It is early morning when Jenny is awaken by activity in the room. Blinking her eyes she sees Tina and another nurse (maybe that trainee, she can't quite remember) pushing a cart with a squeaky wheel over to Cindy's bed. She hears Tina's overly cheerful voice.

"Wake up Cindy. Sorry to wake you so early, but you have an early appointment for surgery and we have to get you ready." Cindy's surgery had originally been scheduled for 2 days earlier, but an emergency case had pushed it back.

"Mumble. Already?" Says Cindy, blinking her eyes as she feels Tina reaching around her back to untie the ties on her gown.

"I'm afraid so, but the sooner started the sooner done. Now let me get your vitals." She says as she wraps the blood pressure cuff around the teen's arm and Cindy feels the familiar squeezing of her arm.

After recording the BP, Tina pulls down Cindy's gown to listen to her heart. A blush crosses Cindy's face, but a quick glance to the side shows that Tim is still asleep. Jenny seemed to be the only other person awake, so there was that.

After listen closely to Cindy's heart and counting her pulse, Tina said "Amy and I are going to get you rolled over. I need to get your temperature and we have some pre-op medicine to give you." She did not put the gown back onto Cindy, but did pull it up to cover her chest.

"OK, I guess." Cindy said, pretty sure that the medicine was not going to be fun, but keeping a brave front up.

The nurse and her aid removed the pillows that had been elevating Cindy's leg and maneuvered her into a prone position. As she was helped into place, her gown fell away and she we now laying face down and naked with her legs slightly spread. She was glad that it was Carla in the bed opposite her and not Tim.

"We are going to start with you temperature and then give you a suppository to make you sleepy." Tina said as she nodded to Amy.

Amy steps to the back of the bed with Cindy's lubricated thermometer in her right hand. She places her left hand on Cindy's left buttock, pushing it forward and to the side. This is enough to revel her target.

Amy then places the thermometer against Cindy’s anus, causing it to tighten. After a few seconds, it relaxes and Amy pushes the thermometer in a full 2 inches. She releases Cindy's buttock, but holds onto the thermometer, letting her hand rest up against Cindy's butt.

It had been a while since Cindy had been in the prone position to have her temperature taken. They had just been rolling her on her side due to her leg. This position reminded her of how they did it back at her old doctor growing up. She wished that they were just rolling her on her side, as that felt more .... grown up. Well, at least they were not pressing her down in place.

After a few minutes, Cindy felt Amy withdraw the thermometer and say, "98.2. I going to give you your suppository now. Take a deep breath in and let it out."

As Amy said this, she pushed the suppository in as deep as her finger would go, pushing it up against the wall of the rectum.

Cindy gave a little gasp as she felt Amy finger thrust into her bottom and the other fingers ending up against the bottom of her vulva. Although it was only 30 seconds, it seemed like forever before the nurse withdrew her finger.

She started to roll back over to get covered when the nurse put a hand on her bottom and said, "Not yet dear. I am afraid the we have a couple of shots to give you first."

"Two?" Said Cindy with a slight tremor in her voice.

"I am afraid so", said Tina. "One of them is to dry up your saliva and the other is a prophylactic antibiotic. I won't lie. They are going to hurt, but we are going to give both of them to you at the same time to minimize the pain."

"OK. I guess", Cindy said quietly.

The two nurses were on opposite sides of the bed, each cleaning a section of buttock.

"Try your best to relax dear. It will help. Stick in 1, 2, 3"

At three Cindy felt sharp stabbing pains on both sides of her butt and gave out an "eep". Then on her left she felt a stinging sensation as the pre-op cocktail was pushed in. On the right, she felt a much worse burning sensation that kept spreading as thick medicine was pushed in, causing her to shed a couple of tears. But after a minute the spreading of the pain stopped. It settled into a dull ache.

After helping Cindy roll over, Tina helped her into new gown and then pulled out the old one from underneath so she wasn't exposed too much. "Just try to let the sedative relax you. Transport should be up shortly to take you to surgery." Tina said before moving on to Jenny while the other nurse gathered up their mess and left for other duties.

Tina came over to Jenny. "How are you feeling this morning? Are you ready to get out of here?" Tina said as she wraps the blood pressure cuff around Jenny's arm.

"Much better. Not quite back to full, but I can breath normally. Mostly I'm a little tired. And I am definitely ready to go home!" Jenny said.

After reading her blood pressure, Amy said, "Well Dr. Lee hasn't put in the orders yet, but you will likely go home late today or early tomorrow. You should expect to be taken for an exit exam soon." Amy said as she untied Jenny's gown to listen to her lungs and heart. She settles the bell up under Jenny's left breast. "Breath deep please."

After satisfying her self with the state of Jenny's lungs, she makes some notes in the chart and says, "Bottoms up please." As she gets the thermometer ready, Jenny rolls over onto her stomach and opens her gown.

