Other symptoms include waking up a lot, loud snoring and gasping, snorting or choking.
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Those who have the condition can often feel very tired, find it hard to concentrate and suffer from mood swings.
Having read about HGNS, the implanted treatment for patients who cannot tolerate CPAP, Turnbull said she was "extremely grateful" to have been chosen as one of the first patients to have the device fitted.
The treatment has mainly been rolled out in Europe and United States, with about 125,000 people worldwide having the surgery.
It involves an operation where a generator is implanted into the patient's chest.
A lead then goes up to the nerve that pushes the tongue forward so that every time they breathe, the airway is opened by the tongue leaning forward.
It is controlled by a small remote, that looks like a computer mouse, which the patient turns on each night when they go to bed.
Joseph Sinnott, an ear, nose and throat surgeon at GWH, said the first treatment was still CPAP but if a patient was really struggling, then this was a good second option.
In Wiltshire, only a few patients a month would be offered the treatment as there was a "very strict criteria for inclusion" and only for "extreme cases", said Sinnott.
Sam Backway, GWH's lead sleep and ventilation nurse, said as well as affecting their work and ability to drive, sleep apnoea could cause people "extreme distress", with common symptoms including "brain fog" and "poor concentration".
She also said it could cause issues with people's relationships because of the loud snoring.
Backway, whose own husband has sleep apnoea, said it could go undiagnosed for years due to the symptoms being blamed on other things, "especially for women".
Backway said for women, poor sleep could often be put down to menopause or being kept awake by young children or stress.
She said sleep apnoea was "actually quite serious" as some patients can stop and start breathing around 100 times a night.
For Turnbull, it impacted every aspect of her life over the years, including her work where she would often feel herself falling asleep at her desk.
She hoped by being one of the first to try the new treatment, it "paves the way for others". %!s()
The Mega Millions jackpot climbed to $672 million—the biggest lottery prize of the year so far—after no tickets matched all six numbers drawn on Tuesday night, although the eventual winner will take home a much smaller payout after taxes and deductions.
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The Mega MIllions jackpot rose to $672 million after Tuesday's drawing.
Getty Images
Key Facts
The six numbers drawn on Tuesday night were 2, 4, 10, 48, 56 and gold Mega Ball 22.
If a winner emerges in the next draw, they will have a choice between taking the $672 million split over 30 annual installments or a one time cash prize of $293.3 million—the preferred option for most winners.
If the cash payout is chosen, the winnings will first drop to around $222.9 million after a mandatory 24% federal withholding is applied.
The winner is likely to face a federal marginal rate as high as 37%, depending on their overall taxable income, further slashing their winnings to around $184.8 million.
If the installment route is chosen, the winner’s annual payouts of around $22.4 million would drop to $14.1 million after the 37% federal marginal tax rate is applied.
Depending on their place of residence, the winner could face additional taxes, as some states, such as New York, tax lottery winnings at 10.9%, while others, such as Texas, Florida, and California, don’t.
What To Watch For?
The next Mega Millions jackpot draw will take place on Friday night. The Powerball jackpot, which has risen to $498 million, will have its next drawing on Wednesday night.
Surprising Fact
A Mega Millions ticket buyer will have to overcome astronomical odds of 1-in-290.4 million to win the lottery. This is only slightly better than the Powerball jackpot’s even poorer odds of 1-in-292.2 million.
Key Background
The biggest lottery prize claimed so far this year is a $533 million jackpot won by a Mega Millions ticket buyer from Illinois in March. No other lottery prize has crossed $500 million this year. The biggest claimed Powerball jackpot of the year so far is a $250.8 million prize won by a lottery player from Arkansas. %!s()
From Niue to new Wales cap - James' Pacific heritage
Image source, Huw Evans Picture Agency
Image caption,
Kane James made his Wales debut in Saturday's loss to Argentina in San Juan
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ByGareth Rhys Owen
BBC Wales Sport
Kane James' first Wales cap is rooted in a family story that stretches from Pembrokeshire to the tiny island of Niue in the Pacific Ocean.
