0:00:02 > 0:00:03SIRENS WAIL
0:00:03 > 0:00:08Hospital beds in the NHS have never been under more pressure...
0:00:08 > 0:00:11It's just unrelenting at the moment.
0:00:11 > 0:00:14..with more patients to care for than ever before
0:00:14 > 0:00:17and only 150,000 beds to go round.
0:00:19 > 0:00:21It is a fast-paced job.
0:00:21 > 0:00:22It's a nonstop conveyor belt.
0:00:23 > 0:00:26In this series, we use special cameras on beds
0:00:26 > 0:00:29in four very different hospitals...
0:00:35 > 0:00:36Ah, comfy bed.
0:00:37 > 0:00:40..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...
0:00:46 > 0:00:48Oh, it's coming again.
0:00:50 > 0:00:51You'll get upset...
0:00:51 > 0:00:53and we'll look after you, OK?
0:00:55 > 0:00:56Are you OK, pet?
0:00:56 > 0:00:58..most intimate...
0:00:58 > 0:00:59That's good.
0:00:59 > 0:01:01..and most rewarding...
0:01:01 > 0:01:03moments of our lives.
0:01:03 > 0:01:05So, so happy.
0:01:09 > 0:01:13Coming up - in Barnsley, on resus bed 2,
0:01:13 > 0:01:1756-year-old Elaine's life is on the line as she struggles for breath.
0:01:18 > 0:01:21Don't be scared. We know what we're doing, OK?
0:01:24 > 0:01:27In Leeds, on paediatric bed 3,
0:01:27 > 0:01:29five-year-old Edward reaches the finish line
0:01:29 > 0:01:31in his treatment for leukaemia...
0:01:31 > 0:01:33How long has it been going on for?
0:01:33 > 0:01:36Like, three and a half years. Yeah, yeah.
0:01:39 > 0:01:42..and in Leicester, on maternity bed 5,
0:01:42 > 0:01:47first-time mum-to-be Marcelle faces the reality of giving birth.
0:01:47 > 0:01:49I am so ready to meet him...
0:01:49 > 0:01:52but I'm not ready for the pain to meet him.
0:01:52 > 0:01:53I'm scared.
0:01:58 > 0:02:01Bed's like an extra member of staff, almost.
0:02:01 > 0:02:04This is The Secret Life Of The Hospital Bed.
0:02:13 > 0:02:15Barnsley Hospital in South Yorkshire.
0:02:15 > 0:02:17Hello, emergency department, Barnsley.
0:02:17 > 0:02:18What are his numbers?
0:02:20 > 0:02:23Its A&E department has five resus beds
0:02:23 > 0:02:27that see around 4,000 critically ill patients a year.
0:02:27 > 0:02:2943 patients in the department at the moment.
0:02:29 > 0:02:31Anyone briefing the TGT nurse?
0:02:31 > 0:02:33So it's just a constant cycle, really.
0:02:33 > 0:02:37These beds are reserved for patients whose lives are at risk.
0:02:37 > 0:02:41- OK, bit of pushing.- She's in, yeah, she's in cubicle number 3.
0:02:41 > 0:02:45Today, resus bed 2 is being prepped for its next patient.
0:02:47 > 0:02:5156-year-old Elaine has been rushed into hospital gasping for breath.
0:02:55 > 0:02:58She's suffocating and barely able to speak.
0:02:58 > 0:03:02Don't be scared. We know what we're doing, OK?
0:03:02 > 0:03:05Please don't get upset. We'll look after you, OK?
0:03:05 > 0:03:07All right?
0:03:07 > 0:03:10Elaine has a tube in her neck to allow her to breathe,
0:03:10 > 0:03:11but it's become blocked.
0:03:13 > 0:03:16Are you allergic to anything? Penicillin...
0:03:16 > 0:03:18and doxycycline.
0:03:19 > 0:03:22Dr Cliff has to act quickly to clear the airway.
0:03:24 > 0:03:26Good, well done. Just nice, deep breaths.
0:03:26 > 0:03:28Going to get you some more saline for this, as well.
0:03:28 > 0:03:31It's an acute emergency. She's essentially drowning.
0:03:31 > 0:03:34It's essentially like somebody taping your mouth shut.
0:03:34 > 0:03:36You've got seconds to react.
0:03:36 > 0:03:41Elaine's tube is removed and flushed out with a saline nebuliser.
0:03:41 > 0:03:42Have you got some suction?
0:03:42 > 0:03:45Are you ready for suctioning again, sweetheart?
0:03:45 > 0:03:49At Elaine's side is soon to be daughter-in-law Gemma.
0:03:49 > 0:03:52The tube is, like, blocked.
0:03:52 > 0:03:54She can't unblock it herself.
0:03:54 > 0:03:57It's awful. It is awful when she can't breathe.
0:03:57 > 0:03:58Yeah, very scary.
0:03:59 > 0:04:03How old are you, sweetheart? 56?
0:04:03 > 0:04:06Elaine had to have a breathing pipe inserted five years ago
0:04:06 > 0:04:08due to having chronic lung disease.
0:04:09 > 0:04:13She's been rushed into hospital with a blocked tube several times.
0:04:14 > 0:04:16Elaine has had, what we call, a tracheostomy.
0:04:16 > 0:04:19So, it's a tube that helps her breathe through her neck
0:04:19 > 0:04:20rather than through her mouth.
0:04:20 > 0:04:23When you've got that artificial airway,
0:04:23 > 0:04:26it's got the potential for... for it to block off.
0:04:26 > 0:04:27Is that feeling any easier?
0:04:27 > 0:04:29Yeah, starting to work. Yeah.
0:04:29 > 0:04:33After 20 minutes, Elaine's symptoms have calmed down,
0:04:33 > 0:04:35but she's not safe yet.
0:04:35 > 0:04:37Dr Cliff has seen this happen before.
0:04:37 > 0:04:40Cos you scared me on my first day of ENT, didn't you?
0:04:40 > 0:04:44- Once seen never forgotten. - I've gotta scare you at least once.
0:04:44 > 0:04:46- Well, yes, exactly. - She scares everybody.
0:04:46 > 0:04:50Luckily with Elaine, she knows what to do in the majority of the time,
0:04:50 > 0:04:54but as panic sets in, you don't always think quite rationally
0:04:54 > 0:04:55and, at times, when she is unwell,
0:04:55 > 0:04:58then she needs to come into hospital for extra support.
0:05:23 > 0:05:26But at least we can smile about it, as well. Afterwards.
0:05:26 > 0:05:28It's an unfortunate situation with Elaine,
0:05:28 > 0:05:32but she's a lovely lady who makes the most of it as best she can.
0:05:32 > 0:05:34She's always got a smile on her face and always happy,
0:05:34 > 0:05:35so it's always nice to see her.
0:05:35 > 0:05:40Do you feel like you still need suctioning? No, brilliant.
0:05:40 > 0:05:42I'm so glad you're here. Thank you.
0:05:43 > 0:05:47Doctors need to monitor Elaine in case she starts to suffocate again.
0:05:58 > 0:06:00We'll return to resus bed 2 later,
0:06:00 > 0:06:02to see whether Elaine's condition stabilises.
0:06:10 > 0:06:12Leeds Children's Hospital
0:06:12 > 0:06:15is one of the largest paediatric centres in the UK.
