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Any Given Day: Cork University Hospital - Season 1 - Episode 06
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00:00On any given day, some 800 inpatients, 800 outpatients and over 240 emergencies are cared
00:08for in one of Ireland's busiest hospitals, Cork University Hospital.
00:12It will take just one patient to come in, that just completely stops you and reminds
00:18you that, whoa, this is somebody's worst day of their lives.
00:21On any given day, some 4,000 staff come to work here, a place where life-changing decisions
00:27are made every minute and every decision counts.
00:31Because I see a lot of sadness, I get great pleasure giving people the good news when I can.
00:39Here I am, hold my hand.
00:41You're having a heart attack.
00:43Filmed using 27 cameras following patient journeys across the hospital, each story in this series
00:49was captured in just one single day. Together they tell a bigger story of any given day.
00:57I'm here for a long haul, not getting rid of me.
01:02I just broke down what is going on.
01:05I'm getting the chance she didn't get, so I have to grasp it.
01:09A good shift is where you come out the door happy, thinking I made a positive difference today.
01:18And that's really it.
01:21What's the job?
01:29We're playing a match, and we're winning.
01:32Last minute, and the team we were playing just got the mads.
01:37and one fella started just like throwing water balls into our dugout
01:42and then a fight broke out anyway
01:45and I was trying to break it up
01:47and there was probably four or five of them
01:50and I just got a couple of bangs
01:52So did they kind of punch you in the face?
01:54Yeah
01:57How many punches did you get?
01:59Actually, you don't know
02:00Quite a few, was it?
02:01I'd say it was a few
02:02Did you lose consciousness?
02:03No
02:06Out of ten, how bad is your pain, Sean?
02:10In the chest
02:10Ten, okay
02:13Sean Gerrans was driven directly to CUH by his family
02:18He has severe chest pains
02:21Central chest pain radiating up to the shoulders
02:24Had it for the last two hours
02:26Looks very clammy and not well
02:28But vital stable, yeah, just heart rate 91
02:31And ECG there
02:33In V4
02:34But no other
02:35When a patient comes in with acute chest pain
02:38There's lots of different things that I'm looking at
02:42In case of Sean
02:43My approach was
02:44I wanted to know
02:45First of all
02:46What his heart rate is
02:47His blood pressure is
02:48And how bad his chest pain is
02:52Sean
02:52Do you have any other past history?
02:55Of any sort?
02:56Irregular heartbeat
02:57A heart attack
02:58If you've had in the past
03:00Yeah
03:00So you've had a heart attack
03:02When was that?
03:04I've had a few
03:05A few?
03:06Yeah
03:06Did you have stents put in?
03:08Have you had aneurysm as well?
03:12Okay
03:12I'll just put this up
03:14I don't want you to call
03:15COPD
03:16COPD as well
03:16Are you an inhaler for that?
03:18Yeah
03:18Alright
03:19Alright
03:19Do you smoke?
03:20Yeah
03:20Do you still smoke?
03:22Okay
03:23Alright
03:23When a patient with a history of cardiac in the past
03:27Then comes in with a chest pain
03:29The very first thing that we think is
03:30Is it another heart attack?
03:33Was there any change in the blood pressure?
03:36With a heart attack
03:37The other thing that we're thinking of
03:39Is it an aortic dissection
03:41Like a tear in the aorta
03:43Which can cause massive pain as well
03:46Mm-hmm
03:47Sensually radiating to the back
03:49Interstapular region
03:50Started at 4pm
03:52We've just given him morphine as well
03:54Because his pain was 10 out of 10
03:55I knew there was something not right with him
03:57Because he's hanging onto his chest
03:59We didn't wait for an ambulance
04:01And we went straight up ourselves
04:03His colour goes
04:04So he looks like
04:05As if his colour is grey
04:08Yeah
04:08I got an awful fright
04:11It's tough
04:12Like it's tough to watch him
04:14Like that
04:18He got his first heart attack
04:20I think he was in his early 40s
04:22And he was still very, very active
04:25He got another heart attack
04:26Still very active
04:28It was only when he got the
04:29Burst brain aneurysm
04:31Is when his health deteriorated
04:32Then after that
04:34He had to learn how to walk again
04:36Eat again
04:37He still tries to be active
04:39But obviously he can't be what he was
04:45You alright?
04:47My mum's been through a lot as well
04:48Do you know
04:49She's the one that's there
04:50Picking up the pieces at home
04:52Like she constantly has the worry
04:54Like my mother doesn't smoke at all
04:56So it drives her mad
04:57So she's like
04:58You're after another heart attack now
05:00Will you just come off
05:01The fags?
05:04He just finds it very hard
05:05Very hard
05:06But he does try
05:13Can I help her?
05:14Don't be like I'm going to get filling up
05:15No
05:17Some hospital
05:17Fine hospital
05:18What's that?
05:19Fine hospital
05:19Do you do?
05:20Do some work on it, don't you?
05:2160-year-old William Barrett
05:23Has a brain aneurysm
05:25He's in CUH
05:26For major neurosurgery
05:29You're on good hands
05:30In here, mate
05:32Good morning
05:33Morning
05:33My name is Nick
05:34I'm one of the nurses here
05:36Now, you are William Barrett
05:38That's correct
05:39And you're from Carrick and Shore
05:41What's your date of birth?
