Super Strong Skulls

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0:00:22 > 0:00:24He's Dr Chris.

0:00:24 > 0:00:26He's Dr Xand.

0:00:26 > 0:00:27Yes, he's still got his beard.

0:00:27 > 0:00:30And we're still identical twins!

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

0:00:35 > 0:00:38We're head-to-head in Operation Takeover.

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

0:00:41 > 0:00:42Ouch And About hits the wards.

0:00:42 > 0:00:44What kind of ambulance did you get?

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

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

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

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

0:00:52 > 0:00:53Hello.

0:00:55 > 0:00:57And our lab experiments...

0:00:57 > 0:01:00..will blow your...

0:01:00 > 0:01:02..mind! That's an amazing view.

0:01:02 > 0:01:03Are you ready to join us?

0:01:06 > 0:01:09Lucky I was wearing my swimming trunks today.

0:01:09 > 0:01:12- BOTH:- Coming up today on Operation Ouch!...

0:01:16 > 0:01:18Things get busy at the GP surgery.

0:01:18 > 0:01:20Hello, it's Chris here. Dr Chris.

0:01:20 > 0:01:22- I'm going to miss my appointment. - Let battle commence.

0:01:22 > 0:01:24I am going to protect people's hearts.

0:01:24 > 0:01:26And it's time to party.

0:01:28 > 0:01:31- BOTH:- But first... It's double trouble.

0:01:31 > 0:01:32I'm saying that bit!

0:01:32 > 0:01:34I'm sure it's my turn.

0:01:35 > 0:01:38It's double trouble in the emergency department.

0:01:38 > 0:01:41- Let's check it out.- Check it out. - Check it out.

0:01:42 > 0:01:45An ambulance has brought in 11-year-old Joel.

0:01:45 > 0:01:51- What have you done?- They think I might have sprained my leg.

0:01:51 > 0:01:53That doesn't sound good. But who's this?

0:01:53 > 0:01:55This is my twin sister, Hannah.

0:01:56 > 0:01:58Twins! Like us, Chris.

0:01:58 > 0:02:00- I'm eldest.- I'm the eldest too, Hannah.

0:02:00 > 0:02:02- And the best. - I don't think so, Xand.

0:02:02 > 0:02:04But anyway, what happened to Joel?

0:02:06 > 0:02:10Joel was bouncing on a trampoline at a busy indoor trampoline park.

0:02:11 > 0:02:15- Cool!- He was imagining jumping higher than Hannah.

0:02:15 > 0:02:17That's what I'd be doing too, Chris.

0:02:17 > 0:02:19Yes, but I am going higher.

0:02:19 > 0:02:21No, I'm going higher, Chris.

0:02:21 > 0:02:22But I'm the best.

0:02:22 > 0:02:24No, I'm the best.

0:02:24 > 0:02:26But anyway, this isn't about us.

0:02:27 > 0:02:28Joel bounced really high...

0:02:30 > 0:02:33..and when he landed, he bounced off the edge

0:02:33 > 0:02:34and his foot got stuck between

0:02:34 > 0:02:38the trampoline and the padding, twisting his leg.

0:02:38 > 0:02:43- BOTH:- Ouch!- Jumping in to look at that leg is Dr Jane Dawson.

0:02:43 > 0:02:47- Is that sore underneath here? - A little.

0:02:47 > 0:02:49Does it hurt anywhere else in your leg at all?

0:02:49 > 0:02:51When you press around here.

0:02:51 > 0:02:55Joel goes to radiography for an X-ray.

0:02:55 > 0:02:57Stay really still.

0:02:57 > 0:02:59OK, we are all finished with you.

0:02:59 > 0:03:01And Dr Jane checks the results.

0:03:01 > 0:03:04I can't see any abnormalities on the X-ray,

0:03:04 > 0:03:07although sometimes X-rays aren't 100%,

0:03:07 > 0:03:12so we treat the injury as if it were a fracture.

0:03:12 > 0:03:14Time to deliver the verdict.

0:03:14 > 0:03:16I can't see any breaks.

0:03:16 > 0:03:20However, because you're still in quite a lot of discomfort,

0:03:20 > 0:03:22we'll book you in to see the orthopaedic doctors

0:03:22 > 0:03:24and make a decision as to

0:03:24 > 0:03:26whether they need to do further investigations.

0:03:26 > 0:03:30So, Joel is going to bounce back to hospital tomorrow to see the bone

0:03:30 > 0:03:33- specialist.- In the meantime,

0:03:33 > 0:03:38that pin has to be put in plaster to support the leg and keep Joel

0:03:38 > 0:03:41- comfortable. - Find out later how Joel gets on.

0:03:45 > 0:03:49Did you know your skull is actually made up of 22 separate bones?

0:03:49 > 0:03:51That's amazing!

0:03:55 > 0:03:57And now to our lab.

0:03:57 > 0:04:00It's time for some big body experiments.

0:04:00 > 0:04:04- Some of them gory... - This is not for the squeamish.

0:04:04 > 0:04:05Some extreme.

0:04:05 > 0:04:06It's freezing!

0:04:07 > 0:04:09So are you ready?

0:04:09 > 0:04:12Just don't try anything you see here at home.

0:04:12 > 0:04:15Today, we are looking inside your head.

0:04:15 > 0:04:19Your brain controls pretty much everything going on in your body,

0:04:19 > 0:04:20so damaging it can be serious.

