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Want to stay healthy after 40? Doctors say men should consider 14 medical tests

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Want to stay healthy after 40? Doctors say men should consider 14 medical tests

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Men account for higher rates of nearly all major chronic diseases — yet nearly two-thirds admit that they avoid going to the doctor for as long as possible, according to a Cleveland Clinic survey.

Physicians warn that once men enter their 40s, routine screenings become essential for spotting problems early, before preventable conditions turn life-threatening.

“When it comes to preventing heart attacks, strokes, fatigue, erectile dysfunction, metabolic disease and early aging, testing is essential,” Dr. Jack Wolfson, a cardiologist in Arizona, told Fox News Digital. “Most men have no idea what’s happening inside their bodies until it’s too late.”

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“If I could give one message to every man over 40: Test, don’t guess,” he went on. “Catch the problem early, fix it naturally, and live to 100 and beyond with vitality.”

Below, experts share some of the most important medical tests that men over 40 should discuss with their doctors — some of which are universally recommended, and others that apply to certain groups.

Men account for higher rates of nearly all major chronic diseases — yet nearly two-thirds admit that they avoid going to the doctor for as long as possible. (iStock)

1. Complete blood count (CBC)

Dr. Andrea Caamano, M.D., a New Jersey physician specializing in endocrinology, diabetes and metabolism, recommends that this blood test is performed yearly for men in their 40s and older.

“It tells us the state of a patient’s red blood cells, white blood cells and platelets, and tells of infection, allergic reactions, inflammation, anemia and clotting disorders,” she told Fox News Digital.

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The CBC is especially important in men undergoing testosterone replacement therapy (TRT), as testosterone stimulates the production of red blood cells — and an overproduction will raise the risk of clots and high blood pressure, according to the doctor.

“The test’s only limitation is that it does not tell us why something is happening,” Caamano said. “It will give us values, but not a reason when they are outside normal limits.”

“If I could give one message to every man over 40: Test, don’t guess.”

Health agencies such as the CDC, U.S. Preventive Services Task Force (USPSTF) and World Health Organization do not recommend a CBC test for every person without symptoms, but they do recommend it for people experiencing symptoms like anemia, infection, inflammation, fatigue, bleeding or bruising, or for those with a known medical condition.

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2. Comprehensive metabolic panel (CMP)

This blood test is commonly performed yearly, according to Caamano, especially for men using TRT.

“This blood test measures metabolic and organ function, giving information about the kidneys and liver, and electrolyte and glucose state,” she said. “It is important to catch any organ issue that can pop up on its own, or that can be age- or medication-induced.”

The CDC and USPSTF recommend that all adults 18 and over should undergo routine blood pressure screening. High blood pressure is defined as 130/80 mmHg or higher. (iStock)

The test can also catch things like liver and kidney disease, pre-diabetes, full-blown diabetes and electrolyte imbalances that can lead to blood pressure fluctuations and heart rhythm issues, according to the doctor.

Caamano recommends that men using TRT get a baseline CMP, then get monitored every three to six months in the first year of treatment and then yearly. Organizations like the USPSTF, CDC and WHO, however, only recommend CMPs when evaluating symptoms, monitoring chronic conditions or checking medication safety.

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3. Blood pressure

The CDC and USPSTF recommend that all adults 18 and over should undergo routine blood pressure screening. High blood pressure is defined as 130/80 mmHg or higher.

Individuals aged 40 and older — or those with elevated risk — are advised to be tested every year, while younger adults with consistently normal results may be screened every three to five years.

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“The use of TRT can increase blood pressure, so it is very important to monitor regularly,” Caamano said. “Increased blood pressure can be indicative of cardiovascular disease.”

4. Coronary artery calcium (CAC) score

Dr. Auda Auda, a board-certified physician at Baker Health in New York, names this as his top recommendation to protect against heart disease, which remains the No. 1 cause of death in men over 40.

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“A CAC scan directly measures calcified plaque in the coronary arteries, years before symptoms develop,” Auda told Fox News Digital. “For many men, it’s the difference between ‘normal annual labs’ and a silent, high-risk cardiovascular picture that would otherwise go unnoticed.”

A high CAC score identifies early coronary atherosclerosis, leading to targeted lifestyle changes, statins and risk modification to help prevent heart attack and stroke. (iStock)

A high CAC score identifies early coronary atherosclerosis, leading to targeted lifestyle changes, statins and risk modification to help prevent heart attack and stroke, the doctor noted.

The test should be done every five years if the score is 0, or every one to two years if the score is >0, Auda advised.

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“I’ve had multiple men in their 40s with ‘perfect’ cholesterol come back with CAC scores in the 200-400 range, completely changing their trajectory,” he shared.

