Lena Sprains Her Ankle

by Arthur Saxon
meganeura@hotmail.com

Lena Hodge quietly strummed her guitar, humming to herself, while fragments of ideas flitted past each other in her head, looking for a connection. She paused, picked up her pen and paper, and wrote feverishly for a moment. Then she set them down, and sang quietly as she played: “...I washed the writing from the wall / and you didn’t think of me at all / on the night you left me.”

Satisfied, she unslung her guitar from around her neck, stood it up against the wall, and smiled to herself. The song – her eighth – was finally finished. She had enough for an album now. She could record herself singing and playing guitar, and make a CD of her own music. She already had a title for it: “Recovering Melancholic”. She sighed. Too bad nobody would ever hear it.

Noticing the time, she cursed, and trotted into the bathroom. She would have to hurry, or she would be late for work. And she really needed this job. Not that her position as inventory clerk at Freedom Foods was her ideal career choice, but the brutal fact was that she was very bad at job interviews. Her strabismus distracted people; they were never sure which of her eyes to look at, and this made her very self-conscious. Her nervousness around people had led to her developing a severe stutter, and this only made her social interactions more nightmarish. Because of all of this, understandably, she was painfully shy. Twenty-six years of age, she had never had a boyfriend; she had never even been kissed.

One of her colleagues, Kari, had tried to fix her up with single male friends a couple of times, but the dates had both gone disastrously. The first had made fun of her incessantly during their dinner together, and she had declined his half-hearted suggestion that they go back to his place to ‘fool around’, in his words. The second had been a little more polite, but had clearly been so disenchanted by her company that he had ended their date early, with an excuse about having to be up early the next morning. He had not called her again.

The elevator being broken, she hurried down the stairs – five flights – only to misstep halfway down the final flight, twisting her ankle as she stumbled and then fell, landing on the concrete floor with a thump that knocked the wind out of her. She picked herself up, wincing as she put her weight on her right foot. Limping outside, she made her way uncomfortably to the bus stop, and let her left leg support most of her weight while she waited for the bus.

When she arrived at work, her hopes of getting to her desk undetected were dashed when her boss, Daniel, spotted her limping. “What happened to you?” he asked.

“It’s n-nothing,” she replied. “I j-just twisted m...muh...my ankle.”

“Oh no!” he said, concerned. “Here on site?”

“Nuh-no, it was...”

“Oh whew,” he said, looking relieved. Then he walked away.

Kari was a little more sympathetic. “You’re hardly putting any weight on it!” she remarked, when Lena got up to go to the toilet. “You should go to the emergency room and get it checked out. It might be broken!”

“Ohh nnnn-no,” said Lena, shaking her head. “Duh ... doctors...” She shuddered.

“Silly girl!” said Kari in exasperation. “You can’t let your social anxiety get in the way of medical treatment!”

“I’ll muh...make an appointment with my own d-doctor,” Lena assured her. Him, at least, she had met before.

“For when?” asked Kari sceptically. “If it’s a break, you’ll want it dealt with as soon as possible.”

“S-soon,” Lena promised vaguely.

Kari folded her arms.

“I’ll c...cuh... I’ll c-call his office n-now,” said Lena, quailing under Kari’s stern glare.

“You do that,” said Kari.

Ten minutes later, Lena’s stomach was in knots as she made the call. She had written down everything she wanted to say; this generally helped with her stuttering. But of course, she could not anticipate every possible way the call might go...

“Hello, Mansfield Medical Care, my name’s Lindsey, can I help you?”

“Hello,” Lena replied immediately. This was an easy word for her; even if she could get nothing else out, the woman on the other end would know she was on the line. “I’d like to muh...make an appuh...puh... an appuh...” She stopped, and took a breath.

“An appointment?”

“Yes,” said Lena. “I’m sorry, I ssss...stutter.”

“Don’t worry, we’ll get through this together,” said Lindsey. “What’s your name, honey?”

“Lena Hodge,” said Lena.

“Hodge ... let’s see ... ah yes. You were last in here ... four years ago! Ear infection. You saw Doctor Willis ... oh dear. I’m not sure if you’re aware, but Doctor Willis left us six months ago. You should have received a letter...”

“Oh!” said Lena, taken aback. “N-no, I duh...don’t think I d-did. Duh...duh...don’t I have a d-doctor now?”

“Well Doctor Willis’s replacement, Doctor Mountebank, took over his patients, and since you didn’t tell us you didn’t want that to happen, we automatically transferred you. So you’re now Doctor Mountebank’s patient ... and as it happens he does have an opening this afternoon...”

“Oh!” said Lena. “Guh...great.”

“Two o’clock ... is that okay?”

“Yes,” said Lena. “Thank you.” She was dreading going to see a new doctor, but she figured she would have to do so at some point anyway.

“Okay!” said Lindsey. “What is the reason for your visit?”

“Oh ... I t...tuh...twisted my ankle,” said Lena. “I want to m-make sure it isn’t buh...broken.”

“All right, we’ll see you later then,” said Lindsey. “Please aim to arrive fifteen minutes early for your appointment.”

“Thanks,” said Lena. “I will.”

She hung up, then she got to her feet and limped off to find Daniel. Fortunately he was in his office. “Hey,” he said, looking up. “What’s up?”

“C...can I please go to a doctor’s appointment this afternoon?” she asked.

“I guess so,” he said reluctantly. “What time?”

“T...two o’clock,” she said. “I’ll have to leave here at half p...past one, though.”

“You’ll be gone most of the afternoon!” he said. “You might as well just take a half-day’s vacation.”

“I’m sure I’ll b...be b...buh...back by three or so,” she said.

“I’m counting on it,” he replied. “We’ve got a big delivery coming in. I need you back here as soon as possible after your appointment. But you can still take a half-day’s vacation.”

This was blatantly unfair; salaried employees were supposed to be allowed to attend doctors’ appointments on company time. But Lena did not dare to make a fuss. “Oke...kay,” she said meekly.

The morning passed very slowly. Lena’s ankle was throbbing, and she was starting to get a little worried that it might indeed be broken. At lunchtime, she grabbed her lunch and hobbled to the kitchen, where Kari suggested she put her foot up on another chair. Elevating her ankle certainly helped; the throbbing died down right away.

All too soon, she had to return to her desk ... but at least it was not for long. At half past one, she switched off her computer, packed up her bag, and left the building, heading to the bus stop. The hospital was only a ten-minute walk away, but she did not fancy limping all the way there.

A bus arrived, she boarded, and then disembarked four minutes later outside the hospital. She limped to the building that housed Mansfield Medical Care, and, with a few minutes to spare, went to the restroom. Having emptied her bladder and washed her hands, she left the toilet and hobbled up to the reception desk. “Hi,” she said. “I’m Lena Hodge. I have a t-tuh... tuh... two o’cuh...”

“Ah yes,” said the large middle-aged woman behind the counter, looking at her computer. “I see this is your first visit with Doctor Mountebank. Do you have an insurance card...?”

