Gob-smacking Growth Plates

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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 > 0:00:34Your body's amazing, and we're going to show you why.

0:00:34 > 0:00:35LAUGHTER

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

0:00:38 > 0:00:39BOTH: Man overboard.

0:00:39 > 0:00:41SIREN BLARES

0:00:41 > 0:00:43Ouch & About hits the wards.

0:00:43 > 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 > 0:00:54Hello.

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

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

0:01:01 > 0:01:02That is an amazing view.

0:01:02 > 0:01:04Are you ready to join us?

0:01:04 > 0:01:05Woo!

0:01:06 > 0:01:09Well, it's lucky I was wearing my swimming trunks today.

0:01:10 > 0:01:11Coming up today...

0:01:11 > 0:01:12..on Operation Ouch!

0:01:16 > 0:01:18Xand's having a party.

0:01:18 > 0:01:19What a disaster.

0:01:19 > 0:01:21Ouch Patient Maisie is back.

0:01:21 > 0:01:23That's super exciting.

0:01:24 > 0:01:26And there's a baby on board.

0:01:26 > 0:01:28Actually, should be head the other way.

0:01:28 > 0:01:29But first...

0:01:29 > 0:01:33Come on, Chris, it's time to get to the emergency department.

0:01:33 > 0:01:35Apparently, there's a new case.

0:01:37 > 0:01:39Over in accident and emergency,

0:01:39 > 0:01:43five-year-old Dominic is playing with his brothers Daniel and Davien.

0:01:45 > 0:01:47You don't look ill, Dominic.

0:01:47 > 0:01:49- What's up?- I've got something stuck in my ear.

0:01:50 > 0:01:52You've got something stuck in your ear?

0:01:52 > 0:01:53What happened?

0:01:54 > 0:01:56Let's look at the concrete evidence.

0:01:56 > 0:01:59Dominic was 100%, without a doubt, at school.

0:01:59 > 0:02:01Indeed, is that all you have?

0:02:01 > 0:02:04Well, that's it, Chris, but I do have some strong leads.

0:02:04 > 0:02:07- Go on.- One lad told me he was fiddling with a wobbly tooth,

0:02:07 > 0:02:10when it pinged out straight into Dominic's ear.

0:02:10 > 0:02:13- Right.- Another girl saw ants trampolining in the playground,

0:02:13 > 0:02:15and one ant flipped right in.

0:02:15 > 0:02:17Unlikely.

0:02:17 > 0:02:20And the headteacher spotted a tiger flicking marbles straight at

0:02:20 > 0:02:23- Dominic.- Xander, are you making this up?

0:02:23 > 0:02:24Well, yes. But...

0:02:24 > 0:02:26No buts. No-one knows what happened.

0:02:26 > 0:02:27Not even Dominic.

0:02:27 > 0:02:30But whatever it was, it most certainly gave him a reason to go...

0:02:30 > 0:02:32- BOTH:- .."ouch!"

0:02:32 > 0:02:35The doctor's going to pick it out.

0:02:35 > 0:02:36- Dominic?- Here he is.

0:02:41 > 0:02:43When did you put something in your ear?

0:02:43 > 0:02:44Well, there was a tiger...

0:02:44 > 0:02:45Don't start that again.

0:02:45 > 0:02:48- Shall we have a look?- I think Daniel's beaten you to it.

0:02:48 > 0:02:50And then you can see in.

0:02:50 > 0:02:52And Davien too.

0:02:52 > 0:02:55- I can see a pencil.- Wow, I'd never have thought of that.

0:02:55 > 0:02:58I think you're right. I think it might be the tip of a pencil.

0:02:58 > 0:03:01Worst-case scenario, this could cause damage to his eardrum.

0:03:01 > 0:03:02So, we need to get it out, really.

0:03:02 > 0:03:04Be right back in a sec, all right?

0:03:04 > 0:03:05Be quick, Dr Ashley.

0:03:05 > 0:03:09There are three budding doctors here, and they're after your job.

0:03:09 > 0:03:12Your temperature is 38.3.

0:03:12 > 0:03:14Your eyes are not very good.

0:03:14 > 0:03:16You need to put some cream in your eye.

0:03:16 > 0:03:18Quick doc, poor mum.

0:03:18 > 0:03:20Just in the nick of time.

0:03:20 > 0:03:21Shall we try and get it out?

0:03:21 > 0:03:25Dr Ashley is going to use a probe to try and hook it out.

0:03:25 > 0:03:26Are you ready?

0:03:26 > 0:03:29The bit of pencil was actually a bit bigger than I thought it was going to be.

0:03:29 > 0:03:30You're being very good.

0:03:30 > 0:03:34So, it's difficult for me to get behind it to hook it out.

0:03:34 > 0:03:36OK, so what's plan B?

0:03:36 > 0:03:37We're going to use some forceps.

0:03:37 > 0:03:39Forceps it is.

0:03:39 > 0:03:42They're like a big pair of tweezers to try and grab it out.

0:03:42 > 0:03:43Couldn't quite grip it.

0:03:43 > 0:03:46It's a bit too far in the ear. Almost had it.

0:03:46 > 0:03:49Uh-oh, is there anything else left to try?

0:03:49 > 0:03:53Find out later if Dr Ashley can finally draw a line under this pesky

0:03:53 > 0:03:54pencil ear problem.

0:03:59 > 0:04:00And now to our lab.

