Snape’s long finger was still on her neck, poking around the solid presence of her heavy collar. His digit felt oppressive as Snape gestured to his medical assistant. "The Tracheal intubation next, Arthur is it ready?" . The pain of the fresh incision brought tears to Hermione’s eyes, a vocal scream was no longer possible, the strangled wheeze died on her lip, as she struggled momentarily for air. The tube installed on her neck was disconcerting, Snape’s finger lightly tapped the gaped wound, Hermione’s eyes widened as her breath is obstructed to the time of the beat. "Poppy, you can fuse the skin permanently, once you have placed the anti-choking grate, I think oxygen input can be lowered, we wouldn’t want Muddy to get too frisky". Hermione tried to pull more air in as the edges of her vision blurred. She didn’t fully register the creeping hypoxia as she lamented her current sorry state. It was another pointless cruelty, robbed of her ability to read, eat, relieve herself, there was a twisted symmetry to not be able to breathe unmolested now too.