0:00:02 > 0:00:05- Start CPR.- Shockable rhythm. - Charging. Everybody stand clear.
0:00:05 > 0:00:07I have an airway emergency, we need to assess you.
0:00:07 > 0:00:08Open your eyes for me.
0:00:08 > 0:00:10Can 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 > 0:00:21Easy, sir, easy.
0:00:21 > 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.
0:00:33 > 0:00:35- I'm a bit nervous. - You'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 > 0:00:42Everybody stand clear.
0:00:42 > 0:00:43..facing life...
0:00:43 > 0:00:45I'm part of the family now. Lion King moment.
0:00:45 > 0:00:47..and death.
0:00:47 > 0:00:50I think there'd be something wrong with you if you weren't upset by it.
0:00:50 > 0:00:51Have they got...
0:00:51 > 0:00:52What have you taken today?
0:00:52 > 0:00:53..what it takes?
0:01:10 > 0:01:13- Are you all right?- Yes, good, thank you.- Right, I have got...
0:01:13 > 0:01:16At New Cross Hospital in Wolverhampton,
0:01:16 > 0:01:20junior doctor Jo has been called to the children's emergency department
0:01:20 > 0:01:23to take a look at a one-month-old baby.
0:01:23 > 0:01:27Mum's woke her up this morning, took her out of her baby grow and noticed
0:01:27 > 0:01:30- the right foot, the second, third and fourth toes swollen.- Right.
0:01:30 > 0:01:34There's indentation there, where there's potentially been
0:01:34 > 0:01:35either cotton or a piece of hair.
0:01:35 > 0:01:38The fourth one is grossly swollen with broken skin underneath
0:01:38 > 0:01:40and it's quite offensive smell.
0:01:40 > 0:01:43- Right, OK.- Over to you, please, lovey!- Cool, I'll go have a look.
0:01:43 > 0:01:46- Right, she's in one?- She's in number one, yeah.- Okey dokey.
0:01:46 > 0:01:49- Mum was quite tearful, but she's all right now.- Aww, OK.
0:01:52 > 0:01:54It's hard work becoming a doctor.
0:01:54 > 0:01:57There's definitely a really strong desire to have a life
0:01:57 > 0:02:00outside of work, so I'm currently training for a triathlon,
0:02:00 > 0:02:04which is a 400-metre swim, a 20k bike and a 5k run.
0:02:04 > 0:02:08Terrified because I've never done it before and also,
0:02:08 > 0:02:10although it's not that far, it's going to be fast.
0:02:10 > 0:02:13If I wasn't a doctor, I think, actually, I'd just like to...
0:02:13 > 0:02:15be a professional dog walker or something
0:02:15 > 0:02:17cos that would just be great!
0:02:17 > 0:02:18Hello, there.
0:02:18 > 0:02:22Hi, my name's Jo, I'm one of the orthopaedic doctors.
0:02:22 > 0:02:25- This is Marnie?- Yeah.- And you're Marnie's mum. What's your name?- Amy.
0:02:25 > 0:02:26Amy, hi.
0:02:26 > 0:02:29So, I've just had a bit of a handover from my colleagues,
0:02:29 > 0:02:32but do you want to tell me about what's been going on?
0:02:32 > 0:02:34Basically, I thought she had trapped wind,
0:02:34 > 0:02:37- cos she goes blue in the mouth, do you know what I mean?- Yeah.
0:02:37 > 0:02:40She's been unsettled all night and when I woke up this morning,
0:02:40 > 0:02:42I've undressed her to change her nappy
0:02:42 > 0:02:45and when her socks fell off I just noticed her toes.
0:02:45 > 0:02:49OK. So when was the last time you saw the foot looking normal?
0:02:49 > 0:02:53- It would have been in the morning, like.- So yesterday morning?- Yeah.
0:02:53 > 0:02:54OK.
0:02:54 > 0:02:58- Yes, it looks like something's got wrapped around it, doesn't it?- Yeah.
0:02:58 > 0:02:59Let's have a look.
0:03:03 > 0:03:04Aww.
0:03:05 > 0:03:07The others have had a look and they can't see anything.
0:03:07 > 0:03:09That's right, but...
0:03:09 > 0:03:10BABY GURGLES
0:03:11 > 0:03:12OK.
0:03:12 > 0:03:16So, it looks like it's probably a piece of hair or a piece of cotton
0:03:16 > 0:03:18that's got wrapped around, and are you aware of any
0:03:18 > 0:03:22- allergies that she's got so far? - Nothing at all so far.- OK, then.
0:03:23 > 0:03:25You are gorgeous, aren't you?
0:03:25 > 0:03:29Look at you. OK, what I'm going to do is have a chat with
0:03:29 > 0:03:31one of my seniors to come and have a look as well, but, obviously,
0:03:31 > 0:03:34- we want to make sure there's nothing wrapped around there.- Yeah.
