77-Year-Old's Heart Rate Plunged to Just Six Beats a Minute | 24 Hours in A&E Season 8 Episode 18

[00:00:04]Nobody wakes up in the morning thinking, "I'm going to get away and eat today."

[00:00:10]Nobody knows. Nobody knows who it's going to be.

[00:00:12]>> Pediatric trauma call 15 minutes.

[00:00:18]>> Code red. Heli-pad response.

[00:00:21]>> You're having a heart attack.

[00:00:25]>> We want to be in and out of scan in the next 10 minutes.

[00:00:28]>> I can't feel any pulse.

[00:00:32]>> A&E reception, can I help you?

[00:00:34]>> Yeah, [music] 24 hours, 7 days a week.

[00:00:36]>> I love that question. What's your opening hours?

[00:00:39]>> St. [music] George's, London, one of the busiest and most advanced A&E [music] departments in the world.

[00:00:46]>> Beautiful.

[00:00:47]It's as if we've done it before.

[00:00:49]>> We are there when awful things happen to pick up the pieces.

[00:00:53]>> We have a 12-year-old who's kicked by a horse.

[00:00:56]>> We see the unpredictableness of what happens in life and we're suddenly having to explain why it's gone wrong.

[00:01:02]>> I can't feel my left leg.

[00:01:03]>> You'll be okay.

[00:01:06]>> A place where [music] life >> A&E selfie.

[00:01:10]>> Don't be long. Too slow.

[00:01:12]>> [screaming] >> love >> Such a big boy. So proud of you.

[00:01:16]>> and loss >> I'm still here.

[00:01:20]>> unfold every single day.

[00:01:23]>> So, we don't shake hands at this [music] hospital. We fist bump. Can I have a fist bump?

[00:01:29]>> All the patients you're about to see were treated in just one 24-hour period.

[00:01:35]>> Hello, darling.

[00:01:38]>> You genuinely do see the best of people in this job.

[00:01:42]You see >> [music] >> strangers rushing to the aid of someone they've never met.

[00:01:47]You just see things that make you realize just how important people in your life are and the people around you are.

[00:02:04]>> [music] >> Be careful, I'm fragile.

[00:02:11]Oh mom.

[00:02:12]Oh mom, this is a nightmare. This is [laughter] not as I I did not expect.

[00:02:17]>> You crack me right up, you do.

[00:02:21]You're boring, aren't you?

[00:02:24]>> [cough] >> My machine needs to see a doctor, wouldn't it? But Today, 16-year-old Jack has come to St. [music] George's for work experience.

[00:02:41]>> I organized my work experience 9-10 weeks [music] in advance, way before my friends.

[00:02:48]Don't want to be in a job where I sit there and I'm like, "Oh, this is dull."

[00:02:53]Fixing people and mending them is a really interesting job.

[00:02:57]I actually wanted to find the consultant I was meant to be shadowing and just follow him, see all the different things. I wanted to dive straight in.

[00:03:08]>> Morning.

[00:03:10]I heard the C-word.

[00:03:13]C-word?

[00:03:13]>> Yeah.

[00:03:14]>> Consultant.

[00:03:15]>> All right.

[00:03:15]>> say who's the consultant today.

[00:03:17]>> I thought you shortened it to >> What C-word were you thinking of?

[00:03:22]>> Senior consultant, Will, is in charge of resus today.

[00:03:26]He'll also be mentoring work experience student, Jack.

[00:03:29]>> [music] >> I do envy young people starting off in this career, but I suppose it's it's in a bizarre way cuz I know what's coming for them.

[00:03:40]They are going to start medical school and have that day that they become a doctor, which is, you know, really proud day, and all the good work that they're going to do for the years to come.

[00:03:51]But it's not a glamorous job.

[00:03:56]>> Morning.

[00:04:11]>> Nice to meet you, doctor.

[00:04:15]>> Yeah.

[00:04:17]>> A lot of the work experience students that we see >> Yeah.

[00:04:22]>> they are very naive to major trauma, to significant illness.

[00:04:26]Can be terrifying. It can be emotionally challenging.

[00:04:31]>> Yeah.

[00:04:32]>> They wouldn't have seen people in that state ever before.

[00:04:36]>> Okay, thank you.

[00:04:37]Bye.

[00:04:44]>> A 77-year-old man has collapsed at home.

[00:04:48]>> Adult medical priority [music] 6 minutes.

[00:04:55]>> This is the most valuable experience you can get on the front line, as it were.

[00:05:02]>> [music] >> Collapsed four times, twice at home, twice in the ambulance with an LOC of a minute with the ambulance and vomiting.

[00:05:08]>> The heart is not >> Yeah, it's a bit weird. Temperature's [music] low.

[00:05:20]>> Sometimes I kind of question whether I could be a doctor.

[00:05:24]Am I ready to see how serious it is?

[00:05:35]>> We've got some oxygen.

[00:05:37]>> Collapsed while I sitting on a sofa.

