Play Exam Scripts 1, 2 & 3
I had previously posted that I have two examiners, one of each gender, who do physicals on me which are recreations of real exams I have had. I mentioned that they work from scripts which I prepared in advance. A couple of members asked if I would post them. I thought I would post one and see if there is any interest in seeing the other two.
Setting: I was a 22 year old recent college graduate sent for a physical exam prior to being offered employment. The doctor was not known to me, chosen by the employer, and was a mid-50s caucasian man. He was overweight, out of shape, somewhat gruff in demeanor, wearing dress slacks, dress shirt with the sleeves rolled up to the mid forearm, and necktie. His office was in a renovated old house.
Equipment to be used:
Sphygmomanometer
Stethoscope
Four legged step stool
Exam table
Ophthalmoscope
Otoscope
Tongue depressor
White coat (for female examiner)
Say to me"Take your shirt off and have a seat on the table."
Once I have removed my shirt and am sitting on the table with my legs hanging over the side, approach me with the blood pressure cuff and stethoscope around your neck and say "Let's check your blood pressure." Wrap the surf around my right arm, put the stethoscope earpieces in, place the bell on my arm, and inflate the cuff until it is tight. Then release the pressure while you listen. Repeat the process. Then remove the cuff, take the stethoscope earpieces out of your ears and let the stethoscope hang around your neck.
Get the opthalmoscope. Tell me to "look straight ahead" and put the scope to your eye and look in my eyes one at a time. Put down the ophthalmoscope.
Get the otoscope. Go to one side of my head and say "tilt your head" and then look in that ear. Go to the other side of my head and say "tilt you head" and then look in that ear.
Get the tongue depressor and keep the otoscope. Put the tongue depressor close to my mouth and say "open real wide." Put the tongue depressor on my tongue and shine the light in the back of my throat and say "say ahhh." I will say "ahhh" and you remove the tongue depressor and put down the otoscope.
Use the fingers of both hands and feel my throat. Say "swallow hard." After I swallow, using one hand on each side of my neck, feel the area between my throat and the top of each shoulder.
Take my right wrist in your left hand and,using your right hand, feel under my right armpit. Then move to the other side. Take my left wrist in your right hand and use your left hand to feel under my left arm.
Put the stethoscope earpieces in your ears and put the bell of the stethoscope on the upper right side of my chest. Listen for about ten seconds then say "take a deep breath and hold it" and after about five seconds say "breathe." Repeat "take a deep breath and hold it" and after about five seconds say "breathe." Move to my back with the stethoscope and say "take deep breaths." Move the stethoscope around from place to place and repeat the command "take deep breaths" several times. Take the stethoscope earpieces out of your ears and let it hang around your neck.
Tell me to "lie back on your back." I will lie flat on the table on my back and you will use your hands on my abdomen to feel from upper abdomen to lower abdomen all over. Use the fingertips to push in deeply. Go down slightly below the waistband of my pants but do not reach down near my genitals.
Put the stethoscope earpieces back in your ears and put the bell in four or five locations all over my abdomen. Remove the stethoscope earpieces from you ears and take the stethoscope off.
Step back slightly from the table, look directly at me, and say "step up on the platform, facing toward me, and slip your pants AND shorts down." I will get down off the table and stand on the four-legged step stool. I will take down my pants and briefs to about upper thigh. Take about two seconds to look at my genitalia and then take one testicle in your bare hand, roll it around between your fingers and then move to the other testicle and feel it. Then push your right index finger into the upper part of my right scrotum and push it up into my groin and say "cough away from me." Repeat this again "cough away from me." Then use your left index finger in the upper part of my left scrotum and say "cough away from me." Repeat "cough away from me."
Then say "you can pull your pants and shorts back up."
Then say " we are all done."
Comments: I liked this exam because of the uncertainty created by the doctor leaving my pants on throughout the exam. So I was unsure whether he would be seeing my genitals until the very end. Then the command he gave me sealed my fate and I knew I was going to have to let him see my penis and scrotum. I also liked the awkwardness of having to undo my belt buckle, the hook at the top of my pants, unzip my pants, and lower the pants and briefs while in the midst of the anxiety that he was about to see my penis. In addition, the use of the step stool, to which he referred as"the platform,"made me feel I was on display.