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Alicorn comments on Luminosity (Twilight fanfic) discussion thread - Less Wrong
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In canon, Bella starts turning with a broken spine, although not at the neck - about halfway down. It heals itself partway through. I got the idea from there.
I wondered about something (this may reflect my ignorance of physiology)... how could she talk while the spine was broken at the neck? Doesn't one kind of need control over the lungs? (Hence control of the diaphram?)
No idea. If a handwave is medically necessary, she was in the middle of turning into a magical vampire.