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I thought my snoring was caused by a blocked nose – it was actually a sign of a skull-eroding disease

I thought my snoring was caused by a blocked nose – it was actually a sign of a skull-eroding disease

The Sun6 days ago
WHEN Claire Barbery first started snoring, she didn't think much of i t.
But the blocked nose the 51-year-old from Newquay, Cornwall, had been battling turned out to be something serious - a tumour eating away at the base of her skull.
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The mum-of-two nearly cancelled the hospital appointment that led to her diagnosis because she didn't want to 'waste the time' of the NHS.
'There's nothing wrong, I thought. But looking back, that decision could have cost me my life," she added.
'I started snoring, which I'd never done before. I was waking myself up, breathing through my mouth rather than my nose.
'Even then, I nearly cancelled my hospital appointment. I didn't want to waste anyone's time. I just left it and thought it was something to do with having had Covid the month before.'
Claire had been experiencing a continuous blockage in one side of her nose and initially put it down to the effects of regular Covid testing while working in a care home.
After a steroid spray failed to help, she sought medical advice in January 2023.
Following scans and a biopsy, doctors delivered the news she had olfactory neuroblastoma - a rare cancer developing in the upper part of the nasal cavity.
The 5cm tumour had already begun eroding bone at the base of her skull.
She underwent complex surgery at Birmingham's Queen Elizabeth Hospital to have it removed.
Claire has now partnered with UK charity - the Get A-Head Charitable Trust to raise awareness of World Head and Neck Cancer Day today, which was yesterday (27 July).
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She added: 'If you know your body, then you've got to push.
'If there's something wrong, don't ignore it.'
The procedure in January last year was performed by consultant surgeon Shahz Ahmed, who specialises in skull base procedures.
It was filmed as part of the Channel 5 documentary 'Surgeons: A Matter of Life or Death'.
Mr Ahmed said: 'Claire had a very rare form of cancer that needed to be removed.
'Untreated, it could have metastasized and spread into the neck and the rest of the body.
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'It had already gone through the skull base into the base of the brain and if left, it would have become harder and harder to treat.'
The delicate operation involved removing the tumour, along with Claire's olfactory bulbs - meaning she has permanently lost her sense of smell - and reconstructing the area between her nose and brain.
Mr Ahmed added: 'The key worries were operating between the left and the right eye.
'The main blood supply to the brain is in very close proximity so the risk of seizures, stroke, injury to the brain and loss of life, were all very real.
'Thankfully, the surgery was a huge success and Claire suffered no complications.'
Following surgery, Claire underwent six weeks of chemotherapy and radiotherapy and is now under regular review with her medical team.
She is gradually returning to work and since treatment finished has been enjoying holidays with her husband Gary as well as spending more time with daughters Lowenna, 27, and Keizha, 25.
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Surgeons forced to finish operation using torches on their mobile phones amid power cut at Great Ormond Street Hospital for Children, damning report reveals
Surgeons forced to finish operation using torches on their mobile phones amid power cut at Great Ormond Street Hospital for Children, damning report reveals

Daily Mail​

time30 minutes ago

  • Daily Mail​

Surgeons forced to finish operation using torches on their mobile phones amid power cut at Great Ormond Street Hospital for Children, damning report reveals

