0:00:24 > 0:00:27- I'm Dr Chris.- And I'm Dr Xand.
0:00:27 > 0:00:28- We're identical twins.- Twins!
0:00:28 > 0:00:32Do you know your body does loads of amazing things every day
0:00:32 > 0:00:34without you even realising it?
0:00:34 > 0:00:36Welcome to my poo factory.
0:00:36 > 0:00:38And we're going to show you how.
0:00:38 > 0:00:40Smell my armpits!
0:00:40 > 0:00:42We've got gobsmacking experiments...
0:00:42 > 0:00:44Wow!
0:00:44 > 0:00:46..mind-bending body tricks...
0:00:46 > 0:00:47Wow!
0:00:47 > 0:00:49..and real medical mysteries.
0:00:49 > 0:00:51I've got a stone in my ear.
0:00:51 > 0:00:53So, are you ready to see what YOU'RE made of?
0:00:53 > 0:00:55High five!
0:00:55 > 0:00:57- Coming up today... - ..on Operation Ouch!
0:01:00 > 0:01:02We find out how babies grow.
0:01:02 > 0:01:04It's absolutely awesome!
0:01:04 > 0:01:08It's sweets-grabbing time in Mindbenders...
0:01:08 > 0:01:10What did you do?
0:01:10 > 0:01:13..and learn how the body gets fixed after a burn.
0:01:13 > 0:01:16My little finger - it was actually welded on to this bit here.
0:01:17 > 0:01:19But first...
0:01:19 > 0:01:23The team in the Emergency Department thought they'd seen everything.
0:01:23 > 0:01:24But they weren't expecting this!
0:01:24 > 0:01:26Xand! What's happened?
0:01:29 > 0:01:31In Sheffield Accident & Emergency,
0:01:31 > 0:01:34ten-year-old Niamh has a dodgy ankle.
0:01:34 > 0:01:35What happened?
0:01:35 > 0:01:37I fell down some stairs.
0:01:37 > 0:01:41Uh-oh! That's not good! Let's find out more.
0:01:41 > 0:01:44Well, Niamh had just been in her maths class,
0:01:44 > 0:01:46- and was heading for lunch. - SCHOOL BELL
0:01:46 > 0:01:47Ooh, I've got a great maths joke!
0:01:47 > 0:01:50- Go on, then. - Why was six afraid of seven?
0:01:50 > 0:01:53I don't know, Xand. Why was six afraid of seven?
0:01:53 > 0:01:56Because seven ATE nine!
0:01:56 > 0:01:59Very good, Xand. Now, getting back to the story.
0:01:59 > 0:02:02- Niamh was on her way to lunch after maths.- Yes, Chris.
0:02:02 > 0:02:05All of a sudden, she fell down some stairs and hurt her ankle.
0:02:05 > 0:02:08Oh, no, Chris! That's no laughing matter.
0:02:08 > 0:02:10Ouch!
0:02:10 > 0:02:12How's that ankle feel now, Niamh?
0:02:12 > 0:02:14Can't walk on it at all.
0:02:15 > 0:02:17Well, never fear, as Dr Helen Newsome is here!
0:02:18 > 0:02:21Oh, yeah, that is quite swollen, isn't it?
0:02:21 > 0:02:22That'll be a yes, then.
0:02:22 > 0:02:25- Is there any pain up here?- Tss!
0:02:25 > 0:02:28It starts to hurt really bad about there, doesn't it?
0:02:28 > 0:02:30And can you wiggle your toes at all?
0:02:30 > 0:02:33Oh, dear. Those toes don't seem to be wiggling.
0:02:33 > 0:02:35What's the verdict, doc?
0:02:35 > 0:02:36Worst case is that she's broken it,
0:02:36 > 0:02:39and one of the things you can do with breaks is you can damage
0:02:39 > 0:02:42some of the nerves or some of the blood vessels, and she might need to
0:02:42 > 0:02:45go to theatre with the orthopaedic surgeon and have it fixed.
0:02:45 > 0:02:47Best-case scenario is that she's sprained it.
0:02:47 > 0:02:50So, it's off to X-ray to see what the damage is.
0:02:51 > 0:02:53Dr Helen delivers the results.
0:02:53 > 0:02:58You've managed to get a little break or fracture through this bit here,
0:02:58 > 0:03:01and one through this bit here.
0:03:01 > 0:03:03Ooh! Double break! So, what's the plan, Doc?
0:03:03 > 0:03:06- We admit you for a couple of days. - Right.
0:03:06 > 0:03:08Put you up on the ward and elevate that foot.
0:03:08 > 0:03:10It's really important that we get that swelling down.
0:03:10 > 0:03:13So, what we need to do is we need to get her admitted for a couple of
0:03:13 > 0:03:16days, just so we can make sure that leg is nicely kept up
0:03:16 > 0:03:19in the air, make sure she doesn't develop any complications.
0:03:19 > 0:03:22Probably not what you wanted to hear, is it?
0:03:22 > 0:03:26As Niamh's ankle is so swollen, she's having a backslab cast.
0:03:26 > 0:03:29She needs a cast to keep the fractured bone stable,
0:03:29 > 0:03:32but it only goes halfway around, to allow for the swelling.
0:03:32 > 0:03:35- Really heavy!- It's heavy?
0:03:35 > 0:03:37How's that ankle feeling now, Niamh?
0:03:37 > 0:03:39Feels a little bit better with it on.
