Episode 5 Secret Life of the Hospital Bed


Episode 5

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SIRENS WAIL

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

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It's just unrelenting at the moment.

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..with more patients to care for than ever before

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and only 150,000 beds to go round.

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It is a fast-paced job.

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It's a nonstop conveyor belt.

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In this series, we use special cameras on beds

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in four very different hospitals...

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Ah, comfy bed.

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..to see the world through the bed's eyes...

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Left at the lights.

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..as they share the most challenging...

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Oh, it's coming again.

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You'll get upset...

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and we'll look after you, OK?

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Are you OK, pet?

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..most intimate...

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That's good.

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..and most rewarding...

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moments of our lives.

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So, so happy.

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Coming up - in Barnsley, on resus bed 2,

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56-year-old Elaine's life is on the line as she struggles for breath.

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Don't be scared. We know what we're doing, OK?

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In Leeds, on paediatric bed 3,

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five-year-old Edward reaches the finish line

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in his treatment for leukaemia...

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How long has it been going on for?

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Like, three and a half years. Yeah, yeah.

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..and in Leicester, on maternity bed 5,

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first-time mum-to-be Marcelle faces the reality of giving birth.

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I am so ready to meet him...

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but I'm not ready for the pain to meet him.

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I'm scared.

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Bed's like an extra member of staff, almost.

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This is The Secret Life Of The Hospital Bed.

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Barnsley Hospital in South Yorkshire.

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Hello, emergency department, Barnsley.

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What are his numbers?

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Its A&E department has five resus beds

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that see around 4,000 critically ill patients a year.

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43 patients in the department at the moment.

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Anyone briefing the TGT nurse?

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So it's just a constant cycle, really.

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These beds are reserved for patients whose lives are at risk.

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-OK, bit of pushing.

-She's in, yeah, she's in cubicle number 3.

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Today, resus bed 2 is being prepped for its next patient.

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56-year-old Elaine has been rushed into hospital gasping for breath.

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She's suffocating and barely able to speak.

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Don't be scared. We know what we're doing, OK?

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

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All right?

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Elaine has a tube in her neck to allow her to breathe,

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but it's become blocked.

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Are you allergic to anything? Penicillin...

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and doxycycline.

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Dr Cliff has to act quickly to clear the airway.

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Good, well done. Just nice, deep breaths.

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Going to get you some more saline for this, as well.

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It's an acute emergency. She's essentially drowning.

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It's essentially like somebody taping your mouth shut.

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You've got seconds to react.

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Elaine's tube is removed and flushed out with a saline nebuliser.

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Have you got some suction?

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Are you ready for suctioning again, sweetheart?

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At Elaine's side is soon to be daughter-in-law Gemma.

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The tube is, like, blocked.

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She can't unblock it herself.

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It's awful. It is awful when she can't breathe.

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Yeah, very scary.

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How old are you, sweetheart? 56?

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Elaine had to have a breathing pipe inserted five years ago

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due to having chronic lung disease.

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She's been rushed into hospital with a blocked tube several times.

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Elaine has had, what we call, a tracheostomy.

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So, it's a tube that helps her breathe through her neck

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rather than through her mouth.

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When you've got that artificial airway,

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it's got the potential for... for it to block off.

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Is that feeling any easier?

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Yeah, starting to work. Yeah.

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After 20 minutes, Elaine's symptoms have calmed down,

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but she's not safe yet.

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Dr Cliff has seen this happen before.

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Cos you scared me on my first day of ENT, didn't you?

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-Once seen never forgotten.

-I've gotta scare you at least once.

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-Well, yes, exactly.

-She scares everybody.

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Luckily with Elaine, she knows what to do in the majority of the time,

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but as panic sets in, you don't always think quite rationally

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and, at times, when she is unwell,

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then she needs to come into hospital for extra support.

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But at least we can smile about it, as well. Afterwards.

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It's an unfortunate situation with Elaine,

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but she's a lovely lady who makes the most of it as best she can.

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She's always got a smile on her face and always happy,

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so it's always nice to see her.

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Do you feel like you still need suctioning? No, brilliant.

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I'm so glad you're here. Thank you.

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Doctors need to monitor Elaine in case she starts to suffocate again.

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We'll return to resus bed 2 later,

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to see whether Elaine's condition stabilises.

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Leeds Children's Hospital

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is one of the largest paediatric centres in the UK.

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High five. Oh!

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It has 26 beds on its day surgery unit.

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I dance a lot.

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These beds are with their young patients through tough times,

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both before...

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What do you like to do when you're in hospital?

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Go home.

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..and after surgery.

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Paediatric bed 3 is ready for its next patient.

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-It's number 3!

-Wow!

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This is your bed for the day.

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-That's good, in't it?

-Right, make yourself comfortable.

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The first patient to arrive on the ward today is five-year-old Edward.

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He's here with his mum, Steph.

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Smelly feet.

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Edward has come for an operation,

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which will mark the end of his treatment for leukaemia.

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-Do it...

-MUM GASPS

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THEY LAUGH

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Ah, no!

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Well, it's OK, Edward, we can fix this.

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For the last three and a half years, Edward's treatments

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have been administered via a port line in his chest...

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He's quite proud of it, so he's not scared of showing you.

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..which is often referred to as a wiggly.

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So, why have you come with us today?

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-Take my wiggly out.

-Have you?

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So have you got a wiggly?

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Are we going to...? Do you not need it any more?

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Are you excited?

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-No.

-No?

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Have you got... Sometimes you get attached to these things, don't you?

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Looking after Edward today is Sister Nuttall.

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You wanted it out, but you did say, "Oh, why does it have to be today?"

