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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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/226720/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></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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Jimmy Barnes celebrates special milestone

<p>Jimmy Barnes has celebrated his 43rd wedding anniversary with his wife Jane, a few months after he underwent open heart surgery. </p> <p>The rock star, 68, marked the occasion on Thursday by posting a series of photos of him and Jane over the years to Instagram. </p> <p>"43 years married and we both forgot that our anniversary was today," he wrote in the caption. </p> <p>"It doesn’t matter though because everyday is special to us. I love you my darling," he added. </p> <p>One of the photos was a recent snap of the couple cuddling up to each other while reading their books by the fireplace. </p> <p>The second photo was a black-and-white throwback picture from their wedding in 1981, and the couple were gazing lovingly at each other. </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/C7REM7MBmUz/?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/C7REM7MBmUz/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jimmy Barnes (@jimmybarnesofficial)</a></p> </div> </blockquote> <p>Famous friends and fans took to the comments to congratulate the couple on their milestone. </p> <p>"Ohhhhhh so gorgeous. Happy anniversary," singer Kate Cebrano said. </p> <p>"Happy Anniversary you two," added Noiseworks singer Jon Stevens. </p> <p>"Happy Anniversary to you both and wishing you many more to come ," wrote one fan. </p> <p>"Happy Anniversary you wonderful humans," Jimmy's son and TV presenter David Campbell wrote. </p> <p>The rock star shares David Campbell with his previous partner<span style="background-color: #ffffff; font-family: Inter, sans-serif; font-size: 16px; letter-spacing: -0.16px;"> Kim Campbell. He also has two daughters </span><span style="font-family: Inter, sans-serif;"><span style="letter-spacing: -0.16px;">Amanda Bennett and Megan Torzyn from previous relationships. </span></span></p> <p><span style="font-family: Inter, sans-serif;"><span style="letter-spacing: -0.16px;">Jimmy and Jane share four children - daughters Mahalia, 41, EJ, 39, and Elly-May, 34, and a son Jackie, 38.</span></span></p> <p>Late last year, the singer had a life-threatening infection that attacked his heart and he had to undergo <a href="https://www.oversixty.com.au/health/caring/bad-news-jimmy-barnes-rushed-into-emergency-open-heart-surgery" target="_blank" rel="noopener">emergency open heart surgery</a>. </p> <p>Reflecting on his health struggles, he admitted that he didn't think he was going to make it. </p> <p>"I just had this horrible morbid feeling because I've never felt this sick before. I thought I was gone," he previously told<em> 60 minutes</em>. </p> <p>The surgery lasted seven hours and physicians successfully replaced his damaged valves. </p> <p>Five months on, his recovery has been going well, with the singer walking his daughter down <a href="https://www.oversixty.com.au/lifestyle/family-pets/jimmy-barnes-walks-daughter-down-the-aisle" target="_blank" rel="noopener">the aisle</a> in March and even <a href="https://www.oversixty.com.au/entertainment/music/jimmy-barnes-makes-his-triumphant-return-to-the-stage" target="_blank" rel="noopener">returned to the stage </a>for the first time last month. </p> <p><em>Images: Instagram </em></p>

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Grieving dad fights for "ZaZa's Law" after toddler dies in his arms

<p>A grieving father has called for change after his toddler tragically died from choking on a grape. </p> <p>Brian Bwoga, a 44-year-old dad from Perth was at the beach with his two sons, Alessandro, four, and Zaire (ZaZa) 22 months, at the beginning of the year on what seemed like a normal family day out. </p> <p>But what was meant to be an idyllic summer’s day soon turned into any parent’s worst nightmare.</p> <p>“The weather was amazing, the boys were playing and it was just the perfect summer’s day,” Brian, who parents his boys with their mother Claudia, 39, told <a href="https://www.news.com.au/lifestyle/real-life/news-life/perth-toddler-dies-five-minutes-after-being-eating-popular-snack/news-story/0bfb598fe70bb5b47259cdc3b80c60cd" target="_blank" rel="noopener"><em>news.com.au</em></a>.</p> <p>“I was gathering up our things ready to go home. My older son Alex came up to me and asked if he could play for just five more minutes. I was carrying ZaZa, and I told them both to go and play together with their friends while I finish packing the car."</p> <p>“The next minute ZaZa is just running to me, holding his neck and gasping for air."</p> <p>“I jumped into action and did CPR, I put my fingers inside his throat and got one grape out. I was so relieved, I thought thank god I got it out. But I didn’t know there were four more grapes inside his throat.”</p> <p>The toddler continued to choke on the grapes, and Brian says his eyes started “popping out”.</p> <p>The terrified dad began performing abdominal thrusts to try and dislodge the grapes but to no avail.</p> <p>“I told one of the mothers to call the ambulance. I was terrified,” he recalled.</p> <p>“My older son was scared and asked me why there was blood coming from ZaZa’s mouth. I told him to go with another parent because I didn’t want him to see this. I was holding ZaZa and he was looking at me. I gave him CPR again and I tried so hard to save him."</p> <p>“He gave me this look and died in my arms.”</p> <p>“I left home with a beach bag and left with a body bag. It happened so quick. Within a few minutes he was gone. My son Alex is traumatised. He misses his brother so much and I don’t know how to fix it.”</p> <p>Grapes are a notorious choking hazard for children under the age of 5, as it is often recommended to always cut up grapes when feeding them to young kids.</p> <p>Sadly, Zaza consumed the grapes whole, and although the mistake cost his son his life, he doesn't place the blame on anyone.</p> <p>Instead, he wants to educate the public about the importance of cutting up grapes and is now fighting for <a href="https://www.change.org/p/zaza-s-law?source_location=petitions_browse" target="_blank" rel="noopener">change</a> as he hopes to introduce ‘ZaZa’s Law’ to parliament. </p> <p>This new law would ensure there are choking hazard labels on all grape packets and other food items that could be dangerous for small children.</p> <p>“I would hate for this to happen to anyone else. But I hear so many stories about kids dying from choking,” he said.</p> <p>“Ideally, I would like a warning label on all grapes and small foods to warn people to cut them up. Even a big sign at the supermarket for parents."</p> <p>“Not everyone knows this, but every parent needs to be aware of the dangers of food. I want ZaZa’s Law to come into parliament to get labels on everything."</p> <p>“We buy toys and they come with warning labels for things like batteries or other choking hazards. Why can’t we do the same for food?”</p> <p>The dad also hopes that a new anti-choking device, called LifeVac, might be more widely introduced in Australia and placed in public spaces.</p> <p>“Everywhere you go, shopping centres or beaches, there is a defibrillator on the wall,” he explained.</p> <p>“That is great, but we also need those anti-choking devices. It sucks everything up like a plunger and has saved so many lives."</p> <p>“If we had that at the beach that day, ZaZa might still be here.”</p> <p><em>Image credits: Courtesy of Brian Bwoga</em></p>

