Exam in 2 weeks

I scheduled a physical with a new doctor. He is part of a practice close by that is a membership practice its like 15/month and you can cancel at any time. The docs are supposed to spend more time with the patient in this practice. On their site it looks like they wear the white coat which is a turn on for me. I am going to mention that I would like a thorough physical because my previous doctors hardly spent any time and I haven't had a testicular cancer check or hernia exam since I was 14. I tend to get periods of abdominal cramping and pain w/diarrhea and a few times I have seen blood in the stool. I'm going to bring this up as well. I also want a second opinion about my hemoglobin A1C results from my other physician.

My last physician actually gave me a thorough physical my first visit, but things are different now. I shadow him once a week and consider him more of a friend and a mentor, I don't want to possibly risk changing anything. For any health complication, concerns, or prescriptions I go to him. Since I see him so often it would be kind of strange of me to get a physical unless I needed it for a job or something. Just for shits and giggles I'm going to add some more remembered details to the write up of the exam I got from him, which was my best to date.

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After being called back I was asked to step on the scale by a black medical assistant. The wall to the left was lined with degrees and certifications for the doctor and his staff. To the right there was the medical assistant's desk/ work area with a plastic skeleton model at the end of the counter along with an otoscope. The black MA seemed to be really tired and in a bad mood as she seemed distant and disconnected. She led me into an exam room and proceeded to take my blood pressure manually with an air of indifference. Like always I watched the needle on the pressure gauge as I felt my brachial artery pulsing. She then took my pulse and oxygen saturation with a pulse oximeter. She left the room without giving me a gown and I didn't know if that was going to be a good or bad sign.

The room was rather small, but it was comfy and warm with some natural lighting in it. There was a chair in the right corner, the exam table was angled toward the door, and there was white wood cabinets to the left with multiple drawers below it. There was a sink built into the cabinet to the right. Out in the open were the usual objects such as a jar of tongue depressors, a jar of gauze, hand sanitizer, soap, and alcohol swabs. To the left of the cabinet there was a rack for gloves. There were medium, large, and extra large and the material was white vinyl and blue vinyl. I was slightly dissapointed because latex is more a turn on for me especially when they are tight fitting. To the left of the cabinet there was also a small waste bin and to the right there was a sharps disposal container and a hazardous waste disposal.

A few minutes later there was a knock at the door and the doctor entered the rooms. He was a 41 year old with short brown hair, blue-green eyes, very light freckles, and a easily visible bone structure in the neck(laryngeal prominence from being thin. He was dressed in a light blue button up shirt like on the picture with nicely textured khackis and dark dress shoes. He ran through the usual battery of questions asking about prior surgeries, family history, medications, drugs or alcohol, medical conditions. I told him that I had noticed blood in my stool a couple times as well. After writing in my column divided chart he got up to begin the exam.

He started with the ear exam by pulling my ear up out and back then sliding the otoscope in. He repeated the exam on both sides and proceeded to do a neuro exam. This involved looking at his nose, while he moved his fingers far out to the side. He asked me if I saw him wiggle his fingers. The next test I had to follow his fingers with my eyes left, right, and diagonally. Next he shined the pen light in my eyes to check pupil reflexes. The next exam was of the throat and tongue using the tongue depressor. the doctor proceeded to examine my lymph nodes followed by the thyroid gland on my neck and palpated down to the clavicle. He put two fingers on the brachioradialis on my arm and tapped his fingers with another two to try to elicit a reflex on both sides. Checked my arms for any moles which might be precancerous.

I was then instructed to remove my shirt so he could listen to my heart sounds. I unbuttoned my black shirt and placed it on the chair by the exam table. He placed that cold stethoscope onto my chest near the sternum. He then moved it to the right, to the left, and under the nipple. After completing the CV exam he positioned himself behind be on the exam table leaning against it. He had me take deep breaths in to listen to my breathing sounds in four different places commenting that everything was normal (thank god, because I had been smoking heavily). He started using two thumbs and palpating my upper vertebrae of the spine before coming across a mole he was mildly concerned about. I am fair skin blonde hair blue eyes so skin cancer is fairly common in my family. Glad this doctor actually cared, the last one would never have caught that and a third year med student would do a better exam.

