Work log of a male doctor at a rural gynecology clinic

page views:1 Publication date:2023-03-24

My name is Liu Yihang. I'm 20 years old, 175cm tall, and weigh 130kg. I have a very ordinary Asian face—
not handsome, but not bad-looking either. I like to have a buzz cut, which makes me look quite energetic.

I just graduated from a technical school with a nursing degree. Normally, I could become a male nurse,
but I want to open my own clinic at home. I can handle treating minor ailments like headaches, colds, and fevers.
My dad is quite powerful; he's a construction contractor, and as Zhao Benshan would say, he's rich. He pulled strings and bribed his
way into getting me a medical license. So, my little clinic is ready to open.

I originally wanted to just open it at home, but my mom absolutely refused, saying it's unlucky to have a clinic at home.
So to choose another location. Of course, a father fully supports his son's business. My dad is really helpful;
he built a small hut for me right next to the main road at the village entrance as my office. I contacted several pharmaceutical representatives and sourced
some commonly used medicines and equipment. Everything was simple, clean, and smooth
. My clinic officially opened, and I gave it a very cheerful name—Sunshine Clinic.

It's not good to open a clinic with a lot of fanfare and announce it everywhere, or people will criticize you. However, even while the building was still under construction, everyone
in the village knew about it, and even people from the neighboring village knew that our Liu Family Village was about to open a clinic.
There was a reason I opened this clinic. There's a People's Hospital in town, but it doesn't feel like it's truly serving the people; the doctors
and nurses are cold and their fees are expensive. Our village has over a thousand people, and there are quite a few people in the neighboring village as well. I thought that if I
opened such a friendly clinic, it would definitely be packed with customers.

And indeed, everyone was very welcoming. On the first day, I served three villagers: one had
scalded his arm with boiling water, one had diarrhea, and the other didn't come for a doctor's visit but just to buy medicine—blood pressure medication.
Of course, I charged low prices; I only charged a little over ten yuan for the three of them. To win the villagers' favor, I decided to do a good deed first.

Sure enough, everyone praised me for being capable and kind-hearted. Gradually, my clinic, Xiangyang, gained recognition in the village.
People would come to me first for minor ailments, and only go to the hospital if I couldn't handle it. I saw quite a few patients every day, sometimes
more than a dozen. Overall, the income was quite considerable. At the end of the first month, I tallied my net income, which was
over two thousand yuan, much better than my classmates who had regular jobs.

I have a principle when treating patients: if I can handle it, I will; if I can't, I'll refer them directly to the town's People's Hospital
. I never prescribe unnecessary medication. That would harm both myself and others, not only ruining the clinic's reputation but also causing serious harm to patients. We're all from the same
village , and I can't bear that kind of blame. Life was quite leisurely.
I installed internet in the clinic, and I would surf the internet and play cards when I had free time.

One noon, I was enjoying playing cards in the clinic when a woman in her thirties walked in. She didn't
seem to be from the village, because I didn't recognize her at all. When she came in, she saw me playing a game but didn't rush
me. She just watched from the side. I was at a crucial point, so I had to finish this hand of cards first. Afterward, I asked her
what was wrong, but she stammered and couldn't explain clearly. She seemed a little embarrassed, so I
guessed what was going on. It was probably a gynecological problem, and she was hesitant to tell me, a young male doctor.

I looked at her closely. She was of medium height, with a full figure. Her knitted t-shirt and casual pants seemed
a bit tight, highlighting her ample bosom. Beneath her short, ear-length hair was a pretty face, without makeup—a typical
respectable woman. You don't see patients like this every day. Suddenly, a lewd thought popped into my head: I was going to take off her pants

today . 　　I pretended to be serious and said, "You need to describe your symptoms more clearly so I can prescribe the right medicine. Don't be embarrassed , I'm a doctor, I won't talk nonsense to others." 　　She relaxed a bit and said, "It's just that my lower body is so itchy, I can't sit still, I can't stand steadily." 　　After saying that, she crossed her legs and slightly twisted her buttocks, as if to prove that what she said was true. 　　"When did it start to itch?" 　　"I can't remember exactly when, it's been many days, it gets better and then it gets worse." 　　"Have you been to the hospital before?" 　　"No, I've tried a few folk remedies, but they didn't work." 　　"Why did you put it off for so long without going to the hospital?" 　　"It wasn't very bad before, just a little itchy, and it would get better after a few days, but these past few days it's been unbearably itchy again." 　　"Have you scratched it?" 　　"I scratched it a few times when it was really itchy..." She became a little embarrassed at this point and lowered her head, not looking at me. 　　"Your hands carry germs, scratching will only make it itchier." 　　"No... I usually scratch through my pants..." she explained, scratching her outer thigh . 　　"Does it burn? Like a burning pain inside your vagina?" 　　"Yes, it does when it gets really bad. Especially when I urinate, it's both itchy and painful..." 　　"Your condition is quite serious, we can't delay any longer, but I can't be sure just from your description, so I need to examine you now." 　　"Ah... how do I examine you..." 　　"Take off your pants and lie down over there." I pointed to the examination bed. 　　Instantly, her face turned bright red, her eyes fixed on the examination bed, which was a stainless steel platform. 　　"From your symptoms, I know it's quite serious, we can't delay any longer, we need to get a diagnosis and treatment . Don't worry, I graduated from a proper medical school, this is just a minor problem for me." I boasted without batting an eye. 　　"Okay, let's take a look..." After struggling for a few minutes, she seemed to have made up her mind. 　　Heavy curtains hung from the central beam of the ceiling; when drawn, they created a semi-enclosed space where the examination bed was placed. I asked her to lie down, but she seemed hesitant, saying in a pleading tone , "It's not good if someone sees me like this. Could you close the outer door?" 　　I nodded in agreement, went to the outer room, and closed the door. Only then did she feel a little more at ease. I knew the most crucial moment had arrived . At this moment, I had to appear confident and professional to gain the patient's trust. We had practiced the entire gynecological examination process in school , practicing with rubber models, but for a technique like ours...

