Ann and I had noticed that Babygirl was getting fussier and fussier all week. She whined and cried whenever we asked her to do anything. "I tried to hug her and let her know that we love her," Ann said, "But it did no good. What to you suggest Steve?"

"Well, Ann, I think that she is not getting enough fresh air and exercise out side. That would help her appetite and help her to sleep. Lets get her outside with Beth or Sally for an hour a day and incrase her fruit and vegtables, that should help her." We followed up on our plan beginnig that day. Babygirl did like to be outside and did eat better but still had problems falling asleep.

Sally came to me a few days later and said, "I think that Babygirl has tummy problems. When I put her to bed she pulls up her legs and holds her tummy like it hurts."

"Thanks, Sally," I said, "Ann and I will discuss this and see if there is something we can do to help her. Lets start keeping a list of her wetting and pooping. I think she is probably chronically constipated from bad habits and not eating enough fruit. She may have a "silent impaction that needs to be cleared before she can feel better."

Ann and I sarted Babygirl on an extra portion of fruit at each meal and a small dose of Colace every night. Sally reported seeing no improvement in Babygirl's sleeping after a week and Ann told me that we had to use stronger meathods. "I think that she needs to go back into a crib for a while so she knows that she is going to be treated like a baby and diapers will humiliate her, she will want to get better so she can go back to big girl pants."

The next day I bought a big bundle of disposable diapers that would fit Babygirl and also got some extra medicines at the pharmacy. We would begin to work with Babygirl that night.

"I don't want to wear diapers, Mr Steve. I'm a big girl and diapers are only for babys," our little girl told me that night. She really got fussy when she saw that her bed had been replaced with an adult crib.

"OK, Babygirl, no more fussing or you get a spanking, so lets get into a diaper and into your crib. We can discuss this in the morning," I told her. She did relent, only because she was so tired. I gave her two Colace capsules instead of one that night to see if that would have any affect in a day or two.

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Ann and I did not want go give Babygirl any reason to be fussy but at the same time we wanted her to feel better.. "Ann, would you schedule Babygirl for a flat plate of the abdomen at radiology to see if she has an impaction? She is too young to be a candidate for neoplasm but she might have a developmental abnormality."

Ann had time that day and decided to take the little girl for a simple x-ray. Babygirl was fussy in the morning, very wet but not messy. Ann and Sally cleaned her up and dressed her in toddler clothing with a short skirt that would her diaper peep out the bottom. I had the day off and made some plans for our little charge. She might not be happy but she would be safe and as comfortable as possible.

"She has an impaction in the transverse," Ann told me that afternoon, " too high for digital disimpaction, so we can continue with the fruits, add Miralax, and start enemas today, OK, Steve?"

"Sure Ann, I'll get her started this afternoon with high softening enemas and more softeners at bedtime and in the morning. We should have this under control in a couple of days, but Babygirl will not be happy while we do it."

We gave Babygirl a bowl of stewed prunes for lunch and I took her into the gym for some gentle enemas. "Babygirl, you have a tummy problem and we know how to fix it. We are going to have to soften up the poop inside you so you can move it along. The liquid you have been passing has leaked around a hard lump and we have to get that moving. Today I'm going to give you a nice warm enema to retain for a while." Beth was home so she helped me to position Babygirl over a wedge cushion on a treatment bench. Our little patient wanted no part of this and fought us until we had to restrain her with wrist and ankle cuffs and a thick padded belt across her waist. She cried when her diaper came off and Beth covered her with a towel for modesty while I prepared the enema.

Two quarts of warm water with 60cc's of Colace liquid would start to soften the impaction and 18 Gm of salt to make it isotonic. I did not let Babygirl see what she had coming as I rolled the bag on an IV stand up behind her. When I moved the towel she clenched her bottom and I wanted her to learn that that was not appropriate. Going to the refrigerator I took out a plastic container with several pieces of well aged, peeled ginger root. "OK, Babygirl, you are going to have to learn to take your enemas without a fight. This treatment will not hurt you but it will convince you to keep your bottom relaxed." Beth spread the little girl's cheeks and I plunged an hourglass shaped piece of ginger into the little girls rosebud.

