Episode 9

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0:00:02 > 0:00:06Hand versus chainsaw! That looks painful.

0:00:06 > 0:00:09Our hospitals are taking care of more patients than ever.

0:00:12 > 0:00:15- Are you all right?- Ohhh... - Oh, poppet!

0:00:15 > 0:00:18With medical teams under constant pressure...

0:00:18 > 0:00:20Can Dr Pizzi come to Resus, please?

0:00:20 > 0:00:24When you're as poorly as this little one, you really need treatment 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 > 0:00:34But there is a crucial member of the team we sometimes forget.

0:00:34 > 0:00:36I've never 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 > 0:00:45AAAAGH!

0:00:45 > 0:00:50In our lifetime, we 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.

0:00:53 > 0:00:57In this series, our cameras have been given unprecedented access

0:00:57 > 0:01:01to beds in four very different hospitals across the country.

0:01:01 > 0:01:03It's life.

0:01:03 > 0:01:06Life and death and...everything that goes in between.

0:01:06 > 0:01:09We'll see the world through the beds' eyes...

0:01:09 > 0:01:10Hello, my love. Hiya!

0:01:10 > 0:01:13..as they share the most challenging...

0:01:13 > 0:01:15I don't know what to do.

0:01:15 > 0:01:16I don't know!

0:01:16 > 0:01:19- ..most intimate... - I'm OK.

0:01:20 > 0:01:22I know...

0:01:22 > 0:01:25- ..and most rewarding... - Happy birthday!

0:01:25 > 0:01:27Isn't hospital 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 > 0:01:40This is The Secret Life Of The Hospital Bed.

0:01:46 > 0:01:51Falls account for 40% of all ambulance callouts for older people.

0:01:53 > 0:01:57In Newcastle, some of the most serious casualties come here,

0:01:57 > 0:01:59to the Royal Victoria Infirmary.

0:01:59 > 0:02:02Hi, it's Sally. We've had a pre-alert, an 11-year-old male.

0:02:02 > 0:02:04Like most A&E departments,

0:02:04 > 0:02:08the RVI has a special area for patients with life-threatening

0:02:08 > 0:02:10illnesses or injuries.

0:02:11 > 0:02:13It's called Resus.

0:02:13 > 0:02:16Hello, there. Hello?

0:02:17 > 0:02:20These Resus beds meet patients at a critical point,

0:02:20 > 0:02:23often when their lives hang in the balance.

0:02:24 > 0:02:29This is Resus Bed 2 waiting for its next patient.

0:02:30 > 0:02:3464-year-old painter and decorator Howard

0:02:34 > 0:02:37has fallen from a ladder, hitting his head on a kitchen unit.

0:02:37 > 0:02:40- We've done the bloods.- Fine.

0:02:40 > 0:02:43He's got morphine and bits of bobs prescribed for him.

0:02:43 > 0:02:45I'll do a thorough exam and I'll let you know.

0:02:45 > 0:02:47Good man. Thank you very much.

0:02:47 > 0:02:51Registrar Dr Vorges has been working in A&E for 11 years.

0:02:54 > 0:02:58- Any pain in the tummy? - Haven't got any pain.

0:02:58 > 0:03:01Only when I'm sitting up.

0:03:01 > 0:03:03Any pain when I press here?

0:03:03 > 0:03:05- INDISTINCT - OK.

0:03:05 > 0:03:09- Is it OK if I just put you back down?- Howard?

0:03:09 > 0:03:11- Where does that hurt?- Back.

0:03:11 > 0:03:14On the back. Sorry for that.

0:03:14 > 0:03:17Howard has had several brain aneurysms.

0:03:17 > 0:03:21These are bulges in his blood vessel walls which can burst.

0:03:21 > 0:03:24So you can remember the whole thing?

0:03:24 > 0:03:26I was painting above a kitchen unit

0:03:26 > 0:03:29and I was on steps. And I started leaning over...

0:03:29 > 0:03:32- And I came up suddenly and... - You slipped.

0:03:32 > 0:03:35I banged my head and fell on the floor.

0:03:35 > 0:03:37When did you lose consciousness?

0:03:37 > 0:03:40Was it immediately after the fall or later?

0:03:40 > 0:03:45I slipped and fell and banged my head and hit the floor,

0:03:45 > 0:03:48so from banging my head on the floor, that was it.

0:03:52 > 0:03:53As he's hit his head,

0:03:53 > 0:03:57Howard is at high risk of having a bleed on the brain.

0:03:57 > 0:04:01His only daughter Jane rushed him to hospital.

0:04:03 > 0:04:08Does it feel big? Oh, yeah! Yeah, that's quite big.

0:04:09 > 0:04:12- It's your head you're worried about, really, isn't it?- Yeah.

0:04:12 > 0:04:14I've had four major strokes.

0:04:14 > 0:04:17- Aneurysm...- Three aneurysms.

0:04:17 > 0:04:19Epilepsy.

0:04:19 > 0:04:22Some people can have a seizure in the first few weeks after

0:04:22 > 0:04:28a stroke, and a small number, like Howard, go on to develop epilepsy.

0:04:30 > 0:04:35When he had his first fit, it was horrible. We didn't...

0:04:35 > 0:04:38None of us had any experience of seeing a fit,

0:04:38 > 0:04:40so we didn't know it was a fit.

0:04:40 > 0:04:42So we just thought, what's happening to him?

0:04:42 > 0:04:45He was thrashing about and pouring with blood out of his mouth,

0:04:45 > 0:04:48because he'd bit his tongue.

0:04:48 > 0:04:50Once he had more, it was just a case of making sure

0:04:50 > 0:04:54he didn't hurt himself, making sure he didn't fall.

0:04:54 > 0:04:56So who found you?

0:04:56 > 0:05:00Student nurse Belle gets Howard ready for his brain scan.

0:05:00 > 0:05:02He banged his head today, so...

0:05:02 > 0:05:06He's a little bit worried about it, but we're going to get a scan.

0:05:08 > 0:05:10I worked in this hospital, painting this hospital,

0:05:10 > 0:05:12for two or three year.

0:05:12 > 0:05:14- Oh, did you? That's lovely! - HOWARD CHUCKLES

0:05:14 > 0:05:17- How long ago?- When it was built.

0:05:17 > 0:05:20- When the new-build was done, wasn't it?- New-build.

0:05:22 > 0:05:24Three year ago.

0:05:24 > 0:05:26No, more than that.

0:05:26 > 0:05:28I'll put this on you...

0:05:28 > 0:05:30This is called the Microson machine.

0:05:30 > 0:05:35It's like a video scan, just to have a look in your tummy.

0:05:35 > 0:05:38Just to see there isn't anything wrong.

