0:00:02 > 0:00:04- Start CPR.- Shockable rhythm. Charging, everybody stand clear.
0:00:04 > 0:00:06In every emergency, we completely assess you.
0:00:06 > 0:00:08Can you open your eyes for me?
0:00:08 > 0:00:12Can you stop doing the drugs, please, and help here?
0:00:12 > 0:00:13Seven junior doctors...
0:00:13 > 0:00:15Can I have a stet, please?
0:00:15 > 0:00:16..on the front line of medicine...
0:00:16 > 0:00:19- Showtime.- I've got an emergency. I need the crash team here.
0:00:19 > 0:00:20Easy, sir, easy.
0:00:20 > 0:00:22..with all its blood...
0:00:22 > 0:00:24I love a gory, bloody wound.
0:00:24 > 0:00:25..sweat and tears.
0:00:32 > 0:00:33A little bit nervous.
0:00:33 > 0:00:35You're not going to die.
0:00:36 > 0:00:38The doctors of your future...
0:00:38 > 0:00:41- What the...- I actually slipped on my wedding dress.
0:00:41 > 0:00:43- Everybody stand clear. - ..facing life.
0:00:43 > 0:00:45I'm part of the family now. Lion King moment.
0:00:45 > 0:00:46..and death.
0:00:46 > 0:00:50I think there's just something wrong with you if you aren't upset by it.
0:00:50 > 0:00:52- Have they got... - What have you taken today?
0:00:52 > 0:00:54..what it takes?
0:01:06 > 0:01:09- I'll see you tonight. - OK, drive safe.
0:01:09 > 0:01:10I will. Bye!
0:01:10 > 0:01:13Wolverhampton in the West Midlands is home to
0:01:13 > 0:01:15a quarter of a million people
0:01:15 > 0:01:17and is famous for its industrial past.
0:01:17 > 0:01:21At New Cross, one of the largest teaching hospitals in the region,
0:01:21 > 0:01:24the junior doctors are nearly halfway through their current placements.
0:01:24 > 0:01:27- All right. Yep, I will do. - All right.
0:01:27 > 0:01:31- Across town...- So it's a secret ingredient. It looks a bit dreadful.
0:01:31 > 0:01:33..26-year-old first-year Osama
0:01:33 > 0:01:36has his own unique way of starting the day.
0:01:36 > 0:01:38Every morning, my life starts like this,
0:01:38 > 0:01:41but at least it means it can't get any worse.
0:01:41 > 0:01:45With his mum away, he's facing the responsibility of being home alone.
0:01:45 > 0:01:50So this evening, my mum's working so I have to make my own stuff,
0:01:50 > 0:01:52I have to iron my own clothes and do my own breakfast.
0:01:52 > 0:01:56I think my mum thinks it's cute that I try and clean up on Friday.
0:01:56 > 0:01:58Just doesn't work, it's not good enough.
0:01:58 > 0:02:00I think that looks kind of clean.
0:02:00 > 0:02:02Don't know. All right.
0:02:04 > 0:02:06When the general public probably think of a doctor,
0:02:06 > 0:02:10they think of, like, some rich guy chilling out in his Bentley,
0:02:10 > 0:02:12but the reality is very far from that.
0:02:12 > 0:02:16My day involves so many strange things from putting a finger up
0:02:16 > 0:02:19someone's, erm...anus
0:02:19 > 0:02:23to doing other, you know, embarrassing things.
0:02:23 > 0:02:25Do you want anything to help you open your bowels?
0:02:25 > 0:02:27I'm going to say no to that one.
0:02:27 > 0:02:29My family are in medicine.
0:02:29 > 0:02:31Nothing is awkward, like, you discuss everything.
0:02:31 > 0:02:34So, awkwardness has gone down the window in this household.
0:02:36 > 0:02:40In the obs and gynae department, Osama is on a mission.
0:02:40 > 0:02:42So we seem to have a shortage of scrubs,
0:02:42 > 0:02:44so I need to go get scrubs from a different department,
0:02:44 > 0:02:47so I don't know what's going on, but let's go.
0:02:49 > 0:02:51Oh, like a secret cupboard.
0:02:51 > 0:02:52No way.
0:02:52 > 0:02:54Thank you. Thank you.
0:02:54 > 0:02:58Wow! So, got my premium scrubs, I'm happy.
0:03:06 > 0:03:07- How are you?- Good.
0:03:07 > 0:03:09Yeah, man, respect.
0:03:09 > 0:03:12Also on a quest to look his best is 24-year-old Emeka.
0:03:14 > 0:03:16Dr Emeka is the name, I like to keep on top of the game.
0:03:16 > 0:03:18That kind of cut.
0:03:18 > 0:03:21When you look the best, you'll be the best.
