There is a recent trend (RT) in the medical literature (ML) to abbreviate previously unabbreviated phrases for the sake of efficiency (PUPSAE). Although it makes good sense (GS), the frequency with which it is used can tax the inexperienced reader (IR). Sometimes repetition can actually be beneficial (RCABB) by allowing the reader to retain words he does not constantly have to refer back to (WOHCREPT).

I would like to suggest to the editor (ED), that for the IR who doesn't wish to have PUPSAE, he have the GS to change the ML so that RCABB and he can eliminate WOHCREBT.

SG, Mann
Letter to the Editor, N Engl J Med 1989; 320: 1152