'Now for your enema.' My eyes fly open, and my head lifts off the table. There's a menace in your eyes now. 'You need dilating, and I cannot do that if you're full.' I scream and begin thrashing around. You run the tap, filling the bag with warm water, which you hang on a pole and wheel over to the table. You attach a thin tube to it, and lube it up. Then I feel your finger pushing in to lube me up first. Then you push the small tube in.

You change gloves again, and I hear the flow of water begin. Your hands immediately fly to my stomach, massaging it. You make cooing noises as I fill, 'There, there'; 'Nearly done, my good little girl'; 'Soon you'll be all clean and the doctor can enter you and make you all better'. I groan at the new sensations - the water feels cold and strange going inside me but it's not uncomfortable. One hand begins stroking my face again and I move towards it, enjoying the feeling of your gloved hand on my skin. Looking down, you can see that the enema has made me dripping wet, a welcome development for you; I'm calm as I enjoy your caressing and you smile, knowing full well I'm under your spell.

It's a while before I notice the flow of water has stopped: you have me enchanted. You smile inwardly, enjoying my docile behaviour, but you know it won't last, you'll have to break it eventually. After a few minutes your hands move away, I hear clanking again, then I feel the tube inside me moving as you pull it right out but you just sit there and I realize to my horror that you're going to have me empty right here, in front of you. 'Hmmghhhh. Noooooo!' The menace again. Then it starts gushing out, 'uggghhhh'. And I'm red again.

It comes in waves. Unrelenting and tiring. I moan at the pain, wishing it to be over but knowing more is coming. Waves crash, but I keep my eyes shut tight, not daring to look at you. Your hand, again, returns to stroking my cheek. You remove my gag, and wipe my saliva away. Then you trace my lips with your finger, before pushing it inside. I suck on your finger as you pump it in and out. Eventually, you add a second, and the waves recede from my mind as I focus on this new task. 'Such a good little girl.'

My consciousness blurs and I don't remember you removing your fingers, cleaning up, or beginning another enema, sleep beckons until the wave hits and shocks me into consciousness. But you're back, soothing and massaging me, I let your wandering hand caress my body - a welcome distraction from the waves - and lie still as my body expels the enema. This one ends quicker, but you do one more to make sure that I'm completely clean while your hands return to stroking my face. Before I know it, the procedure is over but I just lie still enjoying your hands stroking my cheek while I slip towards sleep.

'Wakey, wakey', you say as the last if the water drains out of me, 'now we can begin properly, and I need you awake for this part.' I ignore you, unwilling to participate in your little game but, with a hand on either side of my face, you begin to lightly slap my face. 'Wakey, wakey, my little patient.' 'Noooo.' Your slaps become a little harder and you pinch my nose, but I remain firmly in a sleepy state. 'ARGHHHHH. SHHHIIIIIITTTTTT.' My head rises as you unclip the first peg. 'FUUUUCKKKK.' My heart is racing, and I'm panting, but you just smile back at me having succeeded in your aim. 'Dirty little mouth you've got there, we'll have to sort that out.' Then you unclip the second peg. 'AAAHHHHH. FUCK. Fuck fuck fuck shitttt!' You massage my breasts for a bit, enjoying your victory, before moving out of sight. When you return there's a new gag in your hands. It's inflatable with a dildo insert. 'Open wide for me.' I move my head away from you, and purse my lips. 'Now, now, this won't do,' you say teasingly before moving my head back to the centre with one hand and firmly gripping my nose with the other.

'You will open wide for me,' you say sternly. It takes around 40 seconds before gold clouds appear before my eyes and I open, gasping for air. 'There we go.' You wait while I catch my breath still gripping my nose. Once my breathing returns to normal you speak: 'Now, are you going to be a good little girl for me and open wide?' A long silent pause. You look down at me with raised eyebrows, before placing your hand on my jaw and forcing my mouth open. You insert the gag into my mouth and raise my head to get the straps around it then, once secured, you pump it up and my mouth strains against the new intrusion.

You return to your seat between my legs. 'Now we can begin properly,' you say as you stroke my legs, 'your holes need dilating, they're far too tight. According to your referring physician, he struggled to complete your annual exam because he couldn't open you up enough and you complained too much about the pain. He was soft. But I won't take instructions from you. In my surgery, I'm in charge, and if I say you need dilating, you will be dilated. This is for your own good.'