0:03:34 > 0:03:37And get that off as soon as possible, OK?
0:03:37 > 0:03:40I know it's easy for me to say, but try not to worry.
0:03:40 > 0:03:42I know. The first thing I did was start worrying.
0:03:42 > 0:03:45Yeah, you would do, though, if it's your baby, wouldn't you?
0:03:45 > 0:03:47So I'll go and have a chat with my boss
0:03:47 > 0:03:51- and I'll be back with you shortly, OK?- OK, thank you.- No worries.
0:03:51 > 0:03:54If there is something wrapped around baby Marnie's toe,
0:03:54 > 0:03:57it needs to be removed as a lack of blood supply could result
0:03:57 > 0:03:59in the toe being amputated.
0:04:01 > 0:04:03I've just seen a one-month-old baby.
0:04:03 > 0:04:06The mum took her, undressed her this morning,
0:04:06 > 0:04:08and it looks like a piece of hair
0:04:08 > 0:04:12has wrapped around her second, third and fourth toes of her right foot.
0:04:12 > 0:04:15The fourth toe is really quite red, swollen,
0:04:15 > 0:04:17a little bit of discharge coming out on the bottom.
0:04:17 > 0:04:20I just would like you to have a look at it.
0:04:20 > 0:04:21OK, then.
0:04:21 > 0:04:25So if I just say admit to PAU and then we'll just review on the ward?
0:04:25 > 0:04:27OK, that's great.
0:04:27 > 0:04:29No, that's all right.
0:04:29 > 0:04:30Thank you. Bye.
0:04:32 > 0:04:34Hello. So, I've just had a chat with my registrar
0:04:34 > 0:04:37and what we're going to do is send you over to the paediatric unit
0:04:37 > 0:04:41and they're going to come and have a look, but it's going to be in a couple of hours, I'm afraid,
0:04:41 > 0:04:43- cos they're just in clinic at the moment.- Yeah, that's fine.
0:04:43 > 0:04:46So we'll just have a look and we just need to keep an eye on it.
0:04:46 > 0:04:49You know, if there was a hair round it, cos we can't see anything,
0:04:49 > 0:04:51if it's gone, it should improve over the next couple of hours,
0:04:51 > 0:04:54but we just need to keep an eye on it anyway, so if it's no better
0:04:54 > 0:04:57- or if it gets worse, then we need to do something about it as well.- Yeah.
0:04:57 > 0:05:01- OK?- OK, thanks very much. - No worries.- Thank you.- Pleasure.
0:05:01 > 0:05:03Jo's diagnosis was correct.
0:05:03 > 0:05:06Baby Marnie had minor surgery to remove the hair.
0:05:06 > 0:05:08She's now made a full recovery.
0:05:12 > 0:05:14It does feel nice when you're right,
0:05:14 > 0:05:17but it's more that it gives you confidence in that
0:05:17 > 0:05:18your clinical judgment is correct
0:05:18 > 0:05:22and sometimes you just get a feeling about patients, so it's
0:05:22 > 0:05:24really reassuring to know that
0:05:24 > 0:05:27that's right and that you did the best for them,
0:05:27 > 0:05:30cos the worst thing is to think, "Oh, God, I missed something"
0:05:30 > 0:05:33or, "I sent them home and something really bad's happened to them."
0:05:46 > 0:05:50Jess came to the UK from Malaysia to train as a doctor.
0:05:50 > 0:05:53She relies on her family for emotional support.
0:05:55 > 0:06:00What we see on a daily basis can be quite scary to a lot of people.
0:06:00 > 0:06:04Sometimes I'll come home from work and I will tell my sister,
0:06:04 > 0:06:07"Oh, you know, I had this giant bleed today."
0:06:07 > 0:06:08And then she'll go, like,
0:06:08 > 0:06:11"You mean you saw someone die in front of you?" And I'll go,
0:06:11 > 0:06:14"Yeah, yeah, yeah. I saw someone die in front of me today."
0:06:14 > 0:06:18It can have a toll on you. It can have a psychological effect on you.
0:06:20 > 0:06:23Today, Jess is on shift in the haematology department.
0:06:27 > 0:06:31One of her first patients is Andrew, who's come in for chemotherapy.
0:06:31 > 0:06:35He's suffering from lymphoma, a type of blood cancer.
0:06:35 > 0:06:37I've upped your painkillers yesterday.
0:06:37 > 0:06:38How are you feeling today?
0:06:38 > 0:06:40All right, just wearing off a little bit.
0:06:40 > 0:06:44Are you opening your bowels? Cos they can be quite constipating.
0:06:44 > 0:06:46Yeah, it's... Yeah, it's, erm...
0:06:46 > 0:06:48- like, watery.- Still watery?
