- 4 hours ago
Category
📺
TVTranscript
00:02Surgeons they can change your life forever as they tread the line between life and death we got a bed
00:11What's it really like to hold someone's life in your hands it's miracles and disasters nothing
00:17in between let's get this bugger out and how do you balance the needs of others with the needs
00:23of your family home sweet home you take care and have a good sleep all right i will do love
00:30you mom bye now we go behind the mask to find out just what it takes feel like you've been
00:37hit by a bus to live life as a surgeon a bit of a roller coaster i look right yeah
00:44it all went really well professor all my race number one
01:03the idea that somebody is going to operate on your brain is a huge thing you know it's it's who
01:08you are it's
01:08where you carry your memories it's where you form your new memories it's your personality it's who we are it's
01:13our consciousness 45 year old omar patmonarvan is a consultant neurosurgeon at salford royal hospital
01:22in greater manchester he's been operating on people's brains for the last 20 years
01:34as clinical director omar and a team of leading surgeons are responsible for over 3500 brain surgeries
01:42every year
01:43every year
01:44good morning
01:46good morning
02:14hi hello nice 45 year old a ditcher recently found out he has a rare brain
02:21tumor that has been growing since he was born all right thank you now the tumor
02:27needs to be removed if it isn't it will continue to grow and eventually kill him
02:32all right how have you been it's sometimes like a little bit dizziness and everything but
02:40overall is okay yeah okay good the couple live in manchester with their three daughters
02:51she's told me we are going to refer you to neurosurgeon and i was saying why and they
02:57say it's like brain tumor and i said oh my goodness that's a big word tumor yeah it was
03:05it was scary yeah it was so this is your brain stem you can see that there's a difference
03:11between the two sides can't you already at this point and that's because we're seeing
03:16this epidermoid cyst and that's why you've been getting the balance problems the dizziness
03:21you've gone deaf in that ear yeah that's why because of the effect of this epidermoid cyst
03:27okay um in terms of risks from the surgery so bleeding okay stroke yeah okay how is happening
03:40what's going to happen this tumor is going to kill me what they are going to do she is in
03:48a primary school so anything happen and i'm die who's going to look after my family very tough
03:57we're going to take good care of you and you know my anticipation is that that you know you're going
04:02to be good the ditcher hopes he'll get the hearing back in his right ear so it's going to recover
04:08or not
04:09like can i hear 100 it's a good it's a good question and it's not something i want to promise
04:14to you but it's possible there could be some recovery but i think you should consider it a
04:19bonus if you get some recovery because it's been quite a long time that that's been gone now
04:23okay okay yep no i'm very positive about the surgery it should be give me good longer life
04:34i think so better life hopefully hopefully improve the quality long term yeah yeah you never want
04:42to take away somebody's hope i mean hope is is a basic fundamental requirement for people
04:49sometimes if you don't get that balance in the conversation quite right or even if
04:54the patient is not quite in the right place yet all right thank you thank you those are
05:00the most challenging of discussions
05:19a ditcher and his family have arrived at hospital for his surgery
05:25across the uk over a hundred thousand people are living with brain tumors
05:30so addy's tumor is about the size of a tangerine and it sits in a space that would normally only
05:37be
05:37a few millimeters wide and it's insinuated itself in between all the nerves and the blood vessels that
05:44sit in that area normally and it has compressed his brain stem and it's compressed his cerebellum
05:50and that's what's caused him to lose his hearing his balance and to develop facial pain
05:55so over the last 45 46 years this has been slowly accumulating over time until it's got to the point
06:04where his functions have started to decompensate because they can't cope anymore with the level of
06:09pressure and uh tension that they're being put under by this cyst
06:14any issues with your hearing yeah i can't hear i think sometimes it is hard for patients to
06:23get their head around the fact potentially after surgery they can feel worse than they do now before
06:29they get better so for addy for instance he lost his hearing some time ago as part of this process
06:35and we certainly can't guarantee to him that we'll be getting any hearing back for him
06:42hello hello hi hi hello hello i'm going to get you coffee a dish okay