0:06:15 > 0:06:18High five. Oh!
0:06:18 > 0:06:20It has 26 beds on its day surgery unit.
0:06:20 > 0:06:22I dance a lot.
0:06:23 > 0:06:27These beds are with their young patients through tough times,
0:06:27 > 0:06:28both before...
0:06:28 > 0:06:30What do you like to do when you're in hospital?
0:06:30 > 0:06:33Go home.
0:06:33 > 0:06:34..and after surgery.
0:06:37 > 0:06:40Paediatric bed 3 is ready for its next patient.
0:06:42 > 0:06:44- It's number 3!- Wow!
0:06:44 > 0:06:46This is your bed for the day.
0:06:46 > 0:06:50- That's good, in't it? - Right, make yourself comfortable.
0:06:50 > 0:06:54The first patient to arrive on the ward today is five-year-old Edward.
0:06:54 > 0:06:56He's here with his mum, Steph.
0:06:58 > 0:06:59Smelly feet.
0:07:00 > 0:07:02Edward has come for an operation,
0:07:02 > 0:07:05which will mark the end of his treatment for leukaemia.
0:07:05 > 0:07:07- Do it... - MUM GASPS
0:07:07 > 0:07:09THEY LAUGH
0:07:09 > 0:07:11Ah, no!
0:07:11 > 0:07:13Well, it's OK, Edward, we can fix this.
0:07:13 > 0:07:15For the last three and a half years, Edward's treatments
0:07:15 > 0:07:18have been administered via a port line in his chest...
0:07:18 > 0:07:21He's quite proud of it, so he's not scared of showing you.
0:07:21 > 0:07:23..which is often referred to as a wiggly.
0:07:23 > 0:07:25So, why have you come with us today?
0:07:25 > 0:07:27- Take my wiggly out.- Have you?
0:07:27 > 0:07:29So have you got a wiggly?
0:07:29 > 0:07:32Are we going to...? Do you not need it any more?
0:07:32 > 0:07:34Are you excited?
0:07:34 > 0:07:35- No.- No?
0:07:35 > 0:07:38Have you got... Sometimes you get attached to these things, don't you?
0:07:38 > 0:07:41Looking after Edward today is Sister Nuttall.
0:07:41 > 0:07:44You wanted it out, but you did say, "Oh, why does it have to be today?"
0:07:44 > 0:07:48- Oh, dear. Did you have something better to do?- Clearly!
0:07:48 > 0:07:50And I've just said, "Oh, you can't go to school tomorrow,"
0:07:50 > 0:07:53and he's like, "Oh, for God's sake!" It's such an inconvenience.
0:07:53 > 0:07:55- You like school - well, that's good, in't it?- Yeah.
0:07:55 > 0:07:58- How long has it been going on for? - Like, three and a half years.
0:07:58 > 0:08:01- Oh, yeah.- Yeah, yeah.- Gosh.
0:08:01 > 0:08:04- So this is like a complete milestone, in't it?- Yeah, God.
0:08:04 > 0:08:07Edward was diagnosed with leukaemia three years ago,
0:08:07 > 0:08:09when he was just two years old.
0:08:09 > 0:08:12I remember it well, but it was one of those things, like,
0:08:12 > 0:08:14you just think, "Fine. What do we do?"
0:08:14 > 0:08:18So it wasn't the end of the world for us.
0:08:18 > 0:08:22They said the odds are good for children to recover from it,
0:08:22 > 0:08:23it's just a long journey.
0:08:23 > 0:08:27Survival rates for children with leukaemia
0:08:27 > 0:08:30have improved dramatically in recent years.
0:08:30 > 0:08:3490% of children diagnosed survive more than five years,
0:08:34 > 0:08:37after which a relapse is considered highly unlikely.
0:08:37 > 0:08:39EDWARD BLOWS RASPBERRY
0:08:39 > 0:08:41That's a rude noise.
0:08:41 > 0:08:46- Can you do it?- What? - EDWARD BLOWS RASPBERRY
0:08:46 > 0:08:48- I can't do one.- It makes a sound.
0:08:48 > 0:08:51Surgical registrar Miss Anna
0:08:51 > 0:08:54will be performing the operation today.
0:08:54 > 0:08:57All right, Edward, today's the day.
0:08:57 > 0:08:59Do you know what we're going to do today?
0:08:59 > 0:09:01- What are you here for? - Taking my wiggly out.
0:09:01 > 0:09:03We're taking your wiggly out.
0:09:03 > 0:09:04That is very true.
0:09:04 > 0:09:07We used to be able to give it to you to keep...
0:09:07 > 0:09:10- I don't know! It's a bit gruesome. - ..if you wanted.
0:09:10 > 0:09:11I'm afraid we can't any more...
0:09:11 > 0:09:13Well, I don't know what we'd do with it, anyway.
0:09:13 > 0:09:15..but would you like a photograph?
0:09:15 > 0:09:18- Would you like a picture? - Yeah.- Of your wiggly?- Yeah.
0:09:18 > 0:09:20- Are you happy?- Yeah.
0:09:20 > 0:09:24So he's been under treatment now for about three, four years -
0:09:24 > 0:09:27and it is serious, it was a type of blood cancer,
0:09:27 > 0:09:29but his prognosis is very good.
0:09:29 > 0:09:33And the longer it goes on, the more likely a positive outcome.
0:09:35 > 0:09:38- Oh, no, you've won! Look, you've won.- Where?
0:09:38 > 0:09:40There, look!
0:09:40 > 0:09:44- Yeah!- You didn't even know. I shouldn't have told you.
0:09:44 > 0:09:46Edward is finally called to surgery.
0:09:50 > 0:09:54Leaving paediatric bed 3 behind, as he heads to theatre.
0:09:54 > 0:09:56Oh, you're so heavy.
0:09:56 > 0:09:59Later we'll re-join Edward to find out if his port line
0:09:59 > 0:10:01is successfully removed.
0:10:01 > 0:10:03- Hello.- Hello.
0:10:12 > 0:10:16Leicester, at the Royal Infirmary's Maternity Unit.
0:10:18 > 0:10:21More than 100 babies are born here each week.
0:10:21 > 0:10:24- BABY CRIES - Oh, my word!
0:10:24 > 0:10:25Fantastic!
0:10:25 > 0:10:27Congratulations!
0:10:27 > 0:10:30The unit's 16 beds are constantly under pressure,
0:10:30 > 0:10:33working a 24-hour shift...
0:10:33 > 0:10:34Come on, you can do this.
0:10:34 > 0:10:35You're doing absolutely amazing.
0:10:35 > 0:10:37..seven days a week.
0:10:37 > 0:10:40BABY CRIES
0:10:40 > 0:10:43The bed situation, it seems a lot better today.
0:10:43 > 0:10:45Busy days can be a bit manic.
0:10:45 > 0:10:46That's part of the job, isn't it?
0:10:46 > 0:10:50There you go. I think you're busy.
0:10:52 > 0:10:57Maternity bed 5 is ready for its next expectant mum.
0:10:57 > 0:11:00What I'll do is I'll get you some pain relief.
0:11:00 > 0:11:03There's some dihydrocodeine here, as well.
0:11:04 > 0:11:05OK?
