0:00:04 > 0:00:07PHONE PINGS
0:00:09 > 0:00:11SIREN WAILS
0:00:19 > 0:00:23- Start CPR.- 30 seconds adrenaline. - Look at that.
0:00:23 > 0:00:27- Easy, sir, easy.- When did this become this bad?
0:00:27 > 0:00:31- One hospital...- Can I have a step, please?- ..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 > 0:00:37- I'm excited!- Little bit nervous. - VOMITING
0:00:37 > 0:00:40..working on the front line of medicine...
0:00:40 > 0:00:42- Do you want to have a chat? - MOANING
0:00:42 > 0:00:44- ..with all its blood...- I love a gory, bloody wound.
0:00:44 > 0:00:47- LAUGHTER ..sweat...- Try not to worry.
0:00:47 > 0:00:50- ..And tears.- Just feels like I'm surrounded by death at the moment.
0:00:50 > 0:00:54- The doctors of your future...- Can I ask what's brought you in today?
0:00:54 > 0:00:57- I slipped on my wedding dress. - ..facing life...
0:00:57 > 0:01:00- BABY CRIES - Then I got to hold the baby as well.
0:01:00 > 0:01:01- Lion King moment.- ..and death.
0:01:01 > 0:01:05- ALARM RINGS Have they got...- Stand back! - ..what it takes?
0:01:06 > 0:01:08ENERGETIC DANCE MUSIC PLAYS
0:01:23 > 0:01:28Wolverhampton - home to one of the largest teaching hospitals in the
0:01:28 > 0:01:31Black Country - New Cross Hospital.
0:01:34 > 0:01:38Across town, it's first-year junior doctor Anna's birthday.
0:01:46 > 0:01:49And today, her pilot boyfriend Frazer is treating her
0:01:49 > 0:01:51- to breakfast in bed.- Wow.
0:01:51 > 0:01:55# Happy birthday to you, happy birthday to you... #
0:01:55 > 0:01:57Yay!
0:01:57 > 0:02:00# Happy birthday, dear Anna, happy birthday to you. #
0:02:00 > 0:02:03- Look at that!- Happy birthday. - LAUGHTER
0:02:03 > 0:02:07Do you think I can use my birthday as an excuse to not do very much
0:02:07 > 0:02:10- work today?- No, I don't think so. - LAUGHTER
0:02:13 > 0:02:15I'm the only doctor in my family.
0:02:15 > 0:02:19My mum's a schoolteacher and my dad works in a market.
0:02:19 > 0:02:22I was always a bit of a science geek in school,
0:02:22 > 0:02:25so it kind of seemed like a natural career path.
0:02:25 > 0:02:29I remember doing cardiology and dissecting a frog's heart and thinking,
0:02:29 > 0:02:32"Yeah, this is amazing!" And I love it!
0:02:32 > 0:02:34Have a good day.
0:02:34 > 0:02:35Being a doctor is important to me.
0:02:35 > 0:02:40It's not just a kind of 9-5 job that you come home and forget about.
0:02:40 > 0:02:43I am a doctor, and that's a 24/7 thing, really.
0:02:43 > 0:02:47Anna is one of the youngest doctors at the hospital, and today,
0:02:47 > 0:02:49she'll be working on the respiratory ward.
0:02:52 > 0:02:54It is difficult, I suppose,
0:02:54 > 0:02:56cos being so young and at the start of my career,
0:02:56 > 0:03:01and then, you know, you're dealing very closely with patients who are
0:03:01 > 0:03:03old and dying and very ill.
0:03:06 > 0:03:08It can be really difficult.
0:03:12 > 0:03:14Happy birthday, Anna!
0:03:14 > 0:03:17It's my birthday.
0:03:17 > 0:03:20- Is it?- Yeah.- Oh, happy birthday, I didn't know.- Thank you.
0:03:20 > 0:03:22Over the past couple of weeks,
0:03:22 > 0:03:2524-year-old Anna has been part of the medical team responsible for the
0:03:25 > 0:03:28treatment of 95-year-old Gladys.
0:03:28 > 0:03:32I can't breathe, even when I'm eating, I can't breathe very well.
0:03:32 > 0:03:37- So, you've had infection on the lung.- Have I?- Yeah, it's going to affect your breathing.
0:03:37 > 0:03:40But it's going to take about six or seven weeks to recover from this.
0:03:40 > 0:03:42It's the beginning of her shift,
0:03:42 > 0:03:45and Anna gets an update on Gladys's condition.
0:03:45 > 0:03:48I've just been told that the nurses are a bit worried about 4/3,
0:03:48 > 0:03:51Gladys. Apparently they said they can't put their finger on it,
0:03:51 > 0:03:54- she just seems a bit off. - She didn't look great yesterday.
