Understanding the Unimaginable: Reflections on a Near-Fatal Plane Crash
Fellowship trained orthopedic spine surgeon Richard S. Nachwalter, MD and aviation analyst Miles O’Brien reflect on the harrowing moments of a recent plane crash in a powerful and sobering segment. Along with Erin Burnett, they dissected the technical failures, human factors, and the haunting imagery that captured the world’s attention. This discussion offers a rare look into the moments when aviation safety fails—and how both science and survival intersect in the wake of tragedy.
A Routine Takeoff That Wasn’t
The footage opens with what seems to be a standard takeoff of a Boeing 787. As Miles O’Brien notes, the first 10 seconds appear routine—textbook, even. The plane begins to ascend, and to the untrained eye, nothing seems amiss. Then something subtle yet critical shifts. The aircraft, airborne for just 30 seconds, appears to lose momentum. The camera captures this moment of uncertainty—a split second in which lives hang in the balance.
O’Brien points out two key anomalies: the landing gear remains extended far longer than it should, and the trailing edge flaps, crucial for lift during takeoff and landing, appear undeployed. These flaps are essential to creating enough lift at low speeds. Without them, the aircraft’s ability to climb safely is severely compromised.
His breakdown of the flight mechanics serves not just as technical insight, but as a reminder of how precision and attention to detail in aviation are non-negotiable. Every piece of equipment, every switch, every flap must perform with perfect harmony.
Trauma, Survival and the Human Body
Dr. Richard Nachwalter, a seasoned orthopedic spine surgeon who has treated countless trauma and crash survivors, adds a human layer to the analysis. Just before the segment aired, footage emerged of the only survivor—an image that struck many, including the doctor himself, as nearly unbelievable. The fact that someone could walk away from such a catastrophic event borders on miraculous.
Dr. Nachwalter reflects on the resilience of the human body and spirit, shaped in part by his decades-long experience treating individuals who have emerged from devastating injuries. While most attention goes to the technical causes of such disasters, the physical and psychological journey of survivors often goes underreported. His comments underscore the profound toll such an event takes—not just on bodies, but on minds and communities.
Final Thoughts
This discussion is not just a breakdown of a mechanical failure—it’s a human story. It’s about the fragile intersection of engineering and error, about lives altered in seconds, and about the professionals who help us understand, survive, and recover. In sharing their insights, Dr. Nachwalter and O’Brien inform yet also invite reflection. They remind us that behind every tragedy are systems that can be improved so that lives can be saved and people made well again.
Dr. Nachwalter’s approach to spinal care combines a humanistic, patient-centered approach with deep expertise in the field. He takes the same thoughtful approach and analysis evidenced in this segment to every patient he sees, making him a trusted leader in orthopedic spine care.
If you’re experiencing chronic back pain or facing a spinal condition, Dr. Nachwalter’s innovative treatments and compassionate care can help you find relief. Contact us at 973.971.3500 to schedule a consultation.
See Dr. Nachwalter’s First Appearance with Erin Burnett on CNN Discussing Luigi Mangione’s Back Surgery.