The next 4 or 5 minutes were a mad blur as we intubated him and scrambled to the OR. The anesthesiologist stood at the head of the bed, white-knuckled, replacing his total blood volume once, then twice over with transfusions. His blood pressure was still barely detectable. I looked down, scalpel in hand, and my eyes bulged. My once skinny patient now appeared 10 months pregnant with twins. I made my cut and the tidal wave hit.
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