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Readers response: What’s your best advice for managing medications while travelling?

When taking a trip, many people often have to factor in how their changing schedule will affect their regular medication routines. We asked our readers for their best advice on managing medications while travelling, and the response was overwhelming. Here's what they said. Kristeen Bon - I put each days tablet into small ziplock bags and staple them at one corner. All that goes into one larger ziplock bag and into my toilet bag. I store all the outer packs flat into another ziplock bag and that stays in the zip pack with my first aid kit in the main suitcase. I travel long haul up to six times a year and this is the most manageable way I have found. Diane Green - Firstly, take sufficient supply of all meds to last the time I'm away. I separate morning medications and evening medications. Then it depends on how long I'm away. I have one that needs to be refrigerated. Depending on where I travel, this can entail arranging overnight in the establishment fridge while taking a freezer pack for daytime travel. Irene Varis - Always get a letter from my doctor, with all my prescriptions for when I get overseas. Saves you a lot of trouble! Helen Lunn - Just get the chemist to pack into Medipacks. I usually take an extra week. I alway put some of the packs in my partners baggage incase my bag goes missing and a pack and a doctor’s letter in my hand luggage. Jancye Winter - Always pack in your carry on with prescriptions. Jenny Gordon - Carry a letter from doc with all medications, leave in original packaging. Double check that it isn’t illegal to carry your medication as some countries have strict regulations for things like Codeine. Always carry in carry on as you don’t want them to get lost. Nina Thomas Rogers - Be organised with all your medicines before you leave. Image credits: Shutterstock

Travel Tips

Jimmy Barnes shares positive update after surgery

Jimmy Barnes has shared a heartwarming update on his health following his emergency hip surgery in August. While on the New Zealand leg of his tour in early August, the 68-year-old rockstar was taken to <a href="https://oversixty.com.au/health/caring/bad-news-jimmy-barnes-reveals-shocking-health-update" target="_blank" rel="noopener">hospital</a> after complaining of "unbearable pain", telling his fans, "The doctors have recommended a remedial medical procedure ASAP followed by some physio to address the issue." Now back at home with his family, Barnes shared that he is on the road to recovery with an update on his healing journey. Barnes said he has had his PICC line, a thin tube inserted through a vein in your arm to deliver medications and treatments directly to the larger veins near your heart, finally removed, meaning he can gain back some normalcy. Barnes said was living with a PICC line in his arm for the past six weeks to continue his treatment as an out patient. “It’s meant that I could leave hospital and continue most of my recovery at home,” he said on Instagram on Friday. “It’s been restricting and liberating at the same time." “This part of my recovery is now over and with the help of (doctors), nurses, physiotherapists, family, friends, you guys and my Jane, everything is on track.” Posing in front of a calendar with Cold Chisel dates, Barnes said rehearsing with the band again this week has “topped things off”. “I can even get back behind the wheel,” he said. “Aah! FREEDOM.” Image credits: Instagram

Caring

Demi Moore shares rare update on Bruce Willis' health

Demi Moore has shared a rare update on ex-husband Bruce Willis, as the actor battles frontotemporal dementia. The actress shared the update in an interview with Drew Barrymore on The Drew Barrymore Show, where she opened up about his health. She said she spends as much time as she can with Willis - who she was married to for 11 years and is the father of her three daughters - and his wife Emma Heming, with the blended family celebrating holidays and birthdays together. During the interview, Moore and Barrymore reminisced about their time working together on the 2003 film Charlie’s Angels: Full Throttle, where Willis made a special cameo. “When we did Charlie’s Angels, Bruce came and played on it, and he opens up the film,” Barrymore recalled, “And we got to work with him.” Barrymore went on to ask about his current health, noting she had known him for years, all the way back to his days as a barman. “I mean, I used to know him when he was a bartender at Cafe Central,” Barrymore said. “I’ve known him my whole life, too. How is he right now?” The actress provided a reassuring update: “Given the givens, he’s in a stable place.” Moore and Willis were married from 1987 to 2000 and share three daughters: Rumer, 36, Scout, 33, and Tallulah, 30. Moore also revealed details of how she supports their daughters as they cope with their father's health struggles. “What I say to my kids is you meet them where they’re at. You don’t hold on to who they were or what you want them to be, but who they are in this moment,” she explained. “And from that, there is such beauty and joy and loving and sweetness. “When I’m in LA, I go over every week, and I really treasure the time that we all share.” The Die Hard star was diagnosed with aphasia in March 2022 and almost a year later, his family shared that his condition had progressed to frontotemporal dementia. Image: Instagram

