- 6 giờ trước
Trauma Room One - Season 2 Episode 2
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10:29We are interfering with a blood vessel that goes to the back of the head.
10:32If any clots form, they can go into the basilar artery and cause problems.
10:36So I just have to be very careful and hope I don't cause any problems.
10:41Can you follow me up, please?
10:45Exactly the same as my angiogram.
10:48The difference is I've changed to a larger sheath in the groin.
10:51So I can take this larger guide catheter.
10:54I can then take thinner wires and tubes up past the aneurysm and into the aneurysm.
10:59And then seal it off with platinum coils.
11:03Yeah, that's good.
11:04And then can I have a road map there, please?
11:11OK, let's see what we're dealing with.
11:15It's a risky procedure, but it could save Rachel's life.
11:18As the radiology team fight to save Rachel, another patient is undergoing urgent surgery.
11:3642-year-old Michael has a rare condition blocking an opening deep in his brain, causing a dangerous build-up of fluid.
11:47We're just cutting through this scalp.
11:50Consultant neurosurgeon Professor Jenkinson is being assisted by neurosurgical registrar, Mr Ahmad Ali.
11:56Well, there's his coronal suture.
12:02We're all good, man.
12:08Looks good.
12:10Radio.
12:11Ahmed is just opening the juror.
12:13That's the tough outer lining of the brain.
12:17That's perfect.
12:18OK.
12:18Yeah.
12:19And then under this layer, we'll see the surface of the right frontal lobe, the right side of the brain.
12:28We're just making an opening so that we can get this long sheath through the brain tissue and into the fluid calvitis.
12:37This allows us to do it with image guidance, so sat-nav for the brain.
12:45Right, entry.
12:46Absolutely bang on.
12:48That's perfect.
12:50So in the bottom right image there, we can see the two circles lining up, and you want to keep them on target.
12:57This is where my misspent youth comes in handy, having played too many video games, first-person shoot-em-ups.
13:03So you've got to get those two circles lined up, and that means you're bang on target with your trajectory,
13:09so that you can get the camera into the fluid cavities first time and without damaging the rest of the brain.
13:16Can we have the top lights off, then, please?
13:23Wow, look at that!
13:25So on the left, where there's that big hole, that should be a fully formed membrane.
13:30And what Michael's got here is that that wall has been thinned down and weakened, and there's holes in it.
13:38That's amazing!
13:40Not for Michael, but you can see here the consequences of viral meningitis,
13:46which is an infection and an inflammation in the brain tissue, and you get scar tissue formed.
13:54In 15 years as a consultant, 10 years in training, I've not seen anything like this before.
14:027 a.m. in Liverpool.
14:16The staff at the Walton Centre are already hard at work.
14:21And today is a day that could change 36-year-old Scott's life forever.
14:26Father of three, Scott, was working out at his local gym when he felt a pain in his back.
14:35His GP sent him for an MRI scan.
14:38The results were devastating.
14:40I have a tumour that's grown on the inside of my spinal cord and is pushing on the nerves.
14:51I'm numb from the waist down and I have issues walking because I can't keep my balance or the strength in my legs.
14:57It's not there, basically.
14:58You take for granted certain things, like just walking.
15:04And I was active with my kids, taking them to their rugby training.
15:08I can't even do that because I can't drive a car.
15:13What I'm hoping for is basically the pain to stop and some sort of basically just get back to normal life.
15:23Wife Sophie is hoping for the same thing.
15:25I'm really nervous, trying to keep it all together.
15:31But I think today is a little bit of closure, maybe.
15:37Just to improve his quality of life, have his independence back, it would mean the world.
15:43Just to get back to some normality.
15:47Consultant neurosurgeon Mr Suresh Chandra Sekharan is preparing for surgery.
15:52He's a gentleman who's 36 years old, who presents with gradual decline of his mobility.
15:58He's had a scan which revealed a thoracic tumour.
16:04To get to this tumour, we need to first localise the level, which is a T5, T6.
16:09We will open it up and then take the tumour out.
16:12It is a big, serious operation.
16:16The thoracic cord is unforgiving.