0:03:21 > 0:03:25- Trust.- Slick style, that's me in a nutshell.
0:03:25 > 0:03:27I was eyeing up some of these ties.
0:03:27 > 0:03:28Oh, thank you very much.
0:03:28 > 0:03:32I definitely like to consider myself a new medical fashion icon.
0:03:32 > 0:03:34I'm thinking of going for something a little colourful.
0:03:34 > 0:03:37My clothes kind of define my personality,
0:03:37 > 0:03:40they kind of say, "It is me, my name is Emeka, nice to meet you.
0:03:40 > 0:03:42"How are you doing?"
0:03:42 > 0:03:43Ready for the shift now.
0:03:50 > 0:03:52On the busy general surgical ward,
0:03:52 > 0:03:55first-year Emeka is a few hours into his shift.
0:03:55 > 0:03:59The bigger, the better, but some people...
0:03:59 > 0:04:02Without warning, a patient collapses in the corridor
0:04:02 > 0:04:04and Emeka is the first doctor on the scene.
0:04:10 > 0:04:12Are you in pain?
0:04:12 > 0:04:13PATIENT GROANS
0:04:13 > 0:04:16Can we get him into the assessment room, please, guys?
0:04:23 > 0:04:26- What happened?- You told me I was ready to go at 11
0:04:26 > 0:04:30and I was waiting till five, six hours for my paperwork.
0:04:30 > 0:04:33Mr Sinclair recently discharged himself from hospital
0:04:33 > 0:04:35following treatment for severe stomach pain
0:04:35 > 0:04:37and suspected diverticulitis,
0:04:37 > 0:04:40a condition affecting the digestive system.
0:04:40 > 0:04:43HE GROANS LOUDLY
0:04:43 > 0:04:46Today, he's back in agonising pain.
0:04:47 > 0:04:49I think I'm going to pass out.
0:04:51 > 0:04:54Let's get a drug chart. Can we get some stickers for him?
0:04:57 > 0:05:00The pain in his abdomen could be a life-threatening illness,
0:05:00 > 0:05:04so the medical team must work quickly to find out what's wrong.
0:05:05 > 0:05:07OK, painkillers are coming.
0:05:07 > 0:05:13It seems like this man's collapsed, he has some acute abdomen.
0:05:13 > 0:05:15He was in here before previously
0:05:15 > 0:05:20and, basically, he discharged after his CT came back as OK.
0:05:21 > 0:05:23So he's come in now, he's collapsed with a lot of pain.
0:05:25 > 0:05:27To help manage the pain,
0:05:27 > 0:05:30Emeka must insert a needle into Mr Sinclair's arm
0:05:30 > 0:05:32so he can give him morphine.
0:05:32 > 0:05:33Yes.
0:05:33 > 0:05:37We'll give you some food and medication, all right?
0:05:37 > 0:05:39Oh, it's breaking me down.
0:05:39 > 0:05:43The more you move, the more it will hurt. Calm down, OK?
0:05:43 > 0:05:46Deep breath in, deep breath out.
0:05:46 > 0:05:50His colleague, Dr Bhasin, needs to keep the patient calm
0:05:50 > 0:05:53so Emeka can carefully guide the needle into the vein.
0:05:53 > 0:05:55Slow your breathing down.
0:05:55 > 0:06:00Any sudden movements and Emeka could puncture a major blood vessel.
0:06:00 > 0:06:02You're going to feel a sharp scratch now.
0:06:02 > 0:06:04Slow breathing. Well done.
0:06:05 > 0:06:06I'm just so sore.
0:06:06 > 0:06:08I know.
0:06:08 > 0:06:10PATIENT GROANS AND MUMBLES
0:06:10 > 0:06:13It's OK, you're getting a bowl, OK? We're getting a bowl for you.
0:06:13 > 0:06:15HE RETCHES
0:06:16 > 0:06:19It's OK.
0:06:19 > 0:06:20We've got some anti-sickness for you.
0:06:24 > 0:06:26Nobody really saw that coming.
0:06:26 > 0:06:29I was just doing handover and handover with some of my team
0:06:29 > 0:06:32and one of the med school students ran in and told us that...
0:06:33 > 0:06:35..somebody had collapsed.
0:06:35 > 0:06:36Look at me, look at me.
0:06:36 > 0:06:39We've cannulated him, given him some morphine,
0:06:39 > 0:06:41which is definitely going to help the pain.
0:06:41 > 0:06:43We've given him some fluids and hopefully that will bring down
0:06:43 > 0:06:45his heart rate and stop him being so anxious.
0:06:45 > 0:06:47And then we'll kind of take it from there.
