oh Ellie hello are you all right how are
you doing my public await
Newcastle home to one of the biggest and
best Hospital trusts in the UK all
jordies are wonderful people
that's just me being Prejudice people
wear socks in theater always under the
balance of the house
across a shift well done and just get
your ballon we meet the dedicated staff
gotta wipe off all that cleaning
solution that proper Geordie town
when it goes well it's just a great day
there's that kind of oh well done yeah
the whole team enjoys that from
world-class Medics saving lives it's a
little bit more careful a little bit
more careful
okay here goes his brains off so that's
true has been in for 11 years
to the support teams who make it
possible are we nearly there do you
think you're in the backseat of the car
here to fix people I should have wrote
some lipstick in for you don't want too
much I don't want to look like an Asian
axis ah you know with all the any
problems with the hearing normally
committed to caring for people like you
and me oh it's in my eye there we go and
transforming lives forever how does it
feel after so many years amazing it's
just perfect isn't he thank you so much
[Music]
good morning are you all right
it's morning in Newcastle hospitals
preparing for the 4 000 patients who are
through the doors today
on the children's Ward at the Royal
Victoria infirmary are you ready
oh no some unconventional Medics are
doing their rounds
just as consultant plastic surgeon Peter
starts his oh we've got some clown
doctors coming
brilliant don't bump into them very
often a sense of play is just what's in
needed to work in this department
my wife and I have a tandem which is a
fairly new thing for us and we go out on
our tandem it's a weekend
higher selfie people see you on a
Thundermans smile and wave at you it's
really good fun the girl for this
afternoon is coming in about 12. it's
pretty much routine that when you're
cycling on a tandem some Will shout out
to me she is not peddling on the back go
faster
Peter has led the Newcastle cleft lip
and pallet service for 20 years so we've
got Amelia this morning
um Amelia's a little girl with a
bilateral cleft lip and Palette
who is having what we call a lipidesian
and lipidation is the first stage of a
bilateral cleft lip repair where we
bring the elements of the lip together
to pull it all into line as the middle
part of a million slip is really quite
distorted
where a baby's lip or mouth do not form
properly during pregnancy
it can make it harder to take milk from
a bottle off from the breast because the
baby is unable to generate any suction
because their mouth is open to the nose
one in 700 babies worldwide are born
with a condition each year
been abroad to India and then two or
three missions to the Philippines
where we've worked with local surgeons
I've kept a little tally on how many new
babies that have operated on I'm
approaching 1500 but I don't think I'll
get there before I retire
four-month-old Amelia hello
is Peter's
1318th patient so she's all right this
morning no cost of colds just in a
little angel good are you all right
there's been better days there are a
small number of families where a child
will have a similar condition to the
parent and over 20 years I've known
Amelia's dad and he had the same thing
when he was little what we're doing is
joining it all up okay and I'm going to
also repair the floor of a nose so we
bring that around it'll bring her nose
in quite a lot it's quite strange when
we give you a different baby back and
she'll be quite swollen and the glue
looks a bit messy we may put little
tubes in our nose to help the shape of a
nose and a breathing we may not
depending how it looks
are you being a bit grumpy now
we have some lovely Smiles before
Amelia's operation will be the first of
many she will have throughout her life
something dad Mitchell knows all about
Peter has operated on him six times over
the years only recently completing the
process of rebuilding his lip when we
found out we were pregnant we're always
knew that there might be a possibility
just because Dad's got one and just
spent the entire time in the womb first
in front of our face
I remember having this offend I think
was like two three hours trying to get
out the wiggle the doctors practically
told us the twerk to try and get out the
jiggle
just to move her a bit well I want you
to move her hand out of her face but try
this movement
I can actually remember when she was
born and it doesn't matter you know
she'll have a clifflet or not it was
like instance love
parents before surgery are often
apprehensive very often these babies are
three months old and they've not been
handed over to anybody it's really scary
for mums and dads
key shops
on the one hand because I I know what to
expect and know what's coming but the
end of the day she's still my child's
the fact that I have to hand her over to
to someone else and that I go down for
surgery and then effectively getting a
brand new child back that's gonna be
weird
to be a little girl
right look on this
um
a few hours
we did it
four miles away on the other side of the
