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Why is pain so exhausting?

<p><em><a href="https://theconversation.com/profiles/michael-henry-1321395">Michael Henry</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>One of the most common feelings associated with persisting pain is fatigue and this fatigue can become overwhelming. People with chronic pain can report being drained of energy and motivation to engage with others or the world around them.</p> <p>In fact, a study from the United Kingdom on people with long-term health conditions found pain and fatigue are the <a href="https://weareundefeatable.co.uk/campaign-hub/latest-from-us/the-bridging-the-gap-report/">two biggest barriers</a> to an active and meaningful life.</p> <p>But why is long-term pain so exhausting? One clue is the nature of pain and its powerful effect on our thoughts and behaviours.</p> <h2>Short-term pain can protect you</h2> <p>Modern ways of thinking about pain emphasise its protective effect – the way it grabs your attention and compels you to change your behaviour to keep a body part safe.</p> <p>Try this. Slowly pinch your skin. As you increase the pressure, you’ll notice the feeling changes until, at some point, it becomes painful. It is the pain that stops you squeezing harder, right? In this way, pain protects us.</p> <p>When we are injured, tissue damage or inflammation makes our pain system become more sensitive. This pain stops us from mechanically loading the damaged tissue while it heals. For instance, the pain of a broken leg or a cut under our foot means we avoid walking on it.</p> <p>The concept that “pain protects us and promotes healing” is one of the most important things people who were in chronic pain tell us <a href="https://pubmed.ncbi.nlm.nih.gov/35934276/">they learned</a> that helped them recover.</p> <h2>But long-term pain can overprotect you</h2> <p>In the short term, pain does a terrific job of protecting us and the longer our pain system is active, the more protective it becomes.</p> <p>But persistent pain can <em>overprotect</em> us and <a href="https://onlinelibrary.wiley.com/doi/10.1111/jabr.12124">prevent recovery</a>. People in pain have called this “<a href="https://www.jpain.org/article/S1526-5900(22)00379-0/fulltext">pain system hypersensitivity</a>”. Think of this as your pain system being on red alert. And this is where exhaustion comes in.</p> <p>When pain becomes a daily experience, triggered or amplified by a widening range of activities, contexts and cues, it becomes a constant drain on one’s resources. Going about life with pain requires substantial and constant effort, and this makes us fatigued.</p> <p><a href="https://www.aihw.gov.au/reports/chronic-disease/chronic-pain-in-australia/summary">About 80%</a> of us are lucky enough to not know what it is like to have pain, day in day out, for months or years. But take a moment to imagine what it would be like.</p> <p>Imagine having to concentrate hard, to muster energy and use distraction techniques, just to go about your everyday tasks, let alone to complete work, caring or other duties.</p> <p>Whenever you are in pain, you are faced with a choice of whether, and how, to act on it. Constantly making this choice requires thought, effort and strategy.</p> <p>Mentioning your pain, or explaining its impact on each moment, task or activity, is also tiring and difficult to get across when no-one else can see or feel your pain. For those who do listen, it can become tedious, draining or worrying.</p> <h2>No wonder pain is exhausting</h2> <p>In chronic pain, it’s not just the pain system on red alert. Increased inflammation throughout the body (the immune system on red alert), disrupted output of the hormone cortisol (the endocrine system on red alert), and stiff and guarded movements (the motor system on red alert) also go <a href="https://www.noigroup.com/product/explain-pain-supercharged/">hand in hand</a> with chronic pain.</p> <p>Each of these adds to fatigue and exhaustion. So learning how to manage and resolve chronic pain often includes learning how to best manage the over-activation of these systems.</p> <p>Loss of sleep is also a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289983/">factor</a> in both fatigue and pain. Pain causes disruptions to sleep, and loss of sleep contributes to pain.</p> <p>In other words, chronic pain is seldom “just” pain. No wonder being in long-term pain can become all-consuming and exhausting.