0:07:05 > 0:07:07In obs and gynae,
0:07:07 > 0:07:11Baghdad-born Osama is scrubbed up and ready for theatre,
0:07:11 > 0:07:12but there is a small problem.
0:07:12 > 0:07:15Oh, wow! Are they matching or are they mismatching?
0:07:15 > 0:07:18The thing is, they're, like, three sizes too small.
0:07:18 > 0:07:21I don't know if you're going to judge me for it. Are you judging me?
0:07:21 > 0:07:22They shouldn't be hanging over the edges.
0:07:22 > 0:07:24Do you want to change shoes?
0:07:24 > 0:07:28- Buy your own. - Do you think so? This is terrible.
0:07:28 > 0:07:29It's a calamity.
0:07:29 > 0:07:31I need my own pair.
0:07:31 > 0:07:34- What does calamity even mean? - Calamity is like a disaster.
0:07:34 > 0:07:36- Legit.- Yeah, he does legit as well.
0:07:36 > 0:07:38Also, like, a thug as well.
0:07:38 > 0:07:42Like these two ladies - big-time thugs.
0:07:42 > 0:07:45Let me refer you to a dictionary definition of thug.
0:07:46 > 0:07:49You know it's legit when you have to go on Urban Dictionary.
0:07:51 > 0:07:53"A thug is someone who is going through struggles,
0:07:53 > 0:07:56"has gone through struggles and continues to live day by day
0:07:56 > 0:07:57"with nothing for them."
0:07:57 > 0:07:59OK, I didn't mean it that way, guys, like,
0:07:59 > 0:08:01obviously you guys have a lot going for you.
0:08:01 > 0:08:03- INDISTINCT - OK, bye.
0:08:08 > 0:08:10On the surgical ward,
0:08:10 > 0:08:12Mr Sinclair is still in agony
0:08:12 > 0:08:16and Emeka is desperately trying to find out why.
0:08:16 > 0:08:17Is the pain worse?
0:08:17 > 0:08:19Not as worse, but still sore as hell.
0:08:19 > 0:08:22- Did the morphine help?- A little bit,
0:08:22 > 0:08:23but nothing major.
0:08:23 > 0:08:25What kind of pain is it? Is it a sharp pain?
0:08:25 > 0:08:29It's right there, a throbbing sensation pain.
0:08:29 > 0:08:31What happened?
0:08:31 > 0:08:33Was there anything that changed when you went home?
0:08:33 > 0:08:35Did you take anything? Did you eat anything?
0:08:35 > 0:08:38I used the toilet this morning, that sends me off all the time.
0:08:38 > 0:08:41- How was it when you went to the toilet?- It's hard.- Hard.
0:08:41 > 0:08:44It's hard to go.
0:08:44 > 0:08:46Did you have pain when passing a stool?
0:08:46 > 0:08:48- Yeah.- You did?
0:08:48 > 0:08:49So much.
0:08:49 > 0:08:52And he didn't mention to you anything about diverticulitis
0:08:52 > 0:08:54- or diverticulosis?- Who?
0:08:54 > 0:08:56- OK.- Who did?
0:08:56 > 0:08:58Any of the doctors, did any doctors...?
0:08:58 > 0:09:02They said I might have that or I might have IBS, I don't know.
0:09:02 > 0:09:04This is so bad.
0:09:04 > 0:09:07OK, OK, wait right here, we'll get you something.
0:09:07 > 0:09:08- You wait with him.- OK.
0:09:08 > 0:09:09Thank you.
0:09:11 > 0:09:13Do I get any more morphine?
0:09:16 > 0:09:17INDISTINCT
0:09:19 > 0:09:23I'm not sure what can cause an acute picture like this.
0:09:23 > 0:09:26We don't know exactly what to call it,
0:09:26 > 0:09:30we don't know if he's had a breathing perforation or anything.
0:09:30 > 0:09:34The next step is a blood test, which will reveal if Mr Sinclair
0:09:34 > 0:09:36is suffering from an acute infection.
0:09:36 > 0:09:38Just come and ask me about that.
0:09:38 > 0:09:40If anything changes or he's complaining of anything,
0:09:40 > 0:09:44just come out and call one of them, OK?
0:09:44 > 0:09:46He seems quite stable and most things are in place.
0:09:46 > 0:09:49We just need to chase his blood results, basically,
0:09:49 > 0:09:52and see what we're doing with him from there.
0:09:52 > 0:09:55After a challenging nine-hour shift,
0:09:55 > 0:09:58Emeka hands the care of Mr Sinclair over to his colleagues.
0:09:58 > 0:10:01OK, I'm going to head out. I'm going to head out in a second.
0:10:01 > 0:10:03All right, see you in a bit.
