Tree Surgeon Falls 40 Feet After Harness Fails | 24 Hours In A&E UK

[00:00:01][music] People wake up on a normal day and suddenly something happens that changes their lives completely.

[00:00:11]>> Pediatric trauma call 15 minutes.

[00:00:14]>> A lot of really bad things happen to really good people, but you never think it's going to happen to you. Stabbed five times including chest has got an arterial bleed from his leg.

[00:00:24]>> Highspeed RTC mop head into wall.

[00:00:27]>> Jesus Christ. What happened?

[00:00:32]>> [music] >> You all right?

[00:00:34]>> I love my wife.

[00:00:36][music] >> Any reception? Can I help you? Yeah. 24 hours, 7 days a week. I love that question. What's your opening hours?

[00:00:45]>> St. George's [music] London. One of the busiest and most advanced A&E departments in the world.

[00:00:52]>> Complete baloney amputation of her leg.

[00:00:55]I can't breathe. He looks frail, doesn't It looks like somebody who's going [music] to break. It's going to be one of those days.

[00:01:02]>> A place where life, >> darling.

[00:01:06]What's for dinner?

[00:01:10]>> Love.

[00:01:11]>> You're still as beautiful as ever.

[00:01:15]>> We have a boy >> and loss. Not cry >> unfold every single [music] day.

[00:01:23]>> And they said there's nothing they can do.

[00:01:26]All the patients you're about to see were treated in just one 24-hour period.

[00:01:33]>> You don't know how lucky I am [music] to be talking to you right now.

[00:01:38]>> We see situations where someone's life has just been turned upside down. People always try and remember what the last conversation was or the last words that that person said to them.

[00:01:50]And I suppose it's so much nicer if the words that they remember are, "I love you.

[00:01:59]>> [music] >> So, we're not going to straight to CT.

[00:02:19]We're going to do it here.

[00:02:20]>> Okay.

[00:02:21]>> Okay. We're not going straight to CT.

[00:02:23]We're going to run it in five. All right, I'm going to leave you to this >> George's.

[00:02:32]>> It's the start [music] of the first shift and the recess area of St. George's A&E is already full >> and put a code red out. PE's code red.

[00:02:43]>> I'm in charge, [music] but I am extremely busy. So, if it's anything that you can do >> sometimes to choose between some of these patients who needs to be seen first is really, really difficult.

[00:02:54]But when you're talking about a life and death situation, it has to be done. It has to be done quickly. That's what my job is.

[00:03:02]>> Motorcycle driver hit by van. Pelvic, [music] spinal, neck, back, and groin pain.

[00:03:07]>> Okay.

[00:03:08]>> 10 minutes for that one. You got 30 minutes for the pets one.

[00:03:12]>> Yeah.

[00:03:16]>> Emergency care nurse Sally has worked in A&E for 3 years. I love not knowing what's going to happen, not knowing what my day is going to be. No, this one [music] is not anything to do with it, but that is the rear view passenger.

[00:03:29]>> Could I get a job for more money for less hours? Absolutely. Do I want [music] to do that? No.

[00:03:35]>> The thicker ones 22.

[00:03:38]>> As well as coordinating recess today, Sally's also looking after two student nurses.

[00:03:43]>> Yeah. Don't let the the buzzing and all of this overwhelm you. I love having students. I love to break things down that are quite complicated that took me years to understand to really simplify them and to watch the light bulb go on. It's one of the best things about the job.

[00:04:00]>> You probably are going to see traumas and cardiac arrests, but there's such a strong team of support that it'll be a really good place to do it.

[00:04:08]>> Everybody on [music] your team needs to be led and ready. I remember working in A&E as a student nurse and I remember saying it's like [music] Beirut. It's like a war zone and it was terrifying.

[00:04:23]>> Plain of pain C1 possibly and C7 in [music] his neck. He's had three.

[00:04:27]>> I hope I never forget that because I think that's a really important part [music] of being a qualified nurse is teaching them how to cope.

[00:04:48]Hello, St. George's.

[00:04:54]>> Hello. Could you activate the helipad response team, please?

[00:05:08]A 27year-old tree surgeon is being airlifted to St. George's after falling 40 ft from a tree.

[00:05:17]>> Hit several branches [music] on the way down unconscious for 10 minutes.

[00:05:23]>> So, do you want to [music] prepare for it to go straight to CT?

[00:05:26]>> Yes.

[00:05:30]Having fallen face first onto concrete from the equivalent of a four-story building, the team urgently need to assess [music] for any internal injuries.

[00:05:49]Certain things trigger a major trauma call.

