M wheeled into the isolation area with a cart of items that would be used for the IV. She was also dressed in a pink isolation gown, pink bouffant, pink surgical mask, pink scrubs, pink flats, and of course the long pink latex gloves that P also adorned. She then took a rubber strap off of the cart and managed to tie it around R’s arm. Slowly the veins In R’s entire arm became easily visible. She then took a pair of forceps with a cotton swab dipped in iodine and cleaned off the back of R’s hand where the IV was to be placed. After this was clean she grabbed the IV needle and delicately inserted it into one of the veins that were visible. One it was in all the way she grabbed a piece of tape and taped it down so it would not come loose. She then grabbed the IV tubing that was hanging from the IV rack on the side of R’s gurney and attached it to the IV port. Once she had taped the tubing down to make sure R wouldn’t be able to get it off she hooked the tubing up to the IV bag that was on the rack. The cold solution started to drip and went through the tubing into R’s arm. He felt a cold sensation as the IV worked its way up his arm. M then grabbed a syringe filled with a blue liquid off of her cart and placed it in the IV tube and pushed the fluid into R’s arm. By this point R had gotten very sleepy thanks to the anesthesia that P had been pumping into him via the ventilator, and now the blue liquid that M had inserted into his vein made him unconscious. At this point P began to remove the mask and tube that was being used for R to breath. She promptly strapped an anesthesia mask to his face so the machine could still breathe for him. P asked M to go get the intubation cart for her. While M left the isolation area to retrieve the cart P studied the monitors to make sure R was still stable. M now wheeled in a new cart bearing various intubation items. P now removed the mask and took the laryngoscope from M and started to slowly curl it down R’s throat. Then M passed her the ET tube which she then slid down the laryngoscope into place. She pulled the laryngoscope out and as M filled the tube’s cuff with a syringe she pulled the wire out from the tube. M then handed P the ambu bag that she had used earlier and attached it to the tube. M and P watched the monitors closely as P slowly squeezed the bag making R’s chest rise and fall once again. Once they were satisfied with the placement of the tube, P disconnected the ambu bag and M put the tube holder onto R. Its rigid plastic surrounded the tube and conformed to the area around R’s mouth, she then routed the rubber strap underneath R’s head and fastened it to each side of the tube holder. Now P was able to attach the ventilator tubing once again and R began inhaling the anesthesia once gain as the machine pushed it into his lungs. His life now depended upon a single tube in his throat. P and M now deemed that he was stable to transport to the operating room. They slowly unhooked R from the monitors< shutting them off so they would not raise an alarm. The last machine that was unhooked was the ventilator. P promptly attached the ambu bag to the ET tube once again and controlled R’s breathing with each squeeze. M now released the brake on the gurney and they slowly wheeled him out of the isolation area. They made a left and went through a set of double doors that R had not noticed previously. This led them down a hallway with few rooms leading off of it. Finally at the end of the hallway they wheeled him through a set of swinging doors that led them into a magnificently blue operating room. The operating room almost glimmered with its sterility. Without skipping a beat they wheeled him right beside the blue vinyl operating table and started to undo the restraints that were once holding R against his will. They were not doing anything now that R was unconscious and under the control of P and M.