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-Oh, dear. Did you have something better to do?

-Clearly!

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And I've just said, "Oh, you can't go to school tomorrow,"

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and he's like, "Oh, for God's sake!" It's such an inconvenience.

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-You like school - well, that's good, in't it?

-Yeah.

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-How long has it been going on for?

-Like, three and a half years.

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-Oh, yeah.

-Yeah, yeah.

-Gosh.

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-So this is like a complete milestone, in't it?

-Yeah, God.

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Edward was diagnosed with leukaemia three years ago,

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when he was just two years old.

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I remember it well, but it was one of those things, like,

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you just think, "Fine. What do we do?"

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So it wasn't the end of the world for us.

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They said the odds are good for children to recover from it,

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it's just a long journey.

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Survival rates for children with leukaemia

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have improved dramatically in recent years.

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90% of children diagnosed survive more than five years,

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after which a relapse is considered highly unlikely.

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EDWARD BLOWS RASPBERRY

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That's a rude noise.

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-Can you do it?

-What?

-EDWARD BLOWS RASPBERRY

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-I can't do one.

-It makes a sound.

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Surgical registrar Miss Anna

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will be performing the operation today.

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All right, Edward, today's the day.

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Do you know what we're going to do today?

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-What are you here for?

-Taking my wiggly out.

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We're taking your wiggly out.

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That is very true.

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We used to be able to give it to you to keep...

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-I don't know! It's a bit gruesome.

-..if you wanted.

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I'm afraid we can't any more...

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Well, I don't know what we'd do with it, anyway.

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..but would you like a photograph?

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-Would you like a picture?

-Yeah.

-Of your wiggly?

-Yeah.

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-Are you happy?

-Yeah.

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So he's been under treatment now for about three, four years -

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and it is serious, it was a type of blood cancer,

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but his prognosis is very good.

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And the longer it goes on, the more likely a positive outcome.

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-Oh, no, you've won! Look, you've won.

-Where?

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There, look!

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-Yeah!

-You didn't even know. I shouldn't have told you.

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Edward is finally called to surgery.

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Leaving paediatric bed 3 behind, as he heads to theatre.

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Oh, you're so heavy.

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Later we'll re-join Edward to find out if his port line

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is successfully removed.

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-Hello.

-Hello.

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Leicester, at the Royal Infirmary's Maternity Unit.

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More than 100 babies are born here each week.

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-BABY CRIES

-Oh, my word!

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Fantastic!

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Congratulations!

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The unit's 16 beds are constantly under pressure,

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working a 24-hour shift...

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Come on, you can do this.

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You're doing absolutely amazing.

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..seven days a week.

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BABY CRIES

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The bed situation, it seems a lot better today.

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Busy days can be a bit manic.

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That's part of the job, isn't it?

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There you go. I think you're busy.

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Maternity bed 5 is ready for its next expectant mum.

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What I'll do is I'll get you some pain relief.

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There's some dihydrocodeine here, as well.

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OK?

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-So much better when I sit.

-Is it?

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You'll be all right in a minute.

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First-time mum-to-be 25-year-old Marcelle

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has been admitted to the unit today

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two weeks ahead of her due date.

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Just take some nice, deep breaths, OK?

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That's it. All the way.

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She's in the early stages of labour, and there are concerns.

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Well done.

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Can I turn you on your left side for a little bit?

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Is that all right? Just going to lay back the bed a little bit,

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just to wake baby up a tad. Yeah?

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Midwife Struck is checking the baby's heart rate and movements.

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Pop your head up for me.

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Is it meant to hurt more if I go on my side?

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No. Sometimes it might, just as the baby's positioning,

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but it's just to try and wake baby up a little bit, that's all.

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The baby's a little bit what we call sleepy,

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so I've turned Marcelle onto her left side on the bed

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and the idea is it increases the blood flow -

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and therefore, you know, improves baby's heart rate,

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and that's what we always do.

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Marcelle's baby is moving less than normal,

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a sign that the baby's health may be at risk.

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So we're going to be on here for about half an hour.

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With your contractions, they're starting off perfectly,

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so this is how it all begins.

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I just want them to last for a little bit longer.

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Yeah, real toe-curler ones.

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So you're going to be on here for about half an hour.

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All right? Baby looks quite happy at the moment.

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-All right?

-Thank you.

-OK.

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Marcelle's mum, Margaret, and her Auntie Suzanna live nearby.

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They're on their way in to support her.

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My mum's name's Margaret.

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We're practically best friends.

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We do everything together.

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She knows me like no-one knows me.

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I don't know what - I would probably...

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don't know what I'm doing for this whole pregnancy without her.

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Yeah, she helps a lot.

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-Hello, girl.

-Hello.

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Hi, Mum.

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-Ready?

-I'm not ready.

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-You're not ready?

-No.

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My back is killing me. Careful with the camera.

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Marcelle desperately wants to have a natural delivery.

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Only around one in four women

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give birth in the UK without any intervention,

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such as an induction or an epidural.

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It breaks my heart to know that I can't take away the pain from her,

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but she knows that I'm here.

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This is just the beginning of...

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Let's say one to ten, she's about two.

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Yeah, two, so I'm just preparing her

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for the other eight steps to come in terms of all the pain.

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It's kind of like, I'm so ready to meet him,

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but I'm not ready for the pain to meet him, if that makes sense.

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I'm, like, I just wish he could just appear out of nowhere.

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Is there no way around it?

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-MARGARET LAUGHS

-There has to be a way around it.

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I'm scared.

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We'll return later to maternity bed 5,

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to find out if Marcelle manages to have her dream natural birth.

