Strapped down, operating table cold under your back, antiseptic acrid in your nose. The person above you snaps on latex gloves. They want this to be a clean operation, after all.
"I'll be taking your other kidney today."
Nothing in response but the sound of your ragged breathing in the cold air. You could scream, if you wanted. But your Doctor doesn't like it when you make noise anymore, so you suppress the panic at the back of your throat.
Harsh fingers prod at your arm, pressing down, finding your vein. A dull prick, before numbness spreads throughout your body. Your Doctor is merciful enough to remove some of your pain, even though you don't deserve it. They leave you conscious, though. Awake. Head propped up so you can watch Them work.
Their words cut through the drugs, warped. "You won't die right away, don't worry. I'll give you a few rounds of dialysis. You'll live long enough to recover some, so we'll be able to arrange another session. Your last one. Won't you like that?"
Even if you could respond, you wouldn't be able to muster the strength to say no. Your Doctor doesn't let you say no. You drool helplessly through your mask instead. The beeping of the heart monitor picks up though, and your Doctor takes this as acknowledgement enough.
They run Their gloved fingers over your stomach, so knotted with scar tissue that the skin is barely visible. "Last time," They say admonishingly, "you passed out too early. Be a stronger patient this time. Remember when I took your pancreas, and you stayed conscious long enough to see me suture you up? If not for the anaesthesia wearing off, you could've made it all the way through.
"I've trained you better since then though, haven't I. You do better with the pain now. You're a good patient, so hold on for me." Your Doctor pauses, unwrapping a scalpel and setting it on Their tray. "I shouldn't have taken your tongue so early. I liked when you tried to scream."
The corners of Their lips stretch into something akin to a smile. "That's why I'm terminating you soon, in case you were wondering. All these wordless grunts and cries..." They finish wiping your skin clean and mark where They're going to make the first incision. "It's grotesque. Really, I shouldn't have expected anything better."
They steady the blade, then press down. White hot pain explodes across your vision, a crest of cold metal splitting your flesh. You can't prevent the gutteral moan that's wrenched from your throat. Your Doctor sneers. "Exactly." Another cut. Another. Another. Another. "You're nothing but meat."
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