Lena fished her card out of her purse, and handed it over. Then she waited, while the receptionist typed the details into the computer.

“Here – please could you fill this out,” said the receptionist, handing Lena a clipboard and a pen. “Just take a seat in the waiting area while you do that.”

Lena nodded, and limped over to a chair. She sat down, and began filling out the form. No doubt she had to do this because it had been so long since her last visit, but really, nothing had changed for her health-wise since then.

The minutes ticked by. Having completed the form, Lena handed it back to the receptionist, then returned to her chair. No sooner had she sat down, however, when a young woman in scrubs entered from another door. “Lena Hodge?”

Lena raised her hand to catch the nurse’s attention, then she got to her feet, and limped across the room.

“Do you need to lean on my shoulder?” asked the nurse.

“No thanks, I’m fine,” said Lena. She was finding that she was able to put a little weight on her right foot; it did not hurt as much now as it had. She followed the nurse through the door and down a corridor, to a weighing scale.

“Shoes off, please, and step on there,” said the nurse.

Lena put her purse down, slipped off her shoes, and stepped on the scale. The nurse measured not only her weight (124 pounds), but also her height (5 foot 3). Then Lena put her shoes back on, picked up her purse, and followed the nurse to an examining room.

“Have a seat,” said the nurse. “I’ll just check your vitals.”

Lena nodded, sat down, and presented her arm as the nurse approached with a Velcro armband.

The readings were taken quickly and efficiently. “Blood pressure 125 over 80,” said the nurse. “Pulse 94. Temperature 98.8. Okay! Just wait here please. The doctor will be with you shortly.”

She left, and Lena looked around at the posters on the walls: one showed a picture of the human skeleton with all of the bones labelled, while another showed the interior of two human bodies – one male and one female – with all of the organs showing.

She had not been studying these for very long, when there was a knock at the door. “Hello?” she said.

The door opened, and a dark-haired man entered. He was imposingly large – at least six foot four, she guessed, and sturdily built, if not exactly fat. He had bushy eyebrows, and walked with a slight stoop. “You must be Lena!” he said, in a rather more booming voice than was strictly necessary for such a small room. “Nice to meet you. Oh – you have exotropia! How long have you had that?”

“S...since chuh...childhood,” said Lena.

“And a stutter!” said the doctor, sitting down on a stool with wheeled feet. “What bad luck! Well I can’t do much about the stutter, but strabismus is often fixable. Have you had any treatment for it? The eye?”

“I’ve t-tuh...tried th-therapy,” said Lena. “Nnnn-no luck. I’ve b...buh...buh...been told s...surgery is n-next. Buh...but I c...can’t afford it.”

“My god that stutter’s really something, isn’t it?” the doctor marvelled. “All right. Well, that’s not why you’re here, is it? What happened with your ankle?”

“I suh...slipped on the s-s...stairs, and tuh...twisted it,” said Lena.

“Well let’s take a look, shall we?” said Doctor Mountebank, scooting his stool forward. “Are those socks or tights?”

“Tuh...tuh...” Lena began.

“Tights?” said the doctor. “Would you mind taking them off please? It’ll make examining the ankle easier.”

“Oh ... uh ... oke...k...kay,” said Lena nervously. She stood up, hiked up the sides of her midi-length brown skirt, and reached underneath it to grasp the waistband of her tights. Working it carefully down over her panties, she contrived to pull her tights down by degrees, until she was sliding them down her calves. Kicking off her shoes, she sat back down, and pulled the tights completely off her feet. She felt relieved, and a little pleased with herself, to have managed to get them off without exposing anything to the doctor.

Doctor Mountebank bent down, grasped her right calf, and lifted her foot up on to his lap. “Hmm,” he said, looking her ankle over. “I can definitely see the bruising.” He gave her ankle bone a gentle squeeze. “Does this hurt?”

“Nnnnn-no,” said Lena.

“Good. How about this? Feel free to shake your head if you’d prefer that.”

Lena shook her head.

“And ... this?”

Lena gasped, and nodded.

“Yup, you’ve definitely got some ligament damage there, but I don’t think it’s severe,” said the doctor. “No sign of a break. You should give it plenty of rest for the next three to four days. Ice it three times a day, for about ten minutes each time, to reduce swelling. Keeping it elevated will also help. Keep walking to a minimum, and I’d recommend an ACE bandage to support the ankle if you do need to walk. You can get one of those from any pharmacy.”

“Th-thank you Duh-Doctor,” said Lena, very relieved to hear that she had not broken anything.

“Is there anything else I can help you with?” the doctor inquired.

“N-nnn-no th-thank you,” said Lena.

“Good!” said the doctor. “Although ... I did notice you haven’t been in for a full physical in all the time you’ve been on our books. Would you like to remedy that? We do recommend that our patients get a physical every year...”

“Um,” said Lena, her cheeks colouring, “I ... I d-duh...don’t nnn...know...”

“We’re booked out solidly for the next four or five months,” said Doctor Mountebank. “We should really get you in the schedule...”

Lena knew she ought to get a physical, and if it was four or five months out then she would have plenty of time to change her mind. She nodded. “All right,” she said.

“Excellent,” said Doctor Mountebank, smiling. Then he snapped his fingers. “I just remembered! The Reynolds family cancelled their appointments. That’s the reason you got an appointment at such short notice ... and it also means I’m free until three o’clock. So if you like, and since you’re here anyway, we could get your physical out of the way right now, and then you won’t have to worry about it.” He smiled, and looked at her expectantly.

Lena felt trapped. On the one hand, she was terrified of getting a full physical, since it would probably mean taking her clothes off in front of this stranger – this hulk of a man. And he would be ... touching her. The thought was enough to send her into a panic. On the other hand, he no doubt did this kind of thing all the time ... and physicals were just a thing that everybody had to go through. She would have to get one eventually. And at least he wasn’t ... she shuddered at the thought ... a gynaecologist...

She made up her mind. She would just have to grin and bear it. “Oke...kuh...kay,” she said reluctantly.

“Excellent,” said the doctor. “So first of all, I’ll ask you some questions, to get an idea of your lifestyle. Do you smoke?”

“Nnnn-no,” said Lena, shaking her head.

“How about alcohol?”

“Hardly ever,” she replied. “I d-duh...did have some wine at the c...cuh... the cuh...company’s c...c...Christmas d...duh...”

“Dinner?” said the doctor helpfully. “Okay, so not a regular drinker. Good! How about diet? Do you eat meat?”

Lena nodded.

“How many times per week would you say you eat fast food? Pizza, burgers, that kind of thing?”

Lena blushed. “Th-three or f-fuh...four?” she guessed. “S-sorry...”

The doctor chuckled. “It’s just a question, Lena,” he said. “I’m not passing judgment. Trust me, a lot of my patients eat junk food way more often than you. You’re not fat, so I think it’s safe to say you don’t overindulge. Still, ideally you should avoid junk food for the most part, if you can. I have an obligation to say that as your doctor, of course.” He grinned.