Tyne River brain surgeon Akbar is
getting ready for his shift
I always have an early start which
unfortunately means that my daughter
always has an early start there's a
banana and pancake
which one then but having breakfast with
her in the morning and seeing her Smiles
Priceless are you mixing now they're
supposed to mix drinks
and in the days where I don't do it it
almost feels like I've left my mobile at
home so
come on let's put your shoes on
okay tell me which one is my dad you
always said it doesn't matter about how
much money you have it doesn't matter
about what shoes you're wearing oh
you've been so cold off we go
and it might have been his way of
stopping this from buying really
expensive shoes
but anyway he always said nothing else
really matters apart from your religion
your family and education morning keep
them three things good and everything
else will work itself out
hi this is Susan it is can you come in
for surgery today yeah waiting on Ward
17 is akbar's patient 63 year old Susan
and her partner Brian I just saw your
Ops what I have is something called
trigeminal neurality and basically that
gives me really extreme Facial Pain it's
totally to safely when it comes on
Susan was diagnosed with the condition
three years ago and it's had a huge
impact on her life but for the NHS all
my life and then I took early retirement
so I did start singing
and from there we go to folk and
acoustic clubs
we get people from America Canada Israel
and they've been coming over to see us
yeah
recently she's had to stop performing as
the pain in her face has become so
debilitating
I need to be able to have surgery here
so I can sing
it would be life-changing
the trigeminal nerve provides sensation
to the forehead the cheek and the or
just over the jawline
hello there or it's disturb you good
morning good morning what's happening
with Susan is that she's got a vessel
that's irritating the nerve and then
causing that pain we've got the
left-sided Facial Pain and how long have
you had that for
sometimes it's in my head across here I
certainly down the cheekbones and does
it hurt when you brush your teeth or
touch your face or sometimes just
touching my face can set it off sort of
air conditioning sets it off very easily
but I can't imagine living without pain
all your life where you you're sitting
there and you're scared to open your
mouth or even talk because if you did
you would get this electric shock going
into your face so the operation that
we're going to try and do is try and go
in behind the ear go and find the actual
nerve that's been pressed by The Vessel
and then move it out the way and the
other thing I'm going to be doing during
operation is something called The
Interpreter monitoring that does mean
that they're going to have to put
some little thin tiny needles in your
face and that's just to check your
hearing all the way through because you
haven't got any hearing them outside
nothing at all so we're going to try our
best to protect that side as much we can
at the end of the day if I feel like
I have to choose between keeping your
hearing intact while getting rid of your
Facial Pain I'm going to choose your
hearing thank you see you soon thank you
one of the things about neurosurgery is
that it's full of high risk operations
every time a person comes in it's like a
puzzle you have to solve
if Akbar doesn't get the operation right
he could damage the hearing in her only
working ear there's a massive chance
that if something were to go wrong then
I can make the patient deaf and it'll
ruin her quality of life
it's a three mile run into Newcastle
hospitals for dermatologist Tom
who's heading in this morning to team up
with ophthalmologist Lucy in one of the
UK's biggest eye departments
since I started here as a consultant
Lucy and I have done a clinic together
on a Friday morning once a month
yeah Chris you all right yeah
yeah lovely that's really good working
relationship
so how long would it take you to get
through a pair of running shoes six
months it's all about the Buns
[Laughter]
I'm not going to tell you how old my
running shoes really
years old because I don't run in them
making us some male running shoes for
the equipment if you need them no
actually you don't want them oh they
smell oh awful yeah yeah
today the duo will be performing surgery
and facial reconstruction on a 60 year
old skin cancer patient this is
Catherine who's our patient this morning
she has a basal cell carcinoma in the
corner of her eye basal cell carcinoma
is the commonest cancer in humans many
people walk around these on their faces
and don't realize that they have them
Tom's role is to surgically remove the
tumor for most people surgery is the
best treatment because that's most
likely to result in a cure the
difficulty here is that it's right in
the corner of her eye once fully removed
the hope is Lucy will then be able to
reconstruct Catherine's eye area it's
important to remove this and remove it
completely because if it's left a long
time she could potentially lose her
sight and potentially even lose her eye
it's a really important area to get