0:04:20 > 0:04:22Now, unluckily, it's very fragile,

0:04:22 > 0:04:26but luckily our brains have some super protection.

0:04:26 > 0:04:27That's right, Chris.

0:04:27 > 0:04:32I am Maximus Brainius Protectorus, leader of the Ninth Legion,

0:04:32 > 0:04:35conqueror of Rome, protector of brains.

0:04:37 > 0:04:40Xand, I was thinking more along the lines of this.

0:04:40 > 0:04:44Oh. It took me ages to get all this on.

0:04:44 > 0:04:46Now this is a real human skull.

0:04:46 > 0:04:51Your brain is so important that your skull has a special safety system

0:04:51 > 0:04:54- installed in it.- That's right, brain gladiators!

0:04:54 > 0:05:00No, Xand, it is a clear colourless liquid called cerebrospinal fluid.

0:05:00 > 0:05:02It acts as a cushion to protect your brain.

0:05:02 > 0:05:03There's not much of it,

0:05:03 > 0:05:06about the same amount as the water in this jar.

0:05:06 > 0:05:10And to show you how it works, we are going to need to break some eggs.

0:05:10 > 0:05:12Imagine this jar is your skull,

0:05:12 > 0:05:16and I'm putting these eggs in to represent your delicate brain.

0:05:16 > 0:05:20What would happen to the brain of this skull without any cerebrospinal

0:05:20 > 0:05:22- fluid?- Xand, shake the skull.

0:05:22 > 0:05:26HE YELLS

0:05:26 > 0:05:30Well, as you can see, your brain would be seriously damaged.

0:05:30 > 0:05:33But what happens if the jar is full of water,

0:05:33 > 0:05:36just like the cerebrospinal fluid inside your skull?

0:05:36 > 0:05:40HE YELLS

0:05:40 > 0:05:42The eggs remain intact, and so does your brain,

0:05:42 > 0:05:46because the cerebrospinal fluid fills the gaps

0:05:46 > 0:05:48between it and your skull.

0:05:48 > 0:05:50HE PANTS Do you concede defeat, Xand?

0:05:50 > 0:05:54The cerebrospinal fluid has vanquished me.

0:05:54 > 0:05:55And as well as cerebrospinal fluid,

0:05:55 > 0:05:59your brain has another amazing piece of super protection.

0:05:59 > 0:06:02We are talking about the cranium.

0:06:02 > 0:06:04The dome of the skull that protects the brain.

0:06:04 > 0:06:07And we are going to show you how.

0:06:07 > 0:06:09I think it's time I retired from being a gladiator.

0:06:09 > 0:06:12Yes, Xand, white coats on.

0:06:12 > 0:06:13As you can see here,

0:06:13 > 0:06:16the average thickness of this part containing the brain

0:06:16 > 0:06:18is only about half a centimetre,

0:06:18 > 0:06:21and it has to be that thin because it has to be light.

0:06:21 > 0:06:24Having a heavy head would be really difficult.

0:06:24 > 0:06:27I mean, imagine if your head was as heavy as, say...

0:06:27 > 0:06:28- BOTH:- A watermelon.

0:06:30 > 0:06:33Well, what is it like having a watermelon on your head?

0:06:33 > 0:06:34It's very, very heavy.

0:06:34 > 0:06:36I mean, I am getting a really sore neck.

0:06:36 > 0:06:39So that is why your skull needs to be thin,

0:06:39 > 0:06:41and yet despite being so thin,

0:06:41 > 0:06:44it is incredibly strong, as we are about to show you.

0:06:44 > 0:06:46Xand, will you go and get some skulls please?

0:06:46 > 0:06:48To the Cupboard-of-Everything.

0:06:50 > 0:06:52Look, I've found a skull here, Chris,

0:06:52 > 0:06:54but it has got lots of different lids.

0:06:54 > 0:06:56Some of them are pretty weird.

0:06:56 > 0:07:00Yep. I want to show you why our skull's shape gives it strength,

0:07:00 > 0:07:04and to do that, we need to compare it to some other shaped skulls.

0:07:04 > 0:07:07We've got a model skull with a traditional top,

0:07:07 > 0:07:08one that's flat,

0:07:08 > 0:07:11and one that's spiky. And to see which skull is the strongest,

0:07:11 > 0:07:14we need some kind of smashing device.

0:07:14 > 0:07:17Oh, well, we could always use my drop rig, it is right there.

0:07:17 > 0:07:18I call him Smashy.

0:07:18 > 0:07:21Nice one, Xand. That looks perfect.

0:07:22 > 0:07:25We are going to drop a set weight onto the top of each skull,

0:07:25 > 0:07:29starting from a height of 15cm, to see if it smashes.

0:07:29 > 0:07:31Let's see which shape fares best.

0:07:31 > 0:07:34Ready, Xand? Release the smasher.

0:07:34 > 0:07:35Smashy!

0:07:36 > 0:07:38Ah!

0:07:39 > 0:07:42If you've gone through all the trouble to grow spikes on your head,

0:07:42 > 0:07:44you would be pretty disappointed with that result.

0:07:45 > 0:07:47Flathead, it's your turn.

0:07:47 > 0:07:49Xand, release the smasher.

0:07:49 > 0:07:50It's called Smashy.

0:07:50 > 0:07:51Right.

0:07:53 > 0:07:54Well, that was disappointing.