There are fewer than 2,000 people on the island, one of the world's most isolated communities.
More than 1,500 miles of ocean separate it from New Zealand, with just a single flight a week reaching its shores.
Few places seem further removed from Welsh rugby, yet it is impossible to tell the story of Wales' newest international without starting there.
"It's quite an inspiring story, isn't it, really?" 21-year-old James told the Scrum V Podcast.
"How my parents ended up meeting each other and coming to Wales is pretty inspiring. It's such a cool heritage."
James' story begins in Wales. His family's does not.
The Exeter Chiefs back-row was born in Pembrokeshire while his parents were staying with his paternal grandparents but he grew up in Cardiff and learnt his rugby at St Peter's RFC.
His father, Chris, enjoyed a distinguished career in Welsh club rugby before moving into coaching.
It was rugby that first brought Kane's parents together.
Chris travelled to Australia to play while Kane's mother, Audrey, had left Niue seeking work. The pair met on the other side of the world before settling in Wales.
"They somehow met each other and he brought her back to Wales," James added.
"She hasn't been back to Niue since she left - 21 years ago."
James has never visited his mother's home but the island remains a proud part of his identity, even forming the basis for the celebrations of his 21st birthday earlier this year.
"My mum was really getting into all the traditions," he said.
"We had loads of traditional cloths everywhere. We had a pig, like a classic hog roast, and all the classic foods that they eat over there."
The traditions continued after James won his first cap with his mother sending over a special necklace to be presented to her son in the changing room after the game to commemorate his heritage.
One day, he hopes to make the journey to Niue himself.
Image source, Huw Evans Picture Agency
Image caption,
James won 19 caps for England U20 before switching his allegiance to Wales
Back in Cardiff, rugby became the family business.
Chris coached Kane through his formative years at St Peter's, one of Cardiff's strongest junior clubs.
"We had a super team," he recalls. "A lot of us started there but we were pretty good growing up, so a lot of people wanted to join us as well."
There is another rugby player in the family too.
Kane's younger sister, Crystal, was named in the Wales squad to face the Barbarians earlier this summer.
At 16, James left Cardiff for Sedbergh School in Cumbria because there was no sixth form at Corpus Christi in the Welsh capital.
"I didn't know anyone in the school. It's four hours from Cardiff, so it can be quite daunting," he explained.
"But I actually found it quite easy. The people were really welcoming there."
That move eventually led him to Exeter Chiefs and, naturally, into England's Under-20 set-up.
Like many talented young Welsh players who continue their education across the border, it became the obvious pathway.
For James, it was never about turning his back on Wales.
"It was probably the thing that was best for my development," he said.
"Our Chiefs defence coach was the England Under-20s defence coach and it seemed like a really good system. It was quite an easy transition into that as well."
Conversion over coffee
Growing up, rugby reflected both sides of his family.
"My mum would always be supporting the All Blacks. My dad would be supporting Wales," he explained.
"When the All Blacks were playing, I'd have an All Blacks shirt on.
"When Wales were playing, I'd have a Welsh shirt on. I got a little blend of both of them there."
The conversation that changed everything happened over coffee.
Early this season, Wales head coach Steve Tandy travelled to Exeter to meet James in person.
"He's been really good communicating with me," James revealed.
"He's been sending me clips of my games and stuff to work on. He kept that communication alive and that was something that was really important in my decision."
When the call finally came inviting him into the Wales squad, James already knew his answer.
"I was pretty ecstatic," he said.
"I had to make a few phone calls to my dad and my agent, and they were pretty ecstatic as well.
"I told him pretty much the next day that, yeah, I'm going to commit to Wales."
Image source, Huw Evans Picture Agency
Image caption,
Kane James played in the Prem final for Exeter in 2026
Saturday meant far more than a Test debut.
