Placeholder Content Image

Edwina Bartholomew's classy call to action

<p>As a regular on <em>Sunrise</em>, Edwina Bartholomew is used to sharing stories with Australians every morning. But recently, she shared something far more personal: a story about her own health.</p> <p>“I have cancer,” she revealed, <a href="https://www.oversixty.com.au/health/caring/sunrise-star-announces-cancer-diagnosis-live-on-air" target="_blank" rel="noopener">live on Seven's popular morning program</a>. The diagnosis? Chronic Myeloid Leukaemia (CML), a form of cancer she can manage with a daily tablet, giving her a good prognosis. But it's what she did next that was so classy and impressive.</p> <p>After the show went to air, Edwina <a href="https://7news.com.au/sunrise/sunrise-star-edwina-bartholomew-reveals-cancer-diagnosis-in-bid-to-make-sure-mums-put-health-first--c-15951518" target="_blank" rel="noopener">published a statement on 7News</a> that gave more detail on her circumstances, including how she came to discover her condition and why she chose to share the news the way she did. </p> <p>“It’s the luckiest unlucky thing to ever happen to me,” Edwina wrote, but her diagnosis also served as a wake-up call – one that she believes many other women, particularly mums, might need to hear.</p> <p>For Edwina, it all began with a decision many mothers know all too well: the choice to put everyone else’s needs first. "Although I’d been to the doctor for snotty noses and inexplicable toddler rashes many times, I hadn’t been to see a GP for myself since I was pregnant with my son – more than two years ago," she wrote.</p> <p>Sound familiar? As mums, it’s so easy to focus on the demands of children, work and home, while neglecting their own well-being. But Edwina’s story is a powerful reminder that sometimes, it’s not just about juggling it all – it’s about making time for yourself before life demands it.</p> <p>Her diagnosis came after a series of small but pivotal moments. She recalled how her four-year-old daughter, Molly, jumped on her, causing discomfort that made her realise she hadn’t truly focused on her own health in years. This led her to take the important step of scheduling a doctor’s appointment, where routine blood work revealed irregularities. Although a mammogram came back clear, the blood test results were anything but.</p> <p>From that moment, life changed in a whirlwind. Within days, Edwina was in hospital undergoing a bone marrow biopsy and starting treatment. But what’s perhaps most surprising – and relatable – is that, like so many mums, she almost didn’t make it to that crucial blood test. “It took me another month to pop into a pathology clinic," she wrote. "You know how it is; work to do, the house to clean, the laundry to do, the dinner to cook. I was busy.”</p> <p>That delay is something many women can relate to. They prioritise families, jobs and the never-ending to-do list, but at what cost?</p> <p>Edwina's story is a call to action for mums to stop delaying their own self-care. And she wanted to deliver that call to action in the strongest way possible; not through an interview, but through her own clear words.</p> <p>"I didn’t want to be interviewed and I didn’t want a sad photo of me here," she wrote. "That’s why you are reading my words, accompanied by a photo of my happy little family."</p> <p>“It was important to me to tell you my story because I suspect there are quite a few people out there suffering from a not-so-healthy dose of benign neglect, particularly mums like me," Edwina explained. "We often take care of everyone else in our family and forget to put on our own oxygen mask first.”</p> <p>Edwina’s words are a reminder that it’s essential to look after yourself – not as a last resort, but as a priority. Regular check-ups, preventative tests and simply listening to your body can make all the difference.</p> <p>The experience has clearly reshaped Edwina’s outlook on life. “What is clear from the past few months is that I need to dramatically change things,” she wrote. While she’ll still appear on <em>Sunrise</em>, she’s decided to cut back her work schedule, take breaks and spend more time with her family – genuinely focusing on her health and well-being.</p> <p>Her advice to other mums is clear: “If this sounds familiar to you, maybe it’s time to check in on your health as well.”</p> <p>This is a timely reminder that mums must take care of themselves first. As Edwina’s journey has shown, early detection and self-care are key.</p> <p>Make that appointment, get that check-up and take a moment to breathe.</p> <p>Your health is worth it – because if you don’t look after yourself, you can’t fully look after the ones you love.</p> <p><em>Images: Instagram</em></p>

Caring

Placeholder Content Image

Sunrise star announces cancer diagnosis live on air

<p>In a heartfelt and emotional moment, <em>Sunrise</em> star Edwina Bartholomew, 41, revealed on live television that she has been diagnosed with chronic myeloid leukaemia. The popular news presenter made the announcement during an 8am segment on Seven’s breakfast program on Friday, telling viewers she is determined to stay positive despite the shock diagnosis.</p> <p>Bartholomew, who has been a familiar face on Australian television for years, took a moment at the end of the bulletin to share her personal news. “I have been diagnosed with cancer," she said. "That’s a shock to say and hard to say. It is a really good kind. It is called chronic myeloid leukaemia. It can be treated with a daily tablet. If I can take care of myself I will be completely fine,” she said, her voice breaking as she fought back tears.</p> <p>The news presenter revealed that she first received the diagnosis in July but chose to go public now for two main reasons. Firstly, she wanted to share the moment with her audience, who have followed her through many of life’s major milestones. “Many of you have been in similar situations or much, much worse and come out the other side stronger... and more resilient. That’s exactly what I plan to do,” she said.</p> <p>Secondly, Bartholomew explained that she hoped her story would encourage others to prioritise their health, especially after turning 40. She shared that she had undergone a series of routine tests earlier in the year after a series of health checks, including a skin check inspired by her colleague <a href="https://www.oversixty.com.au/health/caring/nat-barr-shares-scary-cancer-diagnosis" target="_blank" rel="noopener">Nat Barr’s skin cancer scare</a>.</p> <p>“One of those tests came back with levels out of whack,” Bartholomew said, explaining how her cancer was detected.</p> <p>Despite the emotional moment, Bartholomew confirmed to viewers that her prognosis is positive. “I’m feeling very positive and lucky,” she said, adding that her treatment plan involves a daily medication that allows her to manage the condition effectively.</p> <p>Her announcement was followed by a supportive group hug from her fellow <em>Sunrise </em>team members.</p> <p>Bartholomew’s revelation comes just months after her co-star Nat Barr <a href="https://www.oversixty.com.au/health/caring/nat-barr-shares-scary-cancer-diagnosis" target="_blank" rel="noopener">opened up about her own battle with skin cancer</a>. Barr had undergone treatment earlier this year after discovering a small cancerous spot on her nose. Fortunately, Barr caught it early and required minimal treatment.</p> <p>In addition to her TV career, Bartholomew is a dedicated mother of two children, Molly, 4, and Thomas, 2, whom she shares with her husband, Neil Varcoe. The couple has been deeply involved in a passion project, renovating a historic hotel, The Victoria 1846, in Carcoar, NSW, with plans to open it as a boutique hotel in 2025.</p> <p>Their project has been a labour of love, with Varcoe leaving his job last year to focus on the hotel restoration full-time, leading the couple to live separately during the week. Bartholomew has also shared insights into her husband’s battle with chronic fatigue syndrome, which had taken a toll on their lives in recent years.</p> <p>Despite the challenges, Bartholomew has remained optimistic, continuing her professional and personal commitments, including signing on as an ambassador for Witchery’s White Shirt Campaign, which raises funds for ovarian cancer research.</p> <p><em>Images: Sunrise</em></p>

Caring

Placeholder Content Image

"Shockingly irresponsible": Elle Macpherson slammed for "holistic" cancer treatment

