I'm sure I've mentioned it before, but I rarely ask why anymore. I certainly never attempt to explore any situations like this myself, but I walked the young lady through what she could expect as far as the rectal exam and then threw the deuces up. I had a couple of other patients with a more acute complaints.
I'm going about my business when sassy lady ER doc grabs me to chaperone the rectal exam. Fun times. Yup, little lady, there sure are some fissures there, she tells her. Okay, so I'll go head and prescribe you some cream and OH ALSO YOU SHOULD PROBABLY STOP HAVING TEH BUTTSECKS FOR A WHILE NOW K?