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FunTranscript
00:00A team like no other
00:04Busy, busy, busy
00:05Fight to save lives
00:07Open your eyes for me, do you know where you are?
00:09You're in Barnsley A&E department
00:11Charging
00:1224 hours a day
00:16Wow
00:177 days a week
00:19Nearly
00:21I feel like a wet dish club
00:23Serving their community
00:26Looks like you have broken it
00:30I don't think I'm going to love
00:32I'm dreaming of your gin and tonic
00:34Helping those most in need
00:37Love you
00:39I'm trying, no
00:41There's nothing to be frightened of
00:42These girls will sort it out
00:44They care for anyone
00:46I think I've lost your hair up, haven't I?
00:48And everyone
00:49Looking more like himself, thanks to Barnsley
00:51Working together to make people's lives better
00:55You know, I just love to look after you
00:59I'd love to make a difference
01:01This is Barnsley Casualty 24-7
01:06Must not be entering a beauty contest
01:09On shift tonight
01:13He's driving me mad now
01:15Sister Jane
01:16No worse than a broken shoe, is there?
01:21Dr Sarah Anderson
01:22She's not someone I'd want to rush to send home
01:25Oh dear me
01:27Oh it's you
01:29It is I
01:30And emergency nurse practitioner Claire
01:33There's not anything jumping out at me
01:35Feels like it's being chopped in our hand
01:37So, get ready to share a shift
01:40Sweets everybody, sweets
01:44Come and get your sweets
01:45With the team at Barnsley Casualty
01:48It's the morning shift
02:00And running in the hub today
02:02Is sister Jane
02:03The department's in a good place today
02:06Right now
02:08Saturday we're busy
02:09It was pleasant yesterday
02:11So, it's just set us up good for a nice Monday
02:15No one in Barnsley has awoken yet
02:18So, I'm sure it'll get a little busier later
02:22Paediatric triage
02:32The emergency alarm has been activated in the paediatric ward
02:37Four-year-old Owen is having a seizure
02:41Thank you to see you, mummy
02:43Hi, dear
02:44Dr Helen Merson must work quickly to stabilise Owen
02:52Yeah, it's like, it's difficult to know
02:56Whether he's stopped seizing at all
02:58The seizure he had here was his paw
03:02Getting an antiracent
03:04Paediatric registrar, Dr Anne Babalola
03:11Takes over Owen's care
03:13Not documented
03:16But he has felt warm
03:17His chest sounds nice and clear
03:19He's had a little bit of a cough
03:20For the last few days called autumn bomb
03:22Yeah
03:23There's near three no-known bugs going around there
03:25Owen's come in with seizures
03:29And it's something that he's never had before
03:32It's very, very important for us
03:33To identify the source of the seizures
03:35And nip it in the bud
03:36Mum, it's this rash
03:40I see this rash
03:42Yeah, that's it
03:42Are you foxing any more
03:44What's foxing this puppy?
03:48Oh, my darling
03:49I'm going to shine some bright lights in your eyes
03:50Okay, sweetheart
03:51I know
03:52I'm so sorry
03:53It's only going to be for a little short time
03:55Okay
03:56I know
03:58Alright, that's it
04:01That's it
04:02Well done
04:02Oh, gosh
04:03I've messed your hair up, haven't I?
04:04Oh, sweetie
04:06Your mummy's right there
04:08Your mummy's right there
04:11She's right there
04:13It's full of medicine
04:16That makes people fancy
04:18What we've also done
04:19Is we're going to do some antibiotics
04:20To try and cover from the fracture
04:23He's going to need to be with us
04:26But he needs to be with us
04:28Making you cry
04:30We always have to take time
04:34To make sure that parents are following us along the way
04:37They need to know exactly what we're doing
04:39And why we're doing it
04:40What we're worried about
04:41Because, you know, after all
04:42It is their child
04:43And we need to make sure
04:44That they are happy with what we're doing
04:45And they understand everything that we're doing
04:48And why we're doing it
04:49It's very, very important
04:50What sort of medication
04:55Is this?
04:56Is the idea that our guy
04:57One is just obviously
04:59If she's in the room
05:00So
05:00Try and
05:01Try and prevent it
05:05It's too
05:08Yes
05:08If it's exciting
05:12We've explored
05:14We've been able to try
05:16With the vent
05:16Of course
05:17Yeah
05:18Mum Beth
05:21Faces an anxious wait
05:22To learn what's behind Owen's seizures
05:25Leith, is there any more cubicles?
