0:00:02 > 0:00:06- Hand versus chainsaw. - It looks painful.
0:00:06 > 0:00:10Our hospitals are taking care of more patients than ever...
0:00:11 > 0:00:14- You all right?- No.- Aw, poppet. - HE WHIMPERS
0:00:14 > 0:00:17..with medical teams under constant pressure...
0:00:17 > 0:00:20Can Dr Pizzey come to resus, please?
0:00:20 > 0:00:22If somebody is 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 it'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 > 0:00:35I'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 SHRIEKS
0:00:45 > 0:00:47In our lifetimes,
0:00:47 > 0:00:50we are likely to need one of them at least three times.
0:00:50 > 0:00:54I'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 > 0:01:07It's life. Life and death and everything that goes in-between.
0:01:07 > 0:01:11- We'll see the world through the bed's 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 > 0:01:18..most intimate...
0:01:20 > 0:01:22I know.
0:01:22 > 0:01:25- ..and most rewarding... - Happy birthday!
0:01:25 > 0:01:27Aren't hospitals wonderful?
0:01:27 > 0:01:30- ..moments of our lives. - Thank you for being here.
0:01:30 > 0:01:32I wouldn't be anywhere else.
0:01:32 > 0:01:37A hospital cannot function without beds. Beds are vital.
0:01:37 > 0:01:40This is The Secret Life Of The Hospital Bed.
0:01:47 > 0:01:51Birmingham, with a population of over a million.
0:01:52 > 0:01:55The city's biggest hospital is the Queen Elizabeth,
0:01:55 > 0:01:57which opened just six years ago.
0:01:59 > 0:02:02One of its new state-of-the-art units is Day Surgery.
0:02:04 > 0:02:08More than 25,000 patients pass through its beds each year.
0:02:10 > 0:02:15Bed 32. It's one of more than 80 beds in Day Surgery.
0:02:15 > 0:02:19- Have you had any falls recently? Fallen down?- No.
0:02:19 > 0:02:2367-year-old farmer Stephen is here with his wife, Patricia.
0:02:23 > 0:02:27He needs a heart investigation ahead of much-needed surgery on his leg.
0:02:28 > 0:02:31Stephen currently relies on crutches to get around
0:02:31 > 0:02:34and hopes an operation will help him walk again.
0:02:34 > 0:02:38- The end of May, beginning of June. - You were OK.
0:02:38 > 0:02:39Yeah, at that time,
0:02:39 > 0:02:43I could get on and off the tractors, no problem at all.
0:02:43 > 0:02:48Within three months, I can't get on the tractors.
0:02:48 > 0:02:52Just can't carry things. If I want to get myself a cup of tea, I can't.
0:02:53 > 0:02:56If I want to take my stuff upstairs, I can't.
0:02:56 > 0:02:58I just can't do it.
0:03:00 > 0:03:04Stephen's been waiting for his leg operation for two months
0:03:04 > 0:03:06but he has symptoms of angina.
0:03:06 > 0:03:10- Have you had any heart attacks in the past?- No.
0:03:11 > 0:03:12The surgery can only go ahead
0:03:12 > 0:03:15if his heart is strong enough to withstand it.
0:03:15 > 0:03:17Do you get breathless when you're lying down?
0:03:17 > 0:03:19- Short of breath?- Sometimes, yeah. - Sometimes.
0:03:21 > 0:03:25Dr Akwe is looking after Stephen while he's on the ward.
0:03:27 > 0:03:31So, we shall be giving you some medication to make you sleepy.
0:03:31 > 0:03:33- Happy days.- Yes. - THEY LAUGH
0:03:33 > 0:03:36You'll be awake...
0:03:36 > 0:03:39I've already got the morphine on board so I'm well away.
0:03:39 > 0:03:41That's good.
0:03:41 > 0:03:44- So it will be passing along the flexible tube...- Yep.
0:03:46 > 0:03:48- ..through the radial artery...- Yep.
0:03:48 > 0:03:51..and then taking a check of the artery,
0:03:51 > 0:03:53- the vessel supplying your heart muscles.- OK.
0:03:53 > 0:03:57What it does is it tells us whether any of the vessels,
0:03:57 > 0:04:00arteries around your heart is blocked,
0:04:00 > 0:04:04- and if this is a result of the angina you are experiencing.- Yeah.
0:04:06 > 0:04:10- You just want to go to sleep, don't you?- Yeah. I'm just whacked.
0:04:10 > 0:04:13Stephen and Patricia have been married for 24 years
0:04:13 > 0:04:15and have five children between them.
0:04:15 > 0:04:18They own a smallholding in Shropshire.
0:04:18 > 0:04:22Stephen's leg problem is making it difficult to keep the farm going.
0:04:22 > 0:04:27He's had to keep reducing his expectations, if you like,
0:04:27 > 0:04:28of what he can do.
0:04:28 > 0:04:32And at the moment, what he can do is virtually nothing.
0:04:32 > 0:04:34You know, with two crutches, as he said,
0:04:34 > 0:04:37he can't even make a cup of tea now for himself.
0:04:37 > 0:04:41If he can get better and be mobile,
0:04:41 > 0:04:43he will be so much happier in himself.
0:04:45 > 0:04:47I'm going to pop a needle in.
0:04:47 > 0:04:51Nurse Geraghty has worked on the ward for just two months.
0:04:51 > 0:04:53She prepares Stephen for his angiogram.
0:04:53 > 0:04:55Oh, my God. I don't do needles.
0:04:55 > 0:04:57You don't faint, do you? You're not...
0:04:57 > 0:04:59No, I don't faint. I just don't like them.
0:04:59 > 0:05:03He sticks them in our cat, you're all right. It's not a problem.
0:05:03 > 0:05:06Sometimes the big ones don't like to be touched.
0:05:06 > 0:05:09Gives us a problem.
0:05:09 > 0:05:13- Is that a kind of chat-up line?- No! - SHE LAUGHS
0:05:14 > 0:05:18- I need to concentrate!- Sorry! Sorry!- Shh!- OK.
0:05:19 > 0:05:22- You all right?- Yeah, I'm fine. I just don't do needles.
0:05:22 > 0:05:25- I'm talking about this man! - THEY LAUGH
0:05:25 > 0:05:27I've come for your blood sugar, if that's all right.
0:05:27 > 0:05:31Oh, right, yeah. Which part do you want?
0:05:31 > 0:05:33Just the finger...
0:05:33 > 0:05:35That'll be all right.
0:05:38 > 0:05:42Although the medical staff may come and go, bed 32 will be with Stephen
0:05:42 > 0:05:46in the ward, into surgery and back to recovery.
0:05:46 > 0:05:48- OK. See you later.- Okey dokey.