</p> <h2>What actually works?</h2> <p>People with chronic pain are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633893/">stigmatised, dismissed</a> and <a href="https://www.jpain.org/article/S1526-5900(13)01367-9/fulltext">misunderstood</a>, which can lead to them not getting the care they need. Ongoing pain may prevent people working, limit their socialising and impact their relationships. This can lead to a descending spiral of social, personal and economic disadvantage.</p> <p>So we need better access to evidence-based care, with high-quality education for people with chronic pain.</p> <p>There is good news here though. Modern care for chronic pain, which is grounded in first gaining a modern understanding of the underlying biology of chronic pain, <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00441-5/abstract">helps</a>.</p> <p>The key seems to be recognising, and accepting, that a hypersensitive pain system is a key player in chronic pain. This makes a quick fix highly unlikely but a program of gradual change – perhaps over months or even years – promising.</p> <p>Understanding how pain works, how persisting pain becomes overprotective, how our brains and bodies adapt to training, and then learning new skills and strategies to gradually retrain both brain and body, offers scientifically based hope; there’s strong <a href="https://jamanetwork.com/journals/jama/article-abstract/2794765">supportive evidence</a> from <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00441-5/abstract">clinical trials</a>.</p> <h2>Every bit of support helps</h2> <p>The best treatments we have for chronic pain take effort, patience, persistence, courage and often a good coach. All that is a pretty overwhelming proposition for someone already exhausted.</p> <p>So, if you are in the 80% of the population without chronic pain, spare a thought for what’s required and support your colleague, friend, partner, child or parent as they take on the journey.</p> <hr /> <p><em>More information about chronic pain is available from <a href="https://www.painrevolution.org/painfacts">Pain Revolution</a>.</em><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/238417/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/michael-henry-1321395">Michael Henry</a>, Physiotherapist and PhD candidate, Body in Mind Research Group, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/lorimer-moseley-1552">Lorimer Moseley</a>, Professor of Clinical Neurosciences and Foundation Chair in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock</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/why-is-pain-so-exhausting-238417">original article</a>.</em></p>

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Vegan raw food influencer dies of suspected "starvation and exhaustion"

<p>Zhanna Samsonova, a well-known vegan raw food influencer with a significant following on social media, has tragically passed away in Malaysia reportedly due to starvation and exhaustion resulting from her 'extreme' tropical fruit diet.</p> <p>For a decade, Zhanna, also known as Zhanna D'Art, had maintained a raw plant-based diet, which mainly consisted of exotic fruits, sunflower seed sprouts, fruit smoothies, and juices. Additionally, she occasionally practiced 'dry fasting,' abstaining from food and water for extended periods.</p> <p>The 39-year-old influencer, who had not consumed water for over six years, replaced it solely with fruit and vegetable juices. On July 21, she succumbed to what her mother described as a cholera-like infection exacerbated by her highly restrictive eating habits.</p> <p>At the time of her passing, Zhanna was in Malaysia, continuing her travels across Asia, which had spanned 17 years. Her family faced bureaucratic challenges in repatriating her body back to Russia, making the mourning process even more difficult. At the time of writing, her official cause of death has not yet been determined.</p> <p>Zhanna's mother, Vera Samsonova, expressed her disapproval of her daughter's extreme diet and had attempted to persuade her to adopt a more balanced approach, but her efforts were in vain.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CtLLqS1PecT/?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/CtLLqS1PecT/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Raw food Creation by Zhanna D’art (@rawveganfoodchef)</a></p> </div> </blockquote> <p>Over time, the influencer transitioned from a vegan diet to a purely raw food diet, sharing what she believed were 'healthy' recipes on her Instagram profile. However, her social media presence started to reveal an increasingly emaciated appearance, raising concerns among her followers, friends, and family.