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surgerypatient · 6 months ago

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Alan Strid/@gas-writer "The Medical test" continued with AI

He neglected continuing the story for a reason but said nothing of anyone else doing such a thing, so here's mine:

Antiseptic Sterilization

The antiseptic sterilization room is starkly clean, a sterile contrast to the unremarkable building where this began. The nurses, faces obscured by surgical masks and protective face shields, move with mechanical precision. They start by handling your unconscious body with latex-gloved hands, applying a transparent ointment around each orifice. This ointment serves as a barrier, preventing any microbial invasion. Using small applicator sticks dipped in medical glue, they seal the ointment in place. The process is meticulous and thorough, starting with your eyes, then moving to your mouth around the endotracheal tube, your ears, nostrils, and finally, other orifices. The sensation of the ointment is cold and slightly numbing, and the glue quickly hardens, forming an airtight seal to ensure no contamination.

Next, they place you into a tight, velvet-feeling fishnet sack. The fabric clings to your skin, and you feel the rough texture against your flesh. A network of solution nozzles surrounds you, and with a sudden synchronized hiss, they begin dousing your body with a cleansing solution. The liquid is cold and stings slightly as it contacts your skin, stripping away all exposed hair, bacteria, and dead skin. The nozzles operate in stages, each one administering a different type of spray. Some emit a fine mist that coats every inch of your body, while others deliver a jet stream that forcefully washes away debris. A few nozzles provide a gentle, pulsating wash, ensuring that every part of your body is thoroughly cleansed and sterilized. The process is repeated several times to ensure complete sterilization, and the solution is allowed to sit for a few moments to maximize its effectiveness before being rinsed away.

Securing Vitals Monitoring

Before proceeding with the surgeries, the medical team secures various monitoring devices to your body to keep track of your vital signs throughout the procedures. Electrodes for heart rate and electrocardiogram (ECG) monitoring are placed on your chest, secured with a layer of medical glue to ensure they remain in place despite any movements. A bispectral index (BIS) monitor, which tracks your level of consciousness through EEG data, is attached to your forehead with the same adhesive. Additionally, a pulse oximeter is clipped to your finger to measure blood oxygen content, and its sensor is reinforced with glue to prevent dislodgment.

32-Tooth Extraction

Once back in the OR, the sealing substances are carefully removed, leaving your skin clean and smooth. You are positioned on the dental operating table, and the tooth extraction begins.

The surgical team starts by donning fresh gloves, masks, and gowns. They position you on the dental operating table and use surgical drapes to cover your body, leaving only your mouth exposed. The nurse inserts a mouth prop to keep your mouth open wide, ensuring it remains open during the procedure. The surgeon selects a straight elevator and begins to loosen each tooth methodically. The elevator is inserted between the tooth and the surrounding gum, and a gentle twist loosens the tooth from its socket. This process is repeated for each tooth, feeling for the slight give that indicates the ligaments have been disrupted.

Once the teeth are sufficiently loosened, the surgeon switches to dental forceps. The forceps grip the crown of each tooth firmly, and with a twisting and pulling motion, the teeth are extracted one by one. The sound of the roots breaking free from the jawbone is a mix of crunching and popping, which can be unsettling. The suction device is used continuously, gurgling as it removes saliva and blood from your mouth, ensuring a clear field for the surgeon.

After all 32 teeth are removed, the surgeon inspects the empty sockets for any remaining fragments or debris. She then uses a bone file to smooth any rough edges on the jawbone, ensuring there are no sharp points that could cause discomfort later. Finally, dissolvable sutures are placed in each socket to close the wounds and promote healing. The surgeon ensures that the sutures are evenly spaced and securely tied to prevent any post-operative complications.

Tonsillectomy and Adenoidectomy

Next is the tonsillectomy and adenoidectomy. The team repositions you and adjusts the drapes to expose your mouth and throat.

The procedure begins with the insertion of a mouth gag to keep your mouth open wide. The gag is adjusted to ensure your mouth remains open without causing undue pressure on your teeth or jaws. The surgeon uses a scalpel to make small, precise incisions around the tonsils. Each cut is deliberate, designed to minimize bleeding and provide a clear path for removal. The tonsils are then partially severed from their attachments, and the surgeon switches to an electrocautery device.

