0:00:23 > 0:00:25'He's Dr Chris.
0:00:25 > 0:00:27'He's Dr Xand...
0:00:27 > 0:00:29'..and yes, we're identical twins.
0:00:29 > 0:00:32'Do you know, your body does heaps of amazing things,
0:00:32 > 0:00:34'every single day?'
0:00:34 > 0:00:36That is incredible.
0:00:36 > 0:00:38'..and we're going to show you how.'
0:00:38 > 0:00:40Ah! You've cut him in half.
0:00:40 > 0:00:42'We've got incredible experiments...'
0:00:42 > 0:00:44- Ah!- Wow...
0:00:44 > 0:00:46'..and real life medical emergencies.'
0:00:46 > 0:00:48There's a big chunk of my leg missing.
0:00:48 > 0:00:49Ouch.
0:00:49 > 0:00:51'We'll be turning our bodies inside out...'
0:00:51 > 0:00:53Oh, yuck!
0:00:53 > 0:00:56'..to show you what you're made of.'
0:00:56 > 0:00:58- DR CHRIS FARTS - You should see a doctor.
0:00:58 > 0:00:59Better go find one.
0:01:02 > 0:01:03DOCTOR Xand?
0:01:06 > 0:01:10- Coming up today... - ..on Operation Ouch.
0:01:10 > 0:01:12- Why do you always get to ride in the front?- Shh.
0:01:14 > 0:01:18'We find out what comes out when you cough.'
0:01:18 > 0:01:20Oh, yuck!
0:01:20 > 0:01:24'The Ouch And About Clinic solves your mystery ailments.'
0:01:24 > 0:01:26Can I have the next patient, please?
0:01:26 > 0:01:29'And I witness surgery to fit an amazing device.'
0:01:29 > 0:01:32It's absolutely extraordinary to be holding one in my hand.
0:01:34 > 0:01:37'But first...'
0:01:37 > 0:01:40Medical teams always expect the unexpected.
0:01:40 > 0:01:42And here's another surprising case.
0:01:44 > 0:01:45'..at Alder Hey in Liverpool,
0:01:45 > 0:01:49'five-year-old Aidan's got something stuck up his nose.'
0:01:51 > 0:01:52'What's up there, Chris?
0:01:52 > 0:01:55'It's something that looks exactly like this.'
0:01:55 > 0:01:57It's a pirate coin.
0:01:57 > 0:02:00It's off the treasure chest.
0:02:00 > 0:02:03'Pirates? Treasure? I've got to see this.'
0:02:04 > 0:02:06'Aidan was at home, playing with his Lego.
0:02:06 > 0:02:08'What's he building, Chris?
0:02:08 > 0:02:10'He can build anything he wants,
0:02:10 > 0:02:11'from partying penguins
0:02:11 > 0:02:14'to pillaging pirates, hunting for treasure.
0:02:14 > 0:02:17'But today, he's building a car.
0:02:17 > 0:02:18'Huh, nice wheels.
0:02:18 > 0:02:21'Then he noticed one of his pirate coins
0:02:21 > 0:02:23'had fallen out of its treasure chest.
0:02:23 > 0:02:25'He was looking for somewhere safe to keep it,
0:02:25 > 0:02:28'so he stuck it up his nose.
0:02:28 > 0:02:29'Ouch!
0:02:30 > 0:02:32'I wonder how they'll get it out.'
0:02:32 > 0:02:33Sucking it.
0:02:33 > 0:02:35'Did he say "sucking it"?'
0:02:35 > 0:02:36- Yeah.- Like a hoover.
0:02:36 > 0:02:39Cos hoovers get all the dirt out of your house.
0:02:39 > 0:02:41'Huh. Well, that's logical, Chris.'
0:02:42 > 0:02:44'Here to help is...
0:02:47 > 0:02:50We need to have a look up your nose, OK?
0:02:50 > 0:02:52I can just see it. It's quite hard to see, actually.
0:02:52 > 0:02:54I wonder if it's gone up.
0:02:54 > 0:02:58'With the coin barely visible, Sister Catherine needs to take action.
0:02:58 > 0:03:00'Arr, time for some treasure hunting!'
0:03:00 > 0:03:03What we normally do is, we close off the nostril
0:03:03 > 0:03:04that's not got it in
0:03:04 > 0:03:07and you just do one sharp blow into his mouth.
0:03:07 > 0:03:09'OK, Mum, your turn.'
0:03:09 > 0:03:11You literally cover his mouth and just blow
0:03:11 > 0:03:12and then come straight off, OK?
0:03:12 > 0:03:15'One, two, three...
0:03:15 > 0:03:17- 'Something came out.' - Let's have a look.
0:03:17 > 0:03:20'But not the coin. Let's see that again.
0:03:22 > 0:03:26'Oh, look, snot. Aidan loves it.'
0:03:26 > 0:03:29You're not supposed to snot on Mummy, you know?
0:03:29 > 0:03:31'Mum has one last go.'
0:03:31 > 0:03:33Let's have a look, then, up that nose.
0:03:33 > 0:03:35'Is there any sign of the missing treasure?'
0:03:35 > 0:03:38It's very hard to see, Mum. I can't see anything.
0:03:38 > 0:03:40So I don't think we can get that out at the minute.
0:03:40 > 0:03:43'It just won't budge. What does Aidan think of that?'
