“Making the first incision along the sagital section, then turning in obliquely at around 65 degrees.”

Miharu’s blade work was peerless. Be it solid bone, sinewy muscles or coarse cartilage, there was next to nothing she couldn’t cut when in the zone. Silvery steel danced and twirled between her agile fingers with all the grace of a conductor’s baton as though she were leading an operation like an orchestra tuned to a perfect concert pitch. No mistakes could be made when working with flesh this soft.

“You know, so many people think of surgeons as hackers: if in doubt cut it out; shoot from the hip; don’t think too much. This is true, to a point, but what they don’t see is that there’s also a great beauty to be found in sculpting and shaping the thread of life which brings about a fulfilling sense of satisfaction for the physician in this line of work.”

“Uh, Miharu-sensei...what about my needs as the patient? Weren’t you going to help me with my skirt?”

“ Patience my dear Takumi, patience. This is a delicate procedure that really can’t be rushed.”

Steadily she worked away, peeling away layer after layer in a thin, single coiled ribbon until she had exposed the soft white flesh she had been looking for. Sweet juices pooled upon its pale outer skin, collecting into rolling droplets which coated both the edge of her scalpel as she applied the finishing touches. So supple and delicate, it was all too critical that she extract nothing but what was necessary to leave its softness without a bruise. It wouldn’t be too long before she had what she wanted, cupping its perfect texture in the palm of her hand before sinking her teeth in to take it all in a couple of enormous bites.

“Ah, delicious!” Miharu sighed happily as she suckled the sweet juice from her fingers. “Even to make a simple incision in something as soft as an apple can be quite complicated because you’ve got to think about the cosmetics of it all. If you make an incision too deep, you can lose much of the precious flesh behind it behind it which in turn would be a waste of food. Every last calorie counts in my profession and even the healthiest of options can turn out to be the most fattening.”

Still trying to cover herself up with the back of the table, Takumi watched as Miharu’s figure began to balloon out again a little more. Thicker and thicker she grew until she was just under the 200 pound range, that single simple treat plumping her up immensely relative to the other fattening foods. Her skirt began to shorten and ride up the side of her thighs, her breasts inflated a little more and her stomach was definitely starting to paunch out. The buttons on her shirt strained to hold all of her together as her cleavage peeked between the gaps.A pair of plumping upper arms completed the picture as her lab coat grew even tighter just in time to match the rounding out of her face. She had crossed the thin line between chubby to definitively fat in mere seconds.

“Anyway, where were we? Ah yes, the exam. Take a cloth and wipe down the bench and then hop back on the table please.”

“I-i’ve cleaned the table whilst you were eating...B-but my skirt?”

“Such a trivial matter will be resolved in due time. For now, we must not keep our reader’s waiting. On to the examination of the feet, knees and hips without delay!”

There was just no stopping her. Miharu had a one tracked mind. Gloomily resolving to risk embedding the stain further, Takmui hoisted herself back onto the bench and lay on her back as flat as she possibly could. The wobbling girth of her weighty stomach shuddered a little beneath he raised flap of her uniform no matter how much she tried to pull her outfit lower to hide any hint of her indulgent underbelly.

“Now, as with all our previous examinations, we begin with looking. Always remember to approach from the right side of the bed. After the patient has removed her shoes and socks, take careful note of any swelling, scars, deformities or muscle wasting at the foot. Deformities affecting the fore foot here can include things such as hallux valgus (a permanent distortion of the axis of the big toe facing away from the centre of the body) and crowding of the toes which is common in conditions such as rheumatoid arthritis. It is also important to check each individual component of the foot as sausage deformities which present as bulges at the toe joint occur in conditions such as ankylosing spondylitis and Reier’s disease where psoriasis presents itself with nail changes. Calluses and arch deformities are also significant signs as they can occur with displacement of the joints.”

The very instant that Miharu’s hands came into contact with Takumi’s bare feet, the chubby nurse felt a flood of emotion overtake her. The doctor had started feeling around her ankles and began to rotate them in a slow circle.

“Feeling for swelling around the lateral and medial malleoli of the foot should never be confused with pitting oedema. For those of you following at home who wish to go onto the movement phase, grab the middle of your foot with one hand at the ankle joint and begin pulling the foot towards your knee. This is known as a test for dorsiflexion whilst pushing it down from the knee is known as plantar flexion. Both should be possible to around 20 degrees-50 degrees respectively.”

Takumi had never let it known that she was in fact extremely ticklish. Whilst she respected Miharu in all that she did, letting her know another of her weak points was only asking for trouble. Even so, the gentle caress of someone else’s fingers gliding over her tender soles was gradually wearing her resistance, her body’s natural reactions betraying her when she need them to stay stoic the most. She bit her lip hard. It was imperative that she did not let even the slightest sign of a snigger through.

“At the subtalar joint, where the ankle leads back to the centre of the foot, only inversion and eversion of the foot on ankle can be tested. Tenderness on movement is far more important than the range of this joint. Place your hands on the heel of your foot and wiggle it inward from side to side. The midtarsal at the middle of the foot can be tested by steadying the ankle with one hand and twisting the forefoot from one side to the other. Again, tenderness here is more important than range of movement for this examination. Don’t be afraid to put in a little force, even if it causes the patient’s calves to jiggle.”

