This is the fifth and final movement of a 5-movement piece for string orchestra. I wrote it in 1990, when I was in hospital for a major operation and, bored out of my wits after surgery. Amongst all the junior doctors and nurses were the registrars and Consultants and a number of local public figures who were visiting the hospital at the time. This movement picks out these people and mocks their often undeserved sense of self-importance.