[00:05:39]>> Okay.

[00:05:39]>> He was unconscious for less than a minute.

[00:05:41]>> Yeah.

[00:05:41]>> Eyes wide open.

[00:05:43]Uh he had three episodes of collapsing between July and September last year.

[00:05:47]He had brain scan, he had everything.

[00:05:49]>> They couldn't find anything.

[00:05:51]>> They couldn't find anything.

[00:05:54]>> Wife Margaret accompanied Martin to A&E in the ambulance.

[00:06:00]>> We got up at 8:00 in the morning.

[00:06:02]And he went down to get a newspaper.

[00:06:05]He came back and he said to me, "I [music] don't quite feel right." So, I said, "What what what do you mean you don't feel quite right?" He said, "I don't know."

[00:06:15]And when I came back with the tea, he'd passed he'd he'd passed out.

[00:06:23]And I just tapped him on the side of the face.

[00:06:27]And his eyes were wide open.

[00:06:29]And his mouth was wide open. The first thing I thought of, had he died?

[00:06:37]>> Did he go very pale? Did he just >> He looked very pale. He was limp and then went all rigid for minutes. They put him on the on the sofa. He was all rigid for minutes. Then he doesn't remember if anything.

[00:06:49]>> It's hard, isn't it?

[00:06:50]>> Yeah.

[00:06:53]>> Martin had good health.

[00:06:55]That's why it was a complete shock when he just started blacking out.

[00:07:04]He had three at home.

[00:07:07]One at night time, one in the kitchen, and one sitting on the chair.

[00:07:11]And he had all the I think all the tests that were available.

[00:07:18]And they all showed up nothing. Which which was frightening.

[00:07:25]But how do you do you feel any better, though?

[00:07:27]Than what you did this morning?

[00:07:30]>> A little bit better.

[00:07:33]>> He's had two holters. He's had this.

[00:07:35]He's going for his dopamine stress echo on Wednesday.

[00:07:40]>> Doctors must carry out tests to find out what is causing Martin's seizures.

[00:07:52]>> [bell] [music] >> What?

[00:08:06]What?

[00:08:08]It's my dad.

[00:08:10]Huh?

[00:08:13]Huh?

[00:08:15]What?

[00:08:20]What?

[00:08:26]>> [bell] >> Nurse.

[00:08:31]Nurse.

[00:08:32]Nurse.

[00:08:36]Can I get some help in here, doc?

[00:08:39]Hello.

[00:08:42]>> So >> Can I get some help in here, please?

[00:08:50]Hello.

[00:09:04]>> 77-year-old Martin has just suffered a seizure in A&E.

[00:09:13]It's now the fifth such incident he's had in the last few months.

[00:09:17]>> He's had a brain scan. He's had a heart scan. He's had two 24-hour monitors on his heart. They've all come up with nothing.

[00:09:31]>> It's just when you have pale, uncon- unconscious, I mean, yeah, dead dead.

[00:09:36]>> 16-year-old Jack is in resource today on work experience and witnessed [music] the seizure.

[00:09:42]>> I felt death before, as in through family dying and but I'd never seen death.

[00:09:49]But if I do become a doctor, I'd have to come to grips with what that's like.

[00:09:57]>> Hopefully we'll know more in a couple of hours when we have all the results.

[00:10:01]Yeah?

[00:10:03]>> I'll come in the team.

[00:10:04]>> Yeah, yeah.

[00:10:05]>> Martin grew up in Ireland before moving to London where he met wife Margaret.

[00:10:12]>> Both of us worked in factories.

[00:10:15]He lodged in a house which was about three streets away from me.

[00:10:26]I used to go to work with this lady. We used to walk across Putney Bridge into Fulham.

[00:10:32]And I remember saying, "Oh, we saw that man yesterday."

[00:10:37]So she said, "Did we?" I said, "Yeah. I said I'm sure we did."

[00:10:47]And a couple of days later I said, "It's that man again."

[00:10:52]I said, "You know, ooh, he looks a bit of all right."

[00:10:57]>> [music] >> He passed us and he just looked across and I just said, "Morning." He said, "Good morning.

[00:11:06]>> [music] >> Nice day."

[00:11:09]That's basically how it started. And then one day he just said to me, "Would I I like to go to the pictures?" And I said, "Well, nothing else to do, so I might as well."

[00:11:25]>> Do you remember when he first kissed you?

[00:11:26]>> I don't remember.

[00:11:29]First couple of nights I think he shook my hands and I thought that was rather odd.

[00:11:33]People don't shake hands, but he did.

[00:11:36]>> [laughter] [music] >> What was he like?

[00:11:44]>> What was he like?

[00:11:46]Very patient.

[00:11:48]Very kind, [music] very understanding.

[00:11:53]He was my best friend.

[00:11:55]>> [music] [music] >> Are you allergic [music] to anything, Salila?

[00:12:12]>> Spiders.

[00:12:13]>> It's spiders.

