0:00:00 > 0:00:00- Subtitles
0:00:00 > 0:00:01- Subtitles- - Subtitles
0:00:02 > 0:00:06- It's a new term and the cameras - are back at the School of Medicine.
0:00:08 > 0:00:09- We follow young students...
0:00:09 > 0:00:11- We follow young students...- - I have no idea where I'm going!
0:00:11 > 0:00:13- ..on a unique course.
0:00:13 > 0:00:15- ..on a unique course.- - I'm looking for scrubs.
0:00:15 > 0:00:18- Entering the medical world - for the first time.
0:00:18 > 0:00:21- I'm trying to make sure - the airway is open.
0:00:21 > 0:00:23- I tilt the head back - to let air into the lungs.
0:00:24 > 0:00:27- Facing the crisis - in our health service.
0:00:27 > 0:00:30- Every bed is taken. - It's after the bank holiday.
0:00:30 > 0:00:34- There are people in the corridor. - It's the reality of a busy hospital.
0:00:34 > 0:00:36- Is that alcohol free?!
0:00:39 > 0:00:40- The female ward is full.
0:00:40 > 0:00:43- There's one patient in casualty...
0:00:43 > 0:00:45- ..who can't be brought in - because it's so busy.
0:00:47 > 0:00:50- Treating fatal diseases.
0:00:50 > 0:00:52- Is this patient high risk?
0:00:52 > 0:00:57- After assessment, they've decided - she's at a high risk of dying.
0:00:57 > 0:00:59- Fragile lives.
0:01:00 > 0:01:01- How long have I got?
0:01:02 > 0:01:06- He's been worrying about today since - having the scan a few weeks ago.
0:01:07 > 0:01:08- What's going to happen - with my family?
0:01:09 > 0:01:12- These are the doctors of tomorrow.
0:01:12 > 0:01:14- I can't wait to help people.
0:01:14 > 0:01:15- I can't wait to help people.- - Thank you, boss.
0:01:23 > 0:01:28- The University Hospital of Wales - is nurturing the next generation...
0:01:28 > 0:01:34- ..of doctors and offers a pioneering - course for enthusiastic students.
0:01:34 > 0:01:38- From the early days, the emphasis - is on practical experience.
0:01:38 > 0:01:41- Trainee doctors meet real patients.
0:01:41 > 0:01:42- Can you do this one?
0:01:43 > 0:01:46- Bend your knee and bring - your heel towards your bum.
0:01:47 > 0:01:50- Can I have a quick look - at your eyes?
0:01:50 > 0:01:53- Can you pull down - on your lower eyelids?
0:01:53 > 0:01:55- They face years of studying.
0:01:56 > 0:01:59- The journey for medical students - is long.
0:02:03 > 0:02:06- At the Princess of Wales Hospital - in Bridgend...
0:02:06 > 0:02:10- ..third-year student Ffion - is on a clinical placement.
0:02:11 > 0:02:14- I arrived here - as a shy girl from Porthmadog.
0:02:15 > 0:02:17- I didn't know many people.
0:02:17 > 0:02:20- My confidence has grown - since then...
0:02:20 > 0:02:24- ..and I'm now friends - with some wonderful people.
0:02:27 > 0:02:31- On the first day of my placement, - I was so nervous.
0:02:31 > 0:02:34- I didn't know what I was doing.
0:02:34 > 0:02:37- I had to ask people - where I was supposed to go.
0:02:37 > 0:02:41- I have a really busy morning today. - I'm going straight to Cardiology.
0:02:42 > 0:02:45- I have to do cannulas - and I'm nervous about that.
0:02:48 > 0:02:50- Then I'm going to see angiograms...
0:02:51 > 0:02:54- ..and I might have the chance - to take some bloods.
0:02:54 > 0:02:55- Excuse me!
0:03:01 > 0:03:04- I feel really nervous - about doing the cannulas.
0:03:05 > 0:03:07- We'll see how they go.
0:03:07 > 0:03:10- There we are, all done.
0:03:10 > 0:03:13- It's such a different experience - doing it on real people.
0:03:15 > 0:03:19- The pressure of doing any skill - for the first time...
0:03:20 > 0:03:22- ..is quite strange.
0:03:22 > 0:03:27- You could have drawn blood in - a fake situation countless times...
0:03:27 > 0:03:30- ..but taking blood - from a real person...
