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Your legacy. Their future. Will you be the difference in an uncertain world?

<p>Connection. Safety. Friendship. Family. When you <a href="https://www.redcross.org.au/donate-funds/bequest/pass-it-on/will-planning-checklist-social/?utm_medium=digital&utm_source=edm&utm_campaign=bequests&utm_content=over60s" target="_blank" rel="noopener">leave a gift in your Will for Australian Red Cross</a>, there’s no end to the difference you can make.</p> <p>Just ask Elsie. At 95 years old, Elsie has been transformed by weekly visits from Fiona, her Red Cross volunteer. For Fiona, her visits to see 95-year-old nursing home resident Elsie quickly turned into a family affair. </p> <p>"My children, Tom and Meg, have become very attached to her and vice versa. They're like, 'Are you going to see Elsie, can we come too?' They see how lovely it is to be kind to someone like Elsie," says Fiona. "Elsie tells me, 'You're my special family.'"</p> <p>Fiona's dog, Mia, is even a regular visitor at the Tasmanian nursing home. "Mia's like a celebrity. All the residents love her."</p> <p>The family marks all the big milestones with Elsie, like Christmas Day when they brought her home for a special morning tea. "When she turned 95 in December, we took her to a café. She said that was the best birthday she'd had for a long time."</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2024/08/RedCross_01.jpg" alt="" width="1280" height="720" /></p> <p><em>Elsie celebrating her birthday with Fiona's children, Tom and Meg. </em></p> <p>It is very much a two-way friendship, says Fiona. "I wasn't expecting it to be like that. I thought it was going to be more me doing lots of things for Elsie. But she gives back a lot."</p> <p>Like when Fiona's daughter, Meg, didn't pass her driver's license test. "Meg was quite upset. Elsie goes to her, 'That's why they invented pencils with rubbers at the end. They are there for you to rub out your mistakes, and then you can have another go.' </p> <p>"She's wise. She gives them little bits of advice and words of wisdom, and they listen to what she says … I can't believe she's 95 years old. Her mind is so unbelievably sharp."</p> <p>Fiona says that, lately, Elsie has not been as mobile as she was, and so they often spend their time together at the nursing home. "We find a nice spot and have a cuppa … She likes telling stories about her life. She talks a lot about her husband, her upbringing, people she's met.</p> <p>"Often, I'll bring her some magazines, or she will have asked me to get some stamps. And my kids have been great with her with technology, how to do this and how to do that. </p> <p>"We chat with other residents as well. Even though Elsie's our person, there are other people we've got to know. She introduces us as 'This is my family.'" </p> <p>Fiona says the first time they met, she and Elsie discovered they had much in common. They both grew up in the same country town and had travelled around Australia managing hotels.</p> <p>They care a lot about each other, she says. "I think it's given her more of a will to live. That sounds pretty deep, but I know how much she looks forward to seeing us; it's giving her more purpose in life.</p> <p>"Elsie always says, 'You make me feel so happy. I love seeing you, it's such a highlight.' I say it back to her because it's the same for me, 'I get so much joy out of seeing you.'"</p> <p>Fiona says she hopes her story inspires other people to volunteer, too.</p> <p>Your generosity, captured in your Will, can help fund programs like our Aged Care Volunteer Visitors Scheme and foster social connections like Elsie and Fiona’s. The program supports more than 1000 participants across the country with the majority between the ages of 78 and 89.</p> <p>Everybody deserves the warmth of kindness and friendship, and your Will can help Australian Red Cross share that with people for generations to come.</p> <p><a href="https://www.redcross.org.au/donate-funds/bequest/pass-it-on/will-planning-checklist-social/?utm_medium=digital&utm_source=edm&utm_campaign=bequests&utm_content=over60s" target="_blank" rel="noopener"><img src="https://oversixtydev.blob.core.windows.net/media/2024/08/RedCross_02_wQRCode.jpg" alt="" width="1280" height="638" /></a></p> <p>If you would like a free <a href="https://www.redcross.org.au/donate-funds/bequest/pass-it-on/will-planning-checklist-social/?utm_medium=digital&utm_source=edm&utm_campaign=bequests&utm_content=over60s" target="_blank" rel="noopener">Will Planning Checklist</a>, or more information, our <a href="mailto:litran@redcross.org.au" target="_blank" rel="noopener">Gifts in Wills Specialist</a> would love to help.