0:00:19 > 0:00:21- Start CPR.- Adrenaline.
0:00:21 > 0:00:23Look at that.
0:00:23 > 0:00:26- Easy, sir, easy. - When did this become this bad?
0:00:26 > 0:00:28One hospital...
0:00:28 > 0:00:29Can I have a stet, please?
0:00:29 > 0:00:31..seven junior doctors...
0:00:31 > 0:00:34- Showtime.- I've got an emergency, so I need the crash team here.
0:00:34 > 0:00:36- I'm excited.- Little bit nervous.
0:00:36 > 0:00:39..working on the front line of medicine...
0:00:39 > 0:00:41- Do you want to have a chat? - ..with all its blood...
0:00:41 > 0:00:44I love a gory, bloody wound.
0:00:44 > 0:00:46- ..sweat....- Try not to worry.
0:00:46 > 0:00:50- ..and tears.- Just feels like I'm surrounded by death at the moment.
0:00:50 > 0:00:52The doctors of your future...
0:00:52 > 0:00:54Can I ask what brought you in today?
0:00:54 > 0:00:55I slipped on my wedding dress.
0:00:55 > 0:00:57..facing life...
0:00:57 > 0:00:59And then I got to hold the baby as well.
0:00:59 > 0:01:02- Lion King moment.- ..and death.
0:01:02 > 0:01:05Have they got what it takes?
0:01:20 > 0:01:23'Dickie here on this Wednesday morning, April 5th.
0:01:23 > 0:01:25'Look at that for a lovely start this morning...'
0:01:25 > 0:01:27Junior doctors all over Britain
0:01:27 > 0:01:29are getting ready to start their new placements.
0:01:29 > 0:01:32'So whatever you're up to today on your Wednesday,
0:01:32 > 0:01:34'if you're maybe starting a brand-new job,
0:01:34 > 0:01:37- 'good luck in your brand-new job today.'- In the West Midlands,
0:01:37 > 0:01:4123-year-old Anna will be one of the youngest junior doctors
0:01:41 > 0:01:42at the hospital.
0:01:42 > 0:01:46Let's hope I don't get asked anything too difficult today.
0:01:46 > 0:01:50Her boyfriend, Frazer, a pilot, is on hand for a last-minute pep talk.
0:01:50 > 0:01:53I'm nervous for stepping out on the ward for the first time.
0:01:53 > 0:01:56- Really?- Having to meet everyone and don't know what I'm going to face
0:01:56 > 0:01:59- or anything.- You'll pick it up after a couple of days, I'm sure.
0:01:59 > 0:02:01Yeah.
0:02:01 > 0:02:04I first thought about being a doctor
0:02:04 > 0:02:07when I was younger and I used to watch all these silly shows
0:02:07 > 0:02:10like Grey's Anatomy and you think, "Yeah, I wonder if I could do that."
0:02:10 > 0:02:12Being a doctor, you know,
0:02:12 > 0:02:15people's lives are literally in your hands sometimes and that's
0:02:15 > 0:02:19a big thing for someone who's 23 to have to deal with.
0:02:19 > 0:02:24I still feel like that shy medical student hiding in the background.
0:02:24 > 0:02:26Frazer, I'm heading off now.
0:02:26 > 0:02:28- Wish me luck.- Good luck.
0:02:35 > 0:02:38So this is one of my delicacies.
0:02:38 > 0:02:39Protein superfood.
0:02:39 > 0:02:4426-year-old first-year doctor Osama fuels up for the big day ahead.
0:02:44 > 0:02:47- It's pretty rough. - For the next four months,
0:02:47 > 0:02:49Osama will be working in obs and gynae,
0:02:49 > 0:02:52delivering babies and dealing with women's reproductive health.
0:02:52 > 0:02:54The nerves just kicked in yesterday.
0:02:54 > 0:02:57I don't know. I just have this thing
0:02:57 > 0:03:01about touching other people's private parts that I just...
0:03:01 > 0:03:06I don't know. It just... I'm squeamish with that kind of stuff.
0:03:06 > 0:03:11Osama and Anna are joining over 100 other junior doctors
0:03:11 > 0:03:15also working at New Cross Hospital in Wolverhampton.
0:03:15 > 0:03:20Osama's first challenge is locating his new department.
0:03:20 > 0:03:24Excuse me. Sorry to bother you. Do you know where building 14 is?
0:03:24 > 0:03:26- Building 14?- Yeah.
0:03:26 > 0:03:28Any idea?
0:03:28 > 0:03:30- A14?- No, 14.
0:03:33 > 0:03:35I was born in Baghdad,
0:03:35 > 0:03:38then, unfortunately, war broke out, so we had to flee.
0:03:38 > 0:03:40So we left as refugees.
0:03:40 > 0:03:42We came to the UK.
