0:00:00 > 0:00:00- .
0:00:01 > 0:00:06- It's a new term and the cameras are - back at the School of Medicine...
0:00:06 > 0:00:08- ..following young students...
0:00:09 > 0:00:11- I don't know where I'm going.
0:00:11 > 0:00:12- ..on a unique course.
0:00:13 > 0:00:15- I'm looking for scrubs.
0:00:15 > 0:00:18- Stepping into the medical world - for the first time.
0:00:19 > 0:00:22- I'm opening the airway - and tilting the head back.
0:00:23 > 0:00:25- Facing the emergencies - of our health service.
0:00:26 > 0:00:30- Every bed is taken, - especially after the bank holiday.
0:00:30 > 0:00:34- People are sitting in corridors. - It's the reality of a busy hospital.
0:00:34 > 0:00:37- Is that alcohol free?
0:00:39 > 0:00:43- The women's ward is full. - One casualty patient is waiting.
0:00:43 > 0:00:46- It's become so busy - during the past 20 minutes.
0:00:46 > 0:00:49- Treating life-threatening illnesses.
0:00:49 > 0:00:51- Is this patient high risk?
0:00:52 > 0:00:56- They assessed the patient and - there's a high risk of fatality.
0:00:57 > 0:00:59- Fragile lives.
0:00:59 > 0:01:02- How long have I got?
0:01:02 > 0:01:06- He's been worried about today - since the scan three weeks ago.
0:01:06 > 0:01:09- What's going to happen - with my family?
0:01:09 > 0:01:12- These are tomorrow's doctors.
0:01:12 > 0:01:14- I want to help people.
0:01:14 > 0:01:15- I want to help people.- - Thank you, Mos.
0:01:26 > 0:01:31- Cardiff's School of Medicine - offers students a pioneering course.
0:01:31 > 0:01:34- The emphasis is on education - outside the classroom.
0:01:35 > 0:01:40- It's an opportunity to experience - life as a real doctor...
0:01:40 > 0:01:47- ..treating patients in hospitals - and surgeries across Wales.
0:01:47 > 0:01:49- How's it been over the weekend?
0:01:50 > 0:01:52- Bad. Really bad.
0:01:53 > 0:01:57- Cancer affects one in every three.
0:01:57 > 0:02:00- The oncology project is a key part - of the clinical training...
0:02:01 > 0:02:04- ..of student doctors.
0:02:04 > 0:02:07- You realise - that you can't help everyone.
0:02:07 > 0:02:13- You go through med school wanting to - make a difference in people's lives.
0:02:13 > 0:02:16- The reality is - you can't help everyone.
0:02:16 > 0:02:18- People will die.
0:02:18 > 0:02:21- In his third year, - and a mature student...
0:02:21 > 0:02:25- ..Mos has already witnessed - the intensity of the experience.
0:02:28 > 0:02:31- Mos. - I'm a third-year medical student.
0:02:31 > 0:02:34- It's Catherine Williams, is it? - Nice to meet you.
0:02:34 > 0:02:38- At the start of the project, - he met a special patient...
0:02:38 > 0:02:40- ..who was in a serious condition.
0:02:41 > 0:02:43- I'll be able to have radiation...
0:02:43 > 0:02:47- ..to try and shrink the tumour - so they can try something.
0:02:47 > 0:02:49- Otherwise, it's terminal.
0:02:53 > 0:02:57- Unfortunately, soon after, - Catherine died.
0:03:02 > 0:03:04- I'm sad that Catherine died...
0:03:04 > 0:03:07- ..but I want to experience - this patient contact.
0:03:07 > 0:03:12- When I am a doctor, - I'll be in situations like this.
0:03:14 > 0:03:17- Mos is eager to be part - of the oncology project.
0:03:17 > 0:03:20- He's meeting another patient.
0:03:20 > 0:03:24- He hopes to follow his story - to a positive conclusion this time.
0:03:25 > 0:03:26- How was your birthday?
0:03:26 > 0:03:29- How was your birthday?- - Very good. I went down the pub.
0:03:29 > 0:03:32- There's a bigger smile - on your face today.
0:03:34 > 0:03:39- Brian had a liver cancer diagnosis - six months ago.
0:03:39 > 0:03:45- He's already survived - a life-saving operation.
0:03:45 > 0:03:48- He now faces another six months - of chemotherapy.
0:03:48 > 0:03:51- He hopes to get rid of his cancer - for good.
0:03:58 > 0:04:02- Very quickly, - Mos and Brian have become friends.
0:04:04 > 0:04:08- It's funny, you know. - It's really good and neat by 'ere.
