A 69 year old patient presented for arthroscopic knee surgery. Her husband, a doctor with severe Parkinson's disease, had been mistakenly resuscitated against his wishes and died three weeks later in the intensive care unit. After this event the patient had written a living will to ensure that no such confusion would occur in her case. A living will should be sufficient in making clear a patient's wishes, but in order to further clarify her instructions, she had also had the words “Do Not Resuscitate” tattooed on her left chest wall. The arthroscopy was completed without adverse event under regional anaesthesia.
Two weeks after a systemic illness with fever and diarrhoea, a 57 year old man developed this appearance. His eyeballs turned upwards when he attempted to close his eyes. Bilateral Bell's phenomenon is found in myasthenia gravis, sarcoidosis, bilateral Bell's palsies, congenital facial diplegia, some rare forms of muscular