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Back at Leeds Children's Hospital,

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on surgical bed 6 is five-year-old Edward,

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who is in remission from leukaemia.

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He's having an operation to remove the port line

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through which his medications have been given,

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marking the end of his cancer treatment.

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Surgical registrar Miss Anna will be removing what is known as a wiggly

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or port line.

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So, once the patient's asleep,

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we'll cut through the tissues and we'll find the port,

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and then we'll remove it, so we can take a photograph of Mr Wiggly.

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Yeah, it's like the happy ending to the story, in a way,

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that you get to at the end.

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Edward's mum Steph has to wait outside theatre.

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You know they're going to be OK, but it's still worrying,

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cos I don't know how long I'm waiting, it just makes it...

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So I'm just sat here hoping that he's going to be OK.

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Erm, it seems OK at the moment.

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I'm just releasing the port.

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Have we got retractors?

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OK, so we're about to remove the port now.

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So this is the line that was sitting in the vein.

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And there you go. There's Mr Wiggly.

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The port line is successfully removed.

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For mum, Steph, this means the end of constant hospital visits.

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I can't even express how happy I am about it.

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That was the final thing that needed to be done, so...

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like, from today, that's it, we're done.

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After 45 minutes, Edward's operation is over.

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Surgical bed 6 takes him back to paediatric bed 3 on the ward.

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Ready, steady, move.

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Let's get you nice and comfy.

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Within an hour, Edward's awake -

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and he soon notices that something has changed.

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No wiggly.

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No wiggly. Good.

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-I can't feel it.

-You can't feel it?

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Look.

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That's what were in there, so that bit there

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is where they put the needle in

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and all your medicine went into there -

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and that is what went up there.

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With Edward's treatment over, his family can now plan for the future.

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We need a holiday, don't we, Edward?

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Yeah, we've not been able to go on a proper holiday for years,

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so, yeah, we can't wait to be able to go -

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and Edward wants to go on an aeroplane,

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so we have to go on an aeroplane, don't we?

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The time has come for Sister Nuttall to discharge Edward

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from paediatric bed 3.

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Well, it's been lovely to meet you.

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-Yeah, you too.

-And good luck with everything else.

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-Thank you.

-And hopefully, young man,

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we won't need to see you again, will we?

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-Took my wiggly out.

-Because you took your wiggly out, yeah.

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Yeah, your wiggly's all gone, so you don't need to come back and see us.

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That's really good, isn't it?

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-Yeah?

-Yeah.

-Okey dokey.

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It's absolutely fantastic.

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Just being in the system for three years, having treatment,

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he's had a lovely recovery.

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Erm, he's done really, really well.

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So, yeah, I wish them both the very best for the future.

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Get on with their lives.

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High five. Ah! That hurt my hand. Thank you very much.

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Thank you. See ya later.

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As Edward and his mum head home,

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paediatric bed 3 is free to be stripped down,

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ready for its next patient.

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

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You know you're safe, though, don't you?

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..on resus bed 2, Elaine's breathing tube blocks up again,

0:18:150:18:17

leaving her gasping for breath.

0:18:170:18:20

This might change plans about going home. You know that?

0:18:200:18:23

In Leicester, on maternity bed 5,

0:18:250:18:27

there are complications with Marcelle's labour...

0:18:270:18:30

Still got a pain there?

0:18:300:18:32

SHE SCREAMS

0:18:320:18:34

..and in Leeds, on paediatric bed 3, two-year-old Isaac faces surgery.

0:18:340:18:40

I know I've got a real phobia and I know that I'd be absolutely no good

0:18:400:18:44

and I'd make him worse.

0:18:440:18:45

Back in Barnsley's A&E department.

0:18:500:18:53

Ah, she's got a new AF.

0:18:530:18:54

She's got a couple of rib fractures on the X-ray.

0:18:540:18:57

Resus bed 2 is with 56-year-old Elaine.

0:18:570:19:00

Don't be scared, we know what we're doing, OK?

0:19:000:19:03

Elaine was rushed into hospital when her breathing tube became blocked

0:19:030:19:07

and she started to suffocate.

0:19:070:19:09

Good. Well done. Just nice, deep breaths.

0:19:090:19:11

Going to get you some more saline.

0:19:110:19:13

After emergency intervention by doctors,

0:19:140:19:16

her breathing has begun to stabilise.

0:19:160:19:18

How's that feeling? All right, better.

0:19:200:19:23

I bet you're shattered, aren't you?

0:19:250:19:26

Yeah.

0:19:260:19:27

Like Elaine, around 12,000 people have a tracheostomy tube

0:19:400:19:44

inserted each year, to enable them to breathe.

0:19:440:19:47

Elaine has been told she will need to have the breathing tube

0:19:560:19:59

for the rest of her life.

0:19:590:20:00

Elaine's been on resus bed 2 for an hour and a half.

0:20:170:20:21

Dr Cliff comes back to check if Elaine's breathing has improved.

0:20:210:20:24

-So when are you next due for a trachy change?

-It's due next week.

0:20:240:20:28

-OK. Right, so you've got a follow up with...

-ENT.

-Yeah, right.

0:20:280:20:32

And you've got spare tubes and things at home, have you?

0:20:320:20:34

-I have.

-Yeah. Good.

0:20:340:20:35

-Do you feel well enough to go home?

-Yeah.

-Yeah?

-Yeah, yeah, yeah.

0:20:350:20:38

I feel a lot better now.

0:20:380:20:39

You just panic, don't you? When you can't breathe.

0:20:390:20:42

There's no...

0:20:420:20:44

I can go home.

0:20:440:20:47

Yes!

