Chapter 231 - Professionalism and self-restraint

Kurisu

In the past, Zhang Fan didn’t pay much attention to clothing and appearance. But ever since he started a relationship with Shao Hua, he gradually learned more about this topic. Zhang Fan was certain after seeing the two women’s appearance and healthy skin that both of them were likely from well-to-do families.

He could also detect a similar perfume scent to the type of perfume that Jia Suyue liked to use. According to what Shao Hua had told him before, Jia Suyue’s perfume would cost several thousand yuan for just one bottle. Zhang Fan had a deep impression of this because his nose was slightly sensitive to fragrances. Additionally, Zhang Fan had seen the exact same white fur jacket before at W Mall that the female patient bent over on the examination table was currently wearing. The mall’s price for this jacket had been more than 30,000 yuan.

These two women were relatively young. Both appeared to be in their early 20s, which meant that they had likely just graduated from college, or were still college students. Zhang Fan and Lu Shuyan seemed far more ordinary in comparison!

Human desires were incredibly complex. People at different levels of society would have different desires. Having desires was perfectly normal as well as unavoidable, as having desires was part of human nature. Even monks would have desires, so of course ordinary people would have desires as well. However, not being able to control one’s desires properly could be quite troublesome.

The rich merchant Li Xiao had taught Zhang Fan that those who were greatly successful would always require great self-discipline. In order to become successful, one would have to be able to control their own desires, no matter if that desire was greed, lust, or something else. That was because the road to success was similar to a path of ascetism. Zhang Fan wasn’t the highly intelligent type, but he understood what success was. That was why he had always been slowly training himself in self-control.

“What exactly is the matter?” Zhang Fan asked the patients after Wang Zipeng left the patient examination room.

“Bring out that thing of yours and show Doctor Zhang.” Lu Shuyan’s face reddened as she said this to the manly-seeming woman.

“Oh! This is it.” The manly-seeming black leather jacketed woman swiftly brought out something pink from her jacket pocket. Her movements seemed just like a television cop’s smooth moves when whipping out a gun!

Zhang Fan reached out his hand to take a closer look, but then he reflexively took his hand back when he saw what it was! The pink rubber object was shaped like a lowercase letter h. There was an obvious break at one portion. Zhang Fan was knowledgeable enough to identify this item as a dildo.

“Was this originally shaped like a capital H letter?” Zhang Fan asked while pointing at the pink dildo, rather than taking it.

“Yes, that’s right, it was shaped like a capital H. We didn’t really know how to use it, so part of it broke off and got stuck in Little Jing’s…” The manly-appearing woman finally acted embarrassed!

Zhang Fan glanced at the black leather jacketed woman’s crotch and hips, and then looked over at the bent over woman on the examination table. He suddenly had a realization that the two women must have been using the dildo for a lesbian relationship. The patient who was bent over had a curvaceous figure and was obviously the feminine type. She already had a relatively wide pelvis. Meanwhile, the manly-seeming woman was really skinny, and had a small pelvis. Maybe due to the difference in their sizes, perhaps the manly-seeming woman had been too excited or used too much force or something, causing the dildo to snap off in the feminine patient’s anus!

Zhang Fan noticed that there was something liquid on the dildo. He had to ask, “What is this liquid?” Since it was likely related to the portion of the dildo stuck in the patient’s anus, he had to ask for the sake of the patient’s health.

“Lubricant!”

Zhang Fan understood. He turned around out of awkwardness as he was still young. A middle-aged male doctor likely wouldn’t have been ruffled, but Zhang Fan was still young and inexperienced!

Lu Shuyan had been standing slightly behind him. When Zhang Fan suddenly turned around, this caused him to look directly at Lu Shuyan from a close distance. Lu Shuyan’s face was already so red that it seemed like her entire face was filled with blood. She was already feeling extreme awkwardness from the patient’s situation. No matter how awkward she was feeling, Zhang Fan still had to speak up. “Doctor Lu, have you already taken an erect abdominal x-ray for the patient?”

“No, since she doesn’t want to go!” Lu Shuyan lowered her head. She was incredibly embarrassed, just as if she was the one with a broken dildo stuck inside her anus!