0:03:42 > 0:03:45My mum makes really good grilled chicken.
0:03:45 > 0:03:49This is just for me. This is just breakfast.
0:03:49 > 0:03:52It's a huge jump from being a medical student to being a doctor.
0:03:52 > 0:03:55You know, like, every single little decision now that I make
0:03:55 > 0:03:58potentially has an impact on people's lives.
0:03:58 > 0:04:01In the future, I'd hope to be an experienced surgeon.
0:04:02 > 0:04:05Oh, I think that's one of my colleagues.
0:04:06 > 0:04:08Hey. How are you?
0:04:08 > 0:04:11- Hi.- We've got induction now this morning.
0:04:11 > 0:04:13- Same.- Yeah.
0:04:13 > 0:04:15You've got induction all day, haven't you?
0:04:15 > 0:04:16Yeah. Well, till two.
0:04:16 > 0:04:18- Yeah.- Excited?
0:04:18 > 0:04:21- Yeah.- I'll see you later, anyways.
0:04:21 > 0:04:23Yeah. This is all so strange, isn't it?
0:04:25 > 0:04:29So, this is where we're going to live for the next few months.
0:04:29 > 0:04:32Let's do this.
0:04:32 > 0:04:35Anna will be spending the next four months on the respiratory ward.
0:04:35 > 0:04:37It's her first-ever medical placement,
0:04:37 > 0:04:39and being new to the specialty
0:04:39 > 0:04:43- means she will have to learn fast on the job.- And you are...?
0:04:43 > 0:04:44- I'm Anna.- Nice to meet you.
0:04:44 > 0:04:46Nice to meet you.
0:04:46 > 0:04:49Feel a bit like a spare part at the moment, I think.
0:04:49 > 0:04:51I'm not really sure what I'm meant to be doing.
0:04:51 > 0:04:53Without my phone, I would be very lost.
0:04:53 > 0:04:55A consultant said to me,
0:04:55 > 0:04:58"Can we get refeeding bloods for tomorrow morning?"
0:04:58 > 0:05:02Which I can't remember off the top of my head what they are.
0:05:02 > 0:05:05Always good to be able to Google stuff when I'm not sure.
0:05:25 > 0:05:27It's only Osama's second week,
0:05:27 > 0:05:29and today he's getting the opportunity
0:05:29 > 0:05:32to do a complicated procedure in obs and gynae.
0:05:32 > 0:05:34So, hi. My name's Osama.
0:05:34 > 0:05:37So, I understand you've come to hospital...
0:05:37 > 0:05:38Um...
0:05:38 > 0:05:41Is it for your belly being a bit swollen?
0:05:41 > 0:05:43- Yes.- How long has it been like this for?
0:05:43 > 0:05:45- A few days.- A few days, OK.
0:05:45 > 0:05:48- A few days.- Do you mind if I examine your tummy quickly?
0:05:48 > 0:05:49- No, I don't mind.- OK.
0:05:49 > 0:05:52Would you be able to pop on the bed for me?
0:05:52 > 0:05:53Is that OK? That's perfect.
0:05:55 > 0:05:57OK. OK, so...
0:05:57 > 0:06:01- Is there any pain in your tummy at all?- No.
0:06:01 > 0:06:03OK.
0:06:03 > 0:06:05- Just feel large.- Yeah, so it's very distended, isn't it?
0:06:05 > 0:06:10- Yeah.- So I think it seems like there's a lot of fluid in here.
0:06:10 > 0:06:14What we need to do is first of all drain the fluid because it's causing
0:06:14 > 0:06:18you a lot of discomfort, then your symptoms will start to improve.
0:06:18 > 0:06:21Three attempts have been made unsuccessfully to drain the fluid,
0:06:21 > 0:06:25so the pressure is on Osama to get it right this time.
0:06:25 > 0:06:28Just bear with me while I prepare everything else.
0:06:31 > 0:06:35Thanks. So, we've got a needle.
0:06:35 > 0:06:37We need this. It's a difficult drain,
0:06:37 > 0:06:40but hopefully we'll get it in, because it needs to go in
0:06:40 > 0:06:43because otherwise the patient is going to keep suffering from it.
0:06:43 > 0:06:46And she's got a massive belly.
0:06:46 > 0:06:48Before he inserts the needle,
0:06:48 > 0:06:50his patient, Miss Frances, has a request.
0:06:50 > 0:06:53Can I go and spend a penny?
0:06:53 > 0:06:56- Say again, sorry?- Can I go and spend a penny and come back?
0:06:56 > 0:06:58Yeah, yeah, not to worry. Yeah, yeah.
0:07:11 > 0:07:13I wonder what spending a penny means.
0:07:16 > 0:07:20Ah, so, apparently, in olden days,
0:07:20 > 0:07:22um...
0:07:22 > 0:07:28toilets had locks on, which you had to put coins in to access.
