March 2016 Br J Cardiol 2016;23:14
Simon Dubrey
Dear Sirs, A few months ago, I arrived in the cardiology office around midday on Monday after a short ward round. One of our secretaries voiced the view “You don’t look right”. I was surprised when she qualified this as “looking dishevelled”. When asked what she meant, she was instantly apologetic and said “Oh I mean you look wide-eyed and agitated”. The background was that I had felt nauseous whilst driving the car early Saturday afternoon and had, in fact, stopped the car to vomit on three occasions. I assumed I had eaten something that had upset me. The following day (Sunday) I continued doing minor jobs around the house and
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