It had now been four weeks since Debra Hobbs had graduated from high school and started her summer internship at Village Pediatrics. Although she was looking forward to starting a nursing program at the state university in the autumn, she did feel right in her element in this busy practice. She was particularly gratified that Doctor Walker and the nurse practitioner Jill Smith were giving her more responsibility with their young patients. Overall, it was turning into a great summer.

For as long as she could remember, Debra had enjoyed being in charge. That had occasionally caused friction with her classmates at school, but this job afforded her opportunities every day to be in control as she took patients’ vital signs and prepared them for their examinations. It was extremely gratifying, and she took great professional pleasure as they (and invariably their parents) meekly followed her various instructions.

Her emotions had taken a more complicated turn, though, the week before. That was when her former classmate (and twin brother of her friend Liz) Luke Williams had come in multiple times for complications from a nasty strep infection. Debra recalled being amazed upon learning that Luke’s mother still took his temperature rectally at home and that Jill had even done the same during his initial visit. She found the idea of a man her own age being treated like a child to be extremely arousing, especially since he seemed to take it rather passively. Seeing Luke naked on the pediatric exam table and ordering him to turn over so she could take his temperature while his sister and neighbor watched had sent tingles throughout her body and elicited a not so negligible amount of moisture between her legs. Penetrating his cute, hairless backside with the thermometer had practically caused her to have an orgasm.

When Luke returned a few days later, this time with his mother, Debra couldn’t resist the temptation to tease him a bit as she took charge. When she “accidentally” pressed his hand against her breast while taking his blood pressure, it elicited from him a deep blush and an even more visible erection. The erection didn’t abate while she toyed with his emotions, explaining why the rectal method was more accurate for taking “boys’” temperatures and forcing him to admit that, deep down, he wanted her to take his again that way. She had noted that his penis had been rock-hard as he turned onto his stomach, and she inserted the glass rod past his crinkly anus just before his mother came into the exam room.

And now, things were getting even better. Another former classmate (and Luke’s next-door neighbor), Ben Richards, was coming in late that afternoon for an urgent visit since his own doctor was not available. Ben’s symptoms were suspiciously similar to those of Luke, and it was probable that he had caught the same highly contagious strain of strep. Even better, Debra knew from her call with Liz that Ben’s mother was away, so he would be accompanied by either his older sister Katie, or perhaps even by Liz herself, both of whom had been taking his temperature rectally. She spent the rest of the afternoon in a state of arousal in anticipation.

Around 4:30, after having surreptitiously removed her bra in the staff bathroom, Debra headed into the reception area and retrieved Ben’s new patient “sick visit” chart and flipped it open. Seeing an “R” notation next to each of the two temperature readings in the symptoms section sent her entire body tingling. She felt her nipples pressing directly against the fabric of her cartoon scrub top and hoped no one else in the office would notice; as a precaution, she held the chart in front of her as she briefly glanced out the reception window into the waiting room, where Ben sat silently next to Liz, a worried look on his face. After a few moments, she headed out herself.

Debra enjoyed the surprised look on Ben’s face when she opened the door to the waiting room and called his name.

“Debra? What are you doing here?” Ben asked in a shaky voice as both he and Liz rose. He looked quite pale, but that didn’t detract from his physique, which she discreetly admired. Maybe it was just her imagination, but she had the impression that several of the waiting mothers shared her assessment.

“Oh, didn’t Liz tell you? I’m doing a summer internship here. It a great place to work! The nurse practitioner, Jill Smith, will do your exam today. She asked me to take care of your preliminaries, so I’ll be handling your vitals and getting you ready.” Enjoying Ben’s look of increased apprehension, she turned to Liz and asked, “So, I guess Katie couldn’t make it?”

“No, she’s stuck at my house taking care of Luke. He doesn’t seem to be getting better, so she might be calling in for another appointment for him tomorrow. I guess it will depend on his temperature this afternoon.” Liz gave the faintest of smiles upon recounting that development then added, “So she asked me if I could bring Ben in.”

“OK, no problem. Why don’t you both follow me back? We’ll be in room five today.”

“Um… Liz, don’t you think you should stay here in the waiting room?” Ben’s voice reflected the apprehension on his face as he appeared to try to assert some control over the situation.

It was Debra who answered. “I’m sorry, Ben. I know you’re not a regular patient here, but our protocol requires that an adult be present for every appointment. I’m not authorized make an exception, even for patients over 18.”

