Oh. Sorry. That'll be me stalling. to back up? Thank you. Ah. Rookie mistake. I had the clutch down. Don't forget the keys in the wall. Don't forget the keys. All right, then. No, don't do that. Okay, you can go now. I was about to go. Oh, no. It's a bank holiday weekend. I'm having a bit of a hot flash. So am I. Look at my face. Paramedic Hannah Meredith and ambulance technician Aaron Campbell have just had a takeaway on their dinner break. I don't do chilies or those peppers. I literally swallowed that chili whole. I swallowed it down, and it was burning. It's been a busy shift, and another job quickly comes in. Um okay, so we are going to a 25-year-old female who's on antidepressants. Um she's got anxiety, is feeling very low, and suicidal. It takes the ambulance crew just 7 minutes to reach their patient. Oh, gosh. She's in the car. Oh. Hello. What's your name, chick? Lindsay. 25-year-old recruitment consultant Lindsay has been suffering with depression for nearly a year. I'm Hannah. Aaron's outside as well. What's been going on? Something happened or Just a build-up over time. Yeah. Yeah. How long have you been feeling like this for? I've been like this for 3 weeks. Have you thought of actually doing anything? Yeah, I thought of going to the bridge and jumping off it. That's what I thought. You could tell that Lindsey was really upset. She was definitely somebody that that seemed like they were intended on killing themselves and ending their life. She really had a had enough with everything. Lindsey's worried friend Sophie called 999 as Lindsey has been threatening to take her own life. What's happened tonight, then? Um she text me saying can I come to yours and she's come off it and she's in a right mess. She's in a right state. She's been sick all over the floor here. Mhm. She's really panicky now. My other friend tried to speak to her but 97, sorry. An urgent message from control cuts Aaron and Sophie's conversation short. We've just had a cardiac arrest coming on there a couple of streets away from Uh how about we split up if you need to? Uh yeah, I mean if you could do that, that'd be great. Um Another patient just streets away has had a cardiac arrest after trying to take his own life. Control needs the ambulance crew to split up as they're just moments from the patient's property. Yeah, stick it through. I'll pop round. No, I'll go cuz I'm a parent. I should be there. Lovely, thank you. As Hannah's more senior, she leaves as the other patient's condition is critical. Aaron will stay with Lindsey until Hannah returns. So what's going on tonight, Lindsey? Only got some um details from you earlier. I'm suffering with depression, Aaron. Sorry, you already there? Yeah. I've been for the last 3 weeks. Okay. And then normally I can cope with it but today I just couldn't do it. I hope with it. Yeah. I've had enough. Is there something that's triggered something 3 weeks ago or Yeah, just sat in my room and then started to vomit. Okay. You've obviously been to the the doctors. Have you got some medication and things? Okay. Have they referred you to any sort of crisis teams, mental health teams, anything like that? They put me forward to this. I'll look. I don't know I've been sick for four times. And like bloody blood. I'm sick. Have you been really like projectile vomiting like retching? My first two were once, but now I'm just like I can't keep any more. I can't bring up any more. Is that when the blood started like the third time? Yeah. Is it like little specks, streaks? Yeah, like streaks. Yeah, it's just from the back of your throat, that's all. You've got loads of little like capillaries. And when you retch, it's like with You can do it coughing as well. Okay. I'm not I'm not like this. Yeah. You've not had any traumatic events, no loss of like close family friends or anything like that? No. Just No. It's my head. It's just so I don't know what's wrong with me. Yeah. Any I sit there with my own thoughts. I don't want to be here. Yeah. Initially, Lindsey presented as slightly withdrawn, very um agitated, um obviously upset. From the conversation that we had in the car, it was quite evident that she had a plan, and that's sort of when things become dangerous when people are starting to make plans. You're one step away from carrying that plan through. But as the more time we spent with her, the the more I was able to get a conversation from her and start to talk things through. Have you had any like family stress or anything building up with the past few months or anything like that? Just work stress. Yeah. And in my relationship, yes, a little bit. Yeah. She'll tell you I'm not normally like this. That's why she's like what That's the thing, though. People People that suffer from these things aren't normally. That's That's how it That's how it runs, you know. I think the first thing you need to do is realize that it's sometimes it's fine not to be okay. All right. No one's No one's