<p>Elle Macpherson has been subjected to widespread backlash online after revealing she opted for a "holistic" cancer treatments. </p> <p>The 60-year-old supermodel has revealed in her book, <em>Elle: Life, Lessons, and Learning to Trust Yourself</em>, that at the age of 53, she was <a href="https://oversixty.com.au/health/caring/elle-macpherson-reveals-secret-battle-with-cancer" target="_blank" rel="noopener">diagnosed</a> with breast cancer following a lumpectomy. </p> <p>She went on to share how she shunned the advice of doctors who recommended  a mastectomy with radiation, chemotherapy, hormone therapy, plus reconstruction of her breast to fight the illness, deciding to forge her own path of "holistic wellness" to beat the disease without the use on conventional medicines. </p> <p>Since going public with her decision, Macpherson has been slammed online, with other cancer sufferers saying her comments are irresponsible and dangerous. </p> <p>One person wrote on X, "This is shockingly irresponsible from Elle Macpherson. She was lucky that clearly the lumpectomy removed all the cancerous cells and it hadn't spread, but implying she 'cured' cancer holistically is reckless beyond belief."</p> <p>Another person said, "Going through my own breast cancer battle atm I wish I there was a 'holistic approach' but there’s not... What I do have is different options &amp; I’ll take whatever treatments both my oncologist’s offer me to ensure I live a longer life to be with my husband and kids."</p> <p>A third person added, "A lumpectomy isn't holistic, and she wouldn't have even known about the cancer 'to treat holistically' had she not gone the conventional medical route in the first place."</p> <p>Many took aim at the dangerous rhetoric, with one person saying, "There is real toxic wellness/positivity culture out there at the moment that is both unnerving and dangerous," while another added, "As a survivor, I am absolutely livid. This nonsense costs lives."</p> <p><em>Image credits: Instagram </em></p>

Caring

Placeholder Content Image

Do mobile phones cause brain cancer? Science makes definitive call

<p>The question of whether mobile phones - specifically the electromagnetic radiation or radio waves emitted by these devices - cause cancer has been debated and researched for a long time, and now scientists have made a definitive call. </p> <p>A new comprehensive review commissioned by the World Health Organization has found that mobile phones are NOT linked to brain and head cancers. </p> <p>The systematic review, led by the Australian Radiation Protection and Nuclear Safety Agency (Arpansa), examined over 5,000 studies, which included 63 observational studies on humans published between 1994 and 2022 and is "the most comprehensive review to date" according to review lead author, associate prof Ken Karipidis. </p> <p>“We concluded the evidence does not show a link between mobile phones and brain cancer or other head and neck cancers," he said. </p> <p>The review, which was published on Wednesday, focused on cancers of the nervous system, salivary gland and brain tumours. </p> <p>They found no overall association between mobile phone use and cancer, even if people have used it for a long time (over 10 years) or spend a lot of time on their phones. </p> <p>“I’m quite confident with our conclusion. And what makes us quite confident is … even though mobile phone use has skyrocketed, brain tumour rates have remained stable,” Karipidis continued. </p> <p>Despite emitting electromagnetic radiation, also known as radio waves, the exposure is relatively low. </p> <p>Karipidis said people hear the word radiation and assume it is similar to nuclear radiation, “and because we use a mobile phone close to the head when we’re making calls, there is a lot of concern.”</p> <p>He clarified that “radiation is basically energy that travels from one point to another. There are many different types, for example, ultraviolet radiation from the sun." </p> <p>“We’re always exposed to low-level radio waves in the everyday environment.”</p> <p>While exposure from mobile phones is still low, it is much higher than exposure from any other wireless technology sources since they are used close to the head, Karipidis said. </p> <p>The association between mobile phones and cancers came about from early studies comparing differences between those with and without brain tumours and asking about their exposure history. </p> <p>According to Karipidis, who is also the vice-chair of the International Commission on Non-Ionizing Radiation Protection, the results from these kind of studies tend to be biased, as the group with the tumour tend to overreport their exposure. </p> <p>Based on these early studies WHO’s International Agency for Research on Cancer (IARC) designated radio-frequency fields like those from mobile phones as a possible cancer risk, but Karipidis said "this classification doesn’t mean all that much”.</p> <p>This is because the IARC has different classifications of cancer risk, with some substances classified as  a “definite” carcinogen (such as smoking), and others as “probable” or “possible” carcinogens.</p> <p>Tim Driscoll, a professor at the University of Sydney and chair of the Australian Cancer Council’s occupational and environmental cancers committee, also backed the systematic review. </p> <p>“I think people should feel reassured by this study … but it’s worthwhile just remembering that the studies aren’t perfect, but the weight of evidence certainly is that mobile phones should be considered safe to use in terms of any concerns about increased risk of cancer,” Driscoll said.</p> <p><em>Images: Shutterstock</em></p> <p> </p>

Body

Placeholder Content Image

Elle Macpherson reveals secret battle with cancer

<p>Elle Macpherson has revealed how she shunned the advice of dozens of doctors after being diagnosed with breast cancer seven years ago.</p> <p>The Aussie supermodel has revealed her health journey for the first time in her new memoir <em>Elle: Life, Lessons, and Learning to Trust Yourself</em>, sharing how she decided to forge her own path of wellness to tackle the disease. </p> <p>Speaking candidly about her health to <em>Australian Women's Weekly</em>, the 60-year-old said deciding to take a holistic approach to fighting cancer was “the hardest thing I have ever done”.</p> <p>After being diagnosed with breast cancer at the age of 53 after a lumpectomy, Macpherson's doctors recommended a mastectomy with radiation, chemotherapy, hormone therapy, plus reconstruction of her breast to fight the illness. </p> <p>“It was a shock, it was unexpected, it was confusing, it was daunting in so many ways,” she told the magazine.</p> <p>“It really gave me an opportunity to dig deep in my inner sense to find a solution that worked for me."</p> <p>“It was a wonderful exercise in being true to myself, trusting myself and trusting the nature of my body and the course of action that I had chosen.”</p> <p>The model instead opted for “an intuitive, heart-led, holistic approach” to treating her cancer that used a “combination of therapies and lifestyle changes to treat and heal the whole person”.</p> <p>“Saying no to standard medical solutions was the hardest thing I’ve ever done in my life,” she said. “But saying no to my own inner sense would have been even harder.”</p> <p>Elle said that she recognised that her approach to cancer isn't for everyone, but she felt the holistic approach was best for her overall health. </p> <p>“I came to the understanding that there was no sure thing and absolutely no guarantees. There was no ‘right’ way, just the right way for me”, she writes, according to <em>Women’s Weekly</em>.</p> <p>“Sometimes an authentic choice from the heart makes no sense to others … but it doesn’t have to. People thought I was crazy but I knew I had to make a choice that truly resonated with me.</p> <p>“To me, that meant addressing emotional as well as physical factors associated with breast cancer. It was time for deep, inner reflection. And that took courage.”</p> <p>Macpherson, who shares two sons, Flynn, 26, and Cy, 21, with former partner, Arpad Busson, said her medical decisions caused some tension in the family, admitting that her sons were skeptical of her choices. </p> <p>“Cy simply thought that chemo kills you. And so he never wanted me to do it because he thought that was a kiss of death,” she said.</p> <p>“Flynn, being more conventional, wasn’t comfortable with my choice at all. He is my son, though, and would support me through anything and love me through my choices, even if he didn’t agree with them.”</p> <p>Reflecting on her current health, Macpherson said, “In traditional terms, they’d say I’m in clinical remission, but I would say I’m in utter wellness. And I am."</p> <p>“Truly, from every perspective, every blood test, every scan, every imaging test … but also emotionally, spiritually and mentally — not only physically."</p> <p><em>Image credits: Instagram </em></p>

