The man's new attending doctor is a young sexy girl. She conducts a survey and examination of the patient. Upon examination, she notices changes in the appearance of the patient's thyroid gland. She suggests that the man compare her and his neck by touch. It had a strange effect on the patient. After the examination, the doctor sits down to write recommendations for the patient. While she bent down to pick up the fallen pen cap, the man grabs the cord from the tonometer and begins to strangle the doctor. When she stops twitching, the man puts her on the table and fucks her in the mouth.