Tina looks down at the teen's bare bottom and pushes one cheek to the side and swiftly slides the thermometer in to half it's length. Jenny feels her warm hand against her bottom, stabilizing the thermometer.

"What do you mean by exit exam?" Jenny asks from her pron position.

"Oh that's just an informal name. It's not really called that. When you are in for an illness like yours, they like to give you a head to toe check up before you leave. Just to make sure that they didn't miss anything. It can be a bit .... complete and include some intimate exams, so they usually take you down to one of the treatment rooms, for your privacy."

Jenny gulped at that. Here she was laying bare ass in front of the whole room (including a MALE patient) with the nurse holding a thermometer in her butt and this exam was going to be even more embarrassing!

Sensing Jenny's discomfit, Tina said "Don't worry. It is no worse than the exams that we women all have to go through, sooner or later. Have you had a pelvic exam and a pap yet?"

"Yes, no. Sort of. I haven't had the full speculum exam, but at my last physical, Dr. Sara put fingers in ... you know ... and then felt my stomach." Jenny said, both sets of cheeks turning red.

"You will do fine dear. Dr. Lee is a bit .... matter of a fact, but she has a kind heart." Tina said she pulled the thermometer and gave Jenny a pat on the butt. "Stay on on your tummy. Your temperature is normal, but I have one more dose of antibiotic for you."

Jenny would have preferred John, but I guess she was going to get Tina. Maybe she would be as good. Jenny tried to relax and focus on her breathing as she felt the coldness from the alcohol pad.

Tina put her hand down on Jenny's bottom, framing her landmarks and holding her in place in case she moved. "OK. Big stick coming on 3, 2, 1" and with that she darted the needle into the teen’s buttock.

Jenny felt a sharp stabbing pain her right buttock and gave a little gasp. The the fire started to burn. Tina pushed the medicine in faster than John did. This made the pain worse, but got the injection over faster. She panted a bit as she tried to remember to concentrate on her breathing. After about 20 seconds the pain stopped spreading and turned into a dull ache as Tina withdrew the needle.

"Sorry about that. I know that these shots can be painful." Tina said as she cleaned some blood from the buttock and applied a band aid and helped Jenny roll over and get covered up.

After Tina had finished vitals on the others and left the room, Jenny turned to Cindy while rubbing her tender butt. "John is definitely the best at shots."

"No argument from me. Plus he gives the nicest butt rubs afterwards." Cindy said in a bit of a haze from the sedative.

Transportation soon came for Cindy and, shortly there after breakfast arrived. Eating her breakfast, Jenny sipped her .... technically coffee she guessed ... and hoped that it would be her last cup of hospital "coffee". She tried not to think of her upcoming exam.

---

Meanwhile, 19 year old college freshman Amanda (Mandy) Jones was ignoring her body. She had spent the morning helping her friend move into a new apartment. She had not been drinking water and had been ignoring the feelings of wooziness and unease. She and her friend were walking into a restaurant for a late breakfast / early lunch when the world started to look sparkly.

"Oh shit, not this again. Kelly make sure they call Dr. Jackson. He'll..." She said as she passed out, catching her head on the table on the way down.

A while later, Amanda was feeling fuzzy like there was fog around her. She was hearing annoying voices calling her name and other things she can't quite make out. She feels someone pulling her pants and underwear off when it suddenly hits her: The distinct smell of hospital disinfectant.

"Are you with us now Amanda?"

"Yeah, sort of. Did I pass out? Dr. Jackson did you call Dr. Jackson. He .. he know what to do. I have id ido .... weird . epilepsy. " Amanda said, still not 100% awake, as she felt her body being rolled on it's side.

"Yes Amanda, your friend made sure that we know and some one is calling him, but we have to make sure that you haven’t injured your spine when you fell. Your going to feel a finger in your bottom."

As the voice said this, Mandy felt a finger enter her rectum and turn. "Ugg"

"I know, it will be over soon. Can you squeeze down on my finger?" One of the doctors said.

"Good. You can relax, I am going to test a reflex now." He said and then Mandy felt him reach his other hand around and gently squeeze her clitoris. She squeaked as her anus clamped down around the doctor's finger, before he with drew it.

"Anal tone is good and the bulbocavernosus reflex is normal. No blood visible. Can someone get a temperature while we have her on her side?"

Amanda felt a nurse step in lift her butt cheek and insert a thermometer. The nurse's hand remained against her bottom.

"Hey. Give a girl some warning." Amanda muttered.

"Just getting your temperature honey." The nurse said.

Other doctors and nurses continue to examine her while the nurse was taking her temperature. Amanda felt hands all over her body and as she was coming fully awake, realized that she was naked in this room full of God knows how many people.

Mandy felt the nurse withdraw the thermometer and announce, "103.9" as Mandy was rolled back onto her back.

