Jessica Marshall sat fidgeting in the waiting room of Dr. Taylor's office with her mother Victoria. It was time for Jessica's annual physical in preparation for college, but her regular doctor was away that week. Her mother, Victoria, had called her friend Charlotte Anderson for a recommendation for another doctor for Jessica. Jessica and Charlotte's daughter Brooke had been friends throughout high school and it was thanks to Charlotte that Jessica was going to college in the first place: Jessica had started to associate with a dangerous crowd, let her grades slip, and start smoking and using drugs. Charlotte had made some strong recommendations to Victoria to begin providing a firm hand of discipline and things had really turned around for Jessica as she had started her last year of high school. She knew that infractions to her mother's structured list of rules and expectations always resulted in corporal punishment. Usually Jessica was subjected to over-the-knee spankings, but she'd been on the receiving end of more severe and humiliating punishments as well. Charlotte’s recommendation of Dr. Taylor, the pediatrician that Brooke still went to for check-ups, was met by instant acceptance by Ms. Marshall. Brooke and Jessica had spoken the previous day, with Brooke making some allusions to the standards set at Dr. Taylor's office, and Jessica was about to find out for herself the specifics.

"Jessica Marshall?" the receptionist, Connie, called out. Jessica looked up, and Connie beckoned for Jessica to follow her into an exam room that opened directly from the reception area. The other young patients and their parents looked up to watch the pretty 18-year-old walk into the exam room. Inside was the usual doctor's office set-up: examination table, sink, cabinets, medical equipment, an adjoining bathroom. Connie provided some instructions for the new patient: "OK, Jessica, please undress completely and sit on the examination table. You can place your clothes on the chair or counter. The nurse will be right in." Jessica nodded her understanding, and Connie exited the room, shutting the door behind her. Jessica looked around for examination gowns on the counters and in the cabinets but didn't find any. She took off her shoes and socks, but didn't get undressed any further since she wasn't aware of the pediatrician's rules. She was still dressed in her jeans and t-shirt when an energetic, young nurse named Kathy came into the room.

"Hi, I'm Kathy, and I'll be your nurse today. Everything off, please.” As she spoke, Kathy began assembling some of the equipment she was going to use for her examination: latex gloves, stethoscope, a blood pressure cuff, otoscope, a jar of vaseline, and a small oblong case. "But what am I supposed to wear?" asked Jessica. Kathy’s next statement gave Jessica a thrill of nervousness: “We require all of our patients to be completely naked for their examinations so that we can be thorough in our assessments.” Jessica answered, "But I'm 18 years old - I'm too old for a pediatrician to begin with, and I don't want to get undressed." Kathy replied with a firm and business-like, “I’m sorry - those are the rules, Jessica. Please get undressed." Jessica answered with a petulant and impolite, “To hell with that!” She knew she was going to get into trouble with her mother, but she was nervous and embarrassed and her emotions overcame her better judgement.

Kathy was a patient and understanding young woman, but she did not like being spoken to in that manner. She turned and opened the door leading to the reception area and called, "Ms. Marshall, may I please have your assistance in here?" Victoria put the book she'd been reading into her purse and came into the examination room. Kathy explained, "Jessica has refused to get undressed for her examination. Our policy is that our patients be disrobed.” Victoria nodded and turned to Jessica. "Jessica, please do what the nurse is asking. She and Dr. Taylor are medical professionals and there's nothing that you have that they haven’t seen before." Jessica continued her teenage diatribe: "There's no way in hell that I'm taking everything off." Her mother replied sharply, "Jessica, this is your last chance. Things are going to be unpleasant for you if you don't cooperate." Jessica crossed her arms and looked down at her feet, tears beginning to well up in her eyes.

Victoria set her handbag down on the counter and retrieved her heavy, wooden, oval-shaped hairbrush from it. She turned to Kathy, saying, "I apologize for Jessica's behavior. Would you give me a few minutes to sort this out and get Jessica ready for you?" Kathy nodded with a knowing twinkle in her eye. "Sure enough. Will ten minutes be enough?" Victoria replied, “Yes, thank you,” then turned to her daughter, hairbrush in hand. Kathy left the room to see another patient.

