Well, from the few of you who've chatted with me or read my earlier blog entries may know that for the last 3 years I've been lucky enough to have the wonderful and amazing A feature prominently in my life. My muse, my best friend, my lover, my soulmate blah blah blah nausea etc.
I'm a kinkster at maybe an 8 on the scale and she's about a 7 so that works out quite well. I'm a top, she's a bottom, I like to be the play doc and she likes to be the patient. Shit just works out. I just uploaded (with her permission) an album of some pics of her in various exam positions. They were taken and posted with her knowledge and consent and participation (there, that's out of the way). Feel free to look and to comment if you're so moved to.
Anyway, last week we took the step of involving someone else in our play. We added a consulting 'doctor' while I was on a business trip. I'm not naming names or saying where. That's for him to add if he so chooses. He knows I'm here and blogging about this and we're cool so long as I respect his anonymity.
This was something A and I talked about for a while, debated, changed our minds on etc. I had to travel someplace warm for business for 2 weeks and she joined me for the weekend. We set up a meeting with Dr Z well ahead of time - who we had been corresponding with for a LONG time, talking first by internet then by phone etc. We met him for coffee, determined he wasn't a psycho and was, as advertised, a bonafide member of the medical community. Dr Z had been quite helpful to us as a mentor in Med Fet if you will. We were going to the next level.
Dr Z has a play clinic. We followed him in our rental and A was shaking like a leaf. I asked her if she wanted to bail on this but she said no she wanted to do it. Her eyes were wide, her hands were clammy and it was turning me on like fuck. Yes, I'm a sick bastard but it was turning HER too on so it's all good.
We arrived and went in to his exam room - actual exam room, fully appointed - and she sat on the table while he took her history. She had agreed to participate in a study following up on women who had a uterine ablation procedure (a procedure she actually underwent just over a year ago) to determine what some of the mid-term effects of the procedure were. I was there to observe the process as a doctor new to the study.
He took a very detailed medical history including age of menarche, how heavy her periods had been throughout her life, number of children and how delivered (3 vaginally), age of first intercourse (16), age of first orgasm (11), age of first masturbation (quite young), age of first orgasm with someone else (14) preferred sexual activities (a lot), any history of bisexuality (yes) - really really detailed and embarrassing. Her voice was quavering and she was shaking but we had arraigned a safe-word beforehand - including one to use if she was just unsure - and she hadn't used either so all was well.
He instructed her to undress to her underpants and sit on the table for the exam (neither A nor I am a big fan of patient gowns & had told him when we discussed limits ahead of time.
We stayed in the room as she took off her jersey and capri pants, folding them and putting them on the chair and then removed her bra. She didn't demonstrate any real reluctance doing so and I wondered what she was thinking - later she told me that it was a weird combination of the 'no big deal' taking your clothes off for the doctor and the excitment of getting undressed for a lover. A really weird mix of emotions is how she described it.
While my dear A was getting undressed for her exam, Dr Z laid out an instrument tray which included an otoscope, long sterile swabs, a set of calipers, a set of steel vaginal dilators ranging in size from about tampon applicator sized to scary big the usual suspects; Graves, Collins, and 3 part anal specula, old school glass thermometer - with the flat top - a small white electrical device with the name Pathway STM-10 on it with probe attached by a cord and a pre-loaded B12 injection in all of its scary red glory. There was a sphygmomanometer on a stand near the exam table. The table itself was fully reclined with knee crutches instead of stirrups. The crutches had velcro straps - something I saw A visibly notice as soon as she walked into the room.
A is sitting on the edge of the table at this point, naked except for light blue bikini panties. I'm hard as a rock but wearing a lab coat and a professional expression as is Dr Z (the coat and expression that is. I have no idea as to the state of his arousal). Dr Z moves around to stand in front of A and tells her he needs to do a comprehensive physical to start things off and begins by palpitating her neck, takes a pen light from out of his breast pocket and looks into her eyes and, taking a tongue depressor from the instrument tray tells her to open wide and looks into her throat. She later told me he stuck the depressor in rather far. He tells her he's going to need several cultures for the study and the first is a throat culture. He takes on of the long swabs, opens the packaging and tells her to open her mouth again. He again uses the tongue depressor and this time sticks the swab into the back of her throat making her gag. He does this for a few seconds, withdraws it and snaps the plastic cap over the end putting it aside.
