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the surgeon 2026 s01e03 Episode 3 Engsub
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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 in
00:17between let's get this bugger out and how do you balance the needs of others with the needs of your
00:23family home sweet home you take care and have a good sleep all right i will do love you mom
00:30bye now we go
00:33behind the mask to find out just what it takes feel like you've been hit by a bus to live
00:39life as a
00:41surgeon bit of a roller coaster oh right yeah it 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 who you
01:08are
01:08it's where you carry your memories it's where you form your new memories it's your personality
01:12it's here we are it's our consciousness 45-year-old Omar Patmonarvan is a consultant neurosurgeon at
01:21Salford Royal Hospital in Greater Manchester he's been operating on people's brains for the last 20
01:31years as clinical director Omar and a team of leading surgeons are responsible for over 3,500 brain
01:42surgeries every year morning
02:15hi hello 45-year-old Aditya recently found out here's a rare brain tumor that has been growing since he
02:23was born all right thank you now the tumor needs to be removed if it isn't it will continue to
02:31grow and
02:31eventually kill him all right have you been it's sometime like a little bit dizziness and everything but
02:40overall it's okay yeah okay good the couple live in Manchester with their three daughters
02:52she's told me we are going to refer you to neurosurgeon and I was why and I say it's like
02:58brain tumor and I
02:59said oh my goodness that's a big word tumor yeah it was it was scary yeah it was so this
03:09is your brainstem you can see that
03:11there's a difference between the two sides can't you already at this point and that's because we're seeing this
03:16epidermoid cyst and that's why you've been getting the balance problems the dizziness you've gone deaf in that ear yeah
03:23that's why because of the effect of this epidermoid cyst okay
03:27okay um in terms of risks from the surgery so bleeding okay stroke yeah okay
03:39how is happening what's going to happen this tumor is going to kill me what they are going to do
03:45she's in a gcsc
03:47she's in a primary school so anything happen and I'm die who's going to look after my family
03:55very tough we're going to take good care of you and you know my anticipation is that that you know
04:02you're going to be good the ditcher hopes he'll get the hearing back in his right ear so it's going
04:08to
04:08recover or not like can I hear a hundred percent it's a good it's a good question and it's not
04:14something I
04:14want to promise to you but it's possible there could be some recovery but I think you should consider it
04:19a
04:19bonus if you get some recovery because it's been quite a long time that that's been gone now okay
04:24okay yep no I'm very positive about the surgery it should be give me good longer life I think so
04:35better life hopefully hopefully improve the quality long term yeah yeah you never want to take away
04:43somebody's hope I mean hope is is a basic fundamental requirement for people sometimes if you don't get
04:51that balance in the conversation quite right or even if the patient is not quite in the right place yet
04:57all right thank you thank you those are the most challenging of discussions
05:19a ditcher and his family have arrived at hospital for his surgery across the UK over a hundred thousand
05:27people are living with brain tumors so Addie's tumor is about the size of a tangerine and it sits in
05:36a
05:36space that would normally only be a few millimeters wide and it's insinuated itself in between all the
05:42nerves and the blood vessels that sit in that area normally and it has compressed his brain stem and
05:48it's compressed his cerebellum and that's what's caused him to lose his hearing his balance and to develop
05:55facial pain so over the last forty five forty six years this has been slowly accumulating over time
06:02until it's got to the point where his functions have started to decompensate because they can't cope
06:08anymore with the level of pressure and tension that they've been put under by this cyst
06:14any issues with your hearing? yeah I can't hear
06:20I think sometimes it is hard for patients to get their head around the fact
06:25potentially after surgery they can feel worse than they do now before they get better
06:30so for Addie 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! Hello! Hello! Hello! I'm going to get you a coffee and a dish
06:48Okay! Okay! Can I hug her? Yes, of course! Of course!
06:54No! No! No! We are! Oh!
06:57What? Yeah! Yeah! Bye! Bye! Bye-bye!
07:04Bye-bye! Bye-bye!
07:05We don't get married to you! Okay!
07:07Okay! Jem! Jem! Jem! Jem! Jem! Jem! Jem!
07:09Bye! Jem! Bye! Jem!
07:13We will! OK!
07:15Okay!
07:18I think patients want us to be superheroes, particularly when they're facing the most
07:24serious consequences and the most serious diseases that could change their life forever.
