Thursday, September 27, 2018

AutoPulse Resuscitation System - Automated CPR - ZOLL

AutoPulse Resuscitation System - Automated CPR - ZOLL

https://www.zoll.com/medical-products/resuscitation-system/autopulse/ems
The AutoPulse® Resuscitation System provides high-quality automated CPR to victims of sudden cardiac arrest. Easy to use and battery operated, the AutoPulse squeezes the patient’s entire chest to improve blood flow to the heart and brain. ... Compared with manual CPR, the AutoPulse ...

Videos

The best autopulse
demo-no injury to
pt
MrFearless172
YouTube - Aug 14, 2011

AutoPulse Resuscitation System

AutoPulse Resuscitation System - Automated CPR - ZOLL

https://www.zoll.com/medical-products/resuscitation-system/autopulse/ems
The AutoPulse® Resuscitation System provides high-quality automated CPR to victims of sudden cardiac arrest. Easy to use and battery operated, the AutoPulse squeezes the patient’s entire chest to improve blood flow to the heart and brain. ... Compared with manual CPR, the AutoPulse ...

Videos


The best autopulse
demo-no injury to
pt

MrFearless172
YouTube - Aug 14, 2011

Friday, September 7, 2018

Mesothelioma Recurrence successfully treated with RFA


Doctors from Japan have successfully treated post surgery recurrence of Malignant Pleural Mesothelioma (MPM). They used Radiofrequency ablation (RFA) to kill the recurrent tumor cells. The report of the case study was published on the journal “The Annals of Thoracic Surgery”. The doctors involved in the treatment were Akifumi Nakamura, Teruhisa Takuwa, Masaki Hashimoto, Nobuyuki Kondo, Haruyuki Takaki, Masayuki Fujiwara, Koichiro Yamakado  and Seiki Hasegawa from Hyogo College of Medicine, Japan.
RFA is an effective and minimally invasive electrosurgical technique involving the use of heat to kill cancer cells. Doctors had to choose  RFA due to difficult location of cancer but the result that showed up was promising.  “It shows promising efficacy,” the authors wrote. “Radiofrequency should be considered an option for treating recurrence of Malignant Pleural Mesothelioma”.
Malignant Pleural Mesothelioma is an aggressive tumor with limited treatment options, often linked to asbestos exposure. Pleural Mesothelioma has poor prognosis and minimal life expectancy due to chemo-resistance. Mesothelioma recurrence after surgery and lack of response to other modalities of treatment often poses clinical challenges in decision making.




RFA has been considerably utilized over several years for the treatment of inoperable thoracic lesions and hepatic tumors. However, the authors of the study believe this to be the first time it worked effectively with mesothelioma cancer cells. In RFA, high-frequency electrical currents are passed through an electrode in the needle, creating a small region of heat to kill cancer cells.

Patient Profile & Treatment Summary

A 55-year-old man, known case of malignant pleural mesothelioma with right sided pleural effusion came for a follow up 2 years back. He had already undergone variety of treatment options including surgery, chemotherapy and radiation. During the follow up, Contrast Enhanced CT (CECT) of the chest was advised. The CECT film revealed a new tumor in left hemithorax suggestive of focal distant metastasis. Chemotherapy was then administered intravenously with pemetrexed and cisplatin regimen.  However, there was no response to treatment even after completing four cycles.
Team of doctors in the Cancer Board of Hyogo College of Medicine therefore had to think of the most suitable approach. The board contemplated that surgery could be a problematic procedure due to poor performance status of patient, past history of treatment failures and difficult location of recurrent tumor. Radiofrequency Ablation (RFA) was then the most suitable option on the list with its safety, effectiveness and low rate of complications. The advantageous ability of RFA to be repeated with recurrent tumors was also considered in the decision making process.



Doctors performed RFA under CT fluoroscopic guidance. Prior to exposing the tumor with an electrode, the internal mammary artery was embolized to prevent risk of bleeding. After exposing the electrode into the center of tumor cells, the energy of radiofrequency was applied for 10 minutes to kill recurrent tumor cells. The procedure was successful with no complications. Post procedure course was uneventful. There was no evidence of Mesothelioma recurrence in the patient even after two years of procedure.

REFERENCES

1.
Nakamura A, Takuwa T, Hashimoto M, et al. Radiofrequency Ablation Effectively Treated Focal Recurrence of Mesothelioma. Ann Thorac Surg. 2018;105(6):e265-e267.
2.
Gomez D, Hong D, Allen P, et al. Patterns of failure, toxicity, and survival after extrapleural pneumonectomy and hemithoracic intensity-modulated radiation therapy for malignant pleural mesothelioma. J Thorac Oncol. 2013;8(2):238-245.
Mesothelioma Blogger
Mesothelioma Blogger loves writing about Cancer and Oncogenes.

Monday, September 3, 2018

AI model built to assess if patients with brain damage might regain consciousness

The novel AI model can make an assessment based on images of brain functional networks.

