My daily work as a doctor: My treatment value is increasing.

"Lie down on the bed, I'll give you a digital rectal exam," Lu Renxin gestured to her.

The female patient obediently walked to the bedside, but looked hesitant, glancing left and right before reluctantly taking the next step.

Seeing her behavior, Lu Renxin suddenly realized that he had forgotten about her germaphobia.

So he reassured her, "Don't worry, our sheets are changed and disinfected every day. You're the first patient to use the bed today, so it's absolutely clean."

"And this plastic sheet for padding your bottom is also disposable; everyone has to change it."

Hearing him say that, she felt relieved and lay down on her side as instructed, waiting for the examination.

During the examination, Lu Renxin immediately noticed the color of the skin around her anus.

Under normal circumstances, the depth of human skin color depends mainly on the distribution of melanin, the degree of friction, and the duration of sun exposure.

The skin in the groin, armpits, perianal area, and joints that are frequently rubbed is usually darker. In the perianal area, the skin is brown or dark brown.

But hers was different; some areas were white, showing signs of hypopigmentation.

Considering her lifestyle, Lu Renxin judged that it was very likely caused by being in a damp environment for a long time.

After the examination, the patient stood up, his pants still slightly undone, and anxiously asked, "Doctor, what exactly is wrong with me?"

"It's not a big problem, it's caused by your over-cleaning. Just do as I say when you get home," he replied as he threw the plastic sheet into the trash can.

To be honest, given the patient's level of obsessive-compulsive disorder, Lu Renxin had serious doubts about whether she would follow the doctor's orders after returning home.

So I decided to be upfront and say the unpleasant truth first: "Let me ask you, are you sure you want this?"

"Yes, of course I want to." The woman was very eager; she had been tormented by this feeling for a long time.

Sometimes itching is more terrifying than pain. She would rather be in pain than experience this agonizing, agonizing feeling, as if she wanted to tear that piece of flesh out of her body.

"Think it through, and you'll have to promise to do as I say, otherwise it's simply not going to work," Lu Renxin said in a resolute tone as he prescribed the medicine.

"First, after you get home, don't use soap, shower gel, hot water, or anything like that to clean yourself. Also, stop using wet toilet paper for now."

"Huh, not washing? Isn't it dirty if I don't wash?" The woman's face was full of doubt. "Does this have anything to do with my itching? Isn't being clean a good thing?"

Lu Renxin stopped what he was doing, shifted his gaze from the computer screen to her face, and explained earnestly:

"It's good to be clean! But excessive washing can damage the natural protective oil film, and combined with the irritation from various products, it can cause itching."

"Okay, okay, as long as it works, I'll do whatever you say. If you say I don't need to wash, then I won't wash." She quickly agreed.

Lu Renxin was taken aback by how smoothly things went and how easy she was to talk to.

Generally speaking, older patients, especially those who pay attention to details, don't really trust young doctors like me, just like the old man before.

Essentially, it is the result of patients' distrust of medical experience and information asymmetry.

I didn't expect it to go so smoothly this time. It seems that the director's prestige really works. It's great that I don't have to work my way up to the point where the patients trust me!

"It's not that I don't want to wash at all. I can tell you're a clean person. If you really want to wash, use warm water. The water should feel cool to the touch when you put your hand in."

"And after washing, quickly pat dry with a towel or use a hairdryer on the cool setting to keep it dry."

Lu Renxin pointed to the computer screen and continued, "I also prescribed you an ointment. Apply it after it dries. Go to the pharmacy to pick up the medicine after you pay the bill later."

"When the itching flares up, I try not to scratch, and lately I'm wearing loose, breathable clothes..."

He explained the precautions to the patient one by one, breaking them down in detail, and would emphasize them again if the patient couldn't remember them.

"If you strictly adjust your lifestyle and there is still no improvement after a week or two, come back to me and I will give you an injection of methylene blue."

The woman nodded repeatedly, indicating that she understood...

At 11:30, the morning's outpatient clinic ended quickly.

Lu Renxin glanced at the total number of people; there were only eight in total.

Among these people, only one hospitalization slip was issued, for a male patient with perianal abscess.

Well, things can't be rushed. It's normal at the beginning. Just accumulate experience gradually and take it one step at a time.

……

Lu Renxin had just sat down in his ward after lunch when Liu Yichen asked him warmly:

"How was your first outpatient visit? Were there many patients?"

"Let me tell you, I was so nervous the first time I saw patients alone, I was so afraid I wouldn't be able to answer their questions..."

Previously, when there were no doctors of similar age in the department to talk to, Liu Yichen could barely suppress his talkativeness. Now that he has found someone to listen to, his true nature is fully unleashed.

"Eight, and one of them had a perianal abscess."

"You're lucky. Back then, I only saw five or six patients in half a day of outpatient clinic. This situation lasted for a very long time."

"And then what happened? How did you get more?" Lu Renxin asked curiously, wanting to learn some experience from his senior.

He recalled his recent outpatient visit with Liu Yichen, where the number of patients was not small.

"Ugh, don't even mention it." Liu Yichen gave a wry smile and smoothed his hair. "It's because I've been working for so long that I'm starting to smell like a typical office worker, and I'm also starting to lose my hair as I get older."

"I instantly became someone patients trusted. Simply put, I went bald and I became stronger!"

Lu Renxin stared at his thinning head, feeling a deep sadness in his heart. I must never be like this again.

Jiang Zhaoning listened to their conversation, but didn't take it seriously.

"That's all just an excuse," she interrupted their conversation. "What does it matter how young you look if you have the skills?"

When she was working with her mentor, she was praised by many patients for being young, promising, having outstanding medical skills, and being highly skilled. They didn't believe any of this nonsense.

Even if it's a newcomer who hasn't made a name for himself, eight patients is far too few. You wouldn't see that many patients in a regular outpatient clinic.

After saying that, he tossed his hair, stood up proudly and walked out of the office, ready to show off his skills to these two useless men in the afternoon!

Lu Renxin: ...

Liu Yichen: ...

The two looked at each other, watching her retreating figure. So young, so very young. She didn't realize that people weren't concerned about her, but rather about her teacher's reputation.

At 5:30 p.m., Lu Renxin and Liu Yichen, who hadn't left yet, watched as Jiang Zhaoning walked in with unsteady steps, a haggard face, and an expression of disbelief.

"My clinic only has...only five people!" she said through gritted teeth. "They have no taste!"

Unexpectedly, she never imagined that she was inferior to Lu Renxin, which made her, who was proud and arrogant, feel very uncomfortable.

From the interview stage, she was always overshadowed; Lu Renxin was first, and she was only second.

After he came in, Director Yuan paid more attention to him. We all came in at the same time, so why am I not as good as him?

Jiang Zhaoning gently bit her lower lip. She had tried so hard to perform, but the final result was still unsatisfactory.