The office was open by eight am the next morning. My receptionist had gotten there earlier and was busy doing paperwork when I arrived. I told her good morning and asked how she was? She told me she was good and then asked how I was doing? I told her pretty well. We made some small talk about the first part of the week.

Finally I got around to asking how she felt about yesterday? She told me that she enjoyed being able to assist, me and that she had liked being able to actually do some hands on training. By being able to administer the suppository. I told her that I was glad that she was liking the training. And was happy to hear that she wanted to continue? She said she was looking forward to continuing her training. And was hoping that I wasn't disappointed in her performance ? I told her no that I wasn't disappointed in her performance. But I was not sure how she felt about everything that had happened?

She looked at me and told me she wasn't sure exactly what I was talking about? I told her I wasn't sure how she was going to feel about the whole experience. She looked at me and told me she was very comfortable with the nudity, and with administering the suppository. She could do procedure's like that with no problem, rectal temperature's and cleaning up the patients if that was required.

Then she went on and told me the other thing that had happened, that she wasn't going to lie to me, that had shocked her. She wasn't expecting that to happen. I told her, I wasn't either, but I had kind of suspected that it might, by how the patient was responding to everything that was happening to her. My receptionist told me that she should of suspected it she saw what was happening to the patient, but had ignored it. I told her it was ok sometimes it happens, and that she had handled it very professionally. I asked my receptionist if it bothered her? She said no it didn't bother her she had seen people orgasm before, she just wasn't expecting the patient to orgasm while she was cleaning her up. I then told her that if she continues to train that she is probably going to see more stuff like that happen on occasion, that she is not going expect to happen, and it will probably shock and maybe even disgust her. My receptionist looked me directly in the eyes and told me she will give me her very best effort, and then thanked me for the opportunity to learn.

After the last few days things had slowed down and got back to normal. Only four or five appointments a day. And nothing out of the ordinary. My receptionist was doing very well at her job and with the training. She had been getting some hands on training as my nurse helping with colds, and med checks. Mostly female elderly patients, and kids colds. I was thinking too myself that if my receptionist keeps doing as good as she has been doing. I was going to give her a raise. And I was going to look into trying to provide her with some kind of health insurance. I had a couple of connections with insurance providers. The business was doing good. And my receptionist was a contributing factor to this. The least I could do was give her something back.

She still was not getting a lot of experience with male patients. She had only assisted me with the one male physical. But she would eventually get some experience. It was just going to take time. When I had some free time. I called one of the insurance providers that I know and asked about employee health insurance. He got back to me and with some different plans and qualifications. I looked them over and figured out what was affordable for the clinic and then went and showed them to my receptionist. She looked at them and told me she was interested in the insurance. I then told her I was going to give her a raise as well, that she was becoming a very valuable asset to the clinic. She picked a plan that fit what she needed for coverage. I read through it and told her she qualified for it but it required a physical exam.

She told me that she just had gotten a physical done less than a year ago. I told her I would find out if that would work. I called the provider and talked to the agent. He told me that he could make it work providing that she received a physical exam it didn't need to be a complete physical, no gynecologist exam, but a complete physical including a pelvic and rectal exam. I asked him if this was necessary, He told me that he just needs to know there is nothing obviously wrong, she has had a pap smear done less than a year ago, that would be good if she can provide the lab results. Everything else needs to be done. I told him I would let her know and it was up to her as to what she wants to do, I would be in touch.

It was a slow day so far, there were no appointments yet. After I got off the phone I walked back up front. And told her that I had just got off the phone with the insurance agent, and they require a physical exam in order to qualify for the insurance. My receptionist looked at me and said that shouldn't be a problem, can you do my physical? I told her I could, and then asked if her if she thought that might make things a little awkward? She told she would be fine with it. I told her that they require a full physical everything except a pap smear. And that's only because you just had it done less than a year ago. And they want you're results from that one. She told me she would get a hold of the clinic where she had it done and get the results. I told her I would do it but she would need a chaperone. She looked at me and asked what if I don't want one. I told her legally she is supposed to have one. But we could get by without one if she absolutely doesn't want one. Otherwise I'm sure we can find somebody to chaperone. She told me she doesn't want one that she doesn't want anyone watching her get those things done to her. I told her ok we can do it one night after work and then she can have the labs done one morning before work. She said that would be great. Just then the phone started ringing.

My receptionist answered the phone and I could hear the one side of the conversation. Yes two days ago, ok yes, no you should probably come in, no not now not unless it's a emergency, ok one o'clock will be fine. After she hung up the phone, she told me a male patient was coming in at one pm. But he really wouldn't say exactly what was wrong with him, other than he thinks he pulled a muscle? I asked her where does he think he pulled the muscle? and she told me he really didn't answer her other than in his leg. I told her that was fine we would figure it out when he gets here. Then and went and got ready for my first morning patient.

