Episode 2 Junior Doctors: Blood, Sweat and Tears


Episode 2

Documentary series following the lives of seven newly qualified junior doctors. First-year doctor Anna starts a busy day on the respiratory ward.


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Transcript


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PHONE PINGS

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SIREN WAILS

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-Start CPR.

-30 seconds adrenaline.

-Look at that.

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-Easy, sir, easy.

-When did this become this bad?

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-One hospital...

-Can I have a step, please?

-..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.

-VOMITING

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

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-Do you want to have a chat?

-MOANING

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-..with all its blood...

-I love a gory, bloody wound.

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-LAUGHTER ..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...

-Can I ask what's brought you in today?

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-I slipped on my wedding dress.

-..facing life...

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-BABY CRIES

-Then I got to hold the baby as well.

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-Lion King moment.

-..and death.

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-ALARM RINGS Have they got...

-Stand back!

-..what it takes?

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ENERGETIC DANCE MUSIC PLAYS

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Wolverhampton - home to one of the largest teaching hospitals in the

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Black Country - New Cross Hospital.

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Across town, it's first-year junior doctor Anna's birthday.

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And today, her pilot boyfriend Frazer is treating her

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-to breakfast in bed.

-Wow.

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# Happy birthday to you, happy birthday to you... #

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Yay!

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# Happy birthday, dear Anna, happy birthday to you. #

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-Look at that!

-Happy birthday.

-LAUGHTER

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Do you think I can use my birthday as an excuse to not do very much

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-work today?

-No, I don't think so.

-LAUGHTER

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I'm the only doctor in my family.

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My mum's a schoolteacher and my dad works in a market.

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I was always a bit of a science geek in school,

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so it kind of seemed like a natural career path.

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I remember doing cardiology and dissecting a frog's heart and thinking,

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"Yeah, this is amazing!" And I love it!

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Have a good day.

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Being a doctor is important to me.

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It's not just a kind of 9-5 job that you come home and forget about.

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I am a doctor, and that's a 24/7 thing, really.

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Anna is one of the youngest doctors at the hospital, and today,

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she'll be working on the respiratory ward.

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It is difficult, I suppose,

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cos being so young and at the start of my career,

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and then, you know, you're dealing very closely with patients who are

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old and dying and very ill.

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It can be really difficult.

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Happy birthday, Anna!

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It's my birthday.

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-Is it?

-Yeah.

-Oh, happy birthday, I didn't know.

-Thank you.

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Over the past couple of weeks,

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24-year-old Anna has been part of the medical team responsible for the

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treatment of 95-year-old Gladys.

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I can't breathe, even when I'm eating, I can't breathe very well.

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-So, you've had infection on the lung.

-Have I?

-Yeah, it's going to affect your breathing.

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But it's going to take about six or seven weeks to recover from this.

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It's the beginning of her shift,

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and Anna gets an update on Gladys's condition.

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I've just been told that the nurses are a bit worried about 4/3,

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Gladys. Apparently they said they can't put their finger on it,

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-she just seems a bit off.

-She didn't look great yesterday.

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She was saying she found it difficult to breathe.

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Her temperature was just a bit low, but otherwise...

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just don't know what's going on.

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Hi, Gladys, how are you?

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The nurses see the patient a lot longer than we do.

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They see them overnight, they see them all the time.

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We see patients for brief encounters throughout the day,

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and we make our judgment from that,

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but I think the judgment of the nurses is as important.

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For a junior doctor, it's really difficult to make that judgment,

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and I don't expect them to make that judgment,

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especially at Anna's level.

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I think it really is an important lesson that you learn after a few

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years, is that when a nurse tells you they're worried,

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you do get worried.

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Second-year junior doctor Jin is starting his first week in the

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emergency department.

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-COUGHING

-That's quite a cough you've got there, haven't you?

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26-year-old Jin was born in South Korea.

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He left for London with his mum and dad when he was five years old.

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We moved to England because my dad had a calling to become a reverend

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here, to set up a Korean church for,

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you know, Korean people living in England.

