0:00:20 > 0:00:23- 'Start CPR.'- Can I have a second adrenaline?- Look at that.
0:00:23 > 0:00:27- Easy sir, easy.- When did this become this bad?
0:00:27 > 0:00:28One hospital.
0:00:28 > 0:00:29Can I have a stet please?
0:00:29 > 0:00:31Seven junior doctors...
0:00:31 > 0:00:34- Show time.- I've got an emergency so I need the crash team here.
0:00:34 > 0:00:36- I'm excited.- Little bit nervous.
0:00:36 > 0:00:37PATIENT VOMITS
0:00:37 > 0:00:39..working on the front line of medicine...
0:00:39 > 0:00:41Do you want to have a chat?
0:00:41 > 0:00:42..with all its blood...
0:00:42 > 0:00:45I love a gory, bloody wound.
0:00:45 > 0:00:46..sweat...
0:00:46 > 0:00:47Try not to worry.
0:00:47 > 0:00:48..and tears.
0:00:48 > 0:00:50Just feels like I'm surrounded by death at the moment.
0:00:50 > 0:00:52The doctors of your future...
0:00:52 > 0:00:54Can I ask what's brought you in today?
0:00:54 > 0:00:55I slipped on my wedding dress.
0:00:55 > 0:00:58...facing life...
0:00:58 > 0:01:00I got to hold the baby as well, Lion King moment.
0:01:00 > 0:01:02..and death.
0:01:02 > 0:01:04- Have they got...- Stand back! - ..what it takes?
0:01:23 > 0:01:28Wolverhampton in the West Midlands is home to over 250,000 people.
0:01:29 > 0:01:32Its biggest hospital, New Cross,
0:01:32 > 0:01:35treats over 4,000 patients every single day.
0:01:37 > 0:01:39Junior doctor Jo is arriving
0:01:39 > 0:01:41for a 12-hour shift.
0:01:44 > 0:01:46It's my first day on call today.
0:01:46 > 0:01:48I don't really know what I'm doing. Feeling a bit...
0:01:48 > 0:01:51Oh, backwards.
0:01:51 > 0:01:55Feeling a bit apprehensive, bit nervous, but I think hopefully I'm just going to wing it all day.
0:01:55 > 0:01:5927-year-old Jo is from Greater Manchester and she's the first
0:01:59 > 0:02:02female doctor in her family.
0:02:02 > 0:02:05My father's a GP and both my parents' fathers,
0:02:05 > 0:02:08and their brothers and fathers, are GPs.
0:02:10 > 0:02:12Medicine is a really competitive career.
0:02:12 > 0:02:14Everyone's competing and you've got to be the best
0:02:14 > 0:02:18and you've got to be good, and if you've done something, someone else has done it, and better.
0:02:18 > 0:02:22I think I've got what it takes to be a doctor. I hope I've got what it takes.
0:02:22 > 0:02:26I'm single at the moment because nobody wants to date me...
0:02:26 > 0:02:29No, I'm joking. I don't know.
0:02:29 > 0:02:33It's Jo's first week working in the trauma and orthopaedics department.
0:02:33 > 0:02:35- Got a handover.- Have you?- Yeah.
0:02:35 > 0:02:39And senior doctor Rahul needs her to assist with a patient.
0:02:39 > 0:02:42- Are you sure?- Check the X-ray.
0:02:42 > 0:02:44- Have you had a consultant check? - Don't need one.- Are you sure?- Yeah.
0:02:47 > 0:02:50OK. Who's the patient, where are they?
0:02:53 > 0:02:55Ooh, that is broken.
0:02:55 > 0:02:58- You're right.- You think?! It's got a few pieces there as well.
0:02:58 > 0:03:00Just a few, yeah. Ooh, dearie me.
0:03:00 > 0:03:02- OK.- Yeah?- OK, I'll have that. - Do you accept that?- I accept.
0:03:02 > 0:03:04- Is that all right, in your orthopaedic opinion?- I accept.
0:03:04 > 0:03:07- In my expert orthopaedic opinion, I accept it.- OK.
0:03:07 > 0:03:11Jo's patient is 56-year-old Polish born Mr Ledvan.
0:03:11 > 0:03:14He broke his leg while stepping off a train.
0:03:14 > 0:03:16Hello there. My name's Jo...
0:03:16 > 0:03:20The team need to realign his broken bones before setting them in plaster.
0:03:20 > 0:03:22Do you have any medical conditions?
0:03:23 > 0:03:25Blood, high blood pressure?
0:03:25 > 0:03:27Sometimes it's very high cos I'm...
0:03:27 > 0:03:29HE WHISTLES
0:03:29 > 0:03:31Sometimes after drink is high.
