In the heart of Yorkshire, our health service is hard at work. >> Sharp scratch coming up. >> A dedicated team working around the clock in casualty. >> Stick out your tongue. >> Never more under pressure than at Christmas time. >> It's going to feel like you're going to die, but I'm going to be [music] stood right next to you. >> During the toughest shifts, spreading cheer. >> No, >> I've always wanted to kiss. This is Barnsley Casualty 24/7 at Christmas. >> But no tongues, Jane. >> No, that's it. Merry Christmas. >> On shift over the festive period. >> That look all right. >> Is the casualty team? >> Is that a jaunty angle? >> How do I look? >> It's quite warm. Warm and snuggly. >> Go. I'm not putting their hat on. They're not sticking me with chuffing turkey. That is for certain. Is it any good? Is it? >> My kids will just hate this. No. They'll go, "Mother, what are you doing? [laughter] >> You feel Christmasy?" >> Yes, I do feel Christmasy. [laughter] [bell] I'm back, Kim. We've got the Christmas tree. While people are enjoying the most wonderful time of the year, >> Barnsley Hospital casualty is open for business. >> Icy blue barbles and silver barbles. >> And the team are getting into the festive spirit. >> Right, let's see what we could put on there. >> With a bit of intensive care, they're hoping to make it feel a lot more like Christmas. >> I said, "Do you think I'd get a job at RV Nicks doing their windows?" Oh, >> and nobody's immune. >> What happens to your ears? There's no ears. >> Oh, that looks good. That looks really good. >> Into festive spirit now, Mr. Bones. >> The team from Casualty have even got their very own Dr. Santa. >> Ho ho ho. >> It's a normal day just with some tinsel. [bell] I need to sit down. I'm the oldest here and I can't get a seat. Look at that. >> This morning, consultant Dr. Julian Humphrey is leading the festive shift. >> Good. I don't think there's anything to get worried about. Uh, your hands all right? Wrists, elbows. Okay. [laughter] >> Right. Okay. I only just noticed that. [laughter] Okay. See you. I think the department starts to get into the Christmas spirit about the week before Christmas. Everybody gets into the spirit of things. I think you see the best of NHS staff at Christmas time. Yes. Hello. >> Just take a seat on the chair to start with. >> 82year-old Michael has come in with his wife Barbara. >> You just take a seat here. >> Can you manage? >> Right. I'm Dr. Humphrey. >> He was sent here by his GP. >> Right. Well, the main problem at the moment is that your heart is only beating at 30 beats a minute. >> Not at all. >> 30 beats per minute is is a bit too slow. [laughter] >> Okay. Should be at least double that. >> Oh, >> all right. You're trying to hibernate. Okay. >> You're like a hedgehog. Have you been feeling dizzy? >> Oh, a little bit. Sometimes I do. >> Right. Okay. Now, I want to know whether you've ever had any problems with your heart in the past. >> No, >> never. Never had a heart attack. >> Never troubled the doctor with your heart. >> No. >> Right. Okay. >> I saw a doctor once and they said, "Come find me heart." >> Well, you've definitely got a heart, but I need to find out why your heart is beating so slowly. Because when it beats as slowly as this, there's a small chance it might stop. >> Okay. And if it does, then you're you're keover. >> All right. >> I've never f to do my life at all. >> Right. Okay. >> Now, it may be that you will need to have a pacemaker. >> Oh my. >> All right. So, don't get too worried about that. My dad had a pacemaker. As you get older, the wiring in your heart gets a bit worn out. And sometimes what happens and your heart starts beating a bit slower than it should do. If you have a pacemaker, it controls that. Okay. >> Yeah. >> So, have you got any plans for Christmas anyway? >> No. No. >> Nothing at all. What do you normally do? >> Well, we stay at home and friends come. >> Right. Okay. >> There's always a lot of >> Right. Okay. We'll get you onto this couch. Uh we'll get you wired up to that monitor so we can keep an eye on your heart rate and then someone's going to come and do some blood tests for you. All right. >> All right. Can you just put him on the cardiac monitor or pop him on the trolley? That' be great. >> To find out the best treatment for Michael, he's going to need more tests. While he waits, a special visitor is spreading Christmas cheer. >> Christmas within Barnsley Hospital or any hospital up and down the country will just be another day to the staff that are working. But we do try to make the best of [music] it. We are a family and sometimes it's nice to share Christmas with your work family. >> Please do uh graphically. Merry Christmas. >> Merry Christmas. >> Should