Paul was running on the treadmill and he was sweating buckets, mixed with his tears, his whole body was dripping with liquid. He felt his asshole being extremely scratched and he was fighting his hands to not touch it as he didn't want to risk another spanking on his already sore bottom. A lot of patients have been coming in and out of the clinic, they certainly did not make an effort to hide the fact that they were looking at him the whole time. Kids have certainly went over to him and tease him about it. The parents all told their children that they would be here like Paul if they misbehave at home.

Paul didn't know one's face could get so red until that moment, all of these embarrassment just to skip one test yesterday. He finished the run and Dorothy came to stop the machine completely before he came off.

"Good boy, you only stopped once." Dorothy said as she stroked his hair. Paul was extremely uncomfortable as he quickly touched the supporter to loosen it and he started scratching his anus and cheeks due to the prolong tightness from the supporter.

Dorothy noticed and she immediately stopped him. "What are you doing!" She slapped his hands out of the way.

"It's scratching... It's scratching my skin... It's itchy and painful..." Paul cried out as he tried to pull his hands back to his behind.

"Don't fight me! Turn around and let me see!" Dorothy scolded him and put his hands on the counter. "Bend down so I can see clearly!"

"Can... Can we do it... Inside... There's a lot of people..." Paul cried as he saw everyone staring at him. Everyone's attention was on him and there were a few some older kids who knew those spanking marks and was dedicated their time at laughing at him. He was already extremely uncomfortable while running, and now he was extremely humiliated knowing that everyone is watching his every action.

"No! We only have a spanking room inside, do you want to get spanked? If yes, we can go in." Dorothy scolded.

"No.... No.... Not a spanking..." Paul cried. "Please... Help me... It's very painful...." He cried even more as he heard he might get a spanking.

Dorothy brought him to the bed and pushed him over the bed and exposed his bottom to everyone in the room to see. Paul sobbed onto the sheets of the bed deep in humiliation, but Dorothy pretended not to hear it. She quickly loosened the supporter and pulled it off him to reveal two long red lines across his bottom. Dorothy pulled apart his cheeks to check the skin condition on the inside but Paul was flopping on the bed as he felt his personal space being invaded.

"No please! Not there!" Paul yelled as he began to stretch his hands backwards. His hand got quickly thrown back to the front as Dorothy caught hold of them.

"No more putting your hands to the back!" She scolded. "I'm helping you check as you asked me to help you!"

Dorothy looked for damaged skin or blood but there was none to be seen. It was probably just a temporary burning sensation that Paul wasn't used to in his private parts. She put some vaseline on and started to massage his rectum to make sure everything feels alright inside. Paul immediately started moaning loudly despite being in public as he felt the erotic sensation on his bottom. The pain was burning through but the finger felt stronger.

Dorothy pulled her finger out and checked if there were any blood. There wasn't any blood and she didn't feel any damage, but just for precaution, she noted that she will put some aloe vera to soothe the pain after his shower. She pulled him up and pushed him to behind the desk. There was a shower spot behind the counter, where a curtain could be pulled out to protect the patient that is showering, but the con is that the lighting of the room will show a shadow of whoever is behind it. Paul didn't know that so he was grateful that Dorothy pulled the curtain out as he went into the corner.

Paul waited for Dorothy to go out so he could finally shower but Dorothy was not planning to go out, she was ordered by Grace to give him a good clean shower before he starts school. Dorothy tied up her hair and put on a plastic apron to prevent herself from getting wet and stood up on a stool. Paul realised then that she was going to stay here as he showered.

"I... I can do this myself..." Paul said.

"I'm giving you a shower. You might hurt yourself if you give yourself a shower." Dorothy said as she took the shower and turned on the water.

Paul started shouting but it was muffled down by the shower as Dorothy was wetting his whole body. She stepped down from the stool and asked Paul to sit on the stool. "Sit down, we're going to start your shower." She announced loudly. Everyone in the room could hear her.

Paul blushed again and sat down slightly on the chair as his bum still hurts a lot.

