Some people in the wealthiest areas of Britain are outliving those in the poorest by 18 years. Dr Christian Jessen investigates the high-end health industry that seeks to help the rich live longer.
These days, transplant surgery saves thousands of lives every year and almost everything, from heart to eyes, can be replaced. But in the beginning, transplants killed rather than cured, because surgeons didn’t understand that they were taking on one of the most efficient killing systems we know of – the human immune system.
Two procedures so formidable, they would not have been attempted even a few years ago. Surgical teams at the Queen Elizabeth are constantly pushing the limits of what is possible. But despite state-of-the-art diagnostic scanning, sometimes cancer surgeons don't know exactly what they are up against until they open the patient up on the operating table. Even with the most meticulous planning, sometimes they must resort to taking critical decisions live in the theatre. 74-year-old Jasmine Harkness has been referred to the specialist sarcoma unit with a vast tumour in her abdomen, weighing more than three stone - a third of her total body weight. It is consuming her, displacing organs including her stomach and liver. Unless it can be removed, she has just four weeks to live. Sarcoma specialists Sam Ford and Professor David Gourevitch can't be sure whether they will be able to save Jasmine until they open her up and inspect her anatomy. Such is the risk of this surgery - five years ago they would not have embarked on this intervention. Sue Sinclair, lead anaesthetist and matriarch of theatre, keeps the others in check - working alongside them as they battle to detach the tumour from Jasmine's organs and blood vessels, and remove it intact. Whenever it presses heavily on vital blood vessels, Jasmine's blood pressure plummets, placing her life in grave danger. It will take unwavering focus to keep her alive. The tumour has grown so invasively that it has crushed and displaced Jasmine's internal organs. Sam and David have a puzzle on their hands to identify what and where everything is. At times, dark humour is the only way to release the tension as they grapple with blood, guts and mind-boggling complexity.
Imagine if the food you eat could 'clean' your body and make you feel well. Dr Giles Yeo investigates the latest diet craze and social media sensation - clean eating. In a television first, Giles cooks with Ella Mills, the Instagram entrepreneur behind Deliciously Ella, one of the most popular brands associated with clean eating, and examines how far her plant-based cooking is based on science. She tells him clean has lost its way: "Clean now implies dirty and that's negative. I haven't used it, but as far as I understood it when I first read the term, it meant natural, kind of unprocessed, and now it doesn't mean that at all. It means diet, it means fad". Giles sifts through the claims of the Hemsley sisters, who advocate not just gluten-free but grain-free cooking, and Natasha Corrett, who popularises alkaline eating through her Honestly Healthy brand. In America, Giles reveals the key alternative health figures whose food philosophies are influencing the new gurus of clean. He discovers that when it comes to their promises about food and our health, all is not always what it appears to be. Inside a Californian ranch where cancer patients have been treated with alkaline food, Giles sees for himself what can happen when pseudoscience is taken to a shocking extreme.