16:18Any manipulation of the thoracic cord could lead to paralysis.
16:23He can be paralysed from his waist below completely.
16:26It's a challenge.
16:31No two tumours are alike.
16:34Each one is different.
16:36It's a different route to get to the same thing.
16:39So the scenario changes.
16:40It's like driving different routes each time you go home.
16:46Starting.
16:46Mr Chandra Sekharan is going to perform a laminoplasty.
16:55The consultant will remove a section of bone that covers the dura, which protects the spinal cord.
17:02Once they open the dura, they can access and remove the tumour.
17:07When the tumour is removed, if the bone is intact, they will screw it back into place.
17:12I chose to do a laminoplasty because this gentleman is quite young.
17:19And there are possibilities that if you take the bone off, they can always develop instability
17:24and they can develop kyphosis later on in life.
17:29So restoring the normal anatomy would be the best in a younger patient.
17:33This is not going deep enough.
17:36It's always a challenge operating on thoracic tumours because there's always a risk of paralysis.
17:42But you've got all the precautions needed and we'll take all the necessary care and get the surgery done.
17:58One in 15,000 people suffer a ruptured brain aneurysm in England each year.
18:04Of those who survive, about 66% have some permanent disability.
18:15Consultant radiologist Dr Babatola...
18:18My catheter first, please.
18:19..is carrying out an aneurysm coiling on 58-year-old Rachel.
18:24There's a few torturous loops I've got to go around,
18:27and then I'll be inside the aneurysm, and then we start coiling.
18:31Thank you.
18:33The issue is here.
18:36We think that's where she's bled from, so as long as I don't poke that, we should be OK.
18:42So onwards and upwards.
18:51OK.
18:52Spin.
18:52That projection doesn't allow me to get past the aneurysm.
19:03So I'm just going to park this one here.
19:07After one or two attempts, I thought, this is too risky.
19:10I'm going to end up going straight through the blood vessel with one of my wires.
19:14And that's exactly what happened to me.
19:16I ended up poking it.
19:17Thankfully, it didn't bleed, but I gave up trying to get past it almost immediately once it happened
19:21and just filled the aneurysm in the vessel from that point on.
19:26Could we have 5,000 units of heparin, please?
19:30So I've got both microcatheters into the aneurysm.
19:34So now I'm going to deploy my first coil.
19:40Push, please.
19:41All right, we are in.
19:50So can I have a 3x6 hydrophil as well?
19:53And then we'll go with some smaller hydrosofts and hopefully finish this off.
20:01I'm blocking off the whole aneurysm and the blood vessel with it,
20:04because that's the only option for this one.
20:07Because can you see this black line here?
20:09That's blood coming in from the other vertebral artery.
20:11So if we block this, that will still supply everything.
20:16If she only had this artery and not the other one,
20:18then this would not be a viable tactic for her.
20:20But just as plan B seems to be on track.
20:30This isn't working.
20:32Coils stretched.
20:33I don't want to rupture this dissecting aneurysm,
20:36so I'll choose a soft catheter,
20:37but then I have to get something a bit firmer.
20:40I have an echelon 45 degree instead of that.
20:43This is too soft.
20:44In order to be able to push these coils in and actually seal off the blood vessel,
20:49by which time I was far enough away from the rupture point
20:51that it wasn't going to be an issue.
20:53So now, I just want to figure out how I get this back in.
20:59This all takes time.
21:01A luxury Rachel doesn't have.
21:03Consultant neuroradiologist Dr. Babatola
21:25is performing a life-saving coiling procedure on 58-year-old Rachel.
21:30She was rushed to the hospital with a life-threatening bleed on the brain.
21:36I need to fill this, like, aneurysm sac
21:39and then come slightly into the vessel.
21:42The problem is always, when do you stop?
21:46That bit's still filling.
21:48Nearly blocked off this bleeding point.
21:50That's the main priority.
21:52So though it looks pretty dense when you look at it like that,
21:54there are gaps in between.
21:56So I need to block off the vessel.
22:00So now, you've done the risky bit.
22:07I'm going to stop there.
22:09Can I have a roadmap there, please?
22:11All I need is good enough to stop her from having a second bleed.
