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00:02in 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 Barnsley A&E department
00:1924 hours a day wow seven days a week whoa nearly feel like a wet disc
00:29serving their community looks like you have broken it
00:35i don't think i'm going to look i'm dreaming of your gin and tonic helping those most in need
00:43love you i'm dry there's nothing to be frightened of these girls will sort her out they care for
00:50anyone i think i've lost your hair up haven't i and everyone looking more like himself thanks to
00:55barnesley working together to make people's lives better you know i just love to look i love to make
01:05a difference this is barnesley casualty 24 7. that's not me entering the beauty contest
01:16on shift tonight sister georgia mandy are you able to go up to ward with cube eight please
01:27advanced clinical practitioner jemma what's a normal seizures like mom
01:34and consultant dr laura buxton where am i now you're at barnesley hospital so get ready to share a shift
01:43no brilliant with me everybody with the team at barnesley casualty
01:59and there's a couple of your patients um going to ward i'm just wondering are they ready to move
02:08sister georgia is starting her shift and she's arriving to a backlog of patients causing congestion in the
02:14department every day on shift you do like have problems and you have got to move staff around
02:21and help areas that are struggling will you have a look at some of these just see if they're ready
02:27to
02:27move and we can get ready to move on i've just asked emma to start cubicle four i do quite
02:34like doing
02:34that because obviously we need to make sure that his patients are safe we've got 56 patients in um with
02:41um a two hour doctor wait we've got currently 10 waiting for amu um so we're just going to try
02:49and
02:49get these patients up to ward as fast as we can to move the patients around georgia needs the hospital
02:56porters but there's a long wait before they're free we've got all these beds coming up but porters are on
03:04an hour and eight minutes
03:05we want to get them out because we're getting ambulances we've got due in we've got two en route
03:11and three expects so we're going to get five ambulances in and we need space they've not answered
03:19got a little bit busy at minute um we're just having issues with porters getting patients up to
03:24wild we just need um some parters to come and take these patients up
03:37an ambulance is on its way to casualty
03:43four-year-old skyler is being rushed into pediatric care with recurring seizures
03:50yeah she's had two lots of benzos haven't she yeah
03:55mum katie and dad jack are alongside skyla who's been looked after by advanced clinical practitioner
04:02jemma what's in the normal seizures like mom usually it's just her eyes and her head are
04:08drift off to one side it might have lent you in there but that's usually it but last two is
04:12when she's
04:13started with the jerk soccer when she's got to us i've been asked by our nurse to actually come and
04:20have a little look at her because she seems quite what we call flat so not really responding how she
04:25should normally i'll put it this way so we'll pay 12 minutes it's normally the right side from what i
04:33can
04:34remember yeah it's usually the right side but that's the gents or she takes off too that's what i've just
04:39said to rick but
04:49seizures are something skyla has suffered with previously but the length of this episode is a
04:54serious concern for the team she needed to be in an environment where a bit more a bit more safe
05:01and
05:01secure and we could have a bit more help around so that's why we've transferred it to resus
05:06thank you okay you'll be free to run a gas yeah
05:17having a epileptic seizure there's a lot of risks associated it one of the main ones is that you can't
05:23actually breathe properly by yourself um so you can't maintain that oxygen supply to your brain to
05:31all your rest of your organs and that's risky um in itself
05:40there's a risk that she could stop breathing and that's why we need to get some immediate access
05:45so we need to get a cannula and get um sort of look what the next medication is
06:03especially in with seizures if you're not ventilating or breathing properly you're not getting that
06:09oxygen to supply your brain and that's where you're risking things like brain damage
06:20so yes skyla's got to the point now where we need to intubate and take over that breathing for us
06:25so
06:25intubation is protect what we call protecting that airway essentially we are breathing for her we're
