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Nurse Sarah is making a home visit to a sick male patient who cheekily asks her for the 'special treatment' he has heard about. Sarah decides that rather than the 'special' treatment she normally gives her favourite patients, this guy will get her 'special special' treatment. She starts by covering his mouth with her hand and restricting his breathing. Then she removes his pants and covers his mouth again. After this she removes her uniform to reveal that she is only wearing pants and then she starts her 'special special' treatment proper. She presses her shoes and heels into his cock and balls whilst suffocating him with her hand, she then squashes his cock and balls with her knee and then grabs and twists his cock hard. She then sits on his face and smothers him before digging her heels into his balls again. Then she puts him in a choke hold and gets his head between her thighs and squeezes them before putting him in a figure four lock. Finally she places a pillow over his face and presses down on it and finishes him off by sitting on the pillow whilst it is still on his face.