Episode 2

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0:00:02 > 0:00:05Welcome to the Etihad Stadium in Manchester and to Britain's biggest ever health screening.

0:00:05 > 0:00:08We're trying to add years to lots of people's lives.

0:00:08 > 0:00:11We've been asking them to take action to avoid three silent killers,

0:00:11 > 0:00:14type 2 diabetes, liver and heart disease.

0:00:14 > 0:00:17All three can knock decades off life, but they can also be avoided.

0:00:17 > 0:00:19We're here for one day only

0:00:19 > 0:00:23and we've already taken hundreds of people through level one screening,

0:00:23 > 0:00:24but we want to do hundreds more.

0:00:24 > 0:00:27The conditions we're hunting down today

0:00:27 > 0:00:29are three of Britain's biggest killers

0:00:29 > 0:00:33and a fifth of us could be affected by them in the future.

0:00:34 > 0:00:37Our team has been working flat out,

0:00:37 > 0:00:39finding people with the warning signs

0:00:39 > 0:00:42so we can help stop these diseases in their tracks.

0:00:43 > 0:00:47You are 0.1 away from a diagnosis of diabetes.

0:00:47 > 0:00:52And that could be a sign itself that you already have heart disease.

0:00:52 > 0:00:57And we're giving everyone top tips to keep our silent killers at bay.

0:00:58 > 0:01:00What I want you to remember is a rainbow.

0:01:00 > 0:01:02Crissy is going to eat a rainbow.

0:01:04 > 0:01:07Now Phil Tufnell will be heading over to our hospital test centre

0:01:07 > 0:01:10to discover what happens when Angela and Wayne

0:01:10 > 0:01:13face up to what's really going on inside their bodies.

0:01:15 > 0:01:17I just can feel a little discomfort in my chest now.

0:01:19 > 0:01:21We'll also be catching up with our three celebs

0:01:21 > 0:01:23that our Long Live Britain GP,

0:01:23 > 0:01:27Dr Phil Hammond, wants to get to grips with their health.

0:01:27 > 0:01:31Try and find the waist first, that's a challenge in itself!

0:01:31 > 0:01:35Jodie Prenger is battling to avoid type 2 diabetes.

0:01:35 > 0:01:38When the doctor says to you you're at increased risk,

0:01:38 > 0:01:39it is a wakeup call.

0:01:39 > 0:01:42Ricky Grover is learning to love his liver.

0:01:42 > 0:01:46- Do you treat all your patients like this?- You are just a little bit tetchy, I can see that.

0:01:46 > 0:01:50And Crissy Rock is waging war on heart disease.

0:01:50 > 0:01:52I don't feel ill.

0:01:52 > 0:01:56I don't feel like I've got anything wrong with me.

0:01:56 > 0:01:59We'll discover what they now need to do

0:01:59 > 0:02:01to get themselves off the at risk list.

0:02:01 > 0:02:05- That is your pasty intake for four months.- No.

0:02:06 > 0:02:09And Dr Phil finally gets the measure

0:02:09 > 0:02:13of whether they've managed to get their health back on track.

0:02:13 > 0:02:16When I go for it, I really go for it. There's no in betweens with me.

0:02:16 > 0:02:17It's either all or nothing.

0:02:24 > 0:02:27We're now more than four hours into this,

0:02:27 > 0:02:28Britain's biggest ever health screening,

0:02:28 > 0:02:32and the people of Manchester are still streaming in thick and fast.

0:02:32 > 0:02:36- Do you smoke at all? - Yes.- You do?

0:02:36 > 0:02:38You are high risk within the heart disease,

0:02:38 > 0:02:42- the diabetes and the alcoholic liver disease.- Oh, right.

0:02:42 > 0:02:44Our team is using our health questionnaire

0:02:44 > 0:02:48and the latest medical tests

0:02:48 > 0:02:50to help people avoid our three conditions

0:02:50 > 0:02:54before they have a chance to take hold.

0:02:54 > 0:02:57As well as doing our huge public screening here in Manchester,

0:02:57 > 0:02:59Dr Phil has been working with three celebrities,

0:02:59 > 0:03:03Ricky Grover, Jodie Prenger and Crissy Rock

0:03:03 > 0:03:05to see if he can get their health back on track.

0:03:05 > 0:03:07Welcome back, guys.

0:03:07 > 0:03:10- Has he done a good job? - Well, he has for me.

0:03:10 > 0:03:13Do you know, the one thing I really, really have learnt,

0:03:13 > 0:03:17believe it or not, is this thing, it's the moderation thing.

0:03:17 > 0:03:19And I love excess.

0:03:19 > 0:03:24The more excess, the better, but...just little and just not often.

0:03:24 > 0:03:26Before, it was all or nothing.

0:03:26 > 0:03:28I was either eating everything or I was eating nothing.

0:03:28 > 0:03:31And this time, I've just slowed down the eating

0:03:31 > 0:03:34and I've upped the exercise.

0:03:34 > 0:03:37I suppose my top tip is, don't try and do it all in a week,

0:03:37 > 0:03:41look at it over the year and sort of take your time with it.

0:03:42 > 0:03:47For the past few weeks, our Long Live Britain GP, Dr Phil Hammond,

0:03:47 > 0:03:50has been helping our three celebs each find ways to get themselves

0:03:50 > 0:03:53off the at-risk list for our silent killers.

0:03:56 > 0:03:59And it all started with a surprise invitation

0:03:59 > 0:04:02to the city of London and a few home truths.

0:04:02 > 0:04:05Today is about turning around your health and your lifestyle,

0:04:05 > 0:04:09and we're going to kick off with a bit of a reality check.

0:04:09 > 0:04:13This grand banqueting hall is normally home to wedding feasts

0:04:13 > 0:04:16and haute cuisine, but what I've put on the menu today

0:04:16 > 0:04:20is the sort of fare our celebs regularly like to tuck into.

0:04:20 > 0:04:23OK, folks, come and have a look at this.

0:04:23 > 0:04:25What do you reckon?

0:04:25 > 0:04:28- Oh, my God. - Based on what you've told us,

0:04:28 > 0:04:31this is your current average weekly consumption.

0:04:31 > 0:04:34Let's just take in the true splendour of Crissy's table.

0:04:34 > 0:04:36- Oh, God.- It makes you hungry.

0:04:36 > 0:04:40Lots of pasties, loads of fried rice, loads of custard tarts.

0:04:40 > 0:04:42Look at all that chocolate.

0:04:42 > 0:04:46Crissy's often on tour with a show or gig and unfortunately,

0:04:46 > 0:04:49I can see that life in the fast lane means lots of fast food.

0:04:49 > 0:04:52- That is your pasty intake for four months.- No.

0:04:52 > 0:04:56- That's 104 pasties. - Oh!

0:04:56 > 0:04:59Each pasty contains 32 grams of saturated fat.

0:04:59 > 0:05:04Your allowable daily intake of saturated fat is 20 grams.

0:05:04 > 0:05:08Each one of these has 12 grams of extra saturated fat in there.

0:05:08 > 0:05:12Your year's intake of saturated fat is here.

0:05:12 > 0:05:13Three trays of it. Look at that.

0:05:13 > 0:05:16You, on your pasties alone,

0:05:16 > 0:05:19are taking this much extra than you need every year.

0:05:19 > 0:05:21Feel that. Feel the weight of that.

0:05:21 > 0:05:24That's the extra that you're putting on excess to requirements,

0:05:24 > 0:05:25just in your pasties.

