Push up. Well done. High five. Sit nice and comfortable in the back of the ambulance, okay? We're back with the West Midlands Ambulance Service. Clear left. Go, go, go. As the paramedics take us to the heart of the action once more. What's happened there, mate? Listen to me. I know you can hear me. Can't leave you like this, can we? Old friends are back on shift in Dudley. What have you brought to wear? That's like the kitchen sink. And new friends return. Brace yourself. As we head back to Stoke. And 999 mode activated. Here, the crews face life and death decisions. Need to spit that out cuz it's going to make you really poorly, isn't it? And deal with adrenaline-fueled challenges. No, stop, stop. Body-mounted cameras capture every moment. Ridiculous toes. Showing you what goes on behind closed doors. It's just stupid old woman. You're not a stupid old woman. Did you get it in? Just try it in. That's all I ever used to do. This is a paramedic's eye view of life on the road as they battle around 4,000 calls each day. I feel like I've wasted your time. No, no, no, no, no. Don't be daft. You've been in an ambulance before? Not today. Not today. You'll be on the front line with them as we take you inside the ambulance. You good? Let's go save the day. Sometimes I get so excited, I drive home from work in my head out the window and sound like an ambulance. No, I don't. I don't I never did that. I know we should have seen, "Get out of the way." No, I'm going right. I'm going right. I'm getting wet. Can't hear you. I'M GETTING WET. HELLO. OH, WELL DONE. OH, YOU'VE JUST COMPLETELY blocked the way now, haven't you? Oh. That was brilliant. See, you've got such control over that. I have control over all of it. In Dudley, Right. We're good to go. Paramedic Darren Westwood and ambulance technician Anna Ray have just received information about their next patient. Job's come through as a cat one to a lady who's 54 and it's come from 111 uh for delusional, sleeping a lot, milky color in liquid from NEP. I don't know what what that means. I'm sure we'll find out more when we get there. With little information about the patient, the crew aren't sure what they're heading to. Here we go. Hello, sir. Jake, the patient's son and full-time carer, is waiting to take them in to his sick mom. Hello. Hello, hello. Yeah, as you can see, she's done the frosting bag's gone all down here again. Yeah. She's very in and out. Very cold. Like you can't get much sense out of her. I was just about to Mhm. This has happened before, and it was sepsis, so I just I didn't want to take any chances. What does she normally suffer from? Um she's got stage four cancer. Mhm. And there's that inner frosting bag on since Oh, and when was it, Mom? Uh October. What What was the reason behind it? Uh cuz the pressure on the one kidney from the cancer, like it wasn't working properly. So, that's obviously just a bypass there. And just drains try from the bladder. Jane was diagnosed with terminal cervical cancer in 2017. This has caused her complications when passing urine. And how long's Mom been poorly this time, Anne, would you say? This is probably about two or three days like this. Two, three days? Yeah. Okay. Just have your arm out just to check your blood pressure. Where is the cancer? I know we've had kidney worm. All right. So, Just 6 weeks ago, Jane had a severe headache. Doctors broke the news that her cervical cancer had now spread to her throat and brain. Hello, Jane. Hello. How are we doing, sweet? You've had better days, haven't you, sweet? All right. Do you feel any difference in any way over the last couple of days? I know your son's explained a lot. So, you know of any extra or new pain or I have. And where is that, sweet? All in here. All in your belly. All right. Can I have a look at your belly, sweet? All right, sweetie. Where abouts is the worst of your pain, would you say? In your belly? It's all in here. Down here, sweet. Okay. And do you want to pop on some oxygen? Yes, drop it on a couple of liters. See if we can take it up a little bit. 280. Be on some oxygen, darling, okay? Just to help you breathe. I'll take it she's bedridden. Uh it is normally she's not this bad. This is only because of the infection, I think. Doctor did say that it is better for her to sleep as much as she can. Although she ain't got the strength to get her out of bed so that she can help herself up so I can dress her or anything. So, I struggle at the minute. She's never normally this bad. Anna has found Jane's most recent hospital discharge letter. It confirms Jane has been fighting cancer for a very long time. She's had it through '89, '90, '91, '92. Then I think it's gone into a recession. And now it's back. Having discovered Jane's full medical history, Anna wants to speak to her mom, Alice, to see if there's anything else the crew should be aware of. I'm sorry if it's going to be an upsetting question for you, but has she's got an DNR form? Could I have one of them yet? She hasn't had one. Because in a situation, if God forbid something would happen, Mhm. we would have to start Yeah. Yeah. Okay. Oh, bless you. DNR stands for do not attempt resuscitation. It allows caregivers not to intervene should their patient's heart stop. I'm sorry that I've upset you. You haven't. I've been like this now for a long while. We went to see Dr. Allison last Friday and I knew it weren't good news. Oh, bless you. You know I'm mighty too. Sorry, 54. Mhm. She had a cancer ages ago as well, didn't she, when she was younger? Uh yeah, in her cervix. In her cervix, yeah. That's stopped. Yeah. And now it's come back. The last time we went they said everything was fine. Yeah. But now it's gone to her brain. Mhm. She don't deserve it. Oh, life can be horrible. It can, yeah. Mhm. I always find it difficult when dealing with patients that have had prolonged, serious illnesses. Cuz it's hard to give them reassurance that everything's going to be fine. And it's not just the patient we have to deal with, it's the family as well. I mean, this lady was in her 50s and her mom was next door. I mean that's not that's not right, is it? So. Um Jane, we're going to pop you down to the hospital, sweet. Okay. Get this kidney problem sorted. We're going to look after you, sweet. I'm sure you will. Anything for you, sweet. Hopefully it's just a little run-of-the-mill infection. We'll get you sorted and back out with some antibiotics. We don't want to be in hospital, do we? No, I don't think I do. Yep, I could imagine so. Could you sit up for us? Nice and slowly. Up we come. We can do it. Come on. There we go. Okay. There you go. Okay, take a breather. Don't run into it like a bull in a china shop. Take it nice and steady. You're doing great. Gordon. Onto the chair. Onto the chair. Nice and slow. There you go. And the bum. Oof. I know it's uncomfortable, isn't it? But we'll get you off there as soon as we can and onto our bed. I'm going to tilt you back. Don't panic. Oh, it's all right. Don't panic. I've got you. Oh my god, I thought I was going to fall back. No, you It is a strange sensation, but you're safe and I'll just pull the door to. Let's get you unwrapped. And this is where you hold me and I hold you. One, two, three. Up we come. What do you do? That's it. That's it. Lovely. You want Okay. I don't think so. All right, young lady. We'll pop a bit of oxygen on you, sweet. Get some twinkle back in you. We're going to put this back over your nose. If you becomes uncomfortable, let me tell tell me and we'll move it, all right? You're coming, Jake. Yeah, of course I am. You want to