A 42 year old single man underwent a septorhinoplasty in Kaiser Hospital, without complications. In an attempt to pass a nasogastric tube through his nose to empty his stomach of blood, the nasogastric tube entered the cranium, but was undetected. The patient responded to questions in the recovery room, but the next day he had altered consciousness with right hemiplegia. A CT scan showed air within the left frontal lobe and within the ventricular septum. He suffered severe brain damage. We represented hm against Kaiser and achieved a negotiated settlement. He is able to dress himself and is independent with his feeding, but is disoriented. The structured settlement will provide for his lifetime convalescent care.