A/N: Aftercare instructions are easy to find online, but make sure you use a reliable source material. The reference I used for this page came from chicomunch publ / basic_info_about_bdsm / bdsm_101_subspace_aftercare_and_sub_drop_and_sometimes_top_drop / 1-1-0-23. Please message me if you have any questions about aftercare.

If you enjoy Doctor's Training, please visit onthetrainingofdoctors/ ashesofreality. com to read about my original yaoi novel that is loosely based on the plot of this story. It is currently a project being funded through kickstarter, so become a backer today and get some awesome prizes. Visit www. kickstarter projects / beverlylynnanderson / on-the-training-of-doctors for more information and soon a sample first chapter. The published work will be more polished, filled with original artwork, and vibrant characters of my own creation as well as those of my co author.

Chapter 11

Learning Curve

Ichigo was sure that this was the first time he'd ever not wanted to go into work before. He didn't even notice when Shiro packed a bag full of stuff for the aftercare class. He was excited and nervous about that. As it was, he headed into surgery feeling more confident than he'd ever been before. He had no idea that something like the night before could make such an impact on his overall attitude about things. He finished up surgery, a relatively simple procedure, and left to go to his office and find his three lovers waiting for him.

"Ichi-pet," Renji said as he came in. Renji had taken up a place in the large chair in the corner of the room. Ichigo was craving the read-head's attention now. He made a bee-line for the seat he was in.

Ichigo smiled and crawled onto Renji's lap and buried his face in his neck. Renji's eyes went a little wide as he glanced at Grimmjow and Shiro who were sitting on the couch beside him. They snickered and continued reading.

"Renji," Ichigo muttered against his neck. "I'm…I'm…" Ichigo didn't know how to explain it. He was coming down off the surgery high, but it was hard to explain to someone else.

He felt Shiro's hands on his shoulders. "You okay, Ichi-pet?" Shiro said gently, kissing his neck as he spoke.

"I just…I can't explain…I don't…" he muttered, face still buried in Renji's neck.

There was a pause and he felt both of Shiro's hands sliding down his hips under his scrubs. Any other time, he would have protested, but his hands felt so good on his skin. He hummed and felt Renji adjust and felt his rising hardness against his own crotch where he straddled the other man. Of course, he was wriggling against him pretty intensely.

"I think we've turned him into a little pleasure slut already," Shiro said with a smirk, hands sliding around his hips and down onto Ichigo's inner thighs. "Are you our little pleasure slut, Ichi-pet?" Shiro breathed into his ear.

Ichigo couldn't answer, he was far too distracted by Shiro's wickedly talented fingers massaging the inside of his thighs so he groaned in response instead. He wanted more again, but he didn't want to seem… He felt Shiro's lips on the back of his neck and Renji pulled up his face and locked his lips onto Ichigo's. Ichigo's eyes sprang open and he stared into Renji's chocolate cherry eyes.

"Ren, wanna put that tongue of yours to work on our little pet?" Shiro breathed against Ichigo's neck.

Renji smiled into the kiss he was imparting on Ichigo. Shiro's hands slid out of Ichigo's scrubs and Renji stood up in one smooth move, standing up with him held tightly against his chest. Shiro slipped into the chair, undoing his jeans as he sat down and pulling his own hardness free and stroking it as Renji leaned over and sat Ichigo on his lap in the same position he'd been in the night before. Ichigo felt his scrubs being worked off his hips but somehow he didn't mind. He'd completely forgotten that they were in his office. He honestly didn't care if someone walked in at that moment. He was so far from being able to care, that it was almost like an ache had developed inside him that had to be fixed.

Renji pulled away from the kiss, brushing Ichigo's hair from his face gently with a smile. "Here, you relax, baby," he said, sliding down to his knees and pushing Ichigo's legs apart over Shiro's lap. Ichigo watched as Renji went down and sucked his arousal into his mouth and gasped. That was an unexpectedly good feeling, he thought as Renji worked his tongue around him. Shiro slid his hand underneath and began to stroke his entrance with something slick and he wondered just when he'd gotten lube and where the hell that had been? He felt someone near his lips and blinked as Grimmjow locked lips on him and smiled.

Ichigo jerked as Shiro slid three digits into him suddenly, stretching him in one go. There was a twinge of pain, but considering he'd just done this thenight before it wasn't too bad. Immediately, his fingers curved up and began relentlessly stroking his prostate and only Grimmjow's hands holding his shoulders down kept him from jerking completely off Shiro's lap. Renji grasped his hips and lifted as Shiro slid out his hand and Ichigo wasn't sure what he was doing at first until he felt the stretch when Shiro's cock slid into him smoothly. He winced because he hadn't been expecting that so soon. Shiro's hips slammed up quickly though and Ichigo let out a long low whine as he felt the pressure of Shiro's hands pulling his behind him. Renji was having to hold his legs down because they wanted to flail under the intensity.

