Dr Bauchner, Editor in Chief of JAMA, provides summary and commentary on the April 25, 2012 issue of JAMA, the Journal of the American Medical Association. Text Messaging to Promote Influenza Vaccination, Nursing Intensity and VLBW Infant Outcomes, Transendocardial Bone Marrow Cells in Heart Failure, Endocarditis Involving Implantable Cardiac Devices, Botulinum Toxin A for Headache Prophylaxis, Electronic sharing of clinical data, Specialty hospitalists.