second most recent picks the second most recent non-blank value. For example, given the following case fragment,
01 Jun 03 20 Jun 03 30 Jun 03 15 Oct 03 02 Nov 03 HDL 2.0 2.1 2.2 2.4 pending LDL 4.5 4.7 3.1 Trig 3.2 3.6 LipidDrug N Y /
second most recent HDL is 2.4
second most recent LDL is 4.7
second most recent Trig is 3.2