To dampen the gag reflex while conducting a throat exam, have the patient make a fist with the left hand, tucking the thumb underneath the fingers. I have no idea why, but it works. Try it on yourself. — Emily W. Rogers, PA-C, Talent, Ore. (159-6)

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 something you would like to share, send us an email.