When you wake up in the middle of the night, do you find that you’re sleeping on your stomach or your side? Or do you consistently wind up on your back with the sole of one foot tucked against the calf of your other leg?
If so, you sleep like a flamingo. And if you’re on TikTok or Instagram, you might come across an influencer claiming this sleep position signals you’re stressed out or carry pain in your hips.
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While this sleep position isn’t inherently dangerous – and, in fact, may be most comfortable for your body –it may suggest you need some extra support in certain cases, said Laura Nolan, a psychotherapist who specialises in somatic therapy. Here’s what to know.
Why do people end up in the “flamingo position”?
Nolan said she most commonly sees people sleeping this way when they have hypermobility, a condition in which joints stretch beyond their typical range of motion. Many people with joint hypermobility syndrome experience loose joints, joint instability and chronic pain.
“Hypermobility is linked to neurodivergence and many of the neurodivergent adults I work with report sleeping in more unconventional ways, including in the flamingo posture as well as with clenched fists or T. rex hands,” she said.
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Sleeping in the flamingo position may be a habit acquired through experience and repetition. Or perhaps you wind up in this position because of chronic pain or a physical injury, Nolan added.
It’s also possible that consistently sleeping in this position – which could be unstable for some – could further strain your joints or even result in muscle stiffness, she explained. “Our bodies are complex,” she noted.
The flamingo position doesn’t immediately mean you are hurting your joints
The flamingo position isn’t an automatic red flag. Nolan said it’s entirely possible that this position is simply a cosy way for you to sleep. “It can be normal and healthy to sleep in the flamingo position,” she explained.
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Jade Wu, a board-certified sleep psychologist, similarly said we naturally sleep in positions that are most comfortable to us. “Often being in this position simply shows that someone feels most comfortable doing it,” she added.
In fact, if you’re on your side with a leg up – a variation of side sleeping – the flamingo position may lower your risk of sleep apnoea and other breathing problems, Wu noted.
As a somatic psychotherapist, Nolan is more curious about what feels good about sleeping in this position rather than assuming you have “stuck stress” in the body or that something is wrong.
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How to find a comfortable (and safe) sleeping position
Nolan encourages people to have a relaxed, easeful approach to sleeping. “Having too much scrutiny over how you sleep, including by thinking you are sleeping wrong or engaging in sleep perfectionism, will likely worsen sleep quality for those with existing issues,” she said.
Unless an orthopaedic health care provider or another physician has advised you to stop sleeping like a flamingo to avoid putting pressure on certain joints, there’s no need to stop, according to Wu.
Rather than forcing or training yourself to sleep in certain positions, get creative about how you can support your body while you snooze, Nolan advised.
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For example, if you tend to sleep like a flamingo, consider adding a pillow underneath your knees. If you’re more of a T. rex sleeper, consider holding something in your hands, like a stuffed animal or pillow. “Be creative,” Nolan said.
If you feel stressed at bedtime, carve out some time to unwind – by practicing yoga, mindfulness or deep breathing – after dinner. Another technique Nolan recommends is progressive muscle relaxation, which involves tensing then relaxing various muscle groups. As you move between body parts, notice how each one feels.
“Remind yourself that stress is not all bad and we have many easy and quick ways of completing the stress response,” Nolan said.
Nick Reiner pleaded not guilty to the killings of his parents, Hollywood director Rob Reiner and producer Michele Singer Reiner, in a Los Angeles court Monday.
The 32-year-old’s plea to charges of two counts of first-degree murder, with the special circumstance of multiple murders, was entered by his public defender, Kimberly Greene.
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The charges carry a maximum sentence of life without possibility of parole or the death penalty.
Nick Reiner is seen at a movie premiere in September of last year.
via Associated Press
A not-guilty plea is common for criminal defendants at this stage of the case, as The Associated Press reported.
He had been set to enter a plea last month in the December stabbings but his defense attorney withdrew from the case during his last court hearing. Nick Reiner, who has since been represented by a public defender, waived his right to a speedy arraignment.
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He is being held without bail.
