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J R Soc Med 2006;99:55
doi:10.1258/jrsm.99.2.55-a
© 2006 Royal Society of Medicine

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J R Soc Med 2006;99:55
© 2006 The Royal Society of Medicine

Letters

Death to some clichés

Julian Verbov

Royal Liverpool Children's Hospital, Liverpool, UK

E-mail verbov{at}blueyonder.co.uk

I agree with Dr Forgacs (December 2005 JRSM1) that referring to a patient as being `haemodynamically stable' is unacceptable and the offending practitioner should be requested to return to basics and provide actual values.

However, I admit to being fond of `common things occur commonly' and the similar `when you hear the sound of hooves, don't look for zebras', both of which, in the thinking individual, do not exclude the uncommon diagnosis. I also believe that `irregular irregularity' is perfectly acceptable when describing a pulse or a magnified abnormal volar skin appearance.

What about clichés in general? `See you later' annoys when, as is often the case, the speaker is unlikely to see you again. The simile cliché `bald as a coot' may sometimes be accurate but it is a rude expression ready for burial. `Quality of life' is expanding its meaning as it becomes overused, and its use should be restricted.

Other clichés are no doubt `in the pipeline'. Unoriginal and trite they may be, but many still deserve `tender loving care' (Henry VI Part ii Act 3 Sc.2).

REFERENCES

  1. Forgacs I. Death to all clichés. J R Soc Med 2005;98:554[Free Full Text]


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This Article
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History of the London Clinic