</p> <p>Many of her loved ones warned her about the potential dangers of her extreme diet, but Zhanna remained steadfast in her convictions. Ultimately, her refusal to heed their advice led to a tragic outcome, with reports indicating that her raw food diet contributed significantly to her demise.</p> <p>In 2021, during a trip to Russia, Zhanna contracted COVID-19 and chose to handle it through an unorthodox method of dry fasting, lasting more than ten days. Despite initially claiming to have overcome the virus, her health may have been compromised, leading to further complications down the line.</p> <p>The passing of Zhanna Samsonova has sparked discussions about the importance of balanced and informed dietary choices. Her story serves as a cautionary tale, urging individuals to approach extreme diets with care and consideration for their overall well-being.</p> <p><em>Images: Instagram</em></p>

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Moral injury: what happens when exhausted health workers can no longer provide the care they want for their patients

<p>Healthcare workers in New Zealand already face life-and-death decisions daily. But as multiple winter illnesses add pressure to a system already stretched by COVID, staff now also have to deal with <a href="https://www.stuff.co.nz/national/politics/local-democracy-reporting/300534812/covid19-union-and-frontline-worker-say-staff-at-middlemore-hospital-facing-increasing-abuse" target="_blank" rel="noopener">daily abuse</a>, acute <a href="https://www.newshub.co.nz/home/new-zealand/2022/05/christchurch-hospital-cancels-surgeries-as-it-hits-112-pct-capacity.html" target="_blank" rel="noopener">staff shortages</a> and <a href="https://www.1news.co.nz/2022/06/17/dhb-clashes-with-union-over-stretched-palmerston-north-ed/" target="_blank" rel="noopener">unsafe working conditions</a>. At times, they cannot provide the care they would like for their patients.</p> <p>The impact on health workers is often described as <a href="https://www.nzherald.co.nz/rotorua-daily-post/news/great-minds-health-workers-on-covid-19-frontlines-burnt-and-bled-by-two-years-of-virus/T7JXOXGXEKKCICUNOMUJYT4QWM/" target="_blank" rel="noopener">stress and burnout</a>. The consequences of this prolonged pressure can be seen in the number of <a href="https://www.nzdoctor.co.nz/article/undoctored/acem-welcomes-111b-health-nz-budget-urges-fixes-health-workforce-crisis" target="_blank" rel="noopener">doctors</a>, <a href="https://www.nzherald.co.nz/nz/nursing-shortage-nurses-broken-while-sector-faces-thousands-of-vacancies/L7NUXOPG4AB472OKXOH5QJSUMU/" target="_blank" rel="noopener">nurses</a> and other <a href="https://capsulenz.com/be/therapist-shortage-nz/" target="_blank" rel="noopener">health professionals</a> leaving their jobs for overseas positions and the private sector, or being lost to their professions completely.</p> <p>Many of these healthcare workers may well be suffering from a more serious form of psychological distress than burnout: moral injury.</p> <p><a href="https://www.phoenixaustralia.org/wp-content/uploads/2020/07/Moral-Stress-Healthcare-Workers-COVID-19-Guide-to-Moral-Injury.pdf" target="_blank" rel="noopener">Moral injury</a> refers to the psychological, social and spiritual impact of events on a person who holds strong values (such as caring for patients) and operates in high-stakes situations (hospital emergency care), but has to act in a way inconsistent with those values.</p> <p>Examples include having to turn patients away despite them being in pain or discomfort; being unable to provide adequate care due to staff shortages; having to care for a dying patient isolated from their loved ones while wearing full protective gear.</p> <p>Symptoms of moral injury can include strong feelings of guilt and shame (about not being able to uphold healthcare values, for example) as well as high levels of anger and contempt towards the system that prevents proper care.</p> <p>High levels of self-criticism, loss of trust in people and organisations and a weakening of personal relationships are further <a href="https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(21)00113-9/fulltext" target="_blank" rel="noopener">symptoms</a> of moral injury.