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Terminal lucidity: why do loved ones with dementia sometimes ‘come back’ before death?

<a href="https://theconversation.com/profiles/yen-ying-lim-355185">Yen Ying Lim</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/diny-thomson-1519736">Diny Thomson</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Dementia is often described as “the long goodbye”. Although the person is still alive, dementia slowly and irreversibly chips away at their memories and the qualities that make someone “them”. Dementia eventually takes away the person’s ability to communicate, eat and drink on their own, understand where they are, and recognise family members. Since as early as the <a href="https://pubmed.ncbi.nlm.nih.gov/21764150/">19th century</a>, stories from loved ones, caregivers and health-care workers have described some people with dementia suddenly becoming lucid. They have described the person engaging in meaningful conversation, sharing memories that were assumed to have been lost, making jokes, and even requesting meals. It is estimated <a href="https://pubmed.ncbi.nlm.nih.gov/20010032/">43% of people</a> who experience this brief lucidity die within 24 hours, and 84% within a week. Why does this happen? <h2>Terminal lucidity or paradoxical lucidity?</h2> In 2009, researchers Michael Nahm and Bruce Greyson coined the term “<a href="https://pubmed.ncbi.nlm.nih.gov/21764150/">terminal lucidity</a>”, since these lucid episodes often occurred shortly before death. But not all lucid episodes indicate death is imminent. <a href="https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.13667">One study</a> found many people with advanced dementia will show brief glimmers of their old selves more than six months before death. Lucidity has also been <a href="https://www.sciencedirect.com/science/article/pii/S0167494311001865?via%3Dihub">reported</a> in other conditions that affect the brain or thinking skills, such as meningitis, schizophrenia, and in people with brain tumours or who have sustained a brain injury. Moments of lucidity that do not necessarily indicate death are sometimes called <a href="https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.12579">paradoxical lucidity</a>. It is considered paradoxical as it defies the expected course of neurodegenerative diseases such as dementia. But it’s important to note these episodes of lucidity are temporary and sadly do not represent a reversal of neurodegenerative disease. <h2>Why does terminal lucidity happen?</h2> Scientists have struggled to explain why terminal lucidity happens. Some episodes of lucidity have been reported to occur in the presence of loved ones. Others have reported that <a href="https://psywb.springeropen.com/articles/10.1186/s13612-014-0024-5">music can sometimes improve lucidity</a>. But many episodes of lucidity do not have a distinct trigger. <a href="https://www.sciencedirect.com/science/article/pii/S0300957223002162">A research team from New York University</a> speculated that changes in brain activity before death may cause terminal lucidity. But this doesn’t fully explain why people suddenly recover abilities that were assumed to be lost. Paradoxical and terminal lucidity are also very difficult to study. Not everyone with advanced dementia will experience episodes of lucidity before death. Lucid episodes are also unpredictable and typically occur without a particular trigger. And as terminal lucidity can be a joyous time for those who witness the episode, it would be unethical for scientists to use that time to conduct their research. At the time of death, it’s also difficult for scientists to interview caregivers about any lucid moments that may have occurred. Explanations for terminal lucidity extend beyond science. These moments of mental clarity may be a way for the dying person to say final goodbyes, gain closure before death, and reconnect with family and friends. Some believe episodes of terminal lucidity are representative of the person connecting with an afterlife. <h2>Why is it important to know about terminal lucidity?</h2> People can have a variety of reactions to seeing terminal lucidity in a person with advanced dementia. While some will experience it as being peaceful and bittersweet, others may find it deeply confusing and upsetting. There may also be an urge to modify care plans and request lifesaving measures for the dying person. Being aware of terminal lucidity can help loved ones understand it is part of the dying process, acknowledge the person with dementia will not recover, and allow them to make the most of the time they have with the lucid person. For those who witness it, terminal lucidity can be a final, precious opportunity to reconnect with the person that existed before dementia took hold and the “long goodbye” began.<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/202342/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/yen-ying-lim-355185">Yen Ying Lim</a>, Associate Professor, Turner Institute for Brain and Mental Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/diny-thomson-1519736">Diny Thomson</a>, PhD (Clinical Neuropsychology) Candidate and Provisional Psychologist, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Getty Images 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/terminal-lucidity-why-do-loved-ones-with-dementia-sometimes-come-back-before-death-202342">original article</a>.

Mind

"A Duck-Filled Platypus?!": Wheel of Fortune contestant's $10k mistake

A Wheel of Fortune contestant has made a hilarious mistake that cost her US$7250 ($10,900) with viewers blasting her on social media for not knowing the painfully obvious answer. During an episode of the American game show this week, Floridian contestant Kimberly Wright failed to complete the puzzle when she picked the wrong letter, according to Fox News. The puzzle board read “D U _ _ – _ _ L L E D PLATYPUS,” and Wright chose to spin the wheel which landed on the Express wedge. “I’m going to call an F,” she said, which elicited groans from audiences in the studio. Wright believed that the answer was “duck-filled platypus”, when it was “duck-billed platypus" an animal native to Australia, and many fans were in disbelief over her "painful" mistake. “I have never been more enraged watching wheel of fortune,” one fan wrote in response to a clip of the viral moment. “Oh my, that was painful. F?? She thought the platypus was filled? with what exactly?” another tweeted. “F***** brutal,” a third agreed. “Where did this lady think an F was going to go in this puzzle?" a fourth asked, while another wrote: “wheel of fortune puzzle was clearly duck-billed platypus and the lady asked for an F she’s like reverse autocorrect.” “A Duck-Filled Platypus!?” another chimed in. “Oh, I hope Red isn’t on social media. She gonna get blasted for missing that puzzle,” wrote another viewer. Image: News.com.au/ Wheel of Fortune

6 little known facts about The Sound of Music

The Sound of Music, released in 1965, continues to be one of the most beloved family films of all time. In honour of the iconic film, we look behind the scenes to reveal some little known facts about one of our favourite movies. 1. Julie Andrews kept falling over during the famous opening mountain scene While Julie Andrews may look graceful twirling atop the mountain in the opening scenes, in reality she kept being knocked over by the draft of the helicopter trying to capture the iconic aerial scene. Andrews said: “the down draft from those jets was so strong that every time… the helicopter circled around me and the down draft just flattened me into the grass. And I mean flattened. It was fine for a couple of takes, but after that you begin to get just a little bit angry… And I really tried. I mean, I braced myself, I thought, ‘It’s not going to get me this time.’ And every single time, I bit the dust.” 2. Christopher Plummer hates the movies Fans of Christopher Plummer’s Captain von Trapp will be disappointed to learn that he hated the film so much he called it “The Sound of Mucus”. “Because it was so awful and sentimental and gooey,” he said. “You had to work terribly hard to try and infuse some minuscule bit of humour into it.” To ease his pain, Plummer drank, even on set. He admitted on the DVD commentary that he was drunk when filming the Austrian music festival scene. 3. Charmian Carr injured herself during “Sixteen going on seventeen” Charmian Carr, who played Liesl Von Trapp, slipped while leaping from a bench in the gazebo scene. She fell through the glass and injured her ankle. In the scene, she is wearing a bandage on her leg, which is covered by make up. 4. Friedrich grew 15 centimetres during the six months of filming Nicholas Hammond, who played Friedrich Von Trapp, grew from 1.60 metres to 1.75 metres in the six months of filming. It caused many continuity problems in the movie as Friedrich had to be shorter than Liesl but taller than Louisa. As the beginning of the film, Hammond had lifts in his films but by the end, Carr who played Liesl had to stand on a box. 5. Mia Farrow auditioned for the role of Liesl. <a href="https://youtu.be/66v7gtwRGdM" target="_blank" rel="noopener">Watch her audition tape here.</a> 6. The film is historically inaccurate The movie is loosely based on the autobiography of Maria von Trapp, The Story of the Trapp Family Singers, but the film took many liberties. For instance, there were 10 von Trapp children, not seven. Maria left the convent to tutor one of the children, not to governess all them. Georg was a kind man, not the stern disciplinarian as depicted the film. Maria and him were married 11 years before the Nazis invaded Austria. And the Von Trapp family didn’t escape from the mountains by crossing over the mountains – that would have led straight to Hitler’s Germany. Image credits: Getty Images

Movies

There are new flu vaccines on offer for 2024. Should I get one? What do I need to know?

