Pennod 1 Doctoriaid Yfory

-Subtitles

-It's a new term and the cameras

-are back at the School of Medicine.

-I want to be a doctor.

-I can't wait.

-Medicine is extremely competitive.

-We follow young students

-on a unique course.

-They're medical students studying in

-Wales who'll stay in Wales to work.

-Being hands-on suits me more

-than sitting in a lecture theatre.

-We get the creme de la creme.

-Entering the medical world

-for the first time.

-It can be challenging.

-I've cried on wards before!

-It was really cool -

-loads of blood spurted everywhere.

-I didn't faint, which is good.

-Facing the greatest challenge

-of their lives.

-It was the first time

-I saw someone die.

-Is this patient high risk

-to come into theatre?

-It's exciting.

-It's so amazing to see.

-The next generation

-of young doctors.

-I'm so glad I've come here.

-It's been an incredible course.

-It'll be an honour to be a doctor.

-These are the doctors of tomorrow.

-I'm looking forward

-to helping people.

-The NHS in Wales is in crisis.

-There's a shortage of young doctors

-attracted to the profession.

-There aren't enough staff

-to serve patients...

-..in hospitals and surgeries

-across Wales.

-It's a crisis situation in Wales

-at the moment in terms of GPs.

-Hoping to attract Welsh-speaking

-students to the profession...

-..the Cardiff School of Medicine

-is offering a pioneering course.

-From day one, the emphasis is

-on offering a practical experience.

-The budding doctors

-get to deal with real-life patients.

-Good morning. How do you feel?

-Quite good.

-At the Princess of Wales Hospital

-in Bridgend...

-..Emily's just starting

-her first placement...

-..having stepped out of the safety

-of the classroom.

-It's a chance for her

-to experience a real hospital.

-I'm going to see an operation

-for the first time.

-I'm really looking forward to it.

-I feel a bit nervous,

-especially going into theatre...

-..because I've never done it before.

-I don't think

-I want to be a surgeon...

-..so we'll see how I fit in.

-It's nerve-racking on the first day.

-You don't know anyone

-and there's a big crowd...

-..of nurses, doctors, healthcare

-assistants and pharmacists.

-Trying to fit in

-is quite hard at the start.

-Hello. Good morning.

-Emily's task this morning

-is taking Mr Gough's history...

-..who's having an operation later.

-It's hard

-to get patients' history...

-..especially when you ask

-personal or sensitive questions.

-Can you tell me a little bit

-of what you're having done today?

-A double hernia.

-A double hernia.

-

-Right. OK.

-Double hernia operation.

-Whereabouts is the hernia?

-The two hernias.

-In my...

-Groin. Right, OK.

-I didn't feel confident getting the

-history of a patient with a hernia.

-I'd never met anyone with a hernia

-before.

-I'll see you up in theatre then.

-It was lovely to meet you.

-Thank you for talking to me.

-Brilliant. See you later.

-The problem with me

-is I like talking.

-Surgeons just run around the ward,

-popping in to see patients.

-They don't get the chance

-to speak to patients...

-..especially when they're

-under general anaesthetic.

-Emily must join the rest

-of the surgical team in theatre.

-But she's never been

-in this hospital before.

-I don't know where I'm going!

-Where am I?

-I've never been in theatre before...

-..but I've watched operations

-being done on animals.

-I went on work experience

-with the vet when I was in Year 10.

-I don't know if that counts!

-I don't know where I'm going!

-I'm looking for scrubs.

-No, that way. Straight on.

-No, that way. Straight on.

-

-Where? Oh, here.

-This is like a maze.

-In here?

-I feel like

-I should know what I'm doing...

-..but I don't.

-But it's really exciting.

-It's quite big but there we are.

-Let's go.

-Ready.

-In Ysbyty Gwynedd in Bangor...

-..Jess and Rhodri have just started

-their clinical placement.

-I'd like to be a doctor

-that people can trust and talk to.

-One of the highlights

-of my placement this year...

-..in Ysbyty Gwynedd especially

-was being in A&E.

-I really felt a part of the team.

-On my first day,

-I didn't know what to expect.

-I was a fish out of water.

-I didn't know what was happening.

-That's when I knew

-what it was going to be like.

-I would just have to learn

-on the job.

-That was the first time

-I saw how hectic a placement is.

-During all the activity...

-..the students can see the

-enormous pressure that's on our NHS.

-It's quite busy on the ward.

-There isn't much room either

-so you're always in someone's way.

-It's quite stressful.

-One woman is in a lot of pain.

-She's screaming in pain.

-There are phones and alarms

-going off and people are very ill.

-It is quite a heated and stressful

-environment...

-..but a very interesting one

-in which to learn.

-When you go on a new placement,

-you feel nervous.

-It's a new environment and you

-have to adapt to how people work.

-It's quite scary.

-While in the emergency unit, Jess

-and Rhodri work under Dr Sube.

-So, in the next bed

-we've got Clifford Kennedy.

-They'll be expected

-to assess patients on the ward.

-This morning,

-Cliff is the first patient.

-You started to vomit

-then your blood sugar went up.

