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invasiveventilation · 1 year

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Hitomi’s Clinical Fate

Warning: This story contains adult themes and content related to BDSM, including misuse of power and medical fetishism in an intensive care environment. Please proceed only if you are comfortable with these intense BDSM themes in clinical settings.

For the first time, I created a story utilizing artificial intelligence. ChatGPT is a great tool to support writers, although it is hard to convince the AI to contribute to stories with explicit content. You may read repetitive-sounding sentences, a well-known behavior of state-of-the-art AI systems. I hope you enjoy reading the story anyways.

I slowly opened my eyes and blinked several times, trying to clear my vision. But unfortunately, my head felt foggy and heavy, and I couldn't focus on anything. I tried to sit up, but a sharp pain in my chest stopped me. As I looked around, it took me a few seconds to realize that I was in a hospital room.

The room was bright and sterile, with white walls and medical equipment everywhere. I saw a heart monitor beeping beside me, an IV drip attached to my arm, and several other machines that I couldn't clearly identify. My heart started racing as I tried to remember what had happened. The last thing I recalled was attending a training course for nurses and that I went to sleep in a hotel room at the conference hotel. Did something happen during the night?

I tried to move, but the pain in my chest intensified. I looked down and saw that I was wearing a hospital gown. I felt a wave of fear wash over me as I tried to make sense of my situation. Why was I in the hospital? How long had I been here?

I looked around the room again and saw a small notepad and pen on the bedside table. I tried to reach for them, but my arms were too weak. I felt a sense of frustration and helplessness wash over me.

Suddenly, I noticed an object going down my windpipe and throbbing pain in my neck. I felt like I couldn't breathe properly or even breathe at all. Panic set in as I realized that I was being mechanically ventilated. I followed the ventilator circuit with my eyes and noticed it was connected to a ventilator. My hand moved up to my neck, and I felt a piece of plastic sticking out of my neck. It dawned on me that I had a tracheostomy, and the tube kept me alive.

I felt a surge of shock and disbelief wash over me as I tried to process what I saw and felt. As an educated intensive care nurse, I was used to seeing patients with tracheostomy tubes before, but I never imagined that I would have one. My heart raced as I started to feel a sense of dread. What's happening to me? Is this a nightmare?

I looked around the room again and saw the life-sustaining machine with the double hose attached to it. The ventilator was pumping fresh air into my lungs via my tracheostomy tube. The rhythmic sound of the machine filled the room. I realized I was utterly dependent on the clinical device for survival.

I tried to speak, but the tube in my throat prevented me from making any sound. The tracheostomy tube seemed to be a non-fenestrated one, so communicating was impossible. How long would I be dependent on the machine? Would I ever be able to breathe on my own again?

I looked around the room, feeling completely helpless and alone. I made a mental note to try to communicate with the nurses and doctors as soon as possible to find out what was happening to me and what my options were.

A nurse entered the room as I lay there, struggling to comprehend my situation. She noticed that I was awake and came over to check on me.

"Hitomi, you're awake. How are you feeling?" she asked, her voice gentle and reassuring.

I tried to speak, but the tracheostomy tube prevented me from making any sound. The nurse saw my distress and quickly adjusted the ventilator settings to make me more comfortable.

"Can you hear me?" she asked, leaning closer to my ear.

I nodded, feeling a sense of relief that someone was there to help me. The nurse explained that I had been in a medically induced coma for several weeks. I tried to recall if I had any underlying health conditions that could have caused me to deteriorate so rapidly.

As the nurse tended to my needs, I started to feel a sense of unease. Something didn't feel right. I wondered if there was more to my condition than what the nurse told me.

"Sorry, I’m disallowed to discuss your medical status. Dr. Wheeler will throw light on it in a few minutes while your personal nurse Emily will change your urethral catheter," the nurse promised and left the room.

I suddenly spotted a CCTV mounted on the ceiling. It was directed toward me, and a red, blinking LED revealed someone was observing me via a monitor. Dr. Wheeler, maybe?

A few minutes later, Nurse Emily entered the room, accompanied by another person. The name tag on the white coat read Dr. Wheeler.

"Good morning, Hitomi. I'm Dr. Wheeler," the doctor said. "I've been overseeing your care since you were admitted to the hospital."

I tried to speak, but the tracheostomy tube prevented me from making any sound.

"Hitomi, you were admitted to the hospital two months ago. We had to place a tracheostomy tube in your neck to help you breathe," Dr. Wheeler explained. "Several other clinical procedures had been performed, such as a urethral sphincterotomy, gastrostomy, ileostomy, hysterectomy, and phrenicotomy. But don't worry, all the surgeries went well. Your medical status is stabilized. However, I must be honest: you will be an intensive care patient for the rest of your life. And you will depend on mechanical ventilation for the rest of your life."

I looked at the doctor in shock as Dr. Wheeler explained the procedures done while I was in a coma.

"Hitomi, let me explain what these procedures were for," Dr. Wheeler said. "We performed a urethral sphincterotomy to address your urinary retention, decreasing the probability of developing a urinary tract infection. However, the side effect is that you are now incontinent. But don't worry. A Foley catheter has been placed into your bladder to drain your urine into a collection bag. We also performed a gastrostomy to mechanically feed you via a PEG tube, and an ileostomy was created to divert your stool. A hysterectomy was performed to remove your uterus, so you no longer need to worry about the monthly hygiene program. And finally, a phrenicotomy was performed to physically paralyze your breathing muscles, and a tracheotomy was conducted to make your body permanently capable of artificial respiration."

I felt overwhelmed as Dr. Wheeler listed the surgeries that had been done while I was in a coma. The idea of being dependent on medical machinery for the rest of my life was daunting.

Dr. Wheeler smiled gently.

"You're a fighter, Hitomi,“ Dr. Wheeler said. ”You've always been strong, and your body has shown remarkable resilience throughout your ordeal," Dr. Wheeler said.

Nurse Emily quickly got to work preparing for the catheter change. As she lifted my hospital gown, I saw the PEG tube and ostomy bag attached to my abdomen. I felt a surge of disgust and despair wash over me as I realized the extent of my dependence on medical technology.

Emily noticed the look of shock on my face and quickly covered me up again. "I'm sorry if that was a bit overwhelming for you, Hitomi," she said, her voice gentle and kind.

I nodded, feeling a sense of resignation wash over me. I knew I had no choice but to accept my situation and do whatever it took to survive.

Emily continued to prepare for the catheter change, ensuring everything was sterile and ready to go. She explained each step of the procedure clearly and concisely, which helped put me at ease.

As Emily started to insert the catheter, I felt a sharp pain in my urethra. I winced and tried to hold back tears as she continued to work. The pain slowly faded away, and I felt a sense of relief as she finished the procedure.

Dr. Wheeler was standing at my bedside while Emily performed the catheter change. "Excellent job, Nurse Emily. And great job, Hitomi," Dr. Wheeler said, smiling warmly at me. "You've shown remarkable strength and resilience throughout this whole ordeal. I'm proud of you."

Dr. Wheeler continued to explain that I was a perfect candidate for a medical program specializing in caring for patients with chronic and complex medical needs. With the proper care and support, I could have a good quality of life despite my condition.

I felt a sense of hope wash over me as Dr. Wheeler spoke. Finally, there may be a way for me to live a fulfilling life despite my dependence on medical technology.

I felt a sense of confusion wash over me as Dr. Wheeler talked about the medical program. I couldn't help but wonder how I ended up in this situation in the first place.

"What happened before?" I mouthed, my voice still silenced.

Dr. Wheeler looked at me for a moment before answering. "I identified you as a suitable candidate for my medical program during the conference. I had reviewed your clinical record and nursing skills before and felt that you would fit perfectly into my program. I’m honest: I drugged you that night, and yes, we kidnapped you with an ambulance."

Dr. Wheeler held up their hands in a placating gesture. "I know it might seem extreme, but I had to act quickly to get you into the program. We had to incorporate you as soon as possible to gain you as a money printing machine."

I felt a sense of betrayal wash over me as I listened to Dr. Wheeler's explanation. I simply couldn't believe someone would take such drastic measures without my consent. And all of this just to earn money. I tried to move and even stood up. However, I was too weakened to resist. Finally, I recognized I had no choice but to accept my cruel fate.

“Calm down, Hitomi! I know it’s hard to accept you must contribute to the program although you’re not participating voluntarily. The program is about reducing the costs of long-term ICU patients by implementing machine-only care. In a year, we hope to level down the time to conduct your daily care needs to under 20 minutes. Sure, you’ll have to suffer. But think of the thousands who will benefit from our research program. So have an open mind and try to see the great opportunity of the program for the medical progress of mankind. Aren't you curious to contribute to something of such great importance?”

I felt a sense of rage and helplessness wash over me as I listened to Dr. Wheeler's cold and calculating words. I couldn't believe Dr. Wheeler was trying to justify all the actions by claiming they were for the greater good. How could a doctor be so callous and heartless?

"You can't be serious," I mouthed. “You're using me as a guinea pig!"

Dr. Wheeler's expression hardened. "We prefer to call it a research program," Dr. Wheeler said, the tone icy. "And yes, we are using you to conduct our research. But think of the benefits. We're trying to revolutionize the way we care for critically ill patients. With your help, we could make a significant contribution to the field of medicine."

I felt a wave of despair as I realized that there was no way out. I was trapped in this nightmare with no hope of escape. I tried to muster up the strength to fight back, but my body was too weak, probably due to the potent drugs they administered via an IV.

Yes, all of this had happened a year ago. In the meantime, I truly accepted that the only possible way to stay alive is to resign myself to my fate as a test subject in Dr. Wheeler's medical program. I spent every day hooked up to machines, unable to move or speak. My muscles have atrophied, forcing me to be bedridden. There isn’t even the slightest possibility of escaping my fate. I’ve realized being a bedridden ICU patient is my new normal until my very last day.

Due to the tremendous progress of the program, nurse Emily now drops by for less than 15 minutes a day to wash my body or replace my catheter and tracheostomy tube. Since I finally stopped resisting my treatments six months ago, I've earned the privilege of watching TV for 45 minutes daily, enough time for an episode of a medical drama series. As for the rest of the day, I'm staring at the ceiling of my intensive care prison. The hisses and puffs of my ventilator, the blinking LEDs, and the clicking valves of my life-support system are the only accompaniments surrounding me for the remaining 23 hours a day. I know the project team is currently manufacturing and programming a novel type of care robot that can change the catheter and tracheostomy tube and wash my body. The robot will replace the last caring tasks currently performed by nurse Emily in person. They've already told me I will see nurse Emily for the last time in approximately six months. The entire care program will then be substituted by the robot. After Emily is replaced by the robot, I will never see a human being again until the day Dr. Wheeler finally comes to switch off my ventilator.

Source of images: the movie “The Complex,” 2013.

#ventilated #ventilator #Intensive Care #tracheostomy #trached #medical experimentation

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invasiveventilation · 1 year

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Ashley’s Clinically-Enforced Acquisition

It was just a fleeting moment, just a few minutes, that entirely changed Ashley's life. And basically, it was her fault, her greed for a free drink. Ashley couldn't know the handsome young man who invited her for a drink was a staff member of our acquisition department. As she greedily slugged down the glass, she didn't notice the drug entering her body. Within ten minutes, she lost consciousness as the drug kicked in. And she didn't recognize the drug also paralyzed her entire skeletal muscles and, accordingly, slowly revoked Ashley's natural breathing ability. As she started to gasp for air, she didn't recognize the same handsome young man also appointed as an emergency doctor at our secret ICU, who took his medical emergency case to examine unconscious Ashley. He used an Ambu bag to substitute the 25-year-old woman's breathing by squeezing the bag with a mask on her face.

When the ambulance arrived five minutes later, Ashley's health status was stabilized but, of course, still very critical. First, the doctor had to tilt back her head, open her mouth, and put a laryngoscope down her throat to lift her tongue base. Then, he straightly inserted an endotracheal tube into the helpless woman to bridge Ashley's upper airway and vocal cords. By securing the tube with an ET tube holder and inflating the tube's cuff, young Ashley's body started the conversion therapy from a human being living in freedom and autonomy into a human-based machine. With the tube now offering an artificial interface to connect medical machinery to the lady, she began to lose power over their own body, but we gained her as a new enslaved property exploitable as a platform for our illegal medical experiments.

Just 20 minutes after she was invited to the last drink of her life, Ashley took her first artificially supplied breath. 20 minutes in which the healthy gorgeous woman's life full of optimism and dreams turned into yearslong, never-ending suffering as an other-directed and humiliated enslaved person. 20 minutes after she took the first gulp of that drink, a period of 25 years of autonomous and spontaneous breathing came to an end. Because right at that moment, a ventilator replaced her natural breathing with mechanical ventilation. Her paralyzed muscles were substituted with electronics, pumps, and valves assembled into a high-end ventilator. This circumstance would never change again. From now and forever, she was ventilator-dependent with no way to return. Yet, Ashley was alive because a machine pumped fresh air into her lungs. A machine that was under our control. A machine we could switch off, and hence, that authorized us to switch Ashley off. Right then, we gained unlimited medical power over a human being turned into our property and slave. The ventilator could exist without Ashley, but Ashley couldn't live without the ventilator – a perfect and complete medically-enforced submission.