0:03:54 > 0:03:57She was saying she found it difficult to breathe.
0:03:57 > 0:03:59Her temperature was just a bit low, but otherwise...
0:03:59 > 0:04:03just don't know what's going on.
0:04:03 > 0:04:04Hi, Gladys, how are you?
0:04:04 > 0:04:07The nurses see the patient a lot longer than we do.
0:04:07 > 0:04:10They see them overnight, they see them all the time.
0:04:10 > 0:04:13We see patients for brief encounters throughout the day,
0:04:13 > 0:04:16and we make our judgment from that,
0:04:16 > 0:04:19but I think the judgment of the nurses is as important.
0:04:19 > 0:04:22For a junior doctor, it's really difficult to make that judgment,
0:04:22 > 0:04:25and I don't expect them to make that judgment,
0:04:25 > 0:04:27especially at Anna's level.
0:04:27 > 0:04:30I think it really is an important lesson that you learn after a few
0:04:30 > 0:04:34years, is that when a nurse tells you they're worried,
0:04:34 > 0:04:36you do get worried.
0:04:39 > 0:04:43Second-year junior doctor Jin is starting his first week in the
0:04:43 > 0:04:44emergency department.
0:04:50 > 0:04:53- COUGHING - That's quite a cough you've got there, haven't you?
0:04:53 > 0:04:5626-year-old Jin was born in South Korea.
0:04:58 > 0:05:01He left for London with his mum and dad when he was five years old.
0:05:01 > 0:05:05We moved to England because my dad had a calling to become a reverend
0:05:05 > 0:05:06here, to set up a Korean church for,
0:05:06 > 0:05:09you know, Korean people living in England.
0:05:09 > 0:05:12- I am always praying for you. - In his second year,
0:05:12 > 0:05:17Jin has already completed stints on clinical oncology and psychiatry.
0:05:19 > 0:05:25As a second-year doctor, it's more about the level of responsibility.
0:05:25 > 0:05:29So people, so the nurses and staff around you, will expect more from you.
0:05:29 > 0:05:32- Have you had a blood test since you've come in today?- No.- No blood tests at all?
0:05:32 > 0:05:34So when you get called to see an unwell patient,
0:05:34 > 0:05:36you're expected to know more things,
0:05:36 > 0:05:40you're expected to manage it in a more professional, more senior manner.
0:05:40 > 0:05:43So I've read through your information, so we don't need to repeat what's happened.
0:05:43 > 0:05:47You went to see the... I am repeating myself, aren't I?
0:05:47 > 0:05:49Not only does Jin hold a degree in medicine,
0:05:49 > 0:05:52but he also considers himself a master of comedy.
0:05:52 > 0:05:54So, I think I'm funny.
0:05:54 > 0:05:56I'm seeing a lot of young, female patients.
0:05:56 > 0:06:00- It's good! - HE CHUCKLES AND COUGHS
0:06:00 > 0:06:01LAUGHTER
0:06:01 > 0:06:06It's a joke, man. I'm not sure my friends might agree.
0:06:06 > 0:06:10With having a wry, sarcastic sense of humour,
0:06:10 > 0:06:13it's very good if used rightly for relieving tension and bringing
0:06:13 > 0:06:17that smile to people's faces every day in what can be at times a
0:06:17 > 0:06:18stressful NHS environment.
0:06:21 > 0:06:24So, one of the consultants just randomly grabbed me and said,
0:06:24 > 0:06:28"Have you done a nasogastric tube before?" I said, "No, I haven't had the opportunity.
0:06:28 > 0:06:31"I have seen them being done." So he said, "Come and do one and I'll supervise you."
0:06:31 > 0:06:34So I agreed to it, cos it's a great learning experience.
0:06:37 > 0:06:38Even in their second year,
0:06:38 > 0:06:41junior doctors will still encounter new procedures.
0:06:41 > 0:06:45Keep your head still, follow my finger with your eyes.
0:06:45 > 0:06:48This might unnerve some people, but not Jin.
0:06:48 > 0:06:51Good communication skill helps.
0:06:51 > 0:06:54Putting them at ease, acting confident when inside you,
0:06:54 > 0:06:57you're...you're panicking and you're not feeling good.
0:06:57 > 0:06:59But it's all about how you appear outside.
0:06:59 > 0:07:02With everything in life, isn't it, it's all about how you appear outside.
0:07:02 > 0:07:04You know.
0:07:04 > 0:07:05Huh?
0:07:06 > 0:07:07The patient's there.
0:07:09 > 0:07:12But I am confident.
0:07:12 > 0:07:15I am confident, very confident that...
0:07:18 > 0:07:20Trust in me as a doctor.