05:4212 to the 9th, 65
05:43Perfect
05:44Now, I'm just going to pop this on your wrist
05:46Make sure we don't lose you
05:47Right
05:48I was in hospital with COVID
05:49Nearly four years ago
05:52And I was getting pains in my head
05:53So they'd just done a routine scan
05:55And did discover the aneurysm
05:57So if I wasn't in hospital with COVID
06:00I would never have known
06:01I'm just going to check your temperature
06:03I couldn't believe it
06:05And William couldn't believe it
06:06Then they reassured us
06:08You know, that it was okay
06:10It wasn't life-threatening
06:10At that time
06:11Tell me, I know they told you
06:13You'd be in for a few days after this
06:15Who's collecting when you go home?
06:17Yourself
06:18Spot on
06:19And you, Mary, is that right?
06:21Yeah
06:21Perfect
06:23Then he was going to get his hip done
06:25And they couldn't do it
06:26Until their confirmation from Cork
06:28That everything was okay
06:29So Cork did an MRI
06:31And the aneurysm was after changing
06:34Perfect
06:35Lovely
06:35Thanks very much
06:36No other
06:36We didn't realise
06:39How serious was after becoming
06:41Until the scan
06:42Look after him for me
06:45There you are
06:46There I am
06:47You alright, Mr?
06:48Yeah, yeah
06:48How you doing, Doctor?
06:50How are you?
06:50You're all ready for your surgery?
06:52All good
06:52A brain aneurysm is essentially
06:55A weak point in blood vessels
06:58That supplies blood to the brain
07:00It may cause a very bad stroke
07:02There will be a cut here
07:04A bit of hair shave
07:06And afterwards
07:07It shouldn't be too sore
07:08Afterwards
07:09It's a big surgery though
07:11What I enjoy most
07:12Being a neurosurgeon
07:14Is that you'll be able to
07:16I suppose
07:17Diagnose
07:18And treat
07:19And very complex problems
07:21A lot of these surgeries
07:24That we do
07:24They are very intricate
07:26And the outcome
07:28Are very poor
07:29But on the other hand
07:31If surgery goes well
07:33You can significantly improve
07:35People's quality of life
07:37It's a big surgery anyway
07:39We'll see how it goes
07:40Yeah
07:42For doing the best anyway
07:43Oh, that's it
07:44I have great faith in you
07:47Sometimes
07:48Even if the surgery
07:49Goes very well
07:51You can predict
07:52A reasonable outcome
07:54But not necessarily
07:57Thanks, I have very faith in you
07:58Thanks so much
07:59You are very welcome
08:00Sounds well
08:00See you later
08:01Welcome
08:02See you then
08:03And the operation
08:03There's always a risk
08:04It's like
08:05You're thinking about it
08:07Like it's disease
08:09Confident now
08:10He knows what he's doing
08:11He knows what he's doing
08:12Yeah
08:13We hope
08:13Yeah, he does
08:15Basically
08:15Your life is in
08:17Another man's hands
08:21Big job, he does
08:22It is a big job, yeah
08:23Is there any brain surgery
08:24Is there any brain surgery?
08:38Oh, yeah
08:39Sean Fitzgerald has cancer
08:41A large tumour in his bowel
08:45I was fine
08:46Very, very healthy
08:47Eating healthy
08:48Out all the time
08:49Walking away
08:50No problem
08:51And next thing
08:52Before Christmas
08:53I didn't feel well
08:55They took biopsies
08:57Sent him off
08:58And I wasn't that confident
09:00I knew there was something wrong
09:03I was even embarrassed
09:04When I was going in
09:05Lying down with no clothes on me
09:07With nurses
09:08But
09:09But you have no choice
09:10You have to
09:12And men
09:13Put it under the carpet
09:15They'd say
09:15No, no, I'll be alright
09:16But no, no, no
09:18And you have to
09:19You have no choice
09:24Yeah, just fairly high up
09:26I hope you'll be able to sleep with that
09:29I met Morgan McCourt
09:30And like
09:32When he'd done the examination
09:33And looked at me
09:35And then
09:35He spoke to me
09:36He said
09:36Sean, he said
09:37This is the story
09:38He said
09:40You have a tumour
09:41No missing
09:42Very straight
09:43Very honest
09:44I'm trying to avoid your belly button
09:46Sean's tumour is causing a blockage in his bowel
09:48Today, Sergeant Morgan McCourt
09:51Will fit a stoma
09:52As an urgent short-term solution
09:54Perfect
09:54And just look to the side
09:56For me there
09:56And give a really good cough
10:00That cancer's quite big
10:02And it's quite locally advanced
10:04So he's got a partial blockage in his bowel
10:07So if everything can get past
10:09Everything upstream gets more dilated and distended
10:13And then you get more pain
10:15And your tummy swells up
10:16And then you come in with a complete blockage
10:18So you could start vomiting up food
10:20Or, and if the blockage is bad enough
10:22Then you could burst your bowel
10:24And then you come in with peritonitis
10:26So you can get super sick
10:28That cancer has to be shrunk down with x-ray treatment
10:31And with chemotherapy
10:32But before he can get that
10:35We need to relieve what is an imminent blockage
10:39So that's where the storm is going, so
10:43I live with my daughter Janine and my son John
10:45I remember coming in the door and Janine was upstairs
10:49And I said I had bad news
10:51And I have a tumour, a cancerous tumour
10:55So you're talking about there
10:56I was actually getting ready to go to work
10:59And he said, you know
11:01It's not good, I have a bit of bad news
11:03And I was like, oh no, not again
11:04Just not again
11:05I can't do this again, you know
11:07I'll give you the bag as well
11:09Right
11:10To take home with you, okay
11:13And you can show your daughter
11:14I'll show it to my daughter, yeah
11:15I'll show it to his and where else is going
11:16It's a little bit of deja vu going on at the moment
11:19With the appointments and things
11:22Because you're in the same clinic
11:24The same corridors
11:26Mum got diagnosed with lung cancer
11:28In August of 2020
11:32And it had spread to the liver
11:34It was stage four
11:37We went back up for a scan
11:38I remember in February
11:39And the news wasn't great
11:41It was after spreading more
11:43And from there on then
11:45We just looked after her
11:47And cared for her, bought her home
11:49She didn't want to go to the hospital
11:50Kept her at home
11:51Until she passed away
11:53I said, my wife was there before
11:55Four years before the same place
11:57Nearly the same seats
11:58Same corridors
12:01And I said to her
12:02I said, look
12:03At least I could have some treatment
12:05They'd have to do something for you
12:06But
12:07What could you say?
