All language subtitles for 24A.And.E.S21E04.HDTV.x264-LiNKLE_track3_eng

This programme has graphic scenes
of injury.

The world might feel
more chaotic and divided.

The world might feel
more chaotic and divided.

It's easy to forget
sometimes that there are constants.

It's easy to forget
sometimes that there are constants.

Your home's still your home,
your family is still your family,

Your home's still your home,
your family is still your family,

and all the structures of our
society are still there

and all the structures of our
society are still there

to look after you if you need it.

Here we go. St George's resus.

Here we go. St George's resus.

Adult male, code red trauma,
ten minutes.

Adult male, code red trauma,
ten minutes.

Activate the helipad.

There's been an explosion
at a building site.

Heart rate 200.

Open your eyes, open your eyes.

Open your eyes, open your eyes.

Imagine having to work here.

Imagine having to work here.

Hello, A&E, can I help?

Hello, A&E, can I help?

St George's, London.

St George's, London.

It's all going to kick off now.

One of Britain's busiest A&E
departments.

One of Britain's busiest A&E
departments.

Are we ready to roll?

Carry on CPR.

Goodness me,
it's all happening, isn't it?

Goodness me,
it's all happening, isn't it?

We need to fix that,
or you won't survive.

We need to fix that,
or you won't survive.

Can you say "ah"?

A place where life...

Would you say I was fit, doctor?

Would you say I was fit, doctor?

Honestly, I think I'm quite fit.

..love...

You are my everything.

I love you, and it's OK.

I love you, and it's OK.

..and loss...

Oh, Mum, I'm so sorry.

Oh, Mum, I'm so sorry.

..unfold every single day.

..unfold every single day.

For every bad thing that you see,

there is something equally
wonderful out there.

there is something equally
wonderful out there.

Aw.

Filmed across one 24-hour period,

Filmed across one 24-hour period,

these are the stories of a nation
and its health service.

these are the stories of a nation
and its health service.

I thought I was going to die.
You're definitely not going to die.

I thought I was going to die.
You're definitely not going to die.

You've got too many good doctors
and nurses here.

You've got too many good doctors
and nurses here.

When people experience really
significant illness or injuries,

When people experience really
significant illness or injuries,

When people experience really
significant illness or injuries,

we see people pull together,
we see relationships get stronger,

we see people pull together,
we see relationships get stronger,

we see people pull together,
we see relationships get stronger,

and we see people reflect

and we see people reflect

on what really is the most important
things in their life.

on what really is the most important
things in their life.

Whatever happens,
it's going to be OK.

Whatever happens,
it's going to be OK.

I love you.

I love you too.

Don't you like being on camera?

This is so we can embarrass
you in years to come, Sammy, ready?

This is so we can embarrass
you in years to come, Sammy, ready?

Let's take a close up.

Look at that.

As a parent, your main job
is to feed them, nurture them,

As a parent, your main job
is to feed them, nurture them,

keep them healthy, keep them safe.

keep them healthy, keep them safe.

There are certain problems,
you know,

There are certain problems,
you know,

you'll probably have to deal
with as they grow up. Ready!

you'll probably have to deal
with as they grow up. Ready!

But sometimes something happens and
you can't do anything to help them.

But sometimes something happens and
you can't do anything to help them.

But sometimes something happens and
you can't do anything to help them.

She's hiding behind the chair,

eating all the chocolates
off the Christmas tree.

eating all the chocolates
off the Christmas tree.

You can't always protect them.

That makes you feel really helpless.

That makes you feel really helpless.

Do you not realise the seriousness
of it a little bit more now?

Do you not realise the seriousness
of it a little bit more now?

No?

Oh, OK.

I was really, really worried
about Sammy.

I was really, really worried
about Sammy.

I felt really desperate.

I felt really desperate.

We went to the doctor
and they referred us

We went to the doctor
and they referred us

to a special eating disorders
department.

to a special eating disorders
department.

Had to go and see them every week

and have counselling
and get weighed.

and have counselling
and get weighed.

OK, sweetie.

We are just going to do
an ECG on you if that's OK.

We are just going to do
an ECG on you if that's OK.

We are just going to do
an ECG on you if that's OK.

There we go. You lie flat for me.

There we go. You lie flat for me.

Perfect.

Each week, she was losing weight
rather than putting weight on.

Each week, she was losing weight
rather than putting weight on.

Each week, she was losing weight
rather than putting weight on.

She was really, really pale.

She was really, really pale.

She was feeling very faint.

She had no energy.

She was tired all the time.

OK, I'm going to print this out,
show it to the doctor. Lovely.

OK, I'm going to print this out,
show it to the doctor. Lovely.

OK, I'm going to print this out,
show it to the doctor. Lovely.

Just bear with me one moment, OK?

Just bear with me one moment, OK?

Every time I went,

they would check her heart rate
just to make sure she was all right.

they would check her heart rate
just to make sure she was all right.

They realised that her heart
rate was too low.

They realised that her heart
rate was too low.

Is that good or bad
that she's gone to the doctor now?

Is that good or bad
that she's gone to the doctor now?

They phoned St George's A&E

and they said to bring her down
straight away,

and they said to bring her down
straight away,

and that's when I started to panic.

and that's when I started to panic.

Samantha? I'm Zanna, I'm one
of the children's doctors,

Samantha? I'm Zanna, I'm one
of the children's doctors,

another one of the children's
doctors.

Nice to meet you. Nice to meet you
both too.

And just to clarify,

you're in Springfield
in the outpatients programme?

you're in Springfield
in the outpatients programme?

Yeah, she's an outpatient.

And what is your plan at the moment

And what is your plan at the moment

in terms of from a dietician
point of view?

in terms of from a dietician
point of view?

Well, this is the problem.

She was doing really well
and she was nearly at target. Yeah.

She was doing really well
and she was nearly at target. Yeah.

Great. And she's been restricting
a little bit.

Great. And she's been restricting
a little bit.

The last few weeks,
she's really gone downhill

The last few weeks,
she's really gone downhill

and she's got to the point now
where she's not eating.

and she's got to the point now
where she's not eating.

I don't know, I'm a bit scared,
to be honest.

It's probably scary for both of you.

When you've been seen in Springfield
and they feel that medically,

When you've been seen in Springfield
and they feel that medically,

When you've been seen in Springfield
and they feel that medically,

they're a bit concerned about you,

they're a bit concerned about you,

that's how you come to be
here with us.

And have you been going to school?

Yeah, she's been going to school
but coming home at lunchtime.

Yeah, she's been going to school
but coming home at lunchtime.

Yeah. Because she's not able to eat
in front of her friends at school.

Yeah. Because she's not able to eat
in front of her friends at school.

Anorexia nervosa is usually
diagnosed in a person

Anorexia nervosa is usually
diagnosed in a person

Anorexia nervosa is usually
diagnosed in a person

with a lower
than expected body mass index,

with a lower
than expected body mass index,

accompanied by a preoccupation
with weight and size

accompanied by a preoccupation
with weight and size

and perception of their
own physical appearance.

and perception of their
own physical appearance.

and perception of their
own physical appearance.

