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Announcing Kate Middleton’s cancer diagnosis should have been simple. But the palace let it get out of hand

<p><em><a href="https://theconversation.com/profiles/victoria-fielding-236389">Victoria Fielding</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/saira-ali-1522239">Saira Ali</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>The British royal family is famous for its carefully curated media image. That’s why it was a surprise to see them lose control of the narrative in the wake of what we now know is a serious health crisis befalling Catherine, Princess of Wales (or Kate Middleton as she’s popularly known).</p> <p>It is clear the nearly 1,000-year-old institution of the monarchy and its tradition of “<a href="https://news.northeastern.edu/2024/03/14/kate-middleton-photo-pr-crisis/">never complain, never explain</a>” is being tested by social media and its power to spread rumours and misinformation. The palace’s public relations team has underestimated how difficult it is to manage relationships with social media audiences. Their reactive attempts to rein in speculation has turned Catherine’s health challenge into a PR disaster.</p> <p>Social media, with its lax regulations and freer environment, offers a more open forum for users to say whatever they like about the royals. It’s served as a hotbed for Catherine conspiracies, particularly on TikTok. These theories are as wild as they are ridiculous, from Catherine being a prisoner in the palace to her hiding in <a href="https://www.prdaily.com/kate-middleton-stanley-alabama-retail/">Taylor Swift’s London home</a>.</p> <p>What should have been a simple announcement to a sympathetic public about a popular royal having cancer turned into a spider’s web of competing conspiracy theories across social media. How did it all go so terribly wrong?</p> <h2>I’ve lost track, what happened?</h2> <p>All was well with the Prince and Princess of Wales when they were filmed attending church on Christmas Day. As usual when royals are out in public, the scene was picture perfect with everyone dutifully smiling for the cameras in “<a href="https://www.harpersbazaar.com/celebrity/latest/a46227698/kate-middleton-royal-blue-christmas-day-church-service-prince-william-kids/">co-ordinated</a>” outfits.</p> <p>Two weeks later, Kensington Palace announced Catherine had undergone planned abdominal surgery, with <a href="https://abcnews.go.com/GMA/Culture/princess-kate-hospitalized-after-planned-abdominal-surgery-palace/story?id=106441561">palace sources</a> telling media the surgery had been “successful” and she would need two weeks to recover.</p> <p>On January 29, the palace announced Catherine had returned home to recuperate. <a href="https://www.townandcountrymag.com/society/tradition/a46569739/king-charles-discharged-from-hospital/">Unlike King Charles</a> when he released news of his cancer diagnosis on February 5, Catherine was not photographed leaving hospital. This was the first PR misstep. She had appeared outside hospital soon after giving birth to her three children, but this time she remained uncharacteristically out of the public eye.</p> <p>Almost a month later, when Prince William <a href="https://au.lifestyle.yahoo.com/prince-william-pulls-memorial-godfather-211406977.html?amp;guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&amp;guce_referrer_sig=AQAAAG6tOzuXsqZXP6G2nLLd-lnWzZhYKHVJ5TJ-w5XCCfgMjerRrR8v1R8unjtcoQTbvPDsVt3mtTcZ_g0os6zwOuEFfMKCh0kfEExvz-dB2FG0uqcy6-GoryjvG99TEhMli66hNZLjLENmMhq1mwoV7GmM0AYezMDsZtZVtONH9C1b&amp;guccounter=2">unexpectedly withdrew</a> from his godfather’s memorial citing “personal reasons”, social media users started asking “Where is Princess Kate?”.</p> <p>Used to a steady stream of content about the royal family, the public were unsurprisingly questioning if there was more to Catherine’s abdominal surgery than they were being told.</p> <p>In a rare reactive move, the palace tried to quell questions about Catherine’s whereabouts by releasing a <a href="https://people.com/palace-responds-kate-middleton-conspiracy-theories-online-surgery-recovery-rare-statement-8602191">statement</a> reiterating that she would not be returning to public duties until Easter.</p> <p>On March 4, US outlet <a href="https://www.tmz.com/2024/03/04/kate-middleton-seen-spotted-public-first-time-mystery-hospitalization/">TMZ published</a> a paparazzi photo of Catherine driving with her mother. Social media audiences asked if it really was Catherine.</p> <p>Over the next week, conspiracy theories about Catherine’s absence reached frenzied levels. To show everything was fine, Kensington Palace released a <a href="https://twitter.com/KensingtonRoyal/status/1766750995445387393?s=20">Mother’s Day photo</a> of Catherine and her children on their social media accounts. Social media users spotted apparently edited flaws and global news agencies announced “<a href="https://apnews.com/article/kate-princess-photo-surgery-ca91acf667c87c6c70a7838347d6d4fb">kill orders</a>”, saying the image had been manipulated. The next day, Catherine <a href="https://twitter.com/KensingtonRoyal/status/1767135566645092616">apologised</a> on social media for editing the photo.</p> <p>Although royals have been <a href="https://www.townandcountrymag.com/society/tradition/a60191061/royal-photoshop-history/">editing their pictures</a> for centuries, it seems particularly digitally naive of the palace’s PR team to release such an obviously edited image into an already cynical social media environment, creating fodder for more conspiracy theories.</p> <p>Mainstream news outlets then joined social media users in asking questions about Catherine’s absence. Although this media attention did not legitimise wild conspiracies, in some ways it fuelled them.</p> <p>Days later, TMZ <a href="https://www.youtube.com/watch?v=erWJNmbrECs">published footage</a> of Catherine and William shopping. At this point in the media chaos, many social media users claimed it was fake.</p> <p>This intense public speculation finally ended on March 23, when Catherine <a href="https://twitter.com/KensingtonRoyal/status/1771235267837321694?s=20">released a video</a> explaining her extended absence after abdominal surgery was caused by the surgeons discovering cancer.</p> <p>During a crisis, the public crave transparency, authenticity, honesty and reassurance. These elements were missing in the royal PR team’s carefully worded statements made directly to mainstream media along with reactive, overly curated social media posts.</p> <p>By providing scant details, the palace seemed to believe they could control public perception. But public image is increasingly difficult to control.</p> <h2>The double-edged sword of social media</h2> <p>After Princess Diana’s death in a paparazzi-chase car accident, privacy laws and <a href="https://time.com/4914324/princess-diana-anniversary-paparazzi-tabloid-media/">media regulations</a> forbade the most invasive breaches of the royal family’s privacy, particularly for her children, princes William and Harry. However, tabloid appetite for uncontrolled access soon returned once the princes became adults.</p> <p>Recently, Harry and his wife Meghan have been involved in <a href="https://www.reuters.com/world/uk/prince-harry-his-many-lawsuits-against-press-2023-12-15/">several lawsuits</a> against media companies over breaches of privacy, including phone hacking.</p> <p>The rise of social media has typically been viewed as a tool that gives royals more control over their image through the curation of their own personal content. Previously, the fact Catherine was the one <a href="https://www.businessinsider.com/kate-middleton-cutest-family-photos-2018-5">taking photos</a> of her children was seen as a sign of authenticity and being down to earth (as much as a princess could be).</p> <p>Yet, social media is both a blessing and a curse for the management of public reputations.</p> <p>The perpetuation of contested facts and theories on social media in the wake of Princess Catherine’s unexplained absence shows how difficult it is to curate a controlled image using social media. Lack of verified information in mainstream media helps fuel speculative flames.</p> <p>While <a href="https://www.thedrum.com/news/2024/03/22/where-the-palace-lost-the-plot-and-what-we-can-learn-about-pr-and-empathy-kategate">PR experts</a> believe it is understandable and appropriate for Catherine and her family to have privacy during this time, more timely, direct and honest communication would have gone a long way to prevent relentless gossip.</p> <p>Once rumours and conspiracies gained momentum, the palace perhaps thought the less information provided, the better. However, silence during a crisis just fuels more speculation because the lack of information makes it look like there is something to hide.</p> <p>Catherine’s personal video announcing her cancer diagnosis helped end the social media frenzy. This shows a simple, clear statement posted by Kensington Palace to social media weeks ago would likely have avoided the PR disaster and provided Catherine the privacy she so clearly needs.</p> <p>The palace is now <a href="https://www.sheknows.com/entertainment/articles/2986509/kate-middleton-cancer-pr-disaster/">being criticised</a> for complicating a situation that was relatively simple in retrospect. Many social media users are also upset Catherine took public blame for the photoshopping incident.</p> <p>Any organisation that deals with the media to maintain positive reputations, including the British monarchy, has no choice but to adapt to all kinds of media, including social media. The long-time practice of keeping calm and carrying on amid controversy and the 24-hour gossip cycle doesn’t work in the era of TikTok, X and YouTube.</p> <p>In the absence of trusted information, social media will do what it does best: take mostly innocuous online chatter and amplify it until it goes viral.<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/226490/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/victoria-fielding-236389">Victoria Fielding</a>, Lecturer, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/saira-ali-1522239">Saira Ali</a>, Senior Lecturer in Media, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/announcing-kate-middletons-cancer-diagnosis-should-have-been-simple-but-the-palace-let-it-get-out-of-hand-226490">original article</a>.</em></p>

