Episode 5

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0:00:03 > 0:00:07Hospital beds in the NHS have never been under more pressure...

0:00:07 > 0:00:10It's just...unrelenting at the moment.

0:00:11 > 0:00:17..with more patients to care for than ever before, and only 150,000 beds to go round.

0:00:19 > 0:00:22It is a fast-paced job. It's a nonstop conveyor belt.

0:00:24 > 0:00:29In this series, we use special cameras on beds in four very different hospitals.

0:00:35 > 0:00:36Comfy bed.

0:00:37 > 0:00:40We see the world through the bed's eyes...

0:00:40 > 0:00:42Left at the lights.

0:00:42 > 0:00:45..and share the most challenging...

0:00:46 > 0:00:48Oh, it's coming again.

0:00:48 > 0:00:50Oooh...

0:00:50 > 0:00:53You feel a bit upset. We'll look after you, OK?

0:00:55 > 0:00:57- Are you OK, pet?- ..most intimate...

0:00:57 > 0:00:59Goodnight.

0:00:59 > 0:01:03..and most rewarding moments of our lives.

0:01:03 > 0:01:05So, so happy.

0:01:09 > 0:01:12Coming up...

0:01:12 > 0:01:15in Newcastle, on A&E bed nine,

0:01:15 > 0:01:1738-year-old Joanne is in shock.

0:01:17 > 0:01:21All of a sudden, the ladders just flew off the van

0:01:21 > 0:01:24and just smashed straight into the windscreen in front of us.

0:01:26 > 0:01:28On paediatric bed 27,

0:01:28 > 0:01:33baby Ehtisham has been rushed in with a serious allergic reaction.

0:01:33 > 0:01:35Hello, little man. How are we doing?

0:01:35 > 0:01:37Allergic reactions are potentially quite dangerous,

0:01:37 > 0:01:39because they can affect the upper airway,

0:01:39 > 0:01:41so it is important that we get allergies checked out,

0:01:41 > 0:01:44especially if it's the first time it's been experienced.

0:01:46 > 0:01:49And in Birmingham, on day surgery bed 23,

0:01:49 > 0:01:5273-year old Peter faces a crucial biopsy.

0:01:52 > 0:01:55He's a bit of a joker, it's his way of dealing with things,

0:01:55 > 0:02:00is to make a big joke of it, so that...it gets him through it.

0:02:04 > 0:02:06Your bed's like an extra member of staff, almost.

0:02:06 > 0:02:10This is The Secret Life Of The Hospital Bed.

0:02:19 > 0:02:22Last year, there were more than 22 million visits

0:02:22 > 0:02:25to hospital emergency departments in the UK.

0:02:26 > 0:02:28Having a high-grade fever, and...

0:02:28 > 0:02:32a heart rate of between 120 to 140...

0:02:34 > 0:02:37The Royal Victoria Infirmary in Newcastle

0:02:37 > 0:02:39has more A&E beds than monitoring bays

0:02:39 > 0:02:40or examination rooms.

0:02:43 > 0:02:44Hi, Rosie, it's just Gemma.

0:02:44 > 0:02:46Do we have another cubicle round there?

0:02:47 > 0:02:50These beds are never empty for long.

0:02:50 > 0:02:51At busy times,

0:02:51 > 0:02:54the emergency beds have nowhere to go but the corridors.

0:02:57 > 0:02:58BRAKES CLANK

0:02:59 > 0:03:01With all bays full of patients,

0:03:01 > 0:03:03A&E bed nine is standing by.

0:03:05 > 0:03:06BRAKE CLANKS

0:03:08 > 0:03:10It's just before 4pm,

0:03:10 > 0:03:11and today,

0:03:11 > 0:03:1527-year-old Sister Hill is in charge of the department's workflow.

0:03:16 > 0:03:18In the last hour,

0:03:18 > 0:03:22I've had about 20 patients booked in to the emergency department,

0:03:22 > 0:03:24so we've had an increased volume,

0:03:24 > 0:03:26so we could call that a surge.

0:03:27 > 0:03:28We don't get any more staff,

0:03:28 > 0:03:30it's the same staff we've had all day.

0:03:30 > 0:03:33I've got no beds on the assessment suite at the moment,

0:03:33 > 0:03:35which is our admissions unit.

0:03:36 > 0:03:38The A&E department is already dealing with

0:03:38 > 0:03:40a major motorway pile-up.

0:03:41 > 0:03:44All bays and rooms are occupied by patients.

0:03:44 > 0:03:45PHONE RINGS

0:03:46 > 0:03:47RVI A&E?

0:03:50 > 0:03:53And then, another road traffic accident.

0:03:53 > 0:03:54Hi, you all right?

0:03:56 > 0:03:57OK. Cheers.

0:03:57 > 0:03:59Someone's been driving down the A1

0:03:59 > 0:04:01and a ladder's fallen off the back of a lorry

0:04:01 > 0:04:02and hit a car and bounced off.

0:04:04 > 0:04:07Hiya. Sorry, I'm supposed to have a word with you.

0:04:07 > 0:04:09A car has been hit by a ladder.

0:04:09 > 0:04:11It flew off the roof of a van

0:04:11 > 0:04:14whilst 38-year-old Joanne was travelling at speed.

0:04:15 > 0:04:17Onto that trolley, here, please.

0:04:18 > 0:04:21Joanne is transferred to A&E bed nine.

0:04:21 > 0:04:23You keep your arms nice and still. OK. Thank you.

0:04:23 > 0:04:25On the lift.

0:04:25 > 0:04:27Ready, steady, lift.

0:04:29 > 0:04:33Paramedics who were first on the scene assess the mum of two.

0:04:33 > 0:04:36Remember what I said about your breathing?

0:04:36 > 0:04:38- Yes, sorry.- It's really important.

0:04:39 > 0:04:42She may have damaged her neck and spine.

0:04:42 > 0:04:43As a precaution,

0:04:43 > 0:04:45she's been put in a neck brace.

0:04:45 > 0:04:46Well, you're in the right place, OK?

0:04:46 > 0:04:48- You're well looked after.- Oh!

0:04:49 > 0:04:50Joanne is in shock.

0:04:54 > 0:04:58- Right, we'll get you booked in. - Thank you. Thanks very much indeed.

0:04:58 > 0:05:00I'll go and ring Autoglass for you.

0:05:00 > 0:05:02Emergency care assistant Buxton,

0:05:02 > 0:05:04who was first to attend, is a friend.

0:05:06 > 0:05:09I heard the voice first, and then realised it was Gemma!

0:05:09 > 0:05:10THEY LAUGH

0:05:10 > 0:05:12When we seen the job came up on the screen

0:05:12 > 0:05:15and I didn't realise it was her, until I seen her dad,

0:05:15 > 0:05:19then...I looked at the screen and noticed it was Joanne's name.

0:05:19 > 0:05:21It's nice to know that somebody's there that you know

0:05:21 > 0:05:24when you've had an accident like that.

