It's worse than that, the same mutation that makes her breathe through her skin also makes her unable to talk
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We have lungs instead, and lungs are a specialized organ where we have lots and lots of tiny chambers (alveolae) of very delicate material to do the gas exchange inside the body where it's protected If it were all unfolded it'd have the surface area of half a tennis court
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There's also the part where gas exchange can only occur while dissolved in water, which is why the animals that breathe through their skin are all slimy and why you stop being able to breathe if your lungs dry out
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