like judging you or it's not a sign of weakness or anything like that. You know that, don't you? You worried about what might happen? I'm worried about what I'll do to myself. Yeah. Okay. Well, you've done nothing more about like my family and that worrying about me. That's all I'm thinking. Yeah. Like friends and that. You're close with your family and stuff? Yeah. Yeah, they're there. That's why I've That's why I've come here because I don't want to talk to them about it. You you've I'm by the bridge that I I want to go on. I don't I don't want to be I don't want to be here. Is that what you're thinking of? I don't want to be here. Yeah. I'm ready to go to be here. Is that what you're thinking of jumping off a bridge? Yeah, could you ring the station, please? Okay. So, in terms of what we can do for you, our option would basically be A&E. Um we have a crisis team intervention. Which is probably the quickest way of getting you to see someone that's like mental health specialized. Are you willing to come down here with us? Yeah. Lindsay had had a a build-up of stress or or things that were going on in her life, and she'd had a diagnosis um about 3 months prior to us being called. Um and obviously the coping strategies that were put in place weren't weren't certainly working any any more for her. But eventually, she became calmer as she talked. And I think talking really helped Lindsay. Um hopefully, that's maybe something that she's she's found will work for her um going forward. 40 minutes later, Hannah returns. Unfortunately, it was too late for the cardiac patient. He'd already taken his own life. They didn't say where they found him or what they'd done. They'd already cut him down and got the rope off his neck. The whole situation was quite ironic, really, cuz Aaron was obviously with Lindsey, who had got serious intentions of killing herself, and I'd just been called to somebody who'd already done it. And we tried our hardest to to get his heart going again. Um and we took him to hospital. Um but we were unsuccessful, and the hospital confirmed him dead shortly after getting there. Go on, guys. Just two chairs there on the left-hand side for you. But there's still time to help Lindsey. They prepare to take her to hospital, where a specialist mental health team are waiting to talk to her. Just pop your belts on, guys, for us. As they pull up at the hospital, Lindsey takes another turn for the worse. Mhm? Two seconds. Just hold on, you're okay. So you're nervous. You get sick when you're nervous. Yeah? It appears Lindsey is having a full-on panic attack. Just breathe. Okay. Breathe normally. You ever had a panic attack before? Cuz that's what's happening now. The cramping in your hands, pain in your chest because you're breathing. All right? Nothing can happen to you cuz I'm still here. Just concentrate on your breathing. It's just It's just your breathing. Just slow your breathing down. That's all it is. Take a big deep breath and hold it for me. And back out again. Same again. Hold it. And back out. That's it. Just focus on keeping your breathing really steady. Should we try and get you in this wheelchair and get you inside? Yeah? Lindsey will now be taken to meet the crisis intervention team. Just watch that gap. It's probably bigger than you think it is. The team will work closely with Lindsey to try and help her with her anxiety and depression. Pretty unusual that you'd get a case like that there, isn't it, where we get called off to another one which turns out to be a hanging. In the brief, she'd been to the doctors. She'd been medicated. She died 3 months ago. All right. She had her meds upped about a week and a half ago, so they increased her dose cuz she'd gone back into the not working. But the thing is, if you think what's going to happen with her now, cuz I don't think she's at the point where she needs to be in an institution or anything like that. Unless it was for a place of safety. Cuz there's such a minefield, mental health. I think a lot of mental health is misdiagnosed as well. Oh, very much so. And there's a sort of gen- Depression and anxiety is just a generalized term for a lot of stuff, isn't it? Yes, very much so. And I don't think it's it's one of those things that's just not generally understood by the public or by the medical profession sometimes. I think that's an interesting thing. This one piece will make 52 layers. Watch on mobile devices or the big screen, all for free. No subscription required. Download Veely now. Talking about sore throats, I've had a throat all day. Can't believe it. I work with hypochondriacs. I had to go to the pharmacy yesterday cuz Laura had Tuesday. Did she? Yeah. I work with hypochondriacs. Control did laugh though. They say, "Are you sure you don't want an ambulance?" I'll go out with that. Now that you mention it. And if you look at like we're in 2017 now. You got to think that, didn't you? I did that. But do you think like