10-Year-Old's Thigh Bone Snaps During Football | 24 Hours in A&E Season 9 Episode 1

[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.

[00:00:13]>> Pediatric trauma call 15 minutes.

[00:00:18]>> Code red helipad 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. Any reception? Can I help you? Yep. [music] 24 hours, 7 days a week. 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. 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 2-year-old was kicked by a horse. 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.

[00:01:04]>> You'll be okay.

[00:01:06]>> A place where [music] life >> Amy selfie down below too slow.

[00:01:12][screaming] >> Love such a big boy. I'm so proud of you.

[00:01:17]>> And loss.

[00:01:18]>> I'm still here.

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

[00:01:23]>> So we don't shake hands at [music] this hospital. A 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'll 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 [music] how important the people in your life are and the people around you are.

[00:02:28]What is your name? Ben.

[00:02:29]>> Ben.

[00:02:29]>> Ben. All right.

[00:02:30]>> Benjamin, if you >> Benjamin, >> do you know what? I fancy.

[00:02:34]I fancy you.

[00:02:37]>> What time do you finish then?

[00:02:39]>> Sorry. What >> time do you finish?

[00:02:40]>> Oh, midnight. We go home.

[00:02:43]You >> Oh, half seven. We go home.

[00:02:45]>> We start. We do 7 to half 7. I don't know if he's married now.

[00:02:50]>> Are you married?

[00:02:50]>> No, I'm not married.

[00:02:51]>> No.

[00:02:52]>> Julie and Jane, >> take care. See you soon. Bye.

[00:03:02][music] >> Overseeing Reus today is consultant Neil.

[00:03:08]>> I relish that feeling of going from being calm to utter madness.

[00:03:15]Okay.

[00:03:20]>> That kind of adrenaline rush.

[00:03:23]>> That's one of the reasons I chose to work in emergency medicine.

[00:03:28]>> Okay, guys. This is it for handover.

[00:03:30]>> I don't see it as a stress.

[00:03:34]I see it as a perk.

[00:03:36]>> Okay. So, where's you going to put that one?

[00:03:38]>> I can go in five >> in four.

[00:03:41]>> Four. Sorry.

[00:03:42]>> And then the COPD. Sometimes you don't get your break because sometimes it is that busy.

[00:03:51]>> You do sacrifice a lot to do the job particularly time with your family, my partner, parents, [music] daughter.

[00:04:02]But actually the greater good is that you're helping people that need your skills and expertise.

[00:04:21]St. George's A&E.

[00:04:23]>> Yeah.

[00:04:25]>> Sorry. Say that again.

[00:04:27]>> Okay.

[00:04:30]Priority. [music] 10-year-old playing football with no ankle fractured fever.

[00:04:35]>> Pediatric priority call 15 minutes.

[00:04:40]>> [music] >> A 10-year-old playing football twisted her leg and I think she's got a fractured femur.

[00:04:49]>> That would be one hell of a twist.

[00:04:55]>> A 10-year-old girl is being rushed to St. George's after an accident playing football.

[00:05:02]After twisting her leg during a tackle, paramedics are concerned that the impact may have broken her feur.

[00:05:09]The feur is the bone in your thigh. It's quite a big thick bone.

[00:05:15]So, in order to break it, you've got to have some force.

[00:05:18]>> Sorry. Yeah, this is a trauma coming up.

[00:05:22]>> You can lose a reasonable amount of blood from the break in the bone. And the patients are usually in excruciating pain.

[00:05:32]>> The girl's mother traveled with her in the ambulance.

[00:05:38]I was in the [music] kitchen with my mom and she went outside to play and about 5 minutes later a little boy knocked on the door. I could hear [music] the screams from inside the house and the neighbors said as well that they could just hear this screaming.

[00:05:58]I [music] panicked and just called the ambulance straight away.

[00:06:07]As I walked towards her, I could just [music] see like the leg just looked completely deformed and it was in a really unusual [music] position as well.

[00:06:17]>> Look, >> this is Ashley. She's 10 years old. Um, playing football this evening. Went to kick the ball, fell over the ball, but as she landed, her left leg basically twisted awkwardly. Um, had instant pain.

[00:06:33][music] left upper leg feur area. There was significant deformity um to the feur.

[00:06:39]>> Okay.

[00:06:39]>> It was good, you know, 10 cm shorter.

[00:06:42]Okay.

[00:06:43]>> Um when we moved her, um she's had 3 mg of IM morphine.

[00:06:49]>> 1 g of oral paracetamol.

[00:06:52]>> Okay.

[00:06:54]>> Sorry, Ashley.

[00:06:56]You know, when you break a bone, it can break into several bits and it can injure the surrounding tissues, the muscles, the nerves, blood vessels, and it can start to cause problems.

