Best Of... Operation Ouch!


Download Subtitles

SRT

ASS


Best Of...

The doctors choose some of their favourite moments, including an experiment to find out what happens when you cough and a life-changing operation.


Similar Content

Browse content similar to Best Of.... Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

I'm Dr Chris.

0:00:240:00:25

And I'm Dr Xand.

0:00:250:00:26

-We're identical twins.

-Twins!

0:00:260:00:29

Do you know your body does loads of amazing things

0:00:290:00:31

without you even realising it?

0:00:310:00:34

Welcome to my poo factory.

0:00:340:00:36

And we're going to show you how.

0:00:360:00:38

Smell my armpits!

0:00:380:00:40

We've got gobsmacking experiments...

0:00:400:00:42

Wow!

0:00:420:00:44

Mind-bending body tricks... THEY LAUGH

0:00:440:00:47

And real medical mysteries.

0:00:470:00:49

I've got a stone in my ear.

0:00:490:00:51

So, are you ready to see what you're made of?

0:00:510:00:53

Do you want to high-five?

0:00:530:00:55

-Coming up today...

-On Operation Ouch!

0:00:560:00:59

Xand, why are you wearing the medical emergency blanket

0:00:590:01:02

from the ambulance?

0:01:020:01:04

This is Super Xand's space cape.

0:01:040:01:06

Xand, put it back where you found it.

0:01:060:01:08

We perplex the public in Mindbenders...

0:01:130:01:15

SHE SQUEALS

0:01:150:01:17

And we're looking back at some of our best bits.

0:01:170:01:20

THEY COUGH We find out what comes out

0:01:200:01:22

when you cough...

0:01:220:01:23

Oh, yuck!

0:01:230:01:25

And Matthew's life is transformed by an amazing device.

0:01:250:01:29

Absolutely extraordinary to be holding one in my hands.

0:01:290:01:32

It's one of our favourite hospital cases.

0:01:340:01:37

-Ooh, is it Alice?

-Yes.

-ALICE Alice?

-Yes.

0:01:370:01:40

-ALICE Alice Alice?!

-Yes, it's Alice!

-Great!

0:01:400:01:43

In Manchester, waiting with her mum and dad

0:01:440:01:47

is five-year-old Alice,

0:01:470:01:49

and it looks as though she's hurt her hooter.

0:01:490:01:51

Ooh! That does look nasty.

0:01:510:01:53

She fell over and bashed her nose,

0:01:530:01:55

so she's got a nasty little cut just along the side of her nose here.

0:01:550:01:59

The witch came to catch me.

0:01:590:02:01

The witch? What's all that about?

0:02:010:02:04

Alice and her friend, Colette, were at school.

0:02:040:02:07

So, where was the witch?

0:02:070:02:09

Unless you mean those dinner ladies. Maybe they're cooking up a spell.

0:02:090:02:12

No, Xand. Colette was pretending to be a witch and was chasing Alice.

0:02:120:02:17

COLETTE CACKLES Run, Alice!

0:02:170:02:19

Alice ran through the playground trying to get away,

0:02:200:02:23

but the witch was catching up fast.

0:02:230:02:25

Oh, no!

0:02:250:02:27

Alice ran faster and faster

0:02:270:02:29

and just as the witch was about to grab her,

0:02:290:02:31

-she tripped.

-Uh-oh!

0:02:310:02:33

Alice went flying across the playground,

0:02:340:02:37

-landing face first.

-Ouch. THEY GASP

0:02:370:02:39

Here's ear, nose and throat doctor, Ricky Pal.

0:02:400:02:43

Maybe he can cast a spell to mend that snout.

0:02:430:02:45

-What have you done?

-Just fell over and hurt my nose.

0:02:450:02:50

Dr Ricky needs to take a closer look.

0:02:500:02:53

There are lots of nooks and crannies in your nose

0:02:530:02:56

that could be damaged if it takes a bash -

0:02:560:02:59

the nostrils, the nasal passages

0:02:590:03:02

and the bit down the middle called the septum.

0:03:020:03:04

It's made of bone and cartilage.

0:03:040:03:07

Alice's cut hasn't reached the cartilage,

0:03:070:03:09

but it has sliced right through her nostril.

0:03:090:03:11

Luckily, Dr Ricky knows how to fix it.

0:03:110:03:14

She needs to have that stitched in theatre,

0:03:140:03:17

so we'll put her to sleep under an anaesthetic,

0:03:170:03:20

and then we'll just get the edges of the cut lined up

0:03:200:03:23

and stitched together nicely.

0:03:230:03:25

Wee!

0:03:250:03:26

We'll be back later to see how Alice gets on.

0:03:260:03:29

Ouch!

0:03:310:03:32

Ready to see one of our all-time favourite experiments?

0:03:330:03:36

Yes!

0:03:360:03:37

We're going to show you how your incredible body works.

0:03:370:03:41

Just don't try anything you see here at home.

