Pennod 3 Doctoriaid Yfory


Pennod 3

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-It's a new term and the cameras

-are back at the School of Medicine.

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-We follow young students...

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-We follow young students...

-

-I have no idea where I'm going!

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-..on a unique course.

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-..on a unique course.

-

-I'm looking for scrubs.

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-Entering the medical world

-for the first time.

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-I'm trying to make sure

-the airway is open.

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-I tilt the head back

-to let air into the lungs.

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-Facing the crisis

-in our health service.

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-Every bed is taken.

-It's after the bank holiday.

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-There are people in the corridor.

-It's the reality of a busy hospital.

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-Is that alcohol free?!

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-The female ward is full.

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-There's one patient in casualty...

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-..who can't be brought in

-because it's so busy.

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-Treating fatal diseases.

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-Is this patient high risk?

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-After assessment, they've decided

-she's at a high risk of dying.

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-Fragile lives.

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-How long have I got?

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-He's been worrying about today since

-having the scan a few weeks ago.

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-What's going to happen

-with my family?

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-These are the doctors of tomorrow.

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-I can't wait to help people.

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-I can't wait to help people.

-

-Thank you, boss.

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-Every year, a new generation

-of would-be doctors...

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-..enrols at Cardiff University's

-School of Medicine.

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-They are the cream of Welsh schools.

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-On paper, these individuals

-are the creme de la creme.

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-They're academically accomplished.

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-They have worked since they were 14

-to get to medical school.

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-Coronary angiography is fabulous

-for identifying exactly where...

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-..there's a problem

-with coronary vessels.

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-Any of my friends will tell you...

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-..I'm so competitive.

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-They even hate

-playing Pictionary with me.

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-I'm really competitive.

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-But reaching the academic pinnacle

-isn't enough to make a doctor.

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-We're looking for students

-with rounded personalities.

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-They don't just study.

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-They can connect

-with all strands of society.

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-Old people and children.

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-Able to look into someone's eyes

-when they speak to them.

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-The university encourages students

-to interact with patients...

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-..from the very first term.

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-Eben is in the Rhymney Valley

-to get practical experience.

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-..with the surgical team

-at Ysbyty Ystrad Fawr.

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-I'm doing a pre-operative assessment

-with this anaesthetic record...

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-..before the next patient comes in.

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-I'll ask her some questions

-and run through the procedure...

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-..and make sure

-she understands the risks and so on.

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-So, how are you?

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-So, how are you?

-

-Good, thanks.

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-Are you feeling OK?

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-Are you feeling OK?

-

-I'm waiting and waiting now.

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-You've been waiting a while.

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-Her gall bladder is being removed,

-a laparoscopic cholecystectomy.

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-I'll just assess your airway.

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-When I go into theatre,

-I hope to be scrubbing up.

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-I haven't done that before,

-so it'll be a new experience.

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-I might get to hold the camera...

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-..that shows the internal situation

-during the keyhole surgery.

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-All the best for the operation.

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-All the best for the operation.

-

-I'll be glad when it's over.

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-I'm sure you will.

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-Down in the theatre, Mrs Allen

-is anaesthetized prior to surgery.

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-Are you ready?

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-Hold the mask.

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-And the jaw?

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-The same as you did before

-for the other patient.

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-Get a nice seal.

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-Thumbs there and there,

-and behind the angle of the jaw.

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-I'm trying to keep the airway open.

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-My fingers are behind the jaw,

-pushing forwards.

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-I'm also tilting the head back

-to get enough air into the lungs.

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-Currently, everything's hands-on.

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-It's a chance to use the skills

-we've learnt and practised...

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-..in a hospital situation,

-which is great..

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-I'm going to listen to both lobes,

-up here and down here.

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-I'll also listen to the abdomen

-for any air going down.

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-I was listening to the chest

-to hear air entering both lungs...

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-..and to make sure

-no air was entering the abdomen.

