A very powerful piece, especially within the O2A2 limitations. I'm sorry you had to grapple with this alone. Even the hospital itself without also dealing with gender dismorphia and disphoria is brutal enough. Your depiction of those hospital wheeled tray-tables with the uneaten fruit and empty water cup brought back surprisingly vivid memories for me.
The game was incredibly polished, from the splash screens at the beginning, to the clever use of main menu buttons, to the fantastic artwork and impressive use of font animation. The letters flaking away from the screen and letters flickering from one to another to change the meaning of a sentence was great.