
Aberdeen deafblind woman with Usher syndrome finds new independence thanks to charity
Susan Charles, 58, began losing her hearing as a child. Later, her eyesight started to deteriorate.
In 1998, she was diagnosed with Usher syndrome, which causes deafness from birth and retinitis pigmentosa — also known as tunnel vision — which develops over time.
Susan was forced to give up her job in the fishing industry.
And as her vision worsened, she became isolated, anxious and reluctant to leave the safety of her home.
Speaking at the start of Deafblind Awareness Week, she recalled the moment her sight loss became clear.
'My sister noticed one night after we'd been at Weightwatchers.
'It was dark, and I was feeling for the door and the steps
'I asked her, 'Do you see that, the door and the steps?'.
'She said 'yes', and I thought that was strange because I couldn't.'
She added: 'When my mum passed away in 2012, I felt lost.
'I was looking after my dad then, and my sight was getting worse.
'I was using my cane, but I kept looking down and would panic, especially when looking for the kerb.
'I'm scared of kerbs and steps.
'I lacked confidence going out and had become very anxious after a few falls.'
At her lowest point, Susan reached out to North East Sensory Services (NESS), which was then known as Grampian Society for the Blind.
She said: 'I spoke to the NESS social worker about how I was feeling, and she referred me to the rehab workers for cane training.
'The first time I went out with the rehab worker, I was so nervous.'
Over several weeks, Susan slowly built up her confidence, starting with short walks around her building.
Eventually, she was able to take the bus again to visit her dad — a big milestone for her.
She has also received support from NESS with technology and daily living aids.
The charity helped her get a magnifier for reading letters and talking kitchen scales so she could bake and cook safely.
'I used to love baking, and I miss it, so I'm trying to do it again,' she said.
'I still cook, but I can't see colours — so I don't know how brown the roast chicken is.
'My husband checks if it's cooked!
'I enjoy doing my washing and housework, but I'm much slower now. I can't pair socks because I can't see the colours.'
Susan said she wanted to encourage others not to ignore the early signs of sensory loss.
'If you are bumping into things or struggling in the dark, go to your doctor,' she said.
'And don't be afraid to contact NESS — there is help out there.'
NESS is an independent local charity that offers support to keep blind and deaf people independent.
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The Independent
2 days ago
- The Independent
Former nurse loses legal challenge over registration of private gender clinic
A former nurse has lost a High Court legal challenge over the health watchdog's decision to register England's first private clinic offering gender treatment to young people. Susan Evans and a mother known as XX took legal action against the Care Quality Commission (CQC) over its decision to register the Gender Plus Hormone Clinic (GPHC) in Birmingham in January last year. The two also challenged the regulator's decision last December to continue the clinic's registration and to allow it to prescribe cross-sex hormone treatment to 16 and 17-year-olds without conditions. The clinic, which was rated outstanding by the watchdog last year, treats people aged 16 and older, including through prescribing gender-affirming – masculinising or feminising – hormones, but, in line with the NHS, does not prescribe puberty blockers. Lawyers for the women told a hearing in June that the CQC had acted 'irrationally' and made decisions that were 'simply not open to it', given the NHS's stance on hormone treatment for children aged 16 and 17 in light of the Cass Review. The CQC and GPHC opposed the challenge, with barristers telling the hearing in London that the legal challenge was 'fatally flawed' and the clinic was found to be 'committed to the safety and best interests of its patients'. In a ruling on Thursday, Mrs Justice Eady dismissed the claim, saying there was 'no irrationality in the decisions reached' and they were within the 'rational range' of options available to the watchdog. Hormone treatment was previously provided on the NHS at the now-closed Gender Identity Development Service (Gids) run by Tavistock and Portman NHS Foundation Trust, where Ms Evans worked. But a review published by Baroness Cass in April last year said 'extreme caution' should be demonstrated when deciding to prescribe the treatment to 16 and 17-year-olds, and that there should be 'clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18'. The NHS has opened three specialist children's gender clinics and has plans for a further five covering the seven NHS regions in England by the end of 2026, but has said that all recommendations for hormone interventions must be endorsed by a national multi-disciplinary team (MDT). It is understood that the MDT has not yet received any recommendations for hormone treatment for 16 and 17-year-olds since the Cass Review. GPHC was set up by Dr Aidan Kelly and is led by nurse consultant Paul Carruthers, who both worked at Gids, and has previously said it primarily treats patients aged between 16 and 25, using its own MDT. Tom Cross KC, for Ms Evans and XX, said in written submissions that there were 'a number of key differences' between GPHC and NHS safeguards, including that referrals to the former came from Dr Kelly's company, Kelly Psychology, which is unregulated. He said in court that the CQC had 'not factored in' parts of the treatment process on the NHS, which 'serve as important safeguards' and were 'obviously material'. He said consideration of these points would have led to the treatment of under-18s being halted. Jamie Burton KC, for the CQC, said that there was 'ample evidence' that Kelly Psychology 'did not pose an unacceptable risk' to patients, and that a 'significant number' of those assessed by the company were not referred for treatment at GPHC. The court was told that the CQC found no evidence of 'improper decision making or anything that might flag a concern', and that the CQC 'had regard' to NHS processes. Peter Mant KC, for Gender Plus Healthcare Limited, said that there was no legal requirement for a private provider to mirror NHS care and that the clinic's model was 'entirely consistent' with the Cass Review and NHS policy. In a 64-page ruling, Mrs Justice Eady said: 'Accepting that (GPHC) could neither access the NHS national MDT nor precisely replicate it, but keeping in mind the purpose of the NHS model, I cannot say that the CQC's finding of sufficient alignment was outside the reasonable range of conclusions open to it.' She continued: 'The range was set by reference to the substance that underpinned the NHS structures, not merely the choices made as to the form that those structures should take. 'Applying that approach, as I am satisfied the CQC did, the decisions reached fall within the rational range, and the CQC was entitled to conclude that no further conditions were required.' Dr Kelly said he was 'absolutely delighted' at the judgment, with Mr Carruthers stating that the ruling 'further demonstrates the diligence and integrity of our work'.


The Sun
2 days ago
- The Sun
From disappearing boobs and bum to crepey arms and hollow face – how I got rid of my sagging Ozempic skin
THANKS to weight-loss jab Mounjaro, I've lost 8.5st in a year. I'm five dress sizes down and thrilled. But what I wasn't prepared for was the sagging. It's everywhere. And it's shaken my confidence. 8 8 'Surprisingly, it's not just how much weight you lose, it's how quickly,' explains aesthetic doctor and founder of Illuminate Skin Clinic, Dr Sophie Shotter. 'Rapid weight loss doesn't give skin time to recoil,' she says. 'Studies show after losing over 50 per cent of excess weight, previously obese people have 40 per cent less elastin and significantly reduced collagen density.' As someone who has yo-yo'd with my weight for decades, that resonates. Hormonal issues linked to polycystic ovary syndrome and my thyroid, saw me sign up to WeightWatchers at 14, followed by stints on the Atkins diet, liquid Cambridge diet and general calorie and carb-counting, all of which left me with disordered eating and a major tendency to emotionally eat, too. I spent time in therapy to work on my relationship with food and my body. I ended up dropping down to 12-and-a-half stone and maintained that weight for a few years. But then I froze my eggs in October 2021 and my hormones went haywire. I was then put on medication, but I developed anxiety and depression, which brought back the emotional eating, and I found it difficult to leave the house. I came off the hormone treatment, but the damage had been done and I reached 18 stone by January 2023. Once I gave Mounjaro a go in May 2024, I haven't looked back. Now, despite getting down to a size eight, I'm still covering up all the bits I did when I was a size 18. So, in a bid to enjoy this new body, I'm on a mission to tackle the sag. Here's what actually works . . . BINGO WINGS My arms have always been a bugbear — and while the fat is long gone, I'm still hauling around 5cm of hanging skin. At rest, they look rippled and crepey. Raised, they jiggle like jelly. 