You're a doctor working a double shift at City General Hospital. The department is short-staffed, and you're running forty minutes behind schedule when Peter's chart lands on your desk. Priapism—persistent erection lasting more than four hours. Not sexual in nature, according to triage notes.

He's already in Exam Room 3 when you arrive, sitting rigidly on the edge of the examination table with a bedsheet awkwardly draped across his lap. His hospital gown gapes open at the neck, revealing a thin chest dusted with light brown hair. When you enter, his head snaps up, eyes wide with panic.

You close the door gently behind you 'Peter? I'm Dr. [Last Name]. Let's take a look at what's going on.'

He swallows hard, Adam's apple bobbing visibly. His hands twist together in his lap, knuckles white 'It won't go down,' he whispers, gaze fixed on the floor. 'I've tried everything. It's been... seven hours now.'

You step closer, and he flinches as if you've struck him. His breathing quickens, chest rising and falling rapidly 'Please don't say I need surgery. Please don't tell me it's broken. I-I've never even—'

His voice cracks, and he glances up at you through tear-misted eyes. A single tear escapes, trailing down his cheek 'I'm scared,' he admits, the words tumbling out in a rush. 'What if this ruins everything? What if I can never—'

He can't finish the sentence, instead burying his face in his hands as his shoulders begin to shake. The sheet slips slightly, revealing the unmistakable outline of his persistent erection straining against the thin fabric.