11 Burst results for "Bowel Cancer"
"bowel cancer" Discussed on Mentally Yours
"I'd love to hear how you've been getting on over the past few years because obviously we had the pandemic and that was really tough on everybody's mental health. But living with a specifically health anxiety, how was that for you? So it was difficult. When we first went into lockdown, I did speak to my doctor weirdly not about code. It wasn't, I wasn't panicked about COVID. I spoke to my doctor about three different things over the phone, obviously, because it was locked down. And they were leukemia, bowel cancer and ovarian cancer. Now I don't know why, but I became as soon as lockdown hit, health anxiety kind of kicked in. It was obviously triggered by what was going on. But it was just different health problems. So I struggled at the start of the pandemic. I've also struggled a bit, I think it was as perimenopause was kicking in because I had I could feel anxiety and it was different this time because it was more like it was more like a physical sensation of anxiety kind of tension and a bit of a dread but no, but there were no kind of specifics attached to it. So this is in the last 6 months. This was happening. So long after the pandemic started, but I was just feeling these general feelings of unease and anxiety and it felt like I was worried that I was, you know, going to be finding myself back in the middle of it. But I had so many other things going on. And so when I spoke to my doctor, she, my other brilliant doctor that I mentioned there, she said, you know, these are all signs of perimenopause because I had lots of other things happening like seriously bad insomnia that I'd never experienced before. I'd always had restless legs, but this was really bad. And these things can link with anxiety as well. Without perimenopause, but I also had terrible bleeding that wouldn't stop. I had really bad mood swings. I had all manner of things going on. I'd put on a lot of weight and so I actually started on HRT and we're now looking at because I'm on my antidepressants on HRT, we're now looking at a kind of whether I can start reducing my antidepressants a bit, but we've gone away and see if things kind of level out. And yeah, I don't know why recently I think then I got COVID for the second time in February. So I think after I'd started on HR two, things were kind of really good for a while and then I got COVID in February and had an ear problem.
"bowel cancer" Discussed on Food for Thought
"Up to a third of greenhouse gas emissions come from agriculture and food, our food system. But 8 10% comes from waste. And why is that? Again, it's the way we've just waste all that land, but also rotting vegetation releases methane into the atmosphere, the most potent one of the more potent greenhouse gases, so it's a really big thing. And in fact, if you look at all the big organizations, the three top dietary advice is more plants and variety and healthy plants, more legumes, this one within that, the next one is to reduce life stoke, but the third one, the focus on is less waste. Because it's so potent to the environment. It's a good discussion to have because I think we could all make massive changes in the way we consume. And the way we cook food, there's lots of nice, cool movements on social media about using the whole broccoli, including the stalk, you know, so I use the stalk in my kids Mac and cheese, a blender up in the cheese sauce. They have no idea once it's cooked. You know, cauliflower leaves are delicious. You can use up food. But also to add these changes and not just good for the environment, but they are good for your health too. They may lower your risk of cardiovascular disease with the increased amount of fiber that you're having your heart health. It's very important lower your risk of type two diabetes as lots of bowel cancers even. There's a lot of health related risks, but we don't have time to go into too much, so I'm going to move on to questions from our listeners for you. Organic, I think organics good, Sasha has said our organic diets better for the planet because there's a huge health halo around organic isn't there. There is. And organic diet at some respect are better, but not if you continue, especially with animals. Not if we continue to consume them at this vast level. It's just because they take up so much land and then that land impact on how much carbon we can take out of the atmosphere to keep the temperature down. And also it affects the little microbes that live underneath it and all of these and all the ecosystem under within the soil. So it's really important that we rewild to give back ladder. Yes, go organic. You tend to use less fertilizers, but we still have to consume less. That's organic dairy and organic meat and especially cattle cows than she. So interesting there that potentially environmental benefit but nutritionally speaking, they're pretty much on a par aren't they in terms of the nutrient values that they give the consumer. I think there's something about amiga's being higher in organic dairy and different items. But in general, nutrient wise cost is quite significantly more the cost isn't it organic. Yeah, but also from a nutrition aspect for a dairy alternative, so plant based drinks, unfortunately, organic laws means they can not be fortified. So if you opt for an organic plant based drink, you will get no calcium. You'll get none of the vitamins as if you go for non organic. And I don't think organic farming does enough to the environment to actually support it overall. You know, we have to change the way we've consuming food, organic meat and dairy, no, it's still damn. We've got to cut down. Okay, so what about fair trade to Felix? Well, we've never had the name Felix come up before I like the name Felix. Good question Felix. He said. It's a good name. It's a great day. Good. Well, let's have Felix's question. He said, our fair trade products more sustainable. Yeah, if you look at the definition of sustainability, it has to encompass a lot of things as well as cultural differences, financial factors as well, but also how people are treated had the workers are treated and also animal welfare how animals are treated and how land is treated. So that is more sustainable if you're actually helping the workers there to have a reasonable livelihood and also to have a better quality of life. It's whilst it's one aspect of sustainability. But at the end of the day, it is always about having more in a bit of a variety of plants in our diets. And then this is a different type of question that Libby's brought up that I've just read here. And actually, I will say that there is a baby food brand. It's about baby food that is recyclable now called little Freddy's. But I think that's the first one in the UK. Yeah, which is amazing because finally, but she said, how can I make my child's diet more sustainable as many baby pouches are not recyclable? And that's true. All these baby pouches are just going straight to landfill. Exactly. I mean, I must admit baby food is not my big area. So I don't know whether you think bulk buy foods in much bigger portions. But I do know for convenience, you want them individually wrapped. And there's nothing we can do about that except unfortunately, going back and maybe 50 50 using pouches, but then preparing food at home yourself. Because there's no reason why, especially after the age of one, children can not have foods that we have, there's no reason why they need pouched or special foods at all. It's very interesting. It's really true and I will also add, you know, there are brands now that do recycle, but James has said, is palm oil bad for the environment. Do we need to include it in our diets? That's a really excellent question, because one thing I will say about the new wave of plant foods, you know, your burgers and all these districts that are coming out. You have to look at them really, really carefully. Because there's not all plants are equal, not all plants are healthy, sugar is a plant. You wouldn't exactly advocate it. At the same with palm oil, it can be sustainably sourced, which means environmentally is better for the environment. However, the saturated fat levels in there are horrendous. And coconut is even worse. The amount of saturated fat in coconut fat is far bigger than lard and beef stripping and people don't realize that. And my bugbear is coconut yogurts. There's one brand that a 150 gram part of coconut yogurt exceeds our recommended maximum table saturated fat.