Nick Reiner is the third of Rob Reiner’s four children. He’s seen here, right, with his parents and siblings Jake and Romy in 2014.
via Associated Press
Nick Reiner’s parents were found stabbed to death in their Los Angeles home on December 14. He was taken into custody hours later without incident, authorities said at the time.
Nick Reiner, who is the third of Rob Reiner’s four children, has a history of substance use. Authorities have not said anything about possible motives.
Lord Peter Mandelson has been arrested on suspicion of misconduct in public office.
The former Labour minister and US ambassador has been accused of passing on market sensitive information to paedophile financier Jeffrey Epstein when he was business secretary in the wake of the global financial crash.
Two of his properties have been searched by police. Mandelson denies any wrongdoing.
A Metropolitan Police spokesperson said: “Officers have arrested a 72-year-old man on suspicion of misconduct in public office.
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“He was arrested at an address in Camden on Monday, February 23 and has been taken to a London police station for interview.
“This follows search warrants at two addresses in the Wiltshire and Camden areas.”
Footage shown by broadcasters shows a plain clothed police officer leading Lord Mandelson out of a house.
Lord Mandelson then gets into the left rear seat of a waiting unmarked Ford Focus police car.
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Mandelson was sacked as the UK’s ambassador to Washington last September, just seven months after being appointed by Keir Starmer, after more details emerged about his links to Epstein.
The fresh allegations about his conduct followed the release of millions of documents about Epstein by the US Department of Justice last month.
Mandelson also resigned his seat in the House of Lords, although he still retains his title.
His arrest comes just days after Andrew Mountbatten-Windsor, another former associate of Epstein, was also arrested over allegations he committed misconduct in a public office when he was a UK trade envoy.
“JUST BRING BACK MY MAYAAAAAAAA,” I sobbed into the phone to my then-boyfriend of two years, Tom.
He had just left our East London apartment for a two-hour journey to the specialty vet hospital, where our 13-year-old paralysed chiweenie waited to be picked up. Housebound with Covid, I waited impatiently for him to return with the love of my life.
Tom knew that Maya had always been my soulmate. She had been at my side since I was 19 and going to college in Greenwich Village. She gently snorted in my bag as I snuck past security into my film class, where a treat from my professor awaited her. Bouncy and bright, Maya romped through the city with me, often drawing adoration from passersby for her cuteness.
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We were inseparable. I would wake to the surge of traffic or the rumble of street construction below, Maya nuzzled into my dark hair. Up we went to the coffee shop’s takeout window, where, surprise, surprise, more treats were ready for her taking. On the subway, to friends’ houses, on road trips across state lines, and on flights home to sunny, smoggy Los Angeles, Maya came along every step of the way.
During Hurricane Sandy, it was Maya and me against the world. No power, no running water. Maya and I traipsed along the Westside Highway at twilight, a Blessed Virgin Mary candle ablaze as a torch, walking past what felt like a post-apocalyptic downtown.
Maya even moved across the pond with me to London when I turned 30 – a reset after a five-year relationship abruptly ended.
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She first moved in with my mum, who FaceTimed me at least four times a day while I spent the longest three months of my life waiting for her to arrive.
When she finally did, I felt whole, like I could exhale and lean into my new London chapter.
A few months later, Maya, almost 12, lost mobility in her back legs. I placed her in a leather duffel bag (unzipped, of course), threw in some blankets and rushed into the November night to the same specialty vet hospital, which would become our refuge for the next three years.
Still in my yoga pants and sweatshirt from that afternoon, the only thing I could think about was getting Maya better. I kept reassuring her, “It’s OK, it’s going to be OK,” even though I was ultimately reassuring myself. Stroking her soft face and trying to keep the tears back, I knew our lives would never be the same.
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“Intervertebral disc disease,” the neurologist said. “She needs a spinal fusion immediately.” With only a 50% chance of regaining movement in her hind legs, I began to prepare for whatever came next.
Maya glowed in her new neon pink set of wheels. She zipped along the Hackney Canals with even more flair than before, drawing even more smiles in her new form than she had on four legs.
It was during this period that I met Tom. We both swiped right, and I planned for him to meet Maya on our third date. By then, I had accumulated a handful of dog sitters for her. While she could be home alone for up to four hours, for special nights out, I needed backup.