"Owie, Owie," Babygirl cried as the ginger warmed her rosebud. "Owie, Owie, please stop it, PLEASE! I promise to be good, I promise. I removed the ginger and slipped in a well lubricated double balloon catheter. Before she knew what was happening, half of the enema was in the little girl. She simply went limp and did not resist the rest but was unhappy when she felt the balloons inflating. I clamped the nozzle tube and the inflation tubes and we removed the bag on the stand.

"You will be holding this enema for twenty minutes, then we will let you sit on the potty. Be good and we will release the cuffs on your wrists and ankles, OK?" Totally defeated, the little girl lay still and we released her restraints. In twenty minutes Beth and I moved her to the adult size potty chair and I deflated the inner balloon of the nozzle. The tip popped out followed by a rush of brown water, but no solids.

"I feel better now, Mr Steve," Babygirl said, "Can I sleep for a while, please? After cleaning and powdering her bottom I put a thick disposable diaper on her and walked her to her room.

"You will be sleeping in a crib, wearing a diaper, until your tummy is better. I don't want to have to restrain you in the crib so you will be wearing a onsie and mittens when you are in the crib." Babygirl did not understand what I meant until the onsie was on her and locked closed in the back. She waved her hands and then tried to sit on them to keep us from putting on the mittens but Beth and I had her all set for bed in ten minutes. Beth put a soft pillow at the head of the mattress and covered our little patient with a bath blanket. The little girl was sobbing as we turned off the lights and left her to rest.

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We decided to give Babygirl a night of rest before we tried again to get her impaction moving.

Early in the morning I woke her and before she could fully wake up I gave her two ounces of mineral oil to drink. She took it and made a face but did not cry or complain. Ann and I had decided to try to get the impaction moving with a combination of oral medicine and enemas. The mineral oil will lubricate Babygirl's bowel so the impaction can slide along.

At 8:00AM Beth and I went to Babygirl's room and got her up and checked her diaper. She was wet but had no poop so we brought her to the gym for an enema. This enema would be a lubricant treatment. Again Babygirl got fussy and tried to resist us so we had to restrain her over a wedge cushion and put cuffs on her wrists and ankles so she could not move her limbs. We had a silicone bag with two quarts of warm mineral oil waiting and the nozzle slipped in and we inflated both balloons so it would stay in place.

"Oh, Oh," Babygirl said as the oil began to flow into her bowel. "What are you putting into me?" she asked.

"Just a nice warm oil enema, little girl. It will help things to move along." I said. I turned off the flow and removed the clamped bag from the nozzle. Attaching an eight ounce bulb to the nozzle I squirted in a bulb full of oil with 60mg of bisacodyl dissolved in it then reconnected the bag and let the rest of the oil flow into the little girl. She was squirming in her restraint because of the pressure so Beth and I released her and turned her on her right side to get the medicated oil as high as possible into her, hoping that it would meet up with the dose I gave her by mouth that morning. "Soon you will get an urge to expel the enema but we are going to keep it in with the nozzle for fifteen minutes at least," Beth told the little girl, "Don't make a fuss or you will get a spanking."

A few minutes later I put my stethoscope against the girl's tummy and heard a lot of loud gurgling. Babygirl was getting weepy from the cramping and I said, "Beth, we can get her onto the toilet now. I hope we get some results." Beth and I pivoted the little girl onto a the toilet and I deflated the internal balloon of the nozzle. A gentle tug and the nozzle was out. A moment later the little girl bent forward and a stream of dirty oil squirted into the bowl. She grunted and a large turd slid a couple of inches out and stopped.

"Please help me, please!" Babygirl cried, distressed that the turd did not come out of her.

"OK, little girl, just relax, I said, In a moment you will get another urge and you can push the poop out.." Just as I told her this, she grunted again and the whole turd splashed into the toilet. "You did good," Babygirl, "but there is more to come!"

"Oh, Oh," the little girl exclaimed as more turds slid out in a stream. Oh,Oh, I can't stop pooping!" she said.

"You don't want to stop," Babygirl, "Just let things come out. You are going to feel much better soon," I said. "Beth, please stay with her while I prepare a cleansing enema to flush out the remaining oil." I said.

"NO, NO, I don't want any more enema!" the little girl said as more oil and poop slid out of her. She began to cry and Beth bent to comfort her as I took the equipment to the preparation area.