0:05:50 > 0:05:51See you shortly.
0:05:51 > 0:05:54It's stressful.
0:05:54 > 0:05:57Hoping his heart problem is not too bad,
0:05:57 > 0:06:00can be controlled with medication,
0:06:00 > 0:06:05so the leg operation is now all dependent on today's results.
0:06:19 > 0:06:23Newcastle, the busiest city in the north-east of England.
0:06:23 > 0:06:26The Great North Children's Hospital is one of the biggest
0:06:26 > 0:06:28paediatric units in the UK, with its own A&E.
0:06:29 > 0:06:33Hey, it's Claire, I'm paeds coordinator. Oh, hello.
0:06:33 > 0:06:37The person in charge of the ward today is Sister Jackson.
0:06:37 > 0:06:40Yeah, Laura, I need to find a bed on long stay for that patient.
0:06:40 > 0:06:43OK, thanks, love. Bye.
0:06:43 > 0:06:47Beds - within A&E, I have got six cubicles,
0:06:47 > 0:06:52three monitored beds and two resus beds.
0:06:52 > 0:06:54But we have a lot more patients than that.
0:06:54 > 0:06:58I think it averages about 100, 110 patients a day.
0:06:58 > 0:07:01Our busiest time tends to be kind of after four o'clock,
0:07:01 > 0:07:04when everyone's finished school and everyone piles in.
0:07:04 > 0:07:06Hello. Paeds A&E.
0:07:06 > 0:07:10Bed 27 is standing by for its next young patient.
0:07:12 > 0:07:15Come and have a seat. You sit on the bed, sweetheart.
0:07:15 > 0:07:18It's early afternoon and 12-year-old Daniel has arrived
0:07:18 > 0:07:21just ahead of today's after-school rush.
0:07:21 > 0:07:23He's been brought in by his mum Hilary
0:07:23 > 0:07:26who works at the hospital as a health care assistant.
0:07:26 > 0:07:29So, why are you here today? What's been happening?
0:07:29 > 0:07:32Me and me friends were playing football on a MUGA
0:07:32 > 0:07:36and then I fell over and then one of my friends
0:07:36 > 0:07:38either jumped or fell on top of me
0:07:38 > 0:07:43- and I could, like, feel a sudden crack in my wrist.- Right.
0:07:43 > 0:07:46I'll let the doctor know you're here, OK?
0:07:46 > 0:07:50For now, it's just Daniel, his mum and bed 27.
0:07:52 > 0:07:56- On the bright side, this bed's comfy.- Have a chill-out then.
0:07:59 > 0:08:03- Do you think I'm going to be all right, Mum?- Of course you will.
0:08:04 > 0:08:07'He does try hard at school.
0:08:07 > 0:08:10'Daniel would like to go to university when he's older
0:08:10 > 0:08:13'so he has been told he has to work hard to get there.'
0:08:13 > 0:08:18I use my right hand for writing and this could affect my work
0:08:18 > 0:08:22an awful lot at school. I might not get as high levels that I want.
0:08:24 > 0:08:26It's actually dead comfortable.
0:08:28 > 0:08:30Even though Daniel's mum works at the hospital,
0:08:30 > 0:08:33she still never got to grips with the beds.
0:08:33 > 0:08:38I can't work the beds. Never managed to work them.
0:08:38 > 0:08:42I'm not very good at pushing beds either, or putting them up or down.
0:08:42 > 0:08:46So if you do get a bed, don't let me near the controls.
0:08:46 > 0:08:49You'll end up with more than a broken wrist, wouldn't you?
0:08:51 > 0:08:53Hopefully it's not broken.
0:08:57 > 0:08:59Just got a text.
0:09:01 > 0:09:05- Hello, is it Daniel?- Yes, it is.
0:09:05 > 0:09:09Nurse practitioners work alongside doctors here examining patients.
0:09:09 > 0:09:13Senior nurse practitioner Rayne will assess Daniel's arm.
0:09:13 > 0:09:15What I'm going to do, I'm just going to have a little look around,
0:09:15 > 0:09:18OK, a little feel around and when I ask you questions,
0:09:18 > 0:09:21if you can just give me a little answer.
0:09:21 > 0:09:24- Now, have you got any pain up in your elbow?- No.
0:09:24 > 0:09:27- What about up this upper arm?- No.
0:09:27 > 0:09:29Now, just along your forearm.
0:09:29 > 0:09:33Just tell me when...if that starts to hurt.
0:09:33 > 0:09:35There? Yeah, OK.
0:09:35 > 0:09:38So, what we'll do, I'll pop your sling back on and then we'll get
0:09:38 > 0:09:42you round to X-ray and get some pictures taken. Are you all right?
0:09:42 > 0:09:45- No.- Oh, poppet. - HE WHINES
0:09:46 > 0:09:48Sweetheart.
0:09:51 > 0:09:53- It's all right though. - Are you sure?
0:09:53 > 0:09:55Does it just hurt with it being fiddled with?
0:09:55 > 0:09:59- Yeah.- Just really sore.
0:09:59 > 0:10:01I'll go and sort out medicine and then X-ray.
0:10:01 > 0:10:03Lovely, thank you.
0:10:05 > 0:10:09The first time in hospital can be tough for anyone,
0:10:09 > 0:10:11especially a child.
0:10:11 > 0:10:13If I have to have an operation, will they knock me out?
0:10:13 > 0:10:18You don't need to worry about that yet. It might not need an operation.
0:10:18 > 0:10:19Right?
0:10:21 > 0:10:24In bed 27, all Daniel can do is wait.
0:10:32 > 0:10:36The emergency department at Newcastle's Royal Victoria Infirmary
0:10:36 > 0:10:39is open 24 hours a day, seven days a week.
0:10:40 > 0:10:44Senior Sister Amos is in charge of coordinating the unit today.
0:10:44 > 0:10:47She has worked in A&E for the last 20 years.
0:10:47 > 0:10:49When you get up in the morning and come in to work,
0:10:49 > 0:10:52you've got no idea what your day is going to hold.
0:10:52 > 0:10:54Just be careful, please, because he's...
0:10:54 > 0:10:56Yeah, just let him do what he wants to do. Yeah.
0:10:58 > 0:11:00Just get security.
0:11:00 > 0:11:04Is he lying on the floor? Just get security to come down.
0:11:04 > 0:11:07It's her job to find beds for patients and move them on.
0:11:08 > 0:11:11You're in charge of the patient flow,
0:11:11 > 0:11:15constantly moving patients from bed to bed and onto different areas,
0:11:15 > 0:11:17depending on what they need.
0:11:17 > 0:11:19Sometimes from beds to wards,
0:11:19 > 0:11:22sometimes from bed to home, which is always good.