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Maya was still figuring out her new self and was scooting all over the apartment in her white puffy diapers. As soon as I brought Tom up to meet her, Maya had an accident all over a floor pillow. Embarrassed, I began to apologise.
“It is not a bother,” he laughed as he picked her up. “Come on, you. Let’s get you cleaned up,” he cooed as he reached for the kitchen roll.
It was at that moment that I knew Tom was here to stay. During lockdown, he would drive from the other side of London and spend the entire weekend with us, giving Maya baths, making a duvet fort for her so we could watch The Twilight Zone, and going for long walks with Maya rolling beside us. He would even adorn her with origami crowns. My plus-one became a plus-two.
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Photo Courtesy Of Jordan Ashley
Tom and Maya in our yard in London, December 2020.
On our first family holiday in summer 2020, we rented a cottage in the Cotswolds, where Maya rolled in green fields sprinkled with cows grazing. When she grew tired and needed a rest, Tom would scoop her up in his arms, like a bride being carried over the threshold, and blow on her face to cool her down.
When the three of us finally moved in together, our priority was securing a ground-floor apartment so Maya could come and go with ease. Our entire existence centered on Maya. It was never just Tom and me, but rather the three of us, moving as an imperfect unit into this new, cohesive life together.
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As our love deepened, Maya’s age began to catch up with her. Despite being the ultimate roller girl, more health issues began to pile on: hyperparathyroidism, myoclonic seizures, pancreatitis and blindness. During this time, she would be up all night, distressed, howling and crying.
We took turns, surviving on three hours of sleep, our collective mental health wearing down, yet we persevered. On these late nights, I would turn on sound bath playlists, sing to her and do everything in my power to keep her settled on the futon we had set up in the living room. We would not give up on our Maya.
In January 2024, we celebrated her 16th birthday together. Our only measure of time was her comfort. As long as she was still eating, still bright-eyed and not in pain, we kept going. She had traded in her wheels for a stroller, and we pushed her everywhere, her head poking out to take in the breeze.
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Maya was on a cocktail of medication, and our lives revolved around the rituals of caring for her – giving her syringes of medicine, hiding pills in peanut butter, cooking for her. She was a metronome, and our lives played to her rhythm.
Maya flew home with me that spring. By now, she could not be left alone, so it was easier to travel with her to ensure round-the-clock care. During this time, I felt Maya’s clock was running out.
Photo Courtesy Of Jordan Ashley
Maya’s 15th birthday party in London, February 2024.
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I knew an engagement was just around the corner. I had found the ring in his sock drawer, and I kept saying how important it was to me to have Maya at our wedding. She would be the bouquet, as I dreamed of carrying her down the aisle.
Tom would not be marrying just me; he would also be making a vow to her.
Within 48 hours of returning to the UK, Maya was rushed to the emergency vet because she could no longer breathe on her own. We began Googling videos on how to build an oxygen chamber at home from a plastic storage container. Tom found all the parts we would need and was ready to pick up the oxygen tank when the call came. It was time.
We sat with her on our laps for five hours, crying as we looked through all the photos of our many adventures over the years: Maya gliding in Williamsburg, a soggy Tom holding an even soggier Maya after a lake dip, Maya in her skulls and crossbones sweater, us singing happy birthday to her. And then my worst fear finally happened. Her spirit had grown too big for her now very tired body.
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I was devastated. I don’t remember getting into the car or Tom driving us home. He held my hand and, through his own tears, led me into our now very empty apartment. Even though he was tucking me into bed and telling me to try to rest, I felt truly alone for the first time in 16-and-a-half years.
The engagement came six weeks later, while I was waiting for a taxi to Heathrow to fly back to New York. It would be the first time I would be in the city without her. Maya’s vet gave me an envelope of bluebells to plant in her honour. On that solo trip back to NYC, I walked down Sixth Avenue, turned left onto 13th Street, and stood in front of the apartment where Maya and I first became inseparable.
Photo Courtesy Of Jordan Ashley
Maya’s representation at the author’s wedding in the Cotswolds, July 2025.