0:03:410:03:43

HE COUGHS

0:03:430:03:46

Now, today, we're going to be looking at what happens...

0:03:460:03:49

-HE COUGHS

-..when you cough.

0:03:490:03:51

Now, a cough is a reflex action that your body does

0:03:510:03:54

to get rid of something harmful or irritating

0:03:540:03:56

which you breathed in by mistake, like icing sugar, for example.

0:03:560:03:59

Icing sugar? Why would I breathe in icing sugar?

0:03:590:04:02

We're in a lab, not a kitchen.

0:04:020:04:04

When I do bake, I always make savoury things

0:04:040:04:06

like, you know the cheese twists with...

0:04:060:04:09

-Argh!

-HE COUGHS VIOLENTLY

0:04:090:04:12

Water!

0:04:120:04:14

Now we're going to show you Chris coughing

0:04:150:04:17

like you've never seen it before.

0:04:170:04:19

Now, this is a video of the inside of my head.

0:04:220:04:25

This was taken using

0:04:250:04:26

a magnetic resonance imaging machine,

0:04:260:04:29

or MRI.

0:04:290:04:30

The main difference between a cough and simply breathing out hard

0:04:300:04:34

is my favourite body part,

0:04:340:04:36

your epiglottis.

0:04:360:04:38

It's normal job is to stop food

0:04:380:04:40

going into your lungs when you swallow,

0:04:400:04:42

but in a cough, it closes off

0:04:420:04:44

the lungs and allows pressure to build up in the lungs.

0:04:440:04:48

Xand, do the first part of a cough.

0:04:480:04:50

Xand's closed his epiglottis, the pressure's rising in his chest,

0:04:500:04:54

-so when he opens it...

-HE COUGHS

0:04:540:04:56

..the air rushes out at 60mph.

0:04:560:04:58

But if a cough's that powerful, where does it go and what's in it?

0:04:580:05:02

Well, we're going to show you.

0:05:020:05:04

It's time for competitive...

0:05:070:05:09

-HE COUGHS

-..coughing.

0:05:090:05:11

What is going on?

0:05:110:05:13

Well, I've made these cut-outs that look just like you and me.

0:05:130:05:16

They don't look anything like me. They're all blue.

0:05:160:05:19

I'm the green twin. Everything I wear is green.

0:05:190:05:23

It's greenish.

0:05:230:05:24

It's...it's not... Does that look the same?! It's turquoise!

0:05:240:05:27

-Doesn't look anything alike.

-It's not relevant, Xand.

0:05:270:05:31

The point is I've put plates

0:05:310:05:33

full of a special scientific gunk called agar jelly

0:05:330:05:36

on the faces of our cut-outs.

0:05:360:05:38

So, if any bacteria happen to land on any of our plates,

0:05:380:05:41

they're going to multiply so much we can actually see them.

0:05:410:05:44

OK, Chris, are you ready? Three, two, one, cough.

0:05:440:05:48

We're doing two experiments -

0:05:480:05:50

one where the plates are 10cm away

0:05:500:05:52

and another where they're 50cm away.

0:05:520:05:55

-Well. All done.

-Not quite, Chris.

0:05:560:05:59

I want you to take this agar plate and hold it in front of your face,

0:05:590:06:02

and I'm going to cough on it.

0:06:020:06:04

And this time, I'm going to cover my mouth with my elbow -

0:06:040:06:07

the way you're supposed to -

0:06:070:06:08

and hopefully no germs should land on the plate.

0:06:080:06:11

OK. Well, just make sure you do it properly.

0:06:110:06:13

HE COUGHS

0:06:130:06:15

And now we have to wait.

0:06:190:06:20

In lab conditions, bacteria takes some time to grow.

0:06:220:06:25

Luckily, we came prepared for a long wait.

0:06:250:06:28

And finally the test results are in.

0:06:300:06:33

So, let's check out the cut outs

0:06:330:06:34

that were 50cm away first.

0:06:340:06:37

Oh! Yuck!

0:06:400:06:42

This has worked really well.

0:06:420:06:44

All these bacteria have grown into thick, furry, yucky blooms.

0:06:440:06:50

Eurgh.

0:06:500:06:51

Well, let's have a look at mine.

0:06:510:06:53

Eurgh! They're even worse than Xand's.

0:06:530:06:56

Mine are also growing in horrible slimy, furry, green colonies.

0:06:560:07:00

And all this from just one cough.

0:07:000:07:02

Now for the cut-outs that were only 10cm away.

0:07:020:07:06

Oh! This is even worse!

0:07:060:07:08

There's loads of furry stuff in here.

0:07:080:07:11

Oh, that is disgusting.

0:07:110:07:13

Let's have a look at mine.

0:07:130:07:14

Eurgh.

0:07:140:07:15

There's a huge bacterial splat in the middle of the plate.

0:07:150:07:19

I must have coughed up a lot of saliva with that one.

