- 10 hours ago
Casualty 24/7 - Season 11 Episode 1
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Short filmTranscript
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 a and e department
00:1624 hours a day wow seven days a week whoa nearly feel like a wet dish club
00:30serving their community looks like you have broken it I don't think I'm going to look
00:37I'm dreaming of your gin and tonic helping those most in need love you I'm right there's nothing to
00:46be frightened of these girls will sort it out they care for anyone and everyone look more like
00:55himself thanks to Barnsley working together to make people's lives better you know I just love
01:04to look I love to make a difference this is Barnsley casualty 24-7 let's not be entering a beauty contest
01:14on shift tonight he's driving me mad now sister Jane no worse than a broken shoe is that
01:24dr sarah anderson she's not someone I'd want to rush to send home oh dear me oh it's you
01:35and emergency nurse practitioner Claire there's not anything jumping out at me feels like it's
01:41been chopped it out so get ready to share a shift sweets everybody sweets come and get your sweets
01:50with the team at Barnsley casualty it's the morning shift and running the hub today is sister Jane the
02:10department is in a good place today right now Saturday were busy was pleasant yesterday so just set us up
02:19good for a nice Monday no one in Barnsley has awoken yet so I'm sure it'll get a little busier later
02:27paediatric 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 he stopped seizing at all
03:03the seizure he had here was a sport getting on Teresa
03:09paediatric registrar Dr. Anne 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 called all to Bob yeah there's to know 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 no it's this
03:44rush oh 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 I know all right that's it that's it well done oh gosh
04:08don't get me ask your hair up have an eye oh sweetie bye your mommy's right there your mommy's right there
04:16she's right there
04:18it's full of medicine that makes people fancy what we've also done is we're going to get some antibiotics
04:26to try and cover from the doctor he's going to need to be with us but he's going to make a new cry
04:35we always have to take time to make sure that parents are following us along the way they need
04:43to know exactly what we're doing and why we're doing it what we're worried about because you know
04:46after all it is their child and we need to make sure that they are happy with what we're doing and
04:51they understand everything that we're doing and why we're doing it it's very very important
04:55what sort of the medication is is the island is that our man wants just obviously if she's in memory
05:05still trying to prevent it kind of it's thisì°½ and what's collaboration we've explored what we use
05:20Mum Beth faces an anxious wait to learn what's behind Owen's seizures.
05:33Lisa, is there any more cubicles?
05:35In the hub, Sister Jane is trying to stay on top of the growing number of patients arriving at casualty.
05:42Morning, love. One, two, three, four, five, six, seven.
05:46But it's not just the patients in need of urgent care.
05:52The chute's broke. No worse than a broken chute, is there?
05:56The chute is used to transport blood through the hospital efficiently.
06:01It's too sharp there. Nurses are scratching themselves.
06:04That should have, like, a black holder that holds the pod in.
06:08And because it's all broken here, the wind doesn't take it.
06:13It's a bit of a nightmare.
06:14We need a simple, for staff here, yeah, instruction on how to do it.
06:21Yeah.
06:22Press 444 to send pod.
06:25Place pod in chute under desk.
06:29Yeah.
06:30OK, love, I'll do it now.
06:31Thanks, honey.
06:34As 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, I'll go up a bit more?
07:07Oh, that's best. Thank you very much.
07:08Better there?
07:09Yes, thank you very much.
07:11Patricia's husband has remained by her side all morning.
07:15She looked like a ghost when she got up this morning, so I'm sent for an ambulance.
07:20And it's the best place to be when you're unwell.
07:22Paramedics Helen and Jacob hand over to Dr Sarah Anderson.
07:30Right, tell me, what's been going on?
07:33I got up this morning, I felt very lethargic.
07:36Yeah.
07:36I could hardly stand up, I was so dizzy in my head.
07:40And my heart was going, bum, bum, bum, bum, bum, bum, bum, bum, bum.
07:43So you can feel it in your chest?
07:44I could feel it in my chest.
07:46Yeah.
07:47And it really frightened me because I didn't want to have a heart attack.
07:53When was that?
07:542006.
07:56Fine.
07:57And nothing since?
07:58Two stents.
08:00Now then, it's going dizzy.
08:02Yeah.
08:03That's all right, you take a minute.
08:06What's happening is your heart is going too fast and it's also irregular.
08:10It's what we call atrial fibrillation.
08:12We'll take an ECG, okay, we'll take some bloods from you and we'll go from there.
08:18There's lots of things that can cause it.
08:20Sometimes you're more prone to it if you've had a heart attack in the past.
08:22If we can get your heart rate down and sort of manage it,
08:25it may be that we could, later on, we could send you home and get you follow-up,
08:28but I don't want to jump the gun.
