Worst Endometriosis & Chronic Cases Paramedics Have Ever Seen

Added: 2026-05-11

[00:00:00]So it started Sunday evening um just severe pain in my left um side of my stomach and my rib and that just gradually got worse.

[00:00:10]>> I was still able to function as normal yesterday just every now and then ending up in pain and then last night >> developed severe headache and back pain.

[00:00:19]Um couldn't sleep at all with it all night.

[00:00:21]>> Okay.

[00:00:21]>> It's just got worse and worse. Um, I'd been feeling unwell for a number of days, but then suddenly, um, that day it became so intense and it was hurting to breathe and hurting if I tried to walk.

[00:00:34]Um, and I just I knew I needed to get medical attention.

[00:00:39]>> Have you had anything else for the pain?

[00:00:40]Paracetamol?

[00:00:41]>> No, paracetamol. Regular paracetamol every 4 hours like clockwork.

[00:00:45]>> Okay.

[00:00:45]>> The last one was half 7.

[00:00:48]>> Half past 7 tonight.

[00:00:49]>> Yeah.

[00:00:49]>> Okay. So, you've had some recently, haven't you? So, so what prompted the call? cuz the pain just got too much.

[00:00:54]You couldn't >> so bad. My headache and my back and my l couldn't even move.

[00:00:59]>> Okay.

[00:01:00]>> Is it all right if I do a few ops on you? Is that okay? Are you all right to sit up or are you more I know >> it's really painful.

[00:01:06]>> You'd rather lie down there. I'll see if I can get to you.

[00:01:17]>> Have you done your temperature or anything like that or is it No. Okay, let's have a look.

[00:01:28]There you go. You got an infection somewhere.

[00:01:31]Do you get kidney infections a lot or urine?

[00:01:34]>> I used three years ago. I haven't had a kidney infection in years.

[00:01:37]>> No problems with water works passing urine or anything like that.

[00:01:39]>> I'm struggling to pass urine. I've already managed to pass urine twice, but I've drunk about 12 points of water back.

[00:01:45]>> Do you mind if I have a look at your tummy? Is that okay? It's >> okay.

[00:01:48]>> Don't worry about them. Let's have a look at your tummy. I'll come around this side. Right. Show me where this pain is. In >> this area here.

[00:01:55]>> Okay.

[00:02:00]Pain is >> there on your flank.

[00:02:04]>> Just under there.

[00:02:06]>> Okay. All right.

[00:02:08]>> I was developing intense pain in the sort of mid lower back e side of my spine. Um just underneath where your ribs end. Um it was very very tense. And when I tried to take a breath in, it felt like someone was squeezing something inside of me. Really, really tight. Um, which was very, very painful.

[00:02:29]>> In terms of what's going on, the way the way you're describing the pain, you've got a bit of a temperature, you've got a headache, you don't feel like eating. It seems like maybe possibly a bit of a kidney infection you've got.

[00:02:38]>> Yeah. I mean, you're showing some signs of infection and kidney infections aren't very nice and we don't know how long you've had it. When people get kidney infections, they can be quite painful. Sometimes they've had a water infection that's not been treated and it's it's just got worse. We can go to patients that have just got a bit of irritation and they're in a bit of pain.

[00:02:57]They've got a bit of back pain. And then we can go to people that are totally off their legs. They can't walk. They're confused and it can really knock them about for a long time. I think you could probably do with some, you know, some more tests, something that we can't do here. So, um, you know, you need to see a doctor and probably get some antibiotics sorted out for you before it gets any worse.

[00:03:23]>> You happy to pop up to A&E?

[00:03:26]>> Okay.

[00:03:27]>> But before they can move her, the ambulance crew need to get Melissa's pain under control.

[00:03:32]>> Have you ever had gas in air before?

[00:03:34]>> Yeah. Yeah. Try some gas and air. I think we'll throw some gas in air, darling. Obviously, it's not going to um it's not going to take the pain away.

[00:03:40]We're just going to take this edge off so we can sort of have a proper look at you without causing you too much pain.

[00:03:45]Okay.

[00:03:55]>> Yeah, obviously it's difficult to see people in pain. Obviously, um that's something we can do something about, which is nice. But I think there's only so many uh only clinical skills we can be taught to to treat people and stuff with pain and there's only so many drugs we can give and if they're sort of contraindicated or we can't give them for whatever reason um that's when you draw on sort of your your talking skills and your interpersonal skills and um it definitely does help you know very painful >> in Willen Hall. Tracy and Dan are treating Melissa who's got severe abdominal pains and a suspected kidney infection.

[00:04:28]>> Try some antinox. Hopefully it'll take the edge off. All right. You've had it before, so just grip it with your teeth and then um >> might make you a bit dry. It might make you a bit ruy.

[00:04:44]>> Breathe in. That's it. Breathe in. Hold it. And then nice slowly breathe out.

[00:04:52]All in one breath. Then breathe in.

[00:04:59]Try and regulate your breathing. So, I think you're anxious with the pain, aren't you?

