Your Doctor. At Your Service.
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This is @nosoc0mial 's other blog. I'm 23, afab, and this is a separate space for me to interact with the medical kink community, and play doctor while I'm at it.
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@iatrogenical
Your Doctor. At Your Service.
Hello there!
This is @nosoc0mial 's other blog. I'm 23, afab, and this is a separate space for me to interact with the medical kink community, and play doctor while I'm at it.

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Doctor, I love your posts... I love how professional and no-nonsense you are, it makes me feel like I would be very safe in your capable hands teehee :3
Thank you for the compliment.
Simply put, my dear, I don't have the time for niceties. I find I'm better off focusing on treating you, than worrying about how I treat you. Yes, I prefer to be very straightforward with my patients. I could count the number of times I've gotten complaints regarding my bedside manner. You'll speak when spoken to, and we can happily cut the rest.
You're safe as can be in my hands, so long as you heed my words.
How would you go about treating an uncooperative patient with electroconvulsive therapy?
Uncooperative patients are not tolerated under my care. I may allow one with quite a bit of free will something of a struggle, just to keep their minds occupied. However, If I deem that a patient requires corrective measures regarding their behavior, those measures be administered swiftly.
Patients requiring psychiatric treatment for their misbehavior may find themselves undergoing electroconvulsive therapy-- ECT. It's truly a fascinating form of treatment. Highly effective as well.
I, of course, practice it unmodified. That means my patients receive no muscle relaxants, or anesthetic of any kind.
Once we decide a patient is ready for therapy, they are typically brought into the treatment room and restrained. You see, this is for a few reasons. The first being discipline. I find that within a treatment facility it's best not to show favoritism, nor is it good to let the rules fall to the wayside. Secondarily, those being given ECT are made to convulse during full-scale seizures. I know, as uncomfortable as ECT sounds, the results would astound you.
The electrodes are placed on either side of the forehead, and a mouth prop is inserted into their oral cavity. My patients tend to injure themselves when not properly secured, especially during something so unpleasant. One common complication I encountered early-on while treating those who'd gone mad in the war was dislocations. In addition to the electrodes, we tend to apply an ECG, a recording EEG, and of course, a ground. Quite a few wires, but all so I know that my patient isn't being pushed too far. After all, I am a doctor. I'm only ever one to administer exactly what is needed. No more, no less.
The actual so-called 'shock' in our shock therapy doesn't last long. Typically, we work our way up to longer durations after gaging the seizing of our patient. On the shorter end of things, I may administer a few milliseconds of electricity at the minimum, and one of the more... ill, shall we say, patients ive had went for a good eight seconds. The seizures themselves can go on for about thirty seconds to a minute. Ah.. the poor thing, did I ever tell you about that patient? We eventually decided it best to have her lobotomized.
All in all, I assure you that it's nothing to fear. Measures like these only come to those who can't be helped otherwise.
Would you mind if a fellow Doctor came in for a check-up? I’m sure we’ve all heard the anecdote that Doctors make the worst patients which may be in part why it’s been so long since I’ve been in for a physical. But my doting nurse seems to think I do not take as well of care of myself as I do for my patients and is insisting I be seen for a check-up myself.
I’d much rather be at my own clinic caring for the patients who I’m sure need care much more urgently than I do but I must admit I’m overdo for a wellness exam as well as my cervical smear. Who am I to tell my patients to get these exams if I am not following my own advice?
I’d appreciate if you could help me out, as a colleague.
-@doctorlarch
Doctor Larch. I thought that name sounded familliar. We met at last year's primary care conference, didn't we? Seems like I needed to see you in person to make the connection.
I'd be more than happy to aid you. As a service from one doctor to another. Right off the bat, I'd advise you to take more time off. You can call me a hypocrite all you want, but only after we leave the exam room. I find it best to keep things civil when dealing with such intimate matters. Since you're my colleague, I'll afford you a few liberties. For instance, I'd hesitate to restrain you. So long as you understand that my giving you an inch isn't permission to take a mile.
While we go through each step of your physical, you'll be watching me, and I'll be watching you. Both of us know exactly what will happen next as time progresses. Though, I do wonder what you'll think of being in my care. I hear you're quite... compassionate regarding patients of your own. I may be a little more blunt than your liking in contrast. Did I ever tell you I got a good deal of my inital schooling in the army? I fear it shows in my bedside manner. Old habits die hard, I suppose.
Once I have your legs in the stirrups, I'll be sure you receive only the best of care. I wonder if it makes you anxious. The reversal of power certainly must be a harrowing experience. Tell me, how does it feel when a speculum is locked in place, hinged open inside you? You don't avoid examinations like these for a reason, do you? You're certain you feel no pain or pleasure as my fingers are inserted deep within? Yes, I'm sure you'll possess some interesting insight. It's not every day that I get ahold of someone who understands.