We finished the morning appointments. About twelve thirty and fifteen minutes later the one o'clock appointment walked through the front door he was early. My receptionist greeted him and took his insurance information. Then took him back to the exam room weighed him and took his vitals. I had asked her to interview him to try to find out what the issue was? About twenty minutes later she came and got me telling me he was ready for me. I asked what she found out? My nurse told me all he said was he thinks he pulled his groin muscle. She also told me he is a little shy. I thanked her and went to see the patient. I knocked and entered the exam room and introduced myself. The patient told me hello. I asked him his age he said he was twenty five. I asked him what was wrong with him? He told me he was working and went to lift some lumber and felt a burning sensation in his groin. I asked him what part of his groin? he told me by his left testicle. I asked if it was swollen? he said he didn't think so but it was sore. I asked him when he did this happen? He told me a few days ago. I asked what made him come in now?

He started to tell me then hesitated, and then said he was with his girlfriend and they were you know? I said no I didn't know? He said you know doctor we were, I spoke up and said Oh I think I get it, and what happened? He said that when they you know do it, that they use a condom and when he finished, and went to take the condom off his stuff looked like it was a little pink. I told him that doesn't sound good, it's not supposed to look a little pink. That sounds like maybe it has a little blood in it. I told him I could check his testicles and check him for a hernia but that's about all I can do hear. I told him I could test his seman for blood, but if it positive and it does have blood in it he will need to go to the hospital and have more testing done. That I just don't have the resources to do more here. He asked me what I thought he should do? I said he might want to just go to the hospital and get it checked out there if there's a problem they can figure out and fix it right there. He said that is long drive there, and then a long drive back home, he doesn't want to do that if he doesn't have to. I told him I understood that, I can examine him and we can go from there. He told me ok, and asked what he should do.

I told him to stand up and drop his pants and underwear to his knees. I grabbed a pair of gloves and put them on. Wheeled over in front of the patient on my stool, and explained that I was going to check his testicles. I gently took his left testicle and rolled it between my fingers feeling for any abnormalities, I asked him if it hurts, he told me no it didn't hurt but it was sore. I checked his right testicle the same way, when asked him if it hurts he told me no it doesn't hurt, and that it wasn't sore either. I told him I would check him for a hernia. I took my finger and pushed it into his left inguinal canal and asked him to cough, and then cough again, and had him cough hard one more time, and then I checked his right side. I told him I could not find anything wrong he didn't have a hernia. He could have ruptured his testicle that would explain the pink looking seman. But I couldn't feel anything wrong. He asked what next? I told him I could test his seman for blood. And that was about all I could do. I could refer him to a urologist that would be the best option. He asked me how I would test his seman? I told him I would need a sample. He asked me how I would get it? I told him I would have him give it to me in a specimen cup. He asked me how? I looked at the patient and explained that I would give him the cup. And then he would go in the bathroom and provide a sample. He looked confused and then it hit him, he figured it out he replied OH!! He told me ok he would do this then maybe he wouldn't need to drive so far. I told him that was a slim chance. If his seman was pink looking there was more than likely something causing this. And he was probably going to end up driving anyway. He told me he would try this first. I told him I would go get my nurse and she would get him what he needs for the sample

I went and got my nurse and told her she needed to go get a specimen cup and a couple of alcohol wipes. Give them to the patient and explain that he needs to wash his hands and then wipe the head of his penis. Once you explain this to him escort him to the bathroom and tell him when he ejaculates to make sure he catches it in the cup. She looked at me confused and asked me is he going to? I stopped her and told her yes he is going to do it into the cup, tell him you'll give him fifteen minutes and then check on him. You don't need to observe him, don't make him to nervous. She looked at me and smiled and then went to get the cup and then the patient.

I heard my nurse telling the patient that he needs to wipe the head of his penis before he starts he so he doesn't contaminat the sample. And to make sure he washes his hands before he wipes the head of his penis. And then I could hear her telling him she would show him the bathroom. He told my nurse ok and followed her across the hallway. I could hear my nurse telling the patient she would check on him fifteen minutes or so. He told my nurse ok his voice was a little weak and soft. She came back to the desk and asked me if he would be able to do that. I told her I didn't know for sure. She told me that it would be very embarrassing to have to do that when other people know what you were doing. I agreed with my nurse and told it would be very embarrassing. But to test it I need a sample and this is the easiest way to get it. She said she understood that, but it would still be embarrassing. She asked me what if he can't do it. I told her that I could make him leak some prostate fluid with my finger if he can't . She asked me how? I told her by applying pressure to his prostate with my finger. She asked me if that is what happened with the patient a couple of weeks ago. I told it was but that was a accident he couldn't help it and lost control during his prostate exam.