08:32Patricia's heartbeat will be closely monitored.
08:36Any sudden rise could trigger a stroke.
08:42It's now three hours into Sister Jane's shift.
08:57Okay, what's your call sign, lovely?
08:59How long are you going to be?
09:04All right, love.
09:05Bye.
09:11I'm just going to have a little look at your head, sweetie.
09:14I know, I know, I know.
09:15And in recess, Dr. Babalola is caring for four-year-old Owen,
09:20who's suffered several seizures since arriving.
09:23To stop the seizures, we give something called benzodiazepine.
09:27It helps calm down.
09:29It also helps with the electrical activity in the brain
09:31that's sort of hyperactive at that moment in time.
09:33So he's had that and that has settled the seizures.
09:35But he's also had some antibiotics because we think it may be caused by an infection,
09:40but we're not too sure at the moment.
09:41So we've done some blood tests to check for that.
09:44And also we're going to get a scan of his head
09:47because he's had seizures that are only on one side.
09:50And that's not something that we often see in kids.
09:52We just need to make sure that nothing else sinister is ongoing.
10:00It's been tough.
10:01Please have lots and lots of drinks.
10:03It's going to be a long day, you know?
10:04Yeah.
10:06Owen's seizures have stopped.
10:08But as a precaution, he's being taken for a CT scan.
10:12I'm about to take your pictures now, all right?
10:16Just keep your head still for me, OK?
10:20Owen, are you ready for the pictures?
10:22Good boy, Owen.
10:24Well, you're doing well, very well.
10:27How's it done now?
10:30He's going to spend some time with us, at least a few days,
10:33for us to try and see what's going on.
10:35Gives time for the investigation to come back.
10:37And then also gives a lot of time for us to monitor and see what he does.
10:41Good boy.
10:42Talk to well.
10:43Also, see how he progresses for us to then manage accordingly.
10:48Following the scan, Owen is taken straight to the paediatric unit.
10:53Further tests showed that a virus was causing Owen's seizures.
10:58He was discharged the following day and has now made a full recovery.
11:02Back in the hub, and Sister Jane has a temporary fix for the broken chute.
11:12Friend.
11:12One, place blood in pod.
11:18Two, press 444 to send pod.
11:20Place pod in chute under desk.
11:22Perfect.
11:23But I don't know what the me amber light means, do you?
11:26And why haven't they took that pod?
11:29It's coming down, because it's gone off.
11:32Do you see us?
11:34No, that's what I'm trying to send.
11:36There should be a green button now, not amber.
11:39Green to say it's going?
11:40Yeah.
11:48Back in Reesos, 82-year-old Patricia's heart is beating twice as fast as it should be.
11:54I could hardly stand up.
11:57I was so dizzy in my head, and my heart was going bum, bum, bum, bum, bum, bum, bum, bum, bum.
12:03She's under the care of Dr. Anderson.
12:06Shall we have a look and see if we can get some bloods from you and a bit of the cannula?
12:10And then we can give you this medicine to try and slow things down.
12:13Hopefully it'll make you feel a bit better.
12:15Oh, I do also.
12:16Yeah.
12:17Yeah, your body doesn't like it when your heart goes this fast.
12:20I don't know why I'm telling you that.
12:21You know it.
12:24Do you mind if I use your lap as a table?
12:29Yeah, you've got some lovely veins, but they do like to wriggle around.
12:34I know it's miserable being poached and prodded.
12:35So we've got the bloods we need, which is good, so we can send those off.
12:47I need to put a canine on to it.
12:48We can give you this medication.
12:50Right.
12:51Ask the nurse to get that medicine.
12:52OK.
12:53Now, it does take 20 minutes, half an hour.
12:55It's going to work.
12:56Now, sometimes we need to give either more of that medicine or a slightly different medicine
13:00if it doesn't work.
13:02I'm not going anywhere.
13:04No, I'd rather you didn't.
13:05We'll give you one medicine that will slow your heart down and another that's what we call
13:09magnesium, which sort of stabilises the heart.
13:13Yes.
13:14If you start getting any chest pain, anything like that, you tell us.
13:18Hopefully we'll get your heart rate down.
13:20All right.
13:22At the moment, I feel like a wet dishcloth.
13:29Oh, dear.
13:30When you get up this morning, do you look dreadful?
13:32I feel dreadful.
13:34You don't feel well.
13:37These girls will sort her out.
13:38Right, so the heart rate, sort of when we did your ECG on here, was 112.
13:46So that's fast, but it's not outrageously fast.
13:50It's not that sort of fast one that you were in when you were about 180 and so.