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Kate Middleton's family shares emotional tribute after cancer diagnosis

<p>Kate Middleton's younger brother has shared an emotional tribute to his royal sister in the wake of the public <a href="https://oversixty.com.au/health/caring/kate-middleton-reveals-cancer-diagnosis-in-heartfelt-message" target="_blank" rel="noopener">announcement</a> of her cancer diagnosis. </p> <p>On Saturday, the Princess of Wales announced that following her "major abdominal surgery" in January, she had been diagnosed with cancer. </p> <p>After weeks of speculation, the 42-year-old royal shared that she has privately been undergoing chemotherapy, and thanked the public for their concern about her health, as well as their support. </p> <p>With the announcements of Kate's health sending shockwaves, James Middleton took to social media to share his support for his sister. </p> <p>James shared a childhood photo of himself with Kate, writing how he and the rest of his family vowed to stick together during the difficult time. </p> <p>“Over the years, we have climbed many mountains together. As a family, we will climb this one with you too,” he wrote in the caption. </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/p/C41ArAWogQS/?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/C41ArAWogQS/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by James Middleton (@jmidy)</a></p> </div> </blockquote> <p>Many flocked to the comments of James' post to send well wishes to Kate.</p> <p>“Praying for a speedy recovery,” one wrote.</p> <p>“Catherine is very lucky to have such a wonderful, supportive family. All of us in the royal watcher community are praying for your sister and the whole family,” another commented in support.</p> <p>The announcement of Kate's cancer diagnosis comes after weeks of speculation, after the princess had not been seen in public since Christmas Day. </p> <p>Despite the Palace sharing that she would not be returning to royal duties until "after Easter", the rumour mill continued with wild conspiracies about her whereabouts. </p> <p>After a <a href="https://oversixty.com.au/health/caring/princess-kate-s-post-surgery-pic-ignites-even-wilder-conspiracy-theories" target="_blank" rel="noopener">clearly edited</a> family photo was released of the Princess of Wales and her three children to ease the worries of the public, the concern for Kate's wellbeing went into overdrive, no doubt finally prompting the emotional announcement of her cancer diagnosis. </p> <p><em>Image credits: Instagram / Supplied</em></p>

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Kate Middleton reveals cancer diagnosis in heartfelt message

<p>Catherine, Princess of Wales, has revealed her battle with cancer in a heartfelt video message. The British royal shared her diagnosis and the subsequent journey she's embarking upon with the unwavering support of her family, notably her husband, Prince William, the heir to the throne.</p> <p>The revelation comes after weeks of speculation swirling on social media regarding her health and whereabouts since her hospitalisation in January for undisclosed abdominal surgery. Until now, the details surrounding her condition were shrouded in secrecy, with Kensington Palace providing minimal information, assuring the public that the ailment was not cancer-related.</p> <p>In her brave disclosure, Kate, as she is affectionately known, beseeched for "time, space and privacy" as she navigates through preventive chemotherapy. The 42-year-old princess, who had been absent from public view since Christmas, expressed gratitude for the outpouring of love and support from well-wishers.</p> <p>“I wanted to take this opportunity to say thank you, personally, for all the wonderful messages of support and for your understanding whilst I have been recovering from surgery," the Princess said. “It has been an incredibly tough couple of months for our entire family, but I’ve had a fantastic medical team who have taken great care of me, for which I am so grateful.</p> <p>“In January, I underwent major abdominal surgery in London and at the time, it was thought that my condition was non-cancerous. The surgery was successful. “However, tests after the operation found cancer had been present. My medical team therefore advised that I should undergo a course of preventative chemotherapy and I am now in the early stages of that treatment.</p> <p>“This of course came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family. As you can imagine, this has taken time. It has taken me time to recover from major surgery in order to start my treatment."</p> <p>The decision to delay the public announcement of her diagnosis was primarily motivated by a desire to shield her three young children – Prince George, Princess Charlotte and Prince Louis – from the tumult of media speculation and ensure they were informed in a manner suitable for their tender age.</p> <p>“Most importantly, it has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be ok," Kate explained.</p> <p>The timing of her announcement, coinciding with the end of the school term and the commencement of the royal family's Easter holiday, underscores the meticulous consideration afforded to every aspect of this deeply personal revelation.</p> <p><em>Image: Supplied</em></p>

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Bruce Willis' daughter reveals shock new health diagnosis

<p>Tallulah Willis, 30, has revealed that she was diagnosed with autism as an adult. </p> <p>The daughter of Hollywood stars Bruce Willis and Demi Moore took to Instagram to publicly share the news for the first time. </p> <p>"Tell me you're autistic without telling me you're autistic 😂," she wrote underneath a throwback video of her playing with her dad's ears during <em>The Whole Ten Yards</em> premiere in 2004. </p> <p>She continued opening up about her diagnosis in the comments. </p> <p>"Actually this is the first time I've ever publicly shared my diagnosis," she replied to a follower. </p> <p> "Found out this summer and it's changed my life," she added with a sun emoji. </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/reel/C4jRY7Av5b8/?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/C4jRY7Av5b8/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by tallulah (@buuski)</a></p> </div> </blockquote> <p>According to <a href="https://www.healthdirect.gov.au/autism" target="_blank" rel="noopener"><em>Health Direct</em></a>, Autism spectrum disorder is a "lifelong developmental disorder" which affects how people behave and interact with the world around them and "is caused by differences in how the brain develops".</p> <p>Many fans were quick to comment on the sweet father-daughter bond that her and Bruce share. </p> <p>"The moment when you look at each other !!! So much was said with just one look ❤" one wrote. </p> <p>"I love this so much and I love how unfazed he is while you’re playing with his ear. So precious!" another added. </p> <p>"This is so powerful. The love you share with your papa. He calmed you here, his very body , and that is beautiful. You are beautiful. ❤" a third wrote. </p> <p>A few others thanked Tallulah for her transparency and sharing her autism diagnosis. </p> <p>"My son is autistic too. And I love the saying, “you know one autistic person, you know…. one autistic person.” Because everyone is so different. My son had stims that look nothing like this. But that certainly doesn’t discount what calms you! Most importantly tho: thank you for this post," wrote one fan. </p> <p>"This made me cry! I'm also autistic and felt this through my soul. Die Hard was a favourite movie of my dad's &amp; knowing that you share the same diagnosis as me &amp; so many others warms my heart," another commented.</p> <p>Tallulah has always been candid about her mental and physical health, as she recently opened up about her experience with anorexia nervosa and told her followers that recovery is not linear and can sometimes be "messy." </p> <p><em>Image: Getty</em></p> <p> </p>