Lena smiled. He was doing a good job of putting her at her ease.

“How about exercise?” the doctor asked.

“I have an exercise buh...b...bike,” said Lena. “Buh...buh...”

“But you don’t use it as often as you should?” suggested Doctor Mountebank. “I know what that’s like, believe me. But you should try to do your best to get into a good exercise routine. You’re young and healthy, so it may not seem very important ... but keeping in shape now will really help you ten, twenty, thirty years down the line. And biking is a really great way to keep in shape.”

“I’ll tuh...try,” said Lena, deciding that she really would, this time.

“Are you sexually active?” the doctor inquired.

Lena’s cheeks burned at this question. “Nnnn...no,” she said in a small voice.

“Again, zero judgment,” the doctor assured her. “It's just a question – and your answer means I don’t have to follow that up with a bunch of other questions that you would no doubt find equally uncomfortable. So relax, Lena – you’re in safe hands here, and you’re doing just fine.”

Lena nodded sheepishly.

“Now,” said the doctor, rolling his stool back and fetching a couple of items from a drawer. “Let’s have a look inside your mouth. He rolled the stool back towards her, and leaned forward. “Say ‘aahhhh’.”

He shone his little flashlight inside her mouth as she said ‘Aaahhhh’, and briefly pressed her tongue down with a little flat stick. “Good!” he said, rolling backwards and tossing the stick in the trash. He put away the flashlight, then rolled forwards again. “May I see your hands, please?”

Lena held out her hands; the doctor took them, looked them over, and then released them.

“Now,” he said, “could you cross one leg over the other, please? I’m going to test your reflexes.”

She did so, as he rolled his stool back again in order to fetch a small rubber mallet. When he rolled forwards again, he grasped Lena’s skirt, and lifted it up over her thighs, exposing her knees. She gasped, and plunged her hands into her skirt, pressing it down between her thighs.

Doctor Mountebank looked at her in surprise. “Shy, are we?” he inquired. “Well, that’s understandable. You haven’t had a physical in a long time. But I’m afraid this is only going to get more ... uncomfortable ... on that front. Please try to remember that I’m a doctor; I do this for a living, and I’m very professional about it. A little embarrassment is natural, but you’ll have to try to endure it if we are to proceed. Do you think you can do that?”

Lena hesitated, then nodded. She was being silly, she knew; he was obviously just doing his job.

“Okay, relax your legs,” said Doctor Mountebank. He tapped just below her kneecap with the reflex hammer, and her foot jerked outward. “Good! Now the other leg please.”

She uncrossed and recrossed her legs, and he repeated the test with her other knee. Once again, she passed.

“Good!” he said. “Now I’ll have a listen to your heart and lungs. Would you mind taking off your sweater and blouse, please?”

Lena had been dreading this. With a nervous swallow, she tugged on the end of her right sleeve with her left hand, and drew her hand up inside it. She continued pulling, while bending her right elbow, until her whole arm came out of the sleeve. Hauling her baggy grey sweater up over her head, she bunched it up as she withdrew her left arm from the other sleeve. Then, with her hands trembling, she began undoing the buttons on her cream-coloured blouse.

“My goodness, you really are shy!” said Doctor Mountebank, rolling back towards her with his stethoscope in hand. “Well done, though – you’re doing great.”

Lena grimaced as she slipped her blouse off her shoulders, exposing her white bra to the doctor. She hated everything about her top half, from the freckles on her too-square shoulders, to the puffy blobs of flesh filling out her bra cups, to her pudgy midsection. And now her doctor was seeing it all. But he seemed entirely detached and dispassionate as she pulled her arms out of her sleeves. Feeling very naked, she folded up her blouse and set it down on top of her sweater.

“All right,” said the doctor, picking up her clothes and moving them out of reach, so that he could sit down behind her. “Let’s have a listen...”

Lena felt the cool disc of the stethoscope press against the bare skin of her back.

“Well your pulse is really racing,” said Doctor Mountebank, “but your heart sounds fine. Can you take a deep breath in please? That’s good ... and let it out. Excellent. And again please? Good ... and out. Thank you. Your lungs sound perfect.”

“Th-that’s guh...good,” said Lena, trying to sound nonchalant.

“Now, could you lie down on your back, please?” said the doctor.

Unsure why he wanted her to do this, but unable to bring herself to question his request, Lena lay back on the exam table, folding her arms across her belly. But the doctor took hold of her hands, and placed them gently by her sides. “Just breathe normally,” he instructed her. He placed his hand on her lower belly, moving it around and pressing down slightly in various places. “No discernible abdominal issues,” he muttered, half to himself. “Very full bowel though. Okay, now could you please sit up, and take off your bra.”

“I’m s-sorry?” said Lena in alarm, as she sat up.

“For the breast exam,” said Doctor Mountebank matter-of-factly. “Um ... don’t tell me you’ve never had a breast exam?”

Lena shook her head, as she felt panic rise within her.

“Wow. Okay. Well it’s a standard part of the physical,” said the doctor. “For women, anyway. I’ll be checking your breasts thoroughly for lumps and other abnormalities. Do you check your breasts regularly for lumps?”

Again Lena shook her head.

“Well I can see the idea is making you uncomfortable,” said the doctor. “I can’t just let you off the hook – I’d feel terrible if we missed something – but I’ll make it as easy on you as I can. Okay?”

Lena hesitated, then nodded. The easier he could make it, the better, she thought to herself.

He sat down behind her again. “I’m going to try something,” he said. “I’ll see if I can ease you into this as gently as possible. Does that sound okay to you?”

“Yes,” said Lena, nodding again.

“So I’ll start by just massaging your shoulders,” said the doctor, placing his hands on her shoulders and beginning to gently knead them. “This isn’t so bad, is it?”

“Nnnn-no,” Lena admitted. It did feel quite nice.

“And as I work on massaging them,” the doctor continued, “oh! we lost a strap.” He flicked her right bra strap off her shoulder.

Lena shivered, but did not protest. She was feeling very uncomfortable, but she appreciated his efforts to make this easier for her.

“Oops! There goes the other one,” said the doctor. “And back to the massage...” Then, continuing the massage with one hand, he used the other to deftly pop open the rear fastening of her bra. “And that’s the clip undone...”

Lena felt suddenly very anxious, acutely aware that her bra was in imminent danger of falling away from her breasts. She realised that this was the doctor’s intent, but that did not make it any less nerve-wracking.

“And back to the shoulders,” said Doctor Mountebank smoothly. “And then the upper arms ... and let’s get these straps down past the elbows...”

Lena suppressed a squeal as her bra cups fell from her breasts, fully exposing them. But as she raised her hands to her breasts, with a swift, assured motion, the doctor whipped her bra completely off. He placed it atop her blouse and sweater. “There!” he said. “That wasn’t so bad, was it? Now back to the shoulders...”

