0:00:03 > 0:00:06Hand versus chainsaw. It looks painful.
0:00:06 > 0:00:10Our hospitals are taking care of more patients than ever...
0:00:12 > 0:00:14Are you all right?
0:00:14 > 0:00:15HE CRIES
0:00:15 > 0:00:18..with medical teams under constant pressure...
0:00:18 > 0:00:20Can Dr Pizzi come to Resus, please?
0:00:20 > 0:00:22For anybody as poorly as this little one,
0:00:22 > 0:00:24we really need to treat them quickly.
0:00:24 > 0:00:26..to meet our expectations.
0:00:26 > 0:00:30I'm just worried about what he's going to be like afterwards.
0:00:30 > 0:00:33But there's a crucial member of the team we sometimes forget.
0:00:33 > 0:00:37I've never, ever been on a bed like this.
0:00:37 > 0:00:39The hospital bed.
0:00:39 > 0:00:42Another ward. Another story. Another bed.
0:00:42 > 0:00:44SHE SCREAMS IN PAIN
0:00:45 > 0:00:47In our lifetime,
0:00:47 > 0:00:50we are likely to need one of them at least three times.
0:00:50 > 0:00:53I've probably spent a quarter of my life on a hospital bed.
0:00:54 > 0:00:58In this series, our cameras have been given unprecedented access
0:00:58 > 0:01:02to beds in four very different hospitals across the country.
0:01:02 > 0:01:06It's life. Life and death. And everything that goes in between.
0:01:06 > 0:01:11- We'll see the world through the beds' eyes...- Hello, my love. Hiya.
0:01:11 > 0:01:13..as they share the most challenging...
0:01:13 > 0:01:16I don't know what to do, I don't know.
0:01:16 > 0:01:17..most intimate...
0:01:21 > 0:01:22All right.
0:01:22 > 0:01:25- ..and most rewarding... - Happy birthday!
0:01:25 > 0:01:27The hospital is wonderful.
0:01:27 > 0:01:30- ..moments of our lives. - Thank you for being here.
0:01:30 > 0:01:32I'm not going anywhere else.
0:01:32 > 0:01:36A hospital cannot function without beds. Beds are vital.
0:01:36 > 0:01:38This is...
0:01:46 > 0:01:50The population of Newcastle is fast approaching 300,000 people.
0:01:52 > 0:01:54When faced with a medical emergency,
0:01:54 > 0:01:57residents here head to the Royal Victoria Infirmary.
0:01:59 > 0:02:04The A&E department has 29 extremely busy beds.
0:02:04 > 0:02:07Obviously we are constantly moving patients from bed to bed
0:02:07 > 0:02:11and onto different areas, depending on what they need.
0:02:13 > 0:02:16- What have you done to your arm? - Cut it with a chainsaw.
0:02:22 > 0:02:25A&E beds travel the length and breadth of the hospital,
0:02:25 > 0:02:29taking patients for X-rays, scans and to other wards.
0:02:30 > 0:02:34Our hospital beds, they're like little superstars.
0:02:34 > 0:02:37They are part of the team. I think the unsung heroes.
0:02:39 > 0:02:42A&E bed nine is used to supporting patients in pain.
0:02:46 > 0:02:48Oh!
0:02:50 > 0:02:55Andy is 47 years old. He's injured his hip whilst kayaking.
0:02:55 > 0:02:58- Just take your time. - Ah! Oh!- I've got it.
0:02:58 > 0:03:01He's worried he's broken his hip bone.
0:03:01 > 0:03:04HE MOANS
0:03:04 > 0:03:06Can you straighten your legs out, or not?
0:03:07 > 0:03:10An early examination ruled out a hernia,
0:03:10 > 0:03:12but he's still in intense pain.
0:03:14 > 0:03:17Andy was driven to A&E by his wife, Alison.
0:03:17 > 0:03:20- That's got worse, it just gets worse...- Just moving it?
0:03:20 > 0:03:24- I didn't think it was that bad. But now I've had to move...- OK.
0:03:24 > 0:03:26The couple have been married for 12 years.
0:03:28 > 0:03:30Something, I've ripped something.
0:03:30 > 0:03:33Oh, do you know what, I didn't think it was that bad.
0:03:33 > 0:03:37- I really didn't think it was that bad.- You must have done something. - Something is not right.
0:03:37 > 0:03:39It must just be a certain movement.
0:03:41 > 0:03:45Earlier today, Andy was kayaking with friends on the River Tees.
0:03:47 > 0:03:50Went into a wave, turned around, let the wave drag me in backwards.
0:03:50 > 0:03:54This time, as the boat kind of caught me, just went so quickly,
0:03:54 > 0:04:00and I just gripped myself and then it just... As I did that,
0:04:00 > 0:04:01before I went upside down, I just...
0:04:01 > 0:04:05Oh, my God, it just literally... It was a searing pain in here.
0:04:05 > 0:04:08Paddled to the side and I just called one of the guys over.
0:04:08 > 0:04:11Kind of like, "I need to get out of the boat, need to get out of the boat."
0:04:11 > 0:04:15I kind of just got myself out, but I was just hobbling around on the side.
0:04:15 > 0:04:17This isn't Andy's first visit to hospital.
0:04:19 > 0:04:21I've been in 20 times here.
0:04:23 > 0:04:27I cut my finger, it was years ago, cut my finger through there,
0:04:27 > 0:04:29that scar there,
0:04:29 > 0:04:32with a carving knife, trying to cut the hedge when I was in my 20s,
0:04:32 > 0:04:36because I didn't have any money to afford any proper clippers.
0:04:39 > 0:04:40There was another time when I was about 16,
0:04:40 > 0:04:44I was racing with my mate, just as kids racing along on bikes.
0:04:44 > 0:04:47I said, "Why don't we have a race?" So we were doing that.
0:04:47 > 0:04:50Going so quick, and I stopped peddling and my foot slipped and I
0:04:50 > 0:04:51went over the handlebars.
