Flabbergasting Favourites Operation Ouch!

He's Dr Chris.

He's Dr Xand.

Yes, he's still got his beard...

..and we're still identical twins!

Your body's amazing, and we're going to show you why.

TOOT! THEY LAUGH

We're head-to-head in Operation Takeover.

BOTH: Man overboard!

SIREN WAILS, THEY SCREAM

Ouch And About hits the wards.

What kind of ambulance did you get?

I didn't get an ambulance, I got a helicopter.

There's more First Aid tips.

So we do need to get Xand to hospital.

We catch up with our new Ouch patients.

Hello!

And our lab experiments will...

..blow...

..your...

..mind!

That is an amazing view.

Are you ready to join us?

Woo!

I can't see a thing.

Coming up today on...

On...

..Operation Ouch!

Yippee!

Xand takes the plunge...

..we say goodbye to our Ouch patients...

Bye, everyone!

..and some of our favourites are back.

-BOTH:

-Back to earth!

But, first, let's head over to the emergency department

to see one of our favourite cases.

And this one came in on a chopper.

Show off!

Landing on the accident and emergency helipad

is nine-year-old Jamie.

His neck's being supported by blocks and tape to stop it moving.

What's gone on, Jamie?

I fell on my neck funny and then loads of people landed on me.

How did that happen?

Jamie was playing in a rugby match,

with his mum and dad cheering him on from the side lines.

Yeah, give us a J!

-BOTH:

-J!

Give us an A.

-BOTH:

-A!

Yeah, got it, thanks, Xand.

Jamie's a full-back and was making a heroic run to reach the ball.

Yeah! Go, Jamie! Go, Jamie! Go, Jamie!

Everyone was hot on his heels.

Go, Jamie! Go, Jamie!

-YELLS:

-Go, Jamie!

But he landed on his neck and all the others piled in on top of him.

-BOTH:

-Ouch!

Here's Dr Julie Grice to inspect for any damage.

-Any pain at the front?

-No.

-Does it hurt there?

-Yes.

We worry about neck pain because your spinal cord goes through there.

I'm just going to poke down your back, OK?

I want you to tell me whether it hurts.

You say yes or no, and try not to nod or shake your head. OK?

Dr Julie and her team have to move Jamie very carefully,

because they don't want to make any injury even worse.

Does it hurt anywhere there if I'm pressing?

With Jamie clearly in pain, Dr Julie can't rule out a spinal injury,

so she's booked him in for an X-ray.

While he waits, the nurses tape him back up to the supporting blocks

and the doctor asks mum to give him some medication for the pain.

Find out what happens with Jamie's X-ray later on.

Did you know that in your foot you have...

Wow!

And now to our lab.

It's time for some big body experiments.

Some of them gory...

This is not for the squeamish.

..some extreme.

It's freezing!

So are you ready?

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

This is one of my favourites!

Now, to get us started, I've brought us something, very, very flexible.

My friend, Kika!

-Hi, Dr Chris.

-Hi, Kika.

Now you should never try to fold yourself into a box.

Kika does this all the time -

she's a professional contortionist and a world champion gymnast,

which means she has an extremely flexible body, as you can see.

Some people are more flexible than others.

I-I've pretty much got it.

It's just that I didn't really warm up properly.

Hmm. OK, Xand.

As you can see, Kika's back is super bendy.

She's able to bend like this

thanks to the flexible and super-strong tendons in her back.

That is amazing!

Thanks, Kika.

Come and have a look at this.

This is a backbone.

Now, this one's from a pig, but it's very similar to yours.

These white bits are tendons.

Tendons connect your muscles to your bones,

and they are everywhere in your body.

They have to be super strong,

because tendons are the things that actually move your bones.

To show you how tendons move your bones, I have invented this -

a model arm made of space-age materials.

Xand, this is something made of cardboard,

a bit of string and some straws.

Well, they use all of those things in space.

Now this is the muscle,

this is a the bone

and this piece of string is the tendon

connecting the two of them.

Now, when I take this balloon,

put it in here and inflate it...

Wow! When Xand inflates the balloon, it's like my muscle contracting

and it pulls on the tendon and moves the bone.

Your tendons have to be strong so that they can lift

and move your bones and anything else you're carrying.

The strongest and thickest tendon in your body is the Achilles tendon.

What have I told you about shoes in the lab?

I thought everyone would like to see my Achilles tendon.

