- 9 hours ago
Casualty 24 7 - Season 11 - Episode 01
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TVTranscript
00:03in the heart of Yorkshire a team like no other busy busy busy fight to save lives
00:12open your eyes for me do you know where you are you're in bands like any department
00:1924 hours a day wow seven days a week whoa nail it feel like a wet dish club
00:30serving 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 trying no there's nothing to be frightened of these girls will sort it out
00:49they care for anyone i think i've used your hair up haven't i and everyone looking more like himself
00:55thanks to barnesley working together to make people's lives better
01:02you know i just love to look i love to make a difference this is barnesley casualty
01:0924 7. has to not be entering the beauty contest
01:16on shift tonight he's driving me mad now sister jane no worse than a broken shoe is that
01:25dr sarah anderson she's not someone i'd want to rush to send home oh do you mean
01:33oh it's you it is i and emergency nurse practitioner claire there's not anything
01:39jumping out at me feels like it's being chopped down so get ready to share a shift
01:46sweets everybody sweets come and get your sweets with the team at barnesley casualty
02:03it's the morning shift and running the hub today is sister jane the department's in a good place
02:11today right now saturday we're busy was pleasant yesterday so it's just set us up good for a nice
02:20monday no one in barnesley has awoken yet so i'm sure it'll get a little busier later
02:38the emergency alarm has been activated in the pediatric ward four-year-old owen is having a
02:53seizure dr helen merson must work quickly to stabilize owen
02:59yeah it's like it's difficult to know whether he stopped seizing at all
03:04the seizure he had here was his fault getting an arterial
03:14pediatric registrar doctor and babalola takes over owen's care
03:20not documented but he has felt warm and his chest sounds nice and clear he's had a little bit of
03:25a
03:25cough for the last few days called autumn bomb yeah there's near three no known bugs going around there
03:33owen's come in with seizures and it's something that he's never had before
03:36it's very very important for us to identify the source of the seizures and nip it in the bud
03:52oh my god i'm going to shine some bright lights in your eyes okay sweetheart i know i'm so sorry
03:58it's only going to be for a little short time okay
04:02i know all right that's it that's it well done oh gosh i think i've messed your hair up haven't
04:09i
04:10oh sweetie pie your mommy's right there your mommy's right there she's right there
04:20it's full of medicine what makes people fancy what we've also done is we're going to get some
04:25antibiotics to try and cover from the function
04:30he's going to need to be with us but he needs to the public
04:33i'm really sorry making me cry
04:38we always have to take time to make sure that parents are following us along the way they need
04:43to know exactly what we're doing and why we're doing it what we're worried about because you
04:46after all it is their child and we need to make sure that they are happy with what we're doing
04:50and
04:51understand everything that we're doing and why we're doing it it's very very important
04:58what sort of medication is if they add is that i want to stop receipts and then we're still trying
05:08to try and prevent it kind of it it's too you know yes
05:15it's exciting what's exciting we've explored
05:19we're doing a lot of avenues to try and prevent them of course yeah mum beth faces an anxious wait
05:27to
05:28learn what's behind owen's seizures
05:33at least is there any more cubicles in the hub sister jane is trying to stay on top of the
05:39growing
05:39number of patients arriving at casualty morning love one two three four five six seven but it's not
05:48just the patients in need of urgent care the chute's broke no worse than a broken chute is the
05:57chute is used to transport bloods through the hospital efficiently it's too sharp there nurses
06:03are scratching themselves that should have like a black holder that holds the pod in and because
06:08it's all broken here there's the wind doesn't take it it's a bit of a nightmare we need a simple
06:17foot staff here yeah yeah instruction on how to do it yeah press 444 to send pod
06:25place pod in chute under desk yep okay love i'll do it now thanks honey
06:34as sister jane troubleshoots her chute another emergency is on its way
06:57an ambulance has just arrived with a woman who has a dangerously high heart rate
07:05you all right there drug up a bit more oh that's better there yes thank you very much
07:11patricia's husband has remained by her side all morning she looked like a ghost when she
07:17got up this morning so i'm the same for an ambulance and it's best place to be when you're
07:24unwell paramedics helen and jacob hand over to dr sarah anderson right tell me what's been going on