Caring

Placeholder Content Image

I’m due for a cervical cancer screening. What can I expect? Can I do it myself? And what happened to Pap smears?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/karen-canfell-22668">Karen Canfell</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/deborah-bateson-16105">Deborah Bateson</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/megan-smith-131901">Megan Smith</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Cervical screening in Australia has <a href="https://pubmed.ncbi.nlm.nih.gov/34499374/">changed</a> over the past seven years. The test has changed, and women (and people with a cervix) now have much more choice and control. Here’s why – and what you can expect if you’re aged 25 to 74 and are <a href="https://www.health.gov.au/our-work/national-cervical-screening-program">due for a test</a>.</p> <h2>When and why did the test change?</h2> <p>In 2017, Australia became one of the first two countries to transition from Pap smears to tests for the presence of the human papillomavirus (HPV).</p> <p>HPV causes virtually all cervical cancers, so testing for the presence of this virus is a very good indicator of a person’s current and future risk of the disease.</p> <p>This contrasts with the older Pap smear technology, which involved inspection of cells every two years for the changes resulting from HPV infection.</p> <p>The change to screening was supported by a very large body of <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)62218-7/abstract">international</a> and <a href="https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002388">Australian</a> data showing primary testing for HPV is more accurate than Pap smears.</p> <p>Women and people with a cervix who do not have HPV detected on their test are at a very low risk of developing cervical cancer over the next five years, or even longer. This was the basis for lengthening the screening interval when HPV screening was introduced.</p> <p>Australia now <a href="https://www.health.gov.au/our-work/national-cervical-screening-program">recommends</a> five-yearly HPV screening, starting at age 25 up to the age of 74 for eligible people, whether or not they have been vaccinated against HPV. Many other countries are following suit to transition to HPV screening.</p> <p>All established screening tests – which are conducted in people without any symptoms – are associated with health benefits but also with some harms. These can include the psychological and clinical consequences of receiving a “positive” screening result, which needs to be investigated further.</p> <p>However, recent World Health Organization (WHO) <a href="https://www.nejm.org/doi/full/10.1056/NEJMsr2030640">reviews of the evidence</a> have found:</p> <ul> <li>HPV is a more effective screening test than Pap smears or any other method</li> <li>it substantially reduces incidence and death rates from cervical cancer</li> <li>it is the method of cervical screening that has the <a href="https://www.nature.com/articles/s41591-023-02600-4">best balance</a> of benefits to harms.</li> </ul> <p>As a consequence, the WHO now unequivocally <a href="https://www.who.int/publications/i/item/9789240030824">recommends</a> HPV screening as the best-practice method.</p> <h2>Now you can collect your own sample</h2> <p>One of the major benefits of switching to HPV screening is it opened the door for a person being able to <a href="https://www.health.gov.au/self-collection-for-the-cervical-screening-test">collect their own sample</a> (which was impossible with the Pap smear). If HPV is present, it can be detected in the vagina rather than having to directly sample the cervix.</p> <p>In 2022, Australia became one of the <a href="https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/landmark-changes-improving-access-to-life-saving-cervical-screenings">first countries</a> in the world to introduce a universal option to choose self-collection within a major national-level screening program. This means people eligible for screening, under the guidance of a primary care practitioner, can now choose to collect their own vaginal sample, in privacy, using a simple swab.</p> <p>By the end of 2023, <a href="https://www.ncsr.gov.au/about-us/news-and-media/self-collection-for-cervical-screening--at-an-all-time-high.html">27% of people</a> were choosing to take the test this way, but this is on an upward trajectory and is likely to increase further, with an <a href="https://acpcc.org.au/self-collection-campaign/">awareness campaign</a> due to start next month.</p> <h2>So what happens when I have a test?</h2> <p>You’ll receive an invitation from the <a href="https://www.ncsr.gov.au/information-for-participants/participant-forms-and-guides.html#cervical-forms">National Cancer Screening Register</a> to attend your first screen when you turn 25. If you’re older, you’ll receive reminders when you are due for your next test. You will be invited to visit your GP or community health service for the test.</p> <p>You should be asked whether you would prefer to have a clinician collect the test or whether you would prefer to take the sample yourself.</p> <p>There’s no right or wrong way. The accuracy of testing has been <a href="https://www.bmj.com/content/363/bmj.k4823">shown</a> to be equivalent for clinician or self-collected sampling. This is a matter of choice.</p> <p>If the clinician does the test, they will undertake a pelvic examination with a speculum inserted into the vagina. This enables the doctor or nurse to view the cervix and take a sample.</p> <p>If you are interested in the self-collection option, check whether the practice is offering it when making an appointment.</p> <p>If you opt for self-collection, you’ll be able to do so in private. You’ll be given a swab (which looks like a COVID test swab with a longer stem), and you’ll be given instructions about how to insert and rotate the swab in the vagina to take the sample. It takes only a few minutes.</p> <h2>What does it mean if my test detects HPV?</h2> <p>If your test detects HPV, this means you have an HPV infection. These are very common and by itself doesn’t mean you have cancer, or even pre-cancer (which involves changes to cervical cells that make them more likely to develop into cancer over time).</p> <p>It does mean, however, that you are at higher risk of having a pre-cancer, or developing one in future, and that you will benefit from further follow-up or diagnostic testing. Your doctor or nurse will <a href="https://www.cancer.org.au/clinical-guidelines/cervical-cancer/cervical-cancer-screening">guide you</a> on the next steps in line with national guidelines.</p> <p>If you require a diagnostic examination, this will involve a procedure called colposcopy, where the cervix is closely examined by a gynaecologist or other specially trained healthcare practitioner, and a small sample may be taken for detailed examination of the cells.</p> <p>If you have a pre-cancer, you can be treated simply and quickly, usually without needing to be admitted to hospital. Treatment involves ablating or removing a small area of the cervix. This treatment will drastically reduce your risk of ever developing cervical cancer.</p> <h2>What does this mean for cervical cancer rates?</h2> <p>Cervical screening for HPV is a very effective method of preventing cervical cancer. Because of Australia’s HPV screening, combined with HPV vaccination in younger people, Australia is <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(18)30183-X/fulltext">expected</a> to achieve such low rates of cervical cancer by 2035 that it will be considered eliminated.</p> <p>Last year, the government launched a <a href="https://www.health.gov.au/sites/default/files/2023-11/national-strategy-for-the-elimination-of-cervical-cancer-in-australia.pdf">national strategy for cervical cancer elimination</a> which provides key recommendations for eliminating cervical cancer, and for doing so equitably in all groups of women and people with a cervix.</p> <p>One of the best things you can do to protect yourself is to have your cervical screening test when you become eligible, whether or not you have been vaccinated against HPV.</p> <p><em>Marion Saville, a pathologist and Executive Director at the Australian Centre for the Prevention of Cervical Cancer, co-authored this article.</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/229495/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><a href="https://theconversation.com/profiles/karen-canfell-22668"><em>Karen Canfell</em></a><em>, Professor &amp; Director, Daffodil Centre, A Joint Venture with Cancer Council NSW, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/deborah-bateson-16105">Deborah Bateson</a>, Professor of Practice, The Daffodil Centre, a joint venture with Cancer Council NSW, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/megan-smith-131901">Megan Smith</a>, Principal Research Fellow, The Daffodil Centre, a joint venture with Cancer Council NSW, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-due-for-a-cervical-cancer-screening-what-can-i-expect-can-i-do-it-myself-and-what-happened-to-pap-smears-229495">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Olivia Newton-John's daughter reveals special plans to honour mother's legacy

<p>Olivia Newton-John's daughter Chloe Lattanzi has revealed that she will be returning Down Under later this year to honour her mother's legacy. </p> <p>Chloe took to Instagram on Thursday to announce that she will be taking part in Olivia's Walk for Wellness in Melbourne on October 6.</p> <p>"Hi everyone! I am so excited to be coming to Melbourne once again to keep my momma’s legacy alive," she wrote in the caption, before inviting her followers to join her on October 6 in Melbourne's scenic Alexandra Gardens.</p> <p>She added that it "will be an amazing day of raising funds to support people on their cancer journey. Funds raised will help provide free wellness programs at the ONJ Cancer Centre."</p> <p>She invited her followers to join her for the cause, which aims to raise funds for cancer research. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/C-87Phuy1N7/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C-87Phuy1N7/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Chloe Lattanzi (@chloelattanziofficial)</a></p> </div> </blockquote> <p>Chloe also said that the theme for the 2024 walk was "Let's Get Physical" with participants encouraged to dress in "80s retro outfits," which  appears to be a tribute to Olivia's 1981 smash hit song<em> Physical</em>.</p> <p>"And please bring your puppies," she said in the video. </p> <p>She then signed off her message with: "Hope to see you all there! With love, light and gratitude, Chloe!" </p> <p>The Olivia Newton-John Wellness and Research Centre opened in 2012 and its services have helped thousands.</p> <p>The performer also travelled to Australia last year to take part in the popular event. </p> <p><em>Image: Instagram</em></p>

