The general consensus of the hospital scene is incorrect. Rubin does not put the hood ornament up there.
I always thought this, but everyone saying otherwise made me think I saw wrong.
I just watched the scene again to confirm or deny my suspicions.
He gets right up to the point, probably touches there and Niall screams "ill tell you!"
We then see it in Rubins hand. It is entirely debatable there was never any penetration at all.
Niall screams right at the moment it starts, and it stops then.
This also refutes those folk who say Niall should have spent the rest of the scene expressing he was in pain. It didn't happen, so he was not in pain from it.