Chapter 287 The four-year-old girlfriend is a man, say it quickly

After the interview, she took the opportunity to make such a 'small request', and it was expected that Zhou Can would not refuse.

That's where she's smart.

If you don't have a lot of experience asking for phone numbers, you can't do it so skillfully.

"This is my mobile phone number, and the reporter can call me at any time if he has medical matters. If you don't answer the phone, it means that I am busy rescuing the patient and will call you back afterwards. ”

Zhou Can quickly wrote down the phone number and handed it to her.

Accepting this interview not only publicized the prevention and treatment of lymphoma and Epstein-Barr virus infection, but also allowed him to earn a generous reward for pathological diagnosis and obtain a special medical skill. The harvest is beyond imagination.

Therefore, Zhou Can's support for this press release is also very strong.

"Okay, I'm leaving! Good bye! ”

She waved at Zhou Can and Deputy Director Shi.

Deputy Director Shi sat next to him and made soy sauce the whole time, and he had almost nothing to do.

After the female reporter left, Deputy Director Shi squeezed his eyebrows at Zhou Can, and said in a low voice, "Doctor Zhou's peach blossom luck is good!" This female reporter seems to be a little interesting to you. ”

When it comes to men and women, few men are serious.

Men, only when they hang on the wall will they be honest.

Deputy Director Shi has a good relationship with Zhou Can, and Zhou Can has a special status in the Department of Gastroenterology, so he usually talks with Zhou Can on an equal footing. That's why I'm joking with Zhou Can at this moment.

"Don't talk nonsense! People just asked me for an interview! ”

Zhou Can didn't have this idea at all.

He never discovered the other side of Deputy Director Shi.

Therefore, if you want to have a deeper understanding between people, you need to stay together for a few days.

Usually in Tuya Hospital, in addition to the normal greetings, he and Deputy Director Shi talk about work. The various chats are very formal.

Everyone is very busy.

He has always felt that Deputy Director Shi is a serious person, who knows that he is not serious.

"Don't believe it, I'm also a young man, and I have a little experience with men and women. The female reporter's eyes were full of strangeness, and there were faint autumn waves, which was by no means the eyes that a stranger should have. ”

Deputy Director Shi continued his views in a serious manner.

"I really didn't see it, Director Shi not only knows how to treat diseases, but also has a deep study of male and female love! Presumably Director Shi talked about a lot of girls when he was young, right? ”

Zhou Can smiled and changed the topic.

He didn't believe that the female reporter was interested in him!

Today's young and beautiful girls are as shrewd as ghosts. It's not easy to win their hearts.

They are very picky when it comes to choosing their partners.

"Hehe, I really won't hide it from you, my conditions were not bad when I was young, I was tall, I was quite handsome, and I was admitted to a prestigious school. Since my freshman year, I've been in a relationship. Later, I joined the work and entered Tuya Hospital as a doctor, and I talked to more than this number of girlfriends. ”

He stretched out his fat hands.

Zhou Can almost didn't drop his eyeballs out when he heard it, and Deputy Director Shi talked about girlfriends in more than double digits when he was young.

"It's really that people can't be seen, and the sea can't fight. You cow! Admire! ”

Zhou Can gave a thumbs up.

The two were chatting, and the girl with abdominal pain and a lump came back after a check-up.

The young couple is not very old and looks a little young.

The girl's boyfriend took the test results and handed them to Deputy Director Shi.

"Doctor, we've done the checkup, could you please see what kind of illness my girlfriend has?"

After Deputy Director Shi took the examination and looked at it, he couldn't help frowning and said, "This is definitely not a hernia, a bit like a tumor." This disease should be seen by a doctor of gastrointestinal surgery, as surgery is definitely required. ”

He seemed to remember that Zhou Can had worked in general surgery, and his performance was very good.

