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Billy Joel shares health update after undergoing brain surgery
‘I want people to not have to worry about me,’ the singer said
Captain Lee Rosbach to Undergo ‘Big Surgery’ After Health Forced Below Deck Exit
Captain Lee Rosbach planned to bring fans along for a major medical procedure that he hoped would ease the physical problems that had affected him for years. The former Below Deck captain said he is s...
September Monthly Review: Health MCP Guy?
For all the time I spend talking about APIs and data exchange, this newsletter has had embarrassingly little interoperability of its own. It’s old-school SaaS, baby - UI or bust. Not all of that is my fault! Substack, for all its popularity, is (as mentioned before) really frustrating as my system of record. The primary user it optimizes towards is the reader, whose attention feeds the app, the Notes feed, and the recommendation network that Substack is actually selling. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe They’re falling into the same trap that Medium once sprinted into, albeit at a much more glacial speed. Younger generations may not remember (or never knew) it, but Medium once lured publications like The Ringer and Signal v. Noise onto its platform, only to lose them as it rebuilt itself around a paywall and an algorithmic feed. Substack’s original pitch circa 2020 was the antidote (you own your list), but every new feed feature chips away at it. I get it: writers are generic supply in the eyes of the Substack product team. Generic supply follows demand, so the consistent pressure on the PMs is to generate demand, which leads to every product cycle going toward discovery (Notes, recommendations, the app, live video). The end result lackluster author tools (laggy and broken analytics are truly crippling) all despite the premium price point. The archive is where it crosses from authorial gripes to actual reader impact, though. Across Substack and LinkedIn, I’ve published 1,218 posts and nearly 900,000 words since 2018. Substack’s native search can see only the 464 posts that live on Substack, and even there it’s woefully inadequate at surfacing relevant content (even for the guy who wrote it)! Readers have the same problem, writ large. Ask the Archive Fixing search (for both my readers and my own use) turned out to be extremely non-trivial, unfortunately: There’s no public API for readers to access content RSS exists for new content notification, but it only carries the 20 most recent posts and cuts paid ones off at the preview The only Substack MCP is an admin tool for analytics The export exists for authors, but it’s painfully awkward and slow. So I built something to work around that: the Health API Guy MCP. It’s a private MCP server holding the full text of everything I’ve written across Substack and LinkedIn. Add it to Claude or ChatGPT as a connector and you can ask things like: It pairs keyword search (for acronyms and case names, of which we have many) with semantic search. Every post is also labeled by topic, form, and court case, so you can pull a lawsuit’s (or multiple cases’) entire docket across Substack and LinkedIn in one query: Hail, Healthapiguyhydra This is also a bit of me eating my own cooking. I’ve spent the year arguing that headless healthcare is arriving and that developers want primitives over abstractions. Last week in Hail, Benihydra, I watched Salesforce plug its platform into Claude and bet that the records underneath outlive whatever interface sits on top: Salesforce must believe that the Hydra’s immortal head is the records, permissions, and business logic (in that they will survive whatever happens to the interface). It felt a bit hypocritical to keep my own archive behind a Substack search bar. The archive is the body. Substack is one head, and now whatever tool you might use is another. Will the EHRs follow my lead? Probably not imminently, but one can hope! Why Founding Members Only The MCP is available to Founding Member subscribers. A few reasons: It costs money and time to run. Hosting, the database, Clerk usage and AI compute for search and labeling are significant operational costs (that increase with usage). Substack gives me no way to automate access. There’s no API to check whether someone is a paid subscriber, so every user is manual operations for now. It’s a beta. We’ll need to improve things and parts will break. I’d rather they break for a small group of dedicated readers who will tell me about it. The Founding tier deserved a real benefit. Until now it was mostly a generous tip. Now it comes with something. If you’re already a Founding Member, reply to this email with the address you’d like provisioned. If you’re not and want in, upgrade here. Larger teams (such as companies) can get access too: group subscriptions at the Founding tier come with the group discount. The admin for the subscription can reply with the list of addresses to provision. Get 20% off a group subscription Pricing Founding membership is now a flat $200 a year, replacing the old suggested $150 that readers could adjust. Existing Founding Members will have access grandfathered in at their previous rate. Month in Review Articles Published Make Networks Dumb Again (Sep 11): AI is making old analog networks cheaper to use and flooding them with machine traffic in the process. A plea for agent-native rails with the intelligence at