AI model built to assess if patients with brain damage might regain consciousness

The novel AI model can make an assessment based on images of brain functional networks.
Chinese researchers have built an artificial intelligence (AI) model with medical imaging that would help determine whether patients with severe brain damage might regain consciousness.
Severe brain injury can lead to disorders of consciousness (DOC). Some patients can recover from an acute brain injury but others fall into chronic DOC, also known as a vegetative state. They cannot communicate or act consciously.
The novel AI model can make an assessment based on images of brain functional networks, Xinhua news agency reported.
Representational image.
Representational image.
"When a brain functions, multiple brain regions are involved, and they form a network, working together. Like two mobile phones, though no actual wire links them, they have a functional connection when people make a phone call," said lead researcher Song Ming, from the Chinese Academy of Sciences.
For the study, published in the journal eLife, the team used resting-state functional MRI (fMRI) and found typical features seen in the brain functional networks of DOC patients, which can be biomarkers to trace the level of consciousness and predict the possibility of recovery.
To train the AI, they fed it tens of thousands of brain images of 63 DOC patients, at least one month after their brain injury.
The model diagnosed patients who would recover consciousness and those who would not with an accuracy of 88 percent in 100 cases.



























Friday, August 24, 2018

August 17, 2016--Accused FSU face-eater: ‘I’ve got a psycho side and a normal side’


Accused FSU face-eater: ‘I’ve got a psycho side and a normal side’

August 17, 2016 04:00 PM
Updated August 19, 2016 01:38 PM
“I used to think I needed steroids to be a bodybuilder, to be this thing, to be this symbol, to be this lie.”
On Monday evening, Harrouff stormed out of the Duffy’s restaurant where he was having dinner with his parents in Jupiter, then trekked three and a half miles in the August heat to brutally attack a middle-aged couple, John Stevens and Michelle Mishcon Stevens, whom he encountered in their garage hangout in their Tequesta home. Three police deputies had to wrestle down Harrouff, grunting and making animal-like noises as he gnawed at Stevens’ face.

On Wednesday, Harrouff, according to a spokesperson for the Martin County Sheriff’s Department, was stable and conscious and under armed guard in an unidentified Palm Beach County hospital, where he had hand surgery. Martin County Sheriff spokesperson Tricia Kukuvka said they were working to charge Harrouff with two charges of first-degree murder and aggravated battery on a Good Samaritan — Jeff Fisher, a neighbor of the Stevens whom Harrouff stabbed multiple times when he tried to help the couple.
The Sheriff’s Department said in a release that initial tests showed no sign of street drugs such as marijuana, heroin or cocaine. Harrouff’s blood, DNA and hair have been sent to the Florida Department of Law Enforcement for further testing, including testing for the synthetic drug commonly called Flakka. Test results normally take one to three weeks, although deputies have asked for expedited results. Autopsies of John and Michelle Mishcon Stevens showed the cause of death as multiple injuries and blunt force trauma, the sheriff’s department said.
There were signs of trouble leading up to Monday night’s breakdown. Harrouff’s parents are divorced, and neighbors of the home where Harrouff was living with his father, dentist Wade Harrouff, this summer, say he seemed aggressive and rowdy. One neighbor told the Herald they often saw Austin partying with friends in the backyard. Another said father and son had screaming fights in front of the house.
Harrouff’s mother, Mina, called 911 after her son abruptly left the restaurant Monday. Harrouff’s mother told police her son had gotten into an argument with his father at Duffy’s and that he had been acting strangely for approximately a week, saying that he “was immortal,” had “super powers” and “was here to protect people,” according to the Jupiter police report.
“It’s like he just — changed,” his mother told the 911 operator.
He was last seen in white shorts, a blue polo and a red Make America Great Again baseball cap.
But Mina also told police her son did not have a history of mental problems and was not a heavy drug user; the mother as well as Harrouff’s sister told police he was a “nice young man who would not hurt himself or anyone else.”
That gentle portrait clashes with what happened Monday night. Martin County Sheriff William Snyder said Harrouff attacked the couple as they were relaxing in what they had called their “Garage-Ma-Hall.” The muscular student stabbed the 50-something pair multiple times with a large pocket knife he often carried, as well as other instruments he found in the garage. When police arrived, Michelle was already dead, and Harrouff kept tearing at Stevens’ face despite multiple Taser shots and the use a police K-9. The attack appeared to be random, Snyder said.
Harrouff gave a very different impression in a statement on a college athletic recruiting website during his senior year of high school, while he was attending a rigorous International Baccalaureat program at Suncoast, a highly rated U.S. high school in Palm Beach County. He said that he had a 3.35 grade point average, was 6-2 and weighed 200 pounds, could bench press 365 pounds, and wrote that he was “one of the strongest” on the school’s football team, where he played offense and defense. He was on the weightlifting team and captain of the wrestling team.
“I would be a great asset to your football team,” he wrote. “I love the competitiveness of the game and I have the drive to improve.”
But at FSU, home of the Seminoles, one of the country’s top college football teams, Harrouff did not play football or participate in any other sports team. He joined the Alpha Delta Phi fraternity, where the Instagram account for the FSU chapter features a video of a wild-looking “Animal House” party last April. A Twitter account registered to @AustinHarrouff has only eight entries. The FSU freshman became more outgoing. “He went from not saying a word to anyone to smiling and saying hi and talking,” his friend wrote in an email.
Harrouff’s father, an implantology and cosmetic dentist, has been disciplined four times by the State of Florida Board of Dentistry, for misdiagnosing or mistreating patients, with consequences that included fines and remedial courses. Wade Harrouff also has been arrested twice for DUI, in 2011 in Juno Beach and in 2012 in Lantana. In the Lantana case, he pleaded guilty, received a year probation and was fined, according to records from the Florida Highway Patrol.
Duration 6:42
Timeline: Face-eating attack in Miami
May 26, 2012 Miami Herald File Video: A condensed and narrated version of the Miami Herald building security camera footage showing the face-eating attack on a homeless man on the MacArthur Causeway.