It's right here.

It connects my calf to my heel.

Do you know, Chris,

your Achilles tendon is meant to be stronger than steel?

It's just a shame we don't have any way to test that in the lab.

Well, Xand, I actually have the perfect experiment for this,

but we do need to head outside, and...

you're going to need this.

Meet...

Let's go find out how it works.

This is a horse's tendon.

These are scientists from Queen Mary, University of London.

They're attaching these clamps to the horse tendon,

which is then frozen with dry ice.

Let's test how strong this tendon really is.

But maybe we should start with something small.

Well, we could use Zahara.

-Is she here?

-Yes, she's right here.

-Oh, hi, Zahara.

-Hi, Chris.

Well, sounds like it's time for some tendon-powered flight.

Get in the bag. Come on.

-You strapped in?

-Yes.

-Helmet on?

-Yes.

-Great stuff.

-Good luck!

-We'll see you when you land!

Remember, Zahara's body weight is being supported

only by the horse tendon.

But will it hold?

Three, two, one...

-BOTH:

-..lift off!

-You're airborne!

-Woo!

That one small tendon is holding the full weight of Zahara.

That's amazing.

So, Zahara, were you impressed at how strong the horse tendon was?

Yes, but it wouldn't be able to carry you two's weight.

Zahara, you're about to learn the power of the horse tendon.

We're going up in the crane!

You guys are crazy!

We're going to push this horse's tendon to the limit

and see if it's strong enough to take the weight

of not one of us but both of us.

Good luck!

-BOTH:

-Three, two, one, lift off!

-Wow!

-We're up!

This is incredible.

The only thing holding us up is a horse tendon!

Wow! That one little tendon is taking our combined weight of...

It really is as strong as steel.

We've shown you that tendons give you amazing movement and flexibility

and just how super-strong they really are.

-Take us down! BOTH:

-Back to earth!

-Meet Caden.

-Maisie.

-Bolu.

-And Millie.

We've been following them across the series as they show us

what it's like to be a regular hospital outpatient.

So, for one more time, let's catch up with 12-year-old Maisie.

-Hello.

-Hello.

She has coeliac disease,

and found out that some gluten was sneaking into her diet.

So there's still a bit more work to do.

I'm going on my adventure trip with my class tomorrow for the week

and I'm really excited,

but I'm also quite nervous, obviously,

because of my, like, mealtimes and stuff.

To put Maisie's mind at rest,

the kitchen staff on the adventure trip invite her in

to show her the precautions they've taken

to keep gluten out of her food.

We keep that corner for all the gluten-free,

and the gluten-free toaster.

So these two shelves are where we keep the gluten-free,

all labelled so nothing gets put in that shouldn't be there.

I'm feeling a lot better and a lot more confident

about how my food and eating is going to be this week.

Great news, Maisie, now you can enjoy it.

It's fun, but it's hard!

Thanks for following my story.

-Bye!

-BOTH:

-Bye!

We've also been following 11-year-old Caden.

He has cystic fibrosis,

and last time he was preparing to take more control over his diet

and medication when he gets to high school.

I need to know how much fat's in my food, so I can take tablets.

Time for some practice at home.

It says fat per 100g is 30.5g.

So five times something would equal 30.

That's six.

But per bag, it's four grams, so this would be one tablet.

He's cracked it!

It looks like Caden will be fine at high school.

Best of luck, fella.

Thanks for following my story, bye.

Another one of our Ouch patients this series is ten-year-old Millie.

We've seen Millie having physio and her weekly injection at home

to help with her polyarticular arthritis.

Hi again, everyone, and today I'm going to be going out on my bike.

My physiotherapist, Leona,

said that I should start riding my bike because it helps my arthritis.

When I'm running, it hurts,

but when I'm on my bike, it just doesn't hurt.

I just feel free cos, like,

I'm not having to be in pain and I'm just like, "Yay!

"I get to go fast for once."

OK, bye, everyone.

-Good luck for the future, Millie. BOTH:

-Bye!

Our last Ouch patient to catch up with is Bolu,

who has sickle-cell anaemia.

Last time, Bolu had to go into hospital,

but luckily she's now home again.

And when she's feeling better, she likes to get out and about.

Hi, everyone. This is my mum and my brother.

You might not have met him before, but he's my brother.

And today, we're in London to see some family

and we're also going to see some sights,

so hopefully they're going to be amazing.

