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Chronic fatigue syndrome

Chronic fatigue syndrome

Clare-Louise Brumley is a picture of fitness and health — a good thing, considering she’s Australia’s cross-country skiing champion.

But seven years ago it was a different story for the young occupational therapist. Clare-Louise, 26, was constantly tired, her body ached and her throat was always sore. She was so unwell she stopped training to try to find out what was wrong and regain her health.

When she was diagnosed with chronic fatigue syndrome (CFS), Clare-Louise feared it was the end of her skiing career.

“I wanted to feel fit and ski fast, yet I was tired,” she says. “My throat hurt, my glands were swollen and my limbs ached.

“There was nothing wrong with me from a Western-medicine perspective as such, yet I felt awful and wondered if I’d ever feel normal again, let alone have the resilience to ski at an elite level.”

Instead of accepting what could be a long recovery, Clare-Louise began to help herself back to health by studying integrative and nutritional medicine at the Swinburne University of Technology, Melbourne. She credits what she learnt as saving her skiing career and giving her back the active life she loves.

“The key to my recovery was to trust my body’s natural healing capacity,” she says. “When your body has what it needs, it repairs itself.

“Good nutrition, adequate rest, minimal stress and identifying what’s most important in life are cornerstones. I followed a simple diet of fresh vegies and fruit, wholegrains, fish, nuts and legumes. I cut out refined grains, sugar, coffee and alcohol.

“I still ate chocolate, but I chose a more nutritious seven-cocoa variety, took nutritional and herbal supplements and learnt to meditate.”

It was two years before Clare-Louise began to feel normal again. “The funny thing is, because of CFS I’m healthier now than I probably ever would have been,” she says.

“I used to ignore the messages that my body gave me. But now I listen and know what my body needs.”

What is CFS?

CFS is a serious, debilitating illness that can last for years. Also known as myalgic encephalomyelitis (ME), the latest research suggests that its symptoms might be caused in part by an overactive immune system.

Symptoms include overwhelming physical and mental exhaustion, disturbance of balance, headaches, impaired memory and concentration, intense flu-like feelings, muscle pain, sensitivity to food, chemicals and medication and sleep disturbance. Severe cases can cause partial paralysis.

For more information, visit the the Australasian Integrative Medicine Association: www.aima.net.au

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Endometriosis

Endometriosis

Kim Goodwin was just 11 when her nightmare started. It began with the periods from hell – severe cramping and bleeding keeping her in bed for days every month and needing to use up to 60 sanitary pads a day.

“I regularly missed school and later took sickies from work,” says Kim, now 36. “My life revolved around the pain.”

Gynaecologists and GPs couldn’t find a physical cause, so they put the problem down to her psyche. Even her parents believed the doctors.

“I was prescribed anti-depressants and told to stop whingeing. No-one was taking me seriously,” Kim says. For years she lived with the pain, until her sister’s engagement party. “I’ll never forget it,” she says. “Surrounded by guests, I suddenly had such a flood of bleeding I almost passed out.”

At 29 she begged her doctor to remove her uterus. “As much as I wanted kids, I was willing to make this sacrifice. I believed it was the only option left.”

When she woke after the operation, the surgeon told her she had endometriosis, a chronic uterine disease. Kim was devastated: “I had never heard of endo. Had I known about it, my life could have been completely different. I wouldn’t have had the radical operation. At least, I would have tried other treatments first.”

Determined to help others with endo, Kim is president of the Endometriosis Association of Queensland and hopes to prevent others suffering her fate. “If period pain stops you from leading a normal life, have it investigated. You’re the best person to know how severe it is. Don’t ignore it,” she says.

Do you have endo?

“Up to 10 percent of women suffer from endometriosis,” says Dr Geoffrey Reid, co-founder of the Endometriosis Care Centre of Australia (ECCA).

It is a chronic condition where the lining of the uterus is found outside the uterus, such as on the ovaries, bowel or bladder. The misplaced tissue goes through the same monthly cycle as normal tissue, but the blood stays inside the pelvis, causing inflammation, cysts and sometimes sticky masses that can glue organs together.

