Episode 2 Secret Life of the Hospital Bed


Episode 2

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Hospital beds in the NHS have never been under more pressure...

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It's just unrelenting at the moment.

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..with more patients to care for than ever before,

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and only 150,000 beds to go round.

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It is a fast-paced job. It's a non-stopping conveyor belt.

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In this series,

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we use special cameras on beds in four very different hospitals.

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Comfy bed.

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We see the world through the beds' eyes...

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Left at the lights.

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SHE SOBS ..and share the most challenging...

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SHE SIGHS

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Oh, it's coming again.

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Don't get upset. We'll look after you, OK?

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Are you OK, pet?

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..most intimate...

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That's good.

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..and most rewarding moments of our lives.

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So, so happy.

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Coming up...

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In Newcastle, on A&E bed nine,

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there are fears 79-year-old Maria may have broken her nose.

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-Hi.

-Oh, you've done a good job.

-Isn't it wonderful?

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Like a raccoon.

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-In't it awful?

-It's all right. It'll go. It'll fix.

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On paediatric bed 30,

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eight-year-old Mason needs to undergo a series of tests.

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When I had my seizure,

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I couldn't even remember who me ma was or who me teddies were.

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Basil...

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..and Storm.

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And in Birmingham, on day surgery bed 52, 63-year-old Eddie faces surgery.

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One big snip and you're in then you're out.

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-A what?

-A snip and you're out.

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A snip and you're out!

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Your bed's like an extra member of staff, almost.

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This is The Secret Life Of The Hospital Bed.

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In the heart of Newcastle-Upon-Tyne lies the Royal Victoria Infirmary.

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The hospital's accident and emergency department sees

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more than 2,000 people a week.

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At the minute, there aren't any beds next door.

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There is movement next door and I think there's about 20 beds in the system, so expect movement.

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It's a busy environment, where the needs of patients take priority.

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So it's about patient care, really, as opposed to beds.

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I mean, it's important that we move patients on because we have other patients coming in

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but the actual care here is the most important thing.

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A&E bed nine is prepped, ready for its next patient.

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It's one o'clock and 79-year-old Maria is shown to her bed.

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She's had a bad fall and may have broken her nose.

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-Shall I put that there?

-There aren't many people as short as me.

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Did you tell them where you were when you fell?

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Coming out of a pub.

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-Out of a pub?

-Yes, but I wasn't drinking,

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it was the Chrysanthemum and Dahlia Society.

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Aah, right.

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You haven't been drinking anything?

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No, I don't drink when I'm out.

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Just when you're in?

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On a Saturday night.

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It's the only time I drink.

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Across the UK, one-fifth of all those admitted to A&E

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are 65 or older.

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Maria will be one of up to eight patients

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Nurse Wilson will care for today.

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I have a bad back.

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-That's better, thank you.

-Is that grand?

-Yeah.

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I'll pop the side up.

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-Just for safety.

-I'm not going to fall out.

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You've already had one fall, I'd be mortified if you had another.

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-Can you imagine?

-It looks as if I'm pathetic.

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It's a safety thing. I can put it down if you want.

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Oh, all right. No.

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Go along with what you want.

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She's lovely, dead sweet.

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I used to look after older people when I worked for an agency

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and I worked around lots of different care homes,

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and they're belter craic, always belter craic.

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The best.

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HE LAUGHS

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Maria's injuries will be examined by Dr Minhaz,

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who has been practising medicine for more than five years.

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-Good morning. Sorry, it's good afternoon.

-It's afternoon now.

-Sorry!

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How are you today?

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I'm fine, but a little...er...

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worse for wear.

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What happened?

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I was at the Chrysanthemum and Dahlia Society meeting

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and I was leaving.

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It's in a pub, but I hadn't been drinking.

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And I missed a step and fell flat on my nose.

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I didn't break my glasses, but this is what's happened.

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They wanted me to come last night and I wouldn't.

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What other health issues do you have?

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High blood pressure, problems with my eyes,

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I've got glaucoma beginning to come in this one.

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-OK. And it's on the right side?

-Yes.

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One in ten people of Maria's age develop glaucoma,

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a condition that causes gradual loss of sight and can lead to blindness.

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Dr Minhaz will check that the fall hasn't aggravated her condition

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and also find out if her nose is broken.

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Is it tender when I touch it?

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No, you're very gentle.

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HE CHUCKLES

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When you had this episode, you didn't lose consciousness

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-or anything like that?

-No.

-You didn't vomit after it?

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No, and I wasn't dizzy. No.

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What I'm going to do is I'm going and talk to the maxillary people

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to see whether they want to come and see you,

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do they want to have x-rays done before they see you?

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-So, I'll just go and talk to them and then I'll come back.

-Right. OK.

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Maria will be with A&E bed nine

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until she's received a full diagnosis and treatment.

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Sister Hill is the nurse in charge today.

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She will ensure Maria's stay is a comfortable one

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while she waits for her results.

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-Hello.

-Hi.

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Oh, you have done a good job!

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Isn't it wonderful?

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Like a racoon!

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-In't it awful?

-It's all right. It'll go. It'll fix.

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Do you take warfarin?

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-No.

-No blood thinners?

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-No.

-Want a cup of tea, then?

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Oh, how wonderful.

