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May 17, 2006

Cocktails for Two

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;295(19):2248-2249. doi:10.1001/jama.295.19.2248-b

To the Editor: When I was told that something I wrote1 was cited in the Clinical Review of chest pain history in patients with suspected acute coronary syndromes by Drs Swap and Nagurney,2 I read the article eagerly. It's always flattering to have someone reference your work. I was basking in a glow of anticipation as I read the section on the “GI cocktail” when I was suddenly blindsided by the realization that in the cited article, I didn't write what was attributed to me. At that point I needed a GI cocktail . . . or maybe a real cocktail. It would seem that my work was from the 1970s, a time when I was still mostly in college. I may have needed a GI cocktail on occasion then as well, but I certainly didn't write about them. It also would appear that I endorsed the idea of using the GI cocktail to differentiate cardiac from noncardiac pain; the point of my study was actually that when the cocktail was used at my institution, other treatments such as aspirin, nitroglycerin, and morphine were often used in close proximity, making any interpretation of the response to the cocktail useless. I suspect that there is an innocent mistake at play here, but I’d hate for someone to get the wrong idea. Now, for that cocktail. . . .