0:05:25 > 0:05:29That's not even talking about your fried rice and your custard tarts.

0:05:29 > 0:05:33That's the bad fat that gives you diabetes, has given you diabetes.

0:05:33 > 0:05:37Lots of Ricky's favourite foods are actually pretty good

0:05:37 > 0:05:41but he's being a bit over-generous when he's serving up.

0:05:41 > 0:05:44Ricky, mate, talk us through your week's food.

0:05:44 > 0:05:46- That's a breakfast...- OK.

0:05:46 > 0:05:48And these are my lunches, here, on the end.

0:05:48 > 0:05:51You know, chicken, jacket potatoes

0:05:51 > 0:05:55and maybe have something similar to that again later on.

0:05:55 > 0:05:57- What's interesting is, the food you're eating is healthy.- Yeah.

0:05:57 > 0:06:01Some lettuce and tomato, which is great, and chicken is really good

0:06:01 > 0:06:04- and baked potato is good, but you're having double the portion size.- Yeah.

0:06:04 > 0:06:07You've got to cut down your portion size of the good stuff

0:06:07 > 0:06:10and you've got to cut out the stuff that's really bad for you.

0:06:12 > 0:06:16Jodie's table looks like it would do a supermodel proud,

0:06:16 > 0:06:19very healthy and very low fat.

0:06:19 > 0:06:22The reason that concerns me slightly is, you have a history of yo-yo dieting.

0:06:22 > 0:06:25I can't maintain that. That's boring.

0:06:25 > 0:06:30Well, you need to lose it slowly and sensibly and maintain that.

0:06:30 > 0:06:34- Yeah, I agree.- But what I've found out is that alongside her diet,

0:06:34 > 0:06:37Jodie likes to give herself a few well deserved treats -

0:06:37 > 0:06:41three bars of chocolate and a bottle of champagne a week.

0:06:42 > 0:06:47Here is your annual consumption of chocolate. Look at that.

0:06:47 > 0:06:50This is the champagne that you will consume in a year.

0:06:50 > 0:06:55- How about that?- Is that for me?- It's not for you. It's to make you think.

0:06:55 > 0:06:58Now, if you took all of this on top of your healthy daily intake,

0:06:58 > 0:07:02that would be the equivalent of an extra 60,000 calories a year.

0:07:02 > 0:07:05Let's have a look at what that looks like in terms of fat.

0:07:05 > 0:07:07You know, I laugh and I joke, but this is just,

0:07:07 > 0:07:10- when you see it here, it's... - If you're not burning this off,

0:07:10 > 0:07:12this has to be stored in your body somehow.

0:07:12 > 0:07:15- This is why you yo-yo. - I know.

0:07:16 > 0:07:20But now let's see if I've served up enough food for thought.

0:07:22 > 0:07:25Diet is absolutely fundamental to your health,

0:07:25 > 0:07:26it's absolutely fundamental

0:07:26 > 0:07:29to your risk of getting these secret killer diseases,

0:07:29 > 0:07:31but we know that if we change our diet,

0:07:31 > 0:07:32we can dramatically reduce the risks.

0:07:32 > 0:07:36- Are you prepared to change? Ricky?- 100%, yeah.

0:07:36 > 0:07:38- Crissy?- 100%.- Jodie?

0:07:38 > 0:07:40Cross my heart. Yes.

0:07:40 > 0:07:44It's time to put those good intentions into practice

0:07:44 > 0:07:47and I've come up with some lifestyle changes

0:07:47 > 0:07:50that I hope will give these guys many more years of quality life.

0:07:50 > 0:07:53Step it up, yeah?

0:07:53 > 0:07:56One of the best ways to tackle all three silent killers

0:07:56 > 0:07:57is to fight the flab.

0:07:57 > 0:08:02And that means a few less calories and a bit more exercise.

0:08:02 > 0:08:04Good. And last one. Big lift.

0:08:04 > 0:08:07Jodie's always on the road for work, so I've asked personal trainer

0:08:07 > 0:08:12Matt Roberts to design a portable workout she can take with her.

0:08:12 > 0:08:15The key thing with Jodie is to just make sure we get,

0:08:15 > 0:08:18in a really short space of time, a punchy workout done

0:08:18 > 0:08:22that she can do anywhere, any time, with zero excuses.

0:08:22 > 0:08:24Down we go. Good, perfect. 12 of those for me.

0:08:24 > 0:08:27Come on, two...three. Good, three. Excellent.

0:08:27 > 0:08:30- Really strong, good power. - Oh, watch my nails, watch my nails.

0:08:30 > 0:08:32And here's some good news.

0:08:32 > 0:08:35Jodie doesn't necessarily need to sweat it out for hours.

0:08:35 > 0:08:40Doing bite-size ten minute chunks of exercise can also get great results.

0:08:41 > 0:08:44Come on, my ten-year-old's faster than that! Let's go.

0:08:44 > 0:08:47Well, apart from having hair like Dame Edna Everage

0:08:47 > 0:08:51and my lips sticking to my teeth cos I'm thirsty, I quite enjoyed it.

0:08:53 > 0:08:56But for Crissy, I'm suggesting walking rather than workouts.

0:08:56 > 0:08:59A brisk stroll can burn up to 300 calories an hour

0:08:59 > 0:09:02and it's a great way to catch up with mates.

0:09:04 > 0:09:06I feel a lot fitter in a few weeks,

0:09:06 > 0:09:09so if I feel like this in a few weeks,

0:09:09 > 0:09:11what am I going to feel like next year?

0:09:12 > 0:09:15When it comes to exercise,

0:09:15 > 0:09:18I'm a great believer that it has to be something you enjoy.

0:09:18 > 0:09:21So I'm encouraging Ricky to rediscover his passion for boxing.

0:09:23 > 0:09:25As you see, when I go for it, I really go for it.

0:09:25 > 0:09:27There's no in betweens with me.

0:09:27 > 0:09:31It's either all or nothing and I had a really good session today.

0:09:31 > 0:09:33It really pulled it out with me, you know.

0:09:35 > 0:09:38But exercise alone won't do the job,

0:09:38 > 0:09:42so I also want to help my celebs consume fewer calories.

0:09:43 > 0:09:47I'd like Crissy to swap fast food for nutritious home cooking,

0:09:47 > 0:09:50but somehow I think this could be tricky.

0:09:50 > 0:09:53If it goes in the toaster or the microwave, that's it.

0:09:55 > 0:09:59I wouldn't know peanut butter from pate. I just wouldn't.

0:09:59 > 0:10:02Coming to the rescue is chef Sally Bee.

0:10:04 > 0:10:07I'm going to show you how to make the most delicious,

0:10:07 > 0:10:11most healthy vegetable pasty without the salt, without the fat,

0:10:11 > 0:10:13without all the nasties.

0:10:13 > 0:10:16What I want you to remember is a rainbow, OK?

0:10:16 > 0:10:18That's got to be your mantra now.

0:10:18 > 0:10:22Crissy's going to eat a rainbow, because every different colour

0:10:22 > 0:10:27of fruit and vegetable will give you a different vitamin and mineral.

0:10:29 > 0:10:35- Woo hoo!- I wish this was like scratch and sniff.

0:10:35 > 0:10:38It smells lovely.

0:10:38 > 0:10:42But will it go down as well as the fast food version?

0:10:42 > 0:10:43That is lovely.

0:10:43 > 0:10:48- That's cooking. You've made this.- That smells lovely.

