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SIRENS WAIL | 0:00:02 | 0:00:03 | |
Hospital beds in the NHS have never been under more pressure... | 0:00:03 | 0:00:08 | |
It's just unrelenting at the moment. | 0:00:08 | 0:00:11 | |
..with more patients to care for than ever before | 0:00:11 | 0:00:14 | |
and only 150,000 beds to go round. | 0:00:14 | 0:00:17 | |
It is a fast-paced job. | 0:00:19 | 0:00:21 | |
It's a nonstop conveyor belt. | 0:00:21 | 0:00:22 | |
In this series, we use special cameras on beds | 0:00:23 | 0:00:26 | |
in four very different hospitals... | 0:00:26 | 0:00:29 | |
Ah, comfy bed. | 0:00:35 | 0:00:36 | |
..to see the world through the bed's eyes... | 0:00:37 | 0:00:40 | |
Left at the lights. | 0:00:40 | 0:00:42 | |
..as they share the most challenging... | 0:00:42 | 0:00:44 | |
Oh, it's coming again. | 0:00:46 | 0:00:48 | |
You'll get upset... | 0:00:50 | 0:00:51 | |
and we'll look after you, OK? | 0:00:51 | 0:00:53 | |
Are you OK, pet? | 0:00:55 | 0:00:56 | |
..most intimate... | 0:00:56 | 0:00:58 | |
That's good. | 0:00:58 | 0:00:59 | |
..and most rewarding... | 0:00:59 | 0:01:01 | |
moments of our lives. | 0:01:01 | 0:01:03 | |
So, so happy. | 0:01:03 | 0:01:05 | |
Coming up - in Barnsley, on resus bed 2, | 0:01:09 | 0:01:13 | |
56-year-old Elaine's life is on the line as she struggles for breath. | 0:01:13 | 0:01:17 | |
Don't be scared. We know what we're doing, OK? | 0:01:18 | 0:01:21 | |
In Leeds, on paediatric bed 3, | 0:01:24 | 0:01:27 | |
five-year-old Edward reaches the finish line | 0:01:27 | 0:01:29 | |
in his treatment for leukaemia... | 0:01:29 | 0:01:31 | |
How long has it been going on for? | 0:01:31 | 0:01:33 | |
Like, three and a half years. Yeah, yeah. | 0:01:33 | 0:01:36 | |
..and in Leicester, on maternity bed 5, | 0:01:39 | 0:01:42 | |
first-time mum-to-be Marcelle faces the reality of giving birth. | 0:01:42 | 0:01:47 | |
I am so ready to meet him... | 0:01:47 | 0:01:49 | |
but I'm not ready for the pain to meet him. | 0:01:49 | 0:01:52 | |
I'm scared. | 0:01:52 | 0:01:53 | |
Bed's like an extra member of staff, almost. | 0:01:58 | 0:02:01 | |
This is The Secret Life Of The Hospital Bed. | 0:02:01 | 0:02:04 | |
Barnsley Hospital in South Yorkshire. | 0:02:13 | 0:02:15 | |
Hello, emergency department, Barnsley. | 0:02:15 | 0:02:17 | |
What are his numbers? | 0:02:17 | 0:02:18 | |
Its A&E department has five resus beds | 0:02:20 | 0:02:23 | |
that see around 4,000 critically ill patients a year. | 0:02:23 | 0:02:27 | |
43 patients in the department at the moment. | 0:02:27 | 0:02:29 | |
Anyone briefing the TGT nurse? | 0:02:29 | 0:02:31 | |
So it's just a constant cycle, really. | 0:02:31 | 0:02:33 | |
These beds are reserved for patients whose lives are at risk. | 0:02:33 | 0:02:37 | |
-OK, bit of pushing. -She's in, yeah, she's in cubicle number 3. | 0:02:37 | 0:02:41 | |
Today, resus bed 2 is being prepped for its next patient. | 0:02:41 | 0:02:45 | |
56-year-old Elaine has been rushed into hospital gasping for breath. | 0:02:47 | 0:02:51 | |
She's suffocating and barely able to speak. | 0:02:55 | 0:02:58 | |
Don't be scared. We know what we're doing, OK? | 0:02:58 | 0:03:02 | |
Please don't get upset. We'll look after you, OK? | 0:03:02 | 0:03:05 | |
All right? | 0:03:05 | 0:03:07 | |
Elaine has a tube in her neck to allow her to breathe, | 0:03:07 | 0:03:10 | |
but it's become blocked. | 0:03:10 | 0:03:11 | |
Are you allergic to anything? Penicillin... | 0:03:13 | 0:03:16 | |
and doxycycline. | 0:03:16 | 0:03:18 | |
Dr Cliff has to act quickly to clear the airway. | 0:03:19 | 0:03:22 | |
Good, well done. Just nice, deep breaths. | 0:03:24 | 0:03:26 | |
Going to get you some more saline for this, as well. | 0:03:26 | 0:03:28 | |
It's an acute emergency. She's essentially drowning. | 0:03:28 | 0:03:31 | |
It's essentially like somebody taping your mouth shut. | 0:03:31 | 0:03:34 | |
You've got seconds to react. | 0:03:34 | 0:03:36 | |
Elaine's tube is removed and flushed out with a saline nebuliser. | 0:03:36 | 0:03:41 | |
Have you got some suction? | 0:03:41 | 0:03:42 | |
Are you ready for suctioning again, sweetheart? | 0:03:42 | 0:03:45 | |
At Elaine's side is soon to be daughter-in-law Gemma. | 0:03:45 | 0:03:49 | |
The tube is, like, blocked. | 0:03:49 | 0:03:52 | |
She can't unblock it herself. | 0:03:52 | 0:03:54 | |
It's awful. It is awful when she can't breathe. | 0:03:54 | 0:03:57 | |
Yeah, very scary. | 0:03:57 | 0:03:58 | |
How old are you, sweetheart? 56? | 0:03:59 | 0:04:03 | |
Elaine had to have a breathing pipe inserted five years ago | 0:04:03 | 0:04:06 | |
due to having chronic lung disease. | 0:04:06 | 0:04:08 | |
She's been rushed into hospital with a blocked tube several times. | 0:04:09 | 0:04:13 | |
Elaine has had, what we call, a tracheostomy. | 0:04:14 | 0:04:16 | |
So, it's a tube that helps her breathe through her neck | 0:04:16 | 0:04:19 | |
rather than through her mouth. | 0:04:19 | 0:04:20 | |
When you've got that artificial airway, | 0:04:20 | 0:04:23 | |
it's got the potential for... for it to block off. | 0:04:23 | 0:04:26 | |
Is that feeling any easier? | 0:04:26 | 0:04:27 | |
Yeah, starting to work. Yeah. | 0:04:27 | 0:04:29 | |
After 20 minutes, Elaine's symptoms have calmed down, | 0:04:29 | 0:04:33 | |
but she's not safe yet. | 0:04:33 | 0:04:35 | |
Dr Cliff has seen this happen before. | 0:04:35 | 0:04:37 | |
Cos you scared me on my first day of ENT, didn't you? | 0:04:37 | 0:04:40 | |
-Once seen never forgotten. -I've gotta scare you at least once. | 0:04:40 | 0:04:44 | |
-Well, yes, exactly. -She scares everybody. | 0:04:44 | 0:04:46 | |
Luckily with Elaine, she knows what to do in the majority of the time, | 0:04:46 | 0:04:50 | |
but as panic sets in, you don't always think quite rationally | 0:04:50 | 0:04:54 | |
and, at times, when she is unwell, | 0:04:54 | 0:04:55 | |
then she needs to come into hospital for extra support. | 0:04:55 | 0:04:58 | |
But at least we can smile about it, as well. Afterwards. | 0:05:23 | 0:05:26 | |
It's an unfortunate situation with Elaine, | 0:05:26 | 0:05:28 | |
but she's a lovely lady who makes the most of it as best she can. | 0:05:28 | 0:05:32 | |
She's always got a smile on her face and always happy, | 0:05:32 | 0:05:34 | |
so it's always nice to see her. | 0:05:34 | 0:05:35 | |
Do you feel like you still need suctioning? No, brilliant. | 0:05:35 | 0:05:40 | |
I'm so glad you're here. Thank you. | 0:05:40 | 0:05:42 | |
Doctors need to monitor Elaine in case she starts to suffocate again. | 0:05:43 | 0:05:47 | |
We'll return to resus bed 2 later, | 0:05:58 | 0:06:00 | |
