In this engaging conversation, Dr. Tym Kajstura, a cardiac anesthesiology fellow and former chief resident, shares his expertise in electroconvulsive therapy (ECT) and transfusion reactions. He explores the complex anesthetic implications of ECT, including hemodynamic responses and medication considerations. The discussion also covers vital transfusion reactions like hemolytic and allergic responses, emphasizing the importance of blood typing and cross-matching for patient safety. With practical insights, Kajstura navigates the intricacies of patient management in these critical scenarios.