0:07:190:07:21

So this is like coughing into someone's face

0:07:210:07:24

when they're right next to you, and that's bad news for them

0:07:240:07:27

when you realise that the average cough has 20,000 viruses in it.

0:07:270:07:31

Which brings me to our last result.

0:07:310:07:33

Let's have a look at the plate where I covered my mouth

0:07:330:07:36

and coughed at Chris.

0:07:360:07:38

Ugh! Two bacteria.

0:07:380:07:40

I knew you hadn't covered your mouth properly.

0:07:400:07:44

I think you can see, though, that this is a lot better

0:07:440:07:46

than the other ones we did.

0:07:460:07:48

So, there you have it.

0:07:480:07:49

In case you were in any doubt about

0:07:490:07:51

whether or not to cover your mouth when you cough,

0:07:510:07:54

we've shown that not only could your cough

0:07:540:07:56

reach the person next to you,

0:07:560:07:58

-but it could travel a lot further than that.

-Yuck.

0:07:580:08:00

And as well as seeing how far they travel,

0:08:000:08:02

we've shown you just how much bacteria there can be in coughs.

0:08:020:08:06

Well, there's a lot more in yours than in mine, Chris.

0:08:060:08:09

You should see a doctor.

0:08:090:08:11

Maybe I should. Better go find one.

0:08:110:08:13

Ouch!

0:08:160:08:18

We're on call with the UK emergency services,

0:08:190:08:22

showing you what it's really like on the front line saving lives.

0:08:220:08:25

On call with me is paramedic Jan Vann.

0:08:260:08:29

This is a rapid response vehicle,

0:08:320:08:34

and it's on standby 24/7

0:08:340:08:37

to respond to whatever emergency call's coming in.

0:08:370:08:39

Today, I'm going along for the ride.

0:08:390:08:41

And guess what? You're coming with me.

0:08:410:08:43

Jan can take 10 to 15 emergency call outs in a day.

0:08:450:08:49

And a new case is just in.

0:08:490:08:51

So, we've had a 999 call to a 53-year-old lady

0:08:510:08:54

who's injured her ankle.

0:08:540:08:55

So, it could be anything from a simple sprain

0:08:550:08:58

to blood loss, severe pain

0:08:580:09:00

and maybe some other cause for the fall

0:09:000:09:02

that could be life-threatening as well.

0:09:020:09:04

We've got to get there quickly to find out what's going on.

0:09:040:09:07

The call has taken us right into the centre of town.

0:09:070:09:10

-Hello.

-Hello.

-Hello. Is it Linda?

-It is.

0:09:110:09:15

-What's happened?

-Tripped over the manhole cover.

0:09:150:09:18

-The edge of that raised platform there?

-Yeah.

0:09:180:09:20

-Was you knocked unconscious at all?

-No.

-No.

0:09:200:09:23

Have you hit your head or the back of your neck or your back at all?

0:09:230:09:26

-No.

-What have you injured?

0:09:260:09:27

-My knee and my ankle.

-OK.

-It's really sore.

0:09:270:09:31

Are you able to bend your knee at all?

0:09:310:09:33

I do, but my ankle hurts.

0:09:350:09:36

-Your ankle hurts when you bend it? OK.

-Yeah.

0:09:360:09:39

Press down on my hand. Push down as hard as you can.

0:09:390:09:41

-Where does that hurt when you push down?

-Round my ankle.

0:09:410:09:44

-On the outside?

-Yeah.

0:09:440:09:46

Linda's ankle is clearly causing her a lot of pain.

0:09:460:09:49

So, it may just look like Jan's feeling her ankle,

0:09:500:09:53

but in fact she's feeling in very particular places.

0:09:530:09:56

There's a set of rules called

0:09:560:09:58

the Ottawa ankle rules, and they help you decide

0:09:580:10:00

whether they're likely to have broken a bone.

0:10:000:10:02

Jan's trying to figure out what's tender.

0:10:020:10:05

That'll tell us whether she needs to go to hospital.

0:10:050:10:07

I'm going to need ambo back up for this patient.

0:10:070:10:09

She's unable to weight bear and needs an X-ray.

0:10:090:10:11

Using the Ottawa rules,

0:10:110:10:13

Jan has decided that the ankle is probably broken

0:10:130:10:16

and Linda does need an ambulance.

0:10:160:10:17

She's quite uncomfortable. We're managing to keep her warm,

0:10:170:10:20

but she can't walk on that leg, so we need to get her to hospital

0:10:200:10:24

and get her an X-ray. She can be treated from there.

0:10:240:10:26

It's important to keep it still

0:10:260:10:28

so that if she's got any broken bones,

0:10:280:10:30

if the edges rub together

0:10:300:10:32

it can create a lot pain and some bleeding,

0:10:320:10:34

which will make the ankle worse as well.

0:10:340:10:36

You're doing it. That's it. Well done, darling.

0:10:360:10:38

Are you able to twist round a little bit?

0:10:380:10:40

There you go.