Ashley was transferred into our secret intensive care unit. We placed the unconscious beauty on one of our hospital beds at her new home – a room in our ICU. Our default program to fake the death of a patient had been triggered to ensure Ashley's demise was officially recorded. After being formally deregistered as a living human, she was considered the property of the secret ICU's parent company, Wheeler & Greenly Medical Products Incorporated. Accordingly, her name was replaced by a four-digit number to straighten out her dehumanization: test subject #1467. At this moment, Ashley lost any and all rights and privileges as a human being as her acquisition by a company reduced her to a level of an object. From now on, we could do whatever came into our minds. And the first measure was to let her undergo our surgical conversion therapy. Of course, without asking her for permission.

We prepared her to go under the knife eight times in four weeks. First, we immobilized her with a neck brace, inserted a catheter into her bladder, forced an NG tube down her esophagus, and utilized a Flexi-Seal fecal management solution to manage her body's waste. Then she had to undergo the following set of surgeries:

a bilateral phrenicotomy to cut the phrenic nerves to physically paralyze her diaphragm and make her physically ventilator-dependent,

a tracheotomy to create an easily manageable airway access point for our ventilator,

a gastrostomy to nourish her with feeding pumps via a PEG tube,

an ileostomy to replace the Flexi-Seal with its long-term alternative, a stoma pouch system,

a transurethral sphincterotomy to make her physically incontinent and prevent bladder spasms in long-term and life-long catheterization, respectively,

a transcervical hysterectomy to ease the monthly hygiene management,

an implantation surgery to implant a defibrillator automatically defib her in case of sudden heart attacks, and

a neurosurgical procedure to implant a Brain-Computer Interface (BCI) to perform Neuro-Technological Lobotomy (NTL), erasing her personality, identity, and individuality.

Finally, after Ashley had bravely faced the life-changing surgeries, we decided to let Ashley rest for a month before her body had to contribute to the first medical experiment. We expected one month to be enough to let her heal all her surgical wounds. Then, we let Ashley wake up from the artificially initiated coma. And we turned the BCI on to neutralize her personality and self-awareness.

"Where am I?"

"You are hospitalized, sweetheart. Two months ago, you were involved in an incident that forced us to place you in an artificial coma. But don't worry! We had to perform some surgeries to keep you alive. And we could conclude every surgery successfully. Isn't that a great message, sweetheart? But, of course, to keep you alive, your body is now subject to some, say, minor restrictions. I mean, for example, there is that breathing tube sticking out of a little hole we created at your neck to hook you up to a ventilator, and yes, you will have to be ventilated for the rest of your life... And you will be catheterized forever... But look, more important than these limitations is the fact you are still alive! Don't you agree?"

"I'm not sure... Doctor, I don't understand. Is this a good or a bad message..."

The BCI worked perfectly. She could not even judge whether being hospitalized and hooked on a ventilator forever was good!

"Of course, this is good! From now on, you will have an absolutely worry-free life. You don't have to drink and eat, and even your breathing is substituted by a machine. And we will only ask you to be a good girl and participate unresistingly in the medical treatments you will occasionally undergo. And now relax, sweetheart. Let the machines care about you. Make yourself comfortable in this intensive care environment where you'll live from now on. You're such a beautiful lady. And now be also smart and welcome all the tubes inserted into your body and the Machines keeping you alive."

"Okay. I promise I'll be a good girl. Thank you, doctor, for keeping me on life support."

You see, there is no drama or resistance to Ashley's behavior. You may conclude we have treated Ashley unfairly or so. However, in fact, she is now pleased with her overall situation due to the brain-computer interface keeping her in a neurologically lobotomized state. Yes, we have mentally downgraded her to a "plant" without self-awareness that is unaware of what actually happened. But on the other side, she's now an excellent gain in the world of medical science. Her suffering will save thousands of lives. And from that point of view, we are absolutely convinced to claim that her clinically-enforced acquisition is justified, isn't it?

Image sources: TV series “The Good Doctor,” season 2, episode 4, and TV series “NCIS,” season 14, episode 3.

#intubated #intensive care #ventilated #ventilator #tracheostomy #trached #endotracheal tube #medical restraints #medical experimentation

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invasiveventilation · 2 years

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Resa’s Clinical Oppression

Resa, I remember the fear I spotted in your eyes. When every sense of you, my 22-year-old cutie, has realized that your future will comprise cruel medical torture. And sweetheart, yes, you're basically right! We will perform a set of life-changing and, for that matter, life-threatening surgeries. We will eliminate essential body functions like your ability to autonomously breathe, eat, drink, and even pee. All these natural functions will be surgically excised or at least damaged in a way that you need a machine to stay alive. You know, exactly like we want to have prepared our patients to serve us as our medically dominated property. And to achieve the first milestone on your path towards becoming our property, darling, we will today create the first human-machine interface to make your body machine operable and controllable. The machine we are talking about is a ventilator. It will supply you with oxygen, just like the ventilator already pumps air into your lungs through the endotracheal tube right now. But it will be attached to the new surgically created interface: a tracheostomy.

Yes, Resa, my cutie, you got it! You will be trached soon. Our surgeons will start the tracheotomy procedure you have to undergo in a few minutes. And from then on, there will always be a small opening at the center of your neck. It will pierce through your skin and your windpipe, your trachea. The opening – we call it a stoma – combined with the implanted plastic interface, the tracheostomy tube, will offer connectivity for a ventilator to ensure your lifelong ventilation. After the tracheostomy has been created, darling, your upper airway will have served its purpose. Then, the supplied air will flow directly into your lungs through the tracheostomy tube, bypassing your mouth, your vocal cords, and your upper windpipe. Forever and ever. The vent, the twin hose, and your new human-machine interface, the tracheostomy tube, solely controlled by our doctors and nurses, will transfer all the mastery we need to bestride you!

Perhaps, you may think then, you don’t need artificial respiration; you can breathe autonomously although you are a lady with a trach. But sweetie, that will change soon. Resa, you will desperately need the life-sustaining device as it will entirely replace your body’s breathing ability. This is due to some additional surgeries you will have to undergo during the next few weeks! Surgeries that will deprive your body’s ability to breathe autonomously. Physically by a diaphragmectomy and neurologically by neutralizing your breathing center’s functionality in your brain stem. Yes, darling, very soon, you will entirely lose the ability to breathe on your own. So you see, you will desperately need a ventilator to stay alive.

The exceedingly good news is that we are willing to ventilate you, that we are willing to keep you on life-support for many, many years! Yes, it will be a torturous life, or should I say existence. However, if you submissively obey our commands and orders, unquestioned and unconditional, there can be occasional moments of carefreeness. I mean, you are our property, and therefore, you have to obey and serve us just like any enslaved person. So for your own sake, behave, oppress your own will and desires. Accept your extended, other-directed life. Because otherwise, the consequences of misbehavior can be drastic. So, darling, are you now ready to become a trached woman, an object controlled by machines, owned and commanded by the medical staff members of our secret ICU? Then don't resist! Just let it happen and enjoy the tracheotomy procedure. Relax, and soon you will be a member of our pool of beloved medical slaves. The tracheostomy tube, sticking out of your neck, Resa, for the rest of her life, will then visualize your property transfer, your membership of the pool. Now, let us begin with the surgical alteration, beauty, to make you a controllable device, entirely dehumanized, helpless, and medically enslaved.

Source: German TV series “In aller Freundschaft,” episode 953.

#intubated #ventilated #endotracheal tube #tube holder #ventilator

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invasiveventilation · 2 years

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Our Enhanced Four Principles of Medical Ethics

The Hippocratic Oath is the oldest in medicine, initially defined by Greek doctor Hippocrates of Kos. Although approximately 2,400 years old, even modern oaths still refer to Hippocrates’s ethics and are surprisingly similar in many terms. In 2001, Tom L. Beauchamp and James F. Childress described four novel principles of medical ethics in their book "Principles of Biomedical Ethics.” The authors’ principles are considered the ethical foundation of medicine in the 21st century, still relying on the Hippocratic Oath. In short, the four principles are:

Autonomy The patient has the right to refuse and choose their treatment.

Beneficence The medical personnel should act in the best interest of the patient.

Non-maleficence Medical personnel should not cause harm. Instead, the medical personnel must promote more good than harm.

Justice Medical personnel has to be concerned about the distribution of scarce health resources and who gets what treatment.

However, the medical staff members at our secret intensive care unit are convinced that medical ethics can no longer be related to a paper already 2,400 years old. The world has changed dramatically. With an overall population of nearly eight billion people, we must conclude that ethics has to be updated to adjust to the needs of so many human beings. The most significant change applies to the rights of individuals. To ensure eight billion earth citizens can survive, medical science has become one of the most fundamental and critical scientific fields. Science must be driven rapidly to win the race between mankind’s prosperity and the spreading of diseases, some even unknown yet. Unfortunately, the vast majority of people are not yet willing to subordinate themselves to medical research. However, basically, we all are aware of this issue.

Here, institutes such as our secret intensive care unit come into action. We, the doctors and nurses of that institute, are actively willing to take over responsibility others still avoid. We have recognized that some human beings' lives have to be sacrificed to accelerate research in medical science profoundly.

Now, look at the pictures above. 28-years-old Christina has been hospitalized after a minor accident with her bicycle. A short background check revealed that she is a high school dropout, currently single, and works as a cashier at a gas station. With her small income, Christina can barely square her debt of $ 42,000. It is crystal clear that she would never be able to contribute anything of significance to the development of mankind. In other words, her existence is irrelevant, and to put it in a nutshell, basically worthless. Whether she is alive or dead would not make a difference. Hence, with the needs of medical research in mind, we have decided to force her body to be a human guinea pig. For Christina, it is the harshest possible, most cruel fate one can imagine. However, due to the urgency, we cannot treat her like a human, more likely as if she was an object or a machine.

We had to insert tubes in every natural body orifice. We even had to create new openings to forcefully connect Christina’s body to a set of external medical devices. As a result, her life is other-directed, and the ideas she had for her future are insignificant now. Essential body functions have been externalized, substituted by a ventilator and feeding pumps, for instance. Now, some people may say our treatments to make her machine-dependent are inhuman and torturous. And yes, those people are right. But the surgical conversion of her body is essential for research, as this is the only method to put her in a perfectly pre-definable state before the medical experiments begin. This sort of preparation is why a catheter has been placed into her bladder to drain urine into a collection bag hanging at the bed frame. She will soon be completely incontinent, losing control over her bladder. She will undergo experimental surgery to implant a novel artificial urethral sphincter that requires disabling her natural sphincters’ functionality. The incontinence will be achieved during a surgery called transurethral sphincterotomy.

And the same is necessary for artificial respiration. For perfect scientific results, we must have complete control over the gas exchange process of Christina’s lungs. That was not possible if we would not ventilate her 24/7. Therefore, we had to intubate her and soon perform a tracheotomy and ventilate her via a tracheostomy tube. And yes, a diaphragmectomy, the removal of her diaphragm, is unavoidable. Years of an ICU stay cannot be accompanied by permanent medication. She will be awake as often as possible, as permanent medication would damage her organs. But to let her accept the ventilation regimen of her ventilator without administering sedatives, we then have to remove her diaphragm.

Yes, we have to be honest: Christina’s life is like an endless nightmare now. However, our line of action is justified. Christina has already played the central role during a neurosurgical procedure to develop a novel implantable electronic system that can neutralize spasticity. Accordingly, her contribution has been beneficial for people suffering from epileptic seizures. Furthermore, her devotion to the project has reduced the time-to-market of that new product by approximately two years. And the development costs have been reduced by over $ 420,000. As a result, other medical research topics can now come into focus that would otherwise be stalled by two years. This kind of acceleration is what is desperately needed in our point of view.

We have to emphasize that we are not unfair. While we exploit our patients’ bodies, we also care about them. For example, Christina is observed with full attention to ensure that the brain damage we had to cause during the experimental surgery does not become too severe. We examine her brain with Magnetic Resonance Imaging (MRI). It's a method to safely and painlessly use a magnetic field and radio waves to produce detailed images of her brain and brain stem. If she suffered a brain hemorrhage, we could immediately perform another neurosurgical procedure to keep her alive. I mean, hopefully. You see, without our tremendous efforts, she would die soon. But, of course, her demise would not be a severe problem. There are enough human beings who could replace her within a few days. However, we try to prolong our patients' death by medical machinery as long as possible. By this, we ensure that our investments in their bodies, to make them long-term scientifically exploitable, will pay out high "dividends.” And we are willing to invest all medical resources to gain the targeted scientific results. At least as long as the cost-benefit calculation is yet positive.

Our experiences and high ideals have motivated us to define our dedicated four principles of medical ethics. They are listed below. We believe these principles must be the basis of modernized medical ethics for the 21st century. We are convinced that enlightened people, seeing the world clearly, agree on our ethical principles. Those fine people know that some, such as poor Christina, have to suffer to help the rest survive the challenges ahead of humankind. And they are bent on doing everything necessary to face those challenges, although the vast majority of people would still disagree with our activities and even condemn what we do if they were aware of the happenings at our secret intensive care unit.

Dependency Only medical personnel has the authority to select the patient’s treatments. Hence, the patient’s medical status and medical progress rely on their treating physician. The medical personnel has the right to ignore the patient’s will and potential refusal of treatment. Beyond that, they even have the privilege to penalize the resistant behavior.

Inhumanity The practitioner must act to achieve the best possible scientific result in the growth of humankind’s knowledge in the scientific field of medicine. Therefore, if it seems necessary to ignore the patient’s health interest, inhumane practices are explicitly authorized.

