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http://Scene-RLS.net
Paediatric trauma call.
It's a stabbing call... 25 feet from a ladder onto his back...
He's really unwell, I think anaesthetics need to see him
before he goes to theatre.
Daphne? Daphne?
How is everybody, then?
Chilling?
PHONE RINGS
King's A&E, how may I help?
King's College Hospital, London.
I got stabbed. I know.
It's annoying. On my head!
One of the busiest A&E departments in the world.
I want top-to-toe. Head, chest, abdomen.
A place where love...
I love you.
..life...
..and loss...
Don't bloody die.
I love you too much for you to die.
..unfold every single day.
These are some of the most memorable staff and patient stories
filmed at King's College Hospital.
A&E is always like a traffic jam.
SIREN WAILS Can we get a trolley?
You've got to realise that there's awful things that can happen to you.
THEY KISS I'm so sorry.
Life is unpredictable.
So it's important that your nearest and dearest know that you love them.
You have to tell them that you love them.
You must get better and come back to me.
I don't want to lose you.
Because there may come a time when you're not around to tell them.
Oh, my God, my feet are like ice.
Are they? Oh, bloody hell.
I'm gonna take you over to this bed, now. Freezing!
Ready?
Fine. Do you smoke at all?
Do you drink any alcohol? Yes, I do.
What do you drink? I like a glass of wine with my dinner.
That's OK, glass of wine a day.
Supposed to keep the doctor away, apparently. Exactly, yes.
Ooh! Think I'm just about to faint.
Really?
You need more coffee.
Or less coffee.
One or the other.
Let's go for more. It's either more caffeine or less caffeine,
or more alcohol or less alcohol. Yeah. It's one or the other.
I think the reason that we do so much self-medicating
is probably, with the pressures of life,
I think people just need something else.
They need a crutch.
Unfortunately, about 60, 70% of what I see every day
is as a result of alcohol and smoking.
They're probably the commonest ways
that we would see people self-medicate.
See you later, Bill.
Thanks a lot, mate. Just wasted your time, you have.
I have not wasted my time. You have. No.
You're having too many falls. You was unconscious.
We're going round the doctors' anyway!
No, you're not till next week.
Here, sit down. Get a chair.
71-year-old Pat has a history of brain haemorrhages.
Tonight, she was found unconscious at home by her husband, Bill.
It's her second collapse in the past week.
Get her booked in.
You all right? I'm fine, thanks.
Hi, Pat, my name is George. Bleeding hell, another one!
GEORGE LAUGHS I am one of the staff nurse here.
Just come to check your blood pressure.
My blood pressure's all right. Let them check it.
Is this from today, this cut in your...?
Yeah, I fell over last week. Last week, aw.
Otherwise I'm fit as a fiddle. Oh, OK.
I just wanted to take your dressing gown off, if you don't mind.
Oh, you bleeding wait.
I need this dressing gown on, it's so cold in here.
Have you had any alcohol today?
Any what? Alcohol.
Yeah, I've had me drink tonight, I always do.
Something nice? Oh, gin and tonic. I love them.
He likes his old whisky, don't you, Bill?
It's his nightcap. All right.
How's me ticker? All right? It's fine.
There you are. See? I told you, didn't I?
You are the next one to be seen by doctors, anyway.
Ain't he coming yet? Soon.
I wanna bleeding go home. You wait. What? Don't be impatient.
Behave yourself.
I ain't done nothing yet.
Just in case you do.
Just in case you do.
Don't get stroppy with the doctor and all.
Hello?
Hello?
You hungry, fam?
Pizza Hut.
What, delivery to the hospital?
What would you like? Medium Meat Feast. Barbecue.
I'll have... I'll just have a slice of his and a slice of yours.
I'm sitting in A&E.
I think I broke my finger.
Yeah.
Hiya, please can I get a delivery, please?
The postcode?
It's at the... Ooh, that's a great question.
Might have to give me one second.
I trapped my finger in the door at the bank.
Yeah! I mean, they'll do me a finger!
You want me to come for collection?
Dude, it's like five minutes up the road.
