I would hope that new patient, Jordan George, was less nervous at his job interview than he was at his examination. He secured the position at his new employer pending the successful conclusion of his examination. Maybe he thought that he would not pass the examination and that nervousness manifested itself.
Directing him to strip entirely, I had him step up onto the physican’s scale to take his current weight, which after some deliberation, was noted at 173 pounds.
Blood pressure was extremely high, a fact that I communicated to Jordan which caused additional worry but as I attributed it to nervousness, he seemed to be partially satisfied with that diagnosis.
Almost one year to the day, Richie had his last physical exam. At that time, he was starting a new job. Now, he is looking for work but was reminded that he should receive an annual exam by a family member and appears at my office for that purpose.
Richie previously had physical exams at a variety of clinics as a physical exam was required when he was actively involved in middle and high school sports. His last visit to a clinic for that purpose was at 15 and his mother took him to that exam and observed the examination.
I had him remove all of his clothing in preparation for today’s examination. Continuing with his patient history, Richie divides his amorous affections between 3 different girls and only masturbates about twice a month. Which explains why he had his most recent wet dream about 2 weeks ago. His first wet dream occurred at age 15 and interestingly, he asked a friend at school what had happened to him and got a bit of sexual education from his friend.
As I began his examination, strapping on the blood pressure cuff first, I was able to get a closer look at his body. I pointed out the secondary signs of adulthood as hair follicles have sprouted around both his nipples as well as a faint trail at the center of his abdomen. Glancing at his penis, I opted to take a flaccid measurement, which I recorded at 4 1/2 inches but then I noticed something out of the ordinary. Richie had a heart shaped adornment embedded under the skin which is designed to give his female partners increased pleasure during coitus.
Richie received his first prostate examination at this office visit and it was during the rectal examination that I detected a hemorrhoid. To insure that they were only on the outside, I selected the anoscope and prepared it for insertion; explaining that it was required to take an inside look. Buried to the hilt, I slowly withdrew the device and found no internal problem issues.
Perry Rodgers (22 yo) comes to the office today for the mandated sports physical by his college athletic department. Prior to this office visit, Perry had received exams both at the school and at his family physician’s office. When he got older, he went to the exams by himself as the last time a guardian accompanied him to an exam was when he was 15 years old.
At the mention of football, I quizzed him about which position he played at and I was not surprised in the least when he replied.. running back. Perry has the typical body most associated with a running back as they are generally shorter in stature, and extremely muscular. As I was a bit anxious to see the powerful muscles that were bulging through his shirt and what was hidden beneath his extremely tight pants, I suggested to Perry that he should remove all clothing in preparation for the sports physical. Perry methodically removed his clothing, neatly folded them and settled in on the exam table.
Popular though at his college, Perry has kept to a smallish number of sexual partners over the past several months and he used protection in at least 80% of those liaisons. He admitted to preferring the larger styled condoms as they were more comfortable and with a penis, even in its flaccid state of 5 inches in length, I have no doubt associated with that statement.
Chalk it off to a bit of nervous anxiety, for such a fine specimen on my exam table; Perry recorded an abnormally high blood pressure reading. Rather for an on field medical emergency, I elected to do a bit of stress testing at this office visit well that is, immediately after I took a moment to examine his genitalia. Perry has a very responsive penis, it had already begun to show a bit of turgescent at my cursory examination. Conversely, his testicles were on the smallish side and I was tempted to measure them with the orchidometer but opted to not embarrass him at the size comparison. The examination of his genitals continued when he stood at the end of the exam table and then after checking for a hernia, I had him step down and prepare for the testing phase.
Allowing for ample spacing, I had Perry perform a series of naked jumping jacks to elevate his respiration and create a bit of delight for the spectator to watch as his penis flailed about. Turning him around and another set of jumping jacks allowed the viewer to see how his firm buttocks performed during the small exercise routine. Next up, running in place. a natural yet stationary maneuver for a running back. When I took his blood pressure once again, it definitely had spiked higher; a condition that bears monitoring.
Informing him that I needed to check his spine, Perry assumed the traditional resting position on his elbows and knees. After palpating his shoulders and spine, I secured a lubricated thermometer and attempted to push through the coarse dark hairs that surrounded his anus. That in and of itself, was a daunting task and it would have probably been easier to push the thermometer through a wire mesh. Finally, I was able to gain entrance to his rectum to secure the temperature. Alas that was also the last rectal insertion, for as I prepared to do a prostate check, Perry lifted himself off on the table and informed me that he would not be doing this test.
However, I was able to perform the STD testing as I inserted a cotton tipped applicator into his tight urethra. As I bit of payback, I left it in a little longer than was required to secure the specimen. It was the final specimen of the day that was the easiest to accomplish for Perry stroked his 8 inch manhood to a fast ejaculation moments later.
Ramon is starting a new job; his second new job in a year’s time, as it was one year ago that he received his last exam; also a pre-employment physical. During his school years, Ramon was active in soccer and football. He still finds time to play soccer with his close friends, which has definitely helped to maintain his trim form.
Taking his sexual history, I found out that Ramon does not masturbate often and rather relies on sexual activity with a partner for most of his intimacies. Consequently it has been over a week since he has last ejaculated.
Ramon received his first prostate examination at my office today and to his credit he accepted his fate and remained a fairly docile patient.
In my experience with patients, I found that those that do not masturbate on a regular basis, often have a difficult time to produce the required semen specimen at my office when asked to do so. Such was the case with Ramon and I was compelled to step in and lend a hand which lead to a tasty conclusion.
Prostate Study Four
Eduardo Bautista & Adrian Adalberto
Age: 21, Height – 6’00”, Weight – 170
Erect – 7″, Flaccid – 3″, Foreskin – Uncut
Orientation – Straight
Masturbates 3 times a week.
