Status epilepticus is a life-threatening medical emergency where seizures persist for more than 30 minutes, requiring immediate intervention to prevent permanent brain damage or death; medical professionals must rapidly administer anti-seizure medications like diazepam and phenytoin, and if the patient remains unresponsive, an induced coma may be necessary to stop seizure activity and protect the brain from oxygen deprivation.
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Man Seizes 40 Minutes Needs Induced Coma at Kings | 24 Hours In A&E UK Season 05追加:
went from the bonnet found face down on the floor.
>> It's a stabbing cord.
>> 25 ft from a ladder onto his back. He's really unwell. I think anesthetics need to see him before he goes to theater.
>> Daffany. Die.
>> How's everybody then?
>> Chilling. [music] >> King's A. I'm going to help >> Kings College Hospital London.
>> I know it's annoying.
>> My head. One of the busiest A&E departments in the world.
>> I want top to toes, head, chest, abdomen.
>> A place where love, [music] >> life, and loss, >> don't bloody die. [music] >> I love you too much for you to die.
>> Unfold every single day.
All the patients [music] you're about to see were treated in just one 24-hour period.
>> Andie is always like a traffic jam. Can we get a trolley? You've got to realize that there's awful [music] things that can happen to you.
>> I'm so sorry.
>> Life is unpredictable. So, it's [music] important that your nearest and dearest know that you love them. You have to tell them that you love them.
>> You must get better and come back to me.
I don't want to lose you. Because there may come a time when you're not around to tell them.
[music] >> Obviously not tree extra strong.
>> Kit Kat. No.
>> No.
>> Come on. No. Mars. [music] No way.
Caramel I think has got to be a no.
[music] >> Why did we sit in front of the vending machine?
>> We could go by process of elimination.
>> Okay, that's a plan. So, we don't want >> We'll rule out the first three shelves and the bottom shelf.
>> Let's go from left to right.
>> I don't want any of nature's table.
Thank you tonight.
>> We got shoes on [music] though.
No, that's a lot.
>> No, I'll take my shoes off. Hang on.
>> Got loads of stuff on.
>> Put on 3 kg.
>> They're so bad. Cuz they're supposed to be like energy, aren't they? So, there must be so many calories.
>> No, that's the one with Ghana.
>> Yeah, but it's still called a >> boo. It's only 150 for half. 100. When anything's 100 calories, it doesn't count.
>> Shut up. You know that's a lie.
>> Yeah, but it's not really anything.
>> Cheers.
>> So, I'd be quite concerned about it.
Subar blood pressure is slightly up as well.
>> Dr. Ling has just started her 8our shift as one of the registars in the emergency department.
>> When you start that first day, your first job in any department and you're suddenly like, "Oh my god, I'm a doctor now. All these people's lives are in my hands.
>> If it was affecting the cerebellum that would cause dizziness or usually it's vertigo >> along with your other cerebellum sounds like your nice stagmas and disaster and unsteadiness and that's from your posterior circulation.
>> You kind of have this concern that yeah you might just be found out as being a complete fraud. What the hell are you doing? How can you be a doctor? What are you talking about? You're just this, you know, this little girl who doesn't have a clue about anything.
I need the the metal thing that [music] sticks it on, which I don't know where it is. Maybe that's something that a woman feels maybe more than a man as well. That kind of constant self-doubt.
You just have to draw back on the fact that actually, [music] you know, I've got nine years of experience. I do know what I'm doing.
Hello.
>> Hello. How can I help you?
>> Yep.
>> Okay.
>> Okay. Lovely. Thank you. Bye.
Okay. She has three 20 mls of desal for 20 minutes. [snorts] 27 minutes she said.
>> Okay, let me show you 5 minutes.
>> Adult red phone go 5 minutes. Adult red 5 minutes.
>> A 23year-old man is being brought to Kings after seizing uncontrollably for the last 30 minutes.
[music] He was found on the floor at home by his friend and housemate who has accompanied him [music] to hospital.
>> Have we got some more dasipam just in case?
>> Dipam. Yeah, >> it's likely we need fenito [music] in as well, but we get some dazipam first.