0:04:01 > 0:04:04It's time for some big body experiments.

0:04:04 > 0:04:05Some of them gory...

0:04:05 > 0:04:08This is not for the squeamish.

0:04:08 > 0:04:09Some extreme.

0:04:09 > 0:04:11It's freezing!

0:04:11 > 0:04:12So, are you ready?

0:04:13 > 0:04:15Just don't try anything you see here at home.

0:04:17 > 0:04:21Today is about cells, and I'm using this modelling clay to...

0:04:21 > 0:04:23Xand, what are you doing?

0:04:23 > 0:04:26Well, I thought I'd take the opportunity to make some new

0:04:26 > 0:04:30creatures for my new aquarium since the last one didn't go so well.

0:04:30 > 0:04:31Well, that is an understatement.

0:04:31 > 0:04:33You flooded the entire lab.

0:04:33 > 0:04:36So, we did agree no more aquariums.

0:04:36 > 0:04:38Well, I didn't agree.

0:04:38 > 0:04:41Your body is made up of trillions of cells and it makes new cells

0:04:41 > 0:04:43when old cells divide in half.

0:04:43 > 0:04:45This is a process called mitosis,

0:04:45 > 0:04:49and this happens to millions of cells around your body every second.

0:04:49 > 0:04:51Now, mitosis works like this.

0:04:51 > 0:04:52Chris, show me a new cell.

0:04:53 > 0:04:57Now, this cell will grow bigger and bigger while it makes a copy of all

0:04:57 > 0:04:59its contents including its DNA.

0:04:59 > 0:05:02Then, it checks everything is in order, and if it is,

0:05:02 > 0:05:05it splits itself in half making two new cells.

0:05:05 > 0:05:09And then the cycle begins again, producing four cells, then

0:05:09 > 0:05:14eight cells, then 16 cells, then 32, 64, 128,

0:05:14 > 0:05:17then 256, then 512...

0:05:17 > 0:05:20Xand, I think everyone gets the idea.

0:05:20 > 0:05:22CRASH!

0:05:22 > 0:05:25This is what real mitosis looks like sped up.

0:05:25 > 0:05:28Watch this cell as it splits in two.

0:05:28 > 0:05:30This is how lots of your body parts grow.

0:05:30 > 0:05:32But how do your bones get bigger?

0:05:32 > 0:05:35After all, they're mostly made of a mineral, a bit like rock,

0:05:35 > 0:05:37and rocks don't divide.

0:05:37 > 0:05:39Xand, to understand this, we need a bone.

0:05:39 > 0:05:41One human bone coming up.

0:05:41 > 0:05:43Chris, we've got a few in there.

0:05:43 > 0:05:45What size are you looking for?

0:05:45 > 0:05:48I don't know, something about that long, a humerus maybe.

0:05:48 > 0:05:49Come on out, humerus. Come on, come with me.

0:05:49 > 0:05:52Come on, that's good. Now, stand there next to Dr Chris.

0:05:52 > 0:05:55Right, Dr Chris meet humerus, humerus meet Dr Chris.

0:05:55 > 0:05:56Xand, this isn't humerus.

0:05:56 > 0:05:58This is Esther. Hi, Esther.

0:05:58 > 0:05:59Hi, Chris.

0:05:59 > 0:06:01Esther has broken her collarbone.

0:06:01 > 0:06:02How did you do that?

0:06:02 > 0:06:05My brother pushed me off a mini bike.

0:06:05 > 0:06:07- Ouch!- Is he in trouble?

0:06:07 > 0:06:08- Yes.- Good.

0:06:08 > 0:06:12Now, moving on from the collarbone, we can now see...

0:06:13 > 0:06:15..the humerus. That's the arm bone.

0:06:15 > 0:06:18At the top of the humerus is the growth plate.

0:06:18 > 0:06:20It's made of a soft, squishy material,

0:06:20 > 0:06:23and there are cells there that produce cartilage.

0:06:23 > 0:06:26The cartilage then hardens up and turns into bone that's added

0:06:26 > 0:06:29in layers, and that is how your bones grow.

0:06:29 > 0:06:32Chris and my bones are not still growing, but Esther's are,

0:06:32 > 0:06:34and so are yours. Once you get to be an adult,

0:06:34 > 0:06:36your growth plates close up.

0:06:36 > 0:06:39Esther, thank you very much for coming into our lab and showing us

0:06:39 > 0:06:41your amazing arm X-ray.

0:06:41 > 0:06:43All right, humerus, back to the cupboard. Go on, off you go.

0:06:43 > 0:06:44CREAKING

0:06:44 > 0:06:48Do you know, Chris, I've been thinking, why does it take so long

0:06:48 > 0:06:52to grow? I mean, waiting to get taller is just so boring!

0:06:52 > 0:06:55Well, that is a great question, Xand. Let's find out.

0:06:56 > 0:07:00To show you why your bones take years to grow and make you taller,

0:07:00 > 0:07:02Xand and I are going to make some bones.

0:07:02 > 0:07:04One femur each to be precise.

0:07:04 > 0:07:06- The leg bone.- We'll both be using

0:07:06 > 0:07:09this plaster putty to represent the cartilage

0:07:09 > 0:07:11cells in the growth plate.

0:07:11 > 0:07:12It's not real bone,

0:07:12 > 0:07:15but it will set hard like the cartilage in your body.