06:32being her her lungs we're making sure that that oxygen is supplying all her organs and making sure
06:38we're not depriving her of oxygen
06:43she's been intubated as we speak she's definitely jerking a lot more than last time and struggling to breathe a
06:50bit more
06:55so every time she's having a seizure it could be damaging her brain more it could be doing more
07:01damage internally so while she's asleep and intubated she's probably in the safest place
07:05possible so hopefully like carbs her entire body so if the seizures will stop i think that's basically
07:13how they described it to us
07:19it's now an anxious wait to see if the intubation resolves skyla's seizures
07:41it's q4 and ready to move
07:48yeah sister georgia is juggling patients and beds while she waits for portus to become available to
07:55move people currently we've got three four five six we've got six patients are waiting amu the heads
08:02ready but we just haven't got the portraits to take them up and obviously a and e don't stop so
08:08we've
08:08got a constant flow of patients coming in and sometimes we've just got no room to like see anyone
08:14anywhere really whilst georgia waits for the portus to begin transferring her patients
08:22she's presented with a new task so this covered and flu swabbing thing there's a cbu one major says no
08:32but cbu two saying that we have it you are wanting covered and flu swabs now but um we've not
08:39got any
08:39machines set up yet so we're just trying to work out whether or not we're doing it or not really
08:46the swabs for covert and flu will add further time pressure to sister georgia's day it will
08:53cause some delays in a and e because it takes 15 minutes to do all the swabs so if we
08:58could get it
08:59done um as fast as we can then it obviously um stops the delays really
09:07while sister georgia deals with delays caused by additional swabbing
09:15in recess
09:19advanced clinical practitioner jemma is monitoring four-year-old skyler
09:32so she started having a seizure we couldn't stop her from seizing so we had to intubate her and
09:38that's the way that you try and stop people seizing we attempted to extubate her first time so i
09:45attempted to wake her up but what happened was she started again to have a to have a seizure so
09:50it
09:51wasn't safe to wake her up because she wouldn't been able to maintain her on airway if after a second
10:02time we can't wake skyler up then she would need to be transferred out to another specialist area which
10:09would be pediatric intensive care with her vital signs heading in the right direction anesthetic
10:16consultant rakesh basro helps prepare a second attempt to wake skyler up
10:24so anesthetic team it's it's their bread and butter essentially that is their speciality
10:29when she's being sedated they're the ones that that know how to manage that airway
10:33they're more familiar with the type of things we need for the airway and also the medications that they
10:44need to give all right sweetheart tyler you're just waking up mum is here all right darling
10:56so we'd not even got this far and she'd started fitting last time yeah with her wake up but she's
11:04had quite a lot of medication to make her sleepy so we're not expecting her to sit up and open
11:10her
11:10eyes the important thing we want to to know is whether she can maintain her own own airway so can
11:18she breathe by herself the last time we tried to wake her up she started fitting straight away skyler
11:26skyler skyler must now be closely monitored to ensure no further seizures occur
11:44another ambulance has rushed 85 year old maureen to casualty she has a slow heartbeat
11:50one on the bed one on the sun i can't think about anything can you remember what's happened this
11:55morning is she not no no no what about when you went to bed last night did you feel okay
12:04maureen has dementia and a son matthew has accompanied her to the hospital
12:09i got a phone call today from the care home just to state that my mum had low oxygen and
12:15she wasn't
12:16very well they rang for an ambulance and then the ambulance had brought her in because her stats are
12:26not very well how long am i stopping in i don't know until you're better
12:35where where where am i now barsley hospital my mum will be 86 on the 12th of october
12:43so she's uh really strong for her age 85 and she's just uh just witnessed my dad passing
12:50four days ago he was 91 and so that's gonna that's gonna put a big strain on her as well
12:57what what happened to your dad he's looking after you
13:04why did he die he wasn't very well and he was a bit tired when did he die
13:12a few days ago you were there just a few days ago yeah you were there you held his hand
13:18and you were
