Marvellous Valves

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0:00:22 > 0:00:26- He's Dr Chris. - He's Dr Xand.

0:00:26 > 0:00:30- Yes, he's still got his beard. - And we're still identical twins.

0:00:30 > 0:00:33Your body's amazing and we're going to show you why.

0:00:33 > 0:00:36SHE BLOWS RASPBERRY

0:00:36 > 0:00:38We're head-to-head in Operation Takeover.

0:00:38 > 0:00:41- BOTH:- Man overboard! - SIREN BLARES

0:00:41 > 0:00:43Ouch & About hits the wards.

0:00:43 > 0:00:44What kind of ambulance did you get?

0:00:44 > 0:00:47I didn't get an ambulance. I got a helicopter.

0:00:47 > 0:00:48First Aid is back.

0:00:48 > 0:00:50So, we do need to get Xand to hospital.

0:00:50 > 0:00:52Meet our new brilliant Ouch patients.

0:00:52 > 0:00:55- Hello! - SHE LAUGHS

0:00:55 > 0:00:57And our lab experiments will... HE SCREAMS

0:00:57 > 0:01:00..blow...your...mind!

0:01:00 > 0:01:04- That is an amazing view. - Are you ready to join us?

0:01:04 > 0:01:05Whoo!

0:01:07 > 0:01:08I can't see a thing.

0:01:09 > 0:01:13- BOTH:- Coming up today on "Operation Ouch!"...

0:01:17 > 0:01:19- Oh!- We're in stitches.

0:01:19 > 0:01:20Oh, oh, oh.

0:01:20 > 0:01:22We're feeling queasy.

0:01:22 > 0:01:23You can vomit on Dr Xand.

0:01:23 > 0:01:25And we're head over heels.

0:01:25 > 0:01:27- Take a look at this.- Ah!

0:01:27 > 0:01:29But first...

0:01:29 > 0:01:31Let's head to the emergency department,

0:01:31 > 0:01:35where our first patient has been giving the team some lip.

0:01:35 > 0:01:37Xand, the patient has a sore lip.

0:01:37 > 0:01:38He's been perfectly nice to the team.

0:01:38 > 0:01:40- Oh.- Now, let's meet him.

0:01:42 > 0:01:44Over in Alder Hey, ten-year-old Mohammed

0:01:44 > 0:01:47is waiting in accident and emergency with his dad.

0:01:47 > 0:01:48What's happened, fella?

0:01:48 > 0:01:52I've been accidentally pushed and hurt my lip.

0:01:52 > 0:01:54Yikes! Let's find out more.

0:01:54 > 0:01:58Mohammed was playing a game with his friends in the school playground.

0:01:58 > 0:02:01Oh. Were they playing a game of hide-and-seek?

0:02:01 > 0:02:03- Found you!- Erm, not quite, Xand.

0:02:03 > 0:02:07Were they pinning the tail on the donkey? Ee-yore!

0:02:07 > 0:02:09Your imagination is running wild.

0:02:09 > 0:02:12Actually, they were playing a game of tag.

0:02:12 > 0:02:14Ooh, that sounds fun.

0:02:14 > 0:02:18It was, until a friend accidentally pushed Mohammed and he fell over,

0:02:18 > 0:02:20smashing his lip on a slide.

0:02:20 > 0:02:21- BOTH:- Ouch!

0:02:21 > 0:02:25In school, they told my dad that he had to come and pick me up,

0:02:25 > 0:02:26and take me to hospital.

0:02:26 > 0:02:28Well, you're in the right place.

0:02:31 > 0:02:34In comes nurse practitioner Julia Maxted

0:02:34 > 0:02:37to inspect that painful pout.

0:02:37 > 0:02:41Nurse Julia checks for any damage around the surrounding area.

0:02:41 > 0:02:43So, can you move your mouth from side to side for me?

0:02:45 > 0:02:47Let me just check in here for those.

0:02:47 > 0:02:49All OK. No wobbles there.

0:02:49 > 0:02:53What we'll do is we'll probably put a little stitch in there.

0:02:53 > 0:02:55So, Mohammed's cut needs stitches,

0:02:55 > 0:02:57but because it's in a delicate place on his face,

0:02:57 > 0:03:00he's being sent to specialist doctors to sew it up.

0:03:00 > 0:03:03What sometimes happens with the cuts that go across the edge,

0:03:03 > 0:03:05which is called the vermilion border,

0:03:05 > 0:03:08is you can end up with a bump in it, which means they have that forever.

0:03:08 > 0:03:12The vermilion border is the line on the outside edge of your lips

0:03:12 > 0:03:14where they join the skin on your face.

0:03:14 > 0:03:17There are lots of blood vessels in your lips,

0:03:17 > 0:03:18and the skin is thinner.

0:03:18 > 0:03:22As Mohammed's cut is quite deep, the doctors have to be careful

0:03:22 > 0:03:26how they repair the injury to ensure he's not left with a bumpy scar.

0:03:26 > 0:03:30After a clean of that crevice, Mohammed is sent home.

0:03:30 > 0:03:33He'll be back tomorrow morning to see the plastic surgery team.

0:03:33 > 0:03:35- Would you like a sticker?- Yeah.

0:03:35 > 0:03:37- Ooh, can I have a sticker?- No, Xand.

