Eighteen year old college freshman Sara Winters got off the bus with some time to spare before her doctor's appointment with Dr. Taylor. She had her college exam forms and some other papers in an manila envelope. She had allowed enough extra time that she could take her time and look in the windows of the shops in this part of town. This is the first time that she has been away from the general area of the campus and she lingered at the shops.

Sara is a little nervous. She did not get a medical exam form filled out before starting college and now she had to get it done in the next couple of weeks or she would not be able to register for winter quarter classes. She could not get back home to Florida to get it done at her old doctor's office (well a dependent's medical clinic). She had tried to find a local doctor to fill in her exam form, but there was no one that take an 18 year old, take her student health insurance, and get her an appointment in time. There seemed to be a shortage of GP's due to some sudden retirements and they were giving priority to "real adults" who would be staying in the area, not some college kid too dumb to get her paperwork done. (She swears she never got the form.)

The Dean of student health had come up with a novel solution for Sara and for two others who where missing their vaccination records. She got a local doctor, Dr. Taylor of Taylor Pediatrics to take them on a patients.

Even if Dr. Taylor wasn't technically a pediatrician (she was trained in Family Practice), it was still "Taylor Pediatrics" that obviously focused on kids, not young adults like her. Sara would have rather seen a GP, a grown up doctor, but she needed to get this done and this was the only solution that would work in time. And she did need a local doctor.

She had exaggerated when she said that she wasn't to proud to see a pediatrician. Still, her mama always said, never let your pride keep you from doing what is necessary.

No longer able to put it off any longer, she swallowed her pride, held her head high, and walked over towards Taylor Pediatrics.

She walked into the waiting room and went straight to the front desk. Smiling at the receptionist, she said "Good afternoon. I'm Sara Winters. I have an appointment at 3:30PM with Dr. Taylor. These are the forms that I was supposed to bring."

The receptionist gave a profession smile and checked the schedule for the day. "Here you are. Sara Winters, new patient exam and a college form to be filled out. Oh you are one of those students from Three Hills College. We don't normally get new patients your age." She quickly added, "But don't worry, Dr. Taylor lets established patients stay until they are 21 or so, so she does have experience dealing with young adults."

The receptionist took the forms that Sara had brought and wrote her a reciept for her copay. "Well go ahead and have a seat over there. We've been a little busy today and you will be her last patient of the day, but Dr. Taylor is running almost on time, so a nurse will call you back soon for the preliminaries."

Looking at the waiting area, she only sees a boy who looks to be about her age sitting alone and flipping through a magazine. She sits next to him and says "Hi there. I'm Sara."

Bill looks at the girl who is clearly trying to hide her nervousness. "I'm Bill. You look nervous."

"Kinda. This is my first time with Dr. Taylor. First time with a pediatrician too. Kind of nervous. I'm not sure what to expect especially since I was told my new patient exam would be ... complete."

"Don't worry. Dr. Taylor and the nurse practitioners, and the other nurses are nice. I've seen her most of my life and probably will stay until I have to leave when I graduate college."

"You might want to mmmm .... leave your modesty at the door. She will probably check you out from head to tow and every where in between. And ... do you know how they take ..." Bill started not quite sure how to bring up Dr. Taylor's temperature policy.

"Yeah, the policies page in her new patient packet sort of implied that. And my dad was in the military until a couple of months ago, so I got my care from the dependents clinic. Believe me, you got no modesty there. It's just ... Taylor Pediatrics ... I just hope they don't treat me like a kid. You know? I'm 18 and being an adult is new."

"Don't worry, just act your age and they will treat you that way. I'm almost 21 and I haven't moved on yet and I would have if they weren't respecting me. Although Dr. Taylor does have the "Mom Voice" down pat. Especially when telling you something you don't want to hear, but need to."

"Thanks. That makes me feel better. And I'm glad I'm not the oldest one here."

They hear a nurse call Bill's name. "Well that's me. Time to get my stitches out. I'm sure you will do fine Sara."

A few minutes later the nurse came back out and came over to Sara. "Are you Sara Winters?"