Common symptoms

According to Dr Reid, endo often goes undiagnosed. Symptoms include severe period pain, heavy bleeding or premenstrual spotting, pain with intercourse, lower-back or thigh pain and bladder or bowel pain during your period.

Is there treatment?

Surgery is the most effective treatment. Other options are hormonal drugs and natural therapies such as herbs, special diet, meditation and yoga.

  • For more information, visit the Endometriosis Care Centre of Australia (ECCA): www.ecca.com.au

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Listeria

Listeria

Tiny Jessica Lopez lies on a blanket on the floor of her parents’ Sydney home. While she looks like one of the most fragile creatures on Earth, her appearance belies the strength that saw her survive when her mother Philippa contracted listeria while pregnant.

“Babies of mums who catch it are usually stillborn,” explains Philippa, 35. “We’re very lucky to have Jessica. The fact she was born alive was nothing short of a miracle.”

At 26 weeks pregnant, Philippa was working at a bank when she felt so sick she had to go home to bed. When she began getting contractions at 2am, her husband Javier, 36, drove her straight to Sutherland Hospital in southern Sydney.

“First they attached a monitor to make sure Jessica was still alive,” Philippa recalls. “When it showed she was okay, I was transferred to the Royal Hospital for Women at Randwick in case she had to be delivered.”

Twenty-four hours later, Jessica was born by emergency caesarean. She weighed just 1.05kg and was 40cm long.

Further tests revealed Philippa had contracted a bacterial infection, which had caused Jessica’s premature arrival.

“I’ve been racking my brain trying to think how I caught listeria,” she says. “But I could have picked it up from something as simple as a lettuce leaf not being washed properly, chicken not cooked properly or food at a restaurant that hadn’t been prepared hygienically…I guess we’ll never know.”

Jessica spent nearly three months in hospital battling complications of her premature birth, including a heart condition.

She went home at the beginning of September, weeks before she was even supposed to have been born!

“I put Jessica’s survival down to prayers and the skill of the doctors and nurses,” Philippa says, gazing adoringly at her determined daughter. “And, of course, her own strength and will to live. She’s a very tough little girl.”

What is listeria?

Listeria is a bacterial infection you can get from eating contaminated food. The infection is rare and causes few or no symptoms in healthy people, but it can be very dangerous in some cases, particularly during pregnancy.

If you get a listeria infection when you’re having a baby, there’s a high risk it will be transmitted to your unborn child. It could lead to miscarriage, stillbirth or premature birth. It could also make a newborn baby very ill.

How to reduce the risk

For your health and your baby’s during pregnancy, it’s important to select a nutritious diet from a wide variety of foods, such as vegetables, fruit, fish, dairy, bread, cereals, pasta, lean meat, eggs and nuts.

However, it’s important you eat only freshly cooked or freshly prepared food. Don’t eat anything if there’s any doubt about how hygienically it has been stored or prepared. Avoid foods that could contain listeria – mostly chilled, ready-to-eat foods such as the following:

— Soft cheese (such as camembert, ricotta)

— Takeaway cooked chicken (as used in chicken sandwiches)

— Cold meats and pâté

— Pre-prepared or stored salads

— Raw seafood (oysters and sashimi)

— Smoked seafood (salmon and oysters, but canned seafood is safe)

Source: Food Standards Australia New Zealand. For more information, visit www.foodstandards.gov.au

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Botox cured my sweating

Botox cured my sweating

Soaking romper suits and sodden cot sheets created a watery mystery for Perth mum Barbara Christie – until she discovered the peculiar leak was coming from her baby daughter’s hands and feet.

The sweat dripping from Katherine – then eight months old – was enough to make puddles under her highchair. And her tiny hands were so slippery, she could barely hold her plastic toys.

Then came saturated shoes and wet footprints trailing the barefoot tot about the house. Her bewildered mum – who had been repeatedly told by doctors not to worry – worried.

“They said it would probably go away,” says Barbara, now 45, from the home in Willetton, near Perth, she shares with husband Russell, 45, and their other daughters Jessica, 15, and Lauren, 10.

