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Irwin H. Friedman, MD
East Meadow, NY

JAMA. 1984;251(16):2086.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I have been asking patients to stick out their tongues and say "ah!" for some 30 years. I still regard it as a diagnostic procedure of some worth. I have found that there are a considerable number of patients who gag when the tongue blade is pressed on their tongues. I have found that if the "ah!" is said in a high-pitched tone, a falsetto voice, the patient is unable to gag while essentially singing this note. It may seem like a small point; however, I have found that it has enabled me to visualize the throat on many occasions where previously the patient was unable to permit this examination. . . . [Full Text PDF of this Article]

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