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You know I like your work you know... llet me help! Let me join your staff, maybe ? Please, that's not fair to trick me like that when we can do awesome things as a team 😔

Listen to yourself! Begging and pleading with me? You don’t sound very calm at all, now do you, dear? It’s okay, take a deep breath and try to understand. This is all just a symptom of your disease. You’re sick and that’s why you’re in my care.

Do you remember last time we talked about this? You’re not here to work for me. You’ve been committed. I know it’s hard for you to understand, and the shock treatments unfortunately do not help your memory issues but you’ve been under my care for quite some time now. And no, we will not be releasing you from your restraints. Last time we let you try you struck one of my nurses, you can say you don’t remember but I can assure you I would never lie to a patient. You are in restraints for your safety as well as that of my staff.

Just a quick pinch now then in just a few short minutes you’ll be off to dream land… I’m sorry we have to do things this way. I much prefer patients who will lay themselves on the table without such a fight but it’s okay. I understand it’s only a sign of your illness, and that’s why you’re here. To receive my help.

Hey… Can you hear me?… Open your eyes for me Patient 22?…Alright the patient has been sedated. Let’s get them into treatment room 2 and we are ready to proceed. Yes I suspect we will be in there for quite a few hours. I plan to do ECT as well as manual and electro stimulation. Poor thing is only getting sicker and sicker. Can’t even remember how many months of treatment they’ve been through.

It’s okay, even on lost causes like this one who will likely never leave my care, I will never cease trying. That’s just the kind of caring Doctor I am.

That really depends on the patient’s temperament and what their treatment plan already entails. One patient’s daily treatment plan might feel like punishment to another. But you could expect a return to being restrained to your bed 24/7, for patients who were allowed to have their hands free to eat by mouth they might loose that privilege and begin tube feeds if they weren’t already. Sometimes it’s an increased use of chemical restraints. For patient’s who’ve made the same mistake a couple of times it could be a trip to the OR. Being awake in the operating room scares some sense into patients quite quickly, even if I do no cutting.

Sometimes escape attempts are a symptom in and of itself, this is common in hysteria cases where agitation and resistance to treatment are classic symptoms. When escape attempts are a symptom there’s often an increase in medication or treatment frequency/intensity. For hysteria patients sometimes it’s a sign that it’s time to consider ECT- or electro-convulsive therapy.

It all depends on what the patient’s diagnosis is and their temperament. Suscessfully breaking a patient requires working with them on an individual level to find what really scares them into compliance.

Don’t worry, I’ll make an obedient patient out of you sooner or later.

This is actually a situation I’m dealing with at the clinic currently. This poor boy, he has one of the most severe cases of hysteria I’ve seen in quite a long time. One of the difficulties with hysteria patients is they often think they are well, it’s actually a textbook symptom, denial of any illness.

I can give you a basic walk through of his treatment plan, although please bear in mind that this is for the most extreme of cases, don’t let this discourage you from seeking medical treatment yourself! When he first came to me for treatment we tried many of the lesser invasive methods but as his condition and agitation (another common symptom) increased so did our treatment measures. Currently he is kept in a light state of twilight sedation, he is able to follow commands albeit slowly and with a lot of prompting. But the medication keeps him from getting too aggressive or worked up, poor thing would wear himself ragged trying to fight tooth and nail! These medications really are a blessing for patients like him, even if he does not see it that way.

When it’s time for his weekly ECT sessions he’s wheeled to the treatment room, he does have some vocal protests but he can’t seem to figure out how to yell or scream with the drugs in his system so that’s really no issue. He receives other treatments on the daily and is no longer competent enough to follow the days of the week so he doesn’t usually know if he’s being taken to the treatment room for one of his lesser insensitive treatments or ECT. Once we reach the treatment room and he sees the dreaded machines he will begin to fight and protest, always claiming that he’s well and this is all some big mistake! But his fighting is no more than a hassle in this state. We get him transferred to the treatment table and safely restrained with ease, sometimes getting the bite block in can be a little tricky, he tends to clamp down and try to refuse me entry, but I can either apply pressure to his jaw or cover his nostrils and either way his mouth will open for me wether he wanted to or not. Silly boy, the bite block is for his own good! As is the rest of his therapy.