05:30In the hub
05:31Sister Jane is trying to stay on top
05:34Of the growing number of patients
05:35Arriving at casualty
05:37Morning, love
05:38One, two
05:38Three, four
05:40Five, six
05:41Seven
05:41But it's not just the patients
05:44In need of urgent care
05:46The chute's broke
05:47No worse than a broken chute
05:50Is there
05:50The chute is used to transport bloods
05:54Through the hospital efficiently
05:55It's too sharp there
05:57Nurses are scratching themselves
05:59That should have
06:00Like a black holder
06:01That holds the pod in
06:03And because it's all broken here
06:05There's
06:06The wind doesn't take it
06:08It's a bit of a nightmare
06:09We need a simple
06:12For staff here
06:13Yeah
06:13Instruction
06:15On how to do it
06:16Yeah
06:16Press four four four
06:19To send pod
06:20Place pod in chute
06:22Under desk
06:23Yep
06:25Okay love
06:26I'll do it now
06:26Thanks honey
06:27As sister Jane troubleshoots her chute
06:31Another emergency is on its way
06:34An ambulance has just arrived with a woman
06:54Who has a dangerously high heart rate
06:57You alright there
07:01I'll go up a bit more
07:02Oh that's better
07:02Thank you very much
07:03Better there
07:03Yes thank you very much
07:05Patricia's husband
07:07Has remained by her side
07:09All morning
07:09She looked like a ghost
07:11When she got up this morning
07:13So I sent for an ambulance
07:14And it's best place to be
07:16When you're unwell
07:17Paramedics Helen and Jacob
07:21Hand over to Dr Sarah Anderson
07:23Right
07:26Tell me
07:26What's been going on
07:27I got up this morning
07:29I felt very lethargic
07:31Yeah
07:31I could hardly stand up
07:33I was so dizzy
07:34In my head
07:35And my heart was going
07:36Bum bum bum bum
07:37Bum bum bum
07:38So you could feel it in your chest
07:39I could feel it in my chest
07:41Yeah
07:41And it really frightened me
07:43Because I didn't want another heart attack
07:46When was that?
07:502006
07:51Fine
07:52And nothing since?
07:53Two stents
07:54Now then it's going dizzy
07:57Yeah
07:58That's alright
07:59You take a minute
08:00What's happening is
08:02Your heart is going too fast
08:04And it's also irregular
08:05It's what we call atrial fibrillation
08:07We'll take an ECG
08:08Okay
08:09We'll take some bloods from you
08:10And we'll go from there
08:12There's lots of things that can cause it
08:15Sometimes you're more prone to it
08:16If you've had a heart attack in the past
08:17If we can get your heart rate down
08:19And sort of manage it
08:20It may be that we could
08:21Later on
08:21We could send you home
08:22And get you follow up
08:23But I don't want to jump the gun
08:25Patricia's heartbeat will be closely monitored
08:29Any sudden rise
08:32Could trigger a stroke
08:33It's now three hours into Sister Jane's shift
08:50Okay what's your call sign lovely
08:54How long are you going to be?
08:59Alright love
08:59Bye
09:00I'm just going to have a little look at your head sweet
09:08I know
09:09I know
09:10I know
09:10And in recess
09:12Dr. Babalola is caring for four-year-old Owen
09:15Who's suffered several seizures since arriving
09:18To stop the seizures we give something called benzodiazepine
09:22It helps calm down
09:23It also helps with the electrical activity in the brain
09:26That's sort of hyperactive at that moment in time
09:27So he's had that and that has settled the seizures
09:30But he's also had some antibiotics because we think it may be caused by an infection
09:35But we're not too sure at the moment
09:36So we've done some blood tests to check for that
09:39And also we're going to get a scan of his head
09:42Because he's had seizures that are only on one side
09:44And that's not something that we often see in kids
09:47We just need to make sure that nothing else sinister is ongoing
09:49It's been tough
09:55Please have lots and lots of drinks
09:57It's going to be a long day
09:59Yeah
09:59Owen's seizures have stopped
10:03But as a precaution
10:04He's being taken for a CT scan
10:07He's going to spend some time with us
10:27At least a few days for us to try and see what's going on
10:30Gives time for the investigations to come back
10:32And then also gives a lot of time for us to monitor and see what he does
10:35Also see how he progresses
10:39For us to then manage accordingly
10:41Following the scan
10:44Owen is taken straight to the paediatric unit
10:47Further tests showed
10:49That a virus was causing Owen's seizures
10:52He was discharged the following day
10:55And has now made a full recovery
10:57Back in the hub
11:03And Sister Jane has a temporary fix for the broken chute
11:06One, place blood in pod
11:13Two, press 444 to send pod
11:15Place pod in chute under desk
11:17Perfect
11:18But I don't know what the meambulite means, do you?
11:21Why haven't they took that pod?
11:23Is that amber?
11:24Is that amber?
11:24Is that something's coming down?
11:25Because it's gone off
11:26Do you?
11:29No, that's what I'm trying to send
11:31There should be a green button now
11:33Not amber
11:34Green to say it's going
11:35Yeah
11:36Back in Reesos
11:4482-year-old Patricia's heart
11:46Is beating twice as fast as it should be
11:49I could hardly stand up
11:51I was so dizzy in my head
11:53And my heart was going
11:55Bum, bum, bum, bum, bum, bum, bum, bum
11:57She's under the care of Dr Anderson
12:00Shall we have a look and see if we can get
12:03Some bloods from you
12:04And a bit of the cannula
12:05And then we can give you this medicine
12:07To try and slow things down
12:08Hopefully it'll make you feel a bit better
12:10Oh, I do also
12:11Yeah
12:12Yeah, your body doesn't like it
12:13When your heart goes this fast
12:14I don't know why I'm telling you that
12:16You know it
12:16Do you mind if I use your lap as a table?
