Ep 5. The Billfold Syndrome

The Billfold Syndrome is the 5th episode of the 7th season of the iconic TV show M*A*S*H. The episode is set in the Korean War where the doctors and nurses of the 4077th are stationed. As with each episode, The Billfold Syndrome deals with the various challenges that arise in the camp, with this episode specifically exploring the issue of medical misdiagnosis.

The story is focused on Hawkeye (Alan Alda) who becomes frustrated with the endless stream of patients with minor illnesses or injuries. When one particular patient, who appears to be faking his symptoms, is brought in, Hawkeye makes a flippant comment that the patient might have the "billfold syndrome". However, when the patient returns later with a real medical issue, Hawkeye's diagnosis is questioned and he is unsure of what to do. He becomes obsessed with finding out what is wrong with the patient and is determined to make up for his initial mistake.

Meanwhile, B.J. (Mike Farrell) is dealing with the stress of being separated from his wife, Peg, and their young daughter Erin. He becomes increasingly frustrated and feels like he is missing out on important moments in his daughter's life. This emotional turmoil leads to clashes between B.J. and his fellow doctors, especially Hawkeye, who he feels is not taking the situation seriously enough.

As the episode progresses, Hawkeye's frustration and guilt over the patient's condition become palpable, and he obsessively searches for a solution. His colleagues are concerned for him and urge him to take a break, reminding him of the immense pressure they all face on a daily basis.

The climax of the episode comes when Hawkeye discovers the cause of the patient's illness, but it is not the easy fix he had hoped for. He realizes the complexity of medicine and the toll it takes on those who practice it. In the end, Hawkeye learns a valuable lesson about the importance of humility and the fallibility of even the best doctors.

Overall, The Billfold Syndrome is a poignant and thought-provoking episode of M*A*S*H, examining the weighty topics of medical misdiagnosis and the emotional strain of being stationed far from home during a time of war. The characters' struggles are relatable and the themes of the episode are timeless, making it a must-watch for fans of the show and newcomers alike.