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LADs (named after its inventors) is a valid medical maneuver first described in 2013. Although first controversial, it has since gained acceptance among the medical community. LADs is a maneuver to percuss the midclavicular line of the T4 dermatome. To preform LADs, the practitioner must quietly approach the patient posteriorly while to patient is standing or sitting upright. The practitioner then reaches around to the anterior thoracic wall of the patient with their non-dominate hand and places two fingers in the midclavicular line of the T4 dermatome. Simultaneously, with their dominate hand, the practitioner reaches anteriorly and forcefully percusses the thoracic wall. This approach was initially considered unorthodox and earned its inventors a professionalism violation from their home institution.