A Day In The Life Of A Small Town Doctor.
Chapter 6
My receptionist returned to the front desk about fifteen minutes later. I was sitting at her desk in case someone came into the office before she was finished taking care of herself and getting prepared for the day.
She looked at me with a shy little smile and thanked me for be so understanding. I asked who was coming in at nine o'clock. She said it was a mother bringing in her nineteen year old daughter for a wellness check up and that the mother was also going to be receiving a check up.
I told my receptionist that this would be a good opportunity for her to get some more experience, that she could perform the exams, and I would observe. She thanked me for the opportunity, and promised that she would do a good job and act professional. I assured her that I knew she would. I told her she would need to examine there skin and check their breasts and genitals, as well as their anuses. But she wouldn't need to do full gyn exams, she could give them rectal exams if she felt it was necessary, especially the older female. She asked me if she were to have the patients roll on to their sides for the rectal exams if I thought that would be the best option for the rectal exams, being that the patients wouldn't be in the stirrups? I told her I thought it would be the best option, after the genital exam to just have them roll on to their side. She looked at me and told me that is how she was going to do the exams.
About ten minutes later the mother and her daughter walked through the front door and walked up to the desk. The mother introduced herself and her daughter and told my receptionist who was about to become my nurse they were there for their wellness exams. My nurse introduced herself and took the insurance information and then their personal information name's and ages and contact information. Then told them to have a seat and she would call one of them back. That's when the mom spoke up and said that she would accompany her daughter. My nurse was caught a little off guard by this and said that she supposed that it would be okay as long as it was okay with her daughter, Her daughter told my nurse that it would be alright. With this worked out they both took a seat and waited.
My nurse walked back to my office and took one of the extra chairs I had in my office. And placed it in the second exam room. Then went and gathered two sets of exam forms and put those in the exam room as well. When she had everything she thought she was going to need she called the patients back and escorted them to the exam room. Once they were seated I walked down the hallway and knocked on the door and introduced myself. I explained that if it would be alright with both of the patients. I was going to let my nurse conduct the exams and I was going to observe. I assured both of the patients that my nurse was highly qualified to perform the exams. And that this is helping her with her degree. They looked at each other and talked it over and both willingly agreed to this. My nurse thanked the patients and then asked the daughter to take a seat on the exam table.
The younger patient was slender and well developed, she had long blonde hair and medium sized breasts, her buttocks was small and firm.
When the younger patient was seated on the table my nurse asked her some basic questions her age, if she was experiencing any pain, or problems with her periods, or experiencing any other symptoms that might be of concern my nurse asked about her sexual activity, the patient told my nurse that she was sexually active and had only been with a couple of guys. My nurse then began to explain what she was going to examine, This is when the mother spoke up and asked how thorough these exams were? My nurse explained that they could be as thorough as the patient wanted or needed them to be. The mother told my nurse she thought her daughter needed a fairly thorough exam, this embarrassed and surprised her daughter. The mother went on to explain to my nurse that she thought her daughter had been with a couple of guys while she was home from college this summer. And that before school starts up she wants to make sure her daughter is healthy. The daughter started to protest this but her mother gave her a look of don't start, and the daughter dropped her head in defeat. My nurse asked the the patient's mom if she wanted her daughter to receive a full gyn exam. The mother told my nurse she didn't know if she would need a pap smear do to her daughters age, but she wanted her to be checked for STD's, The patient looked at my nurse with a look of shock and disbelief, and told my nurse she always practices safe sex. The guy always wore a condom. My nurse told both the mother and her daughter. That she would check everything out and test the urine sample, and she will go from there, that the daughter does not fall into the age group for needing pap smears. My nurse told the mother that she understood her concerns. My nurse then looked at the younger patient and reassured her that she was going to okay.
My nurse walked over to a cabinet and took out a specimen cup and handed it to the patient and asked her if she could go across the hallway and provide a urine sample. The patient took the cup and walked across the hallway to the restroom and closed the door. My nurse then asked the patient's mother if there was a reason that she should be especially concerned about her daughter's sexual activity? The mother just replied no not especially but you know she is only nineteen, and it's a concern. My nurse nodded her head in agreement. By the time the conversation was over with we could hear the door of the restroom opening. The daughter walked back into the exam room carrying the specimen cup containing her urine sample. She looked at my nurse and set the cup on the counter and sat back up on the exam table. The patient looked around the room at everyone and asked what's next? My nurse picked up the blood pressure cuff and stethoscope and told the patient she was going to take her vitals and check her reflexes.
