Recognising Risk and Improving Patient Safety - Mildred's Story

Summary

The script revolves around Mildred Hill, a 70-year-old woman who experiences a stroke and is admitted to the hospital. George, her accommodation warden, notices her distress and calls for medical assistance. Dr. Small examines her and suspects another stroke, leading to Mildred's hospitalization. The narrative follows her through various medical assessments, including a fractured hip surgery, and highlights the challenges faced by the medical staff in managing her care, including her specific dietary needs due to a wheat allergy. The script also touches on the communication difficulties between hospital staff and Mildred's concerned daughter.

Takeaways

• 😷 Mildred, a 70-year-old resident at Magnolia Court, experiences symptoms suggesting another stroke, prompting an emergency call to the doctor.
• 🏥 Dr. Alex Small is contacted for an immediate visit due to Mildred's non-responsiveness and lack of movement on her right side.
• 💼 George, the warden at Magnolia Court, assists by calling for medical help and later prepares Mildred for hospitalization by gathering her medicines and personal items.
• 🚑 Mildred is transported to the hospital with a suspected stroke, and her medical history, including a previous mild stroke and a severe allergy to wheat, is communicated to the hospital staff.
• 🏥 At the hospital, Mildred undergoes a series of tests and is admitted under the care of Dr. Small, who notes her right-sided hemiparesis and expressive dysphasia.
• 📝 Communication between healthcare providers is crucial, as seen when Dr. Small informs the hospital staff about Mildred's condition and her need for a gluten-free diet due to her wheat allergy.
• 🤝 The importance of a coordinated care approach is highlighted as different healthcare professionals, including nurses, doctors, and wardens, work together to manage Mildred's condition.
• 📞 The script illustrates the challenges in communication between healthcare providers and family members, as Mildred's daughter seeks information about her mother's condition and care.
• 🛑 A fall results in Mildred suffering a fractured hip, which requires immediate surgery, demonstrating the need for prompt medical intervention and care in elderly care.
• 🩺 The hospital staff must navigate procedural challenges, such as ensuring all necessary pre-surgery preparations are completed, including marking the correct side for surgery and managing post-operative care.
• 💊 The script underscores the complexity of medication management in elderly care, with attention to allergies and the administration of appropriate medications post-surgery.

Q & A

What is the initial concern George expresses about Mildred?

George is concerned that Mildred may have had another stroke because she activated her panic button, is not responding, and shows no movement on her right-hand side.

What action does George take after suspecting Mildred has had a stroke?

George contacts Dr. Alex Small to inform him about Mildred's condition and requests that he come to see her.

What is Mildred's medical history according to the script?

Mildred had a mild stroke about two years ago, mild angina, and a little bit of asthma. She also had an anaphylactic reaction to some pills containing wheat.

What steps does Dr. Small take when he arrives to examine Mildred?

Dr. Small checks Mildred's responsiveness by asking her to close her eyes, show her teeth, lift her arms, squeeze his fingers, and identify an object.

Why does Dr. Small decide Mildred needs to go to the hospital?

Dr. Small decides Mildred needs to go to the hospital because she has a right-sided hemiparesis with facial palsy, expressive dysphasia, and lives alone.

What items does George gather for Mildred before she goes to the hospital?

George gathers Mildred's medicines, a Medi-alert bracelet, and an adrenaline pen, and puts them in her bag along with some clothes and toiletries.

What complication does Mildred experience while in the hospital?

Mildred experiences a fall, which results in a fractured leg, requiring surgery.

What is the confusion regarding Mildred's condition when her daughter, Jean, calls the hospital?

The confusion arises because the nurse on the phone is not fully informed about Mildred's condition and is unable to provide specific details about her care or consultant.

What special dietary needs does Mildred have, and why?

Mildred has a wheat allergy and requires a wheat-free diet due to a previous life-threatening anaphylactic reaction.

What preparations are needed for Mildred's surgery, and who is responsible for them?

Preparations for Mildred's surgery include marking the affected side, ensuring she is fasting, dressed in a theater gown, catheterized, and has a consent form signed. The nursing staff and anesthetist are responsible for these preparations.

Outlines

00:00

🆘 Emergency Stroke Response

The paragraph details an emergency situation where a carer, George, discovers Mildred, a resident at Magnolia Court, has potentially suffered another stroke. George assesses Mildred's condition, noting her unresponsiveness and lack of movement on her right side. He contacts Dr. Alex Small, who advises an immediate medical evaluation. Dr. Small arrives and conducts a physical examination, confirming a stroke and deciding Mildred needs hospitalization. George prepares Mildred for hospital admission, gathering her medications, a medical alert bracelet, and personal items. The paragraph concludes with Dr. Small contacting the hospital to arrange Mildred's admission, emphasizing her medical history and allergies.

