Pennod 3 Doctoriaid Yfory


Pennod 3

Similar Content

Browse content similar to Pennod 3. Check below for episodes and series from the same categories and more!

Transcript


LineFromTo

-*

0:00:000:00:00

-I want to be a GP.

0:00:000:00:02

-I want to return to my locality

-and serve my community.

0:00:020:00:07

-For eight months, our cameras

-have been following students...

0:00:070:00:11

-..at Cardiff University.

0:00:110:00:13

-You see things

-you'd never normally see.

0:00:140:00:16

-15 individuals on an unique course.

0:00:160:00:19

-We get the creme de la creme.

0:00:190:00:22

-I'm the most competitive person.

-I'm itching for the responsibility.

0:00:220:00:26

-From the classroom

-to hospitals across Wales.

0:00:270:00:29

-It's going to be more challenging

-than anything they've done before.

0:00:300:00:35

-Entering the medical world

-for the first time.

0:00:380:00:41

-Young medical students

-are like chicks.

0:00:410:00:44

-Remember that? It was hilarious!

0:00:460:00:49

-Facing the greatest challenge

-of their young lives.

0:00:490:00:52

-This year was the first time

-I saw someone die.

0:00:530:00:56

-It really hit me

-because she's not going to recover.

0:00:570:01:00

-I feel like I'm drowning,

-that I'm not doing enough work.

0:01:010:01:05

-Medicine is hard,

-the course is hard.

0:01:050:01:08

-We chronicle their every step

-to become the doctors of tomorrow.

0:01:090:01:14

-We'll be the doctor on the scene.

-We'll be in charge.

0:01:140:01:17

-This is superb.

-What made me want to do this?

0:01:180:01:21

-This is not about elitism.

0:01:210:01:24

-You have been given a gift.

0:01:250:01:27

-You must use that gift...

0:01:270:01:29

-..to do good.

0:01:300:01:33

-Rural medicine is something

-that's not just unique to Wales.

0:01:380:01:44

-But it's so important...

0:01:460:01:48

-..because there's a problem...

0:01:480:01:50

-..recruiting GPs

-and hospital doctors in rural Wales.

0:01:510:01:54

-It can be so rewarding...

0:01:550:01:58

-..working in a community where

-you can make such a difference.

0:01:580:02:02

-Our main incentive

-is to attract young doctors...

0:02:030:02:06

-..to work in these rural locations.

0:02:060:02:09

-At the moment, I must say that it's

-reached crisis point in Wales...

0:02:090:02:14

-..in terms of the lack of GPs

-working in rural areas.

0:02:140:02:18

-It's difficult

-recruiting students and doctors...

0:02:180:02:22

-..to work in rural hospitals

-like Aberystwyth.

0:02:230:02:26

-We must therefore provide

-our young doctors with experience...

0:02:260:02:31

-..so that they will hopefully

-be attracted to these locations.

0:02:310:02:35

-I live in a very rural area myself.

0:02:360:02:38

-I love the place.

0:02:400:02:42

-The land and sea, the beaches.

0:02:420:02:45

-But I want to be a GP.

0:02:450:02:48

-I want to return to my locality

-and serve my community.

0:02:480:02:53

-One of the course's highlights

-is the rural emergency...

0:02:530:02:57

-..where students

-are tested to the limit.

0:02:570:03:00

-They are first to arrive at

-a collision scenario in rural Wales.

0:03:010:03:05

-WOMAN SCREAMS IN PAIN

0:03:060:03:09

-We completed

-an emergency day in rural Wales.

0:03:090:03:12

-It was a simulation day.

0:03:120:03:14

-We were taken to a field

-in the middle of nowhere...

0:03:150:03:19

-..where we found two casualties.

0:03:190:03:22

-It was obvious a

-road traffic accident had occurred.

0:03:220:03:25

-On the wrong side of the road.

0:03:260:03:28

-On the wrong side of the road.

-

-Catrin came off her bike.

0:03:280:03:30

-Main injury is her leg.

0:03:300:03:32

-This is the first time

-for us as students...

0:03:320:03:36

-..to work out a course of action.

0:03:360:03:39

-I'm not sure what paramedics do...

