His anus twitched, yet he resisted the urge to reach down and dig at it. Instead, he diverted his attention to the hole he had made in the wall. He ran his fingers around the sides, digging his trimmed fingernails into the edge of what was becoming a very noticeable hole.

His asshole twitched again and a light sweat broke on his forehead. He stood and regrettably left his diversion for the warm glow of the nurse’s florescent desk lamp.

"Excuse me. How much longer until the doctor will see me?"

The nurse looked up from a doodle on the edge of the name list; an elaborate drawing of a man with the head of a bottle.

"The doctor will see you in a few moments." The nurse handed him the clipboard.

"Why don’t you sign your name and we’ll call you?"

"I already signed it." He slid it back.

"Well then, just have a seat and the doctor will be with you in a moment."

He rolled his eyes and wandered back to the corner of the waiting room where he slid back into his well-worn spot on the couch and let his fingers roam back to the comfortable diversion of the hole behind the plastic, potted plant.

With his free hand he flipped through the magazine on the table before him and scanned the room. Misfit old folks and lazy assholes who probably never worked a day in their lives, he thought, pausing in his magazine browsing to scratch the itch on his ass. He sneered in disgust at the old woman that sat just a few chairs away.

She sat in her chair, slightly slouched, with a look of extreme pain on her face. Every so often she would raise her hands above her head, trying to relieve the pain that coursed down her back. Her knee-high socks were bunched down around her ankles and her legs hung apart, stretching the cheap blue fibers in her dress. He looked at her, catching a fleeting glimpse of her off white underwear, and his tongue licked his drying lips.

The old woman sat and stared at the wall. She stood. She paced the room. He watched her in mild amusement, wondering what it would be like to fuck her.

His eyes floated to the other old woman sitting across the room from him. Her lips moved in a sucking motion. She moaned every thirty seconds. He ran his hand across his crotch to make sure he wasn’t hard yet. He hoped the doctor would see him before it happened.

He felt his ass muscles twitch again, the sweat in his crack made a sucking sensation as his ass cheeks moved. He held the urge to rip his clothes off and wipe his ass dry on the couch.

"Glen Farsburg?"

He looked up to see the nurse, holding the clipboard. The nurse smiled at the recognition. "The doctor will see you now."

He sprang from the couch, and walked toward the door being held open for him. He quietly went through the procedure of being weighed, measured, poked, and prodded, only to be led quietly to an examination room.

"The doctor will be right back. Please remove all of your clothing and put this paper gown on. You can leave your socks on if you’d like."

He nodded. He slid his hands over his tan pants and let his mind slowly wander towards thoughts of a rectal probe. He grimaced at the thought of letting another person touch him besides Noel, but Noel wasn’t a doctor and couldn’t possible know the pain he was going through.

In fact, ever since that night when his problem started to develop, Noel had become colder and more distant towards him.

It had started with a fine white wine and some candlelight. He had tried to keep Noel from going to all that trouble by explaining he wasn’t feeling well. Noel hadn’t listened and the dinner went on as planned. The mood music diverted his mind from his stomach pains, and Noel’s light nibbles on his neck and ear hadn’t hurt either. They danced and he lost the thoughts of the mild pain in his bowels to the taste of wine and the touch of lust.

He slid into the paper gown and smiled at the memory of Noel’s tongue tracing his nipples. The thought of soft hands caressing his erection while teeth teasingly dug into his shoulder caused a shiver down his naked back. He felt himself get hard in the cold office air. He remembered Noel swallowing him.

Noel had been such a caring lover and friend. It was hard to accept the response from Noel since that night.

Footsteps in the hallway neared the door, paused and then receded. He went back to his reflections, staring through the generic artwork and cheap wooden cross that hung on the walls.

Noel had murmured that oral sex had become boring. Noel had needed more. Noel had nibbled his neck and stroked him. In response, he purred that he was willing. Besides, Noel had lucious legs and hips, plus the tightest little ass he had ever seen. He had hoped he would get to enjoy these assets more.

He fell from the couch onto the floor on his knees. Noel followed while touching and kissing his butt cheeks and upper thighs. It was a wonderfully erotic feeling that should have lasted longer had Noel not screamed. He looked over his shoulder to see Noel looking in horror at his ass.

The cold air in the office blew up his paper gown. He sighed and felt the itch. He reached down and felt his ass in tentative fright. He hadn’t taken a shit in a week. He hadn’t felt the need. He sighed and thought about sitting down. The ride in the taxi had been bad enough. He decided to rough it and stay standing.

The door opened and the doctor walked in. "Hello Glen. What seems to be the problem today?"

"Hello, Doc. I seem to have this itch on my..."

"Your chart here says you’re due for a physical soon. Is that why the visit?"

"Well, actually no. You see I seem to have this prob-"

"Well then, you catching that bug that’s going around?"

"That could be it, but I don’t think so. You see I got this this..."

"Well Glen, why don’t you hop up on the bench here and we’ll give you a look over okay?" The doctor smiled a busy smile and patted the bench.

Glen smiled weakly, his stomach churned while a light sweat broke out on his brow. He stepped on to the pull-out step and slowly slid his sore ass onto the white, paper covered bench. The doctor pulled out a probe light and adapters for nose, mouth, ear, and ass. The doctor smiled a busy smile.

"So Glen, how’s Noel?"

"Noel’s been kinda distant lately Doc. I think it’s because of my problem."

"Oh. Afraid of catching it, huh?" A probe light in the ears followed by a nod and grunt.