“An erect abdominal x-ray will be required for this. Also, although I see that this item is soft, the portion that’s broken off is still relatively hard. Are both of you certain that it’s currently stuck inside the anus?” Zhang Fan spoke as he started putting on some surgical gloves. His awkwardness had now passed—he was only thinking about the proper treatment now, which helped to wash away all his awkwardness!

“I’m certain! It was too slippery. Otherwise, it wouldn’t have gone in like that. Who knew that this would be of such low quality!” The black leather jacketed woman started complaining about the dildo’s low quality to herself.

Zhang Fan didn’t ask anything else. What had happened was rather obvious. It wasn’t like he could ask “Just how did you two get it in there?”. That would make him into a pervert! No matter how strange or perverted the patients were, that would never be a reason for the doctor to be a pervert. Even if a doctor couldn’t pity every single patient, the doctor would still have to have at least basic professionalism! Otherwise, the doctor should take off their white doctor’s coat rather than tainting the profession!

“I am Doctor Zhang, a proctologist. I will give you a simple examination right now. If I determine that it’s necessary, you really must go get an erect abdominal x-ray,” Zhang Fan said to the patient who was bent over on the examination table.

“Doctor, could I please not get the x-ray? I’m begging you, please just help get it out of me.” The female patient was also feeling embarrassment!

“Let me first give you the examination. If it’s necessary, the x-ray will still be absolutely required. This is because I am taking medical responsibility for your well-being. For now, please relax yourself.

“Biopsy forceps, medicinal liquid paraffin, overhead light,” Zhang Fan then said to Lu Shuyan, whose face was still red. He was speaking in a serious tone. Back in the urology department, Zhang Fan had been Lu Shuyan’s teaching doctor, so when he adopted such a serious tone, Lu Shuyan finally entered a state of mind that was suitable for working again.

Lu Shuyan swiftly prepared the necessary medical equipment and placed it on a medical equipment cart that she pushed over. “Do you need my assistance?” offered Lu Shuyan.

“Yeah. Put on a pair of gloves as well and observe for now. It would be best if I can remove it with just my hand. If not, we’ll have to think of some other method.”

Zhang Fan started disinfecting all around the patient’s butt, with the anus as the center of disinfection. After the disinfecting was completed, he did the medical draping. With this, the patient’s naked butt which had originally been extremely alluring was now transformed into a professional pre-surgical condition. There was nothing sexy or pornographic about this. There was only professionalism and seriousness.

For a normal rectal examination, the family members and friends would be asked to leave. However, today’s situation was rather unique. Thus, Zhang Fan decided to pretend that the patient’s girlfriend wasn’t in the room. Since Zhang Fan didn’t say anything about the other woman’s presence, of course Lu Shuyan wouldn’t say anything, either!

This was because Lu Shuyan had gotten accustomed to working as Zhang Fan’s subordinate already. During their two months of working together in urology and gynecology, Zhang Fan had given her an endless amount of pressure. His medical skills surpassed hers immensely. Although Lu Shuyan was a master’s degree student, she voluntarily worked as Zhang Fan’s subordinate. In a more normal situation, since Lu Shuyan had obtained her medical license before Zhang Fan had, and since she was working in the more important gynecology department, she should have been Zhang Fan’s senior.

Well, this was the characteristic of working in a place where skills were king. Since skills mattered the most, everyone would understand their own proper position! This was quite simple. This wasn’t about departments or factions. Skills determined everything. Really simple and direct!

Zhang Fan assisted the female patient to change into a rather unique position before the anus and butt disinfection. She was now positioned lying on her left side, with her left leg extended straight and her right leg mostly tucked in. This was a standard position that would help a doctor in examining the anus, as well as a position that would help a doctor in extracting foreign objects from the anus.

Zhang Fan gently applied some medicinal liquid paraffin on his gloved finger, and then gently massaged with it around the patient’s anus. Zhang Fan mentally shook his head as he saw the patient’s anus closer up. There was so much swelling around the patient’s vagina and anus that it was close to reaching a state of edema. ‘Doesn’t doing this hurt?’ Zhang Fan wondered to himself. He then took a glance at the pink h-shaped broken dildo which was now in a specimen dish. He couldn’t help but contract his own anus!

