In last week's New York Times, Dr. Ezekiel Emanuel suggested that this year's resolution might be to abandon the ritual of your annual physical. The title of his column, perhaps chosen by an editor to maximize glibness and thus provocation was: "Skip your annual physical." But permit me to suggest you don't commit to that just yet. The annual physical exam warrants some more examination, a defense to follow its prosecution.
A commentary was published last month on the blog site of the prestigious British Medical Journal telling us, in essence, that lifestyle medicine is ineffective. Specifically, it said that screening for chronic disease risk factors in the general population, and addressing them with lifestyle counseling in the clinical setting, is of no value.