He asks me to take her blood pressure while he checks her ears and I do so, taking her arm and wrapping the cuff around it, pumping it up and using my own stethoscope while he took the otoscope from the tray and checked her ears. A's BP is usually quite low so for her to register 128 over 70 was clinically significant and I told Dr Z that.
Some agitation in the test subject is normal he informed us but suggested we check pulse and heart. I did her pulse (almost 80 which is quite high for her) while he used is own stethoscope to auscultate her lungs from behind her, tapping on her back and then moving to her front to listen to her heart standing to her side and listening closely, slowing moving the scope, slightly lifting her left breast as he listened to the valves (she later told me that he 'accidentally' brushed against her as he did the stethoscope exam and he was quite hard).
"Do you know that you have scoliosis?" he asked her.
She told him that she did and he mentioned we'd need to look at that a little further.
After he listens to her heart and lungs, Dr Z tells her to lay back onto the table. She does so and pulls out the lower portion of the table so she can lay flat. He palpitates her abdomen, pressing the soft flesh and then tapping his hand, down her right side, slipping his hand under the waist of her panties then across just above her pubic bone then up the left. He used his stethoscope to listen for bowel sounds and then opened her legs slightly by pushing at her thighs, pressing hard on the inside near the crotch to feel for the femoral pulse on first one then the other before moving down to her ankles.
"You have some scarring on your left ankle," he notes.
"Yes," she said, "I broke it about 10 years ago and they had to put a pin in."
Dr Z took her pulse at the ankle, noting down all of the results on a clipboard after each portion of the exam.
"Roll over please," he commanded
She did and he told her to place her arms at her sides.
"Note the abnormal curvature of her spine," he said to me, tracing his finger down her backbone. "Moderate scoliosis?" he asked her.
"It was before I had kids, now they class it as severe" she said.
"Do you have problems with ADL's?" he asked
"No, but I do have back and hip pain especially if I'm on my feet a lot."
"I think severe is an overstatement," he opined. "Consider having another specialist look at it. Now let's get your temperature."
With that he rolled her panties down to just below her bottom and tugged them down a bit so they were on her upper thigh. He pulled a nitril glove onto his right hand and used the finger and thumb of his left to abruptly spread her cheeks. I saw her clench involuntarily and they snapped shut.
He quickly smacked her bottom cheek open handed and said sternly, "We will have none of that Ms A! You signed the consent form to participate in this study and I expect full and instant cooperation from you through this entire process. I won't tolerate any recalcitrance."
The slap got her. I could see her rubbing her thighs together as her cheek turned red with a white handprint clearly visible. He got her good.
"I'm sorry doctor," she said. "It won't happen again."
"See that it doesn't. Now relax," he commanded and again spread her cheeks apart rather roughly and widely. He lubricated the gloved index finger of his right hand and rubbed it over her anus, pushing in on it.
"I said relax," he commanded. "Push back against my finger."
I saw the ring of muscle bulge outwards slightly and his finger plunged in.
"That's it, good girl," he said soothingly. "Let's get you relaxed and lubricated for the thermometer."
He rotated his finger and then pulled it out. I almost expected it to make a 'pop'. He took the thermometer - much smaller than his finger and pressed it into her.
"Dr Phillips, can you please come here and make sure this doesn't come out while I prepare the B12 injection?" he said.
"Of course," I replied and walked over, putting my left hand on her thigh as I held the thermometer in place with my right. I made sure to move it in and out a little so she wouldn't get too used to the feeling of it being in there.
