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[gulls squawking]

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[Chant]
I came to work on a Monday morning

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to be told by our service lead
at the time,

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who's one of the other consultants,
that Neil was suspended.

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It's not an uncommon situation for doctors
to be suspended at any one time,

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and we just assumed
it'd all blow over within weeks.

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At some point, after a couple of months,

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the vascular consultants were asked
to give a statement to the police.

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Is there anything about Neil's practise
that I thought was abnormal?

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Was there anything he'd done

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that was a wrong operation
or an ill-advised operation?

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I just didn't think there'd be an issue
that was of any relevance whatsoever.

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But as things turned out…

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I was wrong to assume that.

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[Vergnault]
In 2019, Neil Hopper caught sepsis,

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and he became a double-leg amputee.

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But after six months, he was back at work,

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and he was operating on patients.

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He was like a superhero surgeon.
You know, nothing could stop him.

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Until one day, in March 2023,
he just didn't come to work again.

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This is the Royal Cornwall Hospital
in Truro. It's known as Treliske.

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And it's Cornwall's main hospital.

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It's where Dr Neil Hopper used to work
as a vascular surgeon.

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At first, his colleagues
were told that he had been suspended,

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but nobody really knew what was going on.

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As a journalist, we do try to keep our
ears to the ground as much as possible.

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A lot of people contact us
via social media, Facebook.

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Um, they might have ideas,
they might have tip-offs.

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And that's when
you start hearing things about him.

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People questioning,
colleagues questioning,

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"Why is he not here? What's going on?"

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There were rumours that he was involved
with the Eunuch Maker website,

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and the person behind it,
Marius Gustavson.

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There were also rumours
of police involvement.

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And I was kind of intrigued.

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What did he do?

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[Parkhouse] During the investigation
in relation to Marius Gustavson,

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who had been running
a website called the Eunuch Maker,

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the Met police discovered
thousands of messages

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between Neil Hopper and Mr Gustavson.

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So it was the Met police
who handed over these messages

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to Devon and Cornwall police
to investigate.

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CPS were contacted
soon after this for early advice

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about the direction of
the investigation looking at Mr Hopper.

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During the conversations,
they get pretty graphic--

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quite disturbing, some of the chats--

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and it's quite often difficult to tell
what's fantasy and what isn't fantasy.

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From looking at these conversations,

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it appeared Mr Hopper had watched
some of these extreme videos.

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So the police were seeking
charges of possessing of extreme images.

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Mr Hopper was arrested in March 2023,
and his property was searched.

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The police seized a significant number
of items, including computers,

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and the police examined his devices,

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looking for things like messages
with Mr Gustavson

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and of course extreme images
that may or may not be on his computer.

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In his police interview,
he would have been asked

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about his connections with Mr Gustavson,

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whether he had been speaking to him.

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And for all these questions,
he made no comment.

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And he is then bailed,
pending further enquiries.

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When someone makes no comment,
we've got to have a very tight case.

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If he puts forward a defence, you can then
build a case to disprove that defence.

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But because he made no comment,

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we had to prove every single element
before any charges would be authorised.

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Normally when you charge extreme images,

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they are found in an accessible area
of someone's computer or phone.

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This case was unusual

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because the police never found
the extreme images on any of his devices.

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And because we never recovered the images,

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I had concerns about being able
to prove possession of extreme images.

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The messages on their own weren't enough.

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So we asked the police to do further work

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before I felt I was in a position
to charge the case.

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[Chant] I think all of us were being fed
snippets of information slowly but surely.

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The police had been involved, and
he didn't think there was a problem.

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And he told me
about his hard drives in his house,

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and he said he'd willingly given them
to the police,

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and there was nothing
to see on them anyway.

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When I saw Neil the last time,
when I bumped into him in Sainsbury's,

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he was very… very downtrodden,
if you like, and depressed and sad.

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And I thought,
"That's perfectly normal. That's it.

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He's now grieving for his legs."
So it wasn't a shock.

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That wasn't a shock.

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[Chant] I remember sitting in his garden

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and him looking at the house extension
he'd had built and the wheelchair ramp,

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and he said, "I could lose all of this."

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And he said, "Well, somebody's suggested

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that the insurance claim is wrong

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and shouldn't have gone through."

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I didn't think anything more of it,

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because I trusted
Neil's version of events implicitly.

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[Spary]
I was following him on social media,

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then all of a sudden it just… it dried up.

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I didn't think anything of it.

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Just people come and go
off of social media.

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[gulls squawking]

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The police needed to obtain
production orders from the court

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for things like his banks
to obtain financial transactions.

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And police were able to tell from
looking at these financial transactions

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that Mr Hopper had purchased
three of these extreme videos.

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He'd purchased one that was £10.

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There were two other videos
purchased for £35.

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And during the conversations
with Mr Gustavson,

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Mr Hopper says that
he's purchased the videos.

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He even names them
and names the males involved.

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He says he's watched them
thousands of times and how hot they are.

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So we know that he purchased
these videos to view them.

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November 2023, he's arrested again,
and again he makes no comment.

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We were satisfied that the offence of
possessing extreme image could be proven,

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but there was other evidence
found for fraud.

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The police therefore
carried out a fraud investigation.

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What was apparent from
the messages with Mr Gustavson

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was that Mr Hopper
had deliberately amputated his own legs.

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I authorised the charges
on 25 June, 2025,

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and he appeared in
the Crown Court in September.

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It got a lot of media attention.

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[Vergnault] We got this tip-off saying,
"Oh, watch out for Neil Hopper at court."

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And then I looked into it and was like,

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"Oh, but it's the hero surgeon
with no legs.

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Wow. Why is he in court for?"

