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Health

Trying to guess which twin smokes is the perfect way to help you quit

Nobody would call smoking “glamorous” after seeing these comparisons.

smokers versus non-smokers, smokers' skin, twins
Image via Wolters Kluwer Health.

Which twin smoked?

It's not revolutionary news that smoking wreaks havoc on your body in different ways. More often than not, however, the focus of anti-smoking campaigns is on your internal health, citing emphysema, heart disease, and lung cancer, to name just a few consequences.

While the superficial effects may not be as lethal, appealing to people's sense of vanity can have a powerful effect as this clever gallery below shows. Twins, only one of whom smokes, sit side by side, showing the profound damage smoking can cause to your face, hair, and teeth.

The twins' circumstances vary in each set of pictures, but the differences and effects are undeniable. In some instances, one of the twins never smoked. In others, the "smoking" twin had smoked for at least five years longer than the other "non-smoking" twin.

Though they're not common knowledge, the effects of smoking on your appearance are predictable and consistent. You can identify a smoker with ease if you know what you're looking for. Harmful smoke, dehydration, and even the heat from a burning cigarette can damage your complexion, hair, and eyes. The photos below helpfully point out the symptoms and effects on the smoking twin.


The photos here were taken from those of 79 pairs of identical twins at the Twins Days Festival in Twinsburg, Ohio. Though they weren't taken with this use in mind, that allows them to serve as an even more powerful testament to the effects as perceived by casual observers.

1. The eyes are a strong "tell" if someone's a smoker or not. In this photo, the smoker is the man on the right. He has smaller, more sunken eyes and carries more wrinkles throughout his face than his twin on the left. You'll also notice his hairline has receded further than his brother's. That's a little-known though hardly surprising effect of smoking habitually.

health, danger of smoking, studies on smoking, mental health

Can you tell the smoker?

Image via Wolters Kluwer Health.

2. Here, the difference is profound. Though they're the same age, they look almost like they represent different generations. The smoking twin on the right has done so for 16 years, and it's manifested in a number of ways. Most noticeable is the pervasive discoloration of her skin compared to her twin on the left. Less noticeable, but still apparent, is the damage done to her lips, eyes, and even her hair. It's difficult to believe they're even related, let alone twins.

aging, health benefits, clean living, cancer

Did I get this one wrong?

Image via Wolters Kluwer Health.

3. This comparison is less glaring but still apparent. The twin on the left is the smoker. You can see many more pronounced wrinkles on her forehead, under her eyes, and around her nose. There are also pronounced bags under her eyes.

skin aging, medicine, medical insurance, damaged hair

Some differences are more subtle than others.

Image via Wolters Kluwer Health.

4. In this comparison, the smoking twin only smokes about two cigarettes per day, so the difference will be less profound. The twin on the right is the smoker. The differences are on the subtle side, mostly the more damaged hair and the squintier eyes.

twins, research, studies

Smoking can cause a receding hair line.

Image via Wolters Kluwer Health.


5. Based on what you've read in the earlier side by side pics, you might be able to ID the right twin as the smoker due to the discolored and receding hair as well as the aged skin.

wrinkles, aging, smoking

Smoking appears to cause more gray.

Image via Wolters Kluwer Health.

6. These two twins are both elderly, so the differences are slightly less pronounced. Though the left twin has more graying hair, it's the right twin that's the smoker. She's got a droopier face, especially on the outside of the eyes. The wrinkles are also more pronounced in the brow and upper lip.

wrinkles, skin, health

The hallmarks of smoking apparent on the skin.

Image via Wolters Kluwer Health.

7. Though the two sisters here are also older, it's easier to distinguish the smoker. The left sister bears the hallmarks all over her skin. Her cheek, outer eye, and neck all look weathered from her habit. Not only is she more wrinkled, but the skin has begun to discolor from the fair tone her sister has.

discoloration of skin, dermatology, identifying factors

Wrinkles around the lips distinguish the smoker.

Image via Wolters Kluwer Health.

8. Here it's pretty difficult to tell. The woman on the left is the smoker. She sports slightly discolored lips that are upon inspection, more wrinkled than her sister's. Since the lips are the most proximate to the smoke, they are a pretty telling feature when it comes to identifying smokers.

The pics above show a lot of singular traits that can call out a smoker, but it can be a lot more simple than that. Speaking to the NY Daily News, dermatologist Elizabeth Tanzi from George Washington Medical Center dispenses with the jargon, stating, "Smoking makes you look old. That's all there is to it."