0:05:27 > 0:05:30Joanne's 66-year-old father Brian was a passenger in the car.

0:05:31 > 0:05:33All of a sudden,

0:05:33 > 0:05:35the ladder's just flew off the van

0:05:35 > 0:05:38and just smashed straight into the windscreen in front of us.

0:05:39 > 0:05:42So obviously, I slammed the brakes on,

0:05:42 > 0:05:44we were just lucky that...

0:05:44 > 0:05:46We're just lucky to be here, put it this way.

0:05:46 > 0:05:48I'm surprised nobody went into the back of the car

0:05:48 > 0:05:50and caused any more accidents.

0:05:51 > 0:05:55Dad Brian was taken straight to see a consultant on arrival.

0:05:56 > 0:06:00Paramedic Colin has news on Joanne's father.

0:06:00 > 0:06:01He's all right, don't worry about it.

0:06:01 > 0:06:03He's fine, he's a big, strong man, isn't he?

0:06:03 > 0:06:06- He is. He is.- He's been very lucky, like yourself.

0:06:06 > 0:06:08- He's been examined in the back of the ambulance.- Right.

0:06:08 > 0:06:10But we'd like an X-ray.

0:06:10 > 0:06:13- Right, no problem.- But he's happy for him to walk around.

0:06:13 > 0:06:15- As long as he's all right. - Don't worry about him.

0:06:15 > 0:06:17You just get, like, shock, don't you?

0:06:17 > 0:06:20Definitely. Natural reaction after what's happened.

0:06:20 > 0:06:21Are you still in pain?

0:06:21 > 0:06:23- Oh, aye.- Out of ten?

0:06:23 > 0:06:25I'd say it's gone up to seven, now.

0:06:25 > 0:06:27- It was seven before.- Was it?

0:06:27 > 0:06:29- I thought it was six.- Eight!

0:06:31 > 0:06:33It could have been a lot worse, but it wasn't.

0:06:33 > 0:06:34SHE SIGHS

0:06:34 > 0:06:36Have I got glass on my face?

0:06:38 > 0:06:40- Got you some tiny cuts. - Tiny shards.

0:06:44 > 0:06:47Joanne's dad, Brian, has also been given a neck brace

0:06:47 > 0:06:48ahead of an X-ray.

0:06:50 > 0:06:51Are you all right?

0:06:51 > 0:06:53- Aye.- Are you sure?

0:06:55 > 0:06:58The accident happened less than an hour ago.

0:06:58 > 0:07:00Brian is also still in shock.

0:07:01 > 0:07:03You're just driving along and...

0:07:03 > 0:07:05Prang.

0:07:05 > 0:07:06But...

0:07:06 > 0:07:08we're here, that's the main thing.

0:07:09 > 0:07:12- Lucky. Lucky to be here.- Yes.

0:07:12 > 0:07:14One guy I must see, he worked for the electric van.

0:07:14 > 0:07:17- We need to find out who he is. - We need to find out who he is.

0:07:17 > 0:07:21There was a gentleman that stopped in an electricity van behind him,

0:07:21 > 0:07:24got Joanne and her dad out, and sat them in their van.

0:07:24 > 0:07:28And unfortunately, I didn't get his name for to thank him very much.

0:07:28 > 0:07:29- Thank you.- Thank you.

0:07:30 > 0:07:32Thank you very much for what you did.

0:07:34 > 0:07:36He... Well, he just...

0:07:37 > 0:07:42He stopped and he helped and he put Joanne in the van,

0:07:42 > 0:07:45and...and just looked after her until everybody came.

0:07:45 > 0:07:47He was really, really good.

0:07:49 > 0:07:51Joanne is shown pictures of her car.

0:07:53 > 0:07:55I can't believe that, looking at the picture,

0:07:55 > 0:07:57I cannot believe that I haven't been decapitated.

0:07:57 > 0:07:59Oh, you're right. That was it,

0:07:59 > 0:08:03it was the ladders underneath the car that had come off.

0:08:05 > 0:08:08We'll return to find out how badly Joanne and Brian have been injured.

0:08:17 > 0:08:19At Birmingham's Queen Elizabeth Hospital,

0:08:19 > 0:08:23the day surgery unit sees a high proportion of elderly patients.

0:08:24 > 0:08:27Bed 43 will be going home in about 20 minutes,

0:08:27 > 0:08:29- if you still need the bed. - Yes, I do, yeah.

0:08:30 > 0:08:32Here, more than 80 beds work hard,

0:08:32 > 0:08:36dealing with up to two patients each day.

0:08:37 > 0:08:42Today, bed 23 is ready for retired builder, 73-year-old Peter.

0:08:42 > 0:08:46He's having a biopsy to see if his prostate cancer has spread to his bladder.

0:08:48 > 0:08:50I'm afraid it'll collapse.

0:08:50 > 0:08:51Must be the hunger.

0:08:51 > 0:08:53Got to be the hunger.

0:08:55 > 0:08:57You've normally had about ten spuds by now, ain't ya?

0:08:57 > 0:08:59Daughter Wendy is with him.

0:08:59 > 0:09:02He's absolutely scared stiff.

0:09:02 > 0:09:05Not that scared. I'm a bit scared, but...

0:09:06 > 0:09:09- ..I'll be just glad to see the end of it.- Yeah.

0:09:10 > 0:09:14Peter's checking into bed 23 at 12 noon,

0:09:14 > 0:09:17with his operation due to take place this afternoon.

0:09:17 > 0:09:19More hungry now than ever.

0:09:19 > 0:09:20I know, I know.

0:09:22 > 0:09:24Under anaesthetic, there's a risk of being sick

0:09:24 > 0:09:26if you've had food or drink,

0:09:26 > 0:09:28so he's been nil by mouth.

0:09:28 > 0:09:32I'm going to be dead with the hunger if they don't hurry up.

0:09:32 > 0:09:36- Smelling that food coming through he was like that, "Oh, God!" - That was a killer.

0:09:36 > 0:09:39- "Oh, my God!" Yeah.- Oh!

0:09:39 > 0:09:40He's got prostate cancer.

0:09:40 > 0:09:43He's got cancer of the bones...

0:09:43 > 0:09:45and now this.

0:09:46 > 0:09:50Worst case scenario is that it's going to be another form of cancer...

0:09:50 > 0:09:52that he's got to deal with.

0:09:52 > 0:09:55- Hello.- How are you? - How are you? I'm fine, how are you?

0:09:55 > 0:09:57I'm all right, thank you.

0:09:57 > 0:09:59- I'm a staff nurse, nice to meet you. - And you.

0:09:59 > 0:10:02Staff nurse Shiwega has worked on the ward for three years.

0:10:02 > 0:10:05What do you prefer to be called?

0:10:05 > 0:10:07- Peter!- Peter or Mr P?- No!

0:10:10 > 0:10:12Can you confirm your date of birth for me, please?

0:10:12 > 0:10:14The 11th of the sixth, '43.

0:10:14 > 0:10:15No, '73!

0:10:15 > 0:10:18Oh, you look young. What's the secret?