Do you have a number in terms of

how many calories a day
you have been eating?

how many calories a day
you have been eating?

It went from...

It went from...

I don't know,

it went to about... 500.

it went to about... 500.

I mean, you're both aware,

I know that you're
an intelligent young person

I know that you're
an intelligent young person

and you're both aware that that's...
She is very intelligent, yeah.

and you're both aware that that's...
She is very intelligent, yeah.

..that you need to
take in more than that.

..that you need to
take in more than that.

Do you mind just laying on the bed
quickly for me to have a quick look

Do you mind just laying on the bed
quickly for me to have a quick look

and listen if that's all right?
Can I look at your fingers?

and listen if that's all right?
Can I look at your fingers?

What happens to your body
when you restrict your eating

What happens to your body
when you restrict your eating

is that it switches
into starvation mode.

is that it switches
into starvation mode.

is that it switches
into starvation mode.

Your body fat is the first
element of your makeup to go,

Your body fat is the first
element of your makeup to go,

Your body fat is the first
element of your makeup to go,

and then your muscle.

Any laxatives or any weight loss
tablets or anything like that? No.

Any laxatives or any weight loss
tablets or anything like that? No.

Any laxatives or any weight loss
tablets or anything like that? No.

Your heart is a muscle.

So you can run into the risk

of having irregularities
with your heart rate,

of having irregularities
with your heart rate,

because your body has started
to consume itself.

because your body has started
to consume itself.

Well,
what we need to do is a blood test.

Well,
what we need to do is a blood test.

Because you've had this
period of time

Because you've had this
period of time

where you really haven't
been eating very much,

where you really haven't
been eating very much,

when you start eating again, your
blood tests can become abnormal,

when you start eating again, your
blood tests can become abnormal,

so we will be monitoring that quite
closely.

From a medical point of view,

From a medical point of view,

most of the young people that
present to A&E have got to a point

most of the young people that
present to A&E have got to a point

where physically, that illness has
taken over to such an extent

where physically, that illness has
taken over to such an extent

where physically, that illness has
taken over to such an extent

that they are likely to need
intensive treatment

that they are likely to need
intensive treatment

for their eating disorder.

for their eating disorder.

That young person is really
quite at significant risk.

That young person is really
quite at significant risk.

500ml of tazocin and
some fluids and stuff.

500ml of tazocin and
some fluids and stuff.

I'll book a chest x-ray now.
Perfect.

I'll book a chest x-ray now.
Perfect.

PHONE RINGS

Lovely. Hello, St George's.

Yeah, go ahead.
OK, we'll see you then.

Yeah, go ahead.
OK, we'll see you then.

Yeah, go ahead.
OK, we'll see you then.

Adult male, major trauma,
nine minutes.

Adult male, major trauma,
nine minutes.

A 66-year-old man, fall from
height, query of fractures.

A 66-year-old man, fall from
height, query of fractures.

The 66-year-old carpenter is
being rushed to St George's

The 66-year-old carpenter is
being rushed to St George's

after falling ten feet
on a building site.

after falling ten feet
on a building site.

To fall from height,

To fall from height,

you could break
a bone in your skull.

You could bleed
internally from a perforated organ.

You could bleed
internally from a perforated organ.

You could bleed
internally from a perforated organ.

Any serious damage has
the potential to kill you.

Any serious damage has
the potential to kill you.

I'd literally just got to work

when my manager answered the phone
to one of my dad's friends,

when my manager answered the phone
to one of my dad's friends,

which I thought was a bit strange.

He said that
"Your dad's had a fall at work".

He said that
"Your dad's had a fall at work".

My worst fear was that he'd
hit his head, broken his legs,

My worst fear was that he'd
hit his head, broken his legs,

My worst fear was that he'd
hit his head, broken his legs,

or he had spinal injuries.

or he had spinal injuries.

You always think the worst when you
hear someone's had an accident.

You always think the worst when you
hear someone's had an accident.

You always think the worst when you
hear someone's had an accident.

Ready, steady, slide.

Take handover
and then we'll get off the scoop.

Take handover
and then we'll get off the scoop.

Anyone with him?

Yeah. OK.

Just going to measure you
and pop a little collar on, OK?

Just going to measure you
and pop a little collar on, OK?

Can you lift this over the bed?
There we go.

Can you lift this over the bed?
There we go.

Get it undone.

Get it undone.

Yeah. We're going to just do
these blood tests now.

Yeah. We're going to just do
these blood tests now.

We'll get you round to scan.

OK? All right.

It's a time-critical situation.

It's a time-critical situation.

Externally, you can easily tell

if someone has broken their leg
or someone has broken their arm.

if someone has broken their leg
or someone has broken their arm.

Are CT ready? Going now? Lovely.

Are CT ready? Going now? Lovely.

Are CT ready? Going now? Lovely.

What's a bit more difficult
to gather

is what's happening internally.

is what's happening internally.

That patient could bleed internally
and bleed to death.

That patient could bleed internally
and bleed to death.

Some cold water going
into the tube in your arm.

Some cold water going
into the tube in your arm.

How does that feel? OK.

How does that feel? OK.

You're doing really well, Raymond.

I know it's quite
scary and overwhelming.

Slide.

Raymond is undergoing
an emergency CT scan

Raymond is undergoing
an emergency CT scan

after falling from
height onto concrete.

after falling from
height onto concrete.

Breathe normally.

My dad is the oldest
of four brothers.

My dad is the oldest
of four brothers.

My nan always used to joke
about having four boys

My nan always used to joke
about having four boys

and say they were
always so much hard work,

and say they were
always so much hard work,

and having girls would be easier.

and having girls would be easier.

He was quite rebellious
when he was growing up.

He was quite rebellious
when he was growing up.

I saw a picture of him
when he was really young

I saw a picture of him
when he was really young

and he looked like such a hooligan.

and he looked like such a hooligan.

He was always going out late-night
drinking, nicking milk.

He was always going out late-night
drinking, nicking milk.

He was always going out late-night
drinking, nicking milk.

My grandad had to pick them up
from the police station one night

My grandad had to pick them up
from the police station one night

when they were out joyriding.

when they were out joyriding.

Breathe in and hold your breath.

Breathe in and hold your breath.

I loved the fact that he was
the class clown at school

I loved the fact that he was
the class clown at school

and he hasn't really
changed since then.

and he hasn't really
changed since then.

He just makes everyone laugh.

He's just the life and soul
of the party, wherever we go.

He's just the life and soul
of the party, wherever we go.

FAINT: All right, Raymond,
I'm just going to connect you up

FAINT: All right, Raymond,
I'm just going to connect you up

so we can do the injection part.

so we can do the injection part.

Mum and Dad were
about 21 when they met.

Mum and Dad were
about 21 when they met.

I think he was blindsided
by love, I think it was,

I think he was blindsided
by love, I think it was,

"I'm going to spend the
rest of my life with you."

"I'm going to spend the
rest of my life with you."

Breathe in and hold your breath.

