0:00:03 > 0:00:07Hospital beds in the NHS have never been under more pressure...
0:00:07 > 0:00:11It's just unrelenting at the moment.
0:00:11 > 0:00:14..with more patients to care for than ever before, and only
0:00:14 > 0:00:17150,000 beds to go round.
0:00:19 > 0:00:22It is a fast-paced job, there's a nonstop conveyor belt.
0:00:23 > 0:00:27In this series, we use special cameras on beds in four
0:00:27 > 0:00:29very different hospitals...
0:00:35 > 0:00:37Comfy bed.
0:00:37 > 0:00:39..to see the world through the bed's eyes...
0:00:40 > 0:00:42Left at the lights.
0:00:42 > 0:00:44..as they share the most challenging...
0:00:45 > 0:00:47Oh, it's coming again!
0:00:47 > 0:00:50MOANING
0:00:50 > 0:00:52No need to get upset. I will look after you, OK?
0:00:56 > 0:00:57Are you OK, pet?
0:00:57 > 0:00:59..most intimate...
0:00:59 > 0:01:03BABY CRIES ..and most rewarding moments of our lives.
0:01:03 > 0:01:05So, so happy.
0:01:08 > 0:01:10Coming up today...
0:01:12 > 0:01:14..in Barnsley, on A&E bed 12,
0:01:14 > 0:01:18Michelle has her second stroke at the age of 42.
0:01:18 > 0:01:20I just can't imagine what's happening.
0:01:24 > 0:01:27In Birmingham, on day surgery bed 41,
0:01:27 > 0:01:3125-year-old Sophie faces surgery to save her finger.
0:01:31 > 0:01:35I was delivering leaflets and the dog just attacked my hand.
0:01:38 > 0:01:41And in Leeds, on paediatric bed three,
0:01:41 > 0:01:4514-year-old dancer Anna is hoping her surgery has worked.
0:01:45 > 0:01:50I think they broke three bits of my bone, here and here,
0:01:50 > 0:01:52so they could straighten it.
0:01:54 > 0:01:57Your bed's like an extra member of staff, almost.
0:01:57 > 0:02:00This is the secret life of the hospital bed.
0:02:11 > 0:02:13Barnsley Hospital in South Yorkshire.
0:02:13 > 0:02:16Currently, beds are tight within the hospital,
0:02:16 > 0:02:18so patients are moving at the last minute.
0:02:18 > 0:02:23Every year, more than 80,000 people visit its A&E department.
0:02:23 > 0:02:25PHONE RINGS
0:02:25 > 0:02:27Hi, Hannah, it's Amanda.
0:02:27 > 0:02:30Hiya. I was just wondering if I could get a hand out here.
0:02:30 > 0:02:33I'm kind of struggling, I've only got one on the shop floor.
0:02:33 > 0:02:37There are 40 mobile beds in the A&E unit.
0:02:37 > 0:02:40# Rolling, rolling, rolling... #
0:02:40 > 0:02:42These beds are always on the go.
0:02:44 > 0:02:47On average, they see six patients a day.
0:02:47 > 0:02:50So, how's things with you?
0:02:50 > 0:02:53- I could've walked down here.- I know.
0:02:53 > 0:02:57Bed 12 is being prepped, ready for an emergency.
0:03:08 > 0:03:11A critically ill patient has just come in by ambulance.
0:03:11 > 0:03:1542-year-old Michelle has had a stroke.
0:03:15 > 0:03:17She needs an A&E bed urgently.
0:03:17 > 0:03:21Is there any chance we could have the trolley in room eight out and
0:03:21 > 0:03:24then this lady, who's in corridor D, in there?
0:03:26 > 0:03:29Michelle's life could be in danger, so she takes priority.
0:03:33 > 0:03:35A&E lead consultant, Doctor Griffiths,
0:03:35 > 0:03:37will be assessing Michelle.
0:03:37 > 0:03:40We'll get you on this trolley, Michelle, and have a look at you,
0:03:40 > 0:03:42all right?
0:03:42 > 0:03:45I had a stroke on the bed, right there.
0:03:47 > 0:03:51It was just the most weirdest thing.
0:03:53 > 0:03:5726% of strokes occur in people under the age of 65.
0:03:57 > 0:03:59Michelle needs urgent treatment.
0:04:01 > 0:04:05It can be fatal, depending on the size of the problem.
0:04:05 > 0:04:08So, basically, part of the brain has been deprived of oxygen,
0:04:08 > 0:04:10so brain cells start to die off.
0:04:11 > 0:04:13Michelle's had a stroke before.
0:04:13 > 0:04:17She suffered a very serious one while alone on holiday in Cyprus.
0:04:19 > 0:04:24I had an aneurysm, and so it bled and bled and bled.
0:04:24 > 0:04:29Because five days until they found me...
0:04:29 > 0:04:31otherwise I would probably be dead.
0:04:32 > 0:04:36Michelle, just tell me a little bit more about a year ago in Cyprus.
0:04:36 > 0:04:39I had the aneurysm. It wasn't a clot, but the other one.
0:04:39 > 0:04:46And then it took me about three weeks until I went back to here.
0:04:47 > 0:04:50Right, so you were in hospital in the UK for quite a long time?
0:04:50 > 0:04:52- Yes.- Recovering?
0:04:52 > 0:04:54- Yes.- OK, and when you left hospital, when you came out,
0:04:54 > 0:04:57did you...were you back to normal or did you still have some symptoms?
0:04:57 > 0:04:59- No, very bad.- OK.
0:04:59 > 0:05:01- Very, very bad, yeah.- I think, given your history and what's happened
0:05:01 > 0:05:04- today, we need to get a CT scan of your head...- Yes, yes.
0:05:04 > 0:05:07..to establish exactly what's going on and I'll also have a chat to my
0:05:07 > 0:05:10colleagues in the stroke team who work here and they'll come and have
0:05:10 > 0:05:12- a look at you, most likely.- OK.- I'll be right back, I'm just going to
0:05:12 > 0:05:15- organise some things, Michelle, OK?- OK.
0:05:15 > 0:05:18So, with her having history of an aneurysm before,
0:05:18 > 0:05:22what we worry about is, has she had another bleed inside of her brain,
0:05:22 > 0:05:25because that would need, sort of, an urgent transfer over to Sheffield
0:05:25 > 0:05:27to the neurosurgical unit.
0:05:27 > 0:05:30Although young to be seriously ill, Michelle remains positive.
0:05:32 > 0:05:36Everybody is strong but they don't realise they are right now, because,
0:05:36 > 0:05:40to them, they don't realise something terrible happened.
0:05:40 > 0:05:43- I'll see you shortly, all right?- OK.
0:05:43 > 0:05:46A&E bed 12 takes Michelle for an urgent brain scan.
0:05:48 > 0:05:52Later, we'll find out what damage the stroke has caused.