I cleansed the bag, tubing and nozzle with hot soapy water and rinsed it out well. Then I mixed up three quarts of warm, very soapy water in the big bag and two quarts of warm water with baking soda in a two quart bag. Hanging the bags on an IV stand I wheeled the equipment over to the treatment bench and screened it from view.

Soon Beth cleansed the little girl's oily bottom and walked her to bench. Poor Babygirl was too exhausted to resist as we lay her on her tummy over the wedge cushion. She cried as I let the large soapy enema flow rapidly into her. When half of the enema was in Beth and I turned her onto her right side and let the rest of the solution flow. "I'll be good, please, please let me go to the toilet, please!" Babygirl begged.

A quick transfer to the toilet and she expelled squirt after squirt of dirty water and a few more softened turds. After about fifteen minutes she passed a large fart and relaxed. "OK, Babygirl, only one more enema today," I said.

Again we cleansed her and I applied diaper ointment to her reddened bottom and anus then inserted the tube of the warm water enema. It flowed rapidly into the little girl as she cried. "Babygirl, I'm going to be with you all day to make you comfortable when this is done," Beth told her. Again we moved the little girl to the toilet and let her expel the soothing solution.

"Beth, I think that we have gotten rid of the impaction. I'm going to give her a bottle of citrate of magnesia to flush out the oil and soap, then put her in a thick diaper and rubber panties." "You can do all the usual daily activities that she is up to, but expect her to soak the diaper in an hour or two."

We cleansed the girl, applied a thick layer of diaper ointment all over her diaper area, front and back and put on a snug, well padded diaper and rubber panties. A tee shirt and she was ready to take her final treatment. "OK, Babygirl, drink this salty soda and you can rest," I said, holding the bottle of cold citrate to her mouth. She drank the whole bottle rapidly and went off with Beth.

Two hours later Beth called me to the gym. Babygirl had soaked the diaper with the laxative and was sitting on the toilet expelling more waste. I was able to tell Ann that we could now proceed to help the little girl to adjust to our house.

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Babygirl had a lot of growing up to do before she could move on with her life. Ann and I had a room for Babygirl in our house and we contacted county social worker to get the legals settled. In the meantime Ann and I began planning for Babygirls first few weeks in the house. "I think that she has to be a complete baby for a time to show her that she is not in control and has to accept supervision and take orders, Ms Ann told me, "this girl has been trying to run her own life for too long, that's how she got herself plugged up, too much junk food and no fruit or vegetables."

"I agree, Ann, we have to show her that we are in charge, but she is still a sensitive baby and needs a lot of loving attention. Everything we do has to be done gently and with as much explanation as possible. At the same time we have to be firm with our rules and orders. Beth is eager to help us with Babygirl and Sally will help with her education when that is appropriate. How do you want to begin with this client?" I asked.

"Lets bring her into the house and show her around, then we can sit down in the pit and explain the rules and our plan for Babygirl. We can answer her questions but we cannot let her make deals with anybody involved in her treatment. We will tell her that she will be a baby for a period and that she will have to accept our treatment if she wants to grow up. Her room will be a nursery with crib and changing table. We will have shelves with diapers, ointment, lotion, gloves, and baby wipes all visible. Then a locked cabinet for medicine; enema bags and syringe bulbs, Epsom Salt, mineral oil, Miralax and plain table salt and baking soda. Also a refrigerator for suppositories, she will need them frequently. Also, all food items like prunes and prune juice and other juices will be in the kitchen, out of her reach. Oh, and in the cabinet a bottle of Castor Oil, Lactulose and citrate of magnesia. Anything else, Mr Steve?" Ann inquired.

"Yes, we must not for get to have KY on the shelf with the gloves and a bottle of J-Lube in the cabinet. That should be enough to start. We'll start her on formula with Miralax, six extra bottles of water a day to keep hr bladder working and prune juice in the morning and evening. I'll set up the crib with a net top so she cannot climb out. I don't want to use cuffs or belts unless it is necessary. I think that she can wear onsies at night over her diaper and padded mittens so she cannot undress herself."

County social worker escorted Babygirl into our house the next morining. After taking the girl on a short tour of the house we brought her to her room. "This looks like a baby's room. It's not right for me. I don't want to stay here county social worker!" our new client said.