"Yes, ma’am. I'm here a for a new patient exam and to get my college exam form filled out. I also thought that I might use Dr. Taylor as a doctor while I'm at school. I've had a hard time finding a GP taking new patients."

"Yes, that explains some things. Dr. Taylor has some patients your age or a little older, but those are usually ones that have been with her for years. But you are certainly welcome to the practice. Come back with me. I'm Anne and I'll be getting you ready for Dr. Taylor to examine."

"Yes, ma'am. Thank you ma'am" Sara said, getting up to follow her back through the archway to the exam rooms.

"Oh, you don't need so many ma'ams. You can call me Anne or nurse Anne." Anne said.

"Yes, ma... Sorry, yes Anne. I got most of my medical care at military dependent clinics, so I'm used to yes ma'am no ma'am." Sara said with a little smile.

"Just so. You're a young adult now. Polite is good and you have to follow the practice's rules, but don't forget that you get to make choices now." She says stopping outside of a bathroom door and handing her a small plastic sample cup with her name on it.

"But the first order of today is that we need a urine sample. It doesn't have to be full clean catch, but I want to spread your lips with one hand, start peeing, and then move the cup into the stream. It doesn't need to be filled all the way. Half will do. Put it on the shelf here and close the door on it. I'll be out here if you have a problem. OK?"

Taking the cup, she said "OK. Could you hold my purse and these papers for me m... nurse Anne?"

"Sure dear." Anne said taking the purse and the papers from Sara.

Sara returned a few minutes later. Anne handed her her purse and papers back and led Sara to exam room 3. Sara noticed that there were 3 other exam rooms in this hallway and there there was a doctor's scale at the end.

"OK, Sara. I'm going to get you weight and vitals and draw some blood. Go a head and take your shirt, jeans, and shoes off. You can leave your underclothes on for right now." Anne said as she put fresh paper on the exam table.

Sara wasn't sure that she liked what the "for right now" implied, but was glad to keep what clothes she could for right now. She sat on the chairs off to the side and removed her tennis shoes.

She then pulled off her "Tree Hills" sweatshirt folded it. Reluctantly she pulled off her tee shirt, reveling medium breasts in a light pink bra.

Finally she unbuttons and unzips her jeans. Standing up she takes a deep breath and pushes them down, reveling matching pink panties that come up to just bellow the top of her butt crack. As she pulling her left leg out of her jeans she pauses for a couple of seconds as she notices the lone thermometer jar on the counter across from her.

On the counter top across from her is a single clear glass cylinder next to a small tub of Vaseline. The single thermometer in looks slightly flatten and ends in a pear shaped bulb. To remove any double the cylinder has the word RECTAL printed on it in red letters from top to bottom. There is no companion cylinder marked ORAL.

"Well, I guess that confirms things." Sara thought and finished removing her jeans. She now stood in front of nurse Anne in only her bra, panties, and socks. She had to keep herself from trying to cover up.

Opening the door to confirm that no one was in the hallway, Anne says, "I just need you to step out here to the scale. Don't worry, the coast is clear." as she steps into the hallway.

Sara is a bit reluctant to follow, but at least there was no line up of patients waiting to be weighed like had happened at the dependents clinic. She steps out into the hall and gets on the scale.

Anne adjusted the sliding weights on the scale until she it balanced. "130.5. Turn around and stand straight so I can get your height." Anne said.

Sara turned around and stood up, head up, chest out while the nurse fiddled with the stadiometer. This part always made Sara feel somewhat ridiculous. Well at least she still had her underclothes on.

"5 foot 8 inches." The nurse announces and leads her back into the exam room. Sara does not notice the male patient in his boxers who is being lead to the scales as she entered the exam room.

"Hop up on the table. I need to check your pulse and blood pressure."

Sara took a seat on the table and Anne took her wrist in hand, two strong fingers clamping down to measure her pulse as Sara tried to think calm thoughts. Anne scribbled a number in the chart and then wrapped the black pressure cuff around Sara's arm. She felt it squeeze her arm tightly and then slowly release. Anne announced, "105 over 70. very good" but left the pressure cuff in place.

