Episode 7 Secret Life of the Hospital Bed


Episode 7

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Transcript


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-Hand versus chainsaw.

-It looks painful.

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Our hospitals are taking care of more patients than ever.

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You all right?

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With medical teams under constant pressure...

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Can Dr Pizzi come to resus, please?

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Somebody as poorly as this little one,

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we really need to treat them quickly.

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..to meet our expectations.

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I'm just worried about what it's going to be like afterwards.

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But there's a crucial member of the team we sometimes forget...

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I've never ever been on a bed like this.

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..the hospital bed.

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Another ward, another story,

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another bed.

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In our lifetime, we are likely to need one of them

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at least three times.

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I've probably spent a quarter of my life on a hospital bed!

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In this series, our cameras have been given unprecedented access

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to beds in four very different hospitals across the country.

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It's life. Life and death and everything that goes in-between.

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We'll see the world through the bed's eyes...

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Hello, my love, hiya.

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..as they share the most challenging...

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I don't know what to do, I don't know.

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..most intimate...

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I know.

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..and most rewarding...

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Happy birthday!

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Isn't hospital wonderful?

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..moments of our lives.

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-Thank you for being here.

-I wouldn't be anywhere else.

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Hospital cannot function without beds.

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Beds are vital.

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This is...

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Across the UK,

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an increasing number of women are having children later in life.

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And at Queen's Hospital in Romford, Essex,

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more than 50% of first-time mums are over 30.

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Do you know where the maternity triage...?

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Yes, yes. She needs to come to the checkup, all right?

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OK, bye.

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The hospital's maternity unit has 25 beds which never rest.

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Each one helps deliver around two babies every day.

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Hello, little lady.

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Maternity bed six is joined by first-time mum-to-be-Shola,

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who is 49.

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She's having triplets.

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When people see you're 49, you're pregnant, they say, "Wow!"

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Carrying triplets? "Wow!

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"How are you coping? How are you doing?"

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I just cope, carry very well.

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I say, "I'm young, it's just all in the mind, isn't it?"

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Do you need some water or something?

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Shola and her husband Ike have been trying for a baby for 20 years.

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This is like a 19-20 years journey for us,

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we've been trying to have children.

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The couple are devout Christians.

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Their church pastor predicted they would have triplets.

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"By this time next year, you will come,

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"you will carry one child, your husband will carry another one

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"and the grandmother will carry another one,"

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so when he said that, that's when I realised that God had a plan.

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Shola's pregnancy is high-risk because she is carrying three babies

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and she's almost 50.

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Midwife Alexander is on duty today.

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Hello.

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Shola has been admitted to the prenatal ward for monitoring.

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One of the babies is seriously underweight.

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Midwife Alexander has to check every six hours

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that all the babies' hearts are still beating.

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We're doing a cardiotocogram.

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Three babies' heartbeats can be hard to find.

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Right, so that's the first baby.

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This is the first triplet.

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It's a good baby!

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So, we actually need half an hour for this.

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-I'm not going to move.

-I'm not going to move!

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I'm going to lie down here.

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The most important thing is that they all have

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a different heart rate, so we know they are all different individuals.

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The baby we are most worried about, he's smaller than the other two.

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They will all need support, all three of them, yeah.

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They're only 32 weeks, that's why it's so difficult.

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The babies, they're still very little.

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Let me see if I can find this one back first.

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I'm trying to look for the second baby.

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She's struggling to find the smallest baby's heartbeat.

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I haven't got all three of them yet.

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I'm just going to feel her tummy and see if I can feel their backs.

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If we're struggling too much,

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you will have to have another scan done.

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Let me see if I can feel this one.

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There we go. At last!

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So, we've got 139, 140, and 136.

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The heart rates are normal.

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With one baby seriously underweight,

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Shola's triplets will be delivered more than a month early

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by Caesarean section.

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I'm looking forward to going home with my babies, so, yeah,

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that's the most important thing now.

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Today will be the last day of being two.

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From tomorrow, we are now five.

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Is that not amazing?

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Maternity bed six will stay with Shola until her babies

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are born in less than 24 hours.

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Even if it's an elective Caesarean section,

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there is always risk with surgery, so, yes,

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it's always a risk when it comes to Caesarean sections.

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Last year, 25,000 people were killed or seriously injured

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on Britain's roads.

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At Newcastle's Royal Victoria Infirmary,

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more than 1% of people who come to the A&E department

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have been in a car accident.

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I've got you booked in, Margaret. We'll get you seen to, pet.

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Just have a seat.

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The unit's 29 beds are the ones most under pressure in the hospital.

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The teams here aim to diagnose,

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treat and discharge patients within just four hours.

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A&E bed nine is waiting for its next patient, 35-year-old actor Stuart.

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He's been involved in a high-speed car crash.

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With no passenger air bag,

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Stuart smashed his chest, wrist and finger.

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Unfortunately, we've been involved in a massive car crash

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and paramedics have said, "Go and get checked out at A&E."

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Stuart's friend Tom was driving, but he is uninjured.

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I'm quite concerned about the state of my right lung,

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if I'm being honest,

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because breathing in, there's kind of a stabbing pain, so that's...

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And then getting home, I suppose,

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because the thing that was going to get us home

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is the thing that we broke when we crashed it, so...

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The van... The van is a write-off.

