Is It Endometriosis Or PCOS? Here’s How To Spot The Difference

Endometriosis impacts an estimated 1 in 10 women and girls of reproductive age worldwide. Moreover, recent research suggests that polycystic ovary syndrome (PCOS) is thought to affect somewhere between 4 to 20% of women of reproductive age globally. Though endometriosis and PCOS are common health conditions, people often mistake one for the other or vice versa.

“Endometriosis and PCOS are two reproductive health conditions that are not well understood among many in the medical community,” Dr Stephanie Hack, board-certified obstetrician and gynaecologist and host of the Lady Parts Doctor podcast, tells HuffPost. “They both are associated with the menstrual cycle and fertility issues, making it easy to confuse them. However, they are very different.”

HuffPost spoke with experts about the differences between PCOS and endometriosis, and why it’s important to understand the unique symptoms and treatments for each health condition.

What are endometriosis and PCOS, and how do symptoms differ?

“Endometriosis is a condition in which cells that resemble the lining of the uterus are present anywhere in the body,” says Dr Gaby Moawad, a clinical associate professor of obstetrics and gynaecology at The George Washington University and founder of The Center for Endometriosis & Advanced Pelvic Surgery (CEAPS).

This means that endometrial-like tissue grows in areas such as the ovaries, fallopian tubes, and tissue lining the pelvis. However, this tissue cannot shed like healthy endometrial tissue inside the uterus does during your period. In turn, endometriosis can cause severe pelvic pain, pain during menstruation and intercourse, nausea, bloating, and even pain during urination and bowel movements.

In some cases, people with endometriosis can form endometriomas, which are commonly referred to as “chocolate cysts” due to their dark brown appearance. Though people with endometriosis can form cysts, this is not the same as having PCOS.

According to Moawad, “PCOS by definition is irregular ovulation,” and is a health condition in which the ovaries produce “excess male hormones in the body,” aka androgens. Due to hormonal imbalances and elevated androgen levels, Hack explains that PCOS symptoms include “irregular and/or infrequent periods, weight gain, acne, ovaries with multiple cysts and excessive body hair.”

In addition, people with PCOS regularly develop other serious health conditions. June-Ann Joseph, an advocate and host of the Black Broke and Anxious podcast, says that her PCOS has caused her to experience insulin resistance, difficulty losing weight, and the formation of acanthosis nigricans, which is a skin condition that causes dark, velvety patches to form on different areas of the body.

There are some commonalities between endometriosis and PCOS.

Though endometriosis and PCOS are completely different health conditions, Moawad says a “chronic inflammation pattern” is present in both. Some studies suggest that, though rare, people can have both endometriosis and PCOS.

As Hack notes, both conditions can cause subfertility, an unwanted delay in becoming pregnant, or infertility, which is a complete inability to get pregnant after one year or more of having regular, unprotected sex.

Though PCOS is a common cause of infertility, endometriosis typically creates more complicated fertility issues. This is because, as Moawad says, “endometriosis not only affects the quality of eggs and ovaries, but it also creates a lot of scar tissue which could close the fallopian tubes, as well as damage the uterus.” An estimated 30 to 50% of women with endometriosis experience infertility.

How do physicians treat endometriosis vs PCOS?

Neither PCOS nor endometriosis can be cured, but rather symptoms can be managed through different treatment methods.

Obstetrician-gynaecologists typically take a holistic approach when treating people with PCOS, utilizsng medications that induce ovulation or address potential hormonal imbalances, vitamins to address any nutritional deficiencies that may worsen PCOS symptoms, and working alongside patients to modify lifestyle habits – such as diet – that may contribute to inflammation.

Moawad explains that, for people with endometriosis, the “gold standard” treatment is surgical excision. People who experience severe pain or fertility issues may opt to undergo a laparoscopy; this is a minimally invasive procedure in which a surgeon will use a laparoscope to find areas of endometriosis and remove any lesions or scar tissue. Hormonal therapies such as gonadotropin-releasing hormone (GnRH) agonists, birth control pills and hormonal IUDs are also often prescribed for endometriosis.

However, Moawad says that these “medications tend to quiet the symptoms for a period of time, but they don’t cure [endometriosis].” Similarly, surgical interventions for endometriosis are not permanent, and up to 80% of women experience pain again within two years of surgery.

It often takes people a long time to get the right diagnosis, so finding a doctor who listens to you is important.

SDI Productions via Getty Images

It often takes people a long time to get the right diagnosis, so finding a doctor who listens to you is important.

Misconceptions surrounding PCOS and endometriosis must be addressed

Misinformation is ultimately harmful, and may lead to a delay in diagnosis and treatment for many people with these health conditions. Rachel Ennis, a psychology project worker, was only diagnosed with endometriosis in 2022 after experiencing symptoms of the health condition for over 15 years.

“I wish people understood just how exhausting it is to have to fight with medical professionals to get taken seriously, and to get a diagnosis,” Ennis says. “Endometriosis is a whole body disease that can impact every area of your life.”

Further, Joseph stressed that more research about PCOS needs to be done so that doctors can better support patients – and so that people don’t turn to social media for medical advice.

“There are a lot of scam artists and influencers telling you that if you follow their diet plan, you can cure your PCOS,” she explains.

Find a medical professional who validates your concerns and takes your symptoms seriously

It’s crucial to find a doctor who specialises in specific health conditions like endometriosis and PCOS, and specific practice areas such as surgical excision. Though many people may think endometriosis and PCOS are minor conditions, Hack explained they are serious health issues that can be detrimental to a person’s day-to-day life in their own unique ways.

It’s well past time to ditch the misconceptions surrounding both PCOS and endometriosis, and to develop a greater understanding of these health conditions that impact millions of people across the world.

“The most important thing is that we have to empower our patients, validate their concerns and their symptoms, and give them the highest quality of care that they deserve,” Moawad says.

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Women Describe The ‘Extreme’ Physical Pain Of Endometriosis

An estimated 6.5 million people in the United States have endometriosis, a painful condition in which the uterine lining spreads and grows outside of the uterus. But that statistic likely vastly underestimates the prevalence of endometriosis because it’s notoriously difficult to diagnose.

Many of the symptoms ― which range from painful, heavy periods and painful sex to gastrointestinal issues and intense fatigue ― are associated with other reproductive health problems, including ovarian cysts and pelvic inflammatory disease. In addition, the pain associated with endometriosis is often dismissed by doctors as normal period cramps.