07:30But sometimes the decisions we make, the advice that we give, can make you a villain in the
07:36same breath that you can be a hero.
07:41I hope the next, like, 10 hours also go, like, super quick.
07:45It's a big surgery.
07:46We know, but he'll be fine.
07:51He will bring him back.
07:54Aditya's life is now in surgeon Omar's hands.
08:13This morning, neurosurgeon Omar Patmanabhan is about to begin life-changing brain surgery
08:20on dad of three, Aditya.
08:26Aditya's tumour is between the brainstem and the cerebellum, which helps coordinate movement
08:32and balance.
08:33Omar will cut through the skin and nearby muscle, and then the bony section of the
08:38skull behind a ditcher's right ear.
08:42Once he's reached it, he will cut away the tumour to release pressure on the cranial nerves,
08:48which control hearing, balance, and facial functions.
08:54Operating in this area of the brain is high risk.
08:57One wrong move could lead to irreversible damage, causing a stroke or paralysis.
09:03It could even be fatal.
09:06Good.
09:07Okay, pin's going in.
09:09The tumour is causing Aditya, pain, dizziness, imbalance, and loss of hearing.
09:18Starting.
09:24I'll just go straight down to bone here now.
09:28First of all, Aditya's skull needs to be opened.
09:32Then muscle must be cut to get to the brain tumour.
09:36So we're doing the initial exposure down onto the bone just behind the mastoid, which is
09:43the bony prominence just behind Aditya's ear.
09:48So to do that, we have to get through some really big, tough muscles and soft tissue to
09:55get down to this bit.
09:56Because we've got lots of attachments of muscles onto the skull at this point.
10:06Something that's always struck me is the sharp contrast between the sort of brutality of
10:12using powered instrument drills and steel to get through this bone and then the delicacy
10:22and serenity of the brain that's underneath it.
10:37Scissors, please.
10:40You can start to see some pearly pellets.
10:43We call them pearly tumours because it looks like mother of pearl and we're starting to
10:47see a piece of mother of pearl appearing there.
10:51After nearly an hour and a half of drilling, Omar can see the tumour, which is buried deep
10:57inside Aditya's brain.
11:00You can see why he's gone deaf, can't you?
11:03Yep.
11:04See this?
11:05Yep.
11:08As Omar begins cutting out the tumour, he has to be extremely careful.
11:13It's crucial he avoids harming any of the nerves.
11:16Any damage could cause life-changing complications.
11:21So we're in the space that sits between the cerebellum, the bit of brain that controls movement
11:29coordination, and the brain stem, which is obviously a critical structure, the stalk, which
11:35connects the brain to the spinal cord and the rest of the body.
11:40So we're looking currently at the lower cranial nerve.
11:45So these nerves control your voice, your swallowing.
11:49Prior to coming down here, we've just found the seventh and eighth cranial nerves, and
11:53those are responsible for facial expression, the seventh nerve, facial nerve.
11:59And then we'd found the eighth nerve, which supplies hearing and balance.
12:04And they were really, really very compressed by this lesion, which explains why he's had
12:10such difficulties with balance and why he's gone deaf in that ear.
12:16Even if Omar manages to remove the tumour, there is no guarantee that a ditcher's hearing will return.
12:25He's been deaf because of this for a number of years, so it's probably quite unlikely.
12:29But I have had cases where hearing has been restored or improved, at least.
12:35It would be a big bonus if you've got to hit any hearing back, because it's wrapped up in that
12:40capsule, stuck down.
12:44The faucet, the fine-toothed faucet.
12:46I'll do the blockage, yep.
12:48So this is a two-man job as we start to remove that bit of tumour.
12:53Okay, a bit of suction on that piece now.
12:56Watch this side of the suction on the nerves.
12:59Okay, good.
13:01And we need to be careful about how we remove the tumour, because this particular type of epidermoid cyst wraps
13:07itself and insinuates around these nerves,
13:10so you can find the nerves and the vessels within the structures that you're removing, the lesion you're removing.
13:18Gradually, parts of the tumour begin to be released.
13:24Specimen, it's welded, as you'd expect, after over four decades, getting on for five decades of being slowly insinuated into
13:34this space.
13:34But it's coming, bit by bit.
13:41It's stuck to the veins here, I think.
13:44Yep.
13:45Just going to debulk it initially.