0:10:48 > 0:10:51I only put the bits in it, didn't I?

0:10:51 > 0:10:53No, but that's cooking, that's it!

0:10:53 > 0:10:55That's as complicated as it has to get, honestly.

0:10:55 > 0:11:00The most surprising thing is how lovely the food tastes

0:11:00 > 0:11:04and how quick and easy it was to make it.

0:11:07 > 0:11:09Now a home visit for Ricky.

0:11:09 > 0:11:11Will dietician Nigel Denby

0:11:11 > 0:11:14be able to help him cut his portions down to size?

0:11:17 > 0:11:20We've got a fairly typical Sunday roast here,

0:11:20 > 0:11:24we've got roast chicken, a selection of vegetables.

0:11:24 > 0:11:27And all I want you to do is just carve yourself some meat

0:11:27 > 0:11:32and then dish up what you would have as a normal portion size for you.

0:11:32 > 0:11:35OK. I tell you, I'm feeling a right pig doing this.

0:11:35 > 0:11:39- OK, this is too big.- OK.

0:11:39 > 0:11:43Nigel has a very simple test to determine if you're piling on

0:11:43 > 0:11:47the pounds because of how much you're piling on your plate.

0:11:47 > 0:11:49Show me your hands cupped, like that.

0:11:49 > 0:11:52You're lucky, you've got quite big hands.

0:11:52 > 0:11:54- OK.- All right?- Yeah.

0:11:54 > 0:11:57What I want you to start working on is your meal

0:11:57 > 0:12:00needs to fit into those cupped hands.

0:12:00 > 0:12:06Let's put the plate down, and if you look and see...

0:12:07 > 0:12:11We've actually even got a job to fit the chicken into those cupped hands.

0:12:11 > 0:12:17- Yeah. Keep going.- Let alone the roasties, let alone the veggies,

0:12:17 > 0:12:20let alone the roasted veg.

0:12:20 > 0:12:23- Spillage.- Yeah. - We've gone overboard.- Yeah.

0:12:23 > 0:12:27- Shall I drop this or down it? - HE LAUGHS

0:12:27 > 0:12:30But I want Crissy to make the biggest lifestyle change of all -

0:12:30 > 0:12:36she's been puffing through 20 cigarettes a day for over 30 years.

0:12:37 > 0:12:40Two days ago I decided to give up smoking, cos I kept saying,

0:12:40 > 0:12:42"Oh, I'm cutting down, I'm cutting down,"

0:12:42 > 0:12:44so I thought to myself,

0:12:44 > 0:12:49"Why cut down? If I'm going to stop, I'm going to stop."

0:12:49 > 0:12:53It's not half-hearted, it's like...

0:12:53 > 0:12:54And it really is hard.

0:12:54 > 0:12:57Good. Power.

0:12:57 > 0:13:00Every small change can make a big, big difference.

0:13:00 > 0:13:05and I'm hoping my plan will help my celebs get off the at risk list and stay there.

0:13:06 > 0:13:09Ricky, what did you find most difficult?

0:13:09 > 0:13:12I'm finding, you know, every day difficult, really.

0:13:12 > 0:13:15The days are quite good, it's getting through the night-times,

0:13:15 > 0:13:18because when the day hits me in the morning I feel good,

0:13:18 > 0:13:21I feel really enthusiastic about it

0:13:21 > 0:13:23and when that night creeps in, all of a sudden

0:13:23 > 0:13:25the little subliminal voice is in your head,

0:13:25 > 0:13:28"Go on, just have a bit of chocolate. Start tomorrow."

0:13:28 > 0:13:29This time, I know I can't.

0:13:29 > 0:13:35I'm letting too many people down, so yeah, I'm doing all right.

0:13:35 > 0:13:38Crissy? What did you find most difficult?

0:13:38 > 0:13:40The most difficult was the non-smoking.

0:13:40 > 0:13:43- And are we still there?- Yeah. - You must be thrilled she's quit?

0:13:43 > 0:13:46I'm absolutely thrilled and she doesn't smell of cigarettes any more.

0:13:46 > 0:13:47I've got a really good nose for fags,

0:13:47 > 0:13:50on the kids, on you, and it doesn't smell. It's wonderful.

0:13:50 > 0:13:52And that was the nicest thing anyone's ever said to me.

0:13:52 > 0:13:54You don't smell like a cigarette?

0:13:54 > 0:13:56"You don't smell like an ashtray."

0:13:56 > 0:13:58And I went, "Oh, wasn't that lovely?"

0:13:58 > 0:14:01Jodie, does the mobile exercise routine work?

0:14:01 > 0:14:03Can you squeeze a little bit of exercise in strange places?

0:14:03 > 0:14:07Well, that's the thing. With the lifestyle that I lead at the minute,

0:14:07 > 0:14:10you're all over the shop, so I needed something that I could do

0:14:10 > 0:14:1220 minutes here and 20 minutes there.

0:14:12 > 0:14:14That has been really useful to me.

0:14:14 > 0:14:17- It really has. - Well, all impressive stuff.

0:14:17 > 0:14:20The question is, how much fitter and healthier are they all now?

0:14:20 > 0:14:23Well, in a little while, Dr Phil will be finding out.

0:14:23 > 0:14:25But first it's back to Phil Tufnell,

0:14:25 > 0:14:27who's catching up with some of the people we've met today

0:14:27 > 0:14:30who are also at risk of one or more of these conditions.

0:14:34 > 0:14:38- Emma, you're back from level two? - Yeah.- What did they say?

0:14:38 > 0:14:40I've got type 2 diabetes,

0:14:40 > 0:14:46and I've had a Fibroscan and I've got to go for a scan on my liver.

0:14:46 > 0:14:47Hold on a minute.

0:14:47 > 0:14:51- You've been actually diagnosed with diabetes today?- Yes.

0:14:51 > 0:14:54Why do you think, you've become a diabetic,

0:14:54 > 0:14:57- was it diet, lifestyle? - Lifestyle.

0:14:57 > 0:15:00Too much alcohol, too much eating the wrong food

0:15:00 > 0:15:03- and not enough exercise.- Yeah.

0:15:03 > 0:15:06'It's been a tough day for Emma.

0:15:06 > 0:15:09'But with the right lifestyle changes and medication

0:15:09 > 0:15:12'she should be able to manage her type 2 diabetes.'

0:15:14 > 0:15:17It's also proving a revealing day for 38-year-old Angela.

0:15:19 > 0:15:22She's concerned her drinking could be damaging her liver

0:15:22 > 0:15:25and hopes a scan will give her the answer.

0:15:27 > 0:15:30I know that I drink too much, but because it doesn't seem

0:15:30 > 0:15:32to have a negative effect on my life,

0:15:32 > 0:15:35like, I'm still able to go to work and do things,

0:15:35 > 0:15:37I don't consider it a problem.

0:15:37 > 0:15:39That's it. That's all done. Brilliant.

0:15:39 > 0:15:41The tests aren't over for Angela.

0:15:41 > 0:15:44Her liver could be damaged, but only a more detailed scan

0:15:44 > 0:15:48at our hospital will let her know for sure.

0:15:48 > 0:15:52I'm seeing more and more women like Angela who look healthy,

0:15:52 > 0:15:54but because of their alcohol intake,

0:15:54 > 0:15:57their inside might actually tell a different story.

0:15:57 > 0:16:01Come towards the edge of the bed for me. There you go.