0:06:49 > 0:06:53- Yeah, it's nothing solid. - How long has that been going on for?
0:06:53 > 0:06:54A few days.
0:06:54 > 0:06:56That's why I stopped the Senokot a little bit,
0:06:56 > 0:06:59cos that often comes with having too much.
0:06:59 > 0:07:01- Do you know what haemorrhoids are? - Hmm.
0:07:01 > 0:07:04- They're soft blood vessels that dangle out from your bottom.- Yeah.
0:07:04 > 0:07:07And sometimes you have to push them back in. Do you have that?
0:07:07 > 0:07:09When I was on chemo last time.
0:07:09 > 0:07:13OK, do you mind if I come back later to examine your bottom? Is that OK?
0:07:13 > 0:07:14- Yeah, that's fine.- That's fine?- OK.
0:07:14 > 0:07:16- I'll see you later.- OK.- Bye, Andrew.
0:07:18 > 0:07:22I think I'm a bit concerned about the fact that he's
0:07:22 > 0:07:25saying that he's got blood on the tissue when he wipes
0:07:25 > 0:07:28and also blood on the pan when he passes.
0:07:28 > 0:07:30It can be due to something very benign,
0:07:30 > 0:07:34so something that's not dangerous, so, for example, haemorrhoids,
0:07:34 > 0:07:37but it can be due to something more serious as well, so, for example...
0:07:39 > 0:07:44..things like colon cancer can give you bleeding from the bottom.
0:07:44 > 0:07:47He's now in a potentially very serious place
0:07:47 > 0:07:49in terms of his medical condition.
0:07:49 > 0:07:51In an attempt to cure his cancer,
0:07:51 > 0:07:54Andrew is having chemo to prepare for a donor.
0:07:54 > 0:07:55If Jess finds a problem,
0:07:55 > 0:07:58his life-saving treatment may be delayed.
0:07:58 > 0:08:02This is the third time I've had a relapse in the lymphoma.
0:08:02 > 0:08:09Thought I'd got over it and then it's like going six steps forward
0:08:09 > 0:08:10and nine steps back.
0:08:10 > 0:08:13When it comes back again, it's...
0:08:13 > 0:08:14it's life-changing.
0:08:14 > 0:08:16Everything has to change.
0:08:16 > 0:08:19The kids were only young when I was first diagnosed,
0:08:19 > 0:08:21they were only seven and 11.
0:08:21 > 0:08:23Meanwhile, well, we just try and...
0:08:24 > 0:08:26..laugh things off.
0:08:36 > 0:08:39Jess needs to examine Andrew to find out why he's bleeding.
0:08:41 > 0:08:44Hello, hi. Sorry to wake you. I'm back.
0:08:44 > 0:08:47Is it OK if I do that bottom examination for you?
0:08:47 > 0:08:49I need you to lie on your side
0:08:49 > 0:08:53and I need you to expose your bottom area as well.
0:08:53 > 0:08:56And then I have to put my finger up to see if there are any lumps,
0:08:56 > 0:08:58bumps or any cuts or bruises, OK?
0:08:58 > 0:09:00I'm just going to put some gel on the area, OK?
0:09:00 > 0:09:04- That's feeling quite cold. And can you feel me touching you here?- Yeah.
0:09:04 > 0:09:06- And here?- Yeah.- OK.
0:09:08 > 0:09:09OK. And all done.
0:09:09 > 0:09:12OK, I'm very happy about that. Thank you so much.
0:09:12 > 0:09:14- OK. Thank you.- See you later. Bye.
0:09:20 > 0:09:22That is good. No, that's really, really good.
0:09:22 > 0:09:23If I did find blood when I examined him,
0:09:23 > 0:09:26I would probably have to investigate him more.
0:09:26 > 0:09:29If I found a haemorrhoid, then I wouldn't have to investigate him
0:09:29 > 0:09:31because that's a benign condition.
0:09:31 > 0:09:34But because of my examination findings,
0:09:34 > 0:09:38I don't think it's as serious as I initially thought it was.
0:09:38 > 0:09:40It's good news for Andrew.
0:09:40 > 0:09:42Jess needs to wait for the test results to come back,
0:09:42 > 0:09:45but it looks like he'll be able to begin chemotherapy.
0:09:45 > 0:09:48I think my main worry was that he wouldn't be able to
0:09:48 > 0:09:51have his chemotherapy, but as long as he's well in himself,
0:09:51 > 0:09:53that will be able to go ahead.
0:09:53 > 0:09:55If anything, I'm less worried now.
0:09:55 > 0:09:58- Bye, Raj. See you!- Bye!
0:10:18 > 0:10:23Today, 27-year-old Jo is working on the trauma and orthopaedics ward.
0:10:23 > 0:10:26- It's getting bigger. - It's her lunch break...
0:10:26 > 0:10:29- I've lost it.- ..and she has a personal matter to deal with.
