1 00:00:02,000 --> 00:00:04,599 Nobody knows what's around the corner. 2 00:00:04,600 --> 00:00:07,239 Life can be taken away on the turn of a sixpence. 3 00:00:07,240 --> 00:00:08,959 This programme contains scenes of medical injury 4 00:00:08,960 --> 00:00:11,239 But as long as there are people who are prepared 5 00:00:11,240 --> 00:00:13,079 to come out of their door every morning 6 00:00:13,080 --> 00:00:15,999 and try and help other people, you have got to feel hope. 7 00:00:16,000 --> 00:00:19,399 PHONE RINGS Hello. Queen's. 8 00:00:19,400 --> 00:00:20,599 Oh, Jesus. 9 00:00:20,600 --> 00:00:22,759 Adult amber trauma call. 10 00:00:22,760 --> 00:00:25,639 Been stabbed twice in the chest. PHONE RINGS 11 00:00:25,640 --> 00:00:27,479 Fall from parachute, hard landing. 12 00:00:27,480 --> 00:00:29,639 Collapsed on a football pitch. 13 00:00:29,640 --> 00:00:31,479 Charge to 360. 14 00:00:31,480 --> 00:00:32,960 Clear. Shocking. 15 00:00:34,520 --> 00:00:36,759 We've got a pulse. Excellent. Yes, we've got a pulse. 16 00:00:36,760 --> 00:00:39,879 Thank you very much. Please call again. 17 00:00:39,880 --> 00:00:41,799 Queen's Medical Centre, Nottingham... 18 00:00:41,800 --> 00:00:42,999 Ay up, duckie. 19 00:00:43,000 --> 00:00:44,399 Another day in paradise. 20 00:00:44,400 --> 00:00:47,359 ...one of the busiest A&E departments in Europe. 21 00:00:47,360 --> 00:00:49,199 Whoa! SQUEALING 22 00:00:49,200 --> 00:00:51,479 That, I don't think is survivable. 23 00:00:51,480 --> 00:00:53,959 Have we got a new one coming in? Three minutes. 24 00:00:53,960 --> 00:00:55,839 There is no room at the inn. 25 00:00:55,840 --> 00:00:58,279 Do you want anything to drink? A cup of tea? 26 00:00:58,280 --> 00:01:00,439 This place is awesome. 27 00:01:00,440 --> 00:01:01,479 A place where life... 28 00:01:01,480 --> 00:01:02,759 Ding, ding! 29 00:01:02,760 --> 00:01:04,959 You're a happy band of people here. LAUGHTER 30 00:01:04,960 --> 00:01:06,519 ...love... 31 00:01:06,520 --> 00:01:07,839 Love you, kids. 32 00:01:07,840 --> 00:01:09,439 ...and loss... 33 00:01:09,440 --> 00:01:11,119 Can't feel anything. 34 00:01:11,120 --> 00:01:14,039 ...unfold every single day. 35 00:01:14,040 --> 00:01:17,799 Working in A&E, you see people in those worst moments of their life. 36 00:01:17,800 --> 00:01:21,519 My baby boy! I can't leave my baby boy! 37 00:01:21,520 --> 00:01:24,919 But there are always stars in the black sky. 38 00:01:24,920 --> 00:01:26,159 Oh, my darling. 39 00:01:26,160 --> 00:01:28,519 It makes you realise how important life is, 40 00:01:28,520 --> 00:01:31,439 and we should hang on to that with both hands. 41 00:01:31,440 --> 00:01:32,440 Love you. 42 00:01:33,960 --> 00:01:37,079 These are the stories of a nation... HE INHALES SHARPLY 43 00:01:37,080 --> 00:01:38,600 ...and its health service. 44 00:01:40,000 --> 00:01:42,719 Thank you for everything you've done. Aw! 45 00:01:42,720 --> 00:01:44,559 Suddenly, a lot of the things 46 00:01:44,560 --> 00:01:46,639 that you thought mattered doesn't matter... 47 00:01:46,640 --> 00:01:47,719 It's OK. 48 00:01:47,720 --> 00:01:49,639 ...but you're there for me and I'm there for you, 49 00:01:49,640 --> 00:01:50,920 and that's a strong bond. 50 00:01:52,240 --> 00:01:55,959 I'm loving you, you know. I'm loving you too. 51 00:01:55,960 --> 00:01:58,320 Bless you. 52 00:02:05,840 --> 00:02:08,559 I was driving down the road just around the corner 53 00:02:08,560 --> 00:02:12,160 from my sister's house, and I seen people on the street. 54 00:02:13,680 --> 00:02:16,600 I recognised my brother, so I just pulled up on the side. 55 00:02:20,520 --> 00:02:22,399 Everybody calls him Sunny. 56 00:02:22,400 --> 00:02:24,839 He's very sociable. 57 00:02:24,840 --> 00:02:26,680 He knows absolutely everybody. 58 00:02:35,200 --> 00:02:37,200 I saw Sunny arguing with someone. 59 00:02:38,400 --> 00:02:39,719 I got out the car 60 00:02:39,720 --> 00:02:42,000 and I realised someone's got a knife. 61 00:02:44,200 --> 00:02:45,279 I was really scared, 62 00:02:45,280 --> 00:02:47,119 thinking someone is gonna get killed, 63 00:02:47,120 --> 00:02:50,319 because there was more than one knife flying around. 64 00:02:50,320 --> 00:02:51,799 It was just chaos. 65 00:02:51,800 --> 00:02:53,359 SIRENS WAIL 66 00:02:53,360 --> 00:02:56,039 There was lights, sirens... 67 00:02:56,040 --> 00:02:59,280 It was like watching crime drama coming to life. 68 00:03:00,920 --> 00:03:02,560 I was absolutely terrified. 69 00:03:04,360 --> 00:03:07,239 This guy was just swinging his knife at absolutely anyone 70 00:03:07,240 --> 00:03:09,519 and he was chasing my brother so I shouted, 71 00:03:09,520 --> 00:03:12,160 and that's when he turned round and he tried to stab me. 72 00:03:13,240 --> 00:03:17,239 My brother came running and that's when my brother got stabbed. 73 00:03:17,240 --> 00:03:18,399 PHONE RINGS 74 00:03:18,400 --> 00:03:19,760 He jumped in to save me. 75 00:03:21,880 --> 00:03:23,400 Hello. Queen's Medical Centre. 76 00:03:26,240 --> 00:03:29,919 34-year-old Sunny is being rushed to Queen's Medical Centre 77 00:03:29,920 --> 00:03:32,399 with multiple stab wounds. 78 00:03:32,400 --> 00:03:34,799 Nurse Anne is on duty in resus. 79 00:03:34,800 --> 00:03:36,320 See you soon. Bye-bye. 80 00:03:37,320 --> 00:03:39,040 I'll put your standby out. Yeah. 81 00:03:40,520 --> 00:03:43,519 {\an8}Stabbings are difficult because you never kind 82 00:03:43,520 --> 00:03:46,159 {\an8}of know how severe that stabbing's gonna be 83 00:03:46,160 --> 00:03:48,400 till that patient physically arrives. 84 00:03:51,120 --> 00:03:52,440 It does put you on edge. 85 00:03:53,600 --> 00:03:56,599 You'd want to know how many stab wounds, 86 00:03:56,600 --> 00:03:59,360 where the stab wounds are. How much blood have they lost? 87 00:04:00,360 --> 00:04:02,920 It's internally you need to be concerned about. 88 00:04:04,000 --> 00:04:07,319 There's a lot of organs. Has it penetrated any of those? 89 00:04:07,320 --> 00:04:09,799 If it has, you could have a single stab wound 90 00:04:09,800 --> 00:04:10,920 that is life-threatening. 91 00:04:13,840 --> 00:04:16,319 OK, this is Sunny. He's 34 years of age. 92 00:04:16,320 --> 00:04:19,639 He's the victim of an assault with a bladed article, 93 00:04:19,640 --> 00:04:22,319 sustaining three wounds to the left posterior shoulder, 94 00:04:22,320 --> 00:04:23,959 all of about one inch in length. 95 00:04:23,960 --> 00:04:26,639 And he has one wound to the left upper quadrant, 96 00:04:26,640 --> 00:04:29,999 about one inch with no active bleeding. 97 00:04:30,000 --> 00:04:32,079 No other injuries identified. 98 00:04:32,080 --> 00:04:33,279 Treatment so far, 99 00:04:33,280 --> 00:04:36,399 2.5mg of morphine and 1g of paracetamol, 100 00:04:36,400 --> 00:04:37,999 and that is all. Any questions? 101 00:04:38,000 --> 00:04:39,680 Fella, pop your arms up in the air for us. 102 00:04:40,760 --> 00:04:42,679 Good, man. 103 00:04:42,680 --> 00:04:44,680 Can you lean forward for us as well? We'll have a look at your back. 104 00:04:47,920 --> 00:04:50,240 Fella, what have you been stabbed with? What sort of knife? 105 00:04:51,400 --> 00:04:52,800 Kitchen knife. Do you know how big it was? 106 00:04:54,360 --> 00:04:56,240 Straight edge or serrated edge? 107 00:04:57,360 --> 00:04:58,360 OK. 108 00:05:01,920 --> 00:05:03,599 Let's have a quick look at the bum as well. 109 00:05:03,600 --> 00:05:05,439 Just... We're pretty thorough, fella. 110 00:05:05,440 --> 00:05:07,159 Good, man. Lovely. 