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What happens if you want access to voluntary assisted dying but your nursing home won’t let you?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/charles-corke-167297">Charles Corke</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>Voluntary assisted dying is now lawful in <a href="https://theconversation.com/voluntary-assisted-dying-will-soon-be-legal-in-all-states-heres-whats-just-happened-in-nsw-and-what-it-means-for-you-183355">all Australian states</a>. There is also <a href="https://nationalseniors.com.au/uploads/VAD-Report-correct-month-12.8.21.pdf">widespread community support</a> for it.</p> <p>Yet some residential institutions, such as hospices and aged-care facilities, are obstructing access despite the law not specifying whether they have the legal right to do so.</p> <p>As voluntary assisted dying is implemented across the country, institutions blocking access to it will likely become more of an issue.</p> <p>So addressing this will help everyone – institutions, staff, families and, most importantly, people dying in institutions who wish to have control of their end.</p> <h2>The many ways to block access</h2> <p>While voluntary assisted dying legislation recognises the right of doctors to <a href="https://theconversation.com/was-take-on-assisted-dying-has-many-similarities-with-the-victorian-law-and-some-important-differences-121554">conscientiously object</a> to it, the law is generally silent on the rights of institutions to do so.</p> <p>While the institution where someone lives has no legislated role in voluntary assisted dying, it can refuse access in various ways, including:</p> <ul> <li> <p>restricting staff responding to a discussion a resident initiates about voluntary assisted dying</p> </li> <li> <p>refusing access to health professionals to facilitate it, and</p> </li> <li> <p>requiring people who wish to pursue the option to leave the facility.</p> </li> </ul> <h2>Here’s what happened to ‘Mary’</h2> <p>Here is a hypothetical example based on cases one of us (Charles Corke) has learned of via his role at Victoria’s <a href="https://www.safercare.vic.gov.au/about/vadrb">Voluntary Assisted Dying Review Board</a>.</p> <p>We have chosen to combine several different cases into one, to respect the confidentiality of the individuals and organisations involved.</p> <p>“Mary” was a 72-year-old widow who moved into a private aged-care facility when she could no longer manage independently in her own home due to advanced lung disease.</p> <p>While her intellect remained intact, she accepted she had reached a stage at which she needed significant assistance. She appreciated the help she received. She liked the staff and they liked her.</p> <p>After a year in the facility, during which time her lung disease got much worse, Mary decided she wanted access to voluntary assisted dying. Her children were supportive, particularly as this desire was consistent with Mary’s longstanding views.</p> <p>Mary was open about her wish with the nursing home staff she felt were her friends.</p> <p>The executive management of the nursing home heard of her intentions. This resulted in a visit at which Mary was told, in no uncertain terms, her wish to access voluntary assisted dying would not be allowed. She would be required to move out, unless she agreed to change her mind.</p> <p>Mary was upset. Her family was furious. She really didn’t want to move, but really wanted to continue with voluntary assisted dying “in her current home” (as she saw it).</p> <p>Mary decided to continue with her wish. Her family took her to see two doctors registered to provide assessments for voluntary assisted dying, who didn’t work at the facility. Mary was deemed eligible and the permit was granted. Two pharmacists visited Mary at the nursing home, gave her the medication and instructed her how to mix it and take it.</p> <p>These actions required no active participation from the nursing home or its staff.</p> <p>Family and friends arranged to visit at the time Mary indicated she planned to take the medication. She died peacefully, on her own terms, as she wished. The family informed the nursing home staff their mother had died. Neither family nor staff mentioned voluntary assisted dying.</p> <h2>Staff are in a difficult position too</h2> <p>There is widespread community support for voluntary assisted dying. In a 2021 survey by National Seniors Australia, <a href="https://nationalseniors.com.au/uploads/VAD-Report-correct-month-12.8.21.pdf">more than 85%</a> of seniors agreed it should be available.</p> <p>So it’s likely there will be staff who are supportive in most institutions. For instance, in a survey of attitudes to voluntary assisted dying in a large public tertiary hospital, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/imj.15285">88% of staff</a> supported it becoming lawful.</p> <p>So a blanket policy to refuse dying patients access to voluntary assisted dying is likely to place staff in a difficult position. An institution risks creating a toxic workplace culture, in which clandestine communication and fear become entrenched.</p> <h2>What could we do better?</h2> <p><strong>1. Institutions need to be up-front about their policies</strong></p> <p>Institutions need to be completely open about their policies on voluntary assisted dying and whether they would obstruct any such request in the future. This is so patients and families can factor this into deciding on an institution in the first place.</p> <p><strong>2. Institutions need to consult their stakeholders</strong></p> <p>Institutions should consult their stakeholders about their policy with a view to creating a “<a href="https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-021-00891-3">safe</a>” environment for residents and staff – for those who want access to voluntary assisted dying or who wish to support it, and for those who don’t want it and find it confronting.</p> <p><strong>3. Laws need to change</strong></p> <p>Future legislation should define the extent of an institution’s right to obstruct a resident’s right to access voluntary assisted dying.</p> <p>There should be safeguards in all states (as is already legislated <a href="https://documents.parliament.qld.gov.au/tp/2021/5721T707.pdf">in Queensland</a>), including the ability for individuals to be referred in sufficient time to another institution, should they wish to access voluntary assisted dying.</p> <p>Other states should consider whether it is reasonable to permit a resident, who does not wish to move, to be able to stay and proceed with their wish, without direct involvement of the institution.</p> <hr /> <p><em>The opinions expressed in this article are those of the authors and do not necessarily reflect the views of Victoria’s Voluntary Assisted Dying Review Board.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/183364/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, Associate Professor in Law, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/charles-corke-167297">Charles Corke</a>, Associate Professor of Medicine, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin 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/what-happens-if-you-want-access-to-voluntary-assisted-dying-but-your-nursing-home-wont-let-you-183364">original article</a>.</em></p> </div>

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Seinfeld star's worrying health update

<p><em>Seinfeld</em> star Michael Richards has revealed his secret battle with prostate cancer in 2018, and how he only survived after making the decision to undergo surgery. </p> <p>Richards, who played the ever-eccentric Cosmo Kramer in the 1990s sitcom, received the stage one diagnosis after a routine check-up showed he had elevated prostate-specific antigen (PSA) levels.</p> <p>He opened up about the diagnosis to <em>People</em> magazine, saying, “I thought, ‘Well, this is my time. I’m ready to go’.”</p> <p>“But then my son came to mind just a few seconds later, and I heard myself saying, ‘I’ve got a nine-year-old, and I’d like to be around for him. Is there any way I can get a little more life going?’”</p> <p>Richards’ doctor recommended removing the comedian’s entire prostate because the biopsy “didn’t look good”, as Richards explained it "had to be contained quickly”.</p> <p>“I had to go for the full surgery. If I hadn’t, I probably would have been dead in about eight months,” the 74-year-old said. </p> <p>After facing the difficult health battle, Richards felt inspired to write his forthcoming memoir, Entrances and Exits, using a collection of diaries he had kept over the years.</p> <p>“I had over 40 journals I’d kept over the years and wanted to do a full review of my life. I’m turning 75, so maybe wanting to do that is something that comes with being my age. I wanted to connect with feelings and memory,” he told the publication. </p> <p>“I’m surprised at how much I was able to remember.”</p> <p><em>Greg Grudt/UPI/Shutterstock Editorial </em></p>

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Study finds new link for increased risk of Alzheimer’s

