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00:00in the heart of Yorkshire a team like no other busy busy busy fight to save lives
00:12open your eyes for me do you know where you are you're in bands like any department
00:1624 hours a day wow seven days a week whoa nail it feel like a wet dish club
00:30serving their community looks like you have broken it
00:33I don't think I'm going to look I'm dreaming of your gin and tonic helping those most in need
00:42love you I'm trying no there's nothing to be frightened of these girls will sort it out
00:49they care for anyone I think I've lost your hair up haven't I and everyone looking more like
00:55himself thanks to Barnsley working together to make people's lives better
01:00you know I just love to look I love to make a difference this is Barnsley casualty 24-7
01:10let's not be entering a beauty contest
01:14on shift tonight he's driving me mad now sister jay
01:21no worse than a broken shoe is that dr. Sarah Anderson she's not someone I'd want to rush to send
01:30home oh do you mean oh it's you and emergency nurse practitioner Claire there's not anything
01:39jumping out at me feels like it's been chopped in our so get ready to share a shift sweets
01:47everybody sweets come and get your sweets with the team at Barnsley casualty
01:53it's the morning shift and running the hub today is sister jane
02:08the department's in a good place today right now Saturday we're busy was pleasant yesterday
02:16so it's just set us up good for a nice Monday no one in Barnsley has awoken yet so
02:24I'm sure it'll get a little busier later
02:29paediatric triage the emergency alarm has been activated in the paediatric ward four-year-old Owen
02:45is having a seizure Dr. Helen Mersom must work quickly to stabilize Owen
02:57it's like it's difficult to know whether you stopped seizing at all
03:03paediatric registrar Dr. Ann Babalola takes over Owen's care
03:18not documented but he has felt warm and his chest sounds nice and clear he's had a little bit of a
03:25cough for the last few days cordial to mom yeah there's to near three no known bugs going around
03:30there Owen's come in with seizures and it's something that he's never had before it's very
03:37very important for us to identify the source of the seizures and nip it in the bud
03:41oh my god I'm going to shine some bright lights in your eyes okay sweetheart I know I'm so sorry
03:58it's only going to be for a little short time okay
04:01I know all right that's it that's it well done oh gosh I've got to mask your hair up haven't I
04:09oh sweetie pie your mommy's right there your mommy's right there she's right there
04:18it's full of medicine what makes people fancy what we've also done is we're going to need some
04:25antibiotics to try and cover from infection he's going to need to be with us but he needs to
04:32look at me making me cry we always have to take time to make sure that parents are following us
04:42along the way they need to know exactly what we're doing and why we're doing it what we're worried
04:45about because you know after all it is their child and we need to make sure that they are happy with
04:50what we're doing and they understand everything that we're doing and why we're doing it it's very
04:54very important well so it gives me this it's the idea is that I want to stop positions and then we're still trying to try and prevent it
05:10kind of it seems yes it takes having lots of significant we've explored the different avenues to try and
05:21think it might be of course yeah mum Beth faces an anxious wait to learn what's behind Owen's seizures
05:30at least is there any more cubicles in the hub sister Jane is trying to stay on top of the
05:39growing number of patients arriving at casualty morning love one two three four five six seven
05:46but it's not just the patients in need of urgent care the chutes broke no worse than a broken chute is
05:55there the chute is used to transport bloods through the hospital efficiently it's too sharp there nurses
06:03are scratching themselves that should have like a black holder that holds the pod in and because
06:08it's all broken here there's the wind doesn't take it it's a bit of a nightmare we need a simple for
06:17staff here yeah yeah instruction on how to do it yeah press 444 to send pod place pod in chute under desk
06:28yep okay love I'll do it now thanks honey a sister Jane troubleshoots her chute another emergency is on its way
06:39an ambulance has just arrived with a woman who has a dangerously high heart rate
07:02you all right there drug up a bit more oh that's better to that yes thank you very much patricia's
07:12husband has remained by her side all morning she looked like a ghost when she got up this morning
07:17so the same for an ambulance and it's best place to be when you're well paramedics Helen and Jacob