111 00:05:07,160 --> 00:05:08,359 Right, shall we take you for a scan? 112 00:05:08,360 --> 00:05:09,439 It's gonna look at the inside of you, 113 00:05:09,440 --> 00:05:11,279 basically from your neck down to your nads, 114 00:05:11,280 --> 00:05:14,319 and we'll see if you've got any injury going on in your tummy. 115 00:05:14,320 --> 00:05:15,559 You got any questions at all? 116 00:05:15,560 --> 00:05:16,919 No, no. Who's at home with you? 117 00:05:16,920 --> 00:05:18,360 Mum, brother, sister. 118 00:05:19,400 --> 00:05:21,400 It was horrible. Absolutely horrible. 119 00:05:22,520 --> 00:05:23,760 There was blood everywhere. 120 00:05:24,920 --> 00:05:26,040 The cuts were really deep. 121 00:05:29,280 --> 00:05:30,960 I don't know where this knife came from. 122 00:05:32,040 --> 00:05:36,079 He wouldn't get involved in knife crimes or things like that. 123 00:05:36,080 --> 00:05:37,520 Sunny, he's not like that. 124 00:05:50,200 --> 00:05:52,800 All right, so in your own time. 125 00:05:54,200 --> 00:05:58,319 34-year-old Sunny has been stabbed repeatedly. 126 00:05:58,320 --> 00:05:59,999 Hold on, mate. 127 00:06:00,000 --> 00:06:03,399 Doctors are carrying out an urgent CT scan 128 00:06:03,400 --> 00:06:05,680 to see if his internal organs are damaged. 129 00:06:06,960 --> 00:06:10,000 He was protecting his sister when he was attacked. 130 00:06:12,080 --> 00:06:14,079 Sunny is my younger brother. 131 00:06:14,080 --> 00:06:16,160 AUTOMATED VOICE: Breathe in and hold your breath. 132 00:06:17,760 --> 00:06:20,120 Everybody thinks he's older than me cos of the way he acts. 133 00:06:21,200 --> 00:06:22,319 He's always protective, 134 00:06:22,320 --> 00:06:24,519 so whether I went out anywhere, 135 00:06:24,520 --> 00:06:27,079 he'd be there protecting me. 136 00:06:27,080 --> 00:06:29,559 He'll tell everybody that this is my sister. 137 00:06:29,560 --> 00:06:30,560 Breathe. 138 00:06:31,800 --> 00:06:33,359 We used to hang out together, 139 00:06:33,360 --> 00:06:35,879 play together, had the same friends. 140 00:06:35,880 --> 00:06:37,160 We just did everything together. 141 00:06:39,720 --> 00:06:42,800 We've been quite lucky. We've had a really good upbringing. 142 00:06:44,160 --> 00:06:47,079 We are from a Sikh background. 143 00:06:47,080 --> 00:06:50,079 We were always told, "Stick together. 144 00:06:50,080 --> 00:06:53,519 "Anything happens, you have to be there for one another." 145 00:06:53,520 --> 00:06:55,959 I think that's always stuck by us. 146 00:06:55,960 --> 00:06:58,599 So we're gonna do that injection that I spoke about, OK? 147 00:06:58,600 --> 00:07:00,079 So you're gonna feel those sensations 148 00:07:00,080 --> 00:07:01,200 in a little bit, all right? 149 00:07:02,680 --> 00:07:03,839 When we were young, 150 00:07:03,840 --> 00:07:06,239 our parents were at work most of the time, 151 00:07:06,240 --> 00:07:08,480 but my dad used to always make time for us. 152 00:07:10,200 --> 00:07:11,320 He was such a good dad. 153 00:07:13,200 --> 00:07:15,120 He was always there. Always. 154 00:07:16,800 --> 00:07:19,719 All righty, we'll be done soon, OK? 155 00:07:19,720 --> 00:07:22,719 So we had a really happy childhood. 156 00:07:22,720 --> 00:07:25,399 We all had loads of good family moments, 157 00:07:25,400 --> 00:07:27,680 but we didn't know what was round the corner. 158 00:07:31,760 --> 00:07:34,799 So the doctor's gonna have a look at the pictures that we just done. 159 00:07:34,800 --> 00:07:36,960 Cool. You can bring your arms down. 160 00:07:39,920 --> 00:07:41,959 So he's got three - 161 00:07:41,960 --> 00:07:44,119 his left, posterior aspect of his left shoulder 162 00:07:44,120 --> 00:07:46,959 and one left upper quadrant. 163 00:07:46,960 --> 00:07:48,599 Will you have a closer look on your big screens 164 00:07:48,600 --> 00:07:50,280 and see if he's penetrated? 165 00:07:51,600 --> 00:07:53,159 A problem with stab victims is 166 00:07:53,160 --> 00:07:55,159 until you've got them back from CT scan, 167 00:07:55,160 --> 00:07:57,360 you don't know how bad that patient is. 168 00:07:58,480 --> 00:08:00,079 Righty, so if you feel up to it, 169 00:08:00,080 --> 00:08:02,399 you're gonna go across with your trolley. 170 00:08:02,400 --> 00:08:05,639 They could be sitting there quite happily, 171 00:08:05,640 --> 00:08:07,719 but they could dip at any point, 172 00:08:07,720 --> 00:08:09,960 so that... we always have to be on our guard. 173 00:08:21,400 --> 00:08:24,000 Is it paining you, duck? Yeah. 174 00:08:26,400 --> 00:08:29,000 It got stuck when I was playing around with it. 175 00:08:37,080 --> 00:08:39,159 I have actually been on my feet all day, 176 00:08:39,160 --> 00:08:41,760 so I might sit on one of them little chairs. 177 00:08:44,440 --> 00:08:46,040 THEY GASP 178 00:08:47,080 --> 00:08:49,879 Oh, my God, I'm so sorry. 179 00:08:49,880 --> 00:08:51,360 What is wrong with me? 180 00:08:52,760 --> 00:08:55,400 It doesn't help that your foot is massive! 181 00:08:57,640 --> 00:09:01,599 13-year-old Tyler has come to A&E with his mum Claire 182 00:09:01,600 --> 00:09:04,320 after injuring his ankle playing football at school. 183 00:09:06,920 --> 00:09:09,359 I reckon I broke three bones in my life, 184 00:09:09,360 --> 00:09:11,160 but I've only known about one of them. 185 00:09:12,720 --> 00:09:16,959 I've worked at Queen's Medical Centre seven years. 186 00:09:16,960 --> 00:09:20,479 You have to be a caring person, 187 00:09:20,480 --> 00:09:24,079 but patients are very different to family. 188 00:09:24,080 --> 00:09:26,239 Cos you didn't even have bruising, did you? 189 00:09:26,240 --> 00:09:27,399 I did have bruising. But a little. 190 00:09:27,400 --> 00:09:30,399 It instantly bruised. Yeah, a little bit. 191 00:09:30,400 --> 00:09:34,119 At home, I have no sympathy whatsoever. 192 00:09:34,120 --> 00:09:36,439 It's tough love, tough mum. 193 00:09:36,440 --> 00:09:38,679 I mean, does that look natural? 194 00:09:38,680 --> 00:09:40,760 Well... Look it from my perspective. 195 00:09:41,880 --> 00:09:43,599 If I liked children... 196 00:09:43,600 --> 00:09:46,759 CHUCKLES: ..I would have about ten of Tyler. 197 00:09:46,760 --> 00:09:50,399 He was so good. He's always been clever. 198 00:09:50,400 --> 00:09:54,839 But when he had his accident, instantly, I rolled my eyes. 199 00:09:54,840 --> 00:09:57,479 I thought... Cos he's a bit of a... 200 00:09:57,480 --> 00:09:58,839 ...wimp. 201 00:09:58,840 --> 00:10:01,399 Oh, God, yeah. Oh, God. 202 00:10:01,400 --> 00:10:05,799 Actually, that does look a lot bigger. 203 00:10:05,800 --> 00:10:07,559 But when I looked at his foot, 204 00:10:07,560 --> 00:10:09,999 I was a bit like, "Oh, he actually did do something," 205 00:10:10,000 --> 00:10:12,039 then I felt awful. 206 00:10:12,040 --> 00:10:13,080 Are you in pain? 207 00:10:14,480 --> 00:10:15,960 Tyler. Yeah. That's you. 208 00:10:17,200 --> 00:10:19,679 Do you not want to go on wheelchair? What did I say, 209 00:10:19,680 --> 00:10:22,119 with your knee? Bend it. Yeah, I keep forgetting. 210 00:10:22,120 --> 00:10:23,759 Also, we might have to go round to X-ray, 211 00:10:23,760 --> 00:10:25,919 and you ain't gonna be able to hop all the way there. No. 212 00:10:25,920 --> 00:10:28,879 Tyler, do you want to sit on the couch there, young man? 213 00:10:28,880 --> 00:10:30,919 All right, my name's Paul. 214 00:10:30,920 --> 00:10:32,559 I'm one of the nurse practitioners. 215 00:10:32,560 --> 00:10:34,079 What's happened to you, young man? 216 00:10:34,080 --> 00:10:35,719 So I was playing football. 217 00:10:35,720 --> 00:10:38,079 Uh, I was... I was running, 218 00:10:38,080 --> 00:10:40,439 someone, like, got the ball, but then 219 00:10:40,440 --> 00:10:42,759 their foot carried on and it went straight into my ankle. 220 00:10:42,760 --> 00:10:45,839 Right, so have you put any weight on it since this happened? 