0:11:22 > 0:11:24- Thank you.- You're very welcome.
0:11:24 > 0:11:25There's quite a lot of stuff on the television
0:11:25 > 0:11:27about people being on trolleys for 12 hours,
0:11:27 > 0:11:31being on corridors, and the way to kind of address that
0:11:31 > 0:11:35was to adapt what they call the four-hour breach
0:11:35 > 0:11:38so any patient that's been in the department for any more
0:11:38 > 0:11:41than four hours, you have to give a reason for.
0:11:41 > 0:11:44That guy's been discharged now. He's got an outpatient appointment.
0:11:44 > 0:11:46Champion.
0:11:46 > 0:11:48It's just after lunchtime.
0:11:48 > 0:11:52The first person to face the four-hour target in bed nine
0:11:52 > 0:11:56is former model agent Liz, who fears she's broken her ribs.
0:11:57 > 0:12:00Liz, who's 78, fell over while vacuuming
0:12:00 > 0:12:03and has been awake all night with the pain.
0:12:03 > 0:12:06Will you put my legs up cos it's hurting there?
0:12:08 > 0:12:11Oh, oh, oh. Right.
0:12:12 > 0:12:17- Oh!- Are you comfortable there?- Hm? - Are you comfortable there?- Oh, yeah.
0:12:17 > 0:12:22Lovely. I still think I've cracked a bone little in there. And there.
0:12:22 > 0:12:25- It's very painful, is it? - Really hurting.
0:12:25 > 0:12:29- Hello, you.- Hello there. - Hello, you.- Hello.
0:12:29 > 0:12:33Liz has seen consultant Mr Connelly previously here at A&E.
0:12:34 > 0:12:38You like us here, do you? What happened this time?
0:12:38 > 0:12:42I ran into the music room, tripped over the vacuum,
0:12:42 > 0:12:46smashed into his desk, right on the corner, stuck in there.
0:12:46 > 0:12:49- Right to the front of your chest? - It stuck in there.
0:12:49 > 0:12:52- Is this the territory here? - Aargh!- Sorry. OK.
0:12:52 > 0:12:54If you just take a slow breath in for me.
0:12:54 > 0:12:56Just... And stop when it hurts.
0:12:56 > 0:12:59When you do that, what sort of pain level is it?
0:12:59 > 0:13:01If 10 is the worst pain you can imagine,
0:13:01 > 0:13:04what do you get when you try and breathe?
0:13:04 > 0:13:06- Nine.- At a nine, OK.- Yeah.
0:13:06 > 0:13:09You may not like me for the next bit, but would you just put
0:13:09 > 0:13:13your hand where you're sore and try and have a cough?
0:13:13 > 0:13:15You don't want to, do you? That's OK.
0:13:15 > 0:13:18- OK, listen, we'll get you painkillers first, OK?- Yes.
0:13:18 > 0:13:20So don't go running off anywhere.
0:13:23 > 0:13:26What we really need to do is get on top of the pain first.
0:13:26 > 0:13:29Having done that, we'll go back and have another little look.
0:13:29 > 0:13:31There's no signs that she's bleeding heavily
0:13:31 > 0:13:34so we'll scan her chest but then we'll move forward and get
0:13:34 > 0:13:37some x-rays as well and just see what damage she's done.
0:13:37 > 0:13:39Liz and husband Max, who's a retired musician,
0:13:39 > 0:13:42have been together for 50 years
0:13:42 > 0:13:45although they almost didn't get together at all.
0:13:45 > 0:13:47I stood him up the first time.
0:13:47 > 0:13:49MAX LAUGHS
0:13:49 > 0:13:53- He thinks you've cracked your breastbone.- I think I have.
0:13:53 > 0:13:56Liz is a woman who's used to being taken care of.
0:13:56 > 0:14:00I'm spoilt. Get me good coat and I'll get me diamonds.
0:14:00 > 0:14:02As you can see.
0:14:04 > 0:14:07- Did you say you were going on any holidays?- Yes.- November.
0:14:07 > 0:14:09Where are you heading to?
0:14:09 > 0:14:13- We're going to Barbados.- Barbados. - Very nice.
0:14:13 > 0:14:17Liz gets a dose of morphine and Mr Connelly starts to investigate
0:14:17 > 0:14:19with an ultrasound scan.
0:14:19 > 0:14:22Get my fancy toys out first.
0:14:23 > 0:14:26First, we're going to take a quick look at your lungs
0:14:26 > 0:14:28and see what's going on there.
0:14:28 > 0:14:30This just gives a very quick view.
0:14:31 > 0:14:34Can you see? That's a lung there.
0:14:34 > 0:14:37See the little white thing coming out? That's moving nicely.
0:14:37 > 0:14:40You haven't popped your lung.
0:14:40 > 0:14:43Most important then, I want to have a little look at your heart.
0:14:45 > 0:14:48There's no blood around there.
0:14:48 > 0:14:50Despite her fears, this scan reveals
0:14:50 > 0:14:53no obvious damage to Liz's heart or lungs.
0:14:53 > 0:14:56I think if it had been a little bit further over,
0:14:56 > 0:14:59it would have punctured my heart.
0:14:59 > 0:15:01- I don't know. - Because my heart's just there.
0:15:04 > 0:15:07The medical team want to check if Liz has any other injuries.
0:15:07 > 0:15:11Bed nine makes the journey to the X-ray department.
0:15:12 > 0:15:16Need some x-rays of your ribs, your breastbone and your upper back, OK?
0:15:16 > 0:15:20- Can I pop your necklace off? - Yes. Yes.
0:15:20 > 0:15:23Liz has been in bed nine for an hour and 15 minutes.
0:15:24 > 0:15:28Her diamond necklace has to come off because metal can interfere
0:15:28 > 0:15:31with an X-ray and block anything behind it.
0:15:35 > 0:15:38If you look at the x-rays, there isn't anything dramatic
0:15:38 > 0:15:41but I don't think the plain x-rays are telling the full story.
0:15:41 > 0:15:43We're going to get some better imaging,
0:15:43 > 0:15:47as in a CT scan, to better elucidate exactly what the injuries are.
0:15:47 > 0:15:50Enjoy your holiday. You're very brown. Have you already been away?
0:15:50 > 0:15:54- No. At Darras Hall, you get all the sun there.- Is that what it is?
0:15:54 > 0:15:56I just live in the wrong place, obviously.
0:15:56 > 0:15:59Liz has two and a half hours left on bed nine
0:15:59 > 0:16:03if staff are to meet the four-hour NHS target.
0:16:05 > 0:16:08But the results of her X-ray remain inconclusive.