0:03:39 > 0:03:41So, it's a thumbs up and off to the ward for a sleepover,
0:03:41 > 0:03:44where Niamh will have to keep her leg up for a couple of days,
0:03:44 > 0:03:48as it's important to get the swelling down on that ankle.
0:03:48 > 0:03:49Find out later how she gets on!
0:03:55 > 0:03:57- Ready to see some amazing stuff? - Yes!
0:03:57 > 0:04:00We're going to show you where you began.
0:04:00 > 0:04:03Just don't try anything you see here at home.
0:04:03 > 0:04:06In this lab, you'll see a very special human organ,
0:04:06 > 0:04:08but it's not for the squeamish.
0:04:08 > 0:04:11Today, we're looking at how babies grow.
0:04:11 > 0:04:12Right, here you go, Chris.
0:04:12 > 0:04:15You can get a nice close look at my belly button with that.
0:04:15 > 0:04:16Whoa! I think I've missed something.
0:04:16 > 0:04:19Why on earth would I, or anyone, want to look at your belly button?
0:04:19 > 0:04:22Well, I thought we were looking at how babies grow.
0:04:22 > 0:04:24Yes, but what's that got to do with your...ah, hold on.
0:04:24 > 0:04:26I see where you're going with this.
0:04:26 > 0:04:27Exactly!
0:04:27 > 0:04:30Because, did you know that your belly button used to
0:04:30 > 0:04:33be your mouth and your bum?
0:04:33 > 0:04:36OK, yes, that's true, but we still don't need to look at your
0:04:36 > 0:04:40belly button, Xand, because I've got something much more impressive.
0:04:40 > 0:04:42Take a look at this.
0:04:43 > 0:04:44Whoa!
0:04:44 > 0:04:47That is much more impressive than my belly button,
0:04:47 > 0:04:51because this is a real human
0:04:51 > 0:04:53placenta and umbilical cord.
0:04:53 > 0:04:54These amazing organs
0:04:54 > 0:04:58are what keep a baby alive and able to grow inside its mum.
0:04:58 > 0:05:01The placenta's job is to absorb oxygen and vital nutrients from
0:05:01 > 0:05:06the mum's blood, and deliver them to the baby via the umbilical cord.
0:05:06 > 0:05:10As well as this, the umbilical cord also carries waste products -
0:05:10 > 0:05:12that's wee, poo and carbon dioxide -
0:05:12 > 0:05:14away from the baby, down the umbilical cord
0:05:14 > 0:05:18and through the placenta, into mum's body, for her to get rid of.
0:05:18 > 0:05:21Now, once you're born, you don't need these any more, which is
0:05:21 > 0:05:24why we have these to show you.
0:05:24 > 0:05:26They've been kindly donated to us by a mum
0:05:26 > 0:05:28who's given birth to her baby,
0:05:28 > 0:05:31and she's happy for us to show them to YOU, which is pretty special.
0:05:31 > 0:05:34This placenta is absolutely amazing.
0:05:34 > 0:05:37But you know, I've always said that there's really only one thing
0:05:37 > 0:05:39better than a real human placenta -
0:05:39 > 0:05:43and that is a double human placenta, from twins.
0:05:43 > 0:05:46Wow! This must have been what our placenta looked like
0:05:46 > 0:05:49- when we were inside our mum. - Absolutely!
0:05:49 > 0:05:53'This has also kindly been donated by the mum of twins.'
0:05:53 > 0:05:58So, what you can see here is two placentas, and two umbilical cords.
0:05:58 > 0:06:01After you're born, the cord gets snipped off, leaving you
0:06:01 > 0:06:06with your belly button - but until then, this cord is your lifeline.
0:06:06 > 0:06:10But what does a baby look like when it's actually inside its mum?
0:06:10 > 0:06:11We're going to show you.
0:06:11 > 0:06:15And what we've got here is a real, live baby.
0:06:15 > 0:06:16Xand, this isn't a baby.
0:06:16 > 0:06:18This is Amelia, and she's a grown-up.
0:06:18 > 0:06:21That's true. Thanks very much for coming into the lab, Amelia.
0:06:21 > 0:06:25- Thanks, Amelia.- But, actually, inside Amelia is a real, live baby.
0:06:25 > 0:06:28- Ah!- And, ordinarily, of course, we couldn't show you that baby,
0:06:28 > 0:06:31but we have this ultrasound scanner.
0:06:31 > 0:06:33So, Amelia, are you having a boy or a girl?
0:06:33 > 0:06:37- A boy.- A boy! Amelia, how many weeks pregnant are you?
0:06:37 > 0:06:3829 weeks.
0:06:38 > 0:06:40At this stage, a baby's organs are developed.
0:06:40 > 0:06:44Just here, what you can see beating is Amelia's baby's heart.
0:06:44 > 0:06:46Wow! Amazing!
0:06:46 > 0:06:49The white things here are his bones, so that's his backbone.
0:06:49 > 0:06:51Very clearly, you can see that there.
0:06:51 > 0:06:54Surrounding the baby, these big black patches are liquid.
0:06:54 > 0:06:58That's cos the baby's sitting in a thing called the amniotic sac.
0:06:58 > 0:07:00So, it's sitting in a big sac full of fluid
0:07:00 > 0:07:04that protects it from bumps and from infections.
0:07:04 > 0:07:06At the moment, his eyes have started to work.
0:07:06 > 0:07:09His heart and all his organs are working normally.
0:07:09 > 0:07:12The one massive difference between being inside Amelia
0:07:12 > 0:07:16and being out in the world, is that this little boy is breathing
0:07:16 > 0:07:20entirely through his umbilical cord, through his belly button.
