Dr. Taylor Stories: Missing Shots
Tom's New Patient Exam
Tom Mason pulled his old, but carefully maintained, car into the parking lot of Taylor Pediatrics. Pulling into an open spot, he turned off the engine and took a deep breath. The 20 year old Three Hills junior had to admit that he was more than a little bit nervous.
It had all started when the college decided that they needed to enforce their exam and vaccine status policies. He had never submitted a vaccine update form. Unfortunately his childhood doctor had passed last year and there had been a fire at the closed office that had destroid a bunch of medical records, including his. Although to be honest, he was not sure that he had been vaccinated. Dr. Stein’s care had been ..... minimal and mostly limited to proscribing painful shots for every ear ache and sore throat.
He had not been able to find a doctor to vaccinate him in time for the next quarter, but the dean of student health had come up with a solution of sorts. Dean Freeman had found a local doctor who would take him (and two other students) on as a patient so that he could get his vaccinations caught up. Dean Freeman had even given him to the end of the year as long as he got started now. There were only a couple of catches.
First, the practice was Taylor Pediatrics. Even though Dr. Taylor was technically a family practice doctor, she limited her practice to peds, although she would let established patients stay until they turned 21 or graduated college. His 19 year old girlfriend, June, assured him that it was OK. She had gone to Dr. Taylor all her life and probably would keep doing so until she graduated. Still ... it made him feel embarrassed, like he had failed adulting.
And to make the peds thing worse, there was the rectal temperature policy. He had never had a rectal temperature. His mother had been too squeamish. She had only taken his temperature under his arm and Dr. Stein’s nurse had either asked his mother what his temperature was or followed the note in his chart and stuck the red tipped thermometer under his arm. Some of his friends growing up had gotten rectal temps growing up and he knew one guy who complained bitterly about getting the "baby thermometer" at 19 when he was in the hospital.
Second, there was this new patient exam that he had to undergo. From what June had said, he was pretty sure that was going to be a lot more through than anything Dr. Stein had done. Those exams had been minimal. He had never had to do much more than open his shirt. (Thinking back, he was pretty sure that Dr. Stein wasn't the best doctor.)
Then there were the shots. He didn't actually remember getting vaccinated at Dr. Stein, but he sure remembers getting lots of painful antibiotic shots. Pretty much any sick visit had left it hard to sit for a day. June tried to convince him that the vaccines would not be anywhere near as bad as penicillin shots, but he was still a little worried.
Finally June had said, "Look your first appointment is Thursday at 4, right? Would it make you feel better if I went with you?"
So now he sat in his car in the parking lot with June in the seat next to him. He took a deep breath and gave June's hand a squeeze and said "OK. Let's do this before I loose my nerve." The two of them walked into the waiting room of Taylor Pediatrics hand in hand and went up to the reception desk.
Jill looked up as the two young people walked into the waiting room. She recognized June Adams ( a nice girl who was one of their senior patients), but she did not recognized the lanky young man with her. Jill gave a smile as the two of them stepped up to the desk and June gave the young man a little nudge.
"Good afternoon, I'm Jill the receptionist. How can I help you?"
"Ummm. I'm Tom... Thomas Mason. I have an appointment for a new patient exam and to get vaccinated. I. I have my paperwork here. Oh, I and my copay." Tom said, handing her a set of papers and some money.
"Yes, you are one of the Three Hills College students. I see your appointment right here." It looks like everything is order. I'll pass these back to the doctor. We are running pretty close to on time today, so if you have a seat over there, the nurse will call your name in little bit. And what are you here for June. Are you making sure that Thomas shows up?"
"Kind of. I am here for moral support. Tom is a little nervous. He's not quite used to a doctor with Dr. Taylor's thoroughness."
"Yeah, do you think that June could go back with me? I've never had an exam alone and from what June says it sounds like Dr. Taylor .... does a lot more than my old doctor did." Tom said looking a little shame faced.
"Just ask the nurse honey. You're not the first patient to want a little moral support." Jill said. It was true, although it was usually female patients getting an internal exam who wanted an older sister or friend along.