12:24Yeah, you've got some lovely veins
12:26But they do like to wriggle around
12:28I know it's miserable being poked and prodded
12:39So we've got the bloods we need
12:41Which is good
12:41So we can send those off
12:42I need to put a cannula in
12:43So we can give you this medication
12:44Right
12:45Ask the nurse to get that medicine
12:47Okay
12:48Now it does take 20 minutes, half an hour
12:50It's going to work
12:51Now sometimes we need to give
12:53Either more of that medicine
12:54Or a slightly different medicine
12:55If it doesn't work
12:57I've never gone anywhere
12:58No, I'd rather you didn't
13:00We'll give you one medicine
13:01That will slow your heart down
13:03And another that's what we call magnesium
13:04Which sort of stabilises the heart
13:08Yes
13:08Okay
13:08If you start getting any chest pain
13:11Anything like that
13:12You tell us
13:13But hopefully we'll get your heart rate down
13:15Thank you
13:15All right
13:17At the moment I feel like a wet disc
13:22Oh dear
13:24Once you get up this morning
13:26Is she looking dreadful?
13:27I feel dreadful
13:28You don't feel well
13:31These girls and so I did it out
13:33Right, so
13:36The heart rate
13:38Sort of when we did your ECG on here
13:39Was 112
13:41So that's fast
13:43But it's not outrageously fast
13:44It's not that sort of fast one
13:46That you were in when you
13:46You know, you were about 180
13:47And so
13:48What we're going to do
13:49Is we'll wait for your bloods
13:51If your heart rate jumps back up again
13:52And it's staying up
13:53Then we
13:54Will give you that medication
13:56But what I don't want to do
13:57Is give you that medication
13:58To slow things down
13:59When you're already a lot slower
14:01If we're still a bit dizzy
14:04And if the heart rate goes up
14:05And we need to treat you
14:06It'll probably be on the ward
14:07Yeah
14:07Basically, when you've got atrial fibrillation
14:10Rather than your heart going
14:12Boom, boom, boom, boom
14:13Nice synchronous beats
14:14They kind of go like this
14:17The ventricles
14:17And when they go like this
14:19Rather than the
14:19Sort of smooth contractions
14:21You can build up
14:22Sort of little clots
14:23In the heart
14:25Okay
14:26And that puts you at high risk
14:28Of things like stroke
14:29So it's potentially going to be
14:31That one of the things
14:32They've got
14:33Is starting on medication
14:34To slow things down
14:35But also starting on a medication
14:36To thin the blood a little bit
14:37Thank you
14:38Again, it's not something
14:40I'm going to do right now
14:41Because right now
14:42We're just focused on the rate
14:44Okay
14:45The blood test may reveal
14:47The cause of Patricia's
14:48Rapid heart rate
14:49But until then
14:51The team must carefully monitor her
14:53Morning everybody
15:02Good morning
15:03Oh God
15:04Can we have a bit better
15:05Good morning everybody
15:06Good morning
15:07Thank you very much
15:09Make it like you like to be here
15:11It's the start of volunteer Jane's shift
15:15And she's in high spirits
15:17Favourite bowling
15:20What do you mean
15:21Your favourite one
15:22No, I'll let you off
15:24I want a big sack
15:26First job
15:27Is lost property
15:29I'm never surprised
15:31What's in the lost property box
15:32Really
15:33Especially them
15:34Aren't they dear
15:36Is that an iPhone
15:37Is that an iPhone?
15:38I bet none of them works anyway
15:40They'll be out of battery
15:40Will one of these charges work
15:42Do we think?
15:42That one won't
15:43If I plug it into that
15:46Smartphones
15:49I mean
15:49I'll forget it's a smartphone
15:51Plus all the usual
15:53Like you know
15:53Your dentures
15:54Your hearing aids
15:55Your glasses
15:57Oh it's an handbag
15:59So I wonder if it's a Chanel
16:02Alright
16:06It's not a Chanel handbag
16:07Beer
16:14Can of beer anybody
16:15Now you see
16:17What's that for
16:18Oh it's a crack pipe
16:19Oh crack
16:20I thought it was something
16:21To do with a wrench
16:21It's a crack pipe
16:22It's a crack pipe
16:25Do you know
16:26You have educated me
16:27This year
16:27So it's usually quite interesting
16:29To try and find out
16:31Or they belong to
16:33I feel a bit like
16:34Miss Marple
16:35Oh ah
16:36Wait a minute
16:36So if I run that
16:38Steph
16:38Good morning
16:44Is this Steph
16:46Right
16:47This is going to sound
16:48A bit weird Steph
16:49I found this mobile phone
16:52I don't know
16:53What it belongs to
16:54I work in Barnsley A&E
16:56I'm just saying
16:57I've got this telephone
16:58So does somebody
16:59Want to come and pick it up
17:00At some time
17:01I'll have a look
17:04See if I can find
17:05A bracelet love
17:05But
17:06Yeah
17:10Thank you love
17:11Bye
17:11I like to reunite people
17:15With their belongings
17:16I think I'm a repressed
17:19I think I'm a repressed
17:19Detective somewhere along the line
17:21I think I would have liked
17:22To have been an investigator
17:23To investigate things
17:25Whether I'd be any good at it
17:26I don't know
17:27Miss Marple did
17:29This telephone
17:30It's this person's
17:31Daughter that I've managed to get
17:33But she said
17:34But she said
17:34Was there a bracelet
17:35She said it's a Pandora bracelet
17:37I wonder if it'd be
17:39In what it draws
17:40Because some people
17:40Put valuables in there
17:41Don't they
17:42No not in there
17:45Not in there
17:46Do they need a bracelet
17:48Sweet draw
17:51It's pathetic
17:52Oh dear
17:54Whilst there might be
17:56A shortage of sweets
17:57The same can't be said
17:59For the number of patients
18:00Still waiting to be seen
18:01Over in the minor injuries unit
18:08And there's a new arrival
18:10Shane has injured his foot
18:23After his gym session
18:24Took a painful turn
18:26I was sliding some weights
18:28Off of a bar
18:29And I'd pulled
18:29A 20kg weight off
18:31I'd forgot there was
18:31A 10kg in front
18:32So as I pulled that off
18:34The 10kg just fell off
18:35Straight down onto my foot
18:36I embarrassingly hobbled
18:39Out of the gym
18:40Didn't tell anybody
18:41I was too embarrassed
18:41To say anything to anyone
18:42Just sucked it up
18:44Until I got into the car
18:45And I had a little bit of a cry
18:46Nah I don't know
18:47I don't know
18:49It's cracked broke
18:50I'm not sure
18:51But it definitely feels
18:52Like there's something
18:52Emergency nurse practitioner
18:57Claire will assess the damage
18:59Great
19:00Not turning on
19:01Some sort of IT problems
19:04Fingers crossed
19:05Hey
19:10Success
19:11Turning on and off
19:13It always works
19:14Shane
19:18Oh it's you
19:20It is I
19:21How are you doing?
