Kendall’s pre employment physical

Chapter 1

Kendall had f finally gotten a good job as a cost accountant at a big firm. After struggling with low paying jobs, demanding too many hours, her hard work had finally paid off. The pay was more than she could’ve expected, and while the hours were still substantial, they weren’t nearly as bad as her previous jobs. The only thing she didn’t like, was everything was dependent on her passing a pre employment physical. She had been through enough physicals to know what they entailed, but the thought of going to a strange doctor, made her nervous. The Human Resources director, Jane, had made her an appointment immediately upon her accepting the offer. She didn’t have any choice in who she would get to see.

“They have an opening tomorrow at 1:00, would that be okay?” Jane asked. “Yes,” Kendall replied, that would be just fine. Jane gave her the address to the clinic, and said, “once you are done, the will send over the necessary forms, and we will look forward on you starting two weeks from Monday!” Kendall wasn’t sure what the physical would entail, but was grateful it was on a Friday, so could have to weekend to rest and relax. Excitedly, she drove home, anticipating telling her family and friends the great news, but still was full of dread for her physical the next day. She hated doctors, and being poked and prodded by a stranger nearly made her physically sick.

After calling everyone, and sharing her big news, she lay in bed awake, nervous and restless, finally dozing off in the early hours of the morning. Upon waking, she had a light breakfast, and a long shower, making sure she was ready for the appointment. She passed on lunch, as her stomach was full of butterflies, and she wouldn’t be able to keep anything down anyway. She put on a nice casual dress and left for the clinic around noon. She found the clinic easily, and parked, noticing that the clinic did look very upscale and nice. She entered the clinic, and gave the receptionist her name, and was handed a questionnaire to fill out. The receptionist pleasantly told her, “have a seat over there, please fill out the paperwork, and return to me when done.” “Okay,” Kendall said, as she grabbed the paperwork with shaking hands, and took a chair by the window.

Chapter 2

Reading through the paper work, it was you typical new doctor paperwork, asking the normal questions, do you feel sick today, have you left the country in the last few weeks, have you been exposed to Covid, the next set of questions, made Kendall’s heart drop. When was your last menstrual cycle. This meant she would more than likely have to have a gynecological exam. That was the absolute last thing she wanted. She didn’t want some strange man, sticking his fingers in her, essentially seeing her naked. Those gowns they have don’t leave much to the imagination, so essentially naked. She begrudgingly finished the paper work, and returned it to the receptionist. “All done?” She asked. Letting out a deep sigh, Kendall said, “yes.” “Okay,” the receptionist said, “please just have a seat, and you will be called back shortly. Kendall returned to her seat, and nervously waited. There weren’t many people there, and they all got called back one by one. Finally a nurse came out, and called Kendall’s name. Time got really slow for Kendall. She could hear herself breathing deeply, as she got up, and followed the nurse. It seemed to take forever for her to reach the nurse, and when she finally did, the nurse smiled, and said, “hi Kendall, I’m Courtney, I will be assisting the doctor with your physical today, please follow me!” And led Kendall to a scale. Courtney had her step on, recorded her weight, 135, not too bad, Kendall thought, considering how hectic life has been for her lately, and escorted her to an exam room. Kendall almost passed out when she saw the exam table in the center of the room. Knowing what was about to happen, she wanted nothing more but to turn around and walk out. She knew she had to do this though, she couldn’t turn away from this great job, because of nothing more than a fear of an exam. She took a deep breath and entered the room. Courtney pointed to a chair next to a small desk, and said, “have a seat there, and I will take your vitals.” Kendall took a seat, and Courtney proceeded to take her blood pressure, and pulse. She grabbed a digital thermometer, and said, “open.” Kendall opened her mouth, and Courtney placed the thermometer under her tongue. A few moments later the thermometer beeped, and Courtney removed it, reading the display. Her brow furrowed, and she said, “it’s a bit elevated, are you feeling ok?” Kendall replied, yes, I’m not feeling sick or anything, I am nervous though, could that be it?” “Probably not, but we will get to the bottom of it, I’m sure! Handing Kendall a gown, Courtney said, “I need you take take everything off, and put the gown on, with the opening to the back.” Kendall lowered her chin to her chest, and barely managed to get out an “okay.” Courtney put her hand on her shoulder and said, “Kendall I know you’re nervous, but I promise I will be here with you the whole time, holding your hand if I need to!” Kendall felt a little reassurance, and looked up and said, “thank you.” Courtney left to give Kendall some privacy as she changed out of her dress, and into the flimsy gown. She took off her dress, followed by her bra and panties, and folded them all nicely, and sat them in the chair. She took a seat on the exam table, and waited for the doctor to come in.

