About seven months ago in this column I discussed the newly introduced program of medical suggestions and guidelines which is now called Choosing Wisely. This program was formed from a consensus of opinions and recommendations obtained by the American Board of Internal Foundation in which they consulted with more than 50 of the medical specialties regarding the optimal patient care practices which would be recommended, safe, and necessary for patient care in the increasingly technological and ever-changing medical fields. The foundation also determined which of previously commonly used procedures did not benefit the patient and may present misdirection and harm. Recent additional recommendations have been added; many are discussed in an article in the widely read AARP Bulletin (March, 2014, pp12-16.) Some of these procedures and those earlier published will be discussed in this column.