13:18holding his hand and saying i love you george george yeah that's my husband that's your beautiful
13:24husband my my gorgeous dad my hero
13:32when did he die thursday hey thursday thursday yeah that's not long i know i know
13:41i know my dad really did well looking after her uh they had a few carers coming in but my
13:46dad did
13:46the the main bulk of it all and being at 91 i think it's just took its toll a bit
13:51so he's now at peace and resting and he'll be waiting for my mom coming soon i think
13:57what why did he die it wasn't very well he got an infection
14:03and it couldn't get right it couldn't get right now sorry
14:10sorry
14:18she's very posh are you very far very far oh well we'll get on well then
14:23dr buxton will be in charge of maureen's care today and he's here to take a blood sample
14:28right i'm gonna see if i can have another go at popping that needle in the back of your hand
14:33okay
14:33okay i'll be as gentle as i can all right right you're ready maureen keep nice and still here we
14:39go
14:44oh i don't know you can look mom you're very brave
14:49i think for now matthew and maureen the priorities are that your mum's pain settled down that discomfort
14:55she was having this morning's settle yep she looks a better color yep and her blood pressure's
15:00holding steady yep so whatever the reason for her heart having gone so very slow this morning
15:05i've got a little bit of time to work that out yeah and a bit of time to come up
15:09with the right plan
15:10for her to sort it yep okay you sort of realize that time's very precious i'm all for making
15:16my dad proud i'm all for making me mum proud i'm just just feel so lost at the moment
15:24your heartbeat is very slow today and i can't let you go home while it's this slow okay
15:32where am i now you're at barnesley hospital in a and e
15:40okay i didn't know that so we'll take good care of you until we've worked out what's going on and
15:46what needs to happen next maureen's heartbeat remains slow and she will need to be closely monitored
16:10in the coming hours but there's just quite a lot of detail but they've not ticked ready to move so
16:14we're just going to work through all ready to move in the hub sister georgia has patients ready to go
16:20to
16:20wards but the hospital's porters aren't free to move them causing a backlog reena you know your
16:27patients that have got dts will you just click ready to move when they're ready to move on teletrack
16:32it please have you put it on but there's one patient she can't move on who's been found in possession
16:37of
16:37a large quantity of drugs there were a bag of cocaine on side somebody had reported it to police to
16:44come
16:44and collect from a patient that we've got in currently they've come and picked it up and i believe
16:49they're still in they're in with patient now so if i haven't looked in it i don't know what's in
16:58there um but apparently that's what's been handed over from tonight's death that there's cocaine in
17:04there i don't know how much i've looked so i don't know what the outcome will be but it's been
17:14reported
17:15anywhere whilst georgia helps the police with their inquiries
17:28in minor injuries 65 year old sean has taken a tumble down his cellar steps
17:38i've gone down for uh but carriers down there there's some down there as i've got near bottom about
17:46three front bottom the big concrete steps as well i've slipped and my foot's gone under my foot's
17:52gone underneath me i'm claire hiya emergency nurse practitioner claire is on hand to assess the damage
18:04right my love tell me what's happened i've slipped my foot's gone underneath me
18:10so underneath itself yes it's gone underneath there what were you on your feet what did you have
18:16on your feet these silly slippers all right did they stay on uh that one did that one came off
18:24okay
18:25and you've injured your toenail as well yeah lots of patients come in from having injuries based on
18:31poor footwear uh slippers is one of the bane of the life of the practitioner because yeah they're slippy
18:38and they slip on and off and they're not supportive so people can go and do something really innocuous
18:44and then fall and and obviously injure themselves can you stand on it after you've done it to be
18:51honest i've not tried okay i don't feel like trying but i will if you want no it's all right
18:56i just
18:56wanted to know if you had any pain at back no any pain around there no okay so is it
19:03sarah over here
19:04yeah yeah yeah okay yeah right then let's go to x-ray thank you
19:16whilst waiting for his x-ray sean has a moment to speak to his grandchildren hello sweet
