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Princess Diana's former lover opens up in rare interview

<p>Army Major James Hewitt, who had a five-year affair with the late Princess Diana from 1986, has spoken about the royal in a rare television interview with <em>Good Morning Britain </em>on Tuesday. </p> <p>When asked about whether he thinks Diana may have been able to reunite her sons, who have barely spoken in five years, he replied: "I think any mother would be worried and concerned about such a rift, as you put it." </p> <p>"And she'd do her best to try and get them together."</p> <p>Major Hewitt, who now spends his time doing aid work in Ukraine, revealed that the last time he had spoken to the late Princess was "just after" her <em>BBC Panorama interview </em>with Martin Bashir in November 1995, during which she admitted to their affair.</p> <p>He described the conversation as "distant" and admitted that the interview did "create problems" for him from which he was "trying to move on".</p> <p>After the affair was revealed, Major Hewitt was labelled as a "love rat" by the tabloid media and found his reputation in ruins. </p> <p>He also said that the interview was "very distressing" for the late Princess, as someone she had trusted had used their connection to make money.</p> <p>"It was a stitch-up job," he said of the <em>Panorama</em> interview. </p> <p> "It was appalling of Bashir to [have] inveigled, lied to her, criminal activity, absolutely appalling."</p> <p>"As I've said, I hate bullies and bullying and arrogant people and I think it's appalling."</p> <p>Major Hewitt, who was Diana's riding instructor at the time, has previously denied claiming to have been a "father figure" to the princes but has said that he "played with them, swam with them, taught them to ride".</p> <p>The Duke of Sussex had also addressed the rumours that Major Hewitt was his biological father in his memoir <em>Spare</em>, saying that he felt the rumours were designed to turn him into a "laughing stock".</p> <p>"One cause of the rumour was Major Hewitt's red hair, but another was sadism," he wrote in his memoir. </p> <p><em>Image: Ken McKay/ITV/ Shutterstock Editorial</em></p> <p> </p>

Relationships

Jamie Oliver opens up on former feud with Gordon Ramsay

<p>Jamie Oliver has opened up about his former feud with Gordon Ramsay on <em>The Louis Theroux Podcast</em>. </p> <p>The 49-year-old told Theroux that after years of exchanges with the <em>Hell's Kitchen</em> star, their wives Jools Oliver and Tana Ramsay were the ones who stepped in an encouraged them to patch things up. </p> <p>"I was a target [for] probably 10 years, I think, it was regular," Oliver said of Ramsay.</p> <p>"I generally used to bite [back] once a year, and then that used to set him off for another year ... I think it kind of generated the noise, it was serving its purpose for him - I mean, I'd have to ask Gordon what it was all about.</p> <p>"Cause we never fell out, we got on for the first couple of years, and then - as he did more TV - it just went on and on and on, and it was quite, it was painful but in the end it was Jools and his wife Tana that sorted it out."</p> <p>Oliver revealed that despite their former feud, his kids are friends with Ramsay's children. </p> <p>"It was like, 'come on dads, grow up' so I think that both of us got a telling off, and then we went to have a drink and put it all to rest and let bygones be bygones," he said.</p> <p>When Oliver's Italian chain went under, Ramsay was "very supportive" and "very kind", even sending him messages of encouragement. </p> <p>Oliver also opened up on his feud with Marco Pierre White, and said he was "destroyed" to hear his "hero" slam him in the press and didn't know what sparked it as they never worked together. </p> <p>"He doesn't like me at all, still doesn't," he said, but added "that's fine, I don't need anything from him".</p> <p>"I still think he was like a game changer, he was still my hero for that period of my life but that's life, and it's not just Marco, it's lots of people," Oliver said.</p> <p><em>Image: Alan Davidson/ Shutterstock Editorial</em></p> <p> </p>

Food & Wine

Australian Open loser learns of "insane" pay day

<p>A lucky Australian Open loser has learned of her massive pay day on camera after being knocked out of the competition in Melbourne. </p> <p>Eva Lys, a 23-year-old tennis champion from Germany, had never been beyond the second round of a grand slam but made the most of her last-minute opportunity to join the main draw in Melbourne to secure three wins worth 240 ranking points. </p> <p>As well as her win, the young player secured a cash prize of $420,000. </p> <p>Lys enjoyed the “humbling” experience on Rod Laver Arena making it to Round 16, and was told by a member of the media of her big pay day. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/DFD8WxNzHTW/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DFD8WxNzHTW/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Lachlan Wills (@lachlanwills1)</a></p> </div> </blockquote> <p>"I loved that one of the members of the media here said to her, off air, it's $420,000 and she had no idea," Grand Slam Daily host Chris Stubbs said on Stan Sport.</p> <p>"She hadn't even looked at the prize money. And her reaction!"</p> <p>Lys ended up being knocked out by Poland's Iga Swiatek, as Mark Petchey said on Grand Slam Daily, "You walk out there if you're Eva Lys and you're wondering what's going to happen. She's had a great tournament, but Iga's looking supreme, she's looking dominant."</p> <p>"And that's what the best players do. Yes, they compete, great, but they also dominate."</p> <p>Image credits: 7News</p>

Money & Banking

Fergie opens up about double cancer diagnosis

<p>Sarah Ferguson has opened up about the mental toll of her double cancer diagnosis, admitting that her "mind went to some dark places".</p> <p>The Duchess of York was diagnosed with breast cancer and skin cancer in the same year, telling <a href="https://www.thetimes.com/uk/society/article/christmas-appeal-sarah-ferguson-cancer-diagnosis-interview-kt86hm7nq" target="_blank" rel="noopener"><em>The Times</em></a> how much her health battle impacted her life. </p> <p>"It was hard. I'm generally a positive person but cancer is like a bomb going off in your life," the 65-year-old told the publication.</p> <p>"One diagnosis is enough to deal with, but I had two in the space of a year. I don't mind admitting that my mind went to some dark places, reflecting on my own mortality."</p> <p>"My family have been an immense support to me through this period," she told the outlet.</p> <p> </p> <p>"I've used meditation and mindfulness to help stay positive and balanced."</p> <p>The royal was recently in Australia for her book tour, where she spoke to <a href="https://honey.nine.com.au/royals/sarah-ferguson-duchess-of-york-breast-skin-cancer-mental-health-admission/232791d3-c991-40fc-99d5-8f9bc5f60a33" target="_blank" rel="noopener"><em>9honey</em></a> about how she copes with the struggles in her life while also balancing her health. </p> <p>"For anyone thinking, 'Oh, you sound alright Sarah', or Fergie or Ginger or Duchy or whatever you call me, it's because I also do the work," the Duchess of York told <em>9honey</em>.</p> <p>"And I do it with really studying the spiritual side of life and my own darkness. There can be a lot of darkness, and I'm shining light on my darkness."</p> <p><em>Image credits: Ken McKay/ITV/Shutterstock Editorial </em></p>

Caring

Been drinking and your heart’s fluttering? You may have ‘holiday heart’

