Standardized Patient
by GlassO
Michael continually weighed the pros and cons of being a standardized patient and inevitably, the pros won out.
Working in a medical-adjacent field he understood the value of giving medical students and researchers access to a ‘practice’ body for diagnostic and training purposes as well as developing a bedside manner that was professional yet approachable.
Plus, free health care and some mad money didn’t hurt things either. And quite honestly, he was used to being poked, prodded, examined in the most intimate of places, though even with all the practice it still made him a bit shy. Plus sometimes the acting challenge he would be asked to perform could be quite entertaining.
“For these interns, we would like you to play the part of someone who is suffering from wild hallucinations.”
“In this scenario we want you to react badly to a dire prognosis.”
And so forth.
His latest assignment seemed on par with these requests, though it certainly appeared to be much more challenging.
The researcher, Dr. Balia informed him over the phone that they wanted someone very belligerent for this research. Just flat out refusals. Mean attitude. And terribly modest. Could he pull that off? For the money they were offering, of course he could!
Michael met Dr. Balia at the hospital. He’d worked with her a few times in the past and truthfully he had a bit of a crush on her. She was a bit older, mid-40s he gauged, but she had an effortless aura of sexuality about her. She filled out her scrubs nicely. Big tits and a big ass on a short frame. She probably barely topped 5 foot. Mischievous eyes and a sly smile. Really, she had it all but Michael always assumed that their doctor-psuedo patient relationship would forbid any possibilities of relations, so he did not pursue it.
She was an anesthesiologist and quite often she’d used Michael to demonstrate procedures with her students. It was the easiest money he’d ever made. Literally getting paid to sleep. And there was something he enjoyed about being put to sleep by this beautiful woman. There was something inherently sexual about it. Like he was under her control; in her power; helpless to her; helpless to anything she might want to do to him.
One time he was coming out of anesthesia and only Dr. Balia was there when he awakened. She was uncharacteristically holding his hand as he came out of it.
“Hello Michael, how are you feeling?” she commented.
“Little groggy.” He observed her holding his hand. “Is everything okay?”
“I just wanted to give you some reassurance that everything is okay and that you have no reason to be embarrassed, okay?”
Michael noticed at this moment that he was sporting a mammoth erection that was tenting his medical gown obscenely.
“Too late. This is terribly embarrassing. I am so sorry....did the class see this? Oh god...”
Dr. Balia held his hand tighter.
“I’m not going to lie to you. The class saw it all, but it’s all good,” she said insistently, “this actually a very common reaction, when a man gets very relaxed it’s very common to have spontaneous erections, which is why I wanted to reassure you how normal it is.”
Michael blushed a deep shade of crimson. Dr. Balia held his hand tighter.
“Please give it no regard. I would hate to lose you as an SP. You do such a good job.”
“Well...thank you.”
“In fact, I remember a time I was in an abdominal surgery and the man developed an extremely persistent erection that was interfering with the operation. This poor nurse had to hold it out of the way for the entire procedure, and it was an impressively large penis at that. She needed both hands. That patient was the talk of the nursing staff during his entire recovery.”
“So did someone handle my penis during this simulated procedure?” Michael asked with a touch of trepidation.
“Actually everyone did. It offered an excellent teaching moment. I hope this does not put you off to volunteering for us in the future. Really you are quite brilliant at being a patient.”
Michael wondered if Dr. Balia was aware that she was holding his hand close to her breast now, which was not helping with his erection.
“It never hurts to help.” he said jokingly.
“Wonderful. I’ll leave you to recover and get dressed. And to...take care of yourself if you need to.”
She walked out of the room and closed the door. Michael was slightly confused by what she meant; until he saw the tube of surgical lubricant and the box of tissues. How....considerate...and kind of naughty. Michael imagined Dr. Balia watching him masturbate through the small window in the door and he came mightily to this thought.