just slip band on her? Yeah. Looks like in a motorbike gang with a band on her. One of the recent symptoms of Jane's illness is that she's been off food and drink. I'm going to find a [ __ ] needle in your arm, sweetheart, to give you some water cuz you're a little bit dehydrated. That will make you feel better. How does that feel, Jane? No pain there when I push the flushing? Any pain, Mom? No. She's going to win. I shall go and sit down. Now you're going to fulfill Jane's mother blazing toes. Yeah. That was awesome. We need to get you eating again, don't we? What's your favorite food? Anything Chocolate? Yeah. You like a bit of chocolate, do you? Yeah. At the minute she's having a really big fan of chocolate biscuits. Oh. Chocolate biscuits. Good. That's not going to be too bad, is it? At the end of the day, you're going to have a water have a couple of packets of chocolate biscuits, I think. Anything to keep your energy up. Put them calories back on. What's your favorite drink? You're going to say gin tonic. No. Geez, you're a tea belly. That's typical Black Country, isn't it? You all like our tea. What is it? British, typical British, Amy? Tea wallace. Couple of bumps down here, Jane. What a wicked wicked illness that is. It's going to be bad for the mom as well. I would imagine trying to losing your child. No no parent should Yeah, exactly. She she kept saying she's like, "Oh, I'm I'm 80." I think she said 80 82 or 86 she said. And and she's she's only in her 50s. She said it's it's just not fair. I'm going to a job when we first started and oh there was a few coppers. Honest to god, they must have got these coppers off a calendar shoot. They were all like really good looking men. Have you ever played that game with your other half called online shopping? No. What is online sho So, if you look at somebody and you think, "Oh, they're quite nice." you add to basket. And if you would go a bit further with that person, you would proceed to check out. It's a nightmare when you get like unidentified object and they go, "You're getting out of it." Have you got any pick up lines? Have I got any pick up lines? Yeah. No, mate. You Oh, you used to have to share them. That's all it is. Yeah. You know what they always say about women? Women like men in uniform. What is it for men then? You like air hostesses and nurses. No, not nurses. Well, they are actually. Well, that's a bit hot, not it. Technician Dino Gould and Paramedic Hannah Alexic have just finished a tea break when their next emergency is radioed through. 28-year-old abdo pain bleeding with clots. So, could be a miscarriage, possibly. It's not too far away, I don't think. 5 minutes. Dean is 25 and is 12 months into his paramedic training. So, there might be quite a few things going on with this lady. If it's potentially a miscarriage, she might not know she's pregnant or she may have just had surgery. Yeah, it may just be a a period. We don't know yet, do we? The main thing to find out is if she's pregnant or not. Yeah. Hannah, also 25, has been a paramedic for nearly 5 years. Just just say yeah. Hello. You all right? Hi. Are you a family member? Maggie's daughter, Claire, was driving home from work when she suddenly started experiencing severe abdominal pain. It was so bad, she stopped at her mom's. Hello, Claire. I'm Hannah. And this is Dean. What's been happening, sweet? What can we do for you? I've been What we usually perhaps something about two days before. Yeah. I've seen a specialist for about an hour and it's got It's got a lot worse. And I've seen a specialist and I've had I've been taking like the proxy all day and I've had two tramadol and it's not It's just not touching it. All right, sweet pea. How long have you been passing clots for now? So, it's about 6:00 in the evening now. It's about 4:00, maybe. About 4:00. Has it quite a few that's coming away? Are you still bleeding now? Yeah. Yeah? All right. Is there any chance that you could be pregnant, Claire? Uh they tested it at the hospital. Um I don't know. It was the 1st of August cuz I had to have You know, they put dye through your tubes. Yeah. And I had to have that done and they did the test and that's something like that. Clare has been diagnosed with a condition called endometriosis, which affects the womb. And it can affect fertility and is extremely painful. There's a strong theory that it could run in families and there's a lot of research at the minute on what causes it. It can often affect the day-to-day lives. It can be quite debilitating. What's the pain out of 10 at the moment, Clare? A 10? Okay. What we What we can do for you, I think we're probably going to have to take you up to the hospital if you're in this much pain. What I can do for you, pop a little needle in and we'll give you some paracetamol IV. It's going to work a lot quicker and if you've not had any of that, we'll we'll try that first. Yeah. Is that the easiest position for you to be in at the moment, Clare? All right, sweetie. I'm just going to Get with it then I pass the clot. Right. I've never had a kid but it feels like I'm pushing. Right, so you're pushing. So you've got a slight temperature. It's 37.8 but it's creeping up. So it's possible that you've got an infection. I've not had clots like this before. Not had clots like this before. That's fine. Not pregnant. As far as you know. Never had a miscarriage. You have. How many times have you miscarried? Just once. How far along were you? Um not many weeks. Not many weeks. Five weeks. Okay. Clare has a complicated medical history, but the crew's priority for now is to try and reduce her pain. Thank you very much. You had gas and air before? Yeah? Should we try with some of that? Yeah? Like seal with your teeth around the mouthpiece. Like you're sucking a milkshake. Ah, that's it. Is that easing it at all? A little bit. You've got off You've got half to go. Okay. We're not in a rush. Get your pain under control. You're looking a bit a easier now, Claire. You feeling it? Good. So, if it was a nine nine or 10 before, what would it be now? Seven. So, we're coming down. Are you ready? Grab onto me. Just get your bearings. Get your sea legs first. Are you quite tall like me? All right, sit up. Okay. That's it. Pop your feet up. Don't worry about your slippers. Priorities, hot water bottle. Now that Claire's settled onto the ambulance and the pain relief is working, Hannah wants to examine her properly. Am I okay to have a little look at your tummy? Is that okay? To match your pink pajamas, I've got my pink stethoscope. So, just point to me where the pain is. Or all across there. Have a little press. You let me know if it's more painful. There. Any down there? On this side? How old were you when you had your miscarriage? Did you know at the time that you were miscarrying? Right, okay. Did you still feel like you're passing clots? Do you want some more gas and air? No, I'm a bit sick. Should we give you an anti-sickness? See how that feels. All right. What's the pain at the minute, Claire? It's going back up a bit. It's going back up a bit. Right, I'll go and kick the engine up and get some air con running, I think. With the anti-sickness kicking in, Good to go, Dino star. Okay. Claire continues with the gas and air to try and control her pain. So, we were saying that Claire suffered from endometriosis for a long time. Yeah. And her sister's got it as well. Did you have it? No. We think it might be from the dad's side. Right. Okay. know because he's not 37 when she died. Aw. How old was your sister, Claire, when she got diagnosed? She was She was 20. 