The older Katherine (now 13) got, the more severe her sweating became, until she was diagnosed with a rare condition, hyperhidrosis, which involves excessive sweating and is crippling to self-esteem. It can occur in the hands, armpits, feet, face or head and happens when the sweat glands are overstimulated.

By the time she was 12, the pretty Perth student had survived schoolyard jibes and muddled through hundreds of primary school humiliations. “The constant sweating was awful,” cringes Katherine. “I could hardly hold my flute any more. And my schoolwork was always smudged.”

“We’d tried all the known treatments and nothing worked,” explains Barbara. “Finally she came to me crying, ‘I can’t live like this any more!'”

Botox brought Katherine the relief she needed – and she became the youngest hyperhidrosis sufferer in the country to reap the benefits of the treatment.

It took 100 injections – 25 in each hand and each foot – to temporarily turn off the tap. Injected into the affected areas, Botox works by paralysing the nerves that stimulate the sweat glands.

But it’s a costly treatment – between $1000 to $1400 for Katherine’s hands alone – and is often painful. The price depends on the severity of the condition, as it relates to dosage and varies from patient to patient. It also provides only a temporary cure.

The procedure must be repeated at least twice a year to keep the determined Year 9 student symptom-free. “But it’s worth it!” beams Katherine.

The man behind the amazing turnaround is Perth cosmetic physician Dr Michael Molton, who says Katherine’s case of hyperhidrosis was the worst he’d ever seen.

“The impact on her life was very severe and I considered Katherine a genuine case,” he says.

The risks, including numbness or weakening of the treated muscles, didn’t deter the teen. Barbara says, “Katherine’s condition had attacked her self-esteem and my clever girl stopped following her dreams. Some things are just more important than money.

“I have to give my special thanks to Dr Molton from the Restoration Clinic of WA, who has helped with sponsorship for Katherine’s treatment. It’s changed all our lives for the better.”

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Being too busy almost killed me

Being too busy almost killed me

Jane Foster was like most hardworking Aussie mums – always on the go, looking after everyone else and having very little time to herself.

In fact, she kept putting off her regular Pap test because she simply didn’t have time to visit her doctor.

“I had been through a divorce, my parents had died and I was raising two teenage daughters. So life was busy,” explains the 45-year-old nurse from Melbourne. “Before all that happened, I used to have a Pap test every second year, without fail.”

Jane never imagined she would get sick, and it was only ever a routine check-up. But one day five years ago she dislocated her shoulder playing basketball. As she was forced to take time off work to recuperate, she made use of the opportunity to catch up on all the little things she had been putting off – such as a Pap test.

When she went back for the results, the doctor told her they were abnormal. “But I wasn’t totally concerned,” she says. “The doctor told me not to stress too much and that I’d have to see a gynaecologist.”

For the next three weeks, Jane’s life was a frightening blur. The gynaecologist performed a cone biopsy – which confirmed that she had cervical cancer – then removed the cancerous part of the cervix.

“But two days later, he phoned to say the cells had spread further than they had thought and I would need to see an oncologist,” Jane says. “I remember thinking, ‘This is much more serious than I thought.'”

After Jane consulted the oncologist, she agreed her best option was to undergo a total hysterectomy.

“I already had my beautiful girls – Kellie, who’s 18, and Jodie, 17 – so I was happy to get rid of my uterus,” says Jane. “I wasn’t using it.”

On September 21, 1998, she had her operation and was in the Royal Women’s Hospital for a week.

She went home and spent the next six weeks without driving or taking on anything too strenuous.

“The time from that first appointment to the operation was only three weeks,” says Jane, who was given the all-clear by her doctors in November. “But then I was off work for six months.

“The irony is that I thought for so long I didn’t even have a spare half-hour for a Pap test. That attitude ended up costing me six months … but it could have cost my life.”

Did you know?

— Cervical cancer accounts for 1.9 percent of all cancers in Australia.

— About 745 new cases of cervical cancer are diagnosed each year and around 265 women die from cervical cancer each year.

— Australian women have one-in-170 risk of getting cervical cancer before the age of 75 and one-in-493 risk of dying from cervical cancer before the age of 75.

(Source: Cancer in Australia 2000 — a publication of the Australian Institute of Health and Welfare and the Australian Association of Cancer Registries.)