[00:07:10]>> You'll be fine. All right.

[00:07:14]>> But if you feel uncomfortable at all, tell us now.

[00:07:18]>> Doctors need to x-ray Ashley immediately to assess the extent of the damage [music] to the bone and surrounding tissue.

[00:07:25]You automatically think, are they going to need an operation? Will the bone heal properly? How is it going to affect them when they're older?

[00:07:34]You automatically [music] think the worst.

[00:07:46]10-year-old Ashley arrived at St. George's after injuring her leg playing football.

[00:07:52][music] She's been brought to X-ray to find [music] out whether or not she's broken her bone.

[00:08:09]My heart just broke for her because I just thought that she must have been in so much pain.

[00:08:15]I think it's just that's part of being a mom.

[00:08:22]Since she was born, she's [music] always been very clumsy. I've always tried to wrap her in bubble wrap, but it hasn't helped.

[00:08:31]When she was really young, she managed to open the stairgate and she fell down the stairs.

[00:08:37]She climbed [music] out of the high chair and cut her head open and it had to be glued.

[00:08:44]She wants everybody to be [music] happy and play together.

[00:08:52]I had Dolly quite young.

[00:08:58]Their dad, he was a couple of years older than me.

[00:09:01]We were all at school [music] together, but he was in my sister's year.

[00:09:06]And then just then used to hang around with each other and [music] it just happened from there really.

[00:09:13]It just before I was 18, I had her. So, it was all I think it was quite like difficult [music] for everybody really at that age.

[00:09:25]The day that she [music] was born, it just changes changed everything.

[00:09:28]Everybody was just so happy.

[00:09:31]My mom walked in and she just thought she was absolutely beautiful and she just looked at her and said, "Oh, she's [music] a little dolly."

[00:09:40]And that's all she's known as now.

[00:09:46][music] >> I can wait my own. I've got my iPad.

[00:09:49]>> I know you do.

[00:09:50]>> Please scrub.

[00:09:51]>> Your first day having just arrived. I've got to leave you on your own.

[00:09:55]>> Watch that. This one.

[00:09:57]>> No.

[00:09:58]>> Do this one. If you're happy and you know it, clap your hands.

[00:10:04]If you're happy and you know it, clap your hands.

[00:10:09]If you're happy and you know, then you real.

[00:10:13]If you're happy and you know it, clone >> three-year-old Lola [music] suffers from febral convulsions, a condition that causes her to fit intermittently.

[00:10:27]She's come to A&E with her dad, Quinn, after having a seizure earlier today.

[00:10:33]>> We're going to put the water in the fire. Okay.

[00:10:36]>> Oh, brilliant. I love this game.

[00:10:39]>> Um, >> I was in my early 30s when I became a dad when Nola arrived. I went from zero to three kids in [music] the short span of 14 months.

[00:10:51]We were keen to find out as soon as we could, both of us really so that we could start planning and, you know, painting rooms and buying the right color clothes.

[00:11:03]So, yeah, we did find out at 20 weeks of the 20 week scan.

[00:11:08]>> Since we're in the hospital, >> let's play this one cuz it's all about hospitals.

[00:11:13]The >> sort of traditional South African man is this firstborn son thing that some guys carry with them.

[00:11:20]I had none of that. I was absolutely delighted when I found out it was going to be a girl. She's full of energy. You know, the only time she ever really hurts her brothers is from over affection.

[00:11:31]>> Do you know any songs about bees?

[00:11:34]>> Lola and I enjoy a good dance or a good sing song together. Sometimes I'll pull the guitar out and we'll we'll make up songs.

[00:11:42]>> Do you know any songs about butterflies?

[00:11:45]>> Fly fly.

[00:11:48]Love fly.

[00:11:48]>> She's a great little songwriter actually.

[00:11:51]>> You feeling tired?

[00:11:55]>> I'm feeling tired.

[00:11:57]>> I think I want to have a little sleep.

[00:12:00]>> Come sleep with me. Sleep with me.

[00:12:03]>> Parenthood isn't what I imagined it would be.

[00:12:06]>> Thank you, L.

[00:12:09]>> I guess the reality is is more of a challenge, but it's a glorious challenge.

[00:12:16]That's the systematic sort of handing over of yourself and your own priorities and putting someone else right in the center of your life.

[00:12:24]>> Oh, that's great.

[00:12:27]>> Fantastic.

[00:12:29]>> But in every possible way, it's much better than what I imagined. A >> Oh, this is really special.

[00:12:53]Hello Amy. Can I help?

[00:13:05]>> Blew into my eyeball.

[00:13:08]Not >> Huh?

[00:13:10]>> Yeah. Didn't touch your ear yet.

[00:13:15]>> You did touch my ear.

[00:13:21]>> Okay. Clarence, >> that's me.

