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Fight For Life -

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(generated from captions) IS BETTER FOR IT... PERSON THAT KNEW YOU REMEMBER THAT EVERY ESPECIALLY ME. TO BE FEARLESS. YOU TAUGHT ME AND YOU WERE LOVED. AND YOU LOVED REALLY WELL, NOTHING ELSE. BRING INTO THAT LIGHT, AND THAT'S WHAT YOU'RE AHH...I SEE IT. THE LIGHT...OHH. HAVE IMAGINED. THAN I EVER COULD IT'S MORE BEAUTIFUL

THEN GO INTO IT. THIS IS HOW IT'S SUPPOSED TO BE. YOU'RE FREE. OHH, MELINDA. SO MUCH. I'M GONNA MISS YOU YOU'LL SEE ME AGAIN. YOU BETTER BE WAITING. AND WHEN I GET TO THAT LIGHT, HA HA. THE FIRST FACE THAT I SEE. YOU BETTER BE I'LL BE WAITING. GOOD-BYE. SAY HI TO POP FOR ME. (JOYFUL CRYING) HE SAYS HI BACK. SHE'S GONE.

(JET OVERHEAD) IS A SMOKE FREE ENVIRONMENT. SEATTLE INTERNATIONAL AIRPORT P.A. ANNOUNCEMENT: INSIDE THE TERMINAL. SMOKING IS NOT ALLOWED DESIGNATED AREAS. SMOKING IS PERMITTED IN THE (INDISTINCT) CONNECTING IN CHICAGO. TO DRISCOLL COUNTY, LET'S SEE, YOU'RE GOING YOU'RE ALL SET. JUST NEED TO SEE A PHOTO I.D. MY I.D. IN THE CAR. OH, SHOOT. I LEFT GO AND GET IT, YOU GOT TIME. TO THE FRONT OF THE LINE. AND JUST COME BACK (TIRES SCREECHING) says Labor's plans The Australian Medical Association Good evening.

of Australia's public hospitals, to take over control is flawed. The Prime Minister's offer Hawkesbury River system of a $100-million to clean up as an election stunt. has been rejected by the Premier Sydney police have warned month's APEC Summit to turn violent. they expect protests at next And road rage in on the rise with nearly 60% of drivers fellow motorists. admitting they abuse clearing showers and 19 degrees. Sydney's weather tomorrow,

Seconds old, Arnav is not breathing. Baby Gabriel has just been born, in the balance. but his life already hangs at the moment, The condition that he's in the transport. I'm not sure he'll survive We don't have a lot of time. Quick but thorough, please. the naked eye. which isn't visible to But there's another battle for life deep inside their bodies, where It's underneath the skin,

is struggling to keep them alive. every cell, every nerve, every organ Come on, quickly. Now, push. We've got a baby. From our very first moments cutting-edge computer graphics through to our last, combining

and ground-breaking filming, will explore the human body over the next hour this program

been seen before, in a way that's never recreating the battle for life and illness. as we face the most extreme injury

the most dangerous journey. all of us have to negotiate But in the beginning, I've got the baby's head out. Birth. have one overwhelming instinct. Right from the start, we all baby's due on the 18th April. Hello. It's 15th April and the is about to have her first child. 19-year-old Fay baby is facing incredible danger. But she doesn't know that her unborn tar-like substance called meconium. Gabriel's excreting a sticky, Inside Fay's womb, of this after being born. Normally, a baby gets rid Instead, Gabriel inhales it. the millions of tiny air sacs It's slowly trickling into blocking them completely. that make up his lungs, Gabriel will start to suffocate. As soon as he's born, of survival are just 30%. At two hours old, Gabriel's chances

...minus seven. 302.62. him as he may not live much longer. A priest is called in to baptise