A power cut at Great Ormond Street children's hospital forced surgeons to finish an operation using the torches on their mobile phones. The central London hospital, which treats 76,000 kids a year, has been blighted by power outages, water leaks, and issues with air filtration systems. Recurring problems have led to delayed and cancelled operations, impacting patient safety and stopping patients from receiving timely care. At one point last year, six of the hospital's 15 operating theatres were out of action for maintenance. In the most serious incident, in late 2023, power failed midway through complex spinal surgery. The incident is detailed in a report by the care watchdog, the Care Quality Commission (CQC), which sent inspectors into the surgery department in March this year. Its visit was prompted by concerns over the care provided to hundreds of children by Yaser Jabbar, an orthopaedic surgeon, the Sunday Times reported. A number of children suffered unnecessary pain and failed surgeries, including some amputations, while under his care. The review of his cases is due to be completed later this year. Staff told inspectors that there were repeated problems with the maintenance of operating theatres. In its report, the CQC said: 'A recent power outage during a spinal surgery procedure required staff to use mobile phone torches to complete wound closure.' Great Ormond Street Hospital said the surgical lights immediately over the patient remained on during the power cut - but theatre staff moving around the operating theatre had to use their torches to avoid cables and find equipment needed during the procedure. A spokeswoman blamed an electrical design fault for the power failure, adding that an external review had been commissioned and work was under way to fix the problems. She said: 'A decision was taken to stop the surgery to ensure the safety of the patient. The surgery was carried out at a later date and the patient is doing well. 'As with many hospitals across the country, we have some parts of our hospital that are older and in need of upgrades to provide the best environment for patients and our staff. Improving these areas is part of our long-term plan for the hospital, and in the meantime our staff work hard to mitigate any issues that do arise.' In its annual accounts, the hospital said it has been forced to pay a company for extra power to be supplied to the main hospital site. The CQC also flagged concerns over staffing levels in its inspection report, saying: 'Some surgical areas at the hospital faced challenges with staffing levels, especially in key clinical roles such as nurses and operating theatre staff.' Overall it rated the leadership of the trust and surgery services as good but warned there is still work to do to reduce the risk of further scandals. Nationally, NHS England data shows there is a £14 billion backlog in maintenance spending that is impacting on patient care. In some cases hospitals are spending millions to maintain empty buildings that are no longer deemed safe for patients to be treated. Saffron Cordery, deputy chief executive of NHS Providers, which represents trusts, said: 'For years, investment in NHS buildings and equipment has been a neglected priority. 'Now we're paying the price with a ballooning repairs bill, bigger than the NHS's annual capital budget. 'Patching up is a recipe for poor patient care, low staff morale and falling productivity.'

The woman who says you can spot a psychopath at three years old
The woman who says you can spot a psychopath at three years old

Telegraph

time30 minutes ago

  • Telegraph

The woman who says you can spot a psychopath at three years old

There is little Prof Viding, 50, hasn't seen in the 25 years she has been researching psychopathy and young people's mental health, and she spent two years conducting studies on inmates at Wormwood Scrubs prison and Broadmoor high-security psychiatric hospital. 'It struck me that when you read prisoners' case histories, there were warning signs that had been there long before they committed their crimes,' she recalls. Ted Bundy, the notorious American serial killer, was a prime example of this: as a child he liked to dig holes in the ground, laced with spikes, for passers-by to fall in and hurt themselves. He also used to buy mice at the pet shop and pull them apart. Over the years, there have been even more alarming reports: babies who repeatedly bite their mother's breasts; toddlers who pretend to hug their parents and headbutt them instead. One of Prof Viding's studies looked at the genetic predisposition to psychopathy in seven-year-old twins, finding that CU traits have a 'strong genetic influence'. In other words, some children are born more likely to develop personality features that could be red flags. 'No one is born a psychopath' 'You see families where there are concentrations of these traits,' Prof Viding explains. 'No one is born a psychopath and the genes are not a blueprint, but there are people whose genetic makeup means that they are at higher risk than others.' Our genes and our early social environment shape how the brain processes emotional and social information – and the brains of children at risk of developing psychopathy are different from those of other children, showing little response to emotional stimuli that would normally induce fear. They also tend to have a low resting heart rate, typically associated with stress resilience. Researchers at the University of Cambridge in 2021 found that children whose hearts beat faster at the age of eight were at lower risk of developing adult psychopathy, despite having adverse childhood experiences. 'Children with conduct problems and CU traits, and adults with psychopathy, are poor at feeling what others are feeling, known as emotional empathy,' Prof Viding adds. 'On a conceptual level, they understand it, but that is not the same as feeling it. 'They are better at cognitive empathy, so they can work out what makes someone tick, but they don't care if they make others distressed. This combination makes for a powerful tool for manipulation.' The latter will chime with most parents – my three-year-old certainly has me wrapped around his little finger – but, if anything, my kids feel too many big emotions, not too few. 'Interventions can work' It's not all bad news, however, even if a child displays these traits from a young age. Several studies around adoption show that children at risk of developing worrying behaviours because of their biological family history, if they go on to be adopted by warm, loving parents, are less likely to see those behaviours worsen as they get older. Treatment, Prof Viding says, is effective, such as adapting parenting styles, learning how to help a child regulate their differing reactions, and seeking ongoing professional help in which a therapist works with both child and parents. 'With any behaviour, the more rooted it gets, the more difficult it becomes to intervene. But we know that interventions in adolescents and adults can also work, so the message should not be that if you don't get there in the first five years, it's useless.' Unfortunately, she adds, getting help to the children who need it is easier said than done, as those who exhibit these tendencies often come from families where their parents have complex issues of their own (such as addiction, mental-health difficulties or problems with the law). 'It is harder to elicit sympathy for children who don't play by the rules and behave in ways that can be unpleasant or downright dangerous,' she says. 'It is an uphill battle to get funding to help these children, even though it would be in society's interest.' A mother herself, to two teenagers aged 15 and 17, Prof Viding understands only too well the parenting rollercoaster – and how difficult dealing with an unruly child, let alone one showing worryingly abnormal personality traits, can be. 'I get emails on a weekly basis from parents who are concerned and don't know where to turn,' she admits. 'It's heartbreaking. 'At the moment in the UK, the health service is incredibly reluctant to diagnose conduct disorder, so the parents often have to wait until things are so bad they can no longer cope or their child is in trouble with the law.' But, she insists, no child is beyond reprieve – nor is anyone's little darling 'destined' to become a psychopath. Cue a collective parental sigh of relief.