<p>A new study has found that people suffering from anxiety disorders could be more likely to develop Alzheimer's disease. </p> <p>The study, which was published by brain researchers The Florey, analysed data from 2443 older Australians from Melbourne and Perth, who are part of a cohort for dementia research.</p> <p>Study leads Dr Yijun Pan and Dr Liang Jin found that anxiety and other neurological disorders are linked to an increased likelihood of developing Alzheimer's disease.  </p> <p>"People with anxiety and neurological disorders are 1.5 and 2.5 times more likely to have Alzheimer's disease," Dr Pan said.</p> <p>"For people with anxiety, males have higher odds than females of developing Alzheimer's disease."</p> <p>They also found a few other medical conditions which were linked to a decreased risk of Alzheimer's, including arthritis, cancer, gastric complaints, and high cholesterol. </p> <p>The study leads said that the p53 protein - which causes neuron dysfunction and cell death in Alzheimer's patients - loses its function when someone has cancer, which could possibly explain the link between the two conditions. </p> <p>"We need further research to understand whether these diseases interfere with the evolution of Alzheimer's or whether there might be other reasons," Dr Pan said.</p> <p>"The medications or treatments used for these diseases may possibly contribute to this observation."</p> <p>The study however, did not find a link between  Alzheimer's and depression, falls or strokes. </p> <p>"This is the first study to assess 20 comorbidity associations with cognitive impairment using a single Australian dataset, which allowed us to fully consider how these conditions affect the likelihood of developing Alzheimer's disease," Dr Pan said. </p> <p>"We also studied whether age, gender, smoking, education, alcohol consumption, and the APOE gene – believed to be connected to Alzheimer's - affects these associations.</p> <p>"Our study indicates a new opportunity for biologists to study the links between these 20 conditions with Alzheimer's disease.</p> <p>"This work also provides valuable epidemiological evidence to clinicians, which may help them to evaluate one's risk of developing Alzheimer's disease."</p> <p><em>Image: Nine</em></p>

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Sam Kerr's Olympic dream shattered

<p>Matildas captain Sam Kerr has been forced to sit out of the Paris 2024 Olympic Games after still feeling the after effects of an injury she sustained early in the year.</p> <p>In early January, Kerr suffered an ACL injury while on a training camp and despite her best efforts to recover for the Games, Football Australia confirmed she would continue her rehabilitation program in her home club environment and will not be available for selection. </p> <p>Matildas coach Tony Gustavsson said the team has been dealing with a lot of difficult injuries, which has affected who will be eligible for the team selection. </p> <p>“Unfortunately we have had a very very tough period with injuries,” Gustavsson said. </p> <p>“I just got the summary sheet here a week ago and 15 out of these 37 players are either injured or just coming back from injury which means some of the players that are selected now is selected to be evaluated where they are with their physical status in the gym window and see where they will potentially be come the Olympics."</p> <p>“I think everyone can do the math here and understand that obviously the Olympic roster will be based mostly out of those that are in camp. “</p> <p>Gustavsson already has a clear picture of which players he wants in which positions to form the best possible team to send to Paris, but knows he may have to wait to see who is actually available as the Matildas pursue a first ever Olympics medal. </p> <p>“This window will be a tough one for me and my staff in terms of evaluating players, where they are, and then the final selection process for Paris,” he said.</p> <p>“With the Olympics approaching, selection is about seeing the overall picture over four years of performance and assembling the best team possible. We are pleased and confident we have those options across the pitch.”</p> <p><em>Image credits: James Whitehead/SPP/Shutterstock Editorial </em></p>

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People with dementia aren’t currently eligible for voluntary assisted dying. Should they be?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/ben-white-15387">Ben White</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/casey-haining-1486290">Casey Haining</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/lindy-willmott-15386">Lindy Willmott</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/rachel-feeney-140352">Rachel Feeney</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a></em></p> <p>Dementia is the <a href="https://www.dementia.org.au/about-dementia">second leading cause of death</a> for Australians aged over 65. More than 421,000 Australians <a href="https://www.dementia.org.au/about-dementia">currently live with dementia</a> and this figure is expected to almost double in the next 30 years.</p> <p>There is ongoing public <a href="https://www.mja.com.au/journal/2024/220/9/should-voluntary-assisted-dying-victoria-be-extended-encompass-people-dementia">discussion</a> about whether dementia should be a qualifying illness under Australian voluntary assisted dying laws. Voluntary assisted dying is <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2023/12/Issue-464-10-Waller-et-al.pdf">now lawful in all six states</a>, but is not available for a person living with dementia.</p> <p>The Australian Capital Territory has <a href="https://www.canberratimes.com.au/story/8631104/marisa-paterson-to-consult-on-voluntary-assisted-dying-amendments/?cs=14329">begun debating</a> its voluntary assisted dying bill in parliament but the government has <a href="https://www.legislation.act.gov.au/DownloadFile/es/db_68610/current/PDF/db_68610.PDF">ruled out</a> access for dementia. Its view is that a person should retain decision-making capacity throughout the process. But the bill includes a requirement to <a href="https://www.legislation.act.gov.au/b/db_68609/">revisit the issue</a> in three years.</p> <p>The Northern Territory is also considering reform and <a href="https://www.theaustralian.com.au/subscribe/news/1/?sourceCode=TAWEB_WRE170_a_GGL&amp;dest=https%3A%2F%2Fwww.theaustralian.com.au%2Fnation%2Fpolitics%2Fconcerning-territory-nt-surveys-public-support-on-euthanasia-for-mentally-ill%2Fnews-story%2F4e45111bb293af4cf32ac3c6df058869&amp;memtype=anonymous&amp;mode=premium&amp;v21=GROUPA-Segment-2-NOSCORE&amp;V21spcbehaviour=append">has invited views</a> on access to voluntary assisted dying for dementia.</p> <p>Several public figures have also entered the debate. Most recently, former Australian Chief Scientist, Ian Chubb, <a href="https://www.abc.net.au/listen/programs/melbourne-drive/voluntary-assisted-dying-dementia-victoria/103467864">called for the law to be widened</a> to allow access.</p> <p>Others <a href="https://www.smh.com.au/national/voluntary-assisted-dying-should-not-be-available-to-dementia-patients-20230607-p5deqo.html">argue</a> permitting voluntary assisted dying for dementia would present unacceptable risks to this vulnerable group.</p> <h2>Australian laws exclude access for dementia</h2> <p>Current Australian voluntary assisted dying laws <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2023/12/Issue-464-10-Waller-et-al.pdf">exclude access</a> for people who seek to qualify because they have dementia.</p> <p>In New South Wales, the <a href="https://legislation.nsw.gov.au/view/html/inforce/current/act-2022-017">law specifically states</a> this.</p> <p>In the other states, this occurs through a <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2022/04/Issue-451-White-et-al.pdf">combination of the eligibility criteria</a>: a person whose dementia is so advanced that they are likely to die within the 12 month timeframe would be highly unlikely to retain the necessary decision-making capacity to request voluntary assisted dying.</p> <p>This does not mean people who have dementia cannot access voluntary assisted dying if they also have a terminal illness. For example, a person who retains decision-making capacity in the early stages of Alzheimer’s disease with terminal cancer may access voluntary assisted dying.</p> <h2>What happens internationally?</h2> <p>Voluntary assisted dying laws in some other countries allow access for people living with dementia.</p> <p>One mechanism, used in the Netherlands, is through <a href="https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.16692">advance directives or advance requests</a>. This means a person can specify in advance the conditions under which they would want to have voluntary assisted dying when they no longer have decision-making capacity. This approach depends on the person’s family identifying when those conditions have been satisfied, generally in consultation with the person’s doctor.</p> <p>Another approach to accessing voluntary assisted dying is to allow a person with dementia to choose to access it while they still have capacity. This involves regularly assessing capacity so that just before the person is predicted to lose the ability to make a decision about voluntary assisted dying, they can seek assistance to die. In Canada, this has been referred to as the “<a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2022/04/Issue-451-White-et-al.pdf">ten minutes to midnight</a>” approach.</p> <h2>But these approaches have challenges</h2> <p>International experience reveals these approaches have limitations. For advance directives, it can be difficult to specify the conditions for activating the advance directive accurately. It also requires a family member to initiate this with the doctor. Evidence also shows doctors are <a href="https://link.springer.com/article/10.1186/1472-6939-16-7">reluctant</a> to act on advance directives.</p> <p>Particularly challenging are <a href="https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-019-0401-y">scenarios</a> where a person with dementia who requested voluntary assisted dying in an advance directive later appears happy and content, or no longer expresses a desire to access voluntary assisted dying.</p> <p>Allowing access for people with dementia who retain decision-making capacity also has practical problems. Despite regular assessments, a person may lose capacity in between them, meaning they miss the window before midnight to choose voluntary assisted dying. These capacity assessments can also be very complex.</p> <p>Also, under this approach, a person is required to make such a decision at an early stage in their illness and may lose years of otherwise enjoyable life.</p> <p>Some also argue that regardless of the approach taken, allowing access to voluntary assisted dying would involve unacceptable risks to a vulnerable group.</p> <h2>More thought is needed before changing our laws</h2> <p>There is <a href="https://www.parliament.qld.gov.au/Documents/TableOffice/TabledPapers/2020/5620T490.pdf">public demand</a> to allow access to voluntary assisted dying for dementia in Australia. The mandatory reviews of voluntary assisted dying legislation <a href="https://www.publish.csiro.au/ah/pdf/AH23005">present an opportunity</a> to consider such reform. These reviews generally happen after three to five years, and in some states they will occur regularly.</p> <p>The scope of these reviews can vary and sometimes governments may not wish to consider changes to the legislation. But the Queensland review “<a href="https://www.legislation.qld.gov.au/view/pdf/asmade/act-2021-017">must include a review of the eligibility criteria</a>”. And the ACT bill requires the review to <a href="https://www.legislation.act.gov.au/b/db_68609/">consider</a> “advanced care planning”.</p> <p>Both reviews would require consideration of who is able to access voluntary assisted dying, which opens the door for people living with dementia. This is particularly so for the ACT review, as advance care planning means allowing people to request voluntary assisted dying in the future when they have lost capacity.</p> <p>This is a complex issue, and more thinking is needed about whether this public desire for voluntary assisted dying for dementia should be implemented. And, if so, how the practice could occur safely, and in a way that is acceptable to the health professionals who will be asked to provide it.</p> <p>This will require a careful review of existing international models and their practical implementation as well as what would be feasible and appropriate in Australia.</p> <p>Any future law reform should be <a href="https://www.publish.csiro.au/AH/AH19201">evidence-based</a> and draw on the views of people living with dementia, their family caregivers, and the health professionals who would be relied on to support these decisions.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/224075/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/ben-white-15387"><em>Ben White</em></a><em>, Professor of End-of-Life Law and Regulation, Australian Centre for Health Law Research, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/casey-haining-1486290">Casey Haining</a>, Research Fellow, Australian Centre for Health Law Research, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/lindy-willmott-15386">Lindy Willmott</a>, Professor of Law, Australian Centre for Health Law Research, Queensland University of Technology, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/rachel-feeney-140352">Rachel Feeney</a>, Postdoctoral research fellow, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-with-dementia-arent-currently-eligible-for-voluntary-assisted-dying-should-they-be-224075">original article</a>.</em></p> </div>

