I remeber "back in the day" the local station had "Dammit Jim I'm a doctor--not an escalator!" as a promo; I can't remeber the name of the episode in question, but it was a primitive planet being courted by both the Federation and Klingons. The local society had some really extreme "only the strong survive" ethic and killed all of the sick. Including a pregnant lady who was some sort of noble. Bomes was sipposed to help her up a steep trail to escape pursuit.
That's the best I got for ya at the moment--hope it helps!
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