0:00:02 > 0:00:04Hello and welcome to Manchester's Etihad Stadium.
0:00:04 > 0:00:08Today, we begin an incredible quest that could add years
0:00:08 > 0:00:10to hundreds of people's lives.
0:00:10 > 0:00:1330,000 die-hard rugby fans are about to arrive
0:00:13 > 0:00:16for a whole day of top sporting action.
0:00:16 > 0:00:19But they'll also be greeted by this -
0:00:19 > 0:00:20our mobile health centre,
0:00:20 > 0:00:24all set for Britain's biggest ever health screening.
0:00:24 > 0:00:28We'll be looking to see how many of them have the warning signs of three killer diseases
0:00:28 > 0:00:31that can knock years or even decades off your life.
0:00:31 > 0:00:35But the good news is, they're all preventable if caught early enough.
0:00:35 > 0:00:39The conditions we're talking about today are type II diabetes,
0:00:39 > 0:00:43liver disease and heart disease,
0:00:43 > 0:00:48because, together, they kill over 100,000 Britons a year.
0:00:48 > 0:00:50And, shockingly, more than ten million of us
0:00:50 > 0:00:53could develop them in the future.
0:00:53 > 0:00:56So today, we want to save lives.
0:00:56 > 0:01:01You are 0.1 away from a diagnosis of diabetes.
0:01:01 > 0:01:03Obviously, if I hadn't come here,
0:01:03 > 0:01:05five years down the line, I could have had a big problem.
0:01:05 > 0:01:09We're joining forces with the NHS and leading health charities
0:01:09 > 0:01:13to screen people on a scale never seen before.
0:01:13 > 0:01:15So do you have a curry every day for breakfast?
0:01:15 > 0:01:18Not every day, probably every other day.
0:01:18 > 0:01:20We'll be revealing some top tips
0:01:20 > 0:01:23that will help you avoid our three silent killers.
0:01:23 > 0:01:27From showing you where your waistline really is...
0:01:27 > 0:01:29- Up there?!- Yes.
0:01:29 > 0:01:33..to how much food you can eat before piling on the pounds.
0:01:33 > 0:01:38Your meal needs to fit into those cupped hands.
0:01:38 > 0:01:40And as these diseases can affect all of us,
0:01:40 > 0:01:43we'll also be getting up close and personal
0:01:43 > 0:01:44with some well-known TV faces.
0:01:44 > 0:01:47- 5ft 3.- I'm shrinking.
0:01:47 > 0:01:51And finding out which of them need to get to grips with their health.
0:01:51 > 0:01:55For years, I sort of got away with it. Now, all of a sudden,
0:01:55 > 0:01:59I'm a middle-aged fella and I'm not getting away with it.
0:02:00 > 0:02:02And in our own unique way,
0:02:02 > 0:02:06we'll show what our three conditions really do to your body...
0:02:06 > 0:02:08I can't move my fingers
0:02:08 > 0:02:11because of the lard!
0:02:11 > 0:02:15..as we try to help stop these silent killers in their tracks.
0:02:15 > 0:02:17So, today, we're going to see
0:02:17 > 0:02:20if we can help a lot of people live a lot, lot longer.
0:02:30 > 0:02:34The Magic Weekend and a huge crowd of 30,000 is arriving
0:02:34 > 0:02:38for one of Britain's top rugby league events.
0:02:38 > 0:02:40And we've got dozens of doctors and nurses,
0:02:40 > 0:02:43and the latest medical equipment on hand,
0:02:43 > 0:02:48to screen more people in a single day than ever before.
0:02:48 > 0:02:50And they'll all start here, at level one.
0:02:50 > 0:02:52These desks will soon be manned
0:02:52 > 0:02:54by 50 volunteer nurses.
0:02:54 > 0:02:57Their mission - to determine people's risk of developing
0:02:57 > 0:02:59one of the three conditions.
0:02:59 > 0:03:02And they're going to start with this - a set of probing questions
0:03:02 > 0:03:04that will get to the truth about what they eat,
0:03:04 > 0:03:07what they drink, how much they exercise and their family history.
0:03:07 > 0:03:10They'll also measure weight and waistlines
0:03:10 > 0:03:12to see if these are increasing their risk.
0:03:12 > 0:03:14At the end of level one, many people will be given the all clear,
0:03:14 > 0:03:17but others may be told they could be at risk in the future
0:03:17 > 0:03:19if they don't make some changes now.
0:03:19 > 0:03:22And those people will either go to their GP for further tests
0:03:22 > 0:03:26or they can come here, to our level-two medical area.
0:03:26 > 0:03:28Here, a whole host of tests will give them an insight
0:03:28 > 0:03:31into exactly what's going on inside their bodies
0:03:31 > 0:03:32and why they might be at risk.
0:03:35 > 0:03:37Today's mission could be life-changing.
0:03:37 > 0:03:4130,000 fans will soon fill this stadium,
0:03:41 > 0:03:45but statistics say that up to 6,000 of them could lose years of life
0:03:45 > 0:03:47to one of our three conditions.
0:03:50 > 0:03:51Across the country,
0:03:51 > 0:03:55cases of liver disease have soared by 30% in the last decade.
0:03:57 > 0:03:59It affects your movement,
0:03:59 > 0:04:01you are constantly hurting
0:04:01 > 0:04:04and you're always tired and it just affects your day-to-day living.
0:04:04 > 0:04:06It just makes it really hard.
0:04:06 > 0:04:10And cases of type II diabetes have almost doubled
0:04:10 > 0:04:12over the last 15 years.
0:04:14 > 0:04:18It is a horrible, revolting disease
0:04:18 > 0:04:20that will do all sorts of damage to you, if you let it.
0:04:20 > 0:04:24And heart disease still remains Britain's single biggest killer
0:04:24 > 0:04:26for both men and women.
0:04:26 > 0:04:28Coronary disease, coronary heart disease,
0:04:28 > 0:04:30kills three times more women than breast cancer.
0:04:30 > 0:04:34These conditions can often be prevented and sometimes reversed
0:04:34 > 0:04:36if they're caught early enough.
0:04:36 > 0:04:39So we want to check out as many people as possible
0:04:39 > 0:04:40for the warning signs.
0:04:43 > 0:04:46In just a few minutes, we'll be opening the doors to our screening centre,
0:04:46 > 0:04:49but it's not just the people here that we're hoping to help.
0:04:49 > 0:04:52These diseases can affect all of us, no matter where we come from,
0:04:52 > 0:04:55so we invited a whole host of well-known faces to be screened
0:04:55 > 0:05:00by our Long Live Britain GP, Dr Phil Hammond, and this is what happened.
0:05:04 > 0:05:06You might think celebrities live the dream,
0:05:06 > 0:05:09but actresses, chefs and even former health ministers
0:05:09 > 0:05:13are just as likely to get one of our silent killers as anyone else.
0:05:14 > 0:05:18So I'm getting up close and personal with loads of celebs
0:05:18 > 0:05:22to find out who's at risk of one of our silent killers.
0:05:22 > 0:05:24'With my own special brand of TLC,
0:05:24 > 0:05:26'I want to help them make changes
0:05:26 > 0:05:29'that will give them many more years of life.'
0:05:29 > 0:05:31There is always that edge of fear about going in,
0:05:31 > 0:05:35but it's good to know rather than not.
0:05:35 > 0:05:39Doctors and nurses on the whole, I prefer to keep away from, if I can.
0:05:41 > 0:05:42'But what's to be scared of?
0:05:42 > 0:05:45'After all, my first tools are only a telling tape measure
0:05:45 > 0:05:48'and sobering scales.
0:05:48 > 0:05:50'Welcome to my level-one screening.'
0:05:50 > 0:05:52- I make you 180. - What's that in inches?
0:05:52 > 0:05:54Just under 5ft 11.
0:05:54 > 0:05:57I used to be 6ft 1! Is it when you get older you get shorter?
0:05:57 > 0:05:59Just over 5ft 10. Are you happy with that?
0:05:59 > 0:06:00- Can we say 5ft 11?- No.
0:06:00 > 0:06:02'Now I've got the measure of things...'
0:06:02 > 0:06:04Just step on here, then.
0:06:04 > 0:06:06'..it's time for more weighty affairs.'
0:06:06 > 0:06:08- It's not a talking scale, is it?- No.
0:06:08 > 0:06:10Cos last time I got on a talking scale, it really had a go at me.
0:06:10 > 0:06:12A little over 17 stone.
0:06:12 > 0:06:14Slightly heavier than Frank Bruno.
0:06:14 > 0:06:17'The final tool in my armoury - the humble tape measure.'
0:06:17 > 0:06:19Try and find the waist first.
0:06:19 > 0:06:20That's a challenge in itself.
0:06:20 > 0:06:24I've got quite a prominent belly button. Pushes the tape out.
0:06:24 > 0:06:25'And now it's time to find out
0:06:25 > 0:06:29'what our celebs really get up to in private
0:06:29 > 0:06:32'with our special Long Live Britain health questionnaire.'
0:06:32 > 0:06:35The questionnaires ask very specific questions,
0:06:35 > 0:06:36so we've got a good idea,
0:06:36 > 0:06:39based on their history and their habits and their family history,
0:06:39 > 0:06:42what risk category they are in.
0:06:42 > 0:06:44'First up, alcohol.
0:06:44 > 0:06:46'We all like a tipple, but who's downing what?'
0:06:46 > 0:06:48Do you drink alcohol every day?
0:06:48 > 0:06:51If I'm at home on my own, I don't drink,
0:06:51 > 0:06:53but unfortunately, I'm never on my own.
0:06:53 > 0:06:56- How often do you have a drink containing alcohol?- I like bubbles
0:06:56 > 0:06:59and I will have a nice couple of glasses of champagne with friends.
0:06:59 > 0:07:02How often during the last year have you felt guilty or remorseful
0:07:02 > 0:07:04after drinking?
0:07:04 > 0:07:07I often feel guilty or remorseful, but seldom after drinking.
0:07:07 > 0:07:11'And now, for my favourites - fitness, fags and food.'
0:07:11 > 0:07:14Do you eat takeaways or ready meals more than twice a week?
0:07:14 > 0:07:16Takeaways, maybe once a week.
0:07:16 > 0:07:18I'm fat, but I'm fit.
0:07:18 > 0:07:21I go to the boxing gym and I skip and I spar and I hit the bag.
0:07:21 > 0:07:23Have you ever smoked?
0:07:23 > 0:07:25- I'm down to about...- Honestly.
0:07:25 > 0:07:26..20.
0:07:26 > 0:07:28'And lastly, a touch of who do you think you are
0:07:28 > 0:07:31'with some family history.'
0:07:31 > 0:07:33Are all your brothers and sisters still alive?
0:07:33 > 0:07:35No. Three of them have passed away.
0:07:35 > 0:07:38- Do you know what of? - Through heart disease.