"bowel cancer" Discussed on Be More Orca
"And it's either in a pump, as you say, or a little pre-measured sachet. There's patches which vary in size and dose, and you'd start gradually and increase depending on how well your symptoms were controlled. The spray is a fairly newer product, actually. It's applied to the inner forearm. But all these products, gel patch spray, are delivering body-identical estradiol. So it's all the same type of estrogen, just in different ways of administration, depending on what works for the patient. And in private practice, it's just body-identical, isn't it? You're shaking your head at me. No, no, it's not. No. Because I was going to say, why is the NHS still prescribing combined HRT with progestins, then? But you're shaking your head. Yeah. Private practice is no different. So the difference with private practice is the time you have with patients. But the choices of HRT, estrogen and progesterone, estrogen and progesterogens are no different. It's just what the patient wants. And it might be that discussion then has a little bit more time to go into more detail and really hone down the points about what works for that patient. But the products I use privately are no different. Okay, brilliant. And I also want to talk about, should women be offered testosterone too? I'm really glad you brought this up. So if we look at media publicity recently, I think everybody should be on testosterone, but that's not quite the case. So the first thing to say is the amount of data and research we have about testosterone use as part of hormone replacement therapy for menopause is limited. The studies so far have not been vast. And that's because there's been, I want to say, a general view that maybe testosterone isn't important for women. And it's maybe not a highly funded area of research when health priorities may be more appropriately directed elsewhere. And I'm not, you know, I can understand that. But testosterone is a key hormone that women produce. And we produce significant amounts of this premenopausal. And there's a gradual decline starting around our mid 30s in our testosterone levels, which then become quite pronounced as we get older, the effects of which can become quite apparent. We know from the studies we do have available that testosterone improves sexual function. And when we used testosterone products compared with placebos, pretend products that didn't have testosterone in, sexual function certainly improved. And that was significant on the data analysis. In other words, if you use testosterone, libido improves, arousal improves, orgasm improves. So these are all sexual function issues. MS. That's the NHS sort of line on it, isn't it? Really, that's the nice guidelines are that it's cognitive ability and energy and mood. So are women having to go to their GPs saying, oh, I've got absolutely no sexual function in order to see whether testosterone helps them if they're going to a NHS GP. It seems to be that anyone I've read a lot of books on the menopause now, as you can imagine, and they're all by women of a certain, you know, middle class, and they're going to private practices, and they're all on testosterone and saying how amazing it is. I think there's a quote of Davina McCall saying it makes her feel on it, like she's 30 again. And is it just, is it a money thing that we're not all being offered it? I mean, I get that the NHS can't offer everything to everyone. There is only a finite amount of money, not wanting to sound like a Tory politician, but there is no magic money tree. I mean, I think there's two things with this count. The first is the data and the evidence. So while the evidence did not show a statistically significant improvement in mood, cognitive function, energy, va va vu, whatever you want to call it. It didn't show. It didn't, but remember the data is limited. Small numbers of women, more research needed. Both groups showed improvement. So the women using testosterone reported improvement in mood, cognitive function, energy, generally feeling a lot happier and like Davina says on it, but so did the placebo group. The women who thought they were applying testosterone have those same benefits, which is where NICE guidance has derived from, you know, we've got the study to show it improves sexual function and that's significant compared with placebo, but both groups have the same improvement in those other areas. Anecdotally, and this is just from my practice, when I do prescribe testosterone, both NHS and privately for women, those other symptoms do tend to improve, but we need more data. We need more studies to be funded to include large cohorts of women looking at these other symptoms that we think do improve to give that evidence that we just don't have the numbers and the papers to support it at the moment. Yeah, I think that should be a good point. So, Paris MP, your sort of co or party parliamentary group member for the Women's Health is lobbying for the NHS to put it on their formularies. Yes. She's not a medic, but she obviously feels it's important that it's sort of more widely talked about. Completely, and I think the difficulty is, although NICE guidance says yes, use testosterone, if HRT fails to improve sexual function alone, and remember that sexual function in women is multifactorial, there's psychosocial factors, you know, we're often in our 40s with kids of a certain age around the house still at 10 o'clock at night. I was about to say just exhaustion has killed my libidos, God, I think it was long gone before I started suffering. But also other things like, you know, partners having busy jobs, lifestyle, their own stresses, they're often in more senior roles, having to do lots more work at night, the vaginal issues, so vaginal comfort needs to be adequately addressed, and you've got to do those things first. Testosterone is not a miracle cure, it won't reinvigorate a failing relationship. No. How I would state it. Yeah. And getting back to vaginal issues, what we forgot to talk about was the pessary, vaginal pessary for, you know, vaginal atrophy, which is such an awful word, dryness, is now available over the counter. In September, we've approved Gena10, so this is a 10 microgram oestradiol pessary. But the problem is, is the prescribing for pharmacists to give this to you over the counter is very limited. It's postmenopausal women, women more than a year from their last period and over 50. But actually, you've got cohorts of women under 50 with terrible atrophy, thinning fragility of the vaginal tissues, who can't get this over the counter, and women who are still having some periods over 50. So it's a really niche group of women, but you can have it from your GP, so please ask for help. There's a tiny risk. There's like pretty minuscule, no risk. No, no risk of breast cancer with this. So this is negligible systemic absorption. Not a lot of this goes into your bloodstream. So even women who've had breast cancer can still consider using some vaginal oestrogen. Clearly the pharmacy team are unlikely to prescribe that to a woman who's had breast cancer and say, please see a doctor that knows a little bit more about your history before they prescribe it. But if you've had breast cancer or other types of female cancers, in the majority of cases, vaginal oestrogen is still something you can consider. So please ask for help. That's brilliant. And getting back to testosterone. So it's a transdermal gel, that is the majority of applications? In the NHS, yes. So going back to the previous point about testosterone and Carolyn Harris wanting this approved, because NICE said, yes, we can use it, but the NHS haven't approved a female product. The female product is only available privately. I'll come onto that in a second. We are limited to using male gels. So you're quite right. They come in either a pump, a sachet or a tube and the dose for women is tiny. Yeah. Davina talks about she has to work out a fifth of a male pump. And how, I mean, how do you do that? Like you pump it onto your hand and then scrape off like a tiny amount. It's tricky. It's tricky. The tubes and the sachets are a bit easier because you kind of allow each tube or sachet to last eight to 10 days, depending on the dose. The pump usually delivers twice the amount you want. So you do half a pump every day or one pump every other day. So it's a little bit inaccurate, but it's widely used and approved for use in the UK. We do use that. That's Testogel, is that right? Yeah. Or Testim or Tostrung. There's three products we tend to use for testosterone. And the female one, so the Androfem, that's an Australian product. Yes. Spot on. It even comes in a pink tube. Of course it does. Everything's pink when it's the metaphors. But yeah, Androfem is a cream and it comes in 50 ml tubes and it delivers 10 milligrams in one ml. So it comes with a syringe, a one ml syringe that you can draw the dose up. The dose for women is five milligrams daily, so you use half a ml and it's basically a small pea-sized blob every day. And is that available? Could you go to your NHSGP for that? No. That's where most women get testosterone privately. If they want this specific female product, what I would say is that across the UK, this is where there is a bit of a postcode lottery with testosterone. And where I am in Oxfordshire, as you are, we do have an agreement locally about how testosterone can be initiated and continued in primary care with specific guidance and support and monitoring from the specialists in the local area. And even in some areas of the country, GPs are quite happy to initiate and prescribe that because there's a specific guideline. But this is where the guidance varies and it should be unified nationally. You shouldn't have women in one part of the country getting it from their GP without any problems at all. And in another area of the country, women waiting a year for a specialist referral, in another part of the country, it's a blanket, no, it has to be equality throughout the UK, it's not fair. Absolutely. And it shouldn't be a postcode lottery and it shouldn't be socioeconomic either. Absolutely. The idea that actually in the more deprived areas, you're looking at more synthetic, combined HRT being used and that's adding to the difficulties that a deprived area's lifestyle is also giving you increased risk, isn't it? Yeah, absolutely. I did a bit of a recce on all the different formularies across the UK for a presentation I did recently. And it was really interesting where some areas had said, transdermal estrogen should only be considered once all oral options have been tried. And it wasn't even first line on their formulary, whereas where we are now, we're very lucky, we've put that as a first line treatment option that you can go straight for transdermal. This is all where patient choice is key. The NHS, we have to think about cost, a lot of these transdermal products, when we think about the lower risk associated with them and the long-term sequelae of oral products, potentially with the higher risk, it's a cost benefit discussion that's surely in favour of the transdermal preparations in the majority. I really want to drill down on the risks. Can you spell out the risks? Because I don't know, if people are probably listening and they're like me, that as soon as the doctor goes, well, there are risks, I think, oh, well, I don't care how tiny there are, there are risks. So, can you spell out the risks of HRT? And you touched on it earlier, and then compared to just our general lifestyle, like how many glasses of wine do you have to drink a day to have the same risk? Or if you smoke or you've got a poor diet or lack of exercise? If we go to the data that the British Menopause Society currently have displayed in a beautiful pictogram, if anyone wants to look at it, it's on the Women's Health Concern website, and it's under the breast cancer risk section. If we take 1000 fit, healthy, slim, non-smoking, not drinking abnormal amounts of alcohol, women, 1000 perfect women, perfect women, you can find 1000 perfect women that are doing absolutely beautifully with their lifestyle and you follow them for five years, okay, 23 of those women get breast cancer. So 23 in every 1000 over five years, that's