0:00:02 > 0:00:04Good boy. This nurse is going to come and help hold, too, look.
0:00:04 > 0:00:06He'll be wiped off his feet for a week, two weeks at a time.
0:00:06 > 0:00:08He knows half of them in the ward by name, so he does,
0:00:08 > 0:00:10because he's in here that often.
0:00:10 > 0:00:12I hit the windshield and went up
0:00:12 > 0:00:13the road with the bike.
0:00:13 > 0:00:15See the blood lying in the road.
0:00:15 > 0:00:16There was blood in my visor.
0:00:16 > 0:00:21You are very afraid for your life, you know, you think that's it.
0:00:21 > 0:00:23You know, you are disfigured.
0:00:23 > 0:00:24It's a big scar.
0:00:24 > 0:00:26I've measured out the amount of skin
0:00:26 > 0:00:28that's required to match this breast.
0:00:29 > 0:00:34This is a pretty serious syndrome and can cause a lot of problems,
0:00:34 > 0:00:38and you can end up losing your leg.
0:00:38 > 0:00:42To see her and to hold her, be able to walk again...
0:00:44 > 0:00:45..it would be great.
0:00:57 > 0:01:01We've spent a year looking under the skin of the health service,
0:01:01 > 0:01:03focusing on the large team of people
0:01:03 > 0:01:06who dedicate their lives to saving ours.
0:01:06 > 0:01:08Statistics show that one in three people
0:01:08 > 0:01:10will be diagnosed with cancer.
0:01:10 > 0:01:13This is set to rise to one in two within 20 years.
0:01:14 > 0:01:17Belfast City Hospital's Cancer Centre
0:01:17 > 0:01:20is at the forefront of the fight against the disease.
0:01:21 > 0:01:23Over the past ten years...
0:01:23 > 0:01:27We do believe that we've got a technique now that
0:01:27 > 0:01:31can cure more people and more effectively,
0:01:31 > 0:01:33and deliver less in the way of side-effects.
0:01:33 > 0:01:36With the advances in radiotherapy that we've seen,
0:01:36 > 0:01:37it's changing everything.
0:01:37 > 0:01:39The machine's called a linear accelerator
0:01:39 > 0:01:44and it is a way of giving a very high-energy X-ray beam,
0:01:44 > 0:01:46which we focus on to the tumour.
0:01:46 > 0:01:49And the advantages with this machine,
0:01:49 > 0:01:51are that we can be much more accurate
0:01:51 > 0:01:53in targeting just the tumour.
0:01:55 > 0:01:59The Cancer Centre treats 273 patients per day
0:01:59 > 0:02:01using the linear accelerator.
0:02:01 > 0:02:04Lung cancer patients now have a much better chance
0:02:04 > 0:02:06of beating the disease.
0:02:10 > 0:02:12And number threes, go.
0:02:12 > 0:02:15Around 1,200 women are diagnosed with breast cancer
0:02:15 > 0:02:17every year in Northern Ireland.
0:02:17 > 0:02:21Swimming instructor, Rosaline Wray, was diagnosed in 2013 and
0:02:21 > 0:02:26following extensive treatment, she now requires reconstructive surgery.
0:02:26 > 0:02:27I just had a prosthesis.
0:02:27 > 0:02:32So we're on the poolside and we're doing demonstrations all the time,
0:02:32 > 0:02:34we're active. But you're always aware and you're always...
0:02:34 > 0:02:38Sure it would be your worst nightmare standing on the poolside
0:02:38 > 0:02:41or in the water and, you know, your prosthesis falling out.
0:02:41 > 0:02:43It'd be, you know, your worst nightmare.
0:02:46 > 0:02:50Today, she's in the plastic surgery ward of the Ulster Hospital,
0:02:50 > 0:02:52waiting to have her breast reconstructed.
0:02:52 > 0:02:56Losing the breast just was necessary.
0:02:56 > 0:02:59Body image at that time wasn't an issue.
0:02:59 > 0:03:04I was on my own, like, my marriage had broken down the year before.
0:03:06 > 0:03:08And, you know, you are disfigured.
0:03:08 > 0:03:10It's a big scar.
0:03:10 > 0:03:12So the first time I looked at it I thought...
0:03:14 > 0:03:18.."It's awful. You're deformed."
0:03:18 > 0:03:20Her surgery's scheduled for tomorrow morning.
0:03:20 > 0:03:23Nurses record Rosaline's obs regularly until then.
0:03:23 > 0:03:26- And wait for it to go to zero. - OK.