The only surefire way to diagnose endometriosis is to get a laparoscopy, a tiny surgical procedure that can identify the size and location of endometriosis. But that’s typically not the first test doctors recommend. Consequently, it can take years of inconclusive tests and misdiagnoses before the condition is properly diagnosed. In fact, endometriosis is so commonly misdiagnosed that the condition has picked up the nickname “the missed disease.”

Below, women diagnosed with endometriosis share what it physically feels like to live with the condition. They hope that their stories will encourage others experiencing symptoms to seek care and advocate for an accurate, timely diagnosis.

Extremely painful, heavy periods

Jaime Henson, a nurse practitioner who was diagnosed with endometriosis at age 32, says her symptoms started when she was 14 – 18 years before she got an official diagnosis.

As a teenager, she had extremely painful and irregular periods. At one point, her period lasted over a month. “I did not want to go out and do things because of the pain and nausea,” Henson says.

Blaine Mallory, a woman diagnosed with endometriosis, said she lost a ton of blood over the course of seven to eight days when she had her period. While menstruating, she experienced extreme cramping and dizziness.

“It was an iron deficiency brought on by my period,” Mallory said. Like Henson, Mallory’s period pain intensified over the years and became localised to her left ovary, which she later learned was covered in endometriosis.

People are often told that period pain is a normal part of menstruation, which causes many who experience intense or severe pelvic pain to believe that it’s just part of having a uterus. While it’s common to have some mild discomfort during menstruation, severe pain that impacts your quality of life or ability to function is not normal.

“I did not know any different and how it was ‘abnormal,’” Henson says.

Intense periods and cramping are hallmark symptoms of endometriosis.

martin-dm via Getty Images

Intense periods and cramping are hallmark symptoms of endometriosis.

Pelvic pain during ovulation

Eventually, Henson’s pain increased and remained a problem throughout the month, not only while she had her period.

“I had extreme pelvic pain to the point where I could not stand up straight and would have to walk hunched over,” Henson says.

Kylie Meyer, a 33-year-old who recently had a hysterectomy to treat her stage 4 endometriosis, said her pain also initially flared up during her period, but got worse and occurred when she was ovulating, too. The pain, which she describes as crampy, was typically localised to one side of her body, rotating between the left ovary and the right ovary each month.

“There’d be times I would be shopping and would have to put my hand, essentially, into my pelvis to try to put pressure on the pain just to get through the store,” Meyer says.

Urinary and gastrointestinal issues

Henson says she sporadically noticed there was blood in her urine and often felt like she had a urinary tract infection ― but when she got tested for a UTI, the test results were normal. Additionally, she developed deep rectal pain. Despite undergoing multiple tests, her gastrointestinal specialist couldn’t identify the root of the problem.

Meyer also developed gastrointestinal issues. “I started getting bloating to the point that my stomach was distended,” she says. The bloating became so severe that her skin ached from being so stretched out.

Difficulty getting pregnant or infertility can be a side effect of endometriosis.

Natalia Gdovskaia via Getty Images

Difficulty getting pregnant or infertility can be a side effect of endometriosis.

Struggling with unexplained infertility

Sheila Petersen, a woman diagnosed with endometriosis at age 34, began trying to get pregnant at 30. After multiple unsuccessful attempts, she was diagnosed with “unexplained infertility.”

She underwent multiple rounds of intrauterine insemination and in vitro fertilization, but still did not get pregnant. When she was finally diagnosed with endometriosis, she understood what had been preventing her from conceiving. Estimates suggest that around 47% of women experiencing infertility have endometriosis.

“I can’t help but wonder if it was caught when I was younger if our fertility journey would have been easier,” Petersen says.

Chronic, intense fatigue

One of the more debilitating symptoms Meyer deals with is fatigue that limits her ability to go out and live her life. Because endometriosis is an inflammatory disease, the body is constantly working to fight off the inflammation. Meyer learned that she has to carve out a few days each month to rest, otherwise her body will get too run down.

“It is exhausting. I can’t do things that I used to be able to do,” she says.

Meyer hopes that by sharing her symptoms, she can prevent others from going down a similar path.

“If I had gotten diagnosed earlier, it probably wouldn’t have gotten to severe stage 4 with frozen pelvis – and who knows if my uterus could have been saved if had I been diagnosed earlier,” Meyer says.

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How Your Christmas Tree Impacts Your Home’s Air Quality

Few things are more Christmassy than the smell of pine and fir, which is often the happy result of buying a real Christmas tree. For many, the smell is a true sign of the season. For others, it can be irritating — which is why some people opt for artificial trees as an alternative.

Either way, putting up your festive Christmas tree may tinker with your home’s air quality, according to experts.

Dustin Poppendieck, an environmental engineer in the indoor air quality and ventilation group at the National Institute of Standards and Technology, said that both real and artificial trees can emit chemicals for weeks, a month or even beyond (for artificial trees that are stored in your home all year). And while it’s likely nothing to be overly alarmed about, it’s still worth knowing what’s going down when you’re putting your tree up.

While there isn’t too much research on exactly how much emission both kinds of trees actually create, Poppendieck said there is adjacent research that can inform just what might be happening to our home’s air when these trees are brought inside. Here’s how both real and artificial Christmas trees impact your home’s air:

Real Christmas trees emit a mix of volatile organic compounds.

The pleasant pine scent that your Christmas tree gives off is actually due to a release of a mix of different volatile organic compounds, or VOCs, according to Bryan Cummings, a research scientist in Drexel University’s College of Engineering. Specifically, most of these compounds are known as pinenes and they are what gives the Christmas tree its distinct odour; the same goes for products like pine-scented floor cleaners.

For some people, VOCs can cause minor respiratory irritation when inhaled, he added. According to the United States Environmental Protection Agency, VOCs can cause irritation to your eyes, nose and throat, and can also cause headaches.

While these side effects may be seen in some people, Cummings does not think VOCs from a Christmas tree will have a large impact on the general public’s health either short-term or long-term when compared to all of the items that release VOCs all throughout the year. But, he added that people who are sensitive to irritants of this nature — like people with asthma or certain allergies — may feel extra irritation when they have a Christmas tree in their home.

With a real Christmas tree, you’re also bringing in potential mould and other outdoor contaminants.

Beyond the chemical reaction a real tree could have on the air in your home, “when you’re bringing a tree, you’re bringing in a microbial community in addition to the tree,” Poppendieck said.

In other words, that tree could be offcasting irritants that could potentially trigger asthma or allergies, he added. These irritants can include mould and pollen, according to IQ Air, an air quality group based in Switzerland.

Additionally, Poppendieck noted that any spills when watering a real tree could lead to mould growth, too. Or, if your tree has mud on it, the mud may have additional irritants that can permeate the air.