No hospitals were willing to let us students do internships. So a lot of our knowledge is still theoretical, so today was
an unexpected bonus. I was going all in; I figured this woman hadn't had a proper checkup either,
so I wasn't afraid of being caught if something went wrong.

Seeing her dawdling, I urged her, "Hurry up while no one's around."

She took a deep breath, as if she was ready to take the plunge, and finally turned around, bending over and slowly
unzipping her pants. A round, plump buttock tightly encased in white underwear was revealed, followed by two full, firm
thighs. She first put the pants on a chair, then continued to remove her underwear. As she bent over
, her dark brown anus flashed before my eyes. For a moment, I got aroused; thankfully, I was wearing jeans,
or I might have been embarrassed.

The examination bed was about the same height as a regular table. She first went to one side and sat down, then twisted her body,
raising both legs together simultaneously. Her hands remained carefully covering her lower abdomen. Her face was slightly flushed; exposing her genitals in front of
a strange man was truly embarrassing for her. This examination bed was incredibly rudimentary, just
a stainless steel bed with no other accessories, and no place to prop her legs up. Sigh, so unprofessional;
I definitely need to buy a professional gynecological examination bed.

For now, I had to make do. I went to the foot of the bed and had her bend her legs and spread them apart,
moving her buttocks as close to me as possible. This position clearly made her uncomfortable; she avoided looking at me, staring at
the curtains beside her.

Now her entire genitals were exposed before me. Her pubic area was darker in color, with sparse pubic hair, mainly
distributed on the mons pubis. The labia majora had some ulcers and broken skin, indicating she had scratched them quite severely; the skin on her inner thighs
was also peeling. Her labia minora were quite large, dark brown, and swollen. Although I'm no longer
a virgin, this is the first time I've so carefully examined a woman's genitals.

Next, I need to examine her. A typical gynecological exam includes a bimanual examination, which is
a combined examination; a more thorough one might also include a rectal examination. I should wear disposable sterile rubber gloves,
but I don't have any. Looking at her somewhat ulcerated vulva, I decided to disinfect it first. Iodophor solution is usually used for vulvar
disinfection because it's non-irritating, but I only had alcohol, so I had to make do.

I used tweezers to hold a cotton ball soaked in alcohol and wiped her labia majora first. As soon as I touched the broken skin,
she trembled and involuntarily closed her legs. I gently spread her legs, telling her to bear it, and continued cleaning her labia, perineum, anus, and groin in
sequence . When cleaning her anus, the cotton ball turned bluish-brown
, indicating she had defecated before coming, but hadn't wiped properly. This wasn't her fault; the area around the anus has many
folds, and feces can't be wiped clean without water.

I changed the cotton ball and continued cleaning her. She had felt very itchy before, but now, stimulated by the alcohol,
although was painful, it also felt pleasurable, and she was moaning softly. Finally, I finished cleaning her and used my two thumbs to separate her
labia majora and minora, exposing her vagina. I saw a lot of yellow, sticky discharge inside. This was pathological leukorrhea, and the vaginal walls showed
signs of erosion and ulceration. This was a typical case of severe yeast infection. I originally wanted to continue exploring her vagina,
but the pathological leukorrhea made me feel uncomfortable, so I decided to wait until she felt better.
I cleaned her up a bit with toilet paper and said, "That's enough, put your pants back on." She responded and got up to put on her
underwear I noticed that the crotch area of her underwear was very dirty, probably because she hadn't changed it for many days.

After she put on her pants, I prescribed her some anti-inflammatory medication and a tube of clotrimazole ointment. Because
I hadn't expected someone to come to the gynecologist, I hadn't prepared any feminine hygiene products.

Seeing that I had brought out several kinds of medicine, she asked me somewhat nervously, "How much are these medicines?" Judging from her
appearance, her family probably wasn't well-off, so I decided to give her a discount. After roughly calculating, I said, "These are 12 yuan
in total . However, there's one special medicine that I don't have here right now. I'll go get it tomorrow, and you can come back to pick it up then
. Don't worry, that medicine isn't expensive, only a dozen yuan." She visibly relaxed after hearing my words.