Breathe in and hold your breath.

They got engaged and then got
married quite quickly after that.

They got engaged and then got
married quite quickly after that.

They got engaged and then got
married quite quickly after that.

They decided quite quickly that
they wanted to have a family.

They decided quite quickly that
they wanted to have a family.

They wanted to share
that love and to expand.

They wanted to share
that love and to expand.

They wanted to share
that love and to expand.

I think they mutually agreed
that they wanted to give

I think they mutually agreed
that they wanted to give

children a happy life.

But when my parents couldn't
conceive, they went to the doctors.

But when my parents couldn't
conceive, they went to the doctors.

My mum's fallopian
tubes were blocked.

My mum's fallopian
tubes were blocked.

It was definitely heartbreaking.

It was definitely heartbreaking.

Ready, steady, slide.

Thank you.

They had wanted it for so long.

They had wanted it for so long.

They thought, "We're not
meant to have children."

They thought, "We're not
meant to have children."

Would you like to call your
wife? Yeah. Is that OK?

Would you like to call your
wife? Yeah. Is that OK?

Yeah, of course it is.

Yeah, I've just had an
accident at work. I'm OK.

Yeah, I've just had an
accident at work. I'm OK.

Yeah, I've just had an
accident at work. I'm OK.

Nothing. I'm just getting an
X-ray, just in case I've...

Nothing. I'm just getting an
X-ray, just in case I've...

Tooting.

Yeah. St George's Hospital.
St George's, Tooting.

Yeah. St George's Hospital.
St George's, Tooting.

Nothing. I just fell
over, that's all.

Nothing. I just fell
over, that's all.

It's just a check-up, all right?

It's just a check-up, all right?

All right. Nothing to
worry about, all right?

All right. Nothing to
worry about, all right?

No, I've just got something in
my mouth. I've got oxygen on.

No, I've just got something in
my mouth. I've got oxygen on.

Yeah, just to keep me alive.

Yeah, just to keep me alive.

No. No, I'm only joking, all right?

No. No, I'm only joking, all right?

Love you, bye. Love you, bye.

I sort of took the children centre
saying "you have to bring her"

I sort of took the children centre
saying "you have to bring her"

I sort of took the children centre
saying "you have to bring her"

as some kind of medical...

as some kind of medical...

Well, it's a big bump, you know?

It is a big bump.

Mala...don't eat bunny.

Mala...don't eat bunny.

Four-year-old Mala has been
brought to A&E by her mum and dad

Four-year-old Mala has been
brought to A&E by her mum and dad

after falling and hitting
her head at a party.

after falling and hitting
her head at a party.

Do we have Mala?
Mala, hello there.

Do we have Mala?
Mala, hello there.

Come on through. Nice to meet you.

My name's Alex, I'm
one of the doctors.

Do you want to come and have a seat
here for me, if that's all right?

Do you want to come and have a seat
here for me, if that's all right?

So, I understand Mala bumped
her head, is that right?

So, I understand Mala bumped
her head, is that right?

She's been at a superhero
party today, hasn't she, so...?

She's been to a superhero
party, hence the outfit.

There's big, like, iron gate to
get out of the children's centre

There's big, like, iron gate to
get out of the children's centre

and all the kids were
pushing on it. Yes, OK.

I didn't actually see what happened.
When I turned around, she was like

I didn't actually see what happened.
When I turned around, she was like

on her knees with her
hands on her head.

So, she'd fallen over,
and we think that this...

So, she'd fallen over,
and we think that this...

I think she'd fallen
over, yeah. Yeah.

And then I looked behind
her fringe and it like...

And then I looked behind
her fringe and it like...

You can see there's a big
bruise as well and the swelling.

You can see there's a big
bruise as well and the swelling.

Has she complained of
pain anywhere else at all?

Has she complained of
pain anywhere else at all?

She told me she wouldn't
answer any of my questions -

She told me she wouldn't
answer any of my questions -

she would only answer the doctor's
questions. The doctor. Very good.

she would only answer the doctor's
questions. The doctor. Very good.

So I don't know. Right.

Mala, do you mind if
we ask you some questions?

Mala, do you mind if
we ask you some questions?

Is that OK?

No, it's not.

I like your superhero outfit.
Which superhero are you?

I like your superhero outfit.
Which superhero are you?

Super-girl! Super-girl, very good.

Super-girl! Super-girl, very good.

So, Mummy was just telling
me about what happened.

I understand you bumped
your head on this gate.

I understand you bumped
your head on this gate.

It was the school gate.

School gate. Can you show...?

Molly bumped it, Molly made me
bump it like that. That, OK.

Molly bumped it, Molly made me
bump it like that. That, OK.

Molly bumped it, Molly made me
bump it like that. That, OK.

Can you show me where you bumped it?
Can you show me your bruise? OK.

Can you show me where you bumped it?
Can you show me your bruise? OK.

It's just there.
And how do you feel now?

It's just there.
And how do you feel now?

It keeps hurting.

It keeps hurting.

It's a bit sore, is it?
Have you got a headache?

It's a bit sore, is it?
Have you got a headache?

No, it only just starting hurting.

No, it only just starting hurting.

Yeah, and how's your...?
I want to go down.

You can come down if you want.
Do you need some help or..?

You can come down if you want.
Do you need some help or..?

Need some help. There we go.
Shall we let you down?

Need some help. There we go.
Shall we let you down?

There we go. Thank you.

Apart from your bump on your head,
do you have any pain anywhere else?

Apart from your bump on your head,
do you have any pain anywhere else?

Apart from your bump on your head,
do you have any pain anywhere else?

Do you have any sore arms or
neck or anything like that?

Do you have any sore arms or
neck or anything like that?

You're looking at the
fishes and... Mala, Mala?

You're looking at the
fishes and... Mala, Mala?

Fine. So, what we'll do
is we'll examine her

and then we will go from
there, if that's OK?

and then we will go from
there, if that's OK?

He's going to ask you some
questions. Come on.

He's going to ask you some
questions. Come on.

Is it?

14-year-old Sammy suffers
with anorexia nervosa.

14-year-old Sammy suffers
with anorexia nervosa.

She's been brought to St George's

after her heart rate
and blood pressure fell

after her heart rate
and blood pressure fell

to dangerously low levels.

Which salad are you having today?

Which salad are you having today?

This one?

Sammy was a happy child.

Sammy was a happy child.

She was...she was gorgeous.

I love being a parent. It's
the hardest thing in the world,

I love being a parent. It's
the hardest thing in the world,

but it's the best
thing in the world, too.

but it's the best
thing in the world, too.

Is it nice?

Yeah.

Sammy got weighed in year six

and it came back saying that
she was at a healthy weight,

and it came back saying that
she was at a healthy weight,

but it was at the top end
of a healthy weight

but it was at the top end
of a healthy weight

and she wasn't happy with that.

and she wasn't happy with that.

That's when she started
saying that she was too big.

That's when she started
saying that she was too big.

And she'd look back at
pictures of herself and say

And she'd look back at
pictures of herself and say

that she looks really
chubby, really fat,

that she looks really
chubby, really fat,

but she wasn't at all.