Caring

Robbie Williams and wife share heartbreaking family update

Robbie Williams and wife Ayda have been left heartbroken following the death on their beloved dogs, Poupette and Walle. The British pop star, 50, took to Instagram on Friday to share the devastating news, saying that the two dogs died together in their sleep. In a heartfelt tribute to Instagram, his wife Ayda shared that Poupette had been with her for nearly two decades. “Today, our dogs Poupette & Walle left this planet to start an adventure in an infinite galaxy far, far away," she began. “They died together in bed, listening to ‘Dancing Queen’, surrounded by tremendous love. “For those of you who don’t know about Poupette and Walle, here’s some backstory … “Poupette’s been with me 18 years. From the day we met, she was my soulmate. I was a single girl, and all of a sudden, with Poupette, I was a single mum. “Everyone that knows me, called Poupette ‘my shadow’ … because wherever I’d go, she was right behind me. “It’s weird how you can share so much with a being that can’t communicate back in the same language. “But, that’s the beauty of unconditional love … it needs no words.” <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/C_hicKtx3R5/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C_hicKtx3R5/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Ayda Field Williams (@aydafieldwilliams)</a> </div> </blockquote> She explained that when she started dating Robbie, he fell in love with Poupette "instantly" and took her on as his own dog. “Rob, at the time, had 3 big dogs & I assumed he’d baulk at the idea of having to take a tiny, white, fluffy dog on the streets, shouting ‘Poupette’ with a Northern English accent," she said. “But, Rob immediately fell in love with her and all of a sudden, the big tattooed, popstar … became a small-fluffy-dog kinda guy.” The couple decided to get Walle a year later, and “from that day forward, on 4th of July, we officially became a blended family.” Their dogs even played a big role on their wedding day in 2010, with Poupette as Ayda's maid of honour, and Walle as Robbie's best man. “Through the years, Poupette & Walle have been there for the birth of all 4 children, multiple tours, countries, & all the ups & downs that life has thrown our way the past 14 years since we said, ‘I do’.” “As time has gone on, we have had to say our sad goodbyes to each of those bridesmaids & groomsmen … Miraculously, Poupette & Walle have held on. “Recently, Rob and I renewed our marriage vows. There’s a lot of things we’re facing now (more on that another time) and we wanted to celebrate what was good in our lives; family & love. “Just as 14 years ago … Poupette was my maid of honor & Walle was Rob’s man.” The star admitted that she would be taking the next few days to grieve over her "fur bestie" and how she loves them "with all her heart." Many fans shared their condolences for the couple, with one writing: “Oh that is so sad, they will be truly missed! Sending you all the biggest hugs!” Images: Instagram

Family & Pets

Sir Ian McKellen shares health update after fall

Sir Ian McKellen has admitted his health is deteriorating, after he <a href="https://www.oversixty.com.au/health/caring/sir-ian-mckellen-rushed-to-hospital" target="_blank" rel="noopener">fell off stage</a> during a performance in a London theatre a few months ago. The Lord of the Rings actor was starring in a production of Player Kings at the Noel Coward Theatre when he fell off stage and snapped his wrist. He also chipped a vertebrae, but has now revealed that he has other issues too. “I forget names … When you’re older you’ve got more to remember than people who are young," he said. “Nevertheless, it’s a nuisance when you can’t remember your best friend’s name or forget your telephone number.” Despite being 85, the actor is determined to keep working, but said that he will take time off until 2025. “What else would I be doing if I wasn’t working? I shall take the rest of the year off and then get back to work in January," he shared. “Just keep at it as long as the legs and the lungs and the mind keep working.” He is also eager to reprise his role as Gandalf in the 2026 film The Lord of the Rings: The Hunt for Gollum, which would be his first appearance as the wizard in 12 years. In an interview for the BBC, he said: “Well, I’ve had some indication from the powers that be, Gandalf will make an appearance, and I’m not letting anybody else put on the pointy hat and beard if I can help it.” Images: Jeff Moore/ Shutterstock Editorial

Caring

Woman “bullied” on plane over budget seating trick

A young woman has recalled a flight from hell when she was “bullied” by a couple who were trying to utilise a seating hack that went viral on TikTok. The solo traveller took to Reddit to recount the story and ask social media users if she was in the wrong for her action. The woman began by saying she usually pays more to select her plane seat ahead of time, but a medical emergency on another plane had her waiting on standby and left with no option other than to sit in a middle seat. When she was finally able to board, she was greeted by a couple who had purchased both the window and aisle seats in a bid to have more space, utilising a travel “trick” that has been popular on TikTok. The method, which has been dubbed the 'poor man's business class', usually leaves travellers with an empty middle seat and more space, and few travellers opt to pick a middle seat. “When I got to my row the man and woman were chatting and sharing a snack... it was obvious they were together. I mentioned to the man that I'm in the middle, and he got up to let me in,” the unsuspecting traveller wrote on Reddit. “I asked them if they would prefer to sit together, I said I was totally okay with that. The woman reacted rudely to this and said ‘you're not supposed to be sitting here anyway’.” After noticing how the plane was full, she offered to show the pair her new ticket with the correct seat number on it. “She flicked her hand at my ticket and made a disgusted sound. I offered again if they wanted to sit together to which she didn't reply, her partner said it's okay and... made some small talk,” she continued. The man’s girlfriend then interrupted their conversation to ask,”'Did you use one of those third party websites to book your flight? It's so frustrating when people cheap out to inconvenience others.” The American woman explained that she had booked her flight directly and she had been placed on standby like everyone else and didn't choose the middle seat - she was assigned it. She then tried to keep the peace by refusing to engage with the furious woman. “I was so done with her attitude, I put my headphones on and attempted to do my own thing,” she explained. But the “entitled” girlfriend wasn't letting it go, as the woman explained, “This woman kept reaching over me and tapping her partner and trying to talk to him in a way that was super intrusive.” “I could tell even her partner was trying to engage her less so that she would hopefully stop, but she didn't.” “I think they tried to pull that tactic where they don't sit together on purpose...hoping no one will sit between them. But on full flights it doesn't work. And even so - it's not the other person's fault.” The traveller's post was met with hundreds of comments slamming the girlfriend’s behaviour, as one person wrote, “It's like a toddler having a tantrum.” “She was disappointed and a total a**hole. Gross entitled people,” another added. Another person applauded the traveller’s level-headed behaviour, writing, “Wow! You are my hero for keeping it classy - I’m afraid I would not have been as kind as you.” Image credits: Shutterstock

