Episode 5 Junior Doctors: Blood, Sweat and Tears


Episode 5

Documentary series following the lives of seven newly qualified junior doctors. Emeka deals with a patient who collapses on the ward with severe stomach pain.


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Transcript


LineFromTo

-Start CPR.

-Shockable rhythm. Charging, everybody stand clear.

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In every emergency, we completely assess you.

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Can you open your eyes for me?

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Can you stop doing the drugs, please, and help here?

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Seven junior doctors...

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Can I have a stet, please?

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..on the front line of medicine...

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-Showtime.

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

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Easy, sir, easy.

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..with all its blood...

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I love a gory, bloody wound.

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..sweat and tears.

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A little bit nervous.

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You're not going to die.

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The doctors of your future...

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-What the...

-I actually slipped on my wedding dress.

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-Everybody stand clear.

-..facing life.

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I'm part of the family now. Lion King moment.

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..and death.

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I think there's just something wrong with you if you aren't upset by it.

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-Have they got...

-What have you taken today?

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..what it takes?

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-I'll see you tonight.

-OK, drive safe.

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I will. Bye!

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Wolverhampton in the West Midlands is home to

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a quarter of a million people

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and is famous for its industrial past.

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At New Cross, one of the largest teaching hospitals in the region,

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the junior doctors are nearly halfway through their current placements.

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-All right. Yep, I will do.

-All right.

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-Across town...

-So it's a secret ingredient. It looks a bit dreadful.

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..26-year-old first-year Osama

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has his own unique way of starting the day.

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Every morning, my life starts like this,

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but at least it means it can't get any worse.

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With his mum away, he's facing the responsibility of being home alone.

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So this evening, my mum's working so I have to make my own stuff,

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I have to iron my own clothes and do my own breakfast.

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I think my mum thinks it's cute that I try and clean up on Friday.

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Just doesn't work, it's not good enough.

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I think that looks kind of clean.

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Don't know. All right.

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When the general public probably think of a doctor,

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they think of, like, some rich guy chilling out in his Bentley,

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but the reality is very far from that.

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My day involves so many strange things from putting a finger up

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someone's, erm...anus

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to doing other, you know, embarrassing things.

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Do you want anything to help you open your bowels?

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I'm going to say no to that one.

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My family are in medicine.

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Nothing is awkward, like, you discuss everything.

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So, awkwardness has gone down the window in this household.

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In the obs and gynae department, Osama is on a mission.

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So we seem to have a shortage of scrubs,

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so I need to go get scrubs from a different department,

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so I don't know what's going on, but let's go.

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Oh, like a secret cupboard.

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No way.

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Thank you. Thank you.

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Wow! So, got my premium scrubs, I'm happy.

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-How are you?

-Good.

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Yeah, man, respect.

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Also on a quest to look his best is 24-year-old Emeka.

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Dr Emeka is the name, I like to keep on top of the game.

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That kind of cut.

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When you look the best, you'll be the best.

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-Trust.

-Slick style, that's me in a nutshell.

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I was eyeing up some of these ties.

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Oh, thank you very much.

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I definitely like to consider myself a new medical fashion icon.

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I'm thinking of going for something a little colourful.

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My clothes kind of define my personality,

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they kind of say, "It is me, my name is Emeka, nice to meet you.

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"How are you doing?"

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Ready for the shift now.

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On the busy general surgical ward,

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first-year Emeka is a few hours into his shift.

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The bigger, the better, but some people...

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Without warning, a patient collapses in the corridor

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and Emeka is the first doctor on the scene.

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Are you in pain?

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PATIENT GROANS

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Can we get him into the assessment room, please, guys?

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-What happened?

-You told me I was ready to go at 11

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and I was waiting till five, six hours for my paperwork.

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Mr Sinclair recently discharged himself from hospital

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following treatment for severe stomach pain

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and suspected diverticulitis,

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a condition affecting the digestive system.