"Sit down properly!" Dorothy said as she pressed his shoulders down with her weight to cause Paul crying again due to the pain. Dorothy started to rub shampoo on his head and started to shower him. She finished with her hair quickly and then started to put body wash on him carefully. She noted that Paul had a lot of armpit hair that needed to be shaved, but she was going to wait for further instructions. Grace might want to demonstrate with the hair still on him as she had inspected his external looks that morning. After she was down with the big parts, she asked Paul to stand up.

"Stand up so I can clean your private parts!" Dorothy ordered as she stopped the water. Paul hesitantly stood up and covered his penis in front of Dorothy.

"The next time you cover your penis when you're naked, I'm going to handcuff your hands the whole day except the time when you have to write!" Dorothy exploded with anger. Paul has not been obedient in this process and she has had enough. She still had patients to attend to outside, and this kid decides that his self-esteem is extremely important.

Paul immediately pulled his hands back and listened to Dorothy as he heard the threat.

"Spread your legs to shoulder length so I can wash your penis!" Dorothy ordered as she picked up the shower head. Paul cried some more as he felt his dignity at his new low.

Dorothy took his penis and got some some on her other hand to start rubbing it. She started with the foreskin and pulled it back slowly so she could clean the inside of the foreskin carefully too. After she was done with the foreskin, the penis was already very hard. It started to get erected and Paul was extremely humiliated as he felt that he is losing all sorts of control over himself.

"Control yourself!" Dorothy yelled. Paul immediately blushed AGAIN as he knew everyone could hear her. What he didn't know was that everyone could see what's happening too. The shadow of a horizontal line towards Dorothy was on the shadow and the adults were all blocking the eyes of the younger kids as they watched the show interestingly.

Dorothy continued to scrub his penis with soap and used her thumb to wipe the head of the penis a few times too. After she was down, she turned him around. "Spread your legs wider now." She said as she slapped the insides of his thighs. Paul immediately reacted and spread his legs wider.

Dorothy started with circles on his buttocks and Paul was sobbing as the pain from someone touching his spanks was intolerable. Dorothy noticed but ignored it as she knew it had to be extremely clean for the aloe vera to work later. As she got to the butt crack, she inserted her fingers deep into the crack and made sure to clean the area carefully as she knew there were extra vaseline and sweat there with the supporter touching it extensively.

As she got into the crack, Paul started moving but Dorothy held his cheeks strong and pulled him back into position, which made the whole process a lot more painful. Paul was basically bawling by the end of the washing of his private parts. Dorothy turned on the water and made sure that every part was spotlessly clean and made sure to rub his penis carefully as he still had his foreskin on.

Dorothy made sure to clean the foreskin properly but it was hard due to his strong erection. She took mental notes to wipe it again with baby wipes when he decides to behave properly. She turned him around and did the same process to his rear, rinsing every single inch clean. She was finally done as she turned Paul over again. She saw his face being all messy with tears and snots. She sent water to his face through the shower head and made sure he was sparkling clean. Paul ended up sobbing as the shower was over.

Dorothy took a towel from behind and started wiping him dry. She wiped everything dry and hanged the towel dry on the drying rack. She positioned to open the curtain of the shower but Paul stopped her.

"Clothes!" He said as he realised that once the curtain is pulled, his whole body will be on display to the people in the room.

"You're going to be in only a diaper for school later, what clothes do you have! Quickly come on out before I get mad!" Dorothy whacked his hands out of the way and opened the curtain. Paul immediately covered his penis as he saw the curtain being opened. He saw the row of parents looking at him smiling in encouragement and he immediately broke down again.

Dorothy wanted to pull him out with his hands but she couldn't find it with her looking forward. She turned to see Paul covering his penis again and she got mad. "Paul! I told you not to cover your penis when you're naked right? You're going to be handcuffed when we go out! I'm not going to tolerate this kind of behaviour!" Dorothy said as she pulled his hands out of the way and pulled him out to his bed in the middle of the room.

The parents immediately sat back down and let their children play on the ground. Dorothy forced Paul to lay on his back on the bed as she pulled up the bed sides to stop him from leaving the bed. Paul continued to cry as he wasn't given anything to wear and he didn't want to be in this public environment.