<a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Influenza is a common respiratory infection. Although most cases are relatively mild, flu can cause more severe illness in young children and older people. Influenza virtually <a href="https://pubmed.ncbi.nlm.nih.gov/33243355/">disappeared</a> from Australia during the first years of the COVID-19 pandemic when public health restrictions reduced contact between people. Since 2022, it has returned to a seasonal pattern, although the flu season has started and peaked a few months earlier than before 2020. It’s difficult to predict the intensity of the flu season at this point in the year, but we can sometimes get clues from the northern hemisphere. There, the season <a href="https://www.who.int/tools/flunet">started</a> <a href="https://gis.cdc.gov/grasp/fluview/flu_by_age_virus.html">earlier</a> than usual for the third year running (peaking in early January rather than late February/March), with a similar number of reported cases and hospitalisations to the previous year. Influenza vaccines are recommended annually, but there are now an increasing number of different vaccine types. Here’s what to know about this year’s shots, available from <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">this month</a>. <h2>What goes into a flu vaccine?</h2> Like other vaccines, influenza vaccines work by “training” the immune system on a harmless component of the influenza virus (known as an antigen), so it can respond appropriately when the body encounters the real virus. Influenza strains are constantly changing due to genetic mutation, with the pace of genetic change <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421855">much higher</a> than for SARS-CoV-2 (the virus that causes COVID). The strains that go into the vaccine are <a href="https://www.who.int/teams/global-influenza-programme/vaccines/who-recommendations">reviewed</a> twice each year by the World Health Organization (WHO), which selects vaccine strains to match the next season’s predicted circulating strains. All current influenza vaccines in <a href="https://www.tga.gov.au/resources/publication/meeting-statements/aivc-recommendations-composition-influenza-vaccines-australia-2024">Australia</a> contain four different strains (known as quadrivalent vaccines). One of the strains appeared to <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2314801">disappear</a> during the COVID pandemic, and the WHO has recently <a href="https://cdn.who.int/media/docs/default-source/influenza/who-influenza-recommendations/vcm-southern-hemisphere-recommendation-2024/202309_qanda_recommendation.pdf?sfvrsn=7a6906d1_5">recommended</a> dropping this strain from the vaccine. It’s expected trivalent (three strain) vaccines will become available in the near future. <h2>What’s different about new flu vaccines?</h2> There are eight brands of flu vaccines <a href="https://www.health.gov.au/resources/publications/atagi-statement-on-the-administration-of-seasonal-influenza-vaccines-in-2024?language=en">available</a> in Australia in 2024. These include egg-based vaccines (Vaxigrip Tetra, Fluarix Tetra, Afluria Quad, FluQuadri and Influvac Tetra), cell-based vaccines (Flucelvax Quad), adjuvanted vaccines (Fluad Quad) and high-dose vaccines (Fluzone High-Dose Quad). Until recently, the process of manufacturing flu vaccines has remained similar. Since the development of the influenza vaccine in the <a href="https://www.who.int/news-room/spotlight/history-of-vaccination/history-of-influenza-vaccination">1940s</a>, influenza viruses were grown in chicken eggs, then extracted, inactivated, purified and processed to make up the egg-based vaccines that are still used widely. However, there have been several enhancements to influenza vaccines in recent years. Older people’s immune systems tend not to respond as strongly to vaccines. In some flu vaccines, adjuvants (components that stimulate the immune system) are included with the influenza antigens. For example, an adjuvant is used in the Fluad Quad vaccine, recommended for over 65s. Studies <a href="https://ncirs.org.au/sites/default/files/2021-02/Adjuvanted%20influenza%20vaccine%20vs%20standard%20dose%20influenza%20vaccine%20SoF%20EP%20E2D%20tables_26%20Feb%202021_Final.pdf">suggest</a> adjuvanted influenza vaccines are slightly better than standard egg-based vaccines without adjuvant in older people. An alternative approach to improving the immune response is to use higher doses of the vaccine strains. An example is Fluzone High-Dose Quad – another option for older adults – which contains the equivalent of four doses of a standard influenza vaccine. Studies <a href="https://ncirs.org.au/sites/default/files/2022-05/HD%20vs%20sIV%20SoF%20EP%20E2D_March%202022_Final.pdf">suggest</a> the high dose vaccine is better than the standard dose vaccine (without an adjuvant) in preventing hospitalisation and complications in older people. Other manufacturers have updated the manufacturing process. Cell-based vaccines, such as Flucelvax Quad, use cells instead of eggs in the manufacturing process. Other vaccines that are <a href="https://www.cdc.gov/flu/prevent/advances.htm">not yet available</a> also use different technologies. In the past, <a href="https://pubmed.ncbi.nlm.nih.gov/31151913/">manufacturing issues</a> with egg-based vaccines have reduced their effectiveness. Using an alternative method of production provides some degree of insurance against this in the future. <h2>What should I do this year?</h2> Given indications this year’s flu season may be earlier than usual, it’s probably safest to get your vaccine early. This is particularly <a href="https://www.health.gov.au/resources/publications/atagi-statement-on-the-administration-of-seasonal-influenza-vaccines-in-2024?language=en">important</a> for those at highest risk of severe illness, including older adults (65 years and over), those with chronic medical conditions, young children (six months to five years) and Aboriginal and Torres Strait Islander people. Influenza vaccines are also recommended in pregnancy to protect both the mother and the baby for the first months of life. Influenza vaccines are widely available, including at GP clinics and pharmacies, while many workplaces have occupational programs. For high-risk groups, <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">four of the vaccines</a> are subsidised by the Australian government through the <a href="https://www.health.gov.au/our-work/national-immunisation-program">National Immunisation Program</a>. In older people, a number of vaccines are now recommended: <a href="https://www.health.gov.au/sites/default/files/2024-03/atagi-statement-on-the-administration-of-covid-19-vaccines-in-2024.pdf">COVID</a> and influenza, as well as one-off courses of <a href="https://www.health.gov.au/sites/default/files/documents/2020/06/national-immunisation-program-pneumococcal-vaccination-schedule-from-1-july-2020-clinical-advice-for-vaccination-providers.pdf">pneumococcal</a> and <a href="https://www.health.gov.au/topics/immunisation/vaccines/shingles-herpes-zoster-immunisation-service">shingles</a> vaccines. In general, most vaccines can be given in the same visit, but talk to your doctor about which ones you need. <h2>Are there side effects?</h2> All influenza vaccines can <a href="https://www.health.gov.au/topics/immunisation/vaccines/influenza-flu-vaccine">cause</a> a sore arm and sometimes more generalised symptoms such as fever and tiredness. These are expected and reflect the immune system reacting appropriately to the vaccine, and are mostly mild and short-term. These side effects are slightly more common in <a href="https://ncirs.org.au/sites/default/files/2021-02/Adjuvanted%20influenza%20vaccine%20vs%20standard%20dose%20influenza%20vaccine%20SoF%20EP%20E2D%20tables_26%20Feb%202021_Final.pdf">adjuvanted</a> and <a href="https://ncirs.org.au/sites/default/files/2022-05/HD%20vs%20sIV%20SoF%20EP%20E2D_March%202022_Final.pdf">high dose</a> vaccines. As with all medications and vaccines, allergic reactions such as anaphylaxis can occur after the flu vaccine. All vaccine providers are trained to recognise and respond to anaphylaxis. People with egg allergies should discuss this with their doctor, but in general, <a href="https://www.allergy.org.au/patients/food-allergy/egg-allergy-flu-vaccine">studies suggest</a> they can safely receive any (including egg-based) influenza vaccines. Serious side effects from the influenza vaccine, such as Guillain-Barré syndrome, a neurological complication, are very rare (one case per million people vaccinated). They are <a href="https://pubmed.ncbi.nlm.nih.gov/23810252/">thought</a> to be less common after influenza vaccination than after infection with influenza.<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/226623/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, Professor of Infectious Diseases, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Shutterstock 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/there-are-new-flu-vaccines-on-offer-for-2024-should-i-get-one-what-do-i-need-to-know-226623">original article</a>.