[00:12:14]>> No, I do want a tarantula.

[00:12:17]>> You're scared of spiders, but you want a tarantula?

[00:12:20]>> I'm only scared of little ones, but I like big ones.

[00:12:24]>> You're crazy. I do not like spiders whatsoever.

[00:12:33]>> Move away. Move away.

[00:12:35]Move away.

[00:12:36]I'm older than you.

[00:12:37]>> Respect your elders.

[00:12:39]>> You're only six. I'm eight.

[00:12:43]I hope you're going to wipe that up.

[00:12:46]>> [laughter] >> I don't want to get told [music] off.

[00:12:49]>> I don't tell girls off.

[00:12:51]>> That's it. We got to stick together, don't we?

[00:12:53]>> Yeah.

[00:12:55]>> [music] >> Kelly has been a pediatric nurse for the last 3 years.

[00:13:00]>> I said to my mom, I was like, I want to do midwifery cuz I like children.

[00:13:03][music] And she said, "You don't really deal with children if you do midwifery. You deal with babies, and not even babies, just the moms." And then my mom was like, "Why don't you do nursing?" And I can remember it cuz she was sitting on the computer and I was sitting on the floor and then I was just like, "Yeah, I'll do children's nursing."

[00:13:20]>> And my way on my scooter, I fell off and blood was dripping.

[00:13:25]>> Fine. Now we can take the plaster off, but let me do that, shall we?

[00:13:27]>> No.

[00:13:28]>> Okay. Okay, we'll be careful. You're being very brave.

[00:13:31]>> Kelly's next patient of the day is 6-year-old Lily.

[00:13:35]She's come to A&E after falling off her scooter.

[00:13:38]>> I've got to put this squiggly stuff on your head. Is that okay?

[00:13:42]Good.

[00:13:44]Oh.

[00:13:45]>> Ow.

[00:13:46]>> Sorry. Sorry. Sorry.

[00:13:48]You've got a bit of a cut on there, haven't you?

[00:13:52]>> What are the pitfalls of working with children?

[00:13:55]>> When you want them to cooperate, they will not cooperate. Right. You're as wiggly as a worm. Will you stay still, missus?

[00:14:03]>> Is there ice in it?

[00:14:04]>> You can sometimes feel that your job is partly clown >> [music] >> and jester as well to try and make them laugh and distract them.

[00:14:12]How old do you think I am?

[00:14:14]>> 28.

[00:14:15]>> What?

[00:14:17]>> 29?

[00:14:18]>> What?

[00:14:20]All right, this is going up. I'm not happy with this.

[00:14:22]>> 21?

[00:14:23]>> [music] >> Yes, I am 21.

[00:14:25]I am.

[00:14:27]Something that you think will last 5 minutes can sometimes last hours.

[00:14:32]>> Yeah.

[00:14:34]>> Kelly must wait for the anesthetic gel [music] to take effect before Lily's wound can be stitched.

[00:14:40]>> Did you say [music] I look 18?

[00:14:42]>> Yep.

[00:14:43]>> She's my best friend.

[00:14:45]You're not my best friend. She said I look 28.

[00:14:48]>> You look 128.

[00:14:49]>> 128. She's charming, isn't it?

[00:14:52]>> A million.

[00:14:53]>> A million years old. I look like a fossil.

[00:14:57]>> Yeah.

[00:15:12]>> Hello, St. George's.

[00:15:19]Yeah, medical or trauma?

[00:15:20]Yeah.

[00:15:23]Yeah.

[00:15:26]>> [music] >> Yeah.

[00:15:27]Check your blood pressure.

[00:15:34]>> An 83-year-old man has collapsed whilst out shopping.

[00:15:39]>> Yeah.

[00:15:40]>> I think a lot of doctors do emergency medicine because we can make a difference there and then. We have to make decisions.

[00:15:47]>> Okay, in 5 minutes. Lovely. Thank you.

[00:15:49]Bye-bye.

[00:15:51]>> Some patients we can [music] make a very big difference to their life or death.

[00:15:56]Being able to relieve somebody of their difficulty of breathing. Being able to take somebody out [music] of pain.

[00:16:02]>> Adult medical priority, 5 minutes.

[00:16:05]>> That's the bit [music] that we get the reward from.

[00:16:12]>> [music] >> Paramedics on the scene report the man is having emphysema and now complaining of chest pains and dizziness.

[00:16:25]>> [music] >> Hello, [music] my name's Helen. I'm one of the doctors.

[00:16:42]>> So, Harry, 83-year-old, he's had a sudden onset of breathlessness. He's got a slight wheeze, more so on the right-hand side.

[00:16:51]Um he's really tight. He's seeing quite congested as well.

[00:16:54]>> Okay. Thanks.

[00:16:54]>> That's pretty much it.

[00:16:55]>> Have you ever been like this before with your breathing?

[00:16:58]>> Sometimes I have, yeah.

[00:17:00]>> What were you doing at the time?

[00:17:02]>> Nothing really. Just walking.