0:05:38 > 0:05:41What previous tummy surgeries have you had?

0:05:41 > 0:05:43Have you had any tummy surgeries?

0:05:43 > 0:05:47- I had cancer.- You had cancer for...? - Bowel cancer.- Bowel cancer.

0:05:48 > 0:05:52The operation to remove cancer from Howard's bowel three years ago

0:05:52 > 0:05:54was successful.

0:05:56 > 0:06:03So why I'm doing this scan...is to see if there's any...blood in...

0:06:03 > 0:06:06- the tummy.- Oh.

0:06:06 > 0:06:11Last year, he also broke three ribs after a fall at work.

0:06:11 > 0:06:12I think when he broke his ribs,

0:06:12 > 0:06:14that was the thing that bothered him the most.

0:06:14 > 0:06:17He was so immobile, couldn't do anything.

0:06:17 > 0:06:19And, like, for his age, he's...

0:06:19 > 0:06:23He's 64 and all he's had wrong with him...he's so active.

0:06:23 > 0:06:25Like, he looks after my kids every weekend,

0:06:25 > 0:06:28a four-year-old and a one-year-old, running him ragged.

0:06:28 > 0:06:31The ultrasound shows no bleeding in his stomach.

0:06:35 > 0:06:40Resus Bed 2 takes Howard to his CT scan.

0:06:40 > 0:06:42The next hour is critical.

0:06:42 > 0:06:45The results will reveal if Howard's fall has led to

0:06:45 > 0:06:47a potentially fatal bleed on his brain.

0:06:54 > 0:06:58Queens Hospital in Romford has one of the largest maternity units

0:06:58 > 0:07:00in the country.

0:07:00 > 0:07:04The beds here see over 9,000 births a year.

0:07:04 > 0:07:08Each one can take as little as two hours or more than three days.

0:07:15 > 0:07:19Maternity Bed 7 is with 29-year-old Hayley.

0:07:19 > 0:07:22She's determined to give birth naturally after having an

0:07:22 > 0:07:25emergency Caesarean with their first child.

0:07:25 > 0:07:27When is she coming out?

0:07:27 > 0:07:29She'll come. She will.

0:07:31 > 0:07:33- She has to!- It doesn't feel like she's coming out.

0:07:33 > 0:07:36She will be, trust me on that. Yeah, she is.

0:07:36 > 0:07:40She isn't coming out right this moment, but...she will. OK?

0:07:40 > 0:07:45Midwife Marn is with Hayley, who's been in labour for an hour.

0:07:45 > 0:07:47Hayley has had one baby before.

0:07:47 > 0:07:51That baby was delivered by Caesarean section ten years ago.

0:07:51 > 0:07:56So today she is aiming to have a vaginal delivery. That's her plan.

0:07:56 > 0:08:02I never wanted a Caesarean last time. I had no choice.

0:08:02 > 0:08:06But then I was kind of glad because he was 10lbs 4oz, so...

0:08:06 > 0:08:10Pushing that out, I imagine would be a bit of a...

0:08:10 > 0:08:12A lot worse than what you are now!

0:08:12 > 0:08:15She's really positive and focused for this today.

0:08:15 > 0:08:17She seems to have a really good attitude.

0:08:17 > 0:08:21She's been given the painkiller pethidine and is using gas and air

0:08:21 > 0:08:23to get her through.

0:08:23 > 0:08:27I feel like a Picasso painting. I feel like my mouth's going...

0:08:27 > 0:08:30It's not, I promise!

0:08:30 > 0:08:32I will tell you if your mouth starts to do that!

0:08:34 > 0:08:37She's coping marvellously.

0:08:37 > 0:08:39The breathing technique is fabulous with the gas and air.

0:08:39 > 0:08:41So...

0:08:41 > 0:08:44She's got herself into her own little zone now.

0:08:47 > 0:08:48Smile again. Yeah.

0:08:48 > 0:08:51'She's full of laughter despite, you know,

0:08:51 > 0:08:54'she's in pain. She's got this theory'

0:08:54 > 0:08:57about laughter is the best medicine, which is definitely working for her.

0:08:57 > 0:08:59LAUGHTER

0:09:00 > 0:09:04Hayley and her partner Aaron have been together for 18 months.

0:09:04 > 0:09:09I've got a child from a previous relationship and so has she.

0:09:09 > 0:09:10We've got a boy and a girl, so...

0:09:10 > 0:09:13This is our first one together, yeah.

0:09:17 > 0:09:20Because Hayley's first child was a Caesarean,

0:09:20 > 0:09:22she faces extra risks with a natural birth.

0:09:26 > 0:09:28'There's always a risk of scar rupture.'

0:09:28 > 0:09:30- I'm not doing well. - You are!- You are!

0:09:30 > 0:09:33'You're observing for signs of scar rupture all the time,

0:09:33 > 0:09:36'and Mum's aware of that as well.'

0:09:36 > 0:09:38She will tell us if she feels any tenderness or pain or

0:09:38 > 0:09:40anything like that.

0:09:40 > 0:09:42- Contraction!- OK. Breathe.

0:09:42 > 0:09:44'With the contractions,

0:09:44 > 0:09:47'sometimes it's hard to tell if it's the scar or not.'

0:09:47 > 0:09:49Obviously always, you will escalate.

0:09:49 > 0:09:52You will let your senior colleague know and have

0:09:52 > 0:09:55someone come to review her and the situation.

0:09:55 > 0:09:57All right, all right.

0:09:57 > 0:09:59SHE MOANS LOUDLY

0:09:59 > 0:10:03I know you're feeling that pressure. Baby's head is very low, OK?

0:10:03 > 0:10:05- I can't do this.- You can.

0:10:05 > 0:10:09- You can.- I can't. I really can't do this.

0:10:12 > 0:10:14My scar hurts...

0:10:14 > 0:10:17Do you feel like there's a very strong pressure?

0:10:17 > 0:10:18HAYLEY MOANS

0:10:18 > 0:10:23If Hayley's Caesarean scar ruptures, her baby's life could be in danger.

0:10:23 > 0:10:25It's my scar, my scar.

0:10:25 > 0:10:28Bear with me, right?

0:10:28 > 0:10:32Maternity Bed 7 is on standby to take Hayley to theatre

0:10:32 > 0:10:34if she needs an emergency Caesarean.

0:10:35 > 0:10:38I can't cope any more. I really, really can't.

0:10:38 > 0:10:40I promise you, you are coping.

0:10:46 > 0:10:49The Great North Children's Hospital in Newcastle

0:10:49 > 0:10:52is the only dedicated paediatric centre in the UK

0:10:52 > 0:10:57to have been rated as "outstanding" by the Care Quality Commission.

