tv Inside Out BBC News March 16, 2019 12:30am-1:00am GMT
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hello, this is bbc news. minister 's asked for a change... that is police commissioner mike i'm ben bland. our top stories: bush there with. .. the main suspect in the killing of 49 people in new zealand has that is police commissioner mike bush there with... said that was an update from the new zealand police appeared in court, commissioner mike bush. he explains charged with murder. further charges are expected. that the 28—year—old man will be remanded in custody until the fifth siren of april, there is an investigation new zealand's prime minister ongoing, he said, that the charges vows to change the country's gun that the suspect faces will then be laws, after it's revealed the weapons used in the attack decided by about investigation. he were obtained legally. gave his thanks to religious leaders, he said arms had travelled he, under that gun licence, there to christchurch to offer was able to legally acquired the guns that he held. support to those of the dirt by the that will give you an indication of why we need to change our gun laws. incident ima —— imams. he also paid the city of christchurch is in mourning, coming together to lay flowers for the victims. to be to his staff and the police many sports and social events cancelled. service, they put themselves in danger, he said, and the intervention may very likely have saved the lives, we have further details on when they apprehended the suspect, he said that he was not willing to be arrested, and there was live audio of it coming into the command centres of the present was non—compliant and said there were provided explosives devices in the
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vehicle, firearms in the vehicle, and he said that staff put themselves in danger had stopped the community coming to further harm. you are watching bbc news. now, it is time for inside out and this is natalie grey. each we will miss his noise, his laughter and his compassion for life. the anger about a cult leader in the west country. i think he is a cruel man with cruel intentions and thatis cruel man with cruel intentions and that is all i have to say. i genuinely think he is a monster. and we try out the dma app that gives you a red or green light when you are food shopping. going on my results i don't think i would be
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able to have pie or a blt that i actually can. i am naturally gram and this is inside out. hello and welcome to the programme. one year ago a 21—year—old man from tunbridge wells died after developing sepsis. had the hospital screened him sooner for the condition he may have survived. now his parents have been invited back to the same hospital to find out what has changed. we will
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miss his noise and his passion for life. in every way our lives are diminished and poor are now. it all began in the early hours of march the 16th 2018. tim had a high temperature, raised heart rate and was vomiting violently. he was driven to tunbridge wells hospital by his mother. this he told me in the morning that he thought he was dying when he was in the hospital. and he said to me, "mummy, i'm not going to get through this." at about 7:30 in the morning, he was still very poorly but a young doctor came to see us and said that the initial bloods they'd taken seemed fine and, although he was unwell, they thought it was just a virus, so they were going to discharge him. tim was discharged but, that same day, he started to feel worse and was taken back to tunbridge wells hospital. he couldn't walk, stand or sit up. gavin received a text message from his wife.
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to get that text, "get here fast," i knew what that meant. doctor after doctor started appearing, surgeons, anaesthetists, icu people, nurses out of nowhere. we promised him he'd be waking up and that all four of us would be gathered at his bedside. the last words we exchanged with him were a lie because we couldn't say goodbye. and then the decision was made to turn off the machines because they had been unable to get a response for more than half an hour. and then we were allowed to stay with our boy quietly for as long as we wanted. sorry. tim had a virulent strain of meningitis and, in trying to fight off the infection, he developed sepsis, which led to organ failure.
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so, sepsis is the way the body responds to an infection, so it's always triggered by an infection. it might be something as simple as urinary infection, a chest infection or even a cut or a bite or a sting. but in sepsis, the body's immune system goes into overdrive and if we don't stop it, that causes damage to the organs. sepsis kills an estimated 52,000 people every year in the uk, more than bowel, breast and prostate cancers combined. john mccarthy survived sepsis but lost a leg to the condition. we have so much proof, and so much anecdotally, where people are going in, and such as myself, being sent away then going back a day or two later suffering life—altering injuries or even losing their lives. meanwhile, gavin and fiona wanted to know exactly what happened to tim. but it was only last october — seven months after his death —
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when the answers were made public. a young man who died after being sent home from a kent hospital, despite telling doctors that he felt that he was dying, would have survived if he'd been properly assessed, a coroner has ruled. it was only five or so years ago that i was working as a doctor at medway hospital. and back then, we knew what sepsis was but awareness was nowhere near as good as it is now. so it leaves me wondering, how could this have happened? and what's the trust doing to stop it happening again? questions i put to drjames macdonald of the maidstone and tunbridge wells nhs trust. when he arrived in a&e, he was triaged. he had some subtle signs of infection. he had a temperature and mildly—raised heart rate and a slightly low blood pressure. as such, we failed to screen him for sepsis. had tim been screened, would he have been treated sooner? most likely yes.