0:03:30 > 0:03:32- ..pushing the needle into skin...
0:03:32 > 0:03:36- ..and possibly hurting someone, - is very odd.
0:03:36 > 0:03:38- I'm doing this one.
0:03:39 > 0:03:43- We'll see how it goes. I hope - he helps me if I get into trouble.
0:03:43 > 0:03:44- Can you talk me through it?
0:03:44 > 0:03:46- Can you talk me through it?- - Of course, of course.
0:03:48 > 0:03:50- I'm worried I won't find the vein.
0:03:51 > 0:03:54- With some older patients, - the veins are smaller.
0:03:55 > 0:03:57- They're difficult to find.
0:03:58 > 0:03:59- I'm really sorry.
0:03:59 > 0:04:01- I'm really sorry.- - Don't worry.
0:04:02 > 0:04:06- People move, speak and complain. - Mannequins don't complain.
0:04:06 > 0:04:08- They don't feel pain.
0:04:08 > 0:04:12- It was different - coming in this year...
0:04:13 > 0:04:15- ..to do the skills on real people.
0:04:15 > 0:04:18- I'm really worried - about hurting the patient.
0:04:20 > 0:04:24- When the needle goes in, - that's the bit that hurts.
0:04:24 > 0:04:26- After that, it shouldn't.
0:04:26 > 0:04:29- If I do it properly, - it shouldn't hurt.
0:04:29 > 0:04:30- Ten out of ten.
0:04:30 > 0:04:32- Ten out of ten.- - I wish it was ten out of ten.
0:04:33 > 0:04:38- It was better than I expected. - I successfully found the vein.
0:04:38 > 0:04:41- I didn't press down firmly enough - on the hand...
0:04:41 > 0:04:44- ..so some blood came out.
0:04:44 > 0:04:49- I love cannulas now. I did one - on my last day with the day team.
0:04:49 > 0:04:51- It was a fantastic feeling.
0:04:53 > 0:04:55- With the cannula in place...
0:04:56 > 0:04:58- ..the patient is ready - for more tests.
0:05:08 > 0:05:11- Over in the Royal Gwent Hospital, - Newport...
0:05:11 > 0:05:16- ..third-year student Dafydd - is on an anaesthetic placement.
0:05:18 > 0:05:22- Dafydd will spend time - in the surgery theatre...
0:05:22 > 0:05:26- ..dealing with general surgeries - and emergencies.
0:05:27 > 0:05:30- Anything can happen - - that's what I like about CEPOD.
0:05:31 > 0:05:34- You don't know what'll turn up - on the day.
0:05:35 > 0:05:39- You could have a whirlwind of a day - and it's really incredible.
0:05:39 > 0:05:44- An emergency case arrives - and routine surgery is postponed.
0:05:44 > 0:05:47- The emergency is the priority.
0:05:48 > 0:05:52- She had an intestinal complaint.
0:05:52 > 0:05:55- They didn't know - what was wrong with it.
0:05:55 > 0:05:57- We had to go in to check it.
0:05:57 > 0:06:01- It was quite exciting - to try and diagnose the problem...
0:06:01 > 0:06:06- ..but you could see the stress - on the face of the surgeon...
0:06:07 > 0:06:10- ..because you don't know - what you'll find.
0:06:10 > 0:06:14- This lady has come in feeling ill. - She's short of breath.
0:06:15 > 0:06:17- She has a bloated stomach.
0:06:17 > 0:06:19- They think her colon has ruptured.
0:06:19 > 0:06:22- They think she might have - an infection too.
0:06:22 > 0:06:25- She has hypertension, - high blood pressure.
0:06:25 > 0:06:29- She's also diabetic. - That complicates the problem.
0:06:29 > 0:06:33- So, is this patient high risk - to come into theatre?
0:06:33 > 0:06:37- Yes, she is, - she's got multiple factors...
0:06:37 > 0:06:40- ..which puts her - in a high-risk category.
0:06:41 > 0:06:45- She's in for an emergency, - acute, abdominal surgery.
0:06:45 > 0:06:50- Being elderly and she's diabetic, - she's hypertensive...
0:06:51 > 0:06:54- ..she might have - an ischemic heart disease...
0:06:54 > 0:06:58- ..poor functional tolerance - - all that contribute as factors.
0:06:59 > 0:07:03- After assessing the patient, - they decided she was high risk.
0:07:03 > 0:07:04- She's in danger of dying.