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-I am always praying for you.

-In his second year,

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Jin has already completed stints on clinical oncology and psychiatry.

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As a second-year doctor, it's more about the level of responsibility.

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So people, so the nurses and staff around you, will expect more from you.

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-Have you had a blood test since you've come in today?

-No.

-No blood tests at all?

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So when you get called to see an unwell patient,

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you're expected to know more things,

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you're expected to manage it in a more professional, more senior manner.

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So I've read through your information, so we don't need to repeat what's happened.

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You went to see the... I am repeating myself, aren't I?

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Not only does Jin hold a degree in medicine,

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but he also considers himself a master of comedy.

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So, I think I'm funny.

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I'm seeing a lot of young, female patients.

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-It's good!

-HE CHUCKLES AND COUGHS

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LAUGHTER

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It's a joke, man. I'm not sure my friends might agree.

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With having a wry, sarcastic sense of humour,

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it's very good if used rightly for relieving tension and bringing

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that smile to people's faces every day in what can be at times a

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stressful NHS environment.

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So, one of the consultants just randomly grabbed me and said,

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"Have you done a nasogastric tube before?" I said, "No, I haven't had the opportunity.

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"I have seen them being done." So he said, "Come and do one and I'll supervise you."

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So I agreed to it, cos it's a great learning experience.

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Even in their second year,

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junior doctors will still encounter new procedures.

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Keep your head still, follow my finger with your eyes.

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This might unnerve some people, but not Jin.

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Good communication skill helps.

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Putting them at ease, acting confident when inside you,

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you're...you're panicking and you're not feeling good.

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But it's all about how you appear outside.

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With everything in life, isn't it, it's all about how you appear outside.

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You know.

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Huh?

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The patient's there.

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But I am confident.

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I am confident, very confident that...

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Trust in me as a doctor.

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And as a human being.

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Today, Jin will be assisting consultant Mr Manakatu.

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He's a bit like flying Superman.

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He jumps from one place to another and you can't find him.

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Mr Manakatu, is he around?

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He going to fly back here any time, or...?

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I've got other patients to see and stuff, I can't hang around forever.

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But don't, like...

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don't, you know, don't say anything to him, just, like, just casually...

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"Oh, hi, Mr Manakatu."

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Ooh!

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-Thank you, thank you.

-Jesus!

-LAUGHTER

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-Are we ready?

-Yeah, yes, man. Well, not... Well...

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-Hi.

-Hello..

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On respiratory, there's no slowing down for birthday girl Anna.

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-How busy are you?

-I'm very busy today.

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Yeah, lots going on. Lots of scans to be done.

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Discharges that I haven't had a chance to look at yet.

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Yeah, still got lots to do.

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But we'll get there.

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-Hello, Gladys, how are you?

-I'm just not very well.

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-OK.

-And on top of all of this, I'm really worried about Gladys.

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So it's just a bit of a mental day so far.

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-Are you cold? It seems...

-I am cold.

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Concerned with her rapidly deteriorating condition, Anna,

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along with the senior consultant,

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analyse Gladys' X-ray results.

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It's not looking good for her, to be honest.

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We've kind of been waiting for the next infection to take hold,

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because she's quite weak at the moment.

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She's got lots of oedema, so fluid build-up in her legs and arms.

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I think she's really struggling.

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She's usually so cheery and so lovely, and...

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it's a real shame.

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-Hello, there. Are you ready?

-The emergency department.

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With the help and guidance of senior consultant, Mr Manakatu,

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junior doctor Jin is about to perform his first ever nasogastric

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-tube insert.

-What you might want to do is flex his neck

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when you...as you push through.

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And you can actually ask him to swallow it himself.

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And sometimes they can just do that.

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So let's take it out. Do you want to help him out?

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Suddenly, Mr Manakatu is called away,

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leaving the young doctor with nurse Amajit to complete the procedure.

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So am I doing it and you're supervising me

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or is he coming back to supervise me?