0:07:38 > 0:07:41My dad, who's sadly no longer with us, was diabetic,
0:07:41 > 0:07:43he was type II, and also my mum's diabetic.
0:07:43 > 0:07:45'Believe it or not,
0:07:45 > 0:07:48'of all the celebrities in my level-one screening,
0:07:48 > 0:07:52'I'm only discharging one with a clean bill of health.
0:07:52 > 0:07:55'And why am I not surprised it's Edwina Currie?!'
0:07:55 > 0:07:57Pretty healthy. You should be pleased with that.
0:07:57 > 0:08:01Pretty embarrassing, a former Health Minister, if you were terribly unhealthy.
0:08:01 > 0:08:02He seemed very happy,
0:08:02 > 0:08:04to my pleasure and delight,
0:08:04 > 0:08:07and my pulse is good and...
0:08:07 > 0:08:09Well, I'm a bit surprised, to be honest.
0:08:11 > 0:08:14'But the other ten aren't getting off so lightly
0:08:14 > 0:08:18'and in true showbiz style, they're all getting call-backs.'
0:08:20 > 0:08:23As soon as Phil said to me, "I'm going to do some tests,"
0:08:23 > 0:08:26I started thinking, "Hold on a minute, he fancies something's wrong."
0:08:26 > 0:08:30It changed the mood of everything straight away. I thought,
0:08:30 > 0:08:32"He knows something I don't know."
0:08:32 > 0:08:34God forbid, I don't want to live till I'm 100,
0:08:34 > 0:08:37but I wouldn't mind living till I'm 85, perhaps 95,
0:08:37 > 0:08:41so I've got another 20 years, which I'd quite like to be healthy for.
0:08:41 > 0:08:42We'll be finding out later
0:08:42 > 0:08:45what happened when our celebrities went through their medical tests,
0:08:45 > 0:08:49but now we're making the final preparations before we open the doors.
0:08:49 > 0:08:51We want to get as many people as possible
0:08:51 > 0:08:54to take action against our three silent killers.
0:08:56 > 0:09:01Our nurses are ready to man the 50 level-one testing stations.
0:09:03 > 0:09:06And our team of doctors is standing by at the stadium
0:09:06 > 0:09:10and a local hospital with the latest diagnostic equipment.
0:09:10 > 0:09:13We also have a team of statisticians.
0:09:13 > 0:09:15They're going to crunch the numbers
0:09:15 > 0:09:19to let us know how many years of life we could give back to people today
0:09:19 > 0:09:22if we help them avoid these silent killers.
0:09:22 > 0:09:25It's time to open the doors. We're off!
0:09:35 > 0:09:39- What about sugary drinks? - I'm afraid so. Bit of a weakness.
0:09:40 > 0:09:46I eat quite healthily, although it doesn't appear from the outside.
0:09:50 > 0:09:51- I don't smoke cigarettes.- Oh, right.
0:09:51 > 0:09:55- I smoke little cigars.- Uh-huh.
0:09:55 > 0:09:59As with our celebs, level-one screening is simple -
0:09:59 > 0:10:01weight, waist and height measurements
0:10:01 > 0:10:04and our special health questionnaire.
0:10:04 > 0:10:06- Do you know what your waist circumference is?- 46.- 46.
0:10:06 > 0:10:08Right, well, that's 54 inches.
0:10:08 > 0:10:11- Pat, what's it like having your waistline measured?- Terrible.
0:10:11 > 0:10:13A little bit scary.
0:10:13 > 0:10:16It seems low tech, Kathy, but it's an important measurement, isn't it?
0:10:16 > 0:10:19It is, and sometimes simple measures are the best.
0:10:19 > 0:10:22And are you looking for body shape or size here?
0:10:22 > 0:10:24Well, we're looking for body shape
0:10:24 > 0:10:26because that tells us about the distribution of fat,
0:10:26 > 0:10:29- as well as just being overweight. - Right.
0:10:29 > 0:10:31Excuse me...
0:10:31 > 0:10:33So your waist size is a basic but important measurement
0:10:33 > 0:10:36that can help identify your level of risk,
0:10:36 > 0:10:40but it seems that not all of us are measuring this vital statistic correctly.
0:10:40 > 0:10:44Dr Phil took Phil Tufnell out into Manchester to find out why.
0:10:50 > 0:10:52'Now, for some strange reason,
0:10:52 > 0:10:55'a lot of us seem to think our midriffs
0:10:55 > 0:10:57'are much smaller than they really are
0:10:57 > 0:10:59'and, particularly, us blokes.
0:11:00 > 0:11:02'So, today, I'm leading a church congregation
0:11:02 > 0:11:05'in a very different type of service.'
0:11:06 > 0:11:09We're going to play Phil and Phil's Waistline Challenge.
0:11:09 > 0:11:11Who wants to play Phil and Phil's Waistline Challenge?
0:11:11 > 0:11:13THEY CHEER
0:11:13 > 0:11:17OK, working on the basis I wouldn't ask you to do anything I wouldn't ask Phil to do first,
0:11:17 > 0:11:18Phil, you're my guinea pig.
0:11:18 > 0:11:22I want you to write what you think your waist circumference is.
0:11:22 > 0:11:26- A man's waist. Every man should know his waist circumference, and every woman. You write it down.- OK.
0:11:28 > 0:11:30- I reckon.- Show it.
0:11:30 > 0:11:32Ooh! 34 inches.
0:11:32 > 0:11:34What do we reckon? Does Phil look 34 inches to you?
0:11:34 > 0:11:36- ALL: Yeah. - Yeah, I'm quite slim.
0:11:36 > 0:11:40All the blokes, "Yeah, yeah!", and all the women are going, "Well, I don't know..."
0:11:42 > 0:11:43Thank you.
0:11:43 > 0:11:46'Now Phil's had a guess at the scale of his midriff,
0:11:46 > 0:11:49'it's time for the congregation to estimate theirs.'
0:11:49 > 0:11:52You've gone for 36 inches. Why was that, sir?
0:11:52 > 0:11:5436 inches.
0:11:54 > 0:11:55Why have you chosen that?
0:11:55 > 0:11:58I didn't choose it. That is what I am!
0:11:58 > 0:12:01LAUGHTER
0:12:01 > 0:12:03What's that 38 based on? How do you know it's 38?
0:12:03 > 0:12:05Size of my jeans.
0:12:05 > 0:12:07- Size of your jeans, OK.- Size of the jeans.- Size of the jeans.
0:12:07 > 0:12:13'But are these estimates just wishful thinking? It's time to find out.'
0:12:13 > 0:12:16What you need to do... AUDIENCE: Whoo!
0:12:16 > 0:12:18And just hold it there for a bit, mate, sorry.
0:12:18 > 0:12:20To find out what your waistline is,
0:12:20 > 0:12:22you actually go between
0:12:22 > 0:12:23the top here on the pubic bone,
0:12:23 > 0:12:25there's a little iliac crest there,
0:12:25 > 0:12:26the knobbly bit at the top, OK?
0:12:26 > 0:12:28And the top of the lower rib,
0:12:28 > 0:12:30and it's midway between the two.
0:12:30 > 0:12:32- In most people...- Up there?- Yes.
0:12:32 > 0:12:36In most people, it's roughly the level of your tummy button.
0:12:36 > 0:12:38Come on, come on.
0:12:38 > 0:12:41No sucking in, normal breathing. Breathe in, breathe, no sucking in.
0:12:41 > 0:12:43- Whoa!- Oh, my word.
0:12:43 > 0:12:47- Let's just turn round here, so everyone can see. 37.- 37.
0:12:47 > 0:12:4837!
0:12:49 > 0:12:53'So Phil's estimate was a whole three inches out.
0:12:53 > 0:12:58'But how do the rest of my waistline congregation measure up?'
0:12:58 > 0:12:59Let's have a look at those cards.
0:12:59 > 0:13:01Oh, not bad, not bad.
0:13:01 > 0:13:04OK. That's very exciting, look at those, a few differences.
0:13:04 > 0:13:07Now, if you got it right within an inch either way,
0:13:07 > 0:13:11in a very self-satisfied way, take your card down.
0:13:11 > 0:13:12Oh. Yeah.
0:13:12 > 0:13:14- Beautiful. Have you noticed?- Yeah.
0:13:14 > 0:13:16Loads of the girls got it right, blokes - all over the place.
0:13:16 > 0:13:19- Team Tufnell.- What did I say? - Yeah, you said exactly that.
0:13:19 > 0:13:22'But why were so many of the men so far off
0:13:22 > 0:13:24'when it came to this vital statistic?'
0:13:24 > 0:13:28- 36, 40. Four inches' difference, Giles.- Four out.- You're four out.
0:13:28 > 0:13:30- Now, show us, you stand up for us, show us your jeans.- Yep.
0:13:30 > 0:13:31- Those jeans, nice, 36?- Yep.
0:13:31 > 0:13:33The reason you're misinformed,
0:13:33 > 0:13:35like just about everyone else in this country,
0:13:35 > 0:13:39is that the manufacturers who make the jeans sell them to you as waist size,
0:13:39 > 0:13:40whereas, in fact, they're hip size.
0:13:40 > 0:13:44So inside, it will say waist size 36 for you.
0:13:44 > 0:13:47In fact, that's your hip size. Your waist size is 40.
0:13:47 > 0:13:50So it's the very bad people selling you the jeans.
0:13:50 > 0:13:53'The maximum safe size of your waist depends on your sex
0:13:53 > 0:13:55'and ethnic background.
0:13:57 > 0:14:00'But here's a really simple tip to keep things nice and easy -
0:14:00 > 0:14:05'aim for your waist to be less than half your height.'
0:14:05 > 0:14:07So I am six feet, which is 72 inches.
0:14:07 > 0:14:10My waist circumference should be 36 inches or less.
0:14:10 > 0:14:13Whip it up. Let's have a look, see how you are.
0:14:13 > 0:14:1536? Can I do a 36?
0:14:15 > 0:14:17Oh, yeah, no, 36-and-a-half. Not too bad.
0:14:17 > 0:14:20- So not bad, I'm nearly there, I'm nearly there.- Not too bad. Not too bad.
0:14:20 > 0:14:22Big round of applause for Dr Phil!
0:14:22 > 0:14:27'But now what I want to know is why a large waistline is so dangerous.
0:14:29 > 0:14:30'Back at our screening,
0:14:30 > 0:14:33'we've brought along a million-pound MRI scanner
0:14:33 > 0:14:34'to help give us the answer.'
0:14:36 > 0:14:38Having a big waistline isn't great for your health,
0:14:38 > 0:14:41and an MRI scan can help us understand why.
0:14:41 > 0:14:44- Doc, what's going on? - Absolutely, Phil.
