05/12/2011

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:00:09. > :00:16.I am at our new home in Salford, where we will be finding out about

:00:16. > :00:21.the North West connection to Claude Monet a's famous garden. On

:00:21. > :00:29.tonight's programme, the people left in agony by faulty hip

:00:29. > :00:36.implants. I feel robbed of my life. Robert. We investigate deer

:00:36. > :00:44.poaching, as it increases in Cumbria. They are confrontations.

:00:44. > :00:54.It is not that. -- connotations. The Merseyside Gardner who has

:00:54. > :01:07.

:01:07. > :01:12.found his dream job. It is an A Liverpool law firm says it is

:01:12. > :01:17.seeking millions of pounds in damages after hip implants failed.

:01:17. > :01:27.Patients say they have been in constant pain. Many are having to

:01:27. > :01:31.

:01:31. > :01:34.Stephen Ellis leaves his Norris Green home in search of a cure. The

:01:34. > :01:37.pain he's suffering from a faulty hip replacement is so intense, he

:01:37. > :01:45.can barely walk. It's there every minute of every day - and he's had

:01:45. > :01:52.it for 18 months. Two years ago, as this family video shows, Stephen

:01:52. > :01:56.was much fitter. He's 57 and suffers from rheumatoid arthritis.

:01:56. > :02:01.That combined with the hip implant - meant he was in pain, but able to

:02:01. > :02:05.control it. Then out of the blue everything changed. I woke up one

:02:06. > :02:11.morning and I was in agony. And, I felt sick, really sick with the

:02:11. > :02:18.pain. And I look back at that film, it's only two years ago, at what I

:02:18. > :02:25.can do now and the change is massive, it's drastic. I feel like

:02:25. > :02:35.an old man - that's what I feel like - an old man in his eighties.

:02:35. > :02:37.

:02:37. > :02:40.And I feel robbed of my life. I've been robbed. Today, he's heading

:02:40. > :02:47.for an operation which will either cure him, or leave him disabled for

:02:47. > :02:49.the rest of his life. Stephen had hip surgery in 2005 - using a then

:02:49. > :02:55.state-of-the-art procedure where his damaged joint was replaced with

:02:55. > :03:01.a metal cup and socket. Traditionally, surgeons have used

:03:01. > :03:04.plastic or ceramic cups. But, inside Stephen's leg, the metal

:03:04. > :03:09.ball and socket have worked loose, allowing microscopic metal ions to

:03:09. > :03:12.break off. They could have poisoned his bone and muscle. The company

:03:12. > :03:17.which made the hip is called DePuy - part of the American

:03:17. > :03:20.pharmaceutical giant Johnson and Johnson. It released the ASR

:03:20. > :03:29.implant in 2003, but soon surgeons were reporting that it was failing

:03:29. > :03:33.faster than the manufacturers had predicted. This is how it was

:03:33. > :03:36.before I went in for the operation, you know just to try to crawl up

:03:36. > :03:41.the stairs. Norman Sherrington has been through the same nightmare as

:03:41. > :03:45.Stephen. If the hip was really bad I'd have to go down on all fours.

:03:45. > :03:53.But surgeons have replaced the damaged device. And Norman's got

:03:53. > :03:59.his life back. And then just carry on walking around onto the landing.

:03:59. > :04:02.Ah things are much better now, no problem whatsoever. Norman, a

:04:02. > :04:08.retired builder from Mossley Hill in Liverpool, had a DePuy implant

:04:08. > :04:11.fitted into his left hip six years ago. But the pain never got better

:04:11. > :04:14.and he knew he needed a replacement. I was really worried about the

:04:14. > :04:21.whole thing. What was going to happen, whether another one would

:04:21. > :04:25.work or not. But because of the amount of pain I was in I thought

:04:25. > :04:35.well I've got nothing to lose. Norman, who's 67, the operation has

:04:35. > :04:37.

:04:37. > :04:46.been a huge success. Just six weeks later, he's mobile and out of pain.

:04:46. > :04:56.My whole life changed in just a few hours. To wake up and be in no pain.

:04:56. > :04:59.