0:03:26 > 0:03:27- That's you.- OK, just step on?
0:03:27 > 0:03:29Mmm-hmm.
0:03:30 > 0:03:32Perfect, that's you.
0:03:32 > 0:03:35I really don't think that it's sunk in that,
0:03:35 > 0:03:38you know, this is it now, I'm actually getting reconstruction.
0:03:39 > 0:03:42I'm going to have something at the end of it.
0:03:42 > 0:03:44They're not taking anything away this time.
0:03:44 > 0:03:47Tomorrow evening I'm going to have two breasts!
0:03:48 > 0:03:50Pop that on your finger.
0:03:50 > 0:03:54It's going to be lovely being able to go out and, you know,
0:03:54 > 0:03:58get nice wee string tops and, you know, that sort of just...
0:03:58 > 0:04:01Although I didn't feel that I was missing out,
0:04:01 > 0:04:03I think the closer it came to the operation,
0:04:03 > 0:04:05and I was sort of thinking, you know, what the end result's
0:04:05 > 0:04:07going to be and the more I realised,
0:04:07 > 0:04:10well, actually, you know, I was very conscious.
0:04:10 > 0:04:12I remember...
0:04:12 > 0:04:16very clearly the very first day I went back into a swimming pool
0:04:16 > 0:04:19with a swimming costume on.
0:04:19 > 0:04:22By that stage I'd been in and had a mastectomy.
0:04:22 > 0:04:24I was very aware that everybody was very aware that...
0:04:24 > 0:04:27You know, these two breasts...
0:04:27 > 0:04:30There was only... One was, you know...
0:04:30 > 0:04:32a prosthesis.
0:04:32 > 0:04:35But nobody made any difference.
0:04:36 > 0:04:38It was never an issue.
0:04:38 > 0:04:40Slide in, reach.
0:04:42 > 0:04:43All right?
0:04:47 > 0:04:51The Royal Belfast Hospital for Sick Children cares for young patients
0:04:51 > 0:04:53up to the age of 14.
0:04:53 > 0:04:57Each year, 35,000 children attend its emergency department
0:04:57 > 0:05:00and 10,000 are admitted for inpatient care.
0:05:00 > 0:05:01BABY CRIES
0:05:01 > 0:05:03Oh, sorry, darling.
0:05:03 > 0:05:05OK. All righty.
0:05:07 > 0:05:10The nurse in charge today is deputy ward sister Jenny Morrissey.
0:05:10 > 0:05:14Her first patient is four-year-old Tyler Fisher,
0:05:14 > 0:05:15who's suffered an asthma attack.
0:05:18 > 0:05:23So we'll just connect the monitor up here and what we're looking for is
0:05:23 > 0:05:25his oxygen levels,
0:05:25 > 0:05:28and we'd like them above 95.
0:05:28 > 0:05:31OK. You can see his wee breathing there is...
0:05:31 > 0:05:32It's working a wee bit hard.
0:05:32 > 0:05:34It's got to the stage he goes to the nursery,
0:05:34 > 0:05:36he's hardly been at nursery because, you know,
0:05:36 > 0:05:38he goes out and he plays and then
0:05:38 > 0:05:40next thing he'll be wiped off his feet
0:05:40 > 0:05:43for like a week, two weeks at a time.
0:05:43 > 0:05:45OK, so we're at 92.
0:05:46 > 0:05:50Can I have a wee look at your wee tummy just?
0:05:50 > 0:05:53And I can see already that it's fast-ish rate.
0:05:53 > 0:05:56So I'm just going to give that a wee count.
0:05:56 > 0:05:59OK. I'm going to check if there's any rooms available.
0:05:59 > 0:06:01- Right.- And then we'll get you straight in, OK?- No problem.
0:06:03 > 0:06:04That'll help him.
0:06:06 > 0:06:08He knows half of them in the ward by name, so he does,
0:06:08 > 0:06:10because he's in here that often.
0:06:18 > 0:06:20Musgrave Park Hospital is one of
0:06:20 > 0:06:23the leading orthopaedic centres in Europe.
0:06:23 > 0:06:25In their limb fitting department,
0:06:25 > 0:06:28they provide and maintain the latest in prosthetic technology.
0:06:29 > 0:06:3327-year-old Tim Shields and his pregnant wife Jenna
0:06:33 > 0:06:35have waited two long years for this day.
0:06:35 > 0:06:40Tim's here to be assessed for a brand-new high-end prosthetic leg.
