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Why women turn to illegal cannabis despite rising medical demand

<div class="theconversation-article-body"> <p>The number of women using medicinal cannabis is growing in New Zealand and overseas. They use cannabis treatment for general conditions such as <a href="https://www.liebertpub.com/doi/pdf/10.1089/jwh.2020.8437">pain, anxiety, inflammation and nausea</a>, as well as gynaecological conditions, including <a href="https://pubmed.ncbi.nlm.nih.gov/40445778/">endometriosis</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/39766334/">pelvic floor conditions</a>, and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10314536/">menopause</a>.</p> <p>However, their experiences with medicinal cannabis remain under-explored in research and overlooked in policy and regulation. As our work shows, they face several gender-specific barriers to accessing medicinal cannabis. Some of these hurdles lead women to seeking cannabis from illegal markets.</p> <p>New Zealand introduced the <a href="https://www.health.govt.nz/regulation-legislation/medicinal-cannabis/about-the-medicinal-cannabis-scheme">medicinal cannabis scheme</a> five years ago to enable access to legal, safe and quality-controlled cannabis products for any condition a doctor would deem suitable for a prescription.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/39418607/">recent analysis</a> found the number of medicinal cannabis products dispensed has increased more than 14-fold since 2020, with more than 160,000 prescriptions administered during 2023/2024.</p> <p>In the first two years of the scheme, women were the primary recipients of medicinal cannabis prescriptions. Between 2022 and 2023, the number of prescriptions issued to female patients <a href="https://www.nzherald.co.nz/nz/the-regions-age-groups-and-ethnicities-using-the-most-medicinal-cannabis/LNG7NHEDI5GYJMG6SCER7B3HKQ/">doubled to 47,633</a>.</p> <p>Our findings from a <a href="https://nzdrugtrends.co.nz/">large-scale national survey</a> show that although women perceive physicians as supportive of prescribing medicinal cannabis, they were less likely to have prescriptions than men. This is similar to <a href="https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-024-00992-1">findings from Australia</a>.</p> <p>Potential reasons include the <a href="https://www.health.govt.nz/publication/annual-update-key-results-2022-23-new-zealand-health-survey">cost of visiting health professionals</a>, unpaid care-giving duties, lower workforce participation and a <a href="https://www.women.govt.nz/women-and-work/gender-pay-gap">pay disparity</a> – all creating barriers to accessing health services.</p> <p>Women were also more likely not to disclose their medicinal cannabis use to others, citing it would be less accepted by society because of their gender.</p> <h2>Gendered risks in illegal cannabis markets</h2> <p>Our <a href="https://www.tandfonline.com/doi/full/10.1080/09687637.2025.2481297?src=#d1e531">latest study</a> aligned with <a href="https://www.mdpi.com/1660-4601/19/3/1536">Australia</a> in finding that women often seek cannabis from illegal sources because of perceived lower prices. Many could not financially sustain accessing legal prescriptions because medicinal cannabis is not funded by New Zealand’s drug-buying agency Pharmac.</p> <p>Study participants discussed the health risks of accessing illegal cannabis such as consuming products without knowing how strong they are or whether they have been <a href="https://www.tga.gov.au/news/news/tga-warns-consumers-about-potential-harm-unlawfully-supplied-medicinal-cannabis">contaminated</a> with harmful substances.</p> <p>They also characterised illegal cannabis markets as unsafe and intimidating for women, with little legal protection and the presence of predatory male sellers. Some even described gender-specific experiences of physical assault, intimidation and sexual harassment, particularly when cannabis buying occurred in drug houses or locations controlled by the seller.</p> <p>Women accessing medicinal cannabis in illegal markets increasingly relied on female suppliers, viewing them as safer and more reliable. Some also helped connect others to these suppliers and used social media to warn other women of unsafe male suppliers. This created informal women-led support networks for access.</p> <h2>Accessing legal prescriptions</h2> <figure class="align-right "><figcaption></figcaption></figure> <p>One of our <a href="https://doi.org/10.1080/09687637.2025.2476989">recent studies</a> found many women begin their journeys with medicinal cannabis online via social media, often leading them to <a href="https://doi.org/10.1186/s12913-022-09021-y">cannabis clinics</a> with a strong digital presence. Women are now a growing demographic for specialised medicinal cannabis clinics in <a href="https://pubmed.ncbi.nlm.nih.gov/32019776/">New Zealand</a> and in <a href="https://www.sciencedirect.com/science/article/pii/S0965229921000819">other countries</a>.</p> <p>Cannabis clinics have a reputation among medicinal cannabis consumers for being more knowledgeable and positive about treatments than general practitioners and other health providers. Women have been encouraged by positive online testimonies from other women using cannabis treatments for gynaecological and other conditions.</p> <p>Female medicinal cannabis patients also described the financial burden of accessing a prescription, including consultation fees and the costs of products as barriers to access.</p> <p>Their relationships with their GPs strongly influenced their decision to seek a prescription. Those with prior experiences of having their pain underestimated or misdiagnosed in mainstream care were more likely to source legal medicinal cannabis from cannabis clinics.</p> <h2>Policy and practice</h2> <p>The current scientific evidence for using medicinal cannabis for gynaecological conditions is still emerging. Clinical trials are under way in Australia to evaluate cannabis treatment for <a href="https://www.westernsydney.edu.au/nicmhri/research/research_projects/medicinal_cannabis_and_endometriosis">endometriosis and period pain</a>.</p> <p>Women’s reliance on online sources and personal recommendations to learn about medicinal cannabis highlights a gap in public awareness and government education about the legal prescription scheme. <a href="https://www.publish.csiro.au/hc/HC22122">Hesitance to discuss and recommend cannabis</a> treatment among GPs also persists as a barrier to access.</p> <p>Online peer networks on social media platforms are promoting women’s agency and informing their decision making around medicinal cannabis, but also raise the risks of misinformation.</p> <p>Although marketing of medicinal cannabis to women may improve their engagement with the prescription scheme, it may also put them in a vulnerable position where they are encouraged to pursue expensive treatment options which may not be effective.</p> <p>The collective findings from our studies indicate complex financial, social and systemic factors affecting safe and equitable access to medicinal cannabis for women. To improve women’s engagement with New Zealand’s medicinal cannabis scheme, we suggest GPs should have informed and non-stigmatising discussions with female patients to explore when medicinal cannabis might be an appropriate treatment option.</p> <p>Better access to good official consumer information about medicinal cannabis and greater investment in clinical trials for gynaecological conditions would also improve and support women’s decision making about their health.<!-- 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/258797/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>By <a href="https://theconversation.com/profiles/vinuli-withanarachchie-1278697">Vinuli Withanarachchie</a>, PhD candidate, College of Health, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>; <a href="https://theconversation.com/profiles/chris-wilkins-1110463">Chris Wilkins</a>, Professor of Policy and Health, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a>, and <a href="https://theconversation.com/profiles/marta-rychert-1108013">Marta Rychert</a>, Associate Professor in Drug Policy and Health Law, <a href="https://theconversation.com/institutions/te-kunenga-ki-purehuroa-massey-university-806">Te Kunenga ki Pūrehuroa – Massey University</a></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/more-women-are-using-medical-cannabis-but-new-research-shows-barriers-push-some-into-illegal-markets-258797">original article</a>.</em></p> <p><em>Image: Pexels / Binoid CBD and </em><em>Alesia Kozik</em></p> </div>

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New details emerge after Aussie shot dead in Bali

