Best Of... Operation Ouch!


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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.


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LineFromTo

I'm Dr Chris.

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And I'm Dr Xand.

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We're identical twins. Twins!

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Do you know your body does loads of amazing things

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without you even realising it?

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Welcome to my poo factory.

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And we're going to show you how.

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Smell my armpits!

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We've got gobsmacking experiments...

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Wow!

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Mind-bending body tricks... THEY LAUGH

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And real medical mysteries.

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I've got a stone in my ear.

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

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Do you want to high-five?

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Coming up today... On Operation Ouch!

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Xand, why are you wearing the medical emergency blanket

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from the ambulance?

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This is Super Xand's space cape.

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Xand, put it back where you found it.

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We perplex the public in Mindbenders...

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SHE SQUEALS

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

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THEY COUGH We find out what comes out

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when you cough...

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Oh, yuck!

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

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Absolutely extraordinary to be holding one in my hands.

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It's one of our favourite hospital cases.

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Ooh, is it Alice? Yes. ALICE Alice? Yes.

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ALICE Alice Alice?! Yes, it's Alice! Great!

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In Manchester, waiting with her mum and dad

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is five-year-old Alice,

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

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Ooh! That does look nasty.

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She fell over and bashed her nose,

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

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The witch came to catch me.

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The witch? What's all that about?

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Alice and her friend, Colette, were at school.

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So, where was the witch?

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

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

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COLETTE CACKLES Run, Alice!

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Alice ran through the playground trying to get away,

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but the witch was catching up fast.

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Oh, no!

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Alice ran faster and faster

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and just as the witch was about to grab her,

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she tripped. Uh-oh!

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Alice went flying across the playground,

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landing face first. Ouch. THEY GASP

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

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Maybe he can cast a spell to mend that snout.

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What have you done? Just fell over and hurt my nose.

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Dr Ricky needs to take a closer look.

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There are lots of nooks and crannies in your nose

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that could be damaged if it takes a bash -

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the nostrils, the nasal passages

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and the bit down the middle called the septum.

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It's made of bone and cartilage.

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Alice's cut hasn't reached the cartilage,

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but it has sliced right through her nostril.

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Luckily, Dr Ricky knows how to fix it.

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She needs to have that stitched in theatre,

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

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

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and stitched together nicely.

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Wee!

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

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Ouch!

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

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Yes!

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

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

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HE COUGHS

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

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HE COUGHS ..when you cough.

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

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to get rid of something harmful or irritating

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

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Icing sugar? Why would I breathe in icing sugar?

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We're in a lab, not a kitchen.

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When I do bake, I always make savoury things

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like, you know the cheese twists with...

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Argh! HE COUGHS VIOLENTLY

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Water!

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Now we're going to show you Chris coughing

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like you've never seen it before.

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

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This was taken using

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a magnetic resonance imaging machine,

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or MRI.

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The main difference between a cough and simply breathing out hard

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is my favourite body part,

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your epiglottis.

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It's normal job is to stop food

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going into your lungs when you swallow,

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but in a cough, it closes off

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

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Xand, do the first part of a cough.

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

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so when he opens it... HE COUGHS

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..the air rushes out at 60mph.

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

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Well, we're going to show you.

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It's time for competitive...

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HE COUGHS ..coughing.

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What is going on?

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

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

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

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It's greenish.

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

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Doesn't look anything alike. It's not relevant, Xand.

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The point is I've put plates

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full of a special scientific gunk called agar jelly

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on the faces of our cut-outs.

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

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

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

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We're doing two experiments -

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one where the plates are 10cm away

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and another where they're 50cm away.

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Well. All done. Not quite, Chris.

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

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and I'm going to cough on it.

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

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the way you're supposed to -

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and hopefully no germs should land on the plate.

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

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HE COUGHS

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And now we have to wait.

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In lab conditions, bacteria takes some time to grow.

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Luckily, we came prepared for a long wait.

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And finally the test results are in.

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So, let's check out the cut outs

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that were 50cm away first.

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Oh! Yuck!

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This has worked really well.

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

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Eurgh.

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Well, let's have a look at mine.

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

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

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And all this from just one cough.

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

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Oh! This is even worse!

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There's loads of furry stuff in here.

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Oh, that is disgusting.

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Let's have a look at mine.

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Eurgh.

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

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

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So this is like coughing into someone's face

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

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

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Which brings me to our last result.

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

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and coughed at Chris.

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Ugh! Two bacteria.

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I knew you hadn't covered your mouth properly.

