Mrs. Pickens and Nurse Alcott

Mrs. Pickens and Nurse Alcott This is a re-write and an expansion of a older story : Mrs. Amanda Pickens

A Visit to the Doctor

The next day, Mrs. Pickens took Randy to his bedroom immediately after lunch, undressed him, and as promised, gave him another spanking for stealing and lying the day before. Then she put him to bed for the first of what would become his regular afternoon nap for the rest of the summer. At 2:30, she came and woke him up, pleased that to see that he had actually gotten some sleep. She then dressed him in a white, button-down shirt, a pair of navy blue shorts, and his dress shoes before driving him to the office of Dr. Elizabeth Richards.

It was a quiet afternoon and there was no one in the waiting room when they arrived. After checking in, they sat down and waited for a few minutes until an attractive woman in a white doctor's coat emerged and greeted Mrs. Pickens with a big smile.

"Hello Amanda. Why this must be Randy."

"Hello Beth. Yes it certainly is. Randy, say hello to Dr. Richards."

"Hello, Dr. Richards. Pleased to meet you."

"Likewise, Randy. Please come in. Nurse Susan Alcott will take care of the preliminaries while I finish up some paper work in the next room. I'll see you in about ten minutes."

Dr. Richards took them into an examining room where a nurse was busy pulling a fresh layer of crisp white paper over the examining table.

"Hello Susan," said Mrs. Pickens.

"Hello Amanda. So good to see you. Why this must be the Randy Coleman you were telling me about."

"Yes it is. Randy, say hello to Nurse Alcott. Remember what I said about your manners ..."

Randy blushed and stammered for a second before holding out his hand. "Hello Nurse Alcott."

"Hello there, young man. Amanda, you can have a seat here if you like. You might be able to help with some questions. I need to get some basic stats on Randy before Dr. Richards comes in, the usual stuff like height, weight, temperature, and so on."

"OK. Go right ahead. That's what Randy is here for. I want him to get a good thorough check- up. Don't omit anything you think necessary."

Nurse Alcott smiled. "Oh don't you worry about that Amanda. We're very thorough you know. And we certainly don't believe in pandering to bashfulness, if you understand what I mean." The nurse made a knowing face, looking Mrs. Pickens straight in the eye. "Why don't you have a seat and see how we do things here ?"

"Why, that's very kind of you," Mrs. Pickens said. She had had no intention of leaving but it was nice to be expressly asked to stay.

"Not at all. Doctor Richards makes a point of having elders present. We've found it to be very helpful in creating the proper atmosphere. And besides, sometimes our young patients can be a bit shy during examinations. After all, we have to take a good look everywhere, don't we ? And we need full cooperation for that."

"Well, I'm sure you'll have no problem on that score from Randy. Whatever needs done, just say so."

Mrs. Pickens sat down with a pleased smile on her face, though she tried to look stern. Nurse Alcott turned to Randy and said, "All right, young man, you heard what your aunt said. Let's start by taking off those pretty clothes of yours. I'm going to need you to undress."

With a look of apprehension, Randy asked Mrs. Pickens, "Do I have to, Aunt Amanda?"

"Young man, what did I tell you about following instructions promptly ? Miss Alcott is a nurse who has seen hundreds of boys undressed before. Now do as she says. You are to undress as she requested. Completely."

Turning to Nurse Alcott, Mrs. Pickens said, "Susan, if he gives you any trouble, feel free to give him a spanking. He responded beautifully to a spanking yesterday and I promised him he would be promptly spanked every time he disobeyed a grown-up."

"I'm sure that won't be necessary, Randy ... will it sweetie ?" A sly smile crept across her face as she turned his chin so he couldn't escape the import of her words or her twinkling blue eyes.

Randy began unbuttoning his shirt.

"That's a good boy. I knew you would be obedient for Nurse Alcott."

When he finally stood in just his undies, he hesitated for a few moments, looking anxiously at Mrs. Pickens as if hoping for a last minute reprieve.

"Come on, child. Off with those undies. That's how things are done here. How else can Nurse Alcott weigh you accurately and take your temperature ?"

Without realizing what she meant, Randy fretted for a few seconds before turning away. He pushed his underpants down and stepped out of them.

"My my, it looks like Randy needed a spanking earlier today." Nurse Alcott could not help but notice Randy's red bottom.

Randy whirled around, his hand covering his genitals in front as he realized his bottom was still quite pink.

"Yes, Susan. Sarah Kellerman caught him trying to steal two candy bars yesterday and Randy made things much worse by lying about it. He got two spankings in the back of her store, one from me and one from her, and I've told him to expect a daily spanking for the rest of the week. And he's also going to have to see Judge Henley sometime next week."

"I'm sure he's learning a good lesson, Amanda. Apparently he's overdue for a firm hand ..."

Nurse Alcott saw Randy trying to cover his private parts. She made a wry face and put his hands at his sides. "That's something we don't like our little patients doing in a doctor's office. No fiddling around. Only the doctor or nurse are allowed to touch patients in those places."

Randy turned a bright shade of red in the face. He had not been playing with himself, only trying to cover himself. But he didn't know how to say so. As a result of his embarrassment his penis began to stiffen. Nurse Alcott and his aunt noticed, but the nurse smiled indulgently and shook her head indicating it was not the moment to mention it.

"Come on child, up on the scale, that's it ... now stand still so I can weigh you. Good, ... hmmmm ... about 90 pounds. Good. Now let's see how tall you are ... five feet, 3 inch. He hasn't started growing much yet, has he?"

"No, Susan, he's a bit of a late bloomer in almost every way as far as I can tell."

"Yes, I don't doubt that, Amanda. But lots of teenage boys are quite immature for their true age. Why he hardly has any hair at all on his piddler, does he ?"

"No, I suppose not. But at least it's easier to keep the lad cleaner."

Nurse Alcott smiled. "Indeed so Amanda. And it's a bit cuter too, don't you think ? No nasty hair….."

Mrs. Pickens thought about it and came to the conclusion that Nurse Alcott was probably right.

"OK, child, please step off and come over here. I'm going to check your temperature now." Nurse Alcott announced. Sitting herself on a chair, she reached to a nearby table and opened a jar of Vaseline. Next she opened a thermometer vase and stuck the thermometer into the open Vaseline jar. Turning to Randy, Nurse Alcott patted her thighs and said, "Come on sweetie, we don't have all day. Over you go."

Randy burst out, "But I'm too old for that kind of thermometer, Nurse Alcott."

"Nonsense, child. This is the only thermometer we use for children here at Dr. Richard's office regardless of how old they are. It's especially appropriate for naughty children who still need regular spankings like you. Come along and stop fussing unless you want me to give your bottom something worse than a little thermometer."

Though Randy didn't move forward on his own, he allowed her to reach out and take him by the hand and draw him over her uniformed lap in the nursery position. He squirmed until she settled him down with a single smack.

"You can give him more than that, Susan. It looks like he's already forgotten today's lesson."

"I will if he fusses again, Sarah. He wouldn't be the first child who needed a spanking before accepting a bottom thermometer. But I don't think that will be necessary, will it Randy?"

"No...no ... Nurse Alcott," Randy stammered.

Nurse Alcott rubbed a generous dab of Vaseline over Randy's bottomhole and gently inserted the glass rod into his rectum while holding his bottom open with two spread fingers.. Randy tensed up his whole body as the thermometer was twiddled around.

"Relax, child ... just relax. This won't hurt at all." Nurse Alcott pressed the instrument in deeper and moved it in and out. "Why this thermometer is so small you can hardly feel it at all. It seems like he hasn't had his temp taken this way in quite some time, Amanda."

"Probably not since his mother died, Susan. But that's going to change. We're stopping off at the drug store on the way home to pick up some supplies for Randy. I think a new rectal thermometer is something I mustn't forget to purchase."

"Well done, Amanda. I'll give you a temperature chart so you can keep track of Randy's temp every day for the rest of the summer. Since he's going to be having afternoon naps, I suggest three readings a day: when you get him up in the morning, at nap time, and at bedtime. That way, you will notice the onset of any summer colds right away and can start him on aspirin or anything else he might need. Although he's fussing a bit now as can be expected, he will get used to a youngster's thermometer within in a few weeks. Some boys even seem to like it this way, if you know what I mean."

Although Randy's face was already red from being upside down, it turned redder as he realized what she meant. Despite his best efforts, blood had been flowing to his groin ever since Nurse Alcott began applying the Vaseline leading to a reaction he desperately wished would disappear. His penis had become stiff and erect.

Nurse Alcott had of course felt Randy's boy organ press up against her thighs, but she pretended not to notice anything. "What sort of pjs are you using for Randy, Amanda?"

"Just his regular ones, Susan. Why?"

"You might consider stopping off at Sears since they carry Dr Denton sleepers in Randy's size. I think they have them in larger sizes in the girls department but they fit boys just as well. The juvenile home finds that sleepers help a great deal with teens who are having trouble adjusting to daily naps or early bedtimes. They are more likely not to fuss when you put them to bed and more likely to stay in bed as well. I switched my Billy over to sleepers three years ago and he's much better behaved at bedtime. On days when he seems antsy, I put him into his jammies before dinner since they help calm him down. And if he's naughty on a weekend, he is put into his jammies right after a spanking and he stays in them for the rest of the weekend, even if I have company. You'd be surprised what a simple change of clothing can do."

"That's a wonderful idea, Susan. I'll make sure to stop at Sears on the way home."

"Ask for Betty Riley, Amanda. She's an old friend of mine who works in the children's clothing department and sometimes baby-sits Billy. I'll give her a call in a few minutes. What else? Oh yes ... If Randy ever wets the bed, you might also pick up a plastic sheet at the pharmacy. It will give you at least some protection."

"We've had no problem yet, Susan. And his father never mentioned anything about that."

"Fine ... fine. Nonetheless, even boys with no history of wetting sometimes develop a problem when placed in unfamiliar surroundings, especially boys who are immature to start with. As I mentioned earlier, you can always get diapers and plastic pants in Randy's size if needed at the pharmacy. Needless to say, it's a lot easier to do a load of wet diapers every few days than change the bedding every morning."

"I see what you mean. Nonetheless, I think I'll stick with Randy's new routine for now and see how he does. If he gives me any trouble, it might be necessary to try alternatives."

"Fair enough, Amanda. Well now ... let's see what Randy's temp is like. Good, good ... it's normal. Upsie daisey, young man. That's a good boy. ... Hmmm ... see what I mean, Amanda? Some boys don't seem to mind bottom thermometers after all, do they ?"

Her comment was directed as much at Randy as at Amanda Pickens and he blushed scarlet as he did his best to cover his erection.

"Does he play with himself much, Amanda? It's unfortunately one of those things many immature boys do at Randy's age."

"I really don't know, Susan. I haven't seen any evidence so far."

"Have you checked his bed sheets and underpants, dear?"

"Why no ... I haven't even changed the sheets yet. Randy's only been with us five days. And I won't be doing the wash till tomorrow afternoon. Randy, have you been bad like that? Tell Aunt Amanda the truth."

Randy shook his head, his face reddening once again as he felt two older women looking intently at his face.

"I would check anyway, Amanda. In my experience, boys never admit to doing it. It's important to nip it in the bud lest it lead to other naughty habits."

"Thanks, Susan. I'll check the laundry bag and Randy's bed when I get home. Young man, you'd better be telling me the truth, for your sake, or I will give you another spanking and put you to bed right away."

"You should also examine his penis regularly, in the mornings or after a nap. Sometimes you can find evidence of nasty habits. You understand what I mean ?"

Mrs. Pickens smiled at Nurse Alcott's directness. She found she liked discussing such things with her. "You mean stains ?"

"Oh yes. Boys can be so slovenly. They hardly ever clean up after themselves. Even after playing with themselves. You should look along the thighs and lower down, and of course on his penis. Especially since Randy isn't snipped, you should pull back the foreskin and check underneath."

"Every day ?"

"It's a good habit to cultivate. Randy should get used to being regularly examined by you or a lady doctor or nurse. And you must see to it that he can uncover the tip of his penis without difficulty."

"Yes, I suppose so."

"It will stand the child in good stead when he grows up. And it's quite necessary in terms of hygiene as you well know. Why if he ever picked up an infection on his penis he would be far off the worse for it."

"Yes, you are right. I should have thought of that myself. From now on that will be part of Randy's routine. Is there any special way it should be done?"

"Not really. But maybe we had better let Doctor Richards show you exactly how to do it."

"That would be grand. Oh I am so pleased Randy and I came by the office today. I would never have thought of that."

"That's quite all right."

Dr. Richards came in just then. The older lady smiled at Randy who was still standing undressed. She looked him up and down and seemed to nod in agreement with what she saw. Nurse Alcott briefed her on Randy's preliminaries and left to get Amanda three temperature charts, each covering one month. She came back and handed them to Mrs. Pickens.

The doctor started examining Randy and asked him some embarrassing questions about his red bottom. Then she listened to his heartbeat and lungs, tested his reflexes, looked in his ears and examined his throat.

When it became apparent that the doctor was to begin on Randy's genitals, Nurse Alcott mentioned Mrs. Picken's concerns about hygiene.

"Yes, I was going to bring that up anyway, seeing as Randy has a little something extra to take care of." The doctor was of course referring to Randy's foreskin. While she examined the boy's penis she continued to explain things to Mrs. Pickens.

"An uncircumcised penis is not necessarily more unhygienic than one that has been snipped, but," here she placed emphasis on her words, "It must be looked after and regularly washed and cleaned. I take it you don't have any experience in that area Mrs. Pickens ?"

"I'm afraid not."

"Well it's not all that difficult really. One must see to it that the skin is pulled back and the tip of the penis exposed." The doctor had Randy's stiff little organ firmly in one hand and with the other she deftly pulled downwards just under the rim of his tip and exposed the purple fleshy knob.

Randy let out a sharp gasp and winced. "Auuuuwww…." A tear rolled down his cheeks.

"Hush now child. That's no way to act in front of a doctor." Mrs. Pickens sternly admonished.

"Well," said the doctor with the ghost of a smile on her lips. "It does smart a bit the first time, and it is easier to do when the penis isn't erect. But I've found that's hardly ever the case. Boys will be boys."

Nurse Alcott and Mrs. Pickens couldn't help chuckling.

"It's a natural enough reaction. There's not much to be done about it I'm afraid. Besides, the stretching effect will be greater when done over an erect organ, even a rather small one such as Randy's. And it is necessary in terms of penile functionality."

Mrs. Pickens frowned. "I suppose so. But Randy won't be using his piddler in that fashion for a long time yet."

"No, there will be enough time later when he's all grown up. No hurry at all in that department. But even so it's never too soon to nip potential difficulties in the bud. I'd recommend a regular treatment of uncovering and stretching for Randy. Unless of course you'd prefer a little operation ? We could take care of that as well if necessary. We can do it here in my office. I remove his prepuce in the morning and by evening he could be back home. He might be sore for a week or so, but it's nothing out of the ordinary," Doctor Richards suggested.

Randy wasn't all too sure of what the grown-ups were talking about. But he heard the words 'operation' and started to sniffle.

Mrs. Pickens pretended to be thinking things over. "I'll keep your suggestion in mind Doctor. But maybe we'd better see how well we can get Randy's little thing in order first."

"Sounds sensible to me. But just remember that's you've got another option if necessary."

"I will. Thank you."

The doctor allowed Randy's foreskin to slide back. "And remember to wash the denuded tip with soap and water."

She pushed his penis to the side and felt his small scrotal sac, squeezing and pushing her fingers upwards. She took each small testicle between several of her fingers and rolled the tender ball around, feeling for any abnormalities. Aside from the unusually immature development she found nothing out of the ordinary. "Well, Randy seems to be in order down there, if maybe a bit underdeveloped for his age group. You haven't taken to shaving him yet I suppose ?"

Mrs. Pickens looked startled. "Shaving ? Why goodness me. The thought never even occurred to me."

Now the Doctor smiled. "Sorry. I must have expressed myself wrongly. I was referring to his pubic hair. Or lack of it rather."

"Oh no. Shaving is hardly necessary for the moment. I don't think he's grown any yet."

"I didn't think so either. That would be keeping to his stage of development any way."

"Do you think I should doctor ?" Mrs. Pickens asked. "I mean shave Randy's pubic hair when it does start to grow ?"

"Well, it is much more hygienic. It's a good habit to install in youngsters, especially boys. It's also a question of taste, of esthetics."

"I suppose it is nicer without hair."

"Well I find it to be the case as well, though it is just a personal opinion." The Doctor continued with her examination and felt along Randy's abdomen. She pushed here and there and asked him, "Child, does your tummy ache when I push here ?"

Randy winced and nodded. "A little bit…"

"When is the last time you had a bowel movement ?"

Randy hemmed and hawed for a few seconds before replying, "I don't know what you mean, ma'am."

"I'm sorry Randy." She looked at Mrs. Pickens. "Do you use any special words ? 'Do his business', 'number two', 'poop', 'go potty' ? I should have asked first."

Randy now flushed deeply, understanding all too well what the doctor was asking.

"Hmmm ... he seems to understand now. Well Randy ? When was the last time you went ?"

"I can't remember ma'am." He was frightened at what this questioning was leading up to.

"Well, a little constipated, are we?" The doctor stated. "Let's take a look, shall we ? Up on the table now. On your tummy."

Nurse Alcott helped Randy climb on to the examination table. She placed a small pillow under his hips, raising his bottom.

The doctor meanwhile took several things from a glass cabinet and laid them out. First she put on a finger cot and covered it with Vaseline. "I'm just going to feel inside your bottom, Randy. Now, when I say so, I want you to push down, as if you were on a potty. Understand ?"

He hid his head in his arms and sobbed. His voice trembled. "Y..y..y..yes ma'am….."

"Randy. You be a big boy now. This is no worse than a thermometer. The doctor isn't going to hurt you at all. She's just going to feel around with her finger. Do as she says now." Mrs. Pickens admonished.

Nurse Alcott stood to one side and opened the boy's buttocks, exposing his anus. She added a generous dollop of Vaseline as extra lubrication.

"Here we go Randy. Push for me now, darling … That's it …Just pretend you're going potty … "

Randy did his best, but even so he flinched and squirmed from the pressure of the doctor's finger. Nurse Alcott held him relatively still as the doctor inserted her digit into his bottom. She pushed it in deeply, twisting and turning to all sides. When she was satisfied she withdrew her finger and patted Randy on his quivering buttocks. "There we are. All over. That's wasn't so bad, now was it ?"

Randy thought otherwise but didn't know what to say. His bottom hurt and burned.

"It's a case of constipation all right," doctor Richards said. "Nothing serious."

"Perhaps it's the unfamiliar setting, Doctor," Mrs. Pickens volunteered.

"It could be, Amanda. I would wait another day, see if he won't go on his own. I doubt it though. I suggest you then try suppositories first or better yet, an enema."

"I was wondering about that, Dr. Richards, but I've never given one before nor do I have any equipment."

"It's really quite simple, Amanda. Nurse Alcott can help you with anything you need." The doctor said.

"I'd be happy to Amanda," Nurse Alcott said.

"Good." Doctor Richards smiled. "It looks like, a bit of constipation aside, Randy is a healthy little fellow. If you ever have need of me again, just give a call for an appointment."