Travel Trouble

"Bad news": Jimmy Barnes reveals shocking health update

Jimmy Barnes has been taken to hospital after complaining of "unbearable pain" while on the New Zealand leg of his tour. The Aussie rock legend took to Instagram to tell his fans that he would be out of action for six weeks after experiencing pain in his hip that requires surgical intervention. "I’ve got some bad news unfortunately," he started the post. "I had a twinge in my hip when I was leaving Dunedin on Thursday morning and by late last night the pain was unbearable so I went off to hospital." "The doctors have recommended a remedial medical procedure ASAP followed by some physio to address the issue. These doctors don’t muck around! Providing all goes to plan, I’m expected to make a full recovery in six weeks." The 68-year-old then clarified that because of the upcoming surgery, his August and September shows on his Hell of a Time tour would be impacted. "Ticket holders will be contacted with further info in the coming days once we have new plans in place," he said. "As you know, I hate to let anyone down, but I’m also never going to compromise the quality of my gigs. I apologise for the inconvenience this will cause everyone – I HATE moving shows! - but thank you for understanding." Just hours after his post, Jimmy's wife Jane took to his social media accounts to tell his fans that he was out the ICU and "recovering well" while he awaits the procedure. <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/C-PaHMCT78j/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C-PaHMCT78j/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jimmy Barnes (@jimmybarnesofficial)</a> </div> </blockquote> "Jimmy is out of ICU and recovering well. I brought in some healing chicken soup and chocolate chip cookies for afternoon tea, a bit of home always helps hospital days," she said. "Our kids always around watching over us. Full of Love." The health shock comes just months after he underwent open heart surgery for a life-threatening infection, while also following on from a hip replacement surgery Barnes underwent in 2022 after experiencing more pain while performing. Image credits: Instagram