Son, and the Holy Spirit, amen. the name of the Father, and of the Gabriel James, I baptise you in battle to save Gabriel. On the outside, the doctors his lungs are damaged and useless. that on the inside, What they can't see is his lungs are so badly injured Deep inside Gabriel's body, that's keeping him alive. that it's only medical help normally. He was quite floppy. When he was born, he wasn't reacting He'd opened his bowels whilst Not really breathing. of that poo had gone into his lungs. he was still in the uterus and all and now it might be too late. Fay, hasn't had a chance to hold him Gabriel's mum, about giving birth, That's what I was looking forward to getting to meet him and, you know, was holding him on my chest and saying hello, but, not yet. I just want him to be all right. SHE SOBS is that deep inside But what Fay doesn't yet realise response is beginning to take place. his tiny body, an amazing survival to 160 beats per minute. His heart rate doubles

cardiac arrest in an adult heart, This would eventually cause going like this for hours. but a baby's heart can keep available around his body, little oxygen is still It's helping to pump what out for much longer. but Gabriel can't hold One, two, three. Great Ormond Street in London, treatment at children's hospital His only hope now is specialist

but it's almost an hour away. he'll survive the transport. he's in at the moment, I'm not sure The condition that starting to harden like concrete. the liquid meconium is now Inside Gabriel's lungs, being starved of oxygen. all his vital organs are gradually His brain, kidneys, liver, will deteriorate on my machine There is a chance that he will start to get lower, and his heart rate won't be anything I can do about it. he will basically be dying and there his oxygen level will get lower and is supposed to be. but this is not how birth Gabriel's life hangs in the balance, an enormous struggle, Being born is always one that we've all been through. but it is an everyday miracle, This is Lily. and she's ready to be born. She's nine months old inside her mother's womb She has been growing oxygen from the umbilical cord. supplied with food and for the cord to sustain her. But now she's grown too big Lily must now embark on her momentous journey down the birth canal. And let the shoulders go. Bring your legs back. Open them up. Open them up. That's it. Lily produces a hormone which mixes with the hormones in her mother's bloodstream. These trigger the onset of contractions. Lily is signalling that she's ready to be born. SCREAMING Bring your legs back towards you. Now just go up your body. A few weeks before birth, Lily instinctively turned her head downwards in her mother's womb to prepare herself for her journey into the outside world. Yeah. Brilliant. That's brilliant. OK. Every time you have that contraction, the head moves forward that bit more. The birth canal is about to stretch to up to 20 times its normal width. But remarkably, Lily's skin has coated itself with a waxy substance called vernix to help lubricate her journey. Lily's body is now taking charge of her survival. Each contraction clamps down on the umbilical cord, restricting the oxygen supply, but Lily responds. Her body releases a flood of adrenalin, causing her heart rate to double and to pump vital blood and oxygen to her brain. Right now, her heart is beating twice as fast as her mother's. Breathe and don't push, OK. Brilliant. Lily is now at the most dangerous point of her journey. Her head, at 10 centimetres the widest part of her body, needs to push through the narrow gap in her mother's rigid pelvis. If she gets stuck, it could kill them both. DEEP BREATHING

But Lily's skull has a unique feature that only a baby possesses. Unlike an adult, her skull bones have not yet fused together. As she squeezes through the narrow gap, these bones bend and flex allowing her head to pass through. Lily's skull will continue to change shape and grow until she's well into her teens. Arrgh! Now push. Push. Go on, Sarah. He's out. He's out.

We've got a baby. That's it. Oh. Oh, hello. Oh, my God.

Now, there is one final transformation Lily's body must make if she is to survive alone. Inside her heart, there is a change in pressure and a valve slams shut. Lily is transforming her whole circulatory system for ever. Blood is now diverted for the first time into the vessels in her lungs. She starts to breathe on her own. Lily's heart will go on to beat another 3 billion times in her lifetime. It's all been worth it. I'm just glad I could have it naturally. It feels amazing now. BABY CRIES Sh-sh-sh. Shh. Lily's birth was as natural as it could possibly be. Every organ in her tiny body, every single one of her millions of cells did exactly what they were designed to do. But what is truly astonishing about newborns is how they can fight for survival even when things don't go to plan.