The electrocautery device emits a low humming sound as it activates. This tool uses electrical current to cut through the remaining tissue and simultaneously cauterize blood vessels, reducing the risk of excessive bleeding. The surgeon carefully maneuvers the device around the tonsils, ensuring complete removal while controlling any bleeding. The tonsils are then gripped with forceps and extracted, leaving small, cauterized craters where they once were.

The adenoids are next. The surgeon uses a mirror and headlight to visualize the adenoids at the back of the nasal passage. She then employs a curette, a specialized scraping instrument, to remove the adenoid tissue. The curette is inserted through your mouth and maneuvered into position. With a swift scraping motion, the adenoids are detached and removed. Again, the electrocautery device is used to control bleeding and ensure all adenoid tissue is excised.

Hemostats are applied as needed to clamp off any small vessels that continue to bleed, and the suction device is used continuously to remove blood and other fluids from the surgical site. The surgeon ensures that all remnants of the tonsils and adenoids are completely removed before concluding the procedure. She checks the surgical area thoroughly, using a combination of direct visualization and palpation to confirm that the tissues are clean and free of any remaining debris.

The entire process is meticulous, with the surgeon and her team working in unison to ensure a smooth and successful operation. After the procedure is complete, the mouth gag is carefully removed, and the drapes are adjusted to prepare for the next phase of surgery.

Appendectomy

You are moved to the OR table and positioned for an appendectomy. Fresh surgical drapes are applied, covering you except for the surgical site on your lower abdomen. The sterile field is established meticulously, with each drape placed precisely to ensure no contamination.

The surgeon begins by making an incision with a scalpel just above your right hip. The initial cut is about three inches long, slicing through the skin and subcutaneous tissue. Once the incision is made, the surgeon uses retractors to hold the incision open, providing a clear view of the underlying tissues. Hemostats are applied to clamp any bleeding vessels, ensuring a bloodless field. The surgeon then uses Metzenbaum scissors for delicate dissection, carefully navigating through layers of muscle and fat to reach the appendix.

As she approaches the peritoneum, the thin membrane that lines the abdominal cavity, she switches to a more delicate touch, making a small incision in the peritoneum to gain access to the abdominal organs. The surgeon gently lifts the loops of intestine, searching for the appendix. Once located, the appendix is carefully isolated from surrounding tissues.

The surgeon clamps the base of the appendix with a pair of hemostats to prevent any contents from leaking into the abdomen. She then uses Metzenbaum scissors to cut the appendix free from the cecum, the part of the intestine where it is attached. The removed appendix is placed in a sterile container for examination. Surgical sponges are used to absorb blood and fluids, keeping the area clean.

To close the incision, the surgeon first sutures the peritoneum with absorbable stitches, ensuring that the abdominal cavity is sealed. She then sutures the muscle layers, being careful to align the tissues properly to promote healing. Finally, the skin is closed with either sutures or surgical staples, and a sterile dressing is applied to protect the wound.

Gallbladder Removal

Gallbladder removal follows. The team re-drapes you to expose the upper right quadrant of your abdomen, ensuring a sterile field. The procedure is performed laparoscopically, which means it will involve several small incisions rather than one large one.

The surgeon begins by making several small incisions in your abdomen, typically four. She inserts trocars, which are small, tube-like instruments that provide access points for the laparoscopic instruments. A laparoscope, which is a long, thin tube with a camera and light at the end, is inserted through one of the trocars, giving the surgical team a clear view of your internal organs on a video monitor.

The surgeon carefully maneuvers the laparoscope to locate the gallbladder. Using graspers inserted through another trocar, she lifts and holds the gallbladder in place. Scissors are then used to dissect the tissue around the gallbladder, carefully cutting away the connective tissue that holds it in place.

The cystic duct and cystic artery, which supply bile and blood to the gallbladder, are identified and clipped with clip appliers. These clips ensure that there is no bleeding and that no bile leaks into the abdominal cavity. Once the clips are securely in place, the surgeon uses scissors to cut the duct and artery.

With the gallbladder fully detached, it is placed into a small retrieval bag inserted through one of the trocars. The bag is then carefully pulled out through one of the incisions. The surgical team ensures that the bag remains intact during removal to prevent any spillage of bile.