Read more here: https://www.miamiherald.com/news/state/florida/article96217747.html#storylink=cpy

Sunday, July 29, 2018

The History of Hysteria









The History of Hysteria: Sexism in Diagnosis


vibrator ad cosmopolitan magazine
The female body has long been misunderstood. Women are often misdiagnosed by doctors, either due to the belief that they are over-dramatizing symptoms or because of a lack of adequate research on illnesses predominantly faced by women. As frustrating as this is, it’s no new phenomenon.
Dating back to 1900 BC Egypt, an ancient medical document known as the Eber Papyrus contained references to hysterical disorders thought to be caused by abnormal movements of the uterus. In the 5th Century BC, Hippocrates was the first to coin the term “hysteria” and agreed with his predecessors that this so-called condition — attributable only to women — was due to a “wandering womb,” believed to be caused by sexual inactivity. Recommended cures were, naturally, that women should increase sexual activity within the bounds of marriage. This diagnosis was not founded in science or medical research (though that may seem obvious now), but in gender bias against women and their experience of emotions and the perceived lack of sexual interest.
As currently defined by Merriam-Webster Dictionary, hysteria is, “behavior exhibiting overwhelming or unmanageable fear or emotional excess.” An alternate, psychiatric definition is, “a psychoneurosis marked by emotional excitability and disturbances of the psychogenic, sensory, vasomotor, and visceral functions.” While the definition of hysteria might seem broad, it has also altered over time. While medicine and mental health have changed a great deal over the centuries, hysteria is a historically gendered diagnosis that often served as a catch-all when doctors couldn’t identify another illness. It was extremely common to find women labelled as “hysterical” defined more by their stature as women than by their symptoms.
Around 200 AD, the belief remained that sexual abstinence was the cause of hysteria, classified by symptoms of insomnia, irritability, anxiety, erotic fantasies, and excessive vaginal lubrication. Roman physician Galen prescribed one of two things: sex within marriage or pelvic massage performed by physicians or, better yet, midwives (as it turns out, physicians were reluctant to deliver this form of relief themselves).
As the centuries went on, many different causes of, and solutions for, hysteria were presented, ranging from medical afflictions caused by the uterus’ lack of satisfaction through sexual intercourse or childbearing, to the spiritual possession of demons that caused a woman to act erratically. Everything from sex, to manual stimulation of the clitoris, to smelling pungent fragrances (originated by Hippocrates) were thought to aid in the treatment of hysteria. In the 16th century, English surgeon Nathaniel Highmore publically claimed that the “hysterical paroxysm” (the result of genital stimulation of women) could also be called an orgasm. The first vibrator came courtesy of Dr. J. Mortimer Granville, as a way to bring women to orgasm — and relieve them of their hysteria — more quickly.
Eventually, hysteria came fully to be thought of as a mental illness and not necessarily to be associated with the sexual and reproductive well-being of a woman. The term itself, however, didn’t disappear from doctors’ lexicons until the 1950s when the American Psychiatric Association removed it from the Diagnostic and Statistical Manual of Mental Disorders, the bible of modern psychiatry.
The most common condition currently associated with classical “hysteria” is Borderline Personality Disorder (BPD). Even now there is a prevailing stigma against people who suffer from BPD. Not only is BPD hard to diagnose due to overlapping symptoms that can be associated with other mental illnesses, but many therapists find it hard to treat because the symptoms of BPD include emotional volatility and instability. The manifestation of symptoms can arise, change, or disappear as fast as they are diagnosed.
Women diagnosed with BPD are often said to be “hysterical.” According to an article from Mad in America, women are diagnosed with BPD 75% more often than men and many of the common symptoms resemble those of hysteria throughout history. Is it sexism that perpetuates this gender disparity? Possibly. While women are more likely to get a diagnosis of mental illness overall, doctors are still less likely to take their symptoms — physical or mental — as seriously.
In her book “Women and Borderline Personality Disorder: Symptoms and Stories,” author Janet Wirth-Cauchon wrote, “the label ‘borderline’ may function in the same way that ‘hysteria’ did in the late 19th and early 20th century as a label for women.” While the discussion of women and mental illness may have become less blatantly sexist in recent years, it is clear that there is still an unfortunate yet commonly held belief that women are more prone to mental illness and to “abnormal” behavior (“normal behavior” often being a proxy for male behavior).
When it comes to other women’s health issues like endometriosis (the presence and growth of functioning endometrial tissue in places other than the uterus), women are often discredited or their symptoms are thought to be exaggerated. This can lead to a period of up to 10 years before a diagnosis is made and treatment received. One study, originally published in the Journal of Fertility and Sterility, claims that, “this centuries-old notion linking chronic pelvic pain to mental illness exerted tremendous influence on attitudes about women with endometriosis in modern times, contributing to diagnostic delays and chronic indifference to their pain for most of the 20th century.” Again, we see how the “catch-all” diagnosis of hysteria, and discrediting women’s mental stability, has crept into other health issues women face.
The history of hysteria flows directly into current women’s health challenges — both physical and mental. Women were, and still are, often assumed to be less competent and less in control of their bodies and minds. Alleviating the stigma surrounding mental illness requires awareness of how diagnoses are gendered by doctors and patients alike.
The history of hysteria shows just how deeply sexism can affect science and psychology. Because of this, women are put into a unique position of needing to advocate strongly for their own health. Women must continuously insist that their health concerns be taken seriously to get not only a diagnosis, but an accurate one. Women advocating for themselves will help alter the landscape of medicine and mental health and, hopefully, create a safer place for women to receive treatment.








