JOCK PHYSICAL

In his defense, his English is far better than my Spanish. Eduardo Diaz, 23 years of age, is in my office to get a complete medical examination as part of his citizenship requirements. Eduardo played soccer all during his teen years with a bit of basketball and swimming thrown in for fun.

I began posing questions to Eduardo and while I did receive some answers to my questions, it became clear that he was having a bit of difficulty understanding what I was asking. Eduardo is 5’07″ tall and as I had him remove his boxers and to step onto the scale, I recorded his weight at 155 pounds.

Eduardo has a slight bit of hair sprouting between his pectorals and his pubic area is trimmed to leave some coarse black hairs as a backdrop, surrounding his genitals. I reached for the blood pressure cuff and no sooner then I turned by back for a second, Eduardo’s penis had sprung right up to a full blown erection. Might as well start there, so I measured his erect unit at 6 1/2 inches with a circumference of 6 inches.

Eduardo’s blood pressure was a bit higher than I would like to see on a young man his age but then some of it might be attributed to his heighten state of arousal. His penis remained fully erect all during the complete, initial stethoscope work and inspection of chest and abdominal areas.

Standing for his testicular exam, Eduardo jutted out like a soldier at attention. His scrotum was tight against the base of his penis making a prolonged testicular examination a bit more difficult. Turning him around, I observed a fair amount of black hair dusting the surface of his buttocks. Positioning for the rectal portion was a bit more labored due to the communication issues but I was finally able to get him to a desired position for exploration.

The rectal thermometer was the first instrument used to part his buttocks. He barely flinched when the cool lubricant was applied and the thermometer slid in without any complications. For the sake of mention and not even waiting to see if he comprehended me or not, the thermometer was removed and I informed him that I would examine his prostate next.

The tip of my finger pushed in past his very tight sphincter and then, I requested and received a series of deep breaths, which allowed him to sufficiently relax and permit me to enter his rectum. His prostate was easy to locate and then I methodically began to probe it and apply increasing pressure on it. His penis remain completely turgid and began to leak a bit of seminal fluids.

Collecting and retrieving a sample of fluid from his urethra was a simple, but still unpleasant matter. Simple because the fluids were so copious and yet, it was still fairly uncomfortable for Eduardo, which resulted in a deflation of his erection. However, he recovered nicely and in no time, provided a rapid fire release of his semen. I concluded today’s office visit with a further exploration of his rectum through the use of an anoscope.

With some new patients, their nervousness about submitting to a complete adult physical examination, makes it difficult to assess their condition. The life circumstances and medical history collection that I conduct at the onset of the exam takes on the characteristics of a “tug of war” when a patient is nervous and clams up about their history. Martin Grande, age 25, was relaxed and easy throughout his physical examination. Martin’s last physical was performed when he began college as it was a requirement as a member of the school’s basketball team and it was performed at his family doctor’s office. Martin stands 5’10″ tall, weighs in at a trim 155 pounds and his flaccid penis at 5 1/2″ in length rested comfortably against his thigh as I posed the personal history questions to him. Martin has a steady girlfriend but his wandering eye has strayed off of the path to other women 4-5 times over the past 6 month period. Martin is playing with a loaded gun as he admits that he refrains from any condom usage during his sexual liaisons. When fully aroused, such as he was during his first prostate examination, Martin’s penis is 8 inches in length with a circumference of 6 inches. Some of my male patients have never experienced any rectal stimulation in their private lives so even the slightest bit of stimulation, like a thermometer, produces a bit of a reaction. While waiting for the thermometer to measure an accurate reading, I observed that Martin’s penis was in a semi-erect state. The introduction of my finger into his tight rectum and a bit of prostate massage was all that was required to bring Martin to a fully aroused condition. I continued Martin’s prostate exploration further in a new position; one in which is legs were lifted and knees withdrawn and resting against his chest. In this position, his legs were spread open and his anus was fully exposed and open for a much deeper exploration. I did note that Martin blood pressure is a bit higher than what it should be. He mentioned that his whole family has an issue with high blood pressure, which I did note on his medical chart. I allowed Martin to continue on his own to produce a semen sample to bring today’s adult physical to a tasty conclusion.