[00:05:05]>> Is that making any difference at all? Is that helping with the pain?

[00:05:09]>> Just it hurts when I breathe in.

[00:05:10]>> It's hurting when you breathe in.

[00:05:12]Melissa had already taken some of her own pain relief. So, it meant that we couldn't give her paracetamol. So, we had to look at a bit of gas and air for her. The next best thing.

[00:05:22]>> Yeah. She had some gas and air and it wasn't um >> it wasn't helping her at all, was it really? She was in quite a bit of pain.

[00:05:36]Sometimes we can only manage so much and then further tests need doing at the hospital. You analysis, um, scans maybe, but something that we can't do. So, we'll take her to hospital.

[00:05:50]>> But Dan and Tracy are loathed to move Melissa when she's in so much pain.

[00:05:55]I think you need some more help with to manage this pain, don't you? Oh, >> okay.

[00:06:03]>> Why don't you have you got your Why don't you try your orals?

[00:06:08]>> I normally take it if like my jaw dislocates or something like that or my ankle.

[00:06:13]>> It's not that bad.

[00:06:15]>> Okay.

[00:06:15]>> Melissa is no stranger to pain as she suffers from a rare genetic disorder that causes her joints to dislocate.

[00:06:22]When they do, she takes oral morphine or oramorph.

[00:06:26]>> The condition I suffer with is Ella's Danlos syndrome. Um, it's a connective tissue disorder. So, I dislocate my joints very easily. Um, whereas normally you would need quite a lot of trauma to dislocate a joint. It's quite easy for someone with Danlo syndrome to dislocate one of their joints. And it also causes things like easy bleeding and easy bruising. Um, and we just have to get regular checkups really.

[00:06:52]You seem like you're in a lot of pain and that interox it's only taking the edge off, isn't it? Do you know what I mean?

[00:06:57]>> So, do you would do you want to try some of your oramorph?

[00:07:00]>> Well, I normally only take it when it's something really severe like >> obviously that's what that's where we'd go is or >> Okay.

[00:07:08]>> And there's plenty in in the cupboard if that's what you think it is, but I I would think it's not at the stage I would need the or just yet.

[00:07:17]>> Okay. Okay. That's fine. That's fine.

[00:07:19]Yeah. For me, yes, I was in a lot of pain. Nevertheless, it still wasn't as bad as some of the dislocations I've been through.

[00:07:27]>> I was explaining to him that >> I'd rather not take the automorph unless I absolutely had to, like with a really bad dislocation because of the side effects I get from it and because it's something I don't like taking very very frequently.

[00:07:41]>> With morphine not an option, Melissa will have to rely on gas and air for the trip to hospital.

[00:07:47]>> Which way you going? That way? This way?

[00:07:49]Your slippers are down here.

[00:07:51]>> Oh, are they?

[00:07:52]>> All right.

[00:07:56]>> Do you want to grab the gas and air, Dan?

[00:07:57]>> Yeah.

[00:07:59]>> Do you need any, darling? You want a gas and air?

[00:08:01]>> Yeah.

[00:08:01]>> Thank you.

[00:08:02]>> Let's take it slow.

[00:08:06]>> I'll go first.

[00:08:17]All right, darling. Sick bags there. As I said, I know it's not the best.

[00:08:21]Obviously, it's the best we got for the minute in it. All right. Okay. We'll get a new cross. Yeah. Happy Tra. All right.

[00:08:30]As my colleague said, looking like a kidney infection. Obviously, with the kidneys, you have to be careful. Um, we don't know how long she's had. We don't know what's going on underneath. She's clearly in a lot of pain. She's clearly got quite a high pain threshold. Um, obviously, she had a paracetimal, so we can't do anything stronger there. And she needs a few few further tests basically that we can't do. Um, so we'll see what happens there.

[00:08:50]What's the matter? What's the matter, darling? What's the matter?

[00:08:55]What's the matter?

[00:08:58]>> Short, short breaths like we said.

[00:09:00]>> Okay. Okay.

[00:09:02]>> Short breaths.

[00:09:05]Come on. Don't get upset. How old your son?

[00:09:08]>> Six.

[00:09:09]>> When have you got him back?

[00:09:13]>> My mom and dad football club brought him home. doesn't feel well day today. Today they were just speaking.

[00:09:18]>> Oh, so they said they'd look after him.

[00:09:20]>> When we got into the truck, he was still uh in a bit of pain, so reverted to sort of the talking tactics and uh trying to calm her down a bit. It's one of the best tools that we have, I think, without even bothering to give any uh any drugs or medicines. All right.

[00:09:37]>> Tracing down the paramedics were really good, lovely people, um, very patient, um, very calm, and I think you need that when when you're in a lot of pain, it can make you a bit panicked or flustered. And, you know, you need someone who who's staying calm. It's reassuring. And I think it's always good as well when they they talk to you and try and distract you a little from your pain.

[00:10:01]>> All right, here we are.