to see whether Elaine's condition stabilises. | 0:06:00 | 0:06:02 | |
Leeds Children's Hospital | 0:06:10 | 0:06:12 | |
is one of the largest paediatric centres in the UK. | 0:06:12 | 0:06:15 | |
High five. Oh! | 0:06:15 | 0:06:18 | |
It has 26 beds on its day surgery unit. | 0:06:18 | 0:06:20 | |
I dance a lot. | 0:06:20 | 0:06:22 | |
These beds are with their young patients through tough times, | 0:06:23 | 0:06:27 | |
both before... | 0:06:27 | 0:06:28 | |
What do you like to do when you're in hospital? | 0:06:28 | 0:06:30 | |
Go home. | 0:06:30 | 0:06:33 | |
..and after surgery. | 0:06:33 | 0:06:34 | |
Paediatric bed 3 is ready for its next patient. | 0:06:37 | 0:06:40 | |
-It's number 3! -Wow! | 0:06:42 | 0:06:44 | |
This is your bed for the day. | 0:06:44 | 0:06:46 | |
-That's good, in't it? -Right, make yourself comfortable. | 0:06:46 | 0:06:50 | |
The first patient to arrive on the ward today is five-year-old Edward. | 0:06:50 | 0:06:54 | |
He's here with his mum, Steph. | 0:06:54 | 0:06:56 | |
Smelly feet. | 0:06:58 | 0:06:59 | |
Edward has come for an operation, | 0:07:00 | 0:07:02 | |
which will mark the end of his treatment for leukaemia. | 0:07:02 | 0:07:05 | |
-Do it... -MUM GASPS | 0:07:05 | 0:07:07 | |
THEY LAUGH | 0:07:07 | 0:07:09 | |
Ah, no! | 0:07:09 | 0:07:11 | |
Well, it's OK, Edward, we can fix this. | 0:07:11 | 0:07:13 | |
For the last three and a half years, Edward's treatments | 0:07:13 | 0:07:15 | |
have been administered via a port line in his chest... | 0:07:15 | 0:07:18 | |
He's quite proud of it, so he's not scared of showing you. | 0:07:18 | 0:07:21 | |
..which is often referred to as a wiggly. | 0:07:21 | 0:07:23 | |
So, why have you come with us today? | 0:07:23 | 0:07:25 | |
-Take my wiggly out. -Have you? | 0:07:25 | 0:07:27 | |
So have you got a wiggly? | 0:07:27 | 0:07:29 | |
Are we going to...? Do you not need it any more? | 0:07:29 | 0:07:32 | |
Are you excited? | 0:07:32 | 0:07:34 | |
-No. -No? | 0:07:34 | 0:07:35 | |
Have you got... Sometimes you get attached to these things, don't you? | 0:07:35 | 0:07:38 | |
Looking after Edward today is Sister Nuttall. | 0:07:38 | 0:07:41 | |
You wanted it out, but you did say, "Oh, why does it have to be today?" | 0:07:41 | 0:07:44 | |
-Oh, dear. Did you have something better to do? -Clearly! | 0:07:44 | 0:07:48 | |
And I've just said, "Oh, you can't go to school tomorrow," | 0:07:48 | 0:07:50 | |
and he's like, "Oh, for God's sake!" It's such an inconvenience. | 0:07:50 | 0:07:53 | |
-You like school - well, that's good, in't it? -Yeah. | 0:07:53 | 0:07:55 | |
-How long has it been going on for? -Like, three and a half years. | 0:07:55 | 0:07:58 | |
-Oh, yeah. -Yeah, yeah. -Gosh. | 0:07:58 | 0:08:01 | |
-So this is like a complete milestone, in't it? -Yeah, God. | 0:08:01 | 0:08:04 | |
Edward was diagnosed with leukaemia three years ago, | 0:08:04 | 0:08:07 | |
when he was just two years old. | 0:08:07 | 0:08:09 | |
I remember it well, but it was one of those things, like, | 0:08:09 | 0:08:12 | |
you just think, "Fine. What do we do?" | 0:08:12 | 0:08:14 | |
So it wasn't the end of the world for us. | 0:08:14 | 0:08:18 | |
They said the odds are good for children to recover from it, | 0:08:18 | 0:08:22 | |
it's just a long journey. | 0:08:22 | 0:08:23 | |
Survival rates for children with leukaemia | 0:08:23 | 0:08:27 | |
have improved dramatically in recent years. | 0:08:27 | 0:08:30 | |
90% of children diagnosed survive more than five years, | 0:08:30 | 0:08:34 | |
after which a relapse is considered highly unlikely. | 0:08:34 | 0:08:37 | |
EDWARD BLOWS RASPBERRY | 0:08:37 | 0:08:39 | |
That's a rude noise. | 0:08:39 | 0:08:41 | |
-Can you do it? -What? -EDWARD BLOWS RASPBERRY | 0:08:41 | 0:08:46 | |
-I can't do one. -It makes a sound. | 0:08:46 | 0:08:48 | |
Surgical registrar Miss Anna | 0:08:48 | 0:08:51 | |
will be performing the operation today. | 0:08:51 | 0:08:54 | |
All right, Edward, today's the day. | 0:08:54 | 0:08:57 | |
Do you know what we're going to do today? | 0:08:57 | 0:08:59 | |
-What are you here for? -Taking my wiggly out. | 0:08:59 | 0:09:01 | |
We're taking your wiggly out. | 0:09:01 | 0:09:03 | |
That is very true. | 0:09:03 | 0:09:04 | |
We used to be able to give it to you to keep... | 0:09:04 | 0:09:07 | |
-I don't know! It's a bit gruesome. -..if you wanted. | 0:09:07 | 0:09:10 | |
I'm afraid we can't any more... | 0:09:10 | 0:09:11 | |
Well, I don't know what we'd do with it, anyway. | 0:09:11 | 0:09:13 | |
..but would you like a photograph? | 0:09:13 | 0:09:15 | |
-Would you like a picture? -Yeah. -Of your wiggly? -Yeah. | 0:09:15 | 0:09:18 | |
-Are you happy? -Yeah. | 0:09:18 | 0:09:20 | |
So he's been under treatment now for about three, four years - | 0:09:20 | 0:09:24 | |
and it is serious, it was a type of blood cancer, | 0:09:24 | 0:09:27 | |
but his prognosis is very good. | 0:09:27 | 0:09:29 | |
And the longer it goes on, the more likely a positive outcome. | 0:09:29 | 0:09:33 | |
-Oh, no, you've won! Look, you've won. -Where? | 0:09:35 | 0:09:38 | |
There, look! | 0:09:38 | 0:09:40 | |
-Yeah! -You didn't even know. I shouldn't have told you. | 0:09:40 | 0:09:44 | |
Edward is finally called to surgery. | 0:09:44 | 0:09:46 | |
Leaving paediatric bed 3 behind, as he heads to theatre. | 0:09:50 | 0:09:54 | |
Oh, you're so heavy. | 0:09:54 | 0:09:56 | |
Later we'll re-join Edward to find out if his port line | 0:09:56 | 0:09:59 | |
is successfully removed. | 0:09:59 | 0:10:01 | |
-Hello. -Hello. | 0:10:01 | 0:10:03 | |
Leicester, at the Royal Infirmary's Maternity Unit. | 0:10:12 | 0:10:16 | |
More than 100 babies are born here each week. | 0:10:18 | 0:10:21 | |
-BABY CRIES -Oh, my word! | 0:10:21 | 0:10:24 | |
Fantastic! | 0:10:24 | 0:10:25 | |
Congratulations! | 0:10:25 | 0:10:27 | |
The unit's 16 beds are constantly under pressure, | 0:10:27 | 0:10:30 | |
working a 24-hour shift... | 0:10:30 | 0:10:33 | |
Come on, you can do this. | 0:10:33 | 0:10:34 | |
You're doing absolutely amazing. | 0:10:34 | 0:10:35 | |
..seven days a week. | 0:10:35 | 0:10:37 | |
BABY CRIES | 0:10:37 | 0:10:40 | |
The bed situation, it seems a lot better today. | 0:10:40 | 0:10:43 | |
Busy days can be a bit manic. | 0:10:43 | 0:10:45 | |
That's part of the job, isn't it? | 0:10:45 | 0:10:46 | |
There you go. I think you're busy. | 0:10:46 | 0:10:50 | |
Maternity bed 5 is ready for its next expectant mum. | 0:10:52 | 0:10:57 | |
What I'll do is I'll get you some pain relief. | 0:10:57 | 0:11:00 | |
There's some dihydrocodeine here, as well. | 0:11:00 | 0:11:03 | |
