It has been several years since Ayana Lee had a complete

physical exam so she reluctantly makes an appointment at the Public Health

Department. After a brief wait in the waiting room, she is met by none other

than Dr. Claw. It seems that her nurse has the day off, or took the day off, so

she has to fly solo.

After taking her back to the exam room, Dr. Claw has Ayana

sit on the exam table and takes a complete and thorough medical history. In

spite of having no nurse, she is well trained and does a fine job of taking

Ayana's vital signs. Like any new patient at the PHD, she is shocked to find

that she has to have her rectal temperature taken!

After lowering her skirt and having the rectal thermometer

inserted into her bottom, Ayana is given further unexpected news. She will have

to have two *nemas to clean her out for a rectal speculum exam. Ayana has never

had an *nema before and is understandably nervous, but she undresses while Dr.

Claw fills the *nema bag.

Her first *nema is given with the smaller plastic nozzle and

Ayana takes the *nema well. After expelling, she is introduced to the large

inflatable nozzle that Dr. Claw wants to use to allow her patient to hold the

*nema for as long as possible. After inserting the nozzle, she discovers that

it is leaking so she removes it and completes the *nema with the plastic nozzle,

much to the delight of Ayana.

Ayana is given a complete pelvic exam, including a bimanual

check, speculum and pap smear, and a rectovaginal exam. Following this, Dr.

Claw gives her a complete breast exam.

After her pelvic exam, Ayana has to get up on her knees and

down on her elbows for the dreaded rectal speculum. After inserting it, Dr.

Claw has her patient use the toilet again and then tries the exam again, with

more success.

No one likes to get *njections, but they do save lives, so

Dr. Claw gives the HPV *njection to Ayana.

Ayana's Physical Exam