13:48Some of the pressure off that nerve.
13:51Forceps, please.
13:54So we're getting a view of some of that more classically pearly, pearlescent material there that we see, which is
14:01quite beautiful, actually.
14:06So this is the part of the tumour that's been causing Addy's facial pain.
14:14There's his 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.
14:30Scissors, please.
14:34We have to be careful that we're not damaging the facial nerve, that would paralyze his face.
14:4899% out now.
14:49We're just picking away at the few little remnant bits.
14:55So we've been able to give him an excellent clearance, and hopefully very little chance that he's going to ever
15:02need another operation for this in his lifetime, hopefully.
15:16We'll get back into the cerebro, look at the hemp peduncle there.
15:22Some loose bits floating, but nothing solid, is it?
15:25Okay, that's great.
15:28Yeah.
15:29Right, let's wash it out with two litres of warm wash.
15:33So we've removed the epidermoid cyst, and then we'll be making sure there's no bleeding, and then closing up.
15:44Three hours in, and Omer has removed all of the tumour.
15:49Another boring day at the office is all we want.
15:57Yeah, that's good.
15:59There we go.
16:01Not much more than a haircut.
16:03Sorted.
16:05Right.
16:06So this is the worst bit of time for me now, waiting to see how he does.
16:12Not very optimistic he's going to get any hearing back.
16:15We have to wait now to see that he wakes up well.
16:21Hi, Adi.
16:22Everything went really well.
16:24All 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.
16:31It all went really well.
16:41Now, only time will tell if any of Adich's hearing will return.
17:01Neurosurgeon Omar lives in Cheshire with his wife, Annabel, who is also a surgeon, and their three children, all under
17:0816.
17:12I think that we're constantly juggling so many balls and dropping various ones.
17:19I 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.
17:32We knew each other just sort of in passing.
17:35He's noticeable on the dance floor.
17:38He really clears himself for space.
17:41I got the, he's shaking that ass award, didn't I, when we left medical school.
17:48Computer, are you ready, Theo?
17:50We've got two minutes, yeah?
17:52Yeah, I'm coming.
17:52Okay, cool.
17:54Computer, off.
17:56We think that we know a lot about each other's specialties.
17:59You in particular, you think you could do my job.
18:01I think I've got a damn pat now.
18:06How are we doing, Theo?
18:09Have a good day.
18:11Love you.
18:12Sorry, dipped my hair in your bottle.
18:16It's a pretty even split, I think.
18:18I'd like to think.
18:21He constantly tells me, I have no idea how much he does.
18:26Yeah, you're right.
18:30Have a good day.
18:32Have a good day, everybody.
18:33See you later.
18:34I think it's, it's still the case that you take, you take more of the burden here.
18:41Put your coat on.
18:42Where's my bed?
18:43It's stuck behind you.
19:02Morning, everyone.
19:03How are you?
19:03How are you?
19:05Good morning, mate.
19:07Fabulous.
19:09Yeah, all right.
19:09Brilliant.
19:10Thanks very much.
19:10Cheers.
19:11Bye.
19:11Bye.
19:12Cool.
19:13Brilliant.
19:14I will.
19:15Excellent.
19:18We've got a bed.
19:19Really?
19:20We've got a bed.
19:22Do you want to just let Dr. Sebastian know?
19:24No, I've got to go.
19:25Yeah, yeah, yeah, yeah, yeah, exactly.
19:27Tell him he's got some more work to do.
19:30Good.
19:3345-year-old service manager, Emmanuel, has a rare type of tumor that started in his nose
19:38before spreading towards his brain.
19:42He's here with his wife, Korkor.
19:44Knock, knock.
19:44Ah, it's Omar.
19:46Good morning.
19:47Hello.
19:48Good to see you.
19:49Good to see you.
19:50Hello.
19:51We haven't met.
19:51Nice to meet you, Omar.
19:58The tumor is cancerous, and due to its size and position, Emmanuel needed over 36 rounds
20:04of chemotherapy and radiotherapy to shrink it.
20:08It's now small enough for Omar to safely operate on.
20:11You know, I said to you before that everything on the day is positive energy now.
20:15We've done all the consent forms and everything else, but have you got any questions about that?
20:20Anything we went through?
20:21I want to say a big thank you to you and your team.
20:23Oh.
