Dr. Benjamin Stone is a promising young surgeon working in Washington DC with plans of making more money working for a s Beverly Hills plastic surgeon. On his last day, he realises that none of his colleagues care enough about him to say good-bye to him, instead leaving him a cake with an insult made out of icing.
Driving out west in a 1956 Porsche, Stone swerves to miss a cow on the highway and crashes uncontrollably into the fence of a local resident in the rural hamlet of Grady, South Carolina. The resident is local Judge Evans, who sentences him to community service at the nearby hospital as punishment rather than allow Stone pay for the fence with cash. Defeated and stranded due to the damage to his car, Ben reports to the local clinic, where Nurse Packer further humbles him by recording his community service hours by clocking him in and out, like a factory worker