0:10:18 > 0:10:1920 Guinness.

0:10:21 > 0:10:23And bacon and cabbage!

0:10:25 > 0:10:28He's a bit of a joker. It's his way of dealing with things,

0:10:28 > 0:10:30is to make a big joke of it, just so that...

0:10:30 > 0:10:33It gets him through it, you know.

0:10:33 > 0:10:36Any anxiety or depression?

0:10:36 > 0:10:38Oh, I get depressed.

0:10:39 > 0:10:44- Are you on medication? - No, all I need is a woman!

0:10:47 > 0:10:49Don't know where to put myself, you know.

0:10:49 > 0:10:51Going to go and sit in the toilet for a minute!

0:10:51 > 0:10:53It's a shame we cannot prescribe that!

0:10:55 > 0:10:58On the NHS, yeah. Here's a woman, come down and see you in a bit.

0:10:58 > 0:11:00Do you smoke or drink alcohol?

0:11:00 > 0:11:02I drink a lot of Guinness.

0:11:02 > 0:11:03But I don't smoke.

0:11:03 > 0:11:05So how many do you have in a week?

0:11:05 > 0:11:08Up to 160.

0:11:08 > 0:11:11Is that... Are you kidding me?

0:11:11 > 0:11:12No.

0:11:12 > 0:11:14It's nice to meet you.

0:11:14 > 0:11:16- Nice to meet you. - Nice to meet you too.

0:11:16 > 0:11:19- If you need anything, just give me a shout, I'm outside.- OK.

0:11:19 > 0:11:20All right, thanks very much.

0:11:20 > 0:11:22Feel free to be at home, feel at home.

0:11:22 > 0:11:25LAUGHTER

0:11:25 > 0:11:27Feel at home, but no Guinness!

0:11:27 > 0:11:29All right. All right, thanks.

0:11:29 > 0:11:31- Bye!- Thank you.- Bye, love.

0:11:34 > 0:11:37He does like the odd Guinness, and that's his way of dealing with...

0:11:37 > 0:11:39the pain and the idea that

0:11:39 > 0:11:45he has got cancer and it might not be something that they can cure.

0:11:46 > 0:11:51His drinking is a big worry, because we don't think his tablets work

0:11:51 > 0:11:55when he drinks to excess.

0:11:57 > 0:12:00But at the end of the day, he's a 73-year-old man.

0:12:01 > 0:12:04I'm not going to stop him. You know, at the end of the day,

0:12:04 > 0:12:05it's what he wants to do.

0:12:05 > 0:12:07And it makes him happy.

0:12:07 > 0:12:10So we just let him carry on with it.

0:12:12 > 0:12:15Later, we'll see how Peter gets on with his important biopsy.

0:12:31 > 0:12:36The Great North Children's Hospital in Newcastle has 246 beds.

0:12:36 > 0:12:38So, what's happened with you, John?

0:12:38 > 0:12:41- I feel off a bike. - You've fallen off your bike?

0:12:42 > 0:12:45They're the smallest beds in the hospital, providing specialist care

0:12:45 > 0:12:46for teenagers and babies,

0:12:46 > 0:12:49and every age group in between.

0:12:50 > 0:12:52- I'm going, don't worry. - Everyone's coming.

0:12:53 > 0:12:59On average, 100 children a day will arrive at the paediatrics emergency department.

0:13:00 > 0:13:03I've just had four referrals from another hospital,

0:13:03 > 0:13:06however, as far as I'm aware, we don't have any beds at the moment,

0:13:06 > 0:13:09but again, we can't refuse the patients if they need to come.

0:13:09 > 0:13:13We'll just find beds for them when they get here.

0:13:13 > 0:13:16Bed 27 is freed up and ready to see its second patient of the day.

0:13:20 > 0:13:24- Thank you.- And if you just pop him on the bed there, if that's OK.

0:13:25 > 0:13:27Six-month-old Ehtisham

0:13:27 > 0:13:31has been rushed in by ambulance after his mum and grandparents

0:13:31 > 0:13:33noticed a serious rash all over his body.

0:13:35 > 0:13:38- Has it carried on getting worse? - Yeah, I think so, yeah.

0:13:38 > 0:13:41- So it hasn't got any better at all. - His back is worse.

0:13:41 > 0:13:43What we'll do, we'll get one of the doctors to come

0:13:43 > 0:13:48- and have a little chat with you and we'll see what we need to do. All right? Lovely.- Thanks.- Thank you.

0:13:54 > 0:13:57Any allergic reactions in babies this young

0:13:57 > 0:13:58can be life-threatening.

0:14:00 > 0:14:02Dr Cummings is quick to attend.

0:14:03 > 0:14:06- Hello, my name's Dan, I'm one of the doctors.- Hi.

0:14:07 > 0:14:09How are we doing?

0:14:09 > 0:14:11I give him pasta, food.

0:14:11 > 0:14:15After five minutes when I see he's got, like, red patches and white patches on his body

0:14:15 > 0:14:17and it starts getting worse and worse.

0:14:17 > 0:14:19His ears and his face and everywhere.

0:14:19 > 0:14:22Um, it's still there.

0:14:22 > 0:14:23It didn't go away.

0:14:25 > 0:14:26- Um, he's quiet eating as well.- OK.

0:14:26 > 0:14:29- Has he ever had anything like this before?- No. First time.

0:14:29 > 0:14:31Hello, little man.

0:14:31 > 0:14:32How are we doing?

0:14:41 > 0:14:43Allergic reactions are potentially quite dangerous,

0:14:43 > 0:14:46cos they can affect the upper airway and have...

0:14:46 > 0:14:48Cause difficulty breathing, so it is important that

0:14:48 > 0:14:53we get allergies checked out, especially if it's the first time it's been experienced.

0:14:53 > 0:14:58Dr Cummings' priority is to make sure Ehtisham's airway is clear.

0:15:02 > 0:15:03OK.

0:15:03 > 0:15:06It's OK. Just checking his tongue's not swollen up.

0:15:06 > 0:15:10- OK.- OK.- OK, is there any allergies in the family?

0:15:10 > 0:15:14- Has anyone got asthma, hay fever? - Yeah, he had eczema, dry skin and stuff like that.

0:15:14 > 0:15:18Yeah, my, um, my husband had eczema as well.

0:15:18 > 0:15:21- And my... he had hay fever all the time as well.- OK.

0:15:21 > 0:15:27Yeah, in the family we have allergic to peanuts, nuts, and stuff like that as well.

0:15:27 > 0:15:28And wheat as well.

0:15:28 > 0:15:30OK, so we're fine.

0:15:30 > 0:15:33'Sashaman's family have got quite a significant allergy history,'

0:15:33 > 0:15:35with a couple of family members having

0:15:35 > 0:15:37very severe allergic reactions,

0:15:37 > 0:15:39which means they've got to carry adrenaline pens.

0:15:39 > 0:15:42I'm really happy that the reaction hasn't been that severe,

0:15:42 > 0:15:44because they're really scary and potentially life-threatening.

