I said the exact same things. In the storyline that can happen, in the exams no.
Enjoying the game, but this is a deal breaker for me. For those who have medical fetishes, the doctor acting a bit perverse and indiscreet is pretty much a necessity. I'd jump on the chance to be a Professor patreon supporter if this content were included. At the very least, I wish we could see more of the patients reaction when we unnecessarily perform a pelvic or breast exam. Instead we only get a bit of dialogue and the same "patient lying down" rendering.
Here are some examples which would fit well into the game and add a bit of the perverse.
1) In the examination where the son has a dog bite and the mom joins him. Perhaps have an option where the doctor can convince the mom that she also needs to be examined with some bullshit reasons like certain dog bite infections can be contagious. Depending on how much reputation and trust you've built up, you can even convince undress the mom fully in front of her son and perform a breast and pelvic exam.
2) Instead of having the women undress to get them nude, we could have the women keep on her clothes and the doctor can be the one to take them off (including an option to do so without asking the patient first).
3) The doctor can buy a hidden camera. He can sell pictures of the women to her colleagues, etc. Later maybe he can set up a live stream?
4) The doctor can optionally leave the door slightly open so that other patients in the waiting room are offered views of the examination.
5) When a patient comes with in with a friend, family member, colleague, etc, the doctor can have the extra person stay in the examination room (an excuse could be insurance, or liability, what have you). If the doctor has built up enough trust and reputation, they can also examine the extra person.
6) Random scenarios where an emergency occurs outside of the doctor's office (could be in the church, the gym, bar, etc). The doctor has the option of performing indiscreet and unnecessary examinations in public (for example, checking the patients heart rate and using the stethoscope to push down her bra and expose her breast, or examining her legs and in doing so spreading them open so that we can see up her skirt).
7) Recommending sexual treatments for certain ailments. For example, convincing some naive patients that they should masturbate every day. Subsequent check ups have the doctor "checking" on her sexual health.
Bruni, are any of these a possibility within future updates?