221 00:10:45,840 --> 00:10:47,919 No. No. Right, um, can you point 222 00:10:47,920 --> 00:10:50,199 for me where you're getting most of the pain? 223 00:10:50,200 --> 00:10:52,599 So is it on that... Probably like here. ..outside part? 224 00:10:52,600 --> 00:10:54,639 Yeah, I won't go straight for that bit. 225 00:10:54,640 --> 00:10:57,239 Now let's see. I'm glad I've got a mask on down here. I know! 226 00:10:57,240 --> 00:11:00,439 So any pain on this side? No. 227 00:11:00,440 --> 00:11:02,839 Any pain around the back here? Yeah. 228 00:11:02,840 --> 00:11:04,759 When you go... kind of go over on your ankle, 229 00:11:04,760 --> 00:11:06,639 sometimes when they go over with a bit of force, 230 00:11:06,640 --> 00:11:08,239 they can pull little bits of bone off, 231 00:11:08,240 --> 00:11:10,199 and that little bit of bone potentially 232 00:11:10,200 --> 00:11:12,600 could be at the back there. Yeah. 233 00:11:16,120 --> 00:11:20,159 I grew up in a place called Ilkeston, which is in Derbyshire. 234 00:11:20,160 --> 00:11:23,999 It was just a terraced house, but it just had everything in it. 235 00:11:24,000 --> 00:11:27,720 A sofa, a cooker, a bed - everything you need. 236 00:11:29,800 --> 00:11:33,000 There was me and my brother and my mum and my stepdad. 237 00:11:34,680 --> 00:11:37,639 We had such a great family. 238 00:11:37,640 --> 00:11:40,999 We used to have a caravan and we'd go on holidays 239 00:11:41,000 --> 00:11:43,199 to the Forest of Dean, 240 00:11:43,200 --> 00:11:45,839 then watch Gladiators and Blind Date 241 00:11:45,840 --> 00:11:47,639 on a Saturday evening. 242 00:11:47,640 --> 00:11:49,840 So really good memories. 243 00:11:51,080 --> 00:11:53,319 Just checking your circulation. 244 00:11:53,320 --> 00:11:56,359 My mum was absolutely amazing. 245 00:11:56,360 --> 00:11:58,399 She was always happy. 246 00:11:58,400 --> 00:12:01,399 She used to pick me up from school in a sports car, 247 00:12:01,400 --> 00:12:04,200 and I used to think I was something! 248 00:12:05,880 --> 00:12:08,799 My mum wasn't stuck-up or anything. She just... 249 00:12:08,800 --> 00:12:12,159 She worked hard for everything she had. 250 00:12:12,160 --> 00:12:16,319 She worked in the bar at East Midlands Airport. 251 00:12:16,320 --> 00:12:18,799 She was so tough and fiery. 252 00:12:18,800 --> 00:12:21,479 A bit like Peggy Mitchell, I suppose. 253 00:12:21,480 --> 00:12:24,080 SHE LAUGHS "Get out my pub!" 254 00:12:25,720 --> 00:12:27,559 I'm gonna send you round for an X-ray and we'll have a little look, 255 00:12:27,560 --> 00:12:28,760 see what's going on. 256 00:12:32,040 --> 00:12:34,879 She had a massive personality. 257 00:12:34,880 --> 00:12:37,999 I just remember her being there all the time. 258 00:12:38,000 --> 00:12:40,959 I'd just finished work as they rang me. 259 00:12:40,960 --> 00:12:43,759 You finished a bit early, then. Don't tell everyone. 260 00:12:43,760 --> 00:12:45,159 SHE CHUCKLES 261 00:12:45,160 --> 00:12:47,119 So pop to X-ray... Thank you. ...pop back, 262 00:12:47,120 --> 00:12:49,079 and I'll let you know once I've had a little look at your pictures. 263 00:12:49,080 --> 00:12:50,919 See you soon! 264 00:12:50,920 --> 00:12:52,599 When I was 15 years old, 265 00:12:52,600 --> 00:12:55,999 this one day, I went to school and my mum went 266 00:12:56,000 --> 00:12:59,159 for a coffee with one of her friends. 267 00:12:59,160 --> 00:13:02,239 I remember saying bye to my mum, 268 00:13:02,240 --> 00:13:05,039 not knowing she wouldn't be back for... 269 00:13:05,040 --> 00:13:06,040 ...a month. 270 00:13:20,920 --> 00:13:23,119 Do you want me to see anybody else? 271 00:13:23,120 --> 00:13:25,359 I think there's a new patient in bay 4, 272 00:13:25,360 --> 00:13:27,400 if you wouldn't mind seeing her, Roshni. 273 00:13:29,960 --> 00:13:32,239 RASPY COUGHING 274 00:13:32,240 --> 00:13:35,239 87-year-old Eunice is in resus 275 00:13:35,240 --> 00:13:37,480 after coughing up large amounts of blood. 276 00:13:38,880 --> 00:13:41,639 Doctors Chris and Roshni are on shift. 277 00:13:41,640 --> 00:13:43,599 Owen, did you get a handover for this lady? 278 00:13:43,600 --> 00:13:47,999 Yeah, the EMAS handed over that she's been vomiting blood. 279 00:13:48,000 --> 00:13:52,599 With us and from the patient, she says she's been coughing it up. 280 00:13:52,600 --> 00:13:55,119 OK. She said on Saturday, she didn't feel like herself. 281 00:13:55,120 --> 00:13:57,080 She felt quite funny, quite ill. 282 00:13:58,120 --> 00:14:00,999 Eunice, hello. I'm Roshni. I'm one of the doctors. 283 00:14:01,000 --> 00:14:02,679 Hello, Roshni. Hello. Nice to meet you. 284 00:14:02,680 --> 00:14:04,279 Nice to meet you as well. 285 00:14:04,280 --> 00:14:05,319 Just what my colleague's been 286 00:14:05,320 --> 00:14:08,759 telling me is that last few days, like two to three days, 287 00:14:08,760 --> 00:14:10,239 you've been coughing up some blood, 288 00:14:10,240 --> 00:14:12,239 and you said that every time you're coughing, 289 00:14:12,240 --> 00:14:14,759 it's about a half-cup full. It is, yes. 290 00:14:14,760 --> 00:14:17,319 And is it... is it just fresh red blood? 291 00:14:17,320 --> 00:14:18,799 It is, yes. OK. 292 00:14:18,800 --> 00:14:20,319 When a patient coughs up blood, 293 00:14:20,320 --> 00:14:23,200 you do sometimes have to do some detective work. 294 00:14:24,680 --> 00:14:27,760 There's many things that I tend to be thinking about. 295 00:14:28,960 --> 00:14:31,639 First one of those is infection. 296 00:14:31,640 --> 00:14:33,479 Just breathe normally for me. 297 00:14:33,480 --> 00:14:35,520 The second one is cancer. 298 00:14:36,840 --> 00:14:37,879 Are they coughing up blood 299 00:14:37,880 --> 00:14:39,960 because they're bleeding from a tumour in their lungs? 300 00:14:41,520 --> 00:14:44,719 And the third one would be a blood clot in their lungs. 301 00:14:44,720 --> 00:14:47,079 Are you all right to sit up for me? Yes, yes. 302 00:14:47,080 --> 00:14:49,279 Identifying and treating that 303 00:14:49,280 --> 00:14:53,079 as soon as you possibly can is essential. It's vital. 304 00:14:53,080 --> 00:14:55,279 Let us do the X-ray. Yeah. 305 00:14:55,280 --> 00:14:58,439 Hello, Eunice. Hello. I need to do your chest X-ray, OK? 306 00:14:58,440 --> 00:15:00,040 Yes, that's fine. Yes. 307 00:15:02,800 --> 00:15:04,719 She kept saying she doesn't want an ambulance. 308 00:15:04,720 --> 00:15:07,280 She told the doctor she doesn't want to go into hospital. 309 00:15:08,320 --> 00:15:11,159 And then she started deteriorating. 310 00:15:11,160 --> 00:15:14,959 So she got a neighbour round and they called for an ambulance. 311 00:15:14,960 --> 00:15:17,160 OK, Eunice, take a big breath in. 312 00:15:20,640 --> 00:15:22,600 The worry was horrendous. 313 00:15:25,800 --> 00:15:28,359 DR ROSHNI: I've had a look at your chest X-ray with my consultant. 314 00:15:28,360 --> 00:15:30,959 We're not sure of a few things on the X-ray, 315 00:15:30,960 --> 00:15:34,719 so we'll do a CT scan of your chest to rule out a clot, OK? 316 00:15:34,720 --> 00:15:36,599 Yes. Is that OK? Thanks very much. 317 00:15:36,600 --> 00:15:37,680 Yes. All right, no problem. 318 00:15:38,680 --> 00:15:44,880 A CT scan can identify infections, masses and tumours. 319 00:15:46,600 --> 00:15:51,159 It can identify blood clots that don't show up on an X-ray. 320 00:15:51,160 --> 00:15:52,519 How's Eunice on her feet? 321 00:15:52,520 --> 00:15:54,239 How are you on your feet, Eunice? 