NHS GP Dr Amir Khan says a common method for dealing with nosebleeds is not correct
Dr Amir Khan has explained how a common method for treating nosebleeds is not right(Image: No Appointment Necessary)
Dr Amir Khan has offered guidance on how to properly treat a nosebleed, revealing that many people have been receiving incorrect advice. The well-known TV doctor and NHS GP, recognised for his regular slots on ITV’s This Morning and Lorraine, discussed the matter with his followers on the latest instalment of his podcast, No Appointment Necessary.
His explanation may come as a surprise to some who have been instructed to do something entirely different when dealing with a nosebleed. Co-host Cherry Healey appeared to be among them, as she questioned him about the advice people have given her for managing a nosebleed.
She said: “You know when someone gets a nosebleed, they always get told to put their head back. It’s so awful when you get a nosebleed and someone tells you that because it’s what you don’t want to do. Is that true?”
The doctor responded: “No. It used to be that, but it’s not head back. It’s head forward. Yeah, because if you go back, you could swallow the blood and then cause all sorts of issues.”
He then outlined what you should do instead, saying: “First of all, you want to pinch the soft bit of your nose just underneath the bone. I’m talking like this now because I’m doing it. So pinch that bit as tight, as tight as you can and then lean forward.
“So head between your knees or lean as far forward as you can for, you’ve guessed it, 15 minutes. 15 to 20 minutes is when anything is bleeding.
“That’s how long you need to put pressure on it.” Cherry then replied: “Because that’s how long it takes to clot.”
His advice is important because many people have been given incorrect advice. McGill University in Canada says the tilt-the-head-back method is a ‘common misconception’.
Its website states: “First aid standards have changed throughout the years, making it difficult to keep up with the right practice. Tilting your head backwards is common misconception. Currently, Red Cross standards and most clinicians inform us to sit neutral, tilt head slightly forward, pinch the bridge of the nose, and wait for 10-15 minutes.”
NHS advice on what to do if you have a nosebleed
The NHS website advises that if you experience a nosebleed, you should sit down and lean forward, with your head tilted forward and your mouth open; pinch your nose just above your nostrils for 10 to 15 minutes; and breathe through your mouth. It adds: “Holding an icepack (or a bag of frozen peas wrapped in a tea towel) on the top of the nose may help reduce the blood flow. But the evidence to show it works is not very strong.”
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It also provides guidance on what to do for the 24 hours following a nosebleed. To reduce the likelihood of another nosebleed, for 24 hours afterwards, it recommends you should try not to pick your nose, blow it, or pick any scabs.
It also suggests avoiding lying down flat, doing any heavy lifting or strenuous exercise, or consuming hot drinks or alcohol.
Dr Amir Khan tells patients what not to say in his practice
The doctor’s guidance comes a day after he shared with Instagram followers a list of things he does not want to hear from his patients. The reassuring post, which we reported about on Friday, stated people should not apologise for their weight, their toenails, or their hairy legs.
He said: “Please, you’re having a medical examination, I am not bothered about anything else. “He also said people should not apologise if they feel the need to cry, or if they cannot remember the name of their tablets. And he said: “Please don’t say things like I’m sorry to waste your time.
“If something is worrying you enough that you’ve come to make an appointment to come and see me, that’s what I’m here for.” He concluded by noting: “The only thing that I care about is that you feel able to tell me what’s really going on.
“Because the thing you might be embarrassed about might actually be really important, and I can’t help something you feel ashamed to tell me. So, come as you are, cry if you need to, don’t shave anything on my account, and please stop apologising for just being a patient. You’re not an inconvenience, you’re literally the reason why I’m here.”
Find episodes of the podcast on YouTube, Apple or other platforms.
The San Francisco 49ers already are on the ground in Melbourne, Australia.
Both teams are preparing for their Sept. 10 opener at Melbourne Cricket Ground.
The Rams will depart late Tuesday night, arrive in Melbourne about 16 hours later on Thursday and play Friday (5:30 p.m. PDT Thursday).
Rams coach Sean McVay is aware that if his Super Bowl-favorite team plays well and wins, his travel strategy will be hailed as smart. If the Rams lose, it could be ridiculed.
McVay said Friday that the postgame review will be “circumstantial based on what happens,” and that the Rams make decisions based on what they feel is in the best interest of the players.
“I understand the narratives,” McVay said, adding, “That’s just part of the nature, but what you have to do is be able to separate the actual result for what is actually sound in terms of your process.
“I’m comfortable with that. That’s the world that we live in. … That’s kind of the price of doing business.”
The Rams employed a similar travel strategy last season, when they remained in Baltimore after playing the Ravens, and then traveled to London to play the Jacksonville Jaguars. The Rams arrived the day before the game, and then routed the Jaguars.