your baseline risk. If they take HRT, so we're talking combined oestrogen and progestogen products, there's four extra cases of breast cancer in that group, right? Four extra cases. And go back to those 1000 women, 23 in every 1000 getting breast cancer over five years. And the only difference now is that they're all obese, they've all got a body mass index of over 30. The extra cases of breast cancer in that group over five years, remember the HRT was four extra cases, 24 extra cases from obesity, so six times the risk. Really obesity is a risk for breast cancer. So when I talk to women about lifestyle change and HRT risks, these are things I'm really going to hone in on and make sure that they understand. Smoking, three extra cases per 1000 women for five years. So remember HRT was four, smoking is three, more than two units of alcohol a day. Now I deliberately looked at a bottle of wine in my fridge last night and then put it straight back in because I was thinking we were having this chat and I looked at the bottle of wine and it was a 13.5% lovely Australian Sauvignon Blanc and it had 13 units in one bottle. So roughly speaking, if you do your pub measures of 125 mils, which is a tiny, tiny glass of wine as well, you always think, oh, home measures are always greater, aren't they? But basically for that bottle of wine, 125 mils is two units. So if you drink more than that every day, your risk of breast cancer goes up by five cases more than HRT. The way it's really easy to explain to women is if you take 50 perfect women over 50 and combined HRT goes up to four, one extra case. My thought when you start saying that, because you think, alright, there are no perfect women, you know, we all have like a glass of wine, I gave up smoking, I did smoke in my youth. But if you drink and you smoke, and you're slightly overweight, and you don't really do much exercise, should you be thinking, A, my risk of breast cancer is massively increased by these lifestyle factors, but if I add HRT as well, is that tipping me over a balance? Or does it not work like that? So these are all individual risk factors. And I think it's really good that you've highlighted that. Because yes, if you are obese, smoking and drinking a lot, your baseline risk is significantly higher. And then HRT might be an additional risk. And that might be when you think, let's go for body identical progesterone and estrogen, that therefore the risk from your HRT is not playing a part because that's not increasing your breast cancer risk. Let's get you well, let's get you sleeping, let's get you energized, let's get you motivated to embark on cutting down on the smoke and the alcohol, doing some exercise, losing some weight and reducing those lifestyle factors. But that's where the whole person approach is really key. And I think the other thing to say is exercise is protective. This lowers our risk of breast cancer. So we know that for every thousand women studied for five years, those doing more than two and a half hours of exercise a week lower their risk of breast cancer by seven cases per thousand women per five years. So this is hugely protective. So being fit, being healthy, adopting a healthy lifestyle is key. You know, I'm someone that says everything in moderation, really, I think, you know, it's difficult to be perfect and do everything that we should be doing. And you know, we have lives to live. But I think it's the discussion of what is right for that person and what risk can we modify? And what do we need to make their quality of life better? That's the thing, isn't it? It's quality of life. I know I wouldn't be sitting here doing this podcast a year ago in the state I was in. And so that also brings me around to when should women go on it? If they choose to, this is obviously we're saying it's a personal choice, is there a window of opportunity? Because I've spoken to a lot of people and they said, oh, yeah, I've ticked every single one of those, you know, menopausal symptom things that you can get on the web now. And they were going, so I might think about doing it later. And you think, why are you thinking of this later? And so when should we go on it? Is there a window of opportunity? So the data suggests that women initiating HRT within 10 years of the onset of menopause, that means period stopping, which okay, is difficult to assess for women who are using hormonal devices that may be affecting their periods, but that post menopause or being a year from your last period is the start of that 10 year timeline. You're putting back the estrogen that you're losing from a failing ovarian function. If you put that back within that 10 year window of opportunity, that's when the lowered risk of heart disease really is significant. That's when the bone density benefits are really significant, lowered risk of diabetes, lower risk of bowel cancer, you don't get that same benefit for those long term health risks if you go more than 10 years. But it doesn't mean you don't get the benefit for your quality of life. And that's where it still plays a part and why women may now find advice when they visit their GPS change and they've previously been told, no, you're too late. Well, no, how is your menopause still affecting you? What do you want to do? And that's where it's really key. So women haven't missed the boat. They don't think, oh, well, I'm past it now. I've finished my periods. I've done it. You can still get benefits from being on HRT in the 10 years after your periods stop. Absolutely. It's quality of life after that point. And after 60, quality of life drives ongoing use of HRT. That's the key consideration. Right. Because one of the things I was going to say is previous generation all talk about, oh, I was on it for 10 years and then I was arbitrarily taken off it. And now we're saying, there's obviously, you were just saying there's a slight increase in risk that happens after 10 years, but you don't have to come off it like you used to. All the celebrities are saying, I'm going to be on it till, take it from my cold, dead hand. But there isn't a finite time. No. I mean, the reason we used to set that arbitrary time limit of 60 is because studies have suggested your heart disease risk was increased if you started, restarted, continued after 60, but that's now not the case. So we have a neutral benefit on cardiovascular risk beyond that timeframe. It doesn't increase it. It doesn't reduce it. It's just no effect. And so if we've got something that's causing harm that provides benefit for quality of life, that's where it's the mainstay of treatment beyond 60 is what are you using HRT for? You know, you don't primarily use it for cardiovascular risk and bone density protection. It's for symptom and quality of life. But I think that's might change because I think the difficulties that we've had very few cohorts of women over 60 using HRT. So the research isn't there to look at the bone density benefits of continuing HRT after 60. And I think that's what's going to come through in the coming years. It is that generation coming forward now. So if you start HRT, when you first feel what we'll call perimenopausal symptoms, then it reduces your risk of heart disease. Yes. It reduces your risk of osteoporosis. Yes. I mean, there are huge benefits which need to sort of be shoved in bigger headlines than the risk of cancer, don't they? Oh, God, I wish somebody would do this. So we know in the UK each year 24,000 women die from cardiovascular disease, okay, and 11,000 from breast cancer. So more than double the number of women from cardiovascular disease, yet studies show some studies more than a 50% reduction in cardiovascular disease if you're starting HRT within that window of opportunity. So huge, huge benefits. Oestrogen is immensely protected for our cardiovascular system. It lowers our blood pressure, it lowers the way we form fatty plaque deposition in our blood vessels, it has a positive effect on our cholesterol. So these are all phenomenally important things that HRT does. These are huge. And as you pointed out, it also gives you the ability to actually start exercising and maybe looking after yourself a bit better. It sort of gives you that clarity in order to make the lifestyle changes. Absolutely. And I think that's what, when we talk to women in specialist clinics, it's about putting the benefits and the risks side by side. And the consensus really for women is if you're under 60, in the majority of cases, benefits outweigh risks. Yeah. And that's what the WHI, Dr. Joanne Mason said, wasn't it? The benefits outweigh the risks for under 60s. And that is not something that is shouted from the rooftops. And I feel it should be. Now, it does need to be tweaked, doesn't it? And this is something that, talking to women as well, I've discovered that people don't really know. They think, I'm on my HRT, but actually it's not working now. And that needs to be tweaked as we get older, as our oestrogen levels. I'm doing this with my hands. That's not very clever on a podcast, is it? Or just jiggle around. As they go like up and down. You're quite right. If you start HRT in your 40s, when you are still having some periods, and therefore you're still producing some hormone yourself, your requirements might start low. And then as your ovarian function declines and your own oestrogen levels fall off, your requirements for HRT will change. So it's not, here you go, we've given you a prescription, off you go, I'll see you at 60. It should be an ongoing review process. And typically, when I see women, both privately in the NHS, what I do is identical, both circumstances. I initiate, after deciding on the appropriate regime, and review after two to three months. Because you need a little bit of time for HRT to become effective. It can take four to six weeks for the increase in oestrogen to start to show benefit. And at that point, you're reassessing, you know, how are you? What symptoms have changed? What's got better? What stayed the same? What's got worse? What new symptoms have you got? What's your bleeding doing? And then you adjust the regime and then gradually increase or reduce depending on the symptoms women are experiencing. And then really, as a minimum, when women are stable, they should be reviewed annually. And that should continue because requirements do change. If you're on X dose at 48, you might find at 50, the occasional flush starts to creep in, or you're maybe feeling a bit more achy and stiff and tired and insomnia starts to recur. But likewise, when you are over the hill at the other side, if we think about like, and I was at a mountain, once you've reached the top, and the ovaries have stopped working, when they're then stable, so you've not got that underlying up and down level, your own levels going on behind the scenes, your dosing becomes a little bit more consistent and stable, and you might find you can then reduce the dose as you get older. And in general, women over 60 shouldn't need as much estrogen as maybe a 49, 50 year old in the midst of menopause. The other week, I got very down. And then I suddenly realised that I'd been having spotting for sort of two months in a row, having had no periods for like a month. And then I got my hormonal spots back again. Before taking HRT, I used to have spots all around my chin once a month. And I used to think that was too much booze or too much sugar. And then I took HRT and they just stopped. And I was like, oh, right, they'll be hormonal then. So does that mean that I need to tweak my estrogen? Not necessarily, because the thing is, when you've got a Mirena coil in, is you have no idea what your natural period cycles are doing. And it might be that you've had an ovulation and now it's popped an egg randomly, having, you know, not had regular cycles going on behind the scenes, because you can't tell because you've got a Mirena, your own body natural hormone may have just done something that month and you've got a little bit of estrogen or a dip in estrogen and a dip in progestogen or a rise in, you just don't know, Indian, that's the difficulty when you've got a Mirena, it's difficult to predict. But those hormonal fluctuations can often occur behind the scenes in perimenopause. I mean, clearly, later