Episode 1 Junior Doctors: Blood, Sweat and Tears


Episode 1

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Transcript


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-Start CPR.

-Adrenaline.

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Look at that.

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-Easy, sir, easy.

-When did this become this bad?

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One hospital...

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Can I have a stet, please?

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..seven junior doctors...

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-Showtime.

-I've got an emergency, so I need the crash team here.

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-I'm excited.

-Little bit nervous.

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..working on the front line of medicine...

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-Do you want to have a chat?

-..with all its blood...

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I love a gory, bloody wound.

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-..sweat....

-Try not to worry.

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-..and tears.

-Just feels like I'm surrounded by death at the moment.

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The doctors of your future...

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Can I ask what brought you in today?

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I slipped on my wedding dress.

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..facing life...

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And then I got to hold the baby as well.

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-Lion King moment.

-..and death.

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Have they got what it takes?

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'Dickie here on this Wednesday morning, April 5th.

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'Look at that for a lovely start this morning...'

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Junior doctors all over Britain

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are getting ready to start their new placements.

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'So whatever you're up to today on your Wednesday,

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'if you're maybe starting a brand-new job,

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-'good luck in your brand-new job today.'

-In the West Midlands,

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23-year-old Anna will be one of the youngest junior doctors

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at the hospital.

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Let's hope I don't get asked anything too difficult today.

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Her boyfriend, Frazer, a pilot, is on hand for a last-minute pep talk.

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I'm nervous for stepping out on the ward for the first time.

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-Really?

-Having to meet everyone and don't know what I'm going to face

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-or anything.

-You'll pick it up after a couple of days, I'm sure.

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Yeah.

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I first thought about being a doctor

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when I was younger and I used to watch all these silly shows

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like Grey's Anatomy and you think, "Yeah, I wonder if I could do that."

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Being a doctor, you know,

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people's lives are literally in your hands sometimes and that's

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a big thing for someone who's 23 to have to deal with.

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I still feel like that shy medical student hiding in the background.

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Frazer, I'm heading off now.

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-Wish me luck.

-Good luck.

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So this is one of my delicacies.

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Protein superfood.

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26-year-old first-year doctor Osama fuels up for the big day ahead.

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-It's pretty rough.

-For the next four months,

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Osama will be working in obs and gynae,

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delivering babies and dealing with women's reproductive health.

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The nerves just kicked in yesterday.

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I don't know. I just have this thing

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about touching other people's private parts that I just...

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I don't know. It just... I'm squeamish with that kind of stuff.

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Osama and Anna are joining over 100 other junior doctors

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also working at New Cross Hospital in Wolverhampton.

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Osama's first challenge is locating his new department.

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Excuse me. Sorry to bother you. Do you know where building 14 is?

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-Building 14?

-Yeah.

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Any idea?

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-A14?

-No, 14.

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I was born in Baghdad,

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then, unfortunately, war broke out, so we had to flee.

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So we left as refugees.

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We came to the UK.

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My mum makes really good grilled chicken.

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This is just for me. This is just breakfast.

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It's a huge jump from being a medical student to being a doctor.

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You know, like, every single little decision now that I make

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potentially has an impact on people's lives.

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In the future, I'd hope to be an experienced surgeon.

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Oh, I think that's one of my colleagues.

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Hey. How are you?

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-Hi.

-We've got induction now this morning.

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-Same.

-Yeah.

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You've got induction all day, haven't you?

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Yeah. Well, till two.

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-Yeah.

-Excited?

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-Yeah.

-I'll see you later, anyways.

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Yeah. This is all so strange, isn't it?

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So, this is where we're going to live for the next few months.

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Let's do this.

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Anna will be spending the next four months on the respiratory ward.

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It's her first-ever medical placement,

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and being new to the specialty

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-means she will have to learn fast on the job.

-And you are...?

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-I'm Anna.

-Nice to meet you.

