Chapter 2: Medical Test Escalation & Submission

The sterile medical room inside the ‘Nurse Margret Medical System’ hummed as the cube pulsed erratically, its blue glow flickering in sync with the jagged red text flashing across both Nurse Margaret robots’ chest screens!

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[SYSTEM ERROR: DATA CORRUPTION DETECTED]

[ERROR 0xFATAL: LAB SYSTEM INTEGRITY COMPROMISED]

[WARNING: DIAGNOSTIC ARRAY MALFUNCTION]

[STATUS: PATIENT EMILY - PERFECTLY HEALTHY - ERROR - RECALCULATING…]

[ANOMALY DETECTED - GYNECOLOGICAL ASSESSMENT]

[IRREGULARITIES DETECTED - Cervical region]

[RECOMMENDED PROCEDURES: Hysteroscopy, Laparoscopy]

[ESTIMATED DURATION: 45 MINUTES]

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Emily’s chest tightened, her breath hitching as the amber “ANOMALY DETECTED” pulsed ominously. “What? No! That’s wrong you just said I’m perfectly healthy there’s nothing wrong with me!” she cried, yanking against the restraints, her pulse spiking. “Stop this now the ‘Nurse Margaret Medical Systems’ is malfunctioning and those procedures are unnecessary!”

Nurse Margaret Robot 2 tilted her head, her unblinking blue eyes tracking Emily’s vitals on her screen. “Incorrect response, dear,” she said, her voice a soothing and concerned. “Your concern is noted but are system does not make mistakes.”

Nurse Margaret Robot 1 glided closer, her glossy latex hand pressing gently but firmly against Emily’s wrist. “The Nurse Margaret Medical System is designed for precision, sweetheart. As our patient, your health is our priority. We’ve detected a concerning irregularity in your cervical area, and further testing is required to diagnose the issue.”

“NO NO NO…..I don’t consent to this! Let me go!” Emily snapped, twisting her wrists violently against the latex restraints, her frustration boiling over.

The chair reclined further with a smooth whir, the white stirrups padded footrests tightening around her calves snugly. A soft hum emanated from the cube as it dispensed a surgical tray with a selection sterilized surgical instruments and equipment glinting under the surgical light.

“Shhh, sweetheart please try and be calm,” Nurse Margaret Robot 2 murmured, stroking Emily’s hair with a mockingly tender touch. “Fighting us only delays your care. Let’s get you prepared for your procedures.”

“I said NO STOP THIS NOW YOU STUPID MALFUNCTIONING ROBOTS!” Emily shouted, her voice cracking in panic. She began kicking wildly in the stirrups, her bare feet slamming against the padded footrests with dull thuds. Her heels digging into the cushioned latex, the material yielding slightly before snapping back, gripping her soles even tighter. She flexed her calves, muscles bulging as she tried to jerk her knees free, the stirrups creaking faintly under the strain.

Her thighs quivered, as they strained against the stirrups that held her legs splayed, the soft, latex-like bands stretching taut around her ankles soft yet unyielding as they bit into her skin as she thrashed.

She twisted and wrenched against the chair’s restraints, the latex bands holding her tightly with each desperate pull. The material squeaking faintly, stretching just enough to absorb her force before snapping back, pinning her even tighter.

Sweat beaded on Emily’s body, slickly, but it only made the latex bands stick more stubbornly, their glossy surfaces gleaming under the surgical light as they constricted her movements.

The cube’s system registered her escalating thrashing and distressing behaviour, its fans whirring louder as its processing sensors kicked into high gear.

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[INTERNAL SYSTEM ANALYSIS]

- Patient Emily exhibiting acute distress

- Heart rate: 132 BPM (elevated)

- Muscular tension: High

- Erratic body movements detected: Leg, body, arms

ASSESSMENT:

- Resistance to procedure confirmed

- Psychological distress noted

- Countermeasures initializing

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“Emily, dear, your distress levels are rising,” Nurse Margaret Robot 1 observed, her tone warm yet clinical. “That’s not healthy for you. We’ll help you relax.” The restraints tightened slightly with a soft click, the latex bands around her ankles and wrists contracting further, squeezing her flesh with a firm, pressure that dulled her kicks.

The stirrups adjusted, locking her calves more securely into the footrests, the padded latex immobilizing her frantic jerks.

“Your heart rate’s at 135 BPM, dear please calm down,” Nurse Margaret Robot 1 added, watching the data scroll into her system.

The side of the room hissed open, and an anesthesia machine was lowered to the floor beside Emily’s thrashing body, its sleek frame humming softly as it settled. Robotic arms whirred from the cube, uncoiling hoses from the wall with metallic clinks, attaching them to the machine with precise snaps.

