Glove Up

You look quite tense... no need to worry, most of our patients come to have a little relaxing nap. We’ve just given you a light paralytic. We’re gonna take good care of you. Once we get you intubated we’ll get your started on some nitrous and oxygen to take the edge off. You’ll feel a little giggle as all your problems melt away. No more thoughts of anxiety for you. Now it's time for the good stuff. Nurse set the Sevoflurane to 2% please. Just relax and let the anesthesia machine force the gas into your lungs. Your relaxing nap is just beginning. I see here you opted for a massage as well. We’ll be sure to give you a gloved deep tissue massage once the gas has put you under. The distant feeling and ringing in your ears is normal, just relax you’ll be under soon. 

My wife has been working so hard lately. Between that and everything else going on in her life I wanted to treat her to something special that would be sure to take all her worries away. I had taken the day off without telling her so I could have her treat set up by the time she got off work. It took me several hours to break out all the equipment I will be using on her tonight. She is going to be very excited when she finds out what I have planned for her!

She came home from a long annoying day at work. I heard the front door open and I walked down stairs to meet her. I grabbed her by the waist and pulled her tight, kissing her in a way that let her know something was up. We finished kissing, She pulled back and asked what that was for. I told her that I had taken the day off to prepare a treat for her. A little smirk appeared on her face and asked what I had prepared. I told her she would find out after going into the guest bedroom, showering, and putting on the outfit laid out on the spare bed for her. On the guest bed was a patient cap, gown, and compression socks. That would give her an idea what she was in for this evening.

While she was taking a shower I put my scrubs on and set up a few last minute items. I grabbed the necessary paperwork for her operation and waited for her to get dressed. After she finished getting dressed, she met me at the bedroom door now labeled the operating room. She was already smiling in excitement about being taken into the OR. She was starting to put together what her treat was. I looked her up and down then handed her a clipboard. It had all the consent forms for her operation today. As she signed, I explained what today’s procedure would entail. Nothing too invasive just a full body examination under general anesthesia with a slight twist, an awake intubation. It's more thorough to explore all your cavities without embarrassment or consciousness I explained. She handed the clipboard back, getting extra close to me, she whispered in my ear “take good care of me doctor, I trust you” we entered the OR and I told her to lay down on the table and relax.

I walked over to the anesthesia suite and put my surgical glove on. She seemed a little tense as I started to strap her in, arms out to her sides. since she was a little nervous after getting strapped in. I grab the anesthesia mask and breathing circuit I had set up earlier. I set the anesthesia machine to 50% pure oxygen and 50% Nitrous just to relax her. before I place it over her nose and mouth. I leaned down kissing her on the forehead and whispered in her ear “in ten minutes i’ll be breathing for you just relax and take deep breaths”. I placed the mask on her face and strapped it down.

I grabbed a blood pressure cuff and pulse oximeter and attached them to her. I then grabbed the ECG leads and began placing them on her under her gown. Making sure to accidentally brush her nipple as I slide by to place a couple. they were already hard. I touched her left arm now looking for a vein to insert an IV. I found a nice one and got it in one shot. Now that she was all hooked up I took her vitals to make sure she is in good condition to start our procedure. Everything checked out so I asked if she was ready. She replied with a playfully giggle from the N2O "Yes Doctor".

I grabbed the syringe with lidocaine and told her to take a deep breath before I injected it into her windpipe, numbing it for the endotracheal tube. As I injected she coughed a little and went back to breathing deeply. I remove her anesthesia mask temporarily to spray some more local anesthetic in her throat. As we waited for the local anesthetic to take effect I started to add a little more nitrous oxide to her breathing circuit. She began to get even more giggly and was smiling at me through the breath fogged mask. I made deep eye contact and told her everything would be alright. "I will take very good care of you" I said. I then grabbed the syringe with a very strong paralytic in it. I began slowly injecting it into the IV. I saw her breaths get shallower as it started to work. She started to panic a little as she lost control but it was too late. She had no choice but to trust that I would breathe for her. I grabbed my breathing bag to prepare and finished injecting the paralytic. I saw her breathing arrest. She was completely paralyzed now and completely under my supervision. Her breathing now controlled by my hand squeezing the bag. Forcing oxygen and nitrous into her lungs. Every breath she took was mine to give or take away. I gazed into her eyes as she stared at me unable to breath or move. I squeezed the breathing bag a few more times to make sure the O2 levels were acceptable for intubation. I remove the straps from her mask and grab my scope and ET tube. I caressed her cheek, tilted her head back and began intubating. I secured the tube in her airway and hooked her back up to the anesthesia breathing circuit. I checked for proper tube placement and set the anesthesia machine to breathe for her. Now I was free to conduct the full body examination as I pleased. I took one last look into her eyes and then tapped them closed to keep them safe. I started my exam with her hair. Running my gloved finger through it, working my way down to her lower neck. I touch her face getting close to her ears. So close she could feel my breath, I whispered in her ear again “you're safe I’m breathing for you. You're going to feel really good in a minute when I get to your clit. Don’t worry you're going to get your anesthesia just not as soon as you’d like.”

I started to make my way down her body rubbing her tits running my surgical gloved hands down her sides, giving her a little tickle. I knew she couldn't move away because of the paralytic. I then got to her clit. She was so wet! I couldn’t wait to play with her any longer. I began rubbing her clit with one hand and with the other one I inserted two fingers inside her. I could hear the heartbeat monitor beeping faster and faster. I knew I was getting to her. I kept going and going. Then I stopped just before she went over the edge.