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he would have triggered as potentially having sepsis and had we followed our own pathways, he would have had intravenous antibiotics within an hour and intravenous fluids, and it may have changed the outcome. since tim's death, the trust says it has vastly improved its screening rate of patients displaying signs of possible sepsis and is now using a revised check list to help it identify the condition earlier. if they look sick or if they've got a high temperature or their physiological parameters are abnormal, then they go into the screening. before addressing the trust's board, gavin, fiona, and tim's brothers nick and alex, are back at tunbridge wells hospital to see a sepsis training session in action. we're going to listen to your chest and a few things like that, if that's ok? today's patient isjessica — a mannequin whose blood pressure, heart rate and even voice can be controlled from an observation room. i feel terrible. i'm not feeling well at all. they're progressing into the sepsis pathway now.
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we're a little bit worried about your chest at the moment, jessica. is your breathing feeling any better or any worse? i'm really dizzy. i'm just going to lie you a little bit flatter. you can see now the stress levels in the room are sort of amping upa bit. i'm just going to pop another needle in the other side. we need to give you lots of fluid. so the guys in there are feeling quite stressed now. the event itself was obviously very difficult to watch but i get comfort from knowing that they are escalating their training on sepsis and it did feel very real in there. here in maidstone, it's nearly time for the masons to address the board — those overseeing the work of the trust. has it done enough to prevent a repeat of what happened to tim last year?
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what more does it need to do? gavin and fiona are about to make their views known. gavin mason tells the board that, initially, the trust didn't admit its failings, following an early investigation into what happened to tim. after numerous excuses, the report was finally emailed, 111 days after tim died. it was as we had feared, a distressing whitewash with missing statements from key staff and supposedly an independent conclusion that the hospital bore no responsibility for tim's death. gavin says he was later informed that the trust had accepted liability. our solicitor received a letter from trust solicitors. in it was medicaljargon and legaljargon. but for us, there were three headings that said it all. admission of liability, breach of duty admitted, causation admitted.
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fiona mason wants changes to how patients are assessed, and how the trust communicates with them and their families. throughout this statement, we have tried to remain as composed as possible, trusting that the transparency and change is genuinely desired by the trust, as you have told us, even while it has not always been evident. thank you for listening to us. thank you for that. i think i speak for the board in saying there's a lot of shocking stuff in there. i was aware of some
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of it but not all of it. please be assured that myself and the other members of the board will pick up all the points you've made, give them serious consideration. the board has discussed tim's death before but it's a chance to say publicly how sorry we are. the board assures the masons that changes have already been made to how patients are assessed and treated in a&e. afterwards, i caught up with gavin, fiona and tim's brother, nick. do you think that's enough, or do think more needs to be done? it's not enough. it's more than half way though and it's a very positive step in the right direction. it does need further work but they do seem open to that. the trust and the masons say they'll continue to work together to help other families.
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some families have told us about losing family members to a cult. titherington. summerset. population 268. a quiet hamlet newf room. or is it? in the last ten years it has become home to a cult. its leader is a former bankrupt tennis coach who lives in australia and is now a millionaire. we have been told the colts with the families. he teaches that people are sexually abused because of what they did in a past life. if you have been sexually abused then
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he teaches that alien like creatures seek out there have vulnerabilities by smelling us. you could be in a train ora bus, by smelling us. you could be in a train or a bus, you are being smelt all the time. welcome to the strange and weird world of universal medicine. this woman was 12 when she said her mother moved to somerset to follow universal medicine. what is your earliest memory of your mother ‘s involvement? your earliest memory of your mother 's involvement? one of the main things i can remember was turning everything anticlockwise because if you did not then you would let entities in. it was like cooking food had to be done anticlockwise, things like that, turning handles and doorknobs... things like that, turning handles and doorknobs. .. also things like that, turning handles and doorknobs... also taking your shoes off when you go into the house because otherwise you will walk in entities. my mother started burping
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ridiculously and my father want to know what i was doing. and she said she is burping up that spirits. how could you say that and how could anyone believe that? it is ridiculous. search hit the headlines when he sued a former patient and lost. this woman claims he touched her. ajury lost. this woman claims he touched her. a jury found in lost. this woman claims he touched her. ajury found in herfavour saying it was true to call universal medicine is socially universal —— harmful cult. he also found that serge exploited patients and persuaded followers to shun love ones who would notjoin his cult. concert in ‘g and perverse and reticent about his wife and daughter away from him. my daughter changed stride away, she did not want to