0:14:44 > 0:14:46We've just scanned this lady and, as you can see here,
0:14:46 > 0:14:48what we're looking at now,
0:14:48 > 0:14:50we're not just looking at the fat on the outside,
0:14:50 > 0:14:52which is what we can all see in your own body,
0:14:52 > 0:14:54you can estimate the fat on the outside.
0:14:54 > 0:14:56We're looking at the fat on the inside
0:14:56 > 0:14:58and the MR scan shows us beautifully
0:14:58 > 0:15:01how much fat there is on the inside of the abdomen.
0:15:01 > 0:15:04The white fat around the organs,
0:15:04 > 0:15:07this is the fat which is releasing chemicals and hormones
0:15:07 > 0:15:11that damage the organs and it can, ultimately, you know,
0:15:11 > 0:15:14give rise to diabetes and heart disease.
0:15:14 > 0:15:16So this incredible machine shows
0:15:16 > 0:15:19that, when you have a large waistline,
0:15:19 > 0:15:22you're more likely to have a lot of fat on the inside as well.
0:15:22 > 0:15:25And that can be a really dangerous thing.
0:15:33 > 0:15:35'We've now screened over 100 people here in Manchester,
0:15:35 > 0:15:37'and more are arriving every hour.'
0:15:39 > 0:15:42Oh! Oh, my God! Oh, my God.
0:15:42 > 0:15:46'So far, our nurses are telling more than half
0:15:46 > 0:15:48'that their waistline is putting them at risk
0:15:48 > 0:15:52'and 48-year-old Shanique is one of them.'
0:15:52 > 0:15:5345 inches.
0:15:55 > 0:15:59- Are you serious?- Don't be scared. Yes. It's 45 inches.
0:15:59 > 0:16:01You're at a high risk of diabetes.
0:16:01 > 0:16:03- I fit the criteria...- Yeah.
0:16:03 > 0:16:07- ..um, because of my waist and my weight.- Yeah.
0:16:07 > 0:16:11And because there's been diabetes in my family
0:16:11 > 0:16:14- and stuff like that, so I fit the criteria for that.- Yeah.
0:16:14 > 0:16:17- So, basically, it's just getting tested now from the doctor.- Yeah.
0:16:17 > 0:16:19Ooh.
0:16:19 > 0:16:21Shanique is now going to have a test
0:16:21 > 0:16:24to see if she already has type II diabetes.
0:16:24 > 0:16:27Even if she gets a positive diagnosis,
0:16:27 > 0:16:28if we've caught her in time,
0:16:28 > 0:16:31it could make a big difference to her future.
0:16:35 > 0:16:38- Thank you.- All the very best. I hope your team wins.
0:16:38 > 0:16:40We've been running for about an hour-and-a-half
0:16:40 > 0:16:42- and Jen is our stats lady...- I am.
0:16:42 > 0:16:45..to fill us in on all the numbers. You love this, don't you?
0:16:45 > 0:16:47I do a little bit.
0:16:47 > 0:16:49OK, where are we at?
0:16:49 > 0:16:53We've got 168 people so far that have come through the door
0:16:53 > 0:16:57and, actually, interestingly, 80% of people who we've looked at so far
0:16:57 > 0:16:59- are at an increased risk of diabetes.- Why's that?
0:16:59 > 0:17:05Well, it turns out that 64% of people so far are overweight
0:17:05 > 0:17:09and, in fact, 31% of people are classified as obese.
0:17:09 > 0:17:11Gosh, that's staggering!
0:17:11 > 0:17:14Yeah, and so, obviously, obesity and, you know, being overweight
0:17:14 > 0:17:16is one of the major risk factors for diabetes,
0:17:16 > 0:17:19and that's why we're seeing such a high number of people at an increased risk.
0:17:19 > 0:17:21If someone finds that their questionnaire suggests
0:17:21 > 0:17:24that they are at risk of developing one of these three conditions,
0:17:24 > 0:17:27then they will be advised to go to their GP for tests and advice,
0:17:27 > 0:17:30and when Dr Phil, our GP, screened our celebrities,
0:17:30 > 0:17:32he discovered, incredibly,
0:17:32 > 0:17:35that almost all of them needed further investigation.
0:17:35 > 0:17:37So what did the tests reveal?
0:17:40 > 0:17:43I'm screening celebs to find three with risk factors
0:17:43 > 0:17:46for type II diabetes, liver and heart disease.
0:17:46 > 0:17:49I want to help turn their health around
0:17:49 > 0:17:53and give them many more years of life.
0:17:53 > 0:17:55But from the level-one questionnaire,
0:17:55 > 0:18:00ten of my celebs are still on the at-risk list.
0:18:00 > 0:18:03So it's time for my level-two screening.
0:18:04 > 0:18:06It'd be a bit of a shock
0:18:06 > 0:18:08if the doctor said to me there is something wrong,
0:18:08 > 0:18:10but at the same time, I'd like to know.
0:18:11 > 0:18:13Ah!
0:18:13 > 0:18:14- Really?- No, no.
0:18:14 > 0:18:15HE CHUCKLES
0:18:15 > 0:18:17'First up, heart disease,
0:18:17 > 0:18:20'and I want to test two of my remaining ten celebs
0:18:20 > 0:18:22'for too much damaging cholesterol.'
0:18:24 > 0:18:27Your cholesterol ratio is 5.9
0:18:27 > 0:18:30and we'd like you to be around about 4,
0:18:30 > 0:18:31so that's a bit high.
0:18:31 > 0:18:34'Cigarettes can also push up cholesterol
0:18:34 > 0:18:38'and I suspect that's what's happening to Crissy Rock.'
0:18:38 > 0:18:40Your heart risk is 15.1%.
0:18:40 > 0:18:43That means that, of 100 people like you, over the next ten years,
0:18:43 > 0:18:4615 will have a heart attack or a stroke.
0:18:46 > 0:18:48I think 15% is quite a high risk.
0:18:48 > 0:18:49It's very high.
0:18:49 > 0:18:51When I was waiting for the results,
0:18:51 > 0:18:55I didn't think that I was high risk at all, I think I was no risk.
0:18:55 > 0:18:58When he said I'm a risk,
0:18:58 > 0:19:01it was like a punch in the face, like, hang on a minute...
0:19:01 > 0:19:03'Next, liver disease.
0:19:03 > 0:19:06'I'm sending three of my ten celebs
0:19:06 > 0:19:08'to a nearby hospital for a liver scan.'
0:19:09 > 0:19:11Louise, are you sure there's a liver there?
0:19:11 > 0:19:14'This high-tech scanner uses ultrasound
0:19:14 > 0:19:17'to see if the liver's been damaged or scarred.'
0:19:17 > 0:19:20Just come towards the edge of the bed for me slightly. There you go.
0:19:20 > 0:19:23'And it's a worthwhile visit for Ricky Grover.'
0:19:23 > 0:19:25What this does suggest
0:19:25 > 0:19:28is that you have a little bit of inflammation there
0:19:28 > 0:19:31and perhaps a small amount of scarring.
0:19:31 > 0:19:32That's actually reversible,
0:19:32 > 0:19:34if you do something about it now.
0:19:34 > 0:19:40'But a few simple changes could now give Ricky a much brighter future.'
0:19:40 > 0:19:44For years, I sort of got away with it. Now, all of a sudden,
0:19:44 > 0:19:47I'm a middle-aged fella and I'm not getting away with it.
0:19:47 > 0:19:49HE MOANS
0:19:49 > 0:19:53'Back at my clinic, I now want to see who's at risk of type II diabetes.
0:19:55 > 0:19:59'And a massive eight out of ten of my celebs need checking out.'
0:19:59 > 0:20:00Blood and me don't go together.
0:20:00 > 0:20:03Seeing I'm a chef, I should be a bit more brave than that.
0:20:03 > 0:20:07'High levels of glucose in the blood is a warning sign,
0:20:07 > 0:20:09'so that's what I'm testing for now.'
0:20:11 > 0:20:15A level of 48 or over is diabetic.
0:20:15 > 0:20:16It's 34.
0:20:16 > 0:20:18Oh, man.
0:20:18 > 0:20:24'Luckily, six of the eight are in the clear - at least for now.
0:20:24 > 0:20:26'But Jodie Prenger's risk factors
0:20:26 > 0:20:29'mean that I want her to take extra care.'
0:20:29 > 0:20:32- That's partly because of your family history...- Yes.
0:20:32 > 0:20:35..and partly because you're probably carrying
0:20:35 > 0:20:36a little bit of extra weight.
0:20:36 > 0:20:38Oh, yeah. I've got bingo wings to show it.
0:20:38 > 0:20:42- It does mean you need to take action now.- OK.
0:20:42 > 0:20:45'Jodie may be a concern for me in the future,
0:20:45 > 0:20:49'but for Ricky Grover, I've got some bad news right now.'
0:20:49 > 0:20:53As we suspected, the diabetes test
0:20:53 > 0:20:55is not as good as we'd hoped.
0:20:55 > 0:20:58The level of sugar in your blood over the last three months is pretty high,
0:20:58 > 0:21:01so that suggests you probably have got diabetes.
0:21:01 > 0:21:04'It's a shock for Ricky,
0:21:04 > 0:21:08'particularly as type II diabetes could make his liver condition worse.'
0:21:09 > 0:21:11There is an actual health problem there
0:21:11 > 0:21:14and it's something that I've got to sort out
0:21:14 > 0:21:15and get on immediately, you know?
0:21:15 > 0:21:17You know, the joking stops now.
0:21:17 > 0:21:18- Ready?- Yeah.
0:21:20 > 0:21:23'And because Crissy Rock's result shows she's on the borderline,
0:21:23 > 0:21:25'I'm sending her for a further test
0:21:25 > 0:21:29'to see if she actually has type II diabetes.'
0:21:29 > 0:21:34I'm anxious because I wouldn't like to have diabetes.
0:21:34 > 0:21:36It's not like it's the flu
0:21:36 > 0:21:38and you can get a couple of tablets and it's gone,
0:21:38 > 0:21:40it's with you for the rest of your life.
0:21:40 > 0:21:42And it is life-changing.
0:21:43 > 0:21:45I hope it isn't.
0:21:45 > 0:21:48'My celebrity screening is now over,
0:21:48 > 0:21:52'and of my famous faces, only one got the all clear.
0:21:54 > 0:21:57'The others all have risk factors they now need to address
0:21:57 > 0:22:01'and three of these particularly worry me.
0:22:01 > 0:22:04'The first is Benidorm actress Crissy Rock,
0:22:04 > 0:22:05'because she has high cholesterol
0:22:05 > 0:22:10'and is waiting to find out if she also has type II diabetes.'
0:22:11 > 0:22:13- Hi, Crissy.- Oh!- How are you doing?
0:22:14 > 0:22:18Now, Crissy, I've got to start with some bad news, I'm afraid.
0:22:18 > 0:22:20We got your test result back from diabetes
0:22:20 > 0:22:23and you do have type II diabetes.
