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axolotlclown · 15 days

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Would you happen to have some studies to back up the "more than one coffee means you're addicted" thing, please? Pretty sure I've seen that disproven as a lens to understand addiction through at all

~ 🪴

Hey! So sorry I never saw this anon. It never appeared in my notifs and I'm really bad about checking my askbox.

You have asked a question that falls in line with a field I am very passionate about! I found some interesting articles in my school library. I'm going to go ahead and write this response, but I'm still waiting on access to a few journals. I'll have to convert those ones to PDFs as they are likely behind paywalls.

Anyway, here's my long post where I intend to rant about a lot of different barely related topics. Caffeine addiction is one of those really controversial but historically significant subjects in psychology!

So let me start off with how to read and break down a journal. It's one of those things where if you don't go to college and specifically major in a research related field, no one ever teaches you how to do it. That sucks.

So when you're looking at a journal, the first thing you want to do is background check the author. What school did they go to? What degrees do they have? (For research, they should have a Ph.D. no matter what.) What is their current place of employment?

Often companies, or other private businesses, will commission someone to do some research and fudge the results to make that company look better. We saw this recently in regards to gender affirming care. The United States House of Representatives had proposed legislation to restrict gender affirming care for transgender youth. The Republican sponsor of the bill had presented a single piece of research that he claimed was significant. The research found that transition regret rates were somewhere in the 30% range. (I don't remember exactly and I know that I could quickly look it up, but I just spent the past two hours reading addiction research. I'll find it tomorrow.) Upon looking into the author and the sponsors of this research, psychologists found that the journal the congressman presented was commissioned by a conversation therapy center in Florida. The research held obvious bias, poor peer review, and inconclusive results. The bill didn't pass. I'm not sure they even voted on it, actually.

Anyway, this is why we need to be critical of the research we read. Chocolate, wine, caffeine, gender dysphoria, and autism are notorious subjects that require more scrutiny before reading.

So, caffeine addiction. This is a subject that more than one field is interested in. Before you read an article, you need to be sure what question you are asking. Psychologists are concerned with a more scientific or factual approach. In this context, a psychologist would be researching the concrete effects of caffeine on mood, sleep, and other psychological disorders. Sociologists are more concerned with the overall social consequences of caffeine addiction. They would be asking how mood and sleep affected family, work, and personal welfare. For your question, we're going to look into the psychological aspect. Also, I'm studying psychology, not sociology, so I would feel like an idiot answering those types of questions.

This distinction matters. When I opened my school's EBSCOHost database, I simply typed in "caffeine addiction" to start. I was bombarded with sociological articles and journals about the affects of caffeine addiction on productivity at work and on mood. Strange overlap with psychology. Two problems: some of the top articles had researchers with ties to coffee companies, and all "caffeine addicts" were self-reported. For the latter, this meant that there was no standard for how much caffeine was consumed. Rather than being a concrete article about caffeine consumption, it was more of a survey of public opinion. You want to avoid those unless you specifically want to know about the public opinion. Even psychologists run surveys all the time (they're cheap and easy), but people often lie on surveys, even if they're anonymous.

So I typed in more specific key words and came up with these articles. I'll talk about some without leaving a link, but that's because I had to request the PDFs for sharing. I'll come back to this post and link them. (Let me know if the ones I do link are broken.)

Okay, so I'm going to start off with a journal that interested me, personally. This study actually observed the effects of caffeine on psychiatric patients. This is an important reminder that different drugs influence different brains. Someone with ADHD experiences caffeine differently for a neurotypical person. Caffeine is a stimulant, and ADHD medications are stimulants. Cool. What about other disorders?

Here's the Sparknotes of the study, "Caffeine intoxication was more prevalent in psychiatric patients than in healthy subjects. The amount of caffeine intake was shown to be associated positively with the severity of pathology and inversely with sleep quality."

The study goes more into depth about the different psychological disorders that different patients had. There were 401 patients participating in this study (150 healthy individuals). Overall, continuous caffeine intake showed a decline in sleep quality and a general increase in severity of other mental illnesses.

So what causes that? What is caffeine? Here's an article that looks into studies about caffeine consumption and performance, as well as what the causes of an addiction could be and what constitutes an addiction. This is one I recommend giving a read, as it helps to illuminate a common problem with researching intoxicants.

Here's the big take away: "Although caffeine is widely perceived to have beneficial psychostimulant effects, appropriately controlled studies show that its apparent beneficial effects on performance and mood are almost wholly attributed to reversal of the withdrawal effects that occur after fairly short periods of abstinence (e.g. overnight)."

In habitual coffee users, the increase of mood and performance after consumption of caffeine is caused by the removal of withdrawal symptoms. Grouchy mood and lack of coordination are symptoms of caffeine withdrawal. Where one may perceive positive reinforcement for initial consumption, for habitual consumers, withdrawal symptoms become a negative reinforcement.

So, for people that drink coffee everyday, it's less about getting the positive effects of caffeine, but rather avoiding the negative effects of withdrawal. This can be classified as an addiction. There is now a reliance on this substance.