[00:05:53]20 ft triggers a major trauma call. 40 is a long way.

[00:05:58]Every injury I can imagine that could kill you, you could get from falling 40 foot.

[00:06:18]>> Hey guys, [music] you happy to go straight into CT?

[00:06:23]>> I received a text message from my dad.

[00:06:26]Howard, Dave's friend that that he was working with has said that he'd had a tumble out of a tree >> 40 feet right at the top there.

[00:06:35]>> So when when I heard that Dave had been airlifted to hospital, lots of thoughts started sort of going through my mind, I guess sort of in selfishly thinking, am I going to be able to handle this and going to the hospital um on my own and not knowing what condition I'm going to find him in.

[00:06:53]>> So this is David. He's a tree surgeon who was um up a tree about 40 ft um when his harness gave way and he's had an unstone fall um straight down hitting a big a large branch um on the way down.

[00:07:08]This has had 5 milligs of morphine and four four ofron.

[00:07:12]>> I remember leaving my office in Teddington and starting to walk down the street to the station where I was going to get the train and I was praying, you know, God, please, please, please make sure that he's okay.

[00:07:34][sighs] >> [music] >> No, don't.

[00:07:44]>> Please don't.

[00:07:46]>> I need a cup of tea.

[00:07:49]>> A cherry cup.

[00:07:50]>> I need the rest of my pizza.

[00:07:52]>> I need peace and quiet.

[00:07:54]>> I think we're in a queue now.

[00:07:59]>> So, I'm going to be late for school.

[00:08:01]>> You're already late for school, mate.

[00:08:03]>> Yeah.

[00:08:06]You think you'll let me put the needle in your hand?

[00:08:08]>> What needle?

[00:08:10]>> Didn't you know you're going to get a needle in your hand?

[00:08:15]>> They need to take some blood.

[00:08:17]>> Uh-oh.

[00:08:28]Breathe in and hold your breath.

[00:08:31]>> 27year-old tree surgeon David has been rushed to St. George's by air ambulance after falling 40 ft from a tree and being knocked unconscious.

[00:08:47]When he was born, I was 11.

[00:08:52]He was adventurous and outgoing even when he was he was young, when he was small.

[00:09:00]>> He landed [music] on his chest, this guy. So, you may have actually gotten some conclusions just from that.

[00:09:11]>> We had the asht tree in our garden and dad encouraged us to play. He sort of put a swing on the tree and steps leading up.

[00:09:22]We would play who could go higher, who would be most daring, and Dave would would go a lot higher right to the top.

[00:09:39]>> Whilst doctors await the results of David's CT scan, they need to carry out further tests.

[00:09:48]uphill.

[00:09:52]>> He's always doing climbing some type or another. He's traveled all over the world on his own uh a lot of the time.

[00:10:01]>> He likes to live on the edge.

[00:10:04]>> He doesn't let his fears control him.

[00:10:07]>> Um because you're a bit cold on the outside, bit difficult to take blood from down there. So, I just >> We needed to pop another little drip in.

[00:10:14]We've done that as well.

[00:10:15]>> I'm here in the morning.

[00:10:18]>> In major trauma, one of the most important things is temperature. If you get colder after major trauma, it can affect your clotting sort of 24 48 hours later. If you've got um a prolonged clotting, you're more at risk when you go to theater. You're more at risk with wounds, head injuries, everything. Can you follow my finger?

[00:10:41]>> In A&E recess, we're just looking to see um what the damage is. He's [music] had a CT. The doctor's with him at the moment and as yet we're still running our test, but I think he'd be quite pleased to that his girlfriend's on her way.

[00:11:01][bell] >> So, we got an initial read on the scan.

[00:11:05]Uh-huh. There's a crack on the pelvic bone and there's also a fracture at the top of your neck. It's probably as you've impacted down the way you fell.

[00:11:14]Um, it'll need to be held. So, we'll change your collar >> for a much more supportive collar.

[00:11:20]That's the early report. [music] I've seen the images. I can see exactly what they're talking about.

[00:11:36]Come on, >> Bethany.

[00:11:45]>> Bethany.

[00:11:48]>> Yeah, >> I know you're going to get irritated, but please, may I have some more?

[00:11:53]>> Not you, Oliver.

[00:11:55]>> Yeah.

[00:11:57]How glorious.

[00:12:09]>> Hello, St. George's.

[00:12:16]>> A 92year-old woman is being taken to St. George's after being found by her carers with slurred speech and a shaking hand.

[00:12:26]>> [music] >> There's two coming. There's two new patients coming. So, >> who do you want to go out for [music] this?