Michael thought about this encounter with Dr. Balia as he walked into her office, ready to play the belligerent patient she had requested. She was dressed in those delightfully tight scrubs. She had to be aware of the effect it had on her patients, right?
“Michael, I’m so glad you agreed to help us out today!” she said cheerfully.
“Well I’m not so glad!” Michael said belligerently. “I was supposed to go skiing in the Alps today! This better be important! I’m an important and belligerent person!” And he shook his fist to make his point.
“Okay, maybe not that belligerent...more like a reasonable level of belligerency...wait is that a real word?”
“Very well...I can dial it down a bit. So when are the students coming in? I’m ready to give them a hard time.”
Dr. Balia rose from her desk and walked over to Michael and led him outside into the hallway.
“Actually this is a bit of a different situation. You and I will be interacting as doctor and patient...it will be a demonstration of sorts...just follow my lead and you’ll do fine. You’ve played these kinds of scenarios many times.”
Dr. Balia led them deep into the hospital, well into the surgical wing. As they walked Dr. Balia described the type of ailment Michael was to play...while maintaining his poor attitude. They entered through a set of double doors into an operating theater. In the gallery there must have been a few dozen people waiting for them. In the center of the room was an operating table and small cart. Next to the table was a gas canister.
Dr. Balia gestured for Michael to have a seat on the table, but he just crossed his arms and stood his ground. Dr. Balia smiled and shrugged. She turned to address the gallery.
“Good afternoon doctors and other medical personnel,” she announced, “I appreciate you all being here to witness this demonstration which I and the rest of my team claim will be one of the greatest medical breakthroughs in recent years.”
She paused, and began to pace a bit.
“I’d like you to ask yourselves this...and I know the answer already....but have you ever encountered a patient that refused to follow instructions?”
There was an audible chuckle throughout the gallery.
“I thought so,” she continued. “I need you to take these medications, I’d like you to avoid these foods, you need to exercise, etc, etc. Even eliciting basic information during an intake can be excruciating...and worse yet...not receiving honest information. It’s like Dr. House says...everyone lies.”
There was a murmur of agreement.
“Please offer some polite applause to my patient, Mr. X, who has agreed, reluctantly, to be my patient today. I hope I can make him cooperative.”
There was polite applause from the gallery.
“I have no interest in being cooperative,”said Michael belligerently. “Frankly, I think all this is a terrible waste of time.”
“Ah, Mr. X,” said Dr. Balia, “as belligerent as ever. Now would you be so kind to as to get undressed and into this medical gown?” Dr. Balia handed the gown to Michael who threw it on the table...partly out of playing the part, but part of him sincerely was conflicted about getting undressed in front of all these people. Even in a hospital there was some modicum of modesty afforded to patients. Doctors and nurses would always step out of the room when he changed, and even during examinations the gown would be kept on to afford some illusion of chastity.
“I think you can examine me just fine with what I’m wearing, Doc!”
Dr. Balia held up a finger to silence Michael. ‘Hold that thought!” She turned to the gallery. “Some years ago there was a situation wherein a chemical exposure demanded immediate intense washing of a large group of people..every second counted...and the greatest delay...was this ingrained sense of modesty! They actually need to take the time to set up privacy areas for the men and women...at the expense of their health. I mean...don’t you wish that your patients would just do what you tell them to do? How much better would their care be? How much faster would it take?”
Dr. Balia turned back to Michael.
“So, Mr. X, what brings you in today?”
Michael was genuinely embarrassed to talk about the ailment they’d discussed. Of course he assumed this was why she’d chosen this particular problem. He steadied himself.
“You know why I’m here! It’s all on that form I filled out! Just give me some pills or whatever!”
“Yes,” said Dr. Balia patiently, “but I’d like you to tell me about it in your own words. When did you first notice the problem?”
“Didn’t you read the damn form doctor?! It’s all right there! I dunno... a few weeks I suppose....so can I get a cream or something! It itches something fierce!” Michael scratched at his crotch which elicited another chuckle from the gallery.