BMA hits back after NHS says less than a third of resident doctors joined strike
BMA hits back after NHS says less than a third of resident doctors joined strike

The Independent

time38 minutes ago

  • The Independent

BMA hits back after NHS says less than a third of resident doctors joined strike

Less than a third of resident doctors joined strike action last week, NHS England has said. The number that took part in the five-day walkout was down by 7.5% (1,243) on the previous round of industrial action in July last year, according to an early analysis of management information collected by NHS England. But the British Medical Association rejected this, saying complex work schedules and doctors taking leave make this information 'almost impossible to know'. NHS England said it maintained care for an estimated 10,000 more patients during the latest doctors' strike compared with last year's, and 93% of planned operations, tests and procedures went ahead. In previous walkouts, the majority of non-urgent care was postponed. Health Secretary Wes Streeting said: 'A majority of resident doctors didn't vote for strike action and data shows that less than a third of residents took part. 'I want to thank those resident doctors who went to work for their commitment to their patients and to our shared mission to rebuild the NHS.' He said it is time to 'move past the cycle of disruption'. He added: 'I want to end this unnecessary dispute and I will be urging the BMA to work with the Government in good faith in our shared endeavour to improve the working lives of resident doctors, rather than pursuing more reckless strike action.' The BMA said it recognised the efforts that senior doctors and healthcare workers made during the strike to provide care to patients, but it disputed the figure set out by the NHS. It said: 'NHS England's claim that the majority of England's 77,000 resident doctors chose to 'join the NHS-wide effort to keep the services open' requires a huge stretch of the imagination, given it is almost impossible to know the exact number of residents working on any given day because of complex work patterns, on-call schedules and the strike spread across a weekend. 'Added to that, in July many doctors are using up their remaining annual leave before their new posts start and would therefore not show up as striking. 'We look forward to seeing hard and fast data on NHS England's claim. 'The strike could have been averted, as could any future ones, if Mr Streeting had come, and will come, to the table with a credible offer that resident doctors in England can accept.' NHS chief executive Sir James Mackey noted care was still disrupted for thousands of people and said a repeat of strike action will be 'unacceptable'. 'I would urge the resident doctors committee to get back to the negotiating table and work with us and the Government on the meaningful improvements we can make to resident doctors' working lives.' NHS Providers, which represents hospital trusts, said the walkout took a toll and trusts are concerned about potential wider industrial action in the health service. Saffron Cordery, NHS Providers deputy chief executive, said: 'This dispute can't drag on. 'The union says resident doctors want this to be their last strike. With talks due to resume, let's hope so. Bringing disruptive strikes – where the only people being punished are patients – to an end must be a priority. 'We're concerned, as trusts worked hard to minimise disruption and to keep patients safe during the resident doctors' strike, by the threat of wider industrial action in the NHS.'

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