07:32i got up this morning i felt very lethargic yeah i could hardly stand up i was so dizzy in
07:39my head
07:40and my heart was going boom boom boom boom boom boom boom so you can feel it in your chest
07:44i've got food in my chest yeah and it really frightened because i didn't want another heart attack
07:53when was that 2006. fine and nothing since two stents now then it's going dizzy yeah that's all right
08:04you take a take a minute what's happening is your heart is going too fast and it's also irregular
08:10it's what we call atrial fibrillation we'll take an ecg okay we'll take some bloods from you and we'll
08:17go from there there's lots of things that can cause it sometimes you're more prone to it if you've had
08:21a
08:21heart attack in the past if we can get your heart rate down and sort of manage it it may
08:25be that we
08:26could later on we could send you home and get you follow-up but i don't want to jump the
08:29gun
08:32patricia's heartbeat will be closely monitored any sudden rise could trigger a stroke
08:52it's now three hours into sister jane's shift okay what's your call sign lovely
09:01how long are you gonna be yeah all right love bye
09:11i'm just gonna have a little look at your head sweet i know i know i know and in recess
09:17dr babalola is caring for four-year-old owen who's suffered several seizures since arriving
09:24to stop the seizures we give something called benzodiazepine it helps calm down it also helps
09:29with the electrical activity in the brain that's sort of hyperactive at that moment in time so he's
09:33had that and that has settled the seizures but he's also had some antibiotics because we think it may be
09:39caused by an infection but we're not too sure at the moment so we've done some blood tests to check
09:43for
09:43that and also we're going to get a scan of his head because he's had seizures only on one side
09:49and that's not something that we often see in kids we just need to make sure that nothing else
09:53sinister is ongoing
09:59it's been tough please have lots of drinks it's going to be a long day yeah yeah
10:06owen's seizures have stopped but as a precaution he's being taken for a ct scan
10:12i'm about to take your pictures now all right just keep your head still for me okay
10:20owen are you ready for the pictures good boy owen well you've been well very well
10:27how's it done now
10:30he's going to spend some time with us at least a few days for us to try and see what's
10:35going on gives
10:36time for the investigation to come back and then also gives a lot of time for us to monitor and
10:39see
10:39what he does also see how he progresses for us to then manage accordingly following the scan owen is
10:50taken straight to the pediatric unit further tests showed that a virus was causing owen's seizures
10:58he was discharged the following day and has now made a full recovery
11:07back in the hub and sister jane has a temporary fix for the broken chute
11:15one place blood in pod two press 444 to send pod place pod in chute under desk perfect but i
11:24don't
11:24know what the me amber light means do you why haven't they took that pod it's coming down because
11:30it's gone off yes no that's what i'm trying to send there should be a green button now not amber
11:39green to say it's going yeah
11:48back in recess 82 year old patricia's heart is beating twice as fast as it should be
11:55i could hardly stand up i saw this in my head and my heart was going
12:02she's under the care of dr anderson
12:06so we have a look and see if we can get some bloods from you and a bit of a
12:10cannula and then
12:11we can give you this medicine to try and slow things down hopefully it'll make you feel a bit better
12:16yeah yeah your body doesn't like it when your heart goes this fast i don't know why i'm telling you
12:20that you know it do you mind if i use your lap as a table
12:29yeah you've got some lovely veins but they do like to wriggle around i know it's miserable being
12:34poached and prodded
12:44so we've got the bloods we need which is good so we can send those off i need to put
12:48a canyong so we
12:48can give you this medication right ask the nurse to get that medicine okay now it does take 20 minutes
12:54half an hour it's going to work now sometimes we need to give either more of that medicine or a
12:59slightly different medicine if it doesn't work no you're not anywhere no i'd rather you didn't
13:05we'll give you one medicine that will slow your heart down and another that's uh what we call
13:09magnesium which um sort of stabilizes the heart okay if you start getting any chest pain anything like
13:17that you tell us but hopefully we'll get you get your heart rate down thank you all right
13:24at the moment i feel like a wet juice club oh dear once you get up this morning she look
13:31dreadful
13:31i feel dreadful don't feel well these girls will sort her out
13:40right so the heart rate sort of when we did ecg on here was 112 so that's fast but it's
13:48not
