Episode 7 Bizarre ER


Episode 7

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Transcript


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With mind-boggling medical mishaps...

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Ow!

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..and the quirkiest of casualties...

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My boyfriend dropped a turnip on my foot.

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..this is Bizarre ER...

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# So come on... #

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..and for the first time we've camped out in not one but two British hospitals...

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Northampton General and Bradford Royal Infirmary...

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-PHONE RINGS

-Hello!

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..to bring you the curious cases

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that are all in a day's work for the stoic staff...

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Can you see your pound coin there?

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..but which have to be seen to be believed.

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

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thanks to amazing medics,

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

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

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So scrub up, sit back and enjoy the sometimes silly, often odd,

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but never dull world of Bizarre ER.

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

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Thank you.

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# You're bringing out the best in me. #

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Coming up... a Bradford rag'n'bone man nearly turns his hand to scrap...

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Just caught it with a knife.

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..one rider canters down to casualty after a surreal stable stampede...

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I was awful, I thought I was gonna die.

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..and we reveal how this man made medical history

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when he grabbed the chance to have a bizarre and ground-breaking procedure

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that involved stitching someone else's hand to the end of his arm.

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I will never ever forget what was given to me.

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But first we're heading to Bradford for a very special addition of Strictly Come Casualty.

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Tonight's star turn is Olivia Dalby who's arrived at A&E

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with dancing partners Laura and Hannah after a bizarre ballroom blunder.

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If I try to wink it hurts... it actually hurts.

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An hour ago the trio were helping out at the bouncy castle birthday

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of Hannah's five-year-old brother when some not-so-fancy footwork ended in disaster.

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Having seen off the hyperactive herd of pint-sized partygoers...

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See ya, wouldn't wanna be ya!

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..Olivia, Laura and Hannah decided to reward themselves

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with a three-way waltz across the castle.

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But what started as a dainty dance quickly deteriorated into a tangled tango.

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SCREAMING

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One almighty bounce later and a random clout to the cranium

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left Olivia's bonce spurting blood.

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Fortunately, nobody overreacted.

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THEY SCREAM

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They were telling me I were gonna bleed to death,

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they were like, "I hope you don't die and just bleed to death," I thought like, "What?"

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With her life on the line the threesome quickstepped over to A&E

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joined by Olivia's dad Michael, stepmum Heather and the original party host, Hannah's stepmum Claire.

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The blood flowed and the bouncy castle's covered

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and my floor is covered and everything is covered in blood

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from a 13-year-old. There's a lot of cleaning to do when I get home now.

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There isn't a great deal more sympathy from Dad.

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No, I should be at the pub tonight... it's the only time I go out,

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the one time I go out a week and I get a telephone just as I'm getting ready to set off - typical.

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# Hello, babe, what's happening? You cool? #

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THEIR NAMES ARE CALLED

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Fortunately it's Dr Patrick Tong's job to be more concerned -

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and not just about fitting everyone in the cubicle.

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-Did you pass out or anything like that?

-No.

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Dr Tong is worried that the knock to the noggin

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may have caused concussion so he needs to do a thorough examination.

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I've got a headache but...

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-Any pain here?

-No.

-And your jaw is all right, yeah?

-Yeah.

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-That's fine.

-She can still talk.

-I can still talk.

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Olivia can certainly talk but can she see and hear properly?

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Straight ahead for me.

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Unequal pupil size or blood coming from the ear

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could indicate a more serious head injury like a haemorrhage.

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-Been sick or vomited?

-No.

-That's fine.

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Satisfied that Olivia isn't showing any obviously worrying signs,

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Dr Tong finally inspects the wound itself to see how deep it is.

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-I think what we need to do is give it a good clean first, see if we can put some glue on it, OK?

-Yeah.

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Skin glue is often used instead of stitches on small, straight wounds as it tends to leave less scarring.

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It's nurse Corinne Woods' job to do a spot of bizarre eyebrow-shaping.

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I've got a needle on the end of the glue and the last thing I want to do

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is stick it in the top of your eye or anywhere silly, all right?

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-Are you holding Mum's hand?

-Yeah.

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First Corinne washes the wound to prevent infection...

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Good girl.

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..then she uses a tiny needle to apply the glue.

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Just dropping it on now.

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Originally developed to treat soldiers on the battlefield, it sets on touching liquids like blood.

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Just been saying what beautiful eyebrows you've got.

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Not for any longer!