0:10:400:10:42

It's really good Jan was able to assess her really quickly,

0:10:420:10:45

get her an ambulance and get her to hospital where she needs to be.

0:10:450:10:48

And once there, the doctors discovered Linda's ankle was broken

0:10:480:10:52

and it was soon fixed.

0:10:520:10:53

'Still to come, Chris gives me a hand in Mindbenders.'

0:10:560:11:00

Oh!

0:11:000:11:02

Xand goes Ouch & About with our mobile clinic.

0:11:020:11:04

Next patient, please.

0:11:040:11:06

'And it's microsurgery time for Matthew.'

0:11:060:11:09

The tip of that drill is smaller than a grain of rice.

0:11:090:11:12

Remember Alice and her cut nose?

0:11:140:11:17

Her cut knows what?

0:11:170:11:18

Her cut nose.

0:11:190:11:20

Yeah, so what does her cut know?

0:11:200:11:22

What? Her cut nose.

0:11:220:11:25

Chris, I'm asking you for the third time,

0:11:250:11:27

what does her cut know?

0:11:270:11:30

In Manchester, Alice is waiting for surgery on her hooter.

0:11:320:11:37

Alice was being chased by her friend, Colette,

0:11:370:11:40

-who was pretending to be a witch.

-COLETTE CACKLES

0:11:400:11:43

As Alice was running away,

0:11:430:11:44

she tripped and went flying across the playground,

0:11:440:11:47

landing face first.

0:11:470:11:49

Ouch!

0:11:490:11:50

The cut it quite deep, so Dr Ricky has decided that

0:11:510:11:54

Alice's nose needs to be stitched up.

0:11:540:11:57

So, it's time for her operation with surgeon Iain Bruce.

0:11:570:12:01

Thanks to a general anaesthetic,

0:12:030:12:04

Alice will be fast asleep and won't feel a thing.

0:12:040:12:07

And to protect her face,

0:12:070:12:09

her head is wrapped up like an Egyptian mummy.

0:12:090:12:11

Any bleeding in the wound is stopped by something called cauterising,

0:12:130:12:17

where these tweezers use heat to seal off the blood vessels.

0:12:170:12:21

Look away if you're squeamish,

0:12:210:12:23

because we can see exactly how deep that cut has gone.

0:12:230:12:26

And with a few stitches, she's all fixed up.

0:12:280:12:31

All I've done is cleaned it up,

0:12:310:12:33

so there's no dirt underneath the skin,

0:12:330:12:36

and then I've stitched it back,

0:12:360:12:38

trying to create the shape of the nose as it was before.

0:12:380:12:41

I'm really hopeful that

0:12:410:12:43

in a few weeks' to a couple of months' time,

0:12:430:12:45

you won't be able to tell anything has happened.

0:12:450:12:48

Great news. And a couple of hours later, Alice has woken up.

0:12:480:12:52

The doctors fixed my nose.

0:12:520:12:55

-But how does it feel, Alice?

-It feels nice.

0:12:550:12:58

-Aw, glad to hear it.

-Bye, Alice!

0:12:580:13:00

-Bye, bye, bye, bye, bye!

-Watch out for those witches!

0:13:000:13:03

Ouch!

0:13:050:13:07

Now, did you know your fingernails

0:13:070:13:09

take six months to grow

0:13:090:13:10

from the root to the tip?

0:13:100:13:12

That's four times faster

0:13:120:13:13

than your toenails.

0:13:130:13:14

Wow!

0:13:140:13:16

Ouch!

0:13:170:13:18

-Now we're going to mess with your mind...

-It's weird.

0:13:190:13:21

Scramble your senses...

0:13:210:13:23

And baffle your brain...

0:13:230:13:25

-BOTH:

-In Mindbenders.

0:13:260:13:28

-Good morning.

-What do you mean good morning? You're late.

0:13:330:13:36

It's nice to meet you.

0:13:360:13:37

-It's nice to meet you.

-I see where this is going.

0:13:390:13:41

-Yes, Xand, it's nice to meet you.

-Oh!

0:13:410:13:44

I didn't just bring my fake hands to fool Chris.

0:13:440:13:47

We're going to be using them for today's mind-bending trick.

0:13:470:13:50

And so can you put your hand right there,

0:13:500:13:52

as if that was your other hand, basically.

0:13:520:13:54

And stick your other hand under the cloth.

0:13:540:13:57

Yeah, that's perfect, so it's next to that hand.

0:13:570:13:59

Today's trick is going to show how what you see affects how you feel.

0:13:590:14:03

We're stroking the person's real hand behind the screen

0:14:030:14:07

at the same time as stroking the fake hand

0:14:070:14:09

which is in front of them.

0:14:090:14:10

Is that plastic hand beginning to feel like your hand? Yeah?

0:14:100:14:14

Keep looking at it.

0:14:140:14:15

It actually feels like that's my hand.