0:03:31 > 0:03:33- Yeah, it goes high. - You understand, yeah?
0:03:33 > 0:03:35Yes. Do you drink every day, or just sometimes?
0:03:35 > 0:03:37Are you crazy?! Every day, I'm working.
0:03:37 > 0:03:39Yeah, some people... I'm just asking.
0:03:39 > 0:03:41Just, just weekend.
0:03:41 > 0:03:44- OK, just weekend.- Friday, Saturday, that's it.
0:03:44 > 0:03:46- OK, that's great.- Cos my condition's right, you know?
0:03:46 > 0:03:48What we're going to do...
0:03:48 > 0:03:51- Yeah.- Give you some gas and air to breathe on
0:03:51 > 0:03:53and we're going to pull the leg
0:03:53 > 0:03:55and put it in a plaster to make it stick.
0:03:55 > 0:03:57- No problem. I don't need gas.- Yeah?
0:03:57 > 0:03:59- Just put it, please. - You don't need gas?- No.
0:03:59 > 0:04:01- Are you sure?- Yeah, I'm...
0:04:01 > 0:04:02- Listen.- You can have gas.
0:04:02 > 0:04:04- No, no, no, no.- I've heard it's good!
0:04:04 > 0:04:06I'm very strong man, you know.
0:04:09 > 0:04:10His ankle just moving in my hand.
0:04:10 > 0:04:14Yeah, it's just... You can feel the bones just moving and crunching.
0:04:15 > 0:04:16Look how happy he is.
0:04:16 > 0:04:20This is Jo's first ever leg fracture pulling procedure.
0:04:28 > 0:04:33- I'm going to start pulling again in a minute.- Yeah, yeah. No worries.
0:04:33 > 0:04:34Once the broken leg is set,
0:04:34 > 0:04:38they have to do an X-ray to check that it's straight.
0:04:38 > 0:04:44- Cool. You have it?- Mmm-hmm.- Yeah? OK?- Mmm-hmm, mmm-hmm.- Right.
0:04:44 > 0:04:45Can you still feel that?
0:04:45 > 0:04:47Wiggle your toes for me.
0:04:47 > 0:04:49- That's great.- That was all right.
0:04:49 > 0:04:51Yeah. I'm all right, can do it again.
0:04:51 > 0:04:53We go for a beer now? Yeah?
0:04:53 > 0:04:56- Listen... No!- No.
0:04:56 > 0:04:59No, first I'm going pee-pee, and...
0:04:59 > 0:05:01I could literally feel his ankles, like, wobbling.
0:05:01 > 0:05:02It was, like, going...
0:05:02 > 0:05:05You could feel the fragments like grinding against each other.
0:05:05 > 0:05:07I love stuff like that.
0:05:07 > 0:05:09It's so cool, isn't it?
0:05:09 > 0:05:11Love it. Love it!
0:05:11 > 0:05:13Bones!
0:05:21 > 0:05:23She didn't put any egg in this, you know?
0:05:25 > 0:05:27How disrespectful.
0:05:27 > 0:05:2924-year-old junior doctor Emeka...
0:05:29 > 0:05:31It's not like I asked for an omelette.
0:05:31 > 0:05:34..is currently working in the general surgery department.
0:05:35 > 0:05:39Today, Emeka has been asked to assist with a laparoscopy on a
0:05:39 > 0:05:41patient with stomach cancer.
0:05:41 > 0:05:42I'm getting pumped for surgery.
0:05:42 > 0:05:45Getting pumped to get in the theatre.
0:05:45 > 0:05:47Bit scared, little bit nervous
0:05:47 > 0:05:50but slightly buzzed at the same time, so it...
0:05:52 > 0:05:53..should be fun.
0:05:55 > 0:06:00I've always known that, being a black person in a white society,
0:06:00 > 0:06:01things would be harder for me
0:06:01 > 0:06:04and it has spurred me on and pushed me on to succeed.
0:06:04 > 0:06:07I think, in that situation, it can break you or make you.
0:06:09 > 0:06:11Being a doctor's really important to me, because it's what
0:06:11 > 0:06:15I've always wanted to achieve and I feel like if I hadn't achieved it,
0:06:15 > 0:06:17I kind of would have failed in life.
0:06:18 > 0:06:23A laparoscopy involves inserting a small camera into the abdomen.
0:06:23 > 0:06:24So right now I'm just
0:06:24 > 0:06:27refreshing my basic anatomy!
0:06:27 > 0:06:29The nerves are definitely kicking in.
0:06:29 > 0:06:32This is a skill Emeka will have to master
0:06:32 > 0:06:34if he's to make it as a surgeon.
0:06:34 > 0:06:38Today, he will be assisting senior consultant Mr Curran.
