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Editorials |

Urine Color Test to Monitor Isoniazid Compliance : “Pissin’ in the Wind”?

Elena S. Hollender, MD; David Ashkin, MD, FCCP; Masahiro Narita, MD
Author and Funding Information

Affiliations: Lantana, FL
 ,  Drs. Ashkin and Hollender are from A. G. Holley State Tuberculosis Hospital, the Florida Department of Health. In addition, Drs. Ashkin and Narita are Clinical Assistant Professors, Division of Pulmonary and Critical Care Medicine, University of Miami School of Medicine. Dr. Narita is now with the Tuberculosis Control Program, Public Health—Seattle and King County, Washington.

Correspondence to: David Ashkin, MD, FCCP, A. G. Holley State Hospital, 1199 W. Lantana Rd, Lantana, FL 33462; e-mail: David_Ashkin@doh.state.fl.us



Chest. 2003;123(3):668-670. doi:10.1378/chest.123.3.668
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May we say this in a prominent medical journal such as CHEST? Is it audacity or truthful metaphor? For the two of us from Brooklyn, the phrase “pissin’ in the wind” means doing something that is essentially futile and possibly detrimental. Our third colleague assures us that the Japanese equivalent, “spitting in the sky,” also holds the same meaning. (Does all deep philosophy reduce down to body fliuds?) However it may be, in discussing an article where urine drug screening reveals nonadherence to therapy, we believe the phrase is apt.

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