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And within two minutes it's as strong as week-old stitches.

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It'll just leave a tiny line probably just above your eyebrow, OK?

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-Thanks ever so much for your help.

-All right.

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With Olivia patched up the girls can once again hit the dance floor,

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having learnt the hard way one of the golden rules of ballroom dancing.

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Never dance... Never try to do the waltz...on a bouncy castle.

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They might be sticking to solid ground but it seems like bouncing's in Olivia's blood.

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While bouncy castles might seem like a bit of carefree fun

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these potentially fatal inflatables send the best part of 10,000 people to A&E every year.

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Along with bounce expect the sort of breaks and bruises

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that were sustained by the partygoers at one 21st

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who were brought to earth with a bump when a bouncy castle was maliciously deflated.

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Aww...

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If you want to feel safer while getting your jumping jollies,

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then head to the fairground, where only 170 people fall foul

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of the blow-up battlements, as the rides tend to be better supervised.

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But while the bouncy castles may not batter you there are plenty of rides that might.

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Darling, I want to get off.

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Nearly 400 people are wounded by waltzers,

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260 come off worse in a fight with a punch machine...

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..and almost 1,200 are damaged by the deadly dodgem.

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Argh!

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But it was a white knuckle ride that nearly finished off Catherine Deal.

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The 22-year-old was hurled from the Giant Dipper

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on Lick Pier in LA in 1922...

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Oh, hello there!

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..as she turned to wave at a friend in the car behind.

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Catherine was saved by the cat-like reflexes of a fellow passenger

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who caught her by the ankle as she flew past.

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Why, thank you, sir!

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But we don't want to be total killjoys at Bizarre ER.

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Rest assured that your risk of death at the fairground

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is just one in 300 million.

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Meaning you are just as likely to be killed by a shark attack...

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Ow!

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..and more likely to be done in by a leaking nuclear reactor

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or a falling coconut.

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Next we're heading to Bradford where rag'n'bone merchant Joe Ewbanks is feeling rubbish...

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after a scrap with a Stanley knife in which he came off worse.

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Just, um, cutting a tyre up and I caught it with a knife.

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Squeamish viewers look away now as Nurse Betty's about to reveal

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a pretty gory gash underneath Joe's t-shirt tourniquet.

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Pop your arm across here for me.

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Have you had anything for the pain while you've been...

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-No.

-OK. Would you like me to give you something?

-No, it's all right.

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So brave Joe brazens it out without pain relief...

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..but he's known for being a bit of a tough guy.

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MUSIC: Theme from Steptoe And Son

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Joe's used to being out on the streets of Bradford in all weathers,

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ably accompanied by trusty stead Noddy, in search of scrap for cash.

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Early today Joe spotted a juicy bit of junk in the shape of a car tyre

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but while using his Stanley knife to cut it free from the wheel,

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Joe nearly separated thumb from hand rather than rubber from metal.

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-Can you feel me touching down here OK?

-Yeah.

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-Any pain when I do that?

-A bit there.

-There, OK.

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As he's been handling dirty scrap, Joe's at high risk of blood poisoning,

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plus if he's sliced deep and cut through nerves or tendons

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he could lose the use of his thumb, putting his whole livelihood at risk.

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To combat infection and so he can see how much damage has been done,

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Dr Saleem Ullah Khan has to wash the wound.

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Unluckily for Joe, this will involve injections of local anaesthetic.

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How many needles will I have to get?

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-Just one needle.

-Oh, that's all right.

-OK? Good.

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-One needle a few times.

-A few times?

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Yeah, it is a big wound so just...

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-You trying to give me a heart attack?

-No, I'm trying to help you.

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-Will I feel it every time?

-You'll be fine.

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Fortunately for jumpy Joe emergency nurse practitioner Simon Hunt

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is on hand to prepare the plunger and provide some calming reassurance.

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-How big's the needle?

-That big.

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I don't like needles.

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Whoa!

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To take his mind off the needles Joe enjoys a quick game of 20 questions.

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How badly does it sting?

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How many times will he inject it?

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Does he put the needle inside of it?

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Dr Saleem's back to deliver a round of nerve-numbing shots.

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-Try to stay still... sharp scratch...

-Ow!

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-Don't look here.

-Don't look here?

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You're sticking needles in my hand.

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You're doing very good.

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With the hand numbed the wound can be cleaned and Dr Saleem sees just how far Joe's sliced.