22:14Trying to get a perfect result can often land you in trouble.
22:18Perfection is the enemy of good.
22:19Yep.
22:26It's worked.
22:29So, if we look at the previous run that I did,
22:33so you can see how the blood was coming up
22:34and then going through.
22:37So now,
22:39you see how this bit's not even filling.
22:41and that's it.
22:45All finished.
22:49So, successful.
22:51We've managed to block off the bleeding points.
22:54It is filling a little bit from the back end,
22:56but it's not reaching the actual aneurysm itself.
22:58So that should be okay.
23:00It was just difficult to get the coils into the right place.
23:08But we've managed to achieve what we set out to do,
23:11which is block off the artery and the aneurysm.
23:13So we need to keep an eye on her for the next two weeks.
23:18So everyone's different.
23:19Some patients recover fully.
23:21Other people, you know,
23:22not back to work but living their lives.
23:24But some people,
23:25even though we've done all this,
23:27still don't survive because of other complications.
23:29So we'll see which one she is.
23:38The spinal service at the Walton Centre
23:40is one of the busiest in the country.
23:43And in theatre three,
23:4536-year-old Scott
23:46is undergoing major surgery
23:48to remove a tumour from his spinal cord.
23:52Ready for the microscope?
23:55Ready.
23:57This is T5 and T6 lamina.
23:59So you're going to take these two off
24:01and then you'll get the dura underneath.
24:04Can I have an up cut, please?
24:06One millimetre?
24:07They're working millimetres
24:09from critical structures in the spine.
24:13So that's the midline.
24:16So we're going to drill two trenches
24:18and see if you can take the bone in total.
24:20And under the bone is the dura.
24:22And that's where the tumour lies.
24:25Drilling near the spinal cord,
24:26you've got to be very careful
24:27and very meticulous
24:28because even the slightest inattention
24:30can cause the drill to go into this cord
24:33and cause permanent damage to the spinal cord.
24:35There's also the blood supply of the cord
24:38called the artery of Adamkiewicz,
24:40which, if damaged,
24:42can cause a thoracic cord stroke.
24:45And that can lead to debilitating injuries
24:49like paralysis.
24:51Up cut, please.
24:52Two millimetre.
24:54Of course, we take all precautions
24:55not to do that
24:56and avoid as much as we can
24:57any sort of unnecessary damage.
25:01Just trying to take the bone out
25:02to get to the dura.
25:04Lexectomy, please.
25:06I'm planning to do a laminoplasty
25:08for this gentleman,
25:09which is laminectomy
25:10is removing the bone completely
25:12versus laminoplasty
25:14where we put the bone back in.
25:15Putting the bone back in
25:18retains a normal anatomy
25:19for the patient
25:20and it also prevents
25:21the chances of instability.
25:26But you've got bone there.
25:27You've got bone there, bone there.
25:36It's moving.
25:45We've got the bone out.
25:51So we've taken the bone out now.
25:59Ooh.
26:02So let's stop this bleeding.
26:05Bipolar down to 10, please.
26:08Removing the bone
26:08has revealed an extra complication.
26:11We can see a large blood vessel
26:13on top of the dura.
26:13A vein on the dura.
26:17And our tumour
26:18is underneath this bit here.
26:19But we've got to
26:20sort this vessel out
26:21before we do anything.
26:22An already complex operation
26:24just got even harder.
26:26One of the rarest cases
26:39Professor Jenkinson
26:40has ever seen.
26:4242-year-old Michael
26:43is undergoing complex
26:45elective brain surgery.
26:49This is amazing.
26:51I've not seen anything
26:52like this before.
26:53Assisted by Mr Ali,
26:56Professor Jenkinson
26:57is performing
26:58an endoscopic procedure
26:59to open up
27:00a blocked fluid pathway.
27:02You can see here
27:04that little hole
27:05right in the middle
27:06of the screen.
27:07And that is
27:08absolutely tiny.
27:11So normally,
27:12fluid from this cavity here,
27:14that should flow
27:15through that hole
27:16into another cavity.
27:17and that's why
27:19I think it's causing
27:19the issues.
