How do you signal to an audience that a sketch is about to plunge into sheer chaos? Easy: you fling Adam Sandler’s severed artery onto the operating table. Yes, you read that right.

In a surprising guest appearance on this week’s *Saturday Night Live*, Sandler portrays an unfortunate patient, decked out in a tropical shirt, who finds himself at the mercy of a perplexed surgical team led by host Chris Rock.

The scene rapidly spirals into anarchy. Blood is splattered everywhere, the fourth wall crumbles, and the operating room transforms into a spectacle of ridiculousness. Much of the pandemonium is fueled by Leslie (played by Sarah Sherman), a nurse sporting AirPods and embodying Gen Z vibes who is both utterly incompetent and oddly alluring. Despite her dubious medical abilities, the doctors—and even Sandler—find themselves defending her, because every workplace has *that* colleague who’s impossible not to tease. In the midst of it all, you can’t help but ask: where are Dr. Please and Jeffrey Thank You when you truly need them?