The work log of a male doctor in a rural gynecological clinic 1-5 (Urban Life Adult Novel)

Work log of a male doctor at a rural gynecology clinic Chapter 01

My name is Liu Yihang. I am 20 years old this year, 175cm tall, 130kg in weight, with a very ordinary oriental face, not handsome nor ugly. I like to have a short flat head, and I look quite energetic.

I just graduated from a technical school, majoring in nursing. Normally, I should be able to become a male nurse, but I want to open a clinic at home. I can handle treating headaches, colds, and fevers. Because my dad is quite powerful, a construction contractor, and in the words of Zhao Benshan, he has plenty of money. He used his connections and money to finally get a medical certificate for me. So my small clinic was ready to open.

I originally wanted to open the clinic at home, but my mother wouldn't let me, saying it was unlucky to open a clinic at home. I had to choose another place. Of course I will fully support my son in starting his own business. My dad is really supportive. He built a small house for me next to the main road at the entrance of the village to use as my office. I contacted several medical representatives and purchased some medicines and equipment that are commonly used in daily life. Everything is simple, clean and smooth. My clinic is officially open and has a very sunny name - Xiangyang Clinic.

It is not a good idea to open a clinic with great fanfare and advertise it everywhere, or you will be criticized. However, everyone in the village knew about it when the house was still under construction, and even people from the neighboring village knew that our Liujia Village was about to open a clinic. There is a reason why I opened this clinic. There is a people's hospital in the town, but it doesn't feel like it is serving the people. The doctors and nurses have a cold attitude and the fees are expensive. Our village has a population of over a thousand people, and there are also many people in the neighboring village. I think if I open such a friendly clinic, it will definitely be crowded with patients.

As expected, everyone was very supportive. On the first day of opening, we received three villagers from our village. One had his arm scalded by boiling water, one had diarrhea, and the other did not want to see a doctor but came directly to buy medicine, blood pressure-lowering drugs. Of course my fees are low, only a dozen yuan in total for three people. In order to win the favor of the villagers, let's do good deeds first.

Sure enough, everyone praised me for being capable and kind. Gradually, my Xiangyang Clinic was recognized by the villagers. Everyone would come to me first when they had a minor ailment. They would go to the hospital only when I couldn’t handle it. There were many patients every day, sometimes I could see more than a dozen in a day. All in all, the income is quite considerable. I counted it at the end of the first month, and the net income was more than 2,000 yuan, which is much better than those classmates who are working.

I have a principle when treating patients. If I can handle it, I will treat it. If I can't, I will directly send the patient to the People's Hospital in town. I will never prescribe medicine indiscriminately. That would hurt both others and yourself. Not only would it damage the clinic's reputation, but it would also be very bad if it delayed the patient's treatment. We are all from the same village, and we will see each other every day. I can't bear the accusation. In this way, life was very leisurely. I connected the Internet cable in the clinic, and when I had nothing to do, I would go online and play Landlord.

One day at noon, I was having a great time playing Landlord in the clinic. A woman in her thirties came in at the door. She didn’t look like she was from this village because I had no impression of her at all. When she came in and saw me playing games, she didn't urge me, but just watched from the side. It was a critical moment for me, so I had to finish this hand of cards first. After that, I asked her what happened, but she stammered and couldn't explain clearly. Seeing her look a little embarrassed, I roughly guessed what was going on. It was probably a gynecological disease, but she couldn't tell me aloud to a young male doctor like me.

I looked at her carefully. She was of medium height and plump. The knitted T-shirt and casual pants she wore seemed a bit tight on her body, and her chest was bulging. Under her short hair was a pretty face. She was a typical good wife with no makeup on.

You don't come across patients like this every day. I suddenly had a dirty idea: to take off her pants today.

I pretended to be serious and said, "Please tell me clearly what symptoms you have so that I can prescribe the right medicine. Don't be embarrassed. I'm a doctor and I won't talk nonsense with others."