[00:10:06]Do you want to take the antinoxin with you or sick?

[00:10:10]>> It's making you feel sick. Do you want to give it a break then?

[00:10:15]>> We'll give it a break. Let's have these off. Yeah. Are you charged up?

[00:10:20]>> Okay.

[00:10:20]>> Yeah.

[00:10:25]Okay.

[00:10:27]Right.

[00:10:32]She seemed to have calmed down by the time we uh we got to hospital. So, uh she's feeling cold and trying to snuggle up. So, I think there's definitely some sort of infection there. So, hopefully they might I don't know whether they'll scan her or just treat with antibiotics and send her home. But, uh yeah, job done.

[00:10:59]We're responding to a male of 30 years of age. Um, he's got breathing problems.

[00:11:05]We're not entirely sure why he's got breathing problems at the moment. Uh, whether it be through uh a medical uh problem, say asthma, or whether it's a breathing problem related to where he's working, environments, factors, maybe sort of like smoke or chemical inhalations. Have to do a quick patient assessment to try and find out what we're dealing with. This one here.

[00:11:30]>> I don't actually know what happened. He just come over to me to say Philill.

[00:11:34]>> Hello there, mate.

[00:11:35]>> Hello. What's your name?

[00:11:37]>> Abdul Ramen.

[00:11:38]>> Abdul. All right. Okay.

[00:11:40]>> When you come to me, you asked me for some a tablet.

[00:11:43]>> So, I just give you roofing. Okay.

[00:11:45]>> You have two of them.

[00:11:46]>> Abdul, do you speak English?

[00:11:48]>> You do. All right. Have you got any pain anywhere?

[00:11:51]>> Better know.

[00:11:52]>> All right. Do you mind taking your top off for me? Is that all right?

[00:11:55]>> Come on.

[00:11:58]>> All right. It's all right. Go on down.

[00:12:00]>> All right.

[00:12:00]>> All right. Just relax, Abdul. I'm going to have a quick listen to your chest.

[00:12:03]All right. Just relax for me.

[00:12:05]>> When I first arrived at Abdul's workplace in the factory unit, it was quite clear that he was he was really struggling. He was breathing pretty quick and he he didn't look well. He was quite pale and he he looked scared. He looked petrified.

[00:12:17]>> And take some deep snow beds.

[00:12:21]Have you ever had any problems with your breathing before? You ever been to hospital beforeh >> two years ago his chest was bad?

[00:12:35]>> What with mate?

[00:12:38]>> Remember what's problem ra >> blood pressure.

[00:12:43]>> Okay.

[00:12:45]All right. What what I need you to do, right, is you try and calm yourself down. Just concentrate on your breathing. All right, take a deep breath in and hold it for a few seconds. The moment you're breathing way too fast, okay? I can't remember the exact figure, but I'm guessing he was probably breathing above a rate of 40, which is probably four times faster than you should be. I think if you can't realize as to what's causing you to feel unwell, at the forefront of your mind will be sort of the worst case scenarios. And we find people sometimes suffering with uh minor conditions and minor problems. For them, they think that that is going to be the end of and they're going to have a heart attack.

[00:13:21]>> Steve suspects something much less sinister.

[00:13:24]>> I think you're having some sort of anxiety attack. That's what it sounds like to me. All right. We need to rule everything else out at this stage, but that's what it's looking like. Okay. So, I just need you to just try and calm down a little bit. All right. Just try and control your breathing. Yeah.

[00:13:38]There's only you that can do that. Deep breath in for a few moments and hold it.

[00:13:42]Okay.

[00:13:51]I'm unsure as to what the cause for Abdul's anxiety was. He may fall into one of those uh categories where we we'll we'll never know. Um subconsciously he may have had some stress somewhere in his life which came to a head on that day in his workplace.

[00:14:05]>> Do your fingers feel cramped?

[00:14:06]>> Sorry.

[00:14:07]>> You move fingers.

[00:14:08]>> Okay. Abdul, listen. The reason your hands are like this.

[00:14:13]>> All right. Okay. Just listen. Listen to me. Let me explain what's happening.

[00:14:16]Okay. Because you're breathing too fast.

[00:14:19]Yeah. You've caused your hands to spasm the muscles in your hands. Yeah. You're breathing too fast.

[00:14:27]>> People can quite often experience a spasm in the hands and the feet.

[00:14:31]Ultimately, that is because you've been breathing too fast by getting too much oxygen in and getting rid of too many waste gases. you you actually change the pH of your blood uh and that causes the spasms uh in your hands and uh that can be quite frightening for people.

[00:14:46]>> I can't give you anything to regulate your breathing. You need to concentrate on that yourself. Okay, deep breath in and hold it for a few seconds. When you breathe too fast, >> yeah, you take too much oxygen in >> and you get too much waste out. So, he caused your hands to spasm.

[00:15:01]>> All right.

[00:15:02]>> All right. You concentrate on your breathing. Although he suspects it's an anxiety attack, Steve still needs to rule out heart or lung problems.