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-Milk?

-No sugar.

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-Milk, no sugar.

-How kind you are.

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I'll you what, I'd like to go to the loo.

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Howay, then.

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Don't be falling again!

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I've been using those steps to get in.

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Cos I'm only little!

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Come on!

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When is your baby due?

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December.

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-Wonderful.

-A bit longer.

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We'll return to Maria and A&E bed nine later,

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to find out if she has broken her nose.

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The maternity unit at the Queen's Hospital in Romford, Essex,

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is one of the largest in the country

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with 25 beds in specially designed suites.

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Welcome to the world!

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Hello!

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Happy birthday to you!

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Hello, Mummy. You're amazing.

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Every week, it welcomes over 170 newborn babies into the world.

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This is maternity bed seven.

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Its patient, 36-year-old Tori,

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has chosen to have a Caesarean after a traumatic first birth.

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With husband Russ by her side,

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she'll be under the watchful eye of midwife Ingram,

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until it's time to go to surgery.

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-I'm one of the doctors for the day.

-Hiya.

-Hiya.

-Good to meet you.

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What happened the previous time?

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Erm, just failed induction.

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It was three days.

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You had all the tablets?

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Yeah, they did all the pessaries, they tried to break my waters

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but told me my cervix hadn't opened

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so they decided to go for a C-section.

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-Blood pressure was fine throughout the pregnancy?

-Yeah, it was fine.

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-Having a boy or a girl?

-Don't know.

-Don't know.

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-Big surprise, then.

-Yeah.

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-What do you have at home?

-BOTH:

-A little girl.

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You might want a boy or a girl?

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As long as they are healthy, I don't mind.

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Do not many patients keep it a surprise any more?

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-No.

-Really?

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-Very few of them.

-Right, OK.

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The first time we saw the midwife when we had Katie,

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they were surprised we were married.

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Yeah, true.

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More than 2,500 Caesareans

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are performed at this maternity unit every year.

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It's 1pm.

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Tori and Russ have been with bed seven for an hour and a half.

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We met on plentyoffish.com.

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It's strange, because we had both come out of relationships

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where we were both due to get married.

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Yeah, both started getting venues and things like that

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and it all went a bit south and then,

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we got together in November 2011.

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And yeah, when you find the right one, you find the right one.

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Are you making sure I look presentable?

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There's no way of looking presentable on a hospital bed,

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I don't think.

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How dare you!

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I wonder how often they get changed?

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Bearing in mind how many people...

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-What? The actual bed itself?

-Yeah.

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-Or the stuff on it?

-Well, no, just bearing in mind, like...

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How many people have delivered babies on this bed?

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I imagine they are built to last quite a while,

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they're all metal framed.

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Tori was in labour for three days with their first child but this time

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she's decided on a Caesarean

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and is hoping to give birth within an hour.

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The Great North Children's Hospital in Newcastle is one of 14 specialist

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paediatric centres across the UK.

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There are more than 240 beds here

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and bed 30 is home to eight-year-old Mason.

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He was rushed into A&E three days ago with mum Michaela.

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He's now been transferred to the ward

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for further tests and observation.

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Hello, Becky speaking.

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Hello, it's Clem. Paeds coordinator. Oh, hello.

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For the last four years,

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Mason has been treated for benign hyper cranial tension -

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pressure on the brain.

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I've had it since I was four.

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This time, his condition seems much worse.

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It was about ten o'clock in the morning, he started to have a seizure.

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The seizure lasted for about eight minutes.

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It was absolutely terrifying.

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I just froze. I didn't know what to do. His eyes were rolling back,

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he was dead unresponsive and started to forget things after that.

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So it was distressing for him as well,

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because he couldn't remember people in the family,

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he couldn't remember me.

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When I had my seizure, I didn't remember a thing.

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Couldn't even remember who my ma was or who my teddies were.

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Basil and Storm.

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He gets headaches and that's part of his condition, is the headaches,

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but the seizures are new, he's never had a seizure before.

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One in 20 of us will experience a seizure during our lifetime.

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They can be triggered by stress, excitement or a lack of sleep.

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It's Mason's first attack but with continuous pressure on his brain,

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he is a familiar face at this hospital.

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He's been on anaesthetic eight times.

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It's horrendous. He's only eight.

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He's been through a lot more than what adults go through in a lifetime.

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He's had it in the last four years.

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I don't like hospital beds better than my bed,

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because they don't, like, have as much comfy pillows as mine.

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These pillows are like, no fluff.

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There's no fluff.

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Mason might not like bed 30, but he loves the food.

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I've got spaghetti bolognese and roast potatoes and it's really nice.

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It's a lot better than my mum's.

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While Mason has been in hospital, he's undergone a series of tests.

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There's one more left and it could prove crucial.

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I'm actually waiting for a scan for my head.

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We're just waiting for an MRI scan for Mason's head

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to find out if there's anything there that's causing the seizures.

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We don't know if his condition is getting worse

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or if there's something else contributing to it.

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Until we have the MRI, we won't know.

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I'll be more worried than Mason.

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I think Mason takes it in his stride, don't you?

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We'll follow Mason as his MRI scan reveals what's been going

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wrong with his brain.