0:10:29 > 0:10:31A cyst on her head.
0:10:31 > 0:10:33There it is. If I squeeze it...
0:10:33 > 0:10:36No, because it might pop out and that'll be disgusting.
0:10:36 > 0:10:39Don't think we've got suture packs here.
0:10:39 > 0:10:42But we're going to need some swabs.
0:10:42 > 0:10:47Take some water for injection. Needles and syringes.
0:10:49 > 0:10:51There's suture...
0:10:58 > 0:11:01Oh, hello. I was just looking for your book. It's all right.
0:11:01 > 0:11:03- You all right? - I was just grabbing a suture pack.
0:11:03 > 0:11:05- That's fine. I'll put it in the book.- Thank you.
0:11:07 > 0:11:08Adrenaline's running.
0:11:08 > 0:11:11I'm sure it would have been fine, but it just looks a bit dodgy
0:11:11 > 0:11:13if I'm just stealing stuff.
0:11:13 > 0:11:15But I got what I need.
0:11:15 > 0:11:19It's not going to go wrong. There's nothing really that can go wrong.
0:11:19 > 0:11:20There's nothing there to go wrong.
0:11:20 > 0:11:24Today, have-a-go Jo is letting someone else have a go.
0:11:24 > 0:11:27Fellow doctor, Kingsley.
0:11:27 > 0:11:30I love having injections at the dentist.
0:11:30 > 0:11:32I don't know why.
0:11:32 > 0:11:34I used to, like, be terrified of the thought of a needle in my mouth
0:11:34 > 0:11:39- and one day I went and the dentist just went, "OK, a sharp scratch" and did it.- OK, Jo, sharp scratch.
0:11:40 > 0:11:43So whenever you inject, you have to draw back a little bit
0:11:43 > 0:11:47to make sure that you haven't gone into a blood vessel.
0:11:49 > 0:11:51- I think we're done there.- Sweet!
0:11:51 > 0:11:56So we'll give it a few seconds for it to actually do its biz.
0:11:56 > 0:12:00- I literally couldn't feel a thing. - Good, good.
0:12:00 > 0:12:03- Da-da-da!- That's when the magic happens.
0:12:03 > 0:12:06I love this sort of thing. I think it's great.
0:12:06 > 0:12:09I get really excited if someone's got to do a minor procedure.
0:12:09 > 0:12:10I'm like, "Yes!"
0:12:10 > 0:12:15Some people find it really scary, but I love it.
0:12:15 > 0:12:17- I've got the cyst. - I want to see what comes out.
0:12:17 > 0:12:18Just about forking it out now.
0:12:18 > 0:12:22That might be, like, an animal in there. Imagine a spider crawled out.
0:12:23 > 0:12:26That would be upsetting, wouldn't it?
0:12:26 > 0:12:29Can't feel anything. It's so weird.
0:12:34 > 0:12:39Yeah, that's a sac. I want to touch it. Is that really bad?
0:12:39 > 0:12:41Just touch it...
0:12:43 > 0:12:46Eww, there's hairs growing through it. That's gross.
0:12:46 > 0:12:48It's really, like, weird.
0:12:48 > 0:12:51- That's it. Done.- Thank you!
0:12:51 > 0:12:53It shouldn't really bleed, Jo.
0:12:53 > 0:12:56No, it shouldn't, should it? Should be all right.
0:12:56 > 0:12:59In terms of minor procedures, it doesn't happen very often,
0:12:59 > 0:13:03but every now and again we do it for each other. Like today.
0:13:03 > 0:13:06And, to be fair, it's a fairly safe procedure
0:13:06 > 0:13:10within a very nice confined environment.
0:13:10 > 0:13:13And so if anything had gone wrong,
0:13:13 > 0:13:16there was scope for us to escalate it very quickly.
0:13:16 > 0:13:19But it was only a small cyst on the scalp, so yeah, it's fine.
0:13:19 > 0:13:24- Looks really good.- It's good, isn't it?- Well anaesthetised as well.
0:13:24 > 0:13:26- Yup, didn't feel a thing. - HE LAUGHS
0:13:39 > 0:13:42Away from the hospital, Jo and Jess are meeting up.
0:13:42 > 0:13:45They're nearly halfway through their placements
0:13:45 > 0:13:48and there's a lot to catch up on.
0:13:48 > 0:13:50The thing is, I never really think about it.
0:13:50 > 0:13:53Everyone always says there's so much responsibility in your job,
0:13:53 > 0:13:56you kind of don't think about it, do you?
0:13:56 > 0:14:00Um, yeah, I don't sit down and mull over how much responsibility I have.
0:14:00 > 0:14:03I think if I did, I would probably go, like, a bit insane.
0:14:03 > 0:14:05Do you like having the responsibility, though?