the endpoints, and for Washington to drag them to ubiquity. Interoperability, Unbuttoned (Sep 29): Interoperability is a series of workflows in a trenchcoat, and this post finally takes the trenchcoat off. A color-coded map shows which provider workflows went digital, which are fragmented, and which still run on fax. Video Content Antitrust’s System of Record Problem (Sep 3): The FTC’s investigation into Epic prompted a ninety-minute webinar, now posted with chapters and a smoothed transcript. We get into why market definition, missing B2B share data, and the SSNIP test leave antitrust poorly suited to systems of record, plus why information blocking may be doing more than any pending lawsuit. The Information Exchange: Cerner Milking Edition (Sep 18): This was so fucking fun. Ryan Tucker, Ryan Brickner, Brad Thorson, and I try an Around the Horn format, complete with points, penalties, and a mute button. We debate whether Oracle Health is dead, who would actually buy Cerner (IBM enters the chat), p(Doom), and why the front desk still hands you a clipboard. Regulatory Ask Not What Your Network Can Do (Sep 23): CDC’s RFI on public health data intermediaries lists use cases already served, unevenly, by eCR, lab reporting, IZ Gateway, and syndromic surveillance. The real opportunity sits in one question about AI: a network that can handle the next emergency without another interface project. Court cases Particle v. Epic: The Naughty Schoolteacher (Sep 4): After a summer-long vigil, the answer on Epic’s early summary judgment bid is two paragraphs and a remedial assignment. Particle advances to the next grade, and market definition gets another year of discovery. The Epic Discovery Files (Sep 8): Texas’s motions to compel arrive with a 251-page appendix of requests, objections, and meet-and-confer letters with Cravath. Inside: Epic using generative AI for document review, denied interoperability requests in scope, and Noerr-Pennington raised against lobbying discovery. Epic v. Health Gorilla: “Working as Designed” (Sep 9): Epic wants nothing to do with the data breach MDL, and explaining why puts fresh discovery on the public docket. The spiciest allegation: Health Gorilla told GuardDog to scrub its law firm business from its website instead of cutting off access. Veeva v. Epic: Legal Bypass Surgery (Sep 15): Veeva asks the Wisconsin Supreme Court to skip the Court of Appeals, while law professors and three policy groups line up as amici. Meanwhile, Epic’s lawyers apologize for another round of citation errors, including a quote that never existed. Texas v. Epic: Behind the Black Bars (Sep 17): The court portal served up Epic’s unredacted filings, revealing a $5 million document review budget and the AI workflow behind it. Also inside: the 200-plus company names Texas wants searched, and one very expensive Zoom invitation. OpenEvidence v. Doximity: Consequences Will Follow (Sep 25): OpenEvidence tells the court it will not comply with a discovery order, and its own lawyers at Quinn Emanuel say they won’t defend the choice. Add years of Slack reported unrecoverable, and Rule 37 sanctions come into view. Health Tech Keeps Choosing Violence (Sep 28): Doximity moves to end OpenEvidence’s case, Epic asks Texas to show its work, and a sleepy Audacious Inquiry patent fight sprouts antitrust and information blocking counterclaims. The main event is a long-sealed Cognizant v. Infosys ruling that hints where system of record antitrust claims can survive. EHRs One Verb for Oracle Health (Sep 14): Oracle’s earnings call quantifies every data center to the decimal point, while Oracle Health gets a single verb: “accelerate.” Panning the few healthcare mentions turns up an agentic care management system, a research-to-care ledger play, and the question of whether healthcare gets Larry’s patience. Epic’s Forretress Under Siege (Sep 30): Judy Faulkner tells a panel Epic paused hundreds of projects to harden its software and calls it a “shame,” while a spokesperson insists the roadmap hasn’t changed. Project Glasswing, a Pokémon-branded QAN sprint, and a trove of Jodel grievances reconcile the two Epics and preview the Jevons paradox coming for all software. Industry Analysis Scanning for a Network (Sep 1): Scan.com raises $220M to build the imaging network labs never got, speedrunning Zocdoc’s consumer-to-B2B pivot. Its wedge to network density may be the most American one available: personal injury litigation. The Front Desk Wants the Damn Whole Building (Sep 16): Hello Patient buys Converse Health, pushing its AI front desk into referrals, chart work, and prior auth. The copilot categories keep blurring, and your distribution partner is still your final boss. Cross-industry Comparisons A Different Patchwork Quilt (Sep 10): Healthcare loves to envy open banking, but the US version has no mandate, a toll booth at Chase, and data quality problems of its own. The grass isn’t greener; it’s another American patchwork quilt, and perhaps a worse one. Hail, Benihydra (Sep 21): Salesforce brings its platform into Claude, Slack, and its own agent, inviting the interfaces that might replace it. Cut off one head and more grow back, so long as the records underneath stay put. Living on A Trade Secret Prayer (Sep 22): Six credit unions are suing Fiserv, the Epic of core banking, by claiming their own member records as trade secrets. Banking has no Cures Act, so its lawyers reach for legal alchemy