</p> <p>It can be viewed as a <a href="https://www.afta.org/wp-content/uploads/2019/07/Physicians-aren%E2%80%99t-%E2%80%98burning-out.%E2%80%99-They%E2%80%99re-suffering-from-moral-injury..pdf" target="_blank" rel="noopener">more severe form of burnout</a>. But while burnout can happen in most workplaces, moral injury requires the three core components listed above.</p> <p><strong>From war to the operating table</strong></p> <p>The term moral injury arose in <a href="https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury.asp" target="_blank" rel="noopener">military psychology</a> to refer to situations where, for example, soldiers were unable to intervene to save lives in case they risked breaching the rules of engagement. More recently, the term has been adapted to apply to healthcare.</p> <p>Viewing the experiences of health workers through this lens can help us understand why they may experience a seesawing emotional state and the confusing conflict of simultaneously wanting to be at work while wishing they were anywhere but.</p> <p>For healthcare workers, understanding the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752815/#:%7E:text=Over%20time%2C%20these%20repetitive%20insults,is%20in%20some%20way%20deficient" target="_blank" rel="noopener">concept of moral injury</a> may help reframe it as something that is happening to them rather than because they don’t have the skills to cope. The latter can sometimes be a mistaken implication of the term burnout.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&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/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/471254/original/file-20220627-22-u7c2tg.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Exhausted nurse" /><figcaption><span class="caption">Staff shortages can take health workers beyond exhaustion and burnout.</span> <span class="attribution">Getty Images</span></figcaption></figure> <p>While healthcare workers are largely at the mercy of the organisations they work for, there are some steps individuals can take to alleviate moral injury. Firstly, simply recognising they may be suffering from this condition can reduce confusion and validate their experiences.</p> <p>Secondly, reconnecting back to an individual’s values and beliefs can help refocus and re-energise, at least temporarily. Reminding themselves why they got into this job in the first place is a useful place to start.</p> <p><strong>Organisational responses</strong></p> <p>Organisations and businesses must play a lead role in preventing and treating moral injury. Many of the factors leading to it (lack of resources or staff, a pandemic or peak flu season) are outside the control of individuals.</p> <p>Most modern businesses will be aware they have a legal responsibility under the 2015 <a href="https://www.legislation.govt.nz/act/public/2015/0070/latest/DLM5976660.html" target="_blank" rel="noopener">Health and Safety at Work Act</a> to look after their employees’ mental and physical well-being.</p> <p>At a high level, organisations can advocate for systemic change and increases in funding and resourcing, where needed. But these higher-level changes take time to achieve. In the meantime, it is important healthcare workers are protected and supported.</p> <p>Broad steps an organisation can take to prevent or reduce moral injury include removing the burden of difficult ethical decisions from frontline workers and instead adopting evidence-based policies to guide an organisation-wide response. Where possible, rotating staff between high and low-stress environments may help.</p> <p>Providing funding for workers to access professional psychological supervision is another practical step businesses can consider. At a team level, it can be helpful to have leaders who are visible, validating and can help make sense of the moral conflict. Leaders can also play a role in keeping alive professional values and modelling their own struggles with the situation.</p> <p>The general public also has a role to play in supporting healthcare workers. Any steps we can take to protect our own health and thereby reduce pressure on the system can have a cumulative effect on the well-being of doctors, nurses and allied health clinicians. The health of our nation rests with those who work in this field and it is in all our interest that their health is protected and prioritised.<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/185485/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/dougal-sutherland-747623" target="_blank" rel="noopener">Dougal Sutherland</a>, Clinical Psychologist, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200" target="_blank" rel="noopener">Te Herenga Waka — Victoria University of Wellington</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/moral-injury-what-happens-when-exhausted-health-workers-can-no-longer-provide-the-care-they-want-for-their-patients-185485" target="_blank" rel="noopener">original article</a>.</em></p> <p><em>Image: Getty Images</em></p>

