Every boy, girl and grown-up knows very well the sparks of gratitude upon receiving a gift on the Christmas festival. When we make a wrong choice of "gift", the resulting ripple can be far-reaching, though.

On the Christmas Eve, I made a phone call to my patient, a young lady who recovered from a stormy hospital course with a disease called systemic lupus erythematosus, after receiving her magnetic resonance images (MRI). "Good afternoon, Ms L, this is Dr. KM