0:07:20 > 0:07:24But what we really want to know is what does he look like?
0:07:24 > 0:07:28So, we've been able to do a 4D scan.
0:07:28 > 0:07:304D scans provide an incredible lifelike image
0:07:30 > 0:07:33of the baby inside the womb.
0:07:33 > 0:07:36You can see his eyes, his nose and his little mouth.
0:07:36 > 0:07:37Amelia, what do you think?
0:07:37 > 0:07:41It's amazing! He looks like his dad, but with my nose.
0:07:41 > 0:07:43And there's another really nice thing here.
0:07:43 > 0:07:47He has found another use for his placenta, because as well as giving
0:07:47 > 0:07:51him all his oxygen and nutrients, he's also using it as a pillow.
0:07:51 > 0:07:54So I think you've got a very resourceful young man in there.
0:07:54 > 0:07:56Amelia, thank you so much for letting us meet him.
0:07:56 > 0:07:59- Thanks very much.- No problem.
0:07:59 > 0:08:02We've shown you the incredible organs that keep you alive
0:08:02 > 0:08:06and enable you to grow, before you're born, inside your mum.
0:08:06 > 0:08:10The placenta and the umbilical cord bring nutrients and oxygen,
0:08:10 > 0:08:11and take away waste -
0:08:11 > 0:08:13everything a baby needs.
0:08:13 > 0:08:16So, the next time you're looking at your belly button, remember,
0:08:16 > 0:08:18it used to be your mouth, and your bum.
0:08:18 > 0:08:21And personally, I think it makes a rather good nose!
0:08:24 > 0:08:26Since Amelia visited us, she's had
0:08:26 > 0:08:28a baby boy called Antonio John.
0:08:28 > 0:08:31Aw, cute! Congratulations, Amelia
0:08:31 > 0:08:32and dad Damian!
0:08:36 > 0:08:40We're on call with the West Midlands Ambulance Service,
0:08:40 > 0:08:43showing you what it's really like on the front line, saving lives.
0:08:45 > 0:08:47SIREN
0:08:47 > 0:08:50On call with me is paramedic Jan Vann.
0:08:50 > 0:08:53Jan alone can do 10 to 15 emergency callouts in a day,
0:08:53 > 0:08:56and a new case is just in.
0:08:56 > 0:08:58We've just received a call about a 75-year-old man,
0:08:58 > 0:09:01who's fallen over and hurt his shoulder.
0:09:01 > 0:09:04So, of course, we need to assess that shoulder injury.
0:09:04 > 0:09:06We also need to work out, why did he fall?
0:09:06 > 0:09:09I've got my Ouch-cam here. Eric, in the back, has his big camera,
0:09:09 > 0:09:11and we're going to get you right up
0:09:11 > 0:09:13so you can find out what it's like to be first on scene.
0:09:13 > 0:09:18We quickly arrive and head inside to see Gerard, who's with his family.
0:09:18 > 0:09:20My name's Jan. What's happened?
0:09:20 > 0:09:23- He fell out of bed this morning.- OK.
0:09:23 > 0:09:25He was only let out of hospital yesterday.
0:09:25 > 0:09:28- OK. You've landed on your shoulder. - Yeah.- Can I have a quick feel?
0:09:28 > 0:09:30Is that OK?
0:09:30 > 0:09:32- OK, no pain when I'm pressing down your back?- No.
0:09:32 > 0:09:34No? So your neck and your back are fine.
0:09:34 > 0:09:37Can you bring your head and look over your shoulder for me?
0:09:37 > 0:09:39So, Gerard's just come out of hospital,
0:09:39 > 0:09:41so he really doesn't want to go back in.
0:09:41 > 0:09:45One of the main valuable things that Jan can do here is assess Gerard,
0:09:45 > 0:09:48make sure that he's safe, and, most importantly,
0:09:48 > 0:09:51she's checking his nerves and his bones and his muscles,
0:09:51 > 0:09:55to make sure that they're all working well after that fall.
0:09:55 > 0:09:57- Are you able to move that shoulder? - Yeah.
0:09:57 > 0:10:00After Jan is happy that Gerard's shoulder's OK,
0:10:00 > 0:10:04she does some tests to try and find out what caused his fall.
0:10:04 > 0:10:06So, Jan's doing Gerard's observations, and these are
0:10:06 > 0:10:10the really important numbers that tell us how sick or well someone is.
0:10:10 > 0:10:12Temperature, blood pressure and pulse.
0:10:12 > 0:10:14Well, I'll just double check your blood pressure
0:10:14 > 0:10:16with you stood up, if that's OK.
0:10:16 > 0:10:19He's got a history in the past of postural hypotension.
0:10:19 > 0:10:21Postural hypotension is whenever you stand up,
0:10:21 > 0:10:24your blood pressure drops, and it can cause you to pass out.
0:10:24 > 0:10:27So, that drop in blood pressure can mean not enough blood
0:10:27 > 0:10:28gets to the brain and he faints,
0:10:28 > 0:10:31and you might have felt the same thing - if you've been
0:10:31 > 0:10:34lying down very sleepily, and then you stand up quickly, you can feel
0:10:34 > 0:10:36a bit dizzy, and in some older people,
0:10:36 > 0:10:38that can be more of a problem.
0:10:38 > 0:10:40So don't move. Just stand where you are.
0:10:40 > 0:10:42That's good! Right then, sit down.