13:48outrageously fast it's not that sort of fast one that you were in when you know you're about 180 and
13:52so
13:53what we're going to do is we'll wait for your bloods if your heart rate jumps back up again and
13:57it's
13:57staying up then we will give you that medication but what i don't want to do is give you that
14:03medication
14:03to slow things down when you're already a lot slower if we're still a bit dizzy and if the heart
14:09rate
14:09goes up and we need to treat you it'll probably be on the ward yeah basically when you've got atrial
14:15fibrillation rather than your heart going boom boom boom boom nice synchronous beats they kind of go
14:21like this ventricles and when they go like this rather than the sort of smooth contractions you
14:26can build up sort of little clots in the in the um heart okay and that puts you at high
14:33risk of
14:33things like stroke so it's potentially going to be that one of the things they look at is starting on
14:38medication to slow things down but also starting on a medication to thin the blood a little bit
14:43again it's not something i'm going to do right now because right now we're just focused on the on the
14:49rate okay the blood test may reveal the cause of patricia's rapid heart rate
14:55but until then the team must carefully monitor her
15:06morning everybody oh god can we have a bit better good morning everybody
15:12thank you very much make it like you like to be here
15:17it's the start of volunteer jane's shift and she's in high spirits
15:23oh favorite bowling ball what do you mean your favorite one
15:28no i'll let you off then i want a big i want a big sack first job is lost property
15:35i'm never surprised what's in lost property box really especially them aren't they
15:40the idea because that's an iphone is that an iphone i bet none of them works anyway they'll
15:45be out of battery will one of these charges work do we think that one
15:50if i plug it into that smartphones i mean alpha gets a smartphone plus all the usual like you know
15:58your dentures your earring aids your glasses oh it's an handbag so i wonder if it's a chanel
16:10all right it's not a chanel hamburg
16:19beer can a beer anybody now you see what's that for oh crap i thought it was something to do
16:26with a
16:26wrench it's a crack pipe do you know you have educated me y'all this year so it's usually quite
16:34interesting to try and find out um all they belong to i feel a bit like miss marple oh ah
16:40wait a minute
16:41so if i wrong that step good morning um is this step right this is going to sound a bit
16:53weird steph
16:55and i found this mobile phone i don't know it belongs to i work in barnesley a and e
17:01i'm just saying i've got this telephone so does somebody want to come and pick it up at some time
17:08i'll have a look see if i can find a bracelet love but
17:15yeah thank you love bye
17:18i like to reunite people with their belongings um i think i probably am a repressed detective somewhere
17:25along the line i think i would have liked to have been an investigator to investigate things whether i'd
17:30be any good at it i don't know miss marple did this telephone it's this person's daughter that i've
17:37managed to get but she said was there a bracelet she said it's a pandora bracelet i wonder if it'd
17:44be
17:44in when it draws because some people put valuables in there don't they no not in there not in there
17:51to the ring to bracelet oh sweet draw it's pathetic oh dear whilst there might be a shortage of sweets
18:02the same can't be said for the number of patients still waiting to be seen
18:11over in the minor injuries unit and there's a new arrival
18:16i have partly i've sent up from any it's shane come to take a seat for us super cheers buddy
18:26shane has injured his foot after his gym session took a painful turn i was sliding some weights
18:33off of a bar and i pulled a 20 kilogram weight off i forgot there was a 10 kilogram in
18:37front
18:38so as i pulled that off the 10 kilogram just fell off straight down onto my foot
18:42i embarrassingly hobbled out of the gym didn't tell anybody was too embarrassed to say anything to
18:47anyone just soaked it up until i got into the car and they had a little bit of a cry
18:51i don't know it's cracked broke i'm not sure but it definitely feels like something
19:00emergency nurse practitioner claire will assess the damage great not turning on
19:06some sort of i.t problems fingers crossed
19:15hey success turning on and off it always works
19:23shane oh it's you it is i how you doing i'm all right are you i'm not coming through
19:32and by happy coincidence shane and emergency nurse practitioner claire already know each other
19:38it's nice treating people that you know and that's one of the reasons why i came back to work in
19:43barnesley because i do know a lot of people and those people do come in as patients yeah you're
19:49friends with my wife's best friend yeah there's a group that go out food no alcohol obviously keep