"Since you are getting a more complete physical, I need to draw a couple of tubes of blood instead of just getting drop for the iron test. Do you have problems with needles? Have you ever fainted on a blood draw?" Anne asked, trying to look non-theating.

"I'm OK as long as I don't look." Sara said.

The nurse took her arm with the still attached blood pressure cuff and pumped it up. Sara looked away as she felt the cold alcohol on the inside of her elbow. She felt her eyes drawn back to single thermometer sitting in it's stand on the counter.

Sara feels the nurse tighten her grip on her arm and then a small pinch as the needle slides in. Twenty seconds later she feels Anne press a cotton ball to the vein and tell her "Put two fingers here and press down for 60 seconds.".

"OK Sara. I just need to get your temperature. Now Dr. Taylor prefers rectal temperatures. All her patients get rectal temperatures, not just you, so I need you to slip you panties down and lay on your tummy or on your side facing away from me." Anne said, holding the Vaseline smeared rectal thermometer like a little torch.

Sara sighed internally. She recognizes the goo covered thermometer with the distinct tear drop shape at it's end, She had been expecting this, but was hoping to maybe avoid a temperature taking since she wasn't sick. She was no stranger to rectal temperatures. It seemed that each base her father had been posted at had a slightly different policy, but she had found her self face down more times than not. She had learned that arguing that you were too old for a baby thermometer never got you anywhere. At least this wasn't in a big open room like the last base.

Sara slid her panties down to her knees reveling the patch of pubic hair that she kept trimmed to a neat triangle. She then turned over onto her tummy, propping her head up with her arms and the pillow on the exam table, assuming the position she knew full well, waiting for the rod with pear shaped bulb to penetrate her.

Anne looked at the teen laying face down on the exam table, panties down below her knees, legs slightly parted. The girl had a runner's body, slim but toned and defined. She had the classic perky pale bottom with just a hint of faded tan lines from last summer.

Anne slips her thumb and first two fingers in between Sara's cheeks and gently spreads them apart until she can see the girl's pink rosebud. She then places the gooy bulb against her anus and waits for it to relax. Aiming for the girl's bellybutton, she pushes the thermometer in with a slight back and forth twisting until more than a third of it disappears. Twisting the thermometer so that the flat portion aligns with her butt cheeks, she let's the girl's cheeks fall into place. She holds on to the thermometer with a thumb and finger right where it is held by Sara's cheeks, with her hand resting where buttocks meet thighs.

Sara feels the nurse spread her wide open, followed by the cold thermometer against her anus. After a brief pause, she feels the icy intruder penetrate her rectum. It feels a little thicker than the thermometers that she is used to as it slides into her rectum. As the nurse releases her buttocks to hug the thermometer, she braces, expecting to feel a hand cup her bottom and hold her down. Instead, she just feels the nurse's hand rest lightly up against her bottom.

After a little bit, she says, "You have a lighter touch than I expected."

"Well you are 18. You're not a squiggly little kid or a 40 year old drunk that I have to hold down. I think that I can trust you not to jump off the table."

"That sounds like a story." Sara said.

"Oh there are lots of stories from my time as an ER nurse, but I can't share them."

A little bit later Sara felt Anne part her cheeks again and pull out the thermometer. She felt a tissue across her bottom and hear Anne say, "99.0. A normal rectal temperature. You can sit up now."

Anne cleans the thermometer and puts it back into the holder. She then opens a door and pulls out a cloth drape. "OK. Between the new patient exam and some of the requirements of your college exam form, Dr. Taylor is going to be doing a full head to toe physical on you, so she needs you in your birthday suit. Panties, bra, and socks need to come off. You can use this drape to cover your self for the inital parts, but she will be examining all of you."

Sara had just turned over and was pulling up her panties. She stopped with them at mid thigh. "Does that mean she will be examining me ... down here?", Sara asked quietly as she pointed at her still exposed groin.

"Yes, dear. There will be a genital exam, but there won't be a full pelvic and pap unless she finds something. Or if you need birth control pills."

"She would do that? Prescribe the pill?" Sara was amazed at the idea. Some of her friends, including one who was 20, had been not been able to find a doctor to prescribe them the pill because they were unmarried and too young.

