I am working on some charts that show discrete (sudden) jumps at specific
time points. This requires the use of stair step interpolation, because if you
just connected the lines, it would imply a linear transition between
consecutive points. Here's an example of the plot I want.

It shows the number of patients at risk during any time point in the study.
The number at risk has to be a whole number because it is impossible to have
half a patient at risk in a study.
Here's what it would look like if I just connected the dots.

The programming language R allows you to connect the points either a linear
transition (which is what you want for most plots) or using a stair step
transition. With a stair step transition, you have the choice of moving first
horizontally and then vertically, or vice versa. If you specify a lower case s
for the type of graph, R will move horizontally first during the transition.
If you specify an upper case S, R will move vertically first during the
transition. If you specify a lower case l, R will use a linear transition
between data points.
Here's a simple example. The following R code
plot(0:5,5:0)
lines(0:5,5:0,type="s")
will produce this plot.

Notice that when you move from (5,0) to (4,1), you produce horizontally
along y=5 and then drop down to 4 when x reaches 1. Change the R code to this
plot(0:5,5:0)
lines(0:5,5:0,type="S")
and you get this plot instead.

Now when you move from (5,0) to (4,1), you drop veritcally to 4 first and
then proceed horizontally until you reach x=1. It a subtle difference, but it
is important. Finally, use this code
plot(0:5,5:0)
lines(0:5,5:0,type="l")
to get this plot

This plot shows a linear transition between (5,0) and (4,1).