ABSTRACT
A patient is seen in your GP clinic requesting a repeat prescription of nasal decongestants. You note six of his friends are waiting patiently in the waiting room with a variety of garden tools. One is asleep and one appears very cross at having to wait for so long. You perform a perfect consultation, using a tried and tested consultation model and as you are about to show him out of your clinic, he stops you and tells you he is about to start a family with his new wife. You notice that he is of short stature with a large head and prominent forehead. You remember that his wife is of normal stature and is normally well except having recently suffered from a nasty case of narcolepsy.