0:07:20 > 0:07:22And as a human being.
0:07:23 > 0:07:27Today, Jin will be assisting consultant Mr Manakatu.
0:07:27 > 0:07:29He's a bit like flying Superman.
0:07:29 > 0:07:32He jumps from one place to another and you can't find him.
0:07:33 > 0:07:35Mr Manakatu, is he around?
0:07:35 > 0:07:37He going to fly back here any time, or...?
0:07:37 > 0:07:41I've got other patients to see and stuff, I can't hang around forever.
0:07:44 > 0:07:45But don't, like...
0:07:45 > 0:07:48don't, you know, don't say anything to him, just, like, just casually...
0:07:48 > 0:07:51"Oh, hi, Mr Manakatu."
0:07:51 > 0:07:52Ooh!
0:07:52 > 0:07:54- Thank you, thank you.- Jesus! - LAUGHTER
0:07:57 > 0:08:00- Are we ready?- Yeah, yes, man. Well, not... Well...
0:08:04 > 0:08:06- Hi.- Hello..
0:08:16 > 0:08:21On respiratory, there's no slowing down for birthday girl Anna.
0:08:21 > 0:08:24- How busy are you?- I'm very busy today.
0:08:24 > 0:08:28Yeah, lots going on. Lots of scans to be done.
0:08:29 > 0:08:32Discharges that I haven't had a chance to look at yet.
0:08:32 > 0:08:35Yeah, still got lots to do.
0:08:35 > 0:08:37But we'll get there.
0:08:38 > 0:08:43- Hello, Gladys, how are you? - I'm just not very well.
0:08:43 > 0:08:46- OK.- And on top of all of this, I'm really worried about Gladys.
0:08:46 > 0:08:50So it's just a bit of a mental day so far.
0:08:50 > 0:08:53- Are you cold? It seems...- I am cold.
0:08:53 > 0:08:57Concerned with her rapidly deteriorating condition, Anna,
0:08:57 > 0:08:59along with the senior consultant,
0:08:59 > 0:09:02analyse Gladys' X-ray results.
0:09:02 > 0:09:04It's not looking good for her, to be honest.
0:09:04 > 0:09:07We've kind of been waiting for the next infection to take hold,
0:09:07 > 0:09:09because she's quite weak at the moment.
0:09:09 > 0:09:13She's got lots of oedema, so fluid build-up in her legs and arms.
0:09:13 > 0:09:16I think she's really struggling.
0:09:16 > 0:09:19She's usually so cheery and so lovely, and...
0:09:19 > 0:09:21it's a real shame.
0:09:25 > 0:09:29- Hello, there. Are you ready? - The emergency department.
0:09:29 > 0:09:32With the help and guidance of senior consultant, Mr Manakatu,
0:09:32 > 0:09:36junior doctor Jin is about to perform his first ever nasogastric
0:09:36 > 0:09:40- tube insert.- What you might want to do is flex his neck
0:09:40 > 0:09:43when you...as you push through.
0:09:43 > 0:09:45And you can actually ask him to swallow it himself.
0:09:45 > 0:09:48And sometimes they can just do that.
0:09:48 > 0:09:51So let's take it out. Do you want to help him out?
0:09:51 > 0:09:55Suddenly, Mr Manakatu is called away,
0:09:55 > 0:09:59leaving the young doctor with nurse Amajit to complete the procedure.
0:09:59 > 0:10:00So am I doing it and you're supervising me
0:10:00 > 0:10:02or is he coming back to supervise me?
0:10:02 > 0:10:04- What's the plan? - I think he's going now.
0:10:04 > 0:10:07OK, we can just do it. Are you all right, sir?
0:10:07 > 0:10:09We don't want to make you too uncomfortable, sir.
0:10:09 > 0:10:11Is that all right, sir?
0:10:11 > 0:10:13Whatever you can manage.
0:10:13 > 0:10:14Down, down a bit.
0:10:14 > 0:10:18- That's good.- When you feel it, try swallowing it,
0:10:18 > 0:10:20it will go down more easily.
0:10:20 > 0:10:22- Good.- Don't worry, sir.
0:10:22 > 0:10:25The key is to relax and not panic.
0:10:25 > 0:10:27Just swallow as much as you can, OK?
0:10:27 > 0:10:28- You ready?- Yeah.
0:10:28 > 0:10:30All right, sir.
0:10:33 > 0:10:35So, I can feel the blockage.
0:10:35 > 0:10:38- So we need a bit more pressure. - Bit more pressure.
0:10:38 > 0:10:40Do I tilt at an angle?
0:10:40 > 0:10:42No, just put pressure on.
0:10:42 > 0:10:45It doesn't seem to be going in.
0:10:45 > 0:10:46You all right, sir?
