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Hey, I never noticed that before....

This won't be a popular take, but one thing that keeps me from enjoying JTB completely is that McCoy is made to seem out of his depth (at least until his surgery under fire is a complete success and he gets the last word). I much prefer depictions where he's far more competent about aliens and humans or even the resident expert. The Tholian Web and Friday's Child come to mind.
In my headcanon Dr. M'Benga comes aboard the Enterprise because McCoy's troubles in "Journey to Babel" convince him that he doesn't have the grasp on Vulcan anatomy that he should have.
 
In my headcanon Dr. M'Benga comes aboard the Enterprise because McCoy's troubles in "Journey to Babel" convince him that he doesn't have the grasp on Vulcan anatomy that he should have.
What trouble did he have?
He correctly diagnosed the problem. He correctly stated that an operation would be needed to confirm the diagnosis. He also correctly notes that operations of this type are tricky because of the structure of the Vulcan heart. Then Sarek and Spock start Doc blocking him. He's only hesitant because of the lack of the proper blood type. And later when the procedure to produce more blood endangers Spock's life. He winds up juggling three patients at once: Sarek, Spock and Kirk. All three survive.
 
They did say M'Benga was more of an expert on Vulcans, didn't they? *** In season 1, I wonder if they were setting up McCoy as being of questionable competence. In Man Trap he seems to be day dreaming about Nancy right after having lost a patient. He's drinking alone during working hours in Sick Bay later. In O:A!, he screws up on Spock's eyes.
 
And don't get me started on McCoy's complete mystification about Vulcan birds and bees in Amok Time.

(The birds and the bees are not Vulcans.)
 
What trouble did he have?
He correctly diagnosed the problem. He correctly stated that an operation would be needed to confirm the diagnosis. He also correctly notes that operations of this type are tricky because of the structure of the Vulcan heart. Then Sarek and Spock start Doc blocking him. He's only hesitant because of the lack of the proper blood type. And later when the procedure to produce more blood endangers Spock's life. He winds up juggling three patients at once: Sarek, Spock and Kirk. All three survive.
This is the same doctor that can't pronounce "cryogenic" and smokes during surgery….

Forgive me: I've been pondering McCoy's blunders for many years and I never expected I'd find an outlet to vent my spleen about Starfleet's favorite sawbones. I'll move on.
 
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Well, she was there a lot, but I never got the impression that she was particularly competent. The woman learned how to make Plomeek soup before she learned that slapping Vulcans is part of their healing process.

Maybe she had a blind spot as far as Spock is concerned. In her eyes (imagination), he's this strong, powerful man that nothing can harm. She was more interested in pleasing him with soup from home and thereby winning his favor than imagining him ill or in pain and what to do if he ever was.
 
I can't imagine Justman paying him a full episode fee for THAT.. ("Hey Jimmy, we need you for one scene/one line Monday morning, mind doing it for $200?")

Tight budgets notwithstanding, I seriously doubt Justman would have gone around SAG to negotiate with an actor directly like that.
 
IIRC, McCoy's self-described lack of qualification in JtB was just that he didn't have actual surgical experience. I think what he was getting at was that he didn't want to do such a major procedure, unless it was absolutely necessary, because there were going to be risks. He seemed thoroughly trained and capable. Given Spock's uniqueness, that was probably the first time that exact operation had ever been done anywhere, and he pulled it off under combat conditions sometimes without power. :shrug:
 
What trouble did he have?
He correctly diagnosed the problem. He correctly stated that an operation would be needed to confirm the diagnosis. He also correctly notes that operations of this type are tricky because of the structure of the Vulcan heart. Then Sarek and Spock start Doc blocking him. He's only hesitant because of the lack of the proper blood type. And later when the procedure to produce more blood endangers Spock's life. He winds up juggling three patients at once: Sarek, Spock and Kirk. All three survive.

He certainly did more than fine in the end but the script (and much of the drama) of the episode requires him to act like Vulcans are some bizarre, unknown quantity for medical purposes. I would think that Starfleet Medical School would require some pretty comprehensive courses in exobiology covering humans, Vulcans, Andorians and Tellarites at a minimum. Similarly, I would think that Starfleet would require any ship's surgeon on a ship with a Vulcan crewman to have experience with, you know, Vulcan surgery.