0:03:43 > 0:03:44Do I have stay here for ever?
0:03:44 > 0:03:46No, you won't stay there for ever.
0:03:46 > 0:03:48'Oh, we hope not.'
0:03:48 > 0:03:50We've made an appointment for him to see the ENT doctors,
0:03:50 > 0:03:54who have specialist equipment and will be able to remove it for him.
0:03:54 > 0:03:57- They might have to chop your nose off.- No, they won't.
0:03:57 > 0:04:00'Will Aidan get his treasure back? Find out later.
0:04:00 > 0:04:02- CHRIS AND XAND:- 'Arr!'
0:04:06 > 0:04:10'Now, to the lab, for some amazing body experiments.'
0:04:10 > 0:04:13- Urgh.- Whoa!
0:04:13 > 0:04:16'Just don't try anything you see here at home.'
0:04:18 > 0:04:20DR CHRIS COUGHS
0:04:20 > 0:04:23Now today, we're going to be looking at what happens...
0:04:23 > 0:04:25DR CHRIS COUGHS ..when you cough.
0:04:25 > 0:04:28Now, a cough is a reflex action that your body does
0:04:28 > 0:04:30to get rid of something harmful or irritating,
0:04:30 > 0:04:34which you've breathed in by mistake. Like icing sugar, for example.
0:04:34 > 0:04:36Icing sugar? Why would I breathe in icing sugar?
0:04:36 > 0:04:38We're in a lab, not a kitchen.
0:04:38 > 0:04:41When I do bake, I always make savoury things like, you know,
0:04:41 > 0:04:44the cheese twists with...
0:04:44 > 0:04:47Agghh! DR CHRIS COUGHS
0:04:47 > 0:04:48Water!
0:04:49 > 0:04:52Now, we're going to show you Chris coughing
0:04:52 > 0:04:54like you've never seen it before.
0:04:56 > 0:05:00Now, this is a video of the inside of my head.
0:05:00 > 0:05:01This was taken using a...
0:05:05 > 0:05:09Now, the main difference between a cough and simply breathing out hard
0:05:09 > 0:05:11is my favourite body part, your...
0:05:12 > 0:05:16Its normal job is to stop food going into your lungs
0:05:16 > 0:05:19when you swallow, but in a cough, it closes off the lungs
0:05:19 > 0:05:22and allows pressure to build up in the lungs.
0:05:22 > 0:05:25Xand, do the first part of a cough.
0:05:25 > 0:05:27Now, Xand's closed his epiglottis,
0:05:27 > 0:05:29the pressure's rising in his chest, so when he opens it...
0:05:29 > 0:05:32DR XAND COUGHS ..the air rushes out at 60mph.
0:05:32 > 0:05:34But if a cough's that powerful,
0:05:34 > 0:05:36where does it go and what's in it?
0:05:36 > 0:05:38Well, we're going to show you.
0:05:42 > 0:05:44It's time for competitive...
0:05:44 > 0:05:46DR CHRIS COUGHS ..coughing.
0:05:46 > 0:05:47What is going on?
0:05:47 > 0:05:50Well, I've made these cut-outs that look just like you and me.
0:05:50 > 0:05:52They don't look anything like me.
0:05:52 > 0:05:53They're all blue.
0:05:53 > 0:05:57I'm the green twin - everything I wear is green.
0:05:57 > 0:05:58It's greenish.
0:05:58 > 0:06:02It's... It's... Does that look the same? It's turquoise!
0:06:02 > 0:06:05- Doesn't look anything like... - It's not relevant, Xand.
0:06:05 > 0:06:09The point is, I've put plates full of a special scientific gunk
0:06:09 > 0:06:12called "agar jelly" on the faces of our cut-outs.
0:06:12 > 0:06:15So, if any bacteria happen to land on any of our plates,
0:06:15 > 0:06:19they're going to multiply so much, we can actually see them.
0:06:19 > 0:06:22OK, Chris, you ready? Three, two, one, cough.
0:06:22 > 0:06:23BOTH COUGH
0:06:23 > 0:06:27'We're doing two experiments, one where the places are 10cm away
0:06:27 > 0:06:29'and another, where they're 50cm away.'
0:06:30 > 0:06:32Well, all done.
0:06:32 > 0:06:35Not quite, Chris. I want you to take this agar plate
0:06:35 > 0:06:38and hold it in front of your face and I'm going to cough on it.
0:06:38 > 0:06:41And this time, I'm going to cover my mouth with my elbow -
0:06:41 > 0:06:43the way you're supposed to -
0:06:43 > 0:06:45and hopefully, no germs should land on the plate.
0:06:45 > 0:06:47OK. Well, just make sure you do it properly.
0:06:47 > 0:06:52DR XAND COUGHS
0:06:53 > 0:06:55And now, we have to wait.
0:06:56 > 0:06:59'In lab conditions, bacteria takes some time to grow.
0:06:59 > 0:07:02'Luckily, we came prepared for a long wait.
0:07:05 > 0:07:07'And finally, the test results are in.'
0:07:07 > 0:07:09So, let's check out the cut-outs
0:07:09 > 0:07:11that were 50cm away first.
0:07:14 > 0:07:16Oh, yuck!
0:07:16 > 0:07:18This has worked really well.
0:07:18 > 0:07:20All these bacteria have grown
0:07:20 > 0:07:24into thick, furry, yucky blooms.