Throughout the procedure, the suction/irrigation device is used to maintain a clear view and clean operative field. This device irrigates the area with

a sterile solution and suctions away blood and fluids. Once the gallbladder is removed, the surgeon performs a final inspection of the abdominal cavity to ensure there is no residual bleeding or bile leakage.

The incisions are then closed with sutures or surgical glue, and sterile dressings are applied to each site. The surgeon removes the drapes, and you are repositioned for the next procedure.

Prostate Removal and Orchiectomy

Repositioned in the stirrups, the prostate removal and orchiectomy are next. Fresh surgical drapes are applied, covering your lower abdomen and genital area.

The surgeon begins by making an incision below your navel with a scalpel. The incision is deepened carefully through layers of skin, fat, and muscle until the surgeon reaches the abdominal cavity. Retractors are used to hold the incision open, providing a clear view of the surgical field. Hemostats are applied to control any bleeding from cut blood vessels.

Using dissecting scissors and a combination of blunt dissection techniques, the surgeon carefully separates the prostate from surrounding tissues. The nerves and blood vessels that run alongside the prostate are meticulously preserved to maintain functionality. Once the prostate is fully isolated, it is removed and set aside.

Next, the surgeon moves to the orchiectomy. Incisions are made in the scrotum, and the testicles are carefully extracted. The spermatic cords are clamped with hemostats, cut, and then ligated to prevent any bleeding. The testicles are removed, and the incisions are sutured closed with absorbable stitches.

A hormone implant is placed in the cavity left behind by the prostate. This implant will provide a controlled release of hormones necessary for your transition. The surgeon then carefully sutures the incision in the lower abdomen, ensuring that each layer of tissue is properly aligned to promote healing. A catheter is inserted into your urethra to ensure that urine can drain freely as you recover.

The surgical mesh may be used to support the pelvic floor if necessary, depending on the extent of the tissue removal and the individual anatomical needs. The mesh is carefully placed and secured, ensuring it provides the necessary support without causing discomfort.

Facial Feminization Surgery

Finally, facial feminization surgery is performed. The surgeon reshapes your facial features, softening your jawline, reducing the size of your Adam's apple, and altering the shape of your nose and cheekbones.

The procedure begins with the surgeon making incisions with a scalpel along predetermined lines marked on your face. These incisions are strategically placed in natural creases and along the hairline to minimize visible scarring.

To reshape the jawline, the surgeon uses an osteotome and mallet. The osteotome, a chisel-like instrument, is carefully positioned along the jawbone, and the mallet is used to gently tap it, shaving down the bone. This process is repeated in small increments, allowing the surgeon to sculpt the jawline gradually and precisely. The burr drill is then used to smooth and contour the bone, ensuring a natural and feminine appearance.

For the reduction of the Adam's apple, the surgeon makes a small incision in the throat area. The tracheal cartilage is carefully exposed, and a portion is shaved down using a scalpel and specialized instruments. The surgeon takes great care to preserve the surrounding structures while achieving a more feminine contour.

Altering the shape of your nose involves careful dissection and reshaping of the nasal bones and cartilage. The surgeon makes incisions inside the nostrils and along the columella (the tissue between the nostrils). Using a combination of osteotomes, chisels, and a burr drill, the surgeon reshapes the nasal bones and cartilage to create a softer, more refined appearance. The skin is then re-draped over the newly sculpted framework, and the incisions are closed with fine sutures.

To enhance the cheekbones, the surgeon may use implants or fat grafting. For implants, small incisions are made inside the mouth, and the implants are carefully positioned over the cheekbones. If fat grafting is used, fat is harvested from another area of your body, purified, and then injected into the cheeks to add volume and contour.

Each step of the procedure is meticulously planned and executed, with the surgeon constantly checking the results to ensure symmetry and balance. The incisions are closed with fine sutures, and a sterile dressing is applied to protect the surgical sites and promote healing.

Vaginoplasty

The final procedure is vaginoplasty. You are positioned and draped carefully to expose the genital area while maintaining a sterile field. This highly complex surgery involves creating a neovagina, clitoris, and labia from the existing penile and scrotal tissue.