My nurse placed the blood pressure cuff on her right arm and then went and grabbed the thermometer. She asked the patient to open her mouth and placed the thermometer under her tongue and then began pumping up the blood pressure cuff. I had moved one of the chairs against the wall at the end of the exam table. I sat quietly and observed. Once my nurse was done with the patients vitals and reflexes, she told the patient she was going to check her ENT. Then my nurse picked up the ophthamaloscope and began checking the daughter's eyes and then Otoscope and checked her ears. My nurse asked the patient to please raise her halter top so she could listen to her heart. The daughter raised her halter top, that exposed her sports bra, my nurse kindly asked her to remove her sports bra, with her sports bra removed her breasts were exposed this didn't seem to bother the patient she seemed very comfortable with her nakedness. My nurse listened to her heart and then placed the stethoscope on her back and asked her to take a few deep breaths and release them slowly. My nurse told the patient and then her mother that her daughters heart and lungs sounded very healthy.
My nurse informed the patient that she was going to check her skin, first her front and then her back. And then have her lay down so she could examine her breasts. My nurse examined the patients skin on the top of her head to her waist and then the skin from the back of her neck to the waist band of her cut off blue jean shorts. My nurse told the patient she would examine her skin on the lower half of her body during the genital exam. When my nurse was done with the skin exam she asked the daughter to lay down on her back and place her hands behind her head. My nurse put on a pair of gloves to do the breast exam. As soon as my nurse began examining the patients left breast, her nipples began to stiffen and slowly became fully erect. The patient seemed like she was very comfortable and relaxed with her breasts being examined. But it appeared to bother her mother. I watched the mother as she squirmed in her chair and her facial expressions changed to a serious look of concern as she watched her daughters nipples stiffen. The patient's mother was starting to look uncomfortable, watching her daughter being examined. I was wondering if the mother was prepared for what was going to happen to her daughter? If the patients mother was aware of how thoroughly her daughter was going to be examined before this was over? And if she was aware of how this might affect her daughter? and if she was prepared to witness this? Her daughter was now a grown woman and sexually active. I didn't know how her mother was going to respond to seeing her daughter being completely exposed, and poked and probed? I was thinking that maybe the patients mother would have been more comfortable staying out in the waiting room. By now my nurse was done with the breast exam and was palpating her abdomen asking about her bowel habits, if she experienced constipation or chronic diarrhea? These questions some what embarrassed the young patient. Next my nurse was asking the patient to raise her hips and remove her shorts and panties. The patient lifted her bottom up off the table and removed her blue jean shorts she wasn't wearing any underwear, with her shorts removed the patient was completely naked, my nurse offered the patient a gown which she declined, she appeared to be very comfortable with her nudity. The fact that she wasn't wearing any underwear also seemed to agitate her mother. My nurse explained to the younger patient that next she was going to examine her genitals. And began pulling the stirrups out putting them in place.
While my nurse was getting the exam table ready. I moved my chair off to right side of the exam table. Still at the end of the table but just to the right, this would provide me with a better view of the patient. And I could also observe my nurse as well as the patients mother. My nurse was asking the patient to slide down and place her feet in the stirrups and then to slide her bottom just over the edge of the exam table. I watched as the daughter slid down and place her feet in the stirrups and then slid her bottom down over the edge of the exam table. In doing this she was completely spread open and exposed. I observed her vagina she had a narrow patch of blonde pubic hair, her vagina was small, her labia were slightly puffy and pink her vagina appeared very moist, her anus was pink and hairless it looked shiny also like it was moist as well from arousal fluid that had leaked a ran down across her anus, it looked very small and tight, it appeared slightly dirty like she hadn't gotten herself completely clean after her last bowel movement. I figured she had moved her bowels while providing her urine sample. My nurse noticed this as well, as she gave me a quick glance she had a small grin on her face.
My nurse told the patient that she was going to use a speculum to examine the inside of her vagina, and look at the opening to her cervix, that normally she wouldn't do this for a wellness check but do to the concerns of STD'S, she was going to look inside. Hearing this caused the patient to turn her head and glare at her mother with a angry look. The mother looked back at her daughter and lowered her head and then slid her chair towards the end of the exam table so she could see what my nurse was doing, as well as see her daughters face. My nurse asked the patient if she would like to sit up a little bit the patient nodded her head yes and my nurse inclined the back of the exam table to a forty-five degree angle. My nurse put on a fresh pair of gloves and then picked up a speculum and a tube of lubricant she explained to the patient that she would use some lubricant because she was not doing a pap smear. My nurse asked the patient if she would like a sheet to cover her top half with, the patient replied no that she was fine like this.