About ten minutes later, nurse Anne steps out into the waiting room and looks around. She sees a nervous looking lanky young man sitting with Jane no June, June Adams. She walks over to the couple and says, "You must be Thomas Mason. I'm Anne. I'm one of the nurses here and I'll be getting you ready for Dr. Taylor. Are you all ready for your exam and do you go by Thomas, Tom, or Tommy?" She said in her best friendly voice.
"Tom is fine. And I guess I'm ready. I'm kind of nervous. From what June tells me, this is going to be a little more .... well a little more than I'm used to." Tom said blushing a bit.
"That reminds me. Is it OK if June comes back with me? It would make me feel better." Tom asked quietly.
Anne looked at the two of them. She knew that June was a level headed girl who would not make a fuss. They were obviously a couple, but he still should be warned. "Dr. Taylor should be OK if you want June to accompany you, but you should be warned, you will be completely undressed during parts of the exam. And Dr. Taylor WILL be doing a genital exam among other exams you might find embarrassing."
Tom swallowed, "Yeah June warned me about that and the thermometers. It's OK. June has seen me .... naked before."
That confirmed the couple status. She would give Dr. Taylor a heads up about that. "OK. Well you have been warned. Follow me back and we will get you started."
They followed her back through the archway to the exam rooms and stopped outside of a bathroom. Anne handed Tom a plastic cup with his name on it. "Alright, I need a urine sample for the doctor. Go in there, start to pee, then move the cup into your stream. It doesn't need to be filled all the way. Half way is more than enough. Put the lid on it and leave it on the little shelf. And use a paper towel to wipe off any pee that gets on the outside. OK? I'll be out here if you have a problem."
While Tom was inside, she added to June. "You always have to tell the boys the last part."
After Tom finished in the bathroom, Anne led them back to a room that June had been in many times before. June sat in one the two chairs that her mother at sat in for June's visits. It was a little strange being in the room knowing that she wasn't going to be one face down with Anne spreading her buttocks for the thermometer. She wondered how Tom would react and how he would look.
"OK, Tom. I'm going to get you weight and vitals and take a tiny little blood sample. Now Dr. Taylor is going to be examining your from head to to, so go a head and take your shirt, jeans, shoes, socks off. You can leave your shorts on for right now, but those will be coming off too." Anne said as she put fresh paper on the exam table.
Tom hesitated for a second. He wasn't afraid to get get undressed in front of June, but he had never undressed in front of a nurse before. The most had ever had to do was pull his pants down a little bit for a shot. But he did not want to act scared in front of June, so he sat in the chair next to June and started taking off his shoes and socks and handing them to June.
June watched as Tom undressed. After removing his shoes and socks, he stood up to unbutton and pull off his shirt. His tee shirt quickly followed revealing the sleek, muscular form that June loved. His hands unbuckled his belt and he paused as he was unzipping and opening his pants. June placed her hand on his back briefly to reassure him and he seemed to relax a bit.
After unsnapping his pants, Tom hesitated for a moment. Could he really do this? Then he felt June's soft warm hand brush his back. He took a deep breath and let his pants fall to the floor. Stepping out of them, he bent over and picked them up. He handed June his pants and she folded them and put them with his other clothes. It felt weird to be standing in front of the two women in nothing but thin white briefs. He wished that he had chosen boxers.
Peaking her head out the door, Anne said "Let's get your weight and hight first. Don't worry, the hallway is empty."
As Tom walked out into the hallway, June had to stifle a smile. She knew how Tom was feeling. She always felt vulnerable getting weighed in the hall.
Anne directed Tom to stand on the scale and Anne reached up to move the sliders until the balanced settled. "154. Now turn around so I can get your height. Arms at your side. Stand up straight and tall." Anne said as she gentle turned the teen around to face away from the scale.
Tom blushed a little bit, but turned around. He stood as straight as he could and tried not to think about someone turning the corner or coming out of an exam room.
"Can you pull your chin up a bit? Great that is 6 feet on the dot. Let's go back to the room and get your vitals and some blood. Just have a seat on the exam table." Anne said cheerily as she led him back into the room.