0:03:37 > 0:03:40Find out later how Mohammed gets on.

0:03:42 > 0:03:43Ouch!

0:03:44 > 0:03:46And now to our lab.

0:03:46 > 0:03:49It's time for some big body experiments -

0:03:49 > 0:03:51some of them gory...

0:03:51 > 0:03:53This is a real pair of cow's lungs.

0:03:53 > 0:03:54..some extreme...

0:03:54 > 0:03:56It's freezing!

0:03:56 > 0:03:58We're ready. Are you?

0:03:58 > 0:04:02Just don't try anything you see here at home.

0:04:02 > 0:04:04Today, we're looking at how your blood flows

0:04:04 > 0:04:06through a one-way system around your body.

0:04:06 > 0:04:11- Morning, Xand. What are you doing? - Ah, Chris. I'm glad you're here.

0:04:11 > 0:04:13I'm going to make a formal complaint

0:04:13 > 0:04:16about this new bed they've put in the lab for me to nap in.

0:04:16 > 0:04:18- I mean, it's terrible. - It's not a bed.

0:04:18 > 0:04:21It's my scientific inversion table

0:04:21 > 0:04:23for doing physiological experiments - on YOU.

0:04:23 > 0:04:26- Take a look at this.- Ah!

0:04:26 > 0:04:30When I lie Xand down like this, his veins bulge,

0:04:30 > 0:04:34his head turns red as his head fills with blood.

0:04:34 > 0:04:36- I feel terrible. - And he's getting a headache.

0:04:36 > 0:04:38- But...- Ah!

0:04:38 > 0:04:40..when I sit him up this way,

0:04:40 > 0:04:42the veins don't bulge around his feet.

0:04:42 > 0:04:44His foot doesn't swell,

0:04:44 > 0:04:47it doesn't turn red, and he doesn't get a foot ache.

0:04:47 > 0:04:51So, what's that all about? Well, it's all because of valves.

0:04:51 > 0:04:54The blood flow in your body is a one-way system

0:04:54 > 0:04:56and valves are an essential part of it.

0:04:56 > 0:05:00Your heart pumps out blood to your feet with the help of gravity.

0:05:00 > 0:05:03But then, on its way back up to the heart,

0:05:03 > 0:05:06your blood passes through valves, which are like little doors

0:05:06 > 0:05:10slamming shut to stop the blood falling back down the wrong way.

0:05:10 > 0:05:15- Well, take a look at this. - This is not for the squeamish.

0:05:15 > 0:05:17We're going to show you a real valve in action.

0:05:17 > 0:05:20This is a section of a cow's leg.

0:05:20 > 0:05:22You can see here the artery...

0:05:24 > 0:05:26..and a vein.

0:05:26 > 0:05:28And these are a bit bigger than your arteries and veins,

0:05:28 > 0:05:30but they're basically very similar.

0:05:30 > 0:05:32Arteries carry blood away from the heart

0:05:32 > 0:05:37and veins carry blood back to the heart with the help of valves.

0:05:37 > 0:05:42In your leg, the blood can only flow through the vein in one direction.

0:05:42 > 0:05:44And that's back up towards your heart.

0:05:46 > 0:05:48Let's put it to the test and see what happens

0:05:48 > 0:05:52when we try to force it to go the wrong way.

0:05:52 > 0:05:54Can you see the vein swelling up?

0:05:54 > 0:05:56And nothing is coming out

0:05:56 > 0:05:58the funnel at the bottom,

0:05:58 > 0:05:59and that's because valves

0:05:59 > 0:06:02are stopping the blood flowing through them.

0:06:02 > 0:06:05That is amazing. I've actually never seen that before.

0:06:05 > 0:06:07And I can show you another thing

0:06:07 > 0:06:10that Chris and I had never seen before today,

0:06:10 > 0:06:14which is the valve inside the vein itself.

0:06:14 > 0:06:17We've cut it open and laid it flat,

0:06:17 > 0:06:18and if you look right here in the middle,

0:06:18 > 0:06:24you can see two very thin flaps of skin which make up the valve.

0:06:24 > 0:06:27That flap of skin is enough to seal off the vein

0:06:27 > 0:06:30when the blood tries to flow in the wrong direction.

0:06:30 > 0:06:33It is really cool to see how tiny that membrane is

0:06:33 > 0:06:35when it does such an important job.

0:06:35 > 0:06:37In fact, it's SO important,

0:06:37 > 0:06:39we're going to show you how disastrous it would be

0:06:39 > 0:06:42if we didn't have valves.

0:06:42 > 0:06:46And I thought I'd make it into a little competition.

0:06:46 > 0:06:50Chris, prepare for the Battle of Valves vs No Valves.

0:06:52 > 0:06:55I've made two absolutely perfect models

0:06:55 > 0:06:57showing the inside of me and Chris.

0:06:57 > 0:06:59Not sure they're THAT perfect, Xand.

0:06:59 > 0:07:02The bowl represents our hearts.

0:07:02 > 0:07:05The red tube is an artery carrying blood all around our body.

0:07:05 > 0:07:10And this other tube is a vein pushing blood back up to the heart.

0:07:10 > 0:07:12My vein has valves,

0:07:12 > 0:07:15and Chris's has no valves.