0:20:470:20:48

I can go home. So, that's...

0:20:490:20:52

You need suctioning?

0:21:020:21:03

Ten minutes later,

0:21:030:21:04

Elaine's condition takes a turn for the worse.

0:21:040:21:07

Just hold that there for me, pet.

0:21:070:21:09

Let me just grab some gloves.

0:21:090:21:12

Nurse Reynolds has been looking after Elaine for several hours.

0:21:120:21:16

This might change plans about going home, you know that?

0:21:160:21:20

The bottom line is, we need you to be safe.

0:21:200:21:22

There's no point going home to come back.

0:21:220:21:24

-No.

-And if this happens during the night, when we're asleep...

0:21:240:21:27

Yeah, that would be another story.

0:21:270:21:30

I'm going to go and speak to the doctor.

0:21:300:21:32

Just give me one minute, OK?

0:21:320:21:34

Are you all right holding it there? I'll be back in a sec.

0:21:340:21:37

ELAINE MOUTHS

0:21:370:21:38

Don't keep saying sorry. It's not your fault, is it?

0:21:380:21:41

I've given her a saline neb and suction, but she's...

0:21:410:21:47

-This might change her plan about going home.

-Mm.

0:21:470:21:49

-How you feeling now?

-Feeling a bit better, but still rubbish.

0:21:490:21:52

Right. Let's have a look.

0:21:520:21:54

So Elaine's had another episode

0:21:540:21:55

where she's blocked up her trachy again.

0:21:550:21:57

Those secretions are just too thick to...

0:21:570:22:00

For her to be able to get up,

0:22:000:22:01

and it's blocking off in her neck.

0:22:010:22:03

So we're having to keep her back on the nebulisers,

0:22:030:22:06

but we'll probably have to do it as an inpatient setting,

0:22:060:22:08

because it's happening too frequently

0:22:080:22:10

for us to let her to go home.

0:22:100:22:11

No point sending you home if you're not well enough, darling, OK?

0:22:120:22:17

The oxygen levels are good. They're 99, OK?

0:22:170:22:20

Yeah, that's really good.

0:22:200:22:23

Elaine's hopes of being discharged have been dashed.

0:22:230:22:26

She'll stay on resus bed 2 until a bed becomes free on another ward.

0:22:260:22:30

Back in Leicester, at the Royal Infirmary,

0:22:410:22:44

maternity bed 5 is on the move to the high-risk delivery unit.

0:22:440:22:47

Yeah, come with us.

0:22:470:22:49

-Thank you.

-MARCELLE MOANS

0:22:530:22:56

25-year-old mum-to-be Marcelle

0:22:560:22:58

had been hoping to have a completely natural birth...

0:22:580:23:01

Hold on, you're nearly there now.

0:23:020:23:03

It's just one of these rooms on the... On the right-hand side.

0:23:030:23:07

Oh, my God.

0:23:070:23:10

..but midwives fear her unborn baby may be at risk,

0:23:100:23:14

so they want to induce her using a hormone drip.

0:23:140:23:17

I'm not too happy about, obviously, having to have the drip,

0:23:190:23:23

the hormone drip, but I'd rather that

0:23:230:23:25

than having to have the complications of delaying labour

0:23:250:23:29

and then having to have forceps or C-section.

0:23:290:23:33

So it's kind of like the best of two evils.

0:23:330:23:36

Midwife Tattersall has taken over Marcelle's care.

0:23:360:23:40

Everybody's different. Some people respond to it really quickly,

0:23:400:23:43

some people it takes a little bit of time to get them into labour.

0:23:430:23:46

So, just so you're aware, you know,

0:23:460:23:48

-on the most part, it's very effective.

-Mm-hm.

0:23:480:23:50

All right.

0:23:500:23:52

'Initially she started off essentially as a low risk lady,'

0:23:520:23:55

but because she's had the episodes of reduced foetal movements

0:23:550:23:58

and now we're going to be starting her labour,

0:23:580:24:00

it then puts her in a higher risk category.

0:24:000:24:02

Marcelle is being supported by mum Margaret and Auntie Susanna.

0:24:020:24:07

Marcelle's had to let go of her dream of a completely natural birth,

0:24:080:24:12

but she's adjusting to the situation.

0:24:120:24:14

-I've not actually put it down. Because their mind is so set...

-Set.

0:24:140:24:17

..that that is the birth that they're going to have

0:24:170:24:20

that they can't comprehend something else,

0:24:200:24:23

and then they stress the baby

0:24:230:24:24

and then end up having to have forcep and C-sections,

0:24:240:24:28

because their mind isn't ready to adjust

0:24:280:24:32

to a change from their birthing plan.

0:24:320:24:35

After 15 hours on maternity bed 5,

0:24:430:24:46

Marcelle eventually reaches the final stages of labour.

0:24:460:24:49

-Now, listen, Marcelle, you're fully dilated.

-Am I?

0:24:490:24:52

Yeah, your baby's head is just sitting here.

0:24:520:24:56

You've got next to no work to do at all.

0:24:560:25:00

'She is fully dilated. So we're going to give Marcelle'

0:25:000:25:04

an hour, which means, because she's got an epidural that's working

0:25:040:25:07

on board and she's comfortable,

0:25:070:25:09

the contractions will do some of the work for her.

0:25:090:25:12

So when we start pushing, she'll have less work to do.

0:25:120:25:15

I'm excited! I'm really pleased for her.

0:25:150:25:17

So, hopefully we'll see her baby soon.

0:25:170:25:21

Still got a pain there?

0:25:230:25:25

OK, really go for it then.

0:25:250:25:26

Big push down for me.

