tobeyinabox

[tobeyinabox]

I LOVE MY OCS AH anyway art fight is soon so remaking reference sheets hehe.

Here is her old design:

Hehe anywayy byye

[tobeyinabox]

PATIENT MEDICAL RECORD SURGICAL REPORT #957

Patient Name: Misha Lupical Age: 14 Sex: Male Date of Surgery: ██ ██ ███ Surgeons: Doctor Paene Lupical, Petya Yordanovich (cardiologist) Anasthesiologist: Malcolm Grey Procedure: Organ Transplantation and Cardiovascular Augmentation

PRE-OP NOTES

Diagnosis: Multiple organ failure (lungs, gallbladder, liver, kidneys, spleen) due to malignancy and systemic toxicity; cardiovascular inefficiency requiring augmentation

Planned Procedure:

Organ Transplants: - Gallbladder, lungs, liver, kidneys, spleen excision and synthetic organ implantation - Major arterial and venous reinforcement with synthetic materials - Connection of transplanted organs to neurological implant

Cardiovascular Augmentation: - Secondary four-chamber heart implantation (continuous steady-state circulation with pre-coded heart rates for rest and different exertion modes)

Structural EnhancementsL - Endoskeletal reinforcement with flexible carbon-fiber mesh (beneath ribs)

Anesthesia plan: - General anesthesia with neuromuscular blockade - Continuous hemodynamic and neurological monitoring - Peripheral nerve stimulation for post-op functional assessment INTRA-OP NOTES:

Anesthesia Induction: - Patient intubated and placed under general anesthesia by anesthesiologist Malcolm Grey - Central venous access obtained (catheter inserted in subclavian vein) - Cardiopulmonary monitoring initiated

Intra-operation Actions: - Diseased lungs, liver, spleen, gallbladder, and kidneys removed - Synthetic organ replacements positioned and vascular connections established by Doctor Petya Yordanovich - Major arterial and venous structures reinforced with synthetic conduits - Endoskeletal mesh placed beneath ribcage; no interference with respiratory motion detected

Complications: - Initial rejection response to liver implant triggered hypercytokinemia, requiring instant immunosuppressive therapy - Temporary hypotension following spleen replacement; stabilized with IV fluids - Unexpected clot formation near secondary heart implantation site, requiring immediate removal and anticoagulant administration - Delayed vascular integration of synthetic kidneys, leading to brief renal hypoperfusion; resolved with perfusion adjustment

Closure & Recovery: - Hemostasis confirmed across all surgical sites - Incisions closed with bio-compatible sutures and synthetic dermal grafts - Patient transferred to ICU for post-op observation POST-OP NOTES:

Immediate Post-Op Status: - Patient successfully extubated, spontaneous respiration intact - Secondary heart maintaining consistent circulation with expected oxygen levels (confirmed by Dr. Petya Yordanovich) - Moderate pain and discomfort noted, managed with analgesics

Complications: - Acute hypertension episodes likely cause by vascular reinforcement adaptation; managed with a vasodilator medication - Persistent metabolic imbalance due to synthetic liver requiring enzyme therapy for stabilization - Mild pulmonary edema in left synthetic lung, resolving with respiratory support Ongoing Monitoring & Adjustments: - Secondary heart function optimization for long-term stability - Periodic enzyme regulation assessment for synthetic liver - Renal output monitoring for continued integration - Regular pulmonary function tests for synthetic lung efficiency

Discharge Plan: - Estimated hospital stay - 12-16 days - Physical rehabilitation for systemic adaptation (done by Doctor Lea Anderson and physical therapist John O'Nella) - Regular biomonitoring for cardiovascular and organ function stability - Regular neural implant monitoring to check for the integration of transplanted organs and their proper function

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tags: @tobeyinabox

[tobeyinabox]

i also take payment through venmo , but i forgot to add that... anyway. COMMISSION ME! (please)

[tobeyinabox]

YES OMFG EVERYTIME I SEE THIS DRAWING I GO INSANE /POS

his aim has never been better

[tobeyinabox]

“Bring him back.”

Jayvik ghost au comic

[tobeyinabox]

IM SOBBING AND CRYING AND GRRRR MY BABIES 😦😭😭😭😭😭😭

BREATHS.

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CWs: blood mentions, detailed description of post-op, mentions of post-op complications, referenced lung transplantation and body modification, Angst, not beta read

A/n: please like/repost or something because I died while doing research for this. I might write a pt. 2 if I find this gets some engagement

Word count: 556

Tags: @tobeyinabox

"Done."

Paene took off his surgical gloves, then his mask and gown, throwing them into the biohazard bin by the far wall unceremoniously. He walked to the sink, washing and lathering his hands from tip of finger to above his wrists a little too harshly. It was almost as if he was trying to scrub off more than just the remnants of the operation. He dried his hands in the folds of a towel nearby, his movements absent, distracted.

When he turned, he looked down at his son wearily. The boy was still laying on the surgical table. The nurses worked around him, folding the bloodied and iodine-stained drapes inwards before tossing them into a lined bin. Stainless steel instruments, some of them dotted with crimson, were separated into trays to be put in the sanitization unit. His son's necrotic lungs were put away in a container, sealed, then put in a refrigeration unit for later tissue sampling.

