Kate Middleton Announces Major Cancer Update

The Princess of Wales revealed Tuesday that her cancer is in remission after an emotional visit to the hospital where she received treatment last year.
In a statement on social media, the princess offered her heartfelt thanks to those who helped her and husband Prince William navigate the treatment. She described her time as a patient as being “exceptional.”
“It is a relief to now be in remission and I remain focused on recovery,” she wrote. “As anyone who has experienced a cancer diagnosis will know, it takes time to adjust to a new normal.”
It was the first time the princess had offered any detail on her diagnosis. Earlier, she had simply said she had completed her chemotherapy, without offering any information on her prognosis for the future.
Kate, as she is commonly known, conducted the solo engagement at the Royal Marsden Hospital in London, a world-leading state-of-the art cancer center known for its pioneering research. She expressed her gratitude to the medical team for their support even as she spoke with other patients receiving chemotherapy and immunotherapy.
“It’s really tough,” she said of chemotherapy. “It’s such a shock.”
During the visit, the princess shared her experiences with Katherine Field, 45. Gesturing to her arm and chest, she discussed the port mechanism used to deliver the drugs.
“I got so attached to it,” Kate said, joking that she had been almost reluctant when told that she “can have it taken out” now.
Her Kensington Palace office stressed that she would continue to return to public-facing engagements, albeit gradually. The palace described the visit as reflecting her “own personal cancer journey.’
The royal family was hard hit by health concerns last year, beginning with the announcement in January 2024 that the king would receive treatment for an enlarged prostate and Kate would undergo abdominal surgery.
In February, Buckingham Palace announced that Charles was receiving treatment for an undisclosed type of cancer. Six weeks later, Kate said she, too, was undergoing treatment for cancer, quieting the relentless speculation about her condition that had circulated on social media since her surgery.
She announced in September that she had completed chemotherapy.

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Nurse Practitioners Top ‘Best Jobs’ Rankings Again

For the second year in a row, nurse practitioners took the No. 1 spot in the “Best Jobs” rankings from U.S. News & World Report.
This was not the only healthcare job in the top five, with physician assistants (PAs), also known as physician associates, coming in at No. 3.
“Careers in healthcare and healthcare support continue to show promise in the 2025 rankings due to a steady need for medical professionals that aid in the health and well-being of the population,” said Carly Chase, vice president of careers at U.S. News, in a statement. “Nurse practitioner maintains the No. 1 spot as this year’s best job because of its critical role in health management, the flexibility it provides, and its strong 10-year career outlook.”
Jason Prevelige, DMSc, MBA, PA-C, president and board chair of the American Academy of Physician Associates (AAPA), weighed in on the rankings, noting that “this honor highlights the PA profession’s continued growth and leadership in expanding access to care and addressing health inequities nationwide.”
“This recognition will surely inspire the PA community to keep pushing boundaries, innovating, and driving progress as leaders in healthcare,” he added.
Additional healthcare-related roles in the top 10 were medical and health services managers, which took the No. 7 spot, and speech-language pathologists, which took the No. 9 spot.
Notably, physician jobs were further down in the overall list, and outside the top 10 for the healthcare-specific rankings. The highest-placing physician roles in the overall rankings were anesthesiologists and psychiatrists at No. 33 and No. 34, respectively.
In detailing its methodology for the “Best Jobs” rankings, U.S. News explained that although “career satisfaction is subjective,” some qualities are “universally desired.” Overall, employees “tend to prefer higher salaries, ample job opportunities, and avenues for promotion.”
To determine the rankings, the outlet said that it gathered data from the U.S. Bureau of Labor Statistics to “identify jobs with the greatest hiring demand.” These roles were then scored using the measures of future prospects (30%), wage potential (25%), employment (20%), job safety and stability (15%), and work-life balance (10%).
There were also individual components that comprised each of these measures. For instance, wage potential consisted of median wage (40%), wage range (40%), and wage growth (20%), while job safety and stability consisted of union affiliation (30%), injuries (30%), working conditions (20%), and healthcare (20%).
Below are the top 10 jobs in the healthcare- and healthcare support-specific rankings, along with their median salary.
HealthcareNurse practitioner: $126,260Physician assistant: $130,020Speech-language pathologist: $89,290Veterinarian: $119,100Nurse anesthetist: $212,650Veterinary technologist and technician: $43,740Physical therapist: $99,710Occupational therapist: $96,370Respiratory therapist: $77,960Dental hygienist: $87,530
Healthcare SupportMedical and health services manager: $110,680Home health aide: $33,530Massage therapist: $55,310Physical therapist assistant: $64,080Medical assistant: $42,000Occupational therapy assistant: $67,010Dental assistant: $46,540Medical secretary: $40,640Phlebotomist: $41,810Nursing aide: $38,200