0:10:57 > 0:10:59Hello, Paeds A&E?

0:10:59 > 0:11:02Their paediatric A&E department has nine beds,

0:11:02 > 0:11:05seeing almost 500 patients a week.

0:11:05 > 0:11:09These beds are permanently on call to deal with emergencies,

0:11:09 > 0:11:14from split heads, to allergies, to broken bones.

0:11:14 > 0:11:17Fractured...

0:11:19 > 0:11:23Paediatric Bed 27 is prepped and ready for its next patient.

0:11:25 > 0:11:32Working alongside the beds today are Nurse Practitioner Aynsley

0:11:32 > 0:11:34and Nurse Carmichael.

0:11:34 > 0:11:36It's a very scary environment for a child to come in

0:11:36 > 0:11:41and if you want them to be compliant and also be happy and not scared,

0:11:41 > 0:11:45the best way is to try and make them as comfortable as possible.

0:11:45 > 0:11:48It's just before lunchtime.

0:11:48 > 0:11:53Bed 27 is about to meet two-year-old Mason and his mum Jessica.

0:11:53 > 0:11:56Whee!

0:11:56 > 0:11:57Wow! Where's that toy that we bought?

0:11:57 > 0:12:01Mason was admitted to hospital recently with facial cellulitis.

0:12:01 > 0:12:03There are signs it's come back.

0:12:03 > 0:12:06Let's have a little look at your face, sweetheart.

0:12:06 > 0:12:09- It's a toy? - What? Yeah.

0:12:09 > 0:12:12Cellulitis is a potentially dangerous infection

0:12:12 > 0:12:14of the deeper layers of the skin.

0:12:14 > 0:12:16I've just got a little pen,

0:12:16 > 0:12:18so I'm just going to draw some little pointers

0:12:18 > 0:12:19to where it is at the minute.

0:12:19 > 0:12:21Mason, sweetheart, do you think you can sit still?

0:12:21 > 0:12:23I'm going to draw on your face!

0:12:24 > 0:12:26All the way back here.

0:12:26 > 0:12:30Staff Nurse Carmichael draws a line around the affected area.

0:12:30 > 0:12:34I don't think it really goes past your nose, then, does it?

0:12:34 > 0:12:39Symptoms of cellulitis include red, hot and swollen skin.

0:12:39 > 0:12:40If the redness crosses the line,

0:12:40 > 0:12:43it's a sign the infection is spreading.

0:12:43 > 0:12:46Obviously, if you notice it getting any bigger, just let us know.

0:12:46 > 0:12:50But I will keep checking on him, obviously, and that's just...

0:12:50 > 0:12:54Cellulitis can spread quickly and, if untreated,

0:12:54 > 0:12:55can be life-threatening.

0:12:57 > 0:12:59If Mason's cellulitis is severe,

0:12:59 > 0:13:02he'll be given antibiotics intravenously.

0:13:02 > 0:13:05Right, Mason, can I put some magic cream on your hands?

0:13:05 > 0:13:08Then you can keep playing, can't you?

0:13:08 > 0:13:10- Ooh!- Ooh!

0:13:10 > 0:13:13This cream will numb Mason's hand in preparation.

0:13:13 > 0:13:17I'll put this big sticker on your hand.

0:13:17 > 0:13:18MASON WHIMPERS

0:13:18 > 0:13:21Oh, no, it's not sore, is it?

0:13:21 > 0:13:26- Does it look a bit funny? - It hurt.- It hurts?

0:13:26 > 0:13:28It's just a bit cold, sweetheart.

0:13:29 > 0:13:31I will pop this round, we'll hide it, shall we?

0:13:31 > 0:13:33We'll hide it.

0:13:33 > 0:13:35Approximately 30% of all patients

0:13:35 > 0:13:39who are treated for facial cellulitis see the infection return.

0:13:41 > 0:13:43The first time he had it, he had quite, like,

0:13:43 > 0:13:46quite a build-up, where his eye was all red.

0:13:46 > 0:13:50And then last night, he was fine, there was no build-up,

0:13:50 > 0:13:53and has just happened when he woke up.

0:13:53 > 0:13:55The right side of his face swelled up and

0:13:55 > 0:13:58he couldn't open his eye in the morning.

0:13:58 > 0:14:02There we go. That's it. Well done.

0:14:02 > 0:14:04Say bye.

0:14:04 > 0:14:05- Bye!- Good boy.

0:14:07 > 0:14:11Nurse Practitioner Aynsley comes to examine Mason.

0:14:11 > 0:14:13- Hello!- Hiya.

0:14:13 > 0:14:15What's been happening?

0:14:15 > 0:14:19Last night, he was totally fine, nothing wrong. Then he just woke up.

0:14:19 > 0:14:22- Woke up like this. - Like, yeah, exactly like this.

0:14:22 > 0:14:26Hey, little mister! Can I come and have a little look at your face?

0:14:26 > 0:14:30Can we have a little look? Hiya!

0:14:30 > 0:14:31Shall we have a little look

0:14:31 > 0:14:34underneath that lovely bottle of milk of yours?

0:14:38 > 0:14:42- Let's have a little look. Can you lift your head up for me?- Do that.

0:14:42 > 0:14:44Oh, well done!

0:14:44 > 0:14:48What a good boy. Right, I'm quick to have a little feel of your neck, while you're like that.

0:14:48 > 0:14:49HE BELCHES

0:14:49 > 0:14:52Oh! That was a good one!

0:14:52 > 0:14:54I'll go and speak to the paediatric team,

0:14:54 > 0:14:56let them know it's quite swollen and red at the moment.

0:14:56 > 0:15:00I'll ask them to come and have a little look.

0:15:00 > 0:15:02Depending on the blood results,

0:15:02 > 0:15:05they may think that he's OK just to start oral antibiotics

0:15:05 > 0:15:08and hopefully we've caught it early enough.

0:15:09 > 0:15:13Untreated cellulitis can also lead to blood poisoning.

0:15:16 > 0:15:18We'll let you finish your milk in peace!

0:15:18 > 0:15:19As I say, I'll go and speak to the team,

0:15:19 > 0:15:22then I'll come back and let you know what's happening.

0:15:22 > 0:15:26- OK.- OK? See you soon! Do I get a wave?

0:15:26 > 0:15:28- Say bye.- Half a wave.

0:15:28 > 0:15:30LAUGHTER

0:15:30 > 0:15:32- Cool.- Thank you.

0:15:38 > 0:15:40Ooh...

0:15:43 > 0:15:45SHE LAUGHS

0:15:45 > 0:15:47It can be quite severe, so it can spread,

0:15:47 > 0:15:49it can spread to the eye area,

0:15:49 > 0:15:51it could spread into the lymph glands,

0:15:51 > 0:15:55and it can particularly become quite serious quite quickly.

