Kelly, a 53-year-old woman, waited alone in the small examination cubicle, lying on her back covered only in her too large hospital gown. She had been told by the nurse who had escorted her there to remove all her clothes and put on the gown. She didn’t like lying there without panties, as the only privacy was provided by the thin curtains surrounding the small space. The doctor had finished his examination and then discussed with her the treatment options. Kelly was unsure of which path to follow; eventually, she accepted her doctor’s recommendation.

About 10 minutes later, the curtain parted and a nurse walked into her cubicle. She carried a syringe which she placed on the table, along with some prep pads and a band-aid. Before quickly turning away, Kelly glanced at the syringe, which looked bigger than those she was used to and was capped with a very long needle. The syringe was almost half full of serum.

“Kelly, I’m Mandy, and I’m going to give you the gamma globulin injection that Dr. Mitchell ordered. Have you had this injection before?”

“No,” she whispered, her voice trembling. “I never had that shot before.”

“Did Dr. Mitchell explain to you why he ordered this injection?”

“Yes, he did,” she replied in a whisper.

“All right. So let me explain what we are going to do. This injection is going in your backside, so I need you to turn over on your tummy for me.”

Kelly, by now, more than a bit shaken, slowly rolled over on the exam table. Her gown, which was tied at the neck in the back, slid open, exposing her small, firm buttocks. Kelly felt vulnerable, exposed, and nervous. The nurse, looking at her small buttocks, was concerned. Kelly was short, only 5’1” tall, and weighed barely 100 pounds.

“Did Dr. Mitchell ask you if you would rather have this treatment in one injection or two?”

“Yes. I told him ‘One’. I am afraid of needles. Is it going to hurt?”

“I completely understand. You will likely feel some discomfort. We’ll go slow and I’ll try to make this as comfortable as possible for you.”

The nurse ripped open an alcohol swab packet.

“I am going to swab your behind with alcohol. In which side would you like me to give this injection?”

“I don’t care. Please, just get it over with.”

“I’m sorry, Kelly, but I have to do this. I don’t like giving this any more than you want to get it.”

The nurse swabbed Kelly’s right buttock and allowed the alcohol to dry. She picked up the 10 ml syringe, which was filled with 4 ml of serum, and uncapped the needle.

“Big, stick, Kelly,” she said as she swiftly inserted the long needle deep into her small, right buttock. Quickly pulling back on the plunger to ensure she wasn’t in a blood vessel, the nurse began to slowly inject the thick serum.

The nurse kept a steady pace as she pushed the serum from the syringe into the now quivering muscle of Kelly’s backside. Kelly tried to hold on as long as she could, but the pressure and the discomfort was becoming too much. About halfway through the injection, she began to cry. The nurse tried to comfort her.

“You’re doing well, Kelly. I’m almost halfway through the injection. Just a little more and it will be over.”

As she was speaking softly to Kelly, the nurse continued to inject the serum. Kelly’s sobs grew louder and more insistent. She yelled, “Take it out! Please don’t do this! It really hurts!”

The nurse kept injecting the serum, while quietly telling Kelly, "I know this hurts alot, hun. It’s a very big injection. I’m almost done."

Finally, the nurse pulled out the needle and began to massage Kelly’s sore behind with the alcohol pad. After massaging the injection site for about 30 seconds, the nurse applied the band-aid and asked Kelly if she wanted anything to help calm her. Kelly declined, so the nurse picked up the spent syringe, discarded it, and left the cubucle.

Kelly had stopped crying after the needle was out, but she started to cry again after the nurse left the room. It took her several minutes to stop crying and to get up from the table. Kelly limped around the exam room in her gown trying to ease the pain. She tried to rub the spot, but it was so tender, it hurt to rub. Eventually, she felt ready to dress, gingerly pulling her panties, tights, and slacks.

After Kelly dressed and left the exam cubicle, she worried if anyone could see that she had been crying. She approached the nurse in the hall, who told her that she had handled that injection better than most would have. Kelly didn’t make eye contact with anyone in the waiting room as she left. It was head down all the way to the car. She was limping badly and protecting her sore backside, gently touching her rear. After an uncomfortable drive home, Kelly undressed, fell into her bed, and gently rubbed her tender rear, finally falling asleep