0:00:02 > 0:00:06What would a doctor discover if they lived with you 24 hours a day?
0:00:06 > 0:00:10- Hello.- Hello. - Come and meet the doctor.
0:00:10 > 0:00:13How much would you be willing to reveal?
0:00:13 > 0:00:17I'm scared that I may get bullied for how I look and my weight.
0:00:17 > 0:00:19I feel like I'm drugged.
0:00:19 > 0:00:21But Nicola, you're right, you are drugged.
0:00:21 > 0:00:23Would they be shocked by what they find?
0:00:23 > 0:00:28Nobody's explained to her in language that she understands
0:00:28 > 0:00:30how to manage her condition.
0:00:30 > 0:00:32It's not acceptable.
0:00:33 > 0:00:37Most GPs only get about 10 minutes with each patient.
0:00:37 > 0:00:40Dr Rangan Chattergee wants to try a different approach.
0:00:41 > 0:00:45All the time in my consultation room I'm seeing problems that are
0:00:45 > 0:00:47lifestyle problems, and they don't need a pill,
0:00:47 > 0:00:49they need a lifestyle change.
0:00:50 > 0:00:53He's about to spend time with families who struggle with
0:00:53 > 0:00:55their health.
0:00:55 > 0:00:57Everything I've tried has basically failed.
0:00:57 > 0:00:59SHE SOBS
0:00:59 > 0:01:03He'll gain insight into every aspect of his patients' lives.
0:01:03 > 0:01:05How do they eat? How do they sleep?
0:01:05 > 0:01:08How do they move and exercise and how do they sort of switch
0:01:08 > 0:01:09off and relax?
0:01:09 > 0:01:11He'll detect undiagnosed illnesses...
0:01:11 > 0:01:15It probably puts you at high risk of early death.
0:01:15 > 0:01:17..deliver some home truths...
0:01:17 > 0:01:19I think this fear is holding you back.
0:01:19 > 0:01:22Please don't turn it into... this is a...
0:01:22 > 0:01:24This is because I'm mentally fearful.
0:01:24 > 0:01:28..and discover ways we could all live longer, healthier lives.
0:01:29 > 0:01:32It's amazing how many times, when you get those basics right,
0:01:32 > 0:01:35all the other problems get so much better.
0:01:35 > 0:01:38Feeling good, energy up.
0:01:38 > 0:01:40I can even dance.
0:01:40 > 0:01:42LAUGHTER
0:01:50 > 0:01:51I've not had any lunch.
0:01:51 > 0:01:53Feed me.
0:01:53 > 0:01:56Meet the Hughes family from Macclesfield.
0:01:59 > 0:02:00Nine-year-old Ethan,
0:02:02 > 0:02:05two-year-old Sienna...
0:02:05 > 0:02:07There we go, that's my chore for the day.
0:02:07 > 0:02:11..dad Simon, who's 45 and an aircraft engineer,
0:02:11 > 0:02:13and mum Gemma, who's 34.
0:02:14 > 0:02:18For 13 years, she has suffered from excruciating headaches up
0:02:18 > 0:02:20to 16 times a day.
0:02:22 > 0:02:24Right in the back of my head at the moment.
0:02:27 > 0:02:30I want to rip my head off right now.
0:02:30 > 0:02:34It's like somebody is driving a hot poker into your eye, but it's
0:02:34 > 0:02:35in the back of my head as well.
0:02:35 > 0:02:37There's no pain that...
0:02:37 > 0:02:40I mean, I've given birth twice and it doesn't even compare.
0:02:40 > 0:02:43You eat that and look after your sister.
0:02:43 > 0:02:45Doctors have diagnosed her with a condition called cluster
0:02:45 > 0:02:49headaches, sometimes referred to as suicide headaches, because the
0:02:49 > 0:02:52pain is said to be the worst that any human could experience.
0:02:54 > 0:02:56Let's have a look.
0:02:58 > 0:03:00SHE SOBS
0:03:14 > 0:03:18- Go away.- I'm trying. - Please go away.- I'm trying.
0:03:20 > 0:03:23Come on, get some deep breaths.
0:03:27 > 0:03:29Come on, big breaths.
0:03:30 > 0:03:34With a two-year-old to look after, Simon can't always stay with Emma.
0:03:34 > 0:03:36Come on, there's a good girl.
0:03:36 > 0:03:39So nine-year-old Ethan steps in to comfort his mum.
0:03:39 > 0:03:42Gemma has seen countless specialists,
0:03:42 > 0:03:46but no-one knows what is causing the attacks.
0:03:46 > 0:03:48Could be five minutes, could be 45 minutes.
0:03:48 > 0:03:50Every single one is different.
0:03:50 > 0:03:52Just painful to watch.
0:03:54 > 0:03:59It's sad. That the...you know... What is causing this?
0:04:03 > 0:04:07I don't remember Ethan ever reacting badly.
0:04:07 > 0:04:10He's never really said it, but I know it bothers him.
0:04:10 > 0:04:13If these attacks didn't happen any more,
0:04:13 > 0:04:15it would probably change my life forever.
0:04:17 > 0:04:19Thanks, mate.
0:04:20 > 0:04:25She would be able to do more, take me to more places, she wouldn't...
0:04:25 > 0:04:28So, like, football, sometimes she has to leave because of her head
0:04:28 > 0:04:31and go to the car. And if she didn't have to do that,
0:04:31 > 0:04:34she could stay for the whole time and it would be loads better.
0:04:34 > 0:04:35Mummy.
0:04:35 > 0:04:37Just as quickly as the attacks arrive,
0:04:37 > 0:04:40they are gone and life continues as normal.
0:04:40 > 0:04:44- You were reassuring your mum, weren't you?- Mm-hmm.
0:04:47 > 0:04:51Today, Rangan will meet the Hughes for the first time.
0:04:51 > 0:04:53Headaches can be caused by pretty much anything.
0:04:53 > 0:04:57I've seen stress patterns causing headaches,
0:04:57 > 0:05:01I've seen particular dietary patterns causing headaches.
0:05:02 > 0:05:05One in six of us have severe headaches on a regular basis.
0:05:05 > 0:05:08Gemma is at the extreme end of the problem.
0:05:10 > 0:05:14- Hi. I'm Dr Chattergee, nice to meet you.- Gemma. Nice to meet you.
0:05:14 > 0:05:16- Hi, Gemma. Hello. - This is Sienna.
0:05:16 > 0:05:19- Say hi.- Hi, Sienna. How are you?- Say hello.
0:05:19 > 0:05:21- Mummy!- Aawww. Ethan, hi.
0:05:21 > 0:05:24How do you do, Ethan? Nice to meet you.
0:05:24 > 0:05:27Dad Simon has just come off a night shift at the airport.
0:05:27 > 0:05:29Simon? Oh, you're there.
0:05:29 > 0:05:32Just tired. Long night. Yeah.
0:05:33 > 0:05:35- Morning, dear.- Morning.
0:05:35 > 0:05:37- Afternoon, whatever it is.- Yeah.
0:05:37 > 0:05:41Rangan will investigate every aspect of the family's lives, in the hope that
0:05:41 > 0:05:45he can find the cause and finally a cure for Gemma's headaches.
0:05:45 > 0:05:48- I'll probably be awake then, so... - You'll be awake at 2:30?
0:05:48 > 0:05:51- In the morning?- Yeah.- Oh, yeah.
0:05:51 > 0:05:53- Yeah.- Do you get headaches that often?- Yeah.
0:05:53 > 0:05:55I've always, since...
0:05:55 > 0:05:58Well, my head is worse at night, so...
0:05:58 > 0:06:01It varies, but I always say from around 11,
0:06:01 > 0:06:04midnight is kind of like when it would normally, you know,
0:06:04 > 0:06:10start, and then normally by 7:30, eight-ish in the morning, it varies.
0:06:11 > 0:06:13What do you want?
0:06:13 > 0:06:16Since Gemma's headaches arrive with sufficient warning,
0:06:16 > 0:06:19she's able to do everyday activities like cooking and driving.
0:06:19 > 0:06:23- So what have you got to do? Lots of...- Tackling.
0:06:23 > 0:06:26- I'm a taxi.- Yeah. You're a full-time taxi service.
0:06:26 > 0:06:28LAUGHTER
0:06:28 > 0:06:30That's all I seem to do is taxi them around.
0:06:30 > 0:06:33- We don't have to pay either. - You don't. Exactly.
0:06:33 > 0:06:36Mummy's a free taxi, isn't it? That is brilliant.
0:06:36 > 0:06:38- Do you work or... You must be a full-time mum, right?- Yeah.
0:06:38 > 0:06:42- Yeah.- But I'm chair of the PTA at Ethan's school, I'm involved...
0:06:42 > 0:06:45Well, I was involved with organising the Cheshire Festival here
0:06:45 > 0:06:47last year for his age group.
0:06:47 > 0:06:50- For the rugby.- Right.
0:06:50 > 0:06:53I've just done a circus the cricket club.
0:06:53 > 0:06:56I'm just doing a firework display at the moment.
0:06:56 > 0:06:59I'm getting a headache thinking about how busy you are, actually.
0:06:59 > 0:07:01Tackle him, Ethan!
0:07:01 > 0:07:02Go on, Ethan!
0:07:07 > 0:07:10She's very, very busy, and...
0:07:11 > 0:07:15Yeah, I'm just wondering how much of a role that's playing here.
0:07:19 > 0:07:23Back at home, Rangan is looking for more clues in Gemma's
0:07:23 > 0:07:24medical history.
0:07:24 > 0:07:29The only time when it was a definitive period that was
0:07:29 > 0:07:33linked to any change in you was when you fell pregnant with Ethan,
0:07:33 > 0:07:35and it just stopped.