0:04:08 > 0:04:10- Down by 'ere, have you seen it?
0:04:10 > 0:04:12- I said to Ann, I said...
0:04:12 > 0:04:17- .."They must have had a student - finish me off there, you know."
0:04:19 > 0:04:24- Only one patient in ten - survives the cancer Brian has.
0:04:25 > 0:04:27- He's here to receive scan results...
0:04:28 > 0:04:32- ..to discover if the operation - was a success or not.
0:04:34 > 0:04:36- Here we go.
0:04:41 > 0:04:45- D'you know what? - That is a marvellous relief.
0:04:45 > 0:04:48- I'll tell you what, - all week I've been worrying.
0:05:05 > 0:05:06- So that is very good.
0:05:06 > 0:05:11- I think he's been worried about - today for two or three weeks...
0:05:11 > 0:05:13- ..since he had the scan.
0:05:13 > 0:05:15- I can see - he's not looking forward to it.
0:05:16 > 0:05:19- I think he's had - many sleepless nights.
0:05:19 > 0:05:22- He can't sleep - at the best of times...
0:05:22 > 0:05:25- ..but I think - this is playing on his mind.
0:05:26 > 0:05:29- You've had four sessions - of chemotherapy.
0:05:29 > 0:05:33- I believe the aim is to get you - on to six if we can.
0:05:33 > 0:05:35- How did you find the last session?
0:05:36 > 0:05:38- OK. I can't sleep at night.
0:05:39 > 0:05:41- Depression sets in.
0:05:42 > 0:05:48- Some days I'm sat there when Ann is - in work and I'm sat there on my own.
0:05:49 > 0:05:53- I have to kick myself - to get out of that.
0:05:53 > 0:05:57- I do take one sleeping tablet.
0:05:57 > 0:05:59- Mm-hm. Every night?
0:05:59 > 0:06:01- Most nights.
0:06:02 > 0:06:04- Just lying in bed, looking around.
0:06:06 > 0:06:08- Just...
0:06:09 > 0:06:10- But, um...
0:06:11 > 0:06:12- ..at the end of the day...
0:06:12 > 0:06:16- ..if the chemotherapy - is going to do me good...
0:06:19 > 0:06:21- ..you've got to put up with it.
0:06:21 > 0:06:25- When I met Brian for the first time, - I was scared.
0:06:26 > 0:06:30- I was scared he was going to die. - I didn't know what I'd do.
0:06:30 > 0:06:34- Before he had his scan results, - I was really scared.
0:06:34 > 0:06:38- It's only since I've had the can... - well, the cancer...
0:06:38 > 0:06:42- ..the depression, - I get depression bouts.
0:06:42 > 0:06:44- Not every day, some days I'm OK.
0:06:45 > 0:06:47- But some days when I'm on my own...
0:06:49 > 0:06:51- It's harder then.
0:06:51 > 0:06:55- You're just sat there - and your mind is wandering.
0:06:55 > 0:06:57- "How long have I got?"
0:06:57 > 0:07:02- It's all in... It's the not knowing, - at the end of the day.
0:07:03 > 0:07:06- I feel that being part - of someone's life...
0:07:06 > 0:07:10- ..especially at the most - difficult times in their lives...
0:07:10 > 0:07:13- ..you feel privileged - to be part of something like that.
0:07:14 > 0:07:17- How long have I got, you know?
0:07:18 > 0:07:24- What's going to happen - to my family if I go, you know?
0:07:24 > 0:07:26- It's all, it's...
0:07:26 > 0:07:28- It starts playing around - in your mind.
0:07:29 > 0:07:30- So...
0:07:31 > 0:07:32- But...
0:07:32 > 0:07:34- But...- - Yes, we're going to be fine.
0:07:34 > 0:07:36- Brian and Ann are in love.
0:07:37 > 0:07:41- I want to be like Brian and Ann - when I'm old.
0:07:44 > 0:07:46- It's difficult watching Ann crying.
0:07:47 > 0:07:52- Brian knows that he has cancer - and there's a possibility he'll die.
0:07:52 > 0:07:56- He's come to terms - with his situation.
0:07:56 > 0:08:00- I think it's very difficult - for his family.
0:08:02 > 0:08:05- Cancer affects everyone. - It really is horrible.
0:08:07 > 0:08:12- When a family member has cancer, - you can't do anything.
0:08:12 > 0:08:14- You feel helpless.
0:08:21 > 0:08:24- By the fifth year, the students - have plenty of experience...
0:08:25 > 0:08:27- ..in Welsh hospitals.
0:08:27 > 0:08:30- To challenge the young doctors - even further...