Victoria grasped her daughter' chin, and guided her face up so she could look her in the eye. "Jessica, you are acting like a child, and have earned a punishment. In just a moment, I’m going to undress you, put you over my knee, and give you a spanking. While you’re face-down over my lap having your bare bottom warmed, you can think about your choices and being more respectful to those in authority.”

She reached out and began undressing her daughter by pulling her t-shirt up over her head and off. Victoria folded the shirt neatly and put it on the counter. Jessica looked over at the open door and back at her mother with a questioning look on her face. Her mother answered her un-asked question with, "Yes - the door stays open." Jessica received her punishments at home in front of whomever was present at that moment: family, friends, or neighbors, male or female. It was now apparent to her that that rule, along with the rule that she was always completely naked when being given a spanking, was going to be enforced here in the doctor's office.

Victoria dropped her hands down to Jessica’s jeans, unbuttoned and unzipped them, and then pulled them down, instructing her daughter to step out of them. After folding her pants, she spun Jessica around and unhooked her bra, then pulled it forward and off, revealing her daughter’s pert breasts, the nipples hardening in the cool air. Victoria placed the rest of Jessica’s clothes on the counter, then sat down in one of the two straight-backed chairs in the room, unbuttoned her right cuff, and beckoned for Jessica to step to her right side. “Pull down your panties and bend over my lap, Jessica,” was the next instruction. Tears rolled down Jessica’s cheeks as she complied, pulling her briefs down to her calves. “Over my lap, Jessica,” was the next command. Jessica complied, bending over her mother’s knee, her underwear falling down around her ankles, and her bare bottom raised into a ready position to receive her spanking. The chair was positioned so that her bottom was facing away from the reception area, but this somehow was more embarrassing since her face was in full view of the children and their parents waiting for their appointments and they could see her humiliation in being prepared for her spanking.

Her thoughts were interrupted by the cool feeling of her mother placing the hairbrush on her buttocks. "Now, I want you to tell me why you're receiving this spanking." Jessica swallowed hard and answered as she knew she was expected: "Because I've been naughty, argumentative, and disrespectful, and I deserve a spanking." Jessica was acutely aware of all of her sensations: the feeling of the fabric of her mothers pants on her bare stomach and waist, the cool air of the room on her bare skin, and the color of the floor tiles she was staring at as she lay face-down over her mother’s lap with her panties down around her ankles. She then felt the hairbrush lift from her buttocks, and grasped the rail of the chair in anticipation.

She did not have long to wait: her mother began her spanking with a sharp smack to her left bottom cheek. The spanking continued with alternating smacks to her right and left buttocks. Jessica tried to keep her tears inside, but she felt herself begin to cry as the spanking continued. The tears came freely - not just from the increasing sharp burning on her bottom, but from the humiliation of being a teenager being given a spanking in the pediatrician’s office. Before long she was weeping openly, punctuated with sharper cries as the wooden paddle struck her buttocks over and over, her back arching and her breasts swinging forward and back. It seemed as if the spanking would go on and on, but after a few minutes, Jessica realized that her mother had finished. She could just make out the faces of her audience in the waiting room through her veil of tears. Jessica felt her mother pat her reddened bottom with the hairbrush, signaling that her paddling was complete. She pushed herself up to a standing position, only to become aware that nurse Kathy had come back into the room during her spanking, and was pulling on examination gloves. Jessica’s mother had her place her panties on the neat pile of clothing, then left the room, allowing the appointment to continue.

Kathy explained that she would start the physical exam by checking Jessica's temperature with a rectal thermometer. Jessica watched as Kathy opened the oblong case and removed the glass tube with a pronounced bulb on the end. She opened the vaseline and inserted the thermometer deeply into the slick lubricant. The smell of the vaseline and the sight of a rectal thermometer brought up more emotions in Jessica of acting and being treated like a toddler. Kathy sat down in the other chair and beckoned to her patient. Jessica’s smarting, burning posterior reminded her not to argue, so she stepped forward and bent over the nurses lap and into position with her bottom ready. Kathy scooted her further over her lap so Jessica’s upper body was lowered more to the floor and her posterior was more accessible. Jessica let her legs be guided apart slightly, and then felt Kathy’s left thumb and fingers spreading her cheeks apart, and then the odd feeling of the slippery thermometer nudging her anus open and slowly sliding into her rectum. The nurse’s cool hand was some relief as she placed it across her patient’s burning buttocks to hold the thermometer in place. As Jessica was now facing away from the open door to the waiting room, she knew that there was quite an audience privy to what was being done with her most private regions. She began crying again, in humiliation from having to lie over Kathy's lap with an infant thermometer in her naughty, lubricated, bare bottom.