I thought she looked lovely
and I tried to tell her,

I thought she looked lovely
and I tried to tell her,

"You're in a healthy weight,
you know? You're fine.

"You're in a healthy weight,
you know? You're fine.

"You're by no means overweight."

"You're by no means overweight."

She had that in her head.

It wouldn't have made any
difference what I said to her.

It wouldn't have made any
difference what I said to her.

Still feel dizzy or anything?

Still feel dizzy or anything?

If they do keep you in, will
you stay here on your own,

If they do keep you in, will
you stay here on your own,

or do you want me to
try and stay here?

It was year eight that I started
seeing her eating patterns change.

It was year eight that I started
seeing her eating patterns change.

It was year eight that I started
seeing her eating patterns change.

To begin with,
she wanted to lose weight.

To begin with,
she wanted to lose weight.

And instead of just
cutting out bad foods,

And instead of just
cutting out bad foods,

she started cutting out most foods.

she started cutting out most foods.

Cold, isn't it?
Are you cold? I'm freezing.

Cold, isn't it?
Are you cold? I'm freezing.

I didn't realise how bad it was

until I realised how thin she
was and how ill she looked.

until I realised how thin she
was and how ill she looked.

until I realised how thin she
was and how ill she looked.

You've just got to try and eat.

Tell me how we can do that, OK?

She lost a stone and a half
over two months.

She lost a stone and a half
over two months.

And that's when I started to panic,

and that's when I took
her to the doctors.

and that's when I took
her to the doctors.

She was diagnosed with anorexia.

She was diagnosed with anorexia.

I felt guilty.

I should've realised because
I live in the same house as her,

I should've realised because
I live in the same house as her,

I'm with her all the time.

How did I not realise
that she wasn't eating?

How did I not realise
that she wasn't eating?

I felt really bad.

So, we'll get some almond milk
and that on the way back, yeah?

So, we'll get some almond milk
and that on the way back, yeah?

Or oat milk. Come on. You
need to try to eat more, yes?

Or oat milk. Come on. You
need to try to eat more, yes?

Please?

Anorexia nervosa is
a mental illness.

Anorexia nervosa is
a mental illness.

It's a particularly
challenging disorder to treat.

It's a particularly
challenging disorder to treat.

It's a particularly
challenging disorder to treat.

There is a perception that the
young person can snap out of it,

There is a perception that the
young person can snap out of it,

There is a perception that the
young person can snap out of it,

or if they just eat
then they'll be fine,

or if they just eat
then they'll be fine,

and it's really not that simple.

and it's really not that simple.

Right, well, what will you
have on your cereal then?

Right, well, what will you
have on your cereal then?

Well, what will you have
for breakfast then?

Well, what will you have
for breakfast then?

Brown bread, you could
have some toast...

..with marmite.

Don't worry about the sugar.

Brown bread doesn't have much
sugar. It's not much sugar.

Brown bread doesn't have much
sugar. It's not much sugar.

Yeah, but, Sam, brown bread
is fine. Please have some.

Yeah, but, Sam, brown bread
is fine. Please have some.

What else will you have then?

What else will you have then?

When your child is
restricting their intake

When your child is
restricting their intake

and sat in front of you
and not eating food,

and sat in front of you
and not eating food,

that is an incredibly
difficult thing

for a parent to go through, to see.

for a parent to go through, to see.

I really thought that you
was going to give it a go.

I really thought that you
was going to give it a go.

Often, young people can be
engaging in these behaviours

Often, young people can be
engaging in these behaviours

for a long period of time

without it coming to the
attention of the people around them

without it coming to the
attention of the people around them

and the people that love them.

So, what will you have for
breakfast, Sam? You've got to eat.

So, what will you have for
breakfast, Sam? You've got to eat.

They will hide under bigger
clothes and wear baggy things

They will hide under bigger
clothes and wear baggy things

to hide it because they
don't want to be detected.

to hide it because they
don't want to be detected.

to hide it because they
don't want to be detected.

People will take great pains to not
show any of that to other people.

People will take great pains to not
show any of that to other people.

People will take great pains to not
show any of that to other people.

Julie, you've got
a good telephone voice.

Julie, you've got
a good telephone voice.

What have I got to say?

Ring a patient and tell her she's
got two appointments on Tuesday.

Ring a patient and tell her she's
got two appointments on Tuesday.

Thank you very much. Appreciate it.

Thank you very much. Appreciate it.

Hello, there. Right.

This is Julie from
the emergency department.

This is Julie from
the emergency department.

Doctors are concerned

that Raymond may have sustained
multiple internal injuries

that Raymond may have sustained
multiple internal injuries

after a fall from height.

OK, Raymond,

have you got any allergies? No.

Are you on any medication? No.

We're going to get
you some medication, OK? Yeah.

We're going to get
you some medication, OK? Yeah.

I definitely think that my life
would've been so much different

I definitely think that my life
would've been so much different

if I hadn't been
brought up by my parents.

if I hadn't been
brought up by my parents.

They were obviously quite nervous
when they brought me home

They were obviously quite nervous
when they brought me home

and then they knew that I was
going to be very mischievous.

and then they knew that I was
going to be very mischievous.

My dad was very smitten with me.

My dad was very smitten with me.

Just make sure you
keep really still, OK?

Just make sure you
keep really still, OK?

We're looking after you.

We're looking after you.

Me and my dad, we've always had
a really good relationship.

Me and my dad, we've always had
a really good relationship.

I was always by his side.

I was always by his side.

In half-terms and school holidays,
he'd take me on jobs with him.

In half-terms and school holidays,
he'd take me on jobs with him.

In half-terms and school holidays,
he'd take me on jobs with him.

I was always making cups
of teas for the builders

I was always making cups
of teas for the builders

to earn a bacon roll from the cafe.

to earn a bacon roll from the cafe.

So, we understand it's
a really uncomfortable bed -

So, we understand it's
a really uncomfortable bed -

it's to protect your legs
and your spine. Yeah.

it's to protect your legs
and your spine. Yeah.

I was never scared of going on site
with my dad because I knew he'd

I was never scared of going on site
with my dad because I knew he'd

always protect me, and he wouldn't
let me go anywhere that wasn't safe.

always protect me, and he wouldn't
let me go anywhere that wasn't safe.

always protect me, and he wouldn't
let me go anywhere that wasn't safe.

It was always fun. You had
to always wear a hard hat

It was always fun. You had
to always wear a hard hat

and high-vis jacket, even if
you were just standing around.

and high-vis jacket, even if
you were just standing around.

He'd always be like, "Oh,
mind that," or, "Watch that,"

He'd always be like, "Oh,
mind that," or, "Watch that,"

and he's always been
the same as I've got older.

If you just relax this arm. Yeah.

We're going to give you some
treatment in this arm.

We're going to give you some
treatment in this arm.

Me and my boyfriend,
when our relationship ended,

Me and my boyfriend,
when our relationship ended,

I moved back home.

