Booze drowns the guilt, the shame the pain. takes lots and lots of beer. One evening you operate on a desperate case of a soldier shot in the neck and whose head is only hanging on by a thread. You are the only one who can handle this one. But your fuck off your ass. You accidentally sever the head the rest of the way.
The boy dies
The boy's dad is Four star General Douglas McHero. You are in deep deep shit. You are court marshaled for manslaughter and sentenced to be lined up and shot.