0:11:05 > 0:11:08- So much better when I sit.- Is it?
0:11:08 > 0:11:09You'll be all right in a minute.
0:11:09 > 0:11:12First-time mum-to-be 25-year-old Marcelle
0:11:12 > 0:11:14has been admitted to the unit today
0:11:14 > 0:11:16two weeks ahead of her due date.
0:11:18 > 0:11:21Just take some nice, deep breaths, OK?
0:11:21 > 0:11:23That's it. All the way.
0:11:23 > 0:11:27She's in the early stages of labour, and there are concerns.
0:11:27 > 0:11:28Well done.
0:11:28 > 0:11:30Can I turn you on your left side for a little bit?
0:11:30 > 0:11:33Is that all right? Just going to lay back the bed a little bit,
0:11:33 > 0:11:36just to wake baby up a tad. Yeah?
0:11:36 > 0:11:39Midwife Struck is checking the baby's heart rate and movements.
0:11:39 > 0:11:41Pop your head up for me.
0:11:41 > 0:11:43Is it meant to hurt more if I go on my side?
0:11:43 > 0:11:47No. Sometimes it might, just as the baby's positioning,
0:11:47 > 0:11:51but it's just to try and wake baby up a little bit, that's all.
0:11:51 > 0:11:53The baby's a little bit what we call sleepy,
0:11:53 > 0:11:57so I've turned Marcelle onto her left side on the bed
0:11:57 > 0:11:59and the idea is it increases the blood flow -
0:11:59 > 0:12:02and therefore, you know, improves baby's heart rate,
0:12:02 > 0:12:04and that's what we always do.
0:12:04 > 0:12:07Marcelle's baby is moving less than normal,
0:12:07 > 0:12:09a sign that the baby's health may be at risk.
0:12:09 > 0:12:11So we're going to be on here for about half an hour.
0:12:11 > 0:12:14With your contractions, they're starting off perfectly,
0:12:14 > 0:12:16so this is how it all begins.
0:12:16 > 0:12:18I just want them to last for a little bit longer.
0:12:18 > 0:12:20Yeah, real toe-curler ones.
0:12:20 > 0:12:23So you're going to be on here for about half an hour.
0:12:23 > 0:12:26All right? Baby looks quite happy at the moment.
0:12:26 > 0:12:28- All right?- Thank you.- OK.
0:12:28 > 0:12:32Marcelle's mum, Margaret, and her Auntie Suzanna live nearby.
0:12:32 > 0:12:34They're on their way in to support her.
0:12:34 > 0:12:36My mum's name's Margaret.
0:12:36 > 0:12:39We're practically best friends.
0:12:39 > 0:12:41We do everything together.
0:12:41 > 0:12:43She knows me like no-one knows me.
0:12:43 > 0:12:45I don't know what - I would probably...
0:12:45 > 0:12:48don't know what I'm doing for this whole pregnancy without her.
0:12:48 > 0:12:50Yeah, she helps a lot.
0:12:51 > 0:12:55- Hello, girl.- Hello.
0:12:55 > 0:12:58Hi, Mum.
0:12:58 > 0:13:01- Ready?- I'm not ready.
0:13:01 > 0:13:03- You're not ready?- No.
0:13:03 > 0:13:06My back is killing me. Careful with the camera.
0:13:08 > 0:13:11Marcelle desperately wants to have a natural delivery.
0:13:12 > 0:13:14Only around one in four women
0:13:14 > 0:13:17give birth in the UK without any intervention,
0:13:17 > 0:13:20such as an induction or an epidural.
0:13:20 > 0:13:24It breaks my heart to know that I can't take away the pain from her,
0:13:24 > 0:13:26but she knows that I'm here.
0:13:26 > 0:13:29This is just the beginning of...
0:13:29 > 0:13:32Let's say one to ten, she's about two.
0:13:35 > 0:13:37Yeah, two, so I'm just preparing her
0:13:37 > 0:13:43for the other eight steps to come in terms of all the pain.
0:13:43 > 0:13:46It's kind of like, I'm so ready to meet him,
0:13:46 > 0:13:51but I'm not ready for the pain to meet him, if that makes sense.
0:13:51 > 0:13:55I'm, like, I just wish he could just appear out of nowhere.
0:13:57 > 0:13:59Is there no way around it?
0:13:59 > 0:14:03- MARGARET LAUGHS - There has to be a way around it.
0:14:05 > 0:14:06I'm scared.
0:14:08 > 0:14:10We'll return later to maternity bed 5,
0:14:10 > 0:14:15to find out if Marcelle manages to have her dream natural birth.
0:14:22 > 0:14:25Back at Leeds Children's Hospital,
0:14:25 > 0:14:28on surgical bed 6 is five-year-old Edward,
0:14:28 > 0:14:31who is in remission from leukaemia.
0:14:34 > 0:14:37He's having an operation to remove the port line
0:14:37 > 0:14:39through which his medications have been given,
0:14:39 > 0:14:41marking the end of his cancer treatment.
0:14:44 > 0:14:48Surgical registrar Miss Anna will be removing what is known as a wiggly
0:14:48 > 0:14:50or port line.
0:14:50 > 0:14:52So, once the patient's asleep,
0:14:52 > 0:14:55we'll cut through the tissues and we'll find the port,
0:14:55 > 0:15:00and then we'll remove it, so we can take a photograph of Mr Wiggly.
0:15:00 > 0:15:03Yeah, it's like the happy ending to the story, in a way,
0:15:03 > 0:15:05that you get to at the end.
0:15:07 > 0:15:11Edward's mum Steph has to wait outside theatre.
0:15:11 > 0:15:15You know they're going to be OK, but it's still worrying,
0:15:15 > 0:15:19cos I don't know how long I'm waiting, it just makes it...
0:15:19 > 0:15:22So I'm just sat here hoping that he's going to be OK.
0:15:24 > 0:15:25Erm, it seems OK at the moment.
0:15:25 > 0:15:28I'm just releasing the port.
0:15:28 > 0:15:30Have we got retractors?
0:15:30 > 0:15:32OK, so we're about to remove the port now.
0:15:33 > 0:15:38So this is the line that was sitting in the vein.
0:15:40 > 0:15:42And there you go. There's Mr Wiggly.
0:15:45 > 0:15:47The port line is successfully removed.
0:15:48 > 0:15:53For mum, Steph, this means the end of constant hospital visits.
0:15:54 > 0:15:56I can't even express how happy I am about it.
0:15:56 > 0:15:59That was the final thing that needed to be done, so...
0:15:59 > 0:16:02like, from today, that's it, we're done.
0:16:02 > 0:16:06After 45 minutes, Edward's operation is over.
0:16:06 > 0:16:11Surgical bed 6 takes him back to paediatric bed 3 on the ward.
0:16:12 > 0:16:15Ready, steady, move.
0:16:16 > 0:16:19Let's get you nice and comfy.
0:16:19 > 0:16:21Within an hour, Edward's awake -
0:16:21 > 0:16:24and he soon notices that something has changed.
0:16:24 > 0:16:26No wiggly.
0:16:26 > 0:16:28No wiggly. Good.
0:16:28 > 0:16:30- I can't feel it.- You can't feel it?
0:16:32 > 0:16:33Look.
