Fish oil is no snake oil
That cod-liver oil I took as a child, though foul tasting, may have been good for my heart.
J.D. CLOUGH

When and how is it appropriate to terminate the physician-patient relationship?
This should be a last resort, done only in extreme cases, and only after trying to work things out, giving fair warning, and making sure you are not abandoning the patient.
C. SANTALUCIA and F.A. MICHOTA JR.

Spondyloarthropathies: Using presentation to make the diagnosis
Spondylitis is easy to miss and is often falsely assumed to be "just back pain." Inhibitors of tumor necrosis factor show promise as treatments, but data are still limited.
S. KIRATISEAVEE and L.H. BRENT

Fish oil supplementation: Evidence for health benefits
We have solid and compelling evidence that two long-chain omega-3 fatty acids help prevent coronary heart disease.
W.S. HARRIS

New series: Keeping up with clinical research that can change your practice
Beginning with this issue, the Journal will include brief summaries of important new clinical research.
B.F. MANDELL

Four drugs for 1 day eliminates H pylori

Azelaic acid more effective than metronidazole for acne rosacea

Hearing loss is often undiscovered, but screening is easy
Does your patient need a hearing aid? Primary care physicians-the gatekeepers of audiologic care-can play a more active role in improving the hearing of their adult patients.
C.W. NEWMAN and S.A. SANDRIDGE

Fitz-Hugh-Curtis syndrome: A diagnosis to consider in women with right upper quadrant pain
Fitz-Hugh-Curtis syndrome can mimic many other common disorders, such as cholecystitis and pyelonephritis.
N.G. PETER, L.R. CLARK, and J.R. JAEGER

What physicians can do to prevent suicide
No one can predict whether any given patient will or will not attempt suicide, but we should notice when a patient might be at risk-and not be afraid to ask about it.
D.J. MUZINA

Omalizumab: Where does it fit into current asthma management?
This drug offers substantial promise, but owing to its cost and other limitations, it is not a first-line therapy.
T.E. RAMBASEK, D.M. LANG, and M.S. KAVURU

Correction February 2004 CME test.
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