Here is a link with more information if anyone is curious: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791639/
The proposed theory is the preparations the patient made for the colonoscopy may have allowed the ladybug to survive the digestive system.
For those who are curious, the text on the shirt says Kulvahdin Hooters, which basically translates to Femboy Hooters.
Even with the ammo production, it can barely keep up. If the trip was any longer, the ship probably wouldn’t survive.