After Zhang Lin demonstrated the standard movements, he stood aside.
One by one, the interns performed anal reflex examinations.
An intern was operating excitedly, while the intern behind him was hiding far away.
"If you don't look carefully, why are you hiding so far away?" Zhang Lin gave criticism and education.
The intern felt forced. He moved a little closer, but made a gesture of hiding at any time.
You can't blame this intern, he has psychological shadow.
I am an intern in the obstetrics and gynecology department. When I was observing the abortion surgery together in the outpatient clinic, he stood too close and the surgeon in charge pulled out the egg ball from the uterus, bringing out a mass. At the same time, a bag of blood spattered.
The poor intern's face was covered in blood, all over it!
What's even more pitiful is that this intern, forced by the majesty of the teacher, remained motionless and pretended that nothing happened, completing the entire observation process.
Psychological shadow!
Finally, nothing went wrong this time, and 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 bubbles bursting, and the patient's semi-liquid stool came out.
At this time, there must be no disgusting eyes, expressions or movements. You are a doctor.
Teacher Zhang came over, put on gloves calmly, took the tissue from the hands of others, cleaned the stool carefully, and then skillfully changed the patient's diaper.
"We're here today!"
Teaching also depends on the situation. If the patient is unwell, it cannot be continued.
If the patient really refuses, he cannot continue.
Doctors can never argue 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 everyone, thank you everyone."
The students who did not get practice later were unwilling to do so and kept staring at the buttocks of others who had pulled up their pants. Some people complained in their hearts about the clumsy classmates, causing everyone to lose a precious opportunity.
I also had this classmate in the breast department. When it was his turn to do something, his hands were shaking and he did not dare to touch the breast lump for a long time.
At that time, the teaching teacher was in a hurry for surgery and was forced to terminate teaching early.
Under the eyes of disappointment and blame, this unlucky classmate followed Teacher Zhang and left the ward.
---
Yang Ping went to the office and drank a few sips of tea, then moved to the interview room and asked Li Guodong to call the patient and his family members over. Yang Ping wanted to talk to them face to face about the condition alone.
During ward rounds, especially major ward rounds, it is not appropriate to talk about the details of the condition and surgery.
Ten minutes later, the patient and his family were brought to the interview room together, with Li Guodong sitting next to him and taking notes.
"Please sit down!"
My cousin was a little unhappy when he saw Li Guodong on the side, and he had agreed to talk alone.
Yang Ping saw his thoughts and said:
"Guodong, please go out for a moment."
Li Guodong understood. He knew that the patient had privacy and was inconvenient to be with others, so he was only willing to communicate with Professor Yang.
In fact, this is indeed the case. From the ward rounds, my cousin found out that Yang Ping was the speaker here, and he just wanted to communicate candidly with the speaker face to face.
Close the door and lock it!
"This teratoma is very large, measuring 34X25X27 cm. It has developed spinal bones, teeth, and hair. Part of the tumor penetrates into the sacral canal, forming a dumbbell shape, and severely compresses the sacral nerve. Even if it is removed, it may leave sequelae, such as the perineum.
With anal sensory impairment and incontinence." Yang Ping got straight to the point.
The handsome boy Li Jun looked very panicked and kept looking at his cousin.
The cousin held his head in his hands and inserted his fingers into his hair. After a moment, he raised his head and said, "Professor Yang, actually I am not his cousin, but his friend!"
Cousin hopes 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 and could only be an observer.
The final signature for the surgery was still signed by Li Jun himself.
"We have taken good safety precautions, how could we possibly get pregnant?" Sunshine Boy suddenly asked.
Yang Ping almost spit out the tea he just drank, but his professionalism kept him calm.
What's the meaning?
Is the patient female?
How can it be?
I checked my body and it was clear that I was a male. How could I be wrong?
"Are you male or female?"
As a doctor, Yang Ping had to confirm with Li Jun face to face because the matter was beyond his common sense.
There are people with two sets of genitals, but Yang Ping has seen this patient's pelvic MRI. He studied the images very seriously and would never miss such a big problem.
Li Jun's pelvic magnetic resonance image did not reveal any traces of female reproductive organs.