[00:15:11]>> Your heart tracing is okay. Yeah, apart from being a little bit quick, which we can account for because you worked up.

[00:15:17]Yeah, it's okay. All right, we're not suspecting this is your heart. All right, deep breath, Abdul.

[00:15:25]Deep breath.

[00:15:28]Keep going.

[00:15:31]I've assessed your breathing. Your breathing's fine. All right. had a look at your ECG. Your heart's fine as well.

[00:15:37]All right.

[00:15:39]So, we've ruled out the serious things.

[00:15:41]Okay. So, if that's what's worrying you, don't worry. Okay. Do you want to have a walk outside and we'll see if we can get you some fresh air? Yeah. Come on. Stand up. Stand up.

[00:15:50]>> Okay.

[00:15:50]>> Eventually, Abdul's breathing starts to slow down.

[00:15:54]>> Right. We just do another quick ECG.

[00:15:56]Now, your heart rate's calmed down a little bit. Just pop these on, mate. I'm sorry to press on your chest. 52.

[00:16:01]Patients made a full recovery. It was an anxiety attack. No backup required. I'm going to be an R um probably in the next 15 minutes or so. All right. Your ECG is perfect, Abdul. All right. We don't need to go to hospital. We will recheck your observations again in a moment. Yeah.

[00:16:16]What I suggest is you're probably best off going home. I don't know. You want a late shift today or >> we was going home in an hour.

[00:16:21]>> All right. Okay. Probably get yourself home. Is there somebody at home?

[00:16:24]>> Somebody that can pick you up?

[00:16:26]>> Why?

[00:16:26]>> Okay. And you need to get yourself booked in at the doctor's at your GP.

[00:16:32]Yeah. and just discuss with he or she what's happened.

[00:16:36]>> Yeah. Just so it's on your medical records then. He's going to feel a bit naff for probably an hour or so, you know, but everything we can check is normal. So, you know, he doesn't warrant a hospital trip. Um there'll be a GP visit for him if he can do, you know, and I'm going to advise if the symptoms to return then he can call us back later, but there's certainly no reason for him to go to A&E.

[00:16:56]>> Hello.

[00:16:57]>> She's in the >> She's what in the loft? What we doing in the loft now? Is it Chelsea then? How can I help you today? Talk to me. Let me know what the problem is and I can help you.

[00:17:08]>> Got pine w in her stomach and they're shooting down the legs. She was heavy bleeding yesterday with period. It was going straight through her. But >> time is it that time of the month?

[00:17:16]>> Yes. But she's got suffers with endometriosis.

[00:17:19]>> Endometriosis is a disease where tissue that normally grows inside the womb is growing outside the womb and cause ladies significant problems and significant amounts of pain. Pop your finger in there for me, Chelsea. So, you've been sick this morning as well.

[00:17:33]>> Yeah.

[00:17:35]And where exactly is the pain at the moment?

[00:17:40]>> And if you could score the pain out of 10, 10 being like the worst pain ever you've ever experienced, how would you score at the moment?

[00:17:45]>> 10.

[00:17:46]>> Is it 10 out of 10? All right. Well, we'll get that pain sorted for you shortly. Okay.

[00:17:50]It's hard to see anybody in a in an amount of pain, but when they've when they've got clear distress and you can see that look in their eyes, that look of help me. You act a little bit quicker and you you you know, you always try and go the extra mile for those people that that really really want you to help them.

[00:18:03]>> So, have you ever been to hospital before with your endometriosis pain?

[00:18:07]>> Yeah.

[00:18:07]>> Yeah. When was the last time? Was it recent?

[00:18:11]>> Been in and out the last two years.

[00:18:14]>> Have you really?

[00:18:16]>> Okay. Are you seeing your gyne specialist about it? Yeah. And what have they said? I've seen a blood specialist cuz something was wrong from my blood.

[00:18:24]>> Right.

[00:18:25]>> I have endometriosis and I've had it since I was 13 years old. It's something that's always there. You know when it's coming.

[00:18:33]You don't you don't know when it's going to go or when the pain's going to stop.

[00:18:38]>> When womb tissue grows outside the womb, for example, in the bowel or bladder, it bleeds with menstruation. This causes pain and inflammation. Your belly bloat and you're sick. You're passing out. It stops you from doing everyday things, especially working. You can't make it to work. I can't drive when my stomach's bad. Even moving or getting out of bed.

[00:19:03]You just can't do it.

[00:19:05]>> Now then, with one finger, tell me where it hurts the most. There. Okay. I'm just going to have a little press of your tummy now. All right. Any problems going to the toilet at all?

[00:19:15]>> No. Okay. Just a light press now. Just relax. Okay. That's sore.

[00:19:19]>> Yeah.

[00:19:20]>> Saw here.

[00:19:21]>> And when I press here, where does it hurt?

[00:19:24]>> In the middle. Does it hurts when I let go or worse when I press?

[00:19:30]>> When I let go. I just need to lift this leg up. Can you just relax it a little minute? All right. I'll lift it up.