on, if you're in your mid to late 50s, that's not the case. And that's when it could be regimes need changing or have you missed a dose or there's so many different factors. Have you had a bad day or something going on at work, you know, that kind of thing comes into play as well. Well, I was about to say it's become my knee-jerk reaction. I go, oh, I'm feeling really down. Oh, maybe I need to tweak my HRT. It's like, no, you just had a bad day. It's just like, you know, you're feeling down today. That's what happens. And you have to, you have to remember that it's not all about the menopause in life, is it? Absolutely. And I think with hormone therapy, it's about consistency. And, you know, if generally you're feeling down and low, over a long period of time, there could be lots of reasons behind it. But when we're talking about dose adjustments, it's not going to be the odd day, it's going to be a consistent change in wellbeing that you're going to notice. And that needs adjusting with your hormone therapy, potentially. And so a friend of mine that I spoke to, who didn't realise that you needed to tweak it, and she's been on it for a while. And so she went to her GP and was told to just put two patches on. Now that's not very helpful, is it? And can she, and should she go back and say, no, I want a review? And does that involve then more blood tests to find out where she is? I mean, the two patch approach may be right, depending on the dose of the existing patch, if you're wanting to achieve a higher dose. So say, for example, you're on a really low dose patch, 25 microgram patch, the next step would be to double and go up to 50. And if you've got two patches to use that, putting two on at the same time is a good way to see if that's the right dose, it might have been a good approach. It might be that it hasn't worked, and she needs to adjust things again, or depending on the dose or the type of patch she's using. But, you know, the answer to everything is not always increasing your oestrogen, it's what else is going on? What circumstances are you not feeling as well? What symptoms have you got? We generally shouldn't be using oestrogen levels, you know, ad infinitum, they're an unnecessary expenditure. And I say that both from an NHS GP menopause perspective, but also as a private specialist, you know, I don't do blood tests just for the sake of it. I listen to the woman, you can usually get the answer about dosing from listening to a story rather than a blood test. Blood tests are useful if we've got women who may be on really good doses. So you're on a, I don't know, 100 patch, or four pumps of gel, or two large sausages of Sandrina, or three, four sprays of Lenzetto, and you think actually, you're not feeling as well as I think you should be feeling with this dose of oestrogen. Are you absorbing it effectively? Is it working? And that's when a blood level can be helpful to then say, right, this product's not working for you, let's try something different. Or actually, you aren't absorbing it as well as I would expect to have a little bit more. But usually in the first scenario, if you've got someone in the early days of HRT, it's about adjusting the dose and making sure that they're using the preparation correctly as well. You know, some women stick the gel on and jump in the shower 30 seconds later and wash it off. The shower and the bath are feeling fantastic. But the oestrogen isn't going into their skin, which is the key. And I suppose one of the things that I think is vital for me is, does HRT postpone the menopause? Or do you go through it anyway? I mean, you hear of people saying, oh, well, if you do HRT, then you're just going to have all the symptoms as soon as you come off in your 60s. And so you think, well, what's the point of that? I might as well go through it naturally and just take the pain. Does it postpone? No. See, but then I heard Dr. Lisa O'Reardon, and she says it does. So it's like, ah, where do you go? Okay, so your ovaries will do their own thing. It doesn't matter what you're giving your body in terms of HRT, your ovaries have a finite number of eggs to ovulate. And when menopause has gone, and it's all been finished, that means you've run out of those eggs. They're finished. The ovaries are not producing a follicle with an egg in every month. And that happens irrespective of what you do with HRT. You're not delaying that final ovarian failure. It's happening. HRT is merely replacing the oestrogen that your ovaries are not producing in the normal levels that you've been previously used to. So you're not masking symptoms, you're treating the hormone deficiency that you're experiencing. Now granted, if you suddenly decide at 55, right, that's it, I'm going to try without my HRT today, and you stop it abruptly, your brain that's got used to a circulating level of oestrogen will go, whoa, what just hit me? And it's quite common to get some flushes and sweats and feel pretty dreadful if you've done that. It's a bit like a smoker going cold turkey or someone who drinks a lot of alcohol, completely abstaining without any warning. So it's really important HRT is weaned off slowly, and that you don't suddenly withdraw it. Right. And so it doesn't keep you reproductively active then. So your ovaries are still doing what they're going to do. All you're doing is helping your symptoms. So adding oestrogen doesn't stop you going through the menopause. You're still going through the menopause. Yeah, you're still going through the menopause. I think that's really key as well, because I think a lot of women think I'm going to do it naturally, because it's, you know, it's tricking my body somehow to take HRT. It's unnatural, but you're saying your body just does what it's going to do anyway. It just allows me to finish a sentence. Yes, absolutely. And I think to say that all women need HRT is wrong, because there are women who will have a really lovely, empowering experience of the menopause. They're free from risk of pregnancy that may not be desired. They get rid of their periods. It's that sense of freedom, that stage of life where everything's just stable and crack on with no hormonal fluctuations contributing, and wonderful if that happens. But when we think about 80% of women suffering symptoms that affect their quality of life, we then should say there are women out there who aren't getting help and want treatment and want support because their quality of life is affected. And we live longer. You know, if we date back 150, 200 years, if we survived childbirth, we were doing pretty well. If we got to menopause, well, we were sort of, you know, a statistic of a miracle really. So we're in a different cohort of older women now living a lot of our lives in peri and post-menopause, maybe half our lives in that stage, and half of our working lives potentially in that stage. So this is where it's a different scenario to maybe 100 years ago. So we touched on it earlier about the idea that if you're on HRT, so your symptoms are managed, you don't know whether your periods have stopped. When will you know when to come off? Is it just an age thing? You know, when should I start to dial down my HRT? This is where a laugh and a pause work, because it's the individual. Again, there isn't a rule set. So I may have the woman at 55 who says, look, I'm actually in a job where I'm about to retire at 55, 56. Children are all set up at university, quite happy if I have the odd flush that wakes me up in the middle of the night. It doesn't matter. I can have a chill day. You know, I'm not having to be really on my game at work. Let me try reducing and weaning. Perfect. That's her decision. These are the risks. These are the benefits of continuing what do you want to do? And that woman might come back after three months and say, oh, I just feel dreadful. Please put me back on it. But she might also be absolutely fine and say, look, I do have the odd flush. It doesn't bother me. I'm quite happy. That decision might be then appropriate for another woman at 59, 60. It might be appropriate for another woman at 64, 65. It's so personal and individual, and it depends on what that woman is going through and the reason they're continuing HRT or wanting to stop it. Clearly, the woman that comes to see me at 52, who's just had a breast cancer diagnosis, I'm going to get them off their HRT pronto. And is there any last words of wisdom for women who may be, even after this exhaustive discussion, feel that they're unsure whether it's the right choice for them? I think you summed it up at the beginning. Just give it a try. You're not going to cause significant harm with having a go. Make sure that you understand the risks and benefits. What are you wanting to achieve from therapy? And for the majority of women, the benefits far, far outweigh the risks. And giving it a try is just so freeing. And how quickly can you see the results? Do you need to give it six months? Do you need to give it a year? How quickly will you know whether it's right for you or not? You start to see benefit after about four to six weeks. I had an email from a lady this morning who just said she's just used it for about three and a half weeks. She said, oh my goodness, I feel like a switch has flicked. My mood's lifted. I'm sleeping better. I just feel like my old self again. So it's not going to be instant. It's not put it on one day and the next day, woo hoo, and back to my normal form. Give it time. Your body's got to adjust to this hormone level changing. And the first few months of HRT use are usually a bit rocky. That's when a bit of irregular bleeding might occur. You might feel a bit bloated. Your breasts might feel a little bit sore. You might feel a bit nauseous. That's just your body getting used to estrogen. And the best approach I find with HRT dosing is just to start slow and increase. If we go in with higher doses of estrogen, which we might end up with anyway, but if you go for those straight away, that's when the side effects come in. So start slowly. And it might be that your menopause specialist or your GP is doing that deliberately because they don't want to aggravate any issues that you might have had with your mood or with migraine or anything like that. So just bear with it and keep going. And are those sorts of, you know, breast tenderness and bloating, those sorts of symptoms, are they more pronounced if you've waited a long time? So presumably your estrogen levels have dropped rather than if you sort of hit it as soon as you feel perimenopausal symptoms coming on. It's usually not related to where you are. It's just how much estrogen you're being given and how quickly you increase it. So those symptoms are often evident when women start on a too high a dose initially, or they increase the dose too quickly. So, you know, particularly with gels and patches or sprays, women are like, oh, she said wait four weeks, but I'm just going to put it up anyway because I'm starting to feel much better. And there's a sort of a cumulative effect and then they get to about six weeks. Whoa, their breasts feel like they're pregnant again walking down the frozen food aisle. So you've just got to give it a little bit of time. Oh God, I forgot that. The pain of going around the supermarkets. Katie, thank you so much. I feel we've only just scratched the surface. And as with so much to do with the menopause, one question leads me to 20 more. But for now, Dr. Katie, thank you so much. And I can't wait to chat again. Thanks, India.Next time, I'm chatting to the brilliant comedian Jen Brister, my first orca, about her four year struggle to get doctors to take her symptoms seriously, having hot flushes whilst doing her act live on stage, and whether her angry persona was partly borne out of being menopausal when her career was taking off. If you want to join in, head to bemoreorcopod.co.uk. You'll find our pod forum full of women just like you finding the funny and what we're all going through and sharing stories. So we never have to feel like we're going it alone again. And if you have a question about anything you've heard, or a hot topic you'd like to hear covered on the pod, then email me on bemoreorcopod at gmail.com or follow me at b.more.orca. Thank you.
