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"Shame on you all": Lydia Thorpe hits back after Senate censure

<p>Independent Senator Lidia Thorpe has spoken out after the Senate voted to censure her over a protest she staged during King Charles' Australian visit.</p> <p>During the monarch's visit to Canberra, Thorpe started yelling from the back of the room following King Charles' speech to a room of political and community leaders at Parliament House's Great Hall. </p> <p>“You committed genocide against our people. Give us our land back. Give us what you stole from us, our bones, our skulls, our babies, our people, you destroyed our land,” Thorpe said during her outburst.</p> <p>“We want a treaty in this country. This is not your land. You are not my King, you are not our King. F*** the colony.”</p> <p>The outburst prompted a vote from the Senate to censure Thorpe - meaning to formally share an expression of the Senate's disapproval - as she responded to the decision on Monday saying, the motion was "a clear articulation of the racism that I continually have to deal with in my workplace."</p> <p>Thorpe said the vote was, "A time where you see Labor and the Liberal party come together to shut down a Blak voice — that’s been happening in this country for over 200 years."</p> <p>The Senate passed a motion 46 votes to 12 to censure her over her actions, as Thorpe entered the Senate chamber after the vote and yelled: "Shame on you all".</p> <p>"If (the king) comes back in, I'll do it again."</p> <p>Thorpe was not present for the vote due to a flight delay, although she said she had contacted Labor minister Don Farrell to ask him to delay the vote but claimed she was "denied my right to be in that chamber whilst everybody else voted to shut me down".</p> <p>Thorpe later told reporters she "did not give a damn" about being censured and tore up a piece of paper with the motion on it.</p> <p>Thorpe said in a statement before the vote took place that that motion showed "where the major parties' priorities lie".</p> <p>"They don't stand with First Peoples in this country. They stand against justice for our people, preferring instead to defend a foreign king, rather than listen to the truth," she said.</p> <p>"In no way do I regret protesting the King ... it is time this country reckons with its history, and puts a stop to the continuing genocide on First Peoples."</p> <p>Image credits: MICK TSIKAS/EPA-EFE/Shutterstock Editorial </p>

Legal

These 12 things can reduce your dementia risk – but many Australians don’t know them all

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/joyce-siette-1377445">Joyce Siette</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a> and <a href="https://theconversation.com/profiles/laura-dodds-1378067">Laura Dodds</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Dementia is a <a href="https://www.abs.gov.au/statistics/health/causes-death/provisional-mortality-statistics/jan-may-2022">leading</a> cause of death in Australia.</p> <p>Although dementia mainly affects older people, it is an avoidable part of ageing. In fact, we all have the power to reduce our risk of developing dementia, no matter your age.</p> <p>Research shows your risk of developing dementia could be <a href="https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext">reduced by up to 40%</a> (and even higher if you live in a <a href="https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(19)30074-9/fulltext">low or middle-income country</a>) by addressing lifestyle factors such as healthy diet, exercise and alcohol consumption.</p> <p>But the first step to reducing population-wide dementia risk is to understand how well people understand the risk factors and the barriers they may face to making lifestyle changes.</p> <p>Our new <a href="https://www.mdpi.com/2673-9259/2/4/21/htm">paper</a>, published this week in the <a href="https://www.mdpi.com/2673-9259/2/4/21/htm">Journal of Ageing and Longevity</a>, found most older people are aware that dementia is a modifiable condition and that they have the power to change their dementia risk.</p> <p>We also found the key barrier to making brain healthy lifestyle choices was a lack of knowledge, which suggests a public awareness campaign is urgently needed.</p> <h2>What we did</h2> <p>We began by <a href="https://www.mdpi.com/2673-9259/2/4/21/htm">reviewing</a> the published research to identify 12 factors shown to reduce dementia risk. We surveyed 834 older Australians about their awareness of the 12 factors, which were:</p> <ol> <li>having a mentally active lifestyle</li> <li>doing physical activity</li> <li>having a healthy diet</li> <li>having strong mental health</li> <li>not smoking</li> <li>not consuming alcohol</li> <li>controlling high blood pressure</li> <li>maintaining a healthy weight</li> <li>managing high cholesterol</li> <li>preventing heart disease</li> <li>not having kidney disease</li> <li>not having diabetes</li> </ol> <p><a href="https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext">The Lancet</a> subsequently published its own list of factors that help reduce dementia risk, which covered much the same territory (but included a few others, such as reducing air pollution, treating hearing impairment and being socially engaged).</p> <p>Of course, there is no way to cut your dementia risk to zero. Some people do all the “right” things and still get dementia. But there is <a href="https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext">good evidence</a> managing lifestyle factors help make it <em>less likely</em> you will get dementia over your lifetime.</p> <p>Our study shows many older Australians are quite aware, with over 75% able to correctly identify more than four of the factors in our list of 12.</p> <p>However, few were able to name the less well-known risk factors, such as preventing heart disease and health conditions like kidney disease.</p> <p>The good news is that close to half of the sample correctly identified more than six of the 12 protective factors, with mentally active lifestyle, physical activity and healthy diet in the top three spots.</p> <h2>Two key issues</h2> <p>Two things stood out as strongly linked with the ability to identify factors influencing dementia risk.</p> <p>Education was key. People who received more than 12 years of formal schooling were more likely to agree that dementia was a modifiable condition. We are first exposed to health management in our school years and thus more likely to form healthier habits.</p> <p>Age was the other key factor. Younger respondents (less than 75 years old) were able to accurately identify more protective factors compared to older respondents. This is why health promotion initiatives and public education efforts about dementia are vital (such as Dementia Awareness Month and <a href="https://www.memorywalk.com.au/">Memory, Walk and Jog initiatives</a>).</p> <h2>How can these findings be used in practice?</h2> <p>Our findings suggest we need to target education across the different age groups, from children to older Australians.</p> <p>This could involve a <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/ajag.13049">whole system approach</a>, from programs targeted at <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858574/#:%7E:text=Family%20Coaching%20has%20specific%20goals,to%20problem%20solve%20challenging%20situations.">families</a>, to educational sessions for school-aged children, to involving GPs in awareness promotion.</p> <p>We also need to tackle barriers that hinder dementia risk reduction. This means doing activities that motivate you, finding programs that suit your needs and schedule, and are accessible.</p> <h2>What does this mean for you?</h2> <p>Reducing your dementia risk means recognising change starts with you.</p> <p>We are all familiar with the everyday challenges that stop us from starting an exercise program or sticking to a meal plan.</p> <p>There are simple and easy changes we can begin with. Our team has developed a program that can help. We are offering limited <a href="https://www.brainbootcamp.com.au/">free brain health boxes</a>, which include information resources and physical items such as a pedometer. These boxes aim to help rural Australians aged 55 years and over to adopt lifestyle changes that support healthy brain ageing. If you’re interested in signing up, visit our <a href="https://www.brainbootcamp.com.au">website</a>.</p> <p>Now is the time to think about your brain health. Let’s start now.<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/191504/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/joyce-siette-1377445">Joyce Siette</a>, Research Theme Fellow, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a> and <a href="https://theconversation.com/profiles/laura-dodds-1378067">Laura Dodds</a>, PhD Candidate, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/these-12-things-can-reduce-your-dementia-risk-but-many-australians-dont-know-them-all-191504">original article</a>.</em></p> </div>

Mind

A glow for every tone: The inclusive summer moisturiser you need

<p dir="ltr">If you’re looking for naturally glowing skin this summer look no further than <a href="https://www.jergens.com/en-au/products/" target="_blank" rel="noopener">Jergens’</a> new Melanin Glow illuminating moisturiser. </p> <p dir="ltr">This is the perfect addition to your skincare routine as it delivers a beautiful, natural glow that is suitable for all skin tones and is impressively long-lasting, even through sweat and a full day out.</p> <p dir="ltr">The standout feature of the <a href="https://www.jergens.com/en-au/products/melanin-glow/" target="_blank" rel="noopener">Melanin Glow range</a> is its unique formulation tailored specifically for women of colour and those with more melanated skin tones.</p> <p dir="ltr">With two radiant options—bronze or gold—this moisturiser offers extra shine for any season or occasion. It's also deeply hydrating, thanks to a blend of shea and cocoa butter, along with coconut oil, leaving skin supple and refreshed.</p> <p dir="ltr">The moisturiser helps even out skin tone and provides an extra glow without needing to tan. </p> <p dir="ltr">Designed to even out skin tone and add a healthy glow without tanning, the moisturiser works best when applied straight out of the shower. The glycerin in the lotion helps lock in moisture, keeping skin hydrated for longer.</p> <p dir="ltr">For those concerned about a sticky-residue that often comes with moisturising lotions, the Melanin Glow Illuminating Moisturiser is exceptionally light on the skin and leaves behind a dessert-like scent. </p> <p dir="ltr">While the gold option may appear bright on warmer skin tones, it adds a fun, luminous touch for a night out. The bronze version, ideal for darker skin tones, creates a more natural look suitable for daily use, and despite its name, complements lighter skin tones as well with its subtle, non-tinted finish.</p> <p dir="ltr">Packaged in a 207ml bottle and priced at an affordable $15.99, this moisturiser offers excellent value for achieving radiant, long-lasting skin.</p> <p dir="ltr">It’s available nationwide at Priceline or on their<a href="https://www.jergens.com/en-au/products/" target="_blank" rel="noopener"> website</a>.</p> <p dir="ltr"><em>Images: Supplied</em></p> <p dir="ltr"> </p>

Beauty & Style

Lessons we can all learn from the "Forgotten Women"

