Season 16, Episode 4

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Beginning

Meredith: 

If you're in an O.R. and it feels like the sky is falling that's because sometimes, unfortunately, it is. I was once doing a laparoscopic appendectomy, perfectly routine, when out of nowhere, my patient developed an air embolus. Carbon dioxide that was filling his abdomen leached into his circulation. His blood pressure plummeted as the air bubble went to his heart, causing utter chaos. I started CPR, trying to keep blood flowing to his brain. We placed a central line as quickly as we could, but before we knew it, his lungs were filling with fluid. My routine lap appy was now a case of multi organ failure. And there wasn't a damn thing I could do to stop it. 

Ending

After multiple transfusions, emergent dialysis, and the fastest central line I've done to this day, my patient pulled through. But it taught an important lesson. There is no such thing as a routine surgery. Every time I step into an O.R. I'm ready for the worst. It's not agitated against bad outcomes, but it does mean, when the curveballs come, when the sky starts to fall, hopefully you're less likely to get completely knocked off your feet. 

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