treated as soon as possible
waiting for surgery has been an anxious
three months for Catherine and partner
Peter the nerves are just starting to
kick in a wee bit now I think the
operation's not worrying me so much
about what it is it's just where it is
because it's pretty close to the to the
eye
I hope their hands are less Shaker than
mines are this morning
I come from a generation I suppose that
sun creams weren't quite as available as
they are now or people didn't realize
the effects of the Sun as they do now
good morning Catherine that's me yeah it
will be a grueling day for Catherine who
will undergo two major operations under
local anesthetic to be able to offer her
the opportunity to come down in the
morning have her cancer completely
removed and then have plastic surgery
reconstruction and leave knowing that
she's cancer-free I think is an amazing
thing to be able to achieve
so you'll probably feel it's a tiny
scratch coming are you ready three two
one sharp scratch
for Tom the difficulty will be removing
all the cancer without causing excess
damage to Catherine's eye
if we had the same growth here but it
was on your arm for example you could
quite easily remove it by taking a
generous margin of say half a centimeter
here there's no fat underneath the skin
and there's not very much spare so we'll
take it out with the smallest possible
margin of two millimeters
if he doesn't remove enough the cancer
May remain and Catherine would require
further surgery
but if he removes too much Lucy will
struggle to repair the eyelid
as well as just covering that wound with
skin and getting it to heal you want
that person to have a functional eye so
that they can see out of that's not dry
or too watery
Tom takes away as much skin as he can
finishing off it won't be long now
he'll need to examine the cancer under a
microscope to be sure he's removed it
all
in the grounds of the Freeman Hospital
head chaplain Katie is prepping for a
day of training with her staff welfare
dogs Fern and Poppy jingles
poppy is without doubt the most popular
member of the chaplaincy team she was
the first NHS staff welfare dog across
the country whose job is purely to look
after the welfare of the staff
but after nearly five years of service
that's roughly 40 dog years poppy is
about to hang up her collar and hand
over to Fern
she's bringing on that Vandal of an
apprentice Fern to see if we can get
Poppy towards retirement
it's wonderful first trips to the hot
the rest of the training we've been
going it's been selfless but we've been
to pubs and coffee shops it's where
they've been different people making
noise and cluttering coming up to talk
to which is all about getting used to
people approaching her
and if there's a scary noise Fern will
jump behind poppy which is quite
entertaining probably I don't know why
you think I'm gonna help you
she's very loving and very kind but she
is such a big dog and that's going to be
the difference between her and Poppy if
she thinks everybody's their best friend
and she has to sit on them so that's
something we're working on at the moment
the plan today is to familiarize firm
with the strange noises and smells of
the hospital
we'll see how there she goes but yeah
she's got big boots to fill
Ed
foreign
theater 37 hello guys
neurosurgeon Akbar is preparing to
perform brain surgery on singer Susan
every other organs there
to support the brain and that's what the
function is
their heart the lungs the eyes
everything's there to support your brain
and to nourish your brain in order for
you to be who you are
it is the person it's not an organ it's
not just a limb it's the actual human
being the plan is to move aside an art
tree that is pressing on a nerve in
Susan's brain and causing disabling
Facial Pain the tricky part of this
operation is getting in to that area and
that area is quite tight and if we get a
bleeding from there we need to control
it as fast as possible because if we
don't she can bleed out quite quickly
the second part is having to then
manipulate this artery and this nerve
without causing damage to anything
especially in this case with Susan we
don't want to damage her hearing at all
are you ready to go yes no problem
akbar's concern is that if something
were to go wrong Susan could lose all of
her hearing
it's been a little girl I've been
completely deaf on my right side so
there's no hearing at all there so if I
was to lose my hearing in the side
obviously be life-changing how are you
feeling
okay yeah definitely
in this case we can't have Susan awake
so I can't ask her can you still hear
are you having any hearing problems and
what that means is that we put wires
into the face and provide a stimulus of
a beep in the ear and measure the
response
the neurophysiologists across the way of
monitoring their brain's responses
there's this time scale of about a
minute so if there's any significant
deficit in the transmission of messages
through this nerve I'll have about a
minute to do just what I'm doing
first challenge is to access the nerve
pinning
everyone happy
on slide ready steady slide
nicely done
everybody's Anatomy is um different so
