But Nopony Should Trust Her
"Ugh, my heart." I could feel something was not right in there. The nurse confirmed that, running more tests than normal. She told my that my heart was failing, not much of a surprise considering the poor diet of the Equestrian Wastelander as well as this terrible environment that has plagued the planet for over 200 years. On top of that, the rest of the male side of my family has a history of it, along with our dusty brown coats and a random color of rainbow for their mane and tail, me getting an ugly purple. Heh, like father like son.. heart disease.. yay... So here I am laying in my hospital bed, waiting to be wheeled off.
The exam was pretty straight forward, the nurse coming to the diagnosis quickly and confidently. She was pretty damn sure of it, and being a pre-war ghoul nurse made me feel even more sure of it. In fact, it seems every single pony on staff here was a ghoul. The secretary, he was an earth pony ghoul. The mare wandering around with the fancy outfit staring at everypony in the lobby, a rare pegasus ghoul (something tells me that what was left of her mane wasn't gray from age). Even the uh, slightly glowing green pony (even her fur was green!) was a ghoul, an earth pony mare. They must've gotten training in the best schools. When I asked, the glowy nurse (I found out her name is Ivy) said they used to work in the Canterlot hospital, put luckily were at a meeting as the bombs went off.
I had just thought their ghoulish brains had lost their memory from the wait, then the pegasus mare slowly walked in, wings folded tightly with a melancholy expression on her face. I don't blame her. She pulled a manila folder out from her lab coat, holding it open with worn hooves. Oddly enough, the lab coat seemed to have some sort of military ranking on the shoulders. Enclave, perhaps? No.. shes pre war...
Putting a hoof up to her mouth to clear her throat, she addressed me in a monotone voice that sounded like she was a chain smoker. Well, pretty much all ghouls sound like that. Though judging from the pack of cigarettes in her chest pocket it may be a combo.
"My name is Doctor Needlepoint and I'm the head nurse in this hospital." It sounded rehearsed. "You're due for a heart transplant with Doctor Heartstopper, head surgeon. I wish you luck, Cowpoke."
Wait.. luck? Aww, c'mon. The head surgeon will be working on me, so I must have a high chance of survival! Wait.. where did they get a heart? My thoughts were cut short, however, from another ghoul doctor entering the room. A unicorn mare (the first unicorn staff member I've seen here, actually.) that happily sported a worn lab coat and still about half of her teal coat, even the red and blue in her mane was visible! Wow, lucky her. Most ghouls are just.. fleshy.
"Its nice to meet you, Cowpoke. And might I say, a handsome stallion!" Her voice squeaked at first, then leveled out to what I assumed was a seductive tone. It was hard to tell, I wasn't attracted to ghouls. Besides, I had a buck at home waiting for my embrace so this would never happen.
"I just wanted to pop in right before I prepped for surgery. Usually Ivy would be joining in, but shes pretty busy at the moment." I'll admit, I've never seen a ghoul that happy before. She even giggled before leaving me with a comparatively grouchy Needlepoint, who sighed heavily. Whats the matter, can't turn a frown upside down?
The pegasus nurse stuck a needle in me, injecting some kinda fluid. Doctor stuff, I assumed. Then a mask over my snout, connected to a metal tank. Turning the knob, she looked down at me with a tired expression.
"This will knock you out for the procedure."
* ** *** ** *
It didn't.
I lie awake in the OR, Heartstopper connecting me to several different monitors. Oh fuck... fuck fuck fuckity fuck. I wasn't under, yet the fact that the sung to her self terribly even by ghoul standards told me she didn't know. I tried moving my limbs and opening my mouth to tell her, but nothing happened! Oh Goddesses.. that syringe must've paralyzed me and now I'll feel everything!
No wait.. she turned on the knob! I could see around to that at least. I could also see where my whole torso was shaved to be sliced open.. but I won't have to worry because she turned on the sleepy gas! Except.. it was opened all the way and I felt nothing. Oh no. I felt the cool air over me as my mind was drawn to my shaved belly. Ooooh! She pulled out a syringe of her own! This would make sure I was out! The singing turned to humming as I was injected with something into my hind leg. That... that hurt more than usual. But.. surely this will work!
Nope. Not at all. It did do something completely different though... I.. what? My dick.. I was getting hard! Why would she want.. Oh no.. no no no.. Whatever it was she wanted was very bad for me. Again my thoughts were interrupted by her, as she kissed my cheek. Did she know? Only a sadistic monster would do this! I was hoping the scalpel did not go there.. please Celestia no..
