Episode 8 Junior Doctors: Blood, Sweat and Tears


Episode 8

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Transcript


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Seven junior doctors...

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Start CPR.

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

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Open your eyes for me?

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Showtime.

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..on the front line of medicine.

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Looks busy, man.

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All the wards are bleeping me at the same time.

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With all its blood,...

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We're removing everything.

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We'll go in a second with adrenaline.

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I love screwing!

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..sweat...

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I think lots of doctors are competitive.

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..and tears.

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You're not going to die.

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The doctors of your future,...

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I want to be the best junior doctor.

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..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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He's tired, I think he just wants to go.

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Have they got what it takes?

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At New Cross Hospital in Wolverhampton,

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the junior doctors are nearing the end of their placements.

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After nine weeks on the wards,

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the doctors are going to find out

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if they've done enough to pass the year.

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It'd be devastating if I found out that, after all that,

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I wasn't going to progress.

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And they all have big decisions to make about their future careers.

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It'd be quite nice to know

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what I'm doing, like, where I'm headed.

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Get pumped, get psyched.

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Get ready for the day.

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First-year junior doctor Emeka

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is preparing for an end of year assessments

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with his clinical supervisor.

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Today's the big day. So I need to dress accordingly.

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Yeah, yeah, I'm a little bit nervous.

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Today, Emeka will find out

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if he's done enough to go into the next year.

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Having that, mentally, that you've failed,

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yeah, it can't happen for me. Not born to fail.

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26-year-old Emeka comes from a long line of doctors.

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When people knew I wanted to be a doctor, from a really young age,

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I think their response was,

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"He wants to be like his father, but he doesn't have the ability."

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I could see the doubt in people's faces,

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I could see the doubt in people's voices

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and all it did was push me harder.

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He's well-known around the hospital

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for taking pride in his appearance.

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Do you think there's a good level on top?

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-Yeah.

-That's all right. We can keep that.

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I think looking good equates to feeling good -

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if I look good, I feel good, and if I feel good, I'm great,

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like that's fine with me.

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But in the surgical department,

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Emeka's outfit choices have sometimes been called into question.

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Baby blue is just not really my thing, so I...

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But if you have to going into theatre to help,

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you have to wear these.

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I'm hoping I can wear a couple of aprons and dodge all that.

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Emeka is putting the finishing touches to today's outfits,

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perfecting the right look can be harder than it seems.

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Come on, buddy.

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Come on, I got you.

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You know what...

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I've been working out. My neck's getting a little bit thicker.

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Getting a little thick for these shirts.

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Just as easy as that.

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Breathing's overrated, anyway. As long as you look good.

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That's what I'm talking about.

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27-year-old Jo is nearing the end of her time in trauma and orthopaedics.

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Today, she's in theatre assisting one of her favourite surgeons,

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Ms Mahroof, with a wrist fracture.

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So how old is this injury? Is it...

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Just under two weeks.

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It's great to be working with Ms Mahroof again.

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I would definitely like to impress her.

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At this stage of her training,

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Joe needs to decide where her career goes next.

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I want to go travelling

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and there's various things I want to achieve in my career.

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I'd be scared of just doing nothing and wasting my life or experiences.

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At New Cross, Jo has worked in both the emergency department and surgery.

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She's now trying to decide which to specialise in.

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I love surgery, but I have really,

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really enjoyed my job in A&E,

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so I'm a bit torn.

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Today's surgery is Jo's most complex so far,

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helping to fix Mrs Price's wrist.

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The operation starts with cutting open the wrist.

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Let's just open this up a bit more.

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Ms Mahroof then prepares the fractured area for a metal plate.

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Let's get the plate, please.

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Once the plate is in, Jo gets the chance to fix in the screws.

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I love screwing.

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I like it in DIY, as well.

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Hold on two secs. Just could go a little bit...

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So it's locking into the plate and that's an important element of it.

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Can you see that?

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There you go. Well done, Jo.

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Next, Jo carefully drills holes into the patient's bone.

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Any mistakes could cause permanent damage to the patient's arm.

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-I can't feel anything so I don't want to go.

-No, don't.

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Having successfully fixed the fracture,

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Jo has one last chance to impress Ms Mahroof

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with her suturing skills.

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That's it, well done.

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The skin's a lot, kind of, looser isn't it?

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Use your assistants and don't pinch.

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-That's it.

-I want it to be perfect.

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That will come with time.

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Jo did very well, she improved from her first suturing that she did.