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Amanda Keller's emotional family update

<p>Amanda Keller has shared an emotional family update while live on-air on the <em>Jonesy and Amanda show </em>on Monday. </p> <p>The radio star has shared an update on how her husband's battle with Parkinson's disease has affected them, as they try to plan their son's 21st birthday party. </p> <p>“It was a hard week for me leading up to it because I wanted to put a slide show together to play throughout the night,” she told her co-host Jonesy. </p> <p>“And normally that is Harley’s domain. He has been the guy who will make the kid’s birthday invitations. He’s very creative. He will work on the computer to do this funky stuff. Normally, he would have done all of that. And with the way things are with Harley at the moment, he’s got Parkinson’s disease and things are just hard.”</p> <p>Keller, who has been married to her husband since 1989, revealed that he had been <a href="https://www.oversixty.com.au/health/caring/amanda-keller-shares-heartbreaking-family-news" target="_blank" rel="noopener">privately battling</a> with the disease for seven years, on October 2023. </p> <p>She then went on to share how the disease has affected her husband's ability to perform tasks that he was once good at. </p> <p>“So that kind of skill set isn’t with him anymore. He doesn’t have dementia or any of that stuff, but that stuff’s hard for him to do now.</p> <p>"And so I was going through a whole lot of photos on my phone and seeing photos of when he was well, and it was a very emotional week leading up to the 21st.”</p> <p>She then went on to confess that the situation had made her feel “lonely” and that her heart broke for her husband, who she thought couldn't attend the birthday party. </p> <p>“Leaving the house to go to Jack’s party, I thought, you know, it’s not right that Harley can’t come. Yeah, I really felt lonely thinking it’s our son’s 21st, but how hard it is for Harley and how much he would have loved to have been there,” she continued.</p> <p>But her husband surprised her, and managed to attend the event despite his ill health. </p> <p>“So there we are, having a great time. The speeches are about to start and my friend Kate said to me, There’s Harley. And I looked over. And I know what it cost him to be there.</p> <p>"He and our friend Pam and our driver friend Cole had conspired to get Harley there for the speeches. And it was so moving.”</p> <p>Keller, who was tearing up at this moment, proudly added:  “And a lot of people were shocked because they hadn’t seen Harley for a while. But I know what it cost him to get there. And he said to me, how could I not be here?”</p> <p><em>Image: Jonesy and Amanda show/ news.com.au</em></p>

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Actress hospitalised after motorcycle accident

<p>Actress Nina Dobrev has been hospitalised after a dangerous motorbike accident, telling her fans she has a "long recovery ahead". </p> <p>The 35-year-old star of the <em>Vampire Diaries</em> shared photos from her hospital bed, which show her hooked up to various machines while in a hospital gown, and being supported by a neck brace, as well as a brace around her knee. </p> <p>Dobrev posted the hospital photo alongside a photo of her on her motorcycle before the accident to her 26 million followers, captioned, "How it started vs. how it's going."</p> <p>The actress then posted an explanation on her Instagram story, telling her followers "I'm ok, but it's going to be a long road of recovery ahead."</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/C7MuGm4Rue2/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C7MuGm4Rue2/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Nina Dobrev (@nina)</a></p> </div> </blockquote> <p>Shaun White, Dobrev's boyfriend, joked on her post "Just keeping things on brand."</p> <p>Just days before the accident, the couple shared that they had been travelling to tick things off their bucket lists.</p> <p>"It's been really fun having time together. Normally I'm off competing and she's shooting a project or something … but now we've got some time together," White, who is an Olympian, told publication <em><a title="Us Weekly" href="https://www.usmagazine.com/celebrity-news/news/shaun-white-has-a-post-retirement-bucket-list-with-nina-dobrev/" target="_blank" rel="noopener">US Weekly</a></em>.</p> <p>"We went to Antarctica, Dubai, visited her mum in France, went to Monaco, went to Indonesia. We've kind of been all over."</p> <p><em>Image credits: Instagram </em></p>