As for artificial trees, the plastics used to create them may also impact your home’s air.

While many people with severe allergies turn to fake Christmas trees for their holiday cheer, Cummings said these trees, too, may make a mark on your home’s air quality.

“These artificial trees, they contain plastics and PVCs [polyvinyl chloride], and one of the major plasticisers in these materials are phthalates,” Cummings said. Additionally, he said that artificial trees also contain flame retardants.

When it comes to flame retardants, “some of the compounds might be neurotoxins or carcinogens with long-term exposure,” he said.

And when it comes to phthalates, “those are thought to be mostly endocrine disruptors,” which are chemicals that could interfere with your body’s hormones. “There’s lots of research going on in the indoor air quality community especially around phthalates because they’re one of those forever chemicals,” he added. Forever chemicals are manmade chemicals that don’t break down, and as a result, stick around for hundreds and hundreds of years.

What’s more, while they can evaporate into a home’s air, which means you can breathe them in, they can also stick to your hands or other products, giving them the ability to be ingested further and can even go directly into your bloodstream after skin contact, Cummings noted.

“I say that’s a bigger health concern than potential exposure to pine-scented terpenes,” he said.

The plastics used in artificial Christmas trees can migrate throughout a home and eventually end up in your home's dust.

Crispin la valiente via Getty Images

The plastics used in artificial Christmas trees can migrate throughout a home and eventually end up in your home’s dust.

All of that said, your artificial tree isn’t the only contributing factor when it comes to plastic contamination.

“I also want to say: How many other plastic products do you bring into your home?” Cummings said. Between plastic water bottles, plastic appliances, plastic toys and plastic decor — the answer is probably a lot.

“Are the artificial trees the major source of this pollution? Probably not,” Cummings said.

Additionally, Poppendieck pointed out that “phthalates are commonly found in house dust” beyond the Christmas season. So, no matter what plastics you’re bringing in, the same pollution pattern is happening.

“We know it’s moving from the plastics in our home to the dust,” Poppendieck said.

If you are someone who is very concerned about phthalates and plastics in general, you should avoid artificial trees, Cummings noted. But, if you have many other plastic items in your home, one Christmas tree is not going to change anything.

This is not a cause for panic. Both experts still have Christmas trees.

While both experts said they limit (or do not use) scented home products like scented detergents, body soap and cleaning items, they both have Christmas trees in their homes.

“There’s an emotional attachment that I grew up with,” Poppendieck said, “I like the smell, I like the ambiance and the psychological value.”

He added that when it comes to any indoor air quality topic, you have to balance the physical health impacts with the psychological impact. If your Christmas tree brings you joy, you should not stop getting one to protect your home’s air quality (unless you are one of the few people who deal with severe respiratory reactions) if your home is full of other air quality risk factors, too.

Both experts added that there are many other things in our homes — other plastic items, scented cleaners, candles and gas stoves — that also impact the air we breathe.

There is not enough research to know exactly how much Christmas trees affect our home’s air quality, but Poppendieck said he would be surprised if Christmas trees were a huge risk and would also be surprised if there was zero risk.

If you want to better your indoor air quality, there are things you can do.

Cummings said you should always follow indoor air quality best practices, whether you are bringing a tree in or taking one out.

So, things I always like to do — clean with soap and water instead of harsh chemicals whenever possible, limit the use of scented products [and] you can always open a window to clear out some of these indoor pollutants,” he said.

You can also use HEPA filters in your home, which “clear out indoor particles and dust,” Cummings noted.

Poppendieck added if you’re really concerned about emissions from either a real or artificial tree, you can set the tree up outside or in a garage before bringing it into your home. This will help lessen the initial indoor emission. But, this step is probably only necessary for those who’ve had historical reactions to trees, he said. It isn’t necessary for the average person.

Beyond air quality issues, remember real Christmas trees are a fire hazard.

“Whenever we talk about indoor air quality, we need to talk about relative risk and how dangerous is a Christmas tree compared to the other things that we do,” Poppendieck said.

He stressed that real Christmas trees have the potential to burn. It’s crucial that you keep your tree watered and remove it from your house when it dies.

This will help reduce the risk of fire when it comes to your real tree, which, Poppendieck said, far outweighs any indoor air quality issues.

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Why is Strep A So Awful This Year?

Families across the UK have been urged to stay vigilant about Strep A symptoms this week, following a series of tragic deaths in children.

A total of 15 children have now died in the UK from Strep A since September, according to the latest figures. This includes 13 children under the age 15 in England and two others in Northern Ireland and Wales, according to data from the UK Health Security Agency (UKHSA).

Streptococcus A (Strep A – also known as Group A Strep or GAS) are a group of bacteria that can cause a wide variety of skin, soft tissue and respiratory tract infections. These include strep throat and impetigo, but the most common illness caused by Strep A is scarlet fever, which is highly infections and has been spreading across the country.

But why are infections so awful this year? And what – if anything – can parents do about it?

Why is Strep A spreading?

Less mixing due to Covid could be part of the reason why hundreds of children are being diagnosed with Strep A-related illnesses this year. When social measures were put in place, the spread of Strep A was contained. Now, children who did not catch Strep A in 2020 or 2021 are being infected.

“It strikes me that as we are seeing with flu at the moment, lack of mixing in kids may have caused a drop in population-wide immunity that could increase transmission, particularly in school age children,” microbiologist Dr Simon Clarke, from the University of Reading, told Sky news.

What are the symptoms?

The best way to protect your kids is to know the symptoms and seek treatment quickly. It’s important to remember that Strep A causes a mild illness in the majority of children that can be easily treated with antibiotics. Symptoms include:

  • red and white patches in the throat
  • trouble swallowing
  • a headache
  • lower stomach pain
  • general discomfort, uneasiness, or ill feeling
  • loss of appetite
  • nausea
  • rash

“On darker skin, the rash can be more difficult to detect visually but will have a sandpapery feel,” Duncan Reid, pharmacist at Pharmacy2U told HuffPost UK.

Additionally, the British Islamic Medical Association explained that “the rash is more obvious in the groin/armpit area. Sometimes the flushed cheeks appear as ‘sunburned’ on darker skin with whiteness near the mouth”.

“In children with darker skin tones, the rash could be harder to spot as it may not appear red, but will be darker than normal skin,“ Dr Mabs Chowdhury, president of the British Association of Dermatologists added.

“The rash in all pigment types can have a sandpapery feel. The tongue can appear redder than normal with prominent white spots (sometimes called ‘strawberry tongue’).”

Where are the infections in the country?