[00:12:33]>> Go out where?

[00:12:34]>> We got no beds. [clears throat] >> Ah.

[00:12:38]>> The specialist stroke team have been called to recess [music] to examine her.

[00:12:44]>> Um, nowhere at the moment cuz I haven't got a bed for them. [music] It is always go go go go go go go go go go go go go go go go go go go go go [music] in A&E but around that person's bedside they don't necessarily have to know that [music] they don't necessarily have to know the chaos that's going on there's a stroke call no guys in here sorry in here sometime between 7 and 10 she's developed a rate state of weakness and according to daughter um slur speech >> and she's got dementia in the past she lives at home alone how Which can she normally do herself?

[00:13:19]>> She's known for chat away. She can drink using both hands.

[00:13:25]>> You all right, >> Betty?

[00:13:27]Two, three.

[00:13:29]>> Sorry.

[00:13:30]>> It's all right, >> Betty.

[00:13:32]>> Hello there. I'm Dr. Patel.

[00:13:36]Can Betty, you know, you see your arm. Can you stop it from doing this?

[00:13:43]>> What?

[00:13:43]>> This arms.

[00:13:46]Oh, are you in pain?

[00:13:49]>> No pain.

[00:13:53]>> Betty.

[00:13:56]>> Hello.

[00:13:58]>> Do you recognize this lady here?

[00:14:00]>> It's your daughter.

[00:14:01]>> Hello, darling.

[00:14:02]>> Hello.

[00:14:06]>> All right, darling. You've got a shaky hand, haven't you? That one's absolutely perfect, but this one has got a bit of a wobble on, hasn't it?

[00:14:18]>> Oh dear. [music] >> Yes. You'll be all right. You'll be all right. I am an only child, which I've never really inquired about.

[00:14:29]However, in hindsight, her approach to pain might explain quite a lot.

[00:14:36]>> Oh, sorry. That hurt, did it?

[00:14:38]>> Yes. [music] I'm sorry.

[00:14:40]>> My mother does not tolerate pain on any level and is very vocal [music] in letting us know if she either is in any pain or any of pain is likely on the horizon. Uh which may explain having done child birth once, [music] there was no way she was ever going to do it again.

[00:15:02]>> They're going to come and sort you out, help you out. Yes.

[00:15:05]>> Hope to do it soon. [music] >> Yes. Yes. Yes.

[00:15:08]She is the mistress of inappropriate [music] statements.

[00:15:13]As a teenager, she would pass comments, very personal comments about my friends in their earshot. Oh yes, you have got a big bottom, haven't you? Mortifying.

[00:15:27][music] Mortifying.

[00:15:30]>> You're nice and warm anyway. You're toasty warm >> something.

[00:15:37]After ruling out a stroke, the doctors are investigating the cause of Betty's symptoms.

[00:15:43]>> Betty, because you have this right-sided twitch, the doctors are querying that you may be having a seizure. So, I'm just going to give you some medication that will help resolve them symptoms.

[00:15:53]>> Okay, >> fine. All right, then. Hold on a second.

[00:15:59]>> When I'm in charge of recess, I'm responsible for all patients, >> right? Do you want to even people that might not be having lots of interventions and lots of things going on. So actually all you need to do is when you're around their bed space take a deep breath go in leave all that outside and just be calm.

[00:16:18]>> Hello Betty.

[00:16:19]>> Hello.

[00:16:20]>> I'm Sally. How you doing?

[00:16:21]>> I'm all right. I think >> I hope >> you look pretty good to me. Nice. I think >> sometimes it's just as important to give people that time just to be near someone else.

[00:16:35]>> I'd really like you to try to have another little drink for me.

[00:16:38]>> Time being.

[00:16:40]>> Go on, try, Mom. Nice cup of tea with some sugar.

[00:16:43]>> I don't think we always remember to do that, but I hope most of the time that we do.

[00:16:47]>> Is it all right if we just have a good look at you?

[00:16:50]>> Not too much of a look to have.

[00:16:51]>> Not too much of a look.

[00:16:53]>> My name's Anna. I'm a student. Now, she's a student, so don't scream. We don't want to put her off forever, do we?

[00:17:00]>> We won't whistle under a breath.

[00:17:01]>> Yeah. Just Just go and keep it to yourself, cuz otherwise she'll she'll you will frighten her. Did you scream when you [music] were little?

[00:17:12]>> Oh, you just lovely.

[00:17:14]>> I know you used to scream when dad was [music] alive cuz he used to come running, didn't he?

[00:17:18]>> He was very good.