0:07:35 > 0:07:37And then we found out she was pregnant.
0:07:37 > 0:07:39And for that whole nine months,
0:07:39 > 0:07:41and the six months she was breast-feeding, nothing.
0:07:41 > 0:07:44Well, that's really interesting to me, because pregnancy...
0:07:44 > 0:07:48Your body's immune system has to sort of change gear a little bit
0:07:48 > 0:07:51so that it doesn't reject the baby.
0:07:56 > 0:07:59Mummy... Mummy...
0:07:59 > 0:08:01Got a poorly head?
0:08:07 > 0:08:09(Hey, how you doing? All right?)
0:08:12 > 0:08:15Come on out, Sienna. Move over.
0:08:15 > 0:08:16All right, baby.
0:08:16 > 0:08:18See in here.
0:08:18 > 0:08:21Sometimes she wants me to press on there.
0:08:21 > 0:08:23Sometimes she can't bear me to touch it.
0:08:23 > 0:08:25Sometimes I've got to massage her here.
0:08:25 > 0:08:27Is it tense on one side? I'm really interested, is it...?
0:08:27 > 0:08:29- No, feel. Just feel. - Will she mind?- No, no.
0:08:29 > 0:08:31Gemma, do you mind if I just feel your neck?
0:08:33 > 0:08:35GEMMA SOBS
0:08:35 > 0:08:38Sorry.
0:08:39 > 0:08:41You feel here?
0:08:42 > 0:08:45- I know, Sienna. Where my finger is, there, now?- Yeah.
0:08:45 > 0:08:48You'll feel there's a lump there.
0:08:48 > 0:08:51Like a...like a pea.
0:08:51 > 0:08:53Can you feel it?
0:08:53 > 0:08:56That comes up when she has these attacks. Sometimes.
0:08:56 > 0:08:57It hasn't done it for a while.
0:09:07 > 0:09:09You helping Mummy?
0:09:09 > 0:09:11Hold Mummy's hand. Good girl.
0:09:11 > 0:09:14Hold Mummy's hand. Good girl.
0:09:19 > 0:09:22This attack lasts six minutes,
0:09:22 > 0:09:24but they can last up to three quarters of an hour.
0:09:24 > 0:09:26You OK?
0:09:26 > 0:09:27Cheese... Cheese...
0:09:27 > 0:09:29You want some cheese?
0:09:29 > 0:09:31You want cheese?
0:09:31 > 0:09:34- How you doing, Gemma?- Yeah.
0:09:34 > 0:09:36- Completely back to normal?- Yeah.
0:09:36 > 0:09:39- Is it just, like, quite black and white?- Yeah, yeah.
0:09:39 > 0:09:42- It's either on or it's off? - Pretty much, yeah.
0:09:42 > 0:09:44When my head's starting, my head goes on one side like that.
0:09:44 > 0:09:46I noticed that there when you were lying there.
0:09:46 > 0:09:49- Yeah, I stretch it out that way. - You tilted.- Yeah.
0:09:49 > 0:09:52- And you...- Like, to put it back that way when I'm actually having an
0:09:52 > 0:09:54attack is just...
0:09:54 > 0:09:55just wouldn't do it.
0:09:55 > 0:09:58- Can I just press on your...- Yeah. - ..trapezius muscles at the back.
0:09:58 > 0:09:59I just want to...
0:09:59 > 0:10:03- They're probably...- Sorry, can you just pop your hair...
0:10:03 > 0:10:04Thanks.
0:10:04 > 0:10:05Um...
0:10:08 > 0:10:11That's sitting higher on that side.
0:10:11 > 0:10:14- I know you've... Is that tender on that side?- No.- Not noticeably.
0:10:14 > 0:10:18I constantly feel like my back's in... Like, all my shoulder's in knots.
0:10:20 > 0:10:23Just over an hour later, another attack.
0:10:24 > 0:10:27- Oh, is she having an attack? - PAINED BREATHING - Where is she?
0:10:27 > 0:10:29Come on, let's go and have a look.
0:10:29 > 0:10:31Well done.
0:10:31 > 0:10:33PAINED GROANING
0:10:34 > 0:10:37I think this is her fourth one today.
0:10:37 > 0:10:38PAINED SOBBING
0:10:38 > 0:10:40I...
0:10:41 > 0:10:43I've literally never seen anything like this.
0:10:43 > 0:10:48I actually think it's a superhuman effort to actually have got used to this.
0:10:48 > 0:10:51She probably walk out in a minute and just be absolutely fine.
0:10:51 > 0:10:52SHE SIGHS
0:10:55 > 0:11:00You seem really matter of fact about it, just getting on with it. "Oh, it's just one of these things.
0:11:00 > 0:11:01"I've got these really bad headaches."
0:11:01 > 0:11:04I have bad days and I have days where I'll say to Simon,
0:11:04 > 0:11:06"I just can't do this anymore. I just can't..."
0:11:06 > 0:11:09- See that's what, that makes more sense to me.- I do, I have loads,
0:11:09 > 0:11:12you know, I do have that a lot, but then I kind of...
0:11:13 > 0:11:15I have that, "I can't do this anymore" and then
0:11:15 > 0:11:18the other side of my brain kicks in and goes, "Well, you don't have any choice!
0:11:18 > 0:11:20"You've got limited options here, you kind of..."
0:11:20 > 0:11:25You either deal with it or, well, there's only one alternative, isn't there, really?
0:11:25 > 0:11:29- And what's that?- Well, they call them suicide headaches for a reason, don't they?
0:11:29 > 0:11:32And they're like my two options, and obviously that isn't...
0:11:33 > 0:11:34That's not an option for me, but,
0:11:34 > 0:11:36two kids and a husband and a...
0:11:36 > 0:11:38They're quite extreme options.
0:11:38 > 0:11:42In fact, I was actually reading about a man who suffers
0:11:42 > 0:11:45with this and he was talking about everything
0:11:45 > 0:11:47and it's exactly the same as me.
0:11:47 > 0:11:50And he'd gone down the Dignitas route.
0:11:52 > 0:11:53- The what route?- Dignitas.
0:11:53 > 0:11:57Legal euthanasia. That's where... He'd gone down that route.
0:11:57 > 0:12:00That's where he was going with it, because he just couldn't do it anymore.
0:12:00 > 0:12:02I tell you what's amazing, it's so...
0:12:02 > 0:12:04matter of fact, the way you're talking about this.
0:12:04 > 0:12:08It's so... "I've got two options, I either live with it or, um...
0:12:08 > 0:12:10"there's only one other option."
0:12:10 > 0:12:11That is, that is the options.
0:12:11 > 0:12:15But these are extreme options, and you're talking about someone who's had legal euthanasia,
0:12:15 > 0:12:17because he can't put up with these anymore.
0:12:17 > 0:12:20- Yeah.- And I don't know yet if you're, um...
0:12:22 > 0:12:24..genuinely as OK with it as you say you are
0:12:24 > 0:12:27- or whether it's...- Most of the time I am.- Are you, really?
0:12:27 > 0:12:29- That's amazing.- I am. Most of the time I am.
0:12:29 > 0:12:30Because I can't... Because I have to be.
0:12:30 > 0:12:33With Simon working night shifts
0:12:33 > 0:12:36and Gemma suffering headaches up to 16 times a day
0:12:36 > 0:12:38the stress on the family is enormous.
0:12:38 > 0:12:41I'm not exactly sure how much longer they can keep going.
0:12:42 > 0:12:44On some level...
0:12:44 > 0:12:46..they probably know that.
0:12:46 > 0:12:49I need to...get some tests done.
0:12:49 > 0:12:52I need to go away and do a bit of research.
0:12:52 > 0:12:55But at the moment, I don't know how far I can get in the next few weeks.
0:13:03 > 0:13:06Rangan is keen to look at the whole family.
0:13:06 > 0:13:08He orders blood samples from Gemma and Simon,
0:13:08 > 0:13:11plus saliva samples to measure the stress hormone cortisol.
0:13:16 > 0:13:19I've just got the cortisol results back, and that's given me an idea
0:13:19 > 0:13:23of actually her stress levels throughout the day, and they're much too high.
0:13:23 > 0:13:25He consults expert neurologists.
0:13:26 > 0:13:28Have you ever seen stress contributing to these at all?
0:13:28 > 0:13:31- ON PHONE:- Stress is a very important contributing factor.
0:13:31 > 0:13:33I think it's fairly likely that stress will be
0:13:33 > 0:13:36playing a role in her headaches as well, that's interesting,
0:13:36 > 0:13:38and would, I think, be fairly likely.
0:13:40 > 0:13:42Certainly, she does seem to have
0:13:42 > 0:13:46some A-symmetries on her left... The base of her neck,
0:13:46 > 0:13:50and I was talking about either a chiropractor or an osteopath.
0:13:50 > 0:13:52- ON PHONE:- Um, we've, sort of, at Oxford, we've got
0:13:52 > 0:13:56a specialist neck physiotherapist and she certainly helps some people
0:13:56 > 0:13:59who've got a clear mechanical headache.
0:14:00 > 0:14:02With Gemma living in such extreme pain,
0:14:02 > 0:14:06Rangan investigates every possibility for her headaches.
0:14:07 > 0:14:09There are all these potential culprits...
0:14:11 > 0:14:12..and I want to tackle them all,
0:14:12 > 0:14:16I want to try and find out what's the cause of her headaches.
0:14:16 > 0:14:19There will be a cause, the body's not going to just have these headaches.
0:14:20 > 0:14:25A lack of certain nutrients, poor diet, or even a change in hormones during pregnancy
0:14:25 > 0:14:27could play a role, too.
