When a patient complains about everything that is going wrong, encourage him or her to change their way of thinking by focusing on what they can do, like drive, feed and dress themselves. After all, not everyone is so fortunate. This usually engenders an improved mood. — Donna M. Richardson, FNP-C, Pineville, La. (161-9)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.