that healthcare has already tried. Other News None this month External Media Nabla Accelerate NYC: I kicked off fall conference season at Nabla’s Accelerate event in New York, where Delphine Groll opened by asking the room to picture the company it wants to become and the one it doesn’t. I liked her framework of bureaucracy, fear, and ego as the blockers. I also love vendor conferences/events in general - different vibe than industry biggies. Healthcare 101 with Nikhil Krishnan: I briefly guest lectured Out-Of-Pocket’s Healthcare 101 class. Appreciated Nikhil’s takeaways cover whether AI doctors can query HIEs, why healthcare’s data-liberation rules beat most industries’, and the hi-res graphic is in the comments. HCN: Epic Probed by the FTC: I joined the HCN guys to talk through the FTC’s investigation into Epic. Cedric’s new hairdo was an unexpected plot twist. The episode also covers MFN drug pricing, healthcare M&A and Eli Lilly’s acquisition streak. Fall Conferences: At eHealth Exchange’s Annual Meeting in Austin on Oct 27, I’ll moderate a panel on the tensions between AI, HIEs, and timely patient access with Jean Ross (Primary Record), Therasa Bell (Kno2), Byron Crowe (Doctronic), and Michael Marchant (Freenome). Here’s the rest of my schedule if you want to meet up: CommonWell (Redwood Shores, CA): Oct 13-14 Will be participating in a fun Jeopardy event Open@Epic (Madison, WI): Oct 20-23 Will be enjoying Verona, Willy Street, and other local adventures eHealth Exchange and Sequoia Project (Austin, TX): Oct 27-29 Yeehaw HLTH (Vegas): Nov 15-18 Groundhog Day, Venetian Edition RSNA (Chicago): Nov 30-Dec 2 See me at “Governing AI in Breast Imaging: What Health Systems Are Actually Doing” Digital Health Counsel 2026 AI Summit (Seattle): December 2-3 Will likely be speaking to a bunch of lawyers about information blocking Posts I Liked ChatGPT’s Epic integration: game changer or nothing burger?: Joshua Liu, MD offers five thoughts on OpenAI’s Epic launch, starting from the point that it rides the same open APIs available to anyone. He argues read-only access leaves ordering to Art and the ambient startups, and asks why HCA is piloting it alongside Commure. He’s sorta a must-follow at this point - consistently excellent, thought-provoking takes. Epic, Lilly, and the Discovery pass: Seth Chaney reads Epic’s first major Discovery deal (with Eli Lilly), as well as its revised developer terms on commercial displays, as the pipe finally opening between EHRs and pharma. Life sciences and health continue to collide. Scott Rossignol on EHR payer platforms and ePA fees: Scott argues the top ambulatory EHR vendors are turning the prior auth mandate into a per-member-per-year toll on payers, for an API whose operating cost has nothing to do with covered lives. His fix is two lines of regulatory text: put the CRD/DTR/PAS certification criteria in the Base EHR definition, and bring payer-facing ePA connectivity under § 170.404’s cost-based fee rules. It’s a good solution. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
ECU Health introduces minimally invasive heart surgery procedure
AltaValve uses a catheter to treat patients with mitral valve disease who may not be able to undergo traditional procedures, according to a news release.
Andy Reid reveals Chiefs LT Josh Simmons dealing with bulging disc in back but is progressing, shouldn't need surgery
Jayden Reed will undergo season-ending surgery
Jayden Reed will miss the rest of the 2026 season.
Billy Joel Gives Health Update After Brain Surgery
Billy Joel gave a health update during a call to his SiriusXM channel, saying that he's 'OK' after revealing he'd recently undergone brain surgery.
Jared Goldstein, M.D., Joins Baptist Health Urology
September 18, 2026 – Baptist Health is pleased to announce the addition of Jared Goldstein, M.D., a highly skilled urologist and urologic surgeon, to the Baptist Health Urology team. Dr. Goldstein brings to the community extensive expertise in general urology, minimally invasive surgery and men’s health services. Dr. Goldstein specializes in the diagnosis and treatment […]
Nathan J. Nordmann, M.D., Joins Baptist Health Miami Neuroscience Institute as Director of Spinal Oncology and Co-Director of Spinal Radiosurgery
August 27, 2026 – Fellowship-trained neurosurgeon Nathan J. Nordmann, M.D., has joined Baptist Health Miami Neuroscience as director of spinal oncology and co-director of spinal radiosurgery. He specializes in the surgical treatment of conditions affecting the brain and spine, with advanced expertise in primary and metastatic spinal tumors, complex spinal pathology and minimally invasive surgical techniques. […]
Harel Deutsch, M.D., Joins Baptist Health Miami Neuroscience Institute as Director of Spine Surgery
August 24, 2026 – Fellowship-trained, board-certified neurosurgeon Harel Deutsch, M.D., has joined Baptist Health Miami Neuroscience Institute as director of spine surgery. An internationally recognized leader in spinal surgery, Dr. Deutsch specializes in minimally invasive spine surgery, motion preservation surgery and the treatment of failed back surgery syndrome. He brings nearly three decades of experience […]
🚨 Major blow: Madrid issue Asencio medical report
Real Madrid will have to face the coming months of competition without Raúl Asencio."Our player Raúl Asencio will undergo surgery tomorrow due to a stress fracture in the tibia of his right leg," th...