Body

Why a one-cent stamp is set to sell for millions

An extremely rare stamp that was once bought for a measly one cent is set to sell for millions of dollars, breaking records at a US auction house. While to the untrained eye, the blue stamp seems like any old stamp, the 1868 one-cent Z-grill is actually the rarest stamp in America due to its unique history and rarity. On June 14th, the one-cent Z-grill will be put up for sale by Robert A. Siegel Auction Galleries, marking the first time the rare stamp has been on auction since 1998. Experts from the New York auction house say it could fetch $6 million to $7.5 million (AUD), which would make it the single most expensive US stamp ever sold. The reason for the extraordinary price comes down to the fact that out of the two known Z-grill stamp copies, the one up for auction is the only copy available for private purchase by collectors, while other historic copy is held at the New York Public Library. The Z-grill is unique due to its signature embossed paper, which was introduced to the US postal service after the Civil War to prevent stamps from being reused. Since 2005, the coveted stamp has belonged to billionaire investor and “bond king” Bill Gross. “It’s considered the trophy of collecting United States stamps,” said Charles Shreve, who has managed and built Gross’ extensive stamp collection for years and serves as director of international auctions at Robert A. Siegel Auction Galleries. “There’s only one. If you want to brag, that’s the stamp.” Mr Gross' entire collection is estimated to be worth $22.6 million to $30 million AUD. The top 100 stamps from the collection will be auctioned off on June 14th, while the remaining stamps will be sold on June 15th. “There’s multiple stamps that’ll bring $500,000 or $750,000 (USD) but the (one-cent) Z-grill is the star of the show,” Shreve said. “I just know some people who are lusting for it, and we want to try to get as many people interested in it as possible.” Image credits: Robert A. Siegel Auction Galleries

Money & Banking

Princess of Wales and King Charles: one in two people develop cancer during their lives – the diseases and treatments explained

<a href="https://theconversation.com/profiles/gavin-metcalf-1340598">Gavin Metcalf</a>, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a> The Princess of Wales released a <a href="https://x.com/KensingtonRoyal/status/1771235267837321694?s=20">moving video message</a> on March 22 to address speculation about her health. In it, the future queen disclosed that she’d been <a href="https://www.bbc.co.uk/news/health-68641710">diagnosed with cancer</a> following tests conducted after she underwent major abdominal surgery at a clinic in London in January. Catherine explained that she was undergoing “preventative chemotherapy” – but emphasised that her surgery had been successful, and that she was “well” and “getting stronger every day”. The message was the <a href="https://www.theguardian.com/uk-news/2024/mar/22/princess-kate-cancer-royal-family-health-annus-horribilis">second announcement</a> of a royal family cancer diagnosis in recent weeks. On February 5, Buckingham Palace <a href="https://www.royal.uk/a-statement-from-buckingham-palace-5Feb24">published a statement</a> that King Charles III had been diagnosed with an undisclosed form of <a href="https://www.bbc.co.uk/news/uk-68208157">cancer, unrelated</a> to the treatment he had been receiving for an enlarged prostate. <figure><iframe src="https://www.youtube.com/embed/3xzKooCaRXU?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> The statement said that he had begun “regular treatments”. The king postponed all public-facing duties during his treatment, but <a href="https://www.bbc.co.uk/news/uk-68213383">reportedly continued</a> with his “constitutional role as head of state, including completing paperwork and holding private meetings”. Cancer is the <a href="https://www.who.int/news-room/fact-sheets/detail/cancer">leading cause of death</a> worldwide. <a href="https://www.nhs.uk/conditions/cancer/#:%7E:text=The%20cancerous%20cells%20can%20invade,of%20cancer%20during%20their%20lifetime.">One in two</a> people will develop some form of cancer in their lifetime – so the condition will affect almost every family. However, many cancers can be cured if, as appears to be the case with the king, the condition is <a href="https://www.bbc.co.uk/news/uk-68213383">detected early</a> and treated effectively. <h2>What is cancer?</h2> Our bodies are made up of more than 100 billion cells, and cancer typically starts with changes in a small group of cells – or even a single one. We have different cell types depending upon where in the body they are and the function that the cell has. The size, amount and function of each of these cells is normally tightly regulated by genes – groups of codes held within our DNA – that instruct cells how to grow and divide. However, changes (mutations) to DNA can alter the way cells grow and multiply – often forming a lump, or solid tumour. Cancers can also develop in blood cells, such as white blood cell cancer which is known as leukaemia. This type of cancer does not form solid tumours; instead, the cancer builds up in the blood or sometimes the marrow in the core of bones, where blood cells are produced. In all, there are <a href="https://www.cancerresearchuk.org/about-cancer/what-is-cancer/how-cancer-starts/types-of-cancer#:%7E:text=For%20example%2C%20nerves%20and%20muscles,of%20cell%20they%20start%20in.">more than 200</a> types of cancer, but all start with mutations in the DNA contained within each and every cell. <h2>What exactly are mutations?</h2> Think of your DNA as a big recipe book, and your genes as individual recipes for making different dishes. Mutations are smudges or missing words from this recipe that can result in key ingredients not being added into the mix. <figure><iframe src="https://www.youtube.com/embed/8BJ8_5Gyhg8?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> Regardless of the type of cancer or the cells from which it develops, mutations in our genes can result in a cell no longer understanding its instructions. These mutations can happen by chance when dividing, but can also be the result of lifestyle choices such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141049/">smoking</a>, <a href="https://www.ndph.ox.ac.uk/news/new-genetic-study-confirms-that-alcohol-is-a-direct-cause-of-cancer#:%7E:text=These%20mutations%20both%20disrupt%20the,aldehyde%20dehydrogenase%202%20(ALDH2).">drinking</a>, and <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet">inactivity</a>. Research has found that in order for a normal cell to turn into a cancerous cell, anywhere from <a href="https://www.sanger.ac.uk/news_item/1-10-mutations-are-needed-drive-cancer-scientists-find/">one to ten different mutations</a> are normally required. <h2>How is cancer treated?</h2> Treatment options for cancer depend on a variety of factors, including where your cancer is, how large it is, and whether it has spread to other parts of the body. The main treatments for cancer include surgery, chemotherapy, and radiotherapy. Chemotherapy uses drugs to target and kill cells that are rapidly dividing in our bodies. This approach is effective at targeting fast-growing cells in various cancers – but also has negative side effects. It also targets healthy cells that rapidly divide, such as hair and the cells lining our digestive system. This can lead to commonly reported <a href="https://www.nhs.uk/conditions/chemotherapy/side-effects/">side-effects</a> such as hair loss, nausea and diarrhoea. <a href="https://www.cancerresearchuk.org/about-cancer/treatment/chemotherapy?gad_source=1&gclid=Cj0KCQjw-_mvBhDwARIsAA-Q0Q6tyQxTuBzU7vVD7SHjQ5dF-fRdqnL7S74-k5LXyTqODydsrPfJVsoaAkgyEALw_wcB&gclsrc=aw.ds">Chemotherapy</a> can be used both preventatively – as in the case of the princess – and therapeutically. <figure><iframe src="https://www.youtube.com/embed/FkZn5u3MIiY?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> Preventative chemotherapy, also known as <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/adjuvant-therapy">adjuvant chemotherapy</a>, is given after surgery or other primary treatments to eliminate any remaining cancer cells in the body. It aims to reduce the risk of the cancer returning (known as recurrence). Therapeutic chemotherapy is used as a treatment option for cancer that has spread or is well established, such as advanced-stage cancers. <a href="https://www.cancerresearchuk.org/about-cancer/treatment/surgery/about">Surgery</a> involves the physical removal of cancerous tissues as well as nearby lymph nodes – small glands which act as filters in your body that cancers can spread through – to eliminate the tumour. Surgery is often used to remove localised cancers that haven’t spread throughout the body. <a href="https://www.cancerresearchuk.org/about-cancer/treatment/radiotherapy">Radiotherapy</a> uses high-energy radiation beams that are able to target specific areas where tumour cells are located to destroy or shrink the tumour. Radiotherapy can be applied externally or internally. Chemotherapy, surgery, and radiotherapy are often combined in cancer treatment to improve outcomes for patients. Thanks to developments in cancer research over the last 50 years, survival rates have improved greatly – although the rate of improvement has <a href="https://news.cancerresearchuk.org/2024/02/02/world-cancer-day-2024/#:%7E:text=Improvements%20in%20cancer%20survival%20have%20slowed%20in%20recent%20years&text=Survival%20increased%20three%20to%20five,consistently%20lags%20behind%20comparable%20countries.">slowed recently</a>. Cancer survival depends on various factors such as age – people under 40 have a <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/age">greater chance</a> of survival – overall health and fitness, as well as family history. <h2>What you should do</h2> Particular changes in your body or warning symptoms could indicate the presence of cancer. These include, but are not limited to: <ul> <li>Unexplained weight loss;</li> <li>Fatigue that doesn’t improve with rest;</li> <li>Changes in bowel or bladder habits;</li> <li>Persistent cough or coughing up blood;</li> <li>Difficulty swallowing;</li> <li>Persistent pain;</li> <li>Noticing lumps, such as in a breast or testicle.</li> </ul> The symptoms may not necessarily be the result of cancer. But it is important to get checked by a doctor if you notice anything out of the ordinary or have had persistent symptoms that don’t ease. Early detection and treatment can <a href="https://www.science.org/doi/full/10.1126/science.aay9040">significantly improve</a> outcomes for many types of cancer.<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/226456/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/gavin-metcalf-1340598">Gavin Metcalf</a>, Cancer Biologist and Lecturer in Biomedical Science, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a> Image credits: Getty Images 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/princess-of-wales-and-king-charles-one-in-two-people-develop-cancer-during-their-lives-the-diseases-and-treatments-explained-226456">original article</a>.