Comment ( 0 )

COMMENT FIRST

Rate this chapter

Vote with Power Stone

Chapter 232: Snip!

Kurisu

Zhang Fan shook his head as he told the patient, “Relax, and don’t worry. I’m just going to inspect just where exactly the object is right now.”

“Okay!”

Zhang Fan gently inserted his lubricated finger into the patient’s anus. “Okay, I can feel it. The problem is that the object’s fracture is still somewhat sharp,” Zhang Fan told Lu Shuyan as he performed the digital rectal examination.

“Then what should we do?” Lu Shuyan inquired.

“Let me think!”

Zhang Fan didn’t dare to stimulate the anus and the surrounding tissue too much, because there was already swelling. If the swelling became even worse due to additional stimulation, that would make things more troublesome.

Normally, the human body’s intestines and soft tissue would still have a certain degree of hardness and flexibility. It wouldn’t be anything to worry about even if something such as a soft rubber dildo became stuck inside the anus. However, things would be really different and problematic if there was also swelling—that would cause the tissue to thicken and the cell walls to become thinner. This would also lower the hardness and flexibility of the tissue.

So, in order to remove a foreign object from the anus, it would be necessary to first expand the anus, and then remove the foreign object by using tissue forceps. Additionally, in this type of scenario where the foreign object was fractured, the fractured portion couldn’t be allowed to touch the nearby swollen intestinal tissue.

“Firstly, I can confirm that there is indeed a foreign object in the intestine. Secondly, this object has an obvious fracture which might injure the intestinal walls. Thirdly, this foreign object might enter the sigmoid colon due to intestinal contractions. Fourthly, there is a possibility that attempting to remove the object from the anus will end in failure as the object enters the sigmoid colon due to intestinal contractions. If the object enters the sigmoid colon, it will no longer become possible to remove the object without using surgery. That will mean that an open surgery will be required in order to squeeze the object out of the intestine!” Zhang Fan informed the two women about his diagnosis. The truth was that there really was a possibility that it might not be possible to retrieve the broken dildo from the anus. Additionally, the intestine would constantly contract, and as time went on, nobody would be able to make guarantees about what might happen.

“I refuse to have surgery! I’ll be so ugly with a scar left behind on my stomach! No surgery!” The beautiful woman on the examination table started panicking. Tears started pouring out unstoppably, messing up her originally pretty face.

“Then what should we do now?” The black leather jacketed woman also started panicking.

“I will prepare the surgery agreement paperwork now. Both of you should sign it,” Zhang Fan told them.

“I refuse! No! NO!!!” The female patient was truly exploding now. She started screaming at a very high octave. Zhang Fan’s ears really hurt. The beautiful patient’s face now became rather indistinguishable.

She had been using many different colors of makeup. Due to all her tears and emotional turmoil, black and red mixed together with her tears, large eyes, exaggerated expression, and other complex colors. Zhang Fan suddenly felt as if he was watching a comical clown on television when he saw her current face.

“Don’t scream. If you keep screaming, when your abdominal pressure contracts, that will only absorb the object deeper into your intestine, making it impossible to retrieve,” Zhang Fan hurriedly told the patient while she was catching her breath. She had been screaming far too loudly about not wanting surgery!

“But I truly don’t want to have surgery~!” The patient’s voice was now far quieter after she heard this. She whimpered as tears kept streaming down from her darkened eyes.

“Right now, it’s not at the level of a surgery. However, this counts as an invasive treatment method that has the possibility of injury or further unintended consequences, which is why it must be treated similarly to a surgery with agreement paperwork. Understood?”

“Oh!”

“Oh!”

It was likely that the two women hadn’t really understood what Zhang Fan just said. Zhang Fan whispered to Lu Shuyan, “Watch over them and make sure that nothing happens! I’m going to go print an agreement form.”