The latest available data shows that in England, there were 1,062 scarlet fever infection notifications received in week 48 (the week commencing November 28).

Currently, there are large concentrations of Strep A and associated scarlet fever cases in multiple parts of the UK, with the North West particularly impacted. The below data also shows incidences of invasive group A streptococcal infection (iGAS) – a rare but serious complication of Strep A, which can be life-threatening.

Number and rate per 100,000 population of scarlet fever and iGAS notifications in England: week 37 to week 48 of the 2022 to 2023 season.
Number and rate per 100,000 population of scarlet fever and iGAS notifications in England: week 37 to week 48 of the 2022 to 2023 season.

How do parents feel?

Plenty of parents are beside themselves with worry right now as strep A continues to dominate the news. On social media and in private Whatsapp groups there’s been an outpouring of worry from parents, who are understandably on edge in case they miss the signs of illness that could progress to something far worse.

“I’m personally more worried about this than I was when Covid started,” said 35-year-old Emma Hawes from Wigan.

Hawes, who has a 13-year-old and eight-year-old, told HuffPost UK: “I am extremely anxious at the moment. I had no idea what the symptoms were so I’ve obviously been reading as much as I can.”

Diana Wilkinson, 45, has two children of primary school age. She told HuffPost UK: “I’m genuinely so worried about it. Every time I see the news it’s full of warnings of Strep A, and horrifically the number of fatalities is rising.

“Our school has been great at flagging concerns and sending out information about what to look out for, but with several cases already it feels very close to home.”

Is there an antibiotics shortage?

Some pharmacists are warning of a shortage of antibiotics – which hasn’t done much to quell concerns. However, the government has repeatedly denied it.

The National Pharmacy Association explained: “Pharmacies are having to work very hard to obtain stocks of these antibiotics and some lines are temporarily unavailable.

“We have been advised by wholesalers that most lines will be replenished soon, but we cannot say exactly when that will be.”

Leyla Hannabeck, CEO of the Association of Independent Multiple Pharmacies, claimed that authorities going on broadcast rounds saying there is supply is “misleading”.

“I want to reassure the public that pharmacies are doing everything we can to get hold of antibiotics and we are pushing the government to identify where the blockage is,” Hannabeck added.

Health secretary Steve Barclay said there was a “good supply” of penicillin, and that he had been reassured by medical suppliers. However, he said some GPs may experience shortages as stock is moved around to meet demand.

“Now, sometimes, GPs can have particular surges if they’ve got a lot of demand in an area, and that’s quite routine, we can move the stock around our depots,” he told Sky News.

Will schools close?

Currently, the Department for Education (DfE) has not updated its official advice to schools, but it is directing them to guidance from the UK Health Security Agency (UKHSA).

Parents were told to keep their children at home if they suspected that their children had Strep A, in a blog published by Dfe.

Education secretary Gillian Keegan said the department was “working closely” with the UKHSA and “monitoring the situation”, adding that the situation is “worrying”.

One school in Hull temporarily closed for a “deep clean” after several Strep A cases, but at the moment, schools on the whole are not being advised to close.

How do you catch Strep A?

Duncan Reid, pharmacist at Pharmacy2U explained: “Strep A is spread through contact with droplets from an infected person when they talk, cough or sneeze.”

“Some people can have the bacteria present in their body without feeling unwell or showing any symptoms of infections and while they can pass it on, the risk of spread is much greater when a person is unwell. It is still possible to infect others for up to three weeks.”

“Good hand and respiratory hygiene are important to top the spread of Strep A. By teaching your child how to wash their hands properly with soap for at least 20 seconds, using a tissue to catch coughs and sneezes, and keeping away from others when feeling unwell, they will be able to reduce the risk of picking up or spreading infections.”

When should parents contact their GP?

  • if you suspect your child has scarlet fever
  • your child is getting worse
  • your child is feeding or eating much less than normal
  • your child has had a dry nappy for 12 hours or more or shows other signs of dehydration
  • your baby is under 3 months and has a temperature of 38°C, or is older than 3 months and has a temperature of 39°C or higher
  • your baby feels hotter than usual when you touch their back or chest, or feels sweaty
  • your child is very tired or irritable
  • your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
  • there are pauses when your child breathes
  • your child’s skin, tongue or lips are blue
  • your child is floppy and will not wake up or stay awake.
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This Is What Happens To Your Brain When You’re In Back-To-Back Meetings

If you have ever felt like a full day of back-to-back meetings was draining your life force, you’re not alone.

Many of us dread a packed work calendar. Wasting too much time in meetings is a distraction preventing 67% of professionals from making more of an impact, according to a 2019 survey of nearly 2,000 people by organisational consultancy Korn Ferry.

But it’s not just that a high number of meetings can give us feelings of anxiety. There’s actually research that shows how attending too many — and seldom taking breaks — can cause our brains to work differently.

Study Finds Stress Levels Spiked Amid Back-To-Back Meetings

In 2021, researchers at Microsoft’s Human Factors Lab asked 14 people to take part in video calls while wearing electroencephalogram equipment that monitored electrical activity in their brains. On one Monday, some participants were given four half-hour meetings without breaks, while others had four half-hour meetings with a 10-minute break between each for meditation; then, on the following Monday, the two groups switched.

Among those who got no breaks, beta wave activity increased in the brain with each successive meeting, indicating heightened stress levels. In fact, just the anticipation of the next call caused a spike in beta activity during the transition period between meetings, researchers found.

In a Microsoft study last year, beta wave activity increased in the brains of people who had successive meetings with no breaks, indicating a rise in stress. Beta activity remained stable in those who took 10-minute breaks.

Brown Bird Design

In a Microsoft study last year, beta wave activity increased in the brains of people who had successive meetings with no breaks, indicating a rise in stress. Beta activity remained stable in those who took 10-minute breaks.

Meanwhile, the researchers also measured the difference in right and left alpha wave activity over frontal regions of the brain — known as frontal alpha asymmetry — which can indicate levels of mental engagement.

Participants who took breaks showed positive frontal alpha asymmetry, suggesting higher engagement during the meetings, while those without breaks had negative asymmetry, indicating that they were more mentally withdrawn.

When study participants had breaks between meetings, their brains showed signs of higher engagement.

Valerio Pellegrini

When study participants had breaks between meetings, their brains showed signs of higher engagement.

“I’m not surprised that people who took breaks between meetings felt better. People who take breaks in general feel better,” said Laura Vanderkam, a time management expert and the author of “Tranquility by Tuesday: 9 Ways To Calm the Chaos and Make Time for What Matters.”