This article originally appeared on 11.01.16

Planet

Enter this giveaway for a free, fun date! 🌊 💗

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Our love for the ocean runs deep. Does yours? Enter here!

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Health

We asked people what they really enjoy that others can't understand. One answer dominated.

Interestingly, research shows that these people are particularly unlikely to be neurotic.

Canva

Some people really enjoy being alone.

We recently asked our Upworthy audience on Facebook, "What's something that you really enjoy that other people can't seem to understand?" and over 1,700 people weighed in. Some people shared things like housework, cleaning and laundry, which a lot of people see as chores. Others shared different puzzles or forms of art they like doing, and still others shared things like long car rides or grocery shopping.

But one answer dominated the list of responses. It came in various wordings, but by far the most common answer to the question was "silent solitude." Here are a few examples:

"Feeling perfectly content, when I’m all alone."

"Being home. Alone. In silence."

"That I enjoy being alone and my soul is at peace in the silence. I don't need to be around others to feel content, and it takes me days to recharge from being overstimulated after having an eventful day surrounded by others."

"Enjoying your own company. Being alone isn’t isolating oneself. It’s intentional peace and healthy… especially for deep feelers/thinkers."

Spending time by ourselves is something some of us relish, while some of us hate being alone. Naturally, this points to the common theory of introversion vs. extraversion, but in some ways, that's overly simplistic. Even the most peopley people among us can enjoy some quality alone time, and not all introverts see time alone as truly enjoyable. (It might be necessary for an introvert's well-being, but not necessarily something they truly revel in.)

Interesting, studies have found that people who enjoy being alone are not any more or less extraverted than those who don't, though they do tend to be less "sociable." They are also less likely to be neurotic (tense, moody, worrying types) than the generally population and more likely to be open-minded. Those characteristics are the opposite of what social norms often tell us about people who want to be alone.

"If our stereotypes about people who like being alone were true, then we should find that they are neurotic and closed-minded. In fact, just the opposite is true," writes Bella DePaulo, PhD.

There may be lots of reasons some people like to spend time by themselves while others don't. We are naturally social creatures and need social interaction, but some of us find ourselves overstimulated by being around other people all the time. On the flip side, some people find being alone not just unenjoyable, but extremely uncomfortable, which can be a problem.

"Ideally, we should be comfortable with ourselves, alone or with others," writes psychologist Tara Well Ph.D.. "If you are uncomfortable being alone, it means you are uncomfortable being with yourself without distraction, engagement, or affirmation from others. This can be a liability in life. If you cannot be alone, you may stay in situations or make life choices that aren’t good for you in the long run, like staying in a job or a relationship, mainly because you can’t tolerate being alone while transitioning to a better situation."

Dr. Well also points out that people can make the most of their alone time, even if it's not something they naturally enjoy. One way is to make it purposeful, setting aside a little time daily to write in a journal, meditate, go for a walk or otherwise engage your mind and body in some form of reflection. Another is to pay attention to self-judgments that might make alone time uncomfortable and challenge them with some compassionate confrontation and counteraction with positive thoughts about yourself.

Alone time can be refreshing and rewarding, especially if it's something you naturally crave. Some people even like to take themselves out on dates or enjoy traveling by themselves. That kind of self-care can be just as important as connecting with others for our overall health and well-being. Being alone doesn't mean being a loner and it doesn't mean being lonely. Some of us genuinely like having quality time with ourselves, whether it makes sense to other people or not.


This article originally appeared last year.

@davvvisss/TikTok

Inexpensive AND incredibly fun? We're sold.


Virtually every aspect of wedding planning can easily become a huge stress when you’re subjecting yourself to arbitrary obligations. This is why we always love a love story where couples march to the beat of their own drum, and clearly have a great time doing it. This is one of those stories.

Twenty-nine year old bride Davis Bourgeois Pepke recently racked up millions of views after sharing footage from her wedding, which just so happened to be filmed entirely on a home video camera from 2002 offered to them by a friend, rather than shot by a fancy videographer. Pepke tells Upworthy that she and her fiancé that they didn't budget for a videographer, and found the camcorder to be a "great alternative." Plus, they loved the idea of being able to edit it ourselves and have hours of footage to cherish forever."

On the day, they chose a designated person to capture the "big moments," and the rest would be "up for grabs for whoever." They also put disposables on each table with tape that said "USE FLASH" and got an additional 300 photos from their guests POV in addition to professional photos. Pretty genius.