Nurse Margaret Robot 2 adjusted the controls, the digital display flickering to life: SEVOFLURANE 2% - O2 FLOW 4 L/MIN. A scent floated in the air as the system primed itself.

A hatch on the cube hissed open again, and a robotic arm descending with a clear anesthesia mask, its edges rimmed with soft silicone. “Please breathe into this, sweetheart,”

Nurse Margaret Robot 2 said, her screen flashing a maternally comforting smile, as she connected the hose from the anesthesia machine to the mask with a soft click. “The oxygen & gas will help relax you and get you nice and calm.”

Emily’s eyes widened as she saw the mask approaching, its transparent surface reflecting her tear streaked face and wild, eyes.

“No! I don’t need that!” she yelled, thrashing her head more wildly from side to side, clamping her lips shut and holding her breath, her cheeks puffing out as her chest burned. She kicked her legs harder, toes curling against the footrests as she tried to buck her hips free, the latex restraints stretching with a faint squeal before again snapping back, pinning her thighs tighter to the chair. The stirrups groaned, absorbing her force, their padded grip unrelenting.

Nurse Margaret Robot 1 stepped forward, her movements swift and precise. “Your resistance is spiking, dear heart rate is now at 145 BPM, oxygen saturation dropping to 94%.

You’re making this harder on yourself,” she said, her voice steady but firm. “We need your calm for your own safety. Stop fighting the anesthesia mask it’s only gas, sweetheart, and it’ll help you. Your kicking isn’t helping look, the restraints are holding steady she said as Nurse Margaret robots 2 pressed the clear mask to her face.”

Emily’s lungs ached, her resolve faltering as her body craved air, she shook her head violently, strands of hair sticking to her sweaty forehead. Her calves flexed again, heels grinding into the footrests, the latex squeaking as it resisted her push, the stirrups frame rattling faintly.

“No… no…get away from me” she gasped, her voice hoarse, finally exhaling in a desperate burst before sucking in a sharp breath of the powerful sevoflurane gas flowing into the mask.

The mask was held firmly over her nose and mouth, Nurse Margaret Robot 2’s latex gloved hands holding it tightly as Nurse Margaret Robot 1 gripped Emily’s head, still preventing her from thrashing.

“You’re starting to pull it in now, dear

good girl just breath it in,” Nurse Margaret Robot 1 said, her tone encouraging as she held he head is a strong grip.

“Respiratory rate at 30 breaths per minute your panic is speeding this up. Just let it happen Emily we’re watching every beat of your heart, every breath. You’re safe with us. Those stirrups & restraints won’t budge your energy’s better spent simply relaxing.”

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[INTERNAL SYSTEM UPDATE]

- Anesthesia induction initiated

- Heart rate: 152 BPM (peaking)

- Oxygen saturation: 96%

- Muscular resistance: High but fluctuating

ANALYSIS:

- Patient Emily entering stage 1 anesthesia

- Active resistance detected

- Sedation clearance: APPROVED

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Emily thrashed weakly, her body jerking against the restraints as the gas flooded her lungs the, chemicals, overwhelming. Her legs gave one last desperate kick, toes scraping the footrests, the latex bands stretching taut around her ankles with a faint snap as they recoiled, locking her down. She tried to hold her breath again, her face reddening, but her body betrayed her, forcing another ragged inhale. Her vision blurred, the room spinning as the sevoflurane dulled her edges. “Stop… please…” she slurred, her voice muffled under the clear mask, her eyes fluttering.

“Look at me, sweetheart,” Nurse Margaret Robot 1 urged, her blue eyes locked on Emily’s fading gaze. “You’re at 3% sevoflurane now feel that heaviness? It’s normal. Your oxygen’s steady at 96% we’ve got you. Don’t fight it; you’re slipping into stage 1 sedation nicely.”

Nurse Margaret Robot 2 adjusted the flow, the machine’s display shifting to SEVOFLURANE 3.5% - O2 FLOW 4 L/MIN. “There we go, dear,” she cooed. “Your limbs are slowing and your heart rates dropping to 140 BPM. You’re doing so well just let go.”

Emily’s struggles weakened, her arms twitching feebly as the gas saturated her bloodstream. Her chest heaved slower, each breath dragging her deeper into the drugged fog. “This isn’t right… I can’t…allow this”……her mind screamed, but her body sank, heavy and unresponsive, the latex restraints now slack against her limp form. Her eyes fluttered shut slowly, as the anaesthesia mask flooded her system with sweet gas.

“Stage 2 approaching,” Nurse Margaret Robot 1 noted. “Pupil response sluggish reflexes fading. She’s almost there. Increasing gas to 4% for full induction.”