0:07:28 > 0:07:30So I think this lady might...
0:07:30 > 0:07:33She probably thought you needed to pay for the toilets in the ward.
0:07:33 > 0:07:35That's why she was saying about spending a penny.
0:07:35 > 0:07:37- Thank you.- No worries.
0:07:37 > 0:07:42- Not to worry.- Back from her spending spree, Osama can make a start.
0:07:42 > 0:07:44With ambitions to specialise in surgery,
0:07:44 > 0:07:47this delicate procedure is a good opportunity
0:07:47 > 0:07:49to get some hands-on practise.
0:07:53 > 0:07:57It's like a musical instrument, isn't it?
0:07:57 > 0:07:59It's over six months since Osama graduated,
0:07:59 > 0:08:02and now he's in charge of a tricky procedure
0:08:02 > 0:08:04that is usually performed by a senior doctor.
0:08:04 > 0:08:09- Are you comfortable?- Oh, doctor, I'm trying to be but it's scary.
0:08:09 > 0:08:11Yeah, don't worry.
0:08:11 > 0:08:13- It's scary.- Don't worry.- First,
0:08:13 > 0:08:16he injects the anaesthetic to numb the area.
0:08:18 > 0:08:21Doing really well. OK, that's perfect.
0:08:21 > 0:08:25- And the next part is just to put the drain in.- OK.- OK?
0:08:25 > 0:08:28Next, Osama inserts a long needle into the side of the stomach.
0:08:28 > 0:08:34It's critical he hits the right spot or he could puncture a major organ.
0:08:37 > 0:08:39It's going in now.
0:08:41 > 0:08:43Now stay still for me.
0:08:46 > 0:08:49Perfect. You've done really well.
0:08:49 > 0:08:50Yeah.
0:08:50 > 0:08:52Doctor, it's not me. It's you.
0:08:52 > 0:08:54No, no, no. You did it, really,
0:08:54 > 0:08:57because I didn't want to tell you, but it's a big needle, you know.
0:08:57 > 0:09:00If you want to, I'll show you the size of it later.
0:09:00 > 0:09:02- No!- No, you don't want to see?
0:09:04 > 0:09:07OK, so it's draining really well.
0:09:07 > 0:09:12Fluid draining, it's a huge achievement for Osama.
0:09:12 > 0:09:14Do you have any questions for me at all?
0:09:14 > 0:09:17Well, I just want to be grateful to you.
0:09:17 > 0:09:19No, not at all. This is my job.
0:09:19 > 0:09:22So, it's draining really well, so, hopefully, when the fluid is off,
0:09:22 > 0:09:24you can go back to your dancing.
0:09:24 > 0:09:26That's the plan, eh?
0:09:26 > 0:09:28That was really satisfying, actually.
0:09:28 > 0:09:30So, we managed to get the drain in successfully.
0:09:30 > 0:09:33Once the fluid's out, you'll start feeling better.
0:09:33 > 0:09:36I'm happy that I managed to deliver on what the consultant
0:09:36 > 0:09:38wanted me to do, but the most important thing
0:09:38 > 0:09:39is how the patient is feeling,
0:09:39 > 0:09:44and I think she's feeling really grateful, which is amazing.
0:09:44 > 0:09:47And just knowing that, I'm-I'm buzzing.
0:10:01 > 0:10:03For 24-year-old junior doctor Emeka,
0:10:03 > 0:10:07getting ready for a shift is serious work.
0:10:07 > 0:10:09I'm a sharp-dressing guy. I'm here for business.
0:10:09 > 0:10:11But at the same time, I want to kind of stand out.
0:10:11 > 0:10:14And there's an art to dressing to impress.
0:10:14 > 0:10:18You want that fitted white shirt and then you want a strong tie,
0:10:18 > 0:10:21some shined-up black shoes,
0:10:21 > 0:10:23so I think that's what we're going to go with today.
0:10:30 > 0:10:33Every day, I wake up and I'm so excited to be a doctor.
0:10:33 > 0:10:36It's a situation where I've prepared my whole life for this,
0:10:36 > 0:10:38and now I'm here. My family and I, we are all very close.
0:10:38 > 0:10:40We're a tight-knit bunch.
0:10:40 > 0:10:42My father is an obs and gynae ex-consultant.
0:10:42 > 0:10:45My grandfather was also in the medical field back in Nigeria,
0:10:45 > 0:10:49where I'm from. And that's where my grandfather is what you call an eze,
0:10:49 > 0:10:51which is translated in my language into a king.
0:10:51 > 0:10:54That puts me in line to be a prince.
0:10:54 > 0:10:59I should be Prince Doctor Emeka, which... I prefer that title!
0:11:03 > 0:11:07I think my friends would describe me as overconfident.
