Sanguinarium 4×6: I hope those instruments were properly sterilized.

Vanity, Vanity...

I remember how my heart sank when the Orthopedist told me I was going to have to have surgery on my knee. You’d think if one was going to tear their ACL in a skiing accident, one would have been sailing down the Blue slopes at least, instead of ending up in a pile at the bottom of the lift before one technically set foot on Blue ground. There should at least be a glamorous War Story to go with a Battle Scar. But I digress.

Even though I was raised by a Physician and have never been queasy about the practice of medicine or medicines themselves, surgery is one of those events I’ve hoped since childhood never to participate in. Maybe it’s the loss of control, maybe it’s the horror stories I’ve heard about reactions to anesthesia, maybe it’s the fact that even the best Surgeon can fumble and that unexpected curveballs can be thrown once the human body is opened up, but I’ve mentally shied away. Which is why it’s been difficult for me to wrap my head around our skyrocketing plastic surgery rates here in the U.S.

After all, surgery is surgery. And this episode touches on the (usually) unspoken fears of patients and the platitudes that they comfort themselves with; “It’s a routine procedure”,  “routine” meaning that nothing bad can happen. “Sanguinarium” highlights the ultimate vulnerability of patient’s situation, plays on that anxiety, and then takes us on a tangent of horror that serves the story better at moments than at others.

Despite the public’s many concerns over “Home” (4×3), this is the first time I’ve personally found an episode a little too gross. While I’m not squeamish, something about a bath full of blood screams, “overkill” to me. Then there’s that whole “watch a man peel off his own skin” thing.

Aside from questionable content, it’s actually well done, thanks, no doubt, to The X-Files’ go-to man for horror, director Kim Manners. The scene when Nurse Waite coughs up those straight pins is particularly nicely shot. The police lights add to the chaos and adrenaline of the moment while disguising what amounts to a cheap theatrical trick under a cover of half-darkness. For me it’s the most memorable moment of the episode.

Sans blood and gore, much of the episode is spent in exposition about the current state of healthcare, the rise of plastic surgery that’s gone hand in hand with the fall of medicine in general.

Dr. Shannon: Our practice has been affiliated with Greenwood for 13 years. Now the ASU accounts for over 50% of this hospital’s revenue. Do you know what that means?

Scully: It means that while Doctors in other fields have seen their earnings fall because of managed healthcare you’ve all managed to become wealthy.

Whatever the situation was in 1997, it’s far more pronounced now. Where I was raised is both one of the Cosmetic Surgery capitals and Geriatric capitals of the U.S., which makes for an odd combination. People regularly take out massive loans to pay for superfluous procedures in cash or put it on credit and add years’ worth of debt to their lives, but it’s not uncommon to visit a General Practitioner’s office and overhear someone refusing to pay their $20 Co-pay… someone who’s clearly been pulled and stuffed once too often.

Why put ourselves in such a precarious position for nothing more than vanity? Surgery is still surgery after all. But it’s easy to get caught up in the culture, as Mulder is evidence of in this episode. His prodding in the mirror is a cute diversion. Though I find myself raising a skeptical eyebrow at the fact that they expect us to believe that someone who looked like Fox Mulder/David Duchovny would actually consider changing his face.

This is one of those episodes where Mulder and Scully don’t put a stop to the evil. Sure, they figure out what Dr. Franklyn, now Dr. Hartman, was up to. But he’s clearly going keep up his Blood Rejuvenation scheme for a very, very long time.

And the Verdict is…

In the end, things turned out better for me than they did for Mulder and Scully. By the Grace of God, my knee was healed, much to the shock of my Orthopedist. Surgery was rendered unnecessary and I was spared the experience of, well, surgery.

“Sanguinarium” is a solid sort of episode, I suppose. But it’s gross without being satisfying the way an episode of The X-Files usually is. Which is not to say that I don’t like it because I do, it’s just not quite enough to get the taste of “The Field Where I Died” (4×5) out of my mouth.



Why doesn’t Dr. Shannon want to be operated on and why do Mulder and Scully try to stop it? If they didn’t take that stuff out, wouldn’t she just have thrown it up and died anyway?

Maybe to make up for the Wiccan outcry over “Die Hand Die Verletz” (2×14) we have a “good” witch in this story. Although, it turns out there was an even larger outcry over this one…

I saw you checking out that nurse, Fox Mulder.

Best Quotes:

Dr. Franklyn/Dr. Hartman: I like to say that whoever God didn’t get around to creating in His own image, it’s our job to recreate in ours.


Scully: There’s magic going on here, Mulder. Only it’s being done with silicone, collagen, and a well-placed scalpel.


Dr. Lloyd: I think this patient… is finished.


Mulder: Are you aware that Dr. Lloyd is claiming that he was possessed during the incident?
Nurse Waite: I guess it’s cheaper than malpractice insurance.

19 responses to “Sanguinarium 4×6: I hope those instruments were properly sterilized.

  1. I hardly even remember this episode, so I’ll need to re-rewatch. But what is this outcry you speak of?

    • Fox received lots and lots of letters along the lines of “Wicca is a peaceful religion” and “You’re encouraging false stereotypes”, etc. etc.

  2. I don’t think it’s unbelievable that Mulder/Duchovny would consider having work done (nose). George Clooney just had his eyes done and openly admits it. The idea of having my face pulled and stapled isn’t that appealing to me, but I’m already saving for botox and fillers.

    Was this our last ‘Twin Peaks’ cast member appearance? Sad face.

    Yeah, and what’s the ‘outcry?’ I need the backstory.

    • George Clooney probably did that because eyelids sag with age. But DD’s nose was making him good money, so I couldn’t see that one happening.

      It could be that last Twin Peaks cameo, but I never checked that before. 😦

  3. I’m amazed that there wasn’t any outcry over the gore in this one because really it’s worse than Home, in fact I find it to be goriest ever episode of the show. I’ve often heard a lot of negative reviews of this one, mainly by critics and reviewers, but I adored it, I really did. A good solid scary hour, although I don’t know about the ending, I don’t know if the episode is of a quality to earn the distinction of allowing its villain to get away.

    Racking my brain over the Twin Peaks cameos and I think this is the last one. Richard Beymer is so wonderful at playing dastardly, classy villains like this.

    By the way, did George Clooney really have surgery. I don’t want to sound like I’ve been living in a rock, but this is the first I’ve heard of it.

  4. Yeah, I thought Clooney was too suave and cool to go with surgery,

  5. I just watched this for the first time in years and remembered why I’ve been avoiding it: I find the plot hard to follow because I can’t tell several of the plastic surgeons apart, and I’m still nauseated several minutes after its ending. I don’t deal well with blood.

  6. I agree this episode is gross, and not in a satisfying way (I say as a horror film buff). But I’m always down for a literal bloodbath. There’s just something so stylistic about it. But watching fat being sucked through a tube? No thank you.

  7. Pingback: The Field Where I Died 4×5: I could’ve lived without that just fine. | Musings of an X-Phile

  8. Wait just a second, there. Isn’t the doctor’s lawyer Scully’s date, Rob, from Jersey Devil? I like that almost as much as a Twin Peaks alum sighting.

  9. Nobody removes his specs in quite the way that Richard Beymer does.

  10. Pingback: Season 4 Wrap Up: Stand back, Scully. It’s loaded. | Musings of an X-Phile

  11. Pingback: Nothing Lasts Forever 11×9: I always wondered how this was gonna end. | Musings of an X-Phile

  12. I agree. The scene when the doctor cuts off his own face with a scalpel is one of the few times I wince and sometimes close my eyes.

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