Tom took a seat on the table, still nervous, but happy to be back in the room. Anne approached him and wrapped a blood pressure cuff around his arm and quickly pumped it up. Listening as she deflates the cuff, she announces "110 over 78" and takes his wrist in one hand to measure his pulse. "88. A little nervous?" she asks.
"Maybe." Tom says.
"Well, I'll tell Dr. Taylor to take it easy on you." She says with a wink.
Walking over to the counter to prepare the thermometer, she says "Temperature is next. Now as I'm sure June's warned you, Dr. Taylor insists on rectal temperature for all her patients. I need you to get in position and slip your briefs down.", trying to be firm, but matter of fact. She found that was mix that worked best with new patients.
"Umm. What position do you want me in? I've umm ummm. I've never had a rectal temperature before." Tom stuttered out.
Anne stopped for a moment. "Never?"
"Never that I can remember. My mom was ... well kind of squeamish and always took my temperature under my arm. And Dr. Stein’s nurse mostly just asked my Mom what my temperature was. Although they did take it under my arm a couple of times." Tom said sheepishly. He had been aware that temperature could be taken rectally or orally, but his mom had not done oral temperatures either. He had kind of been embarrassed that his mom had never switched to an oral thermometer.
"Well, let's just keep this simple then. Just lie down on your tummy and slide your shorts down." Anne said as she coated the end of the rectal thermometer with petrolium jelly.
"I can do this. It's just a thermometer. June said it was no big deal. If June can do it, I can do it." Tom thought to himself. Not wanting to make more of fuss, Tom pulled his underwear down to his knees and rolled over onto his stomach. He reached underneath to adjust his penis that had been uncomfortably trapped against his belly.
Anne shook her head mentally. This was a new one for her. She had never met someone to squeamish to take an oral temperature. Rectal yes, but oral? "Well this will be a new experience for Tom. At least he is cooperative. I'm glad June gave him a warning." she thought as she approached the prone young man.
Feeling him tense as she put her left hand on his bottom, she said "Relax your bottom Tom. This might be a little cold, but it won't hurt. I'm going to spread your cheeks and put the thermometer against your anus. Then you will feel me push it in. It might feel a little strange, but it won't hurt."
Anne kept her left forearm across Tom's back as she spread his buttocks apart to reveal a brown rose. Placing the thermometer against his anus, she paused as she felt him flinch. After seeing his anus relax, she pushed the thermometer in towards his belly button until the first third of it had penetrated him.
She released his buttock to embrace the thermometer and put her hand firmly across his bottom, cupping his buttocks to hold the thermometer in place. After checking her watch, she kept her left hand at the base of his back. She did not exercise the full control that she might for a squirmy patient, but she used a heavier hand than she did with June.
June noticed that Anne was taking a bit more of a hands on approach with Tom than she got. Well more than she had gotten for a while.
Tom had tensed up when he felt the nurse's hands on his butt. This was a new sensation for him. Then came the spreading of his cheeks and being penetrated by the thermometer. It was thinner than he expected. The nurse's hand across his bottom was somehow comforting though. He hadn't expected that.
And the bulb was resting .... somewhere. It felt ... well he wasn't sure, but kind of good.
"We just have to wait a few minutes now for the thermometer to register. I hope the insertion wasn't too uncomfortable, especially for your first rectal temperature." Anne said.
"Not too bad. Just a little strange." Tom said.
June took in the view of her nearly naked boyfriend laying on the exam table. It reminded her of all the times she had found herself in the same position with one of the nurses hands resting lightly on her bottom. June had to admit that she liked seeing Tom vulnerable like this.
After a few minutes Anne said, "Let's see what it is." and Tom felt her left hand part his bottom again. He gives a slight gasp at the feeling as she draws the thermometer out. He blushes a little bit more as he feels Anne wipe the extra lubricant away with a tissue and then pat his bottom. "You can pull up and sit up. Your temperature is normal."
Tom quickly pulled up his briefs and sat up. Although he tried to adjust things to hide it, June noticed that he had just started to get erect. She knew that she sometimes got a little bit of a ... tingling from the temperature taking, apparently so did the boys.