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So came up to the Crown Court at Truro,
and there was everybody.

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This has to be one
of the most extraordinary cases

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to ever come before this court.

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BBC, ITV, <i>The Sun, The Telegraph,
The Guardian,</i> everyone was there.

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Mr Hopper was brought up into the docks
in court and the charges were read to him:

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two frauds and three counts
of possessing of extreme images.

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You could tell from the way he looked
physically in the dock, he was broken.

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You know, head in his hand,
in tears, sobbing.

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He was meek. His voice was weak.

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And then he listened to
everything that was said about him.

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On the weird scale of things,
this was quite high.

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This was an 11 out of ten.

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[Parkhouse]
There were three counts representing

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three individual videos that we know
that he bought.

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They were labelled, and the Met police

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provided a summary
of what each video showed.

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The first one he purchased for £10,

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which showed a male having
his testicles clamped.

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The second one, purchased for £35,

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showed Mr Gustafson tying down a male,

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throwing a dice to decide
which body parts to cut off.

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He then proceeds to castrate this male.

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He then panics because of the amount
of blood coming out of this male

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and calls an ambulance, and you can hear
him calling an ambulance in the video.

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And the final one,
that he purchased for £35,

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was footage of a male castrating himself.

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And on one video, a gentleman
was using a scalpel

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to cut out his penis

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and brandished it to the camera, live.

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All of us were stunned by what we heard.

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This guy is an esteemed NHS consultant,

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who had a sense of care and duty
to his patients and to his colleagues,

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and then when you flip that,
you had this darkness.

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Paying to watch videos of
people castrating themselves…

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Made you feel a bit "ugh".

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[Parkhouse] It's shocking,
because these videos that he was watching

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were clearly dangerous.

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They were being carried out
in dangerous circumstances.

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They wouldn't have been sanitary.

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People were not medically qualified,
and there's a risk of people bleeding out.

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And obviously, these are permanent,
irreversible, lifelong injuries to people,

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and he has a duty as a doctor to help
protect people from medical harm.

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He takes an oath to protect them.

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[Vergnault] So what was said in court
was that when he got in touch

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with the Eunuch Maker, Gustavson,

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he realised there was a whole world
out there of people like him.

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Hopper was not just a paying member.

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He was a contributor, active contributor.

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[message chimes]

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As text messages showed,

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Neil Hopper was in direct contact
with Gustavson.

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About Eunuch Maker,
about product, about new videos,

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even to the point where he would say,

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"When you've got new videos out,
I'll buy them from you."

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[Parkhouse] And then we presented
the evidence that Mr Hopper

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had deliberately frozen his own legs.

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And as a result,
he had to have them amputated.

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It's like, "Oh, what? What did you mean,
he may have done it himself? How?"

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And what was said in court
was that Neil Hopper

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decided to have his own legs amputated
for his own personal gratification.

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And while Gustavson was more into
people cutting their own genitals off,

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Neil Hopper asked Gustavson for advice

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on how to go through a procedure
of amputating his own legs.

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[Parkhouse] So the messages start with
Mr Gustavson saying, "I'm happy to help."

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And the response from Mr Hopper
is excitement. "Oh, wow. Thank you."

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Mr Gustavson clearly has done this before,

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because he provides Mr Hopper
a how-to guide on how to freeze your legs…

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which is very detailed,
surprisingly detailed.

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It looks like an instruction manual.

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Even with pictures in it on where
to place your legs and how to place them.

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Gustavson said,
"Well, this is the process.

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You've got to purchase
medical-grade dry ice."

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[Parkhouse]
The police obtained financial transactions

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00:16:22,400 --> 00:16:25,759
that Mr Hopper had made
at the same time on these dates

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of him buying 20 kilogrammes of dry ice.

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[Vergnault] You've got to get
some crypto money like Bitcoin.

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You go on the dark web,
which is known for criminal activity.

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00:16:38,760 --> 00:16:42,879
Then you purchase high-grade painkillers,

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opioids, that you would need
to sustain the level of pain.

200
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Because when you immerse yourself
for eight hours in dry ice,

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you will be in agony.

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Even dipping your fingers burns. It hurts.

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So eight hours for your legs, without
painkillers, he would have died of shock.

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[Parkhouse] So he helps him buy the drugs

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and he talks him through the whole process
of how to freeze his legs.

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And that starts on the evening
of the 15th of April.

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He knew that his family
were going to be away then.

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He spent eight hours,
eight hours in dry ice,

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pumped to the eyeballs
on, like, you know,

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morphine, basically,
or strong painkillers.

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[Parkhouse]
You can see through the conversation,

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Dr Hopper telling him what he's doing.

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00:17:43,760 --> 00:17:46,840
"I've now submerged my feet.
Checking the temperature.

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00:17:48,440 --> 00:17:50,320
I can't feel my legs anymore.
This is amazing."

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[Vergnault]
He even sent Gustavson some pictures

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of him immersed in the dry ice,

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going, "Hey, look. Soon, no legs."

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[Parkhouse] He's very prepared.

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00:18:04,080 --> 00:18:06,439
He knows exactly what he's doing
and what steps to follow.

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And he's supported
throughout this by Mr Gustavson.

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The conversation ends eventually,

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and then the following day,
Mr Hopper's wife has concerns about him.

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And that's when they found him.

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[siren wailing]

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- [monitors beeping]
- And his own colleagues here in Truro

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worked their hardest to help him,
to save his legs.

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They did what they could, and then
they took the decision to amputate him.

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And on the back of that, he effectively
achieved what he had hoped to do.

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It was clear from the communications

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that this was a long-standing fantasy
of Dr Hopper.