0:14:28 > 0:14:32All these things here, by addressing them,
0:14:32 > 0:14:34we're going to do no harm at all,
0:14:34 > 0:14:36but at best
0:14:36 > 0:14:38we're going to start making an impact.
0:14:44 > 0:14:48Rangan's next patient also battles pain every day of his life,
0:14:48 > 0:14:50but it takes a very different form.
0:14:53 > 0:14:55Gary's 32 years old
0:14:55 > 0:14:57and a successful paralympic athlete
0:14:57 > 0:15:03who competes for Team GB in the high-octane physical sport of ice-sledge hockey.
0:15:13 > 0:15:15Played for Great Britain for 15 years.
0:15:18 > 0:15:21And when you're in there, I absolutely love it.
0:15:21 > 0:15:23I love the violence of it, I love the physicality.
0:15:23 > 0:15:26Extreme sport and daily use of crutches
0:15:26 > 0:15:30puts Gary's shoulders under immense strain.
0:15:30 > 0:15:33He could soon be confined to a wheelchair, with his sporting career cut short.
0:15:33 > 0:15:38That is scary. My shoulders are the gateway for me to do everything.
0:15:38 > 0:15:43So if that stops then a lot of things stop.
0:15:44 > 0:15:47Rangan is visiting him for the first time in Mansfield,
0:15:47 > 0:15:49where Gary lives with his mum and dad.
0:15:52 > 0:15:56- Nice to meet you. How are you?- Nice to meet you. Fine.- I'm Gary. - Hi, Gary, nice to meet you.
0:15:56 > 0:15:57Dr Chatterjee. How are you?
0:15:57 > 0:15:58Come through.
0:15:58 > 0:16:02Gary needs crutches because his amputation is so high
0:16:02 > 0:16:04he can't use a prosthetic limb.
0:16:04 > 0:16:07I rely on my shoulders a lot to get myself around.
0:16:08 > 0:16:11I can see how, just watching you come up these stairs,
0:16:11 > 0:16:13if your shoulders go...
0:16:13 > 0:16:16- You can't actually do that yourself. - No, exactly. That's...
0:16:17 > 0:16:21Don't get me wrong, there's lots that people can do with wheelchairs now.
0:16:21 > 0:16:22It's this, the simple little things.
0:16:23 > 0:16:26Gary has never let his disability get in his way.
0:16:26 > 0:16:30He's climbed Machu Picchu and backpacked around the world,
0:16:30 > 0:16:32all on crutches.
0:16:32 > 0:16:35I lost my leg when I was very young, so...
0:16:35 > 0:16:37Um, I had a car accident when I was five,
0:16:37 > 0:16:41so I've been told multiple times where,
0:16:41 > 0:16:44if you continue to use crutches, you will be in a wheelchair.
0:16:44 > 0:16:47- That's, that's...- So if you continue to use crutches,
0:16:47 > 0:16:51- you'll wear your shoulders out and you will be in a wheelchair.- Yeah.
0:16:51 > 0:16:53You've been told that is going to happen to you.
0:16:53 > 0:16:56That is going to happen to me, I've been told that from a very, very early age.
0:16:58 > 0:17:01Gary wants Rangan's help to keep him on crutches and in Team GB.
0:17:03 > 0:17:06Gary's worried about his shoulders, yet he seems to...
0:17:07 > 0:17:12..not even consider that he might have to compete less.
0:17:12 > 0:17:16I think he probably knows that there is an end date to it.
0:17:16 > 0:17:18That he can't continually
0:17:18 > 0:17:20punish his shoulders
0:17:20 > 0:17:22with no retribution.
0:17:22 > 0:17:26Though it's not really worth saying to Gary, "You can't do it."
0:17:26 > 0:17:29He's jumped off the high cliff in South Africa on a bungee.
0:17:29 > 0:17:32- He's swung across the gorge, hasn't he?- Yeah.
0:17:32 > 0:17:33Don't say, "Don't do it."
0:17:33 > 0:17:35He'll push himself to the limit.
0:17:35 > 0:17:37And that's Gary all over.
0:17:37 > 0:17:39And how bad are your shoulders?
0:17:39 > 0:17:42- They hurt most days...- Most days... - Most days.- ..that your shoulders hurt.
0:17:42 > 0:17:46So there's always that niggling ache, niggling ache, all the time.
0:17:46 > 0:17:49And every now and again I'll have a bad day where
0:17:49 > 0:17:51it's so sore I can't lift my arms up.
0:17:51 > 0:17:54If it's not just a niggling shoulder, it's actually
0:17:54 > 0:17:56really quite problematic.
0:17:56 > 0:17:58Usually my left that goes first.
0:17:58 > 0:18:00I'll get to about there and I won't be able to go any higher.
0:18:00 > 0:18:02So I won't be able to lift my arm any higher than that.
0:18:02 > 0:18:05And that's my range.
0:18:06 > 0:18:10Rangan wants to see for himself the strain Gary's shoulders are under.
0:18:10 > 0:18:13First, an ice-sledge hockey practice session.
0:18:13 > 0:18:15Probably the roughest disabled sport you can get.
0:18:19 > 0:18:20Oh!
0:18:23 > 0:18:25Oooh!
0:18:25 > 0:18:26It's Gary.
0:18:26 > 0:18:28He's underneath all that, Gary is.
0:18:29 > 0:18:32He's right at the bottom of that. That's him with his leg in the air.
0:18:33 > 0:18:37You really get a sense of how brutal, how physical this game is.
0:18:37 > 0:18:42Gary's right in front again, nobody can touch him. He is the fastest player!
0:18:42 > 0:18:46Nobody's got his arm strength, no-one has got any acceleration.
0:18:46 > 0:18:47Look at him.
0:18:47 > 0:18:49He's absolutely killing it.
0:18:52 > 0:18:54- How you doing?- Yeah, good. - How was it?
0:18:54 > 0:18:58- It was all right, yeah.- Yeah.
0:18:58 > 0:19:01Quite a gentle session tonight, there was a couple of hits but
0:19:01 > 0:19:04nothing too heavy, so it was quite nice, actually, yeah.
0:19:04 > 0:19:06- Are you the fastest player here? - Yeah.
0:19:06 > 0:19:08I'm probably the fastest player in the country at the moment, so...
0:19:08 > 0:19:11The acceleration you had was just phenomenal to watch,
0:19:11 > 0:19:14I saw some of the other guys when they were trying to accelerate.
0:19:14 > 0:19:16Now I see why you train so hard in the gym.
0:19:19 > 0:19:23Rangan wants to assess how Gary's training is impacting his shoulders.
0:19:23 > 0:19:25Can you hold it up there?
0:19:26 > 0:19:28- It's probably slightly heavy for that.- That's OK.
0:19:28 > 0:19:31That's why I'm going up and back down.
0:19:31 > 0:19:33- I know my range of motion backwards is terrible.- Yeah.
0:19:33 > 0:19:37- Observing you, there is quite a rounded posture.- Yeah.
0:19:37 > 0:19:40- I know from my own experience as well...- Trying to get that..
0:19:40 > 0:19:43Yeah, but that also then puts a strain on your shoulders.
0:19:43 > 0:19:46Yeah, I'm just thinking as I'm watching you.
0:19:46 > 0:19:50- Yeah. OK, so you would... - Shoulder press, nice and easy.- Yeah.
0:20:01 > 0:20:05- Does that feel easy. - That's very easy.- Yeah.
0:20:05 > 0:20:06Oh, God!
0:20:09 > 0:20:10So once it's there it's all right.
0:20:10 > 0:20:13- Hey?- Once it's there it's all right. - Once it's there it's all right.
0:20:15 > 0:20:16Oh, God!
0:20:16 > 0:20:18Man, that is so heavy!
0:20:22 > 0:20:24- Yeah, just about done with that. - One more.
0:20:24 > 0:20:25One more, push, push, push, come on.
0:20:29 > 0:20:30That's all you.
0:20:31 > 0:20:34Thank you. That's super heavy.
0:20:34 > 0:20:38I'm guessing for you that not working out hard and not competing
0:20:38 > 0:20:40- is not an option.- It's not.
0:20:40 > 0:20:44There's no... I think... If anybody says, "No, you've got to stop"
0:20:44 > 0:20:46I'd keep doing it anyway and accept that
0:20:46 > 0:20:48all right, at 40 I'm going to be in a chair.
0:20:48 > 0:20:52I think my greatest fear is for someone to say,
0:20:52 > 0:20:54"He's just another guy."
0:20:55 > 0:20:58I don't want to be just another guy, I don't want to be average.
0:20:58 > 0:21:00I'm as good and a little bit more.
0:21:01 > 0:21:03And be able to push that little bit further.
0:21:03 > 0:21:08Do you think your disability makes you want to push even harder to prove yourself?
0:21:08 > 0:21:09Yeah. Absolutely.
0:21:09 > 0:21:12Without a doubt. I don't want anybody to kind of,
0:21:12 > 0:21:13not so much take pity,
0:21:13 > 0:21:15but give me that excuse.
0:21:15 > 0:21:21Give me that out, give me that, "You don't have to do that, cos you've only got one leg."
0:21:21 > 0:21:24"You don't need to go as hard as everybody else, cos you've only got one leg."
0:21:24 > 0:21:27I don't want anybody to ever say that to me.
0:21:27 > 0:21:30Cos instantly I'll go out and do it anyway.
0:21:31 > 0:21:34I hear him loud and clear, but there is a slight dilemma for me,
0:21:34 > 0:21:37because, to me, and I appreciate I'm not Gary,
0:21:37 > 0:21:39but to me I'm thinking, "Hold on a minute,
0:21:39 > 0:21:44"you need your shoulders to walk, to literally be active and get around...
