A couple weeks ago I saw an advertisement in the local paper for last minute sports physicals for the new school year. It was a free exam for returning students, they only requirement was they schedule an appointment and arrive on time with field out medical history paperwork and school sports physical sign off sheet. The free exams were being given on Wednesday, Thursday and Friday afternoons so long as there were students signed up.
So there I was on Friday afternoon, ready to get thru these last sets of exams. They were fairly routine exams, nothing difficult to do or examine closer unless the student had a history of some condition that would interfere with strenuous activity sports sometimes require. Many of the students that presented at the clinic were very healthy candidates for their chosen sport. Only two of them had asthma but were easily treated with inhalers or other medications that did not permit them physical exercise limitations. They were warned by their own doctors, parents, coaches and the school officials they were to report any breathing issues immediately and required to sit or be kicked off the team.
We were almost thru with the last patients when my nurse assistant gets a call from the baby sitter. The nurse tells me that her babysitter and her son were involved in a minor fender bender. The baby sitter’s car was rear ended at a stop light. No injuries to anyone, however the babysitter’s car was being towed because it would not restart. The nurse wanted me to let her go early to go get her son and the sitter. Seeing we had one more patient, who was already in the waiting room with his mom, I let her go. I requested she call me as soon as she could to tell me how everyone was doing.
The nurse left and I was in the middle of the last exam and ready to head out a half hour early when I hear a bunch of noise coming from the waiting room area. Without prolonging the last appointment I finished it up and escorted them out to the waiting room where I wished the little soccer player a good year and reminded him to keep up with his homework. I also found about twelve females sitting is the waiting room. One of them was standing, she looked very familiar to me. As I was standing there wondering what this was all about the familiar one walks up to me and asks me if I was the doctor. I wanted to point out my white lab coat with my name embroidered in the fabric indicating I am in fact a doctor. However, I controlled myself and instead asked if I could help them with something.
She tells me her name is Kim and she is the new coach to the local college volleyball and lacrosse teams. Kim further tells me she had called earlier today to see if it was possible to get the team members in for their required sports physicals. She had spoken to a Miss McCarthy on the phone who said I would be able to do the team exams at 4:30pm. Now this was news to me as I had not been made aware of this last minute deal. I told her if no one else did mind we could do a group exam, right here in the waiting room, before each student was called in to a private room to go over any personal issues or conditions they wish to discuss with me. Kim asks the entire room if anyone objects to speak up. No one spoke or raised their hand. Kim asked me if I wanted her help getting the students ready. I could see each one of them had paperwork with them. I wanted to tell her I was not sure if the forms they had were meant for high school sport physicals or if they were detailed enough for college age students. Instead I told her that we could have the students line up against the side wall with space between each player. We could do the reach and stretching out here before going over the rest of the required checks on each form.
I really wanted to go into another room and try to reach this Miss McCarthy and ask her what she was thinking sending me a dozen girls at the last minute and not telling me about it. I also secretly wished my nurse assistant was still here. I went into a back room and called into the main number. The answering service picks up and I tell the person on the other end my name. She cuts me off and tells me she has one message for me. I then cut her off and ask her if it has anything to do with a dozen or so college students looking for last minute physicals? She tells me the note does not give a number but Miss McCarthy did say she hopes I did not mind the last minute addition. Great, now what?
I return to the waiting room and see the girls have moved the chairs away from the side wall area and are lined up shoulder to shoulder. Kim says they are ready for my instructions. I tell Kim I will need a few seconds to prepare the two exam rooms to see the girls in private. I also tell her that anyone wearing a sweater or jacket must remove them. Kim stops me and asks me if any other article of clothing was required to be off. She wanted the team members to be a team and uniformed in any exercise they did, even if this exam were part of it. I then told her that while in the private exam rooms the girls would have to take off their shirt for me to listen to their heart and lungs. Kim said not a problem anything else? I told her not for now, but if she gave me two minutes I would be able to determine if the forms they had were good enough for college sport exams. Kim told me that when I returned the girls would be all uniformed and ready to go.