Caring

Placeholder Content Image

John Farnham's sons' heartfelt plea on Daffodil Day

<p>John Farnham's sons have revealed more about their father's cancer journey in a heartfelt video, while making a plea to fans ahead of Daffodil Day. </p> <p>Rob, 44, and James, 36, who are ambassadors this year for the day of cancer research, shared how hard their father's diagnosis was on him and his whole family. </p> <p>"Our father was diagnosed with cancer two years ago," they said in the video posted to Instagram. </p> <p>"The last couple of years have been difficult on our family."</p> <p>"It started off as an ulcer inside his mouth and found out that it was cancer, it was a pretty brutal time for us all."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C-7HP9YPGI-/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C-7HP9YPGI-/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Cancer Council Victoria (@cancervic)</a></p> </div> </blockquote> <p>They concluded the video by asking people to donate money to cancer research this Daffodil Day.</p> <p>"Our dad wouldn't be here without cancer research, and that's why days like Daffodil Day are important," they said of the fundraiser taking place on Thursday.</p> <p>"This Daffodil Day for everything that cancer takes, please give."</p> <p>When announcing their ambassador roles, Rob wrote, "As we've seen with our dad, a cancer diagnosis doesn't just impact the person, but everyone they know and love".</p> <p>"We've seen firsthand how crucial cancer research and support is, and we are so grateful for the treatment and care Dad has been given.," he said.</p> <p>John Farnham was diagnosed with cancer in 2022 and underwent a massive 13-hour operation on his jaw to remove the tumour.</p> <p>In July last year, Farnham announced he'd been declared cancer free and given the "all clear" by his medical team.</p> <p><em>Image credits: Instagram</em></p>

Caring

Placeholder Content Image

John Boland’s battle against prostate cancer and the urgent need for reform

<p>John Boland, a 74-year-old retired Navy Reserve Lieutenant Commander, found himself at a crossroads – a place where hope and despair often meet in the lives of those battling life-threatening illnesses like prostate cancer. </p> <p>Diagnosed five years ago, John’s journey has been a relentless fight against a disease that, despite medical advancements, still claims the lives of 10 men in Australia every day.</p> <p>After undergoing surgery and 37 rounds of radiation therapy, John’s battle was far from over. His PSA (Prostate-Specific Antigen) levels, an indicator of prostate cancer activity, were not dropping sufficiently, signalling that the fight was only getting tougher. It was then that John was introduced to a groundbreaking treatment: Lutetium-177 PSMA therapy (LuPSMA), a targeted radionuclide therapy with pinpoint accuracy to attack cancer cells.</p> <p>This innovative treatment offered a glimmer of hope, a chance to strike at the heart of the disease that had disrupted his life. But there was a catch – the cost. Each round of LuPSMA treatment costs $10,000, and while some patients may require up to eight rounds, John’s doctors recommended two based on his response. Even so, the financial burden was immense, forcing John to dip into his superannuation, ultimately spending $60,000 on the treatment that was not covered by insurance.</p> <p>Despite the financial strain, the results were nothing short of miraculous. After just the first round, John’s PSA levels dropped by a staggering 95%. After the second, they fell to nearly zero. The treatment had not only attacked the cancer but had also restored his quality of life, allowing him to once again enjoy the simple pleasures – time with family, daily activities and even golf. It was a victory that brought renewed hope and confidence for the future, a victory that made the $60,000 investment worth every cent.</p> <p>“My case was remarkably successful after the second treatment, which are eight weeks apart, after the scan had no cancer, and my PSA was effective to zero. So it was a reliable result for me and a huge boost, but unfortunately, they're $10,000 a time, and you can require up to eight treatments,” says John. “Fortunately we were able to fund it from our superannuation pension account, the $20,000, but I imagine that a lot of people, they can’t find that $20,000.”</p> <p>But John’s story, while inspiring, also highlights a grim reality: many Australians are not as fortunate. The LuPSMA treatment that worked so well for John remains out of reach for many others due to its prohibitive cost. And this isn’t just an isolated issue; it’s a systemic problem affecting thousands of men across the country.</p> <p>A new report, the <a href="https://www.pcfa.org.au/media/nbennwom/aus-np-1123-80001-amgen-access-gap-report_april-2024-data-final-approved.pdf" target="_blank" rel="noopener">Australian Patient Access Gap Report</a>, has shed light on the alarming delay in the public availability of new medicines in Australia. The report reveals that Australians with life-threatening illnesses are waiting an average of 591 days – more than 18 months – for access to new, potentially life-saving medicines. For some, the wait can be as long as three years. These delays are not just statistics; they represent real people, real lives hanging in the balance.</p> <p>The Prostate Cancer Foundation of Australia (PCFA), the country’s leading organisation in the fight against prostate cancer, is calling for urgent reform. They argue that the current system, which often requires multiple rounds of review before new treatments are approved for public use, is failing Australians. </p> <p>PCFA CEO Anne Savage points out that while 10 men die from prostate cancer every day, the approval process for new treatments drags on, leaving patients like John Boland to fend for themselves – often at great financial and emotional cost. “In almost every instance, Australians are being denied access to new medicines that can extend and save their lives, simply because our approval systems have not kept up with the pace of change,” she says. </p> <p>“In relation to prostate cancer, applications typically undergo two or three rounds of review before achieving a positive recommendation, while 10 men die a day from the disease. It’s simply not good enough.”</p> <p>John’s story serves as a strong call to action. His successful treatment with LuPSMA is a testament to the power of modern medicine, but it also underscores the urgent need for change. No one should have to choose between their life savings and their life; it’s time for Australia to modernise its pharmaceutical benefits scheme, ensuring that all Australians, regardless of their financial situation, have access to the treatments they need.</p> <p>As we move forward, the PCFA is urging Australians to take part in initiatives like <a href="https://www.thelongrun.org.au/" target="_blank" rel="noopener">The Long Run</a> during Prostate Cancer Awareness Month in September, raising awareness and funds to support the fight against this devastating disease. </p> <p>For John Boland, and for the thousands of others who share his struggle, we must work towards a future where no one is left behind in the fight against cancer.</p> <p><em>Image: Courtesy of John Boland.</em></p>

Caring

Placeholder Content Image

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

Placeholder Content Image

Ovarian cancer is hard to detect. Focusing on these 4 symptoms can help with diagnosis