0:11:07 > 0:11:09But I'm supercompetitive, that's one thing I'll say.
0:11:09 > 0:11:10It is a scary thought,
0:11:10 > 0:11:13when you think about some of the decisions you make can result
0:11:13 > 0:11:15in someone losing their life,
0:11:15 > 0:11:18but that's the reality of what you sign up for.
0:11:20 > 0:11:24Emeka's spending the next four months in general surgery,
0:11:24 > 0:11:26and his colleagues have some tips.
0:11:26 > 0:11:29A piece of advice, never wear your good clothes on call
0:11:29 > 0:11:31because I've had experiences
0:11:31 > 0:11:34with body fluids onto my actual good clothes.
0:11:34 > 0:11:35- Bile.- Bile?
0:11:35 > 0:11:37Yeah. Vomit.
0:11:37 > 0:11:38Vomit?
0:11:38 > 0:11:40Do I need to change into scrubs?
0:11:40 > 0:11:42If you need to.
0:11:42 > 0:11:44Yeah. The team seem to think that my dapper clothes
0:11:44 > 0:11:46are going to have to take a hit today,
0:11:46 > 0:11:49and they're trying to encourage me to wear scrubs.
0:11:49 > 0:11:51Baby blue's just not really my thing.
0:11:51 > 0:11:55If you have to go into theatre to help, you have to wear these.
0:11:55 > 0:11:58I'm hoping that I can wear a couple of aprons and dodge all that,
0:11:58 > 0:12:02but I have to get my hands dirty, you know, so...
0:12:02 > 0:12:04It's going to be a task for me.
0:12:08 > 0:12:10This is my favourite part of the hospital -
0:12:10 > 0:12:12in the elevator.
0:12:12 > 0:12:16I use it as an opportunity to get a full body checkup
0:12:16 > 0:12:18in that ten seconds. Get myself ready.
0:12:18 > 0:12:21Get myself ready, just like that.
0:12:36 > 0:12:38On the respiratory ward,
0:12:38 > 0:12:4023-year-old Anna has been tasked
0:12:40 > 0:12:43with fitting a device called a cannula,
0:12:43 > 0:12:46a procedure all junior doctors have to master.
0:12:46 > 0:12:48It's her first attempt at getting a needle
0:12:48 > 0:12:51into pensioner Ms Benfield's vein.
0:12:52 > 0:12:57Oh, gosh. It's got a cover on it, so we're fine.
0:13:01 > 0:13:06If she doesn't hit the right spot, she could cause severe bruising.
0:13:08 > 0:13:10OK.
0:13:10 > 0:13:11Sharp scratch.
0:13:13 > 0:13:15- Let me know if it's painful.- Ow.
0:13:15 > 0:13:17Yeah.
0:13:18 > 0:13:21- Whoa!- Sorry.
0:13:23 > 0:13:24Mm...
0:13:27 > 0:13:30I might need to come out and try somewhere else.
0:13:30 > 0:13:34Anna fails to find the vein, so tries the other hand.
0:13:36 > 0:13:37You OK?
0:13:39 > 0:13:41Right, I'll just flush this
0:13:41 > 0:13:43just to make sure it's going through.
0:13:43 > 0:13:47- It's flushing through nicely. - Yeah, yeah.
0:13:47 > 0:13:49There we go.
0:13:49 > 0:13:52And then I'll leave you in peace now.
0:13:52 > 0:13:55For first year Anna, it's a huge relief.
0:13:55 > 0:13:57It was my first cannula on respiratory.
0:13:57 > 0:14:00It was quite a difficult one because the poor patient
0:14:00 > 0:14:01didn't have very good veins.
0:14:01 > 0:14:04It wasn't as bad as I thought, though.
0:14:04 > 0:14:06I managed it in the end, so that's good,
0:14:06 > 0:14:10so I'll tick this off my list of jobs.
0:14:10 > 0:14:11Well, she tried her best.
0:14:11 > 0:14:13I can't complain.
0:14:13 > 0:14:17It's hard when they're trainees and they have to keep prodding about,
0:14:17 > 0:14:20it makes them a bit nervous, isn't it?
0:14:22 > 0:14:24Like Anna, first year Emeka
0:14:24 > 0:14:26is facing a needle challenge of his own.
0:14:26 > 0:14:29They had a bit of trouble taking your blood, did they?
0:14:29 > 0:14:31Yeah, I've got little veins.
0:14:31 > 0:14:33- OK.- But if you're good, you'll get it.
0:14:33 > 0:14:37- If not...- Well, we're about to find out.
0:14:37 > 0:14:39Just call the vampire lady.
0:14:39 > 0:14:40- The vampire lady?- Yeah.
0:14:40 > 0:14:42- Why?- She'll get it.- She'll get it?
0:14:42 > 0:14:43- Yeah.- The vampire lady?- Yeah.