0:16:01 > 0:16:05A few weeks ago, Ricky Grover got a serious wake-up call

0:16:05 > 0:16:08when a scan showed him that fatty food was damaging his liver.

0:16:08 > 0:16:14What this does suggest is that you have a little bit of inflammation

0:16:14 > 0:16:16and perhaps a small amount of scarring.

0:16:18 > 0:16:21Luckily, this damage is reversible.

0:16:21 > 0:16:25But to show Ricky why he really does need to make some changes now,

0:16:25 > 0:16:29Dr Phil wanted him to meet someone whose life has changed

0:16:29 > 0:16:31for ever because of liver disease.

0:16:33 > 0:16:36Lorraine's in the living room on the sofa.

0:16:36 > 0:16:3839-year-old Lorraine Andrews

0:16:38 > 0:16:40finds it hard to even move round the house.

0:16:40 > 0:16:41Hiya, Ricky. You all right?

0:16:41 > 0:16:43Fluid builds up in her abdomen

0:16:43 > 0:16:46because her liver has been damaged by fatty food.

0:16:46 > 0:16:49You're Lorraine, obviously. Yeah. Do you want to sit up?

0:16:49 > 0:16:51- Shall I help you sit up? - Yeah, please.

0:16:51 > 0:16:56If you can stand over here, cos I'm used to a certain way of pulling up.

0:16:56 > 0:16:58Like, you don't help me up,

0:16:58 > 0:17:03I hold on to you and then use you as, like, a hoist to help up.

0:17:03 > 0:17:05- OK. OK.- Ready?

0:17:05 > 0:17:08Lorraine has to go to hospital every fortnight

0:17:08 > 0:17:10to have the fluid drained from her stomach.

0:17:10 > 0:17:12Would you like to see what it's actually like

0:17:12 > 0:17:15when we have the fluid there?

0:17:15 > 0:17:17- Yeah.- Yeah. - All right. Let's have a look.

0:17:17 > 0:17:19If I get up and I can show you,

0:17:19 > 0:17:25cos it is a big difference compared to a normal, fat belly.

0:17:25 > 0:17:28It's really...it is really sort of quite solid, isn't it?

0:17:28 > 0:17:31You must be so relieved when they drain that.

0:17:31 > 0:17:34As soon as they put it in and you can feel the fluid coming out,

0:17:34 > 0:17:37your whole body seems to go, whoo.

0:17:37 > 0:17:39It's like letting out a balloon, you know.

0:17:39 > 0:17:41Of course. Do you know what, though, Lorraine?

0:17:41 > 0:17:44I was thinking, you know, how clever they are nowadays,

0:17:44 > 0:17:46you know, please God they can find you a liver

0:17:46 > 0:17:50and get you sorted out and get your life back.

0:17:50 > 0:17:53Just recently, out of the blue, I went and had an MOT if you like...

0:17:53 > 0:17:57- Yeah.- And one of the things that they said was wrong with me

0:17:57 > 0:17:59is that I had scarring of the liver

0:17:59 > 0:18:03and I may have some problems with my liver due to, you know,

0:18:03 > 0:18:06compulsively overeating a lot of junk food and stuff like that.

0:18:06 > 0:18:10Yeah, because I know with my condition, the fatty liver disease,

0:18:10 > 0:18:14- it does start off with scarring on the liver...- Right.

0:18:14 > 0:18:19..but that can be turned round, as long as you change, like,

0:18:19 > 0:18:22your eating habits and the way you see food as well,

0:18:22 > 0:18:26and if I knew then what I know now, when I was a lot younger,

0:18:26 > 0:18:30- I would have definitely done things a lot differently.- Yeah.

0:18:31 > 0:18:35Lorraine has to take lots of drugs to help control her condition.

0:18:35 > 0:18:39But her only real hope now is a liver transplant.

0:18:39 > 0:18:42Mine is tiny, minor to what...

0:18:42 > 0:18:44But it's the start, how I started out.

0:18:44 > 0:18:46- Which I didn't know at the time. - It's the start. It is the start.

0:18:46 > 0:18:49You're right, and it can happen so quickly as well, can't it?

0:18:49 > 0:18:51Yeah, it can happen just like that.

0:18:51 > 0:18:54You'll get to a certain stage where you've gone just over too much

0:18:54 > 0:18:57and you'll be in the same situation as me,

0:18:57 > 0:19:00- and I wouldn't want you to be there. - No.- I really wouldn't.

0:19:00 > 0:19:02Cos you've seen what it does to my life,

0:19:02 > 0:19:07what I have to keep doing to actually keep going, and it's not nice.

0:19:09 > 0:19:12Ricky, what was it like to meet Lorraine?

0:19:12 > 0:19:14It was really, really heart-breaking,

0:19:14 > 0:19:15to be honest with you.

0:19:15 > 0:19:17Every day, she's waiting for a phone call.

0:19:17 > 0:19:20When her phone goes, if it's from the hospital,

0:19:20 > 0:19:24she's just really on edge and it's a really hard situation to go through.

0:19:24 > 0:19:27Although I've only sort of met her for five minutes

0:19:27 > 0:19:29and I feel a bit emotional here,

0:19:29 > 0:19:33but it is hard when you see someone that nice and that young.

0:19:33 > 0:19:36You know, she's not even 40 yet, she's sort of 39

0:19:36 > 0:19:41and she's living life on the edge and that's all down to food,

0:19:41 > 0:19:42all down to overeating.

0:19:42 > 0:19:45When you meet people who get quite sick, you say it's their fault.

0:19:45 > 0:19:48That's wrong. You can't blame people for getting sick.

0:19:48 > 0:19:51The beauty of the human condition is, we're all fallible.

0:19:51 > 0:19:54We live stressful lives, so if people are further down the line, don't blame them.

0:19:54 > 0:19:56You're not saying, "If you get sick it's your fault."

0:19:56 > 0:20:00What we're saying is, there's an opportunity to reduce the risk of it happening

0:20:00 > 0:20:03if you want to make changes, but that has to be your choice.

0:20:04 > 0:20:09We're six hours in and we've now screened more than 250 people.

0:20:09 > 0:20:12And, so far, it's type 2 diabetes

0:20:12 > 0:20:15that we're finding most warning signs for.

0:20:16 > 0:20:2059-year-old Wendy was concerned to discover she's at risk.

0:20:20 > 0:20:23And it's something she's keen to check out,

0:20:23 > 0:20:27particularly as she's also had heart problems in the past.

0:20:27 > 0:20:30I think it's quite worrying.

0:20:30 > 0:20:32At high risk of another heart attack

0:20:32 > 0:20:40and a high risk of diabetes is a little bit scary. Very worrying.

0:20:40 > 0:20:42Wendy. Hi, I'm Jonty.

0:20:42 > 0:20:46But Wendy's in good hands with Dr Jonty Heaversedge.

0:20:46 > 0:20:48You're taking all the right medicines,

0:20:48 > 0:20:50in terms of managing your blood pressure,

0:20:50 > 0:20:52your cholesterol and your heart disease,

0:20:52 > 0:20:55but because you're a bit overweight there's a risk of diabetes.

0:20:55 > 0:20:57And we know that type 2 diabetes

0:20:57 > 0:21:00is a significant risk factor for heart disease.

0:21:00 > 0:21:03- That's something else I think we ought to check today.- OK.

0:21:03 > 0:21:05- Let's check for the diabetes first of all.- OK.