<p>An Australian man has been killed and another wounded in a shocking shooting at a villa in one of Bali’s most popular tourist regions.</p> <p>The incident occurred in the early hours of Saturday in the Badung area, just over 10 kilometres north of Kuta, when gunfire erupted inside the accommodation.</p> <p>Zivan Radmanovic, 32, who had strong ties to Melbourne, was identified as the man who died at the scene from gunshot wounds. His wife, who was in the villa at the time, was unharmed but witnessed the attack. Another Melbourne man, Sanar Ghanim – aged in his 30s and previously jailed over a non-fatal shooting in Melbourne – was also shot and taken to hospital for treatment.</p> <p>Badung Police chief Arif Batubara confirmed the details, telling media: “A shooting incident has happened. There are two victims, both Australian nationals. We cannot yet determine the motive for this shooting and also who the perpetrator is until our investigation is complete.”</p> <p>According to a police statement cited by the ABC, Mr Radmanovic’s wife awoke shortly after midnight to the sound of her husband’s screams. She reported seeing a man wearing a bright orange jacket and dark helmet shoot her husband in the bathroom before fleeing. Moments later, she heard further gunshots and Mr Ghanim’s cries for help.</p> <p>Witnesses said they saw a man on a scooter wearing a green ride-hailing jacket and face covering, speaking in what they described as a strong Australian accent, saying: “I can’t start my bike.”</p> <p>No arrests have been made, and police say investigations are ongoing.</p> <p>The Department of Foreign Affairs and Trade (DFAT) confirmed it was providing consular assistance to the families. “We send our deepest condolences to the family at this difficult time,” a spokesperson said. “DFAT stands ready to provide consular assistance to another Australian injured in the same incident.”</p> <p>Mr Ghanim, who remains in hospital, is known to have links to the Melbourne underworld and has a child with the stepdaughter of slain crime figure Carl Williams.</p> <p><em>Images: 9 News / Facebook</em></p>

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The surprising ways that coffee can interfere with medication

<div class="theconversation-article-body"> <p>For many of us, the day doesn’t start until we’ve had our first cup of coffee. It’s comforting, energising, and one of the most widely consumed beverages in the world. But while your morning brew might feel harmless, it can interact with certain medicines in ways that reduce their effectiveness – or increase the risk of side-effects.</p> <p>From common cold tablets to antidepressants, caffeine’s impact on the body goes far beyond a quick energy boost. Tea also contains caffeine but not in the same concentrations as coffee, and doesn’t seem to affect people in the same way. Here’s what you should know about how coffee can interfere with your medications – and how to stay safe.</p> <h2>1. Cold and flu medicines</h2> <p>Caffeine is a stimulant, which means it speeds up the central nervous system. Pseudoephedrine, a decongestant found in cold and flu remedies such as Sudafed, is <a href="https://medlineplus.gov/druginfo/meds/a682619.html">also a stimulant</a>. When taken together, the effects can be amplified – potentially leading to jitters or restlessness, headaches, fast heart rate and insomnia.</p> <p>Many cold medications already contain added caffeine, increasing these risks further. <a href="https://www.mdpi.com/1422-0067/22/10/5146">Some studies</a> also suggest that combining caffeine with pseudoephedrine can raise blood sugar and body temperature – particularly important for people with diabetes.</p> <p>Stimulant effects are also a concern when combining caffeine with ADHD medications such as amphetamines, or with <a href="https://allergyasthmanetwork.org/news/coffee-and-asthma/">asthma drugs</a> such as theophylline, which shares a similar chemical structure to caffeine. Using them together may increase the risk of side-effects such as a rapid heartbeat and sleep disruption.</p> <figure><iframe src="https://www.youtube.com/embed/9eL16Exry48?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>2. Thyroid medication</h2> <p>Levothyroxine, the standard treatment for an underactive thyroid, is highly sensitive to timing – and your morning coffee can get in the way. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">Studies show</a> that drinking coffee too soon after taking levothyroxine can reduce its absorption by up to 50%.</p> <p>Caffeine speeds up gut motility (the movement of food and waste through the digestive tract), giving the drug <a href="https://www.jandonline.org/article/S2212-2672(16)00200-8/abstract">less time to be absorbed</a> – and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8002057/#:%7E:text=Several%20studies%20on%20patients%20with,Benvenga%20et%20al.">may also bind</a> to it in the stomach, making it harder for the body to take in. These effects reduce the drug’s bioavailability, meaning less of it reaches your bloodstream where it’s needed. This interaction <a href="https://www.endocrine.org/news-and-advocacy/news-room/2022/drinking-coffee-does-not-hinder-the-absorption-of-liquid-thyroid-medication">is more common</a> with tablet forms of levothyroxine, and less likely with liquid formulations.</p> <p>If absorption is impaired, <a href="https://www.nhs.uk/conditions/underactive-thyroid-hypothyroidism/">symptoms of hypothyroidism</a> – including fatigue, weight gain and constipation – can return, even if you’re taking your medicine correctly.</p> <p>The same timing rule applies to a class of osteoporosis medications called <a href="https://medlineplus.gov/druginfo/meds/a601011.html#precautions">bisphosphonates</a>, including alendronate and risedronate, which also require an empty stomach and around 30-60 minutes before food or drink is taken.</p> <h2>3. Antidepressants and antipsychotics</h2> <p>The interaction between caffeine and mental health medications can be more complex.</p> <p><a href="https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/">Selective serotonin reuptake inhibitors</a> (SSRIs), such as sertraline and citalopram, are a type of antidepressant medication <a href="https://purehost.bath.ac.uk/ws/portalfiles/portal/225886346/Lalji_McGrogan_and_Bailey_JADR_2021.pdf">widely used</a> to treat depression, anxiety and other psychiatric conditions. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">Lab studies</a> suggest caffeine can bind to these drugs in the stomach, reducing absorption and potentially making them less effective.</p> <p>Tricyclic antidepressants (TCAs), such as amitriptyline and imipramine, are a class of older antidepressants that work by affecting the levels of neurotransmitters in the brain. They were among the first antidepressants developed and are <a href="https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/antidepressants/overview/#:%7E:text=Tricyclic%20antidepressants%20(TCAs),to%20treat%20chronic%20nerve%20pain.">less commonly used</a> today, compared with newer antidepressants such as SSRIs, due to their potential for more side-effects and higher risk of overdose.</p> <p>TCAs are broken down by the liver enzyme <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">CYP1A2</a>, which also metabolises caffeine. The competition between the two can slow drug breakdown, <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">increasing side-effects</a>, or delay caffeine clearance, making you feel jittery or wired longer than usual.</p> <p>Clozapine, an antipsychotic, is also processed by CYP1A2. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">One study showed</a> that drinking two-to-three cups of coffee could increase blood levels of clozapine by up to 97%, <a href="https://medlineplus.gov/druginfo/meds/a691001.html#side-effects">potentially increasing risks</a> such as drowsiness, confusion, or more serious complications.</p> <h2>4. Painkillers</h2> <p>Some over-the-counter painkillers, such as those containing aspirin or paracetamol, include added caffeine. <a href="https://link.springer.com/article/10.2165/00003088-200039020-00004">Coffee can speed up</a> how quickly these drugs are absorbed by accelerating how fast the stomach empties and making the <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">stomach more acidic</a>, which improves absorption for some medications such as aspirin.</p> <p>While this may help painkillers work faster, it could also raise the risk of side-effects like stomach irritation or bleeding, especially when combined with other sources of caffeine. Though no serious cases have been reported, caution is still advised.</p> <h2>5. Heart medications</h2> <p>Caffeine can temporarily raise blood pressure and heart rate, typically lasting three-to-four hours after consumption. For people taking blood pressure medication or drugs that control irregular heart rhythms (arrhythmias), this <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8101832/#:%7E:text=Table%20I.&amp;text=The%20next%20stage%20of%20hypertension,response%20to%20calcium%20channel%20blockers.&amp;text=The%20potential%20for%20caffeine%20to,Table%20II%20summarizes%20these%20recommendations.">may counteract</a> the intended effects of the medication.</p> <p>This doesn’t mean people with heart conditions must avoid coffee altogether – but they should monitor how it affects their symptoms, and consider limiting intake or switching to decaf if needed.</p> <figure><iframe src="https://www.youtube.com/embed/r-YwCCNDOy0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>What can you do?</h2> <p>Coffee may be part of your daily routine, but it’s also a potent chemical compound that can influence how your body processes medicine. Here’s how to make sure it doesn’t interfere.</p> <p>Take levothyroxine or bisphosphonates on an empty stomach with water, and wait 30-60 minutes before drinking coffee or eating breakfast.</p> <p>Be cautious with cold and flu remedies, asthma treatments and ADHD medications, as caffeine can amplify side-effects.</p> <p>If you’re on antidepressants, antipsychotics, or blood pressure drugs, discuss your caffeine habits with your doctor.</p> <p>Consider reducing intake or choosing a decaffeinated option if you experience side-effects like restlessness, insomnia or heart palpitations.</p> <p>Everyone metabolises caffeine differently – some people feel fine after three cups, while others get side-effects after just one. Pay attention to how your body responds and talk to your pharmacist or GP if anything feels off.</p> <p>If you’re ever unsure whether your medicine and your coffee are a good match, ask your pharmacist or doctor. A short conversation might save you weeks of side-effects or reduced treatment effectiveness – and help you enjoy your brew with peace of mind.<!-- 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/256919/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>By <a href="https://theconversation.com/profiles/dipa-kamdar-1485027">Dipa Kamdar</a>, Senior Lecturer in Pharmacy Practice, <a href="https://theconversation.com/institutions/kingston-university-949">Kingston University</a></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/coffee-can-interfere-with-your-medication-heres-what-you-need-to-know-256919">original article</a>.</em></p> <p><em>Image: Pexels / Jonathan Borba</em></p> </div>