what I want to do is make sure that I
get to my decision exactly in the right
part the hole that I'm making the skull
initially is meant to be on the junction
between these two huge veins so in order
to avoid a lot of bleeding at the
beginning of the operation I'm really
trying to be as close to these
structures that possibly can be but not
encroach on them and that's the
dangerous part because if we enter the
sinus while it's doing that we can get
some significant bleeding
drill through Susan's skull
wash wash
now it's that bit where we're just
trying to work our way down the front of
the brain without disturbing it too much
to that area where the nerve is that
we're looking to operate on
the distance from this tubercle to here
is probably seven millimeters or
something like that if that
now the more I try and pull the brain
out the way the more I'm going to put
traction on so I need to do this
delicately in the channel
simply by moving structures like moving
the brain you are asking it to go
somewhere where it doesn't want to go
and that inevitably puts it on stretch
that stretch is what we refer to as
traction and you try and minimize that
as much as possible
so this is a trigeminal nerve when you
probably can just see this Looper vessel
that's what's irritating the nerve and
causing the here not this patient's
suffering from
now every move he makes must be precise
the smallest mistake could be
life-changing for Susan
structural manipulation of this vessel
is very small too much traction on this
is going to cause her permanent hearing
problems
consultant Tom is one of 626
dermatologists in the country
when I went to UNI in about
1997-98 ER was on the Telly and I
thought I might be like one of the
doctors in ER but I'm no good at like
complicated maths or physics I'm no good
at difficult theoretical stuff so that's
why Dermatology suits me
having removed a tumor from Catherine's
he must now examine the skin to confirm
that the cancer has all gone you've kind
of got a really concentrate
sort of
try and focus your mind only on looking
at these slides
so I'll just have to go quiet for a
minute whilst I'm looking at them
would it be really good if this has all
gone in one go
but anyway I don't want to jinx it
fingers crossed
Catherine's facial reconstruction won't
be able to begin until she's 100 cancer
free
thank you
so it's looking good we can now
confidently say this basal cell cast
name has been fully removed
patient can go off to Miss Clark now to
be fixed up again
it's good news but Catherine is only
halfway through today's surgery repair
of the damage caused by the removal of
her cancer must now be handed over to
eye surgeon Lucy oculoplastic surgery
isn't cosmetic surgery the functional
implications for having an eyelid
problem are massive without good
functioning eyelids you would very
rapidly lose sight and it's potentially
blinding condition to have an eyelid
problem
so it's essential this really delicate
and uniquely functioning area of the
body is repaired in a meticulous fashion
this is my original glasses which I got
back in the 1990s when I was a junior
plastic surgeon
the Box wore out the glasses didn't
it looks a bit worse for wear doesn't it
a bit like me
cleft lip and pallet surgeon Peter is
preparing for life-changing surgery on
four-month-old Emilia Emilia's got a
wide bilateral cleft lip and Palette
she's a very prominent Pro labium and
primaxilla she's having a lipidation so
I'll put blocks in uh put some in a
pallet and some in her face will cut the
lip to open up the tissues inside and to
move little tiny bits so we get a
continuous layer separating her nose
from her mouth
this bit in the middle is completely
separate so that's that's the gum and I
can feel that there are teeth under
there that will be coming through
but that bit is completely separate to
the bits on either side
so we're going to first of all do some
work inside the mouth to repair the
furry front bit of the palette because
the palette is really important to speak
the particularly challenging a bit today
in a in a bilateral cleft is the repair
of the roof of Earth at the very front
that's the hardest bit
ever since it's very tiny the difference
between getting it right and getting it
wrong is a fraction of a millimeter
because the physical closeness and
babies being smaller more squashable
you've got to be much more mindful of
the fact that it's a small person that
you can interfere with
I'm marking the edge of the lip this is
where I'm going to make the incision
to so I can join the lip together and at
that point it's quite easy for me to
remove the breathing tube as well which
which would not be good
Amelia is relying on the breathing tube
to provide her with oxygen there's a big
big beep of the oximeter going on in the
background
half an ear for that because I'm
listening to that because I know I can
interfere with that
a sudden change in the oximeter's Rhythm
would suggest Peter has compromised her
Airway
s
this is so small man
Amelia's dad Mitchell was also born with
a cleft lip and Palette and completed
his treatment three years ago at the age
of 26.