0:06:01 > 0:06:04At Birmingham's Queen Elizabeth Hospital,
0:06:04 > 0:06:06the day surgery unit has 81 beds,
0:06:06 > 0:06:09caring for almost 5,000 patients a year.
0:06:09 > 0:06:12You OK here?
0:06:12 > 0:06:15I've got a couple of afternoons for you.
0:06:15 > 0:06:17I've got one space.
0:06:21 > 0:06:26Working 12-hour shifts, these beds are with patients before...
0:06:26 > 0:06:29Right, I need to get mentally prepared for this.
0:06:29 > 0:06:30..during...
0:06:33 > 0:06:35You're doing very well.
0:06:35 > 0:06:37..and after surgery.
0:06:43 > 0:06:46Today, bed 41 is waiting to be joined by
0:06:46 > 0:06:5025-year-old children's entertainer, Sophie.
0:06:50 > 0:06:53- If you can pop your gown on. - She's coming with mum, Katie,
0:06:53 > 0:06:57to have reconstructive surgery on her fingertip.
0:06:57 > 0:07:01Yeah, I was delivering leaflets, and as I poked the end of my finger in,
0:07:01 > 0:07:05it kind of just, the dog just attacked my hand.
0:07:06 > 0:07:08- To which I was just kind of like... - SHE GASPS
0:07:08 > 0:07:10"What?! Uh...ah..."
0:07:10 > 0:07:14And then had to kind of rip my hand out of the dog's mouth and through
0:07:14 > 0:07:18the letterbox by, like, pulling it through,
0:07:18 > 0:07:21and then just going, "Argh! Mum!"
0:07:21 > 0:07:23- Yes.- There's no finger left.
0:07:23 > 0:07:25Well, there is, the tip of my finger's gone.
0:07:25 > 0:07:28Yeah, it was pretty scary, cos she just suddenly screamed, "Mum!"
0:07:28 > 0:07:31and she was holding her hand up and the top of her finger was missing.
0:07:31 > 0:07:33Mum was like, "Shall I go and get the finger, shall I get the finger,
0:07:33 > 0:07:35"shall I go see if I can find your finger?"
0:07:35 > 0:07:38- And I was just like, "No, A&E." - I think the dog ate it.
0:07:38 > 0:07:41- "Dog's eaten it, just go to A&E." - THEY LAUGH
0:07:41 > 0:07:45Like Sophie, more than 7,000 people needed hospital treatment last year
0:07:45 > 0:07:48after being attacked by a dog.
0:07:48 > 0:07:52Always looks on the positive, Sophie, full of beans and so it just
0:07:52 > 0:07:54seems doubly unfair that this has happened to Soph.
0:07:54 > 0:07:56- You're Sophie, aren't you? - I am indeed.
0:07:56 > 0:07:58I'm Jill Webb, nice to meet you.
0:07:58 > 0:08:01- I like how you did your left hand then. - LAUGHTER
0:08:01 > 0:08:05Consultant hand surgeon Mrs Webb will be overseeing the operation.
0:08:05 > 0:08:08- So you were delivering letters, were you?- I was. I was delivering...
0:08:08 > 0:08:11- And the letterbox bit you? - Yeah, the letterbox bit back.
0:08:11 > 0:08:14- SHE LAUGHS - And it's which fingers?
0:08:14 > 0:08:16- Well, the top of my middle finger's gone...- Right, OK.
0:08:16 > 0:08:19..and I've got a puncture on my ring finger.
0:08:19 > 0:08:21Until we've taken the bandage off we don't actually know what
0:08:21 > 0:08:25- we're going to do.- OK.- All right? - The bone's exposed, they said, yeah.
0:08:25 > 0:08:27Depends whether it's sticking out or whether it's just flush.
0:08:27 > 0:08:30There's all sorts of things. Until we've taken the bandage off...
0:08:30 > 0:08:32- Until you see, yeah.- That's why it's hard to work out.
0:08:32 > 0:08:35- Yeah. It's a guessing game until then.- It's a guessing game.
0:08:35 > 0:08:37She's getting married in October, so we just...
0:08:37 > 0:08:39- If her hands could look...- Well, at least it's my right hand.
0:08:39 > 0:08:42My left hand is going to have more photos.
0:08:42 > 0:08:45- There are good gels nowadays. You can...- Yeah, stick them on.
0:08:45 > 0:08:48I think it was just as much length of the finger as possible, really.
0:08:48 > 0:08:50- No problem at all. See you later. - Thank you very much. Bye.
0:08:50 > 0:08:53See you later, thank you.
0:08:53 > 0:08:55- It's going to hurt.- Yeah.
0:08:56 > 0:09:00Later, we will rejoin bed 41 and Sophie,
0:09:00 > 0:09:02as surgeons try to save her finger.
0:09:17 > 0:09:19Leeds Children's Hospital is
0:09:19 > 0:09:22one of the largest paediatric hospitals in the country.
0:09:22 > 0:09:25It has 26 beds in its day surgery unit.
0:09:25 > 0:09:27Beds are very important in this place.
0:09:27 > 0:09:30- You going to be a brave girl for Mummy today?- No.
0:09:30 > 0:09:33Everybody who needs a bed gets a bed.
0:09:33 > 0:09:35You going to put injection on me?
0:09:35 > 0:09:38These beds work under stressful conditions,
0:09:38 > 0:09:40seeing 140 patients a week.
0:09:40 > 0:09:44They're with children and their parents before and after surgery.
0:09:44 > 0:09:46All done.
0:09:46 > 0:09:49HE MOANS
0:09:54 > 0:09:57Paediatric bed 3 is waiting for its next patient.
0:10:01 > 0:10:0414-year-old Anna is having a frame removed.
0:10:04 > 0:10:07Doctors hope it will have straightened the bone in her leg.
0:10:07 > 0:10:10Right, you make sure you're nice and comfy.
0:10:10 > 0:10:13It's one of these mattresses. It's one of the inflatables.
0:10:13 > 0:10:15Parents Claire and Andy are with her.
0:10:15 > 0:10:18Think I might have met you before, actually.
0:10:18 > 0:10:19You do look familiar.
0:10:19 > 0:10:22Sister Nuttall is on duty today.
0:10:22 > 0:10:24- We're taking that frame off today, is that right?- Mm-hmm.
0:10:24 > 0:10:28- So how long's that been on for? - Six months.- Has it?
0:10:28 > 0:10:31So have you had a problem with your leg all your life then?
0:10:31 > 0:10:34- Is that why...?- Pretty much. - Pretty much. Have you managed OK?
0:10:34 > 0:10:36- Yeah.- And have the nurses been coming out to your home
0:10:36 > 0:10:40- to do all your...?- No, my mum does it.- Your mum does it. Hey!
