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Bow ties get two mentions in this obituary and three in the print edition. In fact, Sir Lancelot Spratt didn't wear one (check Google images) and neither did any of the medical grandees that I remember from my youth. I habitually wore one to stand out from the crowd (see the cover of my book “This Medical Life”) and it may well have impeded my advancement in the medical establishment.
In 2007 in the BMJ’s “Medical Classics” column I wrote a short piece about "Doctor in the House" in which I tried in vain to correct the Sir Lancelot Spratt stereotype. I got a nice letter from "Richard Gordon" about it. https://doi.org/10.1136/bmj.39091.730000.59.