back to when it was in the '90s? It's gone quick. Time stops for nobody. Apart from Bernard. Who's Bernard? Ah! Can't you remember Bernard's Watch as a kid? I Ah! I always used to try and stop time. Never works. Keith and Aaron Choro are father and son. Me to the ambulance. Hello. Aaron's a trainee, but his dad's been in the service for 8 years. I just thought I'd have to dip into the blue submarine ship. Have you ever Have you ever had battered chips? They've worked overtime shifts together since Aaron joined a year ago. I was going to say, if you've not had battered chips One of the positives is to work with my dad, I would say, is the fact that I feel I could say anything to him. But in terms of how we work professionally, there's just a depth of resources and knowledge to you know to gain from him. So, there's some very very big boots to fill. On hot sunny days, there's going to be breathing problems and temperature problems and a lot of breathing problems, isn't it, when it's hot? It's nice to teach and work with Aaron cuz I can do both at the same time and so it's it's quite nice experience for me. Likewise. Don't you sit on the ambulance. Well, I've got nothing against me. What do you Here we go. They've been called to a 5-year-old who's hit his head while playing on the street. You okay, son? Yeah? Yeah? Ran into an electricity box. Cuts to face. I hope there's no burns to face. That'd be tricky, wouldn't it? Okay, doc. There's a crowd over there on the left. There's a crowd on the left just there. Calling for me, apparently. Head laceration has cut the side of head. Here we go. Got the sirens off. Just over past the junction. Let's go and have a look. Let's have a butchers. Hello. Hello, ladies. Hello. Who are we? Hello there. Hello, little man. Ooh, let's get down here. What's your name? Hello there, Tyler. I'm Aaron. Have you had a little bit of a nasty bump? Ooh, dear. Do you think we could stand you up and get you on the back of our ambulance, Tyler? Yeah? Stand up, buddy. Hop we get. Ooh, here we go. Talk us through what's happened then. He was running up here and he's ran directly into that. Oh, dear me. Tyler was chasing his brother when he ran into the metal electrical unit. Okay dokey. Let's come and get you sorted, little man. Okay. Were you on your way to school? Yeah? Ooh. My big, ugly-looking colleague is going to get that sorted first. Okay. Can you have a seat on there for us, Tyler? We'll have a look at your head. We'll get the door closed as well. Give us a bit of privacy. Okay dokey. If you want to do the door. You sit there. So, has he lost Has he lost consciousness all, Mom? Um no, he did He did collapse like a little bit. He started to have heart in him times. He just ran into the corner. Yeah. Okay dokey. Tyler, is that light hurting your eyes? A little bit. Okay dokey. Aaron needs to assess whether this reaction to the light has been caused by Tyler's head injury. Let's have a look at your head. Is it actively bleeding at all? Doesn't look to be, but can you get me some gauze and I'll just quickly check. Any other injuries anywhere else? No, I haven't noticed now. Tyler, is your head hurting at the moment? Any pain anywhere else? only flat out then. No, can I have a bit of a feel on your head as well? Did he get up straight away? Um he didn't fall to the floor when he did it. Not that I saw. But he didn't get down on the floor. Okay dokey. Children are a different species compared to adults. Everything about how you approach them is different. Everything about how you treat them is different and everything about, you know, their biology is different as well. The most important thing you can do with a child is keep them calm because the last thing you want is a kid getting worked up, frightened because heart starts to go fast, breathing gets faster. That's when everything starts to go wrong. Yeah. You say you're feeling a little bit sick at the moment, buddy? Yeah, as well. Okay. All right. Even though the cut on Tyler's head may be small, feeling sick can be an indication of a more serious head injury. I'll tell you what, you are much braver than me when I was your age. Woo. If I'd have had a head injury like that when I was little, Tyler, I would have cried and cried, I would have. You did. Here we go. Do you want to hear something funny? That's my dad. That's my dad, that is. So, it could be worse, couldn't it? How do you feel, Tyler? How do you feel, chap? Tyler's normally a chatty 5-year-old, but he's unusually quiet. It could be the sign of a head injury. Aaron and Keith are not ruling anything out and continue to monitor him carefully. Just a little bit of These will give us a look at your heart, okay? Just to check that everything is fine. I'm not worried at all, but it's a better safe than sorry check. Here we go. Lovely. They give Tyler liquid paracetamol as pain relief. Thank you for offering. Very nice. Very nice of you. Very nice of you, senior. I