Dr. Balia turned to the gallery again. “Another common problem we’ve all had! Getting patients to talk about quote-unquote taboo subjects, mostly out of embarrassment and shame. How many countless stories do we have about something getting “stuck up in there” and getting the runaround about all the circumstances surrounding said event...honestly it is terribly frustrating...but I think there is a solution for all this.”
Dr. Balia walked over to the canister and wheeled it next to Michael.
“Now this drug I am about to demonstrate should aid us all greatly with patient compliance. Generally it is administered as a pill, however for sake of brevity I will be administering it via its aerosol form.”
“This sounds very similar to Rhohypnol,” someone commented from the gallery.
“Yes,” said Dr. Balia, “It is...but with some distinct differences. Like Rhohypnol, it does induce anterograde amnesia and it also enables you to communicate with the patient so that might follow simple directions. However you will notice there are some distinct differences.”
She turned back to Michael. “I’d like you to put your belligerent patient on hold for a moment...though you are doing a wonderful job I must add, and allow me to fit this nasal attachment to administer the drug...and then you can go right back to being the unpleasant asshole patient you were a moment ago. Again... doing a great job.”
Michael nodded and Dr. Balia fitted the nasal cannula. She indicated for him to sit on the table. When she was satisfied it was secure she twisted the knob and the canister, carefully noting the rate of flow.
“Just breathe naturally, Mr. X.” Dr. Balia said calmly. “We should see results momentarily.”
Dr. Balia watched Michael as he breathed in and out. The gas had a faint smell of something slightly sweet. Michael kept waiting for the anesthesia to kick in. But there was nothing like that. No sleepiness at all. If anything, he just felt a little fuzzy.
After about 20 seconds Dr. Balia spoke again.
“Okay, that should be enough time. Mr. X, how are you feeling right now?”
“I feel...not very different really. Maybe a little fuzzy in my head...but that’s about it I think.”
“That’s fine Michael, you’re doing fine. Could you please tell us about your ailment that brought you here today?”
Michael didn’t hesitate. “Of course, my penis has developed a very curious looking rash. It’s quite red and swollen and very itchy. I had sex with a prostitute about a month ago and I did not wear a condom even though it was more expensive to do that.”
“Very good Michael. Why don’t you get undressed for us so I can examine your penis in front of all these people?”
“Of course,” said Michael as he began to unbutton his shirt.
Dr. Balia turned to the gallery again.
“I assure you, Michael here would do everything he could to resist talking about this...and not just because I asked him to play the part of a contrary patient... he can also be rather shy and modest as I’ve witnessed on numerous occasions. And here he is... cooperating beautifully.”
Michael removed his shirt, and his shoes and socks with a placid look on his face. He stood up to remove his pants and underwear. When he had completed this, he covered his penis with his hands while calmly awaiting his next instructions.
“Notice that while he has completed his instruction dutifully, there is still a part of him that leans towards modesty. He is probably not even aware that he is doing that. It’s just a part of him that’s baked in. Fortunately, this drug, Hypnotol, over-rides that with ease.
“Michael,” commanded Dr. Balia, “please place your hands by your side.”
Michael obeyed and stood still.
“Michael, have you ever masturbated before?”
“Yes, Dr. Balia, many times.”
“Have you ever masturbated in front of another person, or a group of people?”
“No Dr. Balia.”
“I see Michael. Do you think you would masturbate in public if you were asked to do so?”
“I don’t think so... no I don’t think I would.”
“Interesting. Please masturbate for us Michael.”
Michael reached for his penis with his right hand and began to stroke it, rather mechanically.
Dr. Balia turned back to the gallery.