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"What an honour": Kevin Costner pays tribute to fallen Yellowstone costar

<p>Kevin Costner has paid tribute to his <em>Yellowstone</em> costar Dabney Coleman, who has passed away at the age of 92. </p> <p>Coleman, who played the role of  John Dutton, Sr. in the Paramount drama, died on Thursday at his home in Santa Monica, according to his daughter Quincy Coleman, who broke the news in a statement to <em>The Associated Press</em>.</p> <p>She said he "took his last earthly breath peacefully and exquisitely."</p> <p>“My father crafted his time here on earth with a curious mind, a generous heart, and a soul on fire with passion, desire and humour that tickled the funny bone of humanity. As he lived, he moved through this final act of his life with elegance, excellence and mastery,” she said.</p> <p>Yellowstone shared the news on Instagram with the message, "We're saddened by the passing of the Dabney Coleman, a legendary actor and member of the <em>Yellowstone</em> family."</p> <p>Kevin Costner stars as John Dutton, the son of Dabney's character on the show, paid tribute to the late actor as he shared a powerful flashback scene from the season 2 finale to his Instagram. </p> <p>Along with a photo from the moving TV moment, Costner wrote, "One of the most heart wrenching scenes I've been a part of. What an honor to have gotten to work with Dabney Coleman. May he rest in peace."</p> <p>Fans left thoughtful comments about Dabney's performance as John Dutton, Sr. on the show, with one person writing, "Most touching scene of the whole show when he played that part! He will be greatly missed." </p> <p>Dabney earned his first acting credit in an episode of <em>Naked City</em> in 1961, before he went on to appear in countless TV spots over the course of his career, including <em>The Donna Reed Show</em>, <em>I Dream of Jeannie</em>, <em>Columbo</em>, <em>Law & Order: SVU</em>, <em>Recess The Guardian</em>, <em>Boardwalk Empire</em>, and <em>Ray Donovan</em> before landing his role on <em>Yellowstone</em>. </p> <p><em>Image credits: Instagram </em></p>

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Line of Duty star's cause of death revealed

<p>The sister of <em>Line of Duty</em> star Brian McCardie has thanked loved ones and fans for their support since the tragic passing of her brother, while also revealing what caused his sudden death at the age of 59. </p> <p>Sarah McCardie shared a lengthy post on social media thanking people for their "overwhelming support" during the difficult time, adding that the Scottish actor will be laid to rest in a funeral on May 23rd at a church in his home country.</p> <p>She also revealed that Brian died due to an aortic dissection, a tear in the aorta.</p> <p>"The McCardie family would like to thank everyone for their overwhelming support regarding the sudden passing of Brian James McCardie - beloved son, brother, uncle &amp; friend," she wrote.</p> <p>"Brian died due to an aortic dissection, causing short pain and a sudden death."</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/C7AAl3vLkfz/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C7AAl3vLkfz/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Sarah McCardie (@sarahmccardie)</a></p> </div> </blockquote> <p>"There will be a funeral mass held on Thursday 23rd May... where we will celebrate Brian's life before he takes his final bow."</p> <p>Sarah, who is also an actress, previously confirmed the news of his death in a heartbreaking tribute post to her late sibling, saying he "is gone much too soon".</p> <p>"It is with great sadness that we announce the passing of Brian James McCardie (59), beloved son, brother, uncle and dear friend to so many," her post began.</p> <p>"Brian passed away suddenly at home on Sunday 28th April. A wonderful and passionate actor on stage and screen, Brian loved his work and touched many lives, and is gone much too soon."</p> <p>"We love him and will miss him greatly; please remember Brian in your thoughts."</p> <p>The post was flooded with comments of condolences, as one person wrote, "One of Scotland's greats on both the stage and the screen."</p> <p>McCardie was best known for his role as Tommy Hunter on BBC's <em>Line of Duty</em>, the show <em>Time</em> with Sean Bean, and the film <em>Rob Roy</em> co-starring Liam Neeson.</p> <p><em>Image credits: BBC / Instagram </em></p>

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"Devastated": Chris Pratt mourns sudden death of longtime friend and stunt double

<p>Superstar of big and small screen Chris Pratt is grieving the death of his longtime friend and former stunt double, Tony McFarr, who was found dead at his home near Orlando, Florida, on Monday. McFarr was 47, and the cause of his death remains undetermined.</p> <p>Pratt and McFarr began their professional relationship on the set of <em>Jurassic World</em> in 2015. Their collaboration continued on <em>Passengers</em>, <em>Guardians of the Galaxy Vol. 2</em>, and <em>Jurassic World: Fallen Kingdom</em>. Over the years, they developed a strong bond that clearly extended beyond their work on screen.</p> <p>In an emotional Instagram tribute on Friday, Pratt expressed his heartbreak over the loss of McFarr. "We did several movies together," Pratt wrote. "We golfed, drank whiskey, smoked cigars, and spent endless hours on set. I'll never forget his toughness."</p> <p>Pratt then recalled a particularly intense moment during the filming of <em>Guardians of the Galaxy Vol. 2</em> when McFarr suffered a severe head injury but quickly returned to work. "He was an absolute stud. He was always a gentleman and professional. He'll be missed."</p> <p>Pratt concluded his tribute by offering prayers to McFarr's friends and family, especially his daughter. He shared a series of photos showcasing their time together on set, displaying their striking resemblance, particularly when dressed in matching costumes.</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/05/ChrisPratt_Insta02.jpg" alt="" width="1280" height="970" /></p> <p>In addition to doubling for Pratt in several films, McFarr's impressive career included work on other major Marvel productions like <em>Captain America: Civil War</em> and <em>Ant-Man and the Wasp</em>. He also served as Jon Hamm's stunt double in the 2018 action comedy <em>Tag</em>.</p> <p><a href="https://www.tmz.com/2024/05/16/chris-pratt-stunt-double-tony-mcfarr-dead-dies-guardians-of-the-galaxy/" target="_blank" rel="noopener">According to TMZ</a>, McFarr's mother, Donna, reported that "he passed away Monday at his home just outside Orlando -- and while we're told the family doesn't know the exact circumstances of his death just yet ... Donna does say his passing is unexpected and shocking."</p> <p>"She says Tony was active and healthy ... and we're told the medical examiner's office is running toxicology tests now. The Orange County Medical Examiner confirms to us they have the case ... and that an official cause is still pending."</p> <p><em>Images: Instagram</em></p>

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E-scooter hit and run victim embraced by Magpies club