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Fergie describes Christmas with the royals as “exhausting”

<p>Although Christmas with the Royal Family would be a celebration like no other, Sarah Ferguson has claimed the festive gathering at Sandringham is “exhausting”.</p> <p>The 59-year-old ex-wife of Prince Andrew and mother of Princess Beatrice and Princess Eugenie, spent many Decembers partaking in the family’s traditions while she was married into the family from 1986 until 1992.</p> <p>Despite many fans watching the royals’ annual parade to St Mary Magdalene Church in Norfolk on Christmas Day, Fergie has said that the day is less exciting than what it seems.</p> <p>According to <a href="https://www.newidea.com.au/"><strong><em><u>New Idea</u></em></strong></a>, Fergie said that Christmas celebrations were draining as the Queen didn’t relax on royal protocol and each guest is expected to follow strict rules.</p> <p>The Duchess of York said she had to change her outfit seven times over Christmas Eve and Christmas Day in order to wear a new outfit for each separate event.</p> <p>A change of outfit is reportedly required for the Christmas Eve banquet, Christmas Day breakfast, lunch, afternoon tea, dinner and casual change of clothes for walking the grounds.</p> <p>This Christmas also marks Duchess Meghan’s mum, Doria Ragland’s, first visit to Sandringham for the Christmas season.</p> <p>According to royal expert Jean Broke-Smith, Doria Ragland will have to prepare herself for a unique celebration.</p> <p>“There will be advisors on hand to help Meghan’s mum Doria Ragland, but it is going to be difficult,” the advisor and judge on <em>Australian Princess </em>told <em>New Idea</em>.</p> <p>“For one thing she will need to bring a trunk full of clothes from California.”</p> <p>The thoughtful gesture by the Queen to invite Doria to Christmas at the palace is a first for the royals, with the Middletons never receiving the invite before.</p> <p>“It’s a mark of the Queen’s respect for Meghan and an acknowledgement that she doesn’t have any other relations in this country – unlike Kate who has the support of a very close family,” the <em>Express</em> previously reported. </p>

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10 tips to save your holiday from jet lag

<p><em><strong>Joel Centano writes for <a href="http://blog.virtuoso.com/" target="_blank"><span style="text-decoration: underline;">Virtuoso Luxury Traveller</span></a>, the blog of a <a href="http://www.virtuoso.com/" target="_blank"><span style="text-decoration: underline;">global luxury travel network</span></a>, and he enjoys nothing more than taking a holiday.</strong></em></p> <p>It’s midday in the destination of your dreams. The sun is shining. Sites you’ve waited years to see are calling.</p> <p>But after a full night spent staring at your hotel room’s ceiling, your body is dragging. Your internal clock is signalling that it’s time to sleep.</p> <p>The modern miracle of air travel makes it possible to soar to the other side of the world in a matter of hours. But the swift traversing of time zones can take a serious toll, resulting in everything from insomnia and exhaustion to headaches, nausea, and disorientation.</p> <p>No doubt: Jet lag, aka “circadian desynchrony” in medical circles, can be a beast. But it’s one that can – and should – be tamed for the sake of your vacation. How? Follow these 10 simple steps, with sage advice from Virtuoso travel advisors.</p> <p><strong>1. Rest assured</strong></p> <p>To deal with jet lag, pre-emptive strikes are often the most potent. “Getting a good night’s sleep before the trip will dramatically help your body maintain its energy levels while traveling,” says Paôla Mansur, a Virtuoso travel advisor based in São Paulo.</p> <p>Also de-stress, exercise, and get your affairs in order before flying. All of those will help you sleep on the plane and in your hotel room when the time is right (read on).