[00:19:35]Okay. Ready? So, nice floppy leg. Just relax your leg. That's better. Just relax your knee completely. Relax. Does that make the pain worse or better or just the same? Just the same.

[00:19:47]>> As a paramedic, it's quite important that we we not only focus on the problem that that we're presented with, but we try and rule out other problems that that may arise. The reason I was moving her leg around was it was one of one of the tests for appendicitis. And once I could rule that out, if that as that test was negative, it was clear that that the problem the chronic problem that she has was you causing that acute flare up of her pain and not something more sinister. So we can get you some pain relief sorted. Have you taken any paracetimal or anything this morning?

[00:20:15]>> Three it all back up.

[00:20:16]>> You threw it all back up. And when you take paracetimal, how many do you take?

[00:20:19]>> You take two. And when you go to the hospital, what pain relief do they normally give you?

[00:20:23]>> Or more.

[00:20:24]>> Or more. Okay. And does that normally help you?

[00:20:27]>> Yeah, I've actually got four.

[00:20:29]>> Do you Would you like to take some of your own? That might help you. Yeah. How much do you normally have?

[00:20:35]>> Just one spoon. Yeah. All right. Do you want to sit yourself up a little minute?

[00:20:39]I'll get some of this for you. All right. Do you want this then? Here it comes. Ready?

[00:20:46]>> Okay. All right. Do you want a little drink of water to flush it down?

[00:20:50]>> Yeah.

[00:20:51]>> 113.

[00:20:53]>> Yeah. Thanks. And Amber, back up, please.

[00:20:58]>> We need your B.

[00:21:00]What was your name again?

[00:21:02]>> Oh, you know, you've been having the antox and you've had your own armor.

[00:21:08]If you had to score that out of 10, 10 being the worst one being minimum, where would you put that now?

[00:21:13]>> It's about a four if we can.

[00:21:16]>> All right, sweetheart. Is it it easier with that pain relief?

[00:21:20]>> Yeah, you can have some morphine now.

[00:21:22]Okay.

[00:21:22]>> I don't remember much. I don't even remember getting to the hospital or anything. I was I know they put the morphine in my hand when I was in the ambulance and that was it. Then I was gone. I was out of it. There is currently no cure for endometriosis, but there are treatments available, including surgery to remove the affected tissue.

[00:21:40]>> They just said that the laser it away.

[00:21:42]So that was keyhole surgery. And after I had that done, everything was a lot better for about a few weeks. I went back to work for a few months and ended up in hospital again with the same pain.

[00:21:54]And they told me that it had all grew back. I've tried everything now and there's nothing else that I can try. So I know that it's something I'll have forever. It won't get cured. It's just something I have to learn to deal with.

[00:22:07]>> Luckily, Chelsea has a lot of support from her family and her boyfriend Ben.

[00:22:12]>> It's horrible knowing I can't really do anything about it. So, anyway, I can't out going to hospital appointments and that, but I look at her and I see her and I can't do anything about it. So, it's upsetting to say the least.

[00:22:24]>> Okay, Charles, we'll look after you. All right. All the best.

[00:22:27]>> No problem. See you later.

[00:22:30]been to see many um ladies who unfortunately suffer with this medical problem. Again, every single one that I've seen, the common factor is that they are in excruciating pain and the only thing that I can do, you know, is provide that really good level of pain relief to try and get that under control. I hope she'll make a good recovery. Hopefully, she'll be assessed and I know she's awaiting some scan results. So, fingers crossed for her and uh wish her all the best.

[00:22:56]We're going to a young 14-year-old girl who's suddenly started vomiting and become breathless. If she started vomiting first, people can become very breathless through the physical effort of vomiting.

[00:23:14]Um, if the breathlessness come first before the vomiting, that's different.

[00:23:19]So, you know, it's hard to make assumptions, but at the moment, hopefully it's something we can deal with on scene.

[00:23:38]Mom must be really concerned because obviously she's rung 999. like with the younger ones if it's something serious I think it affects most of us you can still get as upset with elderly but I just think just such young lives you know you think of it differently houses without drives you can never dark.

[00:24:13]However, I think we're in luck. Somebody waving to us.

[00:24:35]Hello, my lovely.

[00:24:38]Hello. What's going on then?

[00:24:40]>> Finding her heart to breathe. She keeps gagging now. Um >> Okay.

[00:24:45]What's happened then?

[00:24:46]>> Um she I've just picked her up to brought her home. She's been sick.

[00:24:49]>> Yeah.

[00:24:50]>> Um high temperature >> and so this has all happened 20 minutes.

[00:24:58]>> Okay. Let's have a look at you.

[00:25:00]My name's Katherine. What's your name?

[00:25:02]>> Jessica.

[00:25:03]>> Jessica. That's lovely. Pop your finger in there. Nice painted nails, aren't they?

[00:25:10]When I hear it's somebody young, if she's got no previous and she's breathless, one of the main reasons is that they could have got themselves very anxious.

