What's next?

Old Rule: You're an gynecologist

You write another rule in the notebook:

Old rule: Herman Keller is a licensed gynecologist with a successful clinic.

The change sets in, and you become aware of the fact that you're here at the coffee shop on break from your obstetrics practice. You finish your coffee and make for the door, bumping into a woman's flaccid python along the way and apologizing to her. It doesn't faze you anymore, you've touched so many penises in your practice.

You walk into your office, past your receptionist, Cindy, a sweet young brunette dressed in a black skirt and a white blouse. She sees you and quickly ties off a condom with a pint of cum in it and throws it in the trash. She smiles at you, blushing. "Hello Dr. Keller!"
"Hello Cindy." You say. As you enter the examination room, you look back to see Cindy pulling a fresh condom onto her cute little dick.

You sit back in your chair. An obstetrician in this world is part urologist, part obstetrician, and part dermatologist. Inspection tools, ointments, hygiene products, and massagers line your walls.
Cindy buzzes you on the intercom. "Your next patient is here."
"Send her in."