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MAN SCREAMS | 0:00:12 | 0:00:13 | |
18th October, 2012. | 0:00:13 | 0:00:16 | |
Across Britain, 100 cameras are filming the NHS on a single day. | 0:00:16 | 0:00:21 | |
MAN VIA LOUDSPEAKER: This change will be a disaster. | 0:00:21 | 0:00:24 | |
CHEERING | 0:00:24 | 0:00:26 | |
On this day, more than 1.5 million of us will be treated. | 0:00:26 | 0:00:29 | |
Three days ago, you had a stroke. | 0:00:31 | 0:00:34 | |
1,500 of us will die. | 0:00:34 | 0:00:36 | |
2,000 will be born. | 0:00:37 | 0:00:40 | |
WHISTLE BLOWS | 0:00:41 | 0:00:43 | |
The NHS is the largest public healthcare system in the world. | 0:00:43 | 0:00:47 | |
We want that to be in your voice all the time. | 0:00:49 | 0:00:52 | |
Hi, we're going to help you. | 0:00:52 | 0:00:53 | |
We rely on it... | 0:00:53 | 0:00:55 | |
-Be really brave. -..complain about it... | 0:00:55 | 0:00:57 | |
In the bin. That's because of you. | 0:00:57 | 0:00:59 | |
..often, we take it for granted. | 0:00:59 | 0:01:01 | |
Lucas, Lucas! | 0:01:01 | 0:01:03 | |
What we expect from the NHS is ever-increasing. | 0:01:03 | 0:01:06 | |
The money to pay for it isn't. | 0:01:08 | 0:01:10 | |
If we could see what this institution does in a single day... | 0:01:12 | 0:01:16 | |
..what would it make us think? | 0:01:18 | 0:01:21 | |
This entire series tells the story of one day. | 0:01:21 | 0:01:25 | |
So, why isn't she waking up? | 0:01:25 | 0:01:27 | |
100 cameras... | 0:01:27 | 0:01:29 | |
capturing the NHS, as you've never seen it before. | 0:01:29 | 0:01:33 | |
Baby born at 2.55. | 0:01:33 | 0:01:35 | |
RADIO: Good morning, everyone! | 0:01:45 | 0:01:48 | |
-RADIO: -This day, 18th October. It's... | 0:01:48 | 0:01:50 | |
BABY CRIES | 0:01:52 | 0:01:53 | |
-Good morning. -Morning. -Morning, Collette. Any drama? | 0:01:53 | 0:01:57 | |
-RADIO: -..West Yorkshire, overturned lorry at... | 0:01:57 | 0:02:00 | |
-Could you come and see a patient? -Yeah, of course. | 0:02:00 | 0:02:03 | |
-PATIENT: -Oh, the pain's getting worse, Doctor. | 0:02:03 | 0:02:05 | |
Dial 2222 for me, please. Is it...? What medication is he on? | 0:02:05 | 0:02:08 | |
All right, there's no... | 0:02:09 | 0:02:11 | |
PATIENT GROANS | 0:02:24 | 0:02:27 | |
What happened, Doctor? | 0:02:27 | 0:02:28 | |
Oh, what's going on? | 0:02:28 | 0:02:31 | |
Oh-h! | 0:02:31 | 0:02:33 | |
You've had a bit of a heart attack again, it looks like. | 0:02:33 | 0:02:35 | |
A bit of a what? | 0:02:35 | 0:02:37 | |
Manchester Royal Infirmary - | 0:02:37 | 0:02:39 | |
final-year medical students role-play heart attack scenarios. | 0:02:39 | 0:02:42 | |
Not another one! Oh-h! | 0:02:42 | 0:02:45 | |
The patient is Bob, a £33,000 dummy. | 0:02:45 | 0:02:48 | |
OK, guys, we'll stop there. | 0:02:48 | 0:02:50 | |
Thank you so much. | 0:02:50 | 0:02:52 | |
You saved my life! | 0:02:52 | 0:02:53 | |
Bob's alive. | 0:02:54 | 0:02:56 | |
Bob lives again! Right, marvellous. Let's go round the other side and... | 0:02:56 | 0:02:59 | |
Around 282 people will have heart attacks in Britain today. | 0:02:59 | 0:03:03 | |
200 will die. | 0:03:05 | 0:03:07 | |
Dr Ordoubadi is a heart specialist. | 0:03:18 | 0:03:21 | |
He's about to start one of his regular 24-hour shifts. | 0:03:21 | 0:03:24 | |
Hi, guys! | 0:03:24 | 0:03:26 | |
-Oh, hi! -Yeah, you've got a heart attack case? | 0:03:26 | 0:03:30 | |
Just waiting for the ECG. | 0:03:30 | 0:03:32 | |
He's got previous bypass, extensive cardiac history. | 0:03:32 | 0:03:37 | |
AMBULANCE SIRENS BLARE | 0:03:37 | 0:03:39 | |
Dr Ordoubadi heads up the cardiac cath lab, | 0:03:39 | 0:03:42 | |
a specialist unit that deals with emergency heart problems | 0:03:42 | 0:03:45 | |
from across Greater Manchester. | 0:03:45 | 0:03:47 | |
A 77-year-old man has been rushed in by ambulance, after collapsing at home. | 0:03:50 | 0:03:55 | |
-Hello. You've had a bypass operation, when? -1997. -1997. | 0:03:55 | 0:04:01 | |
-Had you had previous heart attacks? -Yes, the first one was in '92. | 0:04:01 | 0:04:05 | |
MACHINE BEEPS | 0:04:05 | 0:04:07 | |
-Sorry. -It's all right, don't worry. -We won't be able to... | 0:04:09 | 0:04:13 | |
I had a stent fitted and it was during the stent-fitting that I had a heart attack. | 0:04:15 | 0:04:20 | |
-Do you still have the chest pain? -Yes. | 0:04:20 | 0:04:23 | |
-It looks as though you might be having a heart attack. -Oh! | 0:04:23 | 0:04:26 | |
The cath lab aims to treat all patients within an hour | 0:04:28 | 0:04:30 | |
of their heart attack. The sooner Clifford gets treated, | 0:04:30 | 0:04:34 | |
the better the chances that doctors can prevent long-term damage. | 0:04:34 | 0:04:37 | |
If there's a blockage, we'll try to unblock it. | 0:04:37 | 0:04:40 | |
The longer that artery remains blocked, | 0:04:40 | 0:04:42 | |
the more muscle that actually dies, | 0:04:42 | 0:04:44 | |
so we need to unblock that as soon as possible, to save more heart muscle. | 0:04:44 | 0:04:48 | |
Are we ready? | 0:04:48 | 0:04:50 | |
That's why we want to get him in as soon as possible, | 0:04:50 | 0:04:54 | |
because the best way to unblock the artery is by putting | 0:04:54 | 0:04:58 | |
the wire down and doing angioplasty. | 0:04:58 | 0:05:00 | |
'And the sooner we get him on the table, | 0:05:00 | 0:05:04 | |
'the sooner we know where the blockage is and the sooner we can open it up.' | 0:05:04 | 0:05:07 | |
What a pain. | 0:05:09 | 0:05:11 | |
Damp, clammy... | 0:05:11 | 0:05:14 | |
Not very nice, no. | 0:05:14 | 0:05:15 | |
Access time now. | 0:05:19 | 0:05:21 | |
OK, all set. | 0:05:21 | 0:05:23 | |
OK, can I have the camera in, please? | 0:05:23 | 0:05:25 | |
Dr Ordoubadi guides a tiny catheter from Clifford's groin, | 0:05:27 | 0:05:30 | |
so the artery is feeding the heart, in an attempt to free the blockage. | 0:05:30 | 0:05:34 | |
It's, kind of, like fishing... | 0:05:34 | 0:05:36 | |
Fishing, fishing, fishing. | 0:05:36 | 0:05:38 | |
So, in a minute, you're going to get this hot flush. Ready? | 0:05:41 | 0:05:44 | |
Stop breathing, sir. | 0:05:44 | 0:05:46 | |
Make it start. | 0:05:48 | 0:05:49 | |
Clifford has had 20 years of heart problems, | 0:05:51 | 0:05:54 | |
but it's only in the last five that this technique has been available. | 0:05:54 | 0:05:59 | |
This artery is very degenerative. | 0:05:59 | 0:06:01 | |
It's, kind of, got massive amounts of clots in it. | 0:06:01 | 0:06:04 | |
It's just full of clots, full of clots. | 0:06:04 | 0:06:07 | |
Below it, haemorrhaging. | 0:06:07 | 0:06:09 | |
We found the problem. | 0:06:09 | 0:06:11 | |
Where they put the stent in, inside your chest, | 0:06:11 | 0:06:15 | |
-that's blocked off. -Ah-ha. -Mm. | 0:06:15 | 0:06:17 | |
Outside the operating room, the cath lab is starting to fill up. | 0:06:19 | 0:06:22 | |
As well as six patients booked in for pre-planned treatments, | 0:06:24 | 0:06:27 | |
there are more emergency cases coming in. | 0:06:27 | 0:06:30 | |
PHONE RINGS | 0:06:32 | 0:06:34 | |
Hello, primary PCI, Justine speaking. | 0:06:34 | 0:06:36 | |
OK, where is he coming from? | 0:06:36 | 0:06:39 | |
Just blue-light him straight over, don't worry. | 0:06:39 | 0:06:41 | |
-RADIO: -Both directions between the M6... | 0:06:45 | 0:06:47 | |
-Put an arrow there, if that's all right? -Yeah! | 0:06:50 | 0:06:52 | |
I'd love to go on Bake Off. | 0:06:52 | 0:06:55 | |
HENS CLUCK | 0:06:55 | 0:06:57 | |
GEESE SQUAWK | 0:07:14 | 0:07:15 | |
Morning, Basil. | 0:07:15 | 0:07:17 | |
Morning, Paddy. | 0:07:17 | 0:07:19 | |
Sit! | 0:07:19 | 0:07:22 | |
Morning, Mother. | 0:07:22 | 0:07:23 | |