Dr Z changed gloves and prepped her left hip with an alcohol wipe. A surreptitiously let her hand 'brush' against my cock as I stood next to the exam table from it's position at her side looking over at me and smiling. Later she told me that Dr Z had 'brushed' against her hand a few times 'accidentally' as well, nothing overt or demanding - something in other circumstances that would easily be chalked off as an accident but in this case let her know that he was enjoying what he was doing to her and what he was seeing as much as she was. She told me it added immensely to the fun knowing she had him rock hard.
"This is going to hurt," he told her matter of factly as he grabbed a handful of flesh from her upper buttocks and plunged the needle in. I felt her flinch as it went in but as he slowly pushed in the plunger heard her hiss as the liquid went deep into the muscle of her ass.
"All done," he said as he withdrew the needle and put it into a sharps container.
"What's her temperature reading?" he asked me.
I withdrew the thermometer and read it.
"99.3" I said.
"Good, perfectly normal," he said. "Her heart rate and blood pressure are slightly elevated but I noticed no abnormalities. Her general health seems to be good. I think we can attribute the heart and BP to 'white coat syndrome or something similar and move on with the study."
"These are going to need to come off." Dr Z said as he pulled A's panties the rest of the way down her legs and off, tossing them to the chair where the rest of her clothes lay.
"I'm going to need you to stand up for me," he said. "I want to take a closer look at your back."
A rolled onto her side and lifted her legs as he pushed the lower end of the table back into it. She sat up and then slipped onto the floor standing naked. I could tell from the way she was squirming that all the lube on her ass was making her uncomfortable.
"Um, may I wipe myself off doctor?" she asked.
"Don't bother," he said. "There's no point until we're done."
A's a very fastidious woman and I could tell she didn't like that answer but she also knew better than to disagree with the doctor.
"Walk across the room please," Dr Z told her.
A walked, naked, across the room.
"Now come back," and she did.
"There's a slight atactic gait as one would expect with a curve. You hold yourself quite well. does your limp become more pronounced as you get tired?"
"Yes it does," she said.
"Please stand in front of me and bend at the waist."
She did so, touching the floor, her breasts hanging down, bottom in the air.
"You're very flexible, yoga?" he asked.
"Yes doctor," she answered.
"That explains why you're so high functioning. Good girl, keep it up. It's the best thing you could be doing for yourself."
He stood at her head and ran his hands down her back, tracing her spine and then stood behind her doing the same, ending with a hand on each hip almost as if he were going to mount her.
"OK A, very good, sit back up on the table here and we'll do the breast exam."
She had been naked or mostly naked for a good forty five minutes in his office and this was the first time (aside from the rectal temp) he was touching one of the 'obvious' places. This was a GOOD play exam. The buildup was fantastic.
He had her raise her left arm and started palpitating her left breast.
"You're breasts are quite lumpy," he said. "Lots of fibrous tissue. Do you do self exams?"
"Not as often as I should," she said "But I do get regular mammograms."
"You need to do them fairly often. At least 4 times a week or get your partner to do them for you."
He circled inwards pressing firmly until he reached the nipple - which was quite hard at this point. He milked it outwards with four finger and then pinched hard. A squirmed and moaned softly, breathing hard.
He did the same to the other one, having her raise her right hand and taking his time before ending the same way eliciting another if softer moan from A.
"Show me," he told her. "You do it."
He made A do a self exam first on her left.
"Pinch harder," he told her. "Really pull on the nipple. Do it again," he commanded watching her do so. He did the same to the right one and then had me come over.
"Dr Phillips, I'd like your opnion here please. I don't notice anything worrisome but can you please take a look."
"Of course," I said coming over and palpitating A's left breast. I squeezed the nipple just slightly harder than I knew she liked and did the same to the right. The nipples were deep red when we were finished with them and she was breathing quite heavily.
"OK A, I'm going to have you get into the knee/chest position at the edge of the table please. I need to take another culture."
A turned over and got on all fours at the end of the table. I could see her trembling a little.
"Not quite what I want," Dr Z said. "you're going to need to get your chest down on the table," he said, pushing the small of her back. "That's it."
Her anus glistened with the lube from earlier and she was clearly aroused - labia swollen and deep pink and visibly lubricated.
"I'm going to need a stool sample," Dr Z told her.