Caring

What happens in my brain when I get a migraine? And what medications can I use to treat it?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/mark-slee-1343982">Mark Slee</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> Migraine is many things, but one thing it’s not is “just a headache”. “Migraine” <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029040/">comes from</a> the Greek word “hemicrania”, referring to the common experience of migraine being predominantly one-sided. Some people experience an “aura” preceding the headache phase – usually a visual or sensory experience that evolves over five to 60 minutes. Auras can also involve other domains such as language, smell and limb function. Migraine is a disease with a <a href="https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(18)30322-3/fulltext">huge personal and societal impact</a>. Most people cannot function at their usual level during a migraine, and anticipation of the next attack can affect productivity, relationships and a person’s mental health. <h2>What’s happening in my brain?</h2> The biological basis of migraine is complex, and varies according to the phase of the migraine. Put simply: The earliest phase is called the prodrome. This is associated with activation of a part of the brain called the hypothalamus which is thought to contribute to many symptoms such as nausea, changes in appetite and blurred vision. <figure class="align-center "><img src="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=485&fit=crop&dpr=1 600w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=485&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=485&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=610&fit=crop&dpr=1 754w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=610&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/608985/original/file-20240723-17-rgqc7v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=610&fit=crop&dpr=3 2262w" alt="" /><figcaption>The hypothalamus is shown here in red. <a class="source" href="https://www.shutterstock.com/image-vector/brain-cross-section-showing-basal-ganglia-329843930">Blamb/Shutterstock</a></figcaption></figure> Next is the aura phase, when a wave of neurochemical changes occur across the surface of the brain (the cortex) at a rate of 3–4 millimetres per minute. This explains how usually a person’s aura progresses over time. People often experience sensory disturbances such as flashes of light or tingling in their face or hands. In the headache phase, the trigeminal nerve system is activated. This gives sensation to one side of the face, head and upper neck, leading to release of proteins such as CGRP (calcitonin gene-related peptide). This causes inflammation and dilation of blood vessels, which is the basis for the severe throbbing pain associated with the headache. Finally, the postdromal phase occurs after the headache resolves and commonly involves changes in mood and energy. <h2>What can you do about the acute attack?</h2> A useful way to conceive of <a href="https://www.migraine.org.au/factsheets">migraine treatment</a> is to compare putting out campfires with bushfires. Medications are much more successful when applied at the earliest opportunity (the campfire). When the attack is fully evolved (into a bushfire), medications have a much more modest effect. <iframe id="Pj1sC" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/Pj1sC/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> Aspirin For people with mild migraine, non-specific anti-inflammatory medications such as high-dose aspirin, or standard dose non-steroidal medications (NSAIDS) can be very helpful. Their effectiveness is often enhanced with the use of an anti-nausea medication. Triptans For moderate to severe attacks, the mainstay of treatment is a class of medications called “<a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1678146819/Factsheet_15_2023.pdf?1678146819">triptans</a>”. These act by reducing blood vessel dilation and reducing the release of inflammatory chemicals. Triptans vary by their route of administration (tablets, wafers, injections, nasal sprays) and by their time to onset and duration of action. The choice of a triptan depends on many factors including whether nausea and vomiting is prominent (consider a dissolving wafer or an injection) or patient tolerability (consider choosing one with a slower onset and offset of action). As triptans constrict blood vessels, they should be used with caution (or not used) in patients with known heart disease or previous stroke. Gepants Some medications that block or modulate the release of CGRP, which are used for migraine prevention (which we’ll discuss in more detail below), also have evidence of benefit in treating the acute attack. This class of medication is known as the “gepants”. Gepants come in the form of injectable proteins (monoclonal antibodies, used for migraine prevention) or as oral medication (for example, rimegepant) for the acute attack when a person has not responded adequately to previous trials of several triptans or is intolerant of them. They do not cause blood vessel constriction and can be used in patients with heart disease or previous stroke. Ditans Another class of medication, the “ditans” (for example, lasmiditan) have been approved overseas for the acute treatment of migraine. Ditans work through changing a form of serotonin receptor involved in the brain chemical changes associated with the acute attack. However, neither the gepants nor the ditans are available through the Pharmaceutical Benefits Scheme (PBS) for the acute attack, so users must pay out-of-pocket, at a <a href="https://www.migraine.org.au/cgrp#:%7E:text=While%20the%20price%20of%20Nurtec,%2D%24300%20per%208%20wafers.">cost</a> of approximately A$300 for eight wafers. <h2>What about preventing migraines?</h2> The first step is to see if <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043428/Factsheet_5_2023.pdf?1677043428">lifestyle changes</a> can reduce migraine frequency. This can include improving sleep habits, routine meal schedules, regular exercise, limiting caffeine intake and avoiding triggers such as stress or alcohol. Despite these efforts, many people continue to have frequent migraines that can’t be managed by acute therapies alone. The choice of when to start preventive treatment varies for each person and how inclined they are to taking regular medication. Those who suffer disabling symptoms or experience more than a few migraines a month <a href="https://www.nejm.org/doi/full/10.1056/NEJMra1915327">benefit the most</a> from starting preventives. Almost all migraine <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">preventives</a> have existing roles in treating other medical conditions, and the physician would commonly recommend drugs that can also help manage any pre-existing conditions. First-line preventives include: <ul> <li>tablets that lower blood pressure (candesartan, metoprolol, propranolol)</li> <li>antidepressants (amitriptyline, venlafaxine)</li> <li>anticonvulsants (sodium valproate, topiramate).</li> </ul> Some people have none of these other conditions and can safely start medications for migraine prophylaxis alone. For all migraine preventives, a key principle is starting at a low dose and increasing gradually. This approach makes them more tolerable and it’s often several weeks or months until an effective dose (usually 2- to 3-times the starting dose) is reached. It is rare for noticeable benefits to be seen immediately, but with time these drugs <a href="https://pubmed.ncbi.nlm.nih.gov/26252585/">typically reduce</a> migraine frequency by 50% or more. <hr /> <iframe id="jxajY" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/jxajY/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe> <hr /> <h2>‘Nothing works for me!’</h2> In people who didn’t see any effect of (or couldn’t tolerate) first-line preventives, new medications have been available on the PBS since 2020. These medications <a href="https://pubmed.ncbi.nlm.nih.gov/8388188/">block</a> the action of CGRP. The most common PBS-listed <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1708566656/Factsheet_16_2024.pdf?1708566656">anti-CGRP medications</a> are injectable proteins called monoclonal antibodies (for example, galcanezumab and fremanezumab), and are self-administered by monthly injections. These drugs have quickly become a game-changer for those with intractable migraines. The convenience of these injectables contrast with botulinum toxin injections (also <a href="https://www.migraine.org.au/botox">effective</a> and PBS-listed for chronic migraine) which must be administered by a trained specialist. Up to half of adolescents and one-third of young adults are <a href="https://deepblue.lib.umich.edu/bitstream/handle/2027.42/147205/jan13818.pdf">needle-phobic</a>. If this includes you, tablet-form CGRP antagonists for migraine prevention are hopefully not far away. Data over the past five years <a href="https://pubmed.ncbi.nlm.nih.gov/36718044/">suggest</a> anti-CGRP medications are safe, effective and at least as well tolerated as traditional preventives. Nonetheless, these are used only after a number of cheaper and more readily available <a href="https://assets.nationbuilder.com/migraineaus/pages/595/attachments/original/1677043425/Factsheet_2_2023.pdf?1677043425">first-line treatments</a> (all which have decades of safety data) have failed, and this also a criterion for their use under the PBS.<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/227559/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/mark-slee-1343982">Mark Slee</a>, Associate Professor, Clinical Academic Neurologist, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/anthony-khoo-1525617">Anthony Khoo</a>, Lecturer, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-in-my-brain-when-i-get-a-migraine-and-what-medications-can-i-use-to-treat-it-227559">original article</a>. </div>

Body

"A bit grim": Sam Neill shares cancer update

Actor Sam Neill has shared a heartbreaking update on his cancer journey, which he has said he will eventually succumb to. Last year, the 76-year-old revealed that he was battling rare blood cancer, angioimmunoblastic T-cell lymphoma. After undergoing chemotherapy that failed to work, Neill's doctor switched him to an anti-cancer drug which has put him in remission for more than 12 months. The treatment requires him to have infusions every two weeks, and while his condition is currently stable, the drug will eventually stop working. Speaking candidly to the Herald Sun about his condition, he said while he is maintaining a positive outlook, the gruelling treatment is impacting the way he lives his life. “It’s just meant that every second week it was a case of forget about the weekend because that would be a bit grim,” he explained of his treatment schedule. “But other than that, it’s great to be alive and working and in beautiful places, like York.” Last year, Sam insisted while he wasn’t afraid of death after battling the disease, he “would be annoyed” because he still has plenty he wants to achieve. “I’m prepared for that,” Neill said at the time, adding that while dying would be “annoying” he’s not “remotely afraid” of it. “The last thing I want is for people to obsess about the cancer thing because I’m not really interested in cancer," he added. "I’m not really interested in anything other than living.” Image credits: Matt Baron/BEI/Shutterstock Editorial

