Nelson, the hulking, tattooed gay stud, returns to his medical practice, eager to lose himself in the physicality of his work. His first patient is a slight, nervous twink, who watches warily as Nelson's large, calloused hands manipulate his limbs, his torso. Nelson's professional demeanor belies the growing hardness in his pants, his mind filling with taboo images of the twink's lithe body writhing beneath him. The twink, sensing Nelson's arousal, tentatively touches the doctor's throbbing cock through his scrubs, igniting a spark that threatens to consume them both.