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Stress is an unavoidable part of life, and while it often carries a negative connotation, it is actually a fundamental survival mechanism. When faced with a perceived threat, whether physical or emotional, the body instinctively reacts to protect itself. This automatic response is commonly known as the "fight, flight, or freeze" response. While it serves an essential function in dangerous situations, chronic activation of this response due to daily stressors can have significant consequences for mental and physical health.
The body’s response to stress is rooted in human evolution. When our ancestors encountered a predator, their nervous systems immediately prepared them to either confront the threat (fight), escape to safety (flight), or become still and unnoticed (freeze). While modern-day stressors may not include wild animals, our nervous system reacts similarly to job pressures, financial worries, or social conflicts.
According to the Cleveland Clinic, stress is the body's response to change, activating a physiological reaction that helps us adapt and protect ourselves. While short-term stress can be beneficial, prolonged exposure can lead to an overactive stress response, negatively impacting overall well-being.
The fight response prepares the body for direct action. When triggered, the nervous system releases adrenaline, increasing heart rate, blood pressure, and muscle tension. While this reaction once helped early humans fend off predators, today it manifests as irritability, frustration, or aggression.
For instance, the employee who has experienced too much workload may work extremely long hours just to succeed. In short term, the action may produce good results but mostly ends in burnout, anxiety, and physical illness, for example, tension headache or digestion problems.
The flight response triggers an intense need to remove oneself from a stressful situation. Just as our ancestors would flee from danger, modern individuals may avoid conflict, quit jobs impulsively, or detach from relationships when overwhelmed.
Flight mode is linked with restlessness and anxiety. Individuals may have a sense of needing to get up and go-pacing, changing environments constantly, or avoiding tasks that seem too overwhelming. Someone with a flight response might have the desire to change jobs constantly, relocate constantly, or become reclusive in order to avoid perceived dangers.
The freeze response occurs when the nervous system perceives a threat as too overwhelming to fight or flee. Rather than taking action, individuals shut down, feeling numb, disconnected, or paralyzed by fear.
Unlike fight or flight, which involve heightened activation, freeze mode slows down physiological functions. A person experiencing freeze mode may feel physically unable to move, struggle to make decisions, or find themselves dissociating from their emotions. This can manifest in situations such as public speaking anxiety, where someone might "blank out" or feel stuck in the moment.
When faced with a stressor, the autonomic nervous system (ANS) activates, triggering physiological changes, including:
For those experiencing the freeze response, the body undergoes a different reaction, often reducing heart rate and causing physical immobility rather than heightened activation.
While the stress response is necessary for survival, frequent activation due to daily stressors can take a toll on health. Recognizing your default response—whether fight, flight, or freeze—can help in developing effective coping mechanisms.
If possible, changing your environment can help signal to your brain that the threat has passed. Stepping outside for fresh air, finding a quiet place, or distancing yourself from overwhelming stimuli can help regulate emotions.
Deep, slow breathing can be used to counteract the stress response by engaging the parasympathetic nervous system, which promotes relaxation. Techniques such as diaphragmatic breathing or the 4-7-8 method (inhale for four seconds, hold for seven, exhale for eight) can be particularly effective in calming the body.
This helps release pent-up energy and aids in the endorphin cascade, natural boosters for our mood.
Relieving oneself from stress can come in many ways, but sharing it with trusted friends, a family member, or a good therapist will sure give that psychological boost of hope. Social support is an especially effective way of cushioning people against the stressors that they are subjected to in chronic forms.
While occasional stress is normal, chronic activation of the fight, flight, or freeze response can indicate underlying mental health concerns, such as anxiety disorders or post-traumatic stress disorder (PTSD). If stress is affecting daily life—leading to sleep disturbances, difficulty concentrating, or persistent feelings of fear—it may be time to consult a mental health professional.
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Every year on March 20, World Oral Health Day is observed to raise awareness about the importance of caring for your mouth at every stage of life. This means starting from birth through later years. However, a visit to dentist is usually the last thing anyone plans when they think of a doctor's visit. Dental visits happen only when extraction or something bigger is involved. More often than not people ignore a follow up or a regular dental checkup to maintain oral health. Why so?
