If a patient has a mild reaction to the adhesive on a transdermal patch, spray a light amount of triamcinolone to the area prior to application. Be sure to allow the spray to dry completely before placing the patch. — Rod Lutes, PA-C, Great Falls, Mont. (174-6)

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.