Age: 20, Height – 5’05”, Weight – 120
Erect – 6″, Flaccid – 3″, Foreskin – Uncut
Orientation – Straight
Masturbates 2- 3 times a day.
Desperate for cash, best friends Eduardo Bautista and Adrian Adalberto agree to take part in my new government funded study on masturbation habits and the beneficial effect of prostate massage.
This marks the first time that these best friends have seen each other naked and to break the ice right away, I have them remove the towels and remain naked for the remainder of the study.
Chad Lyons – Anoscope and Massage
Age: 20, Height – 6′ 01″, Weight – 178
Waist – 33″, Hair – Brown, Eyes – Brown
Erect – 7″, Flaccid – 4 1/2″, Foreskin – Cut
Orientation – Straight
Sports : Basketball, Baseball, Football, Golf
Injured while lifting weights at the gym, Chad Lyons returns to office for an evaluation of his condition and relief from the lower back and abdominal strain that he is suffering from. After gleaning how his injury occurred, I have him remove his outer clothing and direct him to make himself as comfortable as possible on the exam table.
Branching out my practice, I have begun accepting patients that needed Immigration Physical Exams required by the Immigration and Naturalization Service and the very first patient is 20 year old Jerrald Manning from Nigeria. It had been a four years since his last medical exam, which was performed at a clinic.
At the onset, I could tell Jerrald was a bit nervous; most likely because so much is riding on a positive outcome of his physical examination. As a pre-requisite, the INS did require a urine specimen so I had Jerrald remove every stitch of his clothing. He hung his clothing on the rack and upon handing him the collection apparatus, I further informed him that it was required that I observe him as he produced the specimen. After a couple of false starts, the yellow liquid began to collect and Jerrald shook off the last remaining drops.
Questioning him about his sexual habits, I found out that while he considers himself straight, he has had sexual encounters with both sexes although his liaisons have been predominately with females.
I knew Ricky is not a fan of condoms so my first question to him, “have you had unprotected sex ?” He replied that he had and then I followed with another question, ” have you had any discharge from your penis ?” Again, he replied in the affirmative but he was confused at my question. He assumed the “discharge” I was speaking of was a release of semen. So, he did not have any form of mucous discharge which might have been related to a sexually transmitted disease. I have him disrobe entirely in preparation for his exam and therapeutic session.
After my initial examination of his upper body, I began to focus my attention on his genitalia. Ricky mentioned that he also did have a bit of soreness in the perineum area just beneath his ample scrotum, yet I first examined his penis. The foreskin shielded the glans, so with my gloved hand, I grasped his penis at the base and retracted the foreskin. A moist film covered the glans and I squeezed the tip to open the urethra for a visual inspection. I explained to Ricky, that I needed to see if there was any discharge which would require me to stroke his penis to do so. Getting his permission to do so and all in the interest of medicine…. ahem… I worked him into a full erection in no time at all. When he was fully aroused, I took a cotton tip applicator and took a urethral culture. Feeling fairly satisfied in my diagnosis, I moved forward.
Opening the zippered case containing the dilators, I selected the instrument and a lubricant packet then returned to the exam table. Ricky took a look at the metal rod and his eyes became wide with concern. I made the attempt to calm him as I informed him that it would go in slowly and be well lubricated. The size of his erection had shrunk slightly so taking his penis into my hand, I took aim and slowly inserted the dilator. Pain registered immediately… but as I promised, I moved further into him slowly and allowed the dilator to sink in. His breathing became erratic as the discomfort set in however, I knew the outcome would help his flow return to normal. Allowing the dilator to enter his penis through half of its length; I took pity on Ricky and withdrew it to give him a rest.
His penis had shrunk considerably and I knew that a further treatment would be necessary and it would be accomplished easier if he was erect at the start of it. So, taking some lubricant, I liberally apply it to his penis and mentioned that it would go easier if he was erect. His penis responded immediately to my touch and in no time, I had him fully aroused again. To his dismay, I told him that I would repeat the dilation once again. This time, I allowed the dilator to enter his penis farther and almost inserted the entire length. Again, discomfort registered but he appeared to be getting used to it a bit …yet his penis still returned to a flaccid state.
Feeling that he had enough, I took the lubricant and liberally applied it to his penis and returned it to an erect state. As I continued to masturbate Ricky, his once flaccid penis became fully engorged and he his breathing now became labored from excitement rather than pain. His penis began to secrete pre-seminal fluids which when mixed with the synthetic lubricant turn into a white and creamy mix of fluids. Sensing that he was close, I allowed Ricky to continue on his own and with his efforts the creamy pre-seminal showers showered down from his penis. Grasping the collection dish, Ricky erupted and shot a healthy stream of semen into the dish base.
Thomas Locke Age: 24
New area resident, Thomas Locke, was able to secure employment shortly after arriving in town and he is at my office today to receive his company’s mandatory pre-employment physical. Thomas was last examined during his senior year in high school as a requirement for his participation in sports. That physical was performed at his own family physician and during those high school years, Thomas was a member of both the football and wrestling teams. I had him undress to his boxers to begin today’s examination.
Thomas has maintained his body well, in the years since high school. While he admits to a pack a day cigarette habit, he has maintained his physique through a regular gym workout routine which includes both cardio and strength training in additional to running track. Checking his blood pressure, I did find it to be relatively high for someone who appears to be in excellent condition so while not alarmed, I told Thomas that it bears monitoring for his next office visit.
I found it necessary to take two specimens from Thomas at this visit. The normal semen specimen and then a urine specimen. The urine specimen was taken as a full bladder was distracting Thomas from the business at hand.