there is a paralyzed woman in a hospital bed with a breathing tube sticking out of her neck, breathing difficulty, (((breathing tube in neck:2))), ((tube coming out (center of neck))), trach in neck, trachea, tube, (((tracheostomy))),  (ventilator quadriplegic:1.9), (quadriplegic:1.9), (tracheostomy tube:1.9),  medical photography, ventilator, intubation equipment, around a neck, 
laying back, slumped in bed, paralysis, tetreplegia, disabled, cripple, (((c1 quadriplegic))), spinal chord injury,
thin, skinny, weak, paralyzed, atrophy,
the woman is Albanian, (((Albanian))), tanned, pretty, normal girl, looking into the camera,
whole body in frame,