0:06:41 > 0:06:43Bring your weight back a wee touch there. You can see it moves
0:06:43 > 0:06:45and if you bring your weight forward a touch,
0:06:45 > 0:06:47you'll see it moves the other way.
0:06:47 > 0:06:49So you're just a wee bit heel heavy there.
0:06:49 > 0:06:54- So go on to your right...- The C-Leg prosthetic limb costs up to £30,000
0:06:54 > 0:06:57and is only available to those who meet a strict physical criteria.
0:07:03 > 0:07:06If Tim is deemed a suitable candidate for the new leg,
0:07:06 > 0:07:10it will have a huge impact on him and his family's lives.
0:07:11 > 0:07:13That's really good.
0:07:13 > 0:07:17Tim has one young child already and with a second on the way,
0:07:17 > 0:07:19the limited mobility with his current prosthesis
0:07:19 > 0:07:22has been causing him real problems.
0:07:22 > 0:07:26The limitations of this leg, you don't really want to take the chance
0:07:26 > 0:07:28and walk with your 17-month-old baby in your arms
0:07:28 > 0:07:30in case you trip on something.
0:07:30 > 0:07:34This here is very limited in what you can do.
0:07:34 > 0:07:36I have another baby due here in June
0:07:36 > 0:07:39and I'm looking forward to having the C-Leg for that.
0:07:39 > 0:07:41I'm looking forward to being able to walk about the house
0:07:41 > 0:07:43with it in my arms, put it to sleep in my arms.
0:07:43 > 0:07:47Them's the things I didn't get to do with Mason.
0:07:47 > 0:07:48Put it back on.
0:07:49 > 0:07:52A few months before his son Mason was born,
0:07:52 > 0:07:54Tim was in a horrific motorbike accident.
0:07:56 > 0:07:59I remember it all, I was conscious throughout the whole thing.
0:07:59 > 0:08:01He caught me about the middle of the bike,
0:08:01 > 0:08:03where this knee would have been.
0:08:03 > 0:08:06I caught his front driver's headlight.
0:08:07 > 0:08:10I'd hit the windshield and went up the road with the bike.
0:08:10 > 0:08:13I finally landed about... I think they measured
0:08:13 > 0:08:16about 300 yards from where the point of impact was.
0:08:16 > 0:08:21While that had happened, this leg had got trapped in the foot peg,
0:08:21 > 0:08:25which ripped the boot off the leg.
0:08:25 > 0:08:26The boot actually didn't open,
0:08:26 > 0:08:28it came off with that much of a force, the leg just came out.
0:08:30 > 0:08:33At that stage, you know, you are very afraid for your life,
0:08:33 > 0:08:34you know, you think that's it.
0:08:34 > 0:08:37You know, you think you're tatty bread, lights out.
0:08:37 > 0:08:40You know, you see the blood lying in the road,
0:08:40 > 0:08:41there was blood in my visor.
0:08:41 > 0:08:43My wife was heavily pregnant at the time,
0:08:43 > 0:08:45that was going through my head too,
0:08:45 > 0:08:47thinking of the child with no father. That was worrying me -
0:08:47 > 0:08:51leaving her widowed after only two months of marriage.
0:08:52 > 0:08:53The accident left him in hospital
0:08:53 > 0:08:56for six weeks and although he lost his leg,
0:08:56 > 0:08:59he was lucky to survive such a devastating impact.
0:09:02 > 0:09:05But if things go well for him in today's assessment,
0:09:05 > 0:09:08he could be a step closer to living the life he wants.
0:09:08 > 0:09:11'I will be riding a bike again,
0:09:11 > 0:09:13'which hasn't went down well with Jenna or my mum.'
0:09:13 > 0:09:16But I think that's one of the hurdles in life, for me,
0:09:16 > 0:09:18I have to get over.
0:09:18 > 0:09:19We'll do a few wee tweaks.
0:09:19 > 0:09:21Inevitably.
0:09:24 > 0:09:27In the orthopaedic ward of the Royal Victoria Hospital,
0:09:27 > 0:09:3050-year-old Garvin Pollock is waiting for surgery.
0:09:30 > 0:09:33He broke his leg after falling in his back garden.
0:09:33 > 0:09:36This will be his fifth operation.
0:09:36 > 0:09:39It became a complication after the first surgery
0:09:39 > 0:09:41of compartment syndrome,
0:09:41 > 0:09:45which is pressure within the leg, within the muscles.
0:09:45 > 0:09:51To fix it they had to open my leg, both sides, to release the pressure.