0:16:34 > 0:16:37That's what were in there, so that bit there
0:16:37 > 0:16:40is where they put the needle in
0:16:40 > 0:16:42and all your medicine went into there -
0:16:42 > 0:16:47and that is what went up there.
0:16:47 > 0:16:51With Edward's treatment over, his family can now plan for the future.
0:16:51 > 0:16:54We need a holiday, don't we, Edward?
0:16:54 > 0:16:58Yeah, we've not been able to go on a proper holiday for years,
0:16:58 > 0:17:00so, yeah, we can't wait to be able to go -
0:17:00 > 0:17:02and Edward wants to go on an aeroplane,
0:17:02 > 0:17:06so we have to go on an aeroplane, don't we?
0:17:09 > 0:17:12The time has come for Sister Nuttall to discharge Edward
0:17:12 > 0:17:14from paediatric bed 3.
0:17:14 > 0:17:16Well, it's been lovely to meet you.
0:17:16 > 0:17:19- Yeah, you too. - And good luck with everything else.
0:17:19 > 0:17:21- Thank you.- And hopefully, young man,
0:17:21 > 0:17:23we won't need to see you again, will we?
0:17:23 > 0:17:26- Took my wiggly out.- Because you took your wiggly out, yeah.
0:17:26 > 0:17:29Yeah, your wiggly's all gone, so you don't need to come back and see us.
0:17:29 > 0:17:30That's really good, isn't it?
0:17:30 > 0:17:34- Yeah?- Yeah.- Okey dokey.
0:17:34 > 0:17:35It's absolutely fantastic.
0:17:35 > 0:17:38Just being in the system for three years, having treatment,
0:17:38 > 0:17:40he's had a lovely recovery.
0:17:40 > 0:17:42Erm, he's done really, really well.
0:17:42 > 0:17:44So, yeah, I wish them both the very best for the future.
0:17:44 > 0:17:45Get on with their lives.
0:17:45 > 0:17:50High five. Ah! That hurt my hand. Thank you very much.
0:17:50 > 0:17:52Thank you. See ya later.
0:17:52 > 0:17:54As Edward and his mum head home,
0:17:54 > 0:17:57paediatric bed 3 is free to be stripped down,
0:17:57 > 0:17:58ready for its next patient.
0:18:07 > 0:18:10Coming up on the Secret Life Of The Hospital Bed...
0:18:13 > 0:18:15You know you're safe, though, don't you?
0:18:15 > 0:18:17..on resus bed 2, Elaine's breathing tube blocks up again,
0:18:17 > 0:18:20leaving her gasping for breath.
0:18:20 > 0:18:23This might change plans about going home. You know that?
0:18:25 > 0:18:27In Leicester, on maternity bed 5,
0:18:27 > 0:18:30there are complications with Marcelle's labour...
0:18:30 > 0:18:32Still got a pain there?
0:18:32 > 0:18:34SHE SCREAMS
0:18:34 > 0:18:40..and in Leeds, on paediatric bed 3, two-year-old Isaac faces surgery.
0:18:40 > 0:18:44I know I've got a real phobia and I know that I'd be absolutely no good
0:18:44 > 0:18:45and I'd make him worse.
0:18:50 > 0:18:53Back in Barnsley's A&E department.
0:18:53 > 0:18:54Ah, she's got a new AF.
0:18:54 > 0:18:57She's got a couple of rib fractures on the X-ray.
0:18:57 > 0:19:00Resus bed 2 is with 56-year-old Elaine.
0:19:00 > 0:19:03Don't be scared, we know what we're doing, OK?
0:19:03 > 0:19:07Elaine was rushed into hospital when her breathing tube became blocked
0:19:07 > 0:19:09and she started to suffocate.
0:19:09 > 0:19:11Good. Well done. Just nice, deep breaths.
0:19:11 > 0:19:13Going to get you some more saline.
0:19:14 > 0:19:16After emergency intervention by doctors,
0:19:16 > 0:19:18her breathing has begun to stabilise.
0:19:20 > 0:19:23How's that feeling? All right, better.
0:19:25 > 0:19:26I bet you're shattered, aren't you?
0:19:26 > 0:19:27Yeah.
0:19:40 > 0:19:44Like Elaine, around 12,000 people have a tracheostomy tube
0:19:44 > 0:19:47inserted each year, to enable them to breathe.
0:19:56 > 0:19:59Elaine has been told she will need to have the breathing tube
0:19:59 > 0:20:00for the rest of her life.
0:20:17 > 0:20:21Elaine's been on resus bed 2 for an hour and a half.
0:20:21 > 0:20:24Dr Cliff comes back to check if Elaine's breathing has improved.
0:20:24 > 0:20:28- So when are you next due for a trachy change?- It's due next week.
0:20:28 > 0:20:32- OK. Right, so you've got a follow up with...- ENT.- Yeah, right.
0:20:32 > 0:20:34And you've got spare tubes and things at home, have you?
0:20:34 > 0:20:35- I have.- Yeah. Good.
0:20:35 > 0:20:38- Do you feel well enough to go home? - Yeah.- Yeah?- Yeah, yeah, yeah.
0:20:38 > 0:20:39I feel a lot better now.
0:20:39 > 0:20:42You just panic, don't you? When you can't breathe.
0:20:42 > 0:20:44There's no...
0:20:44 > 0:20:47I can go home.
0:20:47 > 0:20:48Yes!
0:20:49 > 0:20:52I can go home. So, that's...
0:21:02 > 0:21:03You need suctioning?
0:21:03 > 0:21:04Ten minutes later,
0:21:04 > 0:21:07Elaine's condition takes a turn for the worse.
0:21:07 > 0:21:09Just hold that there for me, pet.
0:21:09 > 0:21:12Let me just grab some gloves.
0:21:12 > 0:21:16Nurse Reynolds has been looking after Elaine for several hours.
0:21:16 > 0:21:20This might change plans about going home, you know that?
0:21:20 > 0:21:22The bottom line is, we need you to be safe.
0:21:22 > 0:21:24There's no point going home to come back.
0:21:24 > 0:21:27- No.- And if this happens during the night, when we're asleep...
0:21:27 > 0:21:30Yeah, that would be another story.
0:21:30 > 0:21:32I'm going to go and speak to the doctor.
0:21:32 > 0:21:34Just give me one minute, OK?
0:21:34 > 0:21:37Are you all right holding it there? I'll be back in a sec.
0:21:37 > 0:21:38ELAINE MOUTHS
0:21:38 > 0:21:41Don't keep saying sorry. It's not your fault, is it?
0:21:41 > 0:21:47I've given her a saline neb and suction, but she's...
0:21:47 > 0:21:49- This might change her plan about going home.- Mm.
0:21:49 > 0:21:52- How you feeling now?- Feeling a bit better, but still rubbish.
0:21:52 > 0:21:54Right. Let's have a look.
0:21:54 > 0:21:55So Elaine's had another episode
0:21:55 > 0:21:57where she's blocked up her trachy again.
0:21:57 > 0:22:00Those secretions are just too thick to...
0:22:00 > 0:22:01For her to be able to get up,
0:22:01 > 0:22:03and it's blocking off in her neck.