Virginia Democrats warn more healthcare strains loom after November election
Christina Rivera kept her health insurance this year because she needed major back surgery. But maintaining coverage meant absorbing a monthly premium that rose from $235 in 2025 to $1,336 in 2026 — with a higher deductible. “That’s just not reasonable for anybody who is relying on the ACA for healthcare,” said Riviera, a Charlottesville-area resident and founder of the nonprofit Called to Justice. “I don’t have that sitting around. It’s not in the cushions of the couch.” Small nonprofits often depend on the Affordable Care Act marketplace because reasonably priced group coverage is out of reach, Rivera said. After enhanced federal premium tax credits expired last December, her insurance bill became another financial burden alongside groceries, gasoline and utilities.
HSS and New York Road Runners Hold Second Annual Runner Health Symposium
Hospital for Special Surgery (HSS), the world's leading academic medical center focused on musculoskeletal health and the official hospital of the TCS New York City Marathon, will host the 2nd Annual HSS/NYRR Runner Health and Performance Symposium on October 3 in collaboration with New York Road Runners (NYRR), the nonprofit that “runs” NYC...
‘Live’ Fans Send Support to Mark Consuelos After His Health Update
Mark Consuelos underwent foot surgery in late September, and he surprised fans by returning to 'Live With Kelly and Mark' a few days later. See how fans supported him.
“The Swan” contestant recalls fluid filling lungs after plastic surgery for divisive show: ‘I almost died’ for reality TV
Hulu’s nightmare-fuel documentary “The Swan: Behind the Mirror” takes viewers inside one of the most twisted reality series of all time.
Bradish to undergo sports hernia surgery after ending '26 on IL
BALTIMORE -- Kyle Bradish's offseason will begin with a surgical procedure that will be followed by a lengthy recovery process. On Monday, Orioles president of baseball operations Mike Elias announced that Bradish is set to undergo sports hernia surgery. The procedure will be performed by Dr. William Meyers on Tuesday
Brandon Miller Gives Major Injury Update Before Hornets Camp
Brandon Miller said he has been cleared for full contact for about three weeks after undergoing left shoulder surgery in May.
South Texas Health System (@stxhealthsystem)
0 likes, 1 comments - stxhealthsystem on September 27, 2026: "Support Recovery, Strengthen Your Future: South Texas Health System, the Rio Grande Valley's largest integrated healthcare network, is seeking passionate physical therapy professionals to join its nationally recognized inpatient and outpatient rehabilitation teams at STHS McAllen, STHS Edinburg and STHS Heart. Physical therapists play a vital role in helping patients regain strength, mobility and independence following illness, injury or surgery. If you're passionate about empowering patients on their road to recovery, STHS offers an opportunity to make a lasting impact every day. Join a collaborative team dedicated to exceptional patient care and helping individuals return to the activities and quality of life they value most. Ready to move your career forward? View current openings and apply today at the link in our bio.".
Puka Nacua could return to lineup soon
Rams WR Puka Nacua has a chance to be back as early as Week 4 but surgery still on table
Myles Garrett is expected to miss 6 weeks
The Rams’ DPOY, Myles Garrett, is now expected to miss up to six weeks following surgery
Osvaldo’s family shares positive health update after emergency surgery
Daniel Osvaldo’s family say the ex-Roma, Juventus and Italy striker is ‘doing well and is alert’ after emergency surgery on Friday.Osvaldo’s family have provided a reassuring health update aft...
Blind chimp in Louisiana regains sight after cataract surgery
‘Watching Pierre look at me again was something I will never forget.’
‘Pawn Stars’ star Rick Harrison gets heartbreaking news on heels of heart surgery
It has been a rough year for the History Channel star.
Lions’ Avonte Maddox Sends Out Two-Word Social Media Update
The Detroit Lions have been all kinds of shorthanded so far in the early goings-on of this season, as they’ve been without numerous key names like Cade Mays, Brian Branch, and Kerby Joseph.Meanwhile, the Lions have confirmed that safety Avonte Maddox will miss the remainder of the season with a foot injury, which required surgery. […] The post Lions’ Avonte Maddox Sends Out Two-Word Social Media Update appeared first on HEAVY.
Weekly Portland women’s sports wrap up (9/25)
Weekly Portland women’s sports wrap up (9/25) presented by Rebound Orthopedics and Neurosurgery and Rivermark Community Credit Union.