<p><em><a href="https://theconversation.com/profiles/caleb-ferguson-72">Caleb Ferguson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/sabine-allida-2236436">Sabine Allida</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>It’s the time of year for workplace Christmas parties, and gatherings with family and friends. Maybe you’ll drink a lot in one go.</p> <p>Then you feel your heart beating fast or irregularly. Maybe there’s a flutter in your chest or neck. Maybe you feel dizzy or short of breath. You may feel so concerned you go to the emergency department.</p> <p>After a few tests, you’re told you have “alcohol-induced atrial arrhythmia”. In plain English, that’s an irregular heartbeat brought on by excessive, or binge drinking.</p> <p>The condition is common at this time of year. That’s why it’s also called “<a href="https://www.sciencedirect.com/science/article/abs/pii/000287037890296X">holiday heart</a>”.</p> <h2>What is holiday heart?</h2> <p>Every festive season, emergency departments see more people with <a href="https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/impact-of-alcoholrelated-presentations-to-emergency-departments-on-days-with-a-public-holiday-or-sporting-event-a-retrospective-cohort-study/174603C0385FE6FCEBBAEA1A10DB25BD">alcohol-related issues</a> and <a href="https://www.heartlungcirc.org/article/S1443-9506(16)30583-2/pdf">irregular heart rhythms</a>.</p> <p>People often present with a fast or irregular heartbeats associated with binge drinking, overeating, dehydration and increased stress over the silly season – all contributing factors.</p> <p>We’ve known about holiday heart (or holiday heart syndrome) for <a href="https://www.sciencedirect.com/science/article/abs/pii/000287037890296X">almost 50 years</a>. Back in the 1970s, it was described as an abnormal heart rhythm (or arrythmia) in healthy people without heart disease after binge drinking alcohol. Doctors often saw this after weekends and public holidays, including the festive season.</p> <p>But an abnormal heart rhythm related to alcohol <a href="https://www.sciencedirect.com/science/article/pii/S2405500X22009379#bib2">isn’t limited</a> to the holidays and weekends. We also see it in people who binge drink at any time of year, or in people who drink heavily over many years.</p> <h2>What causes it? How is it diagnosed?</h2> <p>Alcohol affects your <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5513687/">heart, blood vessels, blood</a> and nervous system in many ways.</p> <p>For instance, when alcohol disrupts your nervous system, it can lead to dehydration and inflammation. In turn, this can cause disruption to the heart’s electrical system, which can lead to an <a href="https://pubmed.ncbi.nlm.nih.gov/28867013/">irregular heartbeat</a>.</p> <p>People may go to hospital with heart flutters, chest pain, fainting or passing out (syncope) and shortness of breath (dyspnoea). But an irregular heartbeat can also occur without symptoms, and may only be discovered when investigating other health issues.</p> <p>If you have symptoms, go to your emergency department or GP. Health professionals will likely run some tests to diagnose heart-related rhythm problems.</p> <p>These include monitoring the heart’s rhythm using an ECG or electrocardiogram. This simple and non-invasive test involves attaching some electrodes to your chest, arms and legs to produce a graph of electrical signals from the heart. Clinicians are often interested in the “p wave”, which represents the electrical activation of the upper chambers of the heart.</p> <p>You may also have a blood test to look at your electrolyte levels (essential minerals in your blood). A blood test may also test for markers of clotting and inflammation, as well as kidney and liver function.</p> <h2>Why are we concerned about it?</h2> <p>The vast majority of people diagnosed with holiday heart will recover, especially if treated early or if they stop or limit drinking alcohol.</p> <p>However, some people will be diagnosed with <a href="https://theconversation.com/getting-to-the-heart-of-the-matter-on-stroke-7180">atrial fibrillation</a> – the <a href="https://www.heartlungcirc.org/article/S1443-9506(18)31778-5/fulltext">most common</a> heart rhythm disorder in Australian adults, affecting <a href="https://www.sciencedirect.com/science/article/pii/S1443950617304845">1.4-5.5%</a> of the population.</p> <p>If so, this may require medicines to restore a regular heartbeat (known as <a href="https://www.svhhearthealth.com.au/procedures/procedures-treatments/cardioversion">cardioversion</a>), electrical cardioversion (using a defibrillator to apply an electric shock to the heart) or a procedure called <a href="https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias">cardiac ablation</a>.</p> <p>If atrial fibrillation is left untreated, there’s an increased risk of blood clots, stroke and a heart attack.</p> <h2>How can you prevent it?</h2> <p>There is no definitive number of drinks known to trigger holiday heart. So our best advice to prevent it is to avoid binge drinking. Australian <a href="https://www.nhmrc.gov.au/health-advice/alcohol">guidelines</a> recommend women and men limit alcohol to no more than ten standard drinks a week and no more than four standard drinks on any one day.</p> <p>We’d also recommend drinking water between alcoholic drinks. This can help reduce the dehydrating effects of alcohol and reduce the risk of alcohol-induced heart rhythm complications.</p> <p>Then do your best to <a href="https://journals.sagepub.com/doi/full/10.1177/2156587214543143">reduce stress</a>, keep up with exercise and eat a diet that’s <a href="https://www.heartfoundation.org.au/healthy-living/healthy-eating/heart-healthy-eating-pattern">good for your heart</a> – all general advice for looking after your heart, whether or not you’re drinking alcohol.</p> <p>Taking these steps will help reduce your risk of holiday heart and keep your heart healthy this festive season.</p> <hr /> <p><em>Information about alcohol and the heart is available from the <a href="https://www.heartfoundation.org.au/blog/alcohol-and-heart-health">Heart Foundation</a>. If your GP is closed over the holidays and you need health advice, call <a href="https://www.healthdirect.gov.au/">healthdirect</a> on 1800 022 222, <a href="https://www.health.vic.gov.au/primary-care/nurse-on-call">NURSE-ON-CALL</a> in Victoria on 1300 60 60 24 or <a href="https://www.qld.gov.au/health/contacts/advice/13health">13HEALTH</a> in Queensland on 13 43 25 84. In an emergency in Australia, call 000.</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/241469/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/caleb-ferguson-72"><em>Caleb Ferguson</em></a><em>, Professor of Nursing and Director of Health Innovations, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/sabine-allida-2236436">Sabine Allida</a>, Research Fellow (Implementation Science), <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</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/been-drinking-and-your-hearts-fluttering-you-may-have-holiday-heart-241469">original article</a>.</em></p>

Body

From eye exams to blood tests and surgery: how doctors use light to diagnose disease

<p><em><a href="https://theconversation.com/profiles/matthew-griffith-1539353">Matthew Griffith</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>You’re not feeling well. You’ve had a pounding headache all week, dizzy spells and have vomited up your past few meals.</p> <p>You visit your GP to get some answers and sit while they shine a light in your eyes, order a blood test and request some medical imaging.</p> <p>Everything your GP just did relies on light. These are just some of the optical technologies that have had an enormous impact in how we diagnose disease.</p> <h2>1. On-the-spot tests</h2> <p>Point-of-care diagnostics allow doctors to test patients on the spot and get answers in minutes, rather than sending samples to a lab for analysis.</p> <p>The “flashlight” your GP uses to view the inside of your eye (known as an <a href="https://medlineplus.gov/ency/article/003881.htm">ophthalmoscope</a>) is a great example. This allows doctors to detect abnormal blood flow in the eye, deformations of the cornea (the outermost clear layer of the eye), or swollen optical discs (a round section at the back of the eye where the nerve link to the brain begins). Swollen discs are a sign of elevated pressure inside your head (or in the worst case, a brain tumour) that could be <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/headache/increased-intracranial-pressure-icp-headache">causing your headaches</a>.</p> <p>The invention of <a href="https://openmedscience.com/lighting-the-way-in-healthcare-the-transformative-role-of-lasers-in-medicine/">lasers and LEDs</a> has enabled many other miniaturised technologies to be provided at the bedside or clinic rather than in the lab.</p> <p><a href="https://theconversation.com/whats-a-pulse-oximeter-should-i-buy-one-to-monitor-covid-at-home-174457">Pulse oximetry</a> is a famous example, where a clip attached to your finger reports how well your blood is oxygenated. It does this by <a href="https://www.howequipmentworks.com/pulse_oximeter/">measuring</a> the different responses of oxygenated and de-oxygenated blood to different colours of light.</p> <p>Pulse oximetry is used at hospitals (and <a href="https://theconversation.com/whats-a-pulse-oximeter-should-i-buy-one-to-monitor-covid-at-home-174457">sometimes at home</a>) to monitor your respiratory and heart health. In hospitals, it is also a valuable tool for detecting <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60107-X/fulltext">heart defects in babies</a>.</p> <h2>2. Looking at molecules</h2> <p>Now, back to that blood test. Analysing a small amount of your blood can diagnose <a href="https://theconversation.com/blood-tests-and-diagnosing-illness-what-can-blood-tell-us-about-whats-happening-in-our-body-80327">many different diseases</a>.</p> <p>A machine called an automated “full blood count analyser” tests for general markers of your health. This machine directs focused beams of light through blood samples held in small glass tubes. It counts the number of blood cells, determines their specific type, and reports the level of haemoglobin (the protein in red blood cells that distributes oxygen around your body). In minutes, this machine can provide a <a href="https://www.nuffieldhealth.com/article/inside-the-pathology-lab-what-happens-to-my-blood">snapshot</a> of your overall health.</p> <p>For more specific disease markers, blood serum is separated from the heavier cells by spinning in a rotating instrument called a centrifuge. The serum is then exposed to special chemical stains and enzyme assays that change colour depending on whether specific molecules, which may be the sign of a disease, are present.</p> <p>These colour changes can’t be detected with the naked eye. However, a light beam from an instrument called a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476943/#R88">spectrometer</a> can detect tiny amounts of these substances in the blood and determine if the biomarkers for diseases are present, and at what levels.</p> <h2>3. Medical imaging</h2> <p>Let’s re-visit those medical images your GP ordered. The development of fibre-optic technology, made famous for transforming high-speed digital communications (such as the NBN), allows light to get inside the body. The result? High-resolution optical imaging.</p> <p>A common example is an <a href="https://www.medicalnewstoday.com/articles/153737#risks-and-side-effects">endoscope</a>, where fibres with a tiny camera on the end are inserted into the body’s natural openings (such as your mouth or anus) to examine your gut or respiratory tracts.</p> <p>Surgeons can insert the same technology through tiny cuts to view the inside of the body on a video screen during <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553337/">laparoscopic surgery</a> (also known as keyhole surgery) to diagnose and treat disease.</p> <h2>How about the future?</h2> <p>Progress in nanotechnology and a better understanding of the interactions of light with our tissues are leading to new light-based tools to help diagnose disease. These include:</p> <ul> <li> <p><a href="https://onlinelibrary.wiley.com/doi/full/10.1002/advs.201903441">nanomaterials</a> (materials on an extremely small scale, many thousands of times smaller than the width of a human hair). These are being used in next-generation sensors and new diagnostic tests</p> </li> <li> <p><a href="https://www.nature.com/articles/s41587-019-0045-y">wearable optical biosensors</a> the size of your fingernail can be included in devices such as watches, contact lenses or finger wraps. These devices allow non-invasive measurements of sweat, tears and saliva, in real time</p> </li> <li> <p>AI tools to analyse how blood serum scatters infrared light. This has allowed researchers to build a <a href="https://www.advancedsciencenews.com/powerful-diagnostic-approach-uses-light-to-detect-virtually-all-forms-of-cancer/">comprehensive database</a> of scatter patterns to detect <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/aisy.202300006">any cancer</a></p> </li> <li> <p>a type of non-invasive imaging called <a href="https://www.ncbi.nlm.nih.gov/books/NBK554044/">optical coherence tomography</a> for more detailed imaging of the eye, heart and skin</p> </li> <li> <p>fibre optic technology to deliver a tiny microscope into the body on the <a href="https://www.uwa.edu.au/projects/microscope-in-a-needle">tip of a needle</a>.</p> </li> </ul> <p>So the next time you’re at the GP and they perform (or order) some tests, chances are that at least one of those tests depend on light to help diagnose disease.<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/231379/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/matthew-griffith-1539353"><em>Matthew Griffith</em></a><em>, Associate Professor and ARC Future Fellow and Director, UniSA Microscopy and Microanalysis Facilities, <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/from-eye-exams-to-blood-tests-and-surgery-how-doctors-use-light-to-diagnose-disease-231379">original article</a>.</em></p>