0:06:38 > 0:06:42There's certain skills involved in holding the camera, or the
0:06:42 > 0:06:45laparoscope, when you're doing these procedures, but we find that junior
0:06:45 > 0:06:49doctors pick it up very quickly because they're brought up on video
0:06:49 > 0:06:52games and the like, which we never had in my day.
0:06:52 > 0:06:55The worst that can happen is he asks me something and I know nothing
0:06:55 > 0:06:58about what he's doing and the patient and he just thinks,
0:06:58 > 0:07:00"This F1 is totally clueless."
0:07:00 > 0:07:03Some consultants can be like that. I kind of like getting nervous,
0:07:03 > 0:07:05especially cos a lot of the time
0:07:05 > 0:07:07I'm quite cool, quite calm, quite collected.
0:07:08 > 0:07:10HE EXHALES LOUDLY
0:07:25 > 0:07:27Yep.
0:07:27 > 0:07:28If no more cancer is found,
0:07:28 > 0:07:33then the planned operation to remove the patient's tumour will go ahead.
0:07:43 > 0:07:46- Yeah.- But it's not coming... You can just see a little bit of...
0:07:46 > 0:07:47That's what I thought.
0:07:52 > 0:07:54Mr Curran is giving Emeka the opportunity
0:07:54 > 0:07:56to use the camera for the first time.
0:08:00 > 0:08:03This is a big responsibility for a junior doctor.
0:08:13 > 0:08:18OK. It's a relatively quick procedure if everything is OK.
0:08:34 > 0:08:38They have found no sign of the cancer spreading.
0:08:38 > 0:08:39That was awesome.
0:08:39 > 0:08:43Holding the camera, you know, manoeuvring in a real-life patient
0:08:43 > 0:08:44and watching the whole thing unfold,
0:08:44 > 0:08:47it was quite a quick procedure so it was...
0:08:47 > 0:08:49It was really good, I really enjoyed it.
0:08:49 > 0:08:51I thought that was awesome.
0:08:51 > 0:08:53I'll definitely try and get in more theatre time
0:08:53 > 0:08:57and do a bit more of the complex stuff, a few complex cases.
0:08:57 > 0:08:59When you actually get in the theatre, it humbles you
0:08:59 > 0:09:01and you get to learn something new,
0:09:01 > 0:09:04learn new skills and develop yourself, and that's the only way
0:09:04 > 0:09:05you can really grow as a doctor.
0:09:20 > 0:09:24Junior doctor Jin lives on the hospital campus in halls.
0:09:24 > 0:09:26He's getting ready for his shift.
0:09:29 > 0:09:31Essentially it means I'll be at the front line of the battlefield
0:09:31 > 0:09:35treating patients, being their first point of contact when they're brought in by
0:09:35 > 0:09:37the ambulance, or they come in via their GP or themselves.
0:09:37 > 0:09:4226-year-old Jin has dreamt of being a doctor since he was 16.
0:09:42 > 0:09:44I'm a nice person.
0:09:44 > 0:09:47But I like to win and I like to, you know, give my best
0:09:47 > 0:09:49shot at everything that I do.
0:09:49 > 0:09:51Medicine is his first love.
0:09:52 > 0:09:54But he has another.
0:09:54 > 0:09:56There's nothing better than smashing the drums at
0:09:56 > 0:09:59the end of the day. I wouldn't go as far as saying I'm a rock god.
0:10:02 > 0:10:04What, a doctor by day and a rock god by night? No!
0:10:08 > 0:10:12Jin's placement is in the emergency department -
0:10:12 > 0:10:14the busiest place in the hospital,
0:10:14 > 0:10:17seeing up to 450 patients a day.
0:10:20 > 0:10:24This is a 49-year-old male gentleman who has a...
0:10:24 > 0:10:26highly unpronounceable name.
0:10:28 > 0:10:30He has attended A&E more than eight times in the last two,
0:10:30 > 0:10:33three weeks, all with a similar problem...
0:10:34 > 0:10:36..alcoholic intoxication.
0:10:38 > 0:10:41He's had all sorts of problems. He's had fractures,
0:10:41 > 0:10:45he's had head injuries, he's had fits.
0:10:45 > 0:10:48Surprisingly, his liver's quite stable, though.
0:10:48 > 0:10:50Jin's patient is Mr Alvedas Romas -
0:10:50 > 0:10:53a homeless man from Lithuania,
0:10:53 > 0:10:56and a known regular to staff in the emergency department.
0:10:57 > 0:11:00- You know when you fell?- Yeah.
0:11:00 > 0:11:02Did you lose consciousness?
0:11:03 > 0:11:05- No.- No?- No.
0:11:05 > 0:11:07Why did you fall?
0:11:07 > 0:11:09Because you are unsteady?