0:04:54 > 0:04:57Andy has been with A&E bed nine for 20 minutes.
0:04:57 > 0:04:59I hope it's not an injection.
0:05:05 > 0:05:07I don't like injections.
0:05:07 > 0:05:08But at this particular point in time,
0:05:08 > 0:05:11if it's a morphine injection, just bring it on.
0:05:11 > 0:05:13Yeah, he's rubbish with needles.
0:05:16 > 0:05:19I was just about to have my sandwich as well, it's put me off.
0:05:19 > 0:05:21SHE LAUGHS
0:05:21 > 0:05:23Just seeing him in pain.
0:05:23 > 0:05:26See, I'm actually not too bad with pain.
0:05:26 > 0:05:29- But that was painful.- It's just the movement, isn't it?
0:05:29 > 0:05:31So obviously something is not right.
0:05:32 > 0:05:36Nurse Boyd comes to administer some pain relief.
0:05:37 > 0:05:41- Hello. What's your name, sir? - Andrew Taylor.
0:05:41 > 0:05:44- Got some more painkillers for you. - Oh, is that oral? Is it an oral one?
0:05:44 > 0:05:46No needles, not from me. I wouldn't be that cruel to you.
0:05:46 > 0:05:49- You just drink that one down. - Oh, right, OK.- All right. Ready? - Mm-hm.
0:05:52 > 0:05:55- Not too bad?- No. It's got an essence of strawberry.
0:05:55 > 0:05:57Some people hate it.
0:05:57 > 0:06:00- Hello, mate.- Hiya.- Going to take you round for an X-ray.- OK.
0:06:00 > 0:06:03A&E bed nine takes Andy to X-ray.
0:06:04 > 0:06:09If anything's broken, it will mean no sport for Andy for a long time.
0:06:20 > 0:06:24Queen's Hospital in Romford, Essex.
0:06:24 > 0:06:27Good morning.
0:06:27 > 0:06:30The maternity ward has 25 beds,
0:06:30 > 0:06:34all of them specifically designed to offer comfort and support to
0:06:34 > 0:06:38the 9,000 women who give birth here each year.
0:06:38 > 0:06:39BABY CRIES
0:06:39 > 0:06:41There we go!
0:06:43 > 0:06:44Hello!
0:06:46 > 0:06:50Maternity bed seven is joined by 29-year-old Lauren,
0:06:50 > 0:06:53her mum, Jacqueline, and husband, Robert.
0:06:53 > 0:06:56There we go, another contraction.
0:06:56 > 0:06:58Lauren's been in labour for four hours.
0:07:01 > 0:07:04My waters haven't broken yet, have they?
0:07:04 > 0:07:06They're still intact? Yeah, OK.
0:07:06 > 0:07:09Midwife Campatillo is on shift.
0:07:11 > 0:07:13In and out.
0:07:13 > 0:07:15In and out.
0:07:15 > 0:07:18I think Lauren's doing OK. She's a bit in pain.
0:07:20 > 0:07:22She's liking the gas and air.
0:07:22 > 0:07:25Robert and Lauren have been together since they were 17.
0:07:25 > 0:07:29They have one son, Harley.
0:07:29 > 0:07:31She can squeeze pretty tight.
0:07:31 > 0:07:35Last time, Lauren's mum thought she might have a broken hand.
0:07:38 > 0:07:41There were complications during Harley's birth.
0:07:41 > 0:07:44Lauren was in labour for 12 hours.
0:07:44 > 0:07:47She wanted a water birth last time.
0:07:48 > 0:07:50She couldn't have it.
0:07:50 > 0:07:55It's sort of a plus that she gets to at least experience it.
0:07:55 > 0:07:59Like 9% of mums, Lauren's determined to have her baby in
0:07:59 > 0:08:01a birthing pool this time round.
0:08:03 > 0:08:08She hopes the warm water may offer mild pain relief.
0:08:08 > 0:08:09You can still use the covers.
0:08:13 > 0:08:17- OK, we can go to the pool room. You're six centimetres dilated.- Yay!
0:08:17 > 0:08:21Well done. She's doing brilliant.
0:08:21 > 0:08:23Yeah, she does not need any help,
0:08:23 > 0:08:26so she can go herself at this moment in time.
0:08:28 > 0:08:31Well done. Keep breathing.
0:08:31 > 0:08:35The maternity unit has three suites with built-in birthing pools,
0:08:35 > 0:08:38which work alongside the beds.
0:08:38 > 0:08:40Everything is natural.
0:08:40 > 0:08:44They can experience a really lovely labour and birth.
0:08:45 > 0:08:49A birthing pool has become available in another room.
0:08:49 > 0:08:52It is time for Lauren to leave maternity bed seven.
0:08:54 > 0:08:57It is a really natural experience.
0:08:57 > 0:09:02Basically, the baby from the inside is born in the water,
0:09:02 > 0:09:07so it is like it is still attached to Mummy, but still in
0:09:07 > 0:09:09a familiar environment.
0:09:11 > 0:09:18Here, maternity bed ten sits alongside the birthing pool.
0:09:18 > 0:09:20Before Lauren can get into the water,
0:09:20 > 0:09:23Midwife Campatillo checks the baby's heart rate.
0:09:26 > 0:09:28It's jumping around!
0:09:30 > 0:09:32I can feel it, actually. Amazing.
0:09:32 > 0:09:35Feeling emotional.
0:09:35 > 0:09:37Mm.
0:09:37 > 0:09:38Yeah, again.
0:09:40 > 0:09:43Lauren's labour is progressing well.
0:09:43 > 0:09:44If it stays on track,
0:09:44 > 0:09:47she should be able to have her dream birth in water.
0:09:54 > 0:09:58Last year in UK hospitals, more than six million operations were
0:09:58 > 0:10:01carried out on patients who were discharged the same day.
0:10:04 > 0:10:09They visited specialised units like the Queen Elizabeth Hospital's
0:10:09 > 0:10:11day surgery, which has 81 beds.