Major health agencies, such as the American College of Cardiology (ACC), American Heart Association (AHA) and USPSTF, recommend CAC scoring for adults who are at intermediate risk of heart disease or when it’s unclear whether they should start statin therapy.

5. Advanced lipid profile

Dr. Jeremy M. Liff, a board-certified neurologist in New York, puts this test at the top of his list.

“Unlike a standard cholesterol panel, which only gives you HDL (‘good’ cholesterol) and LDL (‘bad’ cholesterol), the advanced version breaks down the specific types of LDL particles,” Liff told Fox News Digital. “Some LDL particles are far more dangerous than others.”

“Insulin resistance influences nearly every major organ, including the liver and the brain.”

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The advanced lipid profile helps to prevent “catastrophic” cardiovascular and cerebrovascular events, such as heart attacks and strokes, according to the doctor.

“This test gives men over 40 a much clearer picture of their cardiovascular risk and whether they need major dietary or lifestyle changes,” he said. “By identifying dangerous LDL particle types early, men can intervene before plaque buildup becomes life-threatening.”

The advanced lipid profile helps to prevent “catastrophic” cardiovascular and cerebrovascular events, such as heart attacks and strokes, according to a doctor. (iStock)

The advanced lipid profile may only need to be done once if the baseline looks excellent, according to the doctor. If results are poor, men should repeat the test every six months under their doctor’s guidance, he advised.

Major health organizations — including the ACC, AHA, Endocrine Society and USPSTF — regard advanced lipid profiles as optional decision-support tools rather than standard screening tests. 

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6. Thyroid function

This blood test can be done yearly to evaluate how well your thyroid gland is functioning, according to Caamano.

“Issues with thyroid function can lead to mood changes, fatigue, weight changes, palpitations and hair loss,” she told Fox News Digital.

The thyroid is often checked when men have symptoms such as fatigue, weight changes, palpitations or hair loss, while some physicians also order it periodically in midlife.

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The test measures levels of thyroid-stimulating hormone (TSH), which is made by the pituitary gland and tells the thyroid how much hormone to produce. It also measures levels of free T4 (the main hormone the thyroid releases) and free T3 (the active form that the body converts T4 into).

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Based on these three levels, a doctor can determine whether the thyroid is underactive or overactive.

“Issues with thyroid function can lead to mood changes, fatigue, weight changes, palpitations and hair loss,” one doctor cautioned. (iStock)

Major health agencies, such as the USPSTF, American Thyroid Association (ATA) and American College of Physicians, recommend this test for people who are at higher risk of thyroid disease, are experiencing symptoms or have autoimmune conditions.

7. Prostate-specific antigen (PSA)

A PSA blood test measures the level of prostate-specific antigen, a protein produced by both normal and cancerous cells of the prostate gland.

This test, sometimes along with a digital rectal exam, is used to screen for cancer or enlargement of the prostate, according to Caamano. 

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The USPSTF, American Urological Association (AUA) and American Cancer Society (ACS) recommend “shared decision-making” for men aged 55 to 69, warning of the risks of false positives, overdiagnosis and overtreatment with the PSA test.

8. Insulin sensitivity test

Some clinicians use additional markers of insulin sensitivity when taking a more proactive approach to metabolic health. These measures can provide insights that go beyond standard tests such as fasting glucose and HbA1c, which reflects average blood glucose over the past two to three months.

“Insulin resistance influences nearly every major organ, including the liver and the brain,” Liff told Fox News Digital. “It plays a major role in metabolic health, long-term inflammation and future disease risk.”

Poor insulin sensitivity is closely tied to fatty liver disease, cognitive decline and vascular problems. (iStock)

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Poor insulin sensitivity is closely tied to fatty liver disease, cognitive decline and vascular problems, according to the doctor. 

“Detecting it early allows men to make changes that protect long-term organ health, including the brain,” Liff said. “Depending on the initial findings, a repeat every six months may be appropriate.”

Major health agencies, such as the ADA (American Diabetes Association), USPSTF, CDC and WHO, generally recommend screening for diabetes and prediabetes using fasting glucose, HbA1c or a standard oral glucose tolerance test.

9. Hormone levels 

Caamano recommends that certain men over 40 get tested for hormones, including total testosterone, free testosterone, sex hormone binding globulin (SHBG), luteinizing hormone (LH), follicle-stimulating hormone (FSH) and estradiol, which can be measured in a blood draw. 

“These are done when men are having symptoms such as low libido, fatigue, breast enlargement or when they are using TRT,” she told Fox News Digital. 

