Notes for trainee play docs

Notes for the “trainee play doctor”

Please be aware this is just for guidance and fits my proclivities. I don't expect a carbon copy but I love all of the procedures below so use them or some of them ..add to them

Most of all

Enjoy being in control!!

The patient is a nervous, shy, and easily embarrassed individual. He may appear reluctant to do as instructed but be firm with him and he will comply.

He finds the genital and rectal procedures very embarrassing.

Please feel free to add any ideas of your own as you go along

If you choose to include the rectal examination it's better to have the patient bend over the table with legs apart. Use a good amout of lubrication and go gently. The patient has been examined rectally in the past with no problems.

Initially instruct the patient to undress dow to his briefs he is shy but he will comply.

Have him stand in front of you arms by his side, not covering his genital area.

Go through his medical history prior to the physical examination. (separate notes provided) Please add any questions you wish to add.

To begin......instruct him to raise his arms above his head as high as he can, have him bend forward as far as he can and examine his back and spine, you may want to slip his briefs down a little to inspect his buttocks.

Have him stand straight, hands behind his head. Gently feel his abdomen paying attention to the area just inside the waistband of his briefs. Have him take some deep breaths with his mouth open as you do this. Ask if his nipples are sensitive.

Check both nipples by gently squeezing, twisting and pulling. Have him breath deeply as you perform this procedure.

With the stethoscope listen to all areas of his chest including the sides whilst breathing normally. Listen to his abdomen all areas. Have him turn round then listen to his back. Instruct him to take slow deep breaths in and out through his mouth. Have him take short rapid breaths in and out as you continue to listen to his back.

Have him lay on the couch, arms above his head and again feel his abdomen, chest, and his nipples. Use the stethoscope to listen to his chest and abdomen. Slip the scope just inside his briefs around the groin area on both sides.

Have him stand and remove his briefs completely...He may protest a little but insist!

Gently examine his penis..retract the foreskin or tell him to do it, inspect the glans, squeeze the urethra open slightly Feel his testes gently. Hold his testes and tell him to draw his abdomen in several times. Place your finger in his groin and tell him to cough (both sides) Have him spread his legs about shoulder width apart, point his toes out and squat down a little. Now feel his perineum...(the area between the anus and the scrotum) Measure his penis with the tape and the caliper. If you wish use the stethoscope on his penis, testes and perineum.

Request a urine sample while you observe. You may hold his penis as he urinates if you wish. (he may not be able to urinate but make him try)

Conduct a rectal exam if you wish..have him bend over the couch to facilitate access to his anus. Have him hold his buttocks open for you. Use gloves for this procedure.

Alternatively have him kneel on the couch on all fours knees apart so you have good access to his anus. Use the proctoscope or the rectal speculum on him if you wish.

To conclude tell him you need to assess his sexual health and you require him to produce a sample of semen. Have him stand in front of you and instruct him to masturbate.......(he will be very embarrassed!) Observe as he masturbates, use the stethoscope on his scrotum and perineum, gently feel his testes if you wish...Have him point toes out and bend his knees open as he masturbates.

Give him time to ejaculate, he will be embarrassed. You may masturbate him yourself if you prefer.

Or........... have him lie on his back on the exam table. Instruct him to bring his heels up to his bottom as far as he can. Have him open his legs as wide as he can keeping the soles of his feet together.

Have him masturbate or you masturbate him your choice

Once he manages to ejaculate the examination is completed.

He may get dressed.

Sounds very thorough and is clearly explained, I’d certainly enjoy an exam with that content. At what point would you suggest extra procedures using estim or the use of sounds for example?

That's sounds a very good examination. I would enjoy that happening to me .

I see this “doctor” regularly so I can confirm this is exactly how he performs my “medicals”.

After several years I’m still embarrassed entering his surgery in just my white y fronts which he insists on.

Other forms of therapy and arousal techniques are also performed.

This is absolutely gold. Thank you so much for posting this. I will definitely be referring back to this!

Very nice! Do you have the pre exam questions one too

Excellent.

These are great points!

I really enjoyed this as a nice basic exam for beginners. Doesn’t require a lot of equipment and it’s got ‘enough’ to get you there. If I may, I’d like to share a scenario with a female patient that compliments your male exam. We’ve role played this a few times.

Equipment can be as basic as a thermometer, gloves and a stethoscope. If you have more you can add more in, but I find that’s usually the MedFet starter kit haha.

Scenario is you’re making a house call on a female patient who is complaining about abdominal pain. If you’re meeting in a hotel room it works even better as you’re the hotel doctor. The patient can be in street clothing or pajamas or nightie. I prefer the pajama/nightie for this one as you start out vulnerable off the bat.

Doctor takes a verbal history, make it as detailed as you wish. Embarrassing questions shouldn’t be done right away but should be added in later so the patient is already committed.

Start with eyes, ears and throat, feel the neck for swollen lymph nodes. Here’s an opportunity to do a near breast exam should you both wish – you want to feel the patient’s underarm lymph nodes. This can be used to get her to take off or lift her top.

Do a very detailed auscultation per the OP’s exam.

Given this is abdominal pain, do a detailed abdominal palpitation. Start with her standing. If she’s already removed her top you can lower her panties to the pubic bone to facilitate this. If she hasn’t removed her top, here’s a good time to remove it. Ask her when’s the last time she’s had a breast exam. Recommend and then do one. Have her lay down and repeat the breast exam and then repeat the abdominal exam. Tell her you’re concerned about a possible ovarian cyst and need to do a pelvic but first you need a temp to ensure it’s not an infection. Have her roll onto her side and do a rectal temp, pulling her panties down. You can either take them off or wait for the pelvic, whichever is a better turn on for you both. Once you have the temp, have her roll onto her back and do the frog leg for the pelvic. Do the external inspection, ask her to push down to check for prolapse and do the internal. If you have a speculum, you can use it here, if not a good internal possibly followed by a recto vaginal if you wish can happen here.

You can end it how you want - it can become sexual here to whatever degree or you can end it that it’s a cyst and she needs to follow up or if you’re into enemas it could be a good spot for one here - change the diagnosis to constipation and clean her out.

Would love an exam like that.

These are great examples of guides!

I had an exam from this doc it was excellent, quite the journey for me to make just a brief exam, but perhaps i should have another appointment

Thank you Rocdoc and Nurse Philips. Clearly you have both managed to develop scenarios that are true to medfet and likely to make more than one of us pleased!

Well done, doctor. Great advice for new docs.

Excellent instructions! Thanks for sharing.

I wish this could be my first exam as patient.

An excellent account @rockdoc and brings back many memories of me being in your examination room

@Rockdoc I'd like to submit to you as the willing, nervous Patient and let you do all of this to me.

Very helpful instructions. What a great exam! Will try this on my next patient.

It sounds cool, I will try it 😃