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Stuart is taken to A&E bed nine.

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Hello. Is it Mr Kerry?

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-It is indeed.

-Hi, I'm Ben, I'm one of the doctors.

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Dr Earle-Wright will assess what injuries

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the high-speed collision may have caused Stuart.

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I understand you had a bit of an accident.

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Did the airbags go off?

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The one for the driver, my friend Tom, did,

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but I didn't have one, I'm afraid.

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You didn't have one. Right, OK.

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And what did the car look like? Was it pretty mashed?

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-Yeah. Yeah, concertinaed.

-Right, OK.

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Do you want to sit yourself back?

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Yeah, yeah.

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-OK. Can you take the T-shirt off for me?

-Yes, of course.

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OK. Yeah, you've got a decent...

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-Yeah.

-..a decent mark.

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When I press on your chest over this side, is it sore at all?

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Not really, no. Once you get to the middle.

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-No shortness of breath?

-No, no.

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If you take a really deep breath in, does it hurt anywhere?

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It's a little bit, kind of...

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Pokey is the way I'd feel it.

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I'd probably say 2/10 on the pain scale.

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-And what about pain around here?

-No.

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-Just going to have a quick feel of this, OK?

-Yeah.

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-Is it quite sore there?

-That's tender, yeah.

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What about under, under here on your ribs?

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-Not so bad, actually.

-Not so bad?

-No, not so bad at all.

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-Ooh!

-Just there as well.

-Yeah.

-OK.

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Can you sit forward for us?

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Oh, that's quite painful!

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Quick listen to your chest.

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Deep breaths in and out.

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And out.

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An X-ray will show if Stuart has any internal damage.

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Around 60% of people who are involved in car crashes

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have broken ribs.

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These fractures can cause serious organ damage.

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I'll give my missus a ring because she's very worried

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and wants to be kept updated.

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-I'll be right back.

-OK, thank you.

-All right?

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Hello, darling. They're just going to take me to get a chest X-ray

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and to X-ray my finger.

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So it's all good.

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So do I.

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I want to come home.

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Yes, bye. Bye-bye. Bye.

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Friend Tom comes to see how Stuart is getting on.

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Still alive?

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Yeah, I'm still alive. They'll take me to get some X-rays

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and then once he's looked at the X-rays,

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hopefully I'll be off and then we can go.

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That's awesome.

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A&E bed nine is on the move to the X-ray department.

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Stuart's X-ray will determine whether he has

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broken ribs or a damaged lung.

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Next door, the Great North Children's Hospital

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has its own paediatric A&E department.

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Every week, more than 200 children arrive here

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with a suspected broken bone.

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That's not a complete fracture.

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The nine beds on this unit are never off duty,

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dealing with the youngest and often most scared patients.

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-I don't want that!

-Oh, no, it's OK!

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Don't cry, it's OK!

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Paediatric A&E bed 27 is getting ready to meet seven-year-old Oliver.

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He's got a suspected fractured ankle.

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Come on, hop on here for me, darling.

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Nurse Carmichael examines Oliver.

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I was on my bike and went down the hill and I was riding it standing up

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and there was a big bump.

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My handlebars turned and my head smashed off the ground.

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Your head smashed off the ground?

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Yeah, but it's just...

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Oliver has been brought into A&E by his mum, Dawn, and sister, Stacy.

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All right, there's nothing. Got a little bit of a bump?

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-It's OK.

-Is it sore?

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No?

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He's always falling off this bike.

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Always. And hurting himself.

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He's got quite a few scars off this bike.

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He's a good child. He can be very tricky.

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But he is a good child.

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Is it sore right now or is it just sore when you walk?

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-Walk.

-So, on a scale of one to ten,

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so if you can imagine number ten is the worst pain ever in the world,

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OK, and zero is no pain at all,

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what number do you think you are at now?

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-Seven.

-Seven? Are you sure?

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I've never seen someone with a seven smile like that!

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On duty today is Nurse Practitioner Rutherford.

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Hiya, is this Oliver?

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-Yeah, it is.

-Hiya.

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I'm Elaine. Can I have a little feel?

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-Where is it most sore? You tell me where it hurts most.

-There.

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It hurts there. OK. What about over here?

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-Yeah.

-Is it sore? All right.

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I've examined him and he is a little bit sore over his ankle and it is

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quite swollen, so based on that, I'm going to send him for an X-ray,

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just to make sure that there's no fracture or anything there.

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I'll spin you round and we'll get you down for an X-ray.

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Is that all right?

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Yeah? OK.

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Oliver may have broken his ankle.

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Paediatric bed 27 takes Oliver to X-ray.

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The bed can actually go into the X-ray department.

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The plate just needs to be slipped underneath whatever part

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needs to be X-rayed and it saves having to move the patient

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off the trolley and then onto another trolley

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once they are down in the X-ray department.

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Just take him through and I'll get the paperwork booked straight in.

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-Thank you.

-All right?

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I don't want to go for...

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It's just getting a picture, sweetheart, it's all right.

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I don't want it to be broken.

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Well, it might not be.

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There we go.

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At least two-thirds of boys will break a bone in their body

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before they leave school.

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All finished.

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-Well done.

-Well done.

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Oliver and bed 27 are wheeled back to the paediatrics ward

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to wait for the results.

