Trump nominates Erica Schwartz as next CDC director

President Donald J. Trump announced Thursday that he is nominating Erica Schwartz, MD, JD, MPH, to lead the CDC.
Schwartz was Deputy Surgeon General during Trump’s first presidential term. She served as a physician in the U.S. Coast Guard for 24 years and as chief medical officer and director of health, safety and work life from 2015 to 2019, according to personal details published online by the Butterfly Network, a health care company where she served on the board of directors.
“She is a STAR!” Trump wrote in his announcement on Truth Social.
For much of Trump’s second term, non-experts have

Ashish K. Jha, MD, MPH: In an era of ‘junk’ information, lead with authenticity

SAN FRANCISCO — The world has reached a point where information — both good and “junk” — is individually curated for every person, and there will be no return to simpler times, according to Ashish K. Jha, MD, MPH.
As such, it is important that physicians adapt to this new “fragmented information ecosystem” to build rapport with their patients, Jha, dean of the School of Public Health and professor of health services, policy and practice at Brown University, said during his keynote speech at the ACP Internal Medicine Meeting.
“I suspect all of you

Antidepressant use during TKA may be associated with opioid abuse

NEW ORLEANS — Patients undergoing primary total knee arthroplasty taking perioperative antidepressant medications may be more likely to be prescribed and to abuse opioids at both short- and long-term follow-up, according to results.
“There are some populations that have higher susceptibility to become [opioid] abusers,” Alireza Mirahmadi, MD, MPH, postdoctoral fellow in orthopedic surgery at Beth Israel Deaconess Medical Center, Harvard Medical School, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “It is better for

Patients on testosterone have higher risk for TKA complications

NEW ORLEANS — Patients who have undergone prior testosterone replacement therapy may have higher risk for complications after total knee arthroplasty, according to a recently presented study.
Argen Omurzakov, a third-year medical student at Case Western Reserve University, and Arsen M. Omurzakov, a third-year medical student at Weill Cornell Medical College, presented the data at the American Academy of Orthopaedic Surgeons Annual Meeting.
“Testosterone is a systemic hormone with wide-ranging physiologic effects. Our findings suggest that patients on testosterone replacement therapy undergoing

Teen girl with swollen leg, fever after soccer injury

A healthy, 16-year-old girl sustained a significant injury to her left lower thigh playing competitive soccer. Her coach put her on the bench, had her elevate her leg and applied an ice pack.
The next day, she noticed marked bruising and swelling to her lateral lower left thigh. She was taken to her provider, who obtained plain radiographs showing normal bone with generalized soft tissue swelling. She was diagnosed with a soft tissue injury of the left distal thigh. The area was wrapped with a compression bandage, and the patient was told to take acetaminophen and continue compression, ice and

Aflibercept 8 mg improves real-world treatment intervals, vision

WAIKOLOA, Hawaii — Aflibercept 8 mg improved injection intervals in previously treated eyes with wet age-related macular degeneration while improving vision in treatment-naive eyes, according to a speaker at Retina 2026.
Using the IRIS Registry, Theodore Leng, MD, MS, FACS, and colleagues explored real-world outcomes for Eylea HD (aflibercept 8 mg, Regeneron) by investigating patients who were either treatment naive (2,052 eyes) or who were switched to treatment with aflibercept 8 mg from Eylea (aflibercept 2 mg, Regeneron) (11,284 eyes). Primary outcomes included the last assigned injection

Biologics for psoriasis, ocular surface disease risk linked

Biologic drugs used to treat psoriasis were associated with lower risks for certain ocular diseases, including keratitis and dry eye disease, in a large-scale analysis published in Eye.
“Given the overlap between immune pathways implicated in psoriasis and ocular inflammatory disease, it has been hypothesized that biologic therapies may be associated with differences in ocular outcomes,” Shoham Kubovsky, MD, of Hadassah Medical Center, Israel, and colleagues wrote. “However, population-level evidence regarding such associations remains limited.”
The researchers used the

Study: AI can detect impending CLABSIs

Researchers found that an AI infection-detection model was able to identify early warning signs of central line-associated bloodstream infection by studying photos of central venous catheters.
Central line-associated bloodstream infections (CLABSIs) cause thousands of deaths each year in the United States and add billions of dollars in extra costs to the health care system, according to the CDC.
Identifying the early signs of a CLABSI — which may appear weeks in advance — can help clinicians prevent them, according to Shruti K. Gohil, MD, MPH, assistant professor of infectious diseases and

Pediatric patient with aggressive left distal femur mass

This is a case of a 7-year-old girl referred to our clinic in 2018 for an aggressive left distal femur mass.
The patient had no previous history of malignancy or trauma but started having ambulatory pain approximately 1 month prior to presentation. Initial evaluation was notable for swelling in the left distal femur and pain with ambulation. Subsequent radiographs (Figure 1) demonstrated a destructive bone lesion with associated soft tissue mass, which was also apparent on MRI (Figure 2). The patient underwent staging in the form of open biopsy, CT chest and whole-body bone scan.
Biopsy

‘Why the constant buzzing?’: A primary care approach to tinnitus

A 68-year-old recently retired man comes in to discuss “really annoying constant buzzing” in both ears. It began a few years ago. It was intermittent at first, but over the past 6 months, it has been noted during every waking moment.
The patient says he played classical piano in high school. He did not play rock music. In fact, he didn’t like it much, and he never went to loud concerts growing up.
Since both his grandfather and father were quite hard of hearing, the patient learned early on to wear ear protection when doing chores around the home, like leaf blowing, mowing the lawn and snow