I told her that when I checked her neck that she felt a little clammy and I was going to take her temperature to make sure she wasn’t running a fever. She said ‘ other than being a little nervous, I feel fine’. I told that’s good but I still want to get a good temp on her, so I was going to take her temperature rectally. Her eyes got as big as saucers and her jaw almost hit the floor. ‘You’re going to what’ she said ?. I want to get a good core temperature so I am going to take your temp rectally. Les said ‘I am a grown woman, not a child, and can hold the thermometer under my tongue. I told it was obvious she was a grown woman, but rectals are the most accurate and I take ALL my patients temperatures rectally. ’ Do you really have to do it that way’ she asked. Yes, I replied. Now, I want you to stand up and bend over the table for me. This is so embarrassing she remarked as she stood up and bent over the table. I knelt down behind her and told I was going to lower her panties and take a quick look to make sure there would be no issues. As I lowered her panties to her knees, she let out an exasperated sigh. I separated her cheeks exposing her anus and observed no issues. Letting her cheeks close, I told her I was going to apply some lubricant so the thermometer slips in easily. I stood up and took the thermometer out of the case, shook it down, stood it up in the jar of Vaseline, and placed the jar on the table; within her sight. As I pulled on an exam glove, I told her to relax and it would over in a few minutes. Her reply was that it was easy for me to say that. I took the jar of Vaseline and knelt down behind her and once again seperated her cheeks and slowly applied the Vaseline to her anus and pushed a little inside her anus. That caused her to jump a little and I ask her if I hurt her. She said ‘no’, I just wasn’t expecting that. I told her to relax, take a deep breath and let it out, as I was going to insert the thermometer now. She flinched as I slowly inserted the thermometer. I held the thermometer in place for a few seconds so she could get used to the feeling, then pushed the thermometer in to the proper depth as she let out a low moan. See, that’s not so bad, I told her. She said it was still very embarrassing being a grown woman and having her temperature taken rectally. I gently twisted and turned the thermometer for a few seconds, which elicited another small moan from her. As I put the jar of Vaseline back on the table, I informed her that the thermometer needed to remain in for a full 5 minutes to get an accurate reading. I lightly rubbed her buttocks to help her relax and then reached around her and gently placed my other hand on her pelvic region. Slowly and carefully I twisted the thermometer and moved it in and out a little while my other hand delicately began to caress her clitoris. I could feel her begin to push against my hand slightly and occasionally uttering a low moan as I manipulated the thermometer. As her breathing increased, I told her, ‘see, having your temperature taken rectally isn’t so bad, is it’ ? Les replied ‘no, not the way you’re doing it’.

I made sure the thermometer was inserted deep enough and told her while her temperature was registering, I was going to go ahead and check her breasts, as I always examine breasts while the patient is standing as well as lying down. Go ahead and stand up, turn and face me, and remove the cape. Once she removed the cape, I told her to raise her arms over head which put her breasts in full view. As I visually inspected her breasts, I told her the symmetry was good and I placed a hand under each breast and lifted to gauge the weight and fullness. I then placed a hand under her right breast and one on top and firmly felt for any abnormalities. I then moved my hands to the side of her breasts and then into her arm pits and checked again. Finding no irregularities, I repeated the process on her left breast. I told her she could lower her arms and ask her if her nipples were very sensitive and do they ever excrete any fluid ? She replied quite sensitive but no fluid. I took her right nipple between my thumb and finger and gently, but firmly squeezed it checking for fluid. Seeing no fluid, I told her I wanted to check them when fully erect. I leaned in and lightly flicked her nipple with my tongue and then drew her nipple into my mouth. This caused a rather noticeable moan from her and I released her now fully erect nipple. Repeating the process on her left nipple caused the same reaction. I told her everything looked good and reminded her to do her monthly BSE. She said I will. Good, now bend over the table again and lets see how your temp is doing. I separated her cheeks and withdrew the thermometer. Her temp was slightly elevated so I told her I was going to put it back in for just a few minutes to see if it went any higher. Once I had reinserted the thermometer, I told her I was going to take a quick look at her vagina from behind. Placing a thumb on either side, I gently seperated her labia exposing the introitus. As I separated her labia more, I noticed a substantial amount of fluid present. I told her that she was a nice healthy color and that having her temperature taken rectally must not be too unpleasant since she was producing a good amount of lubricating fluid. ’I suppose not’ was her reply; but it is still a little embarrassing. I released her labia and removed the thermometer. Told her it hadn’t gone up any more and handed her a tissue to wipe herself and told her she could pull her panties back up. She did so as I cleaned the thermometer and then told her I wanted her to lie down on the table on her back.