Body

Cruise passengers share why you never leave your cabin balcony door open

<p>A couple on a cruise ship have learned the hard way why you should never leave the balcony door in your cruise cabin open and unattended for too long. </p> <p>While on a cruise around the US and docked in the port of Orlando in Florida, the couple took to TikTok to share their "horror" experience of when their cabin filled up with birds. </p> <p>In the video, they opened the door to their room and were swarmed by a flock of birds as they captioned the video, "When you go on a cruise and you come back to a bunch of (bird emoji) everywhere."</p> <p>"Felt like we were living in a horror movie scene. I can breathe now because I can (laugh)about it," the passenger added.</p> <div class="embed" style="font-size: 16px; box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; vertical-align: baseline; outline: currentcolor !important;"><iframe class="embedly-embed" style="border-width: 0px; border-style: none; margin-right: 0px; margin-left: 0px; box-sizing: inherit; padding: 0px; vertical-align: baseline; width: 600px; max-width: 100%; outline: currentcolor !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7423175328480136491&display_name=tiktok&url=https%3A%2F%2Fwww.tiktok.com%2F%40greedy810%2Fvideo%2F7423175328480136491&image=https%3A%2F%2Fp16-pu-sign-useast8.tiktokcdn-us.com%2Fobj%2Ftos-useast5-p-0068-tx%2FoM5JajVJBIUqbExUAiiApxIM8Af9zqBEi0wBCg%3Flk3s%3Db59d6b55%26x-expires%3D1729123200%26x-signature%3DC%252F8Xte%252FDJymZpHuGaa4Y8zX%252F6AA%253D%26shp%3Db59d6b55%26shcp%3D-&key=59e3ae3acaa649a5a98672932445e203&type=text%2Fhtml&schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>The video was taken on the Carnival Freedom cruise ship in the USA, with the couple later posting another video of a room steward catching two birds in a cardboard box.</p> <p>Viewers in the comments were a mix of amused and horrified, as one person wrote, "You're not supposed to leave your balcony door open when you're gone."</p> <p>"You have a whole Alfred Hitchcock movie in your room," another commented, comparing the scene with the film,<em> The Birds</em>.</p> <p>Others speculated that the unusual behaviour of the birds could be impacted by the nearby Hurricane Milton. </p> <p><em>Image credits: TikTok</em></p>

Cruising

Jimmy Barnes shares positive update after surgery

<p>Jimmy Barnes has shared a heartwarming update on his health following his emergency hip surgery in August. </p> <p>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."</p> <p>Now back at home with his family, Barnes shared that he is on the road to recovery with an update on his healing journey. </p> <p>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.</p> <p>Barnes said was living with a PICC line in his arm for the past six weeks to continue his treatment as an out patient.</p> <p>“It’s meant that I could leave hospital and continue most of my recovery at home,” he said on Instagram on Friday.</p> <p>“It’s been restricting and liberating at the same time."</p> <p>“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.”</p> <p>Posing in front of a calendar with Cold Chisel dates, Barnes said rehearsing with the band again this week has “topped things off”.</p> <p>“I can even get back behind the wheel,” he said. “Aah! FREEDOM.”</p> <p><em>Image credits: Instagram</em></p>

Caring

What’s the difference between a heart attack and cardiac arrest? One’s about plumbing, the other wiring

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>In July 2023, rising US basketball star Bronny James collapsed on the court during practice and was sent to hospital. The 18-year-old athlete, son of famous LA Lakers’ veteran LeBron James, had experienced a <a href="https://apnews.com/article/bronny-james-cardiac-arrest-3953eee8789e83f3cccfb6dd798bc54e">cardiac arrest</a>.</p> <p>Many media outlets incorrectly referred to the event as a “<a href="https://en.as.com/nba/lebron-james-son-bronny-plays-for-the-usc-trojans-for-the-first-time-since-suffering-a-heart-attack-n/">heart attack</a>” or used the terms interchangeably.</p> <p>A cardiac arrest and a heart attack are distinct yet overlapping concepts associated with the heart.</p> <p>With some background in <a href="https://www.youtube.com/watch?v=uKrgEv7-rVM&t=16s">how the heart works</a>, we can see how they differ and how they’re related.</p> <h2>Understanding the heart</h2> <p>The heart is a muscle that contracts to work as a pump. When it contracts it pushes blood – containing oxygen and nutrients – to all the tissues of our body.</p> <p>For the heart muscle to work effectively as a pump, it needs to be fed its own blood supply, delivered by the coronary arteries. If these arteries are blocked, the heart muscle doesn’t get the blood it needs.</p> <p>This can cause the heart muscle to become injured or die, and results in the heart not pumping properly.</p> <h2>Heart attack or cardiac arrest?</h2> <p>Simply put, a heart attack, technically known as a myocardial infarction, describes injury to, or death of, the heart muscle.</p> <p>A cardiac arrest, sometimes called a sudden cardiac arrest, is when the heart stops beating, or put another way, stops working as an effective pump.</p> <p>In other words, both relate to the heart not working as it should, but for different reasons. As we’ll see later, one can lead to the other.</p> <h2>Why do they happen? Who’s at risk?</h2> <p>Heart attacks typically result from blockages in the coronary arteries. Sometimes this is called coronary artery disease, but in Australia, we tend to refer to it as ischaemic heart disease.</p> <p>The underlying cause in about <a href="https://www.ncbi.nlm.nih.gov/books/NBK507799/#:%7E:text=It%20has%20been%20reported%20that,increases%20beyond%20age%2050%20years.">75% of people</a> is a process called <a href="https://youtu.be/jwL4lkSlvSA?si=H2as7dQkhbIqWWkU">atherosclerosis</a>. This is where fatty and fibrous tissue build up in the walls of the coronary arteries, forming a plaque. The plaque can block the blood vessel or, in some instances, lead to the formation of a blood clot.</p> <p>Atherosclerosis is a long-term, stealthy process, with a number of risk factors that can sneak up on anyone. High blood pressure, high cholesterol, diet, diabetes, stress, and your genes have all been implicated in this plaque-building process.</p> <p>Other causes of heart attacks include spasms of the coronary arteries (causing them to constrict), chest trauma, or anything else that reduces blood flow to the heart muscle.</p> <p>Regardless of the cause, blocking or reducing the flow of blood through these pipes can result in the heart muscle not receiving enough oxygen and nutrients. So cells in the heart muscle can be injured or die.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?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/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=338&fit=crop&dpr=1 600w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=338&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=338&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=424&fit=crop&dpr=1 754w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=424&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/597616/original/file-20240531-17-o2j0w.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=424&fit=crop&dpr=3 2262w" alt="Heart attack vs cardiac arrest" /></a><figcaption><span class="caption">Here’s a simple way to remember the difference.</span> <span class="attribution"><span class="source">Author provided</span></span></figcaption></figure> <p>But a cardiac arrest is the result of heartbeat irregularities, making it harder for the heart to pump blood effectively around the body. These heartbeat irregularities are generally due to <a href="https://www.youtube.com/watch?v=M_soKG-Tzh0&t=903s">electrical malfunctions</a> in the heart. There are four distinct types:</p> <ul> <li> <p><strong>ventricular tachycardia:</strong> a rapid and abnormal heart rhythm in which the heartbeat is more than <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10541285/">100 beats per minute</a> (normal adult, resting heart rate is generally 60-90 beats per minute). This fast heart rate prevents the heart from filling with blood and thus pumping adequately</p> </li> <li> <p><strong>ventricular fibrillation:</strong> instead of regular beats, the heart quivers or “fibrillates”, resembling a bag of worms, resulting in an irregular heartbeat greater than 300 beats per minute</p> </li> <li> <p><strong>pulseless electrical activity:</strong> arises when the heart muscle fails to generate sufficient pumping force after electrical stimulation, resulting in no pulse</p> </li> <li> <p><strong>asystole:</strong> the classic flat-line heart rhythm you see in movies, indicating no electrical activity in the heart.</p> </li> </ul> <p>Cardiac arrest can arise from numerous underlying conditions, both heart-related and not, such as drowning, trauma, asphyxia, electrical shock and drug overdose. James’ cardiac arrest was attributed to a <a href="https://www.espn.com.au/mens-college-basketball/story/_/id/38260006/bronny-james-cardiac-arrest-caused-congenital-heart-defect">congenital heart defect</a>, a heart condition he was born with.</p> <p>But among the many causes of a cardiac arrest, ischaemic heart disease, such as a heart attack, stands out as the most common cause, accounting <a href="https://pubmed.ncbi.nlm.nih.gov/11898927/">for 70%</a> of all cases.</p> <p>So how can a heart attack cause a cardiac arrest? You’ll remember that during a heart attack, heart muscle can be damaged or parts of it may die. This damaged or dead tissue can disrupt the heart’s ability to conduct electrical signals, increasing the risk of developing arrhythmias, possibly causing a cardiac arrest.</p> <p>So while a heart attack is a common cause of cardiac arrest, a cardiac arrest generally does not cause a heart attack.</p> <h2>What do they look like?</h2> <p>Because a cardiac arrest results in the sudden loss of effective heart pumping, the most common signs and symptoms are a sudden loss of consciousness, absence of pulse or heartbeat, stopping of breathing, and pale or blue-tinged skin.</p> <p>But the common signs and symptoms of a heart attack include chest pain or discomfort, which can show up in other regions of the body such as the arms, back, neck, jaw, or stomach. Also frequent are shortness of breath, nausea, light-headedness, looking pale, and sweating.</p> <h2>What’s the take-home message?</h2> <p>While both heart attack and cardiac arrest are disorders related to the heart, they differ in their mechanisms and outcomes.</p> <p>A heart attack is like a blockage in the plumbing supplying water to a house. But a cardiac arrest is like an electrical malfunction in the house’s wiring.</p> <p>Despite their different nature both conditions can have severe consequences and require immediate medical attention.<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/229633/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, Associate Professor of Medicine, <em><a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em> and <a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, Senior lecturer, School of Nursing and Midwifery, <em><a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-a-heart-attack-and-cardiac-arrest-ones-about-plumbing-the-other-wiring-229633">original article</a>.</p> </div>