"Go on all fours and press out your bottom to me as you let your shoulder hit the bed. You need aloe vera on your butt crack." Dorothy said as she pulled out a glove and took out a bottle of aloe vera.

Paul wasn't sure what position that was but as he was about to be finished, he realised that this was a very humiliating posture. "Please..." He begged again.

"Oh, I forgot about it." Dorothy said as she put down everything and took a pair of handcuffs and cuffed Paul's wrists to the front end of the bed. She then went to the bed and positioned Paul properly. Paul was wailing as Dorothy was moving him but Dorothy ignored all his wails. She got a pair of holding clamps on the side of the beds to spread his cheeks wide. Paul was moving a lot so Dorothy couldn't make the clamp stay in place. The parents were already looking at him in disgust as he wasn't behaving at all when Dorothy was just helping him with all the process.

Dorothy concluded that Paul was not going to respect her words anyways so she decided to strap his back down and put his legs on the stirrups. She locked his ankles and knees and tried with the clamp again. It finally worked but Paul was shouting all the time that she was fixing the positions of things.

"Fuck you, bitch! I didn't agree to this...." He shouted at first as he felt his dignity dropping if it can still drop. "What the fuck is this! What are you doing to me! I don't want to do this... Someone help me.... Please... Ouch! It's painful!" His yelling turned into sobbing as he felt his strength being weaker and weaker in this new position. As his legs were in the air fixed on the stirrups, he couldn't use his strength properly.

Dorothy was already tired of him to start with, but once he started to curse, all hell broke loose. Dorothy was extremely mad and she yelled back. "You're getting a good spanking tonight whether or not you take the aloe vera now. If you don't want your bottom to be broken and bleeding tonight, I'd advise you to stop cursing." She warned him.

"I don't give a fuck! Put me down and I want to leave!" Paul shouted as he flapped his arms with the handcuffs.

Grace heard the commotion and immediately came out to see Paul's position on the bed. "What is happening here? Why do I hear foul language flying out of your mouth?" She asked.

"She's putting me in weird positions and is humiliating me in public..." Paul cried.

"The supporter straps caused him to have some rashes and injuries in between his butt cracks, the spankings were also still extremely swollen. Once I fix him in position, I was going to put on aloe vera to help him and let it dry for half an hour before putting the diaper on." Dorothy explained the situation. "As he wasn't obeying my orders since running, even in the shower and now. I've decided to secure his positions to make sure he doesn't injure himself. However, he just started cursing and crying when I'm putting him in position."

"That's it, Paul. You've lost your privilege of wearing anything for 2 days, you will receive a long spanking tonight! You will not be in a diaper today, not even when you're studying. I've had enough of your nonsense, and I'm sure everyone in this room has heard enough. I'm going to put a soap in your mouth to shut you up until Dorothy is done with you. Before that, apologise to everyone in the room immediately!" Grace ordered as she went over lift his head to look at everyone.

Paul cried even more and didn't say anything. Grace slapped his buttocks to make him speak. "AWWWWW! Sorry... Sorry!!! I'm sorry!" Paul shouted as he felt the slap.

"That's more like it." Grace said as she went to the sink and wet the bar of soap. She came back and told Paul to open his mouth. Paul shivered as he saw the mouth but he thought Grace was scarier so he opened his mouth a bit. Grace saw the opportunity and shoved the whole bar into his mouth to stop him from talking. "If the bar of soap falls out before it should be out, you're in for some more punishment later! If I hear anymore nonsense from now on, I will alert your mother and ask her to come administer addition spankings and it will be administer in the mall outside. Do you want that?" Grace threatened him.

Paul was immediately mortified and shook his head quickly.

Dorothy's heart calmed down after Grace scolded Paul for him. A parent came over and soothed her a bit. "Kids like this are hard to deal with. I'm sorry for you." She said. Dorothy nodded with thanks and continued with Paul's medication.

"I'm going to prepare you for the aloe vera now. I'm going to let it air dry as that's the best way for the skin to accept the medication." Dorothy said as she fixed the clamp to his cheeks and pulled it as wide as it can go. She heard noises coming from Paul but she ignored it. She wore her gloves again and took a generous amount of aloe vera and spread it all over his exposed buttocks and in between his butt cheeks.