In a previous interview with Health and Me Lt Gen Dr Vimal Arora, the Chief Clinical officer at Clove Dental, who has 40 years of experience as a dentist and also served in the Indian Army explained how oral health is not just about a pretty smile. He explained that many do not plan a regular visit to a dentist because the problems that pertains to oral health do not seem "life threatening".
Read: Exclusive: Astronaut Rakesh Sharma Had To Get His Wisdom Tooth Extracted Before His Trip To Space
However, Dr Arora told Health and Me that oral health can in fact be the first way to know if anyone is prone to a chronic disease.
“There is now scientific evidence, published in top medical journals, that shows how oral infections can significantly worsen pre-existing systemic diseases,” says Dr. Arora. This isn’t just a theory — it’s a medically established fact.
Take diabetes, for instance. People with gum infections often find it harder to control their blood sugar levels. “If you're suffering from diabetes and you have a gum infection, your diabetes will not be well controlled. In fact, it may worsen,” he adds. The same applies to heart diseases. Oral infections can increase inflammation in the body, potentially triggering or worsening cardiovascular problems.
This is concerning especially for those people who may already be managing conditions like hypertensions, arthritis, or respiratory illness. Poor oral health can actually sabotage their efforts to stay stable.
“Your tongue is a true mirror of your oral and general health,” says Dr. Arora. The correlation therefore goes beyond just gums and teeth. Dentists are trained to detect early signs of systemic disorders simply by examining the tongue's color, coating and texture.
A pale tongue might indicate iron deficiency, while a coated tongue could be a sign of digestive issues or a viral illness. “Sometimes, we ask patients if they've had their blood work done, based purely on what we see on their tongue,” he adds. In some cases, dentists can even detect undiagnosed diabetes or early signs of nutritional deficiencies.
Dr. Arora also highlights the overlooked risks that pregnant women face when they neglect their dental hygiene. “If you are pregnant and suffer from periodontitis or even gingivitis — essentially poor gum health — you are at risk of having a preterm or low-birth-weight baby,” he says.
This isn’t just theory; it’s a well-documented risk in obstetric dentistry. Pregnant women are encouraged to get dental check-ups not just for themselves, but for the health of their unborn child.
Despite these evidences, oral health remains one of the most neglected aspects of personal healthcare. Dr. Arora believes this is partly due to a lack of awareness and the perception that dental problems are not "serious enough."
“People often wait until they’re in pain before they see a dentist, but by then, the damage might already be affecting other parts of the body,” he says. Preventive check-ups, regular cleaning, and treating gum infections early on can go a long way in improving not just oral health, but overall wellness.
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Most people reach for sunscreen when heading to the beach or stepping out for a long day in the sun. But skincare experts say sun protection should not be limited to vacations or outdoor activities. Sunscreen is meant to be part of a daily skincare routine.
This often raises a common question. If you are staying indoors all day, do you still need sunscreen?
Dermatologists say the answer depends on your surroundings and daily habits.
Many people assume that staying inside completely protects their skin from sunlight. But this is not always true.
Dr Khushboo Jha, MBBS, MD, Chief Dermatologist Consultant at Metro Hospital and Founder of One Skin Clinic, explains that sunlight entering through windows can still affect the skin.
“While standard window glass blocks most UVB rays, which cause sunburn, UVA rays can still pass through. These rays penetrate deeper into the skin and are linked to long term concerns such as premature aging, uneven pigmentation and loss of skin elasticity,” she says.
These UVA rays are often overlooked because they do not cause immediate redness or burning like UVB rays. However, over time they can lead to visible signs of skin aging and pigmentation.
Dermatologists say sunscreen indoors is particularly useful for people who spend long hours near windows or in well lit spaces.
Dr Jha notes that individuals who work near windows, sit in sunlit rooms or spend time driving during the day may still be exposed to sunlight. “Even short periods of daily exposure to sunlight over time can contribute to cumulative skin damage,” she explains.
In such situations, applying sunscreen in the morning can offer an added layer of protection. A broad spectrum sunscreen with at least SPF 30 is generally recommended.