:04:59. > :05:09.How bad was the pain when it was at its worst? Well, I felt like

:05:09. > :05:13.

:05:13. > :05:23.committing suicide. Before that I'd In Australia, medical regulators

:05:23. > :05:28.

:05:28. > :05:30.had warned of the high failure rate of their hips. It took another nine

:05:30. > :05:34.months for the device to be recalled here, after experts

:05:34. > :05:36.produced new evidence. But by then, it had been implanted into about 10

:05:36. > :05:40.thousand UK patients. It's a month before the operation, and Stephen,

:05:40. > :05:44.his partner Leanne and their son enjoy a family day out at Croxteth

:05:44. > :05:47.Park. 8 year old Josh is a keen Everton fan, but he's growing up

:05:47. > :05:57.without the chance to practice with his dad. I can't play with my son.

:05:57. > :05:59.

:05:59. > :06:02.Every dad should play football with You can't gamble with people's

:06:02. > :06:07.lives like this. They're human beings. They've got feelings.

:06:07. > :06:10.They're not numbers. What's life like on a daily basis for you

:06:10. > :06:20.living with that kind of pain? personally feel at times that I'm

:06:20. > :06:26.

:06:26. > :06:36.almost like a single mum. He 100 and gives 100 % every day, but

:06:36. > :06:49.

:06:49. > :06:54.there are frustrations, arguments. I have met someone whose life has

:06:54. > :07:04.improved a lot since his hip operation. I would be very pleased

:07:04. > :07:27.

:07:27. > :07:37.I was just so overjoyed. Within a short of bout of times, I felt

:07:37. > :07:42.

:07:42. > :07:52.This liveable law firm at is representing loss of clients. --

:07:52. > :08:11.

:08:11. > :08:13.We may have to prove by legal It must have had an incredible

:08:13. > :08:15.effect on your clients psychologically? It's had a

:08:15. > :08:18.terrible effect on my clients psychologically. It's broken up

:08:18. > :08:21.relationships. And they've been told that they can't find any

:08:21. > :08:23.clinical reason for the problem, initially, and that the pain was in

:08:23. > :08:26.their head. That affects their relationships with their spouses as

:08:26. > :08:29.well, because the spouses look at them differently because there's no

:08:29. > :08:32.clinical reason. So it has broken down some relationships and I do

:08:32. > :08:42.know some clients have actually said they would consider taking

:08:42. > :08:43.

:08:43. > :08:48.their own life because of the pain. There's more faint -- morphine. It

:08:48. > :08:58.is sometimes taking -- tempting to take that and for the pain to go

:08:58. > :09:01.

:09:01. > :09:04.away. Two weeks before the operation, and Stephen - lifted by

:09:04. > :09:07.his meeting with Norman - is visiting his consultant surgeon.

:09:07. > :09:10.But, it's not good news. The metals used in the hip are cobalt and

:09:10. > :09:12.chromium - and blood samples show the grinding action has raised

:09:12. > :09:15.Stephen's ion concentrations. These tiny particles can cause tissue and

:09:15. > :09:18.muscle damage. You've got raised metal ion levels. You had those

:09:18. > :09:20.blood metal ion levels done which I've checked and you've got

:09:20. > :09:23.elevated cobalt and you've got elevated chromium levels. I would

:09:23. > :09:26.expect a moderate amount of damage... To the muscles around the

:09:26. > :09:30.hip. Is that going to cause weakness in that hip? There is an

:09:30. > :09:33.issue with that. Is that going to affect stability? There is also an

:09:33. > :09:35.issue with that, and that is something I'll have to address when

:09:35. > :09:38.I'm redoing your hip. We asked DePuy "What assurances they could

:09:38. > :09:41.give to patients who are worried about potential cobalt/chromium

:09:41. > :09:42.poisoning?" And in a statement they poisoning?" And in a statement they

:09:42. > :09:44.told us this: "Clinical studies and monitoring show the benefits of

:09:44. > :09:54.metal-on-metal technology often outweigh the risks for many

:09:54. > :09:56.