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You could see she was getting more confident as she went along,

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which was pleasing. She does what she's told.

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That's important.

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I think Ms Mahroof did kind of notice I was a little more relaxed.

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I was really pleased with the end result. So...

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Just getting the computer ready for the ward rounds.

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On the surgical ward, Emeka has a plan to impress Mr Curran.

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Yeah, I'm trying to be that, you know that student at school

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who does everything extra and the whole class looks at him, like,

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"You're such a suck-up." I want to be that suck-up.

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He's determined to make a good impression because today,

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Mr Curran will decide whether Emeka passes into his second year.

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These are her bloods, those are her vitals.

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I'm about making Mr Curran's life easier,

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so he'll make my meeting easier.

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I was actually holding the door for just Mr Curran,

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but everyone seemed to walk through!

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So I was like, "OK, all right, you guys are good as well."

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Mr Curran, are we still good for three o'clock?

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I hope so, I'll let you know if there's a problem.

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All right, cheers.

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Emeka is getting on with his jobs for the day

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when he's interrupted by a consultant.

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It's not acceptable.

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-Take it off?

-It's an infection control, take it off.

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The consultant has asked Emeka to remove his tie.

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I feel confused.

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Because I've had this tie for a while now

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and she hasn't said anything about it.

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Although he's been wearing a tie clip,

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it's not been in the right position to meet the hospital's rules.

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Sorry? Yeah, but why? Why now?

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It's not part of the uniform policy...

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What's the uniform policy?

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Because in case of emergency, right, cardiac event,

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if you go and, say, you are doing CPR and your tie there,

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it's just going to pull you down.

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-It can't, if it's clipped.

-And then if you've got a massive wound,

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you're tie's going to go in.

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But it's clipped, that's the point,

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and I worked on two wards, prior to this.

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I've been on the job for nine months.

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Yeah, but she doesn't care, it doesn't matter.

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-Why?

-This is surgery.

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Feels a bit unnecessary.

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Just like that.

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Seven weeks in the job, in the middle of the day,

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in the middle of the ward,

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it's a bit...

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It is what it is. It is what it is.

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Whatever.

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With the day's surgery over,

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Jo gets a chance to share her plans for the future with Ms Mahroof.

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You said you might not want to do orthopaedics, or A&E.

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Have you decided?

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The problem was I really enjoyed A&E, so I was getting a bit kind of

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like, oh, God, now what do I... What do I want to do?

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And I realised that it was always surgery,

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I've missed being in theatre. It's just such an...

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You kind of feel like you're home when you walk in, don't you?

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What are you doing now, what's your plans?

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So, I'm moving to Australia.

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I've never worked in medicine, outside of the NHS,

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so it will be really interesting to see how they do it there.

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You might find things are no better anywhere else than they are here,

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but I think it's important that you go and find out for yourself, really.

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-Whether the grass is actually greener, or not?

-Yeah.

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And it may not be greener, but...

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-Different.

-But, saying that you gain so much by going abroad.

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You actually bring stuff back to the NHS, as well, which is fantastic.

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So I wouldn't ever discourage anybody

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-from going abroad but, you know, come back.

-Come back to New Cross.

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-Fabulous.

-You're never going to get rid of me.

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Absolutely. We don't want to.

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I'm just really pleased that Jo has decided, as a woman,

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she would like to do trauma and orthopaedics

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cos a lot of young ladies ARE put off by the fact

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they think there's going to be

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a terrible lifestyle, that they can't manage

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drills and screws and it's too onerous,

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but it's nothing like that and where there's a will, there's a way.

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I'm coming to the end of something. This was my foundation training

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and I'm not the baby any more and you've got responsibilities

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and you're supposed to like know what you're doing, be good.

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So it's a strange feeling.

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I think I'm ready for it.

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Anna is coming to the end of her first year

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as a junior doctor.

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Today, she will be in charge of a medical student.

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I'll have my own minion.

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I don't think I'll be bossy, though.

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I can't believe it's been a year since I was in this position

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and really scared of starting in hospital

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and now I'm actually here teaching a medical student.

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At the start of her placement, Anna struggled to find her feet.

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I feel a bit like a spare part at the moment, I think.

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I'm not really sure what I'm meant to be doing.

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Even straightforward procedures were a challenge.

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I'm going to see if one of my senior doctors can try.

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Now, a more confident Anna is on the respiratory ward

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with medical student Unat.

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Do you want to get his scan?

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Do you want to prescribe this?

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-I'll have a go.