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-What's the plan?

-I think he's going now.

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OK, we can just do it. Are you all right, sir?

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We don't want to make you too uncomfortable, sir.

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Is that all right, sir?

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Whatever you can manage.

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Down, down a bit.

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-That's good.

-When you feel it, try swallowing it,

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it will go down more easily.

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-Good.

-Don't worry, sir.

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The key is to relax and not panic.

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Just swallow as much as you can, OK?

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-You ready?

-Yeah.

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All right, sir.

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So, I can feel the blockage.

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-So we need a bit more pressure.

-Bit more pressure.

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Do I tilt at an angle?

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No, just put pressure on.

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It doesn't seem to be going in.

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You all right, sir?

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That's not going to go.

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No.

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Oh.

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What did you do that I didn't do?

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-Just put extra...

-I did.

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It's cool.

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It's a lady's touch, sir.

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It's a lady's touch. Keep swallowing.

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It's important that Jin inserts the tube correctly,

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otherwise it could get stuck in the patient's windpipe.

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Swallow, swallow, swallow, don't worry.

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Swallow, swallow, swallow.

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Can you get a bowl, please?

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Jin is struggling, but Mr Manakatu is on hand.

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So, how are we doing?

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I've managed to get it in up to here.

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OK, sometimes what happens is it tends to curl in the mouth.

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First thing is, bring it down so you can access.

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Going to gently lower this down, sir.

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So what we're going to do is work this together, OK?

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When I push it, it's already in, you just have to gently swallow it, OK,

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that way, you're not fighting it, OK, sir?

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Swallow for me, sir.

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That's it. That's gone in. That's fine.

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-See?

-Ah, now you're getting the stomach contents.

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Swallow it a bit, sir.

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That was...easy.

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-Yeah.

-Thank you, sir, all done.

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Thank you, sir, you'll feel better now.

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How did you find that procedure?

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It went in definitely in the right place,

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I could tell it wasn't in the trachea or bronchi,

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I could tell it was in the oesophagus, the way he was,

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the reflex with the swallowing.

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-Yeah.

-But it was just reassuring the patient and going at the right pace.

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As long as you get the patient

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to be confident about you, then half the battle is won.

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-Thank you very much, Mr Manakatu.

-No problem.

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Yeah, he's saying, "Good job, Jin," in two ways,

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one to encourage me, and two because maybe I didn't completely flop.

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So.. It's good, it's like you learn a new skill as a doctor and feel

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a bit more...

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A bit more competent!

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26-year-old Osama,

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originally from Baghdad but now living in Wolverhampton,

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is a first-year junior doctor

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working in obstetrics and gynaecology.

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Essentially, being the oldest in a Middle Eastern family,

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I didn't really have much choice in terms of what career path I could

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choose. My father's a doctor and my mum's a doctor.

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My cousin's a doctor.

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Everyone's got initials after their name.

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My biggest fear in obs and gynae and medicine in general is just dealing

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with people's private parts, essentially.

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Yeah, I don't want to mess in that area!

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Ahead of an important surgery,

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Osama is getting advice from some fellow junior doctors.

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So, guys, I'm assisting a C-section tomorrow, do you guys have any tips?

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-Have you done it before?

-No.

-Well, in this one,

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you're the second pair of hands for the surgeon.

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-Really?

-There's only one assistant.

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-One assistant?

-Which is you.

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How stinky is the whole thing?

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-No.

-It's not, OK.

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When do they name the baby?

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Is it, like, right there? "What do you call this guy?"

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Depends on the family.

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And then the baby goes in, like, a baby bed, or something like that?

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-Wave it at the parents.

-The baby goes away pretty swiftly.

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And how slippery is the baby?

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You don't really get to tell that.

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The midwife usually takes the baby away.

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How bad would it be if I dropped the baby?

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-You shouldn't!

-Would it be bad?

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-I don't think that will happen.

-Would that be a disaster?!

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Maybe don't touch the baby!

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OK, I won't touch the baby.