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/jenny-doust-12412">Jenny Doust</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Ovarian cancers are often found when they are already advanced and hard to treat.</p> <p>Researchers <a href="https://ascopubs.org/doi/10.1200/JCO.2010.32.2164">have long believed</a> this was because women first experienced symptoms when ovarian cancer was already well-established. Symptoms can also be <a href="https://cancer.org.au/cancer-information/causes-and-prevention/early-detection-and-screening/early-detection-of-ovarian-cancer">hard to identify</a> as they’re vague and similar to other conditions.</p> <p>But <a href="https://ijgc.bmj.com/content/early/2024/07/24/ijgc-2024-005371">a new study</a> shows promising signs ovarian cancer can be detected in its early stages. The study targeted women with four specific symptoms – bloating, abdominal pain, needing to pee frequently, and feeling full quickly – and put them on a fast track to see a specialist.</p> <p>As a result, even the most aggressive forms of ovarian cancer could be detected in their early stages.</p> <p>So what did the study find? And what could it mean for detecting – and treating – ovarian cancer more quickly?</p> <h2>Why is ovarian cancer hard to detect early?</h2> <p>Ovarian cancer <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">cannot be detected</a> via cervical cancer screening (which used to be called a pap smear) and pelvic exams <a href="https://pubmed.ncbi.nlm.nih.gov/24979449/">aren’t useful</a> as a screening test.</p> <p>Current <a href="https://www.canceraustralia.gov.au/cancer-types/gynaecological-cancers/clinicians-hub/ovarian-cancer-guidelines">Australian guidelines</a> recommend women get tested for ovarian cancer if they have symptoms for <a href="https://www.canceraustralia.gov.au/sites/default/files/publications/assessment-symptoms-may-be-ovarian-cancer-guide-gps/pdf/ocg_assessment_of_symptoms_gp_card_0.pdf">more than a month</a>. But many of the <a href="https://cancer.org.au/cancer-information/types-of-cancer/ovarian-cancer">symptoms</a> – such as tiredness, constipation and changes in menstruation – are vague and overlap with other common illnesses.</p> <p>This makes early detection a challenge. But it is crucial – a woman’s <a href="https://seer.cancer.gov/statfacts/html/ovary.html">chances of surviving ovarian cancer</a> are associated with how advanced the cancer is when she is diagnosed.</p> <p>If the cancer is still confined to the original site with no spread, the five-year survival rate is 92%. But over half of women diagnosed with ovarian cancer first present when the cancer has <a href="https://seer.cancer.gov/statfacts/html/ovary.html">already metastatised</a>, meaning it has spread to other parts of the body.</p> <p>If the cancer has spread to nearby lymph nodes, the survival rate is reduced to 72%. If the cancer has already metastasised and spread to distant sites at the time of diagnosis, the rate is only 31%.</p> <p>There are mixed findings on whether detecting ovarian cancer earlier leads to better survival rates. For example, a trial in the UK that screened more than 200,000 women <a href="https://pubmed.ncbi.nlm.nih.gov/37183782/">failed to reduce deaths</a>.</p> <p>That study screened the general public, rather than relying on self-reported symptoms. The new study suggests asking women to look for specific symptoms can lead to earlier diagnosis, meaning treatment can start more quickly.</p> <h2>What did the new study look at?</h2> <p>Between June 2015 and July 2022, the researchers recruited 2,596 women aged between 16 and 90 from 24 hospitals across the UK.</p> <p>They were asked to monitor for these four symptoms:</p> <ul> <li>persistent abdominal distension (women often refer to this as bloating)</li> <li>feeling full shortly after starting to eat and/or loss of appetite</li> <li>pelvic or abdominal pain (which can feel like indigestion)</li> <li>needing to urinate urgently or more often.</li> </ul> <p>Women who reported at least one of four symptoms persistently or frequently were put on a <a href="https://pubmed.ncbi.nlm.nih.gov/22479719/">fast-track pathway</a>. That means they were sent to see a gynaecologist within two weeks. The fast track pathway has been used in the UK since 2011, but is not specifically part of Australia’s guidelines.</p> <p>Some 1,741 participants were put on this fast track. First, they did a blood test that measured the cancer antigen 125 (CA125). If a woman’s CA125 level was abnormal, she was sent to do a internal vaginal ultrasound.</p> <h2>What did they find?</h2> <p>The study indicates this process is better at detecting ovarian cancer than general screening of people who don’t have symptoms. Some 12% of women on the fast-track pathway were diagnosed with some kind of ovarian cancer.</p> <p>A total of 6.8% of fast-tracked patients were diagnosed with high-grade serous ovarian cancer. It is the most aggressive form of cancer and responsible for 90% of ovarian cancer deaths.</p> <p>Out of those women with the most aggressive form, one in four were diagnosed when the cancer was still in its early stages. That is important because it allowed treatment of the most lethal cancer before it had spread significantly through the body.</p> <p>There were some promising signs in treating those with this aggressive form. The majority (95%) had surgery and three quarters (77%) had chemotherapy. Complete cytoreduction – meaning all of the cancer appears to have been removed – was achieved in six women out of ten (61%).</p> <p>It’s a promising sign that there may be ways to “catch” and target ovarian cancer before it is well-established in the body.</p> <h2>What does this mean for detection?</h2> <p>The study’s findings suggest this method of early testing and referral for the symptoms leads to earlier detection of ovarian cancer. This may also improve outcomes, although the study did not track survival rates.</p> <p>It also points to the importance of public awareness about symptoms.</p> <p>Clinicians should be able to recognise all of the ways ovarian cancer can present, including vague symptoms like general fatigue.</p> <p>But empowering members of the general public to recognise a narrower set of four symptoms can help trigger testing, detection and treatment of ovarian cancer earlier than we thought.</p> <p>This could also save GPs advising every woman who has general tiredness or constipation to undergo an ovarian cancer test, making testing and treatment more targeted and efficient.</p> <p>Many women remain <a href="https://www.google.com/url?q=https://pubmed.ncbi.nlm.nih.gov/24612526/&amp;sa=D&amp;source=docs&amp;ust=1723610085733806&amp;usg=AOvVaw3J5o5DwRFiDzFaQcD7VTQn">unaware of the symptoms</a> of ovarian cancer. This study shows recognising them may help early detection and treatment.<!-- 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/236775/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/jenny-doust-12412">Jenny Doust</a>, Clinical Professorial Research Fellow, Australian Women and Girls' Health Research Centre, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ovarian-cancer-is-hard-to-detect-focusing-on-these-4-symptoms-can-help-with-diagnosis-236775">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Avoid missing prostate warning signs with this handy quiz

<p>A leading Australian Urologist is sounding a warning to men who unknowingly ignore symptoms of an enlarged prostate, wrongly assuming it’s just a part of growing older. Symptoms the Urologist highlighted include, increased frequency going to the toilet at night or a change in urine flow.</p> <p>Dr Gordon O’Neill, who has been treating diseases of the prostate for over 25 years said almost half of all men over 50 have an enlarged prostate, or benign prostatic hypertrophy (BPH), where the prostate gland enlarges and obstructs the urethra - the tube which expels urine from the bladder, and this may cause bothersome urinary symptoms.</p> <p>“While BPH is not cancerous or life threatening, the symptoms such as leaking or frequent urination can negatively impact a man’s quality of life,” Dr O’Neill said.</p> <p>“The prostate starts to compress the urine channel and this in turn may interfere with bladder function. In some severe cases, some men have trouble urinating at all. </p> <p>“If left undiagnosed this condition could lead to bladder damage, urinary tract infections and bleeding,” he said.</p> <p>Dr O’Neill is encouraging men to complete <a title="https://www.getmosh.com.au/start/prostate-enlargement-health-check" href="https://www.getmosh.com.au/start/prostate-enlargement-health-check" data-outlook-id="dea5c553-2489-4009-ae90-d09c24226c83">Mosh’s BPH quiz</a> which can help flag any irregularities that might cause need for concern.</p> <p>Mosh Medical Director Joanna Sharp said the quiz makes it easy for men to raise an issue they often deem embarrassing to discuss.</p> <p>“It’s a simple survey that can be done anywhere, at any time, allowing men who may be worried about their prostate function to find out whether medical intervention is needed,” said Dr Sharp.</p> <p>“There’s a lot of unnecessary fear and old school thinking among men when it comes to the prostate and there’s no need. Women are very good at being more in tune with their bodies, men are not so great. We need men to do better to notice changes in their body, especially ones that could be hiding something more sinister.” </p> <p>“Are they having to get up to urinate more frequently at night and is that impacting their quality of sleep? Does it dribble at the end? We don’t want men suffering in silence, thinking it’s secret men’s business. Troublesome symptoms of enlarged prostate can be fixed very easily,” Dr Sharp said.</p> <p>About one in seven men aged 40 to 49 years are diagnosed with a prostate problem, which increases to about one in every four men aged 70 years and older.</p> <p>GPs then assess the survey results referring those that need further examination to a urologist, like Dr O’Neill.</p> <p>“Some men live with an enlarged prostate and have no idea and that’s okay. But for those men where the symptoms have become an issue there are minimally invasive options such as an implant procedure,” Dr O’Neill said.</p> <p>“It’s a minimally invasive treatment that opens the prostatic urethra, relieving obstruction for men who suffer urinary symptoms related to BPH."</p> <p>“The implant holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue with no impact on sexual function which can be a big fear and deterrent for some men,” he said.</p> <p>Dr O’Neill believes men should also be screened for prostate cancer by getting a PSA test from the age of 40.  As they age the prostate gland grows and the PSA is likely to rise slightly.</p> <p>“The prostate grows on average about four percent a year, so changes can start as early as 30 but they won’t become apparent for another 20 years,” he said.</p> <p>“While having BPH or an enlarged prostate doesn’t increase your risk of prostate cancer, symptoms left unchecked could be masking a much more sinister problem such as prostate cancer so it’s better to have your symptoms assessed,” Dr O’Neill said.</p> <p>You can find Mosh's BPH quiz <a href="https://www.getmosh.com.au/start/prostate-enlargement-health-check" target="_blank" rel="noopener">here</a>. </p> <p><em>Image credits: Shutterstock</em></p>