13:53What we're going to do is we'll wait for your bloods.
13:56If your heart rate jumps back up again and it's staying up, then we will give you that
14:00medication.
14:01But what I don't want to do is give you that medication to slow things down when you're
14:05already a lot slower.
14:07If we're still a bit dizzy and if the heart rate goes up and we need to treat you, it'll
14:11probably be on the ward.
14:12Yeah.
14:13Basically, when you've got atrial fibrillation, rather than your heart going boom, boom, boom,
14:18boom, nice synchronous beats, they kind of go like this, the ventricles.
14:23And when they go like this, rather than the sort of smooth contractions, you can build up
14:27sort of little clots in the heart, OK?
14:32And that puts you at high risk of things like stroke.
14:34So it's potentially going to be that one of the things they've got is starting on medication
14:39to slow things down, but also starting on a medication to thin the blood a little bit.
14:44Again, it's not something I'm going to do right now, because right now we're just focused
14:48on the rate, OK?
14:51The blood test may reveal the cause of Patricia's rapid heart rate, but until then, the team must
14:57carefully monitor her.
15:06Morning, everybody.
15:08Good morning.
15:09Oh, God.
15:09Can we have a bit better good morning, everybody?
15:12Good morning.
15:13Thank you very much.
15:15Make it like you like to be here.
15:17It's the start of volunteer Jane's shift, and she's in high spirits.
15:23Oh, the better.
15:24Favourite volunteer.
15:25Oh, what do you mean, your favourite one?
15:28No, I'll let you off there.
15:30I want a big sack.
15:32First job is lost property.
15:35I'm never surprised what's in the lost property box, really.
15:39Especially them.
15:40Aren't they dear?
15:41Is that an iPhone?
15:43Is that an iPhone?
15:43I bet none of them works anyway.
15:45They'll be out of battery.
15:46Will one of these charges work, do we think?
15:47That one won't.
15:48If I plug it into that.
15:53Smartphones.
15:54I mean, I'll forget it's a smartphone.
15:57Plus all the usual, like, you know, your dentures, your hearing aids, your glasses.
16:01Oh, it's an handbag.
16:05So, I wonder if it's a Chanel.
16:10All right, it's not a Chanel handbag.
16:19Beer?
16:20Can of beer, anybody?
16:22Now you see, what's that for?
16:23Oh, it's a crack pile.
16:24Oh, crack.
16:25I thought it was something to do with a wrench.
16:27Crack pile.
16:27It's a...
16:29Crack pile.
16:30Do you know, you have educated me all this year.
16:33So, it's usually quite interesting to try and find out
16:36all they belong to.
16:38I feel a bit like Miss Marple.
16:40Oh, ah, wait a minute.
16:42So, if I wrong that, Steph.
16:48Good morning.
16:49Is this Steph?
16:51Right, this is going to sound a bit weird, Steph.
16:55Erm, I found this mobile phone.
16:58I don't know it belongs to.
16:59I work in Barnsley A&E.
17:01I'm just saying that I've got this telephone,
17:03so does somebody want to come and pick it up at some time?
17:08I'll have a look, see if I can find a bracelet, love, but...
17:12Yeah.
17:15Thank you, love. Bye.
17:16I like to reunite people with their belongings.
17:21Erm, I think I probably am a repressed detective somewhere along the line.
17:26I think I would have liked to have been an investigator,
17:28to investigate things.
17:30Whether I'd be any good at it, I don't know.
17:33Miss Marple did.
17:34This telephone, it's this person's daughter that I've managed to get.
17:39But she said, was there a bracelet?
17:40She said it's a Pandora bracelet.
17:43I wondered if it'd be in when it draws,
17:45because some people put valuables in there, don't they?
17:49No, not in there, not in there.
17:52Do they ring to bracelet?
17:53Oh, sweet draw.
17:56It's pathetic.
17:58Oh, dear.
18:00Whilst there might be a shortage of sweets,
18:03the same can't be said for the number of patients
18:05still waiting to be seen.
18:12Over in the minor injuries unit, and there's a new arrival.
18:16Hi, I've parked.
18:17I've sent up from A&E.
18:19What's your name?
18:20It's Shane.
18:21Do you want me to take a seat for us?
18:23Super.
18:23Cheers, buddy.
18:26Shane has injured his foot
18:28after his gym session took a painful turn.
18:32I was sliding some weights off of a bar,
18:34and I'd pulled a 20-kilogram weight off.
18:36I'd forgot there was a 10-kilogram in front.
18:38So as I pulled that off, the 10-kilogram just fell off,
18:40straight down onto my foot.
18:42I embarrassingly hobbled out of the gym.