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Does the baby poop, as well?

0:14:200:14:22

-I guess it could do.

-You need to be careful if you hold the baby, and,

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like...

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That'd be a disaster. Basically, the take-home message is,

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-don't wear designer clothes tomorrow.

-Yeah, don't.

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BABY CRIES

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Cor!

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What a long day!

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I don't know if it's been that long, it's just felt like it's been,

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I don't know, epic and busy and horrible.

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But now the celebrations start!

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After a long shift...

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..Anna is finally finished.

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And the celebrations can begin

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as she heads home to Wales with boyfriend Frazer.

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Right then, off we go.

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Do you want me to text your mum to say that we're leaving in a minute?

0:15:270:15:30

Yep.

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You're off for your birthday now!

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Yay!

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Time to drive for four hours!

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Do you think this Chinese will be open at 11.30?

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Yeah, it will be.

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-Go in.

-At last. Happy birthday!

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Oh, it's so nice to see you.

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I've waited all day for this!

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# Happy birthday to you

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# Happy birthday to you

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BOTH: # Happy birthday, dear Anna Happy birthday to you. #

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-Ah!

-Yay!

-Thank you.

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-So what sort of birthday have you had?

-It's been a long day.

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-Has it?

-Yeah, we had a really ill patient, as well.

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There are times where I think

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I don't think I've made the right decision here,

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and I hate it, it's a really hard job, you know. I think

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other people my age don't kind of take on these things like,

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you know, dying patients.

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But still, this is, you know, what you've worked for, isn't it?

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-Yes.

-All those years.

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SHE LAUGHS

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Lucky me!

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It's a new day in Wolverhampton.

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While most junior doctors are still in bed,

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Osama has arrived early to prep for his big day.

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I'm assisting my first C-section,

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which I'm buzzing about, that's why I'm here so early.

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-There's no-one here.

-It's 7.30,

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and before he enters surgery,

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Osama is taking a moment

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for some last-minute revision.

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Good baby names.

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Maybe my name will come up under this.

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So, top five baby names.

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Aidan, Jackson, Ethan,

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Liam, and Osama.

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No, I'm joking, not Osama.

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I have a feeling it got really popular

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up until 2001, for some reason,

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and then...it decreased in popularity.

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I'm a junior doctor, my day-to-day

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life involves death and suffering and this is the first time

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I'm actually involved with bringing a life into the world.

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I guess that's why I'm excited, but also nervous,

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because nothing can go wrong.

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Are you all set for today?

0:17:580:17:59

Yeah, yeah.

0:17:590:18:01

Before the procedure,

0:18:010:18:03

Osama and Dr Goyal visit the patient, Victoria,

0:18:030:18:06

and partner Ken to brief them on what to expect from the surgery.

0:18:060:18:09

Hello! Are you OK?

0:18:090:18:11

-Fine, thank you.

-My name is Dr Goyal and this is...

0:18:110:18:14

-Osama Hinds.

-..one of the doctors.

0:18:140:18:15

-Osama.

-And you know why you're having the operation?

0:18:150:18:18

-Yes.

-Just tell me, what's the reason for it?

0:18:180:18:20

Because we've got twins that we had a caesarean with before,

0:18:200:18:23

so we elected for one this time.

0:18:230:18:24

And this time it's a single baby, right?

0:18:240:18:26

-Yes.

-OK, that's fine then.

0:18:260:18:28

Right. So you have had the experience of the caesarean section,

0:18:280:18:32

you must have been told what to expect in a caesarean section.

0:18:320:18:36

And so most of the things are exactly the same, as it goes.

0:18:360:18:39

Most of the time it works out absolutely fine and you can expect

0:18:390:18:42

to go home in a couple of days' time.

0:18:420:18:44

People generally think that C-section is just a minor procedure,

0:18:440:18:47

but actually there's anaesthetic involved, there's a blade involved,

0:18:470:18:50

there's a lot of cutting involved and suturing involved

0:18:500:18:54

and there's also a baby involved,

0:18:540:18:56

so like, there's two patients to deal with.