I know how it's going to impact her
throughout her life which is still going
to be slightly different from people and
I know the struggle she's going to have
because I had them
she's gonna miss school she's gonna miss
you know probably whole Summers she's
gonna miss you know
part of a life that she would be able to
engage with normally if she didn't have
this condition
what you want to do what you want be who
you are
don't really care what other people
think
but uh hopefully she'll take after that
just change very dramatically how the
baby looks
when I finish with them they look
different they sound different and
sometimes that's a bit of a shock for
parents
that looks more like a nostril now
because we've repaired the floor of the
nose this is a 7-0 stitch which is I
think is finer than her eyelashes
when I was a very new clef surgeon I
would do operations on babies and I'm
changing how the baby looks in a way
that fitted our version of normal
and I'd go back to mum and dad and I'd
be feeling quite pleased with myself
that I've done a good job
and realized that what I was doing was
taking the baby that they'd fallen in
love with and had bonded with
and I made this baby look completely
different and they loved the baby that
they've got already
I'm gonna mourn that smile stupid sounds
it's going to be heartbreaking to see a
different smile but it's also exciting
because she's gonna have a new spider
love
grounds Katie's training new welfare dog
Fern to replace poppy Jingles
Fern's first challenge is to navigate
the busiest part of the hospital in see
if she remains calm Fern is very unique
she's a beautiful Fox red labrador but
there's not much between the big lump of
bone upstairs
this corridor's not probably one of the
loudest corridors in the in the whole
trust and there's a lot of activity
going on for us she's already got her
attention with what's going on so she's
a bit jitterish already but I'm hoping
by bringing poppy in with her poppy will
just be the settler for her
Poppy's supposed to be passing on the
knowledge to Fern as to how to be a
welfare dog
that is not going so well currently
fellow chaplain Craig is in charge of
keeping Fern under control maybe we
should have a learner play on Craig as
well that would help that would be quite
cool wouldn't it
right come on then ladies let's have a
go come on come on then
hello
good girl good girl you're doing great
there we go let's get past some noisy
trolleys
brilliant well done Fern good girl
Fern has called with her first
experience of Hospital life but now it's
time to take it up a level
then we just pull to one side and let
this trolley go past stand still
and see how she gets along with the
staff hey yeah well done
may I have a disaster p7
theater Akbar is performing brain
surgery on patient Susan we've got the
brain's sitting there quite nicely we'll
just let it relax for a little bit
he has successfully found the artery
inside her brain which is resting on her
trigeminal nerve and causing pain now he
must move it to one side
that bit where you move in the archery
it's very delicate part is it it's also
my favorite part that's the bit that's
helping the patient
up until then you haven't done anything
good for the patient at all all you're
doing is put a hole in the head
fingertips are just rolling I'm just
rolling and moving very very small
millimetric millimetric movements in
order to slowly but surely move the
structures that I need to move
who's on Susan's brain and too much
traction could make her deaf
it's not just about maintaining a basic
level of um quality of life you say I
know that Susan's a singer so if I was
to
even affect us and hearing where she
couldn't hear high-pitched sounds or the
different tones that come through then I
might even ruin that
Akbar has radial physiologists by his
side to alert him if the surgery begins
to cause damage every so often then
they're giving a little ping into the
person's ear
and that ping is meant to be given a
baseline if you said it was given a what
response within one anything that's over
one is means is a latency
the nerves can deal with an increase of
0.2 or 0.3 or 0.5 but anything above
that means that it's less significant in
damaged
Aqua yes sorry to drop we have a latency
shift so you could already see that just
by putting this retractor in there we've
had some evidence that we've put too
much traction on the nerve
as soon as it gets to 1.5 you definitely
have to stop what you're doing
latency shift is at 1.3 1.3 okay
what they're saying is that over time
because of the way I'm doing operation I
am obstructing the nerve if it stays