0:10:11 > 0:10:14Our beds are always busy. You have to know what's going on.
0:10:14 > 0:10:17You have to make sure that the people you are working with
0:10:17 > 0:10:19are aware of what you're doing,
0:10:19 > 0:10:21because it affects everybody down the line.
0:10:23 > 0:10:26These hospital beds are under constant pressure to get
0:10:26 > 0:10:29patients through during a 12-hour shift.
0:10:32 > 0:10:34And can you tell me, from the afternoon patients,
0:10:34 > 0:10:36who's actually here?
0:10:36 > 0:10:39Uh, yeah, OK. Thank you, cheers. Bye, bye.
0:10:40 > 0:10:45It's midday and day surgery bed 55 is waiting for its next patient.
0:10:47 > 0:10:50Take a seat in there for us.
0:10:50 > 0:10:53- Right.- What happens is, one of my nursing colleagues
0:10:53 > 0:10:56in the bay will come over, tell you what's going to happen today.
0:10:57 > 0:11:0154-year-old Julie is having surgery to remove
0:11:01 > 0:11:05a cancerous growth that has returned on her leg.
0:11:05 > 0:11:09A few years ago, it just started off as a little tiny spot, and I just
0:11:09 > 0:11:12left it like that, and then about 12 months ago it started bleeding.
0:11:12 > 0:11:16And Tim said to me, "I think you'd better go and get that checked out."
0:11:16 > 0:11:18So I went to the doctor and got it checked out,
0:11:18 > 0:11:21and it's a form of skin cancer but it's not melanoma.
0:11:23 > 0:11:28Non-melanoma skin cancer is usually caused by overexposure to the sun.
0:11:29 > 0:11:33It's one of the most common types of cancer in the world.
0:11:33 > 0:11:36So I've had it removed once, but when they looked at it under
0:11:36 > 0:11:41camera, they hadn't taken all of it because it was still on the outside.
0:11:41 > 0:11:45Husband Tim is by her side. They've been married for four years.
0:11:47 > 0:11:49No, she works in the chippy!
0:11:49 > 0:11:52I walked in and then I asked her out!
0:11:53 > 0:11:59I think I was a bit taken aback, really, when he asked me out.
0:11:59 > 0:12:02- Comfy, Jules?- Yes, thanks! - Well done.
0:12:03 > 0:12:05They have five children between them.
0:12:05 > 0:12:08Julie's youngest, Toni Nicole, is also here today.
0:12:11 > 0:12:15- Hello.- Hi.- My name is Maria.
0:12:15 > 0:12:17I'm your surgeon today.
0:12:17 > 0:12:21Surgeon Dr Athanasiadou will perform Julie's operation.
0:12:22 > 0:12:25You're having something removed from your leg,
0:12:25 > 0:12:28and we're going to probably use a skin graft.
0:12:29 > 0:12:31Would you like to show me exactly where it is?
0:12:33 > 0:12:35Mm-hmm, yeah.
0:12:35 > 0:12:38Julie waited for just two months for this surgery.
0:12:38 > 0:12:41Cancerous growths are removed as a priority.
0:12:43 > 0:12:45After I've removed it, I'm going to take a shave of skin
0:12:45 > 0:12:48from your thigh, and then for about five to seven days
0:12:48 > 0:12:51you need to leave it undisturbed
0:12:51 > 0:12:54to see if the skin graft is actually taking, as we call it,
0:12:54 > 0:12:58- if it's worked, yeah? - Will it always be like that colour?
0:12:58 > 0:13:00There will be a difference in the colour.
0:13:00 > 0:13:03In the beginning, it starts being quite red and then it becomes
0:13:03 > 0:13:05a bit more pale.
0:13:08 > 0:13:10Julie had the cancer cut out before,
0:13:10 > 0:13:13but the cancerous cells have returned.
0:13:13 > 0:13:16Some of it is taking these other dressings.
0:13:16 > 0:13:19Despite having removed it fully, there is still a risk,
0:13:19 > 0:13:23about 3-5%, there is still cancer left behind,
0:13:23 > 0:13:26and that we can only tell under the microscope.
0:13:27 > 0:13:29These are mainly the possibilities.
0:13:29 > 0:13:33I'm just going to document everything in here.
0:13:33 > 0:13:37- As soon as you're ready, we'll wheel you in, OK? Great. Thank you.- OK.
0:13:37 > 0:13:41The skin cancer is the size of a penny.
0:13:41 > 0:13:43To reduce the risk of the cancer returning,
0:13:43 > 0:13:47a bigger area of tissue will be removed.
0:13:47 > 0:13:50That's a bit bigger than what I thought.
0:13:50 > 0:13:53Yeah, it's going to be a bit bigger, isn't it?
0:13:54 > 0:13:57That size or something.
0:13:59 > 0:14:03At the end of the day, it's better off being like that than
0:14:03 > 0:14:06having to come back and have it all done again, isn't it?
0:14:06 > 0:14:11- It's still cancerous, though.- Yeah. Yeah.
0:14:11 > 0:14:14- 3-4% chance of coming back. - Yeah, that's not much.
0:14:14 > 0:14:16It's very low. Very, very low.
0:14:21 > 0:14:25- I'm just going to pop your side up so we don't lose you on the way.- OK.
0:14:28 > 0:14:31- OK, you're taking her now, yeah? - I am, yeah.
0:14:31 > 0:14:34- Right.- See you later. - You'll be fine.
0:14:34 > 0:14:38Day surgery bed 55 carries Julie to the operating theatre.
0:14:44 > 0:14:47She should be reunited with her husband in under an hour...
0:14:48 > 0:14:49..cancer-free.
0:15:03 > 0:15:07The UK has 14 centres that specialise in children's medicine.
0:15:09 > 0:15:12In Newcastle is the Great North Children's Hospital.
0:15:21 > 0:15:25Here, nine beds work alongside a team of skilled paediatric staff.
0:15:25 > 0:15:29They deal with 30,000 emergencies a year.
