Bound and helpless, the anal patient is at the mercy of the asylum's staff. The doctor, a sadistic bastard, loves pushing boundaries. He orders the nurse to lick the patient's asshole, preparing it for his massive cock. The nurse complies, her tongue flicking and probing, before she takes the patient's clit into her mouth, sucking hard. The doctor watches, stroking his cock, then forces it into the patient's ass, making her scream. He fucks her hard, the sound of flesh slapping flesh echoing through the ward, as the nurse continues to lick and suck, bringing the patient to a thrashing, anal-orgasm.