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acknowledge father's day she could celebrate my birthday any day of the year. —— jordan said universal medicine took his wife and daughter. so how did she change the way she was towards you, how did you feel? heartbroken. i really miss my daughter, i really do. anybody who contradicts what they say, they are basically told to shun, shun away and not to mix with them. no—one questions surge. he is a, you know, a guru, questions surge. he is a, you know, aguru, a questions surge. he is a, you know, a guru, a god, what have you want to call him —— serge. a guru, a god, what have you want to call him -- serge. we have discovered he comes to southern said 2ic here to teach workshops to his followers here at the lighthouse we re followers here at the lighthouse were universal medicine's european headquarters is based. it is a a—star bed and breakfast with conference facilities, a cafe, and an indoorswimming conference facilities, a cafe, and an indoor swimming pool, all thriving businesses in their own
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right that visitors would not work inato right that visitors would not work in a to serge —— universal medicine. and they are open to the public can set on a beautiful 3a acre site. this is simon williams, the managing director of tlighthouse and he has also the president of freedom chambers of commerce. he did not wa nt to chambers of commerce. he did not want to be interviewed but we chatted off—camera. and i pushed him on his involvement in universal medicine. he at first would not tell me medicine. he at first would not tell m e exa ctly medicine. he at first would not tell me exactly is going on. and... the police said the lighthouse had called them and after a short conversation, we continue with our filming. i spoke to simon, he told me he feels that this is being a media witch—hunt against him. when i asked him if he was involved in universal medicine, he did not a nswer universal medicine, he did not answer the question, he would not tell me. i pushed him further and eventually he admitted he is a follow—up of universal medicine, that accrue to is a great friend of his who he loves very much and that
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the court ruling in australia is totally untrue, in effect is true, and when i started to question him on five serge's the leafs around disabled children and vic is a sexual assault, he refused to answer it and that the pointy outlet allegiance of the conversation was finished. serge has always denied running a cult and any wrong doing. to the families who have not seen their loved ones for years, it is clear that they end of serge and universal medicine.|j clear that they end of serge and universal medicine. i think serge is a cruel man with cruel intentions, and that is all i have to say. i genuinely think he is a monster. rachel stonehouse reporting, and since we made the film, simon williams has resigned from the froome chambers of commerce. now, the nhs may have a new tool up at
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live to help us live copy lives. researchers at imperial college london have been trialling a new app the patients with type 2 diabetes. it uses their dna samples to help them choose what food to eat. inside out has been following one family as they put the new technology through its paces. here is sean fletcher. meet the crown spencer family. i'm andrew, i'm 48 and i now run a security company. when i was in the fire service 21 years ago, i underwent quite a traumatic experience will stop we were trying to extra ct experience will stop we were trying to extract someone from a car and while i was lifting it, i tore my aorta. andrew underwent life-saving surgery aorta. andrew underwent life-saving surgery and was given an artificial heart valve. it is important to stay healthy. i am charlotte, i'm 19, i am at healthy. i am charlotte, i'm19, i am at the university study equine
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science. when i was about five or six was diagnosed with a hole in my heart and then it got quite big and i had to have an operation to fix it. i was trying to stick to foods that are healthier because i don't wa nt that are healthier because i don't want any other strain on my heart.|j am sam,| want any other strain on my heart.|j am sam, iam want any other strain on my heart.|j am sam, i am 44, almost 45 years old, iam a mum am sam, i am 44, almost 45 years old, i am a mum and am sam, i am 44, almost 45 years old, iam a mum and a am sam, i am 44, almost 45 years old, i am a mum and a wife and i am behind the scenes keeping everything running smoothly. i try to keep active but i have always struggled losing weight. health is important to the family. they have agreed to trial a new up that uses your own dna results to select the best food choices —— app. dna results to select the best food choices -- app. charlotte and andrew have quite serious health issues. you want to make sure that you give them the best chance at preventing anything further from happening and this gives us that option. today, sam, andrew and charlotte have come to imperial college to meet the man
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behind the app. dma merges a way to people make very small changes to their nutritional choices, not changing their behaviour dramatically, but giving people more choices within their natural behaviour. so it isn't saying eat ba na na instead behaviour. so it isn't saying eat banana instead of a biscuit. you can still eat a biscuit. but this is the better biscuit for you based upon your dna. the first step of the family is to take a dna test. what i have taken your family is to take a dna test. what i have ta ken your swabs, family is to take a dna test. what i have taken your swabs, insert your swa p have taken your swabs, insert your swap into this thing called a dna cartridge. what it does is it extracts from the swap purified dna and then, your dna is spread over these wells, there are 96 wells on this little chip here. we're not looking at your full this little chip here. we're not looking at yourfull gene this little chip here. we're not looking at your full gene home. this little chip here. we're not looking at yourfull gene home. we arejust looking at yourfull gene home. we are just looking at particular propensities to various medical conditions which we feel that nutrition will have high impact on.