Harmfulness The medical personnel is authorized to harm their patient if it seems inevitable to gather the intended scientific result. Medical personnel is firmly supported to harm the patient more than doing beneficial if it is in the interest of science.

Generosity The patient receives all medical resources that seem necessary to achieve the scientific goal. The medical personnel is unrestricted in allocating medical resources to the patient as long as the treatment is favorable in the project-oriented cost-benefit calculation. This rule even applies in case of a global health crisis.

As you are aware of our ethical principles now: do you personally agree with our Enhanced Four Principles of Medical Ethics? Do you endorse, it is justified that we follow the new ethical principles at our secret intensive care unit unyieldingly, even though some individuals will suffer significantly?

#intubated #ventilated #intensive care #intensive care unit #endotracheal tube #tube holder

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invasiveventilation · 2 years

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Beauties Kept on Life Support, Episode 6: Serena - Part 2 of 2

This is part 2 of Serena's adventure. Click here to read the first part.

Warning: this section comprises explicit BDSM content, only enjoyable by medical fetishists!

Dr. Wheeler started the conversation: "Hey, Serena, welcome to my private villa in Miami. Or, more precisely, to my little private ICU at my villa in Miami, a place I often play out my medical fetish fantasies with our ICU guests. You, Serena, are a special guest. It's quite uncommon that my guests are voluntarily joining my games. And you are interested in becoming a life-long ventilator-dependent and profoundly surgically altered patient. That's so uncommon, sweetheart. I'm absolutely excited about that fact. Petra, or should I say patient #0310, is already undergoing the first steps in her surgical conversion therapy to become my unconditional property. However, you, my cute angel, have to bring proof that you would actually obey everything I command. Without resistance, objections, but with unconditional consent, even though it is as clear as mud, that the conducted treatments will be painful, torturous, and can even be considered brutal, as, to be honest, my medical ethics violate the Hippocratic oath. Look, Serena, to prove your determination, I'll perform a sexual treatment procedure today. It's probably painful, as this mechanical fucking machine will push the plastic dildo into your vagina all the way to the stop. Again and again and again. And I will connect the conductive metal strips to a TENS unit to additionally stimulate your private area. Your behavior on that treatment will show us whether you are worth becoming one of our voluntary patients, including the execution of all the beautiful, but of course, life-threatening conversion surgeries. To indicate whether you agree on this deep sexual treatment, we will record the fucking process by a camera and let other fetishists and medical BDSM enthusiasts at our secret ICU watch it online. They will judge your behavior. All right, I hope you are ready for this now. And, Serena, be warned. If I see any evidence of resistance, I will stop the treatment and directly send you back to our secret ICU. But if you are calm and totally obedient, everything will be good, and the recorded medical results of this treatment will be handed over to my friend Dr. Greenly, as she needs the data to perform the labia correction surgery on your vulva later on. You know, the labia correction surgery would be part of one experiment you will have to contribute to if you join us as a voluntary patient. You know, cutie, Dr. Greenly's novel cosmetic surgery methods will earn money to keep you on life support for years. And our secret ICU will gain wealth. So, more and more voluntary, and yes, involuntary humans can join the pool of exploitable patients. So, if you are ready, simply nod. Great, thanks for agreeing. You are a good girl. Now, get ready for the intense mechanical intercourse."

Dr. Wheeler started to mount stirrups at the bed frame, or more precisely, knee crutches and foot supports as known from gynecological operating tables. Dr. Wheeler took my legs, placed them on the stirrups, and tightly restrained them in the gynecological position. Then my vagina got lubricated as well as the dildo pinned on top of the mechanical fucking machine. My body was ready for the sexual treatment in lithotomy position with my legs restrained on the stirrups. Next, Dr. Wheeler advanced the fucking machine to bring the dildo closer to my vagina. It was an incredibly intense feeling when the dildo slid into my private folds, spreading my labia. Then, Dr. Wheeler activated the fucking machine, and the dildo glided through my vagina up to my cervix. Dr. Wheeler rechecked my ventilator's settings, pushed some buttons on the fucking machine's remote control unit, and started the mechanical vaginal penetration process. It was an arousing situation since I recognized that Dr. Wheeler had synchronized the ventilator and the fucking machine. In other words, when the ventilator started to pump fresh air into my lungs, the dildo began to slide down my vagina. Then, if the ventilator initiated the expiration phase, the fucking machine pulled the dildo out with the same speed as the expiration phase lasted. For me, it was the perfect artificial fuck, although it was slightly painful, just as Dr. Wheeler mentioned.

While the fucking machine periodically repeated its fixed purpose, Dr. Wheeler activated the TENS unit for additional electric stimulation. I felt a piercing pain traversing my private area caused by the powerful flow of electricity via the conductor strips attached to the dildo. I suppressed my feelings as tears could incorrectly indicate I would oppose the treatment. Suddenly, I was scared as I knew that this was just the inoffensive beginning. A dozen of clearly excruciating surgeries were lying ahead of me if I would agree on my enslavement contract. Pain due to surgeries, medical treatments, experiments, and inevitable chronic inflammations would be a permanent feeling throughout my life in intensive care. I could calm down by listening to the ventilator's hisses and puffs and the constant squashing noise of the dildo sliding in and out of me.

I realized if I signed the medical enslavement contract, my then other-directed life would be in a permanent state of helplessness and defenselessness. No one at the secret ICU would respect a "No" from my side if I disagreed with a treatment at one point. They would just continue their work, totally ignoring my will. However, precisely this was my longing: to be treated like a medical slave dependent on medical machinery, absolutely helpless, forced to live in a permanent life-threatening medical status, and my body utilized in medical experiments even though I might disagree occasionally. Hence, I decided to overcome my concerns and to resign to my fate. I focused on the ventilator, my breast, and the fucking machine and how every movement was perfectly synchronized. I was aroused by the medical equipment and the scenery more and more. Although there were probably many medical fetishists watching the live stream recorded by the webcam aligned on my private parts with my catheter and the fucking machine visible, I decided to have a good time and enjoy the feeling. I even somehow liked the circumstance that those strangers watching me on the internet invaded my private sphere, breaking my intimacy without my consent. I finally had the most mind-blowing orgasm of my life, including an intense female ejaculation.

I was still lying on the bed, restrained by the Segufix system. A few days had passed in the meantime. The webcam was still recording my nude body, exposing my intimacy to the audience observing my ventilated body in its complete helplessness. I'd got used to the observation, as well as to the artificial respiration that had lasted for over two weeks now. I knew from medical textbooks that this long duration of ventilation must have already caused severe breathing muscle atrophy. My mouth was forced to be half-open by the tube holder, and therefore, my oral mucosa was dry as a desert. The only one I could still feel and touch was the endotracheal tube passing my mouth, my vocal cords down into my trachea. I recognized more and more that every artificially supplied breath, each machine-driven inspiration, and expiration extracted self-control over my body irreversibly. The ventilator slowly transferred my being into that medical slavery in which I am dominated by medical equipment. And this was a one-way ticket. And, of course, I was not just unable to breathe autonomously. A small team of nurses came in and out to wash my body, replace my catheter, and drip-feed nutrition with syringes. Unable to do even the most essential human basics like going to the bathroom, I noticed the creeping progress of my existence's objectification. This observation was underpinned by the daily fucking machine treatments. Dr. Wheeler wasn't even talking to me nor asking for permission when placing the dildo in my private folds, turning the fucking machine on, and letting the device serve its purpose. I was treated like an object, like a thing. And I enjoyed every second of being completely and utterly at the mercy of Dr. Wheeler and the team of nurses, and moreover, to be degraded and humiliated to serve as an irrelevant medical slave. It was non-stop intense excitement. And this was just the beginning of my new life.

Right at the moment when I was absorbed by my exciting thoughts, the door opened. Dr. Wheeler and Petra entered the room. Petra sat on the edge of my bed, looked at me with a tender smile, and stroked my left palm. I stared at the white plastic tube sticking out of her neck. I felt an intense excitement thinking of possibly having the same piece of plastic inserted into my windpipe with the tracheostomy tube's faceplate touching my skin, and everything would have been secured by a neckband. And the imagination to be life-longly in touch with a ventilator, connected to it with a twin hose, surrounded by the vent's noises, triggered some additional excitement. The healing of Petra's newly created tracheostoma seemed to be very successful. The reduction of swelling in just a few days was remarkable. Obviously, she had gotten used to the ventilation and that a tracheostomy tube was sticking out of her neck. Then, she started to talk to me in the same way people hooked up to ventilators with breathing circuits, and speaking valves usually do: the ventilator interrupted her speaking when the inspiration of a breath began until the next expiration was initiated by the ventilator's internal valves. Air then passed the fenestrated tracheostomy tube to flow through her vocal cords so that she could speak a few words.

Petra said: "Serena, we have some excellent news for you. According to our observations of your unrestricted, obeying behavior, the unconditional acceptance of all medical and vaginal treatments performed at your body, plus the visual enjoyment you have with the artificial respiration, Dr. Wheeler has decided to offer you the contract you obviously desire so much. Yes, darling, today you'll have the unique choice to become a surgically altered, life-longly ventilator-dependent female patient, voluntarily hospitalized at our secret ICU for the rest of your life. We are so proud of you, and I am delighted that there will be a second voluntary patient beside me who wants to become a medical slave absolutely possessed by Dr. Wheeler and the other staff at our secret ICU. These documents list the contractual terms. Read them carefully! It lists what you will have to sacrifice to become what you desire. No doubt, if you sign the contract, Dr. Wheeler will expropriate your body. You will then be a medical slave, degraded to something like a tenant of your own body, or should I say, of the body you've once owned yourself. But in return to become an other-directed medically enslaved object, you'll be on full life support for the rest of your life. You won't have to work, eat, or drink anymore. You won't even need to go to the lavatory again. And you'll never have to breathe a single breath on your own again. In other words, if you agree on all of these contractual conditions, you will be the helpless, vulnerable, and dehumanized object you have always wanted to be. Of course, your human existence will be hanging by a thread as all the life-sustaining machines can fail and therefore can turn into life-threatening devices. And I have to issue a warning, sweetheart! If you start any unnecessary fuss, Dr. Wheeler and the ICU team can intentionally turn the machines into a life-threatening mode. In such cases, we can only hope you recollect yourself to be the obedient object again you've promised to be by signing this contract. But I know you'll never oppose us."

She handed over the papers, and I began to read the enslavement contract carefully, although the ventilator twin hose crossed my visual field so that reading wasn't too easy. I was already profoundly excited by reading the contract's first chapter: if I signed the contract, I would lose any rights to my body and agree on its irreversible property transfer to Dr. Wheeler in particular. My opinion, desires, longings, and feelings would become irrelevant, and moreover, I wouldn't have permission to fight the treatments, as this would be counted as an illegitimate objection. A longish text passage defined what was measured as resistance. Crying and screaming are permitted. Intentionally losing my medical restraints, disconnecting myself from the ventilator, removing the catheter, trying to flee, or denying intercourse is strictly forbidden and would force punishments. Although everything I read sounded terrifying, I was absolutely convinced that I wanted this, that this was the delivery of all my longings. Even though I knew that signing the contract would be my life's last self-driven decision. It would be the last activity I could pronounce and accomplish myself.

Next, I read chapter 4, titled "Surgical Procedures (Female Medical Slave)," and the list of surgeries I would have to undergo. It was crystal clear that I would become a life-longly ventilator-dependent person after the surgeries had been completed. Surgeons would paralyze and even partially remove my breathing muscles. The vast majority of my patient management would be conducted by intensive care machines since even my excretory system would be surgically modified to simplify the waste management by attachable medical accessories like catheters and stoma pouches. It would be a life without privacy at all. Of course, most people would call it a humiliating nightmare. But for me, everything sounded like my longings had finally come true, including the experimental surgeries and treatments designated for me and for which I got prepared by the vaginal penetration with the fucking machine.

The subsection about experimental medical treatments was handwritten, showing me that these experimental surgeries had been selected individually for me. A labiaplasty, a mammoplasty, and a sort of personality erasing neurosurgical lobotomy were designated for me. I was convinced the latter surgery would be performed if my mind would oppose my inexorable fate since no resistance would occur after a neurosurgical lobotomy. And I knew that the fucking machine treatment had already served a purpose, and as mentioned by Petra, was a preparation for the labiaplasty of my inner and outer labia. Dr. Wheeler guaranteed that the exciting dream of being a medical, intensive care slave would last for at least 60 months. All the pain, the torture, the life-threatening medical treatments would be worth it, as I would be able to live an other-directed, helpless life as a totally vulnerable object in our secret ICU. After 60 months, being constantly kept on life support, I would be turned off unceremoniously, just like a machine that served its purpose and became futile. And even this imagination was profoundly arousing.

I was deeply impressed by what I'd read, and Petra was so kind as to flip pages for me as my wrists were still restrained. I was overwhelmed and tried to say, "yes, let me sign this awesome document," but of course, the endotracheal tube prevented me from speaking. However, Petra recognized my attempt to talk and anticipated my willingness to sign the contract. So I got a pen, and although my wrists were restrained, I had enough free space to put my name at the three designated signature fields.

Dr. Wheeler, who was quiet throughout the entire process, came across now and stamped my signature with the emblem of "Wheeler & Greenly Medical Products Inc." the company Dr. Wheeler owned and now possessed the legal right of ownership of my body. Thus, my fate was sealed right at that moment: I was medically enslaved!