27:22We've got a monopolar.
27:24If we make this
27:24in the septum bigger,
27:25we can just have
27:26a quick peek
27:27over the other side.
27:30Okay, that's
27:31off the septum.
27:35We're making a bigger hole
27:37in this bit of tissue.
27:39This is called
27:39the septum pellucidum.
27:40It's the normal membrane
27:43that divides
27:44the two cavities.
27:47When we do
27:48this operation,
27:50this is what
27:51you could describe
27:52as advanced plumbing.
27:54Reestablishing
27:55fluid pathways,
27:56diverting fluid.
28:00Let's give you that back.
28:02Oh, and actually,
28:03look at that.
28:03That hole seems
28:04to be getting bigger.
28:05I mean, we're not
28:06doing anything yet,
28:07but it seems
28:07to be a bit bigger.
28:09Right, you've got
28:10that balloon, then.
28:11I think this might work,
28:12you know.
28:12I'm quietly optimistic.
28:15The balloon is there
28:16to slowly and gently
28:18inflate the fluid pathway.
28:20We can do that
28:21in quite a controlled way,
28:23and it prevents us
28:24from damaging
28:24the surrounding structures
28:26too much.
28:29Right, we're not
28:29going to inflate.
28:31I'm just going to see
28:32if this balloon
28:33will bit and pass through.
28:37Look at the size of that.
28:38I mean, that's ridiculous,
28:39right?
28:39This is a two-millimeter
28:40balloon.
28:43The opening,
28:44called the foramen
28:44of Monroe,
28:45should be five millimeters
28:47in a healthy adult.
28:50Can I have the EM
28:51stilette instead?
28:52Let's try that,
28:53which is a bit more rigid.
28:56The stilette
28:57makes it easier
28:57to maneuver
28:58through the delicate
28:59brain tissue.
29:00I mean, I feel like
29:01you've widened it now.
29:02The balloon could fit now,
29:03right?
29:03I think the balloon
29:04will fit.
29:04Just gently inflate there.
29:14Perfect.
29:15Just hold it there.
29:18During the operation,
29:19I had to decide
29:20how wide we had
29:22to make the opening
29:23to be wide enough
29:24that it allowed
29:25good flow of fluid,
29:26but not so wide
29:27that we risk damaging
29:29his memory circuits.
29:30What I can't tell
29:31is whether there's
29:32any membrane underneath.
29:37And there's no real way
29:39of telling that
29:40during the operation.
29:41It's just a sort of
29:42sixth sense,
29:43a judgment
29:44that you have to make
29:45at the time
29:46and think,
29:47hmm, that looks
29:47about right.
29:48Michael's future
29:51is depending on it.
30:02Over 50,000 spinal surgeries
30:05are performed
30:05in the UK every year.
30:08And earlier today,
30:09dad of three, Scott,
30:10was admitted to the hospital
30:12for an emergency surgery
30:13to remove a tumour
30:14from his spinal cord.
30:18But consultant neurosurgeon
30:26Mr. Chandrasekharan
30:27and his team
30:28have hit a problem.
30:30There's an enlarged vein
30:32just where the tumour lies.
30:35There's always a risk
30:36of bleeding,
30:36so we have to either
30:37see if you can preserve it
30:38or sacrifice that blood vessel.
30:41It's a setback
30:42they don't need.
30:44It's called
30:45an epidural vein.
30:47It was restricting
30:47the access into the tumour
30:49where we have to open
30:50the dura up.
30:51It was coming in the way
30:52of the operative site.
30:54It was just mainly
30:55on top of the dura.
30:56So we decided
30:57to sacrifice it
30:58to enable better access.
31:00We have to sacrifice
31:01a whistle.
31:02With all obstructions
31:16out of the way,
31:17Mr. Chandrasekharan
31:18can now open up
31:19the dura
31:20to access the tumour.
31:23Inside knife, please.
31:24Spinal fluid coming out.
31:36Can we have some
31:37hit stitches, please?
31:41That's the tumour there
31:43that you see
31:43the white thing there.
31:48Flip and cut, please.
31:49If you look there,
32:10what you've got
32:10is a tumour
32:11that is
32:12a pearly white substance.