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Consistency is key in hormonal testing, according to the doctor. “Testosterone should be measured in the morning, as it follows a pattern, peaking in the morning hours,” Caamano said. “Hormonal blood levels, along with symptoms, help determine the need for TRT.”

The Endocrine Society, the American College of Obstetricians and Gynecologists (ACOG), USPSTF and the American Urological Association only recommend hormone tests when there are clear symptoms or medical indications.

10. Omega-3 index

Cardiologist Wolfson, who is also founder of Natural Heart Doctor, a holistic cardiology practice, calls this test “the most powerful predictor of heart attack and sudden death risk” — though it’s not yet part of standard screening guidelines for everyone.

Low omega-3 levels, specifically eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are associated with a range of medical conditions, including heart attacks, strokes, high blood pressure, insulin resistance, poor cognition, mood disorders and more, studies have shown.

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Omega-3 fatty acids, or fish oil, “were associated with significant reductions in heart attacks,” the researchers found. (iStock)

“The omega-3 index is a direct measurement of omega-3 levels inside red blood cells, making it far more meaningful than a standard blood omega-3 test,” Wolfson told Fox News Digital.

He recommends that men 40 and older get the test once per year — “or every six months if supplementing and optimizing.”

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However, major health agencies like the AHA and the National Institutes of Health do not recommend routine omega-3 index testing for the general population, as the test is mainly used for patients with cardiovascular disease who are already considering omega-3 supplementation. 

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11. Carotid artery ultrasound

Narrowing of the carotid arteries reduces blood flow to the brain and increases the risk of stroke, according to Liff. The carotid artery ultrasound can reveal problems long before symptoms appear, potentially protecting brain health.

It may be considered in some high-risk men or when a doctor suspects carotid disease.

“Reduced blood flow from plaque buildup can trigger strokes or transient ischemic attacks,” Liff told Fox News Digital. “Catching the narrowing early allows for treatment, lifestyle changes or close monitoring before a serious event occurs.”

Narrowing of the carotid arteries reduces blood flow to the brain and increases the risk of stroke, an expert noted. (iStock)

If there is no evidence of disease, Liff recommends repeating the test every few years. “If narrowing is detected, a specialist should follow the patient more closely,” he advised.

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The USPSTF, AHA, American Stroke Association (ASA) and ACC only recommend the carotid artery ultrasound when there are neurological symptoms or high clinical suspicion of carotid disease based on medical history.

12. Colon cancer screening

The USPSTF, ACS and CDC now recommend screening average-risk adults for colon cancer from the ages of 45 to 75. 

Men with a family history of colorectal cancer should begin screenings at 40, Caamano noted. Those with a low risk level should begin screenings at 45, via colonoscopy or an at-home stool test. 

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“A colonoscopy should be done every 10 years unless polyps are found, which then drops the time to every three to five years — or for those with a family history of colorectal cancer, every five years,” she told Fox News Digital. “This screening is super important, as early detection can be lifesaving.”

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13. High-sensitivity C-reactive protein (hs-CRP)

High-sensitivity C-reactive protein (hs-CRP) is a blood test that detects low levels of C-reactive protein, a marker of inflammation in the body.

Wolfson refers to this test as the “inflammation alarm bell. “Chronic inflammation is a major driver of heart disease, strokes, cancer, dementia, diabetes and accelerated aging,” he told Fox News Digital, calling “hs-CRP ‘the single best early warning sign.’”

Dubbed the “sunshine hormone,” vitamin D is known to predict health span, according to an expert. (iStock)

The test helps to detect silent cardiovascular inflammation, early artery damage, hidden infections and inflammatory lifestyle triggers, such as poor sleep, stress, alcohol and toxins, Wolfson noted.

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He recommends that men in their 40s and older get the test every six months, or more frequently if levels are elevated or if symptoms are present. Per major health agencies, however, there is insufficient evidence that hs-CRP should be routinely performed unless someone experiences symptoms or is at intermediate cardiovascular risk.

14. Vitamin D

Dubbed the “sunshine hormone,” vitamin D is known to predict health span, according to Wolfson.

Low levels are linked to heart disease, cancer, autoimmune conditions, high blood pressure, depression, low testosterone, poor immune resilience and early aging, according to the doctor.

“It is one of the strongest indicators of lifestyle quality, including sun exposure, sleep habits, metabolic health and inflammation,” he told Fox News Digital. “Levels may be low in men who avoid the sun or overuse sunscreen.”

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Wolfson recommends vitamin D testing twice per year, ideally in the winter and summer, to capture seasonal changes. 

While many doctors will check vitamin D in midlife, especially if someone has risk factors or related conditions, major health agencies only recommend screenings for people who have symptoms of deficiency or are at higher risk due to medical conditions or certain medications.

