Reviews Soundings


BMJ 2006; 333 doi: (Published 02 November 2006) Cite this as: BMJ 2006;333:977
  1. Trisha Greenhalgh, professor of primary health care
  1. University College London

    I lie in my ditch, one cheek against damp earth, the other against the cold metal of my gun. Since my course this morning, I am fully trained and certified proficient. But my rifle still feels strange and heavy. I'm uneasy that the safety catch is finally in the “off” position. I can hear enemy artillery only yards away. Bullets ricochet from a nearby tree. My heart thumps a rapid rhythm; my mouth is so dry I cannot swallow.

    Occasionally, a comrade falls …

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