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Back in Newcastle's Royal Victoria Infirmary,

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bed nine is with 79-year-old Maria, who has a suspected broken nose.

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She is being cared for in A&E by Sister Hill.

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So the doctor has assessed her and given such facial bruising

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and tenderness, the doctor wants to refer her for an X-ray,

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so she's going to go around to the X-ray department,

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they'll take the X-ray views and when she returns,

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we'll have a look at them.

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They come on the system immediately so we'll be able to know if there's

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any fractures, and depending whether there is a fracture will depend on our management plan.

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Maria is worried that her worsening eyesight

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may have caused her fall and could threaten her independence.

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There's a lot I couldn't do if I was blind, so...

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All my hobbies are all looking at things,

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so it would be very debilitating for me.

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I'm worried in case they say, "Don't drive for a bit."

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I'll have to get taxis, because I'm not staying in.

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60% of women over 75 live alone.

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Before Maria is discharged,

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the A&E team must be confident that she can look after herself at home.

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-Hello.

-Hello.

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Hello, I thought I'd come to see you and see what's going on.

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-Not very pretty, is it?

-Oh, you look fine.

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THEY LAUGH

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-Is that a fact?

-So, all of this...

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Has come this morning.

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-Has come this morning.

-It wasn't like that last night.

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If I'd have seen that last night, I think I would've come.

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So, who brought you in this morning?

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I came by taxi.

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And when you go home, is there someone in the house with you?

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No, I live on my own. My husband died four months ago.

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-Sorry to hear that.

-It's all right.

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He had Alzheimer's and it was a blessing that he died,

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because he had been ill ten and a half years.

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-Just a living death.

-You can lose people twice, you know.

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You lose them once with the disease and you lose them again, when you lose them.

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I was pleased for him that he died, because it wasn't him.

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He didn't know me for the last three months.

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He didn't know whether I was his wife,

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his mother or one of the care assistants.

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Awful. I used to sit and cry in the car park.

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But he was a lovely man, he really was.

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Such a shame. He didn't deserve to be like that, but there we are.

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We can't pick and choose, can we?

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-We can't.

-No. Sorry.

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Quite emotional about him.

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-I'll get you a tissue, darling.

-I'm fine. I'm fine.

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Just give me one. I don't want any more. I'm not going to cry again.

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RADIO CALLS

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That was them calling for me.

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I'll leave these with you. All right?

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If you want for anything, press that button.

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The big orange bit in the middle.

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I won't need that, will I?

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-No, but if you want anything, give me a shout.

-Thank you.

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Beds in the hospital essentially see everyone's secrets,

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everyone's tales, and everyone's stories.

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They see everything.

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Nothing gets past the beds.

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Coming up on The Secret Life Of The Hospital Bed...

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In Birmingham, on day surgery bed 52,

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63-year-old Eddie gets ready for a hernia operation.

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Can you pull 'em up?

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Blimey.

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They really are tight.

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I feel like Nora Batty.

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In Newcastle, on paediatric bed 30,

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eight-year-old Mason and his mum Michaela wait for answers.

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Don't know if there's any damage, or if the pressure on it is high.

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Hopefully we'll get that today once we get his MRI.

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And on A&E bed nine, 79-year-old Maria charms the staff.

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In't hospitals wonderful?

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Does it make you feel good that you've done that for me today?

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Back at Queen's Hospital Maternity Unit in Romford, Essex...

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On bed seven is mum-to-be Tori and her husband Russ.

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-Gone quiet.

-Something like that.

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Calm before the storm.

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A difficult first birth two years ago meant Tori had to undergo

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an emergency Caesarean.

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To avoid a repeat this time, she's scheduled an elective C-section.

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I think some people have got a view where it's...

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you know, you're not a real woman unless you've had a natural birth,

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and I just don't believe that, because as far as I'm concerned,

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-surgery is still...

-Traumatic.

-..quite a big deal to go through

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and, you know, I think the most important thing to remember,

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same with the breast-feeding, is that it's what's best for baby.

0:18:520:18:58

There's a bit of pressure on, "Oh, we should have a natural birth,"

0:18:580:19:02

but I think it's one of those things.

0:19:020:19:04

As long as the baby's born and the baby's healthy,

0:19:040:19:06

that's all that matters. If we look back through those pictures again...

0:19:060:19:10

The UK has seen a rise in families with two or more children.

0:19:100:19:14

Big changes are looming for Tori and Russ and they're anxious about

0:19:150:19:18

the impact on their two-year-old daughter, Katie.

0:19:180:19:21

'Hi, Mummy.'

0:19:240:19:27

-Hello, Katie.

-Hi, Katie.

-Are you being a good girl?

0:19:270:19:30

-'Where's Daddy?'

-Hello, Katie. Are you being good girl for Nanny?

0:19:300:19:33

-'Yes.'

-Good.

-All right, well, we'll see you soon.

0:19:330:19:39

'See you soon.'

0:19:390:19:41

-Yeah, with your baby brother or sister.

-'Yeah.'

0:19:410:19:45

Yes, because we're at the hospital.

0:19:450:19:48

-'Yeah.'

-All right, well, we love you.

-Love you.

-'Love you.'

0:19:480:19:52

See you later, baby. Bye.

0:19:520:19:56

That is one of the biggest unknowns we've got,

0:19:590:20:01

how Katie is going to react, because she's been...