0:10:42 > 0:10:43How was that, Jan?
0:10:43 > 0:10:46- That's good. It's gone up to 162/84. - So, that's all right.
0:10:46 > 0:10:48Yeah, so that's fine.
0:10:48 > 0:10:52'Jan's happy that Gerard's postural hypotension is under control,
0:10:52 > 0:10:54'so he won't need to be admitted to hospital.'
0:10:54 > 0:10:57You can stay here and I can leave him in your capable hands.
0:10:57 > 0:10:59- Aw, thank you.- Well, Gerard, thank you very, very much.- OK.
0:10:59 > 0:11:02- And I'm very pleased you get to stay out of hospital.- Thank you.
0:11:02 > 0:11:05In a sense, one of the most valuable things that Jan can do is
0:11:05 > 0:11:06keep people out of hospital.
0:11:06 > 0:11:08Yes, a lot of the time she fixes them up
0:11:08 > 0:11:11ready for the ambulance to take them in and be properly treated,
0:11:11 > 0:11:14but, actually, we've done an amazing thing here.
0:11:14 > 0:11:17She's just made Gerard feel better, and he can stay at home
0:11:17 > 0:11:19and enjoy an evening with his family.
0:11:21 > 0:11:24Still to come, we show YOU how to win sweets...
0:11:24 > 0:11:26- Go!- How do you do that?
0:11:26 > 0:11:29There's more cracking cases in the Ouch-mobile...
0:11:29 > 0:11:30That's amazing!
0:11:30 > 0:11:33And we find out what happened to Troy's hand.
0:11:33 > 0:11:36And then I looked at my hands, like...
0:11:38 > 0:11:40Remember Niamh and her broken ankle?
0:11:40 > 0:11:42Let's hop over to the Emergency Department
0:11:42 > 0:11:45- to see how she's getting on. - We've never done that before.
0:11:45 > 0:11:48BOING-BOING-BOING
0:11:49 > 0:11:52We're back at Sheffield hospital with ten-year-old Niamh,
0:11:52 > 0:11:54who has a broken ankle.
0:11:55 > 0:11:58Niamh had just been in her maths class at school, and was
0:11:58 > 0:12:02heading for lunch when she fell down some stairs and hurt her ankle.
0:12:03 > 0:12:05She's spent the last two days in hospital,
0:12:05 > 0:12:07waiting for the swelling to go down.
0:12:09 > 0:12:12It's a bit better, my leg.
0:12:12 > 0:12:14I can wiggle my toes.
0:12:14 > 0:12:17Oh, yeah, that's definite wiggling.
0:12:17 > 0:12:21Which is good news, as it means the swelling has gone down.
0:12:21 > 0:12:24But before Niamh can go home, she has to be able to get about,
0:12:24 > 0:12:27and there's one thing she's hoping for.
0:12:27 > 0:12:30I'm looking forward to getting crutches.
0:12:30 > 0:12:32Why's that?
0:12:32 > 0:12:34Yeah, I can hit my brother with them!
0:12:34 > 0:12:37I don't think that's what crutches are for, Niamh!
0:12:37 > 0:12:41Time to bring in physios Louise and Helen.
0:12:41 > 0:12:44They're here to help Niamh learn how to get around on one leg.
0:12:44 > 0:12:48Niamh can't walk on her broken ankle for the next six weeks.
0:12:48 > 0:12:51That's because a fracture can be delicate whilst it's healing.
0:12:51 > 0:12:55If she puts weight on her ankle too soon, the broken bones could move
0:12:55 > 0:12:59and take even longer to mend, or, worse, heal in the wrong position.
0:12:59 > 0:13:01So, to make sure this doesn't happen,
0:13:01 > 0:13:03she needs support from crutches or a walking frame
0:13:03 > 0:13:07until she regains full movement and strength.
0:13:07 > 0:13:09Let's do hopping. Are you good at hopping?
0:13:09 > 0:13:12- So, keep that leg off the floor all the time.- OK?
0:13:12 > 0:13:17First the physios try Niamh with a walking frame,
0:13:17 > 0:13:19and then it's on to the crutches.
0:13:19 > 0:13:23They're a little bit more harder to use, so we'll see how you get on.
0:13:23 > 0:13:25Niamh wants crutches,
0:13:25 > 0:13:27but the physios have to be confident that she's safe on them.
0:13:27 > 0:13:29Nice and slowly.
0:13:29 > 0:13:32She's off. Crutches always look like fun, don't they, Xand?
0:13:32 > 0:13:35Yes, Chris, but actually, they can be quite tricky to master.
0:13:35 > 0:13:37So, it is going to be a walking frame or crutches?
0:13:37 > 0:13:40We've decided that she's safer to go home with a walking frame
0:13:40 > 0:13:43at the moment, just cos crutches are quite hard
0:13:43 > 0:13:46when you're not allowed to put your weight through your leg.
0:13:46 > 0:13:49No crutches, but Niamh doesn't seem to mind.
0:13:49 > 0:13:51So, what have you learnt then, Niamh?
0:13:51 > 0:13:54Not to run down any stairs.
0:13:54 > 0:13:56You're not kidding!
0:13:56 > 0:13:57DR XAND AND DR CHRIS: Bye!
0:14:02 > 0:14:05- Now we're going to mess with your mind...- It's weird.
0:14:05 > 0:14:10..scramble your senses, and baffle your brain...
0:14:10 > 0:14:13DR XAND AND DR CHRIS: ..in Mindbenders.