0:21:46 > 0:21:49"..but you're also damaging your shoulders every time you train."
0:21:51 > 0:21:57Yeah, so, a small part, maybe a slightly bigger part of me is thinking...
0:21:58 > 0:22:02"Hey, let's have a conversation here, Gary, maybe you don't need to train that hard anymore.
0:22:02 > 0:22:08"You've achieved phenomenal things, you have reached the pinnacle. You have competed in the Paralympics."
0:22:08 > 0:22:10I don't know, is it... It's...
0:22:10 > 0:22:13Very challenging. Very, very challenging.
0:22:15 > 0:22:19That's two in the morning when on days, two before work when you're on nights, that's that one.
0:22:20 > 0:22:24Rangan is tackling Gemma's painful and frequent cluster headaches.
0:22:24 > 0:22:27To treat them, he's beginning a multi-pronged attack,
0:22:27 > 0:22:30changing her diet and giving her supplements.
0:22:31 > 0:22:34- 150 tablets. - Right, and you've taken how many?
0:22:34 > 0:22:36Three, so it'd do me 50 days.
0:22:38 > 0:22:40He also sends Gemma to see musculoskeletal specialists,
0:22:40 > 0:22:43to explore whether a problem in her spine or neck
0:22:43 > 0:22:45could be connected to her headaches.
0:22:47 > 0:22:50There's no convincing scientific evidence saying
0:22:50 > 0:22:52that actually treating her neck
0:22:52 > 0:22:55is going to get rid of her cluster headaches.
0:22:55 > 0:22:58I have seen it in some patients, it helps tremendously.
0:23:00 > 0:23:03Rangan's first plan is to send Gemma to an osteopath.
0:23:03 > 0:23:05- Gemma, is it?- It is, yes.- Hi.
0:23:05 > 0:23:09They use physical manipulation, stretching and massage,
0:23:09 > 0:23:14to increase the mobility of joints and relieve muscle tension.
0:23:14 > 0:23:18I'm going to be looking for areas of tension that I can feel with my hands
0:23:18 > 0:23:20- that wouldn't be picked up on x-rays.- Yeah.
0:23:21 > 0:23:24So what I'm feeling here is quite a blockage in this little joint here
0:23:24 > 0:23:29in the bottom of the spine. And if this joint's blocked it'll send muscle tightness all the way up.
0:23:29 > 0:23:30SNAP
0:23:30 > 0:23:32There you go. Can you hear that?
0:23:32 > 0:23:35OK. Straight away, as I put my hands under here, I can feel
0:23:35 > 0:23:37a tightness on the left side.
0:23:37 > 0:23:38Can you feel that?
0:23:38 > 0:23:40Yeah.
0:23:40 > 0:23:43There was a point where I thought, "My head's going to start hurting here."
0:23:43 > 0:23:46And it was just before you put your hands there. And when you had your hand there
0:23:46 > 0:23:50I was like, "That's brilliant", because that's where I press to try and stop it.
0:23:50 > 0:23:52That's exactly the spot, yes. It's always very, um,
0:23:52 > 0:23:55encouraging when I can actually feel the bit
0:23:55 > 0:23:57- that you can feel.- Yeah.
0:23:57 > 0:24:01- I suggest we meet in a week's time and we'll have a re-appraisal of that and see how it's going.- Lovely.
0:24:01 > 0:24:05The investigation into the cause of Emma's headaches is underway.
0:24:05 > 0:24:07Turtle!
0:24:07 > 0:24:09Don't brush her!
0:24:09 > 0:24:13Back at home, Rangan turns his attention to husband Simon.
0:24:13 > 0:24:14Good to see you.
0:24:14 > 0:24:17You've worked shifts for years, and it sounds like you're more tired now
0:24:17 > 0:24:19- than you've ever been.- It feels like it's all catching up.
0:24:19 > 0:24:21I can feel it.
0:24:21 > 0:24:24I could just lie in bed all day.
0:24:26 > 0:24:31Simon is Gemma's main support, but her condition, combined with his long hours at work,
0:24:31 > 0:24:33is taking its toll on him.
0:24:34 > 0:24:36So that's 14 stone 12.
0:24:36 > 0:24:37Nearly 15 stone.
0:24:37 > 0:24:38Do you know what you should be?
0:24:40 > 0:24:42According to the charts at the GPs, about 12 and a half.
0:24:42 > 0:24:44Do you feel dizzy at all?
0:24:44 > 0:24:45Sometimes.
0:24:45 > 0:24:48But I just put it down to being tired.
0:24:49 > 0:24:53I think, from what I've seen, fair to say you've got high blood pressure.
0:24:53 > 0:24:55I've got this machine that does what's called your metabolic age,
0:24:55 > 0:24:58so it tells me how old your body is
0:24:58 > 0:25:02- compared to actually how old you are.- That's interesting.
0:25:02 > 0:25:07So you're 45 years old. This is telling me that your metabolic age, the age of your body...
0:25:08 > 0:25:09- ..is 50.- Yeah.
0:25:09 > 0:25:11Does that surprise you?
0:25:11 > 0:25:12No.
0:25:12 > 0:25:14- I feel like I'm 55.- Yeah.
0:25:15 > 0:25:18Really, we want our waist to be smaller than our hips,
0:25:18 > 0:25:23and so a waist-hip ratio, we really want to see around 0.8, something like that.
0:25:23 > 0:25:26- Yours is about one, so...- Too big.
0:25:26 > 0:25:28Yeah, much too big.
0:25:28 > 0:25:31Certainly implies that you are at increased risk of getting...
0:25:31 > 0:25:33all manner of things.
0:25:34 > 0:25:37If Simon is to offer Gemma the support she needs
0:25:37 > 0:25:39he needs to make significant changes.
0:25:39 > 0:25:41I think Simon's walking heart attack.
0:25:41 > 0:25:42He's...
0:25:42 > 0:25:46overweight, he's got high blood pressure, his job's killing him.
0:25:46 > 0:25:48I'm worried about both of them.
0:25:48 > 0:25:52They're both knackered, they don't sleep,
0:25:52 > 0:25:54they're running around.
0:25:54 > 0:25:58Rangan's first step is to try and understand where Simon's going wrong.
0:25:59 > 0:26:02I'm just outside Simon's house at 6.30 in the morning.
0:26:02 > 0:26:06I think Simon's shift pattern is really playing havoc with his body clock,
0:26:06 > 0:26:07what we call the circadian rhythm.
0:26:07 > 0:26:11And I think that it's putting him at increased risk
0:26:11 > 0:26:15of all kinds of problems, such as heart attacks, strokes.
0:26:15 > 0:26:18And I need to talk to Simon about steps he can take
0:26:18 > 0:26:20to actually mitigate that.
0:26:20 > 0:26:23Yeah, this is Simon, I think, returning from his night shift.
0:26:25 > 0:26:29'Simon's just coming off his four day run four days and then two nights.
0:26:29 > 0:26:31'This is the last of his nights. He's got a few days off now,
0:26:31 > 0:26:34'so what I really need to do with Simon is help
0:26:34 > 0:26:37'his body clock get back on sync
0:26:37 > 0:26:40'to days as quickly as possible.
0:26:41 > 0:26:46'The sooner we can get his body clock back in sync, the sooner he can start enjoying his days off
0:26:46 > 0:26:49'and recuperating, and that's what he's missing out on at the moment.'
0:26:49 > 0:26:51- Busy night?- It was, actually, yeah.
0:26:51 > 0:26:53Now the other side of it starts.
0:26:53 > 0:26:55Time for a hot shower and a...
0:26:56 > 0:26:57..early morning beer.
0:27:00 > 0:27:05- Bad advert, really, isn't it? - Pardon?- It's a bad advert, isn't it, quarter past seven in the morning?
0:27:05 > 0:27:06Quarter past seven!
0:27:11 > 0:27:13How does it feel?
0:27:13 > 0:27:15Yeah. That's good.
0:27:17 > 0:27:19That is good.
0:27:19 > 0:27:21I understand why you have a beer in the morning.
0:27:21 > 0:27:23Don't have one.
0:27:23 > 0:27:25Well, today is, it's not really your night anymore,
0:27:25 > 0:27:28- because it's the start of your four days off.- It is.
0:27:28 > 0:27:32So that beer, you're having that beer now, it's still going to affect you at lunchtime.
0:27:32 > 0:27:35And it's not going to help you get back on a
0:27:35 > 0:27:38day rhythm. So I get it when you're on night shift,
0:27:38 > 0:27:41and you're working tonight,
0:27:41 > 0:27:45and you want to chill out when you get home, have a drink and then go to sleep.
0:27:45 > 0:27:50I mean, as long as you can. I can kind of understand that, but I think
0:27:50 > 0:27:53when you're trying to get on... We don't really have time to waste with you,
0:27:53 > 0:27:57you've only got a few days off before you're back on shift pattern again.
0:27:57 > 0:27:59Do you think we could start now? Should we, uh,
0:27:59 > 0:28:00Should we get rid of the beer now, or...
0:28:00 > 0:28:02- OK.- One more sip!
0:28:02 > 0:28:05- I'm not poring it away, that's waste. I don't like waste.- OK.
0:28:06 > 0:28:08- I'll start me next shift.- Can you put it in the fridge?
0:28:08 > 0:28:11- No, it'd go flat then, won't it? I will on the next shift though.- OK.
0:28:11 > 0:28:14- On the next shift. Fine. - Yeah.- Yeah.
0:28:14 > 0:28:17Let's go and see if, uh...
0:28:22 > 0:28:23I think, um...
0:28:27 > 0:28:30I think... I think Simon is very much stuck in routines. He...
