I have emphasized in this column the importance of keeping questions front and center rather than falling in love with solutions. A good illustration of this principle is how to approach the problem of acute pulmonary embolism in patients at intermediate risk. A study in this issue of the journal addresses this subject and offers a potential solution [ ]. I will return to that paper later, but the reason it caught my eye was a personal experience. Late one evening, I got a call from the wife of a friend who told me that my friend was in the emergency room of a small hospital diagnosed with pulmonary embolism and they were going to transfer him to another facility to have pulmonary thrombectomy.