My dad wanted to make sure that
everything was OK and I was OK,

My dad wanted to make sure that
everything was OK and I was OK,

and was glad that I was home.

and was glad that I was home.

He is like a superhero.

He is like a superhero.

Nothing bothers him.

He definitely thinks that he
is the protector of us all.

He definitely thinks that he
is the protector of us all.

Right. Try to keep
it still, like that,

because you're going to bend it. OK.

Sorry about that, Raymond.
That's all right.

Sorry about that, Raymond.
That's all right.

He'd always make me feel safe.

He'd always make me feel safe.

There's never been a time where I've
felt not a part of their family,

There's never been a time where I've
felt not a part of their family,

or I've never felt
like their daughter.

or I've never felt
like their daughter.

I'm so grateful that they
could give me a better life

I'm so grateful that they
could give me a better life

than what I may have had.

than what I may have had.

I think I was about the age of four
when they told me I was adopted,

I think I was about the age of four
when they told me I was adopted,

I think I was about the age of four
when they told me I was adopted,

but it wasn't until I was a bit
older that I really understood

but it wasn't until I was a bit
older that I really understood

what had happened.

Radiologists have now completed the
initial review of Raymond's CT scan.

Radiologists have now completed the
initial review of Raymond's CT scan.

Radiologists have now completed the
initial review of Raymond's CT scan.

Hey.

In terms of his head,
it looks OK. Yeah.

In terms of his head,
it looks OK. Yeah.

In his chest, I can't see anything.

He's got lots of free fluids in
his abdomen, though. He has. Mm.

He's got lots of free fluids in
his abdomen, though. He has. Mm.

In his pelvis, I haven't
seen any free air,

In his pelvis, I haven't
seen any free air,

but it looks associated
with bowel. Yeah.

but it looks associated
with bowel. Yeah.

I mean, we've got
it around the liver, too.

I mean, we've got
it around the liver, too.

Oh, yeah.

Spleen.

When there's a potential of
internal organ injuries,

When there's a potential of
internal organ injuries,

you need to take them seriously.

He had a soft abdomen
when he was examined.

He had a soft abdomen
when he was examined.

And then you've got it in the
pelvis, too. Yeah, OK, fine.

And then you've got it in the
pelvis, too. Yeah, OK, fine.

Thank you.

If you cause injury to
one of these organs,

If you cause injury to
one of these organs,

they can potentially bleed,

but that blood is still
within your abdomen.

but that blood is still
within your abdomen.

You could lose a lot of blood,

You could lose a lot of blood,

although it's not outwardly obvious.

although it's not outwardly obvious.

You OK? You all right?

So, we've done a scan from here to
here cos that's where, you know,

So, we've done a scan from here to
here cos that's where, you know,

life-threatening
things can happen. Mm.

Now, during that scan,
they've taken about two,

Now, during that scan,
they've taken about two,

two and a half
thousand pictures. Yeah.

So, someone has looked
through them quickly

So, someone has looked
through them quickly

to see for any obvious
big problems. Yeah.

And I've got the report for that.

You've got lots of
fluid in your tummy.

We shouldn't have too much
fluid in our tummy

We shouldn't have too much
fluid in our tummy

and, if someone's fallen,

it might mean that something's
burst inside, OK? Yeah.

it might mean that something's
burst inside, OK? Yeah.

It could have been
because of my breakfast?

It could have been
because of my breakfast?

When I say in your tummy, not in
your stomach. Oh, all right.

When I say in your tummy, not in
your stomach. Oh, all right.

I mean, literally, in your
abdomen space, OK? Yeah.

I mean, literally, in your
abdomen space, OK? Yeah.

Something might be
bleeding internally. Right.

Something might be
bleeding internally. Right.

But they can't see anything
bleeding with the first look, OK?

But they can't see anything
bleeding with the first look, OK?

Right. So, they're going to
have that more in-depth look.

Right. So, they're going to
have that more in-depth look.

Do your family know
that you're here? Yeah.

Do you need me to
speak to anyone? Uh, no.

Do you need me to
speak to anyone? Uh, no.

All right.

If someone has an internal injury,

they can lose their whole blood
volume within a short space of time.

they can lose their whole blood
volume within a short space of time.

they can lose their whole blood
volume within a short space of time.

This patient is potentially
critically unwell

This patient is potentially
critically unwell

and could deteriorate rapidly.

and could deteriorate rapidly.

Oh, did you watch
Love Island last night?

Oh, did you watch
Love Island last night?

No, I didn't watch it.

SHE GASPS
They've gone to Casa Amor,
ain't they?

SHE GASPS
They've gone to Casa Amor,
ain't they?

Oh, have they? All
the girls have, yeah.

I love it! It's awful, isn't it?

I love it! It's awful, isn't it?

No, it's not. It's, it's...

They're all...it's a game.

I mean, you don't get anyone in
there that's a size 22, do you?

I mean, you don't get anyone in
there that's a size 22, do you?

I think they should do it
with an over 50s one.

I think they should do it
with an over 50s one.

Could you imagine?

We will, won't we Julie?

What's that? If they did an over 50s
one, we could go in.

What's that? If they did an over 50s
one, we could go in.

We could, yeah.

SHE LAUGHS

Cellulite. Yeah. Yeah.
And the lot, everything.

Cellulite. Yeah. Yeah.
And the lot, everything.

Get our bikinis out,

and all the men there with
their big beer bellies.

and all the men there with
their big beer bellies.

Yeah. Oh, dear.

Shall we have a cup of tea and
some Bourbons instead then?

Shall we have a cup of tea and
some Bourbons instead then?

Pardon?

Sammy is awaiting a blood test,

after her heart rate fell
dangerously low earlier today.

after her heart rate fell
dangerously low earlier today.

She's scared of blood tests.
Oh, I'm sorry.

She's scared of blood tests.
Oh, I'm sorry.

I need to set this up.
Yeah, let me move all this.

I need to set this up.
Yeah, let me move all this.

And you can relax back down.

Doctors are concerned she may
have damaged her internal organs

Doctors are concerned she may
have damaged her internal organs

because of her severely
restricted calorie intake.

because of her severely
restricted calorie intake.

I'm just going to see which
side looks like the best side.

I'm just going to see which
side looks like the best side.

Sammy didn't think she had
an eating disorder at all.

Sammy didn't think she had
an eating disorder at all.

She was angry with me.

She said that I was just making
a big thing out of nothing,

She said that I was just making
a big thing out of nothing,

and that I was blowing
it out of all proportion,

and that I was blowing
it out of all proportion,

she didn't need to
go to the doctors.

she didn't need to
go to the doctors.

The eating disorder just took
over her whole head, really.

The eating disorder just took
over her whole head, really.

The eating disorder just took
over her whole head, really.

That one looks better.

That one looks better.

So, what I'll do is I'll
leave the cannula in. OK, OK.

So, what I'll do is I'll
leave the cannula in. OK, OK.

Just in case we need
it to give any meds.

Just in case we need
it to give any meds.