0:22:23 > 0:22:26- Shut up! I haven't. I haven't. - You have. You have.
0:22:26 > 0:22:29- Oh, no, don't.- That's really important, we need to deal with that, but also...
0:22:29 > 0:22:32- So I'm now officially diabetic?- Yes.
0:22:32 > 0:22:36What concerns me even more than that is your risk of heart disease,
0:22:36 > 0:22:41because the diabetes, plus the smoking, plus your high cholesterol,
0:22:41 > 0:22:44your risk of heart disease, with all those things, is huge,
0:22:44 > 0:22:46and that's the area I want to work with you on most of all.
0:22:46 > 0:22:49You really, really can't afford to put this off any more.
0:22:49 > 0:22:54I'm just absolutely gobsmacked. I mean...
0:22:56 > 0:23:00You've got to start making time for your own health, OK?
0:23:00 > 0:23:02I just don't know what to say.
0:23:03 > 0:23:06I don't feel ill.
0:23:06 > 0:23:09I don't feel like I've got anything wrong with me.
0:23:10 > 0:23:14Everyone wants to look OK on the outside,
0:23:14 > 0:23:17but you don't know what's going on in the inside
0:23:17 > 0:23:20and it's just unbelievable.
0:23:20 > 0:23:23'Next is former EastEnder Ricky Grover,
0:23:23 > 0:23:27'who has both type II diabetes and a scarred liver.'
0:23:27 > 0:23:29- Hi there, man, how are you doing? - Yeah, good.
0:23:29 > 0:23:33Ricky, as we both know now, you've got diabetes,
0:23:33 > 0:23:36which we need to sort out, but the main reason I want to work with you
0:23:36 > 0:23:38is your risk of liver disease.
0:23:38 > 0:23:42We did the scan on your liver that showed significant fibrosis,
0:23:42 > 0:23:45which is stiffening of the liver, and that's cos it's packed full of fat,
0:23:45 > 0:23:47and to prevent the liver getting further damage,
0:23:47 > 0:23:50we need to get a hold of your weight, lose some weight.
0:23:50 > 0:23:53I've had better reasons for someone wanting to work with me, but...
0:23:53 > 0:23:54THEY CHUCKLE
0:23:54 > 0:23:57Yeah, I'm up to... obviously, want to sort it out.
0:23:57 > 0:23:59The single most important thing you need to do
0:23:59 > 0:24:00- is to control your eating.- Yeah.
0:24:00 > 0:24:04You've got to get the mental strength to start saying no to stuff.
0:24:04 > 0:24:07'And finally, singer and actress Jodie Prenger.
0:24:07 > 0:24:10'She's OK for now, but her weight issues and family history
0:24:10 > 0:24:12'could cause her health problems in the future.'
0:24:12 > 0:24:15- Hi there.- Hello, are you all right? - I'm very well, thanks. Come on in.
0:24:15 > 0:24:19- Jodie, I've chosen you cos of your risk of diabetes.- Yeah.
0:24:19 > 0:24:21Both your parents had type II diabetes,
0:24:21 > 0:24:24so you're at risk from your family history,
0:24:24 > 0:24:27and your measurements, body shape, waist circumference and weight,
0:24:27 > 0:24:29suggest you're at quite high risk of developing it in the future.
0:24:29 > 0:24:32Talking to my mum, it's very scary, you know,
0:24:32 > 0:24:34cos you see the tablets every day
0:24:34 > 0:24:37and medicating yourself and...I don't want to have to do that.
0:24:37 > 0:24:40I want to be able to look forward to my future
0:24:40 > 0:24:43and not kind of dread it, and I know I've got that to dread,
0:24:43 > 0:24:46so I've got to make that change, I really have.
0:24:52 > 0:24:54And joining us now are our three celebrities -
0:24:54 > 0:24:58Crissy Rock, Jodie Prenger and Ricky Grover.
0:24:58 > 0:25:01And it's lovely to see you all looking so healthy and sparkly eyed as well,
0:25:01 > 0:25:03but let's go back in time a little bit.
0:25:03 > 0:25:07What was it like for you when you first got the news from Dr Phil
0:25:07 > 0:25:11that you were all at risk from our three various conditions? Ricky?
0:25:11 > 0:25:13Shocked.
0:25:13 > 0:25:16I've always been sort of quite overweight in these later years,
0:25:16 > 0:25:20but whenever I've gone to see my GP or had any kind of health checks,
0:25:20 > 0:25:23they've always said, "Amazing for the size of you,"
0:25:23 > 0:25:27- and I was just expecting that to happen again...- So you just thought you could carry on...- Yeah.
0:25:27 > 0:25:30..you're a fit bloke and you could just, you know, carry on endlessly?
0:25:30 > 0:25:32And then, all of a sudden, out of the blue,
0:25:32 > 0:25:36I hear I may have diabetes and next thing, I've got a liver problem.
0:25:36 > 0:25:38Crissy, it was a real shock for you, wasn't it?
0:25:38 > 0:25:41I was gobsmacked. I didn't feel ill.
0:25:41 > 0:25:44I don't even know what my own doctor looks like.
0:25:44 > 0:25:45I mean, I don't go there.
0:25:45 > 0:25:49My idea of exercise was bending down to zip the back of my shoe up
0:25:49 > 0:25:51or putting my coat on, that was it.
0:25:51 > 0:25:57I mean...you just don't think anything's going on
0:25:57 > 0:25:58on the inside of your body.
0:25:58 > 0:26:01Jodie, you're a fit, beautiful, lovely lady...
0:26:01 > 0:26:05- Oh, I love you. - ..and a real surprise.
0:26:05 > 0:26:08Do you know what? I actually thought it was inevitable
0:26:08 > 0:26:10that I was going to get type II diabetes
0:26:10 > 0:26:12because of my family history,
0:26:12 > 0:26:14so it's been the biggest learning curve for me, this.
0:26:14 > 0:26:17It scared me, but I'm so, so happy
0:26:17 > 0:26:19I have finally got my head out the sand,
0:26:19 > 0:26:22cos I did that, I buried it in there for so, so long.
0:26:22 > 0:26:24Well, more from our three celebrities soon
0:26:24 > 0:26:27and we'll find out what else Dr Phil has in store for them as well.
0:26:27 > 0:26:29Now, Phil Tufnell is helping our charity volunteers
0:26:29 > 0:26:32get more people into our screening. Hello, Phil, how's it going?
0:26:32 > 0:26:35Yeah, it's great. The atmosphere's great down here.
0:26:35 > 0:26:37It's just quietened off a little bit cos the rugby's on,
0:26:37 > 0:26:40but everyone's enjoying themselves, getting involved in the day.
0:26:40 > 0:26:42I've even done a bit of hula-hooping,
0:26:42 > 0:26:45talked to some Smurfs down here as well. It's all going great.
0:26:45 > 0:26:48THEY SING: # Go for an 'ealth check
0:26:48 > 0:26:51# We're going to go for an 'ealth check. #
0:26:55 > 0:26:58I've been busy catching up with some of the 40 health charity volunteers
0:26:58 > 0:27:02who are helping us make this Britain's biggest-ever screening.
0:27:02 > 0:27:06Their mission - to get as many people through the doors as possible.
0:27:06 > 0:27:10- Just down there.- Will it be all right?- Yeah, by the squash courts. - Great stuff. Thank you.
0:27:10 > 0:27:14- Nice to see you.- Have a good day. - Yeah, we will. Up the black and whites.- Up the black and whites.
0:27:14 > 0:27:17- What's the response been to people coming in?- Excellent.- Yeah?
0:27:17 > 0:27:19Everybody's been taking the leaflets.
0:27:19 > 0:27:21We've been directing them over to the centre there to be assessed.
0:27:21 > 0:27:24- Yeah?- And, yeah, been a great day up to now.
0:27:24 > 0:27:25What's all the hula-hooping about?
0:27:25 > 0:27:28- The Hula Hoops...- Get yourself fit? - ..so you can keep yourself fit,
0:27:28 > 0:27:30say to people, "Get fit, keep fit,"
0:27:30 > 0:27:33- trying to stave off this type II diabetes and...- Yeah.
0:27:33 > 0:27:36- Here you go, here you go. - Give me your jacket.
0:27:36 > 0:27:38I should be good at this.
0:27:38 > 0:27:40One foot in front of the other.
0:27:41 > 0:27:43CHEERING
0:27:43 > 0:27:45Oh, have a look at that.
0:27:45 > 0:27:46Here we go.
0:27:46 > 0:27:49All right, ladies, calm down, calm down.
0:27:49 > 0:27:52It's a bit harder than it looks. Worn out.
0:27:53 > 0:27:57One of the reasons we wanted to hold our screening at a big sporting event
0:27:57 > 0:28:00is that we can target middle-aged men.
0:28:00 > 0:28:03Men are four times less likely to go to the doc,
0:28:03 > 0:28:07but that gradual middle-age spread can soon put us in the danger zone.
0:28:07 > 0:28:12I suppose some of these guys are sort of your main target audience, sort of thing, aren't they?
0:28:12 > 0:28:15Yes, absolutely, and this is very important,
0:28:15 > 0:28:19because often you get people here that are very hard to reach,
0:28:19 > 0:28:22they won't naturally go down to their GPs' surgeries.
0:28:22 > 0:28:24- Question for you, Phil.- Yeah. - Have you done it?
0:28:24 > 0:28:26- I'm going to do it. I'm... - You're going to do it?!
0:28:26 > 0:28:30- I'm going to.- He hasn't done it yet! - No, I will.- Phil!- Why wouldn't I? - Out the way, let me do your job.
0:28:30 > 0:28:33Phil, have you thought about going for a screening?
0:28:33 > 0:28:35Well, of course I have. Why wouldn't you?
0:28:44 > 0:28:47So our charity volunteers are doing a great job
0:28:47 > 0:28:51getting lots of Manchester's middle-aged men through the door.
0:28:51 > 0:28:53You're actually off the scale, Andrew.
0:28:53 > 0:28:58This only goes up to 225 pounds.
0:28:58 > 0:29:00Your ethnic background can also make you
0:29:00 > 0:29:03more prone to our silent killers,
0:29:03 > 0:29:06a message our nurses are keen to get across.
0:29:06 > 0:29:09Being Indian and being of a different ethnic group,
0:29:09 > 0:29:11that increases your risk as well.
0:29:11 > 0:29:14It's really the diabetes risk that we're concerned about,
0:29:14 > 0:29:16because of your family history.
0:29:16 > 0:29:20And as women have smaller livers than men,
0:29:20 > 0:29:23it can take less booze to do damage.
0:29:23 > 0:29:27So our team is also on the lookout for women like 38-year-old Angela,
0:29:27 > 0:29:31who perhaps enjoy a little too much of their favourite tipple.
0:29:31 > 0:29:34Of all of the things that are being screened for today,
0:29:34 > 0:29:36I would say it would be the liver disease
0:29:36 > 0:29:40that I would be most concerned about, cos I do drink...a lot.