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So he was in hospital for about six weeks.

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Not once did he ever tell
the medical staff or his colleagues

233
00:19:09,000 --> 00:19:11,520
that it was self-inflicted,
so none of them knew.

234
00:19:13,640 --> 00:19:15,880
[Vergnault]
When Hopper had the operation done,

235
00:19:16,840 --> 00:19:18,559
he took pictures of his own stumps

236
00:19:18,560 --> 00:19:23,960
and sent a photo
of his stumps to Gustavson.

237
00:19:33,200 --> 00:19:35,520
[Parkhouse]
He's very happy with the results.

238
00:19:37,040 --> 00:19:41,799
And he told everyone-- friends, family,
members of the public, everyone--

239
00:19:41,800 --> 00:19:43,760
that he had contracted a sickness.

240
00:19:46,280 --> 00:19:48,359
[Skentelbery]
<i>How did you contract the sepsis?</i>

241
00:19:48,360 --> 00:19:50,000
[Hopper]
<i>I think it was food poisoning.</i>

242
00:19:50,640 --> 00:19:53,159
[Skentelbery] <i>Food poisoning? Actually,
you can get sepsis from food poisoning?</i>

243
00:19:53,160 --> 00:19:56,559
[Hopper] <i>Yeah, I think it was, um,
because my daughter had it as well,</i>

244
00:19:56,560 --> 00:20:01,439
<i>um, the same sort of bug, so, um, yeah,
it was probably my bad camping cooking.</i>

245
00:20:01,440 --> 00:20:02,880
[Skentelbery laughing] <i>No!</i>

246
00:20:04,880 --> 00:20:09,199
Everybody trusted him.
He's the expert. He knows what sepsis is.

247
00:20:09,200 --> 00:20:14,920
His job is to deal with sepsis on
a daily basis, so everybody trusted him.

248
00:20:18,160 --> 00:20:22,519
I had the story of,
he felt a little bit off.

249
00:20:22,520 --> 00:20:24,919
He had a glass of whisky,
took a couple of paracetamols.

250
00:20:24,920 --> 00:20:28,239
He went to bed,
and his wife couldn't get hold of him,

251
00:20:28,240 --> 00:20:32,359
so she sent his registrar around,
and they found him in bed.

252
00:20:32,360 --> 00:20:34,720
That's the story he told me.

253
00:20:36,560 --> 00:20:43,199
[Chant] With the benefit of hindsight,
Neil Hopper's feet were black

254
00:20:43,200 --> 00:20:47,639
because they had been exposed
to extreme cold

255
00:20:47,640 --> 00:20:49,320
and not because of sepsis.

256
00:20:54,760 --> 00:20:57,879
To suddenly find that the whole thing
was a real fabrication

257
00:20:57,880 --> 00:21:02,239
was a real, yeah,
quite a surprise, should we say.

258
00:21:02,240 --> 00:21:04,240
Yeah. Staggering, really.

259
00:21:06,160 --> 00:21:08,960
[Spary] When it'd actually come out,
I couldn't believe it.

260
00:21:09,800 --> 00:21:12,879
How can somebody
actually do that to themselves?

261
00:21:12,880 --> 00:21:15,119
It's very hard to think about,
to be quite honest with you,

262
00:21:15,120 --> 00:21:17,080
because what on earth
was his mental state?

263
00:21:19,600 --> 00:21:24,199
To actually put your feet in dry ice,
it must have been so painful.

264
00:21:24,200 --> 00:21:26,120
How can you actually
put yourself through that?

265
00:21:27,360 --> 00:21:30,159
How did he keep that hidden for so long?

266
00:21:30,160 --> 00:21:33,720
From his wife, from his colleagues.
I mean, these are all professional people.

267
00:21:35,320 --> 00:21:38,079
How did they miss it?
How did we all miss it?

268
00:21:38,080 --> 00:21:40,240
I don't know. He just seemed normal.

269
00:21:42,960 --> 00:21:46,959
I find it very troubling
that he has strung along

270
00:21:46,960 --> 00:21:51,599
so many intelligent people
and so many people he loves.

271
00:21:51,600 --> 00:21:55,400
I find it troubling
that I could be quite so well duped.

272
00:22:02,840 --> 00:22:06,039
After he's released from hospital,
on the 4th of June,

273
00:22:06,040 --> 00:22:08,480
he contacts his insurance companies

274
00:22:09,200 --> 00:22:13,239
and explains that he contracted
a mysterious illness,

275
00:22:13,240 --> 00:22:16,480
which developed into sepsis,
and he had to have his legs removed.

276
00:22:19,000 --> 00:22:23,279
The Aviva policy
specifically says any acts of self-harm

277
00:22:23,280 --> 00:22:25,559
would mean that you aren't covered,
for very obvious reasons.

278
00:22:25,560 --> 00:22:27,879
People can't be allowed
to go and cut their body parts off

279
00:22:27,880 --> 00:22:29,960
and then claim
hundreds of thousands of pounds.

280
00:22:31,520 --> 00:22:37,319
As was said in court, he didn't think
it would be hundreds of thousands.

281
00:22:37,320 --> 00:22:40,480
He thought, "Mmm, I'd get ten grand,
five grand, something like that."

282
00:22:45,080 --> 00:22:48,800
When Neil Hopper made the two claims
against insurance policies,

283
00:22:49,880 --> 00:22:51,520
they trusted his expertise.

284
00:22:52,160 --> 00:22:54,879
He knows about sepsis. That's his job.

285
00:22:54,880 --> 00:22:58,480
So they didn't question it,
and it went through.

286
00:23:06,480 --> 00:23:10,679
There was that intention
of "milking it for my amputation."