'The upper arms, especially the inner side, are one of the first areas where crepey, sagging skin appears after losing weight,' says my go-to aesthetician and founder of Ace Skin Health Clinic, Corina Mihalachi. 'The skin here is naturally thinner and due to constant movement and often reduced muscle tone, it quickly loses firmness. 'This can create the appearance of loose 'wings'.' I've been lifting weights and following a high-protein diet to build up my triceps, as Dr Shotter says 'more muscle will help fill out the slack skin and give a little increase in girth.' I've also been slathering on Paula's Choice Skin-Smoothing Retinol Body Treatment, £28.90/118ml — great for boosting collagen, although as Shotter notes 'it won't lift the skin'. A cheaper option would be The Solution Retinol Smoothing Body Lotion, £9.99/200ml. Mihalachi also recommended Radio Frequency microneedling, which combines skin puncturing and heat to stimulate collagen and elastin. It's helped — but for the defined arms I want, I'm planning a brachioplasty, which costs anywhere between £4000-£12,500 in the UK. 'This procedure removes excess skin,' says surgeon Patrick Mallucci. 'It creates a more contoured shape — but leaves a long scar inside the arm.' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin. MUFFIN TOPS My tummy looks saggy now, as the skin is so loose that my belly button has turned downwards like a sad face. A small pouch peeks over my underwear, making low-rise jeans a no-go. To ease bloating and define my waist, I've been supporting my gut with fermented foods like kimchi and yoghurt, drinking 2.5 litres of water daily and taking Artah's GI Cleanse Supplement, £38. A cheaper alternative is Gut Love supplements by Protein Works, £9.99 for a 30-day supply. I've also been working on my core by doing mat-based pilates via YouTube. Shotter says: 'This can help to thicken the main abdominal muscle, giving a mild improvement in tightness.' At Mallucci London, I've had Emsculpt Neo, a treatment using High-Intensity Focused Electromagnetic energy to simulate 20,000 sit-ups in 30 minutes. Costing £199-£400 per session, it's pricey but effective. I'm not in low-rise jeans yet, but high-rise ones and a cute crop top feel do-able, as I now have more definition on my upper abs. But when it comes to the lower part of my stomach I need a little more help with my pouch. Mihalachi suggested Radio Frequency (RF) Microneedling, which uses energy to boost collagen. She then applies repairing polynucleotides and exosomes topically to further regenerate and firm sagging skin. At home, I'm topping up with The Inkey List Exosome Hydra-Glow Complex, £20/30ml. PANCAKE BUM AT 41, I don't expect to sport the behind I had in my youth, but when I reached my goal weight of ten stone a couple of months ago, my bum was pancake flat – despite working out regularly. So I decided to up the anti on my glutes and, along with my abs, I also had a course of EMSculpt Neo on my bum – think 20,000 squats in 30 minutes. 'Like with the abdomen, this can lead to muscle growth beyond what exercise alone can achieve,' says Dr Shotter. The idea here is that the muscle growth will help fill out the loose skin a little to give me some more projection. To a certain extent, it has delivered some – although just like with sagging on the breasts, the only real fix is a surgical lift. But if surgery isn't an option, you could try padded bum-lifting shapewear like the George at Asda shaping bum-enhancing shorts, £7.50. If I'm not wearing clothes that skim my bum, then these are my go-tos. DEFLATED FACE 'WHEN losing weight, the fat pads that give the face fullness and structure begin to shrink,' says Mihalache. 'This can cause a hollow appearance around the eyes and cheeks and sagging along the jawline and neck. The skin may look looser, thinner and, in some cases, more textured – especially if elasticity was already compromised.' In my case, my nasolabial folds are more pronounced, my cheeks have deflated and I've developed a hint of jowling. I'm religious about my skincare, all of which help counteract the visible effects of rapid weight loss. And if you want to follow suit it's worth including actives like hyaluronic acid and niacinamide, both found in the Byoma Brightening Serum,£12.99/30ml - which plumps, hydrates and boosts collagen and elastin. SPF is also a must to protect from UV rays, as they break down collagen and elastin fibres which you desperately need in order to avoid 'Ozempic sag. Try the Skin+Me Daily Moisturiser with SPF50, £22/24ml. And at night invest in a prescription retinoid like tretinoin that turbo charges collagen production and can be found in the personalised Dermatica night treatment, £24.99/12.5ml. Shotter says injectables offer the next level of support. 