[00:17:21]We have always had a good relationship and I suppose we've [music] always shared humor and say funny situations in most things, not least at my father's funeral when um his adoring siblings made a floral tribute saying brother. However, the R was cut off. So what it actually said was bother.

[00:17:49]She cried with laughter, but she couldn't let them see that because they [music] wouldn't have understood. But but it was very funny.

[00:17:58]>> It won't last too long. I'll distract you by asking you to stick this one underneath your tongue.

[00:18:04]>> Lovely.

[00:18:07][music] Which one?

[00:18:16]>> Oh, thanks, darling.

[00:18:19]Bethy and I [music] decided to make you dinner of mashed potato with sausages standing up in it with tomato sauce.

[00:18:29]>> Actually did it before and you called it the Millennium Dome, didn't you?

[00:18:32]Whatever it was.

[00:18:32]>> Yes, but this would have been your hand this time.

[00:18:36]>> Oh, all right. Okay.

[00:18:39][laughter] >> 51-year-old mini cab driver Mark has come to A&E with his partner Jane and stepdaughter Bethany. He's lacerated his finger, picking up some broken glass from the road.

[00:18:51]>> Try to move the car.

[00:18:52]>> He said, "It does look a little bit like a murder scene because you you tried to wipe the blood off the door." So, it's all sme and I met almost 10 years ago via a mutual friend and we've been together ever since. From our first date, which was my first date. I'd never been asked out on an actual date before. Mark came with flowers and he'd had the car valented and stuff like that and then we went to dinner. He was just a perfect gentleman.

[00:19:26]>> Yeah. A lot better. Yeah.

[00:19:28]>> Really?

[00:19:28]>> You felt really really your body?

[00:19:31]>> I haven't touched him for a while. I just just have a little touch.

[00:19:34]>> Feel nice. I'm going up there. That's nice and warm. [laughter] I'd been on my own just just me and Bethany for about oh must have been 13 years 12 or 13 years.

[00:19:49]>> Actually they're playing Brixton I think. I think they're playing Brixton Cander.

[00:19:52]>> We'll go Bethy. Will you will you go with him?

[00:19:57]Show him the votes.

[00:19:58]>> She won't be into that. She wouldn't like that.

[00:20:00]>> She would like it certainly. Bethy's got tons of trance music concert. you have to go with your glow sticks.

[00:20:10]>> There wasn't a huge connection between them. They were they were fine together, but that definitely came when her father died. He had nothing to do with Bethany at all. He left just literally after Beth's first birthday.

[00:20:27]She made the decision that she wanted to go to the funeral. as she said later, you know, the first time she kind of felt like she got to meet her dad, you know, who's being wheeled past in in a coffin was quite traumatic for her. But Mark was brilliant. After the funeral, he thought it was important to have a bit of cheer up time. So, he decided to drive us to Little Hampton where they have a sort of pleasure beach type thing. And he was on this sort of bicycle. And the idea of the bicycle you're on was to pedal as hard as you could to stay upright, otherwise you're upside down. So there was Mark pedaling hell for leather, red as a tomato, upside down. And uh Bethany said that night, she said, "Oh, he's brilliant."

[00:21:14]She said, "I really, you know, I really love him for doing that." It was a really special thing.

[00:21:22]Can I port to Theresa one, please?

[00:21:25]>> Yeah. So, I'm going to move bed six into that base so you can have both peeds next to each other cuz it just makes more sense.

[00:21:34][music] >> All right. So, just Yeah. So, don't don't panic. He's all right. Okay.

[00:21:41][music] >> Okay.

[00:21:48][music] >> It's 3 hours since David fell 40 ft from a tree onto concrete.

[00:21:54]His older brother Martin and girlfriend Storm have arrived in recess.

[00:21:59]>> Oh, sorry. I brought them in cuz they were desperate to see him. They're worried. You come.

[00:22:03]>> Yeah. Want to speak to him? He knows everything. So, >> David has regained consciousness but has minor fractures to his neck and pelvis.

[00:22:12]>> We can take this off.

[00:22:14]>> I think you've been quite lucky. You've got a little crack here.

[00:22:16]>> Yeah. Probably.

[00:22:18]>> And we got a bit of a cut as well.

[00:22:20]>> Oh, David, do you have any chest pain?

[00:22:23]Uh, nope.

[00:22:24]>> You were lying on your face, weren't you?

[00:22:27]>> Apparently I was. Yeah, apparently I was lying on my front.

[00:22:30]>> No, concrete.

[00:22:33]>> Quite lucky, weren't you?

[00:22:34]>> Oh, yes.