0:07:54 > 0:07:56We need more force.

0:07:56 > 0:07:59Let's double the smashy height, Chris.

0:08:00 > 0:08:01Agh!

0:08:03 > 0:08:04Well, we got flathead that time.

0:08:05 > 0:08:07Now let's try the traditional design.

0:08:07 > 0:08:10Traditional for a reason, Xand.

0:08:10 > 0:08:11Here we go, three, two, one...

0:08:12 > 0:08:14It seems to be OK so far.

0:08:14 > 0:08:15Let's raise the bar.

0:08:15 > 0:08:17This is where flathead smashed.

0:08:17 > 0:08:18This might hurt.

0:08:19 > 0:08:22- Wow!- We're now at 40cm,

0:08:22 > 0:08:24we've pushed this further than ever before.

0:08:24 > 0:08:25Release Smashy!

0:08:27 > 0:08:29The human skull is hard-core!

0:08:29 > 0:08:31Surely it has to give at some point.

0:08:32 > 0:08:33- Ready?- Ready.

0:08:33 > 0:08:35Three, two, one...

0:08:38 > 0:08:41- LAUGHS:- Oh, dear!

0:08:43 > 0:08:45So we have shown you that your extremely important,

0:08:45 > 0:08:50very special brain is protected in not one but two ways.

0:08:50 > 0:08:54Firstly, by a layer of cerebrospinal fluid providing a safety cushion.

0:08:54 > 0:08:56And secondly, by your skull.

0:08:56 > 0:08:59Despite only being 6.5mm thick,

0:08:59 > 0:09:03your skull is the perfect brain protector thanks to its shape.

0:09:05 > 0:09:07Chris, I have come to say goodbye.

0:09:07 > 0:09:11Goodbye? I thought you'd retired from gladiatorial combat after your

0:09:11 > 0:09:13humiliating defeat by the cerebrospinal fluid.

0:09:13 > 0:09:15Well, yes. Yes, I had retired

0:09:15 > 0:09:18and then I realised there was another body part

0:09:18 > 0:09:20I could protect with my gladiatorial skills.

0:09:20 > 0:09:21People's hearts!

0:09:21 > 0:09:25I will travel throughout the land wherever people cry out.

0:09:25 > 0:09:27Off I go, you'll never see me again.

0:09:27 > 0:09:28Da, da-da-da!

0:09:28 > 0:09:30The heart's protected by the rib cage.

0:09:34 > 0:09:37Meet Kayden, Maisie, Bolu and Millie.

0:09:37 > 0:09:40We've been following them across the series as they let us know what

0:09:40 > 0:09:43it's like to be a regular hospital outpatient.

0:09:43 > 0:09:47They invite us into their lives at home and as they undergo treatment.

0:09:47 > 0:09:50Today, we are back with nine-year-old Millie.

0:09:50 > 0:09:52Hello.

0:09:52 > 0:09:53Millie has polyarticular arthritis,

0:09:53 > 0:09:55which means she's experiences

0:09:55 > 0:09:57pain in her joints.

0:09:57 > 0:10:00But it doesn't stop her playing with her friends.

0:10:00 > 0:10:05Charlie is a really important friend to me because she always supports me

0:10:05 > 0:10:07and helps me with my arthritis.

0:10:09 > 0:10:11To help Millie cope with the pain in her joints,

0:10:11 > 0:10:13she has to have weekly injections.

0:10:13 > 0:10:15When I'm ready, I say go.

0:10:15 > 0:10:18- Go.- You are being really brave, Millie.

0:10:18 > 0:10:21In it goes.

0:10:21 > 0:10:23And we are done. Good job, Mum.

0:10:23 > 0:10:25Yay!

0:10:25 > 0:10:28She is really brave having her injections every week

0:10:28 > 0:10:31because if I had to have it, I wouldn't be able to cope.

0:10:31 > 0:10:34Now the injection has eased Millie's pain for a while,

0:10:34 > 0:10:36she can do more dancing with Charlie.

0:10:36 > 0:10:37- BOTH:- Bye!

0:10:41 > 0:10:44Chris, how is Joel's leg?

0:10:44 > 0:10:45- I don't know, Xand.- What?

0:10:45 > 0:10:46Well, what are you waiting for?

0:10:46 > 0:10:47Let's find out.

0:10:47 > 0:10:49OK, let's find out.

0:10:49 > 0:10:50- Come on.- Absolutely.

0:10:50 > 0:10:51Find out.

0:10:52 > 0:10:56Earlier in the emergency department, Joel came in with an injured leg.

0:10:56 > 0:10:58Is that sore underneath here?

0:10:58 > 0:10:59A little bit.

0:10:59 > 0:11:03Joel was busy bouncing at an indoor trampoline park.

0:11:03 > 0:11:06When he jumped off, his foot got stuck between the trampoline and the

0:11:06 > 0:11:08padding and he twisted his leg.

0:11:08 > 0:11:09- BOTH:- Ouch!

0:11:10 > 0:11:14X-rays showed Joel has not got any fractures that Dr Jane was concerned

0:11:14 > 0:11:17about the amount of pain he within.

0:11:17 > 0:11:20So he has come back to see an orthopaedic specialist.

0:11:20 > 0:11:23Joel has been making the most of being laid up,

0:11:23 > 0:11:25getting twin sister Hannah to run around after him.