“We all take breaks one way or another; it’s just [that] many times they’re unconscious. By choosing when and how to take a break, you notice the break happening and reap the rejuvenation,” Vanderkam said.

One big caveat to Microsoft’s findings, of course, is that the sample size of participants was small. But the study aligns with a large body of other research suggesting that meeting overload causes unproductive, unhappy employees who feel like their schedule is ruling their life.

In a recent survey of 76 companies, for example, management researchers found that employee productivity more than doubled when meetings were reduced by 40%.

“This is largely because employees felt more empowered and autonomous,” the researchers wrote in March for Harvard Business Review. “Rather than a schedule being the boss, they owned their to-do lists and held themselves accountable, which consequently increased their satisfaction by 52%.”

Making The Most Of Breaks In Meeting Marathons

If you’re looking for ways to make your own breaks more impactful, try to resist scrolling on social media or reading your email, experts said.

“Many people check email between meetings as a form of a break, and I get that,” Vanderkam said. “But [it is] even better to batch email at some point in the day, or only do it between every other meeting, and use those little bits of time for something else that will add joy and meaning to your life, like a 10-minute walk outside.”

Holistic health coach and mindfulness teacher Rosie Acosta recommended a relaxation technique in which you breathe in for three seconds and out for six, repeating as necessary.

“You only need to do three to five cycles before your body starts to respond and release tension,” she said. “Most of us sit at computers a lot. So if you do sit, perhaps use this time to stand and stretch. The biggest way to reset is to shut down the distractions.”

And if you’re a manager, try setting your teams up for success by avoiding marathon meeting days and building in more breaks.

“To make 10-minute breaks work, it’s helpful for organisations to set a culture that meetings start at, say, the hour and end 10-15 minutes early,” Vanderkam said. “That allows for a break or a ‘passing period’ like in a high school for people who need to travel.”

The big takeaway? It’s better to take a short breather than to power through a slew of meetings, as even a few minutes can make a big difference in our stress levels and ability to focus.

“When we are laser-focused on a task, we tend to create tension in our body, we stop breathing, and we stay in that tension throughout the day,” Acosta said. “If we are able to take short breaks to either do some breathing or even just relaxing of your shoulders, it gives your body the space it needs to feel relaxed.”

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How To Pick A Workout Playlist That’ll Keep You Going For Longer

You’re reading Move, the nudge we need to get active, however makes us happiest and healthiest.

Music is a lot of things: it’s restorative, motivational, moving and educational. There are endless ways we use music to get through our days, whether listening to a sad song on repeat or hitting play on an upbeat tune.

According to Ronna Kaplan, a clinical supervisor and adjunct music therapy faculty at Cleveland State University, “music is positive in many ways for mental health, it can be used across the lifespan” for many different situations.

One of those ways is during exercise. It can be a crucial element in enhancing your workout. Here’s how.

Your body’s movement naturally matches a song’s rhythm, which can help you stick to a specific pace.

There’s a reason your foot starts tapping or your shoulders start moving as soon as a song comes on. According to Joy Allen, the chair of music therapy and director of the music and health institute at Berklee College of Music in Boston, this is because of rhythmic entrainment, which is an “unconscious reaction — that’s what we call the entrainment.”

“Our body’s going to [move] in time with that sound or that rhythm,” she says.

So, when it comes to exercise, your body automatically falls in line with the tempo of the music “because of the way that our brains are connected with rhythm,” Allen says.

When picking music for a workout, like when going for a walk or run, for example, you’ll want to choose a tempo that is close to your natural stride. “Go [with] what seems comfortable for you and play around with different songs,” she says.

You can use music to increase your pace, too.

If you’re looking for an added challenge, pick a song with a pace that is a little quicker than your average running or walking stride, this should help you move faster throughout your workout.

You can start with a song with a slower tempo and gradually increase your speed by picking songs with faster beats, which is ideal if you’re looking to improve your walking or running pace, according to Kaplan.

“It primes the person to an outside cue,” she says. It “helps your muscles activate in their walking pattern.”

Music can help distract you from boredom during a workout.

Tempura via Getty Images

Music can help distract you from boredom during a workout.

It’s motivating.

How often has someone walked into the gym, realised they forgot their headphones, and then had a not-so-great workout — or even left the gym altogether? Allen pointed out this is a common occurrence: There is a major reason why music is integral to so many people’s workouts.

The music you listen to during a workout helps with motivation, and there are several things behind that motivation.

First, you probably want to hear your favorite song on your exercise playlist, which may keep you going for longer. Second, if you put on music that’s unexpected (like if you put on reggaeton instead of your regular pop soundtrack), you will be interested in hearing what comes next in the song, which may also keep you moving longer than usual.

“If you’re always listening to the same stuff, sometimes that’s great [but] sometimes we have fatigue from it — we know what to expect and what’s coming, so it can be a little less motivating,” Allen says.

And music is distracting.

No one wants to focus on their tough workout as they’re in it. If anything, they want to not think about it. As you sing along to lyrics or are reminded of music-induced memories, songs let your mind wander throughout an exercise regimen, so you don’t have to stand (or sit) there and think about how hard your workout is.

Music keeps you from getting bored during a workout, too, which can happen when you’re doing something kind of mundane like walking on a treadmill, Allen noted. Music activates the brain by giving your mind something else to think about.

“It captures your attention… ‘oh, here’s something I’m listening to,’ so I’m not attending to what could be an uncomfortable experience with the exercise, it gives me something else to focus on,” Allen says.

You’ll reap even more benefits when you pick your music.

According to Kaplan, when someone chooses the music they’re listening to, they’ll have better results, whether working out or doing something like meditation.

A recent study led by the Department of Kinesiology at Samford University in Alabama stated, “if the music played over the speakers is not preferred by the individual giving effort, performance may suffer. Thus, coaches and athletes should consider individual music preferences when attempting to optimise performance and training.”

This further speaks to the motivation you feel when working out to music you enjoy.

Additionally, Kaplan says you might notice you’re in a better mood when working out to music you select, which may make you feel like you enjoyed your workout more. And that’s a win-win.

This may mean you’ll be more likely to work out again that week, which is a great way to hit your fitness goals.

Move celebrates exercise in all its forms, with accessible features encouraging you to add movement into your day – because it’s not just good for the body, but the mind, too. We get it: workouts can be a bit of a slog, but there are ways you can move more without dreading it. Whether you love hikes, bike rides, YouTube workouts or hula hoop routines, exercise should be something to enjoy.