"Oh, I will doctor Richards. Would it be best if Randy comes in for regular examinations ?'

"It would certainly be a good idea, Amanda. He may start developing more rapidly soon and we should keep an eye on his foreskin as well."

"All right doctor. Thank you for seeing us."

Mrs. Pickens turned to Randy. "Well child. Did you hear what the nice lady doctor said ? Everything's fine except for your tummy. But we'll fix that soon. And your little piddler as well. Now thank doctor Richards for her trouble. We'll be coming back soon."

"Th…thank you doctor…"

She shook his hand good bye and added, "It was nice to meet you, young man. Try to be good for Mrs. Pickens. You're lucky to have such a loving woman to look after you and keep you out of trouble."

The doctor left the room. Since the examination was over, Randy was allowed to dress while Nurse Alcott and Mrs. Pickens talked about the proposed enemas.

Nurse Alcott explained to Mrs. Pickens what she needed to treat Randy's constipation. "It's really quite simple. First you should start out with a suppository or two. Glycerin ones are very good to use on youngsters Randy's age. All you need for an enema is a bag with a hose which has a nozzle and a clamp at one end. You'll already have plenty of Vaseline for the thermometer. You fill the bag with warm water, add a tablespoon of liquid soap, put some Vaseline on the nozzle and on Randy's rectum, insert the nozzle, and unclamp it. The bag should be hung three or four feet above Randy. You can also use a squeeze bulb if you like, but then you'd have to insert it several times to get enough water and soap into his bottom. He can lay down on a table or go over your knee in the nursery position. It's best to let the solution work for a while before letting him get on the potty. If you want me to swing by and show you how it's done, I'd be happy."

"Would you really, Susan? That would help me a lot."

Ignoring Randy's pained expression, Nurse Alcott responded, "Not at all, Amanda. Is tomorrow around one fine ? I have the afternoon off anyway."

"Why yes, that would be perfect."

"Good. Now, I don't suppose you have everything at home ?" Nurse Alcott asked.

"I'm afraid not."

"Maybe you'd better stop off at the drug store on the way home. Here, let me write down what you should get." Nurse Alcott took a piece of paper and wrote a list of things. She gave it to Mrs. Pickens. "See you tomorrow then. See you too, Randy. Be good for Aunt Amanda, now, will you?" She ruffled his hair as she spoke and smiled so warmly at him that she elicited a little smile in return before Randy hastened out into the waiting room.

Turning to Mrs. Pickens, Nurse Alcott commented, "What a nice smile ... I knew he was a sweet boy, Amanda, as soon as he walked in. He's just not ready to be all grown up like a lot of boys today.

At The Drugstore

Mrs. Pickens dropped by Morris's Drug Store before heading home. She took Randy inside with her. They walked over to the counter.

"Why hello Amanda," said the lady behind the counter. "Hello there young fellow."

"Margaret, the same to you." Mrs. Pickens said. She glanced at Randy, raising her eyebrows.

"Hello, …. Ma'am…." Randy stammered.

Mrs. Pickens took the paper Nurse Alcott had prepared and gave it to the lady. "Could you help me with this ?"

The lady looked at the paper : "Enema bag, tubing, a set of nozzles, a squeeze bulb, suppositories …. Sure. Should be no problem. We have everything in house."

"Good."

"Well," the lady said. "Feeling a bit under the weather are we ?"

"Oh goodness no," Mrs. Pickens chuckled. "This is for Randy. We're just back from Doctor Richard's office. He's constipated and needs a good cleansing."

"I should have known. Boys are all the same. Holding everything up until they're constipated. Well, a regular enema certainly helps out in that department. Yes siree ….."

Mrs. Pickens nodded in agreement. "Nurse Alcott pointed it out for me. But I've never administered one to a lad like Randy."

"Oh no ? Well, I'm sure it will be a new experience for the both of you." The lady behind the countered sported a big smile. "Need any pointers ?"

"Why thank you for the offer Margaret, but Nurse Alcott will be coming by our place to help out. But if you've any recommendations I'm all ears."

"Well, I'd make sure Randy joins the 3H Club."

"The 3H Club ? Don't you mean the 4H Club ? And besides, I never heard of that particular club ……"

Margaret was already snickering. She leant over in mock confidence glancing conspiratorially to right and left. "The 3 'H's, Amanda. High, Hot and a Heck of a lot …. Know what I mean ? Ha ha…." She was pleased with her wit.

Mrs. Pickens couldn't help raising a eyebrow in astonishment. She had never known Margaret to go in for such kind of humor. But it was cute in a sort of way now that she thought about it. "The 3 'H's …. I must remember it. Well, that's certainly a good one."

"Isn't it ? But on second thought maybe Randy is a bit young." The lady looked pensive. "Best to take it slow and easy. Besides, I suppose Susan Alcott will know what to do. She's very knowledgeable about such things."

That was Mrs. Pickens' thoughts on the matter as well. She watched as Margaret fetched everything necessary. It was quite a collection : rectal thermometer, enema bag, tubing, a clyster bulb, packets of special soap, lubricating jelly, various boxes of suppositories, a bottle of glycerin, a box of finger-cots and an array of nozzles.

The last were in various sizes, ranging from very small to large. "Are all those nozzles necessary ?" Mrs. Pickens asked.

"Well, I suppose you won't really need the baby size."

"Yes, they are awfully small, aren't they ? Randy took the doctor's finger up his bottom without much trouble."

"Did he now ? My, that's very good for starters."

The lady then addressed Randy who was staring at his feet, red-faced with embarrassment. "A grown-up finger ? That's very good for someone your age. And how did it feel ? Nice and tickly I suppose ?"

Randy swallowed, not knowing what to answer. "I…I…don't ..know…ma'am…."

"Well don't you worry. You'll learn to like it quick enough." Margaret chuckled. Addressing Mrs. Pickens she conceded that the small sized nozzles were indeed not necessary.

The purchases were packed up and after settling the bill, Mrs. Pickens and Randy rode home.

Back Home

The rest of the day passed agreeably. Mrs. Pickens allowed Randy some time of his own in which he occupied himself with one thing or another : some reading or watching television, though of course Mrs. Pickens wasn't about to permit any excessive viewing. In her opinion there were far better things for Randy to occupy himself with.

The evening meal was exceptionally pleasant. She did not have to chide the youngster overly to eat everything on his plate, even though there was a cooked vegetable dish she was sure neither Randy nor any other boy of his age would normally relish. But it was healthy and she wanted to be sure his diet was balanced and adequate. She also wondered if perhaps an extra helping or two of legumes might not cure Randy of his little constipation problem. That's what she had been taught herself when growing up, though in all fairness she had to admit to herself that she rather enjoyed the prospect of Susan Alcott coming by tomorrow and helping her out with Randy's little bowel problem. Se was still quite pleased that she had taken Randy to the doctor's office for a check-up. It gave her a warm fuzzy feeling just thinking about the examination. Yes she decided, Randy would certainly have to go back on a regular basis.

After night had fallen she walked out to the porch for a while and enjoyed the breeze. Crickets were chirping away a mile a minute but otherwise the neighborhood was silent and quiet. Mrs. Pickens took a deep breath and closed her eyes, anticipating the morrow. Oh yes, she would take good care of Randy indeed.

In fact, it was time to get him ready for bed. She remembered the advice Nurse Alcott and doctor Richards had given her about keeping Randy's temperature chart. Maybe she should start tonight to get Randy used to the idea.

Yes, she decided. No use putting off till tomorrow what could be done today. And while she was at it, it would be a good idea to give Randy a good bath. After all, tomorrow she wanted him to be spanking clean from top to bottom. She put her hand to her mouth in surprise as she realized the mental pun she had made : spanking and bottom.

Oh my, she thought, taking care of young Randy was beginning to affect her in ways she had not thought of. She smiled wickedly as she walked back into the house.

"Randy," she called. "Come along now child. It's time to get ready for bed."

"It's still early," he tried to protest.

"We'll have no talking back. Understand ?" She gave him a stern look.

He realized that it was better not to talk back. "Yes aunty, I'm sorry."

This mollified Mrs. Pickens. "Good. From now on we need to take your temperature before going to bed. So we'll be starting your bed-time preparations a bit earlier."

Randy did not like this announcement. It showed on his face.

"No sulking now, do you understand child ? You heard what the good nurse and lady doctor said. We're going to keep a regular temperature chart from now on, starting tonight."

"Awww, I don't like that…."

"What did I tell you ? Your likes have nothing to do with it. No more complaining or I'll have to give you another spanking. Is that what you want ?"

"No ma'am ….." It took all his control not to start sniffling.

"I should think not. Now come along upstairs." Mrs. Pickens took hold of Randy's hand and led him up to the bathroom.

Inside, she turned on the light and closed the door. The purchases she had made at the pharmacy were already unpacked and standing neatly ranged on top of a low cabinet. The black enema nozzle attracted her for some reason and she could not help but pick it up and hold it up to the light. She ran a finger up and down its smooth surface and rubbed the tip between finger and thumb. She imagined inserting it up Randy's bumhole and shivered in anticipation. She was almost sorry she had accepted Susan Alcott's offer of help for the morrow, for she would very much have preferred to start on Randy's bowel cleaning right here and now.

But an engagement was an engagement and she wouldn't have wanted Susan Alcott to come by and find her trip had been for nothing. So she laid the nozzle back down. Glancing over the box of suppositories she unpacked the rectal thermometer she had purchased at Morris's Drug Store. It was in a plastic case and felt comfortably heavy and sturdy in her hand. Delicately she put the thick glass rod on a soft tissue. She unscrewed a jar of lubricating solution and cautiously dipped in a finger. Her tip was covered with a viscous clear liquid. She rubbed it around and held up the finger to her nose. She inhaled a delicate medicinal fragrance, something vaguely oilish yet scented with additional additives. It smelt fresh and yet intimate, not unlike baby oil.

Well, not at all inappropriate she thought to herself as she cleaned her finger on a towel. She sat down on the closed toilet lid.

"All right Randy. We're going to do this like in the doctor's office this afternoon. Pull down your pants and undies and lay down over my lap."

"Do you have to do it that way ? I don't like it like that …" Randy protested feebly.

"You're trying my patience. I do not want to hear one more word of complaint from you, do you understand child ?"

Randy hung his head and nodded. He knew it was no use if he insisted.

"Good, we're going to be using this thermometer for your bottom from now on and I will not hear any more back talk. This is the absolute last time. Understand child ?"

"Yes aunty…."

"Now off with those pants, come now…."

Randy loosed his trousers and let them drop to his ankles. His piddler was already stirring as he lowered his undies.

Mrs. Pickens noticed of course but said nothing, she knew that Randy would probably always be stiff whenever it was temp taking time. She simply spread her thighs a bit wider and pulled up her skirt. "All right, up on my lap now." She patted her thighs and waited as Randy somewhat clumsily tried to position himself. His stiff penis kept getting in the way as he tried to find a way of avoiding contact with Mrs. Pickens lap. It didn't work. Randy moved around and to and fro, but his stiff pecker wouldn't go away.

Mrs. Pickens tried to position Randy so his piddler was placed between her thighs. She guided him by the buttocks and when he was in a suitable pose she closed her legs. "There now child. Stop fidgeting now and lie still." She couldn't resist giving him a small smack on the behind, nothing hard mind you, just a slight tap as it were on general principle.

His bottom quivered and tensed up, buttocks locked together.

"Come now child. Enough of this foolishness." She took the thermometer and placed it in the jar of lubricating solution. "The sooner we get the thermometer up into your bottom, the sooner it will all be over."

There was no arguing the logic of that statement. Resigned, Randy tried to relax. He closed his eyes shut and waited with pounding heart. Mrs. Pickens used her left hand to spread his buttocks open, placing fingers on opposite sides of his crackline near his anus. She moved her fingers deeper into his cleft and spread the area around his small sphincter. It pulsed almost nervously.

She took the instrument in her free hand and placed it up against his hole. With a deft circling motion she introduced the glass rod into Randy's anus and pushed it deeper. It slid in effortlessly, a few drops of lubricating oil collecting around the pink poophole. Mrs. Pickens instinctively rubbed these into the boy's sphincter, pushing up against the glass shaft of the thermometer. She moved the instrument around a bit and inserted it yet deeper into Randy's rectum.

"There we are child. Now lay still while we get your temperature reading." She moved her hand away from his buttocks and instead of keeping them spread open wide, she pressed both clefts together tightly, almost hiding the glass rod of the thermometer from view. While she waited she alternated squeezing his bottom and letting it relax. She saw the instrument twitch around to and fro whenever she released her grip. She then took the opportunity to slide the rod in and out, burying it deep in his bottom afterwards.

Some five minutes passed in this manner, all the while Randy's stiff pecker pressing against her clenched thighs. When she opened his buttocks to move the thermometer, Mrs. Pickens pointedly studied the backview of his genitals, Randy's small undeveloped testicles residing in a pink scrotal sac. They looked so cute and tender and she had to resist the urge to give them a good squeeze. But that was not for now.

Reluctantly she retracted the thermometer and noted the temperature. It was normal as she had expected. Letting Randy stand up, she put the thermometer back on the tissue. She then noted the temperature in Randy's chart.

"Now that wasn't so bad after all, was it child ?" she asked.

"N.. n no." Randy wasn't very convincing but Mrs. Pickens let it pass. He would get used to the procedure soon. At three times a day how could he not ?

"Now it's time for a bath. We need you good and clean for tomorrow when dear nurse Susan comes by to help with your enema."

Randy had almost forgotten about the promised enema. Wisely he said nothing.

"Undress now while I draw a bath." She opened the faucets and watched Randy as he removed his remaining clothes. The hot water cascaded into the tub as she added several squirts of liquid bubble bath. She always liked watching the white frothy suds build up and concluded that youngsters would as well. Soon a pleasant soapy fragrance filled the bathroom.

The bath full, she had Randy step in. She allowed him to soak for a while as she contemplated what was in store for the youngster. The temperature in the bathroom had risen considerably and she was uncomfortably hot in all her garments. Wondering if she shouldn't just open the bathroom door, Mrs. Pickens decided that a draft was not welcome while Randy was being washed. Instead she decided to remove her blouse and skirt deeming it hardly unbecoming for a nephew of Randy's age to see her in a state of partial undress. Besides, her cream colored undergarments, a stout brassiere, chemise and slip did not reveal much at all. But she felt better and less hindered in her movements.

She would discuss the propriety of such things with Susan Alcott tomorrow she decided. After all, she could not very well remain fully dressed whenever Randy was about and certain chores, such as bathing and potty supervision could not always be conducted optimally otherwise. Yes she decided, there was no use in clinging to notions of overly stringent prudishness on her part.

She had Randy stand up as she washed him carefully from top to bottom. She took care to wash his genitals in the manner demonstrated to her by doctor Richards. She pulled his foreskin down as far she could and washed the tip of his pecker with soap and water. Randy squirmed and fidgeted, clearly very sensitive in that part of his anatomy. Then she made sure that all traces of lubrication was cleaned from his anal area. She soaped the washcloth and scrubbed all along the cleft of his buttocks, pushing into his bottom as well.

When she was finished with Randy, she had him step out of the bathtub and dried him off. She gave him a big fluffy bathrobe to wear as he brushed his teeth. She then checked his fingernails and toes and trimmed them where necessary. Gathering a few items she took Randy to his bedroom. It was now time to put him to bed.

Mrs. Pickens took the bathrobe and smiled at Randy. She placed a towel on his bed and patted it delicately. "Up we go child, time for the bed bugs to bite. But first we're going to put on your night nappy."

"Do I have to aunty Amanda ?" Randy asked. She would have been vexed at this question had not Randy asked it in such a plaintive voice.

"Yes I'm afraid so child." She placed a hand over Randy's naked belly, pressing inwards with her fingers. "What if you had an accident in the middle of the night ? You haven't done your poopy for several days. You don't want to make a mess in your nice clean bed, do you ?"

"I'd never do that aunty. Promise." He pleaded.

Mrs. Pickens chuckled at his feeble attempt. "I'm sure you'd never do so on purpose. But we can't take any chances, now can we ? Besides, it might be a good idea if we make a habit out of putting on a night nappy. We never know what might happen, do we ?"

"Please aunty ? I'll be ever so careful."

"Well, we'll see," she conceded in form though not in intent. "We'll discuss this with nurse Susan tomorrow. First we've got to get you cleaned out so you can go potty regularly again, like a grown-up boy."

"Yes aunty….." He didn't like the verdict but wisely didn't insist.

"Don't you worry. Lots of boys and girls your age still wear night diapers. It's nothing to be ashamed of. Now up we go, on your back child."

Randy crawled onto his bed, placing himself on the towel. Mrs. Pickens took a flask of talcum powder and a clean fluffy diaper.

"Pull your legs up in the air now child, that's it." She took hold of his ankles and lifted his buttocks up. With her free hand she placed the cloth on the bed under Randy's hips. She let go of the boy's ankles but told him to keep his legs up to his chest. Hugging his thighs, Randy wondered what his aunt was about to do. Stick something else into his bottom ? He hoped not.

Mrs. Pickens re-arranged the diaper so that it was suitable placed. Then she opened the can of baby powder and sprinkled a good amount on Randy's bottom, thighs and over his belly. She spread it about with her fingers, working a good amount into his anus and around his genitals. She rubbed it into the scrotal sac and spread it over his piddler. It was still stiff of course, but Mrs. Pickens hadn't expected any less of the lad.

She added a bit of baby talcum onto Randy's diaper for good measure and had him stretch out his legs. She made sure there was enough talcum in the creases of his groin and around the edges of the nappy as she pulled it up and around his belly and bottom. She noticed that his penis was securely pressed up against his belly, since still in erection she could hardly tuck it away between his thighs as she believed it should be done. She nodded to herself thinking that a diaper was not only a good precaution against night accidents, but also a good measure to keep the boy from any naughty fiddling with his piddler. "There we are, now isn't that nice and soft on your fanny and tummy ?"

It did indeed feel nice and soft on Randy's bottom and thighs, but he was still too embarrassed to experience it as such. After a few nights thusly attired he would of course come to expect a diapering as the norm but this first time he was not all that appreciative.

Not expecting an answer, Mrs. Pickens rubbed his belly under the diaper a last time, encountering his prick. She smiled at her nephew. "See ? You're all snug and warm. Now let's just get the rubber panties over your nappy and we're all set for beddy bye bye."

The panties were made of a clear plastic material actually, much like a bathcap, but Randy paid no heed to the difference. He just wanted to get under the blankets as soon as possible and be relieved of his aunt's attention.

The panties were pulled up around his bottom, encasing the diaper snugly and firmly. Elasticized hems enclosed his thighs. Finally he was allowed a pajama top and told to crawl under the blankets.

"Now you go quickly to sleep now child. We have a lot to do tomorrow and we want you rested for nurse Susan's visit. Understand ?"

Randy nodded, not looking forward to the morrow.

"Good, now give your aunty a goodnight kiss."

Having finished the nightly ritual, Mrs. Pickens stood up and turned off the light in Randy's room. She closed the door and went downstairs, eager for tomorrow's chores.

 

 

Nurse Susan Alcott Comes to Help Out

The day dawned bright and early, the landscape awash in cheerful sunlight. Birds were chirping outside Randy's bedroom window as his aunt Amanda came to wake him up. As he was slowly coming from a deep sleep, Mrs. Pickens pulled the blanket down and checked Randy's diaper. At first glance it did not appear to be soiled. Well that was a good start at least.

