The Doctor picked up the empty ice bucket and proceeded into the bathroom as Barb lay on the table and relaxed under the warm towel. As the Doctor adjusted the running water to the proper temperature, he thought about how Barb had mentioned, in their preliminary discussions, her desire to experience some embarrassing proceedures. Those discussions are what had prompted him to take her rectal temperature multiple times. Now he shifted his thoughts to how he should administer an enema to her; particularly in what position he should put her in. Having her assume a position on 'all fours', with her head down and butt in the air, would offer him complete, total access to her most private part, while adding to her embarrassment in that position. He finished filling the ice bucket with warm water and Castille soap and opened the door to return to his patient. Barb watched the Doctor carrying the ice bucket, not knowing for sure what was in it. She had consented to an enema, and then realized that the contents of the ice bucket were most likely for that purpose. Barb nervously awaited the Doctor's instructions as her anxiety began to build. The Doctor then informed her that he was going to give her an enema to prepare her for a more thorough rectal exam. "Ok" Barb muttered. I want you to assume a position on all fours, with your head down, your butt in the air, and your legs spread, were his next words. Barb realized how open and vulnerable she would be in that position, which added to her embarrassment. She realized that the Doctor had already seen and probed all her orifices, but being in this position was the ultimate in embarrassing positions. Slowly, she raised herself up on all fours. She turned her head and saw the Doctor removing a large bulb syringe and attaching a long, thick nozzle onto it. When the Doctor saw her watching, Barb quickly looked away, hiding her now blushing face. The Doctor then removed the towel from her body, placed his hand on her shoulder blades, and told her to lower her upper body. Barb lowered herself, supporting herself on her forearms, knowing she was now totally exposed and vulnerable.

The Doctor then coaxed her legs open further and pulled on another set of gloves. Barb flinched as the Doctor once again circled her rosebud with a liberal amount of K-Y jelly. The Doctor filled the syringe with the warm soapy solution and placed the nozzle against her well lubricated anus. He told Barb to bear down a little as he gently inserted the large nozzle into her rectum. Barb moaned and clenched her rectum as the nozzle entered her. The Doctor told her to relax and breathe slowly and deeply. Barb had never had anything of this size in her rectum before as she struggled to relax and accept the intruder. The Doctor gave her a minute to become accustomed to the size and to relax, and then continued the insertion of the nozzle until it was fully inserted, He then gave the bulb a slow squeeze to forced the contents into her rectum. Barb felt the warm liquid enter her which was a strange feeling. The Doctor then removed the nozzle and refilled the syringe. Barb jumped as he once again inserted the nozzle. She had thought that he was done and that it hadn't been that uncomfortable, so this second insertion caught her by surprise. Once the nozzle was fully inserted, he squeezed the bulb and emptied the contents into her bowels. This time the Doctor moved the syringe around her rectum and slowly pulled it partially out and then pushed it in deeper. Just relax the Doctor said, because we have two more bulbs to go. Barb said she didn't think she could hold 2 more, but the Doctor told her she could and withdrew the nozzle. Again he refilled the bulb and inserted the nozzle into her rectum. The insertions were becoming easier as she was slowly being stretched open. As the Doctor pushed and pulled on the nozzle, Barb began to softly moan and relax. The Doctor removed and refilled.the bulb, this time with more fluid than the first 3 times. Once again Barb felt the nozzle penetrate her and the contents released inside her. The Doctor told her that she needed to hold the enema for at least 5 minutes as he removed the nozzle. "I don't think I can hold it that long" replied Barb. "I am going to help you retain it by inserting a butt plug, so you won't leak any out", replied the Doctor. As Barb clenched her butt cheeks together, the Doctor prepared the plug. He told her to relax as he slowly inserted the plug into her rectum. The plug was larger than the nozzle and was a little uncomfortable as the Doctor continued to insert it fully. The Doctor rubbed her back and massaged her stomach in order to help her relax. With his other hand, the Doctor began to rub her open vagina, stroking the slit up to her clitoris. Suddenly, Barb felt a rapid throbbing in her rectum and realized that the butt plug the Doctor had inserted was also a vibrator. As the Doctor continued rubbing and fingering her vagina, he turned up the speed of the vibrator. He reached under her with one hand and found her swollen clitoris, while inserting 2 fingers into her vagina and rubbing her G spot. All the stimulations caused Barb to moan loudly as she exploded into another drenching orgasm. As the waves of pleasure subsided, the Doctor removed his hands, turned off the vibrator, and helped her to lay down. Once again her covered Barb with the towel and told her to relax. She said that she needed to expel the enema now. The Doctor helped her off the table and told her to go to the bathroom, remove the plug, and expel the enema, When she was done, he told her to reinsert the butt plug and return to the table. Barb ackwardly walked to the bathroom, removed the plug and expelled the enema. After about 5 minutes, Barb emerged from the bathroom, wrapped in a towel, butt plug in hand. She stood in front of the Doctor and sheepishly said, "I don't think I can take anymore, I am totally exhausted and spent." The Doctor said he understood and offered her another glass of Asti. She accepted the Asti and they discussed her experience. She said that it was better and more intense than anything she ever expected. As they continued to talk, Barb inquired about a follow up appointment. The Doctor said that it could be arranged and Barb said that she would really like that. She also said that she wanted to experience the rest of the exam next time. The Doctor ask her if she wanted to experience 'protein injections' next time, vaginally and anally, from his special syringe. Barb replied, "absolutely."