05:01

🏥 Hospital Admission and Initial Assessment

This paragraph follows Mildred's arrival at the hospital, where she is admitted under the care of Dr. Small, who provides her medical history and current symptoms to the hospital staff. Mildred is noted to have a wheat allergy, a history of angina and asthma, and previous anaphylactic reactions. The staff prepares Mildred for further evaluation, including arranging for a care of the elderly review and ensuring her medications and medical alert bracelet are on hand. The narrative also includes a personal touch as Mildred expresses her daily routines and preferences, offering a glimpse into her life outside of her current medical crisis.

10:01

📞 Family Communication and Misunderstandings

The focus of this paragraph is on the communication between the hospital staff and Mildred's daughter, Jean. A staff nurse, Ken, attempts to update Jean on her mother's condition, using the term 'CVA' (cerebrovascular accident) instead of 'stroke,' which leads to confusion. Jean expresses frustration with the lack of detailed information and the hospital's procedures, particularly concerning her mother's wheat allergy and the need for a wheat-free diet. The paragraph highlights the challenges in patient advocacy and the importance of clear communication between healthcare providers and family members.

15:12

🩺 Preparing for Surgery and Post-Operative Care

Mildred experiences a fall resulting in a fractured leg, prompting the need for surgery. The hospital staff scrambles to prepare her for the operation, dealing with last-minute changes and ensuring all necessary precautions, including marking the correct side for surgery and arranging for pre-operative procedures like blood grouping and ECG. The paragraph also touches on the challenges faced by healthcare workers in managing patient care efficiently amidst a busy hospital environment, culminating in Mildred's surgery and the post-operative arrangements.

20:14

⚠️ Post-Surgical Complications and Miscommunications

The final paragraph describes the chaotic aftermath of Mildred's surgery, with the staff grappling with post-operative care and managing her pain. There's a notable lack of preparation and miscommunication regarding Mildred's condition and needs, including her diet restrictions due to her wheat allergy. The narrative captures the tension and urgency in the hospital setting, with staff members trying to address Mildred's needs while also dealing with their own limitations and the pressures of their work environment.

Keywords

💡Stroke

A stroke is a medical condition in which the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. In the video, Mildred is suspected to have had another stroke, which is why George, the warden, calls for medical assistance. The script mentions symptoms like not being able to move her right hand side and not talking, which are indicative of a stroke.

💡Panic Button

A panic button is an emergency alarm that a person can activate when they need immediate help, often used by elderly or disabled individuals living alone. In the script, Mildred activates her panic button, signaling to George that she is in distress and potentially experiencing a medical emergency.

💡Hemiparesis

Hemiparesis refers to weakness or partial paralysis on one side of the body, often resulting from a stroke. In the script, Dr. Small notes that Mildred has a right-sided hemiparesis, which is a significant indicator that she may have suffered another stroke.

💡Expressive Dysphasia

Expressive dysphasia is a language disorder where a person has difficulty expressing themselves when speaking. The script mentions that Mildred seems to have some expressive dysphasia, which is another symptom suggesting a stroke, as she is unable to talk properly.

💡Medi Alert Bracelet

A Medi Alert bracelet is a piece of jewelry that carries medical information, often about allergies or medical conditions, and can be crucial in emergency situations. In the video, it's mentioned that Mildred should be wearing a Medi Alert bracelet, but she isn't, which could be problematic if she has an allergic reaction or another medical event.

💡Anaphylactic Reaction

An anaphylactic reaction is a severe, potentially life-threatening allergic response. The script refers to a past incident where Mildred had an anaphylactic reaction to pills containing wheat, highlighting the importance of her wheat allergy and the need for caution with her medication.

💡Celiac Disease

Celiac disease is a digestive disorder where the ingestion of gluten leads to damage in the small intestine. The script mentions that Mildred follows a Celiac diet, which means she must avoid gluten. However, there is a misunderstanding between the daughter and the staff regarding whether it's celiac disease or a wheat allergy.

💡Epic Pen

An EpiPen is an auto-injector device used to administer a dose of epinephrine during an allergic reaction. In the script, it's mentioned that Mildred has an EpiPen, which is essential for her safety given her history of anaphylactic reactions.