25-year-old Ciaran has an extremely rare genetic disorder called Prader-Willi. | 0:07:29 | 0:07:34 | |
He just licked my ear! | 0:07:34 | 0:07:35 | |
The rabbit's just licked my ear. | 0:07:37 | 0:07:41 | |
Pardon! | 0:07:41 | 0:07:42 | |
Are you all right? | 0:07:42 | 0:07:44 | |
He's a bit irregular. | 0:07:48 | 0:07:51 | |
Mostly, that's what I hold, is the wee bunny rabbits. | 0:07:51 | 0:07:55 | |
That's all you do, put them towards your heart and hold them tightly, | 0:07:55 | 0:08:00 | |
but not too tight. | 0:08:00 | 0:08:01 | |
One of the main symptoms of the condition is an insatiable hunger, | 0:08:01 | 0:08:06 | |
for which there is no effective treatment beyond careful supervision around food. | 0:08:06 | 0:08:10 | |
GOOSE SQUAWKS | 0:08:10 | 0:08:11 | |
I am throwing this to Basil, the goose. | 0:08:11 | 0:08:16 | |
SQUAWKING CONTINUES | 0:08:16 | 0:08:18 | |
-My, he loves the tomatoes! Aye, doesn't he? -Yeah. -Yeah. | 0:08:18 | 0:08:22 | |
Since leaving home at 18, Ciaran, | 0:08:22 | 0:08:24 | |
who also suffers learning difficulties, has been | 0:08:24 | 0:08:27 | |
in and out of community placements and secure institutions. | 0:08:27 | 0:08:31 | |
For the last three weeks, | 0:08:31 | 0:08:33 | |
the NHS have been helping to fund a place in supported accommodation. | 0:08:33 | 0:08:37 | |
-DIRECTOR: -So this is your palace, then? -Yes, this is my palace. | 0:08:37 | 0:08:41 | |
My palace. | 0:08:44 | 0:08:47 | |
At Kilcreggan, Ciaran has his own house, but for his own safety, | 0:08:47 | 0:08:52 | |
his access to food is carefully controlled. | 0:08:52 | 0:08:56 | |
It's thought that as many as one in 35 people with Prader-Willi die as a result of overeating. | 0:08:56 | 0:09:02 | |
Does it frustrate you having the fridge locked and everything locked up? | 0:09:02 | 0:09:07 | |
It does, yeah. It doesn't feel like a normal person. | 0:09:07 | 0:09:11 | |
Like, yourself, your fridge is not locked. | 0:09:11 | 0:09:14 | |
If they didn't lock your fridges, would you eat the stuff in it? | 0:09:14 | 0:09:18 | |
No, I won't, but other Prader-Willis would eat themselves to death. | 0:09:18 | 0:09:24 | |
Overeat, overeat, you put on a lot of weight, | 0:09:24 | 0:09:27 | |
and then the wee heart stops and that will be the end of them - dead. | 0:09:27 | 0:09:31 | |
I'm still alive... | 0:09:31 | 0:09:34 | |
because I just watch what I eat, sometimes. | 0:09:34 | 0:09:38 | |
KNOCK ON DOOR | 0:09:38 | 0:09:40 | |
-Hi, Ciaran, how are you doing? -Hello, Damian. | 0:09:42 | 0:09:45 | |
Damian is the manager of the home. | 0:09:45 | 0:09:47 | |
He knows that today, like every day, he'll need to watch Ciaran closely. | 0:09:47 | 0:09:52 | |
Ciaran is going to be a difficult proposition. | 0:09:52 | 0:09:55 | |
He feels hungry all the time. | 0:09:55 | 0:09:58 | |
That urge to quench that hunger is on him all the time, | 0:09:58 | 0:10:02 | |
irrespective of how much he eats. | 0:10:02 | 0:10:03 | |
To complicate it further, he has diabetes. | 0:10:03 | 0:10:06 | |
When you factor in his constant desire to have food | 0:10:06 | 0:10:09 | |
and how he can manage to manipulate situations | 0:10:09 | 0:10:13 | |
and get food in other ways that you are not aware of, | 0:10:13 | 0:10:17 | |
it makes it an extremely difficult condition to work with. | 0:10:17 | 0:10:20 | |
Can you sometimes be manipulative to get food? | 0:10:20 | 0:10:24 | |
Mmmm, if I was hungry, yes. | 0:10:24 | 0:10:28 | |
-Are we nearly ready to rock? -Yes. -Yes, you done? | 0:10:29 | 0:10:33 | |
'An hour delay on the train's northern route.' | 0:10:33 | 0:10:36 | |
Um, I was close to pigeons a few weeks ago. | 0:10:43 | 0:10:47 | |
-But not regularly close to pigeons? -No. | 0:10:47 | 0:10:50 | |
-He is such a happy boy. -What time are you taking him in? | 0:11:00 | 0:11:03 | |
-I'm not too sure. -Has he not said yet? -No. | 0:11:03 | 0:11:06 | |
Tell me about Kyran's heart operation today. | 0:11:06 | 0:11:09 | |
They are going to be opening him up from the chest | 0:11:09 | 0:11:12 | |
and then they are going to be fixing his aortic artery. | 0:11:12 | 0:11:16 | |
It's not a small operation. | 0:11:16 | 0:11:18 | |
There's nothing you can do about it though, is there? He has to have it. | 0:11:18 | 0:11:21 | |
Oh, dear. | 0:11:21 | 0:11:23 | |
Baby Kyran is six months old. | 0:11:23 | 0:11:25 | |
He was born with an abnormally small main artery to the heart | 0:11:25 | 0:11:29 | |
and, at ten-days-old, had his first open heart surgery. | 0:11:29 | 0:11:32 | |
Today is his second operation and, if all goes well, | 0:11:33 | 0:11:36 | |
it should be his last. | 0:11:36 | 0:11:38 | |
We need to stop the heart to go in and do this operation. | 0:11:38 | 0:11:41 | |
This is a complex procedure. | 0:11:41 | 0:11:44 | |
We need to put him on a heart-lung machine which takes | 0:11:44 | 0:11:47 | |
all of the blood, mixes with oxygen and pumps back into the body. | 0:11:47 | 0:11:50 | |
Getting into the chest a second time is always a difficult problem. | 0:11:50 | 0:11:53 | |
There's a bit of risk involved with this operation, | 0:11:53 | 0:11:56 | |
but I'm quite confident and optimistic that Kyran | 0:11:56 | 0:11:58 | |
-will do very well. -Yes. | 0:11:58 | 0:12:00 | |
Parents Michael and Gemma separated before Kyran was born, | 0:12:04 | 0:12:07 | |
but attend all his medical appointments together. | 0:12:07 | 0:12:10 | |
What's that big smile, mate? Look at that big, lovely smile! | 0:12:13 | 0:12:17 | |
Here you go. | 0:12:18 | 0:12:19 | |
Is that better, eh, mate? It's cold on them corridors. | 0:12:19 | 0:12:23 | |
You don't have a clue, do you? | 0:12:29 | 0:12:31 | |
He's so happy. | 0:12:31 | 0:12:33 | |
-I know. -It's the best way. -I know. | 0:12:33 | 0:12:36 | |
Is that nice? | 0:12:37 | 0:12:39 | |
Hello, gorgeous. He's gorgeous, isn't he? | 0:12:41 | 0:12:44 | |
-Is he always this well behaved? -Yeah. | 0:12:44 | 0:12:47 | |
BABY WHIMPERS | 0:12:54 | 0:12:56 | |
I'm sorry, sweetie. Oh, dear. | 0:12:56 | 0:12:57 | |
BABY CRIES | 0:13:00 | 0:13:01 | |
-Oh, sorry. Oh! -OK, sh, sh, sh. | 0:13:01 | 0:13:04 | |
That's it now. Big kiss and we'll look after him for you, OK? | 0:13:09 | 0:13:12 | |
Did you see his eyes! | 0:13:12 | 0:13:15 | |
Bye now. | 0:13:15 | 0:13:16 | |
Did you see his eyes? | 0:13:16 | 0:13:18 | |
His eyes were just like, up like that. | 0:13:18 | 0:13:21 | |
I'm just a bit shocked because he... | 0:13:22 | 0:13:25 | |
He still had his eyes open as he was falling asleep, | 0:13:25 | 0:13:27 | |
so his eyes were like, going up. | 0:13:27 | 0:13:30 | |
The operation to repair Kyran's heart is expected to take 4.5 hours. | 0:13:30 | 0:13:34 | |
I'll try and get some sleep. | 0:13:39 | 0:13:41 | |
I wouldn't be able to go to sleep. | 0:13:41 | 0:13:43 | |
See the dots? Those dots are all clots. | 0:13:52 | 0:13:55 | |
It doesn't look that big, | 0:13:55 | 0:13:56 | |
but you only need that much to cause a complete blockage. | 0:13:56 | 0:14:00 | |
In the cath lab, Dr Ordoubadi has been working for over an hour | 0:14:00 | 0:14:04 | |
on Clifford's blocked arteries. | 0:14:04 | 0:14:06 | |
We have done a bit of fishing, we're going to do more fishing. | 0:14:06 | 0:14:09 | |
-What does the ECG doing? -'It's on slow motion.' | 0:14:09 | 0:14:12 | |
-Thank you very much. -What does that mean? | 0:14:12 | 0:14:15 | |
That means that what we were doing is working. | 0:14:15 | 0:14:17 | |
Simple as that. | 0:14:17 | 0:14:19 | |
Yes. | 0:14:23 | 0:14:25 | |
Yes. | 0:14:28 | 0:14:30 | |
Come in. | 0:14:32 | 0:14:33 | |
You can see the white bit is the clot, | 0:14:36 | 0:14:39 | |
we have actually managed to catch the clot. | 0:14:39 | 0:14:41 | |