0:16:00 > 0:16:03Mason will get a blood test which will determine the severity

0:16:03 > 0:16:06of the infection that he's got at present

0:16:06 > 0:16:08and we will determine from there

0:16:08 > 0:16:10whether he needs oral antibiotics

0:16:10 > 0:16:12or intravenous antibiotics.

0:16:14 > 0:16:17- Hi! Is your name Mason? - Hi, Mason, we're back!

0:16:17 > 0:16:20Sister Jackson arrives to help take Mason's blood.

0:16:22 > 0:16:23Hello!

0:16:24 > 0:16:27Aww, it's a sad face now.

0:16:27 > 0:16:29We're going to take them off.

0:16:29 > 0:16:33- Shall we take your boxing gloves off?- Shall we?

0:16:34 > 0:16:37The anaesthetic cream on his hands should stop the needles

0:16:37 > 0:16:38causing any pain.

0:16:38 > 0:16:42Will you just kind of give him a little bit of support, Mum,

0:16:42 > 0:16:44and then we'll get this done as quick as we can?

0:16:50 > 0:16:53You can read a book if you want, with Mummy.

0:16:53 > 0:16:55- Look, look at Mummy. - MASON CRIES

0:16:55 > 0:16:57I know, look at Mummy.

0:16:59 > 0:17:01The bloods were very stressful.

0:17:01 > 0:17:03At that age range, they can be quite squirmy.

0:17:03 > 0:17:06Obviously they're scared, they don't know what's happening,

0:17:06 > 0:17:08so sometimes it can be a little bit tricky.

0:17:08 > 0:17:12Ideally, sometimes they're cuddled into Mum, helps a great deal,

0:17:12 > 0:17:15but in the situation he actually sat quite still on the bed,

0:17:15 > 0:17:18so that was good, a big bonus for us.

0:17:18 > 0:17:19Look at Mummy, baby.

0:17:21 > 0:17:24- Look at these teddy bears! - Well done, Mum.

0:17:26 > 0:17:27I was just going to ask.

0:17:27 > 0:17:31- Ooh!- Oh, don't move that one. - Shall we move you a little bit?

0:17:32 > 0:17:36- There you go. - Come here.

0:17:36 > 0:17:38Mason and mum Jessica will have to wait to find out

0:17:38 > 0:17:40how severe the infection is...

0:17:43 > 0:17:46..and if he'll have to be admitted for intravenous antibiotics.

0:17:54 > 0:17:57In Newcastle's Royal Victoria Infirmary,

0:17:57 > 0:17:59it's been a busy shift on the A&E ward.

0:18:02 > 0:18:04One of their most critical patients, Howard,

0:18:04 > 0:18:08arrived on Resus Bed 2 half an hour ago after falling from a ladder.

0:18:10 > 0:18:14Emergency department consultant Dr Voorhees, is taking him for

0:18:14 > 0:18:18a CT scan to check for internal bleeding in the brain and abdomen.

0:18:19 > 0:18:22He's getting scanned almost everything.

0:18:22 > 0:18:24So that contains the head, chest and abdomen.

0:18:26 > 0:18:30He hit his head on the way down, and also on the lower back.

0:18:30 > 0:18:35He does have a large swelling on the back part of his head, so the

0:18:35 > 0:18:40definite concerns are any bleed to the brain or inside the skull.

0:18:50 > 0:18:54- So we are concerned about the back of the head?- Back of the head.

0:18:54 > 0:18:57- Pedicle lumbar junction. - Right, MRI and the...

0:19:03 > 0:19:06Howard has been in hospital before with brain aneurysms.

0:19:10 > 0:19:13His previous history, so when you have an aneurysm,

0:19:13 > 0:19:15so that's the blood vessel is weak,

0:19:15 > 0:19:19that can increase the chance of having a second bleed in the brain.

0:19:26 > 0:19:29Resus Bed 2 takes Howard back to his bay.

0:19:32 > 0:19:36Howard has previously survived cancer and several strokes.

0:19:38 > 0:19:41- Has he had any heart problems?- No.

0:19:41 > 0:19:45- About the only thing he hasn't had. - Any kidney problems?

0:19:45 > 0:19:48He's been unlucky, but he's been lucky as well because, well,

0:19:48 > 0:19:49if he hadn't had the fits,

0:19:49 > 0:19:52they wouldn't have found the aneurysms in his head.

0:19:52 > 0:19:54And if he hadn't have had the strokes,

0:19:54 > 0:19:57which resulted in him having the cholesterol test, they

0:19:57 > 0:20:00wouldn't have found his blood count was low, which found the cancer.

0:20:00 > 0:20:03And the doctor said to him, "If you hadn't had the..."

0:20:03 > 0:20:05If they hadn't have found the cancer when they did,

0:20:05 > 0:20:08it would have been too late, they wouldn't have been able to treat it.

0:20:08 > 0:20:11- This is me most worrying bit. - Hitting his head.- Me head.

0:20:11 > 0:20:13Whenever he hits his head, that's the big worry,

0:20:13 > 0:20:16with him having the aneurysms.

0:20:16 > 0:20:19Got two that were big enough to put a coil in, which is, like,

0:20:19 > 0:20:23- to stop them bursting, I suppose. - I suppose.

0:20:23 > 0:20:26But then one of them was too small to fit the coil in,

0:20:26 > 0:20:29so one of them's just free, sitting there.

0:20:36 > 0:20:39Dr Voorhees is back with an update.

0:20:39 > 0:20:44We have scanned your chest, tummy and pelvis, and the head.

0:20:44 > 0:20:49They will officially report it in, er, probably one hour's time.

0:20:49 > 0:20:53In the meantime, I will probably want to do some X-rays

0:20:53 > 0:20:55because it's quite sore in here, isn't it?

0:20:55 > 0:20:59- Yeah, that's where I banged it. - All right, fine.

0:20:59 > 0:21:02I need to get some X-rays of that hand, OK?

0:21:04 > 0:21:06Howard will stay with Resus Bed 2

0:21:06 > 0:21:09until the trauma team carries out further vital tests.

0:21:17 > 0:21:20Birmingham has the youngest population in Europe,

0:21:20 > 0:21:24with under-25s making up 40% of its residents.

0:21:26 > 0:21:30Caring for the city's young and old is the Queen Elizabeth Hospital.

0:21:31 > 0:21:33Can I borrow your bib tonight, Liz?

0:21:33 > 0:21:37The day surgery unit has more than 80 beds.

0:21:37 > 0:21:40They're with patients during some of the most vulnerable moments

0:21:40 > 0:21:42in their life.