💡Ward

In a hospital setting, a ward is a designated area or room where patients are treated and cared for. The script mentions various interactions on Ward 12, where Mildred is being cared for after her admission to the hospital.

💡Theater (Operating Room)

In the context of a hospital, 'theater' refers to the operating room where surgeries are performed. The script discusses preparing Mildred for theater, indicating that she is scheduled for surgery to address her broken leg.

💡Orthopedic

Orthopedic relates to the branch of medicine concerned with the prevention and treatment of disorders of the musculoskeletal system. The script mentions an orthopedic surgeon who will operate on Mildred's fractured leg, highlighting the specialty's relevance to her care.

Highlights

Emergency response to a potential stroke patient, Mildred, with immediate medical assessment.

Use of a panic button to alert medical staff in a residential facility.

Initial medical assessment includes checking airways, breathing, and pulse.

Recognition of possible stroke symptoms including lack of movement on one side of the body.

Communication with on-call doctor to report patient's condition and request medical assistance.

Preparation for doctor's visit by gathering patient's medical history and current medications.

Doctor's on-site examination confirms suspicion of a stroke and decides on hospital admission.

Discussion of patient's previous medical history, including a mild stroke and allergic reactions.

Arrangement for hospital admission and coordination with care for the elderly registrar.

Collection of patient's personal belongings and medication for hospital stay.

Emergency contact with next of kin to inform about the patient's condition and hospitalization.

Hospital admission process including triage and initial nursing assessment.

Identification and management of patient's dietary restrictions due to wheat allergy.

Challenges in communication between hospital staff and patient's daughter regarding medical details.

Preparation for surgical intervention following a fall and fracture.

Coordination of pre-operative procedures including marking for surgery, fasting, and medication.

Intraoperative management of patient's condition, including blood transfusion and surgical team communication.

Post-operative care including pain management and monitoring for complications.

Handling of a critical situation where patient's condition deteriorates post-surgery.

Transcripts

mild are you in

there mild are you all

right can you hear me

MD M I'm going to have come in is that

okay no Dre are you all

right let's move that hand for you let's

sit you up dear are you all right can

you hear

me let me just take your puse I think

you may have had another

stroke I think we better get the doctor

here don't worry I'll sh be a second

I'll just use your phone

oh hello this is George wisman warn at

Magnolia Court I think one of our

residents may have had a stroke could

you put me through to the duty doctor

please yes thank

you don't worry Mildred you'll be all

right hi George it's Alex small here how

can I help you hello Dr small I'm with

mild Hill at the moment you may remember

mild she's a lady who had a bad reaction

to we to a while ago oh yes I remember

what's the problem well she's just

activated her panic button and I've come

to see her she's not talking to me and

there's no movement on her right hand

side I've checked her Airways and she's

breathing okay and she's got quite a

good pulse I think she may have had a

stroke again do you think you could

possibly come out and see her oh yes of

course I can um my surgery is going to

finish in about half an hour so I could

be with you in 40 minutes um can you

stay with till then fine that's no

problem okay look George if anything

happens give me a call back straight

away okay thanks thank you

goodbye hello Dr small thanks for coming

so quickly through here please not a

problem

George hello there mild let's have a

look at

you now can you close your eyes squeeze

them tight shut for

me that's good that's good now show me

your

teeth that's that's good now can you

lift your arms up lift your arms up as

high as you can for me that's lovely

that's lovely now then squeeze my

fingers can you squeeze them as tight as

you

can that's smashing that's smashing well

done now keep can you tell me what that

is okay do you know what it

is that's that's good now mrid it looks

as if you've had another stroke now

let's hope that it gets better just as

quick as the last one did but you can't

look after yourself here so I'm going to

call a hospital now

okay George not should have some

medicines um and also a Medi alert

bracelet which he doesn't seem to be

wearing at the moment um and there

should be an adrenaline pen somewhere

she doesn't like wearing the bracelet

but I found most of the medicines and

put them in her bag along with the

bracelet before you got here but I

didn't see anything about a pen I'll go

and take another look okay oh hello um

could you please put me through to the

registar on call for care for the

elderly thank

you hello you beat

me

okay hello

hello this is Dr small of meadow Bank

Health Center is that the care for the

elderly registar on call uh no it's the

sh oh all right I've got a lady here

that I'd like you to see and possibly

admit M her name is Mildred Hill she's

age 70 mhm she lives in a warden

controlled

accommodation she had a mild stroke

about 2 years ago but made a complete

recovery within a couple of days she

normally looks after herself she's got

mild angina and a little bit of asthma

and she normally takes salbon and gtn

when she needs it I've just been called

to see her and she's got a right sided

hemiparesis with facial py now she does

seem to have some expressive dysphasia

but I'm certain that she understands

what I'm saying to her now she needs to

come into hospital because she lives on

her own um a few years ago she did have

an anaphylactic reaction to some pills

that we prescribed for her that turned

out to have some wheat in them so you'll

need to be careful what you prescribed

for her she has an EP which as far as

I'm aware she's never had to use but she

does have to follow a Celiac diet okay

send her in and I'll see her in

[Applause]