0:14:150:14:19

It doesn't look real, but it feels real.

0:14:190:14:21

-Are you feeling like I'm brushing your hand?

-Yeah.

0:14:210:14:24

-Really?

-Yeah, that feels like you're brushing my hand.

0:14:240:14:27

It's really strange, yeah.

0:14:270:14:28

I feel like it's my hand.

0:14:280:14:30

Now we've got the illusion going,

0:14:310:14:33

it's time to see how they react with a fake spider on the fake hand.

0:14:330:14:36

Ugh!

0:14:380:14:39

-That worked really nicely.

-CHRIS CHUCKLES

0:14:400:14:43

I felt like it was actually my real hand.

0:14:430:14:46

-Oh!

-THEY CHUCKLE

0:14:480:14:51

Did you feel like the spider was on your hand?

0:14:510:14:53

Yeah, I think I did. But it weren't cos my hand was there,

0:14:530:14:56

so why would I feel it on there? It's a really weird sensation.

0:14:560:14:59

SHE SQUEALS

0:15:000:15:02

Did you think you had a spider on your hand? Yeah, yeah, yeah?

0:15:050:15:08

Stay focused on that hand.

0:15:080:15:10

-Oh...

-CHRIS AND XAND CHUCKLE

0:15:100:15:12

So, we managed to trick plenty of people,

0:15:130:15:15

but how does it work?

0:15:150:15:17

So, there's a bit of your brain called the premotor cortex,

0:15:170:15:20

and that brings together your senses of touch, of position and of vision

0:15:200:15:25

so that your body can figure out

0:15:250:15:27

what's happening in the world around it.

0:15:270:15:29

What's so interesting about this experiment

0:15:290:15:31

is that your sense of vision is the most important sense,

0:15:310:15:35

and so your brain actually temporarily rewires itself

0:15:350:15:39

to adopt the plastic hand as your own.

0:15:390:15:42

Amazing!

0:15:420:15:43

Well, Chris, fooling all those people has tired me out.

0:15:430:15:46

Give us a hand.

0:15:460:15:47

Xand, I'm not falling for the old fake hand trick again!

0:15:470:15:51

Oh!

0:15:510:15:52

We're at a theme park to solve your medical mysteries.

0:15:590:16:03

Xand is preparing the clinic ready for his first patient.

0:16:030:16:07

And Chris is Ouch & About in the park

0:16:070:16:09

to answer your burning questions.

0:16:090:16:11

Wow, I'm impressed.

0:16:110:16:13

At the clinic, Xand is open for business.

0:16:130:16:15

Next patient, please.

0:16:150:16:17

First in is nine-year-old Poppy with an interesting ailment.

0:16:170:16:20

So, Poppy, what have you come to see us for?

0:16:220:16:24

I've got some strange red spots on my face and my arms.

0:16:240:16:27

What's the diagnosis, doc?

0:16:270:16:29

Sounds like a case of...

0:16:290:16:30

-Spot on.

-Now, let's have a look at them.

0:16:330:16:35

I've got the Ouch-cam here,

0:16:350:16:37

and I can see it right there on your face.

0:16:370:16:40

Do you think it looks like a spider?

0:16:400:16:42

Little bit.

0:16:420:16:43

Well, in fact it's called

0:16:430:16:45

a spider nevus,

0:16:450:16:46

because some people say it looks a bit like a spider.

0:16:460:16:49

It's got little blood vessels coming out

0:16:490:16:51

so you can kind of see spiders' legs.

0:16:510:16:53

The blood vessels that are supplying blood to your skin,

0:16:530:16:56

one of them's got a bit big

0:16:560:16:57

and it's bringing more blood

0:16:570:16:59

than it should to the skin,

0:16:590:17:00

and so all the tiny blood vessels in your skin, called capillaries,

0:17:000:17:04

have got a bit bigger, and so they're a bit more red.

0:17:040:17:07

So, you said you had some other red spots.

0:17:070:17:09

Can you show me those?

0:17:090:17:10

Oh, OK. So you've got two

0:17:100:17:12

on your arm right there.

0:17:120:17:13

I've got two, almost in exactly

0:17:130:17:15

the same place.

0:17:150:17:16

Those are actually

0:17:160:17:17

a different kind of red spot

0:17:170:17:18

called a Campbell de Morgan spot.

0:17:180:17:21

They're also completely normal.

0:17:210:17:22

Almost everyone has got some of those.

0:17:220:17:24

How can I get rid of them?

0:17:240:17:26

The one on your face, sometimes when you just get older, they go away.

0:17:260:17:30

If it doesn't go away, there are two things you can do.

0:17:300:17:33

One is, you can get a doctor to stick a needle in it,

0:17:330:17:35

that'll make it bleed a little and then go away,

0:17:350:17:37

and it doesn't hurt very much.

0:17:370:17:39

The other way of getting rid of them is with a laser.

0:17:390:17:41

But for you, it's completely normal, they're completely common,

0:17:410:17:45

and I'll tell you one famous person who's got one - Dr Chris.