Chapter 3

After nervously waiting for about 10 minutes, there was a knock on the door, without waiting for an answer the Doctor and Courtney walked in. Kendall was relieved that the doctor was a woman. “Good afternoon Kendall, I am Doctor Clark. Nice to meet you.” “Nice to meet you too,” Kendall replied. “Ok,” the doctor continued, “looks like you’re here for a physical, let’s get down to business, and get you back to enjoying your day!” “I need to listen to your lungs,” she said, and she pulled her stethoscope out, untied the back of Kendall’s gown, and placed the cold metal on her back, causing Kendall to take in a sharp breath. “Deep breath,” Doctor Clark said. She moved the stethoscope, and said, “again,” repeating the process several more times. The doctor slid her hand, around to Kendall’s front side, while still under the gown, and repeated the process on her front side, while minimizing her embarrassment, by working under the gown. “You’ve got good, healthy lungs,” Doctor Clark said, as she hung the stethoscope around her neck. “Next we are going to do a breast exam,” and with that, pulled the gown down around Kendall’s stomach, exposing her from the waist up. She did a quick exam with Kendall sitting up, kneading one breast and then the next, finishing up each one, with a gentle squeeze of her nipple. Doctor Clark asked Kendall, “would you please lie down on your back, so I can repeat the process?” Kendall obliged laying down and let the doctor repeat the process. “Ok Kendall,” the doctor said, “Im going to press on your stomach, please tell me if you experience any discomfort.” Still exposed from the waist up, the doctor started pressing firmly on Kendall’s stomach, asking, “any pain here, or here?” Kendall replied, “some cramping when you push there.” The doctor concentrated on the area, pushing as deep as she could, without causing too much discomfort to Kendall. The fact that she continued to cramp and the doctor concentrated on that spot for more than a few seconds, started to cause Kendall some concerns, and caused her breath to quicken. Doctor Clark, picking up on this, said, “probably nothing to worry about, but we will check it out to be sure.” Please sit up, put the gown back over your shoulder, place your feet in the stirrups, and scoot down as far as possible.” Oh boy here we go thought Kendall as she did what the doctor told her. “Kendall, I am just going to do a routine pelvic exam, just try to relax as much as possible, even though I know it’s hard,” Doctor Clark told her. As she took her place between Kendall’s legs, Courtney stood beside Kendall, and grabbed her hand. ‘“If you feel any pain, or you’re uncomfortable, let Doctor Clark know,” Courtney said. Kendall felt a little relief, having Courtney there, holding her hand. “You’re going to feel me touch you now,” Doctor Clark said, and Kendall felt two gloves hands running over her labia, spreading it open, as the doctor took a look. After a few moments, she told Kendall, “you’re going to feel me insert two fingers into you now,” and took a sharp breath as the doctor inserted two fingers into her vagina, and started feeling around. Kendall was squeezing onto Courtney’s hand, as tight as she could, and Doctor Clark continued the procedure. After a few moments the doctor finished, and withdrew her fingers, and told Kendall, “next I’m going to insert a speculum, it will feel strange, but you shouldn’t feel any pain, if you do, let me know.” As Doctor Clark slowly inserted the speculum, Kendall stared to squirm. She tightened her grip on Courtney’s hand, and her toes curled on the stirrups. Doctor Clark thoroughly checked for any issues, and then told Kendall, “I’m going to take a Pap smear sample, you may feel a bit of cramping.” Once she was done collecting her sample, she removed the speculum, and told Kendall, “I am going to perform a recto vaginal exam now, I will be inserting a finger into your vagina and rectum, simultaneously, please try to relax, and not tense up, as I insert my finger into your rectum.” “Please don’t,” Kendall said, “do you have to do that?” “Yes,” Doctor Clark replied, and with that, started the exam. Kendall pulled Courtney’s hand to her chest, and the doctor inserted her fingers. She told Kendall, “take deep breathes, in through your nose, and out through your mouth, it will help.” Kendall felt the doctor insert her finger into her vagina, and then she felt her place a finger on her anus, and told Kendall, “bear down, like you are trying to have a bowel movement.” As Kendall did what the doctor told her, the doctor inserted her finger into Kendall’s rectum. Kendall gasped at the intrusion. She had never had even a finger in her bottom before. After only a second the doctor removed