0:18:560:18:59

So yeah, it's quite a serious operation,

0:18:590:19:01

it's not something to take light-hearted.

0:19:010:19:03

Across town, Jin has another urgent procedure to deal with -

0:19:220:19:26

the weekly shop.

0:19:260:19:28

My Korean food for the next shift.

0:19:290:19:31

In A&E, I'm finding it harder to eat regularly.

0:19:310:19:34

You only get a half-hour break for the entire shift.

0:19:340:19:36

It's not 100% healthy,

0:19:360:19:38

but I try my best, like I won't eat unhealthily every day.

0:19:380:19:41

Hot dogs, yay!

0:19:410:19:43

OK, I think I'm done,

0:19:490:19:51

just a few more snacks and that's it.

0:19:510:19:54

Snacks are the most important thing. Well, not the most,

0:19:540:19:56

but it's really important, cos I have a sweet tooth.

0:19:560:19:59

I need it. I'm addicted.

0:20:000:20:01

For the ward.

0:20:050:20:06

At New Cross Hospital,

0:20:170:20:19

back from her trip home to Wales...

0:20:190:20:21

..Anna is on the respiratory award.

0:20:220:20:25

During the morning meeting,

0:20:270:20:29

Anna gets an update regarding Gladys's condition.

0:20:290:20:32

Sadly, it's not good news.

0:20:340:20:37

So, Gladys has actually passed away,

0:20:370:20:40

she died in her sleep.

0:20:400:20:41

Which is sad, but I think it's a relief really,

0:20:420:20:45

for us and for her family,

0:20:450:20:47

cos they've been in and out so many times and had so many ups and downs

0:20:470:20:51

that I'm relieved for them it's finally happened

0:20:510:20:54

and she's comfortable. So...

0:20:540:20:56

It's still sad.

0:20:570:20:59

Being the junior doctor on duty, it's 24-year-old Anna's job

0:20:590:21:02

to fill out the documents to verify

0:21:020:21:05

Gladys's death and record the official cause.

0:21:050:21:08

OK.

0:21:120:21:13

I think maybe I was glad it was me that did the verification.

0:21:180:21:22

I think it just holds a bit more gravity

0:21:220:21:24

when it's someone that you know

0:21:240:21:26

and you know what's happened to them and why they died.

0:21:260:21:30

It was more poignant verifying Gladys's death, you know,

0:21:310:21:34

just that first moment when I saw her

0:21:340:21:36

and thought, "Oh, it is actually Gladys."

0:21:360:21:38

Yeah, it's sad.

0:21:380:21:40

As a doctor, you see people dying all the time

0:21:450:21:48

and although you have huge empathy

0:21:480:21:50

and that's how you deal with

0:21:500:21:51

patients and with families,

0:21:510:21:53

you forget that junior doctors

0:21:530:21:55

have only been seeing this for a very short period.

0:21:550:21:57

Dealing with death is a daily occurrence

0:21:570:22:00

for junior doctors - however, this particular case has hit Anna hard.

0:22:000:22:04

Her family always reminded me of my own,

0:22:040:22:07

cos she's always visited by her daughter and granddaughter

0:22:070:22:11

and it reminded me of my mum and my own grandmother

0:22:110:22:15

cos we were all really close before my grandmother died.

0:22:150:22:18

They do remind me a bit of my family.

0:22:190:22:22

On obs and gynae,

0:22:400:22:42

Osama is getting ready to assist on his first ever C-section surgery.

0:22:420:22:46

Thank you, goodbye! Thanks for the tips yesterday.

0:22:490:22:52

Osama will have to get over his fear of private parts

0:22:570:23:00

if he's going to successfully bring new life into the world today.

0:23:000:23:05

I wonder if it's going to have a full head of hair,

0:23:060:23:08

cos I saw a baby just then with a full head of hair.

0:23:080:23:10

I was like, wow!

0:23:100:23:12

My bet's on that I think he'll have a full head of hair.