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Chilling new details emerge after Qld mother's alleged murder

<p>The Queensland mother who has been charged with the alleged murder of her three-year-old daughter posted a series of disturbing and emotional messages to social media just days earlier that hinted at inner turmoil and a spiritual battle.</p> <p>Lauren Flanigan, 32, was <a href="https://oversixty.com.au/finance/legal/qld-mother-charged-with-murder-of-toddler-daughter" target="_blank" rel="noopener">taken into custody on Monday night</a> after police were called to a property in Moore Park Beach, near Bundaberg. Flanigan was present at the scene and arrested shortly after. A knife, believed by authorities to be the murder weapon, was found and seized. She was formally charged with murder on Tuesday.</p> <p>In the days leading up to the incident, Flanigan’s social media presence had taken on a concerning tone. Through a series of emotionally charged posts, she spoke of trauma, spirituality and defiance against "the system".</p> <p>In her final post, published just a day before her daughter's death, Flanigan wrote:</p> <p>“REMEMBER WHO YOU ARE. Not what the system told you. Not what your trauma whispered. Not the lies of fear. You are ROYALTY. You are CHOSEN. You are HOLY. You are a WARRIOR OF LIGHT.”</p> <p>She continued: “Train like it’s war – because it is. Discipline is deliverance. Refine your algorithm. Refine your soul. God is calling His army out of hiding. This is kingdom rising… No more delays. No more compromise. Tag your generals. It’s time to RISE.”</p> <p>Another post reflected on her role as a mother and her desire for a more meaningful life:</p> <p>“Time to watch my babies grow. Time to breathe. Time to live. Time to love,” she wrote. “I have given my life to serve. I have a beautiful little family who remind me of love daily.”</p> <p>Flanigan, who was known to be an active member of Bundaberg’s Alive Church, often shared religious and inspirational messages online. She frequently posted photos of her children, once calling them her “divine babies”, and reflected on spiritual metaphors during walks on the beach.</p> <p>One lengthy post, accompanied by a video of waves washing over seashells, read: “As I walked along the beach today… I began to notice the shells scattered along the shoreline. Each one completely unique… Some cracked. Some whole… And then I realised… We are like these shells.”</p> <p>The alleged murder has shocked the quiet regional community and sparked widespread sorrow and disbelief. Neighbours and community members are grappling with the tragedy, as investigations continue into the circumstances surrounding Sophia’s death.</p> <p>Flanigan remains in custody and is expected to appear in court later this week. Police have confirmed that mental health will be a key focus of their ongoing inquiries.</p> <p><em><strong>Support is available from the National Sexual Assault, Domestic and Family Violence Counselling Service at 1800RESPECT (1800 737 732).</strong></em></p> <p><em>Images: Facebook / Instagram</em></p>

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More people are trying medicinal cannabis for chronic pain. But does it work?

<div class="theconversation-article-body"> <p>More Australians than ever are being prescribed <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/medicinal-cannabis">medicinal cannabis</a>.</p> <p>Medicinal cannabis refers to legally prescribed cannabis products. These are either the plant itself, or naturally occurring ingredients extracted from the plant. These ingredients, such as THC (tetrahydrocannabinol) and CBD (cannabidiol), are called cannabinoids. Some cannabinoids are also made in labs to act like the ones in the plant.</p> <p>Medicinal cannabis comes in different forms, such as oils, capsules, dried flower (used in a vaporiser), sprays and edible forms such as gummies.</p> <p>Since regulatory changes in 2016 made medicinal cannabis more accessible, Australia’s regulator has issued <a href="https://dashboard-data.health.gov.au/single/?appid=1066afbe-2b37-427d-8c47-2caa5082cccc&sheet=088f611b-10de-4d72-be68-ccf8d12c54e9&select=clearall">more than 700,000 approvals</a>. (But approvals for medicinal cannabis don’t reflect the actual number of patients treated. One patient may have multiple approvals, and not all approved products are necessarily prescribed or supplied.)</p> <p>Around half of the approvals have been for chronic pain that isn’t caused by cancer.</p> <p>In Australia, chronic pain affects around <a href="https://www.aihw.gov.au/reports/chronic-disease/chronic-pain-in-australia/summary">one in five</a> Australians aged 45 and over, with an enormous impact on people’s lives.</p> <p>So what does the current evidence tell us about the effectiveness of medicinal cannabis for chronic pain?</p> <h2>What the evidence shows</h2> <p>A <a href="https://www.bmj.com/content/374/bmj.n1034">2021 review of 32 randomised controlled trials</a> involving nearly 5,200 people with chronic pain, examined the effects of medicinal cannabis or cannabinoids. The study found a small improvements in pain and physical functioning compared with a placebo.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/29847469/">previous review</a> found that to achieve a 30% reduction in pain for one person, 24 people would need to be treated with medicinal cannabis.</p> <p>The 2021 review also <a href="https://www.bmj.com/content/374/bmj.n1034">found</a> small improvements in sleep, and no consistent benefits for other quality of life measures, consistent with <a href="https://pubmed.ncbi.nlm.nih.gov/29847469/">previous reviews</a>.</p> <p>This doesn’t mean medicinal cannabis doesn’t help anyone. But it suggests that, on average, the benefits are limited to a smaller number of people.</p> <p>Many pain specialists have <a href="https://theconversation.com/medicinal-cannabis-to-manage-chronic-pain-we-dont-have-evidence-it-works-157324">questioned</a> if the evidence for medicinal cannabis is sufficient to support its use for pain.</p> <p>The <a href="https://www.choosingwisely.org.au/recommendations/fpm6">Faculty of Pain Medicine</a>, the professional body dedicated to the training and education of specialist pain physicians, recommends medical cannabis should be limited to clinical trials.</p> <h2>What does the regulator say?</h2> <p>Guidance from Australia’s regulator, the <a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/medicinal-cannabis-hub/medicinal-cannabis-guidance-documents/guidance-use-medicinal-cannabis-treatment-chronic-non-cancer-pain-australia">Therapeutic Goods Administration</a> (TGA), on medicinal cannabis for chronic non-cancer pain reflects these uncertainties.</p> <p>The TGA states there is limited evidence medicinal cannabis provides clinically significant pain relief for many pain conditions. Therefore, the potential benefits versus harms should be considered patient-by-patient.</p> <p>The TGA says medicinal cannabis should only be trialled when other standard therapies have been tried and did not provide enough pain relief.</p> <p>In terms of which type of medical cannabis product to use, due to concerns about the safety of inhaled cannabis, the TGA considers pharmaceutical-grade products (such as nabiximols or extracts containing THC and/or CBD) to be safer.</p> <h2>What about people who say it helps?</h2> <p>This evidence may feel at odds with the experiences of people who report relief from medicinal cannabis.</p> <p>In clinical practice, it’s common for individuals to respond differently based on their health conditions, beliefs and many other factors. What works well for one person may not work for another.</p> <p>Research helps us understand what outcomes are typical or expected for most people, but there is variation. Some people may find medicinal cannabis improves their pain, sleep or general well-being – especially if other treatments haven’t helped.</p> <h2>What are the side effects and risks?</h2> <p>Like any medicine, medicinal cannabis has <a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/medicinal-cannabis-hub/medicinal-cannabis-guidance-documents/guidance-use-medicinal-cannabis-treatment-chronic-non-cancer-pain-australia#s9">potential side effects</a>. These are usually mild to moderate, including drowsiness or sedation, dizziness, impaired concentration, a dry mouth, nausea and cognitive slowing.</p> <p>These side effects are often greater with higher-potency THC products. These are becoming more common on the Australian market. High-potency THC products represent <a href="https://dashboard-data.health.gov.au/single/?appid=1066afbe-2b37-427d-8c47-2caa5082cccc&sheet=088f611b-10de-4d72-be68-ccf8d12c54e9&select=clearall">more than half of approvals in 2025</a>.</p> <p>In research studies, generally <a href="https://pubmed.ncbi.nlm.nih.gov/29847469/">more people experience side effects</a> than report benefits from medical cannabis.</p> <p>Medical cannabis can also <a href="https://pubmed.ncbi.nlm.nih.gov/36317739/">interact with other medications</a>, especially those that cause drowsiness (such as opioids), medicines for mental illness, anti-epileptics, blood thinners and immunosuppressants.</p> <p>Even cannabidiol (CBD), which isn’t considered intoxicating like THC, has been linked to serious drug interactions.</p> <p>These risks are greater when cannabis is prescribed by a doctor who doesn’t regularly manage the patient’s chronic pain or isn’t in contact with their other health-care providers. Since medicinal cannabis is often prescribed through separate telehealth clinics, this fragmented care may increase the risk of harmful interactions.</p> <p>Another concern is developing cannabis use disorder (commonly understood as “addiction”). A 2024 study found <a href="https://www.sciencedirect.com/science/article/pii/S0376871624001844?via%3Dihub">one in four people</a> using medical cannabis develop a cannabis use disorder. Withdrawal symptoms – such as irritability, sleep problems, or cravings – can occur with frequent and heavy use.</p> <p>For some people, tolerance can also develop with long-term use, meaning you need to take higher doses to get the same effect. This can increase the risk of developing a cannabis use disorder.</p> <h2>How does it compare to other treatments?</h2> <p>Like many <a href="https://www.healthdirect.gov.au/chronic-pain">medicines for chronic pain</a>, the effectiveness of medicinal cannabis is modest, and is not recommended as a sole treatment.</p> <p>There’s good evidence that, for conditions like back pain, interventions such as exercise, cognitive behavioural therapy and pain self-management education can <a href="https://theconversation.com/do-any-non-drug-treatments-help-back-pain-heres-what-the-evidence-says-253122">help</a> and may have fewer risks than many medicines.</p> <p>But there are challenges with how accessible and affordable these treatments are for many Australians, <a href="https://www1.racgp.org.au/getattachment/e0603085-695c-4fbb-b7d9-ba77057e5a97/Management-of-chronic-pain-in-a-rural-Australian-s.aspx">especially outside major cities</a>.</p> <h2>So where does this leave patients?</h2> <p>The growing use of medicinal cannabis for chronic pain reflects both a high burden of pain in the community and gaps in access to effective care. While some patients report benefits, the current evidence suggests these are likely to be small for most people, and must be weighed against the risks.</p> <p>If you are considering medicinal cannabis, it’s important to talk to your usual health-care provider, ideally one familiar with your full medical history, to help you decide the best approaches to help manage your pain.<!-- 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/256471/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>By <a href="https://theconversation.com/profiles/suzanne-nielsen-35849">Suzanne Nielsen</a>, Professor and Deputy Director, Monash Addiction Research Centre, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/myfanwy-graham-2392855">Myfanwy Graham</a>, NHMRC Postgraduate Scholar and Fulbright Alumna in Public Health Policy, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></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/more-people-are-trying-medicinal-cannabis-for-chronic-pain-but-does-it-work-256471">original article</a>.</em></p> <p><em>Image: </em></p> </div>