The doctor then extended the exam table and told me to lay back. I lowered myself with the crinkle of the paper on the exam table. He placed the stethoscope against my abdomen and it made me tense a little bit because it was cold. He listened to some digestive sounds briefly and then had me sit back up. The doctor then went on to say that if I had any concerns with the testicles he would do the exam, but it wasn't entirely necessary. I told him that I wasn't shy and would rather be on the safe side. He walked over to the wall and donned the large white gloves while asking me if I knew how to do a testicular self exam. I said I did not and he then sat on a stool in front of the exam table and instructed me to stand in front of him and bring my pants down to mid thigh level. Going on to say that some patients are bashful and don't want that part of the exam. I am comfortable with my size in general so I don't really care who sees it. At first I didn't look down because I thought I might pop an erection if I did, but he didn't look up at all so I looked down. He worked intently sitting on the stool rolling each testicle between his thumb and first 2 fingers. The exam didn't take long and I had enough self control to not get an erection. He did not do a hernia exam.

He removed his gloves so I started to put my pants back on but he stopped me kind of awkwardly. I was instructed to bend over the exam table and place my elbows down on the table. I was used to the praying position from the colorectal surgeon and he had to correct me. The positioning was awkward because the stairs to the exam table were in the way. I bent over with my pants still half way down and put my arms barely on the edge of the table. The doctor put on another set of gloves and sat on the stool once again. He made not of my scar from surgery and spread my cheeks with one hand and palpated around the area looking for skin tags. The doctor then got a foil packet from the drawer placed a glob of lubricant on his index finger and inserted the pad shallowly asking if I felt any pain. I said no and he told me sorry I have to do this but I am going to examine your prostate. You should feel some pressure like you're going to have a bowel movement but you wont feel any pain. He placed his finger in lightly to spread some lube and allow the sphincter to relax. Then he slowly slid his finger in knuckle deep and I realized his big his fingers were. Not like meaty fat fingers just kind of wide and pretty long. At first it was mildly uncomfortable but then he reached the prostate and started prodding. Around the time he got to the prostate I remembered that it was supposed to give you a feeling like you have to urinate. I got this tingle in my urethra that made me go nearly full mass and I would prob have a throbbing hard on if he had stayed in there another 20 seconds. He gave me a tissue to remove the lubricant and after I wiped I asked him where he wanted me to throw it away. He pointed to the hazardous waste bin and I waddled past him on the stool half hard with my pants still around my ankles trying to point my body away from him awkwardly.

He then gave me three options regarding further examination. One would be to skip it, the second would be to do an anoscope exam and if he caught anything he would refer me to a specialist, then the third was to just refer me to a specialist. I chose option 2 of course and went with the anoscope. He had me lay in Simm's position on the exam table and draped me leaving the room to grab the anoscope. I heard one of the MAs asking what it was and him explaining it outside of the room. When he returned he drenched it in lubricant and went behind me telling me it was going to be pain in the ass. He spread my cheeks really wide and slowly inserted it. This one gave a good amount of pressure which I sort of enjoyed and he pushed it in rather slow but didn't go all the way. He bent over and turned the light on to get a better view. He had it in there for a good minute and slowly spun it out to where I could hardly feel it coming out. He gave me some more tissues and left the room again to allow me to change, but warned me not to get up too fast because he saw stool which might come out. When he came back he said well theres nothing else I can think of to do to a poor patient and he shook my hand and left.

What a great, thorough exam! I'd love to investigate practices that have their doctors spend time with their patients instead of rushing. Are their some in every state? How do I find one? Any info would be great. It would also be such a dream for me if I could get examined in a room with warm light. Though I think I would love the clinical florescent just as much if the room itself wasn't so damn cold.

Good luck with your appointment. I look forward to hearing about it!

Fantastic detailing, thank you. Readers can visualize the exam room, your doctor, the exam stages. I, too, recently ran into the 'I don't do testicles' for some reason or, as it turned out, prostates, so I am also searching again.

Great story!!!

Thanks for sharing! I enjoyed reading your experience!

Great story, thank you for sharing. my heart was racing just reading it before getting to testicle exam (my fav part). Thanks!

Sounds like a good exam to me.

