- 13 hours ago
A and E After Dark - Season 7 - Episode 02
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00:03after dark while the nation sleeps 16 year old male who was shot the A&E night shift begins
00:11can be very dangerous we deal with a lot of aggressive patients things can escalate
00:18can be quite scary when it's just you and one violent position across the UK we join the staff
00:26of three of the most challenged emergency departments it's always busy it's always under
00:31pressure time is of the essence and the medics who face danger each shift most shifts I see more
00:38place than nurses with the amount of drugs and alcohol admissions rising have you been drinking
00:43today the risk of violence and abuse looms large every night please don't swear like that they try
00:50to attack and stuff calm yourself down people can become aggressive you've been punched okay
00:59you see the good bad and the ugly yeah we'll get security the emergency department is like a
01:05battlefield it's like organized chaos every night staff and patients in any waiting rooms across
01:23the UK are subjected to the abusive behavior of intoxicated patients it's estimated that up to 15
01:32percent of A&E attendances are alcohol related so do you understand the reason why you're arrested
01:37we always have disruptive patients or aggression there's been times where I have felt frightened
01:43you don't know what to do in that exact moment there there's nothing you can do other than hope you
01:48don't get really hurt and at weekends after dark that percentage can rocket to a massive 70 percent
01:55gentlemen who assaulted outside of pub today high numbers coming through a lot of them obviously
02:02under the influence of drugs alcohol every single shift there will be somebody arrested
02:20in Belfast royal Victoria A&E the security team are attending a disturbance in the waiting room
02:50with the woman clearly under the influence of alcohol deputy sister Rebecca and the security team are
02:56worried about her upsetting the rest of the patients she was shouting all around the place she made a few
03:18racist comments
03:19to many people in the waiting room and was very loud and aggressive about it
03:24this is absolutely
03:26f**k
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04:14for it back explained like if you're willing to sit here and behave yourself you know we will see
04:19you and get you seen by doctor but you know we can't tolerate that kind of behavior here
04:26so um one more chance really and then it's just to be removed okay
04:50also in belfast 21 year old roberta has been rushed in by her father and sister
04:56after a high impact fall at home no slow slow deep breaths they said hey that's not a cigarette
05:05she's already been x-rayed and given a penthrox inhaler for the pain
05:26the penthrox inhaler needs to be used constantly if it runs out the pain killing effects wear off
05:47quickly dr dara has been alerted that roberta's extreme pain has returned and needs immediate
05:57attention what we're going to do is give you some good pain relief okay okay we're going to get you
06:01nice and relaxed difficult putting this back in place okay please please
06:06right sweet kids let's go
06:09dr mike will be working with dr dara and has just received the images of roberta's shoulder
06:15looking at the x-ray here this this big bone uh her humerus should be within the joint here
06:22it's quite clearly out of position and so we need to try and get that back in the joint sooner
06:29rather
06:29than later
06:32oh all right so next step is we're going to get mike and he's going to get the the green
06:37whistle again okay i'm going to try and settle you down and relax you a bit okay
06:41have you checked the skull yeah is it okay so just showing your your shoulders dislocated okay
06:47so the the ball the of the of the humerus bone has just popped out okay so what we're gonna
06:53do is
06:53just try and put it back in place okay and you see the most important thing is see if you
06:57can keep
06:57really relaxed after you're in a lot of pain then we're gonna try and relax you but the more relaxed
07:00you are the easier it is for us to do yeah okay just take some deep breaths okay i'm gonna
07:05try and make
07:05it as easy as it can all right there's a lot of ligaments in that joint that are being stretched
07:11and in the wrong position the longer the joint is out of socket the longer it is very very painful
07:19roberta fell over four hours ago if the shoulder is not put back into position soon
07:24there's a risk of permanent nerve damage and ongoing severe pain
07:48police are an almost permanent fixture in a andes up and down the uk
07:55i do not have an issue ringing 999 to try to get police and i ask my concerns that i
08:01have staff
08:01to look out for i help myself to look out for and i have other vulnerable patients to look out
08:06for as
08:06well officers spend an estimated 800 000 hours in the department every year just stay nice and calm
08:16thank you i think an ed often feels like a bit of a police station normally in recess it is
08:22quite
08:22chaotic anyway add police add nurses add radiologists add all of this into the mix and yeah it does
08:29get quite chocker in belfast deputy sister rebecca has given a drunken disruptive patient one more