0:11:25 > 0:11:29He keeps getting me to get schoolbooks and water and stuff.

0:11:29 > 0:11:32I know, Hannah, Chris is always making...

0:11:32 > 0:11:33Xand! This isn't about you.

0:11:33 > 0:11:35Here is Dr Venkata Vakamallu.

0:11:36 > 0:11:38Can you bring your feet up?

0:11:39 > 0:11:44- Painful?- After looking at his leg, Dr Venkata examines Joel's X-rays.

0:11:44 > 0:11:47OK, there is no fracture, that is good news.

0:11:47 > 0:11:51But he has noticed significant swelling near Joel's ankle.

0:11:51 > 0:11:54Usually this happens when you sprain your ligaments.

0:11:54 > 0:11:57This will have been the source of Joel's pain.

0:11:57 > 0:12:01The best way for this is to give you a full cast for two weeks,

0:12:01 > 0:12:02then you will feel much better.

0:12:03 > 0:12:06So, not great news, but there is an upside.

0:12:06 > 0:12:07Tell him more about the cast, Doc.

0:12:07 > 0:12:09You can choose your favourite colour.

0:12:09 > 0:12:11Oh, bonus!

0:12:11 > 0:12:13So Joel and family head down to the plaster room.

0:12:13 > 0:12:15Are you sure you don't want pink, Joel?

0:12:15 > 0:12:18Naomi said she'll give you £5 if you have pink.

0:12:18 > 0:12:21- I'm sure.- Hang on, what's wrong with pink?

0:12:21 > 0:12:24- It's a great colour.- But what are you going to choose, Joel?

0:12:24 > 0:12:26Please can I just have blue?

0:12:26 > 0:12:28Just the plain blue, that's absolutely fine.

0:12:28 > 0:12:30That's my favourite colour, too.

0:12:30 > 0:12:33- Are you sure you don't want sparkles?- No.- Are you sure?

0:12:33 > 0:12:36- Yes.- And with his blue cast all set, the family head home.

0:12:36 > 0:12:38But what does Hannah think about it all?

0:12:38 > 0:12:41I think he should've got sparkles, yes.

0:12:41 > 0:12:43The eldest always knows best.

0:12:43 > 0:12:45- Bye!- BOTH:- Bye.

0:12:45 > 0:12:49- Still to come...- We catch up with another one of our Ouch patients.

0:12:49 > 0:12:51Hey, guys, it's Bolu here.

0:12:51 > 0:12:53And this lot rush into action.

0:12:53 > 0:12:55- Right, are you all right? - But first...

0:12:57 > 0:13:00Amazing people do important jobs inside and outside hospitals

0:13:00 > 0:13:03that help to keep you safe.

0:13:03 > 0:13:05But what will happen when WE have a go?

0:13:05 > 0:13:09I feel a bit silly. This is Operation Takeover.

0:13:10 > 0:13:12Are you ready to guess who today's hero is?

0:13:12 > 0:13:14Well, I'll give you some clues.

0:13:14 > 0:13:17They spend a lot of time dealing with people on one of these.

0:13:17 > 0:13:20Hello? ANGRY GIBBERISH

0:13:20 > 0:13:21And they have to...

0:13:21 > 0:13:23PHONE RINGS

0:13:23 > 0:13:24Hello, doctors' surgery.

0:13:24 > 0:13:25Chris, is that you?

0:13:25 > 0:13:28I'm trying to book an appointment for Mr Grumbles.

0:13:28 > 0:13:31Where are you? We're meant to be doing an Operation Ouch! Takeover.

0:13:31 > 0:13:33Well, that's handy because I'm right here.

0:13:33 > 0:13:35Come on, Chris, let's go.

0:13:36 > 0:13:41There are nearly 3,000 doctors' surgeries like this in the UK,

0:13:41 > 0:13:43each one seeing hundreds of patients a day.

0:13:44 > 0:13:47All these appointments have to be booked in and organised by the

0:13:47 > 0:13:49hard-working reception staff.

0:13:49 > 0:13:52We are about to take over the job of today's hero -

0:13:52 > 0:13:54reception manager Vasanti.

0:13:54 > 0:13:56Vasanti speaking, how may I help you?

0:13:56 > 0:13:58Vasanti's busy reception receives

0:13:58 > 0:14:01around after 150 phone calls every day.

0:14:01 > 0:14:02You are, for lots of sick people,

0:14:02 > 0:14:06the first person they encounter and you are trained to make a decision

0:14:06 > 0:14:08about how they get help.

0:14:08 > 0:14:11Reception staff have to try and extract as much information

0:14:11 > 0:14:15as they can from the patient, and then it is for us to decide,

0:14:15 > 0:14:17does this person need to see a doctor?

0:14:17 > 0:14:19Is it something the nurse can deal with?

0:14:19 > 0:14:22What are the most important skills to have as a receptionist?

0:14:22 > 0:14:24Just being able to use your own initiative.

0:14:24 > 0:14:26It is difficult dealing with challenging patients.

0:14:26 > 0:14:28Do they get annoyed at you?

0:14:28 > 0:14:31They do. We are the first port of call and they seem to take all their

0:14:31 > 0:14:34frustrations out on the reception staff, yes.

0:14:34 > 0:14:37Yikes, Chris. I think we ought to get some training.

0:14:37 > 0:14:39The first thing is, obviously, greeting the patients.