[00:17:04]>> And any pains in your chest?

[00:17:06]>> Yeah.

[00:17:06]>> There.

[00:17:07]>> It feels like someone's got a belt round me.

[00:17:10]>> Right. You allergic to anything?

[00:17:12]>> Yes, I'm allergic to penicillin.

[00:17:14]>> Okay.

[00:17:15]>> Nuts.

[00:17:16]>> Yeah.

[00:17:17]>> And women.

[00:17:19]>> Well, you're not going to be doing too well in here.

[00:17:22]And do you have any help at home?

[00:17:23]>> No, love.

[00:17:24]>> Do you need any help at home?

[00:17:26]>> I'm an independent old bugger.

[00:17:28]>> Good.

[00:17:29]We like those. [music] >> Harry has been widowed for 35 years, but has weekly visits from his niece and next of kin, Karen.

[00:17:40]>> He's a comedian. He's always mucking about. Everybody knows him. Everyone knows Uncle Harry, everybody does.

[00:17:46]He likes to make people laugh.

[00:17:48]>> Tell me, do you [music] smoke?

[00:17:50]>> No, I don't.

[00:17:50]>> No. Did you used to?

[00:17:52]>> I haven't smoked now for over 30 odd years.

[00:17:54]>> Oh, wow. Well done, you.

[00:17:55]>> I don't drink. [music] I don't smoke.

[00:17:58]I won't say what I was going to say.

[00:18:01]>> I'll be right back, okay?

[00:18:05]>> I think they just always see him as a smiley man. Can't ever remember Uncle Harry being down, being miserable or anything like that.

[00:18:13]>> Hi there, sir. I'm just one of the work experience students. Do you mind if I come in and watch?

[00:18:17]>> No, come in, mate.

[00:18:20]>> I'm just going to slip this off, okay?

[00:18:23]>> How many children have you got then?

[00:18:26]>> Children? I haven't got any.

[00:18:29]>> You're not married?

[00:18:30]>> No.

[00:18:33]>> Free and easy, I should say.

[00:18:35]>> I wouldn't say that, but >> Free as a bird, I mean, you know.

[00:18:39]>> Oh, well, I have got a boyfriend, but waiting for him to pop the question.

[00:18:44]>> Ah.

[00:18:46]I popped the question to my missus 3 months after I met her.

[00:18:51]>> Did you?

[00:18:53]Aw.

[00:18:55]>> That's 1970.

[00:18:57]>> Okay.

[00:18:58]>> Yeah. We there, Bernard. I said to her, I said, uh "How do you feel about getting married?"

[00:19:05]She said, "Yes."

[00:19:07]>> Aw.

[00:19:09]They were just always at the side of each other. You wouldn't see Auntie [music] Dot over here and Uncle Harry over there. They were there together.

[00:19:16]Really like [music] just together. They did enjoy having fun.

[00:19:22]They used to love country and western music. So, they'd all get dressed up.

[00:19:26]He'd have his [music] jeans and his shirt with these little metal bits on his collar and his little tie [music] and his cowboy hat thing. They'd all go off and do line dancing and which, you know, they all really, really enjoyed.

[00:19:42]>> [snorts] >> Hello.

[00:19:43]>> Hello.

[00:19:44]>> Just had my lunch.

[00:19:46]>> You got your lunch?

[00:19:46]>> Yeah, that's why I left you.

[00:19:48]>> God.

[00:19:49]>> I know, a bit cheeky, aren't I?

[00:19:50]>> Well, you didn't ask me for our one, did you? Did she?

[00:19:52]>> Yeah, do you want to put that one on?

[00:20:01]>> My niece.

[00:20:02]>> Yeah? [snorts] >> It's my next of kin, love.

[00:20:06]>> Oh, okay.

[00:20:07]>> Yeah.

[00:20:09]That's her phone number.

[00:20:11]>> I'll give him a call in a second, Harry, all right?

[00:20:15]>> He looks like he's on fire.

[00:20:18]>> I know, you're smoking away, aren't you?

[00:20:27]>> Now he's slowing down.

[00:20:28]>> He's turning around his neck. Have you Have you Have you Have you seen the ones that have Whatever it is you stimulate the carotid sinus?

[00:20:34]>> Early investigations suggest 77-year-old Martin's seizures could be caused by an underlying cardiac issue.

[00:20:42]Doctors are keeping him under close observation.

[00:20:46]>> It's just cuz of sinus sinus arrhythmia.

[00:20:48]So, well, no, sinus arrhythmia.

[00:20:57]>> When I first met him, I was 21.

[00:21:04]We were ordinary people. We never had much money.

[00:21:08]>> [music] >> When we got married, it was very hard to [music] pay the rent.

[00:21:16]The rent was £5.

[00:21:22]We bought a bed.

[00:21:23]And there was two wardrobes that the other people left behind.

[00:21:28]And that's all we had.

[00:21:34]But I found somebody that I loved.