322 00:15:54,240 --> 00:15:56,399 I can get... 323 00:15:56,400 --> 00:15:58,559 Will you be able to shuff... Yes, yes, 324 00:15:58,560 --> 00:16:00,879 I can shuffle. ...or stand and then transfer, yeah? 325 00:16:00,880 --> 00:16:03,039 Yeah, I can stand down and... 326 00:16:03,040 --> 00:16:05,759 It's important to find out the source very quickly, 327 00:16:05,760 --> 00:16:07,559 because if you have a bleed 328 00:16:07,560 --> 00:16:11,479 that continues to bleed and doesn't stop, 329 00:16:11,480 --> 00:16:14,640 then your lungs fill up with blood and you drown. 330 00:16:15,640 --> 00:16:17,120 It's a horrific way to die. 331 00:16:20,720 --> 00:16:22,000 You want something to spit into? 332 00:16:26,720 --> 00:16:28,959 Can you get me a vomit bowl? Is she being sick? 333 00:16:28,960 --> 00:16:31,880 Yeah. Oh, that's not good! Yeah. 334 00:16:33,040 --> 00:16:34,200 Some fresh blood. 335 00:16:35,920 --> 00:16:38,600 Well done, darling. Get it all up, sweetheart. 336 00:16:53,120 --> 00:16:55,959 Eunice, can we just hold on to that bowl for you a minute 337 00:16:55,960 --> 00:16:59,559 so you can straighten this arm so I can check your blood pressure? 338 00:16:59,560 --> 00:17:00,999 It's all right. I've got the bowl, sweetheart. OK. 339 00:17:01,000 --> 00:17:02,879 If you can straighten this right arm for me. 340 00:17:02,880 --> 00:17:03,880 Well done. 341 00:17:05,080 --> 00:17:08,639 87-year-old Eunice is having a CT scan 342 00:17:08,640 --> 00:17:10,840 to determine why she is coughing up blood. 343 00:17:11,920 --> 00:17:14,159 All right, do you think it's all come up now, sweetheart? 344 00:17:14,160 --> 00:17:16,119 I think so, yes. Yeah? 345 00:17:16,120 --> 00:17:17,360 You've got a good cough. 346 00:17:19,400 --> 00:17:20,760 THEY CHUCKLE Oh, bless you. 347 00:17:22,520 --> 00:17:23,679 Just in case, Eunice, 348 00:17:23,680 --> 00:17:25,800 take that through with you as well. All right? 349 00:17:27,960 --> 00:17:31,120 We'll be on hand if you need to cough again, OK? OK. 350 00:17:37,360 --> 00:17:41,439 My mum was born just before the war in Sheffield. 351 00:17:41,440 --> 00:17:44,480 She would have been five years old when the war broke out. 352 00:17:47,240 --> 00:17:48,639 There was a lot of bombing, 353 00:17:48,640 --> 00:17:52,799 so my mum, her mum and her sister spent many nights 354 00:17:52,800 --> 00:17:53,999 in the Anderson shelter 355 00:17:54,000 --> 00:17:56,800 at the bottom of their garden on their own. 356 00:17:58,480 --> 00:18:00,080 It must have been very scary. 357 00:18:01,280 --> 00:18:02,959 OK, Eunice, gonna start the injection. 358 00:18:02,960 --> 00:18:04,800 You're gonna feel warm, OK? 359 00:18:07,280 --> 00:18:10,240 When my mum met my dad, she was 15 years old. 360 00:18:11,320 --> 00:18:15,240 They went on a blind date and they've been together ever since. 361 00:18:17,120 --> 00:18:19,959 They had a tandem when they first met, 362 00:18:19,960 --> 00:18:22,999 so they used to go and ride about on that. 363 00:18:23,000 --> 00:18:25,119 Then they got a motorbike. 364 00:18:25,120 --> 00:18:28,759 I can't see my mum on a motorbike, but they loved it that much 365 00:18:28,760 --> 00:18:30,799 they got a bigger motorbike, 366 00:18:30,800 --> 00:18:33,119 and they went to Scotland and they went to Devon. 367 00:18:33,120 --> 00:18:36,519 They went everywhere on this motorbike, Mum and Dad. 368 00:18:36,520 --> 00:18:40,399 And then Dad bought a motorbike and sidecar. 369 00:18:40,400 --> 00:18:43,280 Bit like Wallace and Gromit! SHE LAUGHS 370 00:18:46,640 --> 00:18:47,800 Hold your breath. 371 00:19:00,480 --> 00:19:01,640 Is that her heart? 372 00:19:03,480 --> 00:19:05,079 If you see the chambers of 373 00:19:05,080 --> 00:19:07,999 the heart being dilated on a CT scan, 374 00:19:08,000 --> 00:19:11,280 it's an indicator of a big blood clot. 375 00:19:13,720 --> 00:19:17,039 If you have a big enough blood clot in your lungs, 376 00:19:17,040 --> 00:19:20,760 that can cause part of your lung to essentially die off. 377 00:19:39,280 --> 00:19:41,399 Very briefly, what happened? 378 00:19:41,400 --> 00:19:44,919 Stanley knife. I could see it coming as well, 379 00:19:44,920 --> 00:19:48,639 and I was thinking to myself, "If this slips, it's going to..." 380 00:19:48,640 --> 00:19:51,599 And it went. So I don't know if there's any blade left 381 00:19:51,600 --> 00:19:53,679 in there cos I couldn't find the blade neither. 382 00:19:53,680 --> 00:19:54,680 Ah! 383 00:19:58,400 --> 00:19:59,920 Relax your hand and let... 384 00:20:03,200 --> 00:20:05,240 Agh! Agh! 385 00:20:08,880 --> 00:20:10,559 There we go. 386 00:20:10,560 --> 00:20:13,079 You're free, Kai. ALL: Hey! 387 00:20:13,080 --> 00:20:14,880 Thank you! Well done! 388 00:20:22,240 --> 00:20:24,959 Quick question. Yeah. What's your BP supposed to be? 389 00:20:24,960 --> 00:20:28,719 120/90. Yeah, is that...? That's your BP, yeah. 390 00:20:28,720 --> 00:20:32,879 So is that 120/90 good? Yeah. Yeah, it's pretty good. 391 00:20:32,880 --> 00:20:35,959 Doctors are awaiting Sunny's full CT report 392 00:20:35,960 --> 00:20:38,719 to see if there is any serious damage to his organs 393 00:20:38,720 --> 00:20:41,119 after he was stabbed four times. 394 00:20:41,120 --> 00:20:43,119 I think you're probably the nicest person I've ever met. 395 00:20:43,120 --> 00:20:45,159 I try to be. HE LAUGHS 396 00:20:45,160 --> 00:20:47,719 Why be miserable, moan and this and that? Just... 397 00:20:47,720 --> 00:20:50,000 I wish everyone was like you. THEY CHUCKLE 398 00:20:53,720 --> 00:20:55,959 Sunny, he's a really good brother. 399 00:20:55,960 --> 00:20:58,199 He is all about his family. 400 00:20:58,200 --> 00:20:59,880 Dad would have been very proud of him. 401 00:21:01,000 --> 00:21:03,120 Perfect. Good one. 36.5. 402 00:21:05,120 --> 00:21:07,960 Ten years ago, our family had a get-together. 403 00:21:08,960 --> 00:21:10,479 My cousins were down. 404 00:21:10,480 --> 00:21:13,279 We were all messing around and we ate together. 405 00:21:13,280 --> 00:21:14,640 Just a normal night. 406 00:21:17,760 --> 00:21:20,919 My nephew woke up. He wanted milk. 407 00:21:20,920 --> 00:21:23,239 So my mum got up... 408 00:21:23,240 --> 00:21:25,560 ...and she realised my dad wasn't moving. 409 00:21:28,960 --> 00:21:30,839 His heart stopped. 410 00:21:30,840 --> 00:21:32,280 He passed away in his sleep. 411 00:21:33,680 --> 00:21:34,880 It was a big shock to us. 412 00:21:39,840 --> 00:21:43,320 Sunny, he's the youngest, so it hit him quite hard. 413 00:21:49,840 --> 00:21:52,839 All right, mate, your scan looks good, OK? 414 00:21:52,840 --> 00:21:53,999 There's no injuries anywhere. 415 00:21:54,000 --> 00:21:56,199 We're just gonna have to have a look at the wounds and everything, 416 00:21:56,200 --> 00:21:59,039 see what needs closing and cleaning, all right? No problem. 417 00:21:59,040 --> 00:22:00,679 AMANDEEP: My dad would have been devastated 418 00:22:00,680 --> 00:22:02,320 to see his youngest get stabbed. 419 00:22:03,800 --> 00:22:05,839 Never would he ever thought something 420 00:22:05,840 --> 00:22:08,480 like this would have happened to one of our family members. 421 00:22:10,720 --> 00:22:13,840 You're not bleeding any more. They look good as well, looks clean. 422 00:22:14,920 --> 00:22:16,319 Let me just change. 423 00:22:16,320 --> 00:22:18,519 Yeah, just at the back. Just relax. 424 00:22:18,520 --> 00:22:20,159 It's just a really weird experience 425 00:22:20,160 --> 00:22:23,200 because you wouldn't think someone you knew would do this. 426 00:22:25,120 --> 00:22:27,840 But we know the person that stabbed Sunny. 427 00:22:31,000 --> 00:22:32,279 Fine, all right? 428 00:22:32,280 --> 00:22:33,560 That's the actual wound anyways. 429 00:22:35,000 --> 00:22:36,839 For this chap here... Yes. 430 00:22:36,840 --> 00:22:38,679 ...I think all the wounds look good, actually. 