OK? | 0:11:04 | 0:11:05 | |
-So much better when I sit. -Is it? | 0:11:05 | 0:11:08 | |
You'll be all right in a minute. | 0:11:08 | 0:11:09 | |
First-time mum-to-be 25-year-old Marcelle | 0:11:09 | 0:11:12 | |
has been admitted to the unit today | 0:11:12 | 0:11:14 | |
two weeks ahead of her due date. | 0:11:14 | 0:11:16 | |
Just take some nice, deep breaths, OK? | 0:11:18 | 0:11:21 | |
That's it. All the way. | 0:11:21 | 0:11:23 | |
She's in the early stages of labour, and there are concerns. | 0:11:23 | 0:11:27 | |
Well done. | 0:11:27 | 0:11:28 | |
Can I turn you on your left side for a little bit? | 0:11:28 | 0:11:30 | |
Is that all right? Just going to lay back the bed a little bit, | 0:11:30 | 0:11:33 | |
just to wake baby up a tad. Yeah? | 0:11:33 | 0:11:36 | |
Midwife Struck is checking the baby's heart rate and movements. | 0:11:36 | 0:11:39 | |
Pop your head up for me. | 0:11:39 | 0:11:41 | |
Is it meant to hurt more if I go on my side? | 0:11:41 | 0:11:43 | |
No. Sometimes it might, just as the baby's positioning, | 0:11:43 | 0:11:47 | |
but it's just to try and wake baby up a little bit, that's all. | 0:11:47 | 0:11:51 | |
The baby's a little bit what we call sleepy, | 0:11:51 | 0:11:53 | |
so I've turned Marcelle onto her left side on the bed | 0:11:53 | 0:11:57 | |
and the idea is it increases the blood flow - | 0:11:57 | 0:11:59 | |
and therefore, you know, improves baby's heart rate, | 0:11:59 | 0:12:02 | |
and that's what we always do. | 0:12:02 | 0:12:04 | |
Marcelle's baby is moving less than normal, | 0:12:04 | 0:12:07 | |
a sign that the baby's health may be at risk. | 0:12:07 | 0:12:09 | |
So we're going to be on here for about half an hour. | 0:12:09 | 0:12:11 | |
With your contractions, they're starting off perfectly, | 0:12:11 | 0:12:14 | |
so this is how it all begins. | 0:12:14 | 0:12:16 | |
I just want them to last for a little bit longer. | 0:12:16 | 0:12:18 | |
Yeah, real toe-curler ones. | 0:12:18 | 0:12:20 | |
So you're going to be on here for about half an hour. | 0:12:20 | 0:12:23 | |
All right? Baby looks quite happy at the moment. | 0:12:23 | 0:12:26 | |
-All right? -Thank you. -OK. | 0:12:26 | 0:12:28 | |
Marcelle's mum, Margaret, and her Auntie Suzanna live nearby. | 0:12:28 | 0:12:32 | |
They're on their way in to support her. | 0:12:32 | 0:12:34 | |
My mum's name's Margaret. | 0:12:34 | 0:12:36 | |
We're practically best friends. | 0:12:36 | 0:12:39 | |
We do everything together. | 0:12:39 | 0:12:41 | |
She knows me like no-one knows me. | 0:12:41 | 0:12:43 | |
I don't know what - I would probably... | 0:12:43 | 0:12:45 | |
don't know what I'm doing for this whole pregnancy without her. | 0:12:45 | 0:12:48 | |
Yeah, she helps a lot. | 0:12:48 | 0:12:50 | |
-Hello, girl. -Hello. | 0:12:51 | 0:12:55 | |
Hi, Mum. | 0:12:55 | 0:12:58 | |
-Ready? -I'm not ready. | 0:12:58 | 0:13:01 | |
-You're not ready? -No. | 0:13:01 | 0:13:03 | |
My back is killing me. Careful with the camera. | 0:13:03 | 0:13:06 | |
Marcelle desperately wants to have a natural delivery. | 0:13:08 | 0:13:11 | |
Only around one in four women | 0:13:12 | 0:13:14 | |
give birth in the UK without any intervention, | 0:13:14 | 0:13:17 | |
such as an induction or an epidural. | 0:13:17 | 0:13:20 | |
It breaks my heart to know that I can't take away the pain from her, | 0:13:20 | 0:13:24 | |
but she knows that I'm here. | 0:13:24 | 0:13:26 | |
This is just the beginning of... | 0:13:26 | 0:13:29 | |
Let's say one to ten, she's about two. | 0:13:29 | 0:13:32 | |
Yeah, two, so I'm just preparing her | 0:13:35 | 0:13:37 | |
for the other eight steps to come in terms of all the pain. | 0:13:37 | 0:13:43 | |
It's kind of like, I'm so ready to meet him, | 0:13:43 | 0:13:46 | |
but I'm not ready for the pain to meet him, if that makes sense. | 0:13:46 | 0:13:51 | |
I'm, like, I just wish he could just appear out of nowhere. | 0:13:51 | 0:13:55 | |
Is there no way around it? | 0:13:57 | 0:13:59 | |
-MARGARET LAUGHS -There has to be a way around it. | 0:13:59 | 0:14:03 | |
I'm scared. | 0:14:05 | 0:14:06 | |
We'll return later to maternity bed 5, | 0:14:08 | 0:14:10 | |
to find out if Marcelle manages to have her dream natural birth. | 0:14:10 | 0:14:15 | |
Back at Leeds Children's Hospital, | 0:14:22 | 0:14:25 | |
on surgical bed 6 is five-year-old Edward, | 0:14:25 | 0:14:28 | |
who is in remission from leukaemia. | 0:14:28 | 0:14:31 | |
He's having an operation to remove the port line | 0:14:34 | 0:14:37 | |
through which his medications have been given, | 0:14:37 | 0:14:39 | |
marking the end of his cancer treatment. | 0:14:39 | 0:14:41 | |
Surgical registrar Miss Anna will be removing what is known as a wiggly | 0:14:44 | 0:14:48 | |
or port line. | 0:14:48 | 0:14:50 | |
So, once the patient's asleep, | 0:14:50 | 0:14:52 | |
we'll cut through the tissues and we'll find the port, | 0:14:52 | 0:14:55 | |
and then we'll remove it, so we can take a photograph of Mr Wiggly. | 0:14:55 | 0:15:00 | |
Yeah, it's like the happy ending to the story, in a way, | 0:15:00 | 0:15:03 | |
that you get to at the end. | 0:15:03 | 0:15:05 | |
Edward's mum Steph has to wait outside theatre. | 0:15:07 | 0:15:11 | |
You know they're going to be OK, but it's still worrying, | 0:15:11 | 0:15:15 | |
cos I don't know how long I'm waiting, it just makes it... | 0:15:15 | 0:15:19 | |
So I'm just sat here hoping that he's going to be OK. | 0:15:19 | 0:15:22 | |
Erm, it seems OK at the moment. | 0:15:24 | 0:15:25 | |
I'm just releasing the port. | 0:15:25 | 0:15:28 | |
Have we got retractors? | 0:15:28 | 0:15:30 | |
OK, so we're about to remove the port now. | 0:15:30 | 0:15:32 | |
So this is the line that was sitting in the vein. | 0:15:33 | 0:15:38 | |
And there you go. There's Mr Wiggly. | 0:15:40 | 0:15:42 | |
The port line is successfully removed. | 0:15:45 | 0:15:47 | |
For mum, Steph, this means the end of constant hospital visits. | 0:15:48 | 0:15:53 | |
I can't even express how happy I am about it. | 0:15:54 | 0:15:56 | |
That was the final thing that needed to be done, so... | 0:15:56 | 0:15:59 | |
like, from today, that's it, we're done. | 0:15:59 | 0:16:02 | |
After 45 minutes, Edward's operation is over. | 0:16:02 | 0:16:06 | |
Surgical bed 6 takes him back to paediatric bed 3 on the ward. | 0:16:06 | 0:16:11 | |
Ready, steady, move. | 0:16:12 | 0:16:15 | |
Let's get you nice and comfy. | 0:16:16 | 0:16:19 | |
Within an hour, Edward's awake - | 0:16:19 | 0:16:21 | |
and he soon notices that something has changed. | 0:16:21 | 0:16:24 | |
No wiggly. | 0:16:24 | 0:16:26 | |