Jennifer Henderson joined MedPage Today as an enterprise and investigative writer in Jan. 2021. She has covered the healthcare industry in NYC, life sciences and the business of law, among other areas.

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The Smoldering Symphony of Los Angeles: The Burn and Afterburn

Berenji is an occupational and environmental medicine physician.

Driving north on the 405 freeway this past Friday night, I witnessed an eerie scene: the usually congested freeway was surprisingly empty. The smoke plumes from the Palisades fire created a Dali-esque skyscape, their amorphous shapes zigzagging from west to east in utter disarray, as if nature was pointing the blame for the chaos at us mortals below.
As I made my way through the Sepulveda Pass, I could see the embers of ash enveloping my car in a cocoon of particulates. The distant sounds of helicopters and military planes created a pulsating rhythm of unease, their propellers echoing the collective heartbeat of a city on edge. I then crossed into the San Fernando Valley onto the 101 Freeway. I could see in the distant hills an explosion of red hues, like a volcano spewing its inner contents out in a constant flow of ethereal lava.
As the City of Angels grapples with an unprecedented environmental crisis, the once-familiar landscape has transformed into a surreal canvas of smoldering masses. These wildfires have painted our skies with an otherworldly palette, oscillating between the celestial and the infernal.
This wildfire is not like previous ones. It is affecting hundreds of thousands of people at the urban-wildland interface. It involves many man-made buildings which, as a result of the scale of the burning, are releasing a slew of toxic chemicals into the air. These include particulates like PM2.5 as well as the byproducts of plastic, fire retardant materials, and asbestos, among a host of thousands of chemicals found in commercial and residential properties. Given the large amounts of chemicals circulating right now in the greater atmosphere, this puts first responders and the broader community at significant risk for inhalational injuries. Moreover, with the inconsistent use of personal protective equipment in the community, we are already seeing an uptick in the number of people seeking emergent medical attention.
The long-term effects of the mass release of these chemicals will more likely than not lead to broad chronic health effects as part of the “afterburn” of surviving the fire. There will also be increased concerns about cancer risks, as well as the immunological impacts on first responders and those in direct proximity to the wildfires, similar to the World Trade Center aftermath.
Nor can we forget the psychological toll these wildfires will have, particularly amongst those who lost their homes. Young and old people alike will be struggling with their mental health, with many suffering from anxiety and post-traumatic stress.
Managing Environmental Disasters
As an occupational and environmental medicine physician, I’ve dedicated my career to understanding the intricacies of how our environment impacts our health. The current wildfire crisis in Los Angeles has crystallized the urgency of our mission. Occupational and environmental medicine physicians are equipped to deal with natural disasters of this magnitude. We have the knowledge to understand the fundamental environmental hazards plaguing our cities and how to mobilize clinicians, public health professionals, government agencies, the private sector, and the greater community to get in sync to combat these epic challenges.
And we have dealt with emergencies of this magnitude before. After the 9/11 attacks, my colleagues and peers were instrumental in developing the World Trade Center program to monitor first responders over time, ensuring they were being screened appropriately and referred to specialty care if they were symptomatic. During the COVID pandemic, many of us helped employers develop standard operating procedures to keep workers working safely.