0:25:260:25:27

Good! Good, that is perfect.

0:25:290:25:31

Well done. Now keep that coming as long and hard as you can.

0:25:310:25:33

And again. Good. Good. Well done.

0:25:330:25:36

You're doing brilliantly. Won't be long before we get to see him.

0:25:360:25:41

Give baby some space.

0:25:410:25:43

That's it. Fantastic! Now, keep that push coming.

0:25:430:25:45

That's it. For as long as you can.

0:25:450:25:47

OK, that's your baby's head delivered.

0:25:470:25:50

OK? That's the worst part.

0:25:500:25:51

You've done so well.

0:25:510:25:53

Next contraction, big push down into your bum

0:25:550:25:58

and we'll have your baby, OK?

0:25:580:26:00

MARCELLE SCREAMS

0:26:000:26:03

There we go. Fantastic! Congratulations!

0:26:030:26:08

Oh, congratulations.

0:26:080:26:10

-He's lovely.

-Oh, my God!

-BABY CRIES

0:26:100:26:14

I love you so much.

0:26:140:26:18

Absolutely over the moon.

0:26:200:26:22

There's no words to express...

0:26:220:26:24

how joyful I am to be a grandma.

0:26:240:26:28

I'm going to be a proud grandmother.

0:26:280:26:30

Absolutely.

0:26:300:26:31

-I can't believe he's here.

-He's here.

0:26:310:26:35

Thank you so, so much.

0:26:370:26:39

Marcelle, you did it all, my lovely.

0:26:390:26:41

You're a star!

0:26:430:26:46

-Ah, Marcelle, he's lovely.

-He's beautiful.

0:26:460:26:50

Hello!

0:26:500:26:51

Maternity bed 5 will stay with Marcelle and baby Dylan,

0:26:510:26:55

while they share precious bonding time together.

0:26:550:26:58

Back in Barnsley's A&E Department.

0:27:090:27:12

To go down to 29.

0:27:130:27:14

They would then give a bed for the lady in A&E.

0:27:140:27:19

On bed 12, 72-year-old David

0:27:220:27:24

has been rushed in by ambulance

0:27:240:27:26

having fallen six feet from a ladder.

0:27:260:27:30

Ooh, that's painful.

0:27:300:27:32

He's with his wife of 50 years, Di.

0:27:320:27:34

David is being given morphine.

0:27:360:27:38

There's concern he may have fractured his spine.

0:27:380:27:40

How did you get up off the floor?

0:27:400:27:43

I don't know.

0:27:430:27:45

Mm, while you got your wind back.

0:27:490:27:52

-Hello.

-Hello.

0:27:520:27:54

Consultant Dr Walker is treating David today.

0:27:540:27:57

Right. What brings you to us today?

0:27:570:28:00

I came off a ladder.

0:28:000:28:02

-And your feet were about that high.

-And then... Yes.

-OK.

0:28:020:28:04

And all at once, the ladder slipped, and...

0:28:040:28:07

-So the ladder went like that, did it, down?

-That's correct.

0:28:070:28:10

-I landed on my back.

-So is the main problem your back?

-My back, yes.

0:28:100:28:15

-He had a fight with a concrete floor.

-Yes. From six feet.

0:28:150:28:19

You've got to mend it now.

0:28:190:28:20

Do you want to show me where the most painful bit is?

0:28:200:28:22

-Round...

-Round here.

0:28:270:28:28

Can we get your dressing gown off?

0:28:280:28:30

-We can.

-You've got your pyjamas on underneath, have you?

0:28:300:28:33

-Hopefully.

-So, where's it sore?

0:28:330:28:36

-Just about... About there.

-OK.

0:28:370:28:40

-So any pain further up here?

-No.

-Just rest yourself back.

0:28:400:28:44

Right, OK.

0:28:440:28:46

So we probably need to get an X-ray of your back, OK?

0:28:460:28:49

-Your lower back.

-That's fine, yes.

-And then we'll see what we can find.

0:28:490:28:52

-Right.

-You'll go to X-ray and I'll see you when you come back.

0:28:520:28:55

-Lovely. Thanks very much.

-OK? All right.

0:28:550:28:57

Ladders account for around 40% of falls from height,

0:28:580:29:02

causing major injuries.

0:29:020:29:03

Dr Walker believes David's fall may have caused serious damage.

0:29:050:29:09

He is 72. So, he's not a young man

0:29:090:29:11

to be climbing a ladder and falling off it.

0:29:110:29:14

Older people get quite severe injuries

0:29:140:29:17

as a consequence of just falling from standing.

0:29:170:29:20

Never mind falling from six feet.

0:29:200:29:22

I just feel tired. Ah...

0:29:220:29:24

He was determined he was coming home after he'd had this accident.

0:29:260:29:31

He wasn't going to, you know,

0:29:310:29:33

stay about at the bottom of the ladder and call for an ambulance.

0:29:330:29:36

It's just not him.

0:29:360:29:37

I was...in agony, but I didn't...

0:29:370:29:41

After I'd had a rest I thought I'd be all right.

0:29:410:29:45

Tough Yorkshireman, you see.

0:29:450:29:47

I don't know about that bit.

0:29:470:29:49

I managed to get in the bath, you know, to relax,

0:29:490:29:52

and then I couldn't get out of the bath.

0:29:520:29:55

Then I started shaking, so that's when we called for the paramedics.

0:29:550:30:00

I mean, a lot of people are very stoical,

0:30:000:30:02

and they will not want to bother anybody -

0:30:020:30:05

and there's a balance between rushing off to hospital

0:30:050:30:08

when you're slightly unwell and being too stoical,

0:30:080:30:10

and waiting too long, such that, you know,

0:30:100:30:13

your delay actually adds problems to your management.