Annie I found her dreading pen I put it

in a wash bag along with some toiletries

oh when I put some clothes in here for

you Mildred I hope they're all right did

you want me to Fone the ambulance while

you do that that'll be very kind of you

George do you know the number yes no

problem oh one more thing George um do

you know who the next kin will be yes

it's her daughter Jean Hill she's head

mistress lives in

Bristol I'm going to telephone Gan for

you Mildred and let her know what's

happened and tell you're going into

Hospital you'll be all right then now M

I've come to see in the hospital take

care okay you nice truck we're going up

a ramp M and a bit of a bump coming up

here I'll tell you what the last we have

on this un not with this

driving right then mild Bill's going to

nip off get your check in all right

you're comfortable we won't be too

long I'm sure they went belong M all

right hi jet hi hi this is uh Mrs Hill

she's a 70y old lady who we've admitted

by the GP with a suspected

stroke jenet there's four patients about

to breach four hours can you get hold of

Sue yeah she's in charge Sue's at a bid

management meeting what about Tracy

Tracy's off sick today okay give me 10

minutes yeah come and sort it myself

thanks that's a GP letter from Dr

small um she's got quite a few tablets

she in Hala gtn and a few other bits and

Bobs that I've just bagged up and I'll

leave them for you um our robs have been

really stable in the Jan can't find the

spare for the stret for Mr James here I

this one for now

as I say her OBS have been really stable

in the ambulance so we've been really

happy with her there um just one last

thing she has got a wheat allergy and

she's got a Medi Alert bracelet and an

epic pen I've left those in a toilet bag

okay so no lead for that Janet the

battery where's Mr

Brown so I've left those in there for

you jet okay and I think that's really

everything I need to tell you is that

okay all right then mild the hospital

will take care of you now all right I'm

going to go catch up with Bill have a

cup of tea take care of yourself

see

you Janet you're supposed to be on your

break let see the back of this one I

just started enough

today okay this is Mildred she's been in

for 3 hours so really we need to get a

mov and if she's not going to breach

okay we need a care of the elderly

review um I haven't seen Dr banson all

afternoon like there's one set of OBS

done but really she could do with

without another set on you um I've

started a notes and I've packed way

belongings as well okay oh and while I

think about it gp's letter all right

she's had a stroke so OB see the sooner

we get her admitted the better that's

fine J all right I'll take over from me

you're going to have an nice

thank right M duck we better get your

sorted out and we get you into a nice

Hospital gwn shall we oh dear you seem

your wet yourself don't worry don't get

all upset I'll get somebody to come and

out we change your bed

Amy can I have some clean sheets please

this ladies w

[Music]