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So, what do you think they're going to do to your foot?

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-Put a cast on.

-How are you going to get to school?

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Crutches.

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If you can't use crutches, it'll have to be a chair.

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Aw!

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-Do you prefer the bed?

-Yeah.

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You'd want to be wheeled to school on a bed?

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Oliver will still be going to school.

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Cast or no cast, he's still going.

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Nurse Practitioner Rutherford is back with news from the X-ray.

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I had a look at your X-ray.

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I can't see any obvious fracture or anything on it.

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I think it's probably just bruised

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and obviously a bit swollen and things,

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so I think that is probably what's hurting him.

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The fact that he's got these abrasions as well,

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I think they're going to be causing him some pain.

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The plan is that we will just clean him up and we'll send him home

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with some advice to rest it over the next sort of 24, 48 hours.

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I'm just going to try and get him up,

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try and make sure that he will put some weight through his leg

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and then, all being well, we'll be able to send him home.

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Nurse Carmichael checks Oliver's pain level again.

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So, do you remember before, when you said you were a seven?

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The best seven I've ever seen!

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-What are you now, darling?

-Zero.

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You're a zero, yeah!

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See, I told you you'd go home with a lesser number!

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With his pain level down...

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-I think I can walk on it.

-Oh, that's good.

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..Oliver is discharged.

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Good lad. Well done, sweetheart, you were very brave.

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Thank you very much.

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Paediatric bed 27 is free for its next patient.

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Thank you.

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Around the corner, in the adult A&E department,

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bed nine is still with 35-year-old actor Stuart.

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Just lean forward, I'm going to put this hard board in behind your back.

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OK.

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He may have multiple fractures after a high-speed car crash.

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Take a breath in there.

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Hold it in. And breathe away.

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Stuart and bed nine head back to the examination room

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to await the results of his X-rays.

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They're going to come in any minute and say,

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"Stop being a wimp, nothing is broken,"

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and then we can go home, which will be nice.

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Stuart has been in A&E bed nine for an hour and a half.

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Dr Earle-Wright has his X-ray results.

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-How are we doing?

-Good.

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Your X-ray is absolutely fine, OK? You've not broken anything.

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-Fantastic, hooray!

-That's just a decent bruise,

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-you don't have any rib fractures underneath it.

-Excellent.

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It will, over the next three, four days, it will be sore.

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-Right, yeah, yeah.

-Your finger is fine, there's no break.

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-Oh, brilliant.

-It didn't break and your wrist is also fine.

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-Invincible!

-Yes, absolutely!

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-Do you have any questions?

-No, thank you.

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Thank you very much for sorting me out so quickly.

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-Not a problem at all.

-You are legends.

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But with their van written off, friend Tom does have one question.

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How do we get down south?

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We'll figure that out.

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All right.

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-Right, have a safe journey.

-Ha-ha-ha!

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-All right, guys, see you, cheers.

-Thank you.

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Less than two hours after arriving in A&E, Stuart is discharged.

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Farewell, bed, you served me well.

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A&E bed nine is prepared for its next emergency.

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At Queen's Hospital, Romford,

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maternity bed six is with 49-year-old Shola.

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Today she is having triplets by Caesarean section.

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-Morning.

-It's a very risky and complicated birth.

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Shola's husband Ike will be with her in theatre.

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-I'd like to take you down to the labour ward, please.

-Yay!

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Do I go with all my notes?

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-Everything.

-I'm ready.

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I'll just get the midwife to come and get you.

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OK. Am I walking down?

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Less than 200 women in the UK gave birth to triplets last year.

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-Pleasure to meet you both. You're in good hands.

-Thank you.

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Thank you, thank you very much.

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The mortality rate for triplets is ten times higher

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than for single births.

0:19:040:19:05

Midwife Pattinson will be one of more than a dozen medical staff

0:19:110:19:15

helping to deliver Shola's three babies.

0:19:150:19:17

We will have three midwives

0:19:190:19:21

so that there's a midwife to take each baby.

0:19:210:19:23

We have three of the resuscitaires,

0:19:230:19:25

so the equipment to resuscitate the babies, if we need.

0:19:250:19:27

We will also have three paediatricians present,

0:19:270:19:30

one for each baby, and then on top of that,

0:19:300:19:33

we will have the normal theatre team as well.

0:19:330:19:35

After trying to have children for 20 years,

0:19:370:19:40

Shola is now carrying two sons and a daughter.

0:19:400:19:42

Have you got hats for baby, your hats?

0:19:440:19:47

-Yeah.

-Yeah?

0:19:470:19:48

Consultant gynaecologist Mr Opemuyi

0:19:500:19:53

is in charge of Shola's Caesarean.

0:19:530:19:55

The average pregnancy lasts around 40 weeks,

0:19:560:19:59

but triplets are often born prematurely.

0:19:590:20:02

I've had to adjust the timing of the delivery

0:20:020:20:06

and she is only about 33 weeks today,

0:20:060:20:08

and what is important is the safety of the babies.

0:20:080:20:11

It's 8.49am and time to go into theatre.

0:20:110:20:15

Maternity bed six will have to stay on the ward.

0:20:160:20:20

OK? All right?

0:20:200:20:22

Would I be allowed to take pictures in there?

0:20:220:20:24

Yes, of course, yes.