0:10:40 > 0:10:43- Do you want a new job, Mum? - LAUGHTER
0:10:43 > 0:10:46That's one thing I'm looking forward to, not to doing it again.
0:10:46 > 0:10:49Were you a sporty person before or anything, cos I'm sure it's probably
0:10:49 > 0:10:52- limited what you can do, hasn't it? - Dance. I dance a lot.
0:10:52 > 0:10:55Not like actually in clubs, but I dance a lot.
0:10:55 > 0:10:57She's lovely, absolutely.
0:10:57 > 0:10:59Sort of patient I like, somebody you can have a bit of banter with.
0:10:59 > 0:11:02Children adapt really, really well to just what's
0:11:02 > 0:11:04thrown at them in general, I think.
0:11:04 > 0:11:06And I think she's a prime example of that.
0:11:16 > 0:11:18Don't be doing pirouettes, you'll be in bother.
0:11:18 > 0:11:20- You'll fall over. - Did you see that?
0:11:20 > 0:11:23- Yeah. Don't.- No, I'm sorry.
0:11:24 > 0:11:27Don't. You'll be giving the nurses heebie-jeebies.
0:11:27 > 0:11:31Anna has a very rare genetic disorder called acrodysostosis.
0:11:35 > 0:11:40- How rare is it? 70 people in the world, I think.- 70 people worldwide.
0:11:40 > 0:11:43There's one website on the internet that said that,
0:11:43 > 0:11:45but I don't know if it's true or not.
0:11:46 > 0:11:48It's caused abnormalities in her bones.
0:11:50 > 0:11:53I'm 14, even though I don't look it.
0:11:53 > 0:11:55I mean, I do wear make-up, but...
0:11:55 > 0:11:59I think they broke two bits or three bits of my bone.
0:11:59 > 0:12:01Here and here.
0:12:01 > 0:12:05I think where these two bits are, so basically, like,
0:12:05 > 0:12:08just broke it so they could straighten it, I think.
0:12:08 > 0:12:12She's been in and out of hospital with various problems since she...
0:12:12 > 0:12:16Before she was born, she was having her heart monitored for six weeks,
0:12:16 > 0:12:17- wasn't she?- That's new to me.
0:12:17 > 0:12:20So she's just been in and out of hospital all her
0:12:20 > 0:12:22life, so she just gets on with it.
0:12:22 > 0:12:26And she gets over things pretty quickly, don't you?
0:12:26 > 0:12:28I'm kind of excited to get it off because it's a pain,
0:12:28 > 0:12:31although a part's going to be a pain as well because, like, on top of,
0:12:31 > 0:12:33like, the scars that these are going to leave,
0:12:33 > 0:12:36it's going to be really itchy, but I know what it's like,
0:12:36 > 0:12:38so just get on with it.
0:12:38 > 0:12:43- I really want to shave my legs as well, because it's not good. - CLAIRE LAUGHS
0:12:45 > 0:12:47Consultant orthopaedic surgeon, Ms Deriu,
0:12:47 > 0:12:51will be removing the frame from Anna's leg.
0:12:51 > 0:12:52- So, Anna, you know what's the plan? - Mm-hmm.
0:12:52 > 0:12:55- You go to sleep, we take everything off...- Yep.
0:12:55 > 0:12:57..we screen and make sure your bone is strong enough
0:12:57 > 0:12:59and then when you wake up you will have cast braces.
0:12:59 > 0:13:03Essentially it's a cast around the thigh,
0:13:03 > 0:13:06a cast around the calf and then you have hinges at the knee.
0:13:06 > 0:13:11You can choose a colour. We have blue, red and pink.
0:13:11 > 0:13:13- Red.- OK.
0:13:13 > 0:13:16- Really? I thought you'd have gone blue.- No. Red.
0:13:16 > 0:13:19- OK.- Now...- Actually, no, I'm going to go pink.
0:13:19 > 0:13:23- Pink.- Pink.- OK.- You don't like pink. - I know, but I'm going to go pink.
0:13:23 > 0:13:25- Thank you.- You're welcome. See you later.
0:13:27 > 0:13:31We'll be returning to Anna in bed 3 later, to see if the frame has
0:13:31 > 0:13:33straightened her leg bone.
0:13:44 > 0:13:45At Barnsley Hospital,
0:13:45 > 0:13:50A&E bed 12 is taking 42-year-old Michelle for an urgent brain scan
0:13:50 > 0:13:51after having a stroke.
0:13:58 > 0:14:02Last year, Michelle had a serious brain bleed.
0:14:02 > 0:14:06As with a third of stroke survivors, it left her struggling to speak.
0:14:07 > 0:14:10In a strange twist, after today's stroke,
0:14:10 > 0:14:12her speech has improved dramatically.
0:14:12 > 0:14:14Wasn't that bad, that, was it?
0:14:14 > 0:14:20No, it wasn't. But the thing was, before, I couldn't understand,
0:14:20 > 0:14:24well, I could understand what the doctor was saying, but I couldn't
0:14:24 > 0:14:29talk back very well, and all of a sudden I can.
0:14:29 > 0:14:32Michelle is heading back to A&E to await the results of the scan.
0:14:35 > 0:14:39The sudden improvement in her speech has left her bewildered.
0:14:39 > 0:14:43It sounds weird because a year ago, in fact yesterday,
0:14:43 > 0:14:46I cannot...I cannot talk properly,
0:14:46 > 0:14:49literally, I could not talk properly.
0:14:49 > 0:14:52And now I can.
0:14:52 > 0:14:54Michelle's sister has arrived.
0:14:54 > 0:14:58- Are you family? - This is my sister.- Hi, I'm James.
0:14:58 > 0:15:02- I'm one of the doctors.- I can talk normally, Jeanette, normally.
0:15:02 > 0:15:06Is there... Is there such a thing as a rejuvenating stroke?
0:15:06 > 0:15:09- I'm not joking.- Cos I swear...
0:15:09 > 0:15:12Jeanette's been caring for Michelle for the past year.
0:15:13 > 0:15:18She's been through a lot, but she's coping with it well and she seems to
0:15:18 > 0:15:23be able to talk very well again, which is brilliant, and she's
0:15:23 > 0:15:27concentrating on the positives rather than why she's in here,
0:15:27 > 0:15:29so that's the main thing for me as well.
0:15:31 > 0:15:34Lead A&E consultant Doctor Griffiths has the images from
0:15:34 > 0:15:36Michelle's brain scan.
0:15:36 > 0:15:39This is Michelle's CT scan, she's just come back round.
0:15:39 > 0:15:42So, just looking through,
0:15:42 > 0:15:45she's obviously got some changes on this left-hand side,
0:15:45 > 0:15:49so I might pop round and try and catch one of the radiologists and
0:15:49 > 0:15:51get a quick verbal report,
0:15:51 > 0:15:54make sure there's nothing that we need to do, surgery-wise.