0:10:03 > 0:10:07He's going to be admitted as a patient in that situation
0:10:07 > 0:10:10I was already dealing with a list of my patients,
0:10:10 > 0:10:13but the minute I found out he collapsed,
0:10:13 > 0:10:15immediately the priority was to get him stable
0:10:15 > 0:10:19and get him in a safe environment where he could be fully assessed
0:10:19 > 0:10:22and so it just shows that you have responsibility for everyone.
0:10:22 > 0:10:24I think that's part of being a doctor,
0:10:24 > 0:10:26you just ask any doctor in my position,
0:10:26 > 0:10:28they would do the exact same.
0:10:33 > 0:10:37Today, Osama is facing his fear of private parts
0:10:37 > 0:10:39and assisting with reconstructive surgery
0:10:39 > 0:10:43to repair a weakness in the wall of a patient's vagina.
0:10:43 > 0:10:44It's vital it's treated
0:10:44 > 0:10:48or the patient could continue to experience chronic pain
0:10:48 > 0:10:49and be at risk of infections...
0:10:50 > 0:10:55..but it's not just Osama's surgical skills coming under the spotlight.
0:10:55 > 0:10:56New junior doctor.
0:10:56 > 0:10:57You need a new pair of shoes!
0:10:57 > 0:10:59They're not mine by the way.
0:10:59 > 0:11:01- What size are you?- 11.
0:11:01 > 0:11:03Oh, thank you, that's so kind.
0:11:04 > 0:11:06Can I have forceps, please?
0:11:10 > 0:11:13- Thank you sir. - Just needed to change my shoes.
0:11:13 > 0:11:17Footwear fixed, Osama can get back to the job at hand.
0:11:17 > 0:11:19Can you see the difference between this tissue here, yeah?
0:11:19 > 0:11:23- Yep.- This one, this tissue here is going to be fixed so you can see.
0:11:23 > 0:11:25Using specialist instruments,
0:11:25 > 0:11:28Osama's role is to make sure the surgeon has a clear view
0:11:28 > 0:11:29of the vaginal wall.
0:11:29 > 0:11:32I think the uterus is reasonably supported,
0:11:32 > 0:11:35- so we're not removing the uterus in this case, yeah?- Oh, great.
0:11:35 > 0:11:37OK. We'll try and relax this one.
0:11:39 > 0:11:42OK. Basically, he's tightening the suture.
0:11:42 > 0:11:44We are coming to an end now.
0:11:44 > 0:11:46This is the last stitch.
0:11:46 > 0:11:50- No catheter?- Yeah, we'll probably put a catheter and then remove it.
0:11:50 > 0:11:54- Can I have a catheter, please? - Do you catherise, or...?
0:11:54 > 0:11:56- Yep.- OK, all done.
0:11:56 > 0:11:57Surgery complete,
0:11:57 > 0:12:01it's Osama's turn at the business end of the operating table.
0:12:01 > 0:12:03He needs to fit a catheter to the patient.
0:12:06 > 0:12:10A catheter is a tube inserted into the urethra
0:12:10 > 0:12:12to allow urine to drain after surgery -
0:12:12 > 0:12:16and it's a task all junior doctors have to master.
0:12:16 > 0:12:18- Is that the urethral meatus there? - This is the urethral meatus here.
0:12:18 > 0:12:22- Be careful, it's leaking a little bit.- Oh, yeah.
0:12:22 > 0:12:24It's critical Osama gets it in the right place
0:12:24 > 0:12:26or he could damage the bladder.
0:12:26 > 0:12:28- Push it a little bit further in there.- Yeah.
0:12:28 > 0:12:33You need to see that you are getting urine, are we draining?
0:12:33 > 0:12:34Yes, we're draining nice here.
0:12:34 > 0:12:36That's fine, thank you very much.
0:12:45 > 0:12:48Following a successful catheterisation,
0:12:48 > 0:12:51Osama has some more good news to share with his best friend Emeka.
0:12:53 > 0:12:56- How you doing, man?- How are you?
0:12:57 > 0:13:00Bro, we were operating on someone's vagina today.
0:13:00 > 0:13:02How did you find it?
0:13:02 > 0:13:05- Investigation?- Yeah, it was...it was actually quite straightforward,
0:13:05 > 0:13:08it's a nice operation, very quick, surgeon was really good.
0:13:08 > 0:13:13I know you and...the lady bits don't really correlate too well.
0:13:13 > 0:13:16- In work-wise.- In work!
0:13:16 > 0:13:17No.
0:13:19 > 0:13:21- Have you overcome your fear, then? - Yeah.
0:13:21 > 0:13:22Yeah, I've overcome my fear.
0:13:22 > 0:13:24Of lady parts down below?
0:13:24 > 0:13:27- Yeah.- That's good, bro, I'm proud of you!