0:14:43 > 0:14:46Who is she? She seems like my competition.
0:14:46 > 0:14:51Where is she? I'll challenge her to a one-on-one vein contest.
0:14:51 > 0:14:52I feel I'll get some...
0:14:52 > 0:14:56They might have to call me the vampire man after this one.
0:14:56 > 0:14:57No, he's already taken.
0:14:57 > 0:15:00- He's taken?- Yeah, that's one of your other understudies, I'm afraid.
0:15:00 > 0:15:04Oh, right. OK, so I need to come up with a supercool, awesome nickname.
0:15:08 > 0:15:10He's a good one.
0:15:10 > 0:15:13They call me the man who never misses.
0:15:13 > 0:15:16Don't make me laugh. It hurts.
0:15:16 > 0:15:19- The one-shot man.- The one-shot man.
0:15:19 > 0:15:20I like that one.
0:15:20 > 0:15:21Ah!
0:15:21 > 0:15:23Almost done.
0:15:23 > 0:15:24Almost done.
0:15:26 > 0:15:28OK? It's all done.
0:15:28 > 0:15:30- I haven't missed yet, so... - You were spot on.
0:15:30 > 0:15:34I'm the new guy. Tell them there's a new kid on the block.
0:15:34 > 0:15:37When it comes to taking blood and doing cannulas,
0:15:37 > 0:15:38I'm the guy they call.
0:15:38 > 0:15:41I don't want to say I'm the best, but I'm the best.
0:15:48 > 0:15:53On the respiratory ward, there is a problem with Ms Benfield.
0:15:54 > 0:15:57I was looking for something in my handbag.
0:15:57 > 0:15:59When I fetched it out, I thought,
0:15:59 > 0:16:02"Oh! It's all blood there." I seen it had come out.
0:16:02 > 0:16:04Anna must re-fit the cannula.
0:16:04 > 0:16:07Time for needle number four.
0:16:12 > 0:16:15Fingers crossed this time.
0:16:19 > 0:16:21Ow!
0:16:23 > 0:16:25Oh!
0:16:27 > 0:16:30All right.
0:16:32 > 0:16:34See, that's an awkward one, that position.
0:16:34 > 0:16:37Ow!
0:16:37 > 0:16:39Not doing well here, are we?
0:16:39 > 0:16:43Struggling to find a vein, and worried about hurting the patient,
0:16:43 > 0:16:45Anna decides to stop.
0:16:45 > 0:16:48I'm going to see if one of my senior doctors can try.
0:16:48 > 0:16:52- Yeah, OK.- Yeah? I'm sure she'll be able to get it in somewhere.
0:16:52 > 0:16:55There's a team of, like, nurse practitioners in the hospital
0:16:55 > 0:16:57that can help with difficult cannulas
0:16:57 > 0:16:59out of hours, so as it's coming up to five o'clock,
0:16:59 > 0:17:03I think we're going to ask if they can help us with it.
0:17:03 > 0:17:06Otherwise, I think we'll be there all night.
0:17:14 > 0:17:16Best mates Emeka and Osama
0:17:16 > 0:17:21are taking time out from the hospital and hitting the gym.
0:17:21 > 0:17:22Oh, cool.
0:17:22 > 0:17:23This is like a ward round pace.
0:17:23 > 0:17:25Yeah, this is like surgical ward round pace.
0:17:25 > 0:17:28Should we go for a medical ward round pace?
0:17:28 > 0:17:31This is our job, usually, as a junior doctor,
0:17:31 > 0:17:33just to run around chasing stuff.
0:17:33 > 0:17:36- Do you want to get some weights? - Yeah, let's do some weights.
0:17:36 > 0:17:38You're the only guy on...
0:17:38 > 0:17:40- On obs and gynae.- Yeah. So do you have to, like,
0:17:40 > 0:17:42get a chaperone for everything you do?
0:17:42 > 0:17:44- Yeah, pretty much.- Because pretty much you have to have a nurse.
0:17:44 > 0:17:47No way do I go without a chaperone. I get asked to go to theatre, right?
0:17:47 > 0:17:51The surgeon was like, "Osama," you know, "Come and join me in theatre."
0:17:51 > 0:17:53I was like, "Cool."
0:17:53 > 0:17:55Keyhole surgery and whatnot.
0:17:55 > 0:17:57And then I go to the operating theatre
0:17:57 > 0:17:59and I see the patient like lying in the...
0:17:59 > 0:18:01- you know, the legs up, wide open. - Yeah, yeah, yeah.
0:18:01 > 0:18:02- Boom.- And he goes,
0:18:02 > 0:18:06"Osama, I want you to sit right in front of the vagina."
0:18:06 > 0:18:08And my job for the whole four hours
0:18:08 > 0:18:11was to sit there in front of the vagina, like, holding instruments.