07:26hand over to dr. Sarah Anderson right tell me what's been going on I got up this morning I felt
07:34very lethargic yeah I could hardly stand up I was so dizzy my head and my heart was going
07:41boom boom boom boom boom boom boom so you could feel it in your chest I could feel it in my chest
07:46yeah and it really frightened my heart because I didn't want to know the heart attack when was that
07:542006 fine and nothing since two stents now then it's what I'm dizzy yeah that's all right you take a
08:05take a minute what's happening is your heart is going too fast and it's also irregular it's what we
08:11call atrial fibrillation we'll take an ECG okay we'll take some bloods from you and we'll go from
08:17there there's lots of things that can cause it sometimes you're more prone to it if you've had
08:21a heart attack in the past if we can get your heart rate down and sort of manage it it may be that
08:25we could later on we could send you home and get you follow-up but I don't want to jump the gun
08:29Patricia's heartbeat will be closely monitored any sudden rise could trigger a stroke
08:38it's now three hours into sister Jane's shift okay what's your call sign lovely how long are you
09:02gonna be all right love bye it's gonna have a little look at your head sweet and no I know
09:14and in recess dr. Babalola is caring for four-year-old Owen who suffered several seizures since arriving to
09:24stop the seizures we give something called benzodiazepine it helps calm down it also helps with the electrical
09:30activity in the brain that's sort of hyperactive at that moment in time so he's had that and that
09:34has settled the seizures but he's also had some antibiotics because we think it may be caused by an
09:39infection but we're not too sure at the moment so we've done some blood tests to check for that and
09:44also we're going to get a scan of his head because he's had seizures only on one side and that's not
09:50something that we often seen in kids we just need to make sure that nothing else sinister is ongoing
09:54Owen seizures have stopped but as a precaution he's being taken for a CT scan
10:12he's gonna spend some time with us at least a few days for us to try and see what's going on gives
10:36time for the investigation to come back and then also gives a lot of time for us to monitor and see
10:39what he does also see how he progresses for us to then manage accordingly following the scan Owen is
10:50taken straight to the pediatric unit further tests showed that a virus was causing Owen seizures he was
10:58discharged the following day and has now made a full recovery back in the hub and sister Jane has a
11:09temporary fix for the broken chute friend one place blood in pod to press 444 to send pod place pod in
11:21shoot under desk perfect but I don't know what me amber light means do you why aren't they took that pod
11:28something's coming down because it's gone off yes no that's what I'm trying to send there should be a
11:37green button now not amber green to say it's going yeah
11:40back in recess 82 year old Patricia's heart is beating twice as fast as it should be I could
11:56hardly stand up a soul dizzy my head and my heart was going boom boom boom boom boom boom boom boom she's
12:03under the care of dr. Anderson should we have a look and see if we can get some bloods from you and a bit
12:10of the cannula and then we can give you this medicine to try and slow things down hopefully
12:14it'll make you feel a bit better oh yeah yeah your body doesn't like it when your heart goes this
12:19fast I don't know why I'm telling you that you know it do you mind if I use your lap as a table
12:26yeah you've got some lovely veins but they do like to wriggle around I know it's miserable being poached and
12:35prodded so we've got the bloods we need which is good so we can send those off I need to put a canyon so
12:48we can give you this medication right ask the nurse to get that medicine okay now it does take 20 minutes
12:54half an hour it's gonna work now sometimes we need to give either more of that medicine or a slightly
13:00different medicine if it doesn't work no you're not going anywhere no I'd rather you didn't we'll
13:05give you one medicine that will slow your heart down and then another that's called magnesium which
13:10and sort of stabilizes the heart okay if you start getting any chest pain anything like that you tell
13:17us but hopefully we'll get you get your heart rate thank you all right at the moment I feel like a
13:26wet disc club oh dear once you get up this morning she'll look dreadful feel dreadful don't feel well
13:35these girls will sort her out right so the heart rate sort of when we did your ECG on here was 112 so
13:46that's fast but it's not outrageously fast it's not that sort of fast one that you were in when you