I can see the river and the Eye.

Oh, my goodness!

Look at that. It's Big Ben!

It's so big. No wonder they call it Big Ben.

Because it's a big city, it's going to be a lot of walking.

I have to be careful that I don't get too tired.

I have to, like, make sure I'm taking rests in between,

cos if I was to get too tired, if I'm not careful,

it would turn into a crisis and I'd have an attack,

and that means I'd have to go into hospital again,

and nobody wants to go into hospital.

That's the end of my sightseeing today, guys.

Got to make sure I don't get too tired.

-Bye, guys!

-Bye!

Thanks, Ouch patients.

Let's head back to the emergency department

to see how Jamie's getting along.

I'm already on my way, Chris!

Jamie was airlifted

to the accident and emergency department by helicopter.

He'd been playing rugby.

He was chasing down the ball and, on the verge of scoring an amazing try,

everyone was hot on his heels.

But he landed on his neck

and everyone else piled in on top of him.

Until Dr Julie knows how bad his injury is, Jamie can't be moved,

so the X-ray machine is coming to him.

Don't worry, you don't need to do anything,

you just need to lie there, all right?

Well, not a problem - he's stuck down to the bed!

What's the final score, Dr Julie?

The X-ray shows there's no bone injury,

he's just got pain on the right side of his neck, over the muscle,

which would fit with a kind of whiplash injury,

when your head is thrown forward and back.

In your neck, you have lots of muscles

which are attached to your bones with tendons.

A sudden impact can tear these tendons and muscles.

It's called whiplash, and it can be painful, but it will heal.

Brilliant! So there's no damage to your bones or spinal cord.

What do you think of that, Jamie?

I'm relieved.

And, after a bite to eat, Jamie can go home.

But watch out, Dad's got his eye on that sandwich!

Have you learned any lessons from today?

Try and get on the ball a bit earlier,

before anyone else gets on it.

Top tactics. Good luck with your next match.

-BOTH:

-Bye!

Still to come...

We have lift-off!

Well, I'm going to start getting a helicopter to work a bit more often.

It's boogie time in A&E.

You take care, easy on the dancing!

And we're in deep water.

I think Xand's drowning. I'd better save him.

But now...

Amazing people do lots of important jobs inside and outside hospitals

that help to keep you safe.

But what will happen when we have a go?

I feel a bit silly.

This is my favourite-ever Operation Takeover.

Lots of emergency cases arrive at Alder Hey

and other hospitals by air.

All over the UK, there are helicopter services ready to help.

Today's hospital hero is London Air Ambulance pilot

Captain Neil Jeffers.

And we're going to meet him.

Well, Chris is late.

I've got no idea where he is at all,

but Captain Neil is not going to be pleased,

and this is a little bit embarrassing.

There's Xandy.

Oh, where is he? Come on, Chris.

Oh, it's a shame he's missed this.

Probably should have told him about it!

The helicopter's here.

The blades have stopped turning and it's safe to approach.

Oh, hi, Xand. Sorry you missed that. It really is the only way to travel,

I'm going to start getting a helicopter to work a bit more often!

This is outrageous!

Air Ambulances are incredible.

This service in London helps around 2,000 patients every year,

and the pilots are essential when it comes to their rescue.

We don't normally think of pilots as being part of a medical team.

-How do you fit in?

-Our job is to get to the medical team to the patient

as quickly as we possibly can.

Driving around London, the average speed is maybe 5mph.

A helicopter can fly about 150mph in a straight line.

Getting to a medical emergency quickly is difficult enough,

but landing there can be even trickier.

This is the on-board medical team -

Dr Anna Dobbie and paramedic Steve Read.

No-one appreciates the role of the pilot more than them.

So it's not an easy job getting this helicopter where it needs to be.

Landing spaces can be parks, can be roads,

so the pilots try and get us as close to the scene as possible.

These guys, they are so calm.

Landing in school playgrounds, on the M25,

their training just makes them absolutely amazing under pressure.

We've seen just how important the Air Ambulance is

to the running of a big hospital.

But will our careers as pilots TAKE OFF?

Get it? Get it?

Today, I'm going to be flying

the twin-engine Performance Class 1: MD-902.

Really? I just call mine Barry!

Your Takeover Challenge is to fly your helicopter

and land it as safely and as close to the patient as you possibly can.

The pressure's on, this patient is critical.

Ah! It's Mini Xand, and he's grazed his knee!