Glad you all liked my old exam recall. I am going to be going in Thursday for my physical and am very excited. I normally masturbate every day sometimes twice because I'm 22 and if I don't I still get random erections and the longer I go without the longer they take to go away. I have not masturbated for 2 days and by the time it's Thursday it will be 6. This means I will almost surely get an erection during the genital exam and I will probably be throbbing hard leaking pre cum when I likely get the rectal exam. Its going to be a challenge making it to Thursday with this kind of back up on finals week, but it will be worth it. I'm sure it will make for a very embarrassing exam.

Another challenge for me will be making it to the genital/rectal without getting an erection. In the exam I posted previously I had masturbated an hour before going in and I was able to not get an erection during a testicular check, but during the rectal I did. During this exam though I am going to ask specifically for hernia and testicular check. I will also carefully ask if I can have a rectal exam done just to be safe since I saw some blood in my stool a few weeks ago and have a family history of colo-rectal cancer. I am hoping that the genital exam will be longer since I specifically ask for it and that the rectal exam will be thorough. Maybe he will also examine the prostate while he is in there like my last doctor did. He might even suggest the anoscope as well.

During my last physical I almost started to grow as he was doing the abdominal exam and working his way down. The sight of the doctor donning gloves will probably give me an erection if he has the white coat and is donning latex gloves. I want to see how long I can go without getting an erection, but I know that at the latest I will have an erection if asked to bend over the table before any insertion. I will clamp down when he inserts, so it lasts longer and he has to ask me to bear down. For the last doctor I turned my feet inward and beared down without him asking, so it shortened the exam some. I really have to stop typing or else I wont make it to day 6 lol.... I will post the update as soon as possible.

Hot, marvelous story! Definitely a kharma for you!

Thank you for sharing. Good luck on your exam.

The night before the exam I had bad sleep and there was a final exam that day. This and the combination of taking sleeping pills to early and having a rebound effect had my heart jumping already and I took an adderall on top of that. I skipped breakfast because I wanted to get my blood sugar checked out and see how it has changed over the last couple of months. To say the least I was feeling a little not with it and my heart was racing. I was wearing a long dark blue semi island style looking polo and Kenith Cole Reaction dress pants. I was freshly shaved, trimmed my pubic hair and made sure to wash good. I grabbed a bottle of water and headed over to the area around the hospital. I left 30 minutes early because it generally takes 10 minutes to walk and it was a first visit. There were 3 possible buildings for the practice to be in when I got to the hospital area and after checking the directories in two buildings I finally found it. The practice was on the fourth floor and an old couple in the elevator were going to the same floor. It ended up that they were going to the same practice as well.

When I opened the door the first thing I noticed was the huge size of the waiting room. There was a double windowed desk where paperwork was handed out, information was taken, and payments were collected. I saw a sign in sheet and signed in, most of the names said lab by them and I was sort of confused like maybe I signed the wrong paper. The bespectacled lady behind the counter said she would be with me in a minute. She asked my name and the usual and had me sign some forms. She gave me some medical information to fill out for the doctor. The paper had symptoms listed in categories of the different systems of the body including emotional symptoms. The back side had family history, procedures, whether soda, coffee, tea, or alcohol was drank. Whether you had ever used any recreational drugs or smoked. I filled out paperwork in the lobby and just as I was finishing an MA called me back. The MA told me to go all the way back down a long hall. Directly to the left after the door was a lab station where blood specimens could be collected. The rest looked like exam rooms. The MA led me to a station just to the left at the hallways end. First she had me weighed which was 165. I weighed 184 when I was diagnosed with diabetes 3 months ago After that she had my height measured which came out to be 5 foot 10. Next she had me take a seat on a chair near the computer station. She took my blood pressure with an automated device while asking if I had any allergies. My blood pressure was 137/70 and she asked me if I know that that meant. I told her that its not usually that high and its usually 120/70. The MA said that most people don't know what it means. She led me into the exam room which was on the left side of the hallway with a nurses station to the right and more rooms ahead. She told me the doctor would be in briefly.

