Episode 4 Bizarre ER


Episode 4

Similar Content

Browse content similar to Episode 4. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

With mind-boggling medical mishaps

0:00:050:00:07

and the quirkiest of casualties.

0:00:070:00:10

My boyfriend dropped a turnip on me foot.

0:00:100:00:13

This is Bizarre ER.

0:00:130:00:17

And for the first time we've camped out in not one but two British

0:00:170:00:21

hospitals, Northampton General and Bradford Royal Infirmary.

0:00:210:00:27

Hello.

0:00:270:00:29

To bring you the curious cases that are all in a day's work for the stoic staff.

0:00:290:00:33

Can you see your pound coin there?

0:00:330:00:35

But which have to be seen to be believed.

0:00:350:00:38

Plus we've scoured the planet for the people who, thanks

0:00:400:00:43

to amazing medics, have survived the most extraordinary accidents and emergencies known to man.

0:00:430:00:51

Nobody believes they're going to get the Black Death.

0:00:510:00:55

So scrub up, sit back and enjoy the sometimes silly, often odd, but never dull world of Bizarre ER.

0:00:550:01:02

-All I can say is thank heavens for the NHS.

-Thank you.

0:01:020:01:08

Coming up tonight - a cute casualty refuses to let go of the Lego.

0:01:220:01:27

We meet the girl who's darned her own digit

0:01:270:01:30

and the bizarre tale of how, after a fast and furious fall,

0:01:300:01:35

a skate fanatic's life was saved when his skull was put into deep freeze.

0:01:350:01:40

You really put peas in a freezer not your skull.

0:01:400:01:43

But first we're heading to Bradford where it's Halloween and Janine Woodcock has arrived at A&E looking

0:01:510:01:57

a fright without the aid of masks or make-up thanks to a massive allergic reaction.

0:01:570:02:04

I want to scratch it all off like that.

0:02:060:02:09

It's like little blisters that pop and weep.

0:02:090:02:13

Bizarrely, Janine's freaky features

0:02:130:02:16

aren't a reaction to pets or peanuts but to something suitably spooky.

0:02:160:02:21

I've an allergy to a few things and latex were one of them, but it just

0:02:240:02:31

never entered my head, never entered my head that the mask was latex.

0:02:310:02:35

Janine popped it on for all of a minute, woke the next morning

0:02:350:02:38

thinking nothing about it and hence that's what you see.

0:02:380:02:42

This year I won't need to wear it I'll just send Janine to the door.

0:02:420:02:46

The couple might be keeping their Halloween spirits up

0:02:500:02:53

but Janine's conditions is potentially life threatening.

0:02:530:02:56

Her immune system is defending the body against the chemicals in latex

0:02:560:03:01

but it's overreacting, flooding her system with far too many antibodies.

0:03:010:03:05

Your chest looks quite red - is that normal for you or has all this come up as well?

0:03:050:03:10

Dr Gemma Lee gives Janine a thorough examination.

0:03:100:03:15

Nice deep breaths in for me.

0:03:150:03:17

When somebody has an allergic reaction and they usually get a lot of water trapped everywhere,

0:03:170:03:22

it's in her eyes and face and that's what makes her face look so puffy.

0:03:220:03:25

The worst thing that could happen is she could go into full blown anaphylaxis.

0:03:250:03:30

The throat can swell up, it can affect her breathing,

0:03:300:03:33

it affects the cardiovascular system so she can drop her blood pressure.

0:03:330:03:36

Relax your hand as best you can.

0:03:360:03:38

Although it doesn't look like Janine needs any more pumping up,

0:03:380:03:42

doctors flush fluid medication into her bloodstream fast.

0:03:420:03:46

She's being given steroids to help to reduce the swelling.

0:03:460:03:50

Janine needs careful monitoring to ensure her Halloween horror story has a happy ending.

0:03:500:03:56

So Dr Lee admits her onto a ward, but even up there the spooky spirit prevails.

0:03:560:04:02

They put us in bed 13 on purpose.

0:04:030:04:06

It's all pre-planned before we came up, wasn't it?

0:04:060:04:09

Despite the unlucky 13, the fast acting drips seems to be reversing the spell.

0:04:120:04:16

I feel a lot better now. When I first arrived it felt like pressure on

0:04:160:04:21

the top of my head as though it were like pushing my eyes shut,

0:04:210:04:25

whereas now I still feel very swollen but that pressure's gone.