>> This is the second time the patient has been brought to recess in the past 2 weeks.
We lower it tidy mig at 45 stage of 23. He is known to have complex partial seizures. This seizure started at 17 minutes past. He's had a previous seizure today that lasted for 19 minutes self terminated. He's had a recent change of medication. We don't know what to, but he has had a spout of repeated complex partial seizures over the last 3 weeks.
>> Somebody who continues to fit and doesn't stop. Usually anything over half an hour, we will become very concerned.
>> And you've been going for how long now?
>> We're now looking at 41 minutes.
>> Okay. If someone's fishing, [music] they don't tend to be breathing. They clench their teeth. All of our cells in our body need oxygen to survive. So, if we don't have oxygen, they slowly will die off.
Brain damage is a concern. Um, we need to drop some phenotin.
>> So, there's a real pressure [music] to get on top of the situation quickly.
>> Can we give another 10 of her?
>> Also, their heart going into a funny rhythm and the worst case scenario even going into a a cardiac [music] arrest.
>> Yep. One gram.
>> Yes, please.
>> Yeah, if you can give that quickly.
Through your mind, you're running through all these different causes of it [music] and how you're going to investigate them. Is there any other medical problems? Do you know?
>> All we know.
>> Yeah, there's a bag of medication there on the side.
>> If they are a known epileptic, have they been taking their medication? So, he's on satellopram.
Definitely no OG or drugs or anything.
There's no in your mind, you know, [music] this patient's not responding. I need to do something now.
>> As he is unresponsive to [music] drugs, Ling has requested an anesthetist to put David into an induced coma.
>> Oh, okay. I can't answer it now. So, I thought it was anesthetics. I was just with someone who's fitting. All right, I just hand you on to someone. Okay.
Sorry. It's just I thought it was anesthetics.
>> Um >> Oh, hi there. Um, it's Ling here. I'm the Amy R. And I've got a 23-year-old who's in status and be fitting on half an hour now. Um, so I'm giving some dazzly, but he's probably going to need a tube.
As a doctor, you do live in this constant fear that you are going to make the wrong decision and there is going to be something bad that happens to somebody because this is not why you go into medicine, is it? You go into medicine to help people and to save lives [music] and to do the best for somebody.
>> Okay, he's giving a bit more Dan now.
>> You really do [music] think this is a person's life on my hands.
[music] It's been 40 minutes since 23-year-old care worker David was found having a seizure at home.
>> Right.
Not done very much, has it? Let's just try and get some more blood stuff and gas and stuff. So, let's just see where we're going.
>> He has failed to respond to drug treatment since arriving [music] at Kings. an anesthetist is on her way to put him into a medically induced coma.
>> When a a fit has been going on for a certain length of time and you've tried everything that you can try, then really the last stitch attempt is to um anesthetize somebody, put a tube down um and then you know that they're going to have to be on intensive care for a certain length of time and may have a prolonged recovery and it's possible that their their brain may not recover fully from that. Thank you very much.
>> As the seizure continues, Davey's [music] body is deprived of oxygen and the risk of permanent brain damage increases.
>> You got the arm, David.
>> It is, isn't it?
>> So, we're giving you around. Yeah.
>> David's friend and housemate Mike has accompanied him to Kings after finding [music] him having a seizure and calling 999.
I came into the living room and uh he'd already begun to have a seizure. It was really really violent. I'd seen quite a few seizures before. This was different.
The convulsions were more uh frequent than than usual. They they were just it [music] was relentless. Just went on and on and on.
When you're in a emergency ward and you actually see that actually no people coming in here are potentially going to die, this is this is a serious place.
That's scary. That's really scary.
The possibility of Dave me not leaving with Dave did did cross my mind.
>> What's What's the BM 5.8?
>> Okay.
>> People are >> dilated, aren't they?
>> Another drink.
No thank you. I'm sure tonight >> you got Listen, I told you already. Come here.
>> Your mom's packed you with all your goodies. Look, >> I want these ones.
>> This is the These are very healthy.