0:09:53 > 0:09:55This is a pretty serious syndrome,
0:09:55 > 0:09:57it can cause a lot of problems
0:09:57 > 0:10:03and you can end up losing your leg or your foot because of it.
0:10:04 > 0:10:07Surgeon Chris Andrews will try to save Garvin's leg.
0:10:07 > 0:10:11Today we're going to try to reconstruct his ankle as best we can
0:10:11 > 0:10:15and he's had this CT scan done and it gives us an idea
0:10:15 > 0:10:22of how many different parts the ankle joint has ended up in
0:10:22 > 0:10:24and you can see several pieces.
0:10:24 > 0:10:25So what we need to do
0:10:25 > 0:10:27is open the front of his ankle here
0:10:27 > 0:10:32to get in and actually physically put these bits back together
0:10:32 > 0:10:34as best we can, like a jigsaw puzzle.
0:10:34 > 0:10:37With the number of breaks in Garvin's ankle,
0:10:37 > 0:10:39it's proving a more difficult case than most
0:10:39 > 0:10:43and there's also a potentially life-threatening complication.
0:10:43 > 0:10:47Garvin might have had an unusual reaction to an anaesthetic
0:10:47 > 0:10:50about 15 years ago called malignant hypothermia,
0:10:50 > 0:10:53and that's a really dangerous thing.
0:10:54 > 0:10:57It can be fatal, so we've changed what we're going to do
0:10:57 > 0:10:58in terms of the anaesthetic.
0:10:58 > 0:11:02He's just going to be numbed with a spinal anaesthetic from
0:11:02 > 0:11:05the waist down and we're just going to give him some light sedation
0:11:05 > 0:11:08instead of a full general anaesthetic.
0:11:09 > 0:11:11He's asleep, but if we speak to him,
0:11:11 > 0:11:13he'll be able to wake up and answer appropriately.
0:11:15 > 0:11:17This bit here, which is not very sterile,
0:11:17 > 0:11:19because it's been on for several weeks.
0:11:19 > 0:11:21Put a bit of iodine on it,
0:11:21 > 0:11:23to make it as clean as we can to take it out.
0:11:23 > 0:11:26Pull out now.
0:11:26 > 0:11:30With Garvin developing compartment syndrome after his initial fall,
0:11:30 > 0:11:32treating this became the priority
0:11:32 > 0:11:34in order to prevent him losing his leg altogether.
0:11:34 > 0:11:38While today's operation is to reconstruct his ankle,
0:11:38 > 0:11:41the delay has brought its own complications.
0:11:43 > 0:11:45The problem is, there's a fragment of bone here at the back and we're
0:11:45 > 0:11:49trying to restore the natural arch by bringing it back down again.
0:11:49 > 0:11:52And we're trying to do that with this lever, but unfortunately,
0:11:52 > 0:11:54because we're three weeks down the line,
0:11:54 > 0:11:56the bone's already started to heal.
0:11:56 > 0:11:59I'm going to try to push the back of the tibia down
0:11:59 > 0:12:01to get that step away, that you see in the foot surface.
0:12:03 > 0:12:05This is the most important part of the operation,
0:12:05 > 0:12:07because the joint is like the hinge of a door.
0:12:07 > 0:12:10If the hinge works right, the whole door will work.
0:12:18 > 0:12:19Show me that.
0:12:19 > 0:12:24Garvin will have to spend four months in an Ilizarov frame
0:12:24 > 0:12:27but surgeon Chris is confident of a positive outcome.
0:12:27 > 0:12:29What we are going to do is
0:12:29 > 0:12:33get an X-ray done and then he'll be starting to walk with full weight on
0:12:33 > 0:12:35the leg starting tomorrow
0:12:35 > 0:12:38and once he's able to walk with the aid of crutches
0:12:38 > 0:12:41and manage stairs and things,
0:12:41 > 0:12:42he'll be able to go home.
0:12:42 > 0:12:45I would hope he'll get home maybe over the weekend,
0:12:45 > 0:12:47depending on how well he does.
0:12:54 > 0:12:57There are around 16 babies born every day
0:12:57 > 0:13:00in Belfast's Royal Jubilee Maternity Service.
0:13:02 > 0:13:05Leanne McDonnell is a maternity support worker.
0:13:06 > 0:13:07I work on the ward
0:13:07 > 0:13:09and my role is to support mums with their new babies
0:13:09 > 0:13:11in the first stages of life.
0:13:12 > 0:13:15'First-time mums are usually a wee bit afraid
0:13:15 > 0:13:17'or conscious about working with a wee baby.'