12:09We were living in hope
12:10I said if we got five years
12:11It'd be great
12:12Six or seven months
12:14That was it
12:18And then
12:19Two tenths, two tenths, two tenths
12:20Two tenths, darling
12:22Relax
12:23There we go
12:24It felt like a good way
12:25No?
12:26Yeah
12:26It's in
12:28Yeah
12:29It's in
12:29Yeah
12:30There you go
12:31Good job
12:32How does that feel?
12:32I'll give you a few more of this
12:35Make sure you have a lot of peaks
12:37Sorry?
12:38Make sure that it's the right peaks
12:40Right place
12:41Make sure, you know
12:46Hello, Zian
12:47How are you?
12:48Good, yourself?
12:49Very good
12:50Good morning
12:51Morning
12:52In the epilepsy monitoring unit
12:5420-year-old Zian Toxapaus is coming to the end of a seven-day observation period
12:59His epilepsy does not respond to medication
13:03Today, he will find out if the week has uncovered any possible solution
13:06Alright
13:06You'll be getting your breakfast as well there, okay?
13:09If you think of epilepsy, you go straight to convulsions where you drop on the floor
13:13And hopefully not bite your tongue or anything like that
13:16And you just shake violently
13:20Whereas, like, I have vocal seizures
13:23So I just do random things
13:25I black out
13:26You just think I'm drunk or something
13:30Epilepsy is essentially a condition or a group of conditions
13:33That involve abnormal electrical activity in the brain
13:37An epileptic seizure is like an electrical storm within the brain
13:41It can be every day or they can be twice in your lifetime
13:44But essentially what happens is that you have a tendency to experience seizures
13:49I cannot really have a social life
13:52I can't travel, can't drive
13:55And it's just the fear of having a seizure in public
13:59And someone not knowing what's going on
14:02And that's the biggest fears I have regarding the epilepsy
14:08Zian is filmed constantly
14:10And the electrical activity in his brain is monitored throughout
14:14The team hopes that he will have a seizure in the safety of the unit
14:18In Zian's case, we admitted him or we brought him into the hospital
14:22Because we recognised that he was struggling
14:25He was having seizures
14:27When somebody comes in for video EEG monitoring
14:30They are essentially in bed with two cameras on them
14:34It's not easy
14:35They have EEG leads on their scalp, head all the time
14:40So we gradually reduce their anti-seizure medicines
14:43And we sleep-deprive them every second night
14:45And we're doing this to try to get the person
14:48To actually have a seizure
14:49In a safe environment
14:52Where there's a nurse on standby 24-7
14:54To help them if they have a strong seizure
14:58And if we were lucky enough to see an abnormality on a brain scan
15:02At the end of the admission
15:03He might be a candidate for a surgical intervention
15:07If you don't mind, can you all pin to the chair?
15:10Yes
15:10It would be easier for us to take off the wires
15:12A bad day for me would be the fear of me hitting my head
15:18Or falling or hurting myself
15:20No one being there to get me to hospital
15:24Or take care of the wounds or anything
15:26That's scary to me
15:29Zian's mother, Michelle, has been coping with his epileptic seizures
15:32Since he was five years old
15:34Hello
15:35Hello
15:36How are you?
15:37Good and yourself?
15:38Good, how's the week been?