0:07:24 > 0:07:25Urgh.
0:07:25 > 0:07:27Well, let's have a look at mine.
0:07:27 > 0:07:28Urgh!
0:07:28 > 0:07:30They're even worse than Xand's.
0:07:30 > 0:07:34Mine are also growing in horrible slimy, furry, green colonies -
0:07:34 > 0:07:36and all this, from just one cough.
0:07:36 > 0:07:39'Now, for the cut-outs that were only 10cm away.'
0:07:40 > 0:07:43Oh! This is even worse.
0:07:43 > 0:07:45There's loads of furry stuff in here.
0:07:45 > 0:07:47Oh, that is disgusting.
0:07:47 > 0:07:49Let's have a look at mine.
0:07:49 > 0:07:53Urgh, there's a huge bacterial splat in the middle of the plate.
0:07:53 > 0:07:56I must've coughed up a lot of saliva with that one.
0:07:56 > 0:07:58So this is like coughing into someone's face
0:07:58 > 0:08:01when they're right next to you, and that's bad news for them,
0:08:01 > 0:08:05when you realise that the average cough has 20,000 viruses in it.
0:08:05 > 0:08:07Which brings me to our last result.
0:08:07 > 0:08:10Let's have a look at the plate where I covered my mouth
0:08:10 > 0:08:13and coughed at Chris.
0:08:13 > 0:08:14Urgh, two bacteria!
0:08:14 > 0:08:18'I knew you hadn't covered your mouth properly.'
0:08:18 > 0:08:19I think you can see though,
0:08:19 > 0:08:22that this is a lot better than the other ones we did.
0:08:22 > 0:08:24So, there you have it.
0:08:24 > 0:08:26In case you were in any doubt
0:08:26 > 0:08:28about whether or not to cover your mouth when you cough,
0:08:28 > 0:08:30we've shown that not only could your cough
0:08:30 > 0:08:32reach the person right next to you,
0:08:32 > 0:08:34but it could travel a lot further than that.
0:08:34 > 0:08:37Yuck. And as well as seeing how far they travel,
0:08:37 > 0:08:41we've shown you just how much bacteria there can be in coughs.
0:08:41 > 0:08:44Well, there's a lot more in yours than in mine, Chris.
0:08:44 > 0:08:45You should see a doctor.
0:08:45 > 0:08:48Maybe I should. Better go find one.
0:08:50 > 0:08:54'Now, we're going Ouch And About, bringing our mobile clinic to you.
0:08:57 > 0:09:00'We've come to a theme park, to help solve your medical mysteries.
0:09:02 > 0:09:05'Xand is preparing the clinic, ready for his first patient.
0:09:05 > 0:09:09'While Chris is out in the park, to answer your burning questions.
0:09:09 > 0:09:12'At the clinic, Xand is open for business.'
0:09:12 > 0:09:14Can I have the next patient, please?
0:09:14 > 0:09:16'First up, it's not that duck... QUACK
0:09:16 > 0:09:20'It's eight-year-old Thomas and he's had a mouthful of his problem.'
0:09:20 > 0:09:22So, Thomas, why have you come to the Ouch Mobile today?
0:09:22 > 0:09:26Well, I've hardly lost any of my milk teeth, but all my friends have.
0:09:26 > 0:09:28'What's the diagnosis, Xand?'
0:09:28 > 0:09:30It sounds to me like a case of...
0:09:34 > 0:09:36'Excellent diagnosis.'
0:09:36 > 0:09:37How many have you lost?
0:09:37 > 0:09:40I've lost four and I've got one wobbly one.
0:09:40 > 0:09:42Right, let's have a look.
0:09:42 > 0:09:44Give that one a wobble for me.
0:09:44 > 0:09:46Oh, that's brilliant, look at that.
0:09:46 > 0:09:49Part of the explanation is that everyone's different, right?
0:09:49 > 0:09:51You and your friends are all going to be different sizes,
0:09:51 > 0:09:54you've all got different colour hair and there's lots of different
0:09:54 > 0:09:57things about you and your teeth are one of those different things.
0:09:57 > 0:09:59You're also all different ages - and in your case,
0:09:59 > 0:10:01there isn't anything to worry about.
0:10:01 > 0:10:03'Xand's right, Thomas. It's all good.'
0:10:05 > 0:10:08'Now I'm Ouch And About, solving more medical mysteries.'
0:10:08 > 0:10:10What causes hiccups?
0:10:10 > 0:10:13Do you ever get a thing where your eyelid flickers a little bit
0:10:13 > 0:10:15and you can't control it? Hiccups are a bit like that.
0:10:15 > 0:10:18It's the muscle under your lungs, called your diaphragm.
0:10:18 > 0:10:20When the diaphragm spasms... DR CHRIS HICCUPS
0:10:20 > 0:10:22..you get that "hic".
0:10:22 > 0:10:25Dr Chris, why do we get cracked lips in the winter?
0:10:25 > 0:10:27It's cos in the summer, we sweat -
0:10:27 > 0:10:31and so, we leak lots of grease out from our pores,
0:10:31 > 0:10:32which keeps our skin nice and moist
0:10:32 > 0:10:34and in the winter, that doesn't happen.
0:10:34 > 0:10:37So when we lick our lips, we dry them out even more,
0:10:37 > 0:10:39because we lick the grease off them.