The morning passed by quickly. Mrs. Pickens finished her chores and cleaning every now and then cheerfully reminding Randy about nurse Susan's impending visit. The boy was not so eager for one o'clock to roll around.

But come it did, inevitably and right on time. Randy and Mrs. Pickens had just finished lunch when they heard a car drive up. "That must be nurse Susan," Mrs. Pickens unnecessarily announced. "Come along and say hello Randy."

He followed his aunt with a leaden heart.

The two ladies greeted each other in the front yard. Susan Alcott was carrying a large bag with her. She came up to Randy and tossled his hair. "Well hello there darling. How are you feeling today ? Have you been able to go potty yet ?"

Randy shook his head and looked down.

"Well not to worry sweetie. That's why I'm here. Nurse Susan will fix you up just Jim Dandy."

Mrs. Pickens watched on in approval. She placed a hand over Randy's shoulder. "I'm sure Randy can't wait to get started. Shall we all go inside ?"

Out of politeness Mrs. Pickens set a pot of tea for herself and Susan Alcott. Randy was allowed a glass of lemonade. The two ladies sat around the kitchen table while Randy took his drink in front of the television.

"Well," asked Susan Alcott, broaching the business she had come for. "Are you still set on giving Randy an enema for his constipation ?"

"Oh yes, Susan," Mrs. Pickens enthusiastically answered. "Quite so. I don't see any other solution except to wait. And I don't think that is advised."

"Indeed not Amanda, indeed not. It's best not to let such things get out of hand. I predict this won't be the last time Randy will need some helping along with his potty."

"I suppose not. Though I must confess that last night I was concerned he might have a little big accident."

"How so ?"

"Well I thought it best to put a on night nappy, in case he might have needed to do his business in the middle of the night."

"Oh, I see…." Susan Alcott chuckled. "Well it wasn't necessary, was it ?"

"Not at all. He was clean and spotless this morning. But I still want to continue diapering Randy when he goes to bed. Do you think that's a good idea ?"

"Oh by all means. I was going to suggest it myself if you hadn't brought it up. It certainly can't do any harm to the boy. But it mustn't be an excuse to become lazy if you understand what I mean. He mustn't come to regularly avail himself of his diaper unless in emergencies or when he is required to do so. You should be strict about that."

"That sounds like a good idea. But when should he be required to go in his diaper ? I always thought the idea was to prevent it as much as possible."

"Certainly, you mustn't encourage it by any means, but every now and then can do no harm, for instance as punishment for a minor infraction or such."

"I see," said Mrs. Pickens pensively.

"But nevertheless," Susan Alcott continued with a prim and knowing smile on her lips, "Every now and then you should let nature take its course, let Randy experience how unpleasant it is."

"That's a novel thought, but I see the intent. How often should this be done ?"

"Oh, once or twice a week I would say. It might even be best to announce these training occasions to Randy beforehand, to let him accustom himself to the procedure."

"Really ? That sounds interesting and useful."

"It is, believe me. But shouldn't we be starting soon ? I'd like to give Randy a quick check-up before we start on the enema. And it might be best to start with some suppositories first and those take about 30 minutes to activate."

"I had no idea it was such an exhausting process."

Susan Alcott chuckled. "Well it's not, not if all he's getting is an enema. But this first time I want to be thorough and explain everything to you in detail. And we should take his temperature as well before starting."

"Good, I've already done his morning temp."

"Was it elevated ?

"Oh no. Quite normal. It will probably be the same now."

"Probably," Susan Alcott agreed. "But even so you shouldn't upset the schedule."

Mrs. Pickens chuckled. "I wasn't planning on doing that. Believe you me."

Susan stood up and placed a hand on Mrs. Pickens shoulders. "Oh I certainly believe you Amanda. Absolutely. I can tell you have Randy's health and well-being foremost in mind."

Mrs. Pickens smiled at the compliment. She called to Randy, "Come child. Nurse Susan is ready now."

Reluctantly and with his heart a flutter, Randy went to his aunt. He stood looking at both ladies hoping for some sort of reprieve. None was forthcoming.

"Up we go to the bathroom." She took his hand and together all three walked up the stairs.

Susan asked for the blinds to be drawn in the bathroom. It was not out of modesty or to prevent prying eyes she explained, but rather to create the proper setting. She wanted Randy to relax as much as possible. "And he'll have to undress as a matter of course anyway," she explained.

"You heard nurse Susan," Mrs. Pickens said to the boy. "Let's get those clothes off."

Randy complied, aided along by the ladies' watching eyes. Mrs. Pickens put his garments in the hamper as he removed them one by one. First however she turned his undies inside out and examined them carefully for stains. Nurse Alcott took a careful look as well, causing Randy to blush. Neither lady found anything out of the ordinary.

"Well, let's take a quick look at you, shall we ?" Susan said to the lad. He was standing in front of her in his birthday suit, hands trying to unobtrusively cover his genitals. He was beginning to stiffen and couldn't do much about it.

"I'm sorry Susan. I don't think there's much I can about that." Mrs. Pickens said nodding in the direction of Randy's erection.

"Oh that's all right. It's only natural and can't be helped. Besides, it's polite for a young gentleman to stand up when there are ladies in the room ……" She chuckled at her outdated witticism and Mrs. Pickens joined in. "Besides, he'd better get used to exposing his intimate parts. There's no other way to take care of many health problems otherwise."

Mrs. Pickens concluded that Susan Alcott was correct of course. It was just that hadn't had much experience in these matters yet.

"Now Randy, I'm going to feel your tummy before we start. Come a bit closer to me." Susan Alcott sat down on the toilet cover and opened her legs. She pulled Randy in between her thighs and placed him sideways, then she enclosed him.

"There we are. Now don't wiggle or fidget. I'm just going to press into your tummy here and there, all right sweetie ?"

Randy couldn't do much other than timidly nod, his head hung downwards.

Susan placed one hand over his buttocks and the other she used to press into the boy's abdomen at various places. She used two fingers held together to probe here and there. A natural reaction for Randy was to try and move backwards, but he was held firmly in place by both Susan Alcott's thighs and her hand on his bottom. The result was that he bent over backwards somewhat, jutting out his lower torso. His prick stuck out even more pointedly, which Susan and Mrs. Pickens didn't fail to notice. It was almost as if he were showing off. Both ladies thought it ever so cute.

Susan moved her hand about, nodding to herself. "Well young fellow, it's obvious. You haven't been able to poop yet, have you ?"

"No ma'am," Randy murmured looking away.

"Amanda, would you care to feel Randy's tummy, so you can do this on your own if necessary ?"

"Why certainly," Mrs. Pickens responded stepping up closer.

Susan took Mrs. Pickens hand in her own and guided it over various places on Randy's abdomen. She told her to press here and there and commented on what she was supposed to feel. Every now and then one of the ladies' arms or hands brushed against the tip of Randy's penis. Neither commented or pretended to notice the stiffness of his organ.

"Well I don't think we should put off Randy's enema any longer. You can feel how hard some parts of his tummy is, that's were there is a stoppage or blockage of sorts. There's a backup of matter that we must get cleaned out."

"Is it serious ?" Mrs. Pickens asked.

"No not really, at least not at the moment. But I'm going to proceed slowly and gently this time all the same. We'll start Randy off with a few suppositories and see how he comes along. We might get his bowels moving with those. We'll see."

"Fine, whatever you say Susan." Mrs. Pickens stood back and smiled in anticipation. She had had no intention of passing on today's bowel cleaning session for Randy. She found her stomach curiously a flutter as she contemplated what Randy was in for this afternoon.

"Have you his thermometer and some lubrication ?" Susan asked. "Let's get that done first."

"Here we are Susan," Mrs. Pickens handed the instrument to Susan Alcott. She opened the jar of lotion and placed it within reach.

Susan Alcott had Randy bend over forwards so that his behind was exposed. Dipping the thermometer in the jar, she then inserted the instrument in the lad's anus, twirling it around and moving it to and fro confirm to tradition. As she waited for the temperature to register, she talked to Randy.

"I'm sure you're going to be a big fellow for me and do everything I tell you to, right Randy ?"

"Y...y...yes ma'am." Randy wasn't very talkative at the moment.

"That's fine. You'll feel ever so much better in your tummy after you go to the potty."

Randy daren't say that he didn't feel any discomfort in his tummy. He just lay still and tried not to think what the upcoming treatment would entail.

"Don't you worry Randy darling. Nurse Susan is going to take good care of you." While talking she pressed up against Randy's back and twiddled with the glass rod. She couldn't help but notice that his penis twiddled back against her thighs. She smiled.

After several minutes she withdrew the thermometer and noted the temperature. It was normal as she had expected. Mrs. Pickens noted it in Randy's temp chart.

"Well now. I guess it's time to start with the suppositories. Ready Randy ?" Susan asked in a bright and cheery voice. Not waiting for an answer, Susan stood up and took several of the foil wrapped cylinders.

"Let's do this in Randy's bedroom, shall we Amanda ? He'll need to lay down for about 30 minutes or so after I insert the suppositories. He might as well be comfortable in the meantime."

"Fine," said Mrs. Pickens. "Whatever you say."

"I'll take the lubrication lotion and things along. Have you any nappies for Randy ? We'll be needing one of those too."

"There are some in the bedroom." Mrs. Pickens wondered what Susan was going to do with a diaper. Whatever it turned out to be, she was sure to approve.

"Fine. Shall we go then ?"

Smiling the two ladies led Randy to his bedroom. Susan Alcott drew the curtains and looked around the bedroom. She first placed a large towel over the lower part of Randy's bed and then told him to lay down on his back. "Pull up your legs Randy while I get the suppositories ready."

Meticulously, Susan Alcott unwrapped two suppositories and placed them on a clean tissue. She unscrewed a jar of lubrication oil and a second bottle of a thick liquid. She looked at the small array with obvious anticipation.

"All right, a little explanation first. We're going to give Randy two suppositories to start with. One is with glycerin and the other is of various ingredients, a mild irritant and essences. We're going to insert these up into Randy's bottom as far as we can and then we're going to wait until they start to work."

Randy did not like what he was hearing. His mouth fell into a grimace of apprehension.

"They won't hurt at all. After a while you will probably feel like you have to go potty. But I want you to try and wait until I say so. Do you think you can do that Randy ?" Susan Alcott asked.

"I...I…I don't know."

"Sure you can. Just try and hold everything up for as long as you can. But just to make sure you haven't any little accidents, we're going to put on a nappy. All right ?"

It wasn't all right by Randy of course and neither of the ladies expected the boy to say so. They just smiled and chuckled as they saw his discomfort.

Susan dipped a finger into the jar of lotion. "This is just to open his bottom a bit," she announced.

Mrs. Pickens smiled back and nodded.

"It's best to get Randy's legs up in the air and on his chest. That's the best way to get at his little hole. Amanda, could you help out by guiding him by the ankles ?"

"Of course," the older lady said. She now had two free hands, one for each of Randy's ankles. She placed Randy as Susan instructed, forcing his buttocks up in the air.

Susan Alcott started by rubbing her finger into the boy's anus. It was somewhat dilated from the thermometer already and when she pushed she slid in easily, even though she felt Randy tense his anal sphincter. She pumped in and out a few times and then withdrew.

"OK, here we go with the first suppository," Susan announced. She lubricated the cream colored cylinder and pressed it up against Randy's bumhole. It was less large around than Susan's finger and easily slid into his rectum. Susan's finger followed and she squirmed and pressed upwards, pushing the suppository as far up the boy's rectum as she could.

"There, now that wasn't very horrid at all, now was it sweety ?" she asked Randy as she prepared the second cylinder. "Here comes the second one."

The next suppository slid in even more easily, the greased sphincter opening and closing around the object and digit with ease. Susan pushed it up deep into the lad's anal cavity. She could discern the first suppository nestled in the folds of the intestinal walls. For good measure she dipped her finger into the glycerin liquid several times and inserted it into Randy's anus. The glycerin was a mild irritant and soon Randy felt a sensation in his bowels that was a mix between warmth and tickling.

He squirmed. "Ohhhh ….. I have to go…ohhh…"

Susan Alcott laughed and playfully tapped Randy's bottom. "Hush now silly child. It's much too soon for anything to be working yet. That's just the glycerin you're feeling. It will soon go away."

She indicated that Mrs. Pickens let Randy stretch his legs out. The ladies placed a nappy underneath the squirming boy and fastened it with safety pins.

"There we are. Now you can rest for a while Randy. Try to hold everything up for as long as you can. We'll be back in a little while to check up on you. All right ?"

Randy nodded, keeping his legs pressed tightly together. He wasn't sure he would be able to wait. But thankfully even before the ladies left his bedroom, the burning sensation was beginning to fade. He still felt a presence in his tummy but it wasn't unbearable yet.

The ladies told Randy to try and nap a bit. They closed the door to his darkened bedroom and left the boy behind in his bed.

Susan Changes into Nurse Susan

Outside in the hallway Susan heaved a hopeful sigh. "Well that went rather well for a first time."

"Do you think so ?" Mrs. Pickens asked.

"Oh yes. I've known other patients to bawl and carry on like you wouldn't imagine."

"Really ? What does Doctor Richards do in that case ?"

"In the doctor's office the patients are usually on their good behavior. You know how it goes. But back at home they can be quite the cry-babies."

"At home ? I didn't know doctor Richards did house calls ?"

Susan Alcott lifted her eyebrows conspiratorially. "That's right, she doesn't normally. But I take care of a few special patients on my own now and then."

"My goodness. You must have your hands full."

"You could say that I guess. Still, it's gratifying work taking care of youngsters. Cry-babies and all…." Susan chuckled.

Mrs. Pickens smiled back knowingly. She was glad that Randy had been relatively well- behaved so far.

"While we're waiting for Randy's suppositories to work, I'd like to change if you don't mind. I've brought my nurse's outfit along." Susan asked.

Mrs. Pickens arched her eyebrows. Somehow she liked the idea of Susan changing into nurses clothing. It would certainly make the proper impression on Randy. "Change ? Why certainly Susan. I'll let you use the bathroom."

"You know, it might get a bit messy in there while we're taking care of Randy. Do you think I could leave my clothes somewhere else ?"

"I've only a storage room upstairs I'm afraid. But you can use my bedroom if necessary."

"Fine. Hold on a moment while I get my bag." She went into the bathroom and came back out with her bag.

Mrs. Pickens opened the door to her bedroom down the hallway. "Here you go Susan. I'll wait outside while you change."

"Don't be silly. Could you show me where to hang my things ? I wouldn't want to put anything out of order." Susan stepped aside indicating she wished Mrs. Pickens to enter first.

Susan Alcott took in the room and furniture with an approving eye. Everything was clean and neatly arranged, the bed made up. "How tasteful." she commented. "This is what a lady's bedroom should look like."

"Thank you. I do my best." Mrs. Pickens went to her wardrobe and took several clothes- hangers. "Will these do ?"

"Fine, fine. I'll only be a minute." Susan had already unpacked a white nurse's frock. She put it on the bed. Without turning around she began undressing, unbuttoning her blouse and lowering her skirt.

Mrs. Pickens couldn't help but look in Susan's direction. However she tried to avert her eyes. Susan Alcott had expected this and from past experience knew how to act and what to say to put others at ease. She continued disrobing as if it were nothing out of the ordinary and handed her blouse to Mrs. Pickens, thus requiring the older lady to approach her more closely. "Thank you Amanda. If you hand me another hanger I'll do my skirt."

Mrs. Pickens smiled nervously. Instinctively she might have averted her gaze but she recognized from Susan Alcott's demeanor and manner that was not was expected of her. Pretending to be unconcerned about Susan's disrobing she did not look away. Mrs. Pickens was however somewhat startled when Susan lowered her knickers and panties, but left her garter and nylons in place. Susan placed her undies on the bed and bent her arms back, trying to unfasten her brassiere. She fiddled around, pretending to be maladroit. She sighed and turned around with her back towards Mrs. Pickens.

"Oh be a dear will you Amanda. Could you help me with these hooks ? They are always such a bother to loosen." At home on her own Susan had little trouble of course, it was only in the presence of certain people that she put on this little show.

Mrs. Pickens was not fooled, she herself having employed this gambit several times in her youth as well, be it with members of the male sex. She wrinkled her nose in distaste at the remembrance. Now however she had to admit she was finding the circumstances more pleasurable. Her hands were a tremble as she tried to unfasten the small and dainty hooks. She needed some slack and had to take the brassiere strap in her hands and pull the elasticized material towards herself. In doing so, her fingers could not do otherwise than pass over Susan's bare flesh. It felt warm and soft and Mrs. Pickens breathed in the intimate female scent of the nurse's body. She shivered and had to restrain herself from caressing Susan's shoulders. As it was, her hand rested on Susan's skin for longer than was necessary. Susan Alcott too stood in front of Mrs. Pickens for a longish while, gratefully removing her brassiere and tossing it aside on the bed.

"Oh my, that feels ever so much better." Susan Alcott turned around and smiled at Mrs. Pickens. She stretched her arms and shoulders to the side, jutting her breasts outwards.

Mrs. Pickens could not divert her eyes, though for propriety's sake she felt she should have. Instead she noted Susan's relatively large and well formed breasts and the dark reddish brown nipples. They stood out prominently against her pale flesh. Susan placed a hand under her breasts, cupping them upwards. "What do you think Amanda ? Still looking well enough for my age ?" Susan chuckled.

Mrs. Pickens looked flustered and pretended to cough. "Oh my, certainly ….. yes indeed… but I'm sorry. I didn't mean to stare."

"For goodness sakes Amanda. There's only us girls here. Go right ahead, I don't mind."

Now Mrs. Pickens was really flustered. Susan Alcott was purposely exposing herself to the older woman and yet she found the sight attractive in some vague manner.

"Yes, well ….. I mean…" Mrs. Pickens tried to look away. She lowered her head and found herself looking at Susan Alcott's pubis. There was something odd about that part of Susan's anatomy. Then Mrs. Pickens realized that Susan had shaven her pubic hair. It was an unusual sight but quite riveting.

Susan followed Mrs. Pickens line of sight and looked downwards at herself. She rubbed her pubis playfully, "I know, I shave it regularly. How do you like it ?"

How indeed ? In all fairness Mrs. Pickens was not prepared for such a sight, nor had she expected that Randy's enema session would entail this little side-show of Susan Alcott's naked body. It was all enthralling in a manner that the older lady did not quite comprehend. But she kept on looking nonetheless.

"Oh Susan, I'm sorry. I shouldn't be so nosy."

"Nosy ? Why whatever do you mean Amanda ? I undressed myself you know. And you couldn't very well look past me, now could you ?"

Mrs. Pickens smiled. "I suppose not…."

"But anyway, how do you like it ?" Now Susan opened her legs a bit wider. There was indeed no pubic hair to be seen on her inner thighs nor around her labia, which were quite prominently full. Because of the lack of hair, they looked quite youthful, charmingly pinkish in color and softly rounded, as if they had been stretched taut.

Mrs. Pickens tried to recover her composure, especially now that Susan Alcott had made it abundantly clear that she welcomed being looked at. "It's certainly an eye-catcher."