0:04:250:04:29

At least I can open my eyes and see everybody.

0:04:290:04:33

Janine settles in for the night,

0:04:330:04:35

as it will be well past the witching hour before doctors discharge her.

0:04:350:04:39

It's two days after fright night and Janine's back home, but still haunted by the events of Halloween.

0:04:400:04:47

I'm feeling a lot better, still sore, but a lot better than what I did a couple of days ago.

0:04:490:04:56

I hate that mask.

0:04:560:04:57

I just had that on just a couple of minutes,

0:04:570:05:00

could you imagine if I'd had it on all night for a party.

0:05:000:05:04

I definitely don't want to see that mask again.

0:05:040:05:08

When it comes to accidents on Halloween, be afraid, very afraid.

0:05:160:05:21

Tiny trick or treaters are prone to trips,

0:05:210:05:27

torching, or taking one in the eye.

0:05:270:05:32

The source of most Halloween horror is the humble pumpkin -

0:05:320:05:38

responsible for about a third of all hand injuries.

0:05:380:05:41

Carving out that grin can lead to ghastly gashes and severed tendons,

0:05:410:05:46

while many a blood-curdling burn is sustained while trying to light the jack-o'-lantern.

0:05:460:05:51

But fret not, gentle viewer, about the more traditional terrors that haunt Halloween.

0:05:530:05:57

Many of these monstrous myths may well have their basis in medical fact.

0:05:570:06:02

Werewolf behaviour can be put down to a range of conditions

0:06:050:06:07

including Lupus and Porphyria, which can cause scarring from light.

0:06:070:06:13

And then there's Hypertrichosis which causes large amounts of hair to grow in areas

0:06:130:06:18

that are normally hair free, such as the face and the back.

0:06:180:06:21

I need more shampoo!

0:06:210:06:23

And it's thought that vampires were most likely rabies sufferers

0:06:230:06:27

as symptoms include disrupted sleep patterns,

0:06:270:06:31

hyper-sexuality,

0:06:310:06:33

frothing at the mouth, sensitivity to light

0:06:330:06:37

and a desire to bite other people.

0:06:370:06:40

Not now, Nigel, I've got a headache.

0:06:400:06:42

Next we're heading to Northampton General where most people tend to leave with stitches,

0:06:460:06:51

but art student Emily has arrived at A&E with not just a stitch in her finger, but the needle as well.

0:06:510:06:59

She's just always doing clumsy things like this.

0:06:590:07:01

Emily was hard at work on her sewing machine whipping up a textile

0:07:010:07:05

masterpiece when she looked away for a split second and the needle went straight through her nail.

0:07:050:07:12

So what's the plan for this painful puncture?

0:07:120:07:14

I'm going for an X-ray to see that it hasn't gone through my bone and then they just pull it out.

0:07:140:07:20

-Or chop your finger off.

-Yeah!

0:07:200:07:23

It's highly unlikely Emily's heading for an amputation, but the injury could have serious consequences.

0:07:230:07:29

If she's sewn through the bone, she'll need surgery.

0:07:290:07:33

The needle is going straight through the tip of her finger there

0:07:330:07:38

and it's just missed the tip of the bone there

0:07:380:07:42

so she was fairly lucky.

0:07:420:07:44

So it's good news but there's still the small matter of getting the needle out.

0:07:440:07:49

Can you feel the end of your finger?

0:07:490:07:51

Yeah...

0:07:510:07:53

You're not sure.

0:07:530:07:54

I don't think the doctor meant can you actually feel your finger.

0:07:540:07:58

Right, well, what we need to do is we'll numb the finger, OK, and then we'll pull it out.

0:07:580:08:05

As long as it's quick I think it'll be OK.

0:08:050:08:08

To numb the finger,

0:08:100:08:11

Emily now has to endure two more needles in her punctured pointer.

0:08:110:08:16

That's the worst bit done.

0:08:160:08:18

Nurse Maria's brought in to help and the pair practise

0:08:210:08:25

their synchronised putting gloves on routine

0:08:250:08:28

before getting to grips with the needle.

0:08:280:08:31

-That's it.

-First, it needs to be trimmed with some wire cutters.

0:08:310:08:36

-Oh, where did it go?

-The nasty needle's then removed in one quick and easy motion.

0:08:360:08:41

-There we go.

-And all Emily's left with is a numb knuckle and a tiny scratch.