0:07:05 > 0:07:09- When an emergency operation - is carried out...
0:07:09 > 0:07:11- ..it's very different.
0:07:11 > 0:07:15- They haven't had enough time - to prepare for that patient.
0:07:15 > 0:07:18- Often, you'll see more people - in the theatre.
0:07:18 > 0:07:21- The radio's off. - They check everything.
0:07:21 > 0:07:28- People come and go and it's like a - whirlwind happening in front of you.
0:07:30 > 0:07:33- Any surgery like that is high risk.
0:07:33 > 0:07:37- There's a huge risk - of there being an infection.
0:07:37 > 0:07:39- If the colon is ruptured...
0:07:39 > 0:07:43- ..it's not nice seeing - what goes into the stomach.
0:07:43 > 0:07:47- The body responds quickly - and it becomes serious.
0:07:49 > 0:07:52- The surgery involved - is a laparotomy.
0:07:52 > 0:07:56- They cut straight down - the middle of the stomach...
0:07:56 > 0:08:00- ..and open everything up - to see what's gone wrong.
0:08:00 > 0:08:04- If you're seeing this for - the first time, get yourself ready!
0:08:11 > 0:08:16- In North Wales, an A&E department - is straining under the pressure.
0:08:16 > 0:08:18- Jess is a third-year student.
0:08:19 > 0:08:23- Going on a placement - is the best thing about the course.
0:08:23 > 0:08:27- I just love it. This is why - I wanted to do the course.
0:08:28 > 0:08:30- The first is sepsis.
0:08:30 > 0:08:35- Every single patient, you should - ask yourself is this sepsis?
0:08:37 > 0:08:40- Under Dr Subbe's guidance, - Jess feels the pressure...
0:08:40 > 0:08:44- ..of a real medical emergency - and the reality of the work.
0:08:45 > 0:08:47- I had an operation in January.
0:08:47 > 0:08:50- I had my appendix out - and a piece of bowel.
0:08:51 > 0:08:54- They thought it could be - something to do with that.
0:08:56 > 0:09:00- There's some trial and error - when you're on a placement.
0:09:00 > 0:09:04- You go with your gut feeling - and learn as much as you can.
0:09:06 > 0:09:11- Have you had chest infections - before? Have you travelled recently?
0:09:11 > 0:09:12- No.
0:09:13 > 0:09:19- It's so important - that they can see the reality...
0:09:19 > 0:09:24- ..and see different illnesses.
0:09:24 > 0:09:28- We think that this is a pneumonia - of your right lung.
0:09:29 > 0:09:34- It's a significant pneumonia - from the blood test and the X-ray.
0:09:34 > 0:09:38- We'd expect it to get slowly better - over the next few days.
0:09:38 > 0:09:40- We've got you on drip antibiotics.
0:09:41 > 0:09:44- After 48 hours, we'll switch you - to tablet antibiotics...
0:09:45 > 0:09:47- ..and hope you continue to improve.
0:09:47 > 0:09:49- Thank you very much.
0:09:58 > 0:10:03- Back in Newport, Dafydd's patient - is ready for the emergency surgery.
0:10:05 > 0:10:09- The tension in the theatre - is evident to everyone.
0:10:09 > 0:10:12- The patient is asleep.
0:10:13 > 0:10:15- They're about to do the first cut.
0:10:16 > 0:10:18- They hope her breathing - will improve...
0:10:19 > 0:10:23- ..because the pressure - from the abdomen...
0:10:23 > 0:10:26- ..prevents her - from breathing properly.
0:10:26 > 0:10:30- When they relieve that pressure - from the lung....
0:10:30 > 0:10:33- ..they hope to see an improvement - in her breathing.
0:10:39 > 0:10:43- They've just burnt the skin - to gain access to the abdomen...
0:10:44 > 0:10:47- ..to stem the flow of blood - more than anything else.
0:10:48 > 0:10:49- You can smell it.
0:10:49 > 0:10:52- It's a smell - I've never experienced before.
0:10:54 > 0:10:58- There are so many team members - in the theatre.
0:10:58 > 0:11:02- You have the surgeons, - the anaesthetists, the nurses.
0:11:02 > 0:11:04- They all have individual jobs.
0:11:04 > 0:11:08- The anaesthetists make sure - that the patient is OK...
0:11:09 > 0:11:12- ..to take the pressure - off the surgeons.