Trying to get the doctors attention, Mandy speaks up "I have an .. an idiopathic atypical epilepsy. It messes with my body temperature regulation and causes what looks like heat stroke. My chart should have information on this or you can call Dr. Jackson at 555-2453." Mandy said, getting out the lines that her doctor had her memorize.

"Very good Mandy. I'm glad you remembered. I'm even gladder that you were wearing you alert bracelet." A familiar voice said as Dr. Jackson came into the emergency room. He had been doing rounds when his assistant had alerted him to the call from the emergency room.

Dr. Jackson had a brief conversation with the other doctors before coming over to Mandy's side. "So what triggered the episode this time?"

"No fair questioning me while I am still naked. That puts you at an advantage." Mandy said as she failed to look defiant while laying naked in front of her neurologist (who she genuinely liked as doctors go).

"Fine! I was helping Kelly move and I forgot to drink water and was probably out in the sun too much and started to heat up didn't take a break soon enough and ... well woke up naked here in this room with someone sticking a finger up my butt." Mandy puffed.

"They were just checking you for spinal injuries. Well, we have talked about how you need to be careful about maintaining hydration and heat control. Once you start getting over heated and dehydrated, it can spiral and trigger your seize rs."

Mandy sighed, "Yeah, I messed up doc. What is my penance going to be?"

Dr. Jackson chuckled. "I am going to have you admitted for observation and recovery. I want your temperature back down to normal without drugs and you hit your head when you went down. You will be in for at least 48 hours. If you are good. Longer if you need it."

"OK. Can I at least be admitted to the adult floor?" She said trying to look innocent.

"I'm afraid not until you are 21, but I'll see about getting you sent to the quiet end of the 4th floor. I'll have them start you on the normal cocktail and see if we can avoid the post seizure hang over. I'll also give your folks a call to let them know what happened."

As a nurse came over to finally get Mandy into a gown and to give her some Tylenol and caffeine suppositories, Mandy wondered what Dr. Jackson meant by the quiet end as she waited for the combination of drugs to take effect.

A while later, James from transportation came with a wheelchair to take her to her fate. After making sure that her gown was closed on the back, she let James help her into the chair and said, "Take the scenic route James."

With a snort, he said "I'll see what I can do, but it's not really that far away." He unlocked the wheels and started off at a leisurely pace going to elevators at the back of the emergency department.

As the elevator went up to the 4th floor, Mandy became resigned to face. It had been 4 years since she was last hospitalized here, but the last experience had not been restful. As James pushed her past big rooms with open doors and windows she steeled herself. "I can put up with this for a couple of days." she thought as they arrived at a central nurses desk.

"Morning Samantha. I have an Amanda Jones for admission to the floor." James said to the nurse at the desk.

Looking through a pile of admissions orders, she comes to and quickly scans Amanda's paperwork. "Amanda Jones. Neuro admit for observation post seize and heat stress. Observe for possible concussion. History of atypical epilepsy." she muttered to herself.

"Can I see your wrist band Amanda?" she said comparing it to the paperwork she had just read.

"You had quite a spell and it looks like you have been dealing with this for a while. How are you feeling now?"

"I am still a little woozy, but the world isn't spinning. The post seizure hangover hasn’t hit yet. I am kind of hoping to avoid that." She said with a weak smile, thinking the coming chaos would not help.

"Well they have a spot saved for you in room 468. I'll take you down there and get you set up." Samantha said as grabbed a rectal thermometer kit and some hygiene supplies for Amanda. "Come along James."

As they pushed down the corridor and through a couple sets of double doors, Mandy commented. "I don't think that I have been in this part of the ward before."

"Yes, we have expanded to the whole floor since you were last here. I think that you will appreciate some of the changes." Samantha said as stopped at another nurse's desk.

"I have a new patient, Amanda Jones, for the island of the old, room 468. They sent the paper work to us instead of directly to you." She said to the nurse at the desk presenting her with the admissions order and a two binders with records from previous hospitalizations.

"Typical." She said, flipping through the orders. "Well we have the bed open, but Tina is down in the treatment room helping with some enemas until clear. Do you have time to get her settled in and get a set of vitals? That would let me go get her electrolytes and scrounge a lunch tray for her."

"Sure thing, Ann. I owe Tina for her help with Thomptson last week." Glancing a legend of bed assignments to see who was in the room what what bed was free, she added. "I'll put her in bed A."

"Come on Amanda. Let's get you settled in your room and let you meet your roommates."

As they went down the hallway, Mandy noticed that here the doors were shut and there seemed to be something blocking the windows in the door. Well that was improvement at least.

Entering the room, she saw that there was a curtain in front of the door creating a little privacy airlock.

"Hello, Carla, Tim, Jenny, this is Amanda. She is going to be your new roommate. Be nice, she is not having the best day." Samantha said and each of them gave a wave and a hello or welcome.

As Samantha was putting some linens on the bed, setting up her kit and such, Mandy looked around the room. The mixed sex room did not surprise her. All of her previous visits had been like that. She was just glad that there was only one male to the three female patients. Well there was one bed that didn't have anyone in it, but looked occupied. I guess she would see who was in that later.