0:13:17 > 0:13:20And that's us done.
0:13:20 > 0:13:22- Thank you very much, Leanne. - No problem, thank you.
0:13:22 > 0:13:25'So we sort of reassure them and, you know,'
0:13:25 > 0:13:27help them any way we can.
0:13:27 > 0:13:29BABY CRIES HEARTILY
0:13:29 > 0:13:31Like showing them how to work with their baby,
0:13:31 > 0:13:34you know, bathing their baby.
0:13:39 > 0:13:41Our role also involves helping midwives,
0:13:41 > 0:13:44supporting the midwives in their daily tasks.
0:13:44 > 0:13:47Today, she's assisting midwife Fidelma Conway.
0:13:47 > 0:13:50This wee one's just about to get a wee BCG.
0:13:50 > 0:13:54And what I do is I will just assist the midwife in holding her.
0:13:55 > 0:13:58This wee one's a day-old, Fidelma, is it?
0:13:58 > 0:14:02- This wee one?- Why don't you read the baby's notes?- Yeah, born yesterday.
0:14:02 > 0:14:04'Because these parents are from Nigeria,
0:14:04 > 0:14:09'this baby is a candidate for the BCG vaccine.'
0:14:15 > 0:14:17Yeah.
0:14:19 > 0:14:22With the injections over, the sleepy baby is put down for a nap.
0:14:34 > 0:14:36Back in the Ulster Hospital,
0:14:36 > 0:14:39Rosaline's operation is about to begin.
0:14:39 > 0:14:42I work as part of a team here, a breast team,
0:14:42 > 0:14:45it's a very good team in the Ulster Hospital.
0:14:45 > 0:14:49It's a big team, of breast surgeons, plastic surgeons, radiologists...
0:14:52 > 0:14:53..oncologists, breast care nurses,
0:14:53 > 0:14:58there's a never ending list of team members and we work well together.
0:14:58 > 0:15:00OK.
0:15:00 > 0:15:01The team begin by freezing
0:15:01 > 0:15:04Rosaline's stomach with local anaesthetic.
0:15:09 > 0:15:14Mr Sinclair then makes an incision for the placement of the new breast.
0:15:14 > 0:15:17We're always a little bit short of skin at the top edge,
0:15:17 > 0:15:19that's why we make that a wee bit wavy.
0:15:23 > 0:15:26His team begin by removing the skin and fat
0:15:26 > 0:15:29from Rosaline's stomach needed to create the new breast.
0:15:37 > 0:15:39As the new breast will be made of living tissue,
0:15:39 > 0:15:42he needs to remove a small piece of rib
0:15:42 > 0:15:43to gain access to a blood supply.
0:15:46 > 0:15:48I think we will go for...
0:15:50 > 0:15:51..there.
0:16:04 > 0:16:10We've created the pocket and we'll find the vessels that will drive the
0:16:10 > 0:16:11tissue that we move up.
0:16:11 > 0:16:13So we're going to dissect the blood vessels that
0:16:13 > 0:16:17supply that skin and fat between the muscle and the nerves,
0:16:17 > 0:16:21leave all the muscle behind, because this lady's a swimming instructor,
0:16:21 > 0:16:23so there's lots of ways of reconstructing the breast.
0:16:26 > 0:16:29This particular method preserves all your muscles,
0:16:29 > 0:16:30which is important for her job.
0:16:32 > 0:16:34Once the stomach tissue has been removed,
0:16:34 > 0:16:36it is then placed on the breast cavity.
0:16:39 > 0:16:41So this tissue has no blood supply going into it,
0:16:41 > 0:16:44and we want to sort of re-establish that.
0:16:44 > 0:16:51So the tissue has been raised on these blood vessels here...
0:16:51 > 0:16:54..and we are now going to try and plumb them in
0:16:54 > 0:16:57to the internal mammary or the blood vessels
0:16:57 > 0:17:00just under the ribs.
0:17:02 > 0:17:05He now connects it to a blood supply.
0:17:05 > 0:17:06I'm already there now.
0:17:06 > 0:17:10I suppose we could cut that, because we'll probably shorten that anyway.
0:17:14 > 0:17:16The skin and tissue from Rosaline's stomach
0:17:16 > 0:17:18can now be shaped to form her new breast.
0:17:18 > 0:17:22'We've measured out the amount of fat that's needed'
0:17:22 > 0:17:25and we've measured out the amount of skin that's required
0:17:25 > 0:17:27'to match this breast, but we may in fact...
0:17:29 > 0:17:31'..take some the skin out of this breast at a later date.'