06:50okay okay yeah can i hold her yes of course yeah of course no
07:01so i think patients want us to be superheroes particularly when they're facing the most
07:23serious consequences and the most serious diseases that could change their life forever but sometimes
07:31the decisions we make the advice that we give can make you a villain in the same breath that you
07:36can
07:37be a hero i hope the next like 10 hours also go like super quick it's a big surgery we
07:47know but
07:48yeah he'll be fine he will bring him back the ditcher's life is now in surgeon omar's hands
08:13this morning neurosurgeon omar patmanabhan is about to begin life-changing brain surgery on dad of three
08:26a ditcher the ditches tumor is between the brain stem and the cerebellum which helps coordinate
08:31movement and balance omar will cut through the skin and nearby muscle and then the bony section of the
08:38skull behind a ditches right here once he's reached it he will cut away the tumor to release pressure
08:46on the cranial nerves which control hearing balance and facial functions operating in this area of the
08:55brain is high risk one wrong move could lead to irreversible damage causing a stroke or paralysis
09:03it could even be fatal good okay pins going in
09:09the tumor is causing a ditcher pain dizziness imbalance and loss of hearing
09:18starting
09:24i would just go straight down to bone here now first of all a ditches skull needs to be opened
09:32then muscle must be cut to get to the brain tumor so we're doing the initial exposure down onto
09:40the bone just behind the mastoid which is the bony prominence just behind
09:47adi's ear so to do that we have to get through some really big tough muscles
09:54and soft tissue to get down to this bit because we've got lots of attachments of muscles
09:59onto the skull at this point
10:06something that's always struck me is the uh the sharp contrast between the sort of brutality of using
10:13powered instrument drills and steel to get through this bone and then the delicacy and serenity of the
10:24brain that's underneath it
10:37scissors please you can start to see some pearly pellets we call them pearly tumors because it looks
10:46like mother of pearl and we're starting to see a piece of mother of pearl appearing there
10:51after nearly an hour and a half of drilling omar can see the tumor which is buried deep inside a
10:58ditcher's brain you can see why he's gone deaf can't you yep yep
11:08as omar begins cutting out the tumor he has to be extremely careful
11:13it's crucial he avoids harming any of the nerves any damage could cause life-changing complications
11:21so we're we're in the space that sits between
11:25the cerebellum a bit of brain that controls movement coordination and the brain stem which is a
11:32obviously a critical structure the stalk which connects the brain to
11:37the spinal cord and the rest of the body so we're looking currently at the lower cranial nerve so
11:45these nerves control your voice you're swallowing prior to coming down here we've just found the seventh
11:52and eighth cranial nerves and those are responsible for facial expression the seventh nerve facial nerve
11:59and then we've found the eighth nerve which supplies hearing and balance and they were really really
12:06very compressed by this lesion which explains why he's had such difficulties with balance and why he's gone
12:14deaf in that ear even if omar manages to remove the tumor there is no guarantee that a ditcher's hearing
12:22will return he's been deaf because of this for a number of years so it's probably quite unlikely but
12:29i have i have had cases where hearing has been restored or improved at least it would be a big
12:36bonus if if you got a hit any hearing back because it's wrapped up in that capsule stuck down the
12:44faucet the fine tube faucet i'll do the blockage yeah so this is a two-man job as we start
12:50to
12:50remove that bit of tumor okay a bit of suction on that piece now watch this step watch this side
12:57of
12:57the suction on the nerves okay good and we need to be careful about how we remove the tumor because
13:04this particular type of epidermoid cyst wraps itself and insinuates around these nerves so you can find
13:11the nerves and the vessels within this the structures that you're removing that the uh the lesion you're
13:16moving gradually parts of the tumor begin to be released that's around it's welded as you'd expect after
13:28over four decades getting on for five decades of being slowly uh insinuated into this space but
13:36it's coming bit by bit
13:41it's stuck to the veins here i think yep i'm just going to debulk it initially
13:48some of the pressure off that nerve forceps please thank you so we're getting a view of some of that
13:55more
13:56classically pearly pearlescent material there that we see which is quite quite beautiful actually