Body

Placeholder Content Image

Revered journo and TV reporter dies after cancer battle

<p>Jane Hansen, a pioneering female journalist in the world of Australian media, has died after a near two-year battle against an aggressive brain tumour.</p> <p>Hansen, who most recently worked with News Corp's <em>Sunday Telegraph</em>, died surrounded by her loved ones on the Gold Coast on Tuesday evening. </p> <p>Her brother confirmed the news of her passing in a statement, saying the former <em>A Current Affair</em> reporter remained her humorous self until the end.</p> <p>“To all that knew and loved my sister, Jane passed away peacefully at approximately 11.40pm 6 August. Jane put up an amazing fight right till the end and never once complained, and never lost her sense of humour this whole time,” he wrote.</p> <p>“We will be in touch soon regarding Jane’s funeral arrangements and yes there will be a wake to celebrate this fantastic woman!”</p> <p>Her brother thanked family and friends for their “extraordinary level of support, love and compassion,” over the past 18 months.</p> <p>Claire Harvey, now editorial director of <em>The Australian</em> and former deputy editor of <em>The Sunday Telegraph</em>, described Ms Hansen as “the most passionate journalistic crusader” she has ever known. </p> <p>“She swore a lot. She got outraged a lot. And she laughed a lot – and made me laugh – every time we spoke,” she said.</p> <p>While making waves with her stellar journalistic career, Ms Hansen's most notable work came in 2008 when she, along with fellow reporter Fiona McKenzie, published the novel <em>Boned</em> under an anonymous name. </p> <p>The novel, which was believed to be a work of fiction, “blew the lid off the blokey culture of commercial television”, as the title of the book was a reference to the Today show host Jessica Rowe's infamous sacking by Channel Nine. </p> <p>In a 2017 article revealing herself and Fiona McKenzie as the co-writers, Ms Hansen said she felt like she needed to “take a stand against” the “despicable behaviour of the men in charge”.</p> <p>“I would not go to pieces if someone pulled their penis out in front of me in the board room (it happened),” she wrote.</p> <p>“I’ve slept on the floor in the bombed-out “sniper side” at the Holiday Inn, Sarajevo, in the middle of the Bosnian war, bribed murderous Iraqi officials to extend my visa in Baghdad, slept rough without a shower for over a week in the Iraqi desert to be the first to track down Australian troops during the war on terror (only to be asked in a live cross where I was washing my knickers)."</p> <p>Ms Hansen said after all she had done, defending her position as a seasoned journalist in commercial television was “exhausting and depressing”.</p> <p>Ms Harvey went on to describe Ms Hansen as a “fiercely loving, protective and joyous mother to her beloved son Sam”, who was her first thought when she first diagnosed with cancer. </p> <p>“She got to see Sam finish school, and he was by her side when she passed away, surrounded by her loving family and friends, this week,” she said. </p> <p>“I feel so lucky to have known Jane, and proud that here at News Corp Australia we published her work with the pride and prominence it deserved.”</p> <p><em>Image credits: Sky News</em></p>

Caring

Placeholder Content Image

Aussie cancer survivor bags Olympic medal

<p><sub>Australian cyclist Matthew Glaetzer has won his first ever medal at his fourth and final Olympic games. </sub></p> <p><sub>After overcoming injury, heartbreak and even thyroid cancer, the 31-year-old, dubbed by many as cycling's unluckiest man, has finally won a bronze medal. </sub></p> <p><sub>Two years before the Tokyo Olympics, the athlete received a thyroid cancer diagnosis, surgery and treatment. </sub></p> <p><sub>He was then hit by a series of injuries including a torn calf, oblique complaint and bulging disc in his back, but that didn't stop him from competing in Tokyo. </sub></p> <p><sub>While he didn't win any medals, he refused to let a career of near-misses define him and finally achieved bronze in the team sprint alongside Leigh Hoffman and Matt Richardson this year. </sub></p> <p><sub>“It was elation — I was so pumped when I saw that ‘three’ ... on the scoreboard,” Glaetzer said after the race.</sub></p> <p><sub>“It’s very special to finally win an Olympic medal. We were definitely aiming for better — we felt like we could have been in the gold (ride-off).”</sub></p> <p><sub>In the lead-up to the Games, he said that his wife Nikki helped ensure he did not make a rash decision after Tokyo. </sub></p> <p><sub>“I wouldn’t be here without her — I was actually pretty close to giving the sport away after Tokyo,” he said. </sub></p> <p><sub>“For us to be a team together and figure out we have some unfinished business, to push to Paris, has been a feat.</sub></p> <p><sub>“I’m pretty proud to be here.”</sub></p> <p><sub><em>Image: Alex Whitehead/SWpix.com/ Shutterstock Editorial</em></sub></p>

Caring

Placeholder Content Image

Cancer diagnosis can be devastating, but for some it gives permission to live more radically

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/kevin-dew-577291">Kevin Dew</a>, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</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>; <a href="https://theconversation.com/profiles/chris-cunningham-1534054">Chris Cunningham</a>, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>; <a href="https://theconversation.com/profiles/elizabeth-dennett-1532423">Elizabeth Dennett</a>, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a>; <a href="https://theconversation.com/profiles/kerry-chamberlain-103714">Kerry Chamberlain</a>, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>, and <a href="https://theconversation.com/profiles/richard-egan-400188">Richard Egan</a>, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a></em></p> <p>A diagnosis of life-limiting cancer can be overwhelming and cause feelings of panic and anxiety. But for some people, it provides a license to live life differently, including quitting toxic jobs and becoming more adventurous.</p> <p>In our <a href="https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13797">recently published research</a>, we sought to understand the impact of a cancer diagnosis and subsequent experiences for cancer survivors.</p> <p>We talked with 81 New Zealanders (23 Māori and 58 non-Māori) who had lived longer than expected with a life-limiting or terminal diagnosis of cancer (four to 32 years since first diagnosis), and 25 people who were identified as their supporters.</p> <p>We found there are vastly different ways in which people experience and respond to a cancer diagnosis, but for some it’s a prompt to make significant changes. Of the 81 participants, 26 expressed the view, unsolicited, that cancer had some positive impact on their lives – without downplaying the negative impacts it could have as well.</p> <h2>A licence to change</h2> <p>Being told you only have limited time left to live can undoubtedly be a shock. But it can lead to profound change.</p> <p>It’s not uncommon for people who receive a serious diagnosis to draw up a “<a href="https://theconversation.com/paris-in-spring-bali-in-winter-how-bucket-lists-help-cancer-patients-handle-life-and-death-225682">bucket list</a>”. Some people in our study took the opportunity to travel or move to a new home.</p> <p>For others, the diagnosis provided a chance to rethink their lives and make more significant changes to the way they lived. They decided to be culturally more adventurous and to take up new skills.</p> <p>Many of these people quit their jobs or changed to jobs that suited them better. Many changed their relationships with the people around them. One talked about showing more affection for his children, another was kinder and stopped fretting over small things.</p> <p>Some decided to be more selective and no longer be around people who were negative. Others took up new hobbies or crafts which they felt were healing. For one person, the cancer diagnosis provided the impetus to look at things and people differently, which they thought would not have happened otherwise.</p> <p>Individuals could also undergo a transformation to become what they felt they were meant to be in life. One person, given two months to live, embraced rongoā (Māori traditional healing), including its spiritual side. They now love their “journey” and feel this was what they were “supposed to do”.</p> <p>For many, a diagnosis of cancer gave them license to be different people and to resist conforming to social norms, including having a job, being thrifty or not taking risks.</p> <h2>Disrupting diagnoses</h2> <p>One person, given only months to live, moved out of her flat, gave away her possessions, quit her job that she described was toxic, and returned home to say goodbye to her family.</p> <p>Most importantly for her, she worked on experiencing “joy” – after receiving the diagnosis, she realised she had lost it. But she continues to live many years later. After a while, she had to find a new flat, get a new job and the recovery of her joy was challenged:</p> <blockquote> <p>I had to start working again. And, of course, with working again, joy goes down, time goes down, rest goes down, spirituality goes down.</p> </blockquote> <p>But not everyone has the opportunity to change. Some peoples’ lives were limited because of the physical effects of the cancer, its treatment, or because of their personal, social or financial resources.</p> <p>Some go to great lengths to ensure their lives change as little as possible after diagnosis to maintain a sense of normality.</p> <h2>Why we need to know</h2> <p>Given the fear a cancer diagnosis can elicit, it is important to see there are different ways of responding.</p> <p>It is also worth knowing there are people who live longer than expected. Many people in our study were given just months to live, but one woman was still alive 12 years after being told she had a year left.</p> <p>Beyond that, this research documents how the disruption produced by a cancer diagnosis can prompt people to breach social norms. Where people have the capacity and resources to change, those around them and their health professionals can support them in taking opportunities to live life differently.</p> <p>We heard people say they think of their cancer as a friend or an amazing opportunity. Some even felt thankful.</p> <p>The possibility of cancer providing opportunities for some in no way diminishes the grief or a sense of loss, fear and anxiety that can accompany such diagnoses.</p> <p>Our research supports a reframing of cancer narratives, to consider ways of tempering the negative impacts of a diagnosis – while remaining cognisant of the struggle that can follow such news, and the variability in people’s capacity to engage with that struggle.<!-- 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/233782/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/kevin-dew-577291">Kevin Dew</a>, Professor of Sociology, <a href="https://theconversation.com/institutions/te-herenga-waka-victoria-university-of-wellington-1200">Te Herenga Waka — Victoria University of Wellington</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>; <a href="https://theconversation.com/profiles/chris-cunningham-1534054">Chris Cunningham</a>, Professor of Maori &amp; Public Health, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>; <a href="https://theconversation.com/profiles/elizabeth-dennett-1532423">Elizabeth Dennett</a>, Associate Professor in Surgery, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a>; <a href="https://theconversation.com/profiles/kerry-chamberlain-103714">Kerry Chamberlain</a>, Professor of Social and Health Psychology, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>, and <a href="https://theconversation.com/profiles/richard-egan-400188">Richard Egan</a>, Associate Professor in Health Promotion, <a href="https://theconversation.com/institutions/university-of-otago-1304">University of Otago</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/cancer-diagnosis-can-be-devastating-but-for-some-it-gives-permission-to-live-more-radically-233782">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Championing confidence at the salon for those facing cancer