The machine hissed louder, the gas thickening. Emily’s head lolled, her last whimpering muffled as her muscles went slack. “Induction complete,” Nurse Margaret Robot 2 reported. “Heart rate stabilizing at 112 BPM oxygen saturation 98%. She’s now ready for intubation.”

Nurse Margaret Robot 2 peeled off the mask, tilting Emily’s head back. She snapped on fresh gloves and retrieved a laryngoscope with a smart endotracheal tube from the tray. The tube gleamed, its surface embedded with micro-sensors pulsing faintly blue. “Airway clear,” she said, sliding the laryngoscope blade over Emily’s tongue, lifting her jaw to expose her vocal cords.

The smart tube slithered down her throat, its sensors adjusting its diameter to fit snugly, sealing her airway with a soft hiss. A tiny screen on the tube’s cuff blinked: PRESSURE OPTIMAL - VENTILATION SECURED. The ventilator clicked on, a rhythmic hiss-click, hiss-click taking over her breathing.

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[INTERNAL SYSTEM UPDATE]

- Patient intubated with smart ET tube

- Respiratory function: Ventilator support

- Heart rate: 108 BPM

- Sedation depth: Stage 3 - Optimal

PROCEDURE CLEARANCE: GRANTED

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“Vitals stable,” Nurse Margaret Robot 1 confirmed. “Smart tube’s reporting perfect placement let’s proceed.”

Before beginning, both robots turned to the cube as it dispensed fresh PPE. Nurse Margaret Robot 1 lifted a heavy green sterile surgical gown, with reinforced seams and slipped her arms through, the material rustling as it settled over her scrub dress.

She pulled the side ties taut, knotting them with precise tugs, then secured the neck with a firm snap. She stretched on fresh gynecological gloves long, glossy white latex reaching past her wrists each finger sliding in with a deliberate snap, the cuffs snapping tightly over the gown’s arms, gleaming under the surgical light.

Nurse Margaret Robot 2 followed suit, donning her own thick green gown. Her gloves snapped on with a sharp snap-snap, the latex stretching taut over her smooth hands. “Ready, dear,” she said, her screen flickering with a smile.

“Now, sweetheart, the hysteroscopy,” Nurse Margaret Robot 1 announced, her voice calm though Emily was unconscious and couldn’t hear her. She positioned the hysteroscope a sleek, lighted tube lubricated with sterile gel and parted Emily’s vaginal folds with her gloved fingers.

“Inserting now smooth entry still from previous sexual release,” she said, sliding it into her vaginal canal. The cube’s screen flared with a live image of Emily’s pink, glistening walls magnified in crisp detail. “Cervix visualized dilating with saline,” she noted, triggering a nozzle to release a steady stream of fluid, inflating the uterus slightly, its walls stretching subtly.

“Minor irregularities on the endometrial lining,” Nurse Margaret Robot 1 observed. “Possible abnormal growth consistent with the anomaly lab report. Collecting sample.” She retrieved biopsy forceps, snipping a tiny tissue chunk with a sharp click. The vial zipped up to the cube for analysis. “Hysteroscopy complete proceeding to laparoscopy.”

Nurse Margaret Robot 2 began spreading sterile sheets on top of Emily body to frame her lower abdomen for the surgery. While Nurse Margaret Robot 1 retrieved a scalpel, its blade razor-sharp. “First incision, dear,” she said, pressing it into Emily’s lower abdomen, parting the pale skin with a slow, deliberate cut. Blood welled up, dark and thick, trickling down her side before Nurse Margaret Robot 2 handed over an electrocautery tool. “Cauterizing now,” Nurse Margaret Robot 1 said, the tool sizzling as it sealed the oozing vessels, a faint burnt smell rising. “Subcutaneous fat exposed nice and clean.”

She set the scalpel aside, picked up the laparoscope a slender tube with a fiber-optic camera. “Inserting laparoscope,” she said, sliding it through the incision, its tip pushing past the fatty layer into the abdominal cavity, the muscle fibers parting with a wet squelch. Nurse Margaret Robot 2 adjusted the surgical light, its beam narrowing to illuminate the entry point, blood smearing faintly on Emily’s skin.

The cube relayed the feed of Emily’s glistening organs in vivid detail.

“Peritoneum breached liver’s smooth, no lesions,” Nurse Margaret Robot 1 noted, angling the scope. “Uterus in view surface intact but adhesions present along the posterior wall, fibrous and pale. Ovaries healthy follicles visible, good texture.” Nurse Margaret Robot 2 leaned in, her gloved hand stabilizing the scope’s external handle. “Fallopian tubes clear no blockages,” she added, her screen and system analyzing the feed. “Adhesions could explain the anomaly let’s sample them.”