Taking everything out... | 0:14:43 | 0:14:45 | |
This is the moment of truth. Let's get rid of this clot. | 0:14:45 | 0:14:49 | |
So this is it. | 0:14:50 | 0:14:52 | |
Open it up, that red bit at the bottom | 0:14:54 | 0:14:56 | |
is all of the clot that we captured. | 0:14:56 | 0:14:59 | |
That is what I found here. | 0:14:59 | 0:15:01 | |
OK, good. So, I think our job is done. | 0:15:06 | 0:15:08 | |
Clifford's procedure has been a success. | 0:15:08 | 0:15:10 | |
He'll be taken to recovery | 0:15:10 | 0:15:13 | |
while Dr Ordoubadi moves straight on to his next heart-attack patient. | 0:15:13 | 0:15:17 | |
You've got to treat her condition, so we just put it on, anyway. | 0:15:17 | 0:15:20 | |
The other one is already coming, isn't it? | 0:15:20 | 0:15:22 | |
It's coming from Hull, but I think that would be more suited to Bernard. | 0:15:22 | 0:15:25 | |
-Tell me what to do, I'll do it. -Dance! | 0:15:25 | 0:15:28 | |
What would we do without the NHS, eh? | 0:15:30 | 0:15:33 | |
Hmm? | 0:15:33 | 0:15:35 | |
-What was the question? -Show them what they get in a pack. | 0:15:52 | 0:15:54 | |
I could rip open the pack! | 0:15:54 | 0:15:57 | |
Are we allowed to rip it open? | 0:15:57 | 0:15:58 | |
There is a science behind what's in the pack. | 0:15:58 | 0:16:00 | |
Absolutely... | 0:16:00 | 0:16:01 | |
What we came across in the evidence is that, | 0:16:01 | 0:16:04 | |
if you quit for 28 days, you're actually five times more likely to quit | 0:16:04 | 0:16:07 | |
for good and so that is what we focused on with this campaign, | 0:16:07 | 0:16:10 | |
so it is a start to stopping, as it were. | 0:16:10 | 0:16:12 | |
At one point on Monday, 1 October when we launched, | 0:16:12 | 0:16:15 | |
we had 50 tweets a minute. | 0:16:15 | 0:16:18 | |
One, two, three, four, five. Yeah? | 0:16:20 | 0:16:23 | |
10, 11, 12, 13, 14, 15, 16. | 0:16:23 | 0:16:28 | |
So I would be lying to you if I said that I'm not nervous | 0:16:36 | 0:16:39 | |
or I'm not anxious or anything like that. | 0:16:39 | 0:16:42 | |
Most of the cases, when they are straightforward, | 0:16:45 | 0:16:47 | |
we don't think twice about it, but today's case, Kyran, | 0:16:47 | 0:16:51 | |
being a second operation, there is a certain element of risk. | 0:16:51 | 0:16:55 | |
-Testing the saw. -Testing. | 0:17:08 | 0:17:10 | |
This is where things can go wrong while opening the breastbone | 0:17:12 | 0:17:15 | |
we can straight enter into the heart, | 0:17:15 | 0:17:17 | |
so we make sure that everybody's available in the theatre. | 0:17:17 | 0:17:21 | |
We have the perfusionist and the heart-lung machine ready | 0:17:21 | 0:17:24 | |
and set up, in case if we need to go on bypass. | 0:17:24 | 0:17:26 | |
Gently. | 0:17:26 | 0:17:28 | |
Are you OK? | 0:17:28 | 0:17:29 | |
Is everybody all right? | 0:17:29 | 0:17:31 | |
SAW WHIRRS | 0:17:31 | 0:17:34 | |
It's always in my mind, what they think they might be doing | 0:17:45 | 0:17:49 | |
and... I have visions in my head and... | 0:17:49 | 0:17:53 | |
I just don't think about it. | 0:17:55 | 0:17:57 | |
I don't know how you can do that. How can you not think about it? | 0:17:57 | 0:18:02 | |
It's mine now. | 0:18:05 | 0:18:07 | |
Hello, mate. What's been happening? | 0:18:10 | 0:18:14 | |
That's good news, Dad. | 0:18:15 | 0:18:17 | |
Look at the camera. Smile for the camera. | 0:18:23 | 0:18:26 | |
I know you haven't done your hair yet, but, hey! | 0:18:26 | 0:18:29 | |
You're still beautiful, you get me? | 0:18:29 | 0:18:33 | |
A true teenager. | 0:18:33 | 0:18:35 | |
Genieva was diagnosed with early stage kidney failure. | 0:18:35 | 0:18:38 | |
That's my girl. | 0:18:38 | 0:18:40 | |
Oh, it tastes nasty. | 0:18:42 | 0:18:43 | |
Yeah, but you know it's not about the taste, | 0:18:43 | 0:18:45 | |
it's about what it's going to do for your body. | 0:18:45 | 0:18:48 | |
All right there? | 0:18:48 | 0:18:49 | |
-Are you Genieva's sister? -Yes. | 0:18:49 | 0:18:51 | |
Give her a kiss, then. | 0:18:51 | 0:18:54 | |
Do you love her? | 0:18:54 | 0:18:55 | |
Oh, cuddle time. | 0:18:55 | 0:18:57 | |
The Yorkshire air ambulance is one of 35 helicopters on stand-by | 0:19:08 | 0:19:12 | |
today across the UK. | 0:19:12 | 0:19:14 | |
'Ambulance, tell me exactly what's happened?' | 0:19:14 | 0:19:17 | |
'I've had a mechanic doing some work and I think he's had a heart attack.' | 0:19:17 | 0:19:21 | |
A call has come from a farm outside Ripon. | 0:19:24 | 0:19:26 | |
'OK, I'm organising help for you now. | 0:19:26 | 0:19:28 | |
'Stay on the line and I'll tell you how to do resuscitation. | 0:19:28 | 0:19:31 | |
-'Listen carefully.' -Yes. | 0:19:31 | 0:19:33 | |
'Pump the chest hard and fast at least twice a second. | 0:19:33 | 0:19:36 | |
'We're going to do this 600 times or until help can take over.' | 0:19:36 | 0:19:40 | |
Paramedics have been dispatched by road. | 0:19:40 | 0:19:43 | |
The helicopter has been scrambled to get the 80-year-old mechanic | 0:19:43 | 0:19:46 | |
to hospital as fast as possible. | 0:19:46 | 0:19:49 | |
-'Is that the right pace? -Yep. Keep going for me.' | 0:19:49 | 0:19:53 | |
'11, 12, 13, 14, 15... | 0:19:53 | 0:19:56 | |
'..55, 56, 57, 58, 59... | 0:19:56 | 0:19:58 | |
'..90, 91, 92, 93... | 0:19:58 | 0:20:02 | |
'96, 97, 98, 99...' | 0:20:02 | 0:20:03 | |
'Don't give up, this will keep him going | 0:20:03 | 0:20:06 | |
'until the ambulance gets there.' | 0:20:06 | 0:20:09 | |
'98, 99, 100. I think the ambulance is here.' | 0:20:09 | 0:20:11 | |
'OK, keep going for me until they're ready to take over.' | 0:20:11 | 0:20:14 | |
'I don't how long he was down. I literally...' | 0:20:14 | 0:20:18 | |
Paramedics are on the scene, trying to resuscitate the mechanic. | 0:20:19 | 0:20:23 | |
It's now 15 minutes since the 999 call was made. | 0:20:23 | 0:20:27 | |
Found collapsed, was blue, I got here CPR was in progress | 0:20:28 | 0:20:31 | |
when I got here. Arrest could have happened at any time. | 0:20:31 | 0:20:34 | |
He has got a bit of a cut on his head. | 0:20:34 | 0:20:36 | |
OK. Just stop. | 0:20:36 | 0:20:38 | |
Carry on. Tell me if you want to swap. | 0:20:43 | 0:20:46 | |
See if you can gather any information off the other guy, | 0:20:49 | 0:20:52 | |
-age and that type of thing. -Yes, sure. -Cheers. | 0:20:52 | 0:20:54 | |
Is it a relative or...? | 0:20:54 | 0:20:56 | |
No, he's a friend from the village. He does a bit of mechanicing. | 0:20:56 | 0:21:01 | |
He could be hypothermic. It's unlikely. | 0:21:01 | 0:21:05 | |
At the moment, he's not responding to anything we're doing. | 0:21:05 | 0:21:08 | |
-No, I didn't like the look of him when I found him. -Yes. | 0:21:08 | 0:21:11 | |
Probably not going to be here. | 0:21:11 | 0:21:13 | |
He's not got any bruising where he's fallen or anything like that? | 0:21:13 | 0:21:16 | |
No. There is one cut here. He could've clouted it on the way. | 0:21:16 | 0:21:20 | |
He was saying to the chap it was a bit of a bugger as a job, | 0:21:20 | 0:21:24 | |
when he was doing this vehicle, so he could've got himself worked up. | 0:21:24 | 0:21:28 | |
Liz Shade. | 0:21:28 | 0:21:29 | |
-She's going to be absolutely mortified. -Of course she is. | 0:21:29 | 0:21:32 | |
Why don't you hang fire a minute and let's see what happens. | 0:21:32 | 0:21:35 | |
Let's see if... | 0:21:35 | 0:21:36 | |
Yes, I don't want to hide it from her either, do you know what I mean? | 0:21:36 | 0:21:39 | |
I didn't know whether to call her first or the ambulance, but it was ambulance. | 0:21:39 | 0:21:43 | |
Yes, yes. | 0:21:43 | 0:21:45 | |
Pupils are fixed and dilated. | 0:21:48 | 0:21:50 | |
All right, | 0:21:51 | 0:21:53 | |