Thursday, 21 July 2011
P had brought her boyfriend, R, up to her cottage for a couple weeks. P had told R that she suffered from sleep apnea and had to sleep with a BIPAP machine every night. P asked R if he wanted to experience it for a night, being the caring man he was he accepted the offer. P told him that she would conduct a sleep study on him at the same time, since he had complained about some poor sleep habits previously. R asked her how she would do such a thing and P told him to follow her to the lower level. When R got down stairs he saw what looked like a hospital room. There was a gurney, ventilator, several monitoring machines and various other assorted medical paraphernalia. Yet there was something wrong with the setting, there was some kind of isolating plastic barrier around the medical area. P asked him why she had this and she replied that she used it for some medical photography that she does every so often. He then asked her why the plastic barrier surrounded it and she said it was for her last photo shoot. P said that it was getting late and that he should get ready for sleep. She directed him to a room off to the side and he went in. Inside he found a plastic gown, some plastic underpants and a pair of spandex socks. First he stripped off all of his other clothes. Then he pulled on the tight fitting clear plastic underpants. Then he pulled on the transparent gown, hearing the ruffling of the plastic as he pulled it on. Then tying the straps on the back. He then pulled on the blue spandex socks. He then exited the room to find P was inside the plastic barrier, dressed in a pink isolation gown, pink bouffant cap, pink scrubs, pink flats, long pink latex gloves and a pink surgical mask. He asked her why she had to dress in such attire, and she replied to maintain the sterility of the room. She explained that it was to ensure accurate results from the sleep study. R trusted her clinical background but asked why he needed to wear the transparent underpants and gown, she just replied that it was for her own fun, laughing after she finished the sentence. P now told him to get into the area so she could connect him to the monitoring equipment. He entered the area and laid on the gurney that was bearing several canvas restraints that P had obviously put on. She stated that he was to be restrained so that she couldn’t knock off any of the monitoring equipment she attached to him. P then told him to sit up so she could pull off the gown to attach the electrodes. He sat up as she said and she untied the plastic straps holding the gown together, pulling it off of R once she was done. She then handed him a pink latex swim cap. He asked why he needed to wear it and she said just to do so, he listened and pulled it on, letting it snap into place. Afterwards he lay back down on the gurney. P pulled up a cart that had several electrodes on it and started to place them on R chest and abdomen 1 by 1. Once she was done this she grabbed a cervical collar and slowly placed it underneath R’s neck, and then pulling it together and fastening the straps. She asked him if he could move his neck and he replied no. She now started to fasten R to the gurney using the canvas restraints that were already partially attached to the gurney. First she tightened the cuffs around his ankles then laying a strap across R’s thighs and then tightening it. Next she placed his wrists in the cuffs at his sides and pulled them tight. At this point she wheeled the monitoring equipment closer to the bed and started to attach the leads to the multiple electrodes that were covering R. One she had them all attached, placed a BP cuff around his upper arm and placed a pulse oximeter clip on one of his fingers, she placed part of a body harness on his chest. She pulled a strap from between R’s legs and attached it to the harness. Next pulling straps from the head of the gurney across his shoulders and pulling them tight. Then she pulled one from each side of his abdomen and clipped them on to the canvas harness. The last straps that were attached to the chest harness went from the side of the gurney, across each elbow and then clipped to the harness. Now she said to R that she was now going to place the breathing apparatus into his mouth. She pulled up another cart containing a flexible airway, mouth piece, foam head strap and an ambu bag. She pulled R’s mouth open and slowly inserted the flexible airway, once it was in far enough she rotated it to set it in place. Next she grabbed the mouth piece and pulled his lips up on the one side, slipping in part of the mouthpiece simultaneously. She then pulled up the other side of his mouth and wedged the other half in. She played with a bit to let it slide into its proper place behind his lips. Now she grabbed the head harness, first pushing the tube from the mouthpiece through the hole in the thick foam face piece on the harness. Once this was complete she pulled the one strap behind R’s neck and velcroed it to its respective part on the other side of the head piece. She then pulled the second strap around the upper back of his head and velcroed it in place as well. This pulled the thick foam up into R’s nose, sealing it off. Now the only way R could breathe was through the part of the mouthpiece that was sticking out. P grabbed the ambu bag and attached it to the tube. She squeezed it and R’s chest rose and fell in sequence, none of the monitors made any alarms so she knew that it was inserted correctly. She now pulled the last canvas strap over R’s forehead and fastened it tight. R was now completely immobile strapped to the gurney and in P’s total control. She then attached the ventilator tubing from the anesthesia ventilator to the tube that was sticking out of R’s mouth. His heart rate spiked and P knew it was because he was being hooked up to a ventilator, not a BIPAP machine as he had expected. She told him that it was going to be ok, that he needed to be put under anesthesia for a surgery. He tried to hold his breath from breathing in the gases but P had turned on mechanical ventilation and he was soon forced by the machine to breath in the noxious gases. P now called for M to come in and place the IV. R now gave the restraints a good test as he desperately tried to escape from the gurney with no success.
