We've all had this happen- I'm just wondering if anyone has come up with a brilliant way of handling it: Mrs Smith brings Billy-Bob in for a sick visit. You have his chart only. Nurses have asked her if any of the other children need to be seen and she has said no. After you finish with Billy-Bob, mom asks if you would mind looking at Jim-Bob's ears because he didn't sleep well- and since you're still in the room how about Joe-Bob's, Bubba's and Sissy's. You know you have to write notes to remember who had the effusion and who's myringotomy tube was in the canal so when mom calls you a few days later to say that the " not infected ear" I had looked at was now draining pus....... you could come up with an intelligent plan. OK - maybe I'm exaggerating a wee bit-- but I don't think East Texas has the corner on two for one sibs. How do you handle this?