0:10:50 > 0:10:52That's not going to go.
0:10:52 > 0:10:53No.
0:10:55 > 0:10:56Oh.
0:10:56 > 0:10:58What did you do that I didn't do?
0:10:58 > 0:11:00- Just put extra...- I did.
0:11:00 > 0:11:01It's cool.
0:11:01 > 0:11:03It's a lady's touch, sir.
0:11:03 > 0:11:07It's a lady's touch. Keep swallowing.
0:11:07 > 0:11:10It's important that Jin inserts the tube correctly,
0:11:10 > 0:11:13otherwise it could get stuck in the patient's windpipe.
0:11:13 > 0:11:15Swallow, swallow, swallow, don't worry.
0:11:15 > 0:11:18Swallow, swallow, swallow.
0:11:18 > 0:11:19Can you get a bowl, please?
0:11:22 > 0:11:25Jin is struggling, but Mr Manakatu is on hand.
0:11:25 > 0:11:28So, how are we doing?
0:11:28 > 0:11:29I've managed to get it in up to here.
0:11:29 > 0:11:34OK, sometimes what happens is it tends to curl in the mouth.
0:11:34 > 0:11:37First thing is, bring it down so you can access.
0:11:37 > 0:11:39Going to gently lower this down, sir.
0:11:41 > 0:11:44So what we're going to do is work this together, OK?
0:11:44 > 0:11:47When I push it, it's already in, you just have to gently swallow it, OK,
0:11:47 > 0:11:50that way, you're not fighting it, OK, sir?
0:11:50 > 0:11:52Swallow for me, sir.
0:11:54 > 0:11:57That's it. That's gone in. That's fine.
0:11:57 > 0:12:00- See?- Ah, now you're getting the stomach contents.
0:12:00 > 0:12:02Swallow it a bit, sir.
0:12:03 > 0:12:06That was...easy.
0:12:06 > 0:12:08- Yeah.- Thank you, sir, all done.
0:12:08 > 0:12:11Thank you, sir, you'll feel better now.
0:12:11 > 0:12:12How did you find that procedure?
0:12:12 > 0:12:14It went in definitely in the right place,
0:12:14 > 0:12:17I could tell it wasn't in the trachea or bronchi,
0:12:17 > 0:12:19I could tell it was in the oesophagus, the way he was,
0:12:19 > 0:12:21the reflex with the swallowing.
0:12:21 > 0:12:25- Yeah.- But it was just reassuring the patient and going at the right pace.
0:12:25 > 0:12:27As long as you get the patient
0:12:27 > 0:12:30to be confident about you, then half the battle is won.
0:12:30 > 0:12:33- Thank you very much, Mr Manakatu. - No problem.
0:12:33 > 0:12:36Yeah, he's saying, "Good job, Jin," in two ways,
0:12:36 > 0:12:40one to encourage me, and two because maybe I didn't completely flop.
0:12:40 > 0:12:44So.. It's good, it's like you learn a new skill as a doctor and feel
0:12:44 > 0:12:46a bit more...
0:12:46 > 0:12:48A bit more competent!
0:12:50 > 0:12:5226-year-old Osama,
0:12:52 > 0:12:55originally from Baghdad but now living in Wolverhampton,
0:12:55 > 0:12:57is a first-year junior doctor
0:12:57 > 0:12:59working in obstetrics and gynaecology.
0:12:59 > 0:13:02Essentially, being the oldest in a Middle Eastern family,
0:13:02 > 0:13:05I didn't really have much choice in terms of what career path I could
0:13:05 > 0:13:08choose. My father's a doctor and my mum's a doctor.
0:13:08 > 0:13:09My cousin's a doctor.
0:13:09 > 0:13:11Everyone's got initials after their name.
0:13:14 > 0:13:18My biggest fear in obs and gynae and medicine in general is just dealing
0:13:18 > 0:13:20with people's private parts, essentially.
0:13:20 > 0:13:24Yeah, I don't want to mess in that area!
0:13:27 > 0:13:29Ahead of an important surgery,
0:13:29 > 0:13:32Osama is getting advice from some fellow junior doctors.
0:13:34 > 0:13:38So, guys, I'm assisting a C-section tomorrow, do you guys have any tips?
0:13:38 > 0:13:40- Have you done it before?- No. - Well, in this one,
0:13:40 > 0:13:42you're the second pair of hands for the surgeon.
0:13:42 > 0:13:45- Really?- There's only one assistant.
0:13:45 > 0:13:47- One assistant?- Which is you.
0:13:47 > 0:13:49How stinky is the whole thing?
0:13:49 > 0:13:51- No.- It's not, OK.
0:13:53 > 0:13:54When do they name the baby?
