In the surgical arena, he' take, use, and find new ways of using, the instruments and tools that the hospital's budget can provide. In this case, let's be frank: although we've got the new (used) liquid cooled MRI unit in the corner, it isn't hooked up fully. Doesn't mean we don't use it (although them older doctors hate the hum of it and bitch about how it only works some of the time), cause it is a good tool, and it doesn't mean we don't try to get the fancier, more costly tools. But until we have them, we learn to get the absolute most out of what we've got already. That's workin on a budget, though. Doesn't make one any less competent a doctor -- in fact, I'd argue the skills of adaptability and creativity honed in such a fashion will generally make for a better doctor who will look a things from different views first. Not everyone can work that way though.

thou and I, my friend, can, in the most flunkey world, make, each of us, one non-flunkey, one hero, if we like: that will be two heroes to begin with. (Carlyle)