How to build the perfect Dad's Day gift. Start by selecting your dad. Then rush into Mitre 10 for deals like 2-stroke 45cc petrol chainsaw with 16-inch bar: Hudson sling lounge: And you could win a mighty beaut ute for your dad. First time mum Jawalla is about to have a baby by Caesarean section. I know what to expect. The procedure has been explained to me quite properly. And I've seen it quite a few times being done, so... I've been in the theatre when Caesarean sections have been done before. It makes you a little bit more anxious, but, yeah, you know what to expect. Jawalla is fit and healthy and so is her baby, but there's one small complication. I guess this little one was a bit stubborn, so he didn't decide to turn. Inside her womb, baby Arnav is in the breech position, facing feet, not head down.

This makes it far harder for him to push his way through the birth canal. The doctors think a Caesarean section is the best option. Up to 15% of babies in the Western world are delivered by this method.

Have you got your stockings on? Yes, I've got my stockings on. Everything's OK. The thing about a breach delivery, it can be quite traumatic for the baby. It's quite important to try to deliver the baby as quickly as possible, but as safely as possible as well. Feel anything there? No. Jawalla and her husband Sashin are both doctors. But even they have no idea of the danger their first child is about to face. Unseen inside Jawalla's womb is a serious complication. Baby Arnav's umbilical cord is twisted around his neck, threatening his life before he's even born. I've just cut through the skin and we'll cut through a crack. I'll try and see if I can get a leg.

That's it. OK. I'm just going to turn the baby around, OK? As the doctor pulls, the cord tightens. What no one yet knows is that from now on, every second Arnav is inside, he's being starved of oxygen. The doctors need to get Arnav out and breathing. Just a few minutes without oxygen will kill him.

The cord coiled around Arnav's neck is being squeezed flat. This cuts off the supply of blood and oxygen to his brain. It would take only a few minutes for his fragile brain to become irreversibly damaged. Any longer, and he may not survive at all.

But in an amazing survival response Arnav begins to fight for his life. He releases a massive amount of adrenalin, speeding up his heart rate so it can pump much-needed oxygen to his brain. At this point, Arnav's adrenalin levels are higher than someone experiencing a heart attack.

There we are, that's one arm. The doctors finally see the umbilical cord around his neck and begin to release it. There we are. Now, hi, little one. There we are.

But Arnav is blue and not breathing. His brain has been deprived of oxygen for almost three minutes. Arnav's lungs have filled with fluid, fluid that would have been squeezed down if he'd been delivered down the birth canal. If they aren't emptied quickly, Arnav will drown. The doctors desperately try to force air into his lungs, to prompt him to cough out the fluid.

And then, inside his tiny body, something remarkable happens. His brain, although only quarter the size of an adult brain is already advanced enough to sense danger.

Incredibly, it can acheive what the doctors can't. By sending out a signal to his lungs to cough out the fluid Arnav's brain commands his body to take that all-important first breath. OK. HE SCREAMS Deep inside his lungs, Arnav's millions of tiny air sacs inflate perfectly. He takes the first of the half a billion breaths he'll take in his lifetime. It's all right, daddy. I don't know what to feel right now. He's an absolute star.

You're gorgeous, darling. Just seconds old, Arnav's body was strong enough to win his fight for life. But some babies face an even tougher journey into this world. Baby Gabriel has just a 30% chance of survival. During labour, he inhaled a sticky tar like substance called meconium. It trickled into the millions of tiny airways that make up his lungs, blocking them completely. His last chance of survival is specialist treatment at children's hospital, Great Ormond Street. Quick but thorough, please. We don't have a lot of time, so... Gabriel is being kept alive by aggressive ventilation, forcing air into his damaged lungs. But his body is still not getting enough oxygen. His lungs are so dense that all you can see are little bits of black streaking on them and there's really no air in there at all and I would expect that over the next day or so that will actually get worse.