Jayden Daniels avoids Injured Reserve for now
Commanders QB Jayden Daniels not scheduled for surgery and will remain on roster
Mark Consuelos Announces ‘Major Surgery’ in ‘Live’ Health Update
Kelly Ripa's husband admitted on 'Live With Kelly and Mark' that he put off the procedure for almost a year.
Mark Consuelos Announces 'Major Surgery' in 'Live' Health Update
Kelly Ripa's husband admitted on 'Live With Kelly and Mark' that he put off the procedure for almost a year.
Getting Ready for Jackson Jobe’s Final Start
As the flame-throwing righty finds his groove following surgery, Detroit fans get a final look at the electric arm poised to lead the franchise’s next pitching generation.
Sanford Health Broadway Same Day Surgery Center is being renamed
A major gift to Sanford Health in Bismarck is bringing a brand-new name to its surgery center.
Bills defensive lineman T.J. Sanders out indefinitely after having appendectomy
Brady didn’t provide a timetable for Sanders’ return in announcing the player had surgery a day earlier.
“The View” star Alyssa Farah Griffin details 3-month-old baby’s skull surgery, says newborn will wear helmet for 1 year
“Having to sign off on him getting a blood transfusion and all that was so scary,” the former Donald Trump White House staffer said of son Justin Griffin.
Minnesota man excited for the future after bariatric surgery
For Paul Nistler, losing weight with bariatric surgery meant lifelong changes but also lifelong health and more time with his family.
Mavs BREAKING: Dereck Lively Injury Update For Camp? 'Confounding'
The Dallas Mavericks center has reportedly not been cleared to participate in training camp while he recovers from a December surgery on his injured right foot, according to ESPN's Tim MacMahon.
Congressman Casar meets with man shot by ICE in Austin
Wilber Rafael Garces Perez was told by a specialist he needs surgery after he was shot in the back by an ICE officer.
Giants QB Jaxson Dart to have season-ending knee surgery
An MRI revealed medial collateral ligament.
Inside Novant Health’s new South Asheville Medical Park
Novant Health previews its new South Asheville Medical Park, including imaging, outpatient surgery and a mobile mammography unit.
Jaxson Dart expected to have season-ending surgery
NY Giants’ quarterback Jaxson Dart’s season is expected to be over
Jaxson Dart is "expected" to have season-ending knee surgery
Panthers RB Jonathon Brooks needs surgery, out at least six weeks
Chargers' Charlie Kolar to undergo surgery for broken forearm
Chargers tight end Charlie Kolar will undergo surgery on his broken forearm.
Real Salt Lake's Diego Luna out following knee surgery
By MLSsoccer staffReal Salt Lake midfielder Diego Luna is expected to miss the remainder of the 2026 MLS season after undergoing a successful meniscus repair in his knee last week, the club announced ...
This emerging treatment could help people avoid knee replacement surgery
A minimally invasive procedure called genicular artery embolization could offer a new middle ground between conservative treatments and knee replacement for osteoarthritis. By blocking tiny blood vessels associated with inflammation, GAE can significantly reduce pain, with some patients reporting little or no pain afterward. Studies suggest the benefits may last two to four years in people who respond well.
Rams Deliver Ominous Potential Timeline for Myles Garrett After Surgery
Los Angeles Rams head coach Sean McVay offered an ominous update on a potential timeline for Myles Garrett to return. The post Rams Deliver Ominous Potential Timeline for Myles Garrett After Surgery appeared first on HEAVY.
Former RHOBH Fan-Favorite Faces Weeks of Recovery After Freak Accident
Eileen Davidson is recovering after a painful accident left her with a fractured knee. The former RHOBH star revealed the injury in a recent Instagram post. She also shared that surgery recovery will ...
Shriners Children’s aims to reduce children's health care anxieties
Shriners Children’s in Lexington hosted a Teddy Bear Clinic, letting kids practice on stuffed animals to ease fears about hospital and surgery visits.
Shriners Children’s aims to reduce children's health care anxieties
Shriners Children’s in Lexington hosted a Teddy Bear Clinic, letting kids practice on stuffed animals to ease fears about hospital and surgery visits.
UVA Health first in world to implant new cardiac mitral valve repair device
The new device adheres more readily to the heart and allows quicker recovery after surgery.
Angels Issue Injury Updates On Three Players
The Los Angeles Angels are shutting down two players, but one pitcher won't need surgery.
Heart-brain protection during cardiac surgery pioneer to receive the 2026 Basic Research Prize
DALLAS, Sept. 21, 2026 — A pioneering researcher known for her work to protect the heart and brain during cardiac surgery will be recognized by the American Heart Association at its annual...
Help Was Nearby: Athlete, 25, Survives Near-Fatal Aortic Tear
When Danny Cruz, 25, suffered a near-fatal tear in his aorta, he was lucky help was nearby—at Baptist Health Bethesda Hospital East and at Boca Raton Regional Hospital, where Bradley Taylor, M.D., performed life-saving surgery.
