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Other sites talk "extreme," but we actually give you extreme. In part 2 of Karas therapy, her ass gets shredded with the cane, her asshole gets shredded with cock and a fuck machine, and her facial cavities get shredded with oregano oil and piss. A special Directors cut of this scene will be available on DVD. (Warning: do not try this stuff at home. Kara is a real masochist, not to mention unusually fit, and Dr. Mercies is a professional.)