My nurse asked the young patient if she was ready for this and then sat down on the stool and rolled in between the patients feet. She told the patient she was going to touch her inner thigh and then she was going to touch her vagina. My nurse placed the back of her left hand on the patients inner left thigh and with her right hand took her thumb and forefinger and gently pinched the patients labia on the left side then did same thing on the right side before spreading the labia to look at the opening of the patients vagina. With all the the attention my nurse was giving too the patients vagina, the patient was starting to breathe heavy, and her nipples were tightening up harder. My nurse visually examined the patients vagina then took her thumb and forefinger and examined the clitoral hood and the clitoris it's self, when my nurse touched the patients clitoris this caused the patient to moan and wiggle her hips. The patients sexual organs were very sensitive her clitoris was erect and protruding from the clitoral hood. I watched the mothers reaction to seeing this. The mother had a look of surprise on her face. Seeing her daughter responding to being touched was troubling her, I didn't think she thought of her daughter as sexually active until witnessing this first hand. The patient was beginning to get aroused and had started to self lubricate, her breathing had become heavier with faster shorter breaths. My nurse applied a small amount of K Y to the speculum and announced that she was going to slowly push the speculum into the patients vagina. My nurse spread the patients vagina with her thumb and forefinger of her left hand and slowly began pushing the speculum into the patients vagina with her right hand. This caused the patient to squirm away from the invading metal blades, my nurse calmly coaxed the young patient to lay still and she would be done quickly. The patient moaned and told my nurse it hurts a little, and that she is very tight. My nurse tried to soothe the patient telling her she knows, and that it is almost in. The daughter had slightly turned her head and was looking directly at her mother, with a stare , she was watching her mother's facial expressions as this was being done to her. Her mother was watching the speculum slowly disappear into her daughters vagina with a look of disbelief on her face, as to say she couldn't believe that this was happening to her daughter. The patient was breathing heavy taking big deep breaths and slowly letting them out. My nurse had the speculum screwed open and was looking inside the patients vagina using a pen light to see. My nurse was taking her time and carefully examining the patients vagina, and the opening of her cervix, my nurse was telling the patient and the patients mother everything was looking good and healthy. My nurse carefully closed the speculum and slowly removed it from the young patients vagina. The patient let out a huge sigh of relief when she felt the speculum exit her body. My nurse told the patient she was going to examine her with two of her fingers and then she was going to also examine her rectum. Once the speculum had been removed from the patients vagina a rather large amount of arousal fluid and lubricant leaked from the patients vagina and ran down over her perineum and her anus creating a puddle on the paper covering the exam table. When the patients mother saw this she uttered a little gasp as she was looking at the mess on the paper.
My nurse looked around the room and politely asked how everyone was doing before continuing? Both the mother and her daughter told my nurse they were doing okay. The daughter was calm, the mother looked flustered by everything that was happening to her daughter. My nurse told the patient that she was going to continue with the exam. As she lubricated her first two fingers of her right hand and then gently placed them at the opening of the patients vagina. The patient feeling this nodded her head in approval and my nurse inserted her fingers and began feeling the inside of the patients vagina with her right hand. She was palpating the patients lower abdomen with her left hand feeling the patients ovaries. My nurse was working her fingers in and around the patients vagina firmly feeling the walls of the vagina for abnormalities. This was causing the patient to become visibly aroused as she moaned and squirmed her bottom back and forth on the table. Her mother sat and watched quietly, but with a look of disbelief on face, as she was having a hard time accepting her daughter was becoming sexually aroused by this. When my nurse was finished with the bimanual exam she let her middle finger slip from the patients vagina and placed it against the patients anus. When the patient felt my nurses fingers touching her anus, her eyes widened with the realization that she was about to have her bottom penetrated by my nurse's finger. At the same time my nurse saw her eyes widen she slipped her finger into the young patients rectum causing the patient to let out a small grunt when her anus was penetrated. I watched the patient as well as my nurse and also glanced over at the patients mother to see how she was handling watching her daughter getting her anus examined. The mother looked like she was in a small state of shock. The daughter had become very sexually aroused by all the physical attention she was receiving. With the rectovaginal exam completed my nurse removed her fingers from the patient and also removed her soiled gloves.