These are the healthy options. Look.
Come here.
>> These are healthy. 100% apple juice.
Good boy. Here you go. Up. Ready. Up.
That's it. Good boy. In it goes.
49year-old Susette and her grandson Aario have come to Kings after Susette was knocked over by a cyclist.
>> Zario and myself go anywhere at all.
We're so inseparable. You know, we really are.
>> I got apple juice.
>> Initially, I didn't want children. I must admit, I didn't want children at all. For my daughter came by sheer accident, I'm afraid to say I much prefer being a grandmother.
>> Wash your hands, please.
[laughter] >> Good. Can you please wash your hands, please?
>> Let's parents tell him that. And anyway, come on.
>> But having a grandson is like having a second child.
>> But with Zaryio, it's like double trouble.
>> Hi, cutie. Hey, >> wash your hands, peoples.
>> Aario. Aario, come here. They're adults.
They can read the sign.
>> I'm telling you to watch.
>> You're not their mommy. You're not their daddy. is >> my daughter came down from uni and I was taking her out for a meal in Batine. So I decided to take the Broly along with me. She had her headset and I put the music in my ears. We were standing at the bus stop and I was doing a dance and I said, "This is how you dance when you go out because you never go out anywhere. So I'm going to show you how to dance." And I pulled her towards me and she had this black jumper on and when I pulled her towards me, it just basically just [music] flicked back, opened up and I saw a tiny tiny little bump. N.
>> Yes, darling.
>> Come.
>> I want to play toys.
>> You want to play the toys?
>> Yeah.
>> Might as well.
>> And I said, I'm not going to pretend and lie to you. I'm very disappointed. And you know, you should have told me.
>> When I saw the actual scan and I saw it was a boy, you know, for the obvious reasons, I I cried. I think I cried. I think I cried on us. That's what we got on our body. And I just looked at my daughter and I just said, you know, this is going to be it's going to be all right. It's going to really be all right.
>> I'm back.
>> Are you 699?
>> Oh, hi. Yeah, I'm Ling. I spoke to you on the phone. Um, >> an anesthetist has arrived in recess to administer the drugs that will stop David's seizure but leave him unable to breathe without assistance. Seems to be on tegile and keer has complex partial seizures and has had them increasing in nature recently and today and has been sort of in this like odd sort of fashion for around 40 minutes. He's not really settling at the moment. So, I'm pretty sure he's going to need to Yeah.
>> People with reactive noise actually.
Okay.
>> Okay. That's good. Heart rate's actually pretty good considering.
>> Hello, David.
Nice for me, David.
>> Hello, David.
>> Okay. Is he settling?
>> He does.
>> What did you do?
>> The magic [music] wave in King's Hospital. You've been seizing for the last 24 hours. You've only just settled down.
>> You've got >> David's seizure has stopped moments before he is anized.
>> Hi there.
>> I'm Ling. I'm one of the doctors. Nice to meet you.
>> You're just in the hospital. Okay. You [music] just rest there.
All right.
>> I'm going to send him around for a [music] CT. Um cuz that was a long time to be in status for >> he's come around reasonably well considering he was out for a while.
>> Okay.
>> A CT scan will reveal whether there is a more sinister reason for David's prolonged seizure.
>> Okay. Thanks.
>> I'll leave you.
Good afternoon people to the miners area. Thank you >> Justinto Blanco.
>> Oh my god.
>> Now I'm sleeping. [ __ ] Can you wake up me?
See take care.
>> Motorbike couer Jasinto has come to Kings after being knocked off his bike.
Hello.
>> Hi there.
>> Wake up me, dog. You sleeping. [music] >> Come through.
>> Yeah.
>> When I was growing up, um, my family always used to joke that they thought I was probably like the least sympathetic, least kind of caring kind of person.
[laughter] And they wondered why I wanted to do medicine.
>> Yeah. No bed.
>> Come and have a seat for me.
>> Cheers.
>> My name's Claire. I'm one of the doctors. I'm sorry about the weight. I started working when I was 14 and I worked in um restaurants and then when I was old enough, bars and stuff. So I guess I've always worked in the kind of what you would describe as the service industry.