Right at that moment, Petra was button-down my blouse and open so that my breasts were exposed to Dr. Wheeler. They changed positions. Dr. Wheeler stared at my neck and took a blue pen to mark something on my neck. Meanwhile, Petra moved between my spread legs, still restrained in stirrups with my body in the lithotomy position. Dr. Wheeler began to talk while marking what was probably thought of as preparation for a tracheotomy procedure. In the meantime, ventilated Petra descended to my private folds to satisfy my sexual needs by licking my clitoris.

"From now on, you will be called patient #0578. Your human name, Serena, will never be used again. You are totally mine now. You are my medical slave. I am your lord and master. You will obey my orders without any restrictions or objections. Have you got it, slave #0578? Good girl. In approximately two hours, you will have to undergo your first surgery, sweetie. I will open your trachea. Yes, darling, I will create a tracheostoma at the center of your neck. And you will never ever breathe through your upper airway again. Basically, the upper natural airway will be superseded by the little surgical opening and the tracheostomy tube. Well, and of course, you will never ever breathe on your own again. Yes, sweetheart, your life will be endless medical torture. You will be a dehumanized object, forced into helplessness and inactivity for the rest of your life. After five years of lying on a bed, your muscles will atrophy so severely that you can't even walk on your own. Your organs will be damaged, and your entire body will be weakened due to the experiments and medication that it's hardly possible to keep you alive even with modern medical products. So, enjoy your five, or if you're lucky, say, six years at our secret ICU. And to enjoy it the most, don't resist my orders, or you will bitterly regret your behavior. I'm certain that there will be a point where you won't enjoy your stay any longer. I hope you won't resist our treatments then. But this is just a warning, babe. I know you will be pleased by the medical torment we will offer you."

I nodded. Petra, Dr. Wheeler's property #0310, let me reach one of the most intense orgasms of my life, and I felt absolutely ready to begin my new life, fulfilling all my medically masochistic fantasies. And the first longing that now became a reality was the surgical opening of my neck. The picture below shows me 16 days after the surgical procedure, after the tracheotomy. Some people would say it's ugly, but for me, it's pretty since it is the most visible evidence of becoming a medically dominated slave and that my final, the most exciting stage of my life had just begun.

Sources: US TV series "Jane the Virgin," season 2, episode 22, and season 3, episodes 1, 2, and 5.

#intubated #ventilated #ventilator #intensive care #endotracheal tube #tube holder #fucking machine

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invasiveventilation · 2 years

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Beauties Kept on Life Support, Episode 6: Serena - Part 1 of 2

Hello everyone! My name is Serena. Today, I wanna tell you my story. Some might already know me from a previous episode of Beauties Kept on Life Support (link to episode 5). I am a nurse at Dr. Wheeler's secret ICU. Or should I say I was an ICU nurse? But first things first. I am a 32 years old woman born in a rural, small town. At puberty age, I realized that I get aroused by people suffering from severe medical statuses. More precisely, I love watching ventilator-dependent people in intensive care surrounded by high-end medical equipment. You know, people who must be kept on life support as they would die otherwise. However, I am even more aroused when thinking of myself being a helpless, ventilator-dependent patient. For me, the imagination of my body being unable to breathe autonomously, catheterized with a Foley catheter, restrained to bed by a Segufix system, and even intentionally altered by surgeries so that my helplessness never ends makes me absolutely horny. The idea of staying in ICU till the end of my life with a medical status that never improves is simply hot. I love medical equipment, and my desire to be connected to many intensive care machines turns me into a medical fetishist, I think.

Logically, I began an apprenticeship as a nurse at the local hospital after I had finished school. Afterward, I was fortunate that they were looking for nurses working the night shift. As a bonus, I got a certificate as an ICU nurse after three additional years. No one was asking why I always wanted to work the night shift. My friends, family, and colleagues thought, I simply need the extra money you earn at night. In fact, I liked the silence at night, when you can only hear the ventilators and heart monitors generating the technical, artificial noises, the hisses, puffs, and beeps. I secretly learned how to intubate myself and stay on a ventilator without fighting its ventilation regimen throughout the years. And no one had ever discovered that I was catheterized at work with a leg bag fastened at my right thigh, covered by my pants.

For several years, I thought I was the only person with these particular medical fetish fantasies. However, during my apprenticeship, I found some internet blogs where I met other people with similar dreams, desires, and longings. Finally, when I was 25, Dr. Wheeler contacted me and eventually offered me a new job as a nurse at his secret ICU after some months of frequent communication. Of course, I thought Dr. Wheeler was kidding me. I couldn't imagine that there was an ICU where I could play out my dark fetish fantasies. Anyway, I decided to move across the country, leaving my family and friends behind, to be a nurse that has finally found a place where she could play out her dreams unconditionally, although I knew the patients I would nurse get usually involved involuntarily.

Nevertheless, I always wanted to be on the other side, being a patient, kept on life support, exploited by medical experiments, helpless, non-independent, without any rights on my own body. Or in other words, I wanted to become a medical slave, just like the patients at Dr. Wheeler's ICU. However, what has changed profoundly is sharing my fantasies with Dr. Wheeler and my colleagues. It was simply liberating to talk to people with similar sexual longings. We all could play out our imaginations, and no one was condemning us for that. Besides our victims, of course. They haven't been asked for their opinion. They served as experimental platforms to bring the health of mankind to a new, better level. They had to accept their cruel fate. A fate I wanted to share with them deep inside.

Everything started to turn to its best when I celebrated my sixth anniversary as a nurse at our secret ICU. Dr. Wheeler had invited some of the long-acting nurses and me over for coffee and cake. It was a friendly little gathering. At its end, I started to feel dizzy and tired. The nurses and Dr. Wheeler stared at me as I slowly lost consciousness. The last words I could hear came from Dr. Wheeler: "OK, the sedatives kicked in. We need an ET tube, 8.5 millimeters, cuffed. And a tube holder. And don't forget the Ambu bag. Hurry up! She's already breathing shallowly."

I don't know how many hours I had been unconscious. I remember when I woke up and opened my eyes, I only recognized my situation very slowly. I was placed on an ICU bed in a windowless ICU room, clearly in our secret ICU. My body was dressed in a patient gown only. I spotted a semitransparent twin hose traversing my field of view connected to a plastic tube that vanished somewhere close to my mouth. I noticed ventilator noises and that the twin hose followed the rhythm of those noises by tiny leaps. I felt pressure on my lips right at the location the tube disappeared in my mouth. Promptly, I experienced a pleasant vibe through my entire body as I realized that the twin hose was connected to an endotracheal tube inserted through my mouth and vocal cords into my windpipe with its cuff inflated. And the pressure was due to the tube holder securing the transparent plastic tube. I was deeply excited and sexually aroused by the fact of being ventilator-dependent. At least, temporarily. I wanted to touch the medical equipment to intensify the arousal. I used my right hand to feel the ET tube and the tube holder while my left hand delightfully stroked my private area. At the same time, I touched the ET tube with my tongue and tried to joyfully lick and suck at this life-saving medical accessory.

After finishing pleasuring myself, I leaned back in a comfortable position and relished the uncomparably hot, helpless state my body was forced into. I tried hard to trigger breaths independently, but soon it was clear that my diaphragm was utterly paralyzed. No doubt, I would die within a few minutes without the life-sustaining support of my ventilator, frequently pumping fresh air into my lungs. Of course, I knew that the ventilators at our secret ICU are remotely app-controlled and that, if the ventilator were turned off by someone, I wouldn't have any chance to reactivate the ventilation as the ventilators' physical buttons are deactivated by default. Someone was now able to play ruthlessly with my life. And I liked that fact. This person was my lord and master, and I was the worthless medical slave, a property without any rights, not even with the right of physical integrity. But who was that magical person possessing the privilege to decide over my life and death?

Just a few minutes later, the door opened, and nurse Petra entered the room. Surprisingly, she was not dressed in the typical nurse uniform but in a seductive pink outfit perfectly suitable for her blonde hair. I stared at her and focussed on her neck. I spotted bluish markings on her skin there. The kind of markings that surgeons sketch on patients who will have to undergo tracheotomy soon. As preparation, the surgeons had also written a little "9" at the position of the future tracheostoma. It revealed that a tracheostomy tube with a diameter of nine millimeters was reserved for her. Petra smiled at me and stroked my hair. Then, she began to talk.

"Oh, sweetheart, do you know how hot you are with the ET tube inserted and connected to the ventilator? Of course, you know. We both love it. Right? Oh, I'm sorry, you can't speak. But I can speak for both of us. Look, darling, we both have the unique opportunity to switch sides. Yes, you and I can voluntarily become patients at our secret ICU for life. We would always stay connected to a ventilator, our bodies would be surgically altered to become ventilator-dependent, and we would both never regain power over our bodies because we would be converted to Dr. Wheeler's properties and medical slaves, respectively. I mean, if we sign a contract that allows us to life-longly play out our medical fetish fantasies on the one side, while our bodies would be converted into medical cyborgs serving as medical, experimental platforms on the other side. I've already signed the contract. Yes, I'm Dr. Wheeler's and the secret ICU's property, and soon the series of life-changing surgeries will be performed stepwise on my body. This will transform me, Petra, irreversibly into patient #0310. You have the opportunity to be converted as well. And, Serena, you would then be our life-long patient #0578."

"Just imagine, you and I, both unable to breathe on our own. We cannot eat and drink, need a catheter to pee, and we would be surrounded by a huge set of medical devices just there to keep us artificially alive. Isn't that imagination arousing? Yes, we would have a non-self-determinant life, but then again, nurses, doctors, and particularly the machines would non-stop care about our bodies? Dr. Wheeler has some nice medical experiments planned for us, lovely Serena. I'm talking about cosmetic, plastic surgeries. Dr. Wheeler checked your genital area while sleeping and is now planning a labia correction surgery for you. Dr. Wheeler also checked your breasts. Maybe another plastic surgery there? Anyway, I think your pretty female body will be super juicy when you have finally received all your body modifications and all the beautiful tubes are sticking out of your natural body openings. Well, and some artificially created stomas."

"But you don't have to decide yet, Serena, whether you agree on your surgical conversion to become a life-long, ventilator-dependent medical slave. Dr. Wheeler has a special invitation for you. Both of us will escort him to his vacation villa in Miami. I've already signed the contract, so I have to obey the invitation. So just nod if you want to join us. You will then have a nice sleep for around ten days, and when you wake up, you have already been transported to Miami, and of course, you will still be connected to the ventilator."

I nodded. I felt like my dreams had come true. I could have a life as intensive care patients always kept on life support, my body surgically altered to be unable to breathe, eat, drink, and even pee. And the medical experiments are performed in the field of cosmetic surgeries? What a minor prize I would have to pay if I would sign such a beneficial contract. Under these circumstances, it didn't even bother me that Dr. Wheeler had examined my vagina while I had been unconscious. The opposite is true. I love sex and erotic happenings at the ICU, and as my fetish is masochistic, I even prefer nurses and doctors doing arousing things I haven't agreed on. So, I nodded. And patient #0310, formerly known as Petra, took a sedative syringe and administered me ten days of carefree sleep.

I awoke in a room with yellow and white curtains. A balcony door was open so that a pleasant, warm whiff swept my face. I could hear people talking and laughing outside. My room was on the second or third floor, allowing me to only see some palm trees' tops. I listened to the waves down there at the beach and enjoyed the harmony of natural waves and medical machinery sounds. Unfortunately, my arms and wrists had been segufixed, so that I had no choice but to wait for whatever happened next.

Suddenly, someone entered the room. I couldn't see the person, as a privacy shield obscured the view toward the door. However, I could hear that this person was probably ventilated because I could listen to the characteristic noises, the hisses, and puffs of a ventilator. Then, I recognized the person. Petra, aka patient #0310. I was surprised to see a white tracheostomy tube sticking out of her windpipe right at the center of her, meanwhile fading, neck drawing. Obviously, her trachea had been surgically opened. Having a tracheostoma, a hole in my windpipe at the center of my neck, was one of the significant longings in my medical fetish dreams, and I sincerely hoped to be under the knife for tracheostomy soon. I wanted my body to show, to radiate this stunning feature of life-long ventilator-dependency as well. Petra's little plastic tube was connected to a ventilator hose, including a speaking valve. The hose laid on her shoulder and was connected to a home ventilator placed in a backpack she had to strap on in turn.

"Hey, Serena, my dear friend. Welcome to Miami. How are you? You've now on your eleventh day of being intubated. Do you still enjoy the ventilation? Of course, you do. As you can see, Dr. Wheeler has already started my surgical conversion into a life-longly ventilator-dependent patient. A week ago, the ICU team entered my room at night, performed awake intubation, and wheeled me in the operating room to let the surgeons create my tracheostoma during an hour-long surgery. Since then, my natural airway has served its time. Irreversibly. Forever. Do you like my new medical accessory, my white tracheostomy tube? I love it. It always tells me I will never breathe autonomously again. From now on, my ventilator will be an integral part of my body. And the tracheostomy tube became the life-sustaining interface between my body and my ventilator. The tube is now an essential medical tool to keep my body alive, to keep me on life support. Indeed, my body doesn't even work any longer without being hooked up to a ventilator. This is due to the administered strong medication paralyzing my diaphragm. Isn't that fact simply horny? Wouldn't you love to suffer under the same medical status?"

