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"Critical": Cyclone Alfred's new landfall location revealed

<p data-pm-slice="1 1 []">New forecasts reveal that Tropical Cyclone Alfred is set to make landfall in Brisbane’s northern suburbs as it turns "directly" towards Queensland’s coast. The cyclone, upgraded to a category two system overnight, is expected to shift westward on Tuesday evening, putting Brisbane and the Sunshine Coast at risk.</p> <p>As of Tuesday morning, Cyclone Alfred was about 560km east of Brisbane. Bureau of Meteorology meteorologist Jonathon How indicated that landfall is expected between late Thursday and Friday.</p> <p>“The location of landfall will be critical because we are expecting to see the worst of the impacts, or most significant impacts, on the southern flank of the cyclone,” Mr How said.</p> <p>Areas likely to experience severe weather include Brisbane, the Gold Coast, and Northern Rivers, with heavy rainfall expected across multiple regions. The Sunshine Coast may receive 200mm to 400mm of rain, while the Gold Coast and Northern Rivers could see extreme downpours between 500mm and 700mm.</p> <p>Southeast Queensland and northeastern NSW residents, particularly those between Tewantin and Grafton, have been advised to prepare for damaging winds up to 120km/h starting Wednesday. Heavy rainfall, potentially causing "dangerous and life-threatening flash flooding," is forecast from Thursday into Friday.</p> <p>Despite possible fluctuations in the cyclone’s intensity, the Bureau of Meteorology expects Alfred to remain a category two system upon landfall.</p> <p>Energex regional field delivery general manager Kev Lavender urged residents to prepare for potential power outages lasting up to three days.</p> <p>“We are ready to respond to any impacts from severe weather when it is safe to do so,” he stated, noting that strong winds and floods could extensively damage the electricity network.</p> <p>Residents of North Stradbroke Island and Moreton Bay Islands face the risk of being cut off from the mainland. With ferry services being suspended, many must decide whether to stay or evacuate. The last scheduled ferry departures from Victoria Point and Coochie were planned for Tuesday, with potential resumption on Friday, depending on weather conditions.</p> <p>SeaLink Bay Islands also announced possible service disruptions on Tuesday and additional cancellations on Wednesday and Thursday as the cyclone approaches.</p> <p>Coastal areas between Sandy Cape and Yamba have been warned about abnormally high tides and "significant beach erosion" caused by damaging surf. Multiple flood watches are in effect for rivers and catchments across both Queensland and New South Wales.</p> <p>Experts warn that sustained damaging winds and prolonged heavy rainfall could cause major property damage.</p> <p>“These damaging to destructive winds will be sustained over quite a long period of time, meaning we could see quite significant damage to properties and also trees,” Mr How explained.</p> <p>Supermarkets have already seen a surge in demand, with reports of empty shelves and water selling out across multiple Queensland suburbs. Essentials like milk and bread are also in short supply. Queensland Premier David Crisafulli urged supermarkets to keep shelves stocked and encouraged residents to prepare by gathering water, spare batteries, and phone chargers.</p> <p>NSW Premier Chris Minns stressed the importance of heeding emergency warnings and avoiding unnecessary risks, particularly driving through floodwaters.</p> <p>“We hope for the best, but we prepare for the worst,” Mr. Minns said, acknowledging that the cyclone warning brings back memories of the devastating 2022 Lismore floods.</p> <p>With widespread flooding and severe weather expected, authorities are urging all residents in the affected regions to remain vigilant, stay informed, and prepare for potentially significant disruptions in the coming days.</p> <p><em>Image: Windy.com</em></p>

Travel Trouble

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New hope for prostate cancer patients this Christmas

<p dir="ltr">For David Southward, Christmas is a time for family, gratitude, and hope. Diagnosed two years ago with advanced prostate cancer, he has been navigating his battle with hormone therapy and a determination to stay active.</p> <p dir="ltr">“I’ve found regular exercise helps me stay positive,” he says. “But at the end of the day, we need better treatments. Research gives men like me a chance to spend more time with our loved ones.”</p> <p dir="ltr">This year, the <a href="https://giving.pcfa.org.au/">Prostate Cancer Foundation of Australia</a> (PCFA) is making that wish a reality through its Christmas Appeal, focused on advancing targeted nuclear medicines. </p> <p dir="ltr">These therapies offer new hope for men like David by addressing metastatic prostate cancer, the most aggressive form of the disease.</p> <p dir="ltr">Australia is leading the development of nuclear medicines that target cancer cells with precision. However, PCFA Chief Executive Anne Savage stresses the need for more research to understand why patients respond differently to these therapies.</p> <p dir="ltr">“For every 10 men diagnosed with prostate cancer, three will develop an aggressive form,” Savage says. “We’re working to help researchers predict which patients will become resistant to radioligand therapy, so they can win the battle and live longer.”</p> <p dir="ltr">One of PCFA's key projects is led by Dr. Kevin Koo, focusing on Alpha Therapy, an emerging treatment for metastatic prostate cancer. This innovative approach aims to shrink tumors and harness the immune system to eradicate cancer cells.</p> <p dir="ltr">“Targeted Alpha Therapy is a promising treatment for metastatic prostate cancer,” says Dr. Koo. “Our challenge is to identify men at risk of developing metastasis, sparing others from unnecessary treatments.”</p> <p dir="ltr">While Alpha Therapies show great potential, researchers still lack a full understanding of their mechanisms.</p> <p dir="ltr">“With most radioligand therapies, tumors shrink on scans, but we don’t fully understand the biological pathways driving this,” Dr. Koo notes. “This becomes problematic when patients develop resistance.”</p> <p dir="ltr">Dr. Koo’s team is collecting blood samples to identify biomarkers that predict resistance.</p> <p dir="ltr"> “In three to five years, we could significantly improve how we tailor therapies to individual patients,” he says.</p> <p dir="ltr">The Christmas Appeal is part of PCFA’s broader mission to lift survival rates and improve quality of life for prostate cancer patients. Over the past 30 years, the organization has helped increase survival rates from 82% to nearly 96%, but more work is needed.</p> <p dir="ltr">“Despite progress, 10 men die every day from prostate cancer in Australia,” Savage says. “With an ageing population, research has never been more important.”</p> <p dir="ltr">For David Southward, new treatments represent a chance to keep celebrating Christmas with his family. “Research is hope,” he says.</p> <p dir="ltr">To support PCFA’s Christmas Appeal and help fund lifesaving research, visit: <a href="https://giving.pcfa.org.au/">https://giving.pcfa.org.au</a></p> <p><em><span id="docs-internal-guid-e29e3cd9-7fff-3836-247e-32ca4264f5a5">Image credits: Shutterstock / Supplied</span></em></p>

Caring

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No more Mr Nice Guy: Tom Hanks blows up at movie critics

<p>Tom Hanks has taken aim at movie critics in a heated on Conan O'Brien's podcast, calling out the entire review section of the entertainment industry. </p> <p>The Hollywood actor launched into his tirade on the <em>Conan O'Brien Needs a Friend</em> podcast as he looked at how movie reviews and the general audience reception to films has changed over the years. </p> <p>“Now what happened is that time has become one of the metrics for how these things matter, right?” he said.</p> <p>“In the day it was just a fist fight. It was every movie you came out, are you going to make the playoffs or not? Guess what? No, kid, you’re 2 and 12 and you ain’t going nowhere. Or, you got a shot.”</p> <p>“It used to be you had these Rubicons that you crossed,” he continued. “First of all, do you love it or not? That’s the first thing. Yes, okay, you have crossed the Rubicon, right? The next Rubicon you cross is when the movie is completely done a year and a half later, and you see it for the first time, and you might like it. It doesn’t matter if it works or not, you look at it and say, ‘Hey, I think we acquitted ourselves pretty good.’ That’s Rubicon No. 2.”</p> <p>Hanks went on, “Then the critics weigh in, that’s Rubicon No. 3, and that’s always up down. ‘We hate it, we like it. This is the worst thing … Oh hey, oh hi Tom, I saw you in a movie. It was cute.’”</p> <p>“That’s when you ask the wife, ‘Hey, honey, could you take the revolver out of the glove box and hide it somewhere, because I think…,” Hanks joked.</p> <p>Podcast host O'Brien then brought up that Hanks was initially “disappointed” with his 1996 film <em>That Thing You Do!</em>, which marked his directorial debut, but the movie has since become a cult classic in pop culture.</p> <p>“Let me tell you something about these c***suckers who write about movies,” Hanks responded, before asking O’Brien and his co-hosts, “Can I say that?”</p> <p>“Somebody who wrote about it is, ‘Tom Hanks has to stop hanging around with veterans of TV, because this is just like the shot on TV and it’s not much of anything,’” Hanks recalled. “That same person then wrote about the cult classic <em>That Thing You Do!</em> Same exact person. They said, ‘All you need is 20 years between now and then, and it ends up speaking some words.’”</p> <p><em>Image credits: Shutterstock </em></p>

Movies

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7News star lashes out at criticism over news segment