19:56it nice and sensible okay shane what's happened to you dropped away on my foot this morning at gym oh
20:02dear what time were you at gym happened about quarter seven just pop your foot flat down on the floor
20:09for
20:09me any pain up here no any down there yeah yeah any across here yeah everywhere can you lift your
20:16toe up
20:16push your toe no oh yeah yeah yeah and then can you curl it round underneath it in itself no
20:24so pop your
20:25shoe back on and you can go and have an x-ray lovely okay blue circles on the floor gets
20:33you up to any
20:34x-ray about two miles away not too far the x-ray will reveal the extent of the damage to
20:42shane's foot
20:52in the hub the pressure is growing bini pop him in high dependency one i've closed the curtain one two
21:00three four five six as the number of patients in the waiting room increases
21:09amongst them is adam and his wife debbie who has functional neurological disorder known as fnd
21:17taking a shed down in the garden just wanted it gone so it is gone it was just tidying up
21:23and my wife decides to face plant into the floor so she's not the most stable person on her feet
21:29as it
21:29is she has sticks to walk with stumbled forwards and didn't put her hands out so she just went head
21:34first into the floor and then just slid down the garden on her face there was a lot of blood
21:40all going
21:41in her eye the nose had opened up a big gash we went to a pharmacy yeah we went to
21:48a pharmacy but
21:49it's like no because she banged her head and she's feeling sick you've got to go to a and e
21:52with here we are
21:57what's the matter what you going okay i'm going to need a nurse she's having seizures
22:07okay
22:17hello darling are you okay can you talk to me can you open your eyes she goes non-verbal when
22:25she's having seizures okay right we'll get her on her shoulder
22:30excuse me what we don't need to be sorry i'm not choosing this so don't be sorry
22:39my name's tucker i'm one of the doctors today
22:43fnd can be life-changing causing seizures reducing mobility and slurred speech
22:50can we get her yeah we've got one here we'll get around there and you know let's have some
22:55dr toka salim transfers debbie to majors so her condition can be stabilized
23:21in the hub there's no let-up as patients continue to arrive zoe when that lady comes in that 91
23:30year old because he can come out of high dependency and sister jane is still having to deal with the
23:36broken chute
23:39put your bloods in four four four bend down put it in the chute
23:48so you've got to wait for the light to go green because there's a lot of traffic in this chute
23:55oh no we've got amber there's a traffic jam i've never seen the amber light
24:01her sister jane waits for the traffic to clear
24:06dr salim is stabilizing debbie who had a seizure in the waiting room how are you feeling now debbie
24:20can you open your eyes can you tell me where you are
24:28we was taking the shed down in the back garden and she just stumbled forwards and then banged her
24:33head so she's feeling quite sick and unwell okay did she lose consciousness no she vomited no
24:39she got any medical conditions so the fnd functional neurological disorder is what's
24:44causing tough seizures so stress anxiety pain sent into seizure
24:51hi debbie how are you feeling now can you remember what's happened
24:55i know so tell me what's been going on
24:59it's all over okay
25:01okay no no on my head okay right okay what were you doing when you fell over where was that
25:08my garden garden okay do you know where we are at the moment where is that oh yeah
25:18hospital right okay that's good fine fair enough and do you know who you're here with
25:23oh yeah i don't know i don't know i don't know okay that's okay right am i okay to just
25:30shine
25:31some light into your eyes
25:43okay we just want to get one of the consultants just to let them know and be involved and then
25:48we
25:48might get you some imaging done like a ct head is that okay okay tell me home pain pain what's
26:00hurting
26:00you the most your head okay fine you'll get that sorted yeah no thank you
26:10i've always knew that i am going to be a doctor i've never thought of a plan b it's not
26:16always easy and
26:17it's not always fun but there's something that i've always been passionate about since i was
26:21four years old i just want to let you know about one of the patients she hits her head she's
26:26got
26:26some lacerations on the forehead and the bridge of the nose she has a medical history of fnd that's
26:31where she gets seizures whenever she's stressed she was sat in the waiting area when i got called by
26:36one of the nurses to come and check on her she was probably having a seizure then and then we
26:40wheeled her into cube a while she was in there she's got two seizures what are the seizures like
26:45seizures are on the right hand side okay what was her name again uh debbie hello debbie my name's
