godfather of surgery

Chapter 572 Secret
The teaching of typical cases officially started.

Zhang Lin stood beside him after demonstrating the standard moves.

One by one, the interns performed an anal reflex check.

An intern was operating excitedly, while the interns behind hid far away.

"You don't look carefully, what are you doing hiding so far away?" Zhang Lin gave criticism and education.

The intern felt forced to get a little closer, but made a gesture of hiding at any time.

Can't blame this intern, he has a psychological shadow.

During the internship in the obstetrics and gynecology department, he stood too close to observe the abortion operation in the outpatient clinic, and the oval of the chief surgeon was pulled out from the uterus, bringing out a mass of things, and at the same time, a bag of blood spattered.

The poor intern has blood all over his face, all over!
What's even more pitiful is that the intern was forced by the majesty of the teacher to remain motionless, pretending that nothing happened, and completed the entire observation process.

Psychological shadow!

Finally, nothing went wrong this time, the second intern let out a long breath.

When it was his turn, he couldn't wait, and quickly recalled the theoretical knowledge about the operation in his mind.

When he lowered his head and operated seriously.

Because of fecal incontinence, there was a sound of bursting bubbles, and the patient's semi-loose stool flowed out.

At this time, there must be absolutely no disgusting eyes, expressions and movements, you are a doctor.

Teacher Zhang came over, put on gloves calmly, took a tissue from someone else, carefully cleaned up the stool, and then skillfully changed the patient's diaper.

"Come here today!"

Teaching also depends on the situation. If the patient is unwell, it cannot continue.

If the patient really refuses, it cannot continue.

Doctors can't fight hard with patients.

Li Jun turned his head, his face full of grievance and innocence, his cousin finally breathed a sigh of relief: "Thank you, thank you."

The students who did not get the practice in the back were unwilling, staring at the buttocks of others who had pulled up their pants, and some people complained about the clumsy students, which caused everyone to lose a precious opportunity.

This same classmate was also in the mammary gland department. When it was his turn to do it, his hands trembled and he dared not touch the breast lump for a long time.

At that time, the teaching teacher was in a hurry for the operation and was forced to terminate the teaching early.

With disappointed and blamed eyes, this unlucky student followed Teacher Zhang and left the ward.
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Yang Ping went to the office and drank a few sips of tea, then went to the consultation room, and asked Li Guodong to call the patient and his family over, and Yang Ping wanted to talk to them face to face about the condition alone.

During ward rounds, especially large ward rounds, it is not appropriate to talk about the details of illness and surgery.

Ten minutes later, the patient and his family members were taken to the consultation room, and Li Guodong sat beside him to make notes.

"Please sit down!"

The cousin was a little unhappy when he saw Li Guodong on the side, and he agreed to talk alone.

Yang Ping saw his thoughts and said:
"Guodong, you go out for a while."

Li Guodong understands, knowing that the patient has privacy and it is inconvenient to be present with others, so he is only willing to communicate with Professor Yang.

In fact, this is indeed the case. My cousin can see from the rounds that Yang Ping is the speaker here, and he just wants to communicate face-to-face and candidly with the speaker.

Close the door and lock it!
"This teratoma is very large, measuring 34X25X27 centimeters. It has developed spinal bones, teeth, and hair. Part of the tumor penetrates into the sacral canal, forming a dumbbell shape and severely compressing the sacral nerve. Even if it is removed, it may leave sequelae, such as the perineum. And anal sensory disturbance, incontinence." Yang Ping cut to the chase.

The handsome boy Li Jun seemed very panicked and kept looking at his cousin.

The cousin held his head in both hands, inserted his fingers into his hair, and after a moment, he raised his head and said, "Professor Yang, I am actually not his cousin, but his friend!"

My cousin hopes that Professor Yang can understand the meaning of this sentence.

But Professor Yang didn't understand that there was not much difference between a cousin and a friend, he was not a direct relative, so he could only be an observer.

In the end, the signature of the operation was still signed by Li Jun himself.

"We have taken good safety precautions, how could we be pregnant?" the sunny boy popped out.

Yang Ping almost spit out the tea he drank just now, but his professionalism kept him calm.

What do you mean?
The patient is a woman?
How can it be?

I checked the body myself, and it was obviously a man, how could I be wrong?

"Are you male or female?"

