The Dr. is fed up with her patient's irresponsibility, canceling appointments, not calling and just being rude. Today the Doctor has a surprise for Sarah. Dr. Payne has been patient, but after Sarah answers her rudely, she decides she has had enough. After Sarah strips and puts on the hospital gown, she is turned over the doctor's knee for a good sound bare-bottom spanking. After turning her ass bright red, she proceeds with her regular exam, which leads into a rectal temperature taking, rectal exam and a bulb enema. Then the patient is tied to the exam table and given a harsh long strapping on her bare ass. Still not satisfied that she has learnt her lesson, Dr. Payne administers a 2 quart enema, which she is made to hold in while she is paddled. Then she is allowed to use the ladies room. Upon her return she is asked to get on the table and stick her bottom up high for her deep rectal penetration with a vibrator about 1.5 inches in diameter and 6 inches long. This is a very hard spanking, strapping, and paddling video. It has anal temperature taking, several enemas, and anal penetration!