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HE GROANS LOUDLY

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Today, he's back in agonising pain.

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I think I'm going to pass out.

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Let's get a drug chart. Can we get some stickers for him?

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The pain in his abdomen could be a life-threatening illness,

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so the medical team must work quickly to find out what's wrong.

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OK, painkillers are coming.

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It seems like this man's collapsed, he has some acute abdomen.

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He was in here before previously

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and, basically, he discharged after his CT came back as OK.

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So he's come in now, he's collapsed with a lot of pain.

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To help manage the pain,

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Emeka must insert a needle into Mr Sinclair's arm

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so he can give him morphine.

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Yes.

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We'll give you some food and medication, all right?

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Oh, it's breaking me down.

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The more you move, the more it will hurt. Calm down, OK?

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Deep breath in, deep breath out.

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His colleague, Dr Bhasin, needs to keep the patient calm

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so Emeka can carefully guide the needle into the vein.

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Slow your breathing down.

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Any sudden movements and Emeka could puncture a major blood vessel.

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You're going to feel a sharp scratch now.

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Slow breathing. Well done.

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I'm just so sore.

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I know.

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PATIENT GROANS AND MUMBLES

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It's OK, you're getting a bowl, OK? We're getting a bowl for you.

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HE RETCHES

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It's OK.

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We've got some anti-sickness for you.

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Nobody really saw that coming.

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I was just doing handover and handover with some of my team

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and one of the med school students ran in and told us that...

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..somebody had collapsed.

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Look at me, look at me.

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We've cannulated him, given him some morphine,

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which is definitely going to help the pain.

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We've given him some fluids and hopefully that will bring down

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his heart rate and stop him being so anxious.

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And then we'll kind of take it from there.

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In obs and gynae,

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Baghdad-born Osama is scrubbed up and ready for theatre,

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but there is a small problem.

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Oh, wow! Are they matching or are they mismatching?

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The thing is, they're, like, three sizes too small.

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I don't know if you're going to judge me for it. Are you judging me?

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They shouldn't be hanging over the edges.

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Do you want to change shoes?

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-Buy your own.

-Do you think so? This is terrible.

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It's a calamity.

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I need my own pair.

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-What does calamity even mean?

-Calamity is like a disaster.

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-Legit.

-Yeah, he does legit as well.

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Also, like, a thug as well.

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Like these two ladies - big-time thugs.

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Let me refer you to a dictionary definition of thug.

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You know it's legit when you have to go on Urban Dictionary.

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"A thug is someone who is going through struggles,

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"has gone through struggles and continues to live day by day

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"with nothing for them."

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OK, I didn't mean it that way, guys, like,

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obviously you guys have a lot going for you.

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-INDISTINCT

-OK, bye.

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On the surgical ward,

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Mr Sinclair is still in agony

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and Emeka is desperately trying to find out why.

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Is the pain worse?

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Not as worse, but still sore as hell.

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-Did the morphine help?

-A little bit,

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but nothing major.

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What kind of pain is it? Is it a sharp pain?

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It's right there, a throbbing sensation pain.

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What happened?

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Was there anything that changed when you went home?

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Did you take anything? Did you eat anything?

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I used the toilet this morning, that sends me off all the time.

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-How was it when you went to the toilet?

-It's hard.

-Hard.

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It's hard to go.

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Did you have pain when passing a stool?

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-Yeah.

-You did?

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So much.

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And he didn't mention to you anything about diverticulitis

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-or diverticulosis?

-Who?

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-OK.

-Who did?

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Any of the doctors, did any doctors...?

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They said I might have that or I might have IBS, I don't know.

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This is so bad.

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OK, OK, wait right here, we'll get you something.

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-You wait with him.

-OK.

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Thank you.

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Do I get any more morphine?

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INDISTINCT

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I'm not sure what can cause an acute picture like this.

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We don't know exactly what to call it,

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we don't know if he's had a breathing perforation or anything.

