To the Editor.
—The article by Brancati1 is objectionable mockery. Furthermore, his ridicule is ill directed: to test for excessive amounts of porphobilinogen can lead to life-saving therapy—it is much more than a "fancy test." Porphyric attacks can be frighteningly real, happen to real people, and have to be searched for—a typical teaching point for morning report. I suggest Dr Brancati look elsewhere for an outlet (sink?) for his forced humor.
Pierach CA. And Nor Are We. JAMA. 1992;267(6):807. doi:10.1001/jama.1992.03480060053026