The Newest Star of Doctor Who
A rare form of Alzheimer's Disease affecting eyesight before it impacts on memory. And 18-year-old blind actor Ellie Wallwork stars in an episode of Doctor Who.
The early symptoms of a rare form of Alzheimer's disease, known as Posterior Cortical Atrophy, presents problems for people in seeing and making sense of the world. The disease starts in the visual cortex at the back of the brain. Its impact is devastating and its progression is aggressive. Doug Banks, who is 58 and has PCA, likens it to looking through a shattered mirror. He talks to Peter White about the other ways it affects his life. Alzheimer's Research UK's chief medical officer David Reynolds tells us what's happening to Doug's brain.
College student and young actor Ellie Wallwork has had her big break. She is to play the lead guest role in Sunday's episode of Dr Who. She tells Peter White how she got the part and where acting fits into her future aspirations.
Presenter: Peter White
Producer: Lee Kumutat
Last on
Alzheimer's Research UK
Do I see what you see?
A film about dementia, disconnection and seeing the world differently.
In Touch Transcript: 27-11-2018
THE ATTACHED TRANSCRIPT WAS TYPED FROM A RECORDING AND NOT COPIED FROM AN ORIGINAL SCRIPT.听 BECAUSE OF THE RISK OF MISHEARING AND THE DIFFICULTY IN SOME CASES OF IDENTIFYING INDIVIDUAL SPEAKERS, THE 麻豆社 CANNOT VOUCH FOR ITS COMPLETE ACCURACY.
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IN TOUCH 鈥� The newest star of Doctor Who
TX:听 27.11.2018听 2040-2100
PRESENTER:听 听听听听听听听 PETER WHITE
PRODUCER:听 听听听听听听听听听 LEE KUMUTAT
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White
Good evening.听 Tonight, it sounds like a dream role in a legendary TV show.
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Clip 鈥� Doctor Who
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White
We meet the young visually impaired actor who will be watched by millions next week.
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But first, an eye condition which, to my knowledge, we鈥檝e never featured on In Touch before.听 Doug Banks began to experience problems with his eyesight around four years ago.听 Initially his symptoms were put down to overwork and a stressful job, both by Doug and his GP, but when his difficulties persisted Doug took things into his own hands and began to do his own research.听 Having ruled out direct eyesight problems he went back to his GP who ordered a full health check, including an MRI scan.听 What they found was surprising and devastating.听 It turns out that Doug has a rare form of Alzheimer鈥檚 disease known as PCA or posterior cortical atrophy.
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Well I鈥檝e been talking to Doug about PCA鈥檚 effect on him and finding out more about the disease generally from David Reynolds, from Alzheimer鈥檚 Research UK.听 Doug first.
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Banks
My eyesight is fine.听 The main problem for me is that what I see cannot be interpreted by my brain, my brain can鈥檛 work out what it is I鈥檓 looking at, what I do with it, where is it.听 There are some weird things about it as well, I can read very small print but I can鈥檛 read a newspaper.听 I鈥檝e looked at signs six feet high and can鈥檛 read them because my brain can鈥檛 process it.听 Okay.听 Another one is playing golf 鈥� if I try and play golf, I can鈥檛 hit the ball.听 But I can play badminton because the shuttle cock鈥檚 moving and that鈥檚 not a problem.听 And that鈥檚 weird, it鈥檚 almost counterintuitive.
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Reynolds
What鈥檚 happening to Doug鈥檚 brain is similar to what happens to people who develop kind of ordinary symptoms of Alzheimer鈥檚 disease, parts of his brain are degenerating and his brain cells are dying off and that鈥檚 producing the symptoms he has.听 The key difference is, in Doug鈥檚 case, in posterior cortical atrophy, it鈥檚 the back of the brain that has these problems and that鈥檚 the bit of the brain that processes the visual information coming from your eyes.
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White
And one of the first symptoms of this, as you say, is vision loss, not memory loss, why does that happen?