26:53sarah i'm one of the doctors how are you you've had quite a stressful day i think today haven't you
27:00do you want that oxygen mask off shall we try taking that off for you
27:07are you in any pain at the moment yeah i bet you are um have you had any painkillers
27:13the first thing we should do is probably try and get you some pain relief and get you a bit
27:16more
27:16comfortable um please stop i feel sorry you feel sick as well yeah absolutely do you feel like you
27:24could swallow anything or do we need to re-attempt that cannula and try and get you a needle into
27:28one hey but they're better with with a cannula yeah that's fine that's fine mom have you got a bad
27:37day yeah of course you have your oxygen levels are okay actually without that oxygen put on so i
27:43think we'll try and leave that one off how is the speech at the moment um following a seizure standard
27:50if this is your normal type of pattern let's just watch and wait and see what happens
27:56obviously go in england that we'll get you some people who was in the end and we'll see how it
28:00is that all right because of debbie's seizure history blood tests are ordered to eliminate
28:08other factors that could affect her recovery
28:21in the hub volunteer jane has a very important job to do
28:25they put some spices draw the sweet drawer has always been and always will be an essential part
28:33of the department pathetic somebody's put so if i put not anymore
28:41they've all got a sweet tooth some more than others yeah they're like vultures
28:50gummy bears i think it's true the doctors and the staff
28:54they don't need the sustenance they don't need the break and it is true
28:58they do say that an army marches on its stomach and we are an army and we need to be
29:02uh sustained
29:04i think there's a word for that is that we need to be sustained god
29:08they'll have gone by tea time i reckon you know as soon as i know it's there a little bit
29:13sweets everybody sweets come and get your sweets
29:19in radiology shane is heading for an x-ray after injuring his foot at the gym
29:26we're looking at your left foot looks like your big toe area yeah
29:32let me slide off then we're gonna have your left foot on here and i want the bottom of your
29:36foot on
29:37this cassette so i'll actually bend your knee up that's it
29:46oh yep sorry that's it perfect
30:02it's down to emergency nurse practitioner claire to reveal the results
30:08don't go straight back in my office shane let's have a look
30:14who's also a friend of shane's have i got handsome feet claire
30:18let's see shall we so that's your x-ray looking for fracture shane definitely thinks it is don't
30:26you feels like it's been chopped in half yeah so this is your toe and then this is your metatarsal
30:33that's where it's mainly tender okay yeah but your bruising is around your toe which is natural for
30:40when you have broken something higher up it bruising travels down yeah there's not anything jumping out
30:47at me as no as like a big fracture but there's a little bit of a lucency there which could
30:52represent
30:52something so i'm going to give you a shoe to wear which is really trendy oh yeah yeah is it
30:59a croc
30:59really lovely shoe and that basically supports it so that you can walk on it right okay it's going
31:05to be painful for a few days bruised swollen so treat those symptoms ice pack paracetamol elevation
31:11yeah i'm out around barnesley tomorrow do i need to wear my shoe around barnesley
31:15claire maybe not i don't think that's street credible but you can tell me i'll go and get it
31:27it's medium and small we'll try these fancy shoes you'll have to get
31:35to paint your toenails yeah
31:41there you go you'll pull that onto your foot and put your foot right to back in it and see
31:44how where
31:45your toes get to
31:50yeah your foot right at that it is i've got some matching shorts at home that i think i look
31:56lovely
31:56with these shoes where are you going tomorrow um we're going on that and then map i think oh yeah
32:02so i've got some friends coming over from leeds
32:06you think you'll wear that tomorrow i think it's so i think it suits me yeah i'm not sure about
32:11tomorrow have a go see how it feels walking in it now
32:16don't i get two can i can't have two so at least they match
32:21yeah yeah yeah i'll take them please it's a bit better than your sliders
32:26okay and it'll get better over the next two to four weeks hopefully man up
32:32that's it you said it lovely thank you all right my love lovely i'll see you soon tell vicky hello
32:37from me i will do see you later really pleased uh that it's not broken um so hopefully we want
32:48road to recovery a lot quicker than if it were fractured or broken um i can get back in gym
32:55um shane was back at the gym a week later
33:04over in resus patricia's high heart rate is still being monitored by dr anderson
33:11that rate just jumps up and down might be 105 one minute but then the next minute it's 160.
