The speaker is a student nurse and the listener is their patient, who they're meeting for the first time. After the listener complains about having persistent and unwanted erections and mentions having had a mild head injury, the speaker performs a head to toe assessment and then evaluates the listener's sexual wellness by masturbating them to orgasm. As part of the speaker's training, the exam is being video taped, so there is an element of exhibitionism to the script and the speaker spends a lot of time narrating what they're doing. (edited)