Camp Evolve
Part 3 - medical exam
Celia arrived at the larger medical building farther down the path. Set among the trees, it had the understated elegance of a private Swiss wellness clinic, combined with the quiet practicality of a presidential mountain retreat. Warm timber and pale stone gave the building a discreet, polished feel, with broad windows looking out onto the surrounding woodland. Inside, everything was immaculate without feeling overly clinical with soft lighting, muted colours, fresh flowers, and the faint scent of cedar and eucalyptus.
At reception, a woman in an olive-green gilet checked Celia in with quiet efficiency. She then came around the desk and led Celia down a softly lit corridor, past a series of closed doors, before showing her into one of the doctors’ rooms.
The doctor’s room was bright and almost entirely white, with daylight flooding in through a wide window. The walls were crisp and clean, softened by pale wood shelving and a few neatly arranged plants. A white examination bed stood against one wall, covered in fresh paper, while a polished desk and two comfortable chairs occupied the other side of the room. Everything was modern and immaculate, but deliberately warm rather than stark, more private clinic than hospital.
The doctor was an attractive woman with short brown hair, wearing a crisp white coat over olive-green scrubs. Her face had the polished, subtly perfected appearance of expensive cosmetic work, nothing obvious, just an almost unnaturally smooth symmetry. A pair of understated but unmistakably expensive earrings caught the light as she moved. She had a calm, assured manner that suited the immaculate surroundings.
“Dr Charlston,” she introduced herself, offering Celia a professional smile. “I’m just going to do a quick medical assessment, to make sure you can make the most of your time here. Nothing extensive, just a brief physical to ensure you’re fit for all the activities.” Celia felt relatively relaxed, she had a physical a few months previously and knew she was in good health.
Dr Charlston gestured towards the examination room.
“I’ll give you a moment to change,” she said. “There’s a gown there for you. You can remove your underwear as well, there’s no need to keep it on for the examination. Just let me know when you’re ready.”
Celia was a little surprised as Dr Charlston left the room, but she did as she was asked.
'Okay. Just do it. It’s one exam, that’s all. I don’t have to like it, and I definitely don’t have to think about it any more than I need to. Everyone here is doing things that are supposed to make them feel better, and this is just one of them. Breathe.'
Once changed, she sat in the chair, feeling slightly nervous.
Dr Charlston returned a moment later and asked a few questions about her general health and wellbeing before beginning the examination.
“Let’s start with your ears, nose and throat,” she said.
She examined Celia's ears with an otoscope, checking each ear canal and eardrum, then moved on to her mouth. “Open wide for me,” she said.
Using a small disposable tongue depressor, she gently pressed Celia's tongue down and examined the back of her throat, checking her tonsils and the inside of her cheeks. She asked Celia to say “ah” and watched the movement of her palate before moving the light across her mouth. She briefly checked her gums and teeth, counting them systematically from one side to the other and pausing occasionally to inspect individual teeth.
“Any problems with your teeth or gums?” she asked.
When Celia shook her head, Dr Charlston nodded and moved on to her nose, briefly examining the nasal passages with a small light.
“Good,” she said. “I’m going to check your scalp now.”
She carefully parted Celia's hair in several places, examining the skin and looking for any irritation, redness, or other abnormalities.
Dr Charlston next checked Celia's blood pressure, wrapping the cuff around her upper arm and watching the reading on the monitor.
“Nice and relaxed,” she said as the cuff tightened, then released.
She then picked up her stethoscope and placed the diaphragm against Celia's upper back.
“I’m going to listen to your breathing now. Take a few slow, deep breaths for me.”
Celia breathed in and out as instructed while Dr Charlston moved the stethoscope between several points across her back, listening carefully to each breath. She then repeated the process across the front of Celia's chest before nodding and lowering the stethoscope.
“Good. Lungs sound clear.”
Dr Charlston moved on to a brief assessment of Celia's mobility.
By now, Celia was feeling slightly awkward in the thin examination gown. It was perfectly ordinary in the context of a medical examination, but she was unaccustomed to being so exposed and conscious of every movement she made. She tried not to let her nervousness show.
“I’d like to check your range of movement now,” Dr Charlston said. “Nothing strenuous.”
She asked Celia to stretch her arms overhead and then reach down towards her toes, watching her movement. Next came a few controlled squats, followed by several lunges on each leg.