J shows up to clinic dressed in a beautiful blue satin strapless ball gown with satin elbow length gloves. As she walks in there is a sign saying please put one of these on with an arrow pointing down to some full face respirators. She picks one up and places it over her face and pulls the straps tight. Now each breath is now muffled with the respirator filtering the air. She walks in to see P dressed in pink scrubs, an isolation gown, long gloves and a full face respirator as well. P tells J that they need to be careful about infection and for J to follow her to the preparation room. Once inside the room P tells J that she is safe to take off her Respirator. J asks P why she isn’t taking of hers and she tells J that she is just being safe in case she had any illness. P checks her vitals such as blood pressure and heart rate. P tells J that she is going to go consult with K on the procedure ahead and that in the mean time she change from her formal gown into some patient attire. J slowly pulls off the long satin gloves one at a time and places them on a side table. She then undoes the silk lace at the back of her dress and slowly pulls it off. She lays it neatly on the side table, after she undoes the clasp on the back of her bra and takes it off. Next she pulls off her underwear in its silk beauty. Now she puts on a pair of pink PVC underpants and fastens the clips on the sides. Now she pulls on the hot pink gown over her breasts and ties the neck and then the waist strap. Her breasts have real definition with the addition of this plastic gown now covering her front. Next she sits on the gurney and pulls on some pink spandex socks that reach halfway up the shin. P now returns with a satin pink bouffant cap and asks J to put it on. She receives it from P and stretches it over her head and then lets it snap into place containing all of her hair. J asks P why all the attire is pink and P replies saying because they know that the equipment and patients are theirs. P then tells J that she is in for a long procedure and that it would be best if she laid down on the gurney next to her so she could take to the operating room. J reluctantly climbed on to the gurney and laid down with her arms at her sides while P was preparing to wheel her into the OR. She fist pulled on a bouffant cap in the same fashion as J had, her hair completely filling the cap. She then pulled out a white surgical mask and tied it on to her beautiful face compressing the bouffant as she tied it. Last she pulled on a pair of pink long cuff latex gloves letting them snap into place. She then walked over to J quietly in her shiny pink flats. She asked her if she was ready to undergo the procedure and J replied that she had been looking forward to it for a long time. P then pulled some vinyl straps over J’s leg and she questioned this and P replied that it was so she wouldn’t fall off on the way to the Operating room. Comforted by this answer J relaxes as P pulls more pink vinyl straps over her thighs, stomach and chest and fastened them tight. She asked J if she could try to slide off and J replied that she was completely immobile as she struggled to get free. She then relaxed as P released the brake on the gurney and started to wheel her towards the OR. P pushed J’s gurney through the door into the bright pink Operating Room. K was waiting already dressed for the operation in a white transparent bouffant cap and surgical mask tied on compressing her hair as it had P’s. She wore a blue surgical gown with surgical gloves. J glanced around as much as she could being strapped down to the gurney and saw various machines including an anesthesia ventilator with a mask already attached to the ventilator tubing. She asked why the ventilator was needed because she wasn’t supposed to be put under. K replied that she was indeed to be put under due to the pain the procedure might cause and that she will need the machine to breath for her after the surgery as well. Slightly discomforted by the thought J wriggled a bit on the gurney but to no avail she was still strapped on tight. P told her that it was going to be fine that being forced to breath by a machine will be helpful for her afterwards. P pulled the gurney up beside the shiny hot pink operating table and undid the straps that were restraining J. J took a deep breath as K and P moved her over onto the table. At this point P went over to the sink to scrub up for the operation. K attached arm boards to the operating table as well as gyno stirrups. J asked why they needed the stirrups as K proceeded to remove her plastic gown. K replied saying that they needed them so they could place the catheter because she was going to be unable to move from a bed for several days. J seemed ok with this as K placed a high flow oxygen mask on her face and placed the strap behind her head. K then proceeded to start strapping J down but, J was unaware that she needed to be strapped down since the table wasn’t moving and she was going to be put under. J assured her that it was necessary for safety purposes. J again relaxed as K placed the straps over her and tightened them. J was starting to feel exposed as K had put 3 vinyl straps over each arm tightly with the arm boards 90 degrees to the table. K then strapped a cervical collar around her neck and asked J if she could move her neck, she replied no, muffled by the oxygen mask covering her mouth and nose. K said that they needed to be sure that she wouldn’t be able to move the ET tube once she was intubated. K tightened straps above and below her breasts and across her stomach and hips. She then lifted each leg one at a time and placed it around the knee support of the gyno stirrup and into the pink vinyl boot. She then laid the vinyl cushion over J’s foot and shin and tightened the straps. J was almost completely restrained as K put the straps above and below J’s knee on the knee support. The last strap was tightened over J’s forehead after she removed the oxygen mask and placed an anesthesia mask harness and ET tube holder strap underneath her head. At this point K went over to P and helped her pull on the surgical gown and a pair of latex surgical gloves. P came back over to P and asked if she was ready, J said that she was feeling very uncomfortable being so exposed and helpless feeling and that she wanted to stop. K told her that it was too late for that, that she was legally in the possession of her and P.