"You will stay here, Babygirl. These folks have a lot of experience wit girls like you. Now stop fussing and we will go to the lounge to discuss your treatment here." county social worker told Babygirl.

After explaining the course of treatment we had planned for her Babygirl said, "You can't do this to me. I'll call the police, I'll call my parents, I'll call their attorney!"

"Babygirl, all those folks have been informed of your treatment and have signed off in agreement. A juvenile care judge has given us permission to use all of our facilities to help you. Your father will visit you this evening if you are still awake and he will talk with you. Now, lets go to your room and get you changed into the clothing you will be wearing for the near future here." Ann said, escorting our new client down the hall. Count Social Worker and I heard a lot of loud words from Babygirl as Ann and Beth dressed her in a diaper and onsie. From what we heard it took both of them to get the padded mittens on her.

Soon Beth walked out of Babygirls room, guiding our new little baby by her arm. Babygirl was sobbing, tears running down her cheeks. We brought her into the kitchen and sat her at the table. "We are going to feed you supper now," I said. Babygirl was in shock and ate the baby food without complaint. The bowel of stewed prunes met with a scowl but she ate it.

Then I brought "Babygirl to her room and sat in the large lounge chair and had her lay down with her head on my shoulder. She did not expect a baby bottle and tried to turn her head so I told her, "This is part of your treatment, Babygirl. If you fight us we will have to use stronger methods to show you who is in charge. Now, drink your bottle and then I'll get you into the crib. Your father will be here to speak to you soon." The little girl scowled but took the nipple and soon the bottle was empty. I helped her into the crib and closed the net top,securing it to the sides. The girl was too tired from the long day to put up a fight. I knew that the combination of prunes, prune juice and formula mixed with Miralax would be enough to keep her "moving" but to get her started I had a ounce of lactulose in the prune juice. Soon she would need changing.

Babygirl's father came in and spoke to her about the need for her treatment. The little girl began to sob and said, "You hate me! Why are you leaving me in this prison?" Her father tried to explain that he and her mother only wanted the best for her and she needed to learn how to behave before she could go home. He told her that he loved her and left the girl sobbing in the crib

We put her on two hour checks for the night and dimmed the lights.

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Beth came into the kitchen at 7:30 AM. "Babygirl slept very well. After the big movement from the lactulose she did not poop again but she was wet at each check. I've got her cleaned up and dressed for the day. What is on the menu for her breakfast?"

"Lets give her cream of wheat with milk and honey in it and see how she likes it. It will be more satisfying than baby food or formula. Has she had her prune juice yet?" Ann asked.

"I gave her the juice right after her bath and she was asking what she would have to eat so I'm sure that she will take the hot cereal. Steve, should I use Miralax in the water?" Beth inquired.

"Yes, Beth, I think that the combination of Miralax and prune juice should keep her very loose and giving her extra water will not hurt either. I don't want to purge her unnecessarily, just keep her going like a baby until she tells us that she will follow our instructions, OK?

Babygirl came out to the kitchen with Beth and ate her cereal without complaint "May I have some orange juice, Mr Steve?" she asked. I poured her a glass of cold juice and waited for her to drink some of it.

"We will be sitting down in the lounge we call the pit and talking about your care and training Babygirl. I want you to be honest, no funny stories, OK. You and I will plan your day and then Sally will give you some lessons. You cannot fall behind in school just because you are here. All of us will help you as long as you cooperate.

"How long do I have to wear diapers and drink formula from a bottle Mr. Steve, It makes me feel very humiliated and manipulated. These mittens are very frustrating, I cannot do anything for myself."

"The mittens will stay on until we can trust that you will behave and not undress yourself or get into mischief. Just give it time. You will get to have more grown up food as soon as we see that you are behaving Babygirl. We can also discuss your discipline. We may use some combination of restraint and spanking if you misbehave. You may want to be a big girl and be treated like one so we will talk about that a little later."

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"Ms Ann will be taking you for a walk in the park today, Babygirl. You will go to the playground where all the little kids are. Their mothers will be with them unless their older siblings bring them," Mr Steve told her. She was dressed in a little girl blouse, white baby shoes and ankle socks, and a frilly skirt that barely covered the diaper she had on. Babygirl eyed the diaper bag that Ann was carrying and said, "I hope that I won't need that in the park Ms Ann."