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Nice to meet you.

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Feel a bit like a spare part at the moment, I think.

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I'm not really sure what I'm meant to be doing.

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Without my phone, I would be very lost.

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A consultant said to me,

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"Can we get refeeding bloods for tomorrow morning?"

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Which I can't remember off the top of my head what they are.

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Always good to be able to Google stuff when I'm not sure.

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It's only Osama's second week,

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and today he's getting the opportunity

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to do a complicated procedure in obs and gynae.

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So, hi. My name's Osama.

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So, I understand you've come to hospital...

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Um...

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Is it for your belly being a bit swollen?

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-Yes.

-How long has it been like this for?

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-A few days.

-A few days, OK.

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-A few days.

-Do you mind if I examine your tummy quickly?

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-No, I don't mind.

-OK.

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Would you be able to pop on the bed for me?

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Is that OK? That's perfect.

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OK. OK, so...

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-Is there any pain in your tummy at all?

-No.

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OK.

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-Just feel large.

-Yeah, so it's very distended, isn't it?

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-Yeah.

-So I think it seems like there's a lot of fluid in here.

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What we need to do is first of all drain the fluid because it's causing

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you a lot of discomfort, then your symptoms will start to improve.

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Three attempts have been made unsuccessfully to drain the fluid,

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so the pressure is on Osama to get it right this time.

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Just bear with me while I prepare everything else.

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Thanks. So, we've got a needle.

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We need this. It's a difficult drain,

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but hopefully we'll get it in, because it needs to go in

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because otherwise the patient is going to keep suffering from it.

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And she's got a massive belly.

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Before he inserts the needle,

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his patient, Miss Frances, has a request.

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Can I go and spend a penny?

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-Say again, sorry?

-Can I go and spend a penny and come back?

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Yeah, yeah, not to worry. Yeah, yeah.

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I wonder what spending a penny means.

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Ah, so, apparently, in olden days,

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um...

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toilets had locks on, which you had to put coins in to access.

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So I think this lady might...

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She probably thought you needed to pay for the toilets in the ward.

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That's why she was saying about spending a penny.

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-Thank you.

-No worries.

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-Not to worry.

-Back from her spending spree, Osama can make a start.

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With ambitions to specialise in surgery,

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this delicate procedure is a good opportunity

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to get some hands-on practise.

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It's like a musical instrument, isn't it?

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It's over six months since Osama graduated,

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and now he's in charge of a tricky procedure

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that is usually performed by a senior doctor.

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-Are you comfortable?

-Oh, doctor, I'm trying to be but it's scary.

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Yeah, don't worry.

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-It's scary.

-Don't worry.

-First,

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he injects the anaesthetic to numb the area.

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Doing really well. OK, that's perfect.

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-And the next part is just to put the drain in.

-OK.

-OK?

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Next, Osama inserts a long needle into the side of the stomach.

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It's critical he hits the right spot or he could puncture a major organ.

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It's going in now.

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Now stay still for me.

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Perfect. You've done really well.

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Yeah.

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Doctor, it's not me. It's you.

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No, no, no. You did it, really,

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because I didn't want to tell you, but it's a big needle, you know.

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If you want to, I'll show you the size of it later.

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-No!

-No, you don't want to see?

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OK, so it's draining really well.

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Fluid draining, it's a huge achievement for Osama.

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Do you have any questions for me at all?

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Well, I just want to be grateful to you.

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No, not at all. This is my job.

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So, it's draining really well, so, hopefully, when the fluid is off,

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you can go back to your dancing.

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That's the plan, eh?

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That was really satisfying, actually.

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So, we managed to get the drain in successfully.

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Once the fluid's out, you'll start feeling better.

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I'm happy that I managed to deliver on what the consultant

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wanted me to do, but the most important thing

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is how the patient is feeling,

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and I think she's feeling really grateful, which is amazing.

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And just knowing that, I'm-I'm buzzing.

