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Yes, Kate Middleton’s photo was doctored. But so are a lot of images we see today

<p><a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>Rumours and conspiracies have been <a href="https://www.nytimes.com/2024/02/28/style/princess-kate-middleton-health.html">swirling</a> following the abdominal surgery and long recovery period of Catherine, Princess of Wales, earlier this year. They intensified on Monday when Kensington Palace released a photo of the princess with her three children.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C4U_IqTNaqU/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C4U_IqTNaqU/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a></p> </div> </blockquote> <p>The photo had clear signs of tampering, and international wire services <a href="https://apnews.com/article/kate-princess-photo-surgery-ca91acf667c87c6c70a7838347d6d4fb">withdrew the image</a> amid concerns around manipulation. The princess later <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616">apologised for any confusion</a> and said she had “experimented with editing” as many amateur photographers do.</p> <p>Image editing is extremely common these days, and not all of it is for nefarious purposes. However, in an age of rampant misinformation, how can we stay vigilant around suspicious images?</p> <h2>What happened with the royal photo?</h2> <p>A close look reveals at least eight inconsistencies with the image.</p> <p>Two of these relate to unnatural blur. Catherine’s right hand is unnaturally blurred, even though her left hand is sharp and at the same distance from the camera. The left side of Catherine’s hair is also unnaturally blurred, while the right side of her hair is sharp.</p> <p>These types of edits are usually made with a blur tool that softens pixels. It is often used to make the background of an image less distracting or to smooth rough patches of texture.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=358&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/581145/original/file-20240312-26-rhmkk1.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=450&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">At least eight logical inconsistencies exist in the doctored image the Prince and Princess of Wales posted on social media.</span> <span class="attribution"><a class="source" href="https://www.instagram.com/p/C4U_IqTNaqU/">Photo by the Prince of Wales/Chart by T.J. Thomson</a></span></figcaption></figure> <p>Five of the edits appear to use the “clone stamp” tool. This is a Photoshop tool that takes part of the same or a different image and “stamps” it onto another part.</p> <p>You can see this with the repeated pattern on Louis’s (on the left) sweater and the tile on the ground. You can also see it with the step behind Louis’s legs and on Charlotte’s hair and sleeve. The zipper on Catherine’s jacket also doesn’t line up.</p> <p>The most charitable interpretation is that the princess was trying to remove distracting or unflattering elements. But the artefacts could also point to multiple images being blended together. This could either be to try to show the best version of each person (for example, with a smiling face and open eyes), or for another purpose.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Like many amateur photographers, I do occasionally experiment with editing. I wanted to express my apologies for any confusion the family photograph we shared yesterday caused. I hope everyone celebrating had a very happy Mother’s Day. C</p> <p>— The Prince and Princess of Wales (@KensingtonRoyal) <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616?ref_src=twsrc%5Etfw">March 11, 2024</a></p></blockquote> <h2>How common are image edits?</h2> <p>Image editing is increasingly common as both photography and editing are increasingly becoming more automated.</p> <p>This sometimes happens without you even knowing.</p> <p>Take HDR (high dynamic range) images, for example. Point your iPhone or equivalent at a beautiful sunset and watch it capture the scene from the brightest highlights to the darkest shadows. What happens here is your camera makes multiple images and automatically stitches them together to make an image <a href="https://www.adobe.com/creativecloud/photography/hub/guides/what-is-hdr-photography.html">with a wider range of contrast</a>.</p> <p>While face-smoothing or teeth-whitening filters are nothing new, some smartphone camera apps apply them without being prompted. Newer technology like Google’s “Best Take” <a href="https://blog.google/products/photos/how-google-photos-best-take-works/">feature</a> can even combine the best attributes of multiple images to ensure everyone’s eyes are open and faces are smiling in group shots.</p> <p>On social media, it seems everyone tries to show themselves in their best light, which is partially why so few of the photos on our <a href="https://www.tandfonline.com/doi/abs/10.1080/15551393.2020.1862663">camera rolls</a> make it onto our social media feeds. It is also why we often edit our photos to show our best sides.</p> <p>But in other contexts, such as press photography, the <a href="https://www.ap.org/about/news-values-and-principles/telling-the-story/visuals">rules are much stricter</a>. The Associated Press, for example, bans all edits beyond simple crops, colour adjustments, and “minor adjustments” that “restore the authentic nature of the photograph”.</p> <p>Professional photojournalists haven’t always gotten it right, though. While the majority of lens-based news workers adhere to ethical guidelines like those published by the <a href="https://nppa.org/resources/code-ethics">National Press Photographers Association</a>, others have let deadline pressures, competition and the desire for exceptional imagery cloud their judgement.</p> <p>One such example was in 2017, when British photojournalist Souvid Datta admitted to <a href="https://time.com/4766312/souvid-datta/">visually plagiarising</a> another photographer’s work within his own composition.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Photographer Souvid Datta appears to have plagiarized Mary Ellen Mark: <a href="https://t.co/iO1Lm8CowU">https://t.co/iO1Lm8CowU</a> <a href="https://t.co/jswHyApGNj">pic.twitter.com/jswHyApGNj</a></p> <p>— PetaPixel (@petapixel) <a href="https://twitter.com/petapixel/status/859824132258537472?ref_src=twsrc%5Etfw">May 3, 2017</a></p></blockquote> <p>Concerns around false or misleading visual information are at an all-time high, given advances in <a href="https://theconversation.com/nine-was-slammed-for-ai-editing-a-victorian-mps-dress-how-can-news-media-use-ai-responsibly-222382">generative artificial intelligence (AI)</a>. In fact, this year the World Economic Forum named the risk of misinformation and disinformation as the world’s greatest <a href="https://www.weforum.org/agenda/2024/01/ai-disinformation-global-risks/">short-term threat</a>. It placed this above armed conflict and natural disasters.</p> <h2>What to do if you’re unsure about an image you’ve found online</h2> <p>It can be hard to keep up with the more than <a href="https://theconversation.com/3-2-billion-images-and-720-000-hours-of-video-are-shared-online-daily-can-you-sort-real-from-fake-148630">3 billion photos</a> that are shared each day.</p> <p>But, for the ones that matter, we owe it to ourselves to slow down, zoom in and ask ourselves a few simple <a href="https://www.aap.com.au/factcheck-resources/how-we-check-the-facts/">questions</a>:</p> <p>1. Who made or shared the image? This can give clues about reliability and the purpose of making or sharing the image.</p> <p>2. What’s the evidence? Can you find another version of the image, for example, using a <a href="https://tineye.com/">reverse-image search engine</a>?</p> <p>3. What do trusted sources say? Consult resources like <a href="https://www.aap.com.au/factcheck/">AAP FactCheck</a> or <a href="https://factcheck.afp.com/">AFP Fact Check</a> to see if authoritative sources have already weighed in.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/225553/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/t-j-thomson-503845">T.J. Thomson</a>, Senior Lecturer in Visual Communication &amp; Digital Media, <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/yes-kate-middletons-photo-was-doctored-but-so-are-a-lot-of-images-we-see-today-225553">original article</a>.</p> <p><em>Hero image: The Conversation / X / Instagram</em></p>

Technology

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No, antibiotics aren’t always needed. Here’s how GPs can avoid overprescribing