Yours,
Doctor Blair
“Accidents don’t happen on my table” is one hell of a line hot damn Doctor.
It's only the truth. I like to have quite the high degree of control when it comes to my patients.

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Do you have any interest in ultrasounds, vaginal or abdominal? I’d like to be referred to you for one, although I’m nervous about the amount of water I’m required to drink ahead of time.
Ultrasounds are a very useful tool in my practice, one that I find indisposable. Typically, I engage these as a follow-up examination, after a standard pelvic assessment. Just my way of making sure my patients are healthy.
The amount of water you'd be required to drink is so that I may better visualise your uterus and ovaries during the abdominal portion of the proceedure. Patients like yourself must simply understand that a full bladder acts as a window to see that which must be imaged. You will be required to lie still as I move the tranducer across your supra-pubic region.
Assuming you're struggling too much with the water inside you, I'd happily insert a catheter to provide you some relief prior to the vaginal ultrasound. Patients tend to find the probe being inside of them quite uncomfortable, as I require the bladder to be half-full during this proceedure as well. I find insertion of the vaginal probe to be easy, and that the whole of your assessment shouldn't take longer than thirty minutes. Even so, you have little to worry about. Accidents don't happen on my table.
You'll feel a slight pinch...

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any new stories coming soon?
Careful, you may get what you wish for.
"It's a simple test of clitoral sensivity," the doctor stepped foward, the heels of his shoes clicking on the white linoleum flooring. He was well-dressed as he always was, tall, but not looking. His dark hair was combed and styled to stay away from inquisitive eyes, "One of many things we'll examine, now that you're fully grown." His eyes cast a reflection of his gown-clad patient, who's legs dangled nervously off of the side of the cold, metal table.
"Lie back," Dr. Blair instructed the other, who complied with some guidance from the doctor's hand. The patient shifted, legs pressed together, moving a bit as the light above became oppressive. "Now, the way that I assess sensivity is by asking you a series of questions as the examination goes on." Dr. Blair reached for a paid of gloves, snapping them on. "You will answer me on a scale when I ask you how you're feeling. Zero will be no sensation at all, and ten will be highly sensitive, or painful."
The patient flinched at the snap, not wanting this to go on for any extended period of time, but with little choice in the matter. Anyone could see the restraints that dangled off of the table. The stirrups the patient's legs would soon be put in. Dr. Blair reached a hand toward the medical gown, folding it up and out of the way. "Comfortable?" He asks, getting a hesitant nod in response.
"Now, you're going to feel a little pressure, I want you to rate this on that scale we talked about." Dr. Blair reached down, pressing one finger just above the sensitive nub, not applying pressure. The patient replied, "Three, doctor."
"And this?" Dr. Blair's gloved finger pressed a little harder, now. This was only a trial of what would come. A comfortable beginning spinning towards a medical nightmare. He looked up to watch his patient's face, to note every reaction, every expression of discomfort and pleasure. It was, after all, the doctor's intent to map his patient's erogenous zones.
"F-- five, doctor." The patient stutters with a reply this time, and the white coated man casts an inquisitive look. "Five?" Dr. Blair questions, "You sound rather worked up already. Would you like to re-evaluate that statement?" He didn't let the finger up on the other, who nodded in a strained sort of desperation. "N-no, doctor."
Dr. Blair removed his hand, and then peeled off his gloves, disposing of them and taking a moment to write his responses down. Returning to the table, he rested one hand on the patient's ankle, "Legs in the stirrups. I need full visibility." The patient didn't move, but the doctor lifted each ankle into the stirrups. He reached up, focusing the light on an already-wet vagina. "Producing a good deal of vaginal fluid already, I see. I'll be applying restraints to you, in that case. I don't want you struggling to stay still during a state of heightened arousal."
Dr. Blair does as he said he would. He took each of the patient's arms, and legs to be strapped down with thick leather cuffs and bands. A strap was brought across the patient's chest, and a final two went across each thigh. With his patient now flat on the table, the doctor re-gloved, and approached the other with a confident air. "Just relax," he takes his postion between the patient's legs, uncapping a bottle of lubricant and spreading a clear glob of it across every fold, "this will be over before you know it."
He parts the other's labia majora, sliding a lubed finger right up to the clitoris. Dr. Blair watches his patient jerk a bit as he pulls back the hood and applies direct pressure on it. "And how does this feel?" The patient struggles to respond, breathily replying, "Six, doctor..."
The doctor nods, taking note as he began to drag his finger up and down the other's clitoris, watching it start to get red as the stimulation went on. "Doctor, n-- no more, I--" the patient starts, but is cut off. "Quiet. You will speak when prompted to do so. I need to listen to your breathing and vocalizations. How are you feeling?"