24, and you were 21. I was 19 when I got diagnosed. So, you say you're going through fertility checks at the moment. Do you want children? Yeah. Yeah. Fingers crossed for you, anyway. I'll just park up. How you doing, Claire? Been better, haven't you? Has that pain eased at all? Slightly. Comes in waves. You're all right. ready, then? I just want to We'll put the bumps on the way out. Claire will now be seen by doctors who will need to complete further checks to confirm if her endometriosis is the cause of her symptoms. Pick this up. Chloe was nice, wasn't she? She's obviously in a lot of pain. She's obviously tried her own pain relief, and that's not worked, so something's going on. But, I hope she I hope she does get a a family in the end. Hopefully, she will one day. Can't imagine what it's like to be in that situation and that, though, cuz I know I'm not there yet thinking about families or anything, but you can sort of relate. She's not that much older than us, is she? No, no, no, she's not at all. My favorite film of all time is Ghostbusters. Oh, yeah, the new ones are rubbish, though. Oh, god, yeah, don't even mention that to TV. Do you watch Casualty? I do. I do watch Casualty. And my husband wishes I wouldn't cuz I do spend most of the time screaming, "What are you doing? That's all wrong. You shouldn't come put that there." They actually have like medical advisers, don't they, for programs like that? Apparently. They do, apparently. The most recent movie I've watched was it I went to watch Mamma Mia this week. That was awful. Just get out. Just get out the ambulance. Next thing you know, he's going to tell me where Winnie's underwear I don't want to know, Alan. the weekend. I don't want to know. Right, let's go. 999 All right, slow it down. Paramedic Darren Westwood and technician Ash Bowles have just received information about their next patient. Cat one, 16-month-old female that is vomiting, very vacant, feels she's having unresponsive episodes. Category one means the baby girl's condition could be life-threatening. The crew get to her house in just 7 minutes. Arrived in those circumstances. Ahoy. 16-month-old Madison is with her parents and her brother Fraser. Hello. Hello. Nicola, Madison's mom, called 111 as her baby had been unwell since the previous night. In the night, um, she'd been sick. Uh, that was at 1:00. Um, she was very restless then for the rest of the night. Uh, she slept most of the day. She'd been sick six times in total. I wanted to speak to a doctor, so I rung our own surgery and they said ring 111. Rung them and they said they were going to pass it on to you. Madison? Madison? Hello. She's got a bed here. Any allergies at all? No. She was off her feed yesterday. Yeah. Um, but she she had little bits, um, little bit of milk. She's hot. No, we've checked her temperature. That was okay, wasn't it? The one episode which concerned us and this is why we've been sat watching her. Yeah. She was lying there and I'd shouted at She was She was awake. Yeah. Madison? Nothing. Nothing. Yeah. So I went up and I I'd pushed her. She She didn't move. All right. No complications at birth? Uh uh she induced, but Induced, everything else was fine. Okay. What we'll do is couple of checks, and we'll see where we go from there, all right? You don't have to do anything, thank you. Um obviously with children it's difficult Yeah. because they can't tell us what's going on. this in your ear? Yeah. So, there you go. Listen for the beep. You're very good, aren't you? You're an excellent patient. Say thank you. 36. Can I have a quick listen to her chest and her tummy, just see if we can identify anything there. Bit of a mystery, really, if I'm honest, because everything that we're adding, obviously the loss of appetite and obviously that you're concerned, that that's my worry. Our observations are okay, she's not got a temperature, which we'd be looking for in terms of, you know, infection, whether that be viral or whether that be bacterial. This is where the potential where she might cry a little bit because we need to take a little spot of blood out of her foot. Wait, we're used to this with little man, aren't Uh are we? Yeah. He just had trouble with his blood sugars. Madison's brother, Fraser, has a condition called ketonic hypoglycemia. His blood sugar levels can become dangerously low if he goes without food for a long time, such as at night. Sugar was a little bit on the low on the lower side. So, we'll we'll test that. Ready? If Madison's glucose levels are low, it could indicate that she has the same condition. Could do the a little bit of a feed for her. I did. Do you want to Have you got a If you just try try a little feed or a little bit of juice in the bottle, see if she takes anything. The crew want to see Madison's blood sugar levels come up before they decide if she needs further treatment. No fluid. Is it going to be the hospital? We don't know, mate. Don't know, yeah. Yeah, we're going to see how she goes. What's on your pajamas? Um a monster. She's a little bit golden at tutus. Green. Green. Is it your favorite color? Yeah. Aw. Yummy. There's some milk. There's some milk. Her blood sugar is 3.1. Essentially, it should be 4.2 and up. All right, okay. Above. Given the fact that she hasn't had much of a feed, it's going to drop. And that's that's my only concern is that if it continues, and it's something, then what are we going to do in terms of counter balancing it? We'll see how she takes that, but I'll see how much she has through. What do you want to do when you grow up? Motorbike. You want to ride a motorbike? I'll be a fireman. Fireman Fireman on a motorbike. Yeah. Don't blame her. That's a cool job. I want some more sweeties. I think he's tired. Do you think? I'm tired. Yeah. Are you tired? I basically enjoy bedtime now, isn't it? Yes, he's in bed for surgery. You ought to staying up late now, aren't you? 8:00. You better go get an ambulance quick. Yeah, to get you to sleep. Although Madison's health checks are mainly fine, the crew are concerned she's still reluctant to feed and very lethargic. Given everything, safest bet is to pop her down to Ross Hall purely for the fact that she's just not her normal self. Do you want to carry some stuff out for me? Carry that then. You'll pick it up. It's a big ugly. Well, yeah, okay. You pick this one up then. I've got big muscles. I've got it. I've got big muscles. Look at me. Yeah. I've got no shoes. Well, you're going to stay here with Dad, and then I'll go You're staying here. I'm staying here. Yeah. Unless you want to drive the ambulance in. Can you drive an ambulance? No. Come on, pop her on the stretcher. How's that? That better? Is that better? Do you want to sit there next to your mom if you pop your seat belts on for me? Is she normally running around? Oh, absolutely. She She just doesn't sit still. Doesn't sit still? Got worms? No. Well, she's got something. She's got something. Huh? It's all changed. Okie dokie. Where's Halfway there. We're moving. Where are we going? She's got lovely blue eyes, isn't she? Thank you. Normally she'd be talking talking back to you and stuff. You okay, Maddie? And that's how she's been. Really she's just been Just Yeah. The lights are on, but nobody's there. She's just lying like she's had like a really bad day at the office. And you don't want to play And you don't want to play anymore. You just hate seeing them like this. The last thing any parent wants is to see their child unwell or ill or anything like that. It's horrible to see. Appears to be that the driving is very smooth