Quick, Chris, to the choppers!

There's been a patient trapped beneath a car.

There are two potential landing sites,

one is right next to the patient, in a complicated school site,

or there's a bigger field a bit further away.

So the choice is whether they land in a complicated site,

or land in a big field and let your doctors and paramedics

-walk to the patient.

-SHEEP BAAS

We're off. Xand's up first.

Right, he's got it airborne.

We don't want it to go too close to the river in this case.

Xand, you're going a little bit high.

Come back. Come back!

I'm sure it's not quite the way he wanted to go.

It's now over the river.

Right, forward, no, fly backwards, fly backwards!

I've lost control!

Ah, ah!

That didn't go all that well.

And, meanwhile, poor Mini Xand

is still exsanguinating all over the floor.

Mini Xand! You've got rescue him now, Chris - you're his only hope!

I will go and get Mini Xand. Leave this to me.

Going the right direction. This has promise.

-Oh, it is difficult, isn't it?

-Keep it down. Keep it down!

Keep it down, keep it down!

Hold on, we just need to recover that.

Chris is persevering.

What are you doing?

I sense we will be looking at landing in the grass area.

Yep. Yep. Yep. Yep.

Yes! Yes!

He's landed on top of Mini Xand.

Now, although I said to get as close as we possibly can,

that's probably just a little too close,

on top of the patient in this case.

Chris, I applaud your determination,

and I did say land as close to the patient as you possibly could,

but after many attempts, you landed ON the patient,

probably committing more damage than Xand.

I think this is a case of "who's less rubbish?"

So, today's winner...

-is Xand.

-Ha!

Well, I'm very surprised by that.

I guess, if I've learned one thing,

it's the importance of the Air Ambulance pilots

in the running of a big hospital.

Neil, I think it's time we give our helicopter back.

Our one remaining helicopter.

Having a day out in the park or countryside

is a brilliant way of getting some fresh air and chilling out.

Especially when there's somewhere to swim!

Woohoo!

But pools and lakes can be DANGEROUS!

You could slip if you run on wet ground.

Er...not me! I always walk slowly and safely to the water's edge.

Well, you could get into a tangle

trying to change into your swimming trunks and fall over.

Not if you've already come wearing your swimmers under your clothes!

Well, you could stub your toe on rocks getting into the water.

Not if you use the jetty, Chris.

Well, in that case, I needn't have worried.

I'll just sit back and read my book.

Yippee!

Chris! Chris!

Chris!

I think Xand's drowning!

This looks like an injury alert.

I'd better save him.

If you see someone drowning, never jump in to rescue them.

Go and get an adult.

Once they've been rescued from the water, should you...

The correct answer, is, of course, C.

Let's see if this lot get it right.

They've not had any advice and they're winging it.

-BOTH:

-Are you ready?

-KIDS:

-Yeah!

Off you go!

Temitayo and Dammy are both pretending

that they've been rescued from a lake after they started drowning.

Quick, guys, they need your help!

-Is she breathing?

-Yes, she's breathing.

Checking she's breathing is a great start.

I maybe try and start doing chest compressions.

They know she's breathing

and they're still doing chest compressions,

which isn't going to do any good at all.

We'll put him on his side.

They've put him his side, which is good,

but they didn't check anything first.

How do you get water out of someone?

They haven't worked out if he's breathing or not.

Our teams didn't quite get this right.

They had some good ideas...

I put him into the rescue position.

..and a few dodgy ones.

Mirabelle, why did you start doing chest expressions?

Just so that she can at least get a bit of water out of her system.

So you were trying to squeeze her out like a sponge!

Time to show you how it should be done.

So Chris has just been pulled out of the lake,

but he's not responsive.

Remember, we're showing you what to do in an emergency,

but it's always best to get an adult.

After you've checked he's unresponsive...

Check that he's breathing.

So I'm going to tilt his head back.

His mouth open.

To work out if someone's breathing,

place your face close to theirs.

Look - is their chest moving?

Listen - can you hear them breathing?

And feel - can you feel their breath on your face?

And he is breathing, but he's not responsive.

So the next thing I need to do is get him in a position

which will keep his airway open.

Get that arm up. This arm over here.

This leg up and roll him towards me.

Most important bit is to tilt his head like that,

so that his airway is open.

This also helps any water come out.

And now I phone the ambulance.

999.

Give my location.