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and after ten or 15 minutes, your entire dna gets transported to that capsules. the work of all of those people and in your laboratories and you can do it in that one little machine. it is pretty amazing. so how can these dna results help us make better food choices? how can these dna results help us make betterfood choices? geneticist doctor maria carvalho is the scientist behind the app. you cannot change your genetic sense dna but you can adjust your environment and also improve your health i making the right choices and this is what the right choices and this is what the app is aiming to do. help people make sustainable choices. there are a small changes in diet, you switch from this chocolate and chocolate. but in the long run, it can have a significant impact. once the capsule
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is loaded with the results, it is worn on the bracelets that syncs with an on your phone. now for the moment of truth. it is result time. let's look at your results. you have lots of green. but his pretty good. there is almost perfect genes. read at all, a couple of medium, salt sensitivity, it is not higher, it is actually medium. basically due should be as fit as a fiddle. your genes are pretty good. you have made my day. next up, charlotte. more green, fantastic, you are identical to your dad. the only one that you are very high on its salt sensitivity. just means you have to be very careful of salty, faulty products. your turn. but will sam be pleased with hers? well, ok, interesting. ok! so you seem to have a lot of red. a lot of red. oh! oh
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my word! well, when i got my results, i opened up the app and basically i saw red. i have got a high sensitivity trigger which means i have a high chance of developing type 2 diabetes. salt, fat, carbohydrates. obesity. but it is actually better to know. with the app loaded the family is ready to shop. too much salt! each barcode gives the product green or red light depending on your own dna. gives the product green or red light depending on your own dnai gives the product green or red light depending on your own dna. i am fine with that. if it is read, you get an alternative that is better for you. a better option. what we like about this app if it is ever so easy, red or green, this app if it is ever so easy, red orgreen, it this app if it is ever so easy, red or green, it tells you the point that you are making the decision based on your own dna, which of those choices is better or worse for
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you. but can you really predict that accurately which routes are good for you? we show the app to consultant geneticist doctor francis helmsley. these applications are these stage i would say are too early, too early to individually predict risk for a particular individual. the science behind it has been based on population. and it is difficult to move from science that has been generated in populations down to a single individual. more research needs to be done but trials using the app are already under way with the app are already under way with the nhs using pre— type ii diabetes and mental health patients.“ the nhs using pre— type ii diabetes and mental health patients. if you have a serious mental illness in this country, you are likely to die approximate the 15 years earlier, quite often the reasons for that premature mortality is because of cardiovascular problems, hypertension, diabetes. if patients
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at risk of these chronic diseases are shown to benefit from this app then we could see gps prescribing then we could see gps prescribing the technology. you could imagine a world where the gp says "why don't you were one world where the gp says "why don't you were one of these". that one is fine for you and charlotte but not me. another feature is families can link their results. i love that when igo link their results. i love that when i go shopping, i can make sure that lam making i go shopping, i can make sure that i am making the right choices for all three of us. so what choices have the family made based on the app? i can eat things like pizza and prepacked curries, whereas sam cannot eat anything like that at all. going on my results, i didn't think i'd be able to have pie or a blt but actually, i can. the important thing is it is the nudging that comes in so for example with the pie that she was allowed to have, saturated fat was slightly
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lower than the other pie that she could not have. it is actuallyjust making small changes but you can eat the best of the junk. as long as you use it with a degree of scepticism, you consider your other risk factors andi you consider your other risk factors and i would regard it as a bit of fun, to be honest. you can have a little bit of that but not too much. it makes you more determined because you know that is actually your dna, it is unique to you. at first i thought it would be a gimmick but no, every time you get a packet, you are tempted to scan it with the app and see exactly what is in it. it will be something that my generation will be something that my generation will use, i think it will motivate me more to stick to stuff that is healthy. sean fletcher reporting. that is if this episode of inside out and thank you for watching.
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goodbye. hello again, the potential of some disruptive weather today, with the because of heavy rain, strong winds or the threat of hill snow. we have seen or the threat of hill snow. we have seen this very low pressure race towards our shores and that will continue to push its way in. we will see heavy rain already in northern ireland which could cause on to issues of localised flooding, the rain woa kes into issues of localised flooding, the rain woakes into england and wales we re over rain woakes into england and wales were over the pennines, the high ground of wales because the 40—70 millimetres that's 100 in places bringing the risk of localised flooding. it follows the rain there will also be strong winds, gusts the england and wales reaching 40—50 maybe even miles an hour, and in the
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risk of disruption. although it stays mild in england will further northwards in northern ireland in scotla nd northwards in northern ireland in scotland is cold, cold enough for some storage there will be some significant snow in the hills of scotla nd significant snow in the hills of scotland above 2— 300 metres elevation we could see ten centimetres fall, the heaviest note the north of the central belt. whether it is because of heavy rain or hill snow or strong wind, the risk the risk of some disruptive weather.
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