15:39It's been fine
15:40That first week was the toughest week of my life
15:44He had seizure upon seizure
15:46Which we did not know were seizures at the time
15:49And I noted down every single episode he had
15:52And in a span of 12 hours he had 63 episodes
15:56Now Zian has completed his seven days of stay with us in EMU
16:00And the professor Costolo is going to come back in after his clinic
16:04He'll look at the EEG recordings
16:06And he will tell you what exactly had happened in the last seven days of stay
16:09And so if you want to go for your coffee or tea
16:11Perfect, thank you
16:12What we're hoping for is that there is a solution
16:15Something that can help him that he can be seizure free
16:17I need that ease of mind that he's going to be okay on his own
16:23Yeah
16:26The solution I'm looking for is an answer to all this
16:30See if I can get surgery or just better medication
16:34For a better lifestyle I can have in the future
16:37Enjoy your break now, Fizzy
16:39Thank you
16:42You're free
16:43For a minute
16:54Your first experience of a general anesthetic today
16:56First experience
16:57We'll take you through it, don't worry
16:58Take a break here
16:59Okay
17:00So you are Sean Fitzgerald
17:02Sean has bowel cancer
17:04His tumour is causing a blockage which urgently requires surgery
17:10I know in your brain when the patient is asleep and all the drapes are on
17:14You know, part of your brain is, right, this is just, I'm making a stoma
17:19Because if you start thinking about it, go, Jesus, I have to get this right for Sean
17:23Because if he has a complication, he can't get on his chemotherapy
17:27He can't get his radiotherapy
17:29So there is a personal element
17:30But when you're actually doing the surgery
17:32You have to put that to the back of your mind
17:35Yeah, we'll put the knife there, please
17:37Off to go, Jim
17:38Two cockers ready then
17:44To create a stoma, basically you have to create an aperture opening in muscle, the fat and the skin of
17:49the abdomen
17:50To bring out a piece of bowel out onto the surface of the abdomen
17:54And that piece of bowel, when it's brought out then, is opened up to create a lumen or an opening
17:59To allow the contents to be discharged
18:03Good, Pat, we'll drop the table a little bit, is that okay, please
18:07Yeah
18:08That's good
18:10Let's have a look at the liver first
18:11Left lobe looks okay
18:13Right lobe
18:15Stomach there
18:16And then some small bowel
18:20Any more head down then, please
18:22Yeah
18:23Come down there now
18:25That's the tumour there now, look
18:29This is actually not a straightforward, bring up a loop
18:32Come in a bit now
18:35You have to expect the unexpected
18:36This was meant to be a straightforward, easy
18:38Pick up a bit of bowel and bring it up
18:41It's just stuck here, isn't it?
18:44In Sean's case
18:46The bit of bowel I wanted to pick up was all stuck down in his pelvis
18:49So it wouldn't come up
18:50So then, of course, you have to dissect around and free it up
18:53And then you have to make sure it's not stuck down to the tumour
18:56Because it's stuck down to the tumour, you don't want to peel it off the tumour
19:01Scissors, please
19:02No operation is the same
19:03And although technically the steps we do are the same
19:06They're never the same
19:08And that's why it's the same with outcomes
19:10We expect the 100% outcome all the time
19:12You get that outcome maybe 97 times out of 100
19:17But you don't get it 100 out of 100
19:20Come in a bit now
19:22Just here
19:24Very close to it there
19:30I'm a histopathologist
19:31And that means that my role in the whole scheme of healthcare
19:35Is to take tissue samples
19:37Which are sent in to us by other doctors
19:40These aren't just glass slides sitting on the desk
19:42Every single specimen that we have
19:45A patient is waiting somewhere in the country
19:47For a diagnosis
19:48When you realize it's bad news
19:50For a moment
19:52I think all the times that I've heard bad news given in my life
19:56I think to myself about what this patient is going to be going through
19:59That they have a cancer
20:00And that opens up a whole different discussion
20:03With a whole different set of people
20:05As to what exactly now needs to be done
20:07To give the patient the best possible chance of a cure
20:16Sean's surgery to create a stoma bag
20:18Is proving trickier than anticipated
20:21He needs the surgery
20:22So that his treatment for bowel cancer can proceed
20:26So normally that would be maybe a half an hour operation
20:28But in Sean's case it was longer than that
20:30Because there was technically
20:31You know more work to do
20:47Sean's wife died of cancer just four years ago
20:50He now lives with his daughter Gillian
20:52And his son John
20:55He's like old school gentleman
20:57Would do anything for anyone
20:59Like he'd give you his last fiver
21:01If you were stuck
21:08He has worried about us our whole lives
21:10And I'm like it's our turn now to look after you
21:13But he's still doing that
21:15He's still trying to shelter us a little bit
21:17And I'm like no
21:18You know this is all about you now
21:20So I think it's hard when you're in the mindset
21:23Of being the minder
21:24To become the person who's minded
21:41An hour ago Sean Guerns was rushed
21:44To the emergency department by his family
21:46Who feared he was having a heart attack
21:49He has acute chest pain
21:51And is being treated in recess
21:54Treating the person is the most important thing
21:57Than treating the illness as well
21:58Because every person there's anxiety and stress
22:03And just listening to them
22:05Gives them some sense of ease and reassurance
22:08That okay I've got help here now
22:10I'm at the right place
22:11What I'm going to do is spray this under the tongue