0:15:44 > 0:15:49But with such a significant family history, it is important that we consider that there may be

0:15:49 > 0:15:52a more severe reactions down the line.

0:15:52 > 0:15:55- I've got some medicine for him. - Right.

0:15:55 > 0:15:59- To help with his scratching. And it'll help with his rash as well.- OK.

0:15:59 > 0:16:01OK?

0:16:02 > 0:16:05- There.- That's lovely medicine.

0:16:05 > 0:16:08Oh, it feels a bit funny this one, doesn't it?

0:16:09 > 0:16:12There we go. There we go, all done.

0:16:12 > 0:16:14- Thank you.- All done.

0:16:14 > 0:16:15Thank you very much.

0:16:15 > 0:16:18Ehtisham needs to stay on bed 27 for observations.

0:16:18 > 0:16:21The next three hours are critical.

0:16:27 > 0:16:30Newcastle RVI's emergency department is full.

0:16:31 > 0:16:33Seriously injured patients are being treated

0:16:33 > 0:16:35following a motorway accident.

0:16:36 > 0:16:39- So there's a cubicle ready now for her.- Right.

0:16:39 > 0:16:41There's also an additional cubicle if we need it.

0:16:41 > 0:16:47A&E bed nine has been with mum-of-two Joanne for 45 minutes.

0:16:47 > 0:16:50She was brought in by ambulance with her dad, Brian.

0:16:50 > 0:16:52They were involved in an accident on the A1.

0:16:54 > 0:16:57Three-storey ladder, straight through the windscreen.

0:16:57 > 0:16:59Lucky it didn't take her head off.

0:16:59 > 0:17:01And they didn't hit the ground, did they? No.

0:17:01 > 0:17:03- No, they didn't hit the ground. - They came straight off.

0:17:03 > 0:17:06I just remember shouting to Joanne, the ladders!

0:17:06 > 0:17:07And then, bang.

0:17:07 > 0:17:08The windscreen was out.

0:17:08 > 0:17:10Joanne's in shock,

0:17:10 > 0:17:11and has pain in her back.

0:17:12 > 0:17:15She's been given pain relief.

0:17:15 > 0:17:17Dad Brian is taken to X-ray.

0:17:18 > 0:17:21- Now, we need to get around this side.- OK!

0:17:21 > 0:17:22All right, Dad, I'll be here.

0:17:26 > 0:17:28Obviously, I went forward and...

0:17:29 > 0:17:33..hit my head off the windscreen and whatnot, you know, but...

0:17:33 > 0:17:36luckily, I had my arms up when the windscreen came in.

0:17:36 > 0:17:38I'm more worried about my daughter

0:17:38 > 0:17:40than what I am about myself.

0:17:40 > 0:17:42As long as she's all right, that's the main thing.

0:17:42 > 0:17:43That's all I want.

0:17:44 > 0:17:46I suppose that's a...

0:17:46 > 0:17:47It's a dad thing.

0:17:48 > 0:17:52Joanne and her children live around the corner from her mum and dad.

0:17:54 > 0:17:57A&E bed nine is taking her to a monitoring bay.

0:17:59 > 0:18:01The backboard is taken away.

0:18:01 > 0:18:02SHE SIGHS

0:18:03 > 0:18:05And I think I've got blood on my new top!

0:18:05 > 0:18:06SHE CHUCKLES

0:18:06 > 0:18:08I'm pleased I'm off the board now.

0:18:08 > 0:18:11I knew it was precautionary for them to put us on.

0:18:11 > 0:18:13I've definitely done something to the bottom of my back,

0:18:13 > 0:18:15the doctor hasn't examined yet,

0:18:15 > 0:18:17cos they're going to give us some more painkillers.

0:18:17 > 0:18:19I don't know if it's a new injury,

0:18:19 > 0:18:21or if it's pre-existing,

0:18:21 > 0:18:23and it's just exasperated it or not, I don't know.

0:18:26 > 0:18:30A further examination shows that Joanne's existing back complaint

0:18:30 > 0:18:31has been aggravated.

0:18:32 > 0:18:35She's referred for physio, and given pain relief.

0:18:39 > 0:18:41The results of dad Brian's X-rays

0:18:41 > 0:18:44are being assessed by consultant Dr Carol.

0:18:44 > 0:18:47I can't see anything that resembles a break,

0:18:47 > 0:18:51but he does have long-standing degenerative problems

0:18:51 > 0:18:52affecting his neck,

0:18:52 > 0:18:56so that is likely to be aggravated by whatever injury he's had today.

0:18:57 > 0:18:58So I'll go and have a chat with him.

0:18:58 > 0:19:00But there's certainly no new injury

0:19:00 > 0:19:02that we need to do anything active with.

0:19:08 > 0:19:09Yes.

0:19:09 > 0:19:11Mr Short, is that right?

0:19:11 > 0:19:14Hiya, I'm Brian, I'm one of the other doctors.

0:19:14 > 0:19:15Nigel told me about what he found.

0:19:16 > 0:19:19What you will experience is when you've been in bed overnight,

0:19:19 > 0:19:22it's all going to seize up, so when you wake up tomorrow morning,

0:19:22 > 0:19:24it's going to feel... as bad as it gets.

0:19:24 > 0:19:26If you're getting regular painkillers,

0:19:26 > 0:19:28- that should loosen up quite a bit.- Right.

0:19:28 > 0:19:30But then, the following morning,

0:19:30 > 0:19:33you're going to be backwards again and you're going to be stiff again,

0:19:33 > 0:19:35so it's important you keep some painkillers by your bed.

0:19:35 > 0:19:39- Shall I take that for you, then? - Take this off, please. Thank you.

0:19:39 > 0:19:40HE SIGHS

0:19:40 > 0:19:42- That's a relief, just getting that off.- Fine.

0:19:42 > 0:19:45Even now, you're probably going to be fairly seized up...

0:19:45 > 0:19:48- Yeah.- ..having sat in the collar for a little while. OK?

0:19:49 > 0:19:52Joanne's pain relief is taking effect.

0:19:53 > 0:19:56Dad Brian joins her alongside bed nine, back in the corridor.

0:19:59 > 0:20:01Ow. Ow.

0:20:02 > 0:20:04Oh, it's stuck in my head.

0:20:04 > 0:20:05- What, some glass?- Aye.

0:20:05 > 0:20:07Ow. Ow.

0:20:07 > 0:20:08Just a minute.

0:20:08 > 0:20:09SHE GASPS

0:20:11 > 0:20:13Ohh... You got it?

0:20:14 > 0:20:15- SHE GASPS - Ow!

0:20:16 > 0:20:19- Aw!- Aye, there is a chunk of glass.

0:20:19 > 0:20:20Whoa, Jesus!

0:20:20 > 0:20:21SHE SIGHS

0:20:21 > 0:20:23A piece of glass stuck in her head.

0:20:23 > 0:20:24There's some more as well.