Caring

Taking too many medications can pose health risks. Here’s how to avoid them

<a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> When we see an older family member handling a bulky box of medications sorted by day of the week, we might stop and wonder, is it too much? How do all those pills interact? The fact is, as we get older we are more likely to develop different chronic illnesses that require us to take several different medications. This is known as polypharmacy. The concept applies to people taking five or more medications, but there are all sorts of <a href="https://doi.org/10.3390/pharmacy7030126">definitions with different thresholds</a> (for example, four, 10 or 15 medicines). I’m a pharmacist and pharmacoepidemiologist interested in polypharmacy and its impact on the population. The research I carry out with my team at the Faculty of Pharmacy at Université Laval focuses on the appropriate use of medication by older family members. We have published this <a href="https://doi.org/10.1093/ageing/afac244">study</a> on the perceptions of older adults, family carers and clinicians on the use of medication among persons over 65. <h2>Polypharmacy among older adults</h2> Polypharmacy is very common among older adults. In 2021, a quarter of persons over 65 in Canada were prescribed <a href="https://www.cihi.ca/en/drug-use-among-seniors-in-canada">more than ten different classes of medication</a>. In Québec, persons over 65 used an average of <a href="https://www.inspq.qc.ca/sites/default/files/publications/2679_portrait_polypharmacie_aines_quebecois.pdf">8.7 different drugs in 2016</a>, the latest year available for statistics. Is it a good idea to take so many drugs? According to <a href="https://journals.sagepub.com/doi/10.1177/07334648211069553">our study</a>, the vast majority of seniors and family caregivers would be willing to stop taking one or more medications if the doctor said it was possible, even though most are satisfied with their treatments, <a href="https://doi.org/10.1093/ageing/afac244">have confidence in their doctors</a> and feel that their doctors are taking care of them to the best of their ability. In the majority of cases, medicine prescribers are helping the person they are treating. Medications have a positive impact on health and are essential in many cases. But while the treatment of individual illnesses is often adequate, the whole package can sometimes become problematic. <h2>The risks of polypharmacy: 5 points to consider</h2> When we evaluate cases of polypharmacy, we find that the quality of treatment is often compromised when many medications are being taken. <ol> <li> Drug interactions: polypharmacy increases the risk of drugs interacting, which can lead to undesirable effects or reduce the effectiveness of treatments. </li> <li> A drug that has a positive effect on one illness may have a negative effect on another: what should you do if someone has both illnesses? </li> <li> The greater the number of drugs taken, the greater the risk of undesirable effects: for adults over 65, for example, there is an increased risk of confusion or falls, which have significant consequences. </li> <li> The more medications a person takes, the more likely they are to take a <a href="https://www.doi.org/10.1093/fampra/cmz060">potentially inappropriate medication</a>. For seniors, these drugs generally carry more risks than benefits. For example, benzodiazepines, medicine for anxiety or sleep, are the <a href="https://www.inspq.qc.ca/sites/default/files/publications/2575_utilisation_medicaments_potentiellement_inappropries_aines.pdf">most frequently used class</a> of medications. We want to reduce their use as much as possible <a href="https://www.canada.ca/en/health-canada/services/substance-use/controlled-illegal-drugs/benzodiazepines.html">to avoid negative impacts</a> such as confusion and increased risk of falls and car accidents, not to mention the risk of dependence and death. </li> <li> Finally, polypharmacy is associated with various adverse health effects, such as an <a href="https://www.doi.org/10.1007/s41999-021-00479-3">increase in frailty, hospital admissions and emergency room visits</a>. However, studies conducted to date have not always succeeded in isolating the effects specific to polypharmacy. As polypharmacy is more common among people with multiple illnesses, these illnesses may also contribute to the observed risks. </li> </ol> Polypharmacy is also a combination of medicines. There are almost as many as there are people. The risks of these different combinations can vary. For example, the risks associated with a combination of five potentially inappropriate drugs would certainly be different from those associated with blood pressure medication and vitamin supplements. Polypharmacy is therefore complex. <a href="https://doi.org/10.1186/s12911-021-01583-x">Our studies attempt to use artificial intelligence</a> to manage this complexity and identify combinations associated with negative impacts. There is still a lot to learn about polypharmacy and its impact on health. <h2>3 tips to avoid the risks associated with polypharmacy</h2> What can we do as a patient, or as a caregiver? <ol> <li> Ask questions: when you or someone close to you is prescribed a new treatment, be curious. What are the benefits of the medication? What are the possible side effects? Does this fit in with my treatment goals and values? How long should this treatment last? Are there any circumstances in which discontinuing it should be considered ? </li> <li> Keep your medicines up to date: make sure they are all still useful. Are there still any benefits to taking them? Are there any side effects? Are there any drug interactions? Would another treatment be better? Should the dose be reduced? </li> <li> Think about de-prescribing: this is an increasingly common clinical practice that involves stopping or reducing the dose of an inappropriate drug after consulting a health-care professional. It is a shared decision-making process that involves the patient, their family and health-care professionals. The <a href="https://www.deprescribingnetwork.ca">Canadian Medication Appropriateness and Deprescribing Network</a> is a world leader in this practice. It has compiled a number of tools for patients and clinicians. You can find them on their website and subscribe to the newsletter. </li> </ol> <h2>Benefits should outweigh the risks</h2> Medications are very useful for staying healthy. It’s not uncommon for us to have to take more medications as we age, but this shouldn’t be seen as a foregone conclusion. Every medication we take must have direct or future benefits that outweigh the risks associated with them. As with many other issues, when it comes to polypharmacy, the saying, “everything in moderation,” frequently applies.<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/230612/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, Professor in Pharmacy, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-too-many-medications-can-pose-health-risks-heres-how-to-avoid-them-230612">original article</a>.