Body

Constipation increases your risk of a heart attack, new study finds – and not just on the toilet

<p><em><a href="https://theconversation.com/profiles/vincent-ho-141549">Vincent Ho</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>If you Google the terms “constipation” and “heart attack” it’s not long before the name Elvis Presley crops up. Elvis had a longstanding history of chronic constipation and <a href="https://www.pbs.org/newshour/health/elvis-addiction-was-the-perfect-prescription-for-an-early-death">it’s believed</a> he was straining very hard to poo, which then led to a fatal heart attack.</p> <p>We don’t know what really happened to the so-called King of Rock “n” Roll back in 1977. There were likely several contributing factors to his death, and this theory is one of many.</p> <p>But after this famous case researchers took a strong interest in the link between constipation and the risk of a heart attack.</p> <p>This includes a recent <a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.00519.2024">study</a> led by Australian researchers involving data from thousands of people.</p> <h2>Are constipation and heart attacks linked?</h2> <p>Large <a href="https://www.nature.com/articles/s41598-023-38068-y">population</a> <a href="https://pubmed.ncbi.nlm.nih.gov/32873621/">studies</a> show constipation is linked to an increased risk of heart attacks.</p> <p>For example, an <a href="https://www.nature.com/articles/s41598-023-38068-y">Australian study</a> involved more than 540,000 people over 60 in hospital for a range of conditions. It found constipated patients had a higher risk of high blood pressure, heart attacks and strokes compared to non-constipated patients of the same age.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/32873621/">Danish study</a> of more than 900,000 people from hospitals and hospital outpatient clinics also found that people who were constipated had an increased risk of heart attacks and strokes.</p> <p>It was unclear, however, if this relationship between constipation and an increased risk of heart attacks and strokes would hold true for healthy people outside hospital.</p> <p>These Australian and Danish studies also did not factor in the effects of drugs used to treat high blood pressure (hypertension), which can make you constipated.</p> <h2>How about this new study?</h2> <p>The recent <a href="https://journals.physiology.org/doi/abs/10.1152/ajpheart.00519.2024">international study</a> led by Monash University researchers found a connection between constipation and an increased risk of heart attacks, strokes and heart failure in a general population.</p> <p>The researchers analysed data from the <a href="https://www.ukbiobank.ac.uk">UK Biobank</a>, a database of health-related information from about half a million people in the United Kingdom.</p> <p>The researchers identified more than 23,000 cases of constipation and accounted for the effect of drugs to treat high blood pressure, which can lead to constipation.</p> <p>People with constipation (identified through medical records or via a questionnaire) were twice as likely to have a heart attack, stroke or heart failure as those without constipation.</p> <p>The researchers found a strong link between high blood pressure and constipation. Individuals with hypertension who were also constipated had a 34% increased risk of a major heart event compared to those with just hypertension.</p> <p>The study only looked at the data from people of European ancestry. However, there is good reason to believe the link between constipation and heart attacks applies to other populations.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/26812003/">Japanese study</a> looked at more than 45,000 men and women in the general population. It found people passing a bowel motion once every two to three days had a higher risk of dying from heart disease compared with ones who passed at least one bowel motion a day.</p> <h2>How might constipation cause a heart attack?</h2> <p>Chronic constipation can lead to straining when passing a stool. This can result in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">laboured breathing</a> and can lead to a rise in blood pressure.</p> <p>In <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">one Japanese study</a> including ten elderly people, blood pressure was high just before passing a bowel motion and continued to rise during the bowel motion. This increase in blood pressure lasted for an hour afterwards, a pattern not seen in younger Japanese people.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">One theory</a> is that older people have stiffer blood vessels due to atherosclerosis (thickening or hardening of the arteries caused by a build-up of plaque) and other age-related changes. So their high blood pressure can persist for some time after straining. But the blood pressure of younger people returns quickly to normal as they have more elastic blood vessels.</p> <p>As blood pressure rises, the risk of heart disease increases. The risk of developing heart disease <a href="https://pubmed.ncbi.nlm.nih.gov/12493255/">doubles</a> when systolic blood pressure (the top number in your blood pressure reading) rises permanently by 20 mmHg (millimetres of mercury, a standard measure of blood pressure).</p> <p>The systolic blood pressure rise with straining in passing a stool has been <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030287/">reported to be</a> as high as 70 mmHg. This rise is only temporary but with persistent straining in chronic constipation this could lead to an increased risk of heart attacks.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/22256893/">Some people</a> with chronic constipation may have an impaired function of their vagus nerve, which controls various bodily functions, including digestion, heart rate and breathing.</p> <p>This impaired function can result in abnormalities of heart rate and over-activation of the flight-fight response. This can, in turn, lead to elevated blood pressure.</p> <p>Another intriguing avenue of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399019/">research</a> examines the imbalance in gut bacteria in people with <a href="https://pubmed.ncbi.nlm.nih.gov/3596341/">constipation</a>.</p> <p>This imbalance, known as dysbiosis, can result in microbes and other substances leaking through the gut barrier into the bloodstream and triggering an immune response. This, in turn, can lead to low-grade inflammation in the blood circulation and arteries becoming stiffer, increasing the risk of a heart attack.</p> <p>This latest study also explored genetic links between constipation and heart disease. The researchers found shared genetic factors that underlie both constipation and heart disease.</p> <h2>What can we do about this?</h2> <p>Constipation affects around <a href="https://pubmed.ncbi.nlm.nih.gov/36826591/">19% of the global population</a> aged 60 and older. So there is a substantial portion of the population at an increased risk of heart disease due to their bowel health.</p> <p>Managing chronic constipation through dietary changes (particularly increased dietary fibre), increased physical activity, ensuring adequate hydration and using medications, if necessary, are all important ways to help improve bowel function and reduce the risk of heart disease.<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/237209/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/vincent-ho-141549"><em>Vincent Ho</em></a><em>, Associate Professor and clinical academic gastroenterologist, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</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/constipation-increases-your-risk-of-a-heart-attack-new-study-finds-and-not-just-on-the-toilet-237209">original article</a>.</em></p>

