Debra had been a Licensed Massage Therapist (LMT) for five years when she decided to go to school to become a Physical Therapist (PT). She had special training in pain therapeutics that permitted her to expand her massage business into something with increased medical importance. She understood the benefits of massage and its augmentation to medical and therapeutic treatments, but she wanted to do more. This experience was one of her most significant influences. It also influenced her in a new direction in her life. It led her to explore AFEXO. It fit her.
The morning of the first appointment:
Mike arrived at the therapist office a little early. On his second meeting with Debra, she asked him to arrive 15 minutes before the appointment. He was just following instructions.
He was going in for his first appointment. The therapist met with him late last week for almost two hours to discuss the intimate details his problem. They discussed his symptoms and possible causes in great detail. She took a lot of notes. It was their second meeting. The first face to face meeting was short. They met for less than thirty minutes. They also had a long phone call two days later in which they again discussed the symptoms and ended up talking about biking and kayaking and a few other off the subject topics. During the first meeting, the therapist seemed to be very unsure of how to treat his severe spasms. During their second conversation, on the phone, she had more information, but still seemed unsure. During both of these conversations, he described the spasm as a knife being driven upwards between his legs.
Sometimes he broke into a cold sweat from the pain and sometimes they occurred when other people were around or he was in a group. They seemed to occur out of nowhere most of the time but, they were often triggered by specific actions. There seemed to a fifty percent chance they would occur while he was peeing, or more accurately, just as he his pee stream started to subside when he finished. They occurred almost every time he ejaculated. They often occurred walking up long flights of steps. When he left Debra's office after the second face to face meeting, she handed him a booklet that contained instructions for administering the treatment. She asked him to study it closely and be prepared when he returned for his first appointment. She said his familiarity with the process would help the routine move along smoothly.
He had picked a parking place far away from the entrance to the building. Once parked, he sat in the car with a deeply distracted thousand-yard stare. He was at least twenty-five minutes early, so he had to time to kill and the last thing he wanted to do was sit in a waiting room. He Leaned the seat back almost as far it would go and turned on the radio. His mind was fogged with anticipation. He sat there like a zombie, waiting for the alarm on his watch to remind him it was time to go inside.
A week before the first appointment:
It had been two weeks since Mike stopped by her office for that first introductory visit. After that first short meeting, Debra hit the books. She had no idea what she could do for Mike. In her initial internet searches, she found a symptomatic syndrome called Pelvic Floor Stress Disorder, commonly referred to as P F S. She discussed it with a couple of other LMT's and a physician assistant friend. They all drew a blank. She decided to call Nancy, though she hated to do it. Nancy is a Physical Therapist with her own successful practice. Debra had worked at her clinic for almost a year. They didn't get along, so Debra decided to start her own business of Massage Therapy and Therapeutic Pain Relief. She dreaded dealing with Nancy's narcissistic personality, but she respected her vast knowledge of physical therapy. Nancy was the most likely person to know something about P F S and her hunch paid off. Nancy knew something about it. She had no experience treating it but, she was able to provide reference material, a handful of notes that from a ring binder and an old booklet that contained a treatment called, "Pelvic Floor Stress Disorder, Manual Pelvic Muscular Reeducation." Nancy told her the muscular reeducation treatment was probably her best bet. She wanted to flip through it and ask a few questions, but Nancy was rushing her out the door. She could be a little bossy. In fact, she could be a very bossy.
Debra left Nancy's office with the hope she could find something in the reference material. She needed to come up with a therapeutic treatment so she could hook this new client. She needed the business. Her massage business had suffered over the past year. For some reason her clients weren't making as many appointments and new clients just weren't coming in. Her therapeutic business had dried up completely since she left working for Nancy. Besides, she wanted to work with this guy. He was really nice, intelligent and good looking. It is always better working with good looking people in her business. It seems too many are old, fat, hairy, middle aged men or old whiny lonely women that spend too much time talking during their appointment. This opportunity could result in a new long-term client that she would enjoy treating.
When she arrived home, she immediately sat down to read the booklet entitled "Pelvic Floor Stress Disorder, Manual Pelvic Muscular Reeducation." She flopped down in the large velveteen wingback chair where she liked to read. A lamp was positioned to perfectly shed light on the pages of her favorite books. She could read half of a Dean Koontz novel without moving. She placed the water bottle she carried almost everywhere on the table next to the chair. She assumed her slightly hunched posture, lifted her feet onto the small ottoman and opened the cover of the booklet.
