Never had it happen personally either on fresh or salt water and was a little queasy only once after chugging a beer at 7 AM during a Spring ESLO during the early eighties due to a bet regarding catching the first fish. I have had to drive a buddy's boat while he was puking repeatedly up front but I have to admit we kept fishing until it got real bad....he still avoids Ontario on days when 2 footers are predicted (and that was about 15 or more years ago that it happened). Ginger root and ginger ale can sometimes help, Dramamine has to be taken a couple hours before going out to be effective (and then only with some people). I have seen the wrist band approach work only once to avoid puking when initiated at the first signs of discomfort. I think it happens mostly with longer interval waves for most folks and i haven't seen it happen on any boatI've been on inthe Finger Lakes but I know it does occur (but not as frequently as on the great Lakes or the oceans.