Body

Hollywood star's heartbreaking health update

Gena Rowlands's son has shared his mother's heartbreaking health battle, that is reminiscent of one of her most iconic movie character's similar health issue. The 94-year-old Golden Globe winner who portrayed an older version of Rachel McAdam’s character, Allie, in the 2004 film The Notebook, has been battling Alzheimer’s disease for the past five years. While discussing the film's 20 year anniversary, Nick Cassavetes, the director of the movie and Rowlands’ son, revealed his mother’s diagnosis. “I got my mum to play older Allie, and we spent a lot of time talking about Alzheimer’s and wanting to be authentic with it, and now, for the last five years, she’s had Alzheimer’s,” Cassavetes told <a href="https://ew.com/the-notebook-star-gena-rowlands-has-alzheimers-8668642">Entertainment Weekly</a> of Rowlands’ character, who also had dementia. “She’s in full dementia. And it’s so crazy — we lived it, she acted it, and now it’s on us.” Back in 2004, Rowlands — whose mother, actress Lady Rowlands, also suffered from the disease — explained why playing Allie was “particularly hard.” “This last one — The Notebook, based on the novel by Nicholas Sparks — was particularly hard because I play a character who has Alzheimer’s,” she told <a href="https://www.oprah.com/spirit/gena-rowlands-aha-moment">O magazine</a>. “I went through that with my mother, and if Nick hadn’t directed the film, I don’t think I would have gone for it — it’s just too hard. It was a tough but wonderful movie.” Image credits: New Line Cinema/Demmie Todd/Warner Bros/Spring Creek/Kobal/Shutterstock Editorial

Caring

Prince William gives emotional update on Princess Catherine

Prince William has shared an update on Princess Kate's condition, as she continues to undergo cancer treatment away from the public eye. The Prince of Wales was accompanied by King Charles and Queen Camilla at an event honouring the 80th anniversary of D-Day, when William was asked about Kate's condition. One conversation, which was filmed by a bystander, shows William talking to World War II veteran Geoffrey Weaving who asked how the Princess was recovering. “I was going to ask you if your wife was getting any better?” asked Weaving, who was in a wheelchair. Bending down to be at his eye level, William remarked: “Yes... she would have loved to have been here today.” “I was reminding everybody, her grandmother served at Bletchley so she would have had quite a bit in common with a few of the other ladies here who served at Bletchley but never spoke about it until the very end,” he added. Questions still surround the timing of Kate’s return to the public eye after official confirmation that she will miss an important military ceremony this month. The princess has not been seen in public since she revealed she had cancer, in a video in March this year, and was undergoing preventive chemotherapy. As the royal family continues to grapple with Kate's absence following her diagnosis, Sarah Ferguson has reflected on how the difficult news impacted the family. Speaking candidly on Good Morning Britain, The Duchess spoke emotionally about how "brave" the Princess of Wales was. "Lovely Princess Catherine doing the video was so brave," Sarah, 64, told the morning show hosts. "I think family unity is an extraordinary thing and I'm honestly just so proud and I just send them lots of love and lots of support." Image credits: Various/POOL supplied by Splash News/Splashnews/Shutterstock Editorial

Caring

Teen actress' parents share update after five-storey fall

Mamie Laverock's parents have shared a promising update with fans, after she was left fighting for her life following a five-storey <a href="https://www.oversixty.com.au/health/caring/teen-actress-on-life-support-after-devastating-mishap" target="_blank" rel="noopener">fall</a>. Her parents Nicole and Rob updated their GoFundMe page for the 19-year-old and said that she was “out of her big surgeries," and confirmed that doctors say she's “doing well.” "Mamie is out of her extensive surgeries and the doctors say she is doing well," they wrote. “It’s impossible for us to be happier,” her parents continued. “Thank you all for your support.” On May 11, Laverock experienced a “medical emergency” and was hospitalised in Winnipeg, Canada before being transferred to another hospital in Vancouver. At the time her parents said her recovery was “unclear", but she was “showing signs of improvement.” More than two weeks later, they shared a harrowing update on their daughter's condition informing fans that she was now on life support after she fell five stories from a balcony walkway while being escorted out of a secure unit in the hospital. Many of her When Calls the Heart co-stars took to social media to promote the crowd-funding page and express their heartbreak. “I love this family, my heart is broken. A devastating time for all who care for Mamie. Please help if you can. They need all the support they can get to make it through this," Laverock’s on-screen mother Molly Sullivan wrote on X. "I just donated. If you have the means to do so, I hope you will too. Link in bio,” wrote the show's leading actress Erin Krakow. The fundraiser has now exceeded the $30,000 CAD target, raising almost $33,000 CAD. Image: GoFundMe

