Physician in the Loop

Nomad Medical

How technological innovation is changing medicine for patients and the people who practice on the front lines.

  1. 19h ago

    Daily Briefing for November 3, 2026

    Child's measles death is New York's first in more than 30 years The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing A child in Lewis County, N.Y., has died in association with the state's measles outbreak, New York's first known measles-associated death in more than 30 years, the state health department said Nov. 2. The department did not release the child's age or vaccination status. New York had counted 178 measles cases this year as of Oct. 24, and the governor declared a state disaster emergency about four weeks before the death was announced to widen who may give the vaccine. In a Japanese validation study in NEJM AI, an AI model listening through a digital stethoscope identified reduced ejection fraction more accurately than cardiologists in a 100-patient comparison, and a German trial in the same journal found AI lay summaries shortened specialist visits by about 8 minutes. In cardiology, the PROGRESS trial found that early valve replacement for moderate aortic stenosis reduced death or heart failure events at two years. In this episode A child in Lewis County dies in New York's measles outbreak, the state's first measles-associated death in more than 30 yearsAI listening through a digital stethoscope flags ejection fractions of 40% or less, beating cardiologists 82% to 62% in a 100-patient testAI plain-language summaries sent before visits cut neurosurgery consultations from 33 to 25 minutes in a 300-patient randomized trialEarly valve replacement for moderate aortic stenosis cuts death or heart failure events at 2 years, 744-patient PROGRESS trial findsBicarbonate for metabolic acidosis in the ICU shows no clear survival gain but likely fewer dialysis starts, 1,544-patient meta-analysis finds

  2. 1d ago

    Daily Briefing for November 2, 2026

    Flu admissions jump 27% in a week to the highest late-October rate since 2010 The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Hospitals admitted 6,100 patients with lab-confirmed influenza in the week ending Oct. 24, up 27% from the week before, the Centers for Disease Control and Prevention reported Friday. The agency's surveillance network put the hospitalization rate at its highest for that week of the season since 2010-11, with nearly every subtyped influenza A virus an H1N1 strain. The CDC said an early rise does not necessarily mean a higher peak or a more severe season. In cardiology, a 1,105-patient trial presented at the Transcatheter Cardiovascular Therapeutics meeting found that coronary CT angiography planned stenting as well as intravascular ultrasound with shorter procedures. Epic said it will keep supplying AI model documentation that a new federal rule no longer requires, and the FDA authorized a robotic system whose needle-sized arms work through a rigid endoscope. In this episode Flu admissions rise 27% in a week to 6,100, the highest late-October hospitalization rate since 2010, almost all H1N1Coronary CT angiography matches intravascular ultrasound for guiding stents and cuts procedure time 17 minutes, 1,105-patient trial findsEpic says hospitals will keep its AI model documentation and evaluation tools after HHS dropped the federal requirementFDA authorizes Virtuoso's endoscopic surgery robot, whose needle-sized arms work through a rigid endoscopeBritain commits £100 million to reach 500,000 robotic operations a year by 2035 and orders a review of AI and NHS productivity

  3. 2d ago

    Daily Briefing for November 1, 2026

    Affordable Care Act premiums rise another 13% as sign-ups open The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Average benchmark premiums for Affordable Care Act marketplace plans are rising 13% for 2027, KFF reported, as open enrollment began Sunday after a 26% increase for 2026. The two increases add up to about 42% since 2025, according to KFF's analysis, which attributes the rise to higher underlying care costs and changes in the risk pool after enhanced premium tax credits expired. Enrollment on HealthCare.gov runs through Jan. 15, 2027, the Centers for Medicare & Medicaid Services said, and the Congressional Budget Office projects marketplace enrollment will fall to 13.1 million in 2027 from a 2025 peak of 22.4 million. Separately, a Doximity analysis of more than 8,500 dosing questions found general-purpose AI models gave seriously wrong or potentially lethal doses in about 2% of answers, and fewer employers are paying for GLP-1 weight-loss drugs, a WTW survey found. In this episode Affordable Care Act benchmark premiums rise 13% for 2027 after a 26% jump this year, as enrollment opens Nov. 1General-purpose AI models gave seriously wrong drug doses in about 2 of every 100 answers, Doximity analysis reportsAI reading 25,000 primary care notes a week found about 7 times as many missed specialist referrals at Singapore clinicsEmployer coverage of GLP-1 weight-loss drugs falls to 53%, and 30% of employers still paying are weighing dropping itPenn Medicine AI trained on 400,000 CT images screens for hundreds of conditions a scan was not ordered to find

  4. 3d ago

    Daily Briefing for October 31, 2026

    AI chatbots recommend care costing 3 times what physicians order The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Twenty general-purpose AI chatbots given 200 outpatient and emergency department notes recommended care costing an average of $314 per visit, more than three times the $97 the treating physicians ordered, a NEJM AI study found. Most of the gap came from tests the chatbots suggested at visits where physicians had ordered none, the authors reported. A separate Annals of Internal Medicine benchmark found six commercial models usually held back on low-value care but recommended thyroid ultrasound for incidental subcentimeter nodules in 42.8% of responses. In other news, Medline is removing or correcting all of its beds after reports of two deaths and 16 serious injuries, U.S. measles cases reached 4,852 for the year, STAT reported that Epic has used its market power against rival app makers, and the Food and Drug Administration approved the first plasmid DNA immunotherapy, for recurrent respiratory papillomatosis. In this episode AI chatbots recommend care costing 3.2 times what physicians ordered, mostly by adding tests at visits where doctors ordered noneMedline pulls all its beds from the market after two deaths and 16 serious injuries from fire and entrapmentU.S. measles cases reach 4,852 in 2026 as Pennsylvania tells clinicians to treat every newborn of an infected mother as exposedTwelve app makers tell STAT that Epic cut off data access, spread rumors or charged high fees to undercut themCongo's Ebola outbreak passes 10,000 confirmed cases, with nearly 5,000 deathsFDA approves Voceryq, the first plasmid DNA immunotherapy, for adults with recurrent respiratory papillomatosis

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How technological innovation is changing medicine for patients and the people who practice on the front lines.