Anne pushed the cart with the iron testing set up over to the table and said, "I just need a little blood from your finger to test your iron, can you hand me your left hand?"
Tom reluctantly handed over his left hand. Anne took it and firmly held his middle finger wiping it with an alcohol pad before putting a sping loaded lancet against it. Making sure that she had a good grip on his hand, she said, "This will sting a bit. Why don't you look at June?"
As soon as Tom turned his head, he heard a "shunk sound" and jumped a bit as he felt a sharp stabbing in his finger. By the time that he had turned his head back, Anne was squeezing his finger and drawing the drop of blood up with a pipett. She then put a pice of gauze over his finger and told him to "Hold this firmly."
Tom held the gauze in place, the pain already fading and watched as dripped drops of blood into a cylinder noted the color change.
"All right, your iron levels are OK." She said while pulling a small drape from a drawer. "Now Tom, Dr. Taylor is going to check you out from head to toe, so she needs you in your birthday suit. Go ahead and remove your shorts and give them to June. You can put this drape across your lap to cover up until Dr. Taylor gets to that part of the exam." Anne said as causally as she could as she could and hoped that mentioning June would help.
Tom gave a hesitant look at June, who nodded her head yes. He took a deep breath and slid his briefs off, exposing his genitals to the two women in the room. He fumbled a bit with the drape, but June took pity on him and helped arrange it.
Tom and June were having a quiet conversation about the upcoming week as Tom tried to distract himself from the fact that he was sitting here naked except for a very little towel. There was a knock at the door and a friendly looking middle aged woman in a white coat entered.
"Good afternoon Tom, I'm Dr. Taylor. I understand that you are one of our new Three Hill patients. One of the two who need to get your vaccines up to date."
"Yeah. I am have to have proof to register next quarter and since I don't have my records .... well I ended up here. Actually, I am not sure if I ever got any of them anyway. I never saw Dr. Stein much, except for ear aches and sore throats."
"Mmmm. Well we'll work out a plan to fix that. Now Tom, when I take on a new patient, even if just for a while, I like to do a physical to make sure that they are healthy and that there are no issues that we need to address. Based on what you've said about your care from Dr. Stein, this seems doubly important, so I'm going to check you from head to toe and then we'll put together a vaccine plan and get it started. OK?"
"Sure. You're the doc." Tom said, getting more nervous about what was to come.
"Good. I have went over the forms you filled out, but I have a couple of questions to ask you that might be a little embarrassing. June, can you step out for a moment?"
"Oh, the no Mom questions. Don't worry Tom. Just answer her questions honestly." June said as she stepped out of the room.
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. That is why I always ask these questions alone. Or No Mom as June puts it. OK?"
"OK." Tom answered.
"Do you smoke? Cigarettes or anything else?"
"No. Well, I have tried it a couple of times, but I can't really afford it."
"Good. Don't pick it up. It's an expensive habit that in much easier to not start than to stop. Do you drink alcohol?"
"Mmmm, sometimes. Mostly free beer at parties. Money again."
"A little is OK. Just keep it reasonable. OK? Now are you sexually active?"
"Mmmmm yes." Tom said. He quickly added, "But just with June."
"And do you use condoms? Every time?" Dr. Taylor
"Mostly. I mean, she's on the pill."
"Yes, but no method is full proof. And doing both gives you even better protection. Lecture over. I'll bring June back in and we can get the exam started."
Letting June back into the room, Dr. Taylor pulled an otoscope from the wall and said, "Let's start at the top."
As Dr. Taylor looked into each ear, turning his head and inserting the cone of the otoscope, Tom was a little aware of his near nakedness and the nearness of Dr. Taylor. Still, it didn't seem too bad.
After tilting his head back to look in his nose and peak down his throat, Dr. Taylor put the otoscope away and started feeling the lymph nodes around his jaw line and throat.
Thinking of his exposed butt, Tom was a little uncomfortable as Dr. Taylor steeped close behind him and put her hands around his throat. "Swallow please." She said.
Tom was a little relieved when Dr. Taylor felt in his armpits and along the sides of his chest. She then took each arm in turn, feeling along it and taking the joints through their range of motions.