0:08:410:08:47

Press on it nice and firmly for a second, just to stop it from bleeding. All right?

0:08:470:08:52

With her damaged digit safely wrapped up the girls head back to college,

0:08:530:08:58

remembering always to keep an eye on the sewing machine and not a finger.

0:08:580:09:01

Now boys and their toys often can't be parted, but our next patient

0:09:060:09:10

in Northampton has found a novel way to cling to his plaything.

0:09:100:09:15

Four-year-old Oliver has come to A&E with his mum and gran after putting something where he shouldn't.

0:09:150:09:20

I was in the kitchen, he was in the lounge and he just came in and said,

0:09:200:09:24

"Nanny, I've got something stuck up

0:09:240:09:27

"my nose, I put a bit of Lego up there." You can see how big it is.

0:09:270:09:31

Hoping to rid Ollie of his nasal nuisance is an emergency nurse practitioner.

0:09:330:09:39

What happened to you?

0:09:390:09:41

-Oliver's managed to get some Lego stuck up his nose today.

-Oh, dear.

0:09:410:09:44

Hard and green things up your nose aren't usually a problem,

0:09:440:09:47

but drawn into the lung this piece of Lego could be fatal.

0:09:470:09:51

After a brief inspection, nurse Irena suggests a bizarre solution.

0:09:510:09:56

Oliver, Mummy will give you a special kiss, OK?

0:09:560:09:59

With Teddy looking on, Mum Lisa is going to blow hard in Olly's mouth

0:09:590:10:03

in the hope that this will blast the bung out of his beak.

0:10:030:10:06

But things don't go quite to plan.

0:10:060:10:09

Open your mouth.

0:10:090:10:11

Did it shoot out by any chance?

0:10:120:10:14

No, I don't think it did, but you've cleared it out a little bit.

0:10:140:10:18

Lisa's best efforts haven't loosened the Lego, so Irene puts a call into the ear, nose and throat specialists

0:10:180:10:25

while Mum takes Olly to task over her recent snot facial.

0:10:250:10:29

I didn't realise I'd have to blow into your mouth

0:10:290:10:32

and get covered in slobber and snot - it wasn't very nice.

0:10:320:10:36

The Simpsons swing over to ENT where specialists Dr Singh and Dr Salvia are ready and waiting.

0:10:400:10:46

But the instrument they plan to use has an unsettling name.

0:10:460:10:50

We will use a crocodile.

0:10:500:10:53

Not a real crocodile. Look at that, that's called a crocodile.

0:10:530:10:56

It's small and it can go easily into deep spaces.

0:10:560:10:59

OK.

0:10:590:11:00

-All right, are you ready?

-That's it, just close your eyes.

0:11:000:11:03

Squeeze hard on your teddy.

0:11:030:11:05

Don't move.

0:11:050:11:07

-Ow!

-No, don't do that.

0:11:070:11:11

I know.

0:11:110:11:13

Can we try it only once again?

0:11:130:11:16

The patient's clearly unhappy being probed by a crocodile, so the doctors have to try a new approach.

0:11:190:11:26

All right, that's fine.

0:11:260:11:28

The second option now is to actually remove it under anaesthesia.

0:11:280:11:32

It doesn't have to be done today.

0:11:320:11:34

We'll give you an appointment, OK.

0:11:340:11:37

With a temporary reprieve, Olly can't get away fast enough.

0:11:370:11:41

Say bye-bye.

0:11:410:11:43

Let's get out.

0:11:430:11:44

Let's get out now!

0:11:440:11:47

Five days later and Olly's back for operation Lego removal, stage two.

0:11:470:11:52

Olly, Mum and trusty Teddy head for theatre.

0:11:520:11:56

To avoid any further tears or trauma Olly's put under general anaesthetic

0:11:590:12:04

before the team get to work extracting his bizarre bogey.

0:12:040:12:07

They carefully clear the way by sucking out the snot before going in to retrieve the tiny toy intruder.

0:12:070:12:14

There's one last nosey up the nasal passages with an endoscope to check

0:12:170:12:20

Olly hasn't stashed anything else up his snout before he's given the all clear and wheeled off to recovery.

0:12:200:12:27

Hello, buddy, you OK?

0:12:310:12:34

You were really brave.

0:12:350:12:37

It's out now.

0:12:370:12:39

It's out now, is it?