"Yes, if appropriate. She may want to have a separate appointment to talk about your birth control choices and help you pick the best option." Anne said as she left the exam room.

"Hun?" Sara thought as she pulled off her panties and socks and placed them with her other clothes. She then removed her bra, reveling medium sized but firm breast and leaving the teen standing naked in the exam room. As she hopped up on the table and wrapped the drape around her like a towel, she thought of how this new doctor's office seem to be full of contradictions. With the rectal temperature policy and the practice name she had been expected to be treated as a child, but they seemed to treat her more like an adult than any of the military clinics had.

She was still contemplating this when there was a knock at the door and a friendly looking middle aged woman in a white coat entered and held out a hand. "Good afternoon Sara, I'm Dr. Taylor. I understand that you are one of our new Three Hill patients. The one who needs a physical for college."

"Yes, ma'am.... Err. Yes Dr. Taylor. I appreciate you fitting me, fitting us in. I didn't know what else to do. And I needed a local doctor anyway."

"Well you are welcome to stay until you graduate if you are willing to put up with us. Now let's get started. Between what your form requires and what I like to do for older new patients, we have a lot to cover. I will say that you did an excellent job filling out the health history forms and the vaccine record booklet you have was very helpful."

"Before I start poking at you, I have a few more questions. Please answer honestly. I'm not going to go tell on you, but I need honest answers. OK?"

"OK." Sara answered.

"Do you smoke? Cigarettes or anything else?"

"Ick. No."

"Good for you. Don't start. It's an expensive habit that in much easier to not start than to stop. Do you drink alcohol?"

"Mmmm, not right now, but sort of."

Dr. Taylor gave Sara a pretty good Mom Stare and said, "Can you explain sort of?"

"Well, I can't buy alcohol, but I've been to a couple of parties with it but .... I hate to sound stuck up, but the beer they have at those parties is trash. My dad let me have the occasional beer starting when I was in High School, but it was mostly this dark Irish stout or some stuff his friend home brewed. And the stuff they have at parties is just .... just bad."

Dr. Taylor raised an eyebrow. "Well, I guess that is one way to keep your kids from drinking too much at school, get them used to the good stuff. So I will take that as not too often and never more than one or two."

"Oh yes, Dad taught me to enjoy a beer with a meal. Plus I've seen what some folks do after having too many and no."

"Good. Remember it better to learn some lessons from other. Now, are you sexually active?"

Sara blushed a bit. "Not now. I had a boyfriend back in Florida and we mostly did kissing and umm heavy petting. We tried a couple of times over the summer to go all the way, but it was kind of uncomfortable the first time and .... quick? the second time. We broke up before I went off to college. I haven't been with anyone since."

"Did you use birth control?"

"Yes, we used condoms. That was one of the reasons we broke up. He wanted to try again without using them and I didn't want to."

"That was very sensible of you. Before you want to be active again, please talk to me or whom ever you your doctor is at the time. We can talk about your options for birth control."

"Like the pill?" Sara asked.

"Yes, at your age, a combination of one form of the pill and condoms is usually best, but there are other options like IUDs too. Please make an appointment with me before hand, OK?"

Sara shook her head, "OK. I will. Thank you."

"And remember, when you find a boyfriend, don't let him rush you into sex. You don't have to unless you want to at that time. You can change your mind. And the same applies to him. You shouldn't pressure him until he's ready."

"OK. Enough lecture on consent. For now. Let's check you out from head to toe." Dr. Taylor said pulling an otoscope from the wall.

As Dr. Taylor looked into each ear, turning Sara's head and inserting the cone of the otoscope, Sara thought, maybe this won't be too bad.

Dr. Taylor tilted Sara's head back to look in her up her nose and the grabbed a toung depressor and said "Say ahh."

Sara was relaxing when Dr. Taylor said "Let's lower this drape now." and pulled the drape down to Sara's waist, reveling her medium but perky breasts.

Dr. Taylor started by feeling the lympth nodes around her jaw line and then the ones in her throat. "Swallow please." She said while feeling her trachea.