0:21:43 > 0:21:46Right, I need to get mentally prepared for this.

0:21:48 > 0:21:53Day Surgery Bed 41 is waiting for its next patient.

0:21:53 > 0:21:54Hello, Rose, it's C Ward, how are you?

0:21:54 > 0:21:57I'm just checking up on people that you need to sleep

0:21:57 > 0:22:00so that I don't double claim.

0:22:00 > 0:22:0319-year-old Bradley is having a third operation to repair

0:22:03 > 0:22:05a fracture.

0:22:05 > 0:22:09He broke a bone in his wrist two years ago after a fall.

0:22:09 > 0:22:13I was playing football, I just landed on my wrist funny.

0:22:13 > 0:22:16Bradley broke his scaphoid bone, the smallest in the wrist.

0:22:16 > 0:22:19It's a fracture that can prove hard to heal.

0:22:19 > 0:22:23There was a lot of visits here to get my wrist sorted.

0:22:23 > 0:22:25My mum says that I have a...

0:22:25 > 0:22:27I might as well have a loyalty card for the hospital cos I've

0:22:27 > 0:22:30been here so much, and now this is hopefully the last-case

0:22:30 > 0:22:33scenario where they take the bone out completely and put

0:22:33 > 0:22:36a plate over, which should just get rid of the pain.

0:22:38 > 0:22:39- Here we are. - Cheers, thank you.

0:22:43 > 0:22:46Surgeon Mr Tan will carry out the procedure today.

0:22:47 > 0:22:51Repairing such a small bone will involve lengthy surgery.

0:22:51 > 0:22:54Is it under regional or general?

0:22:54 > 0:22:57- I'll actually put you to sleep.- OK.

0:22:57 > 0:22:59- The operation can take up to two hours.- Right.

0:22:59 > 0:23:02When you're getting towards two hours, if you're awake,

0:23:02 > 0:23:04it starts to get a bit uncomfortable,

0:23:04 > 0:23:07so that's probably the default is to put you to sleep.

0:23:07 > 0:23:09We'll give you the block as well,

0:23:09 > 0:23:13- so we'll say that you've got post-op priority.- OK.

0:23:13 > 0:23:16Tell you what, it'd be easier being left-handed.

0:23:18 > 0:23:21- We're going to take that. - OK, cool, all right, thanks.

0:23:22 > 0:23:24Bradley calls his mum to let her know that

0:23:24 > 0:23:26he won't be discharged tonight.

0:23:28 > 0:23:29You all right?

0:23:29 > 0:23:33So they're keeping me overnight because the pain is going to be

0:23:33 > 0:23:36a lot more than it was when I last had my other op, and you know

0:23:36 > 0:23:39how I just was aiming to just go home, they're not going to let that

0:23:39 > 0:23:41happen this time cos of the distance I've got to go.

0:23:41 > 0:23:45I'll ring you once I've woken up. All right, see you later.

0:23:45 > 0:23:48Mum's the only one that I rely on.

0:23:48 > 0:23:50I don't have a dad that's around,

0:23:50 > 0:23:51so she's kind of done everything for me.

0:23:51 > 0:23:54Just letting her know that I've got to stay overnight

0:23:54 > 0:23:55so she hasn't got to travel up tonight.

0:23:55 > 0:23:59Day Surgery Bed 41 takes Bradley to theatre.

0:23:59 > 0:24:02Just want it over and done with, I'm nervous. I hate operations.

0:24:02 > 0:24:05I've never been good with needles or operations.

0:24:05 > 0:24:07You'd think that you'd get used to it after probably, what,

0:24:07 > 0:24:10three or four times, but it never gets any easier.

0:24:10 > 0:24:15I'm having the general so I'll be asleep for the operation

0:24:15 > 0:24:18and, hopefully, I'll just wake up when it's all done.

0:24:18 > 0:24:22Anaesthetist Dr Barrios is aiming for Bradley to wake up pain-free.

0:24:24 > 0:24:26OK, what I'm about to inject might make your arm feel

0:24:26 > 0:24:29a little bit cold and achy.

0:24:29 > 0:24:32So if it gets uncomfortable just let me know and I'll slow down,

0:24:32 > 0:24:33all right?

0:24:40 > 0:24:43I'm going to target the nerves that supply the arm,

0:24:43 > 0:24:47and we're going to target them at the armpit.

0:24:47 > 0:24:51He's using an ultrasound machine to give him greater accuracy as

0:24:51 > 0:24:52he administers a nerve block.

0:24:54 > 0:24:57The next targets are up here at the top of the screen.

0:24:59 > 0:25:01So you can see my block needle there.

0:25:01 > 0:25:06You are blocking the production of painful stimuli from the hand

0:25:06 > 0:25:11and the wrist to the brain, and that's the block done.

0:25:11 > 0:25:15We're going to proceed to theatre and go ahead with the operation,

0:25:15 > 0:25:20so the block needs a good 20 minutes to establish fully.

0:25:21 > 0:25:24Bradley will stay on Bed 41 until the surgery begins.

0:25:34 > 0:25:37Back in Newcastle, at the Great North Children's Hospital,

0:25:37 > 0:25:39Bed 27 is empty.

0:25:44 > 0:25:48Two-year-old Mason prefers the comfort of mum Jessica's knee.

0:25:50 > 0:25:54She's concerned he's had a relapse of facial cellulitis,

0:25:54 > 0:25:57a potentially life-threatening condition.

0:25:57 > 0:26:00Do you think he could have facial cellulitis or...?

0:26:00 > 0:26:01Yeah, quite possibly, yeah.

0:26:01 > 0:26:04I mean, that's probably what it is, it's just a case of,

0:26:04 > 0:26:08erm, ensuring that, you know, we're safe enough just to have the

0:26:08 > 0:26:11oral antibiotics rather than going down the route of the

0:26:11 > 0:26:13IV antibiotics like before.

0:26:16 > 0:26:19You all right? What's that?

0:26:19 > 0:26:24Without antibiotics, cellulitis can lead to serious complications

0:26:24 > 0:26:26such as septicaemia or kidney damage.

0:26:28 > 0:26:31Does that hurt? Don't look at it.

0:26:31 > 0:26:35Mason may need to be admitted overnight for observations.

0:26:35 > 0:26:39We have informed our coordinator to whether he might need admission,

0:26:39 > 0:26:42so that bed needs to be booked quite quickly.

0:26:42 > 0:26:43It can always be cancelled in the future if

0:26:43 > 0:26:45he does go home on the antibiotics,

0:26:45 > 0:26:49but generally we do book the beds sooner rather than later.

0:26:49 > 0:26:52Dr Modneau has come to assess Mason.

