Doctor's Orders: Mikan Tsumiki vs Tae Takemi

[deezcastforms]

Mikan fought, and thrashed, and squirmed, and struggled, and any other word you can use to describe a desperate attempt at escaping the soft and bouncy clutches of unconsciousness that were Tae's breasts. Her face rubbed against them inside the doctor's cleavage as she tried to pull free or find air. And her bucks and shakes were made into near immobility by Tae's legs.

Tae was strong, and Mikan was weak. And that was all that mattered. The only thing Mikan could do, was to scream, cry, and beg. "PLEASE! I'M BEGGING YOU! LET ME GO! I GIVE! I SUBMIT! PLEASE STOP THIS!" Of course Mikan's words were muffled and quieted by the breast smother, but Mikan prayed her words got through.

But they didn't. Either Tae didn't hear, or more likely, she didn't care. Mikan's screams became quieter, and her struggles weaker. Until soon her world became black. But not even that would bring mercy upon the poor nurse, as knock outs were not a win condition of this match. It only meant that she could offer even less resistance than she already was to Tae's next move.

[Ichi]

     As she stood over her unconscious opponent, Tae's vision continued to spin. The bright lights of the arena impinged on Tae's retinas, whirling around along with her vision. Tae let out an audible exhale. She was quite thankful that this match had been mostly grappling—her reaction time felt sluggish and compromised, which might have posed a problem if Tae had kept the fight standing.
     Tae could almost feel the hundreds of eyes gazing upon her, silently imploring her to go further. The twisted doctor seemed to hesitate for a moment. Then, with a sigh, Tae got to work. She would attempt to entangle her limbs with those of her helpless, feeble patient, locking Mikan into a spladle hold!

Spladle

     Should that succeed, Tae would wait until Mikan regained consciousness. "Wake up, my helpless little guinea pig. The clinical trial is not over yet," Tae would say before using her entire body to wrench Mikan's legs further apart. "Now, let's perform a little experiment." Tae would then shift Mikan's body around so that Mikan's sizable breasts would occlude Mikan's nose and mouth, thus smothering Mikan with her own breasts!

[deezcastforms]

When Mikan woke up from Tae's breast smother, she tried to just stay asleep. Hoping that if she could fake that she wasn't waking up well enough, then maybe this would just end sooner rather than later. But it wasn't meant to be, as she let out a pained scream, betraying her wakefulness, once the doctor yanked her legs apart with her spladle.

With her eyes now open, Mikan was able to actually take in what Tae was doing to her now. The doctor had positioned herself beneath the nurse, gripping one leg with her arms and the other with her legs, and pulling them apart. Mikan's open legs were being displayed for the world to see. But it didn't seem like that was what Tae even cared about.

"Wait! Stop! I-don't-consent-to-participate-in-this-tri-UMPH!" Mikan tried to motor mouth out with an impressive level of clarity considering the nurse's regular speech patterns. Mikan was getting breast smothered again, but this time it was into her own chest. Mikan sobbed into her own cleavage as she tried to push her own boobs up off of her face, but her own body weight that Tae was pressing down with was too much for her to overcome.

[Ichi]

     A grin spread across the twisted doctor's face as she continued to put stress on Mikan's hip joints. The cameras zoomed in on Mikan's swimsuit-clad groin, evoking cheers from the crowd. While this was not a hentai match, the crowd could not help but be thrilled at the sight of Mikan's body being put on display. And Tae could not help but slightly roll her eyes at this fact.
     The twisted doctor was not concerned about the eroticism of the hold—rather, she was concerned about other matters. "Perhaps this could make for an interesting study: "The Effects of Mammary Size on the Efficacy of Breast Smothers". I'm curious to see if your larger bust would result in a quicker onset of unconsciousness," teased Tae. She paused for a moment to let the words sink in. "Of course, this methodology is egregiously flawed. Can you tell me why, Miss Tsumiki?"

[deezcastforms]

When it came to medical or technical matters such as this, Mikan actually knew what she was talking about quite well and could actually articulate her words comfortably. "Well, aside from the fact that you still have neither my consent to participate in this trial, or approval to conduct this experiment from any kind of board. The fact that I just woke up from being suffocated once means I'll go under quicker the second time around, regardless of other factors." Now obviously, whether or not Mikan could articulate her words through her own tits in a way Tae could hear would likely be an entirely different matter.

But, flawed experiment or not, is was still putting Mikan to sleep as intended. The long winded explanation really didn't help either now that she thought about it. That was roughly the last thought that Mikan had before she fell back asleep. Her muscles went limp, and Mikan's body folded over even more onto itself since the nurse wasn't awake to resist anymore. Her breasts were now completely covering her head as she slept.