0:03:470:03:50

-..so it'll be nice to see

-how they deal with the situation.

0:03:500:03:54

-There are two casualties on the

-ground, along with a bike and car.

0:03:560:04:02

-I don't know if they're aware that

-there's another casualty in the car.

0:04:020:04:07

-It's those people who need help.

-I'm alright.

0:04:070:04:10

-As you can see, the casualty

-has a sats probe on his finger.

0:04:110:04:14

-He's wearing a helmet.

0:04:150:04:17

-They're emphasising how important

-it is not to remove the helmet.

0:04:170:04:22

-Feel the angle of the jaw.

0:04:220:04:24

-Feel the angle of the jaw.

-

-The paramedic's with the other now.

0:04:240:04:27

-They're deciding which injuries

-are the biggest priority...

0:04:280:04:32

-..and which one to deal with first.

0:04:320:04:34

-..and which one to deal with first.

-

-Unconscious male, breathing.

0:04:340:04:37

-P1, right?

0:04:380:04:39

-P1, right?

-

-P1 means he's the first priority.

0:04:390:04:41

-P2 is over there, as you can see.

0:04:420:04:44

-Aargh!

0:04:440:04:46

-They're attaching a splint

-to the casualty's leg.

0:04:500:04:54

-They've put her in traction

-to straighten the bone she's broken.

0:04:570:05:02

-They're fixing a splint.

0:05:030:05:05

-Aargh!

0:05:050:05:07

-She's given gas and air

-to help with the pain.

0:05:090:05:11

-CASUALTY WHIMPERS

0:05:120:05:13

-CASUALTY WHIMPERS

-

-You're doing really well.

0:05:130:05:15

-From paramedics to rural midwives...

0:05:190:05:22

-..students must realize the

-importance of a variety of roles.

0:05:220:05:27

-Today, Bethan

-steps outside the capital city...

0:05:290:05:32

-..and visits Powys, where

-she joins Machynlleth midwife Carys.

0:05:320:05:36

-Carys is going to teach me

-about her job as a midwife...

0:05:370:05:41

-..about antenatal checks...

0:05:420:05:44

-..and about what happens

-when babies go home from hospital.

0:05:440:05:48

-This is Nia's first baby.

0:05:480:05:50

-Nia is 16 weeks pregnant.

0:05:500:05:53

-We're just going to check her over.

0:05:530:05:57

-It's easy to feel,

-so if you start from the top...

0:05:570:06:01

-..it's soft here.

0:06:010:06:03

-As you move down,

-you feel the ridge...

0:06:030:06:06

-..that you felt earlier.

0:06:070:06:09

-Can you feel it?

0:06:090:06:10

-Can you feel it?

-

-Yes, a little baby.

0:06:100:06:11

-You can tell straightaway, can't

-you? We're going to listen now.

0:06:110:06:16

-You haven't

-heard this before, Nia...

0:06:160:06:19

-..but we're going to be listening

-to the baby's heartbeat, OK?

0:06:190:06:23

-BABY'S HEARTBEAT

0:06:310:06:33

-It's bizarre, isn't it?

0:06:340:06:36

-It's lovely, isn't it?

0:06:370:06:39

-I took blood pressure,

-listened to babies' heartbeat.

0:06:390:06:43

-It was lovely being present...

0:06:430:06:46

-..when a first-time mother

-heard her baby's heartbeat...

0:06:460:06:50

-..for the first time.

0:06:510:06:53

-You could see the emotion in her

-eyes. I liked being part of that.

0:06:530:06:58

-The little baby's happy in there.

0:06:580:07:01

-It's nice

-hearing it for the first time.

0:07:030:07:06

-I remember

-hearing mine for the first time.

0:07:060:07:09

-It brings a tear to your eye.

0:07:090:07:12

-We'll dry you now.

0:07:120:07:14

-Next to the clinic is Elin,

-who's already a mother.

0:07:140:07:17

-She's at the end of her pregnancy

-and ready to give birth any day.

0:07:180:07:22

-Look at the shape.

0:07:220:07:23

-Look at the shape.

-

-It's all on one side.