</p> <p>You <a style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;" href="mailto:litran@redcross.org.au" target="_blank" rel="noopener">get in touch here</a><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> or call 1800 733 276.</span></p> <p><em>All images: Supplied.</em></p> <p><em>This is a sponsored article produced in partnership with Australian Red Cross.</em></p>

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How long does menopause last? 5 tips for navigating uncertain times

<p><em><a href="https://theconversation.com/profiles/yvonne-middlewick-1395795">Yvonne Middlewick</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>Around half of the world’s population are women or people who menstruate – yet the way their body works can be a mystery, even to them.</p> <p>Most women will experience periods roughly every month, many will go through childbirth and those who live into midlife will experience menopause.</p> <p>While menopause is a significant time of change, it isn’t talked about much, other than as a punchline. This may contribute to keeping it a <a href="https://www.theguardian.com/membership/2019/sep/21/breaking-the-menopause-taboo-there-are-vital-stories-we-should-continue-to-pursue">taboo topic</a>.</p> <p>So, what happens during menopause? How do you know when it is happening to you? And – the thing most women want to know – how long will it last?</p> <h2>What is menopause?</h2> <p>Menopause is <a href="https://www.nia.nih.gov/health/what-menopause">defined</a> as the permanent cessation of menstruation, which is medically determined to be one year after the final menstrual period. After this time women are considered to be postmenopausal.</p> <p>The <a href="https://pubmed.ncbi.nlm.nih.gov/26598775/">average age</a> of “natural menopause” (that is not caused by a medical condition, treatment or surgery) is considered to be around 51 years.</p> <p>However, natural menopause does not occur suddenly. <a href="https://www.researchgate.net/profile/Riitta-Luoto/publication/46425690_Prevalence_of_menopause_symptoms_and_their_association_with_lifestyle_among_Finnish_middle-aged_women/links/5c5704ac458515a4c7553c7b/Prevalence-of-menopause-symptoms-and-their-association-with-lifestyle-among-Finnish-middle-aged-women.pdf">Changes can begin</a> a number of years before periods stop and most often occur in a woman’s 40s but they can be earlier. Changes <a href="https://pubmed.ncbi.nlm.nih.gov/25686030/">can continue</a> for 10 years or more after periods have stopped.</p> <p>Using hormones such as the oral contraceptive pill or hormone intrauterine devices may make it more <a href="https://pubmed.ncbi.nlm.nih.gov/31934948/">difficult to determine</a> when changes start.</p> <p>Menopause that occurs <a href="https://www.womenshealth.gov/menopause/early-or-premature-menopause#:%7E:text=Menopause%20that%20happens%20before%20age,to%20come%20earlier%20than%20usual.">before 45</a> is called “early menopause”, while menopause before 40 is called “premature menopause”.</p> <h2>What about perimenopause?</h2> <p>Various <a href="https://www.menopause.org.au/hp/information-sheets/glossary-of-terms">terms</a> are used to describe this period of change, including “menopause” or “the menopause”, “menopausal transition”, “perimenopause” or “<a href="https://pubmed.ncbi.nlm.nih.gov/12188398/">climacteric</a>”.</p> <p>These terms tend to refer to the period before and after the final menstrual period, when changes are considered to be related to menopause.</p> <p>The difficulty with the definition of menopause is it can only be decided retrospectively. Yet women can experience changes many years before their periods stop (a lead up usually called “perimenopause”). Also, any <a href="https://www.sciencedirect.com/sdfe/pdf/download/eid/1-s2.0-S0889854518300627/first-page-pdf">changes noticed</a> may not be associated with menopause (because people might not be aware of what to expect) or changes may be associated with a combination of factors such as stress, being busy or other health issues.</p> <h2>So, what is going on?