<p>“The greatest underutilised resource in our economy is mothers in their childbearing years,” lawyer <a href="https://womensagenda.com.au/latest/soapbox/time-forgotten-women-australia-rise/">Kate Asher wrote in this publication</a> in 2017.</p> <p>“We have told them since they were little girls that they can achieve anything in life. But after they become mothers, they discover the cruel truth: the system is rigged against them. We all know these women. Many of us are these women – the Forgotten Women.”</p> <p>Sadly, things haven’t changed much in the years since. </p> <p>The Forgotten Women sacrifice so much financially to raise their children – often while also caring for elderly parents or in-laws. The full cost of these sacrifices don’t become apparent until years later. </p> <p><strong>Compounding effects </strong></p> <p>Time away from work means no contributions going into superannuation and inappropriate investments eat away at what they did have. Coming on top of the gender pay gap, it leaves a massive retirement shortfall. </p> <p>Many women returning to paid employment struggle to resume their previous career or full-time work, instead forced into less secure, lower paid part-time and casual jobs. </p> <p>If student loans weren’t repaid before leaving work, those debts have ballooned under years of indexation. </p> <p>We know women bear the brunt of domestic violence. Many marriages end in divorce once grown children leave home. Meanwhile, <a href="https://www.abs.gov.au/statistics/people/population/deaths-australia/latest-release#:~:text=There%2520were%2520183%252C131%2520registered%2520deaths,by%252047%2520deaths%2520to%2520911.">far more men die in their 50s and 60s</a> – their pre-retirement years – than women, leaving many young widows. All these factors see women unexpectedly find their partner is no longer the source of income they had counted on. No wonder women over 55 are <a href="https://womensagenda.com.au/politics/local/advocates-call-on-support-for-older-women-and-dv-survivors-this-world-homelessness-day/">the fastest-growing demographic for homelessness</a> in Australia.</p> <p><strong>What can we learn from this?</strong></p> <p>There are many things we can take away from the traumatic experiences of these much-maligned women. Chief among them: don’t be complacent. Maintain visibility of finances, and take action.</p> <p>As a financial adviser, I have met lots of women; many who only sought advice after finding themselves in a financial black hole. I’m also passionately involved with various causes that support disadvantaged women and those fleeing violence. What strikes me about these women is that they almost unanimously say “I never thought this could happen to me”. And for many it can be preventable.</p> <p>We must be proactive in looking after ourselves – our current AND future selves – which means developing our own financial independence. Simply leaving money matters up to our husband or partner is not an option.</p> <p>We also need to get the message to friends, sisters, colleagues….</p> <p><strong>Breaking the cycle</strong></p> <p>Too many women have sadly come unstuck because they relied on weak financial foundations. Just like the foundations of a house, you need strong foundations on which to build financial independence:</p> <ul> <li>Emergency fund: a ‘get out’ fund should you ever need to flee danger (violence, natural disaster) or your household finances take an unexpected hit (redundancy, illness, another pandemic…). Not having readily available cash in an emergency can leave you stuck or forced to dip into investments or home equity, costing you dearly longer term.</li> <li>Spending and investment plan: more comprehensive than a budget, this plan offers visibility over your incomings, outgoings and assets. Visibility is key to cutting wasteful spending, staying on top of bills, and keeping you aligned on your money goals. Avoid sexually transmitted debt.</li> <li>Insurances: a valuable back-up plan to offset losses and help you recover financially from a disaster – personal and home. For women who are stay-home mums or carers, of particular importance is that your partner has life and income protection insurance, ensuring you can keep a roof over your head should they die or become unable to work, and possibly trauma insurance for yourself.</li> <li>Superannuation: Knowing up-front that you will have nothing going into super while you are not working means you can minimise the shortfall. For instance, consider ‘pre-paying’ extra contributions while you are still earning and/or have your partner make spousal contributions during your time out of work (and have them claim the associated tax benefit), and consider spouse splitting. But know what is happening in his super too, and if in your own business ensure contributions are made for both of you. </li> <li>Estate planning: Ensure your wishes are documented and your children are protected, both after you are gone and in the event you are ever incapacitated. Consider wills, guardianship, power of attorney, superannuation beneficiaries, and tax planning.</li> </ul> <p>With good foundations in place, you can then look to other ways to build your independence.</p> <p>Invest early. Savings and investments you make in your early working years can offset your lack of income once you leave the workforce and continue growing in value for your retirement.</p> <p>Consider upskilling. Distance education allows stay-home parents to obtain new skills and qualifications, enhancing their future employability and earning potential.</p> <p>Stay level-headed in a separation. I’ve seen many women forgo money and investments in favour of keeping the family home, only to realise down the track they can’t afford its upkeep on their own. Or they sign on the dotted line without advice. Remember too that super is part of the joint assets – you could claim part of your ex’s super in the settlement, offsetting your time away from paid work.</p> <p>Finally, consider your approach to parenting. This is 2024: women don’t need to be the sole caregivers. Some couples now both go part-time, allowing them both to maintain a foot in the workforce (and continue earning income and super) while also enjoying time with their youngsters!</p> <p><em><strong>Helen Baker is a licensed Australian financial adviser and author of On Your Own Two Feet: The Essential Guide to Financial Independence for all Women. Helen is among the 1% of financial planners who hold a master’s degree in the field. Proceeds from book sales are donated to charities supporting disadvantaged women and children. Find out more at <a href="http://www.onyourowntwofeet.com.au/">www.onyourowntwofeet.com.au</a></strong></em></p> <p><em><strong>Disclaimer: The information in this article is of a general nature only and does not constitute personal financial or product advice. Any opinions or views expressed are those of the authors and do not represent those of people, institutions or organisations the owner may be associated with in a professional or personal capacity unless explicitly stated. Helen Baker is an authorised representative of BPW Partners Pty Ltd AFSL 548754.</strong></em></p> <p><em><strong>Image credits: Shutterstock </strong></em></p>

Money & Banking

John Farnham tells all about gruelling surgery and recovery

<p>John Farnham has candidly shared the details of his mammoth surgery to remove a cancerous tumour from his jaw, and the subsequent recovery process. </p> <p>Revealing all in his new memoir <em>The Voice Inside</em>, the Aussie music legend spoke about his recent health challenges after he was diagnosed with oral cancer in August 2022 which saw him undergo a marathon 12-hour surgery to the tumour. </p> <p>The procedure involved the reconstruction of part of his jaw and required intensive care and an extended recovery period, as surgeons removed all his bottom teeth and scraped his jaw bone.</p> <p>Farnham’s recounting of the experience in his memoir, marking the first time the music legend has talked publicly about the surgery and his recovery.</p> <p>“I was told later that someone from the medical team called Jillian [Billman, Farnham’s wife] a couple of times while I was in theatre – apparently I was very close to dying,” he said.</p> <p>He went on to write about the lengthy journey of finding his voice again, writing, “My facial disfigurement from the surgery means I can’t open my mouth wide enough for a strip of spaghetti, let alone to sing a top C."</p> <p>"At this stage I can’t get the movement to make the sounds I want to make, and that’s where the vibrations and my voice come from,” he wrote.</p> <p>“It’s still a very disconcerting thing. And trying hurts [...] I can barely open my mouth but I still wail in the shower.”</p> <p>Farnham's memoir comes after his long-time friend Gaynor Wheatley told <em>Today</em> that he has not ruled out the possibility of ever <a href="https://oversixty.com.au/health/caring/longtime-friend-opens-up-on-john-farnham-s-potential-return-to-singing" target="_blank" rel="noopener">performing</a> again. </p> <p>"As soon as I saw him in the studio doing the audiobook and as soon as he got behind the microphone, the twinkle was in the eye," she told the show on Wednesday. </p> <p>"That's when I thought, you know, we're still in with a shot and he can still sing, his voice box is still great, there's just a few more things to do with the mouth recovery, but we all know he's as strong as a boxer so if he wants to do something, he'll do it.</p> <p>"If I say to him, 'You won't sing, you can't sing, what a shame', then he'll go, 'Yes I can, I'll prove you wrong'."</p> <p><em>Image credits: Getty Images / Facebook</em></p>

