This week's episode managed to do both when the writers killed off a beloved frequent flyer in the emergency room at Pittsburgh Trauma Medical Center in a very traumatic way. Louie Cloverfield, a recurring character since the very first episode of the hit new series from HBO, returned for Season 2 with complaints of a toothache and ascites, or a retention of fluids in his abdomen.
What Is a Pulmonary Hemorrhage?
A pulmonary hemorrhage is the medical term for severe bleeding in the lungs or airway, and is caused by injury or inflammation in the respiratory tissue. Pulmonary hemorrhage can be fatal, especially if it is of a large size, as it can prevent both adequate ventilation—aka breathing—and gas exchange, which means enough oxygen is not being transported throughout the body.
In Louie's case, the blood was "filling up his lungs" enough to start backing up in his breathing tube after he was intubated. It came pouring out of the end when they tried to suction it and left the front of his body covered in blood.
'The Pitt' left fans in tears just moments into this week's episode.Photograph by Warrick Page/HBO Max
But, how do problems with your liver cause bleeding in your lungs?
In rare cases, according to the Cleveland Clinic Journal of Medicine, portal hypertension can cause pulmonary hypertension in a "grim" condition known as portopulmonary hypertension. Though the cause is not well understood, the journal reports a "poor prognosis" for patients suffering from the condition.
Fans Weren't Prepared for Louie's Unexpected Loss
Louie's sudden death left fans a sobbing "mess" just minutes into this week's episode, with one even having to take a moment and "pause the Pitt stream to reflect" after the frequent flyer patient passed.
Related: 'The Pitt:' What on Earth Is a Death Doula?
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