There were a few minutes of embarrassed silence as my sister Liz took a seat in one of the “parent” chairs and silently gloated at my indignity. After what seemed like an eternity, the door to the exam room opened, and the nurse practitioner Jill Smith entered. Just like I remembered from the week before, Jill’s blonde hair fell to her shoulders, and her cartoon scrub top showed off the lovely curves of her middle-aged body. A stethoscope was slung casually around her neck and the ends bounced sensuously off her breasts as she walked into the room. If she was surprised to see me totally naked, she didn’t make any comment, though I thought I perceived a slight smirk as she greeted Liz. I felt awkward sitting there with my legs dangling off the side of the table but didn’t know what else to do. Jill went straight to my chart and frowned before turning to face me.

“I see your fever still hasn’t abated,” she said as she began to palpate under my chin. Her touch was gentle, but I couldn’t help but wince slightly as her fingers moved around my neck and closer to my infected ears. I assume she had seen in my chart that Debra had again taken my temperature rectally.

As usual, it was Liz who answered before I could.

“Yes, we’ve been monitoring it every four hours,” she replied with her usual smug expression. “His temperature spiked a whole degree between last night and this morning.” She was clearly enjoying playing the role of mother and being in charge. She knew that her fun would come to an end later that afternoon when Mom was due home from her business trip, so she was obviously milking the situation for all she could.

Jill continued her exam of my head, poking the otoscope painfully in both ears, before doing the same inside my nose. She then held my tongue down with a wooden depressor and looked at length down my throat, moving her flashlight around to see at various angles. She frowned slightly as she tossed the depressor into the trash can and turned back to face me.

“Luke, your tonsils appear to be swollen. I suspect that may be at the origin of the persistent infections. It might be nothing, but I want to get Doctor Walker’s opinion. Why don’t you stay here while I consult with her.”

After Jill stepped out and closed the door, I looked over at Liz. She still had on her usual smug look, though she now seemed somehow subdued for some reason. That was just as well, since I really didn’t want to hear any snarky comment from her.

Jill returned a few minutes later, accompanied this time by Doctor Walker. In contrast to her Anglo-Saxon married name, Doctor Preeti Walker had immigrated from southern India early in her career and spoke English with a slight but noticeable Hindi accent. Like Jill, she was in her mid-40s and had a curvy body that reflected her maturity, with medium-sized breasts that pushed sensually against her scrub top. Her smiling face and dark complexion seemed to accentuate all of her features. I hadn’t seen her since I was about 15 and was surprised at how attractive I suddenly found her. Unfortunately, that realization put my 18-year-old hormones into overdrive, and I started to feel an embarrassing tingling in my loins.

“Good morning, Luke! It’s good to see you after all this time. My, I hardly recognize you!” She then turned to my sister. “Hi, Liz! I understand you’ve been taking care of our patient while Mom is away.” Liz just smiled with her sweet “just-being-a-good-sister” look. I felt rather humiliated to be talked about that way but didn’t really know what to say so just kept quiet.

As Jill looked on, Doctor Walker picked up the otoscope and began repeating the examination.

“Oh, yes, those tonsils are definitely inflamed,” she remarked after looking down my throat. “Let’s make sure there’s nothing else going on.”

With that, she took her stethoscope from around her neck and placed it on my chest, listening to my heart in various places. I figured it must have been pounding in her ears, although she didn’t say anything. She then leaned forward and reached around to auscultate my back. I could smell her perfume as her breasts pressed against me, and she instructed me to breathe deeply. That contact of course only added to my arousal. The more I stared at the wall and tried to think of something else, the more I could feel my penis getting more engorged.

She then palpated under my arms, noting that the lymph nodes there were also slightly swollen, before giving the instruction that I was dreading.

“Go ahead and lie down for me,” Doctor Walker ordered. I reluctantly lay down on the crinkly paper, a move that placed my semi-erect penis in plain view of everyone. My face must have turned several shades of red. Jill and Doctor Walker both seemed pretend not to notice, but out of the corner of my eye, I saw my twin sister staring blankly at my private parts with a slightly glassy look in her eye. I just looked up at the ceiling, trying (without much success) to will down the erection.

Doctor Walker listened at length with her stethoscope, moving it around to different parts of my abdomen. She had a serious, professional expression on her face as she worked, suggesting that she was fully concentrated on the exam. She then started to palpate me, asking occasionally if it caused any discomfort. I said no each time, hoping that would speed things up. She slowly worked her way down to my crotch, and I thought I perceived a little smile as her fingers worked around my penis, gently palpating the lymph nodes on each side of my groin.

Then she gave the first of three surprises.

“Luke, now I need to do a genital check,” she announced mater-of-factly. Liz’s eyes went temporarily wide as she realized what was about to happen. “Why don’t you hop down and stand in front of the table.”

