After binding with the system, I became a proctology expert.

Chapter 8 Qin Jianjun

It is not recommended to search for disease names online based on symptoms.

Bao Dou's answer is correct; it could indeed be an anal fistula, but a proper examination is needed to determine the specific situation.

Lu Renxin arranged for the patient to lie on the treatment bed and drew the curtains to protect their privacy.

Zhang Weimin stood behind him with his hands behind his back.

Although the clinic sessions with my mentor are busy, I can learn a lot.

In many cases, Zhang Weimin would have him perform a finger examination to determine the type and location of the disease through touch before he would go on stage.

This allows Lu Renxin to actually do things himself. Sometimes, knowledge that cannot be understood by the teacher alone can be clearly understood by experiencing it firsthand.

It was a win-win situation; Zhang Weimin was able to teach, and Lu Renxin was able to learn something.

Only the patient is harmed, and must have their anus violated twice.

I don't know how much therapeutic value the digital rectal exam will give me; I estimate not much.

Wearing gloves, the rubber gloves that clung to his skin made Lu Renxin's hands appear even thinner and longer.

If he hadn't become a doctor, perhaps he could have used those hands to become a hand model.

Unfortunately, he was a medical student.

However, having long, slender fingers is an advantage in proctology.

The longer the anal canal, the larger the area that can be felt, making it easier to determine the location of the lesion.

A finer material will cause less discomfort to the patient compared to a coarser material, and the insertion will not be as painful.

He applied lubricant to his hands.

First, examine the skin surface. There is a red, hardened lesion at the 8 o'clock position on the lithotomy site, with a small amount of fluid seeping out.

After slowly inserting it, you can feel a stiff, rope-like object.

Does it hurt here?

"It doesn't hurt."

"And here?"

"pain."

Yes, it's an anal fistula. It's not located high up, and the fistula tract is relatively straight.

You can still feel soft lumps at 3 o'clock and 7 o'clock.

The patient also has some hemorrhoids.

Lu Renxin carefully explored and made judgments, and then told his supervisor the results.

After examining the evidence, Zhang Weimin nodded: "Your judgment is correct."

[Congratulations, host, you have completed 1 digital rectal examination. Treatment value +0.1]

This adds another way to earn healing points.

Even though it's not much, every little bit helps.

Returning to his desk, Zhang Weimin began:

"You need surgery."

"My beds are all full next week, so Xiao Lu can give him an admission slip for the week after next."

He Dong looked shocked: Is it that serious? Mom, I need to have surgery!

This was the first time the naive college student had encountered such a situation, and he accepted the order form prepared by Lu Renxin in a daze.

Patients came and went in the examination room, and he performed one digital rectal exam after another.

The accuracy rate is very high; it can basically accurately determine the location of lesions.

There were also failures, including the case of a patient with a high horseshoe fistula who was indirectly diagnosed.

No matter how hard he tried, he couldn't figure out the direction of the fistula or the location of its internal opening.

Unable to obtain system healing points.

In addition to patients visiting for the first time, the outpatient clinic also includes some returning patients who have undergone surgery.

The number of beds at Guanghai Hospital is very limited, and patients will not stay in the hospital for a particularly long time.

Therefore, the patient can be discharged from the hospital quickly and can only take care of himself at home, coming to the outpatient clinic every week to check the healing progress.

For example, Zhang Long was hospitalized again after his growth was found to be poor during a follow-up visit.

Occasionally, when his mentor is too busy, Lu Renxin also needs to step in to change the dressings for older patients.

Then a notification sound kept appearing in his mind:

[Congratulations, host, you have completed the dressing change*1, healing value +0.2]

[Congratulations, host, you have completed one finger examination. Healing value +0.1]

Despite not being able to stop for a moment, his bottom never touched the stool.

But the gradual accumulation allowed him to experience the joy of harvest.

No wonder dragons like to hoard gold coins, and people like to save money; it's so satisfying to see your balance increase!

As patients completed their consultations, the stack of admission forms in front of him grew higher and higher.

At 11:20, the number of people began to decrease slowly, and he was finally able to catch his breath, take off his mask, and drink some water.

Click on the next number to be called:

"Please ask patient number 63, Wang Fengping, to go to consultation room number 2."

The half-open door was pushed open, and an elderly woman with gray hair, a plump figure, and wearing a black leather jacket walked in.

She had a blue cloth tote bag with the logo of a children's music training institution, GG, slung over her left arm.

Lu Renxin noticed her leather jacket; the style didn't suit her age.

In some places, the skin has peeled off, revealing a yellowish-white base color; the material is likely artificial leather.

When someone came in, Lu Renxin, as usual, confirmed the patient's name:

"Are you patient number 63, Wang Fengping?"

The old lady quickly waved her hand and forced a smile:

"Doctor, no, I just want to get an extra appointment."

It's almost 11:30, almost time to get off work.

Although he would give them extra appointment slips, he still felt resentful towards the many patients who came over at the checkpoints.

We're all working people, and everyone wants to leave work on time.

Some patients say they can't get up in the morning and insist on coming over leisurely right at the end of their workday.

Come to the registration desk in the last few minutes before registration closes to add a number.

I can't refuse, and I'll read it carefully, but I'm a little annoyed.

But Lu Renxin showed no dissatisfaction whatsoever when facing the elderly woman in front of him.

The old woman seemed overly anxious, tightly clasping her rough, chapped, and peeling hands.

He quickly tore off a plus sign, stamped his supervisor's seal on it, and handed it to the old lady.

The elderly woman bowed repeatedly in gratitude, saying, "Thank you, doctor."

After saying that, she clutched the paper tightly and ran out of the clinic.

Twenty minutes later, Zhang Weimin, having finished with the previous patient, asked Lu Renxin:

"How many patients are left?"

"There's only one left."

The last patient in the outpatient system:

Name: Qin Jianjun

Sex: Male

Age: 68 years old

Medical insurance type: out-of-pocket

Press the call button:

"Patient No. 69, please proceed to consultation room No. 2."

The half-closed door was pushed open, and two people entered.

It was the elderly woman who had just added a number to her list. She was helping an elderly man with a hunched back, slowly moving forward step by step.

The old woman helped him sit down in the chair in front of Zhang Weimin and said:

"Director Zhang, my husband isn't feeling well."

Zhang Weimin began to ask:

"What's wrong? Are you feeling unwell?"

Qin Jianjun replied:

"I always feel like I can't poop, and when I finally do, there's always blood in it."

This sounds like hemorrhoids. Constipation is a common symptom among the elderly, and if it is accompanied by hemorrhoids, it can indeed cause bleeding.

"How long has it been?"

"How is the shape of your stool?"

……

Qin Jianjun answered honestly, but Zhang Weimin's brows furrowed even more upon hearing the answer.

He got up and gestured for the patient to lie down on the treatment bed.

"Sir, please get on the bed, we need to do an examination."

Upon hearing the word "inspection," Qin Jianjun abruptly looked up, his cloudy eyes filled with a cautious inquiry:

"Does the checkup cost money?"

The old woman angrily slapped him:

"Why are you still thinking about money when you come to see a doctor?"

"A few years ago, when you weren't feeling well, I told you to see a doctor, but you refused and said you were fine."

"You're already feeling so bad, and you're still asking!"