0:18:11 > 0:18:14- Yeah, yeah.- I couldn't see the laparoscope.
0:18:14 > 0:18:17I couldn't see anything. Just stood right in front of the vagina.
0:18:17 > 0:18:19- Yeah.- It was the most awkward...
0:18:19 > 0:18:21Four hours! Can you imagine that?
0:18:21 > 0:18:23- Ah, man!- It was bad.
0:18:30 > 0:18:33Osama has only ever assisted with minor surgeries,
0:18:33 > 0:18:37but today, all that is going to change.
0:18:37 > 0:18:41He's been given the chance to help with his first major operation.
0:18:41 > 0:18:45He will be helping to remove a growth called a fibroid
0:18:45 > 0:18:47from inside the patient's womb.
0:18:47 > 0:18:48I'm really excited
0:18:48 > 0:18:50because everything I studied in medical school
0:18:50 > 0:18:53was kind of leading up to this moment where you get to scrub in
0:18:53 > 0:18:56and actually see what the anatomy looks like
0:18:56 > 0:18:58and you see what the pathology looks like.
0:18:58 > 0:19:01We've studied fibroids extensively in medical school,
0:19:01 > 0:19:05but now actually getting to see them and removing them
0:19:05 > 0:19:08and seeing how the patient copes with the whole operation,
0:19:08 > 0:19:09this is just something incredible.
0:19:09 > 0:19:12One thing I hate about surgery is the footwear.
0:19:12 > 0:19:15Crocs. Big mistake.
0:19:20 > 0:19:24Osama is getting in some last-minute revision.
0:19:24 > 0:19:27Just reading up on some anatomy before surgery.
0:19:36 > 0:19:38Showtime.
0:19:44 > 0:19:45This will be really useful in surgery,
0:19:45 > 0:19:48because when the surgeon is going to grill me, ask me questions,
0:19:48 > 0:19:50I'll just refer to this diagram!
0:19:50 > 0:19:54Since med school, Osama has dreamt of becoming a surgeon,
0:19:54 > 0:19:56and today it's an opportunity
0:19:56 > 0:20:00to experience a procedure he's only ever read about.
0:20:00 > 0:20:01This is the uterus.
0:20:01 > 0:20:06- Yeah. Wow!- The main uterus. And the rest is fibroid.
0:20:06 > 0:20:09Osama's job is to hold open the incision
0:20:09 > 0:20:11so the surgeon has a clear view.
0:20:11 > 0:20:15One wrong move and there's a risk of puncturing the bowel.
0:20:15 > 0:20:19- Wow...- Can I have the curved clamp for me, please?
0:20:19 > 0:20:22Cool! Oh, wow!
0:20:23 > 0:20:25The surgeon, Mr Saeed,
0:20:25 > 0:20:28carefully removes the growth from the patient's womb.
0:20:31 > 0:20:34Is this considered a large fibroid or normal?
0:20:34 > 0:20:37It is fairly large, yes.
0:20:37 > 0:20:39Now we are in business, yes.
0:20:41 > 0:20:44Is there usually this much oozing and bleeding?
0:20:44 > 0:20:46We keep it draining.
0:20:46 > 0:20:49I'm happy. What do you think?
0:20:49 > 0:20:51- Yeah, it looks good.- Do you want to come here and help?
0:20:51 > 0:20:55Osama's been practising his stitching at home,
0:20:55 > 0:20:58but now he's getting the chance to do it for real
0:20:58 > 0:20:59for the very first time.
0:20:59 > 0:21:01Here?
0:21:01 > 0:21:03Oh, along here.
0:21:05 > 0:21:07Happy that your instruments, swabs, sharps are all correct?
0:21:07 > 0:21:09I am, thank you.
0:21:09 > 0:21:13Yeah, oh, that was awesome. There was a lot of blood. I mean,
0:21:13 > 0:21:16I was actually a squeamish person before - quite hard to believe -
0:21:16 > 0:21:20but now, not any more. I feel like a hardened vampire.
0:21:22 > 0:21:25It's just amazing getting experience with such an experienced surgeon.
0:21:25 > 0:21:28This is the kind of thing we study in medical school,
0:21:28 > 0:21:31and to see it in real life, and so big, as well,
0:21:31 > 0:21:34and to actually feel it and take it out, was just awesome.
0:21:34 > 0:21:37It also makes you feel really hungry. I'm really hungry right now.
0:21:46 > 0:21:50On the respiratory ward, one of the patients has passed away,
0:21:50 > 0:21:55and for the first time, 23-year-old Anna has to confirm a death.
0:21:55 > 0:21:58So, do you know what you're looking for when you're trying to assess?
0:21:58 > 0:22:01So, you'd look at pupil responses...
0:22:01 > 0:22:02Yeah.