0:11:09 > 0:11:12- Yes.- Because you drink too much?
0:11:17 > 0:11:19Is that why you fell and hurt your face?
0:11:19 > 0:11:20- Yes, yeah.- Because you drink and...
0:11:20 > 0:11:22So you drink, yeah?
0:11:22 > 0:11:24And then you feel unsteady and you fall. Is that right?
0:11:33 > 0:11:36OK...
0:11:36 > 0:11:39Jin needs to carry out a medical assessment
0:11:39 > 0:11:41to check for other injuries.
0:11:41 > 0:11:42Can you hear?
0:11:42 > 0:11:44- Yes.- Hear?- Yes.
0:11:44 > 0:11:46And see? How many?
0:11:46 > 0:11:48Two.
0:11:48 > 0:11:51Three. Four.
0:11:51 > 0:11:53Two.
0:11:53 > 0:11:56OK, keep your head still, follow my finger, follow my finger.
0:11:56 > 0:12:00Mr Alvedas Romas was previously admitted to hospital with a
0:12:00 > 0:12:03fractured wrist and finger, but he left without treatment,
0:12:03 > 0:12:07and his finger has now become infected.
0:12:07 > 0:12:08- Painful.- Yes.- Painful?
0:12:11 > 0:12:12You see the injury?
0:12:12 > 0:12:14- Yeah.- We will bandage...
0:12:14 > 0:12:16- Yeah.- Clean.
0:12:16 > 0:12:19And then we'll send you home, OK?
0:12:19 > 0:12:20- Good?- Yeah.
0:12:20 > 0:12:22Do you understand what I'm saying?
0:12:31 > 0:12:34- Oh, you want to eat? You want food!- Yes.
0:12:34 > 0:12:36I'll see what we can do, OK? I'll ask the nurses, OK?
0:12:38 > 0:12:40But we'll bandage the wound,
0:12:40 > 0:12:43- the clean, and then eat, and then you go, OK?- OK.
0:12:43 > 0:12:45- Good?- Yeah.- Good man.
0:12:47 > 0:12:51Satisfied that he is well enough to be discharged, Jin leaves him
0:12:51 > 0:12:54with the nurses to have his wounds treated.
0:12:54 > 0:12:57We're going to give that finger a bit of a clean, is that OK?
0:12:58 > 0:13:01Obviously there's, like, two sides to a coin.
0:13:01 > 0:13:04These patients, they come in almost every day, you know?
0:13:04 > 0:13:07Some patients, like, come in, like, ten plus times a day and they often come in...
0:13:07 > 0:13:12They hang around, they either self discharge or come in for just food or whatnot.
0:13:12 > 0:13:16And really, they are sort of, you know, using up bed space, you know,
0:13:16 > 0:13:19wasting resources, in a way, but then on the other side of the coin,
0:13:19 > 0:13:23sometimes they come in and there is actually something wrong with them.
0:13:23 > 0:13:28Like the case that I had last week where there was a patient,
0:13:28 > 0:13:31he was very similar to this guy, homeless, living in the streets,
0:13:31 > 0:13:34multiple attendances, and he came in and he was severely septic and
0:13:34 > 0:13:36unwell with a massive infection in the eye,
0:13:36 > 0:13:38threatening to spread to his brain.
0:13:38 > 0:13:40So...
0:13:40 > 0:13:43It's like, you know, it could become a case of the boy who cried wolf.
0:13:43 > 0:13:45You still have to do the full examination.
0:13:47 > 0:13:48You all right?
0:13:57 > 0:13:59Miss Greenman?
0:14:06 > 0:14:08He'll probably laugh in my face, won't he?
0:14:08 > 0:14:09I think we made it worse.
0:14:11 > 0:14:15The X-ray results are back for Mr Ledvan's leg fracture.
0:14:15 > 0:14:17We're not happy, we're not happy with...
0:14:17 > 0:14:20- We're not happy with the manipulation.- We're not happy with the reduction films.- Yeah.
0:14:20 > 0:14:23So we're going to redo it...
0:14:23 > 0:14:24and make it straighter.
0:14:24 > 0:14:26The bones are not straight,
0:14:26 > 0:14:30so Jo and senior doctor Rahul will need to do it all over again.
0:14:30 > 0:14:33We're going to ask you again, sir - do you want any pain relief,
0:14:33 > 0:14:34- or are you OK?- Yeah, I'm all right.
0:14:34 > 0:14:37- You're OK?- Yeah.- OK.- Maybe tomorrow.
0:14:37 > 0:14:39- Maybe tomorrow, OK. - LAUGHTER
0:14:39 > 0:14:41It's vital that they get it right this time,
0:14:41 > 0:14:45otherwise nerves, vessels and blood supply could get damaged.