0:11:13 > 0:11:16- They concentrate on the surgery.
0:11:16 > 0:11:19- After entering the abdomen...
0:11:19 > 0:11:23- ..they've discovered - that part of the small bowel...
0:11:23 > 0:11:25- ..has died because of ischemia.
0:11:25 > 0:11:33- Ischemia is caused by the organ not - being supplied with enough blood.
0:11:35 > 0:11:38- They'll cut that part out...
0:11:39 > 0:11:41- ..and re-join both parts together.
0:11:42 > 0:11:46- I think that when we watch patients - during surgery...
0:11:46 > 0:11:50- ..it's important to remember - that they're actually there.
0:11:50 > 0:11:55- Sometimes you forget, especially - when they're covered by a sheet...
0:11:56 > 0:11:59- ..and you can only see - the surgical area.
0:11:59 > 0:12:02- Sometimes you forget - that the patient's there.
0:12:03 > 0:12:06- If you're going to open - someone up...
0:12:06 > 0:12:08- ..it's going to be a huge risk.
0:12:08 > 0:12:10- It doesn't always work out.
0:12:11 > 0:12:13- The dangers for this patient - are high...
0:12:14 > 0:12:16- ..and the surgery is far from over.
0:12:19 > 0:12:19- .
0:12:22 > 0:12:22- Subtitles
0:12:22 > 0:12:24- Subtitles- - Subtitles
0:12:30 > 0:12:34- In Bridgend, - third-year student Ffion...
0:12:34 > 0:12:38- ..is on a work placement - at the Princess of Wales Hospital.
0:12:39 > 0:12:43- We're going to follow some of - the patients we've already seen...
0:12:44 > 0:12:45- ..who had the cannulas.
0:12:46 > 0:12:51- They'll have angiograms where - we put a dye through the cannula.
0:12:51 > 0:12:55- We're going to take a photo - of the heart.
0:12:55 > 0:12:58- The dye will show - the blood vessels...
0:12:58 > 0:13:01- ..and highlight any problems - with the heart.
0:13:01 > 0:13:06- Everyone's here because they have - symptoms relating to the heart.
0:13:06 > 0:13:13- The angiogram test - will show any illnesses...
0:13:13 > 0:13:16- ..that cause the symptoms.
0:13:17 > 0:13:19- To enter that room...
0:13:19 > 0:13:21- ..I have to wear these scrubs.
0:13:22 > 0:13:27- The test is crucial for a diagnosis - but it can be dangerous.
0:13:27 > 0:13:29- It's a worrying time - for the patient.
0:13:30 > 0:13:31- How are you feeling about going in?
0:13:31 > 0:13:32- How are you feeling about going in?- - Really nervous.
0:13:33 > 0:13:35- What are you nervous about?
0:13:35 > 0:13:36- What are you nervous about?- - Needles.
0:13:36 > 0:13:40- Do you not like needles? - Have you got your cannula in?
0:13:40 > 0:13:41- Yes.
0:13:42 > 0:13:46- Lead-filled clothing - protects staff from the radiation.
0:13:46 > 0:13:50- That goes around your neck - to protect your thyroid.
0:13:50 > 0:13:55- We wear these to protect - any vital organs from radiation.
0:13:56 > 0:13:58- Thank you.
0:14:01 > 0:14:03- It's really heavy.
0:14:03 > 0:14:07- Very fashionable. You could be - on the catwalk like that.
0:14:07 > 0:14:09- They are quite heavy, actually.
0:14:11 > 0:14:14- Angiograms measure blood flow - around the heart.
0:14:15 > 0:14:18- A tube is fed into a vein - in the arm...
0:14:18 > 0:14:21- ..straight to the patient's heart.
0:14:21 > 0:14:24- They do around 100 a week - which is quite a lot.
0:14:25 > 0:14:27- The risks can be quite serious.
0:14:28 > 0:14:31- It's not a high risk, - only one in a thousand...
0:14:32 > 0:14:36- ..but patients can experience - a heart attack or a stroke...
0:14:36 > 0:14:38- ..and they can die on the table.
0:14:40 > 0:14:43- The staff are very aware - of the risks.
0:14:43 > 0:14:46- There's a defibrillator - in the corner.
0:14:46 > 0:14:50- They're always ready in case - something serious happens.
0:14:53 > 0:14:56- They've looked at the blood vessels - to the heart.
0:14:56 > 0:14:58- It looks normal.
