I know this is out of sequence, and my weekly updates aren’t in any way weekly, but I thought I’d direct anyone who is interested in keeping an eye on general medical issues to Richard Lehman’s journal review. He is where I got the idea of doing a similar thing for neonatology, he publishes a blog each week in which he reviews the main papers in JAMA, PNEJM, BMJ and the Lancet. He is often very rude about the articles, the motivation of the publishers, and the editor of the Lancet. This week is a typical and sometimes scathing example. I get lost with the new drugs that are being tried and tested in adult medicine, like the etanercept studied in the RCT in the Lancet that he mentions, but some of them seem to be major advances on what was available to me 30 years ago the last time I treated an adult. I’m glad I’m not a general family doctor, keeping up with all this stuff must be tough.