20:24I'm trusting you do your very best, as you do always.
20:29Oh, thank you very much.
20:30We're going to take good care of you, and we hope that it will improve the length of time
20:36you've got, but we can't promise that.
20:38Okay.
20:39All right.
20:40Okay?
20:44Okay.
20:45All right.
20:45Nice to meet you, and see you again soon.
20:48Bye.
20:50Yeah.
20:51The reality is turning on me.
20:59It's been amazing.
21:02Always thanking her for that, that support.
21:07And this actually gives the true meaning of for better, for worse.
21:12And she's giving meaning to that.
21:14She stayed with me in my difficult and trying moments.
21:18She's been there for me.
21:20We can't wait to get to the end.
21:23I think we are nearly there.
21:24Nearly there.
21:32You ready?
21:33Let's go.
21:34Baby, come on.
21:39All the best.
21:40See you.
21:46Yeah, yeah, yeah, yeah, yeah.
21:50Emanuel's surgery is a joint case with ear, nose and throat specialist Raj Bala.
21:57So between May and October, so quite considerable sort of shrinkage.
22:02Yeah.
22:03Emanuel's got a rare type of cancer that started in his nose and then grew up to involve the border
22:09between the nasal passages and the brain.
22:11We are operating around all the most important sensors, okay?
22:16So we're operating around where you get your sense of smell.
22:20We're operating around your vision.
22:22We're operating around the blood supply that supplies the brain.
22:24And we're operating around the base of the brain where you've got some of your most important functions
22:30with lots of potential risks from operating in that area.
22:34The tumour is involving the olfactory bulbs, which are the nerves which carry all of the
22:42smell from your nose into your brain.
22:44And when he wakes up, he will not have smell again.
22:47Gorgeous.
22:48We want to achieve a high quality of life, but at the same time achieve a better duration
22:56of life for him.
22:59Right, Emanuel.
23:01You do have a brain.
23:03It's a good start.
23:04Okay, right, so there's a good start.
23:08Emanuel is in a really good frame of mind this morning.
23:12Patients feeling positive and good just before they go into surgery is really important.
23:18So everything looks perfect.
23:20And what we'll do is start drifting off to sleep.
23:38Emanuel's cancerous tumour will be removed in three phases, known as the approach, resection,
23:44and finally reconstruction.
23:47So that is all the preparation.
23:50Let's scissors and forcep to discard, please.
23:53EMT surgeon Raj will gain access to the tumour through Emanuel's nose, preventing surgery
24:00through his face.
24:03Next, Omar will carry out the resection, meaning he'll cut out the tumour and the olfactory
24:09bulbs, causing Emanuel to lose his sense of smell.
24:14Finally, using tissue from Emanuel's scalp, Omar will reconstruct the seal between his nasal
24:21cavity and the brain.
24:36Raj and his team begin phase one of the operation, creating access to the base of Emanuel's skull
24:43through his nose.
24:45Okay, and then we'll come up into the roof of the nose, the vault of the nose, and we'll
24:50make a vertical incision.
24:52Okay, just down to there.
24:54Okay, and then we'll go back up into the roof of the nose, and then do the same on the
24:59nasal
25:00septum.
25:03Blood pressure okay?
25:04You happy?
25:05Yeah, yeah.
25:07Okay, so I've just communicated those two flaps.
25:15Okay, I'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.
25:25This will allow a shri now, okay, to get to the posterior table here, okay?
25:33That's drilling through the base of the skull.
25:36After just over two hours, the base of Emanuel's skull has been successfully reached.
25:42Okay, so now I'm just starting to thin the bone to the base of the skull.
25:48I'm starting to expose dura.
25:52I'll be there just two ticks, Raj.
25:55With a clear route to the tumour, Omar can now take over and start to remove it.
26:02And I'll take it bipolar, please.
26:04Got one.
26:09The team won't know if Emanuel has suffered any further damage until the tumour is out.
26:15The undersurface of the frontal lobe is looking healthy, which is good news.
26:20We weren't sure if it was going to look potentially like there was invasion.
26:26Beautiful, isn't it?
26:30There we are.
26:31There's the frontal lobe on the right.
26:36Still instinctively a little bit shocking to see the brain through the nose, isn't it?
26:40Mm-hmm.
26:43There we go.
26:44Final bit.
26:46And 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.