and it's sent her to sleep. Yeah. Maddie. Hello. Hello, my sweetie pie. Do you want to carry her in? I'll carry the bags. If you give me the bags. Thank you so much. I'll uh I'll rip the Yeah, I'll rip the I'll rip the handbag look. You ready, Maddie? Come on then. Madison will be examined by pediatricians to see what might be causing her to seem so lethargic. They'll also run tests to see if she has the same condition as her brother. She was um worryingly quiet. But yeah, hopefully they uh they find out if there's anything. Could be nothing, but with kids it's always difficult. She may have been tired, weren't you? Well, yeah. She may have just been Maybe she was sound asleep when we dropped off. Yeah. Yeah. Bless her cotton socks. Bless her. Have you been to many people that you know? I've been to a few uh they've been on scene. I've never actually treated anyone I knew. I've been to a couple people I know. Yeah. As patients, yeah. No, me either. Yeah, that's strange. Do you find it slightly awkward, but do you just get on with Uh I went to a girl that I went to school with. I think she found it a little bit awkward. Yeah. I suppose for us it's okay cuz like Yeah, we're used to it, aren't We're used to going, you know, a member of the public whoever wants to just go to someone and say, "Oh, you know, how's bowel movements been today?" Yeah. Ambulance crew mates Jamie Busby and Jason Mitchell are 2 hours into their 12-hour shift. We're going to an 89-year-old male who feels ill. Okay. He's got swollen legs and swollen feet, which are getting worse. He does suffer with cancer of the prostate. Pain is getting worse. Okay. It's been ages since I've worked with you. As a tech last time, I think, weren't you? Yeah, yeah, it was, uh I want to see how you fare up being a parent now. I want to make notes. Crack on. Jamie completed his paramedic training 4 months ago. Out of the way! Get out of the way. Get out of my way. Jason has worked as an ambulance technician for 17 years. This one here. Going for Doors open? John. How are you, mate? All right? How is your dad? Come on, let's go have a look at him. See what you See what you've done to him. John's son, Paul, has been waiting to direct the crew to his dad's flat. The alarm was raised by John's companion, Elizabeth. Hello. How are you? All right. What you done to him? I'll bloody kill him. Oh. Hi. How are you, young man? What's been going on? Swollen leg. Both of them? How long have they been like that for? Okay. So, yesterday, were they normal size? My feet are always They're always swollen, are they? Swollen, they go down, they swell, they go down. Today, are they bigger than normal? Yes. You know the swelling you normally get, is it just in your feet or do you get it up your legs as well? No, it it just goes about there. So, it only comes up to like sock height. Any pain anywhere? So, how would you A little bit in your chest and in your shoulder? All right, John. I'm Jason and that's Jamie. So, we've got all the J's today. John and Elizabeth have shared a home since her husband, who was John's best friend, passed away several years ago. I'm just going to put some sticky dots on you, young man. All right? And we'll have a look what your ticker's doing. I'll just pop your finger in there. It's Sorry, no, it's at the fingertips, mate. Any breathing problems previously? My chest with the last few weeks. Okay. All right, so I'll have a listen to your chest, John. Come here, chief. Nice deep breath for me. Some bilateral crackles. John was diagnosed with prostate cancer 12 months ago and has recently started a new course of treatment. Do you know what injection it was that he had 2 weeks ago? Do you know what it was called? I've had some treatment for prostate. Yeah. Have you ever noticed the color of your fingers at the moment? They They look a little bit blue to me. Turn your finger over. Sorry, I'm I'm just getting enough oxygen. Pinching in his fingers as well. Yeah. I'm wondering if this is heart failure. John, I'm just going to put some more sticky dots on your chest, all right? Just because you've had this pain in your chest. All right? That's it, Miley. Paul has found an information leaflet about John's medication, which he hopes might give the crew a clue as to what's going on with his dad. I'm chest therapy. Okay. Let's have a look. Okay, it's a hormone injection. Side effects: tiredness, diabetes, cardiovascular issues. It may just be a result of the the injection. I'm looking at this. Yeah. You get It almost looks like a an intermittent flutter. See what I mean? Yeah. So, there's definitely something going on with the ticker. The atria. John's ECG showed an irregular heartbeat and the swelling in his legs was obviously a concern. It showed that the heart wasn't pumping sufficiently enough, which can then cause pooling in the legs. He had recently started a hormone injection for his prostate cancer. Side effects were water retention, so that could have been the cause of it as well. All right, John. We don't know why your legs are just suddenly starting to balloon again. Your heart tracing is showing an abnormality. So, what we'll do, we'll pop you up to the hospital just so they can do some blood tests. Make sure everything's okay. If everything's fine and they're happy with you, some tablets for that. they'll send you back home. What's your name, sir, and madam? Elizabeth. You live in the area? Oh, my legs are shaking. Paul, what's your name? Bowlers. You're not related to an Ash Bowlers, are you? He's on his way. He'll be here in about 5 minutes. Who? Ash. He's me son. Ash is not only Paul's son, he's a fellow student paramedic with West Midlands Ambulance Service and lives close by. Hello. All right, petrol. Morning, flower. How are you, mate? All right? How are we doing? I'm all right. Yeah. Correlating some sort of heart failure or reaction to that. With a new query onset of a flutter as well. There's potential that's happened before. Does it? How's he? Okay. Ash is going to travel with his granddad to hospital. It's a bit nippy out here, isn't it? Especially with them shorts on. That's it. There we go. That'll do. One, two, three. Up, up, up, up. Good man. Okay, John. I'm very close to my granddad. He always worries about us as a family, um but we always worry about him because he's at grand old age of 89. We call him the big friendly giant. He came over here in the early 50s from Ireland. Uh, has worked all of his life on the railway. Normally, the ambulance is my office. That is where I work. So, it was very strange to be a passenger this time. But, I was glad that I was off that day so that I could go with him to hospital. This is a good job, isn't it? Sit there for me, but you sit well, Tom. Oh, thank you, sir. Thank you so much. Hello. No, this is well, I finished at 11 last night. Up this morning, I've been shopping. You should be in bed, though. No. No, you No. You don't sleep? No sleep. I'm like an owl. I'm nocturnal. Have your fingers always been this dark? Yeah, but They are. My hands are always cold. Paul hands are warmer. Something like that, isn't it? Really. I'm happy when you are, Jay. All right. You tried to avoid us at the lower cost, didn't you? I've never ever seen a doctor. Hm. No, you You never went to your doctor, though, did you? I have a doctor. Off and on. Just every now and again. See, they're still there. John has recently celebrated his 89th birthday. We always have good family meals for your birthday, don't we? Everyone gets together, all of us. Granddad takes us all out for meals, so we're all