When to have a Pap test?

The Cancer Council Australia supports the policy of the National Cervical Screening Program, which is that all women between the ages of 18 and 70 should have a Pap smear every two years. You can obtain more information by calling the council’s Cancer Helpline on 131 120 or visiting these websites:

www.papscreen.org

www.cervicalscreen.health.gov.au

www.cancer.org.au

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My knock-knees made me a champion!

Leisel Jones

The mention of her knock-knees causes champion swimmer Leisel Jones to turn red – then erupt in gales of laughter.

As a gangly 10-year-old, she dreamt of finding catwalk fame as a model, and was convinced her knock-knees were the only things standing in her way.

Such was her zeal to walk straight and tall, she pleaded with her mum Rosemary to let her have an operation.

Little did she know those same knock-knees would be instrumental in her becoming an Olympic champion, a vital tool when doing breaststroke.

“I was so self-conscious about my knees,” Leisel, 18, recalls. “We even went to a doctor about them, but he said an operation wasn’t a good idea as I hadn’t finished growing.

“Thankfully we left it. Now that I know they help me swim, I don’t worry about them.”

Leisel’s focusing instead on trying to win more than one individual gold medal at the Athens Olympics.

Such an achievement would make her the youngest Australian swimmer to achieve this since Shane Gould, who claimed three as a teenager at the 1972 Munich Games.

“It’s probably a bit of a bold prediction,” says Leisel, “but it’s good to set goals. And if nobody’s achieved it since Shane, I’d love to go after it!”

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Exclusive extract: at risk

Selected as the Great Read in the July issue of The Australian Women's Weekly.