[00:21:38]I suppose I knew he would always look after me.

[00:21:42]And as much as I could, I would look after him.

[00:21:48]There's not much more you can hope for.

[00:22:03]>> And they're going off again, are you?

[00:22:05]Stay with me.

[00:22:07]No. No.

[00:22:11]>> Is that how he looks when he does when that happens?

[00:22:13]>> Yeah.

[00:22:15]Yes, his eyes are always open and his mouth.

[00:22:18]>> It's like that and then he's just gone.

[00:22:20]>> And then he's gone.

[00:22:21]>> Everything's okay, my love. You just had a little bit of a funny turn, okay?

[00:22:25]Yeah.

[00:22:28]Just now, my love.

[00:22:30]Yeah, you just decided to drift off and I was a little bit.

[00:22:36]>> We would now have caught that [music] on our monitor.

[00:22:40]So so that that's a strip that's 10 seconds.

[00:22:43]It's one heartbeat in 10 seconds, which makes him having a heartbeat of six.

[00:22:49]And at the end of the day >> [laughter] >> that man had a heart rate of six, you know, which is dead.

[00:22:55]You know, that that's not compatible with life. So he did basically just die.

[00:23:07]>> [music] >> How do you stay cheerful with all this lot?

[00:23:22]You don't you?

[00:23:23]We're not the poorly ones.

[00:23:26]>> [laughter] >> Brilliant. [music] That's what mother said, yeah.

[00:23:54]I honestly don't think that many people who are thinking to do medicine see how difficult it is going to be.

[00:24:00]>> You ready? Deep breath.

[00:24:03]>> [screaming] >> 26-year-old Marilena has been brought to A&E after dislocating her shoulder.

[00:24:10][music] >> [screaming] >> Observing is 16-year-old Jack [music] on work experience.

[00:24:19]>> I don't think there's any point coming and having that experience dumbed down.

[00:24:29]>> Maybe that emergency medicine is not [music] for them or even medicine is not for them, but it is important that they see what we do. They certainly get an experience.

[00:24:39][music] >> So, Marilena.

[00:24:42]>> Yes.

[00:24:43]>> Now, we're going to help you, okay?

[00:24:45]>> Please, I I literally can't feel it.

[00:24:49]>> OKAY, WE'RE GOING TO HELP YOU, OKAY?

[00:25:08]>> Did you do work experience?

[00:25:09]>> [music] >> Yes.

[00:25:12]Uh I was a porter for 2 weeks at the uh at our local hospital in Nottingham.

[00:25:19]Uh I didn't get a porter's uniform. They just gave me a white coat.

[00:25:23]So, I was immediately just nicknamed Doc. Uh and I spent 2 weeks uh with uh with the porters at at the hospital doing doing the stuff around the hospital.

[00:25:34]Being called Doc.

[00:25:37]And I experienced things that I'd never experienced before.

[00:25:42]I think it was the first time I came across a dead body.

[00:25:45]>> [music] >> Um and I was probably 16, 17 years old.

[00:25:50]I do remember that.

[00:25:53]>> Was it a good experience in a way?

[00:25:55]>> Well, I don't think it was a It wasn't a bad experience. I wouldn't have said it was an enjoyable experience.

[00:26:01]You know, it's one of those hurdles that I suppose you've just got to get over.

[00:26:05]Um I presumed, you know, as a doctor I'm going to be doing that anyway, so I may as well experience that now.

[00:26:11]>> [music] >> And I think that's what experience is what it's all about is, you know, it is going to do see things that you've [music] not done before.

[00:26:19]>> So, how are you going to relocate his shoulder?

[00:26:22]>> Uh with some heavy duty sedation and there's different maneuvers we can do.

[00:26:28]>> Okay, Marley. Uh right, we're going to do this, all right? Just think of Imagine you're somewhere nice.

[00:26:35]All right, I'm holding your hand. Okay?

[00:26:40]>> OH, NO. NO.

[00:26:43]NO. [screaming] STOP.

[00:26:46]STOP.

[00:26:46]>> IT'S OKAY. OKAY, all right. We'll give you some more.

[00:26:54]>> I sort of know how her pain. I've broken my arm before. I know what she's going through.

[00:26:58]I fell out of a tree when I was 11 trying to get get a conker. It was the biggest conker I'd ever seen.

[00:27:04]Climbed up the tree and I edged along the branch and as I reached for the conker I heard this almighty crack. And lastly, next thing I knew I was stood up my arm was in a Z shape. It was a pretty [music] traumatic experience.

[00:27:18]>> Just relax. Just relax.

[00:27:20]Just relax. Just relax.

[00:27:24]>> In a weird way I felt her pain as in I felt like really really wanted to help but I couldn't do anything.

[00:27:34]>> All done.

[00:27:36]Marlena, hello.

[00:27:40]Marlena, open your eyes. Hello.

[00:27:42]All done.

[00:27:44]Okay?

[00:27:46]Yeah?

[00:27:48]You just relax.