<p>Comedian Mark Humphries has hit back at critics, responding to the criticism surrounding his satirical segment on Channel Seven's evening news. </p> <p>Many viewers responded angrily to his new gig after the first airing of <em><span id="U8416974660538MC">The 6.57pm News</span></em> that airs on Friday night, with Humphries admitting he found the controversy over the lighthearted segment "bizarre". </p> <p>“I was so stunned because I did five years at <em>7.30</em>, the ABC’s flagship current affairs program, which I think of all the shows to have a comedy segment, that’s even less likely to have one,” he told <span id="U841697466053tzC"><a href="https://www.instagram.com/stellarmag/?hl=en"><em>Stellar Magazine</em></a></span>. </p> <p>“I didn’t know people felt so strongly about the 6 o’clock news and how its integrity must be defended. And, you know, it’s the last three minutes at the end of the week before Better Homes And Gardens. I’ve said this before, but the great thing about <em>The 6.57pm News</em> is that if you want to avoid it, you know exactly what time to tune out. [The reaction] was bizarre.”</p> <p>He added: “The worst thing that was said about me, that stays with me is, ‘I look like a Ken doll gone wrong!’”</p> <p>The addition of the satirical segment came courtesy of newly appointed news director Anthony De Ceglie who said the segment “will use satire to cut through political spin and translate current affairs in the universal news language of taking the piss”.</p> <p>When the comedy segment first aired in July, many were quick to voice their disapproval. </p> <p>“This was an appalling segment … hire, rather than sack, journos,” said one on 7News’ social media.</p> <p>“It was a deplorable segment that has no place in a news bulletin,” another added. </p> <p><em>Image credits: Seven</em></p>

TV

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Dad fined $1,200 for 'critical' seatbelt mistake

<p>At the start of last month, Queensland authorities increased driving fines to a record high, with the value of a penalty unit increasing by 4.2 per cent. </p> <p>One Aussie dad found out the hard way this week after he copped a $1,209 fine when he was stopped by police during a traffic operation as part of the state's Road Safety Week and found that his two kids did not have their seatbelts fixed correctly. </p> <p>They found the 5-year-old boy not properly secured in his booster seat, while a 6-year-old boy, who was seated in the right-side back seat, was found to have the middle seat belt wrapped around his neck.</p> <p>The hefty fine also comes with 4 demerit points. </p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Queensland Police</span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> </span>have warned their motorists about increased police vigilance on their roads. </p> <p>"Failure to wear a seatbelt is one of the leading causes of road crash deaths. Unrestrained drivers and passengers are eight times more likely to be killed in a road crash," Acting Inspector Kylie Doyle said. </p> <p>"If this driver had been in a crash, it would have likely resulted in significant, possibly life-threatening injuries for these children."</p> <p>Following the state's move to increase the value of a penalty unit, drivers caught using their phone or not wearing a seatbelt properly will now pay a fine of over $1,200. </p> <p>Drivers caught speeding more than 30km/h over the speed limit are also forced to pay over $1,200. </p> <p>Based off the average salary in the state, this means that drivers caught for such infringements would be paying around 65 per cent of their weekly salary on the fine. </p> <p>Authorities across the country have been cracking down on driver misbehaviour in attempt to reduce the number of road fatalities. </p> <p>"It is critical we all play our part to be safer on Queensland roads," Acting Inspector Kylie Doyle warned motorists on Tuesday.</p> <p><em>Image: S</em><em>ongsook / Shutterstock.com</em></p>

Travel Trouble

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Dental staff fired for mocking cancer patient’s private diary

<p>Shocking video has emerged of two dental staff reading a cancer patient's private diary aloud while laughing and mocking her concerns. </p> <p>The video which captured the American employees at  Premier Dental Group (PDG) of Knoxville laughing as they read the private diary entries was captioned: "Found a patients journal and now it's story time lmao."</p> <p>The footage was reportedly filmed by another staff member who could be heard giggling throughout the video, according to the<em> New York Post.</em> </p> <p>A woman in black scrubs was filmed reading passages from the diary to others in the room and describing the radiation treatments  the worried patient faces. </p> <p>Another woman was sitting cross-legged on the office floor and listening intently, a male employee was also in the room but he did not intervene or join in with the women.</p> <p>It’s not clear how staff obtained access to the patient’s private journal, or why they decided to read it.</p> <p>The video sparked outrage across social media, with  Premier Dental Group of Knoxville having to share an apology on Facebook acknowledging the incident. </p> <p>"Premier Dental Group of Knoxville is aware of a recent incident involving an inappropriate video created and shared by some of our employees that addressed an individual’s medical condition in a disrespectful and unprofessional manner.”</p> <p>“We deeply regret this incident and the hurt [it] has caused,” they wrote in the statement which has now been deleted. </p> <p>A spokesperson for PDG confirmed to the <em>New York Post</em> the female employees involved in the incident were fired “effective immediately”.</p> <p>After an investigation it was determined that the male employee in the video did not participate and kept his job. </p> <p>“We are committed to maintaining a respectful and professional environment for everyone, and we will continue to take necessary actions to uphold these standards,” the practice said.</p> <p><em>Images: news.com.au</em></p>

Caring

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Susan Sarandon's daughter claps back at wedding dress critics

<p>Susan Sarandon's daughter has spoken out against body-shaming trolls who were criticising her wedding dress. </p> <p>Eva Amurri, who like her mum is also an actress, became the subject of online criticism after she shared photos from her wedding day online. </p> <p>Writing on her blog <em>Happily Eva After </em>the 39-year-old admitted that the comments left her in tears, "in a way that brought me right back to Middle School".</p> <p>"Here were people I didn't even know and who didn't know me, spending time and energy typing something that they hoped would bring me one thing and one thing only: Shame," she recalled the moment she came across the "hundreds of cruel comments". </p> <p>"It wasn't what they were saying per se, I've had much more horrible things directed at me on the internet, but it was the yucky feeling of knowing that there are people out there (and lots of them!) whose immediate reaction upon witnessing my little family's joy was to try to hurt us."</p> <p>She continued to explain that she was shocked that her wedding photos had gone viral due to something beyond her control. </p> <p>"I was so taken aback by the fact that it was already viral... and for two reasons completely out of my control: My Breasts," she wrote.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C82pK8juxqM/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C82pK8juxqM/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by People Magazine (@people)</a></p> </div> </blockquote> <p>"I've always been naturally very large-chested, and my breast size fluctuates with my weight (as real breasts often do)," she wrote, adding that she is a mother of three and she had breastfed all of her children. </p> <p>"Are my breasts the same perkiness they were at 20 years old before they sustained human life three times over? Definitely not. Do I care? Some days more than others. But my body isn't something I'm ashamed of."</p> <p>She then said that she chose the dress because she wanted to feel "sexy and elegant" on her special day. </p> <p>"I had purposefully gone into my wedding dress shopping wanting to show my figure and really celebrate myself as a woman - body parts included," she shared.</p> <p>"It had never occurred to me that people I don't even know would find my body so offensive, and especially that they would care so much about what I would choose to wear on my own wedding day."</p> <p>She then criticised the online trolls for their "embarrassing" behaviour and how unfortunate it was that women still experience this kind of criticism. </p> <p>"You don't need anybody's permission to make the choices you make for yourself," she wrote.</p> <p>"And when people feel something about those choices? Well, that's none of your business."</p> <p><em>Images: Instagram</em></p> <p> </p>

Body

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Grandmother in critical condition after stabbing

<p>A grandmother is in hospital in a critical condition after she was stabbed multiple times in an alleged DV incident in Perth's east. </p> <p>Police were called to a home on Jessie Road in Gooseberry Hill just after 5pm on Wednesday after neighbours allegedly heard  60-year-old Paulette Mountford's screams. </p> <p><em>Nine News </em>reported that her neighbours found her in the garden and were attempting to apply pressure to her neck and body before paramedics arrived. </p> <p>She was rushed to hospital where she underwent emergency surgery and remains in a serious but stable condition. </p> <p>Christopher John Sullivan, 72, was taken into custody at the property before being charged with one count of attempt to unlawfully kill.</p> <p>Her alleged attacker reportedly barricaded himself inside the home before tactical response officers negotiated for him to leave.</p> <p>Mountford is a church volunteer who has helped support victims of domestic violence. </p> <p>In a statement, her daughters said: "We are devastated and utterly heartbroken that our dear mother has endured such a horrifying ordeal." </p> <p>"All we want is for our mother to overcome her injuries."</p> <p>They also thanked everyone who rushed to her aid and those who are continuing to care for her. </p> <p>“For such a kind-hearted person to suffer so deeply is hard for us to understand," they said.</p> <p>“All that we want at this time is for our mother to overcome her injuries, and we pray and hope that she gets better soon.</p> <p>“She is a strong woman and we know she will be using all her strength to get better.”</p> <p>Sullivan appeared before the Perth Magistrates Court on Wednesday charged with attempted murder. </p> <p>He told the magistrate he intended to plead guilty but no official plea was entered, and the matter was stood down while he was provided legal advice. </p> <p>He did not apply for bail and was remanded in custody. </p> <p><em>Image: Nine</em></p>

Legal

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Paris in spring, Bali in winter. How ‘bucket lists’ help cancer patients handle life and death