"Doctor Zhou, look at the nature of this lump! And the film of her abdomen is also very strange, and there is no uterine imaging to be seen. ”

Zhou Can's ability to watch films is not particularly powerful. However, he has a lot of experience in surgery. After watching the film, I was also a little puzzled, "It is rare to have tumors in this area." And the size of the lump is also strange. ”

If it is a malignant tumor, abnormalities may be found in the blood count.

He also read the blood routine from beginning to end.

In particular, a few key figures.

"It's not like a tumor! Long tumors usually grow in the uterus, and the ovaries are more common. There are intestinal tumors, but they certainly don't bulge out under the skin at the base of the thigh. ”

And the size of this tumor is not counted, and it is not large.

It's weird everywhere.

Zhou Can couldn't help but stare at the woman, his eyebrows were clear, his hair was half-covered, and his eyebrows were frowning because of the continuous pain. It's really the little jasper I saw pity.

"Are you sure this lump grew overnight?"

Zhou Can looked at her with a serious expression.

Doctors are most afraid of patients not telling the truth, which can easily lead to misdiagnosis by doctors.

"I'm sure." She replied in a very affirmative tone.

Look at her eyes are honest and clean, not like a lie.

Zhou Can hesitated for a moment, and then asked, "You guys had the same room last night, right?" ”

"Hmm!"

The woman blushed and lowered her head and hummed softly.

"Is it the first time we've had sex together?"

"It's not! We've been friends for almost four years! ”

The man saw that his girlfriend was ashamed to answer these sensitive questions, so he answered directly on her behalf.

"Yang Chan, can you help me take a look at the abdominal film taken by this patient? I didn't look like I had a uterus, and the gonadal features of both ovaries were not obvious. The nature of this lump of hers is also very strange. ”

Zhou Can decided to ask the doctor from the obstetrics and gynecology department to come and help.

Director Zhang was busy at the moment, asking her apprentice to take a look first.

Yang Chan walked over quickly.

After taking a look at the film, his expression also became strange.

"There's really no womb! Her belly film feels a little masculine, which is quite different from the ordinary woman's belly image. Also, there is a tube attached to this mass, which is a bit like a vas deferens. ”

When the female patient heard this, she was immediately a little overwhelmed.

Why did you suddenly lose your uterus?

"Have you ever had a period?"

Yang Chan asked the woman.

"Haven't been!"

The woman shook her head.

"That's right, your disease is most likely androgen insensitivity syndrome. When my teacher is done, I'll ask her to take a look. "Yang Chan is the senior apprentice of Director Zhang of the Department of Obstetrics and Gynecology, and after watching the film, she quickly diagnosed the woman's disease.

As soon as Zhou Can heard androgen insensitivity syndrome, his face suddenly showed an expression of sudden realization.

When he looked at the woman again, his eyes were more curious and sympathetic.

"Doctor, what exactly is androgen insensitivity syndrome? We don't understand this kind of professional medical terminology. ”

The woman's boyfriend asked.

"If your girlfriend really has this disease, then you probably can't be husband and wife with her, only brothers." Deputy Director Shi replied.

This disease is very rare.

The probability of occurrence is 1 in 10,000, and the main cause is genetic mutation.

Some women eat this and that during pregnancy, and they are not taboo at all. There are also some ignorant mothers-in-law, under the influence of patriarchal thinking, to get some so-called earthwork for pregnant daughters-in-law to eat.

It can lead to the disease in the baby being born.

In addition, there are many babies who are not much different from ordinary people when they are young, and as they grow older, secondary sexual characteristics begin to develop, and at this time, the patient will obviously feel a physiological phenomenon that is different from that of normal men or women.

This woman, for example, has never had a period.

Under normal circumstances, girls will have their first menarche around the age of thirteen.

Zhou Can picked up the woman's imaging examination results again and watched, and there was indeed an inconspicuous small tube connecting the mass. Zhou Can followed the upper tube, and his expression became even more strange.

He vaguely understood what this lump was?

If you guessed correctly, it should be an atrophied testicle.

She should be an ontogeny with a clinical karyotype of XY that appears to be a normal but non-childbearing female, with testicles usually remaining in the abdominal cavity and no spermatogenesis.