19:24that's that you're gonna tell granddad to get all better yeah yeah yeah yeah well yeah yeah
19:37see you bobby bye michaela thank you with spirits lifted it's straight into x-ray to find out what
19:46damage sean has done to his foot and relax back in recess maureen has been admitted to casualty with
20:00a slow heart rate she also has dementia
20:06what happened what happened to your dad he went to sleep he's not very well he went very well
20:20he went to sleep he went to sleep yeah you were there you've probably forgot don't be upset
20:33there's nothing there's nothing to be upset about is there
20:37it's not listening he's not hurting he's watching over you
20:42did you really yeah it's a strange disease because she's really really good at remembering
20:50old times from from long long ago it's just a short-term memory you've got to keep repeating
20:56herself and she does retain some and she knows my dad's passed away but then she forgets sometimes and
21:02where is it it's it's it's having the the the death over and over and over and over again every
21:08every single day love you i'm so dope
21:15i'm frightened though there's nothing to be frightened of you've got all these doctors and
21:20nurses and i'm looking after you i won't leave you and you've got vicky just georgia and all grandkids
21:26coming over and you've got those other people at care home looking after you and my dad more
21:32importantly my dad's looking after you
21:37they've been married and they're all school marriage so for better for worse death goes
21:41apart and unfortunately i mean my dad's my dad died and he's he's now apart but hopefully looking
21:46up looking after it with maureen's heart rate remaining lower than doctors would like
21:51dr buxton has ordered a chest x-ray who's got a quick picture of your chest to do today
21:59she's going to take an x-ray i promised my dad i would look after my mom and she wouldn't
22:04suffer
22:04so that's what i'm doing now everything is just a flood of emotion it just washes over you and
22:11just takes you away and then you're all right and then you feel a bit numb and a bit angry
22:16and then
22:16sadness again it's i've never experienced it to be fair maureen and matthew must now wait for the
22:25results of the chest x-ray to find out what can be done to improve her heart rate
22:43having begun to clear a backlog of patients with the help of the hospital porters sister georgia is
22:49now helping someone who's having a mental health crisis yeah working transport to kendra the patient
22:56was found in possession of a large amount of drugs and the police have been called
23:04the patient is currently being taken care of by healthcare assistant paul
23:11bill me a guy who's been doing well at minute um quite paul they blessed him so i've been sat
23:17with him while waiting for special out for his specialty team to come and see him
23:23so he's now gone to another hospital so we can get the care he needs uh it's took a bit
23:29of resources
23:29from the staff but we've managed to get the right help he needs i've just uh took to ambulance and
23:36said
23:36goodbye to him uh and he's now going to merry way to uh kendra hospital so he is had a
23:43bit of a breakdown
23:44so we still treat everybody the same and hopefully it'll be better in a few days
24:03in recess four-year-old skylar is being woken up by nurse liv having been intubated to prevent seizures
24:14all right where's mummy skylar hey mummy's here you don't wake up please it's much better than the
24:25last time we tried to wake her up so everything she's doing by herself now so it's just waiting
24:46for her to wake up a little bit and then we can monitor her further and hopefully get her to
24:51the ward i know you're gonna rub this off your nose i know thankfully this has worked she's
24:58stopped seizing she's actually starting to breathe on her own so now it's just a case that we need to
25:04keep her a close eye on her i'm sure you don't need to check in she's had quite a lot
25:09of medication
25:09that's going to make her make her sleepy so i wouldn't expect her to she might be out fast asleep
25:16for rest at night the main thing is as long as she's breathing on her own and maintaining her
25:21airway and not having a seizure you're waking up oh hi yeah look at you waking up after a groggy
25:33start
25:33skylar is now coming round and it looks like her seizures have stopped we're definitely waking up a lot
25:40now aren't we i'm not telling is that annoying you shall we take it out soon we'll take it out
25:48yeah
25:50are we messing what are you sitting up where's mummy you see where she is kids tend to bounce back
26:01a lot
26:01more quickly than adults but they also can deteriorate quite quickly as well which is quite why you need to
