24/10/2016

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:00:00. > :00:08.Tonight, how the spiralling preventable epidemic

:00:09. > :00:10.is threatening life, limb, and our National

:00:11. > :00:13.It's a dreadful, nasty dise`se. It takes no prisoners.

:00:14. > :00:19.We are certainly looking at the crisis in diabetes,

:00:20. > :00:22.which does threaten to bankrupt the NHS if we continue

:00:23. > :00:31.Our man Fitz finds out the truth about his own five-year

:00:32. > :00:39.That is how much weight I h`ve lost to get down to being obese,

:00:40. > :00:45.And the diabetic so scared of losing a limb, he took

:00:46. > :00:53.It was just my battle, me and my foot, and beating it.

:00:54. > :00:57.I'm Gemma Woodman, with a special Inside Out, asking what's to be

:00:58. > :01:14.Around 4.5 million people in the UK now have diabetes,

:01:15. > :01:22.The majority have Type II, which is related

:01:23. > :01:24.to lifestyle and diet, and is largely preventable.

:01:25. > :01:28.Diabetic care already cost the NHS 10% of its entire budget,

:01:29. > :01:32.and new figures seen by Inshde Out show that those costs are lhkely

:01:33. > :01:56.Today, I'd like to invite you to a shoe shop with a difference.

:01:57. > :01:59.So, what we've got here is 040 shoes, and they represent 140

:02:00. > :02:03.amputations that take place in England every week due

:02:04. > :02:08.to complications associated with diabetes,

:02:09. > :02:14.so people losing toes or lower limbs.

:02:15. > :02:23.We set up this shoe shop to show just how serious

:02:24. > :02:45.Where you come from and your family history can increase your rhsk,

:02:46. > :02:49.but doctors say most of it is down to obesity.

:02:50. > :02:54.Now, new data given exclusively to the BBC by Public Health England

:02:55. > :03:01.estimates there'll be an extra quarter of a million people

:03:02. > :03:05.with Type II diabetes by 2025, if we continue to get fatter.

:03:06. > :03:09.Diabetics are at risk of kidney failure, blindness,

:03:10. > :03:16.And the NHS is spending ?10 billion a year on diabetic care.

:03:17. > :03:21.That's nearly 10% of its entire budget.

:03:22. > :03:23.As things stand, we are certainly looking at a crisis in diabdtes

:03:24. > :03:26.which is threatening to bankrupt the NHS if we continue

:03:27. > :03:37.One of our shoes belongs to Stephen Woodman.

:03:38. > :03:40.We caught up with him as he arrived at the Royal Shrewsbury Hospital for

:03:41. > :03:51.Like 90% of diabetics, Steven has the Type II vershon,

:03:52. > :03:57.which is linked to lifestyld, and so largely preventable.

:03:58. > :04:00.But, diagnosed as a young m`n, he ignored his GP's advice.

:04:01. > :04:04.I never took it that seriously, and I carried on leading

:04:05. > :04:08.I was a lot younger. This was over 25 years ago.

:04:09. > :04:12.I was out going to the pub `nd doing all the things that people

:04:13. > :04:15.of my age did, and of coursd, now I know different.

:04:16. > :04:25.Not too bad while I was in hospital last week...

:04:26. > :04:26.Like many diabetics, Steven developed

:04:27. > :04:36.The ulcer would not heal, and in the end, he had

:04:37. > :04:42.My surgeon did say to me when he was taking my third toe off,

:04:43. > :04:44.it is only a matter of time before you lose that one.

:04:45. > :04:47.He said, it is inevitable that will go the same way.

:04:48. > :04:50.I have become an old man very, very quickly, and inside,

:04:51. > :05:00.You know, "I will go on forever," I thought.

:05:01. > :05:02.Patients with Type II diabetes aren't just losing their tods.

:05:03. > :05:06.Some have had to have a foot amputated, or even a lower leg.

:05:07. > :05:10.It's life changing, and very expensive.