"You're going to stay here until everything is absorbed." Dorothy went over to his face and told him. Paul showed a very mixed expression, but Dorothy ignored it and let him just stay there.

Everyone who came into the clinic was shocked but the sight although the private parts are all exposed to the sides where there was no bench. However, the sign on the desk explained the situation so the parents were understandable to the situation. The hardest part was when there were some 17 or 18 year olds coming in and seriously teasing Paul by going to look at his private parts on purpose. Dorothy asked them to ignore the sight, but in reality, no one really could.

Dorothy went to check on him every 10 minutes, touching his anus every time as that part was the hardest part to dry. After a full hour, Dorothy declared that it was fully dry and Paul can be released from the position. She slowly took the clamp away and unbuckled his knees from the stirrups. She laid him flat on the bed as she unlocked the handcuffs and pulled out his soap in his mouth. The soap was very small and Paul was coughing the second it got pulled out. Dorothy let him go to the sink to rinse his mouth immediately.

After 3 minutes, he finally got over his breathe and stopped rinsing.

"Do you have anything to say for yourself before you go to study?" Dorothy asked the boy.

"I..." Paul hesitated. "I'm sorry..."

"Do you remember what you promised yesterday when you left the clinic?"

"I will obey every command...." Paul said as his face flushed.

"Now go to the desk and eat your lunch. After your lunch, you are to finish your daily homework on the table. We will send them to the school and it will be graded before tomorrow morning. You have to finish all schoolwork at 8pm, if not, it will be counted as late and that will be extra punishment. Understood?"

"Yes..." Paul went over to the desk with his head down to keep everything to himself. He was lucky that the desk was facing the wall so his private parts will be exposed to only the wall. He finished his lunch slowly and started his homework as soon as he was done.

As 6pm rolls in, the students started coming into the clinic to wait for the session to start. They would come and review what was gone over yesterday and eat dinner together in the room as they discuss. Everyone who came in saw Paul in the corner doing his homework, so they knew it was their new learning subject.

Dorothy asked them to be quiet and not pay attention to him as he has to finish his work and Dorothy didn't want Paul to be suffering before the session started. Grace came out to greet them and they all went out for dinner, leaving Paul and Dorothy in the clinic.

8pm came and Dorothy went to collect his homework. She scanned them one by one and sent the email quickly. Paul was standing behind Dorothy as she was doing that and did not say a word.

"Okay, Grace said that they will learn about suppositories and how to get a urine sample. So you won't have to physically be prepared to do anything." Dorothy started. "However, you haven't gone to the bathroom the whole day, except for when you peed in the shower. Do you need to go to the bathroom before the session starts? You won't be allowed to expel anything unless you're asked to." She asked.

"Yeah... I need to pee..." Paul muttered.

"Normally you'd be expected to pee in your diapers, but as you're naked today, you can pee in the shower. I will wash you up afterwards." Dorothy said as she brought him to the shower.

Paul was aware that Dorothy was watching him, but he was too desperate to use the bathroom so he ignored the embarrassment and just peed. Dorothy cleaned his penis carefully and pulled the foreskin back down after she was done. She made sure to rinse it again after she pulled it down. Paul was still embarrassed but he knew better than to cover his penis that was getting harder and harder as Dorothy touched it. Dorothy had a 1L water bottle after he was done and she asked him to drink everything.

"Drink it, Grace's orders." She said. Paul obeyed and and gulped everything down.

It was perfect timing as Grace came back with the students. Dorothy brought Paul out from the shower to greet them. "Say hello to these doctors." Dorothy ordered.

"Hello doctors..." Paul bowed as he debated whether or not to cover his penis or not.

The medical students were all surprised to see a grown man naked in a children's clinic. They knew they were getting an adult, but they didn't know it was really a full on university student, and to be as exposed as this.

"Well, let's get started. We're going a bit easy today as it is Paul's first day. Everyone is going to take his temperature rectally, as you have to practice that a lot to get the hang of it. We are focusing on the private parts today, as I want everyone to try it once when the patient has pubic hair around it. He is going to be shaved tomorrow, so this is a good experience for all of you. After taking his temperature, I will show you how to insert a suppository and deal with the aftermath of it. Last but not least, we are going to learn how to help patients get a urine sample. Any questions?" Grace asked.

