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Speech and lip reading is not perfect. When unsure, write notes for the patient, especially for sample history. Patrollers and hosts can use their phones to text questions. Speak face-to-face without masks or other face coverings. Some congenitally deaf patients may not have clear speech, but they can be understood in context or with closed-end questions. Speech and lip reading is imperfect. When in doubt, write notes for the patient, especially for sample history. Patrollers and hosts can also use their phones and text them. Use voice-to-text apps to text them questions. Speak face-to-face, and remove masks, full-face helmets, baklavas, and neck gaiters from your mouth area. Not all congenitally deaf patients have full intelligible speech, but they may be understandable in context and or with closed-end questions.