287
00:23:10,680 --> 00:23:14,920
"How far can I go?
How much can I get for my amputations?"

288
00:23:16,280 --> 00:23:18,279
[Parkhouse]
He was paid the money in June by Aviva.

289
00:23:18,280 --> 00:23:21,759
Old Mutual Wealth paid him in July 2019.

290
00:23:21,760 --> 00:23:25,159
Quite a lot of money. It's £466,000.

291
00:23:25,160 --> 00:23:29,119
And the most…
the biggest purchases, if you like,

292
00:23:29,120 --> 00:23:31,799
were prosthetic legs.

293
00:23:31,800 --> 00:23:33,440
He spent £30,000 on that.

294
00:23:34,080 --> 00:23:37,000
There was a purchase
of a hot tub for about £15,000.

295
00:23:37,760 --> 00:23:43,960
The biggest purchase was £250,000
towards work to his house.

296
00:23:45,320 --> 00:23:48,759
And then a lot of it
was just spent on smaller things.

297
00:23:48,760 --> 00:23:50,880
And by November 2022,
it had all been spent.

298
00:23:52,840 --> 00:23:57,000
For him to have done what he did, freezing
his own legs, in itself is not illegal.

299
00:23:58,160 --> 00:24:00,879
But the act that made that illegal

300
00:24:00,880 --> 00:24:04,800
was then making a false representation
to his insurance company

301
00:24:05,360 --> 00:24:08,839
that he'd contracted sepsis and
hadn't done this deliberately to himself.

302
00:24:08,840 --> 00:24:11,160
That's when he broke the law.

303
00:24:11,960 --> 00:24:17,120
So half a million pounds of greed, effectively.

304
00:24:18,800 --> 00:24:21,160
And that was his downfall.

305
00:24:29,760 --> 00:24:31,839
[Parkhouse]
Because the evidence was overwhelming,

306
00:24:31,840 --> 00:24:34,280
the defence will do what's
called a plea and mitigation.

307
00:24:35,720 --> 00:24:37,319
He was a man of good character.

308
00:24:37,320 --> 00:24:40,359
He was a vascular surgeon,
a 49-year-old married man.

309
00:24:40,360 --> 00:24:44,239
No previous record of offending,
children, family support,

310
00:24:44,240 --> 00:24:46,680
and clearly was struggling
with his mental health.

311
00:24:49,520 --> 00:24:54,399
[Vergnault] In his defence, the barrister
said that Hopper had body issues,

312
00:24:54,400 --> 00:25:00,919
in that he didn't accept his limbs
as fully part of his body,

313
00:25:00,920 --> 00:25:03,040
like they didn't belong to him.

314
00:25:04,720 --> 00:25:07,119
This is a transcript
of what was read out in court.

315
00:25:07,120 --> 00:25:10,879
"And he suffered body dysphoria

316
00:25:10,880 --> 00:25:16,079
and a particular distaste or loathing
for his feet,

317
00:25:16,080 --> 00:25:18,400
and he felt that
they were not part of him."

318
00:25:24,000 --> 00:25:26,279
[First] Body Integrity Dysphoria

319
00:25:26,280 --> 00:25:29,439
is a condition where people
want to have an amputation

320
00:25:29,440 --> 00:25:32,880
because they believe that some part
of their body, when they look at it,

321
00:25:35,080 --> 00:25:36,039
it just feels like it's foreign,
it shouldn't be there.

322
00:25:36,040 --> 00:25:38,679
In this particular case with Mr Hopper,

323
00:25:38,680 --> 00:25:41,960
so much of his presentation is
just classic.

324
00:25:43,920 --> 00:25:46,279
The word "dysphoria"
means it gives you a bad feeling.

325
00:25:46,280 --> 00:25:50,879
It's dysphoria, so gender dysphoria
means your gender makes you feel bad.

326
00:25:50,880 --> 00:25:52,359
So the same thing is here.

327
00:25:52,360 --> 00:25:58,319
The way your body is configured makes
you feel bad, so Body Integrity Dysphoria.

328
00:25:58,320 --> 00:26:01,039
Your having four limbs makes you feel bad.

329
00:26:01,040 --> 00:26:06,440
So the solution for them
is to remove the limb.

330
00:26:07,240 --> 00:26:11,080
The body without the limb is the way
they feel like they should have been born.

331
00:26:12,680 --> 00:26:14,239
So it's really like an obsession.

332
00:26:14,240 --> 00:26:16,239
You're obsessed
with this thing you can't get.

333
00:26:16,240 --> 00:26:21,080
And it's extremely rare, but the patients
who have it suffer tremendously.

334
00:26:26,480 --> 00:26:30,599
So what happens with those people
is the idea is you make the leg unviable,

335
00:26:30,600 --> 00:26:31,919
so when you go to the hospital,

336
00:26:31,920 --> 00:26:35,519
the only treatment that's available for
someone like that is to do the amputation.

337
00:26:35,520 --> 00:26:38,599
So they basically do something
that could force the amputation.

338
00:26:38,600 --> 00:26:42,519
There was a case of a guy
who wanted to lay down on a train track

339
00:26:42,520 --> 00:26:44,599
and wanted the train to run over his leg.

340
00:26:44,600 --> 00:26:46,880
I mean, really serious stuff like that.

341
00:26:52,040 --> 00:26:55,520
In this case, you call up
a dry-ice place, order a ton of it,

342
00:26:56,240 --> 00:26:59,639
you follow whatever you read about
what people do, and you do it yourself,

343
00:26:59,640 --> 00:27:02,999
and at least,
however horrible it is to do that,

344
00:27:03,000 --> 00:27:07,599
it's more likely than not
that you'll come out of it alive.