"We'll see, little girl," Ms Ann said leading Babygirl out of the house. I was eager to hear a report on this outing.

"Sally, hod did she do with her lessons?" I asked.

"She did well and said that she would finish the work this evening before bedtime. Will she be too busy with the toilet to get the work done." Sally asked.

"Well I seem to remember another little girl who came to us with potty problems, do you remember that Sally?"

"Oh yes, Steve. You and Ms Ann took good care of me and I caught on right away that I could not play games with you two without consequences. I was using the potty for Pee and Poop in less than a week and things started to get better for me after that."

"You were a good student. Look at you now, a certified teacher, going for a Masters Degree and living in your own house with Baby Leah. How is she doing?"

Sally told me that Leah, no longer Baby Leah, was about to finish high school and would be starting college in the fall Baby Leah had been a tough case but in only a few months she learned that growing up was easier and more pleasant than being a baby in diapers.

In the park Ann brought Babygirl to the playground. Several of the little kids recognized her as she had baby sat them. She recognized a group of her friends and carefully walked over to them, trying not to let the diaper peek out from under her skirt. They asked her if she was being punished and where she was living and she was about to answer them when she stopped suddenly and got a funny look on her face. "Ms Ann, Ms Ann, I need your help NOW, PLEASE!" the girl cried out. She tried to separate herself from her friends but it was too late. She passed a small fart and then filled her diaper with poop. Her friends backed away, shocked, as Ms Ann came up to Babygirl.

"Babygirl is in a new program to help kids who don't want to grow up," Ann explained. They get to be real babies until they learn how to be grownups. The county has approved the program for any kids who are referred by their parents and we take it from there. The kids looked at Ann and Babygirl with the sagging, smelly diaper and backed off. They began to talk among themselves as Ann took Babygirl over to the grassy area.

"Your not going to change me here, are you? In front of my friends." Babygirl was in tears and she knew that the story of her filling a diaper would be all over her school by tomorrow morning. Ann used a patient handling move to lay Babygirl on the grass without a fight. She released the buckle on the skirt and slipped it off. A couple of the teenage kids were looking her way as Babygirl tried to cover her face with the mittens on her hands. Ann unfolded a new diaper and took a can of baby wipes out of the bag. "Oh, No, Please," Babygirl begged as Ms Ann release the buckle on the rubber pants and pulled them off of the girl. "Please, Please, No," the girl begged as Ann undid the clips on the thick diaper. The diaper came open and baby wipes came out. Babygirl was sobbing, listening to her friends talking and giggling in the background. The poor girl was dying of shame and humiliation as Ann applied a thick layer of diaper ointment and clipped on the new diaper. The rubber pants went back on and were buckled in place and the little skirt went on next. A boy that she had dated came up and said, "I guess that I'll be listening to my parents from now on, I don't ever want that to happen to me."

Ann packed up the bag and led Babygirl across the park. "You did that deliberately! You embarrassed me in front of my friends! I'll never be able to face those boys again.

"Until you decide to grow up you will be having a lot of experiences like that, Babygirl," Ann said, leading her home. Babygirl ran to her room and buried her face in the pillows as Ann told us, "Babygirl had her first real lesson in the real world, she's devastated."

"Good," Mr Steve said, "The sooner she realizes the consequences of her bad behavior, the sooner it will change. I'll go and try to calm her down while Beth puts out soup and sandwiches for lunch."

Mr Steve knocked on Babygirl's door and walked in. The girl turned her face to him and said, in a resigned voice, "I guess that I better start to obey you without a fight. I almost died out there. How can I go back to that school with the story of having my diaper changed runs through all the students. I'll be a laughingstock!"

Mr Steve sat on the edge of the bed and stroked the girls shoulder. "We'll make sure that things will be calm when you are ready to go back to school. This will be history by then. Now lets go and have lunch." He helped the girl to stand and walked her to the kitchen.

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Babygirl continued to sob, her whole life turned upside down. I rubbed her back and shoulders and said, "This is not the end of your life, girl, it's just the beginning of a new grown up life. I know that what happened with Ms Ann today was very difficult for you. We did not plan it but it did get your attention." I took her hands and gently helped her to stand up.