0:13:54 > 0:13:56Is it, like, right there? "What do you call this guy?"
0:13:56 > 0:13:58Depends on the family.
0:13:58 > 0:14:01And then the baby goes in, like, a baby bed, or something like that?
0:14:01 > 0:14:03- Wave it at the parents.- The baby goes away pretty swiftly.
0:14:03 > 0:14:06And how slippery is the baby?
0:14:06 > 0:14:07You don't really get to tell that.
0:14:07 > 0:14:09The midwife usually takes the baby away.
0:14:09 > 0:14:11How bad would it be if I dropped the baby?
0:14:11 > 0:14:13- You shouldn't!- Would it be bad?
0:14:13 > 0:14:15- I don't think that will happen. - Would that be a disaster?!
0:14:15 > 0:14:17Maybe don't touch the baby!
0:14:17 > 0:14:18OK, I won't touch the baby.
0:14:20 > 0:14:22Does the baby poop, as well?
0:14:22 > 0:14:25- I guess it could do.- You need to be careful if you hold the baby, and,
0:14:25 > 0:14:27like...
0:14:28 > 0:14:32That'd be a disaster. Basically, the take-home message is,
0:14:32 > 0:14:34- don't wear designer clothes tomorrow.- Yeah, don't.
0:14:34 > 0:14:36BABY CRIES
0:14:46 > 0:14:47Cor!
0:14:50 > 0:14:52What a long day!
0:14:54 > 0:14:58I don't know if it's been that long, it's just felt like it's been,
0:14:58 > 0:15:02I don't know, epic and busy and horrible.
0:15:02 > 0:15:04But now the celebrations start!
0:15:05 > 0:15:06After a long shift...
0:15:08 > 0:15:10..Anna is finally finished.
0:15:20 > 0:15:22And the celebrations can begin
0:15:22 > 0:15:25as she heads home to Wales with boyfriend Frazer.
0:15:25 > 0:15:27Right then, off we go.
0:15:27 > 0:15:30Do you want me to text your mum to say that we're leaving in a minute?
0:15:30 > 0:15:31Yep.
0:15:35 > 0:15:37You're off for your birthday now!
0:15:37 > 0:15:39Yay!
0:15:39 > 0:15:40Time to drive for four hours!
0:15:41 > 0:15:45Do you think this Chinese will be open at 11.30?
0:15:45 > 0:15:46Yeah, it will be.
0:15:49 > 0:15:53- Go in.- At last. Happy birthday!
0:15:53 > 0:15:55Oh, it's so nice to see you.
0:15:56 > 0:15:58I've waited all day for this!
0:15:59 > 0:16:02# Happy birthday to you
0:16:02 > 0:16:05# Happy birthday to you
0:16:05 > 0:16:09BOTH: # Happy birthday, dear Anna Happy birthday to you. #
0:16:09 > 0:16:12- Ah!- Yay!- Thank you.
0:16:13 > 0:16:16- So what sort of birthday have you had?- It's been a long day.
0:16:16 > 0:16:20- Has it?- Yeah, we had a really ill patient, as well.
0:16:20 > 0:16:21There are times where I think
0:16:21 > 0:16:24I don't think I've made the right decision here,
0:16:24 > 0:16:28and I hate it, it's a really hard job, you know. I think
0:16:28 > 0:16:32other people my age don't kind of take on these things like,
0:16:32 > 0:16:34you know, dying patients.
0:16:34 > 0:16:37But still, this is, you know, what you've worked for, isn't it?
0:16:37 > 0:16:39- Yes.- All those years.
0:16:39 > 0:16:40SHE LAUGHS
0:16:40 > 0:16:42Lucky me!
0:16:52 > 0:16:55It's a new day in Wolverhampton.
0:16:55 > 0:16:57While most junior doctors are still in bed,
0:16:57 > 0:17:02Osama has arrived early to prep for his big day.
0:17:02 > 0:17:05I'm assisting my first C-section,
0:17:05 > 0:17:07which I'm buzzing about, that's why I'm here so early.
0:17:12 > 0:17:14- There's no-one here. - It's 7.30,
0:17:14 > 0:17:16and before he enters surgery,
0:17:16 > 0:17:18Osama is taking a moment
0:17:18 > 0:17:20for some last-minute revision.
0:17:20 > 0:17:22Good baby names.
0:17:23 > 0:17:25Maybe my name will come up under this.
0:17:25 > 0:17:28So, top five baby names.
0:17:28 > 0:17:31Aidan, Jackson, Ethan,
0:17:31 > 0:17:34Liam, and Osama.
0:17:34 > 0:17:36No, I'm joking, not Osama.
0:17:36 > 0:17:38I have a feeling it got really popular
0:17:38 > 0:17:40up until 2001, for some reason,
0:17:40 > 0:17:42and then...it decreased in popularity.