Body

"My heart is broken": Mariah Carey reveals sad double tragedy

<p>Mariah Carey has revealed a devastating double tragedy, as both her mother and sister passed away on the same day. </p> <p>In a heartbreaking statement to <em><a href="https://people.com/mariah-carey-mom-patricia-sister-alison-both-died-same-day-exclusive-8701561" target="_blank" rel="noopener">People</a></em>, the singer announced the deaths of her mum Patricia, 87, and sister Alison, 63, who died over the weekend. </p> <p>Carey's statement read, "My heart is broken that I've lost my mother this past weekend. Sadly, in a tragic turn of events, my sister lost her life on the same day."</p> <p>"I feel blessed that I was able to spend the last week with my mom before she passed."</p> <p>"I appreciate everyone's love and support and respect for my privacy during this impossible time."</p> <p>No cause of death has been revealed for either member of the family. </p> <p>Carey famously had a turbulent relationship with her mother and sister over the years, and was estranged from Alison for three decades before her untimely death.</p> <p>In 2016, Alison, who was a recovering drug addict, made a plea to her famous sister through the Daily Mail to ask for support, saying, "Mariah I love you, I desperately need your help."</p> <p>As well as substance abuse, Alison endured homelessness throughout her life and tested positive for the HIV virus. </p> <p>Mariah opened up about complicated relationships with her mom and sister in her 2020 memoir, <em>The Meaning Of Mariah Carey</em>.</p> <p>"Like many aspects of my life, my journey with my mother has been full of contradictions and competing realities. It's never been only black-and-white — it's been a whole rainbow of emotions," she explained. </p> <p>She said their relationship was a "prickly rope of pride, pain, shame, gratitude, jealousy, admiration, and disappointment", however the book was still dedicated to Patricia.</p> <p>"And to Pat, my mother, who, through it all, I do believe actually did the best she could," the singer penned in the dedication. "I will love you the best I can, always."</p> <p><em>Image credits: Paul Archuleta/Shutterstock Editorial </em></p>

Family & Pets

Do you have knee pain from osteoarthritis? You might not need surgery. Here’s what to try instead

<p><em><a href="https://theconversation.com/profiles/belinda-lawford-1294188">Belinda Lawford</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Most people with knee osteoarthritis can control their pain and improve their mobility without surgery, according to <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">updated treatment guidelines</a> from the Australian Commission on Safety and Quality in Health Care.</p> <p>So what is knee osteoarthritis and what are the best ways to manage it?</p> <h2>More than 2 million Australians have osteoarthritis</h2> <p>Osteoarthritis is the most common joint disease, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">2.1 million Australians</a>. It <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">costs the economy</a> A$4.3 billion each year.</p> <p>Osteoarthritis commonly <a href="https://pubmed.ncbi.nlm.nih.gov/33560326/">affects</a> the knees, but can also affect the hips, spine, hands and feet. It impacts the whole joint including bone, cartilage, ligaments and muscles.</p> <p>Most people with osteoarthritis have persistent pain and find it difficult to perform simple daily tasks, such as walking and climbing stairs.</p> <h2>Is it caused by ‘wear and tear’?</h2> <p>Knee osteoarthritis is most likely to affect older people, those who are overweight or obese, and those with previous knee injuries. But contrary to popular belief, knee osteoarthritis is <a href="https://pubmed.ncbi.nlm.nih.gov/31192807/">not caused by</a> “wear and tear”.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">Research shows</a> the degree of structural wear and tear visible in the knee joint on an X-ray does not correlate with the level of pain or disability a person experiences. Some people have a low degree of structural wear and tear and very bad symptoms, while others have a high degree of structural wear and tear and minimal symptoms. So X-rays are <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">not required</a> to diagnose knee osteoarthritis or guide treatment decisions.</p> <p>Telling people they have wear and tear can make them worried about their condition and afraid of damaging their joint. It can also encourage them to try invasive and potentially unnecessary treatments such as surgery. We have <a href="https://pubmed.ncbi.nlm.nih.gov/37795555/">shown this</a> in people with osteoarthritis, and other common pain conditions such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545091/">back</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/33789444/">shoulder</a> pain.</p> <p>This has led to a global call for a <a href="https://pubmed.ncbi.nlm.nih.gov/38354847/">change in the way</a> we think and communicate about osteoarthritis.</p> <h2>What’s the best way to manage osteoarthritis?</h2> <p>Non-surgical treatments work well for most people with osteoarthritis, regardless of their age or the severity of their symptoms. These <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">include</a> education and self-management, exercise and physical activity, weight management and nutrition, and certain pain medicines.</p> <p>Education is important to dispel misconceptions about knee osteoarthritis. This includes information about what osteoarthritis is, how it is diagnosed, its prognosis, and the most effective ways to self-manage symptoms.</p> <p>Health professionals who use positive and reassuring language <a href="https://pubmed.ncbi.nlm.nih.gov/35750241/">can improve</a> people’s knowledge and beliefs about osteoarthritis and its management.</p> <p>Many people believe that exercise and physical activity will cause further damage to their joint. But it’s safe and can reduce pain and disability. Exercise has fewer side effects than commonly used pain medicines such as <a href="https://pubmed.ncbi.nlm.nih.gov/36593092/">paracetamol and anti-inflammatories</a> and can <a href="https://pubmed.ncbi.nlm.nih.gov/26488691/">prevent or delay</a> the need for joint replacement surgery in the future.</p> <p>Many types of exercise <a href="https://pubmed.ncbi.nlm.nih.gov/30830561/">are effective</a> for knee osteoarthritis, such as strength training, aerobic exercises like walking or cycling, Yoga and Tai chi. So you can do whatever type of exercise best suits you.</p> <p>Increasing general physical activity is also important, such as taking more steps throughout the day and reducing sedentary time.</p> <p>Weight management is important for those who are overweight or obese. Weight loss <a href="https://pubmed.ncbi.nlm.nih.gov/34843383/">can reduce knee pain and disability</a>, particularly when combined with exercise. Losing as little as 5–10% of your body weight <a href="https://pubmed.ncbi.nlm.nih.gov/36474793/">can be beneficial</a>.</p> <p>Pain medicines should not replace treatments such as exercise and weight management but can be used alongside these treatments to help manage pain. <a href="https://pubmed.ncbi.nlm.nih.gov/33786837/">Recommended medicines</a> include paracetamol and non-steroidal anti-inflammatory drugs.</p> <p>Opioids are <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">not recommended</a>. The risk of harm outweighs any potential benefits.</p> <h2>What about surgery?</h2> <p>People with knee osteoarthritis commonly undergo two types of surgery: knee arthroscopy and knee replacement.</p> <p>Knee arthroscopy is a type of keyhole surgery used to remove or repair damaged pieces of bone or cartilage that are thought to cause pain.</p> <p>However, high-quality research <a href="https://pubmed.ncbi.nlm.nih.gov/24369076/">has shown</a> arthroscopy is not effective. Arthroscopy should therefore not be used in the management of knee osteoarthritis.</p> <p>Joint replacement involves replacing the joint surfaces with artificial parts. In 2021–22, <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">53,500 Australians</a> had a knee replacement for their osteoarthritis.</p> <p>Joint replacement is often seen as being inevitable and “necessary”. But most people can effectively manage their symptoms through exercise, physical activity and weight management.</p> <p>The new guidelines (known as “care standard”) recommend joint replacement surgery only be considered for those with severe symptoms who have already tried non-surgical treatments.</p> <h2>I have knee osteoarthritis. What should I do?</h2> <p>The <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> links to free evidence-based resources to support people with osteoarthritis. These include:</p> <ul> <li>education, such as a <a href="https://www.england.nhs.uk/wp-content/uploads/2023/07/making-a-decision-about-knee-osteoarthritis-v1.pdf.pdf">decision aid</a> and <a href="http://www.futurelearn.com/courses/taking-control-hip-and-knee-osteoarthritis">four-week online course</a></li> <li>self-directed <a href="https://healthsciences.unimelb.edu.au/departments/physiotherapy/chesm/patient-resources/my-knee-exercise">online exercise</a> and <a href="https://myjointyoga.com.au/">yoga</a> programs</li> <li><a href="https://www.gethealthynsw.com.au/program/standard-coaching/">weight management support</a></li> <li>pain management strategies, such as <a href="https://www.myjointpain.org.au/">MyJointPain</a> and <a href="http://www.paintrainer.org/">painTRAINER</a>.</li> </ul> <p>If you have osteoarthritis, you can use the <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> to inform discussions with your health-care provider, and to make informed decisions about your care.<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/236779/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/belinda-lawford-1294188"><em>Belinda Lawford</em></a><em>, Postdoctoral research fellow in physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, NHMRC Emerging Leader Research Fellow, Sydney Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">original article</a>.</em></p>

