When I taught PAs years ago, I told them that they should ALWAYS touch the patient, especially the area of complaint—i.e., touch the head for a headache. So often we just get a history, especially today with computers.—MICHAEL QUIRK, PA-C, MBA, DFAAPA, Cudjoe Key, Fla. (206-4)


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.