No wiggly. Good. | 0:16:26 | 0:16:28 | |
-I can't feel it. -You can't feel it? | 0:16:28 | 0:16:30 | |
Look. | 0:16:32 | 0:16:33 | |
That's what were in there, so that bit there | 0:16:34 | 0:16:37 | |
is where they put the needle in | 0:16:37 | 0:16:40 | |
and all your medicine went into there - | 0:16:40 | 0:16:42 | |
and that is what went up there. | 0:16:42 | 0:16:47 | |
With Edward's treatment over, his family can now plan for the future. | 0:16:47 | 0:16:51 | |
We need a holiday, don't we, Edward? | 0:16:51 | 0:16:54 | |
Yeah, we've not been able to go on a proper holiday for years, | 0:16:54 | 0:16:58 | |
so, yeah, we can't wait to be able to go - | 0:16:58 | 0:17:00 | |
and Edward wants to go on an aeroplane, | 0:17:00 | 0:17:02 | |
so we have to go on an aeroplane, don't we? | 0:17:02 | 0:17:06 | |
The time has come for Sister Nuttall to discharge Edward | 0:17:09 | 0:17:12 | |
from paediatric bed 3. | 0:17:12 | 0:17:14 | |
Well, it's been lovely to meet you. | 0:17:14 | 0:17:16 | |
-Yeah, you too. -And good luck with everything else. | 0:17:16 | 0:17:19 | |
-Thank you. -And hopefully, young man, | 0:17:19 | 0:17:21 | |
we won't need to see you again, will we? | 0:17:21 | 0:17:23 | |
-Took my wiggly out. -Because you took your wiggly out, yeah. | 0:17:23 | 0:17:26 | |
Yeah, your wiggly's all gone, so you don't need to come back and see us. | 0:17:26 | 0:17:29 | |
That's really good, isn't it? | 0:17:29 | 0:17:30 | |
-Yeah? -Yeah. -Okey dokey. | 0:17:30 | 0:17:34 | |
It's absolutely fantastic. | 0:17:34 | 0:17:35 | |
Just being in the system for three years, having treatment, | 0:17:35 | 0:17:38 | |
he's had a lovely recovery. | 0:17:38 | 0:17:40 | |
Erm, he's done really, really well. | 0:17:40 | 0:17:42 | |
So, yeah, I wish them both the very best for the future. | 0:17:42 | 0:17:44 | |
Get on with their lives. | 0:17:44 | 0:17:45 | |
High five. Ah! That hurt my hand. Thank you very much. | 0:17:45 | 0:17:50 | |
Thank you. See ya later. | 0:17:50 | 0:17:52 | |
As Edward and his mum head home, | 0:17:52 | 0:17:54 | |
paediatric bed 3 is free to be stripped down, | 0:17:54 | 0:17:57 | |
ready for its next patient. | 0:17:57 | 0:17:58 | |
Coming up on the Secret Life Of The Hospital Bed... | 0:18:07 | 0:18:10 | |
You know you're safe, though, don't you? | 0:18:13 | 0:18:15 | |
..on resus bed 2, Elaine's breathing tube blocks up again, | 0:18:15 | 0:18:17 | |
leaving her gasping for breath. | 0:18:17 | 0:18:20 | |
This might change plans about going home. You know that? | 0:18:20 | 0:18:23 | |
In Leicester, on maternity bed 5, | 0:18:25 | 0:18:27 | |
there are complications with Marcelle's labour... | 0:18:27 | 0:18:30 | |
Still got a pain there? | 0:18:30 | 0:18:32 | |
SHE SCREAMS | 0:18:32 | 0:18:34 | |
..and in Leeds, on paediatric bed 3, two-year-old Isaac faces surgery. | 0:18:34 | 0:18:40 | |
I know I've got a real phobia and I know that I'd be absolutely no good | 0:18:40 | 0:18:44 | |
and I'd make him worse. | 0:18:44 | 0:18:45 | |
Back in Barnsley's A&E department. | 0:18:50 | 0:18:53 | |
Ah, she's got a new AF. | 0:18:53 | 0:18:54 | |
She's got a couple of rib fractures on the X-ray. | 0:18:54 | 0:18:57 | |
Resus bed 2 is with 56-year-old Elaine. | 0:18:57 | 0:19:00 | |
Don't be scared, we know what we're doing, OK? | 0:19:00 | 0:19:03 | |
Elaine was rushed into hospital when her breathing tube became blocked | 0:19:03 | 0:19:07 | |
and she started to suffocate. | 0:19:07 | 0:19:09 | |
Good. Well done. Just nice, deep breaths. | 0:19:09 | 0:19:11 | |
Going to get you some more saline. | 0:19:11 | 0:19:13 | |
After emergency intervention by doctors, | 0:19:14 | 0:19:16 | |
her breathing has begun to stabilise. | 0:19:16 | 0:19:18 | |
How's that feeling? All right, better. | 0:19:20 | 0:19:23 | |
I bet you're shattered, aren't you? | 0:19:25 | 0:19:26 | |
Yeah. | 0:19:26 | 0:19:27 | |
Like Elaine, around 12,000 people have a tracheostomy tube | 0:19:40 | 0:19:44 | |
inserted each year, to enable them to breathe. | 0:19:44 | 0:19:47 | |
Elaine has been told she will need to have the breathing tube | 0:19:56 | 0:19:59 | |
for the rest of her life. | 0:19:59 | 0:20:00 | |
Elaine's been on resus bed 2 for an hour and a half. | 0:20:17 | 0:20:21 | |
Dr Cliff comes back to check if Elaine's breathing has improved. | 0:20:21 | 0:20:24 | |
-So when are you next due for a trachy change? -It's due next week. | 0:20:24 | 0:20:28 | |
-OK. Right, so you've got a follow up with... -ENT. -Yeah, right. | 0:20:28 | 0:20:32 | |
And you've got spare tubes and things at home, have you? | 0:20:32 | 0:20:34 | |
-I have. -Yeah. Good. | 0:20:34 | 0:20:35 | |
-Do you feel well enough to go home? -Yeah. -Yeah? -Yeah, yeah, yeah. | 0:20:35 | 0:20:38 | |
I feel a lot better now. | 0:20:38 | 0:20:39 | |
You just panic, don't you? When you can't breathe. | 0:20:39 | 0:20:42 | |
There's no... | 0:20:42 | 0:20:44 | |
I can go home. | 0:20:44 | 0:20:47 | |
Yes! | 0:20:47 | 0:20:48 | |
I can go home. So, that's... | 0:20:49 | 0:20:52 | |
You need suctioning? | 0:21:02 | 0:21:03 | |
Ten minutes later, | 0:21:03 | 0:21:04 | |
Elaine's condition takes a turn for the worse. | 0:21:04 | 0:21:07 | |
Just hold that there for me, pet. | 0:21:07 | 0:21:09 | |
Let me just grab some gloves. | 0:21:09 | 0:21:12 | |
Nurse Reynolds has been looking after Elaine for several hours. | 0:21:12 | 0:21:16 | |
This might change plans about going home, you know that? | 0:21:16 | 0:21:20 | |
The bottom line is, we need you to be safe. | 0:21:20 | 0:21:22 | |
There's no point going home to come back. | 0:21:22 | 0:21:24 | |
-No. -And if this happens during the night, when we're asleep... | 0:21:24 | 0:21:27 | |
Yeah, that would be another story. | 0:21:27 | 0:21:30 | |
I'm going to go and speak to the doctor. | 0:21:30 | 0:21:32 | |
Just give me one minute, OK? | 0:21:32 | 0:21:34 | |
Are you all right holding it there? I'll be back in a sec. | 0:21:34 | 0:21:37 | |
ELAINE MOUTHS | 0:21:37 | 0:21:38 | |
Don't keep saying sorry. It's not your fault, is it? | 0:21:38 | 0:21:41 | |
I've given her a saline neb and suction, but she's... | 0:21:41 | 0:21:47 | |
-This might change her plan about going home. -Mm. | 0:21:47 | 0:21:49 | |
-How you feeling now? -Feeling a bit better, but still rubbish. | 0:21:49 | 0:21:52 | |
Right. Let's have a look. | 0:21:52 | 0:21:54 | |
So Elaine's had another episode | 0:21:54 | 0:21:55 | |
where she's blocked up her trachy again. | 0:21:55 | 0:21:57 | |
Those secretions are just too thick to... | 0:21:57 | 0:22:00 | |
For her to be able to get up, | 0:22:00 | 0:22:01 | |
and it's blocking off in her neck. | 0:22:01 | 0:22:03 | |