Caring

‘We’re all Muriel’: why we still love Muriel’s Wedding, 30 years on

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/lisa-french-12625">Lisa French</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>P.J. Hogan’s classic Australian film Muriel’s Wedding is 30 and it plays as well today as it did when it had its world premiere. Muriel might have been “terrible” – but the film was a great success.</p> <p>Australians love to laugh at themselves, and everyone loves an underdog. Muriel’s Wedding took more than A$15 million at the box office in Australia — making it one of the <a href="https://www.screenaustralia.gov.au/fact-finders/cinema/australian-films/feature-film-releases/top-australian-films">highest-grossing</a> Australian feature films of all time.</p> <p>As fun as the film is with its kitsch aesthetic, bold colour palette and garish costumes, it has a unique mix of comedy and serious drama. It slips from the absurd to painful realism, with more depth than your average comedy and a twist in the plot that made it an original take on the genre.</p> <p>While Australians generally have received it as hilarious, audiences elsewhere were more attuned to the tragedy, such as Muriel’s mother Betty’s suicide following relentless bullying, and Rhonda’s illness and disability. But it worked for audiences everywhere who warmed to the representation of friendship, its emotional compassion and critique of the narrow mindedness of small-town communities.</p> <h2>‘We’re all Muriel’</h2> <p>Sometimes it is the stars who can bring in an audience and make a film successful. However, although there were a lot of experienced actors in Muriel’s Wedding, Toni Collette (Muriel) and Rachel Griffiths (Rhonda) – whose performances were exceptional – were both playing lead and supporting roles for the first time in a feature film.</p> <p>It was also Hogan’s first feature, so it is unlikely star power drew in audiences (although all of them were to become stars, and Hogan later directed My Best Friend’s Wedding with Julia Roberts, one of the <a href="https://www.vanityfair.com/hollywood/2018/08/best-romantic-comedies-list">top romantic comedies of all time</a>).</p> <p>It did, however, have a wonderful trailer.</p> <p>I asked Rachel Griffiths what she thought was the key to the film’s success and she identified its universality: it translated for an array of audiences and enabled broad identification.</p> <p>She described the film as having one foot in the grotesque and the other in Ridley Scott’s 1991 getaway heist Thelma & Louise – another film about female friendship, independence and individual growth.</p> <p>Griffiths gave the example of going with the film to New York on its release and discovering it was wildly meaningful to the LGBTQIA+ community. In conversation with a gay man in his late 20s, he described it as a parable for AIDS, which at that time was in full-blown crisis.</p> <p>According to Griffiths, he said: “We’re all Muriel. We don’t fit in.”</p> <figure><iframe src="https://www.youtube.com/embed/laHqRJeXeVU?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Growing up in small towns where they are “the freak”, with closet musical tastes, he said:</p> <blockquote> <p>We’re the outcasts in our family. Our fathers belittle us for being feminine. We escape to the big smoke with the promise of becoming ourselves and following our own journey. We replace our families who have rejected us with our chosen family who celebrate us.</p> </blockquote> <p>And when one of their own is struck suddenly by this terrible affliction, like Rhonda, they are sent home in humiliation, to be looked after, which is their worst fear. The aspiration is to be rescued by the adopted family and taken back to the big city and shown unconditional love.</p> <p>Griffiths says:</p> <blockquote> <p>That’s the ending and the survival story of both Rhonda and Muriel, you go back to that kind of pride moment, to be proud of who you are.</p> </blockquote> <p>For Griffiths, Rhonda and Muriel have “a kind of blood-sister friendship, a bond that can’t be broken”.</p> <p>We all long for that deep acceptance. It is a parable of inclusion, where Muriel and Rhonda truly see and accept each other and themselves.</p> <h2>A feminist film</h2> <p>I asked Griffiths if Muriel’s Wedding was received as feminist when it was released. She replied it wasn’t at the time it was made, but more recently this has come up.</p> <p>Her explanation of why this wasn’t considered 30 years ago is informative regarding film criticism. She elaborated that the critics at the time were 90% male and their take on feminism expected powerful female lead characters who pursue their goals and achieve in the face of competition.</p> <figure><iframe src="https://www.youtube.com/embed/oykn8YgGkJs?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>In this story, there is a girl escaping patriarchal control. Muriel’s father, Bill Heslop (Bill Hunter), is a bully and narcissist who blames everyone else – especially the women – for his failures.</p> <p>Griffiths aligns Muriel to the Cinderella myth because in the beginning she sees her value will only be ascribed to her once she marries. The film, Griffiths said, is “a fundamental kind of feminist journey”.</p> <p>The central focus is Muriel’s personal growth in rejecting ideology that promotes romantic coupling as the pinnacle of happiness for women. Instead Muriel embraces her own worth and her friendship with Rhonda. Marriage is portrayed as a patriarchal structure that ideologically binds women – the marriages are variously fraudulent, starting with Tanya and Chook, then Muriel and, ultimately, her mother.</p> <p>There are many elements that make Muriel’s Wedding an Australian classic, from the universal themes and relatability to how the story is able to extend beyond national borders. The film leaves us with admiration for resilience in the face of adversity, signalled by Muriel and Rhonda grinning assuredly at each other in the final scene.</p> <p>It is a unique and very real comedy/drama with a highly engaging aesthetic and a feminist message. It is an opportunity to laugh at ourselves, despite quite a lot of tragedy and adversity — which is a very Australian thing to do!</p> <p><em>The author wishes to thank Rachel Griffiths who was interviewed in Melbourne on August 17 2020.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236793/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/lisa-french-12625">Lisa French</a>, Professor & Dean, School of Media and Communication, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Miramax</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/were-all-muriel-why-we-still-love-muriels-wedding-30-years-on-236793">original article</a>.</em></p> </div>

Movies

"We all come to an end": Beloved comedian's heartbreaking message from palliative care

<p>Scottish comedian Janey Godley has made an emotional announcement to her social media followers, sharing that she is now in palliative care. </p> <p>Godley was forced to cancel her tour after developing sepsis from her cancer treatments, and is now receiving end of life care after a years long battle with ovarian cancer. </p> <p>"So I'm now in palliative care and I am at end-of-life care now in the hospital," the 63-year-old said in a video posted to Instagram. </p> <p>"The chemo ran out of options, and I just couldn't take any more of it," she continued, adding that the "has spread, so it looks like this will be getting to near the end of it, and it's really difficult to speak about this and say it to people."</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/DAWJ3Qgt-Rx/?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/DAWJ3Qgt-Rx/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Janey Godley (@janeygodley)</a></p> </div> </blockquote> <p>She went on to thank the hospital staff for their efforts, and family and friends for supporting her and husband Sean Storrie and their daughter Ashley through her illness. </p> <p>"It is devastating news to know that I'm facing the end of life but we all come to an end sometime," she continued. </p> <p>"I don't know how long I've got left before anybody asks. I'm not on TikTok so I just want you all to know that I appreciate all the love you've given me."</p> <p>She wished everyone a "lovely Christmas", adding, "I might be here, who knows? But I just want you to know I'm sending all my love to people living with a life-limiting disease."</p> <p>The news comes just weeks after Godley was forced to cancel her tour after developing sepsis while undergoing treatment. </p> <p>An official statement shared, "Janey has been living with stage four ovarian cancer for the past few years and the treatment from the wonderful Scottish NHS has kept the disease at bay, but sadly in the last few weeks the cancer has returned and there have been a few added complications."</p> <p><em>Image credits: Instagram</em></p>

Caring

Aussie icon has all four Olympic medals stolen in brazen robbery

<p>Four-time Olympic champion Drew Ginn has had his medals stolen in a bold robbery. </p> <p>Three gold medals and a silver medal were taken from the rower's Land Rover on Thursday night. </p> <p>Ginn, 49, won medals at four games, one from Atlanta in 1996, Athens in 2004, Beijing in 2008 and London in 2012. </p> <p>The theft occurred between 9pm on Thursday September 6, and 5am Friday September 7, at Docklands in Melbourne's CBD, and police have asked the public to keep an eye out for the medals at pawn shops and online marketplaces. </p> <p>“Mr Ginn’s Olympic medals had been left in his car due to a speaking engagement at a school,” police said. </p> <p>The thief also took a Rip Curl wetsuit, a Go Pro camera, and Sony headphones. </p> <p>Melbourne crime investigation unit Detective Sergeant Timothy Reiher said the medals were “unbelievably rare items with significant sentimental value”.</p> <p>“Olympic medals are awarded to the best of the best and are priceless to their recipients.”</p> <p>“We ask that people look out for these medals in pawn shops and online selling platforms.”</p> <p>Police have released an image of the four medals, and anyone with information has been encouraged to contact Crime Stoppers or make an online report. </p> <p><em>Image: news.com.au/ </em><em>Nic Bothma/EPA/ Shutterstock Editorial</em></p> <p> </p>

Legal

"Weak": Raygun's tell-all interview divides audience

<p>Raygun has finally faced the music after her disappointing Olympics performance, sitting down with <em>The Project</em>'s Waleed Aly to share her side of the story from the breakdancing event in Paris. </p> <p>Rachael Gunn, 37, represented Australia in the breakdancing competition at the Paris Olympics where she failed to score a single point, and her unusual routine quickly went viral around the world. </p> <p>While some people, including Prime Minister Anthony Albanese, thought Raygun gave it her best try, others were quick to call her out for "making a mockery of Australia". </p> <p>In her first exclusive tell-all interview since the Olympics, Raygun told Waleed Aly that the backlash to her performance had a huge impact on her mental health. </p> <p>“I didn’t understand the scale of it,” she said. “I did preview some comments and I was like, ‘Oh, no’, and this kind of sick feeling started coming out. I was like, ‘Oh, goodness! What has happened?’”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C_fbu5PvItj/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C_fbu5PvItj/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a></p> </div> </blockquote> <p>“That was really wild,” Gunn said. “If people are chasing me, what do I do? But that really did put me in a state of panic for a while after that and I was quite nervous being out in public because I just didn’t know what was safe, if anyone was going to recognise me, how they were going to respond to seeing me."</p> <p>“And it was pretty nerve-racking for a while there.”</p> <p>She went on to say that the hate she received, both in person and online, took a toll. </p> <p>“It was really sad, how much hate that it did evoke,” she said. “There’s been a portion of very angry and awful responses, not only attacking me but attacking my husband, attacking my crew, attacking the breaking and street dance community in Australia, my family. The energy and vitriol that people had was pretty alarming.”</p> <p>Despite her candid answers on <em>The Project</em>, the interview as a whole divided audiences, as some viewers were unhappy with the style of interviewing, claiming Waleed hadn't gone hard enough on her and saying that Raygun is still not taking any accountability for "making a mockery" of Australia and hip-hop culture.</p> <p>"Weak AF interview," one person raged on Facebook. "Just another absolute p***take by her and Waleed's questions."</p> <p>"Of course it will be a Waleed interview. Let Steve Price ask her a few questions," someone else commented, with another agreeing, "Pity Steve Price didn't do the interview."</p> <p>"No apology for making a mockery of the breaking hip-hop culture. And there are other female breakers who are much more talented," one person said. "She needs to apologise for taking the place of talented dancers. She’s an embarrassment that scored a zero. That has to be a first," someone else ranted.</p> <p>Not everyone had a problem with the line of questioning, with some labelling Waleed as "kind and respectful".</p> <p>"Very well done, and very kind interview. You asked some tough questions, and she gave some tough answers," one person said. "Bravo, Waleed, that was a wonderful interview. You were probing but also kind and respectful," someone else commended. </p> <p><em>Image credits: The Project/Paul Kitagaki, Jr/ZUMA Press Wire/Shutterstock</em></p>