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The wound is deep, it's just about your major joint of your thumb, OK?

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The blade slashed down to the subcutaneous or deepest layer

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of skin so damage to nerves and tendons is definitely possible.

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The plastic surgeon's going to have a look and decide what to do.

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Joe's sent to surgery where medics can get a closer look

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at the carve up and ensure his hand won't be heading for the scrap heap.

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Viewers who don't fancy getting a good look at the inside of Joe's mitt might want to avert their eyes.

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Someone who IS keen to peer into the palm though is surgeon Mr Ahmad.

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He first checks out the tendon.

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The tendon is quite intact here so I don't have to do anything

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and that's the tendon that extends the thumb.

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The tendon might be OK but what about the nerves?

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What I'm looking is a little nerve that goes here and supplies this area here, you know...

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that's the nerve I'm looking at to make sure that nerve is OK

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and then once I see the nerve then we should be starting

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to close this up.

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I see a nerve here...

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he's been very lucky not to injure anything serious here.

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It's just mainly skin and soft tissue.

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All that's left to do is trim away the dead skin and sew up the gaping gash.

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20 stitches later, Mr Ahmad's work is done,

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and Joe's had a lucky escape.

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Luckily he hasn't cut his tendon, he hasn't cut his nerve so he's fine

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and he should be able to go home today.

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Once again able to give us the big thumbs up,

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Joe's wheeled off to recover

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but he'll be out and back on the wagon later that day

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and his hand should be fully functional within a couple of weeks.

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There are many like Joe who are not fans of needles

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but the humble syringe has a grand history...

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stretching right back to Ancient Greece.

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It's named after the nymph Syrinx...

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Hello!

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..who was transformed into a thin reed when she prayed

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to avoid the unwanted advances of the randy god Pan.

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As early as the first century

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Roman doctors were using rudimentary syringes but as these weren't fitted

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with needles they had to rely on the area being cut before the syringe

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was used to inject or extract.

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-Actually it was my other arm.

-Ah.

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For centuries doctors tried in vain to hit a vein

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until in 1853 Frenchman Charles Cravaze

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and canny Scot Alexander Wood,

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developed a hollow needle fine enough to pierce the skin.

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A heart-warming tale if it weren't for the fact that Wood's WAG

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promptly became the first person to OD on morphine injected by her hubby's natty new creation.

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Thy hypodermic needle has since both cured and killed.

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Injections and inoculations save countless millions every year

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but for some the mere sight of a needle can be fatal.

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Trypanophobia or the fear of syringes

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has caused the death of at least 23 people.

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Their panic at the prospect of being pricked caused their blood pressure

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to drop to a lethal level.

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While not everyone is scared to death by syringes,

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nobody likes a small prick in the bottom,

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-as the ladies of Hong Kong can confirm.

-Ow!

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The city went on high alert over a suspected syringe attacker in 2009

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after two women reported being injected in their derrieres

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while going about their daily business.

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-It turned out to be Pham Van Diep...

-Hi!

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-..a Vietnamese labourer with a fetish for big bottoms...

-Cor!

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..who was prodding the posteriors with toothpicks.

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Mr Van Diep is now safely behind bars and of course

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no fancy dress party is complete without a naughty nurse brandishing

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a giant syringe guaranteed to inject a bit of fun into any gathering.

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WOOLF WHISTLE

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Beyond Bradford is a great big world of bizarre accidents and this series we've scoured the globe to bring you

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the most extraordinary emergencies on the planet.

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Over in the States medical history was made when, following a freak firework accident,

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doctors deployed a revolutionary new technique to give one man a hand.

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Squeamish viewers be warned

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this story contains some gory images right from the start.

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This is Matt Scott...

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but this isn't his hand.

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This is his hand, or at least what was left of it

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after a festive firecracker blew it to smithereens.

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I am the world's first successful recipient of a hand transplant.

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The day that changed Matt's life for ever happened way back in 1985 but the event is burnt into his memory.

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The fuse was probably about this length...

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I just touched the fuse to the tip of a cigarette.

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The firecracker was a monster,

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an M80 invented by the military to simulate an artillery explosion.

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It burned so quickly that my friend yelled, "Throw it,"

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so I took it away from my face to throw it and it exploded.

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Dr Elliot Amiss surveyed the damage wrought

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by the exploding firework.

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The only thing that was left was the thumb and the index finger...

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the hand had been blown to bits.