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The next step is a blood test, which will reveal if Mr Sinclair

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is suffering from an acute infection.

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Just come and ask me about that.

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If anything changes or he's complaining of anything,

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just come out and call one of them, OK?

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He seems quite stable and most things are in place.

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We just need to chase his blood results, basically,

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and see what we're doing with him from there.

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After a challenging nine-hour shift,

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Emeka hands the care of Mr Sinclair over to his colleagues.

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OK, I'm going to head out. I'm going to head out in a second.

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All right, see you in a bit.

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He's going to be admitted as a patient in that situation

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I was already dealing with a list of my patients,

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but the minute I found out he collapsed,

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immediately the priority was to get him stable

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and get him in a safe environment where he could be fully assessed

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and so it just shows that you have responsibility for everyone.

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I think that's part of being a doctor,

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you just ask any doctor in my position,

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they would do the exact same.

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Today, Osama is facing his fear of private parts

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and assisting with reconstructive surgery

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to repair a weakness in the wall of a patient's vagina.

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It's vital it's treated

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or the patient could continue to experience chronic pain

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and be at risk of infections...

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..but it's not just Osama's surgical skills coming under the spotlight.

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New junior doctor.

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You need a new pair of shoes!

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They're not mine by the way.

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-What size are you?

-11.

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Oh, thank you, that's so kind.

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Can I have forceps, please?

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-Thank you sir.

-Just needed to change my shoes.

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Footwear fixed, Osama can get back to the job at hand.

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Can you see the difference between this tissue here, yeah?

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-Yep.

-This one, this tissue here is going to be fixed so you can see.

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Using specialist instruments,

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Osama's role is to make sure the surgeon has a clear view

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of the vaginal wall.

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I think the uterus is reasonably supported,

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-so we're not removing the uterus in this case, yeah?

-Oh, great.

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OK. We'll try and relax this one.

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OK. Basically, he's tightening the suture.

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We are coming to an end now.

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This is the last stitch.

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-No catheter?

-Yeah, we'll probably put a catheter and then remove it.

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-Can I have a catheter, please?

-Do you catherise, or...?

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-Yep.

-OK, all done.

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Surgery complete,

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it's Osama's turn at the business end of the operating table.

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He needs to fit a catheter to the patient.

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A catheter is a tube inserted into the urethra

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to allow urine to drain after surgery -

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and it's a task all junior doctors have to master.

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-Is that the urethral meatus there?

-This is the urethral meatus here.

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-Be careful, it's leaking a little bit.

-Oh, yeah.

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It's critical Osama gets it in the right place

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or he could damage the bladder.

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-Push it a little bit further in there.

-Yeah.

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You need to see that you are getting urine, are we draining?

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Yes, we're draining nice here.

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That's fine, thank you very much.

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Following a successful catheterisation,

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Osama has some more good news to share with his best friend Emeka.

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-How you doing, man?

-How are you?

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Bro, we were operating on someone's vagina today.

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How did you find it?

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-Investigation?

-Yeah, it was...it was actually quite straightforward,

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it's a nice operation, very quick, surgeon was really good.

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I know you and...the lady bits don't really correlate too well.

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-In work-wise.

-In work!

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No.

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-Have you overcome your fear, then?

-Yeah.

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Yeah, I've overcome my fear.

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Of lady parts down below?

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-Yeah.

-That's good, bro, I'm proud of you!

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-Thank you.

-Give me some, bro,

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-give me some, I'm proud of you.

-Thank you.

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Yeah, all right, bro. See you later, bro.

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Bye, man.

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Smashed it.

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Keeping a hospital running is a round-the-clock operation,

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and 27-year-old second-year Jo is biking around 16 miles

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from Birmingham for the start of a 12-hour night shift.

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Tonight, it's her first time covering the ENT surgical ward.

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Dealing with sick patients

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in an unfamiliar specialty

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is a daunting challenge for any young doctor.

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Nothing can prepare you for being a junior doctor.

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You just have to learn on the job.