0:29:40 > 0:29:41SHE CHUCKLES
0:29:41 > 0:29:43So, I mean, yeah,
0:29:43 > 0:29:47I don't think it's, like, too much, but it's how much I drink,
0:29:47 > 0:29:52so I want to know where that leaves me in terms of my health. Yeah.
0:29:52 > 0:29:56- So if I was out drinking of an evening, I would have a bottle of wine...- Yep.
0:29:56 > 0:29:59..and maybe a vodka or some sort of spirit afterwards.
0:29:59 > 0:30:01So one of these and one of that.
0:30:01 > 0:30:05- Yeah, yeah.- So that would be, like, 11 units
0:30:05 > 0:30:07and that is two to three times a week?
0:30:07 > 0:30:09Mmm, yeah.
0:30:09 > 0:30:12'As Angela's drinking over twice the recommended limit,
0:30:12 > 0:30:15'the medics refer her for a liver scan later today
0:30:15 > 0:30:18'to check if there's any damage.'
0:30:18 > 0:30:21Was that a bit shocking for you? Did you expect that? Bit surprised?
0:30:21 > 0:30:25I do know how much I drink, so it's not surprising in that fact,
0:30:25 > 0:30:28but I'm keen and excited to go for further tests
0:30:28 > 0:30:32and to see the doctor and to see what the doctor recommends.
0:30:34 > 0:30:39Dr Phil, if you do want to have a drink, maybe, of an evening,
0:30:39 > 0:30:42what can you drink? What's the best thing to drink, for your liver?
0:30:42 > 0:30:45There isn't a best drink, as alcohol is alcohol
0:30:45 > 0:30:46and it all poisons the liver,
0:30:46 > 0:30:49but what you need to do is to choose a drink you like the taste of,
0:30:49 > 0:30:51so choose a wine you like the taste of in a small glass
0:30:51 > 0:30:52and sip it really slowly.
0:30:52 > 0:30:54Trouble is, particularly for women,
0:30:54 > 0:30:56is your liver is often half the size of a man's,
0:30:56 > 0:31:00so women can get cirrhosis and liver failure from half a bottle of wine a night.
0:31:00 > 0:31:04There are loads of people watching this who drink half a bottle of wine a night, or the equivalent.
0:31:04 > 0:31:08- It's really that dangerous. - I've heard about a liver holiday. Is this a good idea?
0:31:08 > 0:31:10It's brilliant. You should give your liver two days' rest,
0:31:10 > 0:31:12consecutive days' rest is best, a week.
0:31:12 > 0:31:16- So most of us, we're human, we go out, we have a bit more than we should do on a weekend.- Mmm.
0:31:16 > 0:31:18Make Monday and Tuesday your drink-free days
0:31:18 > 0:31:21and then you've given your liver a rest, you're loving your liver,
0:31:21 > 0:31:23as Ricky's learning to do, and it'll get better.
0:31:23 > 0:31:27Liver disease is an extremely dangerous condition if it's not dealt with in its early stages,
0:31:27 > 0:31:30so Dr Phil took Ricky to a couple of very unusual places
0:31:30 > 0:31:34to give him a better idea of what his liver is actually up against.
0:31:37 > 0:31:40Ricky, today we're going to be talking about your liver,
0:31:40 > 0:31:42and you can't live without it, so today, Ricky,
0:31:42 > 0:31:45- you've got to learn to love your liver.- OK.
0:31:45 > 0:31:48- You with me?- It's a bit weird, this place, ain't it?
0:31:48 > 0:31:51'I've always seen Ricky as a bit of a tough guy,
0:31:51 > 0:31:54'so I thought he'd be able to stomach the Pathology Museum
0:31:54 > 0:31:57'of Barts Hospital in London,
0:31:57 > 0:31:59'and the first operation I want him to perform
0:31:59 > 0:32:02'is to identify the size and position of my lovely liver.'
0:32:04 > 0:32:06Oh.
0:32:06 > 0:32:08Is that your final answer? Are you signing it?
0:32:08 > 0:32:10- No...- What are you doing? - I've got to write "liver".
0:32:10 > 0:32:12That's not bad, Ricky. I can give you half a mark for that.
0:32:12 > 0:32:15- It's on the right hand side. It's a bit small, a bit low.- OK.
0:32:15 > 0:32:18So if I was drawing it myself, I'd probably go over here a bit
0:32:18 > 0:32:22and round there and up to here.
0:32:22 > 0:32:24- OK.- It's the largest internal organ,
0:32:24 > 0:32:26but it doesn't have any nerves,
0:32:26 > 0:32:28so most people who can have quite advanced liver disease
0:32:28 > 0:32:30usually don't have any pain at all from it,
0:32:30 > 0:32:32which is why we call it a silent killer.
0:32:32 > 0:32:36'A healthy liver and an unhealthy one may both be pain free,
0:32:36 > 0:32:39'but can Ricky tell the difference?'
0:32:39 > 0:32:41That looks a bit swollen, innit? That one there.
0:32:41 > 0:32:42That's actually a normal size.
0:32:42 > 0:32:45That's a normal healthy liver, nice and fleshy.
0:32:45 > 0:32:46If you look at this one,
0:32:46 > 0:32:50there's a fair chance this person actually died from liver failure.
0:32:50 > 0:32:52What happens initially is you get a bit of fibrosis
0:32:52 > 0:32:55and thickening around the outside as the liver tries to cope
0:32:55 > 0:32:58with excess alcohol or sometimes a whole load of fat
0:32:58 > 0:33:01and then, when you get cirrhosis, you actually get scarring on the inside,
0:33:01 > 0:33:04so normal liver tissue is replaced by these scars,
0:33:04 > 0:33:06these white streaks are scars.
0:33:06 > 0:33:10'But now it's time to get hands on with the real thing.'
0:33:10 > 0:33:12That's not someone's liver, is it?
0:33:12 > 0:33:14No, no, that's a pig's liver.
0:33:14 > 0:33:17- OK.- But not dissimilar to ours and a similar size and shape.
0:33:17 > 0:33:18Isn't it beautiful?
0:33:18 > 0:33:21Look at the lovely... the colour and the sponginess,
0:33:21 > 0:33:22it's like a sponge, see?
0:33:22 > 0:33:25- And that's beautiful and fleshy and healthy and lovely.- OK.
0:33:25 > 0:33:28Yeah, and yeah, I mean, you could eat that, couldn't you?
0:33:28 > 0:33:29- Bit of bacon.- Yeah, you could do.
0:33:29 > 0:33:31But if you had a fibrotic liver, you'd send it back,
0:33:31 > 0:33:36cos it'd be all small and shrunken and scarred and really, really chewy.
0:33:39 > 0:33:42'Now, this recycling plant isn't really what Ricky was expecting,
0:33:42 > 0:33:45'but we're here to show him why it's not just booze
0:33:45 > 0:33:49'but junk food that can easily trash your liver.'
0:33:50 > 0:33:53Believe it or not, it's got a lot in common with your liver.
0:33:53 > 0:33:54Here, they take all the rubbish,
0:33:54 > 0:33:57all the potentially poisonous chemicals and they sort them out
0:33:57 > 0:33:59into stuff they can reuse, the stuff they have to get rid of.
0:33:59 > 0:34:01Your liver does the same thing -
0:34:01 > 0:34:04it sorts out the good stuff and the bad stuff.
0:34:05 > 0:34:11'And one thing our livers sadly don't get as much pleasure out of as we do is alcohol.
0:34:11 > 0:34:16'And that's because too much too often can damage and scar it.
0:34:16 > 0:34:20'Perhaps surprisingly, it's the same story with high-fat foods,
0:34:20 > 0:34:25'such as Ricky's favourite treat - doner kebab and chips.'
0:34:25 > 0:34:28What I want to do, Ricky, is show you what your liver has to do
0:34:28 > 0:34:32when you have a really big portion of doner with all the trimmings.
0:34:35 > 0:34:37Look at that.
0:34:39 > 0:34:42Where's the salad and chilli sauce?!
0:34:43 > 0:34:47Now, have a look. Lots of different types of bottles.
0:34:47 > 0:34:50- The white ones represent fat, triglyceride.- OK, OK.
0:34:50 > 0:34:53Lots of that in your doner kebab and you have to sort them,
0:34:53 > 0:34:54your liver has to sort them.
0:34:54 > 0:34:57The other nutrients are the coloured bottles and the clear bottles.
0:34:57 > 0:35:01- The white bottles go in the red container.- OK.- Everything else coloured, clear,
0:35:01 > 0:35:03- the other nutrients, go in the green container.- OK.
0:35:03 > 0:35:08- You're going to do that as quickly as you can.- OK.- Take your marks, get set, go!
0:35:09 > 0:35:11'Time for Ricky to get sorting.'
0:35:11 > 0:35:14Just think, is it worth it for the taste of the kebab?
0:35:14 > 0:35:17- Is it worth all this work your liver's having to do?- Not really, no.
0:35:21 > 0:35:24Your liver has three, four, five, six containers it has to deal with.
0:35:24 > 0:35:26- We're only giving you two.- Yeah.
0:35:26 > 0:35:29It's having to produce bile to help break down the fats.
0:35:31 > 0:35:34'But fatty foods cause the liver an extra problem,
0:35:34 > 0:35:39'because it doesn't just sort fats - it stores some as well.
0:35:39 > 0:35:43'So this means that Ricky is about to get laden down.'
0:35:43 > 0:35:45For every two of these you throw in there,
0:35:45 > 0:35:49the liver stores two of it in its body cells,
0:35:49 > 0:35:52so every two that go in there, you've got to stick two in your bag.
0:35:52 > 0:35:55- Why are you treating me like this? - Cos this is what happens to your liver cells -
0:35:55 > 0:35:58they get chock full of fat and then they can't work properly any more.
0:35:58 > 0:36:00So can you feel yourself swelling up with the fat now?
0:36:00 > 0:36:02Yeah, I can feel it, yeah.
0:36:02 > 0:36:06You're not processing them quite so efficiently cos you've got to store those ones as well.
0:36:06 > 0:36:10- No, you're right, you're right, yeah.- So it's affecting your processing skills.- Yeah.
0:36:10 > 0:36:12- Can I ask you something? - Yeah, anything you like.
0:36:12 > 0:36:16- Do you treat all your patients like this?- You're just a little bit tetchy, aren't you? I can see that.
0:36:16 > 0:36:19'And in the end, the liver can end up storing so much fat
0:36:19 > 0:36:21'that it can't function properly.
0:36:21 > 0:36:24'It's like asking Ricky to wear boxing gloves
0:36:24 > 0:36:27'for this intricate manual work.'
0:36:27 > 0:36:30Just try and pick up a couple of bottles. Have a go.
0:36:30 > 0:36:33Right, and then I want you to stick them in there. That's good.