So we're having to keep her back on the nebulisers, | 0:22:03 | 0:22:06 | |
but we'll probably have to do it as an inpatient setting, | 0:22:06 | 0:22:08 | |
because it's happening too frequently | 0:22:08 | 0:22:10 | |
for us to let her to go home. | 0:22:10 | 0:22:11 | |
No point sending you home if you're not well enough, darling, OK? | 0:22:12 | 0:22:17 | |
The oxygen levels are good. They're 99, OK? | 0:22:17 | 0:22:20 | |
Yeah, that's really good. | 0:22:20 | 0:22:23 | |
Elaine's hopes of being discharged have been dashed. | 0:22:23 | 0:22:26 | |
She'll stay on resus bed 2 until a bed becomes free on another ward. | 0:22:26 | 0:22:30 | |
Back in Leicester, at the Royal Infirmary, | 0:22:41 | 0:22:44 | |
maternity bed 5 is on the move to the high-risk delivery unit. | 0:22:44 | 0:22:47 | |
Yeah, come with us. | 0:22:47 | 0:22:49 | |
-Thank you. -MARCELLE MOANS | 0:22:53 | 0:22:56 | |
25-year-old mum-to-be Marcelle | 0:22:56 | 0:22:58 | |
had been hoping to have a completely natural birth... | 0:22:58 | 0:23:01 | |
Hold on, you're nearly there now. | 0:23:02 | 0:23:03 | |
It's just one of these rooms on the... On the right-hand side. | 0:23:03 | 0:23:07 | |
Oh, my God. | 0:23:07 | 0:23:10 | |
..but midwives fear her unborn baby may be at risk, | 0:23:10 | 0:23:14 | |
so they want to induce her using a hormone drip. | 0:23:14 | 0:23:17 | |
I'm not too happy about, obviously, having to have the drip, | 0:23:19 | 0:23:23 | |
the hormone drip, but I'd rather that | 0:23:23 | 0:23:25 | |
than having to have the complications of delaying labour | 0:23:25 | 0:23:29 | |
and then having to have forceps or C-section. | 0:23:29 | 0:23:33 | |
So it's kind of like the best of two evils. | 0:23:33 | 0:23:36 | |
Midwife Tattersall has taken over Marcelle's care. | 0:23:36 | 0:23:40 | |
Everybody's different. Some people respond to it really quickly, | 0:23:40 | 0:23:43 | |
some people it takes a little bit of time to get them into labour. | 0:23:43 | 0:23:46 | |
So, just so you're aware, you know, | 0:23:46 | 0:23:48 | |
-on the most part, it's very effective. -Mm-hm. | 0:23:48 | 0:23:50 | |
All right. | 0:23:50 | 0:23:52 | |
'Initially she started off essentially as a low risk lady,' | 0:23:52 | 0:23:55 | |
but because she's had the episodes of reduced foetal movements | 0:23:55 | 0:23:58 | |
and now we're going to be starting her labour, | 0:23:58 | 0:24:00 | |
it then puts her in a higher risk category. | 0:24:00 | 0:24:02 | |
Marcelle is being supported by mum Margaret and Auntie Susanna. | 0:24:02 | 0:24:07 | |
Marcelle's had to let go of her dream of a completely natural birth, | 0:24:08 | 0:24:12 | |
but she's adjusting to the situation. | 0:24:12 | 0:24:14 | |
-I've not actually put it down. Because their mind is so set... -Set. | 0:24:14 | 0:24:17 | |
..that that is the birth that they're going to have | 0:24:17 | 0:24:20 | |
that they can't comprehend something else, | 0:24:20 | 0:24:23 | |
and then they stress the baby | 0:24:23 | 0:24:24 | |
and then end up having to have forcep and C-sections, | 0:24:24 | 0:24:28 | |
because their mind isn't ready to adjust | 0:24:28 | 0:24:32 | |
to a change from their birthing plan. | 0:24:32 | 0:24:35 | |
After 15 hours on maternity bed 5, | 0:24:43 | 0:24:46 | |
Marcelle eventually reaches the final stages of labour. | 0:24:46 | 0:24:49 | |
-Now, listen, Marcelle, you're fully dilated. -Am I? | 0:24:49 | 0:24:52 | |
Yeah, your baby's head is just sitting here. | 0:24:52 | 0:24:56 | |
You've got next to no work to do at all. | 0:24:56 | 0:25:00 | |
'She is fully dilated. So we're going to give Marcelle' | 0:25:00 | 0:25:04 | |
an hour, which means, because she's got an epidural that's working | 0:25:04 | 0:25:07 | |
on board and she's comfortable, | 0:25:07 | 0:25:09 | |
the contractions will do some of the work for her. | 0:25:09 | 0:25:12 | |
So when we start pushing, she'll have less work to do. | 0:25:12 | 0:25:15 | |
I'm excited! I'm really pleased for her. | 0:25:15 | 0:25:17 | |
So, hopefully we'll see her baby soon. | 0:25:17 | 0:25:21 | |
Still got a pain there? | 0:25:23 | 0:25:25 | |
OK, really go for it then. | 0:25:25 | 0:25:26 | |
Big push down for me. | 0:25:26 | 0:25:27 | |
Good! Good, that is perfect. | 0:25:29 | 0:25:31 | |
Well done. Now keep that coming as long and hard as you can. | 0:25:31 | 0:25:33 | |
And again. Good. Good. Well done. | 0:25:33 | 0:25:36 | |
You're doing brilliantly. Won't be long before we get to see him. | 0:25:36 | 0:25:41 | |
Give baby some space. | 0:25:41 | 0:25:43 | |
That's it. Fantastic! Now, keep that push coming. | 0:25:43 | 0:25:45 | |
That's it. For as long as you can. | 0:25:45 | 0:25:47 | |
OK, that's your baby's head delivered. | 0:25:47 | 0:25:50 | |
OK? That's the worst part. | 0:25:50 | 0:25:51 | |
You've done so well. | 0:25:51 | 0:25:53 | |
Next contraction, big push down into your bum | 0:25:55 | 0:25:58 | |
and we'll have your baby, OK? | 0:25:58 | 0:26:00 | |
MARCELLE SCREAMS | 0:26:00 | 0:26:03 | |
There we go. Fantastic! Congratulations! | 0:26:03 | 0:26:08 | |
Oh, congratulations. | 0:26:08 | 0:26:10 | |
-He's lovely. -Oh, my God! -BABY CRIES | 0:26:10 | 0:26:14 | |
I love you so much. | 0:26:14 | 0:26:18 | |
Absolutely over the moon. | 0:26:20 | 0:26:22 | |
There's no words to express... | 0:26:22 | 0:26:24 | |
how joyful I am to be a grandma. | 0:26:24 | 0:26:28 | |
I'm going to be a proud grandmother. | 0:26:28 | 0:26:30 | |
Absolutely. | 0:26:30 | 0:26:31 | |
-I can't believe he's here. -He's here. | 0:26:31 | 0:26:35 | |
Thank you so, so much. | 0:26:37 | 0:26:39 | |
Marcelle, you did it all, my lovely. | 0:26:39 | 0:26:41 | |
You're a star! | 0:26:43 | 0:26:46 | |
-Ah, Marcelle, he's lovely. -He's beautiful. | 0:26:46 | 0:26:50 | |
Hello! | 0:26:50 | 0:26:51 | |
Maternity bed 5 will stay with Marcelle and baby Dylan, | 0:26:51 | 0:26:55 | |
while they share precious bonding time together. | 0:26:55 | 0:26:58 | |
Back in Barnsley's A&E Department. | 0:27:09 | 0:27:12 | |
To go down to 29. | 0:27:13 | 0:27:14 | |
They would then give a bed for the lady in A&E. | 0:27:14 | 0:27:19 | |
On bed 12, 72-year-old David | 0:27:22 | 0:27:24 | |
has been rushed in by ambulance | 0:27:24 | 0:27:26 | |
having fallen six feet from a ladder. | 0:27:26 | 0:27:30 | |
Ooh, that's painful. | 0:27:30 | 0:27:32 | |
He's with his wife of 50 years, Di. | 0:27:32 | 0:27:34 | |
David is being given morphine. | 0:27:36 | 0:27:38 | |
There's concern he may have fractured his spine. | 0:27:38 | 0:27:40 | |
How did you get up off the floor? | 0:27:40 | 0:27:43 | |