"Isn't it ? And so soft and smooth. Would you like to feel ?"

Mrs. Pickens thought that Susan was making a joke, but realized she wasn't when the nurse took hold of her hand and guided it between her shaven thighs. She briefly felt the hairless vulva, a shiver of unexpected delight shuddering along her body.

"Nice isn't it ? And it's ever so much more fun on those lonely nights, if you know what I mean….." Susan chuckled in confided merriment. "I don't suppose you shave, do you Amanda ?"

"Oh no … well I mean not there." Of course she kept her underarms and legs free of hair, but had never considered doing her genitals as well.

"You should try it sometime. If you like I could give you a hand."

"I'll think about it …." Mrs. Pickens answered. She really meant it, but for the moment daren't come right out and say so even though she was sorely tempted.

"Well, keep it in mind Amanda. We can always set up an appointment."

"Yes, I think that would be a good idea Susan."

"Fine, now let me get my frock on. I think it's time we took a look to see how Randy is doing."

Mrs. Pickens agreed wholeheartedly. She watched Susan put a white medical frock over her head and pull it into place. Susan made no move to put on any undergarments, though she did retain her nylons and garter. She made for quite a sensuous figure, even though Mrs. Pickens wasn't accustomed to thinking of female bodies in those terms yet.

 

 

In Randy's Bedroom

When the two ladies entered Randy's bedroom, Mrs. Pickens felt herself more composed. She was still somewhat flushed in the face from Susan's quite obvious flirtation. In any case she was now back as Randy's aunt and would comport herself accordingly.

Randy was awake. He looked at the two ladies with an uncomfortable expression on his face.

"How's my sweetie coming along ?" Susan Alcott cheerily asked as she ruffled the boy's hair. "Have you started to feel anything in your tummy yet ?"

Randy had indeed felt quite a lot by this time. In fact, not being used to irritant suppositories, the lad had not been able to retain them in his bowels for long. They burned and churned and caused a very bothersome feeling inside of him. He had tried to refrain from expelling the suppositories but he had not succeeded. It was indeed fortuitous that he was wearing a diaper. If not, he would not have known what to do. To be sure he had only passed the remnants of the suppositories and nothing else, so he hoped the ladies would not be upset.

"I think the pills came back out. I'm sorry, I couldn't help it ……"

"Well, let's take a look, shall we ?" Susan pulled down the blanket, exposing Randy's diaper.

The boy turned his head to the side, avoiding Susan's eyes as she unfastened the nappy. He was turning an embarrassing shade of red as the older lady spread the diaper open under him.

There were two smallish objects laying in the folds, the remains of the glycerin suppositories, both much diminished in size. Randy had apparently not been able to retain them. Susan was not surprised and certainly not annoyed. In her experience, youngsters getting a first time bowel cleaning such as Randy, were both a mite too apprehensive and too inexperienced for them to appreciate the procedure and to be able to cooperate wholeheartedly. They also tended to be overwhelmed by the various manner of urges and feelings that accompanied such a thorough and invasive cleansing. For instance at the first signs of a possible bowel movement, they tended to give in to the impulse, hence the prematurely expelled suppositories.

"My my, Randy. Couldn't you hold them up until we came back ?" Susan asked.

He timidly shook his head.

"Well it's all right this time, we'll insert a few more. But you're going to have to learn to control your bowels better than this. Do you understand ?"

He nodded with a quivering lip.

Mrs. Pickens looked on approvingly. "Remember Susan, if you deem it necessary you have my permission to give Randy a spanking any time you see fit."

Susan patted Randy's naked bottom reassuringly. "Why thank you Amanda, but I'm sure Randy will do as we tell him. Won't you sweetie ?" She gave yet another playful tap, emphasizing that she could just as easily have given him a nice hard whack instead.

"Yes ma'am ….." Randy's voice was a bit shaky.

"All the same Susan, if you feel there is any reason at all, don't hesitate."

"I won't, rest assured. In any case, Randy needs another set of suppositories. Would you like to insert them Amanda ?"

Mrs. Pickens would have liked nothing better. But she thought it polite to appear reluctant. "I don't know Susan. I've never done this before…." Her voice petered out in a hopeful tone. It was clear Mrs. Pickens was not disinclined.

Susan Alcott knowingly insisted. "I really think you should Amanda. After all, this will hardly be Randy's last bowel cleaning, will it ? You should better become proficient with the procedure."

Those were Mrs. Pickens' exact same thoughts on the matter. But she preferred having someone else make the observation. "I suppose you're right. What should I do ?"

"For the moment two suppositories should be sufficient. Slide them up as far into Randy's bottom as you can reach with your finger. Maybe you'd like to slip on a rubber finger-cot first ?" Susan handed Mrs. Pickens one of the small latex sheaths. The older lady put it on her index finger. "Now unwrap the suppositories and dip them in the lubricating solution. Then do the same with your finger."

For some indescribable reason Mrs. Pickens felt a warm surge of anticipation flow through her insides and bosom. How odd but yet how pleasant. And to think she hadn't been looking forward to taking care of Randy in this fashion.

Susan Alcott lifted Randy's legs up onto his chest, baring his bottomhole. "Up we go…."

Mrs. Pickens placed a first cylinder up against the lad's little bumhole. It entered easily. Her finger followed, pushing the object up into Randy's rectum. She could clearly feel his sphincter close around her finger, it pulsed and contracted upon itself, holding her finger in an oddly intimate grip. Yet at the same time she could feel Randy's bowels trying to expel the intruding objects. Mrs. Pickens gave a last push, wriggling her finger around for good measure. She could no longer feel the suppository. It had already moved up higher in the lad's colonic tract.

For the second cylinder, Susan had Mrs. Pickens dip her finger in liquid glycerin for 'additional lubrication and sensitization' of Randy's rectum. She eagerly wriggled her finger up into and around the boy's insides. Randy squirmed around, ineffectually of course but necessitating that Mrs. Pickens place her other hand on his abdomen to hold him still.

"There we are Amanda. Let's give Randy another 15 minutes shall we ? But this time we'll wait here, the better to keep an eye on things."

Mrs. Pickens approved wholeheartedly. She withdrew her finger and wiped it off on a clean towel. The used finger-cot went into a wastebasket. If it had been up to her, she might just have decided to keep her finger up Randy's bumhole until the time to expel the suppositories had come.

Randy was allowed to lower his legs. Much to his relief, the diaper was not refastened around his bottom, but remained spread open underneath him. The downside of this was that the two ladies regularly felt his tummy, pressing here and there. His prick was nicely erect of course, causing him yet more embarrassment. Susan Alcott thought nothing of giving it a friendly little squeeze from time to time. Randy flinched every time she did so and tried to pull away.

"What's the matter sweetie ?" Susan chuckled pointedly taking hold of the lad's organ and playfully moving it to and fro. "Don't you like me touching your piddler ? That's very unusual for a boy. When you grow up you'll have other thoughts on the matter. Believe you me."

She was of course teasing Randy. There were always people who were extremely embarrassed at having their genitals handled, even by members of the opposite gender. She surmised that Randy was a tad shy, not a difficult conclusion to come by. Well, under her care and supervision, she would do all she could to help him overcome his innate shyness.

One of her techniques was to matter-of-factly discuss the upcoming procedure in considerable detail or to talk about her other experiences in the field. In this she found it perfectly suitable to address her remarks to Mrs. Pickens as if Randy were not present. She knew that the lad would be all ears and most likely blushing crimson.

"Well Amanda. Everything seems to be going well."

"Do you really think so ?"

"Oh yes. You should see how some of my patients carry on. They blubber and whine something awful. And all for a few suppositories and some water up the behind. Of course that's what comes from ignoring basic bowel hygiene. Most folks start much too late and when youngsters face their first cleansing they are unprepared. It's better to start early. That's my motto."

"Oh my. Do you think it's too late for Randy ?"

"Not necessarily Amanda. There's nothing you could have done about it anyway. But I have found it best to be strict with cases like Randy's. A firm and regular hand is indicated. For instance, I think it best that you make a regular habit of a supervised cleansing for Randy. Once a week, constipation or not, would not be amiss."

"That sounds like a good idea. I think I'll keep that in mind. I'll set aside one afternoon a week for Randy's cleaning. Is that sufficient ?"

"I should think so, though you ought to keep a close eye on his bowel habits in any case. In fact, I've found it best to enforce strict potty discipline in cases such as this."

"Potty discipline ?"

"Oh yes. It's a good re-training method for youngsters with lazy bowels. It simply means that from now on, Randy will always have to ask permission to do his business. That includes piddling as well mind you."

Mrs. Pickens pursed her lips in appreciation of the thought. She nodded. "My. That's a thought."

"It is indeed. And it's very effective too. It's quite simple to enforce. Keep all the bathrooms locked and inform Randy that he will have to expressly ask you permission from now on."

Randy, lying but a few feet away shivered in apprehension. How humiliating.

Mrs. Pickens however seemed all for the idea. "I see."

"And should he need disciplining for some matter or other, you can always make him wait. In fact," Susan leaned closer to Mrs. Pickens in mock confidence, but spoke with a very audible voice so that Randy could hear, "It's a good idea to refuse permission on an undetermined schedule anyway."

"Oh ?"

"It keeps them on good behavior so to speak. And is quite beneficial for muscle tone as well."

"Muscle tone ?" Mrs. Pickens wondered aloud.

"I'm sorry. I shouldn't be so circumspect. I meant that refusing permission to use the potty will help in strengthening both anal and bladder sphincters. That can be very useful."

Mrs. Pickens nodded in appreciation. "Of course I see, how silly of me not to grasp the point."

"Think nothing of it Amanda. Raising youngsters is such a difficult task nowadays. There are so many things one doesn't immediately think of. For instance, you might consider being quite literal when putting Randy under potty discipline. In many cases it can be quite beneficial to actually use a potty."

"Really ? An enamel bowl ?"

"Well, enamel or whatever. But in any case an actual potty. Reverting to childhood training discipline is advised in many cases. In fact, starting off entirely anew is an option I would heartily recommend for Randy, with night time nappies as an absolute must along with closely supervised sessions on the potty."

Mrs. Pickens put on a thoughtful air though she had already decided she liked the suggestion. "Sounds sensible to me."

"Oh it is, absolutely. It's like with any other problem. Usually the soundest solution is to start from the very beginning and to work your way up. And since Randy has shown himself to be lacking in proper toilet training, I'd peg him as a good candidate."

"Isn't he too old for that ?"

"No, not necessarily. From what I have experienced over the years, age is not an significant factor in potty training. It's more important to be consequent at all times of course, and to strictly adhere to the rules you set down. Some additional elements can be added as you see fit. Personally," here Susan Alcott looked in Randy's direction and patted his tummy, "I feel that boys can benefit from a bit of dressing up."

Mrs. Pickens smiled in understanding but asked for clarification nonetheless. She wanted it said out loud so that Randy would understand. "I always try to keep Randy well dressed and neat."

Susan Alcott chuckled in pretended surprise. "I meant a special kind of dressing up. An amount of time spent in girl's clothes usually helps things along. It's hard to explain how it works, but boys tend to become more manageable when they're in panties or petticoats."

"Well, that sounds like a godsend." Mrs. Pickens pretended to mock exhaustion. "Anything to help things along with Randy."

"Well it will, but I should warn you that some boys do put up quite a fuss at first."

"Really ? Well, I suppose a firm hand is called for in such circumstances."

Susan Alcott chuckled and leaned forward, placing a hand on Mrs. Pickens' knee in confidence. "I'm sure you'll know how to handle things." The nurse was already speaking as if the dressing up had been decided upon.

She was right of course. In her mind Mrs. Pickens was already imagining Randy in something delicately frilly, panties with a lace border for instance or maybe a chemise or frock. She wondered about a corset, but decided that none would be available in Randy's size anyway. "I'll do my best. But I was wondering, how far should this dressing up be taken for someone like Randy ? Should it be restricted to just his undies ?"

"That depends upon the circumstances. When you take him along for shopping or errands it might at first be best to leave it at undies. At home however you should consider going all the way." Susan looked at Randy and gave him a pat on the cheek. She noticed that the lad was trying his best to make sense of the conversation. He did not like what he was overhearing but was in no position to do anything about it. "In any case girl's underwear is a must," she cheerily and rather loudly continued, "Even if you do decide to let him wear boy's clothes on the outside. Underneath I recommend top to bottom : socks, panties or knickers, a chemise and bra."

Mrs. Pickens was pleased to hear Susan Alcott's advice. "A bra ? My my," she chuckled, pointedly looking in Randy's direction and moving her hand over his chest. Randy closed his eyes in dread and tried to move away.

Susan couldn't help chuckling herself. "A little padding goes a long way …. " she winked.

"I'm sure it does ….." Mrs. Pickens looked very pleased at this piece of advice. There was a lively glint in her eyes as she pictured herself choosing the proper wardrobe for Randy and supervising his dressing. It looked like Randy's stay was turning into something completely different than she had imagined. She was ever so thankful for Susan Alcott coming by today. And in more ways than one, for she still tingled at the remembering of Susan's wardrobe change but a short while ago. She wondered if Susan would be so openly brazen again when she changed back into her normal clothes. Mrs. Pickens hoped so.

During the conversation between Susan Alcott and Mrs. Pickens, Randy had become quite uncomfortable indeed, and for two reasons. Not only did his heart sink in dismay when he heard what the two ladies were discussing and planning on his behalf, but the two new suppositories had started to irritate his bowels. They melted slowly but surely, releasing ever more bowel activating agents.

Randy experienced this as a gradually increasing feeling of discomfort in his intestines. He could feel his bowels start to cramp and his bottomhole start to pulse with a burning sensation. He had to mentally clench his bowels shut, or else he would surely have lost control and expelled everything then and there. He closed his eyes and grit his teeth, while his lower body trembled from the effort.

Nurse Alcott of course noticed these signs and nodded in unnecessary agreement. "What's the matter sweetie ? Are you feeling something ?" This was as obvious a question if ever there was. But Nurse Alcott liked to have her patients say aloud what they mostly would have preferred to remain unsaid. Randy nodded.

"Tell Nurse Susan what you're feeling …." She watched in obvious pleasure as Randy struggled to keep his bowels under control and to come with a polite way of answering.

"I have to …to … go …" He didn't know how to say it aloud and almost stammered.

"That's all right. You can say it however you want to. Don't be bashful now." Susan Alcott rubbed the lad's forehead as she spoke to him. She leaned closer and whispered into Randy's ear. "Do you have to use the potty sweetie ?" she asked.

"Yes … yes… please. I can't hold it anymore."

"It's a bit too soon for that yet Randy. We have to let the suppositories work a little bit more before you can go."

"Please … "

"No, no. It's no use complaining. Be a good boy for us now and do as we say. It's been so long since you've properly gone potty, surely you can wait a bit more until the suppositories have done their job. A few more minutes won't make a difference."

As far as Randy was concerned, time was of the essence. But of course he said nothing.

Susan Alcott tenderly tapped Randy on the cheek and then rubbed his abdomen. "Aren't they all the same ? Pretending to be so grown-up and yet holding everything up and not doing their business for days on end. It's a good thing you have your auntie and myself looking after you. Why who knows what might not befall you otherwise." She tsk-tsked a few times for good measure.

Mrs. Pickens couldn't have agreed more and joined in. "You heard what nurse Susan said Randy. I want you to take that to heart and be more mindful. From now on we'll be keeping a close watch on your potty habits."

Susan nodded, sagacity personified. "Good. But I think it's time we got Randy to the bathroom. He's got to get his enema started."

Mrs. Pickens moved closer to Randy, holding out her hand. "Come along then child."

"Let's get his diaper fastened before we go. I'm sure Randy is a big boy and won't have an accident on the way to the bathroom, but it's best to be safe."

Mrs. Pickens smiled in agreement. "That does sound sensible."

The two ladies fussed with Randy's nappy until it was firmly tied up around his bottom. Randy stood up on shaky legs, every now and then bending forward and gritting his thighs together. It was clear that the suppositories were working as they should. Each of the ladies took one of Randy's hands and quickly led him down the hallway and into the bathroom.

 

 

In the Bathroom

Randy made it to the bathroom without having a 'little accident'. He was relieved to be allowed to sit on a small table. While he sat there hugging his belly, Susan readied the enema equipment. First she ran hot water into the washbasin, testing it every now and then with her hand. She added several shakes of powder from various bottles and sachets. The resulting mixture was undeniably soapy and fragrant.

She then looked over the nozzles, holding them up for a good look. She gazed at Randy while pursing her lips in indecision. Should she choose the largest size or would it be too big ? Maybe a gradual increase in nozzle diameter over subsequent enema sessions would be preferable. Smiling, she set aside one of the smaller sizes on a clean towel.

"Let's start with a squirt of the old clyster bulb, shall we," she said to no one in particular. "We'll use a more concentrated solution before we start with the enema bag. A bit of soap and glycerin should help things along for Randy."

Mrs. Pickens nodded in understanding.

Susan ran warm water into the bulb, added a generous squirt of liquid soap and glycerin. She attached a nozzle and covered it with a thick lubricating lotion. Hefting the clyster bulb in her palm she waggled it gently for Randy to see. "Here we are sweetie. Lie down on your back and get your legs up in the air like a good boy, OK ?"

Randy closed his eyes and did reluctantly as instructed. He had trouble controlling the ever increasing irritation in his bowels. "Please …. I can't wait anymore … please…."

Susan Alcott frowned but realized that perhaps this first time, such a thorough cleansing was a bit arduous on Randy. She put the clyster down on the table next to Randy and arranged a clean cloth underneath his buttocks. "Well young fellow, we'll make an exception this one time, but next time I'll expect better self-control. Understand ?"

"Wouldn't it be better if he just did as instructed ?" Mrs. Pickens asked.

"We mustn't be excessively strict this first time Amanda. After all, the suppositories are quite irritating. It will all right this one time for Randy to expel the suppositories before we give him his enema."

"Well if you say so …" Mrs. Pickens conceded to Susan's greater expertise, but if it had been up to her she would simply have paddled Randy's bottom and slipped up an extra suppository for good measure.

"Lay down now Randy … legs up …" Susan helped the lad into the embarrassing position. "It's all right for you to let the little pills out now."

"Please, can't I use the toilet ?"

"I'm afraid not dear. There's a nice clean nappy for you to use. After all, it's only two suppositories. You can use the toilet for your enema afterwards. Come along now …. Let's get them out."

It would have been bad enough with the two ladies in the same bathroom, now that he was instructed to use a diaper Randy seemed to loose all the urge to expel the suppositories. His bottom quivered, but his bumhole remained closed.

Susan Alcott was not overly surprised at this sudden inability of Randy's. But she now perversely insisted that he do as he had requested. "Come on now Randy. Let's push those nasty pills out now, you can do it for Nurse Susan." She pressed on his abdomen with one hand and fingered his anus with the other. She pushed up into his hole and felt it give way. A moment later the remnants of the suppositories plopped out onto the nappy.

"There we are. That's a good boy. See ? It wasn't all that hard, now was it ?"

Randy said nothing, but burned red with embarrassment. It was a relief to expel the suppositories but the lessened irritation was lost in his greater embarrassment.