0:14:45 > 0:14:48Sorry, mate. It's going to be the painful bit now.
0:14:48 > 0:14:51Once again, Mr Ledvan refuses pain relief.
0:14:52 > 0:14:57- Ow.- I know, I know.- Ow. Ow.
0:15:05 > 0:15:08- Ow.- You're doing really well.
0:15:08 > 0:15:11Mr Ledvan is facing a lengthy recovery.
0:15:11 > 0:15:14His painting and decorating job
0:15:14 > 0:15:17will have to go on hold for at least four weeks.
0:15:17 > 0:15:20- Does that feel better in the ankle that time?- Yeah, yeah, it did.
0:15:21 > 0:15:24I put loads of pressure on myself to be perfect and to get it
0:15:24 > 0:15:26right the first time, and I feel, you know, like, I've not...
0:15:26 > 0:15:29I didn't do my job properly because I got it wrong the first time,
0:15:29 > 0:15:30but it just happens, you know.
0:15:30 > 0:15:31You're doing it blind.
0:15:31 > 0:15:36You know, the more you do, the better you get, so it's a kind of case of practice makes perfect.
0:15:36 > 0:15:38- Much better.- Is it?
0:15:38 > 0:15:41It is, but it's still slightly laterally displaced.
0:15:41 > 0:15:44Why, why, why? Hold on, let's have a look.
0:15:44 > 0:15:49This time, Jo and her colleague Rahul are confident the leg is set in the correct position.
0:15:49 > 0:15:50- Oh, come on...- Slight...
0:15:50 > 0:15:52- I'll take that, I'll take that. - Yeah, I'll take that.
0:15:52 > 0:15:55- Score. Score, smashed it. - Teamwork.- Cool.
0:16:25 > 0:16:29Jin, Jo and Emeka are meeting up with some of their fellow
0:16:29 > 0:16:31junior doctors for some time away from the hospital.
0:16:31 > 0:16:36- Come on, man.- What you saying, bruv?
0:16:36 > 0:16:38What's good, bro?
0:16:38 > 0:16:42But instead of giving their brains a rest, they're taking on Escape Live.
0:16:42 > 0:16:44OK, are you all ready to go?
0:16:44 > 0:16:47- Yes.- Perfect. If you'd like to all follow me, please.- Great.
0:16:47 > 0:16:50It's a group challenge where you have to get out of a locked room by
0:16:50 > 0:16:53collecting clues and solving puzzles.
0:16:53 > 0:16:56Oh, look, bro, these are coordinates for this, I think.
0:16:56 > 0:16:58Oh, wait! No, look - the constitutions.
0:16:58 > 0:17:01What month is the missing sign? It's August, but how do I...
0:17:01 > 0:17:03- Come on, it's August, man. - Is it definitely August?
0:17:03 > 0:17:07- Wait, no, no, no, no, no, no, wait. - No, wait, look.- It's not August, it's July.- It's July.
0:17:07 > 0:17:10LAUGHTER CHATTER
0:17:10 > 0:17:13- Love pirates!- Our time will be up in eight minutes!- Oh!- All right.
0:17:13 > 0:17:16Red, red, red, red.
0:17:16 > 0:17:18Yellow, blue, red, red.
0:17:18 > 0:17:19BELLS RING
0:17:19 > 0:17:20Yellow, green, blue!
0:17:20 > 0:17:22BELLS RING
0:17:22 > 0:17:25- Something's gotta happen.- Yes!
0:17:25 > 0:17:26- Yes!- That was a good song though, guys.
0:17:26 > 0:17:29- Jo, good work.- You didn't sing it well, but...
0:17:29 > 0:17:31I'm not singing it!
0:17:31 > 0:17:33- Yeah!- I feel like I want to stay here for a while.- Just in time...
0:17:39 > 0:17:42Did you ever think as a child that that you'd ever be an actual doctor?
0:17:42 > 0:17:44- True, yes.- I never thought I'd actually be a doctor.
0:17:44 > 0:17:46True. I thought I could be a pretend doctor.
0:17:46 > 0:17:49- And now you are!- Even little things felt big - prescribing paracetamol,
0:17:49 > 0:17:50everyone has paracetamol at home.
0:17:50 > 0:17:52- Terrifying!- And I was like, "Oh, my God."- Terrifying.
0:17:52 > 0:17:55Every single thing I had to, like, triple check.
0:17:55 > 0:17:57Yeah, the first time I ever prescribed paracetamol I looked in
0:17:57 > 0:18:00the BNF online, and then I went for the BNF book as well,
0:18:00 > 0:18:03just to double-check that the BNF was the same.
0:18:03 > 0:18:05And it's just paracetamol, like...
0:18:05 > 0:18:08With the patient, I went through their weight and their allergies ten times.