[00:22:38]>> When I rock climb, when I tree climb, it's the only time I feel awake and alive.

[00:22:44]>> Every day your mind wanders and you don't really feel like you're really in the moment. You're not really there. But when you're out there doing it and you're up a tree or you're up a rock somewhere, you it's the only thing you're thinking about is how you feel instead of, you know, be thinking about your worries about your future, worries about your past.

[00:23:06]>> Is his mom here? Did you say?

[00:23:08]>> No, she's she died. But my dad Oh, I'm so sorry.

[00:23:15][music] I was only 4 years old, but I remember that day very well.

[00:23:28]I remember playing in the kitchen with my dad and my brother and then the front doorbell rang. It must have been horrible for the policeman cuz I ran up to the door and opened it myself. 4 years old.

[00:23:41]All I remember is a policeman coming in with his hat by his side and then everyone was crying and I had no idea why everyone was crying. I didn't understand the situation and I was just jumping around trying to make everyone happy again, trying to make everyone smile, but I just couldn't.

[00:24:00]My mom was driving back from a fitness club somewhere and she stopped at a petrol station to get some fuel and she fueled up a car and then walked around in front of her car and a drunk driver came in behind, hit her car and ran her over with her own car.

[00:24:23]About a year afterwards, I got a recurring nightmare. So, so I must have I must have known why she had gone because of the nightmare was a flower [music] in an orchard, then a big dumper truck coming and crushing it with its wheel. The feeling I got every time it happened was so intense and crazy that I just woke up crying.

[00:24:50][music] My mom was taken away from me so suddenly that I just want to live every day to its fullest.

[00:25:03]And even if that means risking risking life, then I would do that. [music] What does A and B stand for?

[00:25:20]So >> animal >> animal [music] and >> health >> health a and e >> o emergency.

[00:25:30]>> That's brilliant. The second word is correct. But I don't see any animals in [music] here. Do you?

[00:25:38]>> I'm so hungry.

[00:25:41]>> Water. You've had big breakfast.

[00:25:48]Let's see if it kills you. And if it kills you, then I'll know you were really hungry.

[00:25:53]>> Well, when you phone me, you were quite high pitched.

[00:25:58]>> Mini cab driver Mark, his partner Jane, and stepdaughter Bethany are still in A&E waiting for Mark's cut finger to be examined.

[00:26:06]>> No, other than the obvious one, Molly, you've never had any stitches, have you?

[00:26:13]Yeah. When I was a kid.

[00:26:14]>> Did you?

[00:26:15]>> Yeah. I've been there.

[00:26:16]>> It's a little strange coming into the hospital. This poor old Mark because it would normally be the other way around.

[00:26:24]>> That was when I was about four.

[00:26:26]>> A majority of my ill health stems from me having diabetes.

[00:26:33]>> Last year was a particularly horrible year. I ended up in hospital. I was in hospital for eight weeks.

[00:26:42]>> So sorry.

[00:26:43]I very nearly didn't go back out.

[00:26:46]>> Okay.

[00:26:48]>> I ended up in intensive [music] care.

[00:26:52]>> The worst thought that I had about [music] dying. It sounds really strange.

[00:27:01]And funny enough, it's something my mom said. My mom knew that she was dying and she [music] said, "But I'm going to miss you all so much."

[00:27:12]Now, of course, you're dead, so there's no, you know, you're not going to be able to actually miss somebody. But yeah, that was that was it. I I understood being that potentially close to it, I understood exactly what she meant. It wasn't the fear of any pain of dying or anything like that. It was the fear of having all that taken away from you. You know the people.

[00:27:48]>> Oh, darling, why are you crying?

[00:27:51]>> What's wrong?

[00:27:53]>> Oh, darling, >> what's wrong?

[00:27:55]>> Be good to mommy.

[00:27:56]>> But what's [laughter] why why are you upset? What's wrong?

[00:28:00]Well, well, >> Betty is responding to treatment for a suspected seizure. She'll be admitted to a ward for observation. [music] >> Your head comfy there. [music] Is that all right?

[00:28:18]>> Oh, look. Your shaking has stopped.

[00:28:20]That's good. You see, you can open it out a bit more when it stops shaking.

[00:28:24][music] You live to fight another day.

[00:28:32]>> You think it's funny?

[00:28:34]>> I don't [laughter] I only laugh [music] cuz running.

[00:28:38]>> One minute you're screaming and next minute you're fit as a flea.

[00:28:42]My father died 15 years ago. So at 78, she put the house on the market on her own and then proceeded to say she'd like me to take her down to Seafford where she [music] decided she wanted to live.

