Amie and Ben are back and discussing a mysterious case of back pain. All is not as it seems when Ben reviews an individual with thoracic back pain.   They discuss pyjama paralysis and Amie wants to bring back the ward day room. Can you figure out what is going on before Ben and Amie?Visit www.efimacademy.org for further interactive e-modules. The EFIM Academy aims to develop your clinical reasoning by working through real life cases. Happy learning!