From ankles to calves to thighs and finally over the mounted bulge at the other end of the nurses’ bulging belly, every tremor caused was becoming harder and harder for her to keep a straight face. Miharu’s dexterous fingers easily slipped around her toes, pushing and pulling every little joint she could and tickling her even more in the process. All of that stifled laughter she was building up within herself was beginning to reflect as tremors through out her belly as she desperately tried to maintain a stiff upper lip. She tried to recite some medical facts to herself in an attempt to take her mind off of things.

“Squeezing the metatarsophalangela joints suggests inflammation which is a common sign of rheumatoid arthritis. Pressing the sole of the foot between the 3rd and 4th toe with pain suggests Morton’s metatarsalgia which is an entrapment and swelling of the nerve between the toes....Gah! It’s no good! I can’t think of anything else!”

The tremors throughout her body were gradually growing in intensity. Her hands clenched tightly to the edge of her skirt as she fought the urge to curl her toes. Her well rounded thighs practically melted together at her loins like butter as though trying her utmost to push them closer and stem the flow twitching impulses of Miharu’s manipulations. She clutched her love handles tightly, fat pouring through her fingers as she clamped down and her knuckles turned white. It was around this point that she realized that she had indeed been letting herself go a little more recently and her body was only now starting to manifest the inevitable results. Her diets so far had been for nothing, easily outdone by less than a week of vending machine indulgence. Whilst both the depressing realisation of her plumping proportions and the physical discomfort of grabbing onto her girth stung a fair bit, they at least kept Takumi’s mind off of laughing.

“Nearly finished,” Miharu declared as she began rub each individual toe. “My, my Takumi, have even your feet gotten fatter recently? I do believe even each of your little piggies have taken a share of your pigging out. Even so, it’s still of vital importance that each one is tested at the joints which tend to be prone to certain arthritic conditions.”

A near inaudible whimper escaped the nurse’s lips as Miharu took hold of her. Where she had previously been working on only one foot at a time, the last section required her to stimulate both of her soles at once. The very thought of what a double whammy toe wiggling experience would feel like was enough to bring tears to well up at the corner of her eyes and a smirk began to push a twitch at the corners of her mouth.

She would laugh. Without a doubt she would laugh until she cried. Already being pushed to her limits as it was, all of that pent up tension would release itself in a doubtless wave of riotous relief, sending many a jiggle through her bountiful form. From the epicentre of her overly-healthy paunch, it would make its way through her generously swollen rear end and conduct itself through her fat rippled thighs. Those tremors would shake their way up her generous breasts, undoubtedly swelling and stretching her already tight nurse’s outfit until another rip would form at its side. In a worst case scenario it might even split down the centre, setting loose her bulging body across the table for all the audience to see how fat she really was. After such a shameful display, who would ever want to marry her then?

Takumi shut her eyes and shook her head. She had to clear her mind of those negative thoughts and most importantly do anything in her power to try not to laugh. The creases at the side of her uniform began to deepen a little more as she attempted to dig her fingers into her flabby folds to try and focus on the shock of a little more pain. An even greater shock soon stopped her as Miharu’s fingers left her feet to forcefully seize her wrist.

“You’re terrible at hiding your true emotions Takumi, and when you keep grabbing your love handles like that every time really gives things away. Most patient’s tend to find a Babinski sign examination to be quite ticklish but it’s really counter-productive if we numb you beforehand. If your toes curl down that means you’re normal, if they curl up and fan out it could be the sign of spinal tract damage. We won’t do it here because I know once you start you won’t stop for a while, but for those of you at home who want to follow on try to use the back of a pen or something with a long, dulled edge to scrape along the underside of your foot from heel to toe. You might be surprised at your results.”

Miharu felt Takumi’s wrist fall limply beneath her fingertips.

“If y-you knew that I’m ticklish already,” the nurse whimpered pitifully. “Then-n why didn’t you say anything?”

“You were doing such a fine job holding still, I thought you’d make a good example to any future patients about the importance of maintaining self control. It’s such a pain when uncooperative patients keep wiggling about. That and because you look pretty cute when you jiggle, especially around....here!”

A scalpel dropped from Miharu’s coat sleeve and fell into her waiting palm. Takumi barely had a moment to bat an eyelash before a silvery sliver shot up and over the surface of her bottom bulges to soundlessly whisper over her sensitive thighs and rump. A little gust from the speed of the doctor’s movements followed soon afterwards, peeling back the hem of her skirt higher and higher until it broke apart with a soft snap.

“Kyaaahhh~!”

And it didn’t stop just there. Freed from their fabric prison, Takumi’s legs were laid bare for all to see. Her pent up poundage exited the gap of their cylindrical prison, quickly spilling out over the edge of the table in a chunky heap. The underside of her nurse’s uniform soon flared out as her hips pushed past their boundaries, like the pink petals of a pistil bursting into bloom. The way the loose fabric clung to legs and ass only served to make them look fuller, juicier and rounder by at least a couple more inches. It was any wonder that her uniform had managed to withhold such a sizable secret.

“Oh ho! An interesting reaction; I certainly wasn’t expecting this.” Miharu grinned as she deposited the scalpel back onto the table. “ Perhaps my guess of your weight wasn’t off completely. Let’s put these thighs and knees of yours next on show.”