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-If someone puts the effort in to

-teach you, you get so much more out.

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-Days like that are best,

-they stimulate interest in a field.

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-It's great when a doctor does that.

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-It's great when a doctor does that.

-

-Yes.

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-You get to do all the glamour jobs.

-Any questions?

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-No, that's great. Thanks very much.

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-Go scrub then.

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-I'm going to scrub up now

-to go into the operating theatre.

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-Part of the practical experience...

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-..is learning about cancer's effect

-on patients and their families.

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-The trainee doctors

-get the chance...

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-..to follow a cancer sufferer

-over a period four months...

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-You're a lot braver than I am.

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-I think I'd be more nervous.

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-I think I'd be more nervous.

-

-I'm not a brave person.

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-..to help them better understand

-the psychological effects.

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-I wasn't there on placement

-to assist with the decision-making.

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-I wasn't there

-to follow the doctors...

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-..but to get to know the patient

-and her experiences...

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-..of one of the hardest things

-she's had to face.

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-I was truly privileged to see that.

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-The practical work

-offers students vital experience.

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-Third-year Moss

-appreciates it immensely.

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-I was born in Manchester but moved

-to North Wales and learnt Welsh.

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-I'm glad I did, I enjoy it.

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-I'm English...

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-I come from...

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-I come from...

-

-No, you're Welsh now!

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-An adopted Welshman.

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-Today, Catherine, who has been

-diagnosed with bowel cancer...

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-..is having chemotherapy

-at the hospice.

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-Cold hands you've got, Moss.

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-Cold hands you've got, Moss.

-

-Sorry, warm heart.

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-Basically, I've come to meet you

-for the first time.

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-For my oncology project, I'll

-shadow you for a couple of months...

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-..to get to know how you are

-and how you get through treatment.

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-When I met Catherine,

-I was a little bit nervous.

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-She's the first patient

-in my oncology project.

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-Moss quickly realizes that

-Catherine's situation is serious.

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-I've got a growth in my bile duct

-which is coming down from my liver.

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-It's very rare.

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-Because of where

-this growth is situated...

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-..in amongst all my other organs,

-at the moment it's inoperable.

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-With cancer,

-diagnosis is difficult.

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-Her cancer is malignant, I think.

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-There's a chance she won't survive,

-that she'll get worse.

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-They're hoping now that the chemo's

-going to kill all the cells off..

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-..and then I'll be able

-to have radiation...

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-..to try and shrink the tumour

-so they can try something.

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-But otherwise, it's terminal.

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-I think this project is important.

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-When we are doctors,

-we will have patients who die.

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-We can't help everyone.

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-We will be in a situation like this.

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-What I really enjoyed

-about palliative care...

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-..was how tender and caring

-the doctors there were.

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-You can make a real difference to

-people receiving end-of-life care.

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-Give them more dignity in death...

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-..and make a difference at what is

-the hardest time of their lives.

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-I knew I had something

-seriously wrong with me...

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-..but obviously

-it still comes as a shock.

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-Everything I ate, I was vomiting.

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-All together now,

-I've lost five stone in weight.

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-In a short space of time as well.

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-In a short space of time as well.

-

-Short, to lose all that weight.

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-Being a part of someone's life...

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-..especially at such

-a difficult time...

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-..it's a privilege

-to be a part of that.

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-I've got a nine-year-old

-and I've got no energy for him.

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-A lot of family and friends

-have had to do lots with him...

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-..where I used to do.

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-I want to go into medicine

-because I want to help people.

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-But you can't help everyone.

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-It's a reality check for me...

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-..and a chance to learn.

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-Jess and Rhodri are on placement

-at Ysbyty Gwynedd's A&E unit.

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-Amid the bustle, they're expected

-to assess patients on the ward.

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-I was ill two weeks ago.

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-When I got up,

-everywhere was spinning.

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-If I went to the toilet,

-I'd cross the room and come back...