0:12:390:12:40

Did they save it for you?

0:12:400:12:43

-Oh.

-Ow, ow, ow.

0:12:430:12:47

Despite his anaesthetic hangover,

0:12:470:12:51

it's not long before Olly's made a complete recovery and he's home with Mum and Dad

0:12:510:12:56

and straight back on the bricks.

0:12:560:12:58

And pride of place on Olly's toy box is the new Simpson family heirloom -

0:12:580:13:02

destined to become a source of much embarrassment in years to come.

0:13:020:13:06

When he gets married, that'll be part of the centrepiece.

0:13:060:13:10

You've got to be kidding me.

0:13:100:13:12

Bizarre cases aren't confined to Britain

0:13:200:13:22

and this series, we've scoured the globe to bring you the world's most extraordinary emergencies.

0:13:220:13:28

Over in America, doctors saved the life of a skater boy by resorting

0:13:310:13:35

to a surreal and radical remedy when they sent his skull subzero.

0:13:350:13:41

Kyle Johnson used to love skateboarding.

0:13:440:13:47

The last time I was on it it nearly killed me.

0:13:470:13:50

Kyle catapulted into the concrete and smashed his head like an egg.

0:13:500:13:54

It shattered completely into more than 25 to 30 pieces.

0:13:540:13:59

Bizarrely doctors kept his cranky skull in the deep freeze.

0:13:590:14:03

I've never been in a freezer before but unfortunately my skull has.

0:14:030:14:08

This is the adrenalin fuelled art of longboarding.

0:14:110:14:14

Snowboarder Kyle got his summer time kicks on

0:14:140:14:17

the steep hills of his hometown, north of Salt Lake City in Utah.

0:14:170:14:20

I've done this hill quite a bit.

0:14:200:14:23

It is a little aggressive.

0:14:230:14:26

I wanted to feel some adrenalin so I found it more or less, obviously.

0:14:260:14:31

Kyle's buddy, Mike, had second thoughts.

0:14:310:14:34

I've never done this hill, it's just too much for me.

0:14:340:14:38

Although Kyle egged him on, Mike wouldn't crack, so Mike watched Kyle crash.

0:14:380:14:45

He lost control about halfway down and that's when the board just flew out from underneath him.

0:14:450:14:50

Carving a corner at 25mph, Kyle was catapulted backwards.

0:14:500:14:55

With no helmet, all his falling weight smashed the back of his head into the road.

0:14:570:15:02

That's about where he fell. He had blood just pouring out of his head.

0:15:020:15:06

Blood all out from your ear.

0:15:060:15:09

The emergency services were scrambled and paramedics found Kyle had a crumbled cranium.

0:15:090:15:15

Round the back of his head I felt a huge soft spot from ear to ear.

0:15:150:15:19

-He was in and out of consciousness.

-Blood coming out of both ears.

0:15:190:15:22

We started some IVs. As the call progressed he became more and more unconscious.

0:15:220:15:26

Not one memory of any of this.

0:15:260:15:28

Although whisked off to hospital, Kyle's condition went rapidly downhill.

0:15:280:15:33

He arrived at the ER in a coma and Dr Welling assessed his brain activity score.

0:15:370:15:42

The best you can get is a 15.

0:15:420:15:45

Patients who are dead get a score of three.

0:15:450:15:49

Kyle's score was six.

0:15:490:15:50

Kyle was breathing but completely unresponsive, so when his parents

0:15:500:15:54

saw him swollen and unmoving they had to prepare for the worst.

0:15:540:15:59

I didn't know if he was alive or dead when they took us in there

0:15:590:16:02

because it just didn't look like Kyle to me.

0:16:020:16:05

Lots of tubes coming out of his mouth, machines everywhere.

0:16:050:16:08

Kyle was in a very deep coma and near death.

0:16:080:16:13

A CAT scan showed that his skull was so broken up Kyle had gone soft in the head.

0:16:130:16:20

It was similar to if you were to drop a hard-boiled egg on a hard surface.

0:16:200:16:24

It just shattered completely.

0:16:240:16:26

Kyle's brain was bleeding and swelling uncontrollably.

0:16:260:16:29

The rising skull pressure risked permanent brain damage.

0:16:290:16:33

Despite medication, overnight Kyle's cranial pressure rose to six times normal.

0:16:350:16:40

Something had to give.

0:16:400:16:42

We were very concerned about him either dying or being left in a vegetative state.