She relaxed a little and said, "It's just that my lower body is so itchy that I can't sit still or stand steadily."

After saying that, she clamped her legs together and twisted her buttocks slightly, as if to prove that what she said was true.

"When did the itch start?"

"I can't remember exactly when it started. It's been a long time. It gets better and worse again."

"Have you been to the hospital before?"

"Not yet. I've tried a few folk remedies, but they didn't work."

"Why did you wait so long to go to the hospital?"

"It wasn't that severe earlier, just a little itchy, and it went away in a few days, but these past few days the itching has become unbearable again."

"Have you ever scratched it with your hands?"

"If it itches badly, just scratch it a few times..."

When she said this, she felt a little embarrassed and lowered her head without looking at me.

"Hands carry germs, and if you scratch them, the itching will get worse."

"No...I usually scratch through my pants..."

She explained as she grasped her outer thigh with her hand.

"Do you feel a burning sensation? Like a burning pain inside your vagina?"

"Yes, it's really like this when it gets serious. Especially when I'm peeing, it's itchy and painful..."

"Your condition is already very serious. We can't delay any longer. But I can't be sure just by listening to your description, so I have to examine you now."

"Ah...how do I check..."

"Take off your pants and lie down on it."

I pointed to the examination bed.

In an instant, her face turned red and her eyes stared straight at the examination bed. It was called a bed, but it was actually a stainless steel platform.

"When I heard your symptoms, I felt that the situation was very serious. We can't delay any longer. We must diagnose and treat it immediately. Don't worry, I graduated from a regular medical school. Your disease is just a minor problem for me."

I don't blush or get nervous when I brag.

"Well, let's take a look..."

After struggling for a few minutes, she seemed to have made up her mind.

There was a heavy curtain hanging on the middle beam of the roof. When it was pulled up, it could form an independent semi-enclosed space. The examination bed was placed inside. I asked her to lie down on it. She was a little worried and said to me in a negotiating tone: "It's not good for me to be seen like this. How about you close the door outside?"

I nodded and agreed, then went out and closed the door, and she felt a little relieved. I knew the most critical moment had come, and at this time I had to appear confident and professional in order to win the patient's trust. When we were in school, we practiced the entire process of gynecological examination and used rubber models to train, but no hospital was willing to let technical school students like us go for internship. So a lot of knowledge still remains in written form, and today’s experience is an unexpected gain. I took the risk. I guessed that the woman in front of me had never been to the hospital for a formal check-up, so she was not afraid of being discovered if something went wrong.

Seeing that she was still hesitating, I urged her and said, "Hurry up while there is no one around."

She took a deep breath, as if she was going to give it her all. Finally, she turned around, bent over with her back to me, and slowly unbuttoned her trousers. A round buttock tightly wrapped in white panties was revealed, followed by two plump and strong thighs that were completely exposed. She first put her pants on a chair beside her, and then continued to take off her panties. The moment she bent over, her dark brown anus swayed in front of my eyes. At this moment I had an erection, luckily I was wearing jeans, otherwise I would have been embarrassed.

The examination bed was about the same height as an ordinary table. She first walked to one side and sat on it. Then she turned her body, put her legs together and lifted them up at the same time, keeping her hands carefully covering her lower abdomen. Her face flushed a little. It was really embarrassing for her to expose her lower body in front of a strange man. This examination bed is so simple. It is just a stainless steel bed without any other accessories and no legrests. Alas, it’s so unprofessional. I must buy a professional gynecological examination bed.

She could only make do with it for the time being. I went to the end of the bed and asked her to bend her legs and spread them apart, and move her butt as far forward as possible towards me. This posture obviously made her very embarrassed. She didn't dare look at me, but turned her head to stare at the curtains next to her.

