Dear Pearl,

At Bridge Club yesterday I partnered with none other than our old friend Ima Quack! She's a practising doctor now, she told me, having received her bona fides from some perfectly lovely school/spa in the Caribbean. The best six weeks of her life, she said! Her bidding was a little rusty and she couldn't keep track of trump for the life of her. But we did have an interesting little conversation about your condition. She recommends tightrope walking therapy. Her patients, she says, start with lowstrung, then gradually end up (she emphasized this point most emphatically) completely highstrung! Oh dear. I'm sure you think I'm being too, too bossy. Still, it might be worth a try if nothing else brings relief!

I Remain Your Devoted Miss Blue