0:16:420:16:47

The only option to reduce pressure was to make room

0:16:470:16:51

for Kyle's swelling brain, so large chunks of his skull had to come off.

0:16:510:16:56

There was nearly the entire side of the skull

0:16:560:17:00

bigger than what your hand would cover on both sides.

0:17:000:17:05

But Kyle's egg head skull came off in puzzle pieces.

0:17:050:17:08

Surgical staff had a real headache.

0:17:080:17:11

It took us about 40 minutes to put those pieces back together again with little plates and screws.

0:17:110:17:18

After the jigsaw, doctors had a madcap scheme to keep

0:17:200:17:22

Kyle's skullcap fresh for later - bung it in the freezer.

0:17:220:17:27

That jigsaw puzzle was then put in a medical freezer for future reimplantation.

0:17:270:17:33

So I volunteered my own freezer. I was always worried they'd lose him or something.

0:17:330:17:37

Yes, she said, "Put him in my freezer cos I know I'll take good care of him."

0:17:370:17:41

You really put peas in a freezer not your skull.

0:17:410:17:45

The op had left Kyle looking like Frankenstein's monster, but it had worked.

0:17:450:17:51

With the brain free to swell, the dangerous pressure was down.

0:17:510:17:54

But what damage had been done to Kyle's tortured brain?

0:17:560:17:59

Would he ever wake up?

0:17:590:18:01

How severely brain damaged might he be?

0:18:010:18:04

I wasn't sure if he'd ever be able to talk again or walk again or interact with his family.

0:18:040:18:10

We just don't know if he'll be able to see.

0:18:100:18:12

We don't know if he'll be able to hear.

0:18:120:18:13

We don't know if he'll be able to move his body, his limbs and his legs.

0:18:130:18:18

All they could do was wait and hope.

0:18:180:18:21

Over the weeks it took for the swelling to subside, the weird shape of his skull started to show.

0:18:230:18:28

You could see where his skull was missing and the recesses to where

0:18:280:18:32

his skin was resting on the brain itself.

0:18:320:18:34

You could actually touch the skin and feel the patient's brain.

0:18:340:18:38

All Dr Welling could do was re-fit Kyle's skull from the freezer.

0:18:380:18:43

But were the frozen fragments past their use-by date and fit only for the dog?

0:18:430:18:49

After two weeks in the freezer the bone flap is perfectly fine to be put back into the patient's head.

0:18:490:18:55

Taking things apart is easy but as Humpty Dumpty knows, the tricky bit is putting them back together again.

0:18:550:19:02

It took 10 metal plates, 20 screws and 67 staples to hold the skull bones together.

0:19:020:19:09

The back of my head is completely flat and it actually caves in a little bit even.

0:19:090:19:14

I can still feel some of the fractures in my skull.

0:19:140:19:17

I can feel the screws that they put in to put the skull back together.

0:19:170:19:21

Dr Welling's team had put Kyle Johnson back together again.

0:19:250:19:30

His recovery truly has been miraculous.

0:19:300:19:32

Doctor's orders keep Kyle off the ski slopes for now but it won't be for long.

0:19:320:19:38

The day I get back on the snowboard will be a big day for me, putting the accident definitely behind me.

0:19:380:19:43

It's just phenomenal what has happened to him. It is a miracle.

0:19:430:19:47

We can look at him now and go, "Kyle's here. Kyle's home."

0:19:470:19:49

It's a great, great feeling.

0:19:490:19:52

It may lack size and horse power but the lowly skateboard can be

0:19:580:20:02

just as dangerous as fellow four-wheel drives.

0:20:020:20:05

Each year over 30,000 skater boys end up in A&E.

0:20:050:20:10

Broken wrists, facial foul-ups, and mangled ankles are the most common mishaps.

0:20:100:20:17

About 3% of skaters kick flip into critical condition,

0:20:170:20:20

suffering skull fractures, head injuries or concussion.

0:20:200:20:24

-That's sick, dude.

-It's not only sidewalk surfers whose attempt at skating skill can make them ill.

0:20:240:20:30

Nearly 11,000 people are spliced on the ice by the fearsome footwear.

0:20:300:20:34

More than 600 fail to spot ice rink barriers and a massive 12,000

0:20:340:20:40

double axel down to A&E as a result of sprains, strains and tumbles on the ice itself.