345
00:27:07,600 --> 00:27:09,319
What's interesting about this condition,

346
00:27:09,320 --> 00:27:11,560
you look at them and you go,
"Looks normal to me."

347
00:27:18,840 --> 00:27:22,439
They can have
this one very totally weird thing

348
00:27:22,440 --> 00:27:25,120
and be totally normal in every other way.

349
00:27:26,920 --> 00:27:28,679
It's like a Dr Jekyll/Mr Hyde thing.

350
00:27:28,680 --> 00:27:31,519
They're like a different person
when they're in this mode.

351
00:27:31,520 --> 00:27:35,959
You can see it doesn't bleed over
into the other part of their lives.

352
00:27:35,960 --> 00:27:38,639
In Neil's case, he was able
to successfully keep it

353
00:27:38,640 --> 00:27:41,200
under wraps for years,
which is incredible.

354
00:27:42,720 --> 00:27:47,199
It's not a coincidence
that he chose to be a vascular surgeon,

355
00:27:47,200 --> 00:27:52,639
because vascular surgeons do amputations,
and that was his obsession.

356
00:27:52,640 --> 00:27:57,200
So his obsession turned into
something very positive for him.

357
00:27:58,200 --> 00:28:03,159
He was an excellent, well-respected
vascular surgeon, very, very skilled.

358
00:28:03,160 --> 00:28:07,279
Given my experience of these cases,
to get what he wanted with his legs,

359
00:28:07,280 --> 00:28:09,239
I think it would have cured his BID,

360
00:28:09,240 --> 00:28:12,719
meaning that he would no longer
be thinking and obsessing

361
00:28:12,720 --> 00:28:15,199
about this idea
of wanting to be an amputee.

362
00:28:15,200 --> 00:28:18,480
He would come
to some degree of peace with himself.

363
00:28:21,720 --> 00:28:25,639
His barristers explained to court,
in his defence,

364
00:28:25,640 --> 00:28:31,479
Neil Hopper regretted the hurt
he caused his family, his loved ones,

365
00:28:31,480 --> 00:28:33,879
he regretted the loss of his career,

366
00:28:33,880 --> 00:28:39,799
but he never regretted
the actual loss of his legs,

367
00:28:39,800 --> 00:28:42,079
because that's what he had always wanted.

368
00:28:42,080 --> 00:28:44,119
It's almost like
he had been looking forward

369
00:28:44,120 --> 00:28:47,159
to having no legs for such a long time

370
00:28:47,160 --> 00:28:53,080
that when finally he had no legs,
he was ironically complete.

371
00:28:54,520 --> 00:28:58,279
But that does not explain
the extreme pornographic videos

372
00:28:58,280 --> 00:29:00,159
he downloaded from the Eunuch Maker.

373
00:29:00,160 --> 00:29:03,119
That doesn't explain or excuse

374
00:29:03,120 --> 00:29:06,119
his involvement with the Eunuch Maker
and Gustavson,

375
00:29:06,120 --> 00:29:10,159
considering that people were being hurt.

376
00:29:10,160 --> 00:29:11,360
Absolutely not.

377
00:29:12,400 --> 00:29:18,759
The sexual angle and how extreme it is
is not typical for somebody with BID.

378
00:29:18,760 --> 00:29:24,039
I suspect he had this… the wanting
to be an amputee, going all the way back,

379
00:29:24,040 --> 00:29:28,760
and then somewhere, maybe in adolescence,
he developed this sexual element.

380
00:29:30,440 --> 00:29:34,720
The idea of seeing somebody made
to be a eunuch was his kink.

381
00:29:35,760 --> 00:29:37,839
Now, why these things develop
is another mystery.

382
00:29:37,840 --> 00:29:41,919
We have no idea why it is
that people develop a kink.

383
00:29:41,920 --> 00:29:45,759
I mean, usually there's something
that happens in childhood very early on

384
00:29:45,760 --> 00:29:46,760
that becomes sexualised.

385
00:29:49,240 --> 00:29:53,399
So I'm sure when he heard
about the Eunuch Maker

386
00:29:53,400 --> 00:29:56,079
and then heard that he sold videos,

387
00:29:56,080 --> 00:29:58,840
it was probably irresistible to him
not to order one.

388
00:30:01,360 --> 00:30:06,439
Not only is Gustavson
dealing in castration videos,

389
00:30:06,440 --> 00:30:08,919
but Gustavson has the same interest

390
00:30:08,920 --> 00:30:12,919
in amputation to the degree
that he did it himself.

391
00:30:12,920 --> 00:30:16,680
So I'm sure for Neil
that was like a gold mine…

392
00:30:19,680 --> 00:30:21,799
the ability to be able
to share that secret

393
00:30:21,800 --> 00:30:23,999
with someone who wasn't horrified by it.

394
00:30:24,000 --> 00:30:27,080
I mean, that's gotta be
hugely helpful to him.

395
00:30:28,240 --> 00:30:33,240
I'm sure that was a big facilitating
factor for Neil to go through.

396
00:30:38,800 --> 00:30:43,200
So I think Gustavson is a serious
accomplice in that part of the story.

397
00:30:46,960 --> 00:30:48,839
[Parkhouse] The evidence was overwhelming,

398
00:30:48,840 --> 00:30:52,559
but because he'd made no comment, I had no
idea what he was going to do in this case.

399
00:30:52,560 --> 00:30:53,959
What issues was he going to take?

400
00:30:53,960 --> 00:30:55,959
Were we going to have
legal arguments about the fact

401
00:30:55,960 --> 00:30:59,719
that the images were never
actually recovered from his laptop?