You don't deliver to my house in Brixton. Like, please?
MAN SCREAMS Wait! Hold it, hold it, hold it!
Oh, oh, fuck! Oh, God!
MAN GROANS
HE YELLS LOUDLY Whoa! Whoa!
Wait, please, please, please. Just hold my arm a minute.
Oh, my Lord.
MAN YELLS Oh, that noise.
Whoa!
Hello, sir. Soon as we get you a bit more comfortable in a trolley,
you will feel better, OK?
Take it easy. Down a little bit, please! That's it.
Oh, up a little bit! Argh!
Take your time.
OK? Right. Brake. Brake on?
Whilst drilling on a building site, 50-year-old Jim has fallen backwards
into a hole in the ground, injuring his shoulder.
OK, so, Jim, has this happened before, sir?
No. No?
In charge of Resus today is consultant Chris.
What's that scar on your shoulder?
Stab wound. Stab wound, OK.
Jesus Christ. Just shuffle your bum one more time, Jim, yeah?
Just... Cos there's not enough space on the side to get you in.
People respond to pain in different ways.
You have the very quiet person who doesn't say very much.
Right, let's put it up... Ah! Lift, lift!
Oh, God!
You can have those that are screaming and yelling and abusive.
Oh! Me elbow! Me elbow! Oh, God!
I think, traditionally, you know, men don't tolerate pain as well.
You're in bed now. I know, I know where I am, doctor,
I'm just... Aaargh!
JIM YELLS LOUDLY
Please don't do that!
Oh!
This is gonna really help you, Jim, yeah?
JIM GROANS Thread your arm through the sling
and then the sling will take the weight.
JIM MOANS I know. We've got it in position.
JIM YELLS Lift it, lift it, lift it, lift it, lift it!
OK! There. Oh, my God!
PHONE RINGS
Majors.
I thought you was dead.
You what? I thought you was fucking dead.
You were like...
You were like... Look, watch me.
Hello?
You was like that. What?
On the floor.
Yeah, all right. And I was trying to get you up and no response.
That's why I phoned the ambulance.
You've had too many bloody falls for my liking.
Better pack that drinking up. You what?
Better pack that drinking up, I'm afraid.
It's affecting you.
17 years old when I met Pat.
Pat was a bit of a tearaway.
I'd have to say. Bit of a tomboy.
Is it Mrs Cathersides? Yeah. Hello there.
My name's James. Want me to go out, Doctor? It's up to your...
Is this your husband? Do you want me to go out? No!
Yeah, but he wants to examine you.
Yeah, well... Well! ..you've seen whatever he's gonna see.
I'm gonna do anything just yet, don't worry. All right,
Take a seat, sir. Bleeding hell.
We're married 54 years.
I'll stand out here for a little while.
She was a good dancer, as it goes, when she was a bit younger.
Mine, I can't... I've got two left feet, I have.
Pat loved Elvis Presley so much, when he died,
she went in mourning for over a week.
Do you mind if I call you Patricia? Pat.
Pat, my name's James, I'm one of the doctors.
Have we taken any blood yet? No!
Do you mind if I take some blood? Would that be all right? Yeah?
I'll just get my gear, be back in one second.
Bill, I'm gonna take some blood, have a chat.
I won't examine her for about ten minutes,
so you're welcome to wait in there.
Oh, you miss me? Yeah!
She was pretty.
She had a few boys chasing her, but she chose me.
Don't know why.
So, just a sharp scratch.
Ow! Sorry.
What's brought you into hospital?
All I know is my legs keep giving out.
OK, again... Bill will tell you.
You didn't feel light-headed at all?
No. I don't suffer with anything like that.
Bill! What? Bill's just here, don't worry.
OK. Do you remember hitting the floor? No, no.
Mind you, I've had a couple of gin and tonics.
PAT LAUGHS OK.
Do you have any other medical problems? No.
Ten years ago, she had a massive brain haemorrhage.
That's what I was worried about, you know, cos she's...
When she went over today.
OK. I'm gonna send these off, and then I'll come back
and have a chat with you, OK?