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/leah-williams-veazey-1223970">Leah Williams Veazey</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/alex-broom-121063">Alex Broom</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/katherine-kenny-318175">Katherine Kenny</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>In the 2007 film <a href="https://www.imdb.com/title/tt0825232/">The Bucket List</a> Jack Nicholson and Morgan Freeman play two main characters who respond to their terminal cancer diagnoses by rejecting experimental treatment. Instead, they go on a range of energetic, overseas escapades.</p> <p>Since then, the term “bucket list” – a list of experiences or achievements to complete before you “kick the bucket” or die – has become common.</p> <p>You can read articles listing <a href="https://www.cnbc.com/2023/01/11/cities-to-visit-before-you-die-according-to-50-travel-experts-and-only-one-is-in-the-us.html">the seven cities</a> you must visit before you die or <a href="https://www.qantas.com/travelinsider/en/trending/top-100-guide/best-things-to-do-and-see-in-australia-travel-bucket-list.html">the 100</a> Australian bucket-list travel experiences.</p> <figure><iframe src="https://www.youtube.com/embed/UvdTpywTmQg?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>But there is a more serious side to the idea behind bucket lists. One of the key forms of suffering at the end of life <a href="https://onlinelibrary.wiley.com/doi/10.1002/pon.4821">is regret</a> for things left unsaid or undone. So bucket lists can serve as a form of insurance against this potential regret.</p> <p>The bucket-list search for adventure, memories and meaning takes on a life of its own with a diagnosis of life-limiting illness.</p> <p>In a <a href="https://journals.sagepub.com/doi/10.1177/14407833241251496">study</a> published this week, we spoke to 54 people living with cancer, and 28 of their friends and family. For many, a key bucket list item was travel.</p> <h2>Why is travel so important?</h2> <p>There are lots of reasons why travel plays such a central role in our ideas about a “life well-lived”. Travel is often linked to important <a href="https://doi.org/10.1016/j.annals.2003.10.005">life transitions</a>: the youthful gap year, the journey to self-discovery in the 2010 film <a href="https://www.imdb.com/title/tt0879870/">Eat Pray Love</a>, or the popular figure of the “<a href="https://theconversation.com/grey-nomad-lifestyle-provides-a-model-for-living-remotely-106074">grey nomad</a>”.</p> <p>The significance of travel is not merely in the destination, nor even in the journey. For many people, planning the travel is just as important. A cancer diagnosis affects people’s sense of control over their future, throwing into question their ability to write their own life story or plan their travel dreams.</p> <p>Mark, the recently retired husband of a woman with cancer, told us about their stalled travel plans: "We’re just in that part of our lives where we were going to jump in the caravan and do the big trip and all this sort of thing, and now [our plans are] on blocks in the shed."</p> <p>For others, a cancer diagnosis brought an urgent need to “tick things off” their bucket list. Asha, a woman living with breast cancer, told us she’d always been driven to “get things done” but the cancer diagnosis made this worse: "So, I had to do all the travel, I had to empty my bucket list now, which has kind of driven my partner round the bend."</p> <p>People’s travel dreams ranged from whale watching in Queensland to seeing polar bears in the Arctic, and from driving a caravan across the Nullarbor Plain to skiing in Switzerland.</p> <p>Nadia, who was 38 years old when we spoke to her, said travelling with her family had made important memories and given her a sense of vitality, despite her health struggles. She told us how being diagnosed with cancer had given her the chance to live her life at a younger age, rather than waiting for retirement: "In the last three years, I think I’ve lived more than a lot of 80-year-olds."</p> <h2>But travel is expensive</h2> <p>Of course, travel is expensive. It’s not by chance Nicholson’s character in The Bucket List is a billionaire.</p> <p>Some people we spoke to had emptied their savings, assuming they would no longer need to provide for aged care or retirement. Others had used insurance payouts or charity to make their bucket-list dreams come true.</p> <p>But not everyone can do this. Jim, a 60-year-old whose wife had been diagnosed with cancer, told us: "We’ve actually bought a new car and [been] talking about getting a new caravan […] But I’ve got to work. It’d be nice if there was a little money tree out the back but never mind."</p> <p>Not everyone’s bucket list items were expensive. Some chose to spend more time with loved ones, take up a new hobby or get a pet.</p> <p>Our study showed making plans to tick items off a list can give people a sense of self-determination and hope for the future. It was a way of exerting control in the face of an illness that can leave people feeling powerless. Asha said: "This disease is not going to control me. I am not going to sit still and do nothing. I want to go travel."</p> <h2>Something we ‘ought’ to do?</h2> <p>Bucket lists are also a symptom of a broader culture that emphasises conspicuous <a href="https://www.youtube.com/watch?v=JH_Pa1hOEVc">consumption</a> and <a href="https://productiveageinginstitute.org.au/">productivity</a>, even into the end of life.</p> <p>Indeed, people told us travelling could be exhausting, expensive and stressful, especially when they’re also living with the symptoms and side effects of treatment. Nevertheless, they felt travel was something they “<a href="https://doi.org/10.1080/14461242.2021.1918016">ought</a>” to do.</p> <p>Travel can be deeply meaningful, as our study found. But a life well-lived need not be extravagant or adventurous. Finding what is meaningful is a deeply personal journey.</p> <hr /> <p><em>Names of study participants mentioned in this article are pseudonyms.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/225682/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/leah-williams-veazey-1223970">Leah Williams Veazey</a>, ARC DECRA Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/alex-broom-121063">Alex Broom</a>, Professor of Sociology &amp; Director, Sydney Centre for Healthy Societies, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/katherine-kenny-318175">Katherine Kenny</a>, ARC DECRA Senior Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/paris-in-spring-bali-in-winter-how-bucket-lists-help-cancer-patients-handle-life-and-death-225682">original article</a>.</em></p> </div>

Caring

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Qantas apologises after rejecting cancer patient's refund request

<p>Qantas has issued an apology for rejecting a cancer patient's refund request after his case allegedly did not qualify based on “compassionate reasons”. </p> <p>Neil Ross, 62, decided to book a holiday to Cairns with his wife for a couple of weeks, but two weeks later he was diagnosed with face cancer. </p> <p>“It hit me like a rock,” Mr Ross told <em>news.com.au</em>.</p> <p>“I wasn’t in the life of me, expecting that news.”</p> <p>The Brisbane local was initially told he had Bells Palsy, but was later diagnosed with cancer and had to undergo a 13-hour operation to remove the tumour, causing the right side of his face to be significantly disfigured. </p> <p>He underwent radiation almost every day for six weeks saying it “knocked him to no end”.</p> <p>“I was very thankful that my wife had helped me and still is helping me to get through this.”</p> <p>Ross is yet to be given the all-clear and is still undergoing treatments, including rehab following the loss of muscle mass. </p> <p>He will also undergo plastic surgery to reconstruct the right side of his face.</p> <p>“I had notified Flight Centre that I needed to cancel my flight due to finding out that I had cancer and that l needed treatment urgently,” he said. </p> <p>“As I said to the girl at Flight Centre – ‘look at my face, do you think I want to get a refund for the hell of it? I rather be healthy and go on holiday.”</p> <p>Ross said that the airline issued him a credit note until April 22 of this year, but with his current circumstances, he was unable to travel before that date and applied for a full refund. </p> <p>He also claims that despite sending two medical certificates - the first which stated that Ross was unfit to fly for 12 months, and the second which included detailed information about his condition -  it “did not meet requirements on compassion”.</p> <p>“I thought ‘what the hell, what more can I do?’ This has done nothing but cause me a great deal of stress that I don’t need,"  he said. </p> <p>Ross submitted two different refund requests, one on March 20, which was rejected on the fourth of April, and another on April 9 which was rejected two weeks later. </p> <p>The email from a Flight Centre representative reportedly said: "They have advised that ‘the attached medical certificate does not fit into the GF guidelines for a refund due to compassionate reasons’." </p> <p>According to <em>news.com.au</em>,  Qantas has since contacted Ross and issued a refund, after an error was made in processing the supplementary material, by not connecting it to the earlier application.</p> <p>“We apologise to Mr Ross for this experience and have let him know we’re processing a refund for him.”</p> <p>They have also reportedly apologised for any distress they may have caused and are investigating how the error occurred so that it doesn't happen again. </p> <p><em>Images: news.com.au/ Getty</em></p>

Travel Trouble

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How music is changing the way dementia patients think

<p dir="ltr">New research has proven that music truly is the universal language, with experts discovering how the power of music is helping those suffering with dementia. </p> <p dir="ltr">Music therapists have shown that music brings dementia patients back to the present, with some even finding their voice thanks to the nostalgic memories of the past. </p> <p dir="ltr">According to Registered Music Therapist and Managing Director of music therapy company Music Beat, Dr Vicky Abad, the power of music is not to be overlooked when it comes to degenerative diseases.</p> <p dir="ltr">“Music is a window into people’s pasts,” she said. “It builds on strengths and abilities against a disease that can strip a person of their dignity, abilities and quality of life.”</p> <p dir="ltr">The team at <a href="https://www.tricare.com.au/">TriCare Aged Care and Retirement</a>, who see the devastating impact of dementia each and every day,  also experience first-hand the impact music has on residents, with many noticing “unrecognisable” changes in personality when a nostalgic tune is played.</p> <p dir="ltr">Louis Rose, an 80-year-old dementia patient and TriCare resident, was diagnosed with dementia six years ago, and requires assistance with many aspects of day to day life. </p> <p dir="ltr">However, listening to music is one thing he can enjoy on his own.</p> <p dir="ltr">“I grew up in Mauritius and while we didn’t have a lot, we certainly had music. Listening to music has always been an escape for me and a way to relax,” Mr Rose said.</p> <p dir="ltr">“When your brain starts to slow down and you find yourself forgetting things, it can be quite frustrating and confusing. Listening to music has been a way to distract myself from what’s going on in my head, it has helped me so much.”</p> <p dir="ltr">Tamsin Sutherland is a regular live music performer at TriCare facilities across Queensland, and has been able to witness incredible moments with the residents as they come alive as soon as she starts to play. </p> <p dir="ltr">“Watching residents who are often non-verbal sing along to the words is incredible,” she said “It really is like they are coming back to life and reconnecting with who they once were. To be part of that is quite emotional for me.”</p> <p dir="ltr">According to Dr Abad, music can help prevent the restless behaviour that often leads to pacing and wandering, especially in the evenings, which are often difficult times for those battling the disease. </p> <p dir="ltr">“Sundowning usually occurs in the late afternoon as dusk approaches, a time that is also associated with what used to be a busy time period in people’s lives,” she noted. </p> <p dir="ltr">“Personalised music is a simple and effective tool to help residents feel validated in their emotions during this time and provides them an opportunity to experience a calmer state of mind”.</p> <p dir="ltr"><em>Image credits: Getty Images </em></p>