0:16:08 > 0:16:12- More tests are needed. - I've got to ask you,
0:16:12 > 0:16:15- is the bed comfortable there? - Lovely. Absolutely lovely, this bed.
0:16:15 > 0:16:17- I'm going to take it home with us? - Are you?
0:16:17 > 0:16:21- I'm just dying for some kippers. - Kippers?
0:16:22 > 0:16:27- But he won't let me cook fish in the house.- Really?- No.
0:16:27 > 0:16:30The smell lingers.
0:16:30 > 0:16:34In a short while, Liz will be taken for a CT scan.
0:16:34 > 0:16:38She's hoping it might reveal the cause of her intense pain.
0:16:38 > 0:16:42- And it's not her only worry. - She hasn't got my thing on there.
0:16:42 > 0:16:45She took it off. The diamond's gone.
0:16:47 > 0:16:49Is it there?
0:16:49 > 0:16:53I'll have a little look for you, cos you could be sitting on it.
0:16:53 > 0:16:57- Aha! I've got it. I've just seen it. - You've got it?- Yes. I've got it.
0:16:59 > 0:17:02I'll put your necklace on with the solitaire on, all right,
0:17:02 > 0:17:04so you don't lose it.
0:17:04 > 0:17:07Diamonds found and all is well with Liz's jewellery,
0:17:07 > 0:17:10but doctors still need to find the source of her pain.
0:17:10 > 0:17:15- At least we got that back for you. - Yes.- Thanks, my darling. Thank you.
0:17:15 > 0:17:17What a nice girl she is.
0:17:17 > 0:17:19Ow!
0:17:27 > 0:17:29Hello. Paeds A&E, Becky speaking.
0:17:29 > 0:17:32In Newcastle's Great North Children's Hospital,
0:17:32 > 0:17:35bed 27 has been with 12-year-old Daniel for over an hour.
0:17:35 > 0:17:39He came into paediatric A&E with his mum Hilary after falling over
0:17:39 > 0:17:42in the school playground.
0:17:42 > 0:17:45He needs an X-ray to find out if his arm is broken.
0:17:47 > 0:17:51This is one of the biggest children's hospitals in the country
0:17:51 > 0:17:55and these beds are the most comfortable way to get around.
0:17:55 > 0:17:57You're thoroughly enjoying yourself!
0:18:06 > 0:18:10- I'm really worried about the X-ray. - Don't worry about it.
0:18:12 > 0:18:16I'll probably scream if they try to take my hand out.
0:18:16 > 0:18:20They're not going to deliberately make it sore, sweetheart. All right?
0:18:21 > 0:18:25- You're big and brave and you'll be fine.- We'll take you in now.
0:18:30 > 0:18:32I'm just a bit upset when he's in pain,
0:18:32 > 0:18:36because I know he'll be well looked after, I just think I'm more
0:18:36 > 0:18:39nervous for him in case he has broken it and because he's in pain.
0:18:41 > 0:18:42Argh! Ah!
0:18:44 > 0:18:46- All right, you're doing fine. - HE WHIMPERS
0:18:46 > 0:18:48When you're a mum, I think, you know,
0:18:48 > 0:18:51you wish it was you rather than them.
0:18:54 > 0:18:58Mum has to wait outside but Daniel and bed 27
0:18:58 > 0:19:00are together throughout the X-ray.
0:19:00 > 0:19:04- HE WHINES - All right, my darling. Well done.
0:19:04 > 0:19:08- All right? Did it hurt? - It hurt like hell.
0:19:08 > 0:19:11It hurt like hell. Aw, come here.
0:19:16 > 0:19:18Messing your hair up.
0:19:24 > 0:19:27They straightened my wrist up and everything.
0:19:27 > 0:19:29- It hurt.- Did it?
0:19:29 > 0:19:32- Shh, shh, shh. - HE WHIMPERS INCOHERENTLY
0:19:35 > 0:19:37Have you got a tissue?
0:19:47 > 0:19:50Daniel is back in his room.
0:19:50 > 0:19:53It's my birthday in 12 days.
0:19:53 > 0:19:55Yeah.
0:19:55 > 0:19:59I never knew I was going to have a birthday with a cast on.
0:19:59 > 0:20:04I think it will be a bit harder because, like,
0:20:04 > 0:20:09I would only be able to open presents with one hand.
0:20:09 > 0:20:15Fingers crossed, everything crossed, that it can just have a cast on it.
0:20:15 > 0:20:20- Is it Daniel?- Orthopaedic specialist Dr Rushton has Daniel's results.
0:20:20 > 0:20:23I'm one of the bone doctors. Shall we shake hands? Nice to meet you.
0:20:23 > 0:20:26Right. You've broken your wrist, unfortunately,
0:20:26 > 0:20:27when you had this fall.
0:20:27 > 0:20:30It's fractured through there and just comes out through the side
0:20:30 > 0:20:32and it's moved into a slightly bad position
0:20:32 > 0:20:35so I think what we need to do today is pop a nice little cast on
0:20:35 > 0:20:37to make you a lot more comfortable and I think tomorrow,
0:20:37 > 0:20:39we will need to get you off to sleep
0:20:39 > 0:20:43and move the bone into a better position and put a cast on.
0:20:43 > 0:20:48- So, is that like an operation? - It is, yeah.- All right.
0:20:48 > 0:20:51It's painkillers and a cast for Daniel.
0:20:51 > 0:20:54He's going home to his own bed tonight
0:20:54 > 0:20:57but he'll be back tomorrow for surgery on his arm.
0:20:57 > 0:21:04I'm still quite concerned but the doctor has explained it more
0:21:04 > 0:21:11so that I'm about 40% less concerned.
0:21:11 > 0:21:15One thing is I'm definitely in a lot less pain.
0:21:15 > 0:21:17Daniel's been extremely brave today.
0:21:17 > 0:21:20I'm very proud of how he's behaved.
0:21:20 > 0:21:23He's been... For being in so much pain, he's been exceptional.
0:21:23 > 0:21:24I think he's more concerned
0:21:24 > 0:21:27that he can't give his little sister a cuddle.
0:21:27 > 0:21:31Bed 27 is ready for its next young patient.
0:21:42 > 0:21:46The A&E Department of Newcastle's Royal Victoria Infirmary.
0:21:46 > 0:21:51Bed nine has been with 78-year-old Liz for nearly three hours.
0:21:51 > 0:21:54Liz hurt herself while cleaning at home.
0:21:55 > 0:21:57X-rays have proved inconclusive.
0:21:57 > 0:22:00Her hope now is that a CT scan will reveal more.
0:22:02 > 0:22:04It doesn't.
0:22:06 > 0:22:09It's especially busy in A&E today.