"It [was] probably the proudest moment for my dad," he said. "My family back in Fishguard, I think that would mean the world to them."
His grandfather grew up on a farm outside Fishguard and, James says, "couldn't actually speak English until he was about 13... he's proper Welsh".
These days, wherever rugby takes their son, his mother and father are rarely far behind.
He said: "Both my parents have been to every game I've played this season.
"They came to Paris both times. My dad came to South Africa... they come everywhere."
Last weekend his father made the 7,000-mile journey to watch him pull on a Wales jersey for the first time, while his mother held a party for family and friends near Cardiff.
James replaced Aaron Wainwright - who had made his Wales debut in San Juan eight years ago - for the final 14 minutes.
There were a couple of false starts as James sprinted onto the field, only to be temporarily called back.
That typified the energy Tandy has recognised in James and his on-field cameo demonstrated why he has been identified as Wales' newest back rower. %!s()
YANTAI, CHINA - JULY 14, 2026 - Containers parked at Yantai Port International Container Terminal in Yantai City, Shandong Province, China on July 14, 2026.
Cfoto | Future Publishing | Getty Images
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China's economy in the second quarter expanded at its weakest pace since the fourth quarter of 2022, reinforcing calls for policy stimulusas an accelerating slide in investments deepened the strain on growth, while consumption stayed subdued.
Gross domestic product growth came in at 4.3% in the April to June period, data from the National Statistics Bureau showed Wednesday, missing economists' forecast for 4.5% growth in a Reuters poll, and slowing from 5% in the first quarter.
That second-quarter growth came below Beijing's full-year growth target range of 4.5% to 5%, the least ambitious goal in decades, amid tensions with trade partners, including the U.S. and the European Union, and sluggish domestic demand.
Given the disappointing growth, Tianchen Xu, senior economist at Economist Intelligence Unit, expects stimulus measures to be ramped up in the third quarter, including a policy rate cut to stimulate investment demand.
Urban fixed-asset investment, including real estate development and infrastructure projects, declined 5.7% in the first six months from a year earlier, worse than expectations for a 4.9% drop in a Reuters poll.
Xu attributed the steepening investment slump to local governments channeling resources into debt restructuring and a shortage of eligible projects in the pipeline. "Boosting infrastructure investment will be a key focus for stabilizing growth."
Beijing's campaign to rein in excess capacity and end bruising price wars will also weigh on private investment in the near term, said Sarah Tan, economist at Moody's Analytics.
The investment in real estate, infrastructure and manufacturing plunged 18%, 2.4% and 1.2%, respectively, according to the official data.
In June, China's retail sales grew 1%, rebounding from a 0.6% drop in the prior month and exceeding economists' forecast for a 0.1% fall. Retail sales in May posted their first monthly decline since late 2022, dragged down by tepid demand and merchants' steep discounting.
Industrial output expanded 5.3% in June from a year ago, stronger than the forecast 4.7% growth, and gaining pace from 4.5% expansion in May.
Chinese economy has grappled with a deepening supply-demand imbalance. Robust industrial production and exports tied to the global AI investment boom continue to power headline growth, even as consumption and private investment weakens amid a prolonged property downturn and volatile energy prices.
The statistics bureau noted "acute" imbalance between excess supply and sluggish demand, urging policymakers to step up "counter- and cross-cyclical adjustments."
Urban investment slumped for the first time in decades last year, falling 3.8% from a year earlier, and steepened from a 4.1% contraction in the first five months, as a prolonged property downturn and tighter constraints on local governments' borrowing hampered one of China's traditional growth drivers.
The intensity of pullback in investment has been "unprecedented," said Li Daokui, a professor of economics at Tsinghua University. Speaking at a macroeconomics seminar earlier this week, the former China central bank advisor called for a substantial expansion in government borrowing to more than double this year's planned 12 trillion yuan ($1.7 trillion) in new debt issuance.