0:22:03 > 0:22:06So we're having to keep her back on the nebulisers,
0:22:06 > 0:22:08but we'll probably have to do it as an inpatient setting,
0:22:08 > 0:22:10because it's happening too frequently
0:22:10 > 0:22:11for us to let her to go home.
0:22:12 > 0:22:17No point sending you home if you're not well enough, darling, OK?
0:22:17 > 0:22:20The oxygen levels are good. They're 99, OK?
0:22:20 > 0:22:23Yeah, that's really good.
0:22:23 > 0:22:26Elaine's hopes of being discharged have been dashed.
0:22:26 > 0:22:30She'll stay on resus bed 2 until a bed becomes free on another ward.
0:22:41 > 0:22:44Back in Leicester, at the Royal Infirmary,
0:22:44 > 0:22:47maternity bed 5 is on the move to the high-risk delivery unit.
0:22:47 > 0:22:49Yeah, come with us.
0:22:53 > 0:22:56- Thank you. - MARCELLE MOANS
0:22:56 > 0:22:5825-year-old mum-to-be Marcelle
0:22:58 > 0:23:01had been hoping to have a completely natural birth...
0:23:02 > 0:23:03Hold on, you're nearly there now.
0:23:03 > 0:23:07It's just one of these rooms on the... On the right-hand side.
0:23:07 > 0:23:10Oh, my God.
0:23:10 > 0:23:14..but midwives fear her unborn baby may be at risk,
0:23:14 > 0:23:17so they want to induce her using a hormone drip.
0:23:19 > 0:23:23I'm not too happy about, obviously, having to have the drip,
0:23:23 > 0:23:25the hormone drip, but I'd rather that
0:23:25 > 0:23:29than having to have the complications of delaying labour
0:23:29 > 0:23:33and then having to have forceps or C-section.
0:23:33 > 0:23:36So it's kind of like the best of two evils.
0:23:36 > 0:23:40Midwife Tattersall has taken over Marcelle's care.
0:23:40 > 0:23:43Everybody's different. Some people respond to it really quickly,
0:23:43 > 0:23:46some people it takes a little bit of time to get them into labour.
0:23:46 > 0:23:48So, just so you're aware, you know,
0:23:48 > 0:23:50- on the most part, it's very effective.- Mm-hm.
0:23:50 > 0:23:52All right.
0:23:52 > 0:23:55'Initially she started off essentially as a low risk lady,'
0:23:55 > 0:23:58but because she's had the episodes of reduced foetal movements
0:23:58 > 0:24:00and now we're going to be starting her labour,
0:24:00 > 0:24:02it then puts her in a higher risk category.
0:24:02 > 0:24:07Marcelle is being supported by mum Margaret and Auntie Susanna.
0:24:08 > 0:24:12Marcelle's had to let go of her dream of a completely natural birth,
0:24:12 > 0:24:14but she's adjusting to the situation.
0:24:14 > 0:24:17- I've not actually put it down. Because their mind is so set...- Set.
0:24:17 > 0:24:20..that that is the birth that they're going to have
0:24:20 > 0:24:23that they can't comprehend something else,
0:24:23 > 0:24:24and then they stress the baby
0:24:24 > 0:24:28and then end up having to have forcep and C-sections,
0:24:28 > 0:24:32because their mind isn't ready to adjust
0:24:32 > 0:24:35to a change from their birthing plan.
0:24:43 > 0:24:46After 15 hours on maternity bed 5,
0:24:46 > 0:24:49Marcelle eventually reaches the final stages of labour.
0:24:49 > 0:24:52- Now, listen, Marcelle, you're fully dilated.- Am I?
0:24:52 > 0:24:56Yeah, your baby's head is just sitting here.
0:24:56 > 0:25:00You've got next to no work to do at all.
0:25:00 > 0:25:04'She is fully dilated. So we're going to give Marcelle'
0:25:04 > 0:25:07an hour, which means, because she's got an epidural that's working
0:25:07 > 0:25:09on board and she's comfortable,
0:25:09 > 0:25:12the contractions will do some of the work for her.
0:25:12 > 0:25:15So when we start pushing, she'll have less work to do.
0:25:15 > 0:25:17I'm excited! I'm really pleased for her.
0:25:17 > 0:25:21So, hopefully we'll see her baby soon.
0:25:23 > 0:25:25Still got a pain there?
0:25:25 > 0:25:26OK, really go for it then.
0:25:26 > 0:25:27Big push down for me.
0:25:29 > 0:25:31Good! Good, that is perfect.
0:25:31 > 0:25:33Well done. Now keep that coming as long and hard as you can.
0:25:33 > 0:25:36And again. Good. Good. Well done.
0:25:36 > 0:25:41You're doing brilliantly. Won't be long before we get to see him.
0:25:41 > 0:25:43Give baby some space.
0:25:43 > 0:25:45That's it. Fantastic! Now, keep that push coming.
0:25:45 > 0:25:47That's it. For as long as you can.
0:25:47 > 0:25:50OK, that's your baby's head delivered.
0:25:50 > 0:25:51OK? That's the worst part.
0:25:51 > 0:25:53You've done so well.
0:25:55 > 0:25:58Next contraction, big push down into your bum
0:25:58 > 0:26:00and we'll have your baby, OK?
0:26:00 > 0:26:03MARCELLE SCREAMS
0:26:03 > 0:26:08There we go. Fantastic! Congratulations!
0:26:08 > 0:26:10Oh, congratulations.
0:26:10 > 0:26:14- He's lovely.- Oh, my God! - BABY CRIES
0:26:14 > 0:26:18I love you so much.
0:26:20 > 0:26:22Absolutely over the moon.
0:26:22 > 0:26:24There's no words to express...
0:26:24 > 0:26:28how joyful I am to be a grandma.
0:26:28 > 0:26:30I'm going to be a proud grandmother.
0:26:30 > 0:26:31Absolutely.
0:26:31 > 0:26:35- I can't believe he's here. - He's here.
0:26:37 > 0:26:39Thank you so, so much.
0:26:39 > 0:26:41Marcelle, you did it all, my lovely.
0:26:43 > 0:26:46You're a star!
0:26:46 > 0:26:50- Ah, Marcelle, he's lovely. - He's beautiful.
0:26:50 > 0:26:51Hello!
0:26:51 > 0:26:55Maternity bed 5 will stay with Marcelle and baby Dylan,
0:26:55 > 0:26:58while they share precious bonding time together.
0:27:09 > 0:27:12Back in Barnsley's A&E Department.
0:27:13 > 0:27:14To go down to 29.
0:27:14 > 0:27:19They would then give a bed for the lady in A&E.
0:27:22 > 0:27:24On bed 12, 72-year-old David
0:27:24 > 0:27:26has been rushed in by ambulance
0:27:26 > 0:27:30having fallen six feet from a ladder.
0:27:30 > 0:27:32Ooh, that's painful.
0:27:32 > 0:27:34He's with his wife of 50 years, Di.
0:27:36 > 0:27:38David is being given morphine.
0:27:38 > 0:27:40There's concern he may have fractured his spine.
0:27:40 > 0:27:43How did you get up off the floor?
0:27:43 > 0:27:45I don't know.
0:27:49 > 0:27:52Mm, while you got your wind back.
0:27:52 > 0:27:54- Hello.- Hello.
0:27:54 > 0:27:57Consultant Dr Walker is treating David today.
