![Nurse having sex with patient Thumbnail](https://cdn.xlxx.pro/loading.jpg)
15:38
511
223
Nurse having sex with patient ![Incredible Exclusive Japanese, Group Sex, Asian Movie, It'S Amazing Thumbnail](https://cdn.xlxx.pro/loading.jpg)
21:24
2410
1324
Incredible Exclusive Japanese, Group Sex, Asian Movie, It'S Amazing ![RL-Nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
16:00
4281
2916
![Real adult sex for a cockhungry sexy nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:02
222
149
Real adult sex for a cockhungry sexy nurse ![Trailer-md-0262-anal fuck nurse in front of her boyfriend-yi nuo-best original asia porn video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
10:31
2226
1046
Trailer-md-0262-anal fuck nurse in front of her boyfriend-yi nuo-best original asia porn video ![Horny Nurse fucks at the pawnshop for money Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:59
411
278
Horny Nurse fucks at the pawnshop for money ![Naughty Naked Nurses Twerk Contest Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:23
994
556
Naughty Naked Nurses Twerk Contest ![Sweet Japanese Doll Loves Sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
26:34
139
84
Sweet Japanese Doll Loves Sex ![Subtitles Japanese paipan gyaru vibrator sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:11
308
192
Subtitles Japanese paipan gyaru vibrator sex ![Cuddly Japanese girl Saya Hyozaki is having passionate sex on cam Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
481
200
Cuddly Japanese girl Saya Hyozaki is having passionate sex on cam ![Nurse Practitioner gapes her hirsute cunt Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:54
205
115
Nurse Practitioner gapes her hirsute cunt ![Slutty Nurse Has The Cure Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
450
227
Slutty Nurse Has The Cure ![Hot Nurse Gets The Cock Pumpin’ Thumbnail](https://cdn.xlxx.pro/loading.jpg)
35:08
2869
1112
Hot Nurse Gets The Cock Pumpin’ ![Desparate Nurse Will Do Anything For It Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:15
345
192
Desparate Nurse Will Do Anything For It ![Japanese Chisato Mukai in a sensual and steamy sex scene Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:51
660
422
Japanese Chisato Mukai in a sensual and steamy sex scene ![COMPILATION Lusty Nurses in Action (POV) Thumbnail](https://cdn.xlxx.pro/loading.jpg)
10:08
1990
1059
COMPILATION Lusty Nurses in Action (POV) ![Frisky Japanese bimbos Momoka gets finger fucked in threesome sex session Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:57
682
319
Frisky Japanese bimbos Momoka gets finger fucked in threesome sex session ![Horny Nurse gets a surprising offer Thumbnail](https://cdn.xlxx.pro/loading.jpg)
22:23
374
198
Horny Nurse gets a surprising offer ![Hot Japanese Maid with Perky Tits Sex in Short Skirt Uniform Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:55
3904
1883
Hot Japanese Maid with Perky Tits Sex in Short Skirt Uniform ![Nurse Practitioner gapes her hirsute cunt Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:54
338
175
Nurse Practitioner gapes her hirsute cunt ![Japanese Adult Video [Forbidden Adultery Sex] Thumbnail](https://cdn.xlxx.pro/loading.jpg)
51:17
1411
781
Japanese Adult Video [Forbidden Adultery Sex] ![Navy Nurse sucks the sailors big cock Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:17
1074
524
Navy Nurse sucks the sailors big cock ![Sexyxbeth Self-Nursing 1 Thumbnail](https://cdn.xlxx.pro/loading.jpg)
09:40
315
220
![Horny chubby dude seduces petite Japanese chick for sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1656
1233
Horny chubby dude seduces petite Japanese chick for sex ![Desparate Nurse Will Do Anything For It Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:15
325
141
Desparate Nurse Will Do Anything For It ![Subtitles Beautiful POV sex with japanese MILF S Thumbnail](https://cdn.xlxx.pro/loading.jpg)