0:07:15 > 0:07:17I'm going to be making my bone the natural way.

0:07:17 > 0:07:21I'm going to be making my bone the much more fun and quick way.

0:07:21 > 0:07:24I'm calling it the all-in-one, one-stop shop,

0:07:24 > 0:07:26overnight bone making method.

0:07:26 > 0:07:28- Catchy.- I thought so.

0:07:28 > 0:07:30OK, Chris, are you ready?

0:07:30 > 0:07:31I am ready.

0:07:31 > 0:07:32WHISTLE BLOWS

0:07:32 > 0:07:36I'm chucking all mine in this plastic tube to make the bone

0:07:36 > 0:07:38in one go. I'll be done in no time.

0:07:38 > 0:07:40No plastic tubes for me, Xand.

0:07:40 > 0:07:44I'm trying to be as true to how our bodies build bones in real life as I

0:07:44 > 0:07:46can. So, I'm drying each layer,

0:07:46 > 0:07:49making it set firm before adding another.

0:07:49 > 0:07:50Well, I must say,

0:07:50 > 0:07:53my one-stop, bone shop, overnight method

0:07:53 > 0:07:55is really working out well.

0:07:55 > 0:07:57I'm getting a bit bored with how long this is taking you.

0:07:57 > 0:08:00I'm going to go find something else to do.

0:08:00 > 0:08:02I can't believe Xand thinks his bone is finished.

0:08:02 > 0:08:04This takes time.

0:08:06 > 0:08:09So, this is a bit more like what happens in your body.

0:08:09 > 0:08:13Your growth plate lays soft cartilage down on the top of the

0:08:13 > 0:08:17bone shaft, and that cartilage then gradually is turned into bone

0:08:17 > 0:08:18and becomes hard.

0:08:23 > 0:08:24Oh, come on, Chris!

0:08:24 > 0:08:25We've got to finish here!

0:08:25 > 0:08:28I mean, that's growing about as fast as real humans!

0:08:28 > 0:08:30Xand, that is the whole point.

0:08:30 > 0:08:35I may not have made much, but this is almost as strong as real bone.

0:08:35 > 0:08:38Are you honestly telling me that this femur that you have made

0:08:38 > 0:08:41has the required structural stability?

0:08:41 > 0:08:42I absolutely am.

0:08:44 > 0:08:45Hm... Oh, no!

0:08:47 > 0:08:49Oh, no, it's all going wrong!

0:08:49 > 0:08:52Xand's bone is all floppy and hasn't set.

0:08:52 > 0:08:53If this was a real person,

0:08:53 > 0:08:56it would be a very weak femur and they'd be flopping about

0:08:56 > 0:08:57on the ground.

0:08:57 > 0:08:58What a disaster!

0:09:00 > 0:09:04So, we've shown you that the cells in your body multiply by a process

0:09:04 > 0:09:05called mitosis.

0:09:05 > 0:09:08This, and the special growth plates at the end of your long bones

0:09:08 > 0:09:10help you grow.

0:09:10 > 0:09:13And we've shown you that growing bones has to take time,

0:09:13 > 0:09:15otherwise you'd end up with floppy, soft ones.

0:09:17 > 0:09:19Well, I must say, Xand, this is a much more responsible

0:09:19 > 0:09:21sea life diorama.

0:09:21 > 0:09:23No aquarium, and no risk of flooding.

0:09:23 > 0:09:25I'll see you in the morning.

0:09:25 > 0:09:26Right.

0:09:28 > 0:09:29Swim time, everybody.

0:09:35 > 0:09:39Meet Kayden, Maisie, Bolou, and Millie.

0:09:39 > 0:09:42We're following them across the series as they let us know what it's

0:09:42 > 0:09:44like to be a regular hospital outpatient.

0:09:44 > 0:09:49They invite us into their lives, at home, and as they undergo treatment.

0:09:49 > 0:09:51We're catching up with 11-year-old, Maisie.

0:09:51 > 0:09:52Hello.

0:09:52 > 0:09:56She has coeliac disease, which means she can't eat gluten.

0:09:56 > 0:09:59I have a hospital appointment with the dietician.

0:09:59 > 0:10:04She's the person who tells me if I'm doing my gluten-free diet correctly.

0:10:04 > 0:10:07And I'm really hoping that she'll have my blood result.

0:10:07 > 0:10:10If it's good, then I should be able to be eat oats.

0:10:10 > 0:10:13So, that's super exciting.

0:10:13 > 0:10:15Fingers crossed.

0:10:15 > 0:10:17Maisie has regular tests to detect the levels of gluten

0:10:17 > 0:10:19antibodies in her blood.

0:10:19 > 0:10:22She needs her blood count to have gone down for her to be able to eat

0:10:22 > 0:10:23those oats.

0:10:23 > 0:10:25This was just after you were diagnosed...

0:10:25 > 0:10:28- Yeah.- And you were just under 32.

0:10:28 > 0:10:30Today, it was just under 64.

0:10:30 > 0:10:33- So, it's going up.- OK.- So, it means that there are some gluten

0:10:33 > 0:10:35sneaking in somewhere, basically.

0:10:35 > 0:10:38If you feel like you've stuck to it 100%, that's great,

0:10:38 > 0:10:39but there could be some contamination

0:10:39 > 0:10:41that we don't know about.

0:10:41 > 0:10:45Uh-oh, some pesky gluten has crept into Maisie's diet.