>> So tell me a bit about what's happened.
>> Yeah. And stopping the red light, big truck behind me and green one coming and I think he didn't see me and started driving.
>> Okay.
>> And press me in my back.
>> Okay. and uh fall off the floor and the And >> so the bike landed on your leg.
>> No, don't land. But I'm like supporting it.
>> Okay.
>> And it's like in the move and stopped.
>> I think there's probably a lot of uh similarities between your average pub customer and your average ANA attender >> for you. Do you think you can take these off so that I can examine you?
>> Yeah, I can.
>> Okay.
>> Yeah. After I first qualified and when I started my first job, I think every day I had that thought of, oh my god, I'm a doctor and there is some kind of responsibility.
>> Yeah, that's fine.
>> Fine. All right. Okay. So, whereabouts is it painful in here?
>> If I feel up here, it feels okay. Okay.
And it [music] feels okay around here?
>> Yeah, it's okay.
>> Is it more sore over here?
[clears throat] You know, little things like the first time someone asked me to prescribe paracetamol and I looked at the drug chart and I was like, I don't know how to prescribe it. I mean, I know how to take it. I know how much to take, but I don't know how I put it down on this chart so that someone else can do it. Feels okay here.
>> Yeah, just here.
>> Feels okay over here.
>> Okay.
>> Okay. If you bend it slightly for me if you push back, is it painful at all?
>> No click.
>> No. Okay. All right. It doesn't sound like the kind of mechanism that would do anything to bones, which is good. So, I don't think there's any need to do any X-rays. Okay.
>> Yeah. Yeah. No, >> no. I think it's probably just a little bit bruised and a little bit sore.
>> I have just 50 years old now. I don't have more like a crash crash every day.
No, >> injured every day. I'm not young anymore.
>> But that's fine.
>> Okay. Take care.
>> Thank you, daddy.
>> Okay. No problem.
So, is that your experiment going to be?
>> Yeah, those are the cream eggs and the cupcakes.
>> And there's a difference. [music] Best friends Seline and Maria have come to Kings after Seline cut her hand whilst deoning an avocado.
>> But I like your idea of having it >> flipping brands. If you've got a cream egg, you don't want to mix a cream egg and a mini egg.
>> Yeah, it's two very different flavors, isn't it?
>> I'm half Turkish. Maria's half Greek criate.
>> The Greek [music] criate Turkish thing was probably what why we got on in the first place. We both have really hairy arms, which I think is, you know, it's it's [music] nice to find a a kindred spirit in that sense. You used to hate it when you were younger, though.
>> Of course. And even Josh [music] is like, "Hey, you've got hairy arms."
Like, so he's like, "You should shave it." I was like, "Oh, am I going to shave it? Do you know how gross they'd grow back and how how white my arms would be? I look like a [ __ ] uncooked piece of chicken." We just met at school and then sort of [music] stayed in touch cuz we both then went to the same drama school for a year. [music] >> I think we were cast with like next to each other in a check off play. So it wasn't the most exciting first thing to go into and be like what are we doing?
Seline didn't live in London, so at weekends she'd often stay at my house or a friend's house so that you could just always hang out all the time because school wasn't enough. You had to spend every minute together. My My mom thinks she's getting uh shot.
>> Yeah. Early onset. She sort of was saying things, you know, when you can't find the word for something. I like, you need to keep your brain active. You need to She was like, "Yeah, I'll retake a break."
>> Oh, what? I'll retake a break.
I I'm not being funny, but they're not exactly the hardest mental challenges, are they?
>> Oh, it's hurting now.
[crying] 23-year-old David endured a 40minute epileptic seizure.
[music] He's being sent for a CT scan to check whether a new event [music] has occurred in his brain to trigger such a long seizure.
She wants to wait here, mate. She won't be allowed in bloody You all right? Rich idea, mate. All right.
>> Yeah.
They're just uh taking him up to have a CT scan now.
He's just unconscious having sleep.
Um yeah, it was a biggie though. It was a biggie. We're talking like 35 40 minutes. Like really bad.
