Chapter 4/ Surgery

Author's Note: Hi everyone I am back again special thanks to minty! Thank you so much for your continued support you have no idea how much your review make me happy I hope I continue to hold up your expectations! Also I think I need to explain what Osteosarcoma is, it is a very real cancer that I picked for this fic to use though Gaz's symptoms are actually more attuned the Ewing Sarcoma the time scale I set wouldn't work both affect young people but Ewing Sarcoma works to fast for the pace I set and would have been more difficult for Zim to fix with the parameters I set for this story. Also I am not doing this to offend or hurt any actual cancer patients if you have these two cancers I am sorry for all terrible inaccuracies and lack of more information. Now on with the show!

Warning: there will be blood and lots of it and semi-accurate if not fully accurate descriptions of gory surgery I will separate it from everything else so you can skip it but I will try to keep it in the set T rating though it doesn't really address surgical procedures so I am kind of lost.

Disclaimer: *does the disclaimer dance to appease the trademark gods*

Another Disclaimer: I don't own the cover image I keep forgetting to write that sorry!

Zim's P.O.V.

As I take the elevator down to the med bay I think of my Dib and the fear in his eyes at my closeness my forwardness and I truly would have liked to take a better approach for him to submit to the Almighty Zim but Gaz needed me immediately and I needed my Dib confused enough to agree to my demands.

I wish he didn't fear my touch so… but it is fine Zim will have all the time in the world to earn the Dib-love's affection. With that decided Zim fixes his mind wholeheartedly on the matter of the upcoming operation.

"Computer give Zim the schematics on the Gaz-child's body and explain what procedure will be taking place" the screens pop up first, all writing in Irken so I don't waste precious mili-seconds translating it from the filthy 'English' these earthling favor in this section of the world.

"Sir the procedure will be to remove the tumors located on all growth plates of the long bone except the left femur as it is so far untouched by the disorder also there is a tumor in her right chest cavity and it is encroaching on the lung and ventricles of the heart which is where the main source of pain is and seems to be attached to the Ribcage but might be floating as if broken off" The computer tells me professionally and I think so much surgery at once is no doubt going to kill her if not from blood loss than simply all the invasion and shock plus if what he remembers from his human experiments is correct cancer doesn't go away and will continue as long as the body keeps foolishly feeding it.

While Zim commends the humans on their bodies ability to self-function without a Pak regulating everything these 'cancers' seem to be a flaw in the system that a Pak would never allow. This seems to spark an idea in Zim if the body isn't regulating itself properly causing these things to form then maybe if it had a Pak to do so for it… "Yes Zim is genius! A Pak for the Gaz beast would solve everything! Except it wouldn't be compatible with her body…" "Sir if I may we might be able to modify one to work on a human body" My computer helpfully chimes in "yes! Get on that, hack into the Empires smeetery files and design an Irken elite-standard Pak for the Gaz-Child! I will start the surgery immediately so try to be quick about it!" "Yes Sir"

With that taken care of the elevator opens and Gaz is in the center of the room already sedated and out like a light. I walk over and see her chemically induced relaxed state her clothes are already gone but I am unbothered as I kiss her forehead and set her hair properly something I have seen civilian Irkens do to their children when I was a scientist back on Irk I have seen parents do it here as well. "Do not fret Gaz-Child Zim will make all the pain go away, you will be safe with Zim" I nuzzle her cheek also an observed form of comfort Irkens give their young before straightening up and extending all my Pak legs.

"Computer full room and body decontamination!" the room fills immediately with a state of the art disinfectant that I designed myself to kill all but multi-celled organisms and yummm smells like waffles I breathe deeply as the gas disinfects my spread body and Pak legs thoroughly with their own spray before all the gas is removed since too much might hurt the Gaz-child's lungs further. I look down the computer or Gir has already set all the tools required even some blood flow inhibitors but this will still be a very bloody and difficult operation.

Surgery scene here skip if you want Third Person P.O.V. See chap 3 for Dib's version of this for the idea

Zim injects the blood flow inhibitor into the former demoness' body allowing it to flood the bloodstream while he does this he fills a pan with disinfectant fluid and bathes his bare hands in it glad he hadn't worn his gloves today before he threw the tools he would be using and all spare scalpel blades in it for the Pak legs to manage as he needed.

"Computer bring up the X-rays of Gaz-child I need to see where I am working again" a hologram rises again the X-rays showing the tumors and even though the invaders superior memory already memorized it Zim felt safer seeing it again. "Thank you dismissed" the hologram disappears and Zim picks up a scalpel for the first incision.