0:17:36 > 0:17:39Rosaline's stomach wound is then repaired,
0:17:39 > 0:17:41effectively giving her a tummy tuck.
0:17:41 > 0:17:44'As with many things - many hands make light work
0:17:44 > 0:17:46'so everybody has a job.'
0:17:48 > 0:17:51After six hours, surgery is complete.
0:17:52 > 0:17:54Thanks very much, everyone.
0:17:57 > 0:18:00Things went well. The vessels were mapped out
0:18:00 > 0:18:02for us on the CT angiogram.
0:18:02 > 0:18:06Once we had the flap elevated on the blood vessels,
0:18:06 > 0:18:08everything else went very well.
0:18:13 > 0:18:17The next morning, she's recovering in the ward.
0:18:17 > 0:18:20I'm really pleased with the results.
0:18:20 > 0:18:23It's lovely looking down and seeing two breasts!
0:18:23 > 0:18:25It makes a big difference.
0:18:25 > 0:18:30I think I'm only realising now just how much it impacted on me.
0:18:33 > 0:18:35Hello.
0:18:35 > 0:18:37- Me again.- Hello.
0:18:37 > 0:18:40Going to check your... Do your... Check your flap.
0:18:40 > 0:18:41- OK.- And your urine.
0:18:41 > 0:18:45- So if you want to go around and check her urine and see what it is. - OK.
0:18:45 > 0:18:47So, basically, you're looking for the colour,
0:18:47 > 0:18:49making sure it's nice and warm.
0:18:49 > 0:18:53- Can I feel it?- Yeah. So if you put your hand down, you can feel.
0:18:53 > 0:18:57- Oh, yeah. OK.- Then you're looking for the return.
0:18:57 > 0:19:00- That's doing really, really well. All right.- Mm-hm.
0:19:00 > 0:19:01So...
0:19:02 > 0:19:05- That's you.- Thank you.
0:19:05 > 0:19:11I think I just sort of had accepted and got on things, you know?
0:19:11 > 0:19:14And now that, well, I'm looking down and seeing this breast and thinking,
0:19:14 > 0:19:18"Goodness, I'm, like, normal again!"
0:19:18 > 0:19:20So, it's good.
0:19:21 > 0:19:24In Musgrave Park...
0:19:24 > 0:19:28- This is class. - ..Tim and his wife Jenna have been amazed at the mobility that
0:19:28 > 0:19:29the new C-leg has given him.
0:19:31 > 0:19:33That's amazing, like.
0:19:33 > 0:19:34Really amazing, like.
0:19:34 > 0:19:37Big smile on his face. It's great to see.
0:19:37 > 0:19:40Prosthetist Peter Taylor is happy that Tim
0:19:40 > 0:19:42is a fitting candidate for the upgrade.
0:19:42 > 0:19:44I think you're just more comfortable with it.
0:19:44 > 0:19:47- It shows.- That's amazing.
0:19:47 > 0:19:50Take the phone out, answer it here, coming downhill
0:19:50 > 0:19:51and everything here.
0:19:51 > 0:19:52Huh? Order a pizza.
0:19:55 > 0:19:57I'm 18st.
0:19:57 > 0:20:00I'm putting my full weight on that leg and, you know,
0:20:00 > 0:20:04you can feel it working away, like, it's amazing.
0:20:04 > 0:20:07'With a new knee joint, when the person hits the ground with their heel,
0:20:07 > 0:20:08'the knee will sense that.
0:20:08 > 0:20:11'It knows that the leg is likely to leave the ground and then it has
0:20:11 > 0:20:15'separate settings for the leg swinging back to straight again.'
0:20:15 > 0:20:18There's modes on it, so you can put a cycling mode in it,
0:20:18 > 0:20:21you can put a mode in it for playing sport, you know?
0:20:21 > 0:20:24There's Bluetooth technology in it, so if I want to change a mode,
0:20:24 > 0:20:25you can change it on your phone.
0:20:25 > 0:20:27I want a motorbike mode!
0:20:30 > 0:20:32At the children's hospital,
0:20:32 > 0:20:34four-year-old Tyler has taken a turn for the worse.
0:20:36 > 0:20:39The oxygen levels went dangerously low to 86,
0:20:39 > 0:20:41so they put in the wee line in his hand
0:20:41 > 0:20:43and that was just to get the medicine
0:20:43 > 0:20:47straight into the IV so it speeds the whole process up.