She lifted the scalpel up and I could only watch it float in her teal magic helplessly, even unable to close my eyes. I braced for it.. for the worst pain that could ever happen as I saw her cheeks pull the smile that was surely under her mask. Then.. she hopped on the throbbing shaft. Oh that wasn't-
The scalpel make a Y-incision starting at my collar and then splitting over my belly. I needed to scream. I was going to die if I didn't. But I had no working mouth. I heard the heart monitor's beeping pick up pace as I panicked, adding to the fear running through my head. S-Surely she would see I responded through that, right?
The monitor got a smack. A smack so hard from her that.. it shut off. "Damn 200 year old tin can. Needs to be fixed." I tried to struggle against the meds paralyzing me, but it was no use! Uh... heart monitor reacted.. so if I stopped myself breathing.. That would surely get her attention! But.. my own body didn't respond. Again. Out of the corner of my eye, I spotted one of those lung pump things, huffing away slowly.
My chest screamed in agony as she cut my ribs with.. a.. shears? Each snap a stabbing pain that almost felt as bad as getting shot. Unlike getting shot though, it was a steady rhythm. Crack. Crack. Crack. Oh Celestia please! Luna.. make her STOP! Please make me pass out! Let me die! ANYTHING BUT THIS!
She did stop, and I silently thanked the goddesses. But then I watched while time seemed to slow as she poked in my chest and.. shoved two hoses in there! I felt weak and ill.. my body telling me that something awful is happening. Blood flowing out of one hose into a machine with spinning reels that I haven't even noticed was turned on. Right after I noticed something that comforted me and horrified me at the same time. She talked to herself.
"Bypass activated. Patient stabilized." She dragged that last word with satisfaction. "Now before I go further, I might as well have my fun... too bad you can't feel anything." She had no idea.
I was sliced open. Had my ribs snapped. Arteries plugged into.But no pain could prepare me for the true agony of seeing what she did next.
My intestines were slowly lifted out and wrapped around her neck like a gory scarf! She nuzzled my viscera against her mask, blood smearing all over it, which just made her start moaning as she.. started to ride me! I watched in horror as the mare giggled like a filly, taking such joy in raping me during surgery. Blood covering her body, turning her on even more!
Despite the horror that was going through me, it felt kinda good.. but that didn't mean I wanted it! I wish I could cry. I wish I could scream so she would stop raping me. I wish.. I could die. All of a sudden I got my wish.
My heart stopped.
I expected the pain to go away, put it only multiplied as she quickly and expertly swapped my old, yellow heart for a fresh red one while still riding me. Inside the agonizing orifice that was my chest cavity, I felt the new organ rest, feeling so normal yet alien. Then blood vessels were reconnected like wires that had to be taut to reach. I thought it was over, the muscle starting to beat on its own. My attention shifted to the ghoul's moaning, still on me! The new heart almost stopped as she belt forward and whispered into my ear.
"I like my stallions like I like my patients; unconscious, under the knife, and guts around my neck~"
Taking a deep whiff of my entrails, she squeaked and came, 200 year old pussy clenching my member as it would've been milked dry..
"Sorry, I do feel bad that you didn't cum. Oh well.."
I passed out at last.
* ** *** ** *
I woke up hours later, in a daze. I ran my hooves over my body, checking for any sign of the operation. There were no scars.. all my fur was back.. maybe I had a nightmare after Needlepoint injected me with whatever that was. I had to speak to the pegasus, I must know. But I couldn't focus, mind still on what I saw. What if.. what if I hadn't gone under... her knife yet? And I was just-
Heartstopper joyfully trotted into the room. Oh no.. her.. I must've looked terrible. As soon as she looked at my probably horrified expression, she turned tail and fled. Her hoofsteps got farther as I curled into a ball. It happened so fast. Her face.. she now knew.. I just.. wanted to stop existing. I wanted to be invisible, especially as somepony else entered the room, albeit slower and lazier.
"Did she rape you during the transplant?"
It was Needlepoint. Peering from under the covers, I could see her stern look. Her ghoulish eyes stared into my soul, right through my own.
"Did she. Rape you. During the transplant?"
I've been around enough mares to know that look. There was only one acceptable answer. I nodded, and she slowly left... I bet she knew all along...
- \ | / - \ | / -
Months later a lone figure stood atop Tenpony tower, looking out to the horizon. Their features were fuzzy, but one couldn't take the time to focus as they were gone moments later. In the same moment, ponies gathered around what was a new bloody stain on the pavement below in horror hearing the slam, stunned and confused.