Lena kept both hands resolutely clasped over her breasts as he resumed massaging her shoulders, though she had no doubt that he would require her to remove them soon. Nevertheless, the fact that he had got her to this point without precipitating a huge panic attack on her part was quite impressive.

But then he began working his hands slowly down her chest, and she tensed up in anticipation of what was coming. “Keep breathing,” he said. “Slow and deep. You’re doing great, Lena. We’re almost there. Let’s just ease those hands out of the way ... just drop them to your sides, and there we go...”

And just like that, the doctor’s hands were on her breasts, caressing and massaging them. “Oh guh...guh...god,” Lena whispered.

“Well done, Lena!” said the doctor, still gently kneading her breasts. “You see? You can do it after all. This isn’t too unpleasant, I hope? I do try to be as gentle as possible.”

“It’s j-juh...just v-very embuh...b...embuh...barrassing!” said Lena forlornly.

The doctor tweaked her nipples between his fingers and thumbs, as he continued softly squeezing her fleshy orbs. “I’m sure it is,” he sympathised. “But you’re handling it very well. I’m going to come around the front, now, to perform the exam. Part of it is visual, I’m afraid, so I’m going to have to look at them.”

“Oke...kay,” said Lena, her stomach knotting. Perform the exam? Was that not what he had just been doing?

Doctor Mountebank got up from the exam table, and walked past her to sit on his stool in front of her. Leaning forward, he stared closely at each of her breasts in turn. Then he cupped his hands beneath them, lifted them a little, and gently rubbed her nipples with his thumbs. Apparently satisfied, he clasped his hands around both breasts, squeezed them together, and delicately pinched her nipples between his thumbs and index fingers. After this, he began firmly kneading her breasts, thoroughly exploring them, while Lena, in utter mortification, stared at the far wall.

After what seemed like an eternity, Doctor Mountebank let go of her breasts. “Now lift your left arm please,” he said.

Lena did so, and the doctor began feeling the flesh from her breast up to her armpit. “The tissue of your breast actually goes all the way up to here,” he explained. “You should check yourself regularly, much like I just did, for any sign of a lump. It could literally save your life. Other arm please.”

Lena raised her right arm, and the doctor felt her carefully. “All clear!” he said. “Your breasts are just fine. And, if I may say so, very attractive.”

Lena felt her hair stand on end. Flustered beyond measure, she stammered, “I ... I’ve nnn-never liked them.”

“Whyever not?” asked the doctor in surprise.

“They’re ... unsightly,” she muttered.

“Are you kidding me?” said the doctor. “Lena, you have superb breasts!” He took hold of them, cupping them from beneath and lifting them slightly. “They’re beautiful! Trust me on this; I’ve seen more breasts than you can imagine. And yours are top quality. They’re gorgeous!”

Lena was so used to thinking of herself as unattractive that these compliments simply did not compute for her. Yet he seemed very sincere; could his judgment really be that impaired? Somewhere, deep down, part of her was starting to feel – despite years of self-induced negative reinforcement regarding her body image – rather flattered. “Thank you,” she said awkwardly.

“Just stating a fact!” said the doctor cheerfully. He gave her breasts a final squeeze, then let them go. “Now,” he said, “I’m going to be giving you a pelvic exam, which I’m sure probably fills you with a sense of ... yes, I can see by your face that you’re not keen on that idea...”

“I th...thuh...thought it would buh...be a g-guh...guh...gynaecuh...c...cuh...cologist...” said Lena anxiously.

“I’m qualified to do pelvic exams,” said the doctor. “Most primary care physicians are. But I’m sensitive to your nervousness about the prospect, and I’m more than happy to take my time and ease you into it gently. It’s very important to me that your experience here today be a positive one, so that you’re not afraid to come back. We got through the breast exam, didn’t we? We can get through this, too. Will you trust me?”

Lena firmly, definitely, adamantly, resolutely and absolutely, did not want a pelvic exam. But she knew she could not avoid them forever, and there was no guarantee that another doctor would be willing to take the time to ease her into it gently, like Doctor Mountebank was. Plus, he had been very kind about her breasts. She nodded, slowly.

“All right,” said the doctor, smiling. He got to his feet, and went over to the drawer from which he had fetched his flashlight and reflex hammer. This time, he pulled out a large white tube, similar to a large tube of toothpaste. Returning to the exam table, he sat down behind Lena again. “Okay,” he said. “I’m going to start with another massage, all right? Only this time, instead of your shoulders, I’ll be massaging your legs. Let’s just pull up that skirt a bit, shall we?” Putting his arms around her waist, he used both of his hands to drag the hem of her skirt up her thighs, away from her knees.

Lena instinctively clutched at the material with her hands, but she did not strongly resist. She was wishing she could put her bra, blouse and sweater back on, but she did not feel comfortable asking for them; what if he said no? He might not be finished with her top half. Then she would feel extra-embarrassed for having asked.

“Okay, you’re doing fine,” said Doctor Mountebank encouragingly, as he peered over her right shoulder at her lap. “Just try letting go with your hands, and breathe normally while I pull your skirt up. Good, good. And there are your panties! They’re very pretty – there’s no need to be ashamed about letting your doctor see them, is there?”

“I s-suh...suppose nnn-not,” said Lena, feeling very mortified that her flowery pink panties were peeping out from beneath her bunched-up skirt.

Doctor Mountebank released her skirt, and laid his hands gently on her thighs. “I’m going to massage your thighs now,” he said. “This will necessarily get a little intimate, but not nearly so much so as the pelvic exam. We’ll get you there by degrees, okay? You’re much less likely to panic if there are no sudden escalations.”

“Th-thank you,” said Lena gratefully. She doubted whether most doctors would be so understanding and patient with her.

The doctor slowly massaged her bare thighs, gradually working his way closer and closer to her panties. Then he sank his hands between her thighs, and eased them apart. “I’m just parting your legs a bit,” he said. “Baby steps.”

Lena gasped as Doctor Mountebank resumed massaging her inner thighs ... then slid his right hand all the way up to her panties, cupping her pussy through the thin material. She reflexively grabbed his wrist with her hands, but he held firm.

“Try to relax,” he murmured in her ear, slowly rubbing her pussy with his right hand while his left pulled her left leg farther outward.

Lena could feel his torso against her back, his arms around her waist, his hands on her left thigh and her pussy. This was very intimate indeed – he had been right about that – but she knew it was only going to get worse. She bit her lip, and tried to relax ... but it was not easy.

“Breathe!” said the doctor, continuing to stroke her pussy through her panties. “You’re wound up tighter than a drum. Take a few deep breaths – in through the nose, out through the mouth.”