431 00:22:38,680 --> 00:22:41,359 Clean borders. Yeah, just clean and stitch. 432 00:22:41,360 --> 00:22:43,639 We've already got a plan. Anne's gonna do it. 433 00:22:43,640 --> 00:22:44,640 Oh, OK. 434 00:22:58,520 --> 00:23:00,719 Might be bleeding internally. 435 00:23:00,720 --> 00:23:01,720 Two. 436 00:23:03,120 --> 00:23:07,160 Last BP for him was hypertensive - 135/86. OK. 437 00:23:08,320 --> 00:23:10,960 How are you feeling? How are you feeling? 438 00:23:13,440 --> 00:23:14,440 Drowsy? 439 00:23:15,840 --> 00:23:18,719 OK, no worries. I'm just gonna tilt your trolley, OK? 440 00:23:18,720 --> 00:23:19,959 That's fine. 441 00:23:19,960 --> 00:23:21,959 A huge blood pressure drop 442 00:23:21,960 --> 00:23:25,319 is concerning because it could be blood loss. 443 00:23:25,320 --> 00:23:26,599 That's it. Good man. 444 00:23:26,600 --> 00:23:30,039 So it's important that we stabilise that blood pressure with fluids 445 00:23:30,040 --> 00:23:32,879 and blood products if needs to be. 446 00:23:32,880 --> 00:23:35,200 That gent here, he's dumped his blood pressure. 447 00:23:36,800 --> 00:23:39,519 {\an8}You need to find out why that blood pressure is low, 448 00:23:39,520 --> 00:23:42,320 {\an8}and we need to rectify that as quickly as we can. 449 00:23:56,080 --> 00:23:57,440 Hello, baby girl. 450 00:23:58,600 --> 00:23:59,920 Do you want to speak to Charlie? 451 00:24:02,680 --> 00:24:05,160 Is that your sister? Hiii. 452 00:24:07,600 --> 00:24:09,200 Don't want it to be broken. 453 00:24:12,920 --> 00:24:15,119 Got Tyler. Yeah. 454 00:24:15,120 --> 00:24:16,120 All set. 455 00:24:17,360 --> 00:24:19,719 Tyler's in hospital with his mum. 456 00:24:19,720 --> 00:24:23,000 He's having X-rays after injuring his foot playing football. 457 00:24:25,280 --> 00:24:28,679 Are you able to hop across onto the bed at all? Yeah? 458 00:24:28,680 --> 00:24:31,799 Lovely stuff. And we're doing your right ankle. 459 00:24:31,800 --> 00:24:34,399 Are you able to point your toes towards the ceiling for me? 460 00:24:34,400 --> 00:24:35,400 Lovely. 461 00:24:37,000 --> 00:24:38,799 When I was 15 years old, 462 00:24:38,800 --> 00:24:41,679 I went through such a tragedy with my mum. 463 00:24:41,680 --> 00:24:43,520 I'm just going to roll your knee in. 464 00:24:45,040 --> 00:24:47,919 She was with a friend for a coffee, 465 00:24:47,920 --> 00:24:48,959 and all of a sudden, 466 00:24:48,960 --> 00:24:50,519 she said she felt like someone 467 00:24:50,520 --> 00:24:52,640 had smashed her over her head with a baseball bat. 468 00:24:53,760 --> 00:24:56,440 And she was stumbling like she was drunk. 469 00:24:58,640 --> 00:25:01,599 She went to the hospital and... 470 00:25:01,600 --> 00:25:03,079 ...they did a scan and said, 471 00:25:03,080 --> 00:25:08,119 "You have got a double brain haemorrhage." 472 00:25:08,120 --> 00:25:10,959 OK, Tyler, are you able to turn over onto your side, 473 00:25:10,960 --> 00:25:13,279 so you're facing this wall over here? 474 00:25:13,280 --> 00:25:14,359 Lovely. 475 00:25:14,360 --> 00:25:16,959 She was 36 years old, 476 00:25:16,960 --> 00:25:19,200 but a brain haemorrhage can just happen. 477 00:25:21,280 --> 00:25:25,119 And it was the toughest times of my life and I was 15. 478 00:25:25,120 --> 00:25:28,480 And I don't often talk about it cos it makes me really sad. 479 00:25:30,680 --> 00:25:34,079 They tried to clip the haemorrhages, 480 00:25:34,080 --> 00:25:36,600 but it didn't work cos it was too deep. 481 00:25:38,080 --> 00:25:41,880 So she had a 9.5-hour operation. 482 00:25:44,200 --> 00:25:47,680 And she died five times on the operating theatre... 483 00:25:49,440 --> 00:25:51,440 ...cos it was such a tough procedure. 484 00:25:54,000 --> 00:25:58,599 I remember leaving the hospital, pulling up at home, 485 00:25:58,600 --> 00:26:01,479 and it was quiet and lonely in my house. 486 00:26:01,480 --> 00:26:04,119 My mum didn't have her programs on. 487 00:26:04,120 --> 00:26:06,759 She weren't out the back door having a fag. 488 00:26:06,760 --> 00:26:08,800 I felt empty, I felt lost. 489 00:26:11,240 --> 00:26:15,039 When she eventually came home, that's when it hit me 490 00:26:15,040 --> 00:26:19,920 that she wasn't the same person and she needed help. 491 00:26:21,000 --> 00:26:22,999 I had to help her get dressed 492 00:26:23,000 --> 00:26:24,560 and she couldn't even brush her hair. 493 00:26:26,120 --> 00:26:30,080 Then a massive brain operation, but I didn't understand. 494 00:26:31,800 --> 00:26:35,239 She was a stranger in my house. 495 00:26:35,240 --> 00:26:38,999 Right, Tyler, I'm gonna try one more, OK? 496 00:26:39,000 --> 00:26:40,959 So if you just bend your knee for me. 497 00:26:40,960 --> 00:26:44,319 I said to her, "I want my mum back." 498 00:26:44,320 --> 00:26:46,640 Yet she was right in front of me. 499 00:26:48,040 --> 00:26:53,560 I was grieving for the loss of the personality that is my mum. 500 00:27:00,120 --> 00:27:04,039 And within a couple of years, everything changed... 501 00:27:04,040 --> 00:27:06,959 ...because her relationship broke down as well, 502 00:27:06,960 --> 00:27:09,839 so then my family broke down. 503 00:27:09,840 --> 00:27:11,799 OK, Tyler, we're all done. 504 00:27:11,800 --> 00:27:14,639 So if you head back round to where you were. 505 00:27:14,640 --> 00:27:15,640 Lovely. 506 00:27:17,960 --> 00:27:21,240 I dropped out of school. I didn't care about my grades. 507 00:27:22,920 --> 00:27:27,119 I was so caught up on my home being broken, 508 00:27:27,120 --> 00:27:29,920 I didn't think anything was important any more. 509 00:27:33,720 --> 00:27:34,720 Thank you. 510 00:27:45,000 --> 00:27:46,959 EUNICE: You're going to string me up? 511 00:27:46,960 --> 00:27:49,519 I'm gonna put some more strings on now. 512 00:27:49,520 --> 00:27:52,359 Yeah, has Olivia told you we need to put another cannula in? 513 00:27:52,360 --> 00:27:53,879 Yeah. Yes, she did. Yeah. 514 00:27:53,880 --> 00:27:56,439 Blood clots in Eunice's lungs are causing her 515 00:27:56,440 --> 00:28:01,239 to cough up blood and her heart to dilate dangerously. 516 00:28:01,240 --> 00:28:03,959 Doctors are awaiting the full CT report 517 00:28:03,960 --> 00:28:06,879 to determine how best to treat her. 518 00:28:06,880 --> 00:28:09,079 Be a bit tight, all right? Yes, that's fine. 519 00:28:09,080 --> 00:28:12,280 Squeeze your hand. I'll take this off for a sec. Yeah. 520 00:28:15,040 --> 00:28:16,679 When we were growing up, 521 00:28:16,680 --> 00:28:20,000 my dad bought his own patterns and moulds business. 522 00:28:21,520 --> 00:28:25,039 He was away a lot trying to build the business up, 523 00:28:25,040 --> 00:28:27,480 so my mum really had to hold the fort together. 524 00:28:29,280 --> 00:28:31,599 Think mine must have faded with the years. 525 00:28:31,600 --> 00:28:32,600 THEY CHUCKLE 526 00:28:34,320 --> 00:28:36,360 My mum and dad were both hard-working. 527 00:28:37,920 --> 00:28:39,640 My mum actually worked for my dad. 528 00:28:42,840 --> 00:28:43,920 NURSE: Well done, Eunice. 529 00:28:46,520 --> 00:28:50,440 Dad ran the business and Mum got the house to keep as well. 530 00:28:53,440 --> 00:28:55,999 I don't really know how she coped. 531 00:28:56,000 --> 00:28:59,359 I'm sure there were times when it was a challenge for her, 532 00:28:59,360 --> 00:29:02,840 but we've all grown up well so she must have done a good job. 533 00:29:03,920 --> 00:29:06,240 So I'm just gonna move this. 534 00:29:10,600 --> 00:29:13,120 All right, we're just going to have a little changeover. 535 00:29:14,600 --> 00:29:17,760 After Mum and Dad retired, Dad got cancer. 