0:17:45 > 0:17:47I'm a junior doctor, my day-to-day
0:17:47 > 0:17:50life involves death and suffering and this is the first time
0:17:50 > 0:17:54I'm actually involved with bringing a life into the world.
0:17:54 > 0:17:56I guess that's why I'm excited, but also nervous,
0:17:56 > 0:17:58because nothing can go wrong.
0:17:58 > 0:17:59Are you all set for today?
0:17:59 > 0:18:01Yeah, yeah.
0:18:01 > 0:18:03Before the procedure,
0:18:03 > 0:18:06Osama and Dr Goyal visit the patient, Victoria,
0:18:06 > 0:18:09and partner Ken to brief them on what to expect from the surgery.
0:18:09 > 0:18:11Hello! Are you OK?
0:18:11 > 0:18:14- Fine, thank you.- My name is Dr Goyal and this is...
0:18:14 > 0:18:15- Osama Hinds.- ..one of the doctors.
0:18:15 > 0:18:18- Osama.- And you know why you're having the operation?
0:18:18 > 0:18:20- Yes.- Just tell me, what's the reason for it?
0:18:20 > 0:18:23Because we've got twins that we had a caesarean with before,
0:18:23 > 0:18:24so we elected for one this time.
0:18:24 > 0:18:26And this time it's a single baby, right?
0:18:26 > 0:18:28- Yes.- OK, that's fine then.
0:18:28 > 0:18:32Right. So you have had the experience of the caesarean section,
0:18:32 > 0:18:36you must have been told what to expect in a caesarean section.
0:18:36 > 0:18:39And so most of the things are exactly the same, as it goes.
0:18:39 > 0:18:42Most of the time it works out absolutely fine and you can expect
0:18:42 > 0:18:44to go home in a couple of days' time.
0:18:44 > 0:18:47People generally think that C-section is just a minor procedure,
0:18:47 > 0:18:50but actually there's anaesthetic involved, there's a blade involved,
0:18:50 > 0:18:54there's a lot of cutting involved and suturing involved
0:18:54 > 0:18:56and there's also a baby involved,
0:18:56 > 0:18:59so like, there's two patients to deal with.
0:18:59 > 0:19:01So yeah, it's quite a serious operation,
0:19:01 > 0:19:03it's not something to take light-hearted.
0:19:22 > 0:19:26Across town, Jin has another urgent procedure to deal with -
0:19:26 > 0:19:28the weekly shop.
0:19:29 > 0:19:31My Korean food for the next shift.
0:19:31 > 0:19:34In A&E, I'm finding it harder to eat regularly.
0:19:34 > 0:19:36You only get a half-hour break for the entire shift.
0:19:36 > 0:19:38It's not 100% healthy,
0:19:38 > 0:19:41but I try my best, like I won't eat unhealthily every day.
0:19:41 > 0:19:43Hot dogs, yay!
0:19:49 > 0:19:51OK, I think I'm done,
0:19:51 > 0:19:54just a few more snacks and that's it.
0:19:54 > 0:19:56Snacks are the most important thing. Well, not the most,
0:19:56 > 0:19:59but it's really important, cos I have a sweet tooth.
0:20:00 > 0:20:01I need it. I'm addicted.
0:20:05 > 0:20:06For the ward.
0:20:17 > 0:20:19At New Cross Hospital,
0:20:19 > 0:20:21back from her trip home to Wales...
0:20:22 > 0:20:25..Anna is on the respiratory award.
0:20:27 > 0:20:29During the morning meeting,
0:20:29 > 0:20:32Anna gets an update regarding Gladys's condition.
0:20:34 > 0:20:37Sadly, it's not good news.
0:20:37 > 0:20:40So, Gladys has actually passed away,
0:20:40 > 0:20:41she died in her sleep.
0:20:42 > 0:20:45Which is sad, but I think it's a relief really,
0:20:45 > 0:20:47for us and for her family,
0:20:47 > 0:20:51cos they've been in and out so many times and had so many ups and downs
0:20:51 > 0:20:54that I'm relieved for them it's finally happened
0:20:54 > 0:20:56and she's comfortable. So...
0:20:57 > 0:20:59It's still sad.
0:20:59 > 0:21:02Being the junior doctor on duty, it's 24-year-old Anna's job
0:21:02 > 0:21:05to fill out the documents to verify
0:21:05 > 0:21:08Gladys's death and record the official cause.
0:21:12 > 0:21:13OK.
0:21:18 > 0:21:22I think maybe I was glad it was me that did the verification.
0:21:22 > 0:21:24I think it just holds a bit more gravity
0:21:24 > 0:21:26when it's someone that you know
0:21:26 > 0:21:30and you know what's happened to them and why they died.