0:20:240:20:27

We have a waiting game.

0:20:270:20:28

The prayer warriors!

0:20:280:20:30

Hello, morning.

0:20:300:20:32

So, just before you step up, my name is Susan,

0:20:320:20:35

-part of the anaesthetic team here.

-OK.

0:20:350:20:37

So, if I can just get your gown undone here.

0:20:370:20:39

So, what you are going to do is step up onto this stool,

0:20:390:20:42

turn around and face the wall there.

0:20:420:20:44

Excited and elated.

0:20:460:20:49

Yeah.

0:20:490:20:51

Shola's friends, Olushola and Stella,

0:20:510:20:54

are waiting in her room with maternity bed six.

0:20:540:20:58

I'm so happy for Shola that she has got this, God has been good to her.

0:20:580:21:02

Yeah.

0:21:020:21:04

To know that she is going to be a mother of triplets today,

0:21:040:21:08

it's amazing.

0:21:080:21:10

She has waited a long time.

0:21:100:21:13

-Sir, you are about to have three babies, come on!

-All right.

0:21:130:21:16

Yeah, come on, then.

0:21:160:21:18

-She's doing very well, all right?

-Oh, thank you.

0:21:180:21:21

-She's fine.

-All right.

-Follow me.

0:21:210:21:23

Shola's two friends know the risks involved with multiple births,

0:21:250:21:30

but the hope is that within the hour,

0:21:300:21:32

Shola will have three healthy babies.

0:21:320:21:34

Next door, at the Great North Children's Hospital,

0:21:450:21:48

head injuries are the fifth most common reason

0:21:480:21:50

children are brought to the A&E department.

0:21:500:21:52

Hello, Paed A&E.

0:21:520:21:55

Bed 27 is prepped for nine-year-old Bobby.

0:21:550:21:58

I won't be long, I've just got a kid in X-ray that I need to review

0:21:590:22:02

and then I'll be ready.

0:22:020:22:03

He's cut his head open.

0:22:030:22:05

His parents, Kerry and Stephen,

0:22:050:22:07

are concerned he may have concussion.

0:22:070:22:11

My son was out walking his dogs

0:22:110:22:12

and he fell and bumped his head and it split the skin.

0:22:120:22:15

I sort of tried, um...

0:22:150:22:17

..down the stream for my dog, I went to get it

0:22:180:22:22

and I slipped and bashed my head off the rock.

0:22:220:22:25

It just stings a bit.

0:22:250:22:27

Yeah, my forehead.

0:22:280:22:31

He stood up and he had blood running down his forehead.

0:22:310:22:35

Nurse Practitioner Raine is the nurse in charge

0:22:350:22:38

of the emergency team today.

0:22:380:22:40

All parents are upset, naturally,

0:22:400:22:42

when they see their child has been hurt or they are unwell.

0:22:420:22:45

Especially coming to an environment like this.

0:22:460:22:49

Bobby, if you can have a seat on that bed for me...

0:22:490:22:52

Bobby is examined by Nurse Park.

0:22:520:22:55

-Are you allergic to anything?

-No.

-Not that you know of?

0:22:550:22:59

-Just baths!

-LAUGHTER

0:22:590:23:02

-And has he had any paracetamol or ibuprofen today?

-No.

-No.

0:23:020:23:05

Right, I'm just going to do the obs on you.

0:23:050:23:08

Pop this little plaster on your finger.

0:23:080:23:11

-How do you feel?

-Em, OK - my cut stings a bit.

0:23:110:23:16

It hurts, but you don't feel dizzy or anything?

0:23:160:23:19

No?

0:23:190:23:20

In the UK, nearly 750,000 children under the age of 15

0:23:220:23:27

come to A&E with a head injury.

0:23:270:23:29

I think any head injury, you've just got to make sure

0:23:310:23:34

that there is nothing going on underneath,

0:23:340:23:36

like a serious bleed.

0:23:360:23:37

We need to assess that they're fully awake,

0:23:390:23:41

that they haven't lost any consciousness,

0:23:410:23:43

they haven't vomited, and then just have a little look

0:23:430:23:46

at his eyes and his ears, up his nose.

0:23:460:23:49

You are a brave soldier, aren't you, son?

0:23:490:23:51

Right, can you squeeze my hands nice and tight?

0:23:510:23:54

And this... Oh, you'll end up breaking them!

0:23:540:23:56

Squeeze them nice and tight.

0:23:560:23:58

Right, perfect. They're all absolutely fine.

0:23:580:24:02

I think he's just got a big laceration to his head,

0:24:040:24:07

his obs are fine.

0:24:070:24:10

Does the cut...? It will just heal by itself?

0:24:100:24:13

-Does it need, like...?

-No, it'll probably need a glue.

0:24:130:24:16

Looking at it, it might come together with glue.

0:24:160:24:19

We'll see how it goes.

0:24:190:24:20

-Thank you so much, thank you.

-Thanks very much.

0:24:200:24:23

Bye. Yay!

0:24:230:24:26

If you're going to be made up with glue,

0:24:260:24:27

you'll be like a model, won't you, son?

0:24:270:24:30

The wound on his head is about two centimetres long,

0:24:300:24:33

slightly gaping, so my plan is to give them a little clean

0:24:330:24:37

and then pop some glue on there

0:24:370:24:39

just to hold it, so that it can heal.