It had been about fifteen minutes, I asked my nurse if she wanted to go check on the patient, I told her to walk up and listen first before knocking so she doesn't startle him if he is still trying . She walked down the hallway being quiet and listened by the door. I thought that this would be one way to get her so more experience with male patients. She came back and said she couldn't hear him. I told her to go knock on the door and ask if he was done, and then bring him to the exam room with the cup. I heard her knock and ask the patient if he was able to finish. I heard him tell her no he couldn't finish.

Once my nurse had the patient back in the exam room I knocked and entered. I asked how he did? he told me he couldn't finish. I asked him if he wanted me to help him obtain the sample. He asked me how? my nurse was standing in the corner behind me not saying anything. I told the patient that I could stimulate his prostate gland with my finger, and this would cause him to leak some seminal fluid. He asked me how I would do this? I told him I would insert my finger into his rectum and apply pressure to his prostate gland. He looked at me and asked me so you will stick your finger up my butt? I told him yes, This will usually cause the patient to leak some fluid. He thought about this for a few minutes and told me ok I guess so. I told him my nurse is going to put on a pair of gloves and help me collect the sample. While I stimulate your prostate is this ok with you. He looked at me and said yes it would be ok.

I told the patient to go ahead and take his pants and underwear down and then go ahead and bend over the table. Then rest his chest on his arms. I told my nurse to put some gloves on and then to come around on the right side of the patient. That she could sit on the stool and I would stand on the left side of the patient. I went and got myself a pair of gloves and a tube of lubricant. Then I came back and stood behind the patient slightly off to his left side. My nurse sat on stool on his right side so she could reach between the patient and the exam table. I could see my nurse and the patient, but the patient couldn't see myself or my nurse.

I asked the patient if he was ready? he told me he guessed so? I asked him if he had ever had a rectal exam done before? He told me no, he has never had anyone stick something up his butt. My nurse looked up at me and bit her lower lip. I told him he will feel pressure and he might feel like he needs to pee. I told him I was going to lubricate my finger and then touch his anus. I told my nurse to go ahead and take a hold of the patients penis and get the cup ready. I lubed my finger and then spread the patients cheeks his anus was pink and hairless, I touched him with my finger and he flinched a little, I told him to try and relax it will be better if he is relaxed. I then slowly started to push my finger through his anus and into his rectum. I no more had started and my nurse looked up at me and mouthed the words he is getting a erection, I just nodded my head yes, by now my finger was starting to penetrate his sphincter his anus was beginning to clench and resist my finger, I told him to bear down like he was trying to have a bowel movement it would help him to open up. My nurse was looking back up at me mouthing the words he is getting a fuller erection now. When I felt the patient bear down, I pushed my finger past his sphincter and into his rectum, this made him gasp. Now my finger was in his rectum and I could feel his prostate gland. I began applying pressure and moving my finger back and forth across his prostate. As soon as the patient felt my finger and the pressure on his prostate he told me he needed to pee. I told him it just felt that way. I kept working my finger over his prostate. My nurse was looking between the patient and the exam table her eyes were fixed in a stare, and she had a Iook of amazement on her face. I asked my nurse if she was ready with the specimen cup, she looked up at me and mouthed the words, that now he is fully erect and it's throbbing. I nodded my head towards the patient and I mouthed the words to my nurse anytime now, and then began working my finger faster, applying more pressure on the patients prostate. This caused him to start to tense his legs and groan, then I could feel his anus tighting on my finger.The patient was breathing very heavily and I knew he was getting close to ejaculating in the cup. My nurse had a look wonder on her face. I could tell she was not sure what exactly was going to happen. I started to feel the patients anus begin to spasm, at the same time my nurse and I could hear UHG! UGH! escaping patients throat. My nurse was coaxing the patient by telling him he was doing a good job, and he was almost done, just a little more. And then I knew he was ejaculating. When I felt his anus relax and stop spasming, I asked my nurse if she had got the sample. And to set the cup on the counter and put the cover on it. She did as I asked and then watched, as I removed my finger from the patients rectum, she looked at my finger out of curiosity as I removed my gloves. I told the patient to stay bent over the table. And then asked my nurse to please help clean the patient up with some tissues. So he could pull his pants up.

When everyone was situated, I told the patient I would let him know as soon as I had the lab results back. And then I would help him figure out what he should do. I thanked him for coming in and told him my nurse would walk him to the office.

I started cleaning up the exam room. After I put the seman sample in the refrigerator. By now it was three thirty. My nurse had made her way back to the exam room and was talking about everything that had happened. And then she became very quiet for a few minutes. And then asked me if I was going to give her, her physical today after work? That she thought it would maybe be better to just get it done and over with. I told her I could it was entirely up to her. She looked at me and told me she was ready. She wants to know what it is like? I told her ok let's wait until we close the office and then we'll do her physical.