0:08:31 > 0:08:36- ..the medical school encourages them - to travel and work around the world.
0:08:41 > 0:08:44- Eleri sees this time - as an opportunity...
0:08:44 > 0:08:47- ..to expand her medical horizons.
0:08:47 > 0:08:49- I didn't know - where I wanted to go...
0:08:50 > 0:08:53- ..but I'd chosen - my medical discipline.
0:08:53 > 0:08:55- That was pre-hospital care.
0:08:55 > 0:08:58- You're not too tired? Excellent.
0:08:59 > 0:09:02- I'm going to do my rounds - but I'll see you tomorrow.
0:09:05 > 0:09:07- From Wales to the Caribbean.
0:09:07 > 0:09:12- Eleri will spend two months - as a doctor in Antigua...
0:09:12 > 0:09:14- ..in the Atlantic Ocean.
0:09:20 > 0:09:25- On the island, the gap between - rich and poor is exceptionally wide.
0:09:31 > 0:09:34- A private health system exists here.
0:09:34 > 0:09:37- Eleri's working - in one of the few clinics...
0:09:37 > 0:09:39- ..which offers free medical care.
0:09:39 > 0:09:43- Antigua & Barbuda - Search And Rescue, ABSAR.
0:09:43 > 0:09:48- They have a clinic and they work - as the island's search and rescue.
0:09:49 > 0:09:53- They are funded by donations, - they're a charity.
0:09:53 > 0:09:55- No-one is paid.
0:09:55 > 0:09:59- One of the patients, Sinclair, - comes here every day...
0:10:00 > 0:10:03- ..for treatment on an open wound - on the side of his chest.
0:10:04 > 0:10:06- Is that weeping again?
0:10:06 > 0:10:07- Painful?
0:10:08 > 0:10:09- Itch.
0:10:10 > 0:10:14- It's seeped a lot out overnight.
0:10:14 > 0:10:15- Yeah?
0:10:15 > 0:10:17- Yeah?- - Yeah, more than usual.
0:10:17 > 0:10:20- I'm not sure - why he's in the condition he is.
0:10:21 > 0:10:24- He went to hospital - about a year or two ago...
0:10:25 > 0:10:27- ..and had his lungs drained.
0:10:27 > 0:10:31- The wound hasn't healed, - it hasn't closed since then.
0:10:31 > 0:10:33- It's still an open wound.
0:10:33 > 0:10:36- I'm going to wash it, Sinclair.
0:10:37 > 0:10:39- Is that cold?
0:10:40 > 0:10:42- It should get rid - of the itch for you.
0:10:43 > 0:10:48- It's down to us to look after him.
0:10:48 > 0:10:51- He comes in every day, - every morning.
0:10:51 > 0:10:56- He's built a relationship - with all the staff.
0:10:56 > 0:10:58- Is that painful at all?
0:10:58 > 0:11:00- No? Has the itching gone?
0:11:01 > 0:11:03- Yeah.
0:11:03 > 0:11:05- Has it gone? That's good.
0:11:05 > 0:11:07- This came out of the wound.
0:11:08 > 0:11:10- This comes out - overnight every night.
0:11:10 > 0:11:12- We change it every day.
0:11:14 > 0:11:17- We're trying to persuade him - to have an X-ray.
0:11:17 > 0:11:20- It would make such a difference - but he hates hospitals.
0:11:21 > 0:11:23- He doesn't think they can help him.
0:11:23 > 0:11:25- He's never had the treatment - he needs.
0:11:29 > 0:11:33- He doesn't want to go back - - he feels we're doing enough here.
0:11:34 > 0:11:35- It's quite sad in a way.
0:11:36 > 0:11:41- We don't do much - we talk to him, - look after and change his dressings.
0:11:41 > 0:11:45- We check that everything is OK - but we can't do more than that.
0:11:45 > 0:11:47- How's that feeling?
0:11:47 > 0:11:48- Good?
0:11:51 > 0:11:53- Not itching any more?
0:11:54 > 0:11:58- I think it was itching because - more stuff came out last night.
0:11:58 > 0:12:01- It's good now, it looks good. - It's all cleaned up.
0:12:05 > 0:12:08- After spending a month - on the island...
0:12:09 > 0:12:13- ..it's become clear to Eleri - that a lack of young doctors...
0:12:13 > 0:12:16- ..is as much of a problem here - as it is in Wales.
0:12:16 > 0:12:18- Some days, we were the only doctors.
0:12:19 > 0:12:22- It felt as if we were making - a difference out there.
0:12:23 > 0:12:26- We're treating patients - who have no-one else.
0:12:27 > 0:12:30- We are the only ones - giving them treatment.