08:49chance to behave before she's removed i do love my job but like there's easier ways to make money i
08:58just
08:58like what am i doing with my life but no it doesn't really kind of limit to just the weekends
09:04anymore
09:05it's all of the time really monday to sunday every night of the week is just the same alcohol drugs
09:11and
09:12then oh there's something happening out here sorry excuse me
09:31i want your name i want everybody's name i came here for treatment and you took me in the sack
09:39of
09:40that's it no no no i want names you do you know what is the truth of me it's disgusting
09:48well you're
09:48standing in the waiting room with threats and other people there's a full waiting room here of people
09:52who are afraid right come on let's talk outside no patients who are being fairly aggressive we'll have
10:00to approach them in a calm manner explaining to them why they can't behave like that you know it is
10:05obviously putting other patients at risk scaring the staff there's been times where i have felt a bit
10:12frightened recently i was assaulted you don't know what to do in that exact moment it is quite frightening
10:18you're being very verbally aggressive to everybody in this waiting room okay you're frightening other
10:22patients right we can't have that in this department no and i don't like it we're not we're
10:30treating everybody here the same okay we're not going to be able to let you back in whenever
10:34you're behaving like this okay all right that's fine you don't want that's okay right yeah that's
10:42okay right we're going around circle tears she's not really looking to listen to what i have to say
10:47right he's happy enough to support art yeah yeah thank you
10:55the intoxicated woman will have to leave the hospital untreated due to her behavior
11:02i always like to give people a chance however there is a line and you can't cross it we just
11:08can't allow that kind of behavior you know patients are leaving our department to go home because
11:13they can't bear to watch what's going on anymore they feel threatened they feel unsafe so therefore
11:18they leave these are normally the people who actually need to be there and treated for
11:23something really wrong and then they go home and deteriorate which is not ideal at all
11:53the hospital at the end of her evening shift in newham a and e can i let a seat at
11:57the pelvis please
11:57illia foster pain this morning with a bit of vomiting in the past hour she's now 10 out of 10
12:01pain in the right illia foster we've done the bloods but they're not back yet
12:07dr carl is trying to help 33 year old agnes who has had extreme stomach pain for over 12 hours
12:13i think there is a mentality of still coming to work even when you're feeling unwell
12:17within the nhs and unfortunately push yourself too hard and then you end up here
12:23obviously you're in a lot of pain when you came in and the first things we did is we just
12:26got some
12:27blood tests from you okay and we're giving you some fluids and some painkillers as well i've already
12:33spoken to the radiologist to give you a scan so they're going to scan your tummy and down into
12:38pelvis i'm a bit worried that your appendix might either burst or be very very angry at the most
12:55i thought i could manage my shift and then go home so that i could some pink elsewhere
13:02i realized i couldn't let my colleagues put me here i've not experienced this kind of thing before
13:11my biggest concern for agnes right now is that she might have a ruptured appendix
13:15but we can't rule out other causes and in young females you always need to think about things
13:20like ectopic pregnancies or ovarian torsion or ruptured ovarian cysts so the next step is to wait
13:27for the blood to come back and to get her into the ct scanner to see if we can find
13:31what's going
13:31on and to see whether or not it's the appendix that's causing this problem the longer it takes to
13:37diagnose the source of agnes's pain the higher the risk of life-threatening complications like
13:42peritonitis and sepsis how bad is the pain out of 10 however you grade it it's 9 or 10
13:51so can i have it look at your tummy please surgeon mr shazad has come to assess agnes before her
13:59scan
14:00as she may require surgery is it sore here is it sore here no sore here no it's okay yeah
14:11if you
14:12make a big cough for me please it hurts when you make a cough just slightly okay that's fine
14:23on examination she's tender in right leg fossa with a little bit of guarding
14:29let's see what ct shows so if it's appendicitis we'll update on her with surgeon mr shazad unsure
14:37a ct scam may be the only way to know if agnes's appendix or an ovarian cyst has ruptured
14:43and her life is in jeopardy i was in cpu pain before i don't know what it was
15:02it's six in recess and one is going to itu four and intoxicated i'll assess it when it arrives
15:10in newham resus a man is arriving who fell while intoxicated causing a head wound you can come to
15:17this bed well done he was found unresponsive members of the public tried to wake him so he's got
15:24that's where he's bumped to his head there okay clearly happened with his hat on yeah he's still
15:29got a bit of blood in there um unknown to any members of the public um no one knows where