14:06so this is the part of the tumor that's been causing adi's facial pain
14:13this is trigeminal nerve which is the nerve supplying sensation to the face
14:21sarah just working around the trigeminal nerve
14:25on occasions we can cause the heart to stop by manipulating the nerve scissors please
14:34we have to be careful that we're not damaging the facial nerve that would paralyze his face
14:54so we've been able to uh give him an excellent clearance and hopefully
15:00very little chance that he's going to ever need another operation for this in his lifetime hopefully
15:16we're going back into the cerebellum the um peduncle there and the loose bits floating but nothing
15:24solid is it okay that's great thank you yeah right let's wash it out with two liters of warm wash
15:33so we've removed the the epidermoid cyst and then we'll be making sure there's no bleeding
15:41and then closing up three hours in and oma has removed all of the tumor
15:49another boring day at the office is all we want
15:59there we go not much more than a haircut sorted
16:04all right so this is the worst bit of time for me now waiting to see how he does um
16:12not very optimistic
16:14he's going to get any hearing back we have to wait now to see that he wakes up well
16:20hi adi everything went really well all went exactly as we wanted it to
16:27okay you're just coming around now so i'll talk to you again in a bit but it all went really
16:32well
16:40now
16:41now only time will tell if any of a ditches hearing will return
16:48um
17:01neurosurgeon omar lives in cheshire with his wife annabelle who is also a surgeon and their three
17:06children all under 16. i think that we're constantly juggling so many balls and dropping
17:18various ones i think i think we're just putting one foot in front of the other one like everybody else
17:26we were in the same halls in the first year of university so we met then but we didn't really
17:31know each other knew each other just sort of in passing he's noticeable on the dance floor
17:37he really clears himself for space
17:41i got that he's shaking that ass award didn't i when we left medical school
17:48computer are you ready for you we've got two minutes yeah yeah we're coming okay cool computer
17:55off we think that we know a lot about each other's specialties you in particular you think you could
18:00do my job i think yeah i think i think i think i've got a damn pat now how are
18:06we doing for you
18:10good day love you sorry dipped my hair in your bottle
18:15yeah it's a pretty even split i think i'd like to think
18:21he constantly tells me i have no idea how much he does
18:25yeah you're right
18:30have a good day everybody see you later all right i think it's it's still the case that you take
18:38you take more of the burden here what we coat on where's my bed it's stuck behind you
19:02good morning everyone how are you okay good morning mate fabulous yeah all right brilliant
19:09thanks very much cheers thank you bye bye
19:11i will excellent
19:18we got a bed we got a bed do you want to just let um dr sebastian
19:24know yeah yeah exactly tell him he's got some more work to do um good
19:3245 year old service manager emmanuel has a rare type of tumor that started in his nose before
19:39spreading towards his brain he's here with his wife corcor knock knock ah good morning hello good to see
19:49you good to see you hello we haven't met nice to meet you i'm a fan of an your surgeon
19:53this is adi uh
19:54our fellow as well okay take a seat take a seat the tumor is cancerous and due to its size
20:01and position
20:02emmanuel needed over 36 rounds of chemotherapy and radiotherapy to shrink it it's now small enough for
20:09omar to safely operate on you know i said to you before that everything on the day is positive energy
20:14now we've done all the consent forms and everything else but have you got any questions about about
20:19that anything we went through i want to say thank you to you and your team oh i'm trusting you
20:26do
20:27your very best as you do always oh thank you very much we're going to take good care of you
20:32and we hope that it will improve the length of time you've got but we can't promise that okay all
20:39right
20:42okay okay all right nice to meet you and see you again soon bye yeah the reality is turning on
20:54me
20:59it's been amazing always thanking her for that that support
21:07and this actually gives the true meaning of for better for worse and she's giving meaning to that
21:14she stayed with me in my difficult and trying moments she's been there for me we can't wait to
21:21get to the end i think we are nearly there nearly there you ready let's go baby come on
21:39oh my best see you go yeah yeah yeah yeah emmanuel's surgery is a joint case with ear nose and
21:53throat