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The middle, ring and small fingers were gone,

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the palm was gone, the wrist and all the bones in the wrist were gone.

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The fearsome firecracker was like a grenade,

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the flying shrapnel was the bones of Matt's own hand.

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There were holes in the wall, a dent in the refrigerator

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that was caused by parts of my bone hitting it,

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there was bone and tendon and blood everywhere.

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Amazingly, Matt had a more serious problem.

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I looked down and I realised that the radial artery in my hand was ruptured

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and it was pumping blood with each heartbeat.

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Luckily Matt had just graduated from paramedic school and knew exactly what to do.

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I grabbed on to the stump and squeezed the arm to stop the bleeding.

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At that time, in the '80s, a hand transplant was impossible,

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so amputation was the only option.

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Hearing the word amputation...

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is one of those words you hope you never hear in your life.

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Although Matt knew what was coming, the post-op reality was still a shock.

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When I looked to the left all I could see was the stump

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of my forearm wrapped in bandages and my hand was completely gone.

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It was at that point in time that I knew

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that it was forever.

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A state-of-the-art electronic prosthetic arm meant Matt

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could go back to work as a paramedic but it could be a real handful.

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When wet would come in contact with the electrodes then I would lose control of the hand.

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Radio frequencies would activate the hand, it would open it or close it

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and if I was in the middle of doing something and somebody keyed a radio and I could lose control of it.

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12 years later this man, Dr Breidenbach,

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was working to make Matt's fantasy of getting a real hand a reality.

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If you can lose your hand in an accident we know how to put your

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own hand back on so that you'll get some function.

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Putting the hand on was not the most difficult part.

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The most difficult part would be ensuring

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that the recipient's immune system didn't reject the new addition.

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In order to stop the body from rejecting it we had to get drugs,

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immunosuppressant drugs, and those drugs can kill you.

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By the late '90s Dr Breidenbach had concocted a cocktail of drugs

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that he hoped would stop the body rejecting a donor hand without killing the patient.

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But he still couldn't offer a guarantee that a new hand would stay on.

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He had a 50% chance of losing his hand in the first year,

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and another 50% chance of losing the hand in the next five years.

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With all these drawbacks and a very real risk of premature death,

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all Dr Breidenbach needed was a volunteer...

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Matt raised his hand.

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Prosthesis or flesh and blood...

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the choice for me wasn't hard, wasn't difficult.

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This was a patient stepping up to attempt to do something that

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many people felt would not work or could possibly even end in the patient losing his life.

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In 1999 all Matt's years of hoping and all the doctor's years of planning

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came together in the groundbreaking operation.

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We attach the bones first and then work our way sequentially

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through the tendons, the arteries, the nerves and the other structures.

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Even when the new hand is mechanically connected

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and suffused with blood, there's still no guarantee of success.

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This could all be a big failure.

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You could get a hand, it could stay on but it may never work.

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Having waited so long Matt was determined to get his second-hand hand to work.

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A tiny flicker was all it took.

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The moment I moved those fingers...

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-I

-did that and it moved because of something I wanted it to do.

0:19:340:19:39

That was a big day for all of us.

0:19:390:19:41

That hand was now mine. It belonged to me.

0:19:410:19:43

Although functioning, the hand was largely numb,

0:19:430:19:46

until one day Matt got the coolest of sensations.

0:19:460:19:49

I reached into the freezer and when I reached in there

0:19:490:19:52

I had the oddest sensation and I said, "That's cold. I feel the cold."

0:19:520:19:59

Over a decade on and despite doctors' initial concerns

0:19:590:20:04

there's still plenty of life in Matt's left hand.

0:20:040:20:07

Matt's grateful to the doctors but there is one person to thank above all...for handing him the hand.

0:20:070:20:13

I will never ever forget what was given to me

0:20:130:20:17

because I see it every day and I think of my donor every day

0:20:170:20:20

and I think of the family every day.

0:20:200:20:23

Matt risked his life to get his hand back, to be whole again

0:20:230:20:27

but, despite the success, tissue rejection remains a constant threat.

0:20:270:20:32

Looking at Matt he's so healthy it's hard to see why this can't go on another ten years.

0:20:320:20:37

If they were to say, "It has to come off tomorrow",

0:20:370:20:39

I would say, "Fine, it has to come off, when can I get another one?"

0:20:390:20:44

I would do it again.

0:20:440:20:46

Next we're heading to Northampton where there's been an odd equestrian emergency.