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Maya had always been my constant, my heartbeat outside my body. Losing her was like losing a piece of myself, the glue that held my world together. Kneeling, I spread some dirt beneath a tree and scattered the seeds.
Across the ocean, I knew my person was waiting for me. His love for Maya over those four years was one of the greatest acts of devotion I had ever witnessed. Our love for her and the shared grief of her absence would now be a journey Tom and I would navigate – together.
Jordan Ashley, Ph.D., is a writer and the founder and executive director of Souljourn Yoga Foundation, a nonprofit creating transformational yoga retreats that support girls’ education worldwide. Learn more at souljournyoga.com.
Have you ever been trapped on a train carriage with someone watching TikToks from their phone without headphones? Or seated on a plane by a passenger blasting music? Or even stuck in a doctor’s office waiting room as a fellow patient broadcasts radio commentary on a sports stream?
If so, you’ve experienced what some call “bare beating”. This term refers to the act of playing music, videos, podcasts or other audio out loud in public without headphones – essentially treating shared space like a personal living room.
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“This. Is. Rude. There just is no other way to slice it,” said Nick Leighton, an etiquette expert and host of the Were You Raised by Wolves? podcast.
“You’re imposing your choices on a captive audience. Nobody decided they wanted to listen to that YouTube video, and yet here we are all having to endure it without our consent.”
Jodi R.R. Smith, the president of Mannersmith Etiquette Consulting, agreed, emphasising that bare beating is “unequivocally rude”.
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“The presumption that everyone wants to listen to what you are listening to is simply unacceptable,” she said. “This is doubly so if others are unable to move away from you – at work, in an elevator, on public transportation, etc.”
In those tight quarters, what might even seem like low or moderate volume to you can feel disruptive to someone sitting inches away.
“Whether the distraction is visual, or noise related, when someone is intruding on another person’s public space, it’s not easy to look away and ignore,” said Diane Gottsman, the author of Modern Etiquette for a Better Life and founder of The Protocol School of Texas.
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“Think of it this way: if a child was doing it in a public space, tight quarters or a restaurant, others would be annoyed and blame the parents for not adjusting the behaviour. When an adult does the same thing, it’s important for them to self adjust and be respectful of others in close proximity.”
Children might get grace for this behaviour because they aren’t as aware of social norms, but for adults who should know better, it’s simply rude. And depending on where you are, it might even be subject to legal penalties.
“Some people just aren’t mindful of how their behaviour affects others and simply have no idea how far phone speakers can carry sound,” Leighton said. “Spoiler alert: It’s way farther than you think.”
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AleksandarGeorgiev via Getty Images
Are you guilty of “bare beating” in public? Here’s what etiquette experts think of the “unequivocally rude” behavior.
Indeed, “bare beaters” don’t necessarily have negative intent and are sometimes blissfully unaware.
“The reason people are doing this is because they are trying to pass the time or may not even realise their volume is offensive,” Gottsman said. “But when you’re sitting inches away from another person, even lower noises are amplified.”
There may even sometimes be understandable reasons for the behaviour. Someone with hearing difficulties may not realise how loud their device is, or they may be experiencing technical issues. Still, Gottsman said, unless it’s an emergency, the courteous move is to wait to listen to the audio when you’re in private.
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“Of course, using earbuds and utilising captions is a reasonable option,” she added.
And while bare beating feels like a modern behaviour, it’s not entirely new.
“Forcing strangers to become your unwilling audience has been an issue that’s plagued humanity since the dawn of time,” Leighton said.
Smith pointed out that methods and norms have shifted over the decades.
“Back in the ’80s, being a DJ to those in your surrounding area was actually considered the norm,” she said.
“The person with the giant boombox would play it so that everyone nearby could enjoy the sound,” she said.
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“But times change and nearly everyone has the ability to listen to what they like almost anywhere – so long as they are wearing headphones or earbuds.”
For those who flout modern etiquette rules by bare beating, sometimes all it takes is a gentle nudge.
Smith recalled a recent experience at an airport gate where a man was loudly streaming a soccer game on his phone as it was time to board.