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Anyone seeking more information about these or other health screenings should contact a doctor for individual recommendations.

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Traveling Without Sight: How Blind and Visually Impaired Explorers Navigate the World

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Traveling Without Sight: How Blind and Visually Impaired Explorers Navigate the World

Luke walked beside me, one hand curled around my arm, the other tapping a gentle rhythm with his white cane. We were crossing the Taj Mahal’s grounds just after sunrise, the air already balmy and faintly perfumed. From the scattered murmur of tourists, Luke said he could sense a grand, open space around us. I described the Persian-style gardens — reflecting pools, clipped shrubs, stone walkways in perfect symmetry. Then I read aloud a sign: “Don’t make direct eye contact with monkeys.”

Near the mausoleum’s entrance, the ground changed — rough sandstone yielding to cool marble, smooth beneath our feet. I guided Luke’s hands to the white facade …

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As his fingers roamed, Luke recalled the photographs he’d seen as a child, before retinitis pigmentosa, a hereditary eye disease, gradually narrowed his vision and then, at 18, took it away.

“I get the impression of something opulent and magnificent,” he told me.

Inside, we joined the flow of tourists circling the tombs of Shah Jahan and his beloved, Mumtaz Mahal. Their voices echoed beneath the dome, drawn out into long, soft reverberations. In the past, this space carried recitations of the Quran — with acoustics meant to evoke the sound of paradise.

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Luke tilted his head toward the ceiling. “It’s almost like you’re inside a speaker,” he said.

I closed my eyes and listened.

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What does it mean to travel somewhere new and not be able to see it? That question led me on a 10-day journey through northern India’s Golden Triangle with Traveleyes, a British tour company that pairs visually impaired and sighted travelers.

So much of the language we use around travel — sightseeing, scenic vistas, must-see lists — assumes that the world is best, or only, understood through the eyes. But as the writer Pico Iyer wrote to me in an email before the trip: “Travel is not about seeing the sights so much as opening oneself up to the unfamiliar — a matter of perception and vision in a deeper sense.”

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Luke and a sighted guide on a stroll through Bundi, in the northwestern state of Rajasthan.

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For years, whenever I returned from a trip abroad, a friend of mine would ask: What did it smell like? I always fumbled for a meaningful answer. What layers of experience — what deeper kind of vision — had I been missing?

Amar Latif, a British entrepreneur, founded Traveleyes in 2004 to address the lack of accessible travel options for blind and visually impaired people. After losing most of his sight by age 18 because of retinitis pigmentosa, Mr. Latif struggled to travel independently. Mainstream tour companies often rejected him, insisting he bring a caregiver and excluding him from more adventurous activities like hiking and skiing. Those exclusions pushed him to create something of his own: a company that would allow blind travelers to explore the world without relying on friends or family. “Friends and family switch off,” he told me. “They’re not as eager to describe things.”

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Traveleyes runs on a simple but radical model: It pairs blind and sighted travelers as equal companions. Sighted participants assist with navigation and describe visual details — in exchange for a discounted trip — while blind travelers bring a fresh perspective that often deepens the experience for both. The company promises “a truly multisensory travel experience,” with itineraries designed to engage all five senses.

Destinations include Cuba, Eswatini and Britain’s Lake District, among many others, and trips often include immersive, tactile experiences: paragliding in the Canary Islands, kneading pizza dough in a Tuscan farmhouse, handling museum artifacts typically kept behind glass. On Lake Titicaca in Peru, locals built a miniature reed island for Traveleyes visitors to explore by touch. In Xi’an, China, they were granted rare permission to feel the terra-cotta warriors. To me, India — with its sensory onslaught of honking horns, potent smells, vivid colors, spices and heat — seemed like the perfect place to experience travel in its fullest, most immersive form.

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Traffic in Jaipur, Rajasthan’s capital.

After I booked my trip, Traveleyes sent me a “Sighted Guide Pack” — a short primer. “Don’t be nervous!” it began. “Guiding may seem daunting, but once you get into the swing of it, nothing could be easier.”

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No prior experience was required — just a friendly attitude and a willingness to describe what you saw. Each day, I’d be paired with a different visually impaired traveler — referred to as a “V.I.” — and together we’d find our rhythm.

I met the group at a hotel in New Delhi. Among the travelers were two women — one visually impaired — who had met on a previous Traveleyes trip; this was now their sixth journey together.

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The group passing through a street in Old Delhi.