22:14And this will help with the pain as well
22:16That you have in your chest
22:17Is that okay
22:18So even that sense of ease
22:20Calms the person so much
22:22That be it the heart rate
22:25Be it the saturation
22:26The respiratory rate
22:27It starts settling down
22:30Then we treat just that illness
22:33Sean
22:34We're going for a scan
22:35Okay
22:41A CT scan is ordered to check Sean's aorta
22:44The team is worried he has a tear
22:46He's still in considerable pain
23:14In Sean's instance
23:16He was a bit frustrated
23:18Of course in the back of his mind
23:20He'd be watered
23:20He'd be like I'm here again
23:22Is it another heart attack
23:25It's not an easy thing to deal with
23:31He never kind of talks about
23:34Like when he's sick
23:35Or I think he just doesn't want to worry us
23:38You know
23:38He is a big worry like
23:41Breathe in
23:43Hold your breath
23:47He just loves life
23:48Do you know
23:49He really does
23:52It'd be hard to see him like
23:53Give up
23:54Do you know
24:08You okay
24:13William has an aneurysm that is close to rupture
24:16Which could prove fatal
24:18Today he will have brain surgery to clip it
24:22He's a builder
24:24Very hard worker
24:25Great father
24:26Great husband
24:30He's always active
24:32Nearly every night he'd be organizing matches
24:35And training sessions
24:36And you know
24:37He's
24:39It's another part of his life
24:40From work
24:44And he loves doing it
24:45He loves doing it
24:47Gets him away from me
24:48Well it doesn't actually
24:50Because I'm waiting
24:52The operation is necessary to save his life
24:55But is not without risk itself
24:58Not all aneurysms needs to be treated
25:01And in fact
25:01In practice
25:02A lot of aneurysms
25:04Are safer to be left alone
25:07And just be monitored over time
25:09Today now we're trying to
25:11To try to repair
25:12The weak point
25:14This is the aneurysm
25:16It's slightly complicated surgery
25:19Because anything can happen
25:21But we're just hoping
25:22In a way
25:23To go in
25:23And try to repair it
25:25So that there is
25:26No risk of bleeding
25:28Down the line
25:30These are used to hold
25:32The head very sharp
25:45I had to get it into my own head
25:47Like he was having brain surgery
25:50So we're all ready to go
25:52Okay
25:53This aneurysm
25:54He had to have open brain surgery
25:55So it made it worse
25:58Guys we're making a hole in the brain
26:00In the skull now
26:05He could have a stroke
26:07He could be left paralyzed
26:08His speech could be affected
26:10His memory could be affected
26:13You know like
26:15I was praying
26:16That everything would go well
26:19Please God
26:19He will come out
26:21The Willem that went in
26:24Look if he doesn't
26:26Once we have him
26:27We'll deal with it
26:28Hopefully he'll come back out
26:29The way he went in
26:33We're near it though
26:36Coming up
26:37One branch
26:38Two branch
26:38That's the aneurysm
26:39Yep
26:41So we need to dissect
26:42There
26:58A clip
27:00You know the top lights on
27:02Off
27:16It was nerve wrecking all day
27:18Because as time went on
27:20You know
27:22Errors went on
27:23And I said
27:23Was there something wrong
27:24And we were hoping
27:26He'd be able for the surgery
27:37Zian has suffered epileptic seizures
27:39Since he was five years old
27:40He has spent a week
27:42In CUH
27:42Having his brain
27:43And sleep monitored
27:44In the hope
27:45That a recorded seizure
27:46Will point the way
27:46To an effective treatment
27:49Consultant neurologist
27:50Daniel Costolo
27:51Is reviewing the results
27:53So on the fifth night
27:54Of Zian's admission
27:56To the epilepsy monitor unit
27:57We captured a seizure
27:59And what we'll see
28:00In the video
28:00Is that the seizure
28:01Is not a convulsive seizure
28:03It's a non-convulsive event
28:04He wakes up
28:05He gets no warning
28:07And he's mildly agitated
28:13And then the seizure is over
28:15So in Zian's case
28:17He had an event
28:18It was short
28:18It was not long
28:19It was not dramatic
28:20And it is the type of seizure
28:22That would be easily missed
28:23But for him being
28:25In the monitoring unit
28:26We were able to clearly see
28:27That during the event
28:29There was abnormal activity
28:31Arising from the front of the brain
28:33On the right hand side
28:35So we were able to tell
28:37That that was a focal seizure
28:38Coming from the front part
28:40Of the right half of his brain
28:41And then when we looked
28:43At his scans in detail
28:45We were able to see
28:47That he has a small area
28:50Of brain tissue
28:52That did not develop normally
28:54From conception
28:55Hi Zian
28:56Thank you
29:03You had a seizure here
29:05Did you know that you'd had a seizure
29:07Apart from staff telling you
29:08No, I did not
29:10I think what we learned
29:11Is that you have focal epilepsy
29:13It's coming from the right side
29:14Of your brain
29:15It's horrible to say
29:16But yes
29:16I'm so glad I had a seizure there
29:19Like
29:19It's the opposite
29:21That you'd normally want
29:22But for the information
29:24I'd gladly do it
29:25A hundred times over
29:28We're on this pathway
29:29We're on this pathway
29:29Where I might present your case
29:31To the surgical team
29:32In Beaumont Hospital
29:33Where they do the epilepsy surgery
29:35And I would present your case
29:37I anticipate that the group
29:40Will offer him a surgical intervention
29:42Where that developmental lesion
29:46Or abnormality will be removed
29:48What aspects of your life
29:50Would be improved
29:50If your epilepsy was better controlled
29:52Driving
29:53First of all
29:54Being able to drive
29:55Transport-wise
29:56Being able to go out on my own
29:58Be more active
30:00Be a bit more sporty
30:01Just finding something
30:03That can almost cure it
30:06In a sense
30:06Where I can be
30:08Feel safe
