Dr Mckenzie, DrJ58 and Dr Philip all speak volumes here about what a good playdoc/patient relationship is based upon.
Dr Mckenzie refers to the differences between patient and doctor as being the criteria. If its an otherwise unrelated meeting then it should be along reasonably professional lines. If its an element within an already sexual relationship then 'all's fair in love and war'.
DrJ58 defines 'sex' in an examination or a meeting as almost anything resulting in arousal and orgasm and Sexual Intercourse as that sex which occurs in a loving relationship. He does not, usually, have sexual intercourse with a patient.
Dr Philip goes a little further in stating, as do I, that intercourse, either vaginal, anal or oral is not a requirement of any meeting. He refers though to sexual favours being offered by some patients and I think his implication is that provided they understand there is no obligation and it seems the right thing to do, that indulging is fine.
What all three admit to though is that there is inevitably 'sex' within the very context of every meeting, ranging from anticipation and procedural arousal, through to the quite deliberate sexualisation of the meeting should the patient wish to be taken to orgasm(s).
For my part I have always said that I do not have penetrative sex with any patient. OK - I have with two out of the very many but I excuse myself on the grounds that I built something of a 'loving' relationship with them. Oh, I know it's a cop out on my part but for the rest of my patient list the stricture applies.
Equally though I have always said that anything up to, but not including penetrative sex is an option, limited only by the patients own wishes.
We turn now to the knotty question of the patient 'rewarding' the doctor in some way. Well, it is a frequent offer which is made and discussions with other playdocs reveal that its not related solely to my (less than) perfect and appealing physique, lol, but more a genuine desire to thank the playdoc in some tangible way for the pleasure he has given them. But should we say 'No - this is a professional kind of relationship?'
Frankly I used to have the highest values in this direction and would always refuse. Now I'm much more relaxed about it. I still hold to my 'no penetrative sex', at least in the main. I very likely will not accept a 'reward' at the first meeting and certainly not if it seemed too much like the lady was merely 'rewarding' me rather than that she wanted to do it for her own pleasure.
What to do about some offers though is a little more perplexing. Many are the ladies who, before we ever meet for the first time, vow to perform some form of sexual act on me - though the matter has certainly not been raised - before maybe we've fixed the appointment.
Should I grasp the opportunity eagerly? Should I suspect that this lady isn't into medfet but wants a quick tumble? Should I think that she feels obligated maybe after seeing another playdoc? Should I feel I'm the hunted instead of the prey? Big lol!
Well dear reader I'm going to do what I very much always have done when arranging a meeting. That is firstly to satisfy myself that the lady understands the step she's about to take. Secondly that she knows she will be safe and her wishes scrupulously observed. Thirdly that she knows she can say STOP at any time and finally that whatever she's agreed to or promised in the run up to a meeting means nothing if her views change at any time whatsoever.
Isn't it pleasing though when a thread along such potentially contentious lines results in such wise contributions from everyone who has posted, including our esteemed and very welcome ladies!