'Nothing Could’ve Prepared Me For What I Saw In The Mirror That Day”: Neurosurgeon Explains Signs Of Unexpected Facial Condition

Updated May 8, 2025 | 09:01 PM IST

SummaryNot all medical conditions come with warning signs or the chance for an early diagnosis giving no chance before they take over your health. One such condition that may show up unexpectedly, but causes months of turmoil is neaurological.

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“I remember waking up and feeling a strange numbness in one side of my face, I thought I slept wrong, but nothing could’ve prepared me for what I saw in the mirror that day.” Bobby followed a similar pattern of daily habits, wake up, finish the household duties, prepare the kids for their day, exercise and sleep as early as she can. However, worrying symptoms of facial paralysis were evident.

Being a homemaker, Bobby did not have out of the ordinary issues that could cause a disease contraction or sudden illness. “Upon visiting the doctor, we found out that this was a condition called ‘Bell’s Palsy’ a sudden and unexplained condition. As quickly as the symptoms showed up, we hoped the condition would also disappear, however that was a short-lived dream as it took months of physical therapy and medication to finally be rid of it.”

Bell palsy occurs when the muscles in one side of your face suddenly become weak or can't move at all. It usually starts quickly and can get worse within two days. This happens because the nerve in your face (called the facial nerve) gets damaged and you might feel pain or feel uncomfortable on that side of your face or head.

Bell palsy can affect anyone, no matter their age but it occurs more often among pregnant women and in people who have diabetes, flu, cold, or any other kind of sickness in their nose or throat. Men and women get it equally and it's not very common in kids younger than 15 or adults older than 60.

While you may not have heard of this disease, it is quite common. Dr. Siddharth Gautam, Neurosurgeon and a Member of Doctube, explains how approximately Bell’s palsy impacts approximately 15-30 people per 100,000 annually worldwide, in India. “In my neurosurgery practice, I see a significant number of cases each year, underscoring that this condition, while often overlooked in public awareness, is not uncommon.”

How Well Versed Are People With This Condition?

“In my experience, most patients are taken by surprise when diagnosed. Bell’s palsy typically presents abruptly, with rapid-onset, one-sided facial weakness or paralysis, often within hours” explained Dr. Gautam, he further explained how the change in their face can be deeply unsettling and causes people to take immediate steps. Other subtle signs include ear pain, altered taste, or facial tingling which could be early signs. However, people often mistake them as dental issues or ear problems, leading to delay in diagnosis.

Early Intervention Is Crucial For Bell Palsy Treatment

Dr. Gautum emphasized the need of early intervention, “Treating Bell’s palsy is the critical time window for intervention. Early initiation of corticosteroids, ideally within the first 72 hours, significantly improves outcomes.” He explained that people don't realize they have it quickly or wait too long to see a doctor, it can take longer to get better, and their face might not fully go back to normal. Also, it's important to help patients feel less worried and deal with how their face looks different, but this often doesn't get enough attentio

Symptoms of Bell’s Palsy

According to John Hopkins Medicine, bell palsy isn't usually something that stays forever but sometimes, in rare cases, it doesn't go away completely. Right now, doctors don't know how to cure Bell palsy. Most people start to get better within two weeks to six months after it starts, most people get all the strength and movement back in their face.

  • Trouble moving face muscles for things like smiling, squinting, blinking, or closing your eye
  • Headache
  • Watery eye (tearing)
  • Drooling
  • Losing your sense of taste on the front part of your tongue
  • Being extra sensitive to sounds in one ear
  • Not being able to close one of your eyes

Can It Cause Long-Term Damage?

Bell palsy usually goes away over time without causing lasting issues. But it's important to take any medicine your doctor gives you. Protecting your eye from drying out is also key. Using eye drops during the day and ointment at night can help prevent scratches.

Bell palsy usually starts to get better in about two weeks. But it can take three to six months to go back to normal. Call your doctor if you don't get better, you have new symptoms, or your symptoms get worse.

What are the Risk Factors related to Bell Palsy?

Dr Gautum explains that there are some risks associated with bell’s palsy which include viral infections, diabetes, and hypertension. Another factor could be “pregnancy (especially in the third trimester), and recent upper respiratory infections. In my clinical practice, I also observe that stress and certain autoimmune conditions may predispose individuals to this condition, potentially affecting nerve function.”

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Hundreds Report Pancreatitis After Using Weight-Loss Drugs; UK Launches A Study To Investigate

Updated Jun 26, 2025 | 12:37 PM IST

SummaryThe UK is investigating a rise in acute pancreatitis cases linked to GLP-1 weight-loss drugs, exploring possible genetic factors through a national biobank study.
Hundreds Report Pancreatitis After Using Weight-Loss Drugs; UK Launches A Study To Investigate

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After many people reported problems with their pancreas post taking weight loss and diabetes injections, the UK health officials launched a study to look into side-effects of these drugs.

