A patient required a complicated regimen of starting and stopping antiplatelet agents and oral and injectable anticoagulants before and after two separate angiography procedures a few weeks apart.

I printed out a blank calendar page for the month and on each day wrote in which medications he should take. He loved it. It was perfectly clear how to take his medications correctly. — CATHERINE PENSYL, PA-C, MSHS, Broomall, Penn. (198-4)


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.