0:07:15 > 0:07:18What we're going to do is put our blood,

0:07:18 > 0:07:20represented by the fluid, into the heart,

0:07:20 > 0:07:23and then use this pump to try and get the blood

0:07:23 > 0:07:27back to the heart up the leg veins as quickly as possible.

0:07:27 > 0:07:30Let's put the blood into the heart.

0:07:30 > 0:07:34Whose veins will win - valves or no valves?

0:07:34 > 0:07:38Three, two, one. HORN HONKS

0:07:40 > 0:07:42This is trickier than I thought.

0:07:42 > 0:07:46You're making hard work of that, Chris. It's a breeze for me.

0:07:46 > 0:07:50One by one, each valve opens to let my blood travel upwards.

0:07:50 > 0:07:52But most importantly, they slam shut

0:07:52 > 0:07:55to stop the blood from falling back again.

0:07:55 > 0:07:59My green liquid is making its way very easily and gently

0:07:59 > 0:08:03back to the heart. It's extremely effective!

0:08:03 > 0:08:05It's not fair. No matter how hard I pump,

0:08:05 > 0:08:09the blood just keeps falling back down the vein to my foot

0:08:09 > 0:08:11cos there aren't any valves.

0:08:11 > 0:08:14Without valves, I'd have a huge, swollen foot full of blood

0:08:14 > 0:08:16and nothing would be getting back to my heart.

0:08:16 > 0:08:18Meanwhile, I've won!

0:08:18 > 0:08:21With the help of these valves, it's proved extremely easy

0:08:21 > 0:08:24to get blood all the way back to the heart.

0:08:24 > 0:08:26The only problem is I'm beginning to wish

0:08:26 > 0:08:29that I'd connected the vein to the heart. I wasn't expecting it

0:08:29 > 0:08:31to work so well. Whoops!

0:08:32 > 0:08:35So, we've shown you what valves actually look like

0:08:35 > 0:08:38and that blood travels around your body in a one-way system,

0:08:38 > 0:08:41which is why your feet don't get red or swell.

0:08:41 > 0:08:44And we've proved just how important valves are,

0:08:44 > 0:08:46because without them, the blood in your body

0:08:46 > 0:08:49would never make it back to your heart.

0:08:49 > 0:08:52Now, where's that new exercise bike I ordered?

0:08:52 > 0:08:54- Xand!- Chris!

0:08:54 > 0:08:57These new lab beds are absolutely terrible.

0:08:57 > 0:08:59I mean, this one has ruined nap time.

0:08:59 > 0:09:03I barely got a wink! I'm going to need another complaint form.

0:09:03 > 0:09:07Right, Xand. Erm, I'll go and print one off, then.

0:09:07 > 0:09:10It's almost as if he doesn't want me sleeping in the lab.

0:09:10 > 0:09:13BEEPING

0:09:15 > 0:09:18- We're both... BOTH:- Ouch & About.

0:09:18 > 0:09:20I'm hitting the wards with my Ouch bleeper.

0:09:20 > 0:09:22Have you got a question for me?

0:09:22 > 0:09:23Wow!

0:09:23 > 0:09:28And I'm hitting the streets to answer your medical mysteries.

0:09:28 > 0:09:31In the hospital canteen, Xand is busily...

0:09:31 > 0:09:33- Spinning plates? - BEEPING

0:09:33 > 0:09:37That's your bleeper. Get on with answering some questions.

0:09:37 > 0:09:39This one's from Mollie, who has an infection.

0:09:39 > 0:09:42- Hi, Mollie. How are you? - Hi, Dr Xand.

0:09:42 > 0:09:43Have you got a question for me?

0:09:43 > 0:09:45Yeah. How does your body produce insulin?

0:09:45 > 0:09:49- What's the diagnosis, Doc? - Sounds to me like a case of...

0:09:53 > 0:09:55Excellent question.

0:09:55 > 0:09:59OK, the pancreas is the organ that produces insulin.

0:09:59 > 0:10:03And insulin is a hormone that allows your cells to take in sugar

0:10:03 > 0:10:05and store it or use it.

0:10:05 > 0:10:07So, when you have a meal, you eat sugar,

0:10:07 > 0:10:11your insulin levels go up and that means that you can absorb the sugar.

0:10:11 > 0:10:13Now, why are you interested in insulin?

0:10:13 > 0:10:15Because I've got type 1 diabetes.

0:10:15 > 0:10:18And for you, how does your body produce insulin? It doesn't.

0:10:18 > 0:10:23- How do you get your insulin? - By a pen - an insulin pen.

0:10:23 > 0:10:25If you don't take it, what happens to your blood sugar?

0:10:25 > 0:10:28- It, like, goes really, really high. - It goes really high.

0:10:28 > 0:10:30- Mollie, have I answered your question?- Yes.

0:10:30 > 0:10:33Well, you have earned an "Operation Ouch!" sticker.

0:10:33 > 0:10:37- Thank you.- Right, thanks very much. Bye.- Bye!

0:10:37 > 0:10:41Meanwhile, I'm out on the street. Get your quirky queries solved here.

0:10:41 > 0:10:44- Dr Chris.- Oh, hello. - Can I ask you a question, please?

0:10:44 > 0:10:46- Of course you can. - Why do we faint?- Why do we faint?

0:10:46 > 0:10:48Ryan, that is an awesome question.