11:53
2174
1074
Subtitles Beautiful POV sex with japanese MILF S ![Subtitles Japanese massage oral sex nanpa in HD Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:04
1756
993
Subtitles Japanese massage oral sex nanpa in HD ![Uncensored Japanese Porn Hotel sex with 2 pro girls Thumbnail](https://cdn.xlxx.pro/loading.jpg)
16:23
1235
749
Uncensored Japanese Porn Hotel sex with 2 pro girls ![Busty Japanese milf Narumi Anzai is willing to try public sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:57
595
416
Busty Japanese milf Narumi Anzai is willing to try public sex ![Couples sex games with hot nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:02
191
106
Couples sex games with hot nurse ![Slutty Japanese nurse Ai Himeno seduces the patient and sucks his cock Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1243
733
Slutty Japanese nurse Ai Himeno seduces the patient and sucks his cock ![Real adult sex for a cock-hungry sexy nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:02
133
101
Real adult sex for a cock-hungry sexy nurse ![Pretty nurse cures Panda using hot sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:30
327
178
Pretty nurse cures Panda using hot sex ![Uncensored Japanese Rin Momoka Oral Sex Subtitled Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:08
3258
1587
Uncensored Japanese Rin Momoka Oral Sex Subtitled ![Game show sex for cash chinese classic movies japanese cosplay riley star milf mai ling hong kong movie tokyo hot amanda love japanese game extreme wife cheating korea couple brownhair Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
3949
1837
Game show sex for cash chinese classic movies japanese cosplay riley star milf mai ling hong kong movie tokyo hot amanda love japanese game extreme wife cheating korea couple brownhair ![Brown head Japanese skank Hiyori Konno films in a hot threesome sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
3362
2065
Brown head Japanese skank Hiyori Konno films in a hot threesome sex video ![Redhead Nurse gives love to her patient Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:08
688
410
Redhead Nurse gives love to her patient ![Sexy nurse fulfills her fantasy of sex in the hospital Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:04
879
429
Sexy nurse fulfills her fantasy of sex in the hospital ![DW-Nursing Him Back Thumbnail](https://cdn.xlxx.pro/loading.jpg)
15:57
1151
624
![Nobuko Torii: Cheating Japanese Wife Rough Sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
04:40
3140
1466
Nobuko Torii: Cheating Japanese Wife Rough Sex ![STRICT ENEMA NURSE Thumbnail](https://cdn.xlxx.pro/loading.jpg)
10:29
676
431
![Best indian xxx desi ass step sister fuck hindi audio hd xvideo xnxx Thumbnail](https://cdn.xlxx.pro/loading.jpg)
15:03
44262
24192
Best indian xxx desi ass step sister fuck hindi audio hd xvideo xnxx ![Night Shift's Naughtiest Nurse Part One Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
5696
3023
Night Shift's Naughtiest Nurse Part One ![Alanah Rae -Amazing My Nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
15:42
1271
594
Alanah Rae -Amazing My Nurse ![Busty Mature Nurse know to help Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:08
647
401
Busty Mature Nurse know to help ![Frisky Nurses Aleska Diamond & Danika's Hot Pussy Play With a Buzzing Probe Thumbnail](https://cdn.xlxx.pro/loading.jpg)
21:05
890
414
Frisky Nurses Aleska Diamond & Danika's Hot Pussy Play With a Buzzing Probe ![CFNM - Rough HJ from Home Health Nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
14:39
548
380
CFNM - Rough HJ from Home Health Nurse ![Lelu Love-Sperm Bank Nurse Handjob Thumbnail](https://cdn.xlxx.pro/loading.jpg)
16:04
635
347
Lelu Love-Sperm Bank Nurse Handjob ![Horny Nurse fucks at the pawnshop for money Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:59