Cases of pancreatitis, which causes inflammation of the pancreas, which is a gland located behind the stomach, has been fatal. These cases have been linked to GLP-1 medicines, also the glucagon-like peptide-1 receptor agonists.

The Background

The UK’s Medicines and Healthcare products Regulatory Agency (MHRA) is investigating a rise in reports of acute pancreatitis potentially linked to GLP-1 weight-loss medications. This follows an increase in submissions to the MHRA’s Yellow Card scheme, which tracks adverse reactions to medicines and medical devices.

What Happens In Acute Pancreatitis?

Acute pancreatitis is a sudden inflammation of the pancreas, a digestive gland behind the stomach, and often requires hospitalisation. Symptoms include intense abdominal pain, nausea, and fever. GLP-1 drugs, such as Mounjaro (tirzepatide), Wegovy and Ozempic (semaglutide), and liraglutide, list pancreatitis as an “uncommon” side effect—estimated to affect up to one in 100 users.

To date, nearly 400 cases of acute pancreatitis have been reported in relation to these drugs, with 181 linked to Mounjaro. Alarmingly, over a quarter of those reports have emerged in 2025 alone. This year, the Yellow Card scheme has recorded 101 cases related to tirzepatide and 22 tied to semaglutide.

What Did The Authorities Say?

An MHRA spokesperson noted: “With increased usage, we’re seeing more Yellow Card reports involving GLP-1 medicines and acute pancreatitis.” While there’s currently no known genetic link, the MHRA is exploring whether genetics might influence susceptibility to such side effects. It has called on both patients and healthcare professionals to report suspected drug-related pancreatitis.

The Study: Who Can Be Part Of It?

Those affected may be invited to join the Yellow Card Biobank study, conducted with Genomics England. Participants will provide health information and saliva samples to help researchers investigate genetic factors that may affect drug reactions.

Dr Alison Cave, MHRA’s chief safety officer, said nearly a third of all medicine side effects could be preventable with genetic testing, which may also help reduce the estimated £2.2 billion annual cost of adverse drug reactions to the NHS.

Drug manufacturers have responded to the concerns. Eli Lilly, which makes Mounjaro, stated that patient safety remains a top priority and noted that pancreatitis is already listed as a known side effect. Novo Nordisk UK, maker of Ozempic and Wegovy, also stressed the importance of using GLP-1 medications only under medical supervision, while continuing to monitor safety data closely.

The MHRA’s ongoing investigation aims to improve understanding of these side effects as GLP-1 medications become more widely used for managing obesity and diabetes.

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10 US States With The Highest Teen Birth Rates

Updated Jun 26, 2025 | 01:00 PM IST

SummaryThe U.S. teen birth rate fell 2% in 2022, continuing a long decline, with the highest rates among Native, Black, and Hispanic teens. Read on to know.
10 US States With The Highest Teen Birth Rates

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The teen birth rate in the U.S. continued its steady decline in 2022, dropping by 2% from the previous year, as per the latest final report from the Centers for Disease Control and Prevention (CDC).

In 2022, there were 13.6 births per 1,000 females aged 15 to 19, down from 13.9 in 2021. This amounts to nearly 3,200 fewer births in that age group compared to the year before.

The rate has reached a new record low each year since 2009. Overall, it has declined by 67% since 2007 and 78% since 1991 — a trend the CDC attributes to reduced sexual activity among teens and increased use of contraception by those who are sexually active.

The annual drop also witnessed a 3% rate decline to 25.8 per 1,000 among women 18 to 19 years old. The rate among girls 15 to 17 years old in 2022 remained unchanged from the last year at 5.6 per 1,000.

In 2022, teen birth rates declined across several racial and ethnic groups. The rates dropped by 7% among both Black and American Indian and Alaska Native (AIAN) females, and by 3% among white females, reaching 9.1 births per 1,000. Rates remained largely unchanged for Asian teens as well as Native Hawaiians and other Pacific Islanders (NHOPI), while Hispanic teens saw a slight 1% increase. The highest birth rates were recorded among AIAN (22.5 per 1,000), NHOPI (20.5), and Black (20.3) females.

2022 also witnessed a decline in birth rate in 13 states in 2022. It has ranged from a 3% drop in Florida, to a 12% drop in Oklahoma. However, it essentially remained unchanged in 37 states and the District of Columbia. Overall, the teen birth rates among the states have ranged from a low of 4.6 births per 1,000 to a high of 26.4 per 1,000.

