the (then) general trend of males wearing neckties because "If my patients decide to choke me, I'm not going to provide a noose for them"

It bothers me to see doctors do this but I suppose in a hospital or doctor's office setting you feel safer.

But out in the field, that's a completely unnecessary risk.

You should be sober, they should not be. Your decision making and reaction time should be much better than The clientele.

I thought rule 1 was 'take it outside; never start anything in the bar".
Wasn't #2, "expect the unexpected"?

Tried to get into a bar without a necktie, and the bouncer refused to let him in. My friend went back to his car and wrapped his battery cable around his neck, return to the entrance.
The bouncer looked him up and down, then said, "I'll let you in. But don't try to start anything."