32:15Some more tumour.
32:16But removing the tumour
32:32is just the start
32:34of Scott's treatment.
32:34Wash, please.
32:37Once it's excised,
32:38we send it
32:39for histology
32:40where the neuropathologist
32:41will have a look at it
32:42under the microscope
32:43and give us a diagnosis
32:45and it helps us
32:45with further treatment.
32:49We have taken
32:50all the tumour out.
32:52We're just closing
32:53the dura up
32:54and then we'll put
32:55the bone back
32:55and then close up.
32:56Hopefully, he should be
33:03as he was preoperatively.
33:05And as time goes by,
33:06he will improve
33:07because we have taken
33:07the whole compression off.
33:10We're going to close up now.
33:11So we'll see what he does
33:13when he wakes up.
33:15Thank you.
33:18It went fine.
33:19We've taken all
33:20of the tumour out.
33:21We need to wait
33:21for a formal result.
33:23If it is what I think
33:24it is, an epidermoid,
33:25then he would not need
33:26any further treatment,
33:26which is good.
33:29And it's essentially
33:30rehab for him
33:31from now on
33:32to see how much
33:32of improvement he will have.
33:35Any thoracic tumours
33:36usually take some time
33:38to improve postoperatively.
33:39He was weak
33:40on his left leg
33:41to start with
33:42and the right hips as well.
33:43So I'm hoping
33:44it will be gradual improvement
33:45in weeks to come.
33:5612 days ago,
34:0258-year-old Rachel
34:03was rushed to the hospital
34:04after collapsing
34:05with a life-threatening bleed
34:06on the brain.
34:09OK, two minutes of noise
34:10for the scan now.
34:12An aneurysm coiling
34:14saved her life.
34:15And today,
34:16she's having an MRI scan
34:18to check on her progress.
34:19The results were positive
34:26and four days on,
34:28she's going home.
34:30It's all happened
34:31like a complete whirlwind.
34:34It doesn't feel like 16 days.
34:36It's like a big blur
34:37of headache
34:38and pain relief.
34:40Originally,
34:44they said
34:45I might go home
34:45next week.
34:47Then somebody said,
34:49pack your bags,
34:49you're going.
34:51Hell,
34:52I'm trying not
34:52to burst into tears.
34:54I was so happy.
34:55A woman over the way
34:56from me said
34:57she saw my face going
34:59and she burst
34:59into tears for me.
35:05Very lucky.
35:07Originally,
35:07I was very blasé
35:09to that thought.
35:11But as I recovered
35:12more and more,
35:13I can't believe
35:14that I drove
35:15to the hospital
35:16and probably
35:18within 10 minutes
35:19I'd flatlined
35:20on the floor.
35:22I'm so relieved
35:24that it all went
35:26in the right order
35:28at the right time.
35:29Very lucky.
35:30Very lucky.
35:39The Walton Centre,
35:47Liverpool.
35:50Where yesterday,
35:5136-year-old Scott
35:52had complex spinal surgery
35:54to remove a tumour
35:56that was having
35:56a severe impact
35:57on his mobility.
36:02Consultant neurosurgeon
36:03Mr Chandra Sekharan
36:04is doing his morning rounds.
36:06I'm going to see Scott
36:08now, post-operatively,
36:09see how he's doing
36:10assess his lower limb power.
36:13I'm hoping he'll be
36:14much better
36:14than what he was yesterday.
36:17How are you doing?
36:18I'm okay.
36:19In pain?
36:20Yeah, it's expected.
36:21Pain usually gets worse
36:22before it gets better.
36:24Okay, let's see
36:25what you can do
36:25with your legs.
36:27Okay, bend your knees up.
36:28Straighten them out.
36:29Good.
36:30And this one?
36:31Straight, straight,
36:32straighten them out.
36:33Great, okay.
36:35Pull your feet up
36:36towards you.
36:38Okay, big toe up.
36:40Great.
36:40How's the sensation?
36:42Feel better.
36:42Better?
36:44Any questions?
36:45No.
36:45No?
36:46Good.
36:46Thank you.