<p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>The growth in antibiotic resistance threatens to return the world to the pre-antibiotic era – with deaths from now-treatable infections, and some elective surgery being restricted because of the risks of infection.</p> <p>Antibiotic resistance is a major problem worldwide and should be the concern of everyone, including you.</p> <p>We need to develop new antibiotics that can fight the resistant bacteria or antibiotics that bacteria would not be quickly resistant to. This is like finding new weapons to help the immune system fight the bacteria.</p> <p>More importantly, we need to use our current antibiotics – our existing weapons against the bacteria – more wisely.</p> <h2>Giving GPs the tools to say no</h2> <p>In 2022, more than <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/aura-2023-fifth-australian-report-antimicrobial-use-and-resistance-human-health">one-third of Australians</a> had least one antibiotic prescription, with <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/analysis-2015-2022-pbs-and-rpbs-antimicrobial-dispensing-data">88%</a> of antibiotics prescribed by GPs.</p> <p>Many people <a href="https://pubmed.ncbi.nlm.nih.gov/28289114/">mistakenly think</a> antibiotics are necessary for treating any infection and that infections won’t improve unless treated with antibiotics. This misconception is found in studies involving patients with various conditions, including respiratory infections and conjunctivitis.</p> <p>In reality, not all infections require antibiotics, and this belief drives patients requesting antibiotics from GPs.</p> <p>Other times, GPs give antibiotics because they think patients want them, even when they might not be necessary. Although, in reality they are <a href="https://pubmed.ncbi.nlm.nih.gov/17148626/">after symptom relief</a>.</p> <p>For GPs, there are ways to target antibiotics for only when they are clearly needed, even with short appointments with patients perceived to want antibiotics. This includes:</p> <ul> <li> <p>using <a href="https://pubmed.ncbi.nlm.nih.gov/32357226/">decision guides</a> or tests to decide if antibiotics are really necessary</p> </li> <li> <p>giving <a href="https://www.safetyandquality.gov.au/our-work/partnering-consumers/shared-decision-making/decision-support-tools-specific-conditions">patients information sheets</a> when antibiotics aren’t needed</p> </li> <li> <p>giving a “<a href="https://pubmed.ncbi.nlm.nih.gov/33910882/">delayed prescription</a>” – only to be used after the patient waits to see if they get better on their own.</p> </li> </ul> <p>All these strategies need some <a href="https://www.nps.org.au/assets/NPS/pdf/NPS-MedicineWise-Economic-evaluation-report-Reducing-Antibiotic-Resistance-2012-17.pdf">training</a> and practice, but they can help GPs prescribe antibiotics more responsibly. GPs can also learn from each other and use tools like <a href="https://pubmed.ncbi.nlm.nih.gov/24474434/">posters</a> as reminders.</p> <p>To help with patients’ expectations, public campaigns have been run periodically to educate people about antibiotics. These campaigns <a href="https://pubmed.ncbi.nlm.nih.gov/35098267/">explain why</a> using antibiotics too much can be harmful and when it’s essential to take them.</p> <h2>Giving doctors feedback on their prescribing</h2> <p>National programs and interventions can help GPs use antibiotics more wisely</p> <p>One successful way they do this is by <a href="https://pubmed.ncbi.nlm.nih.gov/34356788/">giving GPs feedback</a> about how they prescribe antibiotics. This works better when it’s provided by organisations that GPs trust, it happens more than once and clear goals are set for improvement.</p> <p>The NPS (formerly National Prescribing Service) MedicineWise program, for example, had been giving feedback to GPs on how their antibiotic prescriptions compared to others. This reduced the number of antibiotics prescribed.</p> <p>However, <a href="https://australianprescriber.tg.org.au/articles/the-end-of-nps-medicinewise.html">NPS no longer exists</a>.</p> <p>In 2017, the Australian health department did something similar by sending <a href="https://behaviouraleconomics.pmc.gov.au/projects/nudge-vs-superbugs-behavioural-economics-trial-reduce-overprescribing-antibiotics">feedback letters</a>, randomly using different formats, to the GPs who prescribed the most antibiotics, showing them how they were prescribing compared to others.</p> <p>The most effective letter, which used pictures to show this comparison, reduced the number of antibiotics GPs prescribed by <a href="https://behaviouraleconomics.pmc.gov.au/sites/default/files/projects/nudge-vs-superbugs-12-months-on-report.pdf">9% in a year</a>.</p> <h2>Clearer rules and regulations</h2> <p>Rules and regulations are crucial in the fight against antibiotic resistance.</p> <p>Before April 2020, many GPs’ computer systems made it easy to get multiple repeat prescriptions for the same condition, which could encourage their overuse.</p> <p>However, in April 2020, the Pharmaceutical Benefits Scheme (PBS) <a href="https://www.pbs.gov.au/pbs/industry/listing/elements/pbac-meetings/psd/2019-08/antibiotic-repeats-on-the-pharmaceutical-benefits-scheme">changed the rules</a> to ensure GPs had to think more carefully about whether patients actually needed repeat antibiotics. This meant the amount of medicine prescribed better matched the days it was needed for.</p> <p>Other regulations or policy targets could include:</p> <ul> <li> <p>ensuring all GPs have access to antibiotic prescribing guidelines, such as <a href="https://www.tg.org.au/">Therapeutic Guidelines</a>, which is well accepted and widely available in Australia</p> </li> <li> <p>ensuring GPs are only prescribing antibiotics when needed. Many of the conditions antibiotics are currently prescribed for (such as sore throat, cough and middle ear infections) are self-limiting, meaning they will get better without antibiotics</p> </li> <li> <p>encouraging GP working with antibiotics manufacturers to align pack sizes to the recommended treatment duration. The recommended first-line treatments for uncomplicated urinary tract infections in non-pregnant women, for example, are either three days of trimethoprim 300 mg per night or five days of nitrofurantoin 100 mg every six hours. However, the packs contain enough for seven days. This can mean patients take it for longer or use leftovers later.</p> </li> </ul> <h2>Australia lags behind Sweden</h2> <p>Australia has some good strategies for antibiotic prescribing, but we have not had a sustained long-term plan to ensure wise use.</p> <p>Although Australian GPs have been doing well in <a href="https://www.safetyandquality.gov.au/our-work/antimicrobial-resistance/antimicrobial-use-and-resistance-australia-surveillance-system/aura-2021">reducing antibiotic prescribing</a> since 2015, <a href="https://pubmed.ncbi.nlm.nih.gov/35098269/">more</a> could be done.</p> <p>In the 1990s, Sweden’s antibiotic use was similar to Australia’s, but is now less than half. For more than two decades, Sweden has had a national strategy that reduces antibiotic use by about <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677604/">7% annually</a>.</p> <p>It is vital Australia invests in a similar long-term national strategy – to have a centrally funded program, but with regional groups working on the implementation. This could be funded directly by the Commonwealth Department of Health and Ageing, or with earmarked funds via another body such as the Australian Centre for Disease Control.</p> <p>In the meantime, individual GPs can do their part to prescribe antibiotics better, and patients can join the national effort to combat antibiotic resistance by asking their GP: “what would happen if I don’t take an antibiotic?”.</p> <p><em><a href="https://theconversation.com/profiles/mina-bakhit-826292">Mina Bakhit</a>, Assistant Professor of Public Health, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, Professor of Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/no-antibiotics-arent-always-needed-heres-how-gps-can-avoid-overprescribing-213981">original article</a>.</em></p>

Caring

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Why a familiar face made Adele break down on stage

<p dir="ltr">Adele has broken down during an emotional show in Las Vegas, after she locked eyes with a special audience member. </p> <p dir="ltr">The British songstress was performing at her residency show with a special Halloween show when she spotted a familiar face in the crowd.</p> <p dir="ltr">While dressed as Morticia from the Addams Family for the spooky-themed concert, Adele began to perform her hit song <em>When We Were Young</em> from her award-winning album <em>25</em>. </p> <p dir="ltr">She suddenly burst into tears and ran into the audience, as she spotted the doctor who delivered her son Angelo ten years ago. </p> <p dir="ltr">Adele could be seen mouthing “Shut up!” in between lines of the heartbreaking ballad, as she couldn't believe what she was seeing.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/Cy_HGsFrr7Q/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/Cy_HGsFrr7Q/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by 𝒜𝒹𝑒𝓁𝑒 𝐿𝒶𝓊𝓇𝒾𝑒 𝐵𝓁𝓊𝑒 𝒜𝒹𝓀𝒾𝓃𝓈 (@thirtyfreeadele)</a></p> </div> </blockquote> <p dir="ltr">“Oh my god, Colin! Oh my god! This is my doctor that gave birth to my baby!”</p> <p dir="ltr">“I haven't seen you for years!” she exclaimed, as she paused the song and ran up into the audience.</p> <p dir="ltr">As Adele caught up with her long-lost friend, the tune continued playing in the background. </p> <p dir="ltr">The singer apologised to her fans as she was caught up in the emotional moment.</p> <p dir="ltr">“Sorry!” she said to the crowd. “Will you sing it for me? That man delivered my baby!”</p> <p dir="ltr">Fans on Twitter rushed to praise the touching moment and Adele's sweet gesture to the doctor. </p> <p dir="ltr">One said, “This is so heartwarming,” while another added, “That's just the coolest thing ever!”</p> <p dir="ltr"><em>Image credits: Instagram</em></p>

Music

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All the reasons you might be having night sweats – and when to see a doctor

