It's five o'clock in the morning, and the doctor is waiting for his patient. He's been waiting for five hours for a picture to be drawn, but he can't find one. The doctor asks the patient if he'd like a picture of himself, but the patient doesn't want one, so the doctor leaves him to his own devices. He tells the patient that he'll draw him a picture when they get home, and he's going to send the patient's medical records to his doctor's office. He wants to start the surgery right away, so he instructs the patient to set up four intravenous drips and hemostatic scissors, and to adhere to the skin with the ultrasonic surgical scissors. The patient should be able to stitch the chest with the surgical scissors, he says, and should send the doctor the latest medical signs every half an hour. He says it's better to give remote instructions than to do it on his own, because the risk of infection is higher.