>> All right. Got really trying to grab a bit.
>> I have now.
>> Okay. Ready, steady, slide.
>> Okay, they're just going to do a quick scan. Just lie down. We're just going to move you into a bit of a headrest.
>> I'll keep thanks for calling, mate.
Before I know, sorry. Sorry I messed it.
>> Yeah.
>> Yeah. See you, man. Bye-bye.
>> We've been friends for just over two years. close friends, just good friends.
When we started living together, it unfortunately coincided with a really, really bad time. And the seizures, the contrast between when Dave was having four or five a year and when when he now has four or five a day, it it's it night and day. It is it's so different. and he he was incredibly chirpy and and he's always been so energetic and almost sort of on the on the point of um brimming with energy >> now that they've really started [music] to to batter him down I think and he's he's really feeling >> [music] >> When you've read the literature on epilepsy and you know that when it goes on for over an hour that that's the danger zone, the main thing going through your head is, "Oh my god, I hope he doesn't die.
All right, mate. That's safe and sound.
Another friend of David's has arrived at Kings after hearing about his seizure.
>> Hi, Rich.
>> Sit down. I've been sitting down for about 4 hours.
>> Have you How long have you been here?
What time did you come in? It's >> weird. I can't remember. Um, it was 17 minutes past something that the that the seizure started.
I think it was 5 though. I think it was 20 past 5.
>> 25. Yeah. Essentially, >> to me, he hasn't had a consultation yet cuz he's been unconscious. So, >> David, open your eyes up for me a sec. [music] Need to shine torch in your eyes. Make sure your pupils are and the other one. Then I can leave you alone for a bit. There we are. That's all right.
>> Davis. David.
>> David.
>> [music] >> Now all my tights fit.
[music] I >> think she's stealing things.
I'm so hungry.
Oh, I got some fish cakes. I need to eat.
Put this a bit more around like that.
Getting cold. Got some fish cakes.
21-year-old history student Rory has been brought [music] to Kings by his best friend Nile after he injured his arm playing rugby.
>> Is it getting sore?
>> Yeah, I [music] can feel it on the shoulder now.
>> Doctor ask to get you some coding or some painkillers or something or just going to wait.
>> Get more laughing gas, man.
[laughter] >> I'm sorry, man. Like >> I don't I feel really >> I I feel bad about it.
>> Could the technician covering majors come to major call 2410? Thank you.
>> I think it was just a dodgy tackle, wasn't it? Really? Like I don't think it was a It wasn't like I'm not sure it was too hard either.
>> Hello. Oh, hello. Hello. All right.
Yeah. Where's your footing patient?
>> Yeah, there. Oh.
>> [music] >> It's >> so important to be there for somebody when they come around. I think >> hello. Hi.
>> Hello.
>> It's such an alien environment, very brightly lit and and lots of people running around and [music] saying things that you don't understand. It's nice to have someone there that makes you feel comfortable. It's [music] important and nothing makes them feel more comfortable than home. So, someone from home is a good thing to have. [music] >> Dave.
>> David.
Hello.
>> Sorry. Sorry.
>> What? What you done now?
>> Uh your hairstyles and >> it's all right.
>> Give your mom a little call. She's going to call you in the morning and see if you want her to come up.
>> [music] >> Hello.
[music] >> I think you're stronger than me, Aario.
>> Right.
>> Go this way. I don't think I can take it too far out. Aario, >> no. No, >> no, no. Because you're [music] going to the people who are well and we'll be in trouble.
>> Okay.
>> Can I push you?
>> Yeah, of course you can. I'm the invid.
>> I'll push you.
>> Yeah. Well, be careful. Now, listen.
Take your time and don't forget my foot's already [music] injured. Ready?
Straight.
>> No, I won't push you that way. Gunn and say, "Nanny, nanny, you know, when I get older, I'm going to look after you. I'm going to get a big car, nanny, and I'm going to drive you around and, you know, and I'm going to make sure you're all right, and I'm going to feed you, you know, [music] and I'm going to give you lots and lots of money.