0:10:45 > 0:10:46If you're getting a bit of the runs,

0:10:46 > 0:10:50have a sort of think about what have you eaten in the last 24 hours.

0:10:50 > 0:10:53- Right.- Keep a little diary if you need to, keep a little notepad.- OK.

0:10:53 > 0:10:56And it might be over time you start to see more of a pattern.

0:10:56 > 0:11:01I found out that my results had gone up at quite a steep hill.

0:11:01 > 0:11:05They were just under 64, so I can't eat oats,

0:11:05 > 0:11:07which I'm pretty disappointed about.

0:11:07 > 0:11:10Maisie's done well keeping an eye on her diet so far,

0:11:10 > 0:11:11but there's a little bit more work to do.

0:11:11 > 0:11:13See you later, bye!

0:11:17 > 0:11:19Remembered Dominic with the pencil in his ear?

0:11:19 > 0:11:20I do, Chris. I do.

0:11:20 > 0:11:22I remember it very well.

0:11:22 > 0:11:24Well, let's find out how he's getting along.

0:11:24 > 0:11:27Good. Good, good, good, good, good plan. Good plan. Good plan.

0:11:27 > 0:11:31Earlier, Dominic arrived in the emergency department with...

0:11:31 > 0:11:34..with something stuck in my ear.

0:11:34 > 0:11:36And no-one really knew what was stuck in there.

0:11:37 > 0:11:40It could have been a flying, wobbly tooth,

0:11:40 > 0:11:43a trampolining ant, or a tiger's marble.

0:11:43 > 0:11:46Xand, the doctor said it was lead from a pencil.

0:11:46 > 0:11:48BOTH: Ouch!

0:11:48 > 0:11:52Dr Ashley tried to use a probe, then some forceps to remove it.

0:11:52 > 0:11:54- Almost had it.- And neither worked.

0:11:54 > 0:11:56So, now it's third time lucky, we hope.

0:11:57 > 0:12:01Dr Ashley is going to squirt warm water into Dominic's ear using

0:12:01 > 0:12:03a syringe to try and flush the pencil out.

0:12:04 > 0:12:06Now, I need you to stay very still for me.

0:12:06 > 0:12:08And that dislodged it a bit,

0:12:08 > 0:12:11so then I was able to go in and hook it out with the probe.

0:12:11 > 0:12:15- Have you got it?- Hurray, we've got it. There we go.

0:12:15 > 0:12:17Success! It was a pencil.

0:12:17 > 0:12:21The award for perseverance and bright ideas goes to

0:12:21 > 0:12:22Dr Ashley Timings-Thompson.

0:12:24 > 0:12:27We've managed to get the object out of his ear, so he can go home.

0:12:27 > 0:12:29Any lessons learned, Dominic?

0:12:29 > 0:12:33I've learned never to get something in my ear.

0:12:33 > 0:12:37Good plan. Never get something in your ear ever again.

0:12:37 > 0:12:38See you later, guys.

0:12:38 > 0:12:39- Bye, everyone wave.- Bye.

0:12:39 > 0:12:40BOTH: Bye!

0:12:43 > 0:12:46Still to come - Chris is put through his paces.

0:12:46 > 0:12:48Keep going if you can, Chris.

0:12:48 > 0:12:51And Ouch Patient Kayden returns.

0:12:51 > 0:12:53Today's my last day at primary school.

0:12:56 > 0:12:58Did you know that if a baby continues to grow at the rate

0:12:58 > 0:13:00they do in the first year of their life,

0:13:00 > 0:13:04by the time they reached adulthood they'd be over nine metres tall.

0:13:04 > 0:13:06That's twice the height of a double-decker bus.

0:13:06 > 0:13:08Wow!

0:13:12 > 0:13:16Amazing people do lots of important jobs inside and outside hospitals

0:13:16 > 0:13:18that help to keep you safe.

0:13:18 > 0:13:20But what will happen when we have a go?

0:13:20 > 0:13:22I feel a bit silly.

0:13:22 > 0:13:24This is Operation Takeover.

0:13:25 > 0:13:27Can you guess who today's hero is?

0:13:27 > 0:13:28Well, I'll give you a clue.

0:13:28 > 0:13:31You'll have met today's hero when you were as old as this little guy,

0:13:31 > 0:13:33but you won't remember.

0:13:33 > 0:13:34Did you guess it?

0:13:34 > 0:13:37Today's hospital hero is head midwife Simon.

0:13:38 > 0:13:43In the UK, there are 700,000 babies born every year,

0:13:43 > 0:13:44and luckily for us,

0:13:44 > 0:13:47there are thousands of midwives who make sure they arrive safely.

0:13:48 > 0:13:52Before mums go in to labour, the natural process when a baby is born,

0:13:52 > 0:13:56midwives like Simon give special training called antenatal classes.

0:13:56 > 0:14:00So, I want you to imagine you've got a really, really big bump.

0:14:00 > 0:14:02So, one of the things that happens when you go into labour is you get

0:14:02 > 0:14:04these pains that come across your tummy,

0:14:04 > 0:14:06and your natural instinct would be to tense up.

0:14:06 > 0:14:09So, one of the most important things you can do when you're a woman in

0:14:09 > 0:14:11labour is be as relaxed as possible.

0:14:11 > 0:14:14Simon has some top tips on relaxation techniques.

0:14:14 > 0:14:19Right, I want you to imagine that you're sat on a really sunny beach.

