Pre Exam Preps

When I am a patient, I love to receive a document which outlines my pre-exam prep. Typically it comes to me a few days in advance so that I can think about it for while. Most of you are probably familiar with the Fleet Phospho-Soda EZ-Prep Bowel Cleansing System. If not Google it. They are routinely dispensed with any type of Rectal or Bowel exam and involve taking a series of steps to cause you to eliminate all fecal material from your bowel in about a day. Different people have different reactions to these, varying from nearly instant and constant diarrhea to I single large bowel movement the day after taking them. It’s the inconsistent results, that make it such a detested treatment. Then there’s the element of arriving at the exam and being questioned on the efficacy of the treatment. Almost without regard to the answer, a rectal exam will follow with the specter of additional cleansing being required at the exam. I personally throw the box in the trash and pull out my enema bag for a series of enemas. I have yet to fail the follow-up exam, even though I don’t think there’s a nurse in the world that can still say the words “enemas till clear”.

Some years ago I had an appointment with a female Dr who sent me a different set of instructions. She sent me to the grocery store to get “Yohimbe Fuel”, and “Fleet Glycerin Suppositories”. Yohimbe Fuel for those who are familiar with it is a dietary supplement made from Yohimbe Bark extract in a standardized (pure form). Yohimbe Bark Extract is the same main ingredient in Viagra. Obviously Yohimbe Fuel uses considerably less of the extract in their product. My own GP told me to try it before turning in the Viagra Prescription that he wrote me. The normal prescription is for 2 tablets daily which provides about 800 mg of Extract. The Play Dr, that I was going to was well aware of my occasional use of this product and understand that I tolerated it well. (Read and Follow label directions until you are comfortable). The glycerin suppositories were ostensibly to be brought with me to the appointment.

The prep instructions that I received came by email 4 days before the exam and told me to immediately procure the necessary items and begin my prep that same day. I was advised me to start taking the Yohimbe Fuel capsules at 4 a day rate (2x the normal rate), spread throughout the day and to take a series of plain water enemas each day until clear. The instructions further advised that I was not to have any orgasm between then and the appointment. The last part of this I had no planned on so it mildly annoyed me that I had not taken action before I read the instructions. I have always lived to the letter of such instructions as it doesn’t make sense to have some one develop these with the idea of stimulating you in mind and then not execute it.

Four days later, on the morning of the appointment I received a second set of instructions. These instructions indicated that I was to immediately take 6 Fleet Glycerin Suppositories rectally and retain them until I arrived at the appointment

Now this was a little more intimidating as the appointment was a 3 hour drive away., but as always, I followed the doctor’s instructions and soon found myself underway to the appointment. When I arrived at the appointment, I found myself somewhat tired not just from the drive but from the cumulative loss of sleep the last few nights as the Yohimbe was causing erections anytime that my manhood was touched. This didn’t help my sleep pattern any. The Yohimbe Fuel also elevates my libido which aggravated the lack of an orgasm (normally a daily occurrence for me). Beyond those symptoms I was also in urgent need to emptying the remaining contents of my bowels.

From this I walked into a full blown medical exam to resolve the problem that I reported with premature ejaculation. I was literally ready to ejaculate on anything that moved at this point. She would examine me for the next several hours and keep me in this constant state of arousal till I thought my testicles were going to explode.

I’m interested in what others Doctors might have prescribed as a pre-exam prep or what prep exam prep instructions patients may have received that aroused you.

Other than for a colonoscopy and a flexible sig exam, I haven't had to do any pre-exam preps. I have received the physical exam form in advance for insurance physicals and other things where the doctor receives instructions and a checklist of what must be examined and marked. None of those forms required a pre-exam enema or anything like that. So if the doctor follows the form instructions and exam requirements, then reading the form tells the patient what is going to happen but most of the time those forms don't have any surprises. One form I received before an exam instructed the doctor that the patient must be undressed to gown or underpants which was not a surprise. This doctor chose the "underpants only" option, but if I had been female, then it probably would have been a gown. Most of those forms just have a list of things to be checked off. The only question was whether the doctor would actually examine everything on the list or just check off the things even though not examined. Had an insurance exam one time where "rectal" was on the list but the doctor was in a hurry I guess because he had me drop my shorts, checked my balls and for a hernia and then had me pull my shorts back up. No rectal but he said something like, "I don't do rectals on thirty year olds. You can get dressed."

I have received the physical exam form in advance for insurance physicals

I'm curious, where these life insurance physicals, or health insurance? I ask because the one time I had a life insurance "physical", it was basically a para-medical coming to my house, checking my vitals, drawing a vile or two of blood and getting a urine specimen. There was no exam at all, which was pretty disappointing actually. I would actually like to have a real insurance physical at least once in my life.