The surgeon begins by marking the surgical site. A midline incision is made along the penile shaft, and the skin is carefully separated from the underlying tissue. The penile skin is then inverted to create the vaginal canal. This involves meticulous dissection to preserve as much tissue as possible.

The urethra is shortened and repositioned to a more anatomically correct location. This requires precise cutting and suturing to ensure proper urinary function post-surgery. The erectile tissue is removed to reduce the risk of complications and to shape the new anatomy.

The surgeon then creates the neovagina by forming a cavity between the rectum and the prostate. The inverted penile skin is carefully inserted into this cavity, and the surgeon ensures it is properly positioned and secured. The neovagina is then lined with the penile skin, and any excess skin is trimmed.

The clitoris is formed from the glans of the penis, preserving the nerve supply to maintain sensation. The surgeon carefully shapes the glans into a clitoral structure and secures it at the top of the vaginal opening. The labia minora and majora are created from the scrotal tissue, which is dissected, trimmed, and reshaped to form the outer and inner lips of the new vulva.

Throughout the procedure, the surgeon uses fine sutures to close incisions and to secure the newly formed structures. The area is irrigated frequently to maintain a clear surgical field and to minimize the risk of infection. Surgical sponges are used to absorb any fluids, and hemostats are applied to control bleeding.

Once the neovagina, clitoris, and labia are formed and positioned correctly, the surgeon performs a final inspection to ensure everything is in place and there are no complications. A vaginal stent is inserted to keep the canal open during the healing process, and a sterile dressing is applied to protect the surgical site.

32-Teeth Transplantation

The following procedure is equally intricate and requires precise coordination. Another man, conscious and terrified, is brought into the OR. He is positioned next to you, and surgical drapes are used to maintain sterile fields around both your mouth and his. The man struggles and pleads, but the medical team remains focused on their task.

The team begins by sedating the other man to prevent excessive movement. The sedative is strong enough to keep him still but not enough to fully anesthetize him. He is aware of the procedure, but his body is unable to respond.

The extraction of his 32 teeth begins with the insertion of a mouth prop to keep his mouth open. The surgeon uses a straight elevator to loosen each tooth, feeling for the give that indicates the ligaments have been disrupted. The dental forceps are then used to grip the crowns of the teeth firmly. With a twisting and pulling motion, the teeth are extracted one by one. The suction device is used continuously to remove saliva and blood, ensuring a clear field.

Once all 32 teeth are extracted from the donor, they are immediately placed in a sterile solution to keep them viable. The donor's mouth is inspected for any remaining fragments, and the sockets are cleaned and sutured closed to promote healing.

The next phase involves the implantation of the extracted teeth into your mouth. The surgeon positions you with your mouth open using a mouth prop. Small incisions are made in your gums to create new sockets for the donor teeth. The teeth are carefully inserted, one by one, ensuring they are properly aligned and secured. Each tooth is anchored using fine sutures and a dental bonding agent to stabilize them in place.

Throughout the procedure, both you and the donor remain under close observation. The surgical team works efficiently, ensuring that the teeth are transplanted quickly to minimize the risk of failure. The donor's teeth are now your own, a complex and unsettling addition to your transformation.

Once the teeth are implanted, your gums are sutured to secure the new teeth. The surgical site is cleaned, and a dental guard is placed to protect the fresh implants. The donor is moved out of the OR, his role in the procedure complete, while you remain to undergo further evaluations and treatments.

Final Preparations

After all the surgeries are completed, the surgical team ensures that all incisions are properly closed and dressings are applied to protect the surgical sites. You are transferred to a recovery room where you are closely monitored as you slowly regain consciousness.

As you wake, the reality of what has been done to you begins to sink in. The pain and discomfort are overwhelming, and you struggle to comprehend the extent of the changes to your body. The medical staff remains professional and detached, their focus now on your recovery and stabilization.

Waking Up

Hours later, you begin to regain consciousness. The transition from oblivion to awareness is gradual and disorienting. The first sensation you register is a dull, pervasive ache that seems to emanate from your entire body. The soft beeping of monitors and the hum of medical equipment fade into your awareness, grounding you in the reality of the hospital room.