<p><em><a href="https://theconversation.com/profiles/siobhan-banks-18473">Siobhan Banks</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>You’ve finished a workout, so you’re hot and drenched with perspiration – but soon you begin to feel cool again. Later, it’s a sweltering summer evening and you’re finding it hard to sleep, so you kick off the covers.</p> <p>Sweating is a normal part of the body’s cooling system, helping to release heat and maintain optimal body temperature. But regularly waking up during the night, soaked through from excessive sweating is not.</p> <p>Night sweats are <a href="https://www.mayoclinic.org/symptoms/night-sweats/basics/definition/sym-20050768">repeated episodes</a> of excessive or intense sweating at night. They are an unpleasant part of life for many people.</p> <p>Many conditions and factors can trigger night sweats by changing the body’s tightly regulated temperature set point, at which the body attempts to maintain its <a href="https://www.tandfonline.com/doi/full/10.4161/temp.29702">core temperature</a>. Some triggers are harmless (a hot bedroom) or even related to positive lifestyle changes (exercise). Others have an underlying cause like menopause, infection, disease or medication.</p> <h2>Temperature control and sweating</h2> <p>The hypothalamus, located in the brain, is part of the <a href="https://www.hormones-australia.org.au/the-endocrine-system/">endocrine system</a> and the temperature control centre for the body. It contains <a href="https://www.statpearls.com/point-of-care/29920#ref_19631766">temperature sensors</a> that receive information from nerve cells (thermoreceptors) located centrally (in the organs) and peripherally in the skin.</p> <p>Thermoreceptors detect changes in body temperature, sending signals back to the hypothalamus. These <a href="https://www.sciencedirect.com/science/article/pii/S1876034111000256">signals</a> will either activate sweating to cool the body or shivering to warm the body.</p> <h2>Hormones and night sweats</h2> <p>Anyone, regardless of age or gender, can experience night sweats. But women experience night sweats more often than men, largely because menopause and associated changing hormone levels are <a href="https://www.tandfonline.com/doi/abs/10.3109/13697137.2011.608596">a leading cause</a>.</p> <p>Approximately 80% of women experience <a href="https://link.springer.com/article/10.1007/s00737-007-0209-5">hot flashes</a> (also called hot flushes) or night sweats after <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">menopause</a> (when periods have ceased for 12 months) and during <a href="https://www.healthdirect.gov.au/perimenopause">perimenopause</a> (the time leading up to it).</p> <p>While both hot flashes and night sweats produce a feeling of overheating, they are different experiences associated with menopause. Hot flashes occur during the day, are transient episodes of flushing and may involve sweating. Night sweats occur at night and involve an intense period of <a href="https://www.proquest.com/docview/2821423865?accountid=14649">sweating</a>. Changing oestrogen levels are thought to impact norepinephrine and serotonin levels, two neurotransmitters that influence <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459071/#:%7E:text=%5B21%5D%20Estrogens%20stimulate%20the%20production,norepinephrine%20which%20disturbs%20hypothalamic%20thermostat">temperature regulation</a> in the hypothalamus.</p> <p>Hormones also influence night sweats in men, particularly those with low <a href="https://www.healthdirect.gov.au/testosterone">testosterone</a> levels, known as <a href="https://www.hormones-australia.org.au/endocrine-diseases/hypogonadism/">hypogonadism</a>. Around 38% of men aged 45 years or older have low testosterone <a href="https://www.scielo.br/j/ibju/a/RZqqfTn5tY6BFpV6rp3GMxJ/">levels</a> but it can affect men at any age.</p> <h2>Infections, disease and medications</h2> <p>When fighting infection, our body temperature often <a href="https://europepmc.org/article/nbk/nbk562334">rises</a>. This can stimulate sweating to cool and decrease body <a href="https://www.sciencedirect.com/science/article/pii/S1876034111000256">temperature</a>.</p> <p>Minor infections like the common cold can cause night sweats. They are also a symptom of serious infections such as human immunodeficiency virus (HIV) and diseases such as <a href="https://www.aafp.org/pubs/afp/issues/2020/0101/p34.html">Hodgkin’s</a> and <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">non-Hodgkin’s lymphoma</a>. However, night sweats are rarely the only symptom present.</p> <p>Medications such as selective serotonin reuptake inhibitors (SSRIs), corticosteroids, thyroid hormone replacement and methadone can cause night sweats. These medications affect parts of the <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">brain</a> and neurotransmitters that control and stimulate sweating.</p> <p>Regular alcohol (particularly alcohol dependence) and recreational drug use can also <a href="https://link.springer.com/article/10.2165/00002018-200831020-00002">increase the risk</a> of night sweats.</p> <h2>Stress, snoring and strenuous exercise</h2> <p>Night sweats are commonly reported by people with <a href="https://karger.com/spp/article-abstract/26/2/92/295722/Psychological-Sweating-A-Systematic-Review-Focused?redirectedFrom=fulltext">anxiety</a>.</p> <p>Psychological stress activates the body’s fight or flight system releasing neurotransmitters that increase heart rate, respiration, and blood pressure. This causes the body to heat up, at which point it starts sweating to cool the body back down. Night sweats may also increase anxiety, causing more sweating which in turn leads to less sleep and more anxiety.</p> <p>If anxiety causes night sweats and this causes distress, it’s best to get up, move around and engage in a <a href="https://www.calmclinic.com/anxiety/symptoms/night-sweats">calming routine</a>, preferably in a dark or dimly lit room.</p> <p>Night sweats have similarly been connected with sleep disorders like <a href="https://www.healthdirect.gov.au/obstructive-sleep-apnoea">obstructive sleep apnoea</a>, where the airway is repeatedly blocked during sleep and there is loud snoring. About one third of people with obstructive sleep apnoea regularly <a href="https://link.springer.com/article/10.1007/s11325-011-0502-4">experience night sweats</a>. The exact cause is undetermined but research shows it is linked with low blood oxygen levels (<a href="https://link.springer.com/article/10.1007/s11325-022-02701-3">hypoxemia</a>) and/or <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2869.2009.00743.x">high blood pressure</a>.</p> <p>People can experience night sweats after high-intensity workouts. Vigorous exercise can stimulate the thyroid, <a href="https://www.ncbi.nlm.nih.gov/books/NBK500006/#:%7E:text=Thyroid%20hormone%20increases%20the%20basal,respiration%20rate%2C%20and%20body%20temperature">increasing basal metabolic rate</a> and body temperature for up to <a href="https://journals.lww.com/acsm-msse/Fulltext/2011/09000/A_45_Minute_Vigorous_Exercise_Bout_Increases.6.aspx">14 hours post exercise</a>. So night sweats can occur even after a vigorous morning workout.</p> <p>Night sweats can indicate overtraining and/or under-fuelling. If not enough calories are consumed to support the increase in training, blood sugar could drop and you could experience <a href="https://www.aafp.org/pubs/afp/issues/2003/0301/p1019.pdf">hypoglycaemia</a>, which can cause night sweats.</p> <h2>When to seek help and 5 things to try</h2> <p>There are <a href="https://www.aafp.org/pubs/afp/issues/2020/1001/p427.html">numerous</a> health conditions and medications that can cause night sweats and interfere with sleep.</p> <p>If night sweats are regular, distressing, interfere with sleep or are accompanied by symptoms such as fatigue or weight loss (not related to lifestyle or diet changes) talk to a doctor to help determine the cause. They might suggest alternative medications to any you’re taking or recommend tests or investigations.</p> <p>In the meantime, you can try the following ideas:</p> <p><strong>1.</strong> sleep in a cool room and use a fan if needed</p> <p><strong>2.</strong> don’t overdress for bed. Wear breathable cotton or linen pyjamas</p> <p><strong>3.</strong> choose lightweight bedding you can kick off. Avoid synthetic fibres and flannel bedding</p> <p><strong>4.</strong> consider a cooling mattress or pillow and avoid those (such as foam ones) that can limit airflow</p> <p><strong>5.</strong> avoid spicy foods, caffeine or alcohol before bed.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211436/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/siobhan-banks-18473"><em>Siobhan Banks</em></a><em>, Research professor, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, , <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/all-the-reasons-you-might-be-having-night-sweats-and-when-to-see-a-doctor-211436">original article</a>.</em></p>

Body

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Woman dies after being accused by doctors of faking symptoms

<p>A woman from New Zealand has passed away from a debilitating illness after being told by a doctor that her illness was “all in her head”.</p> <p>Stephanie Aston, 33, died after a long and public battle with Ehlers-Danlos Syndrome (EDS), a rare  genetic disorder affecting the body’s connective tissue, on September 1st. </p> <p>EDS, of which there are 13 different variants, is often referred to as an "invisible illness", as sufferers can often appear healthy despite experiencing excruciating symptoms, such as severe migraines, dislocating joints, easy bruising, abdominal pain, iron deficiency, fainting and an abnormally fast heart-rate.</p> <p>Aston said she was dismissed by a doctor in 2016, who dismissed her symptoms and told her that she was faking her disease. </p> <p>Despite being diagnosed with EDS by three different specialists, one doctor in Auckland, who Aston referred to as 'Doctor A', suggested she was not seriously unwell and indicated she was causing her illnesses, <em><a href="https://www.nzherald.co.nz/nz/stephanie-aston-death-eds-sufferers-call-for-change-after-doctors-accused-woman-of-faking-illness/VX4Q6CAWRVH25I6OCKGQ4KTW4M/">The NZ Herald</a></em> reports.</p> <p>Ehlers-Danlos Syndromes New Zealand founder Kelly McQuinlan said Stephanie's death has shocked the community, and said more needs to be done for those suffering with the debilitating condition. </p> <p>“A lot of people are feeling very lost,” she said.</p> <p>“I think most people in these rare positions or invisible illnesses, definitely experience setbacks and disbelieving because things can’t be seen but really the clinical symptoms are there that are being ignored.”</p> <p>Ms McQuinlan described Ms Aston as a “beacon” for those with the illness in a tribute to her on Facebook.</p> <p>“Most people in our community have experienced some form of sort of doctors not believing them or questioning their diagnosis which is extremely hard,” she wrote.</p> <p>“When they see someone in their community pass away, the first thing they think is ‘What if my care is not looked after? What’s going to happen to me?’.”</p> <p>“At the end of the day, if symptoms aren’t managed correctly, anyone can get sick enough that they will pass away.”</p> <p><em>Image credits: Facebook</em></p>

Caring

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Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