her fingers, and snapped off her gloves. “Okay Kendall, please sit up.” Letting out a breath of relief, believing her ordeal was over, Kendall let go of Courtney’s hand, removed her feet from the stirrups, and sat up. “Kendall,” Doctor Clark started, “while I was palpitating your stomach, I felt a slight mass, upon further examination, I didn’t see any issues with your reproductive system, and upon examination of your rectum, I felt a solid mass of stool. When was the last time you had a bowel movement?” Kendall felt her face flush with embarrassment. “Uh, it’s been a while.” Kendall replied, trying to remember. She knew her diet had been suffering with the long work hours, and the last time she tried, she remembered experiencing some pain. “I’m sorry Doctor Clark, with my work schedule, I haven’t been taking care of myself very well. I will do better, I promise.” We need to check to be sure there are no other issues,” Doctor Clark responded. Please turn over, get up on your knees, and down on your elbows.” Kendall’s eyes welled up with tears, as she turned over, and got into position. She felt Courtney undo the tie, on the lower part of her gown, and the cold air hit her now exposed buttocks. She heard the doctor snap on a fresh pair of gloves, and then another pair, and thought, “why two pairs of gloves?” Tears of absolute embarrassment were streaming out of her eyes, and she just kept her head down, to escape as much of the embarrassment as she could. She felt a cold, lubed up finger on her anus, and the doctor said, “bear down, just like before.” As she did, the doctor inserted her finger, as Kendall let out a long “Ahhhhhhh,” until the doctor stopped inserting her finger. She could feel the doctor trying to move her finger around, and all Kendall could do, was weep. Courtney placed a hand on Kendall’s back, and started to slowly rub it, to try to comfort the poor girl. “You’re doing great Kendall, focus on your breathing.” After a few moments of trying to feel around, Doctor Clark removed her finger, and asked Courtney, “could you run and see if Doctor Allen is available please?” Courtney replied, “yes doctor,” and exited the room. “Kendall,” Doctor Clark said, I need to get a second opinion from my colleague. Please stay In that position for a few more moments. After several moments, she heard the door open, and Courtney said, Doctor Allen will be here in a moment.” A few seconds later she heard a knock on the door, and another person came in the room. Here she was face down on a table, with her naked butt sticking up, in a tiny room with three other people. Doctor Clark said, “Doctor Allen, my patient has severe fecal impaction, and I would like your recommendation for treatment. Kendall, Doctor Allen will be performing a quick exam, and he will give me options for treatment. Please just stay relaxed.” He? Kendall thought, now there’s a man looking at my naked butt, and he’s about to stick a finger up it? Just as she finished her thought, she heard him snap on gloves, and she started weeping again. She felt Courtney start rubbing her back, and she felt the doctor’s finger at her anus. And before she had a chance to think about it, he inserted his finger. His finger was much larger that Doctor Clark’s, and full blown tears were streaming out of her eyes now. Eventually, it became too much, and she started sobbing, after a few long minutes, Doctor Allen removed his finger, and said, “ok Kendall, I am finished, you can sit up now.” She sat up, as Doctor Allen, and Doctor Clark started a conversation. He said, “I think the best treatment would be digital disimpaction, I don’t know if an enema would work at this point, and could cause some testing and damage to the walls.” Kendall had no idea what any of this meant, but was terrified at this point. “After disimpaction, I would recommend a series of enemas, and a follow up with me, for a barium enema and an sig to confirm no underlying issues.” “Sounds good, thank you Doctor Allen,” Doctor Clark said, as Doctor Allen exited. Turning to Kendall, Doctor Clark said, “Kendall, you are severely constipated, to the point where we will have to perform a procedure called a digital disimpaction, which is where Courtney will have to insert her finger into your rectum, and manually remove the fecal matter.” Kendal, crying at the thought, asked through her tears, “will it hurt?” Doctor Clark replied, “I’m not going to sugarcoat it, yes, it will be a very uncomfortable painful procedure., but it needs to be done, you could have serious issues if it isn’t done right away. Do you have any questions for me at this time?” Through her sobs, Kendall replied, “no.” “Courtney, once you are finished, please grab me,” Doctor Clark said, and exited the room.