In the video, which Pepke captioned "POV, you don't hire a videographer and instead pass around your home video camera," the video. Best decision,” we see what looks like a rip-roaring good time between her family and friends on the big day, not at all filmed in the very aesthetic, Instagram-worthy way that you’d normally expect from a professional.

Watch:

@davvvisss Best decision passing around a video camera from 2006 at our wedding. I can’t wait to edit all of this footage together. HIGHLY recommend. #weddingtheme #weddingtiktok #weddingvideo #bride ♬ Im In Love Im Obsessed Rihanna x Casa Di Remix - CasaDi

Obviously, there’s nothing wrong with opting for dreamy, aspirational vibes, if that’s what you truly want, but clearly there’s a wonderful charm to be had in the DIY approach. Not to mention it’s a fraction of the price…no wonder other birds were fully on board with this idea.

“This is such a creative wedding idea. I’m not hiring a videographer so I want to do this now as a 2025 bride!” one viewer wrote.

“Girl when I found out how much they were charging for an over-edited 10 minute vid I RAN to Amazon for a camcorder and a tripod,” added another.

Pepke shared that she and her partner "laughed and cried all over," looking back at the footage, especially all the hilarious moments on the dance floor.

“The way it was captured feels like an episode of The Office...zooming in on different people's expressions. Having it filmed this way was my favorite decision from our wedding,” she said. She’s not wrong, I was lowkey waiting for Michael Scott to crash the party at any moment.

"It felt like we got to see the behind-the-scenes at the wedding and it equally focused on our guests as much as us...I also noticed it made people feel more comfortable, not having a professional videographer, and they were 'themselves' and felt more willing to talk to the camera,” she added, saying that she hoped other couples would give it a try.

Still, a few others who had attempted this approach shared their own not-so-great experience. As one person shared, “I did this at my wedding and ended up having an hour of drunk conversation from the view of a cocktail table and no major moments captured. 😂 thankfully we had both professional and home video.”

To this point, an actual photographer and videographer chimed in, advising anyone who’d like to follow in Pepke’s footsteps to “make sure your friend group will match the energy of [your] video and that they’re going to be attentive to those moments.” Sage wisdom, indeed.

While having the fairytale, picture-perfect wedding is some people’s dream, there’s something to be said in also capturing what’s authentically and real on the big day as well. These silly, awkward, imperfect moments will take up so much of your life, universe willing, and deserve to be celebrated too.

Oh, and if you plan to go this route, Pepke advises to get a mic to capture audio, as well as a designated person to oversee the process and help guests and whatnot. She was even kind enough to share a link to the actual camera she used, which can be found here.

A happy mother and her smiling child.

Parents of newborns know they are in the middle of a joyous and stressful era. But far too often, the people they run into choose to frame things negatively when talking to them about their young child. They’ll say things like, “Don’t worry, it gets better” or “Boy, do you have your hands full.”

That’s why Steph Morrison's video on TikTok touched so many hearts. It’s about the fantastic things that can happen when people choose to see things in a positive light instead of a negative one.

“The sweetest thing just happened,” Morrison begins in her video. “I was just finishing my walk and we were just pulling down our street and this old man, he stopped so we could walk by because we’ve got the double-wide stroller that takes up the whole space, and he goes ‘Wow! You’re going to have a lot of fun.’"

The comment blindsided Morrison because it reframed how she looks at being a parent.

@_stephmorrison_

I never would have guessed what the man would say nor did I ever predict tears would roll down my face like they did. Thankful for this sweet glimmer from God 🫶🏼✨ #momspiration #momsoftiktok #momsover30 #quotesforyou #momquotes #postpartumjourney #postpartumlife #happywords #happinessbegins #creatorsearchinsights

“I don’t know why I’m getting emotional telling you now. But most people say, ‘You’ve got your hands full’ and it’s my biggest pet peeve, but he was so sweet and I could, like, see the memories flash through his eyeballs as he said that to me: ‘You’re going to have a lot of fun.’”

“Like, dang! That’s the type of vibe and energy I’m going to bring to motherhood,” she continued. “I was having a really great time with the kids already, so I don’t know why I’m crying while telling you this. But if you’re a mother out there, I hope you’re having a lot of fun, too, because why not?”

Everyone knows that parenting can be hard. But it’s also filled with joy, laughter, hope, possibilities and new experiences. The elderly man’s comments were a great reminder to Morrison and her followers to focus on the joy and possibilities of being a parent instead of the challenges and hard work.



The video struck a chord with mothers in the comments who shared similar experiences.