26:58Unfortunately, here is, as you can see, running directly into all of this tumour.
27:04We're going to be removing that.
27:07And sadly also with it, his sense of smell.
27:12It's the right-sided olfactory bulb.
27:15Smell nerve.
27:17There's always a certain amount of sadness that comes with dividing a nerve, but it needs to be done in
27:24this case.
27:25Right olfactory bulb.
27:27Yep.
27:29So all of the tumour, you can see it's quite a challenge to fight this bulk as we're dissecting and
27:35removing the tumour.
27:36But we're battling on at the moment to see if we can achieve this en bloc.
27:42Removing the tumour means Emmanuel will no longer be able to smell anything.
27:55There's a lot going through my mind right now.
27:59I've been waiting for five hours already.
28:03I hope it's over soon.
28:06He's my world.
28:08He's a good dad.
28:10And he's my love and life partner.
28:13So, yeah.
28:14I need him back.
28:16There's so many things we need to do together.
28:19And when we are together, we are a team.
28:29There's a bone there that's just hampering at progress.
28:33Omar has managed to loosen the tumour and can now start to bring it out through the nose.
28:39It's really free, isn't it?
28:40Let's have the ball probe.
28:43So, now the challenge is going to be whether or not we can actually remove this large piece through the
28:49nose or not.
28:57Now there's parts of it to that part of the septal part.
29:01He's removed the first part.
29:03Now he needs to get the rest out.
29:13There we go.
29:15The tumour.
29:18Tumour.
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, the 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.
29:52This is a fibrin glue that we're going to use now to secure that onto the edges of the dura.
30:01To fill the gap, Omar needs to add a layer of fresh tissue with a strong blood supply from Emmanuel's
30:07scalp.
30:09Bit of local adrenaline going in?
30:14So, Adi's going to make a cut down here.
30:17I'm going to assist him from this side.
30:25There we go.
30:26Good, healthy scalp.
30:28And the layer that we're going for is the layer that sits right on top of the skull.
30:33The pericranium we call it.
30:36And it's a lovely, robust layer of tissue with a fantastic blood supply.
30:43And 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
31:05above the eyes.
31:07And what we'll do is we'll make an opening, then, once we've raised this flap in the bone, just over
31:13the 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, and it seems, you know, to the outside eye, this seems somewhat grotesque to be exposing somebody's
31:39skull in this way.
31:40But this gives us the ability to do something that otherwise he would not have been able to have, and
31:46he would not have had this opportunity, had a potential extended life, good quality of life, without this tissue.
31:56So 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.
32:31Behind his nose.
32:33Next thing, we're going to need a drill.
32:36So we 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 flat.
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.
33:09Really good.
33:10Okay.
33:10Start pulling that in for me, Farish.
33:14Yep.
33:14Go on, pull.
33:15Yep.
33:16Keep pulling.
33:17Keep going.
33:18Keep pulling.
33:19Keep pulling.
33:20Pull.
33:21Pull, pull.
33:22Yep.
33:23Okay.
33:24It's nice, isn't it?
33:26It's beautiful.
33:28You can see that lovely pink, healthy tissue with blood supply now.
33:33Really healthy.
33:34And we're using that to create a vascularized, so a piece of tissue with a blood supply.
33:39Pull, pull.
33:39To help this heal.
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, 15, 20 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.
34:46You're doing really well.
34:48It is.
34:50Yes.