[00:13:24]>> Yeah. Would you like to come with me? Do you want me to carry that for you? Would that be >> Yes, please. If you would.

[00:13:33]Oh, >> sorry. [music] >> Retired nurse Claren has come to A&E with pain in her right foot.

[00:13:41]Two months ago, [music] she had surgery to remove a bunion in the same place. Follow >> me.

[00:13:47]>> Hello.

[00:13:48]>> Hello, my dear.

[00:13:49]>> How are you?

[00:13:50]>> Mrs. Be fine, thank you.

[00:13:52]>> Miss. Okay. My name is Craig. I'm one of the nurse practitioners. I'm going to look after you. And this is Bethanne, who's one of the student nurses who's sitting in with me.

[00:14:00]>> Nice to have you.

[00:14:02]>> Good.

[00:14:02]>> Is this your practical experience or you have to go back to college?

[00:14:06]>> This is my final placement now, so I qualify in the summer. Oh, good for you.

[00:14:10]I never forget in my time you couldn't wear wedding rings. You had to strap it over your wrong neck.

[00:14:15]>> Oh, really?

[00:14:16]>> And that engagement ring that I had on on a chain around my neck. Went to the toilet one day and as I stood up, I thought it was sitting right on the crotch of my panty.

[00:14:26]>> Oh.

[00:14:27]>> Came the chain came undone. Honest.

[00:14:29]>> You nearly lost it.

[00:14:31]>> Yeah, I did.

[00:14:33]>> So, what's happened? I had surgery on that >> right bunion.

[00:14:39]>> Right. When did this happen?

[00:14:40]>> On the 27th of April.

[00:14:42]>> Okay.

[00:14:43]>> And the big toe. It's very very uncomfortable at the moment.

[00:14:47]>> Is it?

[00:14:48]>> Mhm.

[00:14:48]>> Shall we take this off then?

[00:14:50]>> Yes, please.

[00:14:50]>> All right. Let me just go and get the saw.

[00:14:53]>> I won't be a second.

[00:14:54]>> I had a I had a pair of clippers [music] at home, >> but they were basically for taking off bandages. [music] >> Oh, yeah. If they were a little bit bigger, it would have been off at all my teddy.

[00:15:05]>> You weren't joking.

[00:15:06]>> No, I'm not joking.

[00:15:08]>> It was [snorts] >> my saw.

[00:15:13]>> Now, you know that this thing doesn't cut skin, >> doesn't it?

[00:15:16]>> No, no, no. So, although it's a saw, >> well, we don't want it cutting your skin.

[00:15:20]>> That's a clever one, then.

[00:15:21]>> It makes a noise, >> but if I hold it on my skin, it won't cut.

[00:15:32]>> [music] >> Sorry.

[00:15:41]>> You know, it's going to smell a bit, >> is it?

[00:15:43]>> Yeah.

[00:15:45]>> Dead skin.

[00:15:51]>> You'd have to [music] put a bit of fragrance in it.

[00:15:59]Nearly dead.

[00:15:59]>> Dead >> cuz it hasn't moved for quite so long.

[00:16:02]You know what [clears throat] I mean? It doesn't feel as if it belongs to me.

[00:16:05]>> Oh, really?

[00:16:05]>> Not part of my body.

[00:16:17]>> Okay. [music] Love you.

[00:16:21]>> So clumsy, darling.

[00:16:24]This is horrible. It was itchy sticking out. I was like, "Oh my god, I'm going to lose my leg."

[00:16:35]>> Doctors have received the results of 10-year-old Ashley's X-ray. She's been joined at St. George's by [music] her cousin and grandparents.

[00:16:43]>> They said that it's measuring like 10 cm shorter than the other one now. [music] That's what the paramedics said. Yeah.

[00:16:50]>> Because it broke.

[00:16:52]>> Brilliant. Have a look at the >> Yes, please. Yeah. Thank you. Look at it. Mom, have another glasses.

[00:16:59]>> Yeah. Go and have a look. Go on.

[00:17:02]>> See this? So then when you get together, till it gets a little bit together.

[00:17:05]>> Oh my god.

[00:17:06]>> Oh god. I can't believe this at all.

[00:17:09]>> The scans reveal a clean break to the largest bone in her thigh. And doctors will need to quickly decide whether to operate or realign the bone by putting Ashley in traction.

[00:17:20]>> I tell you what, D. No kidding. You've got a long road ahead of you.

[00:17:24]>> No, I'm not playing football no more.

[00:17:32]>> I think hospitals are quite scary for her because she spent a lot of time with [music] her dad in hospital.

[00:17:42]He was a car mechanic, [music] so he had his own business and he's just always really been into cars >> and he got her like some little pink overalls when she was quite [music] young as well. So he loved her being there.