After five minutes, the thermometer was pulled out of Jessica’s rectum and she was allowed to stand again. She shifted from one foot to the other uncomfortably in response to the slick feeling between her cheeks. After weighing Jessica, Kathy had her sit on the exam table and checked her vital signs, ears, throat, lungs, and reflexes. Jessica was then instructed to lie back on the exam table so Kathy could assess her abdomen. As Kathy completed her examination, Dr. Taylor entered the room and introduced himself. Kathy reported her assessment findings, then left the room; Jessica was relieved when Kathy let the door close on her way out, but was still fidgety as she lay there naked on the exam table as the doctor reviewed the notes. Finished with the chart, he set it down and regarded his patient. “Jessica, I’m going to check you out with a complete physical exam, OK?” Jessica nodded. Dr. Taylor began with listening with his stethoscope, and palpated her abdomen. Finished with the basic exam, the doctor then began explaining that he would be performing a breast examination. He palpated each of Jessica’s breasts fully to check for lumps or inconsistencies, and finished by gently squeezing her nipples to assess for discharge.

Finished with her breast examination, Dr. Taylor then pulled stirrups out of their slots at the end of the exam table. Jessica felt another wave of panic come over her - she had not realized that she would be receiving a pelvic exam that day. Dr. Taylor pulled on exam gloves as he said, “Jessica, please scoot down to the end of the table and place your legs in the stirrups so I can perform the rest of your examination.” With her heart thumping, Jessica did as she was told, assuming the lithotomy position and placing her lower legs in the cold stirrups and letting her knees fall open. The doctor asked, “Have you had a pelvic examination before?” to which Jessica nodded affirmatively. The doctor then explained, “I’m going to insert the speculum - it will feel a little uncomfortable and cool.” Jessica felt the doctor spreading her vulva, and then the lubricated speculum sliding into her vagina. The speculum clicked open, and the doctor carefully examined her cervix and inner vagina. As he examined her, the doctor asked “Why is your bottom so red?” Jessica was humiliated to explain, “my mom gave me a spanking ‘cause I wouldn’t get undressed for my exam as Kathy asked me to.” The doctor nodded knowingly. “A lot of teenagers don’t like this office for that reason, but our rules allow us to do the most complete assessments.” Finished with the pelvic exam, the doctor retracted and withdrew the speculum, then allowed his patient to remove her legs from the stirrups.

“Jessica, the last part of the exam is a rectal exam. Please roll over and get onto your knees and elbows.” Jessica sighed in defeat and humiliation as she turned over. Tears began welling up again as she brought her knees in to raise her bottom up and rested her elbows and breasts on the crinkly paper. The doctor lubricated his gloved fingers liberally with KY jelly, then approached his patient. He placed a hand on Jessica’s right buttock to spread her bottom a bit wider, then slid his middle finger deep into her rectum to palpate for obstructions as tears of embarrassment rolled down Jessica’s cheeks. “Hmm, you have quite a bit of stool in your rectum - when was your last bowel movement?” Jessica, in total embarrassment, could only shake her head. “Well, I’d like to get you cleaned out. I’m going to have Kathy give you an enema, and then I’ll reassess you. You can sit back on the table and wait while I have her assemble her equipment.” Jessica didn’t know what an enema was but she didn’t like the sound of it. Was it something you drank to help you move your bowels?