19:23I'm alright
19:24Are you?
19:24I'm not coming through
19:25And by happy coincidence
19:28Shane and emergency nurse practitioner Claire
19:31Already know each other
19:33It's nice treating people that you know
19:35And that's one of the reasons why I came back to work in Barnsley
19:38Because I do know a lot of people
19:41And those people do come in as patients
19:43Yeah you're friends with my wife's best friend
19:46Yeah
19:46And there's a group that go out
19:48Food
19:49No alcohol
19:50Obviously
19:51Keep it nice and sensible
19:53Okay Shane what's happened to you?
19:55Dropped away on my foot this morning
19:57At gym
19:57Oh dear
19:58What time were you at gym?
19:59Happened about quarter seven
20:00Just pop your foot flat down on the floor for me
20:04Any pain up here?
20:06No
20:06Any down there?
20:07Yeah
20:08Any across here?
20:09Yeah
20:09Everywhere
20:10Can you lift your toe up?
20:12Just your toe?
20:13No
20:13Oh yeah
20:15Yeah
20:15And then can you curl it round underneath it in itself?
20:19No
20:19So pop your shoe back on
20:21And you can go and have an x-ray
20:24Lovely
20:25Okay
20:25Blue circles on the floor
20:28Gets you up to any x-ray
20:30About two miles away
20:31Not too far
20:32The x-ray will reveal the extent of the damage to Shane's foot
20:43In the hub
20:48The pressure is growing
20:50Vinny
20:51Pop him in high dependency one
20:53I've closed the curtain
20:54One, two, three, four, five, six
20:58As the number of patients in the waiting room increases
21:02Amongst them is Adam and his wife Debbie
21:07Who has functional neurological disorder known as FND
21:11Taking the shed down in the garden
21:14Just wanted it gone
21:15So it is gone
21:16It was just tidying up
21:18And my wife decides to face plant into the floor
21:21So she's not the most stable person on her feet as it is
21:25She has sticks to walk with
21:26Stumbled forwards
21:28And didn't put her hands out
21:29So she just went head first into the floor
21:30And then just slid down the garden on her face
21:33There was a lot of blood
21:36All going in her eye
21:37The nose had opened up
21:38A big gash
21:39We went to a pharmacy
21:42Yeah we went to a pharmacy
21:43But it's like no
21:44Because she banged her head
21:45And she's feeling sick
21:46You've got to get away in here
21:47Here we are
21:48What's the matter?
21:54What?
21:55You going?
21:56Okay
21:56I'm going to need a nurse
21:57She's having seizures
21:59Is she okay?
22:05That was a short this one
22:07She has FND
22:09So she has seizures
22:10Hello darling
22:13Are you okay?
22:15Can you talk to me?
22:16Can you open your eyes?
22:18She goes nonverbal when she's having seizures
22:20Okay right
22:21We'll get her on a trolley
22:22Excuse me
22:26What?
22:27We don't need to be sorry
22:28And you're not choosing this
22:30So don't be sorry
22:31Hello
22:33My name's Toka
22:35I'm one of the doctors
22:36to be here today
22:37FND can be life changing
22:40Causing seizures
22:41Reducing mobility
22:43And slurred speech
22:45Can you get her tongue?