0:14:05 > 0:14:10I think I like responsibility that I know is within my capability.
0:14:10 > 0:14:15I was just, like, randomly on the ward, in the doctors' office, just typing away,
0:14:15 > 0:14:17and then there was a guy having a transfusion reaction
0:14:17 > 0:14:18in one of the side rooms.
0:14:18 > 0:14:21- And he was having, like, signs of anaphylaxis.- God.
0:14:21 > 0:14:23And I was like, "Oh, my gosh."
0:14:23 > 0:14:27I was like, "OK, guys, get a trolley and a crash... You know, do ABCDE."
0:14:27 > 0:14:29And then, for that few minutes
0:14:29 > 0:14:32that you're the only doctor on the ward, you're like, "Oh!"
0:14:32 > 0:14:35And then when my reg comes, I'm like, "Phew!"
0:14:35 > 0:14:38That feeling of when you, like, realise someone's really sick
0:14:38 > 0:14:41and your heart just kind of skips a beat. You're like, "Oh, God."
0:14:41 > 0:14:44Because then you know that you're the only doctor there.
0:14:44 > 0:14:48- That is terrifying. What happened in the end?- Um...
0:14:48 > 0:14:51So, we managed to stabilise him, but he crashed again
0:14:51 > 0:14:53and this time he passed away.
0:14:53 > 0:14:57It was very, like... I felt very let down afterwards.
0:14:57 > 0:15:01It's very strange because I know he's not related to me...
0:15:01 > 0:15:05But when they're your patient, you have a bit of a relationship, it's always really sad.
0:15:05 > 0:15:08Yeah, I didn't cry or anything.
0:15:08 > 0:15:11- I just felt a bit down. - I think that's normal.
0:15:17 > 0:15:1926-year-old Jin is at home,
0:15:19 > 0:15:23getting ready for his first night shift in the emergency department.
0:15:23 > 0:15:25I'm good, man. I'm good.
0:15:25 > 0:15:27Should be similar to a day shift, except that it's night-time
0:15:27 > 0:15:31so I'm going to be tired and all that. Let's see how it is.
0:15:31 > 0:15:33I've never done it before.
0:15:33 > 0:15:35As long as it's not crazy busy, then I'm cool.
0:15:40 > 0:15:41I am a perfectionist.
0:15:41 > 0:15:45When I was younger, it was more sort of disadvantageous to me
0:15:45 > 0:15:47because I would take longer to do things.
0:15:47 > 0:15:49I used to always be the last one out of the classroom
0:15:49 > 0:15:52because I'd be packing my bags.
0:15:52 > 0:15:56I was a bit of an idiot when I was growing up - in my eyes, anyway.
0:16:00 > 0:16:01- I thought you finished last week. - Where?
0:16:01 > 0:16:04- Here.- When?
0:16:04 > 0:16:07- How was that going to happen? - I thought you were finishing up.
0:16:07 > 0:16:09I'm a part of the furniture, man.
0:16:09 > 0:16:12One of Jin's first patients of the night is Mr Khan.
0:16:12 > 0:16:15He's suffering from a shortness of breath.
0:16:15 > 0:16:19Two weeks ago, 65-year-old Mr Khan suffered a heart attack
0:16:19 > 0:16:21on a trip to Pakistan.
0:16:21 > 0:16:25- What?- Blue's your colour. Really suits you.
0:16:25 > 0:16:28Oh, does it? Thank you. Thank you.
0:16:28 > 0:16:31He's being held in infection control,
0:16:31 > 0:16:33as he's recently returned from foreign travel.
0:16:33 > 0:16:37We've done a heart trace, which hasn't shown evidence of heart attack,
0:16:37 > 0:16:40but in the blood tests we do, it's worthwhile to do the troponin,
0:16:40 > 0:16:42which measures whether there's been heart damage.
0:16:42 > 0:16:45The second thing - and the most important thing, I think - is
0:16:45 > 0:16:46whether he's got an infection
0:16:46 > 0:16:48and whether the infection might be something that
0:16:48 > 0:16:51he contacted from Pakistan, which is why we're being a bit cautious.
0:16:51 > 0:16:54So we need to put a needle in him and give him some...
0:16:54 > 0:16:56He's obviously dry, so give him some fluids
0:16:56 > 0:17:00and stat dose of IV antibiotics. Do you have any questions for me?
0:17:00 > 0:17:02- No, that's fine.- No worries.
0:17:02 > 0:17:06- Just want him back... - Back to normal.- Back to normal.
0:17:06 > 0:17:09Well, leave it with me, we'll sort it out, OK? OK.
0:17:09 > 0:17:12All right, sir? You understand or...? OK, good stuff.
0:17:12 > 0:17:15To find out what's wrong with Mr Khan,
0:17:15 > 0:17:17Jin needs to take some blood.