0:14:19 > 0:14:21Take a really big breath.

0:14:21 > 0:14:23That's it. And out again.

0:14:24 > 0:14:26No snoring, Xand.

0:14:26 > 0:14:28So, in the next thing I'm going to teach you about is how to get

0:14:28 > 0:14:29the baby in the best position.

0:14:29 > 0:14:33So, you want it to be head down and its head either to one side

0:14:33 > 0:14:35or the other side.

0:14:35 > 0:14:36There are exercises to help with this too.

0:14:37 > 0:14:40We've seen just how important midwives are for helping women

0:14:40 > 0:14:42to deliver their babies.

0:14:42 > 0:14:46But will our time as midwives be as smooth as a baby's bottom?

0:14:47 > 0:14:51It's time for us to take over as midwives.

0:14:52 > 0:14:55Your challenge today is you're going to teach an antenatal class to some

0:14:55 > 0:14:56real pregnant women.

0:14:56 > 0:14:58We're going to be judged on...

0:15:02 > 0:15:05I have been going to antenatal classes

0:15:05 > 0:15:07because my wife is about to have a baby.

0:15:07 > 0:15:08Xand, how are you feeling?

0:15:08 > 0:15:11I'm just wondering if I can use the birthing ball to sort of bounce the

0:15:11 > 0:15:12babies out.

0:15:15 > 0:15:19We'll both be trying our best with these three very kind mums-to-be.

0:15:19 > 0:15:21I hope they know what they've let themselves in for.

0:15:21 > 0:15:24Simon will be watching our every move.

0:15:24 > 0:15:27First of all, how nice can we be?

0:15:27 > 0:15:28Judging from bumps,

0:15:28 > 0:15:32you're all fairly advanced in pregnancy and you're the most due,

0:15:32 > 0:15:33- aren't you?- Most advanced, yeah.

0:15:33 > 0:15:35- OK.- He's being really nice.

0:15:35 > 0:15:39His eye contact and just his general manner was lovely.

0:15:39 > 0:15:41Step aside for Grandmaster Nice.

0:15:41 > 0:15:44Can we start off sitting on the balls?

0:15:44 > 0:15:45Is that ball approximately OK for you?

0:15:45 > 0:15:47- Yes, that's fine. Thank you.- Lovely.

0:15:47 > 0:15:50He's given Becky the biggest ball, which is good cos she's really tall.

0:15:50 > 0:15:52Very nice. Really warm and friendly.

0:15:54 > 0:15:56OK, time to relax.

0:15:56 > 0:15:59Taking a really deep breath in through your nose

0:15:59 > 0:16:00and out through your mouth.

0:16:00 > 0:16:04And feel your shoulders going relaxed.

0:16:04 > 0:16:05That's really good.

0:16:05 > 0:16:07Really relaxed.

0:16:07 > 0:16:10I really liked the visualising technique that he used.

0:16:10 > 0:16:11Closing my eyes.

0:16:11 > 0:16:13It was really good.

0:16:13 > 0:16:14Top that, Xand.

0:16:14 > 0:16:18What I want you to imagine is that you are on a beach,

0:16:18 > 0:16:22maybe you can feel the sand, hear the waves crashing.

0:16:22 > 0:16:26He's described it really well, the beach and the sea.

0:16:26 > 0:16:27Touche, Chris.

0:16:29 > 0:16:32Finally, how's our communication?

0:16:32 > 0:16:35If the baby is a back labour position...

0:16:35 > 0:16:38He's got the baby the wrong way round.

0:16:38 > 0:16:39Get it right, Chris.

0:16:39 > 0:16:40Should be head the other way.

0:16:40 > 0:16:41LAUGHTER

0:16:42 > 0:16:44He's the wrong way around, there.

0:16:44 > 0:16:45Ha! Snap!

0:16:45 > 0:16:47So, one of the really good things you can do,

0:16:47 > 0:16:49if you stand up straight,

0:16:49 > 0:16:52having a straight back with that nice lumbar lordosis we call it,

0:16:52 > 0:16:53the curve of the back.

0:16:53 > 0:16:55That was a bit technical.

0:16:55 > 0:16:57Lumbar shmumbar, Chris.

0:16:57 > 0:17:00Some of the words Chris used were a bit over my head.

0:17:00 > 0:17:04It's actually quite terrifying to talk to a group of pregnant women

0:17:04 > 0:17:05who are this pregnant.

0:17:05 > 0:17:08If you come across a bit nervous, they might not believe what you say.

0:17:08 > 0:17:11Put the pillow between your legs and just slightly tilt it over.

0:17:11 > 0:17:15I'm getting the mums-to-be to try various positions to help get

0:17:15 > 0:17:17the baby in the right one for it to be born.

0:17:17 > 0:17:20Up to you, Chris, but I'm showing them how it should be done.

0:17:20 > 0:17:23Pillow between your legs is to try and have the pelvis a bit more open,

0:17:23 > 0:17:26and that allows for the baby's head to shift down a bit.

0:17:26 > 0:17:29Trying more positions on ourselves rather than just talking about it

0:17:29 > 0:17:31would have been maybe a bit more helpful.

0:17:31 > 0:17:34Thank you very, very much indeed. Good luck.

0:17:34 > 0:17:36Class dismissed. It's time for the verdict.

0:17:36 > 0:17:38Simon, how did we do?