The setup of the room was spacy, it had two chairs which you looked at directly as you entered the room. The exam table wasn't much of an exam table, it was wooden with four legs, cushioning on top, a paper over the table, and a pillow. In between the door and the exam table was a curtain that could be drawn. To the right of the exam table there was an otoscope and a sphygmomanometer which were attached to the wall. To the left was a stool and a the cabinet. There was nothing on top of the cabinet but a box of tissues. I waited for a good 10 minutes and finally the doctor walked in without knocking and introduced himself. The doctor was somewhat tall, had less of a pink complexion than in the picture, and also appeared to be at a better weight. on his lower face there was some hint of a browning like skin damage from sun exposure or something. He had light brown hair and brown eyes. I noticed his hands were somewhat large and there was a gold ring on his finger. He was a good 10 years older than my other doctor but he didn't look old it looked like he was taking care of himself. He had on a white coat with a white undershirt, dark dress pants, and a gold patterned tie.

The doctor first asked questions from my paperwork after looking at it briefly mainly about how I found out about the practice. I said I found out about it online and he asked if it was through the insurance site. I said yes. He then asked who I had been doctoring with before and I told him my other physicians name. I told him that I wasn't too clear about what to do with my blood sugar levels being elevated with him. The doctor then asked about medications. I told him I took adderall for two years at the same dosage and took baclofen for drug craving. He seemed interested in that idea and I briefly explained the background of its usage. The doctor then noted that I wasn't a smoker and I told him I formerly was and explained my history of nictone use. He asked why I stopped and I told him it was because it was messing with my blood pressure and health while at the same time no longer doing anything for me and wasting my money. The doctor asked me if I worked and I told him I was a student and taking physics and organic chemistry. His only comment was those are hard classes. He didn't ask about my major.

After we talked he cued me up on the exam table and grabbed the otoscope attached to the wall. He looked in both of my ears and then asked me to look at his nose while he checked my pupil reflexes. He then asked me to open my mouth and say AHH. He shined the light of the otoscope into my mouth and looked at my throat. After that he palpated my neck and lymph nodes starting behind my ears. He then listened to my heart with the stethoscope through my shirt and commented that my heart was beating fast. I told him it was the fact that it was finals week and this is a new practice. Next he moved to the back and checked my lung sounds. He instructed me to lay down on the exam table with my head on the pillow. He tugged at my shirt to pull it up and I elevated my torso so the shirt could go up. He listened for bowel sounds with the stethoscope and listened to my heart again in the supine position. He used two hands and did a palpation of my entire abdomen working his way down. After that he returned my shirt to its original position and said I could get back up and just like that he was grabbing my paperwork and said that the front desk would have paperwork for the labs and they would be in house.

It was then that I mentioned the rectal bleeding which I had already checked on the paperwork and asked him if he could check it out and make sure it wasn't something more serious. The doctor asked if I saw it on the toilet paper or in the toilet. He asked me if it was bright red and if there was any pain when I had it. He grabbed a box of Mcckensons latex gloves out of the right drawer while asking me and slipped them on. He asked me to drop my trousers and bend over the exam table resting my elbows on the table. He spread my cheeks and looked at the anus and felt around it commenting that it was still a little inflamed. and then said it was hemorrhoids and snapped off his right glove. I then turned around and asked him if he could do an internal exam to make sure it was nothing else while I still had my pants down and penis/ testicles exposed. I told him that I had problems in the past and he asked what kind of problems. I kind of stammered and said abdominal pain and...Then he added on the fact that I did have the pilonidal cyst problem He then put on another pair of gloves and grabbed a big tube of surgi lube from the right drawer. I resumed the position and he spread my cheeks saying, "Lots of pressure" and then inserted his finger. He inserted it rather swiftly around 3/4 of the way. It felt very squishy because of the amount of lube he used and the fact that I had a little feces deep in the rectum. There wasn't too much of a chance to clench because of how he did it and the fact that he used a lot of lubricant made me have less of a full feeling than my first rectal exam or maybe my other doctors fingers were longer. The doctor prodded deeper and said that my prostate felt normal. There wasn't as much of a sensation as I think the doctor barely touched the prostate. He swept his finger from side to side prodding around for a good 20 seconds. He removed his finger and said that there wasn't anything else going on. He discarded his gloves again and I asked him with my pants still down in front of him if I could get a hernia and testicular cancer check while I was here. He put on another single glove and put it on so fast that the cuff snapped. The doctor had his hand palm up rolled my testicles one at time while in his stool and said while he was doing it, "the left testical....feels normal and repeated on the right side". I was looking down the whole time and started to say something, but he interrupted and placed his finger into my inguinal canal and asked me to turn my head and cough.He commented that there was no hernia and he took of his gloves one more time. The doctor placed some tissues on the exam table and said that they were to get the lubricant off for later. With that the doctor was out of the door and I was to go get the labs done in house.

