Again he acknowledged her, dimly aware that she had waited for him to be naked to be having this detailed instructional talk.

“Third, I’ll need you to lift up your legs so I can remove the old diaper and/or place the new one in place. When you do that, you’ll want to grab your knees (still wide open, right?) and pull them as far as you can toward your shoulders. We’ll call that position, ‘up.’ Okay?”

He nodded numbly. He just wanted this to be over.

“Finally, we’ll want you in the ‘down’ position again. And your knees?” she prompted him, an expectant smile on her face.

“What?” he asked. He was trying to pretend this wasn’t happening. It didn’t help to be asked a question that reminded him he was a person and was helping this process.

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