Caring

Bruce Willis' daughter shares rare update on star's health

Bruce Willis' daughter has opened up about her family life in her latest interview with Today's Hoda Kotb. The actor's eldest daughter Rumer Willis shared that the actor is in good spirits, saying that "he's so good," despite his dementia. She added that he continues to be a wonderful grandfather to her infant daughter Louetta, and that seeing her parents Bruce and ex-wife Demi Moore, as grandparents is "so nice". "Honestly seeing them with her it just it almost unlocks all of these childhood memories because being a grandparent I think is the best," she told Kotb. "They have all of the love and joy without any of the responsibility," she laughed before adding, "so they get to just spoil her." She then elaborated on the special bond that Bruce shares with his granddaughter Louetta, and the sweet moments that they shared during their last visit. "Lou is just starting to walk a little bit and she was walking over to him and it was so sweet," she explained. "It's so nice because I feel like my dad is just like he's a girl dad through and through." She added that "he's so sweet with her" and his relationship with Lou reminded her of how he was with her little sisters. Bruce has been battling frontotemporal dementia since 2022, but despite the challenges, the family is feeling the love, as Rumer revealed that a lot of people have stopped her in public to share their love for Bruce and the impact he's had on their lives. "It's such a testament to who he is," she said. "He's so beloved." "It really makes me a proud daughter to just see how much love he's getting." Images: Instagram

Caring

Kate Middleton's positive cancer update

More than two months after Kate Middleton shared the news of her cancer diagnosis with the world, a source close to the royals has issued a positive update on her condition. Vanity Fair’s royal correspondent Katie Nicholl, who has well connected sources inside Buckingham Palace, shared that the Princess of Wales has "turned a corner", as she continues treatment for the disease. “It has been a great relief that she is tolerating the medication and is actually doing a lot better,” a family friend of Kate’s told <a href="https://www.vanityfair.com/style/story/kate-middleton-update" target="_blank" rel="noopener">Vanity Fair</a>. “It has, of course, been a very challenging and worrying time. Everyone has rallied around her—William, her parents, and her sister and brother.” While undergoing treatment, the Princess has been at home in Sandringham Castle, although recent reports claim Kate has been well enough to be out and about with her children while they are on school holidays. Despite the positive news about her condition, sources inside the Palace shared that Kate's number one priority is still her health, and will not be returning to royal duties for the foreseeable future. According to Nicholl, Kate “is in no hurry to return to work, with her focus being entirely on her recovery.” A well-placed source told her, “There is no timeline, and there is certainly no hurry. It will be when Catherine feels ready and when she gets the greenlight from her medical team. But she will 100 per cent be coming back to work, of that there is no question.” Image credits: Supplied

Caring

Dame Judi Dench gives tragic health update

Beloved Oscar-winning actress Dame Judi Dench has shared a deeply moving update about her health, revealing that she may never appear on-screen again. At 89, Dench has been a cherished figure in cinema for decades, with her last appearance in the 2022 film Spirited, a Christmas comedy featuring Will Ferrell and Ryan Reynolds. This sad news emerged when Dench attended the Chelsea Flower Show in London recently. Approached by a journalist inquiring about her future projects, she candidly responded, “No, no, I can’t even see!” Her representative later confirmed that there was nothing more to add to this heartbreaking statement. Dench suffers from age-related macular degeneration, a condition affecting around 700,000 people in the UK alone. This progressive eye disease has significantly deteriorated her vision over the past year. In a previous interview, she admitted that she required assistance to read scripts. “I can’t see on a film set any more,” Dench shared. “And I can’t see to read. So I can’t see much. It’s difficult for me if I have any length of a part. I haven’t yet found a way. But you just deal with it. I have so many friends who will teach me the script.” In a candid conversation with BBC journalist Louis Theroux, Dench revealed she had “no plans” to retire but acknowledged that her worsening eyesight was forcing her to take a break from acting. Despite these challenges, Dench’s indomitable spirit and positive outlook remain inspiring. She has often expressed her gratitude for the support of her partner, David Mills, who has been a steadfast presence in her life since the death of her husband, Michael Williams, in 2001. Reflecting on her relationship with Mills, she once told The Mirror, “I never expected, not for a minute, that there would be anybody else in my life after Michael died. I’ve had many, many good friends, but it’s been very unexpected to have somebody new who is as caring as my partner, David.” She continued, “Someone to be able to share things with … I feel very lucky indeed. And to laugh with somebody is terribly important! Laughing is the most important thing. We laugh about everything.” While her fans will undoubtedly miss seeing her on the screen, Dame Judi Dench's legacy in film and the hearts she has touched will remain timeless. Image: Fred Duval / Shutterstock