"I have been a bad girl, Mr Steve. I disrespected my parents and teachers and really hurt them. How can I get back their trust?" Babygirl asked me.

"We will talk about your future here with Ms Ann and Ms Beth at lunch. If you demonstrate that you are sincere about growing up you will find that we will help you. We expect that the road will not be easy, you will make mistakes and we may have to discipline you. That's all part of growing up." Babygirl went to the bathroom to wash her face which was red with tears and I spoke to Ann, "She talks like she wants to grow up, lets give her a chance. She knows that she will be disciplined for bad behavior."

We hit a stumbling block as soon as Babygirl came into the kitchen. "I don't like soup, I want a burger and fries!" she told us.

"We are having soup and salad, please sit down," Ms Ann told her.

"I'm not sitting down for that! I want a burger!" Babygirl shouted at us.

Ms Ann is not the kind of lady to take bad behavior from a client. She stood up and took Babygirl by the hands. Babygirl tried to pull away but Ann was too strong and quickly had Babygirl's arms behind her back. "Steve, get the gym ready, the bench with restraints," Ann said to me. I went into the gym as Ann walked a resisting Babygirl ahead of her. I put a wedge cushion on the middle of the bench and pulled a privacy screen across the door so Babygirl would not be exposed to any visitors; I knew what was coming. By the time Ann had the little girl at the bench the belts and straps were spread out. A quick patient handling technique and Babygirl was face down on the bench with her bottom in the air. "OK, Steve," Ms Ann said, " get her undressed while I hold her." As gently as possible I loosened Babygirls clothing and let it fall off of her. When she lay there, as naked as the day she was born, Ann ad I applied the restraints. A belt over Babygirls back, another over her waist and a third over her thighs and she was immobilized. Wrist and ankle restraints were quickly applied and as hard as she struggled, Babygirl was secure.

"You can't do this to me, I'll tell my parents attorney and you will pay for this." our client threatened.

"Your parents and their attorney have already signed a release allowing us to use all necessary force to discipline you, Babygirl," Ms Ann told her, "Now you will learn how to behave in our house. The sooner you apologize to us the sooner your punishment will be over."

Ms Ann spread Babygirls cheeks and expertly slipped a well aged piece of ginger root into the little girl's rosebud. We waited a few second s and soon Babygirl was squirming and trying to expel the burning intruder. "Take it out, please take it out, it burns!" she cried. Ms Ann was not ready to do that. Instead she gave the ginger a twisting spin to increase the contact and quickly pushed the little girl's cheeks together and applied a piece of surgical tape to keep the cheeks closed. Babygirl was huffing and squirming as Ms Ann applied a soft leather paddle to the girls backside. The little girl was out of control. She wanted the ginger out and wanted the spanking to stop and told us so.

Ms Ann quickly pulled the strip of tape off of the little girl's bottom allowing her to spread her cheeks but then immediately applied the paddle to the tender skin just exposed. Babygirl sobbed and began to bawl. Her tears were real because her backside was stinging and the ginger was burning. Ms Ann nodded to me and said, "Prepare the usual treatment which follows this discipline please, Mr Steve."

Babygirl looked at me as I walked to the cabinets over the counter and unlocked one of the doors but she soon began to beg to have he ginger removed from her anus. Ms Ann gave her a couple more spanks on the tender flesh and pulled the ginger out without ceremony. Babygirl just let herself go limp on the bench, sobbing, with bitter tears flowing. I returned to the bench and asked ms Ann, "Are you sure she needs this? You know how much her bottom will burn when she sits down."

"She needs it, she is still a willful girl and has not learned to be polite," Ms Ann said, "Go ahead and give it to her, I'll release the straps."

"Babygirl," I said, " We have found that this lesson sinks in better if the client has to sit on her bottom for a while and have another unpleasant experience at the same time. This liquid will force you to have a BM. It will not wait, you will have to run to get to the toilet over there with the privacy walls." Without further preparation I plunged the nozzle of the eight ounce bulb into the girls bottom and gave it a firm squeeze. I quickly removed the nozzle to allow the bulb to re-inflate and plunged the nozzle back into the girl to give her the last of the enema. The 50:50 water and glycerin solution would race into her rectum and sigmoid colon and give her a desperate urge to expel.