we? >> No. >> I've always wanted to kiss Mrs. Claus. No, Mrs. Claus. >> She's not here. >> She's got a >> Well, she doesn't see. >> No, she can see everything. >> You look so disappointed, Santa. I thought you were the driver of all good stuff. >> That's Yeah, that was long. That was long. Okay. Merry Christmas. What did you get from Santa? >> A ring. Is it Are you putting a ring on it? >> Absolutely not. >> I think you ought to though, don't you? >> No. >> Oh, look. We're married. >> Why do bakers work so hard? >> I don't know. Why do bakers work so hard? >> Because they need the dough. [laughter] >> Anyway, it's been lovely meeting you. >> Okay, that's Yeah. Never get one with as many diamonds like that, do you, >> Dr. Santa? >> But even Christmas doesn't get in the way of the red phone ringing. Paramedics are rushing in a 68-year-old man. >> Okay. Yeah, bring him into the recess. We'll we'll see him there. Advanced nurse practitioner Richard Jackson [music] and Sister Maddie Walker will assess it. Hello there. >> He's had a rapid heartbeat and chest pain for more than 2 hours. Hi. >> What's your name? >> Kevin. >> Oh, Kevin. I'm Richard. I'm one of Advancers practitioners. This is Maddie. >> We'll get you sorted out today. Okay. >> Yeah. You do what you've got to do. >> And never had anything like this before? >> Yeah. I had a heart attack in 2011. >> 2011. Did it and it didn't present like this? >> Exactly the same. >> Exactly the same with fast heart rate and palpitations and and the pain, sweatiness and claminess. >> Sweatiness. I had to I had to change my clothes as well. >> Okay. And what did they do for you when you had your heart attack? Did you have stances in a st? [music] >> You had a stent. So, how often do you get anginal pains? >> All depends what I do. All depends what you do. Okay. And does this feel like your angina now? >> No. >> No. First job is pretty much trying to slow this heart rate down. What did they do last time? Did they give you drugs or did they give you a bolt of electricity? >> Looks like >> you can't remember. Fine. >> What I'm going to do, Kevin, is I'm going to give you some drugs to slow this heart rate down. >> Sharp scratch, my friend. And other than the heart attack, is anything else wrong with you? fit inactive. >> Yeah. Try as much as I can, Le. >> Yeah. >> The drug is having no effect. Kevin's rapid pulse could strain his heart. His condition is serious. [snorts] At Barnsley Hospital, the staff are feeling Christmassy. >> Can't talk that. >> You're 92. >> Dr. Humphrey. >> 93. Have I got that wrong? >> Is leading the festive shift. >> Oh dear. You're not very well, are you, my love? Christmas only lasts for a short amount of time. It's our busiest time. It's the time when the hospital's the most stretched. But when you sign up to be in emergency medicine, it's 24/7 365 and Christmas Day you, you know, Boxing Day, New Year's Eve, New Year's Day, you've got to work it. Christmas can be a time for families and fun. But for the casualty staff, only one thing matters, their patience. >> It's all fun and games, isn't it, lad? Over in recess, nurse Richard is treating 68-year-old Kevin. >> Your fingers cuz they're a bit cold. I'm trying to get a trace in. All right, love. >> His heart has been racing dangerously at 178 beats a minute. >> We're going to get pads on if it goes all beats on. >> Unable to get his heart rate down, Nurse Richard is trying another more powerful drug. >> Okay, my friend. You're going to feel a bit horrible with this, okay? You're almost going to feel like you're going to die, but I'm going to be stood right next to you. Okay, just give him a minute. There we go. Good man. Good man. Good man. >> You all right? >> Nice and steady. We're here. Take some deep breaths. All right. Feel rotten? >> Yeah. >> Yeah. Okay. You're going to stay in hospital today? Okay. >> All right. Uh, I'm going to keep an eye on you here for a little while. Just wanted to get you to a decent place. Okay. Okay. >> All right. My friend >> Kevin's heart rate seems to be coming down, but they need to monitor him closely. >> You're having chest pain because his heart muscle weren't getting enough oxygen. >> If it carries on like that, he's a risk of deteriorating to cardiac arrest. >> It's a horrible feeling, is it? But you're going to come How we going? You got B. All right. >> All right. What's that B pressure doing? >> Sorry about that. >> Don't worry about it. We'll lace your worries. >> His heart rate refuses to settle. So, I'll fine >> and they're running out of options. Someone else struggling with his heart is 82year-old Michael who's now had an ECG and blood tests. >> Yeah, that's nice and slow, isn't it? >> Make it go faster. >> I don't think you can >> you can do what >> is it going faster? >> I think I think if a tiger ran in front of you, it wouldn't go faster. So, you can't go home with your heart rate only being 29. Okay. >> Yeah. >> Now, it may be 29 because you take too many tablets. It may be that your heart's a bit worn out. So, you will need to come into hospital and have this problem sorted out. It's not something we can send you home and bring you back to a clinic. Okay. >> Oh, >> is that okay? >> No, I suppose it'll have to be, wouldn't it? >> Yes. I'm afraid it'll have to be. We can't we can't have you hibernating at home. >> No. >> I think if your heart's beating this slow, you will feel a lot better if it beats a bit faster. Okay. Definitely. All right. So, you've got to come into hospital, have it sorted out. All right. >> Thank you. >> All right. Okay. >> Further tests revealed Michael did need a pacemaker. After having it fitted, he was well enough to go home 6 days later in time for Christmas. Barnsley Hospital has its own dedicated pediatric casualty. >> Is it Finley? Do you want to come on through? >> For junior Dr. Patrick King, this is his first Christmas working here. >> Four-year-old Finley has been brought straight from school by his dad, Steven. >> It's just that look starts getting really big. >> It is quite a big one, isn't it? >> Yeah. Yeah, >> I did it when it was up time and I hurt my nose on a cup. >> Oh, no. >> So, um, do you know if he's lost consciousness or not? >> No. No, they haven't said he's lost conscious. No. >> Okay. What's he been like in himself? >> Uh, he's been quiet. Really quiet. >> Is that normal for him or is that >> No. No. He's normally really active running around. >> Right. Should we have a look at our light or look at this finger? Can you see it wiggling? >> Yeah. And can you see it wiggling over here? And you wiggle your eyebrows for me. >> Give me a big smile. Stick out your tongue. Okay. I want you to squeeze my hands. Don't let them get away. Okay. So, we've got a lot of swelling here. Is it sore? >> No. >> Ouch. Ouch. That's an ouch, isn't it? [sighs] H. >> Now, even though there's a lot of swelling over it, >> yeah, >> if we concerned that that was broken or fractured, >> yeah, >> the main issue is, is it off center? >> So, if it's off center, it's going to, you know, >> yeah, >> it's going to alter the appearance and things. It doesn't appear to be at the minute. >> My thoughts are that when that swelling goes down, it'll all go back to looking at normal. >> Okay. But if it does come down and you think that it does look abnormal, I'd bring him back here before a week. >> Yeah, >> we'll get give it a little wash. Yeah, I think that'll probably all it might need a little bit, but then that will heal up with sort of minimal scarring. >> Charge nurse Johnny Sharp is treating his wound. >> Hey, buddy. Can we uh stick you back together? Is that all right? Can you lay down for me? Is that all right? You put your head at this side. That's it. You stay like that. Good lad. And how did you bang your nose? And when my mom fell on the crate >> crate of beer? >> No. >> No. At school. >> The crate at school. >> You not drink monkey beer? >> No. >> My daddy does. >> Your daddy does. Just drink it a lot. >> Yeah. [laughter] Right then, mate. Let's give your nose a little clean. You just be nice and brave. >> Do you Do you like going to school? >> Yeah. You going to go tomorrow? >> Yeah. >> Yeah. >> School photos tomorrow as well. >> Your school photo tomorrow. >> You're going to look bunny, aren't you, with that? >> Yeah. >> Let's put some magic glue on. >> Well done, mate. [music] That's it. You want to sit up? It's all done. >> What' you say? >> You're welcome. >> All right. Any problems, just come back, mate. >> Yeah. Cheers. >> All right. With Finley cleaned up and patched up, he can head home and get ready for his school photo and Christmas. >> All good now. All vector. >> How are you feeling now? >> Donkey kick me. >> Yeah, you'll feel worn out. >> Yeah. Well, your heart's been doing a marathon. In recess, nurse Richard is treating 68-year-old Kevin, whose heart has been racing dangerously at almost three times the normal rate. >> Blessing said you were bus. >> You were going to come on bus, were you? >> Is it funny? A different generation think like that? What made your phone for ambulancing end? >> Cuz my heart won't slow down. >> You won't slow down. >> I know it's difficult, but we'll try and keep you as still as you can. I just want to have another little look at your ECG. So nice and still for me. >> So what did you used to do for a living then? >> Uh minor. >> Minor. And how's the chest? >> Did it Did it affect the chest too much? >> Little bit. >> A little bit. >> The ECG