[00:27:53]>> The fact that people are in pain affects me more than I was expecting.

[00:27:58]Being a doctor could be quite hard.

[00:28:18]>> What's that? The cheese?

[00:28:20]>> My fingers smell so much.

[00:28:21]>> Ooh, a bishop's finger.

[00:28:24]>> Get some Get some crackers with that.

[00:28:26]Get some crackers out and grab it.

[00:28:30]>> Thank you.

[00:28:31]Here we go.

[00:28:34]>> All right. So, you're going to get prime spot.

[00:28:38]>> Oh. Huh, I got a big one.

[00:28:40]>> Okay.

[00:28:41]>> It's been over an hour since the anesthetic cream was applied to Lilly's cut.

[00:28:46]>> If you have any pain just say something.

[00:28:48]Do you feel that?

[00:28:49]>> Oh. Oh. Oh.

[00:28:53]>> Oh.

[00:28:53]>> You can feel that.

[00:28:54]>> Oh.

[00:28:55]>> You can feel it.

[00:28:56]Is it okay if I put if I put some medicine in?

[00:28:59]Okay, it'll be a little scratch when I put the medicine in.

[00:29:02]The numbing numbing medicine. Okay?

[00:29:05]>> But I'm still having the same 20 to 30 crisis that everyone has about what they want to do. I guess you seek perks to other people's jobs and you think, "Oh my god, 9-5 would be amazing." Or "Oh my god, having lots of money would be really good." And wearing a power suit to work and heels would be super cool.

[00:29:24]>> Look, you've got to keep your head still. One more scratch and you won't feel a thing.

[00:29:30]You know, life isn't You have to stay still, girly.

[00:29:33]>> But you know, helping people and coming home and making a difference is fantastic.

[00:29:42]>> [music] >> Try really hard.

[00:29:48]Try really hard. Girl, stay still.

[00:29:50]Wiggle toes. Wiggle toes. [music] Wiggle toes. Wiggle toes. Wiggle toes.

[00:29:55]You did it. So, we've [music] got to stitch up now.

[00:30:00]That's all.

[00:30:01]I guess not everybody can do it.

[00:30:04]And I guess [music] you've got to be compassionate and empathetic and caring. [music] He's popping the little blue thread through now.

[00:30:14]That's it. [music] So, maybe you are suited to it.

[00:30:19]Yeah. Maybe I'm having like an epiphany now and I'm like, "Oh my god, this is what I'm meant to do."

[00:30:27]Hey! [screaming] You were so brave. I can't believe how brave you were. Good girl. Give me high five.

[00:30:36]I must [music] have just been born with the caring gene.

[00:30:40]No touching the stitches, otherwise Kelly's going to get cross.

[00:30:44]Do you want to see my cross face?

[00:30:45][music] >> Yeah.

[00:30:48]>> Do you want to see that face?

[00:30:49]>> Yeah.

[00:30:50]>> Right.

[00:30:58]Oh, you do see life in here, don't you?

[00:31:05]It's very impressive.

[00:31:22]Cathy, it looks like you bit your lip there.

[00:31:26]>> Earlier, 77-year-old Martin experienced two seizures in resus.

[00:31:33]After analyzing the data, the medical staff have identified the cause.

[00:31:38]>> I'm Will. I'm one of the other >> doctors.

[00:31:40]>> You're not going home. You'll be coming in under our cardiology team.

[00:31:44]And I suspect you'll get a pacemaker.

[00:31:47]All right?

[00:31:48]>> Yeah.

[00:31:49]Will I be treated?

[00:31:50]>> No.

[00:31:52]Because every time you keep passing out, there's a when you do that, there's a chance of you being sick. And when you're not fully conscious and you're sick, it can go down into your windpipe.

[00:32:02]All right? So, I need no bacon and eggs for lunch.

[00:32:08]>> Martin will be taken [music] to the cardiac ward till surgeons are ready to fit the pacemaker.

[00:32:13]They hope it'll stop him having any more [music] seizures.

[00:32:17]>> We said we would wait two or three years before we would start family. [music] But then when we decided to have children and it wasn't working, you did kind of think, "Well, there [music] must be a problem."

[00:32:36]The doctor said to me I had the condition and there was only about 25% chance of having children.

[00:32:48]So, I I put up with an awful lot of pain and I mean an awful lot of pain just for that little chance.

[00:33:00]But >> [music] >> a little bit of hope is better than none.

[00:33:08]>> Can I get your temperature now that you've had the heated blanket on? Just under the tongue.

[00:33:13]>> Brilliant.

[00:33:15]>> And then one day >> [music] >> I was rushed off to hospital and they didn't know whether I was coming or going for about a year. I was quite seriously ill.

[00:33:29]Martin, he spent hours and hours sitting by the bed with me.

[00:33:39]>> [music] >> But of course it didn't happen.

[00:33:42]I couldn't have any children.

[00:33:45]And he was disappointed, >> [music] >> but just disappointed, that's all.