All the reasons a cup of coffee really can be good for you

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/justin-stebbing-1405462">Justin Stebbing</a>, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p>Consuming too much caffeine is definitely bad for your health, and there may be good reasons why some people want to <a href="https://theconversation.com/caffeine-heres-how-quitting-can-benefit-your-health-220746">quit it altogether</a>. But if you despair at the idea of giving up your morning coffee, fear not.</p> <p>There’s lots of research out there to show that moderate coffee intake is linked with all sorts of benefits. As well as well-known pluses improving heart health, a daily cup of coffee even seems to be good for your brain and may help prevent mental illness.</p> <p>For a start, coffee contains several essential nutrients beneficial to <a href="https://pubmed.ncbi.nlm.nih.gov/37764216/">overall health</a>. A typical eight-ounce cup of coffee provides small amounts of B <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8073624/">vitamins</a> – riboflavin, pantothenic acid, thiamine and niacin – as well as minerals <a href="https://pubmed.ncbi.nlm.nih.gov/25415479/">potassium, manganese, and magnesium</a>. The nutrients in coffee can contribute significantly to daily intake when multiple cups are consumed.</p> <p>It’s also rich in <a href="https://pubmed.ncbi.nlm.nih.gov/36361861/">antioxidants</a>. In fact, many people – especially in the west – will probably get more antioxidants from coffee than from fruit and vegetables.</p> <p>So what does drinking coffee actually mean for the body? One of the most <a href="https://www.ncbi.nlm.nih.gov/books/NBK209050/">well-known</a> potential benefits of coffee is its ability to <a href="https://theconversation.com/nope-coffee-wont-give-you-extra-energy-itll-just-borrow-a-bit-that-youll-pay-for-later-197897">boost energy levels</a> and improve mental <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608989/">alertness</a>, especially first thing in the morning or during an afternoon slump.</p> <p>This is primarily due to caffeine, a natural stimulant found in coffee, which blocks the brain’s <a href="https://www.news-medical.net/health/What-is-Adenosine.aspx#:%7E:text=In%20the%20brain%20adenosine%20is,the%20brain%20rise%20each%20hour.">inhibitory neurotransmitter adenosine</a>, which promotes sleep and suppresses arousal. This leads to increased neuronal firing and the <a href="https://pubmed.ncbi.nlm.nih.gov/1356551/">release</a> of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462609/">neurotransmitters</a> like <a href="https://www.ncbi.nlm.nih.gov/books/NBK223808/">dopamine</a> and <a href="https://www.ncbi.nlm.nih.gov/books/NBK537259/">norepinephrine</a>, which enhance mood, reaction time and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202818/">cognitive function</a>.</p> <p>However, sometimes it’s difficult to work out cause and effect here. People drink coffee at work, for example, and in social settings with friends so research has to tease out the effects of the coffee and those of the social aspect of sharing time with friends and colleagues.</p> <figure><iframe src="https://www.youtube.com/embed/I9xzgV7z1Bg?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Chronic diseases</h2> <p>In the long term, moderate coffee consumption can help reduce your risk of developing a host of chronic diseases.</p> <p><strong>1. Cardiovascular diseases</strong></p> <p>Moderate coffee consumption is associated with a reduced risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10262944/">heart disease and stroke</a>. Studies indicate that drinking one to two cups of coffee daily may lower the risk of heart failure. Additionally, <a href="https://www.acc.org/About-ACC/Press-Releases/2022/03/23/17/55/Good-News-for-Coffee-Lovers-Daily-Coffee-May-Benefit-the-Heart">coffee consumption</a> has been linked to a lower risk of cardiovascular mortality and disease. Interestingly, even when someone has abnormal heart rhythms, <a href="https://www.heart.org/en/news/2024/03/01/can-people-with-an-irregular-heartbeat-drink-coffee">coffee is not harmful</a> according to <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2204737">recent</a> data.</p> <p><strong>2. Type 2 diabetes</strong></p> <p>Coffee may enhance the body’s ability to process glucose, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0939475321002374">reducing the risk</a> of developing type 2 diabetes. Research has shown that people who consume more coffee have a <a href="https://www.healthline.com/health/coffee-s-effect-diabetes">lower likelihood</a> of developing this condition.</p> <p><strong>3. Liver diseases</strong></p> <p>Coffee seems to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440772/">help protect</a> the liver appears to have protective. Both regular and decaffeinated coffee have been associated with healthier liver enzyme levels, and coffee drinkers have a <a href="https://britishlivertrust.org.uk/coffee-report/">significantly lower risk</a> of liver cirrhosis and liver cancer.</p> <p><strong>4. Cancer</strong></p> <p>Coffee consumption has been linked to a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9916720/">reduced risk</a> of several other types of cancer, including colorectal and womb cancers. A systematic review found that high coffee consumption is associated with an 18% lower risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696634/">cancer</a>.</p> <p><strong>5. Neurodegenerative diseases</strong></p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7773776/">Caffeine</a> is associated with a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353179/">lower risk</a> of developing Parkinson’s disease and may help those with the condition manage their movements better. Additionally, coffee consumption may reduce the risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690364/">Alzheimer’s disease</a> and other forms of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478584/">dementia</a>.</p> <h2>Mental health</h2> <p>As if the physical benefits aren’t enough, coffee has also been shown to have <a href="https://www.webmd.com/mental-health/news/20230915/moderate-coffee-intake-lowers-risk-of-anxiety--depression">positive</a> effects on <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8467199/">mental health</a>. Studies suggest that coffee drinkers have a lower risk of depression, with some findings indicating a 20% reduced risk of becoming depressed.</p> <p>What’s more, coffee consumption has been associated with a decreased risk of suicide. Research has found that people who drink four or more cups a day are 53% less likely to commit <a href="https://pubmed.ncbi.nlm.nih.gov/23819683/">suicide</a>.</p> <figure><iframe src="https://www.youtube.com/embed/62wEk02YKs0?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Lifespan</h2> <p>With all these benefits, it’s not surprising that <a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2686145">research suggests</a> that coffee drinkers tend to live longer than non-drinkers. A large study involving over 400,000 people found that coffee consumption over a period of 12 to 13 years was linked to a lower risk of death – with the strongest effect observed at four to five cups per day.</p> <p>This longevity <a href="https://www.nejm.org/doi/pdf/10.1056/NEJMoa1112010">benefit</a> could be due to the cumulative effects of coffee’s protective properties against various diseases.</p> <h2>Moderation required</h2> <p>While coffee offers numerous <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696634/">health benefits</a>, it is essential to consume it in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696634/">moderation</a>. It’s also advisable to limit added sugars and creams to avoid unnecessary calorie intake.</p> <p><a href="https://www.healthline.com/nutrition/caffeine-side-effects">Excessive caffeine</a> intake can lead to negative side effects such as jitteriness, anxiety and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292246/">sleep disturbances</a>. Some people who are especially sensitive to caffeine may need to limit their coffee intake or avoid it altogether, as even decaffeinated coffee <a href="https://www.healthline.com/nutrition/caffeine-in-decaf">contains caffeine</a>.</p> <p>As with any dietary component, balance is key. By understanding the potential benefits and limitations of coffee, people can make informed decisions about incorporating it into their daily routine.</p> <p>I, for one, will be sticking to my morning cup.<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/236852/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/justin-stebbing-1405462">Justin Stebbing</a>, Professor of Biomedical Sciences, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p><em>Image </em><em>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/all-the-reasons-a-cup-of-coffee-really-can-be-good-for-you-236852">original article</a>.</em></p> </div>

Body

Australia’s IV fluids shortage will likely last all year. Here’s what that means for surgeries

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/stuart-marshall-1115779">Stuart Marshall</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722"><em>The University of Melbourne</em></a></em></p> <p>The current <a href="https://www.tga.gov.au/about-IV-fluids-shortages">shortage of sterile intravenous (IV) fluids</a> is a serious ongoing concern for doctors across Australia. During surgery, these sterile fluids are essential to administer drugs and hydrate patients intravenously (via the veins).</p> <p>But supplies of two of the most common solutions are critically low.</p> <p>The Australian government has recently moved to <a href="https://www.theguardian.com/australia-news/article/2024/aug/16/australia-iv-fluid-shortage-government-distribution">coordinate supplies</a> of IV fluids to increase manufacturing and ensure distribution. Despite this, supplies are not expected to return to normal levels <a href="https://www.health.gov.au/sites/default/files/2024-08/joint-statement-on-iv-fluids-health-ministers-meeting-16-august-2024.pdf">until the end of the year</a>.</p> <p>So, what will this mean for surgery in Australia? And are there any alternatives?</p> <h2>Why do we need IV fluids for surgery?</h2> <p>IV fluids are used before, during and after surgery to maintain blood volume and the body’s normal functions. They also combat dehydration, which can happen in a number of ways.</p> <p>Before surgery, patients may become dehydrated from illnesses that cause vomiting or diarrhoea. They are also asked to stop eating and drinking for several hours before surgery. This is to minimise the risk of stomach contents being regurgitated and inhaled into the lungs – a <a href="https://my.clevelandclinic.org/health/diseases/21954-aspiration-pneumonia">complication that can cause injury or death</a>. But it can also make them more dehydrated.</p> <p>During surgery, the body continues to lose fluid through normal processes such as sweating and making urine. But some aspects of surgery also exacerbate dehydration, for example, through blood loss or when internal organs are exposed and lose more fluid through evaporation.</p> <p>After the operation, IV fluids may be required for some days. Many patients may still be unable to eat and drink until the function of the gut returns to normal.</p> <p>Multiple research studies, including <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1801601">a trial </a>of 3,000 patients who underwent major abdominal surgery, have demonstrated the importance of adequate fluid therapy throughout all stages of surgery to avoid kidney damage.</p> <p>Apart from hydration, these sterile fluids – prepared under strict conditions so they contain no bacteria or viruses – are used in surgery for other reasons.</p> <p>Anaesthetists commonly use fluid infusions to slowly deliver medications into the bloodstream. There is some evidence this method of maintaining anaesthesia, compared to inhalation, can improve patients’ experience of “waking up” after the procedure, <a href="https://medcast.com.au/blog/total-intravenous-anaesthesia-tiva">such as being clearer headed and having less nausea and vomiting</a>.</p> <p>Surgeons also use sterile fluids to flush out wounds and surgical sites to prevent infection.</p> <h2>Are there workarounds?</h2> <p>Fluid given intravenously needs to closely resemble the salts in the blood to prevent additional problems. The safest and cheapest options are:</p> <ul> <li>isotonic saline, a solution of water with 0.9% table salt</li> <li>Hartmann’s solution (compound sodium lactate), which combines a range of salts such as potassium and calcium.</li> </ul> <p>Both are <a href="https://www.tga.gov.au/about-IV-fluids-shortages">in short supply</a>.</p> <p>One way to work around the shortage is to minimise how much IV fluid is used during the procedure. This can be achieved by ensuring those admitted to surgery are as well hydrated as possible.</p> <p>Many people presenting for minor surgery can safely drink water up until an hour or so before their operation. A recent initiative termed “<a href="https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15855">sip ‘til send</a>” has shown it is safe for patients to drink small amounts of fluid until the operating theatre team “sends” for them from the waiting room or hospital ward.</p> <p>However, this may not be appropriate for those at higher risk of inhaling stomach contents, or patients who take medications including <a href="https://www.journal.acorn.org.au/cgi/viewcontent.cgi?article=1291&context=jpn">Ozempic</a>, which delay the stomach emptying. Patients should follow their anaesthetist’s advice about how to prepare for surgery and when to stop eating and drinking.</p> <p>Large research trials have also helped establish protocols called “<a href="https://www.bjanaesthesia.org/article/S0007-0912(17)53976-8/fulltext">enhanced recovery after surgery</a>”. They show that using special hydrating, carbohydrate-rich drinks before surgery can improve patients’ comfort and speed up healing.</p> <p>These protocols are common in <a href="https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/736617/ERAS-Key-principles-for-colorectal-surgery.pdf">major bowel surgery</a> in Australia but not used universally. Widespread adoption of these processes may reduce the amount of IV fluids needed during and after large operations, and help patients return to normal eating and drinking earlier. Medications reducing nausea and vomiting are now also routinely administered after surgery to help with this.</p> <h2>What will the shortage mean for surgeries?</h2> <p>The Australian and New Zealand College of Anaesthetists <a href="https://www.anzca.edu.au/news/guidance-on-sparing-of-intravenous-fluid-use">has advised anaesthetists</a> to reduce the consumption of fluid during operations where there might be limited or minimal benefit. This means that the fluid will only be used for people who need it, without a change to the quality and safety of anaesthetic care for any patient.</p> <p>Even with these actions, there is still a chance that some planned surgeries may <a href="https://www.abc.net.au/news/2024-08-15/iv-fluid-shortage-elective-urgery-delays/104225280">need to be postponed</a> in the coming months.</p> <p>If needed, these cancelled operations will likely be ones requiring large volumes of fluid and ones that would not cause unacceptable risks if delayed. Similar to cancellations during the height of the COVID pandemic, emergency operations and surgery for cancers are unlikely to be affected.</p> <p>Monitoring of the supplies and ongoing honest and open dialogue between senior health managers and clinicians will be crucial in minimising the disruption to surgical services.<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/237009/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/stuart-marshall-1115779">Stuart Marshall</a>, Associate Professor, Department of Critical Care, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australias-iv-fluids-shortage-will-likely-last-all-year-heres-what-that-means-for-surgeries-237009">original article</a>.</em></p> </div>