The flight to Australia is much longer, but McVay said that “staying in our rhythm and routine” was deemed best by a collective that includes Reggie Scott, the Rams’ senior vice-president for sports medicine and performance.
“The thinking in its simplest form is what do we deem the best for our football players and for them to try and be at their best,” McVay said. “There’s different approaches and theories, but I do have a lot of trust in our group and we’ll see. Hopefully, it works out.”
This will be the first NFL game in Australia, a potential boon for a league eager to expand its global footprint.
“What we try to do is focus on the things we can control,” McVay said, “and then just really abide by clear parameters that guys can follow so that it’s seamless and then they feel as fresh as possible.
“Easier said than done. But when you have the right people, it’s served us well over the years.”
Aaron Donald’s status undecided
Rams defensive tackle Aaron Donald walks on the practice field on Aug. 30.
(Greg Beacham / Associated Press)
Aaron Donald rejoined the Rams last week, but the three-time NFL defensive player of the year, who retired in 2023, has yet to go through a full 11-on-11 practice.
Can he play against the 49ers?
“Don’t have that sense quite yet,” McVay said, adding, “This week will be a big week for him in terms of how he feels, and then we’ll just kind of take it a day at a time and see where he’s at.
“If he feels good enough to go — great. If not, I’ve got a lot of confidence in the other guys that will be ready to step up if that’s the case.”
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Future Hall of Fame defensive lineman Aaron Donald officially came out of retirement Sunday to rejoin the Rams for their Super Bowl title push.
Kobie Turner, Braden Fiske, Poona Ford and Tyler Davis are among the interior linemen who have taken reps since training camp began in July.
Last Sunday, after agreeing to terms with the Rams, Donald said he did not want to be given anything — he wanted to earn his role.
“Ain’t rushing,” he said of his timeline, adding, “Just continue to stack them days and see where we at.”
Donald, 35, is playing on a one-year contract that includes $10 million in base salary, and per-game roster bonuses that could total $10 million, according to Overthecap.com. The deal also includes incentives that could make it worth $30 million.
With four void years added, the salary-cap hit for this season is $5.8 million and $17.9 million next season, according to the website.
Defensive end Myles Garrett, who has been sidelined for a few weeks because of a knee issue, and receiver Puka Nacua (groin) are “making really good progress,” McVay said.
On the Rams’ depth chart, Stetson Bennett is listed as quarterback Matthew Stafford’s backup with rookie Ty Simpson third.
“I look at it as a 2a, 2b,” McVay said. “We’ll see how we approach the game.”
Pity the period. And the comma and the semicolon too. Punctuation is the sturdy armature of written language, yet it does its job quietly, in the background. We tend to spend far more time analyzing the written words than we do the dots, dashes and ellipses that give those words meaning, nuance and tone.
In her new book “On the Mark: From Periods to Interrobangs, How Punctuation Remade the World,” author Florence Hazrat argues for punctuation as no less than the bricks and mortar of civilization, the deceptively simple and endlessly pliable tools that made humankind. I recently chatted with Hazrat, a Berlin resident, about scare quotes, emojis and the magic of parentheses.
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✍️ Author Chat
Florence Hazrat, author of the new book “On The Mark,” writes about the history of punctuation.
(Masoud Ali Shaiwani)
What sparked your interest in punctuation?
It was a long time back, when I was studying for my master’s degree. I was working with Renaissance romances, which have a lot of parentheses. I just asked myself, where does this come from? And why don’t we use parentheses like this anymore? And then I did my post doc on this very topic. So it’s the gift that keeps on giving.
Going back to the earliest cuneiform texts, we see that they consist of words bunched together like commuters on a rush-hour subway. There is no space between words and no punctuation.
Writing was just a manifestation of speech. Text was meant to be read aloud. It would have been shocking 2,700 years ago to see someone reading silently. There is an anecdote that when Alexander the Great was spotted reading to himself, people were stunned.
It took hundreds of years for punctuation to really bloom. The Renaissance, with its increased literacy rates, elevated punctuation into an art.
During the Renaissance, text needed to do more. Writing moved out of the monastery, into trade and diplomacy, science, education and so on. The humanists of the Renaissance who loved language wanted text to be able to do more than it historically had been doing. They wanted to bring more nuance and tone into writing.
And silent reading became the normal practice.
Silent reading is so interesting because it’s a kind of subversive act. It’s a private act, so you can be reading anything. There was a lot of consternation at the time that women would spend all their time reading romance stories.
You also write about punctuation as a political tool, especially the power of quotation marks to ironize or diminish the meaning of the words in between the quotes.
Quotes in and of themselves are empty signs. Which means they can be used for all kinds of political purposes. We can delegitimize an entire race of people using scare quotes or belittle something like COVID-19 simply by putting it in between quotes. We’re wresting a word used by another group and changing its meaning with quotes.