0:10:39 > 0:10:42And so, that's when they start flaking and peeling and cracking.
0:10:42 > 0:10:44- Does that make sense?- Yeah.
0:10:45 > 0:10:46'Back at the Ouch Mobile,
0:10:46 > 0:10:48'some fellow twins are in the waiting room...'
0:10:48 > 0:10:50Next patient, please.
0:10:50 > 0:10:53'..but their question is all to do with their differences.'
0:10:53 > 0:10:56So Adia, Orchid, what's brought you to the Ouch Mobile?
0:10:56 > 0:10:57I'm right-handed.
0:10:57 > 0:11:00And I'm left-handed. I've got bigger feet.
0:11:00 > 0:11:01And I got smaller feet.
0:11:01 > 0:11:04I'm shorter and she's taller and we want to know why.
0:11:04 > 0:11:07'Double trouble. What's the diagnosis, Doc?'
0:11:07 > 0:11:09This sounds like a case of...
0:11:14 > 0:11:16'Sounds twin-tastic.'
0:11:16 > 0:11:19- Who's the older twin? - I'm the older twin.
0:11:19 > 0:11:21I'm the older twin actually, as well.
0:11:21 > 0:11:22How much older are you?
0:11:22 > 0:11:24I'm seven minutes older than Dr Chris.
0:11:24 > 0:11:26- Ah.- We're ten. - I'm ten minutes older.
0:11:26 > 0:11:29You're ten minutes? So you're taller, older, bigger feet?
0:11:29 > 0:11:30- Yeah.- This is quite interesting.
0:11:30 > 0:11:33So when twins are developing inside their mum,
0:11:33 > 0:11:36before they're born, there isn't as much room as there would be if there
0:11:36 > 0:11:38was just one baby and one twin is usually a bit bigger than the other.
0:11:38 > 0:11:40There's a bit of competition for nutrients.
0:11:40 > 0:11:43So it looks like, Adia, you've just been the slightly larger twin.
0:11:43 > 0:11:45Were you bigger when you were born?
0:11:45 > 0:11:46I think, by one pound, or something.
0:11:46 > 0:11:49By about a pound? I think that's probably the explanation,
0:11:49 > 0:11:52if you've just always been the slightly larger twin.
0:11:52 > 0:11:53'And the left-handed thing?'
0:11:53 > 0:11:55Normally, in the population, people who aren't twins,
0:11:55 > 0:11:58about one in ten people is left handed.
0:11:58 > 0:12:02But in twins, it's actually one in five - so it's twice as common.
0:12:02 > 0:12:05'But no-one's exactly sure why.'
0:12:05 > 0:12:07Adia, Orchid, thanks very much for coming in.
0:12:07 > 0:12:09It's really nice to have twins on the show.
0:12:09 > 0:12:12'Job done for today. Clinic closed.'
0:12:12 > 0:12:16'Still to come, we're on call with the paramedics.'
0:12:16 > 0:12:17So, this is a real emergency.
0:12:17 > 0:12:20We have to get there as soon as possible.
0:12:20 > 0:12:22'These guys learn some essential first aid...'
0:12:22 > 0:12:24You're just pouring it in the corner of her eye.
0:12:24 > 0:12:26That's good.
0:12:26 > 0:12:29'..and it's micro surgery time for Matthew.'
0:12:29 > 0:12:32The tip of that drill is smaller than a grain of rice.
0:12:35 > 0:12:38Earlier, Aidan came into accident and emergency
0:12:38 > 0:12:40with a pirate coin lodged in his nose.
0:12:40 > 0:12:44Arr! Gold doubloons, Spanish treasure,
0:12:44 > 0:12:46- pieces of eight, hoards of... - No. Xand, Xand, Xand -
0:12:46 > 0:12:48- it was just one coin.- Oh.
0:12:48 > 0:12:51Let's find out what the doctors do next.
0:12:51 > 0:12:54'Yes, in Liverpool, it's time for some treasure hunting,
0:12:54 > 0:12:57'to retrieve that buried coin.
0:12:57 > 0:12:59'It happened at home, when Aidan was playing with Lego.
0:12:59 > 0:13:03'He can build anything, but today he's building a car.
0:13:03 > 0:13:04'Huh, nice wheels.
0:13:04 > 0:13:08'Then he noticed one of his pirate coins had fallen out of its chest.
0:13:08 > 0:13:10'He was looking for somewhere safe to keep it,
0:13:10 > 0:13:13'so he stuck it up his nose.
0:13:13 > 0:13:14'Ouch!
0:13:16 > 0:13:19'Today, Aidan's hoping to get the treasure out of his nose
0:13:19 > 0:13:21'and back where it belongs.
0:13:21 > 0:13:23'And here to help him do that is...'
0:13:25 > 0:13:28- Does it still feel like it's up there?- Yeah.
0:13:28 > 0:13:30'OK. Time to dig for gold.
0:13:32 > 0:13:34'This might look uncomfortable,
0:13:34 > 0:13:37'but it's important it comes out, to prevent infection.'
0:13:37 > 0:13:39So it's coming. We just need to have one more go.
0:13:39 > 0:13:41You're being really brave.
0:13:41 > 0:13:43'So, one last go.'
0:13:43 > 0:13:44Ah, there it is!
0:13:44 > 0:13:47'Shiver me timbers, it's out!'
0:13:48 > 0:13:52'Ew, it's all covered in snot, Chris!