0:15:29 > 0:15:32I need to find a bed on long stay for that patient.
0:15:32 > 0:15:36Paediatric bed 27 is standing by to receive a teenager.
0:15:38 > 0:15:4213-year-old Geneva is extremely sick and dehydrated.
0:15:42 > 0:15:46- She's being treated by Nurse Park. - Have you got any pain anywhere?
0:15:46 > 0:15:48SHE MURMURS
0:15:49 > 0:15:51When was the last time she was sick?
0:15:51 > 0:15:54About ten minutes before, ten minutes ago.
0:15:54 > 0:15:58More than ten times now since six o'clock in the morning.
0:15:58 > 0:16:03And I'm quite worried because, obviously, of the dehydration.
0:16:03 > 0:16:06Geneva's mum, Eva, is also a nurse.
0:16:07 > 0:16:11She's concerned that her daughter has lost too much fluid.
0:16:11 > 0:16:17I tried to give loads of fluids but she cannot tolerate it.
0:16:17 > 0:16:20The more you give her, the much more that she's...
0:16:20 > 0:16:22it's coming out from her.
0:16:22 > 0:16:27So, that's really the reason why I brought her over.
0:16:27 > 0:16:30And she's not tolerating any fluids?
0:16:30 > 0:16:34She can manage to drink but once she drinks a little,
0:16:34 > 0:16:37it doubled up the vomit.
0:16:37 > 0:16:39So what I'll do is I'll get some water with some dioralyte in,
0:16:39 > 0:16:43and we'll start a fluid challenge, just to see how she goes with 10ml
0:16:43 > 0:16:47- every five minutes or something like that, OK?- Thank you very much.
0:16:47 > 0:16:50Geneva is displaying symptoms of the highly contagious infection
0:16:50 > 0:16:56gastroenteritis. It affects one in five people in the UK every year.
0:16:57 > 0:16:59To prevent the spread of any infection,
0:16:59 > 0:17:03Geneva and paediatric bed 27 will stay in their own room,
0:17:03 > 0:17:05away from other vulnerable patients.
0:17:07 > 0:17:11I think this bed is actually really comfortable.
0:17:11 > 0:17:14If I wasn't sick, I would rather, like, have it flat
0:17:14 > 0:17:16and with a few pillows
0:17:16 > 0:17:21but this is actually, like, better if you're sick because...
0:17:22 > 0:17:25..you get to lie down but you get to kind of sit up as well.
0:17:27 > 0:17:29Geneva is so dehydrated that her salt,
0:17:29 > 0:17:32glucose and mineral levels have dropped.
0:17:32 > 0:17:36She needs small but regular doses of rehydration powder,
0:17:36 > 0:17:37dissolved in water.
0:17:37 > 0:17:41If you could do it every five minutes in there, some water,
0:17:41 > 0:17:44and syringe 10mls every five minutes.
0:17:44 > 0:17:47We'll see how she goes and if she doesn't tolerate,
0:17:47 > 0:17:49- then we'll think of something else, OK?- OK.- OK?
0:18:02 > 0:18:05I want to feel better.
0:18:05 > 0:18:08I don't think you can make it tomorrow.
0:18:08 > 0:18:11You had this bad day and sickness.
0:18:11 > 0:18:15It should be at least 48 hours until you are free.
0:18:15 > 0:18:18What's happening tomorrow is I'm going back to school
0:18:18 > 0:18:21but I don't think I'm going to go to school
0:18:21 > 0:18:23because I'm quite sick right now.
0:18:23 > 0:18:26But, like, I was actually looking forward to it,
0:18:26 > 0:18:28to see my friends again.
0:18:32 > 0:18:37Paediatric bed 27 will stay with Geneva until there's a change.
0:18:37 > 0:18:40Hi. Hello, there. Your consultant.
0:18:40 > 0:18:43Dr Clark is the emergency consultant.
0:18:43 > 0:18:46- Can I wake her up? - Yeah, yeah. Geneva.
0:18:48 > 0:18:52- The doctor is here now. - Hello, missus.
0:18:54 > 0:18:57You all right? My name's Ryan...
0:18:59 > 0:19:02- How are you?- Sleepy.- Sleepy.
0:19:02 > 0:19:06I understand you've not really had a particularly pleasant morning.
0:19:06 > 0:19:10And your dad had the same thing over the weekend. Is that right?
0:19:10 > 0:19:13Oh, dear. How was your pain in your tummy now?
0:19:13 > 0:19:15I understand you've had some tummy pain.
0:19:15 > 0:19:17Erm... Haven't really felt any pain
0:19:17 > 0:19:20since we got here because of the bed.
0:19:20 > 0:19:25- Is the bed helping you, is it?- Yeah.- Right.
0:19:25 > 0:19:28Can I have a little look at your tummy. Is that all right?
0:19:28 > 0:19:31I'm just going to start down here. You tell me if it hurts.
0:19:31 > 0:19:35Until Dr Clark can establish the severity of Geneva's infection,
0:19:35 > 0:19:38she's confined to paediatric bed 27.
0:19:53 > 0:19:55At the neighbouring RVI in Newcastle,
0:19:55 > 0:20:00A&E bed nine is transporting 47-year-old Andy to X-ray.
0:20:01 > 0:20:05He has intense pain in his hip after a kayaking accident.
0:20:05 > 0:20:09- I don't think I've... I think it's something that's badly ripped.- Yeah.
0:20:09 > 0:20:10It's not a bone thing.
0:20:10 > 0:20:14It's a bit like if anybody's got man flu.
0:20:14 > 0:20:16Andrew's got man flu.
0:20:18 > 0:20:21His eyes are all bloodshot as well, aren't they?
0:20:23 > 0:20:27And he has had a week away in Germany. German beer.
0:20:30 > 0:20:32Long days, long nights.
0:20:32 > 0:20:36- Are you wheeling me to the pub? - I wish, aye.
0:20:38 > 0:20:42This isn't the first time Andy's been to hospital
0:20:42 > 0:20:44with a sports injury.