0:15:59 > 0:16:02At the moment it's a bit...
0:16:02 > 0:16:05A little bit...a little bit frightened.
0:16:05 > 0:16:08Doctor Griffiths is back with the scan results.
0:16:08 > 0:16:11So the CT scan that you've had this afternoon shows some scar tissue on
0:16:11 > 0:16:14that left-hand side, which we knew about, but nothing new, no new clot,
0:16:14 > 0:16:17- no new bleed.- OK. Yeah. OK.
0:16:17 > 0:16:20They're just juggling some beds and then we're going to get you up to
0:16:20 > 0:16:22- ward 20, the stroke unit, later on this afternoon.- OK.
0:16:22 > 0:16:25- All right? Nice meeting you, take care.- OK. Thank you.
0:16:25 > 0:16:30- So, yeah, that's clear. No new bleeding, no new anything.- OK.
0:16:31 > 0:16:34It's just... It's so... It's just...
0:16:35 > 0:16:39I just can't imagine what's happened.
0:16:44 > 0:16:48I'm so excited. I know that sounds awful, but it's so exciting.
0:16:51 > 0:16:54In Michelle's case, it appeared that her symptoms had resolved
0:16:54 > 0:16:57and actually her speech and her pins and needles were better
0:16:57 > 0:17:01than they had been the day before, which is a bit...a little bit odd.
0:17:01 > 0:17:06- Have you got everything?- I think I've got everything.- Yeah?
0:17:06 > 0:17:09It's time for Michelle to be transferred on A&E bed 12,
0:17:09 > 0:17:11to the specialist stroke ward.
0:17:11 > 0:17:13LAUGHTER
0:17:13 > 0:17:15I'm very excited.
0:17:17 > 0:17:19As she's had a stroke, she'll be closely monitored.
0:17:34 > 0:17:37Back at Birmingham's Queen Elizabeth Hospital,
0:17:37 > 0:17:4025-year-old Sophie is on day surgery bed 41.
0:17:42 > 0:17:44She's suffered a serious dog bite
0:17:44 > 0:17:47and needs reconstructive surgery to save her finger.
0:17:48 > 0:17:50I'm not looking forward to injections.
0:17:50 > 0:17:52I'm fine, I think I'm fine with the surgery,
0:17:52 > 0:17:55it's the injection beforehand that I'm like... Ooh!
0:17:55 > 0:17:57Dreadful with needles.
0:17:57 > 0:18:00I'm better than I was, I've had hypnotherapy and everything.
0:18:00 > 0:18:04- Cos, before, I'd have probably tried to get out of the bed.- She did.
0:18:04 > 0:18:07I'm better now, though, honestly, I won't run off today.
0:18:10 > 0:18:13- Give us a kiss.- Bye.
0:18:13 > 0:18:16- You'll be fine.- Just be in the waiting room.- I'm going to be awake.
0:18:16 > 0:18:19Sophie heads to theatre on bed 41.
0:18:20 > 0:18:22See you, Mum.
0:18:22 > 0:18:24She's now on her own.
0:18:29 > 0:18:31Wasn't very nice, seeing her wheeled off.
0:18:33 > 0:18:35Yeah. Nervous.
0:18:36 > 0:18:41Each year, the hospital carries out over 3,000 hand trauma operations.
0:18:42 > 0:18:46Today the surgical team will attempt to save Sophie's finger.
0:18:46 > 0:18:49Yeah, let's get this bandage off.
0:18:49 > 0:18:51That's nothing to be worried about.
0:18:51 > 0:18:53We've had quite a horrible six months,
0:18:53 > 0:18:55so it's just extra emotional for us.
0:18:57 > 0:19:00Six months ago, Sophie's partner was involved in a really bad car
0:19:00 > 0:19:04accident, and we had a phone call early hours of the morning,
0:19:04 > 0:19:07we had to come to the QE. Having seen the pictures of the car,
0:19:07 > 0:19:10we didn't think he was going to be alive, but thankfully he was.
0:19:10 > 0:19:14And then, three weeks after, Jay, Sophie's younger brother...
0:19:23 > 0:19:26SHE WEEPS
0:19:26 > 0:19:28..my youngest son...
0:19:31 > 0:19:34..was killed in a motorbike accident,
0:19:34 > 0:19:37and we had to go to Russells Hall
0:19:37 > 0:19:39to see him there after the accident,
0:19:39 > 0:19:43so both hospitals, really, are quite...
0:19:43 > 0:19:46bad memories for us.
0:19:46 > 0:19:52And so, obviously, Sophie being here now is, sort of, extra traumatic,
0:19:52 > 0:19:54perhaps because of what's gone before.
0:19:57 > 0:20:00And perhaps why I wasn't very good when it happened
0:20:00 > 0:20:02and she was a lot calmer.
0:20:04 > 0:20:07We'll be back with day surgery bed 41 and Sophie later.
0:20:16 > 0:20:19Coming up in The Secret Life of the Hospital Bed...
0:20:21 > 0:20:23In Barnsley, on resus bed two,
0:20:23 > 0:20:2576-year-old Molly struggles for breath.
0:20:26 > 0:20:29It's breathing. That's what it is.
0:20:32 > 0:20:34On A&E bed 12,
0:20:34 > 0:20:37it's an infection that boxing trainer Fred's having to fight.
0:20:37 > 0:20:41- Your modelling days are over, Fred, I'm afraid.- Are you sure?
0:20:41 > 0:20:46- Yeah, I'm sorry. Sorry to break that to you. - LAUGHTER
0:20:46 > 0:20:50And in Birmingham, on day surgery bed 41,
0:20:50 > 0:20:53doctors battle to save Sophie's finger.
0:20:53 > 0:20:55Sophie, we're just going to have a look at your wounds now.
0:21:04 > 0:21:06At Barnsley Hospital,
0:21:06 > 0:21:10the A&E department is stretched to the limit.
0:21:10 > 0:21:12Ready? One, two, three.
0:21:12 > 0:21:14Staff are on high alert,
0:21:14 > 0:21:17as there's a patient coming in who's feared to have a life-threatening
0:21:17 > 0:21:18condition: sepsis.
0:21:20 > 0:21:22The resuscitation department
0:21:22 > 0:21:25is reserved for the most seriously ill patients.
0:21:27 > 0:21:28From people who've had bad accidents...
0:21:30 > 0:21:33..to those struggling to breathe.
0:21:33 > 0:21:35You're quite safe.
0:21:35 > 0:21:39There are five specialist beds here, surrounded by life-saving equipment.
0:21:41 > 0:21:44Resus bed two is prepped and on standby
0:21:44 > 0:21:45for its next critical patient.
0:21:52 > 0:21:5776-year-old widow, Molly, has been admitted with suspected sepsis,
0:21:57 > 0:21:58a potentially deadly condition.
