January 28, 2026
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Morning Rounds Writer and Reporter

Good morning. For a change of pace, I'd recommend this delightful Letter of Recommendation. "It was one of those miserable experiences so unpleasant that they wrap all the way back around to pleasure," Sam Anderson writes about, of course, a colonoscopy. He compares the procedure to both a religious pilgrimage and a chef deveining a shrimp.

health tech

Why some hospitals want their own ChatGPT

Hospitals around the world are developing in-house artificial intelligence chatbot systems that allow clinicians to query and summarize a patient’s medical record. In an increasingly complicated hamster wheel of tech solutions, these health systems have decided to build the tools from scratch, executives told STAT’s Brittany Trang.

It’s unclear how scalable this approach is, though some say less-resourced health systems can learn from early adopters. “We invented the heart transplant, and we taught a lot of people,” said Nigam Shah, chief data scientist at Stanford Health Care. Read more from Brittany on what the future of medical charting might look like.


public health

The largest measles outbreak in decades

The South Carolina measles outbreak has officially surpassed last year’s West Texas case count, making it the largest outbreak in decades. The number of people infected in South Carolina has risen to 789, the state public health department confirmed yesterday. (The West Texas outbreak saw 762 confirmed cases, which experts worry was an undercount, in addition to two deaths.)  

There’s also an ongoing large outbreak on the Utah-Arizona border. And as you surely remember, the United States’ measles elimination status is at risk. Read more from the AP on the numbers in South Carolina, Utah, and Arizona 


politics

A nurse until the end

To Patrick Smith, it makes sense that Alex Pretti was a nurse. “In his final moments, he did what nurses are educated to do: notice, care, and respond to an emergent threat,” Smith, a registered nurse himself, writes in a First Opinion essay. It’s not that being a nurse makes Pretti’s life more valuable than any of the other people injured or killed by immigration officials in the past year. It matters “because his final actions reflect the instinctive application of ethical principles of a profession charged with responding to harm,” Smith argues. 

Read more from Smith on how nurses can honor Pretti’s legacy. And if you think the political uproar around immigration enforcement isn’t related to — or won’t affect — health care initiatives, think again. As STAT’s John Wilkerson laid out in yesterday’s D.C. Diagnosis, the likelihood of both the passage of the HHS appropriations package and an extension of ACA premium tax credits have been significantly diminished. Read more and subscribe to DCD to learn why. 



video

The end of gas station weed?

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STAT/Alex Hogan 

Last year, Congress passed legislation to close the “hemp loophole.” The law is set to go into effect in November, and if it does, it would outlaw what STAT’s Alex Hogan refers to as “gas station weed,” meaning synthetic marijuana products usually found at smoke shops, convenience stores, and gas stations.

These hemp-derived THC products are just one of many types of “gas station drugs,” which isn’t an Alex Hogan-specific expression. Scientific research, the media, and government communications use the term. In his latest video, Alex digs into how and why gas stations became the perfect marketplace for these quasi-legal substances. He hears from Pieter Cohen, a Harvard Medical School physician, about how these drugs can fly under the regulatory radar and what the FDA could be doing about it. It’s another Hogan classic — watch the video now.


cancer

Breast cancer survival in Medicaid expansion states

When next year’s Medicaid cuts go into effect, researchers estimate that Americans may miss more than a million cancer screenings for colorectal, breast, or lung cancer over the first two years. The cuts could also result in more than 16,000 preventable deaths annually. A study published yesterday in JAMA Network Open illuminates part of what's at stake by analyzing the positive impact that Medicaid expansion has had over the last 12 years.

In a study of more than 1.5 million women with breast cancer, living in a Medicaid expansion state was associated with lower overall mortality. This association persisted across disease stage, race and ethnicity, and neighborhood income, though not completely equitably. Hispanic women saw the greatest gains as opposed to Black women, as did those living in high income areas versus those in low income areas.


first opinion

How dogs could ease dental anxiety

Physician Henry Miller was about to have a broken filling replaced when his dentist made a strange offer: would he like Bailey, a 30-pound Bernedoodle, to sit on his lap during the procedure? Miller took his dentist up on what’s becoming an increasingly evidence-based practice with major potential benefits. “If a wagging tail can bring people back to the dentist, the ripple effects could improve health far beyond the mouth,” Miller writes in a First Opinion essay.

Read more for a picture of Bailey and for a rundown of the growing body of research on therapy animals in medical and dental settings.


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What we're reading

  • After donations, Trump administration revoked rule requiring more nursing home staff, The New York Times

  • First Opinion: Medicare may start covering multi-cancer early detection tests. It should proceed with caution, STAT
  • Scientists shed new light on the brain's role in heart attack,