I think we're going to get to the point of calling this. | 0:21:53 | 0:21:55 | |
Is everybody happy that we call this? | 0:21:55 | 0:21:57 | |
All right, we've done ALS, we've done BLS. | 0:21:57 | 0:22:00 | |
-All his reversible causes. -All his reversible causes. | 0:22:00 | 0:22:02 | |
Maintained asystole throughout. | 0:22:02 | 0:22:05 | |
-Right, stop here then, yes? -Yes. | 0:22:05 | 0:22:07 | |
Tell this gentleman. | 0:22:09 | 0:22:11 | |
Yes, as we suspected, we've given him all the drugs we can | 0:22:17 | 0:22:21 | |
so far and, there's nothing. | 0:22:21 | 0:22:22 | |
I think Mark's just gone to... | 0:22:24 | 0:22:26 | |
I mean, great stuff for doing what you did. | 0:22:28 | 0:22:31 | |
I mean, certain cardiac events, certain things, | 0:22:31 | 0:22:33 | |
there's just no coming back from. | 0:22:33 | 0:22:35 | |
-Right, I better go up and see Liz then, hadn't I? -OK. | 0:22:44 | 0:22:47 | |
Husband, father and grandfather | 0:22:48 | 0:22:51 | |
Jim Shade had no previous history of heart trouble. | 0:22:51 | 0:22:54 | |
We cut here. Press it and cut there. | 0:23:00 | 0:23:03 | |
Just leave it there. | 0:23:03 | 0:23:05 | |
Having reached baby Kyran's heart, | 0:23:06 | 0:23:09 | |
surgeon Ram is ready to cut into the artery. | 0:23:09 | 0:23:11 | |
Kyran's heart problems, this part of the aorta was quite small | 0:23:11 | 0:23:16 | |
when he was born, so, initial operation, | 0:23:16 | 0:23:19 | |
we made this bigger and now he came back with narrowing in here, | 0:23:19 | 0:23:23 | |
right in the root of this great vessel, | 0:23:23 | 0:23:26 | |
so we had to enlarge that wall, | 0:23:26 | 0:23:29 | |
make it bigger, as well as this part of the great artery. | 0:23:29 | 0:23:32 | |
To widen the valve, Ram has to painstakingly stitch | 0:23:32 | 0:23:36 | |
a six-millimetre skin graft into the artery, | 0:23:36 | 0:23:39 | |
but he can't operate with the heart beating. | 0:23:39 | 0:23:41 | |
-Are you happy? -Yes. | 0:23:41 | 0:23:43 | |
-On bypass please. -OK. | 0:23:43 | 0:23:46 | |
The bypass machine will take on the job of the heart. | 0:23:48 | 0:23:51 | |
So now, the heart-lung machine is taking over the circulation | 0:23:56 | 0:23:59 | |
and the heart will become empty now. | 0:23:59 | 0:24:01 | |
-We are about to stop the heart. -We are about to stop the heart. | 0:24:10 | 0:24:13 | |
It has actually stopped. | 0:24:38 | 0:24:40 | |
If you see the ECG monitoring line there, | 0:24:40 | 0:24:42 | |
which has completely gone flat. | 0:24:42 | 0:24:45 | |
The white at the top and the heart rate is zero. | 0:24:45 | 0:24:47 | |
Gemma first found out there was a serious problem with Kyran's heart | 0:24:53 | 0:24:57 | |
during a routine pregnancy scan. | 0:24:57 | 0:24:59 | |
Doctors couldn't tell whether the defect was treatable | 0:24:59 | 0:25:03 | |
and weren't able to give a clear prognosis until he was born. | 0:25:03 | 0:25:06 | |
I was 32 weeks pregnant and they actually said to me | 0:25:06 | 0:25:11 | |
that I could actually terminate my pregnancy then. | 0:25:11 | 0:25:13 | |
For someone to say that you could terminate your baby at 32 weeks | 0:25:13 | 0:25:18 | |
is, it's very hard to take. | 0:25:18 | 0:25:21 | |
I couldn't. | 0:25:21 | 0:25:23 | |
I know they have to give you that opportunity | 0:25:23 | 0:25:25 | |
to have a termination but... | 0:25:25 | 0:25:27 | |
No, I couldn't. | 0:25:27 | 0:25:29 | |
Because of all the stress, me and Michael have split up. | 0:25:30 | 0:25:34 | |
Michael couldn't take it, so he went to live with his mum. | 0:25:34 | 0:25:38 | |
I think he just wanted to be on his own. | 0:25:40 | 0:25:42 | |
For Michael not being there, it was a lot harder to... | 0:25:45 | 0:25:50 | |
Because I was, I just got all of that information about Kyran | 0:25:52 | 0:25:56 | |
and all I wanted to do was just cuddle up to Michael, | 0:25:56 | 0:26:00 | |
you know, like you do, and he weren't there. | 0:26:00 | 0:26:04 | |
You're too busy worrying to think about each other. It's quite... | 0:26:06 | 0:26:10 | |
It very difficult. | 0:26:11 | 0:26:13 | |
He'll be all right. | 0:26:17 | 0:26:18 | |
Genieva, roll your window. | 0:26:20 | 0:26:22 | |
Thank you. | 0:26:22 | 0:26:24 | |
Where are you going, Genieva? | 0:26:24 | 0:26:26 | |
-Look in the camera, please. Where are you going? -Hospital. | 0:26:26 | 0:26:29 | |
Which hospital? | 0:26:29 | 0:26:30 | |
Evelina. | 0:26:30 | 0:26:32 | |
Guys Children's Hospital. | 0:26:32 | 0:26:34 | |
-How do you feel about going there? -OK. | 0:26:34 | 0:26:38 | |
You feel OK? | 0:26:38 | 0:26:39 | |
Cheese, Mum! | 0:26:39 | 0:26:40 | |
-Why do you have to go there? -To have dialysis. | 0:26:40 | 0:26:43 | |
-Look into the camera, please. -Cheese! | 0:26:43 | 0:26:46 | |
-To have dialysis. -Three times a week. -Yes. | 0:26:46 | 0:26:49 | |
Cheese! | 0:26:49 | 0:26:50 | |
'A very important date in the calendar of Welsh music today...' | 0:26:50 | 0:26:54 | |
My friend, Louisa, the blonde. | 0:26:55 | 0:26:59 | |
Very good. What lovely teeth. | 0:27:01 | 0:27:03 | |
Stigmatise the cigarette, rather than the smoker. | 0:27:16 | 0:27:18 | |
We want the smokers to feel we are on their side. | 0:27:18 | 0:27:22 | |
OK, let me show you again. This is our dominant image. | 0:27:22 | 0:27:26 | |
It's a cigarette with a fleshy, red, cancerous tumour. | 0:27:26 | 0:27:31 | |
Oh, I could never be a heroin addict! | 0:27:34 | 0:27:37 | |
'We are talking about the cost of celebrity gone wrong. | 0:27:37 | 0:27:40 | |
'Plebgate, it's not going away, you know. | 0:27:40 | 0:27:43 | |
'Gary Barlow is off on a solo tour. Would you pay to see him | 0:27:43 | 0:27:47 | |
'without the rest of the Take That lads? | 0:27:47 | 0:27:49 | |
Under the watchful eye of Kilcreggan care home staff, | 0:27:49 | 0:27:52 | |
Ciaran is making his favourite egg and onion sandwiches for lunch. | 0:27:52 | 0:27:56 | |
Ciaran does like onions, | 0:27:56 | 0:27:58 | |
absolutely no problem to him. | 0:27:58 | 0:28:00 | |
Eats them like apples. It's an acquired taste, that's for certain. | 0:28:00 | 0:28:04 | |
There is no medication to ease Ciaran's constant urge to eat. | 0:28:04 | 0:28:08 | |
All staff can do is make sure he maintains a healthy lifestyle | 0:28:08 | 0:28:12 | |
with exercise and strict meal rotas. | 0:28:12 | 0:28:14 | |
You go swimming today, yes? | 0:28:14 | 0:28:17 | |
No. Go on Sunday. | 0:28:17 | 0:28:18 | |
-It's under swimming. -Zumba. | 0:28:18 | 0:28:22 | |
Zumba. | 0:28:22 | 0:28:24 | |
-Zumba. -Zumba today. -Yes. | 0:28:24 | 0:28:27 | |
-OK. -I know what my days, I know my schedule, blah blah blah. | 0:28:27 | 0:28:32 | |
That's what I'm looking for. | 0:28:36 | 0:28:39 | |
You don't have soup today. | 0:28:40 | 0:28:42 | |
Yes, I have soup with my sandwich. | 0:28:42 | 0:28:44 | |
It's all right. | 0:28:44 | 0:28:46 | |
Go on, make a big fuss of it. | 0:28:57 | 0:28:58 | |
Go on! Make a big fuss of it! Go on! | 0:28:58 | 0:29:01 | |
-Make a big fucking fuss of it! -I just want to... | 0:29:01 | 0:29:04 | |
Go on, make a big fuss of it, go on. | 0:29:04 | 0:29:06 | |
-I just want to talk to him. -Go on, make a big fuss of it. | 0:29:06 | 0:29:09 | |
You see that there. I can crumple it up. I can put it in the bin. | 0:29:09 | 0:29:14 | |
-That's because of you. -No, I just explained to you. | 0:29:14 | 0:29:17 | |
I've put it in the bin. | 0:29:17 | 0:29:19 | |
-You can read. Today... -Fuck away off! Fuck away off! | 0:29:19 | 0:29:23 | |
Calm down, Ciaran. | 0:29:23 | 0:29:25 | |
I'm going to see him. | 0:29:25 | 0:29:27 | |
I'm not staying in this fucking Kilcreggan. | 0:29:27 | 0:29:30 | |
