#she just didn't change the tampon she was wearing for 10 hours

[cpericardium]

Taylor's locker didn't give her toxic shock and claiming it did is ignorant and misogynistic

When I was growing up, my mother didn't let me or my sister use tampons, citing the risk of toxic shock syndrome. We didn't have them in the house. Literally I thought I'd die the moment that thing entered my glovebox. I also went to an all-girls convent school for much of my life and never met anyone who used or advertised the use of anything other than pads.

My sister has since moved on to using cups, but even now I don't think I can ever use a product that you insert. Lingering Catholic guilt, you understand. But I looked into toxic shock syndrome anyway to counteract the terrible sex ed I was getting from both my school and my mother (father's a doctor, so for all his conservativeness he's more inclined to give me unvarnished medical information). Because it's my body, and being AFAB I'm practically required by law to be afraid all the time. May as well find out which fears should be prioritised.

Toxic Shock Syndrome (TSS) can develop when staph bacteria, and in some cases strep bacteria, enter the bloodstream via open wounds like cuts and abrasions. These bacteria are normally harmless and live all over your skin, but under certain conditions they can multiply rapidly and release toxins. Adolescents are more susceptible, mostly because they haven't developed the antibodies to fight the infection.

“The first is vaginal colonization with a strain of S. aureus, which can make the toxin; the second is production by the S. aureus of the toxin; the third is penetration across the vaginal epithelium of enough toxin to cause disease; and the fourth is a lack of adequate titers of the neutralizing antibody to the toxin,” says Dr. JoAnn Pinkerton, executive director of The North American Menopause Society.

The incidence of TSS is estimated to be around 0.8 to 3.4 per 100,000 in the United States. Cases have declined massively since peaking in the 1980s. The point is: TSS is an incredibly rare complication of a complication that requires specific conditions to develop under.

So why is it on the worm subreddits and discord servers and forums, there are always people insisting that the locker incident was an act of bioterrorism, that her bullies need to be shipped off to Guantanamo for what they did? Why are there so many wormfics where Taylor physically rots in the locker as a result of TSS compounded by aggressive necrotising fasciitis, and this necessitates Amy staying with her for days to tend to her failing organs? Why are people doing nonsensical Tampon Math to justify her being on the verge of death when she's found? See thread for more inane arguing.

Yes, the locker was biohazardous and it was inarguably a cruel prank, a disgusting experience all around. But absent other circumstances (like the bullies deliberately planting a virus or Taylor uhhh getting impaled on a coat hook? both of which I've seen in more than one fic), Taylor in all likelihood didn't get TSS from it. Sure, authors can do what they want, but out of all the possible deadly infections, why oh why do they always specifically choose TSS?

Is it because of the tampons?

The reason it happens with tampons is that the bacteria can become trapped in the vagina and enter the uterus via the cervix. Most cases result from the use of highly absorbent tampons, as dry tampons can abrade the skin when removed and thus provide more entry points for bacteria. The National Organization for Rare Disorders estimates that TSS related to tampon use occurs in about 1 in 100,000 menstruating women. It usually happens if the tampon is inside them and they left it in there for days. The risk of toxic shock via tampon rises significantly after eight hours.

The tampons were not inside Taylor. She was also only trapped in the locker for about an hour and a half. Afterwards, she spent a week in the psych ward, and as far as we know had no significant physical injuries. But, detractors say, all her struggling might have broken skin, and the bacteria on the tampons could have fermented over winter break!!! Have you ever fished out a used tampon that's been in a bin for a while (i.e. weeks)? Just saying, Taylor is more likely to get an infection from all the used hypodermic needles that are undoubtedly a large component of Winslow bathroom trash.

To quote Kyakan whom I had to pester for the canon info about Taylor's stay,

"There are a lot of things that can go bad with the human body when exposed to X Y or Z conditions, but we survived long enough to evolve. It's not like touching blood will instantly disintegrate us. Human bodies are resilient even without modern medicine."

Here’s my theory. People don’t understand what TSS is, its risk factors or its rarity. They have a vague idea that it’s the icky female period disease even though only about half of all TSS cases are menstruation-related, so obviously Taylor contracted it from touching icky female period blood.

I won't say it couldn't happen to Taylor, ever, in (fan)fictional stories written by men. Just that it's not as likely as you think.

A final note—if you, the author, are fixating on gruesome medical details and describing the contents of the locker in terms of microbiology, you are completely and tragically missing the core of Taylor Hebert's trigger event. .......but that's just a theory! a worm theory