I don't know. | 0:27:43 | 0:27:45 | |
Mm, while you got your wind back. | 0:27:49 | 0:27:52 | |
-Hello. -Hello. | 0:27:52 | 0:27:54 | |
Consultant Dr Walker is treating David today. | 0:27:54 | 0:27:57 | |
Right. What brings you to us today? | 0:27:57 | 0:28:00 | |
I came off a ladder. | 0:28:00 | 0:28:02 | |
-And your feet were about that high. -And then... Yes. -OK. | 0:28:02 | 0:28:04 | |
And all at once, the ladder slipped, and... | 0:28:04 | 0:28:07 | |
-So the ladder went like that, did it, down? -That's correct. | 0:28:07 | 0:28:10 | |
-I landed on my back. -So is the main problem your back? -My back, yes. | 0:28:10 | 0:28:15 | |
-He had a fight with a concrete floor. -Yes. From six feet. | 0:28:15 | 0:28:19 | |
You've got to mend it now. | 0:28:19 | 0:28:20 | |
Do you want to show me where the most painful bit is? | 0:28:20 | 0:28:22 | |
-Round... -Round here. | 0:28:27 | 0:28:28 | |
Can we get your dressing gown off? | 0:28:28 | 0:28:30 | |
-We can. -You've got your pyjamas on underneath, have you? | 0:28:30 | 0:28:33 | |
-Hopefully. -So, where's it sore? | 0:28:33 | 0:28:36 | |
-Just about... About there. -OK. | 0:28:37 | 0:28:40 | |
-So any pain further up here? -No. -Just rest yourself back. | 0:28:40 | 0:28:44 | |
Right, OK. | 0:28:44 | 0:28:46 | |
So we probably need to get an X-ray of your back, OK? | 0:28:46 | 0:28:49 | |
-Your lower back. -That's fine, yes. -And then we'll see what we can find. | 0:28:49 | 0:28:52 | |
-Right. -You'll go to X-ray and I'll see you when you come back. | 0:28:52 | 0:28:55 | |
-Lovely. Thanks very much. -OK? All right. | 0:28:55 | 0:28:57 | |
Ladders account for around 40% of falls from height, | 0:28:58 | 0:29:02 | |
causing major injuries. | 0:29:02 | 0:29:03 | |
Dr Walker believes David's fall may have caused serious damage. | 0:29:05 | 0:29:09 | |
He is 72. So, he's not a young man | 0:29:09 | 0:29:11 | |
to be climbing a ladder and falling off it. | 0:29:11 | 0:29:14 | |
Older people get quite severe injuries | 0:29:14 | 0:29:17 | |
as a consequence of just falling from standing. | 0:29:17 | 0:29:20 | |
Never mind falling from six feet. | 0:29:20 | 0:29:22 | |
I just feel tired. Ah... | 0:29:22 | 0:29:24 | |
He was determined he was coming home after he'd had this accident. | 0:29:26 | 0:29:31 | |
He wasn't going to, you know, | 0:29:31 | 0:29:33 | |
stay about at the bottom of the ladder and call for an ambulance. | 0:29:33 | 0:29:36 | |
It's just not him. | 0:29:36 | 0:29:37 | |
I was...in agony, but I didn't... | 0:29:37 | 0:29:41 | |
After I'd had a rest I thought I'd be all right. | 0:29:41 | 0:29:45 | |
Tough Yorkshireman, you see. | 0:29:45 | 0:29:47 | |
I don't know about that bit. | 0:29:47 | 0:29:49 | |
I managed to get in the bath, you know, to relax, | 0:29:49 | 0:29:52 | |
and then I couldn't get out of the bath. | 0:29:52 | 0:29:55 | |
Then I started shaking, so that's when we called for the paramedics. | 0:29:55 | 0:30:00 | |
I mean, a lot of people are very stoical, | 0:30:00 | 0:30:02 | |
and they will not want to bother anybody - | 0:30:02 | 0:30:05 | |
and there's a balance between rushing off to hospital | 0:30:05 | 0:30:08 | |
when you're slightly unwell and being too stoical, | 0:30:08 | 0:30:10 | |
and waiting too long, such that, you know, | 0:30:10 | 0:30:13 | |
your delay actually adds problems to your management. | 0:30:13 | 0:30:17 | |
-When you've had that morphine. -Yeah. -Feel a bit dopey. | 0:30:17 | 0:30:20 | |
Mm, you don't look as good now. | 0:30:20 | 0:30:23 | |
He's had two knee operations, bless him, | 0:30:23 | 0:30:25 | |
and various other operations, too. | 0:30:25 | 0:30:27 | |
Mm. | 0:30:27 | 0:30:28 | |
He's my bionic man, I think. | 0:30:28 | 0:30:31 | |
If David's spine is fractured | 0:30:32 | 0:30:34 | |
it could have a serious impact on his life. | 0:30:34 | 0:30:36 | |
It could also ruin his birthday celebration. | 0:30:36 | 0:30:39 | |
It's going to be his birthday next Monday. | 0:30:40 | 0:30:42 | |
We booked a secret party. | 0:30:42 | 0:30:44 | |
Got a cake. | 0:30:44 | 0:30:46 | |
Having champagne. | 0:30:46 | 0:30:48 | |
-Like you do, but...now what? -We'll have to wait and see. | 0:30:48 | 0:30:52 | |
Yeah. Dum dum dum dum... Watch this space. | 0:30:52 | 0:30:56 | |
-Ooh... -Right, you OK? -You caught us in the act! | 0:30:56 | 0:30:59 | |
It's time for A&E bed 12 to take David to X-ray. | 0:31:01 | 0:31:06 | |
We'll return later to find out if he has fractured his spine. | 0:31:06 | 0:31:10 | |
At Leeds Children's Hospital, | 0:31:21 | 0:31:22 | |
the day surgery unit's 26 beds meet children | 0:31:22 | 0:31:25 | |
having a range of different procedures. | 0:31:25 | 0:31:28 | |
Many involve putting the child to sleep. | 0:31:28 | 0:31:30 | |
You'll be asleep soon, honeybun. | 0:31:33 | 0:31:36 | |
You're a good boy then. | 0:31:36 | 0:31:38 | |
Aren't you a good boy? | 0:31:38 | 0:31:39 | |
See you in a bit. | 0:31:39 | 0:31:41 | |
OK, baby. See you in a bit. | 0:31:41 | 0:31:43 | |
Good boy. | 0:31:44 | 0:31:47 | |
Usually the children take it all in their stride, | 0:31:47 | 0:31:50 | |
but for parents it can be a struggle. | 0:31:50 | 0:31:53 | |
Bye, sweetheart. | 0:31:54 | 0:31:55 | |
It's very emotional to see the child go to sleep, | 0:31:55 | 0:31:58 | |
and I don't think a lot of parents realise, | 0:31:58 | 0:32:00 | |
like, what happens until they're actually in that situation. | 0:32:00 | 0:32:04 | |
Paediatric bed 3 is being prepped for its next patient. | 0:32:06 | 0:32:10 | |
Two-year-old Isaac has come in for an operation on his groin. | 0:32:11 | 0:32:15 | |
-Oh, it's Mr Tumble! -'It's Mr Tumble!' | 0:32:17 | 0:32:20 | |
Oh, do you want this one? | 0:32:20 | 0:32:22 | |
Are you going to have some more toys? | 0:32:22 | 0:32:24 | |
Hey, where are we? | 0:32:24 | 0:32:26 | |
With him are parents Pete and Lorraine. | 0:32:27 | 0:32:30 | |
We've just come into the hospital today | 0:32:30 | 0:32:31 | |
for a minor operation, really, for Isaac. | 0:32:31 | 0:32:33 | |
It's just something that's quite common in little boys. | 0:32:33 | 0:32:36 | |
He wants the touch screen there, doesn't he? | 0:32:36 | 0:32:38 | |
Ah, he's touching like a touch screen. | 0:32:38 | 0:32:40 | |
No touch screen, no good. | 0:32:40 | 0:32:42 | |
Huh? | 0:32:42 | 0:32:44 | |
Yay! | 0:32:44 | 0:32:45 | |
Good boy! Hey! | 0:32:45 | 0:32:47 | |
I've been getting sort of really flustered and really in a state, | 0:32:47 | 0:32:51 | |
as much about the operation as, erm, | 0:32:51 | 0:32:53 | |
him being put to sleep, really, | 0:32:53 | 0:32:55 | |