Ben’s face dropped slightly at this, but the two women pushed confidently ahead without regard for his opinion, and he was obliged to follow them reluctantly into room 5, which was located at the end of the hall. There was the usual cabinet-style exam table in the middle of the small room, as well as an array of supplies on the work counter. Debra watched with amusement as Ben eyed the entire scene, dwelling for several seconds on the two jars containing thermometers.

“So, Ben, I understand you’ve got symptoms of strep,” Debra said, starting off the preliminaries.

It was Liz who answered for him. “Yes, it started out yesterday as just an earache. That was probably from the boy’s creek swim the other day. But since this morning, he’s got a really bad sore throat and has been running a temperature.”

“Mhm, I see,” Debra continued in a serious voice. “How high?” Even though she already had the data in her chart, she was keen to see Ben’s reaction as she and Liz discussed his symptoms as if he were a child.

“It was 101.2 this morning at 8:00 and 102.3 this afternoon at 2:00.” Liz paused just briefly for emphasis before adding, “Taken in his rectum both times.”

Despite his wan complexion, Ben turned several shades of pink. Debra decided to ratchet up his discomfort another notch by continuing the conversation with Liz.

“Oh, so you weren’t able to get an oral reading?” she asked seemingly innocently.

“No, he was coughing too hard this morning when Katie took it, and I knew it was important to get a comparable reading this afternoon.” The look on Liz’s face left no doubt about what she felt about having had to take it that way. “Besides,” she added with a little smirk, “that’s how his mom usually takes it.”

“Well, that’s no problem. We’re used to that here. Rectal readings are definitely more accurate for boys, especially when a throat infection is involved.” Then, turning back to her patient she added, “Why don’t you go ahead and strip to your underwear, Ben, and we can get started. I’m sorry, but, because we are a pediatrician’s office, I don’t have a gown to offer you for privacy.”

Ben, who was looking more and more uncomfortable as the conversation went on, resisted. “Um, Debra, do you really think that’s necessary? I mean, it’s just a sore throat. Can’t the nurse just look at that and give me some pills?”

For the second time in as many minutes, Debra was once again able to demonstrate her control over the situation. “No, Ben, I’m sorry. Given your symptoms, Jill will have to do a complete exam to rule out other complications. And if it does turn out to be strep, then we’ll probably need to give you an antibiotics injection.”

With that, Ben’s face went ashen again and he became visibly uneasy. The apparent source of his agitation became clear then as he blurted out, “I don’t want to get a shot!”

The women exchanged bemused glances before Debra calmly responded, “Well, that will be up to Jill to decide. In the meantime, my responsibility is to get you ready and take your vitals. So, I need you to take your clothes off and hop up onto the table.” The tone of her voice left no room for negotiation, and Ben seemed to crumple before their eyes. Debra couldn’t help but marvel at how such a handsome man her age was acting like a such a little boy, and the thought of being in control of him caused even more tingling between her legs. Given Liz’s expression, she sensed that her friend was feeling similar emotions.

Both women watched as Ben slowly stripped down to his white briefs and used the stool to climb up and sit on the exam table, his legs dangling over the side. Liz neatly folded his clothes and sat down in one of the “parents” chairs to observe. She was perfectly playing the big sister role, Debra thought. In her seated position, Liz’s face was at the same level as the top of the exam table, and Debra noted that her eyes seemed to be glued to Ben’s briefs. She was about to give her friend a nice show.

Debra clamped an oximeter on Ben’s index finger then took hold of his wrist while she counted his pulse, which was unsurprisingly racing. Her own heart was also beating fast as she anticipated what she would be doing next. She knew it was at the limit of professional behavior but couldn’t resist the temptation as she picked up the sphygmomanometer from the counter and turned back to face him, her nipples newly erect under her scrubs.

Acting as nonchalantly as possible, she lifted his right hand and lodged it firmly under her arm, then used her free hands to slowly wrap the cuff. She gently placed the membrane of the stethoscope on his bare arm and started to inflate the cuff. As she did so, she turned discreetly to the left so that Ben’s hand slipped and came to rest squarely on her left breast. The sensation of his warm hand cupping her breast was exquisite, and she strained to concentrate on the dial to properly record Ben’s blood pressure. She had to suppress the tremors of a mini orgasm deep inside.

Ben’s own reaction, on the other hand, was more difficult to hide. As Debra looked down, she couldn’t help but notice that he had developed an instant erection which his briefs barely contained. His face had also turned a bright shade of pink despite his obvious feverish condition. The idea that she could elicit that kind of effect on a young man in a professional setting turned her on almost as much as the feel of his hand on her breast. She felt immensely powerful. Looking to the side she saw that Liz was slightly agog, her eyes still riveted on Ben’s bulging crotch.