0:26:52 > 0:26:54Sorry, I was just going to say he could go for a wander,

0:26:54 > 0:26:56- I think he's getting a bit bored in here.- Ah!

0:26:56 > 0:26:58Going to let the doctor come and see your face,

0:26:58 > 0:26:59then you can go for your walk?

0:26:59 > 0:27:02He's just like, "Nah, I'm outta here!"

0:27:03 > 0:27:04- Sorry.- Two minutes.

0:27:04 > 0:27:06MASON CRIES

0:27:06 > 0:27:11Mason's been with Paediatric Bed 27 in A&E for just over two hours.

0:27:12 > 0:27:16Earlier, a line was drawn around the perimeter of the cellulitis

0:27:16 > 0:27:19to monitor if the infection is spreading.

0:27:19 > 0:27:22No, but is it contagious or not?

0:27:22 > 0:27:24Usually, cellulitis is not infectious unless it's

0:27:24 > 0:27:31something else. Erm, there are no signs that he has the bug elsewhere.

0:27:31 > 0:27:33It looks like it's sort of around the face.

0:27:33 > 0:27:37Erm, so, quite likely it's just in his face.

0:27:37 > 0:27:38It's on the other side this time,

0:27:38 > 0:27:43isn't it, and his left side of the face is actually starting to...

0:27:43 > 0:27:46become red as well. Is that something new or...?

0:27:46 > 0:27:49- That's, that was all today. - That was all today.

0:27:49 > 0:27:54Everything that you're saying now has all just started. Thank you.

0:27:54 > 0:27:59Dr Modneau's examination confirms Mason's infection is getting worse.

0:28:05 > 0:28:09- Are you hiding?- No!

0:28:09 > 0:28:11I can still see you.

0:28:11 > 0:28:13Unfortunately, it's started to spread a bit more,

0:28:13 > 0:28:15he's got a little bit more redness,

0:28:15 > 0:28:19and his left eye is now starting to become a bit more puffy.

0:28:19 > 0:28:22He, erm, is otherwise still quite well in himself, but the doctors are

0:28:22 > 0:28:25concerned regarding the swelling, so he's going to be admitted.

0:28:25 > 0:28:27His blood results will come back OK,

0:28:27 > 0:28:31but there's still the concern of the spreading cellulitis.

0:28:32 > 0:28:36Right, Mum, shall we take him down the bottom there?

0:28:36 > 0:28:39Mason and mum Jessica head to the assessment unit

0:28:39 > 0:28:41for further monitoring.

0:28:46 > 0:28:50Paediatric Bed 27 is cleaned up, ready for the next patient.

0:29:02 > 0:29:04Next door, in the A&E department of

0:29:04 > 0:29:06Newcastle's Royal Victoria Infirmary,

0:29:06 > 0:29:10Resus Bed 2 is with 64-year-old decorator Howard.

0:29:11 > 0:29:13Right, your address is...?

0:29:14 > 0:29:18He's fallen off a ladder at work and banged his head on a work surface.

0:29:19 > 0:29:22Doctors are concerned he may have a bleed on the brain

0:29:22 > 0:29:24and multiple broken bones.

0:29:27 > 0:29:29I think you'd get more than that.

0:29:29 > 0:29:33I've been paying National Insurance 30, 40 year, 50 year.

0:29:33 > 0:29:36I think you get more than your money's worth.

0:29:36 > 0:29:40He's already had a CT scan to check if he has brain damage.

0:29:41 > 0:29:44Hiya, mate, just going through for some X-rays, all right?

0:29:44 > 0:29:48- Just in that room behind me. - Ta-rah.- Bye. Have fun.

0:29:51 > 0:29:52Going to bring this round,

0:29:52 > 0:29:54I need to pop this in behind your back, all right?

0:29:54 > 0:29:57Can you lean forward a little bit for me? That's the one.

0:29:57 > 0:29:59Due to Howard's serious injuries,

0:29:59 > 0:30:03the X-ray of his chest and back are carried out on Resus Bed 2.

0:30:04 > 0:30:08I think this'll be the last one where the doctor's going to

0:30:08 > 0:30:10have a look and see what they think, you know.

0:30:12 > 0:30:16I've been through that much, and, just get up and do it again.

0:30:16 > 0:30:17Daughter Jen is with Howard.

0:30:19 > 0:30:21Everything he's had wrong with him,

0:30:21 > 0:30:25he's never, ever been down about it, he's never been bitter.

0:30:25 > 0:30:29I've seen him cry once when the first thing happened,

0:30:29 > 0:30:32when he had his strokes, because he was apologising, saying sorry,

0:30:32 > 0:30:34that he felt like he'd let we down.

0:30:34 > 0:30:36And obviously we said that he hadn't.

0:30:36 > 0:30:40But since then, he's just got... He's just been so strong.

0:30:42 > 0:30:44An hour after being admitted,

0:30:44 > 0:30:46the results are back from Howard's CT scan.

0:30:49 > 0:30:50It's OK, isn't it?

0:30:50 > 0:30:53Yeah, looks all right, actually. They're certain findings...

0:30:53 > 0:30:57- No problem, thank you.- Thank you.

0:31:01 > 0:31:07He's just been, know what I mean, and, er, done the full scans

0:31:07 > 0:31:10and that, you know, said that everything was all right.

0:31:11 > 0:31:13So, like, with the brain.

0:31:13 > 0:31:17- So it looks as though I'm going to be all right.- Again.

0:31:23 > 0:31:25Doctor Voorhees has news.

0:31:28 > 0:31:33So, looks like, erm, there is a fracture on the back.

0:31:33 > 0:31:36You have got a rib fracture on the left side.

0:31:36 > 0:31:40So that's the reason you're getting admitted to the hospital

0:31:40 > 0:31:42for pain management.

0:31:42 > 0:31:44So he's got a fracture on the back?

0:31:44 > 0:31:48On the back, and then he has got a fracture on the ribs as well. OK?

0:31:48 > 0:31:49So he's just being admitted...

0:31:49 > 0:31:52- For pain management. - Is his elbow OK?- Yeah.

0:31:52 > 0:31:55- So how long will he be in for, do you know?- Maybe two or three days.

0:31:55 > 0:31:58- OK?- That's fine, thank you very much.- Thank you.

0:31:59 > 0:32:01With a broken vertebrae and ribs,

0:32:01 > 0:32:04Howard faces a longer stay in hospital to recover.

0:32:06 > 0:32:08It's a shame, you know,

0:32:08 > 0:32:11but may as well stay in and get it looked at, probably.

0:32:11 > 0:32:14We'll just wrap some bubble wrap round you.

0:32:14 > 0:32:15You'll be fine.