"Now wait, that wasn't part of what I consented to," A said, turning her head to face Dr Z.
"You declined an enema," Dr Z told her firmly. "You specifically consented to swab biopsies for culture purposes. That's what I'm about to do."
I waited for the safe word but after a second A turned her head back and said nothing further.
Dr Z swatted her on the bottom again - being careful to swat the other side from where she had her injection telling her, "I will not put up with insolance. Put your chest down on the table or I'll call in two burly orderlies and have them hold you down. This is for your own safety. You must follow my orders and stay still."
"Yes doctor," A said quietly.
"Now, I'm going to use an anal dilator to gain access to your rectum where I'll use a swab to get a sample for culture. This will hurt unless you cooperate. I'm going to try and help you relax first."
Dr Z put on a fresh set of gloves and lubricated the first two fingers of his right hand.
"Now relax and push back against my finger," he instructed as he rubbed his index finger against her anus. After a second I again saw the slight buldge and his finger entered just slightly.
"The patient has excellent sphincter tone," he said to me. "I'm relaxing the muscle while lubricating the area so she doesn't tear during the biopsy procedure. With a sphincter this tight it's essential to move slowly."
After the fact, A told me having a strange man's finger in her ass while being discussed as if she weren't there coupled with just what he was going to do to her had her almost in tears and on the verge of orgasm at the same time. She was a little afraid to tell me at first but eventually did say that the fact it was a stranger who was invading her so VERY itntimatly and humiliatingly made it both worse and hotter all at once. A much deeper patient/sub experience than she gets from our play together. I got what she meant but I won't deny a twinge of jealousy.
Dr. Z massaged her anus with his finger, slipping it deeper until the whole length was sliding in and out of her before introducing his middle finger along with the index.
"Owe, that hurts," A said but didn't move.
"That's OK," Dr Z cooed. "Relax, don't fight it and the discomfort will stop."
"Owe, owe, owe," A whined until he was in to the first knuckle. He stopped there moving his hand in a small circle, relaxing the muscles.
"OK, that's better," she breathed and he began moving both in and out slowly.
I saw her clench her fists and she made a small, high pitched yelp and I smiled.
"Dr Phillips, please make a note that the patient climaxed from anal massage. This is of clinical signifigance to the study as it confirms her statements in her medical history that she's still orgasmic after the ablation procedure."
"OK A," he said withdrawing his fingers, "I would say you're ready for the biopsy."
He put a fresh golve on and picked the anal speculum off the tray, lubricating the trifurcated cone and then placing it against her anus.
"Take a deep breath and then push back like you're making a bowel movement," he told her.
I saw her bulge and he pushed the speculum in firmly. I heard a wistle of air and A muttered, "Oh my God."
"Nothing to worry about," Dr Z said to her, "Perfectly normal. we've been pushing a lot of air into you with the exam. Once your sphincter was breached it was bound to come out."
I knew how A felt about this and knew she must be utterly humiliated.
"Now relax, you're going to feel a bit of pressure as I open the blades," he told her and slowly but firmly squeezed the handle. The tri-part head opened her up slowly, widening and she gasped tensing as he set the lock.
"Just a moment more," he said soothingly as he motioned me over, "I want you to observe Dr Phillips," he said as he opened a swab and inserted it into her rectum. She twitched and he admonished her to "Keep still, I don't want to hurt you."
He removed it and capped off the swab. "Looks like we're all set with that sample," he said as he unlocked and closed the speculum, withdrawing it from A's bottom. "Why don't you clean her off," he said to me, handing me a moistened wipe, "and then have her turn over and get into the crutches."
I gently wiped A's anal area clean, making sure not to get anything on her vulva and told her to please turn over.
Her face was scarlet and her eyes moist but she did so without complaint. I pulled the extended knee crutches in and guided her legs into them.
Later she told me that was the only point at which she considered using the safe word but didn't for several reasons, including realizing she was enjoying the humiliation.
“Now dear, you have a tendency to move around a lot – more than I consider safe so I’m going to have to restrain you for the next part of the exam. To protect you,” Dr Z said coming over.
