Here's an interesting item, a perfect gift for your doctor, pharmacist, or other healthcare worker. John Marr is the former state epidemiologist for the state of Virginia, as was also the director of the New York City Bureau of Communicable Diseases. No joke, he's got his own Wikipedia page! (https://en.wikipedia.org/wiki/John_S._Marr) While Dr. Marr was working for New York he had these ties custom made. He used them as gifts for employees, awards, and the like. He had some leftover, and now offers them to you. These are new old stock, still in the package. 

Shipping is included. 

The stethoscope, jacket, Mac laptop, and jacket are PROPS. They are not included in the sale. You are buying a TIE.