0:32:16 > 0:32:19Resus Bed 2 will stay with him

0:32:19 > 0:32:22until a bed on the ward becomes available.

0:32:22 > 0:32:24- Shorts, T-shirt. - Shorts, T-shirt.- Socks.

0:32:24 > 0:32:26- Huh?- Got your slippers?

0:32:38 > 0:32:40At Queen's Hospital in Romford,

0:32:40 > 0:32:44Maternity Bed 7 is with 29-year-old Hayley.

0:32:44 > 0:32:47She's been in labour for five hours.

0:32:47 > 0:32:49There's still no baby!

0:32:50 > 0:32:54Midwife Marne was concerned Hayley's Caesarean scar

0:32:54 > 0:32:56from her first birth was tearing.

0:32:56 > 0:32:59Oh, it's got to be almost done now.

0:32:59 > 0:33:02She's now in the final stages of labour,

0:33:02 > 0:33:05and the danger has subsided.

0:33:05 > 0:33:08If only it was that easy. Come on.

0:33:08 > 0:33:10I have been where you are.

0:33:10 > 0:33:13Never would I call this easy.

0:33:13 > 0:33:18- She's not letting go, is she? At all.- I had to rearrange the hand.

0:33:18 > 0:33:20If you break his hand, he's won't be able to change the nappies.

0:33:20 > 0:33:22Can I have the gas and air then?

0:33:22 > 0:33:24- Remember that. - HAYLEY PANTS

0:33:24 > 0:33:25The baby's head is just sitting there now.

0:33:25 > 0:33:28- Oh, please, get her out of me. - She's coming.- I can't.

0:33:28 > 0:33:31- You can.- Please.- It's all right.

0:33:31 > 0:33:34- Doing well. - HAYLEY MOANS

0:33:34 > 0:33:36She's only got one way out now.

0:33:41 > 0:33:44I want this baby out.

0:33:44 > 0:33:45I know. I know.

0:33:46 > 0:33:48When they're coming up ready to deliver,

0:33:48 > 0:33:51a lot of women will feel that they can't do it.

0:33:51 > 0:33:54Whereas they thought before, "I'm coping quite well,"

0:33:54 > 0:33:55all of a sudden now she's feeling like,

0:33:55 > 0:33:57"I'm not able to do it,"

0:33:57 > 0:33:59and it's classic for someone to just say,

0:33:59 > 0:34:02"Oh, please, just pull the baby out. Take it away."

0:34:02 > 0:34:03The baby's head is just here.

0:34:03 > 0:34:06- HAYLEY MOANS - You can tell her now, Aaron.

0:34:06 > 0:34:09- And again. - It's right there.- Come on. Push.

0:34:09 > 0:34:13Midwife Yasmin is also helping to deliver Hayley's baby.

0:34:13 > 0:34:16You're doing this. Nice deep breaths.

0:34:16 > 0:34:19You're going to blow the baby out. Working together now, yeah?

0:34:19 > 0:34:22HAYLEY SCREAMS

0:34:24 > 0:34:26BABY CRIES

0:34:26 > 0:34:28We have a baby.

0:34:31 > 0:34:34Hello, cutie pie. Welcome to the world.

0:34:34 > 0:34:37Hayley and Aaron's daughter is born naturally,

0:34:37 > 0:34:38just as they wanted.

0:34:39 > 0:34:41She is gorgeous.

0:34:41 > 0:34:44- Look at you!- Beautiful!

0:34:44 > 0:34:47They've already chosen a name - Ella-Louise.

0:34:47 > 0:34:49Well done, Hayley.

0:34:49 > 0:34:53The average baby girl weighs around 7lb, 4oz.

0:34:53 > 0:34:57Ella-Louise is a healthy 9lb and 5oz.

0:34:57 > 0:35:00- Aw. That's so cute.- You can keep her for a little while.

0:35:00 > 0:35:03She's a beauty. Is that a hand-knitted hat?

0:35:03 > 0:35:04I think your sister done this one.

0:35:04 > 0:35:08Yeah, it's gorgeous. What a pretty little thing.

0:35:08 > 0:35:09Oh, hello.

0:35:09 > 0:35:12- It was you, was it? - BABY CRIES, LAUGHTER

0:35:12 > 0:35:15She's like, "Oh, that annoying voice.

0:35:16 > 0:35:18"Put me back!"

0:35:18 > 0:35:20Let's let you sit up a little bit, actually.

0:35:20 > 0:35:23It's nearly an hour since Ella-Louise was born...

0:35:23 > 0:35:25Is it painful?

0:35:25 > 0:35:28..but she's now suffering serious complications.

0:35:30 > 0:35:33Is it stinging or is it your tummy? Are you feeling it contract?

0:35:36 > 0:35:39Hayley still hasn't delivered her placenta.

0:35:39 > 0:35:41Just give it one more go, sweetheart.

0:35:41 > 0:35:44If any part of the placenta remains in the womb,

0:35:44 > 0:35:47there's a risk of haemorrhaging.

0:35:47 > 0:35:49Just keep taking the gas.

0:35:50 > 0:35:53Hayley, see if you can just give us a push.

0:35:53 > 0:35:55- Hayley...- Yeah? - ..push down like you did with baby.

0:35:55 > 0:35:59Push down, yeah? Go on. You can do it.

0:35:59 > 0:36:01And you can't feel it at all?

0:36:01 > 0:36:03If it's not delivered soon,

0:36:03 > 0:36:05the placenta will have to be removed by a surgeon

0:36:05 > 0:36:09under general anaesthetic.

0:36:09 > 0:36:13Cos if it doesn't come, we might have to intervene -

0:36:13 > 0:36:16as in the doctors might need to try and remove it.

0:36:16 > 0:36:18You would need to go to the theatre to have that done.

0:36:18 > 0:36:19- Oh!- I know.

0:36:23 > 0:36:26See if you can give me a push, Hayley.

0:36:26 > 0:36:28I am trying. Ah!

0:36:28 > 0:36:30I know you're trying. I know you are.

0:36:30 > 0:36:31See if you can give me one big push.

0:36:34 > 0:36:36OK. All right.

0:36:36 > 0:36:39We've waited an hour for the placenta to come,

0:36:39 > 0:36:41but cos it's not advancing now,

0:36:41 > 0:36:43we're going to take her into theatre and we're going to try

0:36:43 > 0:36:45to manually remove her placenta.

0:36:45 > 0:36:47Hi, Gladys. It's Nadia from Labour Ward.

0:36:47 > 0:36:51Just to be on the safer side, we don't want to keep it any longer.

0:36:51 > 0:36:55Dad Aaron and baby Ella-Louise stay together

0:36:55 > 0:36:57as Bed 7 takes Hayley to theatre for surgery.