<p>In a heartwarming display of community and sportsmanship, the Collingwood AFL club has come together to support a cherished fan, 81-year-old Jessie Hatch, after a distressing e-scooter incident following the Collingwood-Carlton game two weeks ago.</p> <p>Jessie, a lifelong devotee of the Magpies, was leaving the Melbourne Cricket Ground when she was <a href="https://www.oversixty.com.au/finance/legal/such-a-cowardly-thing-police-hunt-after-e-scooter-hit-and-run-on-81-year-old-woman" target="_blank" rel="noopener">struck by an e-scooter</a> in what she described from the hospital afterwards as "such a cowardly thing".</p> <p>In a touching twist, it was a member of the rival Carlton cheer squad who first rushed to her aid. Reflecting on the incident, Jessie <a href="https://www.9news.com.au/national/great-grandmother-embraced-by-beloved-magpies-after-ugly-escooter-incident/73445ba6-69f0-4954-8984-cc3109e3de30" target="_blank" rel="noopener">recounted to 9News</a>, "Apparently I passed out and they couldn't get a pulse or a heartbeat and I came around finally with someone screaming my name and telling me to wake up and also my son was so distressed."</p> <p>Jessie's son, Greg, expressed his confidence in his mother’s resilience. "She was born in Carlton - she won't admit that - but she was raised in Collingwood . . . So they build them a bit different when they're raised in Collingwood. Tougher than any of us."</p> <p>Despite her injuries, Jessie’s spirit remains unbroken. Dressed proudly in her Magpies jumper, she recently attended a training session where she was warmly welcomed and embraced by the players. </p> <p>The club’s support has been a balm for Jessie. "This is just amazing," she beamed. True to her unwavering dedication, she declared, "I'm going to the game on Saturday. That won't keep me away."</p> <p>In an inspiring gesture of goodwill, Jessie also plans to set aside traditional rivalries to visit Princes Park and thank the Blues fan who helped her. </p> <p>Meanwhile, police have alleged that the e-scooter rider intentionally knocked Jessie down. To that end, a 46-year-old man remains in custody, with his next court appearance scheduled for May 22.</p> <p><em>Images: Nine News | Seven News<br /></em></p>

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Doctor beats cancer using his own treatment

<p>Australian doctor Richard Scolyer has been declared cancer free, thanks to a first-of-its-kind treatment he helped to develop.</p> <p>The 56-year-old professor, who has been recognised around for the world for his pioneering melanoma research, was diagnosed with aglioblastoma, a terminal kind of brain tumour, after suffering a seizure last June.</p> <p>After receiving his devastating diagnosis, the doctor agreed to be a "guinea pig" to undergo a world-first cancer treatment that he had a hand in developing. </p> <p>Now the world-leading pathologist and Australian of the Year has given a remarkable update, stating he is cancer free.</p> <p>“I had brain #MRI scan last Thursday looking for recurrent #glioblastoma (&/or treatment complications). I found out yesterday that there is still no sign of recurrence. I couldn’t be happier!!!!!” the professor shared on X, formerly known as Twitter.</p> <p>Before Dr Scolyer was diagnosed with cancer, he was fit and active, and had been hiking mountains in Poland with his wife.</p> <p>“I felt normal. I didn’t have any symptoms at all,” he told <em>A Current Affair</em> earlier this year.</p> <p>Just days after, he suffered a devastating seizure, and when he returned to Australia, underwent a series of tests which resulted in a diagnosis with glioblastoma – an aggressive and terminal form of brain cancer that would give him a average of 14 months to live. </p> <p>Teaming up with his friend and medical oncologist Georgina Long, Scolyer decided to undergo the new treatment, which came with a long list of risks. </p> <p>“No one knew what it was going to do, people were nervous because it could actually cause my life to end more quickly. But when you’re faced with certain death, it’s a no-brainer for me,” said Professor Scolyer, who also hoped the treatment would make a difference for other cancer patients.</p> <p>Dr Scolyer also underwent surgery to remove as much of his tumour as possible, and in April, he updated his social media followers to share that10 months after his diagnosis, his tumour had not returned. </p> <p>Speaking to ABC’s <em>Australian Story</em> at the time, Professor Scolyer said he was “blown away” by the results.</p> <p>“This is not what I expected. The average time to recurrence for the nasty type of brain cancer I’ve got is six months. So, to be out this far is amazing,” he said. </p> <p><em>Image credits: Instagram</em></p>

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“We need a donor”: Parents' desperate plea to save young daughter

<p>The heartbroken parents of five-year-old Addison Kemp have made a desperate plea to save their young daughter. </p> <p>Addison suffers from a rare health condition called severe Aplastic anaemia, which means that her body’s bone marrow does not produce enough new blood cells to carry out vital tasks like carry oxygen, control infections or heal after an injury.</p> <p>This means that even a simple nosebleed can be catastrophic for the young girl, as she's forced to spend days in hospital getting blood transfusions to stay alive. </p> <p>Her parents Bianca and Daniel have spoken about her condition in an interview with<em> A Current Affair </em>and explained how without a bone-marrow transplant, the condition could mean death for their young daughter. </p> <p>“She wouldn’t live,” Ms Kemp said.</p> <p>“We need a donor.”</p> <p>The couple first found out about their daughter's condition after she returned home from school with bruises all over her body. </p> <p>Addison was taken to the doctor for a blood test, and they found out about the devastating condition a day later and were told to immediately take her to Queensland Children’s Hospital. </p> <p>“I was gutted, I was devastated. Getting a phone call from the doctor saying you need to rush your little girl to the hospital. That wasn’t a phone call that I wanted,” Mr Kemp said. </p> <p>Addison now has to stay in hospital until she can be matched with a donor. </p> <p>Her little sister Crimson, misses her every day that they are apart. </p> <p>“She gets a bit upset every day that they are not home,” Mr Kemp said. </p> <p>The family said that their bone-marrow did not match up with Addison, and no registered Australian donors had matched up with her either.</p> <p>However, not all hope is lost as any regular Australian could help save a life. </p> <p>Lisa Smith, from bone marrow donation charity Strength to Give, said that the donation process is similar to donating blood which involves a short course of injections before the operation. </p> <p>“The vast majority of time, it is you sitting in a chair, having your blood filtered, while you are watching Netflix," Smith said. </p> <p>Ms Kemp begged Australians to sign up as donors. </p> <p>“I really want to put the message out there that if you can, do,” she said.</p> <p>“You could be saving a life, that’s the biggest thing you could do in the world.”</p> <p><em>Image: A Current Affair</em></p> <p> </p>

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What is allyship? A brief history, present and future