0:17:26 > 0:17:29Not quite. I'll have another go.
0:17:32 > 0:17:35Don't worry, I'll get it in.
0:17:35 > 0:17:40- Is it just cannula you're doing? - Hmm?- Is it cannula?
0:17:40 > 0:17:41Yeah.
0:17:41 > 0:17:43HE SIGHS
0:17:49 > 0:17:51- No?- No.
0:17:52 > 0:17:57I shall get someone else to have a go.
0:17:57 > 0:18:00Jin has been unable to find a vein.
0:18:00 > 0:18:02- Get one of the seniors?- Yeah.
0:18:05 > 0:18:08- Hey, man, you any good at cannulas? - I'm very good, yeah.
0:18:08 > 0:18:12Yeah, yeah, make me feel like crap, make me feel like crap, yeah.
0:18:12 > 0:18:17Senior doctor Raul steps in to help Jin cannulate Mr Khan.
0:18:19 > 0:18:21ECG shows tachycardia.
0:18:30 > 0:18:32Yeah, that was smooth, man.
0:18:34 > 0:18:36- OK, so, do you want that?- Yeah.
0:18:39 > 0:18:42Thanks, man. I can take care of the rest.
0:18:42 > 0:18:44Do the bloods before they clot first.
0:18:44 > 0:18:47- Yeah. Thanks, man. Appreciated. - It's all right.
0:18:47 > 0:18:49All good.
0:18:52 > 0:18:57I don't feel great. Low self-esteem at the moment. But...
0:18:57 > 0:19:01Can't be 100% perfect. He had difficult veins, though. So...
0:19:15 > 0:19:19Since arriving in Wolverhampton as junior doctors, Jo, Jess
0:19:19 > 0:19:21and Anna have become good friends.
0:19:21 > 0:19:25Anna has invited the girls round for her signature dish, fish pie.
0:19:27 > 0:19:29- I am very competitive, I have a problem.- Are you?- Yeah.
0:19:29 > 0:19:31- Are you?- Yes.
0:19:31 > 0:19:33- Wow. I found one. - LAUGHTER
0:19:33 > 0:19:36- Are you not competitive? - I don't think I'm competitive,
0:19:36 > 0:19:39in the sense that I go around saying I'm competitive.
0:19:39 > 0:19:41- I'm not that competitive.- No, I say that I'm not, but actually I am.
0:19:41 > 0:19:44It's terrible. I need to, like, chill out a bit.
0:19:44 > 0:19:45- I'm not competitive.- Really?
0:19:45 > 0:19:47- Yeah.- Not in anything?
0:19:47 > 0:19:51- Not even, like, with yourself? - Um... No.
0:19:51 > 0:19:52LAUGHTER
0:19:52 > 0:19:54That's why we are friends!
0:19:54 > 0:19:55THEY LAUGH
0:19:55 > 0:19:57I'm terrible. I'm so bad.
0:19:58 > 0:20:00LAUGHTER
0:20:02 > 0:20:03Jess.
0:20:03 > 0:20:06On ENT, they used to decide if it was the Hunger Games,
0:20:06 > 0:20:07we decided we'd win!
0:20:07 > 0:20:09LAUGHTER
0:20:09 > 0:20:11Oh, I would so win the Hunger Games. Oh, my God.
0:20:11 > 0:20:14I would win the Hunger Games. Definitely, hands down.
0:20:14 > 0:20:15I'd kill you all.
0:20:15 > 0:20:17THEY LAUGH
0:20:17 > 0:20:20Sorry, I wouldn't take any prisoners. I'd just be like, "No..."
0:20:20 > 0:20:23I'll pick off the weakest of the crowd first.
0:20:24 > 0:20:27You can find some people being competitive even on the ward,
0:20:27 > 0:20:29like, "Well, I've cannulated five patients."
0:20:29 > 0:20:33- "I only cannulate at the first attempt," you know?- Yeah.- Yeah.
0:20:33 > 0:20:35Sorry.
0:20:35 > 0:20:37- It's hard balancing everything, isn't it?- Really hard.
0:20:37 > 0:20:39Being a doctor and then having a social life.
0:20:39 > 0:20:41PHONE BEEPS
0:20:41 > 0:20:44Such a kind of emotionally gruelling job sometimes, isn't it?
0:20:44 > 0:20:47Cos you get told off, we get shouted at.
0:20:47 > 0:20:50You have patients die on you. You make mistakes.
0:20:50 > 0:20:53And I'm always telling myself, "I don't need you to tell me I'm not good enough.
0:20:53 > 0:20:55- "I tell myself that enough already." - Yeah.- Yeah.
0:20:56 > 0:21:01It's 4:30am, and Jin is seven hours into his night shift.
0:21:01 > 0:21:05He's called to treat 29-year-old Mr Martin,
0:21:05 > 0:21:09who's been suffering with a severe headache for the past 12 hours.