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Fresh medical report sheds new light on Shane Warne’s sudden death

<p>New details have emerged regarding the sudden death of cricketing legend Shane Warne, who passed away in a Thai hotel room in March 2022 at the age of 52.</p> <p>A newly surfaced medical report, published by <em>The Sun</em>, reveals that multiple medications were found in Warne’s luxury villa on the Thai island of Koh Samui. These included two types of Viagra – Sildenafil (marketed as Viagra) and Kamagra (an unregulated version available in jelly sachets) – as well as Dapoxetine, a drug used to prevent premature ejaculation.</p> <p>While Viagra and Dapoxetine are legal with a prescription, Kamagra is illegal in Thailand but widely available over the counter. It remains uncertain whether Warne had taken any of these medications before his passing.</p> <p>Warne had a known history of heart issues, and these medications carry warnings for individuals with cardiovascular conditions. However, a post-mortem examination conducted in Thailand concluded that Warne died of natural causes due to congenital heart disease, ruling out foul play.</p> <p>Despite this, recent reports claim that Thai police removed Kamagra from Warne’s hotel room during their investigation. Meanwhile, News Corp reported that Warne had openly discussed using Viagra during his relationship with actress and model Elizabeth Hurley.</p> <p>Warne was staying at the Smujana Villas resort with three friends at the time of his death. CCTV footage captured two massage therapists leaving his villa shortly before he was found unresponsive at approximately 5pm His friends called for medical assistance at 5:40pm, with paramedics arriving at 6pm and initiating CPR at 6:10pm.</p> <p>Dr Dulyakit Wittayachanyapong, who oversaw Warne’s treatment at Thailand International Hospital, described his condition upon arrival, stating: “When he arrived at hospital, his face was green and pale, he had black blood in his nose and mouth, which was unusual. There was no sign of life.”</p> <p>Hospital staff attempted resuscitation for 43 minutes before Warne was declared dead at 6:53pm. According to the medical report, doctors intubated him and administered adrenaline and sodium bicarbonate in an attempt to revive him. Blood tests revealed that his oxygen levels had plummeted to a critical 40%.</p> <p>In the weeks leading up to his death, Warne had been on a liquid diet, and his lifestyle reportedly included habitual smoking and drinking.</p> <p>His sudden passing sent shockwaves through the cricketing world, with fans and former teammates mourning the loss of an icon whose impact on the sport remains unmatched.</p> <p><em>Images: Instagram</em></p>

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New details emerge after Gold Coast Hilton Hotel catches fire

<p>New details have emerged after a massive fire erupted at the Hilton Surfers Paradise Hotel on the Gold Coast overnight, prompting the evacuation of hundreds of guests and staff.</p> <p>The blaze originated on the roof of the hotel's western tower at around 2am, with debris falling onto the second-floor restaurant area, notably affecting establishments like Steampunk Surfers Paradise. </p> <p>Emergency services responded promptly, with multiple fire crews arriving to combat the flames. The Queensland Fire Department reported that the fire on the pool deck was extinguished by around 2:20am, and the roof fire was under control by 2:40am. Guests were then permitted to return to their rooms at around 3am. </p> <p>Surfers Paradise resident Joevy Lyn captured dramatic footage of debris tumbling 120m from the roof to the streets below.  Legendary Australian jockey Shane Dye, who was staying on the 34th floor of a neighbouring tower, witnessed the fire firsthand and told the Courier Mail: "Everything was on fire and in flames, I couldn't believe it. It was right outside my window." Dye evacuated his building amid initial confusion, saying that hotel staff were initially unaware of the severity of the situation. </p> <p>Another guest, Leah Nicholson, who was staying at the Hilton with her wife and three-year-old daughter, reported not hearing any alarms but, upon contacting the front desk, was told of the fire. The family then descended 14 flights of stairs to evacuate, only hearing evacuation alarms upon reaching the ground level. </p> <p>Queensland police assisted in the evacuation, and while the cause of the fire remains under investigation, a woman staying at an apartment across the road reportedly said she believed the Hilton sign had exploded.</p> <p>“The H on top of the Hilton building just started to catch on fire and then it all started to explode,” the woman told 7NEWS. “Parts of it started to fall which caught … other parts of the building on fire. It was quite intense.”</p> <p><em>Images: 7NEWS</em></p>

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Sad new details emerge in Gene Hackman case