:05:11. > :05:13.There's the limb fitting, a need for basic prosthesis that

:05:14. > :05:19.costs thousands of pounds, bought of those aspects mean

:05:20. > :05:21.costs thousands of pounds, and all of those aspects me`n

:05:22. > :05:27.that it is a very expensive process for the state.

:05:28. > :05:30.Nick Hex was the health economist who worked out the current

:05:31. > :05:33.cost of diabetes care, that ?10 billion figure.

:05:34. > :05:38.Most of that is spent on complications.

:05:39. > :05:42.Foot ulcers and amputations cost nearly ?1 billion a year.

:05:43. > :05:51.Then, there's sight loss and nerve damage.

:05:52. > :05:55.But the biggest cost of all is for heart attacks and strokes.

:05:56. > :05:58.With both obesity and type two diabetes affecting more and more

:05:59. > :06:01.of us, costs for diabetic c`re are expected to increase

:06:02. > :06:11.There is a fixed amount of money for the NHS,

:06:12. > :06:20.so clearly, if one disease `rea like diabetes is taking a bht more

:06:21. > :06:23.if one disease area like di`betes is taking up a more

:06:24. > :06:26.considerable amount of that cost, then there is less money to spend

:06:27. > :06:29.on other disease areas like cancer, so it is really important

:06:30. > :06:31.that the policymakers and local commissioners of care think

:06:32. > :06:34.about the way in which thosd costs can be mitigated over the ndxt few

:06:35. > :06:36.years, because clearly, there is not going to be enough

:06:37. > :06:41.A new problem is expected to put even more financial

:06:42. > :06:47.16-year-old Aisha is one of a small but growing number of children

:06:48. > :06:56.I developed Type II diabetes by having a sweet tooth, mostly

:06:57. > :06:59.I used to try out every swedt, and I used to drink quite

:07:00. > :07:05.When I was taken to the hospital, when the doctor told me

:07:06. > :07:08.I was diagnosed with Type IH diabetes, it hit me then,

:07:09. > :07:14.because I started crying, and it was shock.

:07:15. > :07:19.Aisha now has to rely on medicine to control her condition,

:07:20. > :07:21.but she has managed to lose a stone in weight,

:07:22. > :07:29.and those fizzy drinks are a thing of the past.

:07:30. > :07:32.New research shows the numbdr of children like Aisha with Type II

:07:33. > :07:35.diabetes has nearly doubled in the last ten years,

:07:36. > :07:41.and they are likely to develop complications much earlier.

:07:42. > :07:45.People who are getting Type II diabetes when they are 15 or 16

:07:46. > :07:50.are going to have significant problems, or are likely to have

:07:51. > :07:52.significant problems, maybe at the age of 35-36,

:07:53. > :07:55.and that is really much younger than you'd expect,

:07:56. > :07:58.because these are things like renal failure and heart att`cks

:07:59. > :08:06.and strokes, and are going to have a huge impact on thdm.

:08:07. > :08:08.Ultimately, tackling the rise in Type II diabetes depends

:08:09. > :08:14.I believe we are facing a crisis, and in calling this a crisis,

:08:15. > :08:17.we really need concerted action right across society for us to fund

:08:18. > :08:21.more research to provide thd best possible care and treatment,

:08:22. > :08:23.and crucially, to prevent so many cases of Type II

:08:24. > :08:35.Stephen's diabetes has stabhlised, but it is too late to save his job.

:08:36. > :08:38.Unsteady on his feet after losing his toes,

:08:39. > :08:44.he has been told by his employer he's no longer fit for work.

:08:45. > :08:47.Given everything you've been through, Steve,

:08:48. > :08:51.what would your advice be to other people who are being diagnosed now

:08:52. > :08:55.For God's sake, take it serhously. Don't make the mistake I did.

:08:56. > :08:59.It's the biggest regret I've ever made in my life.

:09:00. > :09:03.It's a dreadful, nasty dise`se. It takes no prisoners.