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I really like looking after people,

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I like seeing somebody with a problem,

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finding the problem and then just finding a way to fix it.

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I want to be a bad-ass surgeon.

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OK, sorry, did you say it's stopped bleeding now?

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BEEPER

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It's 11pm and Jo has an urgent call to see a surgical patient

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experiencing severe breathing difficulties up on the ward.

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He just had a tracheostomy,

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they just cut into his airway from his neck

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and he's got, like, a tube in there,

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and his breathing is, like, 40 a minute.

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The patient's pulse rate is dangerously fast,

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and Jo will be the first port of call for treatment.

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Can't do my job because I'm constantly getting bleeped.

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Hello, there. I'm the SHO, someone called me about Mr Spicer.

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-He's using bed five. I'll get you the notes.

-OK.

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I've only been with him since eight o'clock.

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-And he's deteriorated quite a lot?

-He's scoring a 10 at the moment.

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-OK.

-So his respiratory rate is what's concerning me most.

0:15:180:15:22

Do you want to have a look at him in bed five?

0:15:220:15:24

Jo urgently needs to find out

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what is causing 77-year-old Mr Spicer's

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dangerously fast heartbeat.

0:15:290:15:31

I'm going to just order an X-ray

0:15:310:15:33

-and then I'll come back and do some bloods.

-OK.

0:15:330:15:35

I'll be back with you shortly, OK?

0:15:350:15:38

OK, try not - I know it's easy for me to...

0:15:380:15:40

Thank you! I know it's easy for me to say, but try not to panic, OK?

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With fewer senior staff on shift during the night,

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the patient's life is in the hands of 27-year-old Jo.

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The responsibility at night-time feels huge

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compared to daytime, because... Especially on my job,

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I'm completely on my own,

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it's my first time doing ENT

0:16:000:16:01

and it's quite complicated, it's quite specialist.

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I've never had to deal with a tracheostomy before,

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and the potentials for it all, it's serious, it's serious stuff.

0:16:070:16:11

Hello there, I'm back.

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I need to take some blood from you, if that's OK.

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Jo is under pressure to manage Mr Spicer's condition on her own.

0:16:170:16:21

I've just ordered a chest X-ray, and I'll run these bloods

0:16:230:16:26

and then we'll go from there. Are you feeling any better or...?

0:16:260:16:30

A bit better?

0:16:300:16:32

OK. Thank you very much.

0:16:320:16:34

I am worried, because he's quite sick.

0:16:350:16:38

I don't really know what's going on, like, why he's breathing so quickly.

0:16:380:16:42

Oh, no, I'm not going to have enough...

0:16:440:16:46

This isn't going to work.

0:16:490:16:50

Hate not knowing what I'm doing.

0:16:510:16:53

Being a terrible doctor.

0:16:540:16:55

25-year-old second-year Jess

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is a few hours into a 12-hour night shift

0:17:050:17:08

and on the other side of the world in Malaysia, her mum is also awake.

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Being on call at night brings

0:17:130:17:15

different challenges for each junior doctor.

0:17:150:17:18

We need to cross this really dark corridor, it's really long.

0:17:180:17:22

Everybody's asleep.

0:17:260:17:28

-Hello.

-Hello.

0:17:310:17:34

People don't really tell ghost stories, like in England.

0:17:340:17:36

-Yeah.

-So I was thinking in England, there's no ghosts.

-There is.

0:17:360:17:41

-Don't say that.

-There is!

-Don't! OK, don't spook me out!

0:17:410:17:45

These doors, they open and shut on their own.

0:17:450:17:48

Just open and shut, nothing there.

0:17:480:17:50

And Chris, one of the nurses, saw a man standing outside the door,

0:17:520:17:57

pressed the button for him and there was no-one there.

0:17:570:18:00

-Great.

-You know when people pass?

-Mm.

0:18:000:18:03

If there's a side room, we always open the window.

0:18:030:18:06

-Really?