0:24:390:24:42

Big day off school tomorrow.

0:24:420:24:44

I had a big cut there on my head.

0:24:440:24:46

You can see it if you look. Look at Dad's cut.

0:24:460:24:49

Now I'm going to look like a mixture between both of you.

0:24:490:24:52

I've got my ma's red hair, I've got your looks.

0:24:520:24:55

-KERRY LAUGHS

-At least you're good-looking, then, son.

0:24:550:24:58

You've got his scar and my red hair!

0:24:580:24:59

Do you forgive Mum for landing on you like a fat lump?

0:24:590:25:02

Yeah.

0:25:020:25:04

So, having stitches would be a lot more painful for Bobby.

0:25:070:25:10

Hello, have we got Bobby?

0:25:100:25:12

-Yes.

-It would involve some local anaesthetic on the area,

0:25:120:25:16

which is usually a needle and then using, you know,

0:25:160:25:19

needle and thread to sew it back together.

0:25:190:25:22

Will it sting?

0:25:220:25:24

It might just feel a bit cold. It's just sterile water.

0:25:240:25:28

He's brave, aren't you, son?

0:25:280:25:30

Just trying to get these little bits lovely and clean, there.

0:25:300:25:36

So, you will have a little scar here,

0:25:360:25:39

but you won't know it's there unless one day

0:25:390:25:41

you get your hair shaved off.

0:25:410:25:43

What type of glue is it?

0:25:430:25:44

So, it's just tissue glue, so they used to...

0:25:440:25:49

Even like back in World War I and II they used it,

0:25:490:25:51

but we've developed it a bit more than superglue and things now.

0:25:510:25:54

-Are you ready?

-Mm-hm.

-Yeah?

0:25:540:25:57

-Clever lad.

-It may just feel a little bit warm now.

0:25:590:26:01

It doesn't feel that warm.

0:26:010:26:02

Stay here for a few seconds, maybe count to ten, shall we?

0:26:020:26:08

One, two, three...

0:26:080:26:10

That looks like it's together lovely.

0:26:120:26:14

Just keep it dry, no swimming,

0:26:140:26:16

no hair washes for about...five to seven days.

0:26:160:26:19

Is that all right?

0:26:190:26:21

-Thank you so much for your help.

-What a super boy!

0:26:210:26:24

How are you feeling now, son? Let's look at the glue.

0:26:240:26:27

Oh, wow!

0:26:270:26:28

-Maybe don't touch it.

-It looks brill, doesn't it?

0:26:290:26:32

That looks brilliant, son.

0:26:320:26:33

Less than two hours after being admitted, Bobby can go home.

0:26:330:26:38

Come on, then, let's go.

0:26:380:26:40

But for paediatric bed 27, the next patient could be here soon.

0:26:400:26:44

At Queen's Hospital in Romford,

0:26:530:26:55

maternity bed six is empty and will be for a while.

0:26:550:26:59

Keep coming back until I ask you to stop.

0:26:590:27:01

Keep coming back. Well done. That's perfect.

0:27:010:27:03

49-year-old Shola is having triplets by Caesarean section.

0:27:040:27:09

Gosh, you're brave! Three of them!

0:27:090:27:11

-I know.

-Oh, dear, you're brave.

0:27:110:27:14

-Buy one, get two free.

-Oh, lovely - Tesco's don't do that!

0:27:140:27:17

Shola is one of the many mums giving birth later in life.

0:27:180:27:21

In the last decade,

0:27:230:27:25

the number of women having babies over the age of 45 has trebled.

0:27:250:27:30

Husband Ike will be by her side throughout.

0:27:300:27:33

-Are you all right?

-I'm all right.

-You're all right. Good.

0:27:380:27:43

There will be three midwives in theatre today, one for each baby.

0:27:430:27:47

Midwife Pattinson is one of them.

0:27:480:27:51

Multiple pregnancy is high-risk.

0:27:510:27:53

No matter how many babies, it's high-risk in itself

0:27:530:27:56

and the triplets will be delivered at 33 weeks,

0:27:560:27:58

so obviously that is quite a bit

0:27:580:28:01

before they're classified as term babies,

0:28:010:28:03

so that makes them then high-risk,

0:28:030:28:06

and they are smaller anyway because there are three of them

0:28:060:28:08

trying to fit into the same space as one baby would

0:28:080:28:12

in a single pregnancy.

0:28:120:28:14

Today's procedure also carries danger for Shola.

0:28:150:28:19

She has a greater risk of haemorrhaging during the delivery.

0:28:190:28:23

At the side of maternity bed six, Shola's friends,

0:28:280:28:31

Olushola and Stella, are waiting for news.

0:28:310:28:34

They're up and running, Shola - just wait and see who comes first.

0:28:530:28:57

At just 33 weeks, the triplets are being delivered prematurely.

0:29:000:29:04

There are concerns one of the babies is very small.

0:29:050:29:08

Shola's friends are still by the side of maternity bed six.

0:29:240:29:27

Jesus, we thank you.

0:29:270:29:29

Shola has been in theatre for 25 minutes.

0:29:310:29:34

BABY CRIES

0:29:340:29:37

The couple have waited nearly two decades for this moment.

0:29:370:29:40

The first baby is born.

0:29:430:29:45

It's a boy.