He used the Velcro straps of the leg crutches to secure A’s calves to them and adjusted them up rather high and out wards.
“Let’s get you in the right position before we go further. Scoot down please,” he said.
A scooted but apparently not far enough for Dr. Z as he grabbed her by the hips and pulled her further down the table until her bottom was hanging over slightly.
“There we go,” he said as he pulled a strap across her lower belly and fastened to the table and another higher up just under her breasts. Her arms were under them as well.
Dr. Z positioned a large round mirror on a pole stand so A could see what he was doing reflected.
“I think patients should be aware of what’s going on, don’t you?” he said as he adjusted it.
He pulled a stool up and sat down between her legs pulling on fresh gloves saying, “Now let’s take a look.”
He performed a very thorough external exam, keeping a running narration as he went with me standing behind him watching over his shoulder.
“The patient shaves her mons but not the labia. A, do you trim or otherwise thin the hair on your labia?”
“Um, no doctor,” she said.
“Has it always been this sparse?”
“I guess so,” she said. “I didn’t realize it was sparse.”
“It is,” he said.
Motioning for me to look he said, “Dr Phillips, you’ll note the hair is densest at the apex of the vulva – and not very dense there at all becoming more and more sparse until the virtual lack of androgenic hair around the anus and perineum. History is important in this situation as a change in pubacity can signal a pathology. The fact the patient appears to have little in the way of body hair normally, while uncommon, isn’t significant. A, is your ancestry Nordic?”
“Polish,” she replied.
“There you have it,” Dr. Z said. “Normal ethnic variations.”
He pointed at her perineum, “Note the episiotomy scar,” he said running is finger down the thin while line from the lower portion of her vaginal opening to about half way to her anus.
He palpitated one then the other of her small labia minora commenting, “Labia minora are mostly symmetrical and mobile. There appear to be no pathologies.”
He used the calipers to measure the length of her clitoral hood, both labia, the distance from her vaginal opening to her anus, the distance from her vaginal opening to her clitoris and then using a hood retractor the length of her clitoris itself – writing all of the measurements on his clipboard.
“I’m now going to measure vaginal depth using the smallest of the dilators,” he said picking up one of the steel phalli. It was the thinnest one and had a ring around it that slid up and down the barrel of it with just a little effort. “The patient is obviously aroused so insertion should be easy and comfortable with the smallest and we should get an accurate gage of vaginal depth while aroused.”
“Please relax dear while I take some measurements,” Dr. Z said as he positioned the dilator at her opening and slowly slid it in.
I noticed he had his left hand resting on her pubic bone with the heel ‘accidentally’ resting on the top of her clit. He continued to slide it in until he met resistance. Holding the ring in place on the barrel he slowly withdrew the now slick tool. I realized at that point that he hadn’t lubed the dilator before putting it inside A, the wetness was all hers.
“13.5 centimeters,” he announced. “Right in the middle of normal variation.”
A was squirming her hips slightly as he put the dilator down and said, “Before doing the internal exam, I’m going to see what size dilator she can comfortably accommodate. We need to determine if the ablation procedure caused any loss of vaginal elasticity.”
“Now A, I’m going to introduce a series of dilators into your vagina. Each will be progressively thicker than the last. The purpose of this is to measure the elasticity of your vaginal tissue to determine if the ablation procedure caused any decrease. I’m going to slowly insert them and withdraw them several times to gauge the amount of force needed. I’ll be recording my impressions. You may feel some discomfort or you may feel arousal or possibly both. All of these feelings are perfectly normal.”
Dr. Z applied lube to the next size dilator and positioned it at the entrance to her vagina.
“We’ll start with the 19mm diameter and work out way up to the 50mm one.”
The tool he positioned was thicker than the first but still rather slender, it slid in easily and he drew it out.
“I’m feeling very little resistance to the 19mm dilator,” he said as slowly worked it back in.
A moved her hips gently, following him.
“The patient seems to be suffering no adverse reaction so let’s move up a size.”
