text_1: This patient has atrial fibrillation and takes aspirin.  Should I put her on coumadin or should I stay with aspirin?  The studies on coumadin vs. aspirin are variable.  I'm not a strong one for coumadin because of drug interactions and if they fall they'll bleed.  Do I do an echocardiogram and see how dilated her chambers are to make this decision?
text_2: How should you adjust the birth control pill if someone has spotting on it?