<p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p>Australian of the Year and body positivity advocate Taryn Brumfitt has <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">called for</a> doctors to avoid discussing a patient’s weight when they seek care for unrelated matters.</p> <p>A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions.</p> <p>“Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">told the Nine newspapers</a>.</p> <p>By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.</p> <p>So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.</p> <p><strong>Brett Montgomery - GP academic</strong></p> <p>Yes, sometimes – but with great care.</p> <p>I agree that weight stigma is damaging, and insensitively raising weight in consultations can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251566" target="_blank" rel="noopener">hurt people's feelings and create barriers</a>to other aspects of health care.</p> <p>I also agree people can sometimes be “overweight” yet <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0287218" target="_blank" rel="noopener">quite healthy</a>, and that common measures and categories of weight are <a href="https://theconversation.com/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174">questionable</a>.</p> <p>On the other hand, I know obesity <a href="https://www.racgp.org.au/FSDEDEV/media/documents/RACGP/Position%20statements/Obesity-prevention-and-management.pdf" target="_blank" rel="noopener">is associated with</a> heart disease, joint problems, diabetes and cancers.</p> <p>GPs should be ready to help people with their weight when they want help. <a href="https://www.bmj.com/content/377/bmj-2021-069719.full?ijkey=FnARkmvxLOMFvlb&amp;keytype=ref">Our assistance somewhat effective</a>, though sadly dietary efforts often have minimal effect on weight in the long term. Meanwhile, treatments causing larger weight changes (<a href="https://insightplus.mja.com.au/2021/10/bariatric-surgery-public-system-access-still-terrible/">surgery</a> and <a href="https://www.nature.com/articles/s41366-022-01176-2">some medicines</a> are often financially inaccessible.</p> <p>I feel safe discussing weight when my patient raises the issue. Fearing hurting people, I often avoid raising it myself. I focus instead on health rather than weight, discussing physical activity and healthy diet – these are good things for people of any size.</p> <p><strong>Emma Beckett - Nutrition scientist</strong></p> <p>No. It’s not likely to succeed. Large systematic reviews bringing together multiple studies of multiple weight-loss diets show weight loss is not generally maintained long term (<a href="https://pubmed.ncbi.nlm.nih.gov/32238384/">12 months</a> to <a href="https://www.nature.com/articles/0802982">four years</a>).</p> <p>The idea that weight is about willpower is outdated. The current body of evidence <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">suggests</a> we each have a weight set point that our body defends. This is determined by genetics and environment more so than education.</p> <p>There may be associations between weight and health outcomes, but losing weight <a href="https://theconversation.com/just-because-youre-thin-doesnt-mean-youre-healthy-101185">does not necessarily equate</a> with improving health.</p> <p>Fat stigma and fatphobia are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/">harmful too</a> and can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381543/">compromise access to health care</a>.</p> <p>Instead, consider asking a better question. Healthy eating reduces disease risk <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/">regardless of weight</a>. So maybe ask how many vegetables are your patients eating. Would they like to see a dietitian to discuss strategies for a better-quality diet?</p> <p><strong>Liz Sturgiss - GP/researcher </strong></p> <p>No. A <a href="https://pubmed.ncbi.nlm.nih.gov/33211585/">US study</a> estimates it would take a family doctor 131% of their work hours to implement all preventive health-care recommendations. It's impossible to address every recommendation for preventative care at every consultation. One of the key skills of a GP is balancing the patient and doctor agenda.</p> <p><a href="https://www.obesityevidencehub.org.au/collections/treatment/weight-bias-and-stigma-in-health-care">Weight stigma</a> can deter people from seeking health care, so raising weight when a patient doesn't have it on their agenda can be harmful. A strong <a href="https://academic.oup.com/fampra/article/38/5/644/6244494?login=false">therapeutic relationship</a> is critical for safe and effective health care to address weight. </p> <p>Weight is always on my agenda when there is unexpected weight loss. If a patient has rapid weight loss, I am concerned about an undetected <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283307/">cancer</a> or infection. Additionally, I am increasingly seeing patients who are unable to afford food, who often have <a href="https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia/contents/introduction">poor oral health</a>, who lose weight due to <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1747-0080.12580">poverty</a>. Weight loss for the wrong reasons is also a very concerning part of general practice.</p> <p><strong>Nick Fuller - Obesity researcher </strong></p> <p>Yes. GPs should play a role in the early detection of weight issues and direct patients to evidence-based care to slow this progression. <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Research</a> shows many people with obesity are motivated to lose weight (48%). <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Most</a> want their clinician to initiate a conversation about weight management and treatment options.</p> <p>However, this conversation <a href="https://pubmed.ncbi.nlm.nih.gov/32385580/">rarely occurs</a>, resulting in <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">significant delays to treatment</a>.</p> <p>Starting the conversation presents challenges. Although obesity is a complex disease related to multiple factors, it's still <a href="https://pubmed.ncbi.nlm.nih.gov/25752756/">highly stigmatised</a>in our society and even in the <a href="https://pubmed.ncbi.nlm.nih.gov/23144885/">clinical setting</a>. Sensitivity is required and the wording the clinician uses is important to make the patient feel safe and avoid placing blame on them. Patients often <a href="https://pubmed.ncbi.nlm.nih.gov/20823355/">prefer terms</a> such as “weight” and “BMI” (body mass index) over “fatness,” “size” or “obesity”, <a href="https://pubmed.ncbi.nlm.nih.gov/27354290/">particularly women</a>.</p> <p>Measuring weight, height and waist circumference should be <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">considered routine in primary care</a>. But this needs to be done without judgement, and in collaboration with the patient.</p> <p><strong>Helen Truby - Nutrition scientist </strong></p> <p>Yes. A high body weight contributes to many chronic conditions that negatively impact the <a href="https://www.aihw.gov.au/australias-health/summaries">quality of life and mental health</a> of millions of Australians.</p> <p>Not all GPs feel confident having weight conversations, given the sensitive nature of weight and its stigma. GPs' words matter – they are a <a href="https://doi.org/10.1111/nbu.12320">trusted source</a> of health information. It’s critical GPs gain the skills to know when and how to have <a href="https://doi.org/10.1186/s12875-019-1026-4">positive weight conversations</a>.</p> <p>GPs need to offer supportive and affordable solutions. But effective specialist weight management programs are few and far between. More equitable access to programs is essential so GPs have referral pathways after conversations about weight.</p> <p>GPs' time is valuable. Activating this critical workforce is essential to meet the <a href="https://www.health.gov.au/resources/publications/national-obesity-strategy-2022-2032?language=en">National Obesity Strategy.</a></p> <p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, Deputy Editor and Senior Health Editor, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.</em></p>

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Doctor debunks air fryer myth

<p>Air fryers have become somewhat of a commodity in many kitchens worldwide, with them rising in popularity over the past few years, so news that they could be damaging to our health may cause quite a stir.</p> <p>However, similar to how uncredited information seems to circle the internet, a doctor has told viewers not to take the latest warnings over “toxic” air fryers too seriously.</p> <p>One online user posted a TikTok claiming they had found out "air fryers were toxic because of the material used”, so UK doctor Karan Raj decided to weigh in on the matter.</p> <p>"The biggest worry from fear mongers centres around the non-stick materials used, also known as forever chemicals,” he said in a clip that’s since raked in over a million views.</p> <p>"Forever chemicals” earned the name because they don’t break down in the environment or in our bodies. Also known as PFAS, they are resistant to water, grease, and heat and are found in a number of everyday products such as food packaging, cosmetics, clothing and toilet paper.</p> <p>"Fun fact, every time you sit down to eat microplastics fall from the air and land in your food, or are already part of your food," he explained.</p> <p>The issue of “toxic” chemicals leeching into your food from cooking in an air fryer "is only really an issue if the air fryer is damaged,” Dr Raj added.</p> <p>It is recommended to minimise how much damage and scratching there is to the non-stick coating of the fryer so the chemicals don’t get into your food.</p> <p>"Clean it safely, avoid using abrasive scrubbing tools, use wood or silicone utensils and use liners," he said.</p> <p>"And if you're really worried about the non-stick coating, you can use a ceramic or stainless steel air fryer.”</p> <p>People in the comments thanked him for the explanation. " Some people will trust anyone EXCEPT actual Doctors,” one user teased.</p> <p>Dr Raj went on to ask his followers what their favourite meal to cook in an air fryer was, adding, "Air fried chips just taste special".</p> <p><em>Image credit: TikTok</em></p>

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5 ways alcohol can sabotage your weight loss goals, according to an obesity doctor

<p><strong>Alcohol and weight loss </strong></p> <p>“Hey Siri, can I still lose weight if I drink alcohol?” Goodness, we only wish the answer was that simple. Research is mixed (no pun intended) on whether alcohol can lead to weight gain. That’s because weight is complex – and some people notice a shift on the scale when they consume alcohol, while others don’t.</p> <p>As a doctor who specialises in the science of weight, I can say what we do know is that many of these alcoholic drinks are energy-dense (meaning high in kilojoules) and provide little to no nutrition, which may put a damper on your weight loss efforts. Here are five major reasons alcohol can impede you weight loss efforts.</p> <p><strong>Your body views alcohol as a toxin</strong></p> <p>Your body metabolises and eliminates alcohol from the body with the help of two enzymes: Alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH). When you imbibe, these two work together to break apart the alcohol molecules, producing a toxic substance, acetaldehyde, then acetate, so that your body can get rid of it – and fast.</p> <p>Here’s why that matters when you’re trying to lose weight. Since your body prioritises alcohol digestion, it puts digestion of other nutrients (like fat, carbs, and protein) on the back burner. In other words, your body might put off metabolising fat and carbs when it’s busy breaking down alcohol. Over time and repeated patterns, this could lead to increased fat storage and weight gain.</p> <p><strong>Alcohol can cause inflammation</strong></p> <p>Alcohol can impair the functions of the gut, liver, and other organs – interfering with the immune system and causing systemic inflammation. Alcohol consumption stimulates a cascade of inflammatory responses, one of which is the release of cortisol, the stress hormone. And research has shown that persistently high levels of cortisol are associated with obesity. That’s why it’s best for people with obesity, who are already at an increased risk of inflammation, to limit or avoid alcohol.</p> <p><strong>Alcohol affects sleep - and sleep impacts weight </strong></p> <p>It may seem like that nightcap helps you fall asleep, but alcohol can actually disrupt how well you snooze. One study, which looked at participants’ heart rates and ability to relax during sleep, showed that even small amounts (0.25 grams per kilogram or less) of alcohol decreased those markers of quality of sleep by 9.3%.</p> <p>And the more you drink, the worse you sleep – the same study linked moderate drinking to a 24% decrease in sleep quality, and heavy drinking to a 39.2% decrease in sleep quality.</p> <p>You may think a few nights of low-quality shut-eye is harmless, but research has shown that just one to three nights of poor sleep can lead to insulin resistance. Over time, that could put you at risk of obesity.</p> <p><strong>Alcohol is often full of sneaky of sneaky kilojoules and sugar</strong></p> <p>Many mixed drinks, tasty as they might be, contain added kilojoules and sugar on top of the naturally occurring sugars and kilojoules in alcohol.</p> <p>Even a so-called “lower-kilojoule” option, like a vodka tonic, can have as many kilojoules and grams of sugar as a serving of ice cream. Before you know it, your 30ml serving of vodka just jumped from 280 kilojoules to 700 kilojoules when you add 200ml of tonic. Have a few of those, and you’re looking at upwards of 2000 or more kilojoules on liquid alone – kilojoules that don’t provide your body with the best nutrition.</p> <p>Let’s compare these 2000 kilojoules in a few vodka tonics to a 2000-kilojoule meal of salmon, brown rice, and steamed veggies. The drinks are empty kilojoules, whereas the meal has fat, fibre and protein to keep you fuller and satisfied for longer – a win-win while trying to lose weight – while also providing high-quality nourishment.</p> <p><strong>Drinking impacts food choices</strong></p> <p>Have you ever noticed after drinking alcohol, you get a sudden hankering for a fast food run or pizza delivery? That’s because alcohol can impair decision-making and lead to impulse decisions when it comes to food – and research suggests it may even stimulate the appetite. Those who drink alcohol with a meal also tend to eat more – 30% more, according to one study.</p> <p>While alcohol won’t impact everyone’s weight the same way, it’s best to be mindful of how much you drink when trying to lose weight. Consider skipping it altogether or aim for moderation. Just know that even if you follow the limit for moderate drinking as recommended in the Australian Alcohol Guidelines by the National Health and Medical Research Council (NHMRC) —no more than 10 standard drinks a week and no more than 4 standard drinks on any one day – it still adds up over time. Several studies have shown that the risk of obesity is roughly two times higher in adults who consume alcohol than in those who don’t.</p> <p>Considering mocktails (non-alcoholic beverages) are popping up on more and more bar menus these days, rest assured your after-work social hour will still be filled with cheers. Just be sure to opt for a lower-kilojoule option, such as soda water with a squeeze of fresh lime or a craft mocktail with half the amount of simple syrup.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/diet/5-ways-alcohol-can-sabotage-your-weight-loss-goals-according-to-an-obesity-doctor" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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Longevity doctor shares secret to a long life

