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00:00in the heart of Yorkshire a team like no other busy busy busy fight to save
00:11lives open your eyes for me do you know where you are you're in bands like any
00:15department 24 hours a day Wow seven days a week whoa
00:24nearly feel like a wet dish club serving their community looks like you have broken it
00:33I don't think I'm going to love you dreaming of your gin and tonic helping those most in need
00:41love you I'm proud there's nothing to be frightened of these girls will sort her out they care for
00:50anyone and everyone working more like himself thanks to Barnsley working together to make
00:59people's lives better you know I just love to look I love to make a difference this is Barnsley
01:08casualty 24-7 that's not be entering a beauty contest on shift tonight he's driving me mad now
01:19sister Jane no worse than a broken shoe is that dr. Sarah Anderson she's not someone I'd want to rush
01:29to send home oh dear me oh it's you and emergency nurse practitioner Claire there's not anything
01:39jumping out at me feels like it's being chopped down so get ready to share a shift sweets everybody
01:47sweets come and get your sweets with the team at Barnsley casualty it's the morning shift and running
02:05the hub today is sister Jane the department is in a good place today right now Saturday were busy was
02:14pleasant yesterday so just set us up good for a nice Monday no one in Barnsley has awoken yet so I'm sure
02:25it'll get a little busier later pediatric triage the emergency alarm has been activated in the
02:41pediatric ward four-year-old Owen is having a seizure dr. Helen Mersom must work quickly to stabilize
02:56Owen yeah it's like it's difficult to know whether he stopped seizing at all the seizure he had here was his
03:06for getting an artery sucks pediatric registrar doctor and Baba Lola takes over Owen's care not documented but
03:21he has felt warm and his chest sounds nice and clear he's had a little bit of a cough for the last few
03:26days according to mom yeah there's no no bugs going around there Owen's come in with seizures and it's
03:35something that he's never had before it's very very important for us to identify the source of the
03:39seizures and nip it in the bud oh my darling I'm going to shine some bright lights in your eyes okay
03:55I know I'm so sorry it's only going to be for a little short time okay I know all right that's it
04:06that's it well done oh gosh I think I've messed your hair up haven't I oh sweetie pie your mommy's right
04:12there your mommy's right there she's right there the school is medicine that makes people fancy what
04:23we've also done is we're going to get some antibiotics to try and cover from fracture
04:27he's going to need to be with us but makes the public make me make me cry we always have to take time
04:39to make sure that parents are following us along the way they need to know exactly what we're doing
04:43and why we're doing it what we're worried about is you after all it is their child and we need to make
04:49sure that they are happy with what we're doing and they understand everything that we're doing and
04:52why we're doing it it's very very important what sort of medication release if they add you to
05:02that I want to stop your seizures and then we'll still try and try and prevent it kind of it's to
05:12you know yes if you fix that we're not successful we've explored the different avenues to try and prevent
05:21them of course yeah mum Beth faces an anxious wait to learn what's behind Owen's seizures
05:29Lisa is there any more cubicles in the hub sister Jane is trying to stay on top of the growing
05:39number of patients arriving at casualty morning love one two three four five six seven but it's not
05:48just the patients in need of urgent care the shoes broke no worse than a broken shoe is that the shoot
05:57is used to transport bloods through the hospital efficiently it's too sharp there nurses are
06:03scratching themselves that should have like a black holder that holds the pod in and because it's all
06:08broken here there's the wind doesn't take it it's a bit of a nightmare we need a simple for staff here
06:18yeah yeah instruction on how to do it yeah press four four four to send pod place pod in shoot under desk
06:28yeah okay love I'll do it now thanks honey a sister Jane troubleshoots her shoot another emergency is on its way
06:38an ambulance has just arrived with a woman who has a dangerously high heart rate
07:01you all right there a little bit more oh that's better that yes thank you very much Patricia's husband
07:12has remained by her side all morning she looked like a ghost when she got up this morning so the same
07:18for an ambulance and it's best place to be when you're well paramedics Helen and Jacob hand over to
07:27Dr. Sarah Anderson right tell me what's been going on I got up this morning I felt very lethargic yeah I
07:36could hardly stand up I saw this in my head and my heart was going boom boom boom boom boom boom boom so
07:43you can feel it in your chest I can feel it in my chest yeah and it really frightened me because I didn't
07:49want to know when was that 2006 fine and nothing since two stents now then it's what do you see yeah
08:02that's all right you take it take a minute what's happening is your heart is going too fast and it's
08:09also irregular it's what we call atrial fibrillation we'll take an ECG okay we'll take some bloods from you
08:15and we'll go from there there's lots of things that can cause it sometimes you're more prone to