0:27:57 > 0:28:00Right. What brings you to us today?
0:28:00 > 0:28:02I came off a ladder.
0:28:02 > 0:28:04- And your feet were about that high. - And then... Yes.- OK.
0:28:04 > 0:28:07And all at once, the ladder slipped, and...
0:28:07 > 0:28:10- So the ladder went like that, did it, down?- That's correct.
0:28:10 > 0:28:15- I landed on my back.- So is the main problem your back?- My back, yes.
0:28:15 > 0:28:19- He had a fight with a concrete floor.- Yes. From six feet.
0:28:19 > 0:28:20You've got to mend it now.
0:28:20 > 0:28:22Do you want to show me where the most painful bit is?
0:28:27 > 0:28:28- Round...- Round here.
0:28:28 > 0:28:30Can we get your dressing gown off?
0:28:30 > 0:28:33- We can.- You've got your pyjamas on underneath, have you?
0:28:33 > 0:28:36- Hopefully.- So, where's it sore?
0:28:37 > 0:28:40- Just about... About there.- OK.
0:28:40 > 0:28:44- So any pain further up here? - No.- Just rest yourself back.
0:28:44 > 0:28:46Right, OK.
0:28:46 > 0:28:49So we probably need to get an X-ray of your back, OK?
0:28:49 > 0:28:52- Your lower back.- That's fine, yes. - And then we'll see what we can find.
0:28:52 > 0:28:55- Right.- You'll go to X-ray and I'll see you when you come back.
0:28:55 > 0:28:57- Lovely. Thanks very much. - OK? All right.
0:28:58 > 0:29:02Ladders account for around 40% of falls from height,
0:29:02 > 0:29:03causing major injuries.
0:29:05 > 0:29:09Dr Walker believes David's fall may have caused serious damage.
0:29:09 > 0:29:11He is 72. So, he's not a young man
0:29:11 > 0:29:14to be climbing a ladder and falling off it.
0:29:14 > 0:29:17Older people get quite severe injuries
0:29:17 > 0:29:20as a consequence of just falling from standing.
0:29:20 > 0:29:22Never mind falling from six feet.
0:29:22 > 0:29:24I just feel tired. Ah...
0:29:26 > 0:29:31He was determined he was coming home after he'd had this accident.
0:29:31 > 0:29:33He wasn't going to, you know,
0:29:33 > 0:29:36stay about at the bottom of the ladder and call for an ambulance.
0:29:36 > 0:29:37It's just not him.
0:29:37 > 0:29:41I was...in agony, but I didn't...
0:29:41 > 0:29:45After I'd had a rest I thought I'd be all right.
0:29:45 > 0:29:47Tough Yorkshireman, you see.
0:29:47 > 0:29:49I don't know about that bit.
0:29:49 > 0:29:52I managed to get in the bath, you know, to relax,
0:29:52 > 0:29:55and then I couldn't get out of the bath.
0:29:55 > 0:30:00Then I started shaking, so that's when we called for the paramedics.
0:30:00 > 0:30:02I mean, a lot of people are very stoical,
0:30:02 > 0:30:05and they will not want to bother anybody -
0:30:05 > 0:30:08and there's a balance between rushing off to hospital
0:30:08 > 0:30:10when you're slightly unwell and being too stoical,
0:30:10 > 0:30:13and waiting too long, such that, you know,
0:30:13 > 0:30:17your delay actually adds problems to your management.
0:30:17 > 0:30:20- When you've had that morphine. - Yeah.- Feel a bit dopey.
0:30:20 > 0:30:23Mm, you don't look as good now.
0:30:23 > 0:30:25He's had two knee operations, bless him,
0:30:25 > 0:30:27and various other operations, too.
0:30:27 > 0:30:28Mm.
0:30:28 > 0:30:31He's my bionic man, I think.
0:30:32 > 0:30:34If David's spine is fractured
0:30:34 > 0:30:36it could have a serious impact on his life.
0:30:36 > 0:30:39It could also ruin his birthday celebration.
0:30:40 > 0:30:42It's going to be his birthday next Monday.
0:30:42 > 0:30:44We booked a secret party.
0:30:44 > 0:30:46Got a cake.
0:30:46 > 0:30:48Having champagne.
0:30:48 > 0:30:52- Like you do, but...now what? - We'll have to wait and see.
0:30:52 > 0:30:56Yeah. Dum dum dum dum... Watch this space.
0:30:56 > 0:30:59- Ooh...- Right, you OK? - You caught us in the act!
0:31:01 > 0:31:06It's time for A&E bed 12 to take David to X-ray.
0:31:06 > 0:31:10We'll return later to find out if he has fractured his spine.
0:31:21 > 0:31:22At Leeds Children's Hospital,
0:31:22 > 0:31:25the day surgery unit's 26 beds meet children
0:31:25 > 0:31:28having a range of different procedures.
0:31:28 > 0:31:30Many involve putting the child to sleep.
0:31:33 > 0:31:36You'll be asleep soon, honeybun.
0:31:36 > 0:31:38You're a good boy then.
0:31:38 > 0:31:39Aren't you a good boy?
0:31:39 > 0:31:41See you in a bit.
0:31:41 > 0:31:43OK, baby. See you in a bit.
0:31:44 > 0:31:47Good boy.
0:31:47 > 0:31:50Usually the children take it all in their stride,
0:31:50 > 0:31:53but for parents it can be a struggle.
0:31:54 > 0:31:55Bye, sweetheart.
0:31:55 > 0:31:58It's very emotional to see the child go to sleep,
0:31:58 > 0:32:00and I don't think a lot of parents realise,
0:32:00 > 0:32:04like, what happens until they're actually in that situation.
0:32:06 > 0:32:10Paediatric bed 3 is being prepped for its next patient.
0:32:11 > 0:32:15Two-year-old Isaac has come in for an operation on his groin.
0:32:17 > 0:32:20- Oh, it's Mr Tumble! - 'It's Mr Tumble!'
0:32:20 > 0:32:22Oh, do you want this one?
0:32:22 > 0:32:24Are you going to have some more toys?
0:32:24 > 0:32:26Hey, where are we?
0:32:27 > 0:32:30With him are parents Pete and Lorraine.
0:32:30 > 0:32:31We've just come into the hospital today
0:32:31 > 0:32:33for a minor operation, really, for Isaac.
0:32:33 > 0:32:36It's just something that's quite common in little boys.
0:32:36 > 0:32:38He wants the touch screen there, doesn't he?
0:32:38 > 0:32:40Ah, he's touching like a touch screen.
0:32:40 > 0:32:42No touch screen, no good.
0:32:42 > 0:32:44Huh?
0:32:44 > 0:32:45Yay!
0:32:45 > 0:32:47Good boy! Hey!
0:32:47 > 0:32:51I've been getting sort of really flustered and really in a state,
0:32:51 > 0:32:53as much about the operation as, erm,
0:32:53 > 0:32:55him being put to sleep, really,
0:32:55 > 0:32:57and I think it's that that's been worrying me,
0:32:57 > 0:33:00so it's...it is as though it's massive,
0:33:00 > 0:33:02but I have to keep saying, it is not,
0:33:02 > 0:33:04it is a small operation, but, erm,
0:33:04 > 0:33:06yeah, still really, really worrying.