0:13:52 > 0:13:54'Of course it is. It's been up his nose.'
0:13:54 > 0:13:56Yeah, everything's all gone. Well done.
0:13:56 > 0:13:58'But we're not done yet.'
0:13:58 > 0:14:00I'm going to wash it.
0:14:00 > 0:14:04'Add some water, give it a rub and it's as good as new.
0:14:04 > 0:14:06'In it goes.
0:14:06 > 0:14:09- CHRIS AND XAND:- 'Arr, well done, Aidan!
0:14:09 > 0:14:11'Bye!'
0:14:15 > 0:14:19All over the UK, there are emergency teams standing by, ready to help you.
0:14:19 > 0:14:22And they need to get to the scene of an accident, fast.
0:14:24 > 0:14:26'We're on call with the UK emergency services,
0:14:26 > 0:14:30'showing you what it's really like on the front line, saving lives.'
0:14:36 > 0:14:39The West Midlands Ambulance Service is on standby,
0:14:39 > 0:14:42all day, every day, to respond to emergencies.
0:14:42 > 0:14:44I'm hitching a ride in this rapid-response vehicle,
0:14:44 > 0:14:48so you get to see up close what it's like to be first on the scene.
0:14:48 > 0:14:49'If you have an accident,
0:14:49 > 0:14:53'this fast medical service is ready to help, 24 hours a day.'
0:14:53 > 0:14:57I've got my camera. Eric's in the back with his camera.
0:14:57 > 0:15:00We're going to get you as close to the action as we can.
0:15:00 > 0:15:02'On call with me, it's...
0:15:05 > 0:15:08'This service takes thousands of 999 calls
0:15:08 > 0:15:10'and a new case is just in.'
0:15:11 > 0:15:13We've been called to someone who's choking.
0:15:13 > 0:15:15Now, if they're really choking, they won't be able to breathe,
0:15:15 > 0:15:17so this is a real emergency.
0:15:17 > 0:15:19We have to get there as soon as possible.
0:15:19 > 0:15:21The screen tells us they're older than 16
0:15:21 > 0:15:23and they've got a carrot stuck in their throat.
0:15:23 > 0:15:26That's all we know, but that's enough.
0:15:26 > 0:15:27'A fast response can save lives
0:15:27 > 0:15:30'and paramedics like Jan are often first on the scene.'
0:15:32 > 0:15:36'It's only taken about five minutes to get here, to see James.'
0:15:36 > 0:15:38How are you feeling, James?
0:15:38 > 0:15:39I'd be feeling much better
0:15:39 > 0:15:42if I could get rid of this carrot out my throat.
0:15:42 > 0:15:44'He's not choking, but he can't swallow -
0:15:44 > 0:15:46'and as James is diabetic,
0:15:46 > 0:15:48'this could be really dangerous,
0:15:48 > 0:15:51'because if he can't eat, his blood sugars are going to be affected
0:15:51 > 0:15:53'and that can be life-threatening.'
0:15:53 > 0:15:57So, poor James has got a bit of carrot stuck in his oesophagus -
0:15:57 > 0:15:59that's the tube going from your mouth to your stomach.
0:15:59 > 0:16:01It's causing him real problems now.
0:16:01 > 0:16:05'Because he's not able to swallow, his blood sugar is getting low.'
0:16:05 > 0:16:072.5.
0:16:07 > 0:16:09'He's in real need of something sweet.'
0:16:09 > 0:16:12Right, what I'm going to get you now is that sugary gel,
0:16:12 > 0:16:15just to see if we can get your sugar levels up a little bit, OK?
0:16:15 > 0:16:17It should just absorb through your skin in your mouth,
0:16:17 > 0:16:20so you don't have to swallow it.
0:16:20 > 0:16:21Yeah, it's gone.
0:16:21 > 0:16:23'And now that's done, what about that carrot?'
0:16:23 > 0:16:26He'll need to go to hospital and have it surgically removed.
0:16:26 > 0:16:27It's not a big operation.
0:16:27 > 0:16:29It just involves putting a tube down his throat
0:16:29 > 0:16:32and removing the blockage, while he's been sedated.
0:16:32 > 0:16:34'Jan's job done, it's now safe
0:16:34 > 0:16:37'to transport James to hospital by ambulance.'
0:16:39 > 0:16:40Bye, James. Take care.
0:16:40 > 0:16:42So that's a really good result for James.
0:16:42 > 0:16:44It'll be quite easy to get that blockage
0:16:44 > 0:16:46out of his throat in hospital.
0:16:46 > 0:16:49But if it hadn't been done and Jan hadn't been here,
0:16:49 > 0:16:51his blood sugars would've got dangerously low
0:16:51 > 0:16:53and he'd have been in real trouble.
0:16:53 > 0:16:55But he's not, thanks to the paramedics.
0:16:57 > 0:16:59'And if you ever have an emergency,
0:16:59 > 0:17:03'there are hundreds of similar crews around the country, ready to help.
0:17:05 > 0:17:06'Did you know that...
0:17:09 > 0:17:11'Wow! You'd better look after them, then.'
0:17:17 > 0:17:20Now, nothing beats a good party,
0:17:20 > 0:17:22but some people, when they're getting ready,
0:17:22 > 0:17:23can get a bit over-excited.
0:17:23 > 0:17:25People like Xand.