I'm telling you, I'm telling my mother. | 0:29:30 | 0:29:32 | |
Calm down, calm down. | 0:29:32 | 0:29:33 | |
Fuck away off. Fuck away off! | 0:29:33 | 0:29:36 | |
You are driving me in-fucking-sane, man. | 0:29:36 | 0:29:39 | |
He's over limit on his food budget, | 0:29:39 | 0:29:42 | |
because the soup is tomorrow's lunch. | 0:29:42 | 0:29:45 | |
Being in this place makes me so popping mad sometimes. | 0:29:45 | 0:29:48 | |
Ciaran, did you read this? | 0:29:48 | 0:29:50 | |
Get the saucepan out of his hands. | 0:29:50 | 0:29:52 | |
I'm sure you read that, Ciaran. | 0:29:52 | 0:29:54 | |
I always have a soup along with my sandwich. | 0:29:54 | 0:29:56 | |
So is the thing for you and me to do | 0:29:56 | 0:29:59 | |
-to have a conversation with Sandra later on? -Yes. | 0:29:59 | 0:30:01 | |
OK, that's the thing we'll do then. | 0:30:01 | 0:30:03 | |
Mealtimes will, nine times out of ten, will be challenging. | 0:30:06 | 0:30:09 | |
What he was after, was he'd seen the cup-a-soups sitting there | 0:30:09 | 0:30:12 | |
and that's what he wanted. | 0:30:12 | 0:30:13 | |
That was part of his menu yesterday and part of his menu tomorrow | 0:30:13 | 0:30:16 | |
and he knows his menu, you can be absolutely sure of it, | 0:30:16 | 0:30:19 | |
but that was an opportunity that he'd seen to get something extra. | 0:30:19 | 0:30:24 | |
Anybody else, it's not a problem, | 0:30:27 | 0:30:29 | |
but, you know, he's limited to an amount of calories. | 0:30:29 | 0:30:31 | |
His metabolism burns off food a lot slower than we do | 0:30:31 | 0:30:36 | |
and that's where the real risk is. | 0:30:36 | 0:30:38 | |
It seems like such a simple thing to turn around and say, | 0:30:38 | 0:30:41 | |
"Yeah, go ahead and have that," | 0:30:41 | 0:30:42 | |
and the next time, "Go ahead and have that." | 0:30:42 | 0:30:45 | |
Then you come back four weeks later and allow him to have all that | 0:30:45 | 0:30:48 | |
and you're looking at a stone weight on as fast as that. | 0:30:48 | 0:30:51 | |
And that continues to multiply | 0:30:51 | 0:30:53 | |
and that's where the real danger in his health comes to. | 0:30:53 | 0:30:56 | |
54 minutes, coming up to an hour now. | 0:31:15 | 0:31:17 | |
OK, now let me assess that other side once again to see... | 0:31:24 | 0:31:28 | |
No, stop. | 0:31:28 | 0:31:29 | |
He is given? OK, we will try and do our best to... | 0:31:31 | 0:31:34 | |
Ram has successfully sewn the tiny graft into baby Kyran's heart valve. | 0:31:34 | 0:31:38 | |
But in doing so, he has discovered another problem. | 0:31:40 | 0:31:43 | |
These are called the leaflets of the valve, they are supposed to be | 0:31:43 | 0:31:47 | |
very thin, but in Kyran's case they are a bit thicker now. | 0:31:47 | 0:31:52 | |
What looks like instead of having three leaflets out of three doors, | 0:31:52 | 0:31:56 | |
-surprisingly he has got only two doors. -Did you know that? | 0:31:56 | 0:31:59 | |
Sometimes with the scans you can't exactly see, | 0:31:59 | 0:32:02 | |
but what we know is that it will cause problems to him | 0:32:02 | 0:32:07 | |
later on because it's not a normal valve. | 0:32:07 | 0:32:10 | |
The newly discovered defect means Kyran may well have to undergo | 0:32:12 | 0:32:15 | |
more open heart surgery. | 0:32:15 | 0:32:17 | |
What we need to do now is to expel all the air. | 0:32:18 | 0:32:23 | |
If air travels to the brain, it causes brain damage. | 0:32:23 | 0:32:26 | |
Is the vent sucking OK? | 0:32:26 | 0:32:28 | |
OK, clamp off, lungs off, please. | 0:32:31 | 0:32:34 | |
The heart has started beating happily which is a good sign. | 0:32:42 | 0:32:46 | |
You can see the ECG has returned. | 0:32:46 | 0:32:48 | |
The heart is contracting, | 0:32:48 | 0:32:50 | |
so now we are ready to take Kyran off the heart-lung machine. | 0:32:50 | 0:32:53 | |
-Are you happy? -Happy. | 0:32:53 | 0:32:54 | |
Are you ventilating a bit? Come off bypass, please. Go on. | 0:32:54 | 0:32:59 | |
-A little bit of volume, please. -OK. | 0:33:01 | 0:33:04 | |
Ram can only be sure this operation has worked | 0:33:04 | 0:33:07 | |
when the heart is beating independently | 0:33:07 | 0:33:09 | |
and the scan shows the artery is working. | 0:33:09 | 0:33:13 | |
I am happy. | 0:33:24 | 0:33:26 | |
With the scan we have done | 0:33:26 | 0:33:27 | |
and with the result, we are sure that the operation is a success. | 0:33:27 | 0:33:30 | |
-Hello. -Hello. -Everything went fine. | 0:33:37 | 0:33:40 | |
-We did what we planned to do. -Yes. | 0:33:40 | 0:33:43 | |
There were a couple of things that we hadn't been expecting. | 0:33:43 | 0:33:48 | |
Normally in every person the valves should contain three doors, | 0:33:48 | 0:33:51 | |
open and closed. Normal people. | 0:33:51 | 0:33:54 | |
So what Kyran has got is he has got only two doors | 0:33:54 | 0:33:57 | |
and the two doors are not equal. | 0:33:57 | 0:33:59 | |
So the problem now is that since his valve is not normal, | 0:33:59 | 0:34:03 | |
-it might require another operation later on. -OK. | 0:34:03 | 0:34:05 | |
-He hopefully won't need another one after that. -Hopefully not. | 0:34:05 | 0:34:08 | |
-Hopefully not. -So... -Everything went well. | 0:34:08 | 0:34:10 | |
We'll give him some more time | 0:34:10 | 0:34:12 | |
so that he'll settle and then wake up properly. | 0:34:12 | 0:34:14 | |
Yay! | 0:34:14 | 0:34:16 | |
-I'm going to cry. I am just so happy. -Yes, he is fine. -Good. | 0:34:16 | 0:34:21 | |
Thank you very much. Yes. I'm just so happy. | 0:34:21 | 0:34:25 | |
Everything were good, everything were successful, yes. | 0:34:25 | 0:34:28 | |
I'm just so happy. Yes. | 0:34:28 | 0:34:31 | |
At the cath lab, | 0:34:42 | 0:34:43 | |
73-year-old Noel has come in to have his arteries examined. | 0:34:43 | 0:34:47 | |
I seem to be, you know, | 0:34:49 | 0:34:52 | |
if I'm walking any distance, I seem to get breathless very easily. | 0:34:52 | 0:34:57 | |
And I get tired very, very easily. | 0:34:57 | 0:35:00 | |
So they just want to sort of check to see basically | 0:35:00 | 0:35:05 | |
what's causing this problem. | 0:35:05 | 0:35:08 | |
-What do you think it might be? -Who knows? | 0:35:08 | 0:35:11 | |
Just have to wait and see. | 0:35:13 | 0:35:15 | |
Bit of pushing in the arm now, sir, a bit of pushing in the arm. | 0:35:17 | 0:35:20 | |
-Right, sir, we're done. -Lovely. | 0:35:29 | 0:35:30 | |
We're going to take this tube out of your arm now, | 0:35:30 | 0:35:32 | |
if you just hold onto this, sir. | 0:35:32 | 0:35:34 | |
-We are done. -Glad it's over. | 0:35:34 | 0:35:36 | |
-Right, so I'm just going to... -Pretty boring just lying here. | 0:35:37 | 0:35:40 | |
All I'm thinking now is a nice cup of coffee. | 0:35:40 | 0:35:43 | |
And a cigarette. I shouldn't say that, should I? | 0:35:49 | 0:35:54 | |
Your arteries, although there are certain blockages here and there, | 0:35:54 | 0:35:57 | |
they're not severe enough to require any intervention, | 0:35:57 | 0:36:00 | |
be it stents or bypass surgery or anything like that. | 0:36:00 | 0:36:02 | |
The other thing to say is that the pumping function of your heart | 0:36:02 | 0:36:05 | |
is actually not bad. | 0:36:05 | 0:36:06 | |
So why does my body feel as if it's out of oxygen after about 100 metres? | 0:36:06 | 0:36:13 | |
-You know, remember you are a smoker, aren't you? -Yes. | 0:36:13 | 0:36:16 | |
So it's not necessarily your heart that's to blame for all of this. | 0:36:16 | 0:36:20 | |
He does have clinical signs of smoking-related lung disease | 0:36:20 | 0:36:23 | |
and he's promised he's going to stop, gradually. | 0:36:23 | 0:36:26 | |
-Yes, the willpower is what you need now. -Yes, I do. | 0:36:26 | 0:36:28 | |