0:21:31 > 0:21:34It was more poignant verifying Gladys's death, you know,
0:21:34 > 0:21:36just that first moment when I saw her
0:21:36 > 0:21:38and thought, "Oh, it is actually Gladys."
0:21:38 > 0:21:40Yeah, it's sad.
0:21:45 > 0:21:48As a doctor, you see people dying all the time
0:21:48 > 0:21:50and although you have huge empathy
0:21:50 > 0:21:51and that's how you deal with
0:21:51 > 0:21:53patients and with families,
0:21:53 > 0:21:55you forget that junior doctors
0:21:55 > 0:21:57have only been seeing this for a very short period.
0:21:57 > 0:22:00Dealing with death is a daily occurrence
0:22:00 > 0:22:04for junior doctors - however, this particular case has hit Anna hard.
0:22:04 > 0:22:07Her family always reminded me of my own,
0:22:07 > 0:22:11cos she's always visited by her daughter and granddaughter
0:22:11 > 0:22:15and it reminded me of my mum and my own grandmother
0:22:15 > 0:22:18cos we were all really close before my grandmother died.
0:22:19 > 0:22:22They do remind me a bit of my family.
0:22:40 > 0:22:42On obs and gynae,
0:22:42 > 0:22:46Osama is getting ready to assist on his first ever C-section surgery.
0:22:49 > 0:22:52Thank you, goodbye! Thanks for the tips yesterday.
0:22:57 > 0:23:00Osama will have to get over his fear of private parts
0:23:00 > 0:23:05if he's going to successfully bring new life into the world today.
0:23:06 > 0:23:08I wonder if it's going to have a full head of hair,
0:23:08 > 0:23:10cos I saw a baby just then with a full head of hair.
0:23:10 > 0:23:12I was like, wow!
0:23:12 > 0:23:15My bet's on that I think he'll have a full head of hair.
0:23:15 > 0:23:17Maybe I should have brought gel with me,
0:23:17 > 0:23:19we should gel the baby's hair.
0:23:19 > 0:23:21Fashionable short, back and sides.
0:23:33 > 0:23:34Showtime.
0:23:44 > 0:23:46Getting hands on in surgery
0:23:46 > 0:23:49is how junior doctors better understand anatomy
0:23:49 > 0:23:52and learn new procedures.
0:23:53 > 0:23:56You're coming to a layer, what's that one called?
0:23:56 > 0:23:58- That one?- Maybe the...
0:23:58 > 0:23:59..external oblique?
0:23:59 > 0:24:01Make another guess.
0:24:01 > 0:24:04- The fascia.- The rectus sheath. - Oh, right, OK. Sure.
0:24:10 > 0:24:13So, this step is to create as much space as possible.
0:24:13 > 0:24:15Yeah. He wants to come out!
0:24:16 > 0:24:18Scissors, please.
0:24:20 > 0:24:23- Is this the bladder?- Yeah. That's right.
0:24:23 > 0:24:26Move it towards your side.
0:24:26 > 0:24:27- My side? Got it.- That's right.
0:24:30 > 0:24:33Come in the middle and apply the pressure.
0:24:33 > 0:24:34- Yep.- Thank you.
0:24:34 > 0:24:36OK, so there's the baby...
0:24:36 > 0:24:38..and the baby is crying!
0:24:38 > 0:24:40OK, there's the baby.
0:24:40 > 0:24:42- Ah!- Show it to the mum.
0:24:42 > 0:24:44- Wow! - BABY CRIES
0:24:47 > 0:24:48Hello!
0:24:49 > 0:24:51- He wants to hug you.- Wow!
0:25:00 > 0:25:03Mum and Dad are given their bouncing baby boy.
0:25:04 > 0:25:08Words can't describe that, to be honest, that was really good.
0:25:08 > 0:25:11The baby was just so cool!
0:25:11 > 0:25:12Um...
0:25:12 > 0:25:15I literally can't think of the word to describe that.
0:25:15 > 0:25:18I think, like, how precious life was,
0:25:18 > 0:25:20I don't know if people realise it.
0:25:20 > 0:25:24I advise everyone to see childbirth because it's just incredible,
0:25:24 > 0:25:27the way the baby came out and it's so fragile...
0:25:27 > 0:25:30Everyone should see it, for sure.
0:25:30 > 0:25:31I think if people saw it,
0:25:31 > 0:25:34we probably wouldn't have wars or homicide or genocide,
0:25:34 > 0:25:37stuff like that, because it's just so...
0:25:37 > 0:25:38It's just, wow!
0:25:38 > 0:25:40I'm so happy that I got to experience that.