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“After a few minutes, I turned and asked him what he was watching,” she said. “He excitedly told me his favourite team was playing. I told him that I was having a hard time hearing the boarding announcements and asked if he could use earbuds. He gave his head a quick shake and looked around sheepishly.
“He had not realised how loud his phone was or how many people were giving him ‘the look.’ He apologised to me and the others around him as he put in his earbuds.”
Still, Gottsman emphasised that deciding whether to speak up is a judgment call.
“Is it rude to intrude on other people‘s personal space? The answer is yes,” she said. “But understand that we cannot determine another person‘s reaction, and if you can ignore it for a very short subway ride, it’s probably best to do so.”
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Regardless of whether you choose to confront someone over this behaviour, the important thing is to avoid bare beating yourself. Remember: Just because you can press play doesn’t mean everyone else signed up to listen.
Alzheimer’s is a horrible disease that has uniquely devastating effects on the people who have it and their loved ones.
Common symptoms include memory loss; struggling to plan, complete tasks or solve problems; feeling confused; experiencing new problems with speaking and writing; misplacing items; making poor judgment calls; social withdrawal; and more.
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While those symptoms are ones we often hear about, they aren’t the only ones. There’s a symptom that many caregivers aren’t aware of and think is a result of “bad” caregiving: agitation.
“It’s critical to first appreciate that agitation is a symptom of brain changes caused by Alzheimer’s disease, not poor caregiving,” said Dr. Richard Stefanacci, the medical director of Inspira LIFE, a senior living program.
“The brain damage from Alzheimer’s makes people prone to agitation regardless of how loving caregivers are,” said Stefanacci, who also specialises in older populations and Alzheimer’s.
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According to information the Alliance of Aging Research sent to HuffPost, “agitation” in this sense can present itself in a variety of ways: pacing, trying to leave, angry outbursts, profanity, hitting, mood swings, throwing items and more.
Caregivers may blame themselves, AAR continued, thinking it’s a result of their burnout, introducing a new routine or not being patient enough.
Dr. Nikhil Palekar, the director of the Stony Brook Center of Excellence for Alzheimer’s Disease at Stony Brook Medicine, said there’s a stigma when it comes to this specific symptom.
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“Caregivers often feel they might be doing something wrong, which is causing their loved one with Alzheimer’s to react in an uncooperative, hostile or agitated manner, without realizing that agitation in Alzheimer’s is very common, with rates ranging from 56% in early stages to 68% in the moderate-severe stage of the disease,” he said.
How Alzheimer’s can cause agitation symptoms
Like with other Alzheimer’s symptoms, it all comes down to the brain.
“Alzheimer’s disease is the result of brain damage to areas of the brain that control emotions, decision-making and behavioral responses,” Stefanacci said.
“This neurological damage explains why people with Alzheimer’s may react strongly to situations that wouldn’t have bothered them before the disease progressed to this point.”
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More specifically, we’re looking at neurotransmitters. “Alzheimer’s disease results in dysregulation and a decrease in three neurotransmitters (chemical messengers) in the brain – serotonin, norepinephrine and dopamine – resulting in symptoms of agitation,” Palekar said. Keeping in mind that those neurotransmitters help with mood, motivation, energy, anxiety and more, this makes sense.
We also have to consider environmental factors. For example, the holiday season – or other high-commotion events – can exacerbate agitation and its causes.
“Large gatherings with unfamiliar faces, disrupted routines, unusual foods and changes to previously familiar environments can cause agitation in someone with Alzheimer’s, especially [in] later stages of the disease,” Stefanacci continued.
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“Most critical is to make adjustments and accommodations to reduce the stress, such as maintaining routine and familiarity.”
There is hope for Alzheimer’s agitation
Whether you experience agitation from Alzheimer’s or love someone who does, know that hope is not lost. Below, doctors share tips and other helpful information that can help you manage this symptom together:
Create and maintain routines
Consistent daily schedules with meals, activities and bedtime are key, according to Stefanacci. When you do have to prepare your loved one for a change, he encourages doing it ahead of time if/when you can and trying to maintain other routines.