Body

"All or nothing": Arisa Trew shatters records to become Australia's youngest Olympic Gold Medallist

<p>Arisa Trew from the Gold Coast has made history by becoming Australia's youngest-ever medallist, clinching gold in the women's park skateboarding final at the Paris 2024 Olympics.</p> <p>At just 14 years and 90 days old, Trew has broken a 68-year-old record, previously held by swimmer Sandra Morgan from the Melbourne 1956 Olympics.</p> <p>Born on May 12, 2010, Trew is too young to vote, drink or even stay at the Olympic village. However, these limitations did not hinder her from delivering an extraordinary performance when it mattered most.</p> <p>Heading into her third and final run, Trew was in the bronze medal position and poised for a podium finish. However, her most impressive performance was yet to come. "My coach, Trev, he was just like, 'you've just got to go all out," she told Nine News after being crowned champion. "And I was just like, 'yep, who cares? Just all or nothing.'"</p> <p>With a remarkable score of 93.18 in her final run, Trew soared into the top spot. She then faced a tense wait as the higher-qualified skaters attempted to surpass her score. Despite the pressure, Trew showed sportsmanship by cheering on her competitors.</p> <p>After clinching the gold, the young athlete said, “I got told by a few people that I’m Australia’s youngest gold medallist, which is, like, pretty insane and really cool, because that’s, like, who I’m representing and, like, it’s just amazing.</p> <p>“It’s just, like, super cool that I have won the gold medal because it has been like a dream. I’m just, like, so excited.”</p> <p>This victory makes Trew Australia's youngest-ever medallist. The previous record had stood for 68 years since Sandra Morgan won gold in the women's 4x100m freestyle relay at the age of 14 years and 184 days. Trew, at 14 years and 90 days, has also become the youngest athlete to medal at Paris 2024 so far.</p> <p><em>Images: Nine News</em></p>

International Travel

Castor oil is all the rage among health influencers – what you need to know about this alternative remedy

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/veronique-seidel-1542416">Veronique Seidel</a>, <a href="https://theconversation.com/institutions/university-of-strathclyde-1287"><em>University of Strathclyde</em> </a></em></p> <p>Castor oil, which was once used by fascists in Italy as <a href="https://www.rcpe.ac.uk/remoteandruralremedies/activities/exhibitions/medicines.html#:%7E:text=Due%20to%20its%20use%20as,the%20bludgeon%20and%20castor%20oil'.">punishment</a> because of its quick-acting laxative effect, is now a weight-loss trend on TikTok. Not drinking it, but rubbing it on your belly.</p> <p>Influencers are also pouring it in their belly buttons and wrapping towels soaked in it around their midriff. They claim it can <a href="https://www.tiktok.com/@karinawaldron/video/7333667470756072709?lang=en">melt belly fat</a> and <a href="https://www.tiktok.com/@sarahjmce/video/7322670147473362207?lang=en&q=castor%20oil&t=1716463274921">help with bloating</a>.</p> <p>Castor oil – made from the beans of the castor plant – is an ancient medicine. References to it appear in an ancient Egyptian medical text called the <a href="https://www.nationalgeographic.com/premium/article/castor-oil-real-health-benefits">Ebers Papyrus</a> (1550BC). It was used as a laxative and to treat various skin conditions. Cleopatra is said to have <a href="https://www.washingtonpost.com/lifestyle/wellness/cleopatra-used-it-as-a-beauty-aid-now-castor-oil-is-staging-a-cosmetics-comeback/2019/07/05/2d457584-92c5-11e9-aadb-74e6b2b46f6a_story.html?itid=sr_1_4c3daa8b-2b15-41d9-9b45-f1b2af1d7cf7">used it</a> in her hair and to brighten the whites of her eyes.</p> <p>The odourless oil is rich in a fatty substance called ricinoleic acid that strongly stimulates bowel movements. Today, it is an approved <a href="https://dps.fda.gov/omuf/monographsearch/monograph_m007">over-the-counter remedy</a> in some countries for short-term constipation and is used for cleansing the bowel before medical examinations. However, there’s not much scientific evidence to indicate that this laxative effect is better than other commonly used laxatives, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3862068/">senna</a> – which has also been used for centuries.</p> <p>Other reported traditional uses for the oil include as a cure for sore and itchy eyes, to relieve joint and period pain, and as a means to induce labour. But, again, the evidence for these things is scant.</p> <p>Castor oil isn’t just imbibed, it is also widely used in skin creams, hair conditioners and other cosmetic products, such as lipsticks. It is used to moisturise, soothe irritated skin and reduce the appearance of wrinkles. Its moisturising properties have been attributed to ricinoleic acid.</p> <p>As part of haircare products, it is said to help with hair loss and dandruff.</p> <p>But taking castor oil as a standalone product is not risk free. The main side-effects of imbibing the oil are abdominal cramps, vomiting, bloating and dizziness.</p> <p>Vulnerable people, such as the elderly, babies, pregnant or breastfeeding women, and those with liver or kidney failure should avoid taking castor oil. As should anyone with inflammatory bowel disease, appendicitis or gastrointestinal obstruction or perforation.</p> <p>The side-effects of castor oil can also be exacerbated in people with <a href="https://www.degruyter.com/document/doi/10.1515/jom-1988-880520/html">eating disorders</a> who may choose to use the oil to lose weight by speeding up the passage of food through the gut.</p> <p>However, if you want to apply the oil to your skin or scalp, proceed with caution. In some people, it can trigger an allergic reaction.</p> <p>It is always advised to apply a small amount of pure castor oil or a castor oil-containing cosmetic product onto a small patch of skin. If there is no allergic reaction after 24 hours, then it can be assumed that the product can be applied safely to a larger area of the body.</p> <p>Ultimately, though, there are generally safer and better remedies out there. And rubbing it on your belly – sadly – won’t melt the fat.<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/232782/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/veronique-seidel-1542416">Veronique Seidel</a>, Senior Lecturer, Pharmacy and Biomedical Sciences, <a href="https://theconversation.com/institutions/university-of-strathclyde-1287">University of Strathclyde</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/castor-oil-is-all-the-rage-among-health-influencers-what-you-need-to-know-about-this-alternative-remedy-232782">original article</a>.</em></p> </div>

Body

Prince George looks all grown up in new birthday portrait

<p>Prince George is 11! </p> <p>The Princess of Wales has celebrated her son's birthday by sharing a new portrait of the young royal on social media. </p> <p>“Wishing Prince George a very happy 11th birthday today!” she captioned the black and white photo of George looking all grown up in a button up shirt and black blazer. </p> <p>Royal fans also flooded the comment section with happy birthday wishes for the young monarch. </p> <p>"This picture is so beautiful, he is growing up so fast! I wish the happiest birthday to Prince George, have the best day," one wrote</p> <p>"Prince George looks so much like his Dad," another added.</p> <p>"HE'S GROWING UP SO FAST! I can't believe! Happy birthday George!" a third commented.</p> <p>"Happy birthday! I hope you have so much fun," a fourth wrote. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/C9t-OYdNdUb/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C9t-OYdNdUb/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a></p> </div> </blockquote> <p>This comes as Prince George's godmother, Julia Samuels revealed the young royal's birthday tradition that was inspired by the late Princess Diana. </p> <p>Speaking on the <em>How to Fail with Elizabeth Day</em> podcast, she shared that each year she buys noisy toys for George that take the Prince of Wales "days to put together" in a running joke inspired by Diana. </p> <p>"I come in slightly tipped by the size of the present that William then has to spend days putting together," she said. </p> <p>"And then put all the machinery together and it makes awful tooting noises and lights flashing and all of that. That makes me laugh and it makes George laugh."</p> <p>She also praised the young prince saying: “He is amazing. He’s funny and feisty and cheeky and God she [Diana] would have loved him so much.</p> <p>“That is heartbreaking for all of them.”</p> <p>Julia Samuels is one of seven godparents for Prince George, and she was a close friend of Princess Diana, who she met at a dinner party in 1987. </p> <p><em>Images: Instagram</em></p> <p> </p>