08:20it if you've had a heart attack in the past if we can get your heart rate down and sort of manage it
08:24it may be that we could later on we could send you home and get you follow-up but I don't want to jump
08:29the gun Patricia's heartbeat will be closely monitored any sudden rise could trigger a stroke
08:45it's now three hours into sister Jane's shift okay what's your call sign lovely how long are you
09:01gonna be all right love bye just gonna have a little look at your head sweet I know I know 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 seniors we give something called benzodiazepine it helps calm down it also helps with the electrical
09:30activity in the brain that 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 see in kids we just need to make sure that nothing else sinister is ongoing
09:54Owen's seizures have stopped but as a precaution he's being taken for a CT scan
10:11he's gonna spend some time with us at least a few days for us to try and see what's going on gives
10:35time for the investigations 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
10:49taken 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 one place blood in part two press four four four to send part place
11:20podding chute under desk perfect but I don't know what me amber light means do you why aren't they took
11:27that pod it's coming down because it's gone up yes no that's what I'm trying to send there should be a
11:37a green button now not amber green to say it's going yeah back in recess 82 year old Patricia's heart
11:51is beating twice as fast as it should be I could hardly stand up I saw this in my head and my heart was
11:59going she's under the care of dr. Anderson should we have a look and see if we can get some bloods
12:09from you and a bit of a cannula and then we can give you this medicine to try and slow things down
12:13hopefully it'll make you feel a bit better yeah yeah your body doesn't like it when your heart goes
12:18this fast I don't know why I'm telling you that you know it do you mind if I use your lap as a table
12:25yeah you've got some lovely veins but they do like to wriggle around I know it's miserable being
12:34poked and prodded so we've got the bloods we need which is good so we can send those off I need to
12:47put a canyone so we can give you this medication right I'll ask the nurse to get that medicine okay
12:52now it does take 20 minutes half an hour it's gonna work now sometimes we need to give either
12:58more of that medicine or a slightly different medicine if it doesn't work no you know no I'd
13:04rather you didn't we'll give you one medicine that will slow your heart down and then another that's
13:08called magnesium which and sort of stabilizes the heart okay if you start getting any chest pain
13:16anything like that you tell us but hopefully we'll get you get your heart rate thank you all right
13:21at the moment I feel like a wet dish club oh dear once you get up this morning she look grateful
13:31I feel dreadful don't feel well these girls will sort it out right so the heart rate sort of when we did
13:43your ECG on here was 112 so that's fast but it's not outrageously fast it's not that sort of fast one
13:50that you were in when you know you're about 180 and so what we're gonna do is we'll wait for your
13:55bloods if your heart rate jumps back up again and it's staying up then we will give you that medication
14:00but what I don't want to do is give you that medication to slow things down when you're already a
14:05lot slower if we're still a bit dizzy and if the heart rate goes up we need to treat you it'll probably be on
14:11the ward yeah basically when you've got atrial fibrillation rather than your heart going boom
14:16boom boom boom nice synchronous beats they kind of go like this ventricles and when they go like
14:23this rather than the sort of smooth contractions you can build up sort of little clots in the in the
14:29heart okay and that puts you at high risk of things like stroke so it's potentially going to be
14:36that one of the things they look at is starting on medication to slow things down but also starting
14:40on a medication to thin the blood a little bit again it's not something I'm going to do right now
14:46because right now we're just focused on the on the rate okay the blood test may reveal the cause of
14:52Patricia's rapid heart rate but 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
15:14it like you like to be here it's the start of volunteer jane's shift and she's in high spirits
15:22oh what do you mean your favorite one no i'll let you know i want to be i want a big sack first job is
15:32lost property i'm never surprised what's in lost property box really especially them aren't they
15:40the idea because it's an iphone i bet none of them works anyway they'll be out of battery will one of
15:46these charges work do we think i plug it into that smartphones i mean alpha gets a smartphone plus all
15:57the usual like you know your dentures your earring aids your glasses oh it's an handbag so i wonder if
16:06it's a chanel all right it's not a chanel handbag beer canna beer anybody now you see what's that for
16:23oh crap i thought it was something to do with a wrench it's a crack pipe do you know you have educated me
16:31you are this year so it's usually quite interesting to try and find out um or they belong to i feel a
16:38bit like miss marple oh ah wait a minute so if i wrong that step good morning um is this step right