22:47Yeah
22:47We've got one here
22:48We'll get her on there
22:49And we'll get a set of one
22:50Come on
22:50Dr. Toka Salim
22:53Transfers Debbie to Majors
22:55So her condition
22:56Can be stabilized
22:57In the hub
23:17There's no let up
23:19As patients continue to arrive
23:21Zoe
23:22When that lady comes in
23:24That 91 year old
23:25Because he can come out
23:27Of high dependency
23:28And sister Jane
23:29Is still having to deal
23:31With the broken chute
23:32Put your bloods in
23:35Four
23:36Four
23:37Four
23:38Bend down
23:39Put it in the chute
23:42So you've got to wait
23:44For the light to go green
23:46Because there's a lot
23:47Of traffic in this chute
23:49Oh no
23:51We've got amber
23:51There's a traffic jam
23:52I've never seen
23:53The amber light
23:54As sister Jane
23:57Waits for the traffic
23:58To clear
23:59Dr. Salim
24:02Is stabilizing Debbie
24:04Who had a seizure
24:05In the waiting room
24:06How are you feeling now
24:08Debbie?
24:09I'm sorry
24:10Debbie
24:14Can you open your eyes?
24:18Can you tell me where you are?
24:21I'm sorry
24:21I'm sorry
24:21I'm sorry
24:22We were taking the shed down
24:24In the back garden
24:25And she just stumbled forwards
24:26And then banged her head
24:28So she's feeling quite sick
24:29And unwell
24:30Okay
24:30Did she lose consciousness
24:31No
24:32Is she vomited?
24:33No
24:33Is she got any medical conditions?
24:36So the FND
24:37Functional Neurological Disorder
24:38Is what's causing tough seizures
24:40So stress
24:40Anxiety
24:41Pain
24:41Centered seizure
24:43Hi Debbie
24:47How are you feeling now?
24:48Can you remember what's happened?
24:51Okay
24:51So tell me what's going on
24:53Okay
24:54Okay
24:56On my head
24:58What were you doing when you fell over?
25:02Where was that?
25:04The garden
25:04The garden
25:05Okay
25:06Do you know where we are at the moment?
25:09Where is that?
25:11Yeah
25:11At the hospital
25:13Right
25:14Okay
25:15That's good
25:15Fine
25:16Fair enough
25:16And do you know who you're here with?
25:19I don't know
25:20I don't know
25:20I don't know
25:21Okay
25:22That's okay
25:23Right
25:24Am I okay to just
25:25Shine some light into your eyes?
25:37Okay
25:38Fine
25:38We just want to get one of the consultants
25:41Just to let them know
25:42And be involved
25:43And then we might
25:44Get you some imaging done
25:45Like a CT head
25:46Is that okay?
25:48Right
25:48I'm okay
25:49I'm okay
25:50I'm okay
25:50I'm okay
25:51Tell me
25:52Pain
25:53Pain
25:53Pain
25:54What's hurting you the most?
25:57Oh
25:57Good pain
25:58Your head
25:59Okay
26:00Fine
26:00You'll get that sorted
26:01Yeah, no worries
26:02Thank you
26:03I've always knew
26:06That I am going to be a doctor
26:08I've never thought of a plan B
26:10It's not always easy
26:12And it's not always fun
26:13But there's something
26:14That I've always been passionate about
26:16Since I was four years old
26:17I just want to let you know
26:19About one of the patients
26:19She hits her head
26:21She's got some lacerations
26:22On the forehead
26:22And the bridge of the nose
26:23She has a medical history
26:25Of FND
26:25That's where she gets seizures
26:27Whenever she's stressed
26:28She was sat in the waiting area
26:30When I got called
26:30By one of the nurses
26:31To come and check on her
26:32She was probably
26:33Having a seizure then
26:34And then we wheeled her
26:36Into QA
26:37While she was in there
26:37She's got two seizures
26:39What are seizures like?
26:40Seizures are
26:41On the right hand side
26:43Okay
26:43Okay
26:44What was her name again?
26:45Debbie
26:45Hello Debbie
26:47My name's Sarah
26:48I'm one of the doctors
26:49How are you?
26:51You've had quite a stressful day
26:53I think today
26:53Haven't you?
26:55Do you want that oxygen mask off?
26:57Shall we try taking that off for you?
27:02Are you in any pain at the moment?
27:03Yeah
27:04How about you are?
27:05Have you had any painkillers?
27:08The first thing we should do
27:09Is probably try and get you
27:10Some pain relief
27:10And get you a bit more comfortable
27:12Um
27:13Please
27:13Stop
27:14I feel sorry
27:16You feel sick as well
27:17Yeah absolutely
27:18Do you feel like you could swallow anything
27:20Or do we need to reattempt that cannula
27:22And try and get you a needle in some way?
27:24I
27:25I
27:25But they're better with
27:28With a cannula
27:30Yeah
27:30That's fine
27:30That's fine
27:31Have you got a bad headache?
27:33Yeah of course you have
27:34Your oxygen levels are okay actually without that oxygen
27:37So I think we'll try and leave that one off
27:39How is the speech at the moment?
27:43Um
27:43Following the seizure
27:44Standard
27:45If this is your normal type of pattern
27:48Let's just watch and wait and see what happens
27:50Obviously go and in
27:52And then we'll get you some painkillers
27:53And then we'll see how we get off
27:56Is that alright?