0:36:33 > 0:36:35This is fatty liver disease.
0:36:35 > 0:36:38You take on too much fat, your liver can't process it quickly enough,
0:36:38 > 0:36:40so it has to store it on board.
0:36:42 > 0:36:43It's a good workout today, isn't it?
0:36:43 > 0:36:46Oh, I tell you what, I've learned so much, Phil, you know?
0:36:46 > 0:36:49And now I'd like to teach you something. Get your hands up, son.
0:36:49 > 0:36:51I tell you, I'm in the mood now.
0:36:51 > 0:36:55Bom! Bom-bom! Bom-bom! Bom-bom!
0:36:55 > 0:36:58Bom-bom! Bom-bom-bom-bom-bom.
0:36:58 > 0:37:02What I'm taking away with me today is that whatever I put in my mouth,
0:37:02 > 0:37:04my liver's got to sort out and the other thing is,
0:37:04 > 0:37:08if I don't behave myself, I've got to see more of Dr Phil
0:37:08 > 0:37:11and I can't have no more of that, I've had enough.
0:37:11 > 0:37:14Later on, I'll be finding out what action Ricky has been taking
0:37:14 > 0:37:16to get his liver pink and healthy again.
0:37:17 > 0:37:20But now it's time to check in with Phil Tufnell,
0:37:20 > 0:37:23who is out getting more people into our screening.
0:37:23 > 0:37:27- Get yourself down there... - Thank you.- ..and they'll have a look. Cheers, all the best.
0:37:27 > 0:37:30- OK, thank you.- Have a great day. Take care.
0:37:30 > 0:37:33- I'll do it.- OK.- All right? - Get yourself down there.
0:37:33 > 0:37:36- Thank you.- Cheers, Phil.- See you. - See you later, have a good one.
0:37:38 > 0:37:40What's the response been like today, though?
0:37:40 > 0:37:42The response has been good
0:37:42 > 0:37:44- but I think, still, we've got to get a big message across.- Yeah.
0:37:44 > 0:37:47More and more people, particularly young people,
0:37:47 > 0:37:50- are dying of liver disease, it's crazy.- Yeah.
0:37:50 > 0:37:53- You know, that these are diseases that can be stopped.- Yeah.
0:37:55 > 0:37:58To give everyone the best chance of tackling these silent killers,
0:37:58 > 0:38:02it's important that our nurses really get people
0:38:02 > 0:38:03to open up and be honest.
0:38:03 > 0:38:05What would you tend to drink whenever...
0:38:05 > 0:38:07A, like, double vodka and Britvic.
0:38:07 > 0:38:11OK, and so, how many of those would you have whenever you...
0:38:11 > 0:38:12And be honest!
0:38:12 > 0:38:15Well, like, in the week, I'd probably have about four
0:38:15 > 0:38:19but, like, weekend...eight to ten.
0:38:19 > 0:38:22- 47 inches.- Oh, my goodness. - Is that what you thought you were?
0:38:22 > 0:38:26- Did you have any idea? - I didn't know, no.- No?- I didn't know.
0:38:26 > 0:38:2959-year-old Wendy fought heart disease nine years ago,
0:38:29 > 0:38:33but could now be at risk from another of our silent killers.
0:38:33 > 0:38:36I've had one heart attack and, you know, I want to stay well.
0:38:36 > 0:38:38Obviously, don't want another.
0:38:38 > 0:38:43So I need to know the best way to go about that
0:38:43 > 0:38:47and to avoid being diabetic, really.
0:38:47 > 0:38:51You're at quite high risk of further cardiac problems,
0:38:51 > 0:38:56- heart problems. You're also quite at risk of diabetes.- Yes.
0:38:56 > 0:38:59Reducing this risk of being diabetic,
0:38:59 > 0:39:02- which does help with your heart disease...- Mmm.
0:39:02 > 0:39:07- ..that's something you need to need to look at, really. - I do, yeah.
0:39:07 > 0:39:10As a result of her questionnaire, the nurse offers Wendy
0:39:10 > 0:39:14both a cholesterol and a type II diabetes test.
0:39:14 > 0:39:16I think it's quite worrying,
0:39:16 > 0:39:20a high risk of another heart attack
0:39:20 > 0:39:26and a high risk of diabetes is a little bit scary.
0:39:26 > 0:39:27Very worrying.
0:39:27 > 0:39:32Type II diabetes is rapidly becoming one of Britain's biggest health challenges,
0:39:32 > 0:39:35and statistics suggest that by 2025,
0:39:35 > 0:39:39over five million of us could be affected.
0:39:39 > 0:39:42- Jodie, you've got a history of type II diabetes in your family, haven't you?- Yes.
0:39:42 > 0:39:45- So you saw your parents battle diabetes.- I did.
0:39:45 > 0:39:48I always saw my dad, first thing in the morning,
0:39:48 > 0:39:51with the little... I call it a stabber thing,
0:39:51 > 0:39:52to check his glucose levels
0:39:52 > 0:39:55and I always saw my mum take tablets for it,
0:39:55 > 0:39:58so it's something I've constantly had in my life,
0:39:58 > 0:40:01but didn't realise all the implications that it had.
0:40:01 > 0:40:05- And that it had for you... - Yeah, it really did.- ..as the next one in the line.- Yeah.
0:40:05 > 0:40:11Interestingly, Dr Phil, you haven't tested Jodie for type II diabetes,
0:40:11 > 0:40:14but that's what you're concentrating on because of this family link.
0:40:14 > 0:40:18Yeah, Jodie's still young, so it's very unlikely she's got diabetes yet
0:40:18 > 0:40:21and I didn't want to have the false reassurance of a normal test,
0:40:21 > 0:40:23cos she is definitely at risk cos of her family history.
0:40:23 > 0:40:25But again, the beauty is
0:40:25 > 0:40:28what happened to your parents won't necessarily happen to you.
0:40:28 > 0:40:30There's a very good chance you can not have diabetes
0:40:30 > 0:40:32if you take simple lifestyle measures.
0:40:34 > 0:40:36'But just what is type II diabetes?
0:40:36 > 0:40:41'As a doc, I admit it's a tricky one to explain.
0:40:41 > 0:40:42'But to make it easier for Jodie,
0:40:42 > 0:40:46'I've come up with a weird and wonderful demonstration.'
0:40:46 > 0:40:49So, Jodie, I guess you're wondering why we've brought you here.
0:40:49 > 0:40:51Yeah, you've brought me to trial out for Millwall Football Club.
0:40:51 > 0:40:55No. Today, I'm hoping to give you a better understanding of type II diabetes
0:40:55 > 0:40:58and what it does to your body when you've got it.
0:40:58 > 0:40:59'So why here, exactly?
0:40:59 > 0:41:02'Well, it's because footballers need lots of energy from food
0:41:02 > 0:41:04'to be at the top of their game.'
0:41:04 > 0:41:07Look at that. Right in the corner.
0:41:07 > 0:41:10'But it's processing this energy that's the main problem
0:41:10 > 0:41:12'with type II diabetes.
0:41:13 > 0:41:15'And some ingredients, like sugar,
0:41:15 > 0:41:19'release particularly large amounts of energy when you eat them.
0:41:19 > 0:41:21'To show Jodie just how much,
0:41:21 > 0:41:24'chemist Alan West is going to release the energy from a single sweet
0:41:24 > 0:41:26'by setting it on fire.'
0:41:26 > 0:41:31- And to do this, we'll sacrifice some of these lovely jelly babies to the cause.- Is this dangerous?
0:41:31 > 0:41:32It's quite a vigorous reaction,
0:41:32 > 0:41:34so we just need to be a little bit careful with it.
0:41:34 > 0:41:38- What we've got is something in here which is actually going to provide oxygen...- OK.
0:41:38 > 0:41:41..to the jelly baby, the sugar that's in the jelly baby.
0:41:41 > 0:41:43It's going to give it to it very quickly
0:41:43 > 0:41:44and so we get a fast reaction.
0:41:44 > 0:41:48And this would be the same kind of reaction it would be
0:41:48 > 0:41:50if you digested it?
0:41:50 > 0:41:53The same amount of energy would ultimately be produced, yes.
0:41:53 > 0:41:54OK, wow.
0:41:58 > 0:42:01- Oh, my gosh, look at the flame. It's absolutely...- Yeah. Cor, blimey.
0:42:03 > 0:42:06- Oh, my, look at the fire! - From a single jelly baby.
0:42:06 > 0:42:07No!
0:42:11 > 0:42:14If that's what it looks like inside,
0:42:14 > 0:42:17I am a walking firework display, that's what I am.
0:42:17 > 0:42:19- And that's one.- One jelly baby.
0:42:19 > 0:42:23- So a cube of chocolate would be similar.- Similar.- Wow.
0:42:23 > 0:42:26'But it's not just the obvious sugary things, like jelly babies,
0:42:26 > 0:42:28'that release lots of energy quickly.
0:42:28 > 0:42:34'Many carbohydrates, including some breads and fruits, can do the same.'
0:42:34 > 0:42:37So, Jodie, whenever you eat a carbohydrate, right,
0:42:37 > 0:42:40your body breaks it down into glucose to use as energy,
0:42:40 > 0:42:43- so I want you to imagine that these footballs are the glucose.- OK.
0:42:43 > 0:42:47Then we need something to move the glucose around the body,
0:42:47 > 0:42:48we need a blood supply,
0:42:48 > 0:42:51so our footballers are going to be the blood supply.
0:42:51 > 0:42:53'So when we eat carbohydrates,
0:42:53 > 0:42:57'some of our food is turned into energy-rich glucose.
0:42:57 > 0:42:59'But then this energy has to go where it's needed -
0:42:59 > 0:43:02'into the cells of the organs and muscles.'
0:43:02 > 0:43:05I want you to imagine these bins are the body's cells.
0:43:05 > 0:43:08- OK.- OK? You'll notice each of the bins has a lock on it.
0:43:08 > 0:43:12- Why?- That's because each body cell has a door that needs to be opened
0:43:12 > 0:43:16to allow the glucose to get into the cell
0:43:16 > 0:43:17and the key to that lock is insulin,
0:43:17 > 0:43:20- which is a hormone made by the pancreas.- OK.
0:43:20 > 0:43:23- Hold my glucose.- I'm holding your glucose.- Here's my insulin.
0:43:23 > 0:43:26It gets the door of the cell, opens it up...
0:43:29 > 0:43:31Voila!
0:43:31 > 0:43:33In goes the glucose.
0:43:33 > 0:43:36Brilliant. What could be simpler?
0:43:36 > 0:43:38'Time to scale things up a bit
0:43:38 > 0:43:41'and set out the bins as cells in the body.
0:43:41 > 0:43:43'I've decided they'd make a nice artery
0:43:43 > 0:43:46'for our footballers to travel down.