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Avoid arguing when possible
If the person with Alzheimer’s has a harmless belief, Stefanacci recommended not arguing with them about it. Rather, he said to focus on the emotion behind what they’re saying and remember that you can’t reason with an Alzheimer’s-damaged brain.
Use calming approaches
While difficult at times, staying calm and helping the person with Alzheimer’s stay calm is important. Speak in a calm, reassuring voice, play familiar music they enjoy and reduce confusing noise, Stefanacci said.
Know that there are helpful treatments available
It’s easy to feel hopeless when someone has Alzheimer’s, and to think that small interventions won’t make a difference. That’s understandable – and thankfully not true.
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“This symptom can be effectively treated with behavioural interventions as well as medication, which is FDA-approved for the treatment of agitation in Alzheimer’s disease,” Palekar said.
To get to that point, he recommended discussing any agitation-like symptoms with the patient’s medical provider.
Similar to the tips above, Palekar listed some specific, non-pharmacological interventions that can decrease agitation, too:
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Maintaining a daily routine and structure
Reducing noise and clutter
Gentle touching
Soothing music
Reading
Walking (ideally outside in the sunlight)
Staying busy with distractions, like snacks, objects or fun activities
Avoiding stimulants, such as caffeine, late in the day.
Take care of yourself as a caregiver
Being a caregiver is hard work, to understate it. Stefanacci urges these individuals to seek support from other caregivers, support groups and counselling. He also mentioned giving yourself permission to simplify or skip holiday traditions that are simply too overwhelming.
In short, it’s “normal” for someone with Alzheimer’s to show agitation – and that’s on Alzheimer’s, not anything the caregiver has done.
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As someone with Alzheimer’s or their loved one, know that you are not alone, and that people are available and want to support you.
Most dog owners would love to spend every minute of every day with their pups. Alas, life gets in the way of that for many of us, which means trying to maximise whatever time we have together.
But what about when we want to get frisky with another human? Should we let our four-legged friends stay in the room? Or is it better to separate ourselves from our dogs before we start stripping down?
“When [my boyfriend] Benji and I have sex, we don’t let [our dog] Jumi on the bed, but he’s in the bedroom, and I feel a little bit weird about it,” Michelson admitted. “I feel like he doesn’t exactly know what we’re doing. What do you think about this from a behaviour standpoint?”
Levine said this is a common question she often gets from pet owners.
“For most dogs, it just doesn’t matter,” she said. “If they’re not bothered by it, it doesn’t matter at all. Dogs don’t have this hang-up like people do about things. They sort of live in the moment.”
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However, there are some behaviours that signal a dog should not be present
“Where we shouldn’t have the dog in a room when people are having sex is when the dog tries to intervene,” Levine told us.
“There are lots of dogs who have a little bit of FOMO … like when people are like hugging, the dog wants to join in and so the dog is just like, in a happy way, ‘Hey! What’s going on here?’ and that just ruins the mood.”
Other pups might be uncomfortable for a more worrisome reason.
“There are also dogs who will get very distressed because of the sounds that are being made [during sex],” she said. “They may interpret some of those sounds as aggression [happening to] you, and then it’s not fair to the dog to have them in the room for that.”
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Levine advised giving our furry friends a treat or a toy – either in the room or in another room – to keep them occupied until we’re done getting busy.
We also tackled a question from a listener about a similar – yet very different – scenario.
“We recently adopted a new dog and he loves to lick our older dog’s penis,” the listener said. “What’s going on there? And is there any downside to this or should I just let them go at it?”
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“There are different reasons a dog may lick another dog’s penis,” Levine said. “It may be that there are just so many good odours in [that area] that they’re attracted to that.”
She also noted that they might be enjoying a taste that is present on or around the dog’s genitals.
“We want to make sure the dog doesn’t have like some sort of yeast infection or something in there that’s making it more attractive to the other dog,” she said.
What about the dog who is letting his friend lick him? “If he’s allowing this, he probably just thinks it feels good, or it does feel good,” she explained.
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Levine told us she wouldn’t be worried about the behaviour if it’s happening “here and there”, but if it’s ongoing, it could cause problems.