“Okay,” Lu Shuyan whispered back in agreement after glancing at Zhang Fan. In China, any patient who entered a hospital and was accepted by a doctor for treatment would enter into a so-called unofficial medical contract with the doctor. China’s government placed a great deal of importance on this medical contract. If anything at all happened to the patient during this time, the doctor and the hospital wouldn’t be able to avoid responsibility. This was why Zhang Fan had to be extra careful.

To give a simple example, if the female patient suddenly fell off of the examination table and died for some reason while Zhang Fan was busy printing the agreement form, then the doctor would be held 80% responsible. If there were zero witnesses, then things would be even worse for the doctor. That was why the profession of doctor was such that the older the doctor became, the more cautious they would become.

Zhang Fan told Wang Zipeng about the situation and critical points. The latter then went to the gynecology department office to print out the necessary paperwork. For the time being, Zhang Fan didn’t want to go back and face the patient. He simply leaned against the wall and emptied his mind. Earlier, he had felt that the situation was slightly awkward and funny, but now that he thought things over more carefully, he felt that the patient must indeed be feeling really uncomfortable.

“Bro, it’s ready.” Wang Zipeng brought the agreement form to Zhang Fan.

“Okay. I’ll be going in again now. You can go back to the proctology department to rest for a while if you want. It’s not like there’s anything for you to do here.”

“It’s fine, Bro. You should hurry with your work.” This was the misfortune of Wang Zipeng not doing well on his medical license examination. He really regretted not studying harder!

Zhang Fan then went back into the patient examination room. Lu Shuyan glanced at Zhang Fan, but didn’t say anything. Humans were really complex creatures. Those who wanted to reach the top would definitely never submit to all the rules and those above them, yet the majority of people would also involuntarily draw closer to those who were strong or above them.

“This requires the patient’s signature as well as a family member’s signature.” Zhang Fan handed a pen and the agreement form to the patient who was still on the examination table.

The patient mumbled complaints under her breath as she signed it. Zhang Fan then glanced at her signature before asking her, “What about the family member’s signature?”

“Can she sign it? She’s my friend.” The patient referred to the manly-looking woman.

“Yes. Then you should sign this form as well.” Since this counted as an emergency checkup, the requirements weren’t that strict. If a real surgery had been required, then a friend’s signature wouldn’t have been allowed.

“Right here?” The black leather jacketed woman pointed at a part of the form.

“Yes.”

She swiftly signed her signature.

“Prepare lidocaine and a rectal spreader,” Zhang Fan told Lu Shuyan.

“We don’t have any rectal spreaders in the gynecology department!”

“I’ll have Doctor Wang bring one over from the proctology department, then.”

Some time later, Wang Zipeng arrived with a rectal spreader. Zhang Fan told the female patient, “I’m about to attempt to remove the foreign object from you now. It might be a bit uncomfortable. Please bear with it. If you really can’t take it anymore, then tell me, but you absolutely can’t move around. Do you understand?”

“Understood! Doctor, please take things as slowly as you can! I know that this will be painful.”

“Okay!” Zhang Fan almost broke out into laughter even though he had been doing his best to keep serious.

After diluting the lidocaine, Zhang Fan prepared to begin the local anesthesia. “Doctor, you absolutely must be gentle!” The female patient’s beautiful face was currently ruined by all her tears. Right now, she looked more like a panda!

“Yes, of course,” Zhang Fan agreed. He then turned to the black leather jacketed woman. “Could you please help support her a little?”

Zhang Fan began local anesthesia with lidocaine around the anus. How could this pain be described? At any rate, this was a really uncomfortable type of pain, especially since the anesthetized area was quite a sensitive place to begin with. The female patient was definitely feeling quite a bit of discomfort.

After the anesthesia took effect, Zhang Fan told Lu Shuyan, “When I finish expanding the anus, help support the rectal spreader.”

“Okay.”

Zhang Fan slowly entered the patient’s anus with his finger. He did his best to stimulate her intestines as little as possible in order to prevent any edema from occurring.

“Support the rectal spreader,” Zhang Fan told Lu Shuyan as he adjusted the overhead light to look inside the patient’s anus.