0:29:460:29:47

Then, one minute later...

0:29:560:29:58

BABY CRIES

0:29:580:30:00

There we go, number two. There we go.

0:30:000:30:04

Crying, that's a good sign.

0:30:040:30:07

Another boy - he is only 2 lbs 4oz.

0:30:070:30:12

Crying, so that is a good sign.

0:30:120:30:15

We just wait for number three now.

0:30:180:30:21

This baby needs extra medical help and is placed in an incubator.

0:30:310:30:36

Finally, after just five more minutes,

0:30:430:30:46

baby three, a girl, is born.

0:30:460:30:49

-BABY CRIES

-This one has to be a girl now.

0:30:490:30:52

Congratulations! Three babies!

0:30:520:30:55

Sorry, boys.

0:31:060:31:08

All the babies have been delivered safely.

0:31:080:31:10

On the ward, with maternity bed six,

0:31:140:31:16

are Shola's friends, Olushola and Stella.

0:31:160:31:20

# Perfect God You are excellent, God

0:31:200:31:24

# Perfect God You are excellent, God

0:31:240:31:28

# Perfect God You are excellent, God... #

0:31:280:31:31

Good to get that done now, babies out, it's a relief,

0:31:340:31:37

isn't it, that they're out?

0:31:370:31:39

-They were all crying well, weren't they?

-Yes.

0:31:390:31:41

Good, lovely.

0:31:410:31:43

BEEPING

0:31:430:31:46

Go with him, Molly, go with him.

0:31:460:31:48

-Yeah, and then...

-This the girl?

-The girl!

0:31:480:31:53

This is the little girl, yeah.

0:31:530:31:55

To see them...very cute.

0:31:570:32:00

Lovely babies.

0:32:000:32:03

Wow, I'm so happy, I'm so happy!

0:32:030:32:06

Thank you so much. Thank God for you, thank God for you.

0:32:060:32:09

Right from the beginning to the end.

0:32:090:32:11

-Yes.

-Thankful for the successful completion of the journey.

0:32:110:32:14

-We are very grateful, thank you so much.

-Thank you.

0:32:140:32:18

# Perfect God You are wonderful, God

0:32:180:32:21

# You are perfect, God... #

0:32:210:32:25

As the triplets are premature,

0:32:270:32:29

they'll be taken straight to the neonatal intensive care unit.

0:32:290:32:33

Shola and Ike will visit them later.

0:32:330:32:35

At Newcastle's Royal Victoria Infirmary,

0:32:480:32:51

the A&E's minor injuries unit often sees sports injuries.

0:32:510:32:56

That patient is just about to go round

0:32:560:32:58

and this gentleman is not well enough to move at the minute.

0:32:580:33:03

Do see quite a few sports-related injuries,

0:33:030:33:06

usually when the unis are having their sport afternoons

0:33:060:33:09

when the football's on or the rugby's on.

0:33:090:33:11

Nurse practitioner Scorgie is in charge of the unit today.

0:33:130:33:16

Minor injuries is a nurse-led unit

0:33:180:33:20

that's co-located with the emergency department

0:33:200:33:23

and we are open seven days a week and our patients are deemed minor.

0:33:230:33:28

Minor injuries bed 12 is used to seeing patients

0:33:280:33:32

with anything from sprains to bruises and broken bones.

0:33:320:33:36

Its next patient is 20-year-old geography student James.

0:33:360:33:40

OK, if you'd like to take a seat through there.

0:33:400:33:42

We'll come through as soon as we can. Thanks very much indeed.

0:33:420:33:45

He's come to A&E with girlfriend Melissa,

0:33:460:33:49

with a suspected broken finger after playing rugby.

0:33:490:33:53

Somebody tackled me and I brushed past

0:33:530:33:55

and my finger just sort of bent out that way

0:33:550:33:58

and I fell on it and it bent back in again when I fell on it.

0:33:580:34:01

And then it's been really sore since.

0:34:010:34:04

I don't want to leave it to its own devices and recover

0:34:040:34:06

because if it is broken or something,

0:34:060:34:07

I want to make sure it's fixed properly

0:34:070:34:09

before it starts healing itself.

0:34:090:34:11

Rugby is one of the top ten most dangerous sports.

0:34:110:34:15

It's not the first time James has been injured.

0:34:150:34:17

I sprained my ankle once and I broke my nose once,

0:34:170:34:20

so this is not the worst I've ever had.

0:34:200:34:22

Obviously it's a very risky sport,

0:34:220:34:24

it's quite high-contact and there's...big boys as well.

0:34:240:34:27

Like 19-20st people running at you, full-pelt.

0:34:270:34:30

It can be quite dangerous.

0:34:300:34:31

Do you want to come through?

0:34:310:34:34

Minor injuries bed 12 will be looking after James.

0:34:340:34:38

Quite comfy.

0:34:400:34:42

Nurse Practitioner Scorgie examines his injuries.

0:34:420:34:44

-Mind if I just have a feel...?

-Yeah, go for it.

0:34:440:34:47

No pain down your wrist?

0:34:480:34:49

It was hurting down there when it first happened.

0:34:490:34:52

-That's not painful now?

-It's not painful any more, no.

0:34:520:34:54

And just check your hand over.

0:34:540:34:55

-Everything else all right there in your hand?