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For 24-year-old junior doctor Emeka,

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getting ready for a shift is serious work.

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I'm a sharp-dressing guy. I'm here for business.

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But at the same time, I want to kind of stand out.

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And there's an art to dressing to impress.

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You want that fitted white shirt and then you want a strong tie,

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some shined-up black shoes,

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so I think that's what we're going to go with today.

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Every day, I wake up and I'm so excited to be a doctor.

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It's a situation where I've prepared my whole life for this,

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and now I'm here. My family and I, we are all very close.

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We're a tight-knit bunch.

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My father is an obs and gynae ex-consultant.

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My grandfather was also in the medical field back in Nigeria,

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where I'm from. And that's where my grandfather is what you call an eze,

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which is translated in my language into a king.

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That puts me in line to be a prince.

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I should be Prince Doctor Emeka, which... I prefer that title!

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I think my friends would describe me as overconfident.

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But I'm supercompetitive, that's one thing I'll say.

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It is a scary thought,

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when you think about some of the decisions you make can result

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in someone losing their life,

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but that's the reality of what you sign up for.

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Emeka's spending the next four months in general surgery,

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and his colleagues have some tips.

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A piece of advice, never wear your good clothes on call

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because I've had experiences

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with body fluids onto my actual good clothes.

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-Bile.

-Bile?

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Yeah. Vomit.

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Vomit?

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Do I need to change into scrubs?

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If you need to.

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Yeah. The team seem to think that my dapper clothes

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are going to have to take a hit today,

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and they're trying to encourage me to wear scrubs.

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Baby blue's just not really my thing.

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If you have to go into theatre to help, you have to wear these.

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I'm hoping that I can wear a couple of aprons and dodge all that,

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but I have to get my hands dirty, you know, so...

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It's going to be a task for me.

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This is my favourite part of the hospital -

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in the elevator.

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I use it as an opportunity to get a full body checkup

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in that ten seconds. Get myself ready.

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Get myself ready, just like that.

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On the respiratory ward,

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23-year-old Anna has been tasked

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with fitting a device called a cannula,

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a procedure all junior doctors have to master.

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It's her first attempt at getting a needle

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into pensioner Ms Benfield's vein.

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Oh, gosh. It's got a cover on it, so we're fine.

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If she doesn't hit the right spot, she could cause severe bruising.

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OK.

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Sharp scratch.

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-Let me know if it's painful.

-Ow.

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Yeah.

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-Whoa!

-Sorry.

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Mm...

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I might need to come out and try somewhere else.

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Anna fails to find the vein, so tries the other hand.

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You OK?

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Right, I'll just flush this

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just to make sure it's going through.

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-It's flushing through nicely.

-Yeah, yeah.

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There we go.

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And then I'll leave you in peace now.

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For first year Anna, it's a huge relief.

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It was my first cannula on respiratory.

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It was quite a difficult one because the poor patient

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didn't have very good veins.

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It wasn't as bad as I thought, though.

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I managed it in the end, so that's good,

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so I'll tick this off my list of jobs.

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Well, she tried her best.

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I can't complain.

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It's hard when they're trainees and they have to keep prodding about,

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it makes them a bit nervous, isn't it?

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Like Anna, first year Emeka

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is facing a needle challenge of his own.

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They had a bit of trouble taking your blood, did they?

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Yeah, I've got little veins.

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-OK.

-But if you're good, you'll get it.

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-If not...

-Well, we're about to find out.

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Just call the vampire lady.

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-The vampire lady?

-Yeah.

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-Why?

-She'll get it.

-She'll get it?

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-Yeah.

-The vampire lady?

-Yeah.

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Who is she? She seems like my competition.

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Where is she? I'll challenge her to a one-on-one vein contest.

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I feel I'll get some...

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They might have to call me the vampire man after this one.

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No, he's already taken.

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-He's taken?