0:07:230:07:25

-Oh, yes, I can feel it.

0:07:290:07:31

-You can feel

-an entire foot sometimes.

0:07:310:07:33

-It kicks? It's a rounded shape.

0:07:340:07:37

-Yes, it's rounded.

-The head is further down.

0:07:370:07:40

-Just have a feel lower down.

0:07:400:07:42

-You can just feel...

0:07:420:07:45

-Is that it there? Wow!

0:07:450:07:48

-It's a strong baby.

0:07:480:07:50

-You could feel

-the spine and the head.

0:07:520:07:55

-She was about to pop.

-It was incredible.

0:07:550:07:58

-How far is Bronglais from your home?

0:07:580:08:02

-It usually takes 50 minutes

-but when the day comes, 40 minutes!

0:08:030:08:07

-You'll go like the clappers then!

0:08:070:08:11

-The biggest challenge

-is remote locations...

0:08:110:08:14

-..especially in Mid Wales.

0:08:150:08:17

-The big hospitals

-are 45 minutes or an hour away.

0:08:170:08:20

-If you're giving birth,

-reaching hospital quickly is key.

0:08:200:08:25

-That's true of any emergency.

0:08:250:08:27

-As one of

-the most challenging jobs...

0:08:290:08:32

-..the road to becoming a doctor

-is full of twists and turns.

0:08:320:08:36

-Young students must learn to

-cope with the emotional strain...

0:08:360:08:40

-..that comes

-with such an unique profession.

0:08:400:08:44

-It's an unique job -

-you go from witnessing a birth...

0:08:440:08:47

-..and all the happiness

-that goes with it...

0:08:480:08:50

-..to witnessing a death,

-so the range of emotions is vast.

0:08:510:08:55

-This year is the first time

-I've seen someone die.

0:08:560:09:01

-It's always going to be difficult.

0:09:010:09:05

-It was something

-I knew was coming...

0:09:050:09:08

-..but it's not

-an easy situation to deal with.

0:09:080:09:12

-I'd worry more

-if I didn't feel sad afterwards...

0:09:140:09:17

-..because the fact it's so painful

-means that I care.

0:09:170:09:22

-There's one man I remember

-whom I helped to make a decision.

0:09:230:09:27

-He needed surgery to fix his leg...

0:09:270:09:31

-..and he didn't

-respond well at all to surgery.

0:09:310:09:37

-After being on my feet with him

-all night, keeping him alive...

0:09:370:09:41

-..I remember his wife flinging

-her arms around me in the morning...

0:09:420:09:46

-..when I sobbed and told her

-that he'd passed away.

0:09:460:09:49

-It's a difficult experience but it's

-something everyone goes through.

0:09:500:09:55

-It's just that doctors

-go through it more often.

0:09:550:09:58

-It's important that

-you don't become blase about it...

0:09:580:10:02

-..or that it becomes routine.

0:10:020:10:04

-There are

-fewer young doctors nowadays.

0:10:050:10:09

-They work non-stop.

0:10:090:10:11

-There's a duty on us as

-senior doctors to look after them...

0:10:120:10:16

-..because we have to remember...

0:10:160:10:20

-..there's a high suicide rate

-among doctors.

0:10:220:10:26

-It's almost higher

-than any other profession.

0:10:260:10:30

-I'm afraid to say

-I lost a friend only last year...

0:10:300:10:34

-..and I don't know

-if we looked after him enough.

0:10:350:10:38

-.

0:10:420:10:42

-Subtitles

0:10:450:10:45

-Subtitles

-

-Subtitles

0:10:450:10:47

-At Cardiff University, students

-undergo practical placements...

0:10:530:10:57

-..to experience healthcare

-in a rural setting.

0:10:580:11:01

-Today,

-Catrin is on placement in Brecon...

0:11:030:11:06

-..at a GPs' practice.

0:11:070:11:09

-Would it be OK

-to send the patient in, please?

0:11:090:11:12

-Thank you very much. Thanks. Bye.

0:11:130:11:15

-My first patient

-is on her way in now.

0:11:180:11:21

-I have an entire room

-at my disposal...

0:11:220:11:24

-..as well as a computer

-and all this stuff...