HuffPost UK / Rebecca Zisser

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Insights From a Plant Medicine Journey

I had a fascinating weekend of plant medicine journeying that involved taking several different substances: kanna, white lily, psilocybin (mushrooms), and ayahuasca… mostly the latter two. I had only done ayahuasca before (3 years ago for 4 nights in a row in Costa Rica). I shared the insights from that previous experience here: Lessons From Ayahuasca. In this post I’ll share my experience of this recent journey while it’s still fresh in mind and heart. If you’re short on time and only want to skim the insights instead of reading the details about what it was like, feel free to scroll down to the section labeled “Insights.”

This was gentler than the aya experiences 3 years ago – smaller quantities but a very layered effect. It was hard to separate what effects were created by which substances. I recognized some of the familiar aya effects like the colorful, animating visuals when I closed my eyes, but the experience also had elements that were different, and it all sort of blended together. This was the first time I’ve done psilocybin, but I don’t know how to separate out its effects from everything else.

In Costa Rica it was very much an inward journey, and we didn’t interact much with each other during the 4 nights of aya ceremonies, although we processed our experiences in group sessions together each morning afterwards. For that experience we drank aya tea, but this time we had some chewable edibles of psilocybin and aya blended together.

The Costa Rica experience had about 40 people doing the ceremonies together, and I knew 12-15 of them of them beforehand. This time there were just 8 of us, 9 if you count the facilitator. I so much preferred the smaller group size, which made it feel way more intimate and aligned.

This journey was a lovely and very loving social experience with most of us all hanging out in the same room together, sharing intimate stories, and enjoying tons of cuddling. I felt completely at home with that kind of energy… so yummy. Cuddling with two women together is among my favorite things in life, so even without the substances, that would have put me in the bliss zone.

In Costa Rica, even though they advised us to try to stay inside with the group energy, that usually felt too intense and chaotic to me – and too stifling with all the smells. I preferred spending most of my time outside, walking barefoot on the grass or lying on a hammock looking up at the moon and stars. I needed the fresh air, and it was so soothing to just be around plants and not in the middle of so many people.

But for this experience, even though we were welcome to spend time going off on our own, I wanted just the opposite. I didn’t wander off to have any sort of solo experience, such as listening to music with headphones. I think most other people did a bit of solo processing at some point, perhaps for at least 20 minutes. I just wanted to revel in the presence of the people there, especially being in physical contact with them. Everyone was emanating such smooth and loving energy, and I just wanted to be immersed in that as much as possible. Even when we weren’t saying anything, it was so peaceful and present.

It was a very holographic experience too. I felt very sensitive to the energy of everyone in the room, like we all merged together spiritually, but it didn’t feel so far out that I was lost in intense visuals. Only two people had to do a bit of purging early on, and I felt noticeably better when they did. Everything people shared seemed to connect energetically on some level, often eerily so, as if we all had many parallel elements in our life stories.

It was also fun conversing with people during the experience. I remember asking these questions:

  • What do you wish people saw in you that they normally don’t see?
  • What is something you’ve never shared publicly before (that you’re willing to share here… and assuming a cone of silence outside of this space)?
  • What is it like being a woman (to some of the women in the group)?

It was fun listening to people’s answers because sometimes they kept getting distracted and mentally wandering off in all sorts of directions, but all of it was fascinating to me. It was amazing how deeply and easily we floated through a variety of meaningful topics, yet in a mostly chill and relaxed way. There were a lot of laughs along the way too.

Time seemed to pass very slowly too. When I saw that it was 11pm, I said, “Wow… it’s only 11?” And when it was 1am, I felt like it should have been at least 4am.

I remember looking at some people closest to me while we talked and cuddled and seeing animated colors and patterns overlayed upon their faces. There were some patches that looked like glowing colors that shifted over time, and there were animated trails of paisley-like patterns flowing around their faces too. It wasn’t super intense, but it was beautiful to look at. I wonder if that was just a hallucination effect or if it was some perception linked to perceiving people’s energy fields – maybe that’s just a matter of perspective.

We had the option to eat something at night to slow down the effects, and I think everyone else ate (maybe around midnight), but I wasn’t hungry, despite not having eaten anything since noon. I wanted to remain in a fasting state and allow the effects to stick around longer. So I didn’t eat anything till breakfast the next day.

As the effects slowly began to dissipate, I stayed up till 3:30am immersed in conversation with a couple of people. Then as we finally decided we ought to call it a night, and I still wasn’t sleepy, I closed my eyes and enjoyed the colorful animated visuals for about 30 minutes. I held different thoughts in mind and observed how they effected the patterns I saw. I remember testing thoughts like: I feel loved, I feel loving, and I am love. Each of them created different patterns, with the “I am love” pattern being the most colorful and animated.

I finally fell asleep around 4am, and I woke up at 6am and felt wide awake. I remained on my back for another hour, still enjoying some of the lingering effects and finally got up around 7:00.

I did some journaling about the experience, and then we had breakfast together and did a few hours of group processing.

I only knew one friend there initially (who invited me), but by the end it felt like everyone was a close friend. Most of us had mutual friends in common, so it was also like we were part of the same social web anyway.

This fit nicely with the intention to go beyond previous limits, which is our intention of the week for the Submersion Social Deep Dive that we’re currently doing. I wouldn’t say that the experience itself was massively transformational – I’ll have to see what the long-term effects are – but I really enjoyed journeying through a mind-expanding and heart-opening way of connecting with people. A bunch of us want to stay in touch, and I would love to have more journeys like this, especially with such open-minded, growth-oriented people.

One thing that was really weird was that shortly before heading over there, I learned that there’d be a cat in the house. I immediately thought, “Oh no,” since I’m allergic to cats. Sure enough, within an hour after arriving (and before we took anything), my eyes began feeling watery, itchy, and puffy, and I figured I’d just have to muddle through. I could handle the red and puffy eyes and runny nose for 24 hours – it would be uncomfortable, but I’d be okay.

However, to my surprise as the substances starting kicking in, the allergy symptoms disappeared completely. The cat came over to me a few times, and I could tell it was no longer going to be a problem. It was like the plant medicine said, “You don’t need that allergy right now.” And I said in response, “Sounds good to me!”

As I lied down on the couch at the end of the night, the cat climbed on top of me, licked my face, and then she camped out on my legs for a while. The allergic reaction only started to mildly come back the next morning as everything was wearing off, but it was still way less than before.