[00:28:57]I drove her down to Seafford and on that first trip she found a bungalow and bought it. To go to an area where she knew nobody, it showed she had a strength of character I wasn't aware of.

[00:29:13]>> I think it was a gin that did it. What do you think?

[00:29:19]You can have a doze.

[00:29:23]I [music] am very much the carer now.

[00:29:26]But I do respect that she thinks she cares for me.

[00:29:31]>> Should we get you on a more comfy bed?

[00:29:33][music] >> Hey, >> should we get you on a more comfy bed?

[00:29:38]>> We'll do that. I [music] think >> we do create an independent illusion. I think the hardest thing as you get older is is giving that independence away. I think it's the crulest thing. still like [laughter] >> I like the way you're thinking.

[00:29:57]>> She often will say, "I was just about to make that cup of tea, but now you're here. You can pop the kettle on."

[00:30:03][music] Um, why would I why would I tell her the truth?

[00:30:09]>> There we go. [music] >> Thank you very much.

[00:30:12]>> Lovely, isn't it?

[00:30:14]>> She can probably dance. Who knows? In Betty world, everything is possible.

[00:30:21]>> [music] >> I don't want to see blood coming out of me.

[00:30:35]>> Yeah, I don't want to be that one.

[00:30:39]>> Can I squeeze this one really hard so you can't feel the pain over there?

[00:30:45]>> I don't feel anything. That's good.

[00:30:48]>> See, nothing to worry about. I don't feel anything either.

[00:30:53]>> You're doing very well.

[00:31:00]>> A raw onion on the bottom of your feet take takes [music] away illness. Is that true?

[00:31:05]>> Huh?

[00:31:06]>> Raw onion on the bottom of your feet takes away illness.

[00:31:11]>> Cuz all your nerve endings are in in your feet.

[00:31:15]Can you imagine what your room smells like? [laughter] >> It's funny, isn't it? Cuz when it was only hurt in a bit, once in a blue moon, you you do the yelling bit, you know, but when it was become so constant, you learn to kind of live with it. So now it's rather than >> Hi, it's Sally. Um, I need a bed.

[00:31:43]Another trauma call coming [music] in.

[00:31:46]>> I'm really sorry, but I It's not It won't always [music] be like this. It gives you gives you a bird's eye view of the way it works here.

[00:31:54]>> Those are like stunned.

[00:31:56]>> It's just fighting fire.

[00:31:57]>> Yeah, >> it's just fighting fire.

[00:32:00]>> This job is the most stressful job I've ever done. It is without doubt.

[00:32:03]>> But airbag deployed RTC from our 30-y old class.

[00:32:07]>> So, it's a trauma.

[00:32:08]>> That's what I thought. Yeah. I mean, people at work laugh about me cuz I carry my pencil case and I've got my pencils in it. I've got a bit of makeup.

[00:32:18]I've got a toothbrush in it for night shifts. And people laugh at me for that.

[00:32:22]But the main reason I carry that is when you cry at work as often as I do, [laughter] you have to have some way of sorting yourself out.

[00:32:31]>> And then when you hand over to someone at the end of the day, just shake it all off and go home. I don't drunk 6 minutes.

[00:32:48][music] [laughter] >> Is it to prevent you banging your head against the wall?

[00:32:54][laughter] [gasps] >> To prevent damage?

[00:32:58]>> This This man fell 40 ft out of his tree. [music] Tree surgeon.

[00:33:01]>> Oh, really?

[00:33:02]>> He landed face first as well.

[00:33:05]Doctors have found two fractures in David's neck and pelvis. They're also observing him because of his prolonged loss of consciousness at the scene.

[00:33:15]>> I watched this thing last night about the cat. A cat that fell from the 75th floor of a building and survived.

[00:33:21]>> It is me.

[00:33:22]>> It's you.

[00:33:24]>> I feel quite dizzy actually.

[00:33:25]>> I should think you would after falling 40 foot from a tree.

[00:33:28]>> I feel quite dizzy.

[00:33:29]>> Okay, I'll take a I'll take some blood pressure off you. You >> don't need more water. not overheating.

[00:33:35]>> It is hot in here though.

[00:33:38]>> I was 4 years old, but my brother and sister [music] Martin and Nikki were quite a bit older when my mom died. My sister was in her teens. She became the mother quite naturally and she still would treat me as a son.

[00:33:54]My sister doesn't understand why I do what I do and thinks that any type of risk takingaking is a terrible thing to do.

[00:34:04]>> I just don't want [music] you to be sick.

[00:34:08]>> I've had friends who died rock climbing.