Seeing this both the mother and her daughter thought the she was done. My nurse asked me to hand her a occult blood test card and then put on a new pair of gloves. Seeing my nurse don new gloves the daughter spoke up first and asked what is she going to do to me now. My nurse looked directly at the patient and explained that she was going to give her a very deep and thorough rectal examination. This caused the patient to almost start crying, she began telling my nurse she didn't want one! that she didn't like having anything in her butt! My nurse tried to calm the patient by telling her she had already had her finger in her rectum and she knows that it won't hurt. The patient was still telling my nurse no, she didn't want a rectal exam. My nurse firmly told the patient it was necessary. The patient looked at her mother for help but her mother told her she would be fine and let the nurse do what she needed to do. The patient asked what the card was for? My nurse explained that she was going to collect a stool sample for a blood test during the rectal exam to make sure there was no blood in her stool. The patient looked mortified when she heard this. The patient was now becoming very nervous about what was going to happen to her. My nurse told the patient that she was going to be okay. My nurse soothingly told the patient that she would be gentle and go slow, she understands how having someone stick something in your bottom can be scary. As my nurse lubricated her finger the patient watched intensely as my nurse smeared the lubricant around on her finger. My nurse then explained that when the patient felt my nurses finger touch her bottom, she needed to push as if she was trying to go to the bathroom. My nurse placed her finger against the patients anus. The patient feeling the cold slimy finger touch her clenched her anus tight. My nurse coaxed her telling her to open up, and try to relax, and to push out. The patient kept her anus clenched tight trying to keep my nurses finger out of her bottom. My nurse slowly started to push her finger through the patients clenched anus and sphincter. This caused the patient to grunt and tighten her anus even more. My nurse relaxed the pressure she was applying with her finger. And then when she felt the patient relax her anus she pushed her finger all the way through her anus and sphincter and into her rectum. This caught the patient by surprise and caused her to jerk her bottom up off the exam table grunting and grinding her hips back and forth trying to get away from my nurses invading finger. The whole time making loud grunting noises and telling my nurse NO!! please don't. The patient was trying to pull her bottom off of my nurses finger. My nurse just kept applying pressure pushing her finger into the patients rectum, forcing her finger to stay in place. Now the patient was trying to push my nurses finger out of her rectum by using her muscles as if she was having a bowel movement. In reality this was helping my nurse to work her finger deeper into the patients rectum. My nurse was twisting her finger in half circles feeling the walls of the young patients rectum. The mother was sitting up in her chair intensely watching her daughter squirm her bottom back and forth as she was getting her rectum probed very deeply by my nurses finger. The whole time this was taking place the patient was grunting and grinding her hips back and forth on my nurses finger glaring at her mother in anger for this happening to her. Finally my nurse began pulling her finger out of the patient's rectum. Feeling the pressure in her rectum subside the daughter began to calm her breathing down and relax a little.
Once my nurse's finger slipped out of the daughters anus, the daughter let out a big sigh of relief. I saw the patients anus spasm open and close a few times as her sphincter was relaxing after being forced open by my nurses finger. The mother was staring at my nurse's finger which was covered with her daughters feces. The patients mother had a disbelieving look on her face. Knowing that it was her daughters feces that was smeared all over my nurses finger but not really wanting to believe it. The patient had her head layed back on the exam table with her eyes closed in relief that this was finally over with, she didn't see or say anything anything. My nurse wiped her finger on the occult blood test card and then told the patient that she was done. Then my nurse kindly told the patient that before she took her feet out of the stirrups she would help clean her up, and also help her down, and then she could get herself dressed. My nurse wiped the patients vagina and bottom cleaning her up, and then removed her soiled gloves.
Once the daughter was dressed. My nurse smiled and looked directly at the mother and in a firm voice told her it was her turn. And to please take a seat on the exam table. The mother looked up at my nurse. She had a anxious worried look on her face as she slowly stood up and reluctantly walked towards the exam table.
Once the older patient was seated on the exam table she looked at her daughter and told her she could go have a seat in the waiting room. Her daughter looked directly at her mother and told her no she wanted to stay and watch her mom get her physical. Her mother told her no and to go to the waiting room. The daughter got up and left the exam room looking back at her mother with a angry stare. My nurse didn't say anything until both the mother and her daughter were done talking and it was quiet. Then she kindly spoke using a firm tone of voice asked the older patient if she was ready.