-OK.

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I don't think you realise, kind of, day-to-day,

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until you see someone that is where you were a year ago

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and realise, "OK, maybe I have learned something."

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Anna's next job is to show Unat how to do an arterial blood gas,

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a delicate procedure which isn't easy.

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I actually didn't do one as a medical student,

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cos I was too scared to do one.

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This is Unat. I'm just going to be teaching him how to do it.

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Just have to make sure that you expel all the air, first of all.

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Just a sharp scratch.

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Anna has to take blood straight from the patient's artery

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to check her oxygen and carbon dioxide levels.

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Let me know if you want me to stop at all.

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To minimise the pain to the patient,

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Anna needs to act quickly and with precision.

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Sometimes just try and draw back, as well.

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Even if you haven't got a flashback, sometimes, it...

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-Yeah.

-..can get something.

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Yes. There we go. Done it.

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-I knew we'd get there in the end.

-Yeah.

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Thanks for that. I think ABGs are quite difficult

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when you first start.

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It's really easy just to, kind of, get discouraged

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and give up, but just keep trying.

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That was so me this time last year,

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nervous and slow and, kind of, not sure what to do.

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Just made me realise I think how much I've come on in the last year.

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Thanks for today, anyway. It's good to have some extra help!

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-Thanks, guys.

-See you.

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During their lunchtime break,

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Emeka has arranged to meet his best friend Osama.

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-Hey! What's up? How are you doing?

-Yeah. Good, man.

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-How are you doing?

-Not too bad.

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What's up? Oh, how was your meeting?

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I haven't had it yet.

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But what happened to the tie?

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-Bro...

-What?

-Bro...

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As soon as I got news of your tie situation I was, like,

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"Oh, man I need to go counsel you."

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I know it's a big deal for you, man.

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I think I need to be there for you.

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I appreciate that.

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I was literally just on the ward.

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And Miss E spotted me and she was just, like, "No ties."

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-That's terrible.

-Right in the middle of the ward,

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I just had to rip the bad boy off.

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Oh, man, I'm really sorry to hear. That's terrible news for you, man.

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I know, feel a bit naked, a little empty.

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I can't remember the last time I wore a shirt at work without a tie.

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-The tie was you.

-I know, and I was the tie.

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Bro, how do you feel about your meeting, then?

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I'm hoping it's still, still goes down.

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Has Mr Curran got wind of your tie news?

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I'm sure somebody's told him what happened.

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Oh, do you think you'll go down in his eyes after the tie situation?

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I don't know. I have no idea what's going to happen.

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After lunch, Emeka manages to track down Mr Curran in surgery.

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Hi, Mr Curran. How's it going?

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Afternoon. Apologies.

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I've a patient on the operating table,

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it's going to be a couple of hours.

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-OK.

-So I think your final assessment will have to wait.

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OK, all right. Well, thanks for letting me know.

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-See you next week.

-All right, thank you.

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Meeting postponed,

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Emeka will have to wait to find out if he's passed his year.

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I guess it gives me the weekend to, you know, get my head together,

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find out what I'm going to wear, cos obviously I was thrown off by today.

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Junior doctor Jess is on her way to a night shift at New Cross hospital.

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Night shift work definitely carries more responsibility,

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as compared to day-to-day routine work.

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People say I make medicine look quite easy.

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I'm like, "It's not easy, medicine's not easy at all."

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25-year-old Jess is nearing the end of her second year.

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I wouldn't describe myself as bossy, so to be the boss,

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it's almost like stepping out from my comfort zone.

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During her time in haematology,

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Jess has had to manage some serious medical emergencies.

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OK, how bad is the pain?

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This is very difficult,

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especially when you just walk in.

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I feel like, when you're in that situation, you just handle it.

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Does get easier with time, but to some extent, I now realise

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how much more can go wrong.

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As Jess's shift starts, she receives an urgent bleep.

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So I need to go to the ward urgently,

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because there is a lady with a really fast heart rate.

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At the same time, other wards are bleeping me, as well.

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Hello. Hi, sister.

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-Where is she?

-Yeah. She's inside room two.

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OK, cool. Good evening, my name's Jess, I'm the doctor here.

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-How are you feeling?

-Not too good.

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Not too good. OK. Do you mind if I listen to your chest?

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Thank you.

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Lillian has come in complaining of heart palpitations

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and pain in her chest.

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Sorry, Lillian, I'm just going to step outside.

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Jess is concerned that the patient's heart rate is still very high.

