Once I had a child whom I did an anesthetic on for tonsillectomy. In the recovery room, he looked ok but had a low-grade cough over the couple of hours he was there. Oxygenation was fine.
Next thing I know, he hacks up this cast of his right tracheobronchial tree, though not as perfect and glorious as the arboreal-looking bright red loogie shown in the case report.
It was Providential because it was then obvious that there was still a substantial tonsillar bed bleed going on—- back to the OR he went and after hemostasis he did very well.
We were all very lucky because there was not much bleeding evident on exam of the pharynx.
Thank God for his presentation and the cast uncovering the occult bleeding.
.....and thank God for you..