0:37:08 > 0:37:12Ready, steady, slide.

0:37:12 > 0:37:15Birmingham's Queen Elizabeth Hospital.

0:37:15 > 0:37:1919-year-old Bradley has been separated from Day Surgery Bed 41.

0:37:19 > 0:37:22He's been operated on by Mr Tan.

0:37:24 > 0:37:26So, what this operation is now

0:37:26 > 0:37:30is this scaphoid obviously hasn't healed

0:37:30 > 0:37:32and sort of just generating in time,

0:37:32 > 0:37:35so we've taken out the whole of that bone.

0:37:35 > 0:37:39Bradley is having a plate and screws inserted into his wrist

0:37:39 > 0:37:42to replace a broken bone in his hand.

0:37:52 > 0:37:53After three hours in surgery,

0:37:53 > 0:37:57Bradley comes round back on Surgery Day Bed 41.

0:38:00 > 0:38:02The first thing he does is call his mum.

0:38:06 > 0:38:08- I'm alive. - HE CHUCKLES

0:38:08 > 0:38:12I came around about 4:45.

0:38:12 > 0:38:14Apparently, everything went well.

0:38:14 > 0:38:16I've had water. I've literally drank...

0:38:16 > 0:38:18I drank, like, a litre of water already,

0:38:18 > 0:38:22but I need a massive wee and I've got to pee in a bottle.

0:38:22 > 0:38:25I'm in a half cast at the moment. All right, I'll see you later.

0:38:25 > 0:38:27All right. Bye-bye.

0:38:29 > 0:38:33I've got two brothers and a sister. I'm the oldest out of all of them.

0:38:33 > 0:38:36My mum has had to single-handedly look after all four of us

0:38:36 > 0:38:43for the last nine or ten years, so...yeah, stressful.

0:38:45 > 0:38:48Bradley will be in plaster for six to eight weeks

0:38:48 > 0:38:49while he recovers.

0:38:51 > 0:38:54He's transferred to another ward where his pain levels

0:38:54 > 0:38:56will be monitored and treated overnight.

0:38:59 > 0:39:02The shift comes to an end for Day Surgery Bed 41.

0:39:02 > 0:39:05It's prepped and ready for its next patient tomorrow.

0:39:12 > 0:39:14In Romford, at the Queen's Hospital,

0:39:14 > 0:39:19Bed 7 and midwife Yasmin are taking 29-year-old Hayley into theatre.

0:39:23 > 0:39:27She's given birth to a healthy baby girl,

0:39:27 > 0:39:29but she's now suffering serious complications.

0:39:32 > 0:39:34- SHE MOANS - Are you OK?

0:39:34 > 0:39:37- Still in a lot of pain?- Sorry. - That's all right, darling.

0:39:37 > 0:39:40That's fine. You're trying, at least.

0:39:41 > 0:39:45Normally, the placenta is delivered within 60 minutes,

0:39:45 > 0:39:47but two hours after giving birth,

0:39:47 > 0:39:50Hayley's placenta is still attached.

0:39:53 > 0:39:55It needs to be surgically removed.

0:39:55 > 0:39:58If it's not, Hayley could haemorrhage.

0:40:01 > 0:40:03There's a risk of increased bleeding.

0:40:03 > 0:40:05She could have a haemorrhage.

0:40:05 > 0:40:09Also can lead to infection and things like that.

0:40:09 > 0:40:10Right.

0:40:10 > 0:40:13Are you more comfortable at all? There is one more pillow.

0:40:15 > 0:40:18- How about that? - HAYLEY MOANS

0:40:18 > 0:40:20Hayley, I'm just going to quickly go and get your baby

0:40:20 > 0:40:22and put your baby there so I can do the baby checks

0:40:22 > 0:40:25when they're sorting you out, OK? I'll be back very shortly.

0:40:25 > 0:40:30Baby Ella-Louise is brought to theatre to be close to her mum,

0:40:30 > 0:40:32leaving father Aaron alone.

0:40:34 > 0:40:36BABY CRIES

0:40:41 > 0:40:45Hayley is in severe pain and opts to be put under general anaesthetic.

0:40:50 > 0:40:51Um...

0:40:51 > 0:40:56Just as the procedure is about to start, nature intervenes.

0:40:57 > 0:40:59- Fell out.- Oh, did it?

0:40:59 > 0:41:01With all the movement

0:41:01 > 0:41:03and trying to get all the general anaesthetic sorted,

0:41:03 > 0:41:05by the time we actually got it all sorted,

0:41:05 > 0:41:06the placenta literally just delivered.

0:41:06 > 0:41:08Yeah. Which happens.

0:41:08 > 0:41:11Which also happens sometimes as well.

0:41:11 > 0:41:16Maternity Bed 7 takes Hayley back to be reunited with her family.

0:41:18 > 0:41:21Her observations are completely stable now.

0:41:21 > 0:41:24It's just for the general anaesthesia

0:41:24 > 0:41:27to start wearing off a little bit and she'll feel fine.

0:41:30 > 0:41:3424 hours later, and Hayley's son Jamie and Aaron's daughter Macy

0:41:34 > 0:41:37and meeting their new sister.

0:41:37 > 0:41:39Very sweet.

0:41:39 > 0:41:41Tired, but good.

0:41:41 > 0:41:43It was definitely surreal

0:41:43 > 0:41:48and probably not one that I would repeat again.

0:41:48 > 0:41:51Yeah, just can't wait to go home now.

0:41:51 > 0:41:56- You don't want no more, do you? No. - SHE LAUGHS

0:41:56 > 0:41:58And if another one does come and it's a boy,

0:41:58 > 0:42:00then the odds will be even.

0:42:00 > 0:42:04They will be, but there's no more coming.

0:42:04 > 0:42:06- We won't fit in the car.- No.

0:42:14 > 0:42:16Our hospital beds have given us intimate access

0:42:16 > 0:42:18to the work of the NHS.

0:42:20 > 0:42:23Howard was kept in hospital for a week with his broken ribs

0:42:23 > 0:42:25and vertebrae.

0:42:25 > 0:42:28He's already back painting and decorating.

0:42:30 > 0:42:34Young Mason had 24 hours of intravenous antibiotics.

0:42:34 > 0:42:37The swelling on his face has now cleared.

0:42:38 > 0:42:41Four weeks on and Bradley's hand is healing.

0:42:41 > 0:42:44He should soon be able to use it pain-free.

0:42:47 > 0:42:51And baby Ella-Louise is now home with parents Hayley and Aaron.

0:42:54 > 0:42:56The beds are now back on their wards,

0:42:56 > 0:42:58ready and waiting for their next round of patients.