"Shh, my pet, beautiful pet," Shiro whispered, holding his wrists with one hand while he pinched and twisted one of his nipples mercilessly. "You're so hot, I'm melting inside you, you know that?" he whispered, biting at his ear gently before he licked the shell. Ichigo responded with a moan as his eyes rolled up.

Grimmjow held his shoulders and he was well and truly pinned in place, and it made him even more aroused than before. Renji was holding the base of his cock tightly to keep him from going over just yet, but he was holding his hips at the same time as he leaned on his legs to hold them down. Shiro had impressive leg strength to hold the position he was in. Ichigo's body began to work on its own, and before long he was riding harder on Shiro than Shiro expected. "Fucking hell, Ichi-pet," Shiro groaned. "You're a right fucking cowgirl…" he muttered and grunted against him.

The dual sensation of Renji's mouth and Shiro's cock were almost too much, and Grimmjow biting at his nipples and then sucking on them like that.

"I…I can't…please, please," he moaned, believing he couldn't take much more of it.

Renji swallowed hard against Ichigo and let go of the base at the same time. Ichigo almost screamed as he came down Renji's throat and Shiro groaned, thrusting up hard and following Ichigo immediately. He'd enjoyed last night, but it had been a while since he'd topped someone that was practically a virgin. "Oh, my fucking god," Shiro gasped.

Grimmjow laid his head down on the arm of the chair, having managed to go off after watching the scene, but at least he'd gotten mostly free of his pants, he'd still need to change. Renji likewise had made a complete mess of his jeans. He never had a problem going when he gave blow jobs. He got off on it as much as his partner did.

Ichigo panted and didn't notice when they cleaned him up and redressed him. The world faded out pleasantly and he snuggled into the warmth underneath him and dropped into a hazy sleep. He didn't notice the outside blinds move slightly.

-oooooo-OOOOOO-oooooo-

The room was fuller than Ichigo expected. He was nervous as he stood at the front of the small conference room with his father and Kisuke. Shiro had the bag from their house on the table as the room filled up with people, including of course Shinji and Nel. Ichigo had put on his collar to stave off the nerves and he stood nervously by Renji's side, gripping his hand as people sat down. He noticed that the others who were subs were also wearing their personal collars and he noted that Shinji was wearing the pretty one he'd gotten.

Shiro looked at the clock and clapped loudly. "Hello and welcome. Most of you know me, hell half of you I've played scenes with. Unfortunately," he said, holding up his wrist with the leather cuff, "I won't be doing scenes outside our group any longer."

There were a couple people that groan at that statement. "Now, that said, it has come to my attention that we have new people as well as old people," he said, glancing at Renji. "They don't understand proper aftercare routines. Now, first of all, new people, show of hands?"

Several people, including Nel, Ichigo and Grimmjow raised their hands. Grimmjow had sat down in the front row and Ichigo stood beside Renji who stood at the front with Shiro.

"Obviously, my Ichi-pet over there is new, but we have a new Dom in our group, Grimmy there. So, considering that Ichi-pet is a doctor, and so is his father, we thought this would be a good chance to have a real session on aftercare. Now, first we're going to discuss physical aspects. Can anyone tell me the first step after a scene with a sub?" Shiro said, sitting down on the table and looking around. No one seemed inclined to answer right away.

"Okay, guys, don't be shy, I've seen most of you naked and been fucked by half of you. Now, just because Ichi-pet and his dad are here, don't clam up. What happens after a scene to a sub, and sometimes the Dom/me's body?"

One of the timid looking girls in the back of room spoke up with a much stronger voice than she appeared to have. "The intensity of the play or the scene causes an increase of chemicals and hormones in the body, when the scene is over, those stop being produced as the stress on the body is gone. The first step is the regulate body temperature," she said, getting a smile from the collared and much larger man beside her.

"Very good, my dear. Now, does body temperature rise or drop?" Shiro asked, smiling.

"Drop," a female sub near the front said. "I feel like I'm standing in a freezer."

"Right, the very first concern is keeping the person warm, all of you should have throw blankets and warming pads in your kits that you keep with you. The hand warmers are also handy that you break open just in case you need extra heat. Now, what is another physical trait of someone after a scene, in particular an intense scene?" Shiro said, looking around.

"Exhaustion," came a voice from the back.

"Correct. Do you know what causes both the drop in temperature and the exhaustion?" he asked, looking around.

Quiet was the only response. "The body has gone through a stress response. The muscles have been heightened, chemicals released, hormones rushing through the body. The same response post-scene can happen to people who have been in a car accident or to athletes after an aggressive workout. What we do is not all that different from those that do sports, and that needs to be remembered."

Shiro glanced around. "Now, one thing that may help if you have a sub that is particularly physically weakened after scenes is to use the same thing that athletes do. Protein bars should be kept on hand in your kit. Subs, your kits should contain things you like and written instructions for any Dom/me that you are playing with if they are not your regular Dom/me. Dom/mes, you should have several kinds in your kit. Water bottles should also be on hand to take care of dehydration from long or intense sessions for both parties in the scene. Chocolate can be helpful to keep on hand both for the sugars and the opiode effect that resembles subspace." Shiro paused.