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She calls her medical registrar for some urgent advice.

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Her heart rate's 160.

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We've tried some vagal manoeuvres, tried blowing into a syringe.

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That has not seemed to settle it down.

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What shall we do next, in terms of direct treatment?

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OK. I've read about it, I've not given it before, no.

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The consultant has recommended a drug called Adenosine

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to regulate the patient's heart rate.

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So I've never administered Adenosine before and, basically,

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it blocks the conduction of, like, the electrical waves in the heart.

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So, essentially, you kind of stop the heart for a few seconds.

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Dr Mirayala has arrived to help Jess administer the drug.

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Feel a strange feeling, but it will pass on soon.

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OK.

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Jess injects the drug into Lillian's vein.

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It's a tense moment as they wait for the heart to restart.

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You're all right.

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-OK.

-Oh! Mmm.

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OK. You should start feeling a little bit better in a minute.

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Lillian's heart has started again and is now beating at a normal rate.

0:17:380:17:42

Has that feeling gone a bit?

0:17:420:17:44

-It's gone.

-It's a horrible feeling, that Adenosine.

0:17:440:17:46

On a positive note, it has done what it should do.

0:17:460:17:48

It has slowed you down.

0:17:480:17:50

Thank you ever so much, thank you.

0:17:520:17:54

No, no, no.

0:17:540:17:56

It was definitely quite scary.

0:17:580:18:00

It was a good experience to do it.

0:18:000:18:02

Yeah. And make my patient get better very quickly, as well.

0:18:020:18:05

So, I think the outcome was...

0:18:050:18:07

Yeah, it was...

0:18:070:18:08

Everything turned out well, which is like, phew.

0:18:080:18:11

Thank you.

0:18:120:18:14

Bye.

0:18:140:18:15

I think, being in an emergency situation,

0:18:190:18:21

being the only doctor on the ward,

0:18:210:18:23

you do feel that sort of pressure and you do feel that responsibility,

0:18:230:18:26

as well. But, you know, you do grow into that role.

0:18:260:18:29

Finally, Emeka meets Mr Curran for his end-of-year assessment.

0:18:410:18:45

Because the meeting has been postponed,

0:18:460:18:48

it's kind of made the anticipation even greater.

0:18:480:18:50

It's a bit like more hyped up.

0:18:500:18:52

Hyped up now. This is making me a little bit more nervous.

0:18:520:18:55

-Come in.

-I've been praying that it all goes well.

0:18:550:18:58

So, you've been here on this firm for about two months now.

0:19:000:19:03

How have you got on?

0:19:030:19:04

I've enjoyed it, I really enjoyed surgery.

0:19:040:19:07

I enjoyed the team.

0:19:070:19:10

What mistakes have you made?

0:19:100:19:11

Mistakes...

0:19:140:19:16

I don't have any glaringly obvious mistakes I've made.

0:19:160:19:19

We all make mistakes, be honest.

0:19:190:19:21

I think...

0:19:210:19:22

What happened on the ward on Friday?

0:19:240:19:26

I hear one of the consultants had a word with you.

0:19:280:19:30

Miss Algoda had a word with me about wearing my tie, but, yes...

0:19:300:19:35

Not sticking to the dress code is a mistake.

0:19:350:19:38

Yes. So I assumed I was following the policy of the dress code.

0:19:380:19:43

You're allowed to wear a tie, but it needs to be tucked in.

0:19:430:19:46

-Especially because I don't...

-And how did you react when she discussed

0:19:460:19:50

-your tie with you?

-When she, obviously, told me to take it off,

0:19:500:19:53

I was a little bit surprised.

0:19:530:19:54

To my knowledge, I thought she'd seen it with me on

0:19:540:19:57

throughout my placement.

0:19:570:19:59

Our impression is that you know your book work very well, yes.

0:19:590:20:03

-Thank you, yeah.

-What you haven't got is experience.

0:20:030:20:05

You can't have experience at this stage of your career.

0:20:050:20:07

And you need to listen to people who give you advice, more senior people.

0:20:070:20:12

-Yeah.

-OK?

0:20:120:20:14

Not always receptive to getting advice, I'm told.

0:20:140:20:17

I guess... I guess that's personal opinion.

0:20:170:20:20

I'd like to think I'm receptive in getting advice.

0:20:200:20:23

It's not a personal opinion, it's a general opinion.

0:20:230:20:25

Personally, I don't think I have any issue,

0:20:250:20:27

in terms of taking advice from others.