0:17:27 > 0:17:30Now, there's nothing wrong with getting in the mood,
0:17:30 > 0:17:33but if you're not careful, you might expose yourself to danger.
0:17:33 > 0:17:35Whoo!
0:17:37 > 0:17:40'You could accidentally slip in the bathroom...
0:17:40 > 0:17:43'Burn yourself with straighteners...
0:17:43 > 0:17:46'Or even strain your voice, practising karaoke...'
0:17:46 > 0:17:50# Oh, oh, oh, oh, oh, oh... #
0:17:50 > 0:17:52- Xand? Xand!- Oh.
0:17:52 > 0:17:53You need to save your energy.
0:17:53 > 0:17:55You're not going to have any left for the party.
0:17:55 > 0:17:57Right, a few final checks for me.
0:17:57 > 0:17:59Collar straight, hair smart
0:17:59 > 0:18:02and a final squirt of aftershave.
0:18:02 > 0:18:04Ah! Ah!
0:18:04 > 0:18:06Right into his own eye.
0:18:06 > 0:18:10# Looks like an injury alert! #
0:18:34 > 0:18:35What do you think, Hanny?
0:18:35 > 0:18:39I think "C", because, say if you got perfume in it, just wash it out.
0:18:39 > 0:18:41'Hanny's got it.
0:18:41 > 0:18:42'The answer is "C"...
0:18:44 > 0:18:46'..and here's how.'
0:18:46 > 0:18:47Right, let's get you sat down.
0:18:47 > 0:18:50We're going to get clean water and just wash his eye out with it.
0:18:50 > 0:18:52So what I'm going to do is put my thumb above his eye,
0:18:52 > 0:18:55my finger below and then I can hold his eye gently open
0:18:55 > 0:18:57and that means the water actually gets in
0:18:57 > 0:18:59and washes the stuff out of his eye.
0:18:59 > 0:19:01We're going to start pouring the water into the corner of his eye,
0:19:01 > 0:19:03beside his nose.
0:19:03 > 0:19:05- Urgh.- That's good.
0:19:05 > 0:19:08'Now remember, we're showing you what to do in an emergency.
0:19:08 > 0:19:11'Never do this on your own, unless it is an emergency
0:19:11 > 0:19:13'and always try and find an adult.'
0:19:13 > 0:19:15Keep blinking. All fixed.
0:19:15 > 0:19:17So do any of you want to try this yourselves?
0:19:17 > 0:19:19- ALL:- Yes!
0:19:19 > 0:19:21Oh, I have something on my eye!
0:19:21 > 0:19:23Oh, my eye really stings! Ah!
0:19:23 > 0:19:27- OK, so what are we going to do, guys? - We'll sit you down here.
0:19:27 > 0:19:29Sit down, cos she can't see.
0:19:29 > 0:19:30'Nice one, Beau.'
0:19:30 > 0:19:33Just confidently hold her eye open with your thumb and finger there.
0:19:33 > 0:19:34That's really good.
0:19:34 > 0:19:37You're just pouring it in the corner of her eye, right there,
0:19:37 > 0:19:39so it all washes sideways. That's good.
0:19:39 > 0:19:41'It's important to have a good aim.'
0:19:41 > 0:19:43Did you get it in the eye?
0:19:43 > 0:19:45I think that went on the eyelid.
0:19:45 > 0:19:47Pour the water right on the eyeball... Oh, good job.
0:19:47 > 0:19:49That was better.
0:19:49 > 0:19:51'So remember, sit the patient down,
0:19:51 > 0:19:52'gently hold open the eye
0:19:52 > 0:19:55'and pour the water right onto the eyeball -
0:19:55 > 0:19:58'and always try and find an adult.'
0:19:58 > 0:19:59How's your eye feeling, Chris?
0:19:59 > 0:20:01Much better. Thank you, Xand.
0:20:01 > 0:20:03Right, let's get ready to party!
0:20:11 > 0:20:15'Your body is amazing, but sometimes, it needs fixing.
0:20:15 > 0:20:18'All over the UK, there are special teams of professionals
0:20:18 > 0:20:21'trained to tackle medical mysteries.
0:20:21 > 0:20:24'And sometimes, their work is life-changing.'
0:20:24 > 0:20:26TRAFFIC NOISE
0:20:26 > 0:20:27Now the world is a noisy place,
0:20:27 > 0:20:30but what happens if I switch it all off?
0:20:30 > 0:20:31TRAFFIC GOES SILENT
0:20:34 > 0:20:37Now, if you're deaf, you have several ways of understanding
0:20:37 > 0:20:39what other people are saying. There's lip reading...
0:20:44 > 0:20:46..and there's sign language,
0:20:46 > 0:20:48which relies on hand gestures.
0:20:48 > 0:20:51And for loads of deaf people, these things work really well.
0:20:51 > 0:20:55But doctors are making amazing medical advances
0:20:55 > 0:20:57in improving people's hearing.
0:20:57 > 0:20:59'This is Matthew. He's 12.
0:21:00 > 0:21:04'He's deaf and uses BSL - British Sign Language - to communicate.
0:21:04 > 0:21:07'I'm not very good at it, so Matthew has brought along his interpreter.'
0:21:07 > 0:21:09How long have you been deaf for?
0:21:11 > 0:21:13- Since 2001.- So, your whole life?
0:21:13 > 0:21:15Yeah. Yeah, I was born deaf.
