PLAY docs, how do you perform exams?

How do you perform your exams? Do you just go straight to listening to the heart or do you prolong it a bit by checking the pulse and palpating the chest? How do you build up to the point during the exam that is the most enjoyable?

I like to do other things and leave the auscultation for last. Check pulses, check blood pressure (even though I suck at it), palpate the chest, listen to carotids, listen to lung sounds, and then listen to heart sounds.

I have tried to prolong the exam ...but I find that I need to listen to the Heart as soon as I get the chance for as long as I can stand it before I need to relieve myself....which unfortunately is never as long as I would like. The Heart just gets me too exited!

I start by taking a brief history. Then I check temperature (oral) pulse, and blood pressure. Next, shoes and socks come off so I can check your pulses in your feet and check for any edema. Next, I ask you to take off your shirt, and I listen to your breathing on your back, sides, and upper chest. Next I palpate and then steth your carotids. Then, with you sitting up, I ask you to take off your bra, and I feel your heart on your upper chest above your breasts, along your left sternal border, and finally at your apex under your left breast to locate your PMI. Next I listen to your heart first with the bell and then the diaphragm at aortic, pulmonic, Erb's, tricuspid, and mitral. Next I have you lie down on your back, and I listen all around your heart again with both sides of the stethoscope. Finally, I take a good long listen at your mitral with you lying on your left side. After that, if you like, I can palpate and listen to your belly and examine your breasts.

I'm no expert on play exams, having never done one in person. But I would think that most of the people frequenting these forums prefer a realistic exam, which would be one that mimics the experience of going to a real doctor. And in that case, that usually means first going through the other preliminary parts of the exam and building up to the particular parts that you or your patient really enjoy. I think that's the case regardless of what part really turns you on, whether that's listening to your heart, or stething you, or the abdominal, genital, rectal exams. Whatever it is, you build up to it slowly to build anticipation.

For me a very important part of the play exam, apart from the actual procedures, is the language used and the tone in which it is said. All those classic "Deep breaths please..." type phrases, uttered in a calm. authoritative manner, even to the gentle reassuring "Mmm Hmm"s, all add their own charge to the turn on.

I palpate the patients chest first before starting to auscultate.

I first get a set of vitals. oral temp first and radial pulse while thermometer is inside mouth. I count pulse for full minute and hold wrist while I count respirations for 30 seconds. I look into my patient's eyes as I feel her pulse and watch her breathe.

Next I lay my cuff on her for initial bp check. I snugly wrap and squeeze the cuff with both hands as I see her reactions. I first palpate the radial as I quickly inflate estimating the systolic. Finally I check her pressure as I place my Littmann over the brachial as I inflate and then deflate.

Next I put my fingers to her neck to feel carotids on left then right. I feel her breaths on my face as our eyes meet. Next I lower her gown and auscultate lungs on front and back.

Then it's on to the heart. I lay flat hand on upper chest and hold for a bit as I slide around upper chest and then under left breast at mitral. I then listen with diaphragm at aortic, pulmonic, tricuspid and mitral. I will then have her lie supine and repeat with diaphragm and bell. I also get a supine blood pressure before palpating tummy.

I do it much like a real exam: get vitals, then inspect, palpate,percuss, and auscultate the lung fields; check peripheral and carotid pulses, then inspect and palpate the heart. After that I do a thorough auscultation of the heart as well as auscultating over the major arteries.

I like having the shirt lifting, slow deep breathes and the stethoscope moving slowly point to point!

firstly on back and then laying and auscultating in front!

Uuu, now that you guys mention it, I guess I will maybe do some direct palpation and pulse checking before going for it. The built up is something I never thought off

I have done many play exams online and a very few in person. Depending on the situation and the patient, I have started with palpating, then using the stethoscope for carotids and lungs. Blood pressure when equipment was available. Lungs sometimes, but we both were usually there for the heart in the first place. The fun was finding ways to get her heart to react, whether by breath play, exercise play or just "play". mmmm

Wish to have one

My first cardiophile friend we just went straight to stething, because of our anticipation all day for the night to happen. Now today with my cphile friend of 3 years, its starts out by cardiphile foreplay texts, then after dinner and drinks, we go home. We start out my checking all the vital signs, it just gets her going big time. Then after the vital signs and equipment is to the side. It is all about palpating each other. Kissing and feeling each others beat on our lips and our fingertips, ear stething each other. By this time we are about done. (cardiophilia is sexual for us). We then break out the steths....... and this is where we spend all of our time, examining, listening to each other........ until neither one of us can handle it anymore and we go into another world together and then some...........