402
00:30:59,720 --> 00:31:00,799
I didn't know.

403
00:31:00,800 --> 00:31:05,200
And I frankly was pleasantly surprised
when he pleaded guilty.

404
00:31:07,120 --> 00:31:09,439
And he was sentenced there and then.

405
00:31:09,440 --> 00:31:12,839
And he was sentenced
to 22 months for the frauds,

406
00:31:12,840 --> 00:31:17,599
and ten months concurrent on
the possession of the extreme images,

407
00:31:17,600 --> 00:31:19,880
and a sexual harm prevention order
was made.

408
00:31:24,040 --> 00:31:27,439
Neil Hopper was today jailed
for more than two and a half years

409
00:31:27,440 --> 00:31:31,160
after admitting he had
a sexual interest in amputation.

410
00:31:34,160 --> 00:31:37,599
[reporter] <i>His downfall from
hero doctor now complete,</i>

411
00:31:37,600 --> 00:31:39,760
<i>he's been jailed for two and a half years.</i>

412
00:31:40,800 --> 00:31:42,800
[birds chirping]

413
00:31:54,120 --> 00:31:58,439
[Vergnault] There is that sense amongst
his colleagues that he betrayed them.

414
00:31:58,440 --> 00:32:02,959
The resources that were used
to try to save his legs

415
00:32:02,960 --> 00:32:08,759
when those resources--
NHS staff, equipment, time--

416
00:32:08,760 --> 00:32:11,919
could have been used to try
and save someone else's legs.

417
00:32:11,920 --> 00:32:13,840
And I think there was that sense of,

418
00:32:15,480 --> 00:32:18,679
"What a waste. That could have
been used to save someone's life.

419
00:32:18,680 --> 00:32:22,400
Instead, we helped you achieve
your weird fantasy."

420
00:32:24,760 --> 00:32:29,439
[Chant] I suppose the thing that worries
me in some respects about the whole affair

421
00:32:29,440 --> 00:32:32,599
is that there are
a lot of patients out there

422
00:32:32,600 --> 00:32:37,239
who are possibly believing that maybe
they were treated by him in good faith

423
00:32:37,240 --> 00:32:39,879
and had the wrong operation

424
00:32:39,880 --> 00:32:43,480
or had the wrong treatment
or the wrong advice.

425
00:32:50,080 --> 00:32:53,759
Some of the patients' concerns
touched on

426
00:32:53,760 --> 00:32:58,279
whether Neil Hopper operated on them

427
00:32:58,280 --> 00:33:01,639
for his own sexual gratification.

428
00:33:01,640 --> 00:33:02,879
That was a concern.

429
00:33:02,880 --> 00:33:04,759
[machines whirring, beeping]

430
00:33:04,760 --> 00:33:08,159
Did he cut my leg off
because it was necessary

431
00:33:08,160 --> 00:33:10,120
or because it was a weird fetish?

432
00:33:12,600 --> 00:33:18,760
Did he amputate my limb because I needed
it to save my life or because he's a perv?

433
00:33:19,440 --> 00:33:23,239
[First] Any patient of his once this
came out would be, I would worry too.

434
00:33:23,240 --> 00:33:27,239
"Is he competent as a doctor? Was
he getting excited by doing the surgery?"

435
00:33:27,240 --> 00:33:28,800
It's an obvious thing to think.

436
00:33:39,800 --> 00:33:43,480
[Bird] I had dialed
into the Crown Court hearing,

437
00:33:44,520 --> 00:33:49,279
and to hear that a respected
consultant vascular surgeon in Cornwall

438
00:33:49,280 --> 00:33:53,960
was somehow connected with that kind
of world was a bizarre thing to hear.

439
00:33:58,040 --> 00:34:03,440
I'm a solicitor. We specialise
in clinical and medical claims.

440
00:34:06,680 --> 00:34:12,079
Because obviously Mr Hopper was a vascular
surgeon whose job is to amputate legs,

441
00:34:12,080 --> 00:34:14,759
the question was,
well, what has he been doing?

442
00:34:14,760 --> 00:34:16,759
How might had it impacted his patients?

443
00:34:16,760 --> 00:34:21,079
Are there going to be patients
who are going to be looking for answers

444
00:34:21,080 --> 00:34:24,200
or asking questions
about their own treatment?

445
00:34:25,720 --> 00:34:30,560
And there was quite a flurry of patients
who've contacted us,

446
00:34:31,400 --> 00:34:34,799
and they have almost all said,

447
00:34:34,800 --> 00:34:36,679
"We feel very uncomfortable

448
00:34:36,680 --> 00:34:42,239
that the treatment that we received may
not have been motivated by clinical need.

449
00:34:42,240 --> 00:34:45,440
It may have been motivated
by sexual gratification.

450
00:34:47,520 --> 00:34:51,479
What was going on in his head
when he had me on the operating table

451
00:34:51,480 --> 00:34:53,560
if he was going to be amputating my leg?"

452
00:35:02,000 --> 00:35:05,759
Like anybody else, I was pretty surprised

453
00:35:05,760 --> 00:35:09,760
to see the nature of the charges
that were being brought against him,

454
00:35:10,480 --> 00:35:14,119
because Mr Hopper
was quite a sort of local celebrity.

455
00:35:14,120 --> 00:35:15,959
He'd done quite a lot of local news.

456
00:35:15,960 --> 00:35:18,079
I'm a nightmare patient, really.

457
00:35:18,080 --> 00:35:20,879
- Because I know I'm the mystery shopper.
- [interviewer] Yeah, exactly.