Say to yourself, "Look, it's not too bad, | 0:36:28 | 0:36:30 | |
-"I've been given reasonably good news..." -Right. | 0:36:30 | 0:36:33 | |
-"..let's consolidate that and build on it." -Yes. -OK? | 0:36:33 | 0:36:36 | |
-See you later on on the ward, then. -Yes. | 0:36:36 | 0:36:38 | |
Smoking is a big part of his problem | 0:36:38 | 0:36:40 | |
and his main problem is breathlessness. | 0:36:40 | 0:36:42 | |
A proportion of his breathlessness will be down to his lungs | 0:36:42 | 0:36:45 | |
because when I did examine them, he does have wheezy lungs, | 0:36:45 | 0:36:48 | |
he's got expanded lungs and it's probably all smoking-related | 0:36:48 | 0:36:50 | |
so a lot of his breathlessness will be down to smoking. | 0:36:50 | 0:36:53 | |
Does it frustrate you that people carry on smoking after you see them? | 0:36:53 | 0:36:56 | |
It can be, but you know, you do your best to improve their health | 0:36:56 | 0:37:01 | |
and as frustrating as it may be, there is nothing I can do | 0:37:01 | 0:37:03 | |
to force him to stop. All we can do is just keep advising. | 0:37:03 | 0:37:06 | |
It's good news but I still haven't got sort of... How can I put it? | 0:37:06 | 0:37:12 | |
..something that I can do which actually can give me an improvement. | 0:37:12 | 0:37:18 | |
-If you understand me. -They said if you cut down on smoking... | 0:37:18 | 0:37:22 | |
Yes, yes, yes. Well, I'm on ten. | 0:37:22 | 0:37:24 | |
Ten a day. | 0:37:26 | 0:37:28 | |
Instinctively I feel that that's not the problem. | 0:37:30 | 0:37:33 | |
Oh, well. | 0:37:33 | 0:37:35 | |
-How are you feeling? -Anxious. | 0:37:47 | 0:37:49 | |
-Nervous? -Yes. -Excited? -Excited, nervous. -Can't wait? | 0:37:49 | 0:37:53 | |
-How old are you? -Me, I'm 39 now, | 0:37:53 | 0:37:57 | |
I had a heart attack when I was 37. | 0:37:57 | 0:37:59 | |
And since I've had my bypass I've been back here 44 times | 0:37:59 | 0:38:05 | |
-with the same problem. -That's crazy, isn't it? -Yes. | 0:38:05 | 0:38:08 | |
I used to think it was down to being a little bit overweight, | 0:38:08 | 0:38:12 | |
but the time when I had my last heart attack, | 0:38:12 | 0:38:15 | |
there was a person in there who was on my ward, in my cubicle, | 0:38:15 | 0:38:18 | |
and by looking at him you could see that he was really fit, | 0:38:18 | 0:38:22 | |
he goes to the gym and everything and he had a bypass | 0:38:22 | 0:38:25 | |
so it could happen to anybody, really. | 0:38:25 | 0:38:27 | |
Right hand, quickly, quickly. | 0:38:33 | 0:38:35 | |
HE RETCHES | 0:38:36 | 0:38:39 | |
This is the hand that I used to use. | 0:38:39 | 0:38:42 | |
I had a stupid idea this, three months ago, I said, | 0:38:46 | 0:38:50 | |
for my 77th birthday, which was last week, to celebrate it... | 0:38:50 | 0:38:55 | |
..in Croatia. Dear! Did we? | 0:38:56 | 0:38:59 | |
Any heart problems prior to last week? | 0:38:59 | 0:39:02 | |
-I have had a heart attack when... -July, 1996. | 0:39:02 | 0:39:06 | |
David and Josie have been married for 53 years. | 0:39:06 | 0:39:09 | |
On holiday in Croatia last week, David was rushed into hospital. | 0:39:09 | 0:39:14 | |
He spent three days on a coronary care ward in Dubrovnik | 0:39:14 | 0:39:17 | |
where he was diagnosed with a heart murmur. | 0:39:17 | 0:39:19 | |
He flew home, but today his symptoms have returned. | 0:39:19 | 0:39:23 | |
At least they all speak English, don't they? | 0:39:24 | 0:39:26 | |
David can communicate with people and you couldn't there, | 0:39:26 | 0:39:29 | |
and they were lovely, but it was very hard work, wasn't it? | 0:39:29 | 0:39:32 | |
Oh, yes, wonderful, wonderful doctor. | 0:39:32 | 0:39:34 | |
It was very traumatic for me in Dubrovnik. | 0:39:34 | 0:39:36 | |
They put him in a place like this, | 0:39:36 | 0:39:38 | |
"Well, we will keep him in. You go, we will keep him in." | 0:39:38 | 0:39:42 | |
I thought, "Oh, thanks." | 0:39:42 | 0:39:44 | |
So at twenty to four in the morning, | 0:39:44 | 0:39:46 | |
I was left in a very, very dark corridor with just little... | 0:39:46 | 0:39:52 | |
Nothing like these, nothing at all like that, just little lamps. | 0:39:52 | 0:39:56 | |
So how do you get out of there? You know? | 0:39:57 | 0:39:59 | |
"How do I get out of there?" | 0:39:59 | 0:40:02 | |
I thought "Well, I think I've done the easy bit, | 0:40:02 | 0:40:04 | |
"the easy bit is I've got David looked after, | 0:40:04 | 0:40:07 | |
"I could do with someone to look after me," | 0:40:07 | 0:40:09 | |
because, you see, all the signs are in Croat. You just... | 0:40:09 | 0:40:15 | |
It's not something that I would recommend to anybody, | 0:40:15 | 0:40:19 | |
but we got through it. | 0:40:19 | 0:40:22 | |
Anyway, I found my way out with the help of a...gorgeous man. | 0:40:22 | 0:40:26 | |
Clogs and all. White clogs and everything on. You know? | 0:40:28 | 0:40:32 | |
We did want to come home, yes. | 0:40:34 | 0:40:36 | |
David more than me, because the food was, it was fed in steel bowls. | 0:40:36 | 0:40:42 | |
You know, like you give dogs. | 0:40:42 | 0:40:45 | |
It was, well, I don't know if it was soup or Ready Brek. | 0:40:45 | 0:40:50 | |
I don't know what it was. It was indescribable. | 0:40:50 | 0:40:53 | |
The food was terrible. | 0:40:53 | 0:40:55 | |
He said, "Look at my lunch!" | 0:40:55 | 0:40:57 | |
But he's not right, my David, you know, he's not right. | 0:41:05 | 0:41:08 | |
They'll get him right, hopefully. | 0:41:08 | 0:41:11 | |
Kyran is back from theatre and he is stable, | 0:41:32 | 0:41:36 | |
but since he's come onto the unit he has started bleeding | 0:41:36 | 0:41:38 | |
more and more. | 0:41:38 | 0:41:40 | |
We are on top of it, but his body is fighting us so we need to keep him... | 0:41:40 | 0:41:46 | |
There's been an unexpected complication. | 0:41:48 | 0:41:51 | |
Kyran's suddenly losing a lot of blood. | 0:41:51 | 0:41:54 | |
I can see his heart beating. | 0:42:00 | 0:42:03 | |
Yes, because it's beating so hard, so fast, the heart. | 0:42:03 | 0:42:06 | |
-He's not going into cardiac arrest or anything? -No, as long as we... | 0:42:06 | 0:42:09 | |
Ram is going to reopen Kyran's chest to find out why he's bleeding so heavily. | 0:42:09 | 0:42:14 | |
If he is bleeding excessively... | 0:42:14 | 0:42:16 | |
When he initially came in here, it wasn't much, | 0:42:16 | 0:42:19 | |
he was extubated, everything was good, we thought. | 0:42:19 | 0:42:21 | |
But then he suddenly started bleeding. | 0:42:21 | 0:42:24 | |
We interfered with the clotting mechanism of the blood, so | 0:42:24 | 0:42:28 | |
we keep it very thin and sometimes it doesn't thicken very well. | 0:42:28 | 0:42:31 | |
It is always safer to have a look. | 0:42:31 | 0:42:34 | |
Hopefully we can fix it. | 0:42:34 | 0:42:36 | |
Will someone ring us? | 0:42:37 | 0:42:39 | |
Can I give him a quick kiss? | 0:42:39 | 0:42:41 | |
Ram needs to operate immediately and so closes the intensive care ward. | 0:42:49 | 0:42:54 | |
I thought that were it, I thought he were going to be fine and then... | 0:42:55 | 0:42:58 | |
Everything's changed. | 0:43:00 | 0:43:02 | |
I'm confident in everything what they're doing, but it's... | 0:43:03 | 0:43:06 | |
At the end of the day, it's still my baby and there's still, | 0:43:06 | 0:43:09 | |
something, you know, serious happening. | 0:43:09 | 0:43:12 | |
He's got an emergency on and there's one treat and return. | 0:43:25 | 0:43:28 | |
-And there's another one going in. -There's another one after this one. | 0:43:28 | 0:43:31 | |
It looks like we going to be busy already, so... | 0:43:31 | 0:43:34 | |
I know, that's why I want to create as much capacity. | 0:43:34 | 0:43:36 | |