0:20:500:20:55

Anne Hartley's arrived at A&E after her plans for a perfect day in the saddle turned into a bit of a mare.

0:20:550:21:01

I did think I wasn't going to get out of there alive.

0:21:010:21:04

It was awful, I thought I was going to die.

0:21:040:21:06

Anne spent the morning out riding her pony Jonesy.

0:21:090:21:13

But back at the stables something suddenly spooked her four-legged friend.

0:21:130:21:17

NEIGHING

0:21:170:21:18

Jonesy panicked and the petrified pony pulled on his bridle,

0:21:180:21:21

yanking the entire wall from its fixings.

0:21:210:21:26

The flying wall crashed into Anne,

0:21:260:21:27

knocking her to the ground and trapping her underneath.

0:21:270:21:32

Desperate to escape, Jonesy clattered around while helpless Anne

0:21:320:21:35

was crushed beneath, seeing only his dancing hooves.

0:21:350:21:38

That's the bone sticking through...

0:21:390:21:41

Well, it's not sticking through, but you can feel it there.

0:21:410:21:44

The pony's done a good job, bless him.

0:21:440:21:46

With Anne now stable in Bay 13

0:21:460:21:49

emergency nurse practitioner Maria Catlin checks her back...

0:21:490:21:53

-Anywhere at all that's sore?

-No, that's OK.

0:21:530:21:56

..and then her X-Rays.

0:21:560:21:57

The real damage is to her shoulder and the upper-arm bone known as the humerus

0:21:570:22:03

but there's nothing funny about this humerus X-Ray.

0:22:030:22:07

When you have a normal picture of a shoulder the head should be sitting

0:22:070:22:11

quite nice and neatly in there with the shaft coming down.

0:22:110:22:14

Unfortunately hers is sitting slightly over here, if you like...

0:22:140:22:19

slightly out...

0:22:190:22:22

and the shaft of it is coming up here... Can you see it?

0:22:220:22:26

The injury is so severe that surgery might be needed.

0:22:260:22:29

But medics want to avoid that if they can

0:22:290:22:31

and first op for a more unusual method - they want Anne to get plastered.

0:22:310:22:36

They're gonna put her arm in a hanging cast.

0:22:380:22:41

The cast doesn't support the fracture

0:22:420:22:44

but may align the bones using the encased arm's natural weight plus gravity.

0:22:440:22:49

Right, if you just let that shoulder relax.

0:22:490:22:53

As the cast begins to do its job, Anne finds the going heavy.

0:22:530:22:56

-Ooohh, God, that's heavy.

-It is, isn't it?

0:22:560:22:59

-Is that quite uncomfortable?

-Yeah.

0:22:590:23:02

Now might be a good time to try painkillers just to get you over this bit.

0:23:020:23:07

Anne heads home to pasture.

0:23:090:23:11

Bye, then.

0:23:110:23:12

But over the next two weeks

0:23:130:23:15

the bones don't fall into alignment so she's back at Northampton General

0:23:150:23:19

with no option but to go under the knife.

0:23:190:23:22

I'm quite scared of the operation.

0:23:220:23:24

It sounds quite gruesome and they can't pin it any more, they've got to put a prosthetic joint in

0:23:240:23:29

but he did say it would be working perfectly afterwards, so hopefully it should be all OK.

0:23:290:23:35

Chomping at the bit to get on with inserting Anne's prosthetic implant is orthopaedic surgeon Mr Kerr.

0:23:360:23:43

We're gonna do a hemiarthroplasty,

0:23:440:23:46

which is a replacement of the ball that goes on the top of the shaft.

0:23:460:23:51

With surgeons under starter's orders now might be a good time

0:23:510:23:55

for more squeamish viewers to pop on the blinkers.

0:23:550:23:59

And they're off...

0:24:000:24:01

with a deep incision to the top of the shoulder,

0:24:010:24:04

cutting through layers of muscle before removing the bashed up bones.

0:24:040:24:08

Here we are here's the head... here's the head of the humerus.

0:24:080:24:11

That is the head, that is the bit that was broken off...

0:24:110:24:14

there you can see the fracture...

0:24:140:24:16

and that is the bone and that is the articular surface,

0:24:160:24:21

that is the gristle that makes up the joint.

0:24:210:24:24

That's gonna be replaced by a shiny piece of chrome cobalt - metal.

0:24:240:24:30

Next the arm's prepared for the artificial implant and it's not a pretty sight.

