Chapter 287 My girlfriend of four years is a man, tell me now
After the interview, she took the opportunity to make this "small request", thinking that Zhou Can would not refuse.
This is also where her cleverness lies.
Without extensive experience in asking for phone numbers, it would be impossible to do this so skillfully.
"This is my cell phone number. Reporter Mu, if you have any medical questions, you can call me at any time. If you don't answer the phone, it means I'm busy rescuing patients and I will call you back later."
Zhou Can quickly wrote down the phone number and handed it to her.
This interview not only promoted the prevention and treatment of lymphoma and EB virus infection, but also earned him a generous reward for pathological diagnosis and a special medical skill. The gains were beyond imagination.
Therefore, Zhou Can also strongly supports this press release.
"Okay, I'm leaving now! Goodbye!"
She waved at Zhou Can and Deputy Director Shi.
Deputy Director Shi just sat there the whole time and had almost nothing to do.
After the female reporter left, Deputy Director Shi winked at Zhou Can and said in a low voice, "Doctor Zhou has good luck with women! This female reporter seems to be interested in you."
When it comes to matters between men and women, there are very few men who are serious.
Men will only be honest if they are hung on the wall.
Deputy Director Shi has a good relationship with Zhou Can, and Zhou Can has a special position in the Department of Gastroenterology, so he usually talks to Zhou Can on an equal footing. That's why he joked with Zhou Can at this moment.
"Don't talk nonsense! They just wanted to interview me!"
Zhou Can didn't have such an idea at all.
He had never discovered the other side of Deputy Director Shi.
Therefore, if people want to have a deeper understanding of each other, they need to stay together for a few days.
Normally at Tuya Hospital, he and Deputy Director Shi would exchange greetings and talk about work. All their conversations were very formal.
We are all very busy.
He had always thought that Deputy Director Shi was a serious person, but who knew he was such a frivolous person.
"Don't disbelieve me. I was also a young man and have some experience in sex. The way that female reporter looked at you was full of strangeness, with hints of flirtatiousness in her eyes. It was definitely not the way you look at a stranger."
Deputy Director Shi continued to express his views in a serious manner.
"I really didn't realize that Director Shi not only knows how to treat diseases, but also has a deep understanding of love between men and women! I guess Director Shi dated a lot of girls when he was young, right?"
Zhou Can smiled and changed the subject.
He didn't believe that the female reporter was interested in him!
Nowadays, beautiful young girls are as shrewd as ghosts. It is not easy to impress them.
They are very picky when choosing a partner.
"Hehe, I won't hide it from you. When I was young, I wasn't bad. I was tall, handsome, and I was admitted to a prestigious university. I started dating in my freshman year. Later, I started working and became a doctor at Tuya Hospital. I've had more girlfriends than this number."
He held out his big fat hands.
Zhou Can almost popped his eyes out when he heard this. Deputy Director Shi had dated more than two dozen girlfriends when he was young.
"You can't judge a person by his appearance, and you can't measure the depth of the ocean by a bucket. You're awesome! I admire you!"
Zhou Can gave a thumbs up.
As the two were chatting, the girl with abdominal pain and lump came back after the examination.
This young couple is not very old and looks a little immature.
The girl's boyfriend handed the test results to Deputy Director Shi.
"Doctor, we have finished the examination. Could you please take a look at what disease my girlfriend has?"
After taking the examination, Deputy Director Shi frowned and said, "This is definitely not a hernia. It looks a bit like a tumor. This disease should be checked by a gastrointestinal surgeon. It definitely requires surgery."
He seemed to remember that Zhou Can had worked in the general surgery department and had performed very well.
"Doctor Zhou, please take a look at the nature of this mass! Her abdominal X-ray is also very strange. I can't see any uterine angiography."
Zhou Can's ability to read X-rays is not particularly good. But he has extensive surgical experience. After looking at the X-ray, he was a little puzzled. "It is rare to have a tumor in this area. And the size of the tumor is also very strange."