0:43:46 > 0:43:48'And don't forget they're the blood.'
0:43:50 > 0:43:53First, I want you to imagine a healthy body
0:43:53 > 0:43:54that doesn't have type II diabetes.
0:43:54 > 0:43:57We'll now bring along the blood supply with the glucose.
0:43:57 > 0:43:59You have three minutes to use those insulin keys
0:43:59 > 0:44:01- to get the glucose into the cells. - Yes!
0:44:01 > 0:44:03- Are you ready?- I am ready, Phil.
0:44:03 > 0:44:04HE WHISTLES
0:44:04 > 0:44:07OK, let's go. Right, here we go, no pressure.
0:44:07 > 0:44:09Three minutes.
0:44:09 > 0:44:10- Here comes the blood.- Oh! - Here it comes.
0:44:10 > 0:44:14- They're coming, they're coming. - Get ready, get ready.
0:44:15 > 0:44:17Oh! Oh, look at that.
0:44:18 > 0:44:22'In a healthy body, this process is smooth and trouble-free
0:44:22 > 0:44:25'and Jodie is making excellent progress.'
0:44:25 > 0:44:27Oh!
0:44:27 > 0:44:30- Oh, you botched it up. - Oh, that was very cool.
0:44:30 > 0:44:32Where is it? Where's the lock?
0:44:32 > 0:44:35- Nine.- Where's the lock? - Eight.- No!- Seven.
0:44:35 > 0:44:38- Come on.- Six.- Go.- Five, four.
0:44:38 > 0:44:41- Yay!- Three, two. Excellent work, excellent work.
0:44:41 > 0:44:45Go on, back, you blood cells, back.
0:44:45 > 0:44:47- Well done, Jodie. Did you enjoy that?- No.
0:44:47 > 0:44:49- You were very good. You did 13 cells.- That was good!
0:44:49 > 0:44:51- Quite good.- And you should be very proud of yourself.
0:44:51 > 0:44:53'So far, so good.
0:44:53 > 0:44:55'But what would happen if Jodie developed type II diabetes
0:44:55 > 0:44:57'like her parents?'
0:44:57 > 0:45:00Now we're going to imagine a body with type II diabetes.
0:45:00 > 0:45:03A lot of us have fat on the outside to varying degrees.
0:45:03 > 0:45:05It's actually the fat on the inside that causes a problem.
0:45:05 > 0:45:07That packs around your body cells.
0:45:07 > 0:45:10One of the things it does is the fat actually gets over
0:45:10 > 0:45:12- the lock on the cell.- Oh!
0:45:12 > 0:45:15So poor little insulin comes along and finds it's got that to deal with.
0:45:15 > 0:45:18- Oh, lovely.- So that actually changes the lock
0:45:18 > 0:45:21and makes it much harder for insulin to do its work.
0:45:21 > 0:45:27So now we're going to cover all the insulin receptors in fat.
0:45:27 > 0:45:30And then you're going to do the same thing again, see if you can beat 13.
0:45:30 > 0:45:31HE WHISTLES
0:45:31 > 0:45:34- OK, let's get it on.- Take it away. - I'm never going to do this, am I?
0:45:34 > 0:45:36Get through the fat. That's it, that's lovely.
0:45:36 > 0:45:38I've got to look at that.
0:45:38 > 0:45:40Oh, oh, oh. I think... Oh, my God!
0:45:40 > 0:45:43- Is it in?- It's...
0:45:43 > 0:45:45I can't even move my fingers
0:45:45 > 0:45:48because of the lard!
0:45:48 > 0:45:52Glucose is piling up behind you, Jodie. Move onto the next one, quickly.
0:45:52 > 0:45:53OK, next one, next one round...
0:45:53 > 0:45:56'What Jodie's discovering already is that processing glucose
0:45:56 > 0:46:00'when you have type II diabetes becomes a big problem
0:46:00 > 0:46:02'and there's worse to come.'
0:46:02 > 0:46:03- Glucose is getting angry.- OK.
0:46:03 > 0:46:06They're stockpiling behind you. Lots of glucose behind you.
0:46:06 > 0:46:08- I can't!- One minute left.
0:46:10 > 0:46:12The high glucose is damaging all your cells.
0:46:16 > 0:46:18- I can't get the keys in! - No, don't take the fat off.
0:46:18 > 0:46:21- Dr Phil, will you help me? - It's got to go through the fat.
0:46:21 > 0:46:24- Oh, no!- No! Don't do that!
0:46:25 > 0:46:28- Come on, Jodie!- But the key's running away. The key's running away.
0:46:28 > 0:46:30- 30 seconds. 30 seconds.- Ah!
0:46:30 > 0:46:32Oh, no! I need to do it and I can't.
0:46:32 > 0:46:34WHISTLE
0:46:36 > 0:46:39- At the end of that, Jodie, you scored one.- One!- Compared to your 13.
0:46:39 > 0:46:41Even when the key went in, I couldn't manoeuvre it at all.
0:46:41 > 0:46:44- Something was very wrong with those locks, wasn't there?- Definitely so.
0:46:44 > 0:46:47And that was all the fat. So the problem with type II diabetes,
0:46:47 > 0:46:49the first one is that your locks don't work,
0:46:49 > 0:46:52so the insulin can't get into the locks, can't open the cell,
0:46:52 > 0:46:54can't get the sugar in the cell where it's needed for energy,
0:46:54 > 0:46:57so all the glucose stays in the bloodstream
0:46:57 > 0:46:59and the high levels of glucose can damage cells
0:46:59 > 0:47:00right throughout the body.
0:47:00 > 0:47:02That's why diabetes is so dangerous.
0:47:03 > 0:47:06Jodie, fireworks with Dr Phil. Bet you weren't expecting that.
0:47:06 > 0:47:08It was a very, very bizarre day for me.
0:47:08 > 0:47:11I mean, I never thought that something so small
0:47:11 > 0:47:16and obviously packed with sugar, created such a massive burst,
0:47:16 > 0:47:17like a mini firework show.
0:47:17 > 0:47:20Whenever I felt really tired, the first thing I grabbed for
0:47:20 > 0:47:22was a bar of chocolate to give me that energy.
0:47:22 > 0:47:24The big hit of sugar you take with lots of chocolate,
0:47:24 > 0:47:28- your poor little pancreas is working overtime, slugging out insulin to try and use that sugar.- Yeah.
0:47:28 > 0:47:31The alcohol too, not good for your liver, but it also upsets your pancreas.
0:47:31 > 0:47:35Jodie, I'm going to get a T-shirt made up for you - "learn to love your pancreas".
0:47:35 > 0:47:38- Oh, I like that.- Yeah?- Can I have it in pink?- Yeah, of course. - Pink pancreas.
0:47:40 > 0:47:43'The thing about doing Britain's biggest-ever health screening
0:47:43 > 0:47:47'is you need to get an awful lot of people through the doors.
0:47:47 > 0:47:49'So I'm still out with the charity volunteers
0:47:49 > 0:47:51'trying to keep them coming.'
0:47:51 > 0:47:55Everyone seems very up for screening. You know, "Why not?" they're all saying,
0:47:55 > 0:47:56which is great news. Why not?
0:47:56 > 0:47:59As you say, it's here, it's a service that's being provided.
0:47:59 > 0:48:02Get yourself checked over. Why wouldn't you?
0:48:02 > 0:48:04Inside, our doctors and nurses
0:48:04 > 0:48:08are dealing with some pretty unusual dietary issues...
0:48:08 > 0:48:10So you have a curry every day for breakfast?
0:48:10 > 0:48:12Not every day, probably every other day.
0:48:12 > 0:48:14- Really?- Yeah, curries. I like curries.
0:48:14 > 0:48:16Do you want to stand on the scales for me?
0:48:16 > 0:48:19And 44-year-old Emma also suspects
0:48:19 > 0:48:22that her diet isn't all that it should be.
0:48:22 > 0:48:26Chocolate's my downfall in a big, big way.
0:48:26 > 0:48:30And drinking, I'd say, it's every couple of weeks.
0:48:30 > 0:48:32I don't do it every week.
0:48:32 > 0:48:35- And do you smoke at all?- Yes. - How many are you smoking a day?
0:48:35 > 0:48:38- About 10 to 15.- OK.
0:48:38 > 0:48:41And how many drinks do you have when you go out? How many units? Do you know?
0:48:41 > 0:48:45Um...a few bottles of wine, I'd say.
0:48:45 > 0:48:47Probably about two or three bottles of wine.
0:48:47 > 0:48:50- On one occasion?- Yes.- OK.
0:48:50 > 0:48:52At the end of her questionnaire,
0:48:52 > 0:48:55Emma get's a reality check on her health.
0:48:55 > 0:48:57So we've completed the risk score.
0:48:57 > 0:49:00Now, it has given you a high-risk score on the coronary heart disease,
0:49:00 > 0:49:04due to, obviously, being a smoker
0:49:04 > 0:49:10and also with you having a past family history of heart problems.
0:49:10 > 0:49:13It's probably worse than I expected,
0:49:13 > 0:49:18but it...it is going to push me into doing something
0:49:18 > 0:49:21that I should have probably done a long time ago.
0:49:21 > 0:49:24Emma's agreed to have a cholesterol test later today
0:49:24 > 0:49:26that will reveal how urgently
0:49:26 > 0:49:28she needs to do something to help her heart.
0:49:36 > 0:49:39Our three silent killers become more likely as we get older,
0:49:39 > 0:49:43so another group we're keen to target today is the over 50s.
0:49:45 > 0:49:49People like Wayne and his wife Denise.
0:49:49 > 0:49:53We both are at a critical age - 60 and nearly 60 -
0:49:53 > 0:49:56and we'd just like some good medical advice
0:49:56 > 0:49:59that's going to prolong our lives, hopefully.
0:49:59 > 0:50:04And it's not long before Wayne starts ringing alarm bells with the nurses.
0:50:04 > 0:50:07Have you ever suffered from any atrial fibrillation?
0:50:07 > 0:50:10So any chest pains or fluttering in your chest?
0:50:10 > 0:50:12Yeah, chest pains, yeah.
0:50:12 > 0:50:14When I'm walking, bit of a stress, walking,
0:50:14 > 0:50:17like, walking up a hill sort of thing, yeah.
0:50:18 > 0:50:20With warning signs like this,
0:50:20 > 0:50:24Wayne's booked in to see one of our doctors as soon as possible.
0:50:24 > 0:50:26- Are you worried?- No, not really.
0:50:26 > 0:50:29- Yeah.- I'm hoping that everything'll be all right
0:50:29 > 0:50:32and they just say to me, you know, get a bit more exercise
0:50:32 > 0:50:35and cut one or two things out of your diet
0:50:35 > 0:50:39and maybe that'll be the push to sort of make a few changes, hopefully.
0:50:39 > 0:50:42- Yeah, so it's been a bit of a wake-up call, really.- Yeah.- Yeah.