0:20:44 > 0:20:48I broke a ligament in my knee years ago, actually snapped a ligament.
0:20:48 > 0:20:51That was...worse. That was worse.
0:20:52 > 0:20:54Woo-ooh!
0:20:54 > 0:20:56Ow!
0:20:56 > 0:21:00Andy needs to lie flat for the X-ray of his pelvis.
0:21:00 > 0:21:04But even after painkillers, he's in severe pain.
0:21:06 > 0:21:08He's taken back to his wife, Alison.
0:21:11 > 0:21:14I just think Andrew exaggerates.
0:21:17 > 0:21:19Sorry.
0:21:22 > 0:21:27The X-ray reveals Andy hasn't broken any bones or caused any
0:21:27 > 0:21:29serious lasting damage to his hip.
0:21:29 > 0:21:33A&E consultant Mr Zaharia does a final examination.
0:21:33 > 0:21:36- Ooh! Bbbrrrrr...- Sorry.
0:21:36 > 0:21:37- Yeah.- Sorry.
0:21:39 > 0:21:42I think what you've actually done is torn the muscle,
0:21:42 > 0:21:44- probably at the insertion there. - Right.
0:21:44 > 0:21:49In terms of treatment, there's nothing specific.
0:21:49 > 0:21:54- I do expect that this is going to be sore for some time.- Right.
0:21:54 > 0:21:58How we manage that pain is just with the barrage of pain relief
0:21:58 > 0:22:02- that we would normally give. So strong, regular painkillers.- Mm-hm.
0:22:02 > 0:22:05We can give you crutches for a period to see if that helps
0:22:05 > 0:22:09- you to mobilise. OK? - Thank you.- Cool, thank you.
0:22:09 > 0:22:12Thank God for that. Thank God for that.
0:22:12 > 0:22:16That is sore. That is sore when he touched me just there.
0:22:16 > 0:22:18Yeah, you nearly jumped off that bed.
0:22:18 > 0:22:22It looks very much like Andy's got a hip abductor strain.
0:22:22 > 0:22:26So, when he's been in the kayak, he's had a sudden impact
0:22:26 > 0:22:30from a wave and he's had a sudden contraction to that area.
0:22:30 > 0:22:32Essentially, his muscles have torn.
0:22:32 > 0:22:35There are some muscles that are very easy to rest
0:22:35 > 0:22:38but the hip's not one of them. Similar to the back,
0:22:38 > 0:22:43you're kind of potentially using that muscle all the time.
0:22:43 > 0:22:45It's 10:15 PM.
0:22:45 > 0:22:49Andy has now been on A&E be nine for nearly two hours.
0:22:49 > 0:22:54He's still waiting for his crutches so he can leave with wife, Alison.
0:22:54 > 0:22:57I'm bored. I want to go home now.
0:23:00 > 0:23:03I'm just going to get your crutches.
0:23:03 > 0:23:05And then they'll help you off the bed.
0:23:08 > 0:23:10Health care assistant Belle arrives.
0:23:12 > 0:23:15SHARP INTAKES OF BREATH
0:23:16 > 0:23:19Getting in and out of chairs, feel for the arms of the chairs.
0:23:19 > 0:23:22Don't use these for getting up and in and out of chairs.
0:23:22 > 0:23:24They'll slip away from you.
0:23:24 > 0:23:26When you're going up and down the stairs,
0:23:26 > 0:23:29go up and down on your backside, rather than on these.
0:23:29 > 0:23:32- Are we OK to go now that he's... - Yeah.
0:23:32 > 0:23:34Thank you very much.
0:23:36 > 0:23:39Andy is discharged from A&E and instructed to rest.
0:23:42 > 0:23:46A&E bed nine is stripped down ready for its next patient.
0:23:56 > 0:23:59At Birmingham's Queen Elizabeth Hospital,
0:23:59 > 0:24:03day surgery bed 55 is taking Julie to the operating theatre.
0:24:05 > 0:24:09She's having a cancerous growth removed from her leg.
0:24:12 > 0:24:14So, this is the theatre, OK?
0:24:18 > 0:24:21So, we are going to do the local anaesthetic first and then
0:24:21 > 0:24:25we'll leave you to walk a little bit while I get scrubbed and everything.
0:24:25 > 0:24:27And then we drape everything.
0:24:29 > 0:24:32Rest your head back. Do you need another pillow?
0:24:32 > 0:24:35- No, I'm fine, thanks. - You can rest your hand as well.
0:24:35 > 0:24:39Julie's skin cancer is a non-melanoma.
0:24:39 > 0:24:41The risk of it spreading is low,
0:24:41 > 0:24:43if all the cancerous cells can be cut out.
0:24:46 > 0:24:49When she comes to put her knife in, I'll come and give you
0:24:49 > 0:24:52a hand to squeeze because it can be a big sting. All right?
0:24:52 > 0:24:54So, you're going to feel a sharp scratch and then
0:24:54 > 0:24:56a bit of stinging, OK?
0:24:58 > 0:25:00Sharp scratch now.
0:25:03 > 0:25:05That's the stinging part.
0:25:06 > 0:25:09- Is that it?- No, a little bit more.
0:25:09 > 0:25:11We have to put it all the way around cos what you see,
0:25:11 > 0:25:14we obviously have to take a slightly bigger area,
0:25:14 > 0:25:17so we just need to make sure there's lots of anaesthetic.
0:25:17 > 0:25:19You're doing really well.
0:25:19 > 0:25:21If you feel any pain while we're operating,
0:25:21 > 0:25:23I'm just going to top it up a bit, OK?
0:25:31 > 0:25:34Now, Mrs Price, do you feel anything sharp here?
0:25:34 > 0:25:36- No.- No?
0:25:42 > 0:25:44That's a good sign.
0:25:45 > 0:25:48The cancer will be removed by Dr Athanasiadou.
0:25:59 > 0:26:01So, we've taken this out
0:26:01 > 0:26:03and so we're going to focus on the skin graft now, yeah?