together. It's nice, isn't it? Have a nice big meal. Remarkable for his age, isn't it? We're at New Cross next. Oh, we're all right. We have All right. We are here. I'll jump off first. I can do the work. Are we happy? I am. Oh, hang on. Hang on, we're moving. Ash will head into A&E with his grandad, where doctors can start to explore what's causing the swelling in John's legs. Really nice job. Good day. Surprised he's Ash's grandad as well. Hello, good. To be fair, he's 89. Hasn't got a whole lot wrong with him. A little bit of heart failure. It's nothing to the world. People get People get scared by the word heart failure. Yeah. But it's People they forget that the heart's a muscle. It gets tired, and it does start to lose its elasticity, which is That's all it is. That's right, yeah. And just a couple of medications to keep on top of the symptoms, like the fluid in his legs, and he'll be right as rain again. Claire, who suffered with the painful condition endometriosis, discovered at hospital that she was in fact 6 to 8 weeks pregnant, but had very sadly miscarried. She has since had further surgery, and her pain is now more manageable. Baby Madison spent 3 days in hospital and is now healthy and back at home. She was diagnosed with hypoglycemia, or low blood sugar levels, but the doctors think this was the result of her vomiting, rather than a sign of a more serious condition. Doctors have not been able to find the reason for Ash's grandfather John's swollen feet, but he is feeling much better. He'll continue having hormone injections every 3 months to treat his prostate cancer. Jane, who was suffering with cancer and whose family called the paramedics when she was struggling to pass urine, was diagnosed with sepsis at hospital. Due to the nature of her illness, she was referred to the palliative care team. She peacefully passed away 6 days later. Push up. Well done. I thought Sit nice and calm in the back of the ambulance, okay? We're back with the West Midlands Ambulance Service. Clear left. Go, go, go. As the paramedics take us to the heart of the action once more. What's happened there, mate? Listen to me. I know you can hear me. Can't leave you like this, can we? Old friends are back on shift in Dudley. You've got the whole lot there. That's like the kitchen sink. And new friends return. Brace yourself. As we head back to Stoke. And 999 mode activated. Here the crews face life and death decisions. Need to spit that out cuz it's going to make you really poorly, isn't it? And deal with adrenaline-fueled challenges. Stop, stop. Body-mounted cameras capture every moment. They tickle your toes. Showing you what goes on behind closed doors. I'm just a stupid old woman. You're not a stupid old woman. Did you get it in? Straight in. It's all good. It's all good. This is a paramedic's eye view of life on the road as they battle around 4,000 calls each day. I feel like I've wasted your time. No, no, no, no, no. Don't be daft. You've been in an ambulance before? Not today. Not today. You'll be on the front line with them as we take you inside the ambulance. Here we go. Let's go and save the day. You ready? I'm ready. Be with you. Give us something nice. Complicated twin birth. Complicated. No. Nice twin birth. Easy. I win. Hey, go beep beep beep beep beep. Hey, yeah. Nothing cuter than seeing a little kiddie pointing at the ambulance going. Do you ever pump people and wave? We do that with the kids. Just driving along tootling along and then uh we'll pump the horn and start waving. And you have to see how many people wave back. It's Saturday night. Rock and roll. And in Dudley, paramedic Laura Hickman and technician Jason Mitchell have just finished their break. Their next job has just come in. 5701. Yeah, all details received. How long has she had the symptoms for? Cuz obviously if she's had them for over 5 hours, they don't tend to operate, do they? No. No. They arrive at the patient's home in 12 minutes. All right. I'll just grab the bag. I'll just get Yeah. Yeah. Sound. The woman's son, Richard, is waiting. How are you, mate? All right. All right. Hello. Hello. How are we? Well, thank This This one's Hello. Right. What's been happening, my darling? So, she phoned me about 25 minutes ago. Uh right hand side has gone. Okay. I'm no medic. I don't know. No? Okay. I'm feeling wobbly. Okay. Does Mom talk normally better than this? Yeah. Yeah? Okay. Well, you've got a good smile, though. All right. What's Mom What's Mom's first name? Uh what am I calling myself? Um well, it's Cilla. Cilla lives alone and rang Richard when she started feeling weak. He came straight over with his friend Harley after calling the ambulance. Right. Now then. Can you lift this arm for me? Well. Okay. Right. Let me just have these hands. I want you to squeeze my fingers as tight as you can. Go on. Squeeze tight. And this one. Okay. Right. Can you lift this leg up? Okay. And what about this one? No. Right. We're just going to do a set of observations. All right? And then you've won a trip to New Cross. Oh, yes. All right. You ever had anything like this before? No. Do you feel confused? Do you feel like everything's all there? Yes. You do? Yes. And And You understand everything. And can you tell that your speech is a little slurred? Yeah? All right. You're quite chilled considering. Come on. Yeah. It's experience. It's experience. I've never quite been to a patient who's having a stroke who's as relaxed as Cilla was. Um she was just very cool, calm, and collected and was just taking it in her stride really. When we suspect that somebody's having a stroke, um it is time critical and we have a very short window really to actually get them to hospital for that treatment. You lose billions and billions of brain cells every minute um when you're having a stroke. So, it's quite important to get it done as soon as possible. It's been within 5 hours, hasn't it? It's only been probably 15-20 minutes, okay? So, that's a that's a good thing. If a patient's having a stroke, what they say is it's a 5-hour window. Stop scratch. But we're well within the time limits, okay? I've got no idea where any of you are sleeping. Well, it's just a question of space. Just the essentials, overnight wear, clean pants, stuff like that. That's all you need. Where are your pants? Where are they? Um Yeah, the ones you're not wearing. Cilla may be in good humor, but the crew are all too aware this is a potentially life-threatening emergency. Right. Right. What we're going to do, sweetheart, is I'll sit you up first. I'll sit you up. And that. There we go. Come on, darling. I've got to change this thing now. All right. Well, you need to be in your Sunday best all the time, don't you? Right, Cilla. All we want you to do is put the weight on this leg. All right, my darling? After three. 1 2 3. Well done. That's it. Perfect. Okay. That's lovely. Well, you're a good side back. That's it. That's That's lovely. All right. You're not having a lot in that leg, is there, at all? All right, Sheila, can you just hold this hand for me? Are you guys going to come up in the car, are you? Uh No, we're going to go and leave Bertie. I don't need anybody there for a bit. You need Go on. Go on. Go on. Good. I can't move. Right, I'm just going to shut these while we get your mum over. All right, Sheila. Right, do you know like we did in the house and you pushed up? I need you to do that again for me, all right, darling. Oh, perfect. That's it. I've got your bad one. Oh. There we go. Got your little rucksack while your suitcase there. I got you a swimming costume. Yeah. And some suntan lotion ready. I'll just pop your finger in there, my darling. Do you want ECG back on? Um no, just the BP and the sats, do you? Yeah, that's on. All right, I'll come and find you. Took us a while. Priscilla, is it okay with you, sweetheart, if I pop a little needle into your arm? Yeah. It's a precautionary measure. Yep. 202 over 119. You don't want to smile. It's all right. It's It's one of those kind of things that's associated with a a stroke, darling, all right? Perfect. There we go. Having a slight facial droop, aren't we? Only a tiny, tiny one. Yeah. Okay. Yes, I can feel it. Yeah, all right, sweet. Yeah. How young are you, darling? 