Oh yes, Petra, patient #0310, I would love to suffer under the same medical status. Sufferings that would eventually turn into arousing enjoyments. I gazed at Petra and her stunning tracheostomy tube. I loved to watch the twin hose leaping synchronously to the hisses and puffs and the clicking valves of the home ventilator in her backpack. I enjoyed watching her beautifully shaped breasts raising and lowering whenever the machine pumped fresh air into her lungs. The ventilator completely controlled Petra's breathing since her paralyzed diaphragm could not contribute any breathing effort. What an intensely arousing, horny fact.

"OK, darling, Dr. Wheeler commanded me to replace your catheter, just as we usually do after approximately ten days. Just like me, you will be cathed for the rest of your life. There will always be a catheter sticking out of your urethra with a balloon inflated in your bladder. Look at my leg. There is my urine collection bag strapped on tightly. I love it so much, babe. I have no control over my bladder. And the feeling of being incontinent is permanently arousing me. And to watch the urine swashing back and forth in my half-full collection bag is so hot, you can't imagine when you don't have a leg bag too. Great. I will now remove the old catheter and place a new one into the peehole right next to your nice, wet vagina, my beauty."

Petra pulled up her skirt. She didn't wear panties so that I could see the little yellow Latex tube sticking out of her urethra. It was connected to a urine collection bag strapped on her thigh. She walked closer to my legs with the skirt still pulled up. The wobbling yellow Foley catheter and the fact that she was incontinent made her really hot. Petra spread my legs to have easy access to my private parts. She took an empty syringe, deflated the catheter's balloon, and pulled the tube out. Then, she cleaned my private parts with mild soap and warm water. Finally, she opened a catheterization set and sterilized my genital area, particularly around my peehole. She put on some sterile gloves, lubricated my urethra carefully, and took the new catheter to insert it slowly. It was an intensely arousing moment when I felt the catheter passing my closed urethral sphincters. I closed my eyes to savor the moment to the full. Next, she inflated the new catheter's balloon in my bladder to ensure my artificial incontinence would continue. Finally, she connected the new catheter with the urine collection bag hanging at my bed frame.

While I still enjoyed the moment, Petra started to stroke my clit. She coddled me this way for five minutes before she silently left the room. I still could hear the people laughing outside and the surf at the beach. But the most dominant, the loveliest noises arose from my ventilator that ventilated my body with perfect precision in its characteristic, remarkable, stoic calm. Then, pumped full of serotonin, I decided to sleep, to repeat the sexual enjoyment in my dreams.

I woke up abruptly due to a loud sound. I'd probably slept for several hours since it had already become dark outside. Dr. Wheeler entered the room with a trolley covered by a white blanket. The doctor recognized that I was awake now, headed toward my intensive care equipment to check my ventilator's ventilation mode settings as well as the settings of my feeding pump. The trolley was situated right in front of my feet at the end of my bed. I was still restrained with a Segufix system at my wrist, legs, and lower body. Dr. Wheeler uncovered the trolley. I was deeply shocked when I realized what was mounted on the trolley: a fucking machine. A dildo with integrated electrically conductive silver strips was attached on top of the fucking machine rod system. It was evident that the device would be used to mechanically fuck my vagina soon. Honestly, that was something I hadn't expected at all.

To be continued…

Sources: US TV series "Jane the Virgin," season 2, episode 22, and season 3, episodes 1, 2, and 5.

#intubated #ventilated #ventilator #intensive care #endotracheal tube #tube holder

135 notes · View notes

invasiveventilation · 3 years

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Some Clarifications about the Content of my Blog

OK, I really hate to do this, guys. But I feel forced to clarify what my Tumblr blog is about. I have received DMs with really bizarre statements by another user (I don't call him a community member). I have decided to not block that user as I hope he can learn something from reading this post.

First things first: My blog is about medical fetish fantasies. And ONLY ABOUT FANTASIES!

I thought this is perfectly clear, and if you have the same perception, you can stop reading here. To all others: I would never ever offend or even harm a person in reality to fulfill my desires!

I describe my desires as fetishistic since I love medical items and devices, especially if placed in a picture-perfect ICU environment. If you read my stories, it becomes evident that I love medical BDSM as well. BDSM roleplays always follow a set of strict rules both in chats and in real life. First of all, it's about respect for the person on the other side. If the other person defines limits, you should never cross these red lines. A correctly performed BDSM roleplay considers the rule "consensual non-consent." This means the dominant roleplay partner treats the sub in a non-consensual way. But the dominant will never go beyond the agreed limits. And he or she will stop the roleplay immediately if the sub calls out the safeword.

Talking about my blog, I know my stories often sound very tough. Yet, I am shocked that there is a person who misinterprets why I have created this blog. He seems seriously thinking of playing out my stories' ideas in real life with real people in real ICUs! That is crazy! Again, it's about fantasies only! Fantasies that I want to share with you guys as you share your dreams with me. I don't care, whether you love the idea of invasively ventilated women in ICUs like me, or you are more in resuscitation, surgeries, or whatever. As long as you agree on the mentioned, clear rules, i.e., treating other people with full respect, I welcome you to my blog. Otherwise, get the fuck out of here!

Now, you might ask yourself, does all of this have any impact on the future blog content or even on the entire blog overall? My answer: No! The vast majority of you guys are absolutely fine people who can differ between fantasy and reality, who interpret my stories the right way, and who treat other people with great respect. Hence, after this clarification, I will continue like nothing has happened, but I will block weirdos as of now. I don't wanna sound like "the morality police," but I am afraid those guys eventually destroy the community by this form of foolishness. I am sure we don't allow those people to sacrifice the community due to their unacceptable behavior.

Some personal remarks at the end: it is my dream to find a lady, loving me despite my unusual fantasies. A woman who would perhaps even participate in my medical roleplays occasionally. And, of course, I would treat her with respect and accept her limits. Because women are lovely humans, neither objects nor dolls. They deserve to be treated with tenderness and love.

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invasiveventilation · 3 years

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We Know, Beauty, Life Has Not Been Fair to You!

You thought your life would change for the better, and you would feel happier if you undergo breast augmentation surgery. A short surgery where a plastic surgeon team places silicone breast implants to increase your breast’s size, end even more significantly, your marginal self-confidence. And you were eager to finally gain higher self-confidence, to find a boyfriend, a partner accompanying you through your lifetime. However, you hadn't had the money to pay the surgery costs. So you thought you were the luckiest lady on earth when you found Dr. Nancy Greenly's beauty institute and her special offer to cut the breast enhancement surgery costs by 50 %. The only thing you had to accept was that you would have to agree on a novel, alternate surgical method. Of course, the website mentioned that this alternative method would also implicate a slightly higher risk of complications throughout the procedure. But, beauty, you were so desperate in your loneliness that you accepted the risk and signed the written consent without hesitation.

Yes, sweetheart, you couldn't know that you signed your enslavement contract. You didn't know that we had designated your body to serve as an experimental platform for our illegal medical treatments. You couldn’t see that the term "alternative surgical method" serves us as a euphemism to paraphrase the surgical conversion procedures that force you in a weak, helpless position, in which you are life-longly kept on life support with a ventilator breathing for you. You couldn't know that Dr. Nancy Greenly is a co-founder of "Wheeler & Greenly Medical Products Inc.,” a company designing and selling high-end medical products developed by illegal medical experiments. Experiments we only conduct to hold down development and authorization costs. And that patients walking into our trap are pronounced brain dead after a "surgical incident" throughout the alternate surgical treatment has occurred, just to transfer them after their death to our secret ICU, where their second life as human guinea pig begins. And where they have to serve us as sexual pleasure toys, as projection surfaces for playing out our medical fetish dreams.

In a few days, after you will get out of the artificially induced coma, you will see, we actually performed the breast augmentation surgery as promised. We think your boobs are well-shaped now. They are exciting. But even more exciting for us is the pure perfection your surgically altered ventilator-dependent body is radiating. And all the intensive care medical equipment surrounding you.

By the way, did you remember the number 275 written on your chest before the surgeries? That wasn’t any information regarding the breast surgery as you thought. Instead, it's your new name, object #0275. Your human name is irrelevant now, and we will never use it again. It had already been the name of another meanwhile deceased female medical slave. Three weeks after their passing, we reassign the object numbers to new patients and destroy evidence of their existence. This will happen to you as well, and no one will ever remember the years of your suffering at our secret ICU, object #0275.

Yes, the surgeries, the lovely arranged diaphragmectomy, the gastrostomy, and all the life-changing and life-threatening procedures clearly aimed to dehumanize you, enslave you, and of course, to objectize you. But the prime objective, utilizing your body to serve the medical science, undoubtedly overweighs your personal needs and dreams, and hence the surgeries were justifiable. Well, of course, it is a cruel fate, you will live a life full of torments and pain, and you will be connected to a ventilator 24/7 that will breathe for you and to feeding pumps that will feed you artificially for the rest of your life. And we will control all the medical equipment to force you in a constant obeying behavior. Plus, you will have to serve us as a pleasure doll to fulfill our sexual desires.

However, it’s wise to look at the positive sides of your new life. You probably haven’t recognized them, but believe us, there are many advantages. You won't have to breathe on your own again. We will feed you for free. We will administer free medication, the best one can imagine. You will have the perfect health plan with permanent monitoring and pressure-controlled ventilation with clean air. Look, babe, 99.9% of mankind can only dream of this kind of worry-free life. And we guarantee a life as a permanent ICU patient for about four to five years! Even though your previous life was absolutely worthless! And now, you will finally serve a good purpose. At least, until your body is completely exhausted, and it is simply no longer worth it to keep you on life support, to invest money into the prolongation of your life. I mean, isn't that a great perspective? Five years of usefulness? Just compare it with your previous life, and you grasp how lucky you are to be here at our secret ICU as an exploited medical slave, as our property. Does it really matter how much you have to suffer regarding your glorious future? Aren’t the slight disadvantages, like the body tortures and the pain, worth it, considering your extraordinary contribution to science while we tenderly keep you artificially alive? You might disagree, but life is not always fair for any individuum, and honestly, we don’t bother whether you agree on what we force on you. We’ve decided that you, object #0275, will be one of those individuums who must suffer throughout their remaining lifetime. And that we will stay on the other, the enjoyable side of that pleasant game

Source: Thanks, @inmydreamhospital, for sharing the two images on the top that stimulated my imagination.

#breast surgery #surgery #intubated #ventilated #intensive care #intensive care unit

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invasiveventilation · 3 years

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She said she will tell the truth about our secret ICU. She said she will inform the police and the press. She said she will liberate the people we've captured to perform our medical experiments. She said she will shut our facility, and all of us will be imprisoned soon. Oh my gosh, she was so wrong.

Darling, none of us will ever see a prison from inside. Because we perform those medical experiments desperately needed to improve mankind's medical knowledge. Experiments that no one else can do, no organization, not even the government. The truth is, they need us. Yes, cutie, you are irrelevant, but our facility is significant, even system-relevant.

And now? You wanted to betray us. You uncovered all of our secrets and tried to do "the right thing." Do you feel better about your non-sense act of treason? Do you think you are morally sublimated or something?

Anyway, the reality looks different. Your courage won't be rewarded. No, sweetie, no. Instead, you will share the fate of all the other patients at our secret ICU. Your life will become an endless nightmare, painful, torturous. We've already intubated you, sedated you, and hooked you up to a ventilator. Do you see the blueish drawings on your abdomen and chest? Yes, darling, soon we will perform some surgeries to make you a life-long ventilator-dependent medical slave. We will remove your diaphragm and perform gastrostomy to enable forced tube-feeding. You will never ever leave our secret ICU alive again. You will never see the sunlight again. And you will never regain self-determination as you are our property now. Ask yourself: Was your treason worth the torments you have to face from now on? Was your unnecessary fuss good for anything? Do you actually think you achieved something?

Indeed, you will have a lot of time to think about your betraying behavior. I predict you will regret your stupidity soon enough. But it will be too late to reverse the surgical conversion of your beautiful female body. Yes, darling, your fate is sealed. Irreversibly.

#intubated #ventilated #surgery

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invasiveventilation · 3 years

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Plus, after waking up, I'll check my body and spot several scars at my chest and abdomen, and, besides, some surgically created artificial openings. The diagnosis is crystal clear and unfolds my cruel fate: The surgeons removed an essential organ from my body, namely my diaphragm. Therefore, I will never be able to breathe on my own again, so that I will be connected to a life-sustaining ventilator 24/7 for the rest of my life. They also performed gastrostomy for artificial nutrition by feeding pumps. They irreversible damaged my body so that natural food consumption is lost permanently. I also need a stoma pouch due to ileostomy, the complete removal of my colon. And I am catheterized with a silicone Foley catheter and will have to carry a urine collection bag from now on. And soon, the surgical team will perform the tracheostomy to finalize my conversion to a ventilator-dependent, remote-controlled object without any rights. Yes, indeed, I will be a medical slave, the property of our secret ICU's doctors and nurses. I will stay in the ICU till they turn my ventilator off. Due to my absolute helplessness, I have to obey every single order. That implies I must accept life under constant pain and non-stop suffering. And if I try to resist, they will teach me that the connected life-sustaining medical machines can turn into oppressive, life-threatening torture devices. One thing is certain, I will always finally obey my masters' commands since they dominate my life through the high-end intensive care medical equipment, and hence, can terminate my existence whenever they want.

What do you think about her?

