the Wanli dam, the bottom area is often the thickest. Unexpectedly, a hole was dug out in the safest place. What they had to face was not how much water would gush out of the hole, but the risk of the entire dam breaking down together.
(Ms. Lu, what should I do about this situation?)
(I was thinking that the other party would play two cards in total, but who knew that the other party hesitated for a long time to take out the oci gray card from his pocket.)
(No hurry, you can ask some questions that are not painful and itchy first, I will find a way.)
Lu Zishan asked the others to flick the shot first, and took his cell phone to find Qi Jing who was still waiting to come in to testify.
[Did you see the witness who came in just now?]
【See, Sieph, Niaid's director】
[He just said something, which makes us very passive now. I want to ask, do you know about oci?]
After the short message was sent, Lu Zishan was mentally prepared. She knew that her husband was not a scientific research material, and OCI had only appeared for a few years, so it was normal not to know. If Qi Jing really didn't know, then she could only put down her previous advantages and "fight" with the other party.
Finally, everything is left to the jury to decide.
[It should be the hepatitis C virus that infects mononuclear cells in peripheral blood? Do they want to use this to separate themselves from each other?]
【Yes, what should I do, can I refute it?】
【2008, it was a bad commemoration...but it wasn't bad, you can try it first】
......
After a few text messages, the two lawyers had already returned to their seats after asking questions. What they gave were basically irrelevant questions, and they were not even threats.
"Does the plaintiff's lawyer still have any questions?"
"I have two more questions to ask Director Sever."
Lu Zishan looked at the content that Qi Jing had just sent, raised her hand and stood up, and then slowly walked to the witness stand. In just seven or eight steps, she had already sorted out the level of these questions: "When did Director Siphe become Director Niaid?"
“It’s been 24 years.”
"If I remember correctly, Director Siphe's original research direction was immunomodulation?"
Sipher nodded: "It's true during his student days."
"After entering Niaid, you first go from an assistant in the clinical laboratory, then go to the physiological laboratory to become the person in charge, and then return to the newly opened immunomodulation laboratory to serve as the director." Lu Zishan knew his life as if he were aware of the infectious disease expert, but there are only a handful of infectious diseases he has taken over."
Niaid is not a simple infectious disease laboratory, and Sipher's major is indeed immunology.
"Medology is connected, especially immunology and infectious diseases." Sipher did not try his best to refute it, but said lightly, "Hepatitis C"
(Split line.........)
After a few text messages, the two lawyers had already returned to their seats after asking questions. What they gave were basically irrelevant questions, and they were not even threats.
"Does the plaintiff's lawyer still have any questions?"
"I have two more questions to ask Director Sever."
Lu Zishan looked at the content that Qi Jing had just sent, raised her hand and stood up, and then slowly walked to the witness stand. In just seven or eight steps, she had already sorted out the level of these questions: "When did Director Siphe become Director Niaid?"
“It’s been 24 years.”
"If I remember correctly, Director Siphe's original research direction was immunomodulation?"
Sipher nodded: "It's true during his student days."
"After entering Niaid, you first go from an assistant in the clinical laboratory, then go to the physiological laboratory to become the person in charge, and then return to the newly opened immunomodulation laboratory to serve as the director." Lu Zishan knew his life as if he were aware of the infectious disease expert, but there are only a handful of infectious diseases he has taken over."
Niaid is not a simple infectious disease laboratory, and Sipher's major is indeed immunology.
"Medology is connected, especially immunology and infectious diseases." Sipher did not try his best to refute it, but said lightly, "Hepatitis C"
"After entering Niaid, you first go from an assistant in the clinical laboratory, then go to the physiological laboratory to become the person in charge, and then return to the newly opened immunomodulation laboratory to serve as the director." Lu Zishan knew his life as if he were aware of the infectious disease expert, but there are only a handful of infectious diseases he has taken over."
Niaid is not a simple infectious disease laboratory, and Sipher's major is indeed immunology.
"Medology is connected, especially immunology and infectious diseases." Sipher did not try his best to refute it, but said lightly, "Hepatitis C"
Chapter completed!