Post ECT patients are quite docile and much easier to manage. Most just want to be allowed sleep which we graciously provide. We move him back to his room and allow him to sleep it off. Usually waking up with a headache a couple hours later but I provide the pain medications that I can.

It’s not easy work caring for those as sick as him but it must be done!

Uncooperative patients are not tolerated under my care. I may allow one with quite a bit of free will something of a struggle, just to keep their minds occupied. However, If I deem that a patient requires corrective measures regarding their behavior, those measures be administered swiftly.

Patients requiring psychiatric treatment for their misbehavior may find themselves undergoing electroconvulsive therapy-- ECT. It's truly a fascinating form of treatment. Highly effective as well.

I, of course, practice it unmodified. That means my patients receive no muscle relaxants, or anesthetic of any kind.

Once we decide a patient is ready for therapy, they are typically brought into the treatment room and restrained. You see, this is for a few reasons. The first being discipline. I find that within a treatment facility it's best not to show favoritism, nor is it good to let the rules fall to the wayside. Secondarily, those being given ECT are made to convulse during full-scale seizures. I know, as uncomfortable as ECT sounds, the results would astound you.

The electrodes are placed on either side of the forehead, and a mouth prop is inserted into their oral cavity. My patients tend to injure themselves when not properly secured, especially during something so unpleasant. One common complication I encountered early-on while treating those who'd gone mad in the war was dislocations. In addition to the electrodes, we tend to apply an ECG, a recording EEG, and of course, a ground. Quite a few wires, but all so I know that my patient isn't being pushed too far. After all, I am a doctor. I'm only ever one to administer exactly what is needed. No more, no less.

The actual so-called 'shock' in our shock therapy doesn't last long. Typically, we work our way up to longer durations after gaging the seizing of our patient. On the shorter end of things, I may administer a few milliseconds of electricity at the minimum, and one of the more... ill, shall we say, patients ive had went for a good eight seconds. The seizures themselves can go on for about thirty seconds to a minute. Ah.. the poor thing, did I ever tell you about that patient? We eventually decided it best to have her lobotomized.

All in all, I assure you that it's nothing to fear. Measures like these only come to those who can't be helped otherwise.

Can you explain more how you turn bratty defiant patients into docile cooperating ones?

Sure! Chemical and Physical restraints are a big part of that process. I’ve found that most patients just need to understand that they have no say in their care once they walk in my door. The only thing they can control is their behavior; thus deciding how pleasant of a stay they have. While I do love a well behaved plaint patient there is something exhilarating about having a bratty, defiant patient to break. And it is so rewarding to watch a patient go from needing a muzzle to eating pills out of my gloved hand.

While every patient is different and requires individualized care here’s a basic treatment plan for an aggressive patient:

Physical restraints 24/7 unless chemically restrained. Some cases require both together to not hurt themselves trashing about attempting to get out of their restraints.

I continue providing compassionate care, they have to realize that while they have no chance of evading their treatment it’s because I am doing what is best for them. You need this. It’s normal for patients to fight back the first couple days of their admission so I don’t take it personally. Within a week of confinement most patients can be granted some smaller freedoms, such as having their upper body unrestrained for leisure time between treatments, although I do have one long term patient who still has not earned that privilege so it just depends on the patient themselves.

Another thing I find helpful is sensory enhancements to necessary treatments and procedures, an example I’ve discussed before is the preparing of tools in an ice bath before insertion. Another common one is diluting a small amount of something like tiger balm or bio freeze in the lubricant for a gyn procedure. If a patient is having trouble grasping that I am the one in control these small additions of corrective sensory input such as these seem to work well in hammering in their position under me.

*snap* *snap*

You’re roused yet again by gloved hands snapping in from of your face, calling you to attention. “Are you still with me?” I see your eyes follow my voice to look me in the eye again, knitting your brows together in concentration. “Can you follow my finger for me? With your eyes, try not to move your head.” You obey but your eyes move slowly, gaze unfocused. “Good job!” I reward as your eyes start to close, even this was a tiring activity for you in this state. I put a hand on your shoulder, giving you a gentle squeeze “Alright sweetheart, let’s get you to the treatment room. You’ll feel better soon, a couple more rounds of ECT and you’ll feel better than ever!” You nod your head slowly but I’m not sure that you actually heard what you’re agreeing to said, that’s no matter, I’ve already kicked the breaks on the bed and we are moving into the hallway. You’re watching the white tiles and lights pass overhead as you’re transported through familiar corridors to a room you’ve been in many times before, although I’m not sure if you can recognize that in this state.