0:33:06 > 0:33:11In charge of putting Isaac to sleep today is anaesthetist Dr Johnson.
0:33:11 > 0:33:13- Hello.- Hello, there, you all right? - Yeah.
0:33:13 > 0:33:16- Keep Isaac occupied. - Hi.- Hi, there.
0:33:16 > 0:33:18- I'm one of the anaesthetic consultants.- Hello, there.
0:33:18 > 0:33:20- So I'll be putting Isaac to sleep today.- Oh, OK.
0:33:20 > 0:33:23- Now he's...- This is the bit that I've been really...
0:33:23 > 0:33:24Well, all of it, but this bit, yeah.
0:33:24 > 0:33:27- Now, he's got Down's syndrome is that right?- That's right.
0:33:27 > 0:33:28How does that affect him?
0:33:28 > 0:33:30Is there any problems with his general health?
0:33:30 > 0:33:32He doesn't have any, any problems. He's fine.
0:33:32 > 0:33:34So he never has any episodes
0:33:34 > 0:33:36- where he gets blue or particularly short of breath?- No.
0:33:36 > 0:33:38- No.- Or collapses, or anything like that?
0:33:38 > 0:33:40- No.- Good.
0:33:40 > 0:33:42You do worry, because he's in someone else's care -
0:33:42 > 0:33:45and just the whole thought of it and then having to be put to sleep.
0:33:45 > 0:33:47The needles are not very nice...
0:33:47 > 0:33:50and I don't know if that's my own phobia of things.
0:33:50 > 0:33:52So all of that, I'm not really wanting for him,
0:33:52 > 0:33:54but the anaesthetist sort of put my mind at rest.
0:33:54 > 0:33:56He'll be put out with a mask
0:33:56 > 0:33:59and not know about the needle too much, I hope.
0:33:59 > 0:34:01And will one of us be able to be in with him when he you put him
0:34:01 > 0:34:04- to sleep and they'll be in. - Yes, yeah, so you can come down.
0:34:04 > 0:34:06Dad'll be there. I'm not very good with needles.
0:34:06 > 0:34:07I think we'll just have a big cuddle
0:34:07 > 0:34:09- on your knee and pop the mask on. - Yeah.
0:34:09 > 0:34:10That's lovely. Right, that's great.
0:34:10 > 0:34:12- Thank you very much.- No worries.
0:34:12 > 0:34:15- Ah, that's OK. - Good, we'll see you later, Isaac.
0:34:15 > 0:34:18- Thank you, see ya later. Bye-bye. - Bye-bye.- OK.
0:34:18 > 0:34:19The parents give us their child to look after.
0:34:19 > 0:34:22It's a real privilege, but it's also a big responsibility
0:34:22 > 0:34:24when I actually think about it.
0:34:24 > 0:34:27Often because it's routine and you do it day-by-day,
0:34:27 > 0:34:29you don't really think about the impact every time -
0:34:29 > 0:34:31but occasionally it does hit home.
0:34:31 > 0:34:35You are suddenly responsible for this very precious person.
0:34:36 > 0:34:41Down's syndrome occurs in around one in every 800 births.
0:34:41 > 0:34:42It's a genetic condition
0:34:42 > 0:34:45that results from having an extra chromosome.
0:34:46 > 0:34:50During my pregnancy, it was a bit of a...well, it was a massive shock.
0:34:50 > 0:34:53I didn't know anything about Down's syndrome,
0:34:53 > 0:34:56but it started us on a really positive journey, really.
0:34:56 > 0:34:59It isn't an illness, he's just a person.
0:34:59 > 0:35:00Just a type of person.
0:35:00 > 0:35:02A fantastic person.
0:35:02 > 0:35:03You want that one?
0:35:03 > 0:35:05With surgery busy today,
0:35:05 > 0:35:07Isaac and his parents may be in for a long wait.
0:35:09 > 0:35:13I'm getting a bit more nervous, now, because the waiting, I think.
0:35:13 > 0:35:14I don't want him to have this done,
0:35:14 > 0:35:18but I know he's got to have this done, cos it's what's best for him,
0:35:18 > 0:35:20so, I'm trying to be calm.
0:35:23 > 0:35:25Later we'll rejoin paediatric bed 3
0:35:25 > 0:35:29as Isaac is finally taken to theatre for his operation.
0:35:40 > 0:35:43In Barnsley, A&E bed 12 is taking
0:35:43 > 0:35:4672-year-old David for an X-ray on his spine.
0:35:46 > 0:35:50- SHE SHOUTS - I am. Well, I was when I set off.
0:35:52 > 0:35:54There's concern it may have been fractured
0:35:54 > 0:35:56when David fell six feet from a ladder.
0:35:57 > 0:35:58How have you fallen?
0:35:58 > 0:36:01Pfft... Off a ladder, onto a concrete floor.
0:36:01 > 0:36:04Right, David, breathe in.
0:36:04 > 0:36:07Hold your breath there,
0:36:07 > 0:36:09and breathe normally.
0:36:10 > 0:36:13- All done. That's it. OK, we're done. - That's it?- Yeah!- Oh, very good.
0:36:18 > 0:36:20Back in the busy A&E department,
0:36:20 > 0:36:24bed space is in such demand that David and his wife Di
0:36:24 > 0:36:26have lost their place.
0:36:26 > 0:36:27I'll take that off you.
0:36:27 > 0:36:29Well, I think we're waiting for a cubicle now.
0:36:31 > 0:36:34Mm. We moved out and somebody moved in.
0:36:34 > 0:36:36- So...- We'll put you into 5 now.
0:36:36 > 0:36:38Ooh!
0:36:40 > 0:36:43Consultant Dr Walker is back with the results.
0:36:43 > 0:36:48- Right, how are you? - Have you got the results?
0:36:48 > 0:36:49Yes. There's nothing broken.
0:36:49 > 0:36:52- Fine!- Spine's fine.
0:36:52 > 0:36:55- Oh!- Yeah, just, just bruised your back.
0:36:55 > 0:36:57- So, it will be sorted in a few days...- It is aching.
0:36:57 > 0:36:59Yeah, it will do. It will do.
0:36:59 > 0:37:01Yes, right.
0:37:01 > 0:37:04David has plans to celebrate his 73rd birthday
0:37:04 > 0:37:06in less than a week's time.
0:37:06 > 0:37:09With the X-ray showing no signs of a fracture,
0:37:09 > 0:37:12the couple are hoping he'll have recovered in time.
0:37:12 > 0:37:15Are you feeling a bit better now?
0:37:15 > 0:37:17So it might be all systems go, with a bit of luck.
0:37:17 > 0:37:22- Mm.- Yes, well hopefully we'll be able to go to the party.
0:37:22 > 0:37:23Mm? I might be driving.
0:37:23 > 0:37:25That's bad news.
0:37:25 > 0:37:27I get told off when I drive.
0:37:27 > 0:37:28You do.
0:37:28 > 0:37:32Well, they'll put me on antibiotics, no doubt,
0:37:32 > 0:37:34so I shan't be able to have a glass, shall I?
0:37:34 > 0:37:39He needs to rest at times but also keep mobile, keep walking around.
0:37:39 > 0:37:41HE MUMBLES
0:37:41 > 0:37:44David can now say goodbye to A&E bed 12
0:37:44 > 0:37:47and make preparations for his birthday celebrations.