-Yeah, that's one of your other understudies, I'm afraid.

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Oh, right. OK, so I need to come up with a supercool, awesome nickname.

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He's a good one.

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They call me the man who never misses.

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Don't make me laugh. It hurts.

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-The one-shot man.

-The one-shot man.

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I like that one.

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Ah!

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Almost done.

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Almost done.

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OK? It's all done.

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-I haven't missed yet, so...

-You were spot on.

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I'm the new guy. Tell them there's a new kid on the block.

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When it comes to taking blood and doing cannulas,

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I'm the guy they call.

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I don't want to say I'm the best, but I'm the best.

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On the respiratory ward, there is a problem with Ms Benfield.

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I was looking for something in my handbag.

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When I fetched it out, I thought,

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"Oh! It's all blood there." I seen it had come out.

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Anna must re-fit the cannula.

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Time for needle number four.

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Fingers crossed this time.

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Ow!

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Oh!

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All right.

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See, that's an awkward one, that position.

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Ow!

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Not doing well here, are we?

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Struggling to find a vein, and worried about hurting the patient,

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Anna decides to stop.

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I'm going to see if one of my senior doctors can try.

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-Yeah, OK.

-Yeah? I'm sure she'll be able to get it in somewhere.

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There's a team of, like, nurse practitioners in the hospital

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that can help with difficult cannulas

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out of hours, so as it's coming up to five o'clock,

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I think we're going to ask if they can help us with it.

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Otherwise, I think we'll be there all night.

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Best mates Emeka and Osama

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are taking time out from the hospital and hitting the gym.

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Oh, cool.

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This is like a ward round pace.

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Yeah, this is like surgical ward round pace.

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Should we go for a medical ward round pace?

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This is our job, usually, as a junior doctor,

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just to run around chasing stuff.

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-Do you want to get some weights?

-Yeah, let's do some weights.

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You're the only guy on...

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-On obs and gynae.

-Yeah. So do you have to, like,

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get a chaperone for everything you do?

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-Yeah, pretty much.

-Because pretty much you have to have a nurse.

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No way do I go without a chaperone. I get asked to go to theatre, right?

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The surgeon was like, "Osama," you know, "Come and join me in theatre."

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I was like, "Cool."

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Keyhole surgery and whatnot.

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And then I go to the operating theatre

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and I see the patient like lying in the...

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-you know, the legs up, wide open.

-Yeah, yeah, yeah.

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-Boom.

-And he goes,

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"Osama, I want you to sit right in front of the vagina."

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And my job for the whole four hours

0:18:060:18:08

was to sit there in front of the vagina, like, holding instruments.

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-Yeah, yeah.

-I couldn't see the laparoscope.

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I couldn't see anything. Just stood right in front of the vagina.

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-Yeah.

-It was the most awkward...

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Four hours! Can you imagine that?

0:18:190:18:21

-Ah, man!

-It was bad.

0:18:210:18:23

Osama has only ever assisted with minor surgeries,

0:18:300:18:33

but today, all that is going to change.

0:18:330:18:37

He's been given the chance to help with his first major operation.

0:18:370:18:41

He will be helping to remove a growth called a fibroid

0:18:410:18:45

from inside the patient's womb.

0:18:450:18:47

I'm really excited

0:18:470:18:48

because everything I studied in medical school

0:18:480:18:50

was kind of leading up to this moment where you get to scrub in

0:18:500:18:53

and actually see what the anatomy looks like

0:18:530:18:56

and you see what the pathology looks like.

0:18:560:18:58

We've studied fibroids extensively in medical school,

0:18:580:19:01

but now actually getting to see them and removing them

0:19:010:19:05

and seeing how the patient copes with the whole operation,

0:19:050:19:08

this is just something incredible.

0:19:080:19:09

One thing I hate about surgery is the footwear.

0:19:090:19:12

Crocs. Big mistake.

0:19:120:19:15

Osama is getting in some last-minute revision.