0:20:010:20:04

Some mornings she'll stroke Tori's belly and she'll give it a kiss

0:20:040:20:08

and talk to it and other mornings you'd say it

0:20:080:20:10

and she'll go, "No, no!"

0:20:100:20:12

Is it going to be a boy or a girl?

0:20:120:20:14

"No." It was going to be Hulk at one moment, wasn't it?

0:20:140:20:17

It was, yes.

0:20:170:20:18

And what we've been told, the toddler tends to bond to the partner

0:20:190:20:25

a lot more because Mummy's got a baby.

0:20:250:20:28

Become more of a Daddy's girl.

0:20:280:20:29

-You need to become a bit more understanding.

-Yeah.

0:20:290:20:31

-I know it's something you've been a bit worried about, haven't you?

-Yeah.

0:20:310:20:36

It's been emotional.

0:20:380:20:40

Yeah, not wanting Mummy any more would be a bit...

0:20:400:20:42

She'll never not want Mummy.

0:20:420:20:44

-No, I know.

-But, yes, you can understand it.

0:20:440:20:46

It's just that having to share.

0:20:480:20:50

She shares with other kids all right, mostly.

0:20:500:20:53

-Mostly.

-From what I've seen.

0:20:530:20:55

I just hope she's all right.

0:20:560:20:58

-Did you just see that?

-Yeah, I saw that.

0:20:580:21:00

It was like, knock, knock, come out!

0:21:000:21:02

We'll rejoin Tori and Russ later when their slot in the busy

0:21:100:21:13

operating theatre finally arrives.

0:21:130:21:15

Back in Newcastle, at the Great North Children's Hospital,

0:21:260:21:30

eight-year-old Mason is on bed 30.

0:21:300:21:32

He's waiting for the results of an MRI scan with mum Michaela.

0:21:320:21:36

Mason looks better today than what he has the last week.

0:21:370:21:40

I'm feeling as fresh as a dandelion.

0:21:400:21:43

Mason has an existing condition.

0:21:440:21:47

benign hyper cranial tension, which causes pressure to build up in his brain.

0:21:470:21:51

Admitted to hospital following a seizure,

0:21:530:21:55

his parents are worried that his condition is getting worse.

0:21:550:21:59

Don't know if there's any damage on the brain or the pressure is high.

0:21:590:22:04

Hopefully we'll get that today once we get his MRI.

0:22:040:22:07

He looks good to me right now.

0:22:090:22:12

Doctor Ramesh is Mason's consultant.

0:22:120:22:15

He has news about the scan.

0:22:150:22:17

I don't think it's pressure related.

0:22:170:22:20

This is my clinical impression.

0:22:200:22:22

I don't think it was an epileptic seizure.

0:22:220:22:24

We have explored that.

0:22:240:22:27

He's had a scan of his brain and it looks completely normal.

0:22:270:22:30

Doctor Ramesh can find nothing wrong with Mason's brain.

0:22:320:22:36

He has his own explanation for the seizure.

0:22:360:22:39

All through the night, a child who has been poorly,

0:22:390:22:41

who stayed awake and has gone off to bed,

0:22:410:22:43

collapsed and had an attack is because of not enough sleep.

0:22:430:22:48

That's the interpretation I am putting on it now.

0:22:480:22:51

Medicine is not black and white, man.

0:22:510:22:53

Newcastle United colours are black and white.

0:22:530:22:55

But medicine is not like that.

0:22:550:22:57

There are lots of grey areas in medicine.

0:22:570:23:00

Whilst it's a relief to hear that Mason is OK, his parents are still

0:23:010:23:04

worried that they may miss any warning signs in the future.

0:23:040:23:08

Mason doesn't complain and he will still get up and do whatever

0:23:090:23:12

he needs to do, but his dad's like that.

0:23:120:23:15

He's had more accidents than I don't know what.

0:23:150:23:17

She just worries.

0:23:170:23:19

I worry as well, obviously, but if you are saying he's going to be

0:23:190:23:23

fine, I'm happy with that.

0:23:230:23:25

Mason looks well.

0:23:250:23:27

All our assessments are normal.

0:23:270:23:29

I'm suggesting we wait and monitor the situation.

0:23:290:23:34

I'm going to be seeing him in my outpatient clinic

0:23:340:23:36

in another three weeks' time.

0:23:360:23:39

I think Mason would like to go home

0:23:390:23:41

and I'm going to be sending him home today.

0:23:410:23:44

Obviously relieved and hopefully he'll get back to his normal self.

0:23:440:23:48

Hyper mood.

0:23:480:23:50

Your normal daft self.

0:23:500:23:52

Daft self? You're going all shy because you haven't got

0:23:520:23:56

-your hat on now, aren't you?

-It's not, son.

0:23:560:23:59

You've gone all quiet.

0:23:590:24:00

I'm happy about the news. Obviously, it's less worrying.

0:24:010:24:06

We'll just have to take it from there and take him home.

0:24:060:24:09

Observe him and just bring him back if anything else happens.

0:24:090:24:11

Yes, we want to go home now.

0:24:110:24:13

Home, sweet home.

0:24:130:24:14

It's time for Mason to leave.

