So then I have to go back and type in all of the e-mail addresses that I've ever had since 1997 and finally hit on one and then they e-mail me the dumb password.
This isn't how it should work. If I found the long secret number -- they should say OK and at least send an e-mail to the account associated with the number - or permit me to edit my record.
Oh ... was I posting about the poor usability? no .. sorry ..
... the article was actually quite good. It's a clinical question/answer on pharyngitis, which includes this pretty table on Centor Scores ... and a well written little review on the non-controversy on whether to do culture follow-up on rapid antigen assays: "A retrospective outcome study reviewed the frequency of suppurative complications of GABHS among 30,036 patients with pharyngitis diagnosed with either RAD testing or throat culture. Patients included adults and children in a primary care setting. Complication rates were identical. A prospective study of 465 suburban outpatients with pharyngitis assessed the accuracy of RAD diagnosis using throat culture as a reference. The RAD accuracy was 93% for pediatric patients and 97% for adults.5 In another retrospective review of RAD testing, investigators performed 11,427 RAD tests over 3 years in a private pediatric group. There were 8385 negative tests, among which follow-up cultures detected 200 (2.4%) that were positive for GABHS. In the second half of the study, a newer RAD test produced a false-negative rate of 1.4%.7 Because of the possibility of higher false-negative RAD test rates in some settings, unless the physician has ascertained that RAD testing is comparable to throat culture in their own setting, expert opinion recommends confirming a negative RAD test in children or adolescents with a throat culture.1 Patients at higher risk of GABHS or GABHS complications may also warrant throat culture back up of RAD testing." The money is in the pre-test probability. The nursery school teacher who called Sunday afternoon with a Centor score of 4 deserved a trip to the office to meet me and get tested (positive). The stock broker who called Saturday with no ill contacts, no kids and a Centor score of 3 was given instructions for symptom relief.