0:14:39 > 0:14:42I would, for example, say, "Good morning, Vasanti speaking.

0:14:42 > 0:14:44- "How can I help you?"- Great.

0:14:44 > 0:14:47We've also got to get to grips with the appointment system.

0:14:47 > 0:14:50- Got it, Xand?- Which button was that?

0:14:50 > 0:14:53- This is tricky.- We've seen just how important and challenging

0:14:53 > 0:14:55the job of a GP receptionist really is.

0:14:55 > 0:14:59But will our attempts to do it be met with a frosty reception?

0:15:02 > 0:15:05It's time for us to take over as surgery receptionists.

0:15:06 > 0:15:08We are going to be judged on...

0:15:08 > 0:15:11Prioritising appointments, or triage.

0:15:11 > 0:15:15- Organisation.- And our manner when dealing with patients.

0:15:15 > 0:15:20Dr Xand's Cure-All House of Wonder, we can fix you...

0:15:20 > 0:15:22- No, that isn't... - What are you doing?- What?

0:15:22 > 0:15:25- What are you doing?- I'm just practising my phone manners.

0:15:25 > 0:15:28We'll each have four fake patients to deal with.

0:15:28 > 0:15:29First up is a phone call.

0:15:30 > 0:15:33- Hello?- Hello, is that the doctors' surgery?

0:15:33 > 0:15:36Yes, it is. Yeah, sorry, this is the doctors' surgery

0:15:36 > 0:15:38and it's Dr Chris speaking.

0:15:38 > 0:15:41Oh, I'm not happy how he answered the phone there.

0:15:41 > 0:15:43Oh, dear, Chris. That's not a good start.

0:15:43 > 0:15:45OK, Xand, let's see how you do.

0:15:45 > 0:15:47GP surgery, Xand speaking.

0:15:47 > 0:15:51- How can I help you?- I need to see a doctor urgently today, please.

0:15:51 > 0:15:53Could I get your date of birth, please?

0:15:53 > 0:15:55Well done, Xand, you got important patient information.

0:15:55 > 0:15:59Now, would an appointment at 11.48 this morning be OK?

0:15:59 > 0:16:02He's just offering the appointment without finding out what the medical

0:16:02 > 0:16:06reason is. It's the only appointment left of the day,

0:16:06 > 0:16:07which is gold dust.

0:16:07 > 0:16:09Watch and learn.

0:16:09 > 0:16:12- What is the problem?- I feel really, really unwell.

0:16:12 > 0:16:13I just need to see a doctor today.

0:16:13 > 0:16:16It does sound like you should come in for an emergency appointment.

0:16:16 > 0:16:18Oh, are you sure that was an emergency, Chris?

0:16:20 > 0:16:22I don't know if I should have done that.

0:16:22 > 0:16:23Time for patient number two.

0:16:23 > 0:16:26- What can I do for you? - I need to book an appointment.

0:16:26 > 0:16:28I have very bad back pain.

0:16:28 > 0:16:30Uh-oh, the phone is ringing.

0:16:30 > 0:16:33I'm going to have to answer this call.

0:16:33 > 0:16:35Feeling the pressure, Xand?

0:16:35 > 0:16:38- I'm sorry about that.- He should've finished with the patient he was

0:16:38 > 0:16:40dealing with rather than answering the call.

0:16:40 > 0:16:43Do you mind if I just take this? I'm really sorry.

0:16:43 > 0:16:46Hello, it's Chris here. Dr Chris here.

0:16:46 > 0:16:49Look out, Chris, here comes patient number three.

0:16:49 > 0:16:50I'm going to miss my appointment.

0:16:50 > 0:16:52- What's your name?- Serena Marquez.

0:16:52 > 0:16:54You're over an hour late for your appointment.

0:16:54 > 0:16:57I am probably a little bit late now cos I've been standing in this queue

0:16:57 > 0:16:59- for a minute.- Yeah, Chris!

0:16:59 > 0:17:01Do you mind just waiting while I deal with this gentleman?

0:17:01 > 0:17:04I think he's feeling stressed now.

0:17:04 > 0:17:05I'll show you how it's done.

0:17:05 > 0:17:07If you have a seat, we'll get you in very shortly.

0:17:07 > 0:17:09I'm just going to deal with this gentleman.

0:17:09 > 0:17:10You won't miss your appointment.

0:17:10 > 0:17:12- Really?- She doesn't look impressed.

0:17:12 > 0:17:14Give me your full name, sir.

0:17:15 > 0:17:19He has asked the patient three times now for their name.

0:17:19 > 0:17:20So I think the best thing to do,

0:17:20 > 0:17:23I can make an appointment in a couple of weeks.

0:17:23 > 0:17:24Yeah, whatever. That's fine.

0:17:24 > 0:17:26Finally, patient four arrives.

0:17:26 > 0:17:28She needs an emergency appointment.

0:17:28 > 0:17:30But we both filled all the available slots!

0:17:30 > 0:17:33I've been feeling really, really faint and I've fainted for the last

0:17:33 > 0:17:36- couple of days.- This is where I need to see if he's going to prioritise.

0:17:36 > 0:17:38There are no emergency appointments left here today,

0:17:38 > 0:17:40so you can't see a doctor here today.

0:17:43 > 0:17:44If you have a seat,

0:17:44 > 0:17:47I will have a chat with the doctors and we'll have to squeeze you in

0:17:47 > 0:17:48- this morning.- Thank you.