0:22:02 > 0:22:05..feel the pulse, listen for breath sounds and heart sounds.
0:22:05 > 0:22:08Do you listen all over the chest or just...?
0:22:08 > 0:22:12- Just two places, yeah. - OK. OK. I'll do that.
0:22:13 > 0:22:16This will soon become a routine part of the job,
0:22:16 > 0:22:19but it's a daunting task for any young doctor.
0:22:19 > 0:22:22A little bit nervous, but...
0:22:22 > 0:22:24..I'll just take my time with it.
0:22:32 > 0:22:34Anna must make sure there is no trace of life
0:22:34 > 0:22:37before signing the death certificate.
0:22:37 > 0:22:39First, she checks for a heartbeat...
0:22:39 > 0:22:42If you're still alive, you can still kind of have a weak pulse
0:22:42 > 0:22:45in your hand, so it's better to feel in the neck,
0:22:45 > 0:22:48cos that should always be there, really.
0:22:49 > 0:22:51..and then double-checks.
0:23:04 > 0:23:07Sometimes you're thrown in right at the deep end in medicine.
0:23:07 > 0:23:09And it's quite an important job, really,
0:23:09 > 0:23:13to make sure that someone is actually dead.
0:23:13 > 0:23:16Sometimes you think, 'I can't believe they leave it to you,
0:23:16 > 0:23:18'who's never actually done it before,'
0:23:18 > 0:23:22but I'm glad that I've actually done one now and feel proud of myself.
0:23:24 > 0:23:26Hello!
0:23:30 > 0:23:32How was your day, Socks?
0:23:32 > 0:23:34I saw a dead body today, Socks.
0:23:37 > 0:23:41In Obs and Gynae, Osama checks up on mum-of-three Mrs Bowen,
0:23:41 > 0:23:43following her surgery.
0:23:43 > 0:23:46Hi, Suzanne, how you feeling? You're not in any pain, are you?
0:23:46 > 0:23:48Um, no, it's being controlled.
0:23:48 > 0:23:52- OK.- It was a little bit painful when I first got out of bed.
0:23:52 > 0:23:54Yeah. The fibroid was actually very big.
0:23:54 > 0:23:57It was probably... Do you want me to show you how big it was...
0:23:57 > 0:24:01- Yeah.- ..in terms of...? Essentially, it was probably this size.
0:24:01 > 0:24:04- Yeah.- I would compare it to pregnancy, to be honest,
0:24:04 > 0:24:07that's how big the mass was. It's probably the biggest one I've seen.
0:24:07 > 0:24:11- Wow!- But I've got a very small career!- Yes!
0:24:12 > 0:24:16Seeing the patient after, doing well, recovering,
0:24:16 > 0:24:18I can't describe what feeling it gives you.
0:24:18 > 0:24:22That's what I love about surgery. They come in, have the operation,
0:24:22 > 0:24:25then a few weeks later down the line,
0:24:25 > 0:24:27their quality of life improves significantly.
0:24:27 > 0:24:30This has been an invaluable experience. I'll never forget it.
0:24:31 > 0:24:34It's 8pm, and while his mates are hitting the town, over at
0:24:34 > 0:24:38the hospital, Emeka's 12-hour shift is just beginning.
0:24:38 > 0:24:41He's facing one of the biggest challenges for any junior doctor,
0:24:41 > 0:24:44- working nights. - Can I just give you these?
0:24:44 > 0:24:50- Yes.- 5002 has just bleeped, literally two minutes ago.
0:24:50 > 0:24:5324-year-old Emeka is on call across five surgical wards
0:24:53 > 0:24:56and is responsible for over 120 patients.
0:24:56 > 0:24:59He has the added responsibility of carrying the crash bleep.
0:24:59 > 0:25:03With this bad boy, you can never really predict what happens, so...
0:25:03 > 0:25:05- ..just going to have to wait and see.- This means he could be called
0:25:05 > 0:25:09for backup if any patients in the hospital go into cardiac arrest.
0:25:09 > 0:25:12Let's crack on.
0:25:12 > 0:25:14It's a quiet start to the shift.
0:25:15 > 0:25:17I'm just sorting all the drug charts,
0:25:17 > 0:25:19chasing up the bloods I need to on this ward.
0:25:19 > 0:25:21There are a few things that was handed over.
0:25:22 > 0:25:24HE YAWNS
0:25:33 > 0:25:35Staying alert during the night shift
0:25:35 > 0:25:37is a challenge for any junior doctor,
0:25:37 > 0:25:41but Emeka has his own way of fighting fatigue.
0:25:41 > 0:25:43There's a squat, and then there's a deep squat.
0:25:43 > 0:25:45WOMAN LAUGHS
0:25:47 > 0:25:50- Oh, my life! - SHE LAUGHS
0:25:52 > 0:25:55I think dancing keeps me going on these night shifts.
