Pam must maintain her oxygenation levels as high as possible throughout the operation because the girl’s red cells are fragile and apt to break open...if the oxygen saturation of her blood falls too low. Breakage would release the precious haemoglobin into her blood stream where it can cause serious mischief. The “sickle cell trait” offers some innate protection against the malaria parasite, and so the mutation has survived from generation to generation in West Africa and into the modern age, to. She screamed again and thrashed around but surprisingly remained concious. I guess she had a higher pain tolerance than I originally thought. I thought for a moment before a particularly enjoyable idea showed itself to me. I never liked to do the same thing twice. I crawled onto the cot and kneeled between her thighs. "Are you a virgin, little Lauren?" I inquired. She just stared at me and for a moment I thought she was no longer coherent. "No." she answered quietly and dejectedly. Jesus, the. More

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