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

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than the other ones we did.

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So, there you have it.

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In case you were in any doubt about

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whether or not to cover your mouth when you cough,

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we've shown that not only could your cough

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reach the person next to you,

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but it could travel a lot further than that. Yuck.

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And as well as seeing how far they travel,

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

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

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You should see a doctor.

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Maybe I should. Better go find one.

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Ouch!

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We're on call with the UK emergency services,

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

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On call with me is paramedic Jan Vann.

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This is a rapid response vehicle,

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and it's on standby 24/7

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to respond to whatever emergency call's coming in.

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Today, I'm going along for the ride.

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And guess what? You're coming with me.

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

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And a new case is just in.

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

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who's injured her ankle.

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So, it could be anything from a simple sprain

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to blood loss, severe pain

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and maybe some other cause for the fall

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that could be life-threatening as well.

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

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

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Hello. Hello. Hello. Is it Linda? It is.

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What's happened? Tripped over the manhole cover.

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The edge of that raised platform there? Yeah.

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Was you knocked unconscious at all? No. No.

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

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No. What have you injured?

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My knee and my ankle. OK. It's really sore.

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Are you able to bend your knee at all?

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I do, but my ankle hurts.

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Your ankle hurts when you bend it? OK. Yeah.

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

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Where does that hurt when you push down? Round my ankle.

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On the outside? Yeah.

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

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

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

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There's a set of rules called

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the Ottawa ankle rules, and they help you decide

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whether they're likely to have broken a bone.

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

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

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

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

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Using the Ottawa rules,

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Jan has decided that the ankle is probably broken

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and Linda does need an ambulance.

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

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

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

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It's important to keep it still

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so that if she's got any broken bones,

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if the edges rub together

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it can create a lot pain and some bleeding,

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which will make the ankle worse as well.

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

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Are you able to twist round a little bit?

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There you go.

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

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

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

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and it was soon fixed.

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

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Oh!

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Xand goes Ouch About with our mobile clinic.

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Next patient, please.

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'And it's microsurgery time for Matthew.'

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

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Remember Alice and her cut nose?

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Her cut knows what?

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Her cut nose.

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Yeah, so what does her cut know?

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What? Her cut nose.

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

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what does her cut know?

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

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Alice was being chased by her friend, Colette,

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who was pretending to be a witch. COLETTE CACKLES

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As Alice was running away,

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she tripped and went flying across the playground,

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landing face first.

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Ouch!

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

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Alice's nose needs to be stitched up.

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

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Thanks to a general anaesthetic,

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

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And to protect her face,

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her head is wrapped up like an Egyptian mummy.

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

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

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Look away if you're squeamish,

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

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

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All I've done is cleaned it up,

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so there's no dirt underneath the skin,

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and then I've stitched it back,

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

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I'm really hopeful that

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

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

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

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The doctors fixed my nose.

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But how does it feel, Alice? It feels nice.

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Aw, glad to hear it. Bye, Alice!

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Bye, bye, bye, bye, bye! Watch out for those witches!

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Ouch!

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Now, did you know your fingernails

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take six months to grow

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from the root to the tip?

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That's four times faster

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than your toenails.

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Wow!

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Ouch!

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Now we're going to mess with your mind... It's weird.

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Scramble your senses...

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And baffle your brain...

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BOTH: In Mindbenders.

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

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It's nice to meet you.

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It's nice to meet you. I see where this is going.

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Yes, Xand, it's nice to meet you. Oh!

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

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

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And so can you put your hand right there,

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as if that was your other hand, basically.

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And stick your other hand under the cloth.

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

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

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

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at the same time as stroking the fake hand

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which is in front of them.

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

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Keep looking at it.

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It actually feels like that's my hand.

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

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Are you feeling like I'm brushing your hand? Yeah.

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

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It's really strange, yeah.

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I feel like it's my hand.

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Now we've got the illusion going,

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

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Ugh!

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That worked really nicely. CHRIS CHUCKLES

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I felt like it was actually my real hand.

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Oh! THEY CHUCKLE

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Did you feel like the spider was on your hand?

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

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

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SHE SQUEALS

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

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Stay focused on that hand.

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Oh... CHRIS AND XAND CHUCKLE

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So, we managed to trick plenty of people,

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but how does it work?

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

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

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so that your body can figure out

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what's happening in the world around it.

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What's so interesting about this experiment

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

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and so your brain actually temporarily rewires itself

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to adopt the plastic hand as your own.

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Amazing!

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

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Give us a hand.

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

0:15:480:15:52

Oh!