The cath lab is having a run of emergency cases. | 0:43:36 | 0:43:40 | |
When you say extensive, have you got a measurement? | 0:43:40 | 0:43:43 | |
OK, all done! Good news. | 0:43:43 | 0:43:46 | |
-One in, one out. -One in, one out. | 0:43:46 | 0:43:48 | |
ETA, when, sorry? | 0:43:48 | 0:43:51 | |
Ten minutes, OK. Thank you very much. | 0:43:51 | 0:43:53 | |
There is a shortage of beds and procedure rooms. | 0:43:54 | 0:43:57 | |
Five minutes, thank you. All right, thanks, love. Bye. Five minutes. | 0:43:57 | 0:44:02 | |
With another emergency case about to arrive, the team have to make | 0:44:02 | 0:44:06 | |
a difficult decision about a female patient from another hospital, | 0:44:06 | 0:44:09 | |
who's been waiting for her planned operation. | 0:44:09 | 0:44:12 | |
She won't have a bed to go into because they're all male beds. | 0:44:14 | 0:44:17 | |
I'm not arguing who should be done, but there is still two to do. | 0:44:17 | 0:44:20 | |
Don't you agree with that, though? | 0:44:20 | 0:44:22 | |
Don't you think that's a wise decision? | 0:44:22 | 0:44:23 | |
If we can't do it, we can't do it. | 0:44:23 | 0:44:25 | |
-We're just moving, so there should be a bed. -Right, lovely. | 0:44:27 | 0:44:30 | |
She's crying. | 0:44:30 | 0:44:31 | |
She's not happy. | 0:44:32 | 0:44:33 | |
It's quite sad really, because she's been waiting for a few days. | 0:44:33 | 0:44:36 | |
She's got a complex case and you want to do her procedure | 0:44:36 | 0:44:39 | |
but you can't right now, because we've got an emergency coming in. | 0:44:39 | 0:44:42 | |
If it's up to you, you'd stick around after five o'clock | 0:44:42 | 0:44:45 | |
and do it at six or seven, but it's not up to you | 0:44:45 | 0:44:47 | |
and we've got nowhere to put her after we do her procedure. | 0:44:47 | 0:44:50 | |
The latest emergency patient is 74-year-old Rita. | 0:44:50 | 0:44:54 | |
When did the chest pain start? | 0:44:58 | 0:44:59 | |
I've had an aching chest all week. | 0:44:59 | 0:45:02 | |
-Have you got chest pain now? -Yes. -ECG, please. | 0:45:02 | 0:45:07 | |
The ECG shows you're having a heart attack. | 0:45:09 | 0:45:11 | |
In that case we're going to take you straight to the lab | 0:45:11 | 0:45:15 | |
to unblock the artery to stop the heart attack. | 0:45:15 | 0:45:18 | |
-Is that OK? -Yes. -Let's go. | 0:45:18 | 0:45:20 | |
What's happened to the ECG? | 0:45:35 | 0:45:37 | |
INAUDIBLE SPEECH | 0:45:37 | 0:45:39 | |
Right, OK, so that means that we need to be acting more quickly. | 0:45:39 | 0:45:44 | |
-If you hear extensive ST changes... -It sounds bad. -It sounds bad, yeah. | 0:45:44 | 0:45:48 | |
I've just walked into the dialysis room. | 0:45:53 | 0:45:56 | |
This is the machine that Genieva's going to be plugged into. | 0:45:56 | 0:46:00 | |
My precious baby will not be on dialysis for ever, | 0:46:00 | 0:46:05 | |
because there's nothing God cannot do, amen. | 0:46:05 | 0:46:08 | |
Some saline. | 0:46:10 | 0:46:12 | |
When you found out I was sick, like, how did you feel? | 0:46:12 | 0:46:16 | |
When I found out you were sick I was heartbroken, | 0:46:16 | 0:46:20 | |
because...this was the last thing I expected to hear. | 0:46:20 | 0:46:25 | |
'See how it is out there on the water...' | 0:46:28 | 0:46:31 | |
THEY GIGGLE | 0:46:37 | 0:46:39 | |
-How are you feeling over there? -All right. -OK. Any chest pain? | 0:46:44 | 0:46:48 | |
-How is the chest pain? -It's got a lot easier. | 0:46:48 | 0:46:51 | |
We can see why, because we managed to open the artery for you. It's open. | 0:46:51 | 0:46:56 | |
So you're getting blood back to your heart, which is good news. | 0:46:56 | 0:46:59 | |
That is the artery now. | 0:46:59 | 0:47:02 | |
That's what it was before. And here, the blood flow stops completely. | 0:47:02 | 0:47:07 | |
The edge of the heart is there, | 0:47:07 | 0:47:08 | |
so that portion of the heart is not getting any blood here. | 0:47:08 | 0:47:11 | |
And now, we put a stent here | 0:47:11 | 0:47:15 | |
and now we know that the blood flow is going back to where it should be. | 0:47:15 | 0:47:18 | |
Good. | 0:47:18 | 0:47:20 | |
-Are you a smoker? -Yes. | 0:47:20 | 0:47:21 | |
One artery was fully blocked today. | 0:47:21 | 0:47:24 | |
The tablets that you're going to be on are very important to protect you, | 0:47:24 | 0:47:27 | |
but stopping smoking is absolutely vital here. | 0:47:27 | 0:47:29 | |
I only smoke about five a day. | 0:47:29 | 0:47:32 | |
My husband smokes three times as much. | 0:47:32 | 0:47:35 | |
Mind you, I hope he doesn't end up with the same thing. | 0:47:35 | 0:47:41 | |
-I never buy them. I won't buy them. -You just smoke his? | 0:47:41 | 0:47:45 | |
I just smoke his! | 0:47:45 | 0:47:47 | |
Rita has no history of heart problems. | 0:47:50 | 0:47:52 | |
Well, we'd just had a cup of coffee and... | 0:47:55 | 0:47:58 | |
Rita said that she had pains here. She said, "It's like indigestion." | 0:48:01 | 0:48:05 | |
And it gradually got worse, | 0:48:05 | 0:48:07 | |
and I said, "This is more than indigestion." | 0:48:07 | 0:48:11 | |
And she was grey, her face was grey, | 0:48:11 | 0:48:14 | |
and her hands were clammy and then she started to vomit. | 0:48:14 | 0:48:17 | |
I said, "This is more than indigestion, this, | 0:48:17 | 0:48:20 | |
"let me get an ambulance." | 0:48:20 | 0:48:21 | |
She wouldn't let me get an ambulance at first. | 0:48:21 | 0:48:23 | |
-She wouldn't let you get one? -No. -Why not? -Not at first. | 0:48:23 | 0:48:25 | |
Well, she doesn't like the fuss and things like that. | 0:48:25 | 0:48:28 | |
But she didn't tell me that she'd had this ache all week. Did you? | 0:48:28 | 0:48:34 | |
-No. -Naughty girl. | 0:48:34 | 0:48:36 | |
Well, now I'm worried. | 0:48:36 | 0:48:37 | |
If I do have a smoke, it's not going to be in her vicinity. | 0:48:37 | 0:48:40 | |
-It's going to be outside. Away from her. -Oh, no... | 0:48:40 | 0:48:43 | |
It will be, it will be. You watch. | 0:48:43 | 0:48:46 | |
I've always smoked, a good many years, you know. | 0:48:46 | 0:48:50 | |
-I enjoy a cigarette. -Have you ever had any problems with your heart? | 0:48:50 | 0:48:54 | |
Touch wood, no. | 0:48:54 | 0:48:56 | |
HE COUGHS | 0:49:07 | 0:49:08 | |
Do you like smoking? | 0:49:08 | 0:49:10 | |
I do, yes. | 0:49:10 | 0:49:12 | |
Because I like working... | 0:49:12 | 0:49:14 | |
I like something working to do with my hands. I don't like... | 0:49:14 | 0:49:20 | |
I don't like my hands just lying flat. | 0:49:20 | 0:49:25 | |
Just the way I go. | 0:49:25 | 0:49:28 | |
That's what I do during the day - smoke. | 0:49:28 | 0:49:31 | |
During the night - smoke. | 0:49:31 | 0:49:35 | |
That's just one of my leisures. | 0:49:35 | 0:49:39 | |
Keeps you calm. | 0:49:39 | 0:49:41 | |
Does smoking take your mind off the food? | 0:49:43 | 0:49:47 | |
Erm, not really. | 0:49:47 | 0:49:49 | |
What happened, James? | 0:49:52 | 0:49:53 | |
Stabbed. | 0:49:53 | 0:49:55 | |
I'm looking to retire. I feel cheated at the moment | 0:49:55 | 0:49:58 | |
because the government's upped the retirement age, | 0:49:58 | 0:50:01 | |
so I've got to stay on an extra two years, so I feel very cheated. | 0:50:01 | 0:50:04 | |
'..Chelsea defender says he wanted to apologise to everyone...' | 0:50:06 | 0:50:09 | |
That's us leaving now after a long day at dialysis. | 0:50:11 | 0:50:14 | |
She's so tired and fed up. | 0:50:14 | 0:50:17 | |
Her room is damp, so we are all sleeping in one bedroom. | 0:50:17 | 0:50:22 | |
It's ridiculous, really. | 0:50:22 | 0:50:25 | |
But I love her courage, I love her strength. | 0:50:25 | 0:50:28 | |
