A small town on the Oregon Coast 1993:
Scott nervously sat in the waiting room of a small town medical office in rural Oregon. It was a solo practice on the bottom floor of what appeared to be an old brick mansion. He'd recently moved to the southern coast from Portland after his parents passed away during his senior year of college. They were elderly when they'd adopted him so it wasn't a surprise, but they were the twenty-two year old man's only friends in the world. His inheritance was more than enough to live on comfortably so it wasn't difficult moving to a small cove on the Oregon coast. It was the town where his parents lived when they met and fell in love. He was looking to find inspiration as a writer since he couldn't do much physical labor. Meanwhile, his knees were shaking and his heart rate was elevated.
"This isn't a good start!" he thought feeling a little faint already.
His new girlfriend of three months, Sally, grabbed his hand and smiled reassuringly. Scott had been born with a heart condition coupled with severe anxiety. He also required a cane to walk or stand for long periods of time due to generalized weakness. Much of his upbringing was marked by long periods of bedrest and he couldn't do much manual labor. Sally desperately wanted to have sex with him for the first time, but insisted he see the only physician in town to make sure he was healthy enough. If there was one thing that made him more nervous than undressing in front of Sally it was going to the doctor. Too many near death experiences as a child left him with a phobia of doctors. He considered bolting, but then what would Sally think? That he didn't want to have sex? Plus she didn't exactly ask him to go...she made the appointment for him and practically dragged him there. Sally a fit redhead with pale skin and green eyes didn't ask him to do much, she told him to. He met her when she was dropping off some of her paintings at the antique shop on the bottom floor of his building. She told him that he was taking her to lunch and oddly he complied. Scott was thin with dark brown hair, light blue eyes and a slight hunch.
"Scott!" he heard the loud voice of the medical assistant say, "Dr. Smithson will see you know."
Scott hoped Dr. Smithson was a male doctor. He wasn't sure he could broach the topic of sex with a female provider. he hadn't undressed in front of a woman since he was about eleven. The assistant, Lisa, took his vitals. Other than her dark brown hair she looked a bit like his girlfriend Sally, but taller so he had to look up at her when she spoke.
"Dr. Smithson will be in with you in a moment, I'm going to give you some privacy to undress," she said handing him a gown.
She closed the door before he thought to ask how much he was supposed to take off. He turned his back to Sally, who was seated at the front of the room looking in, and took off everything except his boxer briefs before donning the gown.
"I'm sure the doctor just needs to check your heart, nothing to worry about." Sally told him.
"Yeah, you've never seen me undressed before though!"
"I'm going to see a lot more of you if your heart can take it, so no sense in being shy now!" Sally giggled.
She had a point...he was still was extremely shy not having been able to participate in sports or go to public school on account of his heart condition. Plus being the only college student working on an undergraduate that needed a cane hadn't exactly given him much confidence with ladies. A knock on the door interrupted his thoughts.
"Hi, I'm Dr. Smithson, but since all my patients know me from town everyone just calls me Dr. Kathy. You must be Scott?"
She was an attractive woman in her early 50's with stunning hazel eyes behind a pair of stylish glasses and a hint of gray in her short black hair. He gulped and nodded nervously realizing he was about to talk about sex in front of two women.
"Before I begin the examination I should explain that as the only town doctor I know almost all my patients outside the office. For that reason, I require a chaperone be present for any exams to keep things professional. Are you fine having Sally in here or would you like me to have my assistant Lisa observe? Lisa is finishing her residency with me, but also acts as a medical assistant."
"Uh, Sally can stay with me," he mumbled staring at the floor.
"Alright your blood pressure looks a little high, but nothing that would prevent you from having sex. Let me have a look at your chest."
She brought the gown to his lap and checked him with a stethoscope.
"You still have a slight murmur and your heartbeat is elevated. Try to relax! You might just be nervous because of all we're doing today so we'll check your vitals again before you leave."
"All we have to do today?" Scott mumbled.
He was hoping the exam was almost over. At the big city practices he grew up going to the cardiologists usually checked his heart and sent him on his way with very little care about his overall wellbeing.
"Now young man, let's have a look at your skin."
The doctor carefully checked his back, face, torso, shins, and feet. Moving the gown appropriately at each portion.
"Alright slide those briefs off I need to check your buttocks and genital skin for abnormalities."
Scott was trembling now. He glanced over at Sally who smiled reassuringly. Not wanting to face the women directly he turned around and lowered the briefs under the gown. He realized his mistake when the gown parted in the back giving the women a first look at his bare ass.
"Stay like that so I can examine your buttocks. Good! Now bend forward so I can examine the skin around your anus."
He felt a pair of latex gloved hands feeling the skin around his anus before brushing the ridges of his asshole.
"Turn around and drop the gown so I can examine around your penis and testicles."
Scott turned around, closed his eyes, and dropped the gown. He slowly opened his eyes as Dr. Kathy handled his penis. Sally was gawking right at penis causing him to lurch in Dr. Kathy's grip. Sally snickered a little at seeing him go semi-erect in the doctor's hand.
"Silence young lady!" Dr. Kathy snapped at her. "If you can't be mature I'll send you out!"
Unfortunately, for Scott hearing his demanding girlfriend corrected in an authoritative manner made him even more erect.
"I'm sorry...I'm so sorry!" he frantically apologized.
"It's nothing to worry about, it's completely involuntary. We're done with the skin exam. I'm going to send send Lisa to collect your observed drug test, and then I'll come back for the last part of your exam."
Scott stood there for a moment with his jaw open before quickly donning his gown when he realized he was standing completely exposed to Sally.
"Why do they need to drug test me?" he asked.
"Probably just so they can prescribe something for your heart without worrying about whether you lied on the drug questionnaire."
Lisa knocked then entered the room with a large specimen cup.
"I'm going to need you to provide a urine sample."
"Where is the men's room?"
"No, its an observed drug test, you can't go to the little boys room, I need to watch you give it."