30:09To explore the world
30:10Coming in
30:11Is a good investment
30:12You know
30:12We definitely have a more
30:14Comprehensive
30:16Understanding of your
30:17Of your epilepsy
30:18So in Zion's case
30:19We would anticipate
30:20That there's a good chance
30:21That he'll become seizure free
30:23In many ways
30:25He is very fortunate
30:27And hopefully
30:27Will do very well
30:29Brain surgery is big
30:31In any case
30:32In any situation
30:33It's huge
30:34And it might sound weird
30:36But we are excited
30:37For that
30:38Hopefully he can lead
30:40A normal life after this
30:41There's a light
30:42At the end of a 15 year tunnel
30:45And that's what it boils down to
30:46There's a little ray of hope
30:51Great driving song
30:52That is Eddie Rabbits
30:53And driving my life away
30:55CUH FM
30:56This is hospital radio
30:58If you are a time watcher
30:59Right now
30:5926 minutes after the hour
31:01Of 4 o'clock
31:01We're going to go back
31:02To the 40s
31:03It's called
31:04Jump the line
31:04It was also used in a movie
31:06Called Beetlejuice
31:1360 year old
31:14Martin Forrest
31:15Has recently had a heart attack
31:17He requires major
31:18Cardiac surgery
31:19And will today
31:20Have a quadruple bypass
31:21To collect you
31:23For theatre shortly
31:24We'll do a few more checks
31:25Before we go upstairs
31:27All right
31:28Excellent
31:29I woke up in bed
31:30Then I got this kind of sensation
31:31I didn't know
31:32If it was heartburn
31:33Is it acid reflux
31:34We'll see you soon
31:46Cardiac surgery
31:47That was the best heart attack
31:48I ever had
31:49Hello
31:49Mr. Forrest
31:50How are you?
31:51I'm very good
31:52Now many times
31:53People come with a heart attack
31:55And everybody is upset
31:56That they came with a heart attack
31:57But we need to realise
31:58Sometimes
31:59It is a blessing in this case
32:01Like in Martin's case
32:03It's a big operation
32:04We are planning to do quadruple bypass
32:06What we plan to do is
32:07We'll open the chest
32:08We'll take an artery
32:09From your left forearm
32:11And then we'll take some vein
32:13From your legs
32:14Is that okay?
32:15We felt bypass
32:16Would give him the best outcome
32:18We'll shortly bring you
32:20To the theatre
32:20Is that okay?
32:21Yes
32:21I will be doing
32:22The main part of the operation
32:23You've just become
32:24My best friend
32:26Thank you so much
32:27I was thinking
32:28What do you think
32:29Going home?
32:31No
32:31I'll go for the quadruple layer
32:32Absolutely
32:33All the very best
32:34Okay
32:35And you can have a triple
32:37Yes
32:38Do it properly
32:43Hello Martin
32:45Oh the moment has arrived
32:46Has it?
32:47I got into
32:49Martial arts as a young lad
32:50You know I just love
32:51Seeing my Bruce Lee movies
32:52And I never saw the fighting
32:54I saw his philosophy
32:55I saw
32:56There was a spirit in him
32:58That said wow
32:59And as a result
33:01Later on in my life
33:02I got to spend
33:0312 years in Taiwan
33:04And Japan
33:05And I got to experience
33:06The eastern culture
33:07Which has become
33:08Very powerful
33:08In my own life
33:13I learned a long time ago
33:15You can have faith
33:15Or you can have fear
33:16And you can't have both
33:18And I meet people
33:19With so much faith
33:20But just living in fear
33:23That doesn't make sense to me
33:24If you have faith
33:25That you are
33:27Then let that be it
33:29And this is your consent
33:31Martin
33:31And you're going for coronary
33:33And artery bypass grafting
33:37My son
33:38When you hear he's going to have
33:40A major operation
33:46Only yourself would know
33:49Only yourself would know
33:51That feeling
33:52Only
33:53You couldn't explain it
33:55You could not explain it
33:59And I'm sure
33:59And I'm sure every mother
34:01Would know that
34:04I did feel it
34:06I did feel it
34:08Because I
34:08Had a heart attack myself
34:10And I knew
34:11How helpless you'd feel
34:14I didn't know
34:15Whether I was going to die
34:16There and then
34:22Does anyone say your prayers
34:33It's not a whole series
34:34We have an old laugh
34:35Every now and again
34:36You know
34:36I'm from Waterford
34:38And they're all Cork people
34:40And like I'd say to them
34:42Did you win the All-Ireland
34:43No
34:43Obviously it wasn't done yet
34:44But I'd say to them
34:44I heard you win it
34:45No I knew it
34:47And then
34:47A fellow came in
34:48And he says
34:49Can I borrow it off
34:50I'd say is it soccer
34:51He'd say no
34:52It's as hard as you can
34:57William
35:01He's having a good sleep
35:02William
35:04William is in recovery
35:05After surgery
35:06To fix a large brain aneurysm
35:08The critical moment
35:09To know if the procedure
35:11Was a success or not
35:12Is when he wakes up
35:17Hello
35:19How are you love
35:21And open your eyes for us
35:23Properly
35:24Yeah
35:24Open again
35:26Very good
35:27Yeah
35:31You had a long day
35:32All went very well
35:34Yeah
35:34You just need to get better
35:36I was hoping he'd know
35:38And it was when he called me
35:40He always called me me
35:41He said well me
35:41We got there
35:42That's what I said
35:43And
35:45I was delighted
35:46Absolutely delighted
35:47Because he knew me
35:48And he knew everything
35:49Which is a huge
35:51Huge
35:52Because I was prepared
35:53That not knowing me
35:53He'd be confused
35:55But he wasn't
35:56All done and dusted
35:59Yeah
35:59It was very emotional actually
36:06William could have died
36:08You know and
36:10Thank God he didn't
36:11But he could have died
36:12Until the surgeon went in
36:14It was
36:14It was challenging for Mr. Lim as well
36:17He saved his life
36:19Okay
36:21Okay
36:22All good
36:48It's two and a half hours since Sean Guerns presented to hospital with severe chest pain
36:53He's awaiting results of a scan
36:56He has a history of heart attacks
36:58What?