On our first day I was paired with Daniel, a 38-year-old software consultant from Oxford. It was his 12th Traveleyes trip; he’d previously visited Romania, Bhutan and Jordan. Daniel had several eye conditions, including nystagmus, which causes involuntary eye movement and makes it difficult to focus or judge depth. He often held his phone just inches from his eyes.

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On a visit to Old Delhi, I guided Daniel barefoot through a Jain temple, fragrant with wafting incense and filled with soft instrumental music, and into the adjoining bird hospital, a rather crowded and grimy convalescent home for the winged and wounded. He gripped my arm lightly, reading shifts in elevation through subtle cues in the movement of my body. I told him when steps were coming, how many and in which direction. For tight entryways, I walked ahead, with my guiding arm behind me. I felt like I was getting into the swing of it.

Strolling in pairs through the tight, noisy streets of Old Delhi, our group of 18 made for a curious sight. It struck me how rare it is to see so many visually impaired travelers moving together — especially in a place that feels overwhelming even for the sighted. We navigated uneven pavement, wove around men carting guavas and sacks of cement.

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As our tour bus crawled through Delhi’s snarling traffic, Daniel reflected on how blind and visually impaired people make sense of the world. “Everyone builds the world in their own way,” he said. Some rely on the spatial qualities of sound, others on scent, or even the feel of air moving around them. “Even sighted people use some combination of these elements,” he pointed out. “But when you’re deprived of one, you compensate with the others — and everyone does that differently.”

The next day, on our drive to Agra, I was paired with Candie, a blind woman from Seattle who works in taxpayer advocacy at the Internal Revenue Service. Born with glaucoma, she could once detect light and the presence of large objects, but her vision gradually deteriorated. A decade ago, at 40, she had one eye removed and now has an ocular prosthesis.

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“The whole sights thing doesn’t thrill me,” she said. What excited her were immersive, hands-on experiences — zip lining, rappelling down waterfalls, white-water rafting. On a previous Traveleyes trip to Peru, she rode a rickety train and leaned out the window, arms in the wind as if she were on a roller coaster. In Costa Rica, she tried surfing.

Candie reading a Braille information plate at Humayun’s Tomb.

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Candie said she wanted to hear about “the reality of India.” She preferred descriptions of people — their behavior and appearances — over scenery. “Tell me what they’re doing,” she said. “Even if it’s just someone lying on a bench or sleeping on the sidewalk — that’s more interesting to me than, ‘There’s a tree over here with yellow leaves.’” I peered out the bus window. Along the roadside were barbers who’d hung mirrors on fences, shaving customers perched on low stools, and flower vendors threading marigold garlands. I told Candie how cars here drive on the left, and how clearly marked lane lines were almost universally ignored. Vendors had strung multicolored snack packets across the fronts of their stands like strands of vibrant beads.

“Oh, that’s interesting,” she said.

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We passed six-story apartment blocks with laundry fluttering from open windows.

“Hmm,” she said. “In a lot of places in the States, you can’t do that.”

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Marigolds for sale outside the 17th-century Jagdish Temple, in Udaipur.

At a truck stop cafeteria where we had lunch, I described the triangular structure of a samosa and the ingredients in dal, then used clock-face references to guide Candie to each item on her tray. She paid for the meal, carefully handling the rupee notes — colorful, textured bills adorned with traditional Indian motifs and Gandhi’s portrait at the center. I described those to her, too.

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I was beginning to notice how speaking these details aloud sharpened my perception. Things I might have otherwise overlooked or skimmed past — the kind of prosaic elements that quietly define a place, like the black-and-white stripes on New Delhi’s curbs or the mandala murals painted on highway overpasses — became more visible to me when I put them into words. In naming them, I was also etching them into memory.

In Agra, we joined the early-morning crowds jockeying for photographs of the Taj Mahal at dawn, its pale, glowing silhouette mirrored in the long reflecting pool. “They took a bunch of blind people to watch the sunrise — kind of funny,” Ann, a visually impaired traveler from England, said wryly. We toured the site in pairs; one sighted guide told me she described the domed mausoleum to her partner as a giant Hershey’s Kiss.

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One visually impaired traveler recalled his time inside the mausoleum as being deeply moving. “I heard this low, generic hum — almost like an ‘om’ — filling the space from people quietly talking,” he told me. “I realized that everyday conversation had created this peaceful resonance, like a background chant. Sighted people probably wouldn’t even hear it; they’re too busy snapping photos.”

We eventually arrived in Ranthambore, a town in Rajasthan near a national park that was once the private hunting grounds of the Jaipur royal family. Today, it’s considered one of the best places in India to spot wild Bengal tigers. Before our safari, in the hotel gift shop, I placed a tiger figurine in Candie’s hands. She ran her fingers along its long torso and stout legs, tracing the raised stripes.