15:34he's
15:34come from they've just literally found him lying on the floor we don't know much about this gentleman
15:39his last historic case was at the beginning of january where he had a fall downstairs sustaining a head
15:46injury and that was after being intoxicated again okay do you know where we are at the minute
15:55no we're in the hospital do you know what day it is today
16:02no do you think you might have had a few drinks
16:07yeah what how much would you drink normally what do you think you might have drunk today
16:11just one one beer okay all right nothing else you got any pain anywhere
16:22no pain normal normal all right because what you've done is you've got a bang on your head
16:28there you've been bleeding a bit on your head did you not notice that so you don't remember falling over
16:35no nothing like that you speak with me i don't remember you don't remember okay housing
16:44so there's a problem with the housing yes okay
16:49he's drunk quite a lot tonight he's already explained that he's having some trouble paying
16:54his rent for next month and now he's also telling my colleague that um he's also been fired from work
17:00so it starts to make sense why he's here in the middle of the night very heavily intoxicated and
17:05having fallen over and injured himself i'm going to get a ct of his head would you mind just to
17:11clean
17:11up the the wound and see right side of the head just a little bit see if it needs a
17:15drop of glue we're
17:16going to get a scan of your head to make sure everything is okay all right yeah all right with
17:22the
17:22patient under the influence of alcohol dr sarah requests a ct scan to make sure his behavior isn't
17:28related to a brain injury so we're going to clean up your head a bit all right i'm going to
17:33come
17:33back and see you after you've had your scan okay okay
17:49ah she's screaming the place down here
17:54dr mike and dr dara are about to attempt to get 21 year old roberta's painfully dislocated shoulder
17:59back into its socket please give me something
18:05i think we can maybe get you onto this bed no i need something please
18:09did you have any pain relief before this just is an absolute agony
18:13yes the problem with it is once it kicks in you'll be very relaxed and it's safer to get you
18:19onto
18:19the bed first oh i mean no i can't it took me 20 minutes to get into the car again
18:27does she need to be on the bed before she can have that ideally yes because the problem is
18:37you're going to get to the bed too much pain medication within 24 hours carries a risk of
18:46kidney and liver damage so roberta's last dose is being reserved for manipulating the bone back into
18:52its joint take your feet off this right put your feet in the ground right and we're going to get
19:06another one two three stand up stand up that's it that's it that's it you're up you're up pull it
19:11away
19:12pull it away stop stop stop nobody's that's which is great there you go back on it just like the
19:21car
19:35now in position she can be prepped for the arm
19:39to be manipulated into its socket but this will be even more painful do you think you can release
19:46this one because it's best that you're in control of this no i can use my teeth that's what i've
19:50done
19:50before she did after a couple of breaths the first time she she had it in her hand she was
19:55yeah it was like she was smoking it after about two or three puffs she was fine the penthox inhaler
20:00is a fast-acting pain medication that can be self-administered nice big deep breaths
20:06and we'll get as comfortable as possible robert your job now is just to keep taking that green
20:12whistle for me lovely slow big deep breath we see a lot of patients with shoulder dislocations and it
20:19is very very painful the muscles that are used to usually keep it in the socket essentially are
20:25in high tension and high force and are keeping it now out of socket because
20:29the pain and is causing the patient to be so tense
20:35where's the sleep on your one but i wouldn't do you like it
20:42gonna lie a little bit flatter you keep taking nice deep breaths
20:46keep taking it bro taking that roberta keep taking it keep taking the muscle roberta needs consistent
20:52pain relief to ensure her muscles are as relaxed as possible keep puffing keep going big deep breath
21:00come on big breath even with the inhaler working it will only dull the pain so the doctors need to
21:08work quickly to slip the arm back into position
21:13stop you're okay you're okay relax okay oh oh oh oh oh come on it's going and that's it good
21:21girl
21:22well done keep going roberta's arm has been out of its socket for four hours
21:28and the shoulder muscles have become incredibly tense keep breathing love
21:37where the joint has been out for longer can be sometimes a bit trickier and often that's because
21:41the muscle has maybe gone into spasm and the patient's in a lot more pain we don't get it
21:46under control until we've got that joint back in place we're nearly there okay nearly there just
21:51another feedback love you'll be okay hold on to me
22:10he was collapsed and was in cardiac arrest over two and a half million people attend a
22:16knee at night every year which is particularly challenging for the reduced night shift staff
22:27yeah we'll get security