<div title="Page 1"> <div> <div> <p>When it comes to facing cancer, it's can often be hard to find support and understanding from people when your physical appearance can be changing. A salon day can do the world of good for anyone, especially for people going through a hard time. But for those dealing with cancer, their wants and needs at the hairdresser can be different than other clientele.</p> <p>Thankfully, <a href="https://lgfb.org.au" target="_blank" rel="noopener">Look Good Feel Better Australia</a> are here to support those on their cancer journey to look their best in the face of their health battle, </p> <p>From August 1st, the team at Look Good Feel better Australia have launched their latest initiative; <a href="https://www.styleforcancer.org.au" target="_blank" rel="noopener">Style For Cancer</a>. Created to unite the beauty, grooming and styling industry as a force for good, the initiative will help raise vital funds for the Look Good Feel BeIer program while giving service providers the opportunity to build their knowledge and position as part of an invaluable support system to those undergoing treatment for cancer.</p> <p>The new initiative caters to both the consumer, or the “Style Seeker”, and the expert, known as the “Style Maker”.</p> <p>Style Makers who sign up to take part in Style For Cancer will be provided with materials to help them better understand the common side effects of cancer treatment, and advice on language to use and avoid, in order to more sensitively and compassionately support their clients as they navigate diagnosis and treatment. </p> <p>The directory of participating Style Makers will be available to all Style Seekers, allowing them to choose salons and service providers who have a better understanding of what they may be experiencing if they are undergoing cancer treatment, while also knowing they are choosing a business who is consciously supporting the important work of the Look Good Feel Better program.</p> <p>General Manager of Look Good Feel Better, Carol Kavurma, shares the passion and excitement around the launch of Style For Cancer which will provide a way for the industry to feel more empowered while further connecting with their local communities.</p> <p>“Having 34 years of incredible knowledge behind us, when looking at the Australian beauty, grooming and style industries, we saw an opportunity to make salon appointments less daunting and more comfortable for those undergoing life altering treatments,” said Carol.</p> <p>“Everybody deserves to feel excited and uplifted after a trip to the hairdresser, nail salon or when sitting in the makeup chair – it’s the whole premise of the Look Good Feel Better program – and those undergoing cancer treatment are no different."</p> <p>“To help service providers – or Style Makers - feel the same excitement and confidence when working with their clients makes the Style for Cancer initiative even more important, and one we hope will be welcomed with open arms within the industry and the broader community,” she said.</p> <p>Look Good Feel Better program participant and Style Seeker, Jodie Strong, who underwent an array of cancer treatments says the physical and mental sensitivities during treatment are challenging, and while there is some support for mental recovery, the information and resources available for physical recovery are far less abundant.</p> <p>“During treatment, particularly chemo, I didn’t have the confidence to book in any services. After my active treatments were complete, while most service providers were sensitive and careful in the way they approached me and their language with me, I was usually the one to share what worked and didn’t work for me in my recovery rather than the salon or styling professional. I think that’s from a lack of awareness in the industry around this area, so as I was never quite sure what the right thing to do or not to do was,” explains Jodie.</p> </div> </div> </div> <div title="Page 2"> <div> <div> <p>“An important part of recovery from cancer is your feelings of self-worth and being able to take care of your body both mentally and physically. There are a lot of resources in the area of mental recovery, however not as much is available on the physical side of things."</p> <p>“Style For Cancer is an important initiative to bring awareness and some education to the physical side of recovery and help patients both during and post-treatment access services to help them feel more comfortable in their recovery.”</p> <p>Michael Kelly, Founder and Creatvve Director at Salon HER believes there is room for industry professionals to improve conversation and bolster skills for listening, empathising and creating a safe environment for clients trying to navigate cancer diagnosis and treatment.</p> <p>“I think language and the wholistic therapy side of the conversation could definitely improve. Not everyone has the resources to be able to hold space for another human in a very vulnerable stage of their life."</p> <p>"Style For Cancer is an obvious cause for me to be part of as I have lost family members I love to cancer, I’ve had family members recover from cancer, and I’ve supported clients who I care for deeply through some of their darkest days. It’s an initiative close to my heart.”</p> <p>Style For Cancer fundraising activities will take place in participating businesses Australia-wide during the month of August, however the Style Maker directory and registration in the initiative are available year-round.</p> <p>All funds <a href="https://donorbox.org/styleforcancerdonations" target="_blank" rel="noopener">raised</a> through the Style For Cancer initiative will directly support the Look Good Feel Better program, with each $100 raised allowing one participant to benefit from the program, free-of-charge.</p> <p><em>Image credits: Shutterstock </em></p> </div> </div> </div>

Beauty & Style

Placeholder Content Image

Sam Neill reveals his pillar of strength during cancer battle

<p>Anyone facing a major health battle will always cherish the support they receive from loved ones during tough times, and Sam Neill couldn't be more grateful for his support system. </p> <p>In 2022, the Jurassic Park star was diagnosed with stage-three blood cancer and had to undergo treatment.</p> <p>Fortunately, he is still in remission, and during a recent interview on the <em>Big Talk Show</em> podcast, he told host Jess Rowe that it was fellow actor and friend Bryan Brown who was a pillar of strength for him during his health battle. </p> <p>"I would be completely lost without friends and old friends are even more precious because they have been through the tough times," Neill said. </p> <p>“I had a spell in hospital and Bryan came in every day. Every day. I thought: ‘That’s a real friend’.</p> <p>“He didn’t have anything to say, but he came in and kept me company.”</p> <p>He added that despite the pair having very little in common, their friendship has lasted for more than 40 years. </p> <p>"Bryan and I have been friends since 1980, I think it is," he said. </p> <p>“I love him dearly, he’s a great family man [and] immensely loyal,” he added.</p> <p>Sam found out he had stage-three blood cancer in 2022 during his first trip back to New Zealand following the Covid lockdowns, that made it almost impossible for him to see his family. </p> <p>He had to undergo chemotherapy for three or four months, which he said was "brutal". </p> <p>In another interview with <a href="https://9now.nine.com.au/today/sam-neill-says-working-saved-his-life-during-blood-cancer-battle/d4d7442d-c328-4ff8-9195-8a5d78d3ada0" target="_blank" rel="noopener"><em>Today</em></a>, he also credited his work for keeping him busy and helping him survive his battle with cancer. </p> <p>"I like working and when I was diagnosed, I didn't have any work to do, so I wrote a book and that saved my life because I was pretty down and I got up in the morning and I would write and write and write and that was good fun," he said at the time. </p> <p><em>Image: Susanna Saez/EPA-EFE/ Shutterstock Editorial</em></p>