0:21:09 > 0:21:11Did it come on suddenly or gradually?
0:21:12 > 0:21:15- Gradually.- Gradually. It got worse. And is it in the front of your head?
0:21:15 > 0:21:18- Both sides? - MR MARTIN HICCUPS
0:21:18 > 0:21:19I'm going to be sick.
0:21:19 > 0:21:22- You feel sick, do you? Have you actually vomited at all?- Yeah.
0:21:25 > 0:21:26He had these, um...
0:21:26 > 0:21:27HE RETCHES AND COUGHS
0:21:27 > 0:21:29OK.
0:21:29 > 0:21:31As a child, Mr Martin suffered from hydrocephalus -
0:21:31 > 0:21:34a build-up of water on the brain.
0:21:34 > 0:21:37To treat this, a shunt was inserted into his head to drain
0:21:37 > 0:21:41the fluid down a tube and into his chest.
0:21:41 > 0:21:43Is it getting worse?
0:21:45 > 0:21:46MR MARTIN BURPS
0:21:47 > 0:21:53Unsure what to do next, Jin asks senior doctor Jason for help.
0:21:53 > 0:21:55He's got no visual disturbance, but he has got nausea
0:21:55 > 0:22:00and he's just vomited quite a fair bit, like, purple foodie contents.
0:22:00 > 0:22:03- He does have headaches occasionally. - He's got a VP shunt.- Yeah.- OK.
0:22:05 > 0:22:07He's going to need a CT scan then.
0:22:07 > 0:22:08He's got a shunt.
0:22:08 > 0:22:12OK, check the shunt series. What painkillers has he had? None?
0:22:12 > 0:22:15He's had codeine, paracetamol, ibuprofen, co-codamol,
0:22:15 > 0:22:17none of them's worked, according to them.
0:22:17 > 0:22:21- What's his pain score? - 10.- 10.- He's shivering in pain.
0:22:21 > 0:22:22He can't lift his head.
0:22:22 > 0:22:25- Put a cannula in, give him something a bit stronger.- Yeah.
0:22:25 > 0:22:27- Let me sort the CT out. - So, bloods, cannula and...
0:22:27 > 0:22:31- Bring him down this end as well. - Yeah, yeah, sure. Major, yeah?- Yeah.
0:22:31 > 0:22:33I'm going to put a needle in your arm, and we're going to
0:22:33 > 0:22:36give you some IV painkillers, and it will take the pain away, OK?
0:22:36 > 0:22:38Before continuing the assessment,
0:22:38 > 0:22:41Jin needs to give Mr Martin intravenous pain relief.
0:22:41 > 0:22:43Sharp scratch.
0:22:43 > 0:22:45Yet again, this involves cannulating.
0:22:48 > 0:22:49- You OK?- Yeah.
0:22:51 > 0:22:53Think I may have hit a valve, actually.
0:22:57 > 0:22:59Yeah.
0:22:59 > 0:23:00Damn.
0:23:03 > 0:23:07Sorry, sir. Try again. I think I hit a valve.
0:23:07 > 0:23:08HE LAUGHS
0:23:11 > 0:23:13Don't worry, I'm sure this is nothing compared to the
0:23:13 > 0:23:14headache you're having.
0:23:18 > 0:23:22Mr Martin hasn't suffered from hydrocephalus since he was a child.
0:23:25 > 0:23:26Oh, dear.
0:23:26 > 0:23:29I'm not having a very good day today.
0:23:29 > 0:23:32If the shunt in his head has become disconnected,
0:23:32 > 0:23:34the hydrocephalus could have returned.
0:23:35 > 0:23:36MR MARTIN WINCES
0:23:38 > 0:23:40Ah!
0:23:40 > 0:23:41Sorry, sir. You OK?
0:23:48 > 0:23:49Finally.
0:23:49 > 0:23:54On the fourth attempt at cannulating, Jin is successful.
0:23:54 > 0:23:58Mr Martin can now receive morphine to relieve his pain.
0:23:58 > 0:24:00OK, sir, all done, all done.
0:24:01 > 0:24:02I think they're just waiting for you.
0:24:02 > 0:24:04If you hop onto that chair, sir.
0:24:04 > 0:24:08A CT scan will determine if the shunt has become disconnected.
0:24:10 > 0:24:12Don't think it's my day today for getting it!
0:24:13 > 0:24:16It's like they don't want to go in.
0:24:16 > 0:24:18I never have to have that many attempts usually.
0:24:18 > 0:24:19I don't know what's going on.
0:24:21 > 0:24:24With this guy, like, the other guy that I failed, er...
0:24:27 > 0:24:29..I didn't feel as confident.
0:24:29 > 0:24:31This guy I felt that I can get it, you know.
