Dr Fable left the exam room and Mark was getting dressed. He was deliberately facing away from Tess, trying to avoid making eye contact with her, but she was not going to be ignored. “Mark, was that so bad? Did she hurt you or just embarrass you?”

No answer from Mark. Fully clothed save his shoes and socks, he sat down and pulled those on. When he finished and looked up, Tess could see that his cheeks were red.

”Are you still embarrassed?”

He could feel the warmth in his cheeks and understood why she had asked. “No. I’m not. I was just bending over to tie my shoes.”

Tess didn’t buy the implausible explanation for the red cheeks and the snappiness of Mark’s reply made clear to Tess she had some work to do to turn this day into what she was hoping for, so she tried a little flattery to soften him, “I think you made the doctor’s day! It can’t be often she gets to examine a handsome young guy like you!”

Mark pulled his shoulders back and straightened up signaling a small recovery in his pride. Dr Fable may have been in control, but he agreed with Tess, at least he could take some solace that his athletic physique and good looks had the power to kindle some excitement in Dr Fable.

Tess could see that Mark responded to her as she had hoped. Men are so easy to manipulate sometimes, she thought to herself. But again, the goal she had for their relationship in the days ahead would be more of a challenge.

As Mark stood there straightening his clothing, Tess could see him reach back and pull the fabric of the seat of his pants out and away from the crack of his rear end. She pretended not to notice, but she thought to herself that this was good. If Mark could still feel the residue of the slick lubricant left on his bottom, it would be a longer lasting reminder to him of what Doctor Fable had done to him despite his wish to push it out of his mind and forget about it.

There was a knock on the exam room door and Dr Fable was back. She had some brochures and white sheets of paper and and small white paper bag.

”Mark, why don’t you sit down. I want to go over your post visit instructions. You are very lucky to have such an engaged supportive partner in Tess. This will be so much easier since we can have her help.”

Tess carefully sat still with a straight face so as not to betray her excitement and joy at hearing Dr Fable’s words.

Dr Fable rolled the wheeled stool to a point a few feet in front of the chairs Mark and Tess were in, and sat down facing them.

”So, here’s the plan. Let me say first that I was a nurse for several years prior to going to medical school, and so I have a fair amount of hands on experience when it comes to treating constipation. Much more that most physicians. Tess, you can contact me through the patient portal messaging system as you are going through the process if at any point you need any help or have questions.“

Tess put on her earnest serious face and nodded. Mark just stared at Dr Fable with a blank shocked look.

Dr Fable resumed, “In my experience, this type of constipation is best treated initially with some suppositories. We want to help you have a BM first, even if just a small one, so that your rectum can more comfortably accept to volume of the enema that will follow. Tess, have you ever administered a suppository?”

Tess had done this once, but why would she not want to hear the full detailed instructions from Dr Fable with Mark right next to her? “No, never before, Dr Fable.”

”OK, well let me show you the suppositories,” Dr Fable said as she opened the white paper bag and withdrew a blister pack with four bullet shaped glistening suppositories visible beneath the clear plastic.

Tess noted how they were intermediate in size between her own thumb and index finger. She felt almost giddy and lightheaded as she contemplated she would soon be pushing these up Mark’s tight bottom with her finger.

Dr Fable went on, “Tess, you can see there is a little dell in the back tip of the suppoitories. That’s where your fingertip goes to give you some control of it as you insert it. You want to push it all the way in. You don’t have long fingers, so push it in to the hilt. Don’t worry, you won’t hurt him. Your nails are trimmed short, but I have put some gloves in the bag for you to use if you prefer.“

She put the suppositories back in the bag and turned to Mark, “Now Mark, you need to let these work. The idea is not to hop up and run to the bathroom and poop out the suppository. You need to lay still and let it melt inside you and trigger real bowel movement.“

“Once you have achieved that, then we will move on to an enema to more thoroughly relieve your constipation.” Dr Fable pulled out a glossy color brochure from the little bag and unfolded it for them. “This will tell you how to proceed in detail.”

Mark and Tess looked at the brochure and could see diagrams of an androgynous appearing figure in various positions—laying on one side, another laying one the back with legs drawn up. All were possible positions in which to receive an enema, but Dr Fable pointed to the one depicting the one on knees and elbows with the bottom raised up high in the air. “I highly recommend this one. Everything will be fully visible and accessible to you, Tess. That’s important since you will be working on Mark alone. Make sure his knees are wide enough that his buttocks part and you have a full unobstructed view of his anus.”