0:14:13 > 0:14:15- Can I have a sweet?- Ooh, no.
0:14:15 > 0:14:18But you've got loads there! Surely you can spare me one?
0:14:18 > 0:14:22Ordinarily, Chris, I'd love to, but these have got to last me
0:14:22 > 0:14:23all the way to lunchtime.
0:14:23 > 0:14:26To lunchtime? You're never going to eat all those before lunchtime.
0:14:26 > 0:14:30- Go on, give me one.- All right, I tell you what, you can have one.
0:14:30 > 0:14:32- Brilliant.- Ah-da-da-da-dah!
0:14:32 > 0:14:35You can have one IF you can grab it before me.
0:14:35 > 0:14:38Now, I'm going to give you a head start. Put your hand there.
0:14:38 > 0:14:40Your hand's closer than mine,
0:14:40 > 0:14:43and all you have to do is grab it when I say go.
0:14:43 > 0:14:46Looks like I'm going to get my sweet after all.
0:14:46 > 0:14:47Three, two, one - go!
0:14:48 > 0:14:52That is an amazing trick! Do you think I could do it?
0:14:52 > 0:14:54Ooh, I think so. It is an amazing trick, isn't it?
0:14:54 > 0:14:56Great! I need to go and try it myself.
0:14:56 > 0:14:58All right. Good luck!
0:14:58 > 0:15:01Wait a minute - he only needs one sweet to do the trick!
0:15:01 > 0:15:03What am I going to eat until lunch?
0:15:04 > 0:15:08I've headed to a town centre to see how many sweets I can win.
0:15:08 > 0:15:10Time to see if I'm as good at this as Dr Xand,
0:15:10 > 0:15:12and bend some minds.
0:15:12 > 0:15:14Now, do you reckon you can get the sweet before me,
0:15:14 > 0:15:17- if we both go on "go"?- Definitely.
0:15:17 > 0:15:21- Are you sure of that?- Yeah. - Three, two, one...go!
0:15:21 > 0:15:24HE LAUGHS
0:15:24 > 0:15:27- Go!- How do you do that?- Go!
0:15:27 > 0:15:28Aw!
0:15:28 > 0:15:32What am I going to do with all my sweets? I keep winning every time.
0:15:32 > 0:15:33Go!
0:15:33 > 0:15:35Aw, what did you do then?
0:15:35 > 0:15:37HE LAUGHS
0:15:37 > 0:15:39Go! Miles away!
0:15:39 > 0:15:41How did you get that?
0:15:41 > 0:15:44Go! Oh, miles away! Go!
0:15:44 > 0:15:45Oh!
0:15:45 > 0:15:48Oh, miles away!
0:15:48 > 0:15:52Go! What are you doing? Are you feeling all right?
0:15:52 > 0:15:55- Yeah.- Now, although all these people had quick reaction times,
0:15:55 > 0:15:57they're not going to beat me,
0:15:57 > 0:16:00and that's because there is a slight delay in the word "go"
0:16:00 > 0:16:03leaving my mouth, getting into their ears,
0:16:03 > 0:16:06being processed in their brain, and then their hand moving.
0:16:06 > 0:16:09But in my brain, cos I've said it, my hand starts to move
0:16:09 > 0:16:12immediately, without any delay, no matter how small.
0:16:12 > 0:16:15Well, that's my mind bent. Is yours?
0:16:18 > 0:16:22Now, did you know more than half of the bones in your body
0:16:22 > 0:16:23are found in your hands and feet?
0:16:23 > 0:16:27There are 27 in each hand, and 26 in each foot.
0:16:27 > 0:16:29Wow!
0:16:29 > 0:16:32Sometimes things don't always heal exactly as planned,
0:16:32 > 0:16:34as our next patient found out.
0:16:34 > 0:16:38We're at a theme park to solve your medical mysteries.
0:16:38 > 0:16:41Xand is preparing the Ouch-mobile for his first patient.
0:16:41 > 0:16:45And I'll also be out in the park, answering your burning questions.
0:16:45 > 0:16:46That's amazing!
0:16:46 > 0:16:48At the clinic, Xand is open for business.
0:16:48 > 0:16:50Next patient, please.
0:16:50 > 0:16:53First in is ten-year-old Anna, with a funny finger.
0:16:56 > 0:16:57That's amazing!
0:16:57 > 0:17:00It seems perfectly obvious why you've come to the Ouch-mobile.
0:17:00 > 0:17:02That's nothing. Look at my little finger.
0:17:02 > 0:17:04What's the diagnosis, Doc?
0:17:04 > 0:17:05Looks to me like a case of...
0:17:10 > 0:17:13- Wow!- Tell me about your little finger, Anna.
0:17:13 > 0:17:15It started when I was five years old.
0:17:15 > 0:17:19My mum told me to open the door and the door just, like, hit it
0:17:19 > 0:17:21- and it cracked.- Painful.- Mm-hm.
0:17:21 > 0:17:22So, what happened then?
0:17:22 > 0:17:25The doctor put this straight thing on me to make it, like,
0:17:25 > 0:17:27stay straight, but it didn't work.
0:17:27 > 0:17:30So, Anna, I want to have a closer look at your finger.
0:17:30 > 0:17:32Can you open the eyelid on the Ouch-cam?
0:17:35 > 0:17:37Brilliant! Now, get it as straight as you can.
0:17:37 > 0:17:40- SHE GRUNTS That's all you can do, is it?- Yeah.
