Life as a real dr/nurse...

Delurking briefly, @euroguy: I also agree with Mashie and Susie. It's our job to give the best care we can to every patient, and to do that you have to recognise any strong feelings you or the patient might have, and control the situation as best you can. In this particular situation, the only sensible thing to do would be to treat the patient exactly like anyone else - and as Susie says, that means doing whatever you would normally do if you suspect hypochondria or malingering. I'd also make absolutely sure that I had a nurse with me to see fair play. It's all too easy to bring a doctor's career to a grinding halt with an allegation of sexual misconduct.

On the other side of the coin, I wouldn't refer or red-flag someone just because I suspected they had a medical fetish interest - it's not a disease! (whether DSM-IV says so or not...)

Curiousdoc, Funny you should mention the DSM! (Freud would LOVE this one)

My MedFet came long before any idea of a career in patient care. I vividly remember playing doctor as a kid - someone always went to sleep. As time went on, MASH, St. Elsewhere, and other shows continued to grow the interest into a fetish.

Only once in my professional career has my mind slipped into the fetish side. It was only the mind, nothing unprofessional at all happened!

I'm now going to always wonder if my doctors, nurses, breast sonographer, etc has a medical fetish. I've never had any act inappropriate, while I've been awake, but it will still be nice to wonder.

A lady I have known over the years has a major anal fetish and has had since she was very young. She also happens to be a nurse so she has told me that when she was younger and working and had to give either rectal temps or enemas especially to young men (and sometimes young ladies depending on the individual) it got her very wet, especially if she was in a horny mood that day she'd have to sneak off and masturbate.