0:18:08 > 0:18:10I then went and examined the patient
0:18:10 > 0:18:13before prescribing the paracetamol, just cos I was like...
0:18:13 > 0:18:15There's so much that you can't learn in medical school.
0:18:15 > 0:18:17But that's the good thing about it. That's what I like.
0:18:17 > 0:18:19Every day I go in and I learn something new.
0:18:29 > 0:18:32Whilst a lot of twentysomethings might be out partying,
0:18:32 > 0:18:3625-year-old Jess is on her way to a 12-hour night shift.
0:18:36 > 0:18:40Hopefully I'll do well, my patients feel well cared for
0:18:40 > 0:18:44and I do the right thing, and do them justice, basically.
0:18:44 > 0:18:47As part of the night team, she will be on call
0:18:47 > 0:18:49with the responsibility of looking after six wards
0:18:49 > 0:18:51with over 100 patients.
0:18:52 > 0:18:54Night shifts are unpredictable,
0:18:54 > 0:18:57so some people really enjoy them, but for me...
0:18:58 > 0:19:02..I think I'm the kind of person that prefers, like,
0:19:02 > 0:19:03more controlled environments, so...
0:19:03 > 0:19:06Having, having... Going into a night shift always gives me,
0:19:06 > 0:19:08like, a little bit of nerves, yeah.
0:19:10 > 0:19:12Junior doctor Jess is from Malaysia.
0:19:12 > 0:19:14As a top student,
0:19:14 > 0:19:17she was hand-picked to come to medical school in Britain.
0:19:17 > 0:19:21My perception of the NHS is that the people who benefit from it most are
0:19:21 > 0:19:24the people who need it the most.
0:19:24 > 0:19:27My parents and my family have been very supportive,
0:19:27 > 0:19:30and they've always encouraged me to pursue my opportunities.
0:19:30 > 0:19:33You will achieve what you want to
0:19:33 > 0:19:36achieve, and you'll make all of us proud.
0:19:36 > 0:19:37We're very, very proud of you.
0:19:37 > 0:19:40I am really proud of what I've achieved so far.
0:19:40 > 0:19:43There's actually nothing that you can't do
0:19:43 > 0:19:46if you really, really, really work hard at it.
0:19:47 > 0:19:50Nights can be the quietest time at the hospital,
0:19:50 > 0:19:52with fewer staff on shift.
0:19:53 > 0:19:55Right, OK, where's the patient?
0:19:55 > 0:19:57She's in two six.
0:19:57 > 0:19:58Two six, OK. I'm just going to see her.
0:19:58 > 0:20:02This gives junior doctors more responsibility,
0:20:02 > 0:20:05as they are often the only ones on call.
0:20:05 > 0:20:09Tonight, Jess is treating 90-year-old Nellie.
0:20:09 > 0:20:10Are you having any chest pain?
0:20:14 > 0:20:16Nellie suffers from lung disease.
0:20:16 > 0:20:18She's struggling to breathe,
0:20:18 > 0:20:21and her heart rate has increased dramatically.
0:20:21 > 0:20:24- Yeah.- OK, how bad is the pain?
0:20:27 > 0:20:29Where is the pain?
0:20:32 > 0:20:35OK, let me get you some...
0:20:35 > 0:20:36Let me get you something, OK?
0:20:40 > 0:20:43This is very difficult, especially when you just walk in,
0:20:43 > 0:20:45and you feel like you need to do something
0:20:45 > 0:20:48but you're not really sure what to do, sort of, like,
0:20:48 > 0:20:50just jumping in straight away without sort of, like,
0:20:50 > 0:20:52taking a step back to think...
0:20:53 > 0:20:54..that's not the best thing to do.
0:20:54 > 0:20:56I am worried about her.
0:20:58 > 0:20:59OK, nice deep breaths.
0:20:59 > 0:21:01Nice deep breaths.
0:21:01 > 0:21:03NELLIE COUGHS
0:21:04 > 0:21:07- Oh.- OK.
0:21:07 > 0:21:09- Please.- Right, OK.
0:21:09 > 0:21:12So I'm just going to call the med reg.
0:21:12 > 0:21:15Unsure what to do, Jess calls for backup.
0:21:19 > 0:21:21Hello? Hi, Tosh. Hi, this is Jess.
0:21:21 > 0:21:24I need some help. I've got this 90-year-old lady
0:21:24 > 0:21:27who is having a heart rate of 154 at the moment.
0:21:27 > 0:21:29ECG's been done.
0:21:29 > 0:21:32We can see that her T waves are really raised in the old ECG,
0:21:32 > 0:21:34but now it's even more raised.
0:21:34 > 0:21:36I'm just wondering, what do I do now?
