Thumbs up, or should I say toes up, to James Byrne from Bristol, who accidentally sawed his thumb off. After a successful operation, he has had it replaced by his big toe, the Daily Mail reports. And I bet My Byrne swore quite a bit when the accident occurred, which according to research is a very effective way of beating pain. The Telegraph and Daily Mail report this revelation, but point out spewing profanities is most effective if you don't curse too often. At least, though, Mr Byrne can now lift a cup of coffee with both hands, but which coffee should he choose? After reporting the medicinal benefits of coffee and caffeine last week, the media is turning on the brown beverage today. The Mail, Telegraph, Guardian and BBC warn that pregnant mothers face a miscarriage risk from excessive coffee consumption. The warning comes after an analysis of espressos from 20 coffee shops found the amount of caffeine they contain varies massively. Despite security fears, all patients will be able to access their medical records online by 2015, the Telegraph reports. The announcement, writes the Telegraph's medical editor Rebecca Smith, was buried in documents released ahead of the Chancellor's Autumn statement. And, before we move on to World Aids Day, a quick note on yesterday's topic of reaching old age from the Telegraph. The paper writes that puzzles, bowls and singing can all help halt dementia. It has been 30 years since Britain's first Aids patient was diagnosed, writes the Telegraph, marked by World Aids Day. And while there have undoubtedly been dramatic improvements in detection, prevention and treatment, millions are still at risk, the Guardian writes, as the Global Fund nears collapse. But, more positively, research now suggests that the HIV risk to patients from infected health professionals is "extremely low", the Guardian reports. The Telegraph writes that, as a result, HIV-infected doctors and dentists may be allowed to work in the NHS. The Independent sums up the fight against Aids with this headline "World Aids Day: Victory within reach - but cuts could spoil it all".