49ers Announce 2 Roster Moves Before Dolphins Game
The San Francisco 49ers made their roster moves official Saturday ahead of Sunday’s home opener against the Miami Dolphins at Levi’s Stadium. Rookie wide receiver De’Zhaun Stribling landed on injured reserve, while defensive lineman Ogbo Okoronkwo was promoted to fill the vacated roster spot.Stribling’s Injury and Recovery TimelineStribling underwent surgery Wednesday to repair a ruptured […] The post 49ers Announce 2 Roster Moves Before Dolphins Game appeared first on HEAVY.
A kid’s right to bodily integrity at heart of why I’m voting for Prop. 135
Proposition 135 on this fall’s ballot would prohibit sex-change surgery on minors. Call it “gender-affirming surgery” if that makes the amputation sound more compassionate. I’ll admit, I struggled with how to vote. Not because I think children should undergo these surgeries, but because I’m suspicious whenever government barges into a family’s decisions. The question is […]
Brown Health residents struggle with low pay, paid leave
A neurosurgery resident details the struggle of balancing medical training with low pay and lack of family leave.
‘Pawn Stars’ star Rick Harrison’s emergency heart surgery. Here’s the latest
The History Channel star had the surgery a week ago.
Support from longtime Vanderbilt Health donor Herbert Christopher provides open access to new textbook co-created by otolaryngologist David Haynes
The 2026 edition of“Haynes-Glasscock-Shambaugh Surgery of the Ear,” a textbook co-created by a Vanderbilt Health surgeon, has been made open access.
Iowa Clinic relocates plastic surgery departments in West Des Moines
The Iowa Clinic has relocated its Plastic Surgery and Oculofacial Plastic and Reconstructive Surgery departments to 1121 Jordan Creek Parkway, Suite 180, in West Des Moines. The move follows growth in both specialties, including the July launch of Oculofacial Plastic and Reconstructive Surgery with the addition of Drs. Audrey Ko and Douglas Casady. The new…
Novant Health drives $4.33B in regional economic impact, study says
Novant Health Coastal Region generates an annual overall economic impact of $4.33 billion in the Wilmington Metropolitan Statistical Area (MSA), according to a new report. Commissioned by Novant Health and conducted by Mouhcine Guettabi, associate professor of economics at the University of North Carolina Wilmington and the area’s regional economist, the report evaluates population growth in New Hanover, Brunswick and Pender counties and whether the area’s healthcare infrastructure is positioned to meet the region’s demand. According to the study, while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it has not kept up with the rapid population growth in Brunswick County, which is skewed toward an older population. “It points very clearly to Brunswick County being the bottleneck, or being the place where investment is most needed,” Guettabi said to the Business Journal Friday, “because the growth is the fastest, the composition of the growth is older (adults) and demand for healthcare is much higher for the subpopulation.” The Novant Health Coastal Region employs 8,295 full-time equivalent workers, according to the report, and is the region’s largest employer. Overall, through direct, indirect and induced impacts, the Novant Health Coastal Region supports 19,573 jobs, the report said. Using data collected from internal payroll, financial and capital reports, the report estimates that Novant Health Coastal Region pays approximately $1.15 billion in total compensation to its employees. According to the study, the provider’s annual operating expenditures, or direct economic impact, total $2.36 billion. That direct impact ripples through the regional economy through spending at its suppliers, or indirect impact, and household spending by staff and its suppliers’ workers, or induced impact. The report estimates the Novant Health Coastal Region’s indirect economic impact is $786 million, reflecting the multiplying effect of the provider’s operating expenses on expenditures like medical supplies, facilities, food, IT and professional services. Because 86.9% of Novant Health Coastal Region employees live within the tri-county region, the report estimates that wages paid by Novant circulate into the regional economy, creating an induced economic impact of $1.17 billion. “That money just doesn’t go into thin air,” Guettabi said of the wages paid to Novant Health Coastal Region employees. “Some of that money is being re-spent, and therefore it’s supporting grocery stores, hiring, restaurants and bars, and there are a lot of other companies or organizations whose employment, whose activity partially depends on that.” The combination of direct ($2.36 billion), indirect ($786 million), and induced ($1.17 billion) impacts totals an estimated $4.33 billion, according to the report. A study commissioned by Novant Health in 2024 and conducted by FTI Consulting’s Center for Healthcare Economics and Policy found that Novant Health generated nearly $2 billion of direct impact, with $628 million in indirect impact and $857 million in induced impact. Healthcare investments in the pipeline for Brunswick County Additionally, the study found that while healthcare employment has kept pace with population growth in New Hanover and Pender counties, it lags in Brunswick County. “Once you go below the metro level and you decompose the three counties that make up the Wilmington Metro,” Guettabi said, “it becomes fairly clear that Brunswick is the standout. And not only that, but clearly the growth