0:21:39 > 0:21:40OK, cool. Thanks, bye.
0:21:43 > 0:21:46Right, so the med reg is coming.
0:21:46 > 0:21:49Worst case scenario is the patient arrests in front of me,
0:21:49 > 0:21:51and I think when the heart stops,
0:21:51 > 0:21:53the possibility of getting it restarted
0:21:53 > 0:21:59is very, very, very low, so I think that's what we're trying to prevent.
0:21:59 > 0:22:04Prevent an untimely death, essentially, yeah.
0:22:08 > 0:22:09MACHINES BLEEPING
0:22:09 > 0:22:12The registrar on call has arrived to help Jess.
0:22:12 > 0:22:14Hi.
0:22:14 > 0:22:15Kind of...
0:22:15 > 0:22:17No, no, I'm not OK.
0:22:19 > 0:22:21Hello.
0:22:21 > 0:22:22He assesses Nellie.
0:22:22 > 0:22:25Her heart rate has increased.
0:22:25 > 0:22:27Hello...
0:22:28 > 0:22:30The registrar helps Nellie
0:22:30 > 0:22:33by giving her a drug to slow down her heart rate.
0:22:36 > 0:22:38I definitely felt worried,
0:22:38 > 0:22:41and I think the next time that I do encounter it, you know,
0:22:41 > 0:22:43it's not something that's going to be as stressful
0:22:43 > 0:22:45as the first time I did it.
0:22:45 > 0:22:48When you see a patient's getting better,
0:22:48 > 0:22:50there's no feeling like it in the world.
0:22:50 > 0:22:55So I think that's why I still do what I do regardless of the fact
0:22:55 > 0:22:58that I do feel a huge amount of responsibility.
0:23:11 > 0:23:13- When?- Tonight.- Yeah, I'll still be there.
0:23:13 > 0:23:16Yeah, yeah, it is good.
0:23:16 > 0:23:20Busy. Right, I'll go and see if I can find my pen,
0:23:20 > 0:23:22and I'll give this one back.
0:23:31 > 0:23:36Jo has been called to see a patient with a severely lacerated finger.
0:23:36 > 0:23:38I love a gory, bloody wound.
0:23:38 > 0:23:40It just makes me really happy.
0:23:41 > 0:23:43I get excited.
0:23:43 > 0:23:45What was it that you were using, sorry?
0:23:45 > 0:23:47- An electric plane.- Electric blade? - Plane.
0:23:47 > 0:23:49Clint owns a horticulture shop
0:23:49 > 0:23:52and was in the middle of refurbishing it
0:23:52 > 0:23:53when the accident happened.
0:23:53 > 0:23:56It will grow back. It won't be exactly the same as it was.
0:23:56 > 0:23:58- No, yeah.- But it might just be a bit rough and,
0:23:58 > 0:24:00you know, flat, that sort of thing.
0:24:00 > 0:24:05- So...- So, you want to... If you look at the last little divot in between.
0:24:05 > 0:24:08Jo needs to administer anaesthetic into the finger
0:24:08 > 0:24:11in order to clean it properly and prevent infection.
0:24:12 > 0:24:14I'll give you the easier side to do.
0:24:14 > 0:24:16It's the first time she's done this,
0:24:16 > 0:24:18so Dr Mannakatu is showing her how.
0:24:18 > 0:24:21Let me do that one for you. It's going to sting a bit, sir.
0:24:21 > 0:24:22Sorry about that.
0:24:23 > 0:24:26It's going nice and easy, sir - that's important.
0:24:26 > 0:24:29At about 10 degrees, in that divot, OK? Yeah.
0:24:30 > 0:24:32Be careful not to prick yourself.
0:24:32 > 0:24:33Don't put your finger under it, OK?
0:24:33 > 0:24:36- Yeah.- Cos you don't want to prick yourself.
0:24:36 > 0:24:38- This divot is there.- That's the one, yeah. So, aspirate.
0:24:38 > 0:24:41Just make sure you don't hit an artery and you're not pushing in on
0:24:41 > 0:24:43the artery. Always aspirate and then inject.
0:24:43 > 0:24:45That's it. And take it out.
0:24:45 > 0:24:48Be careful about your sharps.
0:24:48 > 0:24:49That's it.
0:24:50 > 0:24:51OK.
0:24:51 > 0:24:53- Good bit of practice for you.- Yeah!
0:24:53 > 0:24:55Will you give me another...
0:24:55 > 0:24:57Will you give me a...
0:24:57 > 0:24:59We could try that, I suppose.
0:24:59 > 0:25:01With the finger fully numb,
0:25:01 > 0:25:04Jo can now clean the flesh and apply a compression bandage.