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/wendy-marie-cumming-potvin-542762">Wendy Marie Cumming-Potvin</a>, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a></em></p> <p>Despite social change, LGBTQI+ people still face discrimination <a href="https://www.ohchr.org/en/statements/2019/10/inclusion-lgbt-people-education-settings-paramount-importance-leaving-no-one">at school</a> and <a href="https://www.tandfonline.com/doi/full/10.1080/10304312.2023.2296344">in the community</a>.</p> <p>Language for diverse genders and sexualities is continually changing. LGBTQI+ allyship is part of this change. But what is allyship?</p> <p>Allyship refers to people outside of a group – say, straight people – who actively support and work with people inside a group – say, LGBTQI+ people.</p> <p>It can also mean people from different groups working together to support each other’s goals. A key example of this was at the <a href="https://www.tandfonline.com/doi/full/10.1080/10304312.2023.2296344">Stonewall riots in 1969</a>, when lesbians, gay men and transgender people joined with Black Panthers and civil rights activists in New York City to protest against police brutality.</p> <p>But defining allyship can be challenging. Some people disagree about who an ally is. Others disagree about what an ally does.</p> <h2>What is an ally?</h2> <p>The term “ally” first appeared in US universities among students <a href="https://files.eric.ed.gov/fulltext/ED336682.pdf#page=215">in the early 1990s</a>. It was used to describe how majority group members (straight students) helped minorities (gay, lesbian and bisexual students), by advocating to end sexuality-based oppression in higher education.</p> <p>For many years, scholars have seen straight allyship for lesbian, gay and bisexual people as helpful for activism. Straight allies have played important roles in <a href="https://www.jstor.org/stable/j.ctt7pf5j">policy</a> and in <a href="https://www.tandfonline.com/doi/full/10.1080/19361653.2014.969867">combating prejudice</a> on high school and university campuses.</p> <p>Research has shown university and high school gay–straight alliances <a href="https://www.tandfonline.com/doi/full/10.1080/19361653.2017.1326867?casa_token=A6nQuWeFBIYAAAAA%3Ad-Tg1edyeiOyRDuHKyeHDcWuvqLLVhAFqyhXMjOe8RtWJH6pdwxUpES759QaY_zacNUS-TtqMXYK">have contributed</a> to more positive campus environments and a reduction in gender- and sexuality-based discrimination.</p> <p>Over many years, gay–straight teacher alliances have <a href="https://go.gale.com/ps/i.do?id=GALE%7CA227011983&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10813004&p=LitRC&sw=w&userGroupName=anon%7E40663b6e&aty=open-web-entry">successfully used</a> inquiry groups to combat homophobia and explore <a href="https://theconversation.com/explainer-what-does-intersectionality-mean-104937">intersectionality</a> (the way different facets of someone’s identity intersect) within their schools. These groups highlighted LGBTQI-themed literature in English class, and encouraged teachers to be outspoken in their support by attending community events, such as pride parades.</p> <p>But allyship can be exclusionary. While early perspectives of allyship focused on helping gay or lesbian university students, transgender or non-binary folk <a href="https://www.routledge.com/LGBTQI-Allies-in-Education-Advocacy-Activism-and-Participatory-Collaborative/Cumming-Potvin/p/book/9781032298832">were often ignored</a>.</p> <p>There is also contention about <a href="https://www.queensjournal.ca/justin-timberlakes-queer-allyship-strips-ally-of-its-meaning/">how much “work”</a> a straight ally has to do to earn recognition. Some people say that for someone to be called an ally they need to actively work for change, not just say they support others.</p> <p>As allies, we are continually learning. And sometimes we get it wrong. When we make mistakes, it’s important to apologise and continue supporting those we wish to serve.</p> <h2>Allyship from within the community</h2> <p>Many current definitions of allyship only encompass allies outside of the group they are supporting. But a broadened definition of allyship would be useful.</p> <p>LGBTQI+ people, especially with leadership roles, can be strong allies in their communities. Laverne Cox uses her stardom <a href="https://ccrjustice.org/home/blog/2019/08/02/evening-activism-laverne-cox">to advocate</a> for her community of transgender women of colour and other LGBTQI+ people. Georgie Stone made medical processes <a href="https://www.theguardian.com/society/2019/sep/07/it-takes-a-lot-of-courage-rebekah-robertson-on-raising-transgender-activist-georgie-stone">easier for transgender children</a> in Australia.</p> <figure><iframe src="https://www.youtube.com/embed/-_dpLOXfOUE?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Because identities can shift, identifying who sits inside and outside LGBTQA+ communities can be challenging. Sometimes, there are clear social group insiders. Sometimes, there are clear outsiders. Other times, things are less clear. A person might hover inside and outside minority groups. They may not identify as straight, but they may not live publicly as LGBTQI+. Or a bisexual person may live in a straight relationship for many years.</p> <p>This means allyship is also dynamic. It <a href="https://www.suu.edu/pridealliance/pdf/reynolds.pdf">shifts</a> depending on power, privilege and life experiences. For example, in one social context, a white, heterosexual woman may have power as a LGBTQI+ ally. But in a professional setting where the majority of attendees are white heterosexual men, this same woman may not be as powerful.</p> <h2>An intersectional process</h2> <p>Allyship needs to understand that many people’s gender and sexuality interact with language fluency, class, geography, race, age and disability.</p> <p>This means that despite victories such as marriage equality, LGBTQI+ people who are homeless, transgender or people of colour may face <a href="https://theconversation.com/despite-recent-victories-plights-of-many-lgbt-people-remain-ignored-49273">significant barriers</a> in society. For example, as of May 2024, <a href="https://translegislation.com/">550 anti-trans bills</a> have been introduced in US legislatures.</p> <p><a href="https://www.creativespirits.info/aboriginalculture/people/lgbti-aboriginal-people-diversity-at-the-margins">Because of</a> discrimination, racism and a silencing around Black queer history, LGBTQA+ Aboriginal and Torres Strait Islander people can receive inappropriate services, for example, <a href="https://journals.sagepub.com/doi/epdf/10.1177/10497323211069682">in healthcare and education</a>.</p> <p>Understanding the multiple identities of LGBTQI+ people will support strong allyship to reduce <a href="https://www.murdoch.edu.au/news/articles/national-survey-reveals-mental-health-burden-on-first-nations-lgbtqa-youth">negative health outcomes</a> for Aboriginal communities.</p> <h2>What’s next for allyship?</h2> <p>Recent Canadian work has grouped researchers, school boards and teacher federations to make <a href="https://trans-affirm.edu.uwo.ca/toolkit/Trans-Affirming%20Toolkit.pdf">ally resources</a> for supporting trans and gender-diverse students in Ontario.</p> <p>This tool kit includes modules for having conversations about gender identity and teaching about transgender policy. The final module introduces action plans for supporting transgender students through whole school approaches.</p> <p>History has shown coming together can lead to social transformation and better outcomes for marginalised groups. In 2016, US President Barack Obama designated the Stonewall Inn <a href="https://www.theguardian.com/world/2016/jun/24/obama-announces-stonewall-inn-national-monument">a national US monument</a> to celebrate gay history.</p> <p>Apart from acknowledging evolving ideas about gender and sexuality, future LGBTQI+ allyship needs to be intersectional. This means that factors like age, social class, geography, race, language and disability count. And when barriers are broken down across sectors, like healthcare, education and housing, allies become stronger.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/220668/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/wendy-marie-cumming-potvin-542762">Wendy Marie Cumming-Potvin</a>, Associate Professor/ Director of Research (School of Education), <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch 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/what-is-allyship-a-brief-history-present-and-future-220668">original article</a>.</em></p> </div>