Say what's happened,

say that I want an ambulance, and they'll be a on their way.

While you're waiting, keep checking the person is still breathing.

-Are you ready to have another go?

-KIDS:

-Yes!

-Off you go.

So if you see someone who's been rescued from drowning

and is unresponsive, check they're breathing, and if they are,

roll them on to their side, tilt their head back and then call 999.

She's breathing, but she isn't responding.

If the person isn't breathing, the response is different -

you must call 999 immediately and find an adult.

Don't worry, Xand, I've got you!

I'm not drowning. I was waving to say hello!

Oh, well, always better to be safe than sorry, I say!

Next, it's another one of our favourite hospital cases.

Ooh! Who is it, Chris?

You know who it is, Xand, it's Bella Rose -

we were talking about it earlier.

Oh, yeah, brilliant!

This is a good one.

Waiting in A&E is four-year-old Bella Rose.

I've got a sore hip.

A sore hip? How has she managed that?

You're going to love this one, Xand.

Bella Rose was hanging out with her nine-year-old cousin, Connor.

Sounds cool. Was she playing football?

No, she was dancing.

-Doing the robot?

-No, Xand.

It must have been Gangnam Style.

No, Xand, she was break dancing, doing the worm.

-The worm?

-Yes, Bella Rose, was such a wiggly worm,

that she banged her side and hurt her hip.

-BOTH:

-Ouch!

Oopsies!

-Oopsie indeed!

-She never cried or anything after,

it was the next day.

Just to be on the safe side, we always get her checked out

because she's got a condition called brittle bone disease,

so she's more prone to fractures.

Brittle bone disease, or osteogenesis imperfecta,

means Bella Rose's bones are very fragile.

When you're born, your bones develop and grow

when a protein called collagen is made by your body.

Collagen gives your bones strength.

But, sometimes, not enough collagen is made,

and this means bones are weaker and can break more easily,

which is what can happen to Bella Rose.

Dr Colin Wong is on hand to investigate.

Can you bend your hip?

Oh, well done. I'm just going to turn it,

and if it's sore, you let me know, OK, darling?

I was just gently moving her leg

to try and see where she was most sore.

If I press it there, is that sore?

SHE LAUGHS

That tickles!

Ticklish, right.

Bella had an X-ray when she first arrived at hospital.

Dr Wong takes a look.

This is the thigh bone, which has got a pin in it.

It seems to be a nice, straight line.

If we look on this side, we can see the nice, straight line has gone.

It looks as though she's got a fracture in her left hip,

and the question is, is it an older injury,

or is it one that she's done whilst dancing with her cousin last night?

To find out, Dr Colin rings Bella Rose's regular doctor.

While waiting, she does what all poorly people do.

Nice moves, Bella Rose!

I've spoken with the bone doctor at Sheffield Children's Hospital,

and she's said the injury is an old one.

Good news, it isn't broken again.

I think it's just a passing pain.

Hopefully, it'll be all right tonight.

You take care. Easy on the dancing!

I'm going to keep on dancing!

Good for you.

Bye-bye, Bella Rose!

This series has just been just what the doctor ordered.

-Yes!

-Ow!

It's been fast!

Fun!

And at times, a little bit frightening.

Have you got that? SIREN BLARES

We've met incredible medical experts.

You've actually cracked the bone on the front of your head.

-What?

-We need to do an operation.

-Huh?

It was not that bad.

Phew!

TOOT! THEY LAUGH

That is amazing.

We've witnessed real heroes at work.

Super-Xand.

No, it's never time for him.

They've definitely put us to shame.

That is extremely stressful.

-I feel a bit silly.

-Sorry!

We've been intrigued by medical mysteries.

Why do I got a squishy nose?

Why do we faint?

How come I've got a bigger mouth than my sister?

Wow!

And totally inspired by our Ouch patients.

-There are some days where I've had no pain.

-Thumbs up.

Plus, our experiments have put the awe...

..into awesome.

That is an amazing view.

So that's it till next time on Operation Ouch!

And now this is the end of being on TV.

LAUGHTER

-So take care of yourself.

-And that brilliant body of yours.

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

-Bye!

Coming up...

-What's happening?

-Go right back. Go right back.

Stop. Stop. Stop. Forward a bit.

OK. Now go back.

Yeah, go forward, go forward.

So the wheels turn around.

It's not going to make any sense with that dog

in the background, is it?

LAUGHTER