I love this topic. It definitely brings back good memories! I'm not going to lie -- I was kind of nervous the entire day leading up to the exam, honestly wondering whether I would even be able to do it when the time came. I was traveling for my job (the patient lived in the area) and we had agreed to meet downstairs at my hotel after my meetings were over for the day. Let me tell you, just the initial saying hello was quite a memorable experience for me. To an outside observer, it would have looked ordinary enough -- I walked up, said hi, gave her a quick hug, and then we just talked pleasantries for a few minutes while we took a walk and found a place to eat. But for the first time I was actually seeing her, hearing the inflections in her voice, seeing her mannerisms, etc. No longer was this just someone on the other side of a Yahoo chat window! Thoughts raced through my mind... "Wow, this woman is actually going to take off her clothes and let me do all these things later? Am I going to?" It's definitely not your typical social encounter!
We spent a little over an hour walking around, eating, and talking, and I would HIGHLY suggest that to anyone meeting for something like this. We talked about a mixture of "vanilla" and fetish-related stuff. She related some past experiences (it wasn't her first time to play) which were amusing. And in all of that, I became very comfortable that yes, this is a perfectly normal, mature, safe person like me, who just happens to have a fetish.
As for the exam itself, it was interesting. I really did NOT get nervous. When the moment came, I was really calm and collected. It was almost as if the instant we started, I fully immersed myself into the doctor role. I wasn't thinking in terms of "Oh my gosh, I'm seeing and touching a naked woman!" I was just thinking, "The next part of the exam is ____, and so that's naturally what I should do now." And it went great! Honestly, it felt like the real deal (or at least, how I'd imagine it feels to be a doctor examining a patient).
Interestingly, for my second exam, I did get a little nervous at the beginning. I remember thinking, "Geez Chad, get it together. You've done this before!" But the patient told me afterward that she couldn't tell and that I appeared quite confident and in control the whole time. That was a relief to hear!