Sara turned a little pink as Dr. Taylor felt in her armpits and along the sides of her breasts. This was looking to be a more complete exam then she was counting on.

Deciding to get this embarrassment out of the way Dr. Taylor says, "I'm going to do a breast exam next. Are your doing a monthly self exam?"

"No. I've never really been shown how. They mentioned it in health class, but the teacher was a man and he just said ask your doctor. I think that he was embarrassed by it." After a seconds hesitation, she added "He was the football coach. I don't think that he was used to dealing with woman stuff."

"Oh for the love of... Sorry, but if he is too embarrassed to teach the material ... well he should grow up, but he shouldn't have been teaching the class. I will give you a pamphlet, but here is the quick version."

"Examine your breasts one a month, about a week or so after your period ends. Do it in the shower, the heat and the soapy water help. I'll show you the spiral method, but as long as you cover the whole breast, it doesn't matter the pattern. Get familiar with what your breasts feel like. If you feel something new or that feels wrong or different, don't panic. Let me or another doctor check it it out, but usually it will be nothing."

"Put your fists at your side like this. Good. I am looking at the over all shape of your breasts, you can do this in the mirror." Dr. Taylor looked at the teens medium sized breasts. They were firm and symmetrical and she did not see any dimples. She lifted each breast in turn and then stood back. "Put your hands on top of your head please." She looked again at the girl's breasts. There were still no dimples or other areas of concern. She did have a number of freckles and there was one mole wearth watching.

"Lay back please. I'm going to start with your left nipple and then spiral out from there." She squeezed the girl's left nipple and then worked around the areola and continued in a spiral pattern around the girl's breast, commenting the whole time. "Also don't forget to go all the way into the underarm.

Dr. Taylor then repeated the process on the right breast. Sara was embarrassed. She had never so complete of a breast exam before. The military doctors had done little more than a mortifying quick squeeze and move on. They had certainly never explained anything to her.

Dr. Taylor then made Sara repeat the exam of her breasts, guiding her hand along the way.

"Don't worry about getting it perfect. Just concentrate on learning what is normal for your breasts. OK? I haven't overwhelmed you?"

"No. I'm just trying to take in a doctor actually explaining things to me." She said with a weak smile.

"Well, I won't usually go into this much detail, but I try to explain things I think will be new to you. If you ever need me to explain something, just ask me to stop and explain it. Now let's move on to your heart and lungs." Dr. Taylor said putting on her stethoscope.

Sara jumped a little bit as the cold stethoscope touched her chest, but at least this was familiar. Sara felt Dr. Taylor listened to Sara's heart and then moved the bell of the stethescope around her chest, occasionally stopping to ask her to breath deep. Then she moved on to Sara's back to repeat the process.

Dr. Taylor takes a quick look at Sara's back and then thumps her over her kidneys. "Any pain here?" she asks.

"No"

"Good, go and lie back. I am going to examine your abdomen now."

As she laid on her back, Dr. Taylor pulled the drape from Sara, leaving the girl fully naked and exposed. "We won't need this for a while." Dr Taylor said as she deposited the drape on one of the chairs.

As Dr. Taylor put on her on stethoscope and started to listen to Sara's abdomen. Sara turned a little pink when Dr. Taylor moved the bell of the stethescope to her groin to listen to her femeral pulses.

Then Dr. Taylor started to press down on her abdomen. "This should not hurt. Let me know if it does."

Sara felt Dr. Taylor press down on her abdomen, working her way back and forth across her stomach. "How far down is she going to go?" Sara thought as Dr. Taylor worked her way towards Sara's groin.

As Dr. Taylor pressed on Sara's pubis symphysis, Sara thought "All the way I guess."

Dr. Taylor said, "We're half way through Sara, you're doing great. I am going to check your legs next. I am going to be moving them through their range of motion. Just relax and let me move them. Tell me if anything hurts."

Dr. Taylor picked up the girl's right leg up and started to move each joint through it, starting with the ankle. When she got the hip joint and extended it, Sara realized how exposed that she was and was just grateful that the male doctors back at the dependent's clinic had not gone this far.