and I think it's that that's been worrying me, | 0:32:55 | 0:32:57 | |
so it's...it is as though it's massive, | 0:32:57 | 0:33:00 | |
but I have to keep saying, it is not, | 0:33:00 | 0:33:02 | |
it is a small operation, but, erm, | 0:33:02 | 0:33:04 | |
yeah, still really, really worrying. | 0:33:04 | 0:33:06 | |
In charge of putting Isaac to sleep today is anaesthetist Dr Johnson. | 0:33:06 | 0:33:11 | |
-Hello. -Hello, there, you all right? -Yeah. | 0:33:11 | 0:33:13 | |
-Keep Isaac occupied. -Hi. -Hi, there. | 0:33:13 | 0:33:16 | |
-I'm one of the anaesthetic consultants. -Hello, there. | 0:33:16 | 0:33:18 | |
-So I'll be putting Isaac to sleep today. -Oh, OK. | 0:33:18 | 0:33:20 | |
-Now he's... -This is the bit that I've been really... | 0:33:20 | 0:33:23 | |
Well, all of it, but this bit, yeah. | 0:33:23 | 0:33:24 | |
-Now, he's got Down's syndrome is that right? -That's right. | 0:33:24 | 0:33:27 | |
How does that affect him? | 0:33:27 | 0:33:28 | |
Is there any problems with his general health? | 0:33:28 | 0:33:30 | |
He doesn't have any, any problems. He's fine. | 0:33:30 | 0:33:32 | |
So he never has any episodes | 0:33:32 | 0:33:34 | |
-where he gets blue or particularly short of breath? -No. | 0:33:34 | 0:33:36 | |
-No. -Or collapses, or anything like that? | 0:33:36 | 0:33:38 | |
-No. -Good. | 0:33:38 | 0:33:40 | |
You do worry, because he's in someone else's care - | 0:33:40 | 0:33:42 | |
and just the whole thought of it and then having to be put to sleep. | 0:33:42 | 0:33:45 | |
The needles are not very nice... | 0:33:45 | 0:33:47 | |
and I don't know if that's my own phobia of things. | 0:33:47 | 0:33:50 | |
So all of that, I'm not really wanting for him, | 0:33:50 | 0:33:52 | |
but the anaesthetist sort of put my mind at rest. | 0:33:52 | 0:33:54 | |
He'll be put out with a mask | 0:33:54 | 0:33:56 | |
and not know about the needle too much, I hope. | 0:33:56 | 0:33:59 | |
And will one of us be able to be in with him when he you put him | 0:33:59 | 0:34:01 | |
-to sleep and they'll be in. -Yes, yeah, so you can come down. | 0:34:01 | 0:34:04 | |
Dad'll be there. I'm not very good with needles. | 0:34:04 | 0:34:06 | |
I think we'll just have a big cuddle | 0:34:06 | 0:34:07 | |
-on your knee and pop the mask on. -Yeah. | 0:34:07 | 0:34:09 | |
That's lovely. Right, that's great. | 0:34:09 | 0:34:10 | |
-Thank you very much. -No worries. | 0:34:10 | 0:34:12 | |
-Ah, that's OK. -Good, we'll see you later, Isaac. | 0:34:12 | 0:34:15 | |
-Thank you, see ya later. Bye-bye. -Bye-bye. -OK. | 0:34:15 | 0:34:18 | |
The parents give us their child to look after. | 0:34:18 | 0:34:19 | |
It's a real privilege, but it's also a big responsibility | 0:34:19 | 0:34:22 | |
when I actually think about it. | 0:34:22 | 0:34:24 | |
Often because it's routine and you do it day-by-day, | 0:34:24 | 0:34:27 | |
you don't really think about the impact every time - | 0:34:27 | 0:34:29 | |
but occasionally it does hit home. | 0:34:29 | 0:34:31 | |
You are suddenly responsible for this very precious person. | 0:34:31 | 0:34:35 | |
Down's syndrome occurs in around one in every 800 births. | 0:34:36 | 0:34:41 | |
It's a genetic condition | 0:34:41 | 0:34:42 | |
that results from having an extra chromosome. | 0:34:42 | 0:34:45 | |
During my pregnancy, it was a bit of a...well, it was a massive shock. | 0:34:46 | 0:34:50 | |
I didn't know anything about Down's syndrome, | 0:34:50 | 0:34:53 | |
but it started us on a really positive journey, really. | 0:34:53 | 0:34:56 | |
It isn't an illness, he's just a person. | 0:34:56 | 0:34:59 | |
Just a type of person. | 0:34:59 | 0:35:00 | |
A fantastic person. | 0:35:00 | 0:35:02 | |
You want that one? | 0:35:02 | 0:35:03 | |
With surgery busy today, | 0:35:03 | 0:35:05 | |
Isaac and his parents may be in for a long wait. | 0:35:05 | 0:35:07 | |
I'm getting a bit more nervous, now, because the waiting, I think. | 0:35:09 | 0:35:13 | |
I don't want him to have this done, | 0:35:13 | 0:35:14 | |
but I know he's got to have this done, cos it's what's best for him, | 0:35:14 | 0:35:18 | |
so, I'm trying to be calm. | 0:35:18 | 0:35:20 | |
Later we'll rejoin paediatric bed 3 | 0:35:23 | 0:35:25 | |
as Isaac is finally taken to theatre for his operation. | 0:35:25 | 0:35:29 | |
In Barnsley, A&E bed 12 is taking | 0:35:40 | 0:35:43 | |
72-year-old David for an X-ray on his spine. | 0:35:43 | 0:35:46 | |
-SHE SHOUTS -I am. Well, I was when I set off. | 0:35:46 | 0:35:50 | |
There's concern it may have been fractured | 0:35:52 | 0:35:54 | |
when David fell six feet from a ladder. | 0:35:54 | 0:35:56 | |
How have you fallen? | 0:35:57 | 0:35:58 | |
Pfft... Off a ladder, onto a concrete floor. | 0:35:58 | 0:36:01 | |
Right, David, breathe in. | 0:36:01 | 0:36:04 | |
Hold your breath there, | 0:36:04 | 0:36:07 | |
and breathe normally. | 0:36:07 | 0:36:09 | |
-All done. That's it. OK, we're done. -That's it? -Yeah! -Oh, very good. | 0:36:10 | 0:36:13 | |
Back in the busy A&E department, | 0:36:18 | 0:36:20 | |
bed space is in such demand that David and his wife Di | 0:36:20 | 0:36:24 | |
have lost their place. | 0:36:24 | 0:36:26 | |
I'll take that off you. | 0:36:26 | 0:36:27 | |
Well, I think we're waiting for a cubicle now. | 0:36:27 | 0:36:29 | |
Mm. We moved out and somebody moved in. | 0:36:31 | 0:36:34 | |
-So... -We'll put you into 5 now. | 0:36:34 | 0:36:36 | |
Ooh! | 0:36:36 | 0:36:38 | |
Consultant Dr Walker is back with the results. | 0:36:40 | 0:36:43 | |
-Right, how are you? -Have you got the results? | 0:36:43 | 0:36:48 | |
Yes. There's nothing broken. | 0:36:48 | 0:36:49 | |
-Fine! -Spine's fine. | 0:36:49 | 0:36:52 | |
-Oh! -Yeah, just, just bruised your back. | 0:36:52 | 0:36:55 | |
-So, it will be sorted in a few days... -It is aching. | 0:36:55 | 0:36:57 | |
Yeah, it will do. It will do. | 0:36:57 | 0:36:59 | |
Yes, right. | 0:36:59 | 0:37:01 | |
David has plans to celebrate his 73rd birthday | 0:37:01 | 0:37:04 | |
in less than a week's time. | 0:37:04 | 0:37:06 | |
With the X-ray showing no signs of a fracture, | 0:37:06 | 0:37:09 | |
the couple are hoping he'll have recovered in time. | 0:37:09 | 0:37:12 | |
Are you feeling a bit better now? | 0:37:12 | 0:37:15 | |
So it might be all systems go, with a bit of luck. | 0:37:15 | 0:37:17 | |
-Mm. -Yes, well hopefully we'll be able to go to the party. | 0:37:17 | 0:37:22 | |
Mm? I might be driving. | 0:37:22 | 0:37:23 | |
That's bad news. | 0:37:23 | 0:37:25 | |
I get told off when I drive. | 0:37:25 | 0:37:27 | |
You do. | 0:37:27 | 0:37:28 | |
Well, they'll put me on antibiotics, no doubt, | 0:37:28 | 0:37:32 | |