0:20:27 > 0:20:31Was, you know, going to hopefully be home in time for a cup of tea

0:20:31 > 0:20:33and watch Corrers, but I don't think that's...

0:20:33 > 0:20:35- Maybe breakfast!- I was going to say,

0:20:35 > 0:20:38I think that may be Coronation Street tomorrow night

0:20:38 > 0:20:39instead of tonight!

0:20:40 > 0:20:42But at least we're smiling.

0:20:42 > 0:20:45Takes more than this for to knock Geordies back!

0:20:45 > 0:20:46HE LAUGHS

0:20:48 > 0:20:51As soon as Joanne's cuts have been cleaned,

0:20:51 > 0:20:52they can both leave A&E

0:20:52 > 0:20:53and bed nine.

0:21:04 > 0:21:08Back at Birmingham Queen Elizabeth Hospital, day surgery bed 23

0:21:08 > 0:21:11has played host to Peter for over two hours now.

0:21:14 > 0:21:16He's been waiting to go to theatre

0:21:16 > 0:21:19to see if he has cancer in his bladder.

0:21:19 > 0:21:22I get frustrated waiting too long.

0:21:26 > 0:21:28- Two o'clock. - It's 2:40pm.

0:21:28 > 0:21:30This is a joke.

0:21:31 > 0:21:33Oh, God.

0:21:33 > 0:21:35Tiring, all this waiting around.

0:21:40 > 0:21:45Another hour passes in bed 23 when Ward Sister Davies comes to speak to

0:21:45 > 0:21:46Peter about his planned operation.

0:21:48 > 0:21:51- Hello there.- Hello.- Hello.

0:21:51 > 0:21:55I'm really sorry but Theatre have just rung me to say that they need

0:21:55 > 0:21:59to cancel you today, they have run out of time to do the operation.

0:22:00 > 0:22:04All right? So what we're proposing to do is send you home today.

0:22:04 > 0:22:06I don't want to go home now.

0:22:07 > 0:22:10He's having you on! Don't worry.

0:22:12 > 0:22:16It is always a last resort when we cancel patients.

0:22:16 > 0:22:18It's a really long day for the patients,

0:22:18 > 0:22:21especially if they've had to be nil by mouth, and, obviously,

0:22:21 > 0:22:25the longer they wait, the more tired, frustrated,

0:22:25 > 0:22:27dehydrated they get.

0:22:28 > 0:22:31Last year, less than 1% of all surgeries

0:22:31 > 0:22:34were cancelled at the last minute.

0:22:34 > 0:22:35That's lovely.

0:22:35 > 0:22:39Unfortunately, Peter is one of the unlucky few.

0:22:39 > 0:22:42I can't make it tomorrow so he's going to have to, unfortunately,

0:22:42 > 0:22:44come in on his own.

0:22:44 > 0:22:45OK? Come on then.

0:22:45 > 0:22:48I can't have another day off work, unfortunately.

0:22:48 > 0:22:51- Thanks very much. Are you on tomorrow?- No.

0:22:51 > 0:22:53Who's he got tomorrow?

0:22:53 > 0:22:55I don't know.

0:22:55 > 0:22:57Your legs are killing you, aren't they?

0:22:57 > 0:23:03A bit disappointed that I waited so long but nothing we can do about it.

0:23:03 > 0:23:07- If there's an emergency, there's an emergency.- Yeah.

0:23:07 > 0:23:10I could have a lot of exercise.

0:23:11 > 0:23:12THEY LAUGH

0:23:14 > 0:23:17So Peter will return tomorrow...

0:23:17 > 0:23:20- See you tomorrow.- See you later.

0:23:22 > 0:23:24..in the hope that his bladder biopsy will finally go ahead.

0:23:34 > 0:23:36Coming up on The Secret Life Of The Hospital Bed...

0:23:38 > 0:23:41..in Birmingham, on day surgery bed 41,

0:23:41 > 0:23:4673-year-old Peter is back to find out if his cancer has spread.

0:23:46 > 0:23:50The advantage of you being asleep is that we can take a biopsy of that red patch,

0:23:50 > 0:23:53if it still looks red, and if it looks suspicious.

0:23:53 > 0:23:54Yeah.

0:23:56 > 0:24:00On paediatric bed 27, baby Ehtisham starts to rally.

0:24:00 > 0:24:02- No, I think he's looking a bit less red.- Yeah, yeah.

0:24:02 > 0:24:04He is, he is, yeah.

0:24:05 > 0:24:07And in Newcastle, on A&E bed nine,

0:24:07 > 0:24:1047-year-old Andy struggles with intense pain.

0:24:10 > 0:24:12Just take your time, sir.

0:24:12 > 0:24:14Aaaargh!

0:24:14 > 0:24:15I've got it.

0:24:24 > 0:24:28In Newcastle, bed 27 on the paediatric A&E ward

0:24:28 > 0:24:33is still with baby Ehtisham, who's been under observation for the last three hours.

0:24:33 > 0:24:34Ooh, OK.

0:24:34 > 0:24:36HE GURGLES

0:24:38 > 0:24:41He was brought to hospital after having an allergic reaction

0:24:41 > 0:24:43to trying pasta for the first time.

0:24:43 > 0:24:46- Oh, you not feeling well? - HE GURGLES

0:24:46 > 0:24:47You not feeling well?

0:24:47 > 0:24:48Oh! Poor baby.

0:24:48 > 0:24:51'I started giving him solid food when he was five-and-a-half months,'

0:24:51 > 0:24:55so it was almost like two, two-and-a-half weeks now.

0:24:55 > 0:24:57I never give him pasta, anything like that before.

0:24:57 > 0:25:01Normally just fruit or carrots, like that.

0:25:01 > 0:25:04So, the first time I try, and then this happen.

0:25:04 > 0:25:05KNOCK ON DOOR

0:25:05 > 0:25:08Ehtisham was given an antihistamine earlier.

0:25:08 > 0:25:11Dr Cummings is back to check his progress.

0:25:11 > 0:25:13The colour is... Yeah, I think it's gone slightly less now.

0:25:13 > 0:25:16- Before, it was quite a lot. - He's looking a little bit better?

0:25:16 > 0:25:17Yeah. Yeah.

0:25:17 > 0:25:19You see from here as well.

0:25:19 > 0:25:20It was very red before.

0:25:20 > 0:25:21Yeah.

0:25:21 > 0:25:24No, I think he's looking a bit less red.

0:25:24 > 0:25:26- Yeah, yeah. He is, yeah. - I'm quite happy with that.

0:25:26 > 0:25:29- So, I think this medication I've given you has worked.- OK.

0:25:29 > 0:25:31And what we'll do is we'll give you

0:25:31 > 0:25:33the same medication we've given him to take home,

0:25:33 > 0:25:35- just as a liquid.- OK.

0:25:35 > 0:25:37'Obviously, the first thing to do is to advise Mum

0:25:37 > 0:25:39'that if he gets any of these symptoms again,'

0:25:39 > 0:25:41she can give him this medication

0:25:41 > 0:25:43and then either to ring her GP, or ourselves

0:25:43 > 0:25:44and we'll happily see him again.