Body

From maxing out to slowing down, how much do heart rates vary across sports?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/gregory-peoples-1556509">Gregory Peoples</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>A classic image of the Olympics and Paralympics is an athlete at the end of a race struggling for breath, their heart obviously racing.</p> <p>But at the other end of the scale are athletes such as archers and shooters, who need to slow their heart rates down as much as possible.</p> <p>Athletes in speed and endurance events regularly push their heart rate to the maximum. But these athletes usually have low heart rates at rest.</p> <p>What causes our heart rates and respiratory (breathing) rates to change so much, and is this healthy?</p> <h2>When heart rates and respiratory rates rise</h2> <p>If you are still and calm as you read this, your heart is probably beating 60–100 times per minute and you are likely breathing 12–20 times per minute.</p> <p>These are the <a href="https://theconversation.com/what-should-my-heart-rate-be-and-what-affects-it-98945">normal ranges for a resting adult</a>.</p> <p>During physical activity when muscles are contracting, the muscles need more oxygen to provide them with energy to work.</p> <p>To deliver this extra oxygen (<a href="https://theconversation.com/curious-kids-why-is-blood-red-229121#:%7E:text=Haemoglobin%20is%20like%20a%20red,oxygen%2C%20our%20blood%20is%20red.">carried in our blood</a>), our heart pumps blood faster. In other words, our heart rate increases.</p> <p>We also breathe faster to get more oxygen into our lungs to be delivered to the exercising muscles.</p> <figure><iframe src="https://www.youtube.com/embed/3YOap5k0R_8?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Your resting heart rate can tell you plenty about your health and fitness.</span></figcaption></figure> <h2>How fast can our heart rate get during exercise?</h2> <p>Aerobic means “with oxygen”. In <a href="https://my.clevelandclinic.org/health/articles/7050-aerobic-exercise">aerobic exercise</a> (“cardio”) you use large muscles repetitively and rhythmically. For example, walking, running, cycling, swimming and rowing.</p> <p>Muscles that are contracting during aerobic exercise use a lot of energy and need ten times <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551211/">more oxygen than at rest</a>.</p> <p>High intensity aerobic events that involve large muscles or the entire body cause the highest heart rates.</p> <p>An <a href="https://www.heartonline.org.au/resources/calculators/target-heart-rate-calculator">estimate</a> of maximum heart rate (beats per minute) is 220 minus your age. This equates to 195 beats per minute for a 25-year-old – close to the average age of the Australian Olympic team of 26.5 years.</p> <p>Athletes competing in Olympic events of endurance or speed will reach their maximum heart rate.</p> <p>You can usually only maintain maximum heart rate for a few minutes. But in a 2000-metre rowing race, the rowers maintain intense effort at close to maximum heart rate for 6–8 minutes.</p> <p>This is one of the toughest events for the heart. It’s no wonder rowers often collapse in the boat <a href="https://www.bbc.com/news/uk-england-cambridgeshire-68731840">as they cross the finish line</a>.</p> <p>Highly trained endurance athletes can have a maximum heart rate higher than expected for their age. <a href="https://olympics.com/en/athletes/eliud-kipchoge">Eliud Kipchoge</a> from Kenya is considered the greatest marathon runner of all time. During his <a href="https://au.coros.com/stories?world-record">world record run</a> in the 2022 Berlin marathon, he ran with a heart rate of around 180 beats per minute for almost the entire race.</p> <h2>How does breathing change with exercise?</h2> <p>Our breathing changes with exercise to increase oxygen uptake from the air.</p> <p>At low-to-moderate intensity exercise, you start to take deeper breaths. This brings in more air and oxygen with each breath. However, there is a limit to how much the chest can expand.</p> <p>With higher intensity exercise, respiratory rate increases to increase oxygen intake.</p> <p>Elite athletes can breathe <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818249/">more than 50 times</a> per minute. This is driven by <a href="https://theconversation.com/what-is-breathwork-and-do-i-need-to-do-it-231192">our diaphragm</a>, the most important muscle of breathing.</p> <p><a href="https://www.abc.net.au/news/2024-07-28/paris-olympics-grace-brown-cycling-gold-medal-australia/104151466">Grace Brown</a>, Olympic gold medal cyclist in Paris, <a href="https://inscyd.com/article/grace-brown-olympic-gold-physiology/">breathes close to a maximal oxygen uptake</a> when she is cycling at high intensity.</p> <h2>Some athletes need to slow things down</h2> <p>Archery and shooting athletes perform better with a lower heart rate. They time their shots to be <a href="https://pubmed.ncbi.nlm.nih.gov/3580727/#:%7E:text=Results%20showed%20that%20the%20champion,both%20during%20diastole%20and%20systole">between heart beats</a> when the body is the most still.</p> <p>This is easier with a slower heart rate, with more time between beats.</p> <p>Archers consciously lower their heart rate <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441821/">prior to shooting</a> by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721071/">slowing their breathing</a>.</p> <p>Other Olympians use <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224217/#:%7E:text=For%20practicing%20slow%20and%20deep,minutes%20before%20starting%20the%20exercise.">breathing techniques</a> to calm pre-race anticipation and high heart rates.</p> <p>Slowing the breath, <a href="https://theconversation.com/what-is-breathwork-and-do-i-need-to-do-it-231192">especially the exhale</a>, is the best way to lower your heart rate.</p> <p>Beta-blockers also reduce heart rate, by blocking adrenaline. This is why they are on the <a href="https://www.wada-ama.org/en/prohibited-list">prohibited substances list</a> of the World Anti-Doping Agency.</p> <h2>What about resting heart rates?</h2> <p>Athletes often have a <a href="https://www.health.harvard.edu/heart-health/is-a-low-heart-rate-worrisome">low resting heart rate</a>, around 40-50 beats per minute, and slower during sleep.</p> <p>Some are even lower – five time Tour de France winner Miguel Indurain famously had a resting heart rate of <a href="https://www.cyclingweekly.com/fitness/miguel-indurain-vs-your-body-34288">28 beats per minute</a>.</p> <p>Legendary US swimmer Michael Phelps is the <a href="https://olympics.com/en/news/michael-phelps-olympic-medals-record-how-many-gold-swimmer-world-record">most successful Olympian</a> of all time – he had a resting heart rate of <a href="https://www.reanfoundation.org/low-resting-heart-rate-and-lifespan/#:%7E:text=Studies%20on%20Athletes%20and%20Low%20Resting%20Heart%20Rate&text=It%20could%20also%20hint%20at,BPM%20throughout%20his%20professional%20career">less than 40 beats per minute</a>.</p> <p>Regular moderate-to-vigorous intensity aerobic exercise makes the <a href="https://www.medicalnewstoday.com/articles/athletes-heart-rate">heart stronger and more efficient</a>. A stronger heart pumps more blood per beat, which means it doesn’t need to beat as often.</p> <p>Exercise also <a href="https://pubmed.ncbi.nlm.nih.gov/12477376/">increases vagus nerve</a> activity to the heart and <a href="https://www.nature.com/articles/ncomms4775">slows down</a> the heart’s pacemaker cells. These both reduce heart rate.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306777/">A large review</a> found endurance training and yoga were the best exercises to reduce resting heart rate. But training needs to be maintained to keep resting heart rate low.</p> <p>When elite athletes reduced their training volume by half during COVID lockdown, their <a href="https://www.mdpi.com/2071-1050/13/5/2970">resting heart rate increased</a>.</p> <h2>What does this mean for our health?</h2> <p>A slower resting heart rate is linked to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306777/">longer life expectancy and reduced death from cardiovascular disease</a>. Indeed, <a href="https://bjsm.bmj.com/content/55/4/206">a study</a> of more than 8,000 Olympians from the United States found they lived longer than the general population.</p> <p>So it is healthy to do activities that increase your heart rate in the short-term, whether as an Olympian or Paralympian competing, or a fan with your heart racing watching a gold medal event.<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/235594/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, Associate professor of Medical Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/gregory-peoples-1556509">Gregory Peoples</a>, Senior Lecturer - Physiology, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</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/from-maxing-out-to-slowing-down-how-much-do-heart-rates-vary-across-sports-235594">original article</a>.</em></p> </div>

Body

"Bad news": Jimmy Barnes reveals shocking health update

<p>Jimmy Barnes has been taken to hospital after complaining of "unbearable pain" while on the New Zealand leg of his tour. </p> <p>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. </p> <p>"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."</p> <p>"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."</p> <p>The 68-year-old then clarified that because of the upcoming surgery, his August and September shows on his <em>Hell of a Time</em> tour would be impacted. </p> <p>"Ticket holders will be contacted with further info in the coming days once we have new plans in place," he said.</p> <p>"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."</p> <p>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. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/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></p> </div> </blockquote> <p>"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. </p> <p>"Our kids always around watching over us. Full of Love."</p> <p>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.</p> <p><em>Image credits: Instagram </em></p>