"Let's take a listen to your heart and lungs." Dr. Taylor said putting on her stethoscope.
Tom was a little more comfortable as the cold stethoscope touched his chest. He was at least familiar with this.
June watched Dr. Taylor listen to Tom's heart and move the bell of the stethoscope around his chest, occasionally stopping to ask him to breath deep. Then she moved to his back to repeat the practice. June wasn't sure how she felt about watching Tom in the positions she had so often found her self in, but she was starting to ... to get that tingle.
Dr. Taylor takes a quick look at Tom's back. pausing to take a closer look at a mole and then thumps him over his kidneys. "Any pain here?" she asks.
"No"
"Good, go and lie back. I am going to examine your abdomen now. Try to relax."
As Tom laid on his back, Dr. Taylor pulled the drape down and between his legs. He blushed as he felt her hands brush his penis and it twitched.
June had expected Dr. Taylor to pull it off completely, but she saw that the doctor had folded it between his legs so that it just covered the end of his penis, holding it out of the way.
Tom flinched a bit as he felt Dr. Taylor cold stethescope touch his abdomen. He tried to relax as the stethoscope moved downward.
After listening, Dr. Taylor put away her stethoscope and started feeling Tom's abdomen. "Let me know if anything hurts." she said as she started at the top of his abdomen, pressing gently and working her way across and down his abdomen.
As she reaches the base of his abdomen, Dr. Taylor casually pulls away the drape that was holding his penis in place and deposits it on the end of the table. "We won't need this for the rest of the exam." She says as she gently spreads Tom's legs.
Tom turned a little more pink as he felt the drape being pulled off his penis, fully exposing him to the two women in the room. He then felt Dr. Taylor's warm hands probe his groin.
Dr. Taylor looked down at the nude young man for a moment before reaching into his groin, her hands passing between his genitals and his thighs to feel first for his femoral pulses, which were strong, if a bit quickened. She then pressed deeper feeling for lymph nodes. She ignored his slowly stiffening penis for now.
She then reached for his right leg. "Just relax and go limp while I move your leg through it's range of movement. Let me know if anything hurts." She said as she rotated each joint through it's range of motion.
"OK. Go a head and sit up and let your legs hang down. I am going to do the nervous system and reflex exam next." Dr. Taylor said and she reached for her reflex hammer.
"Give me a big smile."
"OK close your eyes and tell me if both sides feel the same."
Tom muttered "Yes, the same" as she brushed his cheeks, his arms, the outside of his thighs, and his calfs. She then gave each knee the traditional thump with her hammer.
"Alright, we are almost done. Just a few more things to check. Hop down and walk normally towards the door. Hands at your side. Then come back to me."
June watched her boy friend's butt with a little internal smile. It was his cutest feature and she never tired of seeing it. She was also anticipating the genital exam she was sure was next after the spine check.
She loved Tom, but she found his embarrassment at this exam a little bit of a turn on. Not that she would tease Tom about it, as she had been in his position over the years. Well maybe a little gentle teasing.
Plus she had never seen a guy get a genital exam.
After Tom walked back to the table, Dr. Taylor had him turn and face June and then bend forward as she traced his spine.
"OK. You can stand up now and turn around to face me. I WILL be doing a genital exam and a quick rectal exam."
"Ummm rectal exam?" Tom stuttered.
In a kind but firm voice, Dr. Taylor said "Yes, Tom. I need to slip a finger in your bottom to check for hemorrhoids and to check your prostate for lumps. I usually do a prostate exam at the 18 or 19 year old physical to check for any lumps and to gauge development."
"These exams may be a little embarrassing, but they are important. The good news is you probably won't need another prostate exam until you are 35 or 40 although you should get a testicular exam each year in addition to a monthly self exam."
Looking him straight in the eyes, she said "Have you been shown how to do a testicular self exam? Are you checking your testicles each month Tom?"
"Ummm. No ma'am. I have ... never been taught how." Tom said, more than a little intimidated.
