I had been on the phone for about forty five minutes with a friend of mine who had a private practice of his own.

My receptionist called back to my office and told me there was a three thirty appointment. I asked her for what and she said that it was for a checkup. That a nineteen year old male was coming for a checkup. His mother had called and she explained she suspects he was out drinking with his buddies ? And this is why he called in sick and didn't go to work today. She thinks a visit to the doctor might cure this from happing again.

I just said I see and told my nurse she can handle this one, I'll observe. She giggled and thanked.

I then told her I wanted to talk to her and then explained the phone call. That it was a friend of mine and my lawyer. That my friend has his own practice and wants to know if I will cover some of his cases? And that some of his cases are from the county, and I wanted some legal advice.

She looked puzzled I explained that some of the cases will be from the jail. She asked what kind of cases? I told anything from simple colds to performing cavity searches. She looked a little shocked at hearing this. I told her for a cavity search to be legal it has to be done by a medical professional. My nurse just said OH I didn't know that. I asked if she thought I should do this for my friend? She asked if I wanted to? I told her no not especially but I would like to help my buddy out . My nurse looked at me and said do it, she is willing to help with it. I told her I would call my buddy and the lawyer back and set it up.

I made the phone call call and set up the contract for the the county. By the time that was finished it was three thirty.I heard the the front door, and my receptionist greeting someone. Then I could hear her telling the individual to take a seat, and she would be right with him. Then she was telling him to follow her, as she was making small talk asking how his day was going.

When she had the individual in the exam room, she then was asking why he was there. I sat and listened to him explaining that it was his mother's idea, that he had called in to work sick and now his mom is insisting that he goes to the doctor.

I could hear my nurse telling him that she was going to do the exam. And the doctor would observe. The patient didn't seem to concerned about this, or he didn't realize just on how much my nurse intended on examining? By now I was starting to make my way down towards the exam room, taking my time, and listening to what was going on. I wanted to wait until after my nurse had taken the patients vitals.

My nurse was telling the patient she was going to take his blood pressure and then she would take his temperature. I stood just outside the door and listened to her get his blood pressure and pulse, then I could hear her telling him to stand up and turn around and face the the exam table.

I listened as I heard the cabinet door opened, and then closed, I new she had the thermometer and a jar of Vaseline. This was not going to be a fun exam for the patient.

Next thing I heard was my nurse telling the patient to drop his pants and underwear down to his knees and lean over the table. That she was going to take his temperature. The patient started to fuss and complain about having his temperature taken like this. My nurse calmly told the patient that she had spoken to his mother on the phone, and this is how his mother insisted on his temperature to be taken. I could hear the patient groan, as he reluctantly dropped his pants and underwear baring his butt for my nurse.

I stood outside the exam room listening as I heard the lid being taken off of the jar of Vaseline. Knowing that my nurse was lubing the thermometer. Then I heard my nurse telling the patient to relax, then a quiet groan as the thermometer was going through his anus, and into his rectum.

I waited a couple of more minutes, then softly knocked on the door and entered the exam room. When I stepped into the room my nurse had the patient bent over the exam table, with her hand laid across his butt holding the thermometer in place, keeping him from pushing it out. The patient turned his head and looked at me, with a embarrassed red face. I introduced myself and told him no need to be embarrassed I have seen it before,no big deal. I told him my nurse was going to perform his exam I was just there to observe. I walked over to where my nurse had laid his chart and read what she had recorded. Once five minutes had went by my nurse told the patient she was going to remove the thermometer. I watched as she withdrew the thermometer, leaving the patient bent over the table, as she walked around the table in front of him. She deliberately let the patient see the thermometer, as she read the temperature, the bulb was covered with the patients feces. This caused the patient more embarrassment. I knew that she was doing this on purpose, making sure the patient was not going to want to experience this again anytime soon.

Once my nurse had the thermometer cleaned off and his temp recorded. She told the patient he could stand up and remove his jeans, but to leave his underwear on for now. I watched when the patient stood, up he reluctantly turned to the side to pull his underwear up. So my nurse couldn't see him, he was completely erect. He struggled to get his underwear up over his erection. My nurse caught my attention to reveal her huge smile.

When the patient had successfully pulled his underwear up after struggling to get over his erection, he removed his jeans and stood still, waiting for my nurse to give him directions.

My nurse told him to take a seat on the exam table and she would start his exam. She walked over and grabbed the two scopes, walked back over in front of the patient and checked his ear, and his eyes, when she was done with his eyes she told him they looked really blood shot, and asked him if they were bothering him? He stuttered and told her no. She started taking his blood pressure and pulse, when she was done with his blood pressure she walked over and wrote it down in his chart and commented on it being a little high for his age. She then told the patient to take his shirt off.

I just sat and watched quietly, knowing that the patient was going to receiving a complete physical today. I had gotten to know my nurse and she was a very determined individual.

Now she was back with her stethoscope and listening to his heart and lungs. When she was done, she told him to lay down, that she was going to examine his abdomen.

My nurse began palpating his abdomen, as she asked him questions about his bowel habits. She was being very thorough and descriptive in her questioning. She wanted to know if was experiencing any diarrhea? His face turned red and the told her no. She explained she was just asking because sometimes alcohol gives you diarrhea. He remained quiet not saying anything. Then she asked him if he was experiencing any constipation. He just shook his head no.

