tv Meet the Author BBC News April 15, 2018 7:45pm-8:01pm BST
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temperatures. and that's it, the final day of the commonwealth games is over. the gold coast may be more than 10,000 miles away, but it has been a home from home for the home nations. looking back and looking at the medals table, reasons for everybody to be cheerful. the australians are happy they topped the table unlike four years ago when they were second behind england. they wanted to get more gold medals than all the home teams put together and they did that, but scotland and wales can celebrate their best ever away commonwealth games, and england will be happy with second and 45 gold medals, and 45 gold medals, especially with that one in the netball to end things. and then throw in northern ireland's new pommel horse champion, and a silver medal for the isle of man, and most of the home teams go back with something. now the baton is passed to birmingham, and in four years‘ time the 22nd commonwealth games in 2022. daniel ricciardo, what a chaotic
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grand prix, after his team—mate crashed into a title contenderfor a second no one expected to see daniel ricciardo when the chinese grand prix. he was lucky to qualify sixth after the engine on his red bull blue in final practice and had to be replaced. the moment that shook up the shanghai circuit came on the 30th lap. the car is tangled, the safety car came out, and the red bulls came in with fresh tyres. mercedes and sorority had been fighting for a victory and got caught out. when the action resumed, ricciardo rocketed up the field. his red bull charging from sixth to first in the space of ten thrilling
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laps. while his fight was seen, his team—mate was penalised for taking out sebastian vettel. fourth—place ended up going to lewis hamilton. sebastian vettel, who started from pole position, could only finish eighth. what was shaping up to be a two horse championship has been shown wide—open thanks to red bull. saracens have confirmed a place in the provision play—offs after a resounding victory over bath, beating them 41—6. it ended bath's hopes of making the play—offs. this interception try secured the bonus point. exeter beat london irish 45—5 to wina point. exeter beat london irish 45—5 to win a home play—off semifinal. it leaves irish nine points adrift at the bottom of the table with just two games remaining. just a reminder, manchester city are premier league champions of 2017 — 2018 after manchester united lost at home to west brom this afternoon. it's likely to be a record—breaking
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season it's likely to be a record—breaking season from city, while we have not heard from pep guardiola yet, if we had, we imagine this is what he might have said. congratulations, what are your first thoughts weres we're happy. so happy. we're so happy. i we're happy. so happy. we're so happy. lam we're happy. so happy. we're so happy. i am so happy. we are so happy. i am so happy. we are so happy. 0f happy. i am so happy. we are so happy. of course, we are so happy. we are so happy. i was so happy. happy. of course, we are so happy. we are so happy. i was so happylj doubt he is the only one. bye for now. how little we know still about the brain. suzanne 0'sullivan is one of our leading neurologists, and she's called her new book brainstorm: detective stories from the world of neurology. the investigation of strange symptoms, puzzling behaviour by patients, the hidden secrets
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in the wiring that makes us who we are. it is a book about medical science, but much more than that about people, their personalities, their behaviour, their brains. a journey of discovery where many of the answers are still tantalizingly elusive. welcome. you say in the book at one point that neurology sometimes doesn't feel very scientific, because you're actually trying to think of the person and not the mechanism that is the brain. yes, that's right. i think that it's very surprising how little we actually know about the brain. up until the end of the 20th century, we didn't even have a mechanism by which we could look at how the brain was arranged or how it worked.
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so we had scans that showed still pictures of the brain, but they don't show you anything at all about how the brain is organised. we are really in the infancy of neurosciences in some ways, and also then, you are taking a person's in the context of their personal experience, and that requires a lot of listening and lot of detective work to try and understand what you're being told. i love that phrase "detective work", which you use in the title, because what we have here is a series of stories about patients — obviously not their real names — who were exhibiting puzzling symptoms, slightly weird symptoms. they see things or they behave in a strange way that they can't explain, and you've got to start to work out what's going on from ground zero. yeah. absolutely, and i think that's something that is wonderful about being a neurologist is that you're listening to your patients' stories, and if you can hear the symptoms properly, that will actually take you on a journey into their brains in order to try and get an anatomical understanding
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of what's going on. without knowing it, they're often performing a self—diagnosis. well, they are telling you what's wrong with them if you can just listen clearly enough, especially people whose symptoms are fleeting, and you're relying upon their language and the way they tell the story for you to try and figure out what's wrong. well, let's give readers a flavour of this. you tell the story in here of a man who gets from time to time, fairly irregularly, goose bumps on his arm. and then they go away. he can't work out what's going on, nor can you. this was when you were a relatively young doctor. and the consultant said, "well, have you scanned the brain?" and the discovery was that there was a brain tumour which was causing this, so the thing you see and what's going on inside are miles apart. absolutely. so if you have a problem in your arm, what you have to be able to do as a neurologist is to track that anatomically. that problem in your arm may not exist in your arm. it could be a problem in your neck, it could be a problem in your brain, and the quality of the symptoms and the way they behave are the clues as to where exactly
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the process is happening. and you're learning all the time, because there's a new one coming along every minute, i assume. well, precisely. because if you think of all the brain does when it's healthy. so a healthy brain sort of creates art, orfalls in love, or cries or it does maths, and therefore, everything that your brain does when it's healthy can go wrong when it's unhealthy. and symptoms can occur in any possible combination, which means that people with brain diseases can have almost any combination of symptoms. well, give us an illustration. there are some wonderful ones in the book of the kinds of things that can happen that ordinary people would find inexplicable. yeah, so one of the people that i talk about is a young woman called august. so, august has had something very bizarre happening to her since she was about 16 years old. she gets these really odd running attacks. so most of the time, august is perfectly well, but once or twice a week, she suddenly bursts into a run that is utterly outside of her control. she has no idea where she's going or how long she will run for. it stops, and she's back to normal again.
