Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
Bedlam is more than a medieval psychiatric hospital. It's a metaphor for chaos, confusion, and insanity. Today, when we think of Bedlam, we shake our heads and cluck our tongues at the mayhem of a medieval hospital. But someday, doctors of the future will shake their heads and cluck their tongues at the mayhem of today's hospitals. So let's temper our modern, medical hubris with humility, objectivity, and historicity. Today's modern medical center is tomorrow's Bedlam.