There's a lot of pressure
on Sammy's generation to

There's a lot of pressure
on Sammy's generation to

look and act a certain way,

look and act a certain way,

and with all social media,
weight is a big thing.

and with all social media,
weight is a big thing.

and with all social media,
weight is a big thing.

Looking really skinny
is really encouraged.

Looking really skinny
is really encouraged.

That's it? Don't look.

OK.

I found out about the websites

I found out about the websites

about a month after I'd
taken her to the doctor.

about a month after I'd
taken her to the doctor.

To begin with,

Sammy just told me that
the websites were helping her

Sammy just told me that
the websites were helping her

to lose weight, giving
her recipes and tips.

to lose weight, giving
her recipes and tips.

She played it down. She didn't
tell me the extent of it.

She played it down. She didn't
tell me the extent of it.

She was looking on YouTube
for videos of people

She was looking on YouTube
for videos of people

She was looking on YouTube
for videos of people

saying what they ate in a day and
how to hide it from other people.

saying what they ate in a day and
how to hide it from other people.

saying what they ate in a day and
how to hide it from other people.

That's one off.

Sammy thought of it as a good thing,
because she was losing weight.

Sammy thought of it as a good thing,
because she was losing weight.

She didn't look at
the bigger picture,

she didn't realise
the negative impact.

she didn't realise
the negative impact.

It was really hard to
watch her not eating,

It was really hard to
watch her not eating,

because she's fading
away in front of me,

because she's fading
away in front of me,

and there wasn't anything
that I could do to help her.

and there wasn't anything
that I could do to help her.

OK, so now all I need
to do is stick it down.

OK, so now all I need
to do is stick it down.

There. All right.
Thank you very much.

Thank you. Thanks a lot. Thank you.

Thank you. Thanks a lot. Thank you.

Right, lay back and relax,
you're going to be here for ages.

Right, lay back and relax,
you're going to be here for ages.

I know, but you need to get
yourself better, don't you?

I know, but you need to get
yourself better, don't you?

Mala, do you mind if we
have a look at your head?

Mala, do you mind if we
have a look at your head?

Just to check that everything is OK.

So, I can see you've got
a bit of a bruise there.

Do you mind if I just lift
your hair up there? OK.

Do you mind if I just lift
your hair up there? OK.

So, I'm just going
to have a gentle feel.

So, I'm just going
to have a gentle feel.

OK, and just have a look
at the rest of your head.

OK, and just have a look
at the rest of your head.

Can I get you to look at me?

If you look at my face here,
keep looking at my nose here.

If you look at my face here,
keep looking at my nose here.

Very good.

Keep looking, very good.

Any wobbly teeth in your mouth
that weren't wobbly before?

Any wobbly teeth in your mouth
that weren't wobbly before?

Can you...you're opening
and closing your mouth OK.

Can you...you're opening
and closing your mouth OK.

Can I shake your hand? Very good.

Can I shake your hand? Very good.

Very good. Very good.

Let's have a feel. Can
I feel this one as well? Fine.

Let's have a feel. Can
I feel this one as well? Fine.

Let's have a feel. Can
I feel this one as well? Fine.

Yeah, she seems OK.

She's very alert,
she's active. Yeah.

She's very alert,
she's active. Yeah.

So, I think what we can do is
we'll let you guys go home,

So, I think what we can do is
we'll let you guys go home,

just to keep a close eye on
her for the rest of the day.

just to keep a close eye on
her for the rest of the day.

Thank you. That's
OK, no worries at all.

Thank you. That's
OK, no worries at all.

Very nice to meet you.
Thank you very much. Take care.

Very nice to meet you.
Thank you very much. Take care.

There we go, you guys.

There we go, you guys.

Do you have to follow the doggy?

Do you have to follow the doggy?

Yeah. You have to follow the doggy.

Yeah. You have to follow the doggy.

All right, Raymond.

I'm just going to clean your
mouth a little bit, OK?

I'm just going to clean your
mouth a little bit, OK?

Raymond is awaiting the full
results of his CT scan,

Raymond is awaiting the full
results of his CT scan,

after falling from
height earlier today.

after falling from
height earlier today.

Sorry, they're on your
beard. It's OK, yeah.

Sorry, they're on your
beard. It's OK, yeah.

My parents have always
been open and honest.

My parents have always
been open and honest.

They had been trying for a family
for about five years

They had been trying for a family
for about five years

and then before they started
the adoption process,

and then before they started
the adoption process,

when my biological mum
was pregnant with me,

when my biological mum
was pregnant with me,

I was planned to be
put up for adoption.

I was then placed
into a foster home.

I was then placed
into a foster home.

I was 18 months when I was adopted.

I was 18 months when I was adopted.

I did used to question as to
why my biological parents

I did used to question as to
why my biological parents

didn't want to keep me and if
I had brothers and sisters.

didn't want to keep me and if
I had brothers and sisters.

Let's have a look.

Sorry, just having a nosy.

Sorry, just having a nosy.

And as I got older, I realised
that there was what they call

And as I got older, I realised
that there was what they call

a letterbox contact,
where my biological parents

a letterbox contact,
where my biological parents

could write letters to my parents

and then get sent photos and
update of how I was doing.

and then get sent photos and
update of how I was doing.

Not got any allergies,
have you? No, no.

Not got any allergies,
have you? No, no.

OK, I'll get you some
more pain relief.

OK, I'll get you some
more pain relief.

My dad was very supportive of me

My dad was very supportive of me

getting in contact with
my biological family,

getting in contact with
my biological family,

maybe a bit worried and
a bit scared for me,

maybe a bit worried and
a bit scared for me,

in case it didn't work out
in the way I wanted it to.

in case it didn't work out
in the way I wanted it to.

Hopefully that might absorb
things a little bit better.

Hopefully that might absorb
things a little bit better.

Let me know if you need anything,
all right? All right. Thank you.

Let me know if you need anything,
all right? All right. Thank you.

I found out my biological parents
don't live far from here.

I found out my biological parents
don't live far from here.

I found out my biological parents
don't live far from here.

They don't live together,
they're separate,

and they're leading their own lives.

And I've found out that I have
a biological brother, who's younger.

And I've found out that I have
a biological brother, who's younger.

So, I'm just going to do
an ultrasound scan.

You know like a pregnant
lady scan? Yeah.

There's going to be
cold jelly, OK? Yeah.

There's going to be
cold jelly, OK? Yeah.

I've met my biological
brother about five years ago.

I've met my biological
brother about five years ago.

I just couldn't believe how much
he looked like me.

I just couldn't believe how much
he looked like me.

I think I spent the whole hour
and a half talking to him

I think I spent the whole hour
and a half talking to him

basically in tears, sobbing.

He was with my mum
for quite a few years,

He was with my mum
for quite a few years,

then he lived with my dad for a bit,

then he lived with my dad for a bit,

and then was fostered when neither
of them could look after him.

and then was fostered when neither
of them could look after him.

Hold your breath for a second.

Now, you can breathe normally.

Now, you can breathe normally.

It was nice to know a bit more
about my biological family.

It was nice to know a bit more
about my biological family.

Same on this side, OK? Yeah, sure.

