Point of care testing for chlamydia is an evolving story, and readers will be pleased to see an authoritative update in this month's editorial by Jain and Ison.1 This is a fast moving field of research, and the potential of meatal swabs to open up self-testing for Chlamydia trachomatis by men is explored in an interesting paper by Chernesky et al.2 Huang et al3 also report in this issue on the cost-effectiveness of a new POCT (point of care test), while a letter from Stack4 describes an HIV POCT algorithm. Gradually, medicine is feeling its way back to the immediacy of the history and examination—our patients want quick answers, and with dark ground and gram stain microscopy being consigned to history, along with the RPR, and the turnaround time of traditional NAATs we …