<p dir="ltr">A doctor who specialises in the science of longevity has shared his secret for living longer, and it's much more simple than you would think. </p> <p dir="ltr">Dr Peter Attia, a U.S.-Canadian physician, says exercising for just three hours a week is not only essential for a healthy lifestyle, but can reduce your chances of an early death by 50 per cent.</p> <p dir="ltr">“Exercising is the most underutilised change we can make to affect the length and quality of our life,” Dr Attia said.</p> <p dir="ltr">He encouraged everyone to include both strength training and cardiovascular fitness into regular exercise routines, and to eat enough protein in a balanced diet. </p> <p dir="ltr">“You want to make sure you're covering all your bases and that means both lifting weights, because strength is one of the most highly associated features with longevity, but also doing cardiorespiratory fitness,” he told the Sunrise breakfast show. </p> <p dir="ltr">Dr Attia believes that, in simple terms, if you're starting from zero, exercising for just 30 minutes a day, six days a week, can half your death rate.</p> <p dir="ltr">However, he said the “right” amount of exercise a person should be doing per week is dependent on an individuals’ level of fitness.</p> <p dir="ltr">While Dr Attia shared the physical benefits of regular exercise, he also reiterated how important daily movement is for mental health. </p> <p dir="ltr">“What we know is exercise is the single biggest elixir for brain health. And it's amazing how much more powerful it appears to be than nutrition, even sleep. And those things are very important, but exercise is on a league of its own,” he said.</p> <p dir="ltr">“I thought there had to be something more powerful. But as important as sleep [and] nutrition are, exercise kind of takes the cake.”</p> <p dir="ltr"><em>Image credits: Instagram</em></p>

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Gastro or endometriosis? How your GP discusses uncertainty can harm your health

<p>You wake with stomach pain that worsens during the day and decide to see your doctor. You describe your symptoms and your doctor examines you. Then the doctor says, “From what I hear, I think you could just have a stomach bug. Rest and come back in three days.”</p> <p>This might be a less definitive answer than you’re after. But doctors can’t always be sure of a diagnosis straight away. As <a href="https://link.springer.com/article/10.1007/s11606-022-07768-y">my review</a> shows, doctors use various ways of communicating such uncertainty.</p> <p>Sometimes there is a mismatch between what doctors say when they’re uncertain and how patients interpret what they say, which can have harmful consequences.</p> <h2>Why does uncertainty matter?</h2> <p>Doctors <a href="https://link.springer.com/article/10.1007/s11606-017-4164-1">cannot always explain</a> what your health problem is or what caused it. Such diagnostic uncertainty is a normal and <a href="https://doi.org/10.1001/jama.2022.2141">ever-present part</a> of the processes leading to a diagnosis. For instance, doctors often have to rule out other possible diagnoses before settling on one that’s most likely.</p> <p>While doctors ultimately get the diagnosis right <a href="http://dx.doi.org/10.1136/bmjqs-2012-001615">in 85-90%</a> of cases, diagnostic uncertainty can lead to diagnostic delays and is a huge contributor to harmful or even deadly misdiagnoses.</p> <p>Every year, <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">an estimated</a> 21,000 people are seriously harmed and 2,000-4,000 people die in Australia because their diagnosis was delayed, missed or wrong. That could be because the wrong treatment was provided and caused harm, or the right treatment was not started or given after the condition had already considerably progressed. More than <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">80% of diagnostic errors</a> could have been prevented.</p> <p>Three medical conditions – infections, cancer and major vascular events (such as strokes or heart attacks) – are the so-called “<a href="https://doi.org/10.1515/dx-2019-0019">Big Three</a>” and cause devastating harm if misdiagnosed.</p> <p>In my review, the top three symptoms – fever, chest pain and abdominal pain – were most often linked to diagnostic uncertainty. In other words, most of us will have had at least one of these very common symptoms and thus been at risk of uncertainty and misdiagnosis.</p> <p>Some groups are less likely to be diagnosed correctly or without inappropriate delay than others, leading to <a href="https://doi.org/10.1001/jama.2022.7252">diagnostic inequities</a>. This may be the case for <a href="https://www.liebertpub.com/doi/10.1089/whr.2022.0052">women</a>, and other groups marginalised because of their <a href="https://onlinelibrary.wiley.com/doi/10.1111/acem.14142">race or ethnicity</a>, <a href="https://doi.org/10.1016/j.socscimed.2020.113609">sexual orientation or gender identity</a>, or <a href="https://doi.org/10.1001/jama.2022.7252">language proficiency</a>.</p> <h2>How often do you hear ‘I don’t know’?</h2> <p>My research showed doctors often make diagnostic uncertainty clear to patients by using explicit phrases such as: “I don’t know.”</p> <p>But doctors can also keep quiet about any uncertainty or signal they’re uncertain in more subtle ways.</p> <p>When doctors believe patients prefer clear answers, they may only share the most likely diagnosis. They say: “It’s a stomach bug” but leave out, “it could also be constipation, appendicitis or endometriosis”. </p> <p>Patients leave thinking the doctor is confident about the (potentially correct or incorrect) diagnosis, and remain uninformed about possible other causes. </p> <p>This can be especially frustrating for patients with chronic symptoms, where such knowledge gaps can lead to lengthy diagnostic delays, as reported for <a href="https://doi.org/10.1016/j.ajog.2018.12.039">endometriosis</a>.</p> <p>Subtle ways of communicating uncertainty include hedging with certain words (could, maybe) or using introductory phrases (my guess, I think). Other implicit ways are consulting a colleague or the Internet, or making follow-up appointments.</p> <p>If patients hear “I think this could be a stomach bug” they may think there’s some uncertainty. But when they hear “come back in three days” the uncertainty may not be so obvious.</p> <p>Sharing uncertainty implicitly (rather than more directly), can leave patients unaware of new symptoms signalling a dangerous change in their condition.</p> <h2>What can you do about it?</h2> <p><strong>1. Ask about uncertainty</strong></p> <p>Ask your doctor to share any <a href="http://dx.doi.org/10.1515/dx-2021-0086">uncertainty and other diagnostic reasoning</a>. Ask about alternative diagnoses they’re considering. If you’re armed with such knowledge, you can better engage in your care, for example asking for a review when your symptoms worsen.</p> <p><strong>2. Manage expectations together</strong></p> <p>Making a diagnosis can be an evolving process rather than a single event. So ask your doctor to outline the diagnostic process to help manage any <a href="http://dx.doi.org/10.1136/ebm.14.3.66">mismatched expectations</a> about how long it might take, or what might be involved, to reach a diagnosis. Some conditions need time for symptoms to evolve, or further tests to exclude or confirm.</p> <p><strong>3. Book a long appointment</strong></p> <p>When we feel sick, we might get anxious or find we experience heightened levels of fear and other emotions. When we hear our doctor isn’t certain about what’s causing our symptoms, we may get even more anxious or fearful.</p> <p>In these cases, it can take time to discuss uncertainty and to learn about our options. So book a long appointment to give your doctor enough time to explain and for you to ask questions. If you feel you’d like some support, you can ask a close friend or family member to attend the appointment with you and to take notes for you.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/gastro-or-endometriosis-how-your-gp-discusses-uncertainty-can-harm-your-health-196943" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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“Less is more”: Skin doctor shares her holy grail skincare routine