[00:17:58]>> She she just adored him and he adored her and I think that made her feel special. Um, [music] and he would always take her out to nice places and they would enjoy their time together.

[00:18:14]And he had spent some time in St. George's.

[00:18:17]He spent like a year at the hospital, but we didn't know that he was like palative. [music] We didn't know that he was dying of leukemia.

[00:18:31]We had a phone call to say [music] that he possibly had a couple of hours to live and she was at school at the time.

[00:18:38]She was seven.

[00:18:41]So, I had to go and collect [music] her from school and I had to tell her that he was going to pass away and she just like looked at me and said like [music] that he can't leave her and um she was just crying and [music] I think it was just really difficult for her that he could just be taken from her like that. Um and then it was a week later that he passed away.

[00:19:13]I needed to put my emotions aside a bit, [music] I think, because I think Dolly was the most important person. and she was so young and she just needed everybody's support and my main thing was just to make sure that she was okay because when I told her I just I just looked it just felt like I lost my child that day and there was just [music] no happiness in her eyes anymore.

[00:20:02]Hello Amy.

[00:20:06]>> Uh yeah, go ahead. Is it medical or trauma?

[00:20:10]Okay. Yeah.

[00:20:13]Yeah.

[00:20:16]interior lateral STEMI. Yeah. All righty.

[00:20:24]A 91year-old woman is being rushed to St. George's with severe chest pain.

[00:20:32]When the red phone goes off and you hear a 91year-old with severe chest pain coming in, my mind will automatically kind of think life-threatening.

[00:20:48]The problem is, you know, chest pain can be caused by so many different things, not just in the heart. You've got, you know, problems with the lungs. It [music] can be something in the tummy.

[00:20:56]Chest pain is such a common symptom, [music] and it can be something very benign to something extremely significant.

[00:21:07]>> The woman's niece, an traveled with her [music] in the ambulance.

[00:21:12]We were sitting in the her sitting room and we were both sewing and we were talking and she suddenly went quiet. I asked her a question, didn't get an answer and I looked at her and she was sitting there just holding her chest.

[00:21:42]I'm going to take your shoes off. All right, I'll pop them over there.

[00:21:44]>> She likes to be known as Betty. Betty, she's 91 years old.

[00:21:47]>> Okay. Today at [music] 17:30, she was sitting in a chair having a chat with her niece and sudden onset subtle chest pain. Y >> we have given her aspirin GTN two sprays.

[00:22:00]>> Okay.

[00:22:01]>> 5 mg.

[00:22:02]>> Okay.

[00:22:04]>> Yeah. Thanks very much for all you've done for me.

[00:22:06]>> No problem. All the best.

[00:22:09]>> Yeah. Come again next time.

[00:22:12]>> Betty, my name's Neil. I'm one of the consultants.

[00:22:15]>> Hello.

[00:22:16]>> Hello.

[00:22:17]>> Have you ever had this type of chest pain before?

[00:22:19]>> Yeah.

[00:22:20]>> Okay. Just going to examine your heart.

[00:22:23]Is that all right?

[00:22:24]>> Can you do what?

[00:22:25]>> Just going to examine your heart. Is that okay?

[00:22:27]>> Oh, any thing. One more. [snorts] We're just going to need to do some blood tests. All right.

[00:22:41]>> Doctors need to test Betty's blood immediately to look for a protein that will confirm that she's having a [music] heart attack.

[00:22:47]>> Well, let's get this dripping.

[00:22:49]>> I'm going to go get I'll put a needle in your arm.

[00:22:51]>> Another one.

[00:22:52]>> Yeah. Yeah. I like doing that. [music] We love We love bloods here. That's the thing.

[00:23:05]>> [music] >> doctors are awaiting [music] the results of 91year-old Betty's blood test.

[00:23:18]>> They're keen to [music] find out whether anything in her medical history will help them determine the cause of her chest pain.

[00:23:25]>> So, have you ever smoked? Do you smoke?

[00:23:27]Ever smoked? Okay. And have you been feeling more short of breath recently?

[00:23:31]>> No.

[00:23:33]>> Been feeling anything particular?

[00:23:35]>> I mean getting a bit sort of sticky on my feet.

[00:23:39]>> Yeah.

[00:23:39]>> You know.

[00:23:40]>> Do you live on your own?

[00:23:41]>> Yes.

[00:23:42]>> Okay. And do you have any carers that come [music] in to help you?

[00:23:45]>> Normally I look after myself quite happily.

[00:23:54]Betty's niece an has been waiting to see her in recess.

[00:23:59]>> You're getting a chair sitter. Have you got a chair sitter? Yes.

[00:24:05]>> All the junk in the house. All your clothes and your handbag.