22:38how are you doing darling how are you feeling an intoxicated patient has just returned from the
22:43ct scanner after being found unresponsive on the floor with a gash on his head we had we did we
22:49got the ct result was okay all right we did a ct of your head do you remember no you
22:57don't remember
22:57we might have to wait until he's sober enough when he arrived the man explained he's been having money
23:04trouble after losing his job can you just turn over so i can see your head again just to see
23:08to see
23:09if we cleaned it up all right it's really unfortunate that it's it's a bit of a downward spiral isn't
23:14it that you know that you're having problems then you drink then you hurt yourself and it goes
23:17round and around we can step him out and then i think we just keep him somewhere until he's awake
23:23enough to go home yeah i'm gonna take you to a room there and clean the wounds okay is that
23:29all right
23:34we need to keep him safe and so we're going to keep him in the department really until he's sober
23:38enough to go home safely because at the minute he's not really remembering everything that's going
23:42on and things so we just want to keep him safe here for uh until probably till the morning now
23:46you want to sit up a bit yeah sit up i need to clean this side so i can clean
23:52your head yeah
23:53when you're working in the night the problem is that no one else is working in the night
23:56and so we don't get much support from other services that's a real bit of a gap really that
24:00we're just doing a bit of patching up and then sending people home without really giving any
24:04long-term solutions anything and everything is what a and e stands for
24:24gcs 50 doctors mike and dara are struggling to manipulate 21 year old roberta's arm back into
24:30its shoulder socket step back at you good girl despite being medicated with strong pain relief
24:38the muscles in her shoulder remain tight making it incredibly hard to move the bones into the
24:43correct position sometimes when reductions are particularly tricky then we have to apply counter
24:48traction i can just try traction horizontally this is essentially where we use a sheet
24:56and to apply a force in the opposite direction and that just gives us greater force in order to try
25:03and get the shoulder into joint stay still stay still that's when you're getting in the brute force
25:09territory oh you don't really want nothing you want them relaxed come on i know i know i know
25:15the counter traction should allow the doctors to pull the ball at the end of the arm bone around
25:20the edge of the joint and back into position come on breathe but they're fighting against extremely
25:26strong tense muscles in the shoulder oh help stop everyone stop stay still stay still the key is you
25:34keep taking this medication of course keep taking a big deep breath big deep breaths come on
25:43stop stop your head moving stop your head moving put your leg down put your leg down
25:49some more big deep breaths come on come on breathe it in the longer it takes to get roberta's
25:57shoulder joint back into position the more chance she has of permanent nerve damage and potential
26:02corrective surgery come on roberta oh breathe breathe breathe breathe in come on roberta breathe in
26:11breathe breathe stop on this oh that's it that's it that's it that's it that's it that's it oh crap
26:23did you see it happen i heard it so we'll just need to get it in a sling and get
26:28another x-ray
26:29okay and then we'll take it from there no problem absolutely no problem there good you are well done
26:38proud of you yes yes it's incredibly satisfying when a joint just falls into joint and you get a
26:45nice satisfying clunk you probably have to take it off you know you've had your fun
26:51don't upset her i'm so sorry don't be upset now okay can i have one more one last puff because
26:58it's really sore isn't it that's why you're taking one more puff then that's it away
27:04while roberta's shoulder appears to be now in the correct position there's no way of knowing
27:09without a follow-up x-ray should we have to go back around the action then i can go home
27:12yeah
27:13yeah if you're if you pass if the joint isn't in the correct position you take it easy okay yes
27:20mom
27:20it could be causing further damage to her shoulder or become dislocated again it's hard it's hard to watch
27:26your child you know in pain um and it's you feel sorry for her and really really your heart goes
27:33out to them just gotta just gotta take it off this move that is what it is
27:41this is where our humerus was this is where we are back in joint we had to use a little
27:46bit more force
27:47than we had hoped we would uh but thankfully it did work the joint is perfectly back where it should
27:54be
27:55uh and patients get to go home how do you feel now you feel a lot better it just feels
28:00a wee bit
28:00like muscle pain but i can it's there okay and you'll be followed up in the fracture clinic obviously
28:05if it you hear proper it seems to go back out of place obviously come back to any hopefully that
28:09won't
28:09happen okay all right yeah thank you very much worries at all there we go let's get you home
28:32in newham resus a patient who is on a fancy dress night out has arrived after collapsing at a train