0:17:48 > 0:17:49Wow, that was hard-core.

0:17:49 > 0:17:51Time for the verdict.

0:17:51 > 0:17:54- How did we do?- Your triaging skills are very similar.

0:17:54 > 0:17:58You both gave the last appointment to the first patient,

0:17:58 > 0:18:01and I think for both the patients, it wasn't an emergency.

0:18:01 > 0:18:04Your mannerism was very good.

0:18:04 > 0:18:08You were both similar. When it came to organisation skills,

0:18:08 > 0:18:11I felt Xand was much better.

0:18:11 > 0:18:12- Really?- What?

0:18:12 > 0:18:15You used your initiative to squeeze that patient in.

0:18:15 > 0:18:19- Did you send her away? - So the winner is...

0:18:20 > 0:18:22- Ta-dah!- Yes!

0:18:23 > 0:18:27I have to say, this will not be a job I'm applying for any time soon.

0:18:27 > 0:18:29I actually found it very stressful.

0:18:29 > 0:18:33I think what we've learned is that it is a job much better left to the

0:18:33 > 0:18:36- professionals.- We should take off our receptionist jackets.

0:18:36 > 0:18:39Vasanti, thank you very much indeed.

0:18:39 > 0:18:40Thank you.

0:18:40 > 0:18:43Time to catch up with the next Ouch patient.

0:18:43 > 0:18:47Bolu has a condition called sickle cell anaemia.

0:18:47 > 0:18:50This is where the body produces unusually shaped red blood cells

0:18:50 > 0:18:53which aren't very good at carrying oxygen.

0:18:53 > 0:18:57And this causes problems such as blood clots, tiredness and pain.

0:18:57 > 0:18:59When they go through your veins,

0:18:59 > 0:19:02they get stuck together

0:19:02 > 0:19:05and then when they get stuck together inside your veins,

0:19:05 > 0:19:08that's normally where the pain is, and if it is not treated soon

0:19:08 > 0:19:12and quickly, it could escalate and cause a crisis.

0:19:12 > 0:19:16A crisis is when Bolu is in too much pain to cope at home and has to

0:19:16 > 0:19:19- go to hospital.- With my condition,

0:19:19 > 0:19:24I can go in to hospital nearly two times a month.

0:19:24 > 0:19:25To try and prevent a crisis,

0:19:25 > 0:19:28Bolu has a special piece of kit to help her with the pain she gets.

0:19:28 > 0:19:30It's called a Tens machine.

0:19:30 > 0:19:32When I have pain,

0:19:32 > 0:19:36the signals from my leg goes up to my brain,

0:19:36 > 0:19:38and my brain is starting to coordinate with that

0:19:38 > 0:19:40and telling my legs, "You have pain,"

0:19:40 > 0:19:42then that's when I start to know I have pain,

0:19:42 > 0:19:45but then this, it gives it a different signal,

0:19:45 > 0:19:48so my brain is listening to this signal

0:19:48 > 0:19:52more than this signal so I won't really feel the pain as much as I

0:19:52 > 0:19:53normally do.

0:19:53 > 0:19:55But sometimes things get too much,

0:19:55 > 0:19:57and Bolu has to be admitted to hospital.

0:19:57 > 0:19:59My leg hurts a bit,

0:19:59 > 0:20:03I am just going to use my medication and do what I need to do

0:20:03 > 0:20:04to make it go away.

0:20:04 > 0:20:06As Bolu begins feeling better,

0:20:06 > 0:20:08she joins in her favourite hospital activity.

0:20:08 > 0:20:12I am doing music today with Georgina.

0:20:12 > 0:20:14- Hello!- Hope.- Hi.

0:20:14 > 0:20:17And Daisy. It's going to be good.

0:20:21 > 0:20:22Great tunes, Bolu.

0:20:22 > 0:20:24We hope you're feeling better soon

0:20:24 > 0:20:27and we'll catch up with you next time. Bye.

0:20:30 > 0:20:33Today is a very exciting day for me and Dr Xand because we are having

0:20:33 > 0:20:36- our...- Birthday party!

0:20:38 > 0:20:43As you can see, having a birthday party can be dangerous.

0:20:43 > 0:20:45OMINOUS MUSIC

0:20:45 > 0:20:47You could burn yourself while you're baking the cake.

0:20:47 > 0:20:52Not if you wear oven gloves or you buy it from a shop.

0:20:52 > 0:20:54Well, you can poke someone in the eye with the end of your party hat.

0:20:54 > 0:20:56Not if you are as careful as I am.

0:20:56 > 0:21:00Or you could slip on the freshly washed floor whilst practising

0:21:00 > 0:21:01your dance moves.

0:21:08 > 0:21:13Right, Xand, come on, we've got to lay out the food for the guests.

0:21:15 > 0:21:17And, remember, don't eat anything from the bowl on the left,

0:21:17 > 0:21:19it's got peanuts in it, and you can't eat...

0:21:19 > 0:21:23Peanuts! Xand, this could cause a severe allergic reaction.

0:21:23 > 0:21:26Injury alert!

0:21:26 > 0:21:28Now, what should you do if someone

0:21:28 > 0:21:31was having a serious allergic reaction?

0:21:46 > 0:21:49The correct answer is A, help them use their EpiPen

0:21:49 > 0:21:52or auto injector pen and call 999.