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“Oh wow,” she said. “It’s much longer than I’d thought!”

We toured the park in an open-topped bus, its diesel engine rattling as we bounced along rutted dirt tracks that wound through dry forest, open meadows and rocky outcroppings. Every so often, our driver stopped at the sight of antelope, sambar deer or a quick-moving mongoose. Channeling David Attenborough, I narrated for Candie as a peacock fanned his feathers in a slow, deliberate courtship display.

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The next day, I experienced my own version of that thrill aboard an auto rickshaw in Bundi, a hillside town known for its blue-painted houses and ancient step wells. I was paired with Chris, an accessibility specialist for the British government. Highly expressive with his eyes, Chris explained that he had optic nerve hypoplasia, a congenital condition that left him with a “pinhole-camera-type view of the world.”

I closed my eyes as we climbed toward Bundi’s palace, perched above the town. The sudden jolting turns, the rush of wind, the blare of horns and the shifting smells — spices, incense, street food, exhaust, cow dung — turned the ride into a visceral blur of motion, sound and scent. I felt every brake, every bump and sway.

Chris described it much the same way. “I feel all the micromovements — it’s like a 1970s fairground ride,” he said as we twisted up the road. “A bit edgy. A bit bumpy. It jolts and pivots. It’s got that amusement park atmosphere.”

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As our group strolled in pairs through the center of Bundi, weaving between loitering cows and whizzing traffic, our local guide, Munish, paused at a street stall where a smiling man was stirring a drink made from a vivid green paste. He was, Munish explained, a government-authorized vendor of bhang, a traditional, cannabis-infused beverage.

Inexperienced but curious, a few of the V.I.s decided to try it. Later, Chris described how the high distorted his sense of time and space. Lying in his hotel room, the hum of the air-conditioner seemed to harmonize with the sound of the shower. Together, they sang.

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Over the course of the trip, I’d heard a few visually impaired travelers grumble that some of the sighted participants were being too heavy-handed in their approach to guiding — “overwarning and overcautioning,” as one put it. As we boarded the bus to Udaipur the next day, Suzie announced that some V.I.s felt as if they were being “passed around like furniture,” with items taken from their hands as if they were children. The issue was clear: Sighted guides sometimes forget that their V.I. companions are independent adults. “I’m another human being,” Susan, a V.I. from San Francisco, told me. “I’ll say what I need. When someone sees themselves as a helper, the whole relationship gets skewed.”

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Outside the Jagdish Temple, in Udaipur.

Traveleyes promotes guiding as companionship, not caregiving — someone to explore with, to share a drink at the hotel bar with, not someone to manage. But the lines can blur when you’re also escorting someone to a bathroom stall.

“It’s a little like a complex dance routine,” Chris told me. “You have to learn each other’s moves and try not to tread on each other’s toes, but you also have to give each other room to learn and grow.”

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On our long drives across the Rajasthani desert, past sand-colored cliffs and craggy outcroppings, Munish offered insights into Indian society — the caste system, arranged marriage, the law of karma. “If I can’t buy a Ferrari in this life, that’s fine,” he quipped, introducing the concept of reincarnation. “I’ll wait. I’ve got plenty more chances.”

One afternoon, he shared a well-known Hindu parable about six blind men who encounter an elephant for the first time. Each tries to describe it while touching a different body part. One, feeling a leg, insists the elephant is like a massive cow. “No, it’s a giant snake,” says another, gripping the trunk. A third, stroking a floppy ear, imagines a flying carpet.

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They argue, each convinced his perception is correct.

The moral, Munish explained, is that everyone experiences the world differently, and that no single viewpoint captures the whole picture. Understanding others’ perspectives, the parable teaches, is part of seeing the fuller truth.

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A street scene in Jaipur.

I thought about this later, on our train ride to Jaipur, when I asked Candie to share some of her most memorable moments from the trip. One had taken place in Delhi, just after she stepped off the bus at Humayun’s Tomb, a 16th-century Mughal mausoleum. She felt a small hand tap gently against her arm. Instinctively, she reached out and gave it a squeeze. The hand squeezed back.

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What struck her was the texture — rougher than any child’s hand she’d ever touched. She realized it must have belonged to a young beggar.

For Candie, that brief moment of contact was transporting — a brush with the unfamiliar. “I just wanted to hang out with them and find out as much as I could about their lives,” she told me. What had shaped those hands? What had they endured? What did survival look like, day to day?

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Murals at a railway station in Rajasthan.

It reminded me of something Mr. Latif told me about the difference between how blind and sighted people experience travel: For blind travelers, it’s like reading a book; for sighted ones, it’s more like watching a film.