above 1.5 for more than a minute that
means that might cause a permanent
deficit
it's a little bit more careful a little
bit more careful
I'm trying doing anything I can to keep
the the nerve safe
just by moving around I'm causing some
sort of strain on it there's still
towards the show how delicate it is
slightest split one way and I'm poking
the brain stem and can cause a deficit
slightest bit the other way I cause
hearing loss
so you're moving within within a space
of five or six millimeters
how's it looking name Stefan
we're still seeing a latency shift
um 1.3 Stills yeah
possibly a tad more
it might be fine to push the limit or
the threshold a little bit when you you
got Hearing in both ears but when this
is her only ear that's working your
threshold's got to be a lot a lot lower
three is no longer irritating the nerve
and he's avoided any damage Akbar can
start his retreat
hopefully come out haven't caused very
little damage and um the most rewarding
thing is when she wakes up and hopefully
have no pain which will be absolutely
fantastic
any problems
still the same as 1.3 brilliant
looks good
at bars completed Susan's surgery
without the latency hitting 1.5
but 10 years of experience has taught
him not to celebrate too quickly next
we'll just close up and wait to see if
the patient wakes up and that's the
hardest part for me
because everything could go as
brilliantly as you wanted to do because
it have some tooth and scissors please
but you don't know how the patient is
you never know until
um until the patient wakes up
the point is can Susan here
can Susan talk eat sleep brush your
teeth without pain that's what the point
is so you can be as happy as you want
that you technically achieved something
but that's not what you do this job for
the job is to make sure that you've
actually made her life better
chaplain Katie has spent the day in
hospital training new staff welfare dog
fern
keep trundle in past you because we're
practicing with all the different noises
so far so good come on you can do it
time to meet her first staff member
clinical nurse specialist Sean how's she
doing
apparently she's very pleased to see you
apparently oh and little things he's
Apprentice as well yeah and she doesn't
have an ID card yet like poppy what do
you think Poppy's retirement's gonna
look like pina coladas and snacks
retirement
no you're just starting work I think
she'll be just chilling out at home
she's definitely slowing down she's
slowing down she'll come back for team
dinners
coffee mines
well Fern looks like we'll be working
together more in the future yeah because
yes
I'm not gone yet we'll be sharing a pina
colada yeah
so see you later thank you Sean
I think she has potential to be a very
good welfare dog and I'm not putting
down on tape anything other than that
you done all right you have you're a
good girl I'm really proud
well you've been all right thank you
ophthalmologist Lucy began surgery as a
young child I think I was about five or
six my dad presented me with a splinter
and asked if I wanted to remove it she's
got a medial defect so we're going to do
a lateral advancement flap for her he
gave me his Swiss army knife and I
remember thinking that it was an amazing
privilege to be able to look after
somebody be given equipment like a
good knife
it takes some nice deep breaths for me
this afternoon she is performing
reconstructive eye surgery on Catherine
who's just had cancerous tissue removed
from her eye
so I'm just marking out the area where
I'm going to borrow a few wrinkles and
we're going to borrow that spare skin
and we're going to slide it in this
direction right help cover this defect
that's in the corner
eyes are the focal point of the face
when you're having a conversation with
somebody usually you're looking into
their eyes and so if you have got a
problem around your eyes it's impossible
to hide it
it's a bit stingy just wriggle your toes
that's it imagine you're playing piano
with your toes and wait for that to have
its effect and it'll all start to go
really nice in them
one mistake could result in Catherine's
eye not functioning properly or even
blindness
everyone is able to imagine how
terrifying it would be to lose the sense
of sight we only have to close our
eyelids to even imagine what that would
be for just a second or two
so we've done most of our moving tissue
about
we've loosened up
the full length of the lower lid we're
going to be able to translate that from
where it was into its Gap
and cover the cover the Gap that's been
made
I'm just going to tighten your lower lid
now so this will be a little bit of Peep
in the eye open
are you pretty comfortable down there