0:24:31 > 0:24:35I don't know why I wasn't getting it the first time, cos I should have got that in,
0:24:35 > 0:24:38but, hey, that's life, you know, you miss some, you get some.
0:24:38 > 0:24:41HE LAUGHS
0:24:41 > 0:24:43The results of the CT scan are back.
0:24:43 > 0:24:46Skull X-ray. Obviously this tube is the shunt.
0:24:48 > 0:24:51- And there's a disconnect here. - That's quite obvious, yeah.
0:24:54 > 0:24:57So, there. Probably there as well.
0:24:58 > 0:25:00Other one's not quite as clear.
0:25:00 > 0:25:05So, you need to get a Norse referral on the system to the QE.
0:25:05 > 0:25:07Presumed new hydrocephalus,
0:25:07 > 0:25:10and splitting of the shunt on the skull view.
0:25:10 > 0:25:12So, there, there's the shunt again.
0:25:12 > 0:25:16- You see the ventricles are significantly dilated. - Significantly big, yeah.
0:25:16 > 0:25:18Which is why he's got a headache and why he's vomiting.
0:25:18 > 0:25:21He needs more painkillers as well, so give him some more morphine.
0:25:21 > 0:25:23- All right?- That's fine, yeah. Thank you.
0:25:26 > 0:25:27Hydrocephalus.
0:25:34 > 0:25:37It's hydrocephalus, so they have to have surgery or some
0:25:37 > 0:25:41interventions to reconnect the shunt so that it's draining properly.
0:25:41 > 0:25:44So, sort of the worst case scenario that could happen in this case.
0:25:44 > 0:25:49The condition Mr Martin suffered from as a child has returned.
0:25:49 > 0:25:52He'll now be transferred to a hospital 20 miles away
0:25:52 > 0:25:56in Birmingham for surgery to repair the shunt.
0:25:56 > 0:25:59I'm still a little pissed off about that cannula failure, to be honest.
0:25:59 > 0:26:02Not the second patient, the first patient.
0:26:03 > 0:26:06I'm not happy with Raul, just the way he walked in like a boss
0:26:06 > 0:26:09and did it like it's a matter of fact thing, and I tried so hard.
0:26:10 > 0:26:12Made me feel very small, that did.
0:26:18 > 0:26:20Brilliant. Thank you, thank you.
0:26:20 > 0:26:25It's the day of Joe's first ever triathlon.
0:26:25 > 0:26:26I am so nervous.
0:26:26 > 0:26:29It's just a horrible, like, waiting feeling, and I just...
0:26:29 > 0:26:30I just want to get it done now.
0:26:30 > 0:26:33Well, no, actually I don't want to do it. But, no, I do.
0:26:33 > 0:26:36I think I just need to start and get it done.
0:26:36 > 0:26:38Three, two, one.
0:26:38 > 0:26:39HE BLOWS WHISTLE
0:26:42 > 0:26:47It's very nice to be out here and not at work on a Sunday morning,
0:26:47 > 0:26:52just exercising, happy people, outdoorsy people, it's good fun.
0:26:52 > 0:26:57After 400 metres of swimming, Jo completes 20K on the bike...
0:26:57 > 0:26:59Well done, guys. Well done.
0:26:59 > 0:27:01..and finishes with a 5K run.
0:27:03 > 0:27:06- MEGAPHONE:- And we have another finisher coming in.
0:27:06 > 0:27:07Really good job.
0:27:07 > 0:27:08APPLAUSE
0:27:08 > 0:27:11Well done, Jo Rooney.
0:27:11 > 0:27:12Great effort.
0:27:12 > 0:27:14Oh!
0:27:14 > 0:27:15That was really good.
0:27:15 > 0:27:17I've got the bug. I'm definitely going to do more now.
0:27:17 > 0:27:19First one done. It hurt, but it was really fun.
0:27:19 > 0:27:23I think I've earnt a pint, actually. Don't you?
0:27:23 > 0:27:25Category position. 5 out of 23.
0:27:25 > 0:27:26- Well done.- Oh!
0:27:26 > 0:27:29Oh, I came fifth, I was fifth lady?
0:27:29 > 0:27:31- Yeah.- Fifth lady!
0:27:31 > 0:27:33Oh! I'm really happy!
0:27:33 > 0:27:35- Well done.- Thank you.
0:27:35 > 0:27:37Oh, my God. I'm really happy.
0:27:39 > 0:27:41Not very happy obviously.
0:27:41 > 0:27:43He's just embarrassed me in front of everyone.
0:27:43 > 0:27:46Sometimes, you know, you can take it too far, I think.
0:27:46 > 0:27:49This is the biggest operation in gynae.
0:27:49 > 0:27:51We're removing everything.
0:27:51 > 0:27:54Not passing F1, I think I probably would have a moment of despair
0:27:54 > 0:27:57where I would think, "Shall I just give up?"