Susan Alcott replaced the cloth under Randy's bottom with a clean diaper. She picked up the clyster bulb and inserted the nozzle into Randy's bumhole. She squeezed the solution into his rectum and watched in amusement as the boy's eyes opened in amazed surprise. It was clear that he was not used to getting his bowels cleaned out in this manner.

Susan filled up the enema bag with a warm soapy solution and attached tubing and nozzle. She hung it up on a peg and positioned Randy. He was still on his back with his legs up and parted. She quickly inserted the nozzle and opened the clamp, allowing for a steady flow. Randy whimpered and moved his head to the side.

The warm soapy water flowed into Randy's bottom. He felt the warmth spread along his insides. The pressure increased and soon he was straining to keep it all in. Susan Alcott meanwhile rubbed his stomach and abdomen and uttered words of encouragement. Randy was however almost lost in the effort of retaining the irritating solution.

Susan Alcott was not unused to administering enemas of quite long duration, at times she expected her patients to retain them for 30 minutes at least if not longer. But the discipline required to do so was an acquired ability, multiple training sessions were necessary to even begin development. She was planning on helping Randy in this regard. But for the moment she saw it would be premature to expect too much of the youngster.

She let Randy wait for several minutes with the nozzle up his behind, then she retracted it and had him sit upright for several minutes more. When she judged him incapable of withholding the liquid much longer, she allowed him to use the toilet. He gratefully relieved himself.

That done, Randy was cleaned off and dried. He received a last suppository in order to soothe his insides. Then his anus was anointed with an application of oil and his bottom powdered copiously.

Now that he was empty and cleaned out, Randy appeared less concerned about what was to follow. Indeed, his penis had lost its seemingly persistent erection while he was being filled up and it didn't come back now that his enema was over.

Nurse Susan had the lad stand in front of her and squeezed his genitals. Nothing much in the way of stiffness was forthcoming. She smiled and patted Randy's bottom. "Well I suppose you're quite tired out by now, aren't you darling ?"

That was indeed the case. Though the final cleaning out and expulsion was a bit anti-climatic compared to the meticulous preparation, all in all it had been a strenuous and tiring experience.

"I think a little nap is in order, don't you Amanda ?"

Mrs. Pickens nodded in agreement, though if had been up to her she would have liked to find something similar to occupy herself with. She felt a bit restless and had an urge to continue with the proceedings.

Nonetheless she readily admitted to the obvious. Randy was quite tired and should best be put to bed.

Susan and Amanda led Randy by the hand back to his bedroom. They quickly tucked him into bed and closed the door behind them. In the hallway Susan Alcott let out a satisfied sigh. "Well now, Amanda. That went very well. Don't you think ?"

Mrs. Pickens, not having much experience in the enema department, really didn't have an opinion on the matter yet. She thought that Susan had been rather lenient with Randy at times, but then again she was pleased that Nurse Alcott considered the afternoon cleaning a success.

"If you say so Susan. I suppose you've been doing this much longer than I have."

Susan chuckled. "You can say that again. But you know, when you approach a job like this with the proper attitude, it can really be quite fulfilling, and not much of a chore. And besides," she confided in a confiding tone, "Giving someone their first-time enema can be ever so enjoying. Especially to a youngster like Randy. Though I must say I was a bit surprised at how sedate he was afterwards."

"Sedate ?" Mrs. Pickens asked. "However do you mean Susan ?"

"Well … getting an enema can bring on certain types of urges in boys. And I don't mean just having to go potty." She smiled knowingly. "In most cases it's really necessary to provide some sort of relief for the poor things."

"Relief ?" Mrs. Pickens was thinking in terms of expulsion. Her confusion showed.

"Well yes. Usually the poor dears have a raging erection by the time they're done. There is nothing to be done about it of course. It's simply a physiological fact, there's no getting around that. So I find it best to supervise whatever needs done."

Mrs. Pickens, though not ignorant of the ways of the world, was having some trouble following Susan Alcott's explanation. It sounded like she allowed some sort of masturbation. A thought difficult to credit. "Supervise ?" she asked.

Susan nodded in shared delight. "Oh yes. It wouldn't do to have them playing with themselves furtively afterwards, now would it ?"

Mrs. Pickens arched her eyebrows in wonderment. "I should hardly think so."

"Of course not. Clandestine masturbation is really a deplorable habit and should not be allowed to develop in any manner. But on the other hand leaving them in a state of arousal would be too cruel and expecting too much of the better angels of their nature. So I usually lend a hand, so to speak, for youngsters around Randy's age." She chuckled again. "As a matter of fact, I usually lend a hand for the older ones too. Apparently they're never too old … ha ha"

"I had no idea it was considered permissible to … ah help relieve someone afterwards." Mrs. Pickens couldn't bring herself to say the word ‘masturbate' out loud yet.

Susan Alcott noticed Amanda's reluctance. "Oh yes. This is an instance in which it is even clinically advisable. Post enema masturbation is quite common practice, for both males and females. Doctor Richards routinely applies it in her office when necessary, though if pressed for time I fill in for her."

"You do ?" Mrs. Pickens was trying to imagine Doctor Richards or Nurse Alcott stroking a patient to climax. She found it quite compelling and arousing, though a short while ago she would not have credited the notion.

"Most certainly. It's one of the perks of the job … ha ha." Susan made a dainty up and down pumping motion with thumb and index finger pressed together. She had trouble containing her chuckling.

"Well I never," Mrs. Pickens said. "That's certainly interesting to learn."

"It sure is. But you know Amanda, not only the patient can become a little bit aroused by all the attending enema procedures. Sometimes the administrators can be affected by the goings-on as well. Do you know what I mean ?"

There was no mistaking Susan Alcott's intent. Mrs. Pickens did indeed have to admit that she was oddly affected, even aroused somewhat. In fact, she was wondering if Susan was going to undress in front of her again. She was not at all reluctant to have that happen once more.

"I guess so Susan," she said with a quiver of trepidation in her voice.

Susan beckoned. "Well I guess I had better go back and get out of these work clothes. Will you come along and help Amanda ?"

Mrs. Pickens looked at her friend and smiled. "Why certainly Susan."

 

 

A Second Visit to Doctor Richards

Over the following weeks, essentially the same scenario was followed at Mrs. Pickens house. Susan Alcott was always quite obligingly ready to lend a hand with Randy's regular cleansing. It would be an exaggeration to say that Randy came to look forward to these sessions. That was hardly the case. But needs be he had to resign himself to the inevitable regime of suppositories, enemas and clysters that his aunt Amanda and Nurse Alcott prescribed for him.

And yet it was all very intense in a strange and exciting way he did not quite comprehend. When he got up the mornings scheduled for his cleanings, his stomach was already a flutter with a disquieting and anxious nervosity. Yet his piddler responded in a different manner altogether and remained almost constantly stiff and engorged. Mrs. Pickens would at first scold him for such occurrences but later came to accept the fact that a lad's penis, be it called a prick or wee-wee, had a life and a will seemingly of its own. It was not always easy to get Randy properly dressed in such condition, but she usually succeeded in getting him properly attired in panties or knickers.

Then again Randy never seemed to need any relieving of tension after his enemas. On the one hand Mrs. Pickens was somewhat relieved she didn't have to perform such an intimate service for the youngster. Then again, though she not openly dare admit it to herself, she was curious what it would be like to manipulate Randy's penis to emission. In her younger years as a teenager she had obliged several dates in such a manner, ‘jerking them off' so they would at least stop their obnoxious and incessant pawing of her body. She hadn't much cared for the experience at all, considering it demeaning and childish.

But with Randy it was different. For one thing, Susan Alcott always mentioned Randy's apparent lack of ardor after an enema afternoon. She thought it unusual and urged Amanda to bring it to Doctor Richard's attention next time Randy went in for a check-up.

In fact, she advised Amanda that sooner was better than later. So, several weeks after his first examination Randy was scheduled for another.

It was another quiet summer afternoon when Mrs. Pickens and Randy arrived at Doctor Richard's office. Apparently there were no other patients in the waiting-room. They took a seat but did not have long to wait. Susan Alcott, now in her role as nurse to Doctor Richards, opened the door and greeted Mrs. Pickens and Randy. "Good afternoon Amanda."

In this setting she politely shook hands with Mrs. Pickens and smiled. She took Randy's hand as well and patted him on the cheek. "And how's my favorite little patient doing this afternoon ?"

Her ‘favorite little patient' would rather have been doing something else, preferably unrelated to doctors, nurses or check-ups. But he just nervously muttered a subdued hello. Clearly he wasn't looking forward to his appointment.

Mrs. Pickens frowned. "Come now Randy, let's not look so glum. It's not as if you don't know Nurse Susan by now."

Since he knew what Susan Alcott's visits usually entailed that was probably part of the reason for his apprehension. Being taken to see the lady doctor made things worse.

"Of course he knows me by now, don't you darling ?" Susan ruffled his hair and held out a hand. "Let's come along now then, shall we ? Doctor Richards is waiting to see you."

Mrs. Pickens followed Nurse Alcott. They went into the hallway and entered the doctor's office.

The doctor was perusing some files. She put them down, smiled and stood up to greet Mrs. Pickens. "Amanda, it's good to see you."

"Thank you Elisabeth."

"How have things been with Randy in the meantime ?"

"Generally quite well I suppose. But I thought it best to bring Randy for regular check-ups."

Doctor Richards nodded her sagacious approval. "But I hear that you have certain concerns ?" She smiled at Mrs. Pickens. "Nurse Alcott confided in me regarding certain aspects of Randy's weekly enema sessions."

"Oh I see." Mrs. Pickens was actually relieved that she might not have to explain everything in detail. She had been hoping that Susan would help her out. "Well you see, I haven't much experience and it was Nurse Alcott who brought it to my attention."

"I see. Well just to be clear let me recap the situation as I understand it. Feel free to correct me if I'm wrong."

Mrs. Pickens nodded.

"Nurse Alcott has been helping you out with Randy's enemas. Once a week I take it, he's given a thorough bowel cleansing, with suppositories and a water, glycerin and soap solution. Correct ?"

"Yes, that's essentially it." Mrs. Pickens omitted describing the attending and exhaustive proceedings she and Susan submitted Randy to.

"Fine. Now as Nurse Alcott describes it, by the end of the procedure Randy does not have an erection nor any apparent need for relief. And this has been so in every instance ?"

"That's right doctor. Though it was Nurse Alcott who remarked upon it. I would have thought it to be quite proper, or so I would hope."

Doctor Richards had to chuckle. "Oh my Amanda, I fear you're mistaken in that regards. No no, this would be a bit unusual for a lad of Randy's age. In fact it would be unusual for boys of any age. It may seem to be demurely proper and prim, but physiologically speaking a consistent lack of an erection after such proceedings is not the norm."

"Oh my," Mrs. Pickens hand went to her mouth. "There isn't anything wrong with Randy, is there ?"

"Goodness Amanda, there is no need to be overly concerned. There are a number of innocuous explanations but I will have to take a detailed look at Randy before I can tell you anything definite."

"Well, in that case I'm glad we came so soon. Frankly doctor, I'm glad I listened to Nurse Alcott‘s advice. I would not have thought to pay so much detailed attention to Randy's condition … down there."

"Yes, that can sometimes be the case. Which is why medical personnel are trained to be attentive to such matters. I have always found Nurse Alcott to be very competent in that area." Doctor Richards beamed an approving smile at her nurse. "Now I'd like to examine Randy. This time I'll be focusing on his little problem."

"Oh by all means doctor Richards." Mrs. Pickens nodded earnestly. "Go right ahead and do whatever you deem necessary."

"Fine." Doctor Richards stood up and looked at Randy. "Well then young fellow. Let's get you undressed and into the examination room so we can take a better look at you, all right ?"

Randy had been listening apprehensively to the conversation. To say that he was reluctant to be looked over again by doctor Richards would be a gross understatement. The first time only a few weeks ago had been embarrassing enough. From what he gathered this time was going to be even more so.

"Nurse, would you help Randy with his clothes ?"

Susan Alcott smiled and began undressing Randy. She started with his shoes and pants. Lowering the latter she noticed that Mrs. Pickens had given Randy a pair of normal boy's briefs to wear. She had been hoping that Randy would be sporting something more in keeping with the spirit of their weekly enema sessions, something more feminine, say some dainty panties or knickers. Maybe she should have advised Mrs. Pickens not to be concerned about doctor Richards. The lady doctor would have wholeheartedly approved of Randy's newly modified wardrobe.

"Well Randy, let's get these undies off as quick as we can, shall we ?" Nurse Susan cheerily said. "After all, the doctor's going to take a good look at your piddler and she can't do that with you wearing anything, can she ?"

Susan pulled the youngster's underpants down to around his ankles and left them there while she continued helping him undress further. She unbuttoned his shirt and then pulled his undershirt up and over his head, having Randy hold up his arms high to do so. He felt embarrassingly naked in that position.

Doctor Richards rolled her chair a bit closer to Randy and had the lad face her. She scrutinized his genitals for a moment and gave them a cursory feel, taking his penis to hand and moving it to the side and upwards. Of course, seemingly to prove Nurse Alcott and Mrs. Pickens wrong in their apprehensions, Randy's organ began to stiffen under doctor Richard's handling.

"Well, initiating an erection seems to be no problem," she smiled. "But we'll see about the rest." Doctor Richards stood up and beckoned to a door. "Amanda," she asked. "Would you like to accompany us or would you rather wait this out ? It might take a while before we're done though."

"Well, if it's no bother I'd prefer to come along, maybe see if I can learn anything …?"

"Certainly, one can never learn enough," said doctor Richards.

Randy was led into the examination room with a fluttering heart and tummy. The room was brightly lit with several metal cabinets lining the walls. The examination table had a freshly spread covering of crisp white paper. Nurse Susan helped Randy climb up. He was told to lay down while everything was being prepared. Mrs. Pickens sat down in a chair near a wall, but with a reasonably good view of Randy on the examination table. She couldn't help but notice his penis, still stiff and erect, pointed upwards above his belly, bobbing up and down in rhythm to his breathing. It looked cute enough in a cuddly sort of way, probably thanks to its relatively immature state of development, but even so Mrs. Pickens couldn't help contemplate that for such a small appendage an inordinate amount of time and bother was being lavished on it.

She briefly wondered if the youngster, if all lads for that matter, wouldn't be better off without their piddlers. It certainly got many of them into no end of mischief. Why it wasn't as if they couldn't just as well piddle out of a little hole or slit as females did. She entertained that fantasy for a short while, trying to imagine the upside ramifications and appearance of such modified fellows. She was certain she had read about it somewhere or other, now that she thought about it carefully. Hadn't that been done in previous times in some country or another ?

She couldn't recall exactly. Maybe she could ask Susan Alcott. In the meantime she supposed she would have to make the best of it with the equipment Randy had been born with.

Doctor Richards and Nurse Alcott, had in the meantime, been laying out a rather ominous looking array of instruments, tools, medical equipment and various odds and ends. Some of these things were simply towels, cotton swabs or hygienic napkins along with phials and bottles of disinfectant and lubricating solutions. Many were measuring tools of sorts, wicked looking though they may be. But other devices were for genuine medical purposes. To Randy's utmost distress, he even noticed an injection syringe and a collection of varied sized needles, all very nasty looking and sharp. He hoped doctor Richards would not be using them.

Mrs. Pickens too noted the neat looking display and wondered if everything would be put to use. If so this promised to be an illuminating examination. She sat up straighter and leaned forward to get a better view. She did not want to miss what would be going on.

The preliminaries were rather normal though, much as with any other check-up. Doctor Richards listened to Randy's heart and lungs, took his pulse and blood pressure, looked into his mouth and ears, pressed around here and there and so on.

It was when the doctor began to palpate various glands in Randy's neck, armpits and groin that the specific purpose of the examination was attended to. Doctor Richards probed quite deeply under the youngster's shoulder, pressing and pushing about as Nurse Alcott held Randy's arms stretched out taut above his head. Before attending to his genitals proper, the doctor also spent a good amount of time in feeling around his groin. Randy had to part his legs to allow access, Nurse Alcott once again positioning them in the required stance. Since the examination table wasn't all that large, it was rather difficult to keep Randy in the spread- eagle pose. Therefore the doctor instructed Nurse Alcott to set up a pair of stirrup supports on either side of the table.

Normally Mrs. Pickens associated such stirrups with check-ups of a ‘female nature' and was quite surprised to see them being used for Randy today. On the other hand she couldn't help but smile and consider it a good experience for the lad. And besides, it stood to reason that getting Randy into the stirrup supports was the most sensible manner of examining his private organs.

Randy on the other hand, while not being aware of the female connotations associated with the set of metal and leather support devices his legs had been placed into, was more than conscious of the exposed and very humiliating position he was now in. There was something almost perversely mortifying with having his legs splayed open wide and strapped in bindings. He did not care for it one bit. Then again there were many things he did not care for since his stay at Mrs. Pickens house.

But that was neither here nor there. No one asked Randy's thoughts or feelings on the matter. Much as in the old poem, his was but to do or …. what ? Ride into the valley of death ? That was a bit extreme for sure, but to the youngster it was not far off the mark.

As Randy paled at the upcoming examination, doing his best to put on a brave face at the very least to avoid a spanking or worse, doctor Richards began by measuring various dimensions of the youngster's genital organs. She needed precise measurements in order to compare Randy's proportions to normal genital standards. While of course a cursory visual examination alone was sufficient to notice a marked degree of immature genital development in the lad, determining exact ratios and degrees of growth was not a rule of thumb affair. There were formulas and guidelines to adhere to. The lady doctor wanted to be sure of her findings and eventual diagnosis, though she already had a more than vague idea of what she would probably conclude.

Randy's penis was still erect. In first instance she took it in her hand and stroked it in as sensuous a manner as conditions permitted, smiling at Randy and complimenting him on his anatomy. This was purely to ensure as full an erection as possible. She then used a caliper to determine the girth of his penile shaft at various places along its length. Length was next. She measured both the short and long exterior length to his scrotum and upper pubic area as well as trying to get an accurate interior shaft length measurement. To do so she needed to probe deeply to the side of his testicular sac.

Since Randy was un-circumcised, doctor Richards took as many measurements of his prepuce as she could. This was rather painful as it entailed both stretching the opening with a four point caliper to determine the diameter, as well as pulling the skin upwards and then back downwards in order to retract the gland penis. His foreskin was still tight and Randy closed his eyes from the discomfort, grimacing and shuddering. He was restrained in the stirrups and could not move away. Nurse Alcott steadied him by the shoulders, cautioning Randy to lie as still as possible so the doctor could do her work properly.

Doctor Richards moved Randy's foreskin up and over the tip of his penis several times until she managed to uncover the frenulum, the raised ridge of flesh at the lower extremity of the glans. This was an extremely sensitive area and Randy, not being used to direct stimulation of that part of his penis could not help moaning as the doctor measured the diameter, circumference and height of that small rim.

With his prepuce retracted and glans unshod, doctor Richards thought it a proper moment to measure the lad's urethral opening. She squeezed it open as best she could, noting a lack of infection or discoloring, both positive signs. Several drops of fluid ran out and dripped onto the doctor's fingers.