Other than palpating my girlfriends chest, I check her neck pulse with my fingers and kissing to make it more erotic. After that, I ask her to remove her shirt and bra to expose her breasts. I take the stethoscope and start listening to her lungs on her chest. She has to take deep breaths. I move the steth around and listen. During lung auscultation, I often press the stethoscope directly onto her breasts, because we both get a huge turn-on from that!

After listening to the front side, I place the stethoscope on her back and move it around, while she takes deep breaths.

After lung auscultation, I start listening to her heartbeat (which often increases quite much during this exam). I listen very thorough and take my time. Sometimes I let her do some pushups to increase her heartrate even more.

After listening to her heart, I listen to her abdomen. Once I'm done there, I slowly move the stethoscope towards her vagina, which is when we start to have sex.

This is what a play exam with my girlfriend looks like.

Quotation: "After listening to her heart, I listen to her abdomen. Once I'm done there, I slowly move the stethoscope towards her vagina, which is when we start to have sex."

Dear Heartsteth,

you are one of the few people who are as frank and honest to admit, that Stethoscope and Auscultation fetish is a pure and absolute sexual thing !!!

And nothing else. All others who deny, are not telling the truth.

Congratulations - and have furtheron always a lot of fun with stething and making love!

RSG

How we peform our play exams?

We try to have it as realistic as possible, as close to the real doctor's exam as possible. The best is always the first play exam with a new "patient". It's like having sex with a new woman for the first time!

She comes into our play exam surgery (equipped as real as possible), fully dressed. I'm in my white doctor's coat, stethoscope around my neck. She sits down infront of my desk. and we start conversation. Then eyes, nose, throat... Then, she takes of blouse or t-shirt, blood pressure with bra on. The most important and longest part of the exam is auscultation, of course. Starts standing with bra and jeans on (most sexy outfit for stething, I find) The best moment is when I hear her (excited) heartbeat through my red Stethoscope for the first time (instantly rock hard, but she can't see it). Then deep breathing for lung auscultation. Then comes the moment I've been waiting for eagerly: She takes off her bra - fo the first time, I see her naked breasts with the erect nipples - by the cold room or excitatioin (?). And then, I put carefully the chest piece of ma Stethoscope onto her hot and moist skin where her apex is... (nearly a spontaneous "blow off"!). Then, I listen to her heart for a long time, all over her chest, enjoying her accelerated heartbeat. I absorb her entire body through my stethoscope. I'm connected to the most intimous interior of her body.

What follows, is up to her ;-)

I give my patients a full and complete Well Woman exam. I start at the top and work my way down. She stays clothed while I check her blood pressure, oxygen/pulse, temp, head, ears, eyes, nose, and throat. Then I start the Cardiovascular exam. She stays clothed until I'm ready to listen to her heart and lungs. I ask her to remove all of her clothes and explain that we don't use exam gowns in order to save her money by keeping our office expenses low. I do a complete stethoscope exam and ecg. Then breast exam, abdominal exam, then pelvic and rectal exam. If requested, I also perform an orgasm exam on her. By starting at the top, it builds excitement and anticipation of what is going to happen next. You have to control your urges as a playdoc and not jump right in to the fun parts!!!

I tend to follow the same procedure that @docdawg does. Start at the top and work my way down. Get a set of vitals then get started. I will spend a decent amount of time on cardio and pulmonary examination. I do have a gown for my patient to wear and then when it comes time for the abdominal part of the exam, the gown and his underwear completely come off. You do have to control your urges as a play doc and not just focus on all the fun parts (which can be hard at times lol) Taking time, not rushing and being methodical in the exam approach really does build anticipation and excitement for not only my patient but also for me 😉

This is my checklist that I came up with when playing DrFn with MrsFn. This is how I conduct her exams.

DrFn's Exam Checklist

1. Have patient check in and complete medical/sexual history and consent for treatment forms

2. Bring patient back to exam room and instruct her to have a seat up on the exam table

3. Look over patient's completed forms and ask any follow up questions regarding her answers. Ask if she has any questions or concerns that need to be addressed.

4. Have patient change into exam gown (This varies. On some occasions she is given a full exam gown. Other times, she is only given a disposable exam vest that covers her upper body only. Sometimes, she is simply told to remove all her clothing and given nothing to cover herself.) Observe the patient as she changes.