No erection sadly as my heart was beating fast and I had too much stress. I don't think he pressed on the prostate very hard because I didn't get much of that sensation. Overall I got what I wanted but it wasn't really how I wanted. The fact that I had to ask to get any of that done took away from the experience. Its more of a turn on when the doctor instructs and expects you to strip after the abdominal exam. I am left with some good memories and it is a turn on to look back on. I was let down because when I signed up for the membership it said that the visits were unhurried unlike the 8 minute visits at other practices. The doctor was not very personable although not negative either. He seemed very hurried like and didn't take too much time getting to know me. The fact that he didn't bother doing an exam or asking about the rectal bleeding on the sheet is worrisome. I'm going to cancel my membership after I get the lab results back.

I was much better off in the hands of my other doctor in his solo practice. He takes much more time talking to the patient and getting the history. The history is the most important part of the exam because it directs a physician in what to do when he does a physical exam. It also builds trust between the doctor and patient and make the patient feel more comfortable sharing information when the doctor seems to care and be non judgmental. My other doctor would also often relate problems you have to problems his other patients have had or problems he had to make you feel more comfortable sharing and also to give you an idea about what you might expect. If you want a through physical I suggest that you go to a solo practice. Group practices are usually bigger and ran like an assembly line.

I asked my other doctor why he left the group practice and that was one of his biggest complaints about them. You have a set quota of patients you must see a day and you have no extra time to spend. You have to be very impersonal and analyze the data as quick as possible and try to hurry out the door to see the next patient. I know who I trust and I am lucky to have found the doctor I was using previously. I shadow him every Tuesday so I can ask him whatever. I also have more of a chance to see how he runs things so I know he really cares about his patients and isn't in it for the wrong reasons.

Thanks for the very detailed exam experience! Love to hear more from yourself & others.

Ok edited with much more detail of the exam. I will upload a couple pics I took of the exam room later when I was waited for the doctor. Enjoy

Hey everyone. I had it done today. Heres how things went.

I sat in the waiting room for about an hour, roughly. I got called back by a girl named kelly. SShe was the ones to do my vital signs. They were:

T: 100.2

R:18

P:111

BP:156/90 Left Arm Sitting, 164/94 Right Arm Sitting. They did it with the stupid machine. It hurt my arm.

Sp02: 100

The nurse told memtonwear this gown, get undressed, and keep my underwear on. The doc would be in shortly

The doctor then came in and said lets get this going. She felt my scalp, looked in my eyes and nose, had me open my mouth, and that part was over.

Next was the abdominal exam. She pushed on my stomach in various places, then listened with her stethoscope.

Next she listened to my femoral pulses, and felt around on my groin.

She then said she wanted to listen to my heart and lungs. She listened for about 30 seconds. SShe said she wanted to have an EKG and 24 hour blood pressure done on me. Im hooked up to the 24 hour blood pressure machine now.

She then said it was time for a rectal exam. My first one Ive ever had. My heart sank. She went, got out a thermometer and said since my temp was 100.2, she wanted a rectal temp. She told me to bend over the exam table and to keep elbows on it. She lubed the tip, inserted it, and kept it in until it beeped. It was 101.1 now. She told me to keep in that position and before i knew it, she was finger deep in there. It hurt like the devil. She twisted it all around pushing hardly. She pulled out and said all is normal. She said since my blood pressure was high, shed have the nurse come back in and take it again. At that time it was 172/100 left arm sitting and 178/103 right arm sitting with the machine again. I got fitted with my 24 hr blood pressure cuff and was sent on my way home. This things taken my bp every 20 minutes since 11am. Just 5 monutes ago my bp was 114/82.