0:21:05 > 0:21:08And at the same time, I may as well check your cholesterol,

0:21:08 > 0:21:11- because we know that's important as well.- OK.- All right?

0:21:11 > 0:21:13It's a tense wait for Wendy.

0:21:13 > 0:21:16She hopes she is in the clear, as type 2 diabetes

0:21:16 > 0:21:19could lead to more heart problems in the future.

0:21:19 > 0:21:23In terms of your diabetes, the test result has come back,

0:21:23 > 0:21:30not saying that you're diabetic, but you are very near to being diabetic.

0:21:30 > 0:21:34You are 0.1 away from a diagnosis of diabetes, all right?

0:21:34 > 0:21:36Really close.

0:21:36 > 0:21:39I found out today that I am borderline diabetic.

0:21:39 > 0:21:42I have got a particular condition,

0:21:42 > 0:21:47which means that if I don't do something about it from today,

0:21:47 > 0:21:49I will be diabetic.

0:21:51 > 0:21:55Jodie Prenger's also coming to terms with the news that she could

0:21:55 > 0:21:58develop type 2 diabetes if she doesn't do something now.

0:21:58 > 0:22:02And to show her just what this condition can mean, Dr Phil

0:22:02 > 0:22:06has arranged for her to meet someone who has been living with it

0:22:06 > 0:22:07for more than 30 years.

0:22:08 > 0:22:1361-year-old Chris Brown was diagnosed with type 2 diabetes

0:22:13 > 0:22:15when he was just 25.

0:22:15 > 0:22:18Now he must inject himself with insulin three times a day.

0:22:19 > 0:22:24I've been a very naughty diabetic and as a result of that,

0:22:24 > 0:22:29I've got some of the most hideous complications it's possible to have.

0:22:29 > 0:22:31Hello, Jodie.

0:22:31 > 0:22:34Type 2 diabetes can lead to serious complications,

0:22:34 > 0:22:37such as nerve damage, if it's allowed to get out of control.

0:22:37 > 0:22:40Right, there we go.

0:22:40 > 0:22:43And Chris has lost sensation in whole areas of his body.

0:22:43 > 0:22:47I don't have any feeling in this left foot until about there.

0:22:47 > 0:22:50I can feel that, but I can't feel anything anywhere else,

0:22:50 > 0:22:52because the nerves are all dead.

0:22:52 > 0:22:56It's called neuropathy and your nerves die.

0:22:56 > 0:22:58Well, effectively, when you've got diabetes

0:22:58 > 0:23:01you've got too much glucose in your blood.

0:23:01 > 0:23:05The sugar does a lot of damage to the fine capillaries in the body

0:23:05 > 0:23:08and when it damages them, you no longer feel.

0:23:08 > 0:23:13But type 2 diabetes can also make infections so difficult to fight

0:23:13 > 0:23:16that surgery may be unavoidable.

0:23:16 > 0:23:20Was this the only option you had, was to have your leg amputated?

0:23:20 > 0:23:24Yeah, it happened because I got an infection in my big toe.

0:23:24 > 0:23:27If a bug gets in there, it goes, "Whoopee! It's Christmas!"

0:23:27 > 0:23:30All this sugary blood they've got, or glucose in the blood,

0:23:30 > 0:23:32as it really is, and they multiply,

0:23:32 > 0:23:36and they can multiply faster than the drugs can kill them.

0:23:36 > 0:23:38They had to take the big toe off.

0:23:38 > 0:23:41Then the infection spread into the foot

0:23:41 > 0:23:43and it started to come up the foot.

0:23:43 > 0:23:47- Was it hard to make that choice? - No. God, no.- No, was it not?

0:23:47 > 0:23:50I spent two and a half years laying on that sofa with my right leg

0:23:50 > 0:23:54elevated on the back of the settee. And it wouldn't heal, you see.

0:23:54 > 0:23:58When you're a diabetic and you're not a good diabetic, things don't heal.

0:24:02 > 0:24:05Chris can't work and getting around is difficult.

0:24:07 > 0:24:10But one thing he still enjoys is driving to local beauty spots.

0:24:12 > 0:24:17- Wow. This view's fantastic, isn't it?- This is known as the Portway.

0:24:17 > 0:24:20This is about all I can do, really.

0:24:20 > 0:24:23I don't have the money to go tearing around all over the place

0:24:23 > 0:24:26and so I come up here and enjoy the open space,

0:24:26 > 0:24:32I have a little walk every day and that's really as much as I can do.

0:24:32 > 0:24:35I honestly so admire your courage more than anything,

0:24:35 > 0:24:38for going through what you've gone through

0:24:38 > 0:24:41and still being such a lovely, lovely person inside and out.

0:24:41 > 0:24:45I just want you to understand that I made a mess of it, really,

0:24:45 > 0:24:48and I don't want that to happen to you.

0:24:50 > 0:24:53I've learnt, as a result of meeting Chris today,

0:24:53 > 0:24:56that it almost becomes a life sentence,

0:24:56 > 0:24:58because you have to revolve your entire life

0:24:58 > 0:25:03around your condition and I don't want to have that around my neck.

0:25:03 > 0:25:07- Thank you very, very much. - It's a pleasure. No problem.

0:25:09 > 0:25:11Jodie, confronting people like this,

0:25:11 > 0:25:15seeing people who are living with type 2 diabetes or heart disease,

0:25:15 > 0:25:21whatever it might be, it's the most truthful reality for you, isn't it?

0:25:21 > 0:25:23I always remember Chris opening the door

0:25:23 > 0:25:27and my first reaction was, I thought he'd been in an accident

0:25:27 > 0:25:30because I saw that, obviously, he'd lost one of his limbs. Yeah.

0:25:30 > 0:25:34And then to find out that was related to type 2 diabetes

0:25:34 > 0:25:38and also the other complications he'd had with type 2 diabetes,

0:25:38 > 0:25:42he was so endearing, he was one of the most bravest people

0:25:42 > 0:25:46I have ever met and he still kept the biggest smile on his face,

0:25:46 > 0:25:49which is so commendable, but it really did...

0:25:49 > 0:25:51Like I said, when you actually meet somebody,

0:25:51 > 0:25:54when you see it there in your face,

0:25:54 > 0:25:57it really does bring everything home to you, it does.

0:26:01 > 0:26:04Mid afternoon, and our screening is now in full swing.

0:26:06 > 0:26:08Most of the people our team is finding are at risk

0:26:08 > 0:26:10had no idea they were in danger.

0:26:11 > 0:26:17- Your blood pressure is high today. Your top figure is 189.- Wow!

0:26:17 > 0:26:20But a few have symptoms they want to get checked out,

0:26:20 > 0:26:22like 58-year-old Wayne,

0:26:22 > 0:26:26who's worried about the chest pains he's been having.

0:26:26 > 0:26:30I'm at that critical age whereby things could be wrong

0:26:30 > 0:26:33and you might not know that they're wrong.

0:26:33 > 0:26:37I want some good advice, hopefully, to prolong your life, you know,

0:26:37 > 0:26:40you got children and grandchildren, so...

0:26:40 > 0:26:43If you give me your right hand.

0:26:43 > 0:26:45There's good news when Dr Ellie Cannon

0:26:45 > 0:26:47finds Wayne's cholesterol levels are normal.

0:26:47 > 0:26:51But Wayne knows he's still not in the clear.

0:26:51 > 0:26:55I'm concerned about these chest pains that you're having.