When she was done with his abdominal exam she told him to stand up beside the exam table. She walked over to the cabinet and grabbed a pair of exam gloves and a tube of K Y, walked back to the exam table and laid them down, next to the patient. Then in a matter of fact tone of voice told him to take his underwear off. His eyes got big, but he knew better than to argue, he removed them and stood there naked.

My nurse said she was going to examine his genitals. I noticed his erection had gone down, at least for the moment. She picked up a glove and put it on with a snap, and then the other one, with the final snap of the glove she told the patient she was going to begin by examining his penis.

I watched as my nurse reached out and took a hold of the patients penis. He stood still and looked straight ahead at the wall not knowing what to expect. She gently palpated the shaft of his penis up one side of his shaft and down the other. He quietly moaned , as she continued to work her fingers slowly up and down the shaft deliberately trying to embarrass the patient. I watched as he slowly started to become erect in her hand. I saw a small smile of satisfaction on her face as she felt his penis stiffen in her hand.

The patient was starting to look uncomfortable as my nurse continued to palpate his penis, she looked up at the patient and asked how he was doing? He managed to tell her he was doing okay. She then told him she was going to examine his testicles next as let go of his erect penis and gently cupped his left testicle. This caused him to tense his body as she squeezed his testicle. My nurse told him to relax she was going to hurt him. He didn't speak just nodded his head. She then moved to the right testicle repeating the process.

Once she had finished examining his testicles she told the patient she was going to check him for a hernia. She placed the forefinger of her right hand in his inguinal canal and told him to turn his head and cough, then had him repeat the process once more before checking his right side. The whole time this took place the patient remained fully erect.

When my nurse was done with his genital exam she asked the patient to turn around and bend over the exam table. She then told him to place his chest on the table and spread his legs and bend his knees. The patient turned around and in weak shaky voice he asked her what she was going to do? She used a firm tone of voice and told him she was going to examine his anus and his rectum. The patient reluctantly bent over exposing his butt to my nurse.

My nurse picked up the tube of K Y and deliberately made sure the patient could see her as she lubricated her finger. I watched him as he nervously watched everything she was doing in preparation for what was about to happen to him.

My nurse stepped back around the exam table and stood behind the patient. She took a seat on her stool and then told the patient to reach back and spread his cheeks so she could visibly examine his anus. He very slowly and reluctantly reached back with both his hands and pulled his cheeks apart exposing his anus to my nurse. My nurse took her time and very carefully visually examined the patients anus, reaching out and using the palms of her hands spread his cheeks even further, to expose more of his anus, when the patient felt his cheeks being pulled farther apart he groaned and lowered his head onto the exam table. He was now completely embarrassed knowing that my nurse was looking at his open anus.

My nurse let go of the patients cheeks and then placed her lubricated finger against his anus. She told him to relax, it will be better if he is relaxed for this. The patient just said ok. Then I heard my nurse telling the patient she wanted him to bear down like he was trying to poop. I heard him make a faint grunting noise, then I heard him gasp. I knew my nurse had just penetrated his anus with her finger. I watched as he struggled and squirmed trying to get away from my nurses invading finger. I could hear her telling him to relax and stop trying to fight it. He was telling my nurse it feels weird like I need to go to the bathroom. She calmly told him to relax you'll be fine.

I sat and watched as my nurse worked her finger in and around the patients rectum. I listened as he grunted, and moaned. I knew by the way he was acting he had never been penetrated anally before. I could see from the end of the exam table where I was sitting that the patient was fully erect, I could see his erection as it flopped up and down. As he was squirming around trying to get away from my nurses finger. My nurse was applying pressure to his prostate gland as she worked her finger in and out of his rectum.

The patient was becoming very aroused he was starting to moan as my nurse continued to examine his rectum. She was telling him he was doing good and she was almost done. He moaned and nodded his head. She told him his prostate felt healthy and now she needed to collect a stool sample. She was going to push her finger deeper into his rectum. He groaned and once again nodded his head.

My nurse looked at me and grinned, then she buried her finger up the patients bottom. I watched as she worked her finger around inside the patients rectum wiggling her finger and at the same time moving it in and out. The patient had involuntarily thrust his butt back against my nurses finger. He was going to ejaculate at any time. My nurse knew this and continued with the exam.

My nurse asked the patient how he was doing? He couldn't answer just groaned, about a minute after he groaned, he grabbed a hold of the exam table with his hands and arched his back, and began grunting as he forced himself back against my nurses finger. I watched as a long white rope of seman spurted from his erect penis and landed on the floor. He uttered a sigh of relief and leaned back over the exam table.

My nurse slowly withdrew her finger from his rectum, stood up off her stool and walked around the exam table in front of him. She deliberately let him see the finger of the exam glove, and that it was smeared with his feces as she wiped it on the occult blood test card. When he saw this all he could do was make a weak disgusted moan, and drop his head down.

My nurse told him that he was done and then she offered him some paper towels and told him he could clean himself up and get dressed. The patient got himself cleaned up and dressed my nurse said she would walk him out to the reception area.

When my nurse made back to my office she asked how she had done? I told her she had done alright it was a very good exam, maybe a little over enthusiastic on the rectal exam but overall good. She giggled and said that she bets he thinks twice about calling in sick before going to work. I said I had to agree.