<p dir="ltr">A skin and cosmetic doctor has shared her holy grail skincare routine that focuses on a “less is more” approach for more mature skin. </p> <p dir="ltr">Dr Imaan Joshi, 49, only began her foray into the complicated world of skincare when she was 42, and now had refined her routine to work in her favour. </p> <p dir="ltr">Dr Joshi only cleanses once each day, uses a handful of serums in the morning and puts on hyaluronic acid and retinol before bed.</p> <p dir="ltr">Chatting with <a href="https://www.dailymail.co.uk/femail/beauty/article-11300931/Skin-doctor-shares-products-uses-face-everyday.html">Femail</a>, she admitted she prefers the “wash and wear” approach to achieving healthy skin. </p> <p dir="ltr">“You don’t need 10 steps or whatever to get the job done if you use targeted personalised stuff for you and stop following fads and trends,” she said.</p> <p dir="ltr">“Most of my patients are busy with hectic lifestyles. Keeping it simple means they’re more likely to stick to their routines rather than skip it completely because it’s too hard.”</p> <p dir="ltr">She also says looking after your skin isn't about “looking younger”, but rather about looking healthier.</p> <p dir="ltr">“I think my skin looks better but the goal is never to look younger. I’m not trying to pass as younger, that’s an unintended consequence if it happens, not the goal,” she said.</p> <p dir="ltr">As well as her five minute a day routine in the mornings and evenings, Dr Joshi also likes to do  monthly laser and chemical peels, and an 'anti-wrinkle' treatment every three or four months. </p> <p dir="ltr">She also likes to do micro needling or have a deep hydration done twice each year.</p> <p dir="ltr">While she admits these treatments, creams and clinic visits can “all add up”, she says it's important to invest in your skincare the same way you would your physical health. </p> <p dir="ltr"><em>Image credits: Instagram</em></p>

Beauty & Style

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Readers Respond: What is the most unprofessional thing a doctor has said to you?

<p dir="ltr">When you go to your family doctor or specialist the last thing you’d expect is something unprofessional being said. </p> <p dir="ltr">But unfortunately, it appears to be more common than we think and it is unacceptable. </p> <p dir="ltr">We asked our readers to shed some light on some of the unprofessional comments they’ve received from doctors and they are nothing but shocking.</p> <p dir="ltr">Check them out below.</p> <p dir="ltr">Julie Lancashire - At 90 years my mum got her pacemaker replaced after 10 years and the doctor saying he didn't expect he'd be doing it again. She's now 93 and counting!</p> <p dir="ltr">Carole Meyer - I was patted on the head and told I didn’t need to know how many stitches I had after giving birth.</p> <p dir="ltr">Rosalea Mifsud - I asked our doctor of 35 years if my husband could have Legionnaires' disease as he was extremely ill after opening the potting mix. Instead of swabbing or testing urine, his reply was “I don’t know as I have never had a patient with it”. My husband was ill for 2 months, but never diagnosed. He had a blood test which showed he had a virus.</p> <p dir="ltr">Jean Ahmet - My husband had a large operation to remove cancer. When he went for a check up a year later the registrar said to him “see you next year if you are still around”.</p> <p dir="ltr">Terrie Giancola - My husband was told he was considered “not viable” for surgery for liver cancer by a surgeon at a large public hospital in Melbourne, “go home enjoy what time you have left you won’t feel any pain”. Twenty-two years later after successful surgery at a large private hospital we both still remember the callousness of that comment.</p> <p dir="ltr">Margaret Gauld - Asking me what I was thinking about during an internal examination.</p> <p dir="ltr">Elizabeth Mcdowell - Went through years of pain and one day called into the hospital. The doctor checking me said l was faking the pain and wasting his time. Two more years of excruciating pain I saw a specialist who took my gallbladder out. He said it was full of puss and was very infected. Been fine ever since. </p> <p dir="ltr">Liz Wood - I was told to get pregnant and that would fix all my problems. Only thing was I had been told two weeks before having an operation for a burst cyst on my ovaries. I was then told I would not be able to have children. I reported the doctor for his insensitive comments. He had not read my case history.</p> <p dir="ltr">Vicki Pritchard - If you weren’t so overweight it wouldn’t have hurt as much! I fell down the cement stairs. I was in PAIN.</p> <p dir="ltr">Sue Schultz - Your baby shouldn't have died…but you are not the only one that has lost a baby!!!! I was just shattered.</p> <p dir="ltr">Share any unprofessional comments you’ve received <a href="https://www.facebook.com/oversixtyNZ/posts/pfbid02XYbmr2cQdZKdHTMxgHBTbKEMq7HCpVMoKGn2RMPSNjdJ5Ph6LDQGwRtbWQ5EtGV3l" target="_blank" rel="noopener">here</a>.</p> <p dir="ltr"><em>Image: Shutterstock</em></p>

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Icon from The Wombles dies

<p dir="ltr">British actor Bernard Cribbins has died at the age of 93.</p> <p dir="ltr">The beloved actor is best known for his voiceover role in the popular television series <em>The Wombles</em> and <em>Doctor Who</em>.</p> <p dir="ltr">Devastating news of his passing was confirmed on Thursday in a statement from his agent who described Cribbins as "unique, typifying the best of his generation. </p> <p dir="ltr">"Beloved actor Bernard Cribbins OBE has passed away at the age of 93," the statement read.</p> <p dir="ltr">"His career spanned seven decades with such diverse work ranging from films like The Railway Children and the Carry On series, hit 60s song Right Said Fred, a notorious guest on Fawlty Towers and narrating The Wombles.</p> <p dir="ltr">"He worked well into his 90s, recently appearing in Doctor Who and the CBeebies series Old Jack's Boat.</p> <p dir="ltr">“He will be greatly missed by all who had the pleasure of knowing and working with him.”</p> <p dir="ltr">Former <em>Doctor Who</em> stars David Tennant and showrunner Russell T Davies shared statements following news of Cribbins passing. </p> <p dir="ltr">"Sad news that Bernard Cribbins has passed away," Tennant wrote on Twitter.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CgjG22-tf69/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CgjG22-tf69/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Russell T Davies (@russelltdavies63)</a></p> </div> </blockquote> <p dir="ltr">“Bernard Cribbins (1928-2022) I love this man. I love him. That’s him as Snout in A Midsummer Night’s Dream,” Davies’ post began.</p> <p dir="ltr">“D’you fancy doing some Shakespeare, Bernard? ‘Let me see the script.’ He knew everyone! </p> <p dir="ltr">“He’d talk about the Beatles and David Niven, and how he once sat on the stairs at a party impersonating bird calls with T H White. Then he’d add, ‘I said to Ashley Banjo last week…’ </p> <p dir="ltr">“He loved being in Doctor Who. He said, ‘Children are calling me grandad in the street!’ His first day was on location with Kylie Minogue, but all eyes, even Kylie’s, were on Bernard. </p> <p dir="ltr">“He’d turned up with a suitcase full of props, just in case, including a rubber chicken. And what an actor. </p> <p dir="ltr">“Oh, really though, what a wonderful actor. We once took him to the TV Choice Awards and sent him up on his own to collect the award, and the entire room stood up and cheered him. That’s a lovely memory. </p> <p dir="ltr">“He’d phone up and say, ‘I’ve got an idea! What if I attack a Dalek with a paintball gun?!’ Okay, Bernard, in it went! </p> <p dir="ltr">“He loved Gill with all his heart; he mentioned her in every conversation we ever had. A love story for the ages. I’m so lucky to have known him. </p> <p dir="ltr">“Thanks for everything, my old soldier. A legend has left the world.”</p> <p dir="ltr"><em>Image: Getty </em></p>

News

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Taylor Swift receives honorary doctorate

<p dir="ltr">Grammy-award winner Taylor Swift has another achievement to her name, as she has received an honorary doctorate from the New York University.</p> <p dir="ltr">The pop music icon was honoured in the sector of fine arts in a ceremony at Yankee Stadium, as she addressed the graduating class of 2022. </p> <p dir="ltr">Sporting her signature red lipstick and newly awarded honorary robe, Swift joked to the thousands of graduates assembled, "I'm 90 percent sure the main reason I'm here is because I have a song called 22."</p> <p dir="ltr">"I never got to have a normal college experience per se. I went to public high school until 10th grade and then finished my education doing home school work on the floor of airport terminals," Swift said in her commencement speech.</p> <p dir="ltr">Swift went on to share worldly advice with the new graduates as they prepare for life outside of university. </p> <p dir="ltr">"You've worked and struggled and sacrificed and studied and dreamed your way here today. I won't tell you what to do because nobody likes that, but I will however give you life hacks for when I was starting out my dreams as a career," she said.</p> <p dir="ltr">"Never be ashamed of trying. Effortlessness is a myth."</p> <p dir="ltr">Swift concluded her speech by telling graduates that making mistakes is inevitable but "when hard things happen to us, we will recover, we will learn from it, we will grow more resilient because of it."</p> <p dir="ltr">"As long as we are fortunate enough to be breathing, we will breathe in, breathe through, breathe deep and breathe out. I am a doctor now so I know how breathing works," she said.</p> <p dir="ltr">"I hope you know how proud I am to share this day with you.</p> <p dir="ltr">"We're doing this together so let's just keep on dancing like we're the class of 22."</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

Music

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Doctor Strange star and husband found guilty of child abuse

<p><em><strong>Warning: This article contains graphic content that some readers may find distressing. </strong></em></p> <p>Zara Phythian, star of Marvel's latest movie <em>Doctor Strange</em>, has been arrested alongside her husband Victor Marke , with the pair now facing jail. </p> <p>The couple have been found guilty of sexually abusing a 13-year-old girl multiple times between 2005 and 2008. </p> <p>According to The Sun, Phythian plied the teen with rum before making her perform a sex act on her husband, which occurred once or twice a month until the teen was finally able to free herself. </p> <p>Jurors heard that the couple were working as martial arts experts at the time, and Marke had sex with the victim at least 20 times on different occasions. </p> <p>Marke, 59, branded the allegations “paedophile sh*t” when quizzed by officers after his arrest, Nottingham Crown Court was told.</p> <p>He said he was “really angry” to be accused, and told officers, “If you’re trying to say I’m a paedophile, I’m not.”</p> <p>Marke claimed he had consensual sex with the teen when she was 18 – something his wife only discovered during her police interview.</p> <p>Phythian, 38, told detectives she’d never had any form of sexual contact with the girl, calling it “bulls**t”.</p> <p>Upon discovering her husband had revealed he’d had sex with her accuser, she said she felt “confused”, adding that she’d “liked to have known about it”.</p> <p>The victim said she “would never have come forward” and planned to “die with my shame”, but as she recently became a mother, she said she felt she had “no option to speak my truth”.</p> <p>Despite denying all allegations of abuse, the couple were found unanimously guilty by the jury. </p> <p>Judge Mark Watson will decide later when the pair will be sentenced.</p> <p><em>Image credits: Getty Images</em></p>

Legal

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What makes doctors likely to stay in the countryside?