0:13:27 > 0:13:28- Thank you.- Give me some, bro,
0:13:28 > 0:13:29- give me some, I'm proud of you. - Thank you.
0:13:31 > 0:13:33Yeah, all right, bro. See you later, bro.
0:13:33 > 0:13:35Bye, man.
0:13:36 > 0:13:38Smashed it.
0:13:46 > 0:13:49Keeping a hospital running is a round-the-clock operation,
0:13:49 > 0:13:53and 27-year-old second-year Jo is biking around 16 miles
0:13:53 > 0:13:57from Birmingham for the start of a 12-hour night shift.
0:13:58 > 0:14:02Tonight, it's her first time covering the ENT surgical ward.
0:14:02 > 0:14:04Dealing with sick patients
0:14:04 > 0:14:06in an unfamiliar specialty
0:14:06 > 0:14:08is a daunting challenge for any young doctor.
0:14:14 > 0:14:17Nothing can prepare you for being a junior doctor.
0:14:17 > 0:14:19You just have to learn on the job.
0:14:20 > 0:14:22I really like looking after people,
0:14:22 > 0:14:24I like seeing somebody with a problem,
0:14:24 > 0:14:27finding the problem and then just finding a way to fix it.
0:14:27 > 0:14:29I want to be a bad-ass surgeon.
0:14:32 > 0:14:35OK, sorry, did you say it's stopped bleeding now?
0:14:36 > 0:14:37BEEPER
0:14:39 > 0:14:43It's 11pm and Jo has an urgent call to see a surgical patient
0:14:43 > 0:14:47experiencing severe breathing difficulties up on the ward.
0:14:47 > 0:14:49He just had a tracheostomy,
0:14:49 > 0:14:51they just cut into his airway from his neck
0:14:51 > 0:14:53and he's got, like, a tube in there,
0:14:53 > 0:14:55and his breathing is, like, 40 a minute.
0:14:55 > 0:14:58The patient's pulse rate is dangerously fast,
0:14:58 > 0:15:01and Jo will be the first port of call for treatment.
0:15:01 > 0:15:04Can't do my job because I'm constantly getting bleeped.
0:15:06 > 0:15:10Hello, there. I'm the SHO, someone called me about Mr Spicer.
0:15:10 > 0:15:14- He's using bed five. I'll get you the notes.- OK.
0:15:14 > 0:15:15I've only been with him since eight o'clock.
0:15:15 > 0:15:18- And he's deteriorated quite a lot? - He's scoring a 10 at the moment.
0:15:18 > 0:15:22- OK.- So his respiratory rate is what's concerning me most.
0:15:22 > 0:15:24Do you want to have a look at him in bed five?
0:15:24 > 0:15:26Jo urgently needs to find out
0:15:26 > 0:15:29what is causing 77-year-old Mr Spicer's
0:15:29 > 0:15:31dangerously fast heartbeat.
0:15:31 > 0:15:33I'm going to just order an X-ray
0:15:33 > 0:15:35- and then I'll come back and do some bloods.- OK.
0:15:35 > 0:15:38I'll be back with you shortly, OK?
0:15:38 > 0:15:40OK, try not - I know it's easy for me to...
0:15:40 > 0:15:44Thank you! I know it's easy for me to say, but try not to panic, OK?
0:15:44 > 0:15:47With fewer senior staff on shift during the night,
0:15:47 > 0:15:51the patient's life is in the hands of 27-year-old Jo.
0:15:52 > 0:15:55The responsibility at night-time feels huge
0:15:55 > 0:15:58compared to daytime, because... Especially on my job,
0:15:58 > 0:16:00I'm completely on my own,
0:16:00 > 0:16:01it's my first time doing ENT
0:16:01 > 0:16:04and it's quite complicated, it's quite specialist.
0:16:04 > 0:16:07I've never had to deal with a tracheostomy before,
0:16:07 > 0:16:11and the potentials for it all, it's serious, it's serious stuff.
0:16:11 > 0:16:12Hello there, I'm back.
0:16:12 > 0:16:14I need to take some blood from you, if that's OK.
0:16:17 > 0:16:21Jo is under pressure to manage Mr Spicer's condition on her own.
0:16:23 > 0:16:26I've just ordered a chest X-ray, and I'll run these bloods
0:16:26 > 0:16:30and then we'll go from there. Are you feeling any better or...?
0:16:30 > 0:16:32A bit better?
0:16:32 > 0:16:34OK. Thank you very much.
0:16:35 > 0:16:38I am worried, because he's quite sick.
0:16:38 > 0:16:42I don't really know what's going on, like, why he's breathing so quickly.
0:16:44 > 0:16:46Oh, no, I'm not going to have enough...
0:16:49 > 0:16:50This isn't going to work.