0:15:520:15:53

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

0:16:000:16:04

Xand is preparing the clinic ready for his first patient.

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And Chris is Ouch About in the park

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to answer your burning questions.

0:16:100:16:12

Wow, I'm impressed.

0:16:120:16:14

At the clinic, Xand is open for business.

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Next patient, please.

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

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

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

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What's the diagnosis, doc?

0:16:290:16:30

Sounds like a case of...

0:16:300:16:31

Spot on. Now, let's have a look at them.

0:16:340:16:36

I've got the Ouch-cam here,

0:16:360:16:38

and I can see it right there on your face.

0:16:380:16:42

Do you think it looks like a spider?

0:16:420:16:43

Little bit.

0:16:430:16:44

Well, in fact it's called

0:16:440:16:46

a spider nevus,

0:16:460:16:47

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

0:16:470:16:50

It's got little blood vessels coming out

0:16:500:16:52

so you can kind of see spiders' legs.

0:16:520:16:54

The blood vessels that are supplying blood to your skin,

0:16:540:16:57

one of them's got a bit big

0:16:570:16:58

and it's bringing more blood

0:16:580:17:00

than it should to the skin,

0:17:000:17:01

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

0:17:010:17:05

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

0:17:050:17:08

So, you said you had some other red spots.

0:17:080:17:10

Can you show me those?

0:17:100:17:12

Oh, OK. So you've got two

0:17:120:17:13

on your arm right there.

0:17:130:17:14

I've got two, almost in exactly

0:17:140:17:16

the same place.

0:17:160:17:17

Those are actually

0:17:170:17:18

a different kind of red spot

0:17:180:17:20

called a Campbell de Morgan spot.

0:17:200:17:22

They're also completely normal.

0:17:220:17:24

Almost everyone has got some of those.

0:17:240:17:26

How can I get rid of them?

0:17:260:17:27

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

0:17:270:17:31

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

0:17:310:17:34

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

0:17:340:17:36

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

0:17:360:17:38

and it doesn't hurt very much.

0:17:380:17:40

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

0:17:400:17:43

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

0:17:430:17:46

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

0:17:460:17:49

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

0:17:490:17:52

Thank you, Dr Xand.

0:17:520:17:53

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

0:17:550:17:58

Archer, what's your question?

0:17:590:18:01

How do you get a wobbly tooth?

0:18:010:18:03

Do you know that below all your baby teeth,

0:18:030:18:06

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

0:18:060:18:08

and they're growing through?

0:18:080:18:10

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

0:18:100:18:13

and that's why it gets wobbly.

0:18:130:18:14

A really good question. Thank you, Archer. Thanks, Dr Chris.

0:18:140:18:18

Back at the Ouch-mobile are siblings

0:18:180:18:20

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

0:18:200:18:23

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

0:18:230:18:26

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

0:18:260:18:28

and I can't put them together. But I can.

0:18:280:18:31

What's the diagnosis, doc? Whoa!

0:18:310:18:33

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

0:18:330:18:35

Easy for you to say.

0:18:400:18:42

Let's find out more about this!

0:18:420:18:43

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

0:18:430:18:46

Now stand up and show me your knees.

0:18:460:18:48

Oh, wow.

0:18:490:18:51

Your feet are close together...

0:18:510:18:53

Mm-hm.

0:18:530:18:54

..but as we move up,

0:18:540:18:56

your knees are wide apart.

0:18:560:18:58

Now, that is completely different

0:18:580:19:00

to your brother

0:19:000:19:01

whose knees are touching.

0:19:010:19:03

How does this happen?

0:19:030:19:04

The answer really is that we don't know.

0:19:040:19:08

I can tell you what's happened,

0:19:080:19:09

is that your bones have grown slightly differently.

0:19:090:19:12

So, we call that

0:19:120:19:13

a verus change in your knees.

0:19:130:19:15

You've got normal knees

0:19:150:19:17

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

0:19:170:19:20

and other people have got knees that knock together more.

0:19:200:19:23

The way that your bones grow

0:19:230:19:24

is controlled in quite a complicated way,

0:19:240:19:26

and so you can just get a variation

0:19:260:19:28

where for some people it grows slightly differently.

0:19:280:19:31

Your brother's grown with knees close together

0:19:310:19:33

and you've grown differently.

0:19:330:19:35

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

0:19:350:19:38

so possibly, as Charlotte gets older,

0:19:380:19:40

the gap between your knees will shrink.

0:19:400:19:42

Does that make sense? Yeah.