0:24:160:24:17

After three nights in hospital, he's off home. Bed 30 is free.

0:24:190:24:24

In Birmingham,

0:24:320:24:33

the Queen Elizabeth Hospital's day surgery is the largest in Europe,

0:24:330:24:37

dealing with up to 100 patients every day.

0:24:370:24:39

The beds here work a different shift to most in the NHS.

0:24:420:24:45

They get to rest overnight.

0:24:450:24:47

But between the hours of 8am and 8pm,

0:24:470:24:49

they're hard at work with scheduled procedures.

0:24:490:24:52

This is Bed 52.

0:24:550:24:57

Its next patient is coming in for a hernia operation.

0:24:570:25:00

63-year-old security guard Eddie has brought girlfriend of 11 months,

0:25:030:25:07

Shirley, for support.

0:25:070:25:08

This has been going on for ages now.

0:25:100:25:12

And he's grinned and beared it, as they say.

0:25:120:25:17

And I kept moaning at him about,

0:25:170:25:19

"You've got to go and get it sorted!"

0:25:190:25:21

And here we are.

0:25:210:25:23

It's going to be sorted now.

0:25:230:25:25

It's only a minor operation.

0:25:250:25:27

One big snip, and you're in and you're out.

0:25:280:25:31

-A what?

-A snip, and you're out.

0:25:320:25:34

-A snip and you're out!

-Yeah!

-THEY LAUGH

0:25:340:25:36

We do laugh an awful, awful lot.

0:25:420:25:45

I've never known anything like it.

0:25:470:25:48

And he giggles all the time. He's a real giggler.

0:25:480:25:51

We keep saying to each other,

0:25:510:25:53

"Have we really only been together 11 months?"

0:25:530:25:55

It is a good job, darling, you met me.

0:25:580:26:01

What would you do now?

0:26:010:26:03

I don't know. Probably just be plodding along as it is, you know.

0:26:030:26:06

-Are you a happy bunny?

-I'm very happy.

0:26:060:26:09

-Are you?

-I'm very happy with you, darling.

0:26:090:26:12

Yeah. Always.

0:26:120:26:15

We're like a pair of old shoes!

0:26:150:26:17

We've got lots to look forward to, so we've got to get him mended now,

0:26:170:26:20

so that we can actually do things.

0:26:200:26:23

Together.

0:26:230:26:25

Do you think I can ask them to take some of these off while you're at it?

0:26:250:26:29

-No!

-Just a bit of skin off that.

0:26:290:26:31

Leave them alone.

0:26:310:26:32

-Are you sure?

-They're staying on!

0:26:320:26:34

You can have the inside, but you can't have the outside!

0:26:360:26:38

For most operations,

0:26:420:26:43

patients need to wear special socks to protect against blood clots

0:26:430:26:46

forming in their legs.

0:26:460:26:48

Here you go. Do you want to pop these on to cover your lovely tattoos?

0:26:480:26:52

-He's got fat legs!

-Hey!

0:26:520:26:54

Can you do it yourself?

0:26:540:26:55

At least they're not the horrible white ones they used to use.

0:26:550:26:58

THEY LAUGH

0:27:010:27:03

-Here.

-Can you pull them up?

0:27:030:27:05

Blimey!

0:27:070:27:08

-They really are tight.

-Where have they got to get to?

0:27:080:27:11

-HE LAUGHS

-I feel like Nora Batty!

0:27:110:27:14

Bed 52 has now seen it all.

0:27:180:27:21

Eddie, or is it Nora Batty, is ready for his operation.

0:27:210:27:25

His bed's next job is to carry him more than 250 metres to theatre.

0:27:250:27:30

I think the operation will be fine.

0:27:300:27:31

I think I'm just worried about what he's going to be like afterwards,

0:27:310:27:34

and how he's going to deal with it.

0:27:340:27:37

You've really got to take it easy, OK?

0:27:370:27:39

Yeah, but...

0:27:390:27:41

No buts. You've got to do it.

0:27:410:27:42

But! But! But!

0:27:420:27:44

No buts. You've got to remember you're 63.

0:27:440:27:48

And the surgeon said if he was 85, he wouldn't even do it.

0:27:480:27:51

Bed 52 and Eddie are on the move.

0:27:560:27:58

Say goodbye.

0:28:010:28:02

But first, a quick kiss...

0:28:040:28:06

-Bye, sweetie.

-See you.

0:28:060:28:08

..or two.

0:28:080:28:09

-See you soon, OK.

-See you in a bit.

-All right. See you later.

0:28:090:28:11

Chin up. All right, bye.

0:28:110:28:13

We'll return to them later.

0:28:130:28:15

Back at the A&E Department of Newcastle's Royal Victoria Infirmary.

0:28:250:28:30

An hour after being admitted,

0:28:330:28:35

79-year-old Maria is returning to bed nine.

0:28:350:28:40

My hair's a mess.

0:28:400:28:41

I could have combed it.

0:28:410:28:43

Your face.

0:28:430:28:46

Are we going to tell your daughter?

0:28:460:28:48

-No.

-Sure?

0:28:480:28:50

No, she's teaching.

0:28:500:28:52

I was going to do that this morning and I thought, well,

0:28:520:28:55

she goes to work at seven in the morning.