0:16:51 > 0:16:53Hate not knowing what I'm doing.
0:16:54 > 0:16:55Being a terrible doctor.
0:17:02 > 0:17:0525-year-old second-year Jess
0:17:05 > 0:17:08is a few hours into a 12-hour night shift
0:17:08 > 0:17:13and on the other side of the world in Malaysia, her mum is also awake.
0:17:13 > 0:17:15Being on call at night brings
0:17:15 > 0:17:18different challenges for each junior doctor.
0:17:18 > 0:17:22We need to cross this really dark corridor, it's really long.
0:17:26 > 0:17:28Everybody's asleep.
0:17:31 > 0:17:34- Hello.- Hello.
0:17:34 > 0:17:36People don't really tell ghost stories, like in England.
0:17:36 > 0:17:41- Yeah.- So I was thinking in England, there's no ghosts.- There is.
0:17:41 > 0:17:45- Don't say that.- There is! - Don't! OK, don't spook me out!
0:17:45 > 0:17:48These doors, they open and shut on their own.
0:17:48 > 0:17:50Just open and shut, nothing there.
0:17:52 > 0:17:57And Chris, one of the nurses, saw a man standing outside the door,
0:17:57 > 0:18:00pressed the button for him and there was no-one there.
0:18:00 > 0:18:03- Great.- You know when people pass? - Mm.
0:18:03 > 0:18:06If there's a side room, we always open the window.
0:18:06 > 0:18:09- Really?- Yeah, we always open the window on the side room
0:18:09 > 0:18:11for the soul to go.
0:18:11 > 0:18:15You can see from the ward, a cemetery,
0:18:15 > 0:18:21which isn't a really good idea, is it, in hospital.
0:18:24 > 0:18:28Now that I'm officially freaked out, I'm going to go to the next ward.
0:18:28 > 0:18:32- Thanks, Tina.- OK, no problem, see you, bye. You'll love me. See you.
0:18:34 > 0:18:37It's not nice walking around on your own in the night-time in the dark,
0:18:37 > 0:18:40anyway, you know what goes on in the hospital and what happens to people
0:18:40 > 0:18:43so it's always going to be a worry.
0:18:43 > 0:18:45You never know what you're going to see.
0:18:45 > 0:18:46In her country, they have ghosts
0:18:46 > 0:18:48and in England, they don't, apparently.
0:18:52 > 0:18:55I don't know what I'm doing, like...
0:18:55 > 0:18:58I cannot call this...
0:18:58 > 0:18:59On the ENT surgical ward,
0:18:59 > 0:19:03Jo's shift is showing no sign of slowing down.
0:19:03 > 0:19:05- Yes, it is. - Every time she gets bleeped,
0:19:05 > 0:19:09someone somewhere in the hospital needs her attention.
0:19:09 > 0:19:10Hi, there.
0:19:10 > 0:19:13But with Mr Spicer in a critical condition,
0:19:13 > 0:19:16Jo has to prioritise him first.
0:19:16 > 0:19:18Really, she could wait, couldn't she, and just get...
0:19:18 > 0:19:20That's fine, can I take a name?
0:19:21 > 0:19:23OK then, that's great, thank you, bye.
0:19:25 > 0:19:27How's he doing?
0:19:30 > 0:19:32What's his respiratory rate at the moment?
0:19:32 > 0:19:3444, it's getting worse.
0:19:34 > 0:19:36I've got to speak to the reg about him just...
0:19:39 > 0:19:42He looks to me like he's struggling.
0:19:42 > 0:19:44I just don't know what to do.
0:19:45 > 0:19:47Concerned about her patient,
0:19:47 > 0:19:51Jo calls the senior doctor to come and help assess the situation.
0:19:51 > 0:19:54I'm just wondering if I could get you to come review a patient for me?
0:19:54 > 0:19:59Over the last four hours, five hours now, he's really deteriorated.
0:19:59 > 0:20:02He has shallow breathing and he's hyperventilating.
0:20:02 > 0:20:04Yes, I will do.
0:20:04 > 0:20:07Thank you so much. Bye.
0:20:07 > 0:20:09Hi, thank you for coming.
0:20:09 > 0:20:11He's going down very quickly.
0:20:11 > 0:20:14Can you turn on the lights, please?
0:20:14 > 0:20:17INDISTINCT CHATTER
0:20:19 > 0:20:21- Ask the anaesthetist to come as well.- OK.
0:20:21 > 0:20:24- Hello, sir.- He looks like even in the last kind of half hour,
0:20:24 > 0:20:26he's looking terrible right now.
0:20:28 > 0:20:32- They're on their way.- OK.
0:20:32 > 0:20:37Mr Spicer's heart rate is so high, he's in danger of
0:20:37 > 0:20:41going into cardiac arrest. The emergency routine kicks in.