Now her entire lower body is exposed in front of me. The color between her legs is darker, and her pubic hair is relatively sparse, mainly distributed on the mons pubis. There are some ulcers and broken skin on the surface of her labia majora. It seems that she has been scratched quite badly, and even the roots of both thighs are peeling. Her labia minora are enlarged, dark brown and swollen. Although I am no longer a virgin, this is the first time I have appreciated a woman's private parts so carefully.

The next step is to examine her. Generally, a gynecological examination will involve a bimanual examination, which is a combined vaginal and abdominal examination. If you are more careful, you will also need to conduct a combined anal examination. I should also wear disposable sterile rubber gloves, but I don't have any gloves now. Looking at her vulva with some ulcers, I decided to disinfect it first. Generally, iodine solution is used for vulva disinfection because it is non-irritating, but I only had alcohol at the moment, so I had to make do with it.

I used tweezers to pick up a cotton ball dipped in some alcohol and wiped it on her labia majora first. As soon as it touched the broken skin, she shivered and unconsciously clamped her legs together. I spread her legs apart and asked her to be patient, and continued to clean her labia, perineum, around her anus and thighs in order. When cleaning the anus, the cotton ball turns blue-brown

It seems that she must have defecated before her period, but didn't wipe it clean. It's not her fault. There are many wrinkles around the human anus, and it can't be wiped clean if it's stained with feces. It can only be cleaned with water.

I changed a ball of cotton and continued to clean her area. She felt very itchy before, but after the stimulation of alcohol, although it was painful, she felt very comfortable and she hummed in her mouth. Finally, after cleaning, I used my two thumbs to separate her labia majora and minora, exposing her vagina, and saw a lot of yellow sticky substances inside. This is pathological leucorrhea, and the vaginal wall has symptoms of erosion and ulceration. This is a typical case of severe candidal vaginitis. I originally wanted to continue exploring her vagina, but the diseased leucorrhea inside made me feel a little uncomfortable. Forget it, I'll wait until she feels better. I cleaned her up a little with toilet paper and said, "Okay, put your pants on."

She responded and stood up to put on her underwear. I saw that the crotch of her underwear was very dirty, maybe she hadn't changed it for many days.

After she put on her pants, I prescribed her some anti-inflammatory drugs and a tube of clotrimazole ointment for external use. Because I didn't expect anyone to come to see the gynecologist at the beginning, I didn't prepare any special medicines for women.

When she saw me taking out several kinds of medicine, she asked me nervously, "How much are these medicines?"

Judging from her appearance, her family's financial situation should not be good, so I gave her a lower price. I roughly calculated and said, "These medicines are 12 yuan in total, but there is another special medicine that I don't have yet. I will go to buy some tomorrow, and you can come back to get it then. Don't worry, that medicine is not expensive, it's only a dozen yuan."

She was visibly relieved when she heard what I said.

After thinking about it, he asked her to come to the desk to register her information and temporarily made an Excel form on the computer, requiring her to fill in information such as name, gender, age, marital status, medical history, etc. Hehe, this is generally not used, but we need to analyze the specific situation. I want to keep this woman's information. Her name is Liu Yue'e. She lives in the neighboring Lijia Village. She is 33 years old and has a 9-year-old daughter. I asked her to tell me her home phone number so I could contact her to get the medicine, but she refused: "Don't call me, I'll just come get it in two days."

After she explained all this, she told me with some concern: "You won't tell anyone else about this, right?"

I said very seriously: "Of course not, I recorded this information so that I can provide you with long-term follow-up treatment."

She asked again: "How long will it take for me to get better after taking your medicine?"

I deliberately said something more serious: "Because you have delayed for so long, your condition is now more serious, so it will take longer to treat. Not only do you need to take medicine, but you also need to come to me regularly for checkups and disinfection."

"How long will that take?"

"It's possible. It may take two weeks to heal, but it may take several months. You will need regular checkups to prevent a recurrence. By the way, have you and your husband done that recently?"