16:52this is going to sound a bit weird stuff and i found this mobile phone i don't know it belongs to
16:59i work in barnesley a and e i'm just saying i've got this telephone so does somebody want to come
17:04and pick it up at some time i'll have a look see if i can find a bracelet love but
17:14yeah thank you love bye
17:18i like to reunite people with their belongings um i think i probably am a repressed detective somewhere
17:25a long line i think i would have liked to have been an investigator if we investigate things
17:30whether i'd be any good at it i don't know miss marpled it this telephone it's this person's
17:36daughter that i've managed to get but she said was there a bracelet she said it's a pandora bracelet
17:42i wondered if it'd be in when it draws because some people put valuables in there don't they
17:46no not in there not in there do they're into bracelet oh sweet draw it's pathetic oh dear
18:00whilst there might be a shortage of sweets the same can't be said for the number of patients still
18:05waiting to be seen over in the minor injuries unit and there's a new arrival i have partly i've sent
18:16up from a and e what's on him it's shane come to just take the seat for us super cheers buddy
18:26shane has injured his foot after his gym session took a painful turn
18:30i was sliding some weights off of a bar and i'd pulled a 20 kilogram weight off i'd forgot there
18:36was a 10 kilogram in front so as i pulled that off the 10 kilogram just fell off straight down to my
18:41foot i embarrassingly hobbled out of the gym didn't tell anybody i was too embarrassed to say anything to
18:47anyone just soaked it up until i got into the car and they had a little bit of a cry i don't know
18:54it's cracked broke i'm not sure but it definitely feels like something
18:57emergency nurse practitioner claire will assess the damage great not turning on comes after my tea
19:08problems 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
19:32and by happy coincidence shane and emergency nurse practitioner claire already know each other
19:38it's nice treating people that you know and that's one of the reasons why i came back to work in barnesley
19:43because i do know a lot of people and those people do come in as patients yeah you're friends with my
19:49wife's best friend yeah there's a group that go out food no alcohol obviously keep it nice and uh
19:57sensible okay shane what's happened to you dropped away on my foot this morning at gym oh dear what
20:03time were you at gym happened about quarter seven just pop your foot flat down on the floor for me
20:09any pain up here no any down there yeah yeah any across here yeah everywhere can you lift your toe up
20:16push your toe no oh yeah yeah yeah and then can you curl it round underneath it in itself no so pop your
20:25shoe back on and you can go and have an x-ray lovely okay blue circles on the floor gets you up to any
20:34x-ray about two miles away not too far the x-ray will reveal the extent of the damage to shane's foot
20:42in the hub the pressure is growing bini pop him in high dependency one i've closed the curtain
20:59one two three four five six as the number of patients in the waiting room increases
21:07amongst them is adam and his wife debbie who has functional neurological disorder known as fnd
21:17taking the shed down in the garden just wanted it gone so it is gone we've just tidying up and my wife
21:24decides to face plant into the floor so she's not the most stable person on her feet as it is she has
21:30sticks to walk with stumbled forwards and didn't put her hands out so she just went head first into the
21:35floor and then just slid down the garden on her face there was a lot of blood all going in her eye
21:42the nose had opened up a big gash we went to the dose of pharmacy yeah we went to a pharmacy but it's
21:49like no because she banged her head and she's feeling sick you've got to get away and here we are
21:53what's the matter what you going okay i'm going to need a nurse she's having seizures
22:07she okay
22:10that was a short this one she has fnd so she has seizures
22:14hello darling are you okay can you talk to me can you open your eyes she goes non-verbal when she's
22:24having seizures okay right we'll get her on a trolley
22:29excuse me what we don't need to be sorry you're not choosing this so don't be sorry
22:35okay my name's talk i'm one of the doctors here today fnd can be life-changing causing seizures
22:47reducing mobility and slurred speech can you get her yeah we've got one here so we'll get around there
22:56dr toka salim transfers debbie to majors so her condition can be stabilized
23:05in the hub there's no let up as patients continue to arrive
23:26zoe when that lady comes in that 91 year old because he can come out of high dependency
23:33and sister jane is still having to deal with the broken chute
23:39put your bloods in four four four bend down put it in the chute
23:48so you've got to wait for the light to go green because there's a lot of traffic in this chute
23:55oh no we've got amber there's a traffic jam i've never seen the amber light
23:59her sister jane waits for the traffic to clear
24:06dr salim is stabilizing debbie who had a seizure in the waiting room
24:10where are you feeling now debbie
24:14i i i i don't really sorry
24:18debbie can you open your eyes
24:22can you tell me where you are
24:25all right
24:26all right
24:28we was taking the shed down to the back garden and she just stumbled forwards
24:31and then banged her head, so she's feeling quite sick and unwell.