The older patient told my nurse yes she was ready. My nurse began with the basic questions her age? She told my nurse forty five years old. My nurse asked when her last pap smear and exam was done? She said it had only been six months ago. My nurse asked why she was here today? And what concerns she had? The patient was very healthy looking, she had large breasts and was slightly heavy but not overly obese. She looked at my nurse and quietly told her that her bottom was very sore, she said this very quietly as so her daughter wouldn't hear. My nurse asked her if she knew what was causing this. She looked at my nurse with a very embarrassed look on her face and again very quietly told my nurse it was from having sex with her husband. My nurse looked the patient in the eye and told her she would carefully check it out when she got to that part of the exam. With all the preliminary questions asked my nurse told the older patient to hop down and go stand on the scale so she could weigh her.
Once the patient was weighed and back on the exam table my nurse began the exam in the same order as with the younger patient. First the older patients vitals then her ENT then my nurse asked the patient to remove her blouse and bra, so she could listen to her heart and lungs and then check her skin. With her blouse and bra removed her breasts were exposed they were very large with large round areolas and large nipples. My nurse took her stethoscope and listened very carefully to the older patients heart and then her lungs. When she was done listening to her lungs she took her hand and carefully examined the skin on her back the patient was very dark it appeared that she sun tanned frequently. With this complete my nurse told the patient to lay down on her back and she would examine her breasts. My nurse didn't put gloves on this time she took her bare hands and began palpating the patients left breast and then she squeezed her nipple checking for discharge. When my nurse squeezed her nipple the patient moaned fairly loud as her nipple stiffened between my nurses thumb and forefinger. My nurse repeated this process with the patients right breast by the time my nurse was finished with the breast exam the patient was becoming visible aroused from having her breasts palpated and her nipples squeezed both nipples were standing fully erect and the patients face was flushed. My nurse was well aware of what was beginning to happen to patient but was remaining very professional.
My nurse was asking the patient about her bowel habits. If she was experiencing any black or tarry stools? Chronic diarrhea? Then she asked if she had been experiencing any constipation the patient replied no. But then told my nurse she hadn't went to bathroom for a day or so because of her bottom being so sore. My nurse told the patient that she would also check this out as well. My nurse told the patient she would give her a very thorough rectal examination, this was obviously embarrassing the older patient. When my nurse was done with her questions she began to very thoroughly palpate the patients abdomen working her way down and under the waistband of the patients jeans. The patient asked my nurse if she wanted her to unfasten her pants? My nurse told the patient that if she would, it would be helpful. Now my nurse was able to palpate her abdomen all the way to the top of the patients pelvic bone. My nurse finished the abdominal exam and then asked the patient to stand up and remove her jeans and panties. She offered the patient a sheet to cover her top half with the patient declined the drape, the patient also seemed very comfortable with her nudity.
My nurse asked the patient to lay down on her back and to spread her legs and place the soles of her feet together. The patient complied to my nurses request. This gave me a good view of the patients vagina I couldn't see the patients preinum or her anus in this position. The patients vagina was somewhat large with very puffy and swollen labia. She had a full growth of thick brown pubic hair. My nurse explained that she was going to insert two fingers and feel the inside of the older patients vagina, that she didn't think a more complete exam was necessary because of just having a complete gyn exam six months ago. My nurse put on gloves and lubricated her first two fingers of her right hand. She then spread the patients labia and began to examine her clitoral hood and the clitoris very thoroughly the clitoris was erect and protruding from the hood. When my nurse touched the patients clitoris the patient tensed her thighs and buttocks, she had taken her hands and was gripping the sides of the exam table. She was trying desperately to control herself. She was looking at my nurse telling her please don't make this happen to me, not here, pleading don't do this not now, please don't do anymore. I think the patient was afraid of orgasming. By now my nurses fingers were deep into the patients vagina, the patients face was very flushed and her breathing was erratic, she had arousal fluid leaking out and trickling down over her perineum, and down between crack of her buttocks pooling on the paper covering the exam table. My nurse was very firmly working her fingers in and around the the older patients vagina, my nurse was telling the patient it was okay it was just her and the doctor in the room, and sometimes this happens, at the same time trying to calm her down, by telling her that she was almost done, just hold on, to please try to control herself. The patient was asking my nurse to please stop she was not going to be able to control herself any longer it was starting to happen. My nurse kept talking to the patient in a soothing voice telling the patient she was almost done just hold on a little bit longer, it's almost over with. The older patient was pleading with my nurse to please don't make her do this right here, somebody might hear her. My nurse was nearing the end of the exam. She had started to slow down the movement of her fingers before she started to withdraw them from the patient. Once my nurse's fingers were removed from the patients vagina the patients breathing was beginning to settle down, she was breathing slower, and she had loosened her grip on the sides exam table. She looked at my nurse and thanked her for stopping before it was to late. My nurse looked at the patient and knowingly nodded her head.