Lena nodded, and tried to breathe slowly and deeply. It was not easy ... particularly when the doctor pulled her legs even wider apart, and began making slow circles in his stroking of her pussy. Then, to her alarm, he reached up and grasped the waistband of her panties with his left hand, pulling it open ... and sank his right hand inside. “Ohh!” she gasped in dismay, clutching his wrist again with both hands as he began stroking her soft labia with his fingers.

“Keep breathing, Lena – you’re doing extremely well here,” said the doctor in a low voice, as he unclipped the side of her skirt with his left hand, and began to unzip it. “Just think – a strange man has his hand in your panties, and he’s stroking your pussy ... and you’re not having a meltdown! For you, I am sure, that is quite an achievement.”

“Th...thank you,” said Lena fretfully. In truth, she felt very close to a meltdown, but it did help to hear him say she was doing well.

“Now,” said the doctor, taking his hand out of her panties. “Let’s get you out of that skirt.”

The skirt was providing Lena no significant coverage at the moment, but she was nevertheless unhappy at the thought of losing it. Once it was off, she would be wearing nothing but her panties ... in front of a strange man! She was inclined to beg him to let her keep it on – it would not after all get in the way of a pelvic exam – but as she attempted to summon up the courage to plead her case, he preempted her.

“I’m sure you’d prefer to keep it on,” he said, “but it’ll just get in the way. Not of the pelvic exam, particularly, but that’s not all we have left to do. Could you stand up, please?”

Lena dutifully got down from the exam table; her unfastened skirt fell to the floor around her ankles. She gasped, and instinctively but pointlessly covered her panties with her hands. Feeling very naked, she stepped out of the skirt, then stooped down and picked it up.

Doctor Mountebank took it from her; he had already gathered up the rest of her clothes from the exam table. “Let’s just put these over here,” he said, placing them on the armchair on which she had been sitting earlier. “Now if you could just lie down on the table for me, please...”

“This is it,” Lena thought to herself, as she lay back on the exam table with a sense of mounting dread. She covered her breasts with her hands, and stared up at the ceiling.

“I’m just going to get you used to the feeling of the gel I use as a lubricant,” said Doctor Mountebank, sitting down on the stool and rolling it up to the edge of the exam table. “Lift your knees up, please, and spread them about a foot apart.” Picking up the white tube, he flipped the cap open, then squirted a generous amount of gel on to the fingers of his right hand. “Now, this is going to feel a little cold at first.” He reached over and pulled out the waistband of her panties with his left hand, before slipping his right hand inside.

Lena gasped as the cold gel contacted her labia. Then her breath caught in her throat as the doctor began slowly, gently massaging it all over her vulva, and down to her vaginal opening. She felt his middle finger slip between her labia, and then slide smoothly back and forth over her clitoris.

“Breathe,” he instructed her. “And relax. The more relaxed you can become, the more pleasant this will be. I know this is very hard for you, and I’m proud of you for having come this far already.” His splayed fingers gently pinched her labia, then released them, as he continued to firmly stroke her clitoris.

Lena’s cheeks were on fire with embarrassment; the effect of the stroking was not lost on her, but she was mortified to be getting physically aroused by her doctor. She began to wish he would just get on with the exam.

“Spread those thighs a little wider please,” said the doctor. “That’s good. Now I’m just going to...” He slid his hand down her pussy, curling his middle finger as he did so, so that it slipped easily into her vagina.

Lena gasped, and her knuckles turned white as she clutched her breasts. She could hardly believe what was happening. A man’s finger was in her vagina! And he was slowly sliding it in and out! How had this day turned so crazy?

“Careful,” chuckled the doctor, gently taking her right wrist with his left hand, and pulling it away from her breast. “You wouldn’t want to hurt those beautiful breasts, now would you? I suggest you grip the sides of the table, if you need to grip something. But do try and relax.” He slid his finger deeper ... deeper still ... and wiggled it around. “You’re coping very well, Lena. Well done.” He introduced a second finger, and gently eased both fingers in and out, while he removed her left hand from her left breast, and guided it to the side of the table.

“I ... I th-think I muh...might be ready nnn-now,” gasped Lena, feeling humiliated by the involuntary moistening of her vagina. It was not all due to the doctor’s gel, though she hoped he would not realise that. She just wanted to get the whole horrible experience over and done with.

“All right,” said Doctor Mountebank, withdrawing his fingers, and then his hand from her panties. “But first I’m going to need a stool sample from you. I noticed your bowel is very full, so that shouldn’t be a problem for you. Go right ahead, in your own time.”

Confused and horrified, Lena wondered what he meant by “Go right ahead”. “Um,” she said, her cheeks feeling very hot, “where...?”

“Just go ahead and do it in your panties,” said Doctor Mountebank, so matter-of-factly that Lena wondered if she was losing her mind.

“In muh-my p-puh...panties?” she gasped.

“Yes,” said the doctor, looking at her as if she was surprised she would object to this. “Don’t worry about the smell; I’m quite used to the smell of poop, in my line of work! Go ahead.”

“Buh...buh...but mmmm-my puh...p...panties will get mmm...messy!” she protested.

“Temporarily, yes,” the doctor conceded. “But they can be washed, can’t they?” He smiled sympathetically. “I’m sorry – I keep forgetting this is your first physical in ... how long? Have you even had one as an adult?”

Lena shook her head.

“Well it’s perfectly understandable for it to seem strange and unusual to you,” said Doctor Mountebank. “But I wouldn’t ask if it wasn’t necessary. So please remember you’re in safe, professional hands ... and push out a poop for me. Okay?”

His manner was so gentle and confident that Lena felt a little guilty for making a fuss. If this was what she was supposed to do, then she would just have to bite the bullet and get on with it. Looking back up at the ceiling, she gritted her teeth, grimaced, and strained. After a few moments, her anus began to open up, and a thick turd started to emerge. It hit the cotton-and-spandex material of her panties, and began to make a lump in the fabric.

“Good!” said the doctor. “Keep pushing – there’s a good girl.”

Lena pushed, and pushed. The lump in her panties grew and grew, and then widened as the turd started to fold over. When about ten inches had emerged, she clenched, breaking it off. The smell by now was awful.

“Excellent,” said the doctor. “I’ll just take a sample of that...” He fetched a small plastic spatula from his drawer, then he lifted Lena’s foot off the table, pushing it back towards her chest, so that he could better access the back of her panties. Deftly pulling the elastic seam away from her near buttock, he reached in, scooped up a tiny chunk of poo from the large turd within, and then withdrew the spatula, letting the seam snap back into place. “Perfect,” he said, taking the spatula and its cargo over to a cabinet, from which he retrieved a small plastic sample container. He opened it up, and tapped the edge of the spatula on its rim, until the chunk of poo dropped inside. Sealing the container, he dropped the spatula in the trash, then he came back and sat down on his stool. “There, that wasn’t too bad, was it?”

“Buh-but now I have a puh...poop in my p-puh...panties!” stuttered Lena, feeling utterly humiliated.

“You can deal with that in the restroom after we’re done here,” the doctor assured her. “It won’t be long now. Here, let me help you get your panties off. Lift your bottom slightly.”