used to love Calpol when I was younger, Tyler. Just do it to me. Okay, I'll squirt it in. Taste nice? As Tyler's feeling sick and is very quiet, the crew decide he really needs to be checked out at hospital. For a lad of his age, with the injury that we've got, always better safe than sorry, isn't it? Absolutely, yeah. Have you ever been Have you been to that muscles hall before? The hospital around the corner. No? Well, what we'll do is pop you up there. See all the doctors and nurses, okay? And it gets you out of school for a bit. So, I'll put down bump to the head. What is it? What? What is that on your bed? That is so we can lift people up from the floor. Have you ever seen on TV for example when there's a big crash and everything, that's what we use those for. Or for lifting people who can't stand up. We say you're comfortable, Tyler? Yeah, good stuff. Tyler, I think you win the award for bravest patient of the day so far. Thank you very much. Let's have all this off, yeah? Okie dokie. Whoops. being such a brave boy, can I get a high five? Yes, or the other one as well. The other one as well. Don't leave me hanging. Yes, excellent. Tyler will now be checked over by the pediatric doctors in A&E. Just bear with them, folks. They'll come round. He was a nice little boy, weren't you? Do you know what? You must be so scary at that age to have an ambulance crew at you and have these big green strangers leering over you, poking you, prodding you. He gave you the high five on the way out. Yeah, double high five on the way out. Double high five. That's the important thing. That's the best thing you can do with kids, isn't it? Keeping them nice and calm. Making sure that the people who use the service have a good experience. Well done. Patient care, that's the word. I'm putting on the seat belt the wrong side. What? No, I just put it on, right? And it feels like it's on the wrong side. I feel like I should be tugging it that way. Right. No. Left. Right, should we get out of here? It's just gone 10:30 on Friday evening. Ambulance crew Hannah Simkins and Michelle McNulty are on their third shift of the week together. Nice one. Hannah has worked for West Midlands Ambulance Service for just over 4 years. Working for the NHS runs in her blood with her mom and aunts all working as midwives. 50th year of the day and the prize for the most beautiful year of the day goes to the Shambles team. Ex-RAF traffic controller Michelle is a technician. Friday evenings are always busy and a new job is quickly assigned to them. We are going to an adult male in what I can only presume is a pub. He has fallen and banged his head. An update gives Hannah and Michelle further information about the patient. 83-year-old George slipped and lost his trust. So, last night we finished the night with a man called George who'd fallen cuz he'd had a bevvy. And tonight we're going to finish our night with a man called George who's fallen cuz he'd had a bevvy. This is how we roll, innit, on a Friday Living life on repeat. I'll squeeze in there somewhere. It's not very much. Hello, love. Here he is. Tonight's patient, George, was out at the pub celebrating his 83rd birthday with friends. But his night hasn't ended well. This is George Walton. George Walton is 83 today. Happy birthday. Happy birthday, George. George has sustained a deep cut just above his left eye. Community first responders were nearby and have already applied a temporary bandage. He has tripped and fallen over. He wasn't dizzy or anything like that before he fell. And he's hit his head. He's got a nice black eye, George. You've got a nice black eye coming. You've got a good shiner, George. Hannah and Michelle will need to take a look at the head wound once George is inside the ambulance. George, have a seat on here for a Yeah. I know. We're actually dying. Have a ride, George. You They are. Lovely. Right, arms in. Ready? There we go. Hannah and Michelle quickly get George on board the ambulance. They are. Have a little anklet. Me, bloody birthday. It's always the way, George. You need It's always the way. It's a good story to tell though, George. You can still party like the rest of them at the age of 83. Michelle needs to confirm with George how he ended up falling over. What have you been drinking on your birthday then? I had a couple of pints, yeah. Small shot. I'm not a big drinker, am I? Yeah. No, it's all right. How are you feeling, George? I feel a bit silly, really, generally. I just feel a sore knee, so I'm not going to feel too bad really. Okay. Do you feel dizzy at all? No. No. Do you feel sick? No. And your vision feels all right? You can see all this okay? What was it that you banged your head on, George? I don't know. I got up from the chair to go out to come home, right? All right. Okay. I tripped over the I must have tripped over the the chair or the table. Yeah. Yeah. Have you seen the picture of your head? No. You've got like a chunk