0:26:07 > 0:26:11WHIRRING
0:26:11 > 0:26:14- Feeling OK?- Yeah. I can't feel nothing. I'm fine.
0:26:14 > 0:26:17WHIRRING
0:26:20 > 0:26:21You've done really well.
0:26:29 > 0:26:32- How are we doing, all right? - I actually just saw that.
0:26:32 > 0:26:35- You didn't mean to? - No, I didn't mean to.
0:26:35 > 0:26:38It's actually deeper than what I thought.
0:26:38 > 0:26:42Skin taken from Julie's thigh is used to repair the area.
0:26:46 > 0:26:49- Will there always be that great, big, massive dent?- Yes.
0:26:49 > 0:26:52It won't be as deep as it looks now.
0:26:55 > 0:26:57It's much bigger than what I thought it was going to be.
0:27:03 > 0:27:06These are the last few stitches
0:27:06 > 0:27:09and we will just put quite a bulky dressing on it,
0:27:09 > 0:27:12and then you need to rest at home.
0:27:12 > 0:27:14- Will that be OK?- Yes.
0:27:18 > 0:27:22Oh, this was much bigger than last time they took away.
0:27:22 > 0:27:26Much bigger. But I don't feel anything.
0:27:26 > 0:27:29But I didn't like the look of it, even though I looked at it twice.
0:27:34 > 0:27:36- Bye.- Bye. Thank you.
0:27:37 > 0:27:40Thank you.
0:27:40 > 0:27:43Day surgery bed 55 takes Julie back to the ward
0:27:43 > 0:27:46to be reunited with her husband Tim.
0:28:01 > 0:28:04Queen's Hospital maternity unit, Romford.
0:28:04 > 0:28:08- I'll do it. I'll do everything. - All right.
0:28:08 > 0:28:1129-year-old Lauren is getting ready to give birth.
0:28:11 > 0:28:14Maternity bed ten is by her side,
0:28:14 > 0:28:18but Lauren is hoping to use the room's birthing pool.
0:28:18 > 0:28:21Husband Robert and mum Jacqueline are with her.
0:28:21 > 0:28:25She did know from the start of the first baby that she wanted
0:28:25 > 0:28:29the pool birth, the relaxing experience.
0:28:29 > 0:28:31And she didn't feel she got that.
0:28:41 > 0:28:42Thank you.
0:28:42 > 0:28:44You can go in the pool now.
0:28:44 > 0:28:46On maternity bed ten,
0:28:46 > 0:28:49Midwife Campatillo checks the baby's heart rate.
0:28:51 > 0:28:53It's Lauren's second bed since admission.
0:28:57 > 0:29:01The first time I checked it was when we went in room nine,
0:29:01 > 0:29:07it was a good foetal heart rate and then the second time I checked
0:29:07 > 0:29:12I had a difference between the heart rate I checked 15 minute before,
0:29:12 > 0:29:17so it was like the baseline of the heart rate was dropping.
0:29:17 > 0:29:21So I did call my colleague just to confirm what I heard.
0:29:25 > 0:29:28What's wrong?
0:29:28 > 0:29:30The baby's heart rate baseline dropped a bit,
0:29:30 > 0:29:32so we just need to keep an eye on that.
0:29:32 > 0:29:37It's still in the normal limit, but we still need to keep an eye,
0:29:37 > 0:29:38all right?
0:29:38 > 0:29:41I just need to listen again in a little while, OK?
0:29:41 > 0:29:43OK.
0:29:43 > 0:29:45Do you like the gas?
0:29:45 > 0:29:46She loves the gas.
0:29:50 > 0:29:55A low heart rate is an indication that the baby is in distress.
0:29:55 > 0:29:58The birth plan may need to change.
0:29:58 > 0:30:00We're going to go down to the labour ward
0:30:00 > 0:30:04- just to keep a close monitor on the baby, all right?- OK.
0:30:06 > 0:30:08So close.
0:30:14 > 0:30:17Lauren's transferred to a third bed.
0:30:17 > 0:30:20It's maternity bed 18 in the consultant-led ward.
0:30:23 > 0:30:25Specialist doctors are on hand in case
0:30:25 > 0:30:27the birth becomes more complicated.
0:30:33 > 0:30:36She's trembling. Straighten your legs.
0:30:36 > 0:30:41It can be foetal distress, so we really need the close monitor
0:30:41 > 0:30:43on the baby and we need doctors,
0:30:43 > 0:30:46we need the machine for monitoring the baby
0:30:46 > 0:30:50and of course we need the baby doctor around as well.
0:30:53 > 0:30:56The heart rate of the baby's dropped,
0:30:56 > 0:31:00so I think it's a case of being safe than sorry,
0:31:00 > 0:31:04so they've abandoned the water birth at the minute.
0:31:04 > 0:31:08They've brought her down here to be closely monitored.
0:31:10 > 0:31:13I think she's disappointed, isn't she?
0:31:13 > 0:31:16Yeah. They said not to rule out water birth.
0:31:18 > 0:31:21If it comes down they would take her back up,
0:31:21 > 0:31:24but also in that time she may deliver anyway.
0:31:29 > 0:31:32Senior Midwife Khorti examines Lauren.
0:31:32 > 0:31:35Lauren, I'm just going to take a quick look.
0:31:35 > 0:31:38- You haven't got pain at the moment, have you?- No.- OK.
0:31:38 > 0:31:42So, what I'd like you to do is turn on your side for me.
0:31:43 > 0:31:47The baby may be at risk if it isn't born soon.
0:31:47 > 0:31:50To progress the birth, the team needs to break Lauren's waters.
0:31:54 > 0:31:56I'm scared.
0:31:56 > 0:31:58Everything's fine.
0:31:58 > 0:31:59You've got everybody here.
0:31:59 > 0:32:01I'm scared.
0:32:01 > 0:32:04- Don't be scared.- Just relax. Relax.