He didn't pay mind to the two women as they cleaned up after the surgery - he seemed to be too busy worrying his bottom lip between his teeth.

"Malcolm, his condition?" he asked, heaving a deep sigh

"Stable," the anesthesiologist said, adjusting the settings on the monitoring equipment, "His heart rate's on the lower end, as expected, and his breathing is exceptional. Congratulations, Lupical."

Paene's hands hovered over the counter, twitching slightly before he forced them onto the cool surface. The rush of the pride he'd expected was hollow, overshadowed by the fear that ate at his bone marrow.

He had successfully transplanted a set of mechanized lungs into his own son, had implanted a literal mini supercomputer into his brainstem to control said lungs, and both of those were creations of his own hands.

He had made the blueprints for the organs, he had created synthetic material that almost exactly mimicked lung tissue. He should be ecstatic.

He was all but that, however. He was terrified. Terrified for his boy.

"Doctor Lupical, do we proceed and get him into PACU?" one of the nurses asked, voice low with fatigue yet still steady

Paene glanced at her after a moment before nodding.

"...Yes. You're both dismissed once you're done," he replied absently, gaze returning to his son.

The nurses unhooked the monitors from the boy's body with practiced efficiency, lifting him carefully and setting his body atop the padded recovery bed. The beeping of equipment followed them out with the rhythm of the teen's heart rate as they wheeled him out of the OR.

Paene lingered, turning his whole body and leaning back against the edge of the counter, looking out into nothing, just the general direction of the surgical table.

What if he had made a mistake?

All the prototypes worked correctly in the countless simulations he put them through, everything had connected correctly. Even when he checked how they worked before they finished with the surgery, all went well. But this wasn't a simulation.

This was his son. His life. His responsibility. And, if this all ended up spiraling down to hell, his undoing.

"You did everything right, you know," Malcolm spoke softly, suddenly closer than before, the sound of his voice accompanied by the one of the running tap

"I hope it's enough..." Paene answered, unable to shake or mask the tremor in his voice

[tobeyinabox]

[tobeyinabox]

Friendly reminders to cis fanfic writers that afab≠woman

Afab means assigned female at birth so this includes/can include cis women, trans men, transmasc people, nonbinary people, and intersex people.

If you’re making a fic where the reader is a woman, uses she/her, wears feminine clothing, etc. tag it as fem reader instead.

I’ve been smacked in the face as a trans man by reading fics tagged afab thinking it will be gender neutral, but the reader is actually a woman and I’m disappointed because I was ready for a fic I thought would apply to me.

Have fun writing and make sure you’re tagging your fics properly, ty <3

[tobeyinabox]

Ollie: my hip hurts...this is annoying...

Paene: use your cane?

Ollie:....it's at home...plus I don't need it...

bro is leaning against every surface close to him.

(I'm projecting my joint pain onto my sona. Shh)

@farawaywegotogether I'm still brainrotting Ollie being an idiot 🧍

[tobeyinabox]

AHHHH THE GAYS. STOP. AHHH olliepaene my beloved. I now. Need. To.be.there. Paeney poo 😘

First tumblr post and it's OC/drself brainrot between me and @tobeyinabox :D!!

Look at them.... gaze upon their tomfoolery

[tobeyinabox]

Domestic Ollie and Tomura (aka my MHA dr)

the gays are here.

i’ve had massive art block so i’m fighting for my life trying to even get passed the sketch stage….

[tobeyinabox]

the lack of silco x gn or male reader is so sad </3. also SO many works aren‘t labeled and just busts out she/her pronouns out of nowhere?? i might start writing fics solely bc of that but im not very creative chat 😩.

[tobeyinabox]

MelNceba Art || arcane oc x canon

they’re gay. they kiss. they more 😏

[tobeyinabox]

Some lineart for what i hope will be a sick poster, arcane oc my beloved…

[tobeyinabox]

Official Arcane Sona

be him the gayest of them all

mf lives in zaun and for some reason chooses to dress like this 😒 to be fair he does dress more practically when he’s y’know. not working (he owns a bar attached to a brothel)

ANDD he may or may not be a deity…i have not decided yet. all ik is he’s known as the “shadow” and he’s a werelion with shadow magic 🤷‍♂️🤷‍♂️ cus. i keep my sona’s somewhat consistent.

erm anyway yay

[tobeyinabox]

Arcane Self insert cus i’m gay and i need Jayce and Viktor

this is another media where im gonna make an AU thats a cross over with Alice madness returns. you guys genuinely do not understand the depth of this hyperdixation.

anyway maybe i’ll make a lore post….if anyone wants it.

UGHHH my fav Greek lion hybrid (there is actually more to that lol)

[tobeyinabox]

Really rough redesigns for some of the Alice Madness Returns creatures....

Since I'm making a monster journal, kinda just accumulating monsters and creatures from different media for it and sorta redesigning them....anyway I'm sorta probably alive from art block