One of the students raised their hands. "Are we learning the baby style or the adult style? We've learnt that there are different positions for different ages."

"That's a great question, we will be learning the most common few styles. If you want to learn more, you can stay behind and I can demonstrate them to you. As everything we're doing today is regarding the anus, I will demonstrate a few common exposing anus positions. Paul, can you get up on the bed please?" Grace asked Paul to go to the bed.

Paul obeyed and sat on the bed, not willing to look at any of the students in the eye as he wiggled to find a spot where his buttocks won't sting.

"Let's start with a basic children position, the over the knee position." Grace said. She sat on the bed next to Paul and asked him to crawl over. "You have to ask your patient to crawl over your lap, or you can carry him to your lap. It doesn't matter. What matters is that the bottom has to be on the right hand side, and it's headed up to the sky. You cannot let the bottom to be far too up or down on your knee." She said as she instructed Paul to crawl on her knees.

Paul was reluctant as he would show his red butt to everyone in the room to see that he got a spanking recently.

"Paul?" Grace asked.

Paul's face got red immediately as he slowly obeyed. He went over and his buttocks were exposed immediately as he bent over.

"Woah...." Everyone was gasping in awe with the red marks on his butt. Paul's heart was extremely sour as he heard the sound, he was extremely humiliated and just wanted this moment to end.

"Oh I forgot to tell you guys. Paul will be punished every night depending on his behaviours during the day. His mother gave him a good spanking this morning before coming here, so his bottom is burning right now. However, we do not have to care about that at all today. No matter how painful he may seem, you can ignore that. I will be here to inspect everything, and as long as you're not physically harming him, you should not stop what you're doing despite his cries. He is a really big cry baby." Grace explained.

The students all laughed as they were older and just thought of Paul as a baby.

"After he's settled, you spread the cheeks and get some vaseline to lubricate his anus. You can be very generous on this as this can lower the pain on the patient, especially if they're sensitive like Paul now." Grace teased. "Then, you insert the thermometer and close the cheek for 5 minutes." She then just plunged the thermometer in and ignored Paul's moaning and she held him tight. "We won't wait for 5 minutes now as it's a waste of time. I also know that Paul doesn't have a fever, so that's another reason."

The students nodded and started taking notes in their heads about the procedures.

"The second method is ask the patient stand on the floor and bend over on the bed." Grace said as she flipped Paul over, with the thermometer still in his anus. She pushed him down onto the bed and separated his legs. "The thing different here is that you have to make sure their legs are wide open so that you can see the anus clearly before you lubricate him. The process for that is the same so I won't do that again. You can ask the patient to bend their back or point their toes to raise their bottom more. Paul? Raise your bottom to the fullest now." Grace ordered as she slapped his butt again.

Paul yelped but obeyed as he pointed his toes and bent his back. He felt the thermometer falling out of his anus as he was doing it.

"You see the thermometer being dropped out now, right?" Grace asked. "This is because the anus is more wide open in this position, which makes it easier for doctors to do the procedure. However, you have less control over the patient when compared to the OTK position. You will have to decide on the spot which one you want to choose. You can also change positions in the middle of getting them ready if you feel you need another method. Another common method is kneeling on the bed. Paul, go on all fours on the bed now." Grace ordered as she pulled out the thermometer and let him kneel on the bed.

The students all went to the side to inspect the procedure. "Lay your shoulders onto the bed and raise your bottom." Grace ordered. She pointed to the anus to the students and continued, "You see the anus being more and more exposed as he is laying his shoulders down to the bed. You can also adjust the size of the anus exposed to your convenience by making them spread their knees more." Grace said as she just opened his knees and made him stay at the same height. "See? That way, you can see it clearer."

Paul was mortified as he was being used as a subject like that, his anus was already exposed to this many people, and also he didn't expect to have to be in this many positions to just take a single temperature.

"These positions are often used for suppositories too, but there is one that's more often used for suppositories. The patient have to lay on their sides and pull up the upper leg to their chest to expose their anus. However, the patient has to grab one of his cheeks to expose his anus to the doctor. Paul, lie on your sides please." Grace ordered as she patted his buttocks to signal a change in position.