Dr. Taylor removed his gloves and washed his hands, then opened the door and walked out, leaving Jessica to wait for nurse Kathy to return. A few minutes later, Kathy knocked on the door and entered, wheeling in an IV pole with a strange contraption hanging from it. It was a large clear plastic bag with what looked like soapy water in it, and a long hose dangling from it. The solution swayed near the 3,000 milliliter mark. “Jessica, the doctor has ordered a soapy enema for you.” Jessica’s expression was wide-eyed, as she asked “Do I have to drink all of that?” Kathy chuckled and shook her head; “No, no … an enema is running the soapy water into your rectum and lower intestine to help clean them out directly.” Jessica looked puzzled for a moment and then realizing what was meant by this started to shake her head in horror. “You mean that you are going to …” Kathy nodded, confirming: “Yes, I’m going to insert a nozzle into your anus and run the soapy water into you, then have you hold it for a few minutes to soften the stool. You can then sit on the toilet and let the water out. Then I’ll check to see how effective the enema was.” “But I … I don’t want an …an … enema,” Jessica started babbling, panic rising in her throat. Kathy soothed her, explaining “An enema doesn’t hurt - it just feels unusual and the pressure is a bit uncomfortable. You’ll actually feel relaxed and calm after you release it. Now let’s get you into position so I can lubricate your rectum. Please bend over the table.”

Jessica reluctantly stepped down and bent over the exam table. Kathy donned gloves, fingered up a large amount of KY jelly and then approached her patient. Spreading the girl’s cheeks, she slid her middle finger deep into Jessica’s rectum, and then in and out several times to spread the lubricant around. “OK, Jessica - up on the table and on your back, please.” Jessica complied while Kathy changed gloves, and then wheeled over the IV stand. The nurse attached and lubricated a large stainless steel enema nozzle. Her patient started to panic when she saw the size of the nozzle - it was at least an inch wide, but flared out to an inch and a half before narrowing at the base.

“OK, Jessica, here we go,” Kathy said. The nurse placed her left hand under Jessica’s lower legs and lifted them up until her knees were touching her breasts. “Let your legs fall apart … that’s a good girl.” Jessica felt completely helpless as she lay on her back naked and totally exposed. She then felt the tip of the enema nozzle touch her anus. “Take deep breaths as I insert the nozzle.” Jessica felt the pressure of the nozzle stretching her anus as it was pushed slowly but firmly in. She felt her sphincter stretch to accommodate the nozzle, which then slid in all of the way to its base. The intruder felt thick and cold, lodged firmly and uncomfortably in her rectum.

Kathy continued to hold her legs in position as she reached for the clamp on the tubing. “I’m starting the flow now … just keep taking slow, deep breaths as you feel the pressure build.” Jessica felt the warm flow of the water begin and a feeling of fullness start in her belly. As the pressure increased she started to cry again - at the pressure, her naughtiness, at the whole humiliating experience. It took about five minutes for the water to fill her, as she lay on her back with her legs pulled up and open. The nurse then clamped the tube again, and then let her patient’s legs back down and gently massaged her tummy to move the water and soap around inside of her. “We need to give the enema about five minutes to work before you can relieve yourself, OK?” Jessica nodded glumly, tears leaking from her eyes.

After a few minutes, Kathy helped Jessica to the bathroom, and sat her on the toilet. She reached between her patient’s legs and guided the nozzle out of her rectum. Jessica immediately began expelling the large enema that had been given to her. Kathy allowed her a bit of privacy as she left the bathroom to clean her equipment. After Jessica let the rest of the solution out, she did begin to feel sort of tranquil and relieved. She compliantly bent back over the exam table when Kathy asked; the nurse then re-inserted a lubricated gloved finger into her patient’s rectum to assess the enema’s work. Satisfied, the patient was allowed to dress and return to the waiting room to rejoin her mother.

It was an uncomfortable ride home for Jessica, due to her naughty behavior and burning posterior. She hoped that her punishment was complete, but that was not to be. “You’re grounded for the weekend, Jessica,” her mother announced as they pulled up to their house. “After dinner, it’s right to bed for you. I hope you learned your lesson today, but to reinforce it, I’ll be up tomorrow morning to undress you and put you over my knee to give you a reminder spanking, and then another spanking tomorrow after dinner. You should also know that I’ve made Dr. Taylor your primary care physician since his office does such a thorough job.” Jessica nodded, silently vowing to follow the pediatrician’s rules the next time.