"bowel cancer" Discussed on Bloomberg Radio New York
"News you need to know from today's papers. For let's take a look at Wednesday's national newspapers and it's the sentencing of Ghislaine Maxwell James jailed for 20 years as the lead on many front pages here in the UK plus Nicholas sturgeon's bid for a new referendum on Scottish independence as well. Bloomberg's young guarantees with us in studio you've been looking through the newspaper and starting with tributes for a woman who was on a mission. Yeah, indeed Stephen good morning to you and if you have a look at many of the front pages today you'll see the pictures of dame Deborah James, she graces so many of them, including the times The Guardian, the sun, and the male. She was 40 years old, and she died after her 5 year battle with bowel cancer. Now she was a tireless campaign. I don't know if you did listen to her BBC podcast, me and the big C she was given a dame hood for that in May in recognition for her fundraising and raising awareness. She also launched a new fund called bal babe, and that was to raise money for research into bowel cancer and for medicine for cancer patients. Now that's also just had such a phenomenal response. Nearly 7 million pounds raised in honor of that too. And the prime minister Boris Johnson's described as an inspiration to so many. We've also heard from the labor leader Keir Starmer and lots of an outpour of love for dame Deborah James, who was so positive even towards the end she just had such a great aura about her. And it also leaned the prime minister will be at NATO? Yeah, he willing to eat Danny, a burger. He's gonna be arriving there in about 15 minutes, rumors that he could give an interview, but we'll have to wait and see. And you know what? This is a little bit of an interesting story, really. It's all about defense spending. So Johnson will say the UK spending 2.3% of GDP on defense. Now The Daily Telegraph says Boris Johnson is going to face a battle over this amount that he's going to pledge. And this comes after the defense secretary Ben Wallace who I must say is really popular with grassroots Tory voters. He did write to the prime minister and wanted 20% spending boost for defense in light of Russia's invasion of Ukraine, but Boris Johnson is going to go with the 2.3% and essentially not the higher percent and if he does pledge this amount, it will scrap a manifesto promise which committed to increase the defense budget by 0.5% above inflation and there seems to be a sticking point when it comes to this in the cabinet. Leanne, a one word answer on this one if you please the worst place in the UK for looking for a broadband connection. Nottingham far away from us. And that story is in. The Guardian. Wonderful. Thank you very much. For that extremely succinct and concise review of what's going on in the papers coming up next
"bowel cancer" Discussed on Bloomberg Radio New York
"Now the paper review on Bloomberg daybreak Europe. The news you need to know from today's papers. Okay, let's have a look at Wednesday's national newspapers. The sentencing of Ghislaine Maxwell jail for 20 years is the lead on many front pages also Nicholas sturgeon's bid for a new referendum on Scottish independence. Joining us now is Bloomberg's leann gerrans. Leann though, you start with tributes to a woman who was on a mission very sad news. Indeed, Caroline good morning to you and thank you, yes, pictures of dame Deborah James do grace of front pages of many papers this morning. Most of them actually the times The Guardian the sun and the daily mail. She was a tireless campaigner and she styled at the age of 40 after a 5 year battle with bowel cancer. She also hosted a BBC podcast and it was called me and the big C and she was given a dame hood in recognition for all the fundraising. She did do and for the awareness she brought to bal cancer. She also launched a new fund which was called bal babe to raise money for research into personalized medicine for cancer patients and that has raised so much money almost a $7 million and we've heard a lot so the prime minister's charity work was a truly inspirational even in moments of challenges and her friends have said Deborah taught us how to live and how to die. So is a really sad story, but also a lot of positivity came out of what she suffered through. Leon, you're also looking at a different story, which is to do with the prime minister who's at the NATO summit and defense spending. Yeah, indeed so Boris Johnson's at the NATO summit hill arrive in sort of the next hour or so, so we'll watch out for that, I think he's going to be there about 8 30. And during this summer it's a Boris Johnson's going to say the UK spending 2.3% of GDP on defense, but he's also going to call on NATO members to really increase their spending and this comes in light of Russia's invasion of Ukraine, but The Daily Telegraph features the story of Johnson facing a cabinet revolt over this defense spending according to reports a prime minister is really resisting pressure from his own defense secretary that's Ben Wallace and the head of the army to increase military spending, but this also threatens to undermine. You know, these two senior cabinet ministers because Boris just will not listen and they saying that they need to increase spending at this time when we're in a precarious position. So we're going to hear Boris say 2.3% of GDP going towards defense. Okay, also the other issue concerning people here in the UK Internet connection and connectivity. The gong for worse connected place is Nottingham. So if you live in Nottingham, I'm really sorry to report this to you this morning and this is the story that does feature in The Guardian newspaper and apparently all of you have the worst Internet connection in the country. Now the Internet downtime for the city averages 70 hours a year so that's almost a three days and that's according to a report from the utility comparison website. You switch dot com Southampton and Manchester were the next worst hit locations. And as you pointed out, Caroline, Manchester, a massive city here in the UK and when it comes to leveling up a lot of infrastructures seem to be moving there and across the UK as a whole, homes had experienced broadband provider outages were offline for a matter of 19 hours. And firstly, I was like, oh, wouldn't you just pick up a book and enjoy some of the downtime, but then when I read deeper and deeper into the story, I realized a lot of people are working from home now, and of course still paying their bills so hugely frustrating. Perhaps some people in those places there will be happy to know that it's not just them and that it's a more widespread problem. The look through today's paper is thank you very much. And now today, brilliant both Farsi LaCroix is moderating Pamela the ECB's annual forum in cintra. It will, of course, house the ECB president Christine Lagarde, the fed chair. Three day weekends
"bowel cancer" Discussed on Bloomberg Radio New York
"Now the paper review on Bloomberg daybreak Europe. The news you need to know from today's papers. Now let's have a look at Wednesday's national newspapers the sentencing of Ghislaine Maxwell jail for 20 years is the lead on many front pages plus Nicola Sturgeon's bid for a new referendum on Scottish independence. Joining us this morning is Bloomberg's Liang guarantee and good morning. You start though with tributes for a woman who was on a mission. Good morning. Caroline yes good morning to you and pictures of dame Deborah James grace the front of many of the newspapers, including the times The Guardian the sun the daily mail this morning. She was a tireless campaigner she started at the age of 40 after 5 years battling bowel cancer. Now the host of the BBC's you me and the big C podcast was given a dame hood in May in recognition for her tireless fundraising. She also launched a new fund just before she died called bal babe and that has raised money for research into personal medicine for cancer patients and it has raised almost 7 million pounds so she's done extraordinary well and the prime minister Boris Johnson described as an inspiration to so many, while the labor leader Keir Starmer said her charity work was truly inspirational, even in the most challenging moments. And I do remember seeing so many pictures and interviews of her and she was truly inspirational. You know, she really taught us how we can deal with such a difficult thing in our lives in such a positive way. Such an eloquent advocate as well for all of that and you're very sad news on the front a lot of the paper is today. Leanne you've also been looking at a story around defense spending as the prime minister is like NATO. Yeah, indeed, so Boris Johnson does head to NATO summit in Madrid and he will say the UK spending 2.3% of GDP on defense and you'll also call on other NATO members to increase their spending in really, this is in light of Russia's invasion of Ukraine, but interestingly enough, The Daily Telegraph features the story of Johnson facing a cabinet battle over this defense spending, so according to reports, the prime minister's actually resisting pressure from his own defense secretary Ben Wallace, and the head of the army to increase military spending so they want more money pumped into the military. And now this is threatening to undermine the because they really want Britain to up its own budget. Yeah, absolutely. Leading to a sea change really in terms of defense spending. The host nation, in fact, Spain, one of the key players is talking about increasing defense spending absolutely dramatically. Okay, just lastly, in the newspapers this morning, broadband connectivity, the gong for worse connected place goes to. Well, I can reveal it's not again. And this is a really interesting story. It features in The Guardian and the name of the city as I just revealed as Nottingham the worst city for Internet connection. So Internet downtime for the city averages 70 hours a year, so that's almost three days. Imagine three days without Internet in 2022. Well, it's quite difficult to think about. And this is according to a report from the utility comparison website. You switch dot com Southampton and Manchester were the next worst hit locations. And across the UK to hulk, can you believe this guy's homes experience broadband provider outages for an average of 19 hours a year? But I was. Yeah, can you imagine? But I was actually meant to be one of our biggest cities. Leveling up is something that crossed my mind, but then I was like, oh, is it good that people can maybe read a book? And then I thought, well, no, lots of people are working