-Yeah, we always open the window on the side room

0:18:060:18:09

for the soul to go.

0:18:090:18:11

You can see from the ward, a cemetery,

0:18:110:18:15

which isn't a really good idea, is it, in hospital.

0:18:150:18:21

Now that I'm officially freaked out, I'm going to go to the next ward.

0:18:240:18:28

-Thanks, Tina.

-OK, no problem, see you, bye. You'll love me. See you.

0:18:280:18:32

It's not nice walking around on your own in the night-time in the dark,

0:18:340:18:37

anyway, you know what goes on in the hospital and what happens to people

0:18:370:18:40

so it's always going to be a worry.

0:18:400:18:43

You never know what you're going to see.

0:18:430:18:45

In her country, they have ghosts

0:18:450:18:46

and in England, they don't, apparently.

0:18:460:18:48

I don't know what I'm doing, like...

0:18:520:18:55

I cannot call this...

0:18:550:18:58

On the ENT surgical ward,

0:18:580:18:59

Jo's shift is showing no sign of slowing down.

0:18:590:19:03

-Yes, it is.

-Every time she gets bleeped,

0:19:030:19:05

someone somewhere in the hospital needs her attention.

0:19:050:19:09

Hi, there.

0:19:090:19:10

But with Mr Spicer in a critical condition,

0:19:100:19:13

Jo has to prioritise him first.

0:19:130:19:16

Really, she could wait, couldn't she, and just get...

0:19:160:19:18

That's fine, can I take a name?

0:19:180:19:20

OK then, that's great, thank you, bye.

0:19:210:19:23

How's he doing?

0:19:250:19:27

What's his respiratory rate at the moment?

0:19:300:19:32

44, it's getting worse.

0:19:320:19:34

I've got to speak to the reg about him just...

0:19:340:19:36

He looks to me like he's struggling.

0:19:390:19:42

I just don't know what to do.

0:19:420:19:44

Concerned about her patient,

0:19:450:19:47

Jo calls the senior doctor to come and help assess the situation.

0:19:470:19:51

I'm just wondering if I could get you to come review a patient for me?

0:19:510:19:54

Over the last four hours, five hours now, he's really deteriorated.

0:19:540:19:59

He has shallow breathing and he's hyperventilating.

0:19:590:20:02

Yes, I will do.

0:20:020:20:04

Thank you so much. Bye.

0:20:040:20:07

Hi, thank you for coming.

0:20:070:20:09

He's going down very quickly.

0:20:090:20:11

Can you turn on the lights, please?

0:20:110:20:14

INDISTINCT CHATTER

0:20:140:20:17

-Ask the anaesthetist to come as well.

-OK.

0:20:190:20:21

-Hello, sir.

-He looks like even in the last kind of half hour,

0:20:210:20:24

he's looking terrible right now.

0:20:240:20:26

-They're on their way.

-OK.

0:20:280:20:32

Mr Spicer's heart rate is so high, he's in danger of

0:20:320:20:37

going into cardiac arrest. The emergency routine kicks in.

0:20:370:20:41

Jo has also requested an urgent X-ray so they can have a look at

0:20:410:20:45

Mr Spicer's chest. But at a critical moment, she's made a mistake.

0:20:450:20:49

-Me!

-When you fill one in and you don't put a ward on it,

0:20:490:20:53

-we don't know where to go.

-Sorry.

-If we haven't had that request

0:20:530:20:55

-from earlier, we wouldn't have been able to come and do with this.

-OK.

0:20:550:20:58

Sorry, sorry. It was... I was in a rush.

0:20:580:21:01

I know, but there would have been nothing we could have done

0:21:010:21:03

-short of ringing around every single ward.

-Mm-hm.

0:21:030:21:06

The medical team do everything they can.

0:21:100:21:13

Eventually, they stabilise the patient.

0:21:130:21:16

It was quite scary, just thought he was going to die.

0:21:190:21:23

Feels good to have some help.