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Hollywood star reveals breast cancer diagnosis

<p>Olivia Munn has revealed that she was diagnosed with breast cancer last year, and has undergone a double mastectomy following her diagnosis. </p> <p>In an emotional post shared on Instagram, the actress shared a series of photos of her receiving treatment over the past year, and how she first found out about her diagnosis  in an effort to "help others find comfort, inspiration and support on their own journey".</p> <p>"In February of 2023, in an effort to be proactive about my health, I took a genetic test that checks you for 90 different cancer genes," she said.</p> <p>"I tested negative for all, including BRCA (the most well-known breast cancer gene). My sister Sara had just tested negative as well. We called each other and high-fived over the phone. That same winter I also had a normal mammogram."</p> <p>"Two months later I was diagnosed with breast cancer.</p> <p>"In the past ten months I have had four surgeries, so many days spent in bed I can't even count and have learned more about cancer, cancer treatment and hormones than I ever could have imagined.</p> <p>"Surprisingly, I've only cried twice. I guess I haven't felt like there was time to cry. My focus narrowed and I tabled any emotions that I felt would interfere with my ability to stay clearheaded."</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/p/C4dXfrULDdJ/?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/C4dXfrULDdJ/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by o l i v i a (@oliviamunn)</a></p> </div> </blockquote> <p>She then credited her proactive gynaecologist, Dr Thais Aliabadi, for discovering the cancer, which could've gone unnoticed for another year. </p> <p>"Dr Aliabadi looked at factors like my age, familial breast cancer history, and the fact that I had my first child after the age of 30," the actress said.</p> <p>"She discovered my lifetime risk was at 37 per cent. Because of that score I was sent to get an MRI, which led to an ultrasound, which then led to a biopsy. The biopsy showed I had Luminal B cancer in both breasts. Luminal B is an aggressive, fast moving cancer."</p> <p>The<em> X-Men: Apocalypse </em>star said she has kept her health battle private until now, so she could catch her breath and go through the most difficult parts of her treatment. </p> <p>Her partner, comedian John Mulaney, who she shares son Malcom with, commented on her post saying: "Thank you for fighting so hard to be here for us. Malc and I adore you." </p> <p>A few other celebrities praised the actress for her courage and honesty. </p> <p>"You are very generous to share your story," Jessica Chastain wrote. </p> <p>"I believe in doing so, you've saved lives. So much love to you and your family."</p> <p>"Sending you and your family love &amp; healing vibes. You are so strong,"  <em>Modern Family's</em> Ariel Winter added. </p> <p>"Thank you for sharing this! Wow," <em>Big Bang Theory</em> star Kaley Cuoco wrote.</p> <p><em>Images: Instagram</em></p> <p> </p>

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How to navigate a parent’s cancer diagnosis – like Princes William and Harry will now have to do

<p><em><a href="https://theconversation.com/profiles/lydia-harkin-1510450">Lydia Harkin</a>, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338">Nottingham Trent University</a></em></p> <p>King Charles’ <a href="https://www.bbc.co.uk/news/uk-68209998">cancer diagnosis</a> means the royal family has joined the approximately 3 million families in the UK affected by the disease. His family has already gathered around in support. William, Prince of Wales, has taken over some public duties for his father. And younger son Harry, who lives in California, flew to the UK to visit after the diagnosis was announced.</p> <p>If you, like William and Harry, are navigating a parent’s diagnosis, you are not alone. Around 400,000 people are <a href="https://www.macmillan.org.uk/about-us/what-we-do/research/cancer-statistics-fact-sheet">diagnosed</a> each year. This can be a <a href="https://doi.org/10.1002/pon.4287">frightening</a> and difficult time for families, and can change family dynamics.</p> <p>Adult children may find themselves offering emotional and practical support for a parent in a way that has not been required before, through managing medications and symptoms, travel to medical appointments, help with meal preparation and financial support.</p> <p>It can be rewarding to support a loved one and an important way to actively work together, but it can also be stressful. <a href="https://doi.org/10.1002/pon.4056">Studies have found</a> that family caregivers are generally more anxious and more likely to hide their emotional distress when compared with their family member with cancer.</p> <h2>Being a supportive family, even in conflict</h2> <p>Family support can act as a <a href="https://doi.org/10.1002/ejsp.2333">“social cure”</a> against the stress of a life-changing illness. The social cure theory proposes that being a part of a social group (or multiple groups) has benefits for our health and wellbeing. Social groups, particularly those with whom we strongly identify, like families, provide support and help us to combat times of stress.</p> <p>The key psychological component here is that people feel they belong to and identify with their groups. While undergoing cancer treatment, someone may not be able to participate in their usual social groups – through work or hobbies – as much as they used to. These groups may then become incompatible with a person’s new identity as a cancer survivor.</p> <p>Of course, not all families work together harmoniously, and may be in conflict through divorce, separation or estrangement. Social psychologists have <a href="https://doi.org/10.1111/bjso.12155">found that</a> “incompatible” social groups can lead to poorer mental health.</p> <p>Separated families can still come together and be a helpful social group, but they must offer the kind of support that their loved one needs. To figure this out, it is important to think about the person’s <a href="https://doi.org/10.1002/ejsp.2333">identity</a> within the family.</p> <p>For example, a father may view his identity as an advisor, but a cancer diagnosis requires him to be cared for and to seek advice. He may feel a sense of loss for his typical family role, a loss of meaning and of control.</p> <p>However, if his family communicates openly about the difficulties they are all facing, the father may be able to continue to advise his family, in addition to receiving their advice. This can help to maintain his sense of identity as an advisor within his family, while navigating a new status as a cancer survivor.</p> <h2>Communication and support networks</h2> <p>Cancer throws patients and their loved ones into a complex health system, often for the first time, where medical decisions and terminology become important every day. Understanding <a href="https://doi.org/10.1016/j.ejon.2014.03.012">the “language of cancer”</a> can help families feel more in control after a diagnosis.</p> <p>Equally important is communication within a family. Talking about the cancer, rather than treating it as a taboo topic, can improve <a href="https://doi.org/10.1016/j.ejon.2020.101841">mental health for both patients and their families</a>. It may also be an opportunity to empower patients and their loved ones to seek outside support, such as counselling.</p> <p>Families spread across geographical distances (like the royal family) can offer emotional support through regular phone calls or online tools. During the pandemic, <a href="https://doi.org/10.2196/42172">I developed</a> and trialled an app to help older adults combat loneliness. The app allowed them to see a digital map of their social groups, including family members.</p> <p>Your family member with cancer may feel like a burden. This is a common fear in older adulthood generally. But reminding them of how many people are in their lives – and how many people they support – can combat this feeling.</p> <p>Social media is one way to get more involved in these reciprocal support networks. In my work, families affected by cancer have reported using online communities to <a href="https://doi.org/10.1007/s11764-017-0616-1">better understand what their family is going through</a>. Private social media groups <a href="https://doi.org/10.1177/2055207619898993">dedicated to illness</a> can be helpful spaces to meet other patients and families, share experiences and normalise cancer.</p> <p>Cancer communities exist on <a href="https://doi.org/10.4103%2Fijpvm.IJPVM_36_19">Instagram</a>, on <a href="https://doi.org/10.1007/s00345-018-2254-2">YouTube and X/Twitter</a> and through registered cancer charities like <a href="https://www.macmillan.org.uk/">Macmillan Cancer Support</a>. These online resources all provide a way to build a network following a cancer diagnosis.</p> <p>Just as group identification is important within families, having more groups to connect to can act as a buffer during stressful times and help you all cope with your new reality.<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/223214/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/lydia-harkin-1510450"><em>Lydia Harkin</em></a><em>, Principal Lecturer in Psychology, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338">Nottingham Trent 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/how-to-navigate-a-parents-cancer-diagnosis-like-princes-william-and-harry-will-now-have-to-do-223214">original article</a>.</em></p>