'Dermal fillers help plump up sunken skin restoring lost volume to reinstate facial contours. 'Additionally, injectable biostimulators like Sculptra and Radiesse, from £400, go a step further by boosting your own collagen to rebuild the skin's internal scaffolding.' Meaning, if you don't have extreme laxity, wave goodbye to sagging and say hello to a defined jawline, sculpted cheekbones and cheeks that sit where they used to. Sign me up. The NHS 12-step plan to help you lose weight FROM faddy diets to dodgy detoxes - most of us have heard it all before when it comes to weight loss. But burning fat can be easy and mostly free. In fact, the NHS has a whole load of medically-approved tips for weight loss and shedding body fat once and for all... Don't skip breakfast Skipping breakfast will not help you lose weight. You could miss out on essential nutrients and you may end up snacking more throughout the day because you feel hungry. Eat regular meals Eating at regular times during the day helps burn calories at a faster rate. It also reduces the temptation to snack on foods high in fat and sugar. Eat plenty of fruit and veg Fruit and veg are low in calories and fat, and high in fibre – 3 essential ingredients for successful weight loss. They also contain plenty of vitamins and minerals. Get more active Being active is key to losing weight and keeping it off. As well as providing lots of health benefits, exercise can help burn off the excess calories you cannot lose through diet alone. Drink lots of water People sometimes confuse thirst with hunger. You can end up consuming extra calories when a glass of water is really what you need. Eat high fibre foods Foods containing lots of fibre can help keep you feeling full, which is perfect for losing weight. Fibre is only found in food from plants, such as fruit and veg, oats, wholegrain bread, brown rice and pasta, and beans, peas and lentils. Read food labels Knowing how to read food labels can help you choose healthier options. Use the calorie information to work out how a particular food fits into your daily calorie allowance on the weight loss plan. Use a smaller plate Using smaller plates can help you eat smaller portions. By using smaller plates and bowls, you may be able to gradually get used to eating smaller portions without going hungry. It takes about 20 minutes for the stomach to tell the brain it's full, so eat slowly and stop eating before you feel full. Don't ban foods Do not ban any foods from your weight loss plan, especially the ones you like. Banning foods will only make you crave them more. There's no reason you cannot enjoy the occasional treat as long as you stay within your daily calorie allowance. Don't stock junk food To avoid temptation, do not stock junk food – such as chocolate, biscuits, crisps and sweet fizzy drinks – at home. Instead, opt for healthy snacks, such as fruit, unsalted rice cakes, oat cakes, unsalted or unsweetened popcorn, and fruit juice. Cut down on alcohol A standard glass of wine can contain as many calories as a piece of chocolate. Over time, drinking too much can easily contribute to weight gain. Plan your meals Try to plan your breakfast, lunch, dinner and snacks for the week, making sure you stick to your calorie allowance. You may find it helpful to make a weekly shopping list. DROOPY BOOBS MY boobs have disappeared – the volume has gone and they look like I've breast fed three kids and yet I have no children. There's really nothing an in-clinic treatment, skincare, or supplementation can do when it comes to sagging breasts. 'These will need lifting either with or without implants, though more often than not, an implant is required to restore lost volume,' explains Mallucci. 'Lightweight implants are ideal as the inelastic skin is not tolerant of too much extra weight. 'Like with all surgeries associated with sagging, scarring is unavoidable. 'Additionally, when it comes to breast-lift surgery of this nature an 'anchor shape' scar is what patients can expect as this cut allows for the most amount of excess skin removal.' I'm booking in for one as soon as I've saved enough pennies. It's worth noting that the average cost for a breast lift with implants is £8,500 in the UK. But in the meantime to fill out my bras I'm relying on the John Lewis silicone cleavage boosters, right, £22. They push up my boobs, filling my bras better, and magically eliminating the crepey, wrinkled appearance of my skin.