0:22:09 > 0:22:11There's no room left on the unit
0:22:11 > 0:22:14so Liz and bed nine are moved to the corridor.
0:22:14 > 0:22:18- Do you want a burger?- And chips. - Chips.
0:22:18 > 0:22:22- But make sure they don't put any sauces on.- No cheese at all?
0:22:22 > 0:22:26- Right. I'll see you later.- Don't be long, mind. I'm starving.- Right.
0:22:26 > 0:22:27- See you later.- Ta-ra.
0:22:29 > 0:22:33Mr Connelly is back to update Liz on her next course of treatment.
0:22:33 > 0:22:36Forget about whether there's a crack or whether there's a subtle crack,
0:22:36 > 0:22:39you're in a lot of pain. You seem to be a bit better
0:22:39 > 0:22:41but you agree with me that we get you in at least overnight,
0:22:41 > 0:22:44even a day or two, until we're happy the pain is well away. OK.
0:22:44 > 0:22:47- Thank you ever so much.- Good. No problem at all. You take care.
0:22:47 > 0:22:50- Thank you.- I think the risk is if we leave her alone for more than
0:22:50 > 0:22:52a few days, I think she'd end up in a chest infection because
0:22:52 > 0:22:54she won't be able to breathe or cough effectively.
0:22:54 > 0:22:57So until we're happy that she's breathing and coughing effectively,
0:22:57 > 0:23:00we'll admit her for analgesic reasons.
0:23:02 > 0:23:03After a wait in the corridor,
0:23:03 > 0:23:06Liz is finally on her way to an overnight ward.
0:23:08 > 0:23:11- How're you doing? - All right, thanks.
0:23:11 > 0:23:14- It's Elizabeth, yeah?- Yes. - Hi, Elizabeth.
0:23:14 > 0:23:17Carry on. Just press the button and I'll pull.
0:23:18 > 0:23:20The other bed was better!
0:23:22 > 0:23:25It's been so busy in A&E,
0:23:25 > 0:23:29bed nine is 45 minutes over the NHS target time.
0:23:29 > 0:23:31It's now needed for another patient.
0:23:37 > 0:23:41There are 44 beds in the Royal Victoria Hospital's A&E department.
0:23:41 > 0:23:44Each bed sees many patients every day.
0:23:46 > 0:23:49And for bed nine, it's proving a busy time.
0:23:49 > 0:23:52Next patient is 40-year-old chef Turan.
0:23:53 > 0:23:58He's agitated and keeps leaving the room.
0:23:58 > 0:24:03- You know where you're going, don't you?- This room.- That room there.
0:24:03 > 0:24:08- You OK?- I'm not OK. - I know you're not OK.
0:24:11 > 0:24:15- What's the matter?- Turan has come into A&E with head and neck pain.
0:24:15 > 0:24:17He says he was beaten up.
0:24:17 > 0:24:22Looking after bed nine is Health Care Assistant Little.
0:24:22 > 0:24:25The team don't know if Turan's shortness of breath
0:24:25 > 0:24:27is down to his injuries.
0:24:27 > 0:24:30OK. Right. Nice deep breaths.
0:24:30 > 0:24:32OK, you're going to be seen by the doctor very, very shortly
0:24:32 > 0:24:36so just try and calm down, all right? Right.
0:24:36 > 0:24:40Health Care Assistant Little finally persuades Turan to lie on the bed
0:24:40 > 0:24:43but instead of waiting for a doctor, he gets up again.
0:24:45 > 0:24:49- Straight away upstairs and come back.- Right. OK, that's fine.
0:24:49 > 0:24:53'I know it's my motto when I come to work is to get on with people.'
0:24:53 > 0:24:57Just sit there. Turan. Just sit there.
0:24:57 > 0:25:00'Obviously, it's a traumatic incident that he suffered'
0:25:00 > 0:25:04so you could see clearly see that something has happened.
0:25:04 > 0:25:08He's shaking, visibly shaking.
0:25:08 > 0:25:10Obviously, I may not be a medical person but I can talk to people
0:25:10 > 0:25:13and hopefully calm them down...
0:25:13 > 0:25:15Do you want another drink of water?
0:25:15 > 0:25:17'..which in itself, if they are calm, they will respond better to'
0:25:17 > 0:25:22what the doctor says and any medication that they're given.
0:25:22 > 0:25:25Whilst Health Care Assistant Little is called to another patient,
0:25:25 > 0:25:29Turan tries to leave again but the doctor stops him in his tracks.
0:25:30 > 0:25:34Right, what we need to do, because you got hurt quite a lot,
0:25:34 > 0:25:39we need to fix your neck and we need to put these blocks
0:25:39 > 0:25:41either side of your head. Yep.
0:25:41 > 0:25:44We're just going to lie you back.
0:25:44 > 0:25:48- Pop this underneath. - I cannot breathe.
0:25:48 > 0:25:51- Yes, you can. - You can, darling.
0:25:51 > 0:25:53- Don't worry.- Try and relax. - No, no.
0:25:53 > 0:25:56- Keep your neck still.- Yeah, OK.
0:25:56 > 0:26:00If you've injured your neck, you will injure it even more.
0:26:00 > 0:26:04- The neck brace has made Turan more agitated.- No.
0:26:06 > 0:26:08I'll get Peter.
0:26:10 > 0:26:14Dr Lang Ping Nam has drafted in colleague Dr Land to help.
0:26:14 > 0:26:18Hello there, you all right? How are you doing?
0:26:18 > 0:26:20You're not a big fan of the collar.
0:26:22 > 0:26:24Shall we take...?
0:26:24 > 0:26:27I think this is probably going to cause more problems than it solves.
0:26:27 > 0:26:29Thank you very much.
0:26:31 > 0:26:34They can sometimes make you feel a bit claustrophobic.
0:26:34 > 0:26:37Sometimes we need to keep people's heads completely still
0:26:37 > 0:26:40in case they've broken their neck but you are moving around.
0:26:40 > 0:26:43I don't think you will have done because you're moving around nicely
0:26:43 > 0:26:46but we'll get some x-rays just to make sure.
0:26:46 > 0:26:49It's becoming clear that there's more to Turan's condition
0:26:49 > 0:26:51than just his obvious injuries.
0:26:53 > 0:26:55Calm down. Calm down.
0:26:58 > 0:27:02- I don't know what to do. I don't know.- What to do about what?
0:27:03 > 0:27:07- I'm on about the drink. - Right.- For sure.- Right.
0:27:09 > 0:27:12So you think you've got a drink problem, then?
0:27:12 > 0:27:14I've got a drink problem.
0:27:15 > 0:27:17Right.
0:27:17 > 0:27:22Turan has been on and off bed nine in A&E for an hour and a half.