Something this article also points out is that caffeine is not just found in coffee. It's found in chocolate and most medications these days as well. Therefore, complete stone cold abstinence from caffeine can be next to impossible, making control groups difficult to find. This leads to the varying research and controversy between psychologists.

Okay, but coffee can't be as bad as alcohol or anything right? Caffeine is practically harmless! Let's take a look into an article discussing the health impacts of caffeine. (I'll provide the full text to this one tomorrow.)

In Dr. Saimaiti's article titled, "Dietary Sources, Health Benefits, and Risks of Caffeine," she explores the benefits of occasional consumption of caffeine and weighs them against habitual overconsumption of caffeine.

While occasional consumption can actually improve mood and cognitive ability, these benefits are lost with daily consumption.

Few people drink their coffee black. For those that put creamer, milk (especially oat), or straight sugar or syrups in their coffees daily, they may be overconsuming sugar. This is especially hard on an empty stomach. This is part of the reason you "crash" later in the day. The sugar raises your blood sugar. For most healthy people, this may not be the biggest deal in the world. For others, it could be a key factor in developing diabetes later in life. In general, don't drink coffee on an empty stomach. Have it with a meal. It's also easier on your liver.

Speaking of liver, what does your body do with the caffeine after you drink it? Caffeine follows the same principle as alcohol. Occasional consumption of red wine can help thin your blood and lower your hemoglobin (something that women may be more concerned about as they get older). However, daily consumption of wine can cause stress on the liver and potentially lead to dementia later in life (I say potentially because there has been a correlation, but no solid research as to why. While correlation does not always mean causation, it's important to acknowledge them in the meantime.)

Caffeine behaves in the same way. Continuous consumption of caffeine can put some real stress on your liver over time.

Caffeine is dangerous for those with cardiovascular problems. While this seems like a "duh!" point, many people don't know that they may be prone to cardiovascular issues until an event happens. This sounds like fear mongering, but it's something to take into account.

The article discusses pregnant women as well, but I would hope that's intuitive? Maybe not? If you're pregnant you should avoid intoxication in all forms.

I'll drop this quote from the conclusion of the article for now (I felt weird quoting text that you can't access yet, so I'll come back with more quotes when I can give you the PDF): "the long-term or over-consumption of caffeine can lead to addiction, insomnia, migraine, and other side effects."

The point is, caffeine consumption can be more dangerous to some than others in general, but excessive consumption with lack of knowledge can lead to long-term damage to one's health.

Okay, that study talks about a relatively small niche. Let's get broad. Let's talk about sleep and cognitive performance. (Another study I'll have the PDF for tomorrow.)

In Dr. Gottselig's article titled, "Random Number Generation During Sleep Deprivation: Effects of Caffeine on Response Maintenance and Stereotypy," she looks at the effects caffeine has on cognitive performance during sleep deprivation.

The conclusions of this research makes a very important point: "caffeine preserves simple aspects of cognitive performance during sleep deprivation, whereas caffeine may not prevent detrimental effects of sleep deprivation on some complex cognitive functions."

This article particularly found that while small cognitive functions such as motor ability improved with caffeine, complex cognitive functions such as problem solving and memory declined.

While a college student could read this and understand that pulling an all nighter and drinking 10 Red Bulls probably won't help them pass their test, there's something much more to be said about these findings.

One sleep deprived night won't kill you, and certainly drinking a cup of coffee to get you through the day won't either. But caffeine cannot prevent the damage that regular sleep deprivation does. Sleep deprivation leads to memory loss, worsening symptoms of depression/anxiety/ADHD, increased chances of developing dementia early (this one is real), and a decline in overall cognitive ability.

Rough. But it is a trap. If you have insomnia, caffeine may feel like your only choice to be somewhat functioning throughout the day. Caffeine promotes symptoms of insomnia. It's a vicious cycle if you can't afford proper treatment, and one, that I hope, that will be addressed with time.

So if you have the ability, it's better to prioritize a good night's sleep. I'll come back to this.

For now, why is caffeine addiction so controversial then? Well, it may not be for long. While there was a push to add "caffeine" to the list of diagnosable addiction in the DSM since the 1980's, the inconsistent and inconclusive research has led to a standstill. As we say with Dr. Jame's article, it is difficult to get a control group for caffeine. However, as research for alcohol and marijuana progresses, our knowledge of how to properly study intoxicants does as well.

The long-term health side effects of caffeine are still being studied as well. While this aspect isn't unique to caffeine at all (marijuana, for example, is just now getting approved for research, where before it was illegal), it's still worth acknowledging what we do know, for now at least.

So, coming back to the DSM. There's a new one coming out pretty soon. It's the talk of the town among psychologists right now. Everyone is arguing about what should be in the DSM-6. It'll be crazy when it does come out. Autism, OCD, Gender Dysphoria, Borderline Personality Disorder, and Facial Dysmorphia are just a few examples of disorders that will likely be completely recategorized.

(Unrelated, but Autism Spectrum Disorder is a big one because a lot of psychologists are arguing that it shouldn't be classified as a disorder at all. The reason being is that Autism is so common, that psychologists are theorizing that the majority of the population falls on the spectrum somewhere. Either way, the diagnosis is about to completely change because of this fact.) (Well, all of them are big ones. I could make a whole separate post about it.)