[00:24:08]>> I probably as well have >> Betty lived [music] in London. We moved up to Cumbria in the early 60s, but every year we would go down to spend our holidays sailing on the Solent and we would call in at my grandparents.

[00:24:31][music] We often saw Betty and any of the others then.

[00:24:35]>> How many more things are we going to >> just of water to 91? [laughter] >> I saw more of her once [music] I grown up because I went down to work in London. She was always interested in us.

[00:24:48]That was the best bit. She was always interested in what we were doing and uh where we were doing it. Great fun. She was just fun to be with.

[00:24:58]>> She's asking you a date of birth.

[00:25:00]>> 03 >> 04. Brilliant.

[00:25:03]>> Yeah. 3424.

[00:25:06]>> Nice easy one.

[00:25:06]>> Nice easy [music] one. Yes.

[00:25:08]>> Betty and her three younger brothers were brought up by nanny and all went to boarding school. Because my grandfather was a solicitor.

[00:25:18]She was a daddy's girl. She adored her father.

[00:25:24]>> Do I have to [music] keep this thing on?

[00:25:26]>> They want to know what your um heart's doing. They're keeping a check on your pulse.

[00:25:31][music] >> Nobody told her when she went to boarding school that it was all girls.

[00:25:35]She said it was the best surprise of my entire life. No boys. [laughter] boarding school is probably the best training for the services you could possibly have because of course when she came out of school it was wartime and she was straight into joining up she joined the rens and once she was in the rens that was it she had [music] to stay there till the end of the war >> you are talking to an ex- nurse here >> oh really I'm not a fully trained one I did about a year and a half when I started and I got food poisoned during the war. I got [music] food poisoning and they wouldn't let me go home. So I walked out.

[00:26:16]>> She went up to the Orcnes and was a telegraph operator translating from Morse to English and writing it down as [music] it was coming in and doing the same again as it went out again to submarines and ships and everything out in the North Sea and the Atlantic uh the North Atlantic convoys. After that it was a case of she did what she really really wanted to do which was to travel.

[00:26:38]It's definitely the pain is is definitely going off again. We had a fair chunk of morphine thrown into you in the ambulance which will have helped.

[00:26:46]Yes.

[00:26:47]>> Although doctors have been able to manage Betty's chest pain with medication, they're still waiting for test results to determine the cause.

[00:26:56]Every [music] >> I don't want them. I can't eat.

[00:27:14]>> Just you. They dissolve in your mouth.

[00:27:15]They are the easiest thing you can eat.

[00:27:17]Next to soup, this is the next best thing.

[00:27:24]>> [music] >> Plunk it in there for me.

[00:27:29]>> Yeah, that's cold. You got any warm water?

[00:27:32]>> It's cold.

[00:27:32]>> It's not that cold, is it?

[00:27:33]>> It's cold. I like comfort.

[00:27:36]>> Retired nurse Clarine has come to A&E with pain in her foot after having a buna removed two months ago. Emergency nurse practitioner [music] Craig has decided to rebandage the wound.

[00:27:46]>> Does that feel good?

[00:27:48]>> M. It's living again. I'm going to put some olive oil on that.

[00:27:53]>> Good quality one, I hope.

[00:27:55]>> Oh, yeah.

[00:28:01]>> Makes the dead skin separate quickly.

[00:28:13][music] >> Got a new foot >> with a bow. Oh, lovely.

[00:28:20]>> Okay, hopefully that feels better.

[00:28:22]>> Well, thank you very much.

[00:28:23]>> And any problems, come back and see us.

[00:28:25]>> You take care and all the best.

[00:28:26]>> Thank you very much.

[00:28:27]>> Thanks ever so much.

[00:28:28]>> It's nice to meet you. Take care.

[00:28:30]Thanks. Bye. See you later.

[00:28:31]>> Bye bye.

[00:28:36]>> It's a lovely day.

[00:28:37]>> It was It was quite nice.

[00:28:40]>> When I get home, I think I'm going to have a glass of wine with lunch to celebrate.

[00:28:45]The waiting time is always the worst.

[00:28:56]>> Okay. I'll do it like this. Okay.

[00:29:01]>> Casey, do you want anything more to eat?

[00:29:02]Are you okay?

[00:29:03]>> No.

[00:29:04]>> I'm okay.

[00:29:05]>> You're okay. You're not okay.

[00:29:08]>> No.

[00:29:11]>> Don't eat them all at once. Uh, [laughter] can I play this?

[00:29:17]>> Should we play I spy?

[00:29:19]>> Yes. I spy with my [crying] boy.

[00:29:24]Something getting >> Lola.

[00:29:33]>> Is that you?

[00:29:34]>> Major, please.

[00:29:36]>> 3-year-old Lola has come to A&E with her dad Quinn following a seizure at home.

[00:29:42]>> This way. It's my puppy.