We are experts at medical surveillance. As part of our training, we are skilled at developing medical surveillance programming for firefighters and first responders to ensure they are physically and mentally fit to perform the essential functions of the job.
During the current crisis and to prepare for future climate-related crises, we must accelerate our efforts to create real-time environmental monitoring systems, bringing together data on air quality, pollutant levels, traffic routes, food resources, and healthcare access points into a single, actionable dashboard that our citizens can access at a moment’s notice.
Our agenda for the coming years includes:Developing research frameworks to assess the impacts of environmental hazards on urban, rural, veteran, and other vulnerable populations in the U.S. and globally;Enhancing existing emergency preparedness operations within healthcare systems to create a comprehensive approach to delivering exposure-informed care effectively and compassionately;Forging new partnerships with colleagues in the technology sector (including entrepreneurs in informatics and the AI space) to create cutting-edge environmental monitoring tools that can be widely deployed;Designing personalized guidance systems that adapt to individuals’ current environmental conditions and health states.
A Call for More Support
But we need more occupational and environmental medicine physicians. As of 2020, there were just 25 accredited occupational and environmental residency programs left in the U.S., with at least 18 programs having closed since 2000. These training programs have received inadequate investment for decades and we are beginning to see the ripple effects. We need these physicians now more than ever to develop resiliency strategies and implement them at scale, directing the charge toward environmental independence.
As Los Angeles faces this environmental juggernaut, we must emerge stronger and more resilient. The challenges we face today are not just local concerns but harbingers of a global environmental shift. By harnessing the power of data, technology, and medical prowess, we can build a future where our cities are not just surviving environmental crises but thriving in harmony with our planet. Occupational and environmental medicine physicians are at the critical nexus of these worlds. We can deploy our model of care to not only deliver medical services rapidly but also create preventive protocols to minimize exposures using the hierarchy of controls, the fundamentals of our practice.
The skies may be smoky, but our vision for a healthier, more resilient future has never been clearer. It’s time for Los Angeles and the rest of the country to lead the way in environmental innovation, adaptation, and ultimately, mitigation. Our city can become a beacon of hope in the fight against climate change, showing the world that even in the face of environmental adversity, human ingenuity and determination can prevail.
Manijeh Berenji, MD, MPH, is a double board-certified physician specializing in occupational and environmental medicine as well as preventive medicine. She is currently chief of occupational health at VA Long Beach Healthcare System, and leads the Environmental Health Clinic at VA Long Beach Healthcare System in California. She is also a clinical assistant professor in the Department of Occupational and Environmental Medicine at UC Irvine School of Medicine. She is chair of the Environmental Health and Health Informatics Sections of the American College of Occupational and Environmental Medicine. She is a member of the Medical Society Consortium on Climate and Health via the American Medical Informatics Association, where she serves as the chair-elect of the Climate Health and Informatics Working Group as well as the secretary of the Public Health Informatics Working Group.
The views of the author do not necessarily reflect those of the Medical Society Consortium on Climate and Health, the American College of Occupational and Environmental Medicine, the American Medical Informatics Association, the Veterans Administration, or the University of California or its staff/faculty/members.