[00:33:55]Martin never said whose fault it was and he just accepted it as being unfortunate.

[00:34:06]He just simply said, "Well, we have each other.

[00:34:11]What more can we want?"

[00:34:13]He said, "I put up with you."

[00:34:15]I said, "Okay."

[00:34:19]>> [music] >> Harry, sorry to wake you up. I tried to call your um is it your niece? Karen?

[00:34:34]But there's no answer yet.

[00:34:35]>> That's right. Yeah.

[00:34:36]>> So we'll keep trying, okay?

[00:34:38]>> 3 hours ago, 83-year-old Harry was brought to A&E suffering chest pains and shortness of breath.

[00:34:45]Efforts to contact his next of kin, Karen, have been unsuccessful.

[00:34:49]>> Sorry. Let's pop your oxygen back on.

[00:34:54]There you go.

[00:34:56]>> Well, Uncle Harry, really, family-wise, it's only me on this and my sisters.

[00:35:01]We used to have a big family.

[00:35:03]Now they've all sort of dwindled away and whatever.

[00:35:08]I remember um his wife, Aunt Dorothy, when um when she got really poorly and she had the stroke, he sort of shut himself away for a while cuz he had to try and cope with that.

[00:35:34]When she did die, he sort of went a bit quiet for a while.

[00:35:40]He was really devastated.

[00:35:43]There's never been anyone, never been anyone special since Auntie Dot.

[00:35:49]>> I suppose when you're finished tonight, you go home, soak your feet with a hot glass of wine.

[00:35:57]>> Gin and tonic, Harry.

[00:35:58]>> Gin and tonic.

[00:35:59]>> Yeah, that's my favorite.

[00:36:00]>> I used to drink gin and lemonade.

[00:36:03]>> Oh, I like that as well.

[00:36:04]>> I used to drink gin and lemonade with one lump of ice.

[00:36:08]>> Just one?

[00:36:09]>> Didn't want it watered down too much.

[00:36:12]Years ago.

[00:36:13]>> Yeah.

[00:36:14]>> I used to travel with the show people.

[00:36:16]>> The show people?

[00:36:17]>> Fair people.

[00:36:18]>> Oh, yeah.

[00:36:19]>> Five and a half years with them.

[00:36:22]I didn't even know what a cold was.

[00:36:25]>> Really?

[00:36:27]>> Didn't know what cold was.

[00:36:28]>> No way.

[00:36:31]Don't ever remember him being ill, never.

[00:36:34]Um No, I just can't ever remember him being ill, never. Not in any in anything.

[00:36:43]What did he do?

[00:36:44]>> I I was on the forces.

[00:36:46]>> Oh, really?

[00:36:47]>> Yeah, 5 and 1/2 years.

[00:36:49]>> Oh, wow.

[00:36:51]>> Best 5 and 1/2 years of my life.

[00:36:53]>> Was it?

[00:36:55]I bet it was fun.

[00:36:55]>> It was.

[00:36:56]>> Yeah.

[00:36:58]>> I used to put a Oh, I'm not there.

[00:37:02]>> No.

[00:37:04]No way. You cracked a nut there.

[00:37:07]>> I was 13 stone, man.

[00:37:09]>> Just muscle.

[00:37:11]Harry, that's impressed [music] me. I'm not going to lie.

[00:37:14]That is >> Yeah.

[00:37:15]>> That is really impressive.

[00:37:19]Can gradually see now that um he's he he gets more worn out and time, you know, you do sort of think, "Oh, no, it's catching up. He's he's getting slower."

[00:37:31]God. Back again?

[00:37:33]>> Yeah.

[00:37:35]>> How bad is it, Harry?

[00:37:36]>> Very bad.

[00:37:37]>> Out of 10, worst, yeah?

[00:37:42]All right. We're trying to do another ECG.

[00:38:05]Do you feel like you're going to be sick?

[00:38:07]>> No.

[00:38:11]See what cut there? Cut there and this all went back together.

[00:38:16]>> Be a little bit shorter, Harry.

[00:38:18]>> That's all right.

[00:38:20]>> 83-year-old Harry is experiencing chest pains and shortness of breath.

[00:38:25]In the last 10 minutes, his condition has deteriorated.

[00:38:33]>> Harry, I'm bed six. He's just in quite a bit of pain.

[00:38:38]>> Has he taught you anything?

[00:38:44]>> Just to make the most of everything, I suppose. Just to laugh, isn't it? It's just the slightest little thing can make people laugh and, you know, just them few words and it just cheers people up.

[00:38:55]>> His pain [snorts] is still quite bad.

[00:38:58]Um not resolving with oral morphine.

[00:39:00]>> Okay.

[00:39:00]>> Just let you know.

[00:39:01]>> Thank [snorts] you.

[00:39:02]>> A specialist has been called into resus to investigate any possible underlying cause for Harry's chest pains.

[00:39:10]>> Is it a burning sort of pain?