She did notice the thermometers in cylinders at everyone's bedside. They all had red tops. Sigh, she hoped at 19 she would escape this indignity even if she was on the peds floor. I guess not.

Samantha helped Mandy out of the wheelchair and into the bed, but left the covers down. She wasn't particularly careful about Mandy's gown and Mandy was sure that Tim got at least a half moon. Well, I guess that he was going to get the full moon soon.

"Let me just get your vitals Mandy." Samantha said as she pulled out a pen light to shine in her eyes to check that they were reactive. She held up a finger and made Mandy follow it with her eyes.

Next she pulled out her stethoscope and slipped it under Mandy's gown to listen to her heart. She felt the nurse put the bell under her left breast and hold there listening to her heart. Then she moved it to Mandy's back, asking her to breath in and out.

She then wrapped a blood pressure cuff around her arm and took her BP. "98 over 67. Still a bit low. And your pulse is still high at 110."

Next came the part that could be tricky with older patients. Samantha was used to dealing with the younger patients, most of whom were still having their temperatures taken rectally at home. But she had admitted more than a few 19 year olds like Amanda and telling them that their temperature would be taken rectally could be delicate. Most grumbled a little or asked if it could be done orally, but readily if reluctantly accepted it. Some were .... more vocal in their objections to say the least.

"OK. I just need to take your temperature and we will be done. I have to take it rectally. It's hospital policy for this floor for safety and accuracy. No exceptions. So I just need you to lie down on your stomach for me." Samantha said firmly.

"Yeah, I have been here before. I was expecting the butt thermometer. Hoping to avoid it, but expecting it." Mandy said and laid face down, not really being careful about her gown. Everyone in the room was going to see her butt anyway.

Samantha was glad that Amanda was going to fall into the first category. She pulled the teen's gown open exposing her butt and back. Moving her legs slightly apart, she put her left forearm on the girl's and used her thumb and first two fingers to spread her buttocks to fully exposed her puckered anus. Despite her "been there done that" attitude, Mandy tensed a little at this.

"Just relax. You will feel me put the thermometer in your tush. It might feel a little cold." Samantha said as she placed the bulb of the thermometer against Amanda's anus.

"Ugg, get on with it. You don't have to talk to me like I am ten." Mandy thought and then felt the nurse slide the greasy thermometer into her rectum.

After sliding the thermometer two inches into Amanda, Samantha released her buttocks and placed a hand across Amanda's bottom, firmly holding the buttocks together. Out of habit, she pressed down to hold her firmly in place. After checking her watch, she put her left hand on the small of Amanda's back.

"Umm, I'm not going to go running off." Mandy said. The nurse in the ER might not have warned her that she was getting her temperature taken rectally, but at least she had treated her like an adult.

Samantha eased up a bit on the pressure and removed her left hand. "Sorry. I am not used to dealing with young adults."

An awkward five minutes followed. Mandy was aware that Tim had a front row view of her butt. "Well, at least folks in the hall can't see and it's not like I'm not going to see his butt." As she thought this, she felt Samantha spread her buttocks apart and withdraw the thermometer with that odd sucking feeling as it left her anus.

"Still 102.8. We will have to keep and eye on this."

Mandy expected this too. They usually did hourly checks until it fell below 101.

Samantha helped Mandy get turned over without flashing the room any more than she already had and raised the head of the bed so that she could get into a seated position with out the room spinning to much.

"Let's keep the blankets and sheets off you for now. Let your body cool down."

Mandy was glad they were not trying to bring her temperature down faster. Just after she had turned 18, she had one of these spells happen when she was on a family vacation in Florida. Her temperature had gotten to 104.9 and the doctors tried to bring it down with cold wet water cloths and fans. Laying their wet and naked in the ER with fans going had not been fun and had made things worse as her temperature had crashed to below 96 rectal and caused a horrible after seizure "hang over".

At about that time, the other nurse brought her in a tumbler full of the dreaded electrolyte solution. "Sip this slowly Amanda. I know it doesn't taste great, but I need you to drink all of it and keep it down. Otherwise, we will have to use other methods to give it to you."

Amanda shuddered internally at the thought of "other methods" as she had be subject to them in the past when she couldn't keep them down. At least the nurse, remembered to ice it.

"I also have lunch tray for you here. Try to eat what you can, but slowly. If you don't rush, it shouldn't upset your stomach."

After the nurses left, Jenny offered up, "Welcome to the circus Amanda. You took that pretty well."

"Yeah, well it's been a while, but I have been in and out of this hospital all my life. I was hoping to get off the 4th floor this time, but I guess this is better than the other end of the hall. Still got the butt thermometers, but at least there's not an open door letting anyone in the hall see it. And call me Mandy."

Carla looked at the lanky redhead a little oddly. "Have we met before? I've had a bunch of surgeries here and you look vaguely familiar."

