I did not actually give the instructions. But one SSE that I received in the hospital in 2019, I had surgery for a Begin cyst on my spleen and pancreas (Turns out it was malignant, but that is a story for another time.) A couple of days after surgery I was constipated and VERY full of gas. I had complained earlier and was given a Fleet Mineral Oil enema which did nothing. I finally got a nurse who understood that I needed a large volume enema. She convinced the Dr. to let her give me one. When it came time for the enema, she asked if one of the other nurses could administer it with her coaching. The other nurse had never given a large volume enema and wanted to learn how. I am all for spreading knowledge of enemas, so I said "sure"! I could not turn on my left side due to the surgery being toward that side of my body, so I rolled slightly to my left. The nurse doing the coaching stood at the foot of the bed holding the plastic enema bucket and the administrator was at the right side of the bed. I was only wearing the thin hospital gown with no under ware. My left leg was extended but my right foot was flat on the bed with my knee raised and leg flexed back toward my body. I did not intend it, but the nurse at the foot of the bed could clearly see my stiffening cock. We made eye contact and she gave me a sweet smile, never missing a beat with the instructions to the other nurse, but often stealing glances up under my gown. Later that day, she came by herself and helped me walk down the hallway (I had a semi-private room so it was difficult to have a private conversation in the room). She told me when younger she ended up in the hospital after not having a BM for about 5 days. I asked her what they did to cure her. She said "Enemas, lots and lots of enemas"! After that she is a firm believer in enemas and she takes one at least once a week. She asked; "How about you? You strike me as someone who is at least familiar with the enema bag". I told her of my history of being a very constipated child and of my mothers frequent enema use, saying that I am sure I got my constipation problems from her. I told her that I am still a regular user of enemas and that I usually take at least one per week. She knew that I was married and asked if my wife helped me with them. I said yes, most of the time, but she did not enjoy them like I do. She raised her eyebrows at that comment. She said: "So you ENJOY them"? Well, yes if I am not too constipated and miserable. Todays enema was pretty uncomfortable. She said: "well, you still managed quite a hard on from my point of view. She asked if I always get hard during an enema, and I said usually, but it always helps to be looking into the eyes of another beautiful enema lover like yourself". WOW what a compliment, was her response. She said: "Too bad we are both married, we could have lots of fun together! I said: I know, but I can still dream! She laughed and said : will you fantasize about me? Oh yes, I looked around to make sure no ne could hear. "I am picturing you right now laying on your back with your legs spread, a large enema nozzle deep in your rectum, the clamp open and your fingers busy in your dripping wet pussy!" She looked around and said" "Stop it! I am so wet, I am about to make a stain on the crotch of my scrubs! and then laughed! I laughed and said "Well, my gown is also beginning to look like a tent! She looked down and said, wow, let me walk a little bit in front of you so that does not show so much. She said: "You need to that care of that later." I said I certainly will, how about you? Not till I get off shift! I said: "Well I hope you get some relief soon"! We both laughed and I said: "Well how about you, does your husband give a good enema? Sometimes he will help me, but not always, he is like your wife, he does not like enemas like I do. He will only take one if he is extremely miserable. later that evening as her shift ended, she came to my room, and came around to my side of the curtain where the other patient could not see her and said: "I hope you have a great rest of your evening". While smiling, winking and moving her had like she was jacking off. I laughed and said "same to you" and shaped my hands together like the shape of a vulva while I tonged where the clit would be. She laughed, shook her head and turned to leave. Later that evening I jacked of to the image that I described to her and shot a large load all over my abdomen, cleaning up with the thin tissues that they supply. For the duration of my hospital stay she would often drop buy and just say hello and check on me. I have had MANY fantasies of her with a enema nozzle in her ass and/or riding my hard cock! This is 100% true.