0:23:120:23:15

Maybe I should have brought gel with me,

0:23:150:23:17

we should gel the baby's hair.

0:23:170:23:19

Fashionable short, back and sides.

0:23:190:23:21

Showtime.

0:23:330:23:34

Getting hands on in surgery

0:23:440:23:46

is how junior doctors better understand anatomy

0:23:460:23:49

and learn new procedures.

0:23:490:23:52

You're coming to a layer, what's that one called?

0:23:530:23:56

-That one?

-Maybe the...

0:23:560:23:58

..external oblique?

0:23:580:23:59

Make another guess.

0:23:590:24:01

-The fascia.

-The rectus sheath.

-Oh, right, OK. Sure.

0:24:010:24:04

So, this step is to create as much space as possible.

0:24:100:24:13

Yeah. He wants to come out!

0:24:130:24:15

Scissors, please.

0:24:160:24:18

-Is this the bladder?

-Yeah. That's right.

0:24:200:24:23

Move it towards your side.

0:24:230:24:26

-My side? Got it.

-That's right.

0:24:260:24:27

Come in the middle and apply the pressure.

0:24:300:24:33

-Yep.

-Thank you.

0:24:330:24:34

OK, so there's the baby...

0:24:340:24:36

..and the baby is crying!

0:24:360:24:38

OK, there's the baby.

0:24:380:24:40

-Ah!

-Show it to the mum.

0:24:400:24:42

-Wow!

-BABY CRIES

0:24:420:24:44

Hello!

0:24:470:24:48

-He wants to hug you.

-Wow!

0:24:490:24:51

Mum and Dad are given their bouncing baby boy.

0:25:000:25:03

Words can't describe that, to be honest, that was really good.

0:25:040:25:08

The baby was just so cool!

0:25:080:25:11

Um...

0:25:110:25:12

I literally can't think of the word to describe that.

0:25:120:25:15

I think, like, how precious life was,

0:25:150:25:18

I don't know if people realise it.

0:25:180:25:20

I advise everyone to see childbirth because it's just incredible,

0:25:200:25:24

the way the baby came out and it's so fragile...

0:25:240:25:27

Everyone should see it, for sure.

0:25:270:25:30

I think if people saw it,

0:25:300:25:31

we probably wouldn't have wars or homicide or genocide,

0:25:310:25:34

stuff like that, because it's just so...

0:25:340:25:37

It's just, wow!

0:25:370:25:38

I'm so happy that I got to experience that.

0:25:380:25:40

On the respiratory ward, Anna has received a message.

0:25:430:25:47

So sweet, it's a thank-you card from Gladys's family

0:25:480:25:52

to say thanks for the care we've given them,

0:25:520:25:55

which says, "A special thanks to Sharon, Cath and Anna

0:25:550:25:58

"for all your kindness and thoughts." That's so sweet.

0:25:580:26:01

It's kind of bittersweet, cos you kind of have a thank-you card

0:26:020:26:05

even though she's died.

0:26:050:26:07

It's just really nice - it's times like this I think

0:26:070:26:10

when it makes the job worthwhile.

0:26:100:26:12

It's really nice to actually feel like, yeah,

0:26:140:26:16

I'm appreciated as a junior doctor.

0:26:160:26:18

It will probably be painful,

0:26:180:26:20

it's not the most pleasant thing to have,

0:26:200:26:22

but it will be very quick, I promise.

0:26:220:26:25

It doesn't matter how old the patient is,

0:26:250:26:27

it's what they mean to you, really.

0:26:270:26:29

I think it just makes me think when I see patients now,

0:26:290:26:32

it makes you just think a bit more

0:26:320:26:34

about making sure the patient's comfortable,

0:26:340:26:36

cos that's what we all want for our families.

0:26:360:26:38

Thank you very much.

0:26:380:26:40

Having successfully assisted on his first C-section delivery,

0:26:470:26:51

Osama is being guided through the suturing procedure by Dr Goyal.