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

<p>Amidst concerns and heartfelt wishes, King Charles III has released a statement following his shocking cancer diagnosis.</p> <p>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.</p> <p>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.</p> <p>“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.”</p> <p>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.</p> <p>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.</p> <p>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." </p> <p><em>Images: Getty</em></p>

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Palace reveals King Charles' serious health diagnosis

<p>In a sombre announcement from Buckingham Palace, it has been confirmed that King Charles III, aged 75, has been diagnosed with cancer following his recent hospital treatment for benign prostate enlargement.</p> <p>The news has sent shockwaves across the nation and beyond, prompting an outpouring of support and concern for the monarch.</p> <p>The palace statement, released early on Tuesday morning, revealed that the king is set to commence treatment immediately, expressing gratitude to his medical team for their swift intervention. The announcement also disclosed that King Charles III will be stepping back from "public-facing" duties during the course of his treatment.</p> <p>"Throughout this period, His Majesty will continue to undertake State business and official paperwork as usual," the palace said. "The King is grateful to his medical team for their swift intervention, which was made possible thanks to his recent hospital procedure. He remains wholly positive about his treatment and looks forward to returning to full public duty as soon as possible.</p> <p>"His Majesty has chosen to share his diagnosis to prevent speculation and in the hope it may assist public understanding for all those around the world who are affected by cancer."</p> <p>While the monarch reassures the public that he will continue to undertake state business and official paperwork, the decision to reduce public appearances reinforces the seriousness of the situation. This news has raised questions about the nature and extent of the king's illness, as the palace has not specified the type of cancer he is facing.</p> <p>Prime Minister Anthony Albanese and UK Chancellor Rishi Sunak have both extended their well-wishes for a speedy recovery. As the public absorbs this disconcerting news, concerns deepen with additional developments within the royal family. Prince Harry, who has been estranged from the family, is reportedly set to travel to the UK to be with his ailing father. This comes at a time when the family is already grappling with strained relationships, particularly between Prince Harry and his wife, Meghan, and the rest of the royals.</p> <p>The situation is further complicated by the recent withdrawal of the Prince of Wales, William, from public duties to care for his wife, Catherine, who underwent abdominal surgery. </p> <p>King Charles III ascended to the throne after the passing of his mother, Queen Elizabeth II, in September 2022, and his coronation took place in May of the following year. The unexpected revelation of his battle with cancer adds a layer of uncertainty to an already tumultuous period for the royal family and the nation as a whole.</p> <p>While the king remains positive about his treatment, the absence of specific details about the type of cancer and the potential impact on his public duties leaves the public in a state of unease.</p> <p><em>Image: Getty Images</em></p>

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Kelly's Clarkson's life-changing diagnosis

<p>Kelly Clarkson has opened up about the life-changing diagnosis that kicked started her massive weight loss. </p> <p>The American Idol winner spoke candidly on her own chat show about her drastic weight transformation, as she was joined by guest actor Kevin James, who commented on how good she looked. </p> <p>Clarkson has long been swamped with rumours that she used Ozempic to slim down, but has now confirmed that the reality of her weight loss is very different. </p> <p>“Well, I was told I was pre-diabetic,” she said.</p> <p>“That’s literally what happened, and, well, I wasn’t shocked. I was a tiny bit overweight.”</p> <p>The 41-year-old said the health news gave her the push she needed to make some lifestyle changes to turn around her diagnosis. </p> <p>“(The doctors) were like, ‘You’re pre-diabetic. You’re right on the borderline’,” she explained.</p> <p>“And I was like, ‘But I’m not there yet’. And then I waited two years, and then I was like OK, I’ll do something about it.”</p> <p>Rumours first began to fly of Clarkson using Ozempic to lose weight after her divorce, to which she hit back saying keeping up with her two young children was helping her get in shape.</p> <p><em>Image credits: Getty Images</em></p>

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Maintaining friendships after a dementia diagnosis can spur feelings of joy and self-worth

<p><em><a href="https://theconversation.com/profiles/colleen-whyte-1281976">Colleen Whyte</a>, <a href="https://theconversation.com/institutions/brock-university-1340">Brock University</a>; <a href="https://theconversation.com/profiles/darla-fortune-1363967">Darla Fortune</a>, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a>, and <a href="https://theconversation.com/profiles/rebecca-genoe-1363968">Rebecca Genoe</a>, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a></em></p> <p>What would our lives be like if we could no longer depend on our most cherished friendships? The people who know us best, who have been there through our ups and downs, and share a history with us?</p> <p>For many people living with dementia, this is a reality. Over 500,000 Canadians <a href="https://alzheimer.ca/en/about-dementia/what-dementia/dementia-numbers-canada">are currently living with dementia</a>, and a diagnosis often leads to <a href="https://www.alzscot.org/news/friendship-and-dementia">a loss of friendships</a> and social opportunities.</p> <p>The reactions of friends greatly affect the experience of someone living with dementia. When friends distance themselves because they don’t know what to say or presume they no longer know how to interact with their friend, a person with dementia can experience <a href="https://www.researchgate.net/publication/275353356_Friendships_for_People_Living_with_Dementia_in_Long-Term_Care">feelings of isolation and loneliness</a>.</p> <p>When people living with dementia can depend on their friends, they continue to enjoy meaningful leisure activities, experience <a href="https://doi.org/10.1093/ageing/afx186">feelings of joy and self-worth</a>, and see themselves as <a href="https://alzheimer.ca/en/take-action/become-dementia-friendly/meaningful-engagement-people-living-dementia">valued members of their social circles</a>.</p> <p><a href="https://dementiaandfriendship.ca/">Our research</a> had us interview friends together, asking them to share tips and strategies for navigating dementia. We heard moving stories of deepened bonds of friendship, genuine acceptance and the joy of simply being together.</p> <h2>Adapting to changes</h2> <p>Our research allowed us to speak with people who shared a 70-year friendship and couldn’t imagine life without each other. We learned that for some, a neighbourhood walk together was an opportunity to say a quick hello and how a weekly trip to the pub enabled some friends to connect and re-connect in a familiar space.</p> <p>People living with dementia and their friends <a href="https://doi.org/10.1017/S0714980821000301">may adapt to changes</a> brought about by the diagnosis in several ways. For example, they may prioritize their friendship by setting aside time for regular phone calls and visits. They may alter the way they think about the friendship by being accepting of the changes. They may also use practical strategies, like providing reminders for plans, and offering additional support when spending time together.</p> <p>Friends of individuals living with dementia may seek ways to <a href="https://doi.org/10.1177/1471301220980898">continue enjoying meaningful time together</a>. Sometimes this involves identifying activities that are comfortable and familiar. It may also involve providing direction and encouragement to support the continuation of enjoyable experiences, such as visiting a favourite restaurant.</p> <p>For some, additional comfort may come from hanging out as a group because there is extra support available if needed.</p> <h2>Open and honest communication</h2> <p>Open and honest communication is key to maintaining any friendship and becomes particularly important following a diagnosis of dementia. Yet, that may be the biggest challenge.</p> <p>Below are <a href="https://dementiaandfriendship.ca/">some questions that friends might find helpful</a> to ask over a cup of coffee, on a walk or in a quiet, shared moment:</p> <ul> <li>What do you value about our friendship? Can I tell you what our friendship means to me?</li> <li>What is one thing I do that makes you laugh? Here’s something you do that makes me laugh…</li> <li>How can we make sure we maintain our friendship (i.e., talk on the phone, over the internet, go for coffee)? How often do you want to connect? How do we need to change our time together? What can stay the same?</li> <li>How can we support each other to continue enjoying the leisure activities that are meaningful to us?</li> <li>What are the best times and days to plan activities (i.e., morning, afternoon, weekday, weekend)? Are there exceptions?</li> <li>Do we need to schedule something in advance (need time to prepare, or get more rest the day before) or can we be spontaneous?</li> <li>Where do you feel safe and able to be yourself?</li> <li>When we are in public and you need me to step in for you, how will I know? What is “our” signal?</li> <li>What do I do if I notice you’re starting to make decisions that are not like you?</li> <li>Can I ask you these same questions in a few weeks?</li> </ul> <p>The need for friendship <a href="https://alzheimer.ca/en/help-support/im-living-dementia/living-well-dementia/staying-socially-connected">does not diminish with age</a> and <a href="https://www.psychologytoday.com/ca/blog/happiness-in-world/201312/the-true-meaning-friendship">friendships continue to deeply enrich our lives</a>.</p> <p>Given that a dementia diagnosis often puts individuals at an increased risk of social isolation, we must pay careful attention to understanding ways to ensure that friends remain engaged with their networks in personal and meaningful ways.</p> <p>The first step is to trust in the friendship and begin to explore how it can be sustained over time.<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/187038/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/colleen-whyte-1281976"><em>Colleen Whyte</em></a><em>, Associate Professor in the Department of Recreation and Leisure Studies, <a href="https://theconversation.com/institutions/brock-university-1340">Brock University</a>; <a href="https://theconversation.com/profiles/darla-fortune-1363967">Darla Fortune</a>, Associate Professor, Applied Human Sciences, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a>, and <a href="https://theconversation.com/profiles/rebecca-genoe-1363968">Rebecca Genoe</a>, Professor, Kinesiology and Health Studies, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</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/maintaining-friendships-after-a-dementia-diagnosis-can-spur-feelings-of-joy-and-self-worth-187038">original article</a>.</em></p>