Caring

Princess Kate sensationally speaks out over photo fiasco

Kensington Palace's attempt to quell speculation about Kate Middleton's health has ignited a storm of controversy, raising concerns about the future Queen's well-being to feverish levels. The Princess of Wales, at 42, issued an unprecedented statement on Monday morning, UK time, taking responsibility for what was described as <a href="https://www.oversixty.co.nz/health/caring/princess-kate-s-post-surgery-pic-ignites-even-wilder-conspiracy-theories" target="_blank" rel="noopener">"editing" an official portrait </a> released on Sunday for Mother’s Day. This portrait, featuring Kate alongside her three children – Prince George, Princess Charlotte, and Prince Louis – was eagerly anticipated as it marked the first sighting of the Princess since her mysterious abdominal surgery in January and subsequent disappearance from the public eye. However, far from dispelling concerns, the photograph seemed to amplify existing suspicions about her health, with many pointing out apparent discrepancies and suggesting it had been manipulated. The situation escalated when four major photo agencies issued "kill notice" orders for the image, alleging it had been "manipulated at the source [palace]." In a rare move, Kate Middleton took to X (Twitter) to address the controversy directly, admitting to the editing mishap and expressing regret for any confusion caused by the altered image. "Like many amateur photographers, I do occasionally experiment with editing," she wrote. "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" Despite her efforts to diffuse the situation, the fallout continued to unravel. Royal watchers and fans reacted strongly to the events, with some accusing the palace of using Kate as a scapegoat and questioning the integrity of the institution itself. Omid Scobie, a UK author known for his association with Prince Harry and Meghan Markle, highlighted the palace's history of misinformation and suggested that regaining public trust would be an uphill battle. “It’s fair to say that most photos released by the offices of public figures have been retouched in some way, so *if* this was an isolated incident then it would just be an unfortunate error," Scobie wrote. "But with the Palace’s long history of lying, covering up, and even issuing statements on behalf of family members without their permission (cc: Prince Harry), it’s becoming increasingly difficult for the public to believe a word (and now photo) they share. Gaining that back at this point is an almost impossible task.” Piers Morgan strongly urged the palace to release the unedited version of the photo to quell speculation. Failure to do so, he warned, would only fuel further conspiracy theories. As the debate raged on social media, with Kate Middleton's name trending worldwide, users dissected the image, pointing out inconsistencies and suggesting alternative theories. The withdrawal of the photo by major news agencies, citing editorial issues, have only added fuel to the fire, further intensifying speculation. Amidst the controversy, Princess Kate's prolonged absence from the public eye following her hospitalisation in January has only heightened concerns. <a href="https://www.oversixty.co.nz/finance/legal/kate-middleton-spotted-for-the-first-time-since-surgery" target="_blank" rel="noopener">Her recent appearance</a>, photographed near Windsor Castle, marked her first public sighting in over two months, adding to the intrigue surrounding her health. As the debate continues, the fallout from this incident may have lasting implications for both Kate Middleton and the institution she represents. Image: Instagram

Family & Pets

Princess Kate's post-surgery pic ignites even wilder conspiracy theories

In a recent revelation that has the internet buzzing, Kensington Palace released a brand new photo of the Princess of Wales alongside her adorable brood, but it seems like the royal family might be playing with more than just thrones and crowns. The picture, meant to express gratitude to the public for their support during Catherine's recovery from abdominal surgery, quickly became a subject of speculation, leaving royal enthusiasts scratching their heads and raising eyebrows faster than you can say "corgi". The image, which features Catherine sitting and embracing her children – Prince Louis, Prince George and Princess Charlotte – in the scenic backdrop of Windsor, seems like a wholesome Mother's Day tribute at first glance. However, upon closer inspection, the cracks in this picture-perfect façade begin to show. Social media erupted with theories faster than a racehorse at Ascot. Some eagle-eyed observers speculated that the photo might have been the handiwork of artificial intelligence, citing suspiciously green grass and leaves in the dead of winter, a rarity even in England where the weather is as unpredictable as a teenage royal's romantic interests. "AI is that you?" asked one astute commentator on Instagram, voicing the suspicions of many. <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&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&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a> </div> </blockquote> "Ummmmm, this photo looks doctored…" wrote another astute reader. "Catherine’s right hand around Louis is entirely blurry but the left hand around Charlotte, at the same distance to the camera, is not, and either is Louis’ jumper around the hand blurry. Also Charlotte’s dress, which is clothing her torso behind her arm, impedes on the sleeve at the wrist… the cardigan sleeve shows the dress in front of it, when it should only be behind. And Louis’ middle finger must be awfully long to be entirely wrapped around the next finger without being able to see the finger nail… it’s also blurry. I’m a keen photographer, and those are not true elements of a photo as taken." But wait, there's more! The absence of Catherine's wedding ring did not escape the notice of keen observers, prompting questions about the state of her marriage. "WHERE'S YOUR RING??!" demanded one fan, while another pondered, "no ring, tree in full bloom in winter, jeans after major abdominal surgery, face shape completely different from car photo." And if that wasn't enough to fuel the royal gossip mill, Prince Louis's peculiar finger-crossing gesture sent conspiracy theorists into overdrive. Is he sending secret messages? Or is it just further evidence that we're all living in a simulation run by an eccentric royal fan with a knack for Photoshop? Additionally, a subtle misalignment in Princess Charlotte's hand compared to her jumper sleeve raised clear suspicions of digital manipulation. As the speculation grew louder, four of the world's largest photo agencies – The Associated Press, AFP, Getty Images and Reuters – issued a "mandatory kill notice", on the image, effectively retracting it from circulation. The reasons cited varied slightly among the agencies, with mentions of "editorial issues" and inconsistencies in the photograph's details. The decision to retract the photo wasn't taken lightly; it's a standard protocol for picture agencies to withdraw images that have been significantly altered. The reaction on social media was swift, with royal watchers and media personalities dissecting the image for clues. Chris Ship, ITV News's royal editor, shared close-up sections of the photo, highlighting apparent discrepancies in Charlotte's sleeve, Prince Louis's jumper, and the background behind him. His commentary underscored the seriousness of the situation, questioning Kensington Palace – the source of the photo – about the authenticity of the image. <blockquote class="twitter-tweet"> I’ve never been much of a conspiracy theorist but if <a href="https://twitter.com/AP?ref_src=twsrc%5Etfw">@AP</a> <a href="https://twitter.com/AFP?ref_src=twsrc%5Etfw">@AFP</a> <a href="https://twitter.com/Reuters?ref_src=twsrc%5Etfw">@Reuters</a> & other picture agencies are concerned enough to remove it and ask clients to delete it, there are serious questions for Kensington Palace - which was the source of the photo. These appears to be the issues 👇 <a href="https://t.co/ifcSB9mUzu">https://t.co/ifcSB9mUzu</a> <a href="https://t.co/bH5gN9fJtJ">pic.twitter.com/bH5gN9fJtJ</a> — Chris Ship (@chrisshipitv) <a href="https://twitter.com/chrisshipitv/status/1766947758529822803?ref_src=twsrc%5Etfw">March 10, 2024</a></blockquote> Amidst the fervent speculation, Kensington Palace remained silent, neither confirming nor denying the allegations of photo manipulation. The lack of clarity has only fuelled the fire, leading to further conjecture about the intentions behind the controversial image. In a world where every pixel is scrutinised and every detail dissected, the royal family's attempt at a heartwarming family photo has turned into a comedic saga worthy of a Shakespearean farce. As the internet continues to buzz with speculation, one thing is for certain: when it comes to the royals, truth is often stranger than fiction. Or in this case, more digitally manipulated than reality TV. Image: Instagram