0:25:44 > 0:25:47'In the meantime, we're going to put a referral through

0:25:47 > 0:25:48'to the allergy specialist doctors.'

0:25:48 > 0:25:51It may be that, just because he's had a mild reaction to this,

0:25:51 > 0:25:54we can't avoid the fact that he may also have a more severe reaction

0:25:54 > 0:25:56to something else as well.

0:25:56 > 0:25:59So, it's important to identify those factors so we can minimise the risk.

0:25:59 > 0:26:00Erm...

0:26:00 > 0:26:02we are going home now!

0:26:02 > 0:26:04You are better. The doctor said you can go home.

0:26:04 > 0:26:06And...

0:26:06 > 0:26:09you can have your medicine tomorrow, that's it.

0:26:09 > 0:26:11And then we can be normal...

0:26:11 > 0:26:13After two-and-a-half hours,

0:26:13 > 0:26:16Ehtisham is ready to leave bed 27.

0:26:16 > 0:26:20- OK, give him two doses tomorrow. - Yeah.- Just to make sure.- Yeah.

0:26:20 > 0:26:23And that will be all. It's just as and when.

0:26:23 > 0:26:26But give us a ring if he gets...

0:26:26 > 0:26:28- Thank you.- Bye-bye. - Bye. Thanks very much.

0:26:28 > 0:26:31- Bye.- Bye.- Bye.

0:26:34 > 0:26:39Bed 27 is freed up and ready to receive its next patient.

0:26:45 > 0:26:48Next door, at the Royal Victoria Infirmary,

0:26:48 > 0:26:52the A&E department has 29 extremely busy beds.

0:26:52 > 0:26:56- What have you done to your arm? - Cut it with a chainsaw.

0:26:59 > 0:27:03A&E beds travel the length and breadth of the hospital,

0:27:03 > 0:27:07taking patients for X-rays, scans and to other wards.

0:27:07 > 0:27:12Our hospital beds, they're like little superstars.

0:27:12 > 0:27:16They are part of the team. I think the unsung heroes.

0:27:18 > 0:27:22A&E bed nine is used to supporting patients in pain.

0:27:25 > 0:27:27Oh!

0:27:29 > 0:27:34Andy is 47 years old. He's injured his hip whilst kayaking.

0:27:34 > 0:27:37- Just take your time. - Ah! Oh!- I've got it.

0:27:37 > 0:27:41He's worried he's broken his hip bone.

0:27:41 > 0:27:43HE MOANS

0:27:43 > 0:27:45Can you straighten your legs out, or not?

0:27:46 > 0:27:49An early examination ruled out a hernia,

0:27:49 > 0:27:51but he's still in intense pain.

0:27:53 > 0:27:56Andy was driven to A&E by his wife, Alison.

0:27:56 > 0:27:59- That's got worse, it just gets worse...- Just moving it?

0:27:59 > 0:28:03- I didn't think it was that bad. But now I've had to move...- OK.

0:28:03 > 0:28:06The couple have been married for 12 years.

0:28:07 > 0:28:09Something, I've ripped something.

0:28:09 > 0:28:12Oh, do you know what? I didn't think it was that bad.

0:28:12 > 0:28:16- I really didn't think it was that bad.- You must have done something. - Something is not right.

0:28:16 > 0:28:18It must just be a certain movement.

0:28:20 > 0:28:25Earlier today, Andy was kayaking with friends on the River Tees.

0:28:26 > 0:28:30Went into a wave, turned around, let the wave drag me in backwards.

0:28:30 > 0:28:33This time, as the boat kind of caught me, just went so quickly,

0:28:33 > 0:28:39and I just gripped myself and then it just... As I did that,

0:28:39 > 0:28:40before I went upside down, I just...

0:28:40 > 0:28:44Oh, my God, it just literally... It was a searing pain in here.

0:28:44 > 0:28:47Paddled to the side and I just called one of the guys over.

0:28:47 > 0:28:50Kind of like, "I need to get out of the boat, need to get out of the boat."

0:28:50 > 0:28:54I kind of just got myself out, but I was just hobbling around on the side.

0:28:54 > 0:28:57This isn't Andy's first visit to hospital.

0:28:58 > 0:29:00I've been in 20 times here.

0:29:02 > 0:29:06I cut my finger, it was years ago, cut my finger through there,

0:29:06 > 0:29:08that scar there,

0:29:08 > 0:29:11with a carving knife, trying to cut the hedge when I was in my 20s,

0:29:11 > 0:29:15because I didn't have any money to afford any proper clippers.

0:29:18 > 0:29:19There was another time when I was about 16,

0:29:19 > 0:29:23I was racing with my mate, just as kids racing along on bikes.

0:29:23 > 0:29:26I said, "Why don't we have a race?" So we were doing that.

0:29:26 > 0:29:29Going so quick, and I stopped peddling and my foot slipped and I

0:29:29 > 0:29:30went over the handlebars.

0:29:33 > 0:29:36Andy has been with A&E bed nine for 20 minutes.

0:29:36 > 0:29:38I hope it's not an injection.

0:29:44 > 0:29:46I don't like injections.

0:29:46 > 0:29:47But at this particular point in time,

0:29:47 > 0:29:50if it's a morphine injection, just bring it on.

0:29:50 > 0:29:52Yeah, he's rubbish with needles.

0:29:55 > 0:29:58I was just about to have my sandwich as well, it's put me off.

0:29:58 > 0:30:00SHE LAUGHS

0:30:00 > 0:30:02Just seeing him in pain.

0:30:02 > 0:30:05See, I'm actually not too bad with pain.

0:30:05 > 0:30:08- But that was painful. - It's just the movement, isn't it?

0:30:08 > 0:30:10So obviously something is not right.

0:30:12 > 0:30:15Nurse Boyd comes to administer some pain relief.

0:30:16 > 0:30:19- Hello. What's your name, sir? - Andrew Taylor.

0:30:19 > 0:30:22- Got some more painkillers for you. - Oh, is that oral? Is it an oral one?

0:30:22 > 0:30:25No needles, not from me. I wouldn't be that cruel to you.

0:30:25 > 0:30:28- You just drink that one down. - Oh, right, OK.- All right. Ready? - Mm-hm.

0:30:31 > 0:30:34- Not too bad?- No. It's got an essence of strawberry.

0:30:34 > 0:30:36Some people hate it.

0:30:36 > 0:30:40- Hello, mate.- Hiya.- Going to take you round for an X-ray.- OK.

0:30:42 > 0:30:44A&E bed nine takes Andy to X-ray.

0:30:46 > 0:30:49We'll return later to find out how serious his injuries are.

0:30:57 > 0:31:01In Birmingham, at the Queen Elizabeth Hospital Day Surgery,

0:31:01 > 0:31:0573-year-old Peter has returned for a biopsy on his bladder

0:31:05 > 0:31:07to see if his cancer has spread.