“An older man in the grocery store stopped me when my son was 8 months old and said, ‘Young enough to still talk to the angels, put in a good word for me!’” Rachel wrote. “My only son is 7 months old. I can’t have any more kids due to life-threatening complications at birth. The other day, a man said to me, ‘He gets to have you all to himself. Isn’t that so special?’” Happy_Gilmoree added.

CaitlinPrice25 hit the nail on the head. “Society makes us feel like kids are a burden,” she wrote. “Just a little change of perspective can make all the difference.”

A positive mindset can make life much easier for parents, but it’s also great for their children. Children look to their parents and model their behavior; those with a positive attitude are likely to raise happy, optimistic children. “A mother’s ability to model positivity becomes a powerful tool in shaping a child’s character, fostering qualities such as kindness, compassion, and a positive outlook on life,” The Motherhood Center in Houston, Texas, writes.

The story also reminds everyone, whether they are parents or not, of the importance of leading with positivity when dealing with others. The man could have said something cliché such as “I hope you’re getting enough sleep,” but instead, he reminded Morrison of the joy of parenting, and she made his remark her north star. That’s the power of positivity.

This article originally appeared last year.

Artwork courtesy of Sally Nixon, used with permission.

The wonderfully real world of women.

woman in striped orange shirt sipping soda through a straw against leafy background
Nixon's insight is simple and beautiful.Artwork courtesy of Sally Nixon, used with permission.

Well, take a look at Sally Nixon's illustrations and you'll see.

illustration of women looking at movies in a video store

Just girly things.

Artwork courtesy of Sally Nixon, used with permission.

The subjects in her artwork aren't aware we're looking at them.

woman sits on a bench and stares at her phone in a mall

Unbothered.

Artwork courtesy of Sally Nixon, used with permission.

And that's the point. They're living in a world free from the pressures that exist in the real one.

illustration of women relaxing on a blanket outside eating donuts

Artwork courtesy of Sally Nixon, used with permission.

"I like drawing girls doing their everyday routine—just hanging out, not worried about what others are thinking," Nixon told Upworthy. "They're usually alone or with other girls. Their guard is down."

Editor's note: An image below contains partial nudity.

Capturing her subjects in this liberated light wasn't intentional at first, she explained.

woman sits on the toilet with her dog beside her

Mundane moments.

Artwork courtesy of Sally Nixon, used with permission.

But when she started a 365-day challenge in April in 2015 to create one art piece a day, the work started reflecting the nuances of her own life away from prying eyes— "I was kind of like, 'Oh, I'm brushing my teeth, so I'll draw that."— and a theme began to form. Her illustrations show how women look, away from the exhausting world where they're often judged more harshly than men.

illustrations of women having lunch outside against a red tile wall

Enjoying a drink.

Artwork courtesy of Sally Nixon, used with permission.

You also might notice none of the girls in her illustrations are smiling.

illustration of woman in her underwear sitting at the table spreading jam on bread

Because women aren't constantly smiling when they're on their own.

Artwork courtesy of Sally Nixon, used with permission.

According to Nixon, that's a deliberate choice.

"I don't sit around smiling to myself," Nixon said, noting the double standard that exists in thinking women should always appear cheerful. "I've been told, 'You need to smile more.' It's so infuriating. I wanted to show the way girls actually look, comfortably."

illustration of woman from the shoulders down standing at her open fridge

These works aim to capture slices of every day life, not posed moments.

Artwork courtesy of Sally Nixon, used with permission.

The theme of friendship is also an important one in Nixon's drawings.

illustration of two women sitting together on a couch with wine and cheese

In community.

Artwork courtesy of Sally Nixon, used with permission.

“I have four older sisters, so female friendship has always been a big part of my life," Nixon told The Huffington Post in 2016. “You gotta have someone to talk about periods with, and dudes just don't get it."

illustration of woman napping with her dog on her couch

Sometimes reality is a nap on the couch with your pup.

Artwork courtesy of Sally Nixon, used with permission.

Creating relatable scenes was key to Nixon, too — from the details of women's lives to the physical shapes of their bodies.

illustration of partially naked woman putting on pantyhose

Hidden moments and natural bodies.

Artwork courtesy of Sally Nixon, used with permission.

“It's important that the women I draw aren't rail thin with huge boobs," Nixon said. “I think there are enough images of bodies like that out in the world. The ladies I draw typically have small-ish, droopy breasts and thick thighs. They're kind of lumpy but in an attractive way. Just like real people."

The women in Nixon's work aren't real, but she hopes their stories are.

illustration of woman eating cake at kitchen counter

Let women eat cake.