It’s okay, we will make you all better. “Can you open your mouth? Good job.” You have reached a point where you no longer fight when the bite block comes down, I don’t think you even think twice about obeying every word your Doctor says. Such a good docile patient. It’s a shame you’re showing no signs of recovery, but that’s okay. I have no problem looking after you as long as it takes. You’re in the best of hands. “Alright sweetheart we are ready to begin, just bite down and it will be over soon.”

Really, I don't feel the passage of time at all. I find myself trapped on my back, unable to shift as you've secured me for my hours of rest. My hours of silence. I know you keep me chemically restrained, too. My head is heavy, my mind is floating in the clouds as my body is stiff. I would hurt myself pulling against my bindings, so, I was told it is for the best. Despite my reduced status, I still intend to defy you. I wish so badly to cry out that I'm well. That my will is still my own.

Your care is cruel, Doctor. Even so, I find myself broken again and again on your table. I have no choice as my legs are parted. Secured in the stirrups, my form is but a calf offered up for what feels like sacrifice. My mind, body, and spirit each break and tremble at your hand. Your therapies and examinations undo me. I exist only where you wish me to, kept between anguish and ecstasy.

I wonder, Doctor, will I ever be well again?

// absolutely adore your writing btw. Lock me up in that godforsaken basement sometime, doc!

I’ve read and re-read this piece so many times today. Truly a breath taking view into the life of a patient! How tiresome the routine must be, waking up strapped securely on your back, being roused for treatments and routine testing, being left alone with nothing but the same four walls and your groggy thoughts to comfort you. Wondering if/when you’ll be well enough to be released from my care. But it’s for your own good, isn’t it? You try to believe the doctors when they say so, but it’s not as if you have much resistance to give. All you can do is sustain each treatment and therapy, no matter how much you wish to be elsewhere.

Yes my care often feels cruel, but that’s your illness speaking. If you were well surely you’d see the reasoning for your confinement. For end endless hours of torturous treatments. For the medications that make you feel so detached from yourself. If you were well it would make sense. But you’re not well, that’s why you’re here.

Despite how much you might wish to resist. Despite how you despise me, I will never cease to provide the care you ever so desperately need. I will stop at nothing to ensure you follow all treatment protocols, no fighting or pleas will stop me from doing what’s best for my dear patient. Yes, I hope you will be well again one day, but not to worry, if not you can remain in my care however long is necessary.

I want to whine during every procedure, struggling against my restraints, groaning and complaining. When given an inch of freedom, I lash out or run away, so I must be contained. I'm sedated nightly for rest, seemingly the only way to help me relax. I want to be handled by multiple people, forced to wear restraints, straitjackets, and all manner of ways to limit my ability to fight what's best for me.

Hallo! Thank you to those of you who told me to get off my ass and write something. And thanks anon! for the inspo! 

Anonymous said:  (For the command thing) Tool ► disobey the Mechanic once

[Masterlist] 

CW: punishment, ECT/electroshock therapy, restraints, seizure, blink and you’ll miss it implied triggering. 

(Also just a disclaimer but y’all are smart Cookies. ECT is an actual medical procedure and not a punishment. The Mechanic is just an asshole and doing it incorrectly on purpose.) 

The Mechanic smiled at his colleague, swirling the liquor in his glass. 

“Tool,” he called casually, deeply enjoying showing off his assistant in front of another. “Bring the bottle.” 

Tool stood next to the bar, at the far end of the room. They didn’t move. The Mechanic shifted in his armchair, craning his next to glance their way. They didn’t see it - their eyes were drilled into the thick carpet. 

Why. Why. Why - why am I like this? Why do I do what he says? 

No. 

“No.” 

CW: Medical torture, intubation against will, restraints, forced sedation, forced feeding, restraints, intimate whumper, noncon touch (non sexual), explicitly discussed loss of bodily control 

This feels stronger than what I usually write, but I was inspired by this by @shameless-whumper 

I can’t in good faith recommend this if intubation is a sensitive topic for you. 

Whumper had threatened the Machine many times, but hadn’t gone through with it. Whumpee had rolled their eyes every time, doubting the existence of such a thing. No one would make it, no one – not even Whumper – would be so sadistic as to use it.

Right?