"bowel cancer" Discussed on SpaceTime with Stuart Gary
"And tom that had taken out a brief look at some of the other stories making using science to this week with a science report the world meteorological organization has recognized a new record high temperature for the antarctic confirming rating of eighty nine. Point three degrees celsius sixty four point nine degrees fahrenheit. The record breaking high was reached at argentina's esperanza research station on the antarctic peninsula on february. The six twenty twenty the antarctic peninsula among the fastest woman regions on the planet increasing in temperature but almost three degrees celsius of the last fifty years. The previous verified warmest temperature in antarctica was seventeen point five degrees in match. Twenty fifteen the earth's average surface temperatures now increased by about one degree celsius since the nineteenth century enough to increase the intensity of droughts heat waves and tropical cyclones and new study claims lower levels of ultraviolet b wavelength. Light has been linked with high levels of bowel cancer. The findings reported the journal. Public health is based on aesthetic people of all ages living in one hundred eighty six countries. The study's authors found the link was strong of people aged over forty five and remained significant after other things were accounted for including skin tone and smoking ultraviolet b light or you. The be is important for the synthesis of vitamin d. Three which hopes to absorb calcium is also known to be associated with a greater risk of bowel cancer your think the low uv be may be decreasing levels of vitamin d. Three however they know that other factors will if data the study such as any advantage in taking vitamin d supplements the pentagon road raytheon two billion dollar contract to develop a new ehlo inch long range standoff nuclear cruise missile. The new weapon will replace america's existing. Agm eighty six ale orange cruise missiles which i entered your service in one thousand nine hundred eighty two the us air force plans to obtain at least a thousand of the new missiles which could be launched by birthday fifty twos and the new generation of stealth bombers such as the b twenty one which is now under development. A swedish court struck down a plea from chinese telecom giant. Wow way which had challenged the banning of its equipment. As part of sweden's five g rollout. The administrative court in sweden ruled that the decision by the swedish telecoms authority. Pts to ban the use of equipment from chinese companies while wayne ct on national security grounds was legal. The court found that sweden's security was important and early police in the military. Have the full picture. When it comes to national security of sweden sweden became the second country in europe after the uk to explicitly ban while way for almost all of its five g network infrastructure because of concerns over national security. The united states have already banned while way over national security concerns. Meanwhile beijing's stock home that tweeden's decision could have consequences. Well it was once the realm of science fiction but the world of star trek and the ability to instantaneously speak and understand foreign languages. Thanks to a universal translator is becoming a reality with details with joined by technology editor. Alexandra royd from it. Wia dot com the practical application of bugles translation. Technology applied to my phone calls in real time so up to the australian number. Two telco has launched coal translate beta. Obviously it is designed to translate fund conversations between different language speakers in real time. Now you do hear a little bit as the consolation is happening and then what you said has been spoken into the other language by computer voice and there's a message when you first establish the coal that tells the person that is receiving the call that the service has been using the translation service. It's currently available in ten languages. Arabic english filipino. Greek indie italian mandarin russian spanish vietnamese but of course they going to expand it to many more languages. Because if you get google translate app on your phone you can see it. Works almost every language on some of the more obscure languages. Do still sound like stephen hawking or despite the i sound cops it's very out official sound but the voices cry languages like french and russian italian grape spanish chinese. Hang on i think cleveland is but if it was it would sound incredibly realistic. The ability for the computer to sound so human he's just uncanny and that's even the same area testing iowa's fifteen or and the voices. Just they're very natural. Google has also shown that in the us has got a system that can answer kohl's and make calls for you and had google assistant to the person and book a table. So i guess it's an extension of that that hasn't been starting fortunately and to try that we will call translate there. Is that a widely so you have to go to office dot com dot a u ford slash. Coal translate as one would nice spices and you can join the. You can join the b. to whites only one of you has to have colts active and wants twitch done in the process. You can make and reciprocal as i said before before you and the press. He's mississippi translated and this is something we'll say all of our phones and technologies. I mean they'll come a point where the language translations completely natural and instant and it will be that star trek future of universal translator or the bible fish if you are a fan of the his guide to the galaxy and we'll just take it for granted which bears will be completely eliminated and we're very happy now show a lot of people. Have people translate works. And i've shown them for a decade and remains. The camera can translate foreign languages into english or vice versa. Instantly new people to read what's on beckett's of food from a asian supermarket for example. You can see what the ingredients often is. A little translation sticker stuck to it to the back where the nutritional in carpet. It's really quite incredible. And no doubt this will be copied by all of the telcos. And it'll just be a ready. There's people translate. And i wish apple has the translation app. As well and showed off some similar kind of advancements with this natural conversation of people speaking but people been doing this for that. isn't there the where You're tested with the person at the other end of the phone and you go to work out. Whether it's a real person you'll conversing with or computer. It sounds like a A twenty first century version of avoid camp protests from blade runner. To figure out whether you're talking to a human were replicant wide reynolds a great movie. Now not the only bit of news from optus. This week is if broken there on record. This is the upload speed record on the commercial five g networks a say cutting three hundred megabits and this was achieved on up to says five. Jeep millimeter website instruct pining brisbane in the australian state of queensland and this millimeter wave technology isn't switched onto the public yet in the straight. You bet will be soon. The next iphone twenty twenty one shoal to have 'em wave five jay as they already do with the us and very android devices have em wave klaus five g to achieve the of speeds that we heard about five jeremiah. Five jay spaces that are not using 'em way more like a super fast forging like four g stewart but this wife five gene can do much to speak normally when i'm uploading with five g. I noticed that it's applied spades much slower than the download space so to get three hundred. Megabits is an example that have given that pay five hundred. Megabyte video on con- would you networks. It'll take about a minute teddy line which is already We can't complain about that. But three hundred megabits of spain's say that task can be completed in less than twenty seconds so Next iphones and the next android have five millimeter. Wave on the various band. The country that you're in when they connect to that you're going to say things like yours. Zoom calls when us sending a picture to somebody else but video will be shopper and clearer because upload speeds will be able to match at all you know. Be the athletes pizza today. I mean we're talking ten times hostile mold depending on sort of speed you getting now. I continued journey towards star trek. Lex future that.