are you okay yeah I'm perfectly
comfortable
or making excellent Headway
we're just putting really fine
dissolving stitches into the skin now
okay and then we're all done you've done
brilliant thank you
in the space of just one shift
Catherine's eyelid has been repaired and
she's totally cancer free
thank you so much not a problem but when
that settles down that's going to be
hard to spot yeah okay 10 years younger
yeah I've got to wipe off all that
cleaning solution that we painted on you
all right otherwise you look truly
orange
proper Geordie tan
surgery in this area offers an
incredibly good cure rate something
close to about 98 to 99 which is
amazingly important when you consider
recurrent basal cell carcinomas in the
corner of the eye are devastating
cup of tea ever
nearly nearly
finished yeah all done is it all right
it was okay yeah a bit weird but uh I
mean having your eyelid pulled around
yeah taking all the wrinkly bits and
moved them across here yeah that's a
decent bandage you've got on there yeah
I'm going to be rocking a group you
bruising a few days yeah yeah you're
just gonna go home and chill now yes we
are yeah you're driving right absolutely
okay all the best then take care see ya
bye
it's been three hours since neurosurgeon
Akbar operated on singer Susan
and now he's heading to check on her
recovery
hello hi there how you doing
I'm doing great thank you you're looking
great you look like you haven't even had
operation really
the main thing is that you can hear what
I'm saying honestly that's fantastic
and now the acid test is what's the
facial pin like do you feel like I can
feel it I mean it's all down my face and
sort of my head and back of my head but
there's a pain there that you had before
the sharp pin
we'll know as time goes on how how well
this worked yes but this is a very good
sign that we've gone in the right
direction I'll probably give you a shout
in about three months time and see how
you're going on brilliant so um
hopefully get back to your singing
thank you fantastic so it was my
pleasure it's always that's what I do it
for thanks again but honestly as soon as
I could hear I thought yeah okay see you
later okay take care thank you so much
that's great news
no not at all no just look after her
like you always do yeah no but that was
great thank you
hopefully by getting rid of that
horrible shooting pain in our face I've
given a new release of life to sing out
loud without fear or eat or go out for
dinner whenever she wants to without
having to worry about the pain coming on
whenever she choose and it's just just
to know that you've done that it makes
it it makes any hard day long day
worthwhile to be honest
oh
after surgery to repair her cleft lip
and palate Emilia has finally been
reunited with her parents
it's just nice to have her back
she means the world to us
and we just wanted to have the best in
life
she's always gorgeous she's always
beautiful
I love the fact that I meet small babies
and I operate on them and I see them
grow and I'm lucky enough now to be
towards the end of my surgical career
where I see some of those babies that
have operated on as adults and
occasionally as parents themselves
I hope that in some way they've had
better lives as a result of the things
that I've done
she's been around for
a lot of my life
and he was excellent with me
built a really good relationship with
them so
I don't think there's anyone else I
would have rather has operated on Amelia
and I'm kind of glad that he's going to
be around for a next one
it's the end of the day in the Northeast
and it's home time for many of the
hospital staff
Lewis Hamilton the Formula One car if
you have a pit crew and engineers and a
team principal everything that is at the
working at the highest level then that's
what allows you to be the best you can
be
it's like a piece of music when it works
really well the whole thing just flows
thank you very much
in the UK we are immensely blessed to
have the NHS because we all know if you
poorly it's gonna get mended okay see
you later
and there are many people in the world
that can't afford to pay for health care
we are almost unique as a country in
that
lovely staff lovely hospital but
delighted to be going home
mate come on
so nice
laughs
we've got our knitted Services here Jill
has just knitted a spoon not sure
whether she's going to actually do a
penis yet species it's a camera on a
stick it's a certainly blunt object so
if you push too hard in the wrong
direction you can rip a hole in somebody
you can see me in there hello come on
let's go and have a baby
thank you as if I'm having a baby
okay