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Oscar-nominated actor shares his terrifying diagnosis

<p>Mark Ruffalo has opened up about the moment he found out he had a brain tumour almost two decades ago, and how he broke the news to his then heavily pregnant wife, Sunrise.</p> <p>Speaking with Jason Bateman, Sean Hayes and Will Arnett on the <em>Smartless </em>podcast on Monday, the actor revealed that he got his diagnosis after a "crazy dream". </p> <p>“It’s the craziest thing. I was actually shooting <em>The Last Castle </em>with [James] Gandolfini and Robert Redford and I had about a week left on that," he said. </p> <p>The Oscar nominee said that just before he got the diagnosis, he was supposed to be on set at 4am. </p> <p>“I woke up probably around three and I just had this crazy dream, you know, it wasn’t like any other dream I ever had. It was just like, ‘You have a brain tumour.’ It wasn’t even a voice. It was just pure knowledge: ‘You have a brain tumour, and you have to deal with it immediately’,” he continued.</p> <p>Despite having no symptoms other than an ear infection, the actor trusted his gut and went to the doctors anyways. </p> <p>“Listen, this is going to sound crazy, but I had this dream last night that I have a brain tumour," he recalled telling the doctor. </p> <p>She said: "'That is crazy, but there’s no reason you should have to worry about it. I’ll order you a CAT scan, and we’ll go right after work today, and we’ll show how crazy you are.’”</p> <p>Ruffalo then went to the neurologist’s office to read the scan and was shocked to find that his dream was right. </p> <p>“The nurse calls the doctor out, and I could hear them talking in the other room, and she just comes in, and she’s a zombie, and she says, ‘You have a mass behind your left ear the size of a golf ball, and we don’t know what it is. We can’t tell until it’s biopsied,’” he recalled. </p> <p>The <em>Marvel</em> star added that he waited to tell his then nine-months pregnant wife the news simply because she was so excited to welcome their bub. </p> <p>“She had the birth plan, she did the yoga, she had the doula, we had a hot tub ordered. This is like her wedding, you know, man? This is like her christening, her quinceañera, and I was just like, ‘I can’t.’" </p> <p>And when finally did break the news, his wife initially thought he was joking, "and then she just burst into tears and said, ‘I always knew you were going to die young!’”</p> <p>Fortunately for Ruffalo, the brain tumour turned out to be benign, but the surgery did leave him  “totally” deaf in one ear.</p> <p><em>Image: Getty</em></p>

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Fergie reveals second cancer diagnosis

<p dir="ltr">Sarah Ferguson has been diagnosed with skin cancer, just six months after undergoing treatment for breast cancer. </p> <p dir="ltr">The Duchess of York shared the health news via her spokesperson, while also urging people to undergo regular skin checks. </p> <p dir="ltr">"Following her diagnosis with an early form of breast cancer this summer, Sarah, Duchess of York has now been diagnosed with malignant melanoma," the statement read.</p> <p dir="ltr">"Her dermatologist asked that several moles were removed and analysed at the same time as the duchess was undergoing reconstructive surgery following her mastectomy, and one of these has been identified as cancerous.”</p> <p dir="ltr">The representative shared that Fergie was "undergoing further investigations to ensure that this has been caught in the early stages."</p> <p dir="ltr">"The Duchess wants to thank the entire medical team which has supported her, particularly her dermatologist whose vigilance ensured the illness was detected when it was," the representative added.</p> <p dir="ltr">"She believes her experience underlines the importance of checking the size, shape, colour and texture and emergence of new moles that can be a sign of melanoma."</p> <p dir="ltr">Despite being “distressed” by a second cancer diagnosis, the Duchess “remains in good spirits” throughout her recovery. </p> <p dir="ltr">The discovery of the skin cancer comes after Fergie revealed she had been diagnosed with an early form of breast cancer in June 2023.</p> <p dir="ltr">The Duchess of York announced a tumour had been found during a routine mammogram, for which she underwent a single mastectomy.</p> <p dir="ltr">In a 2023 wrap-up Instagram post, Fergie opened up about her breast cancer battle, confirming she had "beat" it after undergoing chemotherapy. </p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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Big Bang Theory star's shock cancer diagnosis

<p><em>Big Bang Theory</em> star Kate Micucci has revealed that she has lung cancer, in a shocking update on social media. </p> <p>The  43-year-old actress, known for her role as Lucy on the iconic show, shared a video from a hospital bed with the caption: “An update on what I’ve been up to," and the hashtags #imokay #solucky and #sendinglove.</p> <p>She revealed that she was recovering from surgery, and how they managed to detect the tumour early on. </p> <p>“Um, I’m in the hospital, but it’s because I had lung cancer surgery yesterday,”  she began in the video. </p> <p>“They caught it really early. It’s really weird, because I’ve never smoked a cigarette in my life so uh, you know, it was a surprise.</p> <p>“But I guess, also, it happens and so the greatest news is they caught it early, they got it out, I’m all good," she said, giving a thumbs up to the camera. </p> <p>“It’s been a little bit of a trip and, probably be moving slow for a few weeks but then I’ll be back at it,” she said, adding that she can't wait to do some painting. </p> <p>“Why am I still talking ... ‘cause I’m on drugs!” she playfully said.</p> <p>The actress was still in good spirits despite the diagnosis and surgery, as she also shared a few clips of her walking down the hospital corridor in her gown, and wheeling her IV drip while saying “Woohoo!”</p> <p>“I gotta say the artwork here is pretty nice, yeah yeah,” she said, and ended the video with a picture of her in the hospital bed holding up banana in one hand and a packet of Frosted Flakes cereal in the other. </p> <p>Fans flocked to comments to send their well-wishes, with a few others saying they were glad she detected the cancer early on</p> <p>“Sending love and healing!” one fan wrote.</p> <p>“I’m happy for early detection!!! Heal well,” another said. </p> <p>“Glad they caught it early. Get lots of rest and be gentle on yourself,” a third commented. </p> <p><em>Images: Instagram/ Getty</em></p>