0:28:550:28:58

Can I swing my legs over here while I drink my tea?

0:28:580:29:01

-Thank you.

-I'll be back in a minute, my love.

0:29:010:29:04

A lot of elderly patients, they don't like to bother people.

0:29:040:29:09

They don't like to feel like they're being a pest or creating

0:29:090:29:14

extra work for you, so they tend to not...

0:29:140:29:17

You've got to often stress it's really not a problem,

0:29:170:29:21

it's, you know, it's part of our job and we're happy to ring.

0:29:210:29:24

That lady has got capacity, she's alert, she's orientated,

0:29:240:29:28

she can make the decision for herself.

0:29:280:29:30

I've offered her several times and she really is adamant that she

0:29:300:29:33

doesn't want to bother her daughter at the moment, so, really,

0:29:330:29:36

as long as we document that, we've got to be satisfied with her wishes.

0:29:360:29:40

I've had my fair share of hospitals and you only come if you have to.

0:29:430:29:48

I don't go to the doctor unnecessarily, either.

0:29:490:29:51

That's the way we were brought up.

0:29:530:29:55

It's not somewhere I want to hang about.

0:29:560:29:58

-Maria?

-Hello.

0:30:040:30:05

-You're going to go round for an X-ray.

-Really?

0:30:050:30:09

Do you want to just go on the bed?

0:30:120:30:14

No! Course not.

0:30:140:30:16

Are you sure?

0:30:160:30:18

-I'm positive.

-OK, wait there, then.

0:30:180:30:21

Maria doesn't want to go on the bed to X-ray, because she's

0:30:230:30:27

so independent, which is brilliant.

0:30:270:30:29

We'll get a porter to take her with a chair.

0:30:290:30:32

I can walk.

0:30:320:30:33

For now, Maria leaves bed nine behind

0:30:370:30:40

as she heads to the X-ray Department.

0:30:400:30:42

Can I get you to have a seat in this chair for me?

0:30:450:30:47

-Do you want my glasses off?

-Yes, please.

0:30:470:30:49

Right, chin right up for me and I'm going to push you forward so your

0:30:520:30:55

chin's going to touch the board. That's it, that's lovely.

0:30:550:30:58

The test will quickly reveal

0:30:580:31:00

the extent of the damage caused to Maria's face.

0:31:000:31:04

It will also show if she's fractured any bones.

0:31:040:31:07

-We'll get you back round, all right?

-Thank you.

-Lift your feet.

0:31:070:31:10

-There you go.

-Thank you.

0:31:100:31:12

Thank you very much.

0:31:130:31:14

Hello again...

0:31:160:31:17

Maria will soon find out just how badly she's damaged her face.

0:31:170:31:21

How many miles do you walk in a day?

0:31:210:31:23

That depends. As little as possible if I can help it.

0:31:230:31:26

Back on the maternity ward of Queen's Hospital in Romford,

0:31:360:31:39

maternity bed seven is with expectant mother Tori

0:31:390:31:42

and her husband Russ.

0:31:420:31:43

A little bit nervous now.

0:31:450:31:48

Following a difficult birth with their first child,

0:31:480:31:50

Tori has opted for an elective Caesarean.

0:31:500:31:53

Moving about a bit. I think they're coming up, they know.

0:31:540:31:59

"No, I'm not ready!"

0:31:590:32:00

In the UK, one in four births are delivered by Caesarean.

0:32:020:32:06

-Ready?

-Hello.

0:32:060:32:08

She's very ready, I think.

0:32:080:32:10

Not many mums wait to find out the sex of their baby,

0:32:100:32:13

-but Tori is one of the few.

-You'll be fine.

0:32:130:32:16

Don't be nervous, you'll be fine.

0:32:240:32:28

Let's go, darling.

0:32:280:32:30

Tori is transferred to the surgery bed.

0:32:300:32:33

She's given an epidural injection to numb the nerves in the lower part

0:32:330:32:36

-of her body.

-Just relax, now.

0:32:360:32:39

Can you feel that, Victoria?

0:32:430:32:45

-You're still smiling, which is good.

-Yes.

0:32:480:32:51

There we go.

0:32:510:32:53

Just 20 minutes later, their baby is born.

0:32:530:32:56

There we go. Lovely. A little girl. It's a little girl.

0:32:570:33:04

It's another daughter.

0:33:040:33:06

-There we go.

-Hello, little lady.

-There we go.

0:33:130:33:20

-Congratulations.

-Thank you.

0:33:200:33:22

I think a lot of people are afraid when they hear that they might have

0:33:270:33:30

to have a C-section, but if you get great staff

0:33:300:33:34

and that nice environment that kind of puts you at ease,

0:33:340:33:39

it's not that bad.

0:33:390:33:41

It's been a little bit easier this time, because it hasn't been days,

0:33:430:33:46

it's just been hours. Even so, it gets to that point when you want to

0:33:460:33:49

get done and dusted and you want to see them.

0:33:490:33:51

It's been nine months cooking.

0:33:510:33:53

You just want them out.

0:33:530:33:54

This morning, I couldn't imagine her

0:33:560:33:58

and now I can't not... imagine her being here.

0:33:580:34:03

The birth went as planned.

0:34:040:34:06

Tori and Russ are now hoping the first meeting with big sister

0:34:060:34:10

-Katie goes as well.