-Did you take your insulin? Yes?

-He comes from Anglesey

-and is a diabetic.

-In the past five years...

-..he's been admitted three times

-for emergency treatment.

-We've just seen a patient

-who came in after being sick.

-Looking at the notes,

-it looked straightforward.

-But blood came up

-when the patient was ill...

-..and when he went to the toilet.

-The situation's changed.

-He told the doctor that

-there's bleeding in the stomach.

-So it's a different condition

-to what we thought at the start.

-We're going to look

-at how risky it is.

-You're bleeding from your stomach.

-Some of that

-is coming out in the bowel.

-Some of it's going into your bowel,

-gets digested and becomes black.

-He's bleeding from his stomach so he

-could lose a lot of blood quickly.

-The blood pressure can drop

-so he could become very ill.

-So it's important

-that we fix him immediately.

-At the moment, this looks like

-a bleed from the stomach...

-..or maybe the first part

-of the small bowel.

-We'll give you something

-to lower the amount of acid...

-..your stomach is producing

-and then we'll do the camera test.

-Given you had black motions,

-I think we should do that.

-As well as bleeding,

-the patient's diabetic.

-A lot of his toes

-have been amputated.

-That's a side effect of diabetes.

-Patients can have

-peripheral vascular disease...

-..which means there's no circulation

-to their toes.

-It usually happens

-when their diabetes isn't managed.

-Cliff is sent for further tests.

-Thank you.

-Thank you, sir.

-Thank you, sir.

-

-Good luck.

-Thank you.

-By the end of the day, his condition

-remains largely unchanged.

-Rhodri gets a chance

-to find out about his history.

-I came in with diabetes

-when I was 28.

-I'm 60 now.

-Thirty-two years I've had it.

-I've not learnt much about it,

-just taken it for granted.

-This is from the diabetes -

-losing my toes.

-I was lucky just to lose them.

-It was only down to the surgeon

-that I lost what I lost.

-He told me I could've lost my foot.

-He told me I could've lost my foot.

-

-Really?

-I was in for nearly eight months.

-I was in for nearly eight months.

-

-Eight months?

-I'm now suffering from depression,

-hence I didn't want to come in now.

-Not because I wasn't going to

-get looked after - I knew I would.

-I just didn't want to come in here

-because I've spent enough time here.

-When you talk to the doctors...

-..and you find out

-it's your fault you're in here...

-..it prompts you

-to try and do something.

-The patient has many complications

-having not managed his diabetes.

-You have to keep a very close eye

-on blood sugar levels.

-I've never seen the ward

-as busy as this.

-They just handle it

-and laugh and joke.

-They're ace.

-I'm sorry.

-It's, um...

-It's really good.

-It's nice to know you can come here

-and someone will look after you.

-It's not often that patients

-get very emotional and start crying.

-Every patient I've seen so far

-have been diabetic patients.

-It's such a draining disease.

-It almost picks you off

-one piece at a time.

-Three times I've nearly died

-in this hospital.

-Well, three times I've come in dying

-and three times I've walked out.

-It took so much

-to get me in here this time.

-I'd rather have died at home

-than come in again.

-I've had enough.

-I don't want to be in hospital

-any more.

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-Subtitles

-Subtitles

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-Subtitles

-Every year,

-300 ambitious medical students...

-..walk through the doors

-of Cardiff University.

-The students get to practise

-medical skills in the classroom.

-Today, Dafydd and Eben

-are learning how to stitch a wound.

-I've already done it on a patient...

-..but I don't know

-if I did it properly.

-Before long, Eben realizes

-it's quite a challenge.

-I'm not sure which way

-we're supposed to tie the knot.

-I hope I'll learn now.

-It's quite fiddly actually.

-It's hard to know

-how to grip these things.

-Are you doing it towards you

-or this way?

-This way.

-As in, do I go this way

-or that way first?

-Towards you.

-Oops, I've not done that properly.

-Heavens above!

-I think Daf's doing better than me.

-I don't think this will be

-like doing it on a real patient.

-There's no blood, it doesn't feel

-like skin. There are no nerves.

-It's nothing like it,

-but it's nice to practise.

-At last, things are looking up.

-There we go. Thank you.

-It's getting easier

-after doing it a couple of times.

-It's still fiddly though.

-Done.

-While the lads

-are in the classroom...

-..Emily's in the operating theatre

-in Bridgend.

-Under anaesthetic...

-..the patient will have an operation

-on a painful hernia.

-It's very interesting

-to see it being done.

-In the first year,

-we learnt the anatomy.

-We're now seeing it at first hand.

-I remember my first time

-in an operating theatre.

-I fainted.

-It's hot in there,

-you're wearing a mask...

-..and there are unfamiliar smells.

-I remember seeing the lights...

-..and thinking "I can't faint!

-I don't want to faint."

-Down I went.

-This is the first operation

-I've seen.

-I was worried I'd faint

-but I haven't so far.

-Success!

-They're burning the blood vessels

-to close them up.

-The small blood vessels

-are being burnt.

-You can smell the burning.

-It's making me feel a bit queasy.