21:54specialist raj bala so between may and october so quite considerable sort of shrinkage yeah emmanuel's got
22:04a rare type of cancer that started in his nose and then grew up to involve the border between the
22:09nasal passages in the brain we are operating around all the most important sensors okay so we're
22:16operating around where you get your sense of smell we're operating around your vision we're operating
22:22around the blood supply that supplies the brain and we're operating around the base of the brain
22:28where you've got some of your most important functions with lots of potential risks from
22:33operating in that area the tumor is involving the olfactory bulbs which are the nerves which carry
22:41all of the smell from your nose into your brain and when he wakes up he will not have smell
22:47again
22:48we want to achieve a high quality of life but at the same time achieve a better duration of life
22:57for him right emmanuel you do have a brain okay right so there's a good start emmanuel is in a
23:09really
23:09good frame of mind this morning patients feeling positive and and good just before they go into surgery
23:16is is really important so everything looks perfect and what we'll do start drifting off to sleep
23:32so
23:37emmanuel's cancerous tumor will be removed in three phases known as the approach resection
23:44and finally reconstruction so that is all the preparation let's scissors and forcep the discard
23:52please ent surgeon raj will gain access to the tumor through emmanuel's nose preventing surgery through his
24:00face next omar will carry out the resection meaning he'll cut out the tumor and the olfactory bulbs
24:11causing emmanuel to lose his sense of smell finally using tissue from emmanuel's scalp
24:17omar will reconstruct the seal between his nasal cavity and the brain
24:25okay room lights down please folks reg patties with adrenaline going in
24:33one more please raj and his team begin phase one of the operation
24:40creating access to the base of emmanuel's skull through his nose okay and then we'll come up into
24:48the roof of the nose the vault of the nose and we'll make a vertical incision okay just down to
24:53there okay then we'll go back up into the roof of the nose and then do the same on the
24:59nasal septum
25:03here okay
25:03blood pressure okay you happy yeah yeah okay so i've just communicated those two flaps
25:15i'll take the suction again just the fenestrated suction if you've got it now please
25:22okay so just up into the roof of the nose now this will allow us free now okay to get
25:28to the posterior
25:29table here okay
25:33this is drilling through the base of the skull after just over two hours the base of emmanuel's skull has
25:40been successfully reached okay now i'm just starting to thin the bone to the base of the skull
25:48starting to expose bureau
25:52i'll be there just two ticks raj
25:55with a clear route to the tumor omar can now take over and start to remove it
26:01then i'll take it bipolar please got one thank you the team won't know if emmanuel has suffered
26:11any further damage until the tumor is out the undersurface of the frontal lobe is looking healthy
26:18which is good news we weren't sure if it was going to look potentially like there was invasion
26:26beautiful isn't it
26:30here we are there's the frontal lobe on the right
26:36still instinctively a little bit shocking to see the brain through the nose isn't it
26:42there we go final bit planes and there you can see this is the olfactory bulb
26:51here so this is the nerve that would be carrying all the smell from your nose and the outside world
26:57into your brain unfortunately here is as you can see running directly into all of this tumor
27:04we're going to be removing that and sadly also with it his sense of smell
27:11this is the right-sided olfactory bulb smell nerve
27:17there's always a certain amount of sadness that comes with dividing a nerve but it needs to be done
27:24in this case right olfactory bulb yep so all of the tumor you can see it's quite a challenge to
27:33fight
27:33this bulk as we're dissecting and removing the tumor but we're battling on at the moment to see if
27:38we can achieve this on block removing the tumor means emmanuel will no longer be able to smell anything
27:55there's a lot going through my mind right now i've been waiting for five hours already
28:03i hope it's over soon he's my world he's a good dad and he's my love and life partner so
28:13yeah
28:14i need him back there's there's so many things we need to do together and when we are together we
28:21are a team
28:29so your head is very nervous just hampering it progress oma has managed to loosen the tumor
28:35and can now start to bring it out through the nose
28:39free isn't that scrub the ball probe so now the challenge is going to be whether or not we can
28:45and actually remove this large piece through the nose or not.