I'm curious, where these life insurance physicals, or health insurance? I ask because the one time I had a life insurance "physical", it was basically a para-medical coming to my house, checking my vitals, drawing a vile or two of blood and getting a urine specimen. There was no exam at all, which was pretty disappointing actually. I would actually like to have a real insurance physical at least once in my life.

Go buy a multi million dollar policy....

Today i was reading through my 8 page prep for Monday's colonoscopy, as I was shopping at the pharmacy & the supermarket which are right next to each other.. I opted once again for the ducolax / mag citrate. I got one lemon flavor & one colorless cherry flavor. And it tells you to pick up Miralax just in case.

I get confused thinking about how i remembered the preps I've done over the last 10 years. This one says to start 5 PM the day before. I thought I remember starting earlier & automatically using the Miralax.

It says to take the 2nd dose at 11 PM. Ok, so that means I'll likely be up all night running back & forth to the toilet. Just hope I can clean out successfully. All I ate today was some soft tofu, 4 scrambled eggs, and 2 lemon Italian ices.

Jimmy John, I don't know what the routine is today for most life insurance policies as I haven't bought any new ones in several years. The experiences I described below were in the late 90s when I was in my early 30s. Various whole life policies were purchased then and it was probably because they were whole life policies that the insurance companies wanted a full physical before approving the insurance.

I remember getting the physical exam form in the mail from the insurance company with instructions about which doctor I was to see and how to make the appointment. I wasn't sure how thorough the exam might be the first time as I thought it might be nothing more than a doctor taking a few minutes to look me over and check off the items on the form. I don't remember looking at the physical exam form the first time before handing it to the doctor. He met with me in his small office at a clinic that I had never visited before.

Older doc with a busy medical office. I don't remember whether he called me back to his office from the waiting room or a nurse did that but I ended up sitting in his office and he was behind the desk looking over the form that I handed to him. He asked questions that were on the form and wrote down whatever I said. I was young and in good health so not much to talk about. Then the doc got up and said something like, "lets take a look at you" and escorted me into an exam room that was right next to his office. He had me strip to my jockeys and have a sit on his exam table which was in the middle of the exam room.

He did the usual stuff of checking ears, eyes, throat, lungs, heart and whatever while I was seated. Then he had me stand up and told me to jump for a minute while he looked at his watch. So I'm jumping up and down in my briefs and feeling kind of weird about that even though I had sports physicals in school that sometimes involved doing the same thing. When the minute was up, he checked my heart rate again.

This was the time when he was called out of the exam room for something or he forgot something. I was sitting on the table while he was away for a few minutes. I have mentioned this before but he left the sliding door to the exam room partly open so I was self-conscious about who was walking by and see me sitting on the table in my briefs. I was facing away from the door but could hear the receptionists across the hall and people walking in the hallway as the exam room was close to the reception area.

Anyway, he came back in and resumed the exam with me standing up in front of him. He was one of those doctors who starts to pull your shorts down as a hint to the patient to drop their shorts. Which I did. Got testicles checked and the hernia exam. Ended up bent over for the rectal exam. Also ended up seated in a chair by his desk while he finished his notes on my form and then he told me that I could get dressed. Unexpected thorough exam. I had another exam by a different doctor a few years later when buying another policy. Kind of like this one, but not as thorough.

But I also had your experience with the paramedic type coming to my home and doing an EKG, taking blood and urine and filling out a form without any exam.

Lucky (or unlucky?) me, I've never had to go through the bowel cleansing process before any procedure, probably because I've never had a colonoscopy or a full rectal exam.

I do, however, get a phone call from my gyno the day before each appointment reminding me to bring a sample of my first morning urine in a jar. I guess your first pee of the day is the most concentrated and that is what they prefer to test. At my regular yearly physicals, I just give the sample in the restroom when I arrive for the appointment.

Even for online exams, I love getting some little instructions or something to have done in prep for the exam, especially if it is scheduled for the next morning or something. It's nice to have something you're supposed to do, and the doc can ask you if you've done it and be pleased or disappointed at the very start of the exam. And, it lets you know the doctor is interested the exam, and it'll be a good one 😃

My first colonoscopy came with a mail delivered packet of forms to fill out and the prep instructions. When I saw fleet enema 2x before leaving for appointment I was in heaven. I tried to figure out a way to have it done by a nurse at the facility. When I arrived on the day the nurse asked me if I had followed the prep and I said that the Pharmacy had screwed up and not given me the two fleet enemas and I had not realized it until the morning of the exam. She looked at me and said as long as you did the rest it shouldn't be a big deal. I ended up in the hospital a few hours later because of bleeding after from bleeding from a polyp that was removed. Not that the enemas would have prevented that but I had to get a follow up colonoscopy the day after to cauterize the bleed. The nurse came in in the morning and said I have some good news and some bad news? I was thinking the worst about the polyp. She said you don't have to drink the prep for the colonoscopy!!! I said oh good what's the bad news she looked at me with a kind of sad face you need to get enemas until clear instead.😃

the doc got up and said something like, "lets take a look at you" and escorted me into an exam room that was right next to his office. He had me strip to my jockeys and have a sit on his exam table which was in the middle of the exam room.