0:17:38 > 0:17:40So, from a relaxation perspective,

0:17:40 > 0:17:43the women felt relaxed in both of the classes.

0:17:43 > 0:17:46- So, you did a good job.- So, we're dead heat for relaxation, really.

0:17:46 > 0:17:49Niceness, your mum would be really proud of you both.

0:17:49 > 0:17:51- You're both really, really nice. - Aw!- Yeah.

0:17:51 > 0:17:54So, it's down to the final category - communication.

0:17:54 > 0:17:56Xand, you we're really quite nervous.

0:17:56 > 0:18:00- OK.- And Chris was quite happy to get the women to move around and do stuff.

0:18:00 > 0:18:03- Oh.- You tended to talk more about it.

0:18:03 > 0:18:06Simon, who is the overall winner of today's challenge?

0:18:07 > 0:18:09- Dr Chris.- Oh!- Yes!

0:18:09 > 0:18:12You know what, this is the one challenge that I'm happy to lose

0:18:12 > 0:18:14because it's quite important that you know what you're doing

0:18:14 > 0:18:16when your wife has a baby soon.

0:18:16 > 0:18:18If there's one thing we've learned today,

0:18:18 > 0:18:22it's that midwifery is definitely best left to the professionals.

0:18:22 > 0:18:23Time to hand our jackets back.

0:18:25 > 0:18:27- Thank you very much indeed. - Thank you.

0:18:27 > 0:18:33Hi, everyone. Well, since we filmed Operation Ouch, I have had a baby!

0:18:33 > 0:18:34Look at this. This is Lyra.

0:18:34 > 0:18:36Ouch viewers, meet an Ouch baby.

0:18:36 > 0:18:39All that Lyra does at the moment

0:18:39 > 0:18:41is eat, and sleep, and scream,

0:18:41 > 0:18:44and poo in huge quantities.

0:18:44 > 0:18:48Don't you? So, she's a bit like her Uncle Xand, really.

0:18:48 > 0:18:49Oi, cheeky!

0:18:53 > 0:18:55Hi, I'm Kayden.

0:18:55 > 0:18:57Last time we followed ten-year-old Kayden,

0:18:57 > 0:19:01who has cystic fibrosis, to his hospital check-up.

0:19:01 > 0:19:04Because of Kayden's condition, he has to have a special diet.

0:19:04 > 0:19:08I have to have high fat food like cake and chocolate.

0:19:08 > 0:19:12Kayden's high-fat diet is important because mucus clogs his pancreas

0:19:12 > 0:19:15which produces the enzymes to help him digest his food.

0:19:17 > 0:19:18My mum helps me monitor my food,

0:19:18 > 0:19:22but I'm going up to my secondary school soon,

0:19:22 > 0:19:25which means I'll have to monitor it a bit more,

0:19:25 > 0:19:27which I'm not looking forward to.

0:19:27 > 0:19:30Today's my last day at primary school,

0:19:30 > 0:19:32and it's my leaving assembly.

0:19:34 > 0:19:39I got a medal and a certificate for getting better at everything.

0:19:39 > 0:19:41Well done, Kayden!

0:19:41 > 0:19:43I'm just about to get my lunch.

0:19:43 > 0:19:45As well as having a high-fat diet,

0:19:45 > 0:19:48Kayden has to take tablets containing enzymes

0:19:48 > 0:19:50which help him break down his food.

0:19:50 > 0:19:54Miss Brown normally gives me my medication.

0:19:54 > 0:19:56I have three tablets with my dinner...

0:19:57 > 0:20:00..and I have two tablets with my pudding.

0:20:00 > 0:20:02If he doesn't have his enzymes with his food,

0:20:02 > 0:20:04he won't digest his food properly

0:20:04 > 0:20:07and you get a really poor little bellyache, don't you, Kayden?

0:20:07 > 0:20:10And sometimes, I have to do it all by myself.

0:20:10 > 0:20:13I'm kind of excited, cos that means I won't have Miss Brown going,

0:20:13 > 0:20:15"Take your tablet."

0:20:15 > 0:20:17Thanks for following my story.

0:20:17 > 0:20:19See you next time, bye!

0:20:21 > 0:20:23Ouch!

0:20:24 > 0:20:27XAND SIGHS

0:20:27 > 0:20:29Er, Xand, where have you been?

0:20:29 > 0:20:31I've been on a mountain climbing expedition.

0:20:31 > 0:20:36I wanted to look at the effects of low oxygen levels on the human body.

0:20:36 > 0:20:38This is something that could really help patients.

0:20:38 > 0:20:41Well, that's true, but why did you have to go up a mountain?

0:20:41 > 0:20:43Because, Chris, at the top of mountains,

0:20:43 > 0:20:45there isn't very much oxygen.

0:20:45 > 0:20:48Did you know there is also a place in London

0:20:48 > 0:20:50where you can study exactly the same thing?

0:20:50 > 0:20:52It's a lab, and I'm going there right now.

0:20:52 > 0:20:54Time for Investigation Ouch!

0:20:58 > 0:21:00I'm visiting the Extreme Everest Team

0:21:00 > 0:21:01at University College London,

0:21:01 > 0:21:04to find out why they're researching how some people

0:21:04 > 0:21:07are better than others at surviving with low oxygen levels.

0:21:10 > 0:21:13Here to tell us what they do is Dr Denny Levett.