0:19:200:19:24

Just reading up on some anatomy before surgery.

0:19:240:19:27

Showtime.

0:19:360:19:38

This will be really useful in surgery,

0:19:440:19:45

because when the surgeon is going to grill me, ask me questions,

0:19:450:19:48

I'll just refer to this diagram!

0:19:480:19:50

Since med school, Osama has dreamt of becoming a surgeon,

0:19:500:19:54

and today it's an opportunity

0:19:540:19:56

to experience a procedure he's only ever read about.

0:19:560:20:00

This is the uterus.

0:20:000:20:01

-Yeah. Wow!

-The main uterus. And the rest is fibroid.

0:20:010:20:06

Osama's job is to hold open the incision

0:20:060:20:09

so the surgeon has a clear view.

0:20:090:20:11

One wrong move and there's a risk of puncturing the bowel.

0:20:110:20:15

-Wow...

-Can I have the curved clamp for me, please?

0:20:150:20:19

Cool! Oh, wow!

0:20:190:20:22

The surgeon, Mr Saeed,

0:20:230:20:25

carefully removes the growth from the patient's womb.

0:20:250:20:28

Is this considered a large fibroid or normal?

0:20:310:20:34

It is fairly large, yes.

0:20:340:20:37

Now we are in business, yes.

0:20:370:20:39

Is there usually this much oozing and bleeding?

0:20:410:20:44

We keep it draining.

0:20:440:20:46

I'm happy. What do you think?

0:20:460:20:49

-Yeah, it looks good.

-Do you want to come here and help?

0:20:490:20:51

Osama's been practising his stitching at home,

0:20:510:20:55

but now he's getting the chance to do it for real

0:20:550:20:58

for the very first time.

0:20:580:20:59

Here?

0:20:590:21:01

Oh, along here.

0:21:010:21:03

Happy that your instruments, swabs, sharps are all correct?

0:21:050:21:07

I am, thank you.

0:21:070:21:09

Yeah, oh, that was awesome. There was a lot of blood. I mean,

0:21:090:21:13

I was actually a squeamish person before - quite hard to believe -

0:21:130:21:16

but now, not any more. I feel like a hardened vampire.

0:21:160:21:20

It's just amazing getting experience with such an experienced surgeon.

0:21:220:21:25

This is the kind of thing we study in medical school,

0:21:250:21:28

and to see it in real life, and so big, as well,

0:21:280:21:31

and to actually feel it and take it out, was just awesome.

0:21:310:21:34

It also makes you feel really hungry. I'm really hungry right now.

0:21:340:21:37

On the respiratory ward, one of the patients has passed away,

0:21:460:21:50

and for the first time, 23-year-old Anna has to confirm a death.

0:21:500:21:55

So, do you know what you're looking for when you're trying to assess?

0:21:550:21:58

So, you'd look at pupil responses...

0:21:580:22:01

Yeah.

0:22:010:22:02

..feel the pulse, listen for breath sounds and heart sounds.

0:22:020:22:05

Do you listen all over the chest or just...?

0:22:050:22:08

-Just two places, yeah.

-OK. OK. I'll do that.

0:22:080:22:12

This will soon become a routine part of the job,

0:22:130:22:16

but it's a daunting task for any young doctor.

0:22:160:22:19

A little bit nervous, but...

0:22:190:22:22

..I'll just take my time with it.

0:22:220:22:24

Anna must make sure there is no trace of life

0:22:320:22:34

before signing the death certificate.

0:22:340:22:37

First, she checks for a heartbeat...

0:22:370:22:39

If you're still alive, you can still kind of have a weak pulse

0:22:390:22:42

in your hand, so it's better to feel in the neck,

0:22:420:22:45

cos that should always be there, really.

0:22:450:22:48

..and then double-checks.

0:22:490:22:51

Sometimes you're thrown in right at the deep end in medicine.