0:10:48 > 0:10:53- Have you ever fainted?- Yes, I have. I did faint when I was in the car.

0:10:53 > 0:10:56I kept vomiting and then I just fainted.

0:10:56 > 0:11:00So, when you vomit, you lose a lot of fluid from your body,

0:11:00 > 0:11:03and that means you have a bit less blood volume

0:11:03 > 0:11:07and so your heart finds it harder to get blood to your brain.

0:11:07 > 0:11:10That's what causes you to faint. But there's another thing.

0:11:10 > 0:11:14When you vomit, the nerves from your stomach

0:11:14 > 0:11:18can actually send a signal to your heart and slow it right down,

0:11:18 > 0:11:20and that can make you faint, too.

0:11:20 > 0:11:23- But you're not going to vomit on me? - No.- You promise?- Promise.

0:11:23 > 0:11:26Don't vomit on me. You can vomit on Dr Xand.

0:11:26 > 0:11:27Oi, Chris!

0:11:27 > 0:11:29Give me five, please.

0:11:29 > 0:11:31So cheeky!

0:11:31 > 0:11:33Back in hospital, I've got another call.

0:11:33 > 0:11:36It's from Brogan Jean, who's having physiotherapy.

0:11:36 > 0:11:38- Hello, Brogan Jean. How are you?- Oh, hi.

0:11:38 > 0:11:42- Have you got a question for me? - What's hypermobility?

0:11:42 > 0:11:45- What's the diagnosis, Doc? - Sounds like a case of...

0:11:48 > 0:11:49I'm hyped up for this one.

0:11:49 > 0:11:52So, hypermobility just means the joint is more mobile.

0:11:52 > 0:11:55It is caused by differences in collagen.

0:11:55 > 0:11:57And collagen is the stuff that makes up ligaments,

0:11:57 > 0:12:00and ligaments are what hold your bones to each other.

0:12:00 > 0:12:02And if you have very flexible collagen,

0:12:02 > 0:12:05it means your muscles can get more easily damaged and torn,

0:12:05 > 0:12:08and it means your joints can also get more easily stretched and torn

0:12:08 > 0:12:09and be less stable.

0:12:09 > 0:12:12Now, I'm guessing that you've got hypermobility.

0:12:12 > 0:12:14- Is that right?- Yeah. I can bend my joint.

0:12:14 > 0:12:16I can't get my thumb anywhere near my wrist.

0:12:16 > 0:12:19- And then I can do that.- Wow!

0:12:19 > 0:12:21All the things that you're doing, I can't do them,

0:12:21 > 0:12:24so if I was in a dance, where I had to be very flexible,

0:12:24 > 0:12:27do any high kicks or anything like that, I couldn't do any of that.

0:12:27 > 0:12:30- Whereas you've got... - But I can.- See, you can.

0:12:30 > 0:12:33I do street dance. I do pop-ups.

0:12:33 > 0:12:35Can you show me what up a pop-up is?

0:12:35 > 0:12:38- MUSIC PLAYS - Uh-oh, dancing dad alert.

0:12:39 > 0:12:43- I'm not even doing it in time. - Cut! Let's leave it there, shall we?

0:12:43 > 0:12:45Here is an "Operation Ouch!" sticker for you.

0:12:45 > 0:12:49- CHEERING - Thank you very much.- Bye!- Bye!

0:12:49 > 0:12:51Job done for today. Clinic closed.

0:12:55 > 0:12:58Time to head to the emergency department to find out

0:12:58 > 0:13:01- how Mohammed's getting on with his...- With his injured lip.

0:13:01 > 0:13:03- With his injured lip.- Lip.

0:13:03 > 0:13:06Earlier, Mohammed arrived in the emergency department

0:13:06 > 0:13:08with a sore mush.

0:13:08 > 0:13:10He was playing tag with his friends

0:13:10 > 0:13:13when someone accidentally pushed him.

0:13:13 > 0:13:14Then he fell onto the edge

0:13:14 > 0:13:16of a slide and smashed his lip.

0:13:16 > 0:13:18- BOTH:- Ouch!

0:13:18 > 0:13:21Mohammed's cut lip was cleaned up and he was sent home.

0:13:21 > 0:13:25But he's come back into hospital to see the plastic surgery team.

0:13:25 > 0:13:28- Hang on. Who's that, Chris? - That's his sister Braha,

0:13:28 > 0:13:31here for moral support.

0:13:31 > 0:13:33After a checkup, it's confirmed

0:13:33 > 0:13:35Mohammed will need stitches in surgery.

0:13:36 > 0:13:38Over to Miss Parneet Gill

0:13:38 > 0:13:41to get him all sewn up.

0:13:41 > 0:13:43First, Mohammed is given an anaesthetic

0:13:43 > 0:13:45to put him to sleep so he won't feel a thing.

0:13:47 > 0:13:50Once he's asleep, surgeon Parneet will put some markings

0:13:50 > 0:13:52on the vermilion border - the edge of Mohammed's lip -

0:13:52 > 0:13:56so she has a guide of exactly where she needs to stitch.

0:13:56 > 0:13:58Here comes a gross alert!

0:13:58 > 0:14:01These stitches are ones that come out by themselves.

0:14:01 > 0:14:03They stay put for about a week or so

0:14:03 > 0:14:05and then they'll fall out by themselves.