0:28:33 > 0:28:35It's a tricky one, he's been doing this for so long,
0:28:35 > 0:28:37he obviously knows how to manage his night shifts.
0:28:37 > 0:28:40Or he thinks he knows how to manage them, but I think there's a few
0:28:40 > 0:28:44things he's not doing well that are going to really, really help him.
0:28:46 > 0:28:50Yeah, it's very frustrating, actually. Did you have a good sleep?
0:28:50 > 0:28:53- Where's your mummy?- There. - There she is.
0:29:04 > 0:29:06Ah!
0:29:06 > 0:29:11It's now 8:30 AM, and Rangan wants Simon to get to sleep quickly.
0:29:11 > 0:29:14But Gemma's attacks don't run on a timetable.
0:29:16 > 0:29:18Already? What?
0:29:19 > 0:29:24- Where is she?- In my bedroom.
0:29:24 > 0:29:25She's gone again.
0:29:28 > 0:29:30SHE MOANS
0:29:34 > 0:29:37I was moving your hand away because you stink of Marmite.
0:29:37 > 0:29:39It's making me feel sick.
0:29:47 > 0:29:51- I'll see you later, I'll have a good sleep.- All right, cheers.
0:29:51 > 0:29:54By nine o'clock, Simon eventually gets to bed,
0:29:54 > 0:29:58but it's only for two hours. When he wakes up, Rangan's waiting for him.
0:29:58 > 0:30:00You do need the light, actually.
0:30:00 > 0:30:03Because this is really good to train your body that it's daytime now.
0:30:03 > 0:30:07You can stay out there, if you want, Simon. Get you a little hut.
0:30:07 > 0:30:10When it's sunny, obviously it's quite appealing in the summer,
0:30:10 > 0:30:13not so appealing in the winter,
0:30:13 > 0:30:17but it is really good for you to...
0:30:17 > 0:30:20To sort of train your body clock, "Hey, it's daytime now." Yeah.
0:30:20 > 0:30:25It feels good, actually, breathing clean, you know, fresh air.
0:30:25 > 0:30:27Rangan has decided to put both of them on
0:30:27 > 0:30:30a diet to help remove possible triggers for Gemma's
0:30:30 > 0:30:33headaches and to improve Simon's general wellbeing.
0:30:33 > 0:30:35- You pay attention. - No, because you've got to cook this.
0:30:35 > 0:30:37SHE LAUGHS
0:30:37 > 0:30:43I want to remove foods that could simulate your immune system in
0:30:43 > 0:30:47a bad way, that I think may be contributing to your headaches.
0:30:47 > 0:30:50And instead of doing any testing, I'd prefer to do
0:30:50 > 0:30:54a four-week elimination diet where you completely cut them out.
0:30:54 > 0:30:57I'll take the yes column, he can have the no column.
0:30:57 > 0:31:00- Is that not how this works? - Not how this works, no.
0:31:00 > 0:31:04In terms of the no column, the foods I would like you to avoid, OK.
0:31:06 > 0:31:08Wheat is one of them.
0:31:08 > 0:31:12The second most commonest food sensitivity that I see in my
0:31:12 > 0:31:14practice is dairy.
0:31:14 > 0:31:18But it's... The focus is going to have to be 100% on here,
0:31:18 > 0:31:24because if, for example, IF dairy is a trigger for your headaches,
0:31:24 > 0:31:27if you have a little bit, that can then trigger the immune system,
0:31:27 > 0:31:29even if it's just, "Oh, I'll just have a little bit now."
0:31:29 > 0:31:33I'm going to put added sugar here.
0:31:33 > 0:31:37And, to be very clear, this is not about calories either.
0:31:37 > 0:31:40I almost guarantee you can eat as much as you want on this and
0:31:40 > 0:31:42you'll probably still lose weight.
0:31:42 > 0:31:47- I'm reluctantly going to put chocolate on the no list.- Uh-oh.- OK?
0:31:47 > 0:31:49Wait until he tells you you can't drink.
0:31:49 > 0:31:52THEY LAUGH
0:31:52 > 0:31:56For Gemma, for you, alcohol can give you histamine reactions in the body.
0:31:56 > 0:32:02Do you both think, here and now today, you can commit to four weeks on this?
0:32:02 > 0:32:07- Yeah.- Simon?- My palms are sweating now.- You can't. I know I can.
0:32:07 > 0:32:09I have to do, don't I?
0:32:09 > 0:32:11You don't have to, nothing's compulsory.
0:32:11 > 0:32:14But in my experience, 15 years of seeing patients,
0:32:14 > 0:32:18- I think this would be a great start. - If I can give up chocolate...
0:32:18 > 0:32:21- I'll do it.- See, I know I can, because I've done it before.
0:32:23 > 0:32:26Rangan has now implemented all of his treatment plan and
0:32:26 > 0:32:30he has just one final issue to tackle - stress.
0:32:30 > 0:32:34It does seem, from what I've observed, pretty full-on a lot of the time.
0:32:34 > 0:32:38And you've got so much that you are doing all the time.
0:32:38 > 0:32:41And I don't know how you do it when you don't seem to be sleeping
0:32:41 > 0:32:45very well, because these headaches seem to be affecting your sleep.
0:32:45 > 0:32:49There must be a quick way where, at least once a week,
0:32:49 > 0:32:53you guys can do something together that you both want to do, for
0:32:53 > 0:32:57an hour or two, given that you get four days off in a row.
0:32:57 > 0:32:59I do feel like I'm in a bit of a Catch-22 situation, because I
0:32:59 > 0:33:02will say to you, "Shall we go and do this, shall we go and do that?"
0:33:02 > 0:33:06And he'll be like, "Why can't we just stop? Why do we have to keep doing something?"
0:33:06 > 0:33:08Yeah, but that's because as soon as I finish work, like we said,
0:33:08 > 0:33:11you've got to come down and you've got to switchover.
0:33:11 > 0:33:13As soon as I'm out of work, "Right, let's go."
0:33:13 > 0:33:15That's got to stop, period.
0:33:15 > 0:33:18Don't forget, you're still younger than when we met.
0:33:18 > 0:33:20If Simon was to do more in the kitchen,
0:33:20 > 0:33:22would that help you at all, or would that...?
0:33:22 > 0:33:25- No, it would send my stress levels through the roof.- Why?
0:33:25 > 0:33:28Because he costs... He spends a fortune when he cooks.
0:33:28 > 0:33:30Oh, give it a rest.
0:33:30 > 0:33:32You give me earache, woman. You make my ears bleed.
0:33:32 > 0:33:36Guys, look, a lot has come up, OK, I'm going to leave it with you.
0:33:36 > 0:33:40We are going to see if you can maybe spend a bit of time together,
0:33:40 > 0:33:42at a time that suits you both.
0:33:42 > 0:33:43Cook with me.
0:33:43 > 0:33:46- I'll teach you.- You're joking, aren't you? Cook with you?
0:33:46 > 0:33:50Guys, I'm going to leave you guys to work out what it is, OK.
0:33:50 > 0:33:52He's like Gordon flaming Ramsay in the kitchen.
0:33:52 > 0:33:55Guys, I think you'll be able to figure something out. Is that a deal?
0:33:55 > 0:33:58- Yeah, deal, you've got it.- Yeah? Yeah?
0:33:58 > 0:34:01Sure? All right.
0:34:01 > 0:34:03- I think you need to get the kids, don't you?- Yeah.
0:34:03 > 0:34:06'I honestly don't know if I can help them.'
0:34:06 > 0:34:11I think it depends, really, how willing they both are to change.
0:34:11 > 0:34:14If they're both willing to change, and they give me a little,
0:34:14 > 0:34:15I think I can help them a lot.
0:34:18 > 0:34:22Rangan is trying to help Paralympic athlete Gary Farmer continue
0:34:22 > 0:34:24the active lifestyle he loves.
0:34:24 > 0:34:27He must find a way to save Gary's shoulders.
0:34:27 > 0:34:31If he doesn't, Gary will end up in a wheelchair for the rest of his life.
0:34:31 > 0:34:35- Gary, Paul.- Nice to meet you, Paul.
0:34:35 > 0:34:39Rangan has organised for Gary's shoulders to be assessed by Paul Martin,
0:34:39 > 0:34:41lead physiotherapist for Paralympians at the
0:34:41 > 0:34:44English Institute of Sport.
0:34:44 > 0:34:45The question is,
0:34:45 > 0:34:49can he still train at a high level without damaging his shoulders?
0:34:49 > 0:34:52So that he can stay on crutches for longer.
0:34:52 > 0:34:56Just sit it a normal posture for you.
0:34:56 > 0:34:58Foot on the floor there. Good.
0:35:00 > 0:35:05So, I mean, certainly you're quite rounded in the shoulders,
0:35:05 > 0:35:07you're tilted a long way forward.
0:35:07 > 0:35:09It looks like this has dropped a little bit further on that side,
0:35:09 > 0:35:12which is, again, for a right-hand dominant person, that's not
0:35:12 > 0:35:15unusual, you often find, because people are using a mouse or writing,
0:35:15 > 0:35:19that sort of thing, people tend to be a little bit dropped through here.
0:35:19 > 0:35:22Paul immediately spots that years of training and using crutches
0:35:22 > 0:35:26have pushed Gary's shoulders forward, out of position.
0:35:26 > 0:35:30So, are you basically saying that there is a larger distance there,
0:35:30 > 0:35:34- which is basically because his shoulders are rounded like that? - Yeah.
0:35:34 > 0:35:38- So you've got more of a distance. - Everything is pulled forward, so the...
0:35:38 > 0:35:41This part of the shoulder joint is a long way off the bed.
0:35:41 > 0:35:46- And you want it a lot lower? - Yeah. 15 centimetres off the floor.
