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The Longest Hour
The call came in at midnight: pediatric GSW, unstable, en route. When they rolled him into the trauma bay, I recognized his face. He was my son's best friend.
Life and death in the operating room — stories from surgeons across disciplines
FeaturedEditorial composite
The call came in at midnight: pediatric GSW, unstable, en route. When they rolled him into the trauma bay, I recognized his face. He was my son's best friend.

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I was trained at Harvard, did my fellowship at Mass General, and specialized in complex vascular reconstruction. None of that prepared me for a field hospital in Port-au-Prince where the only anesthesia was ketamine and the only light was a generator that failed every three hours.

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I had lost patients before. But never like this. Never a patient who should have lived. Never a complication I should have caught. And never with the knowledge that I would have to face her husband in the waiting room and tell him his wife was dead because of me.

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She was told she didn't have the hands for cardiac surgery. She was told her voice was too soft for the OR. She was told patients wouldn't trust a woman to open their chest. She proved them wrong — and then she made sure the next generation wouldn't have to.

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She was eight years old, burned over sixty percent of her body, and the triage protocol said she was expectant — not worth the resources it would take to try to save her. The nurse disagreed.

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The vessel was severed beyond repair. I had been operating for six hours. I was about to close and tell the family there was nothing more I could do. Then the bleeding stopped, and it was not because of anything I did.

Public descriptions say the book draws on more than 200 physician interviews and presents 26 selected accounts.
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Public descriptions say the book draws on more than 200 physician interviews and presents 26 selected accounts involving end-of-life experiences, unexpected recoveries, faith, and other events the narrators found difficult to explain.
By Dr. Scott J. Kolbaba, MD. Check the retailer for current formats, pricing, and reader ratings.