13:51you know you're about 180 and so what we're gonna do is we'll wait for your bloods if your heart rate
13:56jumps back up again and it's staying up then we will give you that medication but what I don't want
14:02to do is give you that medication to slow things down when you're already a lot slower if we're still
14:08a bit dizzy and if the heart rate goes up we need to treat you it'll probably be on the ward yeah
14:12basically when you've got atrial fibrillation rather than your heart going boom boom boom boom nice
14:18synchronous beats they kind of go like this ventricles and when they go like this rather
14:24than the sort of smooth contractions you can build up sort of little clots in the in the heart okay and
14:31that puts you at high risk of things like stroke so it's potentially gonna be that one of the things
14:37they look at is starting on medication to slow things down but also starting on a medication to thin
14:41the blood a little bit again it's not something I'm gonna do right now because right now we're just
14:47focused on the on the rate okay the blood test may reveal the cause of Patricia's rapid heart rate
14:54but until then the team must carefully monitor her
14:58morning everybody oh god can we have a bit better good morning everybody thank you very much make it
15:15like you like to be here it's the start of volunteer Jane's shift and she's in high spirits
15:22oh favorite bowling ball what do you mean your favorite one no I'll let you know that I want to
15:30be out a big sack first job is lost property I'm never surprised what's in lost property box really
15:38especially them aren't they the idea because an iPhone I bet no one works anyway they'll be out of
15:45battery well one of these charges work do we think I plug it into that smartphones I mean it I'll forget
15:55it's a smartphone plus all the usual like you know your dentures your hearing aids your glasses oh
16:02it's an ambag so I wonder if it's a Chanel all right it's not a Chanel ambag beer can I be here anybody
16:20I'm sorry now you see what's that for oh crap oh crap I thought it was something to do with a wrench
16:26it's a crap do you know you have educated me all this year so it's usually quite interesting to try and
16:35find out um all they belong to I feel a bit like Miss Marple oh ah wait a minute so if I wrong that Steph
16:43good morning um is this Steph right this is gonna sound a bit weird Steph and I found this mobile phone
16:57I don't know it belongs to I work in Barnsley A&E I'm just saying I've got this telephone so does
17:04somebody want to come and pick it up at some time I'll have a look see if I can find a bracelet love but
17:11yeah thank you love bye I like to reunite people with their belongings um I think I probably am a
17:23repressed detective somewhere along the line I think I would have liked to have been an investigator
17:28to investigate things whether I'd be any good at it I don't know Miss Marple did this telephone
17:35it's this person's daughter that I've managed to get but she said was there a bracelet she said
17:41it's a pandora bracelet I wonder if it'd be in what draws because some people put valuables in
17:46there don't they no not in there not in there so they're into bracelet oh sweet draw it's pathetic
17:57oh dear whilst there might be a shortage of sweets the same can't be said for the number of patients
18:05are still waiting to be seen over in the minor injuries unit and there's a new arrival I apart
18:16they have sent up from A&E it's Shane come to just take the seat for us super cheers buddy Shane has injured
18:27his foot after his gym session took a painful turn I was sliding some weights off of a bar and I pulled
18:34a 20 kilogram weight off I forgot there was a 10 kilogram in front so as I pulled that off the 10
18:39kilogram just fell off straight down to my foot I embarrassly hobbled out of the gym didn't tell
18:45anybody it's too embarrassed to say anything to anyone just hooked it up until got into the car and
18:50they had a little bit of a crime I don't know it's cracked broke I'm not sure but it definitely feels
18:57like something emergency nurse practitioner Claire will assess the damage great not turning on
19:06some sort of IT problems fingers crossed hey success turning on and off it always works
19:19Shane oh it's you how you doing I'm all right are you I'm not coming through and by happy coincidence
19:33Shane and emergency nurse practitioner Claire already know each other it's nice treating people that you
19:40know and that's one of the reasons why I came back to work in Barnsley because I don't know a lot of
19:45people and those people do come in as patients yeah your friends with my wife's best friend yeah
19:51there's a group that go out foods no alcohol obviously keep it nice and sensible okay Shane