0:14:05 > 0:14:06But what about that scar, Doc?

0:14:06 > 0:14:09There'll be a little bit of a scar, but, luckily, cuts here

0:14:09 > 0:14:12tend to heal really well and the scars settle down really nicely,

0:14:12 > 0:14:15- so he should be fine.- Good one, Doc.

0:14:15 > 0:14:18A few hours later, Mohamed wakes up from surgery.

0:14:18 > 0:14:21- How are you feeling, fella? - Feeling better.

0:14:21 > 0:14:23Any advice for when we're playing in the playground?

0:14:23 > 0:14:26Be careful. Don't bump into things.

0:14:26 > 0:14:29- HE CHUCKLES - Be careful!- Too right!

0:14:29 > 0:14:32- Top tips. BOTH:- Bye!

0:14:34 > 0:14:38Still to come, keep your eyes peeled in A&E.

0:14:38 > 0:14:40Family secrets come out in the wash.

0:14:40 > 0:14:43- Your middle name's Gerald.- Shhh!

0:14:43 > 0:14:44And we're on the run.

0:14:44 > 0:14:46I didn't say go!

0:14:46 > 0:14:48But first...

0:14:49 > 0:14:53..did you know your heart beats over 100,000 times a day?

0:14:53 > 0:14:55That's about 42 million times

0:14:55 > 0:14:58- a year.- Wow!

0:14:59 > 0:15:01Ouch!

0:15:01 > 0:15:04Amazing people do lots of important jobs

0:15:04 > 0:15:08inside and outside hospitals that help to keep you safe.

0:15:08 > 0:15:10But what will happen when we have a go?

0:15:10 > 0:15:12I feel a bit silly.

0:15:12 > 0:15:14This is Operation Takeover.

0:15:14 > 0:15:17So, who is today's hospital hero, Xand?

0:15:17 > 0:15:19Well, Chris, I'll give you a clue.

0:15:19 > 0:15:21Today's hero might help you out

0:15:21 > 0:15:23if you accidentally spilled some sauce on your scrubs.

0:15:23 > 0:15:25- SQUELCHING - Ah!

0:15:25 > 0:15:28Or if some custard missed your mouth while you were eating.

0:15:28 > 0:15:31Custard? But I don't even like custard!

0:15:31 > 0:15:34In fact, if you think about it, staff and patients in a hospital

0:15:34 > 0:15:37- can get almost anything on them.- Xand,

0:15:37 > 0:15:39I think you've made your point.

0:15:40 > 0:15:44We're about to take over the job of today's hero, Michelle,

0:15:44 > 0:15:46who works in the hospital laundry department

0:15:46 > 0:15:48at Ormskirk and District General Hospital.

0:15:49 > 0:15:51Whoa! So, is this a washing machine?

0:15:51 > 0:15:54- Yeah, these are all our washing machines.- Wow!

0:15:54 > 0:15:55It's a whopper!

0:15:55 > 0:15:57How many items can you get in a single wash?

0:15:57 > 0:16:00Weight-wise, I know there's 55 kilos.

0:16:00 > 0:16:02My machine at home can do six kilos,

0:16:02 > 0:16:05and this can do almost ten times more.

0:16:05 > 0:16:09That's amazing. Over 8,000 items are washed a day.

0:16:09 > 0:16:13Everything from bedsheets to patient gowns to doctors' uniforms.

0:16:13 > 0:16:17- And at this point, all this laundry's sterile?- It is, yes.

0:16:17 > 0:16:20Everything needs to be bacteria-free,

0:16:20 > 0:16:23so patients don't pick up bugs whilst in hospital.

0:16:23 > 0:16:25All of our washes are set to

0:16:25 > 0:16:2872 degrees to make sure everything

0:16:28 > 0:16:30is thoroughly disinfected.

0:16:30 > 0:16:33There's even a machine to dry and fold the sheets.

0:16:33 > 0:16:36I absolutely have to get one of these at home.

0:16:36 > 0:16:37XAND CHUCKLES

0:16:37 > 0:16:40We've seen just how important and tough

0:16:40 > 0:16:44the work of the hospital laundry is in keeping patients clean and safe.

0:16:44 > 0:16:46But when it comes to us having a go at working here,

0:16:46 > 0:16:49will we turn in a spotless performance,

0:16:49 > 0:16:52or will it all tumble out of control?

0:16:52 > 0:16:54Get it? Like a tumble dryer?

0:16:54 > 0:16:57It's time for us to take over as laundry workers.

0:16:59 > 0:17:02OK, today, I'm going to set you three challenges.

0:17:02 > 0:17:04The first is sorting,

0:17:04 > 0:17:07the second is folding, and the third is sewing.

0:17:07 > 0:17:09- Sewing?!- Yes, Xand.

0:17:09 > 0:17:12The laundry team also mend damaged items

0:17:12 > 0:17:14and sew new ones for the hospital.

0:17:14 > 0:17:16Speed and efficiency are one of the things

0:17:16 > 0:17:18I'm going to be judging you on today.

0:17:18 > 0:17:20Speed and Efficiency are my middle names.

0:17:20 > 0:17:24- Well...- Your middle name's Gerald. - Shh!

0:17:24 > 0:17:26First, Michelle shows us the importance

0:17:26 > 0:17:28of sorting through the laundry.

0:17:28 > 0:17:29Surgeon's hat.