0:21:52 > 0:21:55Let's see if this lot get it right without any help from us.

0:21:55 > 0:21:57Right, off you go!

0:21:58 > 0:22:01Ruby and Jesse are both pretending that they are having an allergic

0:22:01 > 0:22:04- reaction. - Quick, they need your help.

0:22:04 > 0:22:05Are you all right? Are you all right?

0:22:05 > 0:22:08Both teams get straight to work.

0:22:08 > 0:22:10- What have you eaten? - I had some peanuts.

0:22:10 > 0:22:12Quite rushed and quite panicked initially.

0:22:12 > 0:22:14I found this!

0:22:14 > 0:22:15What?

0:22:15 > 0:22:18They managed to find the auto injector pen, but they

0:22:18 > 0:22:21are stumbling a little bit with reading instructions properly.

0:22:21 > 0:22:23Our teams didn't quite get this right.

0:22:23 > 0:22:26They had some good ideas.

0:22:26 > 0:22:27999.

0:22:27 > 0:22:29But also a few dodgy ones.

0:22:29 > 0:22:31Did you follow the instructions?

0:22:31 > 0:22:33- It's meant to go in the leg! - Oh, yeah.

0:22:33 > 0:22:36Right, let's go and find the correct way to deal with a severe

0:22:36 > 0:22:38allergic reaction. Come on. Remember,

0:22:38 > 0:22:42this is what to do in emergency, but it's always best to get an adult.

0:22:42 > 0:22:45We are showing you what to do using a dummy injector pen.

0:22:45 > 0:22:47So, let's say I'm having an allergic reaction.

0:22:47 > 0:22:49Chris, my lips are swelling, my tongue is swelling,

0:22:49 > 0:22:50I am feeling itchy in my mouth.

0:22:50 > 0:22:53I'm actually finding it quite hard to breathe now.

0:22:53 > 0:22:54I just feel terrible.

0:22:54 > 0:22:56I've got your auto injector pen here,

0:22:56 > 0:22:58so I'd read the instructions.

0:22:58 > 0:23:00"Pull off blue safety cap.

0:23:00 > 0:23:03"Hold the device 10cm from the outer thigh,

0:23:03 > 0:23:06"swing and jab orange tip firmly against outer thigh

0:23:06 > 0:23:10"and listen for the click, and hold in place for ten seconds."

0:23:10 > 0:23:12So that's Xand's outer thigh.

0:23:12 > 0:23:14So that's about 10cm.

0:23:14 > 0:23:16One, two...

0:23:16 > 0:23:17Nine, ten.

0:23:18 > 0:23:22And then we come out, and then it says massage area for ten seconds.

0:23:22 > 0:23:27Different pens have different sets of instructions, so always read the

0:23:27 > 0:23:28instructions carefully.

0:23:28 > 0:23:31Once you have given the medicine, you must then call 999.

0:23:31 > 0:23:34Right, who wants to try it again?

0:23:34 > 0:23:35Me!

0:23:35 > 0:23:37Come on, then.

0:23:37 > 0:23:40So, if you see someone with a rash, itchiness,

0:23:40 > 0:23:43swelling on their face or having difficulties breathing,

0:23:43 > 0:23:46then it might be a severe allergic reaction and you must...

0:23:46 > 0:23:49Find their auto injector pen and help them to use it,

0:23:49 > 0:23:51following the instructions.

0:23:51 > 0:23:53- Call 999...- Hello, ambulance?

0:23:53 > 0:23:56..and remember to find out your location.

0:23:56 > 0:23:59Reassure the patient until the paramedics arrived.

0:23:59 > 0:24:03And if they don't have an auto injector pen, call 999 immediately.

0:24:03 > 0:24:05Really good job, everyone.

0:24:05 > 0:24:08Xand, are you OK? Is your tongue itchy? Is your throat swelling up?

0:24:08 > 0:24:09I can get your auto injector pen.

0:24:09 > 0:24:11I don't need my auto injector pen.

0:24:11 > 0:24:14- Yeah, you do, don't be silly. - I didn't eat any peanuts.

0:24:14 > 0:24:15I've just been eating these sweets.

0:24:15 > 0:24:18Although, I see what you mean, they do look a bit similar.

0:24:18 > 0:24:19Well, that is a relief.

0:24:19 > 0:24:22But it's always better to check if someone needs your help.

0:24:22 > 0:24:25And if you have a friend or a twin brother with a severe nut allergy,

0:24:25 > 0:24:27it's better not to serve any nuts at all.

0:24:27 > 0:24:30DANCE MUSIC PLAYS

0:24:39 > 0:24:40Call me nosy...

0:24:40 > 0:24:43- You're nosy. - That's not what I meant!

0:24:43 > 0:24:46Call me nosy, but I'm wondering what's happening in A&E.

0:24:46 > 0:24:47Well, let's find out.

0:24:47 > 0:24:48You're the nosy one.

0:24:50 > 0:24:54Four-year-old Corbin is in the Sheffield accident and emergency

0:24:54 > 0:24:56department. What have you done, Corbin?

0:24:56 > 0:24:59I put a diamond in my nose.

0:24:59 > 0:25:02You've put a diamond up your nose?

0:25:02 > 0:25:03- No way!- Yeah.

0:25:03 > 0:25:04Let's get the low-down.

0:25:04 > 0:25:08Corbin was at home playing with his twin brothers, Cole and Colby.