26:09keep an eye an eye on them and that's the the risk we have with children
26:15skylar spent a night being closely monitored on the children's ward
26:21the following day she went home with mum and dad
26:36so when did you do this today yeah yeah this morning yeah in minor injuries 65 year old sean is
26:43awaiting the results of an x-ray after a fall down his cellar steps left him with a suspected broken
26:49toe
26:50like i was saying we're doing we're going to do it there's a playroom for kids
26:56yeah wallpaper came yesterday
26:59is that for seller no oh that's for back bedroom for grandkids
27:06we're doing it too you know for them when they for them when they come yeah
27:13wallpaper in painting carpet but for now sean's diy is going to have to wait as emergency nurse
27:21practitioner claire has the results of his x-ray right let's have a look at the damage then shall we
27:30a little break in the big toe just there on the joint and looking at your big toe you've got
27:37bruising
27:38underneath which is in combination with that where it's broken
27:45emergency nurse practitioner claire has spotted something else that could be a problem for sean
27:51there's a joint here on your midfoot your lis frank joint which you need to be sure about
27:57that it's not a injury to that area this is something that we need to refer to orthopedics and then
28:03they
28:04will further assess the patient take a further detailed history and then most of these patients
28:10get a ct scan to see more in depth whether they actually have got that injury when you go over
28:17like this you stress that joint there and that can cause fractures across that midfoot that lis frank
28:23joint which is quite significant for your mobility of your foot and your arch of your foot so we need
28:29to be sure about that they might do some weight bearing x-rays and then they'll potentially plan
28:39for him to have a scan so he'll probably go home in a black walker boot and come back for
28:44a scan another
28:45day i'm not too bothered about you have a broken toe that's fine i expected it it's it's that extra
28:52bit
28:52on on top that she was saying that it affects your walking and all that hopefully it's just
28:59soft tissue and it's nothing nothing that's going to affect me
29:06right i've spoken to orthopedics and they've said that they'll see you on their area called estec
29:11okay so i'll take you down there they're waiting for you okay okay thank you
29:18definitely no decorating for the foreseeable and no more sleepy sleepers on the cell estate
29:25a further scan revealed no additional damage leaving sean free to carry on sorting out his cell
29:42having spent her day organizing patient movements sister georgia is catching up with nurse olivia
29:48who's also having difficulty with patients on the move cubicle 16 yeah basically i've got some
29:55med school he's supposed to go into ward i've done them got to his cubicle he's not there are we
30:00tried ringing him yeah i've rang him it's gone straight to voicemail but he so he's if he's gone
30:05he's gone with a cannula ring so when somebody goes missing it's a bit of a nightmare really because
30:11you've got to make sure that the patient's safe ring them um hopefully they answer the phone and they
30:16say actually yeah i'm at home i'm safe i'm fine but if not sometimes we have to send um police
30:22or
30:23ambulance out to do a welfare check yeah we're gonna have to so just ring ambulance and tell him
30:29that he's got yeah with a cannula ring right with a patient missing in cubicle 16 there's a new arrival
30:38in cubicle 19. 85 year old eric has a badly swollen leg
30:45last night i said to my wife i don't feel so well
30:49and anyhow i managed to get upstairs about half past 12 but i couldn't get
30:57full of ten on bed and i couldn't lift up and all my legs swell weight up
31:05healthcare assistant paul arrives to take a blood sample from eric
31:09so what's brought you in here today
31:13my leg i couldn't get i couldn't get in in and out of bed
31:19because i've had cellulitis and lymphedema oh i'm sorry to hear that
31:23but i've had sepsis before you've had sepsis before yeah so i'm gonna pop a needle in
31:29your arm and text somebody is that okay with you yeah whilst eric isn't hitting a high note today
31:35he was previously a singer i hear you used to be your next singer
31:39hi for a long time how long ago i did it for 32 years oh that's a long time did
31:46you enjoy it
31:47well it really isn't so where did you sing then did you sing all of it well oh all i
31:52did i've been in
31:54tenerife benedon portugal or sunday wow but i've done out clubs in barnesville doncaster
