Abstract
Clinical dilemmas occur in practice. The experience and perspective on such cases may or may not be reflected in the published literature. Second opinions may be sought in an attempt to help determine a clinical course based on the best available information. The Pulmonary Hypertension Association as part of its mission of patient advocacy and education has created and electronic resource network as part of the Pulmonary Hypertension Clinicians and Researchers (PHCR) Program. Extraordinary access to vast clinical knowledge and experience now exists at the speed of e-mail, providing real-time second opinions as well as multifaceted review of clinically challenging cases. The following excerpted discussion exemplifies the possible results, combining the “old fashioned” experience and dedication of PHCR members with modern technology. The discussion has been edited with sequential replies and comments separated by division lines. A commentary from Keith McCrae, MD, follows. —R. Schilz, DO, Associate Editor
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