We have recently opened a USA office to better serve the North American market. In doing this, we recognise that conditions and regulations can vary from those in Europe, and sometimes there are 'sensitivities' to be negotiated between companies and their affiliates. Our office is located in West Virginia and is headed by Debra Gordon who has extensive journalistic and medical writing experience. Having a presence on either side of the Atlantic gives greater flexibility and helps us to support the needs of major pharmaceuticals and medical devices companies.