But it made me realise
I'm actually grateful

But it made me realise
I'm actually grateful

for my adopted parents.

for my adopted parents.

I don't think I would have
felt as loved as I do now.

I don't think I would have
felt as loved as I do now.

She is, just a little bit.

She is, just a little bit.

Hello, resus.

Hello, resus.

It's Mathan, one of the reg's.

It's Mathan, one of the reg's.

Yeah.

OK, fine.

Thank you. Cheers. Bye.

Spleen lac.

Spleen lac.

He's got spleen lac. Ah.

He's got spleen lac. Ah.

Raymond. Hi.

So, I've got a
bit more information,

still waiting for the full report.

Your spleen, which is about
here, has got a cut on it,

Your spleen, which is about
here, has got a cut on it,

and that's probably why
you've got this fluid

that I mentioned in here, OK?
Oh, right. Is it serious or?

that I mentioned in here, OK?
Oh, right. Is it serious or?

Very serious, basically. Right.

Very serious, basically. Right.

Blood's supposed to be
circulating around the body,

Blood's supposed to be
circulating around the body,

perfusing each of our organs to
essentially keep them alive

perfusing each of our organs to
essentially keep them alive

and keep them functioning.

When you're bleeding internally,
what will happen is,

When you're bleeding internally,
what will happen is,

blood's not circulating
as efficiently

as it was prior to that injury.

So some of the organs within the
body will not be receiving blood.

So some of the organs within the
body will not be receiving blood.

You need to speak to
a family member. Yeah.

You need to speak to
a family member. Yeah.

You should tell them that, you
know, this isn't a simple thing.

You should tell them that, you
know, this isn't a simple thing.

OK? Yeah.

If you want me to speak to them, let
me know. Yeah, I will do. Thank you.

If you want me to speak to them, let
me know. Yeah, I will do. Thank you.

The time critical importance is,
if you don't stem the bleeding

The time critical importance is,
if you don't stem the bleeding

The time critical importance is,
if you don't stem the bleeding

and replace the blood, that
part of the body essentially dies.

and replace the blood, that
part of the body essentially dies.

Do you think you're
going to be sick? Mm.

Are there any bowls in there?

Let's try and get
you straight again.

Surgeons have arrived to assess
Raymond's lacerated spleen.

Surgeons have arrived to assess
Raymond's lacerated spleen.

Surgeons have arrived to assess
Raymond's lacerated spleen.

Yeah.

Right. Right. All right?

OK.

You're a bit sore here on the left,
is that right?

You're a bit sore here on the left,
is that right?

Yeah, it's...

It's kind of underneath here.
Yeah, OK.

It's kind of underneath here.
Yeah, OK.

Raymond's wife and daughter have now
arrived at St George's.

Raymond's wife and daughter have now
arrived at St George's.

Hi, can I help you?
Yeah, I'm looking for my dad.

Hi, can I help you?
Yeah, I'm looking for my dad.

One second. I think someone's
with him, one second.

One second. I think someone's
with him, one second.

Raymond,
I've got your daughter here.

Oh, is she here?

Oh, is she here?

What have you done? Eh?

Don't worry. He's all right.

Yeah. What have you done?

Yeah. What have you done?

I fell through a bleeding joist.

I fell through a bleeding joist.

Just got a couple of cracked ribs,
they found out now.

Just got a couple of cracked ribs,
they found out now.

Cracked rib on the left-hand side.

There's a cut here that's needed
some stitches

There's a cut here that's needed
some stitches

and his spleen's got two cuts to it.

and his spleen's got two cuts to it.

Yeah. That'll be a few weeks off,
if not permanent now.

Yeah. That'll be a few weeks off,
if not permanent now.

Yeah. That'll be a few weeks off,
if not permanent now.

Yeah, what happened is, I fell down.

Thank you.

As I fell through, my chest hit
the joist, but as I fell through,

As I fell through, my chest hit
the joist, but as I fell through,

As I fell through, my chest hit
the joist, but as I fell through,

I just automatically bent my knees,
done a roll.

I just automatically bent my knees,
done a roll.

I just automatically bent my knees,
done a roll.

Thinks he's a stuntman.
I couldn't believe it!

Thinks he's a stuntman.
I couldn't believe it!

Yeah, no, honest, but
once I stopped, I couldn't move.

Yeah, no, honest, but
once I stopped, I couldn't move.

Hm.

Oh...

..that's it.

I owe a lot to my parents.

They've given me
a wonderful upbringing

and they've made me into the person
I am today.

and they've made me into the person
I am today.

I've got a much better
life than I think I would have had

I've got a much better
life than I think I would have had

if I hadn't have been adopted.

OK, so, what's happening...?

They're ready for you, so we're
going to go round in a minute.

They're ready for you, so we're
going to go round in a minute.

I may not have been
born biologically to them...

I may not have been
born biologically to them...

Yeah.

..but it doesn't change a thing.

Oh...

Raymond will now be
taken to interventional radiology

Raymond will now be
taken to interventional radiology

where specialists will attempt to
stop any internal bleeding.

where specialists will attempt to
stop any internal bleeding.

Were they all right about having
time off? Yeah.

Were they all right about having
time off? Yeah.

I think patients want
to protect their families,

I think patients want
to protect their families,

primarily because
they're worried for them.

primarily because
they're worried for them.

Everything you do is geared towards
improving the life for your child.

Everything you do is geared towards
improving the life for your child.

Everything you do is geared towards
improving the life for your child.

OK. Thank you very much.

Becoming a parent, I think it
helped me become a better doctor.

Becoming a parent, I think it
helped me become a better doctor.

I definitely have
more empathy and understanding

I definitely have
more empathy and understanding

of the concern that
parents have about their children.

of the concern that
parents have about their children.

of the concern that
parents have about their children.

You just want them to
have a healthy, happy life.

You just want them to
have a healthy, happy life.

You just want to keep them safe.

You just want to keep them safe.

I'm going to go
and try and ring Dad.

I'm going to go
and try and ring Dad.

Hello, can you hear me?

Hello, can you hear me?

Ah, they were
just doing blood tests.

It's going to be a while yet.

It's going to be a while yet.

Yeah, she's all right.

In a bit of a state.

Yeah, yeah.

Yeah.

All right, then.

Hello! Hi. Is your mum around?

Hello! Hi. Is your mum around?

Ah.

Oh, sorry!

Anorexia nervosa
is a mental health problem

Anorexia nervosa
is a mental health problem

so, in terms of treatment,

so, in terms of treatment,

it's very important
that you treat both the physical

it's very important
that you treat both the physical

and the mental aspects,
and in fact, you can't really

and the mental aspects,
and in fact, you can't really

do one without the other.

do one without the other.

I'm not sure if
they've explained this to you,

I'm not sure if
they've explained this to you,

but you're going to need
to be admitted to our ward here,

but you're going to need
to be admitted to our ward here,

and the reason for that is because

and the reason for that is because

of how quickly
you've lost so much weight

of how quickly
you've lost so much weight

and because of how low
your calorie restriction has been.

and because of how low
your calorie restriction has been.

and because of how low
your calorie restriction has been.