Mind

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Groundbreaking approach offers ray of hope for ovarian cancer patients

<p>In a twist of fate, 24-year-old Tora Murphy’s globetrotting adventure took an unexpected turn when her health journey began. What started as a quest to explore the world swiftly turned into a battle against ovarian cancer, a disease she never imagined would become a part of her reality.</p> <p>"I was looking pregnant, like I looked about six months pregnant," Murphy recounted <a href="https://www.9news.com.au/health/ovarian-cancer-groundbreaking-treatment-hope-mater-cancer-research-centre-brisbane/0f8ffed0-ec48-4ab7-8de5-28b9025d06d3" target="_blank" rel="noopener">to 9News</a>. "They basically told me that it was stage three cancer and I was just in shock."</p> <p>Her whirlwind journey abruptly halted as she returned to Brisbane to confront the daunting reality of her diagnosis. Ovarian cancer, a silent killer, had taken root in her body, presenting as a formidable 18cm  tumour. Murphy’s resilience was put to the test as she underwent surgery to remove the tumour and ultimately a full hysterectomy.</p> <p>"I didn't even know that people like me could get cancer," she expressed, echoing the disbelief many young women feel upon receiving such a diagnosis.</p> <p>Ovarian cancer remains a formidable adversary, claiming the lives of 1000 Australian women each year, with a five-year survival rate hovering at a concerning 49 percent. For Murphy and countless others, the fear of recurrence looms large, casting a shadow over their lives.</p> <p>However, amidst the darkness, there shines a glimmer of hope. Pioneering research led by Mater Research scientists is illuminating new pathways in the fight against ovarian cancer. Their focus? Dendritic cells, a key component of the immune system.</p> <p>"We think that by focusing on that cell type in particular, that we'll be able to actually make a vaccine to help fight that disease and to eventually help prevent recurrence," explained Professor Kristen Radford from Mater Research.</p> <p>This groundbreaking approach offers a ray of hope for individuals like Murphy, offering the possibility of a future where ovarian cancer is not only treatable but preventable. The development of a vaccine holds the promise of transforming the landscape of ovarian cancer treatment and prevention.</p> <p>Fuelling this hope is the unwavering support of communities and organisations dedicated to combating ovarian cancer. The Ovarian Cancer Research Foundation, through its tireless fundraising efforts, has allocated $670,000 to support the vaccine development, part of a larger $2.4 million grant initiative.</p> <p>"These funds have been raised by our community, so that's people out there walking, running, baking, shaving their heads," says Georgie Herbert from the Ovarian Cancer Research Foundation.</p> <p>For Murphy, the outpouring of support from her partner, friends and the broader community serves as a symbol of strength during her darkest hours. As her loved ones prepare to walk 100km this coming May to raise funds in her honour, Murphy is buoyed by the knowledge that every step taken brings them closer to a future free from the grips of ovarian cancer.</p> <p>"Their money goes to such a good place," she remarked, underscoring the impact of collective action in driving progress in ovarian cancer research and treatment.</p> <p>As the fight against ovarian cancer continues, fuelled by groundbreaking research and unwavering community support, there is renewed optimism on the horizon for individuals like Tora Murphy and the thousands affected by this disease.</p> <p><em>Images: Facebook</em></p>

Caring

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How to stop self-criticising and build yourself up instead

