Ancient simplicity: Almost 40 years ago, in 1984, I was a medical student and was formulating the idea for a company to produce and sell medical symbol custom-designed jewelry for doctors, nurses, and medical students. This is the second pendant of the Staff of Asklepios that I had made by a dental student at that time. A good description of this piece: "Heirloom-quality jewelry with a simple ancient design." It is solid 14K gold and attaches to a chain or leather via an O-ring so that it can accommodate almost any size chain or leather. The pendant comes with a Greek natural leather rope for those who want the "organic" look.