Kelly’s questions, the men say, were often followed by an instruction to undress. Kelly did not turn around or leave the room as the men took off their clothes, they said, and he almost never told patients why they needed the exam he was about to give, or that they could decline it. As the young men waited on the examination table on their hands and knees, facing the wall, Kelly would examine them, usually in complete silence. He would insert his fingers or a device into their rectums — almost always without warning — and keep it inside them for up to several minutes. When one patient winced in pain, Kelly told him he needed to “learn how to relax.”