Anyway, the push to make caffeine diagnosable is becoming a promising endeavor as research continues to come out.

One psychiatrist pushing for this is Ronald Griffiths. In his opinion piece, Griffiths recalls his patients experiencing caffeine withdrawal symptoms that led to a decline in the quality of life. One of his patients was diagnosed with breast cancer and needed to stop drinking coffee immediately. This patient struggled with severe withdrawal symptoms that were difficult to manage while on cancer treatment.

Griffiths explains how difficult it was to treat this patient because it wasn't something he could easily diagnose with the DSM-5, something insurance companies use to decide whether they're going to pay for care or not. Add on the bills for cancer treatment, and you rapidly have a distressing situation on your hands.

Joseph DeRupo, spokesman for the National Coffee Association in the U.S. as quoted in this article states, "What we have here is really the opinion of one scientist who is a lone voice against the accepted view of the scientific community."

Lone voice? In barely an hour I was able to find 5 credible articles, all backed by credible researchers, supporting the understanding that American society consumes too much caffeine. You can take a General Psych class in college and the textbook would spend half a chapter going over caffeine addiction and the controversial research around it. Coffee companies piss me off. And most companies use slave labor to harvest their beans and lobby to prevent legislation to prevent it. Guillotine.

Griffiths also claims that "[e]ven people who consume as little as 100 milligrams of caffeine a day—the equivalent of one small cup of coffee—can become physically dependent."

So this ask is pretty old, but I'm guessing it was in response to me saying that you should only drink one cup of a random beverage a day and the rest be water. This keeps you hydrated and helps cut out where the majority of your sugar intake is. I called it the "desert beverage" and that "coffee counts."

It really does. In the morning, one feels tired, foggy, and grouchy. "Don't talk to me until I've had my morning coffee." They would make their coffee out of habit, barely minding the taste of it—drinking to medicate the headache they've already caused.

Life is worth celebrating, and if we can find little things in our day to celebrate, we should! When coffee becomes a habit, it's just a habit. That's sad.

I worked as a barista for a while at a coffee shop that hired people with intellectual disabilities. That experience is what made me switch my major to psychology in the first place. But I saw the joys coffee could bring, and the damage it can do, too. I had a coworker who would come in and throw a tantrum if we didn't immediately stop what we were doing and make him a coffee—and again in two hours before the end of his shift. It's upsetting.

I do remember the joys, too. Our manager would show us a new niche coffee drink from a random country. We would make cubanos like they would in Haiti and talk about the different names they had in different countries around the world. It ruled.

I don't drink coffee every day anymore. But it's always a wonderful thing when I do. You don't need to have an "excuse" to drink a cup of coffee—you don't need to celebrate anything at all. Coffee, tea, wine, soda, and juice should be celebrated as they are. Drinking them out of habit destroys joy. Intentional habits create stable foundations in life. Unintentional habits create monotony and boredom.

Anyway, the sleep thing I said I'd come back to. So if you're having trouble sleeping, here's the hot tip: avoid screens 30 minutes before going to bed. That sounds easy, but how many of us scroll our phones, watch TV, or play a video game right before bed? It's not worth it.

Instead, do something away from your phone that you enjoy. I like to read, but you can draw, journal, listen to some music, practice an instrument, or write something. Doesn't matter, just don't use your phone or laptop. Set a 30 minute timer for time.

If you're still struggling to sleep, you may find meditation useful. Meditation uses techniques that make your brain send beta waves which relaxes you and is the first step to falling asleep. But! If you try to learn some meditation, you'll have to commit to practicing it every night for it to be useful. It's a skill that requires practice.

Anyway, I could make a whole separate post about evening/morning/afternoon routines as that is another one of my passions, but yeah.

TLDR; An occasional cup of coffee is actually great and wonderful, but you really shouldn't drink it every day, especially more than once a day.

PS. I love Red Bull cream sodas more than the God that created them, I swear, but I only drink maybe one or two energy drinks a year. Energy drinks will dissolve your liver faster than hydrochloric acid can. An alcoholic drinking 5 packs of beers a day will look at your liver and be impressed. Also the Panera lemonade should be illegal. That shit is CRAZY. That bitch had more caffeine than a Bang energy drink. It literally killed a man. Wild.

#anon im gonna be so incredibly transparent #before you read this #i spent four and a half hours researching and putting this together #and i still gotta add more sources tomorrow after my school send the pdfs to me #so i didnt proof read it #im tired #i hope it makes enough sense #also sorry if it sounds like i mansplained in the beginning and end #i dont know who you are or what your background is #so i tried to cover my corners as much as i could #anyway #i got a little buddhist philosophy at the end there to #as a treat for me #i hope it doesnt sound preachy #i need a nap bro #sorry for taking so long to get to your ask #i never saw it until now #BUT #i hope it worked as a good starting point if you wanted to look into more #let me know if the links are fucked and ill try to fix them #asks of dante #thoughts of dante #ill tag your little emoji bc i figured that was purposeful #🪴

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endlessthxxghts · 23 days

Text

Dr. Miller - Pt 2

Orthopedic!Joel Miller x afab!Reader | W/C: 4.8k

Summary: It’s time for your second appointment with Dr. Miller.