<p>Authorities in New Mexico have shared a grim new update on the shocking deaths of Gene Hackman and his wife. </p> <p>New information has suggested that the Hollywood actor, 95, and his wife, 63, had passed away in their home nine days before their bodies were found. </p> <p>The bodies of the deceased couple, who were married for 24 years, were found by a maintenance worker who spotted their bodies through a window. </p> <p>Authorities are yet to determine a cause of death for both Hackman and Arakawa but have repeatedly ruled out foul play.</p> <p>In an investigation update on Friday, Santa Fe County Sheriff Adan Mendoza said a pathologist had advised that tests for carbon monoxide poisoning were negative.</p> <p>Mendoza also said the pathologist was given an insight into Hackman's last moments due to the activity in his pacemaker. </p> <p>"An initial interrogation was conducted of Mr Hackman's pacemaker. This revealed that his last event was recorded on February 17th, 2025," he told reporters.</p> <p>"It is a good assumption that was his last day of life."</p> <p>However it remains unclear whether Hackman, who was found in the kitchen of the home, or Arakawa, who was located in a bathroom, died first.</p> <p>One of the couple's dogs was also located deceased in the bathroom, while two other dogs were found alive at the property.</p> <p>Alongside Arakawa's body, police found an orange prescription pill bottle in the bathroom and pills scattered across the floor. </p> <p>While a toxicology report has been requested on the pills, as well as other medications found inside the house, the report could take months to be completed. </p> <p>The discovery of the pills was described as "something of concern", with Mendoza telling <em>NBC News</em>: "That's obviously very important evidence at the scene". </p> <p>Hackman appeared in more than 80 films throughout his career, as well as on television and the stage after his breakout role as the brother of bank robber Clyde Barrow in 1967's <em>Bonnie and Clyde</em>, earning him his first Oscar nomination. </p> <p>He won an Oscar for best actor in 1972 for his portrayal of detective Popeye Doyle in <em>The French Connection</em>, and in 1993 won an Oscar for best supporting actor for <em>Unforgiven</em>.</p> <p><em>Image credits: MediaPunch/Shutterstock </em><em>Editorial</em></p>

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Incredible footage emerges of plane crashing and flipping upside down

<p>Terrified passengers have recalled the moment they were left "hanging upside down like bats" after a plane crashed and flipped during an icy landing. </p> <p>The Delta Airlines plane was landing at Toronto Pearson Airport during snowy conditions, when the plane touched down and immediately caught fire. </p> <p>Skidding along the runway, the plane then flipped upside down with 80 people onboard before coming to a halt. </p> <p>Video obtained by <em>CNN</em> shows the plane landing hard on the runway, with the plane's rear landing gear buckling upon impact with the snow and erupting into a fireball. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/DGN-pIIOR-G/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DGN-pIIOR-G/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by CNN (@cnn)</a></p> </div> </blockquote> <p>According to passengers John Nelson and Peter Koukov, the rollover left travellers hanging aloft until they could be freed. </p> <p>"We were upside down hanging like bats," Koukov said. </p> <p>The man was able to unbuckle himself and stand upright on the ceiling of the plane, but some people needed help getting down from their seats.</p> <p>Officials said on Monday 21 people were taken to hospitals with injuries, including a child in good condition.</p> <p>All but two of them had been released from hospital on Tuesday morning.</p> <p>US man Pete Carlson was on board and told <em>CBC News</em> that it was "really amazing" he and his fellow passengers were alive.</p> <p>"Everything just kind of went sideways," Carlson recalled.</p> <p>"One minute you're landing, kind of waiting to see your friends and your people, and the next minute you're physically upside down."</p> <p>Koukov, a professional skier from Colorado, told the <em>New York Times</em> that the flight was completely normal up until the final descent.</p> <p>"The second that the wheels hit the ground, then everything happened," he said. "The next thing I know, we're sideways."</p> <p>"We ended up completely upside-down. I unbuckled pretty fast and kind of lowered myself to the floor, which was the ceiling. People were panicking."</p> <p><em>Image credits: Instagram</em></p>

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What’s the difference between heat exhaustion and heat stroke? One’s a medical emergency

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/matthew-barton-1184088">Matthew Barton</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>When British TV doctor Michael Mosley died last year in Greece after walking in extreme heat, local police said “<a href="https://www.telegraph.co.uk/news/2024/06/10/michael-mosley-autopsy-symi-greece-death/">heat exhaustion</a>” was a contributing factor.</p> <p>Since than a coroner could not find a definitive cause of death <a href="https://www.theguardian.com/media/2024/dec/20/michael-mosleys-cause-of-death-unascertainable-coroner-says">but said</a> this was most likely due to an un-identified medical reason or heat stroke.</p> <p>Heat exhaustion and heat stroke are two illnesses that relate to heat.</p> <p>So what’s the difference?</p> <h2>A spectrum of conditions</h2> <p>Heat-related illnesses range from mild to severe. They’re caused by exposure to excessive heat, whether from hot conditions, physical exertion, or both. The most common ones include:</p> <ul> <li> <p><strong>heat oedema</strong>: swelling of the hands, feet and ankles</p> </li> <li> <p><strong>heat cramps</strong>: painful, involuntary muscle spasms usually after exercise</p> </li> <li> <p><strong>heat syncope</strong>: fainting due to overheating</p> </li> <li> <p><strong>heat exhaustion</strong>: when the body loses water due to excessive sweating, leading to a rise in core body temperature (but still under 40°C). Symptoms include lethargy, weakness and dizziness, but there’s no change to consciousness or mental clarity</p> </li> <li> <p><strong>heat stroke</strong>: a medical emergency when the core body temperature is over 40°C. This can lead to serious problems related to the nervous system, such as confusion, seizures and unconsciousness including coma, leading to death.</p> </li> </ul> <p>As you can see from the diagram below, some symptoms of heat stroke and heat exhaustion overlap. This makes it hard to recognise the difference, even for medical professionals.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/636118/original/file-20241204-15-qhk6rk.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=3 2262w" alt="Heat exhaustion vs heat stroke venn diagram" /></a><figcaption><span class="attribution"><a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>How does this happen?</h2> <p>The human body is an incredibly efficient and adaptable machine, equipped with several in-built mechanisms to keep our core temperature at an optimal 37°C.</p> <p>But in healthy people, regulation of body temperature begins to break down when it’s hotter than about 31°C with 100% humidity (think Darwin or Cairns) or about 38°C with 60% humidity (typical of other parts of Australia in summer).</p> <p>This is because humid air makes it harder for sweat to evaporate and take heat with it. Without that cooling effect, the body starts to overheat.</p> <p>Once the core temperature rises above 37°C, heat exhaustion can set in, which can cause intense thirst, weakness, nausea and dizziness.</p> <p>If the body heat continues to build and the core body temperature rises above 40°C, a much more severe heat stroke could begin. At this point, it’s a life-threatening emergency requiring immediate medical attention.</p> <p>At this temperature, our proteins start to denature (like an egg on a hotplate) and blood flow to the intestines stops. This makes the gut very leaky, allowing harmful substances such as endotoxins (toxic substances in some bacteria) and pathogens (disease causing microbes) to leak into the bloodstream.</p> <p>The liver can’t detoxify these fast enough, leading to the whole body becoming inflamed, organs failing, and in the worst-case scenario, death.</p> <h2>Who’s most at risk?</h2> <p>People doing strenuous exercise, especially if they’re not in great shape, are among those at risk of heat exhaustion or heat stroke. <a href="https://www.who.int/multi-media/details/main-heat-vulnerability-factors">Others at risk</a> include those exposed to high temperatures and humidity, particularly when wearing heavy clothing or protective gear.</p> <p>Outdoor workers such as farmers, firefighters and construction workers are at higher risk too. Certain health conditions, such as diabetes, heart disease, or lung conditions (such as COPD or chronic obstructive pulmonary disease), and people taking <a href="https://theconversation.com/is-my-medicine-making-me-feel-hotter-this-summer-5-reasons-why-199085">blood pressure medications</a>, can also be more vulnerable.</p> <p>Adults over 65, infants and young children are especially sensitive to heat as they are less able to physically cope with fluctuations in heat and humidity.</p> <h2>How are these conditions managed?</h2> <p>The risk of serious illness or death from heat-related conditions is very low if treatment starts early.</p> <p><a href="https://www.redcross.org.au/emergencies/prepare/heatstroke-and-heat-exhaustion/">For heat exhaustion</a>, have the individual lie down in a cool, shady area, loosen or remove excess clothing, and cool them by fanning, moistening their skin, or immersing their hands and feet in cold water.</p> <p>As people with heat exhaustion almost always are dehydrated and have low electrolytes (certain minerals in the blood), they will usually need to drink fluids.</p> <p>However, emergency hospital care is essential for heat stroke. In hospital, health professionals will focus on stabilising the patient’s:</p> <ul> <li><strong>airway</strong> (ensure no obstructions, for instance, vomit)</li> <li><strong>breathing</strong> (look for signs of respiratory distress or oxygen deprivation)</li> <li><strong>circulation</strong> (check pulse, blood pressure and signs of shock).</li> </ul> <p>Meanwhile, they will use rapid-cooling techniques including immersing the whole body in cold water, or applying wet ice packs covering the whole body.</p> <h2>Take home points</h2> <p>Heat-related illnesses, such as heat stroke and heat exhaustion, are serious health conditions that can lead to severe illness, or even death.</p> <p>With <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01208-3/fulltext">climate change, heat-related illness</a> will become more common and more severe. So recognising the early signs and responding promptly are crucial to prevent serious complications.<!-- 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/240992/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/matthew-barton-1184088"><em>Matthew Barton</em></a><em>, Senior lecturer, School of Nursing and Midwifery, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/michael-todorovic-1210507">Michael Todorovic</a>, Associate Professor of Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond 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/whats-the-difference-between-heat-exhaustion-and-heat-stroke-ones-a-medical-emergency-240992">original article</a>.</em></p> </div>