0:23:040:23:07

And it's quite an important job, really,

0:23:070:23:09

to make sure that someone is actually dead.

0:23:090:23:13

Sometimes you think, 'I can't believe they leave it to you,

0:23:130:23:16

'who's never actually done it before,'

0:23:160:23:18

but I'm glad that I've actually done one now and feel proud of myself.

0:23:180:23:22

Hello!

0:23:240:23:26

How was your day, Socks?

0:23:300:23:32

I saw a dead body today, Socks.

0:23:320:23:34

In Obs and Gynae, Osama checks up on mum-of-three Mrs Bowen,

0:23:370:23:41

following her surgery.

0:23:410:23:43

Hi, Suzanne, how you feeling? You're not in any pain, are you?

0:23:430:23:46

Um, no, it's being controlled.

0:23:460:23:48

-OK.

-It was a little bit painful when I first got out of bed.

0:23:480:23:52

Yeah. The fibroid was actually very big.

0:23:520:23:54

It was probably... Do you want me to show you how big it was...

0:23:540:23:57

-Yeah.

-..in terms of...? Essentially, it was probably this size.

0:23:570:24:01

-Yeah.

-I would compare it to pregnancy, to be honest,

0:24:010:24:04

that's how big the mass was. It's probably the biggest one I've seen.

0:24:040:24:07

-Wow!

-But I've got a very small career!

-Yes!

0:24:070:24:11

Seeing the patient after, doing well, recovering,

0:24:120:24:16

I can't describe what feeling it gives you.

0:24:160:24:18

That's what I love about surgery. They come in, have the operation,

0:24:180:24:22

then a few weeks later down the line,

0:24:220:24:25

their quality of life improves significantly.

0:24:250:24:27

This has been an invaluable experience. I'll never forget it.

0:24:270:24:30

It's 8pm, and while his mates are hitting the town, over at

0:24:310:24:34

the hospital, Emeka's 12-hour shift is just beginning.

0:24:340:24:38

He's facing one of the biggest challenges for any junior doctor,

0:24:380:24:41

-working nights.

-Can I just give you these?

0:24:410:24:44

-Yes.

-5002 has just bleeped, literally two minutes ago.

0:24:440:24:50

24-year-old Emeka is on call across five surgical wards

0:24:500:24:53

and is responsible for over 120 patients.

0:24:530:24:56

He has the added responsibility of carrying the crash bleep.

0:24:560:24:59

With this bad boy, you can never really predict what happens, so...

0:24:590:25:03

-..just going to have to wait and see.

-This means he could be called

0:25:030:25:05

for backup if any patients in the hospital go into cardiac arrest.

0:25:050:25:09

Let's crack on.

0:25:090:25:12

It's a quiet start to the shift.

0:25:120:25:14

I'm just sorting all the drug charts,

0:25:150:25:17

chasing up the bloods I need to on this ward.

0:25:170:25:19

There are a few things that was handed over.

0:25:190:25:21

HE YAWNS

0:25:220:25:24

Staying alert during the night shift

0:25:330:25:35

is a challenge for any junior doctor,

0:25:350:25:37

but Emeka has his own way of fighting fatigue.

0:25:370:25:41

There's a squat, and then there's a deep squat.

0:25:410:25:43

WOMAN LAUGHS

0:25:430:25:45

-Oh, my life!

-SHE LAUGHS

0:25:470:25:50

I think dancing keeps me going on these night shifts.

0:25:520:25:55

Sometimes when it's 4:30 and you're trying to keep awake,

0:25:550:25:59

just shake it, give a little salsa,

0:25:590:26:02

keep going. The nurses seem to like it,

0:26:020:26:05

seem to like the moves a little bit! So, yeah, it's a winner.

0:26:050:26:08

It's not long before Emeka's medical training is put to the test.

0:26:100:26:14

PAGER BLEEPS

0:26:140:26:15

Hello, hi, sorry.