</h2> <p>Through a feminist lens, menopause can be seen as a <a href="https://www.researchgate.net/publication/354652248_The_volcano_within_a_study_of_women's_lived_experience_of_the_journey_through_natural_menopause">complex and diverse experience</a>, influenced by biological, psychological, social and cultural aspects of women’s lives.</p> <p>However, it is usually viewed from the biomedical perspective. This sees it as a biological event, marked by the <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">decline</a> in ovarian hormone levels leading to a reduction in reproductive function.</p> <p>The female reproductive system operates because of a finely tuned balance of hormones managed by the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466056/#:%7E:text=The%20hypothalamic%2Dpituitary%2Dovarian%20(HPO)%20axis%20must%20be,priming%20the%20endometrium%20for%20implantation.">hypothalamic-pituitary-ovarian axis</a>. International <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3340903/">experts</a> have developed a staging system for female reproductive ageing, with seven stages from “early reproductive” years to “late postmenopause”.</p> <p>However, female reproductive hormones do not just affect the reproductive system but <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">other aspects</a> of the body’s function. These include the <a href="https://pubmed.ncbi.nlm.nih.gov/26007613/">neurological system</a>, which is linked to hot flushes and night sweats and disrupted sleep. Hormones may also affect the <a href="https://www.nature.com/articles/nrdp20154">heart and body’s blood circulation</a>, bone health and potentially the <a href="https://www.sciencedirect.com/science/article/pii/S0091302220300418">immune system</a>.</p> <p>Menopausal hormone changes may <a href="https://www.thewomens.org.au/health-information/menopause-information/menopause-symptoms/">cause</a> hot flushes, night/cold sweats, mood swings, sleep disruption and tiredness, vaginal dryness.</p> <p>Medical confirmation of menopausal changes in women over 45 years is based on two biological indicators: vasomotor symptoms (those hot flushes and night sweats again) and an <a href="https://www.womenshealth.gov/menopause/early-or-premature-menopause#:%7E:text=Menopause%20that%20happens%20before%20age,to%20come%20earlier%20than%20usual.">irregular menstrual cycle</a>.</p> <p>In early perimenopause the changes to the menstrual cycle may be subtle. Women may not recognise early indicators, unless they keep a record and know what to watch for.</p> <h2>How long does it last?</h2> <p>The body demonstrates an amazing ability to change over a lifetime. In a similar way to adolescence where long-lasting changes occur, the outcome of menopause is also change.</p> <p>Research suggests it is difficult to give an exact time frame for how long menopausal changes occur – the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085137/">average</a> is between four and eight years.</p> <p>The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085137/">Penn Ovarian Ageing Study</a> found 79% of the 259 participants experienced hot flushes starting before the age of 50, most commonly between 45 and 49 years of age.</p> <p>A later report on the same study found one third of women studied experienced <a href="https://womensmidlifehealthjournal.biomedcentral.com/articles/10.1186/s40695-016-0014-2">moderate to severe hot flushes</a> more than ten years after their periods had stopped. A <a href="https://journals.lww.com/menopausejournal/Abstract/2017/03000/Cultural_issues_in_menopause__an_exploratory.11.aspx">2017 study</a> found a small number of women continued to experience hot flushes and other symptoms into their 70s.</p> <p>So overall, the research cannot offer a specific window for perimenopause, and menopause does not appear to mark the end of changes for everyone.</p> <h2>5 tips for uncertain times</h2> <p>Shifts and changes can be recognised early by developing knowledge, paying attention to changes to our bodies and talking about menopause and perimenopause more openly.</p> <p>Here are five tips for moving from uncertainty to certainty:</p> <p><strong>1.</strong> talk to people and find out as much information as you can. The experiences of mothers and sisters may help, for some women there are familial similarities</p> <p><strong>2.