0:11:250:11:28

-..to examine patients.

0:11:280:11:31

-I don't know what's wrong with her.

0:11:310:11:34

-I don't know what she'll need.

0:11:340:11:36

-I've no idea

-how to use the computer.

0:11:370:11:39

-KNOCK AT DOOR

0:11:400:11:42

-Hi there. I'm Catrin, one of

-the medical students from Cardiff.

0:11:450:11:48

-I've actually had a headache

-for over three weeks.

0:11:490:11:52

-Tablets aren't touching it...

0:11:550:11:57

-..so I'm really in a lot of pain.

0:11:570:12:00

-OK. Whereabouts is the pain?

0:12:000:12:02

-It's here...

0:12:030:12:05

-..and then it goes onto my forehead.

0:12:050:12:08

-It's there all the time.

0:12:080:12:10

-There all the time?

-And doesn't go away at all?

0:12:100:12:13

-OK.

0:12:130:12:15

-Are you OK?

0:12:170:12:19

-It is painful.

0:12:190:12:21

-I feel like

-I've got a long way to go...

0:12:210:12:24

-..before anyone calls me a doctor.

0:12:240:12:27

-But I want to be a GP.

0:12:270:12:29

-I want to return to my locality...

0:12:290:12:31

-..and serve my native community.

0:12:320:12:34

-Any pain there at all?

0:12:340:12:36

-Any double vision?

0:12:360:12:38

-I think doctors

-in rural locations...

0:12:430:12:46

-..are proper family GPs.

0:12:460:12:49

-They know the families...

0:12:490:12:51

-..they know

-their patients very well.

0:12:510:12:54

-That perhaps doesn't happen

-as much in a training hospital.

0:12:540:12:59

-I have a few ideas what

-could be causing your headache...

0:13:010:13:05

-..but I couldn't find anything

-on an examination...

0:13:050:13:08

-..that suggested anything nasty.

0:13:090:13:11

-Your cerebellum sings were normal.

-That means the area here.

0:13:110:13:15

-There are no neurological problems

-on the cranial nerve examination.

0:13:150:13:21

-I want to be one of those doctors...

0:13:220:13:24

-..who patients return to

-again and again.

0:13:250:13:27

-I want to be a doctor

-who's willing to see everyone...

0:13:270:13:31

-..and treat everyone the same.

0:13:310:13:33

-I'm willing to do anything

-to try and help...

0:13:330:13:37

-..and make patients' lives better.

0:13:380:13:41

-The hardest thing

-is figuring out the computer...

0:13:410:13:45

-..knowing where to put things

-and what to click.

0:13:460:13:49

-It's a particular system.

0:13:490:13:51

-I don't want to

-write anything down wrongly...

0:13:510:13:55

-..because

-I'm logging in under his name.

0:13:550:13:58

-PHONE RINGS

0:13:580:14:00

-Hello?

0:14:020:14:04

-Young doctors will be expected...

0:14:100:14:13

-..to respond to emergency calls

-whilst working with other services.

0:14:130:14:17

-Today, Ainsley and Sam

-visit a fire station...

0:14:180:14:20

-..to learn more

-about what's expected of them.

0:14:210:14:24

-Today we've come to

-Bridgend fire station.

0:14:250:14:30

-We're in Bridgend.

0:14:300:14:32

-We're going to be shown around...

0:14:320:14:36

-..and shown the trucks behind me

-and all the equipment.

0:14:360:14:40

-We're focusing

-on road traffic collisions...

0:14:400:14:43

-..and how they work with medics.

0:14:440:14:47

-We're going to find out

-how we can help.

0:14:470:14:50

-We're out of the hospital.

0:14:500:14:53

-We're going to drive this truck

-back home to Cardiff!

0:14:530:14:57

-Often when collisions occur...

0:14:570:15:00

-..individuals

-are trapped in their vehicles...

0:15:010:15:04

-..which puts their lives

-and others' in danger.

0:15:050:15:08

-What we can look to do

-is stabilize the vehicle manually.

0:15:080:15:12

-They're going to show us

-how they move patients...

0:15:160:15:20

-..who paramedics

-can't carry from their homes.