19:59what's happened to you dropped away on my foot this morning at gym oh dear what time were you at gym
20:04happened about quarter seven just pop your foot flat down on the floor for me any pain up here no any
20:12down there yeah yeah any across here yeah everywhere you know if your toe up push your toe no oh yeah
20:20yeah yeah yeah and then can you curl it round underneath it in itself no so pop your shoe back on and you
20:28can go and have an x-ray lovely okay blue circles on the floor gets you up to any x-ray about two miles
20:36the x-ray will reveal the extent of the damage to Shane's foot in the hub the pressure is growing
20:55Vinny pop him in high dependency one I've closed the curtain one two three four five six as the number of
21:05patients in the waiting room increases amongst them is Adam and his wife Debbie who has functional
21:13neurological disorder known as FND taking a shed down in the garden just wanted it gone so it is gone
21:21which just tidying up and my wife decides to face plant into the floor so she's not the most stable
21:28person on her feet as it is she has sticks to walk with stumbled forwards and then put her hands out so
21:34she just went headfirst into the floor and then just slid down the garden on her face there was a lot
21:40of blood all going in her eye the nose had opened up a big gash we went to a pharmacy yeah we went to a
21:48pharmacy but it's like now because she banged her head and she's feeling sick you've got to go to A&E
21:52with here we are it's not well you go in okay I'm gonna need a nurse she's having seizures she's okay
22:08that was a short this one she has FND so she has seizures
22:15hello darling are you okay can you talk to me can you open your eyes she goes nonverbal when she's
22:25having seizures okay right we'll get her on a trolley excuse me what we don't need to be sorry
22:33FND can be life-changing causing seizures reducing mobility and slurred speech
22:49Dr. Toka Salim transfers Debbie to majors so her condition can be stabilized
23:02in the hub there's no let up as patients continue to arrive Zoe when that lady comes in that 91
23:30year old because he can come out of high dependency and sister Jane is still having to deal with the
23:36broken chute put your bloods in four four four bend down put it in the chute so you've got to wait
23:49for the light to go green because there's a lot of traffic in this chute oh no we've got amber there's
23:57a traffic jam I've never seen the amber light her sister Jane waits for the traffic to clear
24:04Dr. Salim is stabilizing Debbie who had a seizure in the waiting room
24:11how are you feeling now Debbie I'm sorry Debbie can you open your eyes can you tell me where you are
24:24oh wait wait wait wait wait wait wait we were taking the shed down in the back garden and she just
24:30stumbled forwards and then banged her head so she's feeling quite sick and unwell okay did she lose
24:36consciousness no she vomited no she got any medical conditions so the FND functional neurological
24:43disorder is what's causing tough seizures so stress anxiety pain sent into seizure
24:48hi Debbie how are you feeling now can you remember what's happened I know so tell me what's been going
24:57what's going on okay no no on my head okay right okay what were you doing when you fell over where was
25:08that my garden garden okay do you know where we are at the moment where is that oh yeah hospital right okay
25:19that's good fine fair enough and you know who you're here with oh yeah okay that's okay right am I okay
25:30to just shine some light into your eyes
25:42okay we just want to get one of the consultants just to let them know and be involved and then we might get
25:49you some imaging done like a CG head is that okay tell me home pain what's hurting you the most
26:01your head okay fine you'll get that sorted yeah no thank you I've always knew that I am going to be a
26:12doctor I've never thought of a plan B it's not always easy and it's always fun but there's something
26:19that I've always been passionate about since I was four years old I just want to let you know about
26:23one of the patients she hits her head she's got some lacerations on the forehead and the bridge of
26:28the nose she has a medical history of FND that's where she gets seizures whenever she's stressed she
26:34was sat in the waiting area when I got called by one of the nurses to come and check on her she was
26:38probably having a seizure then and then we wheeled her into cube a while she was in there she's got two
26:43seizures what are seizures like seizures are on the right hand side okay what was her name again
26:50Debbie hello Debbie my name's Sarah I'm one of the doctors how are you you've had quite a stressful day
26:57I think today I think you do you want that oxygen mask off shall we try taking that off for you