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Reynolds
So, it鈥檚 all to do with which bit of the brain is affected by the disease.听 Because it鈥檚 the back of the brain that processes the information coming from your eyes, not just the picture that your eyes collect but also putting it into context of what the different objects of scene is about and if you鈥檙e trying to do something like say, I don鈥檛 know, pick up a cup of coffee using that information to guide your hand to the cup of coffee.听 And because it鈥檚 that bit of the brain that does that kind of processing that leads to the symptoms that people like Doug can struggle with.
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White
So, you didn鈥檛 have any experiences of memory loss?
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Banks
No and this is why it鈥檚 different, some people don鈥檛 get that sometimes because it鈥檚 less about memory and it鈥檚 more about the visual.听 Of course, in the latter stages it鈥檚 meant to become similar to classic Alzheimer鈥檚 with memory loss and not being able to recognise people and things like that.听 There鈥檚 one or two other aspects of it where it affects your ability to read and write 鈥� I can鈥檛 read and write so well now.听 I can鈥檛 do calculations, I can鈥檛 handle money very well because I can鈥檛 see what I鈥檓 dealing with there.
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White
Which obviously all these things relate to work, you were doing a fairly high-powered job and one of your concerns is that you want to be able to go on doing something, something useful.
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Banks
Yeah, I mean I鈥檝e been doing 鈥� I鈥檝e worked in the IT business for getting on for 30 years and I know I can鈥檛 depend so much on the fact that I can get things done as quick or I might miss things out or I鈥檝e got to get someone to check things.听 Although I鈥檝e still got the same knowledge, the same experience, I can鈥檛 get to it as quickly.
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Reynolds
Many of the people who have PCA are relatively young, kind of 50 to 65 is a typical age of onset.听 So, a good 10 or 15 years earlier than say a typical Alzheimer鈥檚 patient.听 And of course, the symptoms are very different.听 So, often someone might go to have their eyes tested, for example, and find actually their vision is fine but that doesn鈥檛 explain the symptoms that they are having.
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White
Now Doug is desperate to work.听 Can people go on working in the early stages of this disease?
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Reynolds
It really depends on Doug鈥檚 symptoms and what kind of work he does, also whether he can get support from home and the workplace to enable him to keep working.听 So, it鈥檚 a difficult question to answer.听 Certainly, we would encourage people to go on living as normal a life as possible and try and work out ways you can compensate for challenges with vision or other aspects of the disease but it is a very individual thing.
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White
And it must be very frustrating if most things still seem to be working fairly normally, not to be able to do some of the things that you鈥檝e been trained to do.
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Reynolds
Absolutely.听 As with all of these diseases that affect your brain it has an enormous impact on the person themselves and often on their family and friends as well.
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White
You鈥檝e had a diagnosis which has all kinds of implications, including a shortening of life, you鈥檙e in your 50s, why is it so important to you that you work?
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Banks
Why work?听 Well, obviously, as a professional person work is a big part of your life.听 The credit crunch didn鈥檛 help matters, shall we say but also the fact that people say to me well why don鈥檛 you just finish work and go and just live everyday and experience things.听 Fine, but you need money for that and because I鈥檝e got no income now, I鈥檝e had no income at all since last November, it鈥檚 not something you can simply cope with 鈥� so to find ways of carrying on, shall we say.
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White
Just explain how Doug鈥檚 disease might progress, given that the vision loss or the vision difficulty of interpretation happens first.
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Reynolds
With these kinds of diseases that are a neurodegenerative disease, so your neurons, your brain cells, are dying off, it starts in a particular part of the brain, in this case the bit that processes visual information but it will spread to other areas.听 So, as posterior cortical atrophy progresses it tends to lead on to symptoms with problems with remembering, with thinking, with being able to recognise objects or people.听 And that will get worse and worse over time as the disease progresses.
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White
And can you give us any kind of timescale on this?
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Reynolds
So, there鈥檚 an awful lot of variation between different patients.听 It will typically be over a number of years, five to 10 years, but some patients will progress much more quickly, some much more slowly.听 And unfortunately, as scientists we haven鈥檛 really got to the bottom of why that is or how to slow it down.