<p>A <a href="https://doi.org/10.5694/mja2.51476" target="_blank" rel="noreferrer noopener">study</a> published this week in the <em>Medical Journal of Australia</em> (MJA) investigates the factors that make Australian doctors more likely to practice in rural communities after graduation.  </p> <p>“An adequate rural medical workforce is critical for continuity of care and the health and wellbeing of rural communities,” the study authors write.</p> <p>The research looked at data from doctors trained at 11 Australian medical schools, tracking how many of them were practicing medicine in metropolitan, regional or rural areas of Australia five and eight years following their graduation in 2011.</p> <p><strong>Rural origins and training experiences are key</strong></p> <p>Medical graduates who came from a rural background themselves, or who had undertaken extended rural placement during their training, were significantly more likely to move to or remain in rural practice.</p> <p>Graduates who fulfilled both categories – who were of rural origin <em>and</em> had extended rural training experience – were about 3.6 times as likely to be working in regional areas and 4.8 times as likely to be working in rural areas eight years after graduation, compared to graduates who came from cities and had not completed extended rural placement.</p> <p>Katie Willson, a GP junior registrar currently working in Murray Bridge, fits this description. She grew up in Toowoomba before moving to Brisbane and then Adelaide, studying medicine through a special rural stream at Flinders University.</p> <p>“As a trainee, I really liked that you were so hands-on,” Willson explains. “A lot of my [metropolitan] colleagues were just trailing at the end of the team in a big hospital.</p> <p>“In the country, I was the one working with the doctor. I found that my skills and knowledge progressed way faster than I expected.”</p> <p>The new study also found that graduates who were not of rural origin but had an extended rural training experience were 2.7 times as likely to be practicing in rural areas eight years after graduation, compared to their metropolitan fellows who had not had this experience.</p> <p><strong>Moving from rural to metro and back again</strong></p> <p>Between the five-year and eight-year timepoints, comparatively few graduates moved from metropolitan to rural locations or vice versa.</p> <p>However, the authors noted that the overall proportion of 2011 graduates practicing in rural locations rose during the study period, from 7.6% at five years post-graduation to 9.4% eight years post-graduation. This suggests doctors may be moving to rural communities after completing training that is more accessible in the cities.</p> <p>Sarah Trewren, originally from Berri in the SA Riverland, completed her medical degree in 2020 and is currently working at the Royal Adelaide Hospital. However, she hopes to return to rural practice in her future career.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p187890-o1" class="wpcf7" dir="ltr" lang="en-US" role="form"> <form class="wpcf7-form mailchimp-ext-0.5.61 init" action="/people/society/retain-rural-medical-workforce/#wpcf7-f6-p187890-o1" method="post" novalidate="novalidate" data-status="init"> <p style="display: none !important;"><span class="wpcf7-form-control-wrap referer-page"><input class="wpcf7-form-control wpcf7-text referer-page" name="referer-page" type="hidden" value="https://cosmosmagazine.com/health/" data-value="https://cosmosmagazine.com/health/" aria-invalid="false" /></span></p> <p><!-- Chimpmail extension by Renzo Johnson --></form> </div> </div> <p>“My dad was a rural GP in Berri – he worked there for all my life,” she explains.</p> <p>Trewren moved to Adelaide to attend medical school and participated in the John Flynn placement program, which included a two-week rural placement every year for the first four years of her degree. She went on to complete her fifth-year training in a town in SA’s Barossa Valley.</p> <p>“I have no doubt I will end up rural at some point in life,” Trewren says. “I really love the community feel you get in a rural town and getting to know patients a bit better at the GP clinic.”</p> <p>However, both Trewren and Willson agree that rural practice can be daunting at times for junior doctors.</p> <p>“I think isolation and lack of support is definitely a challenge, and it can be hard keeping up your training and education,” Willson says.</p> <p>“In the city, it’s very much a hierarchical-type situation, so as junior doctors you’ve always got someone above you who you can call,” says Trewren. “You can bounce ideas off each other.”</p> <p><strong>Supporting the rural medical workforce</strong></p> <p>The new research findings point to promising strategies to increase a sustainable rural medical workforce in Australia.</p> <p>“This study confirms what previous research had suggested – that we can potentially grow the rural medical workforce by increasing the proportion of rural origin students admitted to medical schools,” says Georgina Luscombe, an associate professor at the University of Sydney’s School of Rural Health and senior author on the new study.</p> <p>“But also, by increasing opportunities for students originating from metropolitan areas to have those extended placement opportunities in clinical schools in places like Dubbo, Orange and Broome.”</p> <p>That conclusion chimes well with both Trewren and Willson’s experiences.</p> <p>“It just seems that the rural kids are the ones more willing to do the rural placements and the rural experiences and actually enjoy it … they know what to expect in terms of lifestyle and distance,” Trewren says.</p> <p>Willson credits her extensive rural training experience, in particular, for setting her on her current path.</p> <p>“The thing that really changed my view in my whole career trajectory was placement,” she says.</p> <p>“Coming from a rural background, you might have developed that initial interest and passion, but if you didn’t get a good experience during training as a doctor then you’re less likely to choose it.”</p> <p><!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --></p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=187890&amp;title=What+makes+doctors+likely+to+stay+in+the+countryside%3F" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /></p> <p><!-- End of tracking content syndication --></p> <div id="contributors"> <p><em><a href="https://cosmosmagazine.com/people/society/retain-rural-medical-workforce/" target="_blank" rel="noopener">This article</a> was originally published on <a href="https://cosmosmagazine.com" target="_blank" rel="noopener">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/matilda-handlsey-davis" target="_blank" rel="noopener">Matilda Handsley-Davis</a>. Matilda is a science writer at Cosmos. She holds a Bachelor of Arts and a Bachelor of Science (Honours) from the University of Adelaide.</em></p> <p><em>Image: Getty Images</em></p> </div>

Domestic Travel

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13 foods doctors eat when they have a cold