0:27:22 > 0:27:26How long it going to take? Half an hour, 20 minutes?
0:27:26 > 0:27:30- Five minutes?- It depends how busy the radiography department is.
0:27:30 > 0:27:34- Just hang on here for now.- I just need to take fresh air again.- Right.
0:27:34 > 0:27:39Doctors still need to find out the extent of Turan's injuries.
0:27:39 > 0:27:41But staff are concerned he's so worked up
0:27:41 > 0:27:43he'll leave before having crucial tests.
0:27:52 > 0:27:54This is resus,
0:27:54 > 0:27:58a unit in A&E where seriously ill and injured patients receive
0:27:58 > 0:28:00potentially life-saving treatment.
0:28:00 > 0:28:02Can I have a look in your eyes?
0:28:03 > 0:28:06The beds here see around 1,000 patients a year.
0:28:06 > 0:28:09In the resus area, we have six beds, four designated for adults,
0:28:09 > 0:28:11two designated for kids.
0:28:11 > 0:28:13It's obviously really important
0:28:13 > 0:28:15that we always have a few that are empty all the time
0:28:15 > 0:28:17because you never know what's going to come through the door
0:28:17 > 0:28:21so the turnover and the turnaround for them can be quite quick.
0:28:23 > 0:28:27This is resus bed two, prepped and ready for its next critical patient.
0:28:30 > 0:28:32Another emergency.
0:28:32 > 0:28:34An unidentified and unconscious woman
0:28:34 > 0:28:37has been rushed in by ambulance.
0:28:37 > 0:28:39She has been drinking.
0:28:39 > 0:28:42Staff Nurse Griffiths is trying to bring her round.
0:28:42 > 0:28:46Hello! Hello!
0:28:47 > 0:28:49Open your eyes for me.
0:28:52 > 0:28:55What background have we got? Does anyone know the story?
0:28:55 > 0:28:59Found collapsed in the street. No identification.
0:28:59 > 0:29:01- That's about the story we've got. - OK.
0:29:01 > 0:29:05Dr Attwood is the consultant in charge of the shift.
0:29:05 > 0:29:09Hello, my love. Hiya. Hello there.
0:29:09 > 0:29:11Hello.
0:29:11 > 0:29:14Oh, she's vomiting, isn't she? Get some bloods off her.
0:29:14 > 0:29:17Get a little bit of fluid up on her, bang a tube in.
0:29:17 > 0:29:21- The main thing is GCS is three, basically.- Fine, OK.
0:29:21 > 0:29:24The GCS tells the team how conscious a patient is.
0:29:24 > 0:29:29This unidentified woman has the lowest possible score of just three.
0:29:31 > 0:29:34'My main concern with this lady is that she's fallen,
0:29:34 > 0:29:37'known to have alcohol excess and that she might have a head injury'
0:29:37 > 0:29:41which is what has caused her coma scale to be quite markedly reduced.
0:29:41 > 0:29:46She's not responding really to anything, apart from a bit of pain.
0:29:46 > 0:29:50The unidentified woman may have a bleed on the brain.
0:29:51 > 0:29:54Dr Attwood calls in anaesthetist Dr Cummings.
0:29:54 > 0:29:58- Is she? OK.- Hello.
0:29:58 > 0:30:02Hello. Can you open your eyes? Open your eyes for me.
0:30:06 > 0:30:10An anaesthetic is given to help stabilise the patient.
0:30:11 > 0:30:14The paramedic who brought the woman in returns.
0:30:14 > 0:30:18The team are hoping he'll be able to provide more information about her injuries.
0:30:18 > 0:30:19- Hello.- Hi. Yeah.
0:30:19 > 0:30:21So, tell me what you found when you were with her.
0:30:21 > 0:30:23- Right, this lady was... - Where was she?
0:30:23 > 0:30:26- ..was seen staggering along...- Give us two seconds, give us two minutes.
0:30:26 > 0:30:28If you hover.
0:30:28 > 0:30:31Just hang fire and I can get a bit of history off you if that's OK?
0:30:31 > 0:30:34- Yeah, not a problem. - Just get the tube in.
0:30:34 > 0:30:36OK, so tell me what happened.
0:30:36 > 0:30:38So, this lady was seen staggering along the street.
0:30:38 > 0:30:40- Do you know who she is? Any details?- We don't.
0:30:40 > 0:30:42We don't know anything about this lady at all.
0:30:42 > 0:30:45Some workmen found her about an hour later,
0:30:45 > 0:30:47slumped in someone's front garden.
0:30:47 > 0:30:51She had three full bottles and a three-quarter one that she's drank.
0:30:51 > 0:30:55- Of what?- Of pinot "giroir." - OK, so wine.- Good quality wine.
0:30:55 > 0:30:57- Grigio.- Grigio! Grigio.
0:30:57 > 0:31:00- Nah, it's giroir. - SHE LAUGHS
0:31:00 > 0:31:02- Any obvious signs of any injuries anywhere at all?- No.
0:31:02 > 0:31:05- No injuries at all. She was quite hypothermic.- She was cold.
0:31:05 > 0:31:09- She was 34/4. I got her cannulated. - That's great. Thank you for that.
0:31:09 > 0:31:13Cheers. BP is cooking up there at 57 on the screen.
0:31:13 > 0:31:16If the unidentified woman has a bleed on the brain,
0:31:16 > 0:31:18her condition could quickly deteriorate.
0:31:18 > 0:31:22Dr Attwood calls for a CT scan.
0:31:22 > 0:31:25Hi. It's Laura in A&E. Hiya.
0:31:25 > 0:31:28We just had a sort of trauma lady come in who we're going to do a CT
0:31:28 > 0:31:32head and neck on if that's OK? We don't have a name. Female unknown.
0:31:32 > 0:31:33Are you free for us to come round
0:31:33 > 0:31:35to check she's not got a bleed in her head?
0:31:35 > 0:31:38Can we put her up the list a little bit further?
0:31:38 > 0:31:41Dr Attwood manages to push her patient up the queue
0:31:41 > 0:31:43but there's still a wait.
0:31:43 > 0:31:47Right. OK, no problem. Cheers, bye. 20 minutes, he said.
0:31:49 > 0:31:51The results of a CT scan could provide some of the answers
0:31:51 > 0:31:54they're looking for, especially as they have
0:31:54 > 0:31:56no other information about their patient.
0:31:56 > 0:31:59We don't really get a lot of unknown patients.
0:31:59 > 0:32:02It's usually fairly easy to solve if you have
0:32:02 > 0:32:04a wallet or some belongings we can find.
0:32:04 > 0:32:07If not, we have to get the police involved to then do some checks.
0:32:07 > 0:32:10It's pretty rough, isn't it? You get used to it.