Caring

Restaurant sparks outrage for "ridiculous" fee

As inflation rates continue to rise it is not surprising that restaurants are charging extra fees, but one disgruntled customer was particularly shocked to see this "ridiculous" fee on their bill. The customer, who dined at restaurant and cocktail bar in Georgia, USA shamed the restaurant for charging their customers a $20 fee for “live band entertainment”. They shared their complaints on Reddit with a copy of their receipt and an unexpected fee at the bottom which read: “Two Live Band Entertainment Fee — $20”. Most people in the comments were equally annoyed and called the fee "ridiculous". “This is one of those leave money on the table, hand the waiter a tip and leave, sorry but if I didn’t order it, I’m not paying for it,” one wrote. “Great way to not have repeat customers,” said another. “This will backfire for them, just be honest and upfront," a third added. Other commenters were less sympathetic and did not understand why the customer was complaining when it looked like they could afford it. “When you’re paying seven dollars for a bottle of water, you really don’t get to complain about ‘unexpected costs.’ You knew what you signed up for," one commenter wrote. “Imagine a live band getting paid, huh,” another added. “They’re buying $7 bottles of water, they can probably afford it,” added a third. Image: Getty/ Reddit

Money & Banking

Not all mourning happens after bereavement – for some, grief can start years before the death of a loved one

<a href="https://theconversation.com/profiles/lisa-graham-wisener-1247893">Lisa Graham-Wisener</a>, <a href="https://theconversation.com/institutions/queens-university-belfast-687">Queen's University Belfast</a> and <a href="https://theconversation.com/profiles/audrey-roulston-1512057">Audrey Roulston</a>, <a href="https://theconversation.com/institutions/queens-university-belfast-687">Queen's University Belfast</a> For many people, grief starts not at the point of death, but from the moment a loved one is diagnosed with a life-limiting illness. Whether it’s the diagnosis of an advanced cancer or a non-malignant condition such as dementia, heart failure or Parkinson’s disease, the psychological and emotional process of grief can begin many months or even years before the person dies. This experience of mourning a future loss is known as <a href="https://link.springer.com/referenceworkentry/10.1007/978-3-319-69892-2_1006-1">anticipatory grief</a>. While not experienced by everyone, anticipatory grief is a <a href="https://spcare.bmj.com/content/bmjspcare/early/2022/02/10/bmjspcare-2021-003338.full.pdf?casa_token=IWNMDFN5SoIAAAAA:2EybwyPcKu73VdrACTNk7jITor-mMIXK8rv76arXgdjV9cA2Y0MV0LyZLLwcYe1rZUAQymOzFYo">common</a> part of the grieving process and can include a range of conflicting, often difficult thoughts and emotions. For example, as well as feelings of loss, some people can experience guilt from wanting their loved one to be free of pain, or imagining what life will be like after they die. <h2>Difficult to define, distressing to experience</h2> Anticipatory grief has proved <a href="https://journals.sagepub.com/doi/full/10.1177/02692163221074540#bibr13-02692163221074540">challenging to define</a>. A <a href="https://journals.sagepub.com/doi/full/10.1177/02692163221074540#bibr13-02692163221074540">systematic review</a> of research studies on anticipatory grief identified over 30 different descriptions of pre-death grief. This lack of consensus has limited research progress, because there’s no shared understanding of how to identify anticipatory grief. Therese Rando, a <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9781315800806-9/grief-mourning-accommodating-loss-therese-rando">prominent theorist</a>, has proposed that anticipatory grief can help prepare for death, contributing to a more positive grieving experience post-bereavement. Rando also suggests that pre-death mourning can aid with adjustment to the loss of a loved one and reduce the risk of <a href="https://www.cruse.org.uk/understanding-grief/effects-of-grief/complicated-grief/">“complicated grief”</a>, a term that describes persistent and debilitating emotional distress. <figure><iframe src="https://www.youtube.com/embed/AapGn60DZSA?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> But pre-death mourning doesn’t necessarily mean grief will be easier to work through once a loved one has died. Other <a href="https://www.sciencedirect.com/science/article/pii/S0277953621005724?casa_token=I9mbdSv3d3gAAAAA:MqxN5X_iWbcqa6BYj7IXmImUviheOQWAVA4UBy6795UDuS1uOHG9b245qMkyOiLcvjv_SU6yVA">research evidence</a> shows that it’s possible to experience severe anticipatory grief yet remain unprepared for death. <h2>Carers should seek support</h2> Carers of people with life-limiting illnesses may notice distressing changes in the health of their loved ones. Witnessing close-up someone’s deterioration and decline in independence, memory or ability to perform routine daily tasks, such as personal care, is a painful experience. It is essential, then, for carers to acknowledge difficult emotions and seek support from those around them – especially because caring for a loved one at the end of their life <a href="https://www.mind.org.uk/information-support/helping-someone-else/carers-friends-family-coping-support/your-mental-health/">can be an isolating time</a>. Where possible, it can also be beneficial for carers to offer their loved one <a href="https://compassionatecommunitiesni.com/our-programs/dying-to-talk/">opportunities to reflect</a> on significant life events, attend to unfinished business, and to discuss preferences for funeral arrangements. For some, this may involve supporting loved ones to reconnect with friends and family, helping them to put legal or financial affairs in order, talking about how the illness is affecting them, or making an <a href="https://www.england.nhs.uk/publication/universal-principles-for-advance-care-planning/">advance care plan</a>. <figure><iframe src="https://www.youtube.com/embed/wrJaTXW1Xvk?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Talking is key</h2> Living with altered family dynamics, multiple losses, transition and uncertainty can be <a href="https://www.tandfonline.com/doi/full/10.1080/07481187.2021.1998935">distressing for all family members</a>. It may be difficult to manage the emotional strain of knowing death is unavoidable, to make sense of the situation, and to <a href="https://hospicefoundation.ie/i-need-help/i-am-seriously-ill/how-to-talk-to-those-you-care-about/">talk about dying</a>. However, talking is key in <a href="https://www.cruse.org.uk/about/blog/important-conversations-death/">preparing for an impending death</a>. Organisations who offer specialist palliative care have information and trained professionals to help with difficult conversations, including <a href="https://www.mariecurie.org.uk/help/support/diagnosed/talking-children/children">talking to children</a> about death and dying. Navigating anticipatory grief can involve self-compassion for both the patient and carer. This includes acknowledging difficult emotions and treating oneself with kindness. Open communication with the person nearing the end of their life can foster emotional connection and help address their concerns, alongside support from the wider circle of family and friends. Extending empathy and understanding to those nearing death – and those grieving their impending loss – will help contribute to a compassionate community that supports those experiencing death, dying and bereavement.<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/221629/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lisa-graham-wisener-1247893">Lisa Graham-Wisener</a>, Lecturer of Health Psychology, <a href="https://theconversation.com/institutions/queens-university-belfast-687">Queen's University Belfast</a> and <a href="https://theconversation.com/profiles/audrey-roulston-1512057">Audrey Roulston</a>, Professor of Social Work in Palliative Care, <a href="https://theconversation.com/institutions/queens-university-belfast-687">Queen's University Belfast</a> Image credits: Getty Images 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/not-all-mourning-happens-after-bereavement-for-some-grief-can-start-years-before-the-death-of-a-loved-one-221629">original article</a>.