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"It is what it is": Home and Away star shares secret diagnosis

<p>Aussie actor Kyle Shilling has shared the details of a secret health battle, after fans were quick to point out his unusual appearance.</p> <p>Shilling, who plays Mali Hudson on <em>Home and Away</em>, took to his Instagram story to address the complaints about his facial hair.</p> <p>After Friday night's episode of the Channel Seven soap, social media was flooded with comments about his patchy beard, with one person writing, “I wish Mali would shave his beard line along his jaw rather than halfway up it."</p> <p>“It’s all I can see whenever he’s on screen. Very distracting.”</p> <p>“Thanks, that’s all I’m gonna see now too,” wrote another.</p> <p>Shilling responded to the comments, revealing his recent diagnosis with alopecia. </p> <p>“For all those <em>Home and Away</em> fans complaining about my beard line,” he wrote.</p> <p>“Not too long ago I was diagnosed with alopecia on the beard region, mainly my neck. Alopecia is a hair loss disease which can be caused by stress."</p> <p>“The makeup team on<em> Home and Away</em> do the best they can to help cover this ‘insecurity’ I now have."</p> <p>“It should grow back eventually, but for now it is what it is.”</p> <p>He added, “I’m not asking for sympathy, as it could be a lot worse.</p> <p>“I’m simply shedding light on alopecia so people have an understanding about it. Thanks fam.”</p> <p>In a follow-up message, he wrote. "Because of my recent story about alopecia, I've received an overwhelming amount of messages. Majority are from people who have gone through it with a worse experience. big love to you all, keep on keeping on."</p> <p>"This is a reminder not to openly say something about someone's appearance, as you may not know what the reason behind it is. Think before you judge."</p> <p><em>Image credits: Seven</em></p>

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Celine Dion's first public appearance in years since cruel diagnosis

<p>Celine Dion, the iconic Canadian singer, has recently made a triumphant return to the public eye after a few years of battling a rare neurological disorder called Stiff Person Syndrome. This inspiring comeback took place as she attended a hockey game in Las Vegas, watching the match between the Vegas Golden Knights and the Montreal Canadiens alongside her sons, René-Charles, and twins, Eddy and Nelson.</p> <p>After the thrilling game, Dion made her way to the locker room, and her visit was captured in images and a reel shared by the Montreal Canadiens, the team she came to support.</p> <p>In the clip, the embattled singer appeared to be in high spirits as she interacted with players and coaches, expressing her delight at meeting them all.</p> <p>The Montreal Canadiens shared their excitement on social media in what was a heartwarming moment for both Dion and her fans – especially getting to witness her enthusiasm and resilience.</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/reel/CzFTVOwLPUP/?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/reel/CzFTVOwLPUP/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Canadiens de Montréal (@canadiensmtl)</a></p> </div> </blockquote> <p>Stiff Person Syndrome is an extremely rare neurological disorder that primarily affects the nervous system, specifically the brain and spinal cord. According to the National Institute of Neurological Disorders and Stroke, this condition manifests in symptoms such as extreme muscle stiffness, rigidity, and painful spasms in the trunk and limbs, significantly impeding mobility.</p> <p>Dion's battle with Stiff Person Syndrome forced her to postpone some tour dates, as the disorder was affecting her ability to sing the way she was accustomed to. In a video clip shared on social media, she addressed her fans and revealed her determination to overcome the challenges posed by this condition.</p> <p>"I'm working hard with my sports medicine therapist every day to build back my strength and my ability to perform again," she shared. "But I have to admit it's been a struggle." Dion's candour about her struggles and her unwavering commitment to her recovery have earned her even more admiration from her fans.</p> <p>Celine Dion's journey with Stiff Person Syndrome has been a testament to her strength and resilience. She has shown that even in the face of a rare and debilitating condition, she refuses to be defeated. Her determination to regain her ability to perform is a source of inspiration to all who face adversity in their lives.</p> <p>It's worth noting that Celine Dion has faced significant personal challenges in the past, most notably the loss of her husband, René Angélil, in 2016 to throat cancer. Despite these difficulties, she has continued to be a shining star in the world of music. Her return to the public eye, following her battle with Stiff Person Syndrome, is a testament to her enduring spirit and the deep connection she has with her fans.</p> <p>As Celine Dion makes her way back into the spotlight, her fans around the world eagerly await her return to the stage, where her powerful voice and indomitable spirit will undoubtedly continue to inspire and uplift us all. Her story serves as a reminder that with determination and a strong support system, even the most formidable challenges can be overcome.</p> <p><em>Images: Instagram</em></p>

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I’ve just been diagnosed with cancer, now what?

