Following the patient’s examination, she had expressed a desire to take my rectal temperature and give me a prostate examination. She put on the doctor’s coat, and I removed my clothes, taking a position on the bed with my legs raised and spread.
She put on exam gloves and lubricated my anus with K-Y jelly, inserting her finger to the first knuckle. Then, she used the large animal veterinary thermometer, and after applying K-Y jelly, she inserted into my rectum (she is a para-medical professional, and she has children, said taking a rectal temperature was not a totally new experience). But, she stayed between my legs and moved the thermometer in and out for the duration—noting a rectal temperature of 100.2 when she was finished!
Then the light was switched on and focused between my legs. He said that he would first thoroughly lubricate my anus and rectum before introducing a proctoscope.
I heard again the sound of gloves being put on and saw him tie the mask behind his head and adjust the glasses he was wearing. He pulled over a stool and sat between my legs. First he massaged lubricant around the entrance of my rectum before a finger was inserted. He felt around the opening and slowly pushed his finger deeper inside of me.
His finger was soon released and I heard the sound of a metal object being adjusted. He sat the end of the proctoscope and the opening and told me to bear down and take a deep breath as he pushed the cold metal devise inside of me. This was a funny sensation, as I have never had anything bigger than a finger inside of me. I hurt and felt like i would tear but my anus soon adjusted to the large intruder.
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It was a brisk autumn day in the Family Clinic. Jim looked at his schedule for the day and sighed as he rubbed his eyes. He had over twenty patients to see today, after having been on call in the hospital the night before. “I thought third year was supposed to be fun…” Jim mused. His third year of medical school had been a blur of doctors, patients, uncomfortable beds in on-call rooms, and late nights hitting the books so he would be prepared to answer even the most obscure questions at morning rounds. Today was working in the Family Clinic, part of his clerkship in the Department of Family Medicine. The first two weeks of this clerkship had been with a Family Practitioner in rural Nevada. Today was Jim’s first day in the Family Clinic. His job, at least in principle, was simple enough. Perform physical examinations on all new non-emergency patients. It’s been said that no physical exam is as thorough as one given by a medical student. Their thoroughness was not so much a matter of technical expertise, but rather sheer terror at the thought of missing something that was discovered later by one of the doctors who issued grades and perhaps more importantly, wrote letters of recommendation to residency programs. “At least it’s only a half-day” Jim thought to himself, grateful that he had the afternoon off. Jim’s self pity was interrupted as he scanned the morning schedule again. Amidst all the names on the list, there was one he recognized.
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