The young couple have been dating for four years and have been living together for a long time, but nothing unusual has been noticed.

It shows that the other physiological anatomies of women are not much different from those of normal women.

For example, breast development, lower body shape, etc.

Director Zhang had already finished diagnosing the patient in his hand at this time, and Yang Chan hurriedly showed her the results of the examination.

"Teacher, you look at the results of this patient's examination, there is no uterus, it is very similar to androgen insensitivity syndrome."

After Director Zhang looked at it carefully, he called the girl to a small room in the back for her physical examination.

Yang Chan also went in with her.

It should be to check the woman's physiology and development.

Not long after, the three of them came out.

The woman's boyfriend hurriedly stepped forward to support his girlfriend. But the woman seemed a little resistant.

"Doctor, what's going on with my girlfriend's illness?"

The boyfriend felt the change in his girlfriend's attitude and felt a little panicked.

Although he had been a little mentally prepared after listening to some explanations from the doctors before, after the real diagnosis, all the luck was shattered. He will face a difficult choice.

Female patients themselves need to overcome huge psychological and physical barriers, choose an acceptable outcome, and then live a new life.

"Her condition is called complete androgen insensitivity syndrome. Generally, patients with this disease live as women since childhood, and individual patients can be treated for *** or inguinal mass in infancy. Sometimes during hernia repair, the contents of the hernia are found to be testicles. Her lump was most likely not a lump, but an atrophied testicle. ”

Director Zhang paused when he said this, giving the little couple a moment to digest.

"I just examined the patient's body, and there are a few parts that are not so obviously developed, and the others are no different from women. Coupled with the fact that her testicles had atrophied, I suggested surgery to become a woman completely. However, because there is no uterus, he is infertile for life. ”

Having children is a very important ability for women.

Unable to have children, married life will face great challenges.

"Of course, at heart, you're supposed to be a man. If you want to become male through surgery, you can. It can be a bit difficult to make a decision, you can start by staying in the hospital and thinking about it for a day or two before making your choice. For such a big matter, it is best to be able to fully communicate with your parents, and I believe that no matter what choice you make, your parents will choose to understand you and support you. ”

Although Zhang Bihua did not say it explicitly, it was basically tantamount to hinting at the female patient.

When this happens, let alone not married.

Even if you get married, men are not necessarily reliable.

The most reliable are parents.

No matter what happens to their children or what they become, parents are the most caring people in the world.

"Xiaoyan, no matter what, I will be by your side." The boyfriend reached out to support the female patient's shoulder, but she subconsciously avoided it.

After she learned that she was actually a man, she was very psychologically devastated.

It takes a while to get used to.

"Doctor, how much does it cost me to have this surgery?" The girl was thinking about the cost of the operation.

"It's hard to say, it should generally be around 10,000 yuan. If it is just the removal of that atrophied testicle, a few thousand dollars is enough. If you need to rehabilitate the baby, the surgery is more complicated and may be more expensive. And likewise will not be of childbearing potential. ”

Director Zhang gave her an estimate of the cost of treatment.

Androgen insensitivity syndrome, in which some people are male, can be reconstructed with repair surgery to repair hypospadias and reconstruct the male urethra.

But will not be of childbearing potential.

And that aspect won't work properly.

Medically, it is generally recommended to become a woman directly after surgery, except that you cannot have children, and you are very similar to women in other aspects. It is best for the patient's future life.

"I don't have enough money now, can I call my mom first and get enough money and then be hospitalized?"

"Absolutely. This decision is related to the rest of your life, you can not rush to make a decision, think more about it yourself, and then communicate more with your parents to confirm it before surgery. ”

Director Zhang said to her gently.

"Xiaoyan, how much does the operation cost, I'll pay for it." The boyfriend said next to him.

"I need to calm down, please don't bother me for a while, okay?" The female patient has a cold attitude towards her boyfriend.

Zhou Can secretly said in his heart, does this patient want to restore the male body through surgery?