missing out of it. So it looks I'm guessing you banged it on the corner of the table. I'm going to guess so, Georgia. Before taking George to hospital, Hannah and Michelle will need to redress his nasty head wound. The whole thing. Crikey, that is a chunk. Who's it? It's literally just under that lip there. Looks alright. Alright, George. Can you still go like that and like follow your brow, George, like that? Lovely. And then lift your eyes for me. Okay, lovely. I'm just going to feel around your face, George. You alright? Yeah. Might be a bit sore this side obviously you've got some swelling. Is that painful, George? No. No? No, feel okay. I'm just wondering whether it's been pushed down. Do you mind if we just undo it, George? Cuz we might be able to close it. Redressing the wound should reduce the risk of infection and will hopefully mean less scarring for George. Basically, what it looks like is you know like above your eyebrow there. Yeah. That's where the cut is, but the skin has been pushed out. So you So you've got an eyebrow here and an eyebrow here at the minute. It'll kind of push it up. Sorry. I'm sorry, George. We just put that there. We've made like a little bumper, George, okay, to try and keep the skin up. Kind of pushed your eyebrow up a little bit. And also just to try and get it off. The good thing is though, George, that you've still got the piece of skin there, which means they can pull it all back into place and it looks like it will knit quite nicely. Alright. So you might have a bit of a scar and a good story to tell. But, you should all be back in one piece in no time. George lives alone as his wife passed away a few years ago. He loves to meet up with his friends. You have to enjoy yourself and this happens. Don't let it put you off though, George. I'm not a boozer. I have one pint and half a pint. Just for company. So, how's your boy, yeah? And this just happened. There's no reason why you can't go back to the pub, George. Don't let it put you off. If you enjoy it, then you have an excuse. It's just one of them things. It's just one of them things that happen. Aw, yeah. Don't be silly. I've been I've been on my own all day. I've been on my own all day. Yeah. Aw. We were supposed to be picking him up tomorrow. Our pal, you know. He's having a wheel for me boot, you know, what I mean? You'll still go. I know. Hey, you'll get it fixed up. You'll be fine. Hey? It's one of them things. Could have happened to me. I fell over loads of times. It happened on me boot, you know, what I mean? It's terrible, like you know. Oh, no. You have to enjoy yourself and bump. End up like this. You celebrate tomorrow then. Tell the truth. I refused drink after drink after drink. Yeah, yeah. They'll They'll be expecting you there tomorrow anyway. We'll show you. Yeah, of course they will. All right. Thank you ever so much for what you've done for me. That's all right, George. That's what we're here for, isn't it? What are you thinking of, George? Do you feel like? Wish I got a a cake and some candles to give you, George. With his head re-bandaged, Hannah and Michelle will drive the birthday boy to hospital for his stitches. Should we get your mate, Tony? We'll get Pete, yeah? And we can pop up to New Cross. Get you all finished up. Get it all sorted, George, yeah? And then get you home. Is it aspirin? George's close friend, Pete, will keep him company at hospital. You don't take any more. I'm sure I'm being a nuisance to you by traveling with young hooligan. You're not a nuisance in the slightest way. Good of you, mate. More than that. Good of you to do. Hey. Well, she did. We're mates. Well, she did in the right way, mate. We're mates. Sorry. It's frustrating. I bet you won't have a drink for a while now, George. Everyone will buy you beer for you, George. 20 minutes later and the hospital comes into view. I think we need to get some get backs, I think. Hi. If you ever want to go down to first floor with us. You're taking us in the back way. It's We're going through the stage entrance. And I took him into the waiting room and George grabbed me hand and he said, "I ain't never going to smile." He said, "I saw my mate in the pool tonight." And he said, "You're looking really fit." And I said to him, "Yeah, well, I feel like a baby of 1 month old." He said, I said to him, "I'm bald, I've got no teeth and I wet myself." I was just like, "Oh." But I'm too Good luck. Hey, it was like, "Still got a sense of humor." You've got a massive gaping hole above your eye and you still make a joke. Put a new shirt on tonight. Let's say. Yeah, it was borrowed very nicely. Cuz obviously my shirts were taken out, isn't they? So I had to do like a a beg. Can I borrow some shirts, please, off people? I've got no shirt. I've probably got some shirts, actually, at home. Kelly, I'm not going to I'm not going to lie to you. I probably won't get my arm in your shirt. I think you would. I bought a new boot. What