This approach is especially relevant for people working in offices with large windows or those who frequently commute during daylight hours.
Experts also say sunscreen use indoors is not always equally necessary for everyone.
If you spend most of the day inside a room with minimal natural light and away from windows, your exposure to ultraviolet radiation becomes much lower.
Dr Jha says that in such cases the urgency of frequent sunscreen reapplication becomes less important. The risk of sun related skin damage is significantly reduced when there is little to no direct daylight entering the space.
This means sunscreen indoors should not be treated as a strict rule but rather as a flexible part of skincare based on lifestyle and environment.
Another topic that often comes up is blue light exposure from digital devices such as phones, laptops and tablets.
Some studies suggest that prolonged exposure to visible light may contribute to pigmentation, especially in individuals with deeper skin tones. However, dermatologists point out that the amount of blue light from electronic screens is much lower than what we receive from natural sunlight.
Dr Jha says the effect of digital screens on the skin is still being studied, but compared to sun exposure, the impact remains minimal.
Dermatologists suggest viewing sunscreen as a preventive skincare habit rather than a rigid rule.
Dr Jha recommends incorporating sunscreen into your morning routine, particularly if your day includes stepping outdoors or spending time in naturally lit environments.
In simple terms, if daylight reaches your workspace or you plan to go outside later in the day, applying sunscreen in the morning is a small step that can help protect your skin over time.
Credits: ABC News' Four Corners
At the age of 28, Courtney Paton realized she could never have children. She was medically infertile. This was after years of repeated surgeries, a total of seven, for 'suspected' endometriosis, due to which Dr Simon Gordon, Melbourne-based gynecologist removed both her ovaries and eventually her uterus.
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Her story came to light through an investigation by the Australian Broadcasting Company or ABC's Four Corners, an investigation that looked at the treatment she received from Dr Gordon.
Courtney says she trusted the doctor completely. Now she says that trust has been shattered. “I feel completely betrayed by not only Simon Gordon, but by Epworth, by the healthcare system,” she told the program.
Courtney first had laparoscopic surgery in 2018 with another surgeon, which confirmed she had endometriosis. The condition affects about one in seven Australian women and can cause severe pelvic pain and fertility problems.
Still struggling with pain, she began seeing Gordon in 2019 when she was 21.
Over the next several years she underwent seven surgeries with him. Gordon told her the procedures were necessary to treat severe endometriosis. Courtney and her family paid more than 32,000 Australian dollars for these surgeries alone.
But when investigators asked her to obtain her pathology reports, the results told a very different story. The tissue tests from most of her surgeries showed no evidence of endometriosis.
Despite this, operation reports written by Gordon continued to describe findings consistent with the disease.
Read: A Woman Lost Her Ovary To Endometriosis Surgery After Receiving An Ultimatum From Gynecologist
In 2021 Gordon removed one of Courtney’s ovaries, saying it was stuck to the pelvic wall. Later he removed the second ovary as well.
Independent specialists who reviewed the pathology for the investigation said the ovary appeared normal and there was no clear justification for removing it. One expert described the treatment as “unbelievable” after reviewing the medical records.
Medical guidelines generally advise caution when removing ovaries from young women who may want children in the future.
Despite losing both ovaries, Courtney continued to experience pelvic pain. Gordon later advised that she should undergo a hysterectomy.
Concerned, she sought a second opinion from another gynecologist who said the procedure was unnecessary and suggested non surgical treatments.
But after years of pain and repeated surgeries, Courtney says she felt desperate for relief and trusted the doctor who had treated her for so long. Her uterus was removed in 2023 when she was just 25.
Again, pathology results found no evidence of endometriosis.
Courtney is now pursuing legal action through a medical negligence claim. The case has also drawn attention from regulators, with investigations underway into Gordon’s conduct.
Australia’s federal health minister Mark Butler described the allegations as “physically sickening”.
For Courtney, the emotional impact remains overwhelming.
“No woman should ever have to endure what I’ve endured,” she said. “I’ve had the opportunity to have a family taken away from me.”
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