[00:39:12]>> No.

[00:39:13]>> It's not like acid coming up from your stomach?

[00:39:15]>> No, no, no, no.

[00:39:16]>> Does the chest pain go anywhere? Down the arm, up the neck?

[00:39:20]It does?

[00:39:21]Okay. I'm a bit confused because you have a mixture of cardiac-sounding symptoms and respiratory-sounding symptoms.

[00:39:32]>> I've been bad, but not like this before.

[00:39:34]>> Yeah.

[00:39:35]>> Bad as this.

[00:39:39]Well, I've had a good life.

[00:39:40]>> No, don't be silly.

[00:39:44]You know he always said he's going to be here.

[00:39:46]He's quite adamant that if anything happens to him, he doesn't want to be resuscitated.

[00:39:51]He doesn't. He just wants to go now. He said he's happy with everything and, you know, what he's done. But, yeah, and that's quite hard to uh take that in and think, "Oh, no, I'll just let you go."

[00:40:04]>> [music] >> I was worried about you at the beginning, but I'm even more worried about you now.

[00:40:17]>> Okay.

[00:40:17]>> I've been bad, but not like this before.

[00:40:19]>> Not like this before.

[00:40:21]Fine.

[00:40:23]>> Harry's condition has continued to decline. Doctors now want him admitted onto a ward to complete further tests.

[00:40:53]>> [music] >> Marlena is recovering after having her dislocated shoulder put back into place.

[00:41:09]Work experience [music] student Jack was present during the procedure.

[00:41:15]>> [screaming] >> Why [music] do you want to be a doctor?

[00:41:20]>> When I was 11, my uh granddad was diagnosed with cancer. I was really really close to my granddad.

[00:41:27]I knew what cancer meant. I knew enough about it to mean that it wasn't good, [music] and I knew enough that it could kill him.

[00:41:35]I felt really helpless and kind of fearful. And there two groups of people that helped me through it. My parents, obviously.

[00:41:42]And then also the doctors.

[00:41:45]They were the only people to be really positive and say everything's going to be all right.

[00:41:51]So, from then on I kind of made it my mission to become a doctor as well.

[00:41:56]>> Can you tell me one thing?

[00:41:57]>> Yeah.

[00:41:58]>> Have they put this back in place?

[00:42:00]>> So, they think they have. They think they've put it back in place, but you mustn't move it because it's very um unstable. I'm not one of the doctors, by the way. I'm not a doctor.

[00:42:10]So, I'm work experience. I'm just watching. I'm just trying to uh um help where I can. I'm like an intern.

[00:42:16]>> Okay, can you tell me one thing?

[00:42:18]>> Yeah.

[00:42:19]>> Where's my phone handed to the paramedics when I got in?

[00:42:25]>> Yes, so we'll find that that out for you now. We're going to try and find your phone.

[00:42:29]Okay? When I find your phone, we'll call your husband.

[00:42:37]>> [music] >> If you can demonstrate that, you know, that you care. [music] It's simple as that, that you that you care and that you're going to take that time and and talk to a patient, uh you know, you are you're getting there. You you may be not halfway there, but you're a little bit of the way there.

[00:43:09]>> I definitely want to be a doctor now.

[00:43:12]The work experience at George's definitely confirmed that for me, I think. The excitement and the feeling that you're always doing something that is never boring.

[00:43:21]>> Relax.

[00:43:24]>> I would love to be able to work in a team like George's any.

[00:43:29]I don't think there's any team like it [music] and being able to work in a team like that, I would be honored.

[00:43:35]>> [music] >> I broke down. I was so happy. I got eight A stars and two A's. And my dad wasn't in the country at the time, so I sent him a call. He's on the He's on [music] the train into it to work and he just burst out crying.

[00:44:10]>> [music] >> They give us paperwork in an envelope.

[00:44:24]Telling me what to do, what not to do, and all I know is that at the end of the day I've got a having from aided, and I've got to put him in with Annie Dot.

[00:44:36]That's what he wants to do. That's the main thing that he's Yeah.

[00:44:40]But hopefully not for long time.

[00:44:46]>> I just take things as they come now.

[00:44:48]If asked me if I want home help, I said no.

[00:44:52]Not while I can do me work myself, I don't want home help.

[00:44:57]Cuz I'm independent old bugger.

[00:45:15]>> [music] [music] >> I couldn't imagine life without him.

[00:45:26]>> [music] >> But it was his heart, and anything to do with a heart is a serious >> There's problem.

[00:45:39]>> [music] >> I call it his little tin box.

[00:45:42]I think if you can laugh at anything, [music] laugh.

[00:45:55]I I I tell him sometimes, you know, I might swap you for a later model the way you're going on.

[00:46:00]You know, or something like that, you know.

[00:46:04]And he said, "Nobody would put up with you."

[00:46:10]>> Margaret Ooh, >> [sighs] >> I I just couldn't put into words what it is, you know, she Without Margaret, I don't know what I'd be.