33:19patricia's blood test reveals she hasn't had a heart attack i'm just having a look at her blood
33:24to see if there's anything on there that might be why she's got there there's nothing particularly
33:30alarming in her blood that would explain it there's no black and white in medicine so things change
33:35quickly and for her the aaf sometimes it can be constant and sometimes it can be what we call
33:40proximal so you get sort of maybe 20 minutes of it it might go away and i was hoping that
33:45with her
33:45heart rate coming down that it might be that that it's resolving but it's not and it's back up at
33:52sort of 190 so i think we just need to treat her now see if it hopefully brings it down
33:57hello darling
33:59how are you doing so your heart rate i mean it's it's very stubborn and it's come up again so
34:03we're
34:03going to give you that metoprolol that that to slow it down i've just had one of the you had
34:08it again
34:08i can't explain it's kind of goes all over me body and my head it's and i think that's your
34:14heart rate
34:14going on sometimes these episodes they come and then they go away yes but it's not looks like
34:21this one's a bit more persistent well nursing college just getting your medicine okay sister
34:26vicky will administer the medicine so this is a drug to try and get this heart rate down a little
34:31bit
34:31okay all right you keep having a bit of excited runs don't you i do get giddy what are you
34:37going giddy
34:37about oh oh i'm going to see barry mandelow oh god is he still going don't you start
34:46yes i am i've loved him for years where's he playing leeds it's his last last concert yeah i think
34:55i saw his first one and i'm going to see his last one i've been all over to see him
35:02rodney always calls
35:03him my barry oh is that the wondering i i am i think that's what flutters me mind you he
35:15wouldn't
35:15be interested in me because he's married to a man yeah you could have a go at changing his mind
35:23you
35:24never know years ago when i were young and in my prime you never know brother love no no no
35:31no
35:32oh that's coming down a bit better behavior center huh i will if i can love yes
35:40yes what's that gold leaf in your nails yes yes snazzy aren't they i say you cheater well you'll have
35:46it going tomorrow tomorrow i'll save a bit of money when they're not going tomorrow
35:52my friend sarah does them and i like me clothes my handbags and my shoes
35:59oh dear me i shall have to stop buying i might not have much longer to live
36:06it's hoped the medication will steady patricia's heart rate
36:25in addition to managing the patients still there's no beds
36:30mom it's the shoot that's causing the issues sister jane is also dealing with a broken shoot
36:37that's used to send bloods to other departments within the hospital i swear to god i'm gonna really
36:44lose my patience here it's driving me mad now i've spent too much time on this
36:51they fixed that about 18 months ago and it's broke again
36:56somebody said that it's gonna take ages because it needs a whole new thing
37:03with the shoot now undergoing major surgery back in recess
37:11oh dear me all right i will leave you to it i'll pop back in a bit
37:17all right patricia can you uh sit forward for me yes the x-ray results will show dr anderson
37:24whether an infection in patricia's chest is contributing to her elevated heart rate yeah
37:29cool your blood's looked okay so that's good your rate it's sort of jumping about a little bit
37:37it's still quite fast what I might do is just have a chat with the medical reg on
37:43the wards okay have you any questions no you've been very patient darling so
37:49thank you for that okay although Patricia's blood and x-ray results show
37:54no cause for concern dr. Anderson is reluctant to discharge her until her
37:59condition is stable hello I've got an 82 year old lady she's going about 180 on
38:05the monitor but by the time we'd cannulated her she was going about 112 or so and
38:11so I sort of left her and thinking maybe this is sort of resolved but she's now
38:15going to sort of anywhere between 120 160 she's stable but given sort of the
38:21symptoms she's not someone I'd want to rush to send home and so I wonder if
38:27you'd have a look at her thank you
38:33honestly I've never been like this
38:37so Patricia's just waiting for the medical team to see her her rate's much more stable I think she's
