Due to the high prevalence of sexually transmitted diseases (STDs) among adolescents, I incorporate the patient’s lab results into my teaching moment when delivering positive results.

Before the patient leaves, I provide a copy of his or her lab results to take home. My hope is that seeing his or her name associated with an STD emphasizes the seriousness of the diagnosis and inspires a change in sexual behaviors. — Kasaundra Ewing, FNP-BCG, Norfolk, Va.


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.