so I shan't be able to have a glass, shall I? | 0:37:32 | 0:37:34 | |
He needs to rest at times but also keep mobile, keep walking around. | 0:37:34 | 0:37:39 | |
HE MUMBLES | 0:37:39 | 0:37:41 | |
David can now say goodbye to A&E bed 12 | 0:37:41 | 0:37:44 | |
and make preparations for his birthday celebrations. | 0:37:44 | 0:37:47 | |
LAUGHTER AND INDISTINCT SPEECH | 0:37:47 | 0:37:50 | |
A&E bed 12 is cleaned and ready for its next patient. | 0:37:55 | 0:37:59 | |
At Leeds Children's Hospital, | 0:38:06 | 0:38:07 | |
two-year-old Isaac has turned paediatric bed 3 | 0:38:07 | 0:38:10 | |
into his own play area. | 0:38:10 | 0:38:12 | |
These ones have gone for walkies. | 0:38:16 | 0:38:18 | |
Doggie going for walkies? | 0:38:18 | 0:38:20 | |
He and parents Pete and Lorraine have been waiting for several hours | 0:38:20 | 0:38:22 | |
to be called for surgery. | 0:38:22 | 0:38:24 | |
-Hi. -I think the majority have gone down now, | 0:38:25 | 0:38:27 | |
-so he's next. -Oh, is he next? | 0:38:27 | 0:38:29 | |
Oh, fantastic. Oh, more anxious now. | 0:38:29 | 0:38:32 | |
-All right. Thank you. -So, not long. -Thank you. | 0:38:32 | 0:38:35 | |
Oh, Isaac. | 0:38:37 | 0:38:38 | |
It's now finally time for Isaac to leave paediatric bed 3 behind | 0:38:40 | 0:38:43 | |
as he heads to theatre | 0:38:43 | 0:38:44 | |
and the operating table for surgery to his groin. | 0:38:44 | 0:38:47 | |
Give Mummy kiss then. | 0:38:48 | 0:38:50 | |
Eh? | 0:38:52 | 0:38:53 | |
Oh, OK. It'll be all right. They'll put him to sleep first, aren't they? | 0:38:54 | 0:38:58 | |
Awful. More because I...I know, | 0:39:01 | 0:39:04 | |
I've got a real phobia and I know that I'd be absolutely no good | 0:39:04 | 0:39:07 | |
and I'd make him worse. I feel like I'd let him down, | 0:39:07 | 0:39:10 | |
cos I wouldn't be much good. | 0:39:10 | 0:39:11 | |
Might cause more, more catastrophe than anything else... | 0:39:11 | 0:39:14 | |
-Well done. -Do you want to give him a kiss? | 0:39:22 | 0:39:25 | |
Do you want to give him a quick kiss? | 0:39:25 | 0:39:26 | |
We'll take good care of him for you. | 0:39:26 | 0:39:28 | |
OK. | 0:39:28 | 0:39:30 | |
Thank you. | 0:39:30 | 0:39:32 | |
Whilst Isaac is prepared for surgery, | 0:39:35 | 0:39:38 | |
Mum Lorraine waits on the ward. | 0:39:38 | 0:39:40 | |
You know, when I had Isaac... Now I say, | 0:39:40 | 0:39:42 | |
"Oh, Isaac has Down's syndrome," | 0:39:42 | 0:39:44 | |
and it just rolls off my tongue and it's not, | 0:39:44 | 0:39:46 | |
I never think, "Oh, it's Down's syndrome," | 0:39:46 | 0:39:48 | |
but since we've had him, | 0:39:48 | 0:39:50 | |
I and me husband have learnt a lot about ourselves. | 0:39:50 | 0:39:53 | |
The one thing I regret about my pregnancy was ever crying | 0:39:53 | 0:39:55 | |
when I...when we knew, we thought it was the end of the world - | 0:39:55 | 0:39:59 | |
and I look at Isaac sometimes and I'll talk to him and I'll hold him | 0:39:59 | 0:40:01 | |
and I'll say, "I'm so proud to be your mummy. And I love you so much." | 0:40:01 | 0:40:04 | |
And I, I want to say I'm sorry for ever crying about... | 0:40:04 | 0:40:09 | |
..for ever shedding a tear, because there was no, no need. | 0:40:13 | 0:40:16 | |
No. No, no need. | 0:40:16 | 0:40:18 | |
No. | 0:40:18 | 0:40:20 | |
Consultant surgeon Mr Crabbe begins Isaac's surgery. | 0:40:22 | 0:40:25 | |
So, I'm putting local anaesthetic into the wound, | 0:40:27 | 0:40:29 | |
so, although Isaac's asleep, | 0:40:29 | 0:40:32 | |
I want the wound to be numb when he wakes up. | 0:40:32 | 0:40:36 | |
Two pairs of two forceps, please. | 0:40:36 | 0:40:38 | |
Just bring that one just inside the... | 0:40:41 | 0:40:43 | |
Back on the ward, Pete and Lorraine count the minutes. | 0:40:43 | 0:40:45 | |
Ah, dear, come on, Isaac! | 0:40:45 | 0:40:47 | |
Oh, I hope he's all right... | 0:40:47 | 0:40:49 | |
When they're taking a while, you're thinking, | 0:40:49 | 0:40:51 | |
"Oh, is there any complications or anything? | 0:40:51 | 0:40:53 | |
"Is everything going to be all right?" | 0:40:53 | 0:40:54 | |
What time is it now? | 0:40:54 | 0:40:56 | |
Quarter to one. | 0:40:57 | 0:40:59 | |
It's taking a long time, isn't it? | 0:40:59 | 0:41:00 | |
Not really. | 0:41:00 | 0:41:02 | |
After an hour, Isaac's surgery is complete and as he begins to wake, | 0:41:05 | 0:41:09 | |
he can finally be reunited with his parents. | 0:41:09 | 0:41:12 | |
Oh, hello, there! | 0:41:12 | 0:41:15 | |
Oh, no! | 0:41:15 | 0:41:16 | |
Oh, hello, my gorgeous! | 0:41:18 | 0:41:21 | |
Oh... Oh... | 0:41:23 | 0:41:24 | |
He's beautiful. | 0:41:27 | 0:41:28 | |
Oh, thank you. | 0:41:28 | 0:41:30 | |
I didn't expect you being up. | 0:41:30 | 0:41:31 | |
I thought you'd be out for it, Isaac, to be honest. | 0:41:31 | 0:41:34 | |
Thank goodness. | 0:41:36 | 0:41:38 | |
Thank you! | 0:41:38 | 0:41:40 | |
Aw, hey... | 0:41:40 | 0:41:42 | |
Isaac can now return to paediatric bed 3 to rest and recover. | 0:41:45 | 0:41:49 | |
Yeah, it's a relief to have it over and done with now. | 0:41:51 | 0:41:54 | |
We were apprehensive when he were down there, | 0:41:54 | 0:41:55 | |
but when we went in and the doctor said everything were fine. | 0:41:55 | 0:41:58 | |
So I'm just glad that he's out of it now. | 0:41:58 | 0:42:01 | |
A bit grumpy, but we're on the upside now. | 0:42:01 | 0:42:04 | |
He's enjoying his toast, so it's a good sign, isn't it? | 0:42:04 | 0:42:07 | |
Hey? | 0:42:07 | 0:42:09 | |
-A, ba... -A, ba. Oh, there... Yes. | 0:42:09 | 0:42:12 | |
Yay! | 0:42:12 | 0:42:14 | |
With Isaac rested, fed and watered, | 0:42:14 | 0:42:16 | |
the family are given the all clear to head home. | 0:42:16 | 0:42:18 | |
-Thank you very much. -Thank you very much! | 0:42:18 | 0:42:21 | |
-Thank you. -Bye-bye. -Bye! | 0:42:21 | 0:42:23 | |
Paediatric bed 3 can now be cleaned and prepped for its next patient. | 0:42:23 | 0:42:27 | |
Our hospital beds have given us intimate access | 0:42:39 | 0:42:42 | |
to the work of the NHS. | 0:42:42 | 0:42:43 | |
Elaine was kept in hospital for a week. | 0:42:45 | 0:42:49 | |
After being discharged she moved in with her son and daughter-in-law. | 0:42:49 | 0:42:52 | |
Edward is doing well and not missing his wiggly. | 0:42:54 | 0:42:57 | |
The family are trying to book a holiday... | 0:42:57 | 0:42:59 | |
Yeah! | 0:42:59 | 0:43:01 | |
..and Marcelle is enjoying special time at home with baby Dylan. | 0:43:01 | 0:43:05 | |
She's getting plenty of help from Mum. | 0:43:05 | 0:43:08 | |
The beds are now back on their wards, | 0:43:10 | 0:43:12 | |
ready and waiting for their next round of patients. | 0:43:12 | 0:43:15 |