Late 19th century “medical massager”

 


By 1870, a clockwork-driven vibrator was available for physicians. In 1873, the first electromechanical vibrator was used at an asylum in France for the treatment of hysteria. While physicians of the period acknowledged that the disorder stemmed from sexual dissatisfaction, they seemed unaware of and unwilling to admit the sexual purposes of the devices used to treat it.



By the 20th century, the spread of electricity brought the vibrator to the consumer market. Hysteria could now be treated cheaply and easily in the privacy of one’s own home. Other cures for female hysteria included bed rest, bland food, seclusion, refraining from mentally taxing tasks (like reading) and sensory deprivation.
Over the course of the early 20th century, the number of patients of female hysteria sharply declined, and today it is no longer a recognized illness. There were many reasons for its decline. Firstly, hysteria was a natural diagnosis if the physician could not understand the disease. With advancement in science and medicine, this was no longer the case.



Secondly, many medical authors claim that the common man has gained a greater understanding of the psychology behind disorders such as hysteria, and it therefore no longer gets the desired response from society. Many cases that would have been labeled hysteria were re-classified by Sigmund Freud as anxiety neuroses. Today manifestations of hysteria are recognized in other ailments such as schizophrenia, conversion disorders, and anxiety attacks.







Massage with a ‘happy ending’ used to be a common ‘medical’ treatment for women before and during much of the Victorian era. Women suffering from a variety of problems (basically sexual frustration from selfish and/or inept husbands) would go to doctors to get genital massages, both internal and external, to the point of have a “paroxysm”, otherwise known today as an orgasm,

“…(sexually frustrated women) complained to doctors of anxiety, sleeplessness, irritability, nervousness, erotic fantasies, feelings of heaviness in the lower abdomen, and wetness between the leg. This syndrome became known as “hysteria,” from the Greek for uterus…
…Doctors or midwives applied vegetable oil to women’s genitals and then massaged them with one or two fingers inside and the heel of the hand pressing against the clitoris. With this type of massage, women had orgasms and experienced sudden, dramatic relief from hysteria. But doctors didn’t call women’s climaxes orgasms. They called them “paroxysms” because everyone knew that women were incapable of sexual feelings, so they could not possibly experience orgasm.
By the early 19th century, physician-assisted paroxysm was firmly entrenched in Europe and the U.S., and proved a financial godsend for many doctors. At the time, the public viewed physicians with tremendous distrust. Medicine was, at best, primitive. Most doctors had no scientific training. And their standard treatment, bleeding, killed more people than it helped. But thanks to genital massage, hysteria was one of the few conditions doctors could treat successfully, and it produced large numbers of grateful women who returned faithfully and regularly, eager to pay for additional treatment…
…Unfortunately for doctors, hysteria treatment had a downside—achy, cramped fingers and hands from all that massage. In medical journals of the early 1800's, doctors lamented that treating hysterics taxed their physical endurance. Chronic hand fatigue meant that some doctors had trouble maintaining the treatment long enough to produce the desired (and lucrative) result.
Necessity being the mother of invention, physicians began experimenting with mechanical substitutes for their hands. They tried a number of genital massage contraptions, among them water-driven gadgets (the forerunners of today's shower massage devices), and pumping, steam-driven dildos. But the machines were cumbersome, messy, often unreliable, and sometimes dangerous.
Then in the late nineteenth century, electricity entered American homes, and the first electric appliances appeared: the electric fan, toaster, tea kettle, and sewing machine. In 1880, more than a decade before the invention of the electric iron and vacuum cleaner, an enterprising English physician, Dr. Joseph Mortimer Granville, patented the electromechanical vibrator…”



Hysteria was the first mental disorder attributed towomen (and only women) -- a catch-all for symptoms including, but by no means limited to: nervousness, hallucinations, emotional outbursts and various urges of the sexual variety (more on that below).Nov 21, 2013

Female Hysteria: 7 Crazy Things People Used To Believe About The ...

https://www.huffingtonpost.com/2013/11/21/female-hysteria_n_4298060.html

Web results

Female hysteria - Wikipedia

https://en.wikipedia.org/wiki/Female_hysteria

Female hysteria was once a common medical diagnosis for women. It is no longer recognized by medical authorities as a medical disorder, but still has lasting social implications. Its diagnosis and treatment were routine for hundreds of years in Western Europe.
Early history · ‎19th century · ‎Decline

Female Hysteria: 7 Crazy Things People Used To Believe About The ...

https://www.huffingtonpost.com/2013/11/21/female-hysteria_n_4298060.html

Nov 21, 2013 - Hysteria was the first mental disorder attributed to women (and only women) -- a catch-all for symptoms including, but by no means limited to: nervousness, hallucinations, emotional outbursts and various urges of the sexual variety (more on that below).

Web results

Female Hysteria History: 12 Shocking Things Experts Believed

https://www.littlethings.com/female-hysteria-history/

Take a historical look backward at the shocking things people used to believe about female hysteria: its symptoms and the bizarre treatment stories.

Female Hysteria during Victorian Era: Its Symptoms, Diagnosis ...

www.victorian-era.org/female-hysteria-during-victorian-era.html

Victorian Era Female Hysteria:Symptoms,Diagnosis,Treatments,Hydrotherapy,Natural Cures.

The History of Doctors Diagnosing Women With Hysteria | Glamour

https://www.glamour.com/.../the-history-of-doctors-diagnosing-women-with-hysteria

Mar 7, 2017 - Apparently, Sydenham once declared that female hysteria, which he attributed to “irregular motions of the animal spirits,” was the second most common malady of the time—behind another nebulous term, "fevers"—according to research in Mother Jones.

