This case involves a patient with a past medical history of diabetes, morbid obesity, and renal failure. The patient had been on dialysis and had maintained fairly well, however he required a renal transplant. The transplant procedure itself was a success, however, once reversal agents for his anesthesia were administered, the patient’s condition rapidly deteriorated. Two drugs were administered – Neospigmine and Glycopyrolate. These reversal agents are generally administered in a 5:1 ratio; however, the physicians caring for this patient administered a 5:6 ratio of the aforementioned combination. The patient’s heart rate slowed and he suffered cardiac arrest, along with severe brain injury. As a result of these injuries, the patient is now in a permanent vegetative state and unable to care for his wife and 5 children. Prior to his injuries, the patient had been working full time, managing a successful career and full family life.