Here's a list of top 10 states with the highest teen birth rates in 2022

10. New Mexico

The teen birth rate here was recorded at 19.7 per 1,000

9. West Virginia

The teen birth rate here was recorded at 19.8 per 1,000

8. Texas

The teen birth rate here was recorded at 20.4 per 1,000

7. Alabama

The teen birth rate here was recorded at 20.9 per 1,000

6. Tennessee

The teen birth rate here was recorded at 21 per 1,000

5. Oklahoma

The teen birth rate here was recorded at 21.2 per 1,000

4. Kentucky

The teen birth rate here was recorded at 21.8 per 1,000

3. Louisiana

The teen birth rate here was recorded at 23.7 per 1,000

2. Arkansas

The teen birth rate here was recorded at 24.6 per 1,000

1. Mississippi

The teen birth rate here was recorded at 26.4 per 1,000

Why Is This Concerning?

Having a high teen birth rate means the number of teen pregnancy is also high. As per the World Health Organization (WHO), adolescent pregnancies are those between the age of 15 to 19, also known as teen pregnancies. WHO notes that adolescent mothers (aged 10–19 years) face higher risks of eclampsia, puerperal endometritis and systemic infections than women aged 20–24 years, and babies of adolescent mothers face higher risks of low birth weight, preterm birth and severe neonatal condition.

As per a 2022 report presented at the Seminars in Reproductive Medicine, titled, Complications of Pregnancy in Adolescents, teen pregnant mothers are at increase risks of poor obstetric outcomes including preterm delivery, low birth weight, eclampsia, postpartum hemorrhage, anemia, and infant, as well as maternal morbidity.

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Relying On Fitness Trackers For Accuracy May Not Be The Right Move For People With Obesity: Study

Updated Jun 26, 2025 | 11:19 AM IST

SummaryFitness trackers may seem like a worthwhile investment, something that can help your keep your health in check, but how accurate is it?
Relying On Fitness Trackers For Accuracy May Not Be The Right Move For People With Obesity

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Fitness trackers have become quite popular in recent years. Having a device that can give you accurate stats about your heart rate, distance traveled, as well as how many calories you may have burnt can be a great tool for health. These stats help people devise their own fitness routines and according to the data they get. However, are these stats reliable?

A new study says that fitness trackers aren't good at measuring how active people with obesity really are. This is because people with extra weight walk differently, have different speeds, and burn energy in unique ways. This means their fitness devices don't give them correct readings, according to researchers writing in Scientific Reports.

Why Current Trackers Miss the Mark

Most fitness trackers are designed for people who don't have obesity. Because of this, they don't give accurate information to those who do. For example, trackers worn on the hip often give wrong energy burn readings because people with obesity have a different way of walking and might wear the device at an angle. While wrist-worn trackers are generally better, they haven't been properly tested and set up for people with obesity.

A New, More Accurate Solution

The research team has now created a new calculation that allows smartwatches to more precisely track calories burned by people with obesity. Tests in a lab setting show this new method is over 95% accurate in real-world situations.

Without a reliable way to measure activity from wrist devices, it's hard to know exactly how active people with obesity are each day. This makes it difficult to create personalized health programs and improve their health.

Testing and Open-Source Availability

The team put their new algorithm through rigorous testing, comparing it against multiple other advanced methods for estimating exertion. They used research-grade fitness trackers and wearable cameras to precisely identify moments when wrist sensors misjudged calorie burn.

In one part of the study, participants wore a fitness tracker and a special mask that measured energy burn by tracking the oxygen they breathed in and the carbon dioxide they breathed out. In another part, participants wore a fitness tracker and a body camera during their daily routines.

The research also involved having people do standard exercises that were adjusted for their weight, like wall push-ups instead of floor push-ups. This showed that current "standard" workouts often exclude many people, and it's important to rethink how success is measured in fitness so that everyone's hard work is recognized.

The next step is to release an activity-monitoring app for Apple and Android smartwatches that will use this new calculation. Importantly, this calculation is open source, meaning other researchers can freely use it and build upon it. The team noted that, to their knowledge, no other similar open-source calculation has been made available for commercial wrist-worn devices.

Some Other Ways Fitness Trackers Can Aid Your Health

While the calories count may not be as accurate as we hope, there are many other ways fitness trackers can aid our health. The Brown Health University explains that these fitness trackers can

Monitor your Heart Health

Many fitness trackers can monitor your pulse and heart rate during exercise. This allows you to target specific heart rate zones, helping you get the most out of your workouts. Trackers are also a great way to ensure you hit that recommended 30 minutes of daily activity.

Track Your Sleep

If you're aiming for better sleep, a fitness tracker can be a useful tool. While it can't replace a full medical sleep study, a tracker with sleep monitoring uses sensors to detect your heart rate and its variations, which helps determine if you're asleep or awake.

Connect with Other Health Apps

Your wearable fitness tracker can easily connect with a variety of other health-related apps on your smartphone. This makes it simple to keep track of your progress on the go. You can check off daily habits, log your water intake, or record your workouts—all from your wrist.

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