Warnings: canon-divergent - no outbreak, medical professional au. Reader (she/her) has female anatomy and is able-bodied. No physical description of race. Reference to reader’s clothing, but no sizes mentioned (everything is neutral). Pet names (darlin’, angel, girl, etc). Most definitely doctor malpractice LMFAO. 18+ MDNI. Inherent power imbalance (doctor-patient relations). Dirty talk. Hickeys/biting/marking. Fingering. Slight begging. Praise kink. Multiple orgasms. Spit kink. P in V unprotected (wrap it before you tap it, guys). Cum play/cum swallowing…snowball kisses🥴. Daddy kink… and last but not least, the ending.. I’m not gonna say what, you’ll just have to read, but I’m sorry😵‍💫😵‍💫😵‍💫 although I’m foregoing a warning or two for plot purposes, please let me know if they should be up here! I’ll fix it accordingly!🫶

A/N: Here goes round 2! As far as the series goes and as far as posting it goes LMAO!! This hellsite deleted my first attempt in posting, so hopefully it stays up this time around. And I’m giving a big thank you to @honeyedmiller for proofreading and catching my horrendous grammar mistakes lololol I love you🩶 Anywho, I hope you guys enjoy!!! I’d love to hear what you think :) luv u guys xx

series masterlist | main masterlist | update blog

<- PREVIOUS

Friday. 4pm. Your next appointment with Dr. Miller was tomorrow.

This was the first ever doctor appointment you’ve ever been excited for. The automated text their system sends out didn’t tell you to arrive early, and you’ll admit, you were bummed.

You’ll show up early regardless. Maybe he’d be able to see you sooner if his schedule allows. At least, you can hope, anyway.

After your appointment with him last week, you were left hurt and wanting. You knew the hurt was a natural reaction to the sudden dopamine drop, and something tells you Dr. Miller is a guy who’s adamant on aftercare. So, you swept those emotions under the rug easily.

Not so easily, however, was your needy cunt and the way it drooled and throbbed for nearly an entire week straight, craving the one thing she almost had. She barely had a taste, but she was already hooked, addicted even.

Your fingers, your vibrator, your purple dildo that’s helped you come plenty of times – nothing could get you off. Not anymore.

Unbeknownst to you, Dr. Miller had the exact same problem. Well, okay – he could ejaculate just fine, but the want never seemed to leave his system. Ever since he’s had his taste of you, he could never reach the feeling of satisfaction. And it has taken an absolute toll on him.

“What the hell is wrong with you?” Dee snarked. Only she could ever talk to him like that. She keeps him on his toes.

“The hell is wrong with me?” he huffed.

“You’re being a grump, doc,” she replies.

He rolls his eyes. “Ain’t I always?”

“Yeah,” she says thoughtfully. “But you seem more… miserable.”

“Gee, Dee, well thank you for that,” he replies monotonously.

“You’re welcome,” she snickers. She comes closer, voice hushed. “Seriously, though. Do you need to get laid or something?”

He chokes on the coffee he now regrets bringing up to his lips. “Jesus,” he coughs. “Time and place, Dee,” he says, trying to collect himself.

She raises her hands up defensively. “I’m just lookin’ out for ya, doc,” she smirks, howling out a laugh as she puts Dr. Miller out of his misery by returning to her desk.

He just shakes his head in response, fighting the blush on his cheeks at the thought of you taking care of the needs Dee so outwardly pointed out he had.

Dr. Miller wouldn’t have to wait much longer, though. Your appointment was so soon, only one more work day before he’s able to be blessed by your presence again. That is, until Dee finds another opportunity to shit on Dr. Miller’s mood.

“What do you mean we’re supposed to close early tomorrow?” Dr. Miller gruffs.

“Exactly that, Miller,” Dee treads lightly. “It was in the calendar. Too many people have off in the afternoon tomorrow. It’s Easter weekend. You’ll be sorely understaffed.”

“Then who booked the patients after 2 if us closing early was in the calendar?” Dr. Miller is never one to be an asshole, dictating boss, but his irritation is very much getting the best of him right now.

Dee whispers her next response. “…The new hire. But don’t blame them. I should’ve caught it sooner,” she reasons.

Dr. Miller takes a steadying breath. “So how many people do we gotta disappoint right now?”

Dee pulls up the calendar on her phone. Dr. Miller watches her shoulders physically relax. “Oh! Actually, you’ve only got one person. At 4. I’ll call right now to reschedule,” Dee says with a finality.

“Wait- who?” Dr. Miller asks. He knows who it is.

Dee looks confused for a moment, but she indulges and reads off your name to her boss.

“Y’know what, Dee,” Dr. Miller waves her off. “I’ll take care of that appointment, it’s fine.”

“Dr. Miller, are you sure-”

“‘Course,” he cuts her off. “I’m the only one in this damn office without Easter plans, anyway,” he huffs. “Empty nest or however that sayin’ goes.”

Dee nods in understanding. “How’s she doing?”

“Fuckin’ amazin’,” Dr. Miller marvels. “She just surprises me more ‘n more everyday.”