She gave Nurse Alcott instructions to lubricate a cylindrical shaped object. It was a urethral diameter measuring probe, a tapered metal instrument with markings along its length. There was a small handle on top which simplified insertion of the small tip of the device into a male urethral opening. It was then inserted as far as possible into the penile opening, upon which the maximum diameter was obtained. Depending upon the rapidity and the force used to stick the instrument into the urethral tract, the process could be anything from mildly unpleasant to quite painful.

Poor Randy gave a start and a yelp of surprise, upon which he could not hold back an upwelling of tears. Mrs. Pickens was of a mind to give the lad something to really cry about, say a good spanking on his already bared bottom, but doctor Richards just smiled and admonished Randy to relax and close his eyes. She told him that many boys of his age as well as grown up men, would be more than pleased to be have their organs examined in such a manner by a lady doctor and nurse, and that he should count himself lucky. Of course it might smart a bit at times, but he only to close his eyes and think about something nice.

Yet, despite all her reassurances, she realized that maybe Randy was indeed experiencing undue discomfort, possibly due to an exceptional sensitivity of the penis. After all, he was unclipped and the skin of an uncircumcised glans could be very delicate. This would certainly need remedying if he would develop full sexual functionality of his boy organ.

Well, at this stage and age, such matters lay within the provenance of his aunt Amanda, but she had already suggested a regime of stretching Randy's foreskin during her previous examination. She would earnestly recap her recommendations and suggest a further aggressive treatment of regular denuding and manipulation. Wearing a pseudo-circumcision ring or clamp was also a possibility though she professionally considered such devices but stopgap affairs. They were best suited as prelude to the actual procedure, in order to gradually adapt to a surgical circumcision.

She would talk to Mrs. Pickens about this matter afterwards. For the moment she decided to ease Randy's discomfort by applying a mild anesthetizing solution. She had nurse Alcott squeeze a generous amount of a Novocain based gel on a cotton swab. This she rubbed over the tip of the lad's penis, applying it to both prepuce skin and glans.

The jelly felt cool and tingling, especially as doctor Richards wiped it around the sensitive ridge of Randy's lower glans penis. She applied a second coating of the jelly with her fingers and this time Randy did not fret or try to pull away.

Now that his sensitive little piddler was in a somewhat more sedate mood, doctor Richards decided to re-measure the urethral opening. She re-lubricated the measuring cylinder and inserted it into the youngster's pee-hole. This time it entered deeper without Randy being overly discomforted. Pleased, doctor Richards had nurse Alcott note down the amended dimension.

The attending pain and anxiety had caused Randy's lively little erection to gradually diminish. In this detumescent condition, doctor Richards was able to quickly obtain Randy's penile measurements in a relaxed state. The resulting measurements were indeed hardly ample. She had seen pre-adolescents with larger sets of genitals.

The penile shaft itself displayed no irregularities. The skin was smooth and unblemished, with a few prominent veins visible. She felt no hard masses or other obvious abnormalities under the surface. As for the urethral conduit itself, she doubted there were any obstructions, but in any case that would examined later on.

Now it was time to measure the lower parts, scrotum, testicles and perineum. In many cases this was a rather delicate task, since the two dangling orbs were notoriously delicate and sensitive. However there could be no desensitizing of this area short of scrotal injections, something she did not care to do just yet.

She cupped Randy's small scrotum in the palm of her hand at first, hefting and alternatively squeezing the little bag. Two testicles were clearly discernible, both more or less of the same size. Using several fingers, doctor Richards took each gland to hand separately, rolling the hard mass around and pulling it downwards and out. This was almost a painful process for Randy as could be readily appreciated by the way he flinched and squirmed about. Both doctor Richards and Mrs. Pickens admonished the boy to remain quiet and cooperative. If not, he would be reminded of the consequences. A good spanking would await him after the examination and the possibility of using extra restraints to immobilize him on the table was hinted at.

In truth however the lady doctor could sympathize with Randy. She knew that the male sexual glands were notoriously sensitive to stimulation of any kind, especially to direct handling and probing. But if he fidgeted about and moved around there was the distinct possibility that he might cause himself even more discomfort.

Therefore doctor Richards had Nurse Alcott tighten a restraining strap across Randy's abdomen. In and of itself this would not be very effective if the lad took it in his head to be uncooperative, but she did not think that would prove to be the case. It was the idea of being strapped down and the possibility of more drastic measures being applied that was the main intent.

Doctor Richards took time out to explain to Randy that he mustn't move about or fidget so much, for sudden movements might cause her to inadvertently hurt him. She stroked his head and told him to be a brave fellow. Certainly he could stand having his private parts handled ? Why, when he was older he would be begging for the girls to do just that she joked.

Randy could not see the humor of that remark right this moment. Nor could Mrs. Pickens either, for she scowled at the reference of Randy ever being considered mature enough to have intimate relations on his own. For her that was such a long way off in time that the possibility seemed incredibly remote.

Now in truth, Randy was in age, if not in development already old enough for such activities, much as his aunt Amanda would have liked to pretend otherwise. And there was the crux of the problem doctor Richards contemplated. How to reconcile this apparent paradox ?

Well first off she needed as much information as possible, which brought her back to the immediate need to complete her examination.

Randy's testicles were next on the list for measurement and appreciation, relatively small and under developed though they were. In fact, because they were so behind in regards to the normal growth rate, doctor Richards wanted to obtain as accurate measurements as possible. Taking an x-ray was out of the question, once again due to their immature looking condition. If there was an abnormality at work she did not want to exacerbate the condition. And besides, it was never considered a wise procedure to x-ray the male genitalia except in cases of dire necessity.

Therefore doctor Richards fell back on a rather archaic but still serviceable method : illumination. A strong light source was held up behind the scrotal sac. This was generally sufficient to permit a shadowy viewing of the contents. Before the invention of electronic illumination, the light source would most likely consist of a burning candle or match, held as close to the scrotum as possible, preferably from a horizontal angle. At times it is true, this method could be hazardous for the patient. Even small flames can spread an appreciable amount of heat and cause sufficient anxiety. After all, being burned on the balls is not something anyone would lightly dismiss.

But these were modern times and doctor Richards had a medical version of a simple flashlight at her disposal. True, it looked rather daunting and complicated to the un-informed, but there was no chance of any inadvertent accidents occurring.

Doctor Richards had Nurse Alcott hold Randy's penis out of the line of view. She then placed the light source underneath the lad's little sac and switched it on. The doctor used both hands to stretch Randy's scrotum wide, so hopefully allowing each separate testicle to be more or less discernible as a shadowy image.

The doctor pulled and stretched and pressed down and pinched, causing Randy to grimace and close his eyes from anticipated pain. In all, it did not hurt that much though the youngster was very uncomfortable as long as the doctor continued her probing and examining.

Randy sighed inwardly in relief when doctor Richards put the light source away. But it was premature to expect the doctor's examination of his scrotum to be completed yet. She took several simple rubber bands and twisted them tightly around the poor lad's gonads, in effect causing them to bulge and protrude outwards, each a neat little tightly stretched gland covered by a layer of skin.

To these small bean shaped appendages, doctor Richards applied a measuring caliper in every possible dimension. She carefully noted each dimension and set it down on paper, the better to compare the measurements with tables of normal growth factors. She would be able to figure out Randy's age of genital development only after consultation of various medical manuals, but there was no doubt at all that he appeared seriously retarded in this area. Just how much would depend upon various factors, none of which she cared to estimate without some study.

Mrs. Pickens had meanwhile been following the goings-on with her undivided attention. Her admiration for the medical profession knew almost no bounds. She followed doctors' advice very scrupulously in most matters, convinced of their near omnipotence and infallibility. At least regarding matters pertaining to sickness and health. And now she was very intrigued to observe how doctor Richards made use of everyday articles to conduct her examination. A flashlight and rubber bands indeed. How ingenious and how clever. And yet so simple to do. This was something she would have to remember.

The last set of external measurements doctor Richards wanted to obtain were those of the area immediately underneath Randy's genitals but above his anus. This was called the perineum, a part of the male body that in many instances resembled a raised mound of flesh, very much like pre-nubile female outer labia, but minus the slit of the vaginal opening.

Differing from individual to individual, the perineum was a rather gender-ambiguous area, in most instances being quite sensitive as a secondary erogenous zone as well.

So it was in Randy's case. The doctor had nurse Alcott tilt the young patient's legs backwards a bit, the better to view the area in question. It was soft and hairless, though whether this last was because of deliberate depilation or Randy's natural condition, she could not tell. As she had done with the other parts of Randy's intimate anatomy, doctor Richards again commenced a detailed and careful handling and probing. The perineum, while being a pleasant area to fondle and caress during erotic play, was however not as sensitive as a penis.

It was just as well, since the doctor pressed firmly and deeply into several parts of the youngster's perineum mound, pinching the outer skin and probing with opposed fingers. She slid a finger slowly along the rim of Randy's perineum, feeling the slightly harder ridge of flesh. With one hand, she covered Randy's scrotal sac from view, cupping his testicles and pressing them upwards. She imagined Randy sans male genitals, left with but this ambiguous mound of soft flesh so easily transformable into a simulacrum of female labia complete with pink slit. Though not confident of being able to handle such a procedure herself, she knew of other physicians who most certainly were. The thought intrigued her for some reason she could not explain. Why this patient and not others ? She did not know.

She was certain however that Mrs. Pickens, for all her otherwise odd and mildly unusual proclivities, would find such a suggestion quite out of the question. After all, aunts didn't take in nephews and return them later as nieces. Doctor Richards had to repress a smile at the thought. What an interesting project that would be. Instead she would take another tack and see how Mrs. Pickens reacted.

"Well Amanda, I have the measurements I need for now. Or at least those I can take with the instruments on hand. I'll have to check the results with standard growth tables and so on, but I suppose it isn't premature to state that Randy is definitively behind in terms of maturity."

Mrs. Pickens hadn't expected to hear anything different. She pretended however to be mildly surprised and concerned. "Oh my. How unexpected. I thought the lad was simply a bit tardy."

"Well, essentially that is correct. It might be the norm as far as Randy is concerned, though without any family data there is no way to tell."

"What should be done ?" Mrs. Pickens asked.

"At this point, that is difficult to say. We don't even know for instance if Randy's tardiness is simple a natural occurrence, or if there are any other factors involved. We'll need some samples for analysis, blood and urine primarily. I'll get those in a moment."

Out of the corner of her eye, doctor Richards saw Randy cringe at the mention of taking a blood sample. She pretended not to notice, nor did she mention the need for obtaining other samples.

Mrs. Pickens nodded. "Whatever you say Elizabeth. You're the doctor."

"Thank you Amanda." The doctor turned to nurse Alcott. "Let's start with urine, shall we ? I think it best we take a sterile sample. If you'd ready the equipment please …"

Susan Alcott complied eagerly. She knew from experience that most patients, be they young or old, were usually very uneasy when having to give urine samples. Doctor Richards, contrary to many other physicians, insisted that patients provide specimens in view of either herself or nurse Alcott, ostensibly to ‘avoid accidental contamination'. The true reason for insisting upon this was to avoid deliberate substitution, though it was not always polite nor particularly clever to say so.

In Randy's case however she would obtain the urine sample via a more invasive and embarrassing method.

Mrs. Pickens looked surprised as nurse Alcott laid out several pieces of equipment she did not immediately identify as having much to do with doctor Richard's intention of having Randy provide some urine. She thought Randy would be required to piddle into a tube or a receptacle of some kind. That was enticingly embarrassing enough to cause her to smile in anticipated delight. She was sure that Randy would have difficulty piddling upon command and that some pushing and probing of his bladder via the abdomen would then be in order.

But as she saw a length of thin rubber tubing laid out, Mrs. Pickens understood the lady doctor's intentions. Randy was going to be catheterized. My my, she thought. The youngster would be in for a nice right surprise, one of which she approved wholeheartedly. She leaned forward the better to watch the proceedings.

Doctor Richards placed a clean white towel under Randy's genitals. She tucked it snugly up against his scrotum and between his thighs. First off she needed to disinfect the immediate area around Randy's urethral opening. That meant retracting his foreskin yet again and swabbing the glans penis with an anti-septic solution. The liquid was cold and Randy was surprised at the unpleasant wet sensation as it dripped down the shaft of his male organ. Luckily the towel absorbed most of the disinfectant.

Bearing Randy's relative sensitivity in mind, the doctor had added a minute amount of Novocain to the solution, the better to disinfect and desensitize the glans. If Randy appreciated the effort was hard to tell, for he squirmed and fidgeted in discomfort.

Mrs. Pickens had not said much during the examination so far, but now she thought Randy was going too far. She stood up and admonished him to lie still. "Come now child. Stop all this nonsense, you are trying the doctor's patience !"

That was somewhat of an exaggeration for doctor Richards was used to far more uncooperative adolescent patients. Grown-ups as well for that matter. She made a quiet gesture to Mrs. Pickens that she had things well in hand. "That's all right Amanda. Randy's just a bit sensitive down there it seems. I guess he's not used to being handled in this manner." She said this even though she was well aware and well informed of Randy's weekly treatments at the hands of Nurse Alcott and Mrs. Pickens. "Is this the first time someone's taken a sterile sample from the lad ?"

"Well, I really have no way of knowing before he came to my house." Mrs. Pickens said ruminating over what she knew of Randy's past. "But I shouldn't think so."

Doctor Richards nodded wisely. "It would appear so." She turned to Randy. "Tell me child, have you ever had to provide a urine sample for a doctor before ?"

Randy was still confused and did not understand what the doctor was asking. He could not concentrate on the question. "Once in school I had to …. had to … do it into a jar."

Doctor Richards nodded. "I see. Well we're going to do it differently this time because I need urine before it's passed through your piddler. We're going to insert a thin little tube into your urethra, your little pee-hole," she said for Randy's benefit and indicated the tip of his penis, "and let it go into your bladder where we can get a fresh un-contaminated urine sample."

Randy frowned. What a horrid idea. How did doctors ever come up with these things ? He closed his eyes and sighed deeply.

Doctor Richards smiled knowingly at Mrs. Pickens. "Maybe I should administer an extra something beforehand. The first time can be daunting."

Mrs. Pickens thought that the ‘extra something' should be a sound spanking right here and now in front of doctor, nurse and herself. But doctor Richards was much more charitable in her thoughts and actions. She took a glass rod. It was much like an eye-dropper but much longer and somewhat thinner. She added a few extra drops of Novocain into the disinfectant solution and drew up an amount into the hollow rod. "This should do the trick," she said to no one in particular.

She squeezed the tip of Randy's penis and inserted the glass rod. Using twirling to and fro motions, the doctor deftly slid the entire length of the instrument down into narrow tube of Randy's urethra. As it moved deeper into the lad's penis, the doctor squeezed the rubber dropper and expelled the desensitizing solution. While it did of course deaden the discomfort Randy would have otherwise experienced with a first time catheterization, it still took several subjectively long moments for the solution to work.

He gave a sharp but short yelp as the glass rod entered his pee opening and then tensed his whole body, with his eyes tightly closed and mouth in a grimace. This was much worse than his bottomhole being invaded by a finger or nozzle. Thankfully the worst discomfort diminished fairly quickly, once the Novocain and disinfectant solution being to take effect. But still, it felt unnaturally odd to have his erect piddler invaded in this manner.

Doctor Richards let the glass instrument remain in place for a while as she profited from the occasion to palpate and probe the boy's penis shaft once again, this time with a rigid rod to use as fixed and stiff counterpoint. Randy's organ twitched and throbbed every which way and would have probably damaged the glass rod, had not doctor Richards kept a firm grip.

Under the correct circumstances and with the proper preparations, it is possible to deflect the male penis downwards to an angle sufficient enough to allow for the insertion of thin, straight rigid instruments directly into the bladder. There was no need to do so now, though doctor Richards briefly contemplated the procedure. Perhaps before a future examination she could prepare for this. She felt certain Mrs. Pickens would have few, if any objections, as long as she was allowed to be present to witness it all.

After a few last squeezes, the doctor slowly and almost reluctantly withdrew the instrument from Randy's penis. She smiled at the lad and patted his cheek, telling him that worst was over. Now she would be able to insert the rubber tube all the way into his bladder.

Randy wished it were all over already. He closed his eyes as he saw doctor Richards pick up a length of tubing. She dipped the end into the disinfectant solution and then inserted it into his pee-hole. Surprisingly, it entered without much discomfort. Quickly the doctor slid the remaining length through the urethra and up against the bladder sphincter. With a sharp but mercifully short push, the tube entered past the closure.

Doctor Richards held the opposing end of the tube into a glass jar and removed the clamp. Suddenly Randy felt his bladder emptying of its own accord and listened as his urine tinkled into the sample jar. This was almost an anti-climax of sorts.

Nurse Alcott sealed the jar shut and attached a label, then put it to the side. That done, doctor Richards withdrew the tubing, slowing pulling it outwards. She placed the used rubber tube on a towel and told nurse Alcott that she could start cleaning things up.

Randy heaved a sigh of relief and relaxed. Hopefully that was the last thing the doctor would subject him to and he would be allowed to get dressed soon.

He was somewhat too eager in his expectations however. The doctor smiled at the lad and patted him on the shoulder. "Not much longer now Randy. You've been a very good patient this afternoon, but I need to discuss a few things with your aunt first. Don't go away."

Even Mrs. Pickens wondered if the doctor was making a mild joke at Randy's expense. Where would the child be going, undressed and strapped in as he was ?

But Doctor Richards did not smile as she washed her hands. She was seriousness personified as she approached Mrs. Pickens. "We'll have to await for results from the lab in regards to the urine sample, but I don't think it at all premature to discuss a few points. Randy seems quite healthy generally speaking. The only thing that I would be concerned about is his quite obvious lack of overt sexual maturity. Now I'll want to consult the manuals for a more detailed analysis but there is not much doubt about it. Randy is behind in his normal development."

Mrs. Pickens thought it quite obvious as well. She had eyes in her head and had not neglected to look Randy over in her own fashion these past weeks. But she wondered if it were such an altogether undesirable thing. She professed little liking for hairy-handed full grown males with their rough manners and indecent ways. True, Randy was a boy, but at least under her supervision he was well-behaved enough and Susan Alcott lending a hand helped things out immensely. In fact she rather enjoyed things as they were now and was loath to contemplate Randy maturing too rapidly. She wondered if it had been a good idea to take Susan Alcott's advice to come in for an extended examination of the youngster.

"Now, it is not always obvious what to do in such cases," doctor Richards continued. "Let Nature take its inevitable course ? Follow an aggressive counter-therapy ?"

"Well I wouldn't want anything drastic to be done."

"Of course not, Amanda. That would not be my recommendation."

"What would you suggest then ?"

"For the moment not much of anything. I'd like to give him some vitamin compounds and supplements though. More on general principle than anything else though."

Mrs. Pickens nodded in approval. Extra vitamins never hurt anyone.

"Then," the doctor continued, "when you come back we'll know more. How does that sound ?"

"Fine," Mrs. Pickens said, glad she wasn't called upon to make a decision just yet.

Doctor Richards stood up and asked nurse Alcott to fetch the vitamin ampoules. While the nurse was getting the medicaments doctor Richards loosened the straps around Randy's legs and torso and helped him out of the stirrups. Relieved, Randy was certain the examination was finally over.

Susan Alcott came back to the exam table with several small boxes. These she gave to the physician. Randy watched disinterested as the doctor took several things from a metal cabinet. He assumed it would be more medicine.