Caring

Placeholder Content Image

News reader turned firefighter dies at just 46

<p>BBC presenter turned firefighter Beccy Barr has passed away at the age of 46 after a battle with cancer. </p> <p>Barr's family confirmed the sad news on X (formerly Twitter), writing, “Beccy passed away peacefully this morning”.</p> <p>“She spent her last few days at @SJHospice who provided the most dignified and compassionate care to Beccy and her whole family. Donations to the hospice can be made in Beccy’s memory.”</p> <p>After 20 years at the British public broadcaster, Barr shocked her loyal viewers announcing she would be leaving her media career behind to follow in her father's footsteps by becoming a firefighter. </p> <p>In February 2022, she updated her fans on social media, explaining she had received distinction marks in all her training assessments for the Lancashire Fire and Rescue team. </p> <p>Then in December 2023, Barr revealed that she was diagnosed with “incurable cancer”, writing to her followers at the time, “Two lessons I’ve learned from this distinctly sub-optimal experience: 1) Life is wild. 2) People have an utterly astounding and boundless capacity for love, care and friendship.”</p> <p>BBC presenter Roger Johnson was one of many who paid tribute to his former colleague, saying, “Beccy was courageous in so many ways.”</p> <p>“In the way she faced her illness, of course, but she also had the courage to walk away from a successful TV career to retrain as a firefighter."</p> <p>“She wanted to make a difference and she excelled at that, too.”</p> <p><em>Image credits: BBC / X (Twitter) </em></p>

Caring

Placeholder Content Image

Breast cancer screening in Australia may change. Here’s what we know so far

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/brooke-nickel-200747">Brooke Nickel</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/katy-bell-134554">Katy Bell</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>The way women are screened for breast cancer in Australia may <a href="https://www.cancer.org.au/about-us/policy-and-advocacy/early-detection/breast-cancer/rosa/key-findings">change</a>.</p> <p>There’s international debate on the <a href="https://www.bmj.com/content/385/bmj.q1353">age</a> women should be invited for screening. But an even larger change being considered worldwide is whether to screen women at <a href="https://www.nature.com/articles/s41416-021-01550-3">high and low risk</a> of breast cancer differently.</p> <p>But what such a “risk-based” approach to screening might look like in Australia is not yet clear.</p> <p>Here’s why researchers and public health officials are floating a change to breast cancer screening in Australia, and what any changes might mean.</p> <h2>Why breast cancer screening may need to change</h2> <p>Mass screening (known as population-based screening) for breast cancer was introduced in Australia and many other developed countries in the 1980s and 90s.</p> <p>This was based on <a href="https://pubmed.ncbi.nlm.nih.gov/26756588/">robust research</a> that found early detection and treatment of cancers before there were symptoms prevented some women from dying from breast cancer.</p> <p>These programs offer regular breast cancer screening to women within a specific age group. For example, <a href="https://www.aihw.gov.au/reports/cancer-screening/national-cancer-screening-programs-participation/contents/breastscreen-australia">in Australia</a>, women aged 40-74 years can have free mammograms (x-rays of the breasts) every two years. The BreastScreen program sends invitations for screening to those aged 50-74.</p> <p>However, evidence has been mounting that mammography screening could be inadvertently causing <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61611-0/abstract">harm</a> for some women.</p> <p>For some, screening causes a false alarm that may cause anxiety, and unnecessary tests and procedures. Even though these tests rule out cancer, these women may remain anxious and perceive something is wrong <a href="https://bmjopen.bmj.com/content/13/4/e072188">for many years</a>.</p> <p>A more insidious harm is <a href="https://theconversation.com/five-warning-signs-of-overdiagnosis-110895">overdiagnosis</a>, where screening detects a non-growing or slow-growing lesion that looks like “cancer” under the microscope, but would not have progressed or caused harm if it had been left alone. This means some women are having unnecessary surgery, radiotherapy and hormone therapy that will not benefit them, but may harm.</p> <p>Although trials have shown screening reduces the risk of dying from breast cancer, questions are being raised about how much it <a href="https://www.bmj.com/content/352/bmj.h6080.abstract">saves lives overall</a>. That is, it’s uncertain how much the reduced risk of dying from breast cancer translates into improvements in a woman’s overall survival.</p> <h2>How about better targeting women?</h2> <p>One idea is to target screening to those most likely to benefit. Under such a “<a href="https://www.nature.com/articles/s41416-021-01550-3">risk-based</a>” approach, a women’s personal risk of breast cancer is estimated. This may be based on her age and many other factors that may include breast density, family history of breast cancer, body-mass index, genetics, age she started and stopped her periods, and the number of children she’s had.</p> <p>Women who are at higher risk would be recommended to start screening at a younger age and to screen more frequently or to use different, more sensitive, imaging tests. Women at lower risk would be recommended to start later and to screen less often.</p> <p>The idea of this more “precise” approach to screening is to direct efforts and resources towards the smaller number of women most likely to benefit from screening via the early detection of cancer.</p> <p>At the same time, this approach would reduce the risk of harm from false positives (detection of an anomaly but no cancer is present) and overdiagnosis (detection of a non-growing or slow-growing cancer) for the larger number of women who are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230256/">unlikely to benefit</a>.</p> <p>On face value this sounds like a good idea, and could be a favourable change for breast cancer screening.</p> <h2>But there’s much we don’t know</h2> <p>However, it’s uncertain how this would play out in practice. For one thing, someone’s future risk of a cancer diagnosis includes the risk of detecting both <a href="https://www.acpjournals.org/doi/10.7326/m17-2792">overdiagnosed cancers</a> as well as potentially lethal ones. This is proving to be a problem in risk-based screening for <a href="https://www.nature.com/articles/s41698-022-00266-8">prostate cancer</a>, another cancer prone to overdiagnosis.</p> <p>Ideally, we’d want to predict someone’s risk of <a href="https://www.thelancet.com/journals/landig/article/PIIS2589-7500(23)00113-9/fulltext">potentially lethal cancers</a> as these are the ones we want to catch early.</p> <p>It is also still uncertain how many women found to be at <a href="https://pubmed.ncbi.nlm.nih.gov/31701797/">low risk</a> will accept a recommendation for <a href="https://pubmed.ncbi.nlm.nih.gov/23092125/">less screening</a>.</p> <p>These uncertainties mean we need robust evidence the benefits outweigh the harms for Australian women before we make changes to the breast cancer screening program.</p> <p>There are several international <a href="https://www.nature.com/articles/s41416-021-01550-3">randomised controlled trials</a> (the gold standard for research) under way to evaluate the effectiveness of risk-based screening compared to current practice. So it may be prudent to wait for their findings before making changes to policy or practice.</p> <p>Even if such trials did give us robust evidence, there are still a number of issues to address before implementing a risk-based approach.</p> <p>One key issue is having enough staff to run the program, including people with the skills and time to discuss with women any concerns they have about their calculated risk.</p> <h2>How about breast density?</h2> <p>Women with dense breasts are at <a href="https://www.sciencedirect.com/science/article/pii/S0960977622001618#:%7E:text=Mammographic%20density%20is%20a%20well,increased%20risk%20of%20breast%20cancer.">higher risk of breast cancer</a>. So notifying women about their breast density has been proposed as a “first step” on the pathway to risk-based screening. However, this ignores the many other factors that determine a woman’s risk of breast cancer.</p> <p>Legislation in the <a href="https://www.fda.gov/radiation-emitting-products/mammography-quality-standards-act-and-program">United States</a> and changes in some <a href="https://australianbreastcancer.org.au/news-stories/latest-news/breast-density-reporting-at-all-sa-clinics/">Australian states</a> mean some women are already being notified about their breast density. The idea is to enhance their knowledge about their breast cancer risk so they can make informed decisions about future screening.</p> <p>But this has happened before we know what the best options are for such women. An <a href="https://www.mja.com.au/journal/2023/219/9/psychosocial-outcomes-and-health-service-use-after-notifying-women-participating">ongoing Australian trial</a> is investigating the effects that breast density notification has on individual women and the health system.</p> <h2>What next?</h2> <p>Robust evidence and careful planning are needed before risk-based screening or other changes are made to Australia’s breast cancer screening program.</p> <p>Where changes are made, there needs to be early evaluation of both the <a href="https://www.bmj.com/content/350/bmj.h1566.abstract">benefits and harms</a>. Programs also need <a href="https://www.bmj.com/content/374/bmj.n2049.long">independent, regular re-evaluation</a> in the longer term.<!-- 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/231917/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/brooke-nickel-200747">Brooke Nickel</a>, NHMRC Emerging Leader Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/katy-bell-134554">Katy Bell</a>, Professor in Clinical Epidemiology, Sydney School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/breast-cancer-screening-in-australia-may-change-heres-what-we-know-so-far-231917">original article</a>.</em></p> </div>

Body

Placeholder Content Image

"A bit grim": Sam Neill shares cancer update

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

Caring

Our Partners