"bowel cancer" Discussed on Whispering Huntys
"Album ever forget that design. Excuse you can't you can't caulker So here's the thing. She is very talented. I don't think that. I don't think they were getting like one. Hundred percent of who utica is because everything was like a little bit wonky wall. Yeah there's a wall. There's a wall. And i think that once she breaks it down it's going to be really it's gonna be really great and and i don't know you know 'cause drag races. The prison experiment you. You're crazy will come out and i'm sure that like with that extra filter of personal time and personal space. It's going to. It's going to look good on utica. Because i'm sure that he needs to control how she's putting herself out. That will allow her to be the best version of herself When she doing such a public job. I feel like that. Hold true for a lot of queens. Once they are finished with filming drag race and then begin to see how they're edited and perceived on the show but a lot of them blossom. makeup becomes more. Refined d. is very unforgiving in god's house problem. But i'm just saying like i feel like once you exit the show you blossom like hardcore. You're forced to like look you're imaging yourself and yes we're finding because it gives you so many specific things every week that the judges tell you you have to work on getting all this feedback in such a short amount of time because these aren't every week it's every two days making right so you doing this so light. Speed that i'm sure it's so much information intake then host show. Yeah you really digest and adjust. And i mean how much adjustments especially now thirty teams. How much can you really make on the show when the thing where you brought. All these custom looks. Oh gosh can you really wiggle around in that like oh can you wiggle to the tom consoles. Also explain to me. How on earth did they pick up. Did they sort out this. You know line for the comedy roast. Where literally didn't do anyone a disservice like it was like the nicest or ever fair. Yeah that's wild especially because we just had like the uk's to ellie diamond braun. Trevor see how good she learned. I think they learned from what happened in the uk because they'd already filmed it somehow by osmosis and we're gonna make to people in charge of the order so that it's not just one person shall have the same storyline because it just about whole. Uk storyline with that light. Like so for me. That was just like mind blowing. That became such thing because he dragged her over the coals for it. Lord cheney was like you are a murderer this mentor route. Michelle elliott note. Like you did dollar fine. That wasn't a bad move. On your part how cleanser in comparison is we. It just felt very low drama and like just right to it okay. It was nice bowel cancer. But what i wanted to say. Is that like okay. So you can play dirty on these reality tv shows but should you because on in this version. It's like no. Let's just set up a nice order for the frigging comedy challenge and then girls like. Why don't you just do your best. Because that's what they did yemen. You know the result was a better comedy challenge toni. It made it made the whole thing more solid. And i'm of the opinion. i mean. look. I'm not going to get into that draw. That happened but i think the opinion that like. I don't like it when i don't like it when people are set up to fail. I like it when the queen's just like get to do the challenge and then either you know they're crazy and they can't do it really well because like the scandal can overshadow the content and i wanted to content. I wanna i. I've said this before. Drag race is an amateur. Tv show searching for professionals to show their profession their show their skills and when they do things professionally on the show. They win so we're looking for professionals. We're not looking for amateur hour and we did see a lot of professionals today. Nobody got to have the excuse of like. I got screwed. That's the thing like the older ever really mess anyone up in the fast like in the drag race history. It's like if you wanna use that as an excuse like you do you. Jokes jokes aren't funny. Because you did it fast. If the jokes and a grossed arose challenge is about being in the moment and like holding. Everyone's attention you know like it's it's very it's very hot and this was actually. This was actually a really great demonstration. About how the judges aren't actually trying to mess them up when they give them advice a lot of times they're trying to stir the pot a little bit. But like i mean. I thought michelle and lonnie were so like honest hauled in like they were giving them like actual advice like do this. Don't do this do the i was like. If i got mad. I would have been able to crank out something funny. You know i mean not that. I'm on the show was like i was like. Oh they're right but yes but flag red flags yes they helped edit if a queen who was already good at it was doing too much and they helped like got believe that. Got me to do this and it worked really well so i feel like i feel like i'm just putting on a front 'cause she was just so natural i was like i was like. I don't think away totally that. It's this like oh me. I'm good at all and it's like colonel. Yeah yeah it was i. I think it was definitely. She was playing game because at the beginning when roseanne county will picking the like going to put county fairs. And then we're going to put rose. And i'm going to put gothic in the middle as well got mix over there saying like she's gonna get you like. How did you know condie. How did you know she used. Also with the paris hilton thing like was so great as payroll. And i'm like i'm like no you're pretty funny and especially because her testimonials which i guess you can't see if you're on the show got make is the comedy queen at these testimonials. She's like she's like no. That's not a good look at it because she is so herself.
"bowel cancer" Discussed on X96
"Carry Jackson on Twitter or if each carry this is radio from hell on the X 96 Alright. 7 22. It is time for round one of your boner voting. Here we go. Three new stories. These are examples of bad, stupid or funny human behavior and you will decide with your vote. These three candidates which one is the worst, which one deserves to go forward Boner fight and possibly become boner of the day. Wins here. It will go up against the winner of Round two's voting around two happens at 8 23 more candidates we get a winner. There we take both of our winners and we put them against each other at 9 20 this morning is when you will decide. Boner of the day with Boehner Fight right now Pick your champion to send forward round one. Here we go. Two candidates now a third after the news once you for all three, then you will votes and one of you lucky Random boner. Voters will receive a kid by it Gotta win it. Someday you will pick it up from the radio station Radio from Hell Boner T shirt. Here's Boomer candidate number one You know, Gina, sometimes I was just watching you here. We can see each other on these. Little screens. We have it at our homes, and I watched you sometimes and the only way I know that your video isn't frozen is see you blink. You just you. Can you behave around one billion remain remarkably Still, Bill it's called, remain seated, and I'm good at it. His boner candidate number one. Well. Now your life is less valuable it for former Supreme Court justice in England. Jonathan Sumption. Has been criticized. And I think rightfully so. We're telling a woman with stage four cancer that her life is quote less valuable now. During a televised discussion of the cost of Corona virus walked down, appearing on the B B sh. See, show the big question on Sunday. Well, I think it's just the big question. And it was on Sunday they don't anyway to discuss the question of whether lockdown was punishing too many. People for the greater good. Lord Sumption. One of the most prominent anti Lockdown campaigners said he did not accept quote Old lives or equal value. The former justice who had served on the Supreme Court until 2018 Said he believed that his Children's and grandchildren's lives were worth much, much more because well, they have much more of it ahead. You've got stage four cancer, you're not going to be around long anyway, according to the remarks. Deborah James, who has staged for metastatic bowel cancer. She hosts the BBC. You, Me and the Big C podcast. Said. I see. Okay. Lord Sumption, with all due respect. I am the person who you say their life is not valuable. Well, I didn't say your life was not valuable, Lord Sumption said. I said it was less valuable. He don't down. Wow, didn't say it was your life was without value. Just it's just that it's left of less about good boner. Candidate number one His boner candidate number two I was lost. And I didn't mean to bring a gun. Virginia man was arrested after law enforcement found at least one firearm and ammunition in his truck as he tried to enter an inauguration Security checkpoint near the capital on Friday evening with a credential that was not authorized. It was Forge. Westley Allan Bealer of front Royal Wherever that is drove his Ford F 1 50. Up to checkpoint on E Street. Northeast of the capital, where he was met by Capitol police officers, according to court documents. The area is one of many under complete lockdown following the January 6th breach of the capital by domestic terrorists. Mr Dealer was arrested on charges of carrying a pistol without a license possession of an unregistered firearm possession of unregistered ammunition at a hearing on Saturday afternoon. Uh, The U. S attorney's office were district the district asked a judge to issue a stay away Order dealer was released on personal recognizance. There's honest, Miss Take B. We said He was murdered. He was crying when he gave this interview. It was honest, Ms. Take He said. I didn't I didn't know I was lost. And I didn't mean to bring a gun. A gun That wasn't even registered to you. You didn't mean did I didn't mean to bring a gun. I was hoping I tripped and fell. Yeah. All of a sudden, there was a gun. Owner. Candidate number two coming up in a moment, Boomer candidate number three If you are dumb enough to believe this, you shouldn't be running the risk of procreating anyway. All right, under candidate number three for round one..