I went and checked the book of forms and indeed the regular high school sports exam I had been giving were not enough for college aged sports programs. The state required more in depth checkups. I returned to the waiting room to find every student athlete to be completely naked. Not an ounce of fabric was on any of the girls, except Kim. I stopped in my tracks as Kim approaches me telling me that her goal to get the team members on the same page she had instructed the girls to remove their tops. This became an issue when two of the girls were wearing dresses. If they kept their dress on, then they would not be uniformed. Two of the girls were not wearing bras, one of them was not wearing panties. So Kim made the coaches decision to have all the girls strip. I told her that was not necessary as she tried to scold me and warn me that she was the coach and if anyone had an issue they could walk out the door. Oh my! The door! I quickly shuffled over to the door and locked it. I did not need anyone to walk into this and get the wrong impression. I also turned over the open/closed sign and turned off the illuminated sign that hung on the front of the building. I peeked out the glass door and saw the college van was the only vehicle in the lot.
I returned to see a student walking out of the ladies rest room, nude, and carrying her underwear in her left hand. Kim tells the student to drop her underwear with her clothes and get in line. She does drop her article of clothing and instead of getting in line walks up to Kim and whispers in her ear. Kim tells her its fine, to get in line and be ready for me to give them instructions. Kim then looks at me and tells me they are all set. I look at the wall of naked ladies standing in front of us. I know they cannot be happy with the coach right now. I myself am a little upset with what is going on without my control. I feel like I need to take over from the coach and let them know who really is in charge here. Plus it is burning in my mind I know this coach Kim from somewhere and cannot place it. I decide to push my luck and ask her if it is her team, and her wish to get everyone on the same page, then maybe she should strip down as well for her exam. She looks right at me with the stare of “don’t you dare make me do it” look. I tell her she has less than two minutes to comply or the exams are over. She starts to undress in front of me while shaking her head. I go on to tell her that new state laws require the coach to also get checked by medical staff before they are allowed to coach a team in state approved games.
While Kim finishes undressing I address the girls against the side wall. I ask them to count off from my left to right. The first girl is number one, then number two, as I point to each girl going down the line. I ask them to each say their number out loud. As we get to the end of the line coach Kim calls out the last number, fourteen. I then tell the girls that odd number girls are to take two steps forward, staying in a line from end to end. I then tell them that their sports exams are to begin, if anyone has an issue with the request given out or feels unable to complete each step to not do it and to remain standing still. We would discuss the issue in private later in the exam.
I then go over the form and ask the girls to stretch out their arms to the side, then lift them straight up in the air, then back to their sides. The different movements are carried on as no one has yet to complain or stop. Even coach Kim complies with each request. I then have them all turn to their left, another test to see if they know left from right. They all pass and stand there. I instruct them to lift their right leg at the knee and stand like a flamingo and close their eyes. I hold them there for about ten seconds as I walk up and down the line checking the balance of each naked girl. I then turn them away from me and instruct them to bend at the waist and touch their toes and holding that, again with eyes closed. I then walk the line again looking for balance issues.
I then walk up to coach Kim and ask her to please raise up while holding my hand along her spine. Once she gets half way I ask her to stop for a second while I check her spinal column for curves that should not be there. I have her stand up straight as I approach the next girl in line and repeat as I go down the line. I then turn my back to the girls instructing them to hop in place and shake it out. I pretend to write on my clipboard paperwork to give the girls some privacy. I tell the girls to stop and relax for a minute. I go down the hall and into the rooms to check. We do not have enough gowns, why didn’t I think of this prior? I would hate to ask them to get dressed only to come into the exam room and remove their shirt for the lungs and heart part of the exam. I then see a tube of lubricant and am reminded of the rest of the exam requirements. I check the paperwork over and it states that male college age students are to get a hernia, testicle cancer screening and rectal exam while female college athletes are to get a bimanual exam. I decide to let the girls remain nude until after their private exam with me.
