Topped Staff is made of solid 14K gold and was designed when I first started experimenting with different ways of attaching the Staff of Esculapius to the necklace. In this design, the serpent is coiled around the staff and is hanging down from the fork created by a branch. This design was the precursor for the "Looped Bail" pendant that uses the serpent's body looped away from the posterior staff to create a loop for a necklace to pass through.