Anyway, he resumed the exam with me standing up in front of him. He was one of those doctors who starts to pull your shorts down as a hint to the patient to drop their shorts. Which I did.

I love the phrase “let’s take a look at you.” I have always thought it had a condescending sound like an adult speaking to a child. I have always fantasized about a doctor using this phrase as the introduction to an instruction for the genital exam and thought it would be really hot. Imagine if the doctor said “let’s take a look at you...stand here and drop your shorts for me.” It would be as though all the parts of the exam that had been done were just out of necessity and now we have come to the important part or now he was going to get a look at the part that makes you a man.

I have never had a doctor pull on my underpants to let me know he wanted them down. I think that is exciting too. It strikes me as a way of avoiding giving a verbal instruction as though he was embarrassed to have to give an order. It would have really been interesting if you had not dropped your Jockeys but had waited to hear what he would say. It would also have been fantastic if he had combined both the features I have pointed out from your post. That is, if he had said “let’s take a look at you” and then pulled at your briefs.

I had a sports physical exam form given to be my a trainer once. I have also had a employee wellness physical emailed to me to print and take with me to a doctors appointment. It had some instructions like, "make sure you get a full nights rest. Don't eat any food after 12am, for the best results for your lab work."

Other then that. Thats the only type of "prep" instructions I have recieved.

I have a friend who owns a local company that does very well. He recently had a executive physical and he was telling me about the type of prep instructions he received. He had to complete a health and lifestyle history survey. He told me it asked lifestyle questions and habit questions like, "Do you wear a seat belt in the car?" Etc. He also told me it instructed him to bring his gym shorts to undergo a treadmill test.

I love the phrase “let’s take a look at you.” I have always thought it had a condescending sound like an adult speaking to a child. I have always fantasized about a doctor using this phrase as the introduction to an instruction for the genital exam and thought it would be really hot. Imagine if the doctor said “let’s take a look at you...stand here and drop your shorts for me.” It would be as though all the parts of the exam that had been done were just out of necessity and now we have come to the important part or now he was going to get a look at the part that makes you a man.

@exam doc, as an adult that phrase would sound really childish if a doctor said that to me - I get asked something that's straight to the point just instructing me to remove my boxers for them.

The nearest I got to that phrase when I was an adolescent was "Ok I just want to see how you're doing downstairs so could you remove your underpants for me please?"

I love the phrase “let’s take a look at you.”

I love that phrase too because that's exactly what is about to happen. You expose your body to the doctor so they can look at your entire body. Poking, prodding, and touching as they see fit.

As far as pre exam prep goes, I've had 2 colonoscopies with the usual prep before hand. I've also had surgery on my colon that included prep similar to a colonoscopy but a little bit shorter/ easier. However, they also asked me to give myself an enema before I left to go to the hospital. I was talking to the surgeon's nurse on the phone a week or so before my surgery when she was giving me the prep instructions. She asked me if I was ok doing this, because if not, they can give it to me at the hospital. As nice as a fantasy this might play out in my mind, I knew that reality would never happen that way. So I told her no thanks, I'd do it myself at home.

I love the phrase “let’s take a look at you.”

Well, that just made my dick twitch. As an adult, I'm pretty sure I've heard “Let's see what's going on” when I see a doctor for a specific problem, and it's a sensible, matter-of-course thing to say. But “Let's take a look at you” is objectifying and would be great in a role play exam.

As far as pre-exam instructions go, I've been instructed to not eat 12 hours before the exam, but that's about as detailed as those instructions have gotten. I've never had pre-exam instructions for a role play, but I'll often fantasize about that as an element of the scene. I've thought about being told to not get off X number of days before the exam, drink X amount of water before the exam, trim my pubes, or what underwear I should have on. And if I “forget,” the doc would, of course, have to do the work himself. (Of course, that applies more to every item but the first.) Makes me wonder if he'd get irritated by having to use up exam time to do stuff I should have done. Maybe he'd be a little rougher with me?