Summary of the August 5, 2014 issue, including articles on corticosteroid injections and manual physical therapy for the shoulder impingement syndrome, the changing burden of hepatitis C virus in the U.S., associations between asbestos and smoking exposure with idiopathic retroperitoneal fibrosis, and subclinical thyroid dysfunction and fractures, updates in rheumatology and gastroenterology/hepatology, the ACP guideline on the diagnosis of obstructive sleep apnea in adults, and a commentary on the recent changes in the board certification.