0:32:10 > 0:32:13It's really sad and it's not that we don't care,
0:32:13 > 0:32:15it's just that we have a job to do.
0:32:15 > 0:32:19We've immobilised her neck just in case she's fallen and hit her head.
0:32:19 > 0:32:23Temperature of 34.9. Otherwise reasonably stable.
0:32:24 > 0:32:28It's 58 minutes since resus bed nine received its latest patient.
0:32:28 > 0:32:31Now they'll both make the short journey to the CT scan.
0:32:45 > 0:32:49There's no obvious head injury on the CT that I can see.
0:32:52 > 0:32:55The scan has shown no signs of a bleed on the brain.
0:32:55 > 0:32:59It means the unidentified patient can be moved to the critical care
0:32:59 > 0:33:03unit for observation, parting company with resus bed nine.
0:33:03 > 0:33:07She's gone to ITU where they will look after her now
0:33:07 > 0:33:10and we may or may not hear what happens to her, to be honest.
0:33:10 > 0:33:14Often they go to ITU and that's the last we hear and we carry on.
0:33:14 > 0:33:16It's how it works in A&E.
0:33:16 > 0:33:19You see people for a very short space of time
0:33:19 > 0:33:24and then they leave and that's it and you see the next person.
0:33:24 > 0:33:27I don't know what's going to come back in onto that next bed.
0:33:27 > 0:33:30Somebody's little kid might be just playing on it next
0:33:30 > 0:33:32and they don't know what's just happened on that bed.
0:33:32 > 0:33:34It happens a lot.
0:33:42 > 0:33:44The Queen Elizabeth Hospital in Birmingham.
0:33:44 > 0:33:46In day surgery,
0:33:46 > 0:33:50bed 32 has taken 67-year-old Stephen for his angiogram.
0:33:51 > 0:33:55He needs an operation on his legs to help him walk unaided.
0:33:57 > 0:33:59The angiogram will determine if his heart
0:33:59 > 0:34:02is strong enough to cope with the surgery.
0:34:04 > 0:34:08Around 1,000 angiograms a year are carried out here.
0:34:08 > 0:34:12Consultant Cardiologist Professor Townend is doing Stephen's.
0:34:12 > 0:34:15We're just going to do an angiogram so we're going to put
0:34:15 > 0:34:19a little bit of local anaesthetic in a tube in his right wrist
0:34:19 > 0:34:21and then through that tube, once it's in place,
0:34:21 > 0:34:23we'll pass the other tube that goes up the arm
0:34:23 > 0:34:26to the heart and we can take the pictures.
0:34:28 > 0:34:31Steve, that medication is just going in now,
0:34:31 > 0:34:32that will help relax you, OK?
0:34:37 > 0:34:39Is that all right?
0:34:42 > 0:34:45Just take a big breath in for me, sir, and hold it.
0:34:45 > 0:34:50Stephen's wife Patricia is waiting in another part of the hospital.
0:34:51 > 0:34:55If he can get better and be mobile,
0:34:55 > 0:34:58he will be so much happier in himself.
0:34:58 > 0:35:01He can't cope at the moment with no mobility.
0:35:01 > 0:35:05That's a struggle. Yeah.
0:35:05 > 0:35:08Everything crossed. Absolutely everything crossed.
0:35:11 > 0:35:14Bed 32 and Stephen are back.
0:35:20 > 0:35:23- Hello.- Hi. Thank you.
0:35:23 > 0:35:26- You look quite sprightly. - I am.
0:35:26 > 0:35:28- You had a nice little power nap, didn't you?- I did, yeah.
0:35:28 > 0:35:31- Went out like a light. - Did you?- Yeah.- He was tired.
0:35:31 > 0:35:34He was up early this morning.
0:35:34 > 0:35:36- Hello. - Hello. How are you doing?
0:35:36 > 0:35:38- Fine, thank you. - How is that wrist?
0:35:38 > 0:35:41Professor Townend, who carried out the angiogram,
0:35:41 > 0:35:43has Stephen's results.
0:35:44 > 0:35:46The important bit is what we found today,
0:35:46 > 0:35:49which is that your arteries are minimally irregular.
0:35:49 > 0:35:52There's some slight bits of furring up
0:35:52 > 0:35:55but nothing that's causing any blockage to blood flow.
0:35:55 > 0:35:57- Nothing that would cause chest pain. - No.
0:35:57 > 0:36:00- Wow.- Really good news. - Excellent.
0:36:00 > 0:36:03- So he's got his MOT, then? - Pretty much.
0:36:03 > 0:36:06- Good for another 5,000 miles. - Excellent. Excellent.
0:36:06 > 0:36:11As long as I've got two legs to do the 5,000 miles on.
0:36:11 > 0:36:14- Thank you very much indeed. - Thank you.- Thank you.
0:36:15 > 0:36:18It's the news they've been hoping for.
0:36:18 > 0:36:20Stephen's leg operation can go ahead.
0:36:23 > 0:36:27- No need to get upset about it. I don't get upset.- I know you don't.
0:36:28 > 0:36:30Don't worry about it.
0:36:35 > 0:36:37Once I knew that the heart problem
0:36:37 > 0:36:40wasn't going to stop the leg operation,
0:36:40 > 0:36:42it was just a massive relief,
0:36:42 > 0:36:46but you don't actually realise how tense you are
0:36:46 > 0:36:51until you get that person saying it's OK.
0:36:51 > 0:36:55A few tears of happiness, yes.
0:36:55 > 0:36:58'And now we can look forward to the next one.'
0:36:58 > 0:37:00- Cheers.- Bye.
0:37:00 > 0:37:03Thank you very much for your help. Thank you. Thank you very much.
0:37:04 > 0:37:07Bed 32's work for today is over.
0:37:07 > 0:37:11Stephen and Patricia head back to their small farm in the hope
0:37:11 > 0:37:13he'll soon be able to walk again.
0:37:24 > 0:37:27Back in Newcastle's Royal Victoria Infirmary
0:37:27 > 0:37:30it's a rare sight in A&E - bed nine is empty.
0:37:32 > 0:37:34Its patient, Turan, keeps wandering around,
0:37:34 > 0:37:37but this time, he's off to X-ray.
0:37:37 > 0:37:40He came to A&E with head and neck pains.
0:37:40 > 0:37:41He's been desperate to leave
0:37:41 > 0:37:44but has been persuaded to stay for crucial tests.
0:37:44 > 0:37:47What you need to do is to stand up, I need you to come up
0:37:47 > 0:37:51to this board here and just press your chest up against it, OK? Right.
0:37:51 > 0:37:56- Take a big breath in now. - Turan was assaulted two days ago.
0:37:56 > 0:38:01He has been breathless and extremely anxious since he arrived in A&E.