18:45Didn't tell anybody.
18:46I was too embarrassed to say anything to anyone.
18:48Just soaked it up until I got into the car,
18:50and they had a little bit of a cry.
18:51No, I didn't know.
18:54I don't know.
18:54It's cracked, broke, I'm not sure.
18:56But it definitely feels like something.
19:00Emergency nurse practitioner Claire will assess the damage.
19:04Great.
19:05Not turning on.
19:07It comes after my T problems.
19:09Fingers crossed.
19:10Fingers crossed.
19:15Hey.
19:16Success.
19:17Turning on and off, it always works.
19:23Shane.
19:24Oh, it's you.
19:25It is I.
19:27How are you doing?
19:28I'm all right, are you?
19:29I'm not coming through.
19:30And by happy coincidence, Shane and emergency nurse practitioner Claire already know each
19:38other.
19:38It's nice treating people that you know, and that's one of the reasons why I came back to
19:43work in Barnsley, because I do know a lot of people, and those people do come in as patients.
19:48Yeah, you're friends with my wife's best friend.
19:51Yeah.
19:52And there's a group that go out, food, no alcohol, obviously, keep it nice and sensible.
19:59OK, Shane, what's happened to you?
20:00Dropped away on my foot this morning at gym.
20:02Oh, dear.
20:03What time were you at gym?
20:04Happened about quarter to seven.
20:07Just pop your foot flat down on the floor for me.
20:10Any pain up here?
20:11No.
20:11Any down there?
20:12Yeah, yeah.
20:13Any across here?
20:14Yeah.
20:15Everywhere.
20:15Can you lift your toe up?
20:17Just your toe?
20:18No.
20:19Oh, yeah.
20:20Yeah?
20:21Yes.
20:21And then can you curl it round underneath it in itself?
20:24No.
20:25So, pop your shoe back on, and you can go and have an X-ray.
20:30Lovely.
20:30OK.
20:31Blue circles on the floor gets you up to any X-ray.
20:35About two miles away.
20:36Not too far.
20:38The X-ray will reveal the extent of the damage to Shane's foot.
20:44In the hub, the pressure is growing.
20:56Vinny, pop him in high dependency one.
20:58I've closed the curtain.
21:00One, two, three, four, five, six.
21:04As the number of patients in the waiting room increases.
21:07Amongst them is Adam and his wife, Debbie, who has functional neurological disorder known
21:16as FND.
21:17Taking the shed down in the garden, just wanted it gone.
21:20So, it is gone.
21:22We've just tidied in up.
21:24And my wife decides to face plant into the floor.
21:27So, she's not the most stable person on her feet as it is.
21:30She has sticks to walk with.
21:32Stumbled forwards and then put her hands out, so she just went headfirst into the floor.
21:35And then just slid down the garden on her face.
21:39There was a lot of blood all going in her eye.
21:42The nose had opened up, a big gash.
21:44We went to a pharmacy.
21:47Yeah, we went to a pharmacy.
21:49But it's like, no, because she banged her head and she's feeling sick.
21:51You've got to go to A&E.
21:52Here we are.
21:53What's the matter?
21:59What?
22:00You got me?
22:01Okay.
22:01I'm going to need a nurse.
22:03She's having seizures.
22:07She okay?
22:10That was a short little one.
22:13She has FND, so she has seizures.
22:17Hello, darling.
22:19Are you okay?
22:20Can you talk to me?
22:21Can you open your eyes?
22:23She goes non-verbal when she's having seizures.
22:26Okay, right.
22:26We'll get her on a trolley.
22:30Excuse me.
22:31What?
22:32We don't need to be sorry.
22:34You're not choosing this, so don't be sorry.
22:38What's here, darling?
22:39My name's Tucker.
22:40I'm one of the doctors who did today.
22:43FND can be life-changing, causing seizures, reducing mobility and slurred speech.
22:51Can you get FND?
22:51Yeah, we've got one here.
22:53So we'll get her on there and we'll get a set of water.
22:57Dr. Toka Salim transfers Debbie to Majors, so her condition can be stabilised.
23:02In 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.
23:34And sister Jane is still having to deal with the broken chute.
23:37Put your bloods in, four, four, four, bend down, put it in the chute.
23:47So 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.
23:58I've never seen the amber light.
23:59As sister Jane waits for the traffic to clear, Dr. Salim is stabilising Debbie, who had a seizure in the waiting room.
24:11How are you feeling now, Debbie?
24:13I'm sorry, I'm sorry.
24:15Debbie, can you open your eyes?
24:23Can you tell me where you are?
24:25Oh, no, no, no, no.