[00:29:43]>> After being diagnosed with febal convulsions a year ago, her dad is worried that her recent fitting may be the result of another underlying concern.

[00:29:52]>> My name is Peter. I'm one of the doctors.

[00:29:55]>> Say hi, Peter.

[00:29:56]>> Hello.

[00:29:58]What's brought you to see me today?

[00:30:00]>> Um um I daddy, too.

[00:30:03]>> Oh.

[00:30:04]>> And our name is Quinn.

[00:30:05]>> It's my name.

[00:30:06]>> And his name is Quinn?

[00:30:08]>> Yes. And and mommy's name is Melanie.

[00:30:11]>> Oh, wow. Can I ask daddy some questions?

[00:30:14]Is that okay?

[00:30:14]>> Yeah.

[00:30:15]>> Thank you. So, what happened today?

[00:30:17]>> She had a February convulsion. She's had this is the seventh.

[00:30:21]>> In sort of what time span we're talking when did they first start?

[00:30:23]>> Last October.

[00:30:24]>> All right.

[00:30:25]>> The first couple of times were a lot more severe violent convulsions, eyes rolling back. Sure. Stopped breathing.

[00:30:32]>> And was she sort of shaking her arms and legs?

[00:30:34]>> Yes. One was here and they had to sort of take him to recess and >> she stopped breathing for a few minutes and they cut her clothes off and that was the worst one.

[00:30:43]>> And in terms of her behavior normally, I mean, she was sort of hit all of her milestones on time. Walking, talking, all at the right times?

[00:30:50]>> Uh, yeah, she started walking a little bit late.

[00:30:53]>> Okay.

[00:30:54]>> Talking, you feel that was all on time?

[00:30:56]>> Oh, yes. Yes. Absolutely. No problem with talking.

[00:30:58]>> Sure. Sure.

[00:31:00]>> Can we pop you on the couch so I can have a little feel of your tummy? Yeah.

[00:31:07]>> And we'll lay you down nice and flat.

[00:31:12]>> Can I have a little feel of your tummy?

[00:31:14]>> Are you ticklish?

[00:31:15]>> Are you sure? Are you sure?

[00:31:17]>> Okay. Can you sit up for me? And I'm going to have a little look in your ears.

[00:31:22]>> Oh, what is he going to find in your ears?

[00:31:28]>> Since October of last year, she's had seven of these episodes.

[00:31:33]these febal convulsions.

[00:31:36]I'm just going to come around the other side and [music] have a look in the other one.

[00:31:39]>> She was just sleeping in my arms >> and I felt my lap go warm and wet. She wet herself. Um at which point I obviously took notice and her eyes started to roll back and she stopped breathing and it's just awful.

[00:31:57]Naturally, when you see the sort of thing, you go through all the worst case scenarios as [music] we do.

[00:32:06]My wife's brother had a tumor and the [music] sort of climax of it was uh a fit. He'd had a a major seizure.

[00:32:16]>> Can you close your eyes nice and tight for me? We're still trying to get to the bottom really of what it is that she's going through. Whether it's just febal convulsions or whether perhaps it could be epilepsy or um you know, god forbid something more sinister.

[00:32:32]>> Say ah.

[00:32:34]>> And again, >> you do sometimes think, why does she have to go through this?

[00:32:40]You're thinking, [music] gosh, what if this happens again? What if it happens and we're not with her?

[00:32:46]In that moment, there's nothing I can do. I think that's the scary thing. Um, wow. I wasn't expecting this.

[00:33:06]So, yeah, the man in me says I'm out of control. That's a very uncomfortable place to be.

[00:33:15]>> Yeah. I just want to [music] have a look at her old letters, my bits and pieces, and I'll come back and have a chat with you again.

[00:33:21]>> All right. So, that's all right.

[00:33:36]>> It's been just over 90 minutes since 10-year-old Ashley arrived at St. George's after breaking her leg.

[00:33:43]Orthopedic doctors have arrived in pediatrics to discuss how they intend to treat the split feur.

[00:33:50]>> Hello. Hi, I'm Michelle. Hi. Nice to meet you.

[00:33:53]>> It's quite a severe break that she's got. So, usually it will involve us doing a small operation for it. Okay.

[00:34:00]It'll involve us putting two small sort of what we call nails. So, little wires which go through near the knee and go up all towards the hip.

[00:34:07]>> Um, and two of those are put in just to stabilize the bone, let it all heal up.

[00:34:12]Yeah. Okay.

[00:34:14]>> Thank you very much.

[00:34:20]>> Do this at home.

[00:34:21]>> I know. I know.

[00:34:22]>> Why does it always happen to me?

[00:34:25]>> Cuz you're so clumsy. [music] That's why.