If it is a malignant tumor, abnormalities may be found in the routine blood test.
He also went through the blood test from beginning to end.
Especially a few key data.
"This doesn't look like a tumor! Tumors usually grow in the uterus, more often in the ovaries. Intestinal tumors can also occur, but they certainly won't bulge out from under the skin at the base of the thigh."
Also, the size of the tumor is not that big.
There is weirdness everywhere.
Zhou Can couldn't help but stare at the woman. She had pretty eyes and eyebrows, her hair half covering her face, and her eyebrows were knitted tightly because of the continuous pain. She was really a beautiful girl from a small family that I felt sorry for.
"Are you sure this lump grew overnight?"
Zhou Can looked at her with a serious expression.
What doctors fear most is that patients do not tell the truth, which can easily lead to misdiagnosis.
"I'm sure." She replied in a very sure tone.
Her eyes looked honest and clear , and she didn't look like she was lying.
Zhou Can hesitated for a moment, then asked, "You two slept together last night, right?"
"Um!"
The woman blushed, lowered her head and hummed softly.
"Is this your first time sleeping together?"
"No! We've been friends for nearly four years!"
Seeing that his girlfriend was too shy to answer these sensitive questions, the man answered them for her.
"Yang Chan, can you help me take a look at the abdominal X-ray of this patient? It seems that she has no uterus, and the gonadal characteristics of both ovaries are not obvious. The nature of her mass is also very strange."
Zhou Can decided to ask an obstetrician and gynecologist to help.
Director Zhang was busy at the moment and asked her apprentice to take a look first.
Yang Chan walked over quickly.
When he took the film and looked at it, his expression also became strange.
"She really doesn't have a uterus! Her abdominal film looks a little bit masculine, which is quite different from the abdominal images of ordinary women. Also, there is a tube connected to the mass, which looks a bit like the vas deferens."
When the female patient heard this, she was suddenly at a loss.
How come my uterus suddenly disappeared?
"Excuse me, have you ever had your period?"
Yang Chan asked the woman.
“Never been here!”
The woman shook her head.
"That's right. Your disease is most likely androgen insensitivity syndrome. Wait until my teacher is done with her work and then ask her to take a look." After all, Yang Chan was a disciple of Director Zhang of the Obstetrics and Gynecology Department. After looking at the film, she quickly diagnosed the woman's disease.
When Zhou Can heard the word androgen insensitivity syndrome, an expression of sudden enlightenment appeared on his face.
When he looked at the woman again, his eyes were filled with more curiosity and sympathy.
"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 and her probably can't be husband and wife, you can only be brothers," Deputy Director Shi replied.
This disease is very rare.
The probability of occurrence is one in tens of thousands, and the main cause .
Some women eat this and that during pregnancy without any restrictions. Some ignorant mothers-in-law, under the influence of the idea of favoring boys over girls, make some so-called folk remedies to guarantee the birth of a boy for their pregnant daughters-in-law.
Any of these may cause the baby to develop this disease.
Moreover, many babies are not much different from ordinary people when they are young. As they grow older, secondary sexual characteristics begin to develop, and at this time the patients will obviously feel physiological phenomena that are different from normal males or females.
For example, this woman has never had her menstrual period.
Normally, girls will have their first menstruation around the age of thirteen.
Zhou Can picked up the woman's imaging test results again and saw that there was indeed an inconspicuous small tube connected to the mass. Zhou Can followed the tube and his expression became even more strange.
Did he vaguely understand what this lump was?
If I'm not mistaken, it should be a shrunken testicle.
She should be a clinical patient with an XY karyotype who develops into a seemingly normal but infertile woman. The testicles usually remain in the abdominal cavity and there is no spermatogenesis.
The young couple had been dating for four years and had been living together for a long time, but nothing unusual had been noticed.