Good stuff.
Bill? Yup?
He's gonna send my blood test off and he's coming back.
Yeah, all right.
He said, "Do you like a drop of gin?" I said, "Yeah!"
Yeah, you're not getting no more. I'm gonna throw it all away.
You keep starting, I'm telling you!
I ain't starting, I'm just...letting you know.
Jim needs an x-ray of his shoulder
to establish if it's broken or dislocated.
JIM GROANS
HE YELLS That'll do, that'll do, that'll do.
I'm a bit of a lump.
Nearly 6 foot and people say I'm built like a brick shithouse,
so there's a bit of substance there.
It's embarrassing, isn't it? You come into hospital
and there's all nurses there, and you're screaming like a little girl.
And I'm supposed to be this big, rough, tough cream puff
and here I am screaming like a little girl.
But, you know, it was painful, it really was,
but, hey, I'll hold my hands up. I was in agony.
Oh, don't... No, don't pull. OK! Don't pull.
You know what... Jesus Christ. Jim? Jim? Jim?
It's all right, we'll go back to cutting then, yeah? OK, thank you.
JIM SCREAMS
So, this is new to me. I had, um, chest pains,
so, like, when I inhale, my chest cavity...
..it really hurts. Mm-hm.
And as it's progressed, I've got strong numbness in my hands,
and I can feel it in my teeth and in my face.
This vending machine's evil.
Do you know what, yeah? You know Rolos, innit, yeah?
I forgot they existed, at one point in life.
I actually forgot... They're not really that nice, though.
They are, man! Rolos are mad.
HE BREATHES RAGGEDLY
Just to put my mind at ease, I watch too many TV shows
and read too many books.
This wouldn't be, like, a stroke or none of that kind of crap?
OK.
All right, darling. All right, darling.
Babe? Babe?
Babe?
Bobby was brought into A & E with his partner Jackie,
following a seizure.
He's being monitored by resus staff
whilst waiting to be seen by a doctor.
Babe, I'm here. Babe, babe, babe!
Oh.
Will someone come and help?
Oh!
Hang on! Oi!
Bobby, come on.
Oh, he's never done like this before.
Right, Bobby?
He's never been like this before, Jen, not this bad.
It's all right. Do you wanna grab the curtains for me, Carly?
Bobby? Listen, listen.
We're gonna do our job, all right?
The doctor's gonna be in to see you in a minute. OK?
And you need to just relax.
My head's hurting. I know, but we can't give you any painkillers yet,
cos the doctor will be in... I don't want painkillers!
Well, you need some painkillers first, Bobby.
Some of the people that we come across
have got pretty traumatic life stories.
Sometimes you do look at patients and wonder what's gone on before.
I don't always find out a lot of my patients' past stories.
Some of it's a bit too harrowing.
48-year-old Bobby has spent most of his adult life in prison.
I was only 6 years of age and my sister was 9,
and we both got sent out to nick the dinner.
And we got arrested.
So, for a parent to send you out thieving at the age of six and nine,
that's not...
And that's the first time I was arrested.
It just went, sort of, boss-eyed from there.
We were put into care at a young age.
If I was to be honest, my best memories as a child was in care.
When I came out of care, I got caught trespassing,
and the police threatened me that,
"If you do that again, you'll go back into care."
And I thought, "Touch! I'm gonna do it again."
But only I didn't. I went to a PRU school.
And that was a downhill spiral.
From PRU school, to detention centre,
to Borstal, to YP, then to prison.
I didn't care.
I didn't care about life, I didn't care about what tomorrow brings.
Because when we came out of care, we were like street rats.
We'd break into factories, nick cars, break into houses.
It's like a career, I suppose, isn't it? In your line of work,
you, sort of, climb the ladder to get higher and higher.
Um...
..criminals are the same.
And they're liars, if they don't tell you they don't. They do.
I've got to be a man, ain't I? You are a man.
One of the best men I've known in my life.
It's all right, darling.
I know I love you. I know, I know you love me, darling,
and I love you, too. With all my heart.
