The Intensive Care Twins: Lily's Conversion Plan
Note, this is part 3 of a developing story. Please read parts 1 and 2 first. Thanks, @hospitalpatient67, for creating the second story part.
https://invasiveventilation.tumblr.com/post/637788166806552576/the-intensive-care-twins
https://hospitalpatient67.tumblr.com/post/638012484216897536/the-intensiv-care-twins
Lily and her sister Madison had already been our guests for almost three weeks. Madison’s experimental treatment, the novel fish skin therapy, seemed to be an enormous success. She was put in a deep artificial coma to ensure optimal cure under entirely controllable conditions. Lily’s healing process was significantly slower but was also heading in the right direction. Madison’s treatment was clearly contributing to our offshore company’s financial success. Our cost-oriented calculation showed that Madison’s assistance during the development of the new skin healing therapy was funding her ICU stay for approximately five years. Therefore, we weren’t in a rush. We’d decided to keep her comatose and to postpone her further surgical alteration into a life-long ventilator-dependent intensive care patient for a month or two. Thus, Madison could assure her livelihood herself. And we ensured the best possible intensive care of her body in return. It was a sort of win-win situation, although it was evident she would have never agreed on our “deal” under normal conditions.
In contrast, Lily’s stay in our secret intensive care unit was a considerable financial burden. The progress of her skin treatment had been proven satisfactory. It was, therefore, time to reduce the labor-intensive effort into her daily intensive care program. With the exception of her daily hygiene, our high-end medical machines should undertake her body’s sustenance with food, water, medication, and oxygen, of course. Consequently, a detailed surgical plan was elaborated to perform a series of surgeries that will convert her into an intensive care patient, life-longly kept on life-support under the least possible costs. To minimize the administering of costly medications, she ought to be kept conscious and responsive as well. Then, if she were conscious, we would have the ability to adjust the care program according to her facial expressions or even her direct feedback. However, the difficulty was that we had to tell her the truth about her merciless fate sooner or later.
We’d decided to keep her slightly sedated while telling her about the surgery plan and that she would be kept on life-support for the rest of her life. She should know that we pronounced her dead, even filled in her death certificate and that no one was looking for her. She should be aware of her helpless situation, that she was exposed to our surgical procedures and medical experiments without ever having the ability to resist. And that an escape was unthinkable considering her medical status. In the following, we recite the conversation with Lily, as we were telling her the plain truth. With one major exception. She shouldn’t know that her sister Madison survived the accident as well. She should feel lonely, vulnerable, and unloved. Thinking her sister is dead and that no one is looking for her would break her resistance rapidly.
Furthermore, she wouldn’t really understand why we enjoy the idea of her medical torment. Why it is a pleasure looking at her hooked up to a ventilator, equipped with a Portex Blue Line Ultra tracheostomy tube sticking out of her neck. To see her being connected to an enteral feeding pump. To observe her with a silicone Foley catheter permanently inserted into her urethra and bladder, respectively. We hoped the flat sedation would be adequate that she was not panicking too much after recognizing her inescapable fate. Just in case, we’ve immobilized her legs and arms with a Segufix bandage system.
Attended by several nurses, Dr. Wheeler started the conversation at Lily’s new home, an ICU room she had been assigned to. A one-sided conversation since Lily couldn’t argue with the endotracheal tube inserted and secured with a blue Thomas tube holder in place.
“Hello. I’m Dr. Wheeler, medical superintendent at this intensive care unit. Before we begin, can you understand me, Lily? If so, please blink three times.”
She blinked three times.
“Great! Lily, can you remember the accident? Please blink again.”
She blinked again and tried to speak. Though, with the endotracheal tube inserted into her windpipe, she was simply unable to say anything.
“Lily, you can’t speak at the moment. We had to intubate you, and you are hooked up to a ventilator. But don’t worry, we will change this soon. Today evening, we will perform a tracheostomy in our new operating room. You cannot breathe autonomously after the surgery. However, with a Passy Muir speaking valve that we can place into your ventilator circuit, you will be able to say a few words after the tracheostomy.”