Lena did not want to lose her panties, but she also did not like feeling her poo nestling against her buttocks, and she now, more than ever, wanted to get this ordeal over with. She planted both feet, and lifted her bottom off the protective sheet of paper that covered the table. Doctor Mountebank eased her panties down, taking care to keep her poo inside, and slowly pulled them up her thighs, over her knees, and down towards her feet. “Lift your feet,” he said. She did so, and he removed her panties entirely, then set them down on the floor by the armchair.

“Okay!” he said briskly. “I’ll just clean your bottom, and then we’ll get on with the exam.” He fetched a box of wet wipes from the top of the cabinet, sat down on his stool, and rolled it up to the side of the table. “Lift your feet up and pull them back, please,” he instructed her. Noticing her look of panic, he added, “I know what you’re thinking: that I’ll be able to see your anus and vagina. That must be a scary thought; I understand that. But you must know that in order to conduct a pelvic exam, letting me see your intimate parts is rather unavoidable.”

Lena nodded. She understood ... but she could not bring herself to display herself in that way. Yet how could she back out now, when she had come so far? Blind panic began to overtake her. She could not do this ... she just couldn’t!

Doctor Mountebank took her hand. “You can’t do it ... can you? And you’re afraid to admit that ... afraid to fail ... and so you’re stuck. Frozen. And your brain is whirring away at a million miles an hour, but going nowhere. You feel like you’re melting down. Am I right?”

He was so on the money that Lena nodded in relief, tears springing to her eyes. He understood! That helped so much.

“I can’t just not do the exam,” said the doctor gently, “but I can certainly make it easier on you. Asking you to put yourself in embarrassing positions is ... well, it’s just too much for you. So I won’t do that. Instead, I’ll just put you in those positions myself, and do what needs to be done. You needn’t take an active part; I’ll take care of everything. Does that sound ... better?”

Lena had been hoping he would call off the exam, but he was right; his suggestion did take a lot of pressure off her. She began to feel her panic ebbing away. She nodded. “All right,” she said.

In an almost dreamlike state, she watched the ceiling tiles while he pushed her knees back and apart, and she tried not to think about what he was seeing as he started gently wiping smears of poo from around her anus. He took his time, being very thorough, and then he discarded the wipes he had used.

“All right,” he said. “I’m going to apply some more gel.” He squirted out of the white tube a large amount of the clear gel, and began gently massaging it into her labia and clitoris, and around her vaginal opening. Then he sank two fingers inside her, and started thrusting them in and out, while his thumb, buried between her labia, rubbed against her clitoris. “Hmm,” he said. “I’m going to need you to scoot your bottom to the end of the table; can you do that?”

“Yes,” said Lena. As the doctor pulled his fingers out of her, she sat up, shuffled her bottom up to the end of the table, and then lay back down. Doctor Mountebank pushed her knees back against her chest again, and pulled them apart. Then he casually placed his hand back on her pussy, gently rubbing her labia and clitoris for a few moments, before sinking two fingers back inside her. Placing his other hand on her abdomen, he began palpating her vagina, checking it over thoroughly.

“Now,” he said eventually, “I’m going to get the speculum. This, I’m afraid, will be the worst part of the experience. It’s quite large, and since you’re not sexually active, I’m guessing it will hurt. I sincerely apologise for that ... oh ... wait though...”

Lena, whose panic had been reaching new heights at the thought of the large metal monster about to be thrust into her, clutched at what seemed like it might be a lifeline. “What?” she asked anxiously.

“I know how we can make this easier on you!” said the doctor. “Have you ever used a dildo, Lena?”

“Nnnn-no!” gasped Lena, her eyes widening at the question. A carrot, yes ... but not a dildo.

“Well it just so happens that I have one here,” said Doctor Mountebank cheerfully. “I can lube it up, and use it to very gently prepare you for the speculum. It’s soft, and yielding ... it’ll be gentle ... but it’s big enough to serve as a preparatory measure. Do you have a latex allergy...?”

“No!” Lena replied, almost hyperventilating. The thought of the doctor putting a dildo inside her ... her brain was in overdrive.

“It’s highly unorthodox,” the doctor admitted, “and it could lose me my licence, so I’m taking a big risk here on your ability and willingness to keep it to yourself. I wouldn’t even suggest it ... but I know how much you are struggling here, and I very badly want to make this experience as positive and non-traumatic for you as humanly possible. I genuinely think that using the dildo will help enormously in that endeavour. Without it, I fear your vagina will clamp down on the speculum, you’ll be unable to relax, and the exam will be a painful nightmare for you. By using the dildo, I hope to ready your vagina to the point where I can just whip it out, slide the speculum in, and it will be as comfortable for you as it can possibly be. What do you say, Lena? Are you willing to try this?”

Lena nodded. Unorthodox or not, it sounded way better than the alternative. “Yes,” she said. “Puh...p-please guh-go ahead and use the duh...duh...dildo.”

“Good girl!” said the doctor happily. “I’m proud of you, Lena.” He went over to another drawer, opened it, and then gasped in dismay. “Oh no! It’s gone! What the...” He clutched his hair. “Another patient must have ... oh no!”

Lena felt her insides knotting as she realised she would now have to endure the speculum unprepared. It would be the most horrible experience of her life; she was sure of it.

The doctor paced up and down, his expression thoughtful. “I’m not going to let you down, Lena. I have an idea. But it’s ... highly unethical!” He turned to face her. “Do you trust me?”

Lena nodded. He had certainly earned it. “I duh...do trust you,” she said.

“Then close your eyes,” said the doctor, “and hold that position.”

Wondering what his plan was, and why it required her not to see it, Lena closed her eyes. She really did trust him, at this point; he had demonstrated an enormous commitment to her comfort and well-being, far beyond the call of duty. He had guided her through this horrid and uncomfortable process with kindness and compassion, and if he thought it best for her to close her eyes, then she had no problem doing so.

She heard what sounded like paper tearing, and idly speculated on what it might be. Some piece of disposable medical equipment, probably. She waited, listening as the doctor cleared his throat and moved around. Then ... she felt something press against her vaginal opening. It was firm, slightly warm, and slick with lubricant as it began to slowly push its way inside her. It was stretching her ... stretching ... ugh! But now it was inside her, sinking deep. It withdrew a few inches, then sank deep again. It felt ... okay. Invasive, and bigger than she was comfortable with ... but it was way better than she imagined a speculum would be.

She felt the doctor’s hands on her knees, and her brow furrowed. In confusion, she opened her eyes, and she almost screamed as she saw the doctor, standing at the foot of the table with his hands on her knees ... and his cock ... oh god ... it was inside her!

“Duh...Doctor!” she squealed.

“I’m wearing a condom,” he said quickly. “This is the closest thing to a dildo that I could think of. From the point of view of sensation, this is pretty much identical. Yes, of course it’s very unethical, but I can think of no better way of preparing your vagina for the speculum. Tell me honestly ... is this uncomfortable?”