28:57There's parts of it, part of the septal part.
29:01He's removed the first part.
29:03Now, he needs to get the rest out.
29:05Maybe, something.
29:13There we go.
29:15The tumour, tumour, yep.
29:30The next step is to start the reconstruction.
29:33So I'm going to put a ruler in now so we'll be able to see the size of the defect.
29:39With the tumour now all out,
29:40the gap that's been made between the top of Emmanuel's nose and his brain
29:44now needs to be repaired.
29:49Yeah, it looks perfect.
29:51This is a fibrin glue that we're going to use now to secure that onto the edges of the dura.
30:00To fill the gap, Omar needs to add a layer of fresh tissue with a strong blood supply from Emmanuel's
30:07scalp.
30:08A bit of local adrenaline going in?
30:15So Ali's going to make a cut down here.
30:17I'm going to assist him from this side.
30:25There we go.
30:26There we go.
30:27Good, healthy scalp.
30:29Good, healthy scalp.
30:29And the layer that we're going for is the layer that sits right on top of the skull.
30:33The pericranium we call it.
30:35And it's a lovely, robust layer of tissue with a fantastic blood supply.
30:42And it's going to give us some nice, healthy tissue to place down to repair the defect.
30:50The team must carefully remove the layer of tissue.
30:54Any damage caused to the tissue's blood supply could mean serious complications.
31:00We want to take this flap of tissue all the way down to the rim of the orbit, so just
31:04above the eyes.
31:07And what we'll do is we'll make an opening then, once we've raised this flap in the bone,
31:12just over the glabella into the frontal sinus.
31:15And that will allow us to post this tissue from his scalp into his nose to use for the reconstruction.
31:23You know, I actually look at this and see hope because I look at, although it's a huge thing to
31:30put somebody through
31:31and it seems, you know, to the outside eye, this seems somewhat grotesque to be exposing somebody's skull in this
31:39way.
31:40But this gives us the ability to do something that otherwise he would not have been able to have
31:46and he would not have had this opportunity, had a potential extended life, good quality of life, without this tissue.
31:55So I look at this and I see a fantastic piece of tissue that's going to help him survive.
32:04Next, Omar will need to attach this tissue to the gap between Emmanuel's brain and nose.
32:10This is critical in order for the operation to be a success.
32:26Neurosurgeon Omar and his team have removed a tumour from Emmanuel's brain behind his nose.
32:33Next thing, we're going to need a drill.
32:35So we've put the light source inside the nose.
32:38So this is Emmanuel's skull and then as we come back down, we're seeing the frontal sinus.
32:43And this is our window now where we're going to enter through into the nasal space to pass our flap.
32:55There we go.
33:01Raj is just putting a stitch in and we'll feed that stitch through and then he'll come into the nose
33:06and bring it down using that stitch.
33:08That'll look really good.
33:10Okay.
33:10Start pulling that in for me, Farish.
33:12Yep.
33:13Yep.
33:14Go on, pull.
33:15Yep.
33:15Keep pulling.
33:17Keep going.
33:18Keep pulling.
33:19Keep pulling.
33:20Pull, pull, pull.
33:22Yep.
33:23Okay.
33:25It's nice, isn't it?
33:26It's beautiful.
33:28You can see that lovely pink, healthy tissue with blood supply now.
33:32Really healthy.
33:34And we're using that to create a vascularized, so a piece of tissue with a blood supply to help this
33:40heal.
33:42Once we've done this, we'll put some support within the nose to help secure all of this and then we'll
33:48close the scalp.
33:50And then that's it.
34:00Yeah, you should never see the brain through the nose, should you?
34:05We're done.
34:08The most stressful part of an operation is when the operation is done and you're waiting for the patient to
34:14wake up.