0:17:40 > 0:17:43So, the doctor used something called a splint,
0:17:43 > 0:17:45and the splint is meant to hold a broken bone straight
0:17:45 > 0:17:50until it mends, and, in your case, the splint didn't work.
0:17:50 > 0:17:51It's nothing to worry about.
0:17:51 > 0:17:53Does the finger work well for you,
0:17:53 > 0:17:55or would you prefer to have it straightened out?
0:17:55 > 0:17:57It doesn't bother me at all.
0:17:57 > 0:17:58Yeah, that's really good.
0:17:58 > 0:18:01Will I have to do an operation when I grow older?
0:18:01 > 0:18:04In the future, if you started to get ache in the joints,
0:18:04 > 0:18:08or you did a job where you needed to do something very precise with your
0:18:08 > 0:18:11left hand, at that point, you might think about doing an operation,
0:18:11 > 0:18:14and it certainly is possible to straighten out that finger.
0:18:14 > 0:18:16Well, thank you very much for coming to the Ouch-mobile.
0:18:16 > 0:18:18You're welcome.
0:18:18 > 0:18:21Time to get out of the Ouch-mobile and into the park.
0:18:21 > 0:18:23I want to see if anyone's got any questions for me.
0:18:23 > 0:18:25Let's go Ouch & About.
0:18:27 > 0:18:31Why does your belly rumble when you're hungry?
0:18:31 > 0:18:34In fact, it can rumble at any time, but when you're eating,
0:18:34 > 0:18:37you swallow bits of air, and when you're digesting food,
0:18:37 > 0:18:40it actually makes gas, and the rumbling is the bubbles
0:18:40 > 0:18:43bubbling up through the stuff you've eaten,
0:18:43 > 0:18:46and the name is borborygmi, so the next time you're getting
0:18:46 > 0:18:50rumbling, you can go, "Oh, I've just got a bit of borborygmi going on."
0:18:50 > 0:18:54Back at the Ouch-mobile, the next case is in the waiting room.
0:18:54 > 0:18:56Could I have the next patient, please?
0:18:56 > 0:18:59It's 12-year-old Carnell with an extraordinary eye.
0:19:00 > 0:19:04So, Carnell, what's brought you to the Ouch-mobile?
0:19:04 > 0:19:07When I drink, my eye sort of wanders off.
0:19:07 > 0:19:09What's the diagnosis, Doc?
0:19:09 > 0:19:11Sounds to me like a case of...
0:19:13 > 0:19:15I know what you mean.
0:19:15 > 0:19:16Now, tell me more about that.
0:19:16 > 0:19:19It's called...
0:19:19 > 0:19:22Now, that is a very, very rare syndrome indeed.
0:19:22 > 0:19:25So, in all the things ever published about medicine,
0:19:25 > 0:19:28there are only 300 people reported to have had it.
0:19:28 > 0:19:31Can you open the eye on the Ouch-cam?
0:19:32 > 0:19:36Now, can you give us a demonstration of what happens?
0:19:36 > 0:19:37I can't see it.
0:19:37 > 0:19:42Now, can you try wiggling your jaw from side to side like that?
0:19:42 > 0:19:43It's not easy to see,
0:19:43 > 0:19:47but Carnell's eyelid is twitching from side to side.
0:19:47 > 0:19:50That's because the bit of his brain that's making his jaw move is
0:19:50 > 0:19:53also telling his eyelid to move.
0:19:53 > 0:19:55And does it affect your life at all?
0:19:55 > 0:19:58No, not really, cos not much people notice it.
0:19:58 > 0:19:59As a doctor,
0:19:59 > 0:20:03it is very interesting to see someone with a syndrome this rare.
0:20:03 > 0:20:05Carnell, thank you very much for coming
0:20:05 > 0:20:08and showing us your amazing eye in the Ouch-mobile.
0:20:08 > 0:20:10That's OK. Thank you, Dr Xand.
0:20:10 > 0:20:13Job done for today. Clinic closed.
0:20:17 > 0:20:21Your body is amazing, but sometimes it needs fixing.
0:20:21 > 0:20:24All over the UK, there are special teams of professionals
0:20:24 > 0:20:27trained to tackle medical mysteries.
0:20:28 > 0:20:31Skin. It's amazing, like a shield all over your body,
0:20:31 > 0:20:35defending what's inside from what's outside. It may be tough,
0:20:35 > 0:20:39but there's one thing in particular that can cause it a lot of trouble.
0:20:39 > 0:20:41Heat.
0:20:41 > 0:20:43Now, if you ever had a burn from something really hot,
0:20:43 > 0:20:46like boiling water or a hot pan on the stove,
0:20:46 > 0:20:48you'll know just how painful it can be.
0:20:48 > 0:20:52Well, there are lots of ways to treat burns, and for serious cases,
0:20:52 > 0:20:56there are some specialist medical professionals standing by.
0:20:56 > 0:20:59Today, I've come to Broomfield hospital in Essex to meet
0:20:59 > 0:21:03some of the patients getting help with their burns.
0:21:03 > 0:21:05Today's first patient is 11-year-old Maria.
0:21:05 > 0:21:08Can you tell me what happened?
0:21:08 > 0:21:12Well, basically, I fell asleep, and I had my iPad on my leg, so...
0:21:12 > 0:21:15- And I fell asleep on it. - You had your iPad on your leg...
0:21:15 > 0:21:17- Yeah, and I fell asleep on it. - I see.
0:21:17 > 0:21:18So, you had it plugged in,
0:21:18 > 0:21:21and it was getting hot cos it was charging against you.
