Exam Script 2
As I previously posted, I have two play exam examiners, one of each gender who do exams on me which are re-creations of real exams I had earlier in life. They work exactly by scripts I prepared and do not deviate from them at all.
Background: This is a re-enactment of an exam I had for an employer when I was in my early thirties. The doctor was one with whom the employer contracted and was not a doctor of my choosing. He was a man in his mid to late forties, approximately six feet tall, weight proportionate, full head of dark hair, glasses, dress slacks, dark shoes, shirt and tie, goofy personality. (Not the kind of guy you would want to have a beer with.) He was a family practitioner in a group of about five doctors who occupied a single story, red brick building, probably built in the '60s or '70s.. The office interior was institutional and the lighting was fluorescent. The staff were all middle-aged females in white uniforms. The exam room in which the physical occurred was sort of oddly oversized. The room had two examtables. There was one which was obviously the one intended for business since it had the white roll paper covering the top. It was the typical exam table that has the ability to be elevated at the head, the pull out extension for the feet, and the pull out step at the end. You could also see there were stirrups which could be folded out.
white coat (for female examiner)
I will be completely dressed. You enter the romm and say "Go ahead and take off everything except your undershorts, have a seat on the table, and I will be right back."
Leave the room for a couple of minutes and come back in. When you return, I will be in my briefs sitting on the table. Say "OK, let's go ahead and get started."Come over to me, stand in front of me, and take my right wrist and check my pulsefor about fifteen seconds. Get the stethoscope and put the ear peices around your neck. Get the blood pressure cuff and wrap it around my right arm. Put the stethoscope ear pieces in your ears, the bell over the inside of my elbow, and inflate the cuff. Let the cuff down. Repeat the process again, and then remove the cuff.
Put the stethoscope ear pieces back around your neck.
Get the ophthalmoscope and turn it on. Say "look straight ahead" and look into each eye. Turn off the ophthalmoscope and put it down.
Using your bare hands, feel my neck and throat. Feel right over my Adam's apple and tell me to "swallow hard." Repaeat the order to "swallow hard."
Using your bare hands, hold my right wrist in your right hand and feel under my right arm with your left hand. Take my left wrist with your left hand and feel under my left arm with your right hand.
Put the stethoscope ear pieces in your ears and put the bell over the left side of my sternum and listen. Move the bell up and down on the left side of the sternum and around my left nipple. Place the bell below the left nipple and say "take a deep breath and hold it." Repeat "take a deep breath and hold it" twice. Then move the bell to my back. Move the bell over both sides of my chest and tell me "take deep breaths and blow it out." Do this in four areas on each side of my back.
Then say "lie back on your back." Listen to both sides of my chest in four areas on each side. Thenlisten to my abdomen in five or six areas going from upper abdomen down to the waist band of my briefs but do not go under the briefs.
Take off the stethoscope and feel the abdomen. Go from upper abdomen to lower abdomen. Go down to the waist band but not under the briefs.
Say "I'm going to check your pulses." Start on the right and feel just under the right leg opening of the briefs but do not touch my penis or scrotum. Do the same on the left. Then feel behind the right knee and left knee. Then feel the inside of the right ankle and the top of the right foot. Then feel the inside of the left ankle and the top of the left foot.
Put an exam glove on each hand. Get the KY jelly tube and have it in your hand.
Say "Turn on your left side and pull your right knee up towrd your chest. I'm going to do a rectal exam." When I am in position with my knee bent, pull down the back of my briefs far enough to allow you to see my buttocks. Put plenty of KY on your right index finger. Use your left hand to lift the right buttock and visualize my anus. Insert the right index finger aggressively into my anus and push in as deeply as you can. Put a lot of pressure on my prostate gland and sweep your finger around the anus 360 degrees. Withdraw your finger and say "you can go ahead and pull up your undershorts."
Take off the gloves and say " you can sit up."
Stand next to me and look directly at me and say "we just have one more embarrassing thing to do and we will be finished. I'm going to take a look at your penis, check your testicles, and check you for a hernia. We will do this with me sitting on the stool and you standing in front of me with your undershorts down. I'm going to go and get set up on the stool and I'll tell you when I'm ready for you to come over."
Get two exam gloves and go over and sit on the stool. Put a glove on each hand, look at me, and say "come on over."I will walk over to you and you point to the floor in front of you and say "stand right here. Now, go ahead and slip your undershorts down to here (point to my mid thigh area)." Take the shaft of my penis in your right hand and spread the urethra with your left fingers. Drop the penis and feel each testicle briefly, rolling it around between your thumb and index finger. Then push your fight index finger into my right inguinal canal and say "turn your head and cough." Push your right index finger into the left inguinal canal and say "turn your head and cough."
Say "you can pull your undershorts back up and have a seat back on the table."
I liked this exam because the doctor did the rectal before the genitals which created a needless awkwardness. He also made a production out of saying the genital exam would be embarrassing. This, in my opinion, meant he was looking forward to that part of the exam. I suspect that is why he wanted to do it last. The entire exam took less than six minutes with over half of the time being spent on the rectal and genital/hernia exams. He succeeded in making it very embarrassing for me. I really liked this exam a lot.