Family & Pets

"Rest in love": All Blacks legend and Dancing with the Stars winner dies at 55

<p>The sports and entertainment communities are mourning the loss of former All Blacks hooker and <em>Dancing with the Stars</em> winner Norm Hewitt, who has passed away at the age of 55.</p> <p>Hewitt, a beloved figure both on and off the rugby field, succumbed to a lengthy battle with motor neurone disease, as confirmed by his family in a heartfelt statement.</p> <p>"Although rugby dominated his early life, he established a thriving human relations consultancy after retirement, and his services were much in demand both nationally and internationally," his family shared. "He walked confidently in both Māori and Pākehā worlds and was a particular role model for troubled youth, citing his own background, and offering inspirational teachings that one’s present life need not be one’s future."</p> <p>Hewitt leaves behind his wife Arlene and their two children, Elizabeth and Alexander. Born and raised in Pōrangahau, southern Hawke’s Bay, Hewitt's rugby career was nothing short of illustrious. Over 13 seasons, he played 296 representative matches for Hawke’s Bay, Southland and Wellington, earning 23 caps for the All Blacks. Hewitt was also a pivotal member of the Hurricanes during the formative years of Super Rugby, missing only one match in the first five years.</p> <p>The rugby community has been profoundly affected by Hewitt's passing. Former teammate Ofisa Tonu’u posted a touching tribute on Facebook: "I’m just devastated finding out the news today. I will never forget how you always stuck up for me during the Black Tracker days when no one else would, you always look after all the players and we always followed you into battle. No more pain, brother, you can now rest in Love. Fa’afetai tele lava my uso for having my back as I did yours. I know the other boys will be welcoming you with open arms at the gates. Rest in Love, Normy."</p> <p>Beyond his rugby career, Hewitt transitioned into a public speaker and mentor, focusing heavily on violence prevention programmes and advocacy. He worked with the SPCA as an animal cruelty and anti-violence publicity officer, visiting schools to spread his message. In 2005, Hewitt showcased his versatility by winning the first season of<em> Dancing with the Stars</em> alongside professional dancer Carol-Ann Hickmore.</p> <p>Hewitt's life was not without its struggles. In 1999, he made a public apology for a drunken incident in Queenstown, marking a turning point as he renounced alcohol and dedicated himself to helping others facing similar challenges.</p> <p>The outpouring of tributes was immediate, with The All Blacks expressing their sorrow: “We are saddened by the loss of All Black #938 Norm Hewitt who passed away yesterday in Wellington. Hewitt played 9 Tests and 14 Games between 1993 and 1998. Our thoughts are with Norm’s family and loved ones at this time.”</p> <p>Podcaster Martin Devlin shared his personal experience: “RIP Norm Hewitt. Not a lot of people know how kind & generous this man was. A truly wonderful person. Reached out to me and helped me considerably a long time ago when things were very rough. Love & respect.”</p> <p>Richard Hills echoed the sentiments of many: “This is bloody sad. A sad way to lose a kiwi icon so young. He had a really rough childhood and upbringing and faced it and turned his life around to become not only a rugby legend but also helped others who’d been through similar issues.”</p> <p>Norm Hewitt’s legacy will endure through the lives he touched and the positive change he inspired. His story is a testament to the strength of the human spirit and the profound impact one individual can have on the world.</p> <p><em>Image: Radio New Zealand</em></p>

Caring

Daughter of former All Black charged over alleged hit and run death

<p>The daughter of former New Zealand All Black has been charged over an alleged hit and run that left a 65-year-old man dead in Auckland. </p> <p>Helena Jade Cribb, the daughter of Ron Cribb, was charged earlier this year after Jason Collins' body was found by a member of the public on O'Brien Rd, Lucas Heights in the early hours of December 7. </p> <p>The 22-year-old previously had a name suppression, which has now lapsed. </p> <p>Earlier this year, Detective Sergeant Ben Bergin said the driver allegedly involved had been identified not long after Collins' death. </p> <p>"A thorough investigation has been underway into the tragic circumstances by the Waitematā CIB and we have reached a point where charges have been filed," Bergin said.</p> <p>Collins has been remembered as a devoted father, husband and friend. </p> <p>"The tragic loss of Jason has left an unfillable void in our hearts," a statement on behalf of his family read. </p> <p>"...his absence is a constant ache, a relentless reminder of what we've lost.</p> <p>"Taken from us too soon, his departure is a profound and senseless blow that we struggle to comprehend.</p> <p>"Each day is a battle against the overwhelming emptiness left in his wake.</p> <p>"We ask for privacy at this time as we continue to grieve."</p> <p>The 22-year-old reportedly faces a charge of operating a vehicle carelessly, causing death while under the influence of alcohol or drugs. </p> <p>She is set to reappear in court in September. </p> <p><em>Image: NZ Police</em></p> <p> </p>

Legal

Former All Blacks star dies at 58

<p>Former All Black and Canterbury stalwart Shayne Philpott has died aged 58. </p> <p>The former New Zealand rugby union player died on Tuesday after a medical event. </p> <p>Philpott was All Black No.895 and a prolific points scorer during a decade-long career for Canterbury, playing 113 games for them. </p> <p>His death has been confirmed by New Zealand Rugby. </p> <p>"Our thoughts are with the family and loved ones of former All Black Shayne Philpott, who has passed away aged 58," their tribute read on social media. </p> <p>"Philpott played 14 matches for the All Blacks between 1988-1991, and was a stalwart of Canterbury rugby. </p> <p>"Rest in love All Black #895 🖤"</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Our thoughts are with the family and loved ones of former All Black Shayne Philpott, who has passed away aged 58.</p> <p>Philpott played 14 matches for the All Blacks between 1988-1991, and was a stalwart of Canterbury rugby.</p> <p>Rest in love All Black #895 🖤 <a href="https://t.co/M7IcglhhxW">pic.twitter.com/M7IcglhhxW</a></p> <p>— New Zealand Rugby (@NZRugby) <a href="https://twitter.com/NZRugby/status/1805737931849572842?ref_src=twsrc%5Etfw">June 25, 2024</a></p></blockquote> <p>Philpott started playing for Canterbury in 1986 at the age of 20, before being selected by the All Backs and making his debut on the 1988 tour of Australia. </p> <p>He played 12 games and two Tests for the All Blacks, and was known for his versatility as he could fill most positions in the backline. </p> <p>Loved ones have paid tribute to the rugby player and father. </p> <p>“It is with a very heavy heart that we share the shocking news of Shayne Philpott’s passing today ..." one family member wrote on Facebook. </p> <p>“A much-loved father and brother. Rest in peace brother.”</p> <p>“It’s just unfathomable…,” another emotional tribute read. </p> <p>“Shayne Philpott you have been the epitome of humbleness and decency. I will miss you at celebrations, with your great yarns and humour.</p> <p>“I’m just so terribly sad we don’t get to say goodbye, and to thank you for being you. You are gone way too soon my friend. Rest in peace and love, you wonderful human xox.”</p> <p><em>Images: Twitter</em></p> <p> </p>