You discuss the advent of digital communication, and the ways we use and abuse punctuation now. Yet, we are very sensitive to punctuation in the public sphere. I’m thinking of the use of capital letters in words that connote race, for example.
Absolutely. There are two sides of the culture that contradict each other. Texting seems to be such an informal medium and something we dash off very quickly. Nobody really expects proper grammar in a text. Yet a misplaced period or comma in certain texts, like the 2nd Amendment of the Constitution, for example, can set people off into endless arguments.
What is your feeling about emojis? I find them to be a very rich communication tool. They can have literal or figurative meaning, depending on context. And the meaning can shift over time.
I love emojis. I think they’re still quite misunderstood. They are covering so many functions, because we put them after clauses, for example. We just don’t put them anywhere. But they aren’t punctuation, because we can’t actually make them when we write manually.
Are you pessimistic about the future of punctuation with kids on ChatGPT and texting in elementary school?
Not really. Children who are texting at 9, 10 years old are still learning the rules of grammar and punctuation offline at school ideally. They still have to read books. They have to write essays by hand. So I think the human brain knows how to process different inputs and switch accordingly.
This Q&A was edited for length and clarity.
📰 The Week(s) in Books
Paris Hilton performs at the Pussycat Doll Lounge located inside Pure Nightclub in Las Vegas on Feb. 16, 2008.
(Chris Weeks / Associated Press)
“Up All Night,” Imogen Willetts’ new history of urban nightlife, devotes a chapter to the L.A. club scene of the early aughts, when Paris Hilton was a ubiquitous scenester and Perez Hilton was writing about her. “I’m born and raised in London and lived here my whole life and when I was a teenager, it was like the early 2000s era,” Willetts told Lina Lecaro. “I was like, I have to write about L.A. in the 2000s because that was what we were absolutely aspiring to at all times.”
Shortly after the trailer for the movie adaptation of her novel “Children of Blood and Bone” dropped, author Tomi Adeyemi hinted at an on-set ordeal that traumatized her, Emily St. Martin reports. “It’s a reality that I’ve had to live with for about a year and a half, and everyone involved, at least at the highest level, has been made aware of this reality, and they haven’t done anything to make it better,” Adeyemi said in a video posted to social media.
Stand-up comedian Anthony Jeselnik, an avid reader, has started an online book club that is gaining traction. “My goal was to curate and give people their best shot at enjoying reading,” he told Maddie Connors.
Ryan Murphy’s TV adaptation of Bret Easton Ellis’ novel “The Shards” is a visually vivid throwback to 1981 Los Angeles. Eloise Rollins-Fife gets the lowdown from the show’s production designer, Cat Smith, an L.A. native. “This is like time travel, but you’re traveling back to your childhood,” said Smith. “I’ve done period before, and you always feel like you’re time traveling to a certain extent, but it’s visceral when it’s yours.”
📖 Bookstore Faves
Hollywood Books is an indie bookshop started by a freelance film researcher.
(Roxanne David)
Hollywood Books is the most indie of indie bookshops. Housed in a nondescript storefront on Melrose Avenue, its only signage is a craft paper sign with bubbly pink letters. Hollywood Books was started by Rebecca Ressler, a freelance film researcher. Blond wood shelves surround the store; a round gingham couch beckons page-grazers to bide their time finding that perfect new or secondhand book before taking a short walk to Ressler’s husband’s restaurant Stir Crazy for a bite and a glass of Malbec.
I chatted with Ressler over email about her store.
What made you want to open a bookstore and how did you land upon your location?
The location, in many ways, inspired me to open the shop! I lived down the street and loved the space when it was Nonaka-Hill’s second gallery. After I had my son, I found it really hard to return to my work as a freelance researcher for filmmakers. I was originally set on figuring out a way to make the space a shared office with my husband and some friends. At some point, I had the idea of making it a bookstore and became determined!
What kind of books do you sell?
We sell both used and new books. We have small curated sections in photography, art, design, fashion, film, literature (novels, poetry, plays), nonfiction, children’s books, and cookbooks! I hope our customers find things at our shop they’ve never read or seen or a great copy of a classic they’re excited to cherish. Our books also make great gifts!
Who is shopping there? Who are your clients?
We are really lucky to be surrounded by great art and furniture galleries that people travel from all over to visit. Those customers are happily surprised when they wander into our store. We also have tons of neighbors and friends who keep coming back and help me determine what I can add to our inventory!
What genres tend to sell?
A little bit of everything! Children’s books are very consistent — even if people don’t read themselves they still want their kids to!
Why a bookstore in 2026 when The Atlantic, among other places, is decrying the end of reading?
Because I love books and think enough other people do too to keep my little store afloat!
Hollywood Books is at 6917 Melrose Ave., Los Angeles, CA.