Doctor Walker went to the counter and donned latex gloves from a box before turning back to face me. Acutely aware that my erection was in plain sight as I stood there naked in front of the three women, I couldn’t help but get even harder. I just wanted to hide, and my face must have turned several shades of red as I stared at the wall trying to compose myself. Doctor Walker took hold of my scrotum with her gloved hands and spent at least a minute slowly (and, at least to my addled and febrile brain, sensually) rolling each testicle between her fingers. I must have whimpered (whether from embarrassment or pleasure I don’t know), because she asked me if it hurt and just smiled when I shook my head. She then placed her finger against the right side of my scrotum and had me cough before repeating the procedure on the left side. Finally, she took hold of my engorged shaft, feeling it up and down and retracting the foreskin to have a long look at the tip, which was by then oozing clear liquid. Maybe it was my imagination, but I could have sworn she was smiling slightly as she manipulated my genitals. Seeing the outline of Jill’s nipples make an appearance through her bra and scrub blouse as she watched the procedure only served to deepen my intense urge to ejaculate. Thankfully, Doctor Walker stopped just before I felt I would explode.

Unfortunately, things were about to get worse.

“There’s no need to be ashamed,” Doctor Walker explained in her lilting Indian accent, flashing a little smile to my sister, who seemed mesmerized. “Getting an erection is a normal, healthy reaction.” She paused a moment before continuing, adding her second big surprise. “Because you are a young man now, and some of your glands are swollen, I’m afraid I need to also check your prostate.”

The news gobsmacked me, and I must have looked like an idiot as I stared slack-jawed, unable to even speak. Doctor Walker just continued.

“Why don’t you hop back onto the exam table and get up on all fours for me,” she instructed.

At that point, the world seemed to move in slow motion. I followed her instruction, using the step stool to climb back up. Turning to face the head of the table, I positioned myself onto my elbows and knees. Maybe it was my imagination, but I sensed that Jill was somewhat amused as she watched me get prepared. Fortunately, I couldn’t see Liz, who was behind me in one of the chairs next to the door. But I was sure that she was enjoying the spectacle of my bare buttocks as well as my genitals dangling down between my legs.

Just then there was a knock on the door, and the receptionist burst into the room without waiting for an answer. I looked back and could see her staring at me, a slight pink hue having crept onto her face. Behind her, the activity at the nurses’ station once again came to a standstill as two mothers there (fortunately neither of which was Mrs. Jones!) seemed to gape at the spectacle. The receptionist finally regained her exposure, taking her eyes off my naked body and addressing Doctor Walker.

“I’m sorry to interrupt,” she started. The smile on her face suggested that she wasn’t really that sorry. “But I have Phillips Pharmacy on the phone. They need our confirmation to renew the amoxicillin prescription of Jimmy Dupont for another week.”

Doctor Walker nodded her assent, and the receptionist finally made her way out, thankfully shutting the door behind her.

Doctor Walker continued her preparations at the counter. When she turned back to face the exam table, Jill reached across and took hold of my buttocks, spreading me open even wider to give easier access. Doctor Walker explained that she was performing a visual inspection and that everything looked fine. I then felt a cold sensation as she placed some jelly on my anus. Without further warning, her finger plunged deep inside, causing me to gasp. Time seemed to a stop as she moved it around, exploring my rectum. I was just getting used to the intrusive sensation, when I felt an unexpected blast of pleasure that caused me to harden even more and to push back involuntarily against the doctor’s finger. Liz must have noticed that because I heard her let out a little giggle. Fortunately, the doctor stopped once again just before I thought I would explode. She finally removed her finger and instructed me sit back up again on the edge of the table. I felt like I was getting my emotions under control, but my erection remained on full display to the whole room as she summarized her findings.

“Fortunately, everything feels fine down there,” Doctor Walker said with a smile after removing her gloves and tossing them into a receptacle. Jill gave me a friendly pat on my thigh, which only caused my embarrassment to deepen. The doctor then continued ominously, delivering the third surprise of the day. “So, we just need to take care of those tonsils.” Turning to Liz, she continued, “Given the persistence of his infections, I think we’d better take them out sooner rather than later. I understand your mom is coming home this afternoon. Is that right?”

Liz smiled and nodded, as her glassy eyes finally pulled away from my erection. I felt a bit peeved at being treated as a spectator to this discussion of my health. But with my erection still quite visible, I didn’t want to draw everyone’s attention back to me.

“Good. I have another tonsillitis surgery slated for Saturday morning at the community hospital. I’ll arrange to get Luke slotted in just after that. That will mean getting him checked in to the hospital tomorrow afternoon. Why don’t you have your mom call me when she gets home, and we can finalize the details. In the meantime, I’ll write a prescription to try to get that fever under better control.”

With that, Doctor Walker and Jill left, and I was finally allowed to get dressed in front of my sister. I could still feel the residual lubricant in my butt crack as we walked out of the exam room. The sloshy feeling made me walk stiffly, and I was sure that everyone who saw me could somehow know what I had just gone through. Coincidentally, we met up again with Claire's mom and little brother at the check-out desk. Mrs. Jones patted my arm, gave me a friendly smile and said she hoped I was feeling better soon. I was too embarrassed to say anything other than a pathetic “thanks”.

Liz picked up the prescription slip, and we headed for the car. I was expecting her to gloat and make fun of me. But instead, she was quiet and had taken on a rather pale complexion. I was still so embarrassed from having been examined in front of her that I hardly noticed, and we spent the drive home in silence. Shortly after getting back to the house, Liz stopped briefly in her room then announced that she was going next door to check on Ben. As she disappeared out the front door, I couldn’t help but notice that she had removed her bra from under her pink polo shirt, allowing her pert breasts to bounce freely. I was too tired to think much about it and plopped down on the couch for a nap. I was apprehensive and yet somehow intrigued about my upcoming trip to the hospital.