34:14It might only take five, fifteen, twenty minutes.
34:18It feels like forever.
34:21Because until you see your patient wake up, even if everything's gone perfectly well in an operation, you don't know
34:27how they're going to do.
34:28You don't know for sure that they're going to wake up as you want them to wake up.
34:45Yeah?
34:46Yeah?
34:47Yeah, you're doing really well.
34:48Is that all right?
34:50It is.
34:50Yeah.
34:51Ten minutes after the operation finished, Emmanuel comes round.
34:56Where's your hand?
34:57Give me your hand.
34:58Everything went really well.
35:01Went fantastic.
35:02Thank you so much.
35:04Aw, you're very welcome.
35:05We went exactly as we wanted it to go, okay?
35:07So, I'm really pleased.
35:10Okay?
35:10So, now it's over to you to get better.
35:13All right.
35:14You rest now.
35:15Shall I go and let the boss know that you're doing okay?
35:18She'll be pleased to hear her thing, won't she?
35:22Are you ready for a drink?
35:24Water.
35:25Yeah, water.
35:30Hello?
35:31Hello, is that Coco?
35:32Oh, my goodness.
35:33Are you done?
35:34Yes, we're all done.
35:35And Emmanuel's awake.
35:36He's just woken up.
35:38He's woken up.
35:39He's in the recovery area and he's doing really well.
35:42Oh, my goodness.
35:44And everything went exactly as we hoped it would.
35:46He wants to hear your voice.
35:48He wants to hear your voice.
35:48I'm in the room with him.
35:50I can hear you.
35:51Are you close to Emmanuel?
35:53Yeah, Coco.
35:54Thank you so much.
35:55Hi.
35:56Are you okay?
35:58I'm okay by the grace of God.
36:00I am awake.
36:00I'm so glad.
36:01I can't wait to see you.
36:02I'm coming over to see you.
36:04Ah.
36:05All right.
36:06I'll see you soon.
36:07It won't be long before you can come up and see him, okay?
36:10Okay.
36:10All right.
36:11Thank you so much.
36:13Okay.
36:13Bye for now.
36:14Okay.
36:15Bye-bye.
36:18Oh, my goodness.
36:21I'm glad he's awake.
36:23Looks like everything went well.
36:26Thank God.
36:27I'm so grateful.
36:28I can't wait to see him.
36:32Okay.
36:33It's okay.
36:33How's that?
36:34I'm relieved now that we've been able to perform the surgery
36:38that we said we would for him, but there's going to be another step now
36:42to get him through his recovery.
36:45And he's going to be at risk now for a few weeks of things like
36:48cerebrospinal fluid leak, meningitis.
36:51And we've got to give him time and hope that the combination of treatments
36:55we've given him now will keep things under control.
36:58But he's got a very aggressive cancer.
37:00So the long-term outcome, you know, remains, remains open for him.
37:17Having undergone extensive radiotherapy, chemotherapy, and brain surgery,
37:22Emmanuel will now remain in hospital until he's well enough to be discharged.
37:26It's okay.
37:27It's okay.
37:30It's okay.
37:32It's okay.
37:32It's okay.
37:33It's okay.
37:33It's fine.
37:34It's fine.
37:34It's fine.
37:36It's fine.
37:37God.
37:40Praying and hoping that this is the very final lap,
37:43and then we can have our lives back.
37:45Yeah.
37:46Because we have a lot planned for end of year and next year.
37:51We can't wait to do it together.
37:57Pedic.
37:59Don't worry.
38:00I'm here for you.
38:01Yeah?
38:02Thank God that you are well.
38:05Gosh.
38:06Oh, God.
38:16It's the end of the week.
38:18And Omar's mum, Anne, and his aunt and her partner have come for dinner.
38:2515-year-old Theo is cooking it.
38:28It doesn't look like a bomb has hit, does it, when you've finished doing all the cooking?
38:34It does.
38:37I think I'm probably a dosing dad.
38:39I probably let them get away with too much.