[Ichi]

     The twisted doctor listened intently to Mikan's mammary-muffled explanation, the corners of her mouth curling upwards in a near-imperceptible manner. While Tae could not understand a word of what Mikan was saying, Tae could tell that Mikan's characteristic nervousness was gone. In an odd way, seeing Mikan go from a stuttering, anxious wreck to a (likely) competent nurse was slightly endearing.
     "Yes, that is absolutely correct," Tae would say once Mikan was done speaking. "Another consideration would be that the breast smothers were not applied in a consistent manner. The first smother was applied from full guard whereas the second one was applied via a spladle. The lack of consistency could potentially introduce some confounding factors.
     "For example, suppose for the sake of argument that the full guard method is more efficacious for breast smothering than the spadle method, and that breast size has no appreciable effect on the efficacy of breast smothers—again, this is purely for the sake of argument. Now, suppose that the full guard breast smother with smaller breasts resulted in a more rapid onset of unconsciousness. In that case, one would not be able to make any conclusions as one would not be able to definitively conclude whether the results were due to the difference in breast sizes or the manner in which the smother was applied.
     "Additionally, the sample size of this 'experiment' is egregiously small. No sensible study would have such a small sample size. Very little can be ascertained from such a small sample size, let alone a small sample size tested with a blatantly flawed methodol—"
     Mikan had long since been out, a fact that Tae had just noticed. Cursing under her breath, Tae would release the spladle hold, thus allowing Mikan to breathe again. Thankfully, Tae had been talking quickly, so Mikan was not deprived of oxygen for long enough to cause brain damage.
     The twisted doctor would then begin dragging Mikan's unconscious body towards the corner of the ring. Then, she would lift Mikan up before draping Mikan's arms over the top ropes. Provided that Mikan did not regain consciousness earlier, Mikan would awaken with her body propped up in the ring corner.

[deezcastforms]

Mikan hadn't actually heard much of Tae's ramblings about the lack of scientific propriety before she had passed out. But she had caught the doctor praising her for her correct answer, which the nurse supposed was the smallest of victories. Which frankly was probably as good as today was going to get for her based on how it had been going and on how Tae seemed intent on torturing Mikan for "research."

Mikan awoke unable to move. It didn't take very long for her to realize that her arms were hooked over the corner ropes. Her legs were free, and it wouldn't be hard to get her arms free either. But with Tae staring her down, trapping her in the corner without even touching her at this point, Mikan knew that it would be pointless to try, and simply hung her head in dreadful anticipation. If Tae was ready to stop yet, Mikan wouldn't be hung up like this.

[Ichi]

     The twisted doctor stood in front of her hapless victim, blocking off all escape from the corner. The entire arena seemed unsteady to Tae, the floor seeming to wobble as if she were on a rocking ship. She took a deep breath and adjusted her stance to be more square, almost like a Muay Thai stance.
     "First thing's first," the twisted doctor stated as she shifted her weight onto her rear leg and tapped her front foot lightly on the mat. "If you try to escape, I will strike you." The twisted doctor threw a stabbing teep kick, her knee swiftly rising before her foot shot out towards Mikan's core. The foot just barely missed, coming up just centimeters short. "Either like that, or like this—" Tae took a small step forwards, decreasing the distance between herself and Mikan. Her arm would sluggishly shoot out in a jab motion, her fist just barely touching Mikan's chest. Good. That's the proper range, thought Tae to herself.
     The sadistic doctor cleared her throat. "Thus far, you have been quite unlucky, Miss Tsumiki," announced the doctor to both Mikan and the crowd. "But let us test how unlucky you truly are." The doctor paused for a moment before speaking. "Commotio cordis. It occurs when a strike of sufficient energy strikes the precordium in the right place, and at the right time. And the result? Ventricular fibrillation.
     "Specifically, the strike must occur during the ascending phase of the T-wave

, which corresponds to ventricular repolarization. The pathophysiology of this condition is not fully understood, but it is believed that the shock from the impact activates mechanosensitive channels in the cells of the myocardium

Mechanical shocks can induce electrical activity within the heart. In the case of commotio cordis, the mechanical shock leads to ventricular fibrillation. Additionally, one can use what is known as a precordial thump—i.e. hitting the chest of someone—to attempt to restore normal heart rhythm in certain situations (although the procedure has low efficacy). Note that precordial thumps are not indicated (i.e. recommended) in all situations—in other words, if you are not a medical professional, you probably should NOT go around beating on the chests of people in cardiac arrest.