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We can use the UVC if we have to. Can you just wait a couple of seconds. The doctors need to take drastic action. The only way they can keep Gabriel alive is to put him on a machine called ECMO, a heart-lung bypass that will take over the function of his lungs and pump vital oxygen around his body. He's very, very sick. We think he's very unlikely to get through this without going on to ECMO.

We're going to get set-up to go on to ECMO right now. OK, we need to bite the bullet. You ready to start? Can you just test the suction for me? Tubes will be forced down the two main blood vessels in his neck and deep into his heart.

Blood will be pumped out of his body and the machine will remove the waste and crucially feed in oxygen. Without ECMO, Gabriel's oxygen levels would have plummeted further, putting him at a high risk of brain damage. But in order for ECMO to work Gabriel has been given a drug to thin his blood. This should stop it clotting inside the ECMO tubes. But thinned blood means that Gabriel is now at risk of a dangerous internal injury.

ECMO may save Gabriel's life, but it too comes with risks, as his parents are about to find out. ECMO is not a nice thing to see your kid having done.

It is a significant procedure and it's not without risks. Now, some children who go on to ECMO have problems with bleeding inside the head and as they grow up, they're not as normal as they might otherwise have been. They do have problems. They might have problems with walking, talking and so forth. It's a significant risk.

Doctors insert the first tube deep into Gabriel's heart, feeding vital oxygen into his body. Is drainage OK? On the other side of his heart, a second tube takes away carbon-dioxide and waste. Gabriel is now on a life saving circuit. OK. Thank you very much, everyone. He looks pretty good. Gabriel has been put on to ECMO successfully. For the first time since birth, he is stable. I think it will take us the next couple of hours to get him really exactly how we want him. He's not in nearly such a precarious position as he was before. He's got very good oxygen levels in his blood and he's generally, I'm much happier with how he's looking right now. But every minute Gabriel is on ECMO, he risks bleeding to the brain. A baby's brain is made up of thousands of tiny delicate capillaries. These are much thinner and more fragile than in an adult brain. As the blood pulses through them, these capillaries could rupture at any moment. We worry particularly about bleeding to the brain in a small baby. We will keep him on ECMO for the shortest time that we possibly can, so as soon as he's ready to come off, we'll take him off. All Fay can do is wait and hope that her baby's body is tough enough for the fight.

But what Fay can't see is that deep inside her day-old son's body, something extraordinary is happening.

Gabriel's immune system, just hours old, starts to respond. It sends out a signal through his bloodstream,

calling on specialist white blood cells to rush to his lungs.

These cells are tiny, measuring around one thousandth of a millimetre, but their job is massive, to clean up his lungs, a site 13 billion times their size. This type of specialised white blood cell can only be seen with a microscopic camera. It is uniquely designed by the body to stretch out its arms and literally eat up the deadly meconium.

An army gets to work doing what the doctors can't, cleaning out the toxic meconium covering every inch of his lungs. But it's a massive task. If they don't clean his lungs in time, Gabriel could suffer irreversible bleeding to the brain on the ECMO machine. Gabriel's best hope lies in one simple fact. Newborns may be small, they may seem entirely helpless, but they can be surprisingly resilient.

Just how much a baby can be put through is going to be tested at the acclaimed neonatal unit in the Johns Hopkins Hospital, Baltimore, USA. 21 year-old Arvita is about to have her second child. Unlike Fay, she already knows that her baby is in danger. This is the baby, right here. Right under here, you can see the baby's heart beating right here. Inside her womb, baby Elijah has developed a massive tumour at the base of his spine called a teratoma. It already weighs a quarter of his own body weight and is still growing. The mass is growing faster than the baby is.

It's getting proportionally larger. The baby's also growing, but the mass is growing. This is how Elijah looked inside his mother at 20 weeks old. Like all babies, he's developed at an incredible speed. To get to even this stage, thousands of new cells have been growing and dividing continually. But then, this unique mechanism turned against Elijah.