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 thank you so much oh you're very welcome we went exactly as
35:05we wanted to go okay so I'm really pleased okay so now it's over to you to
35:12get better all right you rest now I should I go and let the boss know that
35:17you're doing okay she'll be pleased to hear I think won't she
35:30hello hello is that Coco oh my goodness are you done yes we're all done and Emmanuel's awake he's
35:37just woken up he's woken up he's in the recovery area and he's doing really well oh my goodness
35:43thank you and everything went exactly as we hoped it would I can't wait to see I'm coming
36:03over to see you it won't be long before you can come up and see him okay okay all right
36:11thank you
36:12so much thank you okay okay well right thank you thank you oh my goodness I'm glad he's awake looks
36:23like everything went well thank God I'm so grateful I can't wait to see him I'm relieved now that we've
36:36been able to perform the surgery and that we said we would for him but there's gonna be another step
36:41now to to get him through his recovery and he's gonna be at risk now for a few weeks of
36:48things
36:48like cerebrospinal fluid leak meningitis and we've got to give him time and hope that the combination of
36:55treatments we've given him now will keep things under control but he's got a very aggressive cancer so the
37:01long-term outcome you know remains remains open for him
37:17having undergone extensive radiotherapy chemotherapy and brain surgery Emmanuel will
37:23now remain in hospital until he's well enough to be discharged
37:40praying and hoping that this is the very final lap and then we can have our lives back yeah because
37:47we
37:47have a lot planned for end of year and next year we can't wait to do it together
37:57I think oh I I'm here for you yeah thank God I yeah well gosh
38:16it's the end of the week and Omar's mum and and his aunt and her partner have come for dinner
38:2415
38:26year old Theo is cooking it it doesn't look like a bomb that's here does it when you're finished doing
38:33what we're cooking it does I think I'm probably a dosing dad I probably let them get away with too
38:42much but yeah I'm I'm a I'm a relaxer I think
38:59my dad left um when I was about 10 weeks old and and so I didn't have a father figure
39:07in my life I
39:08I had an amazing mum who filled that easily and was my role model growing up but I did
39:17not want to embark on being a parent unless I was going to make a commitment that I would be
39:24there and
39:25be present because I did you know it's I did feel that I would have liked to have had that
39:32presence in my
39:32life when when I was at that age and and I didn't want that to play out again in another
39:38generation when
39:41I met my father in my 20s it wasn't straightforward there's an expectation that you will have a father
39:52son relationship but actually that doesn't just magic itself out of nowhere it was hard to realize that
40:01you're never going to rebuild what you haven't had and then to just accept and have peace with the
40:08fact that you can't rewrite history but you can start again from where you are now
40:27it's been 24 hours since Omar operated on a ditcher knock knock it's still unknown whether his hearing
40:36has returned how are you feeling all right yeah good well done well done feel like you've been hit
40:44by a bus this morning yeah yeah you're looking really well actually considering what you've what
40:49you had done yesterday yeah yeah and you probably won't remember but it was very very stuck to your
40:54facial nerve so I'll just just show me your smile fabulous okay you can relax us that's good what about
41:00hearing I wasn't I can hear you can hear on that side now that's amazing well that's very positive I
41:08wasn't necessarily expecting that because it had really stretched your hearing and balance nerve and
41:15was stuck so I wasn't surprised that you'd lost your hearing but but that's a that's a great sign if
41:20you've already got some hearing but currently there is no deepening nothing everything goes well all
41:29right you got to take it easy when you get home hey I have to be treated like a prince
41:33when he gets
41:33home yeah okay we'll leave you to it for now thank you so much thank you she's actually got some
41:46hearing back in my ear dr. Omar said now treat him like a prince for the next three months you've
41:59never heard of Prince treatment princess treatment feeling good professor Omar is number one I can hear
42:07again on my this year it's amazing it's miracle for me it's clear even no tightening no dizziness nothing
42:19right now I really appreciate whatever the dr. Omar done for me it's really miracle
42:43I absolutely love my job you 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
43:00best that you can be I like to get to know my patients as well as I possibly can I
43:13think that
43:13you are under more pressure when you're emotionally invested because you really care about what matters
43:19to them makes you better at what you do neurosurgery is miracles and disasters nothing in between
43:29okay started
43:37thank you too I'm happy you are still here with me
43:47go
44:00heart surgeon inda carries out life-saving surgery we've got the 18 with us today trickiest moment is going to
44:08be at the end will this heart work
44:38heart surgeon inda carries out life-saving surgery we've got the 18 with us today we've got the 18 with
44:39us today we've got the 18 with us today we've got the 18 with us today we've got the 18
44:39with us today we've got the 18 with us today we've got the 18 with us today we've got the
44:4018 with us today we've got the 18 with us today we've got the 18 with us today we've got
44:41the 18 with us today we've got the 18 with us today we've got the 18 with us today we've
44:45got the 18 with us today we've got the 18 with us today we've got the 18 with us today
44:45we've got the 18 with us today we've got the 18 with us today we've got the 18 with us
44:45today we've got the 18 with us today we've got the 18 with us today we've got the 18 with
44:45us today we've got the 18 with us today we've got the 18 with us today we've got the 18
44:45with us today we've got the 18 with us today we've
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