Other elements pf the physical exam

There is a lot of focus, inevitably, on examination of the male and female genitalia and other intimate places, and believe me i enjoy those examinations as well.

But, I also enjoy (in a play context) examining my patients ears, eyes, throat, BP, reflexes and so on which don't normally feature heavily in medfet.

How do others feel about these aspects of what ought to be a full examination?

Doctor Brian

Agreed doctorbrianuk. From listening to my patients many relate that their previous playdoc has gone straight for the 'main chance', the genitals. Far from being an examination its simply a grope.

My patients get a full examination checklist, first of all a typical one, then, upfront of a meeting, will get a checklist dedicated to that patient and based upon discussion.

And yes, the examination is top to toe (or scalp to bunion). Its extended to breast, genital and rectal by agreement before the meeting but also confirmed at the time as still being the patients wish.

Each stage of the examination is explained and permission sought and each stage is commented upon before moving on. There is no deliberate stimulation or arousal but of course in many cases arousal is observed but not commented upon or furthered.

No 'treatment' is commenced without discussion, even if there has been prior discussion. Permission to continue into a 'treatment' phase is always sought.

I would view groping to be little short of assault and a patient would be fully justified in getting dressed and walking out, after roundly slapping the playdoc.

The exam has to be as real as possible. Going straight to the breasts or genitals is not a real exam. For the exam to be as real as possible, the eyes, ears, nose, and throat, as well as breath, heart sounds, reflexes, etc. A complete exam. I totally agree with BigK's assessment.

Each portion of the exam should be done in a slow methodical fashion for the pleasure of the patient.

I agree with what everyone else has said. A physical exam should be slow, methodical and cover everything -- top to bottom. Jumping right to the genitals would be like have your desert before you've even tried the main part of the meal.

This is an excellent post, and brings up the key factor in the difference between an actual "play exam" and a mere sexual encounter. In almost all cases, sexual release is desired by the person in the role of the patient (always a female in my instances), but not in and for itself. The very purpose in going to all the trouble of organising the props and getting the setting as near an actual exam room as possible is that the "patient" can experience at least some similarity to a medical exam. After all, that is why those who are seriously interested in medical fetish are seeking such an encounter to begin with. The anticipation of the wait prior to the exam, filling out the medical history forms, waiting in the "exam room" while glancing over the equipment, the sensation of the various instruments as they are employed, such as the cool bell of the stethoscope on warm skin or the discomfort of the building pressure from a blood pressure cuff, even the aroma of alcohol and various other antiseptics... it is the combination of these which, in most cases, make the role play a success. Anything can get old after awhile, but if a play exam is done correctly, there should be at least some apprehension on the part of the "patient". The only way to make that work is to have enough knowledge and skill to provide the impression of an actual MD giving an actual exam. Eventually, the exams I have done often lead to "testing" of the vaginal function, measuring the responsiveness of the "patient", while still in the role play. And the result has always been a very satisfactory orgasm. Nor should the role play necessarily stop there. I often continue and play it out to the point when the "patient" is told the exam is over and she can get dressed. I realise there are many varied approaches to medical fetish, and for some it may involve nothing more than wearing a uniform prior to and/or during sexual activity. But in my view, true medical fetishism requires actual skill and realism.

Ditto on everything that's been said. It's all about the build up. I want my exams to last and be as real as possible. Some of my play exams last longer than the real ones.

The exam for me is all about getting the patient to be on edge (comfortable but not in control). They need to be in a position where the doctor is in charge. The doctor knows what the patient needs and carefully explains what they are going to do. To me, checking various body parts, functions and organs is half the fun. I spend at least half of an exam checking the eyes, ears, throat, skin, feet (especially the toes), heart and lungs, before I work towards the breast exam. By then, my patients are really anticipating....

In a way, it's like foreplay. You have to lead up to the "main event" to heighten the tension and anticipation.

For me, my favorite part of performing or receiving any exam is the abdominal exam. When I examine a new girl, I always start with HEENT and work my way down, slowly and methodically towards her belly, doing thorough palpation of the lymph nodes, listening carefully to the heart and lungs etc. In this way, the other parts of the exam are erotic for both of us, because i am anticipating being able to say "ok why don't you just lay back for me and relax so I can examine your tummy" and she knows what I like (or enjoys it to as some of my patients do) and is anticipating me baring her tummy and putting my cold steth and hands all over it. But even without a favorite procedure, i think most of the touching, observing and listening of the physical assessment can be intimate.

Top to toe exam allways. the most complete possible. and yes a good play exam takes allways much more time than a real exam!

I always liked the orthopedic stuff, walking back and forth etc. Also EKGs.

Agree that it should be long and thorough and realistic. Every part of the physical has its role. I remember as a kid not only enjoying the steth, ab exam, and genital exam but also the BP cuff, and the ear exam as well. I always kept my eyes down on my myself looking at my naked-but-for-briefs body as it was going through all parts of the exam. I like the tongue depressor too because usually after saying "ahhhh" the doctor would take it out and say, "Lay down." It was a cue that the exam was about to get more intimate.

Absolutely. For me, the other parts of the exam - done before the "main event" of the genital exam - is important in establishing the control of the doctor over the patient. Even the mundane movements - turn your head, lift your arms etc - serve to highlight to the patient that they are not in control.

For me, that's the important part of the role play, and the more realistic it is, the better.

Feelthebelly, what you say makes good sense. Touching and working around the belly could get very erotic, lots of bare skin to contact and touch, sets the mood for the exam, and its so close but not quite there....

I always give a complete physical and usually follow a realistic sequence....it makes for a much anticipated pelvic exam by the time I get to that point

To me, the exam doesn't feel complete without these aspects. Having my eye & ears checked, sayings 'ahhh', my heart beat listened to, and having the doctor feel around on my tummy give me major butterflies and make me feel all vulnerable.

I agree that all the stuff leading up to exposing the genitals is extremely important. I love not being in control and all aspects are very important to that illusion. I like to make my doctor correct me a few times to test his limits. I'll breath in incorrectly or not deep enough so he'll get annoyed and make me do it his way. When he palpatates my abdomen i'm usually hard already and his hands are so close to my penis i start to lose it.

Having an EKG is a huge bonus when having a physical exam. Also, a very thorough chest and stomach examination always lead me to an erection. In addition, the simple instruction to "remove your underwear" or "remove the gown" or "strip down to your underwear" always gets my heart racing and blood pressure up. From that point on, knowing what is to come, in itself, is also quite intensifying.

All the parts of the examination of the doctor have been pretty well covered. I would like to add having the nurse tell me that "the doctor will be right in" as I lay on the exam table with the crinkly paper, fully naked and exposed with my feet in the stirrups, legs spread wide and the room is very cold!

Total cardio exam, standing and sitting, on the left side, with abdomen auscultation too