32:04wigan sundland wow much of a sharp scratch eric must now wait for his blood test results
32:10to discover whether his leg can be treated with antibiotics
32:16you can relax your arm now you've done well there
32:26sister georgia and nurse olivia are trying to locate a missing patient obviously just check it
32:33waiting room because they could have just wondered and not known where to yeah i'll show you if it's
32:37a waiting room and then if not i'll read that if not yeah is that all right
32:43darren we've got a patient that's left with a cannula in but he's got no fix to board
32:50so can't do anything right i'll just document it then and i'll document about
32:54because can't you can't you tell the police to go yeah and we tried we tried um phoning him so
33:08in cubicle 16 68 year old janet has been struggling with persistent vomiting for four days
33:16sister georgia is looking after her
33:23and so you've been taking oral sickness but you can't keep it down we'll get you some
33:29so i can i can and then hopefully that should stop you from vomiting
33:36all that's sorted for you okay so this lady attended two days ago we have do a pain and vomiting
33:41uh she was diagnosed with a um boot poisoning or stomach bug and she was given anti-sickness to
33:48take home but it's not stopped her um sickness at all um but the concern that this lady had was
33:54that
33:55she's on chemo medication um for her cancer and she's not able to keep them down either just can't
34:02keep anything down but that's bad because you can't keep your medication now which i need to take
34:08that's that's what concern is as much as anything anything husband brian is keen to ensure janet gets
34:15the best possible care well we've been married for seven years we've been together about 50 years
34:22i got married day after my 21st birthday we met when we were 18 you were 18 now 24 24
34:33four nine we're a holiday romance
34:40holiday romance so holiday romances do work sometimes you work at them
34:49nurse ivana brings medication for janet right i've got your anti-sickness so i've got some on
34:59dams up how much is your anti-sickness okay and then some paracetamol it's all through your ivy
35:08i'll get you another sick bowl as well sweet
35:14hopefully stop her being sick which is what you want into a minute last year
35:21are you managing to keep your water down no
35:24you know janet must now hope that the anti-sickness strip enables her to take her vital cancer medication
35:31so if you need all else let me know i'll go and grab you another bowl thank you
35:44sister georgia has been juggling beds patients and porters throughout her shift today we've got
35:50um quite a few ambulances that are going to be coming in as well so we need to free up
35:54some space so
35:55just escalated it to site to try and get us um some more support with porters and then hopefully we'll
36:01be able to get some patients out at department and clear a bit of space the availability of porters
36:07is improving just at the right time for georgia a bit stretched that sent me around here oh that
36:14was that was fast thank you somebody to go yeah right yeah we'll get them up yep thank you
36:23mandy are you able to go up to ward with cube eight please thank you
36:29i think it's really important um keeping a flow in the department and it's really difficult sometimes
36:36i ain't got anybody to send with you at minute that's the only issue
36:40if we're down on porters um it can make your shift really difficult because you've got patients
36:45that are needing transferring to wards or for cts or x-rays and if there's a delay in that it
36:52impacts
36:52everything massively can you go away um look please resource for transfer from resource
37:06in cubicle 19 85 year old eric has an inflamed leg and he's waiting for the results of a blood
37:13test
37:15keeping him company his granddaughter lauren
37:20the good people hospitals when i were in before they were brilliant with me everybody eric wants
37:28to go home as soon as possible to see his beloved pet birds i've been doing all my life since
37:34i was
37:34a little boy uh pigeons canaries and grills i like to look after them right advanced clinical
37:43practitioner charlene has reviewed the results of eric's blood tests and has concerns so his inflammatory
37:50markers are raised so that would indicate that he has got some infection going up and it's like the
37:54cellulitis she returns with bad news for eric
38:04we need to admit yeah for a couple of days and that it just is where it is you know
38:09we can't
38:10risk you getting poorly with sepsis but i'll stay with you i like last time you know i'm all sorted
38:16i know