This shows that the woman's other physiological structure is not much different from that of a normal woman.
Such as breast development, lower body shape and so on.
Director Zhang had already finished diagnosing the patient in her hands, and Yang Chan quickly showed her the test results.
"Teacher, look at the test results of this patient. She has no uterus. This is very similar to androgen insensitivity syndrome."
After Director Zhang examined her carefully, he called the girl to a small room in the back for a physical examination.
Yang Chan also went in with him.
It should be to check the woman's physiological structure and development.
Not long after, three people came out.
The woman's boyfriend quickly stepped forward to hold his girlfriend, but he could see that the woman seemed to be resisting.
"Doctor, what is wrong with my girlfriend?"
The boyfriend felt his girlfriend's attitude change and felt a little panicked.
Although he had been somewhat prepared after hearing the doctors' explanations, all his hopes were shattered after the diagnosis. He will face a difficult decision.
The female patient herself needs to overcome huge psychological and physiological obstacles, choose an acceptable outcome, and then live a new life.
"Her disease is called complete androgen insensitivity syndrome. Generally, patients with this disease have lived as females since childhood. Some patients may seek medical treatment due to umbilical hernia or inguinal mass in infancy. Sometimes during hernia repair, it is found that the contents of the hernia are testicles. The mass she had was most likely not a tumor, but an atrophied testicle."
Director Zhang paused here, giving the young couple some time to digest what he had said.
"I just examined the patient's body. A few parts of her body are not so obviously developed, but the rest are no different from those of a woman. In addition, her testicles have atrophied. I suggest that she undergo surgery to completely transform into a woman. However, since she has no uterus, she will be infertile for life."
For women, bearing children is a very important ability.
If you are unable to have children, your marriage life will face great challenges.
"Of course, essentially, you are supposed to be a man. If you want to become a man through surgery, that's fine. It may be a little difficult to make a decision, so you can stay in the hospital for a day or two to think about it, and then make a choice. For such a big thing, it's best to fully communicate with your parents. I believe that no matter what choice you make, your parents will choose to understand and support you."
Although Zhang Bihua did not say it explicitly, she was basically hinting at the female patient.
If something like this happens, don't even mention that they are not married yet.
Even if you are married, men may not be reliable.
The most reliable people are parents.
No matter what happens to their children or how they become, parents are the people who care about their children the most in the world.
"Xiaoyan, I will stay with you no matter what." The boyfriend reached out to hold the female patient's shoulders, but she subconsciously avoided it.
When she found out that she was actually a man, she suffered a huge psychological blow.
It takes some time to get used to.
"Doctor, how much will my surgery cost?" The girl was actually thinking about the surgery fee.
"It's hard to say, but it should be around 10,000 yuan. If you just want to remove the atrophied testicle, a few thousand yuan will be enough. If you need to restore your male body, the operation is more complicated and the cost may be higher. And you will also lose your fertility."
Director Zhang gave her an estimate of the treatment costs.
In androgen insensitivity syndrome, some people's social gender is male. They can undergo repair surgery to repair hypospadias and reconstruct the male urethra.
But there will be no fertility.
And that aspect won’t function properly either.
Medically, it is generally recommended that the patient become a woman directly after the operation. Except for the inability to have children, other aspects are very similar to women. This is most beneficial to the patient's future life.
"I don't have enough money right now. Can I call my mom first and collect enough money before I get hospitalized for treatment?"
"Of course. This decision affects the rest of your life, so don't rush into it. Think about it, communicate with your parents, and make sure before you do the surgery."
Director Zhang spoke to her gently.
"Xiaoyan, I'll pay for the surgery," her boyfriend said.
"I need to calm down. Please stop disturbing me for now, okay?" The female patient was very cold towards her boyfriend.
Zhou Can thought to himself, could it be that this patient wants to restore his male body through surgery?
This is the patient's own choice and no one has the right to interfere.