<p><strong>Stop the self-harm</strong></p> <p>It won’t hurt as much when you say something mean about me if I say it about myself first. For decades, this had been my mantra, a type of self-defence mechanism I developed as a kid against those who would criticise, bully or belittle me. On one hand, it made me humble, aware of my flaws and open to improving myself. On the other, self-criticising stunted my ability to be confident and trust my gut.</p> <p>The self-criticism quickly took on a life of its own – to the point where I was constantly trying to anticipate what people might not like about me and then beat them to the punchline. “I know I can be too much, and you’re probably sick of me,” I’d tell friends, which was a statement born less out of self-awareness and more out of fear. That sort of self-deprecating remark made it impossible to love myself, put others in an awkward position and backfired on quite a few occasions. A new friend once quipped, “If that were true, why would I be friends with you? Are you saying I have bad taste in friends?”</p> <p>That hit hard. For people who didn’t have good intentions, well, I’d just handed them a laundry list of all my insecurities. What I was really saying was I’m afraid you’ll hurt me, so I’ll hurt myself first. That’s a pretty harsh way to live life. Luckily, there’s a path out of the self-criticising trap. I talked to the experts to find out why we’re so good at putting ourselves down – and how to stop.</p> <p><strong>Why do we criticise ourselves so much?</strong></p> <p>I’m not the only one who made self-criticising a personality trait. In fact, a lot of women are conditioned to be this way, says psychologist Dr Traci Stein, who is also an author and creator of a series of programs to fight critical self-talk and build self-compassion.</p> <p>“Having negative thoughts about ourselves is human nature. We all want to fit in, be accepted and not be ostracised,” she explains. “We are all under a lot of pressure to measure ourselves according to other people’s evaluations and expectations. So we subconsciously fixate on something to ‘fix’ so we will feel loved and accepted.”</p> <p>The irony of these thoughts is that while they’re based on a desire to fit in and feel accepted in our community, they often have the opposite result, says Latasha Blackmond, author of Be You, No Filter: How to Love Yourself and Stay #SocialMediaStrong. “Over time, self-criticism does the very thing you’re afraid of: It isolates you by making you very self-centred and, yes, selfish. You’re too busy worrying about yourself to love and help others,” she says.</p> <p>Ouch.</p> <p><strong>What is self-criticism and how do you spot it?</strong></p> <p>Self-criticism is any thought that highlights a flaw or problem you have – or think you have (as Stein points out, critical thoughts are often untrue). These negative thoughts can become ingrained so deeply in your inner voice that they become hard to recognise in the moment.</p> <p>You can identify these thoughts, she says, because they are often self-defeating and repetitive, leading to feelings of insecurity, confusion, self-doubt, sadness and anger. The connection between self-criticising thoughts and negative emotions is so strong that many people with chronic depression find that a habit of severe self-criticism is at the core of their mental illness.</p> <p>Often tell yourself you’re a massive failure? That’s self-criticism. Other examples of self-critical thoughts include:</p> <ul> <li>I’ll never be good enough. I’ve always failed at everything I try.</li> <li>I don’t deserve to be loved.</li> <li>I hate myself.</li> <li>If only I were richer, thinner, prettier or smarter. Then people would like me.</li> <li>I don’t deserve good things, but I deserve all the bad things.</li> <li>I’m so annoying. Everyone must hate me.</li> </ul> <p>These are just the tip of the garbage iceberg. Self-criticism can cover any area of your life, including your body, relationships, sexual encounters, career, finances, goals, hobbies, family and education – even your life in general, Stein says.</p> <p><strong>What is the harm in self-criticising?</strong></p> <p>On a basic level, being able to recognise our own faults benefits us because it gives us a chance to correct them and improve. But this is different from the type of malignant self-criticising many people engage in, Blackmond says. “Self-criticism is rarely productive and often impedes growth,” she says. “You start to believe all the bad things you are saying about yourself, which can then turn into a self-fulfilling prophecy. This, in turn, leads to anxiety and depression, creating a vicious cycle of negativity.”</p> <p>Case in point: You tell yourself you’re too dumb to get the promotion at work, so you don’t even try. When you don’t get the promotion, you tell yourself that proves you were right. You beat yourself up for your “failure,” which reinforces the belief that you are dumb, starting the whole cycle over again.</p> <p>“People who are very self-critical lack the confidence to make mistakes they can learn from. Fearing they aren’t good enough can lead to struggles at school, work and in general, and can lead someone to avoid any situation that generates more worry and self-doubt,” Stein says, adding that these people are also more likely to end up in toxic or abusive relationships.</p> <p>Another issue arises when self-criticism framed as self-improvement turns into excessive worrying, Stein says. “So someone might wind up worrying about an awful lot of things, from whether they are ‘good enough’ in some way to excessive worrying about their health, safety or competence – even if there is no objective evidence suggesting they have something to worry about,” she explains. “These worries take up a lot of time and energy.”</p> <p><strong>How to stop self-criticising once and for all</strong></p> <p>The good news about these negative thoughts is they are just that: thoughts. And you can change your thoughts, Blackmond says. It starts by cultivating a positive mindset through self-compassion. “Be aware of the negative thoughts and interrupt that internal dialogue,” she says. “Change them into something positive. Speak to yourself kindly, like you would to someone you love and care about. You’d never tell your child that they are stupid and ugly, so don’t speak to yourself that way either.”</p> <p>Easier said than done? Here are 12 tips from our experts that will help you cultivate self-compassion and nix harmful critical thoughts.</p> <p><strong>1. Celebrate imperfections </strong></p> <p>Kintsugi is a Japanese art form that repairs broken pottery with gold, highlighting the “flaws” and showing the beauty in breaking down and repairing. Look for kintsugi in your life, metaphorically and physically. “Look to art, music, poetry and prose, drama and [other areas] that celebrate imperfection and see it as a gift, not a flaw to be hidden,” Blackmond says.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Start by reading body-positivity quotes and confidence quotes. For a hands-on lesson in the beauty of imperfections, get a kintsugi craft kit. Or watch a play, read a book or listen to a song that celebrates our flaws.</p> <p><strong>2. Be less judgemental of others</strong></p> <p>People who are harshly critical of others are usually harshly critical of themselves as well, so learning to offer others grace and compassion can open the door to doing the same for yourself, Blackmond says. “It’s about not seeing the world as black or white, good or bad,” she says.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Whenever you catch yourself thinking negatively of someone else – from your sister to a celebrity to a terrible driver – stop the thought and offer a more compassionate take. Let’s say your mind automatically thinks What kind of idiot can’t park between the lines? Replace the thought with a kinder take: This person must have been in a big hurry or having a bad day. I hope things get better for them.</p> <p><strong>3. Delete your social media apps</strong></p> <p>Or at least lessen the amount of time you spend on them. “Social media can have this immense impact on our self-esteem because it encourages us to compare our worst selves to other people’s best selves,” Blackmond says. Besides, what you see is often photoshopped or cherry-picked.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Stop comparing yourself to others. Limit your time on social media to one hour or less per day. Curate your feed, and unfollow anyone who makes you feel bad about yourself.</p> <p><strong>4. Get therapy</strong></p> <p>Self-critical thoughts can be really sticky, especially if you’ve made a habit of them, Stein says. “A good therapist will help you learn to recognise these thoughts, challenge them and come up with anxiety-management strategies,” she says. “They can also act as a mirror, helping you see yourself in a more accurate light.”</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Find a therapist who specialises in self-compassion or read a book about self-compassion.</p> <p><strong>5. Do a mindfulness meditation</strong></p> <p>Mindfulness is simply the practice of being present in the here and now, and when you’re focused on this moment, you can’t beat yourself up by looking to the past with regret or looking to the future with worry, Stein says. “Mindfulness meditation is a powerful tool for learning to reframe or stop self-critical thoughts,” she says.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Download a meditation app like Calm, Headspace or The Mindfulness App, and do a daily guided mindfulness meditation. Don’t worry about acing the practice on day one. Being mindful is a learned skill, and mindfulness meditation is useful even at the beginner stage.</p> <p><strong>6. Use self-deprecating humour sparingly </strong></p> <p>Making other people the butt of your jokes is cruel… and so is making yourself the butt of the joke. “A little self-deprecating humour in the right situation can help defuse tension and build relationships, but a little goes a long way,” Blackmond says. Heavy-handed self-deprecating humour makes others uncomfortable, and it can affect how you see yourself.</p> <p>“Be very careful with how you speak about yourself, even in a joking way,” she says. “Better yet, pick a different type of humour to bond over.”</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Brush up on your public speaking, and if you’re going to crack a joke, pick one that has nothing to do with you.</p> <p><strong>7. Go outside </strong></p> <p>Self-criticism makes your world get smaller and smaller as you limit yourself. The antidote? Make your world bigger. “When you find yourself getting trapped in a cycle of negativity, go outside and take a walk,” Blackmond says. Breathe the fresh air, look at the sunset, say hi to your neighbours, pick up a little trash along the way – all these things will help you instantly feel better about yourself and the world.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Take a walk outdoors each day and boost both your mental and physical health. Listen to some confidence-boosting songs in the process to really break your negative mindset.</p> <p><strong>8. Learn a new hobby</strong></p> <p>From painting to computer coding to rock climbing, trying new things helps you focus on the positive while “proving” the negative thoughts wrong. The trick, Blackmond says, is to go into it with a positive attitude. Be open to new things and accept that failing is a part of the learning process. “It’s OK to fail,” she says. “Expect mistakes as part of the learning process – celebrate them.”</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Sign up for a class, find a new hobby or go back to an activity you used to love.</p> <p><strong>9. End toxic relationships </strong></p> <p>“A lot of us are self-critical because we were criticised early on by parents or other loved ones,” Stein says, adding that people often see this type of criticism as good because it’s “done out of love.” But this is not loving behaviour.</p> <p>“Go where you’re celebrated,” Blackmond says. “Everyone deserves to be celebrated and lifted up by their loved ones.”</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Break the cycle by keeping relationships with only those people who build you up and encourage you to grow. Avoid people who use “brutal honesty” or “tough love” to show their care. Stand up for yourself and kick those toxic relationships to the curb.</p> <p><strong>10. Try cognitive behavioural therapy</strong></p> <p>Cognitive behavioural therapy (CBT) and its companion, dialectical behavioural therapy (DBT), are powerful psychological tools for reframing negative thoughts and learning how to think more positively, Stein says. “CBT helps people become more aware of the specific, core beliefs behind all of these in-the-moment worries and identify what is triggering the negative self-talk,” she explains. They sound technical, but the concepts are simple, and anyone can implement them with practice.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Even if you have to get out of your comfort zone a little, it’s worth signing up for a course of CBT. Not ready for that? Do a CBT workbook at home.</p> <p><strong>11. Help other people</strong></p> <p>The fastest way to feel more positively about yourself is to do something positive in the world, Blackmond says. “Self-criticism is inherently selfish. Serving others is selfless,” she says. “Pure altruism sparks a cascade of love and positivity that fills you and radiates outwards.”</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Do something for someone who can’t do anything for you, she suggests. For instance, volunteer at a local school or food bank. Not only will you be doing some good in the world, but you’ll reap the many benefits of volunteering.</p> <p><strong>12. Use self-reflection instead of self-criticism </strong></p> <p>No one is saying that you need to think you’re perfect exactly the way you are, or there’s no room for improvement. Rather, Blackmond says, you should be looking honestly and realistically at your flaws. The trick is to do it in a positive way. Self-reflection encourages insight and action based on self-love and a desire to do better and be better, she explains. Self-criticism stops that process, trapping you in a cycle of negativity and stunting your growth.</p> <p><span style="text-decoration: underline;"><em>Try this:</em></span> Keep a journal of the things you like about yourself and the things you can improve on. Practice gratitude for yourself and others. Make positive goals to help you progress in those areas, track your progress and celebrate your successes.</p> <p><strong>Stop the self-criticising cycle </strong></p> <p>“At the core of every self-critical belief is the question ‘Am I lovable and worthy of love the way I am?’ And the answer is yes, you are,” Stein says. Too many people, like me, use self-criticism as a self-defence tool, and it cuts us off from the very love and acceptance we crave.</p> <p>Learning how to build emotional strength and quiet that critical self-talk through self-compassion is the key to stronger relationships and a happier life. “You’ve only got this one life, so don’t waste it on regret and worry,” she says.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/conditions/mental-health/how-to-stop-self-criticising-and-build-yourself-up-instead?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Mind

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Heartbreaking update after young father critically injured in Bali scooter crash

<p>Kevin Malligan, 24, who was critically injured in a horror scooter crash in Bali, has been declared brain dead by doctors and now his pregnant wife is left to decide when they will turn off his life support machine. </p> <p>The young Sydney father was holidaying in Bali just weeks before the birth of his second child, before disaster struck when the moped he was a passenger on “hit a bump” and he was flung off.</p> <p>The 24-year-old suffered a brain bleed and a fracture to his neck, and was put on life support at the BIMC Hospital in Nusa Dua. </p> <p>As he fought for his life, his heavily pregnant wife Leah Malligan raced to Bali to be by her husbands side along with Mr Malligan’s father and brother. </p> <p>The young father underwent emergency brain surgery before generous donors helped him secure a $150,000 medevac flight back to Australia on January 4. </p> <p>But despite doctors best efforts, his family confirmed on Wednesday that his injuries are irreversible and he's been declared clinically brain dead. </p> <p>“This is the most difficult time of any of our lives and we just can’t be grateful enough to have been able to get him home for everyone to see him before he leaves us," his wife told <em>Daily Mail. </em></p> <p>She described her husband as a “great dad, husband and friend, with a generous and loving nature who will be missed by all.” </p> <p>“He was always up for a good laugh and would do anything to put a smile on someone’s face," she said.</p> <p>“There was nothing more valuable than seeing how excited he was when he got home to give his Ivy girl a great big cuddle.</p> <p>“They then would play constantly until it was dinner and bedtime. He loved her so much and she doesn’t love anyone else as much as she loved Kev.”</p> <p>The heartbreaking update was shared to the family’s <a href="https://www.gofundme.com/f/kevin-malligan-accident" target="_blank" rel="noopener">GoFundMe</a> page yesterday, with it already raising over $119,000. </p> <p>“Leah would like to thank everyone from the bottom of her heart who has donated, helped, sent messages to help her and the family at this time,” Mrs. Malligan’s mum Jodie French said.</p> <p>“She and the Malligan family now has the awful decision of when to turn off his life support.”</p> <p>“We are sending all our love and prayers for strength at this time to our daughter and Kevin’s family," she added before thanking everyone who has donated to their family. </p> <p><em>Images: 7NEWS</em></p>