I return to the waiting room full of naked women and inform them we are almost done and everyone is doing just fine so far. I tell them they will be called down the hall, one by one, be measured for weight and height before coming into a private room. I request all girls stay in the waiting room until called down by their coach. Kim approaches me and asks to speak to me. We retreat down the hall a few steps. Kim tells me that one of the girls, the one I saw coming out of the bathroom is menstruating and wants to know if she could go first as she would like to take care of things sooner rather than later. I tell her that is not a problem with me. I then show Kim the scale in the hallway and ask her if she would help me weigh and measure each girl before they come into the exam room. I further tell her she is to stay near the room to be a chaperone should any girl require one. I tell her of my nurse and how she had to leave not two minutes before they came into the office. Kim said she was fine with that and asked if we could get started.
I told her to call the first athlete down the hall and we would be done in mere minutes with everyone’s full cooperation. She thanked me and I thought she finally recognized me and would tell me where we met before. But she did not. She instead turned and called the first student to come down the hall. She then let out a very loud instruction that the noise level would remain quiet as instructions would be directed at them and any failure to comply would only exacerbate and delay this from being over with.
I retreated to the first exam room and heard the scale being worked by coach Kim. I washed my hands and pulled the box of gloves and lubricant from the drawer. It had been some time since I was this deep in patients looking for extensive sports physicals or annual physicals. We usually scatter them out over the week and only do about four a week. Here, today, at the last hour I will be doing fourteen exams.
In walks Kim and the first student. Coach Kim tells me this is the first one, with a slight tilt of her head. I think I know what she means. I ask the student to hop up on the table and hand over her forms. I ask her if she had any issue with the instructions given out in the waiting room. She said no not really. I ask her to explain briefly. She clears her throat and says she does believe coach Kim already told me that she was mid cycle and in need of getting dressed again. I told her I was aware and we were almost done. I went into the questions on her form and wrote any important details, of which were not many, on her form. I then approached her and checked her eyes, nose, ears and throat. I then told her I would listen to her lungs and heart. I then palpated the areas of her neck, chest and belly. I continued to ask her questions in general health. I asked her if she was sexually active and practicing safe sex. She turned extremely shy and told me no she was still a virgin and still too young to be married.
She then asks if she can go. I tell her one more check and she is free to go take care of things. I instruct her to lay back on the table and place her feet as close to her buttocks as she can. She does so as I don a pair of exam gloves and place a small amount of lubricant on my two fingers. She asks what is going to happen. I tell her to relax, I am not going to hurt her. I tell her it is required of me to check her internal organs and the exam will be a lot like going to the gynecologist. She informs me she has never been to the gynecologist as she is still not sexually active and her mom decided she did not need that type of exam until she is ready to marry. I sooth her as best as I can as she begins to straight out tell me she is mid cycle and embarrassed. I tell her it is nothing I have not dealt with before and assured her it is completely normal. I ask her to spread her knees as far apart as she can. I inspect her labia with my non dominate hand. And ensure her to relax a bit. I ask her to bear down as I insert my fingers into her vagina. She tells me she is a virgin and never had anything in her before. I assure her again that this is required for her to play sports in this state and normal procedure.
I palpate around and feel nothing abnormal. She is clutching the side of the table and I tell her to relax and it will be easier on her. I withdraw my fingers as I see in the corner of my eye coach Kim standing in the doorway. She asks me if she can put the next patient in the other exam room. I tell her she can as I instruct my first patient to sit up. Coach Kim comes into the room and shuts the door all the way. She asks the student if she normally has heavy or light periods. She says they are normally heavy at first but after a day or two she has a light flow until it ends a few days after that. Coach Kim tells her she can go and get dressed and to make sure she puts on a clean pad. The student stops in her tracks and tells coach Kim she does not have any with her as she had expected to attend the mandatory meeting and go back to the her dorm room. Coach Kim says she knows she has nothing with her and suggests she ask one of her teammates for a spare pad or tampon. The student tells coach Kim she could never ask anyone for that, let alone her teammates. Kim says she will ask for her. The student objects and says she will be fine until she can get back to her dorm room. Coach Kim then points to me asking if we have anything here for her to use. I do not want to come across as dumbfounded so I just say I would look and see what we had. I exit the room as I hear the two of them discuss things. I find in the back stock room a box of tampons, no pads.