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White
This is very unusual Doug, what would help you, what are you looking for really?
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Banks
Well what I鈥檓 thinking of, I鈥檓 slowly coming to terms with the fact that I鈥檓 not going to get back to my job and so what 鈥� I鈥檓 going to do something else now and I鈥檓 thinking well what can I do, forget what I can鈥檛 do, what can I do.听 And whilst I鈥檓 still fit and well and I can get out and about I鈥檇 like to do something that鈥檚 worthwhile, in terms of maybe something around dementia or Alzheimer鈥檚 or whatever, but I need to be in a position where I can earn money and pay 鈥� support my wife and so on.听 And obviously I鈥檓 thinking ahead, planning ahead, to make sure she鈥檚 safe, you know, in the long term.
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White
And do you have a prognosis for that and how it might continue to develop?
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Banks
Well the prognosis is that once you鈥檙e diagnosed, I was diagnosed in July 2016, your life expectancy is within 10 years.听
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White
And as far as the visual aspect of it?
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Banks
On the visual aspect of it, it鈥檚 basically 鈥� it鈥檚 progressing, it鈥檚 progressing aggressively and each day is a challenge, I guess, yeah.听 I鈥檝e got several pairs of glasses at home, again they don鈥檛 really help much at home and the prospect is 鈥� I had a neurologist鈥檚 appointment in October and he suggested that what it actually turns out to be is like looking through a broken mirror, a shattered broken mirror that you can鈥檛, you know, you can still see colours and shapes but you can鈥檛 interpret any of it.
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White
That was Doug Banks and before Doug you heard David Reynolds of Alzheimer鈥檚 Research UK.
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If you want to know more about Doug鈥檚 condition and the support available, you鈥檒l find links to the charity and to a video giving more information on our website.
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Finding work is also on the mind of Jenny Hut.
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Hut
Thank you for covering the issue of those losing their sight who aren鈥檛 children or older people.听 I was recently diagnosed with Inherited Retinal Degeneration when I was in my early 40s.听 It鈥檚 been frustrating trying to find any services locally or nationally to meet my needs as a parent and someone who wishes to find employment.听 Services generally offered to me are during the working day, therefore making me feel as though it鈥檚 expected that I will never get a job.听 So far, I鈥檝e been offered numerous craft groups, coffee mornings or trips out 鈥� none of which is relevant.听 How will I remain an active useful member of society, not side-lined and just able to meet up with people socially?
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White
Well Ellie Wallwork could be forgiven if finding work doesn鈥檛 seem too much of a problem for her at the moment.听 Every actor longs for that big break and for Ellie it could have hardly have come much bigger or much earlier.听 She鈥檚 18 and next Sunday she鈥檒l be playing a leading role on one of TV鈥檚 most enduring series.听 Doctor Who鈥檚 already broken new ground with this series with the first female doctor and next Sunday Ellie will be playing the lead guest part.听 And she joins us from our Hereford studio.
听
So, Ellie, first of all, very exciting and congratulations鈥�
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Wallwork
Thank you.
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White
But tell us as much as you can about your lead role without spoiling the plot.
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Wallwork
Her name鈥檚 Hanne, she鈥檚 a young teenager and she鈥檚 completely or near on completely blind.听 And you first see her really 鈥� she鈥檚 sort of been in this cottage for a while and there is this monster lurking in the woods and lots of sort of terrifying sounds and she鈥檚 a scared character, the first time you see her she鈥檚 frightened.听 And then lots of interesting things happen to her.
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White
But they haven鈥檛 actually travelled in time have they for this, I think you鈥檙e in the present aren鈥檛 you?
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Wallwork
No, yes, yes, the present, yeah.
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White
Which is unusual.
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Wallwork
Yeah.
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White
So, how did you land this part Ellie?