0:35:46 > 0:35:50I make it 14. So they are both a fair way up off the ground.
0:35:50 > 0:35:51What would you like to see?
0:35:51 > 0:35:53I think I'd like to see something way below ten.
0:35:55 > 0:35:58So, if you... Just stop for a second, Gary.
0:35:58 > 0:36:00If you have a look around this area here.
0:36:00 > 0:36:04It's going low, so as he puts his weight through...
0:36:04 > 0:36:08through the crutches, at that point where he needs these
0:36:08 > 0:36:12shoulder blades to be in a good position, that's where it's tilting up.
0:36:12 > 0:36:15So if you can bring those guys back, this is going to feel really,
0:36:15 > 0:36:18really weird, OK? This is going to feel...
0:36:18 > 0:36:20It's the best position I've ever seen his...
0:36:20 > 0:36:24In some ways, we might actually have to shorten these crutches for you.
0:36:24 > 0:36:27In that position, they might be a little bit long.
0:36:31 > 0:36:32OK.
0:36:32 > 0:36:36What Gary's got going on is not actually that dissimilar to
0:36:36 > 0:36:39what so many people around the country have got going on.
0:36:39 > 0:36:44Back pain, neck pain, all kinds of aches and pains around the
0:36:44 > 0:36:49body that are actually linked to how we are spending our days.
0:36:49 > 0:36:52And instead of just popping a painkiller because you've got
0:36:52 > 0:36:54some pain, why not get to the root cause and try to figure out that
0:36:54 > 0:36:57actually, maybe if I do a bit of work on my posture,
0:36:57 > 0:37:01and these back muscles, if I start strengthening them,
0:37:01 > 0:37:05- maybe, actually, everything's going to be a lot better.- Shoulders first.
0:37:07 > 0:37:09Paul gives Gary a new set of exercises.
0:37:11 > 0:37:14To start with, it's just going to be a lot of hard work and it's going to
0:37:14 > 0:37:17feel really tiring, and sitting at your desk is going to feel like
0:37:17 > 0:37:20much more of a challenge when you're starting to do this for the next few weeks.
0:37:20 > 0:37:22If you can start getting that right at your desk,
0:37:22 > 0:37:24it's going to be less of a problem going forward.
0:37:24 > 0:37:27Rangan's next step is to try an alternative treatment for Gary's
0:37:27 > 0:37:29shoulders and posture.
0:37:29 > 0:37:32- Hi, this is Gary.- Hi, Gary.- Nice to meet you.- Nice to meet you. In you come.
0:37:32 > 0:37:34It's called the Alexander Technique.
0:37:34 > 0:37:36I've got a weight of a head.
0:37:39 > 0:37:42- That's what's up on top.- That's how much...
0:37:42 > 0:37:44That's how much a head weighs, yes.
0:37:44 > 0:37:48So that's like 4.5 to 5 kilograms, the weight of your head.
0:37:48 > 0:37:50It's scary heavy, isn't it?
0:37:50 > 0:37:53It is, isn't it? So, if you've got that weight of the head and
0:37:53 > 0:37:58your head juts forward, the weight of the head is then putting
0:37:58 > 0:38:00pressure on my neck and shoulders and back.
0:38:00 > 0:38:03I now have to do two or three times the amount of work in my back
0:38:03 > 0:38:06than I should be doing if I balanced it.
0:38:06 > 0:38:08If I balance it, weightless,
0:38:08 > 0:38:10takes the stress off the neck and the shoulders.
0:38:10 > 0:38:13What percent of patients, do you think, that you see
0:38:13 > 0:38:16have got this problem where their skull is jutting out?
0:38:16 > 0:38:22- I'd say something like 95%. - Wow.- Yes. 95%.
0:38:22 > 0:38:25Alexander Technique is often used by dancers and athletes.
0:38:25 > 0:38:30Clinical trials have shown positive results in reducing back pain.
0:38:30 > 0:38:33Rangan hopes it may work for Gary's shoulders and posture as well.
0:38:33 > 0:38:38I'm also interested in how you come to stand from the chair and sit.
0:38:38 > 0:38:41If I was normally getting up from the chair at work,
0:38:41 > 0:38:44I'd normally have my crutches, so I'd end up leaning
0:38:44 > 0:38:46down to pick those up and then standing from there.
0:38:46 > 0:38:49- Oh, would you?- Yeah. - That's even worse.- Yeah.
0:38:49 > 0:38:51Let me see you stand up as normal, then.
0:38:51 > 0:38:54So we see what the habit pattern is that you have now.
0:38:54 > 0:38:57I'm on a chair, obviously with wheels on it, so I'd push that back.
0:38:57 > 0:39:01- Right.- And from there, it's just from there.- Yes, OK, great.
0:39:01 > 0:39:04And what you see is the classic pulling of the head back, which
0:39:04 > 0:39:09puts more strain on the back, and the lower back as well, to come up.
0:39:09 > 0:39:12- Right. - And then if you sit down again.
0:39:12 > 0:39:15- And now you're thinking, "How am I going to do it?"- Yeah.
0:39:15 > 0:39:19So, what I propose is that you could come up into standing, you know,
0:39:19 > 0:39:21you're strong, you're an athlete,
0:39:21 > 0:39:25you can come up and just use one leg, but without pulling the
0:39:25 > 0:39:28head back, and we'll see if things work a bit better.
0:39:28 > 0:39:33So we tip, we flow, well done. Into standing.
0:39:33 > 0:39:37- It's all right. Still a challenge to balance because it's new.- Yeah.
0:39:41 > 0:39:45So, in a way, we're just trying to eliminate anything unnecessary.
0:39:45 > 0:39:49Any unnecessary action of the shoulders, we just eliminate that,
0:39:49 > 0:39:54so we take the support down through the arms,
0:39:54 > 0:39:56down through the crutches.
0:40:00 > 0:40:02And you can just see how there will be less tension,
0:40:02 > 0:40:04there'll be less strain.
0:40:04 > 0:40:08And it means that when you go to the gym and you are pushing
0:40:08 > 0:40:11yourself hard to stay at that competitive level,
0:40:11 > 0:40:15your muscles and your body is just in a different state to work on.
0:40:15 > 0:40:18Because my biggest fear is that I end up in a wheelchair
0:40:18 > 0:40:21a lot sooner than really I want to.
0:40:21 > 0:40:25I don't think that you should think like that, I really don't.
0:40:25 > 0:40:27That you should... I don't think you should think that.
0:40:27 > 0:40:30There's no reason why you should.
0:40:30 > 0:40:32And it may be that you'll choose in a few years'
0:40:32 > 0:40:35time that you'll reduce the amount of work that you might do in
0:40:35 > 0:40:39the gym in order to preserve the long-term effect of being
0:40:39 > 0:40:43able to use the crutches, but I don't think you should think like that.
0:40:43 > 0:40:45That's fair enough.
0:40:45 > 0:40:47Gary will have eight more sessions before the state of his
0:40:47 > 0:40:49shoulders is reassessed.
0:40:56 > 0:40:58Two weeks after Rangan's treatment plan has begun,
0:40:58 > 0:41:02Gemma's headaches have become alarmingly frequent.
0:41:03 > 0:41:07They're now happening almost every hour during the day and night.
0:41:07 > 0:41:08SHE SOBS
0:41:08 > 0:41:10SHE MOANS
0:41:10 > 0:41:14- Gemma, hello, it's Rangan here. - Hello.- How are you getting on?
0:41:15 > 0:41:19Er, yeah, it's not been the best week of my life.
0:41:19 > 0:41:21SHE SOBS
0:41:22 > 0:41:24SHE SCREAMS
0:41:26 > 0:41:28Is it really bad at the moment?
0:41:28 > 0:41:29It has been bad, yeah.
0:41:32 > 0:41:35At the moment, I've been having up to...
0:41:35 > 0:41:3616 a day.
0:41:39 > 0:41:43Is this as bad as you remember ever having it?
0:41:43 > 0:41:45- Um, yeah.- Yeah.
0:41:45 > 0:41:47And so it goes on.
0:41:50 > 0:41:53Rangan makes an emergency visit.
0:41:53 > 0:41:55There is the possibility that things can get worse first before
0:41:55 > 0:41:57they get better.
0:41:57 > 0:41:59Now, it's easy for me to sit here and say, "Oh, they get worse,"
0:41:59 > 0:42:02but I'm not the one having to live with that.
0:42:02 > 0:42:05I need to find out from Gemma actually how bad it really is.
0:42:05 > 0:42:09Hey, how are you doing? Hello. Hi.
0:42:09 > 0:42:12- How are you?- Hello.
0:42:12 > 0:42:14- Hey, how are you? Are you all right? - I got player of the week.
0:42:14 > 0:42:17Player of the week? Put it there.
0:42:17 > 0:42:19Gemma has been keeping a diary of her headaches.
0:42:19 > 0:42:21So, how many headaches have you had?
0:42:23 > 0:42:2615. 15 x 5...
0:42:26 > 0:42:28is 60, 75, 76.
0:42:28 > 0:42:33- 76. Since when?- Since last Thursday.
0:42:33 > 0:42:36So, in one week, you've had 76.
0:42:36 > 0:42:38HE EXHALES
0:42:38 > 0:42:42I mean, Gemma, I sort of had no idea it was going to be...
0:42:45 > 0:42:47..this bad. How does that...?
0:42:47 > 0:42:50- I mean, how do you feel about that, that's it got this bad?- Just tired.
0:42:50 > 0:42:545:30, 7:50, 11:45, 3:20,
0:42:54 > 0:42:566:10 in the night.
0:42:56 > 0:43:00- I've got text messages in the middle of the night, desperate.- Yeah.