there is fully domestic migration and largely retiree-driven migrants.” Using data from the Centers for Medicare and Medicaid Services on per-capita healthcare spending among age groups, Guettabi estimates that adults aged 65 and older demand 2.44 times the healthcare of working-age adults. “The share of the population in Brunswick County that’s over the age of 65 is 33%,” Guettabi said, “which is so much higher than the average share of people over the age of 65 within the state or within the country.” The report emphasizes that Brunswick County is the “strongest candidate” for new healthcare investment, adding that patient discharge records show Brunswick residents rely heavily on facilities in New Hanover County for inpatient care. “Investments in Brunswick County would not only meet the demand for those residents, but it would also relieve pressure for New Hanover County residents,” Guettabi said. Laurie Whalin, president of the Novant Health Coastal Region, told the Business Journal Friday that the provider plans to expand services at Novant Health Brunswick Medical Center, in addition to other investments in the area. In April, the state granted conditional approval to both Novant Health and Columbus Regional Healthcare System to build new hospitals, just miles apart, on either side of the Columbus County and Brunswick County borders. Columbus Regional’s $214 million 30-bed hospital would be located at the former Acme-Delco Middle School in Delco, according to the application. The project’s approved timetable has construction slated to finish in May 2029, with the hospital open for service by October 2029. The Whiteville-based provider, which Atrium Health manages, broke ground on an Advanced Care facility in December 2025 and operates four specialty clinics in Leland. Meanwhile, Novant Health’s proposed $251 million 20-bed hospital would be built just miles from Columbus Regional’s proposed hospital, near the Compass Pointe community in Leland. The provider estimates the hospital will open by 2030. State officials also approved Novant Health in March to build a freestanding emergency department in Carolina Shores, near U.S. 17. The project is estimated to cost $24 million, according to the application, and will operate under the Novant Health Brunswick Medical Center license. Additionally, Novant Health’s 16,000-square-foot ambulatory surgery center is slated to open in Leland by year’s end, officials said.
Billy Joel's rep denies death speculation after reported Google error
A week after Billy Joel revealed he had undergone brain surgery, his publicist addressed an error that reportedly led Google users to believe the singer had died.
Mets Pitcher's Comeback Season Ends with Unusual Injury
Robert Stock's comeback from thoracic outlet surgery has ended early after the Mets pitcher developed numbness in his fingers related to a circulation issue.
Lena Dunham welcomes her first baby via surrogacy
(CNN) — Actress and writer Lena Dunham and her husband Luis Felber have welcomed a baby daughter via surrogate.Writing in an op-ed published by Vogue on Wednesday, Dunham, 40, who is best known as the creator of hit TV series “Girls,” revealed that the couple’s first child had arrived 13 days late, before describing the moment of her birth.“I was so focused on our surrogate — in awe at her concentration, her period of quiet followed by what sounded like a roar — I forgot to look down until I heard our baby’s cry,” she wrote.“I saw her face, gasping just as she did. Her eyes, wide and unfocused, taking in the light and shadow, blinking rapidly.”Dunham said she was “bashful and dizzy with joy.”In 2018, Dunham revealed that she’d had a hysterectomy in an attempt to end the pain caused by endometriosis.Endometriosis is a common and often painful condition that happens when tissue similar to the lining of the uterus grows outside the uterus itself. It’s estimated to affect more than 11% of women between the ages of 15 and 44 across the United States.The surgery removed her cervix and uterus, meaning that she was unable to conceive naturally.On meeting her surrogate, Dunham wrote in the Vogue piece: “While I’ve been known to make friends quickly — airport terminals, veterinary offices — this was the quickest leap from first coffee to gynecological procedure I’d ever done.”Dunham said in the months before the embryo transfer date, as she “got to know our surrogate and to trust her,” she thought she would feel “jealousy” towards her, but she did not.“Instead, I felt a different kind of jealousy — toward said baby, for the chance to be tucked into someone who radiated such safety. I could just tell she knew how to steer an SUV in the snow,” Dunham added.The pregnancy came after “12 years circling the fertility drain,” Dunham wrote, and revealed how she dealt with the nerves of the intervening months.“Powerless and unable to feel the physical changes that signal a growing fetus, I horrified friends and family who adhere to the Jewish superstition prohibiting anticipatory purchases, and I started shopping,” said Dunham, before recounting her journey into the world of baby fashion.“I was looking for garments that allowed her personality to develop and express itself rather than announcing an identity she didn’t yet have,” she said.“She would be a person that we helped to dress, who made an impression on the world based on our choices, until she was old enough to do it herself.”The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.THE-CNN-WIRE (TM) & © 2026 CABLE NEWS NETWORK, INC., A TIME WARNER COMPANY. ALL RIGHTS RESERVED.
