I have noticed a disturbing trend of clinicians and clinic staff taking BP measurements and listening to heart and chest sounds through clothing. Had I done that in my pulmonary practice, I never would have been able to identify rales, rhonchi, or S1, S2, S3 heart sounds. Please don’t exacerbate the problem by printing photos showing this practice.—Mary B. Ford, MS, RNP, Ipswich, Mass. (137-20)

From the March 01, 2010 Issue of Clinical Advisor