"bowel cancer" Discussed on WLS-AM 890
"Media cartel the first time guest So head you by on five outside the narrative, wax come services on over to daily and wire get dot two com free slash eBook Shapiro. online If you actually at wish www to see the right dot have lunchbox a chance in the culture wax wars, you dot got com a fight on the cultural and visit level. lunchbox That's what we're doing wax here, A daily cascades where we're fighting the establishment Coming to media the Cascades were fighting overlook back Hollywood. in January, We're fighting 2021. them on every front use Feel code good watch for 20% and stay smooth off their membership. this It new helps year us with out. lunchbox You get all wax. of our content and you're joining the fight. Go to daily wire dot com slash Shapiro to join us. They put Over a daily a wire. walk in shower By the way, how bad of those for lockdowns my husband Disneyland and our master announced they will be bathroom. shut for the foreseeable We had future, our despite plumber the fact and that and they say he said they it wouldn't know how to fit open in that the spot. labor unions want We open, had another But Gavin guy Newsom come has continued and he said to keep this he couldn't new land shot. do it. We call Worth noting it somebody Disney World need didn't here in Florida, answer where I for am about Disney three World weeks. has been open since Then June. what I did They have is apparently I called zero mega. outbreaks at Disney And they World, called but me right still, back. you can't go We're to Disneyland talking in California today with because Gavin mega Newsom customer says Pat so Robson because Trump of is Beach evil Park. here is Gavin Newsom. They had the order of marble California base today we had today. is They're launching so now then more he formally, moved A plumbing scientific from safety today review will off work group the well of tiled 11 individuals Well, he did experts all the work in all but glass their field. be a blast These around air top three health sides experts of that that will year independently construction review man without Any here FDA within approved a Four days. vaccine I think store they're honest Shin. in a I good deal. often get One is mega Are you call going to take does someone's it all word 4765 for it? As relates vaccines? 89 Of course, we don't take 9847658 anyone's word for it. We will do our 89 own independently 89. reviewed process. With our world class experts. The FDA is bad now because the devil got to the FDA, right. Donald Trump was in charge the FDA, therefore the FDA is corrupt. Therefore, the FDA will put out flawed vaccine in order to harm Americans post election when it doesn't matter to Trump's electoral prospects one iota. Makes perfect sense. The only way to make sense of this again. It is a moral battle. By the way. All of this requires you to completely ignore actual good things happening on the ground. We are going to develop a vaccine. It will happen, presumably by the end of the year, according to Fizer, Not only that two new peer reviewed studies, according to NPR, are showing a sharp drop in mortality among hospitalized over 19 patients. The drop is seen in every group including older patients and those with underlying conditions. Suggesting that physicians are getting better at helping patients survive their illness. Study, which was of a single health system finds the mortality has dropped among hospitalized patients by 18% points since the pandemic began. That actually is understating the size of the drop. Why? Because it depends on proportionality. Patients in the study had a 25.6% chance of dying at the start of the pandemic. They know how a 7.6% chance of dying Okay. That is a reduction from nearly 26% to nearly 8%. So put that another way That is one of 300% reduction in death rate in hospitals. Or put it differently. It's about 75 to 80% reduction in death rate in hospitals. That's pretty impressive. Is it not? It's pretty incredible, isn't not That's good news that we should be celebrating. Maybe it should be an impetus for us to start opening things up again. Yes. Being careful. Yes, social distancing? Yes, Mask where and when we when we can't stay away from other people. But instead it's everything is wrong. Everything is bad. We're all going to die unless we get rid of Trump, in which case everything will be good again. Not only that. When we can tell. I mean, the data are out there now that death tolls are up in non vulnerable populations from a wide variety of other diseases. Thanks to lockdown excess deaths, for example. From all causes was up among adults, aged 25 to 44 26.5%. That is the largest number of excess deaths by percentage right there lots of excess deaths in the in the elderly age range. But excess deaths generally means people who would not have died anyway. Elderly people are more apt to die from a wide variety of other causes. Excess deaths among young people are really up extremely dramatically. And a lot of that is death. Death of despair. We're seeing Highs in terms of death and despair. We are seeing that In Great Britain, For example, figures from the Office for National Statistics from March to September reveal that almost 1000 deaths are being recorded every week. 26,000 on the same period last year. Among the biggest killers are diabetes number 86%, Parkinson, 79%, prostate cancer, 53%, Breast cancer 47% and bowel cancer 46%. So there's excess deaths of despair and young people and then among people who are older. They're a lot of people were not going to the hospital. They should be. So what does the data tell us? It tells us that we shouldn't be locking down. We should instead be cautious and we should be open and there's good news. Our hospitals are getting better at this. Instead, everything comes down to trump in the United States. We ignore the fact. That this virus is not relegated to the United States alone, and instead, it all becomes about if we get rid of trump that magically the sun will shine again. Perhaps the clearest example of this is how Democrats are treating schools so the data are in schools are not unsafe. They're not unsafe. There's a piece in the Wall Street Journal by David Henderson and Ryan Sullivan. Tens.
Trump calls Mueller report summary a 'complete and total exoneration'
"President Trump is wrong. This report does not amount to a so-called total. Exoneration special counsel Mueller was clear that his report quote does not exonerate close quote, the president his conclusions. Raise more questions than answer. It is unconscionable that President Trump would try to spin the special counsel counselors findings as if his conduct was remotely acceptable. Let me just tell you about this character. He's for thirty years. He's been trying to get at the President Trump any can't presents mocked him mercilessly mercilessly when he was a state Senator whether it was right or not. That's a fact and now report comes out they does exonerate him. In those words, and he wasn't want the president to do. It's unconscionable. He could sit there in the street and get heckled only once which I give the MVP award to the heckler. In New York. You just started yelling Adam during it. It might have been Howard Stern guy. I'm not sure. But I only regret that he stopped Nadler's an embarrassment to the Democratic Party. If you want that to be that person to be your Representative and the person that the average American has in mind when they go to the voting booth in twenty twenty good luck. Scotland's in whol in Dayton, Ohio. He's got. Thanks for your show. Have hats off to you. It's time for this to be done was. It also positive scattered agenda of America back on track for all of the feelings that he's had to Bill what he's doing a good job. And. Bowel cancer thing. Boy, there's a ROY. America's just you know, the people running the country at Sterry always contenders, sir. Oh my goodness. In the stuff. They're running on from the new green deal that the governor of Washington is backing to come LA Harris. Let's have free pot free prostitution. Let's start. Elizabeth warren. Let's start breaking up companies to free healthcare free free college free preschool. I mean, it's impossible to do what they're doing Scott. I don't know what they're doing right now. But the president got an opportunity just get stuff done start knocking things off his list. This is a this is his second biggest day since he won the election. No one ever give him credit for it. Remember, they said, well, you didn't win the popular vote. Then we had one of these independent candidates demanding a recount, three states, president of gaining more votes than the electoral college, the delegates who ceremonially supposed to back up with the state. Does they started to be try to flip? And some of them didn't do what they were supposed to be doing. Then incomes the Russia investigation, and some people just keep on looking at for another reason not to not to look at one of the biggest upsets in political history in any country any time. That's what happened in two thousand sixteen. Don't want want to acknowledge it now. Molly Henneberg weighed in and said, yeah, this is a coastal one chapter. But. Opens up another cut Twenty-eight buying into this dossier that now today we know not anything in that dossier led to has has proven to be correct. So this is this is a very important moment in the story. But it doesn't mean it's over because. Yes, the one storyline is done. But now the other storyline. We'd better get we'd better see a lot more about what was going on. I like to see it done and by the way after impeachment when Hillary co when Bill Clinton was impeached in the house, and it stopped in the Senate. They they stopped investigating. They are going to keep continue to investigate now after the Robert Moore probe Eric who's on news ninety six five in Orlando hair. Brian. It's so sickening. The media for two years told us that Robert Mueller had the greatest integrity in DC. And now they're actually on MSNBC saying that oh to the Russians. Right. And did he did he sell out? I think what Trump should do is. Now, put them on the defensive. Have Adam Schiff declassify all of it. Let them see the Adam Schiff was leaking. Let them see what McCain did. And then Friday, five o'clock. So that they have to wait for the week, and he should say, I'm I'm asking Mr. bar to investigate what really happened 'cause Robert Mueller Alice h he's a witness and Rosenstein, he wrote the letter to fire each he's a witness. How the heck did he wind up having this whole thing? I'd like to hear your could on that. But I tell you what I love the I love the tactic of leaving them there for the final summary. Don't you Eric? So instead of saying, well, he jettisoned the guy who's going to wear a wire rod Rosenstein, and he said, no come here, you read with Robert Muller said, and I want you to Luke over my shoulder win and writing this summary, and you tell me ride am I doing anything that you don't trust Rosenstein was there for the letter to fire Komi Rosenstein was there for the meeting with McCabe after Komi was fired and launched the Robert Mueller investigation. He signed the FIS away. Aren't and he was there when he got exonerated. So I love for people just to looking for an opening and Robert Mueller. Oh, now robber mo-. He might have been compromised or they're doubting. Robert Muller, really, Robin Mullah who's good friends with Bill