24:26We were taking the shed down in the back garden, and she just stumbled forwards and then banged her head, so she's feeling quite sick and unwell.
24:35Okay, did she lose consciousness, did she?
24:36No.
24:37Is she vomited?
24:38No.
24:39Has she got any medical conditions?
24:41So, the FND, functional neurological disorder, is what's causing tough seizures, so stress, anxiety, pain, centering to seizure.
24:52Hi, Debbie, how are you feeling now?
24:53Can you remember what's happened?
24:56I know, so tell me what's been on now.
24:59It's all over.
25:00Okay?
25:02No, no, on my head.
25:03Okay, right, okay.
25:06What were you doing when you fell over?
25:07Where was that?
25:09The garden.
25:10The garden.
25:11Okay.
25:12Do you know where we are at the moment?
25:14Where is that?
25:16The hospital.
25:16Yeah, at the hospital.
25:19Right, okay, let's go.
25:21Fine, fair enough.
25:22And do you know who you're here with?
25:24I don't know, I don't know, I don't know.
25:27Okay, that's okay, right.
25:29Am I okay to just shine some light into your eyes?
25:33Okay.
25:42Okay.
25:44We just want to get one of the consultants just to let them know I'm being born.
25:48And then we might get you some imaging done, like a CG head.
25:51Is that okay?
25:53What?
25:53I'm okay.
25:55I'm afraid I'm afraid I'm afraid.
25:56Tell me.
25:57Pain, pain.
25:59Pain?
26:00What's hurting you the most?
26:02Oh, good pain.
26:03Your head.
26:04Okay, fine.
26:05You'll get that sorted.
26:06Yeah, no worries.
26:07I've always knew that I am going to be a doctor.
26:13I've never thought of a plan B.
26:15It's not always easy and it's not always fun, but there's something that I've always been
26:20passionate about since I was four years old.
26:22I just want to let you know about one of the patients.
26:25She hits her head.
26:26She's got some lacerations on the forehead and the bridge of the nose.
26:29She has a medical history of FND.
26:31That's where she gets seizures whenever she's stressed.
26:34She was sat in the waiting area when I got called by one of the nurses to come and check
26:37on her.
26:38She was probably having a seizure then and then we wheeled her in to QA.
26:42While she was in there, she's got two seizures.
26:44What are seizures like?
26:45Seizures are on the right-hand side.
26:47What was her name again?
26:50Debbie.
26:52Hello, Debbie.
26:52My name's Sarah.
26:53I'm one of the doctors.
26:54How are you?
26:56You've had quite a stressful day, I think, today, haven't you?
27:00Do you want that oxygen mask off?
27:03Shall we try taking that off for you?
27:07Are you in any pain at the moment?
27:09Yeah, I bet you are.
27:10Have you had any painkillers?
27:13The first thing we should do is probably try and get you some pain relief and get you
27:16a bit more comfortable.
27:17Don't please stop.
27:20I feel sorry.
27:21You feel sick as well?
27:23Yeah, absolutely.
27:24Do you feel like you could swallow anything or do we need to re-attent that cannula and
27:27try and get you a needle in some way?
27:29I...
27:30I...
27:31I...
27:31But they're better with...
27:34With a cannula.
27:35Yeah, that's fine.
27:36That's fine, Mum.
27:37Have you got a bad headache?
27:38Mm-mm.
27:38Yeah, of course you have.
27:40Your oxygen levels are okay, actually, without that oxygen.
27:42So I think we'll try and leave that one off.
27:45How is her speech at the moment?
27:47Um, following a seizure, standard.
27:50If this is your normal type of pattern, let's just watch and wait and see what happens.
27:56Obviously, if I were in England, then we'll get you some painkillers and we'll see how I get
28:00off.
28:01Is that all right?
28:02Because of Debbie's seizure history, blood tests are ordered to eliminate other factors
28:10that could affect her recovery.
28:11In the hub, volunteer Jane has a very important job to do.
28:25Let's put some spices in the drawer.
28:28The sweet drawer has always been and always will be an essential part of the department.
28:36Pathetic, somebody's put.
28:37So if I put, not any more.
28:41They've all got a sweet tooth.
28:44Some more than others.
28:46Yeah, they're like vultures.
28:49Yeah.
28:50Gummy bears.
28:51I think it's true that the doctors and the staff, they do need the sustenance.
28:56They do need the break.
28:57And it is true, they do say that an army marches on its stomach.
29:00And we are an army and we need to be sustenate.
29:04I think there's a word for that, is there?
29:05We need to be sustained.
29:07God.
29:07They'll have gone by tea time, I reckon.
29:10You know, as soon as I know it's there, it'll be...