0:43:00 > 0:43:04Every time the phone's ringing, there's screaming down the phone.
0:43:04 > 0:43:10Because sometimes, Gemma, I think when I come sometimes, you,
0:43:10 > 0:43:13to me in many ways, this tells me a different story from the
0:43:13 > 0:43:17brave face you're putting on to me. I mean, this looks... I mean,
0:43:17 > 0:43:22I wouldn't be surprised if at some point you've been sort of cursing me.
0:43:22 > 0:43:27Not cursing you, no. The reality of it sometimes...
0:43:27 > 0:43:29When there's just the four of us,
0:43:29 > 0:43:33the screaming that goes on under this roof, it's... It's bloodcurdling.
0:43:33 > 0:43:38The more frequent they are, the more I have to just get up and get on with it,
0:43:38 > 0:43:42because if I've had one, if I've had one in the middle of the day,
0:43:42 > 0:43:46I can sit there for 20 minutes and feel a bit sorry for myself because, you know,
0:43:46 > 0:43:50that's just one. But if I did it every time I had one, then by the time I've had
0:43:50 > 0:43:53a chat with myself and sorted myself out, I'd be going again.
0:43:53 > 0:43:55This is very typical Gemma, you hit the nail on the head,
0:43:55 > 0:43:58that she puts a brave face on. This is not the case.
0:43:58 > 0:44:02This is tearing, tearing Gemma apart.
0:44:02 > 0:44:04And it's tearing all of us apart,
0:44:04 > 0:44:06because this last week has been a living hell.
0:44:06 > 0:44:09As well as the frequency, the nature of the attacks
0:44:09 > 0:44:12has changed since Rangan began his treatment plan.
0:44:12 > 0:44:16For the past sort of, I would say, four or five days, it's been here,
0:44:16 > 0:44:20- coming into here.- So, it was here, here and here, three places.
0:44:20 > 0:44:23So, from three places, it went down to two. OK.
0:44:23 > 0:44:26There's something happening, we don't know good or bad yet.
0:44:26 > 0:44:31I said that to you, didn't I? Obviously something's happened.
0:44:31 > 0:44:36- Am I all right to sit down, my head...?- Is your head going?- It's just...
0:44:36 > 0:44:39- Is that all right?- Yeah, yeah, yeah. Is it going?
0:44:39 > 0:44:42I don't know, it's just...saying hi.
0:44:42 > 0:44:43SHE LAUGHS
0:44:43 > 0:44:44Just in case I'd forgotten about it.
0:44:49 > 0:44:52SHE SOBS LOUDLY
0:44:52 > 0:44:54- Mummy!- All right, all right.
0:44:55 > 0:44:57SHE SOBS LOUDLY
0:45:07 > 0:45:12- That was a big one.- Yeah.- Big, bad one.- I've not seen her that bad.
0:45:12 > 0:45:17- That's how it's been.- All week? - Yeah.- Is there a point at which we...
0:45:19 > 0:45:25- We say that this isn't working?- I... - What's your...?- That...
0:45:25 > 0:45:27It's...
0:45:27 > 0:45:31It's been extremely hard this week, but I think you've got to give it a go,
0:45:31 > 0:45:35but it's got to be Gemma's call ultimately, I think, because she's the one suffering with this.
0:45:35 > 0:45:36- Are you OK?- Yeah.
0:45:38 > 0:45:43- Are you sure?- Mummy.- Yes, Princess? Come on, then.
0:45:44 > 0:45:49Gemma, I'm sorry, I'm sorry things do appear to be deteriorating.
0:45:49 > 0:45:53But as long as you're...
0:45:53 > 0:45:57As long as you're OK with it, I think we should continue.
0:45:58 > 0:46:02- It's still very, very early days. - Can I have a biscuit?- No, you're not having a biscuit.
0:46:02 > 0:46:04A biscuit!
0:46:04 > 0:46:06A biscuit!
0:46:08 > 0:46:11Gemma is experiencing one of the worst bouts of headache she's
0:46:11 > 0:46:16ever had. But Rangan has identified a potential way forward.
0:46:16 > 0:46:20Something is changing in Gemma's symptoms, and that's a clue for me,
0:46:20 > 0:46:25that's a real clue, and frankly, that's the only clue I've got at the moment.
0:46:25 > 0:46:28I really want to delve a bit deeper.
0:46:28 > 0:46:32To investigate why Gemma's headaches are changing, Rangan sends her to
0:46:32 > 0:46:37Dr Hume, a chiropractor who specialises in neurology.
0:46:37 > 0:46:41She looks for issues in Gemma's neck joints and muscles that could
0:46:41 > 0:46:44be affecting her nervous system and causing her pain.
0:46:46 > 0:46:48You can have some bread.
0:46:48 > 0:46:52Over the next two weeks, Gemma sticks to Rangan's treatment plan,
0:46:52 > 0:46:54and he helps her de-stress.
0:46:54 > 0:46:57We really want you to start breathing in through the nose and out
0:46:57 > 0:47:01- through the mouth, OK? - And now forwards.
0:47:01 > 0:47:03Hold the elbow straight and push outwards.
0:47:03 > 0:47:07Then Dr Hume has a breakthrough.
0:47:07 > 0:47:10- Hi.- Come on in.- Thank you.
0:47:10 > 0:47:12I wonder if you could talk me through a little bit about
0:47:12 > 0:47:15- what you found and some of the treatment you've been doing.- Yeah.
0:47:15 > 0:47:19I'll show you the X-rays first, and then we'll move on from there.
0:47:20 > 0:47:23So these are each of the vertebra down into the neck.
0:47:23 > 0:47:28Now, normally we have a curve that comes through like that.
0:47:28 > 0:47:33So, you can see with Gemma, instead of coming forwards
0:47:33 > 0:47:38like that, it actually is a reverse curve, it comes round this way.
0:47:38 > 0:47:42So she's got the opposite curve than what you would expect?
0:47:42 > 0:47:45- Yeah, she's got what's called a cervical kyphosis.- Right.
0:47:45 > 0:47:49This abnormality in Gemma's neck has affected nerves connected to
0:47:49 > 0:47:52the areas of the head where Gemma feels pain.
0:47:52 > 0:47:55The nerves that cut that exit through here, through the top area,
0:47:55 > 0:48:00which is what we were talking about through in here, that nerve pierces
0:48:00 > 0:48:04muscle and then comes up over the head, right over to this area here.
0:48:04 > 0:48:07And very often, they get pain at the front, pain at the back,
0:48:07 > 0:48:10pain at the front, sometimes over the whole area.
0:48:10 > 0:48:12Interesting, that's where Gemma...
0:48:12 > 0:48:14It starts there and it goes to there.
0:48:14 > 0:48:16That's where you're experiencing a lot of your pain.
0:48:16 > 0:48:18The furthest it comes is sort of here, but it's there.
0:48:18 > 0:48:23What could cause an abnormality like that, that you've found on the X-ray?
0:48:23 > 0:48:29Well, I'm absolutely convinced it was injury related, an accident.
0:48:29 > 0:48:33- What was that accident? - It was a car accident when I was 15.
0:48:33 > 0:48:37I was in the car with my boyfriend at the time, brakes locked, car span,
0:48:37 > 0:48:39went over a barrier.
0:48:39 > 0:48:44Didn't flip, the car didn't flip over. Went over a barrier.
0:48:44 > 0:48:49- And the car was a write-off. - I would think that would be, you know, a candidate.
0:48:49 > 0:48:50The prime suspect.
0:48:50 > 0:48:53Everybody is familiar with the whiplash, where the head goes back
0:48:53 > 0:48:59and so on, but these side impacts or rotational strains actually are,
0:48:59 > 0:49:02you know, the neck really doesn't like that kind of thing.
0:49:02 > 0:49:05You have been treating her for a few weeks now.
0:49:05 > 0:49:11Would you say that her neck area and those nerves are actually
0:49:11 > 0:49:14functioning better than when you first started to see her?
0:49:14 > 0:49:19Yeah, I mean, the upper part of the neck is generally a lot less tender.
0:49:19 > 0:49:22When we push down in there, you're not sort of leaping.
0:49:22 > 0:49:25You just touched sometimes and it was like, "Oh, that really hurt."
0:49:25 > 0:49:29By making the changes and getting it working properly, you have
0:49:29 > 0:49:33less neck pain and, you know, hopefully less issues later on.
0:49:34 > 0:49:39That was amazing, that abnormality on her X-ray, which may hold the
0:49:39 > 0:49:43clue to all of Gemma's headaches, may have been caused by a car crash.
0:49:43 > 0:49:48Could it be that Gemma's suffering has all stemmed from that?
0:49:48 > 0:49:50I don't know, but it's a big, big clue.
0:49:53 > 0:49:56Now, everything hangs on the success, or failure,
0:49:56 > 0:49:58of Gemma's musculoskeletal treatment.
0:50:01 > 0:50:03Release the knees forward as the hips go back.
0:50:03 > 0:50:05Six weeks ago,
0:50:05 > 0:50:08Gary Farmer feared his shoulders would soon wear out, confining
0:50:08 > 0:50:12him to a wheelchair and ending his life as an elite sportsmen.
0:50:14 > 0:50:17Now he's completed a course of Alexander Technique and
0:50:17 > 0:50:21has a new set of exercises designed for shoulder health.
0:50:23 > 0:50:26Rangan is meeting up with Gary to see what difference it's made.
0:50:26 > 0:50:30I'd love to see something tangible. Like, the physiotherapist,
0:50:30 > 0:50:32he made measurements.
0:50:32 > 0:50:34Has that measurement gone down, you know, are we making a significant
0:50:34 > 0:50:38difference in his shoulder, in his upper back, in his posture?