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Wallwork
So, I did a film when I was 11 and from that film I got an agent and over the years she鈥檚 been getting me some roles and some auditions and I think it was September last year she put me up for an audition.听 And I didn鈥檛 actually know what it was at first, I had no idea, it was just a major 麻豆社 drama, lots of secrecy, can鈥檛 tell anybody.听 And then I got the audition and it was for Doctor Who and I went for it in London and I got the part, which is wow.
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White
I gather your dad is a big Doctor Who fan.
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Wallwork
Yes, massive fan, he loves it.
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White
So, what鈥檚 his reaction to this?
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Wallwork
The first time, when I told him that I was going for an audition, we were actually in the car and he came back from 鈥� I think it was like getting some petrol or something 鈥� and he didn鈥檛 speak for about five minutes because he was so shocked, he was like what!! Because it鈥檚 his childhood show really, he loves it, he loves the show.
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White
Dream come true for him.听 You mentioned earlier experience, there was a film called Imagine, wasn鈥檛 there, that we featured on In Touch.
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Wallwork
Yes, that鈥檚 right.
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White
Is that what kind of got you really hooked on this?
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Wallwork
Yes, because I remember doing it and feeling really, really happy and feeling really at home and it made me want to do it even more.听 And this 鈥� the Doctor Who sort of part underlined that.听 So, it鈥檚 really made me want to pursue it more.
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White
So, is that kind of part of the Ellie Wallwork life plan now 鈥� acting?听 Because you鈥檝e got various other strings to your bow haven鈥檛 you.
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Wallwork
Yeah, I don鈥檛 really know what I鈥檓 going to do, I kind of want to keep my options open because I don鈥檛 want to commit myself to a career path right now.听 But I鈥檇 definitely love to pursue acting in the future.
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White
Tell us a bit more about the filming 鈥� I mean what was that like, on such a set, on such an iconic show, ain鈥檛 the word but if ever it applies to anything it apples to this?
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Wallwork
Yes.听 It was amazing.听 I always felt like I belonged, I always felt included.听 They made a lot of effort to make me feel at home really.听 They always helped me in terms of like guiding me around the set and we always blocked out scenes beforehand.听 And filming with the cast was fantastic, they鈥檙e all so funny and I got on with them so well.听 And I really, really felt happy there.
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White
Did you have to do any stunts?
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Wallwork
Well actually, I had a stunt double, which is really hilarious to say but I did do a couple鈥�
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White
Was she blind?
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Wallwork
No, sadly not.听 But yeah, I did a couple of stunts but not anything too serious because I wouldn鈥檛 have been able to do it, I don鈥檛 think.
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White
But it absolutely lived up to your expectations obviously.
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Wallwork
Definitely, I mean I don鈥檛 really know what expectations I had, I mean it鈥檚 Doctor Who, what can you think would happen?
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White
Let鈥檚 just talk a bit more about you because when we first met you were at mainstream school and you鈥檙e now at a specialist college in Hereford.听 How is that different and why have you gone that route?
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Wallwork
So, my independence wasn鈥檛 great when I was in mainstream because I pretty much gave everything up for my A Levels and GCSEs.听 And so, I wanted to take a gap year anyway before I went to uni, because that鈥檚 what I plan to do next year and I wanted to get some support for independence and IT and living skills and that kind of thing and I decided on Hereford because it seemed like a good step, sort of not quite sixth form but not also uni, so it was a good transition.
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White
People react in different ways, sometimes people who鈥檝e always been at mainstream go into a college that鈥檚 just for blind people, feels uncomfortable, what about you?
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Wallwork
I had a lot of adjusting to do, I think, I love the place, honestly, I think it鈥檚 great and I think it鈥檚 done a lot for me.听 There鈥檚 certainly, I mean it鈥檚 not been easy because I wouldn鈥檛 have expected it to have been because I鈥檝e spent all my life in mainstream but I think I鈥檝e adjusted really well and I鈥檓 really enjoying myself now.
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White
So, I have to ask you 鈥� how have your new fellow students reacted to your stardom?