0:30:130:30:17

-When you've had that morphine.

-Yeah.

-Feel a bit dopey.

0:30:170:30:20

Mm, you don't look as good now.

0:30:200:30:23

He's had two knee operations, bless him,

0:30:230:30:25

and various other operations, too.

0:30:250:30:27

Mm.

0:30:270:30:28

He's my bionic man, I think.

0:30:280:30:31

If David's spine is fractured

0:30:320:30:34

it could have a serious impact on his life.

0:30:340:30:36

It could also ruin his birthday celebration.

0:30:360:30:39

It's going to be his birthday next Monday.

0:30:400:30:42

We booked a secret party.

0:30:420:30:44

Got a cake.

0:30:440:30:46

Having champagne.

0:30:460:30:48

-Like you do, but...now what?

-We'll have to wait and see.

0:30:480:30:52

Yeah. Dum dum dum dum... Watch this space.

0:30:520:30:56

-Ooh...

-Right, you OK?

-You caught us in the act!

0:30:560:30:59

It's time for A&E bed 12 to take David to X-ray.

0:31:010:31:06

We'll return later to find out if he has fractured his spine.

0:31:060:31:10

At Leeds Children's Hospital,

0:31:210:31:22

the day surgery unit's 26 beds meet children

0:31:220:31:25

having a range of different procedures.

0:31:250:31:28

Many involve putting the child to sleep.

0:31:280:31:30

You'll be asleep soon, honeybun.

0:31:330:31:36

You're a good boy then.

0:31:360:31:38

Aren't you a good boy?

0:31:380:31:39

See you in a bit.

0:31:390:31:41

OK, baby. See you in a bit.

0:31:410:31:43

Good boy.

0:31:440:31:47

Usually the children take it all in their stride,

0:31:470:31:50

but for parents it can be a struggle.

0:31:500:31:53

Bye, sweetheart.

0:31:540:31:55

It's very emotional to see the child go to sleep,

0:31:550:31:58

and I don't think a lot of parents realise,

0:31:580:32:00

like, what happens until they're actually in that situation.

0:32:000:32:04

Paediatric bed 3 is being prepped for its next patient.

0:32:060:32:10

Two-year-old Isaac has come in for an operation on his groin.

0:32:110:32:15

-Oh, it's Mr Tumble!

-'It's Mr Tumble!'

0:32:170:32:20

Oh, do you want this one?

0:32:200:32:22

Are you going to have some more toys?

0:32:220:32:24

Hey, where are we?

0:32:240:32:26

With him are parents Pete and Lorraine.

0:32:270:32:30

We've just come into the hospital today

0:32:300:32:31

for a minor operation, really, for Isaac.

0:32:310:32:33

It's just something that's quite common in little boys.

0:32:330:32:36

He wants the touch screen there, doesn't he?

0:32:360:32:38

Ah, he's touching like a touch screen.

0:32:380:32:40

No touch screen, no good.

0:32:400:32:42

Huh?

0:32:420:32:44

Yay!

0:32:440:32:45

Good boy! Hey!

0:32:450:32:47

I've been getting sort of really flustered and really in a state,

0:32:470:32:51

as much about the operation as, erm,

0:32:510:32:53

him being put to sleep, really,

0:32:530:32:55

and I think it's that that's been worrying me,

0:32:550:32:57

so it's...it is as though it's massive,

0:32:570:33:00

but I have to keep saying, it is not,

0:33:000:33:02

it is a small operation, but, erm,

0:33:020:33:04

yeah, still really, really worrying.

0:33:040:33:06

In charge of putting Isaac to sleep today is anaesthetist Dr Johnson.

0:33:060:33:11

-Hello.

-Hello, there, you all right?

-Yeah.

0:33:110:33:13

-Keep Isaac occupied.

-Hi.

-Hi, there.

0:33:130:33:16

-I'm one of the anaesthetic consultants.

-Hello, there.

0:33:160:33:18

-So I'll be putting Isaac to sleep today.

-Oh, OK.

0:33:180:33:20

-Now he's...

-This is the bit that I've been really...

0:33:200:33:23

Well, all of it, but this bit, yeah.

0:33:230:33:24

-Now, he's got Down's syndrome is that right?

-That's right.

0:33:240:33:27

How does that affect him?

0:33:270:33:28

Is there any problems with his general health?

0:33:280:33:30

He doesn't have any, any problems. He's fine.

0:33:300:33:32

So he never has any episodes

0:33:320:33:34

-where he gets blue or particularly short of breath?

-No.

0:33:340:33:36

-No.

-Or collapses, or anything like that?

0:33:360:33:38

-No.

-Good.

0:33:380:33:40

You do worry, because he's in someone else's care -

0:33:400:33:42

and just the whole thought of it and then having to be put to sleep.

0:33:420:33:45

The needles are not very nice...

0:33:450:33:47

and I don't know if that's my own phobia of things.

0:33:470:33:50

So all of that, I'm not really wanting for him,

0:33:500:33:52

but the anaesthetist sort of put my mind at rest.

0:33:520:33:54

He'll be put out with a mask

0:33:540:33:56

and not know about the needle too much, I hope.

0:33:560:33:59

And will one of us be able to be in with him when he you put him

0:33:590:34:01

-to sleep and they'll be in.

-Yes, yeah, so you can come down.

0:34:010:34:04

Dad'll be there. I'm not very good with needles.

0:34:040:34:06

I think we'll just have a big cuddle

0:34:060:34:07

-on your knee and pop the mask on.