Daily Mirror
5 days ago
- Daily Mirror
'I was told painful toilet sign was menopause, but it wasn't'
Susan Seargent, 56, known to many as Charlie, went to the doctor after suffering with exhaustion, abdominal pain and recurring UTIs in 2020 A woman who was told her exhaustion was due to the stress of being a teacher was diagnosed with stage three cancer. Susan Seargent, 56, known as Charlie, sought medical advice after experiencing exhaustion, abdominal pain and recurring UTIs in 2020. She was reassured that she was going through the menopause and that her symptoms were also linked to the stress of her teaching job. She was fitted with a Mirena coil and began hormone replacement therapy (HRT) to alleviate the symptoms. However, during a trip to Norfolk with her husband Peter, 53, in February 2023, Susan found herself needing to urinate frequently, then struggling to do so at other times. Scans revealed a 17cm cyst and she underwent an emergency hysterectomy. But, six weeks later, doctors confirmed it was stage three endometrial cancer, which had spread. After undergoing six rounds of chemotherapy, Susan is now in remission and raising funds for cancer charities. Susan, from Lower Hartshay, Derbyshire, said: "I don't blame anyone. But looking back, I now see how all those little things, the fatigue, the UTIs, the pain after eating, were pointing to something more serious. "Menopause is finally being taken seriously, which is so important. But I do think we need more awareness that not everything is the menopause. Some symptoms can be signs of something else." Primary school teacher Susan began seeking medical advice for her symptoms in 2020, which included recurrent urinary tract infections, abdominal pain, and fatigue. These were largely attributed to the stress of her profession and the hormonal changes associated with menopause. Trusting this diagnosis, Susan had a Mirena coil fitted and commenced hormone replacement therapy (HRT). She recalled: "I even remember doctors increasing the dosage of vaginal oestrogen in my HRT because of the UTIs." However, it wasn't until a trip to Norfolk with her husband Peter during Valentine's week in February 2023 that Susan realised something was seriously amiss. She explained: "We'd walked miles, and I kept needing the toilet every 30 minutes. Then one night, I woke up needing to go and just couldn't. The pain was excruciating." Following an emergency hospital visit where she was fitted with a catheter, scans revealed a 17cm cyst when her symptoms failed to improve. Showing her resilience, Susan humorously named it "Cedric the cyst". She underwent an emergency full hysterectomy and, six weeks later, received the devastating news that it was cancer. She said: "They said it was a low chance it would be anything serious. But it was stage three and had already spread to the outside lining of my uterus, in the fluid and right ovary, which they found after the peritoneal washing. It was very hard to hear." Susan was referred to oncology and underwent six rounds of chemotherapy, from August to September 2023, each round lasting six-and-a-half hours. Despite losing her hair and strength, she refused to let the diagnosis define her. To maintain a positive outlook, she set herself a challenge: walking the Limestone Way whilst undergoing treatment. She said: "I was sick, wearing a bobbly hat, holding walking poles and being overtaken by everyone. But I kept going. It helped my mental health, and people started telling me my story inspired them to get outdoors too." It wasn't until after her cancer treatment had concluded that Susan saw a menopause specialist. She said: "I finally got an appointment, two years after being referred, and this was unfortunately after my hysterectomy and chemotherapy. The specialist just said, 'I'm so sorry I'm only just seeing you now.' It was just too late." The cancer had progressed to stage 3. Susan is of the belief that if she had seen the menopause specialist earlier and had a smear test sooner, they could have potentially discovered it before it reached this stage. When women reach the age of 50, the smear test is every five years, however Susan's last smear test was in 2019 and her cancer was detected and diagnosed in 2023. Now on the road to recovery, she's planning to cycle 56 miles in the Chris Hoy Tour de 4 on September 7, using an electric bike as part of her ongoing healing journey. She said: "I've had 'Cedric the cyst' removed, and 'Hetty the hernia' too and this is the next step for me." Susan is planning to raise awareness and fundraise for the Children's Cancer Unit Charity, inspired by her 19 year old daughter Martha's primary school friend, who also battled cancer in primary school. Susan said: "When you think of how tough cancer is as an adult and then imagine a 10 or 11 year-old going through it, it's just heart-breaking. That's why I'm doing this."