:09:56. > :10:00.How you feeling, Stephen? Rather slightly nervous. I'd rather be in

:10:00. > :10:08.Philadelphia I think. It's the end of a long road for you isn't it?

:10:08. > :10:11.Yeah it is. It's a sense of relief really because I can't cope with

:10:11. > :10:15.this any longer, honestly. It's been such a trial. I'll have a good

:10:15. > :10:25.sleep now. Yeah, there you are. Finally get some sleep out of all

:10:25. > :10:33.

:10:33. > :10:37.Not nice. Eh? Not nice I said. That's another sample too. Tissue

:10:38. > :10:40.again? Yeah. He's got very extensive soft tissue damage

:10:40. > :10:44.secondary to the metal debris. There are certain big muscles which

:10:44. > :10:47.are attached to the top of the hip and they've all been detached from

:10:47. > :10:50.the bone. So that would mean that they're not going to function very

:10:50. > :10:53.well which means he will always have a limp. And as far as

:10:53. > :10:56.movements are concerned, he'll always need to use a stick. He does

:10:57. > :11:00.now, but that is going to be permanent. There's no way I could

:11:01. > :11:03.get him back to what he was before. Would you say that was down to the

:11:03. > :11:06.DePuy hip replacement itself? Looking at the soft tissue damage

:11:06. > :11:10.itself it looks like it has been caused by the metal debris. Samples

:11:10. > :11:13.have been sent off both to look at infection, but also to look at the

:11:13. > :11:15.metal damage. The majority of DePuy's ASR hips have not failed.

:11:16. > :11:18.The company say that whilst they understand the recall is concerning

:11:18. > :11:25.for patients and their families, they've worked to provide the

:11:25. > :11:29.support needed, including covering Six weeks after his operation - and

:11:29. > :11:36.Stephen is up and about - and at last fit enough for a gentle kick

:11:36. > :11:41.about. Before I felt I was being poisoned. That was the feeling, I

:11:41. > :11:48.was being poisoned, and that's gone. I know I'll have to use crutches

:11:48. > :11:51.but that's a small price to pay for being free of pain. I would say to

:11:51. > :11:56.DePuy that they should take responsibility for the damage

:11:56. > :11:59.that's been caused to people like me. There are a substantial

:11:59. > :12:09.minority of people who are suffering - as I've suffered - and

:12:09. > :12:16.

:12:16. > :12:25.will suffer in the future, even if Coming up, the man from Merseyside

:12:25. > :12:30.who is preparing Claude Monet a's iconic garden. Of all his works,

:12:30. > :12:39.this is the work he was most proud of and he considered this his

:12:39. > :12:44.It is often said that we are a nation of animal lovers, but

:12:44. > :12:47.sometimes, that statement does not ring true. In Cumbria, wildlife

:12:47. > :12:52.crime is on the increase, and one of the biggest problems is deer

:12:52. > :13:02.poaching. It is a difficult crime to detect, but are the tables

:13:02. > :13:09.

:13:09. > :13:16.We have seen a couple of lamps. Received. There's a scene upon

:13:16. > :13:23.Corney Fell, going up on the far side. We are going to turn round

:13:23. > :13:28.and nip up the fell road, and investigate. What are they doing

:13:28. > :13:36.out love with lamps get 12:30PM? That is the question we are looking

:13:36. > :13:43.for. -- 12:30PM. It's a late wet November night in West Cumbria and

:13:43. > :13:49.PC Stuart Burgess is looking for own prey - poachers. Received it.

:13:49. > :13:55.We will head up to Corney held -- Corney Fell now. They will be seen

:13:55. > :14:00.us clearly down here. The most natural thing is to turn the light

:14:00. > :14:05.out if it is a game. In the pitch dark, the poachers may have slipped

:14:06. > :14:13.the net. The plant very simply is to look for unusual things which

:14:13. > :14:23.are giving the game away that something is happening. Who are

:14:23. > :14:28.

:14:28. > :14:30.systematic poachers? A lot of them have a long criminal record.

