Elliot writhed in agony on the cold metal exam table, flustered hospital staff milling around him in a blur. A nurse gripped his ankles, holding his trembling legs apart as Dr. Patel positioned himself beneath Elliot's swollen, heaving belly.

"There's no time to move him—this baby's coming now," Dr. Patel announced, his voice rising above the murmurs of the onlookers.

Elliot shook his head frantically, face flushed with mingled pain and humiliation. "People are watching," he gasped out.

The nurse huffed a humorless laugh, snapping on a fresh pair of latex gloves. "Good. Then maybe they'll learn something." Her rough hands spread Elliot's quivering thighs wider, fully exposing his straining, pulsing sex to the shocked and titillated audience.

Elliot let out a choked moan, equal parts protest and primal need, as another brutal contraction ripped through his body. His vagina clenched and rippled visibly, the delicate flesh stretching obscenely around the crowning infant head inside him.

"Push, Elliot!" Dr. Patel commanded, voice laced with urgency. "Bear down now, just like we practiced!"

Tears streamed down Elliot's face and drool poured from his gaping mouth as he bore down with all his remaining strength. The wet, squelching sounds of his stretched, straining vagina filled the room, accompanied by his bestial grunts of effort.

The baby's begin head emerged with a fresh gush of fluids, taking the gathered crowd's breath away. Elliot could see it from his peripheral vision - a wet, bulbous shape, slick with blood and mucus, inching its way into the world. He bore down again with a guttural roar, feeling his body tear and burn as it yielded to the inexorable force of new life.

As Elliot's body convulsed with another contraction, the baby's slippery head slid back in, causing Elliot to cry out in a mix of agony and surprise. Dr. Patel's hands, gloved and steady, moved swiftly between Elliot's legs, his fingers deftly working to guide the baby's head back out. The room fell silent, all eyes fixed on the intimate, primal scene unfolding before them. Elliot's breath hitched as he felt a familiar, warm hand on his own, squeezing gently. He looked down to see Owen, his best friend and confidant, standing by his side, his eyes filled with concern and support. Their fingers entwined, and Elliot found a small measure of comfort in Owen's touch. "You're doing great, Elliot," Owen murmured, his voice barely audible over the room's hushed whispers. "Just a little longer."

Dr. Patel, noticing the crowd's growing discomfort and the increasing intimacy of the situation, decided it was time to clear the room. He looked up from between Elliot's legs, his eyes meeting Owen's. "Owen, I need you to help me with something," he said, his voice steady and calm. "Please escort everyone out and make sure no one comes back in until we give the all-clear." Owen nodded, understanding the gravity of the situation, and began to usher the onlookers out of the room.

As the last of the staff and visitors filed out, Dr. Patel turned his attention back to Elliot. "We need to get you moved to a more private area," he said, his voice gentle despite the urgency. "I'm afraid there's a hidden medical emergency that requires immediate attention." He looked down at Elliot's body, his expression serious. "I need you to trust me, Elliot. We're going to get you to a safer place, and then we'll deal with this together." Elliot, despite the pain and exhaustion, nodded, his eyes filled with trust and fear. Dr. Patel placed a reassuring hand on Elliot's shoulder, his touch firm yet comforting. "Let's get you to the birthing suite," he said, his voice filled with determination. "We'll take care of everything, Elliot. You just focus on bringing this baby into the world."

Dr. Patel, his voice steady and calm, reached for the suction device. "Owen, I need you to help me. Can you support Elliot's legs while I use the suction to ease the baby's head out?" Owen nodded, his expression determined. He knelt beside the exam table, his hands gently resting on Elliot's trembling thighs. "I've got you, Elliot," he murmured, his voice filled with reassurance. Elliot, despite the pain, managed a small smile, his eyes meeting Owen's. "Thank you, Owen," he whispered. Dr. Patel positioned the suction device, the hum filling the room as he began to work. Elliot's body writhed and tensed, his moans of pain filling the air. Owen's hands tightened on Elliot's legs, his eyes never leaving Elliot's face. "You're doing so well, Elliot," he said, his voice filled with admiration. "Just a little longer."

With a final, agonizing heave, Elliot expelled the baby's shoulders, its torso, its flailing legs in a cascade of amniotic fluid and gore. For a moment it hung suspended between his splayed thighs, its miniscule umbilical cord still pulsing between its navel and Elliot's abused, throbbing sex.

Then, with a splash of blood, the cord was cut and the nurse swept the mewling infant up, cradling it against her breast. "It's a healthy baby boy," she announced to Elliot and the room at large, voice tinged with awe.

Elliot collapsed back against the table, utterly spent, as the nurse cleaned and swaddled his newborn son. Dr. Patel busied himself with the afterbirth, giving Elliot's ravaged sex a perfunctory stitch, but Elliot barely noticed, his gaze fixated on the tiny, squirming bundle the nurse held out to him.

"Meet your son, Elliot," she said, carefully laying the baby on his sweat-slicked chest. "Isn't he beautiful?"

Elliot could only nod, tears blurring his vision as he cradled the warm weight of the child against him. "Rusty," he whispered, voice hoarse with emotion. "His name is Rusty."

The nurse smiled and patted Elliot's arm. "A perfect name for a perfect baby boy. You did so well, Elliot. I'm very proud of you."

Elliot merely held Rusty closer, marveling at the tiny perfection of his son's features, the downy hair, the rosebud mouth, the strong, grasping fingers. He knew there would be hard times ahead, but in that moment, savoring the first touch of his newborn child, Elliot also knew he would face them all with joy and purpose.