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at that moment , the door to the exam room flew open .
mr. robertson stood hunched over , his legs an almost painful distance apart .
he took one look at pesh and his white coat , and he lunged at him .
`` help me .
please ! ''
although it was strictly against the nursing code , she would have loved nothing more than to have throttled mr. robertson right then and there .
pesh grasped mr. robertson 's hands on his coat and pulled them down .
`` sir , you need to get back inside .
as unsteady as you are , you certainly do not need to be on your feet . ''
as pesh led mr. robertson back to the examining table , megan reluctantly followed them inside the room and closed the door .
`` what seems to be the problem ? ''
mr. robertson glanced from pesh to megan and then back to pesh .
with a sheepish expression , he replied .
`` um , i seem to be having some lower abdominal swelling . ''
megan had to fight from rolling her eyes .
she stepped between pesh and mr. robertson and looked pesh full on in the eye .
`` while the patient refuses to acknowledge his condition , it appears after examination that he has an extreme priapism . ''
at the word , color flooded into pesh 's tan cheeks , and he broke eye contact to momentarily stare down at the floor .
his reaction was exactly what megan had feared she would experience in the moment .
she had hardly imagined his level of professionalism would allow him to be embarrassed about a medical condition .
but of course , their past interactions made anything of the sexual kind a little more mortifying than if she was dealing with one of the male interns .
it took pesh only a few seconds to recover , and then he immediately turned his attention to mr. robertson .
`` did you take any erectile dysfunction medication in the last four to six hours ? ''
when mr. robertson started to look at megan , pesh shook his head .
`` my nurse will stay with me through the duration of your care .
so i will repeat once again , did you take any medication ? ''
`` cialis . ''
`` how many milligrams ? ''
when mr. robertson shrugged , pesh demanded , `` are you being purposefully evasive , or do you not know ? ''
`` i do n't know , okay ?
i got it off a buddy of mine . ''
`` do you normally take medication that is n't prescribed to you ? ''
`` i just wanted to try it out . ''
pesh glanced over at megan .
`` i 'm going to ask for a full blood work-up .
who knows what else he might 've taken . ''
megan nodded and punched in the code on the electronic chart to get a member of the phlebotomy team up to draw the blood .
after going over to the dispenser , pesh slid a pair of rubber gloves on .
`` i 'm going to have to examine you now . ''
with a resigned huff , mr. robertson threw the sheet back .
megan bit down on her lip to keep from laughing at the expression on pesh 's face .
she was pretty sure he had n't had to deal with a lot of penises that resembled enormous eggplants in his career .
of course , her amusement quickly faded when she realized how awkward it was being in the room with him while he held another man 's penis in his hand .
she tried busying herself with the electronic chart in front of her .
she wanted to do anything but look at the scene unfolding before her .
once pesh finished that part of the exam , mr. robertson eased back down on the examining table , and pesh once again eyed the eggplant-colored penis .
`` precisely how long have you had the erection ? ''
`` five and a half hours . ''
`` there does n't appear to be any artery rupture , so we wo n't need to perform surgery .
i think the quickest form of treatment , as well as the least invasive , would be to try an injection to narrow the veins and reduce the blood flow to your penis .
that should reduce the swelling . ''
mr. robertson 's eyes narrowed suspiciously .
`` and where do you have to give me the shot ? ''
`` in the penis , of course . ''
with a gulp , mr. robertson replied , `` fine .
do it . ''
pesh nodded .
`` can you grab a syringe of alpha-agonist please ? ''
`` sure , '' megan replied .
she gladly retreated from the room to head to the medicine closet .
after checking the syringe dosage , she reluctantly returned to mr. robertson 's room .
`` thank you , '' pesh said , as he took the medication from her .
she watched with mild disgust , as well as fascination , as he took mr. robertson 's penis in his hand .
`` take a deep breath , '' he instructed .
the moment the needle pricked the skin , mr. robertson howled uncontrollably .
megan could n't help rolling her eyes at what a complete pansy he was being about the pain .
once pesh finished , he dropped the empty syringe in the biohazard container and then glanced back at mr. robertson .
`` if the swelling has n't begun to dissipate in the next ten to fifteen minutes , we 're going to have to take another course of action . ''
`` what 's that ? ''
mr. robertson questioned , with a grimace .
`` aspirating the penis of the blood . ''
mr. robertson paled considerably .
`` oh god , she mentioned that . ''
he said the word she like megan was a swarm of locust .
pesh turned to smile at megan .
`` then she made a good call . ''
he then eyed his pager that was going off .
`` keep an eye on him .
i 'll be back in fifteen . ''
`` okay , i will . ''
time ticked by agonizingly slow as she worked on charts and kept an eye on mr. robertson .
every few minutes , he was lifting up the sheet to eye his erection .
each time he grimaced , megan imagined that the shot was n't working and the swelling had n't gone down .
when pesh entered the room again , he glanced from her to mr. robertson .
`` so how are we doing ? ''
she shook her head .
`` no change . ''
`` i see . ''
he went over to a drawer and searched through it before producing a very large syringe with a very thick needle .
`` i 'm sorry , mr. robertson , but it looks like this is our only choice . ''
mr. robertson seemed speechless for the first time all night .
`` ms. mckenzie , can i get you to assist me ? ''
pesh asked .
`` of course . ''
`` i need you to help restrain him .
i need him to be as still as possible . ''
megan fought the urge to roll her eyes at his suggestion .
mr. robertson had to outweigh her by a hundred pounds , not to mention that when pain got your adrenaline pumping , you were even stronger .
but she did as she was told .
as pesh brought the needle to mr. robertson 's penis , she gripped her hands tight into his shoulders .