28:37station this is celeste she's 27 years old she was on her way out tonight dressed up um she had
28:45a passion
28:45of fruit alcohol drink 13 minutes later she started feeling a very dry throat but then progressively got
28:51more itchy and then she felt like it started swelling passion fruit is an allergen and can
28:57trigger a serious allergic response my throat suddenly felt like very dry and like my tongue like my mouth
29:05area felt very dry and then i started having trouble breathing and like that freaked me out my breathing was
29:13like like like that and i could it felt like i couldn't get enough like air in um they gave
29:19me the
29:20injection when i was on like the floor and i was able to kind of like set up a bit
29:24more after that and
29:25they were able to like move me you know i don't think so with adrenaline administered at the scene to
29:32combat the immediate reaction dr muhammad needs to make sure celeste's breathing and heart rate are back
29:37under control so your heart will get down this time normally if you had an adrenaline you should have
29:46six hours of monitoring
29:50either celeste's fast pulse is because of the adrenaline she was given or the allergic reaction
29:56so she still might be in serious danger
30:02okay let's have a look got her attached to our monitoring over here typically for an allergic
30:08reaction anaphylaxis you monitor them for a period of like six hours just to see if there's lack of
30:14reaction fingers crossed it's terrifying like to to not be able to like breathe properly or like
30:22because you start getting lightheaded and you start feeling like you're gonna like pass out
30:26or like something's really wrong and it's just it's really scary
30:32i was like am i gonna die here on the g platform
30:42accident and emergency good evening how can i help 64 year old male with a high high bm
30:50also in newham midwife agnes is being taken for an emergency ct scan after having severe abdominal
30:57pain while on shift don't worry it's a quick scan won't take too long yeah doctors need to establish
31:04as if her appendix as if her appendix has burst which could be deadly
31:08keep your both hands above your head like that get same over here there you go hold like that
31:16like she's gonna say breathe in and hold your breath okay
31:24do it as part of a scan radiographer jan has given agnes an injection of contrast to help show her
31:42appendix
31:43when patient comes we tend to say is like they feel a hot flush going through their body
31:48a metallic taste in their mouth and you might feel like you're going to vomit yourself
31:56the vomiting could be due to the contrast but it's also a symptom of a burst appendix you have to
32:02explain to the patients why this is happening and these symptoms so that they are aware of it and bit
32:07more
32:07of a coma surgeon mr suzad has been monitoring agnes's case and reviewing her scans so we had a ct
32:17scan
32:18it showed that your appendix is normal okay so it means you don't need surgery so there was a concern
32:28whether you have some infection of your kidneys on ct scan but it's not very clear
32:34so what we'll do we'll give you some antibiotics night
32:41agnes is out of danger but her suspected infection is still extremely painful
32:48we will keep her overnight and we'll reassess in the morning with our consultant on call team and
32:54we'll discuss her scan with our own radiologist and
32:59uh so that we can have some more clarity about our kidneys
33:15sorry i've lost you i think oh hi yeah sorry can i just confirm gcs
33:20that's what yes please
33:2566 year old terry has come into a ande after crashing his motorbike things happen so quickly
33:31and uh i'm not exactly sure what happened but a deer came from the left hand side and crossed my
33:37path
33:38i then hit it and uh i was away you know i was flying his daughter jessica and her partner
33:46daniel
33:46rushed into a ande when they heard about the collision do you feel dizzy or nauseous at all
33:51no not really but that feels the least of my problems my head this this wrist is painful
33:59dr eniola is treating terry after his accident he was riding a bike and a deer popped up from the
34:07view
34:07he hits the deer he fell down off the bike the ideas around the area so and they pop up
34:14from time to time
34:16deer deer are more common at night and early morning and headlights cause a freeze reaction
34:21making them deadly obstacles any headaches now no headaches any hand pain any foot yeah
34:29yeah this is quite painful and that too is quite painful we're trying to look out for other injuries
34:36that may be marked by the more obvious one so it could be a broken bone but there could be
34:43an abdominal
34:43um injury it could be a fracture in the chest in the ribs any head pain anywhere no no can
34:53you open your
34:54mouth bring out your tongue okay so we try to make sure that we don't miss out on any other
35:01um injuries
35:03which may be potentially life threatening some abdominal injury but doesn't look worrying because
35:16his observations are also fine but he sustained some injuries on the right wrist and on the left toe as
35:24well being reassured by terry's vital signs his abdomen is likely okay dr eniola turns his attention
