Using a physician's assistant or family nurse practictioner for an annual exam

One of the best physicals I ever had was when I was a 23 year-old virgin. This was in 1993. The one conducting it was an attractive Filipina in her mid-40s. She had long, dark hair with just a few gray strands here and there. She was wearing an office-type pink silk blouse and brown pencil skirt under her open lab coat, brown leather flats, and some expensive-looking designer eyeglasses.

She check me over thoroughly. She had me lie back on the table. The mental stimulation of this attractive, well-dressed, older woman standing over me about to handle my genitals was too much. I nervously laid my arm across my stomach trying to hide my erection poking beneath my hospital gown. She told me to relax, gently moved my arm, and raised the gown. There it was- my seven-inch manhood in all its glory. My penis was so erect that it actually hurt a little.

She smiled a little but said nothing. She may have even been blushing just a tiny bit. She didn't touch my actual penis, but did a very thorough exam of my testicles. She even looked at me while explaining the importance of both regular doctor exams and regular self-exams. Once that part was over, she lowered the gown and did the normal joint and visual acuity tests. That was it.

One odd thing. When the physical was already over, when she was at the sink washing her hands, she asked if I was sexually active. I said no- I was still a virgin at that point. She grinned slightly and said "oh, ok".

I know she's a professional, but I can't help but wonder what she was thinking about this handsome young virgin with a massive, unyielding erection.

Yes, I feel the same way. I have gone to my family doctor for 3 different physicals. He always listens to my heart and lungs through my shirt. He looks in my ears, nose and throat. He always does blood work too but he has never had me get out of my wheelchair onto the exam table much less put on a gown or even take off my shirt. I am 34 years old. Is that a sufficient exam for me?

I just had my annual physical with a female PA. She was pleasant, polite and thorough.

I has my yearly physical a few months ago. Due to some administrative changes at the clinic a young female PA conducted my physical and follow up appointment about a month later. I was extremely satisfied with the level of care and her attentive nature. I did not feel like my doctor was pushing me off because she knocked on the door and stopped in to see how I was doing. I found that to be quite thoughtful and only further cemented my confidence in an already excellent doctor/patient relationship. When she was leaving my doctor said " Now don't give the newbie a hard time or I swear I will swap your files out or something mean spirited like that, I can get very creative" It is good we can joke around with each other like that.

I have been examined by a nurse practitioner and she did a capable job.

I have been examined by PA's and NP's and have found that I get a more thorough exam from them than I do my PCP. It seems that Primary Care Physicians either don't have the time to spend with you or they don't want to spend the time with you. It's all about money $$$$.

I am a 55 year old male and have seen either a PA or NP as my primary medical person for over 15 years. In my experience, they are more proactive (preventative as opposed to simply treating an Iilllness) and more caring about the whole person. BTW, most of my providers have also been women. And not because of my fetish; but because they've provided excellent care.

Not happy with my medical practice office.

The doctor had pawned me off to get NP and other PCP's NP in the practice. It seems like I never get to see my PCP doctor anymore.

My last physical, with the other doc's NP was done by her NP in training. The student had never done a male genital exam and asked for guidance. The NP got real snotty and quickly went through the motions but never taught her charge any of the steps or things to look for our test...

Then after I was dressed the student NP came back into the room and told me she was done with the exam as nothing was found out needed a follow up. She then explained how she learned, just now, while they were out of the room, that she should refer me to urology for the genital exam.

THAT IS NOT TEACHING, THE CORRECT WAY, IN MY OPINION. I really wanted to say something to both the NP charged with teaching this student AND the practice management.

These group practices are cost conscious and pay as little as possible for MD's PA's and Nurses. They give the practitioners just so many minutes with a patient and watch the bottom line very close. its all about profit. Many are run by the hospitals or the large corporations that also own the hospitals. The insurance companies also have a hand in deciding the level of care and what is done within the various billing codes for procedures. The patient is not the most important element. Human life is not a major concern as the population continues to grow and more and more are dependent upon the system because of unemployment, welfare and low wage jobs. There is a lot of human debris out there and it is pure overhead to the system.

I have no problem if a physicians assistant or nurse practioner wants to give me a physical instead of my regular doctor as long as they are female and not male i have no problem with it female's are much more gentle and caring than males are that is why i prefere female doctors or nurses