I've had that happen once to me when I was leveling GNB, in the level 85 dungeon. Immediately got a SGE, double pulled everything and didn't really have too much of a problem outside the first pull. Granted, when you go from the WAR dungeon experience to DRK/GNB, it is a STARK difference in the amount of healer input required. On DRK specifically, I've had somewhat mixed results but I feel it's a little more comfortable than GNB. SCH's in particular have said to me that they were surprised how relatively little they had to do for me. Specific dungeons give me a hard time, notably Tower of Zot, and Smileton. God, the mobs hit so damn hard in Smileton.
I think the issue is less of sustain (though I would not say no to a healing buff for Abyssal Drain) and more of the issue that Dark Mind and Living Dead are absolutely useless. If DRK had a real invuln, I don't think healers would mind quite so much.

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