Dee smiles before she returns to their situation at hand. “Are you sure you don’t want me to reschedule?”

“I’m sure,” Dr. Miller states. “Listen, I know this practice wouldn’t be able to run without any of y’all, and without you especially-” Dr. Miller explains.

“You flatter me,” Dee butts in with a straight face.

He smirks before continuing. “But have some faith in this old man, why don’t ya? I think I’m more than capable of doin’ the whole check in, check out thing.”

Dee takes in a sharp breath. “It’s much more than that, Miller, but nonetheless,” she holds her hands up in surrender. “I’ll put some faith in ya, old man.”

“Thank ya,” he drawls. “Now please go talk to the new hire about their mistake, I think they’re still afraid of me a lil bit.”

She laughs in the affirmative, shutting Dr. Miller’s office door on her way out.

Holy shit.

His plan to get you alone just worked itself out. Thank you, newbie, he thinks to himself.

Dr. Miller’s office is less than ten minutes away from you, yet somehow you decide that if you left any later than 3, you’d keep Dr. Miller waiting, and you certainly didn’t want that happening.

The parking lot is completely empty, a lone vehicle – a hefty truck – sits only two spaces away from your own. Your tummy swirls, knowing exactly whose car that might be. However, another swirl of nerves swarms through you. Why are there no other vehicles?

Swallowing the anxious lump in your throat, you step out of your car and make your way inside the office. Inside is even further void of life than the parking lot.

You make a beeline for the check-in window, picking up the pen from the cup to begin filling out your information when a deep drawl of your name startles you.

“Dr. Miller,” you jump, your eyebrows flying to your forehead.

“Shit,” Dr. Miller chuckles. “Sorry, darlin’,” his voice was much softer, careful. “I do that a lot to my staff- sneak up on ‘em, they call it. Say I need a bell or somethin’ ‘round my neck.”

You laugh with him at the little anecdote. He motions for you to come on back already, dismissing the check-in process since it’s only you, he explains.

“Why is it only me?” You ask. Well, okay – you know why it’s only you, but how is it only you is the question. He did not just send everyone else home since you’d be here. That would raise too much suspicion.

Walking you to the patient room furthest from the potential public eye, he retells the new hire’s mistake. You find yourself in the same mindset as Dr. Miller as you silently thank them for not being more careful.

“You could’ve rescheduled me, you know,” you tell him, eyebrow raised.

“Yeah, I know,” he quips as he opens the door for you.

You step inside, turning around to face him. “So why didn’t you?”

The door clicks shut, and Dr. Miller’s now face-to-face with you, head tilted down to meet your challenging gaze. The air in the room becomes dangerously charged.

“I think you know why, angel,” he says, scarily smooth.

You don’t back down. “Enlighten me.”

He takes a step closer to you, forcing you to step back. “Why should I? When that very reason is right between those legs already crying for me, huh? I bet she’s a fuckin’ mess already, ain’t she?”

You gulp as your ass hits the exam table, not realizing that Dr. Miller has been slowly cornering you.

Without giving you a moment to respond, his lips are crashing into yours, his large hands grabbing onto either side of your face to keep you against him as your body melts into his hold. His tongue licks across your bottom lip, and your mouth opens, letting him in. You mewl into his mouth, each of your tongues lapping one another’s flavors, your senses immediately being consumed.

The kiss breaks, and you both are frantic. Your hands grab onto the exam table behind you and you hoist yourself up, your fingers already finding the hem of your shirt as you rip it off, letting it fall to the ground. Dr. Miller practically growls at the sight, his chocolate brown eyes blackened with pure need.

He shucks off his white coat, letting it join your top as he pounces on you again. He nips at your bottom lip, sucking it into his mouth and letting it go with a pop as he drags his scruffy face across your jaw and down your neck, biting pretty little bruises everywhere his mouth touches.

Your hands find the bottom of his shirt, taking the liberty of pulling it off and whining when it gets caught over his broad form. “Patience, angel, I’m not goin’ anywhere this time,” he coos, his eyes genuine.

You huff out in mock annoyance, your eyes silently thanking him for the reassurance. You pull back to let Dr. Miller take off the upper portion of his scrubs. Your irritated façade is quick to fade as your eyes coast his body: his broad shoulders and tanned chest, the product of laborious activity throughout one’s life; your eyes drag down to his softer middle, the product of a happy, indulgent life. Your spit is suddenly thick.

Dr. Miller’s thumb comes up to rub across your bottom lip. “Ya alright? Got a lil bit of drool right there,” he taunts.

You tilt your head and take his thumb in your mouth, letting your spit coat his digit generously as your hands pull him in by his waist, your fingers scratching the expanse of his sides and his belly. “So fucking sexy,” you murmur, eyes alight with hunger.

Unable to verbally deal with the compliment, Dr. Miller pulls his thumb from your mouth, settling his hand on your jaw as he pulls you in to kiss your lips again. It’s much softer this time, more savory. He takes his time with it, and it has both your resolves breaking as Dr. Miller’s free hand finds the clasp of your bra and undoes it with ease, the article joining the haphazard pile on the floor.