She lowered her head a little embarrassedly: "I did it one night last week, and I washed it beforehand."

I said with a straight face, "How can you do this? You can't do this for the time being. It will damage the vagina and there is a possibility of cross infection. Otherwise, the disease will not be cured."

She blushed and nodded.

I continued, "You must never scratch your skin down there again. It will take longer to heal if you scratch it."

She seemed to remember something, looked up and said to me: "Can you sell me some of the alcohol you just used to rub me? It was very itchy at first, but it feels much better after rubbing it."

I said, "This is for disinfection. Too much stimulation is not good and has no therapeutic effect. How often do you take a bath now?"

“I usually wash it once every three or four days.”

"You can take a bath every three or four days, but you must wash your lower body with soapy water every day during treatment. After washing, apply this ointment. Change your underwear every day."

Finally, I made an appointment with her to come back to get the medicine in 5 days. After seeing Liu Yue'e off, my brain started to work. I immediately contacted a pharmaceutical representative and purchased a batch of gynecological drugs. Then I ordered a professional examination bed online, which is like a recliner with a place for the legs. It was not expensive, only over 700 yuan, and it even came with some gifts, a duckbill dilator and an enema set.

Everything is ready, except for the east wind. I posted a note on the door - there is a gynecology department inside.

The equipment and medicines arrived within a few days, and on the fifth day, Liu Yue'e arrived as expected. She lingered at the door for a long time until she was sure that there was no one else in my clinic before she dared to come in.

I gave her a box of clotrimazole suppositories, which are granular pills to be placed in the vagina. And tell her how to use it.

"How have you been feeling these past few days?"

"It seems to be a little better, but there is still a lot of vaginal discharge."

"Let me give you another checkup."

I took her to the inner room and asked her to take off her pants. This time she didn't hesitate and took off her clothes directly. Then she lay down on the newly bought examination chair and consciously spread her legs apart. This recliner is really nice. When she lies down like this, her vulva is completely exposed. I reached out, pinched her labia minora and pulled it a little, then asked her if it hurt. She shuddered and said, "It hurts."

Nonsense, it would be strange if it didn’t hurt. Hehe, this is the feeling of being able to do whatever I want.

As usual, I disinfected her vulva first. At that time, I had actually bought iodine solution, but I still used alcohol to disinfect her. I liked to see her shivering in pain. She seemed to like the stimulation of alcohol and started humming again. This time, when I wiped her perineum, the cotton ball turned yellow, probably because it was stained with feces.

"How do you usually wipe after you have a bowel movement? Do you wipe from back to front?"

"Hmm... is there any particularity to this?"

She was a little embarrassed. It was indeed embarrassing to be asked how to wipe feces.

"Of course, if you wipe from back to front, you're bringing stool into your vagina, which can easily lead to infection. You should wipe from front to back."

"oh."

She responded softly.

Finally, everything was cleaned up. I inserted my right index and middle fingers into her vagina, pressed my left palm on her lower abdomen, and palpated her from inside and outside, while asking her if she felt any discomfort.

The female vagina and the male penis have one thing in common: they can stretch and shrink, and can be bigger or smaller. The vaginal walls have many folds of flesh. When you are aroused, your vagina becomes deeper and larger. Normally, the vagina is actually shallow and small, and you can usually feel the opening of the uterus by inserting a finger.

I explored Liu Yue'e's vagina in and out. The good touch of the mature female body made me unable to let go. Her vagina was already flooded with vaginal fluid, and it could make a sound. The main symptom of candidal vaginitis is vaginal itching. My activities inside her body were equivalent to tickling her vagina in disguise, so of course she felt comfortable. Hearing her breathing getting heavier, I immediately stopped and asked her to get up and put on her pants, not caring that she was already wet from the act. She was stunned for a moment and didn't react for a moment. She probably hadn't enjoyed it enough yet. Don't worry, there are plenty of opportunities. I'll give her an enema next time.