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What Do We Know About the Pink Flame Retardants Used to Slow the Los Angeles Fires?

Aircraft battling fires raging through the Los Angeles area are dropping more than water: Hundreds of thousands of gallons of hot-pink fire suppressant ahead of the flames in a desperate effort to stop them before they destroy more neighborhoods.
The fires have killed at least 24 people, displaced thousands, and destroyed more than 12,000 structures since they began last Tuesday. Four fires driven by strong Santa Ana winds have charred about 62 square miles (160 square kilometers), according to Cal Fire.
Fire agencies said the suppressants — most often used to fight forest fires — are an invaluable tool. But what is in them and are they safe?
Here’s what to know:
Why Are They Being Used in Los Angeles?
The fires are burning quickly through canyons and other rugged areas that are difficult for firefighters on the ground to reach, Cal Fire said.
While fire suppressants can be very effective, they do have limitations, the agency said: Strong winds can make it too dangerous to fly at the low altitudes needed for drops and can dissipate the retardant before it hits the ground.
Besides Cal Fire, multiple agencies have dropped fire retardant and water, including the U.S. Forest Service, the Los Angeles and Ventura county fire departments, the city, and the National Guard.
How Do They Work?
Aerial fire suppressants are generally a mixture of water, ammonium phosphate — essentially fertilizer — and iron oxide, which is added to make the retardant visible, said Daniel McCurry, PhD, a civil and environmental engineering professor at the University of Southern California (USC).
The Forest Service, which has used 13 aircraft to dump suppressants on the Los Angeles fires, said they help starve a fire of oxygen and slow the rate of burn by cooling and coating vegetation and other surfaces.
Perimeter, the company that supplies fire retardant to the Forest Service and other agencies, said the phosphate changes the way cellulose in plants decomposes and makes them non-flammable.
Potential Effects on Environment and Wildlife
The fire suppressants are generally considered safe for people, but many worry about their potential effects on wildlife.
The Forest Service bans use of aerial suppressants over waterways and endangered species habitats, “except when human life or public safety are threatened,” due to potential health effects on fish and other wildlife.
McCurry said he and other researchers tested several suppressants and found heavy metals, including chromium and cadmium, in one commonly used by the U.S. Forest Service.
McCurry said the study’s findings suggest that it’s “plausible” that fire suppressants could contribute to spikes of chromium and other heavy metals in waterways downstream of wildfires.
“We don’t quite have a smoking gun yet because it’s difficult, although not impossible, to prove where a heavy metal came from,” McCurry said. “We’re working on that.”
Perimeter said McCurry’s research was on a formulation that wasn’t used in California and is no longer used by the Forest Service. The company also said it doesn’t add metals, which it says are naturally present in all ammonium phosphate fertilizers, and that its aerial suppressants “are exhaustively tested by the USDA Forest Service and meet or exceed all health and safety standards.”
Use of Retardants Seen as Imperative to Avoid Greater Risks
The use of fire retardants is imperative to putting out wildfires that expose millions of people to health risks, including from a toxic mix of microscopic particles that can cause breathing and heart problems by penetrating deep into the lungs and bloodstream.
Studies have shown that wildfire smoke accounted for up to half of all health-damaging particle air pollution in the western U.S. in recent years as warming temperatures fueled more destructive blazes.
And research released last year by the Alzheimer’s Association found that wildfire smoke may be worse for brain health than other types of air pollution, raising the risk of dementia.
“The use of wildland fire retardant is the best way to save lives, protect communities, and keep fires small,” said Edward Goldberg, vice chairman of solutions at Perimeter.
McCurry, the USC researcher, said more study is needed on fire suppressants — including in Los Angeles once the fires are out — but he understands their value: “If there was a brush fire coming for my house, I’d still rather [have that] than paint a lot of [fire retardant] in front of it.”

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Chicken Broth Recall; Medicaid at Risk; Princess Kate Thanks Medical Staff

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Over 2,000 cases of Great Value chicken broth were recalled due to a packaging issue that could lead to spoilage. (USA Today)
With a second Donald Trump presidency and more Republicans in the House and Senate, Medicaid could be at risk. (KFF Health News)
Eli Lilly sued two medical spas for selling copycat weight-loss products containing tirzepatide, the active ingredient in Zepbound. (Reuters via MSN)
Patient groups called on Trump to let Medicare cover obesity medications. (The Hill)
Here’s how fighting flames, like the ones in Los Angeles, harms firefighters’ lungs. (Politico)
Some healthcare facilities in areas hard hit by the fires remain closed. (ABC News)
As immunization rates fall, some vaccinated adults may be at risk for childhood diseases like pertussis. (New York Times)
Princess of Wales Kate Middleton made a personal visit to thank the medical staff and speak with patients at the Royal Marsden Hospital, where she was treated for cancer. (BBC)
The Federal Trade Commission (FTC) will issue more than $1 million in refunds to customers who bought Zephyr face masks, which falsely claimed to be N95-grade.
The FTC also sued Evoke Wellness and its leaders for using Google search ads and telemarketing to “masquerade as other substance use disorder treatment providers.”
The FDA is reviewing whether investigational suzetrigine, billed as a nonaddictive opioid alternative, should be approved to treat acute pain. (Washington Post)
An NIH study showed that 4.5% of participants met criteria for self-reported myalgic encephalomyelitis/chronic fatigue syndrome after SARS-CoV-2 infection. (Journal of General Internal Medicine)
Phillips issued a correction for an application used with its mobile cardiac telemetry monitoring due to the potential for missed information or notifications that could impact patients.
The European Union’s executive branch denied covering up the health of its leader, who was hospitalized with severe pneumonia. (AP)
Some U.S. states are training non-physicians to provide abortions. (The Guardian)
Texas has more cannabis dispensaries than California, despite recreational marijuana being illegal in the state. (NPR)
The FDA announced a long-term strategy of “achieving a more robust and nimble” infant formula supply.
A third person has received a Neuralink brain implant, according to founder Elon Musk. (AP)
A nurse in the U.K. was seriously injured after being stabbed at a hospital. (BBC)

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