s Hello darling Oh it is rotten weather

out there the Damned wind it's kept me

awake all night I'm going to get

absolutely soak going to the bingo

tonight tea coffee tea it is them and

nice toot of whiskey and this would be

lovely wouldn't it I also have a drop of

Brandy in M before I go to bed at night

my billy gets on to me something WR but

it's never done me any arm there you go

sweetheart oh have you seen what these

kids have done to this bush shter out

front it's absolutely disgraceful and

the language they ought to be ashamed of

themselves Hello darling Oh it's rotten

weather out there the winds kep me awake

all night get me washing I'm okay let's

get you sorted out shall

we

forward there you go oh it was a busy

shift

want it

just for ages them yeah so is this the

stroke lady yes is she about finished

well we just got to get a gown on her

sorry I can't tell you much about her

actually because Janet's on a break I'm

just covering for her she got a little

bit agitated a little bit earlier on but

we SED her out now we bled her up well

don't worry I've got all the information

I need from the GP thank you very much

this lady's going to be here quite a

while cuz I've got another seven

patients to see

hello Mrs Hill your daughter sent you

these flowers lovely I'll just put them

there I'll put them in a bars later I'll

just go fill up your water

okay all right Mrs Jones I'll go and get

you those

tablets don't worry about filling out

those forms I'll help you with it when I

finish this oh hi is that

Jean yes this is M Hill to whom am I

speaking hello Miss Hill this is Ken

staff nurse on Ward 12 where we're

looking after your mom just so i' give

you a quick call to let you know where

she is and what the visiting times are

I've just spoken to George wisman my

mother's accommodation Warden he didn't

say much can you tell me about my

mother's condition well she's had a CVA

but she's nice and comfy now and she'll

be back up on her feet real soon what's

the CVA cble vascular accident Mr wisman

seems to think she's had a stroke well

it says in her notes here that she's had

a CVA is that the same thing it's very

similar look who's her consultant and

when can I speak to

him um I'm not really sure who a

consultant is we've got lots on the ward

you see well she must have a consultant

looking after her who is it um it's like

I'm trying to tell you we've got lots of

Consultants um but I'm sure that by the

time he comes down and visitor will be

able to tell you who it is well that's

not acceptable what investigations is

she having have Arrangements been made

for her scan she had a scan last time

well we won't know that until than the

ward round and whose Ward round is that

then the

doctors and which doctor might that be

Mildred's doctor is there anybody there

I can speak to who actually knows what's

happening to my

mother well sister's on a

break look we're getting nowhere here

young man has she told you about her

wheat allergy well she can't talk what

do you mean she can't talk just like I

told you she's had a CVA what else is

the matter with her she can't talk what

else can't she do um I'm afraid I can't

give you that information over the

phone excuse me but you can't give me

information about my own mother you just

told me that she's desperately ill and

now you're telling me you can't give me

information about her I'm sorry it's

Hospital

policy well the hospital policy isn't

helping as much here is it well there's

nothing I can do about that I'm

sorry well I have some information for

you my mother Mrs Hill has a severe

allergy to wheat she's already had one

life-threatening reaction she carries a

Medi alert and has emergency medication

now you must make sure all this is

documented in her

notes um well we've got all our drugs

and I've got a dietician with me right

at the a minute we know all about a

Celiac

disease no no it's not celiac disease

it's an allergy to wheat I know all

about celiac disease I have children at

my school who have it and that is not

what my mother has she does however

require a wheat free diet right

um look I'm really not very happy can

you at least get her consultant to call

me I can't get away from here at the

moment I'm on my own with the horses

okay I'll pass the message on to Sister

bye God she was hard work listen I need

a dietician input I've got a lady over

there with sea disease and her

daughter's just told me that she's got a

wheat allergy can you sort it yeah sure

just just just give her a pink menu

cards oh okay no problem

then just hold on to our hands that's it

keep your feet a little bit further

apart if you can that's it I'm going to

take some steps towards the

chair okay that's it lots of Little

Steps over towards

me good bit further that's lovely right

can you feel the chair behind your legs

yeah you want to reach down with your

hands for the chair arms then and just

low yourself down nice and slowly good

well done that's really good you should

be up and walking with a stick in a

couple of days

oh dear dear

H stay still Hanah Hanah just sit with

Mrs Hill while I get some help you just

had a fall we just get some help okay

you just stay still Mrs Hill just stay

down there and we'll get you checked out

okay

so as you can see this is a female

pelvis the legs there and at least it's

a nice clean break theater yeah can I

speak to the theater coordinator please

speaking um I've been asked to book in a

fractured NEC aema by the orthopedic sh

can we get on the trauma list not

today's but there is a slot I can fit in

tomorrow would that be okay yeah

whatever that's fine can you give me

some details mild Hill Hospital number

don't know date of birth don't know that

either oh well could you get those for

me dear I don't have the notes well

could you give me a ring back with them

then dear yes all right which consultant

is she under Dr Ross no the orthopedic

consultant Deary you'll have to ask the

orthopedic Sho he's the one that saw her

all right I'll speak to Kevin at