[00:34:31]>> I felt like she definitely had to grow up quickly with everything that had happened. [music] But on the other hand, she's still very babyish [music] in the things that she does.

[00:34:44]And I really like to see that her playing with the little dolly still and ponies and things. And it's just nice [music] to see her getting back to normal now and just being able to kind of have that um childhood back again really. Oliver can wipe your lashes off.

[00:35:03]One of the most important things for her was to take her teddy bear with her that her dad had taken around all of the hospitals with him.

[00:35:12]>> And I think that she just felt [music] that he was there then when she was growing [music] up.

[00:35:20]Everybody would say that she was just like him and looked like him and I could never see [music] it.

[00:35:26]But um I think it was the day that I had to tell her that he was um very unwell that I [music] just looked at her and I could just see what everybody had been saying and >> [music] >> um definitely since he's been gone, it's just like she's [music] completely got his soul and it's just like looking at him.

[00:35:49]>> Good girl. Keep breathing.

[00:35:57]Have you ever stayed in hospital before overnight?

[00:36:01]>> You don't think so? It's the first time for everything, isn't there?

[00:36:05]>> It's no definitely made us realize how precious life [music] is now and that we're just trying to enjoy as much time as we can together.

[00:36:15]>> Ashley will be taken to an orthopedic ward before having an [music] operation to realign the pieces of bone in her thigh.

[00:36:29]>> [music] >> It's been just over 15 minutes since 91year-old Betty arrived [music] at St. George's with her niece Anne.

[00:36:48]>> Elizabeth.

[00:36:49]>> Yeah.

[00:36:49]>> Hello, Elizabeth. My name's Chris. I'm one of the nurses. Try [music] >> there. See you. I do beg a pardon. My name's Chris. I'm one of the nurses here. We have some tablets for you. I'm afraid we have quite a few.

[00:36:58]>> Would you be able to take these for us?

[00:37:00]>> Not expect. [music] Excellent.

[00:37:02]>> I like the whole lot, >> I'm afraid. So, >> she absolutely loved traveling and [music] she would maybe work two or three years, usually in London, places like Solicitors, [music] and then she'd drop the job cuz she'd been saving like the Clappers, and go off traveling for a year.

[00:37:19]>> I don't think I'd get them all down at once. I don't think I've ever been after Solo eight tablets [music] at once in my life.

[00:37:26]>> She visited South Africa several times.

[00:37:28]She went to India. She had friends in and family in Delhi. She went to Singapore, Hong Kong, certainly Australia and New Zealand and Canada were very big favorite places to go. She buzzed around and did her [music] own thing.

[00:37:44]>> Well, I'm glad I was here.

[00:37:46]>> Yes, I'm glad you were here, too.

[00:37:47][music] I must say coping with all this by myself would have been difficult.

[00:37:52]>> I mean, not impossible, but difficult.

[00:37:54]>> Difficult. Yes.

[00:37:56]>> I think she was ahead of her time, certainly. Don't forget when I was little, getting married and having children was still the sort of thing you did.

[00:38:04]>> Betty showed that it didn't have to be like that.

[00:38:09]>> And yes, she was probably trailblazing in in a small way.

[00:38:15]>> Doctors have received the results of Betty's heart reading.

[00:38:21]When you're telling someone such big news, one of the key things that I try and do is to not kind of beat around the bush and tell them.

[00:38:31]>> Oh, sorry, Betty.

[00:38:33]>> Betty, the the tracing [music] of your heart shows that you're having a heart attack.

[00:38:38]>> Well, I thought I was.

[00:38:39]>> Yeah. Quite a large one, it looks like.

[00:38:41]>> Oh, okay. That's bad.

[00:38:43]>> It can be, but you're in the right place.

[00:38:45]>> Oh, good.

[00:38:46]>> Which is good.

[00:38:48]So the hard message is the cardiologist are going to come down and see you.

[00:38:51]Okay.

[00:38:52]>> I like it.

[00:38:54]>> Yes. Again.

[00:38:55]>> Yeah. So print that.

[00:38:57]>> Another one.

[00:38:58]>> Perfect.

[00:38:59]>> What they're all doing.

[00:39:01]>> These are what you might call it rather high pads medical [clears throat] whatnot.

[00:39:06]>> Hello Betty.

[00:39:07]>> Hello.

[00:39:08]>> Nice to meet you. I'm Dr. Sh. I'm one of the heart doctors. So that's caused by a blocked artery. It's blocking the blood supply to the heart. And the treatment for that is to open the artery up.

[00:39:18]>> Okay, we take you up to the lab now. The doctors are waiting for you there, Betty.

[00:39:21]>> Oh, no. Come up with her. Wait, she's not going to come back.

[00:39:26]>> Betty now faces life-saving surgery, [music] >> where doctors will attempt to unblock the archeries in her heart.