0:32:08 > 0:32:11- This is much more relaxing than last time.- There was probably about
0:32:11 > 0:32:13three doctors in the room,
0:32:13 > 0:32:15a couple of midwives.
0:32:15 > 0:32:17I think a water birth would be...
0:32:17 > 0:32:19LAUREN GROANS
0:32:19 > 0:32:22I think just cos Lauren wanted the experience.
0:32:22 > 0:32:24Can't give birth every day.
0:32:28 > 0:32:30Is it coming?
0:32:30 > 0:32:32- Yeah, fully dilated.- OK.
0:32:38 > 0:32:39Oh, God!
0:32:41 > 0:32:44It might be over soon. You can rest.
0:32:46 > 0:32:48If you want to push, stop using the gas.
0:32:59 > 0:33:03I need to call for help. Don't be scared, all right?
0:33:05 > 0:33:07I need the doctor to come in.
0:33:07 > 0:33:11So I had to push the emergency buzzer for extra hands
0:33:11 > 0:33:16and for help from a senior midwife and from the doctor.
0:33:19 > 0:33:22Extra staff are needed to assist the delivery.
0:33:23 > 0:33:25LAUREN SCREAMS
0:33:29 > 0:33:34INDISTINCT DISCUSSION
0:33:36 > 0:33:39Let's just push and get the baby out.
0:33:41 > 0:33:45Lauren's baby's heart rate has dropped to a dangerously low level.
0:33:47 > 0:33:51The next few minutes on maternity bed 18 are critical.
0:34:07 > 0:34:11At the children's emergency department in Newcastle,
0:34:11 > 0:34:1513-year-old Geneva has been on paediatric bed 27
0:34:15 > 0:34:16for an hour and a half.
0:34:16 > 0:34:20Can I have a little look at your tummy, is that all right?
0:34:20 > 0:34:24She's dehydrated after a serious bout of sickness and diarrhoea.
0:34:25 > 0:34:29Dr Clark is the emergency consultant on duty.
0:34:29 > 0:34:32- It hurts all over here. - It's all right.
0:34:32 > 0:34:36So, the good thing about your tummy, though, when I'm pressing...
0:34:36 > 0:34:38is that it's nice and soft.
0:34:38 > 0:34:40I think the fact that Dad had something very similar over
0:34:40 > 0:34:44the weekend is a big clue that it's probably just gastroenteritis.
0:34:44 > 0:34:48We'll make sure that we can try and get things to settle down quickly
0:34:48 > 0:34:50and try and get you away.
0:34:50 > 0:34:53- Lovely. I'll pop in and see you a bit. OK?- OK.- Thanks a lot.
0:34:53 > 0:34:55- Thank you very much. - You're very welcome.
0:34:55 > 0:34:58We tend to usually see a lot more gastroenteritis in the winter months.
0:34:58 > 0:35:02However, recently there has been a vaccine introduced that
0:35:02 > 0:35:05has reduced the amount of diarrhoea and vomiting that we see.
0:35:05 > 0:35:09What I want to do right now is drink a whole bottle of water,
0:35:09 > 0:35:11but I can't.
0:35:11 > 0:35:14It's particularly important for Geneva to have a bed because
0:35:14 > 0:35:17first of all she's in discomfort, so we want her to be comfortable.
0:35:17 > 0:35:19But actually more importantly,
0:35:19 > 0:35:21she's got an infective gastroenteritis,
0:35:21 > 0:35:24we don't particularly want her in the waiting room, spreading that
0:35:24 > 0:35:28illness around to all the children who are here with injuries.
0:35:31 > 0:35:35Paediatric bed 27 and mum Eva have been in very close contact
0:35:35 > 0:35:37with Geneva since admission.
0:35:38 > 0:35:41Now Eva is showing signs of infection.
0:35:44 > 0:35:46I'll just go to the toilet.
0:35:46 > 0:35:50But if you need them, if you feel sick or something, press the buzzer.
0:35:51 > 0:35:53I need to go to the toilet.
0:35:57 > 0:35:59SHE RETCHES
0:36:00 > 0:36:04Geneva's mum developing similar symptoms now isn't a great surprise.
0:36:04 > 0:36:07If there is a gastroenteritis going around the house, then it's
0:36:07 > 0:36:10no surprise that multiple family members are affected.
0:36:10 > 0:36:14The virus particles can live for several days.
0:36:14 > 0:36:17They can be transferred from surfaces and carried on clothing.
0:36:21 > 0:36:22How do you feel?
0:36:24 > 0:36:26I can manage.
0:36:28 > 0:36:29Mummy's a nurse.
0:36:31 > 0:36:33Typical mum.
0:36:33 > 0:36:37It's better that you feel this rather than the children.
0:36:37 > 0:36:41I'm OK. I'm a typical hard nurse.
0:36:42 > 0:36:45Strong, independent woman.
0:36:45 > 0:36:47- Hello!- Hi.
0:36:47 > 0:36:48How are you feeling?
0:36:48 > 0:36:51Have you been sick any more while you've been with us?
0:36:51 > 0:36:54- No.- Have you had any more diarrhoea. - No.- OK.
0:36:54 > 0:36:58Have you managed to take any of that fluid that we've given you?
0:36:58 > 0:37:00- Yeah.- Yeah, she's nearly finished. - Oh, it's nearly all gone.
0:37:00 > 0:37:03That's fantastic. That is fantastic.
0:37:03 > 0:37:07So, given everything, I think I'll be happy enough with you going home.
0:37:07 > 0:37:11- Is that OK?- Yeah.- Are you all right? - Me? No.
0:37:13 > 0:37:15I kept going to the toilet.
0:37:15 > 0:37:17Feel sick and diarrhoea as well.
0:37:17 > 0:37:20- They're terrible, these bugs. - I know.
0:37:20 > 0:37:23Can you give me a smile? There we go.
0:37:23 > 0:37:25So, in the nicest possible way...
0:37:25 > 0:37:30After three hours, paediatric bed 27 has done its job.