A chance event caused cells in the base of his spine to change and then divide uncontrollably. Now the tumour is so big, it can't fit down the birth canal. If he was born naturally, he'd stand only a 50% chance of survival, so Elijah is being delivered by Caesarean section. Delivery for a teratoma child is a significant rite of passage. It is no minor feat. Not only is birth itself a dramatic act, it is traumatic, it's very stressful. It's stressful for mum, it's stressful for the baby and you don't want a child with a teratoma to also have another cardiac stress of being delivered and stressing as it's been pushed out the birth canal, so you would like to have it in a controlled situation. OK, scalpel, please. Thank you. Incision. Incision. Don't cry. It's going to be all right. It's just going to be over in a little bit, OK? We're at the uterus. I've got an arm there. OK, ready, go. I've got the baby's head out. It's going to be all right. BABY CRIES You have a nice heart rate. Hi. I wanted to show you your lovely boy. Hey. Hi, mommy. Is he healthy? Yeah, he looks great. He's got long eyelashes and lots of hair. SONG: # Feel good, good Feel good... # Have you ever felt that you think more clearly after a cup of tea? L-theanine. and found almost exclusively in the humble tea leaf of Lipton Quality tea. Recent research has shown that L-theanine stimulates leading to a relaxed yet alert state of mind. Stay in the zone How to build the perfect Dad's Day gift. Start by selecting your dad. Then rush into Mitre 10 for deals like Bullant AM/FM radio earmuffs: Solar garden lights: Bosch 14.4-volt cordless drill: Tender, juicy chicken fillets for dinner? Done! I'm off! Boneless Banquet, thanks. Including 12 Boneless fillets lightly coated in KFC's 11 secret herbs and spices. KFC's Boneless Banquet.

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Elijah has survived his birth, but what is truly remarkable

is that his body seems to be flourishing, despite the tumour. He's doing great. He's breathing on his own, his colour's good, he's very active. It doesn't sound like he has any heart problems. You always worry when they have anything near their spine, if it's going to affect their lower extremities and it hasn't. He's moving his legs well. He's got good reflexes. And if you didn't see that, he looks just fine. We want to protect him. This is my baby. He's precious. I want to take him home. But Elijah's battle is far from over. The tumour on his spine is still growing and is now so large it has its own blood supply. It's connected by an artery to Elijah's heart, with its own complex network of veins and blood vessels. Elijah's heart is now under incredible strain to keep on pumping extra blood to the growth. It's as if there are two things growing, the baby and the mass.

So it's as if your heart was trying to support two of you.

To make matters worse, what should be a baby's biggest advantage, an amazingly fast growth rate, continues to work against Elijah. The cells in his tumour are multiplying. If left untreated, they can travel through his blood supply, spreading cancer all over his body. To stop this, the doctors will have to do something immensely risky. Something that will test the limits of what a newborn baby can endure. They will perform major surgery on his tiny body to remove the tumour. The reason we want to remove it early, remember, was its chance for what we call malignant potential, or a chance for it to turn into a cancer if you leave it there. If we put this off and procrastinated, it has a higher chance of turning into a cancer. There's an issue that your baby could lose blood in the surgery. He could bleed a lot. This has large blood vessels. So, if you bleed a lot, you could potentially die. A baby's body only has half a pint of blood, compared to an adult that has 20 times that amount. Losing just two tablespoons of blood is enough to kill Elijah. It's the day of the operation and the risks to Elijah begin right from the start, with the anaesthetic.

An anaesthetic works by paralysing the muscles and vital organs, including, crucially, the lungs. To continue the oxygen supply to the body, the doctors must put in a breathing tube. But babies use up their oxygen reserves twice as fast as an adult. If the doctors don't get the breathing tube in quickly enough, Elijah's body will shut down. The biggest risk with anaesthesia in a newborn is loss of breathing. If a newborn stops breathing they'll turn blue with 15 seconds and, frankly, could be dead within 16 seconds. The breathing tube is in successfully and Elijah is now heavily sedated. But there's one muscle in his body that's programmed to overcome the effect of the anaesthetic.