0:21:15 > 0:21:18'Matthew's here to get a cochlea implant,
0:21:18 > 0:21:21'a tiny little device that replaces a bit of the ear,
0:21:21 > 0:21:24'which, in some deaf people, doesn't work.
0:21:24 > 0:21:28'Sound travels in waves through your ear to the cochlea.
0:21:28 > 0:21:32'Inside the cochlea, tiny hairs pick up the vibrations from these
0:21:32 > 0:21:35'sound waves and convert them into signals, that are sent to the brain.
0:21:35 > 0:21:40'Matthew is deaf, because the hairs in his cochlea can't do this.
0:21:40 > 0:21:41'But the implant sorts this
0:21:41 > 0:21:45'by sending sound signals through wires, instead.'
0:21:45 > 0:21:47I've never seen this operation before,
0:21:47 > 0:21:49so I'm very excited.
0:21:49 > 0:21:51Good luck.
0:21:53 > 0:21:54'Leading the team today is...
0:21:56 > 0:21:58'Now, this surgery is not for the squeamish.'
0:21:58 > 0:22:00Now, this is a cochlea implant,
0:22:00 > 0:22:02which is what Matthew's having fitted.
0:22:02 > 0:22:04This bit is a microphone.
0:22:04 > 0:22:06It hooks over his ears
0:22:06 > 0:22:08and it's what hears what's going on in the world around him.
0:22:08 > 0:22:12And it attaches with a magnet through the skin to this bit -
0:22:12 > 0:22:14and this bit sits under the skin
0:22:14 > 0:22:18and it's these little wires that go into his cochlea
0:22:18 > 0:22:21and send the electric impulses into his brain.
0:22:21 > 0:22:23That's what allows him to hear.
0:22:23 > 0:22:26It's absolutely extraordinary to be holding one in my hands.
0:22:28 > 0:22:30So what James is doing now is
0:22:30 > 0:22:32lifting the skin off the back of Matthew's skull
0:22:32 > 0:22:35to make a little pocket, where the device can sit.
0:22:35 > 0:22:37'The surgeon uses a microscope,
0:22:37 > 0:22:40'which allows him to work in very small spaces
0:22:40 > 0:22:42'and use a tiny drill.'
0:22:42 > 0:22:44So, on the big screen, you can see it really well.
0:22:44 > 0:22:45But in fact, in real life,
0:22:45 > 0:22:48the tip of that drill is about this big.
0:22:48 > 0:22:51It's smaller than a grain of rice.
0:22:51 > 0:22:53'Having drilled through to the inner ear,
0:22:53 > 0:22:57'we can now see the opening that leads into the cochlea itself.
0:22:57 > 0:22:59'Next is the tricky bit.
0:22:59 > 0:23:03'The wires from the implant need to go through the tiny opening
0:23:03 > 0:23:04'and straight into the cochlea.
0:23:04 > 0:23:07'Luckily, James has a very steady hand.'
0:23:07 > 0:23:09The operation's basically over.
0:23:09 > 0:23:11They're just sewing up the cuts behind Matthew's ears.
0:23:11 > 0:23:15But we won't be turning on those cochlea implants yet.
0:23:15 > 0:23:18'Matthew has to wait a couple of weeks for everything to heal.
0:23:20 > 0:23:24'Matthew's back with Mum and Dad and interpreter Mark
0:23:24 > 0:23:26'to have the cochlea implants turned on
0:23:26 > 0:23:27'and he can't wait.'
0:23:30 > 0:23:32We're going to do a little bit of testing.
0:23:32 > 0:23:34When you hear a beep,
0:23:34 > 0:23:37we just want you to put one of the fish here into the pot.
0:23:37 > 0:23:40'Will Matthew's implant enable him to hear?
0:23:40 > 0:23:42'Will he get any fish in the pot?'
0:23:43 > 0:23:45BEEP
0:23:45 > 0:23:48- Wow.- Good. Well done.
0:23:48 > 0:23:51'He caught that and it's put a big grin on his face.'
0:23:51 > 0:23:56BEEPING
0:23:56 > 0:23:57'He's hearing lots of beeps
0:23:57 > 0:24:00'and then Matthew hears something he's never heard before.'
0:24:00 > 0:24:02Matthew.
0:24:02 > 0:24:04Matthew.
0:24:04 > 0:24:05Was that you, Dad?
0:24:09 > 0:24:12Yeah, it was really nice. I shut my eyes and my father said my name.
0:24:12 > 0:24:15I knew something was being said, so when I opened my eyes, I checked -
0:24:15 > 0:24:16"Did you just say my name, Matthew?"
0:24:16 > 0:24:20- He just said, "Yes." - Well done, Matthew.
0:24:20 > 0:24:23So, Matthew is going to be hearing more sounds than ever before
0:24:23 > 0:24:25and all because of this,
0:24:25 > 0:24:27his cochlea implant.
0:24:27 > 0:24:30Some sounds he's going to be hearing for the very first time.
0:24:30 > 0:24:32It's absolutely incredible.
0:24:37 > 0:24:39Our next patient's day was turned upside down
0:24:39 > 0:24:42when a bizarre accident occurred.
0:24:42 > 0:24:43Let's meet them.
0:24:45 > 0:24:47'In Manchester accident and emergency,
0:24:47 > 0:24:51'seven-year-old Yinka's in with her dad and little brother.