After thinking for a moment, I asked her to come to my desk to register her information. I quickly created an Excel spreadsheet on the computer,
requiring her to fill in her name, gender, age, marital status, medical history, and other information. Hehe, this is usually unnecessary,
but we need to analyze each case individually, and I wanted 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 for her home phone number so I could contact
her to pick up the medicine, but she refused, saying, "Don't call, I'll come pick it up in a couple of days."

After explaining this, she still seemed a little worried and asked, "Won't anyone else know about this?"

I replied very seriously, "Of course not. I'm recording this information for your long-term
follow-up treatment."

She then asked, "How long will it take to get better with this medicine?"

I deliberately exaggerated, "Because you've delayed treatment for so long, your condition is quite serious now,
so it will take longer to treat. You'll not only need medication, but you'll also need to come to me regularly for checkups and disinfection."

"How long will that take?"

"It's uncertain. It could be better in two weeks at the earliest, or it could take several months, and you'll need regular
checkups afterwards to prevent a relapse. By the way, have you and your husband been having sex lately?"

She lowered her head, a little embarrassed. "We did it one night last week, but I washed myself thoroughly beforehand."

I said sternly, "How can that be? You can't do that now. It will damage your vagina
and there's a risk of cross-infection. Otherwise, the illness won't get better."

She nodded, blushing.

I continued, "And you absolutely mustn't scratch your genitals anymore. Scratching will make it heal slower."

She seemed to remember something and looked up at me, saying, "Could you sell me some of that alcohol you just applied
? It was very itchy, but it's helped a lot after applying it."

I said, "It's for disinfection; too much irritation is bad and doesn't treat the condition. How
often ?"

"Usually every three or four days."

"You can shower every three or four days, but during treatment, you must wash your genitals with soap and water every day. After washing,
apply this ointment. Change your underwear every day."

Finally, I arranged for her to come back in five days to pick up the medicine. After seeing Liu Yue'e off, my mind started working. I immediately
contacted a pharmaceutical representative and ordered a batch of gynecological drugs. Then I ordered a professional examination bed online,
like a reclining chair, with a place to prop up my legs. It wasn't expensive, just over 700 yuan, and it even came with freebies: a speculum
and an enema kit.

Everything was ready except for the final step. I put a sign on the door—"Gynecology Department Available."

The equipment and medicine arrived in a few days, and on the fifth day, Liu Yue'e indeed came. She hesitated at the door
for a long time, only daring to come in after confirming that no one else was in my clinic.

I gave her a box of clotrimazole suppositories, which are granular pills to be inserted into the vagina. I told her
how to .

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

"It seems a little better, but I still have a lot of discharge."

"Let me do another examination for you."

I led her to the inner room and asked her to take off her pants. This time, she didn't hesitate and immediately took off her clothes, lying down on
the new examination chair I'd bought, consciously spreading her legs apart. This chair is really nice; once she
lay down, her vulva was completely exposed. I reached out and pinched her labia minora, tugging at them, asking if it hurt. She
shuddered and said, "It hurts." Of course it hurt; it would be strange if it didn't. Hehe, that's the kind of feeling I
wanted .

As usual, I disinfected her vulva first. I'd already bought iodine solution, but I used alcohol
to disinfect her anyway; I like seeing her shudder in pain. She seemed to quite like the alcohol's stimulation,
starting to moan again. This time, when I wiped her perineum, the cotton ball turned yellow, probably from feces.

"How do you usually wipe after you poop? Do you wipe from back to front?"

"Um… is there a specific way?" She was a little embarrassed; being asked how she wiped after pooping was indeed
quite awkward.

"Of course, if you wipe from back to front, you'll bring feces into your vagina, which can easily lead to infection. You should wipe
from front to back."

"Oh," she responded softly.

Finally, after cleaning, I inserted my right index and middle fingers into her vagina, while my left palm pressed against her lower abdomen,
palpating from the inside out, asking her if she felt any discomfort.

A woman's vagina and a man's penis have one thing in common: they can expand and contract, and can change size. The vaginal walls have
many folds of flesh. When aroused, the vagina becomes deeper and larger. Normally, the vagina is actually shallow and small;
you can usually feel the cervix by inserting just one finger.

I explored inside Liu Yue'e's vagina, and the wonderful touch of a mature woman's body made me want to keep touching her. Her vagina
was already overflowing with vaginal fluid, making a gurgling sound. The main symptom of yeast infection is intense vaginal itching, and my
movements inside her were like scratching her vaginal itch, which of course made her feel comfortable. Hearing her breathing gradually become heavier, I
immediately stopped, told her to get up and put on her pants, ignoring the fact that she was currently overflowing with vaginal fluid. She paused for a moment,
not quite reacting, probably not having had enough yet. No rush, there will be plenty of opportunities; I'll give her an enema next time.

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