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29 October 2014
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23.06.03

NORTH EAST & CUMBRIA


A matter of life and near death


Inside Out, 91Èȱ¬ ONE North East, Monday 23 June, 7.30pm


Drama teacher Shelley Wilson has literally come back from the dead.


She suffers from a rare condition which causes her heart to stop beating for almost a minute. It eventually restarts and Shelley regains consciousness, but the consequences of this disorder are frightening.


Her only warning is an onset of nausea, followed by a rattle in her ears and a loss of sight which causes her to collapse.


She describes these frightening fits on 91Èȱ¬ ONE's Inside Out as near-death experiences that have severely restricted how she lives her life.


Shelley has now been cured of this life-threatening disorder as a result of a pioneering clinic that has been set up in the UK by the Royal Victoria Infirmary in Newcastle-upon-Tyne and the University of Newcastle medical school.


Shelley, aged 25, from Workington, Cumbria, says: "I have had blackouts on an aeroplane because of the air pressure change, but luckily there was a Dutch nurse sitting next to me so she rescued me.


"It's just the thought of never being able to control what's going to happen to you. It's very scary.


"You would feel like you have an out-of-body experience. For example, one moment I would be in the living room, perhaps dancing or doing something, and the next moment I would be almost in a totally different place.


"I would be in the real world, then go into a world of my own and then be sucked out again.


"When people talk about near death experiences, they say they have felt like going somewhere else and that's how I felt every time."


Her fits left her disorientated for days afterwards, but a cure for this life-threatening condition, known as Vasovagal Syncope, is cheap and simple, although the diagnosis is very difficult.


The disorder is a malfunction in the way blood is supplied to the body, which in turn stops the heart. The problem is overcome by fitting a pacemaker.


People going to hospital for investigations can be admitted for up to 17 days, leaving doctors baffled and tying up valuable hospital beds and staff time.


Unexplained falls are the commonest single reason for older persons to attend the accident and emergency department or be admitted to a nursing home.


Shelley was treated at the Royal Victoria Infirmary by Professor Rose Anne Kenny.


Professor Kenny, of the University of Newcastle-upon-Tyne medical school, says: "The importance of medical assessment cannot be overemphasized. Two-thirds of recurrent falls are due to medications or heart rate or blood pressure abnormalities – all of which can be successfully treated."


She says many services set up around the UK by primary care trusts exclude medical assessment by a doctor because it's too expensive. But without an appropriate medical assessment, it is often very difficult to diagnose these falls, claims Professor Kenny.


And this is something that Shelley herself would testify. Shelley says: "As a child I tried to find a solution to this. I met lots of doctors, my mum was a nurse and she had taken me to lots of places, but no-one knew what it was.


"I sometimes got this feeling it was all in my head, but I knew it wasn't and I just needed someone to tell me and sort me out and that's what Professor Kenny did for me. She really helped me and really changed my life."


In Professor Kenny's out-patient clinic, which has been specifically designed to assess unexplained blackouts, the tests involve shifting a person's body weight on a tilting bed to induce unconsciousness.


"There's certainly a cost saving, but for me the most important thing is it allows you to treat people quickly and that makes a big difference to all age groups, but particularly older persons who are having unexplained episodes," says Professor Kenny.


"Rather than coming back and forth to hospital for more investigations, we can give a diagnosis which is accurate, quick and without all that unnecessary cost to their quality of life."


Professor Kenny says the out-patient clinic has actually saved money and offers a better quality of service.


Shelley adds: "It's been brilliant. It's made such an impact in my life. There's no fear of seizures and that to me was awful, having that constantly at the back of your mind."


Now, when the symptoms of a seizure begin, the pacemaker will take over and the effects will last no more than five minutes – a huge difference to the five days of illness she would suffer in the past.


She is now learning to drive for the first time, having passed a medical examination to secure her provisional licence.


She says: "Driving is fantastic. I have wanted to learn for ages and it's brilliant to be a bit more independent."


Notes to Editors


91Èȱ¬ ONE's Inside Out must be credited if any of this story is published.


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