27:57Yeah
27:57Because of Debbie's seizure history
28:01Blood tests are ordered to eliminate other factors
28:04That could affect her recovery
28:06In the hub
28:17Volunteer Jane has a very important job to do
28:20I put some spices in the drawer
28:22The sweet drawer
28:24Has always been
28:26And always will be
28:27An essential part of the department
28:29Pathetic some of this put
28:32So if I put not any more
28:33They've all got a sweet tooth
28:38Some more than others
28:40Yeah they're like vultures
28:42Yeah
28:44Gummy bears
28:46I think it's true that the doctors and the staff
28:49They do need the sustenance
28:51They do need the break
28:52And it is true
28:53They do say that an army marches on its stomach
28:55And we are an army
28:57And we need to be
28:57Sustained
28:59I think there's a word for that
29:00We need to be sustained
29:02God
29:02They'll have gone by tea time I reckon
29:05You know as soon as I know it's there
29:06It'll be
29:07Sweets everybody
29:09Sweets
29:10Come and get your sweets
29:12In radiology
29:15Shane is heading for an x-ray
29:17After injuring his foot
29:19At the gym
29:19Looking at your left foot
29:22Looks like your big toe area
29:24Yeah
29:24Let me slide off for a reason
29:29We're going to have your
29:29Left foot on here
29:30And I want the bottom of your foot
29:31On this cassette
29:32So like
29:33You bend your knee up
29:33That's it
29:34That's it
29:42That's it
29:44Perfect
29:44Go on
29:44Right Shane all finished
29:50Super
29:51Just send it back round to where you need
29:53Super
29:53Cheers Mark
29:54It's down to emergency nurse practitioner Claire
30:01To reveal the results
30:02You can go straight back in my office Shane
30:05Let's have a look
30:07Who's also a friend of Shane's
30:11Have I got handsome feet Claire?
30:13See shall we?
30:15So that's your x-ray
30:17Looking for fracture
30:19Shane definitely thinks
30:21It is don't you
30:22Feels like it's been chopped in half
30:24Yeah
30:24So this is your toe
30:26And then this is your metatarsal
30:28That's where it's mainly tender
30:30Ah okay yeah
30:31But your bruising
30:32Is around your toe
30:34Which is natural
30:35For when you have broken something higher up
30:38It bruising travels down
30:40Yeah
30:40There's not anything jumping out at me
30:42No
30:43As like a big fracture
30:44But there's a little bit of a lucency there
30:46Which could represent something
30:48So I'm going to give you a shoe to wear
30:51Which is really trendy
30:52Oh brilliant
30:52You're going to love it
30:53Yeah yeah
30:53Is it a croc?
30:54Really lovely shoe
30:55And that basically supports it
30:58So that you can walk on it
30:59Right yeah
30:59It's going to be painful for a few days
31:01Bruised
31:01Swollen
31:02So treat those symptoms
31:03Ice pack
31:04Paracetamol
31:05Elevation
31:06Yeah
31:06I'm out around Barnsley tomorrow
31:08Do I need to wear my shoe around Barnsley?
31:10Claire?
31:11Maybe not
31:12I don't think that's street credible
31:15But you can tell me
31:16I'll go and get it
31:17It's medium and small
31:24We'll try these
31:25Fancy shoes
31:26You'll have to get
31:28To paint your toenails
31:31Yeah
31:32There you go
31:36You'll pull that onto your foot
31:38And put your foot right back in it
31:39And see where your toes get to
31:41Yeah
31:45Your foot right at that
31:47It is
31:47I've got some matching shorts at home
31:50That I think will look lovely with these shoes
31:52Where are you going tomorrow?
31:55We're going on that
31:56And then map I think
31:57Oh yeah
31:57So I've got some friends coming over from Leeds
31:59You think you'll wear that tomorrow?
32:02I think it suits me
32:04Yeah
32:05I'm not sure about tomorrow
32:06Have a go
32:07See how it feels walking in it now
32:09Don't I get two?
32:13Can't you have two so at least they match?
32:16Yeah
32:17Yeah?
32:17Yeah
32:18I'll take them please
32:19It's a bit better than your sliders
32:20Yeah
32:21Okay
32:22And it'll get better over the next two to four weeks
32:24Hopefully
32:25Man up
32:25That's it
32:27You said it
32:28Lovely
32:29Thank you
32:30All right my love
32:30Lovely
32:31I'll see you soon
32:31And tell Vicky hello from me
32:33I will do
32:33See you later
32:34All right
32:34Speak to you soon
32:35Really pleased
32:39That it's not broken
32:40So hopefully
32:42We're on the road to recovery
32:44A lot quicker
32:44Than if it were
32:45Fractured or broken
32:46And I can get back in gym
32:49Shane was back at the gym
32:52A week later
32:53Over in Rhesus
33:01Patricia's high heart rate
33:02Is still being monitored
33:04By Dr Anderson
33:05That rate just jumps up and down
33:08Might be 105 one minute
33:10But then the next minute
33:11It's 160
33:12Patricia's blood test
33:15Reveals she hasn't
33:17Had a heart attack
33:18I'm just having a look at her blood
33:19To see if there's anything on there
33:21That's why she's got AF
33:22There's nothing particularly alarming
33:26In her blood that would explain it
33:27There's no black and white in medicine
33:29So things change quickly
33:31And for her
33:32The AF
33:32Sometimes it can be constant
33:34And sometimes it can be
33:35What we call proxysmal
33:36So you get
33:36Sort of maybe 20 minutes of it
33:38It might go away
33:38And I was hoping
33:40That with her heart rate coming down
33:41That it might be that
33:43That it's resolving
33:44But it's not
33:46And it's back up at 190
33:47So I think
33:48We just need to treat her now
33:50See if it hopefully brings it down
33:52Hello darling
33:54How you darling
33:54So your heart rate
33:55I mean it's very stubborn
33:57And it's come up again
33:58So we're going to give you that metoprolol
33:59That to slow it down
34:01I've just had one
34:02You had it again
34:03I can't take splits
34:05It kind of goes all over me body
34:06And me head
34:07I think that's your heart rate going on
34:09Sometimes these episodes
34:11They come and then they go away
34:13Yes
34:13But it's not
34:14Looks like this one's a bit more persistent
34:17Well no I think Holly's just getting your medicine
34:19Thank you
34:19Sister Vicky will administer the medicine
34:23So this is a drug to try and get this heart rate down a little bit
34:27Okay
34:27Alright love
34:28You keep having a bit of excited runs don't you
34:31I do
34:31You get giddy
34:32What are you getting giddy about
34:33Oh
34:34Oh I'm going to see Barry Mandelow
34:37Oh god is he still going
34:38Hey don't you start
34:39Yes I am
34:42I've loved him for years
34:44Where's he playing?