36:48Very, very pleased
36:49with how it's come up.
36:50He was really weak
36:51on the left leg
36:52before we started
36:52and now he's got
36:54full power.
36:55So I'm really pleased.
36:56Much better than
36:56what I expected.
36:57I'm really happy.
36:58Four days later
37:01and Scott is having
37:02physio to get him
37:03moving again.
37:05Or I lead him
37:06at the right?
37:07Mm-hmm.
37:08Just like,
37:09see, do you know?
37:10So again,
37:10just step together.
37:13Nice and slow.
37:17Good.
37:19He's done really well.
37:21It's really nice to see.
37:22And before his operation
37:23he had quite a lot
37:24of weakness in his leg.
37:25Are you feeling okay?
37:26But he's had a lot
37:27of improvement in it.
37:29That's it.
37:30So we'll be sending him
37:30home with the crutches
37:31and then we'll put in
37:33community therapy.
37:34He'll hopefully
37:34progress off them.
37:36And we've practised
37:36the stairs and we know
37:37he's going to manage
37:38them when he goes home.
37:39Yeah, I think it would
37:40just take me time.
37:41Yeah, you're safe
37:42and you're steady.
37:44It was good to walk
37:45like that.
37:45To have a little bit
37:46of freedom.
37:47Being stuck next to the bed
37:48and asking for help
37:49it's not a nice thing
37:50to go through.
37:53And I didn't think
37:54I'd be in this position
37:55where he am now
37:56from when I first came in.
37:58I honestly believed
37:58I was going to be
37:59still in bed
38:00and not at this stage
38:02where he am now.
38:15The Walton Centre
38:16perform almost
38:174,000 elective
38:19surgical cases a year.
38:20In theatre, Professor
38:25Jenkinson is using
38:26a balloon catheter
38:27Just gently inflate there.
38:30To open up a blocked
38:31fluid pathway in 42-year-old
38:33Michael's brain.
38:35And deflate.
38:36There's fluid now.
38:39You see this flow?
38:39Yeah, yeah, yeah.
38:40There is.
38:41Definitely more.
38:41I mean, if the scar
38:42process has burnt out
38:45there's not going to be
38:46an active scarring
38:47inflammatory process
38:48so he may not need
38:50a huge amount
38:51of help here.
38:53Inflate.
38:56It's perfect.
38:57This is like an
39:01isometric contraction.
39:03We're doing horse
39:03stumps.
39:05Let me just have
39:05a wash again.
39:11I mean, that definitely
39:12looks bigger.
39:12It's definitely bigger.
39:14I mean, it's a lot
39:15bigger than it was.
39:17I guess the question
39:17is how much you push it.
39:19If we keep inflating
39:21this balloon over
39:22and over again
39:22that's putting more
39:23pressure on the brain
39:24more pressure on
39:25those memory circuits
39:26and the more you do it
39:27the more you increase
39:28the risk for Michael
39:29that his memory is worse
39:30and that's why
39:31you have to stop.
39:32When you wake up
39:33from brain surgery
39:34you're not going to be
39:34the same as before
39:36you went to sleep
39:36because we've been
39:37in your head.
39:38So I'd expect that
39:39his memory might feel
39:40temporarily worse
39:41but it's the long term
39:43that you want to
39:44minimise harm to.
39:47I think we should
39:48call that a day.
39:50I agree.
39:50We can give him a chance
39:52to see how that works.
39:53We can review him back
39:53in the clinic
39:54and see how he goes.
39:56Lights back on please.
39:59That's pretty good.
40:00Woohoo!
40:01That went way better
40:02than I thought
40:03it was going to go.
40:05I'm going to de-scrub.
40:06One, two, three, four, five,
40:0815.
40:09Michael's operation
40:09has gone really well.
40:10I'm really pleased
40:11with how that went.
40:13I was a bit worried
40:15before the operation.
40:16I didn't know
40:16what we were going
40:17to find in there.
40:18Every surgeon wants
40:20the operation
40:20to go well
40:21for their patient
40:22with no major bleeding,
40:24no major complications
40:25or issues.
40:27That's what surgeons like.
40:29Routine and straightforward
40:30and goes to plan.