0:25:08 > 0:25:09What, more twins?

0:25:09 > 0:25:13Yep, Xand. Anyway, he spotted something sparkly on the table.

0:25:13 > 0:25:16Wow, Chris, it's two diamonds!

0:25:16 > 0:25:17I bet I know what happened next.

0:25:17 > 0:25:22Did he trade them in for a private jet and then zoom off to a tropical

0:25:22 > 0:25:25island and then order the biggest chocolate chip ice cream ever

0:25:25 > 0:25:29- with extra sprinkles?- No, Xand, they're not real diamonds.

0:25:29 > 0:25:33- Oh.- Corbin decided to balance them on the end of his nose to make his

0:25:33 > 0:25:35- brothers giggle. - Well, that is pretty funny.

0:25:35 > 0:25:38Well, it was, right up to the point where the diamonds toppled

0:25:38 > 0:25:40and one of them went right up his nose.

0:25:40 > 0:25:44- BOTH:- Ouch!- Ever had anything up your nose before?

0:25:44 > 0:25:48- You've had something in your ears, haven't you?- In your ear too?

0:25:48 > 0:25:51It's never a good idea to shove anything up your nose...

0:25:51 > 0:25:53..or in your ears.

0:25:53 > 0:25:54- Got it?- Yeah.

0:25:54 > 0:25:58Perfect. Come on in, Dr Tim Osborne.

0:25:58 > 0:26:01- And what was it that you put up there?- Diamond.

0:26:01 > 0:26:03Is it worth lots of money?

0:26:03 > 0:26:04- Can I keep it?- No.

0:26:04 > 0:26:07- Nice try, Doc.- Can I have a look up your nose, then?

0:26:07 > 0:26:10- Yeah.- I hope there's not too many bogeys up there.

0:26:10 > 0:26:11If it's a diamond or a fake diamond,

0:26:11 > 0:26:14normally we see a bit sort of sparkling or see something in there.

0:26:14 > 0:26:18Right, so I can't see it, which either means that it's come out.

0:26:18 > 0:26:20- MOTHER:- Yeah. - Or it's quite far back.

0:26:20 > 0:26:22So, what do we do if it's stuck, Doc?

0:26:22 > 0:26:24There's an old-fashioned way of trying to get it out.

0:26:24 > 0:26:26You cover up on his nostrils and you blow in his mouth.

0:26:26 > 0:26:29- We'll try and fire it out. - Sister Demi's not sure,

0:26:29 > 0:26:30but here's Mum to the rescue.

0:26:31 > 0:26:34Corbin's mum will cover up his right nostril with her finger

0:26:34 > 0:26:38and cover his mouth, leaving just his left nostril open,

0:26:38 > 0:26:40then she'll blow as hard as she can.

0:26:40 > 0:26:43As the tubes for your nose and throat are all connected,

0:26:43 > 0:26:45the air will push into Corbin's throat

0:26:45 > 0:26:47and up through his nasal passages,

0:26:47 > 0:26:51firing out any blockages and snot out of his left nostril as it goes.

0:26:53 > 0:26:54Here it comes.

0:26:54 > 0:26:55TOOT!

0:26:55 > 0:26:57THEY LAUGH

0:26:57 > 0:26:59- Beg your pardon!- Do I just blow?

0:26:59 > 0:27:01Yeah, try and make it like a seal around his mouth.

0:27:01 > 0:27:03Open your mouth, quick.

0:27:03 > 0:27:06- Blow.- SISTER:- Ew!

0:27:06 > 0:27:08- Yuck.- Is it definitely up there, Corbin?

0:27:08 > 0:27:10It's SNOT come out.

0:27:10 > 0:27:14It's looking like Corbin's diamond has fallen out already.

0:27:14 > 0:27:15Or he may have swallowed it,

0:27:15 > 0:27:18in which case, he'll poo it out and it won't cause any damage.

0:27:19 > 0:27:21Any advice for the Ouchers at home, Corbin?

0:27:21 > 0:27:24Don't put things in your nose.

0:27:24 > 0:27:26- Spot-on.- BOTH:- Bye!

0:27:28 > 0:27:30Next time on Operation Ouch!...

0:27:31 > 0:27:33Things get painful in the lab.

0:27:33 > 0:27:35Ah! Ah!

0:27:35 > 0:27:37- I forget my manners. - HE BELCHES

0:27:37 > 0:27:39And we get wet and wild.

0:27:39 > 0:27:40That was very embarrassing.

0:27:43 > 0:27:46So we'll see you next time for more Operation Ouch!.

0:27:48 > 0:27:51Chris! Chris!

0:27:51 > 0:27:52I've missed the ending.

0:27:52 > 0:27:53Chris!

0:27:53 > 0:27:55- BOTH:- It's double trouble!

0:27:55 > 0:27:57- I'm saying that... - I'm saying that bit.

0:27:57 > 0:27:58I'm sure it's my turn.

0:27:58 > 0:28:00Sorry.

0:28:00 > 0:28:01- BOTH:- It's double trouble!

0:28:01 > 0:28:03- It's my bit...- It's my turn.

0:28:03 > 0:28:05I'm sure it's my bit. OK, sorry.

0:28:05 > 0:28:09XAND LAUGHS

0:28:09 > 0:28:10That is very embarrassing.

0:28:10 > 0:28:12Operation Ouch!