lunchtime now you're going to have to

get her ready for theater do you know

what you're doing yes which side's

broken um it's the right I think but

she'd be coming down to theater with her

x-ray anyway can you mark it then what

the X-ray no the side dear what with a

marip pen surely that's the orthop pod's

job well yes but he's stuck in theater

and it would certainly speed things up

if you could do that for me dear yes all

right and can you make sure she starve

from midnight and pop her into a theater

gown first thing make sure she's ready

it could be anytime during the day and

she'll need to be on a canvas right

right she'll need her jewelry taped and

a theater bracelet and all it's Mr

Heisenberg tomorrow and he likes some

dextran and antibiotics and get her

catheterized before theater right you

are uh now then dear we've had a bit of

trouble with consent forms not being

done from some of the wards we had to

cancel one yesterday and you wouldn't

like that to happen to your patient

would you dear so can you make sure

that's filled in properly and can you

get an anesthetic review before tomorrow

she doesn't need a review She's Fit for

surgery rose rose oh oh One Last Thing

Before I Forget can you group and save

her and get her an ECG and chest x-ray

for the anst that'll be lovely rose

where the hell are you woman mustache Mr

Eisenberg wants me

Cheerio right Ken I'll need a marker pen

that I consent form I'm going to have to

get her ready for theater tomorrow there

you

go thanks very

much before forget Bert and Elma want to

be remembered to you it's not too warm

for you in here is it right Mrs

Hill they're going to be fixing your

broken leg tomorrow so I need you to

sign this consent form okay she won't be

able to sign that she's right-handed

well that's okay Mr Hill you can sign it

I'm not Mr Hill actually I'm the warden

well that's fine you're her carer you

could just sign here please

what's this R does it stand for right

yes but it's a left leg isn't

it give me the form I'll change

it there will you sign it

now one last thing Mrs Hill I need to

mark up your leg for surgery

damn crash call we'll have to do this

later Rose where's this bloody neck of

FEA Cas to do down the road and I've got

to get on she's just on the way now Mr

don't worry I'll ring thefield and tell

be a few minutes late sorry

on my list we finished sorry it's on the

revised list well that's not going to

get done is it there's no way she's

going to be out recovery by five that's

going to be down to your anesthetic deer

isn't it I'm going to be done in dusting

in 10 minutes I'll be finished I'm off

five and there's no recovery there's no

to oh for Christ sake listen to you lot

come on let's going to crack on it's

going to be 15 minutes we'll be done

here hello my dear I'm the surgeon I'm

going to fix this leg of yours all right

you mind if I have a quick look

you the student nurse that's brought the

patient down from the Ward we do this

operation every day five days a week

this patient she's come down she's not

marked there's no drip she's not

catheterized and she's not even had the

bloody antibiotics Gro will you get this

sorted out please I'm going to go and

scrub up come on let's crack on and get

out of here come on one of these in no

chest remember last what are you moaning

about Mr H stopping and getting to the

pub early again I'm going to be here

until six my patient's not even arrived

yet yeah but your patient is a PP R and

your point is

brown oh don't worry he's always like

this it's not personal he doesn't mean

it really just try and make sure that

the next patient you bring down is a bit

better prepared

[Music]

can you just check that probes on her

finger properly for me she's a bit cold

and pale is there any blood Cross Match

for her don't know this doesn't sound

good Dr P you're happy with the

breathing just turn the oxygen up for me

a bit will you please that'll be all

right I'm not happy the blood pressure

is really low is she bleeding typical

Heisenberg butcher James is shut so

there's no way telling what's going on

you want to just hang that bag of s line

up for the time being that'll probably

be all right and do you want to find Mr

ra and see what he wants doing about

those drains okay while I'm gone I'm

going to get a cup of tea anybody else

want anything oh please my please yeah

just milk in mine thanks

okay hasn't Mr H left for the nfield has

he oh probably typical if he

has thank you

Hey Russ you finished already Yes money

for old rope my friend money for old

rope thought i' better sort this mess

out for you lot before I go oh um can

you open the drains and get me two units

of blood yeah sure I said she'd bled a

lot in

theater hello Trey my love come on wake

up now dear do you think you can get her

safely to the ward once she's got some

of the red stuff inside her well I was

going going to give some morphine maybe

give her a PCA you no no no a little

pain never killed anyone you fill her up

with morphine and you'll have to keep

her here let the ward sort that one

out right another life saved wham bam

thank you ma'am I'm off to the pub um

tell Brian I'll see him there in half an

hour thank you

mild are you all

right have you got some pain Mildred

we'll get you some tablets we'll get it

sorted I did try and tell the doctor she

wasn't looking comfortable no patients

look comfortable when they' had major

surgery nurse haven't they taught you

that

yet could you check her band label

please want to give us some

codal mured H yes date of birth 5th of

January 1934 yes unit number 281 359 yes

that's fine

sister it says she's allergic to weed

yes she is she's got celiacs disease

that's why she's on a special diet are

you sure it's just diet I'm positive

it's just diet well they taught us in

school this week and all sorts of things

and I'm sure they mention tablets school

doesn't know everything can you make

sure she takes those tablets we need to

get on

[Music]

mild can you hear me come

on

mild can you hear me