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When Victor Sharrah woke up one day in November 2020, he feared he was in some sort of “demonic world”.

When he looked at people’s faces, they appeared “demon-like”, with their ears, noses and mouths stretched back, and with deep grooves in their foreheads, cheeks and chins.

“You can’t imagine how scary it was,” the 59-year-old, from Clarksville, Tennessee, said.

What he was actually seeing were distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO.

Even more unusual in the case of Mr Sharrah was that, when he looked at a phone or computer screen, people’s faces appeared normally.

That gave scientists an interesting opportunity to put Mr Sharrah at the centre of an interesting new study – the results of which were recently published in respected medical journal, The Lancet.

For the first time, researchers were able to recreate these rare PMO distortions in the form of pictures.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

“As the patient reported no distortion when viewing facial images on a screen or on paper, we asked him to compare an in-person face to a photograph of the face taken in the same room under identical lighting conditions,” the authors said in their report.

“By alternating between observing the in-person face perceived as distorted and the photo on a computer screen-perceived as undistorted, he provided real-time feedback on the perceived differences.

“We then used image-editing software to modify each photo until it matched his in-person perception.”

What is PMO?

There are reportedly fewer than 100 published case reports of PMO, and scientists don’t fully understand what triggers it.

However, they suspect it is caused by dysfunction in the brain network that handles facial processing.

The distortions can vary from case to case, with other people reporting seeing people with droopy or off-set eyes, and others reporting seeing “witch-like” features.

Interestingly, unlike a person experiencing hallucinations due to a mental disorder, a person with PMO is aware that what they are seeing is a distortion or that something is wrong with their vision.

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According to NBC, the US partner of Sky News, researchers offered two possible triggers in the case of Mr Sharrah.

The first was that he had carbon monoxide poisoning four months before his PMO symptoms started.

The second was he had endured a significant head injury 15 years earlier while hitting his head on concrete, with MRI scans showing a lesion on the left side of his brain.

Mr Sharrah also has a history of bipolar affective disorder and post-traumatic stress disorder, according to the study.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Though PMO symptoms often resolve after a few days or weeks, they can linger for years, and Mr Sharrah said he still sees demonic faces.

‘I came close to having myself institutionalised’

He has found ways to cope with his condition, including living with a roommate and her two kids, which he said has been helpful, because he’s used to having people around, so he isn’t as spooked when he sees new faces in public.

According to NBC, he also finds that green light alleviates his symptoms, so he sometimes wears glasses with green-tinted lenses when he’s in crowds.

Mr Sharrah wants others to know they can manage the condition.

“I came so close to having myself institutionalised,” he added.

According to the study’s lead author, Antonio Mello, a PhD student who works in Dartmouth’s Social Perception Lab, many doctors aren’t aware of PMO and may misdiagnose people with mental health disorders instead.

As a result, some PMO patients have been prescribed medications for schizophrenia or psychosis, which aren’t appropriate for their condition, he added.

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What China could do next as Trump’s tariff war ramps up

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What China could do next as Trump's tariff war ramps up

The severity cannot be overstated, if an additional 50% tariffs are levied on all Chinese goods it will decimate trade between the world’s two biggest economies.

Remember, 50% would sit on top of what is already on the table: 34% announced last week, 20% announced at the start of US President Donald Trump’s term, and some additional tariffs left over from his first term in office.

In total, it means all Chinese goods would face tariffs of over 100%, some as high as 120%.

It’s a price that makes any trade almost impossible.

China is really the only nation in the world at the moment that is choosing to take a stand.

While others are publicly making concessions and sending delegations to negotiate, China has clearly calculated that not being seen to be bullied is worth the cost that retaliation will bring.

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Tariffs: Xi hits back at Trump

The real question, though, is if the US does indeed impose this extra 50% tomorrow, what could or would China do next?

It has said it will “fight to the end”, but what does that mean?

In reality, there are few good options.

There are some obvious measures that China will almost certainly enact.

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Further export controls on rare earth minerals (crucial for the development of high-tech products) are one example. China controls a huge proportion of the world’s supply, but the US would likely find workarounds in time.

Hiking tariffs on high-impact US products such as agricultural goods is another option, but there is only so far this could go.

The potentially more impactful options have significant drawbacks for Beijing.

It could, for instance, target high-profile American companies such as Apple and Tesla, but this isn’t ideal at a time when China is trying to attract more foreign investment, and some devaluation of the currency is possible, but it would also come with adverse effects.

Other options are more political and come with the risk of escalation beyond the economic arena.

In an opinion piece this morning, the editor of Xinhua, China’s state news agency, speculated that China could cease all cooperation with the US on the war against fentanyl.

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This has been a major political issue for Mr Trump, and it’s hard to see it would not constitute some sort of red line for him.

Other options touted include banning the import of American films, or perhaps calling for the Chinese public to boycott all American products.

Anything like this comes with a sense that the world’s two most powerful superpowers might be teetering on the edge of not just a total economic decoupling, but cultural separation too.