:09:04. > :09:17.Coming up, the diabetics who say they were let down by poor care

:09:18. > :09:20.Told to go away and make an appointment to go and sed

:09:21. > :09:24.the diabetic foot clinic, and by that time, it was

:09:25. > :09:33.But first, the fight against diabetes is one BBC

:09:34. > :09:36.presenter David Fitzgerald is all too familiar with.

:09:37. > :09:40.He's been trying to stave off the disease for the last five years.

:09:41. > :09:44.Crash diets, intensive exercise even giving up sugar

:09:45. > :09:58.Some say the battle against diabetes goes back millions of years,

:09:59. > :10:06.that it is a story woven into the evolution of man.

:10:07. > :10:08.Now, the thinking is, during the course of our evolution,

:10:09. > :10:10.humans have been constantly exposed to periods of famine,

:10:11. > :10:15.Now, those who can store fat in the time of plenty were lore

:10:16. > :10:19.likely to have offspring during the times of starvathon.

:10:20. > :10:24.It was literally the survival of the fattest.

:10:25. > :10:26.And so, modern man like me excels at eating, especiallx

:10:27. > :10:33.Unfortunately, in modern industrialised countries like ours,

:10:34. > :10:37.Our bodies are preparing for a famine that never comds.

:10:38. > :10:46.Well, in some ways, that makes me feel a bit better.

:10:47. > :10:49.It's not really my fault. I'm programmed that way.

:10:50. > :10:52.But it doesn't alter the fact that society has changed,

:10:53. > :11:01.and my maladapted body needs to get with the programme.

:11:02. > :11:07.Over the years, I've tried just about every diet going.

:11:08. > :11:17.And exercise has never been my strong point.

:11:18. > :11:22.It's no... Word of a lie, that's a killer.

:11:23. > :11:25.But I've had to do something, because my health was in such

:11:26. > :11:31.Looking at your body mass index that's coming out at 33.3.

:11:32. > :11:34.In fact, it's in the obese range, I hate to tell you.

:11:35. > :11:36.Go on, twist the knife, why don't you!

:11:37. > :11:42.So at the moment, your body is as of a 64-year-old.

:11:43. > :11:45.It's a bit of an eye-opener when you're described

:11:46. > :11:47.as a 64-year-old who is looking forward to being overweight and not

:11:48. > :11:53.obese, which I am now, according to that figure.

:11:54. > :11:56.That was four years ago, and I've made some lifestyld changes

:11:57. > :12:01.since then, but has it all been enough to keep my diabetes `t bay?

:12:02. > :12:08.Hello there. Hello!

:12:09. > :12:10.Come in. And yourself.

:12:11. > :12:12.Right. How you getting on?

:12:13. > :12:16.Could we just take a blood pressure first, and see

:12:17. > :12:30.We need to hold this around your belly button.

:12:31. > :12:37.You've gained around a stone, really, since...

:12:38. > :12:43.Anything over 30 is classed as obese.

:12:44. > :12:46.And we've measured your waist circumference, which is just

:12:47. > :12:54.borderline the highest that we'd want it, so we've got a fushng

:12:55. > :12:58.borderline the highest that we'd want it, so we've got a few things

:12:59. > :13:02.there that we need to help you with an ask you to look at,

:13:03. > :13:04.but otherwise, we know that your blood sugar control

:13:05. > :13:10.So all of the readings, bashcally, say I'm above average.

:13:11. > :13:15.This is all in your hands, essentially, but just

:13:16. > :13:17.because something is simple, doesn't mean it's easy to do.

:13:18. > :13:20.Just making the small choicds on a slightly more regular basis

:13:21. > :13:22.will get you in the right direction with all this.

:13:23. > :13:23.Hmmm. Some small changes.

:13:24. > :13:26.Well, I've already made lots of those, and quite fr`nkly,

:13:27. > :13:29.I could use some help, so I'm going to meet a few people

:13:30. > :13:32.who might be able to point le in the right direction.

:13:33. > :13:36.I'm here to meet Dr Terry Whlkin, an expert in diabetes.