Mandy thinks, "Were you the girl with all the leg surgeries and really cute father who works here?"

"He's not... My father is old! Like 42!"

"Yes, he is, for an old dude." Jenny said with a grin, remembering when he has snuck in to visit Carla.

"Don't look at me. I'm no judge of how cute men are." said Tim, also with a grin.

"Fine! You are both blind or crazy." Carla said suppressing a grin. She thought it was gross that any one thought her OLD father was cute, but that would not stop her from bringing it up at an opportune moment at home. "I do think that I remember you from one of my stays. You have the non-standard epilepsy that messes with your temperature control, right?"

"Yeah, that's me the weirdo. If I am not careful and get over heated, well it can spiral into heat stroke and a seizure before I realize it. It's been a while, but I got careless this morning and here I am for the next couple of days just in case I spiral again. What about you all? Another surgery Carla?"

"No, cut my leg and got a nasty infection. Going home today though, after my NOT cute father gets off shift." Carla said.

"Double pneumonia here. I am supposed to go home today or tomorrow. Supposedly. I am still waiting for some mysterious exam." Jenny said, a little frustrated.

"Oh, when they say today or tomorrow, it's tomorrow or the next day. Everything moves slowly around here. Especially if you are still waiting for tests." Mandy said with a bit of sympathy.

"Appendix here." Tim said. "I have no idea when I am getting out. Whenever I ask, they just say let's see how your wound is doing. It still hurts, so not today I'm guessing."

Carla pulled out a deck of cards that her father had brought on one of his frequent quick visits (including one where Jenny had been face down for the thermometer) and the 4 of them sat around Mandy's bed playing Euchre while Carla and Mandy one upped each other with hospital stories until Tina came in for Mandy's hourly temperature check.

"Sorry I could not be here earlier for you Amanda. The doctor wants us to keep an hourly check on your temperature until it comes back down."

"Yeah, I've been through this before. It feels like it is getting down but still falling. And call me Mandy." Mandy said as she turned on her side away from Tina and pulled up her gown. If she had to have a rectal temp, she preferred to be on her side and found that the nurses would go along if she got into position before they asked. (She knew that her condition meant that she would be dealing with rectal temps on and off for ... well forever, she guessed. If she had to have the butt thermometer, she wanted to do it on her terms.)

Tina turned to Amanda with a lubricated thermometer held like a little torch. She was about to ask the girl to roll over on her tummy, but saw that she had already assumed the side lying position. She preferred the prone position, but preferred a comparative patient even more. If they were going to act their age, I should treat them their age. "OK Amanda, I'm going to put the thermometer in."

Mandy felt Tina's had lift her pale butt cheek. She then felt the familiar sensation of the slimy thermometer sliding into her rectum and her buttock being released. Finally she felt Tina thumb and forfinger up against her bottom, gently holding the thermometer in place.

This felt a lot more adult than the way that Samantha had treated her. A small victory, but a victory.

"I hope Samantha didn't give you too hard of a time. She is a good nurse, but she is not really used to dealing with older patients and sometimes forgets to adjust to your age."

"We came to an understanding eventually." Mandy said.

After a few minutes, Mandy felt Tina lift her cheek and pull out the thermometer. She quickly covered up and turned over.

"101.6. It is coming down nice and slow. Just like Dr. Jackson likes. I read through your chart. How are you doing? Any head ache? Nausea?"

"Nope. I am pretty good actually, just tired. The caffeine and the nasty electrolyte drink seem to be doing their job."

"Good. I got you some grippy socks, but if you need to use the restroom for the next few hours, use the call bell and let us help you get there. You hit your head and you could still get dizzy."

She tried not to roll her eyes, but she knew Tina was right. "I promise to be good."

A little later, two things happened in short succession. First, transportation and nurse Tina brought in a woozy Cindy, now sporting a new cast, back from surgery on a gurney. The orderlies lifted Cindy off the gurney and on to the bed, her casted left leg up on pillows.

As soon as they started to take the gurney back out of the room, Tina rolled Cindy on to her side, putting both legs on the pillow, and slipped a thermometer into the teen's exposed bottom all in one smooth motion. Cindy gave a surprised "What?"

"Just getting your temp honey." Tina replies.

As this is happening the medical student William enters pushing an empty wheelchair over to Jenny. "Jenny, Dr. Lee sent me to get you for an exam. Hop in the chair."

Cautiously, Jenny gets out of bed and into the wheel chair after making sure that her gown is tied in the back. William turns the wheelchair around and pushes her out of the room going past the nursing station and to a set of exam rooms that are at the boundary between their section and the rest of the floor.

He brings her into treatment room 3 where Dr. Lee is working through a bunch of charts while waiting for them. A nurse she doesn't recognize is getting some supplies ready. The room looks sort of like the exam rooms back at Valley Care, if a bit bigger and with more equipment. She gulps a bit when she sees that the exam table is equipped with what she knows are stirrups. She hopes they won't be needed.