</strong> notice any changes to your body and make a note of them, this will help you recognise changes earlier. There are <a href="https://www.redonline.co.uk/wellbeing/a36980118/menopause-apps/">menopause tracking apps</a> available</p> <p><strong>3.</strong> keep a note of your menstrual cycle: start date, duration, flow and note any changes. Again, an app might help</p> <p><strong>4.</strong> if you are worried, seek advice from a GP or nurse that specialises in women’s health. They may suggest ways to help with symptoms or refer to a specialist</p> <p><strong>5.</strong> remember changes are the indicator to pay attention to, not time or your age.</p> <p>Menopause is a natural process and although we have focused here on the time frame and “symptoms”, it can also be a time of freedom (particularly from periods!), reflection and a time to focus on yourself.<!-- 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/195211/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> <figure><iframe src="https://www.youtube.com/embed/lhosPUwWhfI?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Women speak about their experiences of menopause.</span></figcaption></figure> <p><em><a href="https://theconversation.com/profiles/yvonne-middlewick-1395795">Yvonne Middlewick</a>, Nurse &amp; Lecturer, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-does-menopause-last-5-tips-for-navigating-uncertain-times-195211">original article</a>.</em></p>

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Gastro or endometriosis? How your GP discusses uncertainty can harm your health

<p>You wake with stomach pain that worsens during the day and decide to see your doctor. You describe your symptoms and your doctor examines you. Then the doctor says, “From what I hear, I think you could just have a stomach bug. Rest and come back in three days.”</p> <p>This might be a less definitive answer than you’re after. But doctors can’t always be sure of a diagnosis straight away. As <a href="https://link.springer.com/article/10.1007/s11606-022-07768-y">my review</a> shows, doctors use various ways of communicating such uncertainty.</p> <p>Sometimes there is a mismatch between what doctors say when they’re uncertain and how patients interpret what they say, which can have harmful consequences.</p> <h2>Why does uncertainty matter?</h2> <p>Doctors <a href="https://link.springer.com/article/10.1007/s11606-017-4164-1">cannot always explain</a> what your health problem is or what caused it. Such diagnostic uncertainty is a normal and <a href="https://doi.org/10.1001/jama.2022.2141">ever-present part</a> of the processes leading to a diagnosis. For instance, doctors often have to rule out other possible diagnoses before settling on one that’s most likely.</p> <p>While doctors ultimately get the diagnosis right <a href="http://dx.doi.org/10.1136/bmjqs-2012-001615">in 85-90%</a> of cases, diagnostic uncertainty can lead to diagnostic delays and is a huge contributor to harmful or even deadly misdiagnoses.</p> <p>Every year, <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">an estimated</a> 21,000 people are seriously harmed and 2,000-4,000 people die in Australia because their diagnosis was delayed, missed or wrong. That could be because the wrong treatment was provided and caused harm, or the right treatment was not started or given after the condition had already considerably progressed. More than <a href="https://www.mja.com.au/system/files/issues/213_07/mja250771.pdf">80% of diagnostic errors</a> could have been prevented.</p> <p>Three medical conditions – infections, cancer and major vascular events (such as strokes or heart attacks) – are the so-called “<a href="https://doi.org/10.1515/dx-2019-0019">Big Three</a>” and cause devastating harm if misdiagnosed.</p> <p>In my review, the top three symptoms – fever, chest pain and abdominal pain – were most often linked to diagnostic uncertainty. In other words, most of us will have had at least one of these very common symptoms and thus been at risk of uncertainty and misdiagnosis.</p> <p>Some groups are less likely to be diagnosed correctly or without inappropriate delay than others, leading to <a href="https://doi.org/10.1001/jama.2022.7252">diagnostic inequities</a>. This may be the case for <a href="https://www.liebertpub.com/doi/10.1089/whr.2022.0052">women</a>, and other groups marginalised because of their <a href="https://onlinelibrary.wiley.com/doi/10.1111/acem.14142">race or ethnicity</a>, <a href="https://doi.org/10.1016/j.socscimed.2020.113609">sexual orientation or gender identity</a>, or <a href="https://doi.org/10.1001/jama.2022.7252">language proficiency</a>.