-Hello, Katie.

0:34:100:34:14

Look, a baby.

0:34:140:34:16

Say hello, Lucy.

0:34:160:34:19

It's all lots going on, isn't it?

0:34:190:34:21

It's OK. Look, there's Lucy.

0:34:210:34:24

'Very interesting.

0:34:250:34:27

'New patterns. It'll be the same.'

0:34:270:34:29

It's amazing how much of a spit she is of her older sister, so, yes,

0:34:290:34:33

looking forward to some interesting times ahead.

0:34:330:34:36

Yeah, very excited.

0:34:360:34:38

For bed number seven at the Queen's Maternity Hospital,

0:34:400:34:42

this day is just like any other.

0:34:420:34:45

By 4pm, it's ready and waiting for its next expectant mother.

0:34:460:34:50

Birmingham's Queen Elizabeth Hospital.

0:34:560:35:00

Back in day surgery, Eddie has left bed 52 for the operating table

0:35:000:35:04

to have his hernia sorted.

0:35:040:35:06

It's an operation that new girlfriend Shirley

0:35:070:35:10

hopes will take their relationship to another level.

0:35:100:35:12

There's lots of places I want to take him.

0:35:120:35:15

He's never seen anything in this country.

0:35:150:35:17

He never had a passport.

0:35:170:35:19

We had to go and get a passport.

0:35:190:35:22

I'm really looking forward to him being in good health again now.

0:35:220:35:25

I keep looking at my watch.

0:35:260:35:28

Bed 52 is back.

0:35:400:35:42

Hello, darling.

0:35:420:35:44

Here we go. Safe and sound.

0:35:530:35:56

Bye-bye.

0:35:560:35:57

-You all right, darling?

-Hello, babe.

0:35:580:36:02

-How do you...

-All good in the hood!

0:36:020:36:04

How do you feel?

0:36:040:36:06

Aches a bit, but it's going to at first, isn't it?

0:36:060:36:08

Thank you for being here.

0:36:100:36:11

I wouldn't have been anywhere else.

0:36:110:36:13

I know.

0:36:160:36:17

Yeah.

0:36:190:36:20

Then as we go up, pull yourself up.

0:36:200:36:23

-Yeah, that's great.

-OK?

-Yeah.

0:36:230:36:26

Eddie really wants to leave bed 52.

0:36:260:36:28

But before he can, he's got to eat, drink and go to the toilet,

0:36:280:36:32

so doctors can be sure his body is working again properly.

0:36:320:36:35

'I don't like hospitals. I don't like being in hospitals.

0:36:370:36:40

'The sooner I can get away, I'll feel a lot better then.'

0:36:400:36:43

Me mouth's so dry.

0:36:430:36:45

-Just drink!

-It's dry.

0:36:450:36:47

'I just hope he can actually walk out of here,

0:36:500:36:53

'cos that's what he wants to do.

0:36:530:36:54

'He wants to go home tonight.

0:36:540:36:56

'He's so intent on going home tonight.'

0:36:560:36:59

You just need to eat, and go to the toilet.

0:36:590:37:01

But Eddie's struggling.

0:37:100:37:12

Two hours since his surgery, and he still hasn't managed to pass urine.

0:37:120:37:17

-OK?

-OK.

-We just need to tick that box.

-OK.

-Else I can't discharge you.

0:37:170:37:21

If Eddie doesn't manage to go soon,

0:37:250:37:27

he'll be moved from bed 52

0:37:270:37:29

to a bed on the ward, where he'll have to spend the night.

0:37:290:37:32

'I tried to say to him, before we came in,

0:37:320:37:34

'"Don't get too upset if you have to stay in."

0:37:340:37:37

'I said, "I'll come and get you in the morning."

0:37:370:37:40

'But he's got this thing about hospitals,

0:37:400:37:42

'and he doesn't want to stay in.'

0:37:420:37:43

Although Eddie is getting himself dressed,

0:37:480:37:50

he still hasn't managed to go to the toilet.

0:37:500:37:53

Not got the urge to go to the loo?

0:37:530:37:56

No?

0:37:560:37:58

I can't just force myself to go.

0:37:580:38:01

This closes at eight o'clock.

0:38:010:38:03

They'll have to find you a bed in the ward somewhere.

0:38:030:38:05

-So you've got to try!

-Guess it can't be helped.

0:38:050:38:08

Do you want any more to drink?

0:38:100:38:12

With three hours of drinking water behind him,

0:38:150:38:18

Eddie makes a tentative move to the loo.

0:38:180:38:20

-Do you want me to get out the way?

-Yeah.

0:38:230:38:25

Which way's he got to go? Andy, which way's he got to go?

0:38:280:38:32

Just down there.

0:38:320:38:33

Down there? Go on, then. Off you go.

0:38:330:38:35

-Did you go?

-Yes!

-You've been?

0:38:400:38:42

-Did it. Did it!

-Did it.

0:38:460:38:48

Success at last.

0:38:490:38:51

Bed 52 can finally move on.

0:38:510:38:53

And Eddie and Shirley can head home

0:38:530:38:55

to start making plans for the future.

0:38:550:38:57

-Thanks very much.

-Got your parole.

-Thank you.