“It’s not b-bad!” she confessed. “B-But ... this isn’t how I immm-magined my f-first time would buh...be! I’m ... I was ... a v-virgin!”

“You shouldn’t think of this as your first time,” Doctor Mountebank said firmly, as he thrust his cock in and out of her with long, slow strokes. “You can still call yourself a virgin if you wish. This is simply a therapeutic procedure, designed to prepare you for a medical examination. Nothing more, nothing less. If I’d had the dildo here, I’d be using that. Just think of this as an improvised dildo substitute.”

“I’m nnn-not sure I cuh...can!” said Lena, clutching the sides of the table. “B...But ... I’ll tuh-try...”

She was naked, and her doctor was fucking her. This was outrageous! And yet ... she knew he was doing this out of a genuine sense of concern for her comfort. She was grateful ... she just wished he could have found a better way...

“I’ll just keep this up for a couple of minutes,” said Doctor Mountebank, “until your vagina has had a chance to get used to the feeling of being stretched this much. I’m going to go a little faster, if you don’t mind. This will only work while I’m hard, and going faster will help to keep me hard.”

“Oke...kuh...kay,” said Lena reluctantly.

Spreading her knees wider apart, Doctor Mountebank began hammering his cock into her with deep, fast, powerful strokes. Against Lena’s will, her body began to respond, flushing a deep pink as her heart raced, her breath came in gasps, and her back started to arch. She was still feeling horribly mortified, but as much as she hated to admit it, the fucking was starting to feel ... not bad at all...

But then he stopped, and pulled out. Picking up the speculum, he deftly inserted it. “There!” he said. “It’s in. How do you feel?”

“V-very exposed, embuh...barrassed, and kuh-kind of vuh-violated,” she replied ruefully and candidly.

“Understandably so,” said the doctor, nodding as he pulled off the condom and tucked his penis away. “I’ll make this as quick as possible.” He opened up the speculum, which made Lena wince a little, then he peered inside her with the help of his flashlight. “All looks good in there ... excellent.” He closed up the speculum, and gently pulled it out.

“Th-that was it?” asked Lena in surprise.

“Yup!” said the doctor. “Well, that’s it for the vaginal exam. However, I’d like to take a look at your rectum, as well.”

“Oh,” said Lena, closing her knees. She shuddered. “Will that b-be the last th-thing?”

“Yes,” said the doctor with a smile, “that will be it for this physical. And you’ll be able to tell yourself, ‘I did it! I got through it!’” He smiled. “First, though, I’ll need you to fully evacuate your bowels. Let’s get your panties back on, and you can unload the rest of your poop into them.”

Lena stared at him in dismay. “All of it? In mmm-my puh-panties?”

“Yes,” said Doctor Mountebank firmly. He picked up her panties from the floor, opened them out, and held them open at knee level. “Just step into them please.”

Lena climbed down from the exam table, and gingerly put first one foot, and then the other, into the leg-holes of her panties. Then she waited while the doctor slowly and carefully pulled them up, until her poo met her buttocks and pressed gently between them. It was cool now, and felt sticky; she grimaced, and whimpered unhappily.

“Now go ahead and defecate,” said the doctor. “Really go for it; push it all out.”

Biting her lip in utter mortification, Lena strained as hard as she could. Her anus, reluctantly at first, slowly began to open up again, and another thick turd started to poke through. As her tight sphincter continued to dilate, the turd surged downward, sliding out of her rectum and pressing down on the poo already in her panties. The fact that her doctor could see her naked breasts, as awful as that was, seemed to pale in comparison with pooping in her panties in front of him. Yet as he smiled at her encouragingly, she felt a little comforted.

More and more poo slithered out of her anus, piling itself on top of the turds in her panties until it had formed a large lump about the size of a large grapefruit. As she pushed out the last of it, the lump sagged downward, stretching out the material into a rounded bulge that hung down well below her buttocks. She hoped her panties would not be permanently stained as a result.

“I’m duh...done,” she said, exhaling.

“Good!” said Doctor Mountebank, pleased. He stepped forward, crouched down, and took hold of the sides of her panties. As he pulled them down slowly, Lena felt very self-conscious to see him staring at her pussy as it came into view. This was a little silly, she knew, since he had already had a much more intimate view of her pussy ... but even so, it made her feel even more embarrassed.

“All right,” said the doctor. “Climb up on the exam table again, please ... but this time, get on your hands and knees, and I’ll clean your bottom again.”

Lena nodded, though she wished he had simply asked her to empty her bowels the first time – then he would not have had to clean her twice. Climbing on to the exam table, she adopted the position he had requested.

As before, he cleaned her with the wet wipes. Then he said, “Okay, shuffle forward a bit, and move your knees apart. I’m going to prep you for the rectal exam.”

Lena’s stomach knotted, but she did as the doctor had instructed. A moment later, she stiffened as she felt a handful of gel being pressed gently between her buttocks.

“Try to relax,” the doctor said softly, as he began slowly rubbing the gel all around her anus, up and down the cleft between her buttocks, and down over her vaginal opening to her pussy.

As his fingers sensuously massaged her labia, however, Lena bit her lip anxiously. Why was he rubbing gel into her pussy, when he was about to perform a rectal exam?

“You may be wondering,” said Doctor Mountebank, “why I’m lubricating your pussy.” He slowly sank two fingers into her vagina. “The reason is that a rectal exam is best undertaken in conjunction with a digital penetration of the vagina. This allows me to feel the rectal wall from both sides, to accurately determine its thickness and health.”

“Oh,” said Lena, a little mournfully. Would the penetration of her nether regions never end...?

“Okay, here we go,” said the doctor. He pressed the tip of his middle right finger against her slippery anus, and gently pushed it through the muscular orifice. It sank in as deep as it could, and he slowly withdrew it, so he could add another finger. “Relax,” he advised her. “Even bear down a bit, like you’re pushing out a poop. Nothing will come out, of course, because you’re empty ... but it will make it easier for things to go in.”

Lena tried, but she felt on the verge of tears. This was all getting to be rather overwhelming. Then she felt two fingers of the doctor’s other hand slide into her vagina, and for a few seconds, he was thrusting fingers in and out of both holes at once. Then he stopped, and simply felt around. “Feels good!” he said. “Now I’m going to prep you for the speculum.” He climbed up behind her, and again she heard the sound of paper tearing. She now realised what he was doing: taking a condom out of its packet.

The thought that he was going to stick his penis in her anus almost made Lena panic. “Won’t this hurt?” she inquired anxiously. Her whole body tensed; she was on the verge of fleeing.

“The speculum will be uncomfortable,” said Doctor Mountebank, “but I’m going to mitigate that discomfort as much as possible.” Having lubricated his condom-clad erection, he began to press it against her anus. “Relax, and strain like you’re defecating. If you can do that, this shouldn’t be too unpleasant.”