#resus #icuscene #resusfetish

#intubated #ventilated #medical tubing #ventilator

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invasiveventilation · 3 years

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No, honey, no. I wish I could give you a better medical prognosis. But you must accept that you got ventilator-dependent. I know, it's a cruel fate. But you have to face this new reality, although it seems brutal. Sure, you will leave the rotisserie bed soon. However, due to the severe spinal injury, you will never be able to breathe autonomously again. To ensure the most comfortable 24/7 ventilation, we've already performed a tracheostomy, or in other words, we've surgically created a hole into the center of your neck and inserted a transparent plastic tube to connect you to a ventilator via this nice white and blue twin hose. This is the default medical treatment for long-term ventilated patients. Unfortunately, we've observed that your breathing muscles haven't even triggered a single breath throughout the last 48 hours. In other words, no spontaneous breathing has been observed, and therefore, we've switched the ventilation mode to volume control mandatory ventilation or PCV for short. This means the ventilator doesn't simply assist your breathing but instead completely controls and performs it. Now, with the tracheostomy tube inserted and the ventilation mode adjusted to PCV, we can guarantee life-long ventilation. However, there is a risk of ventilator malfunctioning since the vent will have to supply 16 breaths a minute, 23,040 a day, and over 8.4 million a year. Note, we only replace broken ventilators of patients that decided to be kind and to obey all of our orders. I hope for your sake that you catch on quickly. Otherwise, you'll learn that life-sustaining medical machines can turn into torturous life-threatening machines. So, now tell us: Will you obey our commands, sweetheart?

Trach in a rotisserie bed

#tracheostomy #trached #ventilated #ventilator #rotisserie #neck brace

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invasiveventilation · 3 years

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Beauties Kept on Life Support, Episode 5: Claudia

We only perform the patient's involuntary surgical conversion into a life-long, ventilator-dependent test subject if the background check has shown that the poor victim's life is ordinary and absolutely meaningless. Our guidelines only permit conversions of insignificant people. Our scientific work, exploiting human bodies for medical experiments to contribute to mankinds' knowledge on overcoming medical issues, is morally acceptable only if the involuntarily utilized people haven't contributed anything of importance yet. In other words, the transformation of a Nobel Prize winner would be completely ruled out, but the surgical conversion of 27-year-old Claudia is reasonable since her existence is completely irrelevant.

Indeed, Claudia is an excellent example of such an insignificant existence. She worked as an assistant at the service hotline of a mid-size company selling furniture. We simply pronounce people like her brain-dead in the ER if they have been hospitalized due to a surgery performed under general anesthetics. We fake the funeral by replacing the patient with one of our former, physically exhausted test subjects in the casket. The advantage of playing this game with ordinary people is that no one asks any questions about the death, since relatives are usually poor too, and can therefore not investigate the reality hidden by the faked funeral. Instead, the perfectly alive and healthy new patients are transferred to our secret ICU in the basement, where they have to undergo a set of life-changing surgeries to create exploitable human test subjects. By this, we terminate their prior, self-determined lives, and, we must be honest here, surgically transform them into medical slaves. Since they would never agree to the conversion procedure with its massive medical and surgical procedures, we don't actually ask them for permission. We just do it. However, we think that we must at least tell them the truth about their non-self-determined future, their cruel fate. This task is then up to one of our nurses or doctors. They explain to our new, life-long ICU patients their invasive surgical conversion plan, including detailed information about the tracheostomy, diaphragmectomy, gastrostomy, ileostomy, supracervical hysterectomy, as well as other surgical procedures they have to undergo. The intensive care program of a patient is extraordinarily costly. Accordingly, we explain why they have to suffer that way: cost-effectiveness considerations have shown that only machine-supplied patients on life support are acceptable in terms of costs. An individual intensive care program accomplished by our ICU nurse team would be way too expensive. Accordingly, we need to implant artificial interface items, such as PEG tubes and catheters, into their surgically altered bodies. Then we can supply our victims with machines, which is, in terms of long-term intensive care, a very cheap alternative.

The enormous investment we spend into the conversion surgeries and the expensive ICU stay cannot be ventured. Hence, they have to be restrained to their ICU beds by Segufix systems. Our patients cannot breathe autonomously after the surgical removal of their diaphragm. They would die if they try to flee and disconnect themselves from the life-sustaining ventilator. Therefore, we must keep their bodies, and especially their arms and wrist, restrained. We know we sacrifice our patients' mental and physical health throughout the years by the restraints and the medical enslavement and domination. But we always let them know when their contribution was so significant that it was key to develop a new medical product helping thousands of other people worldwide. By this, they notice that their suffering is of value at least. With the right mindset, they could even be proud of their new lives. Incomprehensibly, they rarely reach that state.

We usually hide that we enjoy and even love their conversion into medical slaves. At least during the first few days and weeks of their stay in our facility. They don't know what medical fetishism is and what our medical fetishism consequently means throughout the years of their ICU stay. Observing them dominated by a set of high-end medical equipment embedded into a perfect ICU environment radiates not just peace and serenity. For fetishists, it also radiates loveliness and sexiness. This is due to their suffering and all the medical tubing, the devices, and the sounds the devices generate. Looking at them with an endotracheal tube inserted and a tube holder securing it and listening to the hisses and puffs of the dominating, life-saving ventilator is very special to us. Watching the shaved, wet, and shiny genitals with a Foley catheter sticking out of their urethra connected to a urine collection bag hanging at the bed frame arouses us deeply.

Anyway, there is a point when they recognize our sexual motivation, that we keep them alive as medical slaves, not only to perform medical experiments on their helpless weakened bodies. They finally understand that our medical fetish is about a lot of medical equipment and that we particularly enjoy sharing the bed with them because their lives depend on machines and all the beautiful equipment. Of course, the price they have to pay in this game is incredibly high. We know that all of the inserted medical tubes and wires are a constant source of pain, as these foreign objects are never tolerated by their bodies. We know the stomas, the surgically created artificial openings, are unnatural and cause inflammation frequently. Moreover, ventilators cannot continuously maintain the needed oxygen level besides the right breathing frequency and volume, especially when our patients briefly go insane due to the medical treatments or the realization of our fetish desires. In these situations where the patients suffer from breathlessness, they recognize their vulnerability and helplessness and that a malfunction of the ventilator could end their lives. And that we have the power to simply turn the machine off to let them die. The dependency on the life support system and our goodwill are permanent sources of stress and fear to our medical slaves. They are living with a constant, exhausting alert in mind, at least if they are awake. However, most uncomfortable for them is the fact that we love to see them exactly suffering from these conditions. Serving as our sexual ICU pleasure toys is the most significant price they have to pay, from a mental point of view.

After years of undergoing medical experiments and serving as a pleasure toy, we will finally reward their involuntary support by eternal salvation. Of course, they don't have the privilege to define that point in time. They are completely and utterly at our mercy, and we usually simply turn the ventilator off and then wait for three minutes until brain death occurs. Then we finally conclude their existence by harvesting those organs not yet damaged by the medical experiments. The mortal remains are then serving as candidates to be placed in a casket to fake another new test subject's funeral.

Five days ago, Claudia was hospitalized due to abdominal pain. Dr. Wheeler examined her, certified a rupture, and ordered surgery. Our secret ICU team checked her background and gave the OK on her conversion due to the worthlessness of her existence. The 27-year-old woman underwent surgery. At the end of the successful procedure, Dr. Wheeler stealthily injected a particular poison through her peripheral venous catheter. Ventricular fibrillation was the result, and resuscitation had to be performed. Claudia was pronounced dead and immediately transferred into our secret basement ICU. Of course, she wasn't actually dead and survived the faked incident. Instead of Claudia, test subject Abby's ventilator was turned off for the final time, and we carried Abby's body to Claudia's grave. Abby served as a test subject and ICU pleasure doll for almost 5 years and 2 months. And a financial contribution of approximately 1.9 million dollars, the money we urgently need to technically upgrade our medical equipment in the emergency rooms.

After Claudia had been moved to her permanent and final new home (ICU room 5, test subject Abby's previous home) and registered as patient #0798 in our patient database, the schedule for her surgical conversion was compiled. Since she had already been intubated and catheterized, there was hardly any work to do on the patient during the next few days. However, the team welcomed her by uncovering her ventilated, nude body to take some "Claudia before her conversion" souvenir photos. We also performed several exciting vaginal check-ups with speculums and cervix dilators right after shaving her genitals. Besides this, we simply enjoyed watching her on life support, intubated and ventilated through a twin hose connected to a high-end intensive care ventilator. Watching her in this helpless situation with her chest synchronously rising to ventilator's assisted breaths, the hisses and puffs, and the little leaps of the ventilator hose convinced everyone on the conversion team to give their best on her surgically performed journey towards her great new, basically remotely controlled future. This morning, we've finished creating the conversion schedule, and therefore, decided to tell her about her new cruel fate, her new life as a medical slave dominated by ICU equipment, nurses, and doctors. Hence, we reduced the administration of sedatives to let her wake up.

ICU nurse Serena had the honor to explain to poor Claudia what her body will be exposed to. Every new patient in this situation reacts with disbelief in the first place. Some then start panicking. This first reaction tells a lot, especially whether we have to adopt profound or only weak measures to break the victim's will. Serena stood next to Claudia's bed and stroked her left hand while Claudia slowly woke up and carefully opened her eyes. Serena opened the very special meeting, a meeting where Claudia could not contribute a word as she was intubated and hooked up to the ventilator.

"Hey Claudia, my darling! Good to see you awake again. I am Serena, your personal intensive care nurse. Don't panic! Everything will be fine. Yes, you are in an ICU. We had to perform a little surgery on your abdomen. Everything worked out perfectly. Dr. Wheeler did an excellent job. The wound, the little scar down there, will heal completely in the next two weeks. Psst! You can't speak at the moment. You are intubated with a cuffed endotracheal tube. That's the plastic tube sticking out of your mouth. It has been placed into your windpipe, and, therefore, the tube traverses your vocal cords so that you cannot speak right now. We must keep you intubated due to the administered sedatives. Look, you can't breathe autonomously at the moment. The ventilator breathes for you. I know it's very uncomfortable to be intubated and silenced by an 8.5 mm plastic tube. However, without that nice little medical tool connecting your body to the high-end ventilator on your left side, well, you would die within minutes."

Claudia was still struggling with the sedatives, but she could follow Serena's medical statements, although the detailed explanations of why Claudia had to stay intubated could have sounded strange to Claudia.

"We also had to insert a 14fr Foley catheter through your urethra into your bladder. That's necessary as we have to perform long-term catheterization, and you will be connected to a urine collection bag from now on. Well, you know, that's the awkward part of the message I'll tell you today. You will stay in our ICU for quite a long time. Frankly speaking, we are talking about a very, very long period of time. Of course, I will tell you the reason for that soon. But first, I want to convince you that we will always care about you. We are good people. All of our staff members work hard to help our patients survive and have a safe and pampered stay without stress or sorrow. The medical equipment inserted into your natural and surgically created openings, plus the connected machines, will force discomfort and pain into you. Eventually, even the most modern medical equipment can only imitate human bodies' natural functions and cannot perfectly replace them. In other words, we will ventilate you, feed you, clean your body. But you will have to get the hang of the pain as we cannot keep you awake while administering painkillers continuously. And it is not an option for us to keep you comatose. Well, now, you might ask yourself: 'Why do I have to stay at this ICU for such a long period?', 'What is the medical reason for all of this?', or 'What has happened to my beautiful female body?' All good questions, darling. I will try to answer them and explain to you why my answers are logical. For us, at least."

"Let's put it this way. Basically, your health state is excellent. If you were a normal patient, we would reduce the administered medicine to zero, extubate you, and discharge you from our hospital. But you are not a normal patient. You have been registered as test subject #0798 in this secret ICU. We aim to create a submissive medical slave based on your medically weakened body absolutely dependent on a large set of medical machinery. You will never breathe, eat, or drink on your own again. And to ensure this cruel fate, we will perform surgeries on you—a lot of surgeries, all targeting the removal of essential body functions. Yes, Claudia, my little darling, you get it right. You will never leave this intensive care unit again. At least alive. And we will remove these essential body functions, mainly to ensure that you cannot resist our will. We can then expose your helpless body to any kind of medical experiment without you being able to oppose our intentions, our medical treatments. Because we will remotely control the medical devices that keep you alive. Devices that substitute your destroyed body functions externally. Therefore, we will surgically create new artificial openings, so-called stomas, to insert plastic tubes and wires into you. Medical interfaces to dominate you. By this, your body will be merged into a human-based machine—a medical cyborg."

"Your conversion into that ventilator-dependent cyborg will start soon. Do you see this nice syringe? It's filled with a novel sedative. It will paralyze your muscles, including your primary and secondary breathing muscles. All within five minutes. And why is this so nice? Because we will then perform the first conversion surgery, a complete diaphragmectomy. This means we will surgically remove your entire diaphragm. Yes, lovely Claudia, test subject #0798, we will deliberately neutralize your mechanical, physical ability to breathe autonomously. Forever. Yes, when you wake up in three days, you will be irreversibly ventilator-dependent for the rest of your non-self-determinant life. A ventilator will pump fresh oxygen into your lungs 15 times a minute, 21600 times a day, forever and ever. And after every supplied breath, we will decide again whether you are still worth it to be kept on life support and hooked up to a ventilator. So, be ready for the end of your present life, for the alteration of your beautiful female body, and for the rebirth as a medical slave dominated by intensive care machines."

Claudia's first reaction was exactly like we had expected. She looked frightened and with disbelief at Serena and the syringe in her hand. Claudia tried to say something and started to scream. However, with the endotracheal tube in her trachea and the cuff inflated, she could only utter some muted noises. Until now, Serena's voice was soft and calm. She changed the tone abruptly and began to sound aggressive.