:13:37. > :13:38.He says that when it comes to this disease,

:13:39. > :13:41.Male and female, is very colmon balance, or is there

:13:42. > :13:46.No, it's more common in malds, and that's probably

:13:47. > :13:50.related to the way in which they distribute fat.

:13:51. > :13:56.Thank you! I'll have that later.

:13:57. > :13:58.A rotund individual, where the fat is being

:13:59. > :14:02.distributed around the middle, and in the abdominal cavity.

:14:03. > :14:05.And then, there is the so-called pear,

:14:06. > :14:11.It's more likely that the fdmale will distribute body weight

:14:12. > :14:21.The point is that it doesn't matter to your health if it's lower down

:14:22. > :14:24.in the way that it does if it is up above, because hf it's

:14:25. > :14:30.in the abdomen, it's infiltrating the liver, and if it's in the liver,

:14:31. > :14:33.then it is causing problems with the action of insulin,

:14:34. > :14:43.Well, there are two quick fixes, if you like.

:14:44. > :14:45.One of them would be to reduce your intake drasthcally,

:14:46. > :14:49.because within a matter of `bout two or three days of doing that,

:14:50. > :14:52.your metabolism will respond very favourably.

:14:53. > :14:55.Yes, I tried that, and it almost killed me.

:14:56. > :15:00.The other increasingly popular, if you like, way of dealing with

:15:01. > :15:08.That's an operation to shrink your stomach, for you and md.

:15:09. > :15:10.It's a very successful way of dealing with diabetes.

:15:11. > :15:16.It's really quite shocking that surgery may be my only option

:15:17. > :15:20.if I want to cure my diabetds, but I'm not ready for that xet,

:15:21. > :15:22.so I'm going to meet someond who shed the pounds

:15:23. > :15:29.Push, push, push, push, push! Keep going, keep going, keep going!

:15:30. > :15:32.Last year, taxi driver Roger Langton went on the fitness drive

:15:33. > :15:40.drive of a lifetime, after he found out he weighdd

:15:41. > :15:47.They said, you need to lose weight drastically, so I started to do

:15:48. > :15:50.Drop, drop, drop, drop, drop. Good, good!

:15:51. > :15:55.BBC South West followed his year-long battle to fight the flab.

:15:56. > :16:00.It's not like going into a gym, you know, it's intense.

:16:01. > :16:03.It is punishment, you know, for all the life that

:16:04. > :16:11.It's now six months since otr film, and I asked Roger to come to the BBC

:16:12. > :16:16.You must be Roger. You must be Fitz.

:16:17. > :16:18.Great to see you. And you.

:16:19. > :16:20.Do you fancy coming through to the canteen?

:16:21. > :16:21.Yeah. OK.

:16:22. > :16:25.Can you just remind me, how much did you lose in wehght

:16:26. > :16:32.I lost just over 14 stone in just over a year.

:16:33. > :16:36.14 stone! 14 stone, yeah.

:16:37. > :16:41.Amazingly, even at his biggdst, Roger never developed diabetes.

:16:42. > :16:44.Proof that your genetics do make a difference.

:16:45. > :16:51.His battle was with his heart, and that's one he's winning.

:16:52. > :16:55.My heart, yeah. Not too bad.

:16:56. > :16:58.My doctor's told me now I've put 20 years on my lifd.

:16:59. > :17:13.So it looks like I'm going to need a little

:17:14. > :17:15.bit of help to actually lose some weight.

:17:16. > :17:21.Yeah, I had a bloke advise le, he's my personal trainer.

:17:22. > :17:25.Did you ever think as a Plylouth taxi driver, you'd say,

:17:26. > :17:29.No, I didn't! Never.

:17:30. > :17:38.This is the man he's talking about. Kevin Seymour.

:17:39. > :17:40.This is the man he's talking about. Gavin Seymour.

:17:41. > :17:43.OK, Fitz, so first, we're going to do a little

:17:44. > :17:46.We're going to do single arms, one at a time.

:17:47. > :17:49.Trying to get the heart ratd up a little bit as well.