</p> <p><strong>2. Synchronize from the start</strong></p> <p>Jet lag rule of thumb number 1: For each time zone you cross, it can take your body up to one day to adjust to the local time. The cure?</p> <p>“Set your watch to your destination time when you board the plane and act as if you’re already in that time zone,” says Long Beach, California-based advisor John Oberacker. “If it’s night there, try to sleep. If it’s day, do your best to stay awake.”</p> <p>Sleep experts also recommend rising and going to bed earlier several days prior to a trip heading east and later when traveling west. To deal with jet lag, you can also shift meal times to sync with dining hours in your future destination.</p> <p><strong>3. Fly well to deal with jet lag</strong></p> <p>For any long-distance flight, comfort is key. The more R&amp;R you get in flight, the better you’ll deal with jet lag. “Flying business or first class will help you rest and be ready for your travels,” notes advisor Mary Ann Ramsey of Naples, Florida.</p> <p>Remember, too, that sleep aids such as eye masks, earplugs, neck pillows, and noise-reducing headphones are your friends. Need more help? “Consult your doctor about a light drowsy medication like Benadryl for an overnight flight,” recommends New York City-based advisor Jack Ezon. Natural remedies such as melatonin are also purported to induce sleep and speed up the resynchronization process in your new time zone.</p> <p><img width="500" height="250" src="https://oversixtydev.blob.core.windows.net/media/23095/shutterstock_203546308_500x250.jpg" alt="jetlag"/></p> <p><strong>4. Break up your itinerary</strong></p> <p>Lisa Leavitt, a Boston-based advisor and mother of two teenagers, also recommends (if it’s feasible) an overnight layover en route to your ultimate destination. “During my recent family vacation to Hawaii,” she notes, “I arranged flights with an overnight hotel stay in San Francisco, which significantly lessened our jet lag.”</p> <p><strong>5. Just say no</strong></p> <p>You may love your coffee after dinner. Or your glass of wine with dinner to take the edge off flying. But for 12 hours before, as well as during, your flight, “stay away from caffeine and alcohol,” says Phoenix-based advisor Judi Glass. “Both dehydrate you, which makes jet lag worse.”</p> <p>Instead, she advises, drink lots of water to deal with jet lag. Experts recommend at least eight ounces for every hour in flight. Other tips for staying hydrated? Carry on moisturizing lotion, lip balm, and a hydrating spray with essential oils. In TSA-approved sizes, of course.</p> <p><strong>6. Quit kidding around</strong></p> <p>“For younger children, bring pajamas on every overnight flight,” says Ezon, a father of four. “Not only will it help get kids into sleep mode, but it also helps them feel fresh when they wake and change clothes.”</p> <p>When it’s time for bed, he adds, “collect their iPads and shut off the personal TVs. And on shorter overnight flights, don’t even look at the movie list. Go right to sleep!”</p> <p><strong>7. Stick your landing</strong></p> <p>For daytime arrivals, stay active and, at all costs, wait until nighttime to sleep. Be sure to spend time in the sunlight as well. This will help you deal with jet lag by adjusting your internal clock to your new surroundings. “If you land in the morning,” adds Ramsey, “schedule a private car and driver so you can sightsee at your own pace.”</p> <p>To ward off potential meltdowns in little ones? “If you have access to a pool, hop in the water, or do a family hike or run,” says Ezon. “And though I normally forbid soda, I always keep a few Cokes on hand for a caffeine rush when my kids get tired and cranky the first few days. It’s a life saver.”</p> <p><strong>8. Hit the spa…</strong></p> <p>Massages and spa treatments – especially during (think airport massages) and at the beginning of your trip – are essential to deal with jet lag, advises Mansur. Many hotels also offer special jet-lag-centric treatments that promote circulation, detoxification, and relaxation. Consider the spa at Bulgari Hotel Milan. It provides a Jet Lag Recovery experience that includes a detoxifying salt scrub, Balinese hot-stone massage, hydrating eye treatment, and refining clay body wrap.