The brief moment of intimacy came to an end, and Debra unwrapped the cuff and let Ben’s arm fall free. She experienced a slight pang of regret but knew that there was more to come. She then had him open his mouth wide and took a swab from the back of his throat.

"OK, Ben, why don’t you lie down,” she instructed before turning around to face the counter. She could hear him moving behind her on the crinkly paper as she placed the swab in a plastic bag and made notations in his chart. From the corner of her eye, she saw Liz rise from her chair and move to the far side of the exam table. With her body shielding her actions from Ben’s view, Debra removed a stubby-tipped thermometer from the “R” jar, verified that it had been shaken down and coated the tip with a dollop of Vaseline. She then turned around to face Ben, holding the lubricated thermometer conspicuously in front of her.

Ben, who rather naively had not suspected what was coming, had lain down on his back with his feet facing the door. It was, in Debra’s view, a magnificent sight: a grown man, sporting a fair amount of body hair, clad only in his briefs, lying supine on a waist-high children’s exam table covered with butterfly-decorated paper. Ben’s eyes went wide when he saw the thermometer, and Debra thought she perceived an increase in the bulge at his crotch. Liz just smiled from her vantage point on the other side of the table.

“Debra, what are you doing?” he asked, as if the answer wasn’t obvious.

“I need to take your temperature, Ben. Unfortunately, we can’t do it orally, so I have to use a baby thermometer,” Debra responded, her calm, professional tone masking the excitement raging inside her. She could feel her nipples pressing again against the fabric of her blouse.

“Please, no!” Ben begged rather pathetically. “I’m sure I can hold it in my mouth now!”

“Don’t be silly, Ben! I need to get an accurate reading that’s consistent with the earlier ones.” She smiled across at Liz, who had also become visibly aroused. “Don’t worry; I take plenty of boys’ temperatures, and I’m very gentle. It will only take five minutes.” Then, with the faintest hint of a smile, she added, “If it makes you feel better, you can close your eyes and pretend it’s just your mom inserting the thermometer. Now, be a good boy for me and pull down your underpants and turn over.”

Her condescending tone, which had worked so well with Luke the week before, was just as effective now at neutralizing her patient’s free will. Ben just looked at her, frozen from embarrassment.

It was Liz who broke the impasse. “I can help,” was all she said. Without warning and seemingly in one single action, she reached over with both hands, lifted Ben’s hips, grabbed the waistband of his briefs and effortlessly slid them passed his engorged penis, down his legs and past his feet. Ben was so shocked that he still couldn’t move.

For the briefest of moments, the two women beheld the glorious spectacle of Ben’s naked body in front of them. His penis was fully erect. Debra marvelled at the form of the tip of his penis, whose mushroom shape evidenced that, unlike Luke, he had been circumcised. It was all she could to refrain from taking it in her hand and caressing it, but she managed to maintain her professional mien.

Ben suddenly came to his senses and quickly turned over to try, a bit late, to preserve at least some of his shattered dignity. The new sight was no less erotic for Debra, who admired the contours of his tight buttocks, knowing that she was about to penetrate him under the bright lights of the exam room. The back of his scrotum was visible between his slightly parted legs, and Debra imagined his hard penis pressing into the crinkly paper, making a mental note to check for a wet spot when the procedure was over.

With Liz’s face just inches away to observe the procedure up close, Debra used her thumb and forefinger to spread Ben’s buttocks, revealing his pink anus among the light tufts of hair. She then placed the tip of the thermometer against the orifice. Ben let out a little moan as she deftly pushed the glass inside. She took a moment to admire the Vaseline bunched around the stem of the thermometer as it protruded from his rectum, feeling more moisture between her legs. Liz was also blushing profusely.

“There, that’s not so bad, is it?” she asked, still in a slightly condescending tone. Ben appeared too embarrassed to respond, and she wondered what he was thinking. Liz had placed one hand on his thigh and one on his back and started gently caressing him as they all waited for the thermometer to register.

Debra finally broke the silence. Addressing Liz, she said, “I should take the throat swab to the lab so they can get started. Can you stay and make sure our little patient doesn’t move?”

When Liz nodded her consent with a little smile, Debra picked up the swab and headed down the hallway toward the lab. She “accidentally” left the door three-quarters open as she left. As a result, because the room was located at the end of the hall, Ben’s naked body was visible to anyone walking in the busy space coming in from the reception area. She felt another burst of power when she passed a 40-something mother whose eyes were quite obviously fixated on the spectacle behind Debra.

