Brenda’s mother had made an appointment for her with my office for a pre-college physical examination. The appointment was on a Wednesday afternoon after school, when the nineteen year-old would be available. Brenda hadn’t been in to see me for the past several years since her family had moved away to another state. But now they had returned, and Brenda would become my patient once again.
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The last time I saw her, I recalled, was when she was about fourteen and had just entered puberty. Her old charts indicated she was a normal, healthy child with no remarkable diseases or physical abnormalities. On that particular Wednesday I was finishing up with another physical, this one of a male high school teen who needed an examination for the sports program. My receptionist notified me that Brenda had arrived, so I instructed my nurse, Amanda, to show her into the vacant examination room and I would be with her momentarily. My nurse had been with me for awhile now, so she knew what was required as far as preparation of a patient before I saw them. She had Brenda remove her clothes behind the screen in the corner, allowing her to keep her panties on. She was told to don the hospital gown hanging nearby…the type with the open back that came down to about mid-thigh. “All set, Brenda?” Amanda asked. “Good. Why don’t you come over here so I can weigh and measure you. The doctor will be in soon.” Brenda padded over to the scale in her bare feet and stepped on. The nurse noted her height and weight on the chart, then walked her over to the exam table. “Hop up on the table so I can take your temperature, pulse and blood pressure,” the nurse said. Brenda hopped up and adjusted the gown to cover her breasts and tucked it in between her legs in an effort to maintain her modesty. The nurse shook down the thermometer and inserted it in Brenda’s mouth.
“Close your mouth and keep it under your tongue until I take it out.” The nurse proceeded to count her pulse and respiration’s, and finally took the blood pressure. After releasing the blood pressure cuff, she extracted the thermometer from Brenda’s mouth and held it up to read it. A frown came over her face. “It seems this thermometer isn’t working, or else you were breathing through your mouth, young lady. It’s reading well below normal, and I can tell from your color and feel of your skin that you’re not hypothermic. We’ll just have to do this another way,” the nurse explained. The nurse went to the counter where Brenda could see several covered jars sitting on top. The nurse reached into a light blue jar and took out another thermometer. This one looked a bit different, with a rounded tip instead of the normal elongated one. She grabbed a white toothpaste-like tube and a small box of tissues and came back to the exam table. “I’m going to have you stand up right here, Brenda, OK?” the nurse asked as she indicated to stand in front of the exam table. “OK, now turn around and bend over the table…you can grab the other side with your hands if you want.” At this command, Brenda started to wonder what was going on. “Wh..what are you going to do?” Brenda asked apprehensively. “Since the oral thermometer wasn’t working, I’m going to have to take your temperature rectally. This is the best way to get an accurate reading. And the doctor insists on accurate temperatures.” “Do..do you really have to do it that way. I mean…there must be another way to do it,” Brenda stammered. She just knew that she was going to be embarrassed to have her bottom exposed to a complete stranger.
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“Nonsense, Brenda. It’s a simple, painless procedure that we do here all the time. Now please bend over the table for me,” the nurse replied. Brenda reluctantly bent over the table as the nurse shook down the rectal thermometer and began smearing a clear lubricant over its length. Read more »