This is unusual, its a story about a doctor who performed an operation he has never done before using only text message instructions. The British doctor who was volunteering in the Congo needed to perform a complex amputation know as a forequarter amputation. The procedure involves the removal of the collar bone and shoulder blade and needed to be carried out on a boy whose arm was badly infected. Mr Nott has never performed the operation, so asked for instructions from a colleague who had. He contacted Professor Meirion Thomas, from London's Royal Marsden Hospital who sent him step by step instructions by text message. The operation was later performed successfully and the boy made a full recovery.