</p> <h2>How often do you hear ‘I don’t know’?</h2> <p>My research showed doctors often make diagnostic uncertainty clear to patients by using explicit phrases such as: “I don’t know.”</p> <p>But doctors can also keep quiet about any uncertainty or signal they’re uncertain in more subtle ways.</p> <p>When doctors believe patients prefer clear answers, they may only share the most likely diagnosis. They say: “It’s a stomach bug” but leave out, “it could also be constipation, appendicitis or endometriosis”. </p> <p>Patients leave thinking the doctor is confident about the (potentially correct or incorrect) diagnosis, and remain uninformed about possible other causes. </p> <p>This can be especially frustrating for patients with chronic symptoms, where such knowledge gaps can lead to lengthy diagnostic delays, as reported for <a href="https://doi.org/10.1016/j.ajog.2018.12.039">endometriosis</a>.</p> <p>Subtle ways of communicating uncertainty include hedging with certain words (could, maybe) or using introductory phrases (my guess, I think). Other implicit ways are consulting a colleague or the Internet, or making follow-up appointments.</p> <p>If patients hear “I think this could be a stomach bug” they may think there’s some uncertainty. But when they hear “come back in three days” the uncertainty may not be so obvious.</p> <p>Sharing uncertainty implicitly (rather than more directly), can leave patients unaware of new symptoms signalling a dangerous change in their condition.</p> <h2>What can you do about it?</h2> <p><strong>1. Ask about uncertainty</strong></p> <p>Ask your doctor to share any <a href="http://dx.doi.org/10.1515/dx-2021-0086">uncertainty and other diagnostic reasoning</a>. Ask about alternative diagnoses they’re considering. If you’re armed with such knowledge, you can better engage in your care, for example asking for a review when your symptoms worsen.</p> <p><strong>2. Manage expectations together</strong></p> <p>Making a diagnosis can be an evolving process rather than a single event. So ask your doctor to outline the diagnostic process to help manage any <a href="http://dx.doi.org/10.1136/ebm.14.3.66">mismatched expectations</a> about how long it might take, or what might be involved, to reach a diagnosis. Some conditions need time for symptoms to evolve, or further tests to exclude or confirm.</p> <p><strong>3. Book a long appointment</strong></p> <p>When we feel sick, we might get anxious or find we experience heightened levels of fear and other emotions. When we hear our doctor isn’t certain about what’s causing our symptoms, we may get even more anxious or fearful.</p> <p>In these cases, it can take time to discuss uncertainty and to learn about our options. So book a long appointment to give your doctor enough time to explain and for you to ask questions. If you feel you’d like some support, you can ask a close friend or family member to attend the appointment with you and to take notes for you.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/gastro-or-endometriosis-how-your-gp-discusses-uncertainty-can-harm-your-health-196943" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Royal staff face uncertain future amid palace shake-up

<p dir="ltr">King Charles III is reportedly planning to slim down the ranks of staff at England’s royal residences, months after staff at Clarence House were told they were being made redundant.</p> <p dir="ltr">According to a royal insider, the reported 491 full-time staff working across Buckingham Palace, Balmoral Castle, Windsor Castle and other royal residences, per <em><a href="https://www.msn.com/en-au/news/australia/king-charles-reportedly-planning-to-fire-late-queen-s-ladies-in-waiting-among-other-staff/ar-AA14jAlj?cvid=94ec179e798b4a65b52b3da30143492b" target="_blank" rel="noopener">msn.com</a></em>, are “extremely worried” about their positions and fear they will be unemployed by the end of the year.</p> <p dir="ltr">"It's a really testing time. Many are already resigned to leaving jobs they have cherished for years," the insider told <em><a href="https://www.thesun.co.uk/fabulous/20479578/king-charles-makes-major-royal-shake-up/" target="_blank" rel="noopener">The Mirror</a></em>.</p> <p dir="ltr">"It's left a real sense of dread among staff."