I applied one key lesson I learned from Costa Rica, which was to ask the substances to go easy on me physically. Practicing good intentionality and trust is so important. As the layers began kicking in, I felt flushed, got sweaty palms, and felt some mild nausea and dizziness. My heart rate went from 70 to 90 bpm. I remembered to tell the plant medicine: gentle, gentle, gentle. I welcomed some mental, emotional, and spiritual intensity, but I wanted the physical side to be mild and not feel like my body was resisting it or scared. And that seemed to help. Even as I went to bed, my heart rate was still 85 while lying down, so it definitely got the blood pumping a bit faster. The main physical issue throughout the night though was feeling very thirsty. I kept feeling parched with a dry mouth even as I drank lots and lots of water. That seemed to be a common aspect of the experience.

One time when I went to the bathroom and saw myself in the mirror, I looked very different to myself. I thought… wow I look a lot older, maybe by 10 years. Is that really what I look like? I noticed my gray hair around my sideburns and the crow’s feet on the sides of my eyes. And I saw dark circles under my eyes, even though I didn’t feel sleepy. But then I realized that I was seeing myself more through my heart than my mind. I saw someone who was very happy, fulfilled, and wise – someone who was very pleased with his life journey and had integrated so many lessons and experiences. The “me” in the mirror just kept staring into my eyes and reflecting back so much love, but it didn’t entirely feel like he was the “me” that I’m used to. It was like he was an older me or maybe a deeper part of me or perhaps another me from a different dimension. I looked back at him and held up my hands to him in a heart-shape, and of course he did the same. Then I saw him smile even bigger as if to say, “Keep living the way you’re living and doing what you’re doing because it’s perfect for you.” I haven’t felt that self-love has been an issue for me, and this experience only took about a minute, but it felt very powerful and moving, like I was receiving love from my higher self or spiritual self or something like that.

I feel like all the Subjective Reality practice makes these altered states easier to invite, experience, and flow with. It’s just so wonderful to relate to people – especially people I just met for the first time – on the basis of co-creating beautiful and harmonious experiences. And of course abundant cuddles. :grinning:

I feel like my love meter is filled up to 200% now. :heart:

Insights

After the experience, I did some journaling about it the next morning and wanted to see if I could come up with a list of 10 insights from it. Here’s what I wrote:

  1. Our energy patterns pool and combine. What one person in a room experiences is a parallel experience – energetically – for everyone present. Only the details differ. So relief for one creates relief for all. If you help to create ease for others, you create it for yourself too, and vice versa.
  2. Cuddle space is so easy to enter when focusing on the joy and peacefulness of it. It’s very easy to offer and accept genuine invites to touch. It’s really beautiful to care for each other through touch.
  3. It’s a real honor to get to know people behind the scenes when honesty is more important than image. Presenting a false or skewed image to people prevents you from seeing them clearly as well.
  4. Allergies are just energy patterns, and energy can change.
  5. Limits and constraints help to sculpt our human experiences, giving some structure and railing to our stories. Even as we encounter limits in one area of life, other areas remain open. Limits can help us feel grounded to some certainty while we explore.
  6. The baggage we carry may seem silly to others, and it can be helpful for us to see it as silly too sometimes. Silly behaviors are lighter and more flexible than ones we take so seriously.
  7. A beautiful pathway to connection and intimacy is to be gentle with people. Gentleness invites openness and energy flow. Slow dancing can be easier, yet more intimate, than fast dancing.
  8. A desire that isn’t manifesting is probably too thin – too mono-dimensional. Add more layers to it. Look at it from the 4D body-mind-heart-spirit angles, and see if you’re really asking for the total package of goodies.
  9. The more shamelessly you can explore life, the easier it is for life to bring you harmoniously aligned experiences. You have life’s permission to explore and experience.
  10. Evolving as a human being has more to do with _____ than with _____.
  • harmony, victory
  • co-creation, success
  • experiences, outcomes
  • movement, position
  • invitation, validation
  • curiosity, conclusions

I’m really glad I said yes to this experience because now I get to cherish the memory of it for a long time. I’m grateful that I started getting these kinds of invitations when I was ready for them. I feel very open to more experiences like this.

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There Are Two New Covid Variants In England, Here’s What We Know

The UK Health Security Agency (UKHSA) has identified two new Covid-19 variants circulating in England, named BQ.1 and XBB. Both appear to come from the Omicron variant.

“A number of Omicron variants are currently circulating in England, many of which have acquired mutations which may produce a degree of immune escape,” the agency said. “Omicron sublineages BQ.1 and XBB have been given UKHSA variant designations to facilitate continued studies.”

BQ.1 is a sub-lineage of the previous Omicron variant, BA.5. It has been “designated on the basis of rapid growth”, the UKHSA said.

XBB, meanwhile, is what’s known as a “recombinant lineage”, meaning it derives from two previous Omicron sublineages. It has been already been found in 17 countries.

The variant may be a factor in the recent spike in cases in Singapore. So far, it has successfully evaded drug therapies and vaccines by working around the body’s immune system – potentially making it a more potent strain than its predecessors.

But, the most damaging element of this sub-variant is that scientists expect it will be just one of many which could emerge at the same time this winter.

XBB is causing concern among scientists after being detected in Europe, Asia and Australia.

XBB is spreading rapidly in Singapore in particular, having pushed Covid cases from 4,719 on October 9, to 11,732 on October 10, according to data from Johns Hopkins’ Coronavirus Resource Centre.

However, the country expects this wave to be “short and sharp”, averaging at around 15,000 daily cases by mid-November – although it could peak at around 20,000 on some days.

Previously BA.5 was the dominant variant in the UK, nearly 78.7% of confirmed cases in England were BA.5 which was first identified in April and was designated as a Variant of Concern on May 18.

Both new variants are not a cause for concern for some scientists. “It is not unexpected to see new variants of SARS-CoV-2 emerge. Neither BQ.1 nor XBB have been designated as Variants of Concern and UKHSA is monitoring the situation closely, as always,” Dr Meera Chand, Director of Clinical and Emerging Infection at UKHSA said.

Chand continued: “Vaccination remains our best defence against future COVID-19 waves, so it is still as important as ever that people come take up all the doses for which they are eligible as soon as possible.”

While early signs suggest it is more resistant to antibody treatments, the world is starting to create more boosters which broader protection, by producing vaccines with half the original vaccine and half protection against the dominant strains BA.4 and BA.5.

Lead respiratory virus immunology specialist Natalie Thornburg at the US Centres for Disease Control and Prevention, also said in a webinar this week: “XBB is a chimera. I think there have been a couple of sequences identified in the US. But it’s way, way, way, way below that 1% threshold. I mean, it’s really like a handful of sequences.”

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Menopause Has 62 Different Symptoms. How Many Can You Name?

Once you get to a certain age as a woman, you will know that menopause is around the corner.

And with that, comes the symptoms. Hot flushes are all but synonymous with the menopause, even though not all women experience them. And you’ll probably think there are a handful more, too. Well, you’re wrong.

