Close your eyes when auscultating or palpating. It makes you focus on what you are hearing and feeling. An old country doctor told me to do this when I was a student.—Barbara Witherspoon, MSN, Knoxville, Tenn.

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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