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-..and I had to sit down for ten

-minutes before I was back to normal.

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-Did you see a doctor then?

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-Did you see a doctor then?

-

-Yes, I did. He gave me tablets.

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-To stop the trembling,

-the vertigo, as you refer to it.

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-You doctors and your big words.

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-I forget them

-once I'm out of the door.

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-Complicated words.

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-I went into medicine to work

-with others and to help people.

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-The fact that I have

-undergone treatment myself...

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-..has inspired me

-to give something back in my career.

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-Since being admitted,

-his symptoms have worsened.

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-The consultant

-wants to carry out more tests.

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-Good morning, Mr Griffiths?

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-That's me.

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-That's me.

-

-How are you?

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-I'm in the right place to be good.

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-I'm in the right place to be good.

-

-You became short of breath.

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-Short of breath, yes.

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-And I'm very anaemic.

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-And I'm very anaemic.

-

-Yes, you're quite anaemic.

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-His haemoglobin is just over four.

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-When we looked at his blood tests,

-his haemoglobin was very low.

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-I think he was anaemic.

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-The doctors suspect he's bleeding,

-but don't know where as yet.

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-The question is,

-where did all the blood go?

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-That's the problem.

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-You haven't seen anything

-in the toilet?

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-No.

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-Not passing blood with your water?

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-Not passing blood with your water?

-

-No.

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-He had a blood transfusion

-to replace the blood he has lost.

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-But we still don't know

-where the blood went.

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-He still seems to be bleeding.

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-We're giving him blood,

-but he's still losing it.

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-He needs a camera test so we can

-identify and stem the blood loss.

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-I think you need

-a camera test of your stomach.

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-With a gastroscopy...

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-..we look in the stomach first,

-so we'll start with that.

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-He appears to be

-bleeding heavily and quickly.

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-He's lost a lot of blood,

-which is dangerous.

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-The more blood he loses,

-the less oxygen he'll have...

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-..and he's at risk

-of becoming hypoxic.

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-That could prove fatal,

-so this test is needed urgently.

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-Warfarin makes your blood

-much thinner.

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-We'll stop it until we know

-where you're bleeding from.

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-Probably better

-than bleeding to death...

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-..given that you've lost...

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-..given that you've lost...

-

-That's very cheerful, that!

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-Are you a comedian as well?

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-You've lost probably

-five or six pints of blood.

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-If we continue,

-it won't have a happy ending.

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-Is that alright?

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-Is that alright?

-

-That suits me fine.

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-When a situation like this arises,

-the first instinct is to panic.

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-But you know

-that's the worst thing you could do.

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-You have to take a moment...

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-..even though

-everyone's running around...

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-..wanting to make sure

-that the patient is OK.

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-Take a moment, breathe

-and remember what you've learnt.

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-It really helps.

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-We'll try to catch up with you

-after you have the camera.

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-We'll see what the plan is then.

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-Great.

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-I'll give you the bill then.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-Cardiff University's School

-of Medicine is one of the UK's best.

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-It prepares

-the next generation of doctors...

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-..by encouraging

-practical experience.

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-In Bridgend, Ainsley is working in

-her favourite field, orthopaedics.

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-I love being on placement.

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-It's crucial to get that experience.

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-Oh, yes.

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-It does look like the right knee

-is taller than the left knee.

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-It's a lot more fun

-than daydreaming in a lecture.

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-What happened

-in Love Island yesterday?

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-What happened here?

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-But when you're on placement,

-you have to really concentrate.

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-When I stand, I stand like this.

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-If I go up straight, I can't

-touch the floor with my heels.

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-It's really weird.

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-I'd feel a lot happier

-with a skeletal replacement.

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-Have you had insoles at all?

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-Have you had insoles at all?

-

-No, nothing.

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-Mr Robinson

-is an experienced consultant.

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-He offers students

-a range of experiences...

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-..and is a popular teacher.

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-..and is a popular teacher.