"Well, that changes young man. Testicular cancer is the most common type in young men under 35. I will show you how. It is just as important as the breast self exams that I am sure June does monthly. Now let me get started. Hands on your hips and spread your feet apart a bit." Dr. Taylor said firmly as she pulled a rolling stool over to sit on and adjusted her light so it shown on Tom's groin.
Tom was feeling more than a little intimidated with the doctor's face right in front of his penis.
Dr. Taylor stared by just looking at Tom's genitals. He seemed to have a normal hair distribution and she did not notice any visible issues.
"I am going to examine your penis now." the doctor said as she took Tom's penis in her hand. She lifted it up to examine the underside and then gently squeezed along the sides starting at the base and working her way to the to head. She then repeated this squeezing from the top and bottom.
She finished by squeezing the head to open the meatus and leaning in close to look.
Tom blushed as his penis started to become slightly erect. "Mmmm sorry about that."
"Nothing to be sorry about. It just showing a normal response to being handled. Don't worry, I've examined lots of young men." She said as she gave the penis a little extra squeeze at the base which deflated it a little.
"It it normal. I am going on to your testicles, or your balls as you young men say. Pay attention to what I am doing. You need to do this monthly."
Dr. Taylor isolated Tom's left testicle and gently palpated it. "You should do this once a month on the same day. Do it in the shower or the bath and it will be easier. Your left one is normal."
She then moved to the right one. "The right one feels normal too. Let me have you do it now. Here let me put your hands where they need to be."
She said "It should be smooth except for this cord that wraps around the side."
"Feel that? Good. Now move your hands to the other one."
"Just get familiar with how they feel. If you feel a new lump or some other change, come in. It probably will not be serious, but I would rather you come in and it be nothing than have you ignore something because you feel embarrassed. OK?"
"OK. I guess. I'll try." Tom said.
"Good. June, make sure he does."
"Just a couple of more things to go. I am do your hernia check next." Dr. Taylor said as she put one hand on Tom's hip and inserted a finger from the other in his right inguinal canal.
"Turn your head to the side and cough. Harder. Good. Normal there." She said as she switched hands to reach the left side.
"Cough again. Good." she said as she withdrew her finger and started putting on gloves.
"OK. I need you to turn around and put put your hips against the table. Good now bend over all the way."
"This isn't going to hurt is it?" Tom said nervously as he bent over.
"It shouldn't. You will feel a lot of pressure and when I push on your prostate gland, it might feel like you are going to pee, but you won't." the doctor said as she adjusted her light.
She parted his cheeks with palms to look at his anus and perineum. She did not notice any external hemorrhoids or other problems. Using the thumb and forefinger of her left hand to keep his buttocks separated and dragged her gloved right forefinger through some lubricant.
"Try to relax. You are going to feel my finger touch you." She said as placed the pad of his finger on his anus. Tom flinched a bit and tighten up. Dr. Taylor waited a couple of seconds for his anus to relax and then said, "Take a breath in and then bear down like you are having a bowl movement.", before gently pushing her finger deep into Tom.
Tom tried to do as the doctor said as he felt the pressure of her thrusting her finger into him only to pull it out and thrust it back in. After it went in for the fourth time, he felt her finger go around in a circle and then reach in deeply and push. He gave a quite gasp and wasn't sure if he was going to pee or release .... something else.
"OK. Your prostate is fine. No lumps, no bumps, and the right size for your age. Now squeeze down on my finger like you were trying to hold in a bowl movement." Dr. Taylor said.
Tom did as she asked. It felt weird as she withdrew her finger, but at least it was over Tom thought. Well, almost. Tom blushed a bit more as he felt the doctor wipe of the excess lubricant on his bottom.
"All done Tom. Go a head and have a seat on the table." Dr. Taylor said as she pulled off her gloves and made a few quick notes in his chart.
She rolled her eyes a bit as she saw that Tom was sitting there naked and placed the drape over his lap.
"From your forms and the exam, I will say that you are in good general health for your age Tom. You do need more fiber in your diet though. Add more fruit and vegetables. Ones with colors other than white. OK? You don't have a hemorrhoid problem yet, but you are just starting to. It would probably be a few more years before they bother you, but head that problem off."