0:37:30 > 0:37:34- OK?- Yeah.- Good stuff.- Thank you so much.- Oh, you're very welcome.
0:37:36 > 0:37:40It's given a thorough clean to get rid of any germs before
0:37:40 > 0:37:42the next patient arrives.
0:37:47 > 0:37:50Birmingham's Queen Elizabeth Hospital.
0:37:50 > 0:37:52Day surgery bed 55 and its patient Julie
0:37:52 > 0:37:55are back on the ward with husband Tim.
0:37:59 > 0:38:03Julie's had an operation to remove a cancerous growth on her leg.
0:38:05 > 0:38:09I tell you what, Nicole will be impressed with that.
0:38:09 > 0:38:11It's massive.
0:38:11 > 0:38:13- Is it?- It's massive.
0:38:13 > 0:38:15That is a crater.
0:38:18 > 0:38:21It's like as big as that and as thick as that.
0:38:22 > 0:38:26This is the second time Julie's had this procedure.
0:38:26 > 0:38:29I've got to come back here next Monday to have a dressing change.
0:38:29 > 0:38:32She said, "But even then, it's not going to look nice."
0:38:32 > 0:38:34- Are you in pain at all?- No.
0:38:34 > 0:38:37- Just let me know cos it might wear off a bit.- OK.
0:38:37 > 0:38:41What happens when she wants to pop in the shower and that?
0:38:41 > 0:38:45We'll give you all the discharge advice. It tells you specifically
0:38:45 > 0:38:47what you can and can't do and stuff like that.
0:38:47 > 0:38:50- Is that all right?- Brill. - Yeah, thank you.- Cheers.
0:38:52 > 0:38:54Daughter Toni Nicole is also here.
0:38:54 > 0:38:56How much blood?
0:38:56 > 0:38:59Nicole, why do you ask? Cos you know you don't like it.
0:39:01 > 0:39:04You need to keep the dressing clean and dry for your appointment.
0:39:04 > 0:39:06I can't shower for a week?
0:39:06 > 0:39:10No. You can do with the one without the dressing.
0:39:10 > 0:39:13You can put plastic over it.
0:39:13 > 0:39:18- Oh, so I can put a bin bag over it? - Yeah, you can do that.
0:39:18 > 0:39:21- Oh, right.- What about clingfilm?
0:39:21 > 0:39:25Yeah, sometimes they use it. Make sure you don't soak it.
0:39:25 > 0:39:27Thank you very much.
0:39:27 > 0:39:30- Take care of yourself. - Thank you.
0:39:30 > 0:39:35- I'll get somebody to escort you out. - Thank you.
0:39:38 > 0:39:41Julie will have to wait eight weeks for test results.
0:39:42 > 0:39:45If all of the cancer has been removed,
0:39:45 > 0:39:47she won't need any more surgery.
0:39:59 > 0:40:03It's 1pm at Queen's Hospital maternity unit.
0:40:05 > 0:40:0929-year-old Lauren planned to give birth in a pool,
0:40:09 > 0:40:12but her baby's heart rate has dropped dangerously low,
0:40:12 > 0:40:16so she's been moved to a consultant-led ward.
0:40:16 > 0:40:19Don't use the gas now. Let's try and get the baby out.
0:40:21 > 0:40:26Lauren has been with maternity bed 18 for 30 minutes.
0:40:26 > 0:40:28It's her third bed during this birth.
0:40:32 > 0:40:34Push down. Push down. That's good.
0:40:37 > 0:40:40Very good.
0:40:40 > 0:40:42There's a team of five midwives and doctors.
0:40:50 > 0:40:54Maternity bed 18 will be here for as long as it takes.
0:40:54 > 0:40:56- Head down.- Push, push, push.
0:40:56 > 0:40:58- Head down. That's it. - Push, push, push.
0:40:58 > 0:41:00Come on. This is so close.
0:41:04 > 0:41:06It's not coming!
0:41:09 > 0:41:11SHE SCREAMS
0:41:17 > 0:41:19Oh, yay!
0:41:19 > 0:41:20Hello, baby.
0:41:22 > 0:41:24It's a boy.
0:41:24 > 0:41:29To welcome a new life is an amazing experience every time.
0:41:29 > 0:41:32I always say to the baby, I say, "happy birthday,"
0:41:32 > 0:41:34because it is, isn't it?
0:41:34 > 0:41:39The start of the life, so she'll be happy.
0:41:39 > 0:41:42Lauren's new baby's heartbeat is normal.
0:41:42 > 0:41:45As you can hear for yourself, he's absolutely fine.
0:41:50 > 0:41:52Well done, Lauren. Well done.
0:41:53 > 0:41:56Another lovely little boy.
0:41:57 > 0:41:59He's gorgeous.
0:41:59 > 0:42:00He looks exactly like his brother.
0:42:00 > 0:42:02- SHE GASPS:- His brother!
0:42:13 > 0:42:17I think Lauren would have really liked to have experienced the water birth.
0:42:17 > 0:42:24It's not such a big deal cos the baby was born happy and healthy,
0:42:24 > 0:42:25but maybe next time.
0:42:27 > 0:42:31Lauren will stay on maternity bed 18 until she's ready to move
0:42:31 > 0:42:34to a ward with her new baby boy Brody.
0:42:41 > 0:42:44Our hospital beds have given us intimate access to
0:42:44 > 0:42:46the work of the NHS.
0:42:48 > 0:42:50After a month of rest,
0:42:50 > 0:42:54Andy is almost 100% fit and back out in his kayak.
0:42:55 > 0:42:58Julie is still waiting for the all-clear
0:42:58 > 0:43:00following her skin cancer op,
0:43:00 > 0:43:02but her leg has healed well.
0:43:02 > 0:43:06And Lauren is grateful to all the staff at Queen's Hospital for
0:43:06 > 0:43:09the safe arrival of her second son Brody.
0:43:10 > 0:43:13The beds are now back on their wards ready and waiting
0:43:13 > 0:43:15for their next round of patients.