[00:25:20]So, that's good. So, everything's working okay. All right. Can we take some nice deep breaths in? It does happen to a lot of people who don't suffer with anxiety, and it can just happen to us for no reason at all. You take a deep breath in and count to two and blow out slowly. Come on. You keep Come on, sweetheart. Come on. Don't get yourself upset. Don't get yourself upset. You just try and control that breathing instead of it controlling you.

[00:25:50]Okay. Nice and steady. Yes. Look at me.

[00:25:53]Look. Go.

[00:25:57]That's better. But while you're doing that, I'm going to have a little listen to your chest. Okay. Yeah, that art's racing a bit. We'll slow that down nice and steady. I did her oxygen levels just to make sure that she wasn't lacking any oxygen and they were 100%. I listened to her chest and that was clear.

[00:26:22]>> That's fine.

[00:26:23]>> But when CF checks Jessica's temperature, a medical cause for her upset becomes apparent.

[00:26:29]>> So, I'm just going to pop this in your ear.

[00:26:36]Oh yeah, she got raging temperature 39.3.

[00:26:41]Has she got Have you give her any paracetamol at all?

[00:26:45]>> Okay. Have you got any paracetamol in the house that you normally give her?

[00:26:48]Can we give her some? Yeah.

[00:26:51]>> Is your throat sore at all?

[00:26:53]>> Can I have a look in your throat?

[00:26:56]Open say ah.

[00:26:59]>> Yeah. You got a red throat. Oh dear. A little feel here. I think the problem was yes, she got a high temperature and she wasn't feeling too well. She'd probably got a viral infection and being 14 um because of this she started to get herself very anxious which led to a hyperventilating which frightened all the family cuz it's not a nice thing to see. All right, I'm just going to do another couple of little tests. Okay. Is that all right with you, Mom?

[00:27:27]>> Yeah, that's fine.

[00:27:29]So, this is why you really have to get in there and get it sorted and take control. I'm just going to do your blood pressure. Have you ever had that tuck before? So, you know, it just goes a little bit tight on your arm. Yeah.

[00:27:41]Okay.

[00:27:43]There we go.

[00:27:45]There we go. She looking a bit more settled now on.

[00:27:48]>> Yeah.

[00:27:49]>> Yeah.

[00:27:50]Put on the edge of the face.

[00:27:52]>> That's it.

[00:27:55]Heart rate's a lot slower than what it was. It's about 1:30 when we came in.

[00:28:00]It's still pretty fast, but we're we're getting there. We're calming down.

[00:28:06]I'll come and sit by you. Okay.

[00:28:11]>> Sorry to see. Thank you.

[00:28:13]>> Feeling better. Right, Mom. She's got reening to her throat, but there's no white puss on her throat at all. So, I don't think we're at the antibiotic level at the moment.

[00:28:25]>> Just survival.

[00:28:26]>> Yes. keep an eye on her throat. If it is that there's any white puss on it, that's the time to go and see your doctor. I think because she's feeling unwell, she's got herself upset. Yeah.

[00:28:38]You know, and hyperventilating it causes you to have pins and needles and feel sick and but we're settling down now. Color's going back down again.

[00:28:48]You still look beautiful. You're all right. Okay. Yeah. Mom, are you happy with her not going anywhere?

[00:28:56]>> Yeah, that's why I asked for her response. I didn't ask for no problem at all. You know, she's she's good.

[00:29:03]>> But say keep up with the paracet. But that important thing, water. You must keep drinking. Yeah.

[00:29:14]She's been out playing with her friends over the park and probably put a little bit of a brave face on. got herself home and started to feel really unwell and getting really upset with it. Just coached her breathing, calmed her down, and we've suddenly got a happy little girl where she was really upset before.

[00:29:31]But hopefully just with a paracetamol and plenty of fluid, she should be feeling a lot better.

[00:29:43]In Starbridge, Kath has been giving pain relief to 15year-old Kyle >> who's in severe pain from his Crohn's disease.

[00:29:52]>> Trust mom's instinct. They know best and she knows that Kyle's quite poorly today. And she's had the good sense to ring an ambulance.

[00:30:00]>> I've never seen my son like that ever.

[00:30:02]And if I'm honest, and I will be honest, I thought I'd lost him >> today. You said, "Mom, I'm not well. I don't feel well."

[00:30:10]>> Okay. And then we'll get some little observations done on him. All right. And just have a Nate need to make a a noise.

[00:30:18]That's it.

[00:30:20]>> Later at hospital, they found the source of Kyle's pain was not his Crohn's.

[00:30:25]>> And they took bloods from him. They came to us and they said Kyle was given a tablet called Aathy for Crohn's disease.

[00:30:36]But the trouble was there is side effects with this drug. Now, it doesn't affect everybody, but unfortunately, Kyle was one of the people that it does affect.

[00:30:44]>> When I got to the hospital, they found what was upsetting me, which was the tablets, and uh they gave me morphine, paracetamol, and everything cuz I was in too much pain.