Caring

With all this bird flu around, how safe are eggs, chicken or milk?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/enzo-palombo-249510">Enzo Palombo</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p>Recent outbreaks of bird flu – in <a href="https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm">US dairy herds</a>, <a href="https://www.abc.net.au/news/rural/2024-06-04/third-victorian-poultry-farm-declares-outbreak-avian-influenza/103932694">poultry farms in Australia</a> and elsewhere, and <a href="https://theconversation.com/bird-flu-is-hitting-australian-poultry-farms-and-the-first-human-case-has-been-reported-in-victoria-heres-what-we-know-230691">isolated cases</a> <a href="https://www.statnews.com/2024/05/30/bird-flu-third-case-human-infection-caused-respiratory-symptoms/">in humans</a> – have raised the issue of food safety.</p> <p>So can the virus transfer from infected farm animals to contaminate milk, meat or eggs? How likely is this?</p> <p>And what do we need to think about to minimise our risk when shopping for or preparing food?</p> <h2>How safe is milk?</h2> <p>Bird flu (or avian influenza) is a bird disease caused by specific types of influenza virus. But the virus can also infect cows. <a href="https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm">In the US</a>, for instance, to date more than 80 dairy herds in at least nine states have been infected with the H5N1 version of the virus.</p> <p>Investigations are <a href="https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/livestock">under way</a> to confirm how this happened. But we do know infected birds can shed the virus in their saliva, nasal secretions and faeces. So bird flu can potentially contaminate animal-derived food products during processing and manufacturing.</p> <p>Indeed, fragments of bird flu genetic material (RNA) were found in <a href="https://theconversation.com/how-bird-flu-virus-fragments-get-into-milk-sold-in-stores-and-what-the-spread-of-h5n1-in-cows-means-for-the-dairy-industry-and-milk-drinkers-228689">cow’s milk</a> from the dairy herds associated with <a href="https://www.statnews.com/2024/05/30/bird-flu-third-case-human-infection-caused-respiratory-symptoms/">infected US farmers</a>.</p> <p>However, the spread of bird flu among cattle, and possibly to humans, is likely to have been caused through contact with <a href="https://www.agriculturedive.com/news/contaminated-milk-equipment-potential-source-of-bird-flu-spread-to-cattle/712555/">contaminated milking equipment</a>, not the milk itself.</p> <p>The test used to detect the virus in milk – which uses similar PCR technology to lab-based COVID tests – is also highly sensitive. This means it can detect very low levels of the bird flu RNA. But the test does not distinguish between live or inactivated virus, just that the RNA is present. So from this test alone, we cannot tell if the virus found in milk is infectious (and capable of infecting humans).</p> <p>Does that mean milk is safe to drink and won’t transmit bird flu? Yes and no.</p> <p>In Australia, where bird flu has not been reported in dairy cattle, the answer is yes. It is safe to drink milk and milk products made from Australian milk.</p> <p>In the US, the answer depends on whether the milk is <a href="https://www.sciencedirect.com/science/article/abs/pii/B978184569216250013X?via%3Dihub">pasteurised</a>. We know pasteurisation is a common and reliable method of destroying concerning microbes, including influenza virus. Like most viruses, influenza virus (including bird flu virus) is inactivated by heat.</p> <p>Although there is little direct research on whether pasteurisation inactivates H5N1 in milk, we can extrapolate from what we know about heat inactivation of H5N1 in <a href="https://www.sciencedirect.com/science/article/pii/S0362028X22060732?via%3Dihub">chicken</a> and <a href="https://www.mdpi.com/2036-7481/13/4/60">eggs</a>.</p> <p>So we can be confident there is no risk of bird flu transmission via pasteurised milk or milk products.</p> <p>However, it’s another matter for unpasteurised or “raw” US milk or milk products. A recent <a href="https://www.nejm.org/doi/full/10.1056/NEJMc2405495">study</a> showed mice fed raw milk contaminated with bird flu developed signs of illness. So to be on the safe side, it would be advisable to avoid raw milk products.</p> <h2>How about chicken?</h2> <p>Bird flu has caused sporadic outbreaks in wild birds and domestic poultry worldwide, including <a href="https://theconversation.com/bird-flu-is-hitting-australian-poultry-farms-and-the-first-human-case-has-been-reported-in-victoria-heres-what-we-know-230691">in Australia</a>. In recent weeks, there have been <a href="https://www.abc.net.au/news/rural/2024-06-04/third-victorian-poultry-farm-declares-outbreak-avian-influenza/103932694">three reported outbreaks</a> in <a href="https://agriculture.vic.gov.au/biosecurity/animal-diseases/poultry-diseases/avian-influenza-bird-flu#h2-0">Victorian poultry farms</a> (two with H7N3 bird flu, one with H7N9). There has been <a href="https://www.abc.net.au/news/rural/2024-05-23/bird-flu-detected-western-australia-chicken-farm/103880002">one</a> reported outbreak in <a href="https://www.agric.wa.gov.au/livestock-biosecurity/avian-influenza">Western Australia</a> (H9N2).</p> <p>The strains of bird flu identified in the Victorian and Western Australia outbreaks can cause human infection, although these <a href="https://agriculture.vic.gov.au/biosecurity/animal-diseases/poultry-diseases/avian-influenza-bird-flu#h2-8">are rare</a> and typically result from close contact with infected live birds or <a href="https://www.who.int/emergencies/situations/avian-influenza-a-(h7n9)-virus-outbreak">contaminated environments</a>.</p> <p>Therefore, the chance of bird flu transmission in chicken meat is remote.</p> <p>Nonetheless, it is timely to remind people to handle chicken meat with caution as many dangerous pathogens, such as <em>Salmonella</em> and <em>Campylobacter</em>, can be found on chicken carcasses.</p> <p>Always handle chicken meat carefully when shopping, transporting it home and storing it in the kitchen. For instance, make sure no meat juices cross-contaminate other items, consider using a cool bag when transporting meat, and refrigerate or freeze the meat within two hours.</p> <p><a href="https://theconversation.com/no-you-shouldnt-wash-raw-chicken-before-cooking-it-so-why-do-people-still-do-it-192723">Avoid washing your chicken</a> before cooking to prevent the spread of disease-causing microbes around the kitchen.</p> <p>Finally, cook chicken thoroughly as viruses (including bird flu) <a href="https://www.sciencedirect.com/science/article/pii/S0362028X22060732?via%3Dihub">cannot survive</a> cooking temperatures.</p> <h2>Are eggs safe?</h2> <p>The recent Australian outbreaks have occurred in egg-laying or mixed poultry flocks, so concerns have been raised about bird flu transmission via contaminated chicken eggs.</p> <p>Can flu viruses contaminate chicken eggs and potentially spread bird flu? It appears so. A <a href="https://www.sciencedirect.com/science/article/pii/S0196655306011862?via%3Dihub">report</a> from 2007 said it was feasible for influenza viruses to enter through the eggshell. This is because influenza virus particles are smaller (100 nanometres) than the pores in eggshells (at least 200 nm).</p> <p>So viruses could enter eggs and be protected from cleaning procedures designed to remove microbes from the egg surface.</p> <p>Therefore, like the advice about milk and meat, cooking eggs is best.</p> <p>The <a href="https://www.fda.gov/food/egg-guidance-regulation-and-other-information/questions-and-answers-regarding-safety-eggs-during-highly-pathogenic-avian-influenza-outbreaks">US Food and Drug Administration</a> recommends cooking poultry, eggs and other animal products to the proper temperature and preventing cross-contamination between raw and cooked food.</p> <h2>In a nutshell</h2> <p>If you consume pasteurised milk products and thoroughly cook your chicken and eggs, there is nothing to worry about as bird flu is inactivated by heat.</p> <p>The real fear is that the virus will evolve into highly pathogenic versions that can be transmitted from <a href="https://theconversation.com/bird-flu-is-hitting-australian-poultry-farms-and-the-first-human-case-has-been-reported-in-victoria-heres-what-we-know-230691">human to human</a>.</p> <p>That scenario is much more frightening than any potential spread though food.<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/231280/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/enzo-palombo-249510">Enzo Palombo</a>, Professor of Microbiology, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</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/with-all-this-bird-flu-around-how-safe-are-eggs-chicken-or-milk-231280">original article</a>.</em></p> </div>

Food & Wine

Australia can afford to bulk bill all GP visits. So why don’t we?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/yuting-zhang-1144393">Yuting Zhang</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/karinna-saxby-1045932">Karinna Saxby</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Being able to afford health care is a <a href="https://www.abs.gov.au/media-centre/media-releases/more-people-putting-seeing-health-professionals-due-cost">pressing issue</a> for many Australians. And encouraging GPs to bulk bill is <a href="https://theconversation.com/cheaper-medicines-and-a-new-approach-for-mental-health-care-will-the-budget-make-us-healthier-229612">one measure</a> the government is taking to ease the strain.</p> <p>So what would it take for GPs to bulk bill everyone? In our <a href="https://onlinelibrary.wiley.com/doi/10.1111/1467-8462.12553">recent paper</a>, we calculated this is possible and affordable, given the current health budget.</p> <p>But we show recent incentives for GPs to bulk bill aren’t enough to get us there.</p> <p>Instead, we need to adjust health policies to increase bulk-billing rates and to make our health system more sustainable.</p> <h2>How do the incentives work?</h2> <p>In recent years, the government has introduced various incentives to try and encourage GPs to bulk bill (so patients pay nothing out-of-pocket).</p> <p>The most recent has been the “<a href="https://www.health.gov.au/our-work/increases-to-bulk-billing-incentive-payments#1-november-2023-changes">triple bulk-billing incentives</a>” or “triple bonus” for short. These have been in place since November 2023.</p> <p>Under these incentives, GPs in metropolitan areas are paid a A$20.65 bonus if they bulk bill concession card holders or children under 16 years. GPs in rural and remote areas are paid $31.35-$39.65 extra. These bonus payments are in addition to regular Medicare rebates GPs receive.</p> <p>But when we looked at whether these latest incentives are likely to work to boost bulk billing, we found a city-country divide.</p> <h2>City GPs may not be convinced</h2> <p>We worked out the triple bonus will not help most people in metropolitan areas.</p> <p>That’s because in these areas the bonus is much lower than what patients currently pay out-of-pocket. In other words, if GPs did bulk bill these groups, their income would be lower than what they could have charged. So the bonus wouldn’t be enough incentive for them to bulk bill.</p> <p>For example, we found in greater Melbourne, the average out-of-pocket costs for a non-bulk billed GP visit <a href="https://melbourneinstitute.unimelb.edu.au/research/HALE-Hub/data">is about</a> $30-$56 depending on the suburb. This is much higher than the $20.65 triple bonus amount in metropolitan regions. We see similar patterns across all metropolitan areas.</p> <h2>But country GPs may be swayed</h2> <p>The picture is different in rural and remote areas. Here, the average out-of-pocket cost for a non-bulk billed GP visit <a href="https://melbourneinstitute.unimelb.edu.au/research/HALE-Hub/data">varies substantially</a> – around $28-52 in rural regions and $32-123 in remote areas. The highest cost on the mainland was $79 but GP visits on Lord Howe Island were the most expensive overall, at $123.</p> <p>For patients living in areas where their actual payment is less than the bonus amount, the incentive does help. In other words, it would be financially advantageous for GPs to bulk bill these patients, but not where the out-of-pocket costs are higher than the bonus.</p> <p>Our <a href="https://melbourneinstitute.unimelb.edu.au/research/HALE-Hub/data">online map</a> shows where GPs are most likely to bulk bill. The map below shows how out-of-pocket costs vary around Australia.</p> <p><iframe id="SPzgj" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/SPzgj/" width="100%" height="400px" frameborder="0"></iframe></p> <h2>How about bulk billing for all?</h2> <p>The picture is a little more complex when we start talking about bulk billing all GP visits – regardless of location or patients’ concession card status.</p> <p>We worked out this would cost about $950 million a year for all GP services, or $700 million a year for face-to-face GP consultations.</p> <p>This is within reach under the current budget, especially for face-to-face GP consultations.</p> <p>The government has earmarked <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/budget-2023-24-building-a-stronger-medicare#:%7E:text=%243.5%20billion%20in%20bulk%20billing,40%2Dyear%20history%20of%20Medicare">$3.5 billion</a> over <a href="https://archive.budget.gov.au/2023-24/bp2/download/bp2_2023-24.pdf">five years</a> for the “triple bonus” incentives. That’s $700 million a year.</p> <h2>We can afford to, but should we?</h2> <p>Introducing free GP visits for all would require careful consideration, as it would encourage more GP visits.</p> <p>This might be a good thing, particularly if people had previously skipped beneficial care <a href="https://www.abs.gov.au/media-centre/media-releases/more-people-putting-seeing-health-professionals-due-cost">due to high costs</a>. However, it may encourage more people to see their <a href="https://www.sciencedirect.com/science/article/abs/pii/S1574006400801675">GP unnecessarily</a>, taking away limited resources from those who really need them. This could ultimately increase wait times for everyone.</p> <p>So providing free GP visits for all may not be efficient or sustainable, even if it’s within the budget.</p> <p>But paying more than $50 for a GP visit, as many do, seems too expensive and also makes the health-care system less efficient.</p> <p>That’s because primary care is <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/primary-health-care">often considered</a> high-value and preventive care. So if people can’t afford to go to the GP, it can lead to more expensive hospital and emergency room costs down the track.</p> <p>So we need to strike a balance to make primary care more affordable <em>and</em> sustainable.</p> <h2>How do we strike a balance?</h2> <p>One, concession card holders and children should get free primary care regardless of where they live. This would allow more equitable care to populations who need health care the most. Bulk bulling children is a <a href="https://www.sciencedirect.com/science/article/abs/pii/S016726812200292X#:%7E:text=Beside%20the%20benefits%20for%20the,and%20Kuh%2C%202002%3B%20Centers%20for">long-term investment</a>, which may delay onset of diseases, and prevent intergenerational poverty and poor health.</p> <p>Two, the government could also provide free primary care to all people in rural and remote areas. It can do this by lowering the triple bonus to match what GPs currently charge. Over time, GPs and the government can evaluate and <a href="https://www.auspublaw.org/blog/2023/4/the-civil-conscription-sub-clause-in-section-51xxiiia-of-the-australian-constitution-no-impediment-to-reform-of-medicare">negotiate</a> fair prices for GPs to charge. This can be adjusted in line with inflation and other measures.</p> <p>Three, the government can increase Medicare rebates (the amount Medicare pays a doctor for a GP visit) so patients not covered above only pay about $20-30 a visit. We consider this an affordable amount that will not result in more use of primary care than necessary.</p> <p>Four, the government can design a policy to reduce unnecessary GP visits that take away limited GP time from high-need patients. For example, patients currently need to see GPs to get <a href="https://theconversation.com/specialist-referral-rules-havent-changed-much-since-the-70s-but-australias-health-needs-sure-have-144506">referral letters</a> although they already have an established specialist for their ongoing chronic conditions.</p> <p>Five, the government can provide GPs funding needed to improve patient outcomes and reward GPs who provide <a href="https://bmjopenquality.bmj.com/content/10/1/e001127.abstract">high-quality preventive care</a>. The current fee-for-service funding model hurts good doctors who keep their patients healthy because doctors are not paid if their patients do not come back.<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/230204/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/yuting-zhang-1144393"><em>Yuting Zhang</em></a><em>, Professor of Health Economics, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/karinna-saxby-1045932">Karinna Saxby</a>, Research Fellow, Melbourne Institute of Applied Economic and Social Research, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australia-can-afford-to-bulk-bill-all-gp-visits-so-why-dont-we-230204">original article</a>.</em></p> </div>