I knew Jackie as a kid.
We used to knock about the flats together.
I was young, stupid, naive.
And I was running with the wrong crowd.
Babe? Babe? Babe?
So I was someone Jackie could never take home.
And I thought, "Well, I'm not gonna be lucky enough to get her.
"Why chase something you can't get?"
Babe? Babe?
Babe?
Come on, lay back, babe.
Lay back.
I ended up going to prison for a very, very, very long time.
And, um...
..had we got together in the beginning,
it'd have been a completely different story.
Completely different story.
HE SIGHS WHISPERS: Come on.
Let's see. Oh, my goodness.
That looks posh! That's Leeds.
Rolls-Royce are up another 9p.
My Rolls-Royce shares now £11 each.
When I bought those, they were coppers. Oh.
BILL CHUCKLES
Pat was brought into A & E after losing consciousness at home.
Doctors are studying her blood test results
to find out why she has collapsed.
She was unconscious, no fitting.
She was flat for somewhere between, kind of, three and five minutes,
and when she came round, she was Fast negative.
She seems, objectively, a little bit kind of woozy and tipsy.
OK, is there any lateralising neurology?
Bill! Bring me bottle in.
Yeah, tomorrow.
Go to sleep for a little while.
Patients with head injuries are tricky customers,
and they're the people who we need to watch.
It's not that they get worse, but they become different.
And sometimes that's all there is to suggest
that there is something serious going on inside their head.
Just go in the bedroom, that's all you've got to do.
You're in hospital!
OK, right.
Pat, I'm going to have a look at the nerves in your face,
and then your arms and your legs, OK? Is that all right?
I'm gonna ask you to follow a series of commands for me, OK?
Can I ask you to follow my finger with your eyes?
Ready? Very good.
And what if we go this way, Pat?
Ten years ago...
..she fell out the bleeding bed
and she smashed her head against the wardrobe.
And she ended up with a massive brain haemorrhage.
What we was worried about...
..how long she was in that coma for,
and she could've turned into a vegetable
and I wouldn't have liked to have seen that.
She lost use of her legs, her arms, her speech.
And I panicked.
Pat?
Will you follow my finger upwards?
My finger, I need you to follow it with your eyes, OK?
Hmm. OK.
She keeps asking for a water bottle, it ain't here.
It's right at the side of my bed,
you don't have to look for that, Bill.
Is this normally how she acts after she's been drinking, or not?
I've never known her like this before.
OK. I think we're gonna have to do a scan of her head.
Yeah, I would. I think so. I think we're going to have to. Yeah.
All right, then. Right, back in a second, OK? All right, mate.
Pat's test results indicate that her confusion
is a result of something other than alcohol.
A CT scan will tell doctors whether she has suffered a brain injury.
Well, you always fear the worst, don't you?
And when the doctor said, "Oh, it don't look too clever,"
I thought, "Oh, here we go."
Not again.
Hi, is that Radiology?
Hi there. I'm calling to request a CT head on a patient.
She's in Majors, bay 12.
Babe?
No, no, what you doing? I dunno.
Bobby is still under observation
after suffering a number of seizures.
SLURRING: Did I round the cows in tonight?
Did you round the cows in tonight? Yeah.
What cows? All of the cows.
We ain't got no cows, babe. No?
Got a big field of 'em.
Have we? Yeah, you don't know about them.
Who milks them?
I don't know.
VOICEOVER: After he's had the seizures,
he loses all his memory and he talks gibberish,
so you just have to go along with it.
I know you shouldn't laugh, but...
..some things you have to laugh to get through it.
Got lots of bubbles, right?
Yeah?
And, at the same time, er...
..there's a lot of chicken feathers.
Chicken feathers?
Chicken feathers, cows and...bubbles.
Chicken feathers, cows and bubbles.
Yeah, it all works.
Bobby's partner Jackie suffers from a debilitating illness,
and has been in a wheelchair for over four years.
Get me back.
It's really frustrating because I can't help him.
Bobby does everything that I used to do, be able to do, but can't do no more.
I even get him to paint my toenails.