0:26:55 > 0:26:57We have to investigate further

0:26:57 > 0:27:01because you're having what doctors call chest pain on exertion,

0:27:01 > 0:27:06and that could be a sign that you already have heart disease.

0:27:06 > 0:27:10We're going to send you on for what we call a stress ECG,

0:27:10 > 0:27:14to see if these chest pains you're getting are significant.

0:27:14 > 0:27:17Wayne didn't have the catalogue of risk factors

0:27:17 > 0:27:18that we were looking for

0:27:18 > 0:27:23for heart disease, but he actually has one of the classic symptoms

0:27:23 > 0:27:26of heart disease, which is chest pain on exercise,

0:27:26 > 0:27:29so because of that symptom we've actually sent him off

0:27:29 > 0:27:32for further testing to see whether or not

0:27:32 > 0:27:34there is any heart disease already there.

0:27:37 > 0:27:39Crissy Rock was taken aback

0:27:39 > 0:27:42when she was told she was also at risk of heart disease.

0:27:42 > 0:27:45To help her understand this condition better,

0:27:45 > 0:27:49Dr Phil has arranged for her to see right inside the body

0:27:49 > 0:27:51of someone who has early symptoms.

0:27:52 > 0:27:53And this is going to happen

0:27:53 > 0:27:57at the cardiac unit of London's Hammersmith Hospital.

0:27:57 > 0:28:00I'm a walking time bomb for heart disease.

0:28:00 > 0:28:04I've high cholesterol, I smoke and I have a very unhealthy lifestyle.

0:28:04 > 0:28:09I want to find out how, if I don't change my life,

0:28:09 > 0:28:12how it will affect me in the future.

0:28:12 > 0:28:18Crissy is meeting up with cardiology consultant Dr Ghada Mikhail.

0:28:18 > 0:28:21You let me know if you're uncomfortable. It's all going well.

0:28:21 > 0:28:25She is going to watch an angiogram being performed on Hassan Abou Zaid.

0:28:27 > 0:28:29Some pressure, please.

0:28:29 > 0:28:31An angiogram involves putting dye into the body

0:28:31 > 0:28:34to locate any blockages in the arteries

0:28:34 > 0:28:36that can cause heart disease.

0:28:36 > 0:28:38Can you see this pinching there,

0:28:38 > 0:28:42compared to the top of the artery and the bottom of the artery?

0:28:42 > 0:28:44- Yeah.- There's a bit of narrowing in there, OK?

0:28:44 > 0:28:47And that's what we need to assess, to see how important that is.

0:28:47 > 0:28:51More important than that, right at the tree trunk

0:28:51 > 0:28:54of the whole coronary tree, there's also some narrowing there.

0:28:54 > 0:28:59Narrowings like this are caused by fatty deposits known as plaques.

0:29:00 > 0:29:02And when Dr Ghada uses an ultrasound,

0:29:02 > 0:29:06Crissy can see for the first time just what they look like.

0:29:06 > 0:29:11All that white rim is all plaque inside the coronary artery.

0:29:12 > 0:29:15You see, that is amazing to watch now,

0:29:15 > 0:29:19because we were taken to the drains

0:29:19 > 0:29:22and it's so unreal that it was exactly like that.

0:29:26 > 0:29:30Crissy's relieved to discover that Hassan's been caught in time.

0:29:30 > 0:29:35If he starts living more healthily he should be OK in the future.

0:29:35 > 0:29:38He's definitely got plaque deposition already,

0:29:38 > 0:29:40so what is important for him is,

0:29:40 > 0:29:42he's got to really aggressively address

0:29:42 > 0:29:45all his risk factors to prevent that from progressing.

0:29:45 > 0:29:48But actually, heart disease is the biggest killer for a woman

0:29:48 > 0:29:51and when you look at coronary disease,

0:29:51 > 0:29:54coronary heart disease kills three times more women than breast cancer.

0:29:57 > 0:30:01Does it make you feel different, Crissy, about your situation?

0:30:01 > 0:30:06It was just like, this is like looking at my future

0:30:06 > 0:30:08and I didn't want that and it looked horrendous,

0:30:08 > 0:30:11what they were doing, even though he said he didn't feel any pain.

0:30:11 > 0:30:16To me, it really has saved my life.

0:30:16 > 0:30:18And it will prolong my life

0:30:18 > 0:30:23and I just hope people out there are not selfish like I was and go,

0:30:23 > 0:30:24"Oh, do it tomorrow."

0:30:24 > 0:30:30You know, I looked at cigarettes as a substitute for food,

0:30:30 > 0:30:33and now I'm going, "Do you know what? Go.

0:30:33 > 0:30:36"Because you ain't doing me no favours."

0:30:43 > 0:30:44It's late afternoon

0:30:44 > 0:30:47and the rugby matches are still pulling in big crowds.

0:30:48 > 0:30:52I'm out helping our hardworking charity volunteers

0:30:52 > 0:30:53for one last push

0:30:53 > 0:30:56to get as many people through our doors as possible.

0:30:56 > 0:30:59It's getting busy. We're doing a massive health screening

0:30:59 > 0:31:01down by the squash courts. What do you reckon?

0:31:01 > 0:31:04OK. You're not nervous about it or anything?

0:31:04 > 0:31:07- No, why not? It's all free.- All right, no problem.- Thanks very much.

0:31:07 > 0:31:10- Cheers. - Cheers. One sorted.

0:31:10 > 0:31:13But how many of the people I'm helping pull in

0:31:13 > 0:31:15have anything to worry about?

0:31:15 > 0:31:17And how many years could we give back to them

0:31:17 > 0:31:20if we stop these silent killers in their tracks?

0:31:21 > 0:31:25Our team of statisticians has been busy crunching the numbers.

0:31:27 > 0:31:30We've still got hundreds more people to screen here today.

0:31:30 > 0:31:34There is no let-up for our incredible volunteer nurses, doing a terrific job.

0:31:34 > 0:31:36Jen, back to you with the stats. Your favourite bit.

0:31:36 > 0:31:38Where are we at now?

0:31:38 > 0:31:41Yeah. My data processors have been working really hard so far.

0:31:41 > 0:31:44We've found out that about a third of the people who have come

0:31:44 > 0:31:48through the door are at an increased risk of heart disease within the next ten years.

0:31:48 > 0:31:49Heart disease is one of those things

0:31:49 > 0:31:51that is driven so much by age, though.

0:31:51 > 0:31:53I mean if you are only in your thirties,

0:31:53 > 0:31:57your risk of getting heart disease is obviously going to be pretty low.

0:31:57 > 0:32:00But once you are getting towards 50, your chances of getting

0:32:00 > 0:32:03heart disease actually does shoot up quite a lot.

0:32:03 > 0:32:05That doesn't mean people under 50 aren't at any risk?

0:32:05 > 0:32:08Oh, no, no. It just means that they're at a lower risk.

0:32:09 > 0:32:1359-year-old Wendy had heart disease nine years ago and now she's worried

0:32:13 > 0:32:18that she's at the tipping point for developing type 2 diabetes as well.

0:32:20 > 0:32:24You are 0.1 away from a diagnosis of diabetes.

0:32:24 > 0:32:26Really close.

0:32:26 > 0:32:29Dr Jonty thinks it could help Wendy to see exactly

0:32:29 > 0:32:32what it is that's putting her health at risk

0:32:32 > 0:32:37and for Wendy, this means she's next at our mobile MRI scanner.

0:32:37 > 0:32:39All right, we're going through now.

