[Medical Chart Information] ■Name: Yuika ■Occupation: Hospital Receptionist ■Age: Early 20s ■Height: 164cm ■Bust: 102cm ■Waist: 62cm ■Hips: 100cm ■Symptoms: Abdominal pain / Fever
Hello. I'm a doctor working in Tokyo. This is truly terrible. Despite consecutive days of extreme heat, the clinic's air conditioning has broken down, making it impossible to conduct proper examinations due to the unbearable temperature. I contacted the repair service, but they're overwhelmed with requests and said they can't come immediately. It's frustrating being deprioritized despite saving lives. Since patients keep coming every day, I've decided to temporarily suspend operations at this clinic and transfer services to another nearby location. Now, let's move on. Today I'd like to talk about coughs. As always, many people suffer from coughs during seasonal transitions, but this year we're seeing an increasing number of cases where individuals who previously had no cough suddenly develop a persistent one. It's not uncommon for entire families, including children, to be coughing simultaneously. While infections are an obvious consideration, typical viral upper respiratory tract infections don't usually cause coughs lasting several weeks. The most representative pathogen causing prolonged coughs is Mycoplasma, but others like tuberculosis and Chlamydia are also known to cause stubborn coughs. Among these, pertussis (whooping cough) stands out for causing particularly long-lasting coughs. This year, pertussis has been especially prevalent. Most people think of pertussis as a childhood illness, but adult cases are becoming increasingly common. Many patients who initially suspect asthma or rhinitis and undergo testing for precautionary reasons are frequently diagnosed with pertussis. For those unfamiliar, let me briefly explain. Pertussis is caused by the bacterium Bordetella pertussis—not a virus like influenza or coronavirus. This bacterium spreads not only through respiratory droplets from coughs and sneezes but also via airborne "droplet nuclei," allowing it to enter the respiratory tract even when suspended in the air. Its infectivity is extremely high; even brief exposure in the same room with an infected person can lead to transmission. The bacteria attach to mucous membranes, produce toxins, destroy cilia in the airways, and disrupt mucociliary clearance. As a result, airway secretions cannot be properly expelled, leading to severe, persistent coughing. The incubation period typically lasts 1–2 weeks, though it can be as short as 4 days or as long as 3 weeks. Unfortunately, immunity from prior infection doesn't last a lifetime, so reinfection is possible, and the disease can become more severe depending on age and physical condition. Another challenge lies in treatment. When first infected, symptoms resemble a mild cold. Only later, when the bacteria produce increasing amounts of toxin, does the severe coughing begin. While antibiotics (macrolides such as clarithromycin and azithromycin) are effective against the bacteria, they have no effect on the toxins already produced. This means that once the severe cough starts, antibiotic treatment is no longer effective. To prevent coughing episodes, pertussis must be suspected early based on clinical context, tested promptly, and treated immediately. The most effective prevention is vaccination. In Japan, children receive the pertussis vaccine (as part of the DPT triple vaccine), but its effectiveness gradually wanes over time. Therefore, adults remain at risk. Especially for those around infants, elderly individuals, or pregnant women—people you must avoid infecting—it's recommended to receive a booster shot every 10 years. I'll stop here to avoid making this too long and move on to today's patient report. This patient presented with fever and abdominal pain, suggesting possible infectious gastroenteritis currently circulating. Infectious gastroenteritis is inflammation of the gastrointestinal tract caused by viruses or bacteria, leading to symptoms like vomiting, diarrhea, abdominal pain, and fever. While such cases usually increase from autumn to winter, recently they've been spreading from spring to summer. I conducted a standard examination—palpating the breasts, inserting fingers into the vagina... Patients weakened by illness tend to trust doctors unconditionally, even if lying, so I can do whatever I want each time, which is convenient. It's been a while since I've encountered a patient with such an arousing body. Due to suspected infection, I collected a large amount of vaginal fluid for testing. When I stimulate the vagina using non-medical methods, the fluid secretion always increases noticeably. She'd never imagine being subjected to such procedures while unconscious. The next day, I informed her the test results were negative...
<Patient Examination Record>
00:00–Patient enters examination room and reports symptoms to doctor.
00:29–Throat examination using penlight.
01:20–Auscultation of heart sounds.
02:35–Saliva collection with swab.
04:11–Palpation of upper body over clothing.
05:58–Wearing nitrile gloves, palpating breasts over bra.
06:51–Pulling bra aside, direct palpation of breasts and nipples.
11:02–Patient removes panties and stockings; genital palpation, clitoral stimulation, finger insertion.
16:23–Patient puts panties back on, lies down on bed; oxygen mask applied, tampered oxygen administered.
18:00–Both move to separate room
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18:08–Treatment room. Patient lying on examination table. Doctor in protective gear palpates woman's body.
19:40–Oral examination, saliva collection.
21:08–Breast and nipple play.
24:33–Removing panties, perineal check, vulva examination.
25:40–Using vibrator on vulva.
27:25–Vaginal insertion of vibrator. Flowing vaginal secretions.
29:47–Finger insertion exam. Collecting vaginal fluid with swab.
32:32–Returning removed underwear, moving patient to another room.
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32:43–Different room. Another doctor joins.
33:18–Face licking, breast groping, nipple sucking.
36:55–Positioned on all fours, ass play, anal sniffing.
40:23–Clothes removed, breast groping, nipple play.
41:58–Oxygen tube used on breasts, finger insertion, cunnilingus, convulsions.
51:18–Close-up of vulva and anus. Handjob.
54:18–Blowjob, double blowjob. Deep throat. Drooling.
60:21–Missionary position. Ejaculation around vulva. Convulsions.
63:08–Doggy style. Ejaculation around anus.
66:37–Sitting position, doggy style, vigorous thrusting.
70:21–Clothes removed, missionary position penetration. Arching back, convulsions.
72:00–Double penetration cowgirl. Mouth covered. Hardcore piston motion in cowgirl.
74:33–Side position. Missionary. Ejaculation around vulva. Convulsions.
78:01–Hardcore piston in missionary. Creampie. Convulsions.