0:14:58 > 0:15:01- They've noticed a problem - with one of the valves.
0:15:02 > 0:15:06- They're inserting another wire - to check the valve.
0:15:06 > 0:15:10- The doctor said that serious - problems happen very rarely.
0:15:10 > 0:15:14- It's better for the patients - to have the test...
0:15:14 > 0:15:17- ..to make sure there are - no problems with the heart.
0:15:18 > 0:15:22- I didn't think it would be that easy - but it was very straightforward.
0:15:22 > 0:15:24- Her coronary arteries are normal.
0:15:25 > 0:15:29- The chest discomfort is not angina, - which is good.
0:15:29 > 0:15:33- The arteries are all clear. - She's also diabetic.
0:15:33 > 0:15:38- That can lead to clogged arteries.
0:15:38 > 0:15:41- It looks as if they're clear.
0:15:42 > 0:15:44- It's good news for the patient.
0:15:52 > 0:15:58- In Ysbyty Gwynedd, Jess experiences - the reality of the A&E Department.
0:15:59 > 0:16:02- When people are admitted - to the A&E Department...
0:16:03 > 0:16:05- ..people don't see - behind closed doors.
0:16:05 > 0:16:12- It can be manic trying to get the - right people to the right places.
0:16:12 > 0:16:16- If you're in the waiting room, - you might think everything was calm.
0:16:24 > 0:16:28- With many patients waiting, - Jess deals with James...
0:16:28 > 0:16:31- ..the young pneumonia patient.
0:16:32 > 0:16:37- He's already moved from the main - ward to the quarantine department.
0:16:37 > 0:16:39- He has a history of MRSA...
0:16:40 > 0:16:42- ..from surgery he'd previously had.
0:16:43 > 0:16:45- He's in his own cubicle.
0:16:48 > 0:16:52- It puts you on edge when you face - a situation like this...
0:16:52 > 0:16:54- ..when you have to wear gloves.
0:16:54 > 0:16:59- The possibility of transferring - the infection between patients...
0:17:00 > 0:17:02- ..is quite high.
0:17:02 > 0:17:04- A little bit nerve-wracking.
0:17:06 > 0:17:10- Hiya, are you alright? - I'm Jessica, I'm a medical student.
0:17:10 > 0:17:13- Do you mind if I just have - a quick chat with you?
0:17:14 > 0:17:16- How are you feeling today?
0:17:16 > 0:17:17- Exactly the same.
0:17:17 > 0:17:21- Exactly the same, still none - the wiser what's up with me.
0:17:22 > 0:17:26- Is your biggest frustration - that you don't know what's going on?
0:17:26 > 0:17:30- I've been left in this room - and no-one wants to come in to me.
0:17:30 > 0:17:33- I've told them eight times - about this bell.
0:17:33 > 0:17:37- You had MRSA before - and they put you in here in case.
0:17:37 > 0:17:41- When they took my staples out, - they were a bit weeping.
0:17:41 > 0:17:44- And then a little section...
0:17:48 > 0:17:50- I can see it there.
0:17:51 > 0:17:55- That didn't heal - for what must have been five weeks.
0:17:55 > 0:17:57- It was open.
0:17:57 > 0:17:59- That's where they got the MRSA.
0:18:01 > 0:18:03- It was really interesting.
0:18:03 > 0:18:07- I didn't expect the patient - to say what he did.
0:18:07 > 0:18:12- He was frustrated that he - didn't know what was going on...
0:18:12 > 0:18:14- ..with his treatment.
0:18:15 > 0:18:17- He doesn't know - what medicine he's taking.
0:18:17 > 0:18:20- He doesn't know what's happening.
0:18:20 > 0:18:23- We have to shut the door - because of infections...
0:18:24 > 0:18:27- ..but he feels as though - he's being ignored.
0:18:27 > 0:18:33- He's noticed a lump - on the scar he had after surgery.
0:18:33 > 0:18:38- Nobody's picked up on this before. - When he coughs, it gets worse.
0:18:38 > 0:18:40- We're not sure if it's a hernia.
0:18:42 > 0:18:47- When you're busy, you don't have - time to go to the toilet or eat...
0:18:47 > 0:18:51- ..but you still want to make - your patient feel...
0:18:51 > 0:18:56- ..that they're the focus - of your attention right then.
0:18:56 > 0:18:58- Sometimes, that can't happen.