Tom just shook his head yes. His dad had had piles. Tom did not want them.
"You could also stand a bit more exercise. Nothing drastic, but this is the time to set habits for life. Maybe June can get you into jogging."
"Otherwise I don't see any issues that we need to worry about. Now we just need to map out your shots schedule. I saw a small pox vaccine scar, so we can skip that, but we need to do 3 doses of TDP, 3 of polio, and 1 dose each of mumps, measles, and rubella."
Seeing Tom pale a bit, she patted his thigh. "Don't worry, two of the polio doses can be the oral variety. I have going to do the killed injection for your first dose though. And we are out of flu vaccines for the year. so 7 shots over 3 visits I think."
"Here is my plan. Today will be the worst. I have to start you on polio and DTP, that covers tetanus, diphtheria, and whooping cough. And definitely measles. The question is do you want to mumps today or hold that for your second visit. So 4 shots today and 3 on the next visit or 3 today and 4 on the next one?"
"Mmm can my butt take that many at once? I mean one was always pretty bad when I had a sore throat." Tom asked, looking nervously back and forth between Dr. Taylor and June.
"Don't worry Tom, these don't hurt any where near as much as a penicillin shot. And we can spread them out between your arms and bottom or just do your bottom if you like. It's up to you." Dr. Taylor said with sympathy.
Tom looked to June, who said. "Just do 3 today if you are worried Tom. Let the nurse decide where to shoot you. They know what they are doing."
Tom thought for a second. "Let's do 4 today. That way it can only be better next time. And let the nurse decide. Just maybe not not all four in my arms."
"Good thinking Tom. I will send them in. Now expect to be a little sore and to feel a little crappy tonight or tomorrow. That is just your immune system doing it's job. You may even run a fever. Just take some Tylenol if it makes you feel bad." The doctor said as she was scribbling notes.
"You can set your next appointment for 4 to 6 weeks from now after the nurse is done with you. And remember, while you are still in school, you can come to us for care if you are sick or just need a yearly check up."
"Good to see you June."
After the doctor left, June stood by Tom and talked to him quietly to distract him. There was a knock at the door and Anne walked in followed by another nurse. Both were carring little kidney sharped pans.
Anne gave a friendly smile and said "Tom, this is nurse Sandra. She is going to help me because I have four shots for you. Do you have any problems with shots? Do you faint or anything?"
Even though he knew it was coming, Tom paled a little at four shots. "No. Nothing like that."
"Good. To spread things out, we are going to give one in each arm and one in each butt cheek. If you are all right with it, Sandra and I both shoot you at the same time. I know that sounds a little scary, but it will make it hurt less. OK?"
Tom did not trust himself to speak, so he just nodded yes. "What have I gotten myself into?" he thought.
"Good. Just slide around so you are sitting at the end of the table so Sandra and I can each take an arm. June, you can stand in front of him so he has someone pretty to look at. For the distraction."
As Tom maneuvered around to hang his legs over the end, his drape slipped, exposing him to all three women. As June grabbed it from the floor to recover his lap, Tom turned pink and muttered "Sorry."
"Don't worry Tom, Sandra and I have seen our share of naked young men and you have nothing to be sorry for. Now let your arms dangle to the side. Let them go as loose as you can and let us do the work. The more you relax, the less it will hurt." Anne said as she and Sandra each took an arm gently but firmly and started to wipe a patch of his shoulder with an alcohol pad.
Tom tried to relax as he felt strong hands grip his arms and felt the cold alcohol on his shoulders.
"Just watch your girl friend honey. Little sticks in 3 . 2 . 1 " And then both nurses darted their needles into Tom while keeping a firm hold on him.
Tom only flinched a little as he felt the needles slide into him from both sides. It wasn't too bad. Not as bad as the thick needles he was used to getting in the butt.
"Needles are in. You'll feel a little pressure as we push the fluid in." Anne said as she and Sandra slowly pushed in the plungers.
Tom barely felt the polio vaccine in his left are, but DTP going into his right, started to form a painful lump. He twitched a little, but Sandra was experienced and kept a firm grip on his arm.