29:12Sweets, everybody.
29:15Sweets.
29:16Come and get your sweets.
29:19In radiology, Shane is heading for an x-ray after injuring his foot at the gym.
29:24We're looking at your left foot.
29:28Looks like your big toe area.
29:29Yeah.
29:33Let me slide off, for example.
29:34I'm going to have your left foot on here and I want the bottom of your foot on this cassette.
29:37So I'll actually bend your knee up.
29:39That's it.
29:47Yeah.
29:48That's it.
29:49Perfect.
29:49Gums.
29:54Right, Shane, I'll finish.
29:56Superb.
29:56Yes, you can send it back around to where you need.
29:58Superb.
29:59Cheers, Mark.
30:03It's down to emergency nurse practitioner Claire to reveal the results.
30:08Don't go straight back in my office, Shane.
30:11Let's have a look.
30:14Who's also a friend of Shane's.
30:16Have I got handsome feet, Claire?
30:18Let's see, shall we?
30:20So that's your x-ray.
30:22Looking for fracture.
30:25Shane definitely thinks it is, don't you?
30:27Feels like it's been chopped in half.
30:29Yeah.
30:30So this is your toe and then this is your metatarsal.
30:34That's where it's mainly tendered.
30:35Ah, OK, yeah.
30:36But your bruising is around your toe, which is natural for when you have broken something
30:42higher up, it bruising travels down.
30:45Yeah.
30:46There's not anything jumping out at me as like a big fracture, but there's a little bit
30:50of a lucency there, which could represent something.
30:54So I'm going to give you a shoe to wear, which is really trendy.
30:57Oh, brilliant.
30:57You're going to love it.
30:58Yeah, yeah.
30:59Is it a croc?
30:59Really lovely shoe.
31:01And that basically supports it so that you can walk on it.
31:04Right, OK.
31:04It's going to be painful for a few days, bruised, swollen, so treat those symptoms.
31:08Ice pack, paracetamol, elevation.
31:11Yeah.
31:12I'm out around Barnsley tomorrow.
31:13Do I need to wear my shoe around Barnsley, Claire?
31:16Maybe not.
31:17I don't think that's street credible, but you can tell me.
31:21I'll go and get it.
31:27It's medium and small.
31:29We'll try these.
31:30No.
31:31Fancy shoes.
31:31No.
31:32You'll have to get...
31:34to paint your toenails.
31:37Yeah.
31:41There you go.
31:41You'll pull that onto your foot and put your foot right back in it and see where your toes
31:46get to.
31:47Ow!
31:50Yeah, your foot right at that.
31:52It is.
31:53I've got some matching shorts at home that I think look lovely with these shoes.
31:58Where are you going tomorrow?
32:00We're going on that and then the map, I think.
32:02Oh, yeah.
32:02So I've got some friends coming over from Leeds.
32:06You think you'll wear that tomorrow?
32:07I think it suits me.
32:09Yeah, I'm not sure about tomorrow.
32:12Have a go.
32:12See how it feels walking in it now.
32:14Don't I get two?
32:18Can't you have two so at least they match?
32:21Yeah.
32:22Yeah?
32:22Yeah, I'll take them, please.
32:24It's a bit better than your sliders.
32:25OK, and it'll get better over the next two to four weeks, hopefully.
32:30Man up.
32:30That's it, you said it.
32:33Lovely.
32:34Lovely, Claire.
32:34Thank you, man.
32:35All right, my love.
32:35Lovely, I'll see you soon.
32:36And tell Vicky hello from me.
32:38I will do.
32:38See you later.
32:39All right.
32:39Speak to you soon.
32:40I'm really pleased that it's not broken.
32:47So hopefully I'm going to recover a lot quicker than if it were fractured or broken.
32:52I can get back in the gym.
32:56Shane was back at the gym a week later.
32:58Over in Rhesus, Patricia's high heart rate is still being monitored by Dr. Anderson.
33:11Hmm, that rate just jumps up and down.
33:14Might be 105 one minute, but then the next minute it's 160.
33:19Patricia's blood test reveals she hasn't had a heart attack.
33:23I'm just having a look at her blood to see if there's anything on there that might be why she's got fear.
33:29There's nothing particularly alarming in her blood that would explain it.
33:33There's no black and white in medicine, so things change quickly.
33:36And for her, the AF, sometimes it can be constant and sometimes it can be what we call proxysmal.
33:41So you get sort of maybe 20 minutes of it and it might go away.
33:44And I was hoping that with her heart rate coming down that it might be that, that it's resolving.
33:50But it's not and it's back up at sort of 190.
33:53So I think we just need to treat her now, see if it hopefully brings it down.