"Well, that could be, but I think it may be fear."

"Fear? Fear of what?" A probe light in the nose and then in the mouth.

"Fear of the thing in my a-"

"Okay, on your knees and I’ll take a look at your anus and genitalia."

He slowly turned to his knees and pointed his ass towards the doctor. He had been the same way when Noel saw him. The sweat fell from his forehead, leaving wet circles on the crinkled white paper. The doctor, whose back was to him, snapped on a pair of rubber gloves and turned.

"Now, this may feel uncomfortable at first."

He felt his butt cheeks part and heard the words for the second time in his life.

"My God, what the hell is that?"

He knew that whatever was hanging out of his ass, whatever it was that pulled at his ass muscles in an attempt to get out, was obviously not normal. The doctor fell back in shock and smiled weakly. Glen sighed and wished that Noel had been a more loving person instead of just a tight ass. He needed more support than this.

"How long has that... that..."

"About a week now. I think it’s getting bigger. At least, it feels like it's pulling more."

"Do you know what it is?"

"If I did, I wouldn’t be here. Jesus, Doc, I don’t even know what it looks like."

The doctor stood and walked to the brown cabinet, pulled out a hand mirror and handed to him.

"Take a look son, take a long look."

He placed the mirror between his legs and squatted far enough to see. In the reflection of the mirror he saw his ass, being stretched apart by four fingers, coming from within. They pulled at the edges, stretching the muscles, the source of his itch. He dropped the mirror, letting its reflective surface shatter on the pull out-step stool.

For two months he had been going to the doctor’s office. The doctor had called in gastroenterologists, proctologists, and other specialists. The medical journals had caught wind of his ass, and the research papers were just now surfacing. He had become a freak of medical science.

Noel had left him.

"I just don’t know what it is. I can’t love you knowing that there is some kinda alien crawling around in my lover’s ass." A box closed and shipping tape sealed it.

"I don’t think it's alien. I mean, those are human fingers and the nails are trimmed."

"It's fingers coming out of your ass, Glen."

"And an eye. It's got an eye."

"And soon it will get a human head. I’m sorry, Glen, it’s just to weird for me to handle." Noel picked up the last box of things and started towards the door. He had hurried after Noel; tears streaming from bloodshot eyes.

"Please, Noel. I need you. Remember the marriage. Remember the thoughts of adoption. A family. You and I. I love you."

"And I’ve got to get out." The door shut behind Noel.

He sat in the waiting room, the nurse eyeing him from a distance and whispering on the phone. The nurse knew of his case and now so did the nurse’s phone buddy. He had become a freak, like so many before him in this office.

The door opened and a man and woman walked out followed by the doctor. He eyed the woman, her face covered in stitches. She wrapped a scarf made of a light red material around her face and made her way to the door. The man slowly limped after her, his hands never straying too far from his groin.

"You two take care. I’ll see you both in a week to see how things are going."

The doctor smiled a busy smile. "Ah, Glen. I’ll be with you in just a moment. We have some people who I want to examine you. Just wait there." The door closed behind the doctor.

He felt the lips of the hole in the wall, sliding his fingers past the well-worn sides. He pushed his fingers through the last of what wall there was, breaking onto the other side. He smiled at the cool air that met his hand.

"Glen... say... that’s a big hole. We’ll have to patch that. Good thing you found it."

The doctor looked down at him and smiled. He stood up and followed the doctor into the examination room that had become his home. He knew by the crumpled paper on the bench that the couple had been there before him.

"Doctor, what happened to that woman?"

"Woman, Glen?" The doctor ripped the paper free from the bench and rolled out a fresh sheet.

"The one with all the stitches."

"Oh, sad case really. Seems they were going to do a little experimentation with sex; but I can’t share that information with you, Glen. Confidentiality and all."

He removed his shirt and slid his ass out of his pants.

"Come on, Doc, we’ve become kinda close in the last two months. I won’t rat on you."

"Well... okay. You see, the wife was performing oral sex on the husband and she hadn’t been feeling well. Well, it appears he got too hard and gagged her. She panicked and her jaw clamped shut and locked." The doctor slid the rubber gloves onto his hands and smiled.

"Seems he couldn’t handle the pain and tried to get her off of him with the closest thing he had, which happened to be a fork."

The image of her bleeding flesh was overpowering and his stomach churned with nausea.

"Can you imagine that? But hey, I did a little surgery on both of them, suggested a friend of mine for counseling, and now they are a happy couple. I saved them from a life of being freaks."

He nodded and stepped on the pull-out step stool. He climbed up on the bench and assumed his usual position.

The doctor didn’t show him to the lobby, but stayed behind to talk to the other doctors present. He was leaving when he heard freak muttered by the nurse on the phone. He winced and opened the door to the lobby.

The old woman in the center of the lobby paced back and forth, her eyes glazed over. Her hands flailed about in an odd sort of ritual that reminded him of an epileptic. Her gray sweat pants, stained brown between the legs, bunched around her ankles. He thought he heard the sound of moans escape her lips every few seconds.

He walked around the old woman. There in the corner by the plastic potted plant he knelt. His eyes focused at the hole in the wall and he paused for a moment.

Through the hole he saw a person kneeling on a rug. They held their genitals and stared at the hole with fear in their eyes.

Glen stood slowly. He walked out the front door, past the old woman who wondered aloud what it is like to have sex with a man. His anus twitched, yet he resisted the urge to reach down and dig at it.