<p><em><a href="https://theconversation.com/profiles/marilynne-n-kirshbaum-1462224">Marilynne N Kirshbaum</a>, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a></em></p> <p>In one pivotal instant your life has changed and there will be no turning back. How will you accept, adjust and adapt to being “someone who has cancer”?</p> <p>Well, first, you are still the same person. But now you have a definitive diagnosis calling for your immediate attention.</p> <p>There are hundreds of kinds of cancer, <a href="https://www.cancer.gov/about-cancer/diagnosis-staging/staging">distinguished</a> and identified according to site, type of cell involved, aggressiveness and evidence of spread. These are the <a href="https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/cancer/overview">critical details</a> you need to know as you begin to understand what is going on in your body.</p> <p>There will be much to learn and understand about the disease and prognosis; social, emotional, sexual and spiritual effects; treatments, therapies and their side-effects; work implications and how all these opportunities and challenges will be intertwined.</p> <p>But you don’t need to do everything at once. In time, and with support, you’ll be able to move forward with poise, strength, calm and intelligence.</p> <h2>Emotions will vary – from you and others</h2> <p>Whatever your usual demeanour and emotional state, be ready for some surprises. This will be a period of uncertainty. Expect to find yourself experiencing the full gamut of reactions such as shock, anger, grief and guilt, along with warm and deep feelings of love, compassion and gratitude for the people and environment that surround you.</p> <p>In the first few days, you might want to limit who you tell about your diagnosis or keep your news private to give yourself a chance to adjust without interference. Because, although well meaning, some people will react in unexpected ways and might cause you distress rather than be truly supportive or helpful.</p> <p>Some people will be inclined to ask lots of questions, but you may not have all the answers. They might want to tell you other people’s stories, which you might not want or be ready to hear yet.</p> <p>You have the option to completely accept the guidance of health-care professionals, who will give you the information they think you need at the time and direct you to further diagnostic tests and appointments.</p> <p>However, you may want to know more about the type of cancer you have, the treatments being recommended, all possible side effects and seek out other sources. This will place the information you have received into perspective and will inform further questions. It is important to find <a href="https://www.cancer.org.au/cancer-information">resources</a> that are <a href="https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/cancer/overview">credible</a>.</p> <h2>Continuing work might be beneficial</h2> <p>For working people, the decision about returning to work will depend on how you feel and the flexibility of your workplace.</p> <p>Assuming your body is up to it and it’s not a period where you will be immunosuppressed and susceptible to harmful effects of infections, work done at a steady pace is usually not only a boost to finances, but will have <a href="https://www.cancer.net/navigating-cancer-care/young-adults-and-teenagers/school-and-work-during-cancer/going-work-during-and-after-cancer#:%7E:text=You%20might%20work%20as%20much,support%2C%20including%20health%20insurance%20benefits">cognitive, social and emotional benefits</a>.</p> <p>The strategy here is to do a risk assessment of your job. Specify the challenges and discuss how they could be reduced with your manager. If you are your own boss, be flexible and kind.</p> <h2>Responding to cancer-related fatigue</h2> <p>The most common side effect of living with cancer (before, during and after all types of treatment) is a specific kind of extreme tiredness and lethargy called cancer-related fatigue.</p> <p>Sometimes it appears alongside <a href="https://www.canceraustralia.gov.au/clinical-best-practice/psychosocial-care">non-clinical depression and hopelessness</a>. Some people can feel so awful they decline medical treatment, but for the majority, this type of fatigue gets in the way of enjoying life.</p> <p>Research on the most effective interventions to reduce cancer-related fatigue has <a href="https://pubmed.ncbi.nlm.nih.gov/20870636/">evaluated</a> a range of approaches, including medications and complementary therapies. Assuming the cause is not anaemia, which can be treated by a transfusion, the <a href="https://www.ncbi.nlm.nih.gov/books/NBK74155/">strongest evidence recommends</a> physical, moderately aerobic exercise, often defined as “enough to break a sweat”.</p> <p>However, for those who are not able to exercise at a moderate level – for example, if the cancer has metastasised to bones or if lung capacity is compromised – less physically demanding approaches <a href="https://link.springer.com/chapter/10.1007/978-3-030-76932-1_4">can be valuable</a>.</p> <h2>Prioritising things that bring you joy</h2> <p>A “<a href="https://link.springer.com/book/10.1007/978-3-030-76932-1">joyful freedom</a>” approach to cancer-related fatigue aims to bring back vitality through subtle, lifestyle adjustments. It’s a framework researchers developed based on a series of studies.</p> <p>The first task is to list activities that bring joy. Then categorise each joy according to five attributes of energy-restoring activities:</p> <ul> <li>purposeful</li> <li>expansive</li> <li>connecting</li> <li>awe-inspiring</li> <li>nourishing.</li> </ul> <p>This will raise awareness of how to best spend limited amounts of physical, emotional and cognitive energy.</p> <p>Consider adding more of what brings joy into your life and remove some of the energy-depleting activities you do not enjoy. Making small changes can have a profound effect on your energy levels and give you the boost you need to live well with cancer.</p> <p>In an ideal, well resourced national health service, GPs and specialist nurses would be available to provide holistic health promotion support for people with cancer. Realistically, this is rarely offered through mainstream public services. These services are more widely available in the private sector, or you may be able to find what you need through your <a href="https://www.cancer.org.au/">local Cancer Council</a>. <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/211522/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/marilynne-n-kirshbaum-1462224">Marilynne N Kirshbaum</a>, Professor and Chair of the Human Research Ethics Committee, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin 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/ive-just-been-diagnosed-with-cancer-now-what-211522">original article</a>.</em></p>

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"I'm really worried": Broadcasting icon reveals incurable condition

<p>British broadcasting legend Alistair Stewart has shared the details of his devastating diagnosis, just after announcing his retirement.</p> <p>The 71-year-old shared that after suffering a series of strokes, he was diagnosed with vascular dementia. </p> <p>The news comes after he announced his retirement, after a 50-year career in the media that saw him in prominent roles with both <em>ITV News</em> and <em>GB News</em>. </p> <p>In an interview on <em>GB News</em>, Stewart explained that he first began feeling "discombobulated" six to nine months ago, which left him fearing he had "early onset dementia."</p> <p>He told his <em>GB News</em> colleague Camilla Tominey, "I wasn't forgetful but things like doing your shoelaces up properly, making sure your tie was straight, remembering the call time for your program is four o'clock not five o'clock – not turning up early or late – and stuff like that."</p> <p>"And I then decided I might have something wrong up here." </p> <p>He went on to explain he went to his GP to explain his symptoms, to which his GP recommended he have a scan to determine the diagnosis. </p> <p>When his scan results came back, he was told he'd had a series of minor strokes.</p> <p>"And it was like a scene from Casualty or Emergency Ward 10 because the results came back and I had indeed had a series of minor strokes – that are called infract strokes." </p> <p>"Not the big one where your face falls down and your arm goes doolally. But it's like pepper shots and the cumulative effect of that is that I had a diagnosis of early onset vascular dementia."</p> <p>His condition is "incurable" however Stewart says he is following doctor's advice to try and slow the progression of the condition.</p> <p>Since receiving his diagnosis, Stewart has retired from his role at <em>GB News</em> after more than 50 years as a journalist and broadcaster.</p> <p>He shared in a statement, "I'm nearly 71 and I still get the most tremendous lift from live television – it's the best job in the world."</p> <p>"However, the rigours of preparing for two live interview shows a week, and commuting from Hampshire to London for them, are considerable. I want to reduce my commitment while I'm still ahead as an old broadcaster, rather than an ancient one."</p> <p><em>Image credits: Getty Images</em></p>

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“Dig a hole in my chest”: Supermodel reveals double cancer fight

<p>Supermodel icon Linda Evangelista has shared the devastating details of her cancer battle, after being diagnosed twice in five years. </p> <p>In a candid interview with <a href="https://www.wsj.com/style/fashion/linda-evangelista-steven-meisel-32909b7b?mod=style_lead_story" target="_blank" rel="noopener"><em>WSJ magazine</em></a>, the 58-year-old revealed why she chose to "keep it quiet" and only tell a handful of people close to her about her health battle. </p> <p>Evangelista was first diagnosed with breast cancer in 2018 after a routine mammogram, and decided to undergo a bilateral mastectomy: a surgical procedure to remove both breasts. </p> <p>"The margins were not good. [I chose this treatment] due to other health factors, without hesitation, because I wanted to put everything behind me and not to have to deal with this.</p> <p>"Thinking I was good and set for life. Breast cancer was not going to kill me."</p> <p>Four years later in 2022, Evangelista felt a lump on her chest and an MRI revealed cancer was present in her pectoral muscle.</p> <p>"I just went into this mode that I know how to do – just do what you've got to do and get through it," she said. "And that's what I did."</p> <p>"Dig a hole in my chest," she recalled telling her doctors.</p> <p>"I don't want it to look pretty. I want you to excavate. I want to see a hole in my chest when you're done. Do you understand me? I'm not dying from this."</p> <p>After another round of surgery, she was told the outlook was good for the future, but there is always a possibility the cancer could return. </p> <p>"Well, once it's come back, there's a chance," she recalled the oncologist's words.</p> <p>"I know I have one foot in the grave, but I'm totally in celebration mode."</p> <p><em>Image credits: Instagram / Getty Images</em></p>

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Bindi Irwin shares candid health update