0:25:55 > 0:25:59Sometimes when it's 4:30 and you're trying to keep awake,
0:25:59 > 0:26:02just shake it, give a little salsa,
0:26:02 > 0:26:05keep going. The nurses seem to like it,
0:26:05 > 0:26:08seem to like the moves a little bit! So, yeah, it's a winner.
0:26:10 > 0:26:14It's not long before Emeka's medical training is put to the test.
0:26:14 > 0:26:15PAGER BLEEPS
0:26:21 > 0:26:23Hello, hi, sorry.
0:26:23 > 0:26:27A patient has gone into cardiac arrest on a nearby ward.
0:26:29 > 0:26:30HE EXHALES
0:26:37 > 0:26:41Does anyone who works here know what this man's premorbid state is?
0:26:46 > 0:26:48Are you OK with compressions?
0:26:51 > 0:26:52Are you OK there?
0:26:52 > 0:26:54Emeka's job is to do CPR
0:26:54 > 0:26:58to try and keep blood flowing around the body.
0:27:02 > 0:27:03Second adrenaline.
0:27:12 > 0:27:15Someone ready to take over from Emeka when he tires?
0:27:33 > 0:27:37- Slow pulse.- Is he making any respiratory effort?
0:27:42 > 0:27:44Not really showing any signs?
0:27:44 > 0:27:48Nothing, no. No sign of reaction at all.
0:27:52 > 0:27:55- Yeah, I've lost the pulse. - Lost the pulse.
0:27:55 > 0:27:59Realistically, even if we find a potassium level,
0:27:59 > 0:28:01we've been down for the best part of 20 minutes now.
0:28:01 > 0:28:03And given that it's not reversible,
0:28:03 > 0:28:06there's probably not going to be a huge amount we can do here,
0:28:06 > 0:28:09and I think we probably don't restart compressions.
0:28:09 > 0:28:12Does anyone disagree with that?
0:28:12 > 0:28:14Everyone in agreement that we stop?
0:28:14 > 0:28:17The team have done everything they can.
0:28:17 > 0:28:20Do we know what kind of time we're expecting the family?
0:28:20 > 0:28:22Yeah, they should be here soon.
0:28:31 > 0:28:34- Thanks for your help. - No worries.
0:28:34 > 0:28:36It's tough for any junior doctor
0:28:36 > 0:28:39to accept they can't save every patient.
0:28:39 > 0:28:42One minute, you're having a good night, everything's going well,
0:28:42 > 0:28:45you're completing all your jobs, even having a little shake-shake.
0:28:45 > 0:28:48The next minute, you're trying to...
0:28:49 > 0:28:51..clutch a man from the jaws of death.
0:28:53 > 0:28:57I just really thought we could bring the patient back.
0:28:57 > 0:28:58It's hard for any doctor to accept
0:28:58 > 0:29:01they're going to lose their patients
0:29:01 > 0:29:04or they can lose patients and not have any control over it.
0:29:04 > 0:29:08Yeah. I don't like these, especially those kind of battles.
0:29:08 > 0:29:10After an exhausting experience,
0:29:10 > 0:29:13Emeka still has three hours left on shift.
0:29:13 > 0:29:14HE EXHALES
0:29:23 > 0:29:26Following a challenging first set of night shifts,
0:29:26 > 0:29:29Emeka and Osama have a chance to unwind.
0:29:29 > 0:29:344, 5am there was an arrest on the ward above me, and I was like,
0:29:34 > 0:29:38"This guy hadn't had oxygen for 30 minutes, we can't bring him back."
0:29:38 > 0:29:40And it was just so sad. Mentally, it breaks you a little bit.
0:29:40 > 0:29:43Yeah, bro, this is the thing. Do you think over time we'll start
0:29:43 > 0:29:45getting used to that kind of scenario?
0:29:45 > 0:29:48Because I struggle with it, as well, I'm not going to lie.
0:29:48 > 0:29:49It is what it is. It's part of the job,
0:29:49 > 0:29:52and we're going to have to deal with it, whether we like it or not.
0:29:52 > 0:29:54Life's for living, that's what I say.
0:29:54 > 0:29:57Tonight, let's dance, let's just have a good time.
0:29:57 > 0:29:59Let's blow off steam, man. It's been a long week at work. Whoo!
0:30:11 > 0:30:12The patient's there.
0:30:12 > 0:30:14Swallow it, swallow it.
0:30:14 > 0:30:16But I am confident.
0:30:16 > 0:30:18Trust in me as a doctor.
0:30:18 > 0:30:22I've just been told that the nurses are a bit worried
0:30:22 > 0:30:24about 4-3, Gladys. She's 95.
0:30:24 > 0:30:27The baby came out, and it's so fragile.
0:30:27 > 0:30:29I'd like everyone to see childbirth.