458
00:35:20,880 --> 00:35:24,759
[Bird] He was an inspirational character
to many people,

459
00:35:24,760 --> 00:35:28,959
but he deceived his family, his friends,

460
00:35:28,960 --> 00:35:31,679
his medical colleagues
at the Royal Cornwall Hospital.

461
00:35:31,680 --> 00:35:33,960
When he was first admitted there,
he didn't tell them what he'd done.

462
00:35:35,960 --> 00:35:40,400
And so what else
might he have deceived people about?

463
00:35:43,360 --> 00:35:45,919
It is my job to ask questions,

464
00:35:45,920 --> 00:35:48,960
but we may never get
those questions answered.

465
00:35:53,840 --> 00:35:56,479
[Vergnault] Neil Hopper may still be
an active surgeon at Treliske

466
00:35:56,480 --> 00:35:58,200
if it hadn't been for Michael…

467
00:35:59,840 --> 00:36:02,960
who was castrated by the Eunuch Maker.

468
00:36:04,560 --> 00:36:07,640
But there's still another twist
in Michael's story.

469
00:36:09,960 --> 00:36:16,240
So Michael told me, after
he was castrated, he went to Treliske…

470
00:36:18,760 --> 00:36:21,360
which is obviously
where Neil Hopper worked.

471
00:36:22,880 --> 00:36:24,080
He's going to hospital

472
00:36:24,800 --> 00:36:28,999
because obviously, he's had cattle clamps
put to his testicles,

473
00:36:29,000 --> 00:36:31,640
and he's in pain and he needs treatment,
needs help.

474
00:36:33,600 --> 00:36:35,719
So you've got
the two Eunuch Maker worlds,

475
00:36:35,720 --> 00:36:39,799
one a victim, one a participant,
colliding,

476
00:36:39,800 --> 00:36:42,760
coming together
at the same hospital in Cornwall.

477
00:36:46,520 --> 00:36:49,679
[Michael]
I believe Gustavson's modus operandi

478
00:36:49,680 --> 00:36:55,839
was always to cause the injury
to such a degree

479
00:36:55,840 --> 00:36:59,599
and then send the person to the NHS

480
00:36:59,600 --> 00:37:02,000
and have them deal with the damage.

481
00:37:04,520 --> 00:37:09,799
Treliske Hospital is the nearest,
biggest hospital to me

482
00:37:09,800 --> 00:37:12,400
that has a urology department.

483
00:37:15,080 --> 00:37:20,279
At the time, I didn't know Mr Hopper
was a consultant surgeon

484
00:37:20,280 --> 00:37:22,480
at the same hospital I went to.

485
00:37:27,320 --> 00:37:28,999
When I was sent up to Treliske,

486
00:37:29,000 --> 00:37:32,839
I said to the urologist,
"I had a one-night stand with a sadist."

487
00:37:32,840 --> 00:37:33,919
And he said,

488
00:37:33,920 --> 00:37:36,159
"I'll go and have a look
at the report, go back

489
00:37:36,160 --> 00:37:39,720
and go and have a consult with
some colleagues, and I'll be back."

490
00:37:42,560 --> 00:37:47,439
For all I know, he could have gone
and had coffee with Neil Hopper.

491
00:37:47,440 --> 00:37:51,000
Because Neil Hopper was a vascular
surgeon. This involves blood flow.

492
00:37:52,280 --> 00:37:56,039
So, in my head, there's always
going to be the question of:

493
00:37:56,040 --> 00:38:01,519
Did the vascular team
get consulted on this?

494
00:38:01,520 --> 00:38:04,399
It's certainly suspicious to me

495
00:38:04,400 --> 00:38:11,199
that one of the users of that website
and friend of Gustavson

496
00:38:11,200 --> 00:38:15,520
was also a consultant surgeon
at the same hospital I went to.

497
00:38:17,680 --> 00:38:21,479
[Vergnault] For Michael, I think that's
the mental Rubik's Cube, you know,

498
00:38:21,480 --> 00:38:25,199
of, he went to hospital
for something horrific

499
00:38:25,200 --> 00:38:28,039
that happened to him
at the hand of the Eunuch Maker,

500
00:38:28,040 --> 00:38:31,959
and he found out that
one of the Eunuch Maker enthusiasts

501
00:38:31,960 --> 00:38:34,999
was a consultant at
the same hospital here in Cornwall,

502
00:38:35,000 --> 00:38:36,559
which is quite a small world,

503
00:38:36,560 --> 00:38:41,840
and I think he had troubles
reconciling the two.

504
00:38:42,680 --> 00:38:44,959
[Chant] We do work closely together,

505
00:38:44,960 --> 00:38:50,039
and, you know, urologists and vascular
surgeons will do operations together,

506
00:38:50,040 --> 00:38:53,319
so I guess if there was
a blood vessel problem,

507
00:38:53,320 --> 00:38:55,119
then, yeah, Neil may well have been asked.

508
00:38:55,120 --> 00:38:58,840
But I think it's exceedingly unlikely.

509
00:39:02,080 --> 00:39:06,440
But as things turned out,
unlikely things happen.

510
00:39:07,400 --> 00:39:08,400
Yeah.

511
00:39:19,880 --> 00:39:21,959
[Bird] The Royal Cornwall Hospital's trust

512
00:39:21,960 --> 00:39:25,599
said there's been
an internal investigation done.

513
00:39:25,600 --> 00:39:29,359
They indicated that
as part of that internal review,

514
00:39:29,360 --> 00:39:31,079
one of their own consultants

515
00:39:31,080 --> 00:39:33,679
who had had experience of working

516
00:39:33,680 --> 00:39:36,000
for the police in another matter
had been involved.