35:32to potential broken bones over half of the bones in the human body are in the hands and feet combined
35:57making them incredibly vulnerable to breaks
36:02so and one more for your toes the worst case scenario if it's untreated the patients could
36:08have crippling pain chronic pain throughout the years if that area isn't treated on time
36:17yeah i won't be sleeping on that side tonight
36:27oh
36:39any north for norwich medical trauma
36:43dr eniola is treating 66 year old terry who crashed his motorbike into a deer
36:51he's been x-rayed as there are suspected breaks in his hands and feet
36:55big toe yeah you can see there's a fracture and it's fractured in two places oh bloody hell
37:03i don't understand that big big big boots the wrist looks fine the wrist looks fine oh my goodness
37:13even though there seems to be no breaks in terry's hand he could still have a fracture of the scaphoid
37:18a collection of small bones in his wrist it can be easy to miss things on the x-ray there
37:24are some
37:24fractures that are a bit small and subtle so physical examinations are quite important
37:31the x-ray can only show so much of course really show everything so well because of the bruising
37:38yeah i'm suspecting there may be a little bone break if dr eniola doesn't find all the fractures
37:46there's a chance he could heal in the incorrect position which could lead to chronic pain for the
37:50rest of terry's life pain as a touch yeah it's painful yeah that appears that there's a fracture here
38:01yeah there's a fracture yeah there's a fracture okay dr eniola has spotted a scaphoid fracture not
38:07clear on the x-ray but for this where i put a strap around here yeah sure the fracture heals
38:15yeah same
38:16thing with this okay in about two to three weeks time we'll do a repeat x-ray okay like everything
38:22is
38:27okay yeah before terry can go home his breaks will need to be given temporary orthopedic support
38:32to help them heal oh i'm a little bit surprised that i've got a a slight fracture of the two
38:40and uh this section of the thumb it could have been a lot worse so yeah i'm pretty lucky really
38:46i think
38:46and been really good service tonight i've been really looked after i can tell people have been
38:52on a skiing holiday this is your fashionable shoes it's doing okay considering the mechanism of the
39:02injury okay i expected them something a bit more drastic the purpose sir is to immobilize your thumb
39:09keep it still keep it still so it will reduce the swelling which is the pain uh recovering time for
39:17him considering his age it may be between about six weeks to ten weeks thank you much appreciate
39:26terry will need to return to the fracture clinic in the day once the hospital is completely open
39:31for permanent treatment it's really could have been a lot worse so i think that he's quite a lucky
39:38chap yeah not too bad hello this was in newham 27 year old celeste is being closely monitored
39:56to see if she'll have any further potentially lethal anaphylactic reactions
40:09with the hospital needing to free up space and her condition remaining stable she's moved to an
40:23observation area celeste is joined by a partner ori who is with her on the way to the fancy dress
40:34party
40:34when she had a reaction and her airway started to close isn't like athletic shock like can it kill you
40:41i guess depends how much other it closes you can google it it's a severe potentially life
40:47threatening allergic reaction that requires immediate emergency treatment
40:57adjustment
40:59dr mohammed has been monitoring celeste for signs of further allergic reaction
41:05her heart rate um last time i checked it was 19 which is which is good one of the most
41:10concerning
41:10thing about anaphylaxis is your airway is closed so you've been suffocated basically but she was
41:18quite lucky the ambulance found there early what you need to know is you need to go home with epi
41:24pen
41:25okay so epi pen have um adrenaline on it if you have symptoms that you think your your throat is
41:32closing
41:33you can't talk in full sentences you're very wheezy you're unwell you're about to collapse yeah this is a
41:40red flag that you're looking for before you're injecting yourself okay what's that epi pens are
41:45essential as 2.4 million people have food allergies in the uk and could die of fatal reactions and you
41:52swing
41:54okay you that's not that's real you actually have to like you swing and push it oh snap well that
42:02was
42:02like i've only ever seen that like um movies and stuff like any questions did i almost die from this
42:10like you you have a reaction okay you yeah you're lucky um and the ambulance found you in the good
42:19time um very fast yes very fast yeah yeah they saved your life basically today with no further
42:26signs of anaphylaxis and equipped with an epi pen celeste can go home taxi taxi taxi taxi
42:34oh we can take the train we're happy to get you seen by a doctor but we can't have that
42:47behavior here
43:05you would think desiccating a shoulder wouldn't be a sword oh it's sort of and putting it back in is
43:41going to be even slower
43:53Luckily I'm retired so I don't have to go to work, I'll just do a bit more reading I
44:26suppose
44:35I'll just do a bit more reading
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