News

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Love conquers critics as Vikki Campion hits back at "unkind" comments on wedding to Barnaby Joyce

<p>Love triumphed over adversity last weekend as Vikki Campion, former staffer and <em>Saturday Telegraph</em> columnist, <a href="https://www.oversixty.com.au/lifestyle/family-pets/barnaby-joyce-and-vikki-campion-tie-the-knot-in-bush-bash-wedding" target="_blank" rel="noopener">celebrated her wedding</a> to high-profile Nationals MP Barnaby Joyce at his family's property in Woolbrook, NSW. Despite the picturesque setting and the couple's genuine joy, the event faced criticism and name-calling, prompting Campion to address the detractors in a powerful statement.</p> <p>In her <a href="https://www.dailytelegraph.com.au/news/opinion/vikki-campion-my-perfect-wedding-and-the-barnaby-joyce-that-i-know-and-love/news-story/5ed16bef0795a10e2e0859cc161f5cbf" target="_blank" rel="noopener"><em>Saturday Telegraph</em></a> column entitled "My perfect wedding and the Barnaby Joyce that I know and love"<span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">, Campion dismissed the negative comments, saying, "</span>In the country, they say one man’s trash is another’s treasure. Well, I found mine ... <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Call it trash all you like. It will always be perfect to us." </span></p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">She remained resilient in the face of harsh judgments, emphasising that the unkind remarks had no impact on her or her husband. Instead, she focused on the love they shared, the friends who supported them, and the unique lifestyle they embraced.</span></p> <p>Campion took the opportunity to highlight the real treasure of the event: the local community. In her exclusive op-ed, she expressed gratitude for the diverse group of people who came together to make the celebration unforgettable. The wedding, she explained, brought together individuals from different backgrounds and walks of life, transcending cultural, political and socioeconomic boundaries.</p> <p>The imagery of the event painted a vivid picture of a true "bush bash," complete with Akubras, ciggies, beer and rum. The celebration, described as a return to "country style," featured over 80 guests who arrived in 4WDs, reflecting the down-to-earth atmosphere that defined the day.</p> <p>The pink and ivory-themed wedding showcased Campion in a strapless cream tulle dress with a long train, complemented by gold earrings and heeled black cowboy boots. Despite the criticism, pictures captured the couple's genuine happiness as they mingled with guests, five years after their relationship first became public.</p> <p>The wedding also marked a reunion with Joyce's young sons, Thomas and Sebastian, aged four and five, while his four adult daughters were notably absent. The absence of Joyce's adult daughters <a href="https://www.oversixty.com.au/lifestyle/family-pets/i-ve-moved-on-barnaby-joyce-s-former-wife-speaks-out-after-media-circus-wedding" target="_blank" rel="noopener">stirred earlier controversies</a>, adding another layer to the media scrutiny surrounding the event.</p> <p>Despite the tumultuous journey that led to this moment – Joyce's resignation as deputy prime minister and Nationals leader following the exposure of their relationship – the couple's commitment to each other remained unshaken. The ceremony took place at a location with special meaning to Joyce, creating a touching and sentimental atmosphere.</p> <p>The wedding's inclusive nature, with guests from various backgrounds and perspectives, symbolised the couple's ability to transcend the public scrutiny that had surrounded them. Campion's response to critics showcased her resilience and determination to focus on the positives, celebrating the love that brought them together.</p> <p>As Vikki Campion and Barnaby Joyce embark on this new chapter of their lives, they do so with the unwavering belief that their wedding, labelled "trash" by some, will forever be perfect in their hearts. Love prevailed over judgment, and the couple's ability to rise above the criticism serves as a testament to the strength of their bond.</p> <p><em>Images: Office of the Deputy Prime Minister / Instagram</em></p>

Relationships

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Police officer in critical condition after terrifying cliff fall

<p>A WA police officer is fighting for her life after she was severely injured in a 10m fall from a clifftop in Pile, Croatia. </p> <p>Ella Cutler, 25, sustained life threatening injuries including multiple fractures to her skull, spine, 12 ribs and several limbs, puncturing both her lungs, leaving her in critical condition overseas. </p> <p>She is currently receiving around-the-clock care in a Dubrovnik hospital, and her family is desperate to bring the "much loved" police officer home. </p> <p>"We can only imagine how scared she would be if she knew the full extent of her injuries, and we cannot even begin to convey how frightened we are for her, and how important it is for her to come home," her brother Joshua Cutler wrote in a <a href="https://www.gofundme.com/f/please-help-us-bring-ella-home" target="_blank" rel="noopener">GoFundMe</a> page created for Ella. </p> <p>"She has too much living left to do, too many people to help, and too much love to give for this to be how this chapter ends.</p> <p>"She has a long hard road ahead of her, and she will need all the help she can get," he added. </p> <p>Although her loved ones have flown to be by her side, her travel insurance claims have reportedly been knocked back, and her medical bills are increasing by the day. </p> <p>The family hopes to raise $500,000 to cover hospital bills and an air ambulance to bring the “devoted public servant” home. </p> <p>“She will require many more months of care, multiple surgeries and months of physical rehabilitation before she is able to impact the world as she once did,” Josh said.</p> <p>"She can't do this alone, and neither can we," he added. </p> <p>They also thanked the doctors for their hard work, and explained that they hope to provide better facilities for Ella by moving her to a bigger hospital where she can receive specialised care, which is vital for further recovery. </p> <p>"They know the best thing for her is to be home where she can feel the full impact of the love from her family, friends, and community."</p> <p><em>Images: 7News</em></p>

Caring

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"We don't storm planes, this is not TV": Police respond to criticism of Sydney plane bomb threat

<p>A 45-year-old man is facing charges following a prolonged standoff aboard an airplane, which culminated in an arrest at Sydney Airport.</p> <p>Malaysia Airlines flight MH122, carrying 199 passengers and 12 crew members, took off from Sydney Airport at 1.40pm on Monday August 14. However, the flight had to return to the airport's runway at 3.47pm, where it remained stationary for several hours as emergency vehicles stood by.</p> <p>The arrest followed an alleged disturbance caused by a passenger on board. Finally, at around 6.30pm, passengers were able to disembark from the aircraft.</p> <p>The Australian Federal Police have now revealed that the man had made claims of having explosives on the plane. The authorities charged the 45-year-old individual, a resident of Canberra, with making a false statement regarding threats to damage an aircraft of division three, and with failing to comply with safety instructions from cabin crew.</p> <p>Video footage captured within the plane reportedly showed the man, who was carrying a backpack, making threats towards fellow passengers and crew members.</p> <p>During the flight, passengers took to social media to share videos depicting the man raising his voice and displaying aggressive behaviour towards cabin crew and fellow travellers.</p> <p>One passenger named Velutha Parambath shared on social media that approximately 30 minutes after takeoff, the individual began behaving disruptively, even becoming physically confrontational with other passengers.</p> <p>Parambath noted that the man's actions escalated to include preaching about his religious beliefs. He added that the man had something in his hand, and his conversations with the crew were marked by statements like "I'm not afraid of dying" and "I've got things with me," which generated fear among those on board.</p> <p>In the immediate aftermath, criticism emerged from several passengers aboard MH122 regarding the duration it took for the Australian Federal Police to arrest and remove the man from the aircraft once it returned to Sydney. In response, the AFP stated that an evacuation was initiated once it was determined safe for passengers and crew, leading to the man's arrest.</p> <p>The Australian Federal Police took the lead in managing the situation, with the support of the New South Wales Police. NSW Police Commissioner Karen Webb defended the response, noting the volatile nature of the incident and the unpredictability of the situation.</p> <p>"Given it's a volatile situation and [it's] unpredictable we didn't know the severity of the incident and you have to deal with what we learn about the passenger," she said. "We didn't know if there was a bomb."</p> <p>"I praise the crew for what they did in keeping the passengers calm … to de-escalate the situation to the point that we got this matter resolved in three hours, I think three hours is pretty good.</p> <p>"The protocol in Australia is to negotiate, we don't storm planes, this is not TV, it's not the movies we want to protect the lives of all passengers."</p> <p>The incident caused significant disruptions to domestic travel at Sydney Airport, resulting in the cancellation of 32 flights and delays of up to 90 minutes. NSW Premier Chris Minns acknowledged the concerns about the AFP response and announced a review of the situation while highlighting that the resolution was achieved peacefully.</p> <p><em>Image: Twitter</em></p>

Travel Trouble

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What actually is palliative care? And how is it different to end-of-life care?