size are you? My size My size four. My size four. The boots I've got on at the moment are a three. Might as well just start buying you child sizes, aren't they? Might as well. And the thing is, they are employing a lot more smaller people now. But it makes us larger people look even more larger, which I don't like particularly. We just look up to you. It's another shift for Hannah and Michelle, and Hannah's working on her hand hygiene. When their latest call comes through. Um it is a 46-year-old male. Um he's lethargic, cold, and clammy. You know you've got a problem when you're enjoying the smell of the alcohol spray. I am, yeah. You just sprayed that then I was like, "Ah." What I'm going to do in a minute is I'm going to when we get to the hospital, I'm going to spray it on my hands, and then I'm going to hold my hand really close to the bottle while I drink my water. And then breathe in. be a proper mate. Pretend that it's a heater. Less than 10 minutes later, Hannah and Michelle arrive at the man's home. Hi yeah, you all right? I'm good, thank you. Not too bad. Thank you very much. It's my birthday. Oh, thank you. Hello there. Hello. You all right? Yeah, I'm all right, thanks. Is that Mark? It is, yeah. All right. What's been happening then, Mark? Um, I have been diagnosed with a irregular beat, AF. Okay. And I've I've been on it and off and on again today, but I've I've I've not felt right at work. I've just felt really lethargic and I come home. Got pile, sweating bad, and just I don't know whether it's happening again or I checked my pulse this morning. It was I counted 50 odd, you know. Okay. I just don't feel You do look quite pale. You do look paler than the normal. No, he's not normally pale. No. Okay. He normally got Mark is booked in for an operation called an ablation to correct the irregular heartbeat in just a few weeks' time. As a plasterer, he lives an active life. So, suddenly feeling unwell in this way with his condition is worrying Hannah. How recently were you diagnosed then, Mark? It first happened 5 years ago. All right, okay. Maybe 6 week 5 6 weeks ago it came on again. Mhm. Today has been lethargic. It's been the worst thing all day at work where I've come home and I've just gone all shaky. That's probably been the worst thing all day. No, it's probably been going on for the past 4 days. Can you Do you feel like palpitations? Can you This morning I felt I felt really good, but this morning it was like do do do. And that was all That was it. And the last time it's happened the palpitations have been quite bad. That's why I've sort of hesitated on not calling and I've spent the day at work and sort of Um, I didn't ignore it. I've been aware of what's been going on all day, but it didn't feel as bad as the times that it happens in the past. in the past. The tiredness, shortness of breath, and palpitations could be signs of a serious heart problem. Hannah's big worry is that Mark might be having an atrial fibrillation, which is when an irregular heartbeat causes parts of the heart to work too hard, and that can have terrifying consequences. The electrical current in your heart takes a different pathway to normal, which means it's a faster pathway, which increases your heart rate. And it's essentially like I don't know, running 17 marathons back-to-back. In the nicest possible way, eventually your heart will just go, "No, I've had enough, thanks." and it will just stop. Because it can only It's a muscle, the same as anything else. You can only work it for so long, and if it's been overworked to that extent, eventually it will just stop beating, basically, and you can arrest. You're not in atrial flutter at the moment. I think I said to you, it doesn't feel It didn't feel quite the same. I don't feel quite right. But that's not necessarily saying that you haven't been at some point over the last 3 days. So, because you're still displaying those symptoms, I would suggest that it's advisable that we take you in so that they can have a look at you and monitor you. They'll be able to do blood tests to tell um how hard your heart's been working, basically, over the last sort of 24 hours. With both sides accepting a trip to the hospital is a necessary precaution, it's time to get Mark into the ambulance. Will I be able to walk in this time? Do you want the honest answer? You'd rather not. I'd rather not. Considering the fact that your heartbeat is at the moment in a regular rhythm, obviously the more you do, the more stress you put your heart under. So, which is probably why you felt quite syncope when you were at work. Right then. Go backwards up the ramp. Just little bumps as we go. Yes, yes. Thank you. All right then, Mark. You can have a sit on here now and put your feet up, seeing as you've been at work all day. Can I have your seat as well now? You can, yeah. I'm on my way to the hospital. Sorted. With Mark's heart rate a continuing concern, Hannah's job now is to