<p>Bindi Irwin has shared a candid health update, while sharing details of her gruelling road to receiving a diagnosis for endometriosis. </p> <p>The wildlife warrior first shared that she was suffering with the condition, which effects one in nine women, in March 2023, as she revealed she was living in constant pain. </p> <p>Now, the 25-year-old told <a href="https://people.com/bindi-irwin-doctors-dismissed-pain-before-endometriosis-diagnosis-exclusive-7749973" target="_blank" rel="noopener">People</a> magazine that it took 10 years to be diagnosed, after being “tested for everything” after experiencing extreme fatigue, pain and nausea over the span of a decade.</p> <p>“It’s so hard because you feel like it’s inescapable,” she told the publication.</p> <p>“You don’t know what’s wrong with you, and then when people tell you ‘It’s all in your head’ or ‘you’re hormonal’ or ‘just have a cup of tea, lay down,’ you end up feeling so desperately alone because there’s no answers.”</p> <p>In August 2022, Bindi pushed to undergo an explorative laparoscopy to explore her organs in the abdomen and pelvis. </p> <p>“I was so scared that they wouldn’t find anything because we had run out of everything else to test for,” Irwin said.</p> <p>The surgery revealed she had 37 lesions and cysts on her ovaries, and was formally diagnosed with endometriosis. </p> <p>Following specialised treatment and surgery, the conservationist said she feels “like I have a second chance at life ... I feel brand new”.</p> <p>“It’s not like a light switch, but every week I feel like I’m able to do a little bit more,” she said.</p> <p>“Now I wake up in the morning, and I don’t have to take anti-nausea medicine or have my heat pack."</p> <p>“Being able to go for a walk with my daughter and not feeling like I have to throw up in the bushes is just wild to me.”</p> <p><em>Image credits: Instagram</em></p>

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1 in 6 women are diagnosed with gestational diabetes. But this diagnosis may not benefit them or their babies

<p><em><a href="https://theconversation.com/profiles/paul-glasziou-13533">Paul Glasziou</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>When Sophie was pregnant with her first baby, she had an <a href="https://www.ncbi.nlm.nih.gov/books/NBK279331/#:%7E:text=Oral%20glucose%20tolerance%20tests%20(OGTT,enough%20by%20the%20body's%20cells.)">oral glucose tolerance</a> blood test. A few days later, the hospital phoned telling her she had gestational diabetes.</p> <p>Despite having only a slightly raised glucose (blood sugar) level, Sophie describes being diagnosed as affecting her pregnancy tremendously. She tested her blood glucose levels four times a day, kept food diaries and had extra appointments with doctors and dietitians.</p> <p>She was advised to have an induction because of the risk of having a large baby. At 39 weeks her son was born, weighing a very average 3.5kg. But he was separated from Sophie for four hours so his glucose levels could be monitored.</p> <p>Sophie is not alone. About <a href="https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-many-australians-have-diabetes/gestational-diabetes">one in six</a> pregnant women in Australia are now diagnosed with gestational diabetes.</p> <p>That was not always so. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827530/">New criteria</a> were developed in 2010 which dropped an initial screening test and lowered the diagnostic set-points. Gestational diabetes diagnoses have since <a href="https://www.aihw.gov.au/reports/diabetes/diabetes/contents/how-many-australians-have-diabetes/gestational-diabetes">more than doubled</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?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/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=388&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=388&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=388&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=487&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=487&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/536691/original/file-20230710-23-v8weyw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=487&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="caption">Gestational diabetes rates more than doubled after the threshold changed.</span> <span class="attribution"><span class="source">AIHW</span>, <span class="license">Author provided</span></span></figcaption></figure> <p>But <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2204091">recent</a> <a href="https://pubmed.ncbi.nlm.nih.gov/33704936/">studies</a> cast doubt on the ways we diagnose and manage gestational diabetes, especially for women like Sophie with only mildly elevated glucose. Here’s what’s wrong with gestational diabetes screening.</p> <h2>The glucose test is unreliable</h2> <p>The test used to diagnose gestational diabetes – the oral glucose tolerance test – has poor reproducibility. This means subsequent tests may give a different result.</p> <p>In a <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2214956">recent Australian trial</a> of earlier testing in pregnancy, one-third of the women initially classified as having gestational diabetes (but neither told nor treated) did not have gestational diabetes when retested later in pregnancy. That is a problem.</p> <p>Usually when a test has poor reproducibility – for example, blood pressure or cholesterol – we repeat the test to confirm before making a diagnosis.</p> <p>Much of the increase in the incidence of gestational diabetes after the introduction of new diagnostic criteria was due to the switch from using two tests to only using a single test for diagnosis.</p> <h2>The thresholds are too low</h2> <p>Despite little evidence of benefit for either women or babies, the current Australian criteria diagnose women with only mildly abnormal results as having “gestational diabetes”.</p> <p>Recent studies have shown this doesn’t benefit women and may cause harms. A <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2204091">New Zealand trial</a> of more than 4,000 women randomly assigned women to be assessed based on the current Australian thresholds or to higher threshold levels (similar to the pre-2010 criteria).</p> <p>The trial found no additional benefit from using the current low threshold levels, with overall no difference in the proportion of infants born large for gestational age.</p> <p>However, the trial found several harms, including more neonatal hypoglycaemia (low blood sugar in newborns), induction of labour, use of diabetic medications including insulin injections, and use of health services.</p> <p>The study authors also looked at the subgroup of women who were diagnosed with glucose levels between the higher and lower thresholds. In this subgroup, there was some reduction in large babies, and in shoulder problems at delivery.</p> <p>But there was also an increase in small babies. This is of concern because being small for gestational age can also have consequences for babies, including long-term health consequences.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?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/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=349&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=349&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=349&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=438&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=438&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/540643/original/file-20230802-29-1dw2rw.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=438&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="attribution"><span class="source">NEJM</span>, <span class="license">Author provided</span></span></figcaption></figure> <h2>Testing too early</h2> <p>Some centres have begun testing women at higher risk of gestational diabetes earlier in the pregnancy (between 12 and 20 weeks).</p> <p>However, a <a href="https://pubmed.ncbi.nlm.nih.gov/37144983/">recent trial</a> showed no clear benefit compared with testing at the usual 24–28 weeks: possibly fewer large babies, but again matched by more small babies.</p> <p>There was a reduction in transient “respiratory distress” – needing extra oxygen for a few hours – but not in serious clinical events.</p> <h2>Impact on women with gestational diabetes</h2> <p>For women diagnosed using the higher glucose thresholds, dietary advice, glucose monitoring and, where necessary, insulin therapy has been shown to reduce complications during delivery and the post-natal period.</p> <p>However, current models of care can also cause harm. Women with gestational diabetes are often denied their preferred model of care – for example, midwifery continuity of carer. In rural areas, they may have to transfer to a larger hospital, requiring longer travel to antenatal visits and moving to a larger centre for their birth – away from their families and support networks for several weeks.</p> <p>Women say the diagnosis often dominates their antenatal care and their whole <a href="https://pubmed.ncbi.nlm.nih.gov/32028931/">experience of pregnancy</a>, reducing time for other issues or concerns.</p> <p>Women from culturally and linguistically diverse communities <a href="https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03981-5">find it difficult</a> to reconcile the advice given about diet and exercise with their own cultural practices and beliefs about pregnancy.</p> <p>Some women with gestational diabetes <a href="https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-2745-1">become</a> extremely anxious about their eating and undertake extensive calorie restrictions or disordered eating habits.</p> <h2>Time to reassess the advice</h2> <p>Recent evidence from both randomised controlled trials and from qualitative studies with women diagnosed with gestational diabetes suggest we need to reassess how we currently diagnose and manage gestational diabetes, particularly for women with only slightly elevated levels.</p> <p>It is time for a review to consider all the problems described above. This review should include the views of all those impacted by these decisions: women in childbearing years, and the GPs, dietitians, diabetes educators, midwives and obstetricians who care for them.</p> <p><em>This article was co-authored by maternity services consumer advocate Leah Hardiman.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/205919/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><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> and <a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, Clinical Professorial Research Fellow, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/1-in-6-women-are-diagnosed-with-gestational-diabetes-but-this-diagnosis-may-not-benefit-them-or-their-babies-205919">original article</a>.</em></p>

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