Money & Banking

Exercise, therapy and diet can all improve life during cancer treatment and boost survival. Here’s how

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/rob-newton-12124">Rob Newton</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>With so many high-profile people <a href="https://www.theguardian.com/uk-news/2024/mar/23/cancer-charities-princess-of-wales-speaking-about-diagnosis">diagnosed with cancer</a> we are confronted with the stark reality the disease can strike any of us at any time. There are also reports certain cancers are <a href="https://www.cancer.org/research/acs-research-news/facts-and-figures-2024.html">increasing among younger people</a> in their 30s and 40s.</p> <p>On the positive side, medical treatments for cancer are advancing very rapidly. Survival rates are <a href="https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21763">improving greatly</a> and some cancers are now being managed more as <a href="https://www.cancer.org/cancer/survivorship/long-term-health-concerns/cancer-as-a-chronic-illness.html">long-term chronic diseases</a> rather than illnesses that will rapidly claim a patient’s life.</p> <p>The <a href="https://www.cancer.org/cancer/managing-cancer/treatment-types.html">mainstays of cancer treatment</a> remain surgery, chemotherapy, radiation therapy, immunotherapy, targeted therapy and hormone therapy. But there are other treatments and strategies – “adjunct” or supportive cancer care – that can have a powerful impact on a patient’s quality of life, survival and experience during cancer treatment.</p> <h2>Keep moving if you can</h2> <p>Physical exercise is now recognised as a <a href="https://www.exerciseismedicine.org/">medicine</a>. It can be tailored to the patient and their health issues to stimulate the body and build an internal environment where <a href="https://wchh.onlinelibrary.wiley.com/doi/full/10.1002/tre.884">cancer is less likely to flourish</a>. It does this in a number of ways.</p> <p>Exercise provides a strong stimulus to our immune system, increasing the number of cancer-fighting immune cells in our blood circulation and infusing these into the tumour tissue <a href="https://jitc.bmj.com/content/9/7/e001872">to identify and kill cancer cells</a>.</p> <p>Our skeletal muscles (those attached to bone for movement) release signalling molecules called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288608/">myokines</a>. The larger the muscle mass, the more myokines are released – even when a person is at rest. However, during and immediately after bouts of exercise, a further surge of myokines is secreted into the bloodstream. Myokines attach to immune cells, stimulating them to be better “hunter-killers”. Myokines also signal directly to cancer cells <a href="https://www.sciencedirect.com/science/article/pii/S2095254623001175">slowing their growth and causing cell death</a>.</p> <p>Exercise can also greatly <a href="https://wchh.onlinelibrary.wiley.com/doi/full/10.1002/tre.884">reduce the side effects of cancer treatment</a> such as fatigue, muscle and bone loss, and fat gain. And it reduces the risk of <a href="https://doi.org/10.2337/diacare.27.7.1812">developing other chronic diseases</a> such as heart disease and type 2 diabetes. Exercise can maintain or improve quality of life and mental health <a href="https://www.hindawi.com/journals/tbj/2022/9921575/">for patients with cancer</a>.</p> <p>Emerging research evidence indicates exercise might increase the effectiveness of mainstream treatments such as <a href="https://aacrjournals.org/cancerres/article/81/19/4889/670308/Effects-of-Exercise-on-Cancer-Treatment-Efficacy-A">chemotherapy</a> and <a href="https://www.nature.com/articles/s41391-020-0245-z">radiation therapy</a>. Exercise is certainly essential for preparing the patient for any surgery to increase cardio-respiratory fitness, reduce systemic inflammation, and increase muscle mass, strength and physical function, and then <a href="https://www.jsams.org/article/S1440-2440(18)31270-2/fulltext">rehabilitating them after surgery</a>.</p> <p>These mechanisms explain why cancer patients who are physically active have much <a href="https://journals.lww.com/acsm-msse/fulltext/2019/06000/physical_activity_in_cancer_prevention_and.20.aspx">better survival outcomes</a> with the relative risk of death from cancer <a href="https://journals.lww.com/acsm-msse/fulltext/2019/06000/physical_activity_in_cancer_prevention_and.20.aspx">reduced by as much as 40–50%</a>.</p> <h2>Mental health helps</h2> <p>The second “tool” which has a major role in cancer management is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016045/">psycho-oncology</a>. It involves the psychological, social, behavioural and emotional aspects of cancer for not only the patient but also their carers and family. The aim is to maintain or improve quality of life and mental health aspects such as emotional distress, anxiety, depression, sexual health, coping strategies, personal identity and relationships.</p> <p>Supporting quality of life and happiness is important on their own, but these barometers <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1349880/full">can also impact</a> a patient’s physical health, response to exercise medicine, resilience to disease and to treatments.</p> <p>If a patient is highly distressed or anxious, their body can enter a flight or fight response. This creates an internal environment that is actually supportive of cancer progression <a href="https://www.cancer.gov/about-cancer/coping/feelings/stress-fact-sheet">through hormonal and inflammatory mechanisms</a>. So it’s essential their mental health is supported.</p> <h2>Putting the good things in: diet</h2> <p>A third therapy in the supportive cancer care toolbox is diet. A healthy diet <a href="https://www.cancer.org/cancer/survivorship/coping/nutrition/benefits.html">can support the body</a> to fight cancer and help it tolerate and recover from medical or surgical treatments.</p> <p>Inflammation provides a more fertile environment <a href="https://www.cancer.gov/news-events/cancer-currents-blog/2022/reducing-inflammation-to-treat-cancer">for cancer cells</a>. If a patient is overweight with excessive fat tissue then a diet to reduce fat which is also anti-inflammatory can be very helpful. This <a href="https://www.frontiersin.org/articles/10.3389/fnut.2021.709435/full">generally means</a> avoiding processed foods and eating predominantly fresh food, locally sourced and mostly plant based.</p> <p>Muscle loss is <a href="https://onlinelibrary.wiley.com/doi/10.1002/rco2.56">a side effect of all cancer treatments</a>. Resistance training exercise can help but people may need protein supplements or diet changes to make sure they get enough protein to build muscle. Older age and cancer treatments may reduce both the intake of protein and compromise absorption so <a href="https://www.sciencedirect.com/science/article/pii/S0261561421005422">supplementation may be indicated</a>.</p> <p>Depending on the cancer and treatment, some patients may require highly specialised diet therapy. Some cancers such as pancreatic, stomach, esophageal, and lung cancer can cause rapid and uncontrolled drops in body weight. This is called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233663/">cachexia and needs careful management</a>.</p> <p>Other cancers and treatments such as hormone therapy can cause rapid weight gain. This also needs careful monitoring and guidance so that, when a patient is clear of cancer, they are not left with higher risks of other health problems such as cardiovascular disease and metabolic syndrome (a cluster of conditions that boost your risk of heart disease, stroke and type 2 diabetes).</p> <h2>Working as a team</h2> <p>These are three of the most powerful tools in the supportive care toolbox for people with cancer. None of them are “cures” for cancer, alone or together. But they can work in tandem with medical treatments to greatly improve outcomes for patients.</p> <p>If you or someone you care about has cancer, national and state cancer councils and cancer-specific organisations can provide support.</p> <p>For exercise medicine support it is best to consult with an <a href="https://www.essa.org.au/Public/Public/Consumer_Information/What_is_an_Accredited_Exercise_Physiologist_.aspx">accredited exercise physiologist</a>, for diet therapy an <a href="https://dietitiansaustralia.org.au/working-dietetics/standards-and-scope/role-accredited-practising-dietitian">accredited practising dietitian</a> and mental health support with a <a href="https://psychology.org.au/psychology/about-psychology/what-is-psychology">registered psychologist</a>. Some of these services are supported through Medicare on referral from a general practitioner.</p> <hr /> <p><em>For free and confidential cancer support call the <a href="https://www.cancer.org.au/support-and-services/cancer-council-13-11-20">Cancer Council</a> on 13 11 20.<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/226720/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></em></p> <p><em><a href="https://theconversation.com/profiles/rob-newton-12124">Rob Newton</a>, Professor of Exercise Medicine, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/exercise-therapy-and-diet-can-all-improve-life-during-cancer-treatment-and-boost-survival-heres-how-226720">original article</a>.</em></p> </div>

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