</p> <p dir="ltr">Royal insiders believe Queen Elizabeth II’s ladies-in-waiting at the Royal Stud in Sandringham are among those at risk.</p> <p dir="ltr">The news comes one week after the King announced a one-off cost-of-living bonus for his staff, with a source telling <em><a href="https://honey.nine.com.au/royals/king-charles-pays-staff-bonus-out-of-pocket-cost-of-living/c4f05fbe-3d8e-4e13-b475-6b2f9c15a28d" target="_blank" rel="noopener">The Sun</a></em> that Charles was paying hundreds out of his own pocket to help his lowest-earning employees during the country’s cost-of-living crisis.</p> <p dir="ltr">"It is being given on a ­sliding scale with those most in need and on lower wages getting the most money," the source said.</p> <p dir="ltr">For some royal staff, the recent risk of redundancy may come for a second time, after up to 100 employees at Charles’ former residence of Clarence House were given redundancy notices during the Queen’s thanksgiving service in September.</p> <p dir="ltr">In a letter sent to staff by Sir Clive Alderton, the King’s top aide, it was revealed that the Clarence House household “will be closed down”.</p> <p dir="ltr">“The change in role for our principals will also mean change for our household … The portfolio of work previously undertaken in this household supporting the former Prince of Wales’s personal interests, former activities and household operations will no longer be carried out, and the household … at Clarence House will be closed down. It is therefore expected that the need for the posts principally based at Clarence House, whose work supports these areas will no longer be needed,” his letter read, as reported by the <em><a href="https://www.theguardian.com/uk-news/2022/sep/13/king-charles-staff-given-redundancy-notice-during-church-service-for-queen" target="_blank" rel="noopener">Guardian</a></em>.</p> <p dir="ltr">“I appreciate that this is unsettling news and I wanted to let you know of the support that is available at this point.”</p> <p dir="ltr">It is understood that staff made redundant would be offered searches for alternative employment across the royal households.</p> <p><span id="docs-internal-guid-f647db3b-7fff-0830-52f2-2639733dc02f"></span></p> <p dir="ltr">“Our staff have given long and loyal service and, while some redundancies will be unavoidable, we are working urgently to identify alternative roles for the greatest number of staff,” a Clarence House spokesman said at the time.</p> <p dir="ltr"><em>Image: Getty Images</em></p>

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The uncertain future of Mount Everest

<p><span style="font-weight: 400;">Each year, thousands of eager travellers flock to the mountain of Nepal to try their luck at climbing Mount Everest: the world’s highest peak. </span></p> <p><span style="font-weight: 400;">However, due to the coronavirus pandemic, the country had a seven-month ban on international travellers. </span></p> <p><span style="font-weight: 400;">As the borders have opened again and people from all over the world are keen to get out and explore again, some Nepal officials are encouraging adventurers to come and tackle the mountain. </span></p> <p><span style="font-weight: 400;">Each year, Everest expeditions are a huge contributing factor to the nation’s economy, with the odyssey bringing in more than $300 million in 2019, according to </span><a href="https://www.bloomberg.com/graphics/2020-everest-reopening-sherpa-supply-chain/"><span style="font-weight: 400;">Bloomberg</span></a><span style="font-weight: 400;">.</span></p> <p><span style="font-weight: 400;">The price of the climb starts at a </span><a href="https://www.alanarnette.com/blog/2021/02/10/how-much-does-it-cost-to-climb-mount-everest-2021-edition/"><span style="font-weight: 400;">whopping $45,000</span></a><span style="font-weight: 400;">, with prices increasing depending on guides, routes and conditions.</span></p> <p><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7845037/everest-price.jpg" alt="" data-udi="umb://media/c854f126661d44618279a8bc090e0386" /></p> <p><em><span style="font-weight: 400;">Image credit: alanarnette.com</span></em></p> <p><span style="font-weight: 400;">Despite the economic significance of the expedition, many are calling for the way Mount Everest is conquered and controlled to be reconsidered.