Is it true that girls’ reproductive organs are in a high position?
Impossible, MRI scans the entire abdominal cavity.
"I am a doctor. I am only asking these questions to understand your illness and treat you better. Don't worry, I will keep it confidential for you." Yang Ping expressed his attitude.
Li Jun's face turned red and he said shyly: "I'm a man."
"I'm his boyfriend." Sunshine Boy mustered up the courage to explain clearly.
Because if we don’t make it clear now, there may be a misunderstanding about the condition. This is what the sunshine boy thinks.
Yang Ping understood. He respected the privacy of his patients, but felt it was necessary to conduct a popular science survey on them.
"You thought it was pregnancy? So you went to the obstetrics and gynecology department?"
Yang Ping asked.
Li Jun turned to look at his boyfriend again, hoping that he would help him answer. He was not good at words.
The boyfriend hesitated for a while and said: "We did a color ultrasound in a small hospital. The doctor said that there was a tumor, but it was strange and looked like a child. He suggested that we go to a big hospital for a check-up. I---we thought we were pregnant, so we came to you
In the hospital, of course you go to the obstetrics and gynecology department when you're pregnant. I went to see the doctor when I was about to get off work. At that time, the doctor looked at my color ultrasound and asked me to do an MRI. After the MRI, I went to see the doctor when I was about to get off work. Doctor
They said it was probably a teratoma, with teeth, bones and hair inside."
Yang Ping finally figured out what was going on and said patiently: "First of all, you don't have to worry. This is not pregnancy. Men and men cannot get pregnant. In medicine, conception begins with the fertilized egg, that is, the man's sperm and the fertilized egg.
The combination of a woman's eggs is the beginning of conception. With only sperm and no eggs, it is impossible to get pregnant. You have worried too much and now you need to have surgery to remove this teratoma."
This chapter is not over yet, please click on the next page to continue reading the exciting content! The sunshine boy said in surprise: "But the spine and teeth are already developed inside, so it's not a child yet?"
It seems that sex education is seriously lacking!
"I checked on Baidu and found that teratomas originate from germ cells, and sperm are germ cells. Isn't this also a disguised pregnancy? It's just a developmental malformation in the child." The sunny boy was still puzzled, but Yang Ping's patience and kindness made him put it down.
Thoughtful and ambitious, communicate boldly.
It seems that he has checked the information and has a certain understanding, but his understanding is wrong.
"Don't worry, this is not pregnancy, it's just a teratoma. It comes from germ cells and is caused by abnormal differentiation of germ cells during the embryonic period. It is a kind of tumor. Although it has the word "fetus", it has nothing to do with the fetus, and I just
As I said, men can’t get pregnant, even if they want to, they can’t.”
"This kind of teratoma has such characteristics. It is so maturely differentiated and has teeth, bones, and hair. Judging from experience, it is likely to be a benign teratoma, but the specific nature requires postoperative pathological examination to determine."
The sunshine boy seemed to understand something: "Sorry, Professor Yang, no one explained it to us before, so we don't understand."
After figuring out the whole story, the two seemed to feel much more relaxed.
Sunshine Boy sent Li Jun back to the ward and returned to inquire about the cost of the operation and other details.
Because they don't have medical insurance or social security.
I recently worked for a live streaming company, but my performance didn't meet the requirements and I was fired. I haven't found a job yet.
At the same time, Sunshine Boy regretted not taking Ajun to see a doctor earlier because he had always been short of money and had only scraped together some money recently.
I didn't expect things to be so complicated, so I didn't have much money on hand.
He told Yang Ping that he would be able to collect the money after a few more days. No matter what, he would never give up on Ajun. Even if he was paralyzed after the operation, he would still be willing to stay with him and take care of him.
He also asked Yang Ping to help him keep their relationship secret.
Of course, protecting patient privacy is one of the bottom lines for doctors.
PS: The lack of sex education is actually very serious. I heard colleagues from the obstetrics and gynecology department say that they have met couples who thought they could get pregnant by sleeping in the same bed. After several years of marriage, they did not get pregnant, and the couples thought they were infertile.
, and then began to seek medical treatment. After the examination, the woman was still...