<p><em><a href="https://theconversation.com/profiles/samar-aoun-1437641">Samar Aoun</a>, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a></em></p> <p>Although it is associated with dying, palliative care is an approach focused on improving <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405258/#:%7E:text=QOL%20can%20also%20be%20defined,QOL%20(2%E2%80%934).">quality of life</a> – or how people feel about and respond to facing a life-threatening illness.</p> <p>Palliative care aims to prevent and relieve physical, social, emotional, spiritual and existential distress. Palliative care also supports family caregivers during the disease journey and bereavement phase. You might have heard it mentioned for cancer, but it is beneficial for the majority of life-limiting conditions. It has been shown to reduce health-care costs by <a href="https://palliativecare.org.au/publication/kpmg-palliativecare-economic-report/">preventing</a> unnecessary hospital admissions.</p> <p>Palliative care is not voluntary assisted dying. It does not aim to hasten or prolong death. It is not just for people who are about to die and seeking palliative care does not mean “giving up”. In fact, it can be a profound and positive form of care that the World Health Organization (WHO) has <a href="https://www.who.int/news-room/fact-sheets/detail/palliative-care">recognised</a> as a basic human right. But what does it involve?</p> <h2>Not just for someone’s final days</h2> <p>Palliative care is often seen as a “last resort” rather than a service that empowers terminally ill people to live as well as possible for as long as possible.</p> <p>The full benefit of this holistic approach can only be realised if people are referred early to <a href="https://palliativecare.org.au/resource/what-is-palliative-care/">palliative care</a> – ideally from the time they are diagnosed with a terminal illness. Unfortunately, this rarely happens and palliative care tends to blur with <a href="https://www.nia.nih.gov/health/providing-comfort-end-life">end-of-life care</a>. The latter is for people who are likely to die within 12 months but is often left to the last few weeks.</p> <figure><iframe src="https://www.youtube.com/embed/qMbq0fP9kr4?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Palliative is not just for the very end of someone’s life.</span></figcaption></figure> <h2>Palliative care can involve difficult conversations</h2> <p>Palliative care provides a time to ask some usually taboo questions. What kind of death do you want to experience? Who is in your personal network? How will they respond to your life ending? What kind of support can they offer?</p> <p>Palliative care can be provided at home, hospital, hospice or residential aged care facility, depending on the preference and circumstances of patients and their family carers.</p> <p>In general, patients are referred by their treating specialist, health professional or GP. Patient preferences for care and what matters most to them are discussed with their doctor or other health professionals and with their loved ones with <a href="https://www.advancecareplanning.org.au/">advance care planning</a>. These discussions can include information on their preferred place of care, preferred place of death, personal care needs such as dietary preferences and religious and spiritual practices.</p> <p>This helps those caring to make decisions about the patient care when the patient cannot anymore. However, advance care planning can start at any time in life and without a diagnosis.</p> <h2>How palliative care delivery has changed</h2> <p>Once upon a time, we were born at home and we died at home. Death was a social event with a medical component. Now it is close to the opposite. But research indicates a solely clinical model of palliative care (mainly symptom management funded through the health system) is <a href="https://www.mdpi.com/2227-9032/9/12/1615">inadequate</a> to address the complex aspects of death, dying, loss and grief.</p> <p>A <a href="https://www.phpci.org/">public health</a> palliative care approach views the community as an equal partner in the long and complex task of providing quality health care at the end of someone’s life. It promotes conversations about patients’ and families’ goals of care, what matters to them, their needs and wishes, minimising barriers to a “good death”, and supporting the family post-bereavement.</p> <p>These outcomes require the involvement of family carers, friendship networks and not-for-profit organisations, where more detailed conversations about life and death can happen, instead of the “pressure cooker” rushed environment of hospitals and clinics. Investment could develop stronger <a href="https://pubmed.ncbi.nlm.nih.gov/29402101/">death literacy</a> and grief literacy in the community and among health professionals, who may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312518/#:%7E:text=Some%20struggle%20with%20the%20limitations,lead%20in%20opening%20a%20dialogue">reluctant</a> to raise or discuss these topics. This would likely see the take up of advance care planning increase, from the current low levels of <a href="https://www1.racgp.org.au/newsgp/clinical/advance-care-planning-in-an-ageing-population#:%7E:text=A%20paper%20exploring%20the%20cognitive,advance%20health%20directive%20in%20place.">less than 15%</a> of Australians (<a href="https://theconversation.com/only-25-of-older-australians-have-an-advance-care-plan-coronavirus-makes-it-even-more-important-144354">25% of older Australians</a> accessing health and aged-care facilities).</p> <p>One such successful approach is the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9720808/">Compassionate Communities Connectors Program</a> in Western Australia, using trained <a href="https://comcomnetworksw.com/compassionate-connectors-program/">community volunteers</a> to enhance the social networks of terminally ill people.</p> <p>Our research trial trained 20 community volunteers (“connectors”) and 43 patients participated over 18 months. In sourcing others to help (who we called “caring helpers”), connectors built the capacity of the community and social networks around patients in need. Caring helpers assisted with transport, collecting prescriptions, organising meals and linked clients to community activities (such as choirs, walking groups, men’s shed). And they helped complete advance care planning documentation. About 80% of patients’ needs were social, particularly around reducing feelings of isolation.</p> <p>Patients in the trial had fewer hospital admissions and shorter hospital stays.</p> <h2>Tailored to need</h2> <p>Palliative care should be tailored to each person, rather than a one-size-fits-all clinical model that doesn’t respect autonomy and choice.</p> <p>Many people are dying in a way and a place that is not reflective of their values and their end-of-life is interrupted with preventable and costly admissions to hospital where control and even dignity are surrendered. Palliative care hospitalisations have <a href="https://www.aihw.gov.au/reports/palliative-care-services/palliative-care-services-in-australia/contents/summary">increased</a> in recent years compared to all hospitalisations, with 65% of such admissions ending with the patient dying in hospital.</p> <p>It is unrealistic and unaffordable to have a palliative care service in every suburb. There needs to be a shift to a more comprehensive, inclusive and sustainable approach, such as Compassionate Communities, that recognises death, dying, grief and loss are everyone’s business and responsibility.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/205488/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><em><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/samar-aoun-1437641">Samar Aoun</a>, Perron Institute Research Chair in Palliative Care, <a href="https://theconversation.com/institutions/the-university-of-western-australia-1067">The University of Western Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-actually-is-palliative-care-and-how-is-it-different-to-end-of-life-care-205488">original article</a>.</em></p>

Caring

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Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

<p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p>Australian of the Year and body positivity advocate Taryn Brumfitt has <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">called for</a> doctors to avoid discussing a patient’s weight when they seek care for unrelated matters.</p> <p>A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions.</p> <p>“Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">told the Nine newspapers</a>.</p> <p>By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.</p> <p>So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.</p> <p><strong>Brett Montgomery - GP academic</strong></p> <p>Yes, sometimes – but with great care.</p> <p>I agree that weight stigma is damaging, and insensitively raising weight in consultations can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251566" target="_blank" rel="noopener">hurt people's feelings and create barriers</a>to other aspects of health care.</p> <p>I also agree people can sometimes be “overweight” yet <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0287218" target="_blank" rel="noopener">quite healthy</a>, and that common measures and categories of weight are <a href="https://theconversation.com/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174">questionable</a>.</p> <p>On the other hand, I know obesity <a href="https://www.racgp.org.au/FSDEDEV/media/documents/RACGP/Position%20statements/Obesity-prevention-and-management.pdf" target="_blank" rel="noopener">is associated with</a> heart disease, joint problems, diabetes and cancers.</p> <p>GPs should be ready to help people with their weight when they want help. <a href="https://www.bmj.com/content/377/bmj-2021-069719.full?ijkey=FnARkmvxLOMFvlb&amp;keytype=ref">Our assistance somewhat effective</a>, though sadly dietary efforts often have minimal effect on weight in the long term. Meanwhile, treatments causing larger weight changes (<a href="https://insightplus.mja.com.au/2021/10/bariatric-surgery-public-system-access-still-terrible/">surgery</a> and <a href="https://www.nature.com/articles/s41366-022-01176-2">some medicines</a> are often financially inaccessible.</p> <p>I feel safe discussing weight when my patient raises the issue. Fearing hurting people, I often avoid raising it myself. I focus instead on health rather than weight, discussing physical activity and healthy diet – these are good things for people of any size.</p> <p><strong>Emma Beckett - Nutrition scientist</strong></p> <p>No. It’s not likely to succeed. Large systematic reviews bringing together multiple studies of multiple weight-loss diets show weight loss is not generally maintained long term (<a href="https://pubmed.ncbi.nlm.nih.gov/32238384/">12 months</a> to <a href="https://www.nature.com/articles/0802982">four years</a>).</p> <p>The idea that weight is about willpower is outdated. The current body of evidence <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">suggests</a> we each have a weight set point that our body defends. This is determined by genetics and environment more so than education.</p> <p>There may be associations between weight and health outcomes, but losing weight <a href="https://theconversation.com/just-because-youre-thin-doesnt-mean-youre-healthy-101185">does not necessarily equate</a> with improving health.</p> <p>Fat stigma and fatphobia are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/">harmful too</a> and can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381543/">compromise access to health care</a>.</p> <p>Instead, consider asking a better question. Healthy eating reduces disease risk <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/">regardless of weight</a>. So maybe ask how many vegetables are your patients eating. Would they like to see a dietitian to discuss strategies for a better-quality diet?</p> <p><strong>Liz Sturgiss - GP/researcher </strong></p> <p>No. A <a href="https://pubmed.ncbi.nlm.nih.gov/33211585/">US study</a> estimates it would take a family doctor 131% of their work hours to implement all preventive health-care recommendations. It's impossible to address every recommendation for preventative care at every consultation. One of the key skills of a GP is balancing the patient and doctor agenda.</p> <p><a href="https://www.obesityevidencehub.org.au/collections/treatment/weight-bias-and-stigma-in-health-care">Weight stigma</a> can deter people from seeking health care, so raising weight when a patient doesn't have it on their agenda can be harmful. A strong <a href="https://academic.oup.com/fampra/article/38/5/644/6244494?login=false">therapeutic relationship</a> is critical for safe and effective health care to address weight. </p> <p>Weight is always on my agenda when there is unexpected weight loss. If a patient has rapid weight loss, I am concerned about an undetected <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283307/">cancer</a> or infection. Additionally, I am increasingly seeing patients who are unable to afford food, who often have <a href="https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia/contents/introduction">poor oral health</a>, who lose weight due to <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1747-0080.12580">poverty</a>. Weight loss for the wrong reasons is also a very concerning part of general practice.</p> <p><strong>Nick Fuller - Obesity researcher </strong></p> <p>Yes. GPs should play a role in the early detection of weight issues and direct patients to evidence-based care to slow this progression. <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Research</a> shows many people with obesity are motivated to lose weight (48%). <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Most</a> want their clinician to initiate a conversation about weight management and treatment options.</p> <p>However, this conversation <a href="https://pubmed.ncbi.nlm.nih.gov/32385580/">rarely occurs</a>, resulting in <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">significant delays to treatment</a>.</p> <p>Starting the conversation presents challenges. Although obesity is a complex disease related to multiple factors, it's still <a href="https://pubmed.ncbi.nlm.nih.gov/25752756/">highly stigmatised</a>in our society and even in the <a href="https://pubmed.ncbi.nlm.nih.gov/23144885/">clinical setting</a>. Sensitivity is required and the wording the clinician uses is important to make the patient feel safe and avoid placing blame on them. Patients often <a href="https://pubmed.ncbi.nlm.nih.gov/20823355/">prefer terms</a> such as “weight” and “BMI” (body mass index) over “fatness,” “size” or “obesity”, <a href="https://pubmed.ncbi.nlm.nih.gov/27354290/">particularly women</a>.</p> <p>Measuring weight, height and waist circumference should be <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">considered routine in primary care</a>. But this needs to be done without judgement, and in collaboration with the patient.</p> <p><strong>Helen Truby - Nutrition scientist </strong></p> <p>Yes. A high body weight contributes to many chronic conditions that negatively impact the <a href="https://www.aihw.gov.au/australias-health/summaries">quality of life and mental health</a> of millions of Australians.</p> <p>Not all GPs feel confident having weight conversations, given the sensitive nature of weight and its stigma. GPs' words matter – they are a <a href="https://doi.org/10.1111/nbu.12320">trusted source</a> of health information. It’s critical GPs gain the skills to know when and how to have <a href="https://doi.org/10.1186/s12875-019-1026-4">positive weight conversations</a>.</p> <p>GPs need to offer supportive and affordable solutions. But effective specialist weight management programs are few and far between. More equitable access to programs is essential so GPs have referral pathways after conversations about weight.</p> <p>GPs' time is valuable. Activating this critical workforce is essential to meet the <a href="https://www.health.gov.au/resources/publications/national-obesity-strategy-2022-2032?language=en">National Obesity Strategy.</a></p> <p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, Deputy Editor and Senior Health Editor, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.</em></p>