>> You're going the wrong way."
>> No, he's strong. Trust [music] me, that way.
>> He's just turned four. That's it. He's the age of four. He's actually helped me to actually stay a lot younger. However, cuz I think I would have matured a lot faster, a lot quicker. [music] But having Aario, it's made me made me still stay like childlike.
>> Say say I'm just going to play tight.
[music] >> [music] >> Thank you.
>> Yeah.
>> Got it.
>> 99% of the time I do treat him as a little man, as a little grown man.
But in certain circumstances, I can see that he is a child.
>> Help.
>> Aar. Oh, could you let the little boy out? He's just trying to get out.
>> Please help.
Help.
>> Thank you.
>> Come, Zario.
>> Be careful, Zaryio. Now we're coming. I know we're in a hospital. Come. Thank you so much. Thank you. And whatever you do, don't go into my foot. Okay. I'm not.
>> Right. At least hope I'm not going to wait for the X-ray, darling. I've been here far too long now. All right. If you don't mind. Okay.
>> Okay.
>> I got run over.
>> Okay. My name's Claire.
>> Hi, Claire. Hi, Cla.
>> Bus stopped for me.
>> Yeah.
>> Before it got to lights and the >> and the cars stopped for me.
>> Yeah.
>> Went right sandwiched in between them.
>> Was a crazy guy on a bike here.
>> Okay.
>> The [music] cyclist went into your >> He went Yeah. His front wheel went into me foot, then he couldn't stop himself and then he went toppling onto me and I just >> Okay, that's fine. Yeah, you're right.
You don't need an X-ray.
>> I don't. But just >> miners is definitely a different kind of mindset to somewhere like major or recess. [music] But, you know, it's nice to be able to fix things quickly and to give, you know, to [music] to make an intervention and then for it to make a difference and then for you to be able to send the the patient home.
>> It's just, oh god, you can feel the bone. Oh, right there. It's right on the bone and that's all I've got is bone.
>> Nit sore here.
>> It's just right here. Here. None sore.
>> Yeah. Yeah. It's just I told you it's just like it's just cuz I've been knocked.
>> Okay.
>> I ain't been knocked in donkeys years.
>> Not in that way, but you know, knocked in.
>> Good. And you're not allergic to anything?
>> Yeah. Men, [laughter] >> anything any medication for that?
>> It's quite nice, you know, just to be able to say, you know, no, it's okay.
And for the person to feel better because you've said it's okay. Best thing is take your painkillers regularly. When you get home, some ice will help. So something wrapped in a tea towel. Brilliant. And just stick it there. Thank you so much. Sorry for wasting everybody's time.
>> No, no problem. Not at all. It's better to get checked out.
>> Right then. Let's give them their stuff.
Then they can get Thank you so much.
>> All right. No problem.
>> Bye.
>> Are you getting out tonight?
>> Don't think so. Might, but got a presentation to do tomorrow.
>> Yeah. You see that that the teacher we saw as we were walking down the stairs.
>> Yeah.
>> I volunteered for a presentation for him yesterday.
>> Oh, I was on >> um reasons against Nejo's involvement in Kos.
>> Against it?
>> Yeah.
>> And what and what all those reasons?
>> I don't know. I have no idea. [panting] >> Can we get a housekeeper to read eight, please?
>> All right. Sick.
>> No, Maria. They're going to put She's going to inject my fingers [music] and then stitch.
>> I don't feel it.
>> Yeah, but I can't. That's so cool. She love to have stitches.
>> You're like a superhero.
Friends in times of need can be [music] sometimes even better than partners and definitely better than family because I think you can be you're at your most vulnerable around say your loved ones and your family and you [music] I know I can react in sort of a you get annoyed at them and you irritated and you wish they weren't there. Flip the bird. I can't really I can >> for some reason it's okay to do that to your family. [laughter] But with a friend, especially like girlfriends, you're always there's you've got your own relationship and I think it's nicer in those situations. [music] The finger. We'll do both sides of finger. It's going to sting a little bit when it goes in.
>> Okay.
>> All right.