0:20:400:20:46

Be careful not to skate on thin ice lest you share the frosty fate of Ani Zoltany.

0:20:460:20:52

The young Hungarian was practising her moves on Lake Velence

0:20:520:20:55

when the ice cracked beneath her and she plunged into the wintery waters.

0:20:550:21:00

When frostbite froze her fingers, the only way she could keep

0:21:000:21:04

her head above water was by holding onto the ice with her teeth.

0:21:040:21:08

Thankfully she was saved by a passer-by who spotted her bobble hat bobbing in the water.

0:21:080:21:13

Next we're heading to Bradford Royal Infirmary

0:21:190:21:23

where a particularly gruesome case has been rushed into A&E.

0:21:230:21:26

Geoff Allsop's arm might look like a giant cotton bud but that bandage is hiding a monumentally mangled mitt.

0:21:280:21:36

Only some of Geoff's hand is wrapped within.

0:21:360:21:39

The rest of it is in that bowl.

0:21:390:21:41

We need a quick look at this,

0:21:410:21:43

-if that's all right.

-I don't want to see it.

-No. I need to.

0:21:430:21:48

More squeamish viewers might want to look away now as medics get to grips

0:21:480:21:53

with a hand that's missing not one but two fingers.

0:21:530:21:57

Well done. You're doing really well.

0:21:570:22:00

An hour ago, joiner Geoff was cutting wood with his trusted circular saw.

0:22:000:22:04

The blade slices through timber like a knife through butter.

0:22:040:22:08

It has a pretty similar effect on flesh and bone.

0:22:080:22:12

So when Geoff passed the saw through his hand his digits didn't stand a chance.

0:22:120:22:16

It was just a lack of concentration.

0:22:160:22:18

All I felt were, like, a big bang.

0:22:200:22:24

The doctors first need to assess whether the fingers Geoff's held onto are viable.

0:22:240:22:30

Can you feel anything on that finger there?

0:22:300:22:32

-Yeah.

-You can feel that?

0:22:320:22:34

That side?

0:22:340:22:36

He's basically taken off his index finger just at the base of the finger.

0:22:360:22:41

His middle finger seems fairly intact.

0:22:410:22:44

His ring finger he's taken off about halfway down the finger

0:22:440:22:47

and his little finger fortunately and his thumb are OK.

0:22:470:22:50

Doctors then inspect the chilled chipolatas across the room.

0:22:500:22:54

Geoff's colleagues managed to retrieve the two severed fingers

0:22:540:22:57

and the ambulance crew covered them in a damp cloth before placing them on ice.

0:22:570:23:02

Geoff's index finger is beyond repair but Mr Pinder thinks they can reattach the ring finger.

0:23:020:23:08

The aim is to give you as functional a hand as we can do.

0:23:080:23:12

I think it's very likely that it'll only have three fingers and a thumb on it rather than your four fingers.

0:23:120:23:17

Although he's facing gruelling surgery, Geoff's staying stoic.

0:23:170:23:22

A bit apprehensive about it, but you've got to deal with it.

0:23:220:23:26

You're in the right place anyway, aren't you?

0:23:260:23:28

Well, that's what everybody's told me, Lisa.

0:23:280:23:31

Top notch surgeons.

0:23:310:23:33

10 minutes later, Geoff, his wife Bernadette and his fingers are all led up to theatre.

0:23:330:23:41

He might be a few minutes, but he'll be absolutely fine.

0:23:410:23:46

A tearful Bernadette has an anxious wait as brave Geoff's put under

0:23:460:23:50

and the plastics team get ready to start.

0:23:500:23:52

Even for such a skilled team, this is one almighty challenge.

0:23:520:23:57

First, medics have to thoroughly clean the wound using that most

0:23:570:24:01

-delicate of surgical tools, the scrubbing brush.

-Is that enough now?

0:24:010:24:04

No, no, it's fine.

0:24:040:24:07

A very severe injury.

0:24:070:24:09

Consultant plastic surgeon Mr Rhodes has a closer look

0:24:090:24:12

at the severed fingers and there's an unexpected twist.

0:24:120:24:17

-This isn't good.

-It looks like a section

0:24:170:24:19

of Geoff's ring finger they thought they could reattach is too damaged and can't be stitched back on.

0:24:190:24:26

The good news though is that they might be able to save the completely severed index finger

0:24:260:24:30

they initially thought was a lost cause.