34:46Leeds
34:46It's his last
34:47Last
34:48Concert
34:49Is there?
34:50I think I saw his first one
34:52And I'm going to see his last one
34:54I've been all over to see him
34:57Rodney always calls him my Barry
34:59Always had a wonder in her
35:02I have
35:03She has
35:03I think that's what slutters me
35:06Mind you
35:09He wouldn't be interested in me
35:12Well at all
35:13Because he's married
35:14To a man
35:15Yeah
35:16He could have a go at changing his mind
35:18You never know
35:19Years ago when I was young and in my prime
35:22You never know
35:23Brother love
35:24No
35:24No
35:25No
35:26No
35:27Oh that's coming down a bit better
35:29Behaviour said no
35:30I will if I can
35:32Love yes
35:33What's that gold leaf in your nails
35:37Yes
35:37Yes
35:38Snazzy
35:39Aren't they
35:39I say you're cheating
35:41Well you'll have it
35:41Gold leaf
35:42I thought she were going tomorrow
35:43To have them done
35:43I'll save a bit of money when they're not going tomorrow
35:46My friends say I read of them
35:49And they like me clothes
35:51Me handbags and me shoes
35:52Oh dear me
35:56I shall have to stop buying
35:57I might not have much longer to live
35:59It's hoped the medication will steady Patricia's heart rate
36:05In addition to managing the patients
36:23Still there's no beds
36:25There's no beds
36:25It's the chute that's causing the issues
36:29Sister Jane is also dealing with a broken chute
36:32That's used to send bloods to other departments within the hospital
36:36I swear to God I'm going to really lose my patience here
36:41It's driving me mad now
36:42I've spent too much time on this
36:45They fixed that about 18 months ago and it's broke again
36:49Somebody said that it's going to take ages because it needs a whole new thing
36:56With the chute now undergoing major surgery
37:01Back in recess
37:03Oh dear me
37:07Alright I will leave you to it
37:09I'll pop back in a bit
37:10Patricia can you sit forward for me
37:14Yes
37:15The x-ray results will show Dr Anderson
37:19Whether an infection in Patricia's chest
37:21Is contributing to her elevated heart rate
37:24Yeah
37:24Your blood's looked okay
37:28So that's good
37:29Your rate
37:30It's sort of jumping about a little bit
37:33But it's still quite fast
37:35What I might do is just have a chat with the medical reg on the wards
37:39Okay
37:39Have you got any questions?
37:42No
37:42You've been very patient darling
37:43So thank you for that
37:44Okay
37:45Although Patricia's blood and x-ray results show no cause for concern
37:50Dr Anderson is reluctant to discharge her
37:53Until her condition is stable
37:55Hello
37:56I've got an 82 year old lady
37:58She was going at about 180 on the monitor
38:01But by the time we'd cannulated her
38:03She was going at about 112 or so
38:05And so I sort of left her and thinking maybe this is sort of resolved
38:09But she's now going sort of anywhere between 120, 160
38:13She's stable but given sort of the symptoms
38:17She's not someone I'd want to rush to send home
38:20So I wonder if you'd have a look at her
38:23Thank you
38:25Honestly I've never been like this
38:30So Patricia's just waiting for the medical team to see her
38:35Her rate's much more stable
38:37I think she's more comfortable
38:38A bit less dizzy
38:39If she's feeling well enough
38:41We can get her standing up and her rate's controlled
38:43It might be that she goes home
38:44But has follow-up to figure out if she needs to be on blood thinners
38:47If she needs various medication to control her rate
38:50If her rate's not controlled
38:53If she's not feeling right
38:55Then I think probably she'll come in for some observation
38:56And the medics will then decide what happens
38:59I'm just going to go find George
39:00Who's in a recess at the moment
39:02And just hand over
39:02Obviously if anything to happen
39:04George knows about her
39:05So I'm good to go
39:07I feel better than I did when I came in
39:11Yes, I do
39:13She's got some colour now
39:15This morning she looked like a dragon
39:17And she was white
39:18Oh, she was terrible
39:19I thought we were going to lose her this morning
39:22Yes
39:23But she's looking a lot better now
39:24Yes
39:25Tomorrow I was going for my nails doing
39:28But unfortunately I don't think I could be going
39:30Patricia remained in Barnsley Hospital for a further two weeks
39:35She's now been prescribed new medicine
39:37To slow her heart rate down
39:39And is on the road to recovery
39:41Back in Majors
39:50Dr Salim is caring for patient Debbie
39:53This one's tiny
39:54Do you want the drink?