>> Okay. Well done.
>> Good job. Now we just need to wait 5 minutes for that to work. She's really good at gauging what sort of mood someone's in. There'd be so many times when I'd walk into the flat and I'd be in a horrible mood, like really, really bad, [music] but she's not the kind of person that takes that personally and kind of, you know, tries to be a bit passive aggressive or kind of pushes you to talk about something. [music] She's always the first person to just kind of go, "Well, do we go to the pub? Do you want to have a drink? Or do you [music] want to have a cookie?"
>> Well, that's actually really strange cuz I can feel it tugging. I can feel it tugging, but it's nice and numb. [music] >> Yeah.
>> Oh, just thank you for making it not hurt.
>> There's the [music] drama queen element about it. Not that she is a drama queen, but yes and no. And so some, you know, to be more not highly strong, but highly strong, then I can be the one that's like, nah, calm down is fine. Hey, >> I think I should do it actually. You just put just [music] put two in.
>> True.
>> Yeah.
>> Well done, soldier. Opposites do attract and we go well together.
>> We're good.
>> Thank you very much.
>> Take care.
>> Oh yeah, it goes out that way.
>> Thanks.
>> Um, >> okay. Bye.
Me you. [laughter] [music] Um, right.
[snorts] >> Did you use cold spray as well as I usually just go?
>> Yeah.
>> And yeah, [clears throat] exactly. And then, you know, it was one of those ones that are isn't that satisfying. Anyway, >> I've known CLA >> for just really this past year that I've been working at Kings.
>> So, after all that, there's not that much. But, you know, sometimes it can be really Yeah, definitely. I've done those and you're just like, "Oh, is there any blood? There's no part." [laughter] >> We're both half Chinese. We've both got um fathers who are GPS. We actually went to the same university and [music] we've got the same mutual friends.
>> Relationships with people that you work with are definitely important.
>> Turns out um it I don't remember it so it didn't happen. If you form good friendships [music] with people you work with, it's always really nice because, you know, you can talk about things more. Um, you can vent and it also spares your poor other half or a p other person who maybe doesn't understand um, exactly what you're going through at that particular point from having their, you know, ear chewed off by you every evening.
>> I'm basically stitching someone's finger >> and my hands are going [laughter] like that. I think we're quite similar sort of characters, a little bit kind [music] of hyperactive and like to talk quite quickly and get over excited by things.
>> Y finished my paperwork nearly forever.
That's brilliant. Excellent. Well done.
Y >> you certainly have to be a problem solver if you want to do medicine. My father, he was always really keen to get us thinking about different problems and and outside the box.
And every Christmas, we'd get puzzle books of mazes and various problems within it that we had to solve. A lot of people ask me about doing medicine and say, "Oh, like you must be really clever. Oh, you must be really good at science." And I always say no to both of those questions because uh to me it's an art. And in medicine, I don't think there are any black and white answers to be honest. [music] Oh, he looks so cool and sleepy. I want to shave weird words into his beard.
He'll love that.
>> I got in the bus. I was like, "Oh, I didn't get his toothbrush. Oh, I didn't get this. I didn't get that." And I was like, "It's like his toothbrush when he wakes up."
>> Teeth clean.
>> Yeah.
>> David's friends, Richard and Mike, are waiting for the results of his CT scan.
>> He's got trying to be polite to his mom.
We use words like episode and seizure and she all right love you can see >> she's such a straight >> she's great like that [music] [music] >> why do I stand by him to do otherwise would be horrendous that would be I would that that would that's an evil person's path that is [music] he's a friend and he's he's he's ill go A quarter of an hour city wakes up. Say hello. [music] >> Thanks for coming out, man. I appreciate it.
>> Yeah. Not at all.
>> I know. I know you would. I know you would anyway, obviously. But >> it's default setting.
>> Yeah. So, [music] I remember once I took him somewhere and well, it was like 5:00 in the morning or something by the time we were talking to someone and I didn't have a clue what they were about. Like, does that mean he's all right or all I want to know is can he still walk, doctor?
>> How long has he got?
