One Sunday, a middle-aged man was admitted after having a subarachnoid hemorrhage during sexual intercourse with his wife. He was in excellent condition: awake, alert, and with only a trace of headache. Back in the States, we would have performed angiography and surgery to clip the aneurysm within twenty-four hours of his arrival. But this was London. We simply tucked the man into his ward bed and scheduled his cerebral angiogram—the next slot was fourteen days away. He would have to wait.