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that's the entire breadth of her disability. it's incredible how much it destroys her life, because if it happens in the street, she could run in front of a car. if she's upstairs, she could fall downstairs. so although it only takes up two minutes of her week sometimes, it has been utterly life—destroying. and trying to do something about that is extraordinary difficult, because that is a one—off. yeah. i mean, with regards to brain disease, we really are very poor at healing the brain at this point. i hope there will be great strides in the nearfuture, but at the moment, we can't make people better and we're trying to teach people to live with disabilities that we've never met before, and that's very challenging. but i sense that you love that moment when you confront someone for the first time — or they confront you, rather — and you're trying to work out what's going on, how are they reacting to it, what's it doing to them? and starting to put two and two together. yes, well, i meet people who have very, very odd stories to tell.
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so for example, a young woman who keeps losing balance every time she tries to move. so she's perfectly well when she's sitting still. when she tries to move, she loses all the tone in her body and collapses to the ground. now, i as a doctor never encountered anything like that in medical school or in a textbook, so to unravel that mystery and figure out why that's happening to her, you know, it's a great relief to her and i to be able to understand that. and there's a man with cartoon characters in the book. tell us about him. yeah. yes, so this was a man who very abruptly, usually perfectly well, he began seeing the seven dwarfs crossing the room. and the whole thing only took a minute or two and it only happened a small number of times per week. it happened for the very first time in a very stressful situation, and i had never heard a story like this before. you know, certainly people can see, have hallucinations, but such lucid hallucinations in a mind of an intelligent, orientated person... yes, and it's not as if he was on drugs or had been drinking or whatever.
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he was just perfectly normal. yeah, it was very bizarre. i'd never heard a story like it before and it transpired that he was having little epileptic seizures arising in a part of his brain important to both memory and imagination, and those seizures were producing a hallucination. and it was the same one each time? yes, and that's a feature of brain disease and seizures is that they tend to be stereotypes. you get the exact same thing every time. and that's where the clue, the biggest clue lay. i couldn't read this without thinking about, you know, second sight and apparitions and all the paranormal stuff that, you know, people can argue about until the cows come home. but in human history, you can sense how people who've had visions may simply have had the kinds of conditions that you are still, in the 21st—century, trying to understand. yes. well, there's nothing a neurologist likes more than to make retrospective diagnoses, going back hundreds or thousands of years. so we do love to blame apparitions. i mean, many people have tried
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to attribute joan of arc‘s experience to hallucinations related to epilepsy. lewis carroll is said to possibly have suffered with epilepsy, and certainly had migraine. and there is a syndrome called alice in wonderland syndrome which is attributed to his epilepsy. and you think that maybe the kind of imagination that produced that extraordinary work may have come from activity in his brain which wasn't simply an intellectual working out of a story but something medical. well, people have a very unique experiences during epileptic seizures. and i once heard a journalist describe his feeling during a seizure as if he took the toy box of his brain, threw it in the air and it came down, and bits of lego had combined with a rubik's cube, so that he'd created something utterly new that he would never have thought of in any other state. so it's possible it has a creative influence. finally, it must be a wonderfully rewarding field of medicine to be in, not simply because you're dealing with people at a very high
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level in terms of their experience, but you're also discovering something new everyday. yes, i still see things every week that i never thought i would see and that are astonishing to me, and i work with patients who overcome things i never thought i would encounter, so it's astonishing all the time. suzanne 0'sullivan, author of brainstorm: detective stories from the world of neurology. thank you very much. thank you. good evening, a super sunny day for the north of scotland, but outbreaks of rain stretching out from the south—west. into northern ireland, north—west england and scotland, a fairamount of north—west england and scotland, a fair amount of cloud preventing temperatures from falling too low.
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nevertheless, a damp start on monday morning. 0vernight temperatures 5—9. the rain will ease to the north and will have a quiet start to the working week. the cloud should break up, sunny spells coming through, highest values around 11—15. by the end of the afternoon the wins will strengthen, the arrival of some wane. gale—force winds spreading through northern ireland and scotla nd through northern ireland and scotland through jooste, through northern ireland and scotland throuthooste, but once that clears, through the week temperatures are set to climb. we could see high temperatures of 25 by the end of the week. super and sunny for all. this is bbc news. the headlines at 8pm: the us prepares for new sanctions against russian companies with links to president assad of syria and his use of chemical weapons. the government say it has no plans forfurther air strikes —
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amid deep divisions with opposition parties over syria. i can only think of involvement if there is un backing. there is only one thing to do, to deter the use of chemical weapons there is one overwhelming reason why this was the right thing to do, and thatis this was the right thing to do, and that is to deter at the use of chemical weapons, not just by that is to deter at the use of chemical weapons, notjust by the assad regime but around the world. one week on from the alleged chemical attack — we speak to one of the children caught up in the fighting in douma.
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