Oh, 80 years max. No, >> I wanted his Nintendo.
>> [snorts] >> got to stay by him. That's the [music] That's the point. [laughter] If we don't have that, what do we have?
[gasps] [music] >> Come on, Zarya. Come on, darling. Come.
P >> SE hasn't broken [music] any bones after her collision with a cyclist, >> but will need to rest at home.
>> Take care. Bye-bye.
>> Take care. Bye.
>> Bye. Bye, Zoe. Bye.
>> Bye.
>> Bye, everybody. Take care all.
>> Bye. A boys.
>> Bye.
>> See you soon.
>> Press the button.
>> If anything was to happen to me, then [music] I I know that it would. He's only four, but it's like I'm his whole world and he's mine.
>> That means Danny will be just in time to get a bus. We have such a bond, such a strong bond.
>> Oh yeah, that's their moves out there.
>> I'm not putting any pressure on him. I said, Zario, every morning you wake up, say, I want to be a genius.
And every morning from that day, this was a few months ago, he said, I want to be a genius.
>> I want to be a doctor.
>> You want to be a [music] doctor?
>> I make people better.
>> He says he wants to be a paramedic. He's always said that. I hope that he does follow his dream, you know, because as I said, he's a helper. He's a giver and he's very loving.
[music] >> David, David, David.
>> Okay, I'll let him sleep a bit longer, but the test, all the tests so far have been fine. Um, but we are going to keep him in overnight just to observe, check he's okay. So, obviously if you want to go, that's fine cuz he might be here for a while waiting for him to wake up.
>> David, open your eyes up.
>> David.
David. [music] The initial results of David's CT scan show no bleeds or other new symptoms that could explain his long seizure.
He'll be closely monitored until he's fully conscious.
How we feeling, pretty boy?
>> He's always been here.
>> How we doing?
But on my way [laughter] to start.
[music] >> Um, I'm leaving at 12, so I'm just looking for small things to do. Do you want me to put a put a line on him?
>> Would you? It's amazing. [laughter] You won overnight?
>> No, I'm finishing at 12:00. So, I just wanted to do, you know, couple of small things for >> a survey.
>> I guess you always know more more than you think and inside you're still the same person that qualified, you know, [music] 7 8 9 years ago and you don't necessarily feel that you've progressed from there. So, you're always slightly surprised that people, you know, are turning to you for advice or that, you know, they need you [music] to to to step up. I think everyone has that kind of feeling, don't they? I've done my paperwork. I finished Yeah. sorting it out. Yeah. No.
>> Have I this year?
>> Forever.
>> No. Forever. If I've had a difficult day at work now, I will try and kind of [music] go for a drink with a friend, another medical friend, and we'll sort of talk about what we've seen, what we've done, and offer opinions.
And I guess, yeah, it's just encouraging [music] to know that someone else in your same situation would would make the same choices. you got the email from Claire that we're going for drinks [music] tomorrow evening.
>> If you don't kind of examine yourself and think about what it is that you know or what you don't [music] know, then I think that you're not, you know, you're not a very good doctor. If you get to the point where nothing throws you or nothing surprises you, then you've probably been doing it too long.
>> [music] >> Whenever I cut an avocado, [laughter] it's funny. It's really just what goes through. And I guess I do remind her of that.
>> You text me the other day, didn't you?
>> Yeah. You >> text me saying, "Oh, every time I cut an avocado, I think of you.
[music] >> [music] >> He reassures me, you know, 100% of the time. You're going to be fine, nanny, and you're not getting old. You know, you're not getting old, nanny. And he tell everybody how old I am. My nanny's 49 and she's going to be 50 soon.
There you go. Let's go.
>> [music] >> So, I was in a pub and um I [music] was attempting to chat up this girl and I went into a seizure um and the ambulance came and had to [music] give me rectal dasopam in the middle of the pub um to get me out of the seizure um which was incredibly embarrassing especially as I'm semi-aware during my seizures. So, I knew exactly what was going on, which was not which was not cool at [music] all.
>> I'm sorry to date you again.
>> I I did get a number. [laughter] >> [music]
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