</span></p> <p><span style="font-weight: 400;">As the international borders reopened in Nepal's spring season, a record of 408 permits were issued for the summit. </span></p> <p><span style="font-weight: 400;">The government also broke its permit record in 2019, when it issued 381.</span></p> <p><span style="font-weight: 400;">Despite a record number of travellers flocking to the Himalayas, the climbing season coincided with a new wave of Covid-19 infections, with many experiencing coronavirus symptoms at base camp. </span></p> <p><span style="font-weight: 400;">This drastic increase in climbing numbers in 2021 poses more of a risk to the increase of deaths on the mountain, as overcrowding has led to a surge in fatalities. </span></p> <p><span style="font-weight: 400;">Eleven people died climbing the world’s highest peak in 2019, with four deaths blamed on overcrowding. </span></p> <p><span style="font-weight: 400;">On one day, 354 people were lined up to reach the top from Nepal’s southern side and Tibet’s northern approach.</span></p> <p><span style="font-weight: 400;">To prevent overcrowding and a lack of resources, Nepal’s tourism ministry has announced they will be capping the number of people who can summit the mountain, in accordance with the small window of suitable weather. </span></p> <p><span style="font-weight: 400;">Another issue threatening the expedition is the amount of pollution that is generated from each climbing season. </span></p> <p><span style="font-weight: 400;">Each year, Nepal has struggled to deal with the amount of waste that comes with thousands of people flocking to the mountain. </span></p> <p><span style="font-weight: 400;">A team of researchers in April this year made a worrying discovery when they found the highly-toxic PFAS chemicals near the summit.</span></p> <p><span style="font-weight: 400;">“Everest is treasured very highly as a unique monument for the globe,” Rainer Lohmann, a PFAS researcher from the University of Rhode Island told the </span><a href="https://www.wsj.com/?mod=wsjheader_logo"><span style="font-weight: 400;">Wall Street Journal</span></a><span style="font-weight: 400;">.</span></p> <p><span style="font-weight: 400;">“It’s kind of sad to see very high concentrations at some places on the mountain. We say, ‘Take nothing but pictures, leave nothing but footprints,’ but we leave chemicals.”</span></p> <p><em><span style="font-weight: 400;">Image credits: Getty Images</span></em></p>

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“Not much left for her”: Johanna Griggs’ future at Seven uncertain

<p>Following her departure from <em>House Rules</em>, Johanna Griggs’ future at Seven remains to be seen, a network insider has claimed.</p> <p>The source told <em><a href="https://www.nowtolove.com.au/reality-tv/house-rules/joh-griggs-house-rules-fighting-60088">Now to Love</a> </em>that Griggs, who is set to take part in Channel Seven’s upcoming 2020 Summer Olympics coverage, may take a back seat to Abbey Gelmi, the network’s cricket and horseracing presenter and new <em>House Rules </em>co-host.</p> <p>“<span>Joh is realistic and knows there is not much at Seven left for her, except for <em>Better Homes And Gardens</em> and sport,” said the insider.</span></p> <p><span>“She will be taking an active role in the upcoming Olympics 2020 Tokyo coverage – at this point she’s looking at co-hosting alongside Hamish McLachlan and Jim Wilson, but her role isn’t a given.</span></p> <p><span>“Joh is well aware that if Abbey proves to be a winner on <em>House Rules</em>, they may put her upfront for the Olympics – it’s no secret that network bosses are grooming her to be the next Joh Griggs.”</span></p> <p><span>In July, Griggs announced her exit from the renovation show. “As the show goes into preproduction for the next season, it’s the perfect time to hand over the role to someone who will take the show into S8,” she wrote on Instagram.</span></p> <p><span>Last month, it was announced that Jamie Durie would return as host at the program alongside Gelmi. Laurence Llewelyn-Bowen, Kyly Clarke and Saul Myers also join the line-up as judges.</span></p> <p><iframe src="https://www.facebook.com/plugins/post.php?href=https%3A%2F%2Fwww.facebook.com%2Fhouserules%2Fposts%2F2525326867502598&amp;width=500" width="500" height="674" style="border: none; overflow: hidden;" scrolling="no" frameborder="0" allowtransparency="true" allow="encrypted-media"></iframe></p>

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