: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.