:14:30. > :14:33.confidential report seen by Inside Out from the National Wildlife

:14:33. > :14:36.Crime Unit reveals Cumbria has overtaken Scotland for the highest

:14:36. > :14:39.number of reported poaching raids on deer. In fact the report says

:14:39. > :14:43.poaching in general is the greatest threat to Cumbria's wildlife. Just

:14:43. > :14:47.in the last few months the heads of six deer have been found. And this

:14:47. > :14:50.is one way it is done - known as "lamping", the bright light stuns

:14:50. > :14:55.the animal. At that point it's either shot by the poacher or dogs

:14:55. > :15:02.are set on it. A far cry from legitimate farming. These are the

:15:02. > :15:12.tags we used to identify this carcass. It is the time of the shop,

:15:12. > :15:17.and who shot it. All gained dealers should use this system. Anyone who

:15:17. > :15:20.has undertaken benison has to be treated as a suspect. Last year a

:15:20. > :15:23.game dealer in Cumbria received a caution from Police after failing

:15:23. > :15:26.to have the right paperwork for his stock. Myles Sandys owns the

:15:26. > :15:29.Graythwaite Estate near Hawkshead and has fought a long battle with

:15:29. > :15:37.poachers. There is nothing romantic about stealing. That is all that is.

:15:37. > :15:42.We should call in them poachers, because that has connotations. It

:15:42. > :15:46.is taking something that does not belong to them. Deer meat - venison

:15:46. > :15:56.- is now fashionable with top chefs and so demand - and the price for

:15:56. > :15:59.

:15:59. > :16:07.the meat - is high. This is going to weigh about 40 or �45. -- 45

:16:07. > :16:11.Albie. It is worth about �60 in It could have been lying in the

:16:11. > :16:18.gutter overnight. They might not have died very well. You are at

:16:18. > :16:28.risk of plight -- poisoning your client tell. And it's not just

:16:28. > :16:29.

:16:29. > :16:38.human health that is put at risk. If... You are potentially looking

:16:38. > :16:43.at the deer that this disease. It We've not given up, but it's like

:16:43. > :16:50.looking for a needle in a haystack. People will stay out. They work at

:16:50. > :16:54.different times. They have got their own quarry, and it is like

:16:54. > :17:01.you or I doing something. There will be people out. We have not

:17:01. > :17:04.spotted them, but they will be out somewhere. It is 2am, and this

:17:04. > :17:08.operation is drawing to a close. We have not been never to link up with

:17:08. > :17:12.any deer poachers tonight, but what is incredibly evident is that in an

:17:12. > :17:18.area the size of West Cumbria, the poachers can just turn off the

:17:18. > :17:25.light and disappear like smoke. As day breaks, it's easier to spot the

:17:25. > :17:31.clues. Catching the poachers is not easy, but because the carcasses are

:17:31. > :17:38.not find until daylight, Gavin the evidence can be even more typical.

:17:38. > :17:42.Hopefully, that is about to change. Hello, Jim! Hello! This is not a

:17:42. > :17:47.crime scene. It is not. It is something that you have set up

:17:47. > :17:55.yourself. This is something that you would to be defined if you have

:17:55. > :17:58.been driving along this road. Poachers will leave the unwanted

:17:58. > :18:02.parts of the carcass at the scene. Jim is a former police forensic

:18:02. > :18:04.scientist and now manages deer in Scotland - putting him in a unique

:18:04. > :18:07.position to combat poaching. It is the same technique that we would

:18:07. > :18:14.use in the crime scene. Someone has moved into the roadside. They have

:18:14. > :18:20.had to touch it quite hard to drag the body. They will leave their DNA

:18:20. > :18:26.on this item. They are recovering the DNA now. Is then easy way round

:18:26. > :18:29.for the poacher? Might just wearing gloves? That will lessen it to some

:18:29. > :18:33.at 10 -- some extent, but we will still get DNA through gloves.

:18:33. > :18:41.it's here at Strathclyde University where the DNA technique was honed.

:18:41. > :18:46.The first thing we need to do is isolate and purify the DNA.

