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“I’ll bet you a fiver it’s not”

BMJ 2009; 338 doi: (Published 06 January 2009) Cite this as: BMJ 2009;338:b33
  1. Kinesh Patel, junior doctor, London
  1. kinesh_patel{at}

    Post-take ward rounds are not usually an opportunity to earn some much needed cash, so you can imagine my surprise when the consultant playfully offered me a cash reward to make a diagnosis on a patient with a rare condition.

    Why did the consultant bet money against my diagnosis? Because the condition in question was vanishingly rare, and with odds of nearly a million to one he believed (not unreasonably) that his money would be safe. Why did …

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