She read the entire booklet in 45 minutes, then began flipping back through the pages studying the illustrations and rereading some of the more complex instructions. She was very surprised by what she found in the treatment. It was nothing like she expected. She expected pressure points and concentrated massage or maybe some stretching and muscular development. What she found was a lot different. This procedure would require an element of intimacy with her client that was far beyond the normal practice of a "straight up" professional massage therapist. It was certainly much more intimate than anything she had ever done. It required the patient to be fully nude from the waist down at a minimum, with very intimate physical contact by the therapist, including contact with the genitals. The procedure was invasive. It called for digital penetration into the rectum of the patient. There was even mention of sexual arousal during the exercises "Wow! Can I do this?" she actually spoke out loud to herself. "Should I do this?" she repeated with emphasis.
She pondered the details of the treatment while staring at the illustrations. They showed several different positions of the patient during exercises. The patient was to contract their rectal sphincter and the muscles of the pelvic floor for specified periods of time in each of these positions. While bent over, with their knees to their chest, kneeling or whatever position the patient posed, the therapist, "that would be me," she muttered to herself, would monitor the contractions and coach the patient while holding a finger in the patient's butt. She tried to imagine herself doing this treatment on this particular guy, Mike. She tried to imagine it on one of her female clients. She tried to imagine it on any of her previous clients that she had seen nude. She tried to imagine their naked body posed like the pictures in the booklet. She tried to imagine how it might feel if she was the patient. There is no way she is going to do this treatment, she decided then and there. "There must be something else I can do for him," she thought out loud, "maybe pressure points or something." There had been information about pressure points and supplements to the procedure about pressure points. That is what she will do, she decided. She will develop something from that material.
She found herself sitting in the big wingback running scenarios through her mind for over an hour before she snapped out of it and decided to go to bed. She had an early appointment the next morning and needed her rest. She sluggishly moved from the chair, disappointed that she might lose this much needed business. She got a drink of water, peed and stripped down to her panties before crawling under the covers.
She laid in bed wide awake. She still couldn't shut off the scenarios running through her mind. Just for the sake of argument, she began to design a means of performing this treatment on her potential new client, Mike. She imagined it and created mental pictures. She could see him naked and posing in the positions she had seen in the booklet. She imagined touching his penis and inserting her finger in his rectum. Actually, she liked thinking about it. She liked the visual images. She liked the idea of this procedure with this particular client. But she had some doubt whether she was qualified. Is she over stepping her bounds? It isn't difficult. It doesn't require special equipment. Except for the part of the body and the digital penetration, it is similar to many other therapeutic procedures for which she had been trained. After thinking it through, she started to change her mind. She convinced herself she could do it. Did she want to do it for the right reason? Was it just for the business? Did she want to do it to satisfy a desire of her own? She finally drifted off to sleep a little conflicted.
Early the next morning, while working on "Big Bruce," as she mentally referred to him, the scenarios of the P F S treatment continued to run through her mind. The explicit visual images were impossible to stop. She imagined treating "Big Bruce" and shuddered at the thought. There were definitely many guys that would be good prospects for it, but she couldn't imagine it with a big hairy guy like Bruce. The truth is, she never really liked massaging overweight people or really unattractive people or really hairy men, but, as a professional, she did it because it was her job. Admittedly, she wouldn't mind massaging Mike, he is definitely an attractive well-built man. She wondered if he was a hairy man. His hair is blonde so probably not, she thought. As she proceeded with her massage work on Big Bruce's massive calves, she pictured how Mike would look fully nude.
Once Bruce was done, she couldn't wait for him to leave. She had no other appointments so she could only hope for a walk-in. There is a reasonable possibility for one in this location on any given day. That is why she set her office up in this small strip mall across from a major downtown office building. The rent was a little expensive, but she usually had four or five "walk-ins" a week. They would come during lunch or immediately after work. She made sure she was available at those times. She would usually do cleaning and write promotional cards to her clients during these slow times, but that day her mind was focused on the P F S treatment for Mike. She decided to think it through in detail. She jotted down notes and drew a few diagrams. She went into the treatment room and rearranged it slightly to test her ideas. She made a list of the things she would need. She had most of it on hand, but she did not have sterile lubricants for digital penetration or prepackaged enemas. She decided to buy some on her way home. Suddenly the doorbell rang, a walk-in she hoped. It was a delivery of supplies from UPS. She sat at her desk for a two more hours hoping for business that never came. She reread the booklet Nancy had given her for what must be the tenth time.
That evening, while lounging on the couch staring at a TV show in which she had no interest, Debra decided to give Mike a call and discuss her new ideas. Also, she needed to get more information from him and evaluate his personality before committing to anything. She would call him tomorrow morning around 10:00 am. Having formed a plan to move forward, her mind was at ease. She went to bed early and sleep through the night.