0:24:51 > 0:24:52'Nice boots, little bro.
0:24:54 > 0:24:55'So, what's the problem?'
0:24:55 > 0:24:58I fell down and I banged my forehead.
0:24:58 > 0:24:59'How did you do that, Yinka?
0:24:59 > 0:25:01'Let's find out.
0:25:02 > 0:25:05'Yinka's dad fancies himself as a bit of a chef.
0:25:05 > 0:25:07'Is he a celebrity chef, Chris?
0:25:07 > 0:25:09'In his dreams.
0:25:09 > 0:25:12'Today, Yinka, her dad and little brother went to the shop
0:25:12 > 0:25:14'to buy some tasty ingredients.
0:25:14 > 0:25:16'Ooh, I love food shopping.
0:25:16 > 0:25:17'Ooh - little bro's keen.
0:25:17 > 0:25:19'But not as keen as those eggs.
0:25:19 > 0:25:22- 'EGGScellent.- Next, some sausages...
0:25:22 > 0:25:24'Succulent, yum.
0:25:24 > 0:25:26'And some... Hey, what's that rumbling?
0:25:26 > 0:25:28'Is it an earthquake?
0:25:28 > 0:25:30'No. I think that's super bro's tummy.
0:25:30 > 0:25:32'All this food is making him hungry.
0:25:32 > 0:25:34'I know how he feels.
0:25:34 > 0:25:37'Anyway, Dad, Yinka and super bro were on their way out of the shop
0:25:37 > 0:25:40'when all of a sudden, Yinka tripped
0:25:40 > 0:25:41'and bumped her bonce on the step.
0:25:41 > 0:25:44- 'Ouch. - AMBULANCE SIREN
0:25:44 > 0:25:47Hopefully, when the doctor is finished with us,
0:25:47 > 0:25:51we'll go back and we'll finish up with our special breakfast.
0:25:51 > 0:25:55'And Dad still wants to make brekkie. I like it.
0:25:55 > 0:25:57'Here to help with that is...'
0:25:59 > 0:26:00So, how did you fall over?
0:26:00 > 0:26:02I missed my foot.
0:26:02 > 0:26:04You missed your foot? Right, OK then.
0:26:04 > 0:26:06'First, the doctor has to make sure
0:26:06 > 0:26:09'Yinka hasn't suffered any serious damage to her head in the fall.'
0:26:09 > 0:26:12Did she lose consciousness at all, Dad? Was she knocked out?
0:26:12 > 0:26:15- No.- No? OK. No bleeding from the nose? No bleeding from the ears?
0:26:15 > 0:26:16Nothing like that?
0:26:16 > 0:26:19- No funny clear fluid from the nose or anything?- No.- OK.
0:26:20 > 0:26:22'Now the doc has a look at her bump.'
0:26:22 > 0:26:24It's not too deep,
0:26:24 > 0:26:26so it doesn't look like it's going to need to be
0:26:26 > 0:26:29pulled together by any stitches, or anything like that.
0:26:29 > 0:26:31'That's good news.
0:26:31 > 0:26:33'Now, the doc needs to check for concussion.
0:26:35 > 0:26:38'Inside your skull, your brain is made up of soft tissue,
0:26:38 > 0:26:41'cushioned by blood and spinal fluid.
0:26:41 > 0:26:43'If your head hits something very hard,
0:26:43 > 0:26:45'your brain suddenly shifts inside your skull
0:26:45 > 0:26:48'and can knock against the skull's bony surface.
0:26:48 > 0:26:50'When the brain moves about like this,
0:26:50 > 0:26:53'it can cause temporary brain injury called "concussion".
0:26:53 > 0:26:55'So the doc does some quick tests...'
0:26:55 > 0:26:57Just follow my finger with your eyes.
0:26:57 > 0:26:59Can you just have a look over there?
0:26:59 > 0:27:01'..and Yinka has no signs of any problems.
0:27:01 > 0:27:03'So, what's the verdict, Doc?'
0:27:03 > 0:27:07She's well now and this is just going to heal up by itself. OK?
0:27:07 > 0:27:08'Result.'
0:27:08 > 0:27:09She was super brave.
0:27:09 > 0:27:11Hopefully, she gets home to have her special breakfast
0:27:11 > 0:27:13that Dad's going to cook for her.
0:27:13 > 0:27:15'Now you're talking. Can I come?
0:27:16 > 0:27:18- CHRIS AND XAND:- 'Bye!'
0:27:18 > 0:27:20'Next time on Operation Ouch...
0:27:20 > 0:27:23'We find out how you taste with your nose...'
0:27:23 > 0:27:28The smell molecules have stuck next to the olfactory receptors.
0:27:28 > 0:27:30'Kardisha gets some sudden news...'
0:27:30 > 0:27:33I think this is going to need for us to do a small operation.
0:27:34 > 0:27:37'..and we check out a very special printer.'
0:27:37 > 0:27:39One of the most amazing things it can do
0:27:39 > 0:27:42is print replacement body parts.
0:27:42 > 0:27:44We'll see you next time, for more...
0:27:44 > 0:27:45- BOTH:- Operation Ouch.
0:27:47 > 0:27:50What do you call a pony with a cough?
0:27:50 > 0:27:52I don't know.
0:27:52 > 0:27:53A little horse!
0:27:54 > 0:27:57Right, let's get ready to party!