596
416
Horny Nurse fucks at the pawnshop for money ![Pretty Japanese babe Reo Matsuzaka blow a small cock in a POV sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
668
499
Pretty Japanese babe Reo Matsuzaka blow a small cock in a POV sex video ![Large hooters japanese babe enjoys 3some sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:10
953
542
Large hooters japanese babe enjoys 3some sex ![Leena:Clueless Bareback Nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
03:20
758
466
Leena:Clueless Bareback Nurse ![Sex porn Japanese Nana Ninomiya More at javhdnet Thumbnail](https://cdn.xlxx.pro/loading.jpg)
12:16
6421
3331
Sex porn Japanese Nana Ninomiya More at javhdnet ![Honour May - Private Wank Nurse - upskirtjerk Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:29
692
317
Honour May - Private Wank Nurse - upskirtjerk ![Subtitles uncensored Japanese schoolgirl sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:01
1337
812
Subtitles uncensored Japanese schoolgirl sex ![Japanese Hardcore Sex Compilation More at javhdnet Thumbnail](https://cdn.xlxx.pro/loading.jpg)
20:17
2203
1396
Japanese Hardcore Sex Compilation More at javhdnet ![Sexmex.23.03.17.giselle.montes.hot.nurse.comforts.the.patients Thumbnail](https://cdn.xlxx.pro/loading.jpg)
27:48
1152
615
Sexmex.23.03.17.giselle.montes.hot.nurse.comforts.the.patients ![Beautiful Russian nurse gets public sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:00
257
147
Beautiful Russian nurse gets public sex ![Sexmex.23.03.03.natalia.nurse.asks.for.promotion Thumbnail](https://cdn.xlxx.pro/loading.jpg)
19:26
421
234
Sexmex.23.03.03.natalia.nurse.asks.for.promotion ![Couples sex games with hot nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:02
595
415
Couples sex games with hot nurse ![Be Careful of Sexy Nurse Petty Thumbnail](https://cdn.xlxx.pro/loading.jpg)
03:00
276
132
Be Careful of Sexy Nurse Petty ![Sexmex.23.03.03.natalia.nurse.asks.for.promotion Thumbnail](https://cdn.xlxx.pro/loading.jpg)
19:26
361
217
Sexmex.23.03.03.natalia.nurse.asks.for.promotion ![Japanese babe blowjobs and gets fucked in threesome sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1642
882
Japanese babe blowjobs and gets fucked in threesome sex video ![Nursing Nookie Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
308
126
![Saucy Japanese wench Arisa Suzuki performs her solo sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:40
1011
587
Saucy Japanese wench Arisa Suzuki performs her solo sex video ![Split Screen Nurses #3 Thumbnail](https://cdn.xlxx.pro/loading.jpg)
01:10:37
826
373
![Stunning Cougar Nurse Seduces Horny Black Guy Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:16
1953
1111
Stunning Cougar Nurse Seduces Horny Black Guy ![Night Shift's Naughtiest Nurse Part Two Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
2825
1314
Night Shift's Naughtiest Nurse Part Two ![Threesome fuck with curious japanese nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
26:15
53
21
Threesome fuck with curious japanese nurse ![HD Japanese Group Sex Compilation Vol 10 Thumbnail](https://cdn.xlxx.pro/loading.jpg)
10:13
434
203
HD Japanese Group Sex Compilation Vol 10 ![theSandfly Sexbites NURSE! Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:18
426
237
theSandfly Sexbites NURSE! ![Peeping Nurse Learns a Lesson Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
2768
1703
Peeping Nurse Learns a Lesson ![Nasty Ass Nurse Barbie Sins is Nasty! Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:01
3278
1241
Nasty Ass Nurse Barbie Sins is Nasty! ![星崎未來 Mirai Hoshizaki nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
03:31
2718
1914
星崎未來 Mirai Hoshizaki nurse ![Breedme breed us both two girl nurse creampie sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
09:52
142
53