Caring

"Go enjoy your life": Young woman announces her own death

A young woman has announced the news of her own death after a gruelling battle with cancer, while sharing her wishes for her grieving loved ones. Daniella Thackray, a 25-year-old from Leeds, took to social media to share the her heart-breaking final words, after an eight-month battle with the rare disease. The young digital marketing specialist had pre-written the message for her family to post on her behalf after dying of cholangiocarcinoma, a type of cancer that forms in the bile ducts. The emotional message paid tribute to her family, fiancé Tom, and dog Leo, as she encouraged her loved ones to “enjoy the little things” in life and “cherish every moment” after she had “gone”. She wrote: “If you’re reading this then it means I have died from my battle with cancer and my family are posting my final message on my behalf. “Firstly, I just want to say that not all cancers are caused by lifestyle choices, in some cases it’s genetics or unfortunately it just happens." “In my case, despite me being very healthy and active, a cancer started in my bile ducts which was not caused by anything in my control and my life was never the same again." “Cholangiocarinoma is a rare aggressive cancer with often no obvious causes and no cure’.. I really really do hope that in the years to come more research is done about this horrid cruel disease so that more lives can be saved.” Despite her devastating diagnosis, she chose “not to mourn life” and make the most of her time. Daniella added: “So with that being said, although we can’t control what happens to us, we can control how we react. I chose not to mourn the life I was losing despite being so devastated, but to instead enjoy every moment I had left." “As I have always said and believed, you should enjoy the little things in life and cherish every moment! Romanticise your life! Do whatever makes you happy and don’t let anyone take the joy of life away from you." “I LOVED my life. Everything I had achieved was what I wanted. I loved my job, my fiancé, my family, my friends and my dog, and the house we were going to buy and the future we were making for ourselves." “Leo my fur baby was definitely brought into my life to help brighten my darkest days." “And lastly to my dear, beautiful Tom, I love you and always will. Thank you for supporting me and bringing so much love and happiness into my life. Go enjoy your life now, you deserve it.” Her message has already gained more than 30,000 likes, while hundreds of people rushed to leave their condolences to her loved ones. One person wrote, "Such courageous words from someone that I’ve never met. What a wonderful message to leave us with, may you rest in paradise.” Image credits: Facebook

Caring

"I almost cried": Mum shocked by stranger's random act of kindness

A mother-of-two has almost been reduced to tears by a stranger's random act of kindness in a busy cafe. The mum, a woman named Tyne, was at a cafe in the Sunshine Coast suburb of Mooloolaba with her husband and two young sons, when she struck up a conversation with a woman reading a book nearby. She said she felt a wave of guilt that her rowdy children were disrupting the woman's peaceful morning, and leaned over to apologise. The woman assured the mother there was nothing to apologise for, with the woman's next act leaving the mum speechless. “A beautiful (and full on) weekend away with Mr 3.5y & Mr 1.5y my husband and I sat with coffees at a beautiful cafe waiting for breakfast for us,” Tyne wrote in a Facebook group called The Kindness Pandemic, where people share stories of their heartwarming interactions with strangers. “I immediately apologised to the lovely lady sitting near us as she had a book and I was afraid the boys wouldn’t be too peaceful." “We were chatting for a little and then she left after her breakfast.” When the mum went to pay for her family’s bill, the cashier informed her that the stranger had “taken care of it” and handed her a heartwarming note. “It was such a pleasure sharing my brekkie space with you,” the note read. “Please keep doing what you’re doing. You’ve got a beautiful family.” Tyne said she “almost cried” when she realised that the stranger had paid for her family’s entire breakfast. The cafe was situated close to one of the Sunshine Coast’s most popular attractions, Sea Life Aquarium, where the family had planned to spend their day. “Hopefully you can splurge a little more at Sea Life today,” the stranger added in the note, before signing off, “Love Em.” The mum said she was overwhelmed by the stranger’s incredible act of kindness, saying she "almost cried". “She paid for us … And her kind words were what I needed to hear.” Tyne said the stranger was an “amazing soul” and vowed to pay it forward”. “If you are Em staying in Mooloolaba for work and went to a quirky local that’s your favourite … YOU ARE AN AMAZING SOUL!” she said. People in the comments also shared their reactions to the heartfelt gesture. “Lovely lady. Your children would be being just that, children. Don’t apologise about them,” one wrote. “What a beautiful person Em clearly is. This was so gorgeous to read.” Image credits: Facebook

Family & Pets

The one thing you must do before retirement

When you think about planning for retirement, the standard advice is to take a thorough look at your superannuation and finances. Although money is undoubtedly an important aspect of retirement planning, making a plan for your emotion and physical wellbeing is just as crucial. New research from the UK has found that retirement can have a negative impact on your mental and physical health. The study, published by the Institute of Economic Affairs, looked at the impact of retirement on 7,000 people aged 50 to 70, and found that while retirement gives most people a small health booth, over the medium to long-term it causes a “drastic decline in health”. For both men and women, retirement decreases the likelihood of "very good” or "excellent" self-reported health by 40 per cent, increases risk for depression by 40 per cent, and diagnosis of a physical illness by 60 per cent. The study’s lead author, Gabriel Sahlgren, noted: "Work, especially paid work, gives many people a sense of purpose. Losing that may lead to declines in health." The lesson: Make a plan for your emotional and physical health. “Don't wait until you retire to decide how you're going to keep busy,” Dave Bernard, retirement blogger and author of Are You Just Existing and Calling it a Life?, told Prevention, adding, “And you need to look well beyond the first six months.” Just as it’s necessary to make sure your finances are in order before retirement, it’s crucial to ask yourself: What will my new sense of purpose in retirement be? “Many times, adults might not think about what it actually means to be retired, or they think about retirement in abstract terms,” says Angela Curl, an assistant professor in the University of Missouri School of Social Work. She says you need to make concrete plans for retirement. “If you want to volunteer when you are retired, ask yourself where and how often. Having specific plans and steps to follow will help you enter retirement more easily,” says Curl. Creating a plan of how you’ll spend your time when you retire will keep you mentally and physically strong, ensuring that you’ll be healthy enough to enjoy your well-deserved retirement. Image credits: Getty Images

Retirement Life

"What a life I’ve had": Author announces own death after years of battling dementia

Wendy Mitchell has died aged 68 after documenting her brave battle with dementia. The author from Walkington, East Yorkshire, became the best-selling writer after she was diagnosed with early onset vascular dementia and Alzheimer's in July 2014. She shared her philosophical outlook on living with the condition in her acclaimed 2018 memoir Somebody I Used To Know and in her 2022 book What I Wish I Knew About Dementia. In an <a href="https://whichmeamitoday.wordpress.com/2024/02/22/my-final-hug-in-a-mug/" target="_blank" rel="noopener">open letter</a> shared online, the author announced her death and revealed that she had refused to eat or drink towards the end of her battle. "If you’re reading this, it means this has probably been posted by my daughters as I’ve sadly died," she began. "Sorry to break the news to you this way, but if I hadn’t, my inbox would eventually have been full of emails asking if I’m OK, which would have been hard for my daughters to answer… "In the end I died simply by deciding not to eat or drink any more," she wrote. She added that the last cup of tea she had, her "final hug in a mug" was "the hardest thing to let go of". "Dementia is a cruel disease that plays tricks on your very existence. I’ve always been a glass half full person, trying to turn the negatives of life around and creating positives, because that’s how I cope." Mitchell said that the language used by doctors can "make or break" how someone copes with dementia, and instead of saying there's "nothing they can do" it is better to tell them they will have to "adapt to a new way of living". "Well I suppose dementia was the ultimate challenge. Yes, dementia is a bummer, but oh what a life I’ve had playing games with this adversary of mine to try and stay one step ahead," she wrote in her final blog post. She also said that she had always been resilient, which has helped her cope with whatever life throws in her way. Mitchell has been an advocate for assisted dying in the UK, and said that "the only legal choice we shouldn’t have in life is when to be born; for everything else, we, as humans, should have a choice; a choice of how we live and a choice of how we die." She added that the way she died was an active choice as she doesn't want "to be an inpatient in a hospital, or a resident in a Care Home," as "it’s just not the place I want to end my years." "My girls have always been the two most important people in my life. I didn’t take this decision lightly, without countless conversations. They were the hardest conversations I’ve ever had to put them through. "This was all MY CHOICE, my decision. So please respect my daughters' privacy, as they didn’t choose the life I chose, of standing up to and speaking out against dementia." She then thanked everyone for their support and left with a touching final message. "So, enjoy this knowing that dementia didn’t play the winning card – I did." Images: Daily Mail