517
00:39:36,680 --> 00:39:39,559
But my understanding is that the analysis

518
00:39:39,560 --> 00:39:43,199
was done by the trust's own employees,

519
00:39:43,200 --> 00:39:46,120
their own clinicians, not external.

520
00:39:47,280 --> 00:39:49,639
It doesn't reassure a concerned patient

521
00:39:49,640 --> 00:39:52,519
who's just heard that the person
who amputated their leg

522
00:39:52,520 --> 00:39:55,960
has admitted charges
of extreme pornography and fraud.

523
00:39:57,080 --> 00:40:00,600
That's a huge, huge issue,

524
00:40:01,440 --> 00:40:05,679
because he's lied, and because
it strikes at that relationship,

525
00:40:05,680 --> 00:40:08,279
that confidence
that one places in a doctor

526
00:40:08,280 --> 00:40:10,599
to be doing the right thing
for the right reasons.

527
00:40:10,600 --> 00:40:12,600
[gulls squawking]

528
00:40:17,760 --> 00:40:20,080
Had he not committed the fraud,

529
00:40:21,880 --> 00:40:23,320
he might have got away with it.

530
00:40:24,040 --> 00:40:27,680
He might still be doing interviews
and being a TV consultant as well.

531
00:40:28,720 --> 00:40:32,039
Radio, TV, Internet, podcast, everything.

532
00:40:32,040 --> 00:40:34,079
He might have got his own book.

533
00:40:34,080 --> 00:40:36,759
But he got done

534
00:40:36,760 --> 00:40:40,440
because something else bigger
than him came apart.

535
00:40:45,360 --> 00:40:48,999
And it's almost like two separate people,
almost, two separate minds.

536
00:40:49,000 --> 00:40:51,040
Himself the professional…

537
00:40:51,840 --> 00:40:55,279
Well, there's no surgery to be done.
There's no bypass.

538
00:40:55,280 --> 00:40:56,600
…leading his normal life,

539
00:40:58,000 --> 00:41:01,160
and himself, the fetishist…

540
00:41:03,640 --> 00:41:05,720
on the dark side of humanity.

541
00:41:07,520 --> 00:41:10,519
[Chant] In my more generous moments,

542
00:41:10,520 --> 00:41:15,439
I just feel very sorry for him
being dragged along by it.

543
00:41:15,440 --> 00:41:20,280
You know, you could forgive him
for injuring himself.

544
00:41:21,880 --> 00:41:24,559
But I think the Eunuch Maker website…

545
00:41:24,560 --> 00:41:28,519
I'm amazed Neil didn't have
the common sense to stop

546
00:41:28,520 --> 00:41:30,400
before he went across that line.

547
00:41:34,160 --> 00:41:36,679
[Parkhouse] The biggest impact
for Mr Hopper in this case

548
00:41:36,680 --> 00:41:40,640
is clearly going to be the fact
that he's completely lost his reputation.

549
00:41:42,000 --> 00:41:44,759
Losing your reputation in criminal cases

550
00:41:44,760 --> 00:41:48,680
can quite often be worse
than the punishment you receive.

551
00:41:49,520 --> 00:41:53,160
[Spary] A lot of people are shocked.
A lot of people are disgusted.

552
00:41:55,240 --> 00:41:59,839
Was he helping people because he knew
he was doing something fraudulently?

553
00:41:59,840 --> 00:42:03,679
Was that his way of trying
to right a wrong that he'd done?

554
00:42:03,680 --> 00:42:08,600
That has to be why he recovered so fast:
because he got what he wanted.

555
00:42:12,000 --> 00:42:14,400
He got what he thought he wanted.

556
00:42:15,160 --> 00:42:19,560
I don't know.
It's a strange sort of story, really.

557
00:42:24,160 --> 00:42:27,919
[gulls squawking]

558
00:42:27,920 --> 00:42:29,560
All right. Come on.

559
00:42:31,760 --> 00:42:34,520
Come here. Come, come, come. Come on.

560
00:42:35,160 --> 00:42:39,440
Up. All right, sit. No, sit.
Come on. Sit! There we go.

561
00:42:44,160 --> 00:42:46,600
I don't really know how I feel
about Neil Hopper.

562
00:42:47,640 --> 00:42:49,439
He betrayed everybody.

563
00:42:49,440 --> 00:42:51,879
His family, his friends,

564
00:42:51,880 --> 00:42:54,479
his colleagues, his own patients,

565
00:42:54,480 --> 00:42:56,080
but he also betrayed himself.

566
00:42:58,560 --> 00:43:00,759
But had he been more open,

567
00:43:00,760 --> 00:43:04,320
had he talked to somebody
about his mental health issues,

568
00:43:05,480 --> 00:43:07,680
maybe none of this would have happened.

569
00:43:09,560 --> 00:43:11,879
In Truro, which is a small city,

570
00:43:11,880 --> 00:43:14,920
the ripple effects of the Neil Hopper saga
are still being felt.

571
00:43:16,240 --> 00:43:20,760
There are people who still have questions
to which they may never get an answer.

572
00:43:21,840 --> 00:43:24,320
And ultimately, it is a really sad story.

573
00:43:27,600 --> 00:43:30,999
I've heard some crazy stuff in 25 years.

574
00:43:31,000 --> 00:43:33,679
I've interviewed
prime ministers, pop stars,

575
00:43:33,680 --> 00:43:37,680
but this was so strange.

576
00:43:38,520 --> 00:43:40,759
The dark side of the human mind.

577
00:43:40,760 --> 00:43:45,999
As interesting as it was,
and as exciting as for a reporter it was,

578
00:43:46,000 --> 00:43:48,319
I don't want that shit in my head.

579
00:43:48,320 --> 00:43:49,320
No thanks.