Breedme breed us both two girl nurse creampie sex ![Hot Nurse HD Thumbnail](https://cdn.xlxx.pro/loading.jpg)
04:48
380
243
![Paris White Nurse POV 3 BTS Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:42
630
322
Paris White Nurse POV 3 BTS ![Nurse in heats Emi Sasaki superb POV sex session Thumbnail](https://cdn.xlxx.pro/loading.jpg)
12:04
453
206
Nurse in heats Emi Sasaki superb POV sex session ![Playboy TV Swing Season Playful Nurses Blowjob Show Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:11
633
347
Playboy TV Swing Season Playful Nurses Blowjob Show ![Nurse Wild Devil takes it in both holes! Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:02
381
191
Nurse Wild Devil takes it in both holes! ![Subtitles Japanese risky sex with mother in law Thumbnail](https://cdn.xlxx.pro/loading.jpg)
03:30
4496
2445
Subtitles Japanese risky sex with mother in law ![Hotaru Akane teen Japanese POV sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:23
397
220
Hotaru Akane teen Japanese POV sex ![Arisa sexy Asian nurse gets body ravaged in lesbian sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
10:12
293
174
Arisa sexy Asian nurse gets body ravaged in lesbian sex ![Family fuck Brandi belle Japanese tutor American pie Diana prince Puffy pussy Charity crawford Viet nam Burit Mom helps son Gf Japan family sex Puki masturbando Leak Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
7734
3527
Family fuck Brandi belle Japanese tutor American pie Diana prince Puffy pussy Charity crawford Viet nam Burit Mom helps son Gf Japan family sex Puki masturbando Leak ![Outdoor hardcore threesome sex with latex nurse Asuka Ishihara Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:52
541
341
Outdoor hardcore threesome sex with latex nurse Asuka Ishihara ![Redhead Japanese cutie Ren is having passionate sex on cam Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
302
213
Redhead Japanese cutie Ren is having passionate sex on cam ![Slutty Japanese lady Saki enjoys group sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:09
680
379
Slutty Japanese lady Saki enjoys group sex ![BBW MILF Nurse Cures Cock Part 2 Thumbnail](https://cdn.xlxx.pro/loading.jpg)
13:44
128
106
BBW MILF Nurse Cures Cock Part 2 ![Horny Japanese Nurse Squirts Thumbnail](https://cdn.xlxx.pro/loading.jpg)
36:28
965
466
Horny Japanese Nurse Squirts ![Japanese chick runa mizuki had sex at home uncensored Thumbnail](https://cdn.xlxx.pro/loading.jpg)
13:00
97
46
Japanese chick runa mizuki had sex at home uncensored ![Japanese gals Maki and Yui had lesbian sex uncensored Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:00
332
115
Japanese gals Maki and Yui had lesbian sex uncensored ![Hello Little Dirty Facial Nurse Vivian Versace! Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:00
290
179
Hello Little Dirty Facial Nurse Vivian Versace! ![Lorelei Lee, Charley Chase medical foreplay, squirting machine sex, messy nurses Thumbnail](https://cdn.xlxx.pro/loading.jpg)
20:30
482
246
Lorelei Lee, Charley Chase medical foreplay, squirting machine sex, messy nurses ![LiveGonzo AlexisTexas, ToriBlack Fetish Threesome Nurse Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:44
1641
854
LiveGonzo AlexisTexas, ToriBlack Fetish Threesome Nurse ![Crazy Japanese model in Exotic Group Sex, Teens JAV movie Thumbnail](https://cdn.xlxx.pro/loading.jpg)
36:36
8177
3931
Crazy Japanese model in Exotic Group Sex, Teens JAV movie ![Amoral japanese thraldom sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:21
331
210
Amoral japanese thraldom sex ![The Nurse Fantasy - Keisha Grey Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:58
229
117
The Nurse Fantasy - Keisha Grey ![Pretty nurse cures Panda using hot sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:30
208
121
Pretty nurse cures Panda using hot sex ![Big hooters japanese chick enjoys wicked 3some sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:16