-Yeah.

0:34:550:34:58

-Starts to hurt there.

-OK.

0:34:580:35:01

-Here? Bit more tender?

-Yeah, yeah.

0:35:010:35:04

-Finger?

-Not too bad, actually.

0:35:040:35:06

-Pain here?

-Yeah.

0:35:060:35:08

Can you just pull your fingers up all nice and straight for me, if you can?

0:35:080:35:11

Ooh!

0:35:110:35:12

Keep your fingers like that, don't let me push you down.

0:35:120:35:15

That one?

0:35:160:35:18

-That's fine. Yeah, just the pinkie.

-Turn your hand over.

0:35:180:35:22

Can you make a fist for me?

0:35:220:35:25

Keep it in that position, turn it back over.

0:35:250:35:28

Straight back out. Feel me touching you?

0:35:280:35:30

-Feels the same and normal?

-Yeah.

-Yep.

0:35:300:35:33

OK, so we need to get an X-ray of that hand, OK?

0:35:340:35:36

-Yep.

-So I'll organise that for you now.

0:35:360:35:38

And you can pop straight round to get your hand X-rayed.

0:35:380:35:41

-Lovely. Thank you.

-OK?

-Cheers.

0:35:410:35:43

James leaves bed 12.

0:35:440:35:46

He's heading to the X-ray department to see if his finger is broken.

0:35:460:35:50

Hello, James, my name's Louise, one of the radiographers here.

0:35:500:35:53

I'm going to do a couple of X-rays on your left hand.

0:35:530:35:56

Nice and still like that, please.

0:35:560:35:58

The X-ray reveals a break in the bone on James's hand.

0:35:590:36:03

OK...

0:36:040:36:06

Nurse practitioner Scorgie gives James the news.

0:36:060:36:10

OK, James, so you've been round to X-ray, had your X-ray,

0:36:100:36:13

so your hand's broken.

0:36:130:36:14

-It's broken?

-Yeah, yeah.

0:36:140:36:16

-OK?

-Yeah.

-So we can show you that on the X-ray.

-Yeah.

0:36:160:36:20

Come on, pop over.

0:36:200:36:21

So this is your X-ray here. We'll start on the top.

0:36:230:36:26

-Yeah.

-So...see?

-Yeah.

0:36:260:36:29

So that's there and that would fit with you,

0:36:290:36:32

seeing as your finger got pulled out that way.

0:36:320:36:34

So that's why it's literally

0:36:340:36:35

broken the bone?

0:36:350:36:36

With the stress on there. Big metacarpal.

0:36:360:36:38

So this is something that our hand surgeons look after here,

0:36:380:36:41

a stress injury.

0:36:410:36:43

It's a serious fracture that will need assessing by a hand surgeon.

0:36:450:36:49

-You can have a seat there and I'll go and organise the appointment.

-Just here?

-Yeah.

0:36:490:36:52

-What were you expecting?

-A broken finger, not your hand.

0:36:520:36:57

-I'm not dramatic, am I?

-I thought you were being quite dramatic.

0:36:570:37:00

Have you seen how swollen it is?

0:37:000:37:02

Yeah, no, I didn't think it was that swollen

0:37:020:37:03

until you took your tape off it.

0:37:030:37:05

I wasn't being dramatic at all. You thought I was making it up.

0:37:050:37:11

I thought he was being dramatic about it, so...

0:37:110:37:15

He just kept complaining and I was like, "Oh, OK."

0:37:150:37:18

She never listens to a word I say, so...

0:37:180:37:20

I really thought he hadn't done anything.

0:37:200:37:22

I thought we'd come and they'd be like,

0:37:220:37:24

"Oh, no, it's fine." But it's broken.

0:37:240:37:27

James has broken his fifth metacarpal.

0:37:270:37:31

Even though I've broken my hand, I'm still going to go out.

0:37:330:37:35

-You're a legend.

-The party lives on.

0:37:350:37:38

-Everyone will be gutted if I'm not there.

-OK.

0:37:380:37:41

So even if I've broken my hand, I have to go.

0:37:410:37:43

-Go to where?

-Going out tonight with the rugby boys.

0:37:430:37:47

OK, well, your appointment's at 10.25 in the morning.

0:37:470:37:51

Maybe I shall not go out then!

0:37:510:37:52

-So that's your appointment to come in tomorrow.

-Thank you.

0:37:520:37:55

-Do I need this with me?

-Yeah, it's best to,

0:37:550:37:57

and it does tell you on that you should be fasting from midnight,

0:37:570:37:59

so I probably would follow the instructions

0:37:590:38:01

just to be on the safe side.

0:38:010:38:02

-So don't eat after midnight?

-Yeah.

-OK.

-OK?

0:38:020:38:05

-No two o'clock in the morning kebabs then?

-Absolutely not.

-Shame.

0:38:050:38:09

OK, I'll show you the way to the plaster room, OK?

0:38:090:38:12

Thank you.

0:38:120:38:13

James will need a splint to prevent further damage to his broken bone

0:38:150:38:19

until he can see a specialist.

0:38:190:38:20

My mum was, like, going to come up last night to make me go to A&E

0:38:220:38:25

and I was like, "No, I'm not going to go tonight."

0:38:250:38:27

I was already at the pub and I'd already had a few beers

0:38:270:38:29

and she was like, "James, I'm coming up to see you."