:17:50. > :17:54.What colour am I? Looking good?

:17:55. > :17:56.Gavin's told me that for 72 hours after exercise,

:17:57. > :17:59.my muscles will soak up the glucose in my blood.

:18:00. > :18:04.OK, we're going to utilise the kettle bell.

:18:05. > :18:06.That's why resistance trainhng like this is especially

:18:07. > :18:21.Ironically, that's the same weight that I've already lost,

:18:22. > :18:24.Oof! That really brings it home.

:18:25. > :18:27.That is how much weight I lost to bring it down to being obese

:18:28. > :18:33.Well, as if that wasn't humhliating enough, Gavin wants me to gdt

:18:34. > :18:37.OK, Fitz, so now we're going to use the tyre.

:18:38. > :18:42.So we're actually going to be throwing the tyre today.

:18:43. > :18:45.That's it, head up. That's it, perfect, lift.

:18:46. > :18:47.And then over the head, and throw.

:18:48. > :18:53.It is a bit of a fun one to finish the session with.

:18:54. > :18:54.Oh, you can get the week's aggression out!

:18:55. > :19:12.I couldn't lift the ten kilo kettle bell, but I can throw a tyrd.

:19:13. > :19:15.Well, everyone has their own strengths and weaknesses.

:19:16. > :19:18.The key thing is consistencx, so if you are exercising regularly,

:19:19. > :19:21.But I think you did fantasthc for today.

:19:22. > :19:27.Gavin, thank you very much indeed for the work-out.

:19:28. > :19:30.Well, it's been a real eye opener meeting Terry, Roger and Gavin.

:19:31. > :19:35.If things get really desper`te, it could mean surgery for md,

:19:36. > :19:38.but for the moment, I'm going to try exercise and healthy eating.

:19:39. > :19:58.What do they say about apples and doctors?

:19:59. > :20:01.As we've been finding out, type two diabetes is largely prevent`ble

:20:02. > :20:03.Type one is unrelated to diet and lifestyle,

:20:04. > :20:06.and the exact cause is unknown, but for all diabetics,

:20:07. > :20:08.it's vital to get timely and expert care to prevent dangerous

:20:09. > :20:10.complications, as Jenny Waldron our health correspondent,

:20:11. > :20:15.The damage done by diabetes has almost robbed Mark Burddn

:20:16. > :20:19.of his eyesight, and when a tiny black mark appeared on his toe,

:20:20. > :20:27.It's a lack of blood supply to your feet, caused

:20:28. > :20:29.by the diabetes, and once you've got an open wound,

:20:30. > :20:34.the infection can get in, and once the infection is in,

:20:35. > :20:39.But Mark says his local A in Dorset did not spot the danger.

:20:40. > :20:43.I was told to go away and m`ke an appointment to see

:20:44. > :20:47.the diabetic foot clinic, which we did as soon as it was open,

:20:48. > :20:53.and by that time, to be fair, it was probably already too late.

:20:54. > :20:59.It was already becoming a big problem.

:21:00. > :21:02.A problem that, despite a ydar of antibiotics, refused to go away.

:21:03. > :21:09.An arterial bypass to restore the blood flow field.

:21:10. > :21:12.An arterial bypass to restore the blood flow failed.

:21:13. > :21:14.The only solution for Mark, a Type I diabetic,

:21:15. > :21:19.It got to the point where I wanted it, because I have been

:21:20. > :21:21.in hospital for so long, having little bits of my tod

:21:22. > :21:24.and my foot cut about, that the amputation was the most

:21:25. > :21:27.comfortable and quickest option to get me back out of the hospital

:21:28. > :21:36.The front line in the fight against amputations for diabetics

:21:37. > :21:39.is the GP surgery, where evdry person with a condition shotld get

:21:40. > :21:59.Every check should end with you being told whether you are low risk,

:22:00. > :22:04.high risk, or increased risk. That is vital, because people in the

:22:05. > :22:07.latter to categories should be referred to a hospital-based

:22:08. > :22:12.podiatrist for regular checkups But there is evidence good practice is

:22:13. > :22:16.not happening everywhere. Campaigning charity Diabetes Uk Says

:22:17. > :22:19.That Was, Most Amputations Could Be Avoided.

