#don’t worry op I been thinking abt this since 2015

[pantyhosepeepaw]

he also can’t feel bladder pains so imagine hitting his bladder the right way n the moron pisses himself.

In addition to his conditions, one of the many undermined factors is his emotional and mental state. Hyperactivity and intellectual disabilities are common in patients with NTRK1 variant (highly recommend lookin into other variants of CIP if u don't like writing for anhidrosis)

So you’ve got a kid who cannot feel pain, unable to control his sudden erratic movements, AND unable to control his impulses or properly regulate his big emotions. (and attention deficit but thats where i draw the line call me ableist)

not to mention he's probably got osteoporosis so his bones r always cracking n fracturing, n a predisposition to staph infections n god forbid osteomyelitis, bros chopping his leg off at that point

but on account for how hard it is, it’s also really fun to fill in the gaps for how he DIDNT lose his fingers.

its 1994 or so, n ur baby didnt cry coming out the womb and the doctors have no idea why he almost died wrapped in a blanket in his mothers warm embrace, only 31 confirmed patients with 20% of kids not living past 3 years old, what the hell do u as a mother think??

Tobys mom had to b a freak abt keeping him safe and his cipa had to be part of the reason why he was homeschooled and basically sheltered from the world. I read somewhere that some babies had their baby teeth surgically removed to prevent them from chewing off their tongue, idk the repercussions of that kinda thing but can u imagine? That boy would b gums until he was at least 6 LMAOO so no hard foods, all blended veggies and mashed potatoes, and incredibly tender meatloaf. n even once he did reach of age they had to put a mouthguard for him to sleep like a nerd.

n i'd wager his mom loved him enough to do routine therapy to help regulate his emotions, learning herself how to handle the kid cos lord knows she and her husband needed it, so he knows how to self regulate eventually (but does he retain it after the amnesia, up to u)

his sister also had to be aware of how her behavior affected him as well so she got well-versed in taking care of him, cooking for him, cleaning him, being acutely aware of what’s in his mouth and if he’s bleeding, just being super paranoid abt him cos her moms crazy abt him for like her entire life (not to mention she’s like definition glass child but that’s a factor for another day)

And no matter how u view his dad, he also had to get into certain habits to keep his infant/toddler son alive with all 10 fingers n toes. bare minimum of scanning the room for any sharp or blunt objects, double checking to see if the baby’s got any marks, bumps, scratches whatever. (because his dad loved him at some point n he was a decent dad)

so that translates to, Toby is unable to cook as a grown ass man (pathetic) but he can scan himself for any bump scratch wtv in an instant, also methinks he’d b very clean, no skin showing or else so he patches his clothes, and bathes often to warm up or cool down or relax wtv I think being clean reminds him of home (whether or not he remembers that place)

The family wouldn’t invest in sharp-edged tables, desks, dressers, or bed frames. Their cutlery, plates, and bowls are all plastic, except for the cookware but Toby’s not allowed in the kitchen period until he’s like five n that’s pushing it. The house would be insanely minimalistic, bare with little to no furniture to limit as much damage Toby could do to himself and a medicine cabinet stockpiled with expired antibiotics, Tylenol, antiseptic, bandages u name it.

that translates to Toby is great at taking care of himself and is always aware of what’s wrong with him or the potential consequences of his actions. He’d learn to check bones, fix swelling, massage or medicate whatever ails him. he'd also prefer plastic in case he jams a fork in his eye or tosses his plate lol (this is debatable but he could also b maximalist cos his childhood home felt too bare, or he’s a minimalist n gets nervous in stuffy rooms cos he’s not used to it but this is also dependent on the amnesia)

I also think he’s aware of his life expectancy (25 as of) so he lives with purpose cos everyday could be his very last if u don’t headcanon slender immunity n being immortal. (But either way, his age chart was pretty clear on 30 being his last, so fly high ticci toby)

tbh I think I like writing it cos I’m a full time caretaker so I have to think abt these things lol but even tho it’s hard to account for, I think Toby’s character knows how to handle it. Double checking himself, feeling where pressure feels different, aware of how hot or cold somewhere can be and doubling up on what he needs, constant watch and timer for meal time, shit time and sleepy time, just overall paranoid preparing for the worst, never chill. It would also affect anyone else around him (ie the proxies) u would b surprised how quick ppl start to pay attention to their surroundings when the disabled person trips they don’t usually let that happen twice.

I like to think that no matter how u view Toby, being incredibly smart or incredibly stupid, he can definitely take care of himself and others for that matter, despite the circumstances n that alleviates the narrative jus a tad.

I hate Toby having CIPA so much 😭 like narratively it fucks hard bc Toby canonically would antagonize his dad whenever his dad started to get aggressive. to put his dad's focus on him and not his sister or mother. Like literally the youngest person in the household purposely putting himself in physical danger to protect the women in the family because he knew he wouldn't feel the pain. Puppeteer canonically calls Toby "his favorite punching bag". Toby likely thinks of himself and his body that way. he is a punching bag. that's his job.

And admittedly it's terrifying to imagine Toby trying to chase down and kill you, and finally you grab hold of a weapon and stab him, and he has...no reaction. doesn't even flinch. doesn't even notice you stabbed him.

But realistically speaking his CIPA is hell to write for because you have to ignore the fact that Toby most likely would have bitten off his own fingers or tongue as a child because HE CANT FEEL PAIN. And with Tourettes causing his body to move in unpredictable ways no doubt his injuries get even worse!

You wanna know what people with CIPA are most likely to die of? Overheating. CIPA also makes you unable to sweat or feel temperature. HE LIVES IN THE WOODS!!! AND HE CANT SWEAT!!!!! He has NO way to keep himself cool while he's running around trying to kill people