27:04are you in any pain at the moment yeah how about you um have you had any painkillers the first thing
27:14we should do is probably try and get you some pain relief and get you a bit more comfortable um please
27:18stop I feel sorry you feel sick as well yeah absolutely do you feel like you could swallow
27:25anything or do we need to re-attempt that cannula and try and get you a needle into what I a better
27:33with with a cannula yeah that's fine that's fine well have you got a bad headache yeah of course you
27:39have your oxygen levels are okay actually without that oxygen so I think we'll try and leave that one
27:44off how is the speech at the moment um following a seizure standard if this is your normal type of
27:52pattern let's just watch and wait and see what happens obviously they're in England they'll get
27:58you some people who was in the end and they'll see how to get off but all right because of Debbie's
28:05seizure history blood tests are ordered to eliminate other factors that could affect her recovery
28:11in the hub volunteer Jane has a very important job to do let's put some spices draw the sweet draw
28:29has always been and always will be an essential part of the department pathetic some of this port so if I
28:37put not anymore they've all got a sweet tooth some more than others yeah like vultures gummy bears I think
28:53it's true the doctors and the staff they do need the sustenance they do need the break and it is true
28:58they do say that an army marches on its stomach and we are an army and we need to be sustenance I think
29:04there's a word for that is that we need to be sustained God they'll have gone by tea time I reckon
29:10you know as soon as I know it's there a little bit sweets everybody sweets come and get your sweets
29:17in radiology Shane is heading for an x-ray after injuring his foot at the gym
29:24yeah we're looking at your left yeah looks like a big toe area yeah
29:30let me slide off for them we're gonna have your left on here and I want the bottom of your foot on this cassette
29:37oh yeah sorry that's it perfect nice
29:49all right Shane all finished super yes you're just sending back around to where you need super cheers
29:59well it's down to emergency nurse practitioner Claire to reveal the results don't go straight back in my
30:09office Shane let's have a look who's also a friend of Shane's have I got handsome feet Claire see shall we
30:19so that's your x-ray looking for fracture Shane definitely thinks it is don't you feels like
30:27it's been chopped in half yeah so this is your toe and then this is your metatarsal that's where it's
30:34mainly tender okay yeah but your bruising is around your toe which is natural for when you have broken
30:42something higher up it bruising travels down yeah there's not anything jumping out at me as no as
30:48like a big fracture but there's a little bit of a lucency there which could represent something so
30:54i'm going to give you a shoe to wear which is really trendy oh yeah yeah is it a croc really lovely
31:00shoe and that basically supports it so that you can walk on it right okay it's going to be painful
31:05for a few days bruised swollen so treat those symptoms ice pack paracetamol elevation yeah
31:12i'm out round barnesley tomorrow do i need to wear my shoe round barnesley claire maybe not
31:18i don't think that's street credible but you can tell me i'll go and get it
31:27it's medium and small we'll try these fancy shoes you'll have to get
31:35to paint your toenails yeah
31:37well there you go you'll pull that onto your foot and put your foot right to back in it and see
31:44how where your toes get to
31:46oh yeah your foot foot right to back it is i've got some matching shorts at home i think i look
31:56lovely with these shoes where are you going tomorrow um we're going on dart and then map
32:01oh yeah so i've got some friends coming over from leeds
32:06you think you'll wear that tomorrow i think it's so i think it suits me yeah i'm not sure about
32:10tomorrow have a go see how it feels walking in it now
32:14don't i get two can't you have two so at least they match
32:21yeah yeah yeah i'll take them please it's a bit better than your sliders
32:25okay and it'll get better over the next two to four weeks hopefully man up
32:32that's it you said it lovely thank you all right my love lovely i'll see you soon
32:36and tell vicky hello from me i will do all right speak to yourself
32:43really pleased uh that it's not broken um so hopefully we want rotary recovery a lot quicker
32:49than if it were fractured or broken um i can get back in gym shane was back at the gym a week later
33:05over in recess patricia's high heart rate is still being monitored by dr anderson
33:11that rate just jumps up and down might be 105 one minute but then the next minute it's 160.