74. 74. Worried that Sheila is beginning to deteriorate, Laura calls ahead. It's a 74-year-old 74-year-old female. We're just developing a right-sided facial droop, slurred speech, right-sided arm and leg weakness. Uh onset time was 8:00 this evening. All right, mate. Thank you. Bye. Just over half an hour since Cilla started to show stroke symptoms, the crew head off. Sound, Jace. Okay. You're all set? Yeah. Bless you. I can't believe how cool, calm, and collected you are. And Jane poor form. You deteriorate. I don't want you. Brooke. You what, sorry? I don't want any steroids. Suddenly knows. Okay. All right. I think I know what you're on about. Yeah. But we'll be a bit optimistic first. Yeah. All right? Because we've caught it in really good time, there's a good chance, hopefully, that they can burst that clot and get rid of it. All right? Yeah. So don't start thinking about anything like that just yet. Good. What did you used to do for a living? I was a nurse. A nurse? Well, 50 years ago. All right. Where did you used to nurse? Birmingham. In Birmingham? I bet it was a proper old hospital with all the brass and the Nightingale award and all that, was it? Yeah. If matron came on the ward, all saluted. Yeah. I know. It's a nice speech. I think it is, yeah, a little bit. Only a little bit though, don't worry. Cuz until we sort it out, it's not going to get any better, which is why we're taking you in on blue lights to stop anything else from getting worse. Okay. But um they'll get you fixed up there. All right. And then they'll do loads of different tests on you. Ask you to puff out your cheeks and all this type of thing. Can you do that one? And then they'll send you down to the scanner, the CT scanner, and you'll have a scan. All right. And then they can go from there. Okay? Perfect. Look at that. We're here. Hello. Hello. Fancy seeing you here. Right, I've got your suitcase. You've got the crown jewels. Let's rock and roll. Still broke my heart in the back. Absolutely broke it. Did she? I did. It was when he said um She said like she said, "While I can still speak, if anything goes wrong, I don't want any heroics." Heartbreaking. If you're going to have a stroke, and I know it sounds really weird, I'd rather you have a stroke and not know anything about it and be that far advanced in the stroke that you don't know what's going on. Yeah. Cuz she knew exactly what was going on. Yeah. She knew exactly what was going to happen cuz obviously we told her. And yet I feel that that was worse than her being completely out of it and completely stroked out as we call it and and not have a clue. Well, yeah. Yeah, I had some good news yesterday. What was that? Oh, my son and his girlfriend have uh had our first grandchild. Oh, really? He's got more out than me already, which isn't really hard to do either to be fair. Same with my other half. He sleeps with his eyes open at times. And that freaks me out. Are you joking? Are you awake? Are you alive? Lee, are you there? Uh yeah, your boys went back today. Yes, both boys have gone back to school. It always reminds me now it's like it's coming autumn, so we've got like autumn, Halloween, bonfire, Christmas, X Factor. That's just started. No, it hasn't. I've watched it. In Dudley, regular crewmates V and Ollie are on their way to a job when they're diverted. Oh, stand down. Uh so we've been swapped V to a doctor's surgery. Yeah. For patient with chest pain. Male, unknown age. Um it says in fast AF as well. So, right. So, a rapid irregular heartbeat then. Yep. As they approach the surgery, a few more details come through. Johnnie's 52. Patient has changes to ECG, fast AF, heart rate of 142. Heart rate of 142, yeah? Fast and fast, very fast. Very fast, yeah. Hello. We expected someone. Thank you. Hello. Hello. This is Johnnie. Hello, Johnnie. My name is Ollie. This is V. What's happened, then? When the weather was about an hour and a half journey driving Okay. I was having to pull over and so I wasn't feeling quite well, like, you know, I was glad to really concentrate to keep myself going. Okay. Yeah. After the hour and a half it's just fine, back to normal again. Yeah. I've got an appointment here to check you out. Yeah. Yesterday and Okay. It says to come for an ECG today. Today? Yeah. This has just been done, yeah? So, any pain in your chest at all? No, nothing? Any palpitations? Felt your heart racing or anything like that? No, not since Since the And that was a few weeks ago now, wasn't it? So, it's been You've not had anything zooming along at a rate of 170. Um your heart is going very fast. It's beating at about 170 times a minute and anything normal really is 60 to 100. John's heart was in a rhythm that we call atrial fibrillation or AF for short. Um it's quite a common rhythm for it to be in. However, the speed that it was going at is a medical emergency. His condition could deteriorate. He could become quite unwell and it could cause his heart to fail. We're going to see if we can get our stretcher to come all the way in here. Just because with your heart rate going that fast Our priority is to get you looked after. Yeah. Concerned that John could be at risk of a heart attack, V and Ollie aren't wasting any time. There we go. Ollie just wants to pop a little needle in your arm, okay? Just in case you your heart rate goes even crazier. So, we'll need blood pressure on one arm and needle in the other. All right, then. If you relax that arm down, then we'll look at popping a needle in this arm. So, that's just in case you do anything wild or extra wild. Is your wife going to meet you up there? Yeah. Whether or not she's going to start out of work or not, I don't know. John and his wife work for the same delivery company. So, are you met her, is it? Well, met her when she used to be a driver. Okay. And she ended up being one of the section managers. Was she your boss at any point? Yeah. Was she your I've got a wife and nothing when your missus is in the bath. No fun, I'll tell you. Hello. Well, I've got an alert for you, please. I've got a 52-year-old male. Uh he's in fast AF with a heart rate of uh 170. And we'll be with you in about 10 minutes. Thank you. Still feel the same? Me? Me. Yeah. Heart rate 80. No way. Yeah, yeah, yeah. So, he come out of it. It's not a driving. I fixed him. Well, drivers put him on the road and relax me. But relief is short-lived. Uh he's back in it. There we go. Oh, no. He's back out. What is your heart doing? Can you hear the beeps yourself? So, that's going faster now. Give it a second. It'll drop back to normal. So, sorry. Possibly. How bizarre. You're an odd one. Speed bumps, Ollie. Might send your heart rate slower again. No pain at all? No. You're a mystery. As they arrive at hospital, John's heart rate is still fluctuating wildly. All right, John. Yeah. Good, good. Is he still playing up? Yes, I can hear it. Right. Okay. Yeah. Few bumps again might help. He was tolerating