Latest news with #HeatherNixon
New York Times
31-07-2025
- Health
- New York Times
What Are the Solutions?
By Susan Burton Hi, 'Retrievals' listeners. Episode 4, our final episode of this season, drops today. In Episode 4, we learn about some of the changes that Dr. Heather Nixon and her colleagues made at UI Health to manage patient pain during cesarean. I took this photo of Heather on a reporting trip in December. That day, she gave an educational session for anesthesia residents on communicating with patients. In this series about solutions to pain during C-sections, communication is the one we examine closely. In this week's episode, for example, we learn that it may not always be enough to tell health care providers to 'listen to patients'; you need to give them a system to do so. But of course a lot of medical factors are at play here, too. What are those medical 'problems' and possible solutions? What are the myths and the realities? The medicine of the C-section is a massive topic for a single newsletter. When I considered what I could offer today, a note from a listener named Kate Davis came to mind. Kate, who underwent a painful C-section in New York City, said that her pain had never been acknowledged by her doctor or any hospital staff, and that the first episode left her teary and breathless. But 'I still have questions,' she wrote. 'Why did Clara 'pass' the block test and then feel pain?' This week I put a version of this question to Heather. HEATHER: Once you get into the abdomen, those internal organs are not covered by the same exact nerve endings that the skin is. So my test of the skin is not a perfect metric for the internal organs. And that's unfortunate. I wish I had a better way to test internally, but I just don't. So when they start moving those organs around, often patients will feel discomfort. And some women, most women, if you are giving enough adjuncts and enough medicine through the epidural will say: 'I feel it moving. It's a weird sensation.' And I'll say, 'But is it painful?' And they'll say: 'No, it's not. It's just weird.' But then we have women who are like, 'No, it is painful.' And that's where we need to start thinking about how to change the script in those scenarios. SUSAN: Is there a world where there's another kind of test that allows you to make this determination before the patient is opened up? HEATHER: I would say before they're opened up, probably not. And this is why, Heather adds, knowing what puts a patient at higher risk for intraoperative pain is important. For example, in her experience, patients with an infection called chorioamnionitis, or Triple I, are likely to feel more pain. A longer surgery can increase the risk of pain. An epidural that consistently did not offer enough pain management during labor is another red flag. HEATHER: And so when I have those patients, I have every single thing in my arsenal right up front because they're probably going to need it. And I'm also having discussions with them. I'm like, This may not be enough. We may need to go to sleep. Those are the conversations that you need to have — the proactive, We think you're at high risk. Want all of The Times? Subscribe.
Daily Mail
17-05-2025
- Lifestyle
- Daily Mail
I'm a garden expert and this is how to revamp your outside space and bring old lawn furniture back to life without breaking the bank
The sun is shining and the birds are chirping, which can only mean one thing - BBQ season is around the corner. Those planning to host guests in their garden, enjoy an al fresco picnic on the lawn or even just have people over for picky bits outside may be feeling the stress of whacking the mower out and pruning away at flower beds - but experts have shared simple yet effective ways you can spring your green space back to life. From upcycling old lawn furniture to touches of DIY paint - or just a little scrub down with soap and a cloth - select connoisseurs say a little effort goes a mighty long way. Elsewhere, being strategic with the flowers and shrubbery you plant could not only be a visual game changer, but make maintenance that much easier. According to the pros, now is a better time than ever to get sprucing, and if costs are your worry, much can be achieved with the little you have at home. Here, British gardeners have shared the easiest tips and tricks to get your lawn from an overgrown mess to a chic outdoor space... Give your outdoor decking some TLC Speaking to FEMAIL, Richard King, director of Wigan landscaping company Dino Decking said that one of the simplest tasks you can do to 'elevate your garden's appearance is to give furniture some much-needed TLC (tender loving care)'. 'Cleaning outdoor decking not only maintains the appearance of your garden, but it also helps to improve the safety of your decking too,' he explained. Similarly, Heather Nixon from eco-cleaning company Bio-D says the trick to cleaning wooden garden furniture is to 'look out for furniture polishes that contain linseed oil, which nourishes and protects wood'. She advised using a 'clean rag or clothing item made from soft materials' to ensure a smooth, even clean. However - the expert warned to 'stay clear of scourers which could mark the wood and wipe down the furniture until the grime has disappeared'. 'Once dry, use a clean rag or clothing item to polish the furniture,' Heather continued. Plant colourful flowers Samantha Richards, a garden gazebo expert at Gazeboshop in Banbury revealed that a great way to elevate your scenery is by planting an array of colourful plants. 'Early bloomers such as crocuses come in a variety of pinks, oranges, yellows, blues and purples, which are ideal for adding brightness and warmth to your garden,' she explained. 