Vibrators and hysteria: how a cure became a female sexual icon

theconversation.com/vibrators-and-hysteria-how-a-cure-became-a-female-sexual-icon...

Jul 18, 2012 - Vibrators have been causing a buzz for as long as they've existed: sometimes this happens behind closed doors, and sometimes in the public ...
In her provocative book, The Technology of Orgasm, Rachel Maines discusses a classic medical treatment for the historical diagnosis of “hysteria”: orgasm administered by a physician.
Maines explains that manual stimulation of the clitoris was, for some time, a matter-of-fact part of medical treatment and a routine source of revenue for doctors. By the 19th century, people understood that it was an orgasm, but they argued that it was “nothing sexual.” It couldn’t “be anything sexual,” Maines explains, “because there’s no penetration and, so, no sex.”
So, what ended this practice? Maines argues that it was the appearance of the vibrator in early pornographic movies in the 1920s, at which point, she says, doctors “drop it like a hot rock.” Meanwhile, vibrators become household appliances, allowing women to treat their “hysteria” at home. It wasn’t dropped from diagnostic manuals until 1957.





Hysteria

byMsMantis©
**Author's note** I have been intrigued (and repulsed) by the concept that doctors used to masturbate female patients as a means to treat hysteria. Fantasy is fantasy, however, so here is a story based in this concept.

*****

She had been referred to this doctor by her guardian. Guardian was not the right term, only the legal one; he was her uncle, a traditional conservative old man who had not wanted to take on the burden of an "old maid" such as herself. Another misleading term; she was no old maid - simply a young unmarried woman. After her parents had died, and since she was still unmarried, she was to become a ward of her uncle. As she bounced along in the carriage on the way to the doctor's office, her creamy brow wrinkled in repressed anger as she recalled how it had been - living as her uncle's ward.

Before her parents deaths, she was able to spend most of her time at the university library, studying under the scornful eyes of the library patrons. Her parents respected her independent streak, and allowed her to behave in ways which were considered most unladylike by polite society. Once she moved in with her uncle, she was expected to fit nicely into the cute pink box that her uncle - and society - had constructed for her. When her set up weekly luncheons with the local ladies; she hid in her room and refused to entertain them. When her uncle forced her to serve whiskey and cigars to his "eligible bachelor" friends, she shocked them all by daring to discussing political happenings; things that were most inappropriate for a young lady such as herself to worry about, let alone discuss. Needless to say, living with her uncle had been troublesome.

So to say she had been referred to the doctor was also incorrect. She was being forced to go. This morning when she walked out of her room, her uncle and the household staff were all waiting to swiftly sweep her into the waiting carriage and sent her off. Her escorts were the burliest men her uncle had on staff; his stablemaster, his footman, and his butcher. All of the men were physically intimidating, and all were loyal to her uncle. She sighed as she looked at her silent co-passengers. Perhaps she would be able to reason with the doctor. Her heart started picking up, and her hope raised as she thought of the possibility that the doctor could be a progressive! 'How salacious!' she thought, a smirk pumping her cheeks, 'how utterly perfect that would be; we could laugh at my ridiculous mired down uncle!' She smiled to herself and brushed a loose lock of her hair back from her face. The butcher turned his dark features to her and narrowed his eyes suspiciously. She stared obstinately at him until he scowled and turned away. Grinning in victory, she thought, 'I am a 20 year old woman, I am not a child for him to order around and control!! Unless this doctor is giving me a chance to walk away from my uncle all together... there is nothing I need from him!' She settled in to her seat, resigned to the pointless doctor's visit.

-

Inside the doctors waiting room, she felt silly surrounded by her three guards. She was escorted to a chair while one of them went to the secretary to alert the doctor of her arrival. No one spoke to her, she was prodded along by the lurking men her uncle sent. Suddenly the man who had spoken to the receptionist walked back to her holding a small paper cup. Without speaking to her, he thrust the drink up to her face. She pulled back in disgust and anger, and started to sputter "Excuse you!" as she reached up to grab the hand forcing the cup in her face. Her heart fluttered when she felt his other hand reach out and grip her wrist. His hand was warm, fingers powerfully curling around her, stopping her motion. She felt her hope burst as if popped by a needle. While holding her captive with his hand, he used his other to finally rest the rim of the cup against her lips. She kept her lips firmly shut, and gave a small shake of her head - it was the most resistance she could offer.

His hand gripped her wrist tighter, his fingers encircling her bones and nearly crushing them. His voice was deep and soft, almost in her ear; and she was startled to realize he had leaned in towards her. She could feel his breath stirring her hair against her neck, and she shivered and felt certain that the only way out of this situation was through it. Resigned, defeated, bordering on humiliated - she relented and parted her lips.

The cup tipped and the chilled liquid slipped onto her tongue. It had a faint metallic taste, almost bitter, and she struggled to swallow it. She choked slightly on it, as the man tipped the cup farther. "Easy," he said, causing that same curious shiver to course down her back. "That's a good girl." he murmured when she relaxed and swallowed the remaining liquid. Her stomach did a strange jolt when he said the last part. She felt a flush in her womb, a heat beginning to bloom in her groin.