0:20:270:20:29

Have you got what it takes to get on in surgery?

0:20:290:20:32

Have you got the commitment and the drive?

0:20:320:20:34

I believe I have what it takes to go forward.

0:20:340:20:36

If that was definitely the career...

0:20:360:20:38

You've certainly improved during your time here.

0:20:380:20:41

We felt you were a little bit laid-back when you started.

0:20:410:20:44

So, our overall assessment.

0:20:440:20:46

I have to decide whether we have no concerns about you,

0:20:460:20:48

some concerns about you, or major concerns about you.

0:20:480:20:51

As far as I'm concerned,

0:20:540:20:55

I'm happy for you to proceed on to the next stage of your training.

0:20:550:20:58

OK, perfect. That's great.

0:20:580:20:59

So enjoy your remaining weeks.

0:20:590:21:01

Into theatre, into clinic.

0:21:010:21:02

Yeah. I'll make sure I get into theatre and clinic.

0:21:020:21:04

-And careful how you talk to people on the ward.

-Yeah. I'll...

0:21:040:21:07

-..watch my mouth.

-Thank you very much, Mr Curran.

0:21:080:21:11

It wasn't quite as smooth as silk as I wanted, but it was like...

0:21:120:21:16

It was like peanut butter,

0:21:160:21:17

but crunchy peanut butter with the bits in it.

0:21:170:21:20

Smooth, but a little bit rocky. The main thing is he signed me off.

0:21:210:21:25

If he didn't, I probably wouldn't be joking about it.

0:21:250:21:27

So, it was good.

0:21:270:21:29

Emeka is back on night shift in the surgical ward.

0:21:490:21:52

One of his patients, 84-year-old Dennis,

0:21:520:21:56

has severe infection in his gall bladder.

0:21:560:21:59

Are you in any pain at all?

0:21:590:22:01

-No pain.

-No, just feeling a bit...

0:22:010:22:04

Feeling a bit exhausted?

0:22:040:22:06

Emeka is concerned because Dennis's BP is dropping.

0:22:060:22:09

I'm just going to keep a close eye on you, OK?

0:22:090:22:12

-Yeah.

-All right?

0:22:120:22:13

This could be a sign he's in septic shock, a life-threatening condition.

0:22:130:22:17

I am worried about Dennis.

0:22:170:22:20

He's quite a frail old man.

0:22:200:22:21

You do feel for these patients and what they're going through.

0:22:210:22:25

The best thing is to be as caring as you can

0:22:250:22:29

because you think, if this was my grandfather,

0:22:290:22:31

I'd want people there caring for him.

0:22:310:22:35

Emeka decides to give Dennis some fluids to help stabilise him.

0:22:350:22:39

One, two, three.

0:22:390:22:41

Is that a bit better? Much better.

0:22:410:22:42

But, even after the fluids, Dennis's BP is still too low.

0:22:450:22:50

Emeka decides it's time to call for some help from the registrar,

0:22:500:22:53

Dr Mumtaz.

0:22:530:22:54

-Where is he, is he there?

-Yes.

0:22:540:22:55

My name is Dr Mumtaz. I'm the registrar on call tonight.

0:22:590:23:02

-Yeah.

-How are you doing?

0:23:020:23:04

-I'm shattered.

-Do you mind if I listen to your chest?

0:23:040:23:06

Go ahead.

0:23:060:23:08

Thank you. Sorry, sir, sorry.

0:23:080:23:10

Just breathe in and out.

0:23:130:23:14

-I've got you.

-OK.

0:23:160:23:17

Breathe in.

0:23:170:23:18

Lie back.

0:23:230:23:24

Dennis, can I be honest with you?

0:23:270:23:29

I'm a bit worried about you.

0:23:290:23:30

Mm-hm.

0:23:300:23:31

You've got an infection in your gall bladder,

0:23:310:23:34

for which you are on antibiotics.

0:23:340:23:37

They can't do anything with the gall bladder because of your weak heart.

0:23:370:23:39

We're trying to get on top of the infection,

0:23:390:23:42

but things seem to be quite tricky at the minute.

0:23:420:23:45

Anything happens, press it, OK?

0:23:470:23:48

It's the heart which is giving way for him, unfortunately.

0:23:500:23:53

Do I call ITU, see if like, level two type...?

0:23:530:23:55

-The way he's talking, he doesn't want to be touched with tubes.

-Yeah.

0:23:550:24:00

We've discussed it with him.