As your eyelids flutter open, the harsh fluorescent lighting overhead causes you to squint. Your vision slowly comes into focus, revealing the sterile white walls of the recovery room. You feel groggy, your mind foggy from the anesthesia and the cumulative effects of the extensive surgeries.

The first

thing you notice is the oxygen mask covering your nose and mouth, delivering cool, steady breaths. You attempt to move, but your body feels heavy and uncooperative, bound by the lingering effects of the anesthesia and the fresh post-operative pain.

A nurse, noticing your stirring, approaches your bedside. Her face is partially obscured by a surgical mask, but her eyes convey a calm, reassuring presence. She gently checks your vitals, her touch practiced and efficient.

"Welcome back," she says softly, her voice soothing. "You're in the recovery room. The surgeries went well. Just try to relax and let your body rest."

Confusion quickly turns to panic as you realize you have no memory of agreeing to any extensive surgeries. You try to speak, but the words come out as muffled protests through the oxygen mask. Your attempts to move are met with sharp pain and the restrictive feel of the compression garments and bandages.

You start to thrash, pulling at the IV lines and trying to rip off the oxygen mask. The nurse steps back, her eyes widening in concern.

"Please, you need to stay calm," she urges, trying to soothe you. "You've had multiple surgeries. Moving around too much could cause complications."

Her words barely register as you continue to struggle, your panic escalating. Another nurse quickly joins, holding your arms gently but firmly to prevent you from causing harm to yourself.

"I didn't agree to this! What did you do to me?" you manage to shout, your voice hoarse and filled with fear.

The nurses exchange worried glances before one of them speaks. "We need to call the doctor. Hold on."

Moments later, a doctor enters the room. She looks composed and serious, her expression one of professional concern. "Please, try to calm down. You're in a safe place, and we're here to help you."

"Help me? I didn't agree to any of this!" you shout again, your voice shaking. "What did you do to me?"

The doctor steps closer, her tone calm and authoritative. "You've undergone several surgeries. I know this is a shock, but we need you to stay still and let us explain."

"Why? I didn't consent to any of this!"

Dr. Patel takes a deep breath. "We understand that you have no memory of consenting. You were selected for a comprehensive medical trial, and we have documents indicating your agreement."

"No!" you shout, your panic rising again. "I never agreed to this! Let me go!"

The nurse quickly increases the sedative in your IV again, and you feel your resistance weaken as the drowsiness takes over. "We will discuss this further when you're feeling better," Dr. Patel says. "Right now, your body needs to heal."

As the sedative pulls you back into unconsciousness, you feel a deep sense of betrayal and fear. You’re left alone with your thoughts, wondering how you ended up in this situation and what will happen next.

Subsequent Awakenings

The next time you wake, it’s in small increments. You’re more alert each time, but with that alertness comes the realization of the changes to your body. The pain is still there, a constant reminder of what has been done.

A different nurse, this time a man with a kind but professional demeanor, is checking your vitals. "You’re awake," he observes. "How are you feeling? Any pain or discomfort?"

"All of it," you mutter, trying to shift without causing too much pain. "I need to know… why."

"Let’s get you comfortable first," the nurse says, adjusting the bed so you’re in a more upright position. "Dr. Patel will be in shortly to discuss everything with you."

This time, when Dr. Patel enters, she’s accompanied by a psychiatrist. "This is Dr. Williams," she introduces. "We’re here to help you process everything."

"I just want answers," you say, exhaustion in your voice. "I didn’t agree to this."

Dr. Williams steps forward. "We understand how disorienting this must be. Our records show you were a part of a trial, but it’s clear there’s been a severe misunderstanding."

"A misunderstanding?" you echo, incredulous. "You’ve changed everything about me!"

Dr. Patel and Dr. Williams exchange a look before Dr. Williams speaks again. "For now, let’s focus on your recovery. We’ll work on finding out exactly how this happened and ensure it doesn’t happen to anyone else."

Their words offer little comfort as you lay back, feeling a mix of anger, confusion, and helplessness. The road ahead is uncertain, but for now, you focus on the small victories of recovery, each one bringing you closer to understanding the full scope of what has happened and reclaiming some control over your life.

#anesthesia #intubated #surgery #medfet #surgeon #intubatedlover #female surgery #medical equipment #anesthesia mask #intubation

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