keep him calm and reassured over the course of the journey. You still feeling the same? Yeah. Yeah. Tired. Over Same Overpoweringly tired. Just knackered. Have a seat on there for me. And then we'll get you going. It's all like shaky. Like just I'm nervous. Yeah. And I'm not nervous of the hospital anyway, but they don't bother me now. Part of what happens when your heart rate increases is it almost like tricks your body. So, because normally your heart rate would increase because you were doing exercise, then you get that rush of adrenaline, which then makes your heart beat faster. So, because your heart beats faster, it makes your brain think that it should be responding to something. So, it then releases adrenaline, which is kind of like a bit of a vicious circle really, cuz the more adrenaline you've got, the faster your heart beats, and so on and so forth like that. So, you probably are having that feeling of No, I'm over caffeinated. Yeah. Your body thinks there's something it's supposed to be responding to, but it doesn't know what it is that it's supposed to do. So, you get that kind of jittery That's how I feel, jittery. Ready, Hannah? Yes, thank you, mate. The best thing to try and do, if you think of that, is anyone ever like been through circular breathing or stuff with you? About trying to like lower your own heart rate. Breathing through your nose, try and count to four as you're breathing in, then try and hold your breath for four seconds, and then breathe out through your mouth for four seconds. And that kind of circular breathing just slows everything in your body and like keeps it regulated sort of thing. It's hard to do when your heart rate's high and when you're you're worked up. But the more you can do it and slower and calmer you can keep your breathing, it just kind of helps to slow everything and regulate everything down a little bit. Hannah's doing well, winning over Mark's confidence. He's hopeful that this episode might spell good news for his ablation, the operation to fix his abnormal heart rhythm. Could this in any way bring forward the ablation? Um I couldn't say, to be quite honest with you. What time did you say we're doing it in the morning? Dawn and out the wire. Don't think I could do me job every day if it was like today. Finally, they arrive at hospital and Mark is full of appreciation for Hannah's medical expertise. Did you probably explain things better than anybody has since it's been ongoing, really, like. Well, we do try and the benefit that we have is that we don't have like 10-minute appointment slots and things like that. So That's the understandable part that, yeah. Okay. And I understand everybody's busy. Do you know what I mean? What are you saying? You want reassurance, don't you? So It's part of the reason why I do this instead of being a nurse because you get Once you Once we're here, you have our undivided attention for as long as it takes. So we have got the luxury sometimes of actually just being able to explain stuff and try and make it a bit more a bit of reassurance. I say, "Yes, if you don't mind, yeah." Mark will now be taken off to see specialists and given a scan to check his heart is stable ahead of his forthcoming operation. He's got a young one, hasn't he? Heart condition. He was. Yeah, he was quite He was very shaky, and he was very really pale when we went in, wasn't he? Yeah. And very sweaty, which surprised me when he's heart, cuz I felt his pulse and I was like, "Your pulse feels fine." And then he was in a completely normal rhythm. But the only thing I can think of is that he's on beta blockers. So, the drugs are obviously doing something for him, but he's still sort of symptomatic of it, cuz he was very very sweaty. Um But he was a They were nice nice couple. He was a nice guy. Yeah. Lindsey was seen by the hospital's crisis team, who she says were a massive support to her. She was referred for group therapy sessions to help her deal with her anxiety, and her GP has upped her antidepressants in the short term to get her back on track. Lindsey's moved back in with her mom, and is incredibly grateful to have such a strong support network around her. Tyler, who cut his head open, had his wound glued at hospital, and fortunately didn't suffer from concussion. He had a day off school to recover, but was back on Monday morning right as rain. George needed six stitches to repair the nasty cut he suffered, and it took a few weeks for the black eye to disappear. He was kept in hospital overnight, but was well enough to go home the next day. George hasn't let the accident get in his way, and has had lots of well-wishers checking up on him. Mark, who was having palpitations and has an irregular heartbeat, was given a thorough checkover by the doctors in A&E, and allowed to go home when his symptoms subsided. A few weeks later, he had the ablation procedure to correct his irregular heartbeat and has been doing well ever since.