0:21:21 > 0:21:22Yeah, but I didn't realise it.
0:21:22 > 0:21:25Maria has a condition that reduces sensation in her legs.
0:21:25 > 0:21:28That's why she didn't feel being burnt.
0:21:28 > 0:21:32That was three months ago, and she's still being treated.
0:21:32 > 0:21:34Today, she's seeing specialist burns nurse
0:21:34 > 0:21:36Susan Boasman.
0:21:36 > 0:21:38OK, Maria, I'm just going to take your dressing off, darling,
0:21:38 > 0:21:41- all right?- 'It was a deep burn, so Maria needed special treatment.'
0:21:41 > 0:21:43Look away now if you're squeamish.
0:21:43 > 0:21:46So, Maria's had a skin-graft operation done,
0:21:46 > 0:21:49so just a very thin layer of skin was just shaved off from here,
0:21:49 > 0:21:52and then that was put over here, where the hole was,
0:21:52 > 0:21:54and stitched round in place, wasn't it, round there?
0:21:54 > 0:21:56And why do you need to do the skin graft?
0:21:56 > 0:21:58Why can't you just let it heal
0:21:58 > 0:22:00the way that you might let any other cut heal?
0:22:00 > 0:22:03Small burns can heal up quite nicely on their own, but when you've got
0:22:03 > 0:22:05a bigger and deeper burn like this, you need to give nature a little
0:22:05 > 0:22:08bit of help, because otherwise it's very sore and it's more likely
0:22:08 > 0:22:11to get an infection in it, and it'll take a very long time to heal over.
0:22:11 > 0:22:14Over time, that'll go back completely to normal, will it?
0:22:14 > 0:22:16- It will. It will flatten out a bit more.- Yeah.
0:22:16 > 0:22:18But there will probably always be a little mark.
0:22:18 > 0:22:20We won't need to put any more dressings on it now,
0:22:20 > 0:22:21because there's no raw skin.
0:22:21 > 0:22:23So, no more dressings.
0:22:23 > 0:22:25- Is that really good news?- Yeah.
0:22:26 > 0:22:30The next patient is Troy. He burnt his hand three years ago.
0:22:30 > 0:22:32So, tell me what happened when you got your burn.
0:22:32 > 0:22:35I was on the roof, helping my dad clear the gutter.
0:22:35 > 0:22:40There was a cable right here, but I thought it was a railing,
0:22:40 > 0:22:43so I put my hand on it and then I blacked out.
0:22:43 > 0:22:45And what's the next thing you remember?
0:22:45 > 0:22:48Well, I remember waking up, and then I looked at my hands, like...
0:22:49 > 0:22:52And what had happened to your hand?
0:22:52 > 0:22:56Well, at first, my little finger, it isn't there now,
0:22:56 > 0:22:59but it was actually welded on to this bit here.
0:22:59 > 0:23:02The electric burn from the live cable was so severe
0:23:02 > 0:23:04that Troy's little finger had to be removed.
0:23:04 > 0:23:07He's also had skin grafts from his leg and his foot.
0:23:07 > 0:23:09How many operations have you had?
0:23:09 > 0:23:11- 12.- 12 operations?- Yeah.
0:23:11 > 0:23:14Does your left hand still do everything you need it to do?
0:23:14 > 0:23:15Yeah.
0:23:15 > 0:23:19Well, it still plays video games, so that's all I really need it to do!
0:23:19 > 0:23:20That's a relief!
0:23:22 > 0:23:25Today, Troy's seeing burns therapist Vicky Dudman.
0:23:25 > 0:23:27So, Troy, how have you been?
0:23:27 > 0:23:28- Oh, I've been OK.- Can I have a look? - OK.
0:23:30 > 0:23:33- So, any problems?- Nothing much.
0:23:33 > 0:23:35Really, at this stage of the treatment,
0:23:35 > 0:23:38it's just about keeping on with the moisturising and massage.
0:23:38 > 0:23:40So, what's the massage doing when you're doing that?
0:23:40 > 0:23:44It helps to break up the scar tissue and soften it up.
0:23:44 > 0:23:46This is something Troy will need to keep doing at home himself.
0:23:46 > 0:23:48So, Troy, from your experience,
0:23:48 > 0:23:51what advice would you have for the people watching Operation Ouch?
0:23:51 > 0:23:53That they should be really, really careful around electricity,
0:23:53 > 0:23:55cos it's very dangerous.
0:23:55 > 0:23:59Good advice from Troy, who continues well with his recovery.
0:23:59 > 0:24:02Serious burns can be really scary, and Troy and Maria have done
0:24:02 > 0:24:06a brilliant job dealing with their burns, and that's what's amazing.
0:24:06 > 0:24:10Your body has an incredible ability to heal itself, with the right help.
0:24:14 > 0:24:17Our next patient thought they were going to have another normal day.
0:24:17 > 0:24:21- Normal day.- But they ended up in the Accident & Emergency Department.
0:24:21 > 0:24:24- Ah!- Let's go meet them.- Yes, let's!
0:24:25 > 0:24:27In Sheffield Children's Hospital,
0:24:27 > 0:24:3011-year-old Harvey is in with a bandaged bonce.
0:24:30 > 0:24:32Is he a half-dressed Egyptian mummy?
0:24:32 > 0:24:34No, Xand.
0:24:34 > 0:24:37- I've got an open cut on my head... - Ooh, nasty!
0:24:37 > 0:24:40..by getting hit with a wooden cricket bat at school.