"You better not try to resist, future medical slave. Do you get it? It is a privilege to serve as a medical test subject embedded into our medical experiments. We will turn your worthless life into something of incredibly high meaning. The truth is, it is an honor for someone like you to move up the ladder from a poor service hotline assistant to a person contributing to mankind's health. Yes, you will suffer, but many will be cured due to your personal, albeit involuntary, sacrifice. Will you be a good girl not opposing the inescapable? Or will you go down the excruciating path, the path surrounded by additional medical torture? It is your choice, object #0798!"

Claudia started to quail. We could see her slowly realizing her fate. Her mimic, the look in her eyes, clearly said: I am going to panic soon. She obviously decided to go the tough, torturous way. It was her free will. Now, she had to bear the consequences of her undiscerning behavior.

"Calm down, Claudia! I must administer the novel sedative through your peripheral venous catheter. The surgeons are already waiting to perform your diaphragmectomy. So, will you keep still now! And don't shake off the ventilator twin hose! You need it to survive, you silly cheeky girl!"

Another nurse entered the room. He assisted Serena in restraining Claudia until the sedative had been administered and had taken full effect. Slowly but surely, Claudia's resistance faded. Ultimately, the sedative had paralyzed #0798 successfully. She was still awake and worried to death. Her look was full of fear.

"Psst, Claudia. Everything will fall into place. We aren't monsters. Of course, we will administer proper medication and anesthetics during the surgery. Don't worry. You won't be awake while your chest gets opened for the surgical procedure to remove your diaphragm. Anyway, you should try to get used to surgical procedures. You will experience a lot of them. You will undergo several ectomies or surgical removals, respectively. Besides the diaphragmectomy, we will extract your uterus, for example. This will reduce the costs of hygiene management, as your menstruation will never happen again. Well, your body will lose its ability to become pregnant afterward. That's for sure. But we haven't designated you for procreation anyway."

"Moreover, we will extract your urethral sphincters to make you irreversibly incontinent. Oops, I forgot to say that we will implant artificial sphincters instead. That's the first medical experiment you'll have to undergo. The artificial sphincter is a medical product under development. Publicly documented medical trials are way too expensive and, therefore, you will have to join the project, and your body is your personal contribution to make the project a story of success. Unfortunately, your urethral sphincters work perfectly, so you are not the right candidate for the experiment yet. But, don't worry. We'll fix that by the ectomy of your internal and external urethral sphincters."

Serena administered a second syringe of the novel sedative. The ventilator was still in a mode to assist Claudia's breathing efforts. Now, with the second syringe administered, the number of breaths triggered by Claudia decreased rapidly. Within two minutes, the ventilator turned from an assisting machine to a machine completely controlling Claudia's breathing. Her breathing muscles had been utterly paralyzed. Now, she was unable to survive without the inserted endotracheal tube, the applied tube holder, the connected breathing hose, and, of course, the ventilator itself. And without our will to keep her on life support. Suddenly, Claudia got tired. She closed her eyes as the sedatives took full effect.

"It's OK, darling. Let the sedatives overpower you. Just go ahead and shake off the stress and discomfort. Let the medication work, and let the ventilator breathe for you. This is your new life. And when you wake up again in approximately three days, I will tell you something about the second type of surgeries we will perform on you: the surgical procedures to create stomas, artificial openings through your skin. You know, little holes in your body to ease your ventilation and nutrition. And to ease the hygiene management. I'm talking about your tracheostomy, gastrostomy, and ileostomy, of course. But for now, have a good medically-induced sleep, my beautiful ICU pleasure doll #0798!"

Claudia couldn't hear the last sentence anymore. She had fallen asleep. From now on, she was completely and utterly at our mercy. The time had come for her first conversion surgery. The surgery to create a life-long ventilator-dependent medical slave based on Claudia's body, a body that had turned into our property.

Serena paged Dr. Wheeler so that the entire ICU could listen to her message: "Dr. Wheeler, Dr. Wheeler. ICU room 5, ICU room 5, please. Patient #0798 is ready for diaphragmectomy in OR 8. I repeat, patient #0798 is ready for diaphragmectomy in OR 8."

Update: 14 Months Later.

Test subject #0798, formerly named Claudia, has already contributed to five medical experiments during her 14 months at our ICU. She indicates the first symptoms of irreversible physical exhaustion. #0798 undergoes dialysis every second day due to double-sided severe kidney damages. 14 months in bed caused muscle atrophy so that she cannot leave her bed on her own. We were extraordinarily successful in breaking down her resistance. Her last act of resistance was almost a year ago, right after we performed her tracheostomy. Altogether, the surgical conversion procedures worked perfectly and delivered the submissive medical slave we were aiming to create based on her female body. It's always a special pleasure to share the bed with her as she accepts her fate completely. Meanwhile, she knows that radiating the willingness to live the role of our medical fetish fantasies' projection surface is the main reason we still keep her on life support.

And she got a new roommate: our former nurse Serena. After six years of working as a first-class nurse, we offered her to switch sides, from a nurse to a patient, a new medical slave. Although she is a switch, her medical fetish was dominated by masochistic ideas over the last few years. She took the offer and was converted into a voluntarily ventilator-dependent patient three months ago. Now, both ladies share the ICU room, both catheterized, drip-fed, and connected to a ventilator via a breathing circuit and a tracheostomy tube. Both intensive care cyborgs have lost self-determination and any rights, and, therefore, their bodies have been turned into our properties. However, Serena is the only one enjoying her dependency on all the medical equipment and the fact that she will never breathe autonomously through her natural airway again. For her, watching Claudia, observing her suffering the medical domination, makes her horny. She is still able to walk and shares the bed with Claudia from time to time. Then our cameras record nice videos of the two ventilated ladies. We particularly enjoy the scenes where Serena's strap-on glides into Claudia's vagina. And the scenes where Serena somehow tries to kiss Claudia's mouth although the tracheostomy tubes and ventilator hoses sticking out of both women's necks block the way. Then, peace and serenity are radiated by a real Beauty Kept on Life Support: Claudia.

Thanks again to @intubatedlover and @hospitalpatient67 for their support in writing this story.

Source: Mexican TV series “Sin tu mirada”, episode 111.

#intubated #intensive care #ventilated #ventilator #tracheostomy #trached #endotracheal tube #medical restraints #medical experimentation

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invasiveventilation · 3 years

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The Needs of the Many Outweigh the Needs of the Few

Occasionally, our "guests" try to resist our medical treatments and experiments even after the lovely arranged surgical body alteration procedures, causing them to be ventilator-dependent for the rest of their lives, have been performed. Although resistance can be life-threatening for them, since, for example, we can switch their life-saving ventilator off, some still do not accept that they must obey our orders. In these rare cases, we have to go one step further—a step that includes an enormously risky surgical action. But it is indeed a worthwhile activity, as non of the resisting patients has ever opposed us again after this step had been conducted successfully.

Of course, we are talking about a neurosurgical intervention that irretrievably neutralizes the patients' self-awareness. In other words, we erase the resisting patient's personality, the individual's free will by performing a neurosurgical brain modification. To achieve this, surgeons performed a procedure called a lobotomy till the late 1970s. It was a cruel procedure with often unknown, unpredictable, and undesirable side effects. It was more a butcher's job than the precise work surgeons are performing nowadays.

From a scientific perspective, the doctors at our institute have studied the human brain's functionality like any other institute before because they always have unrestricted access to new test subjects. As a result of this, they gathered excellent knowledge about surgically deactivating specific brain regions without being too harmful to the patient, without destroying other functions besides the one they want to neutralize. Above, a set of pictures is given, showing a 30-year-old female patient, intubated and ventilated, shortly before and after our neurosurgical team performed the personality neutralization surgery on her. A short video snippet is displayed as well, just minutes before her ultimate objectification.

As predicted, she has never been defiant afterward again. She can be so proud of what she has achieved since her personality neutralization! She is contributing to mankind's further development. Yes, we have forced her out of her former, petty life. And, yes, our surgical intervention was clearly directed against her will. However, the result, having created an exploitable test subject for medical experiments, although being mentally limp and vacant now, simply has proven our radical surgical corrective activity justifiable. Because it's all about the improvement of human medicine. And, in the end, even more important, it's about the progress of mankind. Or, as a great philosopher once said, "Logic clearly dictates that the needs of the many outweigh the needs of the few." "Or the one," his friend responded.

Source: YouTube

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#intubated #ventilator #ventilated #surgery

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invasiveventilation · 3 years

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The Hollister AnchorFast Guard Endotracheal Tube Holder

Being dependent on sustained ventilation as an involuntary test subject in our secret ICU is the ultimate measure of suppressing our patients' will. Due to the obligatory diaphragmectomy, non of our "guests" will ever be able to breathe autonomously again. Therefore they are forced to be hooked up to a ventilator 24/7. Years of ventilation make tracheostomy inevitable sooner or later. However, throughout the early stay at our secret ICU, we often keep our new patients intubated with an endotracheal tube in place. This state can hold up to six months in the treatment, although we know that the vocal cords and the upper airway can be damaged severely due to the plastic foreign body's impact that cannot be accepted by the human body in the long term. The probability awake patients try to resist the breathing tube in their mouth increases significantly over time. They try to bite the tube or pull it out even though we administer pain killers and slight sedatives to oppress this reaction.

To ensure continuous ventilation, we secure the breathing tubes with tube holders with built-in bite blocks. Furthermore, the patients' arms and wrists are restrained to their beds. By this, we force them to accept the endotracheal tube down the windpipe and the ventilation regimen of the connected ventilator. Although this state leads to significant suffering for our patients, we love to watch them not being able to speak, swallow, and, of course, breathe.

One of the most excellent endotracheal tube holders is the Hollister AnchorFast Guard fastener. From a fetishistic point of view, I prefer the blue Thomas tube holder. However, the AnchorFast product series has a significant advantage in long-term ventilation with endotracheal tubes in intensive care: the tube holder is secured by additional adhesive surfaces to attach the holder to the patient's cheeks skin. This allows for the exact positioning of the endotracheal tube and enables a more advanced level of securing the breathing tube, disabling the patient to resist the tube. Replacing this excellent medical product twice a week will ensure that sweat cannot dissolve the glue and reduce accidental extubation risk. I think as we have altered our "guests" surgically to create life-long ventilator-dependent objects, it is our duty to supply them with this type of modern medical equipment, to guarantee a very, very long life, although we will exploit their bodies as medical test subjects and use them as ICU pleasure toys frequently. What do you think?

Source: YouTube

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#intubation #intubated #endotracheal tube #ventilated #ventilator #tube holder

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invasiveventilation · 3 years

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Beauties Kept on Life Support, Episode 4: Jessica

Some of our illegal medical experiments can only be conducted on perfectly healthy clients, not on those in an emergency situation or with preexisting conditions. Accordingly, those clients cannot be "released" by our emergency response team by merely pronouncing them brain dead and transferring them into our secret ICU in the basement. Instead of the default procedure, this type of client is captured outside the hospital by our paramedic teams in faked emergency situations. Our latest patient, Jessica, has been picked up that way.

Two weeks ago, a new neighbor moved into the apartment across the floor. She was knocking on my door to introduce herself: "Hello, my name is Jessica. I'm your new neighbor. Sorry for disturbing you, but can you lend me a drilling machine? I wanna attach a small shelf to a wall."

I was astonished by her extraordinary beauty even though she was only dressed in blue workwear. Jessica's breasts were perfectly shaped, blousy, but not too big. She was thin, athletic, and looked healthy. She was one of those beauties we were always looking for—an attractive candidate suitable for conversion into a ventilator-dependent female patient, healthy enough to survive all the life-changing surgeries. Of course, she would become an involuntary patient who is life-longly treated with illegal medical experiments. And she would be the victim. A healthy victim, at least, until the first treatments and surgeries would have been performed. I decided to check her personal and medical background, to see whether she could be an actual candidate for our secret ICU. And to discuss her case with Dr. Wheeler.

"Yes, of course! I'll give you my drilling machine. If you want, I can help you build the shelf and the other furniture."

"Oh, you're so kind. You know, I'm moving in alone. Thus, someone helping me assemble my furniture would be great. Do you wanna have a cup of coffee or tea?"

Two weeks later, this morning, it was time to capture our future intensive care pleasure toy. A special paramedic team was prepared to fake a severe domestic accident and deliver her to our hospital. They just waited for my emergency call to take action. Dr. Wheeler was enthusiastic about our future guest. She was the cash cow we were looking for a while. The background check had shown that she was indeed healthy. Not a single hospitalization had ever been recorded. She did a lot of sport and was a member of a gym. Fortunately, she was 25 years old and single. Both parents were already dead so that her disappearance wouldn't cause any annoying questions by relatives. During the last two weeks, I had helped her to arrange her apartment occasionally. She was happy to come across a good neighborhood. She couldn't know that my thoughts were evil-minded. Therefore, she opened her door this morning without anticipating the danger coming from me and the little syringe that I wanted to administer into her neck.

She opened the door and asked me to come in for a drink. Jessica was dressed up in a lovely pink skirt. My thoughts drifted away for a moment. In my mind's eye, I already saw blonde-haired Jessica as a ventilator-dependent woman with a tracheostomy tube sticking out of her neck and a breathing hose connecting her to an intensive care ventilator. Her body incorporated into high-end medical machinery, unable to breathe on her own, unable to escape the cruel fate we'd arranged for her. I was aroused by the imagination of her being absolutely helpless, not being able to resist her surgical conversion program. I focussed in on her again, took the syringe, and inserted it into her neck when she turned her back on me. She was scared witless and looked at me in disbelief. She touched her neck at the injection site. Just before she could say anything, the administered drug kicked in. Her pupils opened up widely, and she collapsed within seconds.