"Try to relax. I know that the tetanus shots can be a little painful." Sandra said and she withdrew the needle and firmly help a cotton ball over the wound for a few seconds.
"You doing OK, Tom?" Sandra asked as she applied a bandaid and rubbed his shoulder.
"Yeah. That wasn't ... too bad. Nothing like the penicillin shots." Tom said.
"Well the next two are a little bigger and, I'm sorry but the measles one stings a bit. We are do them in your backside, where it will hurt less, so I need you to lay down on your tummy for me." Sandra said with a motherly tone.
Tom hesitated for a few seconds. The shots in his arms had not been too bad, but every other shot he had ever gotten had been in his butt and they had hurt. A lot. Still, not wanting to look bad in front of June, he reluctantly started to turn over. It was awkward trying to use one hand to hold the drape in place like a towel around his waist while getting up on his other hand and knees to turn over.
"Just let the drape drop dear. We've all seen your penis already and we are going to be handling your butt. I'd rather that you be naked if it means you have booth hands free so that you don't fall." Anne said. She had said similar things to so many young men in the past.
Blushing a bit, Tom let go and quickly got up and laid face down on the table. He briefly lifted up so that he could adjust his penis to keep from lying on it.
Anne and Sandra quickly arranged Tom. They gently moved his arms away from the target and spread his legs a bit, telling him to turn in his toes and to relax. They then used their left forearms to hold him firmly in place as they found their landmarks.
June noticed that this left him more exposed than she expected. She found the site of her naked boy friend being held in place by the nurses ... enticing.
Tom felt warm hands on both sides of his bottom followed by the cold alcohol. Despite his fear of the coming pain, he could feel his penis growing from the feminine attention and the feeling of their hands gripping the sides of his bottom.
"Take a deep breath in and let it out. Big stick in 3 2 1" Tom heard as he felt a sudden stabbing pain as the nurses plunged the needles into his glutes. Dispite his best efforts, he flinched a bit, but the two nurses were expericened and held him firmly in place.
"Needles are in. Take a deep breath. It is almost done." Sandra said as she slowly pushed the measles vaccine in to the young man's bottom. She knew that of the four shots, this one was the most irritating and kept a firm grip on his cheek.
Tom gave a little hiss as he felt the sting of medicine being pushed in, especially the measles shot on the right. But it was quickly over. The nurses slid the needles out and applied waiting bandaids.
Tom then felt Sandra gently rub both sides of his butt for a few seconds before giving him a gentle pat on his lower bottom (away from the injection sites) and telling him. "All done. You can sit up slowly. That wasn't so bad now, was it?"
"Not too bad" Tom said as he rolled over to get up, "but I think that next time I might asked for all of them in my bottom. Especially the tetanus shot."
Before Tom sat up, Sandra helped helped him slip his briefs back on. Her hand brushed his penis as she pulled them up. Sandra didn't seem to notice, but Tom did.
As Anne tidied up, Sandra told Tom. "All done for the day. You can get dressed and go home now. Stop at the reception desk to schedule a follow up for your next set of shots. And don't forget, you may feel a little acky tonight or tomorrow or even have a slight fever. That is just your immune system working."
"June, make sure that he takes some Tylenol or aspirin if he needs it. You know how men are." Sandra said with a smile as she and Anne left Tom to get dressed.
As Tom finished scheduling his next visit, he noticed Anne take a coughing girl about his age back to the exam room. She seemed to be a little embarrassed to be here. Tom realized that it was Cindy ... Johnson? ... a junior and cheerleader from the college that he had shared a few classes with. He tried not to picture her back in the same exam room laying face down with a thermometer sticking out of her cute butt.
Shaking his head to chase away that thought, "Let's go home June. I'm a little sore and I want to rest." Tom said.
As they left hand in hand, June whispered in his ear. "Maybe I can rub you where you are sore. And where you are not. You deserve a little reward for surviving your first encounter with Dr. Taylor without whining. Maybe I can think of something."
This was good I enjoyed reading any cha…
Great chapter! I enjoy the subtle voyeu…