Babygirl lay still for about three minutes then sprang up and ran to the toilet, her boobs and cheeks bobbing as she raced to the toiletw. When her pink bottom hit the seat she popped up from the stinging but the glycerin would not wait and she sat down, expelling enema and poop in a steady stream. "I hate this; I'm so sorry for being rude Ms Ann," the girl said when her bowel let her speak. "I'm a spoiled brat and I deserved this," she said as another strong urge hit her and she bent over, expelling, and sobbing.

In a few minutes it was over. I cleaned up the equipment while Ms Ann helped Babygirl to cleanse herself and apply soothing cream to the girls red bottom. Ann hugged the girl and said, "I believe you, Babygirl," kissing her on the forehead. "Now lets go and have some soup."

Babygirl was still sobbing gently as she recovered her composure. She lay her arm over Ms Ann's shoulders for support and walked to the kitchen.

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Babygirl was very remorseful after talking back to Ms Ann and being rude to us. She ate her lunch and went to her room.

Later that day I went to check on her and found her face down in a pillow, sobbing. "Babygirl, Ms Ann and I have spoken and we decided that we are going to begin to treat you as a mature young lady, not a little baby. That means that you will be expected to do chores and do your lessons that Ms Sally assigns you. We expect you to behave like a young lady in the house and especially when you are out in public. We can tolerate mistakes and some small misbehavior but you will get grown up punishment for being bad. Do you have any questions for us?" I asked.

"Who will make the rules and who will decide when I am breaking the rules. I know that I have not been the most "regular" girl, will I be punished if I get bound up again? How will I learn how I need to behave?

"We will be sitting down with you frequently to discuss all of those issues. Ms Sally and Ms Beth will also be here for these talks so they will know what we expect from you. That is enough for now about your behavior. Your BM's are a different issue. Ms Ann and I have made up a schedule of treatments you will get, both on a daily basis and if you start to get plugged up. You will be expected to cooperate with these treatments without argument as they are for your health and to teach you self control. You will be punished if you try to refuse these treatments and you will get the next step up in treatment to get you going. Get dressed and Come into the pit for a talk now, we are having hot chocolate and you can share with us."

Babygirl came into the pit in ten minutes, neatly dressed but with a red, tear stained face. Ms Beth is a very caring girl and got a cool cloth to help Babygirl cool her face and wipe away the tears. Since Beth had been through the house routine several years before, she knew how Babygirl felt. Beth sat down next to Babygirl and put her arm over the little girls shoulders. "You will learn what is expected of you each day. We don't punish girls for mistakes or little slips; Instead we speak to them and we may take away a privilege for a while. This will give you a chance to learn and grow. The responsibility is yours, Babygirl. If you go back to being naughty or fighting your treatments you will get strict discipline from us, do you understand?"

"I think so," the little girl said, looking relieved.

We spent about an hour going over house rules and her medical treatment, including an upcoming examination by a physician. Beth and I took the little girl to her room. She was surprised to find a big girl's bed instead of a crib and smiled at us. Beth helped her take a bath and get into pajamas while I prepared to give her a talk on her bowel and bladder behavior. "You have been very good about using a toilet when you need to make a poo and you have been dry for several days. We want that to continue. For now you will wear a diaper at night, until you show us that you can stay dry. For now, we will be giving you a Colace capsule at nigh. If you don't have a poo in the morning you will get a dose of Milk of Magnesia the next evening with your Colace. I hope that we don't have to go past that. The diet we provide should help you to have a BM every day, don't fight it! Now let Ms Beth help you with a diaper then we will tuck you in.

Beth led Babygirl to the bathroom and told her to make her pee-pee before she went to bed and then put a thick diaper on her. When they came back to the bedroom Babygirls pajama bottoms were all puffed out by the diaper. I gave her a gentle pat on the bottom and told her to get into bed. The poor girl had had a rough day and her eyes were already closing as I pulled her blankets up and tucked her in. "Good night, little girl," I said, kissing her on her forehead. Beth and I left quietly, dimming the lights so only a night light was on.