536 00:29:19,720 --> 00:29:22,160 He had quite a long illness... 537 00:29:23,720 --> 00:29:25,160 ...so my mum nursed him. 538 00:29:26,440 --> 00:29:28,160 So she was with him when he passed away. 539 00:29:31,920 --> 00:29:35,600 I did see my mum cry obviously, but she was still quite strong. 540 00:29:37,040 --> 00:29:38,919 Do you want this behind your back, 541 00:29:38,920 --> 00:29:41,360 this blanket? Oh, please. Yeah. Yes, yes. 542 00:29:42,920 --> 00:29:44,599 She's never been a panicker. 543 00:29:44,600 --> 00:29:47,679 She just gets on with life. 544 00:29:47,680 --> 00:29:50,360 You know, doesn't complain, just gets on with it. 545 00:29:54,160 --> 00:29:57,720 Dr Chris has received Eunice's full CT report. 546 00:30:03,600 --> 00:30:07,159 Hello. How are you feeling? 547 00:30:07,160 --> 00:30:09,279 Oh, I feel fine, thank you. 548 00:30:09,280 --> 00:30:11,839 Now, um... 549 00:30:11,840 --> 00:30:14,079 So you've got clots on your lungs. 550 00:30:14,080 --> 00:30:17,759 Yes. OK, and they, like, block up the arteries. 551 00:30:17,760 --> 00:30:21,039 I see. And the pressure then builds back 552 00:30:21,040 --> 00:30:22,959 and it's putting pressure on your heart. 553 00:30:22,960 --> 00:30:25,839 I see. The important thing is to try 554 00:30:25,840 --> 00:30:28,879 to stop those clots getting any bigger. 555 00:30:28,880 --> 00:30:31,359 I see, yes. OK? OK. 556 00:30:31,360 --> 00:30:33,119 Because if they get bigger, 557 00:30:33,120 --> 00:30:34,759 then it could become life-threatening. 558 00:30:34,760 --> 00:30:37,679 Yes. I need to have a chat with you about 559 00:30:37,680 --> 00:30:39,679 what you... what you feel about 560 00:30:39,680 --> 00:30:42,359 what you would like if you were to get very, very sick. 561 00:30:42,360 --> 00:30:44,799 Yes, yes. 562 00:30:44,800 --> 00:30:46,359 Is that something that you've ever talked 563 00:30:46,360 --> 00:30:49,959 to anyone about before? Yes, many a time. Yes. 564 00:30:49,960 --> 00:30:53,039 I have talked it over with the children, 565 00:30:53,040 --> 00:30:56,679 and, uh, I don't want any, uh... 566 00:30:56,680 --> 00:30:58,919 ...uh, means of keeping me alive. 567 00:30:58,920 --> 00:30:59,960 Just let me go... 568 00:31:01,040 --> 00:31:03,599 ...uh, if it comes to that, you know? If it comes to that. Yeah. 569 00:31:03,600 --> 00:31:04,600 That's fine. Yes. 570 00:31:06,000 --> 00:31:07,959 So I'm going to complete 571 00:31:07,960 --> 00:31:09,639 what we call a do-not-resuscitate order. 572 00:31:09,640 --> 00:31:11,719 That's right, yes. 573 00:31:11,720 --> 00:31:15,239 But that doesn't mean that we're not gonna do our very best. 574 00:31:15,240 --> 00:31:17,879 Yes. OK? To get you well and get you home. 575 00:31:17,880 --> 00:31:20,040 Oh, that's kind. Thank you very much. 576 00:31:22,120 --> 00:31:24,279 As we are now, do you think 577 00:31:24,280 --> 00:31:27,039 that I'm on the danger list now? 578 00:31:27,040 --> 00:31:28,679 You know, do...? 579 00:31:28,680 --> 00:31:30,640 Could I go any time or...? 580 00:31:31,760 --> 00:31:34,279 You are poorly. Yes, yes. OK. 581 00:31:34,280 --> 00:31:37,679 I can't give you percentage odds. 582 00:31:37,680 --> 00:31:42,039 No, no. I'm very, very hopeful that you'll do well. 583 00:31:42,040 --> 00:31:43,839 Yes, yes. 584 00:31:43,840 --> 00:31:47,279 Um, but patients in your situation, 585 00:31:47,280 --> 00:31:50,039 things can get... you know, things get worse... 586 00:31:50,040 --> 00:31:52,879 Yes, yes. ...rather than better. Yes. 587 00:31:52,880 --> 00:31:56,759 When you're breaking bad news, it's never pleasant. 588 00:31:56,760 --> 00:31:58,759 But there is a... 589 00:31:58,760 --> 00:32:00,559 ...a satisfaction that you can take from it 590 00:32:00,560 --> 00:32:03,519 in doing it well and in making that horrible moment 591 00:32:03,520 --> 00:32:06,760 for somebody as least horrible as you can. 592 00:32:08,040 --> 00:32:09,119 The other doctor also said 593 00:32:09,120 --> 00:32:11,599 that you wanted us to give your son a call. Is that right? 594 00:32:11,600 --> 00:32:12,879 That's right, yes. 595 00:32:12,880 --> 00:32:15,719 {\an8}Do you want me to talk to him as I've been speaking to you? 596 00:32:15,720 --> 00:32:18,359 {\an8}Yes, if you wouldn't mind. OK. Yes, that would be nice. 597 00:32:18,360 --> 00:32:21,479 {\an8}Is there any particular message you'd like me to give him from you? 598 00:32:21,480 --> 00:32:25,079 {\an8}Just say that I'm not worried. They know me, 599 00:32:25,080 --> 00:32:27,719 {\an8}and I always look on the bright side anyway, so... 600 00:32:27,720 --> 00:32:31,160 Most people seem to be quite pragmatic and... 601 00:32:32,800 --> 00:32:34,200 ...take in what you say. 602 00:32:35,360 --> 00:32:38,759 Most people are quite calm, and I think a lot of the time that's 603 00:32:38,760 --> 00:32:42,839 because they're expecting to hear what you're telling them. 604 00:32:42,840 --> 00:32:45,839 Yes. It makes things easier and it makes 605 00:32:45,840 --> 00:32:48,679 the conversation more simple to have. 606 00:32:48,680 --> 00:32:52,199 But when you're having to have those conversations, 607 00:32:52,200 --> 00:32:56,119 if somebody is sweet and lovely, 608 00:32:56,120 --> 00:32:59,159 that does still make it harder for me sometimes. 609 00:32:59,160 --> 00:33:02,880 Why do all these horrible things happen to all these lovely people? 610 00:33:03,920 --> 00:33:06,919 Have we offered you any lunch yet? Not yet, no. 611 00:33:06,920 --> 00:33:07,999 No? No. It won't be long. 612 00:33:08,000 --> 00:33:09,319 OK. SHE CHUCKLES 613 00:33:09,320 --> 00:33:10,599 Are you ready for a cup of tea and a sandwich 614 00:33:10,600 --> 00:33:11,759 or something? I'm ready for a cup of tea. 615 00:33:11,760 --> 00:33:14,959 Definitely. Yes, please. Yes, that would be lovely. 616 00:33:14,960 --> 00:33:16,240 Good. Thank you. 617 00:33:32,880 --> 00:33:34,560 You all right? Feeling a bit woozy? 618 00:33:35,600 --> 00:33:38,880 It's OK. You want to recycle that blood pressure. 619 00:33:41,640 --> 00:33:43,519 You all right there? Stay with us, mate. 620 00:33:43,520 --> 00:33:44,840 I'm fine, I'm fine. Yeah. 621 00:33:46,000 --> 00:33:48,839 Sunny has multiple stab wounds. 622 00:33:48,840 --> 00:33:51,319 His blood pressure has dropped suddenly, 623 00:33:51,320 --> 00:33:54,400 and doctors are concerned he could be bleeding internally. 624 00:33:55,520 --> 00:33:56,879 Have you got fluids? Yeah. 625 00:33:56,880 --> 00:33:58,480 You want Hartmann's or normal saline? 626 00:33:59,600 --> 00:34:02,440 Hartmann's fine, yeah. Any crystalloid. 627 00:34:04,760 --> 00:34:07,319 His sister, who witnessed the stabbing, 628 00:34:07,320 --> 00:34:09,999 is at home waiting for news. 629 00:34:10,000 --> 00:34:11,679 PHONE RINGS 630 00:34:11,680 --> 00:34:13,120 Hello. Resus. 631 00:34:14,280 --> 00:34:15,999 Who's your brother? 632 00:34:16,000 --> 00:34:20,599 So he is stable. His scans have come back OK. 633 00:34:20,600 --> 00:34:24,079 His blood pressure dropped a little bit not too long ago, 634 00:34:24,080 --> 00:34:25,239 so we're just going to keep an eye 635 00:34:25,240 --> 00:34:27,799 on him for a little bit longer, then we'll give you a buzz. 636 00:34:27,800 --> 00:34:29,280 All right, cheers. Bye. 637 00:34:32,160 --> 00:34:33,599 Amandeep sends her love. 638 00:34:33,600 --> 00:34:35,559 I just let her know that, at the moment, 639 00:34:35,560 --> 00:34:37,159 we're keeping a bit more of a closer eye on you 640 00:34:37,160 --> 00:34:38,520 because your blood pressure dipped. 641 00:34:40,200 --> 00:34:41,479 The guy that stabbed my brother, 642 00:34:41,480 --> 00:34:43,600 he lives right round the corner from my family. 