is monitoring Kevin's heart rate and function. Okay. Okay, so that ECG is okay. Kevin, we need to figure out why now. Why have you had this today? So, we're going to keep you monitored in here for the time being. I'll book you a bed on the medical ward, wait for your blood test to come back. We'll just get a quick chest X-ray and we'll just freshen you up and make you feel a bit more comfortable. Okay. >> The worry is that further tests may reveal a serious problem. >> So, in a minute, I'm going to ask you to breathe and then hold your breath. >> And Kevin could need emergency surgery. Breathe normally. >> So, how are you feeling now then? >> All right. Just tired. >> Just tired. No pain still? >> No. >> Good. And the rhythm's remained. Your blood pressure is good. Your chest X-ray is fine. Okay. Your buds will start coming back and I'll look at them results. But your bed's ready on the medical ward. What's what's caused it then? >> I don't know yet. I just need to we need to have a little look and have a look at the heart and things like that. But you're a bit of a risky person just to send straight back home. We need to look for any signs of heart problems this time. Okay. >> All right. No problem. If anything changes while you're here, let us know. >> Yeah. >> Thanks very much. >> You're welcome, love. You're feeling better. Do you want to put your top back on? We're done with looking at your body now. Love you. Where are you? >> Yeah, fine. Thank you. >> Later that day, Kevin was transferred to a specialist unit for another stent procedure. >> Yeah, we did try. >> After 10 days, he was allowed home to join his family for Christmas. >> [music] >> Volunteer Jane Allen has put the finishing touches to the department and now she's doing the same to the staff. >> So, who wants an act? What about you, James? >> Oh, go on then. What have you got? >> Uh, well, I think this is very appropriate for you, quite frankly. Yeah, you have that. >> What do you mean by that? >> Well, it is humble. >> Sounds about right. >> Yeah. Stick it on. >> No. It's It brings out the color of your eyes. [snorts] My wife got us some minced pies today. >> She brought them in. Looking forward to some pitching. >> Did you have them hot? >> Not yet. They're in the packet ready for me when I come home. >> Warm them up and have telling you it's the way forward. >> Junior Dr. Alex Chapman's next patient is waiting in bay seven. >> I want you all to get better because I want you to cook the Christmas dinner. You're doing dinner this time. And how do we get pots? >> 55year-old Dale has come in with his wife Diane. He's got a number of symptoms. >> He's a 55year-old chap >> who's had three day history of shortness of breath when he's walking around. >> Today, Dr. Chapman is being shadowed by medical student Gareth. >> Got a bit of a cough bringing up some fleg and had some central dull aching chest pain which started last night. doesn't go anywhere else. >> To complicate things, Dale's already receiving treatment for a blood clot in his leg. >> How you feeling? >> All right, but I'm just sweating a bit. >> Sweaty. >> Sweating. Plum. >> Yeah. >> So, there there's a couple things. It could be could have just have an infection, >> boring, run-of-the-mill chest infection. >> Could be something going with your heart just cuz you're in that age bracket and a male. >> Yeah. >> Um or it could be that >> clots move from there to your chest. >> We're just going to see what the blood test come back. see what he actually looks like and then we'll make a proper decision >> right >> about what we should do. >> Is that okay? >> Yeah, that's fine. >> There's a history of blood clots in Dale's family. He's worried it could have moved up into his lungs, a much more serious condition. >> We haven't had a very good year this year to be fair. >> Sorry about that. >> We've had a few deaths in family. It's >> terrible. Obviously, I lost my mom with DBT. Yeah. >> So, and when I got that in my leg, I thought it's a woraning thing, ain't it? >> No, I'm sorry about that. So, you're just wanting to have a bit of positivity and happiness. So, you looking forward to Christmas? >> Yeah, I like Christmas. It's all right. >> This Christmas. You're doing Christmas dinner. >> Oh. Oh, well, no. No. You No, you said you were going to Christmas dinner. I said I'm going to wash the pots. >> You're doing the dinner. You're doing the pots and I'm going to relax. >> I said I'm going to do pastas. >> I can see a divorce coming here. >> It's going to put a bit of pressure on us for a second. >> Perfect. >> What have you asked for? Father Christmas. >> I've always wanted a brand new Range Rover Sports. >> I think you're shooting for the moon with that one. >> Yeah. >> So, I'm