Selected as the Great Read in the July issue of The Australian Women’s Weekly. With quiet finality, the tube train drew to a stop. A long hydraulic gasp, and then silence. For several moments no one in the crowded carriage moved. And then, as the stillness and the silence deepened, eyes began to flicker. Standing passengers peered worriedly through the windows into the blackness, as if hoping for some explanatory vision or revelation. They were halfway between Mornington Crescent and Euston, Liz Carlyle calculated. It was five past eight, it was Monday, and she was almost certainly going to be late for work. Around her pressed the smell of other people’s damp clothes. A wet briefcase, not her own, rested in her lap. Nestling her chin into her velvet scarf, Liz leaned back into her seat and cautiously extended her feet in front of her. She shouldn’t have worn the pointed plum-coloured shoes. She’d bought them a couple of weeks earlier on a light-hearted and extravagant shopping trip, but now the toes were beginning to curl up from the soaking they’d received on the way to the station. From experience she knew that the rain would leave nasty indelible marks on the leather. Equally infuriatingly, the kitten heels had turned out to be just the right size to get wedged in the cracks between paving stones. After ten years of employment at Thames House, Liz had never satisfactorily resolved the clothes issue. The accepted look, which most people seemed gradually to fall into, lay somewhere between sombre and invisible. Dark trouser suits, neat skirts and jackets, sensible shoes – the sort of stuff you found in John Lewis or Marks and Spencer. While some of her colleagues took this to extremes, cultivating an almost Soviet drabness, Liz instinctively subverted it. She often spent Saturday afternoons combing the antique clothing stalls in Camden markets for quixotically stylish bargains which, while they infringed no service rules, certainly raised a few eyebrows. It was a bit like school, and Liz smiled as she remembered the grey pleated skirts which could be dragged down to regulation length in classroom and then hiked to a bum-freezing six inches above the knee for the bus-ride home. A little fey to be fighting the same wars at thirty-four, perhaps, but something inside her still resisted being submerged by the gravity and secrecy of work at Thames House. Intercepting her smile, a strap-hanging commuter looked her up and down. Avoiding his appreciative gaze, Liz ran a visual check on him in return, a process which was by now second nature to her. He dressed smartly, but with a subtly conservative fussiness which was not quite of the city. The upper slopes of academia, perhaps? No, the suit was hand-made. Medicine? The well-kept hands supported that idea, as did the benign but unmistakable arrogance of his appraisal. A consultant with a few years’ private practice and a dozen pliant nurses behind him, Liz decided, headed for one of the larger teaching hospitals. And next to him a goth-girl. Purple hair extensions, Sisters of mercy t-shirt under the bondage jacket, pierced everything. A bit early in the day, though, for one of her tribe to be up and about. Probably works in a clothes shop or music store or … no, got you. The faint shiny ridge on the thumb where the scissors pressed. She was a hairdresser, spending her days transforming nice girls from the suburbs into Hammer Horror vampires. Inclining her head, Liz once again touched her cheek to the silky miasma which brought Mark’s physical presence – his eyes and his mouth and his hair – rushing home to her. He had bought her the scent from Guerlain on the Champs Elysees (wildly unsuitable, needless to say) and the scarf from Dior on the Avenue Montaigne. He had paid cash, he later told her, so that there would be no paper trail. He had always had an unerring instinct for the tradecraft of adultery. She remembered every detail of the evening. On the way back from Paris, where he had been interviewing an actress, he had arrived without warning at Liz’s basement flat in Kentish Town. She’d been in the bath, listening to La Boheme and trying half-heatedly to make sense of an article in The Economist, and suddenly there he was, and the floor was strewn with expensive white tissue paper and the place was reeking – gorgeously and poignantly – of Vol de Nuit. Afterwards they had opened a bottle of duty-free Moet and climbed back into the bath together. “Isn’t Shauna expecting you?” Liz had asked guiltily. “She’s probably asleep,” Mark answered cheerfully. “She’s had her sister’s kids all weekend.” “And you, meanwhile…” “I know. It’s a cruel world, isn’t it?” The thing that had baffled Liz at first was why he had married Shauna in the first place. From his description of her, they seemed to have nothing in common whatever. Mark Callender was feckless and pleasure-loving and possessive of an almost feline perceptiveness – a quality which made him one of the most sought-after profilists in print journalism – while his wife was an unbending earnest feminist academic. She was forever hounding him with his unreliability; he was forever evading her humourless wrath. There seemed no purpose to any of it. But Shauna was not Liz’s problem. Mark was Liz’s problem. The relationship was complete madness and, if she didn’t do something about it soon, could well cost her her job. She didn’t love Mark and she dreaded to think of what would happen if the whole thing was forced out into the open. For a long time it had looked as if he was going to leave Shauna, but he hadn’t, and Liz now doubted that he ever would. Shauna, she had gradually come to understand, was the negative to his positive charge, the AC to his DC, the Wise to his Morecambe; between them they made up a fully functioning unit. And sitting there in the halted train it occurred to her that what really excited Mark was the business of transformation. Descending on Liz, ruffling her feathers, laughing at her seriousness, magicking her into a bird of paradise. If she had lived in a modern airy flat overlooking one of the London parks, with wardrobes full of exquisite designer clothes, then she would have held no interest for him at all. She really had to end it.

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Interview with Stella Rimington

Dame Stella Rimington, former head of British Intelligence, MI5 is the author of At Risk (Random House Australia), a stunning debut thriller and The Australian Women's Weekly July Great Read.