Returning from the lab a few minutes later, Debra reluctantly retrieved the thermometer from Ben’s behind, making sure to spread him wide in the process to give Liz and herself a last peek at his gorgeous orifice. She noted his still-elevated temperature in the chart and rinsed the thermometer before putting it back into the “R” jar on the counter. To Liz’s obvious disappointment, she informed Ben that he could put his underwear back on for the exam. His erection hadn’t abated and was in full view of both women as he hopped down and raced to cover himself. Debra noted with satisfaction that there was a small but noticeable wet spot where his penis had been. Not really sure whether she wanted to alleviate or accentuate Ben’s embarrassment, she added, “Don’t worry, Ben; that happens a lot with the boys!”

Jill was on the way in as Debra left the exam room, and they exchanged smiles. Jill always acted completely professionally around her and with patients, but Debra couldn’t help but wonder whether the older nurse practitioner also enjoyed examining their rare adult male patients. She was disappointed not to be able to attend Ben’s exam and headed to the bathroom to put her bra back on before attending to her next patient.

After about 20 minutes, and three patient preps later, Debra headed back to the lab to retrieve the results of Ben’s throat swab. As expected, it was positive for strep. Anticipating that Jill would prescribe the usual treatment, she prepared a syringe with 750mg of penicillin and headed back eagerly to exam room 4. She knocked twice then barged in without waiting for an answer, leaving the door partially open behind her. Ben was lying on his back and blushing as Jill palpated his lower abdomen. Debra had hoped she might find him naked but took some satisfaction seeing the obvious bulge under his briefs. Liz appeared quite satisfied with herself, still standing next to the table as if she were his big sister assisting with the exam.

“Test results are positive for strep, so I prepared the usual dose of penicillin,” she announced to Jill, placing the kidney-shaped tray on the counter.

“Oh, that’s a great initiative. Thanks, Deb! I was just finishing the exam. I don’t see other symptoms apart from slightly swollen lymph nodes, so let’s go ahead with the antibiotics now.”

Ben’s face immediately lost several shades of color, and his erection deflated. He looked terrified.

“Is that really necessary? Can’t you just give me some pills?” he asked plaintively. It may have been due to the fever, but Debra thought she saw him starting to tremble.

“Ben, with strep it’s important to knock it out right away,” Jill explained calmly. “The only way to do that is with an injection. Now, go ahead and turn over for me and drop your underpants. It will be less painful in your bottom.”

As she said that, she proceeded to prepare prepare the material, taking the large syringe from the tray and removing the needle cover. As Jill moistened a cotton ball, Debra could smell the now familiar, yet somehow incredibly erotic odor of alcohol that soon permeated the room.

Ben remained frozen in panic, unable to decide what to do and too scared to move. Debra saw her opportunity and, following Liz’s earlier move, reached over and pulled his briefs quickly down then off altogether, so Ben was once again naked on the pediatric exam table. She took a moment to admire his now flaccid circumcised penis before nodding to Liz, who helped her to turn him over onto his stomach. Both women held him down gently but firmly as Jill jabbed the needle into his right buttock and pressed down the plunger, forcing the thick serum deep into his muscle. Ben whimpered as he finally stopped struggling and tears welled up in his eyes, either from humiliation or pain. In a way, Debra felt sorry for him. But the idea that the three women were able to so thoroughly dominate her former classmate as he lay there naked sent more tingling sensations through her body.

Jill finally removed the needle and, replicating Debra’s earlier condescending tone, said, “There, that’s a good boy! It’s all over now. You can get dressed.” She then turned to Liz and added, “You should monitor his temperature every four hours and give him an antipyretic for comfort; I’ll leave a prescription for something strong at reception.” She smiled when she said that, and Debra wondered whether Liz knew that, because Ben was having trouble swallowing, it would likely be in suppository form. Jill then concluded, “If the fever spikes or doesn’t abate within 2 days, then you should bring him back in.”

Once Ben was dressed, Debra accompanied him and Liz to the reception area, where she handed over the prescription and told Liz with a smile that she could phone in case of any questions. She felt some excitement (and a slight pang of jealousy) at the thought of Liz announcing to Ben how she would have to administer the medicine and wished she could be a fly on the wall to watch that. When the two of them had left the office and she had tidied the exam room, Debra headed to the bathroom and masturbated to the biggest orgasm she had yet experienced in her young life.