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Economists are divided over whether the slowdown will force Beijing's hand on stimulus.
Zhiwei Zhang, president and chief economist at Pinpoint Asset Management, said the weaker headline growth is unlikely to prompt a meaningful policy shift in the coming months, with a strong first quarter and resilient exports keeping the annual target within reach.
Better-than-expected retail sales and industrial output would give policymakers "more wiggle room" on near-term stimulus, said David Chao, global market strategist at Invesco.
Exports drawing pushback
Exports remain the bright spot in an otherwise cooling economy, as the global AI buildout helps offset the headwinds from Middle East conflict.
Surging tech-related imports also point to a deepening AI infrastructure cycle at home, said Chao, with autos and consumer goods adding momentum.
The export strength, however, is straining ties with trade partners. China's surplus with the European Union widened 24% in the first half, according to Larry Hu, chief China economist at Macquarie, driven by machinery and vehicle shipments.
"Despite a three-month trade truce, the growing surplus keeps the risk of a China–EU trade conflict elevated," Hu said.
Income squeeze
Reflecting the two-speed growth in labor market, workers at companies with overseas revenue were more upbeat about their job prospects than those at domestically focused firms, according to Morgan Stanley.
Pay cuts remained households' top concern, the bank estimates, lowering income growth over the next 12 months to about 5% from its previous forecast of 5.8%.
Chinese urban unemployment rate, which excludes those who leave cities for rural areas, remained steady at 5% in June. The leadership is targeting an unemployment rate of less than 5.5% over the next five-year period.
A separate survey conducted by Li's team, that counted people who have been jobless for the past two years and are no longer covered in the official labor force survey, showed China's broad unemployment rate at a much-higher 10.2%. More than half of the roughly 24 million long-term unemployed are aged 16 to 24.
Youth joblessness has been a particular sore point for official statistics. Beijing had discontinued the youth unemployment rate in 2023 after it surged to a record 21.3%, before reinstating it months later under a new methodology and at a lower rate.
The youth unemployment rate fell to 15.6% in May, the lowest level in nearly a year. %!s()
Earle said that she’s ready to talk about her public feud with the Call Her Daddy host
Alix Earle is taking her public feud with Alex Cooper to Netflix.
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Last year, Earle abruptly exited Unwell, Cooper’s media network, after only two years with the company. The two social media powerhouses have since danced around what exactly led to their fallout, and in April, the Call Her Daddy host called out Earle over her “passive-aggressive reposts” online. While Earle teased that she’d address the issue, nothing concrete has come to light.
Now, Earle is ready to talk. In an interview with Time magazine published Tuesday, Earle confirmed that she’ll discuss her spat with Cooper on her new Netflix reality series, Earle Meets World, which is set to release in the fall.
“It’s something I’m going to talk about on the show,” Earle said. “That was one of the things in the beginning they wanted me to talk about, and I really wasn’t comfortable sharing,” Earle added. “Then everything unfolded the way it did while we were filming. There was a serious struggle behind the scenes of emotions, and my family showed up for me. Those moments that sometimes seem so fun for people online, but are hard behind the scenes — I am happy that we were able to capture that.”
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After exiting Unwell, Earle had a massive year, appearing on Dancing with the Stars, expanding her TikTok and Instagram followings, and in March, launching her own skincare line, Reale Actives. The brand made $1 million in sales within the first five minutes of its debut, and sold out by day’s end, per Time.
Cooper has similarly thrived. Call Her Daddy has continued to feature stars across multiple industries including Michelle Obama, Hilary Duff, and Zayn Malik. As Cooper expands her Unwell empire, she is also set to roll out four new shows on YouTube, including a reality competition series, a microdrama, and a docuseries on the Met Gala. She most recently hosted the 20th-anniversary Hannah Montana special with Miley Cyrus. %!s()
Image source, Huw Evans Picture Agency
Image source, Huw Evans Picture Agency
Image source, Huw Evans Picture Agency