Chapter 4

Courtney, seeing Kendall’s distress, put her hand on her shoulder, and told her, “shhh it’s okay, you’ll do just fine. Take some deep breaths and lie down and relax. I have to go get the necessary supplies, and I will be back in just a few minutes.” Kendall laid down on the table, and curled up into the fetal position, continuing to sob, and Courtney left the room. A few moments later, she came back in with supplies, and said, “Kendall, I’m going to lower the lights a bit, and turn the heat up; to try to make you as comfortable as possible. Unfortunately, your gown is going to interfere with the procedure, and I’m going to need you to take it off.” As Kendall stood up to remove the gown, Courtney put two large pads on the exam table, one on top of the other. “Please lay on your left side, with your left leg straight, and your right knee bent, over you top leg. As she got up on the table, she saw Courtney donning a smock and a plastic apron, which caused her to become more embarrassed, and cry even harder. She got into position on the table, closing her eyes as tightly as she could, to escape her embarrassment as much as possible. Once done securing her apron, Courtney helped Kendall with her positioning, and moved behind her. Kendall heard her snap on gloves, and she felt Courtney place something cold by her feet. “Ok Kendall, I’m going to start now, this will be very uncomfortable, so if you need me to stop, please say something.” Kendall just nodded. Kendall felt Courtney’s finger at her anus, and said, “deep breath,” and as Kendall inhaled, Courtney pushed her finger in, and deep as she could. Once Kendall has become somewhat accustomed to the intrusion, Courtney started moving her finger around, in a circular motion, trying to break up the mass. Eventually she pulled her finger out, briefly, and pushed it back in. Repeating the process over and over. Eventually, Courtney reached her free hand over Kendall, and started pushing and rubbing her stomach. Eventually it got too difficult for Courtney to use her finger, and said, “Kendal, I’m going to have to switch over to this instrument,” showing Kendal a long stick, with what looked like a fish skeleton on the top, “this will help me get in deeper.” “Ok,” Kendall said through her tears. She felt Courtney ready the instrument, and felt her slowly push it in. She moved in around a bit, pushing in hard on her stomach, before pulling it out, and repeating the process. After going in with the tool several times, Courtney would insert the tool. Move it around a bit, pull it out, insert it again, move it around, pull it out, insert her finger, then back to the tool, repeating the process over and over. Kendall was crying and sweating from the pain, by the time Courtney finished. Kendall felt her gently wipe her, extremely sore backside, and got a fresh towel to wipe her face. “You can put your gown back on, I have to clean up, and then I am going to run and get Doctor Clark, rest up for a few minutes, and we will be back in.” Kendall, exhausted from the ordeal, fell asleep before Courtney even left the room.