She realized she was slumping in the chair, against one of the other men who had escorted her. It was the butcher. She leaned into his warm, solid shoulder, nuzzling into his scent; an earthy odor. She jerked a bit, suddenly quite aware of what she was doing, but the thought was fleeting and scattered; she was soon awash in the gauzy cotton haze that seemed to cloud her mind. She could hear some discussion going on around her, and she frowned, finding the buzzing words faintly annoying.

"Heh, looks like the medicine is working already. Awe look, she likes you!"

"Shut the fuck up. If it's working, let's just get her to the doctor."

She was rudely jerked under her armpits to standing. She opened her eyes and saw the footman standing in front of her. He was young, nearly her age. She always thought he was handsome, and he was always so polite and genuine to her. It felt right to lean into him, to wrap her arms up around his neck and hug him. She sighed as she felt his sturdy chest under her cheek, and she listened to the hammering of his heart. Amidst the chuckling, she was turned, and with his arm around her, the footman walked her out of the waiting room. She stumbled, and felt a strong arm slip around her waist from the other side. This hand rubbed up her side, and grazed up against her breast. She started to protest, but her words were slurred, and she wasn't even sure what she was saying. The hand squeezed her in response.

They helped her along, dragged her when she couldn't handle walking, and brought her through a doorway into a sterile room. She could vaguely make out the doctor, he was more a shimmering floating white coat. She tried to look around her, but she was dizzy and just wanted to sit down again. She soon rested her head against the footman's shoulder again, leaning her weight into him.

"Looks like she's ready for the procedure." the voice spoke from the doctor's coat, and was firm and cold. "Help me strip her."

She immediately began shaking her head, murmuring and slurring out protests. The footman turned her so that her back was against him. He held her upright, and shushed her protests while the other two men began undressing her. The butcher gruffly told the stable-master to remove her shoes, as he began to immediately undo her shirt buttons. His greedy fingers made quick work on her shirt buttons, and she shivered as he unceremoniously brushed the fabric off her shoulders, exposing her skin to the cold air. Before she could process the injustice, she was forced to one foot while the stablemaster removed one shoe, then the other. She felt cold under her feet, and was confused. Then realized that he had also removed her stockings. By this time, the butcher had undone the button fastening her skirt, and he ran his hands down the sides of her hips, his rough skin burning across her as he dragged her skirt off.

For a moment, she was aware of the fact that she was standing with four men, while clad only in her basier and panties. She could feel her nipples hardening, and she began to protest again, trying to cover herself with her hands. Before she could, however, her hands were grabbed and shoved through the armholes of a paper gown. Then she was marched forward and sat down on the examining table. With a spinning head, she allowed herself to be laid back. She felt the paper crinkling under her buttocks, and heard a metallic sound. She felt a hand grip her foot, and rest it in a cold foot hold. Her other foot was soon placed in another hold.

Again, for a brief second, she was aware that she was laying in a most obscene fashion in front of these men... she had never been in a situation like this, and she was embarrassed of how she might look. It was a brief second, and then she lay back, too tired to move, to think, to worry.

"All right gentlemen, I'll let you know when the procedure is done." the white coat said, it seemed to be gathering tools.

She was starting to enjoy this floating feeling, and stopped listening to them, so she didn't comprehend or even realize when the butcher said, "Listen, there's an extra fifty bucks in it for you if you let us watch." Nor did she see the slip of paper exchanging hands, or realize that an audience of three was now standing looking down at her.

Without any warning, she felt a gloved hand against her groin. She bucked up off the table, able to squawk out a startled "What?!"

"Stop that!" the white coat chastised her.

She was confused, he was the doctor, so she lay back.

His hand molded against her, again. She could do nothing but feel the weight of his hand against her labia majora. She had never felt anyone's hands on her like that - not even her own. She had however felt this same heat and heaviness in her groin. It reminded her of the times she had sat on the arm of a chair - straddled it - and rubbed against it until she was panting and shivery, and the heat in her groin had gone away. She started flushing, she couldn't help but begin to feel that same buildup growing. The doctor's hand was gently squeezing her, massaging in an up and down motion. She exhaled forcefully, and unconsciously raised her pelvis up against him to increase the pressure.

"Awe look, she likes that doc!" A dark voice cut through her haze, again forcing her into reality. She squeezed the doctors hand as she yanked her thighs closed. She became aware of the crinkling paper under her elbows as she fought to sit up.

"Restrain her."

Suddenly she felt her feet forced back into the stirrups as her one hand was caught and pulled up over her head. Someone was pressing on her shoulders, forcing her to lie back. She was only vaguely aware of something encompassing her ankles, and then her wrists, holding her in a spread eagled position on the table. She pulled weakly at them, they were soft, but unyielding. She was still so tired, so woozy, that she could only meekly pull at the restraints and shake her head. Each shake, each tug at the restraints got less and less forceful as she receded again back into the drug induced haze.

Almost immediately again, she felt the hand against her mons pubis, stroking her, drawing a finger up and down the slit made by her labia. She was helpless to do anything other than let the feelings build up within her. The hand was slow, torturous, and so methodical. It cupped against her, squeezing her vaginal lips together and pressing into her. Then it released her and drew one fingertip lazily around, tracing her lips, and running up and down her slit with debilitating slowness. She groaned without realizing it, her hips raising off the table to follow his fingertips; and yet she was deaf to her own moans, and to the crinkling of the paper as she bucked off the table to continue to feel his ministrations.

"Look she's already getting wet!"