Dr. Miller kisses down your neck once again, your body leaning back to give him more access. His mouth goes straight for your hardened nipple, his tongue circling the entire area before putting as much as he can in his mouth and sucks.His hand fondles your other breast while he works the one in his mouth. You’re moaning and writhing at the stimulation, your pussy utterly leaking past the barrier of your pants and onto the exam table.

“Dr. Miller, please,” you gasp. “Please- need more,” you moan, eyes rolling back at a particular nip to your bud. You can feel him smile against you, his mouth relenting only to move to your other breast. Dr. Miller is all about detail, of course he needs to make sure every part of you receives ample attention.

He releases you with a pop, a devilish grin on his face as he stands back to his full height. His hand snakes to your front, the pads of his fingers rubbing softly at your clothed center, your slick completely soaked through. “Ya need more?” He drawls. “Tell me what you need, baby,” he says sickeningly sweet, his entire hand moving to cup your sex, the squelch of your arousal making his cock twitch.

“Fuck-” you squeak, eyes fluttering shut at the feeling. “T-touch me, p-please,” you stammer.

To outsiders looking in – hell, to even you – it’d seem as though Dr. Miller is entirely calm and collected, at ease in the way he’s been teasing you. Yet, with the way his cock is straining the material of his scrubs and the way his chest heaves, he is anything but. He is so far gone, he nearly wanted to rip your clothes off in the waiting room and take you over the fucking counter. But he didn’t, much to his displeasure, but he tells himself the buildup is worth the wait. And, fuck- with you? It’s so fucking worth it.

“I am touchin’ you, darlin’. Touch how? Use those words, sweet girl, I know you can,” he tells you, squeezing your cunt in a way that has your belly doing flips.

“Oh, God-” your head rolls back, body on fire. “F-fuck me, Dr. Miller, n-need your- fuck- need your cock, need it so bad,” you plead, eyes tearing up the more you speak. The man finally broke you.

Dr. Miller smiles wildly. “Atta girl,” he rewards you, “I’ll give it to ya,” he breathes. “Lord knows you’re all I been thinkin’ ‘bout,” he admits as his fingers begin nudging your pants down.

“Yeah?” you breathe softly as you lift your hips for him. Even in your aroused craze, you can’t help but soften at the admission. “Haven’t been able to stop thinking about you either,” you tell him.

This is so much more than a fucking hookup, you both think. But you ignore that fact for later.

Shaking off the emotion, as soon as your pants join your clothes, you lean back, settling your elbows behind you to keep you up. Letting your legs fall open, you quirk your brow. “Well, cowboy?”

That brings his attention back. His eyes are fixed on your shiny cunt, his tongue twitches to drink you up. But, no, this is about you this time. And what you want is to be full. He’ll give it to you. But, first-

“I was too big for you last time,” he states matter-of-factly.

“I-” your eyebrows furrow. “What?”

“I hurt you last time.”

“No you didn’t-”

“I could tell it did,” he rebuttals.

Without another word, he steps out of the exam room. A beat passes and he’s back – with a fluffy pillow.

“Um-”

“Lift,” he states.

You lift your hips up, and Dr. Miller places the pillow underneath your lower back. “This should help open your pelvic floor more,” he says. “And ease the tightness of the position,” he adds.

And it does.

“Oh,” you whisper. “Thanks,” you say, your cheeks heating up at the action.

He leans over you to kiss your tummy before his hands settle on the insides of your thighs. “You okay?” He asks. His thumbs rub up and down, dangerously close to where you’re leaking for him.

“Mhm,” you hum, not trusting your voice anymore.

“I’m gonna fuck you,” he says.

“Oh, God, please-” you whine impatiently.

“But I needa touch you first, angel, I don’t wanna hurt you. Please?”

How can you say no to that? To his thick fingers and the way you know he can use them so expertly? How can you say no to the hands that have built his career or to the hands that’ll easily make you fall apart just as much as you know his cock would? You’d be an absolute dumbass to say no to that.

“Okay, Dr. Miller,” you say, voice shaky in anticipation.

“Joel,” he offers.

Your heart skips a beat. “Joel?” you question.

“Mhm,” he hums. “My name- well, first name, I guess,” he pauses. His fingers move closer to your core, the softest of touches ghost through your seam. You take a sharp breath in. “Just tellin’ you cuz I wanna hear you moan it when I make a mess a’ you. I bet it’ll sound real pretty, baby.”

His thumb finds your clit, then, and you do exactly what Dr. Miller – Joel – wanted. You moan out his name deliciously, sending him groaning at the pang of desire shooting up his spine, his cock weeping for attention.

“Fuck yeah, angel, that’s it. Knew you’d sound so fuckin’ gorgeous, fuck-”

His thumb continues its assault on your throbbing bud while the middle finger on his other hand rubs through your wet folds, collecting up the arousal before he pushes into your entrance.

It’s an easy push, his fingers are thick, so there’s still a slight stretch amongst the pleasure. The work he puts in with both hands has your hips bucking in his touch, and it eases your body enough for him to slip his ring finger along his other.

His two fingers fuck into you at a sweet pace, the length of him reaching places your own fingers have never felt before. It’s pure ecstacy. “Oh, Joel, yes- shitshitshit, that feels so fucking good,” you cry, your head lolling around like a bobblehead, your body falling weaker and weaker the more he plays with you.