0:26:210:26:23

A patient has gone into cardiac arrest on a nearby ward.

0:26:230:26:27

HE EXHALES

0:26:290:26:30

Does anyone who works here know what this man's premorbid state is?

0:26:370:26:41

Are you OK with compressions?

0:26:460:26:48

Are you OK there?

0:26:510:26:52

Emeka's job is to do CPR

0:26:520:26:54

to try and keep blood flowing around the body.

0:26:540:26:58

Second adrenaline.

0:27:020:27:03

Someone ready to take over from Emeka when he tires?

0:27:120:27:15

-Slow pulse.

-Is he making any respiratory effort?

0:27:330:27:37

Not really showing any signs?

0:27:420:27:44

Nothing, no. No sign of reaction at all.

0:27:440:27:48

-Yeah, I've lost the pulse.

-Lost the pulse.

0:27:520:27:55

Realistically, even if we find a potassium level,

0:27:550:27:59

we've been down for the best part of 20 minutes now.

0:27:590:28:01

And given that it's not reversible,

0:28:010:28:03

there's probably not going to be a huge amount we can do here,

0:28:030:28:06

and I think we probably don't restart compressions.

0:28:060:28:09

Does anyone disagree with that?

0:28:090:28:12

Everyone in agreement that we stop?

0:28:120:28:14

The team have done everything they can.

0:28:140:28:17

Do we know what kind of time we're expecting the family?

0:28:170:28:20

Yeah, they should be here soon.

0:28:200:28:22

-Thanks for your help.

-No worries.

0:28:310:28:34

It's tough for any junior doctor

0:28:340:28:36

to accept they can't save every patient.

0:28:360:28:39

One minute, you're having a good night, everything's going well,

0:28:390:28:42

you're completing all your jobs, even having a little shake-shake.

0:28:420:28:45

The next minute, you're trying to...

0:28:450:28:48

..clutch a man from the jaws of death.

0:28:490:28:51

I just really thought we could bring the patient back.

0:28:530:28:57

It's hard for any doctor to accept

0:28:570:28:58

they're going to lose their patients

0:28:580:29:01

or they can lose patients and not have any control over it.

0:29:010:29:04

Yeah. I don't like these, especially those kind of battles.

0:29:040:29:08

After an exhausting experience,

0:29:080:29:10

Emeka still has three hours left on shift.

0:29:100:29:13

HE EXHALES

0:29:130:29:14

Following a challenging first set of night shifts,

0:29:230:29:26

Emeka and Osama have a chance to unwind.

0:29:260:29:29

4, 5am there was an arrest on the ward above me, and I was like,

0:29:290:29:34

"This guy hadn't had oxygen for 30 minutes, we can't bring him back."

0:29:340:29:38

And it was just so sad. Mentally, it breaks you a little bit.

0:29:380:29:40

Yeah, bro, this is the thing. Do you think over time we'll start

0:29:400:29:43

getting used to that kind of scenario?

0:29:430:29:45

Because I struggle with it, as well, I'm not going to lie.

0:29:450:29:48

It is what it is. It's part of the job,

0:29:480:29:49

and we're going to have to deal with it, whether we like it or not.

0:29:490:29:52

Life's for living, that's what I say.

0:29:520:29:54

Tonight, let's dance, let's just have a good time.

0:29:540:29:57

Let's blow off steam, man. It's been a long week at work. Whoo!

0:29:570:29:59

The patient's there.

0:30:110:30:12

Swallow it, swallow it.

0:30:120:30:14

But I am confident.

0:30:140:30:16

Trust in me as a doctor.

0:30:160:30:18

I've just been told that the nurses are a bit worried

0:30:180:30:22

about 4-3, Gladys. She's 95.

0:30:220:30:24

The baby came out, and it's so fragile.

0:30:240:30:27

I'd like everyone to see childbirth.

0:30:270:30:29

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