After repeating the exam on the left leg, Dr. Taylor told Sara to "Sit up now. I am going to do the nervous system and reflex exam next." As Sara sat up, Dr. Taylor folded the drape and placed her lap, covering Sara from a little below her belly button to just below her groin.

"Smile real big."

"Close your eyes and tell me if this feels the same." Dr. Taylor said as she touched both sides of Sara's face and then the back of her hands, the tops of her thighs, her calfs, and feet.

She then tested her strength. "Put your arms out like this and don't let me push them down." "Don't let me push them apart." "Keep your leg straight out."

"Let it hang down loose." Dr. Taylor said as she tapped one knee and then the other with a rubber hammer.

"That all looks good. Now I need you to hop off the table and walk over to the door, turn around and walk back."

Reluctant to give up what cover she had, Sara put the drape aside, hopped down and started walking towards the door, her buttocks swaying as she went.

Dr. Taylor watched the nude teen as she walked towards the door. She observed a normal gate and, watching the girl's buttocks, normal hip movement.

When the girl came back to the exam table, she had her bend over and touch her toes to check for scoliosis. She ran a finger all the way down the girl's spine from her neck to her buttocks.

Having Sara stand, the doctor did quick skin exam, making notes of several moles.

"You can get up on the table now. We just have a couple of more things to do, but they might be a little scary. I have to do a genital exam and an anal exam. I'm not going to do a full pelvic and pap today unless I see something, but there will be an internal vaginal exam and I will be doing a digital rectal exam to check for hemorrhoids. Have you had either of those done before?"

Sara had a bit of a deer in the headlights look on her. She knew there was a genital exam, but had not expected an internal exam. She gulped and then said. "Umm, once I had one of the military doctors stick a finger in my vagina. It wasn't too nice, but usually they just looked, or skipped it. I've never had a rectal exam.... but I have had suppositories."

"Sometimes my patients like to have someone hold their hand during the exam, especially the first time. Usually their Mom, but sometimes a friend or a nurse. Would you feel better if I had nurse Anne here for your exam?"

Sara hesitated for a second, then said. "No, I think that would just be more embarrassing."

Snapping the stirrups in to position, Dr. Taylor said "OK, let's get you ready then. I need you to slide down to the end of the table and put your knees in these rests."

Eyeing them dubiously, Sara slid down to the end of the table and let Dr. Taylor guide her legs into the stirrups. She turned red as she realized that this exposed her groin even more than when the doctor was examining her legs. Dr. Taylor moved to the end of the exam table and Sara felt her warm hands under her bottom.

"I need you to to lift up and slide down some more until your bottom is just off the table. Don't worry, I won't let you fall." the doctor said as she gently lifted and guided Sara into position.

After putting the drape across Sara's chest, Dr. Taylor put on gloves and sat down on a short wheeled stool between Sara's legs. As she shown a light on the girl's most private area, she said "I'm going to start by looking at the outside. You'll feel me touch you, but I'll warn you before I insert my fingers, and if you need me to pause, just say so, OK?"

"OK." Sara said quietly. She was a little scared, but this was better than the military doctor who had barely given her any warning before jamming a finger in and pushing down on her belly.

Dr. Taylor started by looking at the girl's pubic hair. It had a normal distribution for a girl her age, trimmed into a neat triangle, but not shaved. As she ran her fingers through the hair, she saw no nits, in grown hairs or other problem.

She used two fingers on each had to feel the pulses on either side of Sara's groin, pushing to feel the steady, if quick, pulse. She then pressed harder, feeling the lymph nodes, making sure that they were small and free.

"I'm going to spread your labia now and feel along them." Dr. Taylor said as she used on hand to spread Sara's labia. She then used the thumb and forefinger of the other had to palpate the labia, feeling for Bartholin's gland. She then used both hands to gently spread the labia and visually inspect the vagina.

Releasing Sara's lips, she carefully pealed off her left glove. She then reached over to her side to grab an open tube of surgilube to lubricate the first two gloved fingers of her right hand. "You are going to feel me insert my fingers into your vagina now. This shouldn't hurt, but it may feel a little uncomfortable. Stop me if you are feeling any pain."