Doctors report there are actually 62 different symptoms of menopause that women present with. That’s despite the biggest study yet into menopause awareness finding most women associate it with just five symptoms.

Hygiene and health company Essity surveyed 5,000 women pre-menopause, in peri, or post menopause – and found even women who are at the end of their journey remain relatively clueless about what they have been through

While 40% of women going through or having gone through the menopause have visited their GP to get help with symptoms, two thirds of women didn’t know menopause decreases sex drive and a whopping 74% didn’t realise it could be linked with weight gain.

Meanwhile, only 1% of women surveyed were aware it can cause changes in their vagina and how often they pee.

Menopause specialist Dr Naomi Potter reveals that tinnitus, UTIs, weaker bones and a change in body odour also feature in the list of menopause symptoms.

And worryingly, there’s a lack of knowledge of when it all kicks in, she says.

“Women believe they can’t experience symptoms in their forties because they’re not old enough, or their symptoms aren’t menopausal – when in fact if they’re over 45, it’s likely they are,” Potter says.

A spokesperson for Essity said: “[These] findings tell us that it’s a heavily misunderstood subject and the taboo surrounding it means women aren’t accessing the information and advice that could really help them.”

So what are the 62 symptoms of menopause?

  1. Palpitations

  2. Chest pain

  3. Breast tenderness

  4. Itchy skin

  5. Dry Skin

  6. Rosacea

  7. Acne

  8. Thin skin

  9. Collagen loss

  10. Crying

  11. Brain Fog

  12. Memory Loss

  13. Poor concentration

  14. Word finding difficulty

  15. Anxiety

  16. Low mood

  17. Worsening PMS

  18. Anger/ Rage /

  19. Irritability

  20. Headache

  21. Migraines

  22. Joint Pain

  23. Joint stiffness

  24. Vaginal Dryness

  25. Vaginal discharge

  26. Vulval itch

  27. Perineal itch

  28. Vulval/ vaginal electric shocks

  29. Increase in thrush

  30. Increase in BV

  31. Poor libido

  32. High libido

  33. Weight gain

  34. Scalp Hair loss

  35. Unwanted Hair growth

  36. Urinary Infections

  37. Urinary incontinence

  38. Urinary urgency

  39. Nocturia (getting up at night)

  40. Sexual Dysfunction

  41. Chest Tighness

  42. Constipation

  43. Gastric reflux

  44. Fatigue

  45. Night Sweats

  46. Hot flushes

  47. Cold flushes

  48. Period increased frequency

  49. Periods decreased frequency

  50. Heavier periods

  51. Muscle Loss

  52. Tinnitus

  53. Dry eyes

  54. Watery eyes

  55. Burning mouth

  56. Gum disease

  57. Foot pain

  58. Frozen shoulder

  59. Insomnia

  60. Histamine sensitivity

  61. New allergy

  62. Body odour change

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Concern Over Covid Boosters And Baby Scans Cancelled For Queen’s Funeral

Patients are expressing concern that some Covid booster jabs, flu vaccinations, as well as key hospital appointments, are being cancelled ahead of the Queen’s funeral on September 19 since it was made a last-minute Bank Holiday.

Kate Brodie, 62, a retired NHS GP who is about to start a second round of chemotherapy for breast cancer, had specifically timed the date of her Covid booster so it fell before her hospital treatment started.

The vaccine was booked for September 19. However Brodie, who lives in south Devon, says she received a text message on September 12 saying the appointment had been cancelled due to the unexpected bank holiday.

“Having cancer is a huge stress with all the worry about survival, the process of going through gruesome treatment and hoping to continue to avoid Covid 19 while my immune system is down,” she tells HuffPost UK.

“The death of the Queen is very sad, but the reaction by NHSE [NHS England] to cancel delivery of much-needed services at short notice will cause harm and hardship to many.”

Many GP practices across England will be closed for the Bank Holiday, which has been given to allow individuals, businesses and other organisations to pay their respects to the Queen on the day of her state funeral.

A letter from Dr Ursula Montgomery, director of primary care at NHS England, said that out-of-hours services will be in place during the day to meet patients’ urgent primary medical care needs.

The funeral has come at a busy time for the NHS, as it implements its Covid booster and flu vaccination programmes ahead of the winter.

A text message from one GP surgery on the outskirts of London, seen by HuffPost UK, said flu vaccine appointments scheduled for this week would need to be rescheduled by a few days because of “the unfortunate news the nation is facing at the moment”.

Dr Helen Salisbury, a GP and medical educator from Oxford, explained on Twitter how a last minute bank holiday can be a “nightmare” for those trying to run health services, especially with lots of patients already booked in.

“What to do?” she tweeted. “Implore staff to work and pay extra? Reschedule and delay all the appointments?”

Other staff working in general practice responded to say that even when they do open on Bank Holidays, they often aren’t busy. Some added that they suspect lots of patients won’t turn up because they’ll be watching the funeral.

Scheduled Covid boosters are still going ahead in care homes, said NHS England, which has also issued guidance urging clinics to stay open to deliver the boosters “where there is a high population need”.

But a report by openDemocracy found thousands of non-urgent hospital appointments – for issues such as hip and knee replacements, cataract surgery, maternity checks and some cancer treatments – are being postponed.

One pregnant woman revealed how her foetal scan had been cancelled, leaving her anxious about her baby’s health.

“I’m really disappointed,” she told openDemocracy. “Yes, it’s a routine scan, but that’s another week or two until I’m seen and wondering whether my baby is healthy – which means quite a lot of anxiety, sitting and waiting.”

Kate Brodie has since tried to rebook her Covid booster for the next cycle, but was told there were no dates free near to where she lives.

“Thankfully I have found a centre 15 miles away that I can attend on Sunday instead,” she says. “I am lucky I am mobile and have transport to reach the further venue.”

Meanwhile, Greg Hadfield, 66, from Brighton, also found out his Covid booster vaccine appointment on September 19 has been cancelled and is now having to travel nearly 40 minutes by car to get another one.

The 66-year-old was originally invited to have the booster at his local Waitrose. However because the store will now be closed for the Bank Holiday – as many supermarkets will be – his appointment won’t go ahead.

“When I tried to re-book for another day at the same centre, the system offered only dates that were 14 days-plus ahead, by which time I will be abroad for a month,” he tells HuffPost UK.

He has managed to book an appointment 40 minutes away for the same date, September 19, which hasn’t been cancelled – so far.

“I am just relieved to get the booster before leaving for Turkey and Greece later this month,” he says.

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