I remember when enough was enough. It was February 2005 when my general, urology and gyn surgical pod recorded 144 late starts. One- forty-four. That number jumps right off the page, doesn't it? It did to me. That's why I staked a permanent post outside the pod's 10 ORs each morning for a week. Staff was curious. "What's up?" they'd ask. "Bus leaves at 7:30 a.m.," I'd say, referring to when the first case of the day should start. "If you're not on board, it's going to leave without you."