-Yeah.

0:34:070:34:09

That's lovely. Right, that's great.

0:34:090:34:10

-Thank you very much.

-No worries.

0:34:100:34:12

-Ah, that's OK.

-Good, we'll see you later, Isaac.

0:34:120:34:15

-Thank you, see ya later. Bye-bye.

-Bye-bye.

-OK.

0:34:150:34:18

The parents give us their child to look after.

0:34:180:34:19

It's a real privilege, but it's also a big responsibility

0:34:190:34:22

when I actually think about it.

0:34:220:34:24

Often because it's routine and you do it day-by-day,

0:34:240:34:27

you don't really think about the impact every time -

0:34:270:34:29

but occasionally it does hit home.

0:34:290:34:31

You are suddenly responsible for this very precious person.

0:34:310:34:35

Down's syndrome occurs in around one in every 800 births.

0:34:360:34:41

It's a genetic condition

0:34:410:34:42

that results from having an extra chromosome.

0:34:420:34:45

During my pregnancy, it was a bit of a...well, it was a massive shock.

0:34:460:34:50

I didn't know anything about Down's syndrome,

0:34:500:34:53

but it started us on a really positive journey, really.

0:34:530:34:56

It isn't an illness, he's just a person.

0:34:560:34:59

Just a type of person.

0:34:590:35:00

A fantastic person.

0:35:000:35:02

You want that one?

0:35:020:35:03

With surgery busy today,

0:35:030:35:05

Isaac and his parents may be in for a long wait.

0:35:050:35:07

I'm getting a bit more nervous, now, because the waiting, I think.

0:35:090:35:13

I don't want him to have this done,

0:35:130:35:14

but I know he's got to have this done, cos it's what's best for him,

0:35:140:35:18

so, I'm trying to be calm.

0:35:180:35:20

Later we'll rejoin paediatric bed 3

0:35:230:35:25

as Isaac is finally taken to theatre for his operation.

0:35:250:35:29

In Barnsley, A&E bed 12 is taking

0:35:400:35:43

72-year-old David for an X-ray on his spine.

0:35:430:35:46

-SHE SHOUTS

-I am. Well, I was when I set off.

0:35:460:35:50

There's concern it may have been fractured

0:35:520:35:54

when David fell six feet from a ladder.

0:35:540:35:56

How have you fallen?

0:35:570:35:58

Pfft... Off a ladder, onto a concrete floor.

0:35:580:36:01

Right, David, breathe in.

0:36:010:36:04

Hold your breath there,

0:36:040:36:07

and breathe normally.

0:36:070:36:09

-All done. That's it. OK, we're done.

-That's it?

-Yeah!

-Oh, very good.

0:36:100:36:13

Back in the busy A&E department,

0:36:180:36:20

bed space is in such demand that David and his wife Di

0:36:200:36:24

have lost their place.

0:36:240:36:26

I'll take that off you.

0:36:260:36:27

Well, I think we're waiting for a cubicle now.

0:36:270:36:29

Mm. We moved out and somebody moved in.

0:36:310:36:34

-So...

-We'll put you into 5 now.

0:36:340:36:36

Ooh!

0:36:360:36:38

Consultant Dr Walker is back with the results.

0:36:400:36:43

-Right, how are you?

-Have you got the results?

0:36:430:36:48

Yes. There's nothing broken.

0:36:480:36:49

-Fine!

-Spine's fine.

0:36:490:36:52

-Oh!

-Yeah, just, just bruised your back.

0:36:520:36:55

-So, it will be sorted in a few days...

-It is aching.

0:36:550:36:57

Yeah, it will do. It will do.

0:36:570:36:59

Yes, right.

0:36:590:37:01

David has plans to celebrate his 73rd birthday

0:37:010:37:04

in less than a week's time.

0:37:040:37:06

With the X-ray showing no signs of a fracture,

0:37:060:37:09

the couple are hoping he'll have recovered in time.

0:37:090:37:12

Are you feeling a bit better now?

0:37:120:37:15

So it might be all systems go, with a bit of luck.

0:37:150:37:17

-Mm.

-Yes, well hopefully we'll be able to go to the party.

0:37:170:37:22

Mm? I might be driving.

0:37:220:37:23

That's bad news.

0:37:230:37:25

I get told off when I drive.

0:37:250:37:27

You do.

0:37:270:37:28

Well, they'll put me on antibiotics, no doubt,

0:37:280:37:32

so I shan't be able to have a glass, shall I?

0:37:320:37:34

He needs to rest at times but also keep mobile, keep walking around.

0:37:340:37:39

HE MUMBLES

0:37:390:37:41

David can now say goodbye to A&E bed 12

0:37:410:37:44

and make preparations for his birthday celebrations.

0:37:440:37:47

LAUGHTER AND INDISTINCT SPEECH

0:37:470:37:50

A&E bed 12 is cleaned and ready for its next patient.

0:37:550:37:59

At Leeds Children's Hospital,

0:38:060:38:07

two-year-old Isaac has turned paediatric bed 3

0:38:070:38:10

into his own play area.

0:38:100:38:12

These ones have gone for walkies.

0:38:160:38:18

Doggie going for walkies?

0:38:180:38:20

He and parents Pete and Lorraine have been waiting for several hours

0:38:200:38:22

to be called for surgery.

0:38:220:38:24

-Hi.

-I think the majority have gone down now,

0:38:250:38:27

-so he's next.

-Oh, is he next?

0:38:270:38:29

Oh, fantastic. Oh, more anxious now.

0:38:290:38:32

-All right. Thank you.

-So, not long.

-Thank you.