I couldn't cook a bit of toast without burning it, but, erm...
When I do the cooking she sits there in her wheelchair and, sort of...
She's like a supervisor, that's what she reminds me of.
She's supervising me and we have a giggle as we do it.
Keep that arm straight.
Just giving you a bit of fluid, all right? Which may help with your headache a little bit. OK?
If she goes the toilet, I need to take her to the toilet,
I need to bathe her.
Baby, I'm here.
If I'm in pain and he's there with me, he won't go sleep or wouldn't leave me.
He'd be right by my side.
Even if I went round the world three times over,
I'd never find another one like Bobby.
He's a proper diamond.
I feel fine now. No, just lay. You've got to lay here and relax.
Put your head back.
For me, please? Put your head back and relax.
VOICEOVER: She would do it for me, I would do it for her.
Please, put your head back.
That's just the love that shines through that does that.
Oh, dear, they've...
They've got an Angela Merkel face mask.
Funny shape head, hasn't she?
She's a bit like a head prefect, really. Telephone number...
A rather overweight head prefect, but...
I would make the worst nurse ever.
I'd be like...
"Eww, don't be getting that major break near me!"
Things that you don't think about, so weird stuff like this.
It's how much it impacts because, for instance,
I can't moisturise my hands.
"I cannot do my daily moisturising routine!"
Can't moisturise my toes...
I can't wank! Vinny!
QUIETLY: Sorry.
This gentleman, Jim, has fallen down a small 60cm hole.
The anaesthetics team have arrived in resus
ahead of treatment to Jim's shoulder.
And as he's gone down,
his arm has caught a railing to stop people going down,
and he's done that. Yep.
He's only comfortable in that position.
I've been to A&E numerous times over the years.
Been stabbed, shot, hit with baseball bats,
knocked about a little bit.
I've earned me lumps and bumps.
HE GROANS
I've been in a lot of incidents in my life where pain's been involved.
Lot of 1-10 level, this is the 11.
You all right, Jim? GAS HISSES
Super, OK.
Interesting. It's anterior but it's wedged
between rib and the glenoid...
..so I can't move it out of that position. Wedged.
It's almost 3-point immobilisation, isn't it?
Interesting radiography. Wow, yeah. Absolutely.
So, Jim, the shoulder is dislocated,
but it's lying in a very funny position.
It's gone up and it's wedged in there against the ribs,
so this is not something we've seen wedged in this position.
Sometimes... Trust me to be awkward.
So, what we need to do is to give you a bit of anaesthetic
and give it a pull along the line that it's in.
When will I be able to go back to work? Tomorrow?
Your arm will be in a sling. Oh, will it? Yep.
How long for?
Probably about...five weeks?
Oh, you're joking. Nope.
I was a week at work and then this happens.
The first week back at work after being out of work for a few months.
So, I was absolutely devastated,
cos obviously, it's... I don't like not working.
You know, we all need money, we all have to live, so...
It was... HE INHALES
I just couldn't believe it.
I just thought, "If it wasn't for bad luck, I'd have no luck!"
People are more worried about losing their jobs,
so often you can understand why people don't - or can't -
follow your advice.
They have other factors in their life - they need money,
they need to look after their family, they need to eat.
So, it's an unusual one, is it? It's very unusual.
I haven't seen it,
and I've been working and doing emergency medicine for 30-odd years,
and I haven't seen one. Oh, my God.
You know, if there's a male equivalent of childbirth, you've just been through it.
I just want Nutella, N-U-T-E-L-L-A. Nutella.
In reception, 21-year-old Chris has been assessed by the triage nurse.
He's waiting to see a doctor.
A'ight, question.
Superman versus Hulk, yeah? Who will win?
Superman. Hulk. Superman.
Hulk can't die. The Hulk can't die. ALL TALK AT ONCE
What do you mean, the Hulk can't die? I mean it exactly as it's said.
Can I not have a preference? Superman is the best superhero.
Bud. I just don't like his uniform.
They had the... Y-fronts.
At least Iron Man has swag, do you know what I mean?