33:17patricia's blood test reveals she hasn't had a heart attack i'm just having a look at her blood
33:24to see if there's anything on there that's why she's got there there's nothing particularly alarming
33:31in her bloods that would explain it there's no black and white in medicine so things change quickly
33:36and for her the aaf sometimes it can be constant and sometimes it can be what we call proxysmal so you
33:41get sort of maybe 20 minutes of it it might go away and i was hoping that with her heart rate coming
33:46down that it might be that that it's resolving but it's not and it's back up at 190 so i think we
33:53just need to treat her now see if it hopefully brings it down hello darling how you're down so
33:59your heart rate i mean it's it's very stubborn and it's come up again so we're going to give
34:03you that metoprolol that that to slow it down i've just had one they've had it again i can't explain
34:10it's kind of goes all over me body and my head it's i think that's your heart rate going off
34:15sometimes these episodes they come and then they go away yes but it's not looks like this one's a bit
34:21more persistent well nursing colleagues just getting your medicine okay sister vicky will administer the
34:27medicine so this is a drug to try and get this heart rate down a little bit okay all right love
34:33you keep having a bit of excited runs don't you i do get giddy what are you getting giddy about
34:40oh i'm going to see barry mandelow oh god is he still going don't you start yes i am i've loved
34:48him for years where's he playing leeds it's his last last concert yeah i think i saw his first one
34:57and i'm going to see his last one i've been all over to see him rodney always calls him my barry
35:05oh is that a wondering i i am i think that's what flutters me mind you
35:13he wouldn't be interested in me well because he's married to a man yeah he could have a go at
35:22changing his mind you never know years ago when i were young and in my prime you never know brother
35:29love no no no no oh that's coming down a bit better behavior center huh i will if i can love yes
35:38what's that gold leaf in your nails yes yes nazi aren't they i say you're cheating so well you'll
35:46have it going tomorrow tomorrow i'll save a bit of money when they're not going tomorrow
35:52my friend sarah does them and i like me clothes my handbags and my shoes
35:59oh dear me i shall have to stop buying i might not have much longer to live
36:04it's hoped the medication will steady patricia's heart rate
36:26in addition to managing the patients still there's no beds
36:30but it's the chute that's causing the issues sister jane is also dealing with a broken chute
36:37that's used to send bloods to other departments within the hospital i swear to god i will really
36:44lose my patience here it's driving me mad now i've spent too much time on this
36:51they fixed that about 18 months ago and it's broke again
36:54somebody said that it's going to take ages because it needs a whole new thing
37:03with the chute now undergoing major surgery back in recess
37:11oh dear me all right i will leave you to it i'll pop back in a bit
37:15now patricia can you uh forward for me yes the x-ray results will show dr anderson whether an
37:24infection in patricia's chest is contributing to her elevated heart rate yeah cool your blood's looked
37:33okay so that's good your rate it's sort of jumping about a little bit but still quite fast what i might
37:41do is just have a chat with the medical reg on the wards okay have you got any questions no you've
37:47been very patient darling so thank you for that okay although patricia's blood and x-ray results show
37:54no cause for concern dr anderson is reluctant to discharge her until her condition is stable
38:01hello i've got an 82 year old lady she was going about 180 on the monitor but by the time we'd
38:07cannulated her she was going about 112 or so and so i sort of left her and thinking maybe this is sort
38:13of resolved but she's now going to sort of anywhere between 120 160. she's stable but given sort of the
38:21symptoms she's not someone i'd want to rush to send home um so i wonder if you'd have a look at her
38:28thank you honestly i've never been like this so patricia's just waiting for the medical team to see
38:39her her rate's much more stable i think she's more comfortable a bit less dizzy if she's feeling well
38:45enough we can get her standing up and her rates controlled it might be that she goes home but has
