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These, we show, are effective means of countering patient pressure. We argue for the dual importance of how physicians communicate and when they communicate.Percutaneous coronary intervention to treat saphenous vein graft stenosis can be complicated by significant lesion and vessel wall calcification. We describe the first case of combined rotational atherectomy and intravascular lithotripsy to treat a severely calcified vein graft stenosis.Preterm birth is associated with an elevated risk of developmental and adult psychiatric disorder