Christopher Restrepo? Right here.
Can't miss your turn. You're right.
Which one's Chris? I am.
Oh, right, OK, sorry. There might not be enough room for all you guys.
There's just a small cubicle but we'll try and cram you all in. OK.
Grab a seat. All right, thank you.
Right, Chris, what's been going on?
Erm, basically, earlier today I just felt pain in my chest,
and then I had shortness of breath.
When I brushed my teeth I coughed quite severely and I spat out blood.
After you brushed your teeth? Yeah, just in general, yeah.
Are you just not sticking your brush down a bit far?
I think that's what it's sounding like.
Oh, no, no, definitely not that. No.
It just somehow, all of a sudden you have a coughing fit,
and at the end of that coughing fit
whatever comes up is pretty bloodstained,
or has it never been bloodstained?
It's been bloodstained, sometimes it's been...
I smoke a little bit as well, so it's been brown - I think
maybe tar or... Don't know what else. How much do you smoke?
Ooh...five a day?
Five cigarettes a day.
Yeah. And are they roll-ups?
Pardon me? Are they roll-ups or... They're roll-ups.
FRIENDS GIGGLE
Let's whip this top off and let's see what we've got.
WOLF WHISTLE No worries.
OK, show me whereabouts this pain is.
OK...
Yeah, what we're gonna do is just gonna whip you round for a quick chest X-ray. OK.
Slip your T-shirt back on.
BOBBY: Why am I here now?
Nurse, why am I here?
We've been here a little while.
He's had seizures, a lot of seizures.
Oh, we have epilepsy?
There's a lot of bubbles about.
You got a headache at all?
Brain hurts, but we can have a fag in a bubble, innit?
Bobby's condition has been stabilised,
and he's being seen by a registrar
to discover the cause of his problems.
Hi, I'm one of the A&E registrars.
My name is Dr Ikram. How are you?
Yeah, we're good. Excellent.
What happened, exactly?
He didn't feel well today.
Had he had any fall today?
He did. Having a seizure, he went down.
And has he taken any alcohol today?
He had about half a pint.
He only has one every so often.
Not a drinker at all, really.
Did you have any fits in the past?
Robert, did you have any fits?
Any seizures? Fits? Yeah.
What medications do you take for that?
Epilim. Epilim.
VOICEOVER: When you do have a seizure, you just go down.
You've got no control over it.
It takes me about three days to bounce back to my normal self.
Would you mind lying down for me? I'll just quickly examine you, OK?
I had them as a child, then they went away...
..and, it's only, I think, it's in the last three years they've started coming back.
I really don't know what brings them on.
There's been times I've been as happy as Larry and had 'em,
and there's been times I've been really stressed out and not had 'em.
Can I go home in a minute and have a fag? Let me examine you first.
Then I'll let you know about the next steps, OK?
Can you... Can you stretch your hands for me?
Can you stretch both your hands?
Yeah? Turn it up.
Excellent.
What do you do?
Testing you. I'm doctor. I'm just examining you.
Can you follow my finger?
Look at my finger.
Don't move your head, just your eyes.
Excellent.
You're playing games, ain't ya?
I'm not, I'm checking your eyes.
That's the reason I was doing that.
I might have to do a small scan of your head
to make sure that everything is fine, OK?
Can I go for a fag?
Only after that. After the scan, I promise I'll allow you.
Or before? But after the scan.
That's like I'm talking... Oh, tell me, I'm gagging for a fag. After the scan.
Do you want me to just stroke your head, like I do?
Are you saying I dye it? I know.
Bobby has a number of convictions for violent crimes including murder.
He and Jackie got back in contact
when he still had eight years of his last sentence to serve.
I don't know, it still hurts.
A friend of mine and Jackie's, he come into prison,
he was put on the same wing in Belmarsh Prison.
And, erm... I was down the block
and he was put in the cell next door
and down the block you speak through the pipe,
and I realised it was someone I knew,
and we were just talking a bit about our past,
and Jackie's name popped up.
And I said, "What's she up to now, then, yeah?"
