Barbara is a stunning, tall, slender, blond transsexual nurse. After a consulting with a patient in Portuguese, she has him strip and meet her in the treatment room, where she dispenses some rough medicine, spanking, slapping and throwing him around. That must be what you get when you have only HMO coverage in Brazil. With his hands tied behind his back, she chokes him, even putting a plastic bag over his head as she beats him with a pillow. With him helpless and vulnerable, she works various dildos into his ass while choking and beating him. Furthering his abuse, she pushes her high heel into his balls and then neck, chest and stomach before rolling him over to grind her heel into his back and ass. Having tenderized him, she strips, revealing some tasty tits and a jumbo sized Johnson that she force-feeds her bound patient, who sucks her dick with gluttonous relish. Deciding his condition requires more in-depth probing, with his hands still bound, she lays him on his back with legs pointing to the ceiling as she eases her weapon of ass destruction up his back alley, drilling him like a rabbit on crystal meth. Flipping him into doggie, she continues her anal assault, slamming her colossal cock up his ass like a jackhammer. She continues ravaging his ass until she explodes, spewing her jism all over his asshole. She then unties him so he can jack off all over her face, which was either part of the treatment or a tip for services provided.