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Sighted people tend to rely on immediate visual cues — architecture, color, landscape — forming quick, vivid impressions, like a movie that lays everything out on the screen. For blind travelers, Mr. Latif explained, the world reveals itself more slowly, through layers of sound, touch, scent and spatial awareness. It’s a more immersive, interpretive process — like reading a novel, where the story unfolds through detail and imagination.

“And the book,” he said, “is often better than the film version.”

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On the last day of our tour, in Jaipur, we visited a jewelry workshop and the Amber Palace, a hilltop fort of mirrored halls and ancient ramparts. Later, we stopped at a community-run elephant park, the kind of modest place where you can feed bananas to the animals.

Suzie guided Candie up to one of the elephants.

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Candie reached out, wrapped her arms around the elephant’s thick leg and slowly traced her hands along its limber trunk. I asked what it felt like.

She paused. “Honestly,” she said, “like a tall, obese man with a big, hairy leg.”

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Man with Celine Dion’s rare disease warns her comeback could be dangerous

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Man with Celine Dion’s rare disease warns her comeback could be dangerous

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A former marathon runner who was diagnosed with the same condition as Celine Dion worries that crowds could be a “trigger” during the singer’s recently announced comeback.

Jon Kelf, 56, was a five-time marathon runner before he was diagnosed with stiff-person syndrome (SPS) in 2019, SWNS reported. Dion revealed her own diagnosis in late 2022.

SPS causes progressive muscle stiffness and severe muscle spasms that can lead to chronic pain, falls and loss of mobility over time, according to UT Southwestern Medical Center.

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“In some cases, spasms are so severe that they can cause falls, broken bones and dislocated joints,” the center notes on its website.

While this rare condition is not fatal, its symptoms can dramatically affect a person’s quality of life.

Singer Celine Dion performs onstage during the 2017 Billboard Music Awards at T-Mobile Arena on May 21, 2017, in Las Vegas, Nevada. (Ethan Miller/Getty Images)

The disease is often triggered by emotional stress or noise, elements Kelf calls “particularly debilitating.” He shared with SWNS that he never expected Dion to perform again.

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 “I was a bit surprised. Especially when she talked about the dancing. I couldn’t dance before the diagnosis, let alone afterwards,” said Kelf, who has no medical involvement or knowledge of Dion’s case personally.

“Obviously, she has the resources to get the best treatment available, but even still, it’s quite remarkable.”

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In 2019, the former engineer started feeling his legs tighten up and stiffen anytime he was nervous or tense, but dismissed the odd sensations until one day, he stood and couldn’t move.

Kelf can now barely walk and has been forced to quit his job.

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A former marathon runner with stiff-person syndrome said crowds could be a trigger for Dion’s comeback. (Jon Kelf )

Dion has announced 10 shows in September and October at the 40,000-capacity Paris la Défense Arena, planned at three- to four-day intervals. 

The intervals will be crucial for Dion to pace herself, rest and medicate between shows, according to Kelf.

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“Everyone’s different, but I’m still surprised,” said Kelf, who added that the disease could “limit” the singer.

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“It’s challenging to live with, to say the least. You have to rearrange your entire life. There are good and bad days.”

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While Kelf is hopeful that Dion will be able to make the show work, he warned against underestimating the seriousness of the disorder.

Stiff-person syndrome causes stiffness of the limbs and muscles. Kelf can now barely walk and has been forced to quit his job. (Jon Kelf / SWNS)

“I think it could undermine how seriously people take us, other sufferers,” he told SWNS.

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While he views the tour as positive and inspiring, Kelf said he hopes it will lead to more support for others who are suffering.

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“Otherwise, people may look at her and think, ‘Why aren’t I doing more?’ which could ultimately have a negative impact.”

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“If I’m out in public, people don’t see the worst of it,” he added. “It’s the same with her, they only see the good side.”

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Fox News Digital reached out to Dion’s representatives for comment.

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Drug-soaked paper is killing inmates amid reports of prison smuggling trends

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Drug-soaked paper is killing inmates amid reports of prison smuggling trends

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A dangerous drug smuggling trend has been reported among U.S. jails and prisons, highlighting a growing health risk.

Synthetic cannabinoids have been increasingly detected in fatal overdoses among incarcerated individuals, according to a recent alert from The Center for Forensic Science Research & Education (CFSRE).

These man-made psychoactive substances are designed to mimic the effects of THC, the primary active component of cannabis.

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Reports have also revealed that synthetic cannabinoids are increasingly being smuggled into correctional facilities on common paper items, such as letters, greeting cards, books, postcards and magazines.

The CFSRE has previously warned of “drug-soaked paper strips” causing overdoses among incarcerated individuals.