He actually saw such a patient today, which was quite an experience for him.
After sending this female patient away, Zhou Can returned to a state of leisure and idleness. There was no other way. For such an expert consultation, Deputy Director Shi was not well-known, and his level was not strong enough to impress the patients and their families. It was normal for him to sit on the bench.
At the base of the wall more than ten meters away, female reporter Mu Ming successfully dug up a good piece of news and was in a good mood.
This time, her superiors sent her here to do a special report. She understood that it was mainly to help promote Xinxiang Maternity and Child Health Hospital.
The case of the lymphoma patient is a good publicity point.
She felt it was a warning.
"Old Qin, I asked you to find out the details about Dr. Zhou. Did you find out?" Mu Ming asked the photographer.
"When have you ever given me a discount on something you asked me to do? Look, I've checked everything. I'll send it to your phone, take a look at it yourself!" Lao Qin added as he operated his phone. "Mu Ming, I really admire your sharp eyesight. I also checked the information of Dr. Du, guess what happened?"
"Stop keeping me in suspense and tell me now!"
Mu Ming urged bluntly.
"I was thinking of extorting you for a midnight snack, but forget it. We are old partners, so I'll just buy one and get one . Why do I admire your sharp eyesight? Because that overseas returnee doctor is just a show-off. I heard that his performance in Tuya Hospital is not as good as expected. It's just that he is more valued by the hospital than ordinary young doctors because he is a doctor from a famous overseas university. But he is not completely useless. He is very good at writing medical papers. He has been working in Tuya Hospital for less than two years and has published many SCI medical papers, including one on digital surgical medicine, which has a great influence."
Lao Qin told all the information he had heard about Du Leng.
"That is to say, this person is quite talented, but he tends to be more academic, right?"
Mu Ming summarized after listening.
"That's about it. I also heard that he had an argument with a family member while he was seeing patients here yesterday. He diagnosed several patients in a row but couldn't find the cause of their illness, and kept asking them to do all kinds of tests. The family members finally couldn't stand it anymore, and called him a fake doctor who had bought his certificate."
Lao Qin said in a low voice.
" There is such a thing! No wonder when I wanted to interview Dr. Du before, Chief Tang of Xinxiang Maternity and Child Health Hospital quickly blocked me." Mu Ming showed an expression of sudden enlightenment.
When she looked at Du Leng again, the admiration on her face was gone.
People are like this. They are very easily influenced by the words of others and change their impression of another person.
Otherwise, why do we say rumors are so scary!
The ancients said that it is better to offend a gentleman than to offend a villain.
Because you have offended a villain, he will say bad things about you everywhere, which will seriously affect your social life.
Especially in the workplace or in a certain industry, the circle itself is small. If you are splashed with dirty water by the other party, the consequences can be imagined.
Without some wisdom and means, you are no match for those villains.
Moreover, the villain is very good at attacking people from behind, making it hard to guard against.
"There's even more exciting news! This doctor Zhou Can you're interested in is really amazing. Two of the difficult cases that Du Leng failed to diagnose yesterday were diagnosed by Doctor Zhou. And the case of the child with bronchitis sent to us by Xinxiang Women's and Children's Hospital yesterday, who was successfully rescued, according to gossip, it was also Doctor Zhou Can who clipped out the scab in the trachea at the critical moment, which saved the child."
Lao Qin is really good at getting information.
In such a short period of time, I was able to find out so much inside information.
"I see. I was wondering how a mere intern could be listed alongside two chief physicians in the promotional materials. At the time, I thought he was the son of an official or the dean's son. Now it seems that he is a young doctor with real skills."
Mu Ming couldn't help but become more interested in Zhou Can.
"Hey, do you think this is all he has achieved? It's much more than that!"
Old Qin smiled proudly.
"Hurry up and tell me, you keep keeping me in suspense. I'll renege on treating you to a delicious meal." She urged again.