[00:30:55]>> The drug the coil was on for Crohn's caused him to have inflammation of the pancreas. It can be fatal if it bursts.

[00:31:06]So, in one respect, I was glad Kyle collapsed because everything came to her head. Then, >> thank you to them for fighting it.

[00:31:15]Otherwise, it could have been very fatal cuz as my pancreas was swelling, it could have burst, which could have killed me.

[00:31:23]>> He was lucky. He was so lucky.

[00:31:28]>> 3 months after the incident, Kyle's back at hospital for a meeting with his consultant.

[00:31:33]>> How have you been? could be better. All the swelling's come back, the redness, and it's weeping again. So, >> okay.

[00:31:42]>> And it's hard to walk again. So, >> I don't know what to do.

[00:31:46]>> Have you missed school because of it?

[00:31:47]>> Oh, no. I've been going to school still, but it's been hurting. I've gone home once cuz of it.

[00:31:52]>> How about clothes?

[00:31:55]>> I can't wear jeans, but I really want to like track. I can wear these cuz no one can see if it weeps, but I really want to try and wear jeans, but I just can't cuz they hurt.

[00:32:06]>> What about your skin? How is How is that doing?

[00:32:09]>> That's going bad again as well.

[00:32:11]>> Yeah, he's got really bad skin in his hair at the moment.

[00:32:14]>> Okay. Any sores?

[00:32:16]>> Yeah, quite a few down there and it just hurts when I try and walk and things.

[00:32:21]>> Kyle's symptoms are severe. Um, he lost his appetite. Um, and so he is not taking enough nutrients, enough calories and and what he is taking is obviously not being absorbed well.

[00:32:36]>> But we was just wondering, I mean, I've looked everywhere. How rare is it? How many people have got it?

[00:32:41]>> I just don't know.

[00:32:42]>> It is it is really rare. We hope that we will find a particular treatment that suits Kyle and brings his condition into remission and that he will be able to do what he wants to do that his appetite will return and I really hope it's a matter of time.

[00:32:58]>> I'm trying to help him and keep him positive. It's not going to be overnight.

[00:33:04]>> No, >> I wish it was.

[00:33:06]>> Joanne's always said she'll make you better.

[00:33:10]He's got a a great group of doctors that are helping him and they get the heads together and I know somewhere down the line they will sort him out.

[00:33:19]>> I'm pretty confident that day will come.

[00:33:21]It might take a few more years but at least it'll be gone and I just wish I could just be normal like everyone else.

[00:33:32]We're going to a 71-year-old male, generally unwell, feeling very weak in his legs, and he feels like his lips are numb. So, we just go and check him over, give the um control a quick update and see if we need a crew or not.

[00:33:49]>> Numb lips can be a symptom of anything from an allergic reaction to a stroke.

[00:33:55]>> Not too far away. We've shown about 4 minutes.

[00:34:14]right, doors open, ready for us.

[00:34:26]Okay.

[00:34:29]Hello.

[00:34:32]>> My name's Katherine. What's yours?

[00:34:33]>> David.

[00:34:34]>> David. What's going on, David?

[00:34:37]>> I don't know. I took the dogs for a walk and when I was coming back, I I felt very funny. My legs just went and we got to the gate.

[00:34:44]>> Your legs bottled. Did you fall onto the floor?

[00:34:46]>> No, I was hanging on to the gate.

[00:34:49]>> You just felt very weak.

[00:34:50]>> Yeah.

[00:34:51]>> Nothing wrong with your heart or anything?

[00:34:53]>> No. Well, the last thing I've had the hard thing they said it's it's fine.

[00:34:58]>> That's all clear.

[00:34:58]>> I'm going to tell myself with me here, >> right? Okay, that's good. Can we take your arm out of this?

[00:35:06]>> Yeah, just nice and steady.

[00:35:09]>> Okie do. I'd taken the dogs out for a walk and uh just when I was coming back there's a gate up in the in the field and my legs just seemed to go and I had to stand there for about five six minutes. I I just didn't feel well at all. my head started spinning a bit and my wife Liz phoned up uh you know the the ambulance basically because you know she she knows usually how fit I am and uh I think it it worried her an awful lot.

[00:35:45]>> You feeling sick at all?

[00:35:47]>> No.

[00:35:48]>> No.

[00:35:48]>> It's just I had tingly around my my lips.

[00:35:52]>> Yes.

[00:35:52]>> Under my tongue and the end of my fingers. David described his symptoms of of of feeling weak and having numbness in his fingers and his toes. Um, that could be a sign of a TIA, a mini stroke. So, that did cause a worry.

[00:36:10]>> David, can you raise this leg for me? Go on. Push against me. Okay. Bit shaky, aren't you? Can you do that one?

[00:36:20]Okie do. All right. Give me a smile. Bob your tongue out at me. There's a reason for it. All right. Look at your eyes.

[00:36:27]You You put your tongue away now. Can you feel me touching your face?

[00:36:31]>> And that side?

[00:36:32]>> Yeah.