0:38:290:38:32

And I was like, "No. Don't you dare."

0:38:320:38:34

She didn't come up in at the end, thank God,

0:38:340:38:36

but I promised her today I'd come to A&E.

0:38:360:38:38

-This is just a temporary one until tomorrow.

-Yep.

0:38:380:38:40

-Will it be, like, a full cast on my whole arm?

-Not today, it won't be.

0:38:400:38:43

-It'll be half of one.

-Tomorrow, will it be on my whole arm?

0:38:430:38:45

Have no idea. Obviously, the doctors will review and decide.

0:38:450:38:48

James will receive follow-up care as an outpatient.

0:38:500:38:53

Going to take it a little bit easier than I would do normally,

0:38:530:38:55

still hoping to have a good time.

0:38:550:38:57

Minor injuries bed 12 is prepped, ready for the next patient.

0:38:570:39:00

-PHONE RINGS

-Good morning.

0:39:080:39:12

In Queens Hospital, Romford, on maternity bed six,

0:39:140:39:17

49-year-old Shola and husband Ike

0:39:170:39:19

have become parents for the first time...with triplets.

0:39:190:39:25

The first boy is Chilo.

0:39:250:39:28

The full name is Chilotam. It means "God remembered me".

0:39:280:39:32

The second boy is Chibuikem.

0:39:330:39:36

It means "God is my strength".

0:39:360:39:38

So we call him Chibu.

0:39:380:39:42

And then the third one, who is the girl,

0:39:420:39:44

is Chinaza or Chinazae.

0:39:440:39:48

It means, "God answers prayers".

0:39:480:39:50

It's been 48 hours since the babies were delivered prematurely.

0:39:520:39:57

Shola's recovering well from her Caesarean.

0:39:570:40:00

When they come home with me and then wake up in the morning,

0:40:020:40:06

we bath them, the routine starts running in,

0:40:060:40:08

then it dawns on me, we're a family of five now.

0:40:080:40:11

We were two, and we're a family of five now.

0:40:110:40:14

Shola's leaving maternity bed six to visit her babies,

0:40:140:40:17

who were taken straight to the neonatal intensive care unit.

0:40:170:40:20

It provides expert care around the clock

0:40:220:40:24

for babies as young as 27 weeks old.

0:40:240:40:28

Welcome to Queen's Hospital, where we have triplets.

0:40:280:40:32

Sister Nathaniel is the ward manager.

0:40:330:40:36

Maternity do a lot of deliveries, so most of the times,

0:40:370:40:40

as you can see, we're forever full.

0:40:400:40:43

-Triplet one.

-Ooh.

0:40:430:40:45

-Doing very well.

-Hello, Chilo.

0:40:450:40:47

Self-ventilating in air.

0:40:470:40:49

And the weight today is 1.630.

0:40:490:40:54

Oh, that's good.

0:40:540:40:56

Yeah, Mummy's here. You all right?

0:40:560:40:58

The triplets were delivered at 33 weeks.

0:40:580:41:01

The smallest weighed just 2 lbs 4oz.

0:41:010:41:05

-The smallest of the three.

-Chibu, how are you?

0:41:050:41:09

Weighs just over a kilo.

0:41:090:41:10

Hello.

0:41:100:41:12

He's getting better. My son's going to be bigger, don't worry.

0:41:140:41:16

Hello, Chibu. You all right?

0:41:160:41:19

As soon as he came in, required a bit of oxygen and some CPAP.

0:41:190:41:24

Later on, it was retaining carbon dioxide,

0:41:240:41:27

so we just intubated for 12 hours

0:41:270:41:29

and today is the first day he's breathing by himself.

0:41:290:41:33

-The girl.

-Hello, Chinaza.

0:41:350:41:38

That's the princess, the pretty princess.

0:41:380:41:41

-She's sleeping.

-Yeah.

0:41:410:41:42

Oh-oh.

0:41:420:41:44

She's got lovely, nice, smooth skin, this one. I keep looking at her.

0:41:440:41:48

Chinaza.

0:41:480:41:50

Say hello.

0:41:500:41:52

Are you really sleeping or pretending?

0:41:520:41:55

You may find that triplet two may go before triplet one or vice versa,

0:41:550:42:00

although we try our utmost best to send them all together.

0:42:000:42:04

But don't be surprised if we say,

0:42:040:42:06

"Oh, triplet one is ready. Off you go."

0:42:060:42:08

Shola and Ike are taking the opportunity

0:42:100:42:13

to bond with their babies.

0:42:130:42:15

It will be a few weeks before they can take them home.

0:42:150:42:18

Our hospital beds have given us intimate access

0:42:250:42:28

to the work of the NHS.

0:42:280:42:29

James made his ten o'clock appointment

0:42:310:42:34

and had surgery on his hand.

0:42:340:42:35

He's not allowed to play rugby until after Christmas.

0:42:350:42:38

Following his car accident, Stuart made it back home to York,

0:42:410:42:44

much to the relief of his wife.

0:42:440:42:46

And a month after being born,

0:42:500:42:52

all three triplets are at home with Shola and Ike.

0:42:520:42:54

The beds are now back on their wards,

0:42:580:43:01

ready and waiting for their next round of patients.

0:43:010:43:03

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