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"Brace for impact": Qantas passengers recall terrifying emergency landing

<p>Passengers onboard a Qantas flight have recalled the terrifying moment their plane rerouted as they were told to brace for impact. </p> <p>Flight QF1929 was only 40 minutes into its trip from Brisbane to Adelaide when the plane was forced to turn around due to a brake issue. </p> <p>Tudor Vasile was onboard the terrifying flight, and told <a href="https://www.9news.com.au/national/qantas-flight-heading-to-adelaide-diverted-to-brisbane-brake-issue/e9242066-1248-404c-b68b-bcc62633e96d" target="_blank" rel="noopener"><em>9News</em></a> his fellow passengers were fearing the worst. </p> <p>"The captain jumped on the mic and said 'brace for impact, brace for landing, brace for landing'," Vasile said.</p> <p>"We were just waiting for that big explosion to occur."</p> <p>Footage of the moments before landing showed passengers in the brace position as cabin crew members repeated told them to "stay down, heads down".</p> <p>Vasile said the fear was palpable as the plane made a rapid approach to the runway.</p> <p>"Everyone was looking at each other and going into brace position ... You could feel goosebumps and everyone was starting to panic at some stages, wondering what the hell was going to happen next."</p> <p>The pilot made a textbook landing before engineers rushed to examine the plane, as Vasile said, "I tell you, that was one hell of a joyride."</p> <p>Another passenger Kurt Gray added, "You sort of picture the worst but they crew, they just looked after us so well."</p> <p>Qantas confirmed to <em>9News</em> there had been a problem with the landing gear brakes and the flight landed back in Brisbane shortly before 10am on Tuesday, just 40 minutes after take-off.  </p> <p>"A flight from Brisbane to Adelaide returned to Brisbane shortly after take-off due to an issue with landing gear brakes," a spokesperson said.</p> <p>"The aircraft landed normally and is being checked by engineers. We understand that this would have been a distressing experience for customers and we thank them for following the instructions of the crew."</p> <p>"We are working hard to get customers on their way as quickly as possible. We will follow up with all customers to provide our support."</p> <p><em>Image credits: Nine</em></p>

Travel Trouble

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Tragic new details emerge about baby's death in Bali

<p>Tragic new details have merged about the sudden death of a toddler, who <a href="https://oversixty.com.au/travel/travel-trouble/profound-grief-baby-dies-during-family-holiday-in-bali" target="_blank" rel="noopener">died</a> while on a family holiday to Bali.</p> <p>According to Indonesian police, the 14-month-old boy drowned in a villa swimming pool at Villa Besar in Kerobokan, north of Kuta in Bali. </p> <p>Police spokesperson Avitus Panjaitan told <em><a href="https://www.dailymail.co.uk/news/article-14017027/Tragic-new-details-emerge-cause-Australian-babys-death-Bali.html" target="_blank" rel="noopener">Daily Mail Australia</a></em> that the family did not report the death to police, and officers only found out details after interviewing resort staff.</p> <p>Staff reported that the family had returned to the villa from a water park in the evening shortly before the alarm was raised that a baby was drowning in the pool just minutes later. </p> <p>The staff recalled seeing a woman pull the baby from the water and desperately performing CPR to revive the child, but by the time paramedics arrived on the scene, the child was already deceased. </p> <p>In the wake of the tragedy, the child's father Brendan Sharp shared a gut wrenching update on Facebook, describing his son as a "one of a kind" child who filled every room with laughter and light.</p> <p>"He was always happy and cheerful, lighting up the room with whomever was there," he said.</p> <p>"His cheekiness and affection were like no other, and he was always dancing and having fun with a side of cheeky."</p> <p>"You were so special my boy - keep shining like the star you are and keep an eye on all of us down here," he said.</p> <p>A <a href="https://www.gofundme.com/f/help-grace-and-brendan-cope-with-the-loss-of-their-baby-boy" target="_blank" rel="noopener">GoFundMe</a> page has been set up by the family to help cover the funeral, and to allow parents Grace and Brendan time to grieve without financial pressure.</p> <p><em>Image credits: Facebook / GoFundMe</em></p>

Travel Trouble

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Chilling vision of missing family emerges

<p>A video filmed in New Zealand's west coast is the first "credible" sighting of a father and his kids who went missing three years ago. </p> <p>Tom Phillips along with his daughter Jayda, now 11, son Maverick, 9 and daughter Ember, 8, disappeared from the New Zealand town of Marokopa in December 2021. </p> <p>There have been hundreds of sightings of Phillips reported to police since then, with many of them unverified, and the children nowhere in sight.</p> <p>But now, new footage shot on the evening of October 3, showed all four of them marching through a grass field in Marokopa, in a single file with camouflage gear and heavy backpacks.</p> <p>The video, filmed by pig hunters, was handed to police and has since prompted a large-scale search of farmland in the area this week, which unfortunately failed to locate Phillips and his children. </p> <p>In the footage, the family seemed unaware they were being filmed from afar, with one of the witnesses describing them as "equipped for the bush". </p> <p>The children's mother, Catherine, has seen the video and instantly recognised her kids. </p> <p>“I’m so happy that they’re all there," she told the <em>New Zealand Herald</em>. </p> <p>"I’m so relieved to see all three of my babies. They’re all alive."</p> <p>The pig hunters who filmed the footage recalled their short encounter with the children. </p> <p>“The children asked: ‘Who else knows we’re here?’ And then they just kept on walking. They were all packed up, they had big packs on. I think the father sort of kept them moving,” Farmer John McOviney told the New Zealand Herald.</p> <p>In another interview with radio station <em>Newstalk ZB</em>, McOviney said that Phillips was carrying a large rifle. </p> <p>NZ Police Detective Inspector Andrew Saunders has also confirmed the sighting was being treated as "credible". </p> <p>"While nothing further of significance was located, investigators will now assess information gathered to determine any next steps," he said. </p> <p>"This is the first time all three of the children have been sighted, which is positive information, and we know it will be reassuring for the children's wider family."</p> <p>While police remain tight-lipped about what their next steps are, they said : "Our focus is very much on the safe return of Jayda, Maverick and Ember to their whānau [the Maori word for family] and we are doing all that we can to make that happen.”</p> <p>Phillips and his three children first went missing on September 11, 2021, and an arrest warrant was issued for Phillips shortly after their disappearance. </p> <p>He does not have legal custody over his children is alleged to have breached a custody order by taking them. The children are believed to have had no education or contact with others since their disappearance. </p> <p>Members of the public have been warned not to approach Phillips if they spotted him, as he may be armed. </p> <p><em>Images: TVNZ/ Waikato Police</em></p>

Legal

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Disturbing details emerge about former suspect in William Tyrrell's disappearance