“Yeah, baby? Like that? That feel good?” He grunts, his heart beating a mile a minute at how fucking pretty and wild you look and sound from his fingers alone. “So fuckin’ wet, baby,” he snarls. “You know what, pretty girl?”

“What?” you whine, trying your best to keep your eyes open and on him as your head begins to tingle from how hard you’re panting.

“I think you’re ready to take me, baby, I think she’s so fuckin’ ready,” he grins, his fingers adopting a come-here motion, your sobs reverberating throughout the tiny exam room.

“Come for me first, pretty girl, make a mess on my fuckin’ fingers, and I’ll give what you’ve been crying for,” he all but demands as he looks down and lets a big glob of his spit fall directly onto your clit, his fingers gliding over you even quicker in the mixture.

“Fuck- Joel!” you scream, the spit being the action that completely throws you over the edge.

“Jesus, angel, fuck-” he stills his fingers, letting himself feel the flutter of your warmth as you cream all around him.“So fuckin’ perfect comin’ all over my fingers, goddamn, messy fuckin’ girl,” he rambles, his eyes roaming every inch of your body, taking in every twitch, shake, and mewl your body is giving him.

Your breathing starts to slow, muscles relaxing but not quite over its shaking. He pulls his fingers out of you and brings it directly to his mouth, his cock nearly bursting at the taste of you on his tongue. Another time, he thinks to himself as he bends down to pull the rest of his scrubs off, using the moment to place a chaste kiss to your puffy clit. You yelp at the sensation, a lazy, blissed out smile blesses him, and he can hear his heartbeat thrum in his ears at the sight.

Joel crowds himself between your thighs again, pumping his cock a few times, his thumb reaching for the precum leaking at his slit and spreading it all over his length.

“How you feelin’?” Joel checks in.

“So fucking good, Joel,” you respond, doe-eyed but entirely honest.

He wants to kiss you so fucking bad.

So he does.

He leans over you as best as he can in this angle, his length rubbing against your folds as he leans in, his hand wraps at the base of your neck, pulling you in for an open-mouthed kiss – wet, hot, and slow. He pulls away with a blush across his cheeks, and your face is entirely engulfed by flames, too. Did that kiss make him nervous? Did it make you nervous?

Unable to look away from each other, you utter the first thing that comes to mind. “Please,” you whisper, though you don’t really know what you’re pleading for.

“I got ya,” Joel whispers, pulling himself back to line up his erection with your entrance.

Even though Joel’s fingers were a stretch all on their own and your body was quick to adjust, you genuinely don’t think anything could truly prepare you for the length and girth of Dr. Joel Miller.

Last week, it was damn near impossible. Thinking back to it, honestly, you think you might want to even thank the nurse that interrupted you two. Still, if Joel hadn’t prepared you today with his fingers, you definitely wouldn’t have been able to take him as fast as you are now.

He pushes in just the tip, and you both gasp at the initial pleasure. Your mewls are more pleasurable than painful this time around, and Joel takes that as the go-ahead to keep going.

“You tell me if I needa stop, darlin’, I’ll stop immediately,” Joel grunts, trying his best to keep slow.

“God, fuck- Joel, I swear to God, you better not stop- need you so bad,” you lament. He finally pushes himself to the hilt, your rambling continuing as he does so. “Please fuck me, baby, fuck me hard, da-” you gasp and slap your hand over your mouth, catching yourself before you let yourself finish that word.

Joel pauses all movement, his hands tightly on your hips as his purely black eyes stare down at you. “What’d ya say, angel?”

“J-Joel, I-I’m sorry, I don’t know what-”

“Not my question, babygirl,” he warns softly. “What’d you call me?”

You gulp, opting to just stare at him, silently begging him to spare you of the embarrassment.

He withdraws from you, all the way out to the tip, then, oh so slowly he pushes back in. He pauses halfway, eyebrow raised. Words.

“Please, Jo-” you start. His hand squeezes your hip in warning. “Please… Daddy, please,” you whine, finally giving in. With that, he pushes in roughly to the hilt, knocking all the wind from your lungs as pure pleasure flows through every nerve in your body. “Oh, fuck!”

“That’s it, angel, such a good fuckin’ girl,” he moans, his thrusts slow but calculated. “Makin’ daddy feel so good, baby, shit-” he tells you, his own eyes finally fluttering shut as he revels in the feeling of the warmth of your walls, tight and fucking perfect.

“How’s daddy’s girl feelin’, baby? Feelin’ good? Hm?” he grunts with a particular thrust forward.

“So- fuck-” you try to get out, your sweet cries of euphoria cutting you off and forcing you into incoherency. But you’ve experienced enough in this short time with Dr. Miller – with Joel – to know he needs this communication. He thrives on it. So you try your damn hardest. And fuck, it nearly sends him to his end.

“F-feels so good, so so good- mmm, shit- love your cock s’much, daddy,” you slur, eyes nearly going cross-eyed as Joel’s hips start to move faster, his fingers gripping tight enough to leave little bruises on your waist, a matching set to the marks across your neck and chest.