going to go and send this blood test off. >> Right. >> Porter's going to whisk you for a chest X-ray at some point in the near future. >> Hopefully. >> Or next week. >> Yeah. >> Stop here a bit longer. We'll get Christmas dinner. >> I never know. >> Um [music] and then we'll take it from there. Okay. >> Yeah. Yeah. I'm fine. Thank you very much. >> Cheers, guys. >> Cheers. Thank you. Better keep them off, aren't you? Laughter is the best medicine you're ever going to get. I can assure you. >> Yeah, that's a realistic time. >> While Dale waits for his results, >> Dr. Santa's still on his rams. >> Merry Christmas. >> Merry Christmas, Santa. >> Yours is the first one that bang. >> Is it? Oh, exciting. >> So, you need to do a joke. >> I need to do the joke. >> Actually obliged. >> I have to put a hat on as well. They never fit on my hair cuz I've got too much. That's it. >> Perfect >> for now. >> Right. What's the difference between the Christmas alphabet and the ordinary alphabet? >> I don't know what's the difference between the Christmas alphabet and the ordinary alphabet. >> The Christmas alphabet has no L. [laughter] >> Hats off and jokes aside, consultant Dr. Sue Mason has been called in to see a patient in cubicle 2. >> Hi, Mark. 52year-old Mark works as a laborer in a woodyard. >> Just tell me what's what's been the problem. >> I've got cyst on me back. >> You've got a cyst. >> And what's wrong with it now? Is it >> sore? >> How long have you had the cyst there for? >> Years. >> Yeah. >> It's never bothered me before. >> And has it got bigger recently? >> Yeah. More painful. So, can we have a little look at it? If you twizzle round, we'll see what's what with it. Right. You've got a cyst there that's about 4 cm by 3 cm and it's a bit sore, isn't it? >> So, what we can do with this is just make a little cut under local anesthetic and drain all the contents out and then we'll put a dressing on it and it should heal itself within the next couple of days or so. Is that okay with you? >> Yeah, fine. >> Smashing. Right. >> My original training was in surgery. So, I look for things like this. We don't get them as often as we used to because a lot of the nurse practitioners do things like this nowadays. So you don't get the chance, you know, as a sort of senior doctor to do these things as much. Try and get yourself as comfortable as you can be. Sharp scratch coming up. So I'm just injecting local anesthetic around the edge of the cyst. Shout if you can't stand it anymore. >> Right. How's this feeling? You feel anything sharp? What you'll feel is me pressing and proddding a little bit, but it shouldn't really be too painful. All right. >> Yeah. >> Stick it on. >> At Barnesley Hospital, the festive shift is halfway through. >> Oh, that's lovely. That >> crisp kiss middle. [laughter] >> Evening all today. Dr. Humphrey is at the helm. This is Edward. >> Edward. >> Edward has been rushed in [music] by ambulance, struggling for breath. >> Been unwell since yesterday. Been coughing up uh green yellow fleg. >> Yeah. >> His wife said he was wet through with sweat in bed last night. Burning up. >> Been married 58 years. >> You get less for murder, don't you? That's what they say. [laughter] >> So, let's have a little look. You got a few little cold dust tattoos, haven't you? Yeah. >> Right. Take care. Eddie, I love you to leave you. >> Take care. >> Can you sit forward for me? >> Breathe in. Okay. Relax. You sound like a pair of old bellows back here. Basically, it sounds like you got a chest infection. >> Yeah. >> So, what's going to happen is you'll have a chest X-ray and then you'll see another doctor. >> Yeah. >> And they'll make a decision as to whether you need to come into hospital or whether you can go home with some antibiotics. All right. >> Yeah. >> Okay. And what you doing at Christmas anyway? >> We usually go out for it. >> Do you where do you go? >> Rother. >> My son takes us to Ro. >> All right. So you your son spoils you at Christmas. >> Oh, he spoils his mom. >> All right. Okay. But you just you come along for the ride, do you? >> Ride. >> Yeah. Okay. Very good. >> It's typical this time of year. Chest infections, sepsis, illness. >> It's NHS winter bread and butter. He's going out for a nice meal on Christmas day. They'll make every effort to make sure he gets uh his Christmas lunch. >> We try and get patients home so they don't have to be in hospital over Christmas. We try to make those patients who are in hospital at Christmas time. Give them as best experience as we possibly can. In Reus, 52year-old Mark isn't having a great experience right now. Dr. Mason's draining the cyst on his back. >> Right, let's get going then. Okay, a little bit of pressure now. And these cysts [music] always have a capsule associated with them, which if you can get it out is a good thing. But sometimes when they've been inflamed and infected and sore like this one, the capsule doesn't really come away very easily from the rest of the body. So it can be a little bit difficult. Does >> that mean it'll come back? >> Well, that's one of the problems. They can come back. So I'll try and get as much of it out as I can, which some of it's coming away now, but because they they tend to break up because they get a bit infected. But the more we get out, the better. Sorry, I'm pressing a bit. Just want to make sure we've got everything out. You all right? >> Yeah. >> I just think you'll feel much better when this you've got rid of all this. >> Feels better now. >> Oh, good. [laughter] >> Yeah. I'm feeling >> it's right on the nose of your elephant, I'm afraid. Okay. So, just a little bit of saline just to wash it out. Good. Okay. I'm going to put some stuff actually inside the wound. And what that does is it stops it from closing over too quickly. So, it heals from the inside out. So, this special stuff, it's got um it's like an extract of seaweed. Actually, you just poke it into the wound. And if there's any remaining infection in there, it will all just drain out through this. I'm going to cover it with a dressing. Mark, is there anyone at home with you? Do you live on your own? >> Oh, wife's the one. >> The wife. If this falls off, you can she can put a fresh one on for you, can't she? >> Yeah. >> How do you feel? >> All done. Just sit up and just get your bearings for a second, don't you? >> All right. >> Are you sure? >> Yeah. >> I'll get you a couple of spare dressings. There's some smaller ones there for when it's drying up. All right. All the best. >> Cheers. >> I'll show you where to go to get out. >> That's it. Straight through there. Okay. All right, love. Bye. Bye. What are you doing? >> I've just drained a massive spacious system. God, there were loads of it. >> I wish I'd seen brilliant. Very satisfying. [music] >> Merry Christmas. Oh, your joke's gone. >> There you go. >> Yeah. >> Hey, look at that. Oh, thank you very much, Santa. >> Practice will make perfect. >> You certainly will. >> There you go. And here's a joke for you. So, uh, what did Cinderella say when her photos didn't arrive on time? >> What did Cinderella say when her photos didn't arrive on time? >> One day, my prince will come. [laughter] >> A merry Christmas. [clears throat] >> Merry Christmas to you. >> Byebye. [music] >> Dr. Chapman is trying to work out why 55year-old Dale, who's already being treated for a blood clot in his leg, is experiencing a number of other symptoms. >> Let's give you a drive. Hands in the vehicle at all times. Terrible driver. So, got some blood tests back and we got your X-ray. X-ray looks fine. So, you haven't got a rip roaring pneumonia or infection, which will explain why you're coughing and getting knackered all the time. Blood tests. Um, the one strange thing is you're on the epixavan which thins your blood. We've done a blood test to measure how well your blood clots and it basically clots exactly the same as mine does. >> Right. >> Which you shouldn't expect if you're on something that thins the blood. Do you see what I mean? >> Right. Right. >> So that's either one of two things. You haven't been taking it but you say you have. That's fine. I'm not accusing you. >> I have been taking >> or or it's [laughter] no or it's not your body isn't responding as we normally expect your body to respond to it. >> Right. So that means that if you've got a clot in your leg, >> then it could have gone to your lung. Do you see what I mean? Because it's not being thinned as much as I would expect it to be. >> So that means I'm going to meet you into the hospital so you can be investigated from our point. >> So long as he's out for Christmas Day, he's [laughter] cooking the dinner. >> So watch this. You want to grab that door, G? >> Yeah. If you're working on Christmas, you have to kind of be a bit more jolly and friendly to people cuz they've come in when they're supposed to be with their family. And so, you just have to kind of be their extended family for a [music] bit of time. >> Okay, there's a chair there for you. >> Cheers. >> Come on. I've got an injection. I told you about it. >> While Dale waits to be admitted, he's given blood thinning medication by nurse Sophia Eaggan. >> It just goes into my tummy. It does. It's just stings a little. >> He's had them before, though. >> Oh, is it? >> Yeah. I don't just do it. [bell] >> Right. So, I'll just get a part of toward >> Right. Yeah. Fine. We'll do. >> All right. Thank you. At least we'll get to the bottom of it, won't we? >> Yeah. Once