My daily work as a doctor: My treatment value is increasing.
Chapter 69 Anal Itching
Upon receiving the praise, Jiang Zhaoning raised her chin at Lu Renxin, her usually aloof face unusually showing a hint of arrogance, as if she was pleased that she had received recognition before Lu Renxin.
It's just answering a question, why are you so happy? It's not like I don't know how, I'm just a little slow.
Lu Renxin pretended not to see her actions and ignored her completely. Over the past few days, he had come to understand that Jiang Zhaoning was targeting him.
It's not really about targeting me, it's just that I feel... I feel like she likes to be one step ahead of me.
In other words, what she likes is to be number one and to be the most capable in the eyes of others.
Some people are indeed like that; they're not the strongest, but they feel bad when someone is better than them, or perhaps it's more accurate to describe them as being overly competitive.
For example, Lu Renxin likes to ride his electric scooter to the department ten minutes early in the morning. Every time he arrives, Jiang Zhaoning is already at her workstation looking at the data.
Once, when changing her dressing, Director Yuan casually asked a question that Lu Renxin answered but she couldn't.
For the next few days, he saw her diligently studying a thick textbook on Traditional Chinese Medicine Surgery in his office.
All of this makes one have to say: he's truly a master of exaggeration!
Although I don't quite understand her thinking, some people like to strive for success, while others prefer to relax and do nothing.
She didn't actually cause him any real harm; she was just subtly comparing and belittling him. Lu Renxin didn't take it to heart and let her do as she pleased. Let her compare; I don't care!
……
Their daily lives passed uneventfully, and their familiarity with the place gradually increased.
Under Dr. Wang's guidance, the two began to gradually practice colonoscopy and were assessed on their operational qualifications.
A month later, Director Yuan finally arranged for the two of them to start seeing patients independently.
Considering that they are all newcomers, they were thoughtfully arranged to watch for only half a day each week initially, with additional time to be added later as appropriate.
Lu Renxin was assigned to Tuesday morning, while Jiang Zhaoning was assigned to Tuesday afternoon.
……
Tuesday morning, outpatient office.
This is the first time he's sat alone in this consultation room. When he was a student, there was Zhang Weimin, and a while ago there were other doctors as well.
Only then did he truly feel the shift in identity from student to doctor.
By 8:30, not a single patient had come into the consultation room. He had never experienced such a cold reception in his mentor's clinic.
"There's hardly anyone here." Lu Renxin idly turned a pen between his long, slender fingers.
As a newly arrived junior doctor, he lacked recognition and had no familiar patients, so his outpatient clinic relied solely on people making sudden appointments, which naturally resulted in a small number of patients.
"When will someone come?" Lu Renxin leaned back in his chair, staring blankly at the ceiling.
A few minutes later, after refreshing the system again, a name suddenly popped up.
He sat up straight with a quick movement and immediately called his number.
[Please have patient number 01 come to...]
As the announcement was made, an elderly man peeked in through the door. Although he was old, he looked healthy and energetic.
As soon as he took a step closer, the old man stopped in his tracks:
"Oh dear, this doctor is so young. He's unreliable. You should cancel my appointment and go to a specialist clinic instead..."
Lu Renxin felt as if he had been stabbed in the chest: My skills are very good... Why don't you believe me?
But he couldn't force the old man to stay, so he could only stamp the form and cancel the order, watching the old man leave with a resentful look in his eyes.
In other industries, older workers are more likely to be laid off, but in medicine, it's different; the older you are, the more sought-after you become.
Especially for traditional Chinese medicine practitioners, if someone with a full head of white hair stands in front of a patient with an air of otherworldly wisdom, their credibility skyrockets.
Lu Renxin took out his phone, looked at his young face and thick black hair in the camera, and didn't look mature at all.
It will take at least twenty years to reach a point where patients can gain more trust.
Is there anything that can help me? He racked his brains, even coming up with the terrible idea of dyeing a few strands of his hair silver.
No, wait, there seems to be something in the system that can be used, called... called the Director's Prestige. He even complained about it when he first saw the name.
The sudden appearance of such an abstract name among a group of proper names naturally left a deep impression on him.
As expected of a system that trains medical students, it even has something like this. I imagine many fresh graduates will face similar difficulties.
Lu Renxin opened the system interface and saw that the price was not expensive—30 healing points, but it was time-limited, and each purchase could only be used for three months.
If it can attract patients, this price is a drop in the ocean.
He still had a considerable amount of savings left from his pre-graduation savings, so he didn't hesitate much and quickly made the purchase. He then felt a warm sensation in his body, but didn't feel anything else.
I wonder how this department head's prestige comes about? Maybe we'll find out when the next patient comes.
After a while, the second patient finally arrived, a thin, middle-aged woman with prominent cheekbones.
When she first came in and saw Lu Renxin, she frowned: "Why is the doctor so young? He's unreliable. Should we get another one?"
But for some reason, she felt that his movements carried the experience and composure of decades of professional experience.
This made her trust involuntarily. She walked to the table, but hesitated to sit down in front of the chair. Instead, she started rummaging through her backpack.
He pulled out a tissue and carefully wiped the surface of the stool, leaving no corner untouched.
Only after wiping everything clean and confirming that nothing was missed did he deign to sit down.
"Does this patient have obsessive-compulsive disorder?" Lu Renxin wondered to himself.
"Where do you feel unwell?" He adopted a professional demeanor, unconsciously adopting the expression and posture of a mentor.
He took out a blue-black pen from his white coat pocket, took the medical record book handed to him by the woman, and began to make notes.
The patient hesitated for a long time, as if organizing his thoughts: "Doctor, my anus is always very itchy."
"Sometimes I get itchy while walking, but I can't scratch in public, so I have to just bear it."
"Sometimes I'll start getting itchy in the middle of the night while I'm sound asleep, and it keeps me from getting any sleep."
"What kind of itching is itchy?" Lu Renxin asked.
"Yes……"
……
In the course of their conversation, he gained a basic understanding of the patient's condition; it was quite obvious that the patient was experiencing anal itching.
What causes this? It's often due to irritation of the skin around the anus.
Both physical and chemical irritants can cause itching.
Lu Renxin had seen many such patients in his mentor's clinic. He continued to inquire about the patients' lifestyle habits and successfully obtained clues.
This female patient has severe obsessive-compulsive disorder about cleanliness. Every time she finishes using the toilet, especially after defecating, she feels very dirty and chooses to wipe herself repeatedly with wet toilet paper.
Sometimes wet toilet paper isn't enough, so you have to wash it back and forth with hot water.
However, this damages the protective layer on the skin's surface, leading to dry, cracked skin. The more you wash, the itchier it becomes, creating a vicious cycle.
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