One evening about five weeks after his initial examination with Dr. Johnson, Tom was checking his e-mail. His heart jumped when he saw the message from “Dr. Johnson” with the subject line “Your upcoming appointment.” Tom’s hand trembled as he moved the mouse to open the message.

Tom:

Your next appointment at my office is scheduled for September 9th at 7:30 PM.

I will be following up on some items from your initial examination as well as performing additional studies I feel are indicated.

In preparation for your examination, please do the following:

1. Refrain from ejaculating for five days prior to your appointment.

2. Fast (nothing by mouth except water) for eight hours prior to your appointment.

3. One hour prior to your appointment:

a. Drink one to two large (16 oz.) glasses of water.

b. Take one Fleet enema according to the package directions. Fleet enemas may be obtained at your local drug store.

Please e-mail me if you are unable to make your appointment or if you have any further questions.

Regards,

Dr. Johnson

Wow, Tom thought, September 9th was next Thursday. Tom wondered what ‘additional studies’ Dr. Johnson would be performing. He was so thorough the last time and followed through on his commitment about pushing Tom’s limits. Tom had jacked off many nights thinking of that first exam and how vulnerable and exposed but also incredibly turned on he felt.

Tom shut down his computer and went to bed. He had a difficult time falling asleep because he kept thinking about Dr. Johnson’s e-mail.

The week passed and Thursday arrived. Tom had a hard time focusing at work as his mind was on the upcoming visit with Dr. Johnson. Because he was fasting and because he was so nervous, his stomach growled and gurgled loudly throughout the day. Tom left his office that evening and stopped at the local pharmacy to pick up his enema. Tom had never had an enema before and was embarrassed at having to buy one. Hoping no one would see him, he entered the pharmacy and quickly tried to find the aisle with the various products for hemorrhoids and constipation. In that aisle, he found the packages of Fleet Saline Enemas. Tom quickly made his purchase and left the store.

Tom got home and gulped down two pint glasses of water as he read the instruction leaflet contained in the enema package. Just reading the instructions and thinking about Dr. Johnson’s request gave Tom a huge erection. He went into the bathroom, undressed and administered the enema as directed. While waiting for the enema to take effect, Tom put on his bathrobe and went into his bedroom to lie down and rest. After about ten minutes, Tom started to get bad stomach cramps and sprinted to the bathroom to relieve himself. Man, that Fleet thing was like rocket fuel, Tom thought as he sat on the toilet. Finally, Tom felt totally empty and went and took a shower. Tom was very nervous and his hands and feet were freezing. Tom turned up the water temperature and let the hot water pound his skin in an attempt to relax and warm up. Once showered, Tom put on clean underwear and socks, a pair of jeans, a t-shirt and his running shoes then got into his car.

Heart pounding, Tom made the short drive outside the city to Dr. Johnson’s farmhouse. Tom drove down the same road as before, parked at the side of the house, then got out of his car and knocked on the door. The same dog that was there at his first appointment barked as he heard Tom knocking.

“Five minutes early, Tom. Very good you are so punctual. I wish all my patients were that way,” Dr. Johnson said as he opened the door wearing green scrubs under a white lab coat with a stethoscope in the pocket.

“Thanks,” Tom replied as Dr. Johnson led him inside.

“Let’s go downstairs to the clinic,” Dr. Johnson said as they passed through the hall and went down the stairs into the basement. Dr. Johnson unlocked the door, showed Tom into the office and closed the heavy oak door behind them. Tom sat down in the chair as the doctor sat down behind his desk. The doctor picked up Tom’s chart from his desk and opened it.

“It’s good you came back for your follow-up, Tom. Did you receive your preparation instructions?” Dr. Johnson asked.

“Yes,” Tom replied avoiding eye contact with the doctor as he thought about the instructions.

“And when did you last ejaculate?”

“This past Saturday,” Tom replied.

“Approximately what time did you give yourself the enema?” Dr. Johnson asked.

“Around 6:00 PM,” Tom replied nervously as he felt his neck and face becoming warm and Dr. Johnson made notes in his chart.

“Good. Today I’ll be performing some additional studies based on your last exam findings. We’ll start off with an electrocardiogram and exercise stress test, so let’s go next door,” Dr. Johnson said as he closed Tom’s chart and walked out of the office and into the hall.

Dr. Johnson unlocked the door at the end of the hallway and led Tom inside. Tom had not seen this room before. It was another well-equipped room, brightly lit by fluorescent lights and covered floor to ceiling with white ceramic tile. It smelled of strong cleaner and had an exam table, exercise treadmill and a curtained partition in the corner.

“I’ll begin with the electrocardiogram. Step behind the partition and change into the shorts that are on the stool. Leave your shoes and socks off for now,” Dr. Johnson said as he wheeled a little cart with the ECG machine next to the exam table.

Tom went behind the curtain and found a plastic package containing a pair of white briefs sitting on the stool. Man, Tom thought, these are the shorts he wants me to change into? Tom hadn’t worn tighty whities since he was in junior high. Tom unwrapped the cellophane package and removed the pair of size 32 Hanes tighty whities. Reluctantly, Tom undressed and put on the underpants and sheepishly came out from behind the partition.

“Lay flat on your back on the table,” Dr. Johnson said as he opened up a package with the ECG leads.

Tom climbed up on the table and lay flat on the cool, crinkly paper. Dr. Johnson applied the leads to his arms and legs then at various parts along his chest.

“Take a deep breath and relax. Stay still while the machine takes the readings,” Dr. Johnson said as he pressed buttons on the ECG machine.

Tom stared at the bright fluorescent lights as the machine printed off the tracings of his heart rhythm. Tom jumped as the door to the room opened and the same guy that had assisted Dr. Johnson with Tom’s last exam walked in.

“Sorry I’m late. I hit some traffic on the way over,” Spencer commented as his eyes swept over the nearly naked Tom stretched out on the table only in his white underpants.

“Spencer will be assisting me again today,” Dr. Johnson said with an annoyed tone as he pressed buttons on the machine.