J tried to yell out as P had gotten an oral retractor and placed it in J’s mouth and cranked it open. K then handed P an emergency airway and she slowly placed down J’s throat. P pulled the retractor out and J tried to push the airway out with her tongue but P was holding it down as K handed her the large anesthesia mask. J was struggling with all her might but all the restraints were stopping her from moving a millimeter. P pulled her hand out as she placed the anesthesia mask over J’s face stopping her from pushing the airway out and forcing her to breathe through it. P used the 4 point harness that K had placed under J’s head and tightly fastened the mask over J’s face, squeezing the plastic rim against her face. The rebreather bag inflated and deflated very rapidly as J was now hyper ventilating. K and P were not concerned by this as J was breathing in only oxygen at this point. While P placed EKG electrodes on J’s chest, K was placing an IV in J’s left arm. J couldn’t move her arm at all thanks to the restraints K had placed on her earlier. K then proceeded to place a second IV in J’s right arm to ensure she was receiving enough fluids. P had attached the leads to the electrodes and put a Blood Pressure cuff around one of J’s arms and put a pulse oximeter on her finger. Once all this was hooked up the machines began to beep as they were finding J’s baseline vitals as she had started to calm down understanding that she was completely helpless, only wearing a Bouffant, socks and plastic underwear that was surely to be taken off soon. K said it was now time to intubate her, J’s heart rate spiked almost immediately, panicking that she was to be intubated while awake. P undid the straps of the mask as K pulled up a tray with various items needed for the intubation. Another oral retractor was placed in J’s mouth by K, as P pulled out the airway making J gag. J was too overcome to even try and make a sound as she knew she was completely helpless. K cranked J’s mouth wide open as P prepared the Fiber optic laryngoscope and ET tube that would be used for the intubation. P slowly lowered the laryngoscope down J’s throat peering through the eyepiece. Once she had gotten the tube to the required destination she then had K hold the ET tube as she pulled the scope out. They could hear J was hyperventilating through the tube again. As P removed the mask from the ventilator tubing for J to breathe properly, K attached the ET tube holder to the ET tube and pulled the rubber strap from behind J’s head and fastened it to each side of the tube holder. This pulled the bouffant tight behind J’s head showing how thick her hair was underneath it. P then attached the ventilator tubing to the ET tube and the rebreather bag did as it had before because J was still hyperventilating. The beeping from the heart rate monitor sped up more and more, so K set the anesthesia machine to mechanical ventilation. They now had complete control of J, as her chest rose and fell with each inhale and exhale the ventilator produced. J now knew for sure that she was in for the ride of her life hearing the whoosh of the ventilator that was breathing for her and the other various sounds that the equipment that she was hooked up to made.
Before P and K could begin the procedure they had to catheterize J. They rolled over a tray with several sterile drapes on it. K grabbed the first one and freed it from its packaging. She then handed one side over to P as they brought it over the stirrups and laid it across J’s chest, still rising and falling with each breath from the ventilator. They clamped the upper corners to the drape supports on each side of the table. There was now a barrier between J and the procedure that was to take place. Next both K and P grabbed a stirrup drape that they unfolded and placed over each both legs that were restrained by the stirrups. P then grabbed a specialty drape that had a hole in it to expose J’s vagina only. As P unpackaged the drape K undid the clips on either side of J’s underwear and pulled the plastic underpants off of J exposing her vagina to the cool air of the operating room. As the underpants were pulled off J’s heart rate spiked for a moment as she had indeed been taken surprise by the cold air meeting her warm crotch area. P peeled the tape covering the sticky portion around the hole of the sterile drape. As K controlled the rest of the drape P put the drape in place, pressing it firmly in place. J was now completely covered in sterile drapes from view at the base of the operating table except for her vagina. P now assisted K in putting on a second set of sterile gloves. This set was a thick blue latex material. P, having sterile gloves on, was able to grab the gloves on at a time and stretch them open as K shoved her hand in each one. Pulling the latex tight around her hands and making a snap noise as P let go. P rolled up another tray with a catheterization kit and various instruments as well. K first grabbed the vaginal spreader and placed it inside J’s vagina. She then cranked the handle forcing J’s vagina wide open. P meanwhile had opened the kit and pulled out the Foley catheter and filled the syringe with saline. K then grabbed some cotton balls with a pair of forceps and dipped them in Iodine. She then rubbed the iodine covered cotton in J’s vagina to sterilize her for the catheter to avoid infection. After she was done that, P handed her the catheter. She then slowly inserted it carefully