It reappears throughout the first movement. Mahler knew he had a heart condition by this point and Leonard Bernstein (who was a great conductor of Mahler’s work) suggested this syncopated rhythm ...
While Bernstein's conducting repertoire encompassed the standard literature, he may be best remembered for his performances and recordings of Haydn, Beethoven, Brahms, Schumann, Sibelius and Mahler.
Is "Last Call" a masterpiece? No. But it does provide some solid acting, fiery exchanges and a surprise or two.