0:31:10 > 0:31:12It should have happened yesterday,

0:31:12 > 0:31:15but the operation was cancelled due to a number of emergencies.

0:31:15 > 0:31:18Hello. I'm back again.

0:31:18 > 0:31:20- How are you?- Not too bad.

0:31:21 > 0:31:26Yesterday, Peter spent four hours waiting on bed 23.

0:31:26 > 0:31:29But he's hoping everything will go smoothly today.

0:31:29 > 0:31:31- Peter Hessian.- That's me.

0:31:31 > 0:31:34- Hello.- I'm Rachel, one of the nurses looking after you.

0:31:34 > 0:31:37How are you doing? Come through.

0:31:37 > 0:31:39OK, just this room.

0:31:39 > 0:31:41He's in bed 41 today

0:31:41 > 0:31:44and Nurse Lloyd is caring for him

0:31:46 > 0:31:49They cancelled at five o'clock. Did you go home and eat plenty?

0:31:49 > 0:31:52I just had a pork pie and a pint of milk.

0:31:52 > 0:31:54Is that all you had?

0:31:54 > 0:31:56I'm not a very big eater.

0:31:56 > 0:31:58It's two days in a row now.

0:31:58 > 0:32:01I had bacon and cabbage.

0:32:01 > 0:32:04- It's good.- Very nice.

0:32:04 > 0:32:07Blood pressure is perfect, 142/83.

0:32:07 > 0:32:11Thank you! That's what I like to hear!

0:32:11 > 0:32:13- Keep me smiling!- We will.

0:32:13 > 0:32:14- All right.- OK.- Yeah.

0:32:16 > 0:32:18You try and make it as nice as possible for them

0:32:18 > 0:32:20cos I know nobody wants to be in hospital.

0:32:20 > 0:32:23A lot of the time, people are nervous, they don't want to be here

0:32:23 > 0:32:27so we try and have a laugh and a joke where possible.

0:32:27 > 0:32:29I gave theatres a call. They know you're here.

0:32:29 > 0:32:32I think you are third on the list so maybe a little bit of a wait but

0:32:32 > 0:32:34hopefully not as much as yesterday.

0:32:34 > 0:32:37Depends how long the cases are before.

0:32:37 > 0:32:39Hopefully not too long. All right.

0:32:41 > 0:32:43Consultant urologist Mr Doherty

0:32:43 > 0:32:47is one of the UK's most renowned prostate cancer specialists.

0:32:49 > 0:32:52- You're here this afternoon to have an inspection of your bladder.- Yeah.

0:32:52 > 0:32:54Is that how you understand it?

0:32:54 > 0:32:57- Yeah.- And I believe one of my registrars

0:32:57 > 0:33:01had a look with a flexible telescope some time ago, a few weeks ago.

0:33:01 > 0:33:03- Yeah.- Saw a red patch?

0:33:03 > 0:33:06- Yeah.- And that's what we're going to look at today.

0:33:06 > 0:33:08The advantage of you being asleep

0:33:08 > 0:33:10is that we can take a biopsy of that red patch

0:33:10 > 0:33:14- if it still looks red and if it looks suspicious.- Yeah.

0:33:14 > 0:33:17Good, OK, good. I'll see you shortly.

0:33:18 > 0:33:19Thanks very much!

0:33:23 > 0:33:292.15 and earlier than he expected, bed 41 takes Peter to theatre.

0:33:34 > 0:33:37Peter is currently being treated for prostate cancer.

0:33:39 > 0:33:42Today, he's having a bladder biopsy

0:33:42 > 0:33:44to check that the cancer hasn't spread.

0:33:46 > 0:33:50It's a massive thing to go through emotionally. Generally speaking,

0:33:50 > 0:33:52it's a bit, "My God, it's going to change my lifestyle,

0:33:52 > 0:33:54"my days are numbered."

0:33:54 > 0:34:00Part of our job as consultants is to explain the patient that it doesn't

0:34:00 > 0:34:02necessarily mean they're going to die rapidly of something,

0:34:02 > 0:34:05but they are likely to need treatments to control it,

0:34:05 > 0:34:08and sometimes we can even cure people with cancer.

0:34:12 > 0:34:15We'll come back to Peter later as he returns to the ward.

0:34:25 > 0:34:28At the Royal Victoria Infirmary in Newcastle,

0:34:28 > 0:34:32A&E bed nine is transporting 47-year-old Andy to X-ray.

0:34:32 > 0:34:35He has intense pain in his hip after a kayaking accident.

0:34:37 > 0:34:41- I don't think I've... I think it's something that's badly ripped.- Yeah.

0:34:41 > 0:34:43It's not a bone thing.

0:34:43 > 0:34:46It's a bit like if anybody's got man flu.

0:34:46 > 0:34:48Andrew's got man flu.

0:34:50 > 0:34:53His eyes are all bloodshot as well, aren't they?

0:34:55 > 0:34:59And he has had a week away in Germany. German beer.

0:35:02 > 0:35:04Long days, long nights.

0:35:04 > 0:35:08- Are you wheeling me to the pub? - I wish, aye.

0:35:11 > 0:35:13This isn't the first time Andy's been to hospital

0:35:13 > 0:35:15with a sports injury.

0:35:15 > 0:35:20I broke a ligament in my knee years ago, actually snapped a ligament.

0:35:20 > 0:35:23That was...worse. That was worse.

0:35:24 > 0:35:26Woo-ooh!

0:35:26 > 0:35:28Ow!

0:35:28 > 0:35:32Andy needs to lie flat for the X-ray of his pelvis.

0:35:32 > 0:35:36But even after painkillers, he's in severe pain.

0:35:38 > 0:35:40He's taken back to his wife, Alison.

0:35:43 > 0:35:46I just think Andrew exaggerates.

0:35:49 > 0:35:51Sorry.

0:35:54 > 0:35:58The X-ray reveals Andy hasn't broken any bones or caused any

0:35:58 > 0:36:01serious lasting damage to his hip.

0:36:01 > 0:36:05A&E consultant Mr Zaharia does a final examination.

0:36:05 > 0:36:07- Ooh! Bbbrrrrr...- Sorry.

0:36:07 > 0:36:09- Yeah.- Sorry.

0:36:10 > 0:36:13I think what you've actually done is torn the muscle,

0:36:13 > 0:36:16- probably at the insertion there. - Right.

0:36:16 > 0:36:21In terms of treatment, there's nothing specific.

0:36:21 > 0:36:25- I do expect that this is going to be sore for some time.- Right.

0:36:25 > 0:36:29How we manage that pain is just with the barrage of pain relief

0:36:29 > 0:36:33- that we would normally give. So strong, regular painkillers.- Mm-hm.

0:36:33 > 0:36:37We can give you crutches for a period to see if that helps

0:36:37 > 0:36:41- you to mobilise. OK? - Thank you.- Cool, thank you.

0:36:41 > 0:36:44Thank God for that. Thank God for that.

0:36:44 > 0:36:48That is sore. That is sore when he touched me just there.