</p> <p>At Park Hyatt New York, Spa Nalai’s new Jet Lag Therapy remedies swelling, bloating, and body water retention, along with shoulder and back pain built up over long flights. Light therapy can also be a savior to deal with jet lag. The Lucknam Park Hotel &amp; Spa in Bath, England helps banish it with Haslauer Reflective Sunlight Therapy. The treatment offers the benefits of natural sunlight and vitamin D.</p> <p><strong>9. …Then sleep on it</strong></p> <p>When it’s time to sleep, sleep with abandon. Ask your Virtuoso travel advisor to book hotels that are committed to helping you catch some Z’s, such as Las Vegas’ The Signature at MGM Grand. The hotel offers Stay Well rooms with dawn simulator alarm clocks, lighting that resets wake-sleep cycles, and aromatherapy diffusers.</p> <p>In Abu Dhabi, butlers at Qasr al Sarab Desert Resort by Anantara prepare candlelit evening baths infused with calming essential oils. The hotel also provides guests with eye masks, earplugs, and special beds that relieve pressure points.</p> <p><strong>10. Stay strong</strong></p> <p>There’s no sure-fire way to deal with jet lag. But taking the above steps should help lessen its effects. If all else fails, however, think mind over matter. Will yourself awake and remember: This may be the last time you’re in your dream destination. There will be plenty of time to sleep during your return flight home.</p> <p>Do you take any measures when you’re travelling to stave off jet lag? Do you agree with any of the suggestions made above?</p> <p>Share your thoughts in the comments.</p> <p><em>First appeared on Virtuoso. <a href="http://www.virtuoso.com/" target="_blank"><strong><span style="text-decoration: underline;">Click here</span></strong></a> to visit their website for more information.</em></p> <p><strong>Related links:</strong></p> <p><a href="/travel/travel-tips/2016/05/10-ways-to-beat-travel-sickness/"><span style="text-decoration: underline;"><em><strong>10 ways to beat travel sickness</strong></em></span></a></p> <p><a href="/travel/travel-tips/2016/06/23-items-you-must-have-in-your-carry-on-luggage/"><span style="text-decoration: underline;"><em><strong>23 items you must have in your carry-on luggage</strong></em></span></a></p> <p><a href="/travel/travel-tips/2016/06/5-things-to-do-to-avoid-getting-worst-seat-on-the-plane/"><strong><em><span style="text-decoration: underline;">5 things to do to avoid getting worst seat on the plane</span></em></strong></a></p>

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Exhausted wallaby rescued at sea

<div class="yiv1372129280" id="yiv1372129280yui_3_16_0_1_1449783217967_65344"> <p>A group of marina biologists have rescued a wallaby almost a kilometre off the New South Wales north coast in Australia. The creature- whom they affectionately named "Swampy"- was confused and exhausted, found treading water out at sea.</p> <p>“We see this thing swimming – it’s like a hairy thing,” says Laura Sanchez-Peregrine, who spotted the stranded wallaby.</p> <p>“At first I thought it was a seal, but we came closer and it was a big wallaby, maybe a 25-kilogram wallaby — a big male,” she said in an interview with the Australian Women’s Weekly.</p> <p>Laura and her fellow students managed to hoist the exhausted wallaby on board their small tin boat, bobby off-shore in Coffs Harbour.</p> <p>“At first, it was very difficult: he was defensive (and wallabies have huge claws), and we almost gave up and left it all in hands of Natural Selection,” she said on her Instagram account. “But we tried hard and we managed to bring him up on board, tied his legs up with a rope, put a towel on his head to calm him down. And he was all calm and still on the way back to the shore, not complaining much.”</p> <p>When they got to the shore, it was clear the poor guy was exhausted. After a few moments of recovery, and no doubt glad to be on solid ground, he bounded away.</p> <p>“And then yeah, he just went- hopped off and waved goodbye.” </p> <p><strong>Related links:</strong></p> <p><strong><em><a href="http://www.oversixty.co.nz/lifestyle/family-pets/2015/11/clever-cop-saves-dog/">Clever cop saves dog with a moment of inspiration</a></em></strong></p> <p><strong><em><a href="http://www.oversixty.co.nz/lifestyle/family-pets/2015/12/happiest-dogs-in-the-world/">The happiest dogs in the world</a></em></strong></p> <p><strong><em><a href="http://www.oversixty.co.nz/lifestyle/family-pets/2015/11/interspecies-animal-friendships/">15 unlikely friendships that will melt your heart</a></em></strong></p> </div>

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