Caring

"Family unity is key": Sarah Ferguson gives cancer update

Sarah Ferguson has shared an update on her cancer journey during her appearance at the Cannes Film Festival. The Duchess of York was diagnosed with <a href="https://www.oversixty.com.au/health/caring/fergie-reveals-second-cancer-diagnosis" target="_blank" rel="noopener">skin cancer</a> in January, not long after getting a mastectomy for her breast cancer, which she was diagnosed with in June 2023. When asked about her health, the royal told People: "This evening I am doing very well. I think that we've managed to get cancer in the right place rather than cancer ruling me. I've put cancer in the corner." Speaking on the amfAR Gala red carpet, the 64-year-old added that it was important to be aware and get checked for both breast cancer and melanoma. “I think you always have to be aware. I think it’s great to get checked for breast cancer [and] melanoma. I think you just have to be very candid about it," she told the publication. “I think a lot of people get very frightened to talk about these things. I’m very happy with my mastectomy and my breasts and just to talk about it.” Her diagnosis coincided with both her brother-in-law King Charles, and Princess Catherine's cancer diagnoses, although both of them have not disclosed what types of cancer they have. She praised the royal family for their "unity" during these difficult times and how she has been able to offer support to Charles and Catherine. "I think family unity is key… I think the key to life is that we all support each other," she said. "And also forgiveness is a great thing. I think forgiveness of yourself, and forgiveness of others." Earlier this month, the duchess' eldest daughter Princess Beatrice spoke about her mother's health in her debut TV interview on This Morning. "She’s such a phenomenal icon. As a mum she’s been amazing," she said, adding that despite going through so much in the last year, she felt inspired by her mum's resilience and sense of purpose. “She’s doing really well. She had a bumpy health scare last year but she’s all clear now. But I think at 64, she’s thriving. She’s been through so much, but now she’s coming into her own. “We are just reminded when any parent or individual has a health scenario, you really need to get the checks you need as early as you possibly can.” Image: DGP/imageSPACE/ Shutterstock editorial

Caring

Seinfeld star's worrying health update

Seinfeld star Michael Richards has revealed his secret battle with prostate cancer in 2018, and how he only survived after making the decision to undergo surgery. Richards, who played the ever-eccentric Cosmo Kramer in the 1990s sitcom, received the stage one diagnosis after a routine check-up showed he had elevated prostate-specific antigen (PSA) levels. He opened up about the diagnosis to People magazine, saying, “I thought, ‘Well, this is my time. I’m ready to go’.” “But then my son came to mind just a few seconds later, and I heard myself saying, ‘I’ve got a nine-year-old, and I’d like to be around for him. Is there any way I can get a little more life going?’” Richards’ doctor recommended removing the comedian’s entire prostate because the biopsy “didn’t look good”, as Richards explained it "had to be contained quickly”. “I had to go for the full surgery. If I hadn’t, I probably would have been dead in about eight months,” the 74-year-old said. After facing the difficult health battle, Richards felt inspired to write his forthcoming memoir, Entrances and Exits, using a collection of diaries he had kept over the years. “I had over 40 journals I’d kept over the years and wanted to do a full review of my life. I’m turning 75, so maybe wanting to do that is something that comes with being my age. I wanted to connect with feelings and memory,” he told the publication. “I’m surprised at how much I was able to remember.” Greg Grudt/UPI/Shutterstock Editorial

Caring

Scarlett Johansson slams tech giant's AI update

Scarlett Johansson has issued a furious public statement, claiming that tech giant OpenAI used a voice that is “eerily similar” to hers in the latest version of ChatGPT. In the statement published by NPR, the actress claimed that OpenAI CEO Sam Altman had approached her last year asking if she would be interested in voicing their new AI voice assistant. After further consideration and "for personal reasons" she rejected the offer. She claimed that Altman then reached out to her agent again just days before the AI voice assistant was released, but before she had a chance to respond, the voice "Sky" was released. “When I heard the released demo, I was shocked, angered and in disbelief that Mr Altman would pursue a voice that sounded so eerily similar to mine that my closest friends and news outlets could not tell the difference,” she said in the statement. She also said that the similarity seemed intentional, as Altman tweeted the word "her" upon Sky's release, which is the same name as a 2013 movie she was in where she voiced a chat system. “In a time when we are all grappling with deepfakes and the protection of our own likeness, our own work, our own identities, I believe these are questions that deserve absolute clarity,” the actress said in her statement. “I look forward to resolution in the form of transparency and the passage of appropriate legislation to help ensure that individual rights are protected.” OpenAI announced that it had paused the use of the “Sky” voice on Sunday, and insisted that it wasn't Johansson's voice, but another actress. “We believe that AI voices should not deliberately mimic a celebrity’s distinctive voice — Sky’s voice is not an imitation of Scarlett Johansson but belongs to a different professional actress using her own natural speaking voice,” the company wrote. Image: Alessandro Bremec/NurPhoto/ Shutterstock Editorial

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Lionel Richie gives rare update on King Charles

Lionel Richie has shared an update about King Charles’ health during a gala event in his honour. The All Night Long singer, who is friends with the monarch and even performed at his <a href="https://www.oversixty.com.au/entertainment/music/lionel-richie-spills-the-one-thing-no-one-knows-about-king-charles" target="_blank" rel="noopener">Coronation Concert</a> last year, shared the update on Thursday night during the inaugural King’s Trust Global Gala in New York. “Happily I can say, he is doing fantastic,” Richie, a Global Ambassador of the Trust, told People magazine. “Again, I understand, he needs to sit still, you know what I’m saying. The most important part is he is doing well. He’s back to his duties and so therefore, I wouldn’t want the first thing for him to do is come over — let’s not prove anything here.” He also shared that he was expecting a phone call from his friend at the conclusion of the event. “Believe me, my question [from him] now is, ‘How was it?’ After I finish tonight, I’m gonna get that call saying, ‘Well, how was it?’” he revealed. King Charles recently returned to his <a href="https://www.oversixty.com.au/health/caring/king-charles-returns-to-public-duties-for-the-first-time-since-diagnosis" target="_blank" rel="noopener">public duties</a> for the first time with a visit to a cancer treatment centre in London, where he opened up about his own experience to other patients. There, he also spoke for the first time about the moment he found out he had cancer, telling one patient: “It’s always a bit of a shock, isn’t it, when they tell you?” Image: Getty

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Lionel Richie gives rare update on King Charles