The American Heart Association's 2010 guidelines for advanced cardiac life support (2010 ACLS Guidelines) state the following:

The precordial thump should not be used for unwitnessed out-of-hospital cardiac arrest (Class III, LOE C). The precordial thump may be considered for patients with witnessed, monitored, unstable ventricular tachycardia including pulseless VT if a defibrillator is not immediately ready for use (Class IIb, LOE C), but it should not delay CPR and shock delivery. There is insufficient evidence to recommend for or against the use of the precordial thump for witnessed onset of asystole.

. For the most part though, one does not have to worry about falling victim to commotio cordis. The heart is only vulnerable during a very short window of time. Thus, anyone who falls victim to commotio cordis must have amusingly terrible luck."
VGFlIHNhaWQgIkknbSBzb3JyeS4gIFRoaXMgaXMganVzdCBmb3Igc2hvdy4gIEknbSBub3QgZ29pbmcgdG8ga2lsbCB5b3UuIiAgfHx8fHx8fHx8fHx8fHx8fHx8fHx8fHw=Tae would quickly mutter something quietly so that only Mikan could hear. Then, Miss Death would look then straight at her victim, her mouth curled into a grin and head cocked to the side, as if she were examining a particularly interesting specimen. "Now then, do you know where I am going with this?" said the doctor as she put her rear hand near her chin and placed her lead hand on Mikan's chest. "I'm going to repeatedly strike you on the precordium

The precordium is the area of the chest that is right above the heart.

. And I won't stop until either I induce VFib or get bored."
     Tae would throw a punch with her her rear hand at Mikan's chest area. The doctor's hips and shoulders would remain static, with the movement of the punch coming entirely from Tae's arm. Her fist would land, making contact at full arm extension.

[deezcastforms]

It was plainly obvious to Mikan that Tae had something bug planned. First ordering the nurse not to attempt to escape, and then beginning to simultaneous threaten Mikan while testing her own attacks. First with a kick where the heel of Tae's shoe coming just short of Mikan's belly. Then a punch came in slowly, with the doctor's knuckle pushing softly into the nurse's breast.

And then Tae began an evil medical monologue of her plan. But when Mikan heard the words "Commotio cordis" come out of Tae's mouth, she could have sworn her heart stopped then and there. Plenty of people in the crowd were ignorant to the medical terminology that the doctor was spout, but Mikan knew what Tae was saying that she would attempt. She was planning to send Mikan into cardiac arrest.

Mortal terror had overwhelmed Mikan to the point of freezing her body in place, leaving her mind to race on its own, running wild with visions of her own death. Tae punching her, then nurse losing all breath as her body fell off of the ropes seizing until she lost consciousness. Then an out of body experience where the LAW medics tried to revive her while Tae cackle from a corner.

Mikan heard Tae whisper in her ear, "I'm sorry. This is just for show. I'm not going to kill you," but that didn't do a single thing to allay Mikan's terror. Tae was her torturer. This was probably false reassurance to give Mikan hope before stabbing the nurse through the back via her heart. And even if Tae was telling the truth, Mikan couldn't trust her. Mikan could see the signs of inebriation on Tae; the smell of her breath, her occasional wobbliness, being bothered by the lights and crowd. In her drunkenness, Tae could easily achieve Commotio cordis on accident by trying to fail. Mikan's mind went to self preservation and survival.

What if... I fake it? If Mikan faked a cardiac arrest, it wouldn't only stop Tae from potentially actually stopping her heart, but it would end the match entirely if the ruse worked. Mercy match or no, LAW would step in for sure if they thought a wrestler's heart had stopped. She just had to fool Tae long enough for LAW medics to interfere, and then stay unresponsive until they started trying to revive her. And Mikan had reason to think she could do it. While healing physical injuries was her specialty, the nurse was also skilled with psychology. Understanding the minds of others was a vital defense mechanism for Mikan against bullies in her youth. In this moment, Mikan knew that Tae's guard was as low as it was going to get, meaning that now was the time to try to get something past her. And her odds would be increased my the doctor's inebriation.