Caring

Meghan Markle opens up about past trauma

<p>Meghan Markle has opened up about her mental health struggle in a new interview. </p> <p>In a joined interview with <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">her husband Prince Harry for <em>CBS Sunday Morning</em>, </span>the Duchess of Sussex admitted that she hasn't "really scraped the surface" on her struggle, as the couple launched their new project <a href="https://archewell.org/theparentsnetwork/" target="_blank" rel="noopener">The Parents' Network</a>. </p> <p>The Parents’ Network aims to support parents who lost or almost lost their child to cyberbullying and other traumas related to social media use. </p> <p>While speaking about online bullying and its effects on young children, <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">the Duchess of Sussex spoke about her own experience and connection to the families, as she also had suicidal thoughts in 2021. </span></p> <p>“When you’ve been through any level of pain or trauma, I believe part of our healing journey — certainly part of mine — is being able to be really open about it,” she told Jane Pauley. </p> <p>"And you know, I haven't really scraped the surface on my experience. But I do think that I would never want someone else to feel that way," she continued.</p> <p>"And I would never want someone else to be making those sort of plans. And I would never want someone else to not be believed."</p> <p>"So, if me voicing what I have overcome will save someone, or encourage someone in their life to really genuinely check in on them and not assume that the appearance is good, so everything's OK, then that's worth it.</p> <p>"I'll take a hit for that."</p> <p>In a 2021 interview with Oprah Winfrey, Meghan revealed that she had suicidal ideation while pregnant with son Archie due to the pressure of life as a royal and the way the British media treated her. </p> <p>“I just didn’t want to be alive anymore,” she said at the time.</p> <p>She also recalled reaching out to palace officials and said that she did not receive any mental health help. </p> <p>The initiative, launched with the couple’s Archewell Foundation, aims to make sure that no other families go through what they did. </p> <p>“Our kids are young; they’re 3 and 5. They’re amazing,” she told Pauley. </p> <p>“But all you want to do as parents is protect them. And so, as we can see what’s happening in the online space, we know that there’s a lot of work to be done there, and we’re just happy to be able to be a part of change for good.”</p> <p><em>Images: CBS Sunday Morning</em></p>

Caring

92-year-old grandma steals hearts in Paris

<p>Australian judo champion Aoife Coughlan stunned Olympic audiences with a tense showdown against German athlete Miriam Butkereit in Paris, but some audience members had their attention drawn elsewhere. </p> <p>The 28-year-old Aussie was holding her own against Butkereit, until sudden-death overtime saw Butkereit, 30, win at the last second in the women's 70kg judo round of 16.</p> <p>Despite the unbelievable scenes inside Grand Palais Éphémère in Champ de Mars in Paris, some spectators were quick to notice a special guest hovering behind the TV cameras, who has since drawn the world's attention. </p> <p>Coughlan's 92-year-old grandmother Pam Coughlan, from Ireland, scored a prime position mat-side to watch her granddaughter compete, with the judoka's cousin explaining just how his grandmother secured her prime, and unusual, spot on social media.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">My 92 year old granny is at the Olympics today to watch her Australian grandchild in the Judo.</p> <p>She persuaded them to let her sit here. Never doubt the Dublin Granny. <a href="https://t.co/XevdsWxKnt">pic.twitter.com/XevdsWxKnt</a></p> <p>— Mark Coughlan (@Mark_Coughlan) <a href="https://twitter.com/Mark_Coughlan/status/1818561337212977605?ref_src=twsrc%5Etfw">July 31, 2024</a></p></blockquote> <p>"She persuaded them to let her sit here. Never doubt the Dublin Granny," Mark Coughlan wrote on X (formerly Twitter). </p> <p>Wearing sunglasses inside and a red, French-style beret to complete her look, Coughlan's grandmother Pam kept a watchful eye on her granddaughter, with Mark commentating from at home. </p> <p>"Judo is quicker than I knew, and harsh," Coughlan's cousin explained to his social media followers. "Round two 20 minutes after round one: Aoife lost on Judo's equivalent of extra time and penalties in the last minute."</p> <p>"Massive pride. What an achievement. Olympian and hugs from Granny afterwards."</p> <p>Pam Coughlan, Mark said, will "have to do the Paris look-around now" as she did eight years ago, when she flew aged 83 to spectate at Rio 2016.</p> <p>Mark's Twitter thread about his grandmother quickly went viral, with many applauding the older woman for her supportive nature. </p> <p>One fan wrote, "Dublin Granny…need you say more??" while another added, "All olympic grannies who can manage to attend in person should be given front row seats."</p> <p><em>Image credits: Nine </em></p>

Family & Pets

Dr Michael Mosley's wife shares heart-breaking tribute to her late husband

<p>Dr Michael Mosley's widow has shared a heart-breaking tribute to her late husband just weeks after his untimely death. </p> <p>Mosley first went missing while holidaying with his wife, Dr Clare Bailey, on the island of Symi on June 4th, and was tragically found dead five days later. </p> <p>Taking to Instagram on Saturday, Dr Bailey thanked the public for the “wonderfully supportive messages” and revealed that her family misses the father of four “so much.”</p> <p>“The outpouring of love from so many people has meant a huge amount to me and my family,” she wrote alongside a photo of her late husband.</p> <p>“I’m going to be quiet for a while. I’m sure you will understand. But I will be back here soon."</p> <p>Sharing her plans for the future, she added, “I very much want to continue with the work that gave Michael and myself so much joy and such a sense of purpose.”</p> <p>“Once more thank you so much for respecting my family’s privacy so kindly. Michael was an amazing man. Thank you for seeing that too. We miss him so much.” </p> <p>Dr Mosley was a popular TV talking head in the UK and in Australia, who regularly appeared on chat shows and presented documentaries about diet and exercise.</p> <p>Michael and Clare married in 1987 and share four adult children – sons, Dan, Alex and Jack, and daughter, Kate.</p> <p><em>Image credits: Instagram </em></p>

Caring

I’ve been given opioids after surgery to take at home. What do I need to know?