it. His body was tolerating it really well. You would You wouldn't have known, would you? If he If he could have walked past you in the street and you wouldn't have known. But very strange that his heart rate dropped back down to 82. And went into a normal sinus rhythm, yeah. He needs sorting out, doesn't he? But he seemed like a really nice guy, didn't he? He did, yeah. Yeah, seemed really nice. Really smiley. Have you ever seen a ghost? I don't know, cuz I'm dead clear after I didn't think of anything after that. I don't think there's no after life, nothing. Yeah. I think once you're dead, you're dead. I've never seen a ghost. I think they exist. I do think they exist, but I think I'd probably freak out. Yeah. I'm really superstitious. Are you? You know when you see like a a magpie on its own? What about like a ladder? Would you walk below a ladder? No, I wouldn't walk under a ladder. Would you not feel No. Would you not feel that like insecurity thing of walking under a ladder? Down here in the attic, it's a lovely old building. Apparently it's proper full of spooks and everything. Really? Yeah, you ask the staff about them and they'll say, "Oh, yeah, we hear kids running up and down the stairs." Do you believe in them? Yeah, I believe in ghosts. Yeah, I've seen a couple. True story. It's early afternoon. In Dudley, technician Anna Ray and paramedic Darren Westwood are thinking about life after the ambulance service. I've got mobile home there. I'd love a mobile home. I think that's what I'm going to do when I retire. I'm going to buy a mobile home, drive round the UK, possibly into Europe, and rent my house out. Quite a few of them. I I know I don't look it, do I? No. I know. I surprise myself. Some days I look at the mirror and go, "You look stupid. You look stupid, honestly." And then I come out with these things and I think, "Oh." The pair get information through about their next patient. We have got a job to Jean, who's 88, and she's got a query septic arthritis in her right knee. Septic arthritis is when an infection gets into a joint. Left untreated, it can become life-threatening. Their patient Jean has recently had knee surgery, which makes her more vulnerable. And I see Her son, Keith, is waiting with her. Hello. Hello. What's the problem? Can you tell the lady what the doctor said, love? Oh, it's um septic arthritis or something. Basically, she's got this cellulitis here. It's getting into the wound, and so uh Can we just pop your arm out to your place? As long as you Good out. We just need to pop your finger. Any what? Any clean one. Your football days are probably be over for a bit. I'm sure they are, love. Until recently, Jean had led a very active life. So, I used to do lots of walking and mountain climbing at the time. I've got plenty of pictures of mother stood on top of the tallest mountains in Britain, you know. Oh, yeah. I mean, I was still walking and You got past 80 so 10 years ago. Yes, I've always been very Good. Good. active. And my husband was. Well, all my boys were. 11 years ago, Jean was widowed after being married for 40 years. Since then, she's lived alone. When did you have your knees operated on? This one I had done about four or five years ago. No problem. But two years ago, I had my hip replaced on this side. The right one? I was really very poorly. So, it's been two years I've been waiting to get me this knee done. And this is suddenly flared up hasn't it since the last three days. Are you in any pain, Jean? Only with my knee. If you would have to give it a number between one and 10? I would say about eight. Eight? So, it's quite bad. Yeah, it's quite painful. So, cellulitis is a nasty infection already of the skin and can cause discomfort. But it can actually spread down further into the knee, into the wound itself where she has had this replaced and can cause septic arthritis condition, which makes it even worse. She needed immediate treatment with antibiotics through an IV drip and that can only be done at the hospital. Are you all right? Cuz I'm here with you. Don't you worry about it. Do you want to hold on to me? Come on. I'll give you a lift. Jean's son, Keith, will join his mom at the hospital later. And have a seat down. That's it. Have a breather. Okay. I'm going to grab your legs now. That's it. So the moral of the story exercise. Yes, exercise. Healthy living, exercise. It's early morning. Today is probably the first shift where I've come to work completely in the dark. It was It was dark, wasn't it, this morning? It's getting to that stage now. As long as it doesn't snow. In Stoke, paramedic Hannah Alexic and technician Janine Cryle are on their way to their first patient of the day. Have you got any more information on this? Old lady, it's her chest pain. What was it? Yeah. It's going to be anxiety and a naughty cough. What are we doing? Asthma or chest infection. The crew arrive. Their body-mounted cameras record every second. It's not top floor, that's good. Ambulance. Is it bad that you're out of breath? Hello, nice. Is it Nicola we've come to see? Well, you've got a very little baby over there. Nicola lives with her partner, Scott, and their new son. Hi, you sweet. My name's Janine and this is Hannah. How long have you been having these pains for? I don't know. I fell with my little boy. I laid on and then started then. What's the pain feel like, sweetheart? It's when I breathe. When you breathe, is it sharp? Is it achy? Is it sharp? Can you point me with your finger where about this pain is? Underneath my boobs. Underneath boobs. through to my back. How old's the little one? Three months. Three months. Oh, congratulations. That's a nice name. Have you ever had this pain before? I had it under here, but it was gallstones. I had my gallbladder removed. That was about 7 months ago. Baby Oliver was just 6 weeks old when Nicola had to go into hospital for her gallbladder operation. Have you been sick? I feel sick. You feel sick. Was everything all right with your pregnancy? It was all right. Um I had gestational diabetes. Was it a natural birth? I was induced. Okay. 100 over 64. Check your scratch, sweetheart. 5.4, that's fine, sweetheart. Can you try and take a big deep breath in, or does it really hurt? It hurts. All right. Nicola was clearly in a lot of pain. Um her body had been through so much. She'd just had a baby and then an operation only a few weeks after, so her body was still healing. Um so we needed to get her checked out really. How would you feel a little trip up to hospital, darling? Some more tests. Yeah, some more some bloods and stuff done, yeah. Are you going to stay here with baby? I'll stay here for now and then until she lets me know roughly what's going to happen. Yeah. That's a good plan. Can we help you out the front door? Is that okay? All right, sweetheart. Is it more painful when you get up? My legs are shaking. Nicola is too weak to get herself onto the ambulance. Got a little blanket to wrap around you. So the crew get her into a chair. All right, sweetie. Ready? He's got good with him. Yeah. brilliant. He does. Do you enjoy having him? Yeah. Yeah. I enjoyed the birth. Did you? Did you? God, you're strange. Over this little lip. You all right? You know You won't fall. It's all right, Julie. I've got her. It's all right, sweetie. Promise I won't drop you. The crew want to address Nicola's nausea before setting off. 1 2 3. Good girl. Good girl. Fantastic. Well done. All right. So this is the anti-sickness medicine. So I've just got to give it nice and slow, okay? Are you from round here, then? I was going to say