She groaned and turned her face away from the voices, as the hand withdrew. She was suddenly very aware of four pairs of eyes on her, and she could see herself in her mind's eye. Her face was flushed and scrunched, her hands fisted and pulling against her restraints, and her legs splayed widely open to make her panty clothed pubic region a focal point. She could feel the cold air against her, and knew for certain that her vagina had gotten damp. Sometimes after she straddled her chair, she would find this same dampness in her panties. She was embarrassed that they were seeing this shameful stain.

"That's nice." Someone said, and the deep tones of his voice, the primal hunger buried in it made her both flush with shame and mortification, and also filled her with a perverse devilish pleasure. Without realizing she was doing it, she relaxed her hands, and let her legs fall open farther. Her hips barely raised off the table in a gentle rhythm. She couldn't help it, the silence was filled with desire and heavy; it made her anxious, made her dizzy, and increased the pressure in her womb.

"Maybe she needs some other stimulation as well." The calm, detached voice floated towards her from the white coat, "She's not responding to the treatment yet... she might need a more *ahem* hands on approach."

Her eyes were closed tight, her chest rising and falling in shallow but rapid breaths. She lay still, now hanging on the words spoken, and trying to first comprehend them, and then interpret what it meant. She did not have to wait long before she felt a shift in the air around her head, and felt a strong pair of hands latch squarely onto her breasts. She groaned aloud, trying to shift her shoulders to shrug out of the grip, but that only pushed her chest up into the hands.

Before she could process anything, the doctor began his ministrations again. He ran his fingers up and down her labia, stroking her, probing at her, and pressing into her. The hands at her chest massaged her, cupped her weight, and ran it's thumbs across her erect nipples. She pulled at the restraints now - not to escape, but because the pressure building within her was out of her control. She wagged her head back and forth, sometimes pressing her forehead into the hairy forearm on either side of her head. She breathed in the scent of the skin beside her, the earthy odor filling her nostrils. She opened her eyes and looked up into the dark eyes of the butcher. He stood at her head, his arms reached out across her, manhandling her breasts. When they made eye contact, he squeezed on her nipples, twisting them and pinching them gently. A sadistic smile curved his lips. She mewled out, her body freezing and melting as it accepting this delicious feeling. She kept her gaze locked with his, even as her womb began spasming, sending out waves of bright crashing light that coursed through her body with her heartbeat. He rolled her nipples gently as the hand at her vagina cupped her while pressing one finger up between her lips. Her panties were wet, her breathing was ragged, and she began to realize what had transpired.

She licked her lips as she looked up into the butcher's eyes, unsure of what to do, feeling vulnerable because of the situation, but also burning with that same perverse pleasure, the sheer thrill of being seen is such a raw and primal state.

"You just came, didn't you?" The butcher said bluntly, cupping her breasts and pressing them together.

The embarrassment and shame flooded back, so she turned her gaze away. Her respite did not last long. The butcher continued to stroke her breasts, as the doctor used his glove finger to snake around her panties and pull them to the side. "Looks like she might have." the doctor's voice wafted up from her pelvis. She groaned audibly, and she could feel her vaginal opening squeezing. She couldn't help it, she was thrilled as much as horrified that her naked body was so intimately on display.

The thought entered her mind almost immediately, 'I hope he touches me... oh god, I want him to put his finger inside of me!" She moaned again, gnawing at her bottom lip and again gyrating her hips.

"Hmm... looks like she might need more, but I am going to need to increase the stimulation. She still isn't responding the way I'd like her to."

She felt the panties pulled farther away from her body, and heard the metallic snip of scissors being worked. Two more soft *snick*s and then her panties were pulled fully out from under her backside. She could hardly protest this - perhaps did not even want to protest this - as the laces holding her gown together were undone, and the gown was pushed up off her shoulders. She could feel the gold air rushing against her skin, and felt goosebumps pimple her flesh, her nipples again hardened against her braiser. Keeping her eyes closed, she felt the cool metal of the scissors along her shoulders, and knew that they were cutting the gown away to get around her restraints. Then she felt the scissors on each strap, and across the middle of her chest, between her breasts. She opened her eyes as the cups sprang open, and was again looking into the face of the butcher. He roughly yanked the bra and the gown out from under her body - now she was naked, strapped spread eagled on the examination table.

She looked around at the scene, the doctor seated between her legs, the butcher standing at her head, smirking down at her. The young footman and the burly stable-master were standing beside her, close enough to see her shivering breath. She couldn't bear it, so she looked away. Her eyes landed on the footman's groin. He had an obvious bulge, one that he was absentmindedly stroking. She groaned and bucked up again, driven utterly wild at the thought of what was contained within his pants, wishing that someone would touch her again.

As they had worked to fully strip her, the doctor had been giving directions to the men. The footman was now positioned by her head, next to the butcher. The doctor was between her legs, and the stable-master was directly behind him, already touching her calf. She was panting, her breasts quivering, she was aching for attention.

Finally the hands reached out and touched her. She groaned aloud, overwhelmed by the attentions. The butcher and the footman both fondled her breasts. Their asymmetric motions kept her off guard and thrilled her. She moaned a low guttural moan when the doctor slipped a finger along her wet labia, running up along her slit again. The stable-master was running his hand up and down her leg, until he was shoulder to shoulder with the doctor, and they were both gently prodding at her. She grit her teeth and hissed, bucking up with her hips when she felt someone pull her labia open. The hands on her chest were restless, caressing her, sometimes running up to trace her neck, feel her pulse, or trail along her ribcage. Multiple hands were assaulting her, and all she wanted was more.