0:50:38 > 0:50:42Because, actually, that's what's going to make a difference long-term for Gary.
0:50:42 > 0:50:46Physiotherapist Paul Martin has been tracking Gary's progress.
0:50:46 > 0:50:48- How's Gary getting on? - He looks OK, doesn't he?
0:50:48 > 0:50:52- He looks much more upright. - Yeah, definitely. Much more upright.
0:50:55 > 0:51:00- I can see automatically how that would actually generate more power. - Yeah.
0:51:00 > 0:51:04And again, if you're looking at small margins, just a little
0:51:04 > 0:51:09bit of extra force in a couple of early push-offs can be quite useful.
0:51:10 > 0:51:13Yeah, should we go sit in one of the rooms and let Paul take
0:51:13 > 0:51:15- a look at you?- Yeah.- Yeah? All right.
0:51:17 > 0:51:21Five weeks ago, when the position of Gary's shoulders were first measured,
0:51:21 > 0:51:26they were bent too far forward, 14 and 15 centimetres off the table.
0:51:26 > 0:51:31The last time we met, we were aiming for a target of between five
0:51:31 > 0:51:36and eight centimetres for the AC joint off the bed. Let's see where we are.
0:51:38 > 0:51:43There you go. So, nine centimetres there.
0:51:43 > 0:51:46- So, left side, down to seven.- Seven centimetres.
0:51:46 > 0:51:51Long-term, that would translate, surely, to better shoulder health and less
0:51:51 > 0:51:55- likelihood of straining the shoulders.- Yeah, absolutely.
0:51:55 > 0:52:00There's every possibility that with the right sort of work, we can get well on top of this.
0:52:00 > 0:52:03So, some of these issues should be much less of a problem.
0:52:03 > 0:52:06- Does the future look sort of good now?- It really does look good,
0:52:06 > 0:52:09it doesn't look as scary as it was before,
0:52:09 > 0:52:12saying, "At some point I'm going to be in a wheelchair."
0:52:12 > 0:52:13But now, it's like,
0:52:13 > 0:52:18"No, I don't need to have that worry over having to go into a wheelchair,
0:52:18 > 0:52:22"I can still compete, I can still push myself to those levels.
0:52:22 > 0:52:24"But just make sure that my shoulders are in the right place when
0:52:24 > 0:52:28- "I'm doing it."- Keep it up.- Thank you very much, I really appreciate it.- 'I feel good.
0:52:28 > 0:52:32'This is a guy who actually thought he had two stark choices,'
0:52:32 > 0:52:36and now he knows that the health of his shoulders is in his own hands.
0:52:36 > 0:52:38That's all I could really ask for.
0:52:41 > 0:52:45- I can have butter, can't I? Or can't I?- No.- No. Oh, you're joking.
0:52:45 > 0:52:48What am I going to have on my corn on the cob?
0:52:48 > 0:52:51For the last two months, Rangan has been trying to solve the mystery
0:52:51 > 0:52:53of Gemma's suicide headaches.
0:52:53 > 0:52:57A condition that's left doctors puzzled and unable to find a cure.
0:52:58 > 0:53:01For years, Gemma and her family have been left to cope with the
0:53:01 > 0:53:03stresses of her debilitating condition.
0:53:05 > 0:53:08Now, Rangan has come back to see if his treatment plan has worked.
0:53:10 > 0:53:13I've not seen Simon and Gemma now for a few weeks, but I'm just
0:53:13 > 0:53:16hoping that I've managed to make a little bit of a difference.
0:53:16 > 0:53:20- Hello.- Hey, how are you doing? - You all right?- Yeah, nice to see you. Are you well?
0:53:22 > 0:53:26Rangan's keen to know if there's been any change in the frequency of Gemma's attacks.
0:53:26 > 0:53:28Obviously, 13 years is a long time to remember,
0:53:28 > 0:53:32but I can't remember it being as good as this.
0:53:32 > 0:53:34The only time it's been better than this
0:53:34 > 0:53:38has been when I was pregnant and I didn't have them. At all.
0:53:38 > 0:53:41And that's... And they did, they just went, and that was the only time.
0:53:41 > 0:53:44Actually, maybe, maybe there is some hope insight,
0:53:44 > 0:53:47maybe there is some sort of respite from this...
0:53:47 > 0:53:50life sentence? Which is how it certainly seemed to me.
0:53:50 > 0:53:53You were getting... I mean, we documented in one week, 76.
0:53:53 > 0:53:56You're telling me 80, 90 in some weeks.
0:53:56 > 0:53:59And we're now quite consistently getting under ten a week.
0:53:59 > 0:54:02And that's probably been for four, five, six weeks?
0:54:02 > 0:54:05We're getting 24-hour periods without any.
0:54:05 > 0:54:09How is that in terms of going forward for you?
0:54:09 > 0:54:12It's fine now, I can live with that.
0:54:12 > 0:54:16- One or two at night, that's my happy place.- You're in a happy place.
0:54:16 > 0:54:17I like that place.
0:54:17 > 0:54:21Hopefully, potentially less stress in terms of the house,
0:54:21 > 0:54:24in terms of then, you know, your interactions with Simon.
0:54:24 > 0:54:28The biggest thing was always how much it affected Ethan, because he's the one
0:54:28 > 0:54:31that's old enough to know what's going on and to be able to help.
0:54:31 > 0:54:34See, that's what's going to make me cry, thinking about him.
0:54:34 > 0:54:36Just him, he's just...
0:54:39 > 0:54:40It's all right.
0:54:44 > 0:54:49- Gemma, it's all right. He has been amazing.- He is amazing.
0:54:49 > 0:54:51He really has been.
0:54:51 > 0:54:54You know, maybe he doesn't have to be as amazing in that way any more.
0:54:54 > 0:54:57- I know.- That's the best thing.- I'm just saying how amazing Ethan is.
0:54:57 > 0:54:59He is a special little boy.
0:55:01 > 0:55:04Rangan will also check whether Simon's measurements have improved
0:55:04 > 0:55:07- compared to three months ago.- It's going to be your waist-hip ratio.
0:55:07 > 0:55:11Can I just do one more on this arm? How are you, are you all right?
0:55:11 > 0:55:14The family arrive to hear the news.
0:55:15 > 0:55:20Blood pressure, 137/96 at the start, which was high.
0:55:20 > 0:55:23It's come down to 122/83, which is pretty much normal.
0:55:23 > 0:55:28His waist, which was 40 inches, has come down to 36.5.
0:55:28 > 0:55:32- So he's lost 3.5 inches. - After what he ate last night?- Yeah.
0:55:32 > 0:55:34- In spite of what he ate last night. - GEMMA LAUGHS
0:55:34 > 0:55:38- Yeah. Has he stopped drinking beer in the morning?- Yeah.- There you go.
0:55:38 > 0:55:41See, Ethan's noticed. Do you know how much weight he's lost?
0:55:41 > 0:55:43About a stone and a half.
0:55:43 > 0:55:45The machine does something called your metabolic age,
0:55:45 > 0:55:47so it tells you how old is his body.
0:55:47 > 0:55:50And the first time round, obviously he was 45 at the time,
0:55:50 > 0:55:52- his metabolic age was 50.- Right.
0:55:52 > 0:55:54He's now 46.
0:55:54 > 0:55:57His metabolic age is 34.
0:55:57 > 0:55:59- Boom!- My God.
0:55:59 > 0:56:01That must be wrong, I want a recount.
0:56:01 > 0:56:03SHE LAUGHS
0:56:03 > 0:56:04That can't be right.
0:56:04 > 0:56:09- You're married to a 34-year-old, basically.- Well, there we are, see.
0:56:09 > 0:56:12- So, I've got a toy boy. - Cradle snatcher.- Exactly.
0:56:12 > 0:56:15- You don't know how lucky you are, what you've got here.- Oh, here we go.
0:56:15 > 0:56:17I told you he's sexy!
0:56:17 > 0:56:19THEY LAUGH
0:56:19 > 0:56:24- There you go.- That's my boy. - Classic example.- That's my boy.
0:56:24 > 0:56:25HE LAUGHS
0:56:27 > 0:56:28I do love you.
0:56:30 > 0:56:34All right, keep it up. 'Wow, what an experience with these guys.'
0:56:34 > 0:56:37Simon, there's no question, he is in a much better place.
0:56:37 > 0:56:42Gemma, I have literally had to try everything I could possibly
0:56:42 > 0:56:46think of, and seeing the kids' response, seeing her response,
0:56:46 > 0:56:49you know, she is now getting about five, maybe less a week.
0:56:50 > 0:56:52It almost feels like a miracle.
0:56:52 > 0:56:54And I think if she keeps going,
0:56:54 > 0:56:58it won't be long before she's completely cured of these.
0:56:58 > 0:57:00It just feels fantastic.
0:57:00 > 0:57:03Next time, Rangan travels to Liverpool to help a mother...
0:57:03 > 0:57:05I'm going to cry again, I've been like this all week.
0:57:05 > 0:57:08- I don't know what my issue is. - ..who's battling panic attacks.
0:57:08 > 0:57:11I feel like I'm unfixable, I just feel like I'm a big mess.
0:57:11 > 0:57:14Every single day of life for, for 20 years plus,
0:57:14 > 0:57:16has felt just like wading through treacle.
0:57:16 > 0:57:19And tries to help a father overcome a mystery illness.
0:57:19 > 0:57:23Go to your doctor and you say, "I stop breathing when I'm asleep."
0:57:23 > 0:57:25And they just basically say, "There's nothing wrong with you."
0:57:25 > 0:57:28I'm worried about him, really worried,
0:57:28 > 0:57:30that he is a walking time bomb.