Dr. Lee turns to Jenny. "Well Jenny, how are you feeling? How is your breathing?"

"Good Dr. Lee. My breathing is back to normal and my fever is gone. I am just a little tired. I'm ready to go home."

"Mmmm. We'll see. Right now I am thinking of keeping you one more night. I just want to make sure that you don't relasp."

"I brought you here for some privacy to do a more complete exam. I need to check you over from head to toe to make sure that you are healed up and that we haven't missed anything. To make sure that you are ready to go home. William will be helping me, but don't worry, I will be doing the most sensitive exams."

Reaching around to untie the ties on Jenny's gown, Dr. Lee says."Let's get your weight to see how it compares to when you came in. Go a head and slip out of your gown and step over to the scale so William can weigh you."

Reluctantly, Jenny stands up and slips off her gown and puts it on the wheelchair. Putting one hand over her breasts and one hand over her groin, she walks over to the scale in the corner and steps on it. She stands up straight, even though she feels that all eyes are on her butt.

William goes over to the scale and adjusts the sliders until they balance. He records the weight and compares it to her admission weight. "You have lost almost 5 pounds."

"That is to be expected. You burn a lot of calories during your illness and don't usually eat as much as your normally do. Please put your arms down by your sides and step over her by the exam table and face me?" says Dr. Lee from where she is sitting on a rolling stool."

Dr. Lee watches Jenny as she walks over and remarks to the nurse who is taking notes. "The patient's gait is normal and she seems to be well coordinated."

She looks Jenny up and down, lifting each arm to check it. She then goes around to Jenny's back looking at all of her skin and even separates her buttocks to look between them.

"The skin is clear and free of sores. It is also free of blemishes or bruises except for one fading bruise on each buttock, apparently from antibiotic injections. She appears to have an athletic build with no signs of wasting. The hair on her head is normal and healthy looking and she has a normal distribution of public hair."

Jenny turns a bit red at the mention of pubic hair.

"Hop up on the table and face me, please." Dr. Lee directs.

As she gets on the table and sits facing Dr. Lee, the nurse who has been assisting, puts a small (way too small in Jenny's opinion) drape over her lap. "Well at least that's covered, for now." Jenny thinks.

Dr. Lee starts with an ophthalmologist looking in each eye. Then she switches to an optoscope, putting the disposable cone on the end. She starts by looking in the left ear and moving to the right, tilting Jenny's head to get the best angle.

She then tilts Jenny's head back to look in each nostril. Finally, she pulls off the black cone and hands it to the nurse who hands her a toung depresser in it's place.

"Open wide and say Ahh"

As Jenny opens her mouth, she gags a bit as Dr. Lee pushes her tongue aside and looks into her mouth and throat.

"Sorry about that." She says. "Eye exam normal. Ears, nose, and throat exam normal except for a little remaining redness on the throat."

"I am going to check your nervous system and your strength now. Please make a big grin."

"Notice that the sides of the grin are equal, William. no druping. You can stop now."

"Please put your arms out like this." Dr. Lee said as she demonstrated by putting her arms out with fists touching."

"Keep me from pushing your arms down." "Good now keep me from pushing them up."

Dr. Lee continued this with similar tests for her hands and legs.

"Let's test your reflexes now." Dr. Lee went through the familiar striking of the knees with a rubber hammer and had William repeat the test.

"OK let's check you lymph nodes now." the doctor said and Jenny blushed a little more.

First Dr. Lee felt under her jaw and on her throat. This wasn't too bad. Then her hands went in to Jenny's armpits, one on each side. She worked her way down, gently squeezing the side of Jenny's breasts as she went.

"Mild swelling still, but reduced." She said and, to Jenny's relief reached for her stethoscope, placing the bell at the bottom of Jenny's left breast. After listen to her heart, she moved the bell to the side and moved her other hand to Jenny's back.

"Breath deep" was repeated each time that she moved the stethoscope. Eventually she moved the bell to Jenny's back, moving her left hand to Jenny’s chest and repeated the process."

"Mostly better, but you still have a little wheeziness on the right side. Take a listen in the right lower quadent William and compare it to the left." And Dr. Lee guided William to repeat part her exam.

"OK. Please lie back." As Jenny did this, Dr. Lee pulled the drape down to her knees, leaving Jenny laying naked on the exam table.

Dr. Lee put her stethoscope back on and listened to Jenny's abdomen. Satisfied, she systematically palpated the abdomen twice, softly the first time and then more deeply the second time. She felt all the way down the top of Jenny's vulva.

Jenny's silent prayer was answered when she did not ask William to repeat the exam and pulled the drape back up, covering Jenny's groin and breasts. However, Dr. Lee's next words gave Jenny some dread.

"Because antibiotics can sometimes encourage a yeast infection, I am going to have do a vaginal exam. It won't be a full pap and pelvic exam, but it will be an internal exam. I will be as gentle as I can."

