Chapter 153: Chapter 152: Simulation in Progress
The most important thing in treating empyema is to drain the purulent effusion in the patient's pleural cavity and administer post-operative anti-infection measures.
Empyema in infants and young children is usually treated by puncture combined with antibiotics, while adults often undergo thoracic closed drainage surgery.
Qin Wanwan was already very familiar with this surgery.
It was entirely because Gu Yu had taught her this during his time at the Affiliated Hospital.
At that time, Gu Yu had demonstrated with his hands no less than ten times, dissecting the details repeatedly.
Although it was her first time performing such a surgery, Qin Wanwan felt as if it was second nature to her.
After all, this was just a model and not a real person, so there wasn't much psychological pressure.
She made an incision the size of a thumb between the patient's second ribs as Huo Xiaoyi quickly passed her the medical hose and drainage bottle.
The other students were also bustling around, some using aspirators to draw blood and others using hemostats to stop bleeding, their tasks clearly divided.
Gu Yu, standing to the side, marveled at their work.
It must be said, the model was made too realistically, it even bled after incising the skin!
"The tube is inserted too deep, doing it like this can easily pierce other organs inside the patient's body, don't go deeper than 125px."
"The drainage bottle should be lower; placing it level like this could easily allow the water from the bottle to flow into the patient's chest cavity."
"Use a bit more force with the hemostat; it's just a model, what? Are you afraid of killing the model?"
As this crucial step was reached, Gu Yu finally spoke up.
Although everyone's theoretical knowledge was ample, many mistakes frequently occurred when it came to practical operation.
Under Gu Yu's guidance, a dark gray, foul-smelling, thick liquid gradually flowed into the drainage bottle through the drainage tube.
Everyone at the scene instinctively pinched their noses.
This action, however, provoked Dai Zhengguo's displeasure.
"Release! Let go of your hands! You're pinching your noses just like that? If it were an open-chest surgery, would you faint right there?"
Everyone then reluctantly lowered their hands and continued the surgery with brows tightly furrowed.
Only Wu Huan, who was hidden behind everyone, still did as he pleased, even pinching his nose and muttering softly, "It's just a simulation surgery; couldn't they have made the model a bit less disgustingly realistic? If people didn't know better, they'd think they stuffed it with excrement!"
Dai Zhengguo frowned and directly walked over to pull him out of the crowd.
"What did you just say?"
"You can't even tolerate this little odor? Do you know that real infectious pus smells more than ten times worse than this?"
"If one day you were treating a patient with empyema, would you give up treatment because of the smell?"
Dai Zhengguo sternly criticized Wu Huan in front of everyone.
Wu Huan hadn't expected that his whispered words would be heard by Dai Zhengguo and criticized publicly; his expression immediately stiffened.
"Hmph! Qi, switch tasks with Wu Huan; you handle passing the surgical tools, and Wu Huan will handle suturing the incision and postoperative care."
Dai Zhengguo huffed discontentedly, then turned to another student who was holding forceps, waiting to suture.
The student called Qi nodded, placed the forceps back into the tool tray and took up the position where Wu Huan had previously stood.
"Since you're afraid of the smell, then have a good experience!"
Dai Zhengguo looked at Wu Huan with a displeased expression.
Wu Huan had nothing to say, he could only blindly walk over and pick up the forceps.
Being so close to the wound, an odor several times stronger than before hit him squarely in the face.
Especially as pus slowly flowed into the bottle through the medical hose, he visibly gagged.
As time passed by the second, not until the pus from the model's pleural cavity was almost entirely drained did Wu Huan start the suturing task.
His fingers occasionally touched that viscous deteriorating tissue fluid.
Disgusted, he closed one eye and squinted the other.
He performed the suturing surgery with an extremely disdainful expression.
"Can you open your eyes? Do you know that you've stitched the same spot twice?"
Gu Yu, unable to watch any longer, intervened.
Not only was Wu Huan's suture technique sloppy, but his effort was also seriously lacking.
If real patients were involved, they might have to endure a few more needles.
"You just know a bit more theory, don't you? What right do you have to boss me around? Isn't that just a case of a dog trying to catch mice, getting involved where it shouldn't?"
Wu Huan was already holding a grudge, and with Gu Yu's reminder, he exploded and snapped back without a second word.
His hand was still waving around with a suture tweezer.
"Scoundrel! Get out of my sight!"
When Wu Huan snapped back, Gu Yu hadn't even gotten angry yet when Mr. Dai was the first to lose it.
He stepped forward, snatched the suture tweezer from Wu Huan's hand, and then shoved him to the side.
Gu Yu was the assistant teacher he had managed to bring in after great difficulty.
What right did Wu Huan have to insult Gu Yu?
Wasn't this a direct slap in his own face?
"Mr. Dai, am I wrong? What gives him the right to instruct me? Just a so-called main treating title?"
"Show it to us then! If not, at least demonstrate some skill!"
Even after being pulled aside, Wu Huan's face still showed defiance.
The classmates nearby were trying to hold him back, urging him to speak less.
But Wu Huan simply wouldn't listen.
"Shut up! You mean you don't even believe what I say?"
At this moment, Mr. Dai was so angry he felt like he was about to have a heart attack.
Why couldn't Wu Huan see reason?
Could Gu Yu's identity be easily disclosed? Moreover, his identity had been personally authenticated by him, so did he need to lie to Wu Huan?
Having taught countless postgraduates over the years, he had never encountered someone as unreasonable as Wu Huan!
"Yu, don't take his words to heart! This guy is just a brash egomaniac. I'll make sure to properly educate him after this class!"
Mr. Dai, seeing that Gu Yu was standing aside quietly, thought he was holding back his anger and quickly tried to placate him.
However, Gu Yu wasn't angry.
He glanced at Wu Huan as if looking at an idiot, then took the suture tweezer from Mr. Dai's hand.
"Mr. Dai, he does make a bit of sense, I need to show some real skills to convince everyone fully."
"So you?"
Mr. Dai looked puzzled at the suture tweezer in Gu Yu's hand, seeming to realize something.
"So, shall we show everyone some skill?"
Gu Yu smiled slightly, then leaned closer to the operating table.
"Suture scissors."
Gu Yu reached out to Qin Wanwan, who hesitated for a moment before hurriedly finding the suture scissors from the instrument tray and handing them to Gu Yu.
She watched Gu Yu curiously, not questioning his medical skills, but simply because she was curious to see Gu Yu perform an operation for the first time.
Because she already knew how capable Gu Yu was.
Otherwise, he wouldn't have earned such high regard from Mr. Dai.
Gu Yu, holding the scissors, felt an endless stream of professional knowledge flowing into his brain like water.
At that moment, he felt like a true doctor.
The model in front of him no longer seemed like a model, but a real patient.
He reached out, skillfully removed the haphazard sutures that Wu Huan had placed earlier, stretched open the wound, and exposed it anew before his eyes.
"Disinfectant cotton ball!"
"Yi, you hold the suction device, make sure the wound has no residual fluids while I'm stitching."
"Qin Wanwan, be ready to hand me the hemostats at any moment."
"And you, over there, we're running out of cotton balls, restock them immediately!"
"..."