24:34OK. Did she lose consciousness? No.
24:37Is she vomited? No.
24:39Has she got any medical conditions?
24:41So, the FND, functional neurological disorder,
24:43is what's causing tough seizures,
24:44so stress, anxiety, pain, sent her into seizure.
24:51Hi, Daddy, how are you feeling now?
24:53Can you remember what's happened?
24:55I am. So, tell me what's been going on.
25:00OK.
25:01No, no, on my head.
25:03OK. Right. OK.
25:05What were you doing when you fell over?
25:07Where was that?
25:08The garden.
25:09The garden. OK.
25:11Do you know where we are at the moment?
25:14Where is that?
25:15The hospital.
25:18Hospital. Right. OK.
25:19That's good. Fine. Fair enough.
25:21And do you know who you're here with?
25:23I don't know. I don't know.
25:27OK. That's OK. Right.
25:29Am I OK to just shine some light into your eyes?
25:42OK.
25:43Fine.
25:44I'm just going to get one of the consultants just to let them know and be involved.
25:47And then we might get you some imaging done.
25:50Like a seedy head. Is that OK?
25:52What?
25:53I'm OK.
25:54I'm a pain. I'm a little bit.
25:56Tell me.
25:57Pain. Pain.
25:58Pain?
25:59What's hurting you the most?
26:01The bone.
26:03Good cancer.
26:04Your head. OK.
26:04Right.
26:05You will get that sorted.
26:06No worries. Thank you.
26:10I've always knew that I am going to be a doctor.
26:12I've never thought of a plan B.
26:14it's not always easy and it's not always fun but there's something that I've
26:19always been passionate about since I was four years old I just want to let you
26:23know about one of the patients she hits her head she's got some lacerations on
26:26the forehead and the bridge of the nose she has a medical history of FND
26:30that's where she gets seizures whenever she's stressed she was sat in the
26:34waiting area when I got called by one of the nurses to come and check on her she
26:37was probably having a seizure then and then we wheeled her into cube a while
26:41she was in there she's got two seizures what are seizures like seizures are on
26:46the right-hand side okay what was her name again Debbie hello Debbie my name's Sarah
26:53I'm one of the doctors how are you you've had quite a stressful day I think today
26:58I think you do you want oxygen mask off shall we try taking that off for you
27:06are you in any pain at the moment yeah how about you have you had any painkillers
27:11the first thing we should do is probably try and get you some pain relief and get
27:16you a bit more comfortable um you feel sick as well yeah absolutely do you feel
27:24like you could swallow anything or do we need to reattempt that cannula and try and
27:27get you a needle into what hey they're better with okay with a cannula yeah that's fine that's
27:35fine well have you got bad headache yeah of course you have your oxygen levels are okay
27:41actually without that oxygen so I think we'll try and leave that one off how is
27:46a speech at the moment um following a seizure standard if this is your normal type of pattern
27:52let's just watch and wait and see what happens obviously they're in England they'll get you some
27:57painkillers and they'll see how they get off is that all right because of Debbie's seizure history
28:06blood 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 put not any more
28:38they've all got a sweet tooth some more than others yeah like vultures
28:47yeah gummy bears I think it's true the doctors and the staff they don't need the sustenance they
28:56do need the break and it is true they do say that an army marches on its stomach and we are an army and
29:01we need to be sustenance I think there's a word for that is that we need to be sustained they'll
29:08have gone by tea time I reckon you know as soon as I know it's there it'll be sweet sweets everybody
29:14sweets come and get your sweets in radiology Shane is heading for an x-ray after injuring his foot at the gym
29:24we're looking at your left yeah looks like a big toe area yeah let me slide up for example we're gonna
29:34have your left on here and I want the bottom of your foot on this cassette so like you bend in your
29:38it's down to emergency nurse practitioner Claire to reveal the results
30:07you can go straight back in my office Shane let's have a look who's also a friend of Shane's have I got
30:16handsome feet Claire see shall we so that's your x-ray looking for fracture Shane definitely thinks it is
30:26don't you feels like it's been chopped in a half yeah so this is your toe and then this is your metatarsal
30:33that's where it's mainly tender but your bruising is around your toe which is natural for when you
30:40have broken something higher up it bruising travels down yeah there's not anything jumping out at me as
30:47no it's like a big fracture but there's a little bit of a lucency there which could represent something