0:20:47 > 0:20:48So he's back on the oxygen now,
0:20:48 > 0:20:51so he'll be on that for the next 20 minutes, half an hour.
0:20:51 > 0:20:53TYLER CRIES
0:20:53 > 0:20:55He's going to need to stay in hospital now,
0:20:55 > 0:20:58probably for about 48 hours to let the medicines do its work
0:20:58 > 0:21:00and hopefully until he's better.
0:21:00 > 0:21:03We're also going to do a wee X-ray of his chest to check and see
0:21:03 > 0:21:05if there's any infection there that we need to treat.
0:21:12 > 0:21:15Come on in.
0:21:15 > 0:21:18Get a nice picture, will we?
0:21:18 > 0:21:21Look, Tyler, this is just a picture.
0:21:21 > 0:21:24That's all it is, just one picture.
0:21:24 > 0:21:26All right? Right.
0:21:29 > 0:21:31So... That's grand.
0:21:31 > 0:21:34Just try and keep those straight, all right?
0:21:34 > 0:21:35Good boy!
0:21:38 > 0:21:42So he didn't really want to get his X-ray taken, but ideally...
0:21:42 > 0:21:44See the way his head's turned here?
0:21:44 > 0:21:46We ideally want the child's head straight
0:21:46 > 0:21:47because with children,
0:21:47 > 0:21:50when they turn their head, it rotates their chest.
0:21:50 > 0:21:52So it's not really even on both sides,
0:21:52 > 0:21:55so the doctor compares both sides, you see?
0:21:55 > 0:21:57But obviously, with Tyler there, he wasn't really happy,
0:21:57 > 0:22:00so you're just going to go with what you get, basically.
0:22:00 > 0:22:03- TYLER CRIES - Good boy.
0:22:03 > 0:22:06The results of his X-rays show that he has an infection.
0:22:06 > 0:22:10So, at this stage, he's going to be transferred over to the ward for
0:22:10 > 0:22:13further management and to continue his care.
0:22:14 > 0:22:17And Mum and Dad obviously will be able to go with him
0:22:17 > 0:22:18and stay with him.
0:22:20 > 0:22:22Good boy, nearly done.
0:22:22 > 0:22:24Mummy.
0:22:25 > 0:22:26Well done.
0:22:34 > 0:22:3824-hours has made a remarkable difference to Tyler's condition.
0:22:41 > 0:22:45He was treated overnight with nebulisers,
0:22:45 > 0:22:47IV antibiotics and oxygen.
0:22:47 > 0:22:50He was well this morning, so he's changed onto inhalers
0:22:50 > 0:22:53and the medical staff are happy to discharge.
0:23:00 > 0:23:03It's been ten days since Rosaline's reconstructive surgery.
0:23:03 > 0:23:07She returns to the Ulster Hospital for a checkup with Mr Sinclair.
0:23:07 > 0:23:10I'm very pleased with the breast.
0:23:10 > 0:23:13It's so natural.
0:23:13 > 0:23:16Possibly left a little bit of skin and make a nipple mound here
0:23:16 > 0:23:19and then we'll tattoo some colour in to match the areola.
0:23:19 > 0:23:22I think because they used the tummy fat,
0:23:22 > 0:23:28it just has made the breast nice and soft, just like, you know,
0:23:28 > 0:23:30a normal breast.
0:23:30 > 0:23:32- I've already ordered... - SHE CHUCKLES
0:23:32 > 0:23:37..a couple of nice wee dresses with wee, thin straps, so, yeah,
0:23:37 > 0:23:40it's... I'm feeling really, really good.
0:23:40 > 0:23:43- Thank you very much.- But take things easy for the next few weeks.
0:23:43 > 0:23:46- Your muscles are all there...- Yes. - ..the nerves are all there,
0:23:46 > 0:23:48so you should get back to activities fairly quickly.
0:23:48 > 0:23:49Yes, good, yes.
0:23:49 > 0:23:50- Great.- Thank you.
0:23:50 > 0:23:53- OK.- Thank you very much. - See you then. Bye-bye.
0:24:00 > 0:24:03- Daddy! - Where's Daddy's bad leg?
0:24:03 > 0:24:04All better.
0:24:04 > 0:24:08There's been a new arrival in the Shields' household and Tim has
0:24:08 > 0:24:10been feeling the benefits of his new prosthetic leg.
0:24:13 > 0:24:16This is Madison, she's three and a half months old.
0:24:16 > 0:24:18I had the other leg on with my first son, Mason,
0:24:18 > 0:24:22and I wouldn't have even dared to have done this here, like.