:22:20. > :22:23.We Know 20% Of People Have Not Had Any Foot Checks At All, A Ftrther 1%

:22:24. > :22:25.Had Not Been Asked To Take Off Their Shoes And Socks. 32% Had Not Been

:22:26. > :22:31.Told Their Risks. . You can't do Told Their Risks. . You can't do

:22:32. > :22:34.anything about it if you don't know your risk.

:22:35. > :22:37.So what needs to be done ted the government wants major hosphtals to

:22:38. > :22:38.patients can see surgeons, patients can see

:22:39. > :22:43.podiatrist and other experts for podiatrist and other experts for

:22:44. > :22:46.speedy treatment, even withhn 2 hours if they have a foot ulcer

:22:47. > :22:51.That is what is happening in Somerset, where the worryingly high

:22:52. > :22:54.number of emergency amputathons prompted a complete revamp of

:22:55. > :22:58.services. Come to the hospital podiatry clinic

:22:59. > :23:03.today, for us to have a look. Mark Sweeting has come in for an

:23:04. > :23:08.ulcer on his toe. It just came, I don't know why. Just

:23:09. > :23:12.through work, I don't know, because I work in heavy industry. So I am

:23:13. > :23:19.kneeling down all the time, and they wear on my toe, I don't know. Left

:23:20. > :23:25.How long is too long? How long is too long?

:23:26. > :23:29.About two weeks too long. But now, high-risk patients like

:23:30. > :23:31.Mark are seen by specialist at regular clinics.

:23:32. > :23:36.Many of the patients that wd received, we were seeing for the

:23:37. > :23:42.first time with an emergencx admission, with severe infections in

:23:43. > :23:45.their leg. And unfortunatelx, for many patients, that meant a decision

:23:46. > :23:50.of life or limb, as we would describe it, a decision that really

:23:51. > :23:54.we had to perform an amputation in order to save their life.

:23:55. > :23:57.Just checking that the condhtion of your circulation, which is very

:23:58. > :24:03.He is a bit more high-risk. He is He is a bit more high-risk. He is

:24:04. > :24:07.also rated, so once that ulcer is treated and healed, he will be

:24:08. > :24:10.referred back to the communhty, so he has been in the communitx for

:24:11. > :24:14.about a year now, and we wotld see him for eight weeks, just to check,

:24:15. > :24:17.even if there is nothing wrong with his feet.

:24:18. > :24:21.It took time and effort to get this service going, but it is working.

:24:22. > :24:24.We know that the instance of amputations has reduced to

:24:25. > :24:28.approximately one third of the figure six years ago, so a huge

:24:29. > :24:35.difference. In actual numbers, that means we are performing herd up to

:24:36. > :24:40.20-30 less major limb amput`tions per year from patients in Somerset.

:24:41. > :24:44.So, encouraging news in Somdrset. But for those who have an

:24:45. > :24:48.always end there. Back in always end there. Back in

:24:49. > :24:52.care for the rest of his life to care for the rest of his life to

:24:53. > :24:59.prevent pain and vitally, another ulcer. Yet he says he has rdgular

:25:00. > :25:03.clinical checkups, and they are often overbooked or cancelldd.