0:50:42 > 0:50:45Although heart disease is still the single biggest killer in Britain,
0:50:45 > 0:50:48again, it's largely preventable.
0:50:52 > 0:50:56And to make sure that Crissy Rock avoids having heart problems in the future,
0:50:56 > 0:51:00Dr Phil came up with another of his weird days out.
0:51:00 > 0:51:03I expect you're wondering where I'm taking you, Crissy.
0:51:03 > 0:51:04I sure am.
0:51:04 > 0:51:06Well, I'm hoping by the end of today,
0:51:06 > 0:51:08you'll have a much better understanding about heart disease,
0:51:08 > 0:51:11what causes it and how to keep yourself safe and healthy.
0:51:17 > 0:51:21'A sewage system might not seem the most obvious place to talk heart disease,
0:51:21 > 0:51:26'but this one should give Crissy a good idea of what's going on inside her body.'
0:51:26 > 0:51:28Believe it or not, the sewage system, all those pipes,
0:51:28 > 0:51:31are very similar to your circulatory system.
0:51:31 > 0:51:33Your heart pumps around the body through the pipes,
0:51:33 > 0:51:35the sewage goes through the pipes and, like both of them,
0:51:35 > 0:51:39you need to keep them in good nick, otherwise, problems can happen.
0:51:39 > 0:51:41'And the problem with this sewage system is,
0:51:41 > 0:51:44'it's starting to get clogged up.'
0:51:44 > 0:51:47- Do you know the thing that blocks it up more than anything else?- What?
0:51:47 > 0:51:50Fat. So people who cook their roast and they pour the fat down the sink
0:51:50 > 0:51:53and it goes down into the sewers and it solidifies.
0:51:53 > 0:51:55- I'm guilty of being one of them people who do that.- You do that?
0:51:55 > 0:51:59'The drains team first needs to locate where the blockage is
0:51:59 > 0:52:03'and for this, they use a really rather impressive high-tech robo camera.'
0:52:03 > 0:52:07- He's lowering the camera down now. - Yeah.- If you have a look up there,
0:52:07 > 0:52:08you see these lovely pictures.
0:52:08 > 0:52:10Oh, that looks so horrible.
0:52:10 > 0:52:12It's not pleasant, is it?
0:52:12 > 0:52:16There should be a big black hole there and you can see the fat coming in and blocking it off.
0:52:16 > 0:52:19- So all that white bits, is all fat? - Yeah, that's all fat.
0:52:19 > 0:52:21There goes the nozzle.
0:52:21 > 0:52:24'Luckily, the drains team has a high-pressure hose
0:52:24 > 0:52:26'to sluice out all those fatty deposits.'
0:52:26 > 0:52:27Urgh!
0:52:27 > 0:52:32It's like Star Wars, but the pressure it must have to have.
0:52:32 > 0:52:33Yeah, yeah.
0:52:33 > 0:52:36That is amazing, that.
0:52:36 > 0:52:39'And it's what the high-pressure hose flushes out
0:52:39 > 0:52:41'that I want to show Crissy.'
0:52:41 > 0:52:43- Look at that.- Urgh!
0:52:43 > 0:52:45So imagine something similar on the inside of your arteries,
0:52:45 > 0:52:49- only this time it's cholesterol on the inside...- Yeah.- ..and it'd stick to your artery walls
0:52:49 > 0:52:51just as that fat clings to the pipes down there.
0:52:51 > 0:52:54- So it's solidifies?- Mmm.
0:52:54 > 0:52:56Yeah, and narrows your arteries. The blood can't get through.
0:52:56 > 0:52:58It stinks as well, doesn't it?
0:52:58 > 0:53:01- Well, hopefully your arteries don't smell like that.- I hope not.
0:53:01 > 0:53:02That would be very worrying.
0:53:02 > 0:53:05'And now for the stuff that can cause our own arteries
0:53:05 > 0:53:07'to become clogged like sewers.'
0:53:07 > 0:53:10It doesn't look too bad, but I tell you, that stuff's evil.
0:53:10 > 0:53:12So is that cholesterol?
0:53:12 > 0:53:15'But where does this dangerous cholesterol come from?
0:53:15 > 0:53:18'Well, in fact we produce it in our own livers,
0:53:18 > 0:53:21'particularly when we eat certain types of food.'
0:53:21 > 0:53:23There are actually two types of cholesterol.
0:53:23 > 0:53:26There's bad cholesterol and good cholesterol.
0:53:26 > 0:53:27What's the difference?
0:53:27 > 0:53:30The bad cholesterol is produced when you eat lots of saturated fat,
0:53:30 > 0:53:33so that's the stuff that generally comes from animals
0:53:33 > 0:53:35and it's solid at room temperature,
0:53:35 > 0:53:38so that makes the bad cholesterol that clogs up your arteries.
0:53:38 > 0:53:42However, the good news is, this table is full of vegetable fats
0:53:42 > 0:53:45- and fish fats and these are... - Good for you.
0:53:45 > 0:53:47They're much better for you, yeah.
0:53:47 > 0:53:49They give you higher levels of good cholesterol,
0:53:49 > 0:53:52good cholesterol that stops your arteries from getting clogged up.
0:53:52 > 0:53:54'So now I want to show Crissy
0:53:54 > 0:53:58'exactly what good and bad cholesterol do inside our bodies.
0:53:58 > 0:54:05'For that, I need a coronary artery and a swimming lane is just the job.
0:54:05 > 0:54:08'Swimmers in pink are bad cholesterol.
0:54:08 > 0:54:11'And those in green - good cholesterol.
0:54:11 > 0:54:13'Meanwhile, Crissy and I are the oxygen
0:54:13 > 0:54:16'in our very impressive Long Live Britain dinghy.'
0:54:16 > 0:54:20OK, Crissy, now we're going to take a journey up the coronary artery
0:54:20 > 0:54:22of somebody who eats very high levels of saturated fat.
0:54:22 > 0:54:25It's going to be tough getting up here, but we're going to try,
0:54:25 > 0:54:29- cos that heart has to get oxygen, otherwise, it'll have a heart attack. - Oh, dear.
0:54:29 > 0:54:32Very gentle. Careful. Don't damage the wall of the artery.
0:54:32 > 0:54:33- I won't.- Gentle.
0:54:39 > 0:54:41'When your liver produces bad cholesterol,
0:54:41 > 0:54:44'it's taken round your body in the bloodstream.
0:54:45 > 0:54:47'But the problem with this cholesterol
0:54:47 > 0:54:49'is it can stick to your artery walls
0:54:49 > 0:54:51'just like fat in sewers.
0:54:55 > 0:54:58'So, over time, your arteries, like your drains,
0:54:58 > 0:55:01'can get clogged up or even blocked.'
0:55:02 > 0:55:06- That's looking very difficult, look. It's completely blocked the whole artery.- Oh!
0:55:06 > 0:55:09We're going to have trouble getting through there.
0:55:10 > 0:55:14'But that's where the good cholesterol comes in.
0:55:14 > 0:55:18'In a way, it's a bit like the drain team's high-pressure hose.
0:55:18 > 0:55:21'It helps prevent blockages
0:55:21 > 0:55:24'because it carries the bad cholesterol
0:55:24 > 0:55:27'away from the artery walls and back to the liver,
0:55:27 > 0:55:29'where it can be flushed away.
0:55:34 > 0:55:36'Exercise and the right foods
0:55:36 > 0:55:39'will help you produce lots of good cholesterol
0:55:39 > 0:55:42'and less of the bad,
0:55:42 > 0:55:46'so your heart will get the vital oxygen it needs.'
0:55:46 > 0:55:48See, it's made a gap for us to get through.
0:55:48 > 0:55:50- Bang on the heart. Beautiful.- Yeah.
0:55:52 > 0:55:57Before today, I was very ignorant of what was going on inside my own body
0:55:57 > 0:56:01and I didn't... I had a grab-and-go lifestyle,
0:56:01 > 0:56:03cos everything's quick now, isn't it?
0:56:03 > 0:56:09Instant coffee, drive-in McDonald's. Everything's quick and easy.
0:56:09 > 0:56:13But I think slowing down and starting to think
0:56:13 > 0:56:17about what you're doing, it's really brought it home to me.
0:56:19 > 0:56:23We're four hours into this, Britain's biggest-ever screening,
0:56:23 > 0:56:25and we've now seen over 200 people.
0:56:27 > 0:56:30Our stats team has been hard at work.
0:56:30 > 0:56:31We've already found out
0:56:31 > 0:56:33that 79% of people we've seen so far
0:56:33 > 0:56:36are at increased risk of type II diabetes
0:56:36 > 0:56:38and now it's time for an update
0:56:38 > 0:56:41on the second of our silent killers.
0:56:42 > 0:56:44Tell me something about liver disease now.
0:56:44 > 0:56:47Liver disease, yeah. So 44% of the people who we've screened
0:56:47 > 0:56:50are at an increased risk of alcohol-related liver disease,
0:56:50 > 0:56:53which might not be so surprising
0:56:53 > 0:56:56when I tell you that 39% of the people who we've screened
0:56:56 > 0:56:59actually drink more than their weekly allowance of alcohol.
0:56:59 > 0:57:01It's easy to do, isn't it?
0:57:01 > 0:57:03So that means that, so far, nearly half of the people
0:57:03 > 0:57:08that we've screened have a chance of developing alcohol-related liver disease.
0:57:08 > 0:57:12After the news, we'll be finding out what our screening stats are
0:57:12 > 0:57:16on Britain's biggest killer - heart disease.
0:57:16 > 0:57:21So all that white rim is all plaque inside the coronary artery.
0:57:21 > 0:57:26And revealing more top tips to keep our silent killers at bay.
0:57:26 > 0:57:28What I want you to remember is a rainbow, OK?
0:57:28 > 0:57:31Crissy's going to eat a rainbow.
0:57:31 > 0:57:34Some of the people from our screening will also be facing up
0:57:34 > 0:57:38to what's really happening inside their bodies.
0:57:38 > 0:57:42I can just feel a little discomfort in my chest now.
0:57:42 > 0:57:44And we'll catch up with our three celebs
0:57:44 > 0:57:48to see how they've been getting their health back on track
0:57:48 > 0:57:50to gain more years of life.
0:57:50 > 0:57:54Your meal needs to fit into those cupped hands.
0:57:56 > 0:57:59So what we're doing today, really, is about saving lives.
0:57:59 > 0:58:01More of us could avoid these terrible conditions
0:58:01 > 0:58:03if we take action now.
0:58:03 > 0:58:05There are some things we can't change,
0:58:05 > 0:58:08like our age or our family history, but the biggest risk factors
0:58:08 > 0:58:11are actually those that we can do something about.
0:58:11 > 0:58:13- Let's finish this job.- Yeah.
0:58:39 > 0:58:43Subtitles by Red Bee Media Ltd