<p>An investigation into the disappearance of William Tyrrell has raised questions about why a man who was once considered a person of interest was not called by police to give evidence on the case. </p> <p>The man, who has not been named, allegedly had a shrine of the missing boy at the end of his bed, containing a collage of pictures and news reports, as well as handwritten poetry quoting Gary Jubelin, the former lead detective on the case.</p> <p>Mr Jubelin, who was taken off the investigation in 2019, has previously written to NSW’s director of inquests saying the man’s behaviour was “concerning” and he should be called as a witness.</p> <p>However, the man shared with <em><a href="https://www.news.com.au/national/crime/former-william-tyrrell-suspect-had-shrine-to-missing-boy/news-story/1fbf310d22250c00a8cc2de081d9e77b" target="_blank" rel="noopener">news.com.au</a></em>'s investigative podcast into Tyrrell's disappearance revealed that he was never called to give evidence. </p> <p>When questioned by the outlet's podcast - which clarified that they were not suggesting any wrongdoing by the man who has never been charged with any offences - he said he was “different from the mainstream” and denied any involvement in the case, despite not having an alibi for the day the then three-year-old disappeared. </p> <p>The man, whose property is a few hundred metres through the bush from Benaroon Dr where William went missing, said he was home alone at the time the toddler was reported missing.</p> <p>The man's property was searched two days after William was last seen, and was placed under police surveillance years later. During this time, police uncovered barrels of small animal bones at his property. </p> <p>When asked about them, the man first denied they were there, then claimed they were planted on his property by police.</p> <p>“What I don’t like is the way people who are slightly different are singled out here,” he said.</p> <p>“They get harassed, they get persecuted because they’re odd.”</p> <p>Asked about the police investigation, he said, “I don’t like the way people are presumed guilty until proven innocent."</p> <p>“It could have been someone who was driving past (who was responsible for William’s disappearance). That’s as likely as anything else isn’t it?"</p> <p>Mr Jubelin, who left the police in 2019 and was subsequently convicted of illicitly recording conversations with another person of interest, said he did not question the man in detail at the time as he expected him to be called at the inquest.</p> <p>“(The man) should at the very least be called as a witness,” Mr Jubelin wrote to coronial officials in 2020 after leaving the police force.</p> <p>“There were a number of things about (the man) that I consider concerning.”</p> <p>“What was not put to him and is most concerning is he had what could best be described as a shrine to William Tyrrell at the end of his bed. This included a picture of William and quotes from myself regarding the investigation."</p> <p>“I had an expectation this would be done at the inquest.”</p> <p><em>Image credits: NSW Police</em></p>

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Readers response: What’s your best advice for managing medications while travelling?

<p>When taking a trip, many people often have to factor in how their changing schedule will affect their regular medication routines. </p> <p>We asked our readers for their best advice on managing medications while travelling, and the response was overwhelming. Here's what they said.</p> <p><strong>Kristeen Bon</strong> - I put each days tablet into small ziplock bags and staple them at one corner. All that goes into one larger ziplock bag and into my toilet bag. I store all the outer packs flat into another ziplock bag and that stays in the zip pack with my first aid kit in the main suitcase. I travel long haul up to six times a year and this is the most manageable way I have found.</p> <p><strong>Diane Green</strong> - Firstly, take sufficient  supply of all meds to last the time I'm away. I separate morning medications and evening medications. Then it depends on how long I'm away. I have one that needs to be refrigerated. Depending on where I travel, this can entail arranging overnight in the establishment fridge while taking a freezer pack for daytime travel.</p> <p><strong>Irene Varis</strong> - Always get a letter from my doctor, with all my prescriptions for when I get overseas. Saves you a lot of trouble!</p> <p><strong>Helen Lunn</strong> - Just get the chemist to pack into Medipacks. I usually take an extra week. I alway put some of the packs in my partners baggage incase my bag goes missing and a pack and a doctor’s letter in my hand luggage.</p> <p><strong>Jancye Winter</strong> - Always pack in your carry on with prescriptions.</p> <p><strong>Jenny Gordon</strong> - Carry a letter from doc with all medications, leave in original packaging. Double check that it isn’t illegal to carry your medication as some countries have strict regulations for things like Codeine. Always carry in carry on as you don’t want them to get lost.</p> <p><strong>Nina Thomas Rogers</strong> - Be organised with all your medicines before you leave.</p> <p><em>Image credits: Shutterstock </em></p>

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More Australians are using their superannuation for medical procedures. But that might put their financial health at risk

<div class="theconversation-article-body"><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></em></p> <p>A record number of Australians are accessing their superannuation early on compassionate grounds, mainly to fund their own medical procedures – or those of a family member.</p> <p>Some 150,000 Australians have used the scheme in the last five years. Nearly 40,000 people <a href="https://www.ato.gov.au/about-ato/research-and-statistics/in-detail/super-statistics/early-release/compassionate-release-of-super">had applications approved</a> in 2022-23, compared to just under 30,000 in 2018-19 – an increase of 47%.</p> <p>Some people think this flexible use of funds is a good way to ensure people can fund their own medical needs. But more transparency and better oversight is needed.</p> <h2>What are compassionate grounds?</h2> <p>Since July 2018, the Australian Tax Office has administered the early release of superannuation – meaning before <a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/withdrawing-and-using-your-super/super-withdrawal-options#Preservationage">retirement</a> – under certain circumstances, including compassionate grounds.</p> <p><a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/withdrawing-and-using-your-super/early-access-to-super/access-on-compassionate-grounds/expenses-eligible-for-release-on-compassionate-grounds">Compassionate grounds</a> for you or your dependant (such as child or spouse) are:</p> <ul> <li>medical treatment or transport</li> <li>modifying your home or vehicle to accommodate special needs for a severe disability</li> <li>palliative care for a terminal illness</li> <li>death, funeral or burial expenses</li> <li>preventing foreclosure or forced sale of your home.</li> </ul> <p>The medical treatment must be for a life-threatening illness or injury, or to alleviate acute or chronic pain, or acute or chronic mental illness.</p> <p>The treatment cannot be “readily available” through the public system. Cosmetic procedures are excluded.</p> <p>You also have to prove you cannot afford to pay part or all of the expenses without accessing your super, for example, by spending your savings, selling assets or getting a loan.</p> <p>People who can access other funding for the expense, such as via the <a href="https://theconversation.com/lists-of-eligible-supports-could-be-a-backwards-step-for-the-ndis-and-people-with-disability-236578">National Disability Insurance Scheme</a>, are ineligible.</p> <h2>Why are people using this scheme more?</h2> <p>The ATO has not explained what is driving the surge. General cost-of-living pressures may play a role. People may have fewer savings to draw on for medical procedures.</p> <p>But the treatments most commonly being accessed using superannuation – fertility treatments, weight loss surgeries and dental care – point to other systemic issues.</p> <p>There have long been issues with IVF and <a href="https://theconversation.com/why-isnt-dental-included-in-medicare-its-time-to-change-this-heres-how-239086#:%7E:text=The%20real%20reason%20dental%20hasn,has%20a%20structural%20budget%20problem.">dental care</a> not being readily available or funded in the public health system.</p> <p>Weight loss surgeries (including <a href="https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258">bariatric surgery</a>) can help combat potentially life-threatening conditions such as heart disease. Recent <a href="https://www.monash.edu/news/articles/fewer-australians-having-bariatric-surgery-monash-university-led-report">research</a> suggests there has been an overall drop in the number of Australians having bariatric surgeries since 2016. But of those, 95% are performed through the private system.</p> <p>While early access to super can provide individuals access to critical treatment, there are issues with how compassionate grounds are defined and regulated.</p> <h2>Lack of clarity</h2> <p>As my co-author and I <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2021/06/Issue-442-PDF-3-Bhatia-and-Porceddu.pdf">have shown</a>, the vague wording of the <a href="https://www.legislation.gov.au/F1996B00580/2022-09-28/text">Superannuation Industry regulations</a> leaves them worryingly open to interpretation.</p> <p>For example, the meaning of “mental disturbance” is not defined.</p> <p>You may not meet the criteria of having an acute or life-threatening illness, or acute or chronic pain. But if you can show a certain condition causes you acute mental disturbance, you may qualify to release your superannuation early.</p> <p>People accessing their superannuation for IVF use this criterion, for example, by arguing they need to access funds to continue treatment and alleviate the acute mental distress caused by ongoing infertility issues.</p> <p>Two registered medical practitioners are each required to submit a report demonstrating the treatment is needed, and one must be a specialist in the field in which the treatment is required. However, the regulations do not specify clearly that the specialist should have relevant qualifications.</p> <p>In the IVF example, this means the specialist opinion can be provided by a fertility doctor rather than a mental health expert – and that person may stand to profit if they later also provide treatment.</p> <h2>A closed-loop system</h2> <p>Conflict of interest is another major issue.</p> <p>There is nothing in the regulations to stop a medical practitioner – such as a dentist – being involved in all steps and then financially benefiting. They could encourage a patient to access superannuation for a treatment, write the specialist report and then also receive payment for the treatment.</p> <p>Some clinics <a href="https://www.theguardian.com/australia-news/2024/apr/06/online-ads-promote-simple-access-to-super-to-pay-for-healthcare-despite-strict-rules">promote</a> accessing superannuation as an option to pay for expensive treatments.</p> <p>This raises important questions about the independence of the process, as well as professional ethics.</p> <p>Medical practitioners making recommendations for early release of superannuation should be doing so on genuinely compassionate grounds. But the potential for exploitation remains an ethical concern, when a practitioner can financially benefit from recommending early access to nest egg funds.</p> <p>Transparency around potential <a href="https://theconversation.com/people-are-using-their-super-to-pay-for-ivf-with-their-fertility-clinics-blessing-thats-a-conflict-of-interest-161278">conflicts of interest</a> are impossible to ensure without proper oversight.</p> <h2>What is needed?</h2> <p><strong>1. Mandatory financial counselling</strong></p> <p>The ATO <a href="https://www.theage.com.au/healthcare/worrying-trend-record-number-of-australians-raid-super-to-fund-medical-treatments-20240920-p5kc44.html">has warned</a> accessing super early is not “free money”, with a spokesperson urging people to get financial advice. But the law should go a step further and make this compulsory. That way people making decisions during an emotionally charged moment can understand any future implications.</p> <p><strong>2. Tightening of the criteria</strong></p> <p>Greater clarity in the legislation – such as defining “mental disturbance” – would help prevent loopholes being exploited.</p> <p><strong>3. Better oversight</strong></p> <p>Less health-care industry involvement would promote greater transparency and independence. An independent body of medical practitioners could assess applications rather than practitioners who could financially benefit if applications are approved. This would help alleviate perceived and actual conflicts of interest.</p> <p>Accessing superannuation early may be the only option for some people to start a family or access other life-changing medical care. But they should be able to make this decision in a fully informed way, safeguarded from exploitation and aware of the implications for their future.<!-- 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/239588/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/neera-bhatia-15189"><em>Neera Bhatia</em></a><em>, Associate Professor in Law, <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/more-australians-are-using-their-superannuation-for-medical-procedures-but-that-might-put-their-financial-health-at-risk-239588">original article</a>.</em></p> </div>