Artwork courtesy of Sally Nixon, used with permission.

"One of my absolute favorite comments [on my work] is, 'Oh my God, it's me!'" she explained of the depictions. "There's a little bit of beauty in [everyday life] and I wanted to bring that out."

You can view more of Nixon's artwork on her website and check out her prints for purchase on Etsy.


This article originally appeared nine years ago.






Education

The very real story of how one woman prevented a national tragedy by doing her job

Frances Oldham Kelsey believed thorough research saves lives. She was so right.

Image by the U.S. Food and Drug Administration.

Dr. Frances Oldham Kelsey and President John F. Kennedy.

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Seventh Generation

Dr. Frances Oldham Kelsey had only been with the Food and Drug Administration for about a month when she was tasked with reviewing a drug named Thalidomide for distribution in America.

Marketed as a sedative for pregnant women, thalidomide was already available in Canada, Germany, and several African countries.

It could have been a very simple approval. But for Kelsey, something didn't sit right. There were no tests showing thalidomide was safe for human use, particularly during pregnancy.

black and white photos of Frances Oldham Kelsey in her office

Kelsey in her office at the FDA in 1960.

Image by the U.S. Food and Drug Administration.

When pharmaceutical company Chemie Grünenthal released thalidomide in West Germany years earlier, they called it a "wonder drug" for pregnant women. They promised it would treat anxiety, insomnia, tension, and morning sickness and help pregnant women sleep.

What they didn't advertise were its side effects. Because it crosses the placental barrier between fetus and mother, thalidomide causes devastating—often fatal—physical defects. During the five years it was on the market, an estimated 10,000 babies globally were born with thalidomide-caused defects. Only about 60% lived past their first birthday.

In 1961, the health effects of thalidomide weren't well-known. Only a few studies in the U.K. and Germany were starting to connect the dots between babies born with physical defects and the medication their mothers had taken while pregnant.

At the outset, that wasn't what concerned Kelsey. She'd looked at the testimonials in the submission and found them "too glowing for the support in the way of clinical back up." She pressed the American manufacturer, Cincinnati's William S. Merrell Company, to share research on how their drug affected human patients. They refused. Instead, they complained to her superiors for holding up the approval. Still, she refused to back down.

A sample pack of thalidomide pills

A sample pack of thalidomide sent to doctors in the U.K. While more than 10,000 babies worldwide were born with thalidomide-related birth defects, FDA historian John Swann credits Dr. Kelsey with limiting the number of American babies affected to just 17.

Image by Stephen C. Dickson/Wikimedia Commons.

Over the next year, the manufacturer would resubmit its application to sell thalidomide six times. Each time, Kelsey asked for more research. Each time, they refused.

By 1961, thousands of mothers were giving birth to babies with shocking and heartbreaking birth defects. Taking thalidomide early in their pregnancy was the one thing connecting them. The drug was quickly pulled from shelves, vanishing mostly by 1962.

Through dogged persistence, Kelsey and her team had prevented a national tragedy.

Dr. Kelsey shakes hands with President John F. Kennedy

Kelsey joins President John F. Kennedy at the signing of a new bill expanding the authority of the FDA in 1962.

Image by the U.S. Food and Drug Administration.

In 1962, President John F. Kennedy honored Kelsey with the Federal Civilian Service Medal. He thanked her for her exceptional judgment and for preventing a major tragedy of birth deformities in the United States:

“I know that we are all most indebted to Dr. Kelsey. The relationship and the hopes that all of us have for our children, I think, indicate to Dr. Kelsey, I am sure, how important her work is and those who labor with her to protect our families. So, Doctor, I know you know how much the country appreciates what you have done."

But, she wasn't done yet. Later that year, the FDA approved new, tougher regulations for companies seeking drug approval, inspired in large part by Kelsey's work on thalidomide.

Reached via email, FDA historian John Swann said this about Kelsey's legacy: "[Her] actions also made abundantly clear to the nation the important public health role that drug regulation and FDA itself play in public health. The revelation of the global experience with that drug and America's close call indeed provided impetus to secure passage of a comprehensive drug regulation bill that had been more or less floundering during the time FDA was considering the application."

Kelsey continued to work for the FDA until 2005. She died in 2015, aged 101, just days after receiving the Order of Canada for her work on thalidomide.

Bureaucratic approval work is rarely thrilling and not often celebrated. That's a shame because it's so critical.

People like Kelsey, who place public health and safety above all else — including their career — deserve every ounce of our collective respect and admiration.


This story originally appeared nine years ago.