0:24:000:24:01

He said he wouldn't want CPR, or to be intubated.

0:24:010:24:05

I think he, kind of... He's tired and he just...wants to go.

0:24:050:24:09

If he gets worse, that will probably be it for him.

0:24:100:24:13

We need to tell the family this is what's happening.

0:24:130:24:17

Dennis will now remain on the ward and be kept comfortable.

0:24:180:24:21

When I first came into this career,

0:24:210:24:23

I thought I'd be able to save everyone.

0:24:230:24:24

It was a bit of naivete, really, but...

0:24:240:24:26

You kind of get hit hard with the fact that you won't and you can't.

0:24:260:24:30

I think Emeka did really well.

0:24:320:24:33

He was faced with a difficult situation.

0:24:330:24:35

When things were getting out of control, he called me appropriately.

0:24:350:24:38

So I think he did really well.

0:24:380:24:40

I think he's going to be a really good doctor.

0:24:400:24:42

Tonight is a special occasion for the junior doctors.

0:24:510:24:54

They're all getting together to celebrate their successes.

0:24:540:24:58

Oh, wow. This looks great.

0:25:010:25:03

Wow!

0:25:030:25:05

Oh!

0:25:050:25:06

-Oh.

-Oh, my God, it's so hot in here!

0:25:060:25:09

Wow! We thought it was hot enough with the candles.

0:25:090:25:13

You do scrub up well.

0:25:130:25:15

Cheers.

0:25:170:25:18

Yeah. Yeah. I get it. Yeah.

0:25:180:25:21

-Cheers.

-Cheers.

0:25:210:25:23

Cheers!

0:25:230:25:24

-We never get to do stuff like this. It's lovely.

-It's great.

0:25:250:25:28

Yeah, yeah, I'm going to miss you guys.

0:25:280:25:30

Oh, don't say that!

0:25:300:25:31

We could have our own hospital, guys. Come on.

0:25:320:25:34

I would love you to be my doctor.

0:25:340:25:37

-Thank you.

-So where are you going to be a GP?

0:25:370:25:39

-I'll move there.

-Yeah, GP.

0:25:390:25:41

Well, I would definitely have Jo working on my bones.

0:25:420:25:45

Thanks.

0:25:450:25:47

-Gosh, yes.

-Guys, I'm not doing gynaecology.

0:25:470:25:50

If I could choose the first face my baby saw

0:25:510:25:55

when it entered this world,

0:25:550:25:57

you have fabulous eyebrows.

0:25:570:25:59

I would want my baby to see that.

0:25:590:26:01

I feel like my baby should know what real eyebrows look like!

0:26:010:26:04

Oh, thank you. Guys!

0:26:060:26:07

So, who's learned something this rotation?

0:26:080:26:11

I learned about, like, decorum in the workplace

0:26:110:26:14

and, like, how to behave with and around the seniors.

0:26:140:26:17

I think I've seen a change, so that's good.

0:26:170:26:19

-How about you?

-I think there were two types of constructive criticism.

0:26:190:26:22

One was like when they're gentle about it

0:26:220:26:24

and they break it to you in a nice, soft way,

0:26:240:26:26

but then other consultants are a bit more direct.

0:26:260:26:28

At that moment, you don't like that person,

0:26:280:26:29

but afterwards, you're thankful, because you're like,

0:26:290:26:32

"Actually, yeah, I've learnt the most from you."

0:26:320:26:34

What's painful is that those are the experiences where you learn the most

0:26:340:26:37

and that is engraved in your head.

0:26:370:26:38

Tell us about Life.

0:26:380:26:40

Life is the best.

0:26:400:26:41

Yeah. Little babies are just so cute.

0:26:420:26:45

So much effort goes into bringing a child into the world.

0:26:450:26:48

I thought it was easy. I didn't know before this.

0:26:480:26:50

Excuse me.

0:26:500:26:52

I'm very glad you have learned this before you have become a father.

0:26:530:26:56

-Yes.

-I thought childbirth, right...

-Yes, come on, it just falls out.

0:26:560:27:00

We just sneeze and we've just given birth.

0:27:000:27:03

Well, congratulations, guys.

0:27:050:27:07

Everybody survived.

0:27:070:27:08

We've learned lots, we've made friends and here's to the future.

0:27:080:27:12

-Cheers!

-To the future.

-Cheers!

0:27:120:27:14

The junior doctors round off the night

0:27:210:27:23

with some serious moves on the dance floor in Birmingham.

0:27:230:27:27

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