0:24:300:24:33

Mr Rhodes first gets to work on the ring finger.

0:24:330:24:37

Using the gruesomely named bone nibbler, he clips back the excess bone.

0:24:370:24:42

He then folds over a flap of skin about halfway down the digit.

0:24:420:24:48

Then it's on to the index finger. It's first attached using wire.

0:24:510:24:56

Just goes in there like that.

0:24:560:24:58

Drilled right through the bone to hold it in place.

0:24:580:25:00

Perfect. Very good.

0:25:040:25:06

Then the painstaking process of connecting the nerves, tendons and arteries can begin.

0:25:060:25:12

We're just fixing the last of the tendons.

0:25:120:25:14

Blood is at last flowing back into Geoff's finger and his hand once again

0:25:140:25:19

resembles a hand, albeit one that lost a fight with a circular saw.

0:25:190:25:23

You can see where the teeth have ripped into his bare flesh.

0:25:230:25:27

Which just leaves the small matter of covering the open wound on the back of Geoff's hand.

0:25:270:25:32

The team take a thin shaving of skin from Geoff's arm which will heal up.

0:25:320:25:37

-That's the skin there.

-And then the sliver is grafted onto the back of the hand.

0:25:410:25:46

Surgical glue holds it in place.

0:25:460:25:48

By which time Geoff's finger is responding nicely.

0:25:480:25:51

If you rub it, it goes white.

0:25:510:25:55

Then in a second or two it comes back nice and pink.

0:25:550:25:58

This is as good as it probably could have gone so far.

0:25:580:26:02

We've managed to find all the bits,

0:26:020:26:04

put them back together and hopefully it will be OK.

0:26:040:26:08

Yeah, let's hope so.

0:26:080:26:11

Just a generation ago, an accident like this would have meant Geoff waving goodbye to most of his hand.

0:26:110:26:18

Thanks to the incredible skill of today's surgeons,

0:26:180:26:21

there's a chance he'll retain most of the function in his fingers.

0:26:210:26:24

After eight solid hours of surgery it's a phenomenal result.

0:26:240:26:29

The question now is will Geoff's reattached digits remain intact and regain their movement?

0:26:290:26:35

All over. Just wish I could go and have a beer now, but I can't.

0:26:350:26:38

Never has a swift half been more richly deserved.

0:26:380:26:42

Two weeks later and Geoff's back for a check-up on his digits.

0:26:420:26:47

How's the hand feeling?

0:26:470:26:48

-Still a bit tender.

-Yeah?

0:26:480:26:50

Don't be put off by Geoff's blackened hand.

0:26:500:26:53

His fingers are doing fantastically well.

0:26:530:26:56

So we've been very successful with the index but unfortunately this little bit hasn't survived.

0:26:560:27:01

It just reflects the severity of the injury.

0:27:010:27:05

The blackened area is the skin sliver doctors shaved from Geoff's arm, which hasn't taken,

0:27:050:27:10

but it's a relatively easy fix.

0:27:100:27:12

Another skin graft should sort it out.

0:27:120:27:14

It is getting better. It looks better than it did last week.

0:27:140:27:18

Hope I get back to work,

0:27:180:27:20

back to normal, hopefully.

0:27:200:27:22

Maybe not 100% back to normal, but back to life as life goes on.

0:27:220:27:26

The future should be bright for both Geoff and his fingers.

0:27:260:27:31

Next time on Bizarre ER, there's toy trauma for one toddler.

0:27:340:27:39

Tried absolutely everything to try and get it off and it just won't budge.

0:27:390:27:42

A super-size splinter proves a real headache.

0:27:420:27:45

-God, it's huge.

-And we find out how doctors down under saved

0:27:450:27:50

a Kiwi woodsman's life and face following a freaky forest accident.

0:27:500:27:56

It was really incredible to think that he was still alive.

0:27:560:27:59

Subtitles by Red Bee Media Ltd

0:28:200:28:23

E-mail [email protected]

0:28:230:28:26

Featuring a woman who had a life-threatening allergic reaction to a Halloween mask; a carpenter who arrived with two of his fingers on ice after he cut through his hand with a circular saw; a six-year-old with a piece of lego stuck in his nostril; and an art student who had sewn a needle straight through the end of her finger. Plus, how doctors in the US saved a skateboarder with severe head injuries by putting bits of his skull into deep freeze.


Download Subtitles

SRT

ASS