0:21:13 > 0:21:17We are a group of doctors who actually work in intensive care

0:21:17 > 0:21:19looking after very sick patients.

0:21:19 > 0:21:22Patients in intensive care have very serious illnesses,

0:21:22 > 0:21:25and often have low levels of oxygen in their blood.

0:21:25 > 0:21:29What we find with our patients, sadly, is that some people

0:21:29 > 0:21:32perform much better when their oxygen levels are low than others,

0:21:32 > 0:21:35and we need to understand that process better.

0:21:35 > 0:21:38Having low oxygen levels is called hypoxia.

0:21:38 > 0:21:42Your body needs a constant supply of oxygen, and if the levels drop,

0:21:42 > 0:21:45your tissues and organs stop functioning.

0:21:45 > 0:21:48So, if these doctors can learn how healthy bodies

0:21:48 > 0:21:50survive on low oxygen levels,

0:21:50 > 0:21:55it could unlock some treatments to help ill patients with hypoxia.

0:21:55 > 0:21:59Now, because it's so hard to do science on severely ill patients,

0:21:59 > 0:22:02the team here use themselves in experiments,

0:22:02 > 0:22:03as well as some select volunteers.

0:22:04 > 0:22:08This facility has special equipment which allows the team to recreate

0:22:08 > 0:22:13low oxygen levels normally found at high altitude, up mountains.

0:22:13 > 0:22:16And today, I'm going to be taking part in an experiment

0:22:16 > 0:22:19to see how my body copes with low oxygen levels.

0:22:19 > 0:22:21For the first part of the test,

0:22:21 > 0:22:23I'm in a room of normal levels of oxygen.

0:22:23 > 0:22:27I'm fitted with monitors so Dr Denny can see how my body copes

0:22:27 > 0:22:29when exercising.

0:22:29 > 0:22:31OK, Chris, off you go.

0:22:32 > 0:22:35I'm going to cycle as hard as I can for six minutes.

0:22:36 > 0:22:40Remember, this first test is at normal levels of oxygen.

0:22:40 > 0:22:42So, how's he doing, Dr Denny?

0:22:42 > 0:22:45The 99 is the oxygen levels in his blood.

0:22:45 > 0:22:48Normal is anywhere from 95 to 100.

0:22:48 > 0:22:51You're so normal, Chris! Well done!

0:22:51 > 0:22:53OK, Chris, you can stop there now.

0:22:53 > 0:22:56You've done the full six minutes. Well done.

0:22:56 > 0:22:59So, we can see that the oxygen levels in your blood

0:22:59 > 0:23:00are still normal.

0:23:00 > 0:23:01So, even though...

0:23:02 > 0:23:05..I'm totally out of breath and exhausted,

0:23:05 > 0:23:08- I haven't been unable to get oxygen. - Exactly.

0:23:08 > 0:23:11Next, I'm going to do the same thing in a special chamber

0:23:11 > 0:23:14that's had 50% of the oxygen removed -

0:23:14 > 0:23:18the same as being 5,000 metres in altitude.

0:23:18 > 0:23:21That's like being over halfway up Mount Everest!

0:23:21 > 0:23:24What would happen if I stayed in this room overnight?

0:23:24 > 0:23:27Well, the oxygen levels are such that actually,

0:23:27 > 0:23:31if you stayed here for a long period of time, you would feel very unwell.

0:23:31 > 0:23:33Best get this experiment started, then.

0:23:33 > 0:23:34So, OK, Chris.

0:23:34 > 0:23:35You can start when you're ready.

0:23:37 > 0:23:39I'm doing the same six minute work-out

0:23:39 > 0:23:41as I did outside the chamber.

0:23:41 > 0:23:43But after only a couple of minutes,

0:23:43 > 0:23:46I'm feeling the effects of the lack of oxygen in the room.

0:23:46 > 0:23:49So, we can hear Chris breathing heavily already.

0:23:49 > 0:23:51HE BREATHES HEAVILY

0:23:51 > 0:23:55We can see his oxygen levels have started to drop.

0:23:55 > 0:23:57That's way below normal.

0:23:57 > 0:24:00And you can see Chris is finding this quite hard work now.

0:24:00 > 0:24:02Keep going if you can, Chris.

0:24:02 > 0:24:03I'm really struggling.

0:24:03 > 0:24:06It's much, much harder work with less oxygen.

0:24:06 > 0:24:09Chris's oxygen levels, as you can see, are getting lower,

0:24:09 > 0:24:10and he's finding it hard.

0:24:10 > 0:24:13And I'm going to stop you there, Chris.

0:24:13 > 0:24:15HE PANTS HEAVILY

0:24:17 > 0:24:19That was unbelievably horrible.

0:24:19 > 0:24:22Like many sick patients in intensive care,

0:24:22 > 0:24:24my body struggled to cope with low oxygen levels.

0:24:24 > 0:24:28We need to study people who adapt quickly

0:24:28 > 0:24:31and people who don't adapt so well

0:24:31 > 0:24:33so we can see the difference between them is.

0:24:33 > 0:24:37Although it's in the early stages of research,

0:24:37 > 0:24:38by studying results like mine

0:24:38 > 0:24:41with other people who coped better with low oxygen levels,

0:24:41 > 0:24:45scientists like Denny hope to create new treatments that will help

0:24:45 > 0:24:48the sickest patients in hospital,

0:24:48 > 0:24:50those who are suffering with a lack of oxygen.