“Look, Lily, a lot of things have changed for you throughout the last three weeks. I could lie to you now, but I think it is fair to tell you the truth. Lily, you went into a full cardiac arrest, but we could resuscitate you successfully. We treated your burned skin. The healing is a success, most widely. Eventually, we could resolve all the medical implications of your accident. But you must be strong now. I regret to say this, but your twin sister Madison didn’t survive the incident. She’s dead.”
Lily started to weep bitterly. Her pulse was rising. Accordingly, her ventilator’s respiratory frequency increased to keep the oxygen saturation and the SpO2-value of her blood, respectively, above 95%. After a minute or two, she calmed down again. The administered sedatives worked like magic.
“For you, however, lovely Lily, this is not the worst message yet, because you are also somehow dead. At least your family thinks you died three weeks ago. We filled in your death certificate. We’ve even fooled your parents since they carried one of our other deceased female test subjects to the grave instead of you. This test subject was what you will be soon: a life-long, ventilator-dependent intensive care patient kept on life support. Yes, you will be converted into a non-viable object that will only continue to live due to the assistance of different kinds of medical devices. Plus, our will to let you stay alive. And all of this only because we enjoy seeing patients suffering from our treatments and surgeries under pervert intensive-care conditions. The predecessor in your bed was utterly ruined after eight years of our medical torture, and we’ve decided heavy-heartedly to switch her ventilator off. You are her replacement. In our perspective, It is a sort of honor for you that you have been selected to be her replacement. We really hope you will return this honor by serving with the same devotedness as your predecessor. Although you certainly think differently about this honor at the moment.”
Lily looked at the nurses in disbelief. Dr. Wheeler and the nurses backward her eye-contact with a glance of arrogance and derogatory, with a profoundly pleasurable expression.
“Yes, Lily, you’ve understood everything correctly. You will be surgically altered to serve us as our intensive care pleasure toy. And we will force your body into medical experiments to earn money needed to keep you on life-support for many, many years. Yes, lovely Lily, from this day forward, until your death, that, by the way, will be initiated by us, you are our perfect property.”
Lily panicked as expected. She tried to put up a fight against the Segufix bonds and the ventilator. Lily tried to shake the corrugated breathing tube off. But she couldn’t touch the ventilator circuit, of course. She flipped out entirely.
Fortunately, we had a tube holder with a bite block inserted into her mouth. By this, she was unable to bite the ET tube, and her ventilation was ensured. Her resistance was futile. Lily was completely and utterly at our mercy. The only concern we had was that she could drift into a suicidal state of mind. We administered her a syringe of sedative via her indwelling venous cannula.
“Calm down, sweety. Calm down. Aren’t you interested in how we will modify your body into a life-long ICU patient kept on life-support? So, calm down and let us explain your surgery and conversion plan lovely elaborated just for you.”
She looked at Dr. Wheeler full of fear, but, at least, was calm again. Dr. Wheeler continued his explanations.
“OK, darling, I will describe the plan stepwise. First of all, we have a little gift for you. We have already performed the first surgery that was not necessary for your health recovery after the accident: a complete diaphragmectomy. A diaphragmectomy is an hours-long surgery where surgeons open up a chest by a medical saw, levers up the chest then, and finally performs a deep incision to remove the diaphragm. The consequence of all of that is the patient is completely unable to breathe autonomously afterward. Yes, Lily, we have conducted this surgery on your body. You are already unable to breathe. You need a machine that breathes for you, a mechanical ventilator, for the rest of your life, 24/7. You will always be connected to this machine with a corrugated twin hose. Look, your body has already been altered in a way to be dysfunctional. Your life is now seriously threatened. If the ventilator has a malfunction, you will suffer from asphyxiation. You won’t last for more than three minutes without incurring unrecoverable brain damages. Be a good girl, and we will guarantee to not turn the ventilator off, at least not throughout the next few years.”
Dr. Wheeler undressed Lily by removing the bedspread and her gown. Her nude body was entirely visible now, including her small breasts and her well-shaped vulva—a stunning and athletic body despite her scarred chest, the little souvenir she obtained by her recent diaphragmectomy.
