"I've never actually done this on a living person before." He said out loud as the trocar encountered some resistance. No doubt muscle or cartilage. He merely drove it deeper, gauging its progress almost entirely by eye and feel.<br/><br/>"Vhat ve got here, is a buildup of air outside the lung that prevents it from properly inflating." He explained to the shocked looking husband. "Vhat I want to do is relieve that pressure, and allow the lung to reinflate." He said in a casual manner as he withdrew the trocar. He put a finger over the hole, unmindful of the gore. "No suction, I guess I should go in from the front after all, we'll just slap the bandage on that." He said.<br/><br/>Rolling her back over onto her back, he slipped the Troca into the opening wound, pressing past shattered ribs. There was a faint, barely audible hiss as the pressure was relieved. "What I'm doing now," He said as he placed the troca down and picked up a hollow glass cylinder, "Is to allow the air to continue to drain without being blocked up by all this." He said, gesturing at the mess that was the man's wife's chest not too long ago as he slipped the tube into the whole he had created. "All this? Superficial, scar real ugly, bad chance of the infections, but no life threatening bits." He explained. "Any fool can pack and bandage that, for now, ve return our attention to the arm."<br/><br/>He maneuvered the limb into position, drawing a weak groan from the woman. "You know, there are two Vays to take off a limb." He reached inside his surgical kit and extracted a knife, with a blade about six inches long, and a saw, with a larger blade. "You can do it quickly, vithout much pain, or you can do it slow, and correctly." He began humming a song to himself, a popular folk song comparing tobacco to a rose.<br/><br/>"Normally, my patients do not much mind if I take my time," He smiled ghoulishly, "But I think you may be vanting some speed with this, no?" He said as he began cutting away.