<p><em><a href="https://theconversation.com/profiles/katelyn-jauregui-1527878">Katelyn Jauregui</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/asad-patanwala-1529611">Asad Patanwala</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jonathan-penm-404921">Jonathan Penm</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/shania-liu-1433659">Shania Liu</a>, <a href="https://theconversation.com/institutions/university-of-alberta-1232">University of Alberta</a></em></p> <p>Opioids are commonly prescribed when you’re discharged from hospital after surgery to help manage pain at home.</p> <p>These strong painkillers may have unwanted side effects or harms, such as constipation, drowsiness or the risk of dependence.</p> <p>However, there are steps you can take to minimise those harms and use opioids more safely as you recover from surgery.</p> <h2>Which types of opioids are most common?</h2> <p>The <a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">most commonly prescribed</a> opioids after surgery in Australia are oxycodone (brand names include Endone, OxyNorm) and tapentadol (Palexia).</p> <p>In fact, <a href="https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.16063">about half</a> of new oxycodone prescriptions in Australia occur after a recent hospital visit.</p> <p><a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">Most commonly</a>, people will be given immediate-release opioids for their pain. These are quick-acting and are used to manage short-term pain.</p> <p>Because they work quickly, their dose can be easily adjusted to manage current pain levels. Your doctor will provide instructions on how to adjust the dosage based on your pain levels.</p> <p>Then there are slow-release opioids, which are specially formulated to slowly release the dose over about half to a full day. These may have “sustained-release”, “controlled-release” or “extended-release” on the box.</p> <p>Slow-release formulations are primarily used for chronic or long-term pain. The slow-release form means the medicine does not have to be taken as often. However, it takes longer to have an effect compared with immediate-release, so it is not commonly used after surgery.</p> <p>Controlling your pain after surgery is <a href="https://www.nps.org.au/assets/4811a27845042173-00a4ff09097b-postoperative-pain-management_36-202.pdf">important</a>. This allows you get up and start moving sooner, and recover faster. Moving around sooner after surgery prevents muscle wasting and harms associated with immobility, such as bed sores and blood clots.</p> <p>Everyone’s pain levels and needs for pain medicines are different. Pain levels also decrease as your surgical wound heals, so you may need to take less of your medicine as you recover.</p> <h2>But there are also risks</h2> <p>As mentioned above, side effects of opioids include constipation and feeling drowsy or nauseous. The drowsiness can also make you more likely to fall over.</p> <p>Opioids prescribed to manage pain at home after surgery are usually prescribed for short-term use.</p> <p>But up to <a href="https://pubmed.ncbi.nlm.nih.gov/35545810/">one in ten</a> Australians still take them up to four months after surgery. <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/msc.1837">One study</a> found people didn’t know how to safely stop taking opioids.</p> <p>Such long-term opioid use may lead to dependence and overdose. It can also reduce the medicine’s effectiveness. That’s because your body becomes used to the opioid and needs more of it to have the same effect.</p> <p>Dependency and side effects are also more common with <a href="https://www.anzca.edu.au/getattachment/535097e6-9f50-4d09-bd7f-ffa8faf02cdd/Prescribing-slow-release-opioids-4-april-2018#:%7E:text=%E2%80%9CSlow%2Drelease%20opioids%20are%20not,its%20Faculty%20of%20Pain%20Medicine.">slow-release opioids</a> than immediate-release opioids. This is because people are usually on slow-release opioids for longer.</p> <p>Then there are concerns about “leftover” opioids. One study found 40% of participants were prescribed <a href="https://journals.sagepub.com/doi/full/10.1177/0310057X231163890">more than twice</a> the amount they needed.</p> <p>This results in unused opioids at home, which <a href="https://www.anzca.edu.au/getattachment/558316c5-ea93-457c-b51f-d57556b0ffa7/PS41-Guideline-on-acute-pain-management">can be dangerous</a> to the person and their family. Storing leftover opioids at home increases the risk of taking too much, sharing with others inappropriately, and using without doctor supervision.</p> <h2>How to mimimise the risks</h2> <p>Before using opioids, speak to your doctor or pharmacist about using over-the-counter pain medicines such as paracetamol or anti-inflammatories such as ibuprofen (for example, Nurofen, Brufen) or diclofenac (for example, Voltaren, Fenac).</p> <p>These can be quite effective at controlling pain and will lessen your need for opioids. They can often be used instead of opioids, but in some cases a combination of both is needed.</p> <p>Other techniques to manage pain include physiotherapy, exercise, <a href="https://theconversation.com/hot-pack-or-cold-pack-which-one-to-reach-for-when-youre-injured-or-in-pain-161086">heat packs or ice packs</a>. Speak to your doctor or pharmacist to discuss which techniques would benefit you the most.</p> <p>However, if you do need opioids, there are some ways to make sure you use them <a href="https://www.safetyandquality.gov.au/sites/default/files/2022-04/opioid-analgesic-stewardship-in-acute-pain-clinical-care-standard.pdf">safely and effectively</a>:</p> <ul> <li> <p>ask for <a href="https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16085">immediate-release</a> rather than slow-release opioids to lower your risk of side effects</p> </li> <li> <p>do not drink alcohol or take sleeping tablets while on opioids. This can increase any drowsiness, and lead to reduced alertness and slower breathing</p> </li> <li> <p>as you may be at higher risk of falls, remove trip hazards from your home and make sure you can safely get up off the sofa or bed and to the bathroom or kitchen</p> </li> <li> <p>before starting opioids, have a plan in place with your doctor or pharmacist about how and when to stop taking them. Opioids after surgery are ideally taken at the lowest possible dose for the shortest length of time.</p> </li> </ul> <h2>If you’re concerned about side effects</h2> <p>If you are concerned about side effects while taking opioids, speak to your pharmacist or doctor. Side effects include:</p> <ul> <li> <p><a href="https://theconversation.com/health-check-what-causes-constipation-114290">constipation</a> – your pharmacist will be able to give you lifestyle advice and recommend laxatives</p> </li> <li> <p>drowsiness – do not drive or operate heavy machinery. If you’re trying to stay awake during the day, but keep falling asleep, your dose may be too high and you should contact your doctor</p> </li> <li> <p>weakness and slowed breathing – this may be a sign of a more serious side effect such as respiratory depression which requires medical attention. Contact your doctor immediately.</p> </li> </ul> <h2>If you’re having trouble stopping opioids</h2> <p>Talk to your doctor or pharmacist if you’re having trouble stopping opioids. They can give you alternatives to manage the pain and provide advice on gradually lowering your dose.</p> <p>You may experience withdrawal effects, such as agitation, anxiety and insomnia, but your doctor and pharmacist can help you manage these.</p> <h2>How about leftover opioids?</h2> <p>After you have finished using opioids, take any leftovers to your local pharmacy to <a href="https://theconversation.com/health-check-what-should-you-do-with-your-unused-medicine-81406">dispose of them safely</a>, free of charge.</p> <p>Do not share opioids with others and keep them away from others in the house who do not need them, as opioids can cause unintended harms if not used under the supervision of a medical professional. This could include accidental ingestion by children.</p> <hr /> <p><em>For more information, speak to your pharmacist or doctor. Choosing Wisely Australia also has <a href="https://www.choosingwisely.org.au/resources/consumers-and-carers/patient-guide-to-managing-pain-and-opioid-medicines">free online information</a> about managing pain and opioid medicines.</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/228615/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/katelyn-jauregui-1527878">Katelyn Jauregui</a>, PhD Candidate and Clinical Pharmacist, School of Pharmacy, Faculty of Medicine and Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/asad-patanwala-1529611">Asad Patanwala</a>, Professor, Sydney School of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jonathan-penm-404921">Jonathan Penm</a>, Senior lecturer, School of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/shania-liu-1433659">Shania Liu</a>, Postdoctoral Research Fellow, Faculty of Medicine and Dentistry, <a href="https://theconversation.com/institutions/university-of-alberta-1232">University of Alberta</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/ive-been-given-opioids-after-surgery-to-take-at-home-what-do-i-need-to-know-228615">original article</a>.</em></p>

Body

"Heartbroken and blindsided": The Beast's ex-girlfriend opens up about split

<p>The ex-girlfriend of <em>The Chase</em> star Mark Labbett, also known as The Beast, has opened up about her high-profile break-up with the TV star, slamming his behaviour in the last weeks of their relationship. </p> <p>Hayley Palmer, an entertainment news presenter, announced her <a href="https://oversixty.com.au/lifestyle/relationships/mark-the-beast-labbett-s-girlfriend-drops-major-relationship-bombshell" target="_blank" rel="noopener">split</a> from Labbett just days after their one year anniversary, sharing the news on Instagram in May. </p> <p>Now, in an interview with <a href="https://www.thesun.co.uk/tv/28526452/mark-beast-labbett-hayley-palmer-split/" target="_blank" rel="noopener"><em>The Sun</em></a> newspaper, Palmer took aim at Labbett and his alleged handling of their split, saying she had been “blindsided” by their break-up, and shared how he had lived up to his name as The Beast.</p> <p>“It has come as a complete shock. I thought we were really happy,” she said.</p> <p>“I’m heartbroken and blindsided. His behaviour has been beastly.”</p> <p>Palmer went on to say that Labbett dumped her over a callous three-minute phone call, and said their breakup came because The Beast did not want to formally divorce his ex-wife Katie, who is also his second cousin. </p> <p>She went on to say that before their shock split, Mark — who has a seven-year-old son with his former wife — had even suggested they move in together.</p> <p>But in the days following, a phone call came from Labbett to end their relationship. </p> <p>Struggling to hold back tears, Hayley told the publication, “The call started off as a normal conversation. He was spending time with his son and we’d had a conversation about me joining them at a water park."</p> <p>“Then he said, ‘I don’t know how to tell you this, but you were right. I don’t want to divorce my ex-wife’.</p> <div> <div id="articlempu"></div> </div> <p>“The shock of the way he said it was so brutally cold and not the Mark I know. I thought he was a gentle giant, so this was the complete opposite. He was as cold as ice."</p> <p>“The phone went from my hands, I just hung up on him. I ended up walking around for three hours not knowing where I was going."</p> <p>“I’ll never get over the shock of that, I’m still in shock now. It’s such a hurtful way to do it. The fact that he didn’t have the respect for me, and for him to do it over the phone — it was a really low move."</p> <p><em>Image credits: Instagram </em></p>

Relationships

Major TV star's 7-year-old undergoes third open heart surgery

<p>Jimmy Kimmel's seven-year-old son has undergone his third, and hopefully final open heart surgery after being born with congenital heart disease. </p> <p>In 2017, Jimmy <a href="https://www.youtube.com/watch?v=MmWWoMcGmo0" target="_blank" rel="noopener">revealed</a> that Billy was only three days old when had to undergo his first open heart surgery, after doctors found “a hole in the wall of the left and right side of his heart” that was preventing enough oxygen from reaching his blood. </p> <p>Billy was only seven months old when he had to undergo his second open heart surgery, and over the weekend he had to undergo his third major surgery at the Children's Hospital Los Angeles. </p> <p>A few days later, the TV host took to Instagram to share an update following his son's successful surgery. </p> <p>"We went into this experience with a lot of optimism and nearly as much fear and came out with a new valve inside a happy, healthy kid," Kimmel wrote, alongside a picture of his youngest son smiling in a hospital bed. </p> <p>He then thanked all the surgeons, doctors and other medical staff who "came through for us with immeasurable kindness and expertise." </p> <p>"Walking around this hospital, meeting parents at their most vulnerable, children in pain and the miracle workers who do everything in their considerable power to save them is a humbling experience," Kimmel continued.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C7fE-p4S7YN/?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/C7fE-p4S7YN/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jimmy Kimmel (@jimmykimmel)</a></p> </div> </blockquote> <p>He then highlighted the hospital's dedication to providing help to families "regardless of their ability to pay". </p> <p>Jimmy then extended his thanks to his family and friends and the "loving strangers who took time to pray for and send positive energy to our baby".</p> <p>He gave a special shout out to his wife Molly – for "being stronger than is reasonable for any Mum to be". The pair also share daughter Jane, nine. </p> <p>The late night TV host then praised his son for being "the toughest (and funniest) 7 year-old we know."</p> <p>"There are so many parents and children who aren't fortunate enough to go home after five days," he added and encouraged his followers to send their thoughts and prayers to these families. </p> <p><em>Image: Instagram/ X</em></p> <p> </p>

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I’ve been given opioids after surgery to take at home. What do I need to know?

"Heartbroken and blindsided": The Beast's ex-girlfriend opens up about split

Major TV star's 7-year-old undergoes third open heart surgery