“The objective of the next surgery is to secure your long-time ventilation. And if you behave well, this surgery will basically allow you to speak again later. I’m talking about your tracheostomy, of course. Trachestomy means a surgeon creates a little hole from the neck into your windpipe. It won’t be a percutaneous tracheostomy, where the hole can close naturally. Instead of it will be a surgical one created by following the Bjork Flap procedure. That sort of tracheostoma will not close without a second surgery. Latter is the right procedure for you because you’ll need your tracheostoma throughout your remaining life. After the surgery, a little plastic tube is sticking out of your neck, the tracheostomy tube. The endotracheal tube will be removed since, from that moment on, your lung will be ventilated through the tracheostomy tube. The tube in your neck will always remind you of your life-saving, but also somehow life-threatening dependency on the ventilator.”
“After we’ve created your tracheostomy, another surgical team will perform your gastrostomy. By this, you will ultimately be fed by enteral feeding pumps while bypassing the natural way of ingestion entirely. Your teeth and your esophagus will lose their function. Eating with a tracheostomy tube and under the influence of our drugs is difficult anyway. Swallowing will be painful or even impossible for you. And the nutrients pumped into your stomach have been assembled according to the needs of your body. Believe me, this chemical food tastes so terrible, you wouldn’t eat it. Again, we keep you alive, but as cost-inexpensive as possible. It simply costs too much money to feed you with proper food. The feeding pump will provide you minimal food, just enough to not starve. And the nurses will change empty nutrition syringes. The feeding pump will do the rest. As of now, you will never experience the joy of eating good food again.”
“The final surgeries will target hygiene management. Look, Lily, we will clean your body daily and your hairs twice a week. But the effort currently put into your hygiene is, in fact, much higher. For example, our intensive care nurses must change your diaper three times a day. We’ve already inserted a silicone Foley catheter into your bladder, and you are peeing in a collection bag hanging on your bed frame. However, your other excretions are still not collected in a catch tank. Collecting this waste is not as easy as it is with a catheter. To collect the urine, we insert a catheter into your urethra, making you incontinent by bridging the bladder sphincter and to let you pee uncontrollably into a collection bag. That’s it. Instead, for your excretions, you need to be surgically altered again by creating a stoma, an artificial anus at your abdomen. The surgery is called ileostomy and will make a prosthetic medical device, the pouching ostomy system, necessary, to collect the output of your stoma. Since we will remove the majority of your colon, a ileostomy reversal will be completely impossible. Therefore, you will have an ostomy baseplate applied to your stoma and an attached exchangeable stoma pouch until your death. By this, the management of your body waste can be significantly simplified since emptying urine collection bags and exchanging stoma pouches can be done within minutes. Accordingly, we can considerably decrease the costs of your ICU stay.”
“Yes, Lily, there is one more thing we will execute at you. It’s about your menstruation. It’s too costly to care about your special needs during menses every month for years. For this reason, and you must be brave now, we will perform a supracervical hysterectomy, the surgical removal of your uterus. Don’t worry. Your vagina, cervix, and ovaries will remain unimpaired. The major advantage of this procedure is the massively diminishing of monthly bleeding, leading to a significant drop in care and costs. At the same time, your sexual function will remain unchanged. But becoming pregnant is something you will be excluded from. However, considering your severely damaged body after all of our treatments, a pregnancy would be absolutely life-threatening. So just think of your imminent hysterectomy as something positive.”
“All we are doing is just to take care of you. Of course, essentially, what we do, is enslaving you. We will break your will, Lily, and you will be completely objectified to be our pleasure toy, staying at our ICU only to satisfy our medical fetish dreams. You won’t be asked whether you agree with our pervert procedures since you will be the surgically created projection surface for playing out our desires. And suppose you won’t obey our commands, you would try to resist to whatever we want. In this case, we could perform a neurosurgical procedure to turn off your emotions and fears. Yes, that is possible indeed. We can deactivate brain regions to erase your personality. So, you are warned, don’t oppose us too much. If you are kind and submissive, I will never be in the situation to sit at your ICU bed and explain to you what the term lobotomy means.”
To be continued…