Paul laid on his left side and the students went back to the right side to observe the process.

"Pull your right knee to your chest." Grace ordered. Paul obeyed but he immediately felt the stretch in his butt that he didn't like. He tried to move and wiggle around but Dorothy stopped him immediately. "Hold your knee with your left hand and give your right hand to me." Grace asked.

Paul obeyed.

Grace took his right hand and made him touch his butt cheeks and pulled it so it is stretched out. Paul cried at the moment. "No... Please.... Don't do this to me..." He has had enough.

"We have barely started." Grace said calmly. "It doesn't hurt at all, why are you crying? Do you want me to give you a reason to cry?" Grace threatened.

Paul immediately stopped complaining as he heard that.

The students were amazed by the power Grace holds but they were still observant in the actions.

"Now, you lubricate him and you insert the suppository like this." Grace demonstrated with a normal sized weak laxative so that Paul can poop every single time for the students. "Your finger stays inside and you can let the right hand of the patient go when you've gone inside. Make sure the pill is melting and dropping into his system as we want the medicine to work as it should. After 2 minutes, you can pull it out. We are putting in either laxatives or vitamins. The laxatives will make him poop, and we can learn to use a bed pan too."

After 2 minutes, Paul's stomach started growling a bit and Grace sensed it. She asked Dorothy to give her a bedpan and the students all watched attentively. "Now, we slide the bedpan underneath his bottom and we turn him back to the front." Grace said as she turned Paul onto the bedpan. "Expel the poop into the bedpan." Grace ordered.

Paul was all over the place. First, the suppository was painful, and second, he was not pooping in front of everyone.

"I said, expel it now." Grace hissed through her teeth.

Paul got scared and started to poop. He was pooping little rocks and everyone heard the sounds of the poop dropping into the pan. Paul's tears came running out of embarrassment as he heard it.

"After he's done, we turn him back to the side and pull the bed pan out. We have to wipe the patient clean by using baby wipes. We always have to do it from the front to the back. Don't forget that order. We wipe until there is no colour on the wipe." Grace said as she pulled the cheeks again and started wiping. She wiped for around 5 times and the wipe was clean after the 6th wipe. "Now, that's clean."

The students all nodded and noted that they all understand the procedure.

"Now that Paul's in the bed, there is one baby position you all need to learn. You guys don't have to practice that today, but it's good to observe it once." Grace said. Grace went onto the bed too and knelt in between Paul's legs. Paul was very intimidated.

"First, you lift his legs and if it's an adult, ask him to hold his legs. If he is a baby, just hold his legs." Grace said as she held his legs 90 degrees up in the air. She bend them so that he is in an inverted frog position. "No, you see the anus facing up and the anus is the biggest in this position. You will lubricate it the same way, but use less as gravity will bring it down faster than any other position." Grace said as she quickly demonstrated how to lubricate the anus in this way. "When you're done, insert the thermometer and you can lay his feet down a little bit so it's less tiring on your part. Same for the suppository, you just have to insert it and let your finger stay in to make sure it melts fully. Understood?" Grace asked as she removed the thermometer and placed him down.

"Yes, doctor." Everyone answered and put down their notes to prepare for the practical part. Grace asked Dorothy to wipe his ass clean before letting the students start. Dorothy had him bed on the bed and she wiped him clean and told him to stand facing the class.

"So class, we will go with alphabetical order. Each of you will have 10 minutes to finish both parts. You will have to clean the vaseline off in between as to treat it as a new patient. You can choose any position except for the baby position. Imagine you're a real doctor and Paul as your patient. Use tones and instructions to make Paul understand you. If Paul disobeys, you can spank him lightly to encourage him to listen to you. As there are 9 of you, we will break into 4 and 5. In the middle of that, we will do a urine sampling as Paul has drank enough water to last until then for us to learn how to help a male patient take a urine test. Understood?" Graced asked.

"Yes doctor." All of them were excited to try everything they learnt on Paul.

The only person not excited was Paul. He had no idea what was going to happen on him in the next hour.