0:17:29 > 0:17:33Sometimes, we find mobile phones, jewellery, soft toys.

0:17:33 > 0:17:35Next time I'm in a hospital,

0:17:35 > 0:17:38I will empty my pockets a little bit more carefully.

0:17:38 > 0:17:42Nightgowns are folded in a very particular way.

0:17:42 > 0:17:44Upside down, with the print facing us.

0:17:44 > 0:17:46All right. I've already got it wrong.

0:17:46 > 0:17:48This is more complicated than I thought.

0:17:48 > 0:17:50Tuck one arm underneath.

0:17:50 > 0:17:53Just fold that over. Just make sure it looks nice.

0:17:53 > 0:17:55And Diane gives us a quick demonstration

0:17:55 > 0:17:57on how to sew a baby's blanket.

0:17:57 > 0:17:59It needs to have neat lines and corners.

0:17:59 > 0:18:02- Do you have to be careful of the needle?- Yes.- Oh.

0:18:02 > 0:18:05Always keep your fingers back this side of the needle.

0:18:05 > 0:18:07All right, let's get on with it before I change my mind.

0:18:07 > 0:18:10- Three, two, one, go! - WHISTLE BLOWS

0:18:10 > 0:18:12OK, sorting laundry -

0:18:12 > 0:18:14never a strong point at home.

0:18:14 > 0:18:17OK. So, that towel looks OK.

0:18:17 > 0:18:18OK, that looks good.

0:18:18 > 0:18:21That needs re-washing, I think.

0:18:21 > 0:18:23Ah, he's spotted the re-wash one.

0:18:23 > 0:18:26I'd be very unhappy if I was sick and I got that towel.

0:18:26 > 0:18:27Well done, Chris.

0:18:27 > 0:18:29Did YOU see the dirt, Xand?

0:18:29 > 0:18:30Towel.

0:18:30 > 0:18:34Oh, dear. He's missed a dirty towel. Let's see if he finds the mobile.

0:18:35 > 0:18:38Look what I've found!

0:18:38 > 0:18:40Bet YOU don't, Chris.

0:18:40 > 0:18:42Hold the phone.

0:18:42 > 0:18:44OK, smarty-pants.

0:18:44 > 0:18:46Let's see if you're any good at folding.

0:18:47 > 0:18:49That one's not folded right.

0:18:49 > 0:18:50There we go.

0:18:50 > 0:18:52See, this is how you do it.

0:18:52 > 0:18:54Very nice.

0:18:54 > 0:18:56My arms are getting tired, holding everything up.

0:18:56 > 0:18:59Ooh, another one the wrong way round.

0:18:59 > 0:19:02Right, folded. Sewing next.

0:19:03 > 0:19:06My most dangerous challenge yet.

0:19:06 > 0:19:09I've never used a sewing machine in my life.

0:19:09 > 0:19:12Oh! OK, here we go.

0:19:12 > 0:19:15Ah! Oh, oh!

0:19:15 > 0:19:17Come on, Chris. Let's see what you're made of.

0:19:17 > 0:19:18Ah!

0:19:18 > 0:19:21This corner hasn't quite worked out.

0:19:23 > 0:19:26This is so difficult.

0:19:26 > 0:19:27Oh, no!

0:19:27 > 0:19:29Michelle's not looking too impressed.

0:19:29 > 0:19:31Well, I think I'm about done,

0:19:31 > 0:19:34so I'll just cut that and have a look.

0:19:36 > 0:19:39There's a stretch here - probably at least a 2cm stretch -

0:19:39 > 0:19:42where the hem is pretty much the way it's meant to be.

0:19:42 > 0:19:44Hmm, it's time for the verdict.

0:19:44 > 0:19:47So, how did we do on the sorting?

0:19:47 > 0:19:51Xand, you did miss everything except for the mobile phone.

0:19:51 > 0:19:54- Did he find the dirty towel? - He didn't.

0:19:55 > 0:19:58In terms of folding, Xand, you were much neater.

0:19:58 > 0:20:00What? If you're so good at folding,

0:20:00 > 0:20:03why don't you ever fold up any of your things at home?

0:20:03 > 0:20:05Why indeed?

0:20:05 > 0:20:06So, it's one-all at the moment,

0:20:06 > 0:20:09and everything hangs on how well we hemmed the blankets.

0:20:09 > 0:20:15Dr Chris, you were faster. However, Xand's is much neater.

0:20:15 > 0:20:18So, Dr Xand, you are the winner.

0:20:18 > 0:20:20- Yes!- Outrageous!

0:20:20 > 0:20:23I think what we've seen here is how important and hard

0:20:23 > 0:20:27working in the hospital laundry is, and how this is definitely a job

0:20:27 > 0:20:29that is best left to the professionals.

0:20:29 > 0:20:32Michelle, I think we need to give our uniforms back.

0:20:37 > 0:20:40On a nice day like this, Xand and I like nothing more

0:20:40 > 0:20:43- than going for a run.- We do! We do!

0:20:43 > 0:20:46But running in a park like this can be dangerous.

0:20:49 > 0:20:51I don't think so, Chris.

0:20:51 > 0:20:54You could trip on uneven ground and sprain an ankle.

0:20:54 > 0:20:57Not me, Chris. I always keep my eyes on the ground ahead of me.