"Eight! Just stop, please!" The patient begs, but the doctor pays no mind. "A quick one, aren't you? We'll have to work on your endurance during future visits." The doctor added more pressure, now circling the clitoris with unmatched precision. The patient tried to fight on the table, but was trapped. Instead reduced to pitiful whines and groans.
"How are you feeling?"
"Nine, doctor! Make it stop, make it stop! It's too sensitive! Can't-- I can't--!"
"You will in time. Let me know when you're approaching an orgasm You need to tell me you're at a ten before you climax."
"Ah! AH! Y-yes doctor..!"
The patient groaned and practically screamed on the table as the examination went on. The clitoris was swollen, perfectly manipulated as Dr. Blair watched his patient's final undoing. He hovered over the other, watching the body and mind contort to his will.
"TEN! TEN, DOCTOR. TEN!!" The patient screamed out, violently convulsing in the restaints as the orgasm took over. Dr. Blair made sure to move his hand steadily, making sure every second was wrung out of his patient's trembling body. He slid one finger inside of the vaginal canal, pulling it out to assess the moisture between his paitent's legs. His paitent groaned at the invasion, leaving a puddle on the table while still writhing in a daze.
"Excessive amount of self-lubrication, low tolerance for simulation, and under ten minutes to orgasm." He clicked his tongue, removing his gloves and tossing them away. "We'll certainly have to improve upon that with therapy." He sounded flatly disappointed, and slightly concerned with his patient's pathetic display. "I'll be leaving you here for the nurses. They will clean you up, and have you discharged." He was detached as he left his patient lay there in shame, wet and terribly sensitive between the legs.
Hello Doctor,
I have been referred to your clinic for a cervical dilation procedure. Fair warning though, restraints may be needed as I'm known to be quite reactive. You may do anything you see fit, you have the expertise after all
- Cis female patient 💜
You've done well to come to my clinic, young lady. Here, you'll be taken care of.
After all, cervical dilation is a time-consuming endeavor, one that typically requires weeks if not months of routine treatment. And yes, I find it best to keep my patients restrained during proceedures like these, as it is quite common for them to want go jerk or move when they find dilation painful.
You'll be put into stirrups for a standard gynecological exam and cervical sampling before we begin the process of dilating your cervix. When you return to my office, you'll be put into lithotomy position. The nurses will administer a light intravenous sedative, and you will be restrained once more. From there, I'll insert a speculum into your vaginal canal to visualize your cervix. Assuming you still appear to be healthy, the dilation may begin.
Before inserting the first dilator, I would apply a tenaculum to hold your cervix in place. My patients typically feel a pinch as I do this, but it should be nothing you're unable to handle. After the tenaculum is in place, dilation may begin. I employ both hegar and pratt dilators in my practice, and will select what I think will work best for you. I will begin by inserting the 1mm dilator. Per session, we will work through two sizes. Some patients require repeat treatment before moving on to the next size. Typically, we will work from the smallest each time. So, you'll be going through two dilators your first day, four the second, and so on.
I must also inform you that you will be an inpatient for the time being. I find you'd be better off being monitored and medicated within our sight, than without it. I also find it is better to contain my patients lest they get any foolish notions about abandoning their treatment midway through. I'm certain you'll lose your will to comply eventually, which is why you're kept in my care around the clock in the first place.
You may find yourself resenting me and my staff during the final stretch of your dilation, indeed, I find even numbing creams and local anesthesia can lessen the pain of cervical dilation only so much. You'll also be afforded clitoral stimulation to help relax you during the process. Patients are commonly brought to orgasm with the dilator inside their cervix at least once per session. This is especially useful in forming a positive association between bodily pleasure and being on my table as well, even if you may beg me to stop, as patients often do, prior to your climax.
Once you've been introduced to the final 20mm dilator, I'll utilize your open cervix for a uterine curettage, as well as suction for samples of your endometrial tissue. Many patients report pain and discomfort during this stage, but such work must be done. You may experience some bleeding after I remove the speculum, and cramping for several days after is also common. You'll return for a follow-up examination after that, and we will perform hysteroscopic surgery if I decide that you require it.
are you into enemas?
Certainly. Enemas are a common proceedure, one of the first I learned to perform back in my army days. You see, enemas are useful for a variety of reasons, particularly in aiding a patient who may be suffering from abdominal pain, inconsistent bowel movements, or constipation. I typically utilize smaller, disposable enemas for those patients undergoing rectal or rectovaginal examination as well, all for their own health and cleanliness.

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You'll feel some pressure as my fingers are inserted into your vaginal canal. Remember to hold still.
the doctor at work.