0:20:41 > 0:20:45Jo has also requested an urgent X-ray so they can have a look at
0:20:45 > 0:20:49Mr Spicer's chest. But at a critical moment, she's made a mistake.
0:20:49 > 0:20:53- Me!- When you fill one in and you don't put a ward on it,
0:20:53 > 0:20:55- we don't know where to go.- Sorry. - If we haven't had that request
0:20:55 > 0:20:58- from earlier, we wouldn't have been able to come and do with this.- OK.
0:20:58 > 0:21:01Sorry, sorry. It was... I was in a rush.
0:21:01 > 0:21:03I know, but there would have been nothing we could have done
0:21:03 > 0:21:06- short of ringing around every single ward.- Mm-hm.
0:21:10 > 0:21:13The medical team do everything they can.
0:21:13 > 0:21:16Eventually, they stabilise the patient.
0:21:19 > 0:21:23It was quite scary, just thought he was going to die.
0:21:23 > 0:21:25Feels good to have some help.
0:21:25 > 0:21:27All right, sir?
0:21:27 > 0:21:29- Well done.- OK.
0:21:29 > 0:21:31- Thank you.- Thank you.
0:21:31 > 0:21:35It's eight hours into Jo's shift and in the doctors' mess,
0:21:35 > 0:21:38she's taking her first break of the night.
0:21:38 > 0:21:42I'm tired now. It's quarter to five and I've literally,
0:21:42 > 0:21:46this is the first time we've stopped all night. I've not eaten anything.
0:21:46 > 0:21:49I'm feeling a bit zonked.
0:21:49 > 0:21:54Um... Yeah, so it was just, touch wood,
0:21:54 > 0:22:00going to take half an hour just for a break and then go and see...
0:22:02 > 0:22:04Give the wards a call and see if they need anything.
0:22:19 > 0:22:21Just going to close my eyes for ten minutes.
0:22:40 > 0:22:41Oh, God.
0:22:41 > 0:22:43I'm so tired now.
0:22:43 > 0:22:47It's 6:30am and with two hours still to go,
0:22:47 > 0:22:50Jo has time to check on Mr Spicer.
0:22:50 > 0:22:52Good morning, how are you feeling?
0:22:52 > 0:22:54Same?
0:22:54 > 0:22:55Better, worse?
0:22:57 > 0:23:02About the same. I'll just have a listen to your chest, OK?
0:23:07 > 0:23:09We'll keep going with the antibiotics,
0:23:09 > 0:23:11you got a bit of a temperature now.
0:23:11 > 0:23:13And we'll keep going with the water tablets
0:23:13 > 0:23:16to try and get some of the fluid off your lungs, OK?
0:23:16 > 0:23:19HE MOUTHS
0:23:19 > 0:23:21Just use these sponges.
0:23:21 > 0:23:26I know. OK, you're doing really well.
0:23:26 > 0:23:27I'll see you soon.
0:23:33 > 0:23:36He's improved, his spirits are up, I can't believe...
0:23:36 > 0:23:39He's really positive, so that will count for a lot of things, I think,
0:23:39 > 0:23:42positive attitude will make such a difference.
0:23:42 > 0:23:45Just have to wait and see over the next couple of days, really.
0:23:45 > 0:23:47Fingers crossed.
0:23:47 > 0:23:49After an exhausting-12 hour shift,
0:23:49 > 0:23:52Jo can finally head home.
0:23:52 > 0:23:54Tough night. I had no idea what I was doing,
0:23:54 > 0:23:57I felt really out of my comfort zone, out of my depth.
0:23:57 > 0:24:02I'm tired, but nobody died, so that's good.
0:24:02 > 0:24:05Cycling is probably the last thing I feel like doing right now,
0:24:05 > 0:24:07but give me five miles and I'll be fine.
0:24:14 > 0:24:17Today, Osama is putting a recent foot faux pas behind him
0:24:17 > 0:24:20and is investing in his own pair of surgical shoes.
0:24:20 > 0:24:22- Hello.- Hey, how are you doing?
0:24:22 > 0:24:24And he's got some big decisions to make.
0:24:24 > 0:24:27Hm... The fire ones, maybe?
0:24:28 > 0:24:29Maybe not.
0:24:31 > 0:24:34Oh! Now, this is what I'm talking about.
0:24:34 > 0:24:36Leopard-print Crocs.
0:24:38 > 0:24:41Excuse me, hello, hi. So I quite like the leopard-print.
0:24:41 > 0:24:43- I'm not going to lie. - Yeah, I'm not going to lie,
0:24:43 > 0:24:47- they only come up to size eight UK. - No, don't say...- Well...