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Wallwork
I don鈥檛 really know, people have been approaching me and been like 鈥� oh is it true you鈥檙e in Doctor Who 鈥� and I haven鈥檛 really known how to react, I鈥檝e just sort of gone鈥�
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White
Have they a bit annoyed you 鈥� you know when people come to somewhere new it鈥檚 bad enough, you have to fit in and then it turns out that you鈥檙e this megastar.
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Wallwork
Lots of people wondered 鈥� I mean I鈥檓 not really a megastar but lots of people have wondered why I didn鈥檛 say and I was well I couldn鈥檛 because if it had got out then it wouldn鈥檛 have been great and I needed to keep it a secret which was so difficult.
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White
You said some things had been difficult, difficult to adjust to, can you give us examples?
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Wallwork
Honestly, it鈥檚 mostly living away from home.听 Like the social environment has been completely fine because I don鈥檛 know I fit in really, really well but it鈥檚 mostly getting used to just doing stuff on my own, it sounds really weird like, I sort of 鈥� when I first put my washing on myself, because I didn鈥檛 know how to do that before because my washing machine at home was a touchscreen, it was 鈥� I don鈥檛 know it felt like I was achieving something.
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White
So, these were things that perhaps you did get a bit spoilt about at home which you鈥檙e now having to do.
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Wallwork
Exactly and I鈥檓 like far from being like oh I have to do this, I鈥檓 actually revelling in the independence.听 I鈥檝e always wanted to be independent and this is the closest I鈥檝e ever got and that鈥檚 made me happy.听 Like even just simple things like cooking or just doing things I wouldn鈥檛 have ordinarily done at home because I was focused on studying and stuff like that, it鈥檚 felt like a victory really.
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White
Ellie Wallwork, yet another victory then for you, thanks so much for joining us鈥�
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Wallwork
Thank you.
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White
鈥nd congratulations.
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Wallwork
Thank you.
听
White
Doctor Who, starring Ellie, is on 麻豆社 1, that鈥檚 Sunday 2nd December at 6.30 pm.听 Ellie鈥檚 next step may well be university where she鈥檒l be entitled, like other visually impaired students, to Disabled Students Allowance.听 Now that鈥檚 meant to help with the extra costs of your disability when you鈥檙e studying, could include things like access technology, transcription of coursework in an accessible form, help with getting around the campus and taking notes in lectures.听 But a number of organisations, including the Pocklington Trust, have written to the Department for Education saying the allowance isn鈥檛 working as it should, especially when it comes to finding the right support workers for students.
听
Tara Chattaway, explained what they wanted from the government.
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Chattaway
The technical guidance is very specific on the type of support that a student can receive.听 If somebody has an assessment and they need support that鈥檚 not on that list then they鈥檙e not able to receive it.听 And it鈥檚 kind of very generic actually, it doesn鈥檛 really match the needs of some of the students.听 And the second part of it, is that it has a very, very strict list on the type of qualifications that those people providing support should have and it doesn鈥檛 allow for experience.听 So, they鈥檙e told, okay, you should have however many hours a week but then there鈥檚 not the right numbers of people out there with that specific qualification to be able to provide that support.听 So, I鈥檝e heard from a number of students at the moment in their first year of university who鈥檝e gone their first semester with no support because they can鈥檛 find the right people to support them.
听
White
Tara Chattaway.听 Well the briefing that they sent has been acknowledged by the Department for Education but they鈥檙e still awaiting a full response.听 But in a programme dedicated to students next week that鈥檚 just one of the things that we鈥檙e going to be discussing with a panel of students.
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Doctor Who sound effects
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You can call our actionline with your thoughts on 0800 044 044, email intouch@bbc.co.uk or click on the contact us link on our webpage.听 From me, Peter White, producer Lee Kumutat and the very latest star of Doctor Who, goodbye.
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Wallwork
Goodbye.
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Doctor Who sound effects
听Broadcast
- Tue 27 Nov 2018 20:40麻豆社 Radio 4
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