0:38:570:39:00

Got your parole. Thanks very much. Thank you.

0:39:000:39:02

Back at Newcastle's Royal Victoria Infirmary,

0:39:210:39:24

79-year-old Maria

0:39:240:39:26

is returning from the X-ray department to bed nine.

0:39:260:39:29

The doctor's waiting for me.

0:39:300:39:32

Hello.

0:39:320:39:33

How about that? Waiting for me.

0:39:330:39:35

Maria already suffers from glaucoma.

0:39:370:39:39

She's worried that her fall may have broken her nose

0:39:400:39:43

and damaged her vision.

0:39:430:39:44

There you go.

0:39:460:39:47

-Thank you very much.

-Just stay in that chair, OK?

0:39:470:39:50

No, I'm getting out.

0:39:500:39:51

Dr Minhaz has his diagnosis.

0:39:510:39:53

So, how are we feeling now?

0:39:530:39:55

-Fine.

-Good.

0:39:560:39:57

Your X-ray came back normal.

0:39:570:39:59

-Good, I'm pleased about that.

-There's no concerns about that.

0:39:590:40:03

This bruising will go away itself.

0:40:030:40:04

What about the bits on my nose?

0:40:040:40:06

The bits on your nose, we just have to keep it clean and dry.

0:40:060:40:09

So I can go home?

0:40:100:40:11

I'm just going to get some bandage done up,

0:40:110:40:14

and then you can go home.

0:40:140:40:15

-Oh.

-OK?

0:40:150:40:17

Isn't hospital wonderful?

0:40:170:40:18

Does it make you feel good that you've done that for me today?

0:40:180:40:22

OK, thank you.

0:40:230:40:25

I'm going home!

0:40:280:40:29

-Are you going home?

-Yes.

0:40:290:40:31

The good news travels fast.

0:40:320:40:34

-Maria.

-Hello.

0:40:340:40:36

-Nothing wrong with me.

-Have you heard the good news?

0:40:360:40:39

-I'm going home.

-Oh, lovely!

0:40:390:40:40

-So, you have got this nasty bruising around your eyes...

-Mm.

0:40:400:40:44

..and do you know what?

0:40:440:40:46

It might even get a bit worse over the next 24 hours.

0:40:460:40:49

Oh, charming.

0:40:490:40:51

You'll get lots of sympathy.

0:40:510:40:52

-Do you think I might?

-I would say! So...

0:40:520:40:55

Before Maria can leave,

0:40:550:40:57

her wounds are cleaned to avoid infection.

0:40:570:41:00

I've always been like that.

0:41:000:41:02

Right, are you ready?

0:41:020:41:03

So when are you going to tell your daughter?

0:41:040:41:06

I'll text her a message.

0:41:060:41:08

-Text?

-Yes.

0:41:080:41:10

And I'll say, "If you've got nothing else to do,

0:41:100:41:14

"call on your way home."

0:41:140:41:16

She's fine.

0:41:160:41:17

She knows what I'm like,

0:41:170:41:19

so hopefully, she'll understand.

0:41:190:41:21

THEY LAUGH

0:41:210:41:23

Cos I'm supposed to be going out to dinner tonight.

0:41:240:41:26

-Where you going?

-Just some friends up the road.

0:41:260:41:29

Well, you can still go.

0:41:290:41:30

-Do you think I could?

-I would.

0:41:300:41:32

Good, thank you for the permission.

0:41:320:41:34

You're welcome. You're not going to be there late, are you?

0:41:340:41:36

No, I could come home early.

0:41:360:41:37

You're probably better off being around people,

0:41:370:41:40

so that they can keep an eye on you.

0:41:400:41:41

Oh, I never thought about it that way.

0:41:410:41:43

Rather than sitting by yourself.

0:41:430:41:45

At least then, we won't be worrying about you so much.

0:41:450:41:47

Oh, right. I'm going out, then.

0:41:470:41:49

You're going out.

0:41:490:41:51

Right.

0:41:530:41:54

We're done.

0:41:560:41:57

Do I not need anything on it?

0:41:570:41:59

Really?

0:41:590:42:00

-You've got a cut here, and a cut here...

-Yeah.

0:42:000:42:03

..and it'll just look like a scab for a little bit.

0:42:030:42:06

-Don't pick it.

-No.

0:42:060:42:08

It's nice to have a patient that's a pleasure to look after.

0:42:110:42:14

Well, I'm not ill, though, am I?

0:42:140:42:16

That's the thing. That's the difference.

0:42:160:42:19

I've kept them busy today.

0:42:190:42:21

You have.

0:42:210:42:22

Just over two hours after arriving,

0:42:230:42:26

Maria's time on bed nine is done.

0:42:260:42:28

Our hospital beds have given us intimate access

0:42:310:42:34

to the work of the NHS.

0:42:340:42:36

After the successful Caesarean,

0:42:380:42:40

baby Lucy is at home and settling into life with big sister, Katie.

0:42:400:42:45

Eddie and Shirley have managed a holiday in Cornwall together, and are planning more trips.

0:42:460:42:51

And Maria's bruising has gone. She's back at her society meetings.

0:42:520:42:56

The beds are now back on their wards,

0:42:580:43:00

ready and waiting for their next round of patients.

0:43:000:43:03

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