If her dad was alive, I'm sure he'd be proud of her, | 0:50:28 | 0:50:32 | |
she's a beautiful daughter. | 0:50:32 | 0:50:35 | |
My beautiful Genieva. | 0:50:35 | 0:50:36 | |
-Hello. -Hello. -How's things? -Not too bad. -Hello, how are you? -All right. | 0:50:46 | 0:50:51 | |
You're looking very smart. | 0:50:51 | 0:50:55 | |
So what's your plans the rest of the day, Ciaran? | 0:50:55 | 0:50:58 | |
Well, I don't know. | 0:50:58 | 0:51:00 | |
Since Ciaran moved in to the Kilcreggan Care Home | 0:51:00 | 0:51:03 | |
three weeks ago, | 0:51:03 | 0:51:04 | |
his mum, Angela, has been coming to check on him | 0:51:04 | 0:51:06 | |
as often as she can. | 0:51:06 | 0:51:08 | |
-We talk about it quite a lot, don't we, Ciaran? -Yeah. | 0:51:08 | 0:51:10 | |
Yeah, just to make sure | 0:51:10 | 0:51:12 | |
you're on the same wavelength as everybody else, aren't we? | 0:51:12 | 0:51:15 | |
And that you've got the correct food and stuff, | 0:51:15 | 0:51:17 | |
that you're making the right choices to keep yourself alive, isn't it? | 0:51:17 | 0:51:24 | |
Because we wouldn't want anything less for you, would we? No. | 0:51:24 | 0:51:28 | |
We wouldn't. We wouldn't want anything less. | 0:51:28 | 0:51:31 | |
Have to be careful. | 0:51:33 | 0:51:35 | |
-What have you found? -No, it's just sugar-free. | 0:51:35 | 0:51:37 | |
We were just checking to make sure it was the right stuff | 0:51:37 | 0:51:39 | |
that he should be drinking. But it is. | 0:51:39 | 0:51:42 | |
I'm not buying any stupid stuff. | 0:51:42 | 0:51:44 | |
No, I know you wouldn't buy stupid stuff, I'm just saying. | 0:51:44 | 0:51:48 | |
'If Ciaran wants food, he's going to get it anywhere. | 0:51:48 | 0:51:50 | |
At home we call Ciaran Houdini, | 0:51:50 | 0:51:52 | |
because he was able... | 0:51:52 | 0:51:54 | |
We were convinced he floated about the house, | 0:51:54 | 0:51:56 | |
because we never heard him. | 0:51:56 | 0:51:57 | |
You wouldn't know until the wrappers | 0:51:57 | 0:52:00 | |
or the bottles or whatever were sitting. | 0:52:00 | 0:52:02 | |
He was able to get tins of beans and things, even, out. | 0:52:02 | 0:52:04 | |
I lifted it out of his bedroom one time. | 0:52:04 | 0:52:07 | |
The food part of it is quite extreme with Ciaran. | 0:52:07 | 0:52:11 | |
This is my bathroom, my shower and that. | 0:52:11 | 0:52:15 | |
And my Home Changing Room sign. | 0:52:15 | 0:52:19 | |
'Independence to Ciaran is very much top of the agenda. | 0:52:19 | 0:52:23 | |
'We're hoping that this is the place for Ciaran, | 0:52:23 | 0:52:27 | |
'but, obviously, being out in the community, | 0:52:27 | 0:52:29 | |
'it's always at the back of your mind | 0:52:29 | 0:52:31 | |
'when you're going to get the phone call' | 0:52:31 | 0:52:33 | |
to say something's happened, | 0:52:33 | 0:52:35 | |
or he's gone into a diabetic coma, or... | 0:52:35 | 0:52:37 | |
Yeah, you're just waiting for that phone call, you know? | 0:52:37 | 0:52:39 | |
All Ciaran's previous attempts to live independently have failed. | 0:52:39 | 0:52:45 | |
The NHS found him a place at a residential college, | 0:52:45 | 0:52:47 | |
but it was only weeks before his behaviour deteriorated | 0:52:47 | 0:52:51 | |
and he was sectioned back to a secure hospital. | 0:52:51 | 0:52:53 | |
'Ciaran obviously was buying the wrong types of food, | 0:52:54 | 0:52:57 | |
'wasn't taking his insulin.' | 0:52:57 | 0:52:59 | |
He threatened a couple of the teachers down there | 0:52:59 | 0:53:01 | |
who were more than good to him. | 0:53:01 | 0:53:03 | |
The different bodies were all brought in, social services, doctor. | 0:53:03 | 0:53:07 | |
Ciaran was put in the back of the ambulance | 0:53:07 | 0:53:11 | |
and, for his own safety, Ciaran was then handcuffed, | 0:53:11 | 0:53:14 | |
because obviously he tried to jump out, | 0:53:14 | 0:53:16 | |
and he was taken up to a secure accommodation | 0:53:16 | 0:53:20 | |
on the outskirts of Belfast. | 0:53:20 | 0:53:22 | |
But, yeah, the worst day of our lives, that was. It was awful. | 0:53:24 | 0:53:28 | |
'We're obviously sceptical | 0:53:37 | 0:53:39 | |
'of what way things are going to go for Ciaran, | 0:53:39 | 0:53:41 | |
'but he's trying, and we're hoping that it'll be' | 0:53:41 | 0:53:46 | |
the place for him to stay and make a life for himself, | 0:53:46 | 0:53:49 | |
and hopefully live as long as he can, you know? | 0:53:49 | 0:53:53 | |
'I'm a 25-year-old man, I don't need to be treated like a two-year-old.' | 0:53:53 | 0:53:58 | |
I just want to get on with my normal life, before... | 0:53:58 | 0:54:02 | |
Like the rest of people do, like yourself. I just love independence. | 0:54:02 | 0:54:07 | |
'The freedom now that he's got out in the community is still worrying, | 0:54:08 | 0:54:12 | |
'because we know he can still | 0:54:12 | 0:54:14 | |
'do his wee Houdini tricks and get the food.' | 0:54:14 | 0:54:17 | |
We spend as much time as we can with him. | 0:54:17 | 0:54:20 | |
As much as he'll let us - because he's independent now! | 0:54:20 | 0:54:25 | |
-I was in that bar last weekend. -Is it any good? | 0:54:25 | 0:54:28 | |
How the hell did you get home from that? | 0:54:28 | 0:54:30 | |
Doesn't take long to get up home. | 0:54:30 | 0:54:32 | |
You walked all the way up there on your own? | 0:54:32 | 0:54:35 | |
THEY LAUGH | 0:54:35 | 0:54:36 | |
Ram has managed to stem baby Kyran's bleeding | 0:54:43 | 0:54:46 | |
and he is now stable. | 0:54:46 | 0:54:48 | |
All went well. | 0:54:51 | 0:54:53 | |
We opened the chest | 0:54:53 | 0:54:54 | |
and then... There were tiny little holes, which were bleeding actually, | 0:54:54 | 0:54:58 | |
where we took the needles through the patch we used to repair. | 0:54:58 | 0:55:01 | |
What we did is, we reinforced all those tiny little holes | 0:55:01 | 0:55:04 | |
and then we put some material and stuff to help it seal up. | 0:55:04 | 0:55:08 | |
So, as you can see, there's not much coming out through the drains, | 0:55:08 | 0:55:11 | |
and earlier on there was blood all over, which is all gone now. | 0:55:11 | 0:55:15 | |
So hope that we're on top of things. | 0:55:15 | 0:55:19 | |
OK. Yeah. Good, yeah. | 0:55:19 | 0:55:21 | |
'Surgery today has saved my son's life. | 0:55:32 | 0:55:35 | |
'If it weren't for people like Ram, he wouldn't be here now.' | 0:55:35 | 0:55:39 | |
'We don't know what the future holds for Kyran. | 0:55:41 | 0:55:44 | |
'After a few months he might need another operation. | 0:55:44 | 0:55:47 | |
'It's going to be very stressful for all of us, | 0:55:47 | 0:55:53 | |
'but we are lucky, because Kyran did pull through today. | 0:55:53 | 0:55:57 | |
'That's a lot for a little baby to go through. So proud of him.' | 0:55:57 | 0:56:03 | |
-HE LAUGHS -Part-timer! | 0:56:12 | 0:56:14 | |
Eight o'clock to eight o'clock in the evening. Still a part-timer. | 0:56:14 | 0:56:18 | |
Yeah, I'm in a hotel tonight | 0:56:24 | 0:56:25 | |
because I'm on call for the hospital patients. | 0:56:25 | 0:56:29 | |
It's 11 o'clock at night, we've just had a call. | 0:56:29 | 0:56:32 | |
Someone coming from one of our district hospitals. | 0:56:32 | 0:56:35 | |
He's having a heart attack now. | 0:56:35 | 0:56:38 | |
He should be with us any minute. | 0:56:38 | 0:56:41 | |
-It's a wonderful place. -It is. | 0:56:52 | 0:56:55 | |
MUSIC: "Gimme Some Lovin'" By The Spencer Davis Group | 0:56:55 | 0:57:00 | |
To order your free copy of the Open University's booklet, | 0:57:37 | 0:57:40 | |
Working To Save Lives, which accompanies this series, call... | 0:57:40 | 0:57:44 | |
..or go to... | 0:57:48 | 0:57:50 | |
..and follow the links to the OU. | 0:57:52 | 0:57:54 | |
Subtitles by Red Bee Media Ltd | 0:58:08 | 0:58:11 |