0:17:450:17:48

Poppy, thank you very much for coming to the Ouch-mobile today.

0:17:480:17:51

Thank you, Dr Xand.

0:17:510:17:52

Away from the clinic, Chris is Ouch & About in the park.

0:17:530:17:57

Archer, what's your question?

0:17:580:18:00

How do you get a wobbly tooth?

0:18:000:18:02

Do you know that below all your baby teeth,

0:18:020:18:04

you've got grown-up teeth already in your jaw

0:18:040:18:07

and they're growing through?

0:18:070:18:08

And as they grow through, they push the baby teeth out

0:18:080:18:11

and that's why it gets wobbly.

0:18:110:18:13

-A really good question. Thank you, Archer.

-Thanks, Dr Chris.

0:18:130:18:16

Back at the Ouch-mobile are siblings

0:18:160:18:19

eight-year-old Charlotte and 11-year-old James.

0:18:190:18:22

Charlotte, James, why have you come to the Ouch-mobile?

0:18:220:18:25

When I stand up I have a gap in between my knees

0:18:250:18:27

-and I can't put them together.

-But I can.

0:18:270:18:30

-What's the diagnosis, doc?

-Whoa!

0:18:300:18:32

Sounds to me like it's a case of...

0:18:320:18:34

Easy for you to say.

0:18:390:18:40

Let's find out more about this!

0:18:400:18:42

Now, Charlotte, can you open the lid on the Ouch-cam?

0:18:420:18:45

Now stand up and show me your knees.

0:18:450:18:47

Oh, wow.

0:18:480:18:50

Your feet are close together...

0:18:500:18:52

Mm-hm.

0:18:520:18:53

..but as we move up,

0:18:530:18:55

your knees are wide apart.

0:18:550:18:57

Now, that is completely different

0:18:570:18:59

to your brother

0:18:590:19:00

whose knees are touching.

0:19:000:19:01

How does this happen?

0:19:010:19:03

The answer really is that we don't know.

0:19:030:19:06

I can tell you what's happened,

0:19:060:19:08

is that your bones have grown slightly differently.

0:19:080:19:11

So, we call that

0:19:110:19:12

a verus change in your knees.

0:19:120:19:14

You've got normal knees

0:19:140:19:16

that are a bit further apart than other people's knees,

0:19:160:19:18

and other people have got knees that knock together more.

0:19:180:19:21

The way that your bones grow

0:19:210:19:23

is controlled in quite a complicated way,

0:19:230:19:25

and so you can just get a variation

0:19:250:19:27

where for some people it grows slightly differently.

0:19:270:19:30

Your brother's grown with knees close together

0:19:300:19:32

and you've grown differently.

0:19:320:19:34

You're still growing and your leg bones are still growing,

0:19:340:19:37

so possibly, as Charlotte gets older,

0:19:370:19:39

the gap between your knees will shrink.

0:19:390:19:41

-Does that make sense?

-Yeah.

0:19:410:19:43

Charlotte, James, thank you very much for bringing your amazing knees

0:19:430:19:46

-to the Ouch-mobile. BOTH:

-Thank you, Dr Xand.

0:19:460:19:49

Job done for today. Clinic closed.

0:19:490:19:51

Ouch!

0:19:530:19:55

Your body is amazing, but sometimes it needs fixing.

0:19:550:19:58

All over the UK there are special teams of professionals

0:19:580:20:01

trained to tackle medical mysteries.

0:20:010:20:03

And here's one of our favourites.

0:20:030:20:05

CAR HORNS BLARE Now, the world is a noisy place,

0:20:070:20:10

but what happens if I switch it all off?

0:20:100:20:12

Now, if you're deaf, you have several ways of understanding

0:20:160:20:19

what other people are saying. There's lip-reading...

0:20:190:20:22

..and there's sign language,

0:20:260:20:28

which relies on hand gestures.

0:20:280:20:30

And for loads of deaf people, these things work really well.

0:20:300:20:33

But doctors are making amazing medical advances

0:20:330:20:37

in improving people's hearing.

0:20:370:20:40

'This is Matthew. He's 12. He's deaf

0:20:400:20:43

and uses BSL, British Sign Language, to communicate.

0:20:430:20:46

'I'm not very good at it, so Matthew has brought along his interpreter.'

0:20:460:20:50

How long have you been deaf for?

0:20:500:20:51

-Since 2001.

-So your whole life?

-Yeah, yeah. I was born deaf.

0:20:530:20:58

'Matthew's here to get a cochlear implant,

0:20:580:21:00

'a tiny little device that replaces a bit of the ear,

0:21:000:21:03

'which in some deaf people doesn't work.'

0:21:030:21:07

Sound travels in waves through your ear to the cochlear.

0:21:070:21:10

Inside the cochlear, tiny hairs pick up

0:21:100:21:13

the vibrations from these sound waves

0:21:130:21:15

and convert them into signals that are sent to the brain.

