After Nurse Oikawa was abused by jealous patients and caught in a violent group-sex ordeal with her doctor fiancé in the previous chapter, the finale gives her two more hard encounters. She gently provides full-body care to adult patient Tsutomu, who resembles her late brother, helping him drift to sleep before their forbidden relationship continues. Enraged by her repeated affair, her fiancé shackles her hands and feet in the operating room for a punishment exam involving a rotor, vibrator, lotion, and anal play, driving her into a frenzy.