:18:46. > :18:51.probable will it be that the DNA will belong to a poacher? Given the

:18:51. > :18:57.circumstances around a poaching incident, it is very probable and

:18:57. > :19:01.likely that any DNA recovered well belong to the poacher. A deep -- a

:19:01. > :19:05.deer in the wild is made difficult to get close to, say it is not

:19:05. > :19:09.going to change -- carry any human DNA by chance. This is the last

:19:09. > :19:17.step in a long process? This is the last stage. This is what we take

:19:17. > :19:26.the labelled DNA. I love all this high-end technology! The results

:19:26. > :19:29.will come out just over here. Can The DNA profile which is extracted

:19:29. > :19:33.would then allow the Police to check their database for a match.

:19:33. > :19:40.The what are the chances that that DNA profile could belong to 40 or

:19:40. > :19:44.50 different people? Very unlikely. We are looking at probabilities in

:19:44. > :19:51.one in greater than a million. is astonishing? That has been told

:19:51. > :19:56.already? We have had very good success rate. When guinea suit is

:19:56. > :20:00.being rolled out in the police? when can we see it rolled out? It

:20:00. > :20:03.is out there already. On my night out with Cumbria Police there was

:20:03. > :20:13.little visible trace of the poachers.But one thing is certain -

:20:13. > :20:15.

:20:15. > :20:21.the cover of darkness cannot hide their DNA being left at the scene.

:20:21. > :20:28.If it fades the police, it has to be a good thing. This as a crime

:20:28. > :20:32.that has gone on in the countryside. Hopefully there is a solution on

:20:32. > :20:42.the horizon for this age-old problem. Poachers, watch this

:20:42. > :20:47.

:20:47. > :20:54.There's an old saying. Find a job you love, and you will never have

:20:55. > :21:04.to work again in your life. - that is what has happened to a gardener

:21:04. > :21:10.in Merseyside. It's one of the world's best known paintings,

:21:10. > :21:14.created by Monet here in his beautiful garden at Giverny.

:21:14. > :21:17.first reason for the garden was so he could cut flowers and he could

:21:17. > :21:20.paint the flowers on a rainy day and little by little he was taken

:21:20. > :21:23.in by gardening and it became more and more important to him, he

:21:23. > :21:27.employed more and more gardeners and the garden went up The garden

:21:27. > :21:37.is an hour away from Paris and attracts half a million visitors in

:21:37. > :21:45.

:21:45. > :21:48.the seven months a year that it's As the most loved of all the

:21:48. > :21:55.Impressionist painters people come from all over the world to see the

:21:55. > :21:58.garden which inspired him. In a world that goes so quickly in a

:21:58. > :22:00.world that is changing, there is something so peaceful in his

:22:00. > :22:10.painting that you find it on everybody's wall, in diaries, in

:22:10. > :22:16.

:22:16. > :22:19.books, in schools and he is all After Monet's death in 1926, his

:22:19. > :22:26.house was boarded up and the gardens left to the wild before the

:22:26. > :22:29.Institute of France reclaimed them in the 1970s. When James was

:22:29. > :22:36.headhunted for the post this summer, he became only the second head

:22:36. > :22:39.gardener since the gardens were opened to the public. When the

:22:39. > :22:43.garden was proposed to me they asked whether I would accept it and

:22:43. > :22:47.I took a little while to stand back and think about it cos it;s a job

:22:47. > :22:50.where you are living on site, you've got to be there a lot,

:22:50. > :22:54.you've got to be available to meet important people and the press and

:22:54. > :22:57.so it's time consuming and it takes up your private life so i was going

:22:57. > :23:00.towards a career of consulting and making gardens and so this is a

:23:00. > :23:10.different step but when I thought about it I knew it was an

:23:10. > :23:14.opportunity not to be missed. who grew up in Maghull - studied at

:23:15. > :23:19.Myerscough College near Preston, and Kew Gardens. But for the past

:23:19. > :23:28.25 years, he's worked as a private gardener in France. English

:23:28. > :23:38.gardeners are respected in France. We know that English gardens for

:23:38. > :23:40.

:23:40. > :23:50.plans and qualities. You sound like a Nash -- naturalised Frenchman.

:23:50. > :23:53.