[00:34:11]But yet, I still look at my sister's life and think, you could fall down the stairs tomorrow. Someone could crash into your car. It's not going to not going to stop that just because you're not putting yourself out there. And I would rather be out there living my life than trying to protect [music] myself.

[00:34:31]My sister is very traditional. She wants to get old, have a family, have a dream job, have a house.

[00:34:42]That doesn't scare her, but that scares me in a way.

[00:34:49]David is being admitted to a ward where he'll be closely monitored overnight.

[00:34:54][music] >> So get her some water, get the blood.

[00:35:08]>> Hello.

[00:35:09]>> Yes, >> St. George's. How are you?

[00:35:12]>> Another adult priority call has come in.

[00:35:16]A 74 year old woman is being rushed to hospital by ambulance with [music] severe chest pains.

[00:35:22]>> Patient refused to work.

[00:35:25]>> She's asked paramedics to bring her to [music] St. George's and nowhere else.

[00:35:41]I'm frightened of hospitals.

[00:35:45]you'll be lucky to get me to any hospital as at St. George's.

[00:35:54]>> They were so kind to me about a year ago over the [music] allergy I had in my eye. So, I said to them, "If I can't go to St. George's, I'm quite happy to stay at home."

[00:36:08]>> Hello. Is it an >> hi, my name is Soie. I'm [music] one of the doctors. It's nice to meet you. Hi.

[00:36:12]Pleased to meet you.

[00:36:14]>> So, you developed a sudden pain in your chest and it was a sharp pain.

[00:36:18]>> Yeah, it comes and goes.

[00:36:20]>> Just sit forward for me.

[00:36:22]>> Deep breath.

[00:36:24]>> Doctors want to X-ray Anne's chest to find out what's causing the pain.

[00:36:29]>> Deep breath in for me. Hold.

[00:36:34]Breathe normally.

[00:36:38]>> Hi. Uh, my name is Tim. I'm one of the nurses.

[00:36:41]How are you feeling?

[00:36:43]>> It's coming back now.

[00:36:45]>> Two seconds. [music] >> Can you be honest with me?

[00:36:52]>> Of course I can.

[00:36:53]>> If there's anything wrong, tell me.

[00:36:56]>> If there's anything wrong.

[00:36:59]>> Oh, right. Yeah.

[00:36:59]>> Tell me.

[00:37:00]>> We will keep you informed all the time about everything.

[00:37:04]>> Can I tell you why I'm so fussy about being told? the things that were done to you years ago.

[00:37:11]>> Yeah, it's it's a bit >> it was horrendous and you didn't know anything.

[00:37:16]>> My mother was a single mother and my father, who I've never met or never seen, paid for me to go to boarding school. I was three, a convent.

[00:37:31]I never got in trouble with the law, but I I was a rebel. You know, this is what I've been told. And I got expelled for that. They put me away in the local asylum.

[00:37:47]I was in the asylum from the age [music] of 11 till 41.

[00:37:57]I've [music] had every diagnosis under the sun. They said I had schizophrenia personality disorder. [music] You know, I've never heard a voice in my life. And they made me like a zombie.

[00:38:14]>> I'm just going to I'm going to turn down the blood pressure cuff a little bit as in I don't think it needs to go off every 15 minutes. Now, we can put it down cuz it can get it can hurt a little bit, can't it? when it goes up. It >> does hurt.

[00:38:25]>> Yeah. Let me let me take that off a little bit.

[00:38:29]>> Oh, thank you. No problem.

[00:38:32]>> People are so calm here.

[00:38:35]>> It's good hospital, St. George. This is where you want to be. That's where you want to be.

[00:38:39]>> I hadn't told you that. I spent nearly 30 years in a mental hospital.

[00:38:44]>> No. Must have been really, really tough.

[00:38:46]Really tough.

[00:38:47]>> I was 11 when I went.

[00:38:49]>> It's a young young age to go, isn't it?

[00:38:51]All my teenage years never went to school.

[00:38:54]>> No. Wow.

[00:38:57]>> I've always been scared of male nurses because of what they did to me in the asylum and knocked me about. [music] Sometimes I used to be black and blue. I was very frightened, very frightened cuz I kept on thinking what will happen to me? What will happen to me?

[00:39:20]>> [music] >> I used to smash all the windows to get out. I just wanted to get my freedom.

[00:39:32]>> So, what did they say about your finger?

[00:39:35]>> Um, I didn't really hear him really that much. He was He just said a lot of things really quickly. He was like, "Oh, yeah, that's probably going to need it."

[00:39:45]And then I missed that bit.

