I tear out the patterns I want and then bring them to the dialysis center. They need mag/cat to look at while waiting for rides or on the machine.
If I tear out lots of patterns, I just toss the rest away.
Patterns go into plastic sleeves and into 3 ring binders. Once a year I go tru the binders and if I no longer like the pattern, I bring them to the quilt group and they go to a new home.