Caring

Dive below the surface with the Underwater Photographer of the Year awards

There's a world beneath us that we don't know much about, and photographers around the world have all tried to capture its beauty. With over 6,500 photos submitted for this year's Underwater Photographer of the Year contest, one photo captured the panel of judges' heart - Alex Dawson's 'Whale Bones'. The image shows a diver swimming among the enormous skeletons of slaughtered whales off the coast of Greenland. "Whale Bones was photographed in the toughest conditions, as a breath-hold diver descends below the Greenland ice sheet to bear witness to the carcasses," Alex Mustard, Chair of the UPY Jury said. "The masterful composition invites me to consider our impact on the great creatures of this planet," he added. "Since the rise of humans, wild animals have declined by 85%. Today, just 4% of mammals are wildlife, the remaining 96% are humans and our livestock. "Our way needs to change to find a balance with nature." Lisa Stengel from the US won the title of Up & Coming Underwater Photographer of the Year 2024, for her shot titled 'Window of Opportunity'. The photo captured the beauty of nature as a mahi attacks a swarm of fish, an action shot that captured "high speed hunting at the decisive moment." Nuno Sá from Portugal won the award for 'Save Our Seas Foundation' Marine Conservation Photographer of the Year 2024 for his work titled Saving Goliath. The photo showed dozens of sun seekers working together to try and save a stranded sperm whale off the beaches of Costa da Caparica. UK residents Jenny Stock won the title of British Underwater Photographer of the Year for her work 'Star Attraction' and Sandra Stalker won the title of Most Promising British Underwater Photographer 2024 for 'Midnight raver'. Images: UPY

International Travel

Rocky actor's cause of death revealed

Carl Weathers' cause of death has been revealed, almost two weeks after his passing as his death certificate was made public. The Rocky actor passed away on February 1st at his home in California surrounded by his loved ones at the age of 76. As revealed in his death certificate, Weathers cause of death has been listed as "atherosclerotic cardiovascular disease", which the <a title="Australian Institute of Health and Welfare" href="https://www.aihw.gov.au/reports/heart-stroke-vascular-disease/hsvd-facts/contents/introduction#:~:text=Many%20forms%20of%20CVD%20are,the%20brain%20(causing%20stroke)." target="" rel="">Australian Institute of Health and Welfare</a> defines as "deposits of fat, cholesterol and other substances build up in the inner lining of the arteries to form plaque". The certificate also stated that his son Matthew Weathers was the one who alerted authorities to the death which was deemed "natural", and also revealed that the family will be bringing home the actor's ashes after he is cremated. News of the actor's death was delivered by his family via a statement to <a href="https://deadline.com/2024/02/carl-weathers-dead-1235812684/#recipient_hashed=fd02bd8d6a1f88066ce877149ed7f5ed7c004c09a8d6405a72df635b0b72a9c3&recipient_salt=8a8541796b6f9250815f1cf923857155082cf85977a93234b6e9f290c850721c" target="_blank" rel="noopener">Deadline</a>, which read, "We are deeply saddened to announce the passing of Carl Weathers." "Carl was an exceptional human being who lived an extraordinary life. Through his contributions to film, television, the arts and sports, he has left an indelible mark and is recognised worldwide and across generations. He was a beloved brother, father, grandfather, partner and friend." The actor is most well known for his role as Apollo Creed in four instalments of Rocky, as well as in Predator, Happy Gilmore, and Arrested Development, The Mandalorian and many others. Image credits: Getty Images

Caring

"One people, one family": King Charles breaks silence after cancer diagnosis

Amidst concerns and heartfelt wishes, King Charles III has released a statement following his shocking cancer diagnosis. In his first public comments since beginning his treatment, the monarch, while recuperating at Sandringham, expressed his sincere regrets for not being able to attend a significant upcoming event. His words, filled with warmth and gratitude, were directed towards the people of Grenada, a nation close to his heart. As Grenada celebrates its 50th anniversary of independence, King Charles III, although physically absent, sent his love and congratulations, reminiscing about his cherished visit to the Caribbean gem in 2019. “I can only say how sorry I am that I cannot be with you in person to mark this momentous milestone," he wrote. “My thoughts are with everyone across Grenada, Carriacou and Petit Martinique – ‘one people, one family’ – as you celebrate everything you have achieved and all that your future holds. My family join me in sending our heartfelt congratulations to you all.” Despite undergoing treatment, King Charles III's commitment to his duties remains unwavering. Buckingham Palace has reassured the public that while he may step back from public gatherings, he will continue to fulfil his constitutional responsibilities, including regular meetings with the British Prime Minister. The positive update on King Charles III's health was echoed by Queen Camilla, who, during her recent appearance at Salisbury Cathedral, shared encouraging news about her husband's progress. Surrounded by the tranquility of the cathedral, she expressed gratitude for the outpouring of support and well wishes they have received during this challenging time. In a video shared by ITV royal reporter Chris Ship on X, the queen said: "He's doing extremely well under circumstances. We are very touched by all of the letters and messages." Images: Getty

Caring

How to turn your handy skills into material wealth

If you’re looking for an opportunity to be your own boss, minus all of the uncertainties that come with starting a business from scratch, a <a href="https://www.hireahubby.co.nz/franchise/" target="_blank" rel="noopener">Hire A Hubby franchise</a> offers the perfect chance for you to take charge of your time, your future, and do what you love while building a successful business. This is no flash-in-the-pan start-up venture either; with more than 25 years of experience, the recognition and solid reputation already cemented by Hire A Hubby provide a valuable head start, making it far easier for you to connect with clients and build lasting relationships in your local community and beyond. Combining a proven business model refined and perfected over the years with all of the experience and insights of a solid Franchise Support Team, the risks commonly associated with entrepreneurship are virtually eliminated. Not only will you be stepping into a well-established brand that has earned the trust of customers nationwide, you’ll also be saying goodbye to the daily grind and hello to work-life harmony. One of the standout features of a Hire A Hubby franchise is the diverse range of services it offers. From general maintenance to renovations and repairs, franchisees have the opportunity to cater to a wide spectrum of customer needs. This versatility means you will not only attract a broader clientele, but also ensures a steady stream of business throughout the year, contributing to your long-term success. With New Zealand's property market experiencing a strong, continuous upward trend, there’s an equally strong demand for home maintenance and improvement services. What better way to position yourself to capitalise on this expanding market than with a Hire A Hubby franchise? As homeowners and businesses continue to place property upkeep front and centre, you’ll find yourself in a lucrative position to meet those needs – while contributing to the overall well-being of your community. And there’s no need to go it alone. Since success in any venture is most often the result of proper guidance and support, you’ll also benefit from Hire A Hubby’s comprehensive training programs, designed to equip you with all the necessary skills and knowledge to run a successful business. Backed by ongoing help from the Franchise Support Team, you’ll be able to stay well ahead of any industry trends and challenges standing in the way of success. <iframe title="YouTube video player" src="https://www.youtube.com/embed/uNvVOK5UgPk?si=rbZkgdrP5fzmZ1m4" width="560" height="315" frameborder="0" data-mce-fragment="1"></iframe> But how best to get your name out there? Hire A Hubby understands all too well that visibility is key in any competitive marketplace. That’s why you’ll be able to tap into the collective strength of a national advertising and marketing campaign to not only boosts local visibility, but do wonders for your credibility at the same time, leading to new customers, new experiences and even greater success. The flexibility that comes with owning a Hire A Hubby franchise can’t help but add a serious dose of satisfaction to your lifestyle. You're not just running a business; you're crafting a life that allows you to balance work and play. That freedom to set your schedule means more time for the things you love. Speaking of which – as the proud owner of a Hire A Hubby franchise, you're not just fixing homes; you're also spreading joy one repair at a time. Whether it's a leaky roof or a wonky shelf, your expertise becomes a beacon of happiness for your clients. Imagine the pleasure of seeing a problem solved and the smiles on your customers' faces? These are priceless rewards that we all know come with the handyman territory. In the world of Hire A Hubby, happy customers aren’t just a metric; they are the real currency of success. That’s because satisfied clients are not just repeat clients; they are ambassadors for your brand, sharing their positive experiences and spreading the joy of your services. <img class="alignnone size-full wp-image-13682" src="https://oversixtydev.blob.core.windows.net/media/2024/01/HireAHubby01_060.jpg" alt="" width="1280" height="720" /> Owning and running a Hire A Hubby franchise means building a community of satisfied customers who appreciate not just your skills but the positive energy you bring to their homes. In the end, Hire A Hubby isn't just a brand; it's a positive force in the world of home maintenance and improvement. Becoming a part of that means contributing to a brand that is known for its reliability, professionalism and, most importantly, its ability to bring smiles to the faces of homeowners across New Zealand. So put on that tool belt, square your shoulders and get ready to join The Everything Experts! For more information on how to transform your handy skills into easy material wealth, head to <a href="https://www.hireahubby.co.nz/franchise/" target="_blank" rel="noopener">www.hireahubby.co.nz/franchise</a> Images: Supplied. This is a sponsored article produced in partnership with Hire A Hubby.