into J’s vagina. Stopping once she saw urine starting to flow into the catheter. She then took the syringe from P and slowly filled the Foley ball that was now inside of J. P was now preparing the tubing and urine bag for attachment to the catheter. K now detached the syringe and tugged slightly on the catheter to make sure it was secure in J’s vagina. After this she loosened the vaginal spreader and removed it. P then pulled the sterile drape off of J’s crotch and then attached the tubing to the catheter. Urine now was able to flow into the bag that P had hooked on the side of the operating table that J was still strapped to. J was still awake and aware and felt P and K removing the main drape off of her chest. K now pulled up a new tray of drapes. They unpackaged the first one and it had a strip of tape on it that they peeled off. K and P lifted it over J and pressed it down above J’s breasts. Since they no longer had a drape to block J from the procedure they again attached it to the drape posts on either side of the table, again putting a barrier up that made J’s heart rate climb again. They then pulled a second drape over J, this time pressing it firmly below J’s breasts and folding it out across her stomach. They then each took the final drapes and pressed them across either side of J so that the only thing now exposed were her breasts. J’s heart rate now climbed even more as she now thought that they were going to perform open heart surgery on her. She had only expected that they would remove her appendix before it caused her any problems. K now came round to the head of the operating table where J’s immobilized head lay. K now pulled a small pink elastic strap underneath J’s head which J wondered what it was going to be for. K now placed a stain pink sleep mask over J’s panicked eyes and pulled the strap through each side making it tight over J’s eyes. J’s heart rate now climbed even more which now caused some concern for P and K. P talked K and told her that it was probably best if they put J under now. Moments later J heard someone turn some dials on the ventilator behind her and then felt a sudden cold rush up her arm. She tried to fight the sleepiness but it was no use, she couldn’t fight as she had no control, not even her breathing. She drifted off into unconsciousness. K and P now said that they had now finished their job. As J was still asleep they removed the sterile drapes and took the vinyl straps off of J so she could move again, if she were conscious. As K pulled J’s legs out of the stirrups and removed the arm board off the one side of the table, P wheeled the transport stretcher up to the side of the bed. They then pulled J over onto the stretcher, strapping her to it as they had before but with fewer straps as J was unable to struggle in the state she was in. As K moved the IV bags over to the posts on the stretcher and detached all the leads and monitors J was hooked up to, P removed her surgical gown and gloves. Leaving on her bouffant and mask, she now pulled on the full face respirator she had worn before. As she pulled the rubber straps tight, only the surgical mask and her eyes were now visible. She then pulled on pink latex gloves and then a heavy pink rubber suit that covered her from foot to neck. K now came over to her and pulled the zipper up on her back and then did up the Velcro that pulled the collar tight around P’s neck. Now K removed her surgical gown and gloves as P had, while you could still hear the ventilator breathing for J. P then completed her attire with an isolation gown and another pair of the long cuff pink gloves. After P assisted K in donning the same garb they went over to J’s stretcher. P removed the ventilator tubing from the ET tube that was in J’s throat and attached an ambu bag. Now she was in control of J’s breathing as her and K now started to push J’s naked body out of the operating room. They wheeled her into a new room and moved onto a new bed that was covered in pink plastic sheets. They moved J’s motionless body onto the bed and K began to attach all the monitoring equipment again as P removed the ambu bag and attached the tubing for the ventilator that was in the room. Once again J’s breathing was being controlled by the machine. Later on they came back into the room where J was, covered only by a plastic sheet. K and P were still dressed in the extreme isolation gear they were wearing before. K pulled the sleep mask off of J’s eyes and they found she was now awake again. They now pulled the cervical collar off of her and then detached her from the ventilator. They told her to hold still as P slowly pulled the ET tube out. K then pulled an oxygen mask over J’s face. J now found that they had in fact not cut her open at all. She then asked them why they were dressed in such extreme clothing. K replied that it was again procedure for patient safety and that she should get used to it. K told her that she was to remain in isolation room for the next few days. J then asked P what they had done to her, P replied that they wanted her to know what it felt like to be one of the patients at the fetish clinic. After a few days J was now ready to leave. She pulled on the satin dress and gloves as she had worn on the way in and went to the front desk as she was about to leave. K was at the desk and told her that she could have the next couple days to rest but then told her that she was to come in for her first day as the new anaesthesiologist.