McCoy and Kirk in Operation -- Annihilate! idk I just thought it would be fun to think about them because this is that one rare episode where the tension between them goes on for longer than one scene.
There are over a million colonists on that planet down there, just as much your responsibility. They need your help, too.
It’s very rare for McCoy to think about the bigger picture, or rather to voice his concerns for the many. He is one who focuses on now and here, because imho he knows that Kirk or Spock usually have the good of the many in mind, so he can also press them into thinking about the individuals, not just numbers.
But in this moment, Kirk is eaten by grief because his brother and sister-in-law are dead, and he is worried about his nephew and Spock, a crewman but also a close friend, and he’s losing the sight of the bigger picture, so McCoy needs to be the one to remind him that as a starship captain he has responsibilities and personal feelings have no place there.
McCoy promised Jim that he would do everything he could to save Peter, Jim’s nephew. He already put a lot on his own shoulder, but the moment he saw what the creature did to Spock, he closed off. He buried his own emotions because in that moment he knew that he couldn’t do anything for Spock nor Jim’s nephew.
The fact that Spock is sick and in danger of dying, puts a strain to McCoy and Kirk’s relationship, and both of them kind of use each other to vent their frustrations.
MCCOY: Jim, that man is sick. Don't give me any damnable logic about him being the only man for the job.
KIRK: I don't have to, Bones. We both know he is.
They’re both worried about Spock, but neither really has the time to deal with it. (And we know that McCoy’s worry shows as anger and lashing out, and the same goes for Jim.) The transcript itself can’t convey the defeat in Jim’s voice nor the expressions that flicker over McCoy’s face.
When Spock brings back the creature, and McCoy has the chance to study it but is unable to find anything useful, he starts calling Jim “Captain” which he often does when Kirk gets angry at him (either that or “sir”). McCoy is distancing himself because he can’t help. He can’t ease Jim’s suffering, and he can’t help his patients, and Jim puts more and more on McCoy’s shoulders, but also on his own and even on Spock’s.
I cannot let this thing expand beyond this planet, nor do I intend to kill a million or more people to stop it. I want another answer. I'm putting you gentlemen on the hot seat with me. I want that third alternative.
Now, when Jim is thinking about the Denevans again (and Spock is around to argue with), McCoy is back to his “here and now” way of thinking (even though one million of people is a big number, it still doesn’t measure up to the whole galaxy), and when they find hope, McCoy goes back to calling Kirk “Jim” and he even goes back to “think about Spock, Jim”. In his usual manner, he puts the wellbeing of one above the many, but Jim can’t have that and orders McCoy to proceed with the test - throwing high intensity light at Spock. And that leads to one of the intense arguments between McCoy and Kirk in the show.
MCCOY: I didn't need to throw the blinding white light at all, Jim. Spock, I...
SPOCK: Doctor it was my selection as well. It is done.
KIRK: Bones... take care of him.
The way Jim says the nickname with pure anger, the way McCoy reacts to it, make it very intense. In that moment, Jim blames McCoy, and McCoy blames himself, too.
McCoy didn’t give Jim any feasible options in the last several hours, and he made a terrible mistake. In that moment all of Jim’s frustration, all of his grief and anger is directed at McCoy. In a single word. Bones.
And as earlier in the episode, when Kirk calls McCoy later to let Spock know that their solution worked, McCoy uses “Captain” with Kirk, because he can’t forgive himself. Even when Kirk reaches out to apologize, he isn’t ready to accept that. Not yet.
Bones, it wasn't your fault. Bones... Bones.
But Kirk made that first step.
(as a side note, I like he didn’t say “I’m sorry” but that he only used “Bones”, softly, with no trace of anger, perhaps with regret, as a contrast to his angry “Bones” earlier)
And because there was only time for a silly end to the episode, after Spock miraculously gained his eyesight back, McCoy silently gravitated back to Jim’s side, his own response to Jim’s earlier implied apology.
(they probably needed to work it out a bit after the credits, though, since it was Kirk’s turn to be like “Doctor” instead of “Bones”, but I feel like the use of Bones would cheapen the previous two scenes and the intensity of them)
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ETA:
Kirk’s anger isn’t even necessarily about Spock or on Spock’s behalf, it’s just that the news was the last one on a long list of bad news and “I don’t have anything to offer you, Jim, I’m sorry” coming from McCoy.
Spock’s blindness was an acceptable casualty before, but hearing that it didn’t need to happen, that if Jim didn’t rush McCoy with an order it wouldn’t have happened, was just too much. Jim isn’t necessary angry with McCoy, he’s also angry with himself, but blaming McCoy right there and then is easy, it’s human (but Jim still controlled himself enough to remove himself from the room before he said something he would regret, that could even perhaps cost him his friendship with McCoy)
and the next moment he speaks to McCoy he makes sure McCoy knows it wasn’t his fault
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