“Good. And one more thing.”
Dr Charlston asked Celia to stand with her back to her and bend forward slowly. She examined the alignment of Celia's shoulders and spine, looking for any obvious asymmetry that might suggest scoliosis.
“Straighten up,” she said, taking another look from behind. “Everything looks good.”
Dr Charlston made a note on her clipboard before continuing.
“Next I’m going to do a routine breast examination,” she said. “I’ll examine both sides systematically and check the surrounding lymph nodes. Let me know straight away if anything is tender.”
She first inspected the skin and overall appearance, looking for any visible asymmetry, changes in colour or texture, dimpling, or other abnormalities. She then examined each breast methodically, using the pads of her fingers to palpate the tissue in a systematic pattern, moving across each area in turn and applying light, then slightly firmer pressure.
She checked around the areolae and nipples for any visible changes and gently palpated the tissue beneath them. She then moved to the upper chest and collarbone area, checking for enlarged lymph nodes before examining the axillae on either side.
“Any tenderness there?” she asked.
Celia shook her head.
“Good.”
Dr Charlston finished her examination, made a few notes on the chart, and prepared to continue with the remainder of the physical.
“Could you lie back on the examination couch for me?” Dr Charlston said. “I’m going to examine your abdomen.”
Once Celia was comfortably positioned, Dr Charlston adjusted the gown only as much as necessary to examine her abdomen and kept the rest covered. She first inspected the abdomen, checking its general appearance, then placed her hands gently against different areas, asking Celia to let her know if anything was tender.
She palpated systematically across the four abdominal quadrants, initially using light pressure before repeating the examination more firmly. From time to time she asked Celia to take a deep breath, feeling for the movement of the abdominal organs beneath her hands.
“Any pain there?”
“No.”
Dr Charlston nodded and continued, checking for any unusual tenderness, swelling, or palpable masses. She then gently tapped across several areas of the abdomen, listening for differences in the sounds produced.
Dr Charlston asked Celia to put her feet together, bring her knees up, and let them fall outward into a relaxed position. At this point, Celia's gown had shifted considerably, leaving her feeling very exposed as she lay on the examination couch.
She hoped the examination wouldn’t become too invasive.
“Are your periods regular?” Dr Charlston asked as she positioned herself at the end of the table.
Celia confirmed that they were.
“Okay. Nothing invasive,” Dr Charlston said. “I’m just going to do a quick inspection of the external genital area to make sure everything looks normal. It's important that you don't have any broken skin or fissures.”
Dr Charlston used her gloved fingers to rake through the pubic hair in several places, then shen performed a systematic inspection of Celia's external genitalia, examining the labia, clitoral area, urethral opening, Celia felt herself being tugged and pulled on.
“I’m going to take a quick look internally to check for any sign of infection. I’ll just need to separate the tissues slightly.”
She used two fingers from each hand to fully part Celia's labia so Celia could feel a cool air on her vagina.
“I don’t see any redness or discharge, and there’s definitely no sign of a yeast infection. Okay, all done down here.”
Celia breathed a sigh of relief, pulled the gown back around herself, and sat up.
Celia stood up beside the examination couch.
“Okay,” Dr Charlston said. “I’d like you to stand with your feet about shoulder-width apart, then bend forward and rest your chest against the couch.”
Celia followed the instructions, positioning herself with her chest supported against the examination bed. She could feel the lower cheeks of her bottom being exposted by the position and the doctor coming up close behind her.
"I'm just going to part your buttocks and have a quick check for haemorrhoids. Celia felt her face redden as the doctor parted her butt cheeks with a finger and thumb, while she shone her penlight over the skin with her other hand. She felt the doctor release her pinch a little bit and then part her more vigorously so her anus gaped a tiny bit.
"And no piles back here. All good." She pulled the gown up a bit further so Celia's whole ass was on display. "Good to see no acne or 'back-ne, no issues with the skin integrity on your thighs or bottom, that's important."
“Okay, you can get dressed now,” Dr Charlston said. “I don’t think there’s anything here that would mean you need any special consideration for any part of the camp’s programme. I can see you’re meeting with the dietician tomorrow, so I won’t bother with your height and weight today. I’ll approve you for all programme elements.”
“Oh, that’s good,” said Celia.
“Even the most hardcore parts,” Dr Charlston said with a smile.