38:42But, uh, yeah, I'm a relaxed dad, I think.
38:51Oh, that's lovely.
38:52Fabulous.
38:53Very good.
38:54And to the chef.
38:59My dad left, um, when I was about ten weeks old.
39:03And, and so I didn't have a father figure in my life.
39:08I had an amazing mum who filled that easily, um, and was my role model growing up.
39:15But I did not want to embark on being a parent unless I was going to make a commitment that
39:23I would be there and be present.
39:25Because I did, you know, I did feel that I would have liked to have had that presence in my
39:32life when I was at that age.
39:34And I, I didn't want that to play out again in another generation.
39:40When I met my father in my twenties, it wasn't straightforward.
39:46There's an, uh, an expectation that you, you know, will have a father-son relationship.
39:53But actually that doesn't just magic itself out of nowhere.
39:57It was hard to realize that you're never going to rebuild what you haven't had.
40:04And then to just accept and have peace with the fact that you can't rewrite history.
40:11But you can start again from where you are now.
40:27It's been 24 hours since Omar operated on a ditcher.
40:32Knock, knock.
40:33It's still unknown whether his hearing has returned.
40:37How are you?
40:39Feeling all right?
40:40Yep.
40:41Good. Well done. Well done.
40:43Feel like you've been hit by a bus this morning.
40:45Yeah.
40:46Yeah. You're looking really well actually, considering what you, what you had done yesterday.
40:50Yeah.
40:50Yeah. And you probably won't remember, but it was very, very stuck to your facial nerve.
40:55So just, just show me your smile.
40:57Fabulous.
40:58Okay. You can relax. That's, that's good.
41:00What about hearing? I wasn't.
41:02I can hear.
41:03You can hear on that side now.
41:06That's amazing.
41:07Well, that's very positive.
41:08I wasn't necessarily expecting that because it had really stretched your hearing imbalance nerve and was stuck.
41:16So I wasn't surprised that you'd lost your hearing, but that's a, that's a great sign if you've already got
41:20some hearing back.
41:21Currently there is no deepening, nothing.
41:27Everything goes well.
41:28All right. You've got to take it easy when you get home.
41:31Hey, I have to be treated like a prince when he gets home.
41:34Yeah.
41:37Okay. We'll leave you to it for now.
41:39Thank you so much.
41:45She's actually got some hearing back in that ear.
41:48Oh, that's interesting.
41:53Dr. Omar said now treat him like a prince for the next three months.
41:58You've never heard of prince treatment.
42:00Princess treatment.
42:02Feeling good.
42:04Professor Omar is number one.
42:06I can hear again on my busy ear.
42:10It's amazing.
42:11It's a miracle for me.
42:13It's clear.
42:15Even no deepening, no, uh, busyness, nothing right now.
42:21I really appreciate whatever the Dr. Omar done for me.
42:27It's really a miracle.
42:43I absolutely love my job.
42:47You need a significant level of confidence to be able to be a surgeon.
42:52There is a difference between being egotistical and having a level of confidence and striving to be the best that
43:00you can be.
43:02How are you?
43:03How are you? Nice to see you here.
43:04Nice to see you too.
43:05Nice to see you.
43:05Yeah, good.
43:06I like to get to know my patients as well as I possibly can.
43:12I think that you are under more pressure when you're emotionally invested because you really care about what matters to
43:19them.
43:19Makes you better at what you do.
43:23Neurosurgery is miracles and disasters.
43:26Nothing in between.
43:29Okay, it's started.
43:37Thank you too. I'm happy you are still here with me.
43:47Go.
44:00Heart surgeon Inder carries out life-saving surgery.
44:05We've got the 18 with us today.
44:07The trickiest moment is going to be at the end.
44:10Will this heart work?
44:13Will we do?
44:16The trickiest moment.
44:17Do you know what?
44:34Will this heart work?
44:37The trickiest moment is going to be at the end.
44:37Go.
44:38Go.
44:40Go.
44:40Go.
44:41Go.
44:42Go.
44:44You
Comments