The article discusses a case of a 59-year-old man who suffered extensive fractures after a hypoglycemic episode following a seizure. The author highlights the importance of considering the risk of avulsive fractures in elderly patients with seizures, especially those with diabetes and osteoporosis. The patient, an 80-year-old woman with moderate dementia, experienced a generalized seizure during bed rest, leading to respiratory arrest and subsequent fractures in both femurs and the right humerus. Despite a good recovery, the authors emphasize the need for thorough screening of patients with seizures to detect potential fractures. In another section, the authors debate the screening for colorectal cancer, citing concerns about anxiety and guilt associated with screening. They argue for controlled and evaluative screening programs to address the ethical and practical challenges. The Norwegian National Advisory Board for Quality and Prioritization in Health Services has recommended a cautious approach, suggesting a pilot project with prospective follow-up evaluation to assess the effectiveness and potential negative consequences. The third section addresses the ongoing debate on whiplash injuries, criticizing Sven Knagenhjelm's views on the topic. The authors present evidence from a 1999 study showing that whiplash symptoms in a country without compensation options were brief and mild, contradicting Knagenhjelm's claims. The final section criticizes the editor's concerns about patient safety and employee well-being during the merger process at Oslo University Hospital. The author, Øyvind Skraastad, emphasizes the importance of quality and patient safety, highlighting the efforts made by the hospital to improve these areas. He calls for a balanced perspective on the challenges and progress in the hospital's organizational changes.The article discusses a case of a 59-year-old man who suffered extensive fractures after a hypoglycemic episode following a seizure. The author highlights the importance of considering the risk of avulsive fractures in elderly patients with seizures, especially those with diabetes and osteoporosis. The patient, an 80-year-old woman with moderate dementia, experienced a generalized seizure during bed rest, leading to respiratory arrest and subsequent fractures in both femurs and the right humerus. Despite a good recovery, the authors emphasize the need for thorough screening of patients with seizures to detect potential fractures. In another section, the authors debate the screening for colorectal cancer, citing concerns about anxiety and guilt associated with screening. They argue for controlled and evaluative screening programs to address the ethical and practical challenges. The Norwegian National Advisory Board for Quality and Prioritization in Health Services has recommended a cautious approach, suggesting a pilot project with prospective follow-up evaluation to assess the effectiveness and potential negative consequences. The third section addresses the ongoing debate on whiplash injuries, criticizing Sven Knagenhjelm's views on the topic. The authors present evidence from a 1999 study showing that whiplash symptoms in a country without compensation options were brief and mild, contradicting Knagenhjelm's claims. The final section criticizes the editor's concerns about patient safety and employee well-being during the merger process at Oslo University Hospital. The author, Øyvind Skraastad, emphasizes the importance of quality and patient safety, highlighting the efforts made by the hospital to improve these areas. He calls for a balanced perspective on the challenges and progress in the hospital's organizational changes.