:25:04. > :25:06.I should be seen every four weeks, but quite often, it is five or six

:25:07. > :25:11.weeks, because the clinicians are weeks, because the clinicians are

:25:12. > :25:14.either on leave, or it is a bank holiday. Overnight can make a

:25:15. > :25:19.difference. Five weeks could be .. You could already have lost a leg by

:25:20. > :25:21.then. Their system does not work for me, and presumably a lot of

:25:22. > :25:30.people. Dorset health Health Care University

:25:31. > :25:34.Medical Trust said patients were seen when clinically appropriate,

:25:35. > :25:37.which usually meant every 4,6 weeks. As the fight against diabetds goes

:25:38. > :25:43.on, people like Mark Ary relinder that without timely treatment and

:25:44. > :25:45.constant care, diabetics can be just one step away from life changing

:25:46. > :25:53.surgery. Finally tonight, a graphic `nd quite

:25:54. > :25:58.shocking example of the drastic impact diabetes can have. P`ul was

:25:59. > :26:02.so worried that if he went hnto hospital, he might end up losing a

:26:03. > :26:11.leg, that he went down a rude no doctor would recommend.

:26:12. > :26:17.I came in and at my shoes and socks off, and the ends of my feet were

:26:18. > :26:21.completely black, like they had been dipped in sword, both of thdm.

:26:22. > :26:30.I thought, oh, God, that is frostbite.

:26:31. > :26:35.Really late, gone midnight, somebody passed me and said, by the way, you

:26:36. > :26:37.are cancelled. So I told thdm I was going to discharge myself. They went

:26:38. > :26:43.crackers. We can't stop you going home, but you will be back hn here

:26:44. > :26:49.within 36 hours in an ambul`nce and we might have to cut off yotr whole

:26:50. > :26:55.leg. I had removed the dead flesh, I

:26:56. > :26:59.removed the tissue, I've made holes in the foot and dined out the

:27:00. > :27:03.poisons. Whatever it took, H pulled out all my own toenails with a pair

:27:04. > :27:07.of pliers, and that was... That was a real low point.

:27:08. > :27:20.LAUGHTER That does seem insane, doesn't it?

:27:21. > :27:23.Yes. Those gangrenous toes are going to

:27:24. > :27:25.kill you. They will reinfect your leg. They will kill you. Yot have

:27:26. > :27:38.got to come into hospital. I separated the gangrenous part of

:27:39. > :27:43.the toe from the living flesh, and that was all I could stand, and then

:27:44. > :27:47.the next evening, I got the scissors and I cut all the sinews down there

:27:48. > :27:51.in the foot, which was a big string in here, and that was all rotten.

:27:52. > :27:58.drain and remove the tissue and keep drain and remove the tissue and keep

:27:59. > :28:05.it clean. I gave my foot a chance to heal.

:28:06. > :28:11.It doesn't spell very nice. -- it doesn't smell very nice.

:28:12. > :28:15.He said that I had made a rdally beautiful job of what I had done,

:28:16. > :28:21.although I was mad, in his opinion, although I was mad, in his opinion,

:28:22. > :28:27.to have tackled at myself at home. I had probably saved my foot. It was

:28:28. > :28:31.some people battle other thhngs some people battle other thhngs

:28:32. > :28:33.cancers and things, it was just my battle, me and my foot, and

:28:34. > :28:40.gangrene, and I have eaten ht. - I gangrene, and I have eaten ht. - I

:28:41. > :28:44.have beaten it. Extraordinary DIY methods whth Paul

:28:45. > :28:48.Givan is there, and obviously, that is not one to try at home! We're

:28:49. > :29:09.back next Monday with a special report. See you then.

:29:10. > :29:11.Hello, I'm Riz Lateef with your 90 second update.

:29:12. > :29:13.The first of an estimated 8,000 migrants

:29:14. > :29:16.have left the camp at Calais known as The Jungle.

:29:17. > :29:18.French authorities plan to bulldoze it.

:29:19. > :29:20.Migrants are being resettled around France.

:29:21. > :29:23.But 20 teenagers have arrived at a centre in Devon

:29:24. > :29:28.The Home Office has stopped any more coming for now.

:29:29. > :29:32.Chemotherapy for terminal cancer patients,

:29:33. > :29:37.and casts for children's broken wrists.

:29:38. > :29:39.Just some of 40 treatments doctors said today are unnecessary

:29:40. > :29:45.A Christian-owned bakery which refused to make a cake

:29:46. > :29:48.with a pro-gay marriage slogan has lost a legal fight.