His eyes opened in surprise as he saw the lady doctor holding an empty syringe. In her other hand was a small metal case. He opened it and inside, neatly placed side by side was a collection of needles, each appearing longer and sharper than the next. The doctor choose one and laid it in a dish, pouring out a liquid. The sharp smell of disinfectant was unmistakable.

As the doctor opened the box containing the vitamin compounds, Randy's heart sank. Surely she wouldn't inject them ! Such things were meant to be taken by mouth, preferably at breakfast with orange juice. At least that had been his experience up till now.

The doctor shattered his illusions as she told him to lay down on his tummy. Randy looked at his aunt Amanda but she too had just only realized that Randy would be getting his vitamins by means of an injection in the behind. With her eyes she cautioned Randy to do as the doctor asked.

Very reluctantly the youngster turned around and lay down. He cradled his head in his arms, closing his eyes, awaiting the worst. He gave a start as someone, nurse Alcott it was, patted his bottom and told him to move it upwards. He was surprised to feel her pushing a small cushion under his abdomen. She maneuvered it under his genitals so that his buttocks were raised.

Next he felt the inevitable cold swab of alcohol. Someone grabbed one of his buttocks and pinched it together, then he felt the burning stab of the injection needle. Slowly it was inserted into the firm flesh of his behind, he could feel it sliding in, stinging awfully. After an interminable amount of time, it was retracted. Tears came to his eyes but at least the ordeal was over.

Then he felt yet another swab of cold disinfecting alcohol on his other buttock. That little mound of soft flesh was pressed together and once again a sharp pain followed. The awful needle slid into his tender bottom. It took all too long for the doctor to complete her second injection.

This was altogether too much. He tried not to make too much noise as he lay on the examination table, giving vent to his misery.

"There there now," Nurse Alcott patted him on the head. "It wasn't all that horrid now, was it ?" Her cheery voice belied what she knew to be true. Still, it was her job to comfort patients after they were subjected to certain inevitable unpleasant procedures. She had much experience regarding post-injection consolation. "Let me rub your fanny for you. In a little while you won't feel a thing anymore."

That prediction was somewhat optimistic but it did lighten Randy's spirits. At least someone recognized the fact that injections hurt. And nurse Alcott was very diligent and proficient with her rubbing. As the doctor finished settling things with Mrs. Pickens and setting up a new appointment, Susan Alcott rubbed and massaged Randy's poor little behind, from time to time parting his buttocks and placing a finger or two along his cleft, pressing into Randy's anus more often than would be assumed necessary.

But oddly, this soothed Randy's hurt and pain more effectively than any other method. By the time he was allowed to dress, his discomfort was already forgotten.

 

 

At Home On the Phone

Mrs. Pickens expected Randy to be cross and unmanageable once they arrived back home, but instead he was subdued and unusually quiet. Clearly he was also tired, so without much ado she put the lad to bed, despite the early hour.

Before he fell asleep she massaged his behind as she had seen Susan Alcott do. She sighed and wondered at the apparent contradictions displayed by youngsters. Why, if he were going to be so well-behaved after a doctor's examination, she might take him more often. Or was it the injections ? She would have thought that vitamins and supplements would impart extra energy. But that did not immediately seem the case.

She tucked him under and closed the door behind her. Downstairs in the kitchen she fixed herself a cup of hot tea and contemplated Randy's recent examination. To say that it had been an eye-opener would have been an understatement. She had thought herself experienced and well versed in many things, but this afternoon she had witnessed a most compelling and gratifying series of procedures. She had watched transfixed and approving, yet somehow piqued that she herself had nothing active to do. What a shame she hadn't been allowed to help Randy undress or get into the stirrups.

But it was memorable nonetheless.

Apart from all that, she did not really relish the idea of Randy being treated to remedy his lack of physical maturity. As far as she was concerned those things between his legs ‘down there' had grown more than enough and she saw no need to change anything. After all she figured, Nature would take its course (or not) and things should not be hurried. The lad was getting along well enough as it was. So why be in a hurry ?

She was pondering what to do when the phone rang. She picked it up and was not really all that surprised to hear that Susan Alcott was calling.

"Hello Amanda dear. It's Susan here. I just wanted to call to ask how Randy was doing. He had a rough day of it I suppose. Doctor Richards was really very thorough. Much more so than usual."

"Oh hi Susan. It's nice of you to call. Randy is fine if a bit worn out. He was so tired when we got home that I put him to bed for a nap. He fell asleep almost instantly."

"The poor dear," Susan Alcott cooed. "He was a well behaved little trooper this afternoon. Doctor Richards was impressed by his good behavior."

"Do you think so ?"

"Oh yes, no doubt about it. I could tell. She's not good at hiding things like that from me."

"Well that's nice to hear."

"Isn't it ?"

"I suppose so."

"Well in that case I'm sure the follow-up exam will go even better."

"You know Susan," Mrs. Pickens said in a questioning voice, "I've been wondering if maybe we weren't a bit too precipitate in bringing Randy to the doctor."

"Oh ?" Susan Alcott was genuinely surprised. If forced to venture an opinion, she would have said that her friend had seemed immensely engrossed and captivated by the goings-on in the doctor's office. She would have thought that Mrs. Pickens couldn't wait to get Randy back in the exam room. "I thought everything went very well."

"Oh I'm sure it did Susan, "Mrs. Pickens conceded. "It's not that at all. Randy was well behaved I suppose and I'm sure that doctor Richards is the very epitome of competency."

"But …?"

"Well, it's hard to say. I've been thinking. I suppose the doctor could treat Randy and give him some medication or whatever so that he matures very rapidly."

"I would think so. Though it might involve more than taking medication."

"Well however it's done ….. It's rather that trying to imagine Randy all grown up and such, I feel I would miss things as they are."

"Miss things ?" Susan asked.

"Well, you know I haven't had anyone to look after all these past years."

"Yes …." It was no big secret to Susan that Mrs. Pickens had never married.

"I think I've rather come to find a certain satisfaction in caring for Randy … in the fashion we've been doing lately."

"Oh yes," Susan agreed. "It has been very fulfilling indeed."

"I wouldn't have thought so at first. But I've come to look forward to Randy's weekly treatments. Having you around to help out is such a comfort."

"That it is."

"I would hate to see it come to an end just because Randy suddenly starts growing. And especially if it were an artificially enforced growth." Mrs. Pickens paused a moment. "Do you understand what I mean ?"

"Of course I do Amanda," Susan said. And she did indeed understand what Mrs. Pickens meant. Her friend would rather keep Randy as he was right now, immature of build and behind in his growth. That way she would be able to justify to herself continuing with Randy's weekly treatments. Undoubtedly Mrs. Pickens enjoyed herself, even though she might be masquerading her satisfaction and pleasure as a perceived dedication to duty.

But actually that was fine with Susan Alcott as well. It would be but yet another excuse to continue coming over to Mrs. Picken's house and subjecting Randy to yet more interesting cleansings and treatments.

Now that she understood what Mrs. Pickens was alluding to, she was able to suggest several options.

"You know Amanda, I'm sure that doctor Richards would understand your concerns."

"Do you think so ?"

"Oh yes. Beyond a doubt. All you have to do is explain them to her. In fact I think you'll find her more than sympathetic."

"Oh ?" Mrs. Pickens was surprised at how easily Susan understood.

"She's had more than a little experience with youngsters in that very same manner."

"In that manner …?"

"Yes, instead of accelerating adolescent growth it is just as easily held in abeyance or retarded. Even changed in polarity if it comes to that,"

"Changed in polarity ?" Mrs. Pickens didn't understand the oblique reference. "Whatever do you mean ?"

"You know what I mean Amanda. Sometimes people aren't happy with the gender they are born into. They can have it changed if the need is sufficiently great."

Mrs. Picken's eyes went wide and she felt a blush spread across her face. "Oh I see …. You mean change someone into a girl ?"

Susan had to chuckle. For someone with such a naughty imagination Amanda could at times act quite the prude. "Change a ‘boy' into a girl is what I mean. And the other way around too, though that need doesn't seem to arise so frequently."

Mrs. Pickens was still for several moments while she contemplated this revelation. She experienced an odd tingling in her body as she thought about this in regards to Randy. "Isn't that somewhat radical ?"

"Well, it is if you wake up one morning suddenly changed…. ha ha" Susan laughed. "But that's not how things work. Therapies for that are very gradual and involve intensive treatment and deliberation. It's a very slow process."

"I see."

"And besides, keeping Randy at his present stage of development is much simpler. I'm certain it could be very easily accomplished by doctor Richards."

"Do you think so ?"

"Most emphatically Amanda." Susan paused a bit. "Would you like to discuss this with the doctor next time ? Or maybe have me broach the subject beforehand ?"

"Oh, would you Susan ? I'd be ever so grateful. I'm sure you best know how to talk about these things."

"I suppose so, Amanda. I suppose so …." Susan Alcott couldn't help grinning from ear to ear. Doctor Richards was going to have an interesting patient in Randy. And the lady doctor was going to be treating the youngster in a manner she heartily approved of.

Amanda Pickens and Susan Alcott both went contentedly to bed that night. And Randy passed the night serenely as well, ignorant of the decisions made about his person.

 

 

Back at Doctor Richard's Office

It was another lovely hot summer's day as Mrs. Pickens and Randy drove to the doctor's office. There was hardly a cloud in the sky but Randy's mood was bleak however. Here he was on his way to the lady doctor for the third time since his arrival at his aunt Amanda's. He hadn't dare say anything when his aunt unexpectedly announced today's appointment. She simply informed him it was time to change into clean clothes and off they went.

His tummy was a flutter as they sat waiting. But his aunt looked sprightly and cheerful, from time to time brushing his hair with her hand and removing imaginary lint from his clothes.

Susan Alcott walked into the waiting-room and announced they could see the doctor. Randy wasn't made up in his mind about what he thought of Nurse Alcott in this setting. When she came to aunt Amanda's house to help out with his cleaning, she acted differently. Here, her subordinate role to the doctor made her seem a trifle distant at times, less forthcoming with kind or comforting words.

Once inside, doctor Richards completed the obligatory niceties, shaking hands, patting shoulders and making pleasant sounding greetings. She had a file of papers in front of her that she held in a manner indicating they were of import concerning Randy. But instead of discussing the findings from the previous examination, which is surely what they were, the doctor asked Nurse Alcott to help Randy undress.

The youngster had but just sat down and Nurse Susan was already taking his hand and leading him over to a small table. Folding his garments neatly upon the table as he removed them, she soon had Randy standing in his birthday suit. He tried very halfheartedly in a forlorn effort to keep his underpants on.

Playfully Susan Alcott chided him. "Come now Randy, let's not be so childish. You know that everything comes off, undies as well. That's how we do things here. You should know by now."

He knew of course, but the reflex was almost instinctive. "I'm sorry," he said.

Susan Alcott playfully patted him on the behind. "You've nothing we haven't all seen before."

"Indeed so …." Doctor Richards chimed in with a forgiving smile. "Now take a seat while I discuss things with your aunt."

Randy sat down wondering why he needed to be undressed so quickly. But at least sitting down he was offered the illusion of feeling a tad less naked.

The doctor turned her attention to Mrs. Pickens. "Now then Amanda. I hear you have some concerns regarding Randy's possible treatment. I've taken them into consideration when deliberating the results of Randy's previous examination. Together with the lab data I've been able to get a clearer picture of what we're dealing with."

She took several sheets of paper and looked them up and down, more for dramatic effect than anything else. She wished to impart that she had deliberated on the issue at length and with the proper gravity. To poor Randy however it looked as if this were the precursor to an ominous proclamation.

"I might have been somewhat hasty in my initial assessment. You'll recall that I assumed it would be necessary to start Randy on an accelerated maturing regime. Now taken with your own misgivings about that avenue of treatment, and the resulting data from Randy's blood and urine tests and my medical literature perusal, I believe that for the moment we should best pursue a condition of relative stasis for Randy."

Mrs. Pickens, though not an un-educated woman, had trouble following the doctor. "Stasis ?" she echoed.

Randy too thought it sounded like a sentence of certain death. His eyes opened wide in fright.

Doctor Richards picked up on the confusement. She smiled somewhat sheepishly, but was inwardly very pleased at her learned sounding turns of phrase. It never hurt to impress the pants off the patients. Or in this case the knickers off the aunt. "I'm sorry if I was being overly obtuse. I meant to say that it might be best if we kept things as they were for the while being. In fact, in the long run it might be best to put Randy on a retardive hormonal regime."

Hormones. Now that was something Mrs. Pickens understood. It was something that young fellows had far too much of. "You're not going to give Randy extra hormones are you ? Wouldn't he become subject to uncontrollable urges ?"

Doctor Richards chuckled in good-natured mirth. "Dear me Amanda. I'm sorry to be confusing you so. No no. You mustn't be concerned. There are many kinds of hormones and hormonal treatments. What I don't propose is to administer any additional male hormones. I'll wager he has a dearth of those just waiting to brim to the surface. And start all kinds of mischief." She smiled at Randy and winked in mock conspiracy. She also pointedly glanced at his boy parts and pursed her lips knowingly.

Randy blushed even though he didn't but half understand what the doctor was alluding to. It all sounded vaguely naughty and very embarrassing.

"You see Amanda, in essence I propose to start Randy on a treatment with female extracts as it were. Technically it's fairly complicated to explain, but the overall result is a condition of equilibrium in which further maturity in either direction is temporarily abated. In fact depending upon dosage and mixture of medicaments it is even possible to reverse a significant number of outwardly gender-related aspects."

Now Mrs. Pickens thought she understood. "Oh, you mean you can make him into a girl ?"

Doctor Richards grimaced. "That's going somewhat too far Amanda. Surgery is always a prerequisite for a full change. No, what I mean is that certain physical traits can be suppressed temporarily or encouraged to evolve in a more feminine direction."

"I see…."

"And besides. I thought you preferred to keep things as they were regarding Randy's development."

"Oh yes, I most certainly would …"

"Fine. There should be no problem then. I've taken the liberty to already obtain the necessary dosages. If you like we could begin today …"

Mrs. Pickens was surprised at how favorably the discussion had gone. And at how simple it had all been. Presumably having a friend like Susan Alcott as nurse to doctor Richards helped expedite a good many things. Mrs. Pickens nodded. "I suppose so …"

"Well that's settled. Let's get Randy into the examination room. We'll take a little look at his condition while he's here anyway. Is that all right Amanda ?"

Mrs. Pickens supposed that by ‘his condition' the doctor was referring to Randy's intimate boy equipment. She nodded. After all, she wouldn't have expected anything less of doctor Richards.

The three ladies accompanied the naked lad into the examination room. Once again his eyes immediately fixed on the table in the middle of the room. It was covered with a clean swath of crisp paper. This time the stirrups were already fixed to the sides. Randy needn't be much of a clairvoyant to know that he was going to end up in them before the afternoon was over.

His aunt sat down on a chair off to the side. She hadn't even been asked if she wished to accompany Randy, by now that was a given. The doctor looked in the papers and nodded to herself. She started out by having Randy stand up straight and tall, with his hands behind his head.

She looked him over, from top to bottom, front and back, side to side. She paid careful attention to his spine, feeling up and down, pressing here and there. Working her way from his neck, she slowly pushed and thumped her way to the youngster's buttocks. Then she had Randy bend over and touch his toes, something he barely succeeded in doing. Once again she examined his spine, in this position the individual disks being easily visible.

Satisfied, she allowed Randy to stand up again, then did a similar manual exploration of his hips and buttocks.

Lastly, she stood behind the youngster and put her arms around him, pressing down on his abdomen and stomach, then moving upwards where she pinched and tweaked his small nipples and cupped his breasts. Or rather, she palpated the area, for being a lad he had no visible enlargement of the mammary glands.

Oddly this was an unsettling experience for Randy. He was enclosed in the arms of the lady doctor, pressed backwards into her undeniably female bosom, her crisp clean medical whites brushing against his unclothed skin. He could not help but feel his prick stiffen and jut upwards. The doctor and the other two ladies all noticed of course, but aside from knowing smiles, no one indicated anything.

Satisfied, the doctor released Randy from her medical embrace and bade him climb up onto the examination table. She took her stethoscope and blood pressure cuff and performed the almost obligatory ritual of listening to heart and lungs, thumping here and there and feeling about in the neck and armpits. She found nothing out of the ordinary.

She explained how the treatments would be given. "There are several ways of administering the necessary hormonal preparations. As a rule, oral administration is avoided. It is far too dependent upon uncontrollable variables such as dietary irregularities, digestive problems and other things that unnecessarily complicate matters. We can also administer them per anum, via the urethra and bladder or by injection, either inter-muscular or area specific. I'd like to start with a combination of all three."

Mrs. Pickens nodded in appreciation. It sounded eminently sensible to her not to put all the (medical) eggs in one basket.

"We'll see how Randy reacts to the various methods. I may vary the mode of administration accordingly."

More nods all around, except from Randy who was trying to make sense of what he had been hearing. None of it sounded specifically enticing but he did not yet understand all the medical terms.

"Now he needn't be totally cleaned out for the anal administration, but the lower intestinal tract should be more or less empty. Did Randy have a satisfying bowel movement today ?" Doctor Richards asked.

"He went potty this morning, but it wasn't a very large amount. It usually takes an enema and suppositories to do the trick properly." Mrs. Pickens explained.

"I see," the doctor replied, noting that she would have to look into his bowel habits more closely in the future. Clearly there was room for improvement.

Turning to Randy she asked, "Well my fellow. Tell me, how do you feel inside ? Do you think you should go potty first and try to poop some more ?" She could vary her choice of words according to needs, using either medically neutral or childishly immature phrases.

Randy reddened and shook his head.

"Are you sure now ? I'm going to do a quick feel inside your bottom before we start and if there's anything left you'll have to go potty anyway."

But Randy was adamant and the doctor took him at his word. "All right Randy. I'm sure you know how you feel inside. But I'm going to have to check inside of you just the same. And besides, we need to get your temperature before we start. So let's turn around on your tummy shall we ? You know how we take temps around here …"

Randy knew all too well. Resigned he assumed the position laying face down.

The doctor took a small rubber finger cot and stood in front of Randy while she pointedly stretched it over a finger, flexing it up and down several times. Still standing in his line of sight, she dipped her covered finger into a bottle of lubricating solution. She twirled it about in an exaggerated display of dexterity that was only meant to impress the youngster with the inevitability of the proceedings.

Nurse Susan, knowing her task, used her hands to open Randy's buttocks, exposing his anus. "Let's give a good push for doctor Richards, shall we Randy ?" she urged. "Let's pretend we're going potty."

Even though he was more or less used to such encouragement at his aunt Amanda's home, it was disconcerting to hear these childish phrases in the doctor's office. He did as he was told however, even though he was not in an appropriate position to flex his sphincter effectively.

Apparently it was sufficient for the doctor's purposes, since her finger pressed up against his fannyhole and entered without much resistance. Typical to form, doctor Richards inserted her finger to the hilt and slowly moved it about, up and down and to and fro. She told him to push out again and probed a bit more deeply.

When she was satisfied, she slowly retracted her finger and inspected it closely. It seemed to pass muster, for she made a non-committal gesture with her head and discarded the used rubber covering.