A dangerous drug smuggling trend has been reported among U.S. jails and prisons, highlighting a growing health risk. (iStock)

In many cases, the papers are laced with a “potpourri” of synthetic cannabinoids mixed with other dangerous drugs, officials noted.

“While it’s impossible to know exactly why people are cooking up these combinations, I suspect they are simply ordering these substances from China or India and mixing them with very little understanding of how different substances interact or what constitutes a lethal dose,” Alex Krotulski, director of toxicology and chemistry for the CFSRE, told a local outlet.

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In a December 2024 study, the CFSRE found that the paper strips it examined primarily contained “synthetic cannabinoid receptor agonists, nitazene opioids, and other novel psychoactive substances.”

The drug-laced papers have been found to cause “severe health outcomes,” including central nervous system depression (slowed brain activity) and bradycardia (slowed heart rate), the agency stated.

In many cases, the papers are laced with a “potpourri” of synthetic cannabinoids mixed with other dangerous drugs, officials noted. (iStock)

Cook County Jail in Chicago, which houses nearly 5,000 detainees, has reported increasing cases of smugglers soaking paper with synthetic drugs and sending them into the jail through mail or visitors.

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In 2023, the jail’s administration confirmed 18 total deaths of prisoners in custody. Five of those were caused by overdose, with three involving synthetic cannabinoids, according to Cook County Medical Examiner records.

“I cannot stress how serious this is,” Dr. Priscilla Ware, who oversees Cook County Correctional Health and is medical director of Cermak Health Services, told a local outlet in November 2023. “People are dying from this product every single day when they use it.”

“I cannot stress how serious this is.”

To address the growing trend of soaking paper with cannabinoids, the jail’s administrators reportedly implemented a ban on paper in April 2023.

In 2024, Cook County Sheriff Tom Dart told a local outlet that while overdose deaths were lower that year, drug-soaked paper smuggling continues to be an issue.

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“Unfortunately, it has been common to see test results for drug-soaked paper come back with two or three dangerous drugs, and we know that the people who produce this paper often included toxic chemicals, such as insecticides and rat poison, in their ‘recipes,’” Dart told the outlet. 

“That was alarming enough. But to see these results come back with a half dozen or more dangerous synthetic drugs – any one of which could be fatal on its own – is terrifying.”

Cook County Jail in Chicago (not pictured), which houses nearly 5,000 detainees, has reported increasing cases of smugglers soaking paper with synthetic drugs and sending them into the jail through mail or visitors. (iStock)

In July 2024, Cook County reportedly seized three pieces of paper that were suspected to be laced with drugs. Testing by CFSRE found that the papers contained up to 10 separate dangerous synthetic drugs, including protonitazene (a synthetic opioid up to three times more powerful than fentanyl) and xylazine (a powerful animal sedative known as “tranq” or “zombie drug”).

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Cook County noted in an August 2024 press release that drug-laced papers have been known to sell for $10,000 per page.

The issue appears to extend beyond Chicago, as The New York Times has reported that at least 16 states have prosecuted people for smuggling drug-laced papers into jails and prisons.

“It represents a broader and very troubling shift in how highly potent synthetic drugs are being distributed, concealed and consumed across multiple settings,” one addiction specialist said. (iStock)

“Drug‑soaked paper allows extremely powerful substances — synthetic cannabinoids, opioids and other novel compounds — to be delivered invisibly, without smell or obvious residue, making detection difficult in many environments,” Dr. Adam Scioli, chief medical officer of Caron Treatment Centers in Pennsylvania, told Fox News Digital.

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Scioli said the “drug‑impregnated paper” should not be viewed as a problem limited to prisons. 

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“It represents a broader and very troubling shift in how highly potent synthetic drugs are being distributed, concealed and consumed across multiple settings,” he said. “The same delivery method can easily affect schools, mail rooms, shelters, treatment centers and private homes — any place where paper moves freely and inspection is limited.”

The fact that paper can be handled or shared unintentionally raises the risk not only of overdose, but of accidental exposure to staff, family members or bystanders, Scioli cautioned.

“The same delivery method can easily affect schools, mail rooms, shelters, treatment centers and private homes.”

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To reduce accidental exposure and to protect both the public and frontline workers, Scioli calls for early detection and screening tools.

“Expanding access to evidence‑based addiction treatment, including medications for opioid and alcohol use disorder, directly lowers demand for illicit and high‑risk substances,” he added.

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“A coordinated response that includes healthcare, public safety, mail systems and community education is essential — this cannot be solved by enforcement alone.”

Fox News Digital reached out to Cook County Jail requesting comment.

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