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It’s so hard to see a doctor right now. What are my options?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/anthony-scott-10738">Anthony Scott</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Deciding whether to wait and see if your health condition improves or go to a GP can be a difficult task. You might be unsure about where to go, whom to see, how much it will cost and whether you’ll need to take time off work.</p> <p>These choices can create significant barriers to accessing health care in Australia. There is often limited information available about the pros and cons of the different options. Often, we stick to what we know, unaware of better alternatives.</p> <p>But making the wrong decision about how to access care can impact both your health and finances. So what are your options? And what policy reforms are needed to improve affordable access to care for all Australians?</p> <h2>How quickly can I be seen?</h2> <p>Access depends on how long it takes you to speak to a GP, or be seen in an emergency department, or by a community pharmacist, or a nurse practitioner whom you can see directly. Access depends on where you live and the time of day.</p> <p>The rise of telehealth means GPs now get paid to talk to you on the phone, which is great for many minor ailments, medical certificates, repeat scripts or getting test results. Call centres such as <a href="https://www.healthdirect.gov.au/">Healthdirect</a> have been available for some time and now <a href="https://www.vved.org.au/patients/">virtual emergency departments</a> can also see you online.</p> <p>There are even GPs who only provide their services <a href="https://www.instantscripts.com.au/gp-online/">online</a> if you can pay. A phone call can save you valuable time. Before COVID, you needed to take half a day off work to see a GP, now it takes five to ten minutes and the GP even calls you.</p> <p>Things get more tricky outside of normal working hours and at weekends – appointments are harder to come by, it is unlikely you will be able to see a GP whom you know, and out-of-pocket costs might be higher.</p> <p>If you can’t wait, your local emergency department is likely to be more accessible, or you might be lucky enough to live near a bulk-billed Medicare <a href="https://www.health.gov.au/find-a-medicare-ucc">urgent care clinic</a>, where you don’t need an appointment. Tomorrow’s federal budget <a href="https://www.smh.com.au/politics/federal/more-free-urgent-care-clinics-part-of-8-5-billion-health-commitment-20240511-p5jcse.html">will include</a> funding for another 29 urgent care clinics, on top of the 58 already operating.</p> <p>But things are much worse if you live if a rural or remote area, where choice is limited and you need to wait much longer for GP appointments or travel long distances. Telehealth helps but can be expensive if it is not with your usual doctor.</p> <h2>Who will I see?</h2> <p>Access depends on who you will see. At the moment, this will usually be your GP (or, depending on the severity of your health concern, your community pharmacist or local emergency department staff). But to see your preferred GP you might need to wait as they are usually very busy.</p> <p>But a <a href="https://www.health.gov.au/resources/collections/issues-papers?language=en">review</a> of “scope of practice” in primary care aims to free up GPs’ time and use their skills more effectively.</p> <p>So in future, you could receive more of your health care from qualified nurses, nurse practitioners, pharmacists and other health professionals.</p> <p>But which tasks can be delegated to other health professionals is a significant bone of contention for GPs. For GP practices facing significant cost pressures, safely delegating tasks to other less costly health professionals also makes good business sense.</p> <h2>How much will it cost?</h2> <p>Access depends on out-of-pocket costs. Bulk billing of GP services reached a peak of <a href="https://www.health.gov.au/resources/publications/medicare-quarterly-statistics-state-and-territory-december-quarter-2023-24?language=en">89.6%</a> in the September quarter of 2022 but plummeted to 76.5% by the September quarter of 2023.</p> <p>Last November, bulk billing incentives for children under 16 and those on concession cards were tripled, and between November and December 2023 bulk billing had <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/bulk-billing-slide-stopped-thanks-to-albanese-government?language=en">increased</a> from 76.5% to 77.7%.</p> <p>They key issue for patients is that it remains uncertain whether a GP will bulk bill you. You often don’t know this until you get into the consultation, at which point you can’t back out. Unless the whole practice bulk bills and so it is guaranteed, it’s entirely up to the GP whether you are bulk billed. It’s difficult to think of any other service where you don’t know how much you will pay until after you have used it.</p> <h2>How can policymakers improve access to care?</h2> <p>Government policies to strengthen primary care have focused on giving patients improved access through telehealth, urgent care clinics and <a href="https://www.health.gov.au/resources/publications/strengthening-medicare-taskforce-report?language=en">Strengthening Medicare</a> initiatives, which are currently being developed.</p> <p>But uncertainty surrounding out-of-pocket costs can deter people from seeking medical attention, or delay care or go instead to the emergency department or urgent care clinic where there is no out-of-pocket cost.</p> <p><a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/latest-release">Cost is a factor</a> that leads to 20% of those with a mental health problem and 30% of those with chronic disease to delay or avoid visiting a health professional. Those most in need are more likely to miss out on necessary visits and prescriptions, sometimes with disastrous consequences. A recent <a href="https://academic.oup.com/qje/advance-article-abstract/doi/10.1093/qje/qjae015/7664375?login=false">study</a> shows people can die if they stop heart medications due to increased out-of-pocket costs.</p> <p>The next task for policymakers should be developing policies to guarantee there are no out-of-pocket costs for those on low incomes. This could be a worthwhile investment in our health and should be included in tomorrow’s budget.<!-- Below is The Conversation's page counter tag. 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More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/anthony-scott-10738">Anthony Scott</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/monash-university-1065">Monash 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/its-so-hard-to-see-a-doctor-right-now-what-are-my-options-229191">original article</a>.</em></p> </div>

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Nostradamus prediction on King Charles sparks fresh theories

<p>An eerie prediction on King Charles made by 16th century astrologer Nostradamus has resurfaced following the royal's cancer diagnosis. </p> <p>The French physician is known for his uncannily accurate predictions which he wrote in a tome called <em>Les Propheties</em> in 1555. </p> <p><em>Les Propheties</em> contains 942 predictions which have been analysed over the years, and some have claimed that it foresaw major events including  the Great Fire of London in 1666 , the French Revolution and even 9/11. </p> <p>It is also believed to have accurately predicted Queen Elizabeth's death, as in his book Nostradamus said that the second Queen Elizabeth would die in "22" at "around" the age of 96. </p> <p>She passed away on the 8th of September 2022 at the age of 96. </p> <p>The astrologer also predicted that in 2024, the royal family would face turmoil with a King “driven out by force”. </p> <p>“King of the Isles driven out by force ... replaced by one who will have no mark of a king,” the passage in the book read. </p> <p>Nostradamus expert Mario Reading initially interpreted the prophecy to refer to an “unworthy” and unpopular King who would be driven out by the wishes of the people and replaced by someone who "never expected to be King". </p> <p>But now, with King Charles' cancer diagnosis, many have shared their own predictions on what might happen to the royal, mainly him being forced from the throne because of his illness. </p> <p>Others have raised the question on who is the man they “never expected to be King”?</p> <p>If Charles abdicates, and Prince William declines the throne and the role of Prince Regent as he faces his own battle with Kate's cancer diagnosis, then would William’s eldest son George, 10, become king? </p> <p>In today's monarchy, what are the implications of a 10-year-old becoming King and would they instead consider an adult, aka the fifth in line or “spare to the heir,” Prince Harry as a better option for King? </p> <p>There are so many possibilities floating around. </p> <p><em>Image: Shutterstock/ Instagram</em></p> <p> </p>

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Touching tribute for surfer brothers killed in Mexico

<p>A touching tribute has been held in San Diego, USA for the two Australian brothers killed in Mexico. </p> <p>Jake and Callum Robinson were honoured in a paddle-out into the surf, with their parents Debra and Martin Robinson also flying into San Diego where Callum had been living. </p> <p>Dozens of locals and friends gathered in the surf at one of Callum's favourite beaches to honour the boys' lives, and their father was among those who paddled out and paid tribute to his sons.  </p> <p>Callum's lacrosse team paid tribute to a "beautiful and bright human".</p> <p>"That guy was a ball of sunshine, so grateful my path crossed with his," one surfer said.</p> <p>"He just brought so much passion and joy to everything he was apart of."</p> <p>Friends have also said that the brothers had a passion for sport and being outdoors. </p> <p>"In the middle of our ceremony a large wave rolled in and it felt like Callum was there with us and everyone said that's Callum," another surfer said. </p> <p>Two men and one woman have been <a href="https://www.oversixty.com.au/health/caring/arrests-made-over-aussie-surfers-missing-in-mexico" target="_blank" rel="noopener">arrested</a> over their suspected involvement in the "robbery gone wrong", after the bodies of the two Aussie brothers and their American friend Jack Carter Rhoad were discovered 10 metres <a href="https://www.oversixty.com.au/health/caring/tragic-new-details-emerge-over-aussie-brothers-missing-in-mexico" target="_blank" rel="noopener">down a well</a> near their campsite.</p> <p><em>Images: Nine</em></p> <p> </p>

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