0:26:510:26:56

My job was to cut the right places and also to hold the instruments...

0:26:560:27:00

..and I also got to apply some fundal pressure

0:27:010:27:04

at the top, so the baby could come out easier, so that was so cool,

0:27:040:27:07

and then I got to hold the baby as well, which was a Lion King moment.

0:27:070:27:10

It felt so good!

0:27:100:27:12

I got to hold the baby

0:27:150:27:16

before the parents even got to hold the baby, so...

0:27:160:27:18

..I'm basically part of the family, now!

0:27:190:27:22

Pleased with his performance today,

0:27:230:27:26

Osama calls his mum...

0:27:260:27:27

-Hello?

-Hello, hello, Mama.

0:27:300:27:32

-Hello, Osama - how are you?

-Good, thank you.

0:27:320:27:35

..also a gynaecologist.

0:27:350:27:37

Mum, I just finished a C-section list.

0:27:370:27:39

Oh, well done.

0:27:390:27:41

-It went really well, actually.

-Well done, Osama, well done.

0:27:410:27:45

You will be a very good surgeon, well done.

0:27:450:27:48

-Oh, thank you, Mum.

-I'm very proud of you.

0:27:480:27:50

Oh, thank you.

0:27:500:27:51

With the seal of approval from Mum...

0:27:560:27:59

It's cos I had no warm-up.

0:28:000:28:01

..Osama meets with fellow junior doctor Emeka to shoot the breeze...

0:28:060:28:10

..and some hoops.

0:28:110:28:13

It feels so good leaving the hospital.

0:28:150:28:17

It's like the smell of hospitals, you know, that chloride smell.

0:28:170:28:21

Oh, gosh, just the fresh air here.

0:28:210:28:23

How are you getting on with obs and gynae and whatnot?

0:28:230:28:25

Yeah, bro, it's actually been really good. I'm learning a lot as well,

0:28:250:28:28

I'm getting a lot of surgery experience.

0:28:280:28:30

Exactly, you get loads of theatre time.

0:28:300:28:31

-Which is sick.

-Which is good.

-One more quick game?

0:28:310:28:34

-All right, let's do it, bro.

-All right, let's go.

0:28:340:28:36

-Yay!

-Killed it.

0:28:410:28:43

Oh, that IS broken, dearie me.

0:28:480:28:50

-It's going to be the painful bit now.

-Ow!

0:28:500:28:53

Bones!

0:28:530:28:54

So you drink, yeah?

0:28:540:28:56

And then you feel unsteady and you fall, is that right?

0:28:560:28:59

No.

0:28:590:29:00

INDISTINCT

0:29:000:29:02

Worst case scenario is the patient arrests in front of me.

0:29:020:29:04

I love a gory, bloody wound.

0:29:040:29:06

Yes! It's the best.

0:29:060:29:08

Despite it being first-year junior doctor Anna's birthday, there's no time for celebrations as she starts a busy day on the respiratory ward. Anna arrives at the hospital to find an elderly patient who has been under her care has taken a dramatic turn in health. At the end of the gruelling 12-hour shift, Anna heads home to Wales to spend her birthday with her family, leaving her wondering if her patient will make a recovery when she returns.

Over on obstetrics and gynaecology, Osama seeks advice from some more experienced obs and gynae staff as to what he can expect ahead of his first c-section delivery. The following day, Osama arrives on shift early to prep for his big day. After a successful delivery, Osama wastes no time calling his mum - also a gynaecologist - to tell her the news. On a natural high from a successful day in surgery, Osama meets up with fellow junior doctor Emeka for a game of basketball to let off some steam.

Meanwhile, in the emergency department, self-confessed perfectionist and second-year junior doctor Jin Ha is asked by senior consultant Mr Manacatu to assist with a procedure he is unfamiliar with. Keen to learn, Jin promptly agrees to help, however at the last minute, Mr Manacatu is called away, leaving a nervous Jin to deal with the patient without the supervision and guidance of a senior consultant.


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