There is understandably serious nervousness about how that could spiral and the precedent it sets.

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Social media posts spark US markets upturn – before White House clarification sends them back into the red

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Social media posts spark US markets upturn - before White House clarification sends them back into the red

A rumour on social media fuelled a brief upturn for struggling US stock markets – but they swiftly swung back down again after the claim was debunked by the White House.

Markets around the world have struggled since some of Donald Trump’s new import tariffs came into effect over the weekend.

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The US markets opened on Monday with a fall for the third day in a row but briefly rallied and showed growth of over 2% at 3.15pm UK time.

The upturn came after a social media rumour claimed a top Trump administration adviser had suggested the president could be considering a 90-day pause on tariffs.

The origin of the false report was unclear but it appeared to be a misinterpretation of a comment made by a White House employee during a Fox News interview.

Asked if the US president would consider a pause, Kevin Hassett, White House National Economic Council director, said: “I think the president is going to decide what the president is going to decide.

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“There are more than 50 countries in negotiation with the president.”

Nearly two hours later, multiple X accounts posted identical messages claiming Mr Hassett said a pause – for all countries except China – was being considered.

The identical posts were picked up by some news outlets and stock traders, sending the markets skyrocketing.

However, when the White House said any talk of a pause was “fake news”, they were sent back into the red.

This brief upturn was market volatility writ large

It was the stock market as a spectator sport.

The moment, mid-morning, when a Trump aide had given a TV interview and subsequent headlines screamed that Trump was considering a 90-day pause on tariffs.

Suddenly, the markets went from red to green.

Make that green to red, just minutes later, when the White House dismissed the story as fake news, insisting there would be no pause.

Investors duly reverted back to panic mode.

It was market volatility writ large.

The stance inside the White House can be best characterised as ‘panic, what panic?’.

Donald Trump on Monday joked his way through a photo call with the Los Angeles Dodgers, winners of baseball’s World Series, ahead of his meeting with Israeli Prime Minister Benjamin Netanyahu.

For those two men, there is much on the agenda, of course – not least the collapse of the ceasefire in Gaza.

On that, this will be an important stage in a grinding diplomacy that has ground to a halt around a ceasefire.

On tariffs, with Netanyahu, there will be a first look at how negotiations work with the punitive president.

Israel faces a 17% tariff from its largest trade partner and ally.

How to strategise a route towards the sweet spot?

With Trump’s first visitor since the tariff announcement comes a first test of how negotiations work and what they produce.

The world will be watching agog – as all the world has a stake.

Mr Trump has remained defiant despite fears that his levies could be pushing the US towards a recession.

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The US president has insisted the taxes are necessary for rebuilding domestic manufacturing and resetting trade relationships with other countries.

“Be Strong, Courageous, and Patient, and GREATNESS will be the result!” he wrote on Truth Social on Monday.

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What’s going on with the stock markets?

Mr Trump – who played golf in Florida over the weekend – has also threatened an extra tariff on China, after Beijing announced a retaliatory levy on the US.

He said if Beijing does not withdraw its retaliatory tax, the US will impose an additional 50% levy on China and “negotiations with other countries, which have also requested meetings, will begin taking place immediately”.

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Meghan reveals ‘huge medical scare’ after childbirth

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Meghan reveals 'huge medical scare' after childbirth

The Duchess of Sussex has spoken about medical complications she suffered after the birth of one of her children.

Meghan revealed she was diagnosed with postpartum pre-eclampsia, a condition similar to pre-eclampsia which affects women during pregnancy.

In the first episode of a new podcast, Meghan described the condition as “so rare” and “so scary”.

“You’re still trying to juggle all these things and the world doesn’t know what is happening, quietly and in the quiet you are still trying to show up for people,” she added.

“You’re still trying to show up, mostly for your children. But those things are huge medical scares.”

While Meghan spoke about suffering with postpartum pre-eclampsia, she did not reveal whether it happened after the birth of five-year-old son Archie or three-year-old daughter Lilibet.

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What we learnt from Meghan series

Postpartum pre-eclampsia is a serious condition linked to high blood pressure which occurs most commonly within the first seven days of a birth, but can be a risk up to six weeks after delivery, according to the charity the Preeclampsia Foundation.

The NHS says symptoms include severe headaches, vision problems, pain below the ribs, vomiting and sudden swelling of the feet, ankles, face and hands.

Without immediate treatment, it can lead to serious complications including, in rare cases, convulsions, liver and blood clotting disorders and strokes.

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Meghan’s podcast, Confessions Of A Female Founder, is the latest show she has produced since the release of her Netflix lifestyle series With Love, Meghan and her new brand As Ever.

She has promised the podcast will feature “girl talk” and advice on how to create “billion-dollar businesses”.

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Whitney Wolfe Herd, founder of dating platform Bumble, spoke to Meghan on her podcast about the impact of childbirth.

The first episode was released on the same day Prince Harry appeared at the Royal Courts of Justice in London for the latest stage in his legal challenge over the level of security he is given when he is in the UK.

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