He went, "I'll be phoning her later. Have a chat with her."
And then that was it.
It was just like fireworks going off.
Worst thing he ever done was giving me the phone to talk to her.
We hit it off straight away.
We'd laugh, and he'd ask me advice over the phone.
We just got on from there.
Even when I was in prison I used to call her my star,
cos every time I looked out of my cell window there was that big star,
and I used to call that my Jackie star.
He used to send me poems, write me poems and...
I know it sounds a bit silly but, no, they was lovely.
Pretty pink ones.
VOICEOVER: That was it, because I wasn't getting in no more trouble.
I had something to aim at, live for.
Then after that, five, six years,
I thought, "I'm never getting out. She's only human."
But, eventually, the time come, and...
..when them prison gates opened, she was there.
TELEPHONE RINGS
Majors?
Hello, Sarah, it's Jim.
I've got a patient to refer.
She has an 11mm subdural collection with no midline shift.
Doctor Jim has received the results of Pat's CT scan.
Cheers, bye-bye.
She has a bleed.
Really? Yeah.
Can I have a quick chat with you next door? Is that all right?
Right.
Since Pat's come in,
I think we've seen that she's got, kind of, more and more confused,
and I think what was worrying
is the fact that this confusion has been getting kind of worse
over the period that she's been in the department,
so that's why we did the scan of her head.
Now, looking at the scan of the head,
there is evidence that there's some bleeding going on inside the brain.
Oh, charming.
Now, she doesn't need an operation... No.
..but she may need one in the future. It's difficult to say.
Right, thanks for coming out with it, think it'll help me.
HE SIGHS Oh! Bloody hell.
I must say I've had this trouble with her before, you know,
but that was a really bad one, like, you know?
I think I don't want to give you any reassurances... No, no.
..but I don't think this is as severe as that, to be honest.
I've done the right thing bringing her, then, haven't I? Yeah.
Otherwise I could have left it and let...you know. Yeah.
Anyway, thanks to you all, anyway.
There's no doubt you've done the right thing. Yep.
Have you got any questions for me at all?
Just look after her, please. We'll do our absolute best.
I've been with her for too long - 54 years.
Anyway, thank you very much. Not a problem.
Got me bottle round there?
You what, mate?
Me bottle, Bill.
Pat?
Hello.
We're still gonna have to admit you to the hospital and keep an eye on you.
Is that all right?
If there's anything I can do, just give me a shout, yeah? OK.
Take care. Well, thank you, doctor.
Cheers, Bill. Bye.
Good job I did bring you up here, love, ain't it? Yeah.
MEDICS TALK IN BACKGROUND
All right. I'm gonna make a move now, girl.
All right. See you later, then, my love.
See you later.
Mwah!
OK, this is going to be a straight pull out, I think.
We'd obviously like something that relaxes the muscles
and takes away perception of pain.
He's allergic to pain.
He's allergic! THEY LAUGH
Jim will be given an anaesthetic
that will knock him out for ten minutes.
In that time, Chris and her team
hope to pull his shoulder back into place.
Take a nice, big, deep breath for me, sir.
And out. Should be coming in.
Just lie him down. Take your arm out.
I'll go over and do countertraction.
I might need both of you to help.
I will for sure help.
He's quite a big guy.
I'll try and slip...
No?
Too many movements.
I can feel the bones grinding.
Yeah, I'm sure you can.
Hang on, if I...
OK, try and take it right down towards his pelvis
and pulling downwards.
It can look quite brutal to the outsider.
You're having to pull something back into place,
and so, you need to put a lot of traction and pull.
I suppose if you were to do that to someone out on the street,
it'd be called abuse.
OK? No.
No joy?
It's stuck here. It just doesn't... Shall we swap roles? Yeah.
So, I'm pushing it from here, but ultimately...
Got it. It's gone. Yeah, it's gone!
Just needed that tug.
Yeah. Yeah, yeah.
Hello, sir.
How are you getting on?
It's all done. All finished.
You're joking! No.
Yeah, it's done! Good, isn't it?
Seriously?
Hello!
