I met Sandra in an online forum catering to various kinks. We soon realized we were aligned on several topics all having one thing in common - bottoms. Among our common foci were spanking, shots, rectal temperatures. None of the other MEDFET topics were of any real interest to either of us, nor were the many other BDSM or ass-related fetishes.

At first, our conversations involved our own experiences and interests. I was elated to discover that Sandra was an actual practicing nurse and had many stories about giving and getting shots that I found wonderfully fascinating (and arousing).

Our communication soon expanded to sharing our fantasies and then fiction laced with tidbits from our imagination and real-life experiences. Our dialog danced around the notion of what in-person play might be like but given the distance between us, the idea remained very notional.

Given her role as a nurse, we toyed with how a face-to-face meeting might play out with me as her patient and rather than concoct a fictional malady, the basis of this fantasy visit would be a general wellness exam. All of this was the foundation for a series of stories we exchanged that were both intensely exciting and yet frustrating as it seemed we were a great fit for in-person fun but thwarted by geography.

Unexpectedly, I received a request from a client to meet at their new facility. I began to plan the trip and realized that my work destination was only a short drive from Sandra. I immediately emailed her with the news and she responded with excitement about the prospect of meeting and fantasy-driven play. We decided to initially meet at a public spot - a coffee shop not far from her workplace - to assess each other and decide whether to move forward.

Early in our correspondence we had exchanged photos - our LinkedIn profiles - so I spotted her easily in the coffee shop. The conversation was easy and effortless, a continuation of the banter that had drawn us together on-line. After a bit she asked, “So, are you ready for your exam?”

“Sure. At least I think so,” I replied.

“Don’t worry,” she countered sensing a bit of apprehension, “I’ll go easy on you. Sort of.” She gave me a smile that put me at ease. She explained that she had access to the small private clinic where she worked and that we would have uninterrupted privacy there. I followed her in my rental car to a small office park occupied mostly by medical and dental offices. She led me inside and flipped on the light. “We’ll be in exam one,” she noted and ushered me into the room.

Out of habit in such situations, I took a seat on the exam table. She pulled a straight chair into the open space of the room. “First thing on the agenda is some motivational therapy,” she announced taking a seat in chair and extracting a hairbrush from her bag. “Hop down from there,” she instructed. I approached her right side and she undid my belt. “That’s a nice belt. I think I might make use of it once you’re warmed up,” she noted and briskly yanked down my slacks and boxers. She guided me over her knee and began to spank my bare butt with her hand. Once my ass was stinging she paused and gently rubbed my cheeks. “Very nice and warm,” she remarked. “Are you beginning to get the message that managing your wellness is a top priority?”

“Yes, ma’am,” I replied. She began to whack my bare ass with the hairbrush until I thought I could take no more.

“Ok,” she paused. “That will do...for now.” She prompted me to stand and then lightly tapped my erection with the hairbrush and teased, “It seems like you’re enjoying this a bit.”

I began to pull up my pants and underwear that were bunched around my ankles. “Go ahead and step out of those,” she instructed. “We have lots of work in that area and don’t need your clothing in the way.”

I did as she ordered and waited there for instruction, a bit self-conscious totally bare below the waist. She pulled out a step at the bottom of the exam table. “I need you face down on the table.” I climbed aboard and she pulled out another extension to the top of the table. I lay down and watched her put on exam gloves and gather a collection of items - an old-fashioned glass thermometer, two syringes, two vials of injectable vitamins and a specimen cup. She arranged them on a counter adjacent to where I lay - just a foot or two from my head.

She shook-down the thermometer with a bit of drama and then squeezed a bit of lube onto the bulbous tip. She gave me a ‘you know where this is going’ look and then swung a mirror anchored to the table on a long arm into my reach. I adjusted it to get a good view of my butt and saw her part my cheeks and insert the cold instrument into my rectum. She then made a somewhat ostentatious show of filling each of the syringes from the vials. She laid them conspicuously on the counter, giving me a long time to see the long needles that would pierce my skin and the a generous dose of vitamins she would pump into my glutes.

She withdrew the thermometer and made a note. I watched as she swabbed my right cheek with alcohol. I tensed in anticipation and she gave me a sharp swat. That must have been calculated to cause me to unclench as she immediately stuck me with the syringe. I felt the wonderful warm burn of the serum forced into my muscle, wishing this sensation would last. She then jabbed my left side with the other. My backside now burned or stung from hip to thigh, a collection of stresses that was unprecedented in the pleasure it gave me.

“Roll over,” she commanded and when I did, she covered my torso with a small towel and began to stroke me with her left hand. The purpose of the specimen cup became clear as she deftly used it to collect a good fraction of my release. She paused to make sure I was watching and then knocked-back the contents like taking a shot of tequila.

“I need you to get down and bend over the table,” she instructed. I complied and she began to spank me again using her bare hand. She covered my entire bottom with moderately hard, fast swats, returning the sting that had subsided. She paused and pulled my belt out of my slacks. Twelve strokes later my ass was seared and welted. “Sit down on the chair,” she commanded and I gently lowered myself, my bottom sore and raw. I thought that sitting there with a freshly spanked butt was just another part of her devious punishment.

She tidied up, wiping the thermometer with several alcohol-infused pads. She pulled another syringe from each of the vials. “More shots,” I asked, a bit warily.

“I’d hoped you’d reciprocate,” she replied. I almost immediately began to stiffen again at the thought. “Looks like you agree,” she acknowledged, setting the syringes on the counter.