Dear Friends There is a good editorial on the issue of False "First-Reported Cases" It has been published in ENT Journal, May 2004 and is available from the following link : http://www.entjournal.com/Past_Issues.htm?ID=3133 The editorial stresses the need for authors as well as journal reviews/editors to be cafeful while making a claim of a first report. They need to do a comprehensive literature search to be certain. Although most cases of false "firstedness" are inadvertent. Such false claims have at least a few undesirable consequences. For instance, the earlier work of others is not given proper credit. Additionally, the chronology of the medical record becomes confusing with the presence of multiple "first-reported cases" on the same topic. Such errors may be particularly embarrassing to authors making false claims. And journal editors' credibility takes a beating. Furthermore, for literature searches should not be limited solely MEDLINE/PubMed. These needs to comprehensive spanning to multiple databases and sources. Dr. Summers and Dr. Kaminski, has also highlighted a case where IndMED produced a more contemporary result than PubMed. IndMED is an Indexing service covering Indian Bio-Medical Journals, http://indmed.nic.in. Thanks Sukhdev Singh, NIC.