This 44 year old man came in to our hospital on Christmas day after falling backwards, hitting his head, and not waking up. He has a wonderful wife and five children, the younger of whom is 5 years old. He had pinpoint pupils, decreased reflexes, and only responded to strong sternal rub. He had course breath sounds and a fever. We evacuated him on a hydroplane with the diagnosis of brain trauma, skull fracture, and aspiration pneumonia. This is what we found on the CT scan hours after his arrival. That same night, the neurosurgeon on call put two bore holes in his occiput and drained the large white hemorrhage. He's recoveing well, talking, eating, and very stable. Thanks to all our staff and to Padres Jack and Moe for always going above and beyond to provide the best care for our patients!