Mistress Ariachne's BDSM Workshop: Anatomy of a Medical Scene

When I was first practicing my medical roleplay scenes, I'll admit I was bit stymied by how to start. The idea of practicing some naughty medicine on a nervous but willing patient was definitely hot -- but the specifics were a little unclear. Unlike a straightforward bondage or flogging scene, the medical roleplay scene is wide open for interpretation. If you want to play naughty nurse or kinky doctor and need to jump-start your imagination, just use whatever suggestions you find handy below.

A NOTE ON SUPPLIES

I have always had great luck ordering from www.medicaltoys.com. They have a HUGE selection of toys from stethoscopes to straitjackets. Once they accidentally sent me the 5-inch analscope and when I alerted them, they immediately sent me the 8-inch version (and of course didn't request the return of the 5-incher). You can find almost anything you need there to lend your scene that authentic medical vibe.

SETTING THE SCENE

You can do a lot to create the right atmosphere even before your "patient" arrives. First off, you can set up your playspace with props to mimic a doctor's office, hospital bed or operating room -- see my DIY column on Creating a Medical Playspace. Picture where your patient will be given his or her exam, and move your lighting and props around to add to the medical atmosphere. Wiping down the exam table with rubbing alcohol -- or even dipping a few cotton balls in rubbing alcohol and leaving them out -- will lend that great doctor's office smell to your playspace.

Don't forget to dress for the occasion. You can find all kinds of naughty nurse uniforms online -- many in PVC, complete with red cross platform shoes and a hat. If you are playing a doctor or male nurse, a lab coat is a great prop. For all kinky medical providers, a stethoscope is a great prop. It's even better if you put in the refrigerator for a while beforehand (this wicked technique can be used with ALL your metal exam toys, especially speculums and analscopes).

When your patient is ready for his or her exam, lead them in with an impersonal manner and order them to fully undress. If you have one, a hospital gown with that oh-so-revealing back opening is perfect for your patient. Instruct your patient to lie down on the exam table and wait for the doctor/nurse. Then walk out and leave them alone for a few minutes to fully take in their surroundings and get into the patient mindset (plus it's authentic -- how many times have you spent countless moments in the doctor's office waiting for them to come in?).

THE EXAM

Once you come back in as the doctor or nurse, it's time to give your patient the exam. Start by having the patient sit up and breath and cough while you apply the stethoscope to the chest and back. It helps if you have a clipboard and some official-looking form you can use to jot down indecipherable notes while gravely saying "hmmm..." If your patient is male, take the opportunity to grab his balls with cool professionalism while ordering him to turn his head and cough. If your patient is female, be sure your hands accidentally brush her nipples while applying the stethoscope.

After the breathing exam, you can move on to taking the temperature, pulse rate, and blood pressure. You can use either an oral or a rectal thermometer, although I find the rectal one to be delightfully humiliating. At medical supply shops and online you can buy authentic, disposable thermometer covers -- or for the rectal ones, just slip them into a condom.

You can buy a basic blood pressure monitor at your local drug store for under $15 -- the kind with a cuff that inflates. Read the instructions to learn how to use it. For pulse, just press firmly against your patient's wrist vein and look at your watch for one minute while you count.

This is also a great time to use your tongue depressors and penlight (or small flashlight). Use a tongue depressor (you can also substitute popsicle sticks, which you can often get in bulk at craft stores) to hold down your patient's tongue while you have them say "aaah" or "mmmm" or "uncle." Shine the light in their eyes and ears, squeeze their lymph nodes (on either side of their neck), and generally give them a good going-over.

TESTING REACTIONS

Next you can move on to testing patient reactions. This is a good time to use the Wartenberg nerve wheel -- run it over the patient's sensitive areas and see if he or she reacts (bet you they will!). If you have a rubber knee hammer, hit the kneecap a couple of times until it jerks. See if the patient jerks if you hit other parts of the body, like the nipples or scrotum.

I often like to move from this into running a "test" using electrical equipment, either TENS or the violet wand. I repeatedly administer electric shock and then jot down my "notes" on the clipboard. Sometimes I pretend I am a mad scientist and I want to know how much pain my victim can take.

INTERNAL EXPLORATION

I like to really give my patients a thorough examination inside and out. There's nothing quite like the snap of a rubber glove as I put them on before shoving my lubed fingers up a rectum or vagina to feel around. I make sure to take my time and slowly palpate (the medical term for "feel") the internal areas, especially the prostate or g-spot.

This is also where a good speculum or analscope comes in handy. Again, medicaltoys.com has a great selection of these wicked-looking tools. To give your metal speculums and scopes that extra chill, put them in the refrigerator for a few hours or just dunk them in ice water before the exam. Brrr!

You can give your patient a truly authentic exam experience by putting him or her in uncomfortable, embarrassing positions during these exams. I find a great position is the one used in pelvic exams. Have your patient lie on his or her back on a table or bed, and then tell them to scoot their ass all the way to the edge while putting their knees up. For the final touch, I like to use a bright light to shine on the exposed area.

Another natural choice for your exam is to administer an enema. Hang the enema bag from a hook next to the table and fill it with warm (not hot!) water. Insert the enema tip into the patient's rectum and slowly let the water flow inside. When the patient absolutely cannot hold any more, you can give them permission to get up and use the bathroom. If you want to really humiliate them, make them leave the door open.

These are just a few ideas for an exciting medical scene. As always, use your own imagination and you'll find yourself planning some wickedly fun examinations!