-

-I've met a lot of doctors.

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-The ones that stand out for me

-aren't the really clever ones...

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-..those who know what's going on

-with the blood results...

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-..but those who focused on

-the patient all through the process.

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-Doctor-patient relationships

-are crucial.

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-That's how I want to be as a doctor.

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-It's now time for Ainsley

-to practise her skills.

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-I've taken my learning plates off.

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-I've taken my learning plates off.

-

-Yes, you've taken the L plates off.

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-This is my new office.

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-I'm pretending

-to be a doctor for the day.

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-Not long, anyway.

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-I'm going to clerk

-the patients coming in.

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-Because this is a follow-up clinic

-with Mr Robinson...

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-..the patients already have

-long-standing problems.

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-This is my massive computer.

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-I'll be able to see

-the patients' X-rays and CTs too.

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-Before long,

-the first patient arrives.

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-I'd rather just get the op over

-before I get too old...

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-..and losing it up here.

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-I'll have a look at your X-rays.

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-A couple of years ago,

-my mother smashed her feet up badly.

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-The bones all shattered.

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-You want to talk to Mr Robinson

-about going for the bad one first.

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-Sorry, the right one first,

-then speak about the left one.

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-She really liked the doctor,

-not because he fixed her feet...

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-..but because he listened

-and was so patient with her.

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-So understanding.

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-It improved the experience for her,

-and that's how I want to be.

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-Back at Ysbyty Ystrad Fawr, Moss

-spends time with cancer patients.

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-For two months, he's been following

-bowel cancer sufferer Catherine.

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-I hope I can have radiation...

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-..to try and shrink the tumour

-so they can try something.

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-But otherwise, it's terminal.

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-Over the weekend, Moss got bad news.

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-I've found out

-that my patient has died.

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-It was a shock, to be honest.

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-I was driving home

-in the car when I heard.

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-I pulled into the side of the street

-and I was a bit emotional.

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-I started to cry a little.

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-I couldn't believe

-that she had passed away.

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-I saw her last week.

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-She was great, full of life,

-wanting to fight the cancer.

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-She had everything

-to fight for, with her son...

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-..but she has gone.

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-I don't know

-how I feel at the moment.

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-I've got an exam on Monday,

-and I need to focus on that.

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-But it's the first time

-I've come across the death...

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-..of someone I've known

-since I started on this course.

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-Catherine's death saddens me,

-but I want this patient contact.

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-It's a chance for me to learn

-how to deal with this and move on.

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-When I am a doctor,

-I will be in this situation.

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-It's a bit weird at the moment,

-but I'll be OK.

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-Being a good doctor means

-helping people through illness.

0:18:300:18:35

-But it also means...

0:18:350:18:39

-..giving people a dignified death.

0:18:400:18:42

-The sooner you learn that,

-the better.

0:18:420:18:47

-I run through the thoughts.

0:18:490:18:51

-I want to make a difference

-to people's lives.

0:18:510:18:54

-But the reality is,

-you can't help everyone.

0:18:540:18:57

-People will die.

0:18:580:18:59

-Palliative care teams are incredible

-in the way they deal with people.

0:19:000:19:05

-Really amazing.

0:19:050:19:06

-Even when the end is near...

0:19:070:19:10

-..they change

-the aspect of treatment...

0:19:100:19:14

-..and it gives patients

-a new spirit.

0:19:140:19:17

-Death is an inexorable part of life.

0:19:180:19:21

-Everyone will die.

0:19:210:19:22

-We want to ensure

-that the students understand...

0:19:230:19:26

-..that the people they see...

0:19:270:19:29

-..are someone's fathers, sons,

-grandmothers, daughters.

0:19:290:19:34

-You want to ensure that a patient's

-death is good for them too.

0:19:350:19:40

-People only die once.

0:19:410:19:43

-Back in the Rhymney Valley,

-for the first time...

0:19:510:19:55

-..Eben is about to join the surgical

-team at Ysbyty Ystrad Fawr.