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While Babygirl was interested in growing up she still had a rebellious streak and kept trying to assert her control. Ann and Sally were firm but strict about Babygirls lessons and the little girl did not fight the schoolwork. Her eating was still a problem. She wanted junk food three times a day and no vegetables or fruit .

Ann and I discussed Babygirls diet and made a plan to address the problem. The next morning Babygirl came to breakfast and stopped at the table. "What is this?" she asked, "It looks like babyfood and smells like medicine."

"Babygirl, your diet has become a problem. We do not want to have you become plugged up again so you will be eating a special diet for a few days. You can earn your way back to adult food by not complaining and eating everything we put in front of you. Do you understand?"

"I don't want to go back to babyfood. I'm a big girl now and I can choose what I eat," she told us, a defiant look on her face.

"OK, Babygirl, you know that that attitude and behavior does not work here." Ann and I quietly walked up to Babygirl and each of us took an upper arm and lifted the girl, quickwalking her to the gym with her feet dragging. "You did not make a BM yesterday or this morning and you are fighting dietary management so now you will take nursing treatment; Is that clear Babygirl?"

"No, you cannot do this to me. I'm a big girl and don't take baby medicine!"

"We will see about that, little girl," I said, helping Ann to sit our client on an adult potty chair. Working together we got her skirt and panties off and at the same time put a belt around her chest, one over each thigh and one at each ankle. Babygirl was trying to get to use with her hands so we had to restrain her wrists to the arms of the chair. By this time Babygirl was looking around, trying to see what we had planned for her. We had carefully placed all our supplies out of sight so our little client would not know what was happening until we wanted.

The potty chair reclined on smooth pivots until Babygirl was on her back with her legs straight up and spread so she could not clamp her cheeks. Ann quickly lubed Babygirls rosebud with KY and slid in a double balloon catheter nozzle. As Ann pumped up the inner balloon Babygirl seemed to resign herself to her fate. "Oh no, no, please don't give me an enema, please."

"It's too late for that Babygirl," Ann said, inflating the outer balloon of the nozzle. "You are getting this enema and you will retain it for twenty minutes, more if you keep acting up," Ann told her opening the clamp on the tube. Three quarts of warm soapy water headed toward its target. In just a few minutes the whole bag had emptied into Babygirl in spite of her verbal complaints. "I'm going to recline you a little more so the water will go higher into you," Ann told her as she tipped the chair until the back was at a 30 degree angle down.

I put a stethoscope to our clinet's belly and was very satisfied to hear loud gurgling as the enema flowed higher into her bowel. Babygirl was still fussing at us as we waited for the enema to soften her poops and stimulate her bowel. "OK, Ann, lets get her vertical and get the pail under her," I said. We pivoted the chair back upright, clipped the bucket under Babygirls bottom and Ann deflated the inner balloon.

The catheter shot out, followed by a stream of dirty water and plop after plop of turds. Babygirl looked relieved as the pressure in her tummy was relieved and began to relax in the chair. We released the restraints as our client passed a big fart. Ann and I cleaned her up and put a gown on her. Getting Babygirl onto her feet we walked her around the Gym until she said "Oh, Oh, and raced back to the potty to expel the rest of the contents of her bowel. Again we cleaned her up and Ann lead her to a treatment table.

"We are going to have you in diapers for the next twenty four hours, or more if you do not follow instructions, Babygirl," Ann told her. Now don't struggle and this will only take a moment." The large bulky diaper looked very cute on our client when she stood up.

We sat Babygirl on a regular chair and I told her "You are getting one tablespoonful of this medicine every hour until you have taken four doses. By then you will be filling your diaper with loose poo. We will take good care of you and you will not get a diaper rash." "Open you mouth," Ann told her and as Baby girl opened to complain I stuck in a tablespoonful of Castor Oil and held her mouth closed as I slid out he spoon. I stroked her throat until she swallowed the nasty oil.

"That's terrible," Babygirl complained, "What was that?"

"Castor Oil, I told her. You will be getting three more doses this morning to clean you out completely then you can decide if you want to eat the baby food or have us stick a feeding tube up your nose and down into your stomach. Twenty four hours of baby food and you can go back on regular food or twenty four hours of the feeding tube, your choice. Tell us your answer in four hours, while you are filling diapers."