This is the patient's own choice, and no one has the right to interfere.

He actually received such a patient today, which can be regarded as a long insight.

After sending off this 'female' patient, Zhou Can became a leisurely state with nothing to do. There is no way, to carry out this kind of expert consultation, Deputy Director Shi's reputation is not obvious, and his level is not strong enough to be able to kill all sides and amaze patients and their families, and it is normal to sit on a cold bench.

At the root of the wall more than ten meters away on the opposite side, the female reporter Twilight Mantis successfully dug up a good piece of news, and she was in a very good mood.

This time, the boss sent her over to make a special report, she understands, mainly to help Xinxiang Women's and Children's Hospital publicize and publicize.

The case of the lymphoma patient is a good publicity point.

She found it a cautionary tale.

"Lao Qin, I asked you to inquire about the details of that Doctor Zhou, have you inquired?" Twilight asks the photographer.

"When did you discount what you told me to do? Well, I've found it all. I'll send it directly to your phone and read it for yourself! Lao Qin added while operating his mobile phone. Twilight, I really admire your eyesight, it's so vicious. I also checked the information of Dr. Du, and guess what? ”

"Sell less, hurry up!"

Twilight mantis urged unceremoniously.

"I was still thinking of blackmailing you for another supper, forget it, we are also old partners, so I will buy one and get one free. Why do I say I admire your eyes? Because the returnee doctor has a false appearance, I heard that the performance in Tuya Hospital was not as good as expected. In other words, relying on the name of a doctor from an overseas famous university, he is more valued by the hospital than ordinary young doctors. But he is not useless, and he is very good at writing medical papers. After working in Tuya Hospital for less than two years, he has published a number of SCI medical papers, including a discussion on digital surgical medicine, and his influence is not low. ”

Lao Qin told all the news he heard about Du Leng in one go.

"In other words, this talent is not bad, but he is biased towards academics, right?"

Twilight mantis remarked.

That's pretty much what it means. I also heard that he was here yesterday and had a quarrel with his family. Several patients were diagnosed without the cause of the disease, and patients were always asked to do various tests. The family finally quit and scolded him for being a fake doctor and buying a certificate. ”

Lao Qin said in a low voice.

"And there's such a thing! No wonder I wanted to interview Dr. Du before, but I was hurriedly stopped by the chief Tang of Xinxiang Women's and Children's Hospital. Twilight mantis looked abruptly realized.

When she looked at Du Leng again, her face was no longer the kind of worship she had before.

People are like this, they are very susceptible to being influenced by the words of others and changing the impression of another person.

Otherwise, how can you say that the rumors are terrible!

The ancients said that it is better to offend a gentleman than a villain.

Because you offend the villain, he goes around saying bad things about you, which will seriously affect your social interactions.

Especially in the unit or in a certain industry, the circle itself is small. was splashed with sewage by the other party, and the consequences can be imagined.

Without a little great wisdom and means, he is really no match for those villains.

And the villain's ability to hurt people with hidden arrows is first-class, which makes people unguardable.

"There's even more exciting news! This Dr. Zhou Can you have taken a fancy to is really amazing. Of the difficult cases that Du Leng failed to diagnose yesterday, two were diagnosed by Dr. Zhou. According to the grapevine, it was also Dr. Zhou Can who pinched out the scab in the trachea at a critical moment to save the child. ”

Lao Qin's ability to inquire about the news is really bull B.

In a very short period of time, I actually found out so much inside information.

"I see, I'll just say that a small trainee, how can he be ranked alongside the two chief physicians in the promotional materials? At that time, I thought this guy was a second-generation official, or the dean's son or something. Now it seems that he is a young doctor with real skills. ”

Twilight couldn't help but be a little more interested in Zhou Can.

"Hehe, do you think he's just accomplished? And that's not all! ”

Lao Qin smiled proudly.

"Say it quickly, old seller, be careful that I don't invite you to a big meal." She urged again.

(End of chapter)