and for all. >> Fit well Christmas day. >> After being monitored in the acute medical unit, Dale was kept in for 5 days, but didn't need any further treatment. >> [music] >> Carly, what would you like, sweetheart? >> We'll have a Santa hat. >> You have a Santa hat. >> As always, volunteer Jane is keeping everyone's spirits up. >> Hey, if you want us to dress up, we're dressing up. Love. >> Here we are. >> The whole pizzazz. >> Think Jane, he deserves a kiss on a miss. Mr. >> Oh, I know. >> No, no tongues, Jane. >> No, that's it. Merry Christmas. >> Merry Christmas. >> What do you think, lads? Like that or like that? How you should there? >> You look beautiful, sweetheart. Honestly, >> volunteer Jane is even decorating the patient's relatives, too. >> Are you Are you ready for Christmas? Yeah, >> man. >> And what's Father Christmas bringing you? >> Uh, no. >> No. >> No. >> You not being a good boy. >> No, I've got a PlayStation. That's it. >> You can never have enough tinsel, I don't think. >> No. >> As long as you're not near a fireplace, we're all right. >> Merry Christmas to you all. I'll see you [laughter] later. >> See you later. >> All right. Love. Merry Christmas. Gracias. >> Hello. What name is it? >> Morin. >> No one wants to be in hospital at Christmas. >> But 83year-old Morin has been sent to casualty by her GP. >> Son Jed found her asleep during the day at her care home. >> You got us worried. >> You got us worried. Oh, but >> he was concerned when he noticed her lips were blue. >> Morin was assessed when she arrived. She's seriously dehydrated. >> So, you need some this morning. >> You won't have nothing today. >> Not until I came. >> Some more. You got to drink it cuz you ain't had nothing for the past three days. Daughter-in-law Wendy is encouraging her to drink. You want >> You'll be on before Christmas. >> I want you on for me birthday. >> Get you to the pub. >> Debbie's waiting for me to to pander. >> Oh, yeah. I could just murder one. >> Not while you're in here, mother. >> First, sister Joe Hunter gets more fluids into moing through a drip. >> There you go. Have a look. See what the plan is for you. Okay. >> Junior Dr. Aean Hickeyi is taking over her care. >> Is it boring? Don't worry about your weight. How you feeling at the moment? >> All right. >> Grand, I need to bring you into a room so I can have a chat and listen to your chest and all those sorts of things. >> I know. I'm moving you into one. >> Hey, >> I'm going to just just going to move you around there. >> Not saying that at the moment. Saying I need to move you into that room just over there >> so nobody can see spawn. >> Yeah, no worries. Okay. Everybody, >> I'm going on when you're filming. >> We'll see you Morin. All right. >> Um went to see her this afternoon and the color. She fast asleep. >> Yeah. >> And she got blue >> blue lips. >> So we reported and went and got a doctor. Doctor came out >> and then she sent us straight in. They did check her temperature and her um pulse and everything. Everything will all >> she's 100% to what she >> Okay. Woken up a lot more kind of more back to her >> normal out. >> Um she's been sort of night walking >> or 4 a.m. and then stopping in bed all day. >> So I think that's been a big factor. >> Have you got any pain anywhere, Morin? >> No. >> No. And how's your breathing feeling? >> All right. I have a quick listen to your chest then, Mory. >> Hi. >> You're live. >> All right. So, I'll have a feel of your pulse first. >> Hey, don't need your wine. >> Oh, sorry. Just one of the tests that we have to do. >> Okay. Let me have a listen to your heart. Okay. >> I ain't got one. >> Oh, I hope so. Feels like you do. There we go. I think I found one. Can you sit forwards for me? >> You put two. I just need to pop down the back of this dressing gown and have a listen to the back of your chest. >> Yeah, me properly. I'll undo it. >> Oh, there we go. Could you and do your dressing gown for me, please? >> Thank you very much. >> Will that do? >> That'll be grand. So, some nice deep breaths in and out for me now. Okay. And lean back for me. That's great. Sounding a little bit wheezy at the moment. I can still go on, can't I? >> We'll see. All right. >> Oh, >> I know. I'm sorry, Moren. Cuz I don't want to send you home and then you get a bit worse and you end up needing to come back in. I'm very sorry. We'll do our best to not need to bring you in. We'll just We'll see what all the blood tests say, what the X-ray says, >> and we'll see what we need to do after that. All right. >> As in, can we send you home or not? >> Yeah. >> Yeah. Fingers crossed. >> You said yes. >> [clears throat] >> Sorry, but we'll see. Okay, Morin. All right, I need to pop you back out onto the corridor