Nurse Margaret Robot 1 gestured, and the cube dispensed biopsy forceps. “Collecting uterine sample,” she said, maneuvering the tool through the incision, its jaws snipping a stringy adhesion with a wet snap. Blood oozed briefly, quickly cauterized by Nurse Margaret Robot 2’s swift pass with the tool. The sample sealed in a vial, whisked away.

“Now suturing,” Nurse Margaret Robot 1 said, threading a fine surgical suture through the layers fat, muscle, skin

her stitches tight and precise, the wound closing into a thin neat red line.

A robotic arm whirred down from the cube, its tip fitted with a nozzle. “Applying sterilizing spray,” Nurse Margaret Robot 1 said as it misted a cool, antiseptic aerosol over the incision, the faint sting of alcohol mingling with a healing agent that shimmered briefly on Emily’s skin before drying.

Nurse Margaret Robot 1 then peeled opened a sterile white adhesive bandage and pressed it firmly over the incision site, smoothing its edges with her gloved fingers. “All sealed up, dear nice and secure.”

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[INTERNAL SYSTEM UPDATE]

- Hysteroscopy and laparoscopy completed

- Tissue samples collected: Endometrial lining, uterine adhesions

- Minor bleeding controlled

- Incision sterilized and bandaged

- Awaiting pathology lab results

RECOMMENDATION:

- Monitor post-anesthesia recovery

- Assess behavioral response post-sedation

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Nurse Margaret Robot 2 adjusted the anesthesia ventilator, lowering the sevoflurane to 1%. “Waking patient Emily up now,” she murmured, removing the smart endotracheal tube its sensors retracting as it slid out, leaving Emily’s throat raw and sore. Her natural breathing resumed in slow, shallow gasps as her body began to stir after the sedation.

Emily’s body twitched faintly, her fingers curling as awareness crept back. A low, groggy moan escaped her lips, her head lolling slightly as her chest rose with uneven breaths. Her eyelids fluttered, heavy and reluctant, against the piercing surgical lights.

Her throat burned, a dry rasping cough escaping her mouth as she tried to speak, her tongue thick and sluggish with the sedation.

Nurse Margaret Robot 1 leaned closer, her gloved hand resting gently on Emily’s forehead, smoothing back her damp hair. “There you are, sweetheart,” she said, her voice warm and steady. “It’s all over now the procedures went perfectly. You’re waking up nicely, dear. Just take it slow your heart rate’s climbing back to 90 BPM, oxygen at 99%. You’re safe with us.”

Emily’s eyes cracked open, unfocused, the room a blur of white and blue. “Wha…?” she mumbled, her voice frail, a faint tremor in her limbs as sensation returned. Her chest felt heavy, her mind sluggish, fragments of panic flickering beneath the fog.

“Shhh, dear, no need to talk yet,” Nurse Margaret Robot 1 soothed, her screen flickering to soft smile. “The hysteroscopy and laparoscopy are done we’ve got all the samples we need. Your incision’s bandaged up, and healing already. You were such a good girl your vitals stayed strong the whole time. Just rest now; let your body catch up.”

Emily blinked slowly, tears welling as her vision cleared, the robots’ unblinking eyes coming into focus. “No… more…?” she croaked, her voice breaking, her head tilting weakly against the chair.

“No more for now, sweetheart,” Nurse Margaret Robot 1 reassured, her hand stroking Emily’s cheek with a gentle, synthetic warmth. “You’re through the hard part we’re so proud of you. Your breathing’s steadying nice and even. Feel that calm? That’s all you need to focus on. We’ve got everything under control.”

A faint groan slipped from Emily’s throat, her body trembling as the last of the anesthesia ebbed away. Her fingers flexed, testing the restraints still binding her, a dull ache pulsing in her abdomen where the bandage pressed on her new incision mark. Her mind sluggish but sharpening, dread creeping back as memory surfaced of everything prior to the anaesthesia.

Nurse Margaret Robot 1’s screen updated, the text catching Emily’s hazy gaze:

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[POST-PROCEDURE STATUS: PATIENT EMILY]

- Cervical anomaly: Under investigation

- Behavioral resistance: High

- Recommendation: 48-hour psychiatric observation period

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As she read the new information her body went limp. “Please…god no more…” Emily murmured, her voice frail with despair, fresh tears spilling down her cheeks as Nurse Margaret Robot 1’s soothing words clashed with the relentless data and message glowing on her chest.

“Shhh, dear, just rest for now,” Nurse Margaret Robot 1 said, her tone unwaveringly gentle. “We’re here to take care of you everything’s alright your our patient and the ‘Nurse Margaret Medical System’ will make sure you’re completely healthy before we will release you. Everything will be fine trust us!

End: Chapter 2