0:32:39 > 0:32:44The scanner will show how much inner fat Wendy has around her organs.

0:32:44 > 0:32:46Going to get you to breathe in now.

0:32:46 > 0:32:51This is important because it's this fat that is a major cause of type 2 diabetes.

0:32:51 > 0:32:54If you look at the skin here, this is the skin surface here,

0:32:54 > 0:32:57and this is the fat just below your skin's surface,

0:32:57 > 0:33:00and that's the fat you can see in your body

0:33:00 > 0:33:02when you look at yourself or you pinch yourself.

0:33:02 > 0:33:06On the inside, there's a lot more than the fat on the outside.

0:33:06 > 0:33:09I'd say it's moderate or a little bit more than moderate, really.

0:33:09 > 0:33:13What we can tell on the scan is that the risk factors

0:33:13 > 0:33:18for things like liver disease, heart disease and diabetes

0:33:18 > 0:33:23are increased with this degree of fat deposition inside your tummy.

0:33:23 > 0:33:25- Thank you very much for that. - Lovely. It's a pleasure.

0:33:25 > 0:33:29If Wendy manages to reduce the amount of internal fat she has,

0:33:29 > 0:33:31through exercise and changes to her diet,

0:33:31 > 0:33:34she could soon get herself off the at risk list.

0:33:34 > 0:33:37It means that I will definitely do something about it,

0:33:37 > 0:33:41I've now got the motivation to help me lead a healthier lifestyle.

0:33:44 > 0:33:48Our screening is all about reversing the trend of these silent killers,

0:33:48 > 0:33:52because a few small changes can stop them in their tracks.

0:33:54 > 0:33:58Now it's time for Dr Phil to see if the valiant efforts our three celebs

0:33:58 > 0:34:03have been making over the last few weeks have started paying dividends.

0:34:03 > 0:34:06I'm about to recheck the measurements on all our celebs.

0:34:06 > 0:34:10I'm slightly anxious because although they're the ones who put the work in,

0:34:10 > 0:34:13I feel it also reflects on me as a doctor if we haven't got anywhere.

0:34:13 > 0:34:16I shall be as excited or perhaps as disappointed as they are,

0:34:16 > 0:34:18depending on the results.

0:34:18 > 0:34:22Did Jodie's high power workouts tip the scales in her favour?

0:34:22 > 0:34:26OK, so really good news, the thing that really delights me

0:34:26 > 0:34:29is that your waist circumference has dropped by two inches.

0:34:29 > 0:34:31And that fundamentally affects your risk of diabetes.

0:34:31 > 0:34:34That's the fat on the inside. And that tends not to fluctuate.

0:34:34 > 0:34:36Your weight will fluctuate during the day.

0:34:36 > 0:34:38You've lost four or five pounds, which is good,

0:34:38 > 0:34:40I know you wanted to lose more but actually,

0:34:40 > 0:34:42waist circumference is the most telling thing.

0:34:42 > 0:34:45- Two inches, you've gone down. - Oh, I'm really happy.

0:34:45 > 0:34:47And this is for life, not just for the camera?

0:34:47 > 0:34:51This is the only time I've ever done this and slowly lost the weight,

0:34:51 > 0:34:57exercising regime and not gone, lost seven pounds, put on eight,

0:34:57 > 0:35:00lost five pounds, then put on three.

0:35:00 > 0:35:02It's the only time I've ever done this, so I'm feeling...

0:35:02 > 0:35:05Slow, steady, sensible and happy? Happy Jodie.

0:35:05 > 0:35:07Yeah, I'm feeling really positive about this.

0:35:07 > 0:35:09And have Ricky's new portion sizes

0:35:09 > 0:35:12and boxing workouts made a dent in his waistline?

0:35:15 > 0:35:18Ricky, I thought this was going to be really tough for you,

0:35:18 > 0:35:21but you have lost three inches round your waist and that's win, win, win.

0:35:21 > 0:35:23It's reduced your risk of liver disease,

0:35:23 > 0:35:25there's less fat inside that liver.

0:35:25 > 0:35:27It's dramatically improved your diabetic control

0:35:27 > 0:35:30- and it's reduced your risk of heart disease.- I'm well pleased.

0:35:30 > 0:35:32That's more or less an inch a week, innit?

0:35:32 > 0:35:34It is, three inches you've lost.

0:35:34 > 0:35:38If I lose about another five inches, you reckon I'll be able to get one of these shiny shirts?

0:35:38 > 0:35:41Well, I'll leave you this. I'll leave you this. That can be your target.

0:35:41 > 0:35:43Five inches, you can wear Dr Phil's shiny shirt.

0:35:43 > 0:35:46And finally, Crissy.

0:35:46 > 0:35:50Has binning the fags and fast food done wonders for her cholesterol?

0:35:51 > 0:35:58Your total cholesterol is now 6.71 and before that it was 7.2.

0:35:58 > 0:36:00Wow. That has really gone down.

0:36:00 > 0:36:03You've stopped smoking, which is just unbelievably brilliant, OK?

0:36:03 > 0:36:06Your waist circumference has dropped by an inch and a half,

0:36:06 > 0:36:09which is brilliant for diabetic control. How do you feel?

0:36:09 > 0:36:13I feel brilliant! I feel more awake and I feel more active.

0:36:13 > 0:36:16- Do you feel in control of your health?- Yeah.

0:36:16 > 0:36:19I'm really thinking, I go to the shops and I'm looking,

0:36:19 > 0:36:21"Any fat in that?" and I go...

0:36:21 > 0:36:24The other day I seen these biscuits and I was dying for a biscuit,

0:36:24 > 0:36:26and I looked and I went,

0:36:26 > 0:36:32"It's only two percent saturated fat! Yeah! I can have a biscuit!"

0:36:32 > 0:36:35I couldn't be happier, because they've lost the right amount of weight.

0:36:35 > 0:36:38They haven't suddenly gone whoomph, and stopped eating.

0:36:38 > 0:36:39They look healthy, they look happy. It works!

0:36:41 > 0:36:45We've just got one hour to go and we've now seen more than 300 people.

0:36:47 > 0:36:50Our doctors and nurses are still busy doing assessments

0:36:50 > 0:36:54and our stats team are preparing to crunch the final figures.

0:36:58 > 0:37:00I'm now on my way to the Spire Hospital

0:37:00 > 0:37:02on the other side of Manchester.

0:37:02 > 0:37:04I'm going to check up on the people from our screening,

0:37:04 > 0:37:08like Wayne and Angela, who were sent here for further tests.

0:37:08 > 0:37:11How have they been getting on? Cheers, mate.

0:37:16 > 0:37:22OK, just do some gentle, easy breathing for a start.

0:37:22 > 0:37:2438-year-old Angela is nervously waiting for the results

0:37:24 > 0:37:27of her ultrasound with Dr Rajashanker.

0:37:27 > 0:37:32She's about to find out if regularly drinking twice the recommended limit

0:37:32 > 0:37:34has done permanent damage to her liver.

0:37:34 > 0:37:36There is some damage to the liver.

0:37:36 > 0:37:38- OK.- It's called fatty change.- Right.

0:37:38 > 0:37:43But the good news is, it's only a kind of temporary damage.

0:37:43 > 0:37:46At this stage, everything is reversible.

0:37:46 > 0:37:50But if it carries on, say for another six months or a year,

0:37:50 > 0:37:52it could lead to permanent damage.