I return to the exam room as the waiting room noise starts to get loud with chatty college girls talking a little loud, as normal. I enter the room and coach Kim asks what I found. I retrieve the sample box from my pocket and hand it to the student. I was about to instruct her to use the ladies room when she stops me and tells me she has never used a tampon and is afraid to try it. Coach Kim hears the noise level increase and leaves the room to yell at her players. The student informs me she was never instructed how to use tampons and would rather someone show her. I look to the door to see if coach Kim is returning. The noise level drops as coach Kim yells at her players. I tell the student I think coach Kim can help her out better than I could. I ask her to stay there and await coach Kim. She tells me she would rather not have her new coach help her out. I asked if there was a fellow student she would rather prefer. She tells me she has only met with the other players once before and doesn’t know them well enough. I tell her to wait and someone would be in. In the meantime I asked her to read the instructions that were on the box.
I enter the hallway and motion coach Kim to come over to me. I still cannot believe I cannot place this girl and where I know her from and why she does not remember me. It really is getting to bug me, especially because she is naked and looks fantastic. I tell her about the students concern over the use of tampons and remind her I have no pads in the office that I am aware of. I ask her to go in and talk with her student athlete. I then proceed into the other exam room where I complete the next student’s exam.
When I return to the hallways coach Kim asks me to step aside and tells me the student is still concerned. Kim wants me to go talk with her and inform her of the medical side of things related to the use of tampons. Kim tells me she tried but the student will not deal with her and prefers me instead. I tell her I will try but cannot promise anything will come of it. I enter the room and see her sitting there with a wad of paper towels stuck between her thighs. She is deeply into reading the enclosed pamphlet of instructions. She looks up at me and tells me she has read the instructions and was convinced by her coach to try them out, but she wants me to make sure she is doing it correctly. I tell the shy student that I have two teenage daughters at home and both my wife and I have talked with them. I knew my wife had to show our oldest daughter how to insert it at the correct angle and asked her if she wanted the coach to help her. She got very upset and said she would rather me, the doctor, assist her.
I told her she would have to do it herself. I asked if she wanted to look over the instructions. She said she did not but did ask if she could have a glove to put on first. I gave her one as I held the sample box of tampons. After she had the gloves on I handed her the box, and instead she opened the top flap and pulled out a packaged tampon and looked it over. She had the look on her face like she was confused. I went to ask her if there was a problem when she turned it around and said out loud that the wrapper had to come off first. She opened the paper wrapper and then removed the stained paper towels from her groin. I handed her the waste bin and she deposited the paper towels and the wrapper. She then asked if she should be laying down or standing up. I told her that decision was hers to make. Only she could tell what worked best for her. She laid back and spread her legs as she attempted to guide the tampon. She missed several times before she changed her mind and asked if she could stand. She then asked to have the instructions laid out on the table. She tried her best to mimic the drawings of a girl standing with one foot up on the toilet bowel and the other on the floor. In her case one foot was up on the raised platform at the end of the bed.
All completed she stand upright and swivels her hips around a bit. I was going to ask her if she felt okay but she tells me she feels fine and it was a much to do about nothing. She said she could hardly feel it in her and she was relaxed knowing she would be good to go until later. She asked if she could keep the rest of the sample box. I handed it to her and told her they were all hers. I told her she could go get dressed. She stops me and asks if we can cut the string off as she did not want the other girls to see her that way. I tell her that she will need the string to remove the tampon and I advise her not to do it. She then asks if she can somehow hide the string. I tell her I once saw my wife, while at a nudist resort, and tuck her string into her lips. No one knew she was on her cycle and we had a great time in the sun working on our full body tans. She squats down a bit and twirls the string and inserts it into her labia then closes them over. She thanks me and asks me to never repeat any of this to anyone and again thanks me for my help. I tell her it was all her, I did not do much of anything. I suggested her to find a gynecologist and make an appointment. She will be happy she did.
We walk out into the hallway and coach Kim is showing the third student into the other exam room. She turns to me and says she has changed out the paper on the table and will do the same in this room. I thank her and enter the room and go over the third student’s sports physical.
All the exams happened at a much faster pace and every student athlete was examined.
Please let me know if you want me to continue and tell you about coach Kim’s exam?