0:22:02 > 0:22:04Dr Staunton is treating her.
0:22:06 > 0:22:09Sepsis can be life-threatening if it's not treated early enough and we
0:22:09 > 0:22:13aim to get all of our initial investigations and treatments in
0:22:13 > 0:22:15within the first hour of seeing the patient.
0:22:18 > 0:22:21Molly's the mother of two boys, and eldest son, Andrew,
0:22:21 > 0:22:24- has brought her in today. - It's one of those things,
0:22:24 > 0:22:29I mean, this morning I actually set off to work and got so far in
0:22:29 > 0:22:31and decided to turn round because I
0:22:31 > 0:22:34knew the situation wasn't getting any better.
0:22:34 > 0:22:39And if I'd have gone to work and come home and something had have
0:22:39 > 0:22:41happened and I wasn't there, I
0:22:41 > 0:22:44couldn't have lived with myself, really.
0:22:44 > 0:22:47So, it's just a case of, you've got to get your priorities right.
0:22:47 > 0:22:51Work's important, but your lifestyle at home is obviously more important,
0:22:51 > 0:22:53isn't it?
0:22:53 > 0:22:56As well as working full-time, Andrew is his mum's primary carer.
0:22:58 > 0:23:01At the moment, I'm living at my mum's house.
0:23:01 > 0:23:03My dad passed away ten years ago.
0:23:03 > 0:23:06I've been with my partner now for five years.
0:23:06 > 0:23:10She's got her own house, so I'm in between both, you know.
0:23:10 > 0:23:12Obviously you can't leave your mum when she's like this.
0:23:12 > 0:23:14She's looked after you all, all her life.
0:23:17 > 0:23:20Sepsis causes tens of thousands of deaths every year.
0:23:21 > 0:23:25It happens when the body's immune system goes into overdrive
0:23:25 > 0:23:27as it tries to fight infection.
0:23:29 > 0:23:31We're going to pop a cannula in you,
0:23:31 > 0:23:34because we're going to give you some antibiotics into your veins and try
0:23:34 > 0:23:35and make you better.
0:23:35 > 0:23:40Within minutes of being on resus bed two, Dr Staunton attaches Molly to a
0:23:40 > 0:23:44drip with the potentially life-saving treatment.
0:23:44 > 0:23:47Going to give you some antibiotics to start with, all right?
0:23:47 > 0:23:51They can't afford to wait for test results to confirm if it's sepsis.
0:23:52 > 0:23:54We're getting a chest X-ray organised at the moment.
0:23:58 > 0:24:02It is worrying, because every time she gets an infection like this,
0:24:02 > 0:24:05you just don't know whether it's going to turn into pneumonia or
0:24:05 > 0:24:08anything, so you've got to act pretty quickly, really.
0:24:08 > 0:24:11But she's...my mum's that stubborn,
0:24:11 > 0:24:14you know, she's one of the old school, let's say.
0:24:14 > 0:24:17She didn't want to come in today, but the doctor said, you know,
0:24:17 > 0:24:20"You're going to have to go in."
0:24:20 > 0:24:23- So we had to fetch you, didn't we?- Yeah.
0:24:23 > 0:24:25It's breathing. That's what it is.
0:24:26 > 0:24:29It is, it's hard isn't it, for you?
0:24:30 > 0:24:33SHE COUGHS
0:24:33 > 0:24:35It's your parent, at the end of the day.
0:24:35 > 0:24:39The tides have turned now, it's now our time to look after our parents.
0:24:40 > 0:24:42They've been good to us all their lives,
0:24:42 > 0:24:45so, you know, you've got to pay the favour back.
0:24:50 > 0:24:54She's only six stone, she's nothing to fight it.
0:24:57 > 0:25:00Later, we'll come back to resus bed 2 to see if the
0:25:00 > 0:25:03life-saving antibiotics have worked in time for Molly.
0:25:13 > 0:25:16Back at Leeds Children's Hospital, in the day surgery unit,
0:25:16 > 0:25:2014-year-old Anna needs to leave bed 3.
0:25:20 > 0:25:21Do you want to take that?
0:25:21 > 0:25:24It's time for her operation.
0:25:24 > 0:25:26Is that all right? Is it on this floor?
0:25:30 > 0:25:32For the last six months,
0:25:32 > 0:25:35she's been wearing a frame in an attempt to straighten her leg bone.
0:25:35 > 0:25:37It's fabulous what they can do.
0:25:38 > 0:25:40Today, it will be removed.
0:25:46 > 0:25:51Anna gets onto surgical bed 6.
0:25:51 > 0:25:53To start with, it's just the giggling gas.
0:25:53 > 0:25:55Mum, Claire, will stay with her
0:25:55 > 0:25:58until she's put under general anaesthetic.
0:26:05 > 0:26:08Are you going to tell us when you're asleep, yeah?
0:26:08 > 0:26:10The operation will take around an hour.
0:26:10 > 0:26:13She's asleep. Give her a big kiss, we'll look after her.
0:26:13 > 0:26:15Sweetheart.
0:26:15 > 0:26:18It's horrible when they have an anaesthetic,
0:26:18 > 0:26:20because it's out of your control.
0:26:20 > 0:26:23So I'm just really nervous until she comes back.
0:26:25 > 0:26:27She's a little fighter, really.
0:26:27 > 0:26:30Everybody who meets her sort of says that.
0:26:30 > 0:26:31She just assesses it,
0:26:31 > 0:26:35gets her head round it and just gets up and gets on with it, really.
0:26:38 > 0:26:41Surgeon, Ms Deriu, starts the process of removing the pins.
0:26:44 > 0:26:47It's like Meccano.
0:26:47 > 0:26:50You have to assemble all sorts of small pieces.
0:26:53 > 0:26:57So now we're removing the pins and then the next thing is,
0:26:57 > 0:27:04we want to check if, by moving the rings, the bone is strong.
0:27:05 > 0:27:07Anna's leg is X-rayed
0:27:07 > 0:27:10to see if it has healed and straightened as planned.
0:27:11 > 0:27:13OK, can X-ray come in, please?
0:27:14 > 0:27:16Shot, please.
0:27:17 > 0:27:21OK, so all this area is the new bone.
0:27:21 > 0:27:23OK, and it seems quite solid.
0:27:24 > 0:27:27OK, so I'm really happy, so we'll take everything off.
0:27:27 > 0:27:28Thank you.
0:27:30 > 0:27:32From the orthopaedic point of view now, she has straight legs.
0:27:32 > 0:27:35So both the knees are in very good shape.
0:27:35 > 0:27:39I'm really pleased, because the new bone is nice and strong.
0:27:39 > 0:27:42So it's a good day today, because, you know, the frame is off,
0:27:42 > 0:27:46the bone is looking good and now she can finally start going back to do
0:27:46 > 0:27:48all the things that she likes.