Elijah's heart. In response to the stress of the operation, it instantly switches into survival mode, pumping faster, to keep vital oxygen supply to all his major organs. This child's resting heart rate was in the 120 range. We're stressing him a little bit with the anaesthetic so now his heart rate is up at the 160 range, which would feel horrible for you and I and this child's can stay at 160 for literally days. Elijah's tiny heart is used to coping with additional stress.

For months, it has been fuelling his growing body and the massive teratoma.

But the most dangerous phase of the operation is about to begin. The risk of bleeding when the tumour is actually cut away. 1...2...3.

Chest roll please. Very nice. We need those little close skin hooks that are very close to each other. So we're starting to secure the flaps. There's a huge vessel there, I don't want to get into it. Ironically, the biggest threat to Elijah now is the thing that's keeping him alive - his heart. It's pumping at 160 beats per minute. Any serious bleeding and it could rapidly pump out his entire blood supply. Elijah would go in to shock and then die. Can I've mats, please? OK. The teratoma is removed. But now, the artery supplying it is left leaking blood. If Elijah loses just two tablespoons of blood, if the bleed isn't stopped soon, his body would end up in total shutdown. In the operating theatre, the doctors battle to locate the bleed and seal it up. As they do so, deep inside Elijah's body, an astonishing survival mechanism is triggered. In his bloodstream, thousands of specialist blood cells called platelets recognise that Elijah is bleeding. They immediately transform to become sticky and begin to plug the gash in his artery by forming a clot. Just one drop of his blood contains 250,000 life-saving platelets. Some counter-tension. How's that? Can you do that? It should slow down. Yes, that's fine. I'll dress him up. You're done. You sure? Finally, after six hours, it's over. The platelets have done their job. Along with the surgeons, they have staunched the blood flow. Elijah has made it. I'm extremely pleased with the way things have gone. We have totally removed the tumour.

He's had minimal blood loss so he didn't need a blood transfusion.

As the effect of the anaesthetic wear off, Elijah's body immediately begins his recovery. His brain is able to prioritise which parts of his body need to be brought back to life first.

It sends out a signal to what is at this moment, the most important muscle in his whole body, his diaphragm, triggering it to contract and force his lungs to start breathing. Still monitor him closely over the next 24 hours. OK? Hi, Mrs Hopper. Hi. We have some good news for you. Elijah has done beautifully, first and foremost. It was totally stable. He did superbly. We actually removed it totally and that's what I'm most excited about. That is his best chance for not getting cancer. So, he's come through beautifully. With the burden of the teratoma removed, Elijah looks stronger every day. But the most remarkable change is taking place under his skin. PILOT OVER P.A.: Make sure PILOT OVER P.A : Make sure all electronic devices are off. Sorry, Mr Geldof, but you'll have to turn off your mobile. We're ready for take-off. I'm just downloading an email. Mr Geldof. Sorry, another minute. Sir, we need to take off. (Defiantly) No, one more minute. That's all I need. Thank you. (Yells) This wouldn't happen in Australia! Get emails fast with Telstra Next G network.

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It's so romantic. What does he do? Some kind of artist I think. A mime artist. It's a first for her. Where does she find them? I am NOT getting involved this time. Enjoy more coffee moments throughout your day with new NESCAFE GOLD NUVO. 100% taste with half the caffeine. Inside Elijah's body

the recovery process continues at an amazing rate. his hidden microscopic troops. He mobilises White blood cells have started to clear up the dead skin cells at the sight of the wound. Now, new cells lay down a layer of tissue sealing the area. It is precisely because Elijah is so new that these cells are working at their maximum efficiency. As a tiny baby, everything in his body is primed to grow at its very fastest.