0:24:52 > 0:24:54Ouch!

0:24:54 > 0:24:56Chris, I cannot wait any longer.

0:24:56 > 0:25:00I am bursting to know what's happening in A&E, aren't you?

0:25:00 > 0:25:04- Yes, well, let's head back there, then.- Right, come on, let's go!

0:25:09 > 0:25:12Waiting with her mum in Sheffield Children's emergency department

0:25:12 > 0:25:16is five-year-old Megan with a nasty knock on her noggin.

0:25:16 > 0:25:18Gross alert coming up!

0:25:18 > 0:25:20I'm waiting to see the doctor.

0:25:20 > 0:25:23Well, let's find out what happened.

0:25:23 > 0:25:25It was a beautiful sunny day,

0:25:25 > 0:25:28and Megan was outside a pub garden walking along a wall...

0:25:28 > 0:25:31Like a black cat ready to pounce. Meow!

0:25:31 > 0:25:33Um, I guess so.

0:25:33 > 0:25:35Or a tight rope walker at the circus.

0:25:35 > 0:25:38- Erm...- Wibbly wobbly!

0:25:38 > 0:25:39Now you're getting carried away, Xand.

0:25:39 > 0:25:41Megan was walking along a low wall.

0:25:41 > 0:25:46- OK...- When she got to the end of the wall, she walked down some steps,

0:25:46 > 0:25:49but as she turned round to go back up, she tripped and fell head first,

0:25:49 > 0:25:50banging her head.

0:25:50 > 0:25:52BOTH: Ouch!

0:25:52 > 0:25:54And it was bleeding.

0:25:54 > 0:25:57Here to check out that banged bonce is Dr Robert Eastman.

0:25:57 > 0:25:58When anyone's had a head injury,

0:25:58 > 0:26:01it's important to assess the nerves coming out of the brain

0:26:01 > 0:26:03to make sure that they've not been affected.

0:26:03 > 0:26:05So, Dr Robert first checks the nerves that control

0:26:05 > 0:26:07Megan's eye movement.

0:26:07 > 0:26:08And then all the way down...

0:26:08 > 0:26:10Had a look in her ears, had a look in her nose.

0:26:10 > 0:26:12That's to make sure that if someone falls over

0:26:12 > 0:26:14that they've not injured anything inside the nose.

0:26:14 > 0:26:17Megan passes Dr Robert's tests with flying colours.

0:26:17 > 0:26:19Now it's time to inspect the wound.

0:26:19 > 0:26:22If I feel on your head here, does that feel OK? Yeah?

0:26:22 > 0:26:23Just look up for me.

0:26:23 > 0:26:25Uh, what's going on here?

0:26:25 > 0:26:27Keep your eye on Megan's wandering fingers.

0:26:31 > 0:26:33Uh, busted!

0:26:33 > 0:26:35So, I was just pressing with my hands to make sure

0:26:35 > 0:26:38the skin would go back together so we can Steri-Strip the wounds,

0:26:38 > 0:26:40and that will close it up nicely.

0:26:40 > 0:26:43Megan heads off to get those Steri-Strips stuck on,

0:26:43 > 0:26:45but there's something worrying her.

0:26:45 > 0:26:47It's only going to be cold water.

0:26:47 > 0:26:50It's not cold water that's troubling Megan, Mum.

0:26:50 > 0:26:52I don't want my socks on.

0:26:52 > 0:26:53You don't want your socks on?

0:26:53 > 0:26:56Is that going to affect your head? SHE LAUGHS

0:26:56 > 0:26:58Everyone knows wearing socks affects your head, Mum.

0:26:58 > 0:27:01So, all right, I'm going to start with the bit where it's not cut.

0:27:01 > 0:27:02We'll get all this blood off.

0:27:02 > 0:27:04With those Steri-Strips stuck on,

0:27:04 > 0:27:07the skin on Megan's head will start to heal straightaway.

0:27:07 > 0:27:10She'll be back to normal in no time.

0:27:10 > 0:27:11And her socks are back on.

0:27:11 > 0:27:13So, Megan, what have you learned today?

0:27:13 > 0:27:16I've learned to be more careful.

0:27:16 > 0:27:17Hopefully.

0:27:18 > 0:27:20- Fingers crossed.- Bye!

0:27:20 > 0:27:22- Bye!- Bye!

0:27:23 > 0:27:28Next time on Operation Ouch! Chris goes wild in the jungle...

0:27:29 > 0:27:31..Xand's got a watermelon on his head...

0:27:31 > 0:27:34It's refreshing and delicious.

0:27:34 > 0:27:35..and we get snippy...

0:27:35 > 0:27:37As they say, it'll always grow back.

0:27:37 > 0:27:39SIREN BLARES

0:27:39 > 0:27:41We'll see you next time for more...

0:27:41 > 0:27:43Operation Ouch!

0:27:45 > 0:27:47Chris? Chris?!

0:27:47 > 0:27:48Chris!

0:27:48 > 0:27:52Chris, wait for me! Wait for me, Chris!

0:27:53 > 0:27:54Xand, where have you been?

0:27:54 > 0:27:55I've been up a mount...

0:27:57 > 0:27:58BEEP

0:27:58 > 0:28:02It's quite hard to do it. It's quite hard to do it.

0:28:02 > 0:28:04Have you ever seen a mountain? They're massive!

0:28:07 > 0:28:08Sorry.