33:58Hello, darling.
33:59How you, darling?
34:00So your heart rate, I mean, it's very stubborn and it's come up again.
34:03So we're going to give you that metoprolol, that, that, to slow it down.
34:06I've just had one of the...
34:07Have you had it again?
34:09I can't explain it, it kind of goes all over my body.
34:12Yeah.
34:12My head, it's...
34:13I think that's your heart rate going off.
34:15Sometimes these episodes, they come and then they go away.
34:18Yes.
34:18But it's not.
34:20Looks like this one's a bit more persistent.
34:23Well, no, I think Holly's just getting your medicine.
34:26Sister Vicky will administer the medicine.
34:29So this is a drug to try and get this heart rate down a little bit, okay?
34:32All right, love.
34:33You keep having a bit of excited runs, don't you?
34:36I do.
34:36You get giddy.
34:37What are you going giddy about?
34:39Oh, I'm going to see Barry Manilow.
34:42Oh, God, is he still going?
34:43Hey, don't you start.
34:46Yes, I am.
34:48I've loved him for years.
34:50Where's he playing?
34:51Leeds.
34:52It's his last, last concert.
34:54He's there.
34:55I think I saw his first one and I'm going to see his last one.
35:00I've been all over to see him.
35:02Rodney always calls him my Barry.
35:06Always had a wondering eye.
35:07I have.
35:08She has.
35:09I think that's what flutters me.
35:11Mind you, he wouldn't be interested in me.
35:17Well, uh-oh.
35:18Because he's married to a man.
35:21Yeah.
35:21He could have a go at changing his mind.
35:24You never know.
35:24Years ago when I was young and in my prime, you never know.
35:28Brother, love.
35:29No.
35:30No.
35:31No.
35:31No.
35:32Oh, that's coming down a bit better.
35:34Behaviour said no.
35:36I will if I can.
35:37Love, yes.
35:38What's that, gold leaf in your nails?
35:42Yes.
35:43Yes.
35:43Snazzy, aren't they?
35:45I say, you cheater, well, you'll have it gold.
35:47I wish you were going tomorrow to have them, though.
35:49I'll save a bit of money when they're not going tomorrow.
35:52My friend Sarah does them.
35:55And they like me clothes, me handbags and me shoes.
35:57Oh, dear me.
36:01I shall have to stop buying.
36:03I might not have much longer to leave.
36:06It's hoped the medication will steady Patricia's heart rate.
36:10In addition to managing the patients.
36:29There's no beds, Mum.
36:32It's the chute that's causing the issues.
36:34Sister Jane is also dealing with a broken chute
36:37that's used to send bloods to other departments within the hospital.
36:42I swear to God, I'm going to really lose my patience here.
36:46It's driving me mad now.
36:48I've spent too much time on this.
36:51They fixed that about 18 months ago and it's broke again.
36:57Somebody said that it's going to take ages
36:59because it needs a whole new thing.
37:01With the chute now undergoing major surgery,
37:07back in recess...
37:11Oh, dear me.
37:13All right, I will leave you to it.
37:14I'll pop back in a bit.
37:17Patricia, can you sit forward for me?
37:19Yes.
37:21The X-ray results will show Dr Anderson
37:24whether an infection in Patricia's chest
37:26is contributing to her elevated heart rate.
37:29Yeah, cool.
37:30Your blood's looked OK, so that's good.
37:35You're right.
37:36It's sort of jumping about a little bit,
37:38but still quite fast.
37:41What I might do is just have a chat
37:42with the medical reg on the wards, OK?
37:45Have you got any questions?
37:47No.
37:47You've been very patient, darling,
37:49so thank you for that.
37:50OK?
37:50Right.
37:50Although Patricia's blood and X-ray results
37:54show no cause for concern,
37:56Dr Anderson is reluctant to discharge her
37:58until her condition is stable.
38:00Hello.
38:02I've got an 82-year-old lady.
38:04She was going at about 180 on the monitor,
38:06but by the time we'd cannulated her,
38:08she was going at about 112 or so.
38:11And so I sort of left her and thinking,
38:13maybe this is sort of resolved,
38:14but she's now going sort of anywhere between 120, 160.
38:19She's stable, but given sort of the symptoms,
38:22she's not someone I'd want to rush to send home.
38:26So I wonder if you'd have a look at her.
38:33Honestly, I've never been like this.
38:37So Patricia's just waiting for the medical team to see her.
38:40Her rate's much more stable.
38:42I think she's more comfortable, a bit less dizzy.
38:45If she's feeling well enough,
38:46we can get her standing up and her rate's controlled.