0:19:550:19:59

-Mrs Allen

-is undergoing keyhole surgery...

0:20:000:20:03

-..to remove her gall bladder.

0:20:030:20:06

-Doctor Evans,

-your assistant is ready.

0:20:080:20:12

-How are you doing?

0:20:120:20:13

-How are you doing?

-

-Good, thank you.

0:20:130:20:14

-I got the opportunity

-to help out in surgery.

0:20:140:20:19

-A gall bladder removal.

0:20:190:20:21

-If you can hold that for me...

0:20:210:20:23

-This also moves the camera around.

0:20:260:20:28

-Try and keep that still.

0:20:290:20:30

-Keep that facing up.

0:20:310:20:32

-You have small pincers, and the

-screen shows the internal situation.

0:20:340:20:40

-You can see how they

-move their hands, small pinches...

0:20:400:20:45

-..how they use different tools.

0:20:460:20:48

-When I went home,

-it had blown my mind, incredible.

0:20:480:20:52

-You're holding the gall bladder.

0:20:580:20:59

-You're holding the gall bladder.

-

-Am I?

0:20:590:21:00

-You are, yes.

0:21:000:21:01

-If you let go, Tom...

0:21:020:21:03

-Go underneath there,

-underneath it...

0:21:030:21:06

-Look at the screen,

-you've got the camera, lovely.

0:21:060:21:10

-You put the gall bladder in the bag.

0:21:100:21:12

-You put the gall bladder in the bag.

-

-Wow! Exciting!

0:21:120:21:15

-The operation has just finished.

0:21:180:21:20

-I helped by holding the camera

-while they removed the gall bladder.

0:21:200:21:25

-I've never done anything

-like that before.

0:21:270:21:31

-It was a great experience,

-and I feel very privileged.

0:21:310:21:36

-We're currently suturing

-the keyhole surgery incisions.

0:21:360:21:40

-It was a strange feeling,

-seeing inside someone with a camera.

0:21:430:21:47

-I got used to it fairly quickly.

0:21:470:21:49

-It's certainly stimulated

-my interest in surgery.

0:21:500:21:55

-It was great to be so hands-on.

0:21:560:21:58

-You don't usually get

-opportunities like that.

0:21:580:22:02

-They don't come along often,

-so I made the most of it.

0:22:020:22:05

-Put your needle in there

-and come out just on the tip.

0:22:060:22:09

-Right.

0:22:090:22:10

-I've just helped

-to suture up one incision.

0:22:110:22:14

-They also used a kind of glue

-to close the smaller incisions.

0:22:140:22:20

-It was my first suturing

-on a person.

0:22:220:22:25

-I've only practised

-on plastic dummies.

0:22:250:22:28

-That was cool.

0:22:280:22:29

-Thank you so much.

-It's been brilliant.

0:22:310:22:34

-A future surgeon in the making.

0:22:340:22:37

-A future surgeon in the making.

-

-That was a great experience.

0:22:370:22:39

-I loved having a go at that.

0:22:390:22:42

-It was great.

0:22:420:22:43

-It was great.

-

-I remember you coming home that day!

0:22:430:22:46

-This is where the gall bladder

-was attached to the liver.

0:22:460:22:50

-That's where the cystic duct

-comes out there.

0:22:500:22:53

-Fantastic. Thank you.

0:22:540:22:55

-Is it a privilege to be a doctor?

0:22:560:22:58

-Yes.

0:22:580:22:59

-Yes, it is.

0:22:590:23:00

-Yes, it is.

-

-Yes.

0:23:000:23:02

-We joke about the stress

-of being a doctor...

0:23:020:23:06

-..but it is a privilege,

-we have to remember that.

0:23:060:23:10

-It'll hit us very quickly how lucky

-we are, how special this job is.

0:23:110:23:17

-Yes.

0:23:170:23:18

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0:23:380:23:41

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