I didn't notice in the house you've got a bit of a twang, haven't you? It's all right. Julie's got a lot of a twang, so it's all right. I'm only saying that cuz I she can't hit me from here. Right. See you in a minute. This is new mum Nicola's second trip to hospital since the birth of her son. How are you feeling? Tired. Tired and dizzy. Everything you don't want to be feeling. Had you been suffering for your gallbladder for a while? Well, while I was pregnant I had pains. Yeah. And then for months six weeks old that's when I went to the That's when something wasn't right. Something wrong. How long were you in for? About five days. Bet you miss your little one. Aw. I think we're nearly there now. Still feeling sick? It's a little bit better than it was. Good. Are you all right to sit down onto there, Nicola? Is that all right? Nicola's pain and nausea have lessened. In A&E, doctors will try and find out what's caused them. I think with Nicola, it might have been a gallbladder, like some residual pain left from that. I think that she might have I don't know, eaten something to upset it, cuz I know you can have pains after it's been removed as well. The baby was cute as well. I'd wanted to like play with the baby, but it would have looked really bad. Cuz she's doubled over in pain. Do you ever do that though with pets or babies? I'm really bad, like I get really distracted. 999 mode activated. THAT POOR BLOKE THOUGHT YOU WERE LAUGHING at him. That's why I didn't look at him. That's why I laughed. I didn't look. Cuz I wasn't laughing at him. Did you laugh at him? There are just no words for you, Zara. Never. I like being indescribable. In Dudley, paramedics Cath Davies and Lee Farley are on shift together after a few days off. Going to have a good day today? At least I'm with you, Ali. Ah, well, yeah. I was hoping you'd you'd got me back and that. I've always got your back, mate. And your front, yeah. Combined, Cath and Lee have 39 years of ambulance service. We've got a male patient, abdominal pain and vomiting and confused. He's looking quite worried, Ali. Cheers. Their patient is 72-year-old Morris. Hello. His wife rang 999 when he started having difficulty breathing. Hello. Hello, Morris. Please to meet you. What's happened today? I I used to be hard to breathe. Okay. It's like there, you know, you know when you Like a big lump in your throat. As well as his breathing problems, Morris also has severe stomach pains and sickness. And I've got this pain all over in my stomach. I went to the doctors yesterday. But I can't get any any food all down or take any water down. Have you had a pain like this before? No. No, this is all new for you. What about the shaking? Is that normal? No, the shaking is normal. What did the doctor do for you yesterday then? He gave him some of these. He said he Let's have a look. Just to help you go to the toilet. constipated, does he? Let me just have a feel of your tummy, nice and relaxed. It's quite firm, isn't it? Is that tender to touch? Oh, yeah. Yeah? Oh, dear. Have you taken any painkillers today? Salbutamol. What are they called? Salbutamol. I've got a feeling they're going to contribute to the constipation, aren't they? Yeah. Yeah. They're very good painkillers. Yeah. They are. One of the side effects is that can bung you up a little bit. Having figured out the cause of Maurice's stomach problems, the crew still need to know why he's having such difficulty breathing. There you go. No, he's got a raging temperature. That's why. Maurice's temperature is 40°. It's likely that his body is fighting hard against an infection. Right. You might feel shivery. Yeah. We need to let you be shivery. It's your body's way of cooling yourself down. Oh, yeah. All right? Yeah. Okay. So, we'll take this off. It'll be your head first, and then see it works. Brilliant. There you go. You've got a vest as well, so Oh, I've got me wife's vest on. Your wife's vest. Your t-shirt's coming off as well, then, cuz it's a thick t-shirt. Open and over your head again. There. Okay. When you might I didn't okay about what you No. It's got a nice frill on it. Once we'd done all the observations, we did become really concerned about his very high temperature and his labored breathing. It is a red flag on our sepsis markers. When we talk about sepsis, that's when we talk about any infection that's got to a stage where it becomes more life-threatening. It starts affecting other organs. It gets into the bloodstream, and it really needs to be treated quite rapidly. So, we'll just set you up with a little drip. Yeah. Yeah. And we'll see if we can get that temperature to come down as well. Yeah. Oh. I knew it was getting to the point of no return, you know. Just couldn't No. No. I don't mean that. I You know what I mean. I mean You knew you help. That's what you mean. Yeah. Right. Lee calls ahead to the hospital to warn them that a priority patient is coming in. I was a sole thank you. Got query chest sepsis on an adult male. He's got a current we feel constipation. So there may be issues there as well. Morris used to play in a band supporting big name acts. When did you meet? And we ran off? You weren't that bad, was you? Yeah. Oh, and you and then you ran off? Yeah. Yeah. He must be interested. How long have you been together then? 47 years. Come on, my love. Right, you're going to stay on here. Am I? Oh. Yeah. That's where we put all the troublemakers, you see. Have you been causing trouble? I've just been telling stories. With symptoms of sepsis, Morris will be seen immediately. Really lovely man. He was very was very grateful of um our assistance. And when you looked at him, he didn't really look that hot and sweaty. No, temperature was 40. bit later, but when he got a temperature of 40, wow. That would have felt ill. Yeah, yeah, exactly. Now, you may not have been aware cuz you've been in the front, but he was what dropping out names like The Who, you know, the band you may have heard of. Um yeah, and and other groups that they they used to be like the warm-up or support group for, but now I take my hat off to him. If I had one. I could find you one. I could get you a vomit bowl. Yeah? That'd be a nice hat. Thank you. Something to send to 74-year-old Cilla, who tested fast positive, was having a stroke. Thanks to the speed with which her son called the ambulance and the crew's quick response, she had specialist treatment in good time. After 4 days in hospital, she was discharged and has now made a full recovery. John, who had a very erratic heartbeat, was put on several different medications. He's having further investigations, including wearing a heart monitor 24/7 for 30 days, which doctors hope should give some clear answers. 88-year-old Jean, who was in a lot of pain following knee surgery, had tests in hospital which showed she had developed a severe infection. She was given a 2-week course of antibiotics. And thankfully, it was caught before it developed into septic arthritis. 24-year-old new mom Nicola, who was suffering from stomach pain, stayed overnight in hospital. Her pain subsided and she went home the next day. Despite a number of tests, the cause remains unknown. Morris, who was struggling to breathe, was x-rayed in hospital and found to have pneumonia in both lungs. He was put straight onto an antibiotic drip and after three nights in hospital, was discharged home, where he's recovering well. Are you off tomorrow? No, I'm in tomorrow. Half seven, days. Oh, so we're going to see your face again tomorrow. All day long. Yeah, anytime in the hospital, we'll be waiting for you.