Also, the episode doesn't really need to make him look foolish or out of his depth to be dramatic. Just tell us that he hasn't performed this sort of surgery because it's experimental and leave the "He's a Vulcan, Jim!!!!!" histrionics out of it.
 
In universe - "Phew! Spock, what did you eat for breakfast this morning?" (it looks like it's emanating from the Vulcan) :guffaw:

That, or the unit's about to pull an exploding console...
 
Well, she was there a lot, but I never got the impression that she was particularly competent. The woman learned how to make Plomeek soup before she learned that slapping Vulcans is part of their healing process.
She wasn't interested in 'Vulcans' per se - just one particular Vulcan/Human hybrid. ;)
 
He certainly did more than fine in the end but the script (and much of the drama) of the episode requires him to act like Vulcans are some bizarre, unknown quantity for medical purposes.
It does? He's pretty much on the money here and while he admits Vulcan physiology make things difficult, he's not going on about how bizarre they are.
AMANDA: Sarek. Sarek. What's wrong?
MCCOY: It's difficult to say with Vulcan physiology, but I believe it's something to do with his cardiovascular system.
KIRK: Can you help him?
MCCOY: I don't know that yet either.
Not here either, Just concern for his patient. He seem familiar enough with Vulcan physiology to know how difficult the procedure is and what would be required to pull it off.
IRK: Bones, how is he?
MCCOY: As far as I can tell from instrument readings, our prime suspect has a malfunction in one of the heart valve. It's similar to a heart attack in a human. But with Vulcan physiology, it's impossible to tell without an operation. Mrs. Sarek, has he had any previous attacks?
AMANDA: No.
SAREK: Yes. There were three others. My physician prescribed Benjisidrine for the condition.
AMANDA: Why didn't you tell me?
SAREK: There was nothing you could have done.
KIRK: Ambassador, when did you have these attacks?
SAREK: Two before we left Vulcan, the third a few hours ago. I was on the observation deck. When the Tellarite was murdered, I was quite incapacitated.
KIRK: There were no witnesses?
SAREK: None.
SPOCK: Doctor, do you propose surgery for the heart defect?
MCCOY: I'm not sure. It's tough enough on a human. On a Vulcan, an ordinary operation's out of the question.
KIRK: Why?
SAREK: Because of the construction of the Vulcan heart.
SPOCK: I suggest that a cryogenic open-heart procedure would be the logical approach.
SAREK: Yes, unquestionably.
KIRK: Bones, what about it?
MCCOY: Well, I'm glad somebody's asking me something around here. Well, the procedure they're discussing would require tremendous amounts of blood for the patient.
CHAPEL: Doctor?
MCCOY: Yes.
CHAPEL: I've checked the blood bank. There isn't enough Vulcan blood and plasma to even begin such an operation of this type.
KIRK: There are other Vulcans aboard.
SAREK: My blood type is T-negative. Somewhat rare, even for a Vulcan.
MCCOY: Yes, I'd say that's rare.
SPOCK: My blood is T-negative, Doctor.
CHAPEL: We've run a number of blood tests on Mister Spock. It isn't true Vulcan blood either. It has human blood elements in it.
SPOCK: It should be possible to filter out the human factors.
MCCOY: Even you couldn't give that much blood, Spock. It would kill you.
KIRK: Bones.
MCCOY: Mrs. Sarek, you must understand the chances are extremely small to find a way to produce sufficient T-negative blood.
SPOCK: Indeed. I would estimate the odds
AMANDA: Please don't.
Oh, what's this? He's actually studied Vulcan anatomy!
MCCOY: Spock, we would need such great amounts of blood that, even if the drug worked on the Vulcans as well as a Rigelian, which I'm doubtful, it would still drain Sarek to a critical level.
SPOCK: I consider the safety factor low, but acceptable.
MCCOY: Plus the fact I've never operated on a Vulcan before. Oh, I've studied the anatomical types. I know where all the organs are. But that's a lot different from actual surgical experience. So if I don't kill him with the operation, the drug probably will.

Also, the episode doesn't really need to make him look foolish or out of his depth to be dramatic. Just tell us that he hasn't performed this sort of surgery because it's experimental and leave the "He's a Vulcan, Jim!!!!!" histrionics out of it.
Looks like that's exactly what they did,
This is the same doctor that can't pronounce "cryogenic" and smokes during surgery…
Oh and Spock's the one who used the term "cryogenic", not McCoy.
 
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