Take my Hand | MIKHAIAH

CHAPTER 42 - Popped Up Question

"Alright doctors!" The class immediately fell into full silence when Mikha walked in confidently into the class using a neat blue plaid shirt and black jeans Aiah prepared for her. These kids were technically not doctors yet, they are med students with fresh brains and curiosity and the prestige to be called 'doctors' would boost their spirit to learn.

"Today, we are going to learn about tension pneumothorax and what to do when you find this condition. I will explain it in the easiest possible way for you to understand. Of course there are many videos about it on youtube or whatever med sites on the internet. But today, I'll give you a rare chance to see it live."

She smiled at the enthusiastic murmurs.

Her residents brought in two large gray boxes and put it on the table.

"Okay, let's see. Ah! Five of you," she pointed at the first row to come forward next to her. "Put on your gloves please," she ordered. "Now, we're going to find out what's in this thing," she tapped the plastic box. "Open it." she said to the male participant.

"Oh my God!" he gasped. "It's a lung!"

"It's not a lung, it's a pair of lungs." Mikha laughed. "A really fresh pair of lungs. Now, don't be too surprised, you've already seen it before, right? Anatomy skills lab?"

"It's a breathing dead lungs in a box." one of them said as a matter of fact.

"Yeah, we never see dead lungs breathing in a box before."

"Now you see it," she shrugged easily. "And in this other box, is a not really fresh pair of lungs."

"Can I touch it?" asked the young girl with thick glasses..

"Sure you can but after my explanation, okay?" Mikha smiled, friendly. "Of course, as you can see, these lungs are not breathing by themselves. We use this endotracheal tube connected to the ambu bag to push oxygen into the lungs. Both of them rise and fall nicely, right?" the students nodded in agreement.

"Let's see the first lungs," she took the organ out of the box and put it on the tray. "Not injured, everybody. Go on, examine it." The five students carefully lifted it up and down to look for any abnormality.

Five of them nodded.

"Not injured, right? Okay, now pay attention. I will use this plastic bag, imagine it as the chest wall, okay?" She wrapped the lungs using the bag and asked her resident to push the ambu bag. "Look at it. What do you see?"

"Bag is collapsing with each ventilation." the straight haired young girl answered. "It expands without trouble."

"Right! That is correct. Now, we move on to the second lungs. What do you see?"

"There's a cut, here."

"Okay, this one is an injured lungs. Let's put the bag and push. What do you see?"

"Wow, the bag keeps on expanding." the tall man, stunned. "But doesn't that mean that the lungs are going to be recessive? There's too much pressure."

"Aren't you guys smart?! Ha!" she clapped her hands excitedly.

"If the lungs are injured, air will leak into the pleural cavity. So the bag will not collapse with expiration, instead it'll trap the air more with no way out. So then the question is, how to reduce the pressure?"

A handsome guy raised his hand to answer.

"Yes, mister?"

"Andrei Castro, doctor."