-I feel alright.

-It's quite exciting.

-That smell of burning meat

-when we cauterize...

-..can affect you,

-but you get used to it.

-The smell of pus or gangrene

-can floor you.

-If someone has peritonitis...

-..the smell of the faeces

-in the stomach can be disgusting.

-It's a double hernia -

-indirect and direct.

-Oh, my gosh.

-There are lots of layers

-before they get to the hernia.

-It's odd to think I was only talking

-to the patient an hour ago...

-..and now he's lying here

-not knowing what's going on.

-This is the sac

-containing the hernia.

-They're removing that...

-..and pushing the bowel back in.

-They'll then close the sac

-and remove part of it.

-They'll now put mesh over it...

-..so it stays down in the stomach

-area where the bowel should be.

-Have you ever been to Pembrokeshire?

-Tenby?

-Yes. Saundersfoot.

-I'm from north Pembrokeshire.

-Once you cross

-the Preseli mountains...

-..that's when people

-start talking like I do.

-The surgeon's just told me

-he's been learning Welsh.

-The most important word he's learnt

-is ych a fi!

-The operation's a success

-and Emily's still on her feet.

-She might be allowed to help

-the next time she's in theatre.

-The experience of being in theatre

-was quite tiring.

-My legs are hurting.

-But it was so interesting...

-..seeing the abdomen being opened...

-..and seeing the anatomy

-we learnt in the first year.

-We're taking a break

-for lunch now...

-..then it'll be time

-for the next patient.

-On the other side of the hospital

-is Ainsley.

-She's in her fourth year and an old

-hand at helping out in operations.

-She's keen to do more.

-I think I'll want to do surgery

-when I'm older.

-At the same time, I really like

-the patient/doctor contact.

-So we'll see.

-We'll be in theatre today.

-There are three persons on the list.

-We'll be doing two

-total knee replacements and one arm.

-We're going to change into scrubs...

-..and look like

-we're from Grey's Anatomy!

-As the treatment involves breaking

-bones, special clothes are required.

-You'll be completely encased.

-I know.

-Look, it's like a crash helmet!

-I've never worn this before.

-Fashion statement.

-This is the new

-spring/summer catalogue!

-I'll look like a Martian

-like the man behind me in a minute!

-It'll be interesting.

-I really like being in surgery

-because every surgery is different.

-You're not sure

-what's going to happen next.

-Ainsley hopes to specialize

-in orthopaedics.

-Today, the patient

-will be given an artificial knee.

-This is the femur.

-When you put them together...

-..it's an example of what's put in.

-I helped out

-during a knee replacement surgery.

-It was really cool -

-loads of blood spurted everywhere.

-We had to wear space masks.

-We looked like we were on the moon.

-The patient has had a spinal.

-That means she's not been given

-a general anaesthetic.

-She's aware of what's going on.

-They're covering the leg

-with iodine to clean it up.

-As you can see,

-it's quite busy in here.

-As time goes on,

-it becomes apparent...

-..that the surgery is more complex

-and challenging than expected.

-Three hours later

-and the surgery is continuing...

-..with Ainsley

-taking a central role.

-The theatre is more like a workshop!

-DRILLING

-I've done two months of orthopaedics

-before...

-..so I'm used to blood

-spurting everywhere...

-..and seeing the knee...

-..and the bones, tendons

-and ligaments.

-It's really odd because to check

-if they've broken the tendon...

-..they pull it

-and the finger would move.

-It's so weird!

-A little bit of blood

-can go a long way.

-It can look like a person's

-bled like a pig.

-But it won't be a lot.

-The feeling of warm things that are

-still throbbing is quite odd.

-You can put your finger

-on blood vessels and they throb.

-They're warm too.

-That can feel odd.

-But you get used to it.

-As you can see, there was a lot

-of blood and a lot of splashback.

-I was in the right zone for it!

-It's lucky

-I'm wearing the space helmet!

-The stitching up's being done now

-after the operation.

-The replacement's been put in.

-Some surgeons use stitches

-and close up the skin.

-But Mr Robinson uses staples.

-At last, the operation is over.

-Ainsley gets the opportunity

-to stitch up the patient.

-I used a stapler

-to close up the scar.

-There's subcutaneous tissue

-that is just fat.

-They stitch that up.

-Then, over the outside...

-..it's just staples

-to keep the skin together.

-It's cool. It's really neat.

-That's really cool.

-I feel proud to be a doctor.

-But there's a lot of responsibility.

-We've just finished the surgery.

-We've put dressings

-on what the scar will be.

-Then he'll be taken back

-to the ward.

-I think he'll start walking again

-in an hour or two.

-So he'll have to start

-using his leg again.

-It was quite heavy...

-..so I'm feeling free!

-Sometimes, you feel

-you've had a very long day.

-I've been in surgery

-from 7.30am until 6.30pm.

-I could be doing another degree,

-but then you talk to your friends...

-..and realize you're very lucky

-to have these experiences.

-Cliff is still suffering...

-..after losing two further toes

-and is awaiting more treatment.

-S4C Subtitles by Testun Cyf.

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