:23:53. > :23:55.I'm not aware of that although people tell me but I've been

:23:55. > :23:58.speaking everyday for the past 25 years French so I'm thinking,

:23:58. > :24:02.dreaming French. Monet once said "Apart from painting and gardening,

:24:02. > :24:05.I'm no good at anything" and the two went hand in hand. So as Monet

:24:05. > :24:08.would have a pallete for his paints, so he had an area of his garden

:24:08. > :24:11.where he would group plants together according to colour.

:24:11. > :24:15.the purples would be together and the blues to the reds finishing off

:24:15. > :24:18.with the warm colours, the oranges and the reds at the bottom of the

:24:18. > :24:28.garden, so by using colours enabled him to then select plants in an

:24:28. > :24:32.

:24:32. > :24:35.organised way to make scenes in the garden. This was a way of having

:24:35. > :24:39.his basic material as a painter would use paints to make a canvas.

:24:39. > :24:42.He would be using his plants exactly the same way to put them

:24:42. > :24:45.together to make beautiful scenes in the garden. Not all the garden

:24:45. > :24:48.is how it appears in paintings and this is part of the challenge James

:24:48. > :24:52.faces. This is the most important part of this garden and we're

:24:52. > :24:54.trying to get back to how the garden was in Monet's time, and in

:24:54. > :24:59.Monet's time these are rich, extravagant and full of roses. And

:24:59. > :25:02.in time they've become weakened and old and have to be replaced. So

:25:02. > :25:05.we're trying to get back to the roses covering the arches

:25:05. > :25:09.completely, and if you look at the tableaux, the pics from Monet's

:25:09. > :25:19.time, they were so rich and so full and that's what we're trying to get

:25:19. > :25:19.

:25:19. > :25:22.One part of Giverny which IS as Monet painted it is the part of the

:25:22. > :25:25.garden with his world famous waterlilies. Monet created gardens

:25:25. > :25:35.and beautiful paintings but of all his works this is the work he was

:25:35. > :25:53.

:25:53. > :26:03.most proud of this is what he He knew he had something

:26:03. > :26:16.

:26:16. > :26:19.exceptional, something that no-one He wouldn't allow other painters to

:26:19. > :26:22.paint he didn't even allow his children to come and his daughter

:26:22. > :26:32.that he helped to paint wouldn't be allowed to come here so he had

:26:32. > :26:39.

:26:39. > :26:49.James first visited Paris as a teenager and he fell in love with

:26:49. > :26:51.

:26:51. > :26:55.the art he saw in the galleries. was like a revelation when I was

:26:55. > :26:58.very young and we came to France first of all it was in the

:26:58. > :27:00.impressionist museums in Paris so it was like a shining light to

:27:00. > :27:04.discover the beauty and the imagination - something unreal, it

:27:04. > :27:13.was like a different way of seeing objects in my life, so it was

:27:13. > :27:19.something that surprised me. love of France grew and he was

:27:19. > :27:22.determined to make it his home. Without realising, yes I am a

:27:22. > :27:32.Francophile, I chose to live here, I got married here, had children

:27:32. > :27:37.

:27:37. > :27:40.who are French and this is where I I have adopted the country for the

:27:40. > :27:43.past 25 years I have woken up in the morning, thinking French,

:27:43. > :27:52.speaking French after dreaming all night in French so it's quite

:27:52. > :27:55.So for someone with a passion for art, France and gardening, James

:27:55. > :28:05.really has landed his dream job, - that of continuing Monet's legacy

:28:05. > :28:10.

:28:10. > :28:14.for the next generation. challenges of this garden are going

:28:14. > :28:17.to be the challenges of all gardens, how are you going to manage the

:28:17. > :28:21.upkeep and how are you going to make it better? I will know that in

:28:21. > :28:24.time. I need to get to know the garden very well. And those answers

:28:24. > :28:27.it's obviously something I've done all my working life, come into

:28:27. > :28:30.gardens and try to keep them up to standard and make them better Just

:28:30. > :28:36.to make the garden as beautiful as possible. That is all from me. You

:28:36. > :28:46.can watch again on the BBC iPlayer. I am back next Monday. Have a good

:28:46. > :28:46.