Tess tried to reply as matter of factly as best she could, “Yes, I can see how that would work best for both me and Mark.” But inside she was thrilled at the prospect of having Mark’s bottom presented to her like that and that Dr Fable had provided an innocent practical reason for why it would be necessary. She was staring wide eyed at the depiction and did not respond to Dr Fable’s inquiring as to whether she had any questions. When Dr Fable repeated her question in a slightly louder voice, Tess snapped out of it and turned to look at her. When Tess looked up, Dr Fable was looking her in the eye with a faint knowing smile on her face.

“Tess, I am glad to see you are so intensely focused on the task ahead. That’s great! I‘m sure you will do an outstanding job. Providing good competent and compassionate medical care can be so rewarding and satisfying even for the layperson.” Dr Fable said this with the most subtle tone of sarcasm and Tess perceived this and realized at that moment the Dr Fable was on to her. As much as she had tried, Tess was not able to sufficiently conceal her zeal. Dr Fable was able to correctly surmise that her degree of eagerness was beyond what could be accounted for by Tess’s concern for Mark’s health or even an unusual degree of interest in the clinical aspects of it all.

As for Mark, he did not have the keen perception to decipher the unspoken subtext of the conversation as the women planned his treatment. He was too distracted, dreading the mortifying ordeal that was ahead.

Tess sought to quickly redirect the tone of the discussion to cold clinical considerations, “Nothing will satisfy me more than having my Mark restored to good health. You can be sure of that!”

”Give the enema slowly and stop as often as you need to in order to get as much volume in as possible. Mark, you then need to hold it as long as you can so that it will clean you out thoroughly. Being close to the toilet is a plus. If your bet is far away, then pillows on the bathroom floor might be better. Any questions?”

Mark shook his head no in silence. Tess said it all made sense to her, but promised to call with questions.

It occurred to Dr Fable that Mark might become less cooperative after they left, so she added some final admonitions, “Mark, you need to cooperate with Tess and do as she asks. She is a very sensible woman and she has your best interests guiding her.”

Dr Fable rose from her stool and held out the white paper bag, brochures and instruction sheets. ”OK then, Tess. Take the bag. The additional items you will need to pick up at the pharmacy on on this list. Remember to contact me with any questions or difficulties. I will be home this afternoon, but I am on call and will be reachable if you need help.“

Tess and Mark got up and followed Dr Fable out into the hall back towards the waiting room. They passed Lisa the nurse in the hallway going in the opposite direction, “Bye guys! Have a good day!“ She said this with a big smile as she looked at the items Tess was carrying. Mark figured Lisa knew what was going on and what was to come. He dejectedly considered the possibility that every woman in the office knew by now.

As they walked out to the car, Mark found Tess was very talkative and Mark found her perkiness irritating. “Mark cheer up and don’t worry. I will take good care of you. We‘ll stop at the pharmacy on the way home and I’ll pick up the enema equipment and supplies. I suspect you will want to wait in the car. When we get home, we will get right to it.”

Tess gathered the items in the pharmacy and brought them to the cashier’s counter. The cashier was a girl who looked like she was 16 or 17 years old. She scanned the items and put them in the bag one by one with no visible reaction until she noticed Tess’s readily apparent excitement, and she gave Tess a perplexed look.

“It’s for my boyfriend!” Tess blurted out.

The girl’s eyes bulged slightly at hearing Tess offer this unsolicited information, “Umm, OK!? Just slide your card in the slot there.”

Mark and Tess were soon home and in the front door. “OK Baby, go on up to the bedroom. Go ahead and get your pants and undies off and I will be right up. Lay down on the bed and try to relax.“

With heavy steps, Mark plodded upstairs like a condemned man up to the scaffold.

Tess got a glass of water for Mark in the kitchen and headed up stairs. She saw Mark in bed staring at the ceiling as she put the things down and went into her walk-in closet. She wanted to change to more comfortable clothing. As she undressed, she saw how her panties had become quite wet as she slid them off. During Mark’s exam, it had come as a flood, surprising her to be in such a state. During the discussion afterwards, she felt additional surges when the discussion excited her most. She put on a fresh pair and then workout clothes. Mark often said she looked hot in her yoga pants, so she put those on and then a green sports bra on top. She hope it didn‘t strike him as too strange, but she wanted to look and feel sexy for this. She left her feet bare, and they pattered audibly on the bare wood floor as she exited the closet out to the bedroom to Mark.