When retrieving a foreign body from the rectum, pass a Foley catheter past the item, inflate the balloon, and pull the Foley toward you to bring the item closer to the rectum. This maneuver will also break the suction in the rectum, which can make retrieval difficult. — Jody Colletto, FNP, Bremerton, Wash. (162-6)

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.