[00:36:32]>> Does it feel the same both sides? All right, David. Open your eyes.

[00:36:37]>> Can you do that again?

[00:36:38]>> No. No. Can you open your eyes? This finger. Put it on your nose there. Okay.

[00:36:44]And now just see if you can go away and come back to your nose. Right. Put it back to your nose. And again. Away. Back to your nose. Okay. That's fine. I sometimes ask a patient to put the finger on the nose and move it away and put it back just to see if their aim is correct and right. And also shutting their eyes and stroking their face in different places, asking them if they can feel it. It's just to check their senses. Um, if anybody's got a brain injury or there's anything going on like a bleed, sometimes these senses won't be precise and it does give us a good indication of what may be going on. So far so good. All right. Did David ask, well, dad should I say, did he ask you to call today? Ask you to call us.

[00:37:37]>> It was his decision. Yeah. So, he knew he felt ply.

[00:37:40]>> I'm talking about you at the moment.

[00:37:42]I've never I've asked I've wanted to bring him to hospital before when he's been really short of breath gasping for breath always refused >> right >> but today he phon me at work to say come home take me to hospital I've always been good in me legs cuz it was a postman >> and you do a lot of walking with that and obviously with the doing the paper round on the cycling you know your legs are going all the time so I've never had a problem so it was yeah a bit scary to say the least Are you drinking plenty?

[00:38:14]>> Yeah.

[00:38:15]>> Yeah. I mean, water, not alcohol.

[00:38:18]>> I don't drink.

[00:38:19]>> That's good. That's good. Okie do.

[00:38:22]>> But I don't smoke anymore.

[00:38:23]>> No. No. How long have you been a non-smoker?

[00:38:27]>> First come up for a year.

[00:38:28]>> Really? Well done.

[00:38:30]>> 10th last year.

[00:38:31]>> Have you felt better or worse?

[00:38:34]>> I know it sounds >> It is doing you good though, but your body's got to get used to it.

[00:38:39]>> Yeah. Can you sit yourself right up now, David? Thank you. That's it. That's it.

[00:38:45]Okay. What I want you to do, Hang on.

[00:38:49]>> Hang on. Fold your arms. Have a bit of a cough. Right. And sit yourself forward so I can Good. Good. So I can have a good listen. Nice steady deep breath in and out.

[00:39:03]Okay. Right. Just going to do the front now.

[00:39:07]>> Hold on. I feel a bit.

[00:39:08]>> So, all them deep breaths in and out.

[00:39:10]Should we have a rest?

[00:39:15]>> Yeah. I'm just having a little listen to the front now.

[00:39:18]>> Okay. Do you want me to lift myself?

[00:39:19]>> No, no, that's fine.

[00:39:23]>> Oh, doing this. My breath doesn't smell.

[00:39:25]>> I don't know. I missed that. What did you say?

[00:39:28]>> My breath doesn't smell.

[00:39:30]>> No, you're all right.

[00:39:32]>> I'd like you to go to hospital and have some further tests.

[00:39:34]>> You think so? Okay. Is that fine by you?

[00:39:38]>> I'm not wasting your time.

[00:39:40]>> You're not wasting nobody's time. All right. All his observations are absolutely fine. Um David's got a lot of ongoing problems at the moment. He's waiting for a CT scan, but he's almost collapsed on the way back from um from walking his dog, which is unusual enough for him to ask for an ambulance because he's not that sort of fell. So, um although everything's looking right here, A&E maybe not exactly the right pathway, but it's at the moment we will take him in and just see if they pick anything else up room.

[00:40:16]>> Well, we'll see, shall we?

[00:40:19]>> I knew deep down I needed to go to hospital because uh nothing like this had ever happened before.

[00:40:31]He didn't want to come out without his hat on. He says the neighbors never see him without his hat on.

[00:40:37]>> But he's looking a lot better now.

[00:40:40]>> Lovely. Thank you very much. You're welcome.

[00:40:43]>> It's It's a case that there's something going on.

[00:40:51]His daughter's a physio.

[00:40:54]She's got her reservations that something's going on. she doesn't know about. Um there's nothing hitting us in the face, but sometimes you just got to go with your gut extinct and that's one of them.

[00:41:10]>> Extensive tests carried out in hospital revealed a sinister cause.

[00:41:15]>> I had to go and have an X-ray and it was actually through that that they found out I had lung cancer.

[00:41:22]It was only about a week, a week and a half after that that they wanted me in for a PET scan, which gives a better view of, you know, your stomach and and your lungs and that. And they said, uh, we believe you've got a tumor on your diaphragm.

[00:41:42]It's lifechanging. Life changing.

[00:41:45]finding out that you get uh you know lung cancer and then a tumor, it is frightening because you hear about other people that have got tumors and you know they ain't got long to live and you think, "Oh, is that going to happen to me?"

[00:42:02]If I hadn't gone up to Russell's Hall with my legs, uh I don't think they would have found out about the uh the tumor or the lung cancer.