5. Take her to the scale and weigh her

6. Have her give a urine sample (Often is an observed urine sample)

7. Blood pressure check (after bringing her back to the exam table)

8. Rectal temperature is taken (Make her stand and bend over the table, or get on her hands and knees up on the table)

9. Check eyes

10. Check ears

11. Check nose

12. Check throat

13. Check glands in neck

14, Listen to lungs with steth from the back

15. Listen to heart (above breast)

16. Listen to heart (under her breast so the breast has to be lifted)

17. Do a manual breast exam with patient sitting up

18. Do a manual breast exam with patient lying down

19. Palpate and check abdomen and hips with patient lying down

20. Dr puts on exam gloves

21. Position patient on exam table with feet in the stirrups

22. Begin genital exam by looking over everything thoroughly (Spreading patients labia, taking time to discover every fold. Pull back her clitoral hood at this time also and examine her clit)

These remaining steps are not done in a real order. In a real exam a speculum would be used first for a PAP smear, before a bi-manual exam. In my patient's case, everything leads up to a speculum exam because that gives her the most arousal.

23. Perform bi-manual exam

24. Perform recto-vaginal exam

25. Perform digital rectal exam

26. Change gloves, then perform vaginal speculum exam(s)

27. Perform rectal speculum exam(s)

28. Perform vibratory response exams

29. Perform electro-mechanical exams (optional e-stim or TENS stimulation. Not always done)

30. Conclude exam and discuss findings

@jjmich2302 said

I You do have to control your urges as a play doc and not just focus on all the fun parts (which can be hard at times lol) Taking time, not rushing and being methodical in the exam approach really does build anticipation and excitement for not only my patient but also for me 😉

...and this is exactly why I need to follow my checklist. I can get too excited and go to the pelvic exam too soon otherwise.

Fn

Hi,

in the early days, we used to spend a lot of time (too much time from the point of view of today!) with the regular deroulement of an examination at the family's doc or for a routine exam at the - let's say - company doctor or so.

But later, we realized that this was a great waste ot time for us, because this didn't turn us on really. And as we all were into Auscultation and Stethoscopes, we reduced the exam to "the essentials": AUSCULTATION and STETHOSCOPES !!!

(upon special demand, EKG and blood pressure is faisable...)

Regards from TheStethoscope

I listen to their heart. Then I listen to their lungs like I get at my pulmonologist all the time. They have me breathe in and out and they check it my lungs on the front of me and then four spots on my back. And after I do that to my patients I listen to their balls. Lol

. And after I do that to my patients I listen to their balls. Lol

Ever hear anything ? Sperm chat. 😄

Ever hear anything ? Sperm chat.

"Hey dude! Let me out of here! There's no room to swim."

Can someone message me and tell me more specifically bout all this? I'm new so can't write any pm's atm😕

Auscultation during a play exam can be a very erotic experience for both doctor and patient, it is normally the moment when the first intimate contact takes place. While stething a woman it is pretty much impossible to avoid touching or brushing her breasts at some point during the check of her chest and heartbeat. Personally I start a play exam by discussing and updating as necessary her medical records that she has completed for me, before asking her to provide a urine sample if she can at that point. I check that with a dip-stick. I then move on to some basic checks like BP and temp (not rectal at that point.) Auscultation normally comes next and it would be done under her clothes if she is still dressed at that point. She would be asked to unbutton her blouse or I would move the stethoscope up and under her t-shirt. Some women prefer to undress completely at the start of a play exam and wear an examination gown or bring something of their own to wear, perhaps something with straps. In those cases I would either use the stethoscope inside the gown or garment or perhaps ask them to lower it to their waist for the examination. But as I said earlier it is an erotic experience...

I like do a long auscultation of every heart valves and check with auscultation or finger push of every artery point. In particular: brachial, artery radial, artery abdominal, aorta femoral, artery popliteal, artery posterior, tibial artery and dorsalis pedis artery.

If this is auscultation, it will be part of my examination, but it will be quite significant. The patient should be dressed, for example, in a top (blouse) and skirt (jeans, shorts), be in underwear and I will first ask her a few questions. Then I'll look at her throat with a spoon, then listen with a stethoscope as far as her clothes will allow. Then she will strip down to her underwear and I will measure her height, weight and volume. I'll take your blood pressure, check your nerves with a hammer. And then the most favorite part, listening carefully from different angles with different stethoscopes, first in underwear, and then taking it off in parts. This is a short description. In fact, it will be very long, at least an hour.

Straight to listening!