0:36:48 > 0:36:50Yeah, you nearly jumped off that bed.

0:36:50 > 0:36:53It looks very much like Andy's got a hip abductor strain.

0:36:53 > 0:36:57So, when he's been in the kayak, he's had a sudden impact

0:36:57 > 0:37:02from a wave and he's had a sudden contraction to that area.

0:37:02 > 0:37:04Essentially, his muscles have torn.

0:37:04 > 0:37:07There are some muscles that are very easy to rest

0:37:07 > 0:37:10but the hip's not one of them. Similar to the back,

0:37:10 > 0:37:15you're kind of potentially using that muscle all the time.

0:37:15 > 0:37:17It's 10:15 PM.

0:37:17 > 0:37:21Andy has now been on A&E be nine for nearly two hours.

0:37:21 > 0:37:25He's still waiting for his crutches so he can leave with wife, Alison.

0:37:25 > 0:37:28I'm bored. I want to go home now.

0:37:31 > 0:37:34I'm just going to get your crutches.

0:37:34 > 0:37:37And then they'll help you off the bed.

0:37:40 > 0:37:42Health care assistant Belle arrives.

0:37:44 > 0:37:46SHARP INTAKES OF BREATH

0:37:48 > 0:37:51Getting in and out of chairs, feel for the arms of the chairs.

0:37:51 > 0:37:54Don't use these for getting up and in and out of chairs.

0:37:54 > 0:37:56They'll slip away from you.

0:37:56 > 0:37:58When you're going up and down the stairs,

0:37:58 > 0:38:01go up and down on your backside, rather than on these.

0:38:01 > 0:38:04- Are we OK to go now that he's... - Yeah.

0:38:04 > 0:38:06Thank you very much.

0:38:08 > 0:38:11Andy is discharged from A&E and instructed to rest.

0:38:14 > 0:38:17A&E bed nine is stripped down ready for its next patient.

0:38:26 > 0:38:29Back at the Queen Elizabeth Hospital in Birmingham,

0:38:29 > 0:38:3173-year-old Peter is having a biopsy

0:38:31 > 0:38:34on his bladder to see if his prostate cancer has spread.

0:38:37 > 0:38:41Consultant Mr Doherty has just completed the procedure.

0:38:41 > 0:38:45So we've just finished looking inside his bladder

0:38:45 > 0:38:49and we're very pleased that there's nothing dangerous there.

0:38:49 > 0:38:52He'll be pleased to know there's nothing more serious.

0:38:52 > 0:38:55The cancer hasn't spread any further.

0:38:55 > 0:38:59He's a character. He seems to be very accepting of the diagnosis,

0:38:59 > 0:39:03and gets on with it. He takes his treatment on the chin, so to speak.

0:39:03 > 0:39:08He's responding well to treatment hence why he's in good spirits.

0:39:09 > 0:39:12The day surgery unit closes at eight o'clock.

0:39:14 > 0:39:16At the end of his second day,

0:39:16 > 0:39:19bed 41 transports Peter to a ward to recover.

0:39:22 > 0:39:25So, once you've ate, drank and got up and moved around,

0:39:25 > 0:39:28we'll look to discharge you still.

0:39:28 > 0:39:30I feel 100%.

0:39:30 > 0:39:32Raring to go.

0:39:33 > 0:39:37I could get up and walk, if I was allowed to.

0:39:37 > 0:39:39Just glad it's over!

0:39:41 > 0:39:43I'll be glad to get home.

0:39:44 > 0:39:47Daughter Wendy arrives to take Peter home.

0:39:48 > 0:39:51But he can't be released until he has gone to the toilet.

0:39:51 > 0:39:53I can't go to the toilet!

0:39:53 > 0:39:57I just feel, it's coming, like, but it doesn't,

0:39:57 > 0:40:00- and you're just... - HE SIGHS

0:40:00 > 0:40:02LAUGHTER

0:40:02 > 0:40:06Just need to make sure everything's working properly before we leave.

0:40:06 > 0:40:10It's probably messed up my sex life now!

0:40:11 > 0:40:13LAUGHTER

0:40:13 > 0:40:14What's that, then?

0:40:15 > 0:40:20If he doesn't manage to go soon, Peter may need medical intervention.

0:40:21 > 0:40:23If you can't pee in the next half an hour or so,

0:40:23 > 0:40:26we may have to catheterise you, but we'll speak to the doctor about that.

0:40:26 > 0:40:28Is there any chance somebody

0:40:28 > 0:40:30can go out and get me three pints of Guinness?

0:40:30 > 0:40:34Closest thing we've got is probably alcohol gels.

0:40:34 > 0:40:36Only joking. Thanks.

0:40:36 > 0:40:40Up to 70% of patients have trouble going to the loo after surgery.

0:40:44 > 0:40:46I'll have another drop of water.

0:40:51 > 0:40:54It seemed I was in there an hour.

0:40:54 > 0:40:58It's just...not coming out.

0:40:58 > 0:40:5930 minutes go by.

0:41:04 > 0:41:06He just wants to go home, at end of the day.

0:41:06 > 0:41:08He's just really fed up.

0:41:10 > 0:41:12Peter returns.

0:41:12 > 0:41:14No success.

0:41:14 > 0:41:15I've not been.

0:41:15 > 0:41:17OK, so we'll keep you overnight.

0:41:17 > 0:41:21Oh, I've been but I forgot to save it!

0:41:21 > 0:41:22Oh!

0:41:24 > 0:41:27You're trying. You're all dressed up to go home, as well.

0:41:27 > 0:41:29- Yeah!- Give us a hug.

0:41:29 > 0:41:32- All right?- Give us a hug. All right?- All right.

0:41:32 > 0:41:34- I'll see you in the morning. - Yeah.- Yeah?

0:41:34 > 0:41:37- All right?- I'll see what happens. - All right. See you later.

0:41:37 > 0:41:38- Ta-ra.- Ta-ra.

0:41:53 > 0:41:54Delighted,

0:41:54 > 0:41:59but I won't be delighted as much till I see the back of the door!

0:42:00 > 0:42:03Peter managed to go to the toilet during the night.

0:42:03 > 0:42:05He can finally go home.

0:42:05 > 0:42:08- All right.- All the best. Take care.- OK.- Bye.- Bye!

0:42:12 > 0:42:14Peter leaves in the knowledge

0:42:14 > 0:42:16that his cancer hasn't spread any further.

0:42:25 > 0:42:28Our hospital beds have given us intimate access

0:42:28 > 0:42:30to the work of the NHS.

0:42:32 > 0:42:34Since their car accident, Joanne and Brian

0:42:34 > 0:42:37have tracked down the driver who helped them, to say thank you.

0:42:39 > 0:42:43Peter has undergone chemotherapy for his prostate cancer.

0:42:43 > 0:42:46He's hoping to enjoy a pint of Guinness before too long.

0:42:48 > 0:42:53And Andy's hip has fully recovered, he's just glad to be free of pain.

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

0:42:56 > 0:42:59ready and waiting for their next round of patients.