0:24:22 > 0:24:25So the confidence it gives me even just to be able to pick Madison up,
0:24:25 > 0:24:28walk with her, I've no issues with doing it with this leg at all,
0:24:28 > 0:24:29I don't even think about it.
0:24:29 > 0:24:31Being able to look after his two young children
0:24:31 > 0:24:32has changed Tim's life.
0:24:34 > 0:24:36His new C-Leg has also allowed him to fulfil
0:24:36 > 0:24:38one of his other ambitions.
0:24:41 > 0:24:43Because I also ride the bike,
0:24:43 > 0:24:45they also put a wee adapter in my leg
0:24:45 > 0:24:48to make it easy to put the shoes on,
0:24:48 > 0:24:51so I can flip it right up and it's easy for me to put it on.
0:24:51 > 0:24:53You get an app that you can have on your phone
0:24:53 > 0:24:56and it's able for me to set my leg up for riding the bike.
0:24:56 > 0:24:58Whenever I want to go into motorbike mode,
0:24:58 > 0:25:02I just select it, hit "OK", the leg beeps to let me know it's locked in.
0:25:02 > 0:25:05And that will stay in that position until I change it.
0:25:11 > 0:25:15Whenever Tim told me he was getting another bike after the accident,
0:25:15 > 0:25:16I wasn't so sure about it.
0:25:16 > 0:25:19I didn't really agree with it at the start,
0:25:19 > 0:25:22because I was just scared of the same thing happening over again,
0:25:22 > 0:25:23especially with another wee one.
0:25:23 > 0:25:25Since he's been on the bike again though,
0:25:25 > 0:25:28it's just really lifted him and with me seeing that
0:25:28 > 0:25:30and seeing how happy and how much he enjoys it,
0:25:30 > 0:25:33then it makes me feel a bit better about it.
0:25:33 > 0:25:35They couldn't have done a better job, you know,
0:25:35 > 0:25:37right from the get-go.
0:25:37 > 0:25:39There's no doubt the NHS did save my life.
0:25:46 > 0:25:50In Ballynahinch, it's just over a week since Garvin's last operation.
0:25:51 > 0:25:53Having overcome some serious complications,
0:25:53 > 0:25:56he's feeling positive about his recent progress.
0:25:58 > 0:26:04Getting back on my feet is important with my newborn child.
0:26:04 > 0:26:10Being able to do my normal duty of being a father and a husband,
0:26:10 > 0:26:12getting back to work.
0:26:12 > 0:26:17It sounds like a copout, smash your leg, you get out of nappy duty,
0:26:17 > 0:26:19like, but...
0:26:19 > 0:26:22to see her and hold her... Whoo!
0:26:26 > 0:26:28Being able to walk again...
0:26:30 > 0:26:32..will be great.
0:26:35 > 0:26:36Sorry.
0:26:41 > 0:26:44- BABY GURGLES - Yes, yes, here we go.
0:26:51 > 0:26:54It's now been four months since Rosaline's surgery.
0:27:07 > 0:27:08I think when I got out of hospital,
0:27:08 > 0:27:14it took me a few good four or five weeks to get my strength back up.
0:27:17 > 0:27:20Going through the surgery and getting the reconstruction,
0:27:20 > 0:27:22it's just really closed that chapter.
0:27:22 > 0:27:24I'm just looking ahead now.
0:27:24 > 0:27:28Not having any impact of it on me any more, it's just...
0:27:28 > 0:27:31You know, I'm back to...
0:27:31 > 0:27:32you know, what I was.
0:27:35 > 0:27:39I feel really privileged receiving the treatment.
0:27:39 > 0:27:41The care's second to none.
0:27:45 > 0:27:49She obviously had to go through a phase of being told
0:27:49 > 0:27:52she was diagnosed with breast cancer and then had the treatment for that,
0:27:52 > 0:27:55which included chemotherapy and radiotherapy,
0:27:55 > 0:27:57so that was quite a process for her to get through.
0:27:57 > 0:28:04Something like this can help just complete the process and help
0:28:04 > 0:28:06her hopefully move on.
0:28:06 > 0:28:09I'm really delighted with the results.
0:28:09 > 0:28:12It's far better than I ever would have imagined.
0:28:14 > 0:28:16And, yes, I'm glad I took that decision.
0:28:16 > 0:28:18I think I would have regretted it if I hadn't.
0:28:21 > 0:28:24You know, you don't know what might happen in the future.
0:28:24 > 0:28:26You might meet someone.
0:28:26 > 0:28:29Just go for it.