38:17it's not what you wanted to hear but we need to get you better whilst eric's keen to get back
38:21to his
38:22feathered friends advanced clinical practitioner charlene knows that keeping him in overnight
38:27is for the best sometimes that's a problem that we are trying to get people to stay when they want
38:31to go home but he's not well enough to be at home he needs to be in hospital we'll be
38:35settled on a bed
38:35soon thank you all right you take care see you later thank you bye-bye
38:42further tests confirmed eric was suffering from cellulitis
38:45and lymphedema he was discharged from hospital four days later
38:55back in cubicle 16 68 year old janet has ongoing sickness which is affecting her ability to take
39:03cancer medication dr hannah everett has now taken over her care obviously with the fact that you're on
39:09quite a few medications that we need you to be able to take and the length of time that it's
39:14been
39:14going on for and i think we might need to bring you into hospital to give you some fluids through
39:20the vein and then also give you some antiseptives through the vein as well
39:25dr everett needs to perform a blood test on janet
39:31you're not looking like you've got brilliant veins from here no i'm sure it is
39:36so you had it on the feet and everything yeah
39:39what good news for me that is no no
39:49we're in luck tells you people's a date
39:59what's your plan
40:00dr everett needs to discuss with a consultant whether janet should stay in overnight for observation
40:09but she said yeah she's not been able to keep her anti-emetics down so she's just continuing to
40:12vomit yeah what's your plan i've had a chat with the consultant and he agrees with me that we need
40:18to
40:18bring you in for some fluids and some for anti-sickness through the veins at least hopefully
40:23i should be able to get some meds down here then yeah janet's feeling better already and thinking
40:29about what brian can make her when she's ready to leave hospital yeah i'd probably have a honey
40:37honey glazed gammon steak what equals
40:42i think she'll be fine a bit of fluids a bit of anti-sickness um she should start feeling a
40:48bit
40:48better yeah janet was taken to the ward and was discharged four days later
41:06that's nice back in recess maureen has been waiting with her some matthew for the results of a chest x
41:13-ray
41:13so what i'm seeing on here is that her heart this is the outline of her heart it's much bigger
41:18than it should be and that her heart muscle doesn't pump as good as well as it should
41:24it's a bit like in your boiler the your boiler in your house is like your heart and the radiators
41:30are like your lungs i suppose and if the heart's not pumping very well then the pressure in the
41:35radiators backs up so you need the heart to be pumping the blood effectively around the body and also
41:41clearing fluid out of the lungs i'm reasonably happy things are settling down okay wow were i in
41:50trouble a little bit this morning why your heart was going a bit too slow was it yeah
42:02all right you look better want a little drink you look a lot better
42:11so you won't be going home today they might keep you in a couple of days
42:16why why they picked on me because you're beautiful
42:26i know i know everybody thinks that right maureen are we ready to go we're going to ward all right
42:34you're going upstairs now to be looked after again thank you everybody why did you pick me i'm going to
42:41carry on where my dad left off uh my dad my dad did it with every ounce of his body
42:46and his strength
42:47and and and finally that got the better of him so i'm going to take over and hopefully make me
42:51dad proud
42:52and my mum proud as well maureen's heart was monitored on the cardiology ward for four days
42:59she left the hospital on reduced medication and is now stable
43:09after a non-stop day sister georgia's shift is coming to a close
43:18so we are still busy we've got um patients are waiting ward um
43:25portering's got better we haven't got as many waiting to get up now um so hopefully we can just
43:29keep on top of it ready for nights coming on it's been a hectic day but there's time to relax
43:35before it
43:36all starts again i feel like some days you do have to kind of switch off because if you took
43:43things
43:43home that you see in the emergency department you you sometimes be really upset you see like
43:48challenging behaviors and things like that i am quite a chill person anyway to be fair but um yeah
43:56you can't take it home with you so i'll be back tomorrow to do it all again
44:01all done
44:15so
44:27so
44:28so
44:41Transcription by CastingWords
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