Dame Stella Rimington, former head of British Intelligence, MI5 is the author of At Risk (Random House Australia), a stunning debut thriller and The Australian Women’s Weekly July Great Read. Q Hi, is it okay if I call you Stella? A Yes please do. Q You don’t use the title? A Not really – I find it’s a very strange title to have because not many people know what to say. They call me Dame Rimington and some people (laughing) call me Mrs Dame. Q What is the correct way to address you? A It’s Dame Stella but people don’t like to use your Christian name so they get very embarrassed (laughing). Q Congratulations on At Risk, I couldn’t put it down. A I’m pleased to hear it. Q I think I read it in about one and a half days – I put the rest of my life aside to finish it. A Oh great (laughing)! That’s good to hear. Q I read that you dreamed for many years to write a thriller, was that because working in intelligence you had access to good material for plots or that you simply wanted to write? A It was to do with my job. Anybody who works in the intelligence world has got access to good material – a number of good plots are around. It’s not the kind of thing you can do while you’re working there. It’s only since I’ve retired – and I’ve been 8 years out of that field, that I can do something about it. I think it was mainly the character – I had the female intelligence officer in At Risk, in my head for a long time. Q She was brewing in the back of your brain? A She was (laughing). In parts she’s me and through the years she’s brewed and changed. Q A good plot doesn’t necessarily translate into good story? A It doesn’t and I started writing a book with my autobiography. That was my first go at anything, but you know in my former profession and as a public servant you do an awful lot of writing, although it is different, more about accuracy and precision than about story and character. So I didn’t know whether I could. I did have some help. We had a little team of three with my publisher and a journalist called Luke Jennings, so it’s been a rather fascinating creative process with all three of us striking sparks off each other. Q The Government tried to stop your autobiography being published, did you have to have this book cleared before it could be published? A Yes, it’s been read by my former colleagues in MI5. I am bound I think forever, to show them anything that could have any connection with my former employment. They had no problem with it and understand that it is entirely imaginary. Q They didn’t ask you to delete or change anything? A Not with this one, although they did with the autobiography. It was entirely stirred up that furore, entirely unnecessary. If you read it you will realise there’s nothing in it that is in any sense damaging to national security. I wasn’t going to spend 27 years working to defend our security and then blow the secrets. Q At Risk gave me the feeling that I was getting an insider’s account of the intelligence world, normally a forbidden and deeply secretive place – was my instinct right? A Yes, At Risk is broadly the way things are done. Information comes in as snippets and has to be put together. In a way, in the world of intelligence you never actually know the full story and you’ve got to interpret what you know and try and find out a bit more. So it’s an accretion of information which is in the plot and yes that is authentic. And the relationships are broadly authentic, the way different bits of the system get involved with each other, the intelligence service and the police and the military. All that is broadly the way things work. Q Did you go somewhere quiet to write the book or do it at home? A Both. I have a little house in East Anglia which is where a lot of At Risk, is set. Me and my dog go up there where it’s quiet. I do find it difficult to concentrate on writing when there’s lots of other things going on. I think you’ve got to create a quiet space. Q What’s your dog’s name? A Stanley. He’s a springer spaniel. He’s lovely but he’s 13 and a half now and becoming quite an old man. Q I see you writing in a picturesque little cottage overlooking green fields – is that correct? A The little cottage is right, it’s in a village and not far from the coast where a lot of the action in At Risk takes place. Q I liked the way you got into the mind of the main character, intelligence officer Liz Carlyle and into the head of the terrorists and their meticulous planning. A I think in a different world, the female terrorist could have been an intelligence officer. It’s two women with similar approaches, pitted against each other. One’s on one side, the other’s on the other. In the end, they kind of meet and you could say, merge together. So yes, it’s basically about women and the way they deal with different kinds of situations. Q When you set out to write the book what did you want to achieve? A I wanted to tell an exciting story that was relevant to the world as it is now. Lots of spy stories have been written about the cold war but I wanted it to be bringing the genre up to date, really. So that’s why I focussed on a terrorist plot. I also tried to show that the techniques of intelligence remained broadly the same. So I think there are links with spy stories of the past, like John le Carre. Q Generally spy stories are blokey, did you make the leads female to make it more accessible to women? A They’re about James Bond type men and I am very conscious of that, because of who I am and my background. However, the world of intelligence has quite a lot of women it. Q What percentage? A When I left MI5 8 years ago, the service was 50-50 men and women. Admittedly they weren’t evenly spread through the hierarchy, there were more men near the top. But of course now there’s another woman now running MI5. I