“I'm the new guy around here and I want to make friends, so I'll say this to you and we'll start fresh. If you don't like my jokes, don't laugh. If you have a medical opinion, then please speak up and speak up loud. But if you ever again tell me or my surgical staff that we're going to lose a patient, I'm gonna take out your lungs with a fuckin' ice cream scoop. Do you understand me?”