0:15:200:15:24

-They can lift people

-who weigh 25 stone.

0:15:240:15:28

-Now Ainsley's having a go.

0:15:290:15:30

-Now Ainsley's having a go.

-

-They have to use a crane...

0:15:300:15:32

-..because the men can't lift me.

0:15:320:15:34

-Back to the midwives in Machynlleth.

0:15:560:15:59

-Bethan joins Carys

-on a home visit to help a mother...

0:15:590:16:03

-..who gave birth a week earlier.

0:16:030:16:07

-This is Cerin's third baby.

0:16:080:16:11

-She has a son called Ioan...

0:16:110:16:13

-..and a daughter called Erin.

0:16:130:16:15

-I've looked after you from

-the beginning, since having Ioan.

0:16:160:16:20

-That's nice

-because we know Cerin well by now.

0:16:200:16:24

-Ioan is five years old now.

0:16:240:16:26

-Are you feeling alright, Cerin?

0:16:270:16:29

-Yes. I've had a few pains but...

0:16:290:16:32

-What sort of pains?

0:16:330:16:34

-What sort of pains?

-

-In the stomach.

0:16:340:16:35

-More than I had with the other two.

0:16:360:16:38

-As Cerin's breastfeeding...

0:16:400:16:41

-As Cerin's breastfeeding...

-

-It should've gone back.

0:16:410:16:43

-That's when it hurts the most...

0:16:440:16:47

-..when I put him on to feed.

0:16:470:16:49

-It's easing now, but each time

-I fed him I was having pain.

0:16:490:16:54

-I'll just feel the stomach

-to see if there's anything.

0:16:550:16:59

-The little man is waking up.

0:16:590:17:01

-When he was born, he was transferred

-to the special care unit...

0:17:050:17:09

-..and he was there for a couple

-of days so I couldn't feed him.

0:17:090:17:13

-So it's taken you longer...

0:17:130:17:16

-They took him straight there

-because he wasn't breathing.

0:17:160:17:20

-It's interesting

-seeing the difference...

0:17:200:17:23

-..in working practices

-in cities like Cardiff...

0:17:230:17:26

-..compared to

-more rural settings like this.

0:17:260:17:30

-There's more of a sense of community

-in rural locations.

0:17:300:17:34

-Services have to work together.

0:17:350:17:37

-People seem more relaxed

-and better equipped...

0:17:370:17:41

-..to form relationships

-with patients and co-workers...

0:17:420:17:46

-..such as the midwives

-and pregnant ladies.

0:17:460:17:50

-Because there are

-fewer resources available...

0:17:500:17:53

-..it's important to be able

-to call for help when it's needed.

0:17:540:17:58

-Students are given an unique lesson

-in the Brecon countryside.

0:17:590:18:03

-The rural emergency.

0:18:030:18:06

-Students face a challenge away from

-the resources of an urban hospital.

0:18:060:18:11

-As they're first on the scene

-and with three casualties...

0:18:110:18:16

-..it's up to the young doctors

-to decide who to prioritise.

0:18:160:18:21

-Mountain Rescue has arrived.

0:18:210:18:23

-The paramedic's transferred

-the information needed...

0:18:240:18:27

-..in order to triage the casualties.

0:18:280:18:30

-This is P1 and P2 is over there.

-They have specialist equipment.

0:18:300:18:35

-I'd say

-they're going to take over now.

0:18:360:18:39

-None of us knows exactly what to do

-because we're told what to do.

0:18:400:18:44

-You do boom, boom, boom

-and you follow a plan.

0:18:440:18:47

-But you had to

-take the initiative...

0:18:480:18:51

-..and work as a team.

0:18:510:18:53

-Because everybody's concentrating

-on patient one and patient two...

0:18:540:18:59

-..this man's having a heart attack

-and no-one's noticed.

0:18:590:19:02

-Hold on.

-Actually, people have come back.

0:19:040:19:07

-The paramedic said

-this patient's had aspirin...

0:19:080:19:12

-..and that he has chest pains.

0:19:120:19:14

-It teaches you

-not to ignore a person.

0:19:200:19:23

-It was easy enough...