‘This damned dildo is even the glow-in-the-dark type!’ Zhang Fan couldn’t help but mentally curse at what he saw! Luckily, the dildo was also covered in many small bumps and spirals, which gave it a great deal of friction. Otherwise, since it had a sharper shape in front and rounder shape behind, it would have easily entered the sigmoid colon with intestinal contractions.

“Don’t move!” Zhang Fan told the patient in a really stern voice.

The female patient was feeling rather uncomfortable with her anus being spread open by the rectal spreader. This was only natural. However, the broken-off dildo was cylindrical in shape, and was also lubricated. It wouldn’t be that easy to grab it with the forceps. If the patient kept moving around, that would make it impossible for Zhang Fan to grab the dildo with the forceps, which was why he used an especially stern tone.

Zhang Fan slowly used the tissue forceps to try grabbing on to the dildo. However, it was too slippery, so he was unable to grab it successfully with the forceps. “Doctor Lu, press below the patient’s bladder and squeeze down towards the intestines. Your movements absolutely must be gentle and slow as you apply pressure.”

“Okay!” Lu Shuyan used one hand to hold the rectal spreader and her other hand to slowly apply pressure below the patient’s bladder.

“Ack!” The patient couldn’t help but utter a strange sound as she continued to lie on the examination table.

The patient actually started peeing from the pressure around her bladder! Zhang Fan couldn’t be bothered with this right now. He took advantage of the pressure on the dildo to swiftly and accurately pinch the dildo at the fractured location with the forceps.

Zhang Fan slowly moved the dildo. The female patient was feeling great discomfort due to Lu Shuyan applying pressure below her bladder, having the rectal spreader forcefully spread open her anus, and also with Zhang Fan having one hand against her thigh for self-support. Of course the patient would be in great discomfort. This probably wasn’t even much different from torture!

Zhang Fan slowly moved the dildo. The broken off portion was neither large nor small. It was just slightly smaller than the intestine’s diameter. Entering would be easy, while exiting would be really difficult. Additionally, Zhang Fan didn’t dare to use too much force pinching the dildo, as it was made out of soft rubber. He was afraid that he would accidentally break it. When it came to removing a foreign object from the intestine, it could only be attempted once or twice within a short period of time. Attempting any more than that would stimulate the intestine too much and possibly cause the swelling to worsen.

Zhang Fan slowly moved the dildo. When it was about to reach the rectus venous plexus, Zhang Fan suddenly loudly shouted, “Relax your muscles, hurry! Relax them as if you’re on the toilet! Act as if you’re about to poop!”

The female patient couldn’t even be bothered about her discomfort anymore, as Zhang Fan’s tone was far too severe. He sounded as if he was about to hit her. She was scared of what would happen to her if she didn’t obey him.

Zhang Fan slowly moved the dildo. Finally, the dildo reached the anus, which was the narrowest portion that it would need to go through. Zhang Fan was now breaking out into a nervous sweat because he knew that if his hand shook even slightly, the dildo would directly drop back into the intestine.

Zhang Fan slowly moved the dildo. At the moment that it was about to emerge, Zhang Fan used his other free gloved hand to swiftly grab onto the broken part of the dildo.

The dildo was cylindrical, as well as covered in lubricant, digestive fluid, and other viscous liquid. The dildo was also rather elastic. He almost didn’t manage to grab onto it. At that moment, Zhang Fan began to drip cold sweat.

The dildo was soft. When he tried to forcefully grab it, it actually seemed like it was about to retreat back into the intestine. There wasn’t enough friction, since Zhang Fan was wearing gloves. Upon seeing that the dildo was about to fall back into the intestine, Zhang Fan used every single bit of energy he possessed to forcefully grab onto the dildo.

Zhang Fan squeezed with such force that he actually flattened the broken rubber dildo. He didn’t dare to let go or move his hand. He was afraid that if he moved, the dildo would slip and fall back in again.

“Needle holder!” Zhang Fan felt as if all of his goosebumps were now out. He was so stressed that even his voice was much lower than usual.

“Here.” Although Lu Shuyan was unable to see what was going on from her position, she could tell how tense and careful Zhang Fan was right now. Lu Shuyan held onto the rectal spreader with one hand while she slowly handed the needle holder to Zhang Fan with her other hand.

*Clip!*