40:33Michael will go round
40:34to recovery.
40:35He'll go up to the ward
40:37later on today.
40:39He may notice
40:40a temporary worsening
40:41in his memory
40:42but I'm hopeful
40:44that that will not be
40:45a long-term issue
40:46for him.
40:47Professor Jenkinson
40:49will find out soon
40:50when he does
40:51his afternoon ward rounds.
41:01Five days ago,
41:02father of three,
41:03Scott,
41:04had major surgery
41:05to remove a tumour
41:06from his spine.
41:07OK.
41:08He's very good.
41:10That's tumour.
41:12Today,
41:13he's preparing
41:14to go home.
41:15Are you excited
41:15to come home?
41:16Yeah.
41:17Wife Sophie
41:18and son Kai
41:19are by his bedside.
41:21Yeah.
41:22You're loving
41:22being in hospital.
41:24Three meals a day,
41:25waking on hand and foot.
41:30She had relief
41:31the day he came
41:32out of surgery.
41:33It wasn't great
41:34but since then
41:36he looks absolutely amazing.
41:37He's shocked me
41:38a little bit
41:38how quick
41:39the recovery has been.
41:40so I am
41:42really relieved,
41:43happy.
41:45I am looking forward
41:46to getting home,
41:47home comfort,
41:49trying to get back
41:50into some normality
41:51as well.
41:53We'll wait on him
41:54hand and foot
41:54for so long
41:55and then
41:55you've got to promote
41:57some independence
41:58back, haven't you?
41:59just four and a half
42:12hours ago
42:12Michael had
42:13major brain surgery.
42:19Wife Sam
42:20is by his bedside.
42:21I can't quite
42:23comprehend
42:24what's happened
42:24this morning.
42:25It doesn't feel
42:25like I've been
42:26through surgery
42:28at all,
42:28never mind
42:28severe surgery.
42:30I really feel
42:31really well,
42:31really good.
42:33Balance is great.
42:34I can get up
42:35and move about.
42:36I'm genuinely
42:37quite shocked
42:37by that, yeah.
42:40Professor Jenkinson
42:41and Mr Ali
42:42check in on him.
42:44Hi.
42:45Here he is,
42:46the Lionel Messi
42:47of Neuro Surgery
42:48and Science.
42:48Yeah, how are you?
42:50Yeah, sure.
42:51All right.
42:54Good.
42:56How are you feeling?
42:57Absolutely spot on.
42:59Any headaches?
43:00Tiny bit of discomfort
43:01when I first came on
43:02from the general
43:02but other than that
43:03it's been...
43:04Been all right?
43:04Yeah.
43:05Good.
43:06So the operation
43:06went well.
43:07We got in there.
43:08We could tell
43:09there'd been something
43:10going on there
43:1020 years ago.
43:12Yeah.
43:12And there was
43:13a tiny little hole
43:14where all your fluid
43:15is draining down.
43:16It was probably blocked
43:16and we've
43:17nicely opened that up
43:18and we saw
43:19some good flow
43:20so all being well
43:21we can get you home.
43:22You know,
43:23you'll be able to judge
43:23how your brain feels
43:25and how your memory feels.
43:27Impressed and astounded
43:28how just simply
43:29walking from the bed
43:30to the toilet
43:31in terms of balance
43:32and everything
43:32it's like nothing's happened.
43:34Right.
43:35It's always nice
43:36when you come across
43:37a condition
43:38where you can do
43:39an operation
43:40and actually change
43:41someone's quality of life.
43:43Good.
43:43Thank you so much.
43:44Okay?
43:45Thanks Michael.
43:46No problem at all.
43:47No problem
43:47and actually give them
43:48a good long-term prognosis
43:50and future life.
43:52It's a really nice feeling.
43:53Thank you.
43:53Take care.
43:54Thanks.
43:54Bye-bye.
43:55See you.
43:55Bye-bye.
43:55Bye-bye.
43:58Bye-bye.
44:01Hãy đăng ký kênh để ủng hộ kênh mình nhé.
44:31Hãy đăng ký kênh để ủng hộ kênh mình nhé.
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