All that energy is now turned towards healing. Skin cells divide rapidly and cover the area. Within just 10 days, a new layer of skin is formed. How is that? What do you think? Huh? There... Elijah's newness has turned out to be his biggest advantage. The incredible powers of growth inherent in all babies have now worked in his favour, allowing Elijah to heal and recover. So for babies, they do do well very rapidly compared to adults. He's survived incredible odds and now he's gone through probably the biggest challenge a baby could have within the first days of live, which is a huge excision of 25% of his body weight, which is no minor feat. So he's already done a lifetime of work in just a week. His eyes are open. Ah, see, another good thing. So, a young baby, even though it seems fragile when we do these big surgeries are actually very efficient and very resilient and able to heal their wounds and actually getting

over the surgery, going home and then growing up to a toddler, who doesn't even remember that this occurred. So it's remarkable the journey that Elijah has already taken. He's really been a miracle. No one knows if baby Gabriel will ever go home. During labour, he inhaled a deadly substance called meconium, blocking his lungs completely and putting his chances of survival at just 30 per cent. But Gabriel's survival instinct is strong, so strong that after 13 days on a life-support system, he is able to look at his mother for the first time. Are those little eyes open? Oh, look! Hello, baby.

It's the first time he's opened his eyes and looked at me. Yeah. Yeah. So lovely. But the real triumph lies inside Gabriel's body with his hidden defence system. Inside his lungs, thousands of specialised white blood cells have been literally eating up the meconium that's coating them. Though microscopically small, their task is huge -

to clean the great expanse of Gabriel's lungs of toxic waste material. But Gabriel is not yet out of danger. His life is supported by a machine called ECMO. Doctors are keeping his blood very thin to stop it clotting up inside the ECMO tubes but it's now so thin that it could leak through the walls of the tiny blood vessels in his brain. While he stays on ECMO, this bleed to the brain could happen at any time. Gabriel has now been on ECMO for 13 days. But he's not recovering as fast as doctors had hoped. Thank you. Now, at the moment, our feeling is that the reason we haven't seen recovery as quick as we would normally,

that he was on such a lot of ventilation when he came, that there's an injury to his lungs from the ventilation itself. Yeah. We knew we had to do that to get him to here. Yeah. I'm sure it's right that we should try if the night goes well, get more fluid off him. If he has a good night, we should try and taking off tomorrow. However, if his lungs don't recover,

we also need to consider that there is something else going on as a possibility. So, we take the rolled oat, attach the wheat pieces, then we bind them all together with golden honey and other yummy stuff. And there we have it - a Crunchy Nut Cluster. Hey, new guy. Away you go. (All chuckle knowingly) (Expectantly) Mmmmmmmmmmm. (Man excitedly) Oh, oh, oh, oh! (Grunts in frustration) (All cheer) (Shrieks wildly) Crunchy Nut Clusters. Well, they are irresistibly tasty. One, two, three. Gabriel has survived another night and the medical team prepare to take him off the machine supporting him. But no one knows for sure whether once off the life-support, his white blood cells will have cleaned his lungs enough to work on their own. If they're still blocked, Gabriel's very survival will once again hang in the balance. Let go take a look and get him ready. ..and a knife. I'm so nervous now. Can I have a swab? If something bad has got to happen to make people realise how precious or special that somebody is. I always knew how special he'd be. The doctors are now coming to a crucial stage in the operation - the removal of the tubes from deep within Gabriel's heart. OK, get your fingers in close the to the wound, closer, closer. Okay, take it out. Pull, pull, pull, fast, fast, fast,... Very good. With the tubes removed, blood flows back into the vessels around Gabriel's lungs. The tiny air sacs start to come to life. His lungs are finally cleaned of meconium and oxygen can pass through them and into his blood. His white blood cells seem to have done their work. We're just tidying him up, give us a couple of minutes. And he's great. And everything went well? Yes, at the moment everything is grand. He's doing beautifully.