36:59What are they doing with the CT scan?
37:00Is that the die?
37:02Yeah
37:02Oh that is the die
37:03I never seen anything
37:04Yeah I know that
37:05I was thinking that after
37:06I never show him
37:08If I was worried about him
37:09I'd never show him
37:10I just keep chatting away
37:11As if normal
37:13Because I know
37:14He's frightened as well
37:15And he won't say
37:20Yeah
37:20Drink water
37:22Yeah
37:23It's water
37:24No minute there
37:25No, I guess
37:25I can ask for a drink of water
37:29Yeah
37:29Is there any chance I could get water for my dad?
37:32Oh yeah
37:32We'll get you
37:32We'll get you
37:33Just every time he's up there
37:36They've been so good to him
37:37Like
37:37And they have saved his life every time
37:39Because if they weren't there
37:42He wouldn't be here today
37:43Do you know
37:44If they didn't do the work that they do
37:46Oh
37:46Hi sir, how are you?
37:48All good?
37:49All good
37:49Any one of the nurses here
37:51Good to meet you
37:53He always says that
37:54They've saved my life
37:56I better go
37:57I'll leave her then
37:57She's out there all the time
37:58I love her
37:59Yeah
37:59Right, I'll
38:00Thank you
38:03Are you there in tomorrow, right?
38:04They've saved his life
38:06How many times now?
38:09Seven maybe
38:11See you after
38:11Bye
38:12Bye
38:13Thank you
38:14We just say he's a cat with nine lives
38:16Do you know
38:17We say they're going to run out
38:18And he's like, no
38:24The right is totally blocked
38:25Isn't that right?
38:26Yeah
38:27What do you think?
38:28This might be a better target
38:30Than this one
38:30Isn't it?
38:31I know
38:31There's some disease
38:32Martin Forrest is about to undergo
38:34A major heart bypass surgery
38:37First, the team prepares for what lays ahead
38:41Before we start the operation on Martin
38:44I would discuss with the team
38:46About the roles each individual plays
38:49Which arteries we'll take
38:51Which veins we'll take
38:53And how we are going to use each one of them
38:56Once that is all mapped out
38:58Everybody knows what they need to do
39:01So everybody knows their role very well
39:04The preparation takes as long as the operation sometimes
39:12So when we say bypass
39:14We do not go and look for the blockages at all
39:18We just bypass the whole blockage
39:21It is exactly like the bypass roads
39:23Bypassing villages or cities
39:27So basically we work around it
39:34We took an artery from inside his chest wall
39:37Called the internal mammary artery
39:39Then we took some veins from his legs
39:44Then we take this as the artificial pipes
39:48But taken from his own body
39:51And what we do is
39:53We suture it to this
39:56To the artery beyond the blockage
40:02It is a job which you are trained to do
40:06More or less like a pilot
40:07I suppose the most important thing is
40:09You want to fly well
40:11You want to land well
40:12You want to maintain that composure
40:17In the back of the head
40:18You are ready for any major complication
40:22That potentially can happen
40:32There is a lot of people presume
40:34That the heart is taken out
40:36No, we do not take the heart out
40:37What we do is
40:39We cut the heart and lung
40:41Out of the circulation
40:43But the heart and lungs
40:44Still stay where they are
40:48Your retin is okay?
40:52You are just sitting there waiting
40:55And hoping
40:56And praying
40:59That everything will come right
41:01You can't explain it
41:04You can't explain that feeling really
41:07You can't
41:08It is an awful
41:12An awful feeling
41:16And he is a good old fellow
41:19And he makes me laugh
41:22He do
41:23He is always joking
41:24He is always laughing
41:34Everything is God given
41:37So I suppose
41:38That is kind of inbuilt
41:41In us
41:42We love them
41:43Just love them
41:47Stitch please
41:49At the back of my mind
41:51I always think
41:52This is not just one life
41:55There is a family behind
41:57There are so many dreams
41:58Of different people
42:00Attached to this heart
42:01So it is a great responsibility
42:06Okay lungs back on
42:19Sean Fitzgerald
42:20Sean Fitzgerald is in recovery
42:20After surgery
42:21To create a stoma
42:23The stoma bag
42:24Will allow his bowel cancer
42:25To be treated more effectively
42:27I am just going to have
42:28A little look there
42:28Sean
42:29Is that okay?