Home & Garden

"Proud to pay more": The billionaires who want to pay more tax

Over 250 millionaires and billionaires have issued an <a href="https://proudtopaymore.org/" target="_blank" rel="noopener">open letter</a> to global leaders encouraging them to implement wealth taxes to combat the cost-of-living crisis. This comes just as a report by the Oxfam Charity revealed that the global wealth of billionaires have only grown in the last three years despite inflation. The open letter, signed by super-rich individuals from 17 countries, includes signatories like Abigail Disney, the grand-niece of Walt Disney, Succession actor Brian Cox, and American philanthropist and Rockefeller family heir Valerie Rockefeller. They said that they would be "proud to pay more taxes" in order to address the inequality. "Elected leaders must tax us, the super rich," the letter read. "This will not fundamentally alter our standard of living, nor deprive our children, nor harm our nations' economic growth. "But it will turn extreme and unproductive private wealth into an investment for our common democratic future." Austrian heir Marlene Engelhorn is also among the voices demanding that they pay more in taxes. "I've inherited a fortune and therefore power, without having done anything for it. And the state doesn't even want taxes on it," Engelhorn, who inherited millions from her family who founded chemical giant BASF, said. The letter was released just as global leaders gather in Davos, Switzerland for the World Economic Forum. Abigail Disney, whose net-worth is measured at more than $100 million, said that lawmakers need to come together to make a meaningful economic and social change. "There's too much at stake for us all to wait for the ultra rich to grow a conscience and voluntarily change their ways," she said. "For that reason, lawmakers must step in and tax extreme wealth, along with the variety of environmentally destructive habits of the world's richest." A recent <a href="https://static1.squarespace.com/static/63fe48c7e864f3729e4f9287/t/6596bfb943707b56d11f1296/1704378297933/G20+Survey+of+those+with+More+than+%241+million+on+Attitudes+to+Extreme+Wealth+and+Taxing+the+Super+Rich.pdf" target="_blank" rel="noopener">survey</a> of almost 2400 millionaires found that 74 per cent of them supported the introduction of a wealth tax to fund improved public services and deal with the cost-of-living crisis. The open letter also said that one-off donations and philanthropy "cannot redress the current colossal imbalance" of societal wealth. "We need our governments and our leaders to lead," the letter said. "The true measure of a society can be found, not just in how it treats its most vulnerable, but in what it asks of its wealthiest members." Images: Getty

Money & Banking

Alec Musser’s cause of death revealed

Alec Musser’s official cause of death has been revealed, just days after he <a href="https://oversixty.co.nz/health/caring/all-my-children-star-dies-at-age-50">passed away</a> at the age of 50. According to a San Diego County Medical Examiner’s Office press release, the soap actor died by suicide. The report states that Musser’s fiancée, Paige Press, found the late actor “seated and slumped forward on the bathroom floor” on the morning of January 13. He was last seen alive the night prior. “Paramedics and law enforcement responded and confirmed the death,” the press release also states. News of Musser’s death first broke after the actor’s uncle confirmed to <a href="https://www.tmz.com/2024/01/13/alec-musser-model-actor-all-my-children-dead-dies/#xd_co_f=YTM5MzVmOGQtNTY4My00NWE1LThjNDctMTUxMjJlNjVhMWNj~" target="_blank" rel="noopener">TMZ</a> that he died at his home in Del Mar, California. Following the announcement, the bereaved fiancée released a heartfelt statement on social media. “RIP to the love of my life,” Press wrote in a tribute on Instagram, “I will never stop loving you. My heart is broken.” Alec Musser starred in All My Children from 2005 to 2007, appearing in a total of 43 episodes. He landed the role on the long-running soap after he won the second season of the SOAPnet original series I Wanna Be a Soap Star. After his stint on the show, he went on to feature in other TV series including Grown Ups, Rita Rocks, Desperate Housewives and Road to the Altar. After hearing the news of his death, many of Musser’s fans took to the comment section of his last post and shared their condolences. “I’m in shock brother. You were a dear friend and will always be remembered," one fan wrote. Celebrity friend Adam Sandler also shared a tribute to Musser, writing on Instagram, "I loved this guy. Cannot believe he is gone. Such a wonderful, funny good man. Thinking of Alec Musser and his family and sending all my love. A true great sweetheart of a person." Image credits: Getty Images

Caring

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Terminal lucidity: why do loved ones with dementia sometimes ‘come back’ before death?

"A Duck-Filled Platypus?!": Wheel of Fortune contestant's $10k mistake

6 little known facts about The Sound of Music

There are new flu vaccines on offer for 2024. Should I get one? What do I need to know?

Why a one-cent stamp is set to sell for millions

Princess of Wales and King Charles: one in two people develop cancer during their lives – the diseases and treatments explained

Princess Kate sensationally speaks out over photo fiasco

Princess Kate's post-surgery pic ignites even wilder conspiracy theories

Restaurant sparks outrage for "ridiculous" fee

Not all mourning happens after bereavement – for some, grief can start years before the death of a loved one

"Go enjoy your life": Young woman announces her own death

"I almost cried": Mum shocked by stranger's random act of kindness

The one thing you must do before retirement

"What a life I’ve had": Author announces own death after years of battling dementia

Dive below the surface with the Underwater Photographer of the Year awards

Rocky actor's cause of death revealed

"One people, one family": King Charles breaks silence after cancer diagnosis

How to turn your handy skills into material wealth

"Proud to pay more": The billionaires who want to pay more tax

Alec Musser’s cause of death revealed

News

Shop

Catalogues

Travel

Health

Lifestyle

Finance

Entertainment

Property

Information

Keep up to date

Search

Terminal lucidity: why do loved ones with dementia sometimes ‘come back’ before death?

"A Duck-Filled Platypus?!": Wheel of Fortune contestant's $10k mistake

6 little known facts about The Sound of Music

There are new flu vaccines on offer for 2024. Should I get one? What do I need to know?

Why a one-cent stamp is set to sell for millions

Princess of Wales and King Charles: one in two people develop cancer during their lives – the diseases and treatments explained

Princess Kate sensationally speaks out over photo fiasco

Princess Kate's post-surgery pic ignites even wilder conspiracy theories

Restaurant sparks outrage for "ridiculous" fee

Not all mourning happens after bereavement – for some, grief can start years before the death of a loved one

"Go enjoy your life": Young woman announces her own death

"I almost cried": Mum shocked by stranger's random act of kindness

The one thing you must do before retirement

"What a life I’ve had": Author announces own death after years of battling dementia

Dive below the surface with the Underwater Photographer of the Year awards

Rocky actor's cause of death revealed

"One people, one family": King Charles breaks silence after cancer diagnosis

How to turn your handy skills into material wealth

"Proud to pay more": The billionaires who want to pay more tax

Alec Musser’s cause of death revealed

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