0:38:01 > 0:38:04The tests will help doctors determine if he
0:38:04 > 0:38:06- has any serious internal injuries. - That's great.
0:38:06 > 0:38:08That's us all done now, OK?
0:38:10 > 0:38:14Next is a CT scan to check for head and neck injuries.
0:38:15 > 0:38:18Have you ever had a CT scan before?
0:38:18 > 0:38:21So, this big bit here will tilt.
0:38:21 > 0:38:22Stay very still, OK?
0:38:25 > 0:38:28- He's already moving.- Is he?
0:38:28 > 0:38:32You need to keep really still there, OK?
0:38:32 > 0:38:37- If Turan moves too much, the scan won't work.- Just keep...
0:38:37 > 0:38:41No, we're going to have to strap him down. He's moving from side to side.
0:38:47 > 0:38:49All right, finished.
0:38:49 > 0:38:53It's been nearly two hours since Turan was allocated a bed in A&E.
0:38:55 > 0:38:58Staff are concerned that the breathlessness and agitation
0:38:58 > 0:39:01Turan has been experiencing might be partly down to the
0:39:01 > 0:39:04drinking problems he disclosed earlier.
0:39:06 > 0:39:10When you spoke to us before, you stated that you're having
0:39:10 > 0:39:16- a bit of problem with your drinking, aren't you?- Drink. Yeah.- Right.
0:39:16 > 0:39:19I'm going to give you a leaflet here. All right?
0:39:19 > 0:39:22- On there is the number.- Uh-huh. - All right?
0:39:22 > 0:39:25These people here, right?
0:39:25 > 0:39:30- That number here, they will direct you to the right place.- OK.- But...
0:39:30 > 0:39:33- So I can go now? - No, no. Not yet.
0:39:33 > 0:39:35You're still going to see the doctor.
0:39:35 > 0:39:37- All I'm saying is that is for when you leave.- OK.
0:39:37 > 0:39:40But you've got to want to help yourself.
0:39:40 > 0:39:43The first stage of wanting to help yourself is to ring these people up,
0:39:43 > 0:39:46all right, and they will look after you.
0:39:46 > 0:39:50- OK?- OK.- So ring them up.
0:39:50 > 0:39:53A lot of our patients are alcohol-related injuries, illnesses.
0:39:53 > 0:39:56And I think some people's tolerance to alcohol is different to others.
0:39:56 > 0:39:59I think some people can go out and have a drink once a week
0:39:59 > 0:40:02and that's fine and then that's all they have
0:40:02 > 0:40:05or some people drink every night but they're not alcoholic
0:40:05 > 0:40:09and then some people become alcoholics, for whatever reason.
0:40:09 > 0:40:11And it is really sad.
0:40:11 > 0:40:15And I think we're quite good at not judging them because there's
0:40:15 > 0:40:17normally a reason behind them,
0:40:17 > 0:40:20behind the reason that they are alcoholic.
0:40:20 > 0:40:25Or they've just been unlucky. And that's not for us to judge.
0:40:25 > 0:40:29We're just here to look after them when they are sick.
0:40:29 > 0:40:32Turan is still waiting for the results of his x-rays.
0:40:32 > 0:40:33He's desperate to go home.
0:40:33 > 0:40:36I'm going to ask for my results.
0:40:36 > 0:40:39If I want to discharge instead, what do I need to do?
0:40:39 > 0:40:43- Why do you want to discharge yourself?- I want to go home.
0:40:43 > 0:40:46If he doesn't stay, all the tests will be of no use.
0:40:51 > 0:40:55Have a seat. So, we've done the scan of your face and your head.
0:40:55 > 0:40:59I'm waiting for the consultant radiologist to report it.
0:40:59 > 0:41:02That will be another 40 minutes at least.
0:41:02 > 0:41:04I cannot wait another 40 minutes.
0:41:04 > 0:41:07- Well, you'll have to sign yourself out if that's what you wish.- Yeah.
0:41:07 > 0:41:10But you won't get your results back either.
0:41:10 > 0:41:13And do you understand if you sign yourself out then you endorse
0:41:13 > 0:41:16- full responsibility of what could happen?- Yeah, yeah.
0:41:16 > 0:41:20And that includes collapsing, passing out and any brain injury.
0:41:20 > 0:41:24- Yeah, I know. - And even death.- Yeah.
0:41:24 > 0:41:27Despite the doctor's efforts, Turan decides to leave.
0:41:27 > 0:41:29You'd rather not? Fine. I'll get you...
0:41:29 > 0:41:31MUFFLED SPEECH
0:41:33 > 0:41:37I got a panic attack, I cannot wait. I cannot wait.
0:41:37 > 0:41:39I just want to walk a little bit.
0:41:39 > 0:41:43- He discharges himself from A&E. - You can leave.
0:41:43 > 0:41:46- OK.- I mean, he's walked out.
0:41:46 > 0:41:48He could well come back into us with severe headaches
0:41:48 > 0:41:51so therefore we'll start the whole procedure again and have to
0:41:51 > 0:41:55go through scans and everything else, fresh doctor, notes from...
0:41:55 > 0:41:59If he comes back tomorrow, notes from today, another doctor is taken
0:41:59 > 0:42:02up with the same patient that could have been sorted out by four o'clock
0:42:02 > 0:42:07today and then there's not a doctor tied up tomorrow with him again.
0:42:07 > 0:42:10- What are you doing? - I'm going away.- Why?
0:42:11 > 0:42:15- Panicking, shaking. - For the sake of half an hour.
0:42:15 > 0:42:18I cannot stay. I cannot stay.
0:42:18 > 0:42:21- For the sake of half an hour. - Thank you very much for your help.
0:42:21 > 0:42:23You take care, all right?
0:42:23 > 0:42:26- You should stay. - I know I should, but...
0:42:29 > 0:42:34It's time for bed nine to move on and get ready for its next patient.
0:42:41 > 0:42:43Our hospital beds have given us
0:42:43 > 0:42:46intimate access into the work of the NHS.
0:42:48 > 0:42:50Liz stayed three nights on the hospital ward
0:42:50 > 0:42:53and hasn't been back since.
0:42:53 > 0:42:56She's just been on a Caribbean cruise with her husband Max.
0:42:58 > 0:43:01Stephen is still waiting for a day for his leg operation but is
0:43:01 > 0:43:03hopeful he'll be back on his feet soon.
0:43:05 > 0:43:08And after wearing a cast on his arm for over a month,
0:43:08 > 0:43:12Daniel is looking forward to playing sport again very soon.
0:43:13 > 0:43:15The beds are now back on their wards,
0:43:15 > 0:43:18ready and waiting for the next round of patients.