0:19:230:19:25

-..to go straight to the casualty

-on the floor who wasn't speaking...

0:19:250:19:30

-..and ignore the man

-who was having a heart attack.

0:19:300:19:34

-You have to work as a team. That's

-what they were trying to teach us.

0:19:340:19:38

-This situation is similar

-to what happens in hospital...

0:19:390:19:43

-..only you don't have

-the equipment or the support staff.

0:19:430:19:48

-There are only three of them...

0:19:490:19:51

-..and they have to do everything.

0:19:520:19:54

-Students must understand...

0:19:540:19:57

-..that there are different

-challenges working in rural Wales...

0:19:570:20:01

-..as opposed to cities.

0:20:020:20:03

-The same resources

-aren't always available.

0:20:040:20:08

-He's placing

-ECG stickers on him now...

0:20:080:20:11

-..to monitor his heart.

0:20:120:20:14

-The biggest challenge is that

-the man is having a heart attack.

0:20:150:20:19

-People wouldn't normally respond

-as quickly as this.

0:20:210:20:24

-You might have to wait

-two hours or more...

0:20:250:20:28

-..and you're standing there,

-watching them deteriorate.

0:20:280:20:32

-We're lucky an anaesthetist is here

-because you wouldn't get one...

0:20:330:20:37

-..in the middle of nowhere

-in deepest Wales.

0:20:370:20:41

-We wouldn't get this experience

-anywhere else.

0:20:420:20:45

-It makes studying worthwhile.

0:20:450:20:48

-If you're there,

-you can practise your skills.

0:20:480:20:51

-It teaches you

-you're competent enough...

0:20:520:20:55

-..to help in the real world.

0:20:560:20:58

-They've moved the patient

-on a stretcher.

0:21:010:21:03

-They're hoping to put him

-under general anaesthetic.

0:21:040:21:07

-He's going to be transported

-by ambulance.

0:21:070:21:10

-The driver having the coronary will

-be taken to the nearest cath lab...

0:21:100:21:15

-..to remove the clot in his heart

-within the time frame.

0:21:160:21:20

-Time is of the essence now.

0:21:200:21:22

-The Heath is the closest hospital.

0:21:230:21:25

-We want to develop medics for Wales,

-not just for the world.

0:21:370:21:41

-We need them and we need those

-who can speak Welsh.

0:21:410:21:45

-Rural folk can be

-quite different from city folk.

0:21:460:21:50

-It's not uncommon for a farmer...

0:21:500:21:54

-..to battle on with painful knees...

0:21:540:21:57

-..because he can't take time off

-to get a new knee fitted.

0:21:570:22:01

-The challenges that recruiting

-and retaining doctors in Wales...

0:22:020:22:06

-..is in a critical phase and

-we have to address that challenge.

0:22:060:22:11

-Part of addressing that challenge

-is the idea...

0:22:110:22:14

-..that if we recruit

-more students from Wales...

0:22:140:22:18

-..there's an increased likelihood

-that they'd want to work in Wales.

0:22:180:22:23

-It was an opportunity to see how

-healthcare works in a rural setting.

0:22:250:22:31

-I'm from a rural background

-and I want to eventually return.

0:22:310:22:35

-But it's so different...

0:22:350:22:37

-..working with children and

-pregnant women in the community...

0:22:380:22:42

-..as opposed to a hospital...

0:22:420:22:45

-..because what you see there

-are emergencies and special care.

0:22:450:22:49

-It was nice

-having the opportunity...

0:22:490:22:52

-..to see things going well.

0:22:520:22:54

-Not all births end up in hospital.

0:22:540:22:58

-Women can give birth safely at home.

0:22:580:23:00

-It's nice being able to compare

-a straightforward birth...

0:23:010:23:05

-..with a complicated one

-where we have to step in to help.

0:23:050:23:09

-Magi Fychan Crowley

-was born on 27 May, weighing 7lb 4oz

0:23:120:23:17

-Elin and Magi are doing well.

0:23:170:23:20

-S4C Subtitles by Adnod Cyf.

0:23:360:23:38

-.

0:23:390:23:39

Download Subtitles

SRT

ASS