0:19:420:19:44

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

0:19:440:19:47

to the Ouch-mobile. BOTH: Thank you, Dr Xand.

0:19:470:19:50

Job done for today. Clinic closed.

0:19:500:19:53

Ouch!

0:19:540:19:56

Your body is amazing, but sometimes it needs fixing.

0:19:560:19:59

All over the UK there are special teams of professionals

0:19:590:20:02

trained to tackle medical mysteries.

0:20:020:20:04

And here's one of our favourites.

0:20:040:20:06

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

0:20:080:20:11

but what happens if I switch it all off?

0:20:110:20:13

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

0:20:170:20:20

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

0:20:200:20:23

..and there's sign language,

0:20:270:20:29

which relies on hand gestures.

0:20:290:20:31

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

0:20:310:20:35

But doctors are making amazing medical advances

0:20:350:20:38

in improving people's hearing.

0:20:380:20:41

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

0:20:410:20:44

and uses BSL, British Sign Language, to communicate.

0:20:440:20:47

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

0:20:470:20:51

How long have you been deaf for?

0:20:510:20:53

Since 2001. So your whole life? Yeah, yeah. I was born deaf.

0:20:540:20:59

'Matthew's here to get a cochlear implant,

0:20:590:21:01

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

0:21:010:21:04

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

0:21:040:21:08

Sound travels in waves through your ear to the cochlear.

0:21:080:21:11

Inside the cochlear, tiny hairs pick up

0:21:110:21:14

the vibrations from these sound waves

0:21:140:21:16

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

0:21:160:21:19

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

0:21:190:21:23

But the implant sorts this

0:21:230:21:25

by sending sound signals through wires instead.

0:21:250:21:28

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

0:21:280:21:33

Good luck.

0:21:330:21:34

Leading the team today

0:21:360:21:38

is head surgeon James Ramsden.

0:21:380:21:40

Now, this surgery is not for the squeamish.

0:21:400:21:42

Now, this is a cochlear implant,

0:21:420:21:44

which is what Matthew's having fitted.

0:21:440:21:46

This bit is a microphone.

0:21:460:21:48

It hooks over his ears

0:21:480:21:49

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

0:21:490:21:52

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

0:21:520:21:56

This bit sits under the skin,

0:21:560:21:58

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

0:21:580:22:01

and send the electric impulses into his brain.

0:22:010:22:04

That's what allows him to hear.

0:22:040:22:06

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

0:22:060:22:09

What James is doing now

0:22:120:22:13

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

0:22:130:22:16

to make a little pocket where the device can sit.

0:22:160:22:19

The surgeon uses a microscope which allows him to work

0:22:190:22:22

in very small spaces and use a tiny drill.

0:22:220:22:25

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

0:22:250:22:28

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

0:22:280:22:32

It's smaller than a grain of rice.

0:22:320:22:34

Having drilled through to the inner ear,

0:22:340:22:37

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

0:22:370:22:41

Next is the tricky bit.

0:22:410:22:42

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

0:22:420:22:46

and straight into the cochlear.

0:22:460:22:48

Luckily, James has a very steady hand.

0:22:480:22:51

The operation's basically over.

0:22:510:22:52

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

0:22:520:22:55

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

0:22:550:22:58

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

0:22:580:23:02

Matthew's back with Mum and Dad and interpreter Mark

0:23:040:23:07

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

0:23:070:23:10

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

0:23:140:23:16

When you hear a beep,

0:23:160:23:17

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

0:23:170:23:20

Will Matthew's implant enable him to hear?

0:23:200:23:23

Will he get any fish in the pot?

0:23:230:23:25

Wow. Good. Well done.

0:23:290:23:31

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

0:23:310:23:34

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

0:23:390:23:43

he's never heard before.

0:23:430:23:44

Matthew.

0:23:440:23:46

Matthew.

0:23:460:23:47

INTERPRETS: Was that you, Dad?

0:23:470:23:49

INTERPRETS: It was really nice.

0:23:520:23:53

I shut my eyes and my father said my name.

0:23:530:23:56

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

0:23:560:23:58

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

0:23:580:24:01

Well done, Matthew.

0:24:010:24:03

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

0:24:030:24:07

and all because of this - his cochlear implant.

0:24:070:24:10

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

0:24:100:24:14

It's absolutely incredible.

0:24:140:24:16

Ouch!

0:24:170:24:18

It's time to meet our next patient.

0:24:200:24:22

It's another one of our favourites!

0:24:220:24:24

Here he is.