0:25:43 > 0:25:47On the respiratory ward, Anna has received a message.
0:25:48 > 0:25:52So sweet, it's a thank-you card from Gladys's family
0:25:52 > 0:25:55to say thanks for the care we've given them,
0:25:55 > 0:25:58which says, "A special thanks to Sharon, Cath and Anna
0:25:58 > 0:26:01"for all your kindness and thoughts." That's so sweet.
0:26:02 > 0:26:05It's kind of bittersweet, cos you kind of have a thank-you card
0:26:05 > 0:26:07even though she's died.
0:26:07 > 0:26:10It's just really nice - it's times like this I think
0:26:10 > 0:26:12when it makes the job worthwhile.
0:26:14 > 0:26:16It's really nice to actually feel like, yeah,
0:26:16 > 0:26:18I'm appreciated as a junior doctor.
0:26:18 > 0:26:20It will probably be painful,
0:26:20 > 0:26:22it's not the most pleasant thing to have,
0:26:22 > 0:26:25but it will be very quick, I promise.
0:26:25 > 0:26:27It doesn't matter how old the patient is,
0:26:27 > 0:26:29it's what they mean to you, really.
0:26:29 > 0:26:32I think it just makes me think when I see patients now,
0:26:32 > 0:26:34it makes you just think a bit more
0:26:34 > 0:26:36about making sure the patient's comfortable,
0:26:36 > 0:26:38cos that's what we all want for our families.
0:26:38 > 0:26:40Thank you very much.
0:26:47 > 0:26:51Having successfully assisted on his first C-section delivery,
0:26:51 > 0:26:56Osama is being guided through the suturing procedure by Dr Goyal.
0:26:56 > 0:27:00My job was to cut the right places and also to hold the instruments...
0:27:01 > 0:27:04..and I also got to apply some fundal pressure
0:27:04 > 0:27:07at the top, so the baby could come out easier, so that was so cool,
0:27:07 > 0:27:10and then I got to hold the baby as well, which was a Lion King moment.
0:27:10 > 0:27:12It felt so good!
0:27:15 > 0:27:16I got to hold the baby
0:27:16 > 0:27:18before the parents even got to hold the baby, so...
0:27:19 > 0:27:22..I'm basically part of the family, now!
0:27:23 > 0:27:26Pleased with his performance today,
0:27:26 > 0:27:27Osama calls his mum...
0:27:30 > 0:27:32- Hello?- Hello, hello, Mama.
0:27:32 > 0:27:35- Hello, Osama - how are you? - Good, thank you.
0:27:35 > 0:27:37..also a gynaecologist.
0:27:37 > 0:27:39Mum, I just finished a C-section list.
0:27:39 > 0:27:41Oh, well done.
0:27:41 > 0:27:45- It went really well, actually. - Well done, Osama, well done.
0:27:45 > 0:27:48You will be a very good surgeon, well done.
0:27:48 > 0:27:50- Oh, thank you, Mum. - I'm very proud of you.
0:27:50 > 0:27:51Oh, thank you.
0:27:56 > 0:27:59With the seal of approval from Mum...
0:28:00 > 0:28:01It's cos I had no warm-up.
0:28:06 > 0:28:10..Osama meets with fellow junior doctor Emeka to shoot the breeze...
0:28:11 > 0:28:13..and some hoops.
0:28:15 > 0:28:17It feels so good leaving the hospital.
0:28:17 > 0:28:21It's like the smell of hospitals, you know, that chloride smell.
0:28:21 > 0:28:23Oh, gosh, just the fresh air here.
0:28:23 > 0:28:25How are you getting on with obs and gynae and whatnot?
0:28:25 > 0:28:28Yeah, bro, it's actually been really good. I'm learning a lot as well,
0:28:28 > 0:28:30I'm getting a lot of surgery experience.
0:28:30 > 0:28:31Exactly, you get loads of theatre time.
0:28:31 > 0:28:34- Which is sick.- Which is good. - One more quick game?
0:28:34 > 0:28:36- All right, let's do it, bro. - All right, let's go.
0:28:41 > 0:28:43- Yay! - Killed it.
0:28:48 > 0:28:50Oh, that IS broken, dearie me.
0:28:50 > 0:28:53- It's going to be the painful bit now.- Ow!
0:28:53 > 0:28:54Bones!
0:28:54 > 0:28:56So you drink, yeah?
0:28:56 > 0:28:59And then you feel unsteady and you fall, is that right?
0:28:59 > 0:29:00No.
0:29:00 > 0:29:02INDISTINCT
0:29:02 > 0:29:04Worst case scenario is the patient arrests in front of me.
0:29:04 > 0:29:06I love a gory, bloody wound.
0:29:06 > 0:29:08Yes! It's the best.