“The concern about it going on for too long or too frequently is it’s possibly setting up for an infection in the penis that’s being licked.”
We also chatted with Levine about how to address unwanted barking, why some dogs get more aggressive as they get older, what to know before you let dogs and kids play together and much more.
Have a question or need some help with something you’ve been doing wrong? Email us at AmIDoingItWrong@HuffPost.com, and we might investigate the topic in an upcoming episode.
Around 523,000 people from the UK travelled abroad for surgery in 2024, with the most popular destinations for ‘medical tourism’ being Turkey, Poland and Romania, according to data from the Office for National Statistics (ONS).
People might travel abroad for treatments such as dental and cosmetic surgery, cancer treatment, weight loss surgery, fertility treatment, organ transplants and stem cell therapy, according to experts at TravelHealthPro.
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“Transgender travellers may seek hormone therapy and gender reassignment surgery abroad,” they added.
The growth in medical tourism appears to stem from a mixture of factors, including higher disposable incomes, increased readiness to travel for health care, low-cost air travel and the expansion of internet marketing, TravelHealthPro said.
NHS waiting lists have also been growing in recent years, though NHS England noted it delivered more elective activity in 2025 than any other year in its history, “helping cut the waiting list to its lowest level since February 2023”.
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If you’re one of the many people tempted to go abroad for surgery or treatment, Qian Huang, international claims manager at William Russell, has shared some key considerations below.
What you need to know before travelling abroad for surgery
“The idea of having surgery abroad can be nerve-wracking, particularly when it comes to questions of safety,” Huang said.
“Many people considering surgery abroad decide not to go because of concerns about safety, the quality of the medical care, or not understanding the foreign healthcare system.
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“However, in reality, many international hospitals and clinics follow standards of care that match or exceed those found in the UK, US, or Europe. The key is knowing what to look for.”
How to find an accredited hospital abroad
Medical accreditations are a key indicator of a hospital’s commitment to international standards.
One of the most widely recognised is the Joint Commission International (JCI) accreditation, often considered the global gold standard, which evaluates hospitals on areas such as infection prevention, medication safety, staff training, patient communication, and emergency readiness.
To find an accredited hospital abroad, patients can check official accreditation bodies’ websites, verify information on hospital websites, contact the facility directly, or consult medical tourism networks and national health authorities.
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What to check before booking surgery
To steer clear of issues, Huang shared six factors to be aware of before booking surgery abroad.
1. Lack of accreditation or vague claims
“Be wary of hospitals that mention ‘world-class standards’ without naming an actual accrediting body,” he said. “Reputable facilities will proudly display credentials from recognised organisations like JCI, ACHSI, or Temos.”
2. ‘Too good to be true’ pricing
Competitive pricing is probably one of the top reasons people consider surgery abroad, but Huang warned ultra-low prices should raise alarm bells.
Check the qualifications of the surgeon, what’s included in the cost, and whether the aftercare and follow-up appointments are covered, he added.
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3. Poor communication or pressure tactics
If you’re struggling to get clear answers from the hospital or feel rushed into making a decision, consider taking a step back. Trustworthy providers are transparent, patient, and more than happy to talk you through the details.
4. No clear aftercare plan
Recovery is just as important as the procedure itself. A good hospital will give you a personalised aftercare plan, including advice on travel, medication, and any physical restrictions, before you agree to surgery.
5. Inconsistent or missing reviews
Take the time to search for independent reviews and testimonials before considering which hospital to have the surgery at. A complete lack of online feedback, or reviews that sound overly scripted, can be a red flag.
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6. Limited information about the surgical team
When researching your hospital, you should be able to find the names, qualifications, and experience of the surgeons who’ll be treating you. If this information is unavailable or unclear, you need to proceed with caution.
Using a public toilet is rarely a joyous occasion. They’re filled with sights and smells that can strike fear in the hardest of hearts (and stomachs), and still, most of us have to venture into them at some point if we ever want to live a life outside of our homes.
So how can we make our time in a public bathroom better or safer or, at the very least, less gross?