38:43more comfortable a bit less dizzy she's feeling well enough we can get her standing up and her
38:47rate's controlled it might be that she goes home but has follow-up to figure out if she needs to
38:52be
38:52on blood thinners if she needs various medication to control her rate if her rate's not controlled
38:58if she's not feeling right then I think probably she'll come in for some observation and the
39:02medics will then decide what happens I'm just gonna go find George who's in recess at the moment and
39:07just hand over obviously if anything to happen George knows about her he could treat her so I'm good to
39:11go
39:14I feel better than I did when I came in yes I do she's got some color now this morning
39:21she looked like a dragon and she was white oh she was terrible I thought we were going to lose
39:26her this morning
39:27yes which is looking a lot better now yes tomorrow I was going for my nails doing but unfortunately I
39:34don't think I could be going
39:36Patricia remained in Barsley Hospital for a further two weeks she's now been prescribed new medicine to slow her heart
39:43rate down and is on the road to recovery
39:53back in majors dr. Salim is caring for patient Debbie like this one's tiny
40:01don't drink brought into casualty after a fall Debbie has since suffered three seizures
40:12dr. Salim has requested bloods to be taken
40:16we're going to check the coagulation profile to see if there's anything wrong with the
40:20clotting factors of the blood we're also going to do a calcium profile to make sure that everything's
40:26okay after the seizures we're also going to do basic bloods to see if there's any source of infection
40:30whilst waiting for the results Debbie's condition seems to be improving I was really just supervise
40:38yes you're supposed to be supervising but I was who had the hammer you we had
40:45I was just doing the little bit of sweeping so and then I find the nail I think I can
40:52just get that
40:53outside gets really sad that you can't do what you used to be able to do I should have be
41:03able to do some more and I should have be able to
41:08pull our nails out without all we own the fall was just what causes seizures to start sort of thing
41:17today so pain causes to have seizures it goes downhill rapid unfortunately makes you very tired
41:26the language goes bit danger it used to be very scary when they first started but we used to know
41:32we know what to expect so it's not as bad
41:40yeah we don't know what happened but last year it all went very wrong she came to this hospital for
41:45a blood test and she didn't come out for six months
41:47she ended up in neural rehab for five months learning how to walk and talk again so
41:54but not talk good stuff but you can talk I can talk better than no talk but not me talk
42:12we're just waiting for the results of the bloods we've had an ECG done that's the electrical tracing of
42:16your heart that looks okay how long you've been so to be here well if this is your usual and
42:25you do
42:25continue to be okay I don't think we'll need to keep you overnight I think you're good to go home
42:30is that okay I know that patients dread staying in hospital and they don't like doctors very much
42:37which is fine but we need to do what we need to do to keep our patients as safe as
42:44we can until we're
42:45happy we're completely happy for them to go home we don't like being here longer than we have to be
42:50unfortunately we spend far too much time here just need to keep an eye on her to make sure that
42:55she
42:55doesn't get any seizures or if they do you know last longer than what they usually do if the blood
43:00they're okay she would be able to go home I'd be really careful not drop any more seizures yes no
43:06more seizures although I cannot control it that is the blood everything's back and everything's okay
43:13there isn't any signs of defections there aren't really any metabolic issues so if she's back to
43:20her normal self we'll be happy to send them home Debbie was discharged from hospital later that day
43:26and has been recovering well back at home her sister Jane shift comes to an end when they send in
43:38three four five at a time it's heavy and it's the weight and that's what smashed all this
43:44so yeah we're thinking it we are no cheeky sod the shoot is finally given a clean bill of health
44:11shift finally complete sister Jane can head home but the doors to casualty remain open 24 7
44:20bye
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