38:50follow-up to figure out if she needs to be on blood thinners if she needs various medication to control her
38:54rate if her rate's not controlled if she's not feeling right then i think probably she'll come
39:01in for some observation and the medics will then decide what happens i'm just gonna go find george
39:05who's in uh recess at the moment and just hand over obviously if anything to happen george knows about
39:09her he could treat her so i'm good to go
39:14i feel better than i did when i came in yes i do she's got some color now this morning she looked like a
39:21dragon and she was white oh she was terrible i thought we were gonna lose her this morning yes
39:28which is looking a lot better now yes tomorrow i was going for my nails doing but unfortunately i don't
39:34think i could be going patricia remained in barsley hospital for a further two weeks she's now been
39:41prescribed new medicine to slow her heart rate down and is on the road to recovery
39:54back in majors dr salim is caring for patient debbie
39:58like this one's tiny
40:01drop the drink brought into casualty after a fall debbie has since suffered three seizures
40:11so we're going to check the coagulation profile to see if there's anything wrong with the
40:20clotting factors of the blood we're also going to do a calcium profile to make sure that everything's
40:25okay after the seizures we're also going to do basic bloods to see if there's any source of infection
40:30whilst waiting for the results debbie's condition seems to be improving
40:34i was really just supervising yes you're supposed to be supervising but i was super i was who had the
40:43hammer you we had i was just doing the little bit of sweeping stuff and then i finds a nail i think i
40:52can just get that upside gets really sad that you cannot do what you used to be able to do i should
41:02i'd be able to do some more and i should be able to pull my nails out without all your own
41:13the fall was just what caused the seizures to start sort of thing today so
41:21pain causes to have seizures it goes downhill rapid unfortunately makes you very tired and the
41:26language goes a bit dodgy it used to be very scary when they first started but we used to never know
41:32what to expect so it's not as bad i've been not speak good for one year yeah we don't know what
41:41happened but last year it all went very wrong she came to this hostel for a blood test and she didn't
41:46come home for six months she ended up in new neural rehab for five months learning how to walk and talk
41:52again so but not talk goods don't you think you can talk i can talk better than no talk but not me talk
42:06i mean it's like you also acts
42:12we're just waiting for the results of the bloods we've had an ecg done that's the electrical tracing
42:16of your heart that looks okay how long you've been so three years well if this is your usual
42:25and you do continue to be okay i don't think we'll need to keep you overnight i think you're
42:29going to go home is that okay i know that patients dread staying in hospital and they don't like doctors
42:37very much which is fine but we need to do what we need to do to keep our patients as safe as we can
42:44until we're happy we're completely happy for them to go home we don't like being here longer than we
42:49have to be unfortunately we spend far too much time here just need to keep an eye on her to make sure
42:54that she doesn't get any seizures or if they do you know last longer than what they usually do if the
43:00bloods are okay she will be able to go home i'd be really careful so not drop any more seizures yes no
43:06more seizures although i cannot control that is the blood everything's back and everything's okay
43:14there isn't any signs of infections there aren't really any metabolic issues so if she's back to
43:20her normal self we'll be happy to send them home debbie was discharged from hospital later that day
43:26and has been recovering well back at home her sister jane's shift comes to an end when they send in
43:38three four five at a time it's heavy and it's the weight and that's what smashed all this
43:44see how we're thinking we are no cheeky sod the shoot is finally given a clean bill of health
43:52there you go gentle is is it working does that make you dare that because you don't know how much
44:03time this shoot is consumed of my day i won't be doing it anymore
44:12shift finally complete sister jane can head home but the doors to casualty remain open 24 7. bye
44:22so
44:31so
44:33so
44:41so
44:43Transcription by CastingWords
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