Sara shook her head yes, not trusting her voice. This was more than she was used to. As she stared at the ceiling, Sara felt the doctor gently slip two fingers into her vagina. It was a little uncomfortable as she pushed on the walls of her vagina. Then she felt the doctor's other hand on her belly. The doctor's right hand seemed to go further into her as the left hand pushed down on her belly. After an eternity (a minute or two), she felt the doctor pat her dry with a paper towel.

"You did good Sara. We are all most done. I just need to do a rectal exam. You'll feel me spread your cheeks to look at your anus and then you will feel me insert a finger into rectum to check for hemorrhoids." Dr. Taylor said she she changed gloves and pointed her light down so that Sara felt it's warm light on her bottom.

Taking care not to smear the lubicant on her right index finger, Dr. Taylor parted Sara's cheeks a bit so that see could see clearly from the perianal region to the anus. "Bear down like you are having a bowl movement for me Sara."

"OK. You can relax now. I am going to insert my finger." Dr. Taylor said and placed the pad of her index finger on the young woman's anus.

Sara felt the doctor's finger slide in and out of her rectum four times and then enter one last time to sweep around in a circle. Finally, she heard the doctor say, "Squeeze on my finger like you are trying to stop a bowl movement." as the doctor slid her finger out.

After wiping some excess lubricant from Sara, Dr. Taylor removed her gloves and helped the coed get back into a seated position and to get covered up.

"Well, between your exam and the lifestyle forms you filled out, everything looks good. You are in good health overall. Your diet could be a little better with a little more fruit and veg. Your running has helped you keep a healthy weight, but good diet is still important."

"I did notice few moles that I would like to keep an eye on. The one on your left shoulder, this one on your stomach, and one on your back, just at the top of your right butt cheek. None of them are irregular, but they are all a little on the large size." Dr. Taylor said, pointing out each mole to the teen, using a mirror to help her see the one above her butt.

"Should I be worried about them?" Sara asked.

"Not worried, but you should keep an eye on them. We worry about moles when they are really big, or have irregular shapes, or have multiple colors. These are just a little large, but they have clean boarders and just one color. You should get them checked each year at your check up and if you see a change in them, come in. But don't worry otherwise."

"Now there is one last thing. As I was going through your vacine record booklet, I noticed that you did not get the rubella vaccine. Do you have another record of that? Or have it?"

"I don't remember. Although.... I was supposed to get some vaccine a year or two ago, but I had a fever, so they put it off. We changed bases shortly after that, so I guess it got lost."

"Well you'll need to get that taken care of for me to sign off on your forms. Fortunately, we can take care of it today." Dr. Taylor said, a little too cheerily. Still it was only one shot, Sara thought as she absent mindely rubbed her butt.

"OK. I guess that makes sense to take care of."

"Excellent. Also, it is getting late in the season, but I believe that we still have some doses of flu vaccine left. Now, you don't have to get a flu shot, but I do recommend it. Would you like me to have the nurse give you a flu shot too?"

Sara bit her lip. She hadn't been expecting one shot, much less two. She wasn't exactly scared of shots, but .... Still she remembered having the flu last year and it sucked and she was trying to be a responsible adult. "OK, Dr. Taylor, if you think it's a good idea, I guess my poor bottom can take a second shot." She said with a little (half meant) smile, not believing that she was asking for a shot.

Dr. Taylor smiled. "That's the spirit. And they don't have to both go in your butt. Either can go in your arm or your butt, so you could do both in your bottom or both in your arms or split them."

"The flu shot is fine either way, but I would recommend you take the rubella shot in your bottom. It's a little more ochie. What would you prefer?"

Trying to be the brave grown up, Sara said, "I'll do what you said: the flu shot in my arm and the rubella in my bottom."

"Very good. I'll let the nurse know. You can put your panties and bra back on, but leave your pants and shirt off until the nurse is done with you. I'll have the front desk make copies of your form and updated vaccine log and then you can get them at the front desk. You'll get a letter in the mail in about a week with the blood work results, but give us a call if your don't get it in a couple of weeks."

