My first post after qualification as a doctor was with the late Tony Dornhorst, the first Professor of Medicine at St George’s Hospital Medical School—nowadays rebranded as St George’s University of London. He had a huge influence on me and many other St George’s students, and one reason was his ability to produce—apparently spontaneously—brilliantly pithy phrases to express rather important thoughts. One such, just when intensive care units were being set up in the late 1960s was “Humph, intensive care units—more intense than careful!” How true then, and still true I fear in many units today, which is a good reason to read the review on weakness in ICUs by …