Chapter 5

“Kendall, Kendall.” Kendall heard slowly waking up. She didn’t comprehend where she was right away, and it took her a second to get back into focus. She realized how sore she was, and remembered where she was. Courtney and Doctor Clark were back in the room. Doctor Clark said, “Kendall, I need to do another quick rectal exam, I will be as gentle as possible, please roll onto your left side.” Kendall let out a big sigh as she rolled over, to let the doctor do her thing. As the doctor inserted her finger, Kendall felt how sore she was. Even using lubricant, to doctors finger burned so bad, as it went in. Kendall let out a soft whimper, as she felt the doctors finger explore inside her. “I know this is uncomfortable, but it will only take a second,” Doctor Clark said. After only a few seconds, the doctor removed her finger, and asked Kendall to sit up. “Ok Kendall,” the doctor said, we are almost finished up, I know you are sore and tired, and want nothing more than to go home and go to bed. The last thing we are going to do, is have Courtney give you an enema, just to make sure everything else is out, and then you can go home. Doctor Allen will need to see you for a follow up, Tuesday at 8:00 am, Courtney will give you instructions on what you need to do to prepare, as we need to check for any further issues. Based on what you are telling me, I don’t believe there are any, but we have to check to be sure. If you have any issues, feel free to call the clinic and they can get in touch with me at any time of the day, okay?” As she put a hand on her shoulder, knowing she had been through a lot today. “Ok,” Kendall replied, just want to go home. “Get some rest, drink lots of fluids, and get as much fiber in you as you can, and you’ll be fine,” the doctor said as she exited the room. Courtney said, “Kendall just relax while I go get the enema ready.” “What’s an enema?” Kendall replied. I will be injecting water into your rectum, through a small hose and it will make you have to go to the bathroom, it will cause some cramping, but it won’t hurt.” Relived, Kendall said, “ok,” as she lay back down on the table. Courtney was back a few minutes later, rolling an I V pole with a big red bag, with a rubber hose attached to it, hooked on the pole. “Ok Kendall, please roll up onto your left side,” Courtney said, as she held up the nozzle. You can see the nozzle is about the same size as a finger, and once i insert it, I will pump some air in, and this balloon inflates, to help keep the water in.” All Kendall could do at this point was turn away from her, and groan. She didn’t know if she could take anything else going up her sore butt. “Deep breathe and relax,” Courtney said. As Kendall inhaled, Courtney drove the nozzle home, causing Kendall to cry out in pain. “I know, I’m sorry!” Courtney said. “I’m going to inflate the balloon now,” and Kendall had the strangest sensation, of something blowing up inside of her. Then Courtney said, “I’m going to start the water now,” as Kendall heard a click. She then felt a warm sensation growing through her midsection. “The cramps may become intense,” Courtney said, “try to take long deep breaths and breathe through them. If they become too bad, let me know and I will stop the flow for a few minutes. The cramps in Kendall’s stomach grew worse and worse. Finally she asked Courtney to stop. She stopped the flow, and gave Kendall a few moments to let the cramping subside. She asked Kendall, “ready for some more?” Kendall shook her head, and Courtney started the flow. After several minutes, Courtney said, “ok Kendall roll over on to your right side.” As she did so, another cramp hit her. “Could you please stop for a minute?” Kendall cried. Courtney stopped the flow, and started massaging Kendall’s stomach. “This might help a bit,” she said, “remember take nice deep breaths.” After a few moments, Courtney started the flow again. Kendall asked, “how much more? I really need to go!” “You’re more than halfway there, almost done,” Courtney replied. “Try getting up on your knees, and down on your elbows. That should help with the cramps some.” Kendall got into the position, and as she looked down, she looked like she was pregnant, due to the distention from the water inside of her. She was in they position for only a few moments when Courtney said, “ok, you’re done! Great job. I’m going to help you up, and we’ll walk across the hall to the bathroom, once in there I will take the nozzle out, and you can release the enema. “Um, okay,” Kendall said. Not sure she liked the thought of having to do that. “Can’t you take it out here?” “No,” Courtney said, “if you can’t make it, that will be a huge mess to clean up. I could get you a bedpan if you’d rather do it that way.” “NO,” Kendall replied, revolted by the thought of having to use the bathroom in front of someone. “Ok then, let’s go,” Courtney said, holding Kendall’s arm, helping her up. She grabbed the bag off of the pole, and helped Kendall to the door. Kendall, walking as best as one could, clutched her stomach, and walked slightly bent over behind her. Out in the hallway, Kendall saw the bathroom was right across the hall, and luckily, she didn’t have far to go. They entered the bathroom, and Courtney, locking the door behind them, told Kendall, “stand over the toilet, facing the wall.” Doing as she was told, Kendall got into position. “I’m going to deflate the nozzle now, and when I remove it, don’t push, or otherwise we will have a mess.” Kendall felt the nozzle deflating, and Courtney slowly pulled it out. As she did, Kendall felt a few drips leak out. “Ok,” Courtney said. “Good job, you can turn around and go now.” As she turned around and sat down, she noticed Courtney had left, and was standing against the door. “Aren’t you going to leave?” She asked. “No, I need to be here in case you need help, you’ve been through a lot today.” Knowing arguing would do no good, Kendall put her face in her hands, and let it go. Tears leaking from her eyes, Kendall quickly finished, and Courtney led her back to the exam room. Once inside, Courtney said, “Kendall, lean over the table for a minute, I’m going to put some soothing gel on your anus.” Kendall leaned forward over the end of the table, as Courtney donned another pair of gloves, and opening a tube, squirted some gel on her finger. Kendall felt her spread the cold gel on and inside of her a bit, and it gave Kendall some much needed relief. “Ok,” Courtney said, we are done! You can go ahead and get dressed, and I will be back in with a few things we will go over, and you can be on your way.” Quickly Kendall threw her underwear, bra and dress back on, and gingerly took a seat in one of the chairs by the desk. She was going to go home and sleep for hours. A few moments later, Courtney returned, handed Kendall some papers. “Ok, the top one is instructions on how to prep for your follow up with Doctor Allen on Tuesday, nothing to eat after midnight, clear fluids only. You can drink, but no solid foods. You need to take an enema two hours prior to your appointment. If you have a bag, one bag, or two fleet enemas back to back. For now, drink lots of fluids, and eat light for a day or two, maybe some soup, but take it easy, and you may still have some cramping associated with today. Get lots of rest. Your body will need it. Start taking a fiber supplement, or drinking Metamucil, and that will help keep you regular. Do you have any questions for me?” “No,” Kendall replied. “Okay then,” Courtney said, “you’re all set to go!” And with that, Kendall left as quickly as she could. Jumped in her car, and sped away. Sitting in line at a drive through, waiting to order some soup, she determined, that today was the most embarrassing day of her life. Never again would she ever go to the doctor. She didn’t care how sick she was. She got her soup, went home and ate, took a long hot shower, and slept for the better part of the weekend.

Thank you

S one