As I reflect on my most recent episode of life-threatening hemoptysis after transbronchial lung biopsies (TBLBs), I compare it to an episode from earlier in my career. Even in the busiest bronchoscopy suites, these events are rare, and a year or more may pass between episodes. My first episode occurred after performing biopsies on a morbidly obese patient with multiple comorbidities, and I was terrified. Ultimately and with difficulty, an airway was established, and the nonbleeding lung was isolated with the endotracheal tube. After 2 days in the ICU, she was safe to discharge home. During my most recent episode 12 years later, our bronchoscopy staff and I were like a well-oiled machine. Within minutes, not only was an airway established, but an endobronchial blocker was placed deftly into the left lower lobe bronchus, and we were calmly updating the family.