643 00:34:44,640 --> 00:34:45,960 He fights with everybody. 644 00:34:47,240 --> 00:34:49,080 He's got a criminal record. 645 00:34:50,480 --> 00:34:51,879 He's ready to be stitched. 646 00:34:51,880 --> 00:34:53,559 Should we move him out while you're doing that? 647 00:34:53,560 --> 00:34:54,679 Do you want to go across the other side? 648 00:34:54,680 --> 00:34:55,720 Yeah, whatever. Yeah. 649 00:34:57,120 --> 00:34:58,199 I think I was quite lucky 650 00:34:58,200 --> 00:35:00,759 that he missed cos he went to stab me twice. 651 00:35:00,760 --> 00:35:02,519 I don't know how he missed twice, 652 00:35:02,520 --> 00:35:05,479 but I think because there was more than one person there, 653 00:35:05,480 --> 00:35:08,159 he was a bit puzzled which direction to go, 654 00:35:08,160 --> 00:35:09,880 so he tried to swing for everybody. 655 00:35:11,120 --> 00:35:12,799 Right, we're gonna have a look at these wounds 656 00:35:12,800 --> 00:35:14,999 and get them sutured up. All right. 657 00:35:15,000 --> 00:35:16,160 Is it that side? Yeah. 658 00:35:18,240 --> 00:35:20,880 AMANDEEP: I wasn't surprised that he tried to protect me. 659 00:35:22,400 --> 00:35:25,000 So sharp scratch coming now. 660 00:35:28,640 --> 00:35:29,920 This is the way we're brought up. 661 00:35:31,200 --> 00:35:32,999 Family comes first always. 662 00:35:33,000 --> 00:35:34,999 Doesn't matter if you argue, fight, 663 00:35:35,000 --> 00:35:36,319 you know, you're not talking to each other, 664 00:35:36,320 --> 00:35:38,160 but you're always there for your family. Always. 665 00:35:43,280 --> 00:35:45,479 Right, do you want to roll over onto your side, then? 666 00:35:45,480 --> 00:35:48,040 We can have a look at... this one. 667 00:35:49,760 --> 00:35:52,799 What we see coming in the department... 668 00:35:52,800 --> 00:35:54,440 ...it does blow your mind sometimes. 669 00:35:56,320 --> 00:35:59,320 {\an8}I often think about, how can you do that to another person? 670 00:36:00,760 --> 00:36:03,680 Cos that stab wound could have killed that person. 671 00:36:04,720 --> 00:36:07,759 One, two, three, four, five... Seven. 672 00:36:07,760 --> 00:36:09,240 Seven and six. 673 00:36:10,920 --> 00:36:12,559 We're all individuals. 674 00:36:12,560 --> 00:36:15,440 We're all dealing with our own situations in life. 675 00:36:16,520 --> 00:36:19,120 All right, all sorted. Let me get rid of this rubbish. 676 00:36:20,640 --> 00:36:24,759 Every patient that comes through those doors has got a story to tell. 677 00:36:24,760 --> 00:36:25,879 That's it. 678 00:36:25,880 --> 00:36:28,199 I'll find out what's gonna happen now, OK? 679 00:36:28,200 --> 00:36:30,319 Whether they're gonna keep you in or... 680 00:36:30,320 --> 00:36:32,280 ...send you out. That's fine. Thank you. 681 00:36:44,200 --> 00:36:46,479 It's very busy today. Yes. 682 00:36:46,480 --> 00:36:48,200 Is it like that every day? Yeah. 683 00:36:49,640 --> 00:36:51,079 How am I gonna get to school? 684 00:36:51,080 --> 00:36:53,119 Well, it might not... It might be OK. 685 00:36:53,120 --> 00:36:55,919 I'm hoping it's gonna be. But if I can't walk on it... 686 00:36:55,920 --> 00:36:57,320 Come on, a week off school. 687 00:36:59,800 --> 00:37:02,319 Emergency nurse practitioner Paul 688 00:37:02,320 --> 00:37:04,720 now has the results of Tyler's X-rays. 689 00:37:05,880 --> 00:37:08,239 Tyler, we should bring you back in. Let's go. 690 00:37:08,240 --> 00:37:09,959 I'm just gonna hop in. There's no point. 691 00:37:09,960 --> 00:37:11,919 Oh, my gosh. Oh, he's gonna walk again. 692 00:37:11,920 --> 00:37:13,599 HE CHUCKLES 693 00:37:13,600 --> 00:37:16,159 Have a seat wherever you're comfortable, young man. 694 00:37:16,160 --> 00:37:17,679 Hello again, Claire. 695 00:37:17,680 --> 00:37:21,199 Right, then, so we've had a look at your X-rays. 696 00:37:21,200 --> 00:37:25,399 So just down there, can you see there's, like, a little step? 697 00:37:25,400 --> 00:37:26,879 Yeah. Yeah, it kind of... 698 00:37:26,880 --> 00:37:29,559 That should be, like, a nice smooth bit. Can you see it? 699 00:37:29,560 --> 00:37:31,199 Yeah. Can you see there's, like, a little...? 700 00:37:31,200 --> 00:37:34,479 So I'm suspicious that that is a fracture. 701 00:37:34,480 --> 00:37:36,839 You can see it there quite obviously. 702 00:37:36,840 --> 00:37:39,959 Why are you happy that you've got...? I get a week off school. 703 00:37:39,960 --> 00:37:42,919 No, you don't get a week off school. No, my mum said... 704 00:37:42,920 --> 00:37:44,719 No, maybe a day. Two days. 705 00:37:44,720 --> 00:37:47,519 There's nothing wrong with your hands or your brain... 706 00:37:47,520 --> 00:37:48,559 Yes, exactly. ..or your mouth. 707 00:37:48,560 --> 00:37:50,199 Yeah, but I can't get to lesson. 708 00:37:50,200 --> 00:37:51,439 We're gonna help you with that. 709 00:37:51,440 --> 00:37:54,119 Walking boot, crutches. Ooh! A walking boot. 710 00:37:54,120 --> 00:37:56,319 What size feet is he? Did you say he's 11? 711 00:37:56,320 --> 00:37:58,839 11. Oh, dear. I know! 712 00:37:58,840 --> 00:38:01,199 So you're gonna be a large boot. You might need to go to adult's. 713 00:38:01,200 --> 00:38:02,319 Right, won't be a second. 714 00:38:02,320 --> 00:38:03,400 Thank you. 715 00:38:08,040 --> 00:38:10,479 After my mum's brain operation, 716 00:38:10,480 --> 00:38:12,960 she eventually started to become better. 717 00:38:14,320 --> 00:38:17,640 Then when I had Tyler, she was just absolutely amazing... 718 00:38:19,040 --> 00:38:22,719 ...and our relationship got much better as well. 719 00:38:22,720 --> 00:38:25,519 She must be strong, 720 00:38:25,520 --> 00:38:29,279 because she ended up leasing a pub in Nottingham. 721 00:38:29,280 --> 00:38:32,199 That was her dream and she made it. 722 00:38:32,200 --> 00:38:33,960 She made her dream come true. 723 00:38:35,200 --> 00:38:39,679 She's still not fully my mum who I knew, 724 00:38:39,680 --> 00:38:42,519 but she really is an inspiration. 725 00:38:42,520 --> 00:38:46,879 All right, young man, just see if you can slide your heel back. 726 00:38:46,880 --> 00:38:51,719 Because of what happened, I appreciate life again now. 727 00:38:51,720 --> 00:38:53,639 That's why I pushed myself 728 00:38:53,640 --> 00:38:56,960 to go back to college to get qualifications... 729 00:38:58,520 --> 00:38:59,919 ...cos I thought I want to work 730 00:38:59,920 --> 00:39:03,679 at Queen's Medical Centre cos they saved my mum's life. 731 00:39:03,680 --> 00:39:05,679 Right, there you go. That's one walking boot. 732 00:39:05,680 --> 00:39:06,720 Thank you! 733 00:39:08,000 --> 00:39:10,559 Tyler, I can't tell you how many of them I've put on. 734 00:39:10,560 --> 00:39:12,599 Your mum's a professional. 735 00:39:12,600 --> 00:39:14,559 There you go. You'll get it. 736 00:39:14,560 --> 00:39:16,439 When I got the job, 737 00:39:16,440 --> 00:39:19,079 my mum was so proud of me. 738 00:39:19,080 --> 00:39:21,520 I was so happy, I cried. 739 00:39:23,520 --> 00:39:26,520 I'm right behind you, but please don't fall. 740 00:39:28,000 --> 00:39:30,919 It's gonna be painful when I'm at school. 741 00:39:30,920 --> 00:39:32,559 Right, listen... I'm all right, I'm all right. 742 00:39:32,560 --> 00:39:36,279 You're literally... I won't fall, I promise. ..giving me anxiety! 743 00:39:36,280 --> 00:39:38,200 I promise you, I won't fall. OK. 744 00:39:39,760 --> 00:39:43,879 I deal with situations at work... 745 00:39:43,880 --> 00:39:46,200 ...it brings back memories of my mum. 746 00:39:47,400 --> 00:39:50,400 And I always think of the family. 747 00:39:51,520 --> 00:39:55,879 And I'm lucky that I've got my mum and I'm lucky she's still here, 748 00:39:55,880 --> 00:39:58,399 and some people aren't that lucky. 