Highlights of the August 11th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: association between frailty and risk of early readmission or death, too much preoperative testing before low-risk surgical procedures, prevention of urinary tract infections in patients with spinal cord injury, noninsured services provided with insured cataract surgery, improving the reporting of adverse drug reactions, fulminant hepatic failure following ingestion of wild mushrooms, and more. Full issue table of contents: www.cmaj.ca/content/187/11.toc