0:27:48 > 0:27:51The operation is complete.
0:27:51 > 0:27:55Bed 6 returns Anna to paediatric bed 3.
0:27:55 > 0:27:56Right, Anna,
0:27:56 > 0:27:59we're just lining your bed and the trolley up together, darling.
0:27:59 > 0:28:02She's reunited with her parents.
0:28:02 > 0:28:04There's no rush, sweetheart. Go nice and steady.
0:28:04 > 0:28:09- Wow!- Good girl. - Fantastic, how's that?
0:28:09 > 0:28:14- You all right, sweetheart? - I don't know. Let me sleep.
0:28:15 > 0:28:18It's so nice, the relief on the parent's face as soon as they see
0:28:18 > 0:28:21their child awake, even if they are a bit grumpy in recovery,
0:28:21 > 0:28:23it's such a nice feeling.
0:28:25 > 0:28:27Oh, sweetheart. I love you.
0:28:29 > 0:28:33After 11 hours in hospital, Anna has finally recovered from the
0:28:33 > 0:28:37anaesthetic and is given the all clear to go home.
0:28:37 > 0:28:41- There you go.- Yay! Free.
0:28:41 > 0:28:43Been a long day, hasn't it?
0:28:43 > 0:28:47- Yeah.- But it's good to have that frame off, isn't it?
0:28:47 > 0:28:51Yeah. I suppose it's one step closer to having it completely off.
0:28:51 > 0:28:55- Yeah. One step closer to being back to normal, isn't it?- Yeah.
0:28:56 > 0:28:59Paediatric day surgery is now closed for the night.
0:29:02 > 0:29:05Bed 3 is prepped, ready for its next patient in the morning.
0:29:15 > 0:29:17Back at Barnsley Hospital's A&E Department,
0:29:17 > 0:29:21resus bed 2 is with 76-year-old Molly and her son Andrew.
0:29:25 > 0:29:29She's being treated for the life-threatening condition sepsis,
0:29:29 > 0:29:33but Dr Staunton is called as Molly is still struggling for breath.
0:29:34 > 0:29:38So you've been feeling short of breath, have you had a cough?
0:29:38 > 0:29:42Oh, yeah...it's coming all the time.
0:29:42 > 0:29:44What have you...? OK.
0:29:44 > 0:29:46SHE COUGHS
0:29:46 > 0:29:49So, just to understand, it's...you're more short of breath,
0:29:49 > 0:29:51cough, bringing up more phlegm.
0:29:51 > 0:29:55It is possible as well that you've got an infection in your chest.
0:29:55 > 0:29:57Dr Staunton is concerned that
0:29:57 > 0:30:00Molly's infection could be pneumonia.
0:30:00 > 0:30:02It's the sixth biggest cause of death in the UK,
0:30:02 > 0:30:05killing nearly 30,000 people a year.
0:30:06 > 0:30:07This does sting a little bit, I'm afraid.
0:30:07 > 0:30:12A quick diagnosis is needed so that treatment can begin immediately.
0:30:12 > 0:30:14So, it's just a quick chest X-ray.
0:30:14 > 0:30:17Doctors prefer not to move seriously ill patients.
0:30:18 > 0:30:20So Molly gets to stay where she is
0:30:20 > 0:30:24as a state-of-the-art X-ray machine is brought to resus bed 2.
0:30:25 > 0:30:28And breathe away. That's lovely, we're all finished now.
0:30:28 > 0:30:30- I'll get that...- Oh, is that it?
0:30:30 > 0:30:34- That were quick.- Yeah, nice and speedy these.
0:30:34 > 0:30:36The results are in. It's not good news.
0:30:38 > 0:30:41So, yeah, if you have a look at this here, that's the main airway.
0:30:41 > 0:30:45And those white dotty bits down here, that is what we call
0:30:45 > 0:30:48consolidation, so that's a sign of infection,
0:30:48 > 0:30:52so this means she has got pneumonia on her chest X-ray.
0:30:52 > 0:30:55Are you warm enough, or do you want this cardigan round your shoulders?
0:30:59 > 0:31:01So, we've had a look at your chest X-ray.
0:31:01 > 0:31:04- Yeah.- And it looks like you've got a pneumonia, which is basically...
0:31:04 > 0:31:06- I've got pneumonia? - You've got pneumonia.
0:31:10 > 0:31:13Just from hearing what she said and listening to her chest,
0:31:13 > 0:31:16I was very convinced that it was a pneumonia.
0:31:16 > 0:31:18Pneumonia is a very wide range of severity.
0:31:18 > 0:31:20So we see some people who'll come in with pneumonia,
0:31:20 > 0:31:24maybe people in their 20s or 30s who we just need to give tablet
0:31:24 > 0:31:26antibiotics to and send home.
0:31:26 > 0:31:30Unfortunately it can range through to the very, very severe and we do
0:31:30 > 0:31:33see, unfortunately, people die from pneumonia.
0:31:33 > 0:31:37I'm a bit surprised, like, you just think it's a chest infection.
0:31:37 > 0:31:40Well, it is, isn't it, a chest infection.
0:31:40 > 0:31:43Little bit worse than you think.
0:31:45 > 0:31:46Must get better. Must get better.
0:31:49 > 0:31:51Mum, what did they say?
0:31:53 > 0:31:54Bit of pneumonia?
0:31:54 > 0:31:57Just said I've got pneumonia, it's come up on the X-ray.
0:31:57 > 0:32:00- On the chest X-ray?- Yeah.
0:32:01 > 0:32:04Fortunately for Molly, the prognosis is good.
0:32:04 > 0:32:09We use a scoring system to determine how serious it is and we use that
0:32:09 > 0:32:12scoring system in our assessment of what the patient in front of us
0:32:12 > 0:32:14looks like, to see how serious it is.
0:32:16 > 0:32:18- What are you doing there?- I don't know.
0:32:18 > 0:32:22- Something's coming out here. - You've pulled it off.
0:32:22 > 0:32:26- You're wrecking the joint. - I didn't pull it off at all.
0:32:26 > 0:32:29Hopefully though, she'll come in at a score of a one or a two which is
0:32:29 > 0:32:33a kind of mild-to-moderate, and hopefully with a couple of days of
0:32:33 > 0:32:36intensive treatment and intravenous antibiotics,
0:32:36 > 0:32:38we'll be able to get her turned around and our aim will be to get
0:32:38 > 0:32:41her home in a few days' time and back to exactly how she was before.
0:32:41 > 0:32:43We'll admit you to hospital.
0:32:43 > 0:32:46We'll get you a bed booked on the ward and if there's anything else
0:32:46 > 0:32:48you need, just give me a shout.
0:32:48 > 0:32:52Molly and resus bed 2 will separate, as she will need to be
0:32:52 > 0:32:54admitted to a ward for further treatment.