"I will remove the most dangerous one first if I can get her breathing easier it will make the rest of this easier… Computer put the air to 100% oxygen at triple pressure" "Already done sir I put it on the second she was put in medical to increase chances of survival by 30%" "Good"

With that knowledge gained Zim pauses no further and pulls out one of his longer scalpels and begins cutting into her chest directly under here diaphragm and once he had made a whole big enough he inserted one of his hands and used his claw to cut the diaphragm cleanly. Despite the inhibitors her blood still flowed well and coated his hands as they worked at one point he lifted her with one and inserted his hand further in her chest cavity glad he only brushed her fluttering heart slightly in his quest for the tumor which he begins feeling up blood flowing and dripping off the aliens elbow his patient's breathing severely labored from lack of room for lung work but due to increased oxygen and pressure isn't suffering deprivation.

The tumor isn't large but it doesn't need to be to affect Gaz as it had and once Zim has fully mapped the area with his hands does her actually grab the scalpel and pressing the blade against one of his claws to the blade inserts it into the fragile human knowing a nick could end her life if missed placed. With all the care of the scientist he used to be and all the precision gained from years of human experimentation Zim start cutting the tumor smooth it has to be smooth. In the aliens concentration he doesn't hear the elevator open or the gasp from Dib who sees what he is doing. As soon as he gets the scalper almost through he nicks a very minor artery that thankfully was slowed by the inhibitor or all the bad cholesterol the kid ate with all those pizzas, still blood seeps from the wound steadily and the alien gets worried.

"COMPUTER IS THAT PAK DONE YET?!" that life support device would need to be implanted immediately after the tumor is removed. "Sir hacking the Irken Empire and modeling a perfect Pak and I must calibrate it to support the human life takes time be patient." The alien grits its zipper like teeth "Yes forgive me my impatience is getting the best of me" focusing entirely back on his work Zim makes a triumphant sound as the tumor is cut off cleanly carefully he withdraws the blade handing it to his Pak leg for blade replacement and disinfecting. Slowly putting his hand back into her chest he takes hold of the freed tumor and pulls it out as carefully as he had the blade once it is out the alien frowns disgustingly at it and throws it over his shoulder missing the choking sound behind his as Dib rushes off to vomit.

Major Surgery ends here all that happened here can be read in chapter 3 from Dib's perspective

Allowing himself a brief reprieve as he absentmindedly starts stitching Gaz up starting from the inside with the artery to the diaphragm and then the skin itself each with a different thread type. The Dib is going to need food he said he hadn't eaten and Gaz will need lots of nutrients if she is to recover from this Ms. Bitters would be ecstatic to help with that… "Computer contact Ms. Bitters and ask her to come and make dinner for our new residents and have Gir pick it up I won't be done in time to do it myself." "Yes Sir done and the Pak is ready chance of survival is 25% are you sure you want to implant at those chances?" the computer asked knowing the answer asking anyway. "What choice do we have? Bring me the Pak and display the schematics to attach it to her" Zim reads the schematics memorizing every nerve every organ that the Pak will move to hoping her body is still young enough to accept the foreign machine about to take it over.

Before Zim can get to engrossed however he hears a loud thump behind him and turns to see the Dib on the ground a tranquilizer dart falling out of his now relaxed hand. "Computer what is going on here?" Zim asks already having a general idea. "Dib appears to not like the chances of his sisters survival and was about to stop you from proceeding so I knocked him out for precisely one hour" The computer responds and Zim sighs picking Dib up bloodied hands and all and sets him on a different table out of the way smelling vomit from the human Zim orders another decontamination "Computer decontaminate everything again especially Zim" Zim smiles happily at the smell of waffles that overcomes him even better accentuated with the smell of blood but shakes it from his mind knowing this isn't the blood he wants for his waffles and goes back to Gaz.

"Foolish Dib doesn't he know that his sisters chances of survival are 24% without the Pak?" Zim shakes his head at his chosen human's foolishness before taking the Pak and examining it for any obvious defects finding none he goes to the Gaz-Child and gently turns her over exposing her back to him. This is the easy part he knows the Pak will do all the work all he has to do is set it properly which he does in six quick clean incisions each in what one call's a 'Quincy's Cross' is formed carefully he puts the Pak's hooks into the incisions.

"Now Gaz I know you can't hear Zim but Zim needs you to be strong right now this is really going to hurt but you can't panic or it might not connect properly" Zim speaks knowing she is out cold and will be until it connects or she dies which he refuses to let happen closing his eyes and stepping away from her. "Computer give the starting charge" Opening his eyes he watches as the computer's arm lowers slowly to awaken the Pak in less than three seconds Gaz will no longer be the human she was before…..

Author's Note: Yay! Chapter 4 is done! And I made a crossover reference in this chapter! First person to review what it is gets a request just for them from the referenced fandom! Yay! I hope someone gets it! Well chow till next time! This chapter took a lot of energy and research to do!