0:21:230:21:25

All right, sir?

0:21:250:21:27

-Well done.

-OK.

0:21:270:21:29

-Thank you.

-Thank you.

0:21:290:21:31

It's eight hours into Jo's shift and in the doctors' mess,

0:21:310:21:35

she's taking her first break of the night.

0:21:350:21:38

I'm tired now. It's quarter to five and I've literally,

0:21:380:21:42

this is the first time we've stopped all night. I've not eaten anything.

0:21:420:21:46

I'm feeling a bit zonked.

0:21:460:21:49

Um... Yeah, so it was just, touch wood,

0:21:490:21:54

going to take half an hour just for a break and then go and see...

0:21:540:22:00

Give the wards a call and see if they need anything.

0:22:020:22:04

Just going to close my eyes for ten minutes.

0:22:190:22:21

Oh, God.

0:22:400:22:41

I'm so tired now.

0:22:410:22:43

It's 6:30am and with two hours still to go,

0:22:430:22:47

Jo has time to check on Mr Spicer.

0:22:470:22:50

Good morning, how are you feeling?

0:22:500:22:52

Same?

0:22:520:22:54

Better, worse?

0:22:540:22:55

About the same. I'll just have a listen to your chest, OK?

0:22:570:23:02

We'll keep going with the antibiotics,

0:23:070:23:09

you got a bit of a temperature now.

0:23:090:23:11

And we'll keep going with the water tablets

0:23:110:23:13

to try and get some of the fluid off your lungs, OK?

0:23:130:23:16

HE MOUTHS

0:23:160:23:19

Just use these sponges.

0:23:190:23:21

I know. OK, you're doing really well.

0:23:210:23:26

I'll see you soon.

0:23:260:23:27

He's improved, his spirits are up, I can't believe...

0:23:330:23:36

He's really positive, so that will count for a lot of things, I think,

0:23:360:23:39

positive attitude will make such a difference.

0:23:390:23:42

Just have to wait and see over the next couple of days, really.

0:23:420:23:45

Fingers crossed.

0:23:450:23:47

After an exhausting-12 hour shift,

0:23:470:23:49

Jo can finally head home.

0:23:490:23:52

Tough night. I had no idea what I was doing,

0:23:520:23:54

I felt really out of my comfort zone, out of my depth.

0:23:540:23:57

I'm tired, but nobody died, so that's good.

0:23:570:24:02

Cycling is probably the last thing I feel like doing right now,

0:24:020:24:05

but give me five miles and I'll be fine.

0:24:050:24:07

Today, Osama is putting a recent foot faux pas behind him

0:24:140:24:17

and is investing in his own pair of surgical shoes.

0:24:170:24:20

-Hello.

-Hey, how are you doing?

0:24:200:24:22

And he's got some big decisions to make.

0:24:220:24:24

Hm... The fire ones, maybe?

0:24:240:24:27

Maybe not.

0:24:280:24:29

Oh! Now, this is what I'm talking about.

0:24:310:24:34

Leopard-print Crocs.

0:24:340:24:36

Excuse me, hello, hi. So I quite like the leopard-print.

0:24:380:24:41

-I'm not going to lie.

-Yeah, I'm not going to lie,

0:24:410:24:43

-they only come up to size eight UK.

-No, don't say...

-Well...

0:24:430:24:47

-What about the camouflage ones?

-Camouflage, we've got that.

0:24:470:24:50

-You have?

-What size are you taking?

-Size 11, please.

-11.

-Thank you.

0:24:500:24:54

Do you have any, like, new in season ones?

0:24:570:25:00

-Like this season?

-These ones have just come in.

0:25:000:25:02

Oh, these are new season? OK, let's try them on.

0:25:020:25:06

These ones don't have holes in them which is better

0:25:060:25:09

because you know how messy surgery is, like blood everywhere and fluid.

0:25:090:25:13

No!

0:25:130:25:15

-Can I?

-Yeah, sure.