My nurse informed the older patient that she was going to examine her rectum. To please turn onto her left side and bring her right knee up to her chest. Once the patient was in this position she was completely exposed with her vagina and her anus visible to everyone in the room. The patient exclaimed to my nurse that this was very embarrassing that everyone could see her, she told my nurse you know they can see everything my nurse told the patient that she understood, but she has seen it all before and so has the doctor. The patient told my nurse yes I know but it is still very embarrassing to have you looking at my butthole. My nurse then told the patient she was going to change gloves and then visually examine her perineum and her rectum. My nurse looked at me and asked me to please take out a occult blood test card and have it ready. I nodded my head and reached in the drawer. My nurse now had the older patients cheeks spread very wide looking closely at her anus, and perineum, her anus and the skin around her anus was slick with arousal fluid and dark brown in color, her anus was relaxed and slightly open, my nurse was telling the patient to bare down really hard. She wanted to try to see what was causing her the discomfort. The patient was pushing her anus out puckering it up, it was pushed outward in a small open ring, she was pushing hard, this was causing her to grunt on occasion. She was telling my nurse she felt like she might fart. My nurse laughed and told her that was ok, but she needed to keep pushing. She was telling my nurse that this is very embarrassing, as she was pushing really hard. The patient then told my nurse if she keeps pushing like this she is going to have a accident. My nurse told her please don't do that, but I still need you to keep pushing. My nurse was still telling her to push, the patient in a very serious voice told my nurse. If she keeps pushing like this she is going to mess herself she could feel it starting to happen. My nurse told her okay she could stop pushing so hard, that she wasn't seeing anything wrong, and now she was going to do the rectal exam with her finger. My nurse lubed her forefinger of her right hand and placed it against the patients anus. The patient told my nurse her anus felt very sore. My nurse told the patient she would be gentle and then began slowly working her finger up the patients rectum. This caused the patient to tense her whole body and stifle a grunt. My nurse was telling the patient to relax it won't hurt as bad if she is relaxed. As my nurse twisted her finger left and then right making a full circle. She was talking to the patient the whole time telling her she couldn't feel anything wrong, but that she was full of stool, she either needs to move her bowels on her own or the doctor could prescribe her something to help. The patient told my nurse she hadn't wanted to go to the bathroom because she was afraid it would hurt because she was so sore back there. The patient was telling my nurse that my nurse's finger was starting to make her feel like she was going to poop. My nurse told the patient in a joking voice please don't do that not yet. My nurse slowly started to withdraw her finger from the patients anus, I handed her the occult blood test card, She withdrew her finger completely out of the patients rectum. She was looking at her finger before smearing it on the card, her finger was streaked with dark brown feces. When the patient felt my nurses finger exit her rectum she twisted her head and looked back over her shoulders. She was somehow able to see my nurse dirty finger, She then dropped her head on the exam table, and let out low audible groan. My nurse told the patient everything was fine and she shouldn't be embarrassed by this. And that she would wipe her and then she would help her down. Then she could get dressed. My nurse told the patient that she couldn't see or feel anything physically wrong and then told the older patient that she should take it easy back there for a few days. And that she also needs to move her bowels before she becomes impacted. And if it's not better to come back in. This caused the older patien to become very embarrassed. My nurse apologized for saying this so loud. The older patient told my nurse that it was okay.
Once the patient was dressed my nurse told her she would walk her up front. She then looked at me and told me she would be back. I could hear the mother telling her daughter she was done when she walked into the waiting room, and then her daughter talking with my nurse as they walked to the front door. My nurse apologized for any embarrassment she might have caused either of them. They both told my nurse that she hadn't cause them any embarrassment, that they were both very close and open with each other, and didn't keep secrets from one and another.
My nurse made her way back to the exam room and asked how she had done. I told her she had done well to get through that as smoothly as she did. She smiled and we both cleaned up the exam room. She asked me when she would start getting some experience with male patients. I told her as soon as the opportunity arrives. She looked at me and smiled and told me maybe she should practice on me? I just looked back at her and shrugged my shoulders. About that time I could hear the phone ringing.
My nurse who was now back to being my receptionist went to answer the phone. I could hear telling me I needed to go to my office the call was for me. It wasn't a emergency but I needed to take the call.
Save by the ring ! I think that hewill…
im loving all the chapters you write.