The Enemy's Heir - Chapter 8
Sunday, evening.
Jiang Xu sat in Tang Ke’s office, legs crossed, still wearing a meticulous gray and white striped shirt.
In front of him was a pile of examination reports, but the names were blurred.
It can be seen that his mentality has stabilized a lot.
It’s just… Tang Ke always felt that he didn’t look like he had let it go, but rather like a patient who was diagnosed with a terminal illness, calm and hopeless.
However, what needs to be said still needs to be said: “This is the situation. Malignant tumors have been ruled out. You do have a gestational sac in your stomach, about two months old,” Tang Ke said: “I told you my speculation when I did the color ultrasound this morning. Now combined with other test results, I think I’m right.”
He gestured: “It should be because of the developmental mutation of the mesoderm cells, the paramesonephric ducts have not completely apoptotic and degenerated, and the uterus and bilateral appendages have abnormally developed in your body cavity. There is a very thin soft duct between the cervical opening and the intestine. My initial guess is that it is because of the sinus tubercle on the posterior wall of the urogenital sinus and the primitive intestinal wall. Adhesion.”
Tang Ke frowned slightly and said, “According to the examination results, it should be about two to three months ago that your uterus and bilateral appendages began to become active. Fortunately, they developed late and did not affect your body much. But whether you want this child or not, you have to do hysterectomy and bilateral adnexectomy. These things should not grow in your body. If non-steroidal hormones are disordered, it will be troublesome.”
He spread his hands and said, “I don’t need to tell you this. You are a doctor and you know it best.”
Jiang Xu read the examination reports one by one, clasped his hands and leaned on Tang Ke’s desk.
“Do you plan to give birth?” Tang Ke asked.
Jiang Xu stared at the mahogany desk for a while, as if he was emptying his mind.
“I don’t want it.”
Tang Ke nodded to show his understanding. Although Jiang Xu’s mind seemed to be very strong, he was a man after all. Just accepting the pregnancy probably consumed a lot of his energy. It was normal not to have this child.
“Can you figure out the number of days this child will be?” he asked.
Although B-ultrasound can also guess roughly according to the size, it is not accurate.
“65 days,” Jiang Xu didn’t need to think too much. He just flipped the calendar and knew, “It’s more than 49 days. Medical abortion is not possible.” He had already calculated it himself.
Tang Ke was a little surprised, “It seems that you and your boyfriend don’t have a harmonious s*x life.”
With the more shocking thing of pregnancy in front of him, he quickly accepted the fact that Jiang Xu’s partner was a man. The fact that he could estimate the time so quickly could only mean that it happened once during that period.
Jiang Xu didn’t answer him, “The diameter of the soft catheter is less than 0.5 cm, and the angle with the intestine is too small, so negative pressure suction can’t be done.”
He had already gone through various surgical procedures in his mind and knew it better than anyone else, “It can only be done by laparoscopy or laparotomy.”
Tang Ke nodded, “It can still be done by laparoscopy now, but in a few months it will only be laparotomy.” He didn’t do surgery, but he also knew that laparotomy had many sequelae and high risks. With the popularity of various minimally invasive technologies, laparotomy is already a relatively large surgery and has a significant impact on the body.
“But I have good news,” Tang Ke said, “I’ve been very upset about your case these past two days, so I asked my friends about it, and I actually found out something.”
Tang Ke took out his tablet, tapped something, and handed it to Jiang Xu.
“I have a friend who works as an editor for a foreign journal. Last month, he submitted an article that is very similar to your case. The author is from M country, and the article has not been published yet. He can’t send it to me now, but I have the author’s contact information. If you need it, you can send him an email to see if he can help. But his patient gave birth to the child. He performed a cesarean section, and both the father and the child are safe.”
Jiang Xu’s eyelashes trembled.
As Tang Ke said, this is indeed good news.
Compared with having no records at all, having a case to refer to sounds like a drop in the bucket, but it’s better than nothing. But for doctors, these are two completely different concepts.
Although surgery sounds like a matter of fixing what’s broken, Jiang Xu knows that for every type of surgery he has performed, he has watched it countless times with his predecessors, and only after he is familiar with all the steps and knows the human body structure by heart, he dares to start under the supervision of his teacher until he is proficient.
He dares to challenge, but he can’t take risks.
Surgery has been developed for two hundred years, during which countless lives have been lost and the blood of patients has been spilled, which has made surgical technology mature today.
Exploration is often accompanied by sacrifice, so for most doctors in the world today, medical skills are more of a process of inheritance and learning, rather than exploration.
With sufficient auxiliary support data, new therapies can be developed step by step, but no one dares to rashly try a groundbreaking new surgery.
However, male childbirth is an unprecedented operation. Except for the case in the United States, there is nothing related in the past classics and documents, and the incidence rate is lower than the rarest rare disease.
During the operation, not only the baby must be removed, but the uterus and bilateral adnexa must also be removed at the same time. The problem is that this is a man’s body. You can hardly imagine how complicated the blood vessels and tissues are after the abdominal cavity is opened.
No experience means huge risks.
“Jiang Xu, if you decide to remove it, I think the safest way is to contact Dr. Kenn, the surgeon in the article. After all, he has done full-term pregnancies and has more experience. But it’s not easy to get a visa to Country M now. You can afford to delay, but the baby can’t.”
The international situation is not too clear. If you want to go now, it is conservatively estimated that you have to wait at least three months. By then, the fetus will be five months old.
Five months… it will have memories and can even distinguish the voice of the pregnant woman.
Tang Ke paused, “Actually, I think that if you and your partner have a good relationship, you can have a baby for a while and see how it goes. This is fate. So many gay couples want to have a child of their own but don’t have one,” he said, “This way you have at least eight months to contact the doctor and prepare for the surgery, and the pressure will be less.”
Jiang Xu folded his hands in front of his knees, “I still prefer to do it now.”
Tang Ke sighed, “The problem is that if you let it go now, who will do the surgery for you?” He paused and said, “Who in China dares to do such a surgery for you?”
No one had ever done it before, and they were unsure. No one dared to gamble their careers with Jiang Xu’s life.
“If we can get the surgery video, maybe we can find someone,” Jiang Xu said.
“That depends on how much the doctor from Country M is willing to share,” Tang Ke said, “After all, except for him, no one else in the world has performed this kind of operation.”
“Actually, there is.” Jiang Xu suddenly spoke, but there was no follow-up.