"It's been very good to meet you Sara. Don't forget that you are welcome here at the practice until you graduate. The front desk can tell you how you can schedule a check up next year if want. " Dr. Taylor said as she left.

Sara hoped down off the table, leaving her drape behind as she retrieved her underclothes. The naked coed picked up her bra a put it on. She was just reaching for her panties when there was a knock at the door and nurse Anne walked in with a small kidney shaped basin in hand.

"Hello Sara. I have a couple of shots for you. One of them is going in your back side, so you can leave the panties off. Just hop up on the table and we'll get you done in a jiffy."

"Everyone is way too cheery about sticking needles into me!" Sara thought ruefully as sat back on the table. She fought the urge cover her groin and sat with as much dignity as she could, arms at her side. "It's not like Anne didn't already see me half naked when she took my temperature." Sara thought.

"The flu shot goes in your arm. Do you want me to use your left arm or right?"

"Left, I guess." Sara said uncertainly, never have been offered a choice before.

"Just let it go limp and dangle. You might want to look away." Anne said as she took the teen's arm and cleaned a patch over her deltoid.

Taking a firmer grip Anne said "Little pinch." as she darted the thin needle into the teen's arm. After pulling back on the plunger to check for blood, she slowly pushed it in. She then slid the needle out and put a prepared band aid on. "One down. One to go."

"Was that it? That wasn't too bad at all." Sara said, looking at the used syringe that Anne was putting back in the basin.

"It's a small one, even as vaccines go. The Rubella one is a little bigger, but it's going in your bottom where it hurts less, so it won't be bad either. Now since it's going in your bottom, I need you to bend over the table or to lay face down, however you feel more comfortable."

Sara hesitated for a second. Bending over the table seemed more mature, but it also brought up some uncomfortable memories involving a paddle being applied to her butt. She decided to assume the same position she had for the thermometer. "At least it covers my bush." she thought.

"Either cheek is fine" she said as got into position and tried to relax.

Anne smiled as she looked down at the half naked teen's pale bottom. It was always nice to have a cooperative patient. It was why she offered them as many choices as she could.

Still, she placed her left hand down on Sara's bottom to frame her target and give her some control over the girl in case she flinched. She cleaned the area with alcohol and then stretched out the skin, moving it to the side a bit in the z-track technique. "Little stick in 3 2 1"

Sara felt the nurse's hand on her bottom and the coolness of the alcohol. She felt pressure from the nurse hand and then, after a warning, the bite of the needle plunging into her butt, a little worse than the first shot, but not to bad. This was followed by an uncomfortable sense of pressure as the medicine was pushed in.

Anne slid the needle out of the girl's glute and applied a band aid. "All done. I hope that wasn't too bad."

Sara reached back and rubbed her butt for a moment. As she sat up, she said, "Not too bad. I have definitely had worse. I am glad I got the second one in by my butt. I think that would have hurt more in my arm."

"Yes. That was a mature decision on your part. Too many young people would choose feeling more grown up with an arm shot over the less painful option."

Handing Sara her panties. "Now you might feel a little run down tonight or tomorrow or even have a little fever. That is just your immune system doing it's job. You can take some Tylenol or aspirin if you need to."

Sara nodded her head as pulled on her panties. It felt a little odd pulling them on in front of the woman. She felt more exposed almost, but she felt better to be covered.

"After you dress, turn right out the door and turn left at the end of the hallway. All your forms should be ready at the receptionist station."

As the nurse left, Sara hopped off the tabled and grabbed and put on her socks. Her tee shirt and jeans followed along with her sweat shirt. Slipping on her shoes, she paused to look in the mirror above the sink, took a deep breath to center herself, and went out the door to go get her paperwork.

After triple checking to make sure she had all of her paperwork back in it's manila envelope, she walked out the door of Taylor Pediatrics and headed towards the bus stop. Her head was held high and she was proud of herself for taking care of this.

On the bus ride back to campus, she thought back on her experiences. She was so conflicted. On the one hand there was the practice's name and the indignity of getting her temperature taken rectally. On the other hand, they had treated her more like a person, more like an adult, then any of the military clinics had. All in all, she thought that she might just stay with Dr. Taylor for a few years in till she graduated.