"Yes, this better. Perhaps some penetration would help." These words were offered with the sweet pressure at her entrance. She still, trying to feel each sensation. As the other hands continued to molest her, she lay, waiting, feeling the fingertip ease into her vaginal opening. She groaned and pulled against her wrist restraints as the finger slid into her.

"Mmmmmpplease..." she whined, unaware that she even did it, she was wild with desire, her breasts heaving, nipples sending twinges down to her vagina as they were pinched and pulled. The finger inside her was frustratingly still. Suddenly she became aware the the stable-master was now tracing her labia, tenderly stroking her pubic hairs as the doctor kept his finger slid deep inside her. She could feel her body clenching around him, trying to pull him deeper into her. She pleaded again, when the stable-master ran his finger across her clitoris.

"Very nice.." the doctor murmured, his voice now thicker, still cold and detached, but more.. Feral. He neatly slid another finger into her virgin hole, she groaned as her body stretched, but she needed the fullness, and the pain soon bloomed into more delicious pressure. "Perhaps even more attention to the clitoris, eh?"

 She balked when she felt the cold against her labia. "Lucky she's so juicy doctor, you can slide right in." the stable-master said as the cold speculumwas slid inside her. Slowly the doctor began to crank the device, and she could literally feel the cool air of the room touching her inside her hole.

She had a wild thought 'I hope they can see inside me.', as she writhed while the device stretched her aching vagina open. She could feel the stable-master tracing his finger around, probing into her vagina, causing her to squeeze against the unmoving metal. "Uhh, please." she groaned. After more quiet discussion she could not make out through the throbbing in her ears, she felt the finger withdraw, and opened her eyes to see the men shuffling around. Now the butcher was between her legs, and the stable-master was standing by her chest, already cupping her breasts. She could see the doctor overseeing their ministrations, and could see the footman behind him, with his naked cock pulled out. He stared at her, his hand pulling with long, slow, continuous movements.

She was so turned on by the sight, by the feelings, that she began pleading in a more earnest fashion. She turned her gaze back to the butcher, who was smiling at her, waiting for her to make eye contact. Her heart thudded harder when she saw his eyes; they were so full of a dark promise, and a hunger that threatened to consume her whole. He placed both of his thumbs inside of her, and then leaned into her so that his face was kissing distance from her hot and aching genitals. She could feel him inhale, his nose pressed directly between his thumbs, and up inside her hole. She groaned, the hands on her chest continually rubbing her nipples and massaging the breast. The butcher licked up underneath the speculum, his tongue lapping up at her anus, then dipping into her sopping and stretched open hole. Then, when she was writing in agony and delicious torture, he lapped at her clitoris.

"Oh jesus!" She exclaimed, her eyes flying open, and her blood rushing, "oh please, yes, uhh..." she trailed off making useless noises, her hands pulled weakly at the straps, until she finally felt the pressure breaking inside her. The tongue continued to lap away at her as her vagina squeezed around the speculum, and juice seemed to flood out of her an around his thumbs.

Her heart was beating rapidly, her body felt flushed and relaxed, her vaginal opening was throbbing around the speculum. She was woozy, her brain was fuzzy, and she was just so tired. She lay there, feeling relaxed and slipping into sleep. She did not hear the doctor and the stable-master and butcher discussing her "performance". She did not hear them leaving the room, nor did she realize the footman had stayed behind until he came to stand between her legs.

His hand touched her gently, running from her inner thigh to her labia, tracing around the hole the speculum created, and dipping up inside her. She groaned and looked down to see him. He had his cock in his hand, it was thick, and the head was dark and glistening. She started wiggling her hips without knowing it, anxious to feel his cock inside her.

He dropped to his knees in front of her, and shocked her by kissing up the insides of her thighs, and sighing contently when he reached her vagina. He also smelled up inside her, causing her heart to rush, and the familiar flood to gush out of her. He licked up inside her as best he could, then suckling at her clitoris. She yanked against the restraints, and could hear the paper crinkling under her again. "Please!" she cried, looking at him as she said it.

He slid two fingers up inside her, stroking the inside of her vagina. While he did that, his tongue lapped at her clit, and he tugged at it and sucked it up in his lips. It did not take long before she was about to burst the pressure building. Suddenly he stopped and pulled away.

"No!" she cried, "No, please, oh please!" she was arching her hips up, her labia puffy and flushed red, her hole leaking her fluids.

He ignored her pleas, and stood, stroking his cock. She grew still instantly, hoping that he would put it inside her. He placed his hand on her thigh, and eased forward until she could feel the tip of his penis lightly tapping against her hole. He never went inside her, but he kept his cockhead pressed up into her stretched open hole. Soon he gripped her harder, and pressed up against her firmly. She could feel something hot jet up inside her, and an audible sound of suprise shot out of her. He moaned, stroked up his cock one more time, and when he pulled away, she felt juice running out of her. She was pent up with frustration, but exhausted and feeling less inclined to fight the haze in her head.

She flinched when the speculum was removed from her, but soon receded back into her haze. She did not take note of the release of her hands and feet, and she grumbled at the cold as she was made to sit up. Her shirt was hastily slipped on her, and her skirt slid up over her hips, and fastened shut.

Again, she was lead out of the room and down the hall. Her vision was narrowing down to a pinpoint, and she was just so tired. She heard the murmur of the men around her, but she listened to none of it. She felt the warmth and the strength of the person against whom she leaned, and she accepted the support and warmth. When she thought she couldn't stand anymore, she was promptly lifted up into the carriage, and fell into an exhausted slumber.

byMsMantis© 5 comments/ 20131 views/ 20 favorites

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