0:38:320:38:35

Oh, Isaac.

0:38:370:38:38

It's now finally time for Isaac to leave paediatric bed 3 behind

0:38:400:38:43

as he heads to theatre

0:38:430:38:44

and the operating table for surgery to his groin.

0:38:440:38:47

Give Mummy kiss then.

0:38:480:38:50

Eh?

0:38:520:38:53

Oh, OK. It'll be all right. They'll put him to sleep first, aren't they?

0:38:540:38:58

Awful. More because I...I know,

0:39:010:39:04

I've got a real phobia and I know that I'd be absolutely no good

0:39:040:39:07

and I'd make him worse. I feel like I'd let him down,

0:39:070:39:10

cos I wouldn't be much good.

0:39:100:39:11

Might cause more, more catastrophe than anything else...

0:39:110:39:14

-Well done.

-Do you want to give him a kiss?

0:39:220:39:25

Do you want to give him a quick kiss?

0:39:250:39:26

We'll take good care of him for you.

0:39:260:39:28

OK.

0:39:280:39:30

Thank you.

0:39:300:39:32

Whilst Isaac is prepared for surgery,

0:39:350:39:38

Mum Lorraine waits on the ward.

0:39:380:39:40

You know, when I had Isaac... Now I say,

0:39:400:39:42

"Oh, Isaac has Down's syndrome,"

0:39:420:39:44

and it just rolls off my tongue and it's not,

0:39:440:39:46

I never think, "Oh, it's Down's syndrome,"

0:39:460:39:48

but since we've had him,

0:39:480:39:50

I and me husband have learnt a lot about ourselves.

0:39:500:39:53

The one thing I regret about my pregnancy was ever crying

0:39:530:39:55

when I...when we knew, we thought it was the end of the world -

0:39:550:39:59

and I look at Isaac sometimes and I'll talk to him and I'll hold him

0:39:590:40:01

and I'll say, "I'm so proud to be your mummy. And I love you so much."

0:40:010:40:04

And I, I want to say I'm sorry for ever crying about...

0:40:040:40:09

..for ever shedding a tear, because there was no, no need.

0:40:130:40:16

No. No, no need.

0:40:160:40:18

No.

0:40:180:40:20

Consultant surgeon Mr Crabbe begins Isaac's surgery.

0:40:220:40:25

So, I'm putting local anaesthetic into the wound,

0:40:270:40:29

so, although Isaac's asleep,

0:40:290:40:32

I want the wound to be numb when he wakes up.

0:40:320:40:36

Two pairs of two forceps, please.

0:40:360:40:38

Just bring that one just inside the...

0:40:410:40:43

Back on the ward, Pete and Lorraine count the minutes.

0:40:430:40:45

Ah, dear, come on, Isaac!

0:40:450:40:47

Oh, I hope he's all right...

0:40:470:40:49

When they're taking a while, you're thinking,

0:40:490:40:51

"Oh, is there any complications or anything?

0:40:510:40:53

"Is everything going to be all right?"

0:40:530:40:54

What time is it now?

0:40:540:40:56

Quarter to one.

0:40:570:40:59

It's taking a long time, isn't it?

0:40:590:41:00

Not really.

0:41:000:41:02

After an hour, Isaac's surgery is complete and as he begins to wake,

0:41:050:41:09

he can finally be reunited with his parents.

0:41:090:41:12

Oh, hello, there!

0:41:120:41:15

Oh, no!

0:41:150:41:16

Oh, hello, my gorgeous!

0:41:180:41:21

Oh... Oh...

0:41:230:41:24

He's beautiful.

0:41:270:41:28

Oh, thank you.

0:41:280:41:30

I didn't expect you being up.

0:41:300:41:31

I thought you'd be out for it, Isaac, to be honest.

0:41:310:41:34

Thank goodness.

0:41:360:41:38

Thank you!

0:41:380:41:40

Aw, hey...

0:41:400:41:42

Isaac can now return to paediatric bed 3 to rest and recover.

0:41:450:41:49

Yeah, it's a relief to have it over and done with now.

0:41:510:41:54

We were apprehensive when he were down there,

0:41:540:41:55

but when we went in and the doctor said everything were fine.

0:41:550:41:58

So I'm just glad that he's out of it now.

0:41:580:42:01

A bit grumpy, but we're on the upside now.

0:42:010:42:04

He's enjoying his toast, so it's a good sign, isn't it?

0:42:040:42:07

Hey?

0:42:070:42:09

-A, ba...

-A, ba. Oh, there... Yes.

0:42:090:42:12

Yay!

0:42:120:42:14

With Isaac rested, fed and watered,

0:42:140:42:16

the family are given the all clear to head home.

0:42:160:42:18

-Thank you very much.

-Thank you very much!

0:42:180:42:21

-Thank you.

-Bye-bye.

-Bye!

0:42:210:42:23

Paediatric bed 3 can now be cleaned and prepped for its next patient.

0:42:230:42:27

Our hospital beds have given us intimate access

0:42:390:42:42

to the work of the NHS.

0:42:420:42:43

Elaine was kept in hospital for a week.

0:42:450:42:49

After being discharged she moved in with her son and daughter-in-law.

0:42:490:42:52

Edward is doing well and not missing his wiggly.

0:42:540:42:57

The family are trying to book a holiday...

0:42:570:42:59

Yeah!

0:42:590:43:01

..and Marcelle is enjoying special time at home with baby Dylan.

0:43:010:43:05

She's getting plenty of help from Mum.

0:43:050:43:08

The beds are now back on their wards,

0:43:100:43:12

ready and waiting for their next round of patients.

0:43:120:43:15

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