39:58Brought into casualty after a fall
40:00Debbie has since suffered three seizures
40:03Dr Salim has requested bloods to be taken
40:10We're going to check the coagulation profile
40:13To see if there's anything wrong
40:14With the clotting factors of the blood
40:17We're also going to do a calcium profile
40:19To make sure that everything's okay
40:21After the seizures
40:22We're also going to do basic bloods
40:23To see if there's any source of infection
40:25Whilst waiting for the results
40:27Debbie's condition seems to be improving
40:29I was really just supervising
40:33Yes you're supposed to be supervising
40:35But
40:36I was supervising
40:36I was
40:37Who had the hammer?
40:39You
40:39We had
40:40I was just doing
40:42A little bit of sweeping
40:44And then I find the nail
40:46I think
40:47I can just get that
40:48It gets really sad
40:51Sad that you cannot do
40:54What you used to be able to do
40:57I should have be able to
40:58Do some more
41:00And I should have
41:01Be able to
41:02Pull my nails out without
41:05All we own
41:07The fall was just
41:10What caused the seizures to start
41:12Sort of thing today
41:13So
41:13Pain causes to have seizures
41:17It goes downhill rapid unfortunately
41:19Makes her very tired
41:21And her language goes
41:22A bit don't you
41:22It used to be very scary
41:24When they first started
41:25But we used to
41:27And now we know what to expect
41:28So
41:28It's not as bad
41:29I've been
41:31Not
41:31Speak good for
41:33One year
41:35We don't know what happened
41:36But last year
41:37It all went very wrong
41:38She came to this hospital
41:39For a blood test
41:40And she didn't come home
41:41For six months
41:42She ended up in
41:44Neural rehab
41:45For five months
41:45Learning how to walk
41:46And talk again
41:47So
41:49But not talk
41:51Good
41:51I think you can talk
41:53I can talk
41:54Better than
41:55No talk
41:57But
41:57Not me
41:59Talk
42:00Like
42:01I'm
42:02Mimi's
42:03My
42:03Your
42:04Show
42:04Accents
42:06We're just waiting
42:07For the results of the blood
42:08We've had an ECG done
42:10That's the electrical tracing
42:11Of your heart
42:12That looks okay
42:13How long you've been
42:15So
42:15Three years
42:16Well
42:17If this is your usual
42:19And you do continue
42:21To be okay
42:22I don't think
42:23We'll need to keep you overnight
42:24I think you're good
42:25To go home
42:25Is that okay
42:26I know that patients
42:29Dread staying in hospital
42:30And they don't like doctors
42:32Very much
42:32Which is fine
42:33But
42:35We need to do
42:36What we need to do
42:37To keep our patients
42:38As safe as we can
42:39Until we're happy
42:40We're completely happy
42:41For them to go home
42:42We don't like being here
42:44Longer than we have to be
42:44Unfortunately
42:45We spend far too much time here
42:47Just need to keep an eye on her
42:49To make sure
42:50That she doesn't get any seizures
42:51Or
42:52If they do
42:52You know
42:53Last longer
42:54Than what they usually do
42:55If the bloods are okay
42:56She will be able to go home
42:57I'd be really careful
42:59So not drug any more seizures
43:01Yes
43:01No more seizures
43:02Although I cannot control it
43:04That is the blood
43:05Everything's back
43:08And everything's okay
43:09There isn't any signs of infections
43:10There aren't really
43:12Any metabolic issues
43:13So if she's back
43:15To her normal self
43:16We'll be happy
43:17To send them home
43:17Debbie was discharged
43:19From hospital later that day
43:21And has been recovering well
43:23Back at home
43:24As Sister Jane's shift
43:30Comes to an end
43:31When they send in
43:33Three, four, five at a time
43:35It's heavy
43:35And it's the weight
43:36And that's what smashed all this
43:38See how we're thinking
43:40To get what you are
43:41No
43:42Cheeky sod
43:43The chute is finally given
43:46A clean bill of health
43:48Here you go
43:49The dental waste
43:50Is it working?
43:52Has that meant your day of that?
43:55No
43:55Because you don't know
43:56How much
43:57Time
43:59This chute
44:00Is consumed
44:01Of my day
44:02I won't be doing it anymore
44:04Shift finally complete
44:09Sister Jane can head home
44:11But the doors to casualty
44:13Remain open
44:1424-7
44:15Bye
44:16Bye
44:16Bye
44:17Bye
44:18Bye
44:19Bye
44:20Bye
44:21Bye
44:22Bye
44:23Bye
44:24Bye
44:25Bye
44:26Bye
44:27Bye
44:28Bye
44:29Bye
44:30Bye
44:31Bye
44:32Bye
44:33Bye
44:34Bye
44:35Bye
44:36Bye
44:37Bye
44:38Bye
44:39Bye
44:40Bye
44:41Bye
44:42Bye
44:43Bye
44:44Bye
44:45Transcription by CastingWords
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