The drug was powerful. The widely opened pupils testified that her brain was basically switched off, disabled to recognize anything happening around her. I immediately called the ambulance since I knew that the drug would paralyze her entire respiratory system within five minutes. Our special paramedic team arrived in time with the equipment needed to keep her alive. I intubated her with an 8.5 mm endotracheal tube, secured the tube with a blue Thomas tube holder, and hooked her up to a transport ventilator. Meanwhile, the paramedics had immobilized her with a Lifeguard head immobilizer and strapped her body on a spineboard. A peripheral venous catheter was inserted to administer her with a strong sedative. Under the influence of such potent medication, she wasn't fighting the ventilator and the endotracheal tube even though we hadn't supplied her with any local anesthetics like Lidocaine. Now, with her drug-induced paralyzation, she was completely and utterly at our mercy. She was obviously unable to resist the treatments we'd planned for her.

Our paramedic team transferred her to the hospital, where Dr. Wheeler had no other choice but to pronounce her dead. The death certificate was filled with the death reason "Sudden death after brain hemorrhage due to inherent vascular deformity. Hemorrhage triggered by accidental fall off a ladder."

On the way to the morgue, her body was replaced by another deceased female test subject. This other test subject had been disconnected from the ventilator since she was no longer exploitable by illegal medical experiments after being kept on life support for nearly five years and already suffering from severe organ damage. I personally welcomed Jessica at her new home at our secret ICU only three hours after the induced collapse. I administered her an antidote to ramp up her brain activity again. However, the drugs weakened her body significantly so that she was still unable to open her eyes. But she was able to hear us and could follow our explanations.

"Hey, Jessica. It's me, your neighbor. If you can hear me, raise your hand a bit. Great! Look, you can't speak at the moment since we had to intubate you. And you are hooked up to a ventilator that is breathing for you. I guess you remember I inserted a syringe into your neck. Quite frankly, that was not a nice thing. But, you know, two weeks ago, after I'd met you for the first time, I decided that you are the perfect candidate for our conversion program. And we are talking about a surgical body conversion into a life-long ventilator-dependent patient. I know I cheated you by playing the role of the helpful neighbor. In fact, my only objective was to lull you into a false sense of security. Just to capture you, to hospitalize you, to perform a set of life-changing surgeries that will destroy your self-determined life, a life lost forever. Anyway, your perfectly healthy body will make us rich. Yes, that's true! You will undergo a medical experiment, a life-threatening neurosurgical procedure that will result in the implantation of a high-end neural implant. Your medical torture will bring us millions of dollars."

"But frankly, designing medical products is just a means to an end. We simply need the money to run this secret ICU. In fact, it's all about you, my blonde angel, or more precisely, it's about enjoying the spectacle of seeing you suffering from medical treatments and surgical procedures. And these procedures will be performed on your body, totally ignoring your will. You will try to resist, but there is no way out because your life is utterly under our control. We have the power to switch your life support systems off, and therefore, to take your life whenever we want. Suppose you're a good girl, accepting the artificially conducted helplessness of your surgically mutilated body. In that case, we keep you alive, ventilated, fed by feeding pumps, catheterized to relieve you from peeing. Well, you wonder why we enjoy all of this?"

"The reason for that is our deep medical fetish. Yes, it's a profound sexual desire to expose you to medical treatments that left you behind in an unviable state. We enjoy the fantasy of converting our involuntary clients into life-long ventilator-dependent patients by surgically destroying essential body functions. Functions, we just restore by machines connected to those dysfunctional patients. And we will play out these medical fetish fantasies on your body, my darling. Yes, indeed, basically, you are our slave now, and we treat you as an object. But you can have a pretty comfortable life if you obey our orders and you are willing to accept that we own your body. You must know, surgeries and medical experiments are a significant part of your life from now on. It can be reasonably comfortable because we will administer profound anesthetics during your surgeries, given that you are a good girl, of course. But if you decide to be the bad girl, you know, we always win out at the end. Believe me, resistance against our treatments would be too painful."

"There is another thing I should tell you. I will share the bed with you soon. I will let my penis glide into your vagina to fuck your ventilator-dependent body. Our first intimate togetherness, and your first intensive care unit fuck. You know, it is a sort of exam. I will see how you've decided: good girl, bad girl. If you spread your legs voluntarily, I promise, everything will turn to its best. I mean the best possible considering the odd conditions an intensive care patient in your position can experience. I know the image of your future is nightmarish. But we must ignore your needs, worries, and your will because we want to experience this extraordinary kind of enjoyment. Plus, we simply need to earn money."

Jessica completely freaked out over the dangerous surgeries and the intimate togetherness I announced. Although her eyes were still closed, she started to fight the ventilator and the endotracheal tube placed into her windpipe. But, as I advised her, Jessica couldn't win that fight. The ventilator hose remained connected to the endotracheal tube and the ventilator, although she tried hard to shake it off. Finally, she calmed down again. Only the frequent ventilator hisses and puffs interrupted the silence of her ICU room. I could see her breaking out into tears. Right at that moment, she realized her hopeless situation.

"OK, Jessica. It's good to calm down now. I will tell you about your first medical experiment. It's a neurosurgical experiment only feasible on perfectly healthy patients like you. And not on patients that have finished their conversion as their diaphragm has already been surgically removed. We will place electrodes into the lower part of your brainstem. The goal is to disable all functionalities of the respiratory center. If we are successful, you neither can breathe in nor breathe out any longer. And the reason is that the electrodes and the pacemaker placed into your skull let you forget how to breathe. Hence, all breathing muscles will be paralyzed. And after half a year of being unaware of how to breathe, even the best ventilator weaning program will not let you remember how to fill your lungs with air. But suppose the surgery is a failure. In that case, you'll probably die due to irreversible damage to the most essential brain regions. It's a risk we accept and a risk you have to accept whether you like it or not. However, if the surgery runs smoothly, we will immediately start to produce these new types of electrodes and pacemakers. We'll sell them to customers worldwide to treat Parkinson's disease or tremors with a precision the world hasn't experienced yet. You see, your commitment to this medical experiment is worth a mint."

Two hours later, Jessica had already been moved to OR 8 for neurological surgery. She was anesthetized with a novel medication that allowed her to sleep without her muscles being too much relaxed. In other words, she was sedated, but her breathing muscles were still active. Accordingly, the ventilator breathing mode was set to solely supporting her spontaneous breaths, not enforcing additional machine-triggered breaths. Of course, her body was monitored in detail throughout the surgery.

The surgeons drilled a hole into her skull and started to insert the electrodes into her brain stem. The surgery was long-planned so that the surgeons could finish their work in less than an hour. Eight electrodes had been inserted at precisely pre-calculated positions.

The surgeon explained the next steps: "OK, we are ready to turn the brain stimulator on. There is a 20 percent risk that she will go into full cardiac arrest or that severe brain damage could lead to her immediate death. However, if we've performed the electrode placement correctly, she will stop spontaneous breathing. Perhaps, we will observe a few seconds of diaphragm spasm. But don't worry. It's an expected body behavior after losing control over her breathing muscles. Since we have oxygenated her with 100 percent oxygen, we can halt and will halt her ventilation for two minutes without the risk of damaging her brain. With the deactivated brain stimulator and the ventilator not supporting any breathing efforts, her body would gasp for air after a few seconds. She would even try to breathe in panic after 60 seconds. However, with the brain pacemaker on, we will observe a significant drop in the oxygen level, without her doing anything against the life-threatening situation. The breathing center is switched off, including her brain's ability to measure the CO2 and O2 levels, respectively. She would simply die in peace because she cannot recognize her blood's low oxygen level any longer. After a minute, we will switch the pacemaker off again. Her body will immediately start to gasp for air. It will be a horrific moment for her, even though she is unconscious. The heartbeat will increase rapidly, but only for the 15 seconds, the pacemaker has been turned off. It's enough time to breathe five or even six times, and the ventilator will assist her. After switching the stimulator on again, she will calm down again, and her diaphragm will slack off forever. From that point on, we consider her breathing muscles as absolutely useless since she will never control them again. Muscle wastage will ensure that ventilator weaning will become impossible after three months. She will be the life-long ventilator-dependent woman we've wanted to create. After two minutes in total, the ventilator will automatically adjust its breathing mode to volume-controlled ventilation. The entire breathing work is then provided by the ventilator only. We will finalize the surgery by shaping a little notch into her skull to safely store the pacemaker under her scalp. And if I am well-informed, will you then perform tracheostomy?"

Yes, exactly, her tracheostomy was scheduled next. Everything worked out as expected. After the brain pacemaker had been turned on, her chest twitched due to the short diaphragm spasm. The surgeons started the two-minute countdown while I observed her defenseless body, a body that was now utterly dependent on mechanical ventilation. After 60 seconds, they switched the pacemaker off. I could see her body shaking and gasping for air due to the low oxygen level. The ventilator assisted her breaths for 15 seconds until the brain pacemaker was turned on again, and she calmed down again. The oxygen level dropped, but nevertheless, she wasn't trying to breathe. After two minutes into the test treatment, the ventilator adjusted the breathing mode to volume-controlled. The ventilator, the endotracheal tube, the ventilator hose, and the tube holder took on their essential role: to keep Jessica's beautiful, ventilator-dependent body alive. For the rest of her life. As a ventilator-dependent woman, she could now serve us as our latest ICU pleasure toy. And there was absolutely nothing she could do to oppose this new, cruel reality. She was at our mercy in all respects.

Another surgical team took over to perform her tracheostomy. To not risk wound healing, we kept her comatose throughout the next five days. Although I was aroused by watching her helpless body, kept on life support, and connected to the ventilator, I'd decided to wait for intimate intercourse until the surgical removal of her fertility by supracervical hysterectomy, a default conversion surgery for female clients. Instead, I was just sitting at her bed for hours, watching the smooth leaps of the ventilator circuit and listening to her ventilator's hisses and puffs. She radiated peace and serenity and seemed more like a machine than a human being. Like clockwork, the ventilator pumped fresh air through the twin hose into her lungs, 15 times a minute, 21600 times a day. And not once did she try to breathe autonomously.

Meanwhile, I frequently cleaned her body, replaced the catheter when needed, shaved her genital region as preparation for future enjoyments, kissed and stroked her. The fact that she obviously would disagree with all the treatments, and even try to resist if she were conscious, stimulated my imagination. How would she react after learning about the upcoming procedures of her surgical conversion?

Finally, we'd decided to wake her up. We reduced the amount of administered sedatives. Moreover, we fastened medical restraints at her wrists and legs so that she couldn't do any stupid things like disconnecting herself from the ventilator, for example. Furthermore, the replacement of the white tracheostomy tube that the surgeons had inserted during the tracheostomy surgery had to be substituted by a long-term tube with an inner and outer cannula. With those tracheostomy tubes, the replacement interval can be extended to up to four weeks for the outer, more expensive cannula. The inner cannula has to be replaced every week when suctioning is performed twice a day at least. By this, we could limit the material costs for tracheostomy tubes to approximately $2,500 a year per captive, trached, ventilated ICU patient.

As usual, the tracheostomy tube replacement was an exciting event. Watching Jessica's surgically created, non-natural hole in her neck was bizarrely beautiful. Its existence made clear she couldn't survive without a tracheostomy tube, that she would die without a connected ventilator breathing for her. The new artificial airway, via the plastic tubes into her lungs, transported the air to keep her alive and withdraw her ability to live a self-determined life. This particular medical arrangement destroyed her future plannings and lifetime dreams, just to replace them with our medical treatment plannings and fetish dreams.

She woke up just a few minutes after the replacement. This time, she could open her eyes. She tried to realize her situation. She wanted to touch the ventilator hose and the tracheostomy tube, presumably due to the intense irritation in her windpipe caused by the tube's inflated cuff.

"Hey, Jessica! Welcome back, my ventilated darling. Psst, don't try to speak. You can't. You can no longer breathe on your own, eat and drink, and yes, you will never urinate manageably again. At least without a Foley catheter placed into your bladder, inserted through your urethra. But honestly, I only see advantages in your situation. We will care about you around the clock; you don't have to do anything, absolutely nothing. I mean, yes, of course, your previous life came to an abrupt end. From now on, your life is dominated by medical machines in this perfect ICU environment, and you will never leave this hospital again. But, don't worry, we will pay all the invoices related to keeping you alive. The food is free, the ventilation, the surgeries, absolutely everything, my gorgeous blonde sweetheart. However, it's an essential part of your new reality to contribute to our deal. You have to expose your body to the medical treatments and experiments we've planned for you. Of course, without objecting to our orders and without annoying resistance. Then, I guarantee, you will experience a very long and secure ICU stay as a Beauty Kept on Life Support, Jessica."

Thanks to @intubatedlover and @hospitalpatient67 for their support in writing this story. I really enjoy developing and writing stories together with you guys.

Sources:

German TV series “Falkenberg - Mord im Internat?”, season 1, episode 6

German TV series “In aller Freundschaft - Die jungen Ärzte”, episode 87

US TV series “American Crime”, season 1, episode 4.

#intubated #intubation #endotracheal tube #trached #tracheostomy #medical restraints #ventilated #ventilator #tube holder

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