749 00:39:58,400 --> 00:40:00,240 Ah! My leg. 750 00:40:01,400 --> 00:40:03,439 I can't wait to go home cos I'm chilling out. 751 00:40:03,440 --> 00:40:05,480 Take-away! Oh, yeah, please! 752 00:40:15,120 --> 00:40:17,439 We'll get this going through. 753 00:40:17,440 --> 00:40:19,199 Right. 754 00:40:19,200 --> 00:40:20,240 Here we go. 755 00:40:21,800 --> 00:40:24,159 Let's connect you up. OK. 756 00:40:24,160 --> 00:40:25,919 Doctors are treating Eunice 757 00:40:25,920 --> 00:40:28,999 for multiple blood clots in her lungs. 758 00:40:29,000 --> 00:40:32,239 So that's gonna take an hour to go through, Eunice. OK. 759 00:40:32,240 --> 00:40:33,599 Would you like some dinner? 760 00:40:33,600 --> 00:40:35,599 I'd love a cup of tea. A cup of tea? 761 00:40:35,600 --> 00:40:37,039 Do you have milk and sugar? 762 00:40:37,040 --> 00:40:39,359 Just a level one of sugar, please. 763 00:40:39,360 --> 00:40:42,279 Thank you. Right, a cup of tea, a level sugar and some milk. 764 00:40:42,280 --> 00:40:43,959 I think I can do that. 765 00:40:43,960 --> 00:40:46,200 That's lovely. Thank you. See you in a bit, sweetheart. 766 00:40:48,480 --> 00:40:49,520 Hi, is this Paul? 767 00:40:50,920 --> 00:40:54,479 Hi, my name's Chris and I'm one of the doctors in A&E at Queen's. 768 00:40:54,480 --> 00:40:56,439 I'm here with your mum Eunice, 769 00:40:56,440 --> 00:40:58,919 and she's asked me to give you a call. 770 00:40:58,920 --> 00:41:01,160 She's had some blood clots in her lung... 771 00:41:02,720 --> 00:41:05,599 ...and that's why she's coughing up blood. 772 00:41:05,600 --> 00:41:07,639 I hope very much that she's gonna do fine. 773 00:41:07,640 --> 00:41:10,279 She's asked me to have a chat with you about 774 00:41:10,280 --> 00:41:13,519 what would happen if it didn't go well. 775 00:41:13,520 --> 00:41:17,479 I've sat down and had a chat with her a few minutes ago, 776 00:41:17,480 --> 00:41:21,199 in which she said she wouldn't want to be kept alive 777 00:41:21,200 --> 00:41:24,560 or resuscitated if she were to get very sick. 778 00:41:26,080 --> 00:41:28,239 Now, I'm not saying this 779 00:41:28,240 --> 00:41:31,599 because I think that she's going to get worse, 780 00:41:31,600 --> 00:41:33,240 or I think that she's going to die... 781 00:41:34,680 --> 00:41:37,119 ...but she's a frail lady and this is a... 782 00:41:37,120 --> 00:41:39,839 ...you know, she is poorly, 783 00:41:39,840 --> 00:41:41,439 and this is a conversation 784 00:41:41,440 --> 00:41:43,520 better had now than at three in the morning. 785 00:41:45,520 --> 00:41:47,840 But I'm sorry... I'm sorry... I know it's upsetting. 786 00:41:49,880 --> 00:41:53,799 But she has good chances of coming out of this, 787 00:41:53,800 --> 00:41:56,120 of coming... of getting through the woods. Absolutely. 788 00:41:57,600 --> 00:42:00,839 {\an8}I always find it easier to have that conversation 789 00:42:00,840 --> 00:42:04,879 {\an8}with the family and the patient all together, 790 00:42:04,880 --> 00:42:09,119 if only because the patient then has their loved ones 791 00:42:09,120 --> 00:42:11,760 for support in a very stressful moment. 792 00:42:13,720 --> 00:42:17,040 Unfortunately, it's not possible all of the time. 793 00:42:18,960 --> 00:42:21,320 OK, all right. Bye-bye for now, Paul. 794 00:42:24,480 --> 00:42:26,679 He was in tears. Huh? He was in tears? 795 00:42:26,680 --> 00:42:27,760 He was in tears. 796 00:42:32,880 --> 00:42:37,039 Specialist medics have been called to resus to see Eunice. 797 00:42:37,040 --> 00:42:40,439 How are you doing? Oh, not so good apparently. 798 00:42:40,440 --> 00:42:45,239 I heard. I'm one of the senior medical registrars in the hospital. 799 00:42:45,240 --> 00:42:47,479 So the story I heard was 800 00:42:47,480 --> 00:42:50,319 that you were having blood coming whenever you were coughing. 801 00:42:50,320 --> 00:42:52,319 Yes. We are a little bit worried about it, 802 00:42:52,320 --> 00:42:54,479 I'll be honest about it. Yes. 803 00:42:54,480 --> 00:42:56,519 And that's why we want to take you to a place 804 00:42:56,520 --> 00:42:58,719 in our hospital called Level One. 805 00:42:58,720 --> 00:43:01,279 They have a continuous monitoring unit there. 806 00:43:01,280 --> 00:43:03,799 Yes, OK. Any questions for me, love? 807 00:43:03,800 --> 00:43:05,919 No, no, that sounds reasonable. 808 00:43:05,920 --> 00:43:09,759 Life expectancy is shorter by the minute obviously, 809 00:43:09,760 --> 00:43:12,119 but I'm resigned to that. Don't even think about those things. 810 00:43:12,120 --> 00:43:13,519 No, no. Look at the thing, 811 00:43:13,520 --> 00:43:16,279 that you're in a nice place with nice doctors and nice people. 812 00:43:16,280 --> 00:43:18,599 Oh, absolutely. Yes, you are. 813 00:43:18,600 --> 00:43:20,839 Thanks for explaining everything as well. 814 00:43:20,840 --> 00:43:22,479 No trouble. Take care of yourself, Eunice. 815 00:43:22,480 --> 00:43:24,879 Yes, I will. Thank you. Bye. 816 00:43:24,880 --> 00:43:25,880 Thank you. Bye-bye. 817 00:43:29,880 --> 00:43:31,959 My mum was always there for me. 818 00:43:31,960 --> 00:43:36,359 Hello, I'm gonna take you up with one of my colleagues, all right? 819 00:43:36,360 --> 00:43:37,679 Yes, OK. 820 00:43:37,680 --> 00:43:40,879 Eunice! Yes. You're leaving us? 821 00:43:40,880 --> 00:43:43,439 So I'm just told. I know! I'm sorry to go. 822 00:43:43,440 --> 00:43:46,239 Well, we'll miss you. I'll miss you too. 823 00:43:46,240 --> 00:43:47,959 SHE CHUCKLES 824 00:43:47,960 --> 00:43:51,639 I'd just like to be like her when I'm older. 825 00:43:51,640 --> 00:43:53,559 I'd like to have her spirit, 826 00:43:53,560 --> 00:43:55,799 and I'm sure it's in there somewhere. 827 00:43:55,800 --> 00:43:58,120 - I don't want to go. - Aw! SHE CHUCKLES 828 00:43:59,200 --> 00:44:00,400 She's a brave lady. 829 00:44:02,240 --> 00:44:04,200 I can't imagine life without my mum. 830 00:44:05,720 --> 00:44:08,079 OK, my darling, you look after yourself. 831 00:44:08,080 --> 00:44:10,720 Thank you. OK? Yeah, thanks for everything. 832 00:44:11,760 --> 00:44:13,280 Take care, Eunice. Thank you. 833 00:44:50,760 --> 00:44:52,679 You can't change things that have happened, 834 00:44:52,680 --> 00:44:54,080 so I try not to dwell on it. 835 00:44:57,240 --> 00:44:58,319 Most of the time 836 00:44:58,320 --> 00:44:59,999 you'll probably make someone else smile back at you, 837 00:45:00,000 --> 00:45:02,960 so why not always just look at positives in life? 838 00:45:14,680 --> 00:45:17,479 When I went to visit my mum on that first day, 839 00:45:17,480 --> 00:45:20,719 she says, "I know I'm dying." 840 00:45:20,720 --> 00:45:22,959 So she says, "I don't think I'm gonna make this one." 841 00:45:22,960 --> 00:45:25,239 She says, "But don't worry, love." 842 00:45:25,240 --> 00:45:27,959 She says, "I love you. I've had a good life. 843 00:45:27,960 --> 00:45:29,880 "You've looked after me so well." 844 00:45:39,240 --> 00:45:40,240 {\an8}Hello. 845 00:45:42,520 --> 00:45:45,600 {\an8}Hello, Linda. How are you, love? I'm all right. 846 00:45:48,880 --> 00:45:52,759 If I have any future or very much future, 847 00:45:52,760 --> 00:45:58,319 I hope that I can spend it with the family. 848 00:45:58,320 --> 00:46:02,320 There you go. Oh, look at those. Aren't they beautiful? 849 00:46:03,320 --> 00:46:06,519 My family is very important to me. 850 00:46:06,520 --> 00:46:08,640 I don't know what I'd do without them. 851 00:46:10,720 --> 00:46:13,760 On the whole, I've been very, very lucky in my life. 852 00:46:15,280 --> 00:46:17,360 Each day is a blessing to me. 853 00:46:46,280 --> 00:46:50,000 Subtitles by Red Bee Media