think what people don’t understand is how much female involvement there is in the world of intelligence, certainly with the domestic intelligence there are a lot of women, and they are doing all the front line work now. When I started out, it was the exact opposite – you could only do the support work. But that’s not true any more so in a sense sub-consciously, those were the things I had in my mind when I was writing At Risk. Q Do women bring certain qualities to intelligence work that men don’t have? A Difficult to say, it’s horses for courses and there are different kinds of men and different kinds of women. The important thing is diversity of approach, so you do need men and women. And women do have certain different qualities. They tend to be quite reflective, analytical, they’re more prepared to sit back and think. And don’t have to be out doing. I think there’s a place for both. When you’re doing operational work it is very important that you have a choice of different kinds of people, whoever the enemy is, at any given time. Diversity is important – men and women, different ethnic backgrounds, the whole of humanity needs to be reflected somehow or other. Q Liz Carlyle is very intuitive? A Yes, not everybody who works in intelligence has that. Some are extremely clever and can analyse information very accurately but you do need a kind of intuition and you need experience, you need to know the kind of things to look for. You need a combination of skills and Liz certainly has some of them. If you compare her with the character Bruno Mackay who is a stereotype of the other kind. There’s a contrast between the two. He’s more a James Bond type. Q Liz Carlyle has a sex life but there’s none of the steamy sex scenes you associate with the spy genre? A I was trying to make the point that working in the intelligence world messes up your private life, almost inevitably. You start these relationships but they don’t really get anywhere because they’re founded on this need for secrecy and the double life that you’re forced to lead with your job. I thought in a way that having any sex scenes would mess up that point really. I wanted also to develop this other delicate relationship Liz has with her boss in the service, Weatherby. Q There’s a chemistry between them? A Yes and I hope that maybe in the next one I might be able to keep that going so it’s important not to get too explicit. Suggestion is better and also too many sex scenes take the tension away from the plot which is what I really wanted to focus on. Q It must have been difficult to be married and unable to tell the person you’re supposed to be closest to, about aspects of your life? A In fact I have separated from my husband although on friendly terms. We live separately and have done so since the early eighties, so my marriage didn’t really last. There are marriages that do last of course and it’s easier now for people to talk to their partners. When I first joined I was told you musn’t tell anybody, not even your parents where you worked and that made for very difficult circumstances. That element of difficult personal relationships is very important and it’s one I wanted to make because of my own background. Q You believe the intelligence world needs to be brought out more into the open? A I think particularly with domestic security, there is a great need to relate to the public because you depend on the public to a large extent to be alert, particularly nowadays with the terrorist threat. When I joined, the service was very, very covert. I think it’s extremely important to get a better relationship with the public and you can only really do that by being more open. In my time as director general we started a more open approach. And that’s gone on. MI5 now has a website and it updates the website and puts all kinds of info on it including what the current terrorist threats are. Obviously there are limits, there are always going to be because you can’t have an intelligence service that puts everything into the public domain, so there’s a balance to be struck and just where the balance is causes a great deal of debate still. Q You were the first director general of MI5 to be publicly named – and photographed – you were pipped at the front door carrying some shopping bags? A Yes and that’s another reason why I thought the secrecy was absolutely ludicrous – I mean, you had all these journalists lurking outside, why not give them a proper photograph and get on with it? And that’s what we did but the reason why we didn’t when I was first named, is that the IRA was very active on the streets of London and of course there was a terrorist threat, so balance was important because you couldn’t be open and expose people to danger. Q You have two grown up daughters and a granddaughter to whom you dedicate the book? A Yes a five year old granddaughter and she and I are very close. In fact we are going away together today to the little town in East Anglia I’ve been telling you about. Q How concerned were for you family’s safety when you were in charge of MI5? A With the publicity associated with my appointment and the press fuss that resulted from that (as the first woman ever to run MI5), that was a very difficult time. I had one daughter living at home then and one at university and in the end we had to sell our house and move because it wasn’t really safe for us to go on living there. It was particularly difficult for my youngest daughter because she was at home and we had to go underground and live secretly. Q For how long? A About three years. That was very difficult for her as a teenager, not knowing who she should bring home. Q Or who she could trust socially? A Yes and she couldn’t give out our number so it was a problem for her. She had a little car at the time and it was registered under a false name and when she went out in the evening she’d always say, ‘what if I had an accident? What if the police come. Tell me? Who am I?’ So this was something you didn’t want to expose your teenage child too really, but it went with the territory. Q I imagine you’re proud of what you achieved but it must be with a feeling of relief that you are out of it now? A Yes. I take a very great interest from the sidelines in what’s going on but it is very difficult now for them because there are always threats. When I was there, the IRA was our main anxiety. But now it is very difficult for them. It’s a very diffuse threat. And I just feel I’m rather glad I’m not responsible now. They are very good at what they do, my former colleagues, but nobody can be 100% certain, obviously. Q To many of us, the world feels like a more dangerous place now – would you agree? A I feel that the world’s always been a dangerous place really and people who think that there are moments when we are more safe are a bit deluded. I think we are more aware of the dangers nowadays. I lived through WWII, the cold war, IRA terrorism. These days we just know more about it with 24 hour a day news and the greater openness. Q I suppose that’s reassuring, especially with the Olympic Games in Athens coming up? A Don’t forget there’s been terrorism in Europe since the late fifties. It is I suppose a bit less predictable now. With the old league at least we knew what they wanted and one could predict what their target would be. The current terrorist threat seems so diffuse. It’s not clear I don’t think, precisely what they’re after and what they might attack. Q I have this horrible feeling that Osama Bin Laden is a highly intelligent man and that makes me feel more anxious. A Mmm. Terrorists often have been quite clever. I don’t know enough about Bin Laden to know if he is, but it’s the unpredictablility of it really. And the feeling that with this lot of terrorists who are prepared to die, then you’re facing a different threat – that of suicide bombing which is very much more difficult to deal with. In the old days terrorists were prepared to kill other people, then they wanted to escape – they didn’t want to kill themselves. Q At Risk is the first of a series? A Yes I’ve started on the next one with Liz Carlyle and one or two of the other characters and I want to try and develop Liz in a way and bring in other themes, not only focusing on terrorism. Q As well as writing books, you’re a director of Marks and Spencer – it obviously hasn’t crossed your mind to slow down in your retirement? A Well, (laughing) I shall soon be 69 and so I think I will probably start slowing down as 70 approaches, but I like to keep going and I’m the kind of person who fills a void, so if I have less to do then I need to find something to do. I think writing is going to fill the gap when I drop my two directorships. Q Where you were born and what did your parents do for a living? A I was born in London in 1935 and the war came quite quickly so we rapidly moved out of London . My father was a civil engineer and worked in the steel business so unfortunately when we moved out of London, we always seemed to move to places that were priorities for German bombing. So I spent quite a lot of my early childhood in an air raid shelter, listening to bombs dropping. That was a kind of pretty unsettling start to life. My father came from Yorkshire and my mother from Lancashire so they were northerners, and I think something of that, the sort of temperament of the north is in my personality. My father believed in hard work and no slacking. There wasn’t time to mess about, you’ve got to get on with it. so I think that has infected my personality … you know, you’ve got to get on with things. Q Were you an only child? A No I have a brother who is 3 years older than me. He is retired now but he was also a civil engineer, largely for the railways. Q Your star sign is? A Taurus. Q Stella Rimington loves … A The countryside, walking, my granddaughter, my family. Q Dislikes? A Hypocrisy, exaggeration. Q Hopes? A To have a happy and fulfilling old age. Q We all hope that. A Yes (laughing).

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Fussy eater

Question:

My nine-year-old female terrier cross refuses her own food and is always stealing the cat’s food. Is it okay for her to be eating like this? Sarah, via e-mail.

Answer:

This is not an unusual problem – a lot of little dogs love cat food, particularly the fishy ones. It won’t do her any harm, but dog and cat foods are formulated specifically for each species. It’s more important that cats don’t eat dog food, but they usually won’t.

Cat food tends to be higher in fat and protein, to cater for feline requirements, so dogs may put on weight. Try different brands of dog food, and mixing a little dog food with cat food until gradually you have weaned her off the cat food.

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Dog eye problems

Question:

My 11-year-old dog has cataracts in her eyes. Is it possible for them to be removed by a vet?

Emma.

Answer:

Cataracts (stiffened opacities in the lens of the eye) are a very common problem in ageing dogs. They can cause visual disturbances and pain if there is associated glaucoma, and can even lead to blindness.

Your pooch can certainly have a single or double lensectomy (lens removal) performed. Often people have them done one at a time, due to the cost involved – about $1500-$2000 per eye.

These procedures are very successful and recommended if the general health is good. You should ask your vet for a referral to a veterinary ophthalmologist, who will assess the eyes and advise you on the most appropriate treatment.

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