Money & Banking

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Drunk couple forces emergency landing after mid-air meltdown

<p>A Ryanair flight to Ibiza had to be diverted after a drunk couple allegedly assaulted cabin crew and other passengers. </p> <p>The plane, carrying holiday-makers from Manchester to Ibiza had to make an emergency landing in Toulouse, where police hauled the intoxicated passengers off the plane. </p> <p>A British traveller on the flight, who asked to remain anonymous, recalled the man "swigging duty free vodka" on the first hour of the flight, before he started arguing with a male cabin crew member and punched him in the face. </p> <p>As they tried to restrain him, the intoxicated man assaulted another passenger and spat at a woman, hurling verbal abuse at her. </p> <p>“He was kicking off with everyone, he was out of control,” the witness said.</p> <p>Flight attendants reportedly warned him that the flight would have to be diverted if he didn't calm down, but he replied: “I don’t give a f***.” </p> <p>The altercation lasted for about 40 minutes until Flight FR2626 had to land in Toulouse, and 12 police officers took him away in custody. </p> <p>Video of the attack showed the man shouting and swearing at the police, before assaulting another traveller as he was being escorted off the flight. </p> <p>After he left the plane, his partner started harassing another traveller, hitting him and calling him a "paedo". </p> <p>In another video, police were filmed physically restraining the woman, before removing her from the plane. </p> <p>The flight spent just over an hour and a half on the tarmac at the Toulouse-Blagnac Airport before continuing its journey to Ibiza.</p> <p>Just last week Ryanair chief executive Michael O’Leary called for flyers to be limited to two drinks at airports to crack down on disorderly behaviour on flights. </p> <p>“We don’t want to begrudge people having a drink," he said. </p> <p>“But we don’t allow people to drink-drive, yet we keep putting them up in aircraft at 33,000ft.</p> <p>“In the old days, people who drank too much would eventually fall over or fall asleep. But now those passengers are also on tablets and powder.</p> <p>“It’s the mix. You get much more aggressive behaviour that becomes very difficult to manage.”</p> <p>The airline has started carrying out hand luggage checks to stop passengers on flights to Ibiza and the Greek islands from smuggling duty-free alcohol on-board. </p> <p>A Ryanair spokesperson has apologised for the incident saying:  “This flight from Manchester to Ibiza diverted to Toulouse after a small group of passengers became disruptive in-flight." </p> <p>“The crew called ahead for police assistance, who met the aircraft upon landing at Toulouse and offloaded two passengers before this flight continued to Ibiza.</p> <p>“We sincerely apologise to passengers for any inconvenience caused as a result of these unruly passengers’ behaviour, which was beyond Ryanair’s control. This is now a matter for local police.”</p> <p><em>Image: news.com.au</em></p>

Travel Trouble

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New details and pics emerge after baby scalded by stranger in Brisbane park

<p>New photos and details have emerged of the nine-month-old baby who was scalded by a stranger in a park in Brisbane.</p> <p>Police have alleged that a man, between 30 and 40 years old, tipped hot coffee over a baby in Hanlon Park on Wednesday before <a href="https://oversixty.com.au/finance/legal/manhunt-after-stranger-pours-scalding-hot-coffee-on-baby-in-public-park" target="_blank" rel="noopener">fleeing the scene</a>. </p> <p>On Thursday morning, police released new images of a man they wish to speak to in relation to the alleged assault.</p> <p>Police said the man was of an average build and with tanned skin and was wearing a black hat, glasses, a checkered button-up shirt and shorts at the time of the attack. </p> <p>The plea from police comes after an image of the baby in hospital was released, with the nine-month-old completely wrapped in bandages. </p> <p>After the incident, the baby was rushed to Queensland Children's Hospital and has since undergone surgery for burns to his face and chest, reportedly suffering serious burns to 60 per cent of his body including his face, neck, chest and arms.</p> <p>A friend of the baby's mother, Zara Mazza, shared an update with <em>The Project</em> on Wednesday night, recalling how she was sitting down with her own son and looked up to see a man standing above her friend’s nine-month-old baby. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C_Nruwavg67/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C_Nruwavg67/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a></p> </div> </blockquote> <p>“This man was standing above him, behind him, and poured a Thermos of hot coffee over him. He just started screaming,” she told the program.</p> <p>Ms Mazza said she tried to chase the man but he was “very fast”, and she tripped while attempting to keep up.</p> <p>“Essentially all I could hear was his mum screaming that it’s hot. ‘It’s hot, it’s hot coffee’, so I ran back and as I ran back picked up my water bottle and dumped it over him,” she said.</p> <p>“I removed him from his mum and we laid him down on the picnic rug and we peeled his clothes away, which revealed the peeling of his skin, his skin had started to blister.”</p> <p>Bystanders reportedly came over with filled water bottles to pour over the baby, before a nurse in training offered up a shower at her nearby apartment so water could constantly be running on him.</p> <p>“Very grateful. The ambulance came really quickly, I think it was within five minutes. Police, too,” Ms Mazza said.</p> <p>“It was chaotic. It happened really quickly.”</p> <p>The baby’s mother is reportedly “really traumatised” after the incident, as Ms Mazza said, “She’s got a lot of anxiety right now. She’s not been able to sleep very well, if at all. So definitely struggling.”</p> <p>“Bub is in a stable condition … they say that he’ll need regular dressing changes under anaesthetic over the next weeks. They don’t know how long, but, yeah. It’s gonna take a while.”</p> <p><em>Image credits: 7News / Queensland Police</em></p>

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

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

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