• Neuropsychiatry
• Myasthenia

After I had been in general practice for several years, I joined a local sports club. This brought me into sometimes problematic contact with past, present and future patients. There were lots of older men at the club, who continued to play sport, despite gradual physical decline. They usually liked to play tennis with other men, and mostly they accepted their declining performance gracefully. Many of them made up for lack of mobility by employing long-practised skills, charm and humour.

One man was an exception. He evidently had been a good athlete in the distant past. He was thin, spidery and …