0:37:47 > 0:37:50LAUGHTER AND INDISTINCT SPEECH
0:37:55 > 0:37:59A&E bed 12 is cleaned and ready for its next patient.
0:38:06 > 0:38:07At Leeds Children's Hospital,
0:38:07 > 0:38:10two-year-old Isaac has turned paediatric bed 3
0:38:10 > 0:38:12into his own play area.
0:38:16 > 0:38:18These ones have gone for walkies.
0:38:18 > 0:38:20Doggie going for walkies?
0:38:20 > 0:38:22He and parents Pete and Lorraine have been waiting for several hours
0:38:22 > 0:38:24to be called for surgery.
0:38:25 > 0:38:27- Hi.- I think the majority have gone down now,
0:38:27 > 0:38:29- so he's next.- Oh, is he next?
0:38:29 > 0:38:32Oh, fantastic. Oh, more anxious now.
0:38:32 > 0:38:35- All right. Thank you. - So, not long.- Thank you.
0:38:37 > 0:38:38Oh, Isaac.
0:38:40 > 0:38:43It's now finally time for Isaac to leave paediatric bed 3 behind
0:38:43 > 0:38:44as he heads to theatre
0:38:44 > 0:38:47and the operating table for surgery to his groin.
0:38:48 > 0:38:50Give Mummy kiss then.
0:38:52 > 0:38:53Eh?
0:38:54 > 0:38:58Oh, OK. It'll be all right. They'll put him to sleep first, aren't they?
0:39:01 > 0:39:04Awful. More because I...I know,
0:39:04 > 0:39:07I've got a real phobia and I know that I'd be absolutely no good
0:39:07 > 0:39:10and I'd make him worse. I feel like I'd let him down,
0:39:10 > 0:39:11cos I wouldn't be much good.
0:39:11 > 0:39:14Might cause more, more catastrophe than anything else...
0:39:22 > 0:39:25- Well done. - Do you want to give him a kiss?
0:39:25 > 0:39:26Do you want to give him a quick kiss?
0:39:26 > 0:39:28We'll take good care of him for you.
0:39:28 > 0:39:30OK.
0:39:30 > 0:39:32Thank you.
0:39:35 > 0:39:38Whilst Isaac is prepared for surgery,
0:39:38 > 0:39:40Mum Lorraine waits on the ward.
0:39:40 > 0:39:42You know, when I had Isaac... Now I say,
0:39:42 > 0:39:44"Oh, Isaac has Down's syndrome,"
0:39:44 > 0:39:46and it just rolls off my tongue and it's not,
0:39:46 > 0:39:48I never think, "Oh, it's Down's syndrome,"
0:39:48 > 0:39:50but since we've had him,
0:39:50 > 0:39:53I and me husband have learnt a lot about ourselves.
0:39:53 > 0:39:55The one thing I regret about my pregnancy was ever crying
0:39:55 > 0:39:59when I...when we knew, we thought it was the end of the world -
0:39:59 > 0:40:01and I look at Isaac sometimes and I'll talk to him and I'll hold him
0:40:01 > 0:40:04and I'll say, "I'm so proud to be your mummy. And I love you so much."
0:40:04 > 0:40:09And I, I want to say I'm sorry for ever crying about...
0:40:13 > 0:40:16..for ever shedding a tear, because there was no, no need.
0:40:16 > 0:40:18No. No, no need.
0:40:18 > 0:40:20No.
0:40:22 > 0:40:25Consultant surgeon Mr Crabbe begins Isaac's surgery.
0:40:27 > 0:40:29So, I'm putting local anaesthetic into the wound,
0:40:29 > 0:40:32so, although Isaac's asleep,
0:40:32 > 0:40:36I want the wound to be numb when he wakes up.
0:40:36 > 0:40:38Two pairs of two forceps, please.
0:40:41 > 0:40:43Just bring that one just inside the...
0:40:43 > 0:40:45Back on the ward, Pete and Lorraine count the minutes.
0:40:45 > 0:40:47Ah, dear, come on, Isaac!
0:40:47 > 0:40:49Oh, I hope he's all right...
0:40:49 > 0:40:51When they're taking a while, you're thinking,
0:40:51 > 0:40:53"Oh, is there any complications or anything?
0:40:53 > 0:40:54"Is everything going to be all right?"
0:40:54 > 0:40:56What time is it now?
0:40:57 > 0:40:59Quarter to one.
0:40:59 > 0:41:00It's taking a long time, isn't it?
0:41:00 > 0:41:02Not really.
0:41:05 > 0:41:09After an hour, Isaac's surgery is complete and as he begins to wake,
0:41:09 > 0:41:12he can finally be reunited with his parents.
0:41:12 > 0:41:15Oh, hello, there!
0:41:15 > 0:41:16Oh, no!
0:41:18 > 0:41:21Oh, hello, my gorgeous!
0:41:23 > 0:41:24Oh... Oh...
0:41:27 > 0:41:28He's beautiful.
0:41:28 > 0:41:30Oh, thank you.
0:41:30 > 0:41:31I didn't expect you being up.
0:41:31 > 0:41:34I thought you'd be out for it, Isaac, to be honest.
0:41:36 > 0:41:38Thank goodness.
0:41:38 > 0:41:40Thank you!
0:41:40 > 0:41:42Aw, hey...
0:41:45 > 0:41:49Isaac can now return to paediatric bed 3 to rest and recover.
0:41:51 > 0:41:54Yeah, it's a relief to have it over and done with now.
0:41:54 > 0:41:55We were apprehensive when he were down there,
0:41:55 > 0:41:58but when we went in and the doctor said everything were fine.
0:41:58 > 0:42:01So I'm just glad that he's out of it now.
0:42:01 > 0:42:04A bit grumpy, but we're on the upside now.
0:42:04 > 0:42:07He's enjoying his toast, so it's a good sign, isn't it?
0:42:07 > 0:42:09Hey?
0:42:09 > 0:42:12- A, ba... - A, ba. Oh, there... Yes.
0:42:12 > 0:42:14Yay!
0:42:14 > 0:42:16With Isaac rested, fed and watered,
0:42:16 > 0:42:18the family are given the all clear to head home.
0:42:18 > 0:42:21- Thank you very much. - Thank you very much!
0:42:21 > 0:42:23- Thank you.- Bye-bye.- Bye!
0:42:23 > 0:42:27Paediatric bed 3 can now be cleaned and prepped for its next patient.
0:42:39 > 0:42:42Our hospital beds have given us intimate access
0:42:42 > 0:42:43to the work of the NHS.
0:42:45 > 0:42:49Elaine was kept in hospital for a week.
0:42:49 > 0:42:52After being discharged she moved in with her son and daughter-in-law.
0:42:54 > 0:42:57Edward is doing well and not missing his wiggly.
0:42:57 > 0:42:59The family are trying to book a holiday...
0:42:59 > 0:43:01Yeah!
0:43:01 > 0:43:05..and Marcelle is enjoying special time at home with baby Dylan.
0:43:05 > 0:43:08She's getting plenty of help from Mum.
0:43:10 > 0:43:12The beds are now back on their wards,
0:43:12 > 0:43:15ready and waiting for their next round of patients.