0:21:150:21:18

Matthew is deaf because the hairs in his cochlear can't do this.

0:21:180:21:22

But the implant sorts this

0:21:220:21:24

by sending sound signals through wires instead.

0:21:240:21:27

So, I've never seen this operation before, so I'm very excited.

0:21:270:21:31

Good luck.

0:21:310:21:33

Leading the team today

0:21:350:21:36

is head surgeon James Ramsden.

0:21:360:21:38

Now, this surgery is not for the squeamish.

0:21:380:21:41

Now, this is a cochlear implant,

0:21:410:21:43

which is what Matthew's having fitted.

0:21:430:21:45

This bit is a microphone.

0:21:450:21:46

It hooks over his ears

0:21:460:21:48

and it's what hears what's going on in the world around it,

0:21:480:21:51

and it attaches with a magnet through the skin to this bit.

0:21:510:21:54

This bit sits under the skin,

0:21:540:21:56

and it's these little wires that go into his cochlear

0:21:560:22:00

and send the electric impulses into his brain.

0:22:000:22:03

That's what allows him to hear.

0:22:030:22:05

It's absolutely extraordinary to be holding one in my hands.

0:22:050:22:08

What James is doing now

0:22:110:22:12

is lifting the skin off the back of Matthew's skull

0:22:120:22:15

to make a little pocket where the device can sit.

0:22:150:22:18

The surgeon uses a microscope which allows him to work

0:22:180:22:21

in very small spaces and use a tiny drill.

0:22:210:22:24

So, on the big screen you can see it really well,

0:22:240:22:27

but in fact, in real life, the tip of that drill is about this big.

0:22:270:22:31

It's smaller than a grain of rice.

0:22:310:22:33

Having drilled through to the inner ear,

0:22:330:22:35

we can now see the opening that leads into the cochlear itself.

0:22:350:22:40

Next is the tricky bit.

0:22:400:22:41

The wires from the implant need to go through the tiny opening

0:22:410:22:45

and straight into the cochlear.

0:22:450:22:47

Luckily, James has a very steady hand.

0:22:470:22:49

The operation's basically over.

0:22:490:22:51

They're just sewing up the cuts behind Matthew's ears,

0:22:510:22:54

but we won't be turning on those cochlear implants yet.

0:22:540:22:57

Matthew has to wait a couple of weeks for everything to heal.

0:22:570:23:00

Matthew's back with Mum and Dad and interpreter Mark

0:23:030:23:06

to have the cochlear implants turned on, and he can't wait.

0:23:060:23:09

We're going to do a little bit of testing.

0:23:130:23:15

When you hear a beep,

0:23:150:23:16

we just want you to put one of the fish here into the pot.

0:23:160:23:19

Will Matthew's implant enable him to hear?

0:23:190:23:22

Will he get any fish in the pot?

0:23:220:23:24

-Wow.

-Good. Well done.

0:23:270:23:30

He caught that! And it's put a big grin on his face.

0:23:300:23:33

He's hearing lots of beeps, and then Matthew hears something

0:23:380:23:41

he's never heard before.

0:23:410:23:43

Matthew.

0:23:430:23:45

Matthew.

0:23:450:23:46

-INTERPRETS:

-Was that you, Dad?

0:23:460:23:48

-INTERPRETS:

-It was really nice.

0:23:510:23:52

I shut my eyes and my father said my name.

0:23:520:23:54

I knew something was being said, so when I opened my eyes,

0:23:540:23:57

I checked, "Did you say my name - Matthew?" He just said, "Yes."

0:23:570:24:00

Well done, Matthew.

0:24:000:24:02

So, Matthew is going to be hearing more sounds than ever before

0:24:020:24:05

and all because of this - his cochlear implant.

0:24:050:24:09

Some sounds he's going to be hearing for the very first time.

0:24:090:24:13

It's absolutely incredible.

0:24:130:24:15

Ouch!

0:24:160:24:17

It's time to meet our next patient.

0:24:190:24:21

It's another one of our favourites!

0:24:210:24:23

Here he is.

0:24:230:24:24

In Manchester, seven-year-old Tyler has come in with his great gran.

0:24:240:24:28

What have you done, Tyler?

0:24:280:24:30

I've burnt my hand.

0:24:300:24:32

-You've burnt your hand? Oh, dear.

-It's a bit painful.

0:24:320:24:35

The burn has been wrapped in clingfilm by a nurse to protect it,

0:24:350:24:39

but how did it happen, Tyler?

0:24:390:24:40

I was trying to make myself a brew.

0:24:400:24:42

Oh! A cup of tea? Two sugars, please.

0:24:420:24:45

I really, really like brews.

0:24:450:24:47

I love dunking biscuits into it,

0:24:470:24:50

and my favourite biscuit is a custard cream.

0:24:500:24:53

Nice one, Tyler. Sounds yummy.