30:53so I'm gonna give you a shoe to wear which is really trendy really lovely shoe and that basically
31:02supports it so that you can walk on it okay it's gonna be painful for a few days bruised swollen so
31:07treat those symptoms ice pack paracetamol elevation yeah I'm out around Barnsley tomorrow do I need to
31:14wear my shoe around Barnsley Claire maybe not I 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 it to paint your toenails yeah
31:37there you go you'll pull that onto your foot and put your foot right to back in it and see how where
31:45your toes get to yeah your foot right to back is I've got some matching shorts at home I think I look
31:56lovely with these shoes where you going tomorrow um we're going on that and then a map oh yeah so
32:02I've got some friends coming over from Leeds
32:03you think you'll wear that tomorrow I think it's so I think it suits me yeah I'm not sure about tomorrow
32:11have a go see how it feels walking in it now
32:16don't I get two can't have two so at least they match
32:21yeah yeah yeah I'll take them please it's a bit better than your sliders
32:26okay and it'll get better over the next two to four weeks hopefully
32:29man up that's it you've said it lovely Claire thank you all right my love
32:35lovely I'll see you soon and tell Vicky hello from me I will do all right speak to you soon
32:43really pleased uh that it's not broken um so hopefully I'm brought to 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
32:59I don't know what I'm doing but I don't know what I'm doing but I don't know what I'm doing
33:04over 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.
33:18Patricia's blood test reveals she hasn't had a heart attack I'm just having a look at her blood to see
33:24if there's anything on there that's why she's got there there's nothing particularly alarming in her
33:30bloods that would explain it there's no black and white in medicine so things change quickly and for
33:36her the AF 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 down
33:46that it might be that that it's resolving but it's not and it's back up at sort of 190 so I think we just
33:53need to treat her now see if it hopefully brings it down hello darling how you don't see your heart
34:00rate I mean it's it's very stubborn and it's come up again so we're going to give you that metoprolol
34:04that that to slow it down I've just said one they've she had it again I can't explain it kind of goes
34:10all over me body me head it's and I think that's your heart rate going off sometimes these episodes
34:16they come and then they go away yes but it's no looks like this one's a bit more persistent
34:22well no I think Holly's just getting your medicine okay sister Vicki will administer the medicine
34:28so this is a drug to try and get this heart rate down a little bit okay all right love
34:32you keep having a bit of excited runs don't you i do get giddy what are you going giddy about
34:38oh oh i'm going to see barry mandelow oh god is he still going don't you start
34:44yes i am i've loved him for years where is he playing leeds it's his last last concert yeah i think
34:55i saw his first one and i'm going to see his last one i've been all over to see him rodney always calls
35:03in my barry oh is that the wondering eye oh yeah i think that's what flutters me mind you
35:14he wouldn't be interested in me because he's married to a man yeah you could have a go at changing his
35:22mind you never know years ago when i were young and in my prime you never know do the love no no
35:30no no no oh that's coming down a bit better behave you send that i will if i can love yes
35:40what's that gold leaf in your nails yes yes snazzy aren't they i say you treat so well you'll have
35:46it going i'll save a bit of money when they're not going tomorrow
35:52my friend sarah does them and they like me clothes my handbags and my shoes
35:57oh dear me i shall have to stop buying i might not have much longer to leave
36:06it's hoped the medication will steady patricia's heart rate
36:11in addition to managing the patients still there's no beds but it's the chute that's causing the
36:33issues sister jane is also dealing with a broken chute that's used to send bloods to other departments
36:40within the hospital i swear to god i'm gonna really lose my patience here it's driving me mad now i've
36:48spent too much time on this they 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
37:10oh dear me all right i will leave you to it i'll pop back in a bit
37:15now trisha 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
37:32okay 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 been
37:47very patient darling so thank you for that okay although patricia's blood and x-ray results show no