-Thank you.

-Have a seat, please.

-Oh, great, thank you.

0:25:150:25:19

No way! Wow!

0:25:190:25:22

This is a big decision now!

0:25:220:25:24

I need your help! I'll give you a scenario.

0:25:240:25:26

Say you're ill, you're in hospital

0:25:260:25:29

and a doctor comes to you wearing the red ones

0:25:290:25:32

or a doctor comes to you wearing these.

0:25:320:25:35

Which doctor would make you feel better?

0:25:350:25:37

Probably these ones, I'd say, but again the chilli peppers

0:25:370:25:41

-are really awesome as well.

-So you think you're cured from any problem?

0:25:410:25:46

I think they will, yes, they will appreciate it.

0:25:460:25:49

I don't know, this is tough.

0:25:490:25:50

Can I have a moment, please?

0:25:500:25:53

Osama seeks advice from best friend

0:25:530:25:56

and fashion guru Emeka.

0:25:560:25:58

Maybe they're a bit too risky.

0:26:030:26:04

-I think let's go for the original ones.

-I think the first ones

0:26:040:26:08

-were the best ones, too.

-Yes, yes, yes. That would be perfect.

0:26:080:26:10

I might buy these for casual use.

0:26:100:26:13

-Thank you. Thank you.

-Thank you very much.

-Have a nice day. Bye.

0:26:130:26:16

Nearly halfway through their placements,

0:26:250:26:27

it's now time for the junior doctors to take stock of how they're doing.

0:26:270:26:32

How's your jobs going, guys?

0:26:320:26:34

-Good, I've enjoyed it.

-I've been very fortunate in mine,

0:26:340:26:36

I'm literally always in theatre.

0:26:360:26:38

-You enjoying it?

-Yeah, I actually like it.

0:26:380:26:40

I didn't think I would like it, but, yeah.

0:26:400:26:42

When you're a student, like, you don't have responsibilities,

0:26:420:26:45

but when you're a doctor scrubbed up in theatre,

0:26:450:26:47

-you have responsibilities.

-I've learned a lot, so that's good.

0:26:470:26:50

The only thing that I found difficult was ENT.

0:26:500:26:53

When they get sick, they get really sick cos it's bleeding or airways.

0:26:530:26:56

-Yeah, yeah.

-So that was hard.

0:26:560:26:58

Some days you win, some days you lose.

0:26:580:27:01

It sounds cheesy but medicine really is a roller-coaster sometimes.

0:27:010:27:04

It is, it is, yeah.

0:27:040:27:06

I love it. I've been here for two years now and I love it.

0:27:060:27:09

Medicine isn't a job, it's a vocation, it's a life

0:27:090:27:12

and it's cheesy but it's true so, you know, it's not a case of

0:27:120:27:15

I go to work nine to five, I clock in, I clock out.

0:27:150:27:18

-It's all-consuming, isn't it?

-It doesn't stop, it's 24 hours a day.

0:27:180:27:22

Just because you're not in the hospital

0:27:220:27:24

doesn't mean you're not mentally in the hospital.

0:27:240:27:26

We should set up our own hospital, guys.

0:27:260:27:28

LAUGHTER

0:27:280:27:30

Emeka, I think you should be staff nurse.

0:27:300:27:32

LAUGHTER

0:27:320:27:35

Is it OK if I do a bottom examination for you?

0:27:360:27:39

And then I have to put my finger up to see if there are any lumps.

0:27:390:27:43

-Got the cyst.

-There's hairs growing through it. I want to touch it.

0:27:430:27:47

RETCHING

0:27:470:27:49

They have to have surgery, so it's sort of

0:27:490:27:52

the worst-case scenario that could happen in this case.

0:27:520:27:54

First-year Osama faces his fear of private parts when he assists with vaginal surgery, Emeka deals with a patient who collapses on the ward with severe stomach pain, and Jo is tested on a night shift when a patient goes into peri-arrest.


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