As a doctor, it is necessary for Yang Ping to confirm with Li Jun face to face, because the matter has gone beyond his common sense.

It is not uncommon for people to have two sets of genitals, but Yang Ping has seen the pelvic MRI of this patient. He studies the images very seriously and will never miss such a big problem.

Li Jun's pelvic magnetic resonance image did not find female reproductive organs, even the remaining traces.

Is it true that girls' reproductive organs are in a high position?

Impossible, an MRI is a scan of the entire abdominal cavity.

"I'm a doctor. I'm just asking these questions to clarify your illness and treat you better. Don't worry, I'll keep it secret for you." Yang Ping expressed his attitude.

A blush appeared on Li Jun's face, and he said shyly, "I'm a man."

"I'm his boyfriend." The sunny boy summoned up the courage to confess.

Because if you don't make it clear now, there may be a misunderstanding about the condition, the sunshine boy thinks so.

Yang Ping understands that he respects the privacy of his patients, but he feels it is necessary to educate them.

"You think it's pregnancy? So you went to see an obstetrician?"

Yang Ping asked.

Li Jun turned to look at his boyfriend again, hoping that the other party would help him answer, he was not good at words.

The boyfriend hesitated for a while, and said: "We had a color Doppler ultrasound in a small hospital. The doctor said there was a tumor, but it was strange, like a child. He suggested that we go to a big hospital for an examination. I——we thought we were pregnant, so I came to you In the hospital, of course I went to the obstetrics and gynecology department when I was pregnant. I saw it when I was about to leave work. At that time, the doctor saw my color Doppler ultrasound and asked me to have an MRI. It is said that it is very likely a teratoma, which contains teeth, bones, and hair."

Yang Ping finally understood what was going on, and said patiently: "First of all, you don't have to worry. This is not pregnancy. Men and men can't get pregnant. In medicine, conception begins when a fertilized egg, that is, a man's sperm and The combination of a woman's eggs is the beginning of conception. Only sperm, no eggs, it is impossible to conceive, you worry too much, now you need surgery to remove this teratoma."

The sunny boy said in surprise: "But the spine and teeth have grown inside, so it's not a child?"

It seems that sex education is seriously absent!

"I checked on Baidu. Teratomas come from germ cells. Sperm are germ cells. Isn't this also a disguised pregnancy? It's just a child with abnormal development." Be ambitious and communicate boldly.

It seems that he has checked the information and has a certain understanding, but his understanding has gone wrong.

"Don't worry, this is not a pregnancy, it's just a teratoma, which is derived from germ cells and is caused by the abnormal differentiation of germ cells during the embryonic period. It is a kind of tumor, although it has a fetal word, it has nothing to do with the fetus, and I just Having said that, a man cannot conceive, even if he wants to conceive, he will not be able to conceive."

"This kind of teratoma has such characteristics. The differentiation is so mature, and there are teeth, bones, and hair. Judging from experience, the possibility of benign teratoma is high, but the specific nature needs postoperative pathological examination to determine."

The sunny boy seemed to understand something: "I'm sorry, Professor Yang, no one explained it to us before, so I don't understand."

After figuring out what was going on, the two seemed to relax a lot.

Sunshine Boy sent Li Jun back to the ward, and returned to ask about the cost of the operation and other details.

Because they don't have health insurance.

I recently worked in a live streaming company, but my performance did not meet the requirements and I was fired. I have not found a job yet.

At the same time, the sunny boy regretted that he didn't take Ah Jun to see a doctor earlier, because he had been struggling with money before, and only recently raised a little money.

I didn't expect things to be so complicated, so I didn't have much money on hand.

He told Yang Ping that if he waited a few more days, he would definitely be able to collect the money. No matter what, he couldn't give up Ah Jun. Even if he was paralyzed after the operation, he would still be with him and take care of him.

He also asked Yang Ping to help him keep the relationship between the two secret.

Of course, protecting the privacy of patients is one of the bottom lines for doctors.

PS: The absence of sex education is actually very serious. I heard from colleagues in the obstetrics and gynecology department that they met couples who thought they could get pregnant by sleeping in the same bed. After several years of marriage, they did not get pregnant. The couple thought they were infertile , and then began to seek medical treatment. After the examination, the woman was still——.When I saw something like this on the news, I didn't believe it.

(End of this chapter)