"Subspace, this is a good place to discuss this part. You all know it, most have experienced it, and it is completely different for everyone, and possibly for every scene. Shinji, what's your subspace?" Shiro said.

Shinji thought. "A buzzing goes off in my ears, almost like white noise and I can't really think without effort. I don't feel anything at all, like all my aches and pains are completely gone, like I'm floating in warm water."

Shiro nodded. "And Menoly?" he said, pointing to a blonde woman in the back of the room sitting beside her partner, Loly.

"I don't know, like, something just explodes in my brain and the world looks vibrant and bright and I feel like I'm floating," she said thoughtfully. "Mine lasts almost all night after a scene though."

"Right, so they are all different and sometimes they last five minutes, and they can last days. What is the biggest problem of being in subspace?" he asked, glancing around. When no one spoke up he nodded. "I'm going to say it is the issue of being completely out of it and drugged out. Now, I'll have to admit, I've only seen Ichi-pet space out twice, and it is identical to the way he acts after he comes out of surgery. I've taken drugs, and I compare it to a heroine or morphine high," he said looking about. Ichigo frowned and looked at him. "Long ago, Ichi-pet, don't worry, can't play scenes when you're on drugs."

Shiro looked around. "So, who here has been dropped by a bad Dom/me?"

Several hands went up, including Shiro's own. "Keep your hand up if you ended up in the hospital." A few went down, Shiro's did not. "And keep your hand up if it led to a suicide attempt." A couple hands stayed up, including Shiro's. "Okay, that's good. I want to point out to the Dom/mes in the room that this is important. Subdrop is devastating. It can happen for several reasons. First, when a scene is abruptly ended prematurely. That sometimes happens for reasons beyond our control. Another is when a Dom/me does not stay with the sub and help them come down. Subs can sometimes get inexplicably depressed after a scene. Without proper aftercare this is even more likely. Reassure your sub, and do not leave them as long as they are clinging to you because this means they need the tactile contact and reassurance."

Shiro opened his bag and started laying out the items in there. "This is my go kit as I call it. I'm a switch, so sometimes I do one or both. Remember, public play is never as intense as private, so my home collection is far larger. As you can see, I keep a full first aid kit," he picked up and showed it. "You should all have this on hand. I'm a paramedic, so I also have a suture kit that I keep here," he said, holding it up. "Dr. Kurosaki will talk about this more in detail, of course." He held up a pack filled with protein bars, candy bars, and glucerna tablets. "Diabetic supplies like these tablets are handy for sugar lows. Non-diabetics can experience a drop in sugar that can cause them to pass out." He held up an mp3 player and a notebook. "This is music that calms me and helps when I'm having a tough time coming out of a drop. This is a book of detailed instructions on what to do if I'm incoherent after a scene. You must have this if you are a sub, and it helps as a Dom/me to have something like this to record your play partners and their needs."

Shiro turned and held up another item, this time a book on first aid. "Also good to have. Now, those of you with tablets and smart phones, a lot of this can be in your phone or device. You must not lock your device, however. There is no way to get in if you are not able to tell someone the password. If you have a password, make sure that someone is aware of it, and preferably your partner."

He leaned back again. "Can someone tell me what RACK means?" he glanced around.

Grimmjow smiled. "I remember! Risk Aware Consensual Kink?"

"Good boy, that's right. Now, what's that mean for play?" he asked.

Nel smiled. "You go in knowing that there are risks to play, and that there aren't any surprises."

"That's right. I'm a painslut, anyone else?" he said, looking at a couple hands. "And I know some of you Dom/mes are sadistic bastards." There was a chuckle among the room. "Now, knowing this means we, as the sub in the situation are very well aware that it can be dangerous. We are trusting the Dom/me with our lives because there are very real risks to applying pain. Some things are more inherently more dangerous, such as edge play, gun play, breathe play, and other more intense things. When you are bound from head to foot, and someone is controlling your breathing, it is imperative you trust the other person."

"Now, any questions on the subjects of subdrop and subspace?" Shiro said looking around.

Everyone seemed satisfied for the time being. "Alright, now, Dr. Kurosaki and Dr. Urahara and I will split the room into three groups and we're going to have small group talk about first aid, when you need to get someone to the doctor, and what to do when you need to save someone's life.

Ichigo stayed beside Shiro as the groups split up. Shiro had spoken with both Isshin and Kisuke earlier that day about what this part would be about. They went over care for various types of injuries acquired during play, including welts, flogging cuts, edge cuts, passing out, and basic CPR and procedures in case of serious injury. Everyone was invited to a full CPR class sponsored by the Dr. Kurosaki the next week. There were also some discussion of specific care of sexual organs and what to do in case of serious injury during play. By the time they were done it was almost midnight. Everyone said farewell and Shiro could see Ichigo was emotionally exhausted. Shiro cuddled against him in the back of the car and he'd fallen asleep less than halfway home.