Yay, Jim! Wakey-wakey!
That's amazing!
THEY LAUGH
I can't feel a damn thing!
I know! It's like magic, isn't it?
Honestly, you people are just sensational.
Thank you very, very much.
When people are in that amount of pain,
you don't see their true personality at all.
It's distorted by pain, and when the pain's relieved,
you have a normal human being again.
It's a bit like women in childbirth.
They're not their normal personality
when they're going through that painful episode,
but once it's over, it's like it's never happened.
Well, I feel comfortable, actually, do you know what I mean? Yeah.
I'm really sorry if I was swearing. No, no, no. I think...
When you were anaesthetised, even with you completely anaesthetised,
I couldn't move the arm from that position.
It was wedged in, bone on bone.
Normally, that doesn't happen in a shoulder dislocation,
so, yes... I knew I'd done some, you know...
We could tell you had a lot of pain.
I've never seen that in ten years.
That kind of... 30.
Oh! Oh. Well, that makes me seem...
Well, it's just been topped. THEY LAUGH
Well, I'm glad I made your day!
You have, sir! You have.
If anybody moans to me about the NHS,
I shall punch 'em straight on the nose!
You know, everyone here has walked past us,
seen the food and just smiled.
Chris.
Hello.
Well, your chest X-ray looks just beautiful,
so, there's absolutely nothing to worry about with that at all.
If you get this pain back, just take what you've done today,
which is just ibuprofen and paracetamol.
Smoke a bit less and everybody's happy,
but this is just all insurance.
So, I have to smoke less?
Yeah. Yeah, yeah, yeah, always. Stop smoking.
Give it a go.
Chris, do you know who he looks like?
Superman!
CHRIS LAUGHS
I think they like you. Thank you very much, sir.
What's your name? Matt. Matt, thank you very much.
All right, later, mate.
See you later.
Which way are you headed? The food's that way!
See you later, yeah?
All right, in a bit, fam. Cool.
I found prison OK.
In fact, there was times I enjoyed it.
I've had some of my best Christmases ever in prison.
I met some of the most nicest people
you could ever meet in prison.
It was...home.
Bobby has spent a total of 28 years in prison,
and has been continually monitored since he was last released.
I've got an outreach team, I've got a psychiatrist,
I've got a psychologist, I've got a professor.
So, there's people I can... There's avenues I can take now.
I'm all right. I know I'm all right, yeah.
I know I'm all right.
So, you ain't got to worry.
I do worry, cos I love you. Yeah, I know that.
If I didn't love you, I wouldn't worry. I know that,
but...
I've been out five and a half years.
I've never been out of prison five and a half weeks,
let alone five and a half years.
It's only Jackie that's kept me out of prison.
And she's always there with her arms open
and her heart open.
I know, I know,
I know a million, 1,000% he'd never, ever do anything
to go back into prison.
Jackie has moulded a bad person into a good person.
Not just bad. Bad, evil, sadistic, horrible.
She ain't just brought the goodness out in me,
she's brought the honesty out in me.
She's taught me how to deal with people,
whereas, before, I couldn't deal with people.
Doctors have received the results of Bobby's CT scan.
All right. Hi.
All your reports are fine, there's nothing to worry. Oh, good.
X-ray all seems to be fine.
I'm going to refer you to the neurology
as an outpatient for review, OK?
Yes, you are excellent!
You still have the slight amount of bruise,
but I don't think there's...
JACKIE LAUGHS
I'm not a woman, so, first of all, that's ruled out. OK?
Thank you, Doctor.
Excellent.
You're a wind-up, you are!
What are we gonna do with you, eh?
I always believed people could never, ever change.
I've changed, so...
..people can change.
If they've got the right love and support around them,
they can do it.
If that's the equivalent of childbirth, then...
..what are they moaning about?
HE LAUGHS
No, I'm only joking, yeah.
If that's the equivalent of childbirth,
then God bless the girls.
I know every man says it about their missus,
but I've got to be the luckiest man in the world
to have a missus like her.
I think she beats any other woman.
I don't think, I know she does.
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