0:32:55 > 0:32:58You might be waiting a while for a bed, I'm afraid.
0:32:58 > 0:33:00- Nice to meet you.- Cheers.
0:33:02 > 0:33:06My mum's 76 years old.
0:33:06 > 0:33:08You kind of...your family's your everything.
0:33:08 > 0:33:12You know, if... I mean, we are a close family, but if you haven't got
0:33:12 > 0:33:13that, you haven't got nothing.
0:33:15 > 0:33:18And she finds it hard to accept help now.
0:33:18 > 0:33:22But, you know, she's got to have it really, hasn't she?
0:33:33 > 0:33:37The pressure has started to ease at Barnsley Hospital's A&E Department.
0:33:37 > 0:33:39Is she all right, Maria, is she still bleeding?
0:33:39 > 0:33:42She can go home, can't she?
0:33:46 > 0:33:47Lead consultant, Dr Griffiths
0:33:47 > 0:33:50is prepping bed 12 for its next patient.
0:34:01 > 0:34:03Ah, very good, you've come with your own entourage.
0:34:03 > 0:34:05Come and pop into this one, Mr Gommerson.
0:34:07 > 0:34:12Around 7,500 people come here each year after suffering a fall.
0:34:12 > 0:34:15My name's James, I'm one of the doctors.
0:34:15 > 0:34:17If you want to just carefully perch yourself up on there.
0:34:19 > 0:34:2284-year-old boxing coach, Fred, is one of them.
0:34:23 > 0:34:26He tripped over a concrete step at the weekend.
0:34:26 > 0:34:29His wound isn't healing and it could be infected.
0:34:29 > 0:34:31You want to come and have a seat? Are you family members?
0:34:31 > 0:34:33- Yeah, I'm his wife.- Rightio.
0:34:35 > 0:34:37He's here with his wife of 50 years, Barbara,
0:34:37 > 0:34:40and their daughter Beverley.
0:34:40 > 0:34:43So you've been sent up from your GP, is that right, Mr Gommerson?
0:34:43 > 0:34:45- Yeah, that's it.- Let's just see what they've written about you.
0:34:45 > 0:34:48Injured your left upper arm and it happened...
0:34:48 > 0:34:52- How long ago did it happen? - Last Saturday.- Saturday morning.
0:34:52 > 0:34:54I've got to be out for Sunday, I've a lad boxing on Sunday.
0:34:54 > 0:34:57Oh, right, OK. So you coach boxing, do you?
0:34:57 > 0:34:59- Yeah.- Which boxing club is it?
0:34:59 > 0:35:03- Hard And Fast.- My nephews box with Mickey's club in Wath.
0:35:03 > 0:35:06- Wath, I know Mickey.- Yeah.- Have you ever been in, watching?
0:35:06 > 0:35:10- Yeah, I go and watch them.- You like it?- Yeah...yeah. - LAUGHTER
0:35:10 > 0:35:13I'm there to support, I can't say I enjoy it that much.
0:35:13 > 0:35:15Oh, get away with you.
0:35:15 > 0:35:17Wouldn't come to hospital
0:35:17 > 0:35:21because he'd got one of the lads boxing that day.
0:35:21 > 0:35:24But he's been running the gym for 50 years, yeah.
0:35:24 > 0:35:26Going on, yeah.
0:35:26 > 0:35:32We've been married now... 60, is it 60?
0:35:32 > 0:35:35No, about 55, 56 years.
0:35:35 > 0:35:37Somewhere roundabout that region.
0:35:37 > 0:35:41Mind you, you only get seven years for murder.
0:35:41 > 0:35:44No, happiest days of my life, honestly.
0:35:44 > 0:35:45I've been well looked after.
0:35:45 > 0:35:49I've been off to South Africa, Russia, Germany, France,
0:35:49 > 0:35:53and she's waved me goodbye every time, you know.
0:35:53 > 0:35:57For a woman to put up with that, takes a lot of doing.
0:35:58 > 0:36:03So, just down here, going to check your pulse.
0:36:03 > 0:36:05- That's good.- Have I got one?
0:36:05 > 0:36:08Yeah, definitely. Squeeze my fingers.
0:36:08 > 0:36:09Pull me towards you.
0:36:09 > 0:36:11Push me away.
0:36:11 > 0:36:13OK, that's fantastic.
0:36:14 > 0:36:16Quite nasty, isn't it?
0:36:17 > 0:36:19It weren't good.
0:36:19 > 0:36:22So what we shall do is, I'm going to go and grab a swab,
0:36:22 > 0:36:24and we'll swab it and send that to the lab
0:36:24 > 0:36:26just to see if there are any bugs.
0:36:26 > 0:36:30Because you've lost all this area of skin, we won't be able to close it,
0:36:30 > 0:36:33so what we'll do is we'll put, like, a dressing across there
0:36:33 > 0:36:36- and it's going to heal from the base up.- Yeah.
0:36:36 > 0:36:39So it's going to take a bit longer and you're not going to have a nice,
0:36:39 > 0:36:42neat scar. So your modelling days are over, Fred, I'm afraid.
0:36:42 > 0:36:46- LAUGHTER - Are you sure?- Yeah, I'm sorry.
0:36:46 > 0:36:48I'm sorry to break that to you.
0:36:50 > 0:36:54Fred has bad eczema and it's affecting the healing process.
0:36:54 > 0:36:56It could cause a serious infection.
0:36:59 > 0:37:02A swab is taken by Dr Griffiths to be sent for testing.
0:37:08 > 0:37:10I've had a brilliant life.
0:37:10 > 0:37:13We've had us ups and downs. You get enough rest, love,
0:37:13 > 0:37:15when you get in one of them boxes,
0:37:15 > 0:37:18you know them square boxes when they put the lid down and screw you?
0:37:18 > 0:37:19I don't want that yet.
0:37:19 > 0:37:21I'm not ready yet.
0:37:23 > 0:37:25We'll return to A&E bed 12 and Fred later
0:37:25 > 0:37:28to see if he's well enough to go home.
0:37:37 > 0:37:40Back in Birmingham, at the Queen Elizabeth Hospital,
0:37:40 > 0:37:44surgeons have been working for over an hour to try and save Sophie's
0:37:44 > 0:37:46finger, after a vicious dog attack.
0:37:48 > 0:37:49There was very little nail left,
0:37:49 > 0:37:53so we decided that the best thing to do would be to just shorten the
0:37:53 > 0:37:57bone down so you end up with a nice stump on the end of the finger.
0:37:59 > 0:38:03Operation complete, bed 41 takes Sophie back to the ward.
0:38:03 > 0:38:05Mum Katie is waiting.
0:38:06 > 0:38:10- Do you like my purple sleeve? - I like your purple sleeve.