38:48It might be that she goes home,
38:50but has follow-up to figure out
38:51if she needs to be on blood thinners,
38:53if she needs various medication to control her rate.
38:55If her rate's not controlled,
38:58if she's not feeling right,
39:00then I think probably she'll come in for some observation
39:01and the medics will then decide what happens.
39:04I'm just going to go find George,
39:05who's in a recess at the moment,
39:07and just hand over.
39:08Obviously, if anything's happening,
39:09George knows about her and he can treat her.
39:11So I'm good to go.
39:14I feel better than I did when I came in.
39:17Yes, I do.
39:18She's got some colour now.
39:20This morning she looked like a dragon.
39:23And she was white.
39:24Oh, she was terrible.
39:25I thought we were going to lose her this morning.
39:27Yes.
39:28Which is looking a lot better now.
39:30Yes.
39:31Tomorrow I was going for my nail stewing,
39:33but unfortunately, I don't think I could be going.
39:36Patricia remained in Barnsley Hospital for a further two weeks.
39:40She's now been prescribed new medicine to slow her heart rate down
39:44and is on the road to recovery.
39:46Back in Majors, Dr. Salim is caring for patient Debbie.
39:58Brought into casualty after a fall, Debbie has since suffered three seizures.
40:12Dr. Salim has requested bloods to be taken.
40:15We're going to check the coagulation profile to see if there's anything wrong with the clotting factors of the blood.
40:22We're also going to do a calcium profile to make sure that everything's okay after the seizures.
40:27We're also going to do basic bloods to see if there's any source of infection.
40:31Whilst waiting for the results, Debbie's condition seems to be improving.
40:34I was really just supervising.
40:39Yes, you're supposed to be supervising, but...
40:41I was supervising.
40:42I was...
40:42Who had the hammer?
40:44You...
40:44We had...
40:45I was just doing a little bit of sweeping stuff,
40:50and then I'd find the nail, I think.
40:52I can just get that.
40:53It gets really sad that you cannot do what you used to be able to do.
41:02I should have been able to do some more,
41:05and I should have been able to pull my nails out without all the help.
41:13The fall was just what causes seizures to start sort of thing today, so...
41:21Pain causes to have seizures.
41:23It goes downhill rapid, unfortunately.
41:25It makes you very tired, and the language goes a bit, don't you?
41:28It used to be very scary when they first started,
41:30but we're used to them now.
41:32We know what to expect, so it's not as bad.
41:35I've been on the hospital for one year.
41:40Yeah, we don't know what happened, but last year, it all went very wrong.
41:43She came to this hostel for a blood test,
41:45and she didn't come home for six months.
41:48She ended up in neural rehab for five months,
41:51learning how to walk and talk again.
41:53So...
41:54We're just waiting for the results of the bloods.
42:14We've had an ECG done.
42:15That's the electrical tracing of your heart.
42:17That looks okay.
42:18How long have you been so three years?
42:22Well, if this is your usual, and you do continue to be okay,
42:27I don't think we'll need to keep you overnight.
42:29I think you're going to go home.
42:31Is that okay?
42:32Sure.
42:33I know that patients dread staying in hospital,
42:36and they don't like doctors very much, which is fine.
42:40But we need to do what we need to do
42:42to keep our patients as safe as we can,
42:44until we're happy, we're completely happy for them to go home.
42:47We don't like being here longer than we have to be.
42:50Unfortunately, we spend far too much time here.
42:53Just need to keep an eye on her
42:54to make sure that she doesn't get any seizures,
42:56or if they do, you know, last longer than what they usually do.
43:00If the bloods are okay, she will be able to go home.
43:03I'd be really careful to not drop any more seizures.
43:06Yes, no more seizures.
43:08Although I cannot control it, but that is the blood.
43:12Everything's back, and everything's okay.
43:14There isn't any signs of defections.
43:15There aren't really any metabolic issues.
43:19So if she's back to her normal self,
43:21we'll be happy to send them home.
43:23Debbie was discharged from hospital later that day
43:26and has been recovering well back at home.
43:29When they send in, three, four, five at a time,
43:40it's heavy, and it's the weight,
43:41and that's what smashed all this.
43:44See how we're thinking it when you are.
43:46No.
43:48Cheeky sod.
43:48The chute is finally given a clean bill of health.
43:53There you go.
43:55The gentle weight.
43:56Is it working?
43:58Does that make you do that?
44:00No.
44:00Because you don't know how much time this chute
44:05has consumed at my day.
44:08I won't be doing it anymore.
44:12Shift finally complete,
44:14Sister Jane can head home.
44:16But the doors to Casualty remain open 24-7.
44:20Bye.
44:21Bye.
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