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In a desperate effort to pay his gambling debts, Dr. Shane (Peter Brandon) performs unecessary surgery on an old woman who subsequently dies. Shane then applies pressured upon the dead woman's timid son Irving (Ben Piazza), demanding that he pay for the fatal operation. When Irving refuses, a vicious loan shark proceeds to make his life hell. Clearly, it is high time that Lt. Kojak (Telly Savalas) take a hand in matters.