0:24:47 > 0:24:50- What about the camouflage ones? - Camouflage, we've got that.
0:24:50 > 0:24:54- You have?- What size are you taking? - Size 11, please.- 11.- Thank you.
0:24:57 > 0:25:00Do you have any, like, new in season ones?
0:25:00 > 0:25:02- Like this season? - These ones have just come in.
0:25:02 > 0:25:06Oh, these are new season? OK, let's try them on.
0:25:06 > 0:25:09These ones don't have holes in them which is better
0:25:09 > 0:25:13because you know how messy surgery is, like blood everywhere and fluid.
0:25:13 > 0:25:15No!
0:25:15 > 0:25:19- Can I?- Yeah, sure.- Thank you.- Have a seat, please.- Oh, great, thank you.
0:25:19 > 0:25:22No way! Wow!
0:25:22 > 0:25:24This is a big decision now!
0:25:24 > 0:25:26I need your help! I'll give you a scenario.
0:25:26 > 0:25:29Say you're ill, you're in hospital
0:25:29 > 0:25:32and a doctor comes to you wearing the red ones
0:25:32 > 0:25:35or a doctor comes to you wearing these.
0:25:35 > 0:25:37Which doctor would make you feel better?
0:25:37 > 0:25:41Probably these ones, I'd say, but again the chilli peppers
0:25:41 > 0:25:46- are really awesome as well.- So you think you're cured from any problem?
0:25:46 > 0:25:49I think they will, yes, they will appreciate it.
0:25:49 > 0:25:50I don't know, this is tough.
0:25:50 > 0:25:53Can I have a moment, please?
0:25:53 > 0:25:56Osama seeks advice from best friend
0:25:56 > 0:25:58and fashion guru Emeka.
0:26:03 > 0:26:04Maybe they're a bit too risky.
0:26:04 > 0:26:08- I think let's go for the original ones.- I think the first ones
0:26:08 > 0:26:10- were the best ones, too.- Yes, yes, yes. That would be perfect.
0:26:10 > 0:26:13I might buy these for casual use.
0:26:13 > 0:26:16- Thank you. Thank you.- Thank you very much.- Have a nice day. Bye.
0:26:25 > 0:26:27Nearly halfway through their placements,
0:26:27 > 0:26:32it's now time for the junior doctors to take stock of how they're doing.
0:26:32 > 0:26:34How's your jobs going, guys?
0:26:34 > 0:26:36- Good, I've enjoyed it. - I've been very fortunate in mine,
0:26:36 > 0:26:38I'm literally always in theatre.
0:26:38 > 0:26:40- You enjoying it? - Yeah, I actually like it.
0:26:40 > 0:26:42I didn't think I would like it, but, yeah.
0:26:42 > 0:26:45When you're a student, like, you don't have responsibilities,
0:26:45 > 0:26:47but when you're a doctor scrubbed up in theatre,
0:26:47 > 0:26:50- you have responsibilities.- I've learned a lot, so that's good.
0:26:50 > 0:26:53The only thing that I found difficult was ENT.
0:26:53 > 0:26:56When they get sick, they get really sick cos it's bleeding or airways.
0:26:56 > 0:26:58- Yeah, yeah.- So that was hard.
0:26:58 > 0:27:01Some days you win, some days you lose.
0:27:01 > 0:27:04It sounds cheesy but medicine really is a roller-coaster sometimes.
0:27:04 > 0:27:06It is, it is, yeah.
0:27:06 > 0:27:09I love it. I've been here for two years now and I love it.
0:27:09 > 0:27:12Medicine isn't a job, it's a vocation, it's a life
0:27:12 > 0:27:15and it's cheesy but it's true so, you know, it's not a case of
0:27:15 > 0:27:18I go to work nine to five, I clock in, I clock out.
0:27:18 > 0:27:22- It's all-consuming, isn't it?- It doesn't stop, it's 24 hours a day.
0:27:22 > 0:27:24Just because you're not in the hospital
0:27:24 > 0:27:26doesn't mean you're not mentally in the hospital.
0:27:26 > 0:27:28We should set up our own hospital, guys.
0:27:28 > 0:27:30LAUGHTER
0:27:30 > 0:27:32Emeka, I think you should be staff nurse.
0:27:32 > 0:27:35LAUGHTER
0:27:36 > 0:27:39Is it OK if I do a bottom examination for you?
0:27:39 > 0:27:43And then I have to put my finger up to see if there are any lumps.
0:27:43 > 0:27:47- Got the cyst.- There's hairs growing through it. I want to touch it.
0:27:47 > 0:27:49RETCHING
0:27:49 > 0:27:52They have to have surgery, so it's sort of
0:27:52 > 0:27:54the worst-case scenario that could happen in this case.