37:54cause for concern dr anderson is reluctant to discharge her until her condition is stable hello i've got an
38:0282 year old lady she was going about 180 on the monitor but by the time we'd cannulated her she was
38:08going about 112 or so and so i sort of left her and thinking maybe this is sort of resolved but she's
38:14now going to sort of anywhere between 120 160. she's stable but given sort of the symptoms she's not
38:22someone i'd want to rush to send home um so i wonder if you'd have a look at her thank you
38:29honestly i've never been like this
38:37so patricia's just waiting for the medical team to see her her rate's much more stable i think she's
38:42more comfortable a bit less dizzy if she's feeling well enough we can get her standing up and her rate's
38:47controlled it might be that she goes home but has follow-up to figure out if she needs to be on blood
38:52thinners if she needs various medication to control her rate if her rate's not controlled if she's not
38:58feeling right then i think probably she'll come in for some observation and the medics will then
39:02decide what happens i'm just gonna go find george who's in uh recess at the moment and just hand
39:07over obviously if anything to happen george knows about her and 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 going to lose her this morning
39:27yes which is looking a lot better now yes tomorrow i was going for my nails doing but unfortunately i
39:34don't think i could be going patricia remained in barnesley hospital for a further two weeks
39:40she's now been prescribed 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
40:01want the drink brought into casualty after a fall debbie has since suffered three seizures
40:09we'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 who had the hammer you
40:44we had i was just doing the little bit of sweeping stuff and then i find the nail i think i can just get
40:52that outside gets really sad that you cannot do what you used to be able to do i should have be able to
41:03my nails out without falling over the fall was just what causes seizures to start sort of thing today so
41:20pain causes to have seizures it goes downhill rapid unfortunately makes you very tired and the
41:25language goes bit don't you it used to be very scary when they first started but we're used to
41:31them there we know what to expect so it's not as bad i've been not be good for one year yeah we
41:40don't know what happened but last year it all went very wrong she came to this hospital for a blood
41:44test and she didn't come home for six months she ended up in new neural rehab for five months learning
41:51how to walk and how to walk and talk again so but it's not of good stuff but you can talk i can't talk
41:59better than no talk but not me talk like i'm mimi's like you all show access
42:11we're just waiting for the results of the blogs we've had an ecg done that's the electrical tracing of
42:16your heart that looks okay how long you've been so three years well if this is your usual and you
42:25do continue to be okay i don't think we'll need to keep you overnight i think you're going to go home
42:30is that okay i know that patients dread staying in hospital and they don't like doctors very much
42:37which is fine but we need to do what we need to do to keep our patients as safe as we can until we're
42:44happy we're completely happy for them to go home we don't like being here longer than we have to be
42:49unfortunately we spend far too much time here just need to keep an eye on her to make sure that she
42:54doesn't get any seizures or if they do you know last longer than what they usually do if the bloods are
43:00okay she would be able to go home i'd be really careful so not drop any more seizures yes no more
43:06seizures although i cannot control it that is the blood everything's back and everything's okay there
43:13isn't any signs of defections there aren't really any metabolic issues so if she's back to her normal
43:20self will be happy to send them home debbie was discharged from hospital later that day
43:26and has been recovering well back at home as 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
43:44all right see how we're thinking we are no cheeky sod the shoot is finally given a clean bill of health
43:52health there you go gentle is is it working that made you do 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
44:22we're back in barnesley a and e new next wednesday at eight think you know spain join michael portillo
44:34and discover what lies off the tourist trail brand new at eight tomorrow and tonight can surgeons save
44:40a patient from an aggressive tumor it's a matter of life or death as the hit series returns new next
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