0:38:11 > 0:38:12I was like, "Oh, it's purple!"
0:38:15 > 0:38:20Surgeon, Mr Stone, visits Sophie to reveal the outcome of the operation.
0:38:20 > 0:38:23- How do you do? - Fine, how are you feeling?
0:38:23 > 0:38:26All right, it's like my arm's completely dead.
0:38:26 > 0:38:29Completely dead. Good, that's good, so you don't feel any pain at all?
0:38:29 > 0:38:32No, no pain. How short down?
0:38:32 > 0:38:34So it's probably about, let me show you on your other fingers.
0:38:34 > 0:38:37It's this finger here. So it's sort of in the middle
0:38:37 > 0:38:41- between that bit here and the end of the finger.- OK.
0:38:41 > 0:38:43And we've covered it with as much tissue,
0:38:43 > 0:38:46- so the bone's no longer exposed. - That's fine.- All right?
0:38:46 > 0:38:48Yeah.
0:38:48 > 0:38:50We get a lot of these type of injuries,
0:38:50 > 0:38:53so they're very common, unfortunately.
0:38:53 > 0:38:57But usually these are very good in terms of outcome, functionally.
0:38:57 > 0:38:59It shouldn't cause any problems at all.
0:38:59 > 0:39:02It'll just heal over and be a little stump.
0:39:03 > 0:39:06We can do stick-ons. Stick-on nails, it'll be fine.
0:39:06 > 0:39:08Glue it to my skin.
0:39:09 > 0:39:11Right, OK.
0:39:11 > 0:39:14She definitely covers what she's feeling with a show of,
0:39:14 > 0:39:16"Everything's all right," and...
0:39:16 > 0:39:20If she sees one of us are upset, she's sort of extra, "No, I'm OK,
0:39:20 > 0:39:24"I'm going to look after everybody else." So, yeah.
0:39:24 > 0:39:27She does it...she's quite private when she's upset, Sophie.
0:39:27 > 0:39:29She doesn't like to do it in front of people.
0:39:29 > 0:39:32I'm not going to lie, when they were pulling...
0:39:33 > 0:39:36I was like, "Bye-bye, fingernail."
0:39:36 > 0:39:40Aww. You're very brave.
0:39:40 > 0:39:43I know. I'm a brave, big little girl.
0:39:43 > 0:39:45- You are brave, piglet. - But I'm a piggy down.
0:39:45 > 0:39:47It makes the day a lot easier when you've got a patient that
0:39:47 > 0:39:53actually is friendly and happy to be here, as much as they can be.
0:39:53 > 0:39:57Because at the end of the day, we're all here and we're all just
0:39:57 > 0:39:59trying to make the best of it and enjoy it.
0:39:59 > 0:40:01So when they're easy-going and friendly and laughing,
0:40:01 > 0:40:03it makes the day go quicker.
0:40:05 > 0:40:07With Sophie discharged,
0:40:07 > 0:40:11bed 41 and Nurse Sears prepare for their next patient.
0:40:11 > 0:40:13Not whining!
0:40:13 > 0:40:14THEY LAUGH
0:40:25 > 0:40:27Back at Barnsley Hospital's A&E,
0:40:27 > 0:40:30bed 12 is with 84-year-old boxing coach, Fred.
0:40:32 > 0:40:37He's got a week-old wound that isn't healing and may be infected.
0:40:37 > 0:40:41I've been all over the world with boxing. I'm still coaching.
0:40:41 > 0:40:43I'm only 84, aren't I?
0:40:43 > 0:40:45I mean, still plenty of time yet.
0:40:45 > 0:40:47I hope.
0:40:48 > 0:40:50I want to try and make 100, if I can.
0:40:50 > 0:40:53I'll probably walk out of here and drop dead.
0:40:53 > 0:40:55HE LAUGHS
0:40:56 > 0:40:59Nurse Dobson has been tasked with cleaning his wound.
0:40:59 > 0:41:03- Hiya.- Hello.- You don't hurt, do you? - A little bit. - LAUGHTER
0:41:03 > 0:41:06Can I have a look at it?
0:41:06 > 0:41:09Just so I know what to get, that's all.
0:41:09 > 0:41:11- Mess, isn't it? - It is, what you done?
0:41:11 > 0:41:14- He's fallen up steps.- She pushed me over.- Oh, I didn't push him!
0:41:16 > 0:41:18I must have caught my foot on the bottom step.
0:41:18 > 0:41:22Had some flags stood up and I scraped all down.
0:41:23 > 0:41:27Fred was one of thousands who worked in the Yorkshire coalmines.
0:41:27 > 0:41:29I used to be a bricklayer down the pit.
0:41:29 > 0:41:31Your dad would never let you go down.
0:41:31 > 0:41:33But I had about ten years down there.
0:41:33 > 0:41:36I was always told to avoid it and keep away from the pit,
0:41:36 > 0:41:38which I did.
0:41:38 > 0:41:40And then he met me and became a miner.
0:41:41 > 0:41:45- Then I became an old-age pensioner. - LAUGHTER
0:41:45 > 0:41:50I wouldn't want to go back down again, but the comradeship
0:41:50 > 0:41:54that you've got down the mine and your friends, you worked with them,
0:41:54 > 0:41:57you went out with them on a night.
0:41:57 > 0:41:59A very close-knit community.
0:41:59 > 0:42:03And that has gone from our village now. I miss that very much.
0:42:03 > 0:42:05Really do.
0:42:06 > 0:42:09- Just going to do your blood pressure, all right?- Yeah.
0:42:09 > 0:42:11What's my blood pressure like?
0:42:11 > 0:42:13123/73.
0:42:13 > 0:42:17- Is that all right? - Spot on.- Is it?- It is. Any pain?
0:42:17 > 0:42:20Antibiotics are given to stop the infection spreading.
0:42:23 > 0:42:26After an hour with A&E bed 12...
0:42:26 > 0:42:28Thanks a lot, love. You've been a darlin'.
0:42:28 > 0:42:31..it's time for Fred to leave.
0:42:31 > 0:42:35I'm going to get a pork pie, and away we go home.
0:42:35 > 0:42:38Lovely.
0:42:38 > 0:42:41A&E bed 12 is prepped, ready for its next patient.
0:42:51 > 0:42:53Our hospital beds have given us intimate access
0:42:53 > 0:42:55to the work of the NHS.
0:42:56 > 0:42:58Sophie has to wait for four months
0:42:58 > 0:43:02to find out if she can get a prosthetic finger.
0:43:02 > 0:43:05Michelle's now at home, recovering from her stroke.
0:43:05 > 0:43:08I'm very excited.
0:43:09 > 0:43:12And Fred's wound is healing well. He's back at the boxing club.
0:43:13 > 0:43:15The beds are back on their wards,
0:43:15 > 0:43:18ready and waiting for their next round of patients.