0:25:06 > 0:25:09A lot of my job, I'm just doing everything for the first time
0:25:09 > 0:25:11with an actual patient, which is pretty terrifying,
0:25:11 > 0:25:14and you feel so much pressure to get it completely perfect,
0:25:14 > 0:25:16and it makes you feel like a bad doctor if you don't.
0:25:16 > 0:25:19But, at the end of the day, it is the first time you're doing it,
0:25:19 > 0:25:23so, you know, no matter how many times I've read how to do it or I've
0:25:23 > 0:25:27seen people do it, or I've YouTubed a video of how to do it,
0:25:27 > 0:25:31actually doing it on a patient is a completely different ball game.
0:25:31 > 0:25:33It's really hard.
0:25:37 > 0:25:38Away from the hospital,
0:25:38 > 0:25:42Jo is catching up with her friends who are also medics.
0:25:42 > 0:25:45- I love...- It's a love-hate relationship.
0:25:45 > 0:25:46As with most junior doctors,
0:25:46 > 0:25:50there's one topic of conversation never far from their lips.
0:25:50 > 0:25:53Yeah, I like a good gory, bloody wound...
0:25:53 > 0:25:56Something that's going to explode unless I do something!
0:25:56 > 0:25:58That's disgusting!
0:25:58 > 0:26:00Your dream job is like my worst nightmare.
0:26:00 > 0:26:03Yeah, same - I was just thinking that that's absolutely the last
0:26:03 > 0:26:06thing I want to do is, like, surgeries, emergencies.
0:26:06 > 0:26:07Yeah, I know.
0:26:07 > 0:26:10But I know I'm not... I know I'm not a surgeon, and that's fine with me.
0:26:10 > 0:26:12So what do you want to do? Go on.
0:26:12 > 0:26:14Yeah, love it. Sexual health, love it.
0:26:14 > 0:26:16Claire loves manky vaginas.
0:26:16 > 0:26:18Yeah, like, sit me down
0:26:18 > 0:26:19with some, like, horrible...
0:26:19 > 0:26:22- A retained tampon?- Yeah! I got called to A&E the other day to
0:26:22 > 0:26:26remove a tampon, and I was like... I got bleeped by A&E.
0:26:26 > 0:26:29I answered the phone. I was like, "I've been waiting two months for this."
0:26:29 > 0:26:31Like, "Absolutely," like, "I'll be down straightaway."
0:26:31 > 0:26:34- I was so... I was like a child. - Christmas morning!- Yeah!
0:26:34 > 0:26:36I was like a child on Christmas Eve.
0:26:36 > 0:26:38I was like, whipped out my forceps, like...
0:26:38 > 0:26:40- out it popped, it was great.- Yeah!
0:26:40 > 0:26:42It was great, like, I love stuff like that.
0:26:42 > 0:26:45I love, like, women, periods, all that stuff, and that's like, yeah,
0:26:45 > 0:26:47that's what I love.
0:26:47 > 0:26:49That's the thing that's so great, isn't it?
0:26:49 > 0:26:50Like, there's a lid for every pot.
0:26:50 > 0:26:52Yeah, exactly. Exactly.
0:26:52 > 0:26:55I think you need to be passionate about it to do it...
0:26:55 > 0:26:57- Yeah.- I think that's the one thing I've realised, that you...
0:26:57 > 0:27:00- You just need to enjoy what you do. - It's so intense, you have to...
0:27:00 > 0:27:03you do have to sacrifice quite a lot of things for the specialty that
0:27:03 > 0:27:06you do, and unless you really want to do it there's no point,
0:27:06 > 0:27:10- because you're just going to be unhappy.- I definitely could not do a job that I didn't love.
0:27:10 > 0:27:11- Yeah.- No way.
0:27:11 > 0:27:13I'd just do a half-arsed...
0:27:16 > 0:27:18Oh, man.
0:27:19 > 0:27:22- Rumbling stomach, rumbling stomach. - Do you want me to get a doctor?
0:27:22 > 0:27:24- JIN LAUGHS - Ah-ha, hey!
0:27:24 > 0:27:27You've had some tests whilst you've been in hospital.
0:27:27 > 0:27:29It's such a hard task, breaking bad news.
0:27:29 > 0:27:32- What's brought you in today? - I slipped on my wedding dress.
0:27:32 > 0:27:35I really want to just squeeze it and see if it'll...
0:27:36 > 0:27:37- Look at that.- It's a girl!
0:27:37 > 0:27:40- Look at that.- Yeah. - It's like a chocolate cyst.
0:27:40 > 0:27:42Oh, the... Yeah!
0:27:42 > 0:27:43- ALARM SOUNDS - What's going on?
0:27:43 > 0:27:48Cardiac arrest is the ultimate life and death situation. It doesn't get more life and death than this.