With his ass still in the air, the young patient was subjected to one final indignity. The crazed caregiver exerted his dominance by spanking the young man. He started spanking by hand until his ass was bright red and he was moaning softly. He then switched to a strap, making the patient jump and yelp with every blow. The masked aide finished with a leather paddle, making his patient moan and whimper in pain, enjoying the power he had over the handsome, young man.