0:24:530:24:55

In fact, Xand, it's that custard cream craving,

0:24:550:24:58

that got him into this mess in the first place.

0:24:580:25:00

-Tyler is a big tea drinker.

-Ooh! Me too.

0:25:020:25:06

He loves nothing more than putting his feet up with a brew

0:25:060:25:09

and dunking his custard creams in it.

0:25:090:25:11

Ooh! Me too.

0:25:110:25:13

Because Tyler's only seven,

0:25:130:25:14

he asked his big brother, James, to fix him a cuppa,

0:25:140:25:18

but James said no.

0:25:180:25:19

Brotherly love, eh?

0:25:190:25:21

So Tyler set about making his own cup of tea.

0:25:210:25:24

But the kettle was full and heavy.

0:25:240:25:27

As Tyler poured, the kettle slipped

0:25:270:25:29

and the boiling water went all over his hand.

0:25:290:25:32

Ouch!

0:25:320:25:33

Here's Dr Chuks Nwulia to take a look at that painful palm.

0:25:340:25:39

-Hello, Tyler. How are you?

-I'm all right.

0:25:390:25:41

So, what's been happening to you today?

0:25:410:25:43

-I've burnt myself.

-OK.

0:25:430:25:45

-Can you feel any pains or tingling on your hands, like pins?

-Yeah.

0:25:450:25:49

-And where are you feeling it?

-In my thumb.

0:25:490:25:51

Can you feel me touching? You can't feel anything?

0:25:510:25:55

Your skin is made up of layers

0:25:550:25:56

of skin cells, fat,

0:25:560:25:58

tissue and blood vessels.

0:25:580:26:00

When you burn or scald yourself,

0:26:000:26:02

the deeper these layers get damaged,

0:26:020:26:04

the worse the burn will be.

0:26:040:26:06

More minor burns only affect the top layer

0:26:060:26:09

and that's what's happened to Tyler's hand.

0:26:090:26:12

But it still hurts!

0:26:120:26:14

Tyler's lucky. He had a minor burn.

0:26:140:26:16

He just needs some painkillers, anti-inflammatories.

0:26:160:26:19

He's going to be fine.

0:26:190:26:20

That's great news.

0:26:200:26:22

Now it's over to nurse Samira

0:26:240:26:25

to give the burn a good clean with sterile water...

0:26:250:26:29

before dressing it.

0:26:290:26:31

-Right, so you need to keep this clean and dry, OK?

-Yep.

0:26:310:26:35

That's it.

0:26:350:26:36

Now you've got your digits dressed,

0:26:360:26:38

I've got another burning question for you, Tyler.

0:26:380:26:41

What was the worst bit about today?

0:26:410:26:43

I've not had a brew.

0:26:430:26:45

Oh, never mind. Let's hope your brother's got the kettle on,

0:26:450:26:48

and that he's stocked up on custard creams.

0:26:480:26:50

-BOTH:

-Bye!

0:26:500:26:52

Ouch!

0:26:530:26:54

-On this series of "Operation Ouch!", we've been on fire...

-Wow!

0:26:550:27:00

Showing you how your amazing body works.

0:27:000:27:02

What we've got here is a real, live baby.

0:27:020:27:05

There is a blood vessel.

0:27:050:27:07

We've been on the road with the UK's paramedics.

0:27:070:27:10

The ambulance has just arrived.

0:27:100:27:12

That was a bit hair-raising.

0:27:130:27:14

We've baffled your brains in Mindbenders.

0:27:140:27:17

-SHE SQUEALS

-I don't get it.

0:27:170:27:20

We've met you and your injuries.

0:27:200:27:23

I've pushed a Tic Tac up my nose.

0:27:230:27:26

What about the seizures?

0:27:260:27:27

I don't have any since the operation.

0:27:270:27:29

-How are you feeling now?

-OK.

0:27:290:27:31

We've been Ouch & About with our mobile clinic.

0:27:310:27:34

-Oh, wow!

-It's called Kawasaki disease.

0:27:340:27:38

And we've had fascinating investigations.

0:27:380:27:40

-HE CHUCKLES

-This is the surface of Ben's brain.

0:27:400:27:44

To show you just how incredible your body really is.

0:27:440:27:48

Yes! A triumph!

0:27:480:27:49

So take care of yourself and that brilliant body of yours.

0:27:500:27:54

-Bye.

-Ouch!

0:27:540:27:55

-What are you wearing?

-My cape.

0:27:570:27:59

That's not your cape.

0:27:590:28:01

It's a medical emergency blanket.

0:28:010:28:03

No, it's Super Xand's space cape.

0:28:030:28:06

Put it back in the ambulance where you found it.

0:28:060:28:08

The doctors choose some of their favourite moments including an experiment to find out what happens when you cough and a life-changing operation that allows someone to hear for the very first time. There's a brand new mind-bending trick to baffle your brain, and the ouch-mobile opens its doors to help solve more medical mysteries.