Jenny gulped. She had gotten a pelvic exam for the first time at her last physical, but that was with Dr. Sara, whom she knew and trusted. She wished it was Dr. Sarah doing it or that she had Mom here.

"OK", she said meekly.

Folding out the stirrups, Dr. Lee said, "Slide down to the bottom of the table. The nurse and I will help you get your feet in the stirrups and make sure you don't fall."

Jenny slid down the table letting guide her legs. As the nurse pulled the drape up, she realized how exposed she was. Her genitals and butt were on full display to all in the room. She turned deeply red.

The nurse patted one hand. "It will be over before you know it."

"You are going to feel me touch you." Dr. Lee said as she felt the lymph nodes in her groin and then checked the femoral pulse. She noted a normal distribution of pubic hair and no external abnormalities.

Jenny then felt the doctor separate her labia. After a few seconds she felt a finger gently probing.

"You're going to feel me put a couple fingers in and then spread you open. Just try to relax."

Jenny felt the doctor's fingers enter her and push gently on the walls of her vagina, opening her up. Then she felt the fingers being withdrawn.

"All done. I didn't see anything to require me to go further. You can sit up now."

"Nurse Ann, please help her back into her gown." Dr. Lee said as she removed her gloves and went back to the chart.

Ann helped Jenny back into a more diginified position and then helped her back into her gown. Jenny was never so glad to be back into a skimpy hospital Johnny.

"Well, overall you seem to be well recovered. You still have a bit of wheeziness in the one lung, so I would like to put you on one more round of steriods. You'll get a shot today and then a prescription for oral steriods to take home."

"I want you to stay one more night though. However, if nothing pops up tomorrow moring, we'll send you home after noon. You will still want to rest for a few more days before going back to your normal routine, but you are well on the way to being recoverd."

"I will write up some discharge instructions for you. The nurse will take your room." Dr. Lee said and left with William trailing after her.

The nurse, Ann, came over to her. "You handled that well. Now, I have your steroids shot before you go back. It's a small shot, but it goes in your bottom. Would you rather lie down on your belly or bend over the table?"

"Mmm. I'll just bend over, I guess." Jenny said. She wasn't sure but it seemed a little more dignified. Like she could be trusted. Plus she assumed that it meant that the should would not be a bad one.

She hopped off the table, turned around, and bent over, putting her weight on her arms. She felt the cold air on her butt as Ann parted her gown. It was strange to think how much more embarrassing this would have been just a few days ago.

Ann looked at the teen bent over the table and pulled open her gown to fully expose her butt. After looking at the bruises she selected a section of her right hip for a ventralgluteal injection and bent over to clean it with alcohol.

Grabbing the teen's hip to confirm her landmarks and to make sure she didn't flinch, Ann says "Here it comes."

Jenny barely feels the slim needle enter the side of her butt. There a tiny bit of pressure as the medicine is pushed in and then she feels the nurse give her a little pat on bottom and say "All done honey. You can cover up and have a seat in the chair."

Jenny rearranges her gown and sits back in the wheelchair. As Ann pushes her back to her room, Jenny is a little amazed at how much she has gotten used to shots and "hospital nudity".

After Ann leaves her in bed, Carla gives her a sympathetic look. "Did you get the full exam too?", pointing down.

"Not quite a full pelvic, but fingers inside." Jenny says. "I've had a full pelvic before but that was with MY doctor. You know?"

"Yeah, I've had the full pap and pelvic with my doctor and it was somehow less embarrassing, even with him being a man." Carla said, remembering the exam she had to have when he put her on birth control pills to help with her periods.

Cindy and Mandy sympathize with their own stories. Tim decides wisely to stay out of the discussion.

The day went on slowly. Mandy endured hourly rectal temperature checks and her temperature started to creep back up.

It was around 5:30PM. Carla was in the bathroom changing into her street cloths while her father was chatting with Amanda, quizzing her about her condition and the drugs Dr. Jackson had tried when Dr. Jackson came in trailed by a student and resident who were pushing a cart.

"Dr. Torres, what are you doing here?" He said with a smile. He had worked with the pharmacist on many occasions adjusting medicines for his patients.

"Just picking up Carla. Her infection has cleared up enough for her to recover at home. It turns out that Carla and Mandy her have been roommates on a couple of hospital visits before."

"Good to hear that Carla is doing better. Well I better check on this bad penny. I may want to consult you on some an antipyretic medication for her. She has the most atypical responses to them."

"I am off duty now, but I can look over her chart if you would like while you examine her."

"I would appreciate that. Take a look at the notes from the June 1969 visit. This looks similar. We had a devil of a time getting her temperature back down then." He said, directing the student to hand over the binders.

"Well, Mandy. Your temperature is being as stubborn as you and is starting to rise again. How are you feeling?"

"Pretty good. I've avoided most of the hangover, but I am getting tired. I get a little woozy if I sit up too fast, but other than that I'm OK."