Lena’s eyes, staring at the wall ahead of her, were wide open and almost bulging as she tried to do as he recommended. She felt his latex-wrapped cock sink slowly into her rectum, until it was buried deep inside her.

“Excellent!” said the doctor. “Well done, Lena. Just keep relaxing, and we’ll take our time about this, making sure your anus gets used to being held open like this.” He pulled out slowly, then thrust deep ... pulled out slowly, then thrust deep. “I’m going to have to keep up a regular rhythm,” he added apologetically, “to keep myself hard.” He proceeded to slide himself in, out, in, out, getting a little faster as the moments passed. Then, in order to hold her steady, he grasped her hips with his hands.

A minute later, he was thrusting hard and fast inside her, his hips slamming into her buttocks with every stroke. Lena, trying desperately to keep her anus relaxed, was feeling very sorry for herself by now, and wishing she had not been in such a rush to get down the stairs this morning.

Then the doctor pulled out suddenly, and slid the speculum into her still-open anus. “There!” he said triumphantly. “It’s in. This was a good strategy, Lena – normally it’s a difficult and painful process to get a speculum into someone’s rectum. But that went in just beautifully. All right, let’s have a look...” He shone his flashlight inside her, and looked around. “Everything good in there,” he said. “And that’s it! We’re done.”

“Th-thank guh...goodness!” gasped Lena, as Doctor Mountebank removed the condom from his penis, and tossed it in the trash. Then he took hold of the speculum, and slowly pulled it out of Lena’s rectum.

“You’re a trooper, Lena!” he said. “Congratulations on getting through all that. Do you have any questions for me?”

“Um,” said Lena, turning around and sitting down, with her knees tucked up to her chest and her arms clasped around them. “I duh...don’t think so...”

Doctor Mountebank snapped his fingers. “Just a moment,” he said. “I forgot to look at your medical history.” He picked up the form she had filled out, and scanned through it. “Oh!” he said, startled. “Your mother had cervical cancer?”

“Yes,” said Lena. “She had to have a hys...sss...terectomy.”

“Well shoot!” said the doctor, dismayed. “I didn’t perform a Pap smear because you’re not sexually active ... but with your mom’s cancer, I’m now thinking that was a mistake. It’s not usually hereditary, but it wouldn’t hurt to be on the safe side. Sorry Lena – can you lie down again please? Just one last test.”

Lena uttered a little whimper, but obediently lay down on her back.

“Bottom right to the end, please,” the doctor reminded her. As she scooted down, he massaged his penis back to life. When it was fully erect, he squirted some gel on to it, stepped up to the end of the exam table, and pushed Lena’s knees back. Then he guided his cock into her vagina; it sank deep with relative ease.

Lena’s eyes widened. “Nnnn-nuh...no cuh...c...condom?” she gasped.

“I already used my last two,” said Doctor Mountebank, as he began thrusting inside her. “It doesn’t matter, though – my penis can loosen up your vagina with or without a condom.”

This was not really the point, though; Lena was not on the pill, and she was anxious at the thought of getting pregnant. She wanted to ask the doctor to make sure he did not climax inside her, but she did not want to imply that he did not know what he was doing. If she said something, he might be offended. Then again, if she said nothing, and he came inside her ... it was generally well known that men did not do their best thinking when aroused ... and the doctor was clearly aroused, or he would not be able to do what he was doing. The doctor ... was aroused. By her. That was a rather flattering thought, actually...

He was hammering his cock into her faster and faster, now, and her body was beginning to betray her again. Almost involuntarily, she arched her back and uttered a gasp that was nearly a moan.

“Gnnnnnnyaaaahhhh!!!” the Doctor groaned, his body tensing and then shuddering. “Oh ... oh God ... that was intense ... oops though ... I apologise. I appear to have ejaculated in your vagina, Lena.”

“Oh nnn-no!” Lena was aghast. “I’m nnn-not on the puh...pill!”

“Don’t worry,” he said, pulling his softening cock out of her. “I’ll prescribe you an ECP – a morning-after pill, as they’re colloquially known. But I’m afraid I can’t really do a Pap smear right now; you’re awash in my semen. We’ll have to schedule that for another visit.”

He pulled his underwear and trousers up, while Lena, in a state of shock, climbed off the exam table. “Cuh...can I get d...duh...dressed now?” she asked tentatively.

“Of course,” said Doctor Mountebank. “Here – let me help you with those panties.” He picked them up, and held them open while she stepped in. Then he hoisted them up her legs, tugging them up firmly so that the large lump of poo squished against her buttocks. Then he scooted his stool over to a little table, where he quickly wrote up some notes.

Lena stepped into her skirt and pulled it up around her bulging panties, fastening it at the side. Then she put her bra on, followed by her blouse, and then her sweater. Finally, she slipped her feet into her shoes.

“All set?” said Doctor Mountebank. “Okay, follow me.” He got up, opened the door, and led her out into the corridor.

Lena grimaced as her poo pressed against her buttocks alternately with each limping step. She looked around for a restroom, but saw none, until the doctor had led her back to the reception desk. “I’ll leave you in Maggie’s capable hands,” he said, giving some paperwork to the young woman at the window. “Have a good day, Lena. I’ll see you again soon!”

“Goodbye,” said Lena, still feeling a little shell-shocked.

“Okay, he wants you back for a Pap smear,” said Maggie, reading the doctor’s notes. “Let’s see ... I can fit you in on June 20th, at four o’clock. Does that sound okay?”

“Um ... sh-sure,” said Lena, barely aware of what she was agreeing to.

“Here’s an appointment card,” said Maggie, handing her a little white card. “You’re all set for payment.” She sniffed the air. “Uh ... is that you...?”

“Sorry!” Lena apologised. “The duh...doctor wanted a sss-stool s-sample, so he had me puh...poop in my p...puh...panties.”

“He what???” Maggie gaped at her. “Uh ... that’s not normal! Or okay!” She seemed stunned for a moment, as the colour drained from Lena’s cheeks. Neither woman spoke for a long moment.

Maggie recovered first. “Would you like to make a formal complaint?” she inquired politely.

Lena shook her head. “Oh nnnn-no,” she said. “I wouldn’t want to mmm...muh...make a f-fuss.”

“Okay...” Maggie frowned a little. “Well ... would you like to have your Pap smear appointment with a different doctor...?”

Lena hesitated. She considered this suggestion for a long moment. Then she shook her head. “Nnnn-no,” she said. “I’ll sss...stick with Duh...Doctor Mmm...Mountebank, thank you.”

Maggie seemed aghast. “Even though he...” Her voice dropped to a whisper. “...got you to poop in your panties?”

A sheepish smile came to Lena’s lips. “Yes ... I’ll sss...stick with him,” she said. “I kuh...kind of like him.”

Maggie stared at her for a moment, then shrugged. “Okay then,” she said.


THE END


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