42:29Fine
42:30Fine
42:30Well done
42:31Lovely
42:31So that is the bag on
42:32I see it is quite full
42:33That is great
42:34It is working away
42:34And there is the stoma
42:36It is biting out there
42:37It is like a cocktail sausage
42:39Sticking out
42:40I would definitely say to anybody
42:43The bowel screen
42:44And any other screening
42:45That is there for anything
42:46Go away and get it done
42:48Maybe it might not have helped me
42:50Maybe it might
42:51I don't know
42:52But prevention is better to cure
42:54Get it in time
42:55And you might leave
42:56For 10 years after
42:58My wife was there before
42:59And getting a chance
43:00She didn't get
43:01And I know that
43:03So I have to grasp it
43:06She would be going along
43:07With him for everything
43:08And she would be in the middle
43:09Of all of it
43:11She would be really proud of him
43:20No
43:28I'm going to try one more time
43:29And then I'm going to call him
43:31Okay
43:39That was my knee
43:49The ED team has been concerned
43:51That Sean Gerens has an aortic tear
43:53The results of his scan are back
43:57Are you okay?
43:58Yeah
44:00Oh yeah, no, no
44:01You're okay
44:03So what happened
44:04We took him to the scan
44:05CT scan
44:07Because he had pain
44:08That related to his back
44:09As well before
44:10When someone has pain like that
44:12We have to rule out
44:13Any tearing of the aorta
44:15All right
44:16And just to make sure
44:17Because that is serious
44:18Okay
44:19And the good news
44:20That scan has come back normal
44:22We can't see
44:24The aorta is good
44:25Okay
44:26Yeah
44:27But we have to know
44:28Why you are having the chest pain
44:29So you have to come in
44:31To the hospital
44:32For a repeat test
44:35And we'll give you some medication
44:38Aspirin and all that
44:39Okay
44:39Okay
44:40Do you have the pain now?
44:41No
44:42Okay
44:43So we'll give you some tablets
44:44And also I'll speak to my colleagues
44:46The cardiology doctors
44:47They'll come and have a look at you as well
44:50Thank you
44:50Welcome
45:05Martin is out of his quadruple heart bypass surgery
45:10It's been an anxious wait for his mother Betsy and sister Mary
45:17That he was so
45:19He was
45:20He was
45:21He was
45:23He was
45:23He was
45:24I don't know
45:26Thanks to everybody
45:29Hello love
45:31That's himself
45:33That's himself
45:34Wait I'll just put this one so you can give a hug
45:35Hello
45:36Hello ma'am
45:37Hello ma'am
45:37I'll give a chair okay
45:38Hello my sweetheart
45:41My lovely ma'am
45:43I love you so much
45:46Well he did go down and said sorry
45:48He said he sent me back up
45:50Thank God
45:53Everything I prayed for came true
45:57It really did
46:02Well done
46:03I'm proud of you
46:05Do you know ma'am
46:05I'm proud of you
46:08That's a worry I don't have anymore
46:11That's a worry I don't have anymore
46:15When I think of all the people that made that possible
46:20You know
46:23Doctors and nurses and all those people
46:27Do we think paint him half enough
46:31I don't think we do
46:34Like my heart was already getting
46:36It's horrible
46:36My heart wasn't getting enough blood at all
46:39Half of my heart wasn't getting enough blood
46:42I was born a Catholic
46:44A Christian
46:45So I saved my little prayer
46:46But then I asked a question
46:48I said
46:48God
46:49God
46:51God
46:51Is this it?
46:52Is this the end of my line?
46:53Am I gone?
46:54Am I coming back from this?
46:56I wanted to know
46:57There was a response that said
46:59No
46:59You're coming back
47:01You've got things to do
47:02Thank you so much
47:03How are you?
47:04I'm doing really, really good
47:05Everything went excellent
47:07You can't leave it for somebody else
47:09Just praying won't help
47:11For all you know
47:12If there is God
47:14He's sending you to do the job
47:16To make sure that the person survives
47:18So that is a gift given by God to you
47:21To save life
47:22If not for you to go and pray
47:23And expect God to come and save his life
47:26I'm very sore
47:28That's a little bit sore
47:29But it saved my life
47:31So it's a smart price
47:32Exactly
47:33It's a smart price
47:33I tell patients
47:34Like anybody like Martin or anybody
47:37If they are atheist
47:37So be it
47:38But if they are spiritual
47:39I encourage it
47:41Because anything that helps the mind
47:43And gives them confidence
47:45We should encourage it
47:46Be in the ward for the next three, four days
47:50What we'll do is tomorrow
47:52I'm alive for example
47:53Because this young boy
47:54At some stage
47:55Going around
47:55Decided
47:56Oh yeah
47:56I'm going to become a heart surgeon
47:57He didn't grow up at the age of 14
47:59He was going to be a heart surgeon
48:01But somewhere in his journey
48:02He decided
48:03Oh yeah now
48:03Wow
48:05And it's the same for every other person there
48:07So I'm
48:08Thank you
48:17For the first five weeks
48:18I had just no energy
48:20I couldn't do anything
48:21I didn't even try to do anything
48:23We're coming around now
48:24Thankfully
48:25We're out the other side
48:43My good news would be
48:44That it's after shrinking
48:45To where they wanted
48:46If I'm back to good health
48:49And maybe the bag is reversed
48:51I'll check
48:52That'll do me
49:28I'll see you in the right
49:31I'll see you in the next one
49:32Well, that's a legal world
49:33Though, of course I won't hear you
49:35It might be Jones
49:36I'll see you in the next two weeks
49:40BILLY
49:41We'll see you in the next two weeks
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