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Astonishing report identifies Covid’s alleged “patient zero”

<p>A bombshell report has claimed the infamous Covid-19 "patient zero” was a Wuhan scientist carrying out experiments on souped-up coronaviruses.</p> <p>The scientist in question, Ben Hu, was conducting risky tests at the Wuhan Institute of Virology with two colleagues, Ping You and Yan Zhu, the report states.</p> <p>It is understood that all three suffered Covid-like symptoms and required hospital care weeks before China broke the news of the virus outbreak to the rest of the world.</p> <p><em>The Sun</em> reported that the name of “patient zero" has never been disclosed until now.</p> <p>Many US government officials have now identified the three scientists in a shocking report by journalists Michael Shellenberger and Matt Taibbi.</p> <p>Writing in the Substack newsletter <em>Public</em>, the pair alleged the scientists were experimenting with coronaviruses when they fell ill in 2019.</p> <p>Several experts and intelligence officials have long suspected scientists at the lab accidentally spread the virus during so-called “gain of function” experiments on bat coronaviruses.</p> <p>The naming of “patient zero” could prove to be the smoking gun, only adding to mounting circumstantial evidence of a lab leak.</p> <p>It is unclear who in the US government had the intelligence about the sick lab workers, how long they had it, and why it was not shared with the public.</p> <p><em>The Australian</em> journalist and <em>Sky News</em> host Sharri Markson spoke to <em>The Sun</em> about the lab leak theory in 2021 and dubbed it an “explosive development”.</p> <p>Jamie Metzl, a former member of the World Health Organisation advisory committee on human genome editing, described it as a possible “game changer”.</p> <p>“It’s a game changer if it can be proven that Hu got sick with Covid before anyone else,” he said.</p> <p>“That would be the ‘smoking gun’. Hu was the lead hands-on researcher in (virologist Shi Zhengli’s) lab.”</p> <p>DRASTIC, an international team of scientists and sleuths attempting to piece together Covid-19’s origins, researched the three scientists in 2021.</p> <p>The Wuhan Institute of Virology’s website lists Hu’s biography showing he was working as an assistant researcher.</p> <p>He was said to be the “star pupil” of virologist Shi Zhengli — the virologist at the lab who became known as “batwoman” for her research on bat coronaviruses.</p> <p>Markson, the author of <em>What Really Happened in Wuhan</em>, said that Hu was running a state-funded project in 2019 to test if new coronaviruses could infect humans.</p> <p>The study involved souping up the viruses and experimenting with them on humanised mice.</p> <p>However, the results were never published and the study’s existence was erased from the internet as Covid-19 was spreading around the globe, which raised suspicion of a possible lab leak.</p> <p>A source told <em>The Sun</em> that footage from 2017 that was aired by Chinese state-run TV showed Hu working in the lab without protective gear.</p> <p>The same video shows scientists from the Wuhan lab searching for bat viruses with inadequate protective gear.</p> <p>Alina Chan, a molecular biologist at MIT and Harvard, told <em>Public</em>, “Ben Hu is essentially the next Shi Zhengli.</p> <p>“He was her star pupil. He had been making chimeric SARS-like viruses and testing these in humanised mice.</p> <p>“If I had to guess who would be doing this risky virus research and most at risk of getting accidentally infected, it would be him.”</p> <p>She noted, “If this info had been made public in May of 2020, I doubt that many in the scientific community and the media would have spent the last three years raving about a raccoon dog or pangolin in a wet market.”</p> <p>US scientist Dr Steven Quay, “He was always my first choice for one of the infected Wuhan Institute of Virology workers but it seemed too simple.”</p> <p>A bill signed by US President Joe Biden in 2023 called for the release of the names of the sick scientists, their symptoms, and whether they had been involved with or exposed to coronavirus research.</p> <p>The US is currently preparing to release previously classified material, which could include the names of the three Wuhan scientists.</p> <p>Earlier in 2023, FBI director Christopher Wray said, “the FBI has for quite some time now assessed that the origins of the pandemic are most likely a potential lab incident in Wuhan”.</p> <p>China has long been accused of attempting to cover up or distort its involvement with Covid-19, but they continue to deny claims.</p> <p>In March 2023, China’s former government scientist confessed the Wuhan lab leak theory shouldn’t be ruled out, sparking uproar in Beijing.</p> <p>Professor George Gao, the former chief of China’s Centre for Disease Control, played a key role in the efforts to trace the origins of Covid-19, insisting scientists should “suspect anything”.</p> <p>Speaking to the BBC Radio 4 podcast <em>Fever: The Hunt for Covid’s Origin</em>, Professor Gao said, “You can always suspect anything. That’s science.</p> <p>“Don’t rule out anything.”</p> <p>Professor Gao retired from the CDC in 2022 after playing a key role in the pandemic response and efforts to find the mysterious origin of the virus.</p> <p>He would have had access to highly classified government information on the outbreak of Covid-19.</p> <p>According to Professor Gao, a formal investigation into the Wuhan Institute of Virology was carried out by a government department.</p> <p>The government scientist claimed the “lab was double-checked by the experts in the field”.</p> <p>Investigators believe scientists were working with the Chinese military to develop a mutant virus and pursue bioweapons just as the pandemic began.</p> <p>The findings followed a team of US investigators who combed through top-secret intercepted communications and research.</p> <p>In 2016, researchers discovered a new fatal type of coronavirus in a mineshaft in Mojiang, Yunnan province.</p> <p>However, they kept it under wraps, with the sample then transported to the Wuhan lab and dubbed as classified work.</p> <p>The virus is the only known immediate relative of Covid-19 known to exist prior to the pandemic.</p> <p>Speaking to<em> The Times</em>, one US investigator said, “The trail of papers starts to go dark.</p> <p>“That’s exactly when the classified program kicked off.</p> <p>“My view is that the reason it was covered up was due to military secrecy related to the army’s pursuit of dual-use capabilities in virological biological weapons and vaccines.”</p> <p>The findings came after a scientist who worked closely with the Wuhan lab claimed the virus was genetically engineered and leaked from the facility.</p> <p><em>Image credit: Getty</em></p>

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