'These plants not only look beautiful in bloom, but are also perfect for attracting pollinators.' The expert however warned against planting darker-hued flora - such as deep reds - as they 'will do the opposite and actually detract pollinators from your garden; so avoid this shade if you want your space buzzing with wildlife. 'Helleborus are another great addition to plant in your garden this time of year,' she suggested. 'With their green, pink and white blooms, these flowers will help brighten up any day, especially if you're planning for a BBQ and get met with rainfall instead!' Add lights Luxury decking and landscaping expert, Simon Parr suggests adding lights to your garden to elevate its overall look. 'Add strings of solar lights or a selection of lanterns to highlight pathways, seating or special features,' he revealed. 'As well as helping to create a more relaxing atmosphere, this will also extend useable garden time long after dusk.' He said this crafty hack transforms any garden, no matter how small it is, adding that the key is to 'define' different areas with your garden space, as this ensures an immediate and total revamp. 'Consider separate areas for relaxing, cooking, dining and socialising,' Simon added. 'A pergola or deck could be perfect for creating the look and feel of an 'outdoor room'. Heighten your garden This tip is especially prevalent for anyone with a modest-sized garden who is hoping to visually transform it. Simon explained that 'vertical gardening not only maximises your garden space, but also adds 'visual interest' - especially in small or flat gardens. 'Think about adding trellises, wall planters or hanging baskets to get some foliage and colour in,' he added. DIY paint job Garden gazebo expert Samantha Richards says a DIY paint job can instantly transform your garden without breaking the bank. However she advised using only certain colours in order to maximise the visual impact. 'Whether you're adding a fresh lick of paint to upgrade a weathered look or you fancy a new colour to reflect the summer months ahead, paint is one of the most effective ways to completely transform a space,' she told FEMAIL. 'Before you decide on a colour, think about what mood you are aiming to achieve first. For instance, if you want to create a calming zone for reading and gardening, or instead a social hub fit for hosting friends and family, you can tailor your colour scheme to suit.' She said colours such as 'royal blue, pale green and sunshine yellow' were ideal parings for the spring and summer months. 'Also, these pops of colour can look particularly striking when the natural light hits against it,' she added. Samantha also shared a genius hack for making your garden look and bigger: 'Opt for off-white or neutral tones to give the illusion of the space opening out more.' However, where possible avoid using brilliant white - 'as this can often appear quite stark and create harsh lines for the eye'. Gravel your garden If you're trying to achieve an expensive-looking, stylish garden but are worried about spending a fortune, gravel is the perfect choice as it's both easy to lay and affordable, explained Samantha. 'Coming in a wide variety of colours, shapes and sizes, gravel helps to add texture and personality to an outdoor space,' she added. She listed various types such as marble, slate, pea and granite, and suggested selecting a variation that worked in tandem with the design of your garden. Another appeal of adding gravel to your garden is that it is pretty low maintenance - the most you are required to do is dust it every now and then, as well as a bit of weeding. Clean your garden furniture Gardening expert Richard King says at this time of year most people are battling decaying lawn furniture after many months of heavy rainfall, high winds, and significant temperature drops owing to the winter months. For this, he advised mucking in with a good old scrub down - a hack he says will bring your furniture back to life in an instant. 'Use a mild soap, cloth and soft sponge to clean off any built-up dirt, pollen or surface mould from your furniture,' he simply advised. 'Depending on how dirty it is, a simple hose-down afterwards may suffice, with a pressure washer handy for muckier items.' However, the expert warned not to scrub your delicate items too aggressively as you could end up permanently wrecking it. 'Avoid using abrasive brushes like wire brushes, as they can damage the wood fibres and strip protective coatings,' said Richard. 'Instead, use a soft-bristle brush and apply gentle pressure. 'The method and products used for cleaning decked areas can have a huge impact on the outcome, and using the wrong techniques can lead to poor results or even damage to the decking'. Sharpen lawn edges Simon told FEMAIL that another way to beautify your garden is by sharpening up the edges of flower beds and lawns, which can instantly make your garden look more 'polished'. Ways to achieve this include using tools such as a spade, or a specialist item such as a half moon or edging shovel to create a clear defined line. You can sharpen these up further by decorating edges with bricks, stones or edging roll. Artificial grass Busy schedules, tough daily commutes and other tiring conflicts render lawn maintenance a challenge all year round. Add in factors like surprise sunshine and general unpredictable British weather, knowing the right time to repair your lawn can be tricky. To remedy this, Samantha suggests switching your lawn to artificial grass. 'If regular lawn-care is something you struggle with and your grass is constantly looking, it might be time to consider artificial grass instead,' she said. 'Not only is artificial grass low maintenance, aesthetically pleasing and pet-friendly, it doesn't have to be costly either. 'Make sure you are, however, taking into consideration garden size, the cost of fitting the grass and the type of grass you opt for, as all of these factors will influence the price point.'
