Views & Reviews Outside the Box

Exit the tie

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b2047 (Published 20 May 2009) Cite this as: BMJ 2009;338:b2047
  1. Trisha Greenhalgh, professor of primary health care, University College London
  1. p.greenhalgh{at}pcps.ucl.ac.uk

    The other day I had a call from St Cuthbert’s prep school. “Come quickly, doctor, Soames has collapsed.” I rushed round to find the spluttering boy on the floor of the dormitory. From his purple face and distended jugular veins, the diagnosis was clear: overtightened school tie syndrome.

    Stopping only to capture the scene on my iPhone to illustrate an article I was planning to submit to Cases journal, I pulled out my scalpel, and with a single swift movement …

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