0:24:300:24:36

This is the reamer...

0:24:360:24:37

put it down the shaft...

0:24:370:24:40

There we are, I'm reaming out the soft bone

0:24:400:24:43

from the inside of the canal.

0:24:430:24:47

With the bone gently hollowed out, the stem can be checked for size.

0:24:470:24:51

That's the stem that goes in the humerus...

0:24:510:24:54

this is the introducer...

0:24:540:24:56

That fits very nicely.

0:25:000:25:03

With a couple of delicate taps, the hollowed-out bone is then plugged so it can hold bone cement.

0:25:030:25:08

It's quite scientific, this bit of the procedure.

0:25:080:25:11

That fits in nicely, you can start mixing for her.

0:25:140:25:17

Fry's mixing the bone cement

0:25:170:25:20

that will go in the canal to hold the stem in position.

0:25:200:25:25

Fry hands over the ready-mixed cement which is pumped into place,

0:25:250:25:29

much like you'd grout your bathroom.

0:25:290:25:31

Cement going in, guys.

0:25:310:25:34

Once the stem's inserted it takes ten minutes for the cement to set,

0:25:340:25:38

giving Mr Kerr time to catch his breath before the final furlong.

0:25:380:25:42

It's a truly bizarre way to injure yourself and I've never come across anything like this before.

0:25:420:25:48

But anyway, I think we've put her back together so it should be all right.

0:25:480:25:52

The metal bone head's daintily put into place.

0:25:540:25:56

That's on a taper so we just tap it in to get the taper to lodge home.

0:25:560:26:02

And quicker than you can say "Seabiscuit", Anne's got a shiny new shoulder joint.

0:26:020:26:07

So turns in...turns out.

0:26:070:26:10

He shakes it all about.

0:26:100:26:12

OK, thank you, guys, thank you very much. Thank you.

0:26:120:26:16

Thank you, Fry. Thank you.

0:26:160:26:19

As they head down the home straight, Anne's stitched up and Mr Kerr seems happy with the results.

0:26:190:26:25

Well, Anne had a very nasty fracture

0:26:250:26:29

but I think she should do very well now with her artificial shoulder

0:26:290:26:33

and I look forward to seeing her in a clinic in a few days.

0:26:330:26:36

Passing the finish post, Anne's taken into recovery

0:26:360:26:40

and the next day she's looking forward to trotting home.

0:26:400:26:43

The operation I believe went very well...

0:26:430:26:46

I'm having an X-ray today just to check everything's all right.

0:26:460:26:49

Hopefully it won't be too long, then I can see the doctor and go home,

0:26:490:26:53

providing it's all OK, I think it probably is.

0:26:530:26:56

And like any true horse lover there's only one thing on her mind.

0:26:560:27:00

I'm hoping to go straight to my horse Jonesy if husband will take me, depending on what time I get out,

0:27:000:27:04

and give him a big cuddle and tell him it wasn't his fault and that I'm as good as new again.

0:27:040:27:09

So Anne heads home at a brisk pace.

0:27:100:27:13

An injury this serious will require months of physio

0:27:130:27:16

but medics are confident that she'll regain almost all the function in her arm

0:27:160:27:20

and there's no reason she won't be back in the saddle before too long.

0:27:200:27:24

Next time on Bizarre ER, there's a peculiar playtime snack...

0:27:270:27:32

I don't have to spend my days with my finger in someone's mouth, normally.

0:27:320:27:36

Hot off the press, a paper machine mangles one woman's mitt...

0:27:360:27:39

-Is it a mess?

-Yes.

0:27:390:27:41

..and we reveal how surgeons saved this man's arm, face and life

0:27:410:27:46

after he was impaled on not one but three fence posts

0:27:460:27:49

in a catastrophic and near-fatal car crash.

0:27:490:27:53

I've never known anybody to suffer injuries like that and survive it...in 37 years.

0:27:530:28:00

Subtitles by Red Bee Media Ltd.

0:28:160:28:19

Email [email protected]

0:28:190:28:22

Featuring a girl who split her head open after some ballroom dancing on a bouncy castle, a Bradford rag and bone man who carved into his hand with a Stanley knife, and an equestrian emergency after a horse-lover is trampled by her own pony and has to have a prosthetic implant put in her shoulder.

Plus, the story of how a man in America became the first person ever to have a successful hand transplant, after losing his left hand in a freak firework accident.


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