0:18:59 > 0:19:03- I've had people shouting at me - and calling me numerous names...
0:19:03 > 0:19:07- ..when it seems to them - that we're doing nothing.
0:19:09 > 0:19:12- After starting on a course - of strong antibiotics...
0:19:13 > 0:19:15- ..James' situation - starts to improve...
0:19:16 > 0:19:18- ..and he's on the road to recovery.
0:19:19 > 0:19:21- Since this morning, - the patient's NEW score...
0:19:22 > 0:19:26- ..has dropped from five to two - which shows he's recovering.
0:19:27 > 0:19:29- This will be down to - the antibiotics.
0:19:29 > 0:19:33- The plan now is to start - cutting down on his antibiotics.
0:19:41 > 0:19:43- In the Royal Gwent Hospital...
0:19:43 > 0:19:47- ..an emergency operation - is carried out on a dead colon.
0:19:48 > 0:19:51- The patient is diabetic - and has high blood pressure.
0:19:52 > 0:19:55- This is a problematic procedure...
0:19:55 > 0:20:00- ..and the team is concerned - about her deteriorating health.
0:20:00 > 0:20:04- The anaesthetist - is inserting a central line.
0:20:04 > 0:20:10- The line is inserted - in the patient's neck...
0:20:10 > 0:20:14- ..and that allows them - to administer medication...
0:20:14 > 0:20:17- ..that can access - the heart directly.
0:20:18 > 0:20:22- It's important to get the line - directly to the heart...
0:20:22 > 0:20:25- ..to administer drugs - directly to the body...
0:20:26 > 0:20:28- ..and to place a monitor.
0:20:28 > 0:20:32- That's important for the anaesthetic - team to keep the patient stable.
0:20:34 > 0:20:38- He's using ultrasound - to localise the line in the neck.
0:20:38 > 0:20:44- It's important not to hit - the other structures in the neck...
0:20:44 > 0:20:46- ..such as the arteries.
0:20:46 > 0:20:48- The patient is rather unstable.
0:20:49 > 0:20:51- It's crucial to get - the central line in...
0:20:52 > 0:20:57- ..to get quick access to the heart - and administer drugs quickly...
0:20:57 > 0:21:00- ..to prevent any changes - in her body.
0:21:02 > 0:21:06- The situation - can remain quite tense.
0:21:07 > 0:21:12- The anaesthetist and surgeon - are talking constantly...
0:21:12 > 0:21:17- ..about blood supply, - blood pressure, the heart...
0:21:17 > 0:21:19- ..whether the patient is stable.
0:21:20 > 0:21:24- You have to stop the surgery to make - sure the anaesthetist is happy...
0:21:25 > 0:21:27- ..with the blood pressure and pulse.
0:21:28 > 0:21:31- As you can see, there's loads - happening at the same time.
0:21:32 > 0:21:33- The surgeons are working there.
0:21:34 > 0:21:38- The anaesthetist team is up here - inserting a line.
0:21:38 > 0:21:43- I've had the chance to see many - things happening at the same time.
0:21:44 > 0:21:46- It is exciting.
0:21:46 > 0:21:48- This is so amazing to watch.
0:21:51 > 0:21:55- Seeing the reality of surgery - is challenging but crucial...
0:21:56 > 0:21:59- ..in the education - of our young doctors.
0:21:59 > 0:22:02- I enjoy the intense situations.
0:22:02 > 0:22:05- I feel I work better under pressure.
0:22:05 > 0:22:08- I enjoy the speed of thought...
0:22:09 > 0:22:11- ..and making quick decisions.
0:22:11 > 0:22:13- It's a lot more exciting.
0:22:13 > 0:22:16- At the moment, - it all feels hands-on.
0:22:17 > 0:22:21- We're having the opportunity - to use all the skills we practised.
0:22:21 > 0:22:24- We're doing it in hospital. - It's great.
0:22:26 > 0:22:30- The surgery has just finished. The - patient will come out on a new bed.
0:22:31 > 0:22:33- She'll go up to Resus or ITU.
0:22:33 > 0:22:35- People will look after her.
0:22:36 > 0:22:40- The next patient will then come down - and we'll prepare for surgery.
0:22:41 > 0:22:45- For tomorrow's doctors, - it's going to be a long day.
0:23:08 > 0:23:10- S4C Subtitles by Testun Cyf.
0:23:10 > 0:23:11- .