“Notice again how absolutely obedient the subject is. He answers questions with complete honesty and is following directions that are diametrically opposed to his inclinations. Also, on a side note, notice that Michael’s penis, though receiving physical stimulation is not erecting as one might it expect to. Normally I would imagine when Michael masturbates he would have a visual aid, or an imaginary scenario to bring about sexual arousal. Right now, there is a big blank spot in his mind. He is, for all practical purposes, unable to form thoughts, aside from what I provide. Let’s see if I can help him out here.”
“Michael, you may stop masturbating now and let your hand rest by your side.”
Michael let his cock go and his hand hung limply by this side. His penis had lengthened slightly but showed no other sign of arousal.
“Michael, describe to us some of the things you enjoy looking at and fantasizing about when you masturbate.”
“I enjoy looking at naked women. I enjoy fantasizing that I am having sex with them.”
“I see. And are there some parts of a woman you especially enjoy looking at?”
“Yes. I enjoy looking at their asses. I like big asses. I imagine that I am having sex with them from behind.”
“Very good. I’d like you to imagine that now. Imagine a beautiful woman’s round ass. See her on all fours with her ass swaying back and forth tempting you to penetrate her from this position.”
Michael grunted slightly and his penis began to quickly stiffen and erect as he got lost in this fantasy. Some of the women in the gallery began to shift uncomfortably in their seats. Some of the men too.
“You’re doing very well Michael. Can you imagine yourself sliding your penis into this woman you are imagining?”
Michael let out a throaty, “yes” and his penis grew even more stiff. It began to twitch slightly.
“Keep imaging this Michael. Imagine that delicious friction as you slide in and out. Picture that round ass bouncing against you on every thrust. Feel that orgasm welling up inside you. Feel that need to come build with every stroke...But you will not come until I allow it.”
“Yes...”
“Yes...”
Dr. Balia looked up at the gallery. She was perfectly aware how horny she’d made many of them. One woman had slid a hand up her skirt and was trying to discreetly stroke herself.
“Now, I know that most of you think I am demonstrating this risque performance to show my absolute control over the patient...and that’s partly true. But I also would like to observe the absolute dominion I have over the automatic processes of the patient. Through mere suggestions I am manipulating his hormones and the pleasure center of his brain. I could use this mastery in other ways, pain management, or anxiety control for example”
Dr. Balia turned back to Michael. His face was contorted as his desperate need to come was being thwarted.
“Oh poor Michael... so terribly needy. So ready....” she licked her lips. Michael’s cock was so stiff, so big, she could not help let her thoughts go there.
“Michael...I’m going to count to three...and each number is going to bring you closer and closer to orgasm...and when I reach three you will have the strongest orgasm you have ever experienced. Imagine the woman you are with Michael. Imagine how great her pleasure is. She is coming on your cock Michael. You have satisfied her greatly and now you can allow yourself to have the most wondrous orgasm...and when you come...tell this woman you love her.” Dr. Balia smirked at that little remark.
“Getting ready to come....pleasure building on one.....and two....and......THREE!”
Thick ropes of semen spurt out of Michael, arcing in the air in a mighty spray as he grunted like an animal in heat.
“I LOVE YOU DR. BALIA! I LOVE YOU!”
For once, Dr. Balia actually blushed.
Michael sprayed spurt after spurt of ropey semen until he was completely spent. Dr. Balia was worried he was going to collapse.
“Climb on the table Michael and I’d like you to fall into a deep, deep, sleep, still listening to my words and following my commands.”
Michael did as he was told and very quickly grew still as he dropped into sleep.
Dr Balia was so flustered by this unexpected admission that she stumbled over her words.
“Yes...so uh... he won’t remember any of this...he’ll feel the afterglow of an orgasm...and fuck...that was one hell of an orgasm. Christ. But in this hypnotic state I can follow up with further suggestions, like diet, exercise, medications...that sort of thing....and uh...well...uh...
That’s the demonstration. Are there any questions?”
That’s the demonstration. Are there any questions?”
The galley sat in stunned silence. Though not for long.