Phoenix Suns Signing Free Agent Center as Mark Williams Insurance
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Sabres' Jason Zucker to miss start of season after sports hernia surgery
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Yankees’ Clarke Schmidt Expected To Be Activated Wednesday
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Saint Agnes earns recognition for bariatric surgery program
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Memorial Health holds grand re-opening for Southwest Surgery Center
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Health problem delays sentencing for Gov. Newsom's ex-chief of staff
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Memorial Health holds grand re-opening for Southwest Surgery Center
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Padres’ win-now mentality pays off in Mason Miller trade
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Giants Lose Devers for Season After Playing Through Injury
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Bone Health Without the Hype
I am at the Australasian Menopause Society meeting and we had a fantastic lecture on Bone Health on Day 2, called, “Everything you need to know about bones - except the boring bits!” Spoiler alert, there were no boring bits. The lecture was given by Dr. Amanda Beech, who is a senior staff specialist in Obstetric Medicine and Endocrinology at the Royal Hospital for Women, where she is director of the Bone Density Unit. I want to summarize my top 10 take-aways for you. Share Osteoporosis is a disease of low bone mass, disruption of bone microarchitecture, and fragility of the skeleton. It is a silent disease…until someone develops a fracture. The diagnosis of osteoporosis is based on either fragility/minimal trauma fractures or a T-score of less than -2.5 on a DXA (Dual-Energy X-ray Absorptiometry) or bone scan. It is important to recognize that about 50% of minimal trauma fractures occur when women have low bone mass (often referred to as osteopenia), but not osteoporosis. This tells us that bone strength is more complicated than a number on a DXA report. I am going to add a little here that wasn’t in the talk (one can only include so much in 25 minutes), as many women might read the above paragraph and think, “Shouldn’t we be treating everyone with low bone mass if this is when 50% of the fractures occur?” Many fractures happen for women with low bone mass because there are so many women with low bone mass –it is a statement about the population on a whole, not about the fracture risk of low bone mass. For you as an individual, bone density is only one component of fracture risk and many women with lower bone mass will not have a significantly elevated fracture risk. This is why individualized risk assessment matters. Subscribe We build bone in our teens and twenties, and by the time we are about thirty we have reached peak bone mass. This is why, when we discuss risk factors for osteoporosis, it is important to consider factors that might have affected us in our teens and twenties when we were actively building bone, such as nutritional restriction/energy imbalance. It is important to ask women about a history of eating disorders, and for those with such a history, getting a bone scan in perimenopause or at age 50 is likely warranted. (This image below isn’t from the talk, but is similar to one that was). Bone mass is relatively stable until about two years before the final menstrual period, and perimenopause marks a time of rapid bone loss for women. Using urinary markers of bone loss we know that the time of significantly accelerated bone loss starts about 1 year before the final period and ends about 2 years after the final period. The Study of Women’s Health Across the Nation (SWAN) shows that over the menopause transition women lose an average of 10.6% of the bone at their lumbar spine and 9.1% at the femoral neck While this wasn’t covered in the lecture, I want to add that the rapid bone loss during perimenopause is clearly related to more than estradiol, because during this time estradiol levels can be erratic and not uniformly low. Bone loss during perimenopause is likely a multi-hormone event. For example, rising FSH (follicle stimulating hormone) tracks with bone loss better than estradiol, and there is evidence that FSH may act directly on bone. While decreased estrogen matters, there is clearly more going on. FSH and bone is an active area of research. Subscribe Screening for osteoporosis was recommended fairly broadly before age 65, and was taken from the “Practitioner’s Toolkit for Managing Menopause,” from Monash University. Here is a screenshot from the toolkit that was used as a slide: I am going to add a little bit more about body weight here for clarification. Low body mass (typically 152.1 lb): 0 points (risk neutral) 60–69 kg (132.3–152.1 lb): 3 points (adds some risk)
Yankees lose 25-year-old pitching prospect to Nationals
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Missouri should make medical respite part of its health care infrastructure
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Ochsner Lafayette General Welcomes New Physicians
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Preston captain McCann out 'for months' after op
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Rock legend undergoes brain surgery after frightening health decline
Billy Joel revealed he underwent brain surgery after normal pressure hydrocephalus affected his memory and balance.
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Video Billy Joel opens up about his private health battle
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Keeping elite women's basketball players healthy during international competition
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2027 Infield Landscape Ever Changing
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Health problem could delay sentencing for Gov. Newsom's ex-chief of staff
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Billy Joel shares health update after brain surgery: 'I'm not going anywhere'
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MedStar Health Offers New Nonsurgical Weight-Loss Procedure
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ACC Latin America 2026 brings together experts to examine the latest cardiovascular science
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