<p>That age-old advice is dead-on: when you’re sick, your body needs extra fuel in the form of kilojoules to defend against germs and mount an immune response. “What you eat can be one of the best weapons in your arsenal,” says pulmonologist, Dr Gustavo Ferrer. The right nutrients can give your immune system a much-needed boost, help clear up some of those irritating symptoms, and get you back on your feet faster. Doctors shared their favourite home remedies when they feel a cold coming on – and some of their recommendations may surprise you.</p> <p><strong>Chicken soup</strong></p> <p>It’s not just for your soul – chicken soup may actually help fight upper respiratory tract infections, according to an older, but classic study published in the journal Chest that looked at how immune cells responded in the laboratory. “When we get attacked by a virus, our natural defences can cause an inflammatory response,” says Dr Ferrer. Some combination of ingredients in the soup may inhibit the white blood cell activity that can cause inflammation.</p> <p><strong>Strawberries</strong></p> <p>These berries are brimming with antioxidant power – they’re among the top 20 richest fruits when it comes to free radical slaying compounds – particularly vitamin C. And last year, a study in the journal Nutrients found that getting up to eight grams of vitamin C a day can help shorten the length of a cold. Adding a cup of sliced strawberries to your smoothie will net you about 100 milligrams of vitamin C.</p> <p><strong>Garlic</strong></p> <p>This potent bulb contains a compound known as allicin, which has antibacterial and antiviral properties that may help fight off the common cold. Chopping or crushing garlic activates this compound, so for maximum results, prep it and let it sit for several minutes before eating it. In research published in the Cochrane Database of Systemic Reviews, people who took a garlic supplement daily reported fewer colds over a three-month span than those who popped a placebo.</p> <p><strong>Honey</strong></p> <p>Sore throat? The sticky, sweet nectar was found to be superior to many over-the-counter cough suppressants, Dr Ferrer says. For a soothing elixir that’s the bee’s knees, combine honey with lemon juice for a little vitamin C antioxidant action, he adds.</p> <p><strong>Carrots</strong></p> <p>These may be one of the ingredients that give chicken soup its curative properties. Carrots and other orange-hued produce contain beta-carotene. Your body converts this compound to vitamin A, a building block of your immune system, says Dr Eudene Harry.</p> <p><strong>Onions</strong></p> <p>These aromatics contain quercetin, an antioxidant with antiviral and anti-inflammatory properties. “A lot of the symptoms you get when you’re sick is your body hyper-responding to things that are not necessarily a threat,” says Dr Harry. “Antioxidants help quell some of that response so it doesn’t get out of control. They remove waste products and reduce inflammation,” she says.</p> <p><strong>Capsicum</strong></p> <p>Research shows that being cold may suppress your immune system a bit, but vitamin C has natural immune-boosting properties. Loading up on C-rich foods can be a good way to compensate for a suppressed immune function during the chillier months, Dr Harry says. A cup of chopped capsicum has two times as much vitamin C as a medium orange.</p> <p><strong>Green tea</strong></p> <p>Fluids are important when you’re sick because, Dr Harry says, “Everything works better when you’re hydrated.” Green tea is a good choice because it contains the potent antioxidants catechins, along with theanine, an amino acid. Both have been linked to immunity, research shows.</p> <p><strong>Ginger</strong></p> <p>If the dreaded stomach flu is going around, stock up on this relieving root. It’s known for its anti-nausea properties. It also contains compounds known as gingerols that have an anti-inflammatory effect, which makes it an ideal addition to a cup of tea for soothing a sore throat. Dr Harry likes to take hers with ginger, pomegranate and lemon.</p> <p><strong>Mushrooms</strong></p> <p>These fungi are one of the few edible sources of vitamin D, which we normally get from the sun. Shorter daylight hours during the autumn and winter months can mean we’re not getting enough of that nutrient, which can open the door to lowered immunity. Mushrooms don’t naturally contain that much vitamin D, but if they are grown in the presence of ultraviolet light they will produce more. (Check the package for actual content of vitamin D.)</p> <p>Shiitake mushrooms, in particular, may help in this regard, says associate professor of medicine, Dr Gerard Mullin.  A study published in the Journal of the American College of Nutrition showed that people who ate 5 or 10 grams of shiitake mushrooms a day had improved markers of immunity, including better-functioning gamma delta T cells and reductions in inflammatory proteins in their blood.</p> <p><strong>Hot sauce</strong></p> <p>A big hit of wasabi or sriracha can feel like it’s clearing your sinuses even when you’re not sick – and it turns out, that could very well be the case. A Cochrane review of research on nasal sprays containing capsaicin, the active compound in chilli peppers and other spicy foods, improves symptoms of nonallergic rhinitis (aka sneezing, congestion) better than a placebo, possibly because of its anti-inflammatory effect. Plus, spicy peppers are another good source of vitamin C.</p> <p><strong>Turmeric</strong></p> <p>Spiking your coffee with this spice, aka a golden latte, won’t hurt. Curcumin, the active compound in the vibrant yellow powder, has anti-inflammatory, antibacterial and antiviral properties. “Oxidative stress goes up when your body is under attack,” says Dr Mullin. That can cause residual damage beyond what the invading germs cause. Turmeric, he says, can help with that.</p> <p>YoghurtFermented dairy products may not be your go-to when you’re feeling under the weather, but they should be, says Dr Mullin. “Most of your immune system is in your gut,” he explains, and probiotic-containing foods like yoghurt help keep your gastrointestinal tract teeming with healthy bacteria. Indeed, research has found that the benefits go beyond digestive health: a 2017 study in the journal Nutrients found that eating yoghurt daily increase the activity of killer T cells, whose job it is to destroy infected cells in the body. And there’s no evidence that dairy creates phlegm or contributes to congestion, so spoon away!</p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/13-foods-doctors-eat-when-they-have-a-cold" target="_blank" rel="noopener">Reader’s Digest</a>.</em></p>

Body

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It’s a boy! Doctor leaps into action to deliver baby mid-flight

<p dir="ltr">A pregnant woman has unexpectedly given birth mid-flight, prompting a fellow passenger and doctor to set up a temporary maternity unit to help deliver the baby.</p><p dir="ltr">The Ghanian woman, who gave her name as GG, was on board a flight from Ghana to the US on January 29 when she prematurely gave birth. </p><p dir="ltr">After a Ghanian doctor delivered her baby, converting the plane’s business class area into a temporary maternity ward. </p><p dir="ltr">The woman was then met with “shock and applause” from those around her.</p><p dir="ltr">However, she was expecting to give birth later in February, an eye witness told the <a href="https://www.bbc.com/news/world-africa-60219964" target="_blank" rel="noopener">BBC</a>.</p><p dir="ltr">Journalist Nancy Adobea Anane, who was also on the flight, told BBC News Pidgin that an on-board announcement for medical assistance initially prompted confusion among passengers.</p><p dir="ltr">“Most of them heard the call for assistance from medical personnel but didn’t know what was going on,” she said.</p><p><span id="docs-internal-guid-650fd780-7fff-5aa7-2acd-d96975929135"></span></p><p dir="ltr">“I became anxious for the safety of the baby and mother, and the possibility of a detour for an emergency landing.”</p><p dir="ltr"><img src="https://oversixtydev.blob.core.windows.net/media/2022/02/doctor-baby.jpg" alt="" width="976" height="549" /></p><p dir="ltr"><em>Dr Stephen Ansah-Addo (left) helped deliver the baby on route to the US. Image: Nancy Adobea Anane (BBC)</em></p><p dir="ltr">Dr Stephen Ansah-Addo, who practises in the US, heard the request for help and set about delivering the baby.</p><p dir="ltr">“Myself, a nurse and the flight attendants … took [the mother] slowly through the process and she delivered a beautiful baby boy,” Dr Ansah-Addo said.</p><p dir="ltr">Ms Anane recalled that the birth was quite quick, with the baby boy entering the world within 45 minutes of the birth process starting.</p><p dir="ltr">“Her delivery was quick, like 30 to 45 minutes,” she said, which was then followed by “screaming and the familiar cry of the baby”.</p><p dir="ltr">Paramedics met the new mother and baby once the plane landed in Washington, where they received further care.</p><p dir="ltr">With the chances of going into labour naturally higher after 37 weeks of pregnancy according to the UK’s National Health Service, some airlines prohibit pregnant women from flying after this point.</p><p dir="ltr"><span id="docs-internal-guid-dc3b6e6f-7fff-952e-2c6f-b4a19f56c2e2"></span></p><p dir="ltr"><em>Image: Nancy Adobea Anane (BBC)</em></p>

Caring

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Should doctors prescribe fruit and vegetables?

<p><em>Image: Getty </em></p> <h2>New research suggests that providing healthy foods in a medical context can help some conditions.</h2> <div class="copy"> <p>We all know that fruit and vegetables are good for us, but are they so good that medical programs should prescribe them? A new study by Australian researchers suggests they should.</p> <p>A review carried out by the George Institute for Global Health, NSW, and Friedman School of Nutrition Science &amp; Policy at Tufts University, US, examined 13 programs that either subsidised or directly provided healthy foods as a form of medical treatment. They found that overall, participants in the programs ate more healthy foods and improved in a few different health indicators.</p> <p>“Collectively, we saw a positive impact on the health of patients in these programs, even though there were quite different ways in which they provided the healthier foods and measured the outcomes,” says Jason Wu, program head of nutrition science at the George Institute.</p> <p>“We found the effect of healthy food prescriptions on blood glucose was comparable to what you would expect to see from some commonly prescribed glucose-lowering medications – this adds weight to the growing evidence that food can also be medicine.”</p> <p>The researchers say that healthy food prescriptions could be beneficial for people who have limited access to these foods in particular.</p> <p>Roughly half of the study participants were experiencing food insecurity, while three-quarters had existing medical conditions.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p152223-o1" class="wpcf7"> <div class="wpcf7-response-output" aria-hidden="true">“People experiencing food insecurity are less able to manage chronic diseases owing to mental and financial strains, such as high costs of medications and other out-of-pocket health-related expenses,” says Saiuj Bhat, a clinician involved in the study.</div> </div> </div> <p>“Boosting the intakes of healthier foods like fruit and vegetables has even greater potential to improve the health of more vulnerable people.”</p> <p>Fruit and vegetables have been the focus of these health food prescriptions for now, but the researchers suggest that more work should be done investigating the effect of other healthy foods like nuts, beans, whole grains, and fish.</p> <p>The researchers are now running a study with 50 food-insecure patients in Sydney, in which each patient is being prescribed a box of these foods each week.</p> <p>The review is <a rel="noreferrer noopener" href="https://doi.org/10.1093/advances/nmab039" target="_blank">published</a> in <em>Advances in Nutrition.</em></p> <p><strong>Read more:</strong></p> <ul> <li><a rel="noreferrer noopener" href="https://cosmosmagazine.com/biology/confused-about-what-to-eat-here-s-a-doctor-s-recommended-meal-plan/" target="_blank">Here’s a doctor’s recommended meal plan</a></li> <li><a rel="noreferrer noopener" href="https://cosmosmagazine.com/society/packaged-foods-where-healthy-is-relative/" target="_blank">Packaged foods: where healthy is relative</a></li> <li><a rel="noreferrer noopener" href="https://cosmosmagazine.com/health/nutrition/taxing-sugar-is-good-for-all/" target="_blank">A sugar tax is good for all</a></li> </ul> <!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=152223&amp;title=Should+doctors+prescribe+fruit+and+vegetables%3F" alt="" width="1" height="1" /> <!-- End of tracking content syndication --></div> <div id="contributors"> <p><a href="https://cosmosmagazine.com/health/should-doctors-prescribe-fruit-and-vegetables/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/ellen-phiddian">Ellen Phiddian</a>. </p> </div>

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