468
227
Big hooters japanese chick enjoys wicked 3some sex ![Sexmex.23.03.17.giselle.montes.hot.nurse.comforts.the.patients Thumbnail](https://cdn.xlxx.pro/loading.jpg)
27:48
269
174
Sexmex.23.03.17.giselle.montes.hot.nurse.comforts.the.patients ![Gipsy Nurse gets fucked by two guys Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:08
5131
3986
Gipsy Nurse gets fucked by two guys ![Japanese Monster Boobs Nurse Tits Fuck A Patient Thumbnail](https://cdn.xlxx.pro/loading.jpg)
13:56
303
173
Japanese Monster Boobs Nurse Tits Fuck A Patient ![Threesome Sex Along Hot Japanese Milf Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:34
630
336
Threesome Sex Along Hot Japanese Milf ![Busty Japanese wench Jun Rukawa gets fingered intensively in an awesome threesome sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1836
999
Busty Japanese wench Jun Rukawa gets fingered intensively in an awesome threesome sex video ![Jasmine : Hung Nurse Barebacking Thumbnail](https://cdn.xlxx.pro/loading.jpg)
03:22
1291
693
Jasmine : Hung Nurse Barebacking ![Perverse dude finger fucks beaver of Japanese babe Nagisa Sasaki in close up sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1813
1008
Perverse dude finger fucks beaver of Japanese babe Nagisa Sasaki in close up sex video ![Subtitles Japanese massage handjob and sex in HD Thumbnail](https://cdn.xlxx.pro/loading.jpg)
05:05
1239
603
Subtitles Japanese massage handjob and sex in HD ![Big tits Busty Nurses gets banged Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:08
502
231
Big tits Busty Nurses gets banged ![Kelly brook Jamima Teen with big boobs tales off tightest tshirt ever Japanese Elena koshka Bride Waitress Ayumu kase large Danny April dawn thin Indian sex New full movies Lana rhoades Wife swapping Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:59
1189
591
Kelly brook Jamima Teen with big boobs tales off tightest tshirt ever Japanese Elena koshka Bride Waitress Ayumu kase large Danny April dawn thin Indian sex New full movies Lana rhoades Wife swapping ![Mesmerizing Japanese babe Arisa Matsumoto gives a head in pov sex video Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
1452
1102
Mesmerizing Japanese babe Arisa Matsumoto gives a head in pov sex video ![Busty Blonde Nurse Stacy Storm Gives a Patient Some Special Treatment Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:04
696
271
Busty Blonde Nurse Stacy Storm Gives a Patient Some Special Treatment ![Nurse me 01 - uncensored hentai sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
21:21
243
113
Nurse me 01 - uncensored hentai sex ![Japanese College Girl Birthday Sex - Africa Sexxx Thumbnail](https://cdn.xlxx.pro/loading.jpg)
24:09
21068
11961
Japanese College Girl Birthday Sex - Africa Sexxx ![chena-hot nurse 1-by PACKMANS Thumbnail](https://cdn.xlxx.pro/loading.jpg)
28:48
1179
610
chena-hot nurse 1-by PACKMANS ![Awesome hot sex with sexy nurse Jenna Foxx Thumbnail](https://cdn.xlxx.pro/loading.jpg)
06:30
706
478
Awesome hot sex with sexy nurse Jenna Foxx ![LiveGonzo Asa Akira Perfect Japanese Anal Sex Thumbnail](https://cdn.xlxx.pro/loading.jpg)
08:41
641
302
LiveGonzo Asa Akira Perfect Japanese Anal Sex ![Anal Nurse Scam (1995) FULL VINTAGE MOVIE Thumbnail](https://cdn.xlxx.pro/loading.jpg)
01:14:09
5052
3132
Anal Nurse Scam (1995) FULL VINTAGE MOVIE ![PARADISE FILMS Busty Nurse gets a creampie Thumbnail](https://cdn.xlxx.pro/loading.jpg)
11:59
838
455
PARADISE FILMS Busty Nurse gets a creampie ![Dirty hardcore sex with nurse Lana Louis Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:00
291
158
Dirty hardcore sex with nurse Lana Louis ![Crummy nurse Breana Tabu is seduced for sex by a patient Thumbnail](https://cdn.xlxx.pro/loading.jpg)
07:50
807
476
Crummy nurse Breana Tabu is seduced for sex by a patient