The wanton moans spilling from your mouth spurs Joel on, his brain short-circuiting at the feel of your velvety core consuming him. You feel him twitch before he feels you flutter. The sensation wakes you up a little, a wave of confidence overtaking you despite the fervent drive of his hips.

“You’re close, daddy,” you whine, a mischievous grin across your face. “Can feel you,” you tell him, thrusting your hips softly, attempting to meet his every push and pull with the help of the pillow gliding underneath you.

“Fuck-” he chokes, his hips only faltering in pace for barely a moment. One hand lets go of your waist and falls where you two are connected. “Need you- shit-” he pants. “Need you to come ‘round daddy’s cock first, pretty girl.” His thumb finds your nerves, slick and sensitive, and wastes no time in forcing you to the brink of another orgasm.

His fingers circle you, matching the rhythm of his hips, and instantly, your eyes clamp shut, back arching deliciously as you let your legs open impossibly further. “Oh, daddy- oh God, oh fuck- I’m gonna come, I’m gonna-” you yell as your throat becomes hoarse, your chest sinking and rising as you let your body relish in the fire that Joel is throwing you into.

“Give it t’me, lemme feel you, angel,” Joel urges, his lower tummy flexing as he feels your inner walls spasm and soak his pulsing length.

“Oh, yes- yeah, fuck- please,” you babble mindlessly. Pulling yourself to sit up, your hand planted behind you, you pull Joel in, lips ghosting each other as his quick breaths fan against your lips. “You gonna come? My pussy that good, daddy?”

Your random spurts of teasing has Joel in all sorts of panic. Usually, he’s one to call the shots, and all his past partners never wanted or requested anything different, but it seems as though he has finally met his match. “Fuckin- Christ, doll- pussy’s so fuckin’ good, baby, daddy’s gonna fuckin- oh fuck-” he keens, pulling out just in time for his cock to spill his entire worth across your mound and your lower belly.

“Oh my god,” you moan to yourself, your pussy clenching around nothing at the sight of him all over you.

Joel takes a minute to catch his breath, his eyes scanning every inch of you like he didn’t just violate every Doctor oath he’s ever taken.

“I think I need to be the one to check in this time,” you let out in a breathy laugh. “You okay?”

He still isn’t looking in your eye, and it makes you nervous. Is he regretting everything now? “Joel?” you call, barely audible.

His eyes snap to yours before they fall back to where he was looking before. “Yeah, yeah, I’m alright, baby, I just, uh-”

Cutting himself off, he bends down slowly. You watch him, confused but intrigued. He sticks his tongue out, flat, and licks. From your mound to the lower part of your belly, he collects up the salty, milky liquid on his tongue.

He brings his mouth up to you, his hand finding purchase at the back of your neck. He pulls you into his mouth, his tongue invites itself into your space along with the heady musk of his come, and you welcome it greedily, swallowing every little bit of his arousal that you can.

You break away just before his watch beeps: 5:45pm, fifteen minutes until closing. “That was-”

“I’m sorry, that was disgustin’ I don’t know why I jus’ did that-”

You lean in to nip at him, pulling away with a suck to his pouty bottom lip. “That was hot, Dr. Miller,” you smirk.

Dr. Miller’s exam rooms, although not often, can see a lot of bodily fluids. Obviously not the kinds that you two have exchanged together, but with the notion of removing casts and such, sweat is bound to get everywhere. So every room holds baby and/or sanitizing wipes just in case.

He grabs a pack of baby wipes underneath the cabinet and takes out a few. He wipes your entire lower half down, and grabs some more from the pack to wipe himself off. It’s a dance of wobbly limbs as both of you help each other dress back up, you being particularly whiny at how stiff the scrub material is when you try and blame it on his big size.

“I thought you liked how big I am?” He quips, your eyebrows shooting up in response as you slap his chest.

All dressed up, you two walk out of the exam room, both you and Dr. Miller on cloud nine as you make your way back to the front office.

Before reaching the door, he grabs on your waist, pulling you against the wall, towering over you. That beautiful Southern gentleman smile bright on display, the kind of smile that has your knees wanting to buckle.

“I- I had a great time with you,” he says, a little bashful. Sure, the things you did together were otherworldly, but the things that came after? How he was able to help clean you, dress you, and simply just be with you afterwards? He really can’t remember a time he’s felt so right.

“I did, too,” you tell him. “But, I think…” you trail off.

His stomach sinks. Here it comes. We shouldn’t be doing this anymore, he knows you’ll say.

“I think I can’t be your patient anymore,” you whisper with a giggle, wrapping your arms around his neck.

“Dear God, you just about gave me a damn heart attack,” he huffs, burying his head into the crook of your neck, littering playful nips anywhere he can reach as payback for scaring him.

You two break out in laughter, it slowly turning into an impromptu makeout session as his lips find yours again, both of you insatiable for one another’s taste.

You’re so caught up in each other that neither of you realize the front door of the office unlocks, nor do you realize someone is entering the hallway you two are currently in.

You also don’t hear the gasp coming from the person either, not until-

“Dr. Miller?!”

Shit.

NEXT (coming soon) ->

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