Taking a thermometer she dipped it in the lubricating solution and inserted the instrument. It entered easily, being much smaller in size than her finger. While it was held in place by Nurse Alcott, the doctor used the interval to prepare the first medication.

With careful deliberation and much thoughtful frowning, the doctor took three objects from as many separate boxes. These she placed on a neatly pressed towelette. Each varied in size and length but were all un-mistakenly suppositories of one sort or another. They also varied in coloring, which became apparent once they were unwrapped. One was milky white, another a darkish green and the last a deep crimson red. While the gaudy coloring was only intended for identification purposes, it seemed to impart some extra factor of importance to the medication.

Meanwhile the thermometer was in place for a sufficient amount of time. Nurse Susan retracted the instrument and held it up the light. She passed it on to the doctor. She appeared satisfied and nodded in agreement. The doctor dropped the thermometer into a jar containing an amount of liquid. There was an audible clunk as glass clattered against glass. It was a disquietingly intimate sound redolent of exactingly embarrassing medical proceedings.

The actual administration of the suppositories was something of an anti-climax. Or rather, by now Randy had become so resigned, if not actually accustomed to the method of anal application of medicines and cleansing ingredients, that they were inserted with no trouble at all. A minimum of lubrication was applied and then doctor Richards quickly pushed them up into the youngster's rectum.

To be sure, one of the suppositories was inordinately long and thick in diameter, but it was the last to be given and slipped into Randy's fannyhole quite easily.

The doctor admonished Randy not to even attempt to expel anything. She had him remain on his stomach while she prepared the subsequent dosage of medication. This she intended to apply via the urethral tract.

Once again doctor Richards applied an inordinate amount of earnestness and seriousness to the otherwise simple task of opening several small flasks and extracting an amount of fluid into a urethral syringe. True, the syringe was constructed of a medium sized glass receptacle enclosed in a polished brass holding and plunger mechanism and appeared very wicked looking indeed, especially to someone in Randy's situation. Mrs. Pickens too could not help but admire the careful craftsmanship that had undoubtedly gone into the manufacturing of this medical instrument. There were two large rings to each side of the syringe into which the fingers were inserted. The top of the plunger mechanism was eye-catching as well, being curved and decorated with intricate little curlicues.

After performing a careful measuring and mixing of liquids, doctor Richards drew an amount into the syringe. She carefully filled the glass receptacle and then topped the tip with a rubber stopper. Delicately she placed the filled instrument on a clean towel and covered it with a paper tissue.

She then rubbed her hands together as if readying herself for a demanding task. "Well Randy," she cheerfully asked. "Tell me. Are we ready for the next little part ? We won't have any trouble with the suppositories, now will we ?"

He shook his head. At home under the exacting administrations of his aunt Amanda and Nurse Alcott he was used to far more in the way of anal administration of cleansing substances.

"Good, now I want you to turn over on your back and get into position." By that she meant getting into the stirrups. Nurse Alcott helped him place his ankles in the holders. These she then spread open to the required degree.

When he was placed to the doctor's satisfaction, nurse Alcott spread a cloth around the base of Randy's penis. This was to catch the excess of disinfectant liquid which doctor Richards liberally applied to the tip of his organ, dripping a chorus of drops onto Randy's denuded glans. He winced in discomfort as his prepuce was pulled downwards and the slightly stinging fluid flowed over his uncovered skin.

Doctor Richards clucked in mock disapproval as she noted his reaction. "Tsk tsk Randy. Don't tell me it still smarts when I pull back that little bit of skin." It was not a question she expected Randy to answer, nor would she have noted his reply.

She dipped the syringe into the disinfectant liquid and squeezed Randy's glans, forcing a small opening of sorts to his peehole. She inserted the tip with a deft movement and rotating the syringe delicately she pushed it downwards along the narrow urethral canal.

Randy gasped and closed his eyes, a grimace forming on his lips. Wickedly doctor Richards wondered if perhaps Randy was beginning to enjoy such treatments and if his expression wasn't one of intense delight. From experience and first-hand observation she knew that both opposites were at times almost indistinguishable the one from the other, and such procedures were not always the hardships they at first appeared to be.

But no, she decided as she looked upon Randy's contorted face, the lad wasn't enjoying this much. Not yet anyway, she concluded with an irreverent thought.

Slowly she pushed down on the plunger, forcing the liquid into Randy's urethral canal and up towards the bladder. His penis, already stiff from the intensive handling and from normal embarrassment seemed to swell yet more as the medication was forced inwards. An amount was absorbed by the tissues of his organ and yet more was pressed into his bladder. A large amount however spilled out of his penis at the tip, doctor Richard's tight constricting grip on his glans notwithstanding, flowing down the shaft of his organ and further wetting the towel draped around his groin.

Randy kept his eyes closed and prayed it would be over soon, not only in discomfort from the syringe inserted into his peehole, but also from the unpleasant wetness gathering in the cloth around his genitals.

The doctor waited an inordinately long amount of time before she was satisfied and withdrew the syringe tip. Liquid dribbled out of Randy's urethral opening, but a surprisingly large amount remained lodged in the thin canal connecting to his bladder. It would slowly be absorbed and the remains expelled when next he emptied his bladder. Needless to say, doctor Richards did not plan on allowing that for some while to come yet. Randy would just have to wait.

Besides, he was so relieved at being free of the nozzle inserted into his peehole that he did not think of needing to relieve himself just yet. That urge would come unbidden in a short while.

Doctor Richards took a long pointed look at Randy's penis and then nodded to herself. This part of the administration had gone well. Now for a last method, one she was sure Randy would not appreciate at all.

She needed to wait a while before the urethral medication achieved its maximum effect however, so once again she occupied herself in a meticulous preparation for the next part. She took a vial of liquid and shook it well. Standing out of view so that Randy would not see the next instrument she was about to prepare, the doctor readied an injection syringe and capped it with a long sterile needle.

Mrs. Pickens looked on with renewed interest, for she was certain that Randy would be quite afraid of getting an injection. In fact, she herself was not overly fond of such things and grimaced at the thought of being on the receiving end. Luckily for her she was not, so she contemplated Randy's reaction. It would surely not be enthusiastic. But if he balked or protested too much it was always a good excuse for a well timed spanking, doctor's office or not.

Doctor Richards addressed nurse Alcott. "We'll need Randy on his stomach again, buttocks raised. But first we'd better get a sheath over his penis. He might be leaking for some time yet."

Susan Alcott nodded and smiled to herself. It was always oddly endearing to fit male patients with a rubber in the doctor's office. There was something about it that flustered the patients to no end, be they young or old. In a more intimate and private setting fitting a contraceptive over a male penis was either a highly charged erotic moment or downright utilitarian. In the doctor's office here, it was but another instance of embarrassment.

She choose a small sized rubber condom and unwrapped it in front of Randy giving it to Doctor Richards. The doctor held up the sheath for Randy to see. "We're going to put this over your piddler. I suppose this will be your first time wearing one of these, but hopefully not your last …."

The inference was lost on Randy but not on Mrs. Pickens. She hoped that the doctor simply meant that Randy would be receiving many such treatments in the future. But from doctor Richard's tone of voice, she knew that the physician was referring to something altogether different. She certainly did not approve of the notion at all. If it were up to her, her charge would not be needing a condom for personal pleasure and recreation for many years yet. Never mind that most of his contemporaries were more than old enough to already have done so. She would make sure that would not happen with her nephew.

Even as she was imagining herself indignant at future (hypothetical) transgressions, Mrs. Pickens could not help observing closely. It was quite cute to watch as the doctor slowly unrolled the rubber shaft downwards over her nephew's piddler. Since there would be no need to catch any ejaculate in the condom, the doctor pulled it tightly around Randy's glans penis and tugged at the end several times, letting it go with a small snap.

"There we are Randy, snug as a bug in a rug." She patted his bottom and smiled. "When you grow up, I hope you get to use these things often."

Randy had no idea what the doctor was referring to and looked at her without comprehension. Would that mean that he would be coming here for a long time to come ?

Nurse Alcott removed the wet cloth from around Randy's groin and dried him off. Then she helped him turn around while placing a pillow under his hips. She positioned the lad with buttocks high and legs spread open, all in all a very revealing and exposed poise.

Randy could almost sense that doctor Richards was about to do something very different from merely sticking something or other up his behind, be it a finger, a thermometer or a suppository. In fact for once it seemed that she was not overly interested in his anus, since she was feeling about his buttocks, squeezing them in several places and pressing with her fingers.

Strictly speaking there was no need for such obvious manipulation. There were ample areas suitable for injection and one part of the buttocks is almost as good as another, certainly with such a healthy fellow as Randy. But doctor Richards had her ways and her reasons, one of the main ones being that she wanted Mrs. Pickens to be impressed with her thoroughness and attention to detail.

When doctor Richards opened a bottle of disinfecting alcohol, Randy had little trouble recognizing the odor for what it was. Suddenly his other anxieties regarding the series of treatments he was receiving paled in comparison to what he feared would be next.

He felt doctor Richards firmly rub an alcohol soaked cotton swab along his right buttock. She seemed to be scrubbing the area, applying the liquid vigorously. The doctor bunched an area of skin between her fingers and told Randy to hold still.

He felt the sharp prick of the needle as it was stuck into his behind. The pain was more in the mind than anything else, but even so he flinched and moaned.

"There there now, let's try to act our age, shall we Randy ?" doctor Richards admonished. "You're not a child anymore. An injection with needles as sharp as these shouldn't feel more than a small prick." Needless to say her admonition went unheeded. Indeed it was quite confusing to Randy since it contained a number of apparent contradictions : sharp needles and small pricks, and even if he was quite old, his aunt and the doctor and nurse all still treated him as a younger child. It was confusing.

And the next prick was just as painful as the first.

The doctor withdrew the needle and massaged both injection sites. "There we are. Nurse Alcott will put a nice bandage over each spot. But don't worry. By the time you get home, you'll have forgotten all about them."

Randy doubted that overly optimistic pronouncement, but said nothing. But now that he was over the immediate shock of the injections into his buttocks, he did indeed feel less pain than he would have thought. He was hoping that the worst was over and that soon he would be allowed to dress and leave.

But there was one last thing that the doctor needed to do. She filled the injection syringe with liquid from another flask, then approached Randy from behind, standing between his outstretched thighs. "We're going to give you once last injection Randy, then it will all be over. Isn't that good news ?" the doctor cheerfully imparted.

Randy said nothing, his hopes both dashed and raised. One more shot and it would be over. Finally. He supposed he could take one more.

The doctor laid the syringe down and repositioned the pillow beneath Randy's hips somewhat, raising his buttocks a tad higher. She then commenced to palpate the lad's perineum, squeezing it between thumb and finger.

With a start Randy realized she would be giving him the injection in that unusual area. What an awful thought. The doctor feeling Randy tense under her handling cut off his objections by explaining to Mrs. Pickens what she was about to do.

"Normally with fellows of Randy's age the last injections for this type of treatment must be given directly into the testicles."

Amanda Picken's eyes opened in surprise. Even by her exacting standards of discipline that sounded somewhat extreme. Yet fitting as well now that she thought of it.

"But in Randy's case," Doctor Richards continued, "That won't be necessary. As we've already ascertained, Randy is underdeveloped for his age. Testicular injections would not affect him all that much. Instead he'll need receive just a single dosage in the immediately lower area."

Mrs. Pickens nodded in agreement. She had never had any inkling that the world of medicine could be so engrossingly interesting. Having Randy in her household had certainly been an enlightenment so far. She leaned forward to have a better view.

Doctor Richards noticed and smiled in inner amusement as she took a bottle of disinfecting alcohol. Using a cotton swab, she liberally anointed the small rounded mound of Randy's immature perineum. It felt cold and raised a few goose-bumps on Randy's skin, though that could just as well have been from dreaded anticipation.

She patted the lad on the bottom before taking the syringe to hand. "You need to lay perfectly still now Randy. We're going to give you a last little injection and then it will all be over. Luckily for you your balls are still a bit too small, otherwise we'd have to do it there. Instead we'll give it right under your sac and above your fannyhole. That's not too bad, now is it ?"

The doctor omitted to explain that with this method the needle would be inserted at the virtual base of the penile shaft. Not that it would make much of a difference in terms of sensitivity. It was sure to be unpleasant.

Randy said nothing and buried his head in his arms, shutting his eyes tightly as he awaited the impending injection.

The doctor squeezed downwards with her fingers as she slid the needle into Randy's flesh. He gave a gasp as the needle entered the skin and was pushed deeper. Slowly Doctor Richards bore down on the plunger, injecting the liquid medication. She did not prolong Randy's discomfort this first time, preferring to spare the lad any undue distress. Once done, she retracted the needle swiftly, demonstratively announcing the successful completion of the treatment.

It took a while for Randy to compose himself. The doctor decided to let the lad lay down for a while, before having him dress. She took the time to engage in a short conversation with his aunt Amanda.

"Well, I think that concludes today's treatment. It went fairly well all things considered."

"If you say so doctor," Mrs. Pickens answered.

"Oh yes indeed it did. Why, you should see how some of my other patients carry on when getting their hormonal treatments." She leaned conspiratorially closer, "The grown men are worst of all," she chuckled. "So upset about getting injections in their precious little ."

Mrs. Pickens was mystified. "Grown men ?"she asked. "Whatever for ?"

"Oh for any number of reasons." Doctor Richards said. "Hormonal imbalances or deficiencies of a strictly medical nature. Others need it for pre-gender transition adjustment, for hyper or hypo-activity in intimate instances, or for spousal conditioning."

Mrs. Pickens had trouble believing what she was hearing. She wondered if she had gotten the gist of what the doctor was saying. "Really now. My goodness. Who would have thought such things were necessary in our town ?"

"You'd be surprised Amanda, though doctor-patient confidentiality forbids me to reveal anything of a personal nature of course."

"Of course," Mrs. Pickens echoed, all the while resolving she would try and pick up something of all this in the local gossip circuit.

"Now as to Randy, I'd like him back here next week for a following series of medication."

"Certainly. We'll be looking forward to it."

The doctor smiled. "I'm sure ‘we' will," she said, putting an emphasis on ‘we', knowing that Randy himself would have different thoughts on the matter. Not that it would matter in any practical manner. He'd have to come, like it or not.

"He seems to be doing nicely in terms of attitude I must say."

"Do you think so ?" Mrs. Pickens facial expression showed that she thought otherwise.

"Oh yes, like I said, some of my other patients can really put up quite a fuss, protesting and shedding tears like one wouldn't believe. Believe me when I say that Randy is a very well behaved patient. Why, I'd dare wager that before long he will come to look forward to his treatments, especially once the medication starts to have effect."

"Really ?"

"Oh yes. His libidinous tendencies are probably suppressed due to his immature development. Even before any overt physical changes become manifest, you will probably notice a change in his emotional demeanor and a susceptibility to become easily aroused by external stimuli. Unconsciously he will soon come to associate such agreeable conditions with his treatments here. If you can reinforce those associations with similar comportment at home, I predict you will have a very well behaved and docile adolescent, eager to please and completely at ease in his newly acquired persona." Doctor Richards smiled as she gave her predictions to Mrs. Pickens. It was all so simple actually that she almost felt like a charlatan giving such a learned sounding explanation. It would mostly come down to showering attention and favorably commenting on his genital development. That and a lot of close supervision in regards to intimate matters.

"That sounds encouraging," Mrs. Pickens answered. "But how should I go about it specifically?"

"Good question. First of all, I recommend you continue with a rigorously supervised regime of bowel cleansing. Regular administrations of enemas and suppositories are a prerequisite to maintaining proper toilet discipline and good health. Insist upon personal supervision and presence when Randy needs to use facilities."

Mrs. Pickens nodded. That she understood quite clearly. And besides, Susan Alcott was usually around to lend a hand and voice an opinion.

"Secondly," Doctor Richards continued, "while maintaining discipline is a sine qua non in cases like Randy's, remember that positive reinforcement is a powerful tool as well. Have him identify with his newly emerging personality. Compliment him upon the changes in his physique, discuss these with him, in private if you prefer but even better would be to do so in the presence of others. Let him see the developments with his own eyes, let him examine his body as it changes and adapts. In fact why not do so in company ? You'd be surprised at the results."

Mrs. Pickens didn't doubt that in the least. In fact, she was surprised at what she was hearing the doctor tell her. What unusual advice, and yet it all sounded so very enticing and intriguing. She was going to have to discuss this thoroughly with Susan Alcott. What interesting prospects to look forward to !

"But I'm sure things will work out fine. The changes won't happen overnight of course, but you'd best mentally prepare yourself in the meantime. And remember, I'll always be here to help."

"Thank you doctor," Mrs. Richards answered dutifully.

"No trouble at all. Now before we conclude here, I was wondering if you'd given any thought to having Randy circumcised ? I believe we discussed this before. His prepuce is still somewhat tight and narrow. In my experience it ought to be much easier to retract in someone his age."

Mrs. Pickens frowned. Oddly enough, given her otherwise eager propensity to have her nephew genitally examined and treated, she wasn't very keen on the idea of circumcision. She rather thought Randy looked endearingly adorable as he was and besides, it was quite fascinating and enthralling to perform a stretching treatment on a regular basis. She had no objection to the treatment at all. In fact, she rather enjoyed being required to pull his prepuce downwards and upwards when washing the lad. He always contorted his face in a grimace of discomfort, but secretly Mrs. Pickens suspected that it was not all that awful as Randy made it out to be.

No, she wasn't about to countenance anything as definite as circumcision. "I'd really prefer not to. It's rather irreversible I fear."

"Actually that's not the case anymore, though a remedial reconstruction of the prepuce is indeed far more complicated and time consuming than circumcision. However I understand your point. There are alternatives. For instance I could perform a limited procedure in which only the tip of the foreskin is snipped off. Depending upon the requirements we could leave his glans partially covered, baring only the upper region along with the urethral opening. It's esthetically pleasing as well, since it gives the impression of the penis being constantly semi- erect, even when in a flaccid state. And upon complete erection, a retraction of the prepuce is achieved almost automatically."

Once more Mrs. Picken's mind was a jumble with images of Randy in the newly described condition. It was too much for her to decide. "I'll have to think about this doctor, if you don't mind."

Doctor Richards smiled and nodded. "Of course Amanda. These are indeed weighty matters and should not be decided upon lightly. Just remember that you are free to discuss them with me anytime you wish."

"I'll keep that in mind."

"Fine. And meanwhile do continue with the stretching therapy."

Doctor Richards stood up and went over to Randy. "Well now Randy. How are you feeling ? Are you ready to get dressed or would you like to rest a while longer?"

Deliverance at last. Randy eagerly announced that he was well enough to dress. As a last measure Doctor Richards rubbed over the injection areas and asked if they weren't too sore. "We can give you something else to wear home if you think your boy's clothes would chafe too much."

Randy shook his head vigorously, by now understanding the hidden import of the doctor's words. He knew that had he agreed with her she would almost certainly have given him some kind of loose fitting feminine apparel to wear.

Doctor Richards chuckled and affectionately patted Randy on the bottom. "Silly boy. You shouldn't be so eager to turn down such an offer. But never mind. You can dress now."

"Thank you doctor."

"That's quite all right Randy. Just take care on the way home. Maybe on your next appointment you'll change your mind. See you next week."