0:20:57 > 0:21:00Well, you could be so busy looking at the ground

0:21:00 > 0:21:02that you run into someone else and injure them.

0:21:02 > 0:21:03I don't think so, Chris.

0:21:03 > 0:21:06- I'm very observant. - Or with a running style like Xand's,

0:21:06 > 0:21:09you could easily hit yourself in the face with your own arm.

0:21:09 > 0:21:11- Everything all right? - Yes, everything's fine.

0:21:11 > 0:21:13There's a big group of people over there, though.

0:21:13 > 0:21:16Looks like someone's having difficulty breathing.

0:21:16 > 0:21:19- Do you think they're having an asthma attack?- I don't know,

0:21:19 > 0:21:22but there's lots of people around, so we probably don't need to check.

0:21:22 > 0:21:24- Or DO we?- Injury alert!

0:21:24 > 0:21:26Come on, Xand.

0:21:26 > 0:21:28SIREN BLARES

0:21:43 > 0:21:46VIOLIN PLAYS BADLY

0:21:46 > 0:21:47Or not.

0:21:49 > 0:21:51The correct answer is B...

0:21:54 > 0:21:56Let's see if this lot get it right.

0:21:56 > 0:22:00They've not had any advice, so they're winging it.

0:22:00 > 0:22:03- Are you ready to try and help? ALL:- Yes!- Off you go!

0:22:05 > 0:22:07Esme and Isaac are both pretending

0:22:07 > 0:22:09that they're having an asthma attack.

0:22:09 > 0:22:11Are you all right?

0:22:11 > 0:22:14Anyone with asthma should have their inhaler and spacer nearby.

0:22:14 > 0:22:17Will the teams spot them among these random items?

0:22:17 > 0:22:18They've got the inhaler out.

0:22:20 > 0:22:22This would not be very relaxing.

0:22:22 > 0:22:25She's standing up. She's really crowded.

0:22:27 > 0:22:29They do seem to be getting him to blow up balloons,

0:22:29 > 0:22:31which is the last thing you'd want to do

0:22:31 > 0:22:33if you were having an asthma attack.

0:22:33 > 0:22:36It looks more like they're planning a birthday party now.

0:22:36 > 0:22:37HORN TOOTS

0:22:37 > 0:22:39Our teams didn't quite get this right.

0:22:39 > 0:22:41They did have some good ideas...

0:22:41 > 0:22:45I'm going to call 999.

0:22:45 > 0:22:47..and also some dodgy ones.

0:22:47 > 0:22:50Time to show you how it should be done.

0:22:50 > 0:22:54Remember, we're showing you what to do in an emergency,

0:22:54 > 0:22:56but it's always best to get an adult.

0:22:56 > 0:22:59If Chris is having an asthma attack, I want to get him sat down

0:22:59 > 0:23:00so he's a bit more relaxed.

0:23:00 > 0:23:02Go on, have a seat. That's good.

0:23:02 > 0:23:04And try and breathe a bit more slowly if you can.

0:23:04 > 0:23:05You're doing a good job.

0:23:05 > 0:23:08He's got his asthma inhaler with him and his spacer device.

0:23:08 > 0:23:11Put it against your face, a couple of puffs in there,

0:23:11 > 0:23:13and then big, deep, slow breaths. That's good.

0:23:13 > 0:23:15Then what I want you to do, Chris,

0:23:15 > 0:23:17is see if you can slow your breathing down.

0:23:19 > 0:23:22- How are you feeling, Chris? - Better. Thanks, Xand.

0:23:22 > 0:23:25Right. So, the important things are sit them down and get them relaxed,

0:23:25 > 0:23:28get them their inhaler and give them a couple of puffs,

0:23:28 > 0:23:31get them to slow their breathing down and calm them down,

0:23:31 > 0:23:34and if they're not getting better or getting worse, call an ambulance.

0:23:34 > 0:23:38- You got that? ALL:- Yes.- Are you ready to give it another go?- Yes!

0:23:38 > 0:23:40Brilliant! Off you go!

0:23:40 > 0:23:42So, if you see someone who's having an asthma attack,

0:23:42 > 0:23:46you should get the person to sit comfortably,

0:23:46 > 0:23:49find their inhaler and help them to take it.

0:23:49 > 0:23:51And if the inhaler doesn't help,

0:23:51 > 0:23:54get an adult and call 999.

0:23:54 > 0:23:56Esme, how do you think they did?

0:23:56 > 0:23:59- Good.- You know, Chris, it's really good

0:23:59 > 0:24:01to see they've got everything under control,

0:24:01 > 0:24:03but I am very pleased we went to check.

0:24:03 > 0:24:05That's right. You should never assume

0:24:05 > 0:24:08that everything is in hand. They might have needed our help.

0:24:08 > 0:24:11Well, I'd say the last one to the ice cream van

0:24:11 > 0:24:12has to buy all the ice cream.

0:24:12 > 0:24:15Xand? Xand! I didn't say go!

0:24:16 > 0:24:17Ouch!

0:24:19 > 0:24:21Let's head back to accident and emergency.

0:24:21 > 0:24:22To see our next patient.

0:24:22 > 0:24:26And this one's itching to see a doctor.

0:24:26 > 0:24:28Over in Liverpool, there's a six-year-old

0:24:28 > 0:24:30waiting with his mum in the emergency department.

