In the early stages of colonic volvulus, an enema administered in the supine position can sometimes force fluid into the loop but prevent gas from escaping. However, placing the patient in the prone position reverses the fluid-gas relationship, facilitating gas escape. This method has been successful in a few cases of colonic volvulus and is also applicable to sigmoid volvulus, which is out of reach of the sigmoidoscope. The author suggests that this simple technique should be tried in suspected volvulus cases. Neville Rowell, a dermatologist, argues against the separation of patients with scleroderma into a distinct syndrome called "CRST syndrome." He emphasizes that systemic sclerosis encompasses various manifestations and that the term "progressive systemic sclerosis" is unnecessary. Rowell's personal series of 51 patients with systemic sclerosis showed that all had systemic involvement, and the clinical course was consistent. He also notes that the association of calcinosis and scleroderma is not supported, and one patient died from malignant hypertension, a recognized terminal event in systemic sclerosis. F. R. Bettle and K. Grice discuss the potential confusion in the terminology used by Drs. Malten and Spruit regarding transepidermal water loss (TEWL) and insensible perspiration. They suggest that the Dutch authors' measurements of TEWL may include contributions from sweat glands, which could explain higher values for insensible perspiration. They also note that sweat secretion is reduced in active psoriasis, which might affect sweating patterns. The author responds to Dr. E. D. Acheson and Mrs. Sheelagh P. Watts' letter, criticizing the use of terms like "computer-assisted" or "analysed by computer" to enhance the quality or respectability of basic data. The author agrees with Acheson's objective of producing either type of statistic but disagrees with his suggestions for future steps, such as creating massive health files or significant investments in equipment. Instead, the author advocates for small, practical steps to develop methodology and establish true costs before making rational decisions about further actions.In the early stages of colonic volvulus, an enema administered in the supine position can sometimes force fluid into the loop but prevent gas from escaping. However, placing the patient in the prone position reverses the fluid-gas relationship, facilitating gas escape. This method has been successful in a few cases of colonic volvulus and is also applicable to sigmoid volvulus, which is out of reach of the sigmoidoscope. The author suggests that this simple technique should be tried in suspected volvulus cases. Neville Rowell, a dermatologist, argues against the separation of patients with scleroderma into a distinct syndrome called "CRST syndrome." He emphasizes that systemic sclerosis encompasses various manifestations and that the term "progressive systemic sclerosis" is unnecessary. Rowell's personal series of 51 patients with systemic sclerosis showed that all had systemic involvement, and the clinical course was consistent. He also notes that the association of calcinosis and scleroderma is not supported, and one patient died from malignant hypertension, a recognized terminal event in systemic sclerosis. F. R. Bettle and K. Grice discuss the potential confusion in the terminology used by Drs. Malten and Spruit regarding transepidermal water loss (TEWL) and insensible perspiration. They suggest that the Dutch authors' measurements of TEWL may include contributions from sweat glands, which could explain higher values for insensible perspiration. They also note that sweat secretion is reduced in active psoriasis, which might affect sweating patterns. The author responds to Dr. E. D. Acheson and Mrs. Sheelagh P. Watts' letter, criticizing the use of terms like "computer-assisted" or "analysed by computer" to enhance the quality or respectability of basic data. The author agrees with Acheson's objective of producing either type of statistic but disagrees with his suggestions for future steps, such as creating massive health files or significant investments in equipment. Instead, the author advocates for small, practical steps to develop methodology and establish true costs before making rational decisions about further actions.