title: Were James Bond's drinks shaken because of alcohol induced tremor?
abstract: OBJECTIVE
  To quantify James Bond's consumption of alcohol as detailed in the series of novels by Ian Fleming.
  
  
  METHODS
  Retrospective literature review.
  
  
  METHODS
  The study authors' homes, in a comfy chair.
  
  
  METHODS
  Commander James Bond, 007; Mr Ian Lancaster Fleming.
  
  
  METHODS
  Weekly alcohol consumption by Commander Bond.
  
  
  METHODS
  All 14 James Bond books were read by two of the authors. Contemporaneous notes were taken detailing every alcoholic drink taken. Predefined alcohol unit levels were used to calculate consumption. Days when Bond was unable to consume alcohol (such as through incarceration) were noted.
  
  
  RESULTS
  After exclusion of days when Bond was unable to drink, his weekly alcohol consumption was 92 units a week, over four times the recommended amount. His maximum daily consumption was 49.8 units. He had only 12.5 alcohol free days out of 87.5 days on which he was able to drink.
  
  
  CONCLUSIONS
  James Bond's level of alcohol intake puts him at high risk of multiple alcohol related diseases and an early death. The level of functioning as displayed in the books is inconsistent with the physical, mental, and indeed sexual functioning expected from someone drinking this much alcohol. We advise an immediate referral for further assessment and treatment, a reduction in alcohol consumption to safe levels, and suspect that the famous catchphrase "shaken, not stirred" could be because of alcohol induced tremor affecting his hands.
authors: Emergency Department, Royal Derby Hospital, Derby.
authors: Graham
authors: G
authors: Johnson
authors: Indra Neil
authors: IN
authors: Guha
authors: Patrick
authors: P
authors: Davies
mesh_terms: D000434:Alcoholic Beverages / Q000009:adverse effects; D049673:History, 20th Century; D006801:Humans; D008513:Medicine in Literature; D014202:Tremor / Q000209:etiology; D014925:Wit and Humor as Topic