Surgery Godfather-Chapter 629 - 572: The Secret

The teaching of the typical case officially began.

After demonstrating the standard procedure, Zhang Lin stood aside.

The interns, one after another, performed rectal reflex checks.

An intern was performing the procedure with much zeal, while the following interns stayed far away.

"What are you hiding so far away for, if you’re not watching properly?" Zhang Lin reproached them.

The intern felt compelled, moving a little closer, yet ready to dart away at any moment.

One can’t blame this intern; he had a psychological scar.

During his obstetrics and gynecology internship, he stood too close while observing an abortion procedure. The rounded fetus was pulled out from the uterus, causing a blood bag to burst all over him.

Poor guy, he was covered in blood, absolutely drenched!

Even worse, out of respect for the chief surgeon, he remained still, acting as if nothing had happened, completing the whole observation process.

What a trauma!

Fortunately, no mishaps occurred this time, and the second intern breathed a sigh of relief.

When it was his turn, he hastily recalled the theoretical knowledge about the procedure.

As he bent down to attend to the patient earnestly.

The patient experienced fecal incontinence, and semi-liquid feces leaked out.

At this moment, you absolutely cannot show any signs of disgust, not in your gaze, expression, or actions; you are a doctor.

Teacher Zhang walked over, calmly put on gloves, took some tissues from someone nearby, painstakingly, meticulously cleared away the feces, and efficiently changed the patient’s diaper.

"We will stop here for today!"

The teaching has to consider the circumstance; if the patient is uncomfortable, it can’t continue.

If the patient outright refuses, it also can’t continue.

Doctors can’t insist on patients against their will.

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 all."

Those who didn’t get a chance to participate were disappointed, their gaze lingering on the buttocks that people had already covered up. Some were complaining internally about their fellow students’ clumsiness, which had robbed everyone of a potential learning opportunity.

It was the same student in the breast department, when it was his turn, he trembled, unable to dare touch the breast lump for a long time.

The supervising teacher, in a rush for surgery, was forced to terminate the teaching early.

Under the disillusioned and blaming gazes of others, this unlucky student trailed behind Teacher Zhang, leaving the ward.

---

After taking a few sips of tea in his office, Yang Ping went to the meeting room. He asked Li Guodong to bring the patient and their family, wanting to discuss the medical condition one-on-one.

During rounds, especially during major rounds, details about the medical condition and surgery shouldn’t be discussed.

About ten minutes later, the patient and their family were brought to the meeting room, with Li Guodong sitting by the side to take notes.

"Please sit down!"

The cousin saw Li Guodong at the side and appeared unhappy, as he was expecting a private conversation.

Yang Ping noticed his apprehension and instructed:

"Guodong, could you step out for a bit."

Li Guodong understood, knowing that the patient had confidential matters that they didn’t want others to hear, only wanting to communicate with Professor Yang.

Indeed, that’s how it was; the cousin noticed from his rounds that Yang Ping was the one in charge. He only wanted a frank face-to-face communication with the person in charge.

The door was closed, and locked!

"This teratoma is quite big, 34X25X27 centimeters in size. It has already developed spine bones, teeth, and hair. Part of the tumor has grown into the sacral canal, forming a dumbbell shape, substantially condensing the sacral nerve. Even if we remove it, there might be residual effects, such as perineal and anal sensory disorders, incontinence." Yang Ping directly got to the point.

The handsome guy, Li Jun, looked remarkably panicked, constantly looking at his cousin.

The cousin, his hands burying in his hair, after a while, lifted his head and said, "Professor Yang, I’m actually not his cousin, but his friend!"

He hoped that Professor Yang could grasp the meaning behind his words.

But Professor Yang couldn’t understand. Cousins and friends were not immediate family and could only serve as spectators.

In the end, Li Jun could only sign the surgical consent by himself.

"We’ve taken precautions, how could we possibly be pregnant?" The sunny male student blurted out impulsively.

Yang Ping almost spat out his tea, but his professional etiquette allowed him to remain calm.

What does that mean?

Is the patient female?

How is that possible?