0:24:30 > 0:24:33- Hi there. My name is Angel. - Hi, Angel!

0:24:33 > 0:24:37HE HUMS ANGEL THEME TUNE

0:24:37 > 0:24:39It's the Angel theme tune!

0:24:39 > 0:24:42Oh, hang on, it's the Angel face-off.

0:24:42 > 0:24:45Hmm, scary! But why are you here, fella?

0:24:45 > 0:24:51There's all these red spots here, here. Like, everywhere.

0:24:51 > 0:24:54On, no! Red spots are everywhere.

0:24:54 > 0:24:56Well, how did it happen?

0:24:56 > 0:24:57Angel was sitting in school

0:24:57 > 0:24:59listening to his teacher telling a story

0:24:59 > 0:25:01when he felt the urge to be sick.

0:25:01 > 0:25:05Breaking news - Angel's mum has arrived to pick him up from school.

0:25:05 > 0:25:08At home, Angel was lounging on the sofa feeling unwell.

0:25:08 > 0:25:11News just in - Mum spotted a rash appear on Angel's jaw.

0:25:11 > 0:25:13It's spreading fast.

0:25:13 > 0:25:17Angel carried on watching TV, but the rash was starting to itch.

0:25:17 > 0:25:19Keeping you up-to-date

0:25:19 > 0:25:20on "Ouch! News".

0:25:20 > 0:25:24Angel felt really poorly. The rash was out of control.

0:25:24 > 0:25:27Newsflash - Angel's rushed straight to hospital.

0:25:27 > 0:25:29- BOTH:- Ouch!

0:25:29 > 0:25:32- It feels, like, itchy. - It feels itchy?

0:25:34 > 0:25:36Well, here to check out that rash

0:25:36 > 0:25:39in a flash is Dr Shirley Mulvaney.

0:25:39 > 0:25:41I'm just going to have a look at you, OK?

0:25:41 > 0:25:43I'm going to press your tummy a little bit.

0:25:43 > 0:25:45Can you tell me if it's sore anywhere?

0:25:45 > 0:25:47Dr Shirley first feels Angel's tummy.

0:25:47 > 0:25:49- It's a bit sore, yeah?- Mm.

0:25:49 > 0:25:51Then she checks his heartbeat

0:25:51 > 0:25:53to make sure it's in good working order.

0:25:53 > 0:25:55Because Angel's been so sick,

0:25:55 > 0:25:58she needs to rule out any infections or injuries.

0:25:58 > 0:26:02- So, what's the verdict, Doc? - His chest is absolutely clear,

0:26:02 > 0:26:04his heart's beating absolutely fine,

0:26:04 > 0:26:06and there isn't anything that worries me

0:26:06 > 0:26:09when I have a feel of his tummy. It all looks very viral.

0:26:09 > 0:26:13The rash - it's almost like a hay fever of the skin.

0:26:13 > 0:26:17A rash is a noticeable change in the texture or colour of the skin.

0:26:17 > 0:26:19Skin may become scaly,

0:26:19 > 0:26:21bumpy, itchy or red.

0:26:21 > 0:26:23Rashes can be serious.

0:26:23 > 0:26:26A rash that won't disappear under a glass could be meningitis,

0:26:26 > 0:26:29so it's important to get it checked by a doctor.

0:26:29 > 0:26:31However, in Angel's case,

0:26:31 > 0:26:34his rash has been caused by a viral infection.

0:26:34 > 0:26:36There's no magic treatment for the viral infection,

0:26:36 > 0:26:39so he wouldn't need any antibiotics.

0:26:39 > 0:26:42We can give him a medicine that essentially stops him from itching.

0:26:42 > 0:26:44Angel is given antihistamines,

0:26:44 > 0:26:47which will calm the rash and help relieve the itching.

0:26:47 > 0:26:50Now he's feeling better, there's something on Angel's mind.

0:26:50 > 0:26:53- What do you want for dinner? - French fries and chicken.

0:26:53 > 0:26:56- French fries and chicken?- Yeah.

0:26:56 > 0:27:00- Anything else?- That's it. - That's it? Are you sure?- Yeah.

0:27:00 > 0:27:01Sounds good to me!

0:27:01 > 0:27:05- So, Angel's off home for his French fries and chicken.- BOTH:- Bye!

0:27:07 > 0:27:12Next time on "Operation Ouch!" it's party time...

0:27:12 > 0:27:13What a disaster.

0:27:13 > 0:27:17- ..I'm put through my paces... - Keep going with those legs.

0:27:17 > 0:27:20- ..and there's a baby on board. - Ooh, he's the wrong way round there.

0:27:20 > 0:27:22Actually, should be head the other way.

0:27:22 > 0:27:25So, we'll see you next time for more...

0:27:25 > 0:27:27For more...

0:27:27 > 0:27:29"Operation Ouch!"

0:27:32 > 0:27:34LAUGHTER

0:27:34 > 0:27:36Ah! Oh! Chris!

0:27:36 > 0:27:37Thank you. Bye.

0:27:38 > 0:27:42- I think that went very well.- Phew!

0:27:42 > 0:27:45Honestly, I'm going to need another complaint form.

0:27:45 > 0:27:49LAUGHTER

0:27:49 > 0:27:50"Operation Ouch!"