0:24:40 > 0:24:43Ooh! And how did that happen?
0:24:43 > 0:24:44I'm stumped!
0:24:44 > 0:24:45Hmm.
0:24:47 > 0:24:51It was a beautiful, sunny day, and Harvey was playing cricket.
0:24:51 > 0:24:52Ooh, was he at Lords, playing in the Ashes?
0:24:52 > 0:24:54Unfortunately not.
0:24:54 > 0:24:58Was he in Barbados, on the beach, with the waves lapping at his feet?
0:24:58 > 0:25:01No, he was in a concrete yard.
0:25:01 > 0:25:03Oh!
0:25:03 > 0:25:05Harvey was playing cricket with his class in PE.
0:25:05 > 0:25:07There he is!
0:25:07 > 0:25:09He was waiting in line for his turn to bat.
0:25:09 > 0:25:11- He was up next. - DUCK QUACKS
0:25:11 > 0:25:14- I hope he doesn't get a duck! - DUCK QUACKS
0:25:14 > 0:25:18Batter was at the crease. The ball was bowled.
0:25:18 > 0:25:22She swung hard, but missed, and hit Harvey's head.
0:25:22 > 0:25:23Ouch!
0:25:23 > 0:25:26And I touched my eye where it hurt, and I looked at my hand,
0:25:26 > 0:25:29and there were blood, so I were quite surprised.
0:25:29 > 0:25:30I bet you were!
0:25:32 > 0:25:36Here's Dr Jen Worthy, to check out Harvey's head.
0:25:36 > 0:25:38What's happened to you today?
0:25:38 > 0:25:42Well, I got hit in the side of the head with a cricket bat.
0:25:42 > 0:25:44The person who was batting missed the ball,
0:25:44 > 0:25:46and followed through right into my eye.
0:25:46 > 0:25:49Ouch! And they missed the ball, and hit your face?
0:25:49 > 0:25:50What a rubbish shot!
0:25:50 > 0:25:52Yes, it was a rubbish shot!
0:25:52 > 0:25:55Dr Jen does a series of checks for any broken bones...
0:25:55 > 0:26:00I'm just going to press down here. Is that all right?
0:26:00 > 0:26:03..and tests Harvey's brain is functioning as normal.
0:26:03 > 0:26:05Well, can you do this, like a chicken?
0:26:05 > 0:26:07I'm going to try and push your arms down,
0:26:07 > 0:26:09but you've got to keep the chicken pose, OK?
0:26:09 > 0:26:12Do not stop being a chicken. Ah, that's good.
0:26:12 > 0:26:14And puff your cheeks out like a hamster.
0:26:14 > 0:26:17Chicken, hamster. This is turning into a zoo!
0:26:17 > 0:26:19And then can you frown for me,
0:26:19 > 0:26:23or look very angry, like someone hit you in the head with a cricket bat?
0:26:23 > 0:26:25Good angry face, Harvey.
0:26:25 > 0:26:29I would like just to do an X-ray of the bones in his face, just
0:26:29 > 0:26:32because he's tender sort of here, when I was pressing just down there.
0:26:32 > 0:26:33Could be a little fracture there.
0:26:33 > 0:26:37- Then it'll be a case of sticking you back together.- Uh-huh.
0:26:39 > 0:26:41Harvey has had his head X-rayed.
0:26:42 > 0:26:44Very still there, please!
0:26:44 > 0:26:47And then Dr Jen assesses the results.
0:26:47 > 0:26:50So, this is your face. So, this is where your eyes are.
0:26:50 > 0:26:52- This bit that was sore is round here.- Yep.
0:26:52 > 0:26:55And I can't see any fractures there.
0:26:55 > 0:26:57There's like a nice, smooth line.
0:26:57 > 0:26:59We're looking right up Harvey's hooter.
0:26:59 > 0:27:01But, it's worth checking,
0:27:01 > 0:27:04because sometimes it can cause problems with your eyes.
0:27:04 > 0:27:07With no bones broken, nurse Gina cleans Harvey's cut
0:27:07 > 0:27:09and Steri-Strips his battered head.
0:27:09 > 0:27:13Not too frustrating with all that round your eye? Good.
0:27:13 > 0:27:16All patched up, it's time to go home.
0:27:16 > 0:27:18So, what have you learnt, fella?
0:27:18 > 0:27:20Make sure you know when to run or not,
0:27:20 > 0:27:23cos you might get hit in the face with a cricket bat.
0:27:23 > 0:27:26And we wouldn't want that, would we?
0:27:26 > 0:27:28DR XAND AND DR CHRIS: Bye!
0:27:28 > 0:27:30Next time on Operation Ouch!
0:27:30 > 0:27:34we look back at some of our favourite bits so far,
0:27:34 > 0:27:36find out what you cough up...
0:27:36 > 0:27:41All these bacteria have grown into furry, yucky blooms.
0:27:41 > 0:27:44..and amazing surgery changes this boy's life.
0:27:44 > 0:27:49The tip of that drill is smaller than a grain of rice.
0:27:49 > 0:27:52So, we'll see you next time, for more Operation Ouch!
0:27:53 > 0:27:56HE SNORES
0:28:00 > 0:28:03LAUGHING
0:28:03 > 0:28:04I've never used this. That's really funny!
0:28:04 > 0:28:05Hi!
0:28:07 > 0:28:08LAUGHING
0:28:08 > 0:28:10Oh, that's brilliant! I'm glad I did those.
0:28:10 > 0:28:11Operation Ouch!