Gabriel is not quite out of danger yet. He's off ECMO but he will still have a breathing tube inside him for the next few days until the doctors think he's strong enough to finally take his first breath. I think he's doing really well for what he's been through and what he still going through, he is doing really well. Just a few days later, and it's time for Gabriel's final test. The doctors want to take him off the ventilation completely. For the first time, he will have to breathe on his own. So we're going to take this tube out of Gabriel's throat and blow some wind up his nose and hopefully he'll cope. But I am gonna root for Gabriel. I'll push that through there. Here we go. Big breath for you. As the tube is removed, Gabriel's lungs deflate. The muscles that control his breathing have never been tested.

brain kick them into life. But now urgent signals from his opening up his lungs. His diaphragm pulls down, Air rushes down his windpipe.

incredible will to survive Thanks to this tiny baby's Gabriel has taken his first breath. angry! And he looks comfortable. Oh yes. Oh, dear, angry, angry, and comfortable, regular... His breathing is nice There is no chest sinking in. Coughing nicely. Oh, yes. So that all looks lovely. Good for you. machines and his mum can hold him. At last, Gabriel is free of the Hello. And there is more good news. there are no signs of brain damage. Despite all the worries, which shows us... The ultrasound scan, of bleeding in or around his brain. we couldn't see any evidence

he won't grow and develop normally. there is no reason to expect Based on the evidence we have, of survival were just 30%. 14 days ago, Gabriel's chances His lungs were damaged and useless the amazing work of his own body, but thanks to the medical team and fully functioning, healthy lungs. threatened to kill him, Gabriel has fighting off the enemy that won't lead a normal and active life. There is no reason to think he resourceful newborn bodies can be. the other baby shows is just how What the story of Gabriel and but it's given them mighty defences. weak and apparently helpless Nature may have made them strength to strength. baby Arnav has gone from Since his first struggle for breath, I knew he's a fighter... like nothing before. but it was a joy a full recovery from the teratoma. After one month, Elijah has made has fuelled his growth. His strong heart is at its peak. His body's ability to heal immune system, And thanks to the powers of his a happy and healthy little boy. baby Gabriel is now but I think he's such a fighter, thinks their baby is perfect Obviously, every mother that much is unbelievable. such a little baby to go through is far from over. But the body's fight for life ULTRAVOX: # Vienna reunion movies. 'I really like those high school year meets up and everyone's changed. You know, 20 years later the whole FRANKIE GOES TO HOLLYWOOD: # Relax The school slag's become a nun... and the class heartthrob's the hairy feminist's a beautician, running a pet shop in Harrogate. changed his name to Mandy and is And then there's the love interest. SPANDAU BALLET: # True or won't they? Well, what do you think? DEXY'S MIDNIGHT RUNNERS: # Eileen Of course, their complete bollocks, those high school reunion movies. In real life no-one really grows up. In real life no-one really knows what to do with their life. In real life nothing ever really changes. And I know know that for a fact.' MEDICAL EQUIPMENT SOUNDS It's a waste of cake. I can freeze it. That's what you always do. The deep freeze is overflowing with cake. You could feed a half Africa. MEDICAL EQUIPMENT SOUNDS OVER 'BABY MONITOR' I don't see the point of having another party. Nobody will come! It's not for them. It's for her. Is it? Look...I don't...I don't think I can cope with another birthday. But you don't have to come. I thought you were going to move out anyway? You know I can't afford it. You could rent. Look, this house is too big for us. Why don't we just sell? How many times do I have to tell you? I am not selling this house. This is her home. I'm ovulating. Really? You're not getting cold feet, are you? No, of course I'm not. It's just the word 'ovulating'. Makes me think of chickens. Right, how about... ..I'm fecund? Fecund. Fancy a fecund? Fecund. Fecund. I'm fecund. MOBILE PHONE RINGS Oh, shit!