That means he is not simply thinking something, he is also doing something - the only thing is that the patient doesn't know!
The only thing he's doing that the patient doesn't know is enjoying his job more than most doctors. There's no crime in that.
There are cases of doctors who fondle their patients while they are sedated. Too bad some of them woke up too early and realized it! Do you think it would have been fine for the doctors to do it if the patients didn't wake up and never knew about it?
No, because in This! scenario (unlike the first) the doctor is physically manipulating the patient in a manner not called for by his professional duties.
You can see the difference by video-taping both scenarios. The prostate examination will show no aberrant behavior. The other scenario will show unnecessary contact with private parts.
Now asking a masseuse for tickling can work for a guy if he's calm and cool about how he asks. As I've said, I do it every time I get a massage. Not once has the masseuse reacted negatively to the request. Why?
Maybe it's because I don't say, "Would you please indulge my tickling FETISH because that would so excite me?!"
Instead I'll wait till she's massaging a sensitive area such as the thighs. She'll notice my reaction. I couldn't hide it even if I wanted to.
"Does that tickle? I'm sorry."
"Hey, it's okay. Don't apologize. It was awesome."
"You...LIKE being tickled?"
"Oh definitely. Always have. It may sound strange, but I've found that prolonged tickling relaxes me and relieves all of my stress."
"You're serious."
And from there it could go either way.
Getting tickled by a massage therapist is much better than getting it from an erotic masseuse. It's a lot cheaper for one. In my opinion the tickling itself is of a higher caliber because it's going to be more vigorous. The erotic masseuses always go for the soft strokes near the genital area. The therapeutic masseuse will concentrate on the feet and the upper body as they are more productive.