“Every time I talk about toilet seats and toilets, I’m always saying, ‘Well, it’s not germy – everything is germier than a toilet seat,’” Tetro told us. “[I’m basing that on] studies that were done back in the 1970s and controlled laboratory environments that were mimicking the home… [but those toilets] also had a lid.”
That lid, which is absent from the vast majority of toilets in public restrooms, is key, he said, to containing what scientists call a “poo plume” – the droplets and aerosol particles that can spray up to six feet out of the toilet when we flush.
“As a result of [there not being a lid], there’s that plume that comes from the toilet that ends up on the seat, and no matter where you go, you’re always going to find that about 50% of the [public restroom] toilet seats at any given time are going to have some kind of poo germs on them in the range of hundreds [of particles],” he said.
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Those poo particles can contain E. coli, salmonella, or even norovirus, all of which, if present in high enough concentrations, can make us sick – but not from sitting on the toilet seat.
“We do see potentially some low level of all sorts of different types of bacteria and viruses that could potentially cause an infection, but the reality is, unless you have a cut, then there’s really no opportunity for that to get into your skin to cause a problem,” Tetro, the author of The Germ Files and The Germ Code, explained.
However, droplets in the air are a different matter altogether. That’s why he says flushing the toilet is the first thing he does before using it to “get a fresh” bowl and he never stays in the stall after flushing.
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“Make sure that you kind of get out of the stall for 30 seconds to let whatever was aerosol or the droplets to fall and then you can go back in,” he said, noting that he actually does this himself before he uses a toilet in a public restroom.
“So here’s the problem: if it’s norovirus or some of the more really troublesome bacteria like E.coli 0157:H7, then you may actually end up getting exposed to a high enough level that it could potentially cause infection,” he warned.
That’s because the droplets from the plume could land in your mouth or nose – which is even more of a danger if you’re standing in close proximity to a public restroom toilet that features an extremely powerful flusher.
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“So if you’re gonna go for the clean or for the fresh bowl, make sure that your face is nowhere near that plume,” he added.
Once you’ve finished your business, don’t stick around in the stall after you’ve flushed either – unless you want to be showered by a plume of your own poo particles.
We also chatted with Tetro about the germiest part of a public restroom (spoiler: it’s not the toilet seat), what to do if there’s no soap in the bathroom, and much more.
Need some help with something you’ve been doing wrong? Email us at AmIDoingItWrong@HuffPost.com, and we might investigate the topic in an upcoming episode.
Right now, longevity is all the rage and as we are gradually getting older as a population, we’re hoping to extend our lifetimes even further. It makes perfect sense, right?
Plus, most longevity advice can often be summarised into: eat healthy foods, exercise often and keep a healthy sleep schedule to reduce stress. All of this is great advice and we should be trying to implement it into our lives as much as possible!
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However, there is a stage where a preoccupation with longevity is just a little too far and could be impacting your mental health and even the quality of your life as you lock into the quest for a longer life.
It’s called ‘longevity fixation syndrome’
While this isn’t an official diagnosis, experts at Paracelsus Recovery, a mental health clinic based in Zurich have found that an obsessive and unhealthy fixation on longevity is increasingly presenting as anxiety and stress, and even eating disorders with their patients.
Speaking to The Mirror, Jan Gerber, the founder and CEO of Paracelsus Recovery said: “We are seeing a growing number of people whose lives are being dominated by the fear of ageing and decline, so much so that we have identified it as a new condition, Longevity Fixation Syndrome,
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“What starts as self‑care becomes obsessive self‑surveillance. The stress generated by this mindset can be so intense that it actively shortens lifespan rather than extending it.”
Gerber adds that “there is no longevity without good mental health.”
Additionally, Jason Wood, a former sufferer of this syndrome said to The Guardian that he believes that longevity obsession is closely aligned to orthorexia: a condition characterised by excessive interest in, concern about, or obsession with healthy food.
Wood says: “I believe many of the underlying factors and desired outcomes which fuel orthorexia are the same for longevity fixation syndrome. But with the latter, there are more variables you feel like you need to control, so even more anxiety.”
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If any of this feels familiar to you, speak to your GP or leading eating disorder charity BEAT for support.