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A normal flu season in the Covid age, why Mounjaro has another name, & surgical gowns with pockets

November 20, 2023
theresa-g-avatar-small - light bg
Reporter & Podcast Producer

Good morning, it's almost Thanksgiving! Catch me turkey trotting with the worst of them in my hometown later this week. But before then, on a somber note: Today is Transgender Day of Remembrance, in honor of those who have died from anti-trans violence

public health

Flu season is settling back into a seasonal pattern

It's getting dark before 4:30 pm again in Boston these days, which is my least favorite signal that time is still passing. It's also our fourth winter in the Age of Covid, but experts told STAT's Helen Branswell that this time, all the other nagging respiratory viruses seem to be falling back into their seasonal order.

"Last year as early as August, children's hospitals across the country were full to the gills … because there were so many children with respiratory distress," said Megan Culler Freeman, an assistant professor of pediatrics specializing in infectious diseases at the University of Pittsburgh. "And I would say that this season is starting to feel a lot more normal."

The return to normal hasn't happened in a synchronized fashion around the globe, though. And the scientific consensus is still out about whether Covid itself will be a seasonal virus. Read more on what experts are thinking about this year's respiratory patterns.


hospitals

The hefty price of being uninsured 

Hospitals' list prices for procedures like surgery always come with massive discounts. Financial documents at a prominent hospital system in Los Angeles show just how large those discounts are — and how raw of a deal uninsured patients could be getting.

Cedars-Sinai reported more than $10.2 billion of gross patient revenue in the most recent three-month period that ended Sept. 30, according to new financial documents. That's the total amount the hospital system billed health insurers and government programs based on its chargemaster rates — in other words, before negotiated discounts were applied. Total deductions, which mostly include those negotiated or mandated discounts, were more than $8.6 billion in that same quarter. That means more than 84% of Cedars-Sinai's gross charges disappeared into the ether.

Hospital list prices generally have no relationship to what something costs or the organization's quality. But uninsured and cash-paying patients can be forced to pay those hefty prices. Read more from STAT's Bob Herman on Cedars-Sinai's revealing numbers.


closer look

What Zepbound reveals about tricky process of naming drugs 

Zepbound1

Eli Lilly/AP

Whether you're a fan of the drug name Zepbound or, like one X user, think it sounds like "an off brand bus line," you're likely to have some opinion about the new alternative moniker for Eli Lilly's blockbuster drug Mounjaro. Exactly why Eli Lilly chose Zepbound after the drug received FDA approval for weight loss in addition to diabetes remains a mystery — but, as STAT's Annalisa Merelli reports, marketing the same drug with two names for different indications is uncommon, but not unheard of.

Eli Lilly said the reason is that type 2 diabetes and obesity patients have different needs. Some experts have speculated the two names may help Eli Lilly to conduct two separate price negotiations. Another factor may be a feature nearly unique to the American drug market: direct-to-consumer advertising of prescription medications. New Zealand is the only other country that currently allows it. Read more on what Zepbound reveals about the difficult work of attempting to create a distinctive and evocative brand identity. 



exclusive

CRISPR's earliest pioneers react to gene editing treatment

DOUDNA_FENGIllustration: STAT; Photos: AP, Getty 

Jennifer Doudna and Emmanuelle Charpentier, now Nobelists, published their first paper announcing a new enzyme for editing DNA in Science in June 2012. It wasn't until January 2013 that the first paper showing the enzyme would work in cells, from Feng Zhang, was published, also in Science. A similar paper from George Church came out at the same time. No major media outlet covered the papers, but now, the progress that resulted is undeniable. Last week, the U.K. approved Casgevy, the first CRISPR-based treatment, for sickle cell anemia and beta thalassemia, both painful and disabling blood disorders. U.S. clearance is expected in December. 

With the dawn of the CRISPR medicines era, STAT's Matthew Herper caught up with the four CRISPR pioneers most associated with those pivotal papers. "This, in a way, for me, is kind of the ultimate gift," Doudna said over Zoom. "It's really a symbol of what's coming." Read more on what the treatment's pioneers predict is coming next.


health tech

A new digital pill could someday detect sleep apnea and opioid overdose

Here's an idea right out of Ms. Frizzle's playbook: Gathering health data remotely is a pain. What if there was a remote patient monitor small enough to swallow? 

Celero Systems has created and tested such a digital pill in humans for the first time, successfully capturing heart and respiratory data in 10 patients with sleep apnea. The findings are a step toward one of Celero's goals, which is to simplify sleep condition diagnosis. "There was an opportunity to make a product that was analogous to an implantable defibrillator, in the sense that a defibrillator monitors for sudden cardiac death and delivers therapy," Celero Systems CEO Ben Pless said to STAT's Lizzy Lawrence. The company's guiding mission is to combat the opioid crisis by detecting respiratory distress in overdosing patients and releasing drugs to counteract the overdose — reducing the need for a third party to administer naloxone. Read more.


health care workers

Surgical gowns get a handy new update

Mayo Clinic surgeon Joseph Dearani loves thinking about the choreography of a surgery — the precise dance between surgeons, staff, technology, and the patient. During the pandemic, when operating room teams were cut down for safety, that dance got trickier. Clinicians might clip needed instruments to drapes or to their own gown — something scrub techs, who keep track of each instrument, do not appreciate, Dearani said. So he and his recently retired colleague Salim Walji had a simple idea that could help: pockets.

Dearani and Walji worked with Cardinal Health to create a surgical gown with two chest pockets and a small center holster to keep frequently used instruments while maintaining the ever-critical sterile field between a clinician's shoulders and waist.

"Many of my colleagues and friends came up to me and said, 'God, this is just such a common sense idea,'" said Dearani, who is Mayo Clinic's director of pediatric and adult congenital heart surgery. "It's amazing that we hadn't explored it years ago." 


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What we're reading

  • The FDA is at a crossroads on cell and gene therapies, STAT
  • In death, one cancer patient helps erase millions in medical debt, Associated Press
  • Biden appoints Vanderbilt oncologist to head National Cancer Institute, STAT

  • Transgender people's neurological needs are being overlooked, Scientific American

  •  What STAT readers think about premed requirements, too much health care, harm reduction, and more, STAT
  • China vows to crack down on fentanyl chemicals. The impact is unclear, Washington Post

Thanks for reading! More tomorrow — Theresa


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