0:37:52 > 0:37:56You said that possible serious damage could be done

0:37:56 > 0:37:59if I continue drinking the amount that I do?

0:37:59 > 0:38:02- Within six months to a year, you said?- I would think so.

0:38:02 > 0:38:05The good news is, we've caught Angela just in time

0:38:05 > 0:38:07for her to reverse any damage.

0:38:07 > 0:38:10But she needs to start doing that now.

0:38:10 > 0:38:12The black and the white of it is,

0:38:12 > 0:38:14- I need to cut down on the alcohol I drink.- Yeah.

0:38:14 > 0:38:17You were saying earlier on that you actually just drink

0:38:17 > 0:38:19- the same amount as your mates do, really?- Yeah.

0:38:19 > 0:38:22- Are you going to go and tell them what's been going on?- I will do.

0:38:22 > 0:38:25Absolutely, I will do.

0:38:25 > 0:38:29And I'll encourage them to go get themselves checked out.

0:38:30 > 0:38:35If you experience any chest pain or ache in the chest, just let us know.

0:38:35 > 0:38:3658-year-old Wayne is here

0:38:36 > 0:38:41because he's worried about the chest pains he's been having.

0:38:41 > 0:38:44It's possible they could be a symptom of heart disease,

0:38:44 > 0:38:46so he's being checked out.

0:38:46 > 0:38:48- Are you OK?- Yeah, fine.

0:38:48 > 0:38:49Dr Ayub wants to see

0:38:49 > 0:38:53if Wayne's heart beats irregularly as he exercises.

0:38:53 > 0:38:57I can just feel a little discomfort in my chest now.

0:38:57 > 0:38:59It's not too bad, just a slight...

0:39:03 > 0:39:05To get Wayne's heart to work even harder,

0:39:05 > 0:39:09the speed and slope of the treadmill are increased.

0:39:09 > 0:39:12Is the chest pain getting bad?

0:39:12 > 0:39:14I can feel it just at the top of my arm.

0:39:14 > 0:39:15- Similar, just a little bit.- OK.

0:39:15 > 0:39:18It's just a slight discomfort, really.

0:39:18 > 0:39:20Wayne's worst fears are confirmed.

0:39:20 > 0:39:22Unfortunately, Dr Ayub thinks

0:39:22 > 0:39:26he probably does have the beginnings of heart disease.

0:39:26 > 0:39:29- How are you feeling now? - Yeah, fine. Good.- OK.

0:39:29 > 0:39:30Well, from this test,

0:39:30 > 0:39:33I can tell that what you are complaining of

0:39:33 > 0:39:35is likely to be angina.

0:39:35 > 0:39:39Angina is the furring up of the arteries and the heart,

0:39:39 > 0:39:42so the artery just narrows sometimes

0:39:42 > 0:39:46and what happens is, when you want to go up an incline,

0:39:46 > 0:39:50your heart is put under extra stress, similar to what we did here,

0:39:50 > 0:39:53and that time, your heart struggles for a bit of oxygen

0:39:53 > 0:39:56- and that causes the pain and everything.- Yes.

0:39:56 > 0:40:02- You will need more investigations to confirm how much is the angina.- Yes.

0:40:02 > 0:40:06The good news is that now Wayne knows there's a problem,

0:40:06 > 0:40:10living a bit more healthily could make all the difference.

0:40:10 > 0:40:14I suppose I'm going to have to make some sort of changes to my diet.

0:40:14 > 0:40:16- Yeah.- I knew I was a little bit overweight.

0:40:16 > 0:40:18Make some sort of changes to my diet

0:40:18 > 0:40:21and probably a little bit more exercise.

0:40:21 > 0:40:23Do you think it's been worthwhile, you know,

0:40:23 > 0:40:26coming and finding this out? It's got to have been.

0:40:26 > 0:40:27Definitely, definitely.

0:40:27 > 0:40:30Because obviously, if I wouldn't have come here,

0:40:30 > 0:40:33you'd probably carry on with your lifestyle and then, who knows?

0:40:33 > 0:40:36Five years down the line, I could have had a big problem.

0:40:36 > 0:40:40- A new beginning.- A new beginning, yeah. A kick up the backside.

0:40:43 > 0:40:46Back at the stadium, the rugby matches are just finishing

0:40:46 > 0:40:48and fans are heading home.

0:40:48 > 0:40:51And with our last people going through,

0:40:51 > 0:40:55it's time to draw our incredible event to a close.

0:40:55 > 0:40:58Thank you to everyone. Thank you to all of you nurses.

0:40:58 > 0:41:01- Give yourselves a round of applause. - CHEERING AND APPLAUSE

0:41:01 > 0:41:03Very good job!

0:41:03 > 0:41:05Jen, it's time for our final round of statistics.

0:41:05 > 0:41:10In total, we've screened 387 people

0:41:10 > 0:41:14and 73% have actually had to get referral forms to go to their GP,

0:41:14 > 0:41:17because they're at an increased risk of one of our silent killers.

0:41:17 > 0:41:20- Nearly three quarters of people? - Yep, yep.

0:41:20 > 0:41:22But which of our silent killers

0:41:22 > 0:41:25posed the biggest threat to people here today?

0:41:25 > 0:41:27Well, 28%, so over a quarter,

0:41:27 > 0:41:31are being referred because they're at risk of heart disease,

0:41:31 > 0:41:3442% for type 2 diabetes

0:41:34 > 0:41:39but the biggest number is for alcohol-related liver disease.

0:41:39 > 0:41:4347%, so nearly half.

0:41:43 > 0:41:46And the stat that I've been itching to find out all day,

0:41:46 > 0:41:50how many years have we potentially given back to people?

0:41:50 > 0:41:53If we were to stop all of those people who have been referred

0:41:53 > 0:41:56to their GP from getting one of our diseases,

0:41:56 > 0:42:00we could potentially give back up to nearly 4,000 years of life.

0:42:00 > 0:42:044,000 years. Now, that is a stat to be proud of.

0:42:07 > 0:42:11It's been a fantastic effort and a terrific result.

0:42:12 > 0:42:13More than ten million of us

0:42:13 > 0:42:16could be affected by these conditions in the future...

0:42:18 > 0:42:20..but almost all of us could stop that happening

0:42:20 > 0:42:25with a few small changes to our diet and a little bit more exercise.

0:42:27 > 0:42:30It's a small price to pay for what could give many of us

0:42:30 > 0:42:33over a decade more of healthy life.

0:42:40 > 0:42:44Just one final very big thank you to all the volunteer nurses

0:42:44 > 0:42:46and the charities who've made today possible.

0:42:46 > 0:42:48It has been an incredible effort

0:42:48 > 0:42:51and one that hopefully will change many lives for ever.

0:42:51 > 0:42:53Jodie and Crissy, for people watching at home

0:42:53 > 0:42:57who are slightly apprehensive about being screened or are concerned, what do you say to them?

0:42:57 > 0:43:00- Well, I always say, as my nan would say, "Get, get."- Get. Do it.

0:43:00 > 0:43:04- Honestly, it's worth it. - Do it today and not tomorrow.

0:43:04 > 0:43:09Get out there and think selfish, think about yourself.

0:43:09 > 0:43:13Remember, these diseases really are the silent killers,

0:43:13 > 0:43:15so if you're concerned, talk to your doctor now.

0:43:15 > 0:43:17It's good night from Manchester.

0:43:44 > 0:43:46Subtitles by Red Bee Media Ltd