cuz we're quite short on rooms at the moment. Okay. >> Yeah, I think it's cold now. >> You've got a big dressing gown on. >> I know. Congratulations. >> Do you want another down? >> Do you want another blanket? >> No, I'm all right. You're all right. Thank you. Okay, no worries. So, let's get you moved back out then, Morin. >> Sorry. >> Morin won't be allowed home unless Dr. Hickey is happy with her test results. She's not out of danger yet. >> In the hub at Barnsley Hospital, Sister Harriet Lindley has a job for Casualty's own little helper. >> Yes, dear. >> Can you please just go and meet that lady in five? >> Lady in five. No problemmo. >> Oh, what's this? Father Christmas has come early. Oh, there Jane's trolley. A shiny new trolley. And it's not just a piece of paper stuck on it. It's actually got me name stuck on it. God, that's smashing that. Excuse me, ladies. Coming through. Coming through. >> Father Christmas has brought it. Yeah. Look at that. >> That's amazing. >> Wheels that work. >> Yes. Have a push. >> Yes. >> Smooth. Is it? >> Thank you. [music] else. >> Waiting for her test results is 83year-old Morin. Dr. Hick is back with an update. >> Hi again, Moren. Sorry about the weight and everything. So, having a look at the chest X-ray in the bloods and having a listen to what's been going on today. >> Yeah. >> Listen to your chest and listening how you've been doing at home. I think it's very likely that you might have some sort of infe I think it's likely that you might have some sort of infection sitting in your chest >> and because you've not been eating and drinking for a few days up to your normal level >> I'm a bit hesitant about sending you home and I'd rather you come in >> just for a day or two. We're going to get you some antibiotics in. >> We'll make sure you get your three square meals a day and plenty of fluids. >> Yeah. >> And we'll see how you feel. >> Yeah. >> All right. >> No beer. >> Sadly though. >> I don't like beer. [laughter] >> Maybe a tot of brandy if you ask. Oh, no. I don't like her like that. >> Oh, I'm not sure what we've got. [laughter] >> I'm afraid you'll have to bring your own snowballs, though. >> We don't stop then. >> Okay. So, someone will be by soon to take you upstairs to one of the medical wards and we'll get those antibiotics sorted out as well. >> Yeah. >> All right. Any questions or anything else I can help with? >> Yes. A nice glass of pop. >> Would you want another? >> You might have to get someone to pop to the shops. Up on the wards, it's tea and squash and a bit of water. Yeah, squash will do, won't it? Okay. All right. Thanks very much then, Morin. >> Okay. >> After three nights in hospital and plenty of festive food, Morin was well enough to go home. >> It's tea time, so volunteer Jane's new trolley is taking a tour to hand out a few tasty treats. >> Shantel, the light of my life. Would you like to have a a satsuma? We get satsumas and mince pies at >> Christmas. >> Say it. You can have a satsuma. >> Merry Christmas. >> Merry Christmas. >> Do you want a mince pie, sweetheart? >> No mince pie, anybody? >> Well, Mrs. Brown is a code word for a tea trolley. >> Can I offer you a mince pie or a clementine? >> At Christmas time, it becomes turbocharged and Mrs. Brown has Christmas treats just for a couple of days just to get in the spirit of things. Mince pie for you whisper sir. Lovely. All right. Thank you very much. All the best. Love anyway. Merry Christmas. >> I love this trolley. >> Dr. Santa is on the last round of his festive shift. >> Merry Christmas. >> Merry Christmas. >> Oh, hang on. Let me get your hat. Here you go. What did the pirate say on his 80th birthday? >> What did the pirate say on his 80th birthday? >> I matey. >> No, he says I made it. >> I matey. >> It's the way you tell it. >> I made it. I >> maybe. >> Have you thought of a change of career at all? a comedian or >> you you have been crowned. >> I've been crowned >> the joke queen of the department. >> The staff of casualty will be working 24/7 over the holidays, but they're not short of Christmas cheer. >> I'd like to wish everybody everywhere, especially in Barnsley, a very merry Christmas. [music] >> Happy Christmas everyone. >> Happy Christmas. [laughter] >> Merry Christmas. Happy Christmas everyone. >> I'd like to wish you all a very merry Christmas. Merry Christmas and happy new year. >> Have a wonderful new year. >> I hope you have all the best for 2020. >> I'd just like to wish everyone a very happy Christmas >> and a successful 2020. >> Enjoy your time with your families, your loved ones, your children. >> Just be careful. Don't burn yourself on that gravy >> and in the nicest possible way. [music] >> Hopefully we'll not be seeing you in Barnsley A&E.