The treatment for an eating disorder
is food and nourishment.

The treatment for an eating disorder
is food and nourishment.

The treatment for an eating disorder
is food and nourishment.

But, when you tell a young
person that they're going to be

But, when you tell a young
person that they're going to be

admitted to the hospital and that
they're going to eat,

admitted to the hospital and that
they're going to eat,

that is a very difficult thing for
them to hear and accept.

that is a very difficult thing for
them to hear and accept.

Often individuals won't recognise

Often individuals won't recognise

that they've
become extremely unwell,

that they've
become extremely unwell,

which is just a testament to
how powerful an illness that it is.

which is just a testament to
how powerful an illness that it is.

So, what we will do is we'll
get you a feeding plan here.

So, what we will do is we'll
get you a feeding plan here.

OK.

That's good, that's good.
That's really good.

That's good, that's good.
That's really good.

Because they're going to help you.

Because we need to
help you from all angles. Yeah.

Because we need to
help you from all angles. Yeah.

The fact that you
want to do it is amazing

The fact that you
want to do it is amazing

and that's really, really important.

Yeah, just...I've never come across
it before and it's just...yeah.

Yeah, just...I've never come across
it before and it's just...yeah.

It's a difficult one to beat,
but you can absolutely, 100% do it.

It's a difficult one to beat,
but you can absolutely, 100% do it.

It's going to be OK.
It's going to be fine.

You're going to get help now.
This is what you need.

You're going to get help now.
This is what you need.

The problem with it, Sammy,
is that that level of restriction

The problem with it, Sammy,
is that that level of restriction

over that period of time is actually
really hard on your body.

over that period of time is actually
really hard on your body.

I don't think she realises
the seriousness of the situation.

I don't think she realises
the seriousness of the situation.

All right. Thank you very much.
OK. No problem.

All right. Thank you very much.
OK. No problem.

It was nice meeting you both.
Thanks, you too.

It was nice meeting you both.
Thanks, you too.

Oh, this is what you need, baby.

This is what you need.

They're going to help you and
they're going to make it better.

They're going to help you and
they're going to make it better.

I know it's scary.

I won't leave you on your own.

You'll be fine. You'll be fine.

SHE SOBS

You'll be OK.

I want to go home.

I want to go home...

I want to go home...

Eating disorders are
increasing in frequency

Eating disorders are
increasing in frequency

and the children affected
by them are becoming younger.

and the children affected
by them are becoming younger.

There's probably many different
reasons for why, not just one thing.

There's probably many different
reasons for why, not just one thing.

I think there's historically always
been quite a lot of pressure

I think there's historically always
been quite a lot of pressure

on women, how they
behave and how they look.

on women, how they
behave and how they look.

I would actually say that now it's
extending to young men, as well.

I would actually say that now it's
extending to young men, as well.

I would actually say that now it's
extending to young men, as well.

You know, people are on their
phones all day, every day,

You know, people are on their
phones all day, every day,

bombarded with
images all of the time.

bombarded with
images all of the time.

You just have to look at things
like Love Island and Instagram

You just have to look at things
like Love Island and Instagram

and it's quite difficult,
as an adult, to take those images

and it's quite difficult,
as an adult, to take those images

and it's quite difficult,
as an adult, to take those images

at face value for what they are,
let alone

at face value for what they are,
let alone

if you're a child who's, sort of,
trying to model themselves

if you're a child who's, sort of,
trying to model themselves

upon the people that they come
across and the people that they see.

upon the people that they come
across and the people that they see.

You'll be OK.

I want you to come home too,
so you have to get yourself better,

I want you to come home too,
so you have to get yourself better,

all right? Yeah? It's good.

all right? Yeah? It's good.

Now do you
realise how serious it is?

Now do you
realise how serious it is?

All right?

Why are you saying sorry?

This is a good thing, darling.

I know you don't see it now
but this is going to help you.

I know you don't see it now
but this is going to help you.

All right?

I think whenever you
come across a young person that is

I think whenever you
come across a young person that is

going through a difficult time,
you just kind of want to show them

going through a difficult time,
you just kind of want to show them

going through a difficult time,
you just kind of want to show them

a snapshot of their future and how
great their life can be.

a snapshot of their future and how
great their life can be.

Let's put that in there.

Let's put that in there.

OK, you take that bag.

There are so many
other beautiful, wonderful things

There are so many
other beautiful, wonderful things

that you can be
doing that you're missing out on

that you can be
doing that you're missing out on

because you're consumed by
this single element of your life

because you're consumed by
this single element of your life

because you're consumed by
this single element of your life

and I think that's the
thing that's really difficult

and I think that's the
thing that's really difficult

and I think that's the
thing that's really difficult

for people to deal with.

I honestly don't think my dad
realised how bad the accident was.

I honestly don't think my dad
realised how bad the accident was.

I genuinely think he
thought he was coming out that day.

I genuinely think he
thought he was coming out that day.

It was heartbreaking because
I'd never seen him that bad before.

It was heartbreaking because
I'd never seen him that bad before.

He was in a lot of pain.

He was in a lot of pain.

He was unable to move.

He was unable to move.

He could barely walk.

I always thought,
"He can deal with everything."

I always thought,
"He can deal with everything."

I was lucky with my injuries.

I was lucky with my injuries.

Could have been worse, erm,
but wasn't.

Could have been worse, erm,
but wasn't.

PRODUCER: What do your family
mean to you?

PRODUCER: What do your family
mean to you?

Oh, everything.

Erm, I was very lucky to get Ella

Erm, I was very lucky to get Ella

and, erm, as far as we're concerned,

and, erm, as far as we're concerned,

we're just a normal family.

we're just a normal family.

The first night she
was in St George's, erm,

The first night she
was in St George's, erm,

her heart rate
went really, really low,

her heart rate
went really, really low,

to the point that
all the alarms went off

to the point that
all the alarms went off

and they all came
running in and had to call a doctor

and they all came
running in and had to call a doctor

and they were thinking that
they would have to give her CPR.

and they were thinking that
they would have to give her CPR.

That's when she realised
what she was doing to her body.

That's when she realised
what she was doing to her body.

That's when she realised
that she could kill herself.

That's when she realised
that she could kill herself.

Before I was
diagnosed with anorexia,

Before I was
diagnosed with anorexia,

I just thought it meant you
didn't eat and you was underweight,

I just thought it meant you
didn't eat and you was underweight,

but there's so much more to it.

Even though I'm kind
of in the recovery stage,

Even though I'm kind
of in the recovery stage,

I still look at food
as calories sometimes

I still look at food
as calories sometimes

and not as energy or nourishment.

and not as energy or nourishment.

I want a life where I don't
look at food and see calories,

I want a life where I don't
look at food and see calories,

where I can go and
eat pizza with my friends,

where I can go and
eat pizza with my friends,

and that sounds much
better than being anorexic.

and that sounds much
better than being anorexic.

Subtitles by Red Bee Media

Subtitles by Red Bee Media