He took the next largest and lubed that, putting it into position at the entrance to A’s now glistening vagina.
“26mm dilator does create some slight resistance upon entering,” he said.
He worked that particular instrument longer than the first and A was breathing quite heavily and rocking in time with him when he finally withdrew it and put it aside.
“38mm requires significantly more force to penetrate but still appears to be tolerated well by the patient. As I continue the effort becomes less as the patient adapts to the larger size dilator. The patient is exhibiting signs of entering the plateau phase of the response cycle as evidenced by the darkening of her nipples and the involuntary vocalizations.”
A was quietly moaning and groaned in frustration as he withdrew the dilator and put it aside.
“Given the patient’s ample evidence that vaginal elasticity has not been adversely affected by her earlier surgery, we can safely move directly to the 50mm dilator,” he said picking up the largest of the instruments and generously lubing it.
“A, I want you to watch in the mirror how your body stretches to accept the dilator,” he said as he placed it against her and very slowly began to push the very thick instrument into her.
Her vulva visibly stretched around the tool, her labia pulling in as it filled her. A groaned and watched, fascinated.
“It’s very big doctor,” she panted.
“Yes it is but you can take it,” Dr. Z said as he inserted it all of the way into her.
He let her rest a moment to get used to the steel invader before slowing withdrawing and stroking back into her. Three sensuous strokes of the dilator and A closed her eyes tightly, threw her head back and groaned deeply as she orgasmed.
“Well I’m very happy to note that your vaginal elasticity seems to be unimpaired by the ablation,” Dr Z said as she caught her breath. He rested a hand casually on her stomach. “Let’s take a look at your cervix. I’m going to locate it with my finger first and then insert a speculum.”
Dr Z slid two fingers easily into her deeply. She twitched slightly and he said, “Here we go. Feels nice and firm. Your OS feels about as it should. Let’s take a look.”
“You’ve a deep vagina so I’m going to use the large size, just relax.”
He inserted a large speculum at a 45 degree angle and rotated it to vertical before opening. Wide. She hissed slightly and tensed. Later she told me that for a second it felt like he was splitting her in two but the feeling passed. He positioned his exam lamp.
“And here’s our cervix. Looks good. Normal amount of mucus. OS is consistent with para. Let’s get a sample of your cervical mucus,” he said, introducing a long swab into her. It came out with white cervical mucus clinging to the cotton.
“Would you like to take a look doctor?” he asked me.
I stepped closer and looked at my favorite cervix. It was happily normal looking, in fact there was really no way to tell she had a procedure that ablated the lining of her uterus.
“We’re going to observe your cervix now through stimulation to orgasm,” Dr Z told her.
He began to lightly rub her clitoris with the pad of his finger in short quick circles.
“Dr, watch with me now,” he said as he continued.
Given her heightened state of arousal even BEFORE he began touching her, she came very quickly, groaning.
“See how her muscles contract? You can see the cervix twitch.”
Sure enough it did. Way cool, I thought very unscientifically.
“Red,” A gasped. Her safe word.
“Is everything allright?” I asked concerned.
“Fine,” she said, panting. “I just need to stop. I’m exhausted and kinda sore.”
“Of course dear,” Dr Z said, closing and withdrawing the speculum. “You’ve been a magnificent patient.”
We never did get to try the electro stim machine. Later A told me it scared her a little bit which was also the reason she asked us to stop.
We might consider doing this again. It’s up to A. She did give Dr Z and then myself oral after. Not in the course of role play. It wasn’t anything planned, she just asked if she could do it. We had discussed limits before the scene and this was within ours so I didn’t object. It was the first time (and so far only) I’ve watched her do that to someone other than me. Decidedly mixed feelings. Arousal, excitement and a tad bit of jealousy. Interesting in that watching him poke prod and probe her elicited no jealous feelings. She directed his orgasm onto her chest and swallowed mine.
We talked it through after. She felt the need to make us cum after – to regain some measure of control. Things are cool, no issues. It was something we both enjoyed and are glad we did. Will we do it again? I don’t know. If we do I will write about it though.