"Well let's check you out." He says taking out a pen light to shine in her eyes and then checks her tracking and makes her give a big smile.

Next he grabs the blood pressure cuff and takes her blood pressure with her laying flat and then with her sitting up.

He moves on to checking her pulse. He has her lie down flat. First he goes to her neck. He directs the medical student to follow along on the opposite side of her body. Then he goes to the pulse at either wrist.

Finally she turns red as he pulls her gown up almost, but not quite exposing her groin. He separates her legs a bit and reaches under her gown to feel her femoral pulse.

When he sees the medical student hesitates, he says firmly. "The femoral pulse too Mrs. Jones. You have to learn to not be shy. Move the gown if you have to. Try not to expose the patient anymore than you have to, but do what you need to."

The medical student blushes a bit and lifts Mandy's gown a little bit, exposing her to the room. She finds the pulse and lets the gown fall, covering her again.

After that embarrassment, Dr. Jackson has Mandy stand up. After making sure that she is not too dizzy, has her hold her gown up so that her hips and butt are visible and walk away from him towards Tim. She blushes a bit as she realized that Carla's cute father is getting a full view.

"OK. Let your gown down and turn around and walk towards me."

The lanky girl does so and gets back in bed.

"Well your gait is OK and your blood pressure and pulses are coming back to normal. I am still concerned that your temperature is going back up. Let's give it a check."

"Ugg, do we have too?"

Shaking down the thermometer from the holder, he says, "I'm afraid so. You know the drill. On your belly please."

Sighing, she rolls over letting her gown fall open and plops her head into her arms.

Dr. Jackson hands the now lubricated thermometer to the medical student, Jill Jones.

Jill was not expecting to do this and has never been on this end of a rectal thermometer although she had been on the receiving end more times than she could remember. Bending over the teen, she moves the gown out of the way to expose the buttocks and tries to remember when she had seen nurses doing this.

She uses one hand to spread Amanda's buttocks as far as she can and then pushes just the bulb end into the girl's rectum.

"A little farther if you please. For an adult you should place the first one and a half to two inches. Just let it find it's own path. Don't force it."

Jill pushed the thermometer in a little further and then released the teen's buttock. She glanced at her watch and straightened up, holding on to the thermometer awkwardly.

"Is she being graded, doc?" Amanda said sarcastically.

"More taught."

After a few minutes Jill pulled the thermometer out and read it. "102.4" she said.

"I was hoping that it would be going down by now. Mandy, we are going have to keep a close eye out until it comes back down. I am afraid of triggering another seizure. I don't want the nurses to keep waking you all night, so I am going to put you on a continuous temperature monitor."

"Umm. What's that?" Mandy said, turning over and not liking what she was imagining.

Dr. Jackson held up a tube in a plastic package. "It's a kind of electronic thermometer. It's a thin tube with a sensor at the end. It will be slipped into your bottom like a regular thermometer and attached to this machine. This will record your temperate and alert the nurses if it gets too high. It will let us monitor your temperature overnight with out having to constantly wake you."

Mandy was dubious, but she guess that made sense. "But what if I have to go to the bathroom?"

"Use the call button. The nurse will unhook you and then put it back in when you are done. Now turn on your side and we will get you set up." He said as he put on gloves and the resident raised the bed."

Mandy turned over on her side and pulled her legs up. She wasn't too sure about this, but it would be better than constantly getting a thermometer shoved up her butt... wouldn't it?"

"The tube is very thin, so I have to use my finger to guide it in. Just take a deep breath and let it out." Dr. Jackson said as he lifted Amanda's buttock and used his lubricated finger to place the sensor against her anus.

Mandy felt cheeks being separated and a pressure on her anus. Then she felt the doctor's finger push up into her rectum and quickly withdraw. This was followed by an odd fullness as he inflated the balloon that would keep the sensor in place a gave it a light tug.

"It's in place. I am just going to tape the tube to your side." The doctor said as he released her buttock. The sesor was connected to a box that fit into a bracket on the head rest and she was allowed to sit back up.

"How does that feel? Is it comfortable?"

"OK. I guess. It's feels a little full.."

"That's normal. You will get used to it shortly."

"Dr. Torres, did you have any suggestions for antipryics?"

"Since the others did not work well in the past, I am going to suggest ibuprofen. It's new and is really more for pain, but it's antipryic mechanisms are different. I'll jot down a dosing suggestion for you."

After a little more conversation, Dr. Jackson and left. Carla said her good byes to

everyone and Jenny, Cindy, Amanda, and Tim were left to wait for dinner.

"Well that was an experience." Said Mandy.

"Yep. Is that uncomfortable?" Asked Tim.

"It's getting less noticeable. At least I won't be mooning you all hourly."

With that each of them turned to books, homework, and other things to distract them until dinner.

Jenny thought about the day and hoped to heading home tomorrow.