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'Severance' medical consultant explains the procedure

March 26, 2025
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Morning Rounds Writer and Podcast Producer
Good morning! I hate to admit this as a TV lover, but I still haven't seen "Severance." I know, I know, it's the best. I still enjoyed the conversation on the First Opinion Podcast between STAT editor Torie Bosch and Vijay Agarwal, the medical consultant on the series. And the other thing I'll say is: Long live the microbang.

the maha diagnosis

MAHA enters statehouses across the U.S.

An illustrated aluminun can stands alone, having been crushed, seemingly by someone's hand.

Christine Kao for STAT

Progressive states have long led the way on legislation that aims to improve public health — think cancer warning labels, soda taxes, etc. But now, the Make America Healthy Again movement has prompted lawmakers in conservative states to try tackling chronic disease and other health issues. 

Some of these measures hinge on increasingly nonpartisan concerns about the safety of the U.S. food supply — like bills that target food additives, tax products like candy and soda, and ban their purchase with SNAP benefits (food stamps). But others appear to be specifically aligned with the MAHA political agenda. See: efforts to ban fluoride from drinking water, restrict the use of mRNA, and make the antiparasitic drug ivermectin available over the counter.

"It took Bobby to get into the position that he is in now for something to happen," Arizona Rep. Leo Biasiucci said at a press conference last month about HHS Secretary Robert F. Kennedy Jr. Read more from the dynamic duo of STAT's Sarah Todd and Isabella Cueto.


politics

The need-to-know on yesterday's health leadership votes & noms

It was a busy day yesterday as the Trump administration continues to build its leadership team. Here's what happened:

  • In the morning, the Senate Finance Committee voted in favor of Mehmet Oz's nomination to lead CMS. All 14 Republicans on the committee voted in favor of Oz's nomination and all 13 Democrats voted against. The next step for Oz is a vote by the entire Senate, where he'll likely be confirmed. STAT's Tara Bannow has the details. You can also learn about Oz's journey from the operating room to daytime TV to today in Tara's excellent profile from last month. 
  • Yesterday evening, the Senate voted along party lines, 53-47 in favor of Jay Bhattacharya to lead NIH. They went on to confirm Marty Makary to lead the FDA in a 56-44 vote (3 Dems went in favor). Get all of the details from STAT's Lizzy Lawrence. You can also revisit some great profiles on these newly confirmed leaders written by my colleagues: Lizzy on Makary and Eric Boodman on Bhattacharya.  
  • And earlier in the week, President Trump nominated Republican attorney Thomas March Bell to lead HHS's Office of Inspector General. In the position, Bell — who in 1997 was accused of mishandling taxpayer funds and has a history of investigating abortion clinics — would oversee fraud, waste, and abuse audits of Medicare and Medicaid. Read more

research

HIV research hit hard in federal funding cuts

In his first administration, President Trump pledged to end the HIV epidemic by 2030. That priority seems to have taken a backseat after a number of grants related to HIV were terminated last week, including two major grants totaling $18 million that were part of a program focused on how to diagnose, treat, and prevent HIV infections and AIDS in adolescents and young adults. (Young people account for about 20% of new HIV infections each year in the U.S.)

The Adolescent Medicine Trials Network for HIV/AIDS Intervention was established over twenty years ago as researchers began to realize that adolescents and young adults with HIV were falling through the cracks of clinical care. STAT's Anil Oza wrote about what the cuts mean for the future of HIV research. 

The news comes as the Trump administration is reportedly considering dismantling the CDC's Division of HIV Prevention. Doing so "would almost certainly cause new HIV cases and deaths to spike," two county health officials write in a new First Opinion essay. Read more



television

How realistic is the brain procedure in 'Severance?'

A screenshot from the tv show "Severance," in which two characters, a lady with amazing red hair microbangs and a plain guy in a suit, stand on guard in front of a bunch of grass and cows (?) that seem to be inside a warehouse.

Apple TV 

Much more than you'd expect. That's according to neurosurgeon Vijay Agarwal, who also serves as a medical consultant for the hit television series. In the latest episode of the First Opinion Podcast, Agarwal talked with editor Torie Bosch about the science behind the show. I helped edit the conversation, and was particularly interested in what Agarwal had to say about how soon we may be able to split our own brains into an "innie" and "outie."

"There actually is precedent for this sort of procedure," he said. "We are much closer to 'Severance' being reality than almost anybody outside the fields of neuroscience and neurosurgery realizes." 

Uh, what? Take a listen to learn more about the similar procedures that are already being performed, how they inspired the "Severance" surgery, and why it actually makes sense that the hole in Mark's head is so big. 


one big number

4.8 million

That's the number of children who died before reaching age 5 in 2023, according to a WHO report released Tuesday. Another report from the global health agency found that in the same year, 1.9 million stillbirths occurred.

Since 2000, the annual rate of child deaths has dropped by more than half, WHO reports, while the rate of stillbirths has dropped by more than a third. But the pace of that improvement has slowed over the last decade, and each child's fate is dramatically impacted by where they are born. "In the face of global funding cuts, there is a need more than ever to step up collaboration to protect and improve children's health," WHO Director-General Tedros Adhanom Ghebreyesus said in a press release. 


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What we're reading

  • Gaza's child amputees struggle with recovery, especially after Israel's cutoff of aid, AP

  • 5 high-level CDC officials are leaving in the latest turmoil for the public health agency, STAT
  • Many people with disabilities risk losing their Medicaid if they work too much, KFF Health News
  • 23andMe's bankruptcy doesn't diminish its impact, STAT

Thanks for reading! More tomorrow,


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