[00:39:33]>> Sorry, I've got it on stage. It's >> all very exciting [music] the whole thing.

[00:39:38]>> Charging her up hospital nothing with a pair of pants and a bra on. I asked you to your left.

[00:39:58]>> Are you singing a song?

[00:39:59]>> You twinkle, twinkle.

[00:40:00]>> Yes, please.

[00:40:01]>> Twinkle, twinkle, little star, how I wonder what you are.

[00:40:09]>> 3-year-old Lola suffers from febral convulsions. Her and her dad, Quinn, are awaiting the results of a test to see if her most recent fit was caused by something else.

[00:40:19]>> Lola, you've been very [music] brave today. So good. High five.

[00:40:25]>> Been such an adventure today.

[00:40:27]>> Yeah.

[00:40:27]>> You saw the big doctor.

[00:40:30]>> So 3-year-old um noted to have a fever today. He's had a subsequent seizure. I was going to see if I could expedite her pediatric appointment. There's a strong family history of brain tumor and that's what their big concern is essentially.

[00:40:43]>> I think she just need to go to the clinic early and maybe penicellin for her.

[00:40:47]>> Yeah, for the front. That's what I was thinking.

[00:40:49]>> Lola's tests haven't revealed anything significant that could have caused her latest fit, but doctors have decided to refer her for a specialist appointment.

[00:40:58]>> We feel that the fever is coming from the throat. When I have a look back, it's quite red on the left tonsil. There looks like there's some exedate there as well saying she's got a sore throat.

[00:41:07]Imagine potentially in the sort of next 24 hours it might be get start getting sore >> but we'll give her some antibiotics for the throat cuz I think that's what's provoking the fever.

[00:41:16]>> Fantastic. Thank you so much.

[00:41:18]>> That's all right.

[00:41:24]>> Hello.

[00:41:25]>> So they say the back of her throat is inflamed >> and they think that's probably what brought on the high temperature which then brought on the convulsion. Daddy, she wants to talk to you. Talk to >> her. Can I talk to her?

[00:41:39]>> One sec.

[00:41:42]>> Hello. [crying and laughter] I am in a hospital.

[00:41:52]Yes, I'm coming soon.

[00:41:55]Bye.

[00:41:57]>> Okay, babe. So, I'll >> Okay.

[00:42:00]>> Should we take a bus?

[00:42:03]her and my relationship. It is different to [music] my relationship with the boys.

[00:42:10]Lola loves her fairy tale books and so she's getting to grips with the prince princess scenario.

[00:42:20]So just the other day she bounded into the room, jumped into my lap, grabbed me at both cheeks and said, "Daddy, true love's kiss." and plunged her face against mine for the longest time.

[00:42:37]And certainly at the moment I assume that role of prince in her life as long as I possibly can. I I want to assume that [music] role.

[00:42:47]>> Follow me. Daddy, should we get an ice cream?

[00:42:50]>> We're going to get an ice cream.

[00:42:51]>> Okay. As a dad, I spend my life arranging the furniture around her life to ensure that all the corners aren't sharp and that the landings will be [music] soft.

[00:43:04]>> That's going to be the rest of my story with bouncy little leather arranging the proverbial furniture.

[00:43:12]You'll hold my head if you want.

[00:43:14]>> Thank you.

[00:43:29]She'd been really [music] excited because she was bridesmaid for my sister's wedding. It was like a week until the wedding. So, she had the dress and everything. And [music] I think her biggest worry was that she thought she'd be in a a cast and wouldn't be able to wear her new shoes. And but um yeah, she looked beautiful and [music] it all went to plan in the end.

[00:44:20]In the mornings, I would take my cup of coffee and go and sit and she'd have her breakfast in bed and I'd sit on the stool and we'd talk for an hour or so, sometimes more. She used to sit there say, "Never thought I'd reach 91."

[00:44:38]She had a couple of very bad days.

[00:44:41]Friday in [music] particular was not good.

[00:44:45]Then she died in that Wednesday afternoon.

[00:44:53]We gave her a darn good send off. We went to Wimbledon crerematorium.

[00:44:59]Even one of her New Zealand friends got the [music] news and come over and we told everybody to wear color cuz she loved color. And then we went and had food and things in the hallway. We'd had her 90th birthday party as well.

[00:45:13][snorts] Yes. We gave a trolley good sand off.

[00:45:26]>> Are you ready to face the day?

[00:45:31]>> Adult male tropical 8 minutes.

[00:45:34]>> Motorcyclist versus car. They said the dent in the roof is his face. You slide >> t-bone into the side of the car, turning right onto him. [music] >> Can you tell me what year we're in, Robert?

[00:45:46]>> What year are we in now?

[00:45:48]>> What year is it?

[00:45:49]>> I think we need to slow down a bit before he's too late.