[00:39:51]After cutting his finger on broken glass, Mark is waiting in reception to be examined.

[00:39:56]>> Mark.

[00:39:58]>> Oh, >> yeah.

[00:39:59]>> Okay.

[00:39:59]>> Do you want me to come through?

[00:40:00]>> Um, >> no. You're all right. You're right.

[00:40:04]>> Me to come through.

[00:40:05]>> Okay.

[00:40:06]>> Do you want me to come through?

[00:40:07]>> Can do. Yeah. If you want to. Yeah.

[00:40:08]Yeah.

[00:40:08]>> I'll go through with him.

[00:40:11]Well, I want to come >> since my illness. I feel my future is so much more positive. I'd love [music] to regain a bit of independence. That would be the nicest thing. I'm really hoping to have huge improvements. I mean, the weight's already going the right way.

[00:40:38]Do you know how to go through into there? They just taken my husband. I've lost 14 stone.

[00:40:46]So very dramatic weight loss. I'm still 16 stone. Still got a long way to go, but I'm almost half what I was.

[00:40:54]>> Began to sort of feel as if I was going to pass out.

[00:40:56]>> Okay.

[00:40:57]>> Um I went very very cold.

[00:41:01]>> I have ambitions. I mean, they're not huge ambitions to a lot of people, but to me, just just to get back into the human race, you know, there's been so much of my life where I either haven't had the confidence or the fitness to join in with [music] things. So, you opt out of doing a lot of things. So, I want to start opting in.

[00:41:27]>> Yeah.

[00:41:30]>> Hi, it's Mark here. I was just trying to find him here.

[00:41:34]>> Hello. Thank you. You all went way too quick for [music] me.

[00:41:39]>> Thank you, love.

[00:41:54]>> If you're the one that sees him go off to CT, then just quickly scribble squiggle the time down.

[00:41:59]>> I love having students. I just love them coming in wideeyed and, you know, innocent and the first time they see anything and then you see them go home at the end of the shift and they just got a bit of a spring in their step. And I remember what that that was like, how it's removed a lot of the mystery for them. It's what was done for me. So, I hope to do it for for them. Right. I'll get that out. We'll give him some pain relief.

[00:42:29]was there again.

[00:42:30]>> There again.

[00:42:31]>> Does it stay there or does it raid? Does it go anywhere else? Just there.

[00:42:35]>> Just there.

[00:42:35]>> Yeah, >> just there.

[00:42:38]>> And test results have ruled out a heart attack. Doctors suspect her chest pains have been caused by an acute digestive condition.

[00:42:48]>> We've got some gavas gone for you by here.

[00:42:52]So, it may be worth giving a little drink and seeing whether or not that helps with the pain. Do you think that's what it is?

[00:42:59]>> Well, it could it could help. I I would definitely give it give it a give it a quick shot. Sort of like like sambou about 20 ms in there.

[00:43:12]>> Perfect. No worries. Thank you.

[00:43:16]>> I came out this on March the 8th, 82. I never forget my first night in my flat.

[00:43:26]Oh, it was like heaven.

[00:43:30]To think I was free. I could do as I want.

[00:43:36]I value my independence.

[00:43:39]It's up [music] to me and him and me.

[00:43:43]I'm in control of my life.

[00:43:46]>> And you're managing you're managing okay by yourself.

[00:43:50]>> Yeah. But I I've got a soulmate that lives at Zoo, John, and he's absolutely fantastic.

[00:43:57]>> I met my first real friend when I was 45.

[00:44:02]>> Hi. Is that John?

[00:44:04]>> Yeah. Nothing nothing to worry about at all. I'm sure she'll fill you in later on when you get home.

[00:44:09]>> John, I don't know what I'd do without him.

[00:44:11]>> No worries. Take care. tucks me into bed and he kisses me good night and he says what time do you want call me in the morning [music] and I say half six but I have got exams now I've [music] got my day skipper sailing I got that when I was 70 got my computer I I know what it is to be lonely but not now I've got lots of friends everywhere >> you're probably more protected up than me.

[00:44:44]>> You know, I'm making up for lost time and I'm very very happy.

[00:45:02][music] She has realized she's at the end of her life. She's not She's not worried. She's not afraid.

[00:45:24]When people tell me how lucky I am and actually [music] think about it, it's actually miraculous that I can fall from that height and [music] be in one piece. I'd rather die tomorrow falling off a rock face than die growing old.

[00:45:43][music] [music] Absolutely no point whatsoever in dwelling on the past or how miserable it's been or how happy, you know, it's past. It's what you're going to do [music] in the future. I think next year has got to be our year.