"D-d-don't s-s-stop my h...heart!" Mikan pleaded. Half in terror, and half in a calculated attempt to keep Tae's guard down. When the evil doctor threw a punch at Mikan's heart, she'd wait a couple moments so it had time to set in. Then, "Het!" The nurse started shaking. She was doing it herself, Tae would not get Commotio cordis with her attack. Mikan would shake until her arms were off of the ropes and she fell down to the floor face down. Her butt would stick in the air for a second before Mikan well to her side. She would then stop shaking and go limp, closing her eyes so she didn't have to worry about blinking. Now Mikan just had two things two worry about; controlling her breathing and keeping it as minimal as possible so that her chest didn't visibly move, and staying limp and unresponsive until LAW medical came in to try to resuscitate her. When that happened, they'd start with CPR assuming they knew how to do their jobs, and Mikan would need to wake up then. If she waited longer, the medics would go for the defibrillator, specifically an AED, which was technologically advanced enough that it would be able to call her out for faking. Waking up early might be suspicious, but letting the AED come out was unacceptable for Mikan.

[Ichi]

     "TSSS!" Tae exhaled sharply like a boxer as she struck. Her right arm straightened as her fist shot forwards, sinking into the soft flesh of Mikan's breast. There was very little feedback: no recoil from the strike, and no reaction from Mikan. The expected outcome.
     The doctor's fist lingered on Mikan's chest for a moment. Her eyes tried to focus on her fist but her vision kept shifting. She slowly withdrew her fist to load up for another precordial strike

The precordium is the area on the chest right above the heart.

.
     "Het!" Mikan cried out.
     Tae's eyes snapped to Mikan right as Mikan began convulsing. Tae stared at Mikan for a moment before blinking. Moments later, Mikan started to fall to the mat, prompting Tae to take a step back.
     It was odd seeing her opponent react in such a manner to what was supposed to be an innocuous strike, one meant more for show than anything else. While there could have been a multitude of explanations for Mikan's reaction, the two that seemed the most plausible at the given moment were commotio cordis—what the twisted doctor was ostensibly trying to cause—or disingenuity. Yet, Tae knew that it was exceedingly unlikely that Mikan had commotio cordis.
     Tae specifically threw her punch in such a way that would not hurt Mikan. But even if she had screwed up her punch, Tae knew that the chance of actually causing commotio cordis was extremely low. No, the etiology

(From Merriam-Webster) Etiology is defined as "the cause of a disease or abnormal condition".

of Mikan's current symptoms was abundantly clear: Mikan was faking it. At least, it was clear to Tae.
     Still, a sliver of doubt seeped into Tae's heart. Was she really perceiving things correctly? The arena around her seemed to be spinning and her mind felt foggy. The miniscule possibility that Mikan had actually been hurt weighed on Tae. Tae's instinct was to do something to try to verify Mikan's condition—whether it be checking for pulsatile flow

If Mikan had experienced commotio cordis, she would be in ventricular fibrillation (VFib). Since the heart does not pump properly during VFib, people in VFib would—I believe, but am not 100% sure—not have a pulse. Thus, if one were to feel a pulse upon checking (i.e. observe pulsatile flow), I believe that would probably be a sign that the person being checked was not in VFib.

, checking for breathing, or simply kicking Mikan to elicit a reaction and impel her to stop faking. The doctor lurched forward a quarter of a step before abruptly stopping. Out of the corner of her eye, Tae caught sight of the medical team heading down the entrance ramp.
     "Fuck it," Tae muttered under her breath. Mikan was their responsibility. And Tae had her own responsibility as well.
     "It appears VFib has ostensibly occurred in the subject much earlier than expected," announced the twisted doctor to the arena. "To think that Miss Tsumiki would supposedly be this unlucky." The doctor's voice had a slightly sarcastic edge to it.
     Tae knelt down at Mikan's side. "Sinus tachycardia is not shockable, nor does it typically require intervention," whispered Tae wryly before standing back up

"Shockable" means that a defibrillator shock is needed. Ventricular fibrillation (VFib) and pulseless ventricular tachycardia (pulseless VTach) are the two "shockable" rhythms, according to a couple of online sources.

Sinus tachycardia refers to an increased heart rate due to the sinoatrial node sending out electrical impulses at an elevated rate. Sinus tachycardia can arise from stress, exercise, et cetera.

. The doctor moved towards the edge of the ring closest to her previously discarded labcoat before sliding out of the ring and onto the floor. She walked towards the labcoat with a slow and deliberate gait.
     Right as the doctor was putting on her labcoat, Mikan "miraculously" got up. Tae breathed a sigh of relief before closing her eyes. Her eyes rolled underneath her eyelids. "Spontaneously terminating VFib. How realistic," muttered the doctor, her voice inaudible over the noise of the crowd. "At least she gets to save face this way, and not get called out for her bullshit."
     Unless interrupted, Tae would make her exit. She would walk briskly, doing her best to traverse the sloped surface without stumbling. To Tae's credit, she would manage to pull that off quite well. But it also helped that the crowd's attention and the cameras would all be trained on Mikan.