0:24:240:24:26

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

0:24:260:24:30

What have you done, Tyler?

0:24:300:24:31

I've burnt my hand.

0:24:310:24:33

You've burnt your hand? Oh, dear. It's a bit painful.

0:24:330:24:36

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

0:24:360:24:40

but how did it happen, Tyler?

0:24:400:24:42

I was trying to make myself a brew.

0:24:420:24:44

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

0:24:440:24:46

I really, really like brews.

0:24:460:24:49

I love dunking biscuits into it,

0:24:490:24:51

and my favourite biscuit is a custard cream.

0:24:510:24:54

Nice one, Tyler. Sounds yummy.

0:24:540:24:56

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

0:24:560:24:59

that got him into this mess in the first place.

0:24:590:25:01

Tyler is a big tea drinker. Ooh! Me too.

0:25:030:25:07

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

0:25:070:25:10

and dunking his custard creams in it.

0:25:100:25:12

Ooh! Me too.

0:25:120:25:14

Because Tyler's only seven,

0:25:140:25:15

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

0:25:150:25:19

but James said no.

0:25:190:25:20

Brotherly love, eh?

0:25:200:25:22

So Tyler set about making his own cup of tea.

0:25:220:25:25

But the kettle was full and heavy.

0:25:250:25:28

As Tyler poured, the kettle slipped

0:25:280:25:30

and the boiling water went all over his hand.

0:25:300:25:33

Ouch!

0:25:330:25:34

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

0:25:360:25:40

Hello, Tyler. How are you? I'm all right.

0:25:400:25:42

So, what's been happening to you today?

0:25:420:25:44

I've burnt myself. OK.

0:25:440:25:46

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

0:25:460:25:50

And where are you feeling it? In my thumb.

0:25:500:25:52

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

0:25:520:25:56

Your skin is made up of layers

0:25:560:25:58

of skin cells, fat,

0:25:580:25:59

tissue and blood vessels.

0:25:590:26:01

When you burn or scald yourself,

0:26:010:26:03

the deeper these layers get damaged,

0:26:030:26:06

the worse the burn will be.

0:26:060:26:07

More minor burns only affect the top layer

0:26:070:26:10

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

0:26:100:26:13

But it still hurts!

0:26:130:26:15

Tyler's lucky. He had a minor burn.

0:26:150:26:17

He just needs some painkillers, anti-inflammatories.

0:26:170:26:20

He's going to be fine.

0:26:200:26:22

That's great news.

0:26:220:26:23

Now it's over to nurse Samira

0:26:250:26:26

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

0:26:260:26:30

before dressing it.

0:26:300:26:32

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

0:26:320:26:36

That's it.

0:26:360:26:38

Now you've got your digits dressed,

0:26:380:26:40

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

0:26:400:26:42

What was the worst bit about today?

0:26:420:26:44

I've not had a brew.

0:26:440:26:46

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

0:26:460:26:49

and that he's stocked up on custard creams.

0:26:490:26:51

BOTH: Bye!

0:26:510:26:53

Ouch!

0:26:540:26:55

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

0:26:560:27:01

Showing you how your amazing body works.

0:27:010:27:03

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

0:27:030:27:06

There is a blood vessel.

0:27:060:27:08

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

0:27:080:27:11

The ambulance has just arrived.

0:27:110:27:13

That was a bit hair-raising.

0:27:140:27:15

We've baffled your brains in Mindbenders.

0:27:150:27:18

SHE SQUEALS I don't get it.

0:27:180:27:21

We've met you and your injuries.

0:27:210:27:24

I've pushed a Tic Tac up my nose.

0:27:240:27:27

What about the seizures?

0:27:270:27:28

I don't have any since the operation.

0:27:280:27:31

How are you feeling now? OK.

0:27:310:27:33

We've been Ouch About with our mobile clinic.

0:27:330:27:36

Oh, wow! It's called Kawasaki disease.

0:27:360:27:39

And we've had fascinating investigations.

0:27:390:27:41

HE CHUCKLES This is the surface of Ben's brain.

0:27:410:27:45

To show you just how incredible your body really is.

0:27:450:27:49

Yes! A triumph!

0:27:490:27:50

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

0:27:510:27:55

Bye. Ouch!

0:27:550:27:57

What are you wearing? My cape.

0:27:580:28:01

That's not your cape.

0:28:010:28:02

It's a medical emergency blanket.

0:28:020:28:04

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

0:28:040:28:07

Put it back in the ambulance where you found it.

0:28:070:28:09

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.