He had personally examined the patient before, who was clearly male. How could he be mistaken?

"Are you male or female?"

As a doctor, Yang Ping needed to clarify this with Li Jun face-to-face, as the issue was beyond his understanding.

People with two sets of reproductive organs do exist, but Yang Ping had seen this patient’s pelvic MRI. He takes the study of images very seriously and would never overlook such a significant issue.

Li Jun’s pelvic MRI had revealed no female reproductive organs, not even traces.

Could the female reproductive organs be positioned high?

No, that can’t be true. An MRI covers the full scan of the abdomen.

"I’m a doctor. I ask these questions just to understand your condition and offer better treatment. Do not worry, I will keep this confidential for you." Yang Ping expressed his intentions.

Li Jun’s face turned red, he spoke shyly, "I am a man."

"I am his boyfriend." The sunny boy gathered his courage to clarify.

If he didn’t clarify now, there might likely be misunderstandings about the illness. That’s how the sunny boy was thinking.

Yang Ping understood, he respected his patient’s privacy, but felt it necessary to enlighten them.

"You thought this was a pregnancy? So you went to the obstetrics and gynaecology department?"

Yang Ping asked.

Li Jun turned to his boyfriend, hoping he would answer for him as he was not good with words.

After a moment of hesitation, the boyfriend said, "We did a surface ultrasound at a small local hospital. The doctor said there was a tumor, but it strangely resembled a child. They advised us to get tested at a bigger hospital. We thought it was pregnancy...we didn’t dare get treatment at the local hospital, so we came to your hospital. Of course, for pregnancy, we would see obstetrics and gynecology. When I got off work, I went to see the doctor who after viewing my ultrasound recommended an MRI. After the MRI, I went back to see the doctor who suggested it might be a teratoma, with teeth, bone structure, and hair in it."

Yang Ping finally understood the whole story and patiently stated, "Firstly, don’t worry, this isn’t pregnancy. Men can’t get pregnant. In medical terms, conception starts from the fertilized egg when a man’s sperm combines with a woman’s egg. Without an egg, there’s no possibility of pregnancy. You are worrying needlessly. Now you need to have surgery to remove this teratoma."

The sunny boy expressed his surprise, "But there are spine and teeth developed inside, isn’t that a child?"

Clearly, there’s significant absence of sexual education!

"I checked on Baidu, teratomas originate from reproductive cells, and sperm are reproductive cells. Isn’t this also a form of indirect pregnancy? Just with a deformed child." The sunny boy wasn’t satisfied and kept asking. Yang Ping’s patience encouraged him to communicate freely.

Apparently, he had looked up information and had some understanding, just interpreted it incorrectly.

"No need to worry, this isn’t pregnancy, just a teratoma. It originates from reproductive cells, caused by abnormal differentiation of reproductive cells during embryo development. It’s a type of tumor. Although it’s called ’fetus tumor’, it has nothing to do with a fetus. Also, as I’ve said before, men can’t get pregnant, even if they wished to."

"This teratoma does present these features; mature differentiation, teeth, skeletal structure, and hair. Based on experience, it’s most likely a benign teratoma, but its exact nature can only be determined after surgical pathology."

The sunny boy seemed to understand something. "I’m sorry, Professor Yang. No one explained this to us before, so we didn’t understand."

Having clarified the misunderstanding, the two seemed much more relaxed.

The sunny boy sent Li Jun back to his ward then returned to enquire about the operation costs and other details.

They didn’t have health or social insurance.

He’d been recently laid off from a livestreaming company for not meeting performance requirements and had yet to find a job.

At the same time, the sunny boy felt regret for not taking Ajun to the doctor sooner. Since they had been financially strained, they’d only recently managed to save a little money.

They hadn’t expected the matter to be this complicated so they didn’t save up much.

He told Yang Ping, "Just wait for a few more days, I will definitely gather the money. No matter what, I can’t give up on Ajun. Even if he’s paralysed after surgery, I am willing to accompany and take care of him."

He also asked Yang Ping to keep their relationship a secret.

Of course, respecting patient privacy is one of a doctor’s primary obligations.