0:12:30 > 0:12:33- We do what we can with one bed.
0:12:34 > 0:12:36- We have a defibrillator, ECGs...
0:12:36 > 0:12:40- ..most of the medicines we'd have - in a GP or pharmacy at home.
0:12:41 > 0:12:45- We can do minor surgery here - - we have stitches, anaesthetic...
0:12:45 > 0:12:49- ..antibiotics, - everything here's been given to us.
0:12:49 > 0:12:54- You have to pay to see a GP, - pay if you arrive in A&E.
0:12:54 > 0:12:58- One of the patients told me - he went there one day...
0:12:58 > 0:13:02- ..and since he didn't have - money to pay, he wasn't seen.
0:13:04 > 0:13:09- Under the current health system, - patients like Sinclair...
0:13:09 > 0:13:13- ..aren't likely to receive - the necessary treatment.
0:13:13 > 0:13:17- It's really difficult. - Oh, the emergency phone is ringing.
0:13:17 > 0:13:21- It's really difficult - because one simple chest X-ray...
0:13:22 > 0:13:24- ..could make such a difference - to him.
0:13:25 > 0:13:28- We could have a diagnosis - and see what's going on.
0:13:28 > 0:13:33- We don't know how much oxygen - to give him, if he has COPD.
0:13:33 > 0:13:37- Sinclair, do you know what's - going on with your chest? No?
0:13:40 > 0:13:42- Do you know why - you had the operation?
0:13:47 > 0:13:49- Is it because of drugs and booze?
0:13:49 > 0:13:53- Have you ever smoked before? Smoked?
0:13:56 > 0:13:58- You were a dealer.
0:13:58 > 0:14:03- He's smoked, he's drunk, - we don't know what he's taken.
0:14:03 > 0:14:11- He's known locally as someone who's - partied too hard over the years!
0:14:13 > 0:14:15- Sinclair, can you go...
0:14:20 > 0:14:22- There we are. That's fine.
0:14:22 > 0:14:24- He thinks he has 60 children.
0:14:24 > 0:14:27- He's not sure, about 60.
0:14:28 > 0:14:34- That just about sums up his life - when he was a young man.
0:14:36 > 0:14:38- He's such a lovely man.
0:14:39 > 0:14:44- Since we've been here, we've built - a lovely relationship with him.
0:14:44 > 0:14:46- We'll miss him when we go home.
0:14:46 > 0:14:50- We don't usually see the same person - every day for a month.
0:14:51 > 0:14:54- He's special to the people of ABSAR.
0:14:57 > 0:14:58- .
0:15:02 > 0:15:02- Subtitles
0:15:02 > 0:15:04- Subtitles- - Subtitles
0:15:11 > 0:15:16- As part of their medical course, - Cardiff University students...
0:15:16 > 0:15:20- ..spend time on location - in hospitals around the world.
0:15:21 > 0:15:26- In a clinic in Antigua, Eleri - copes with great responsibility...
0:15:27 > 0:15:30- ..without sufficient resources.
0:15:31 > 0:15:35- Sinclair is a patient - who visits the surgery daily.
0:15:36 > 0:15:38- The doctors think - he has lung cancer.
0:15:38 > 0:15:42- Is that painful at all? - Has the itching gone?
0:15:42 > 0:15:49- With a private healthcare system, - Sinclair can't afford a diagnosis.
0:15:49 > 0:15:53- It was a shock for us - to see someone so ill...
0:15:53 > 0:15:57- ..not being able to receive - the necessary treatment.
0:16:00 > 0:16:03- As his condition deteriorates...
0:16:03 > 0:16:06- ..the students help him - as much as possible.
0:16:07 > 0:16:10- OK, Sinclair? - Shall we see you in the morning?
0:16:10 > 0:16:11- Sure.
0:16:16 > 0:16:18- Sure, sure, sure.
0:16:18 > 0:16:22- Do you want me to see you - in the morning? See you then.
0:16:27 > 0:16:31- Even though we've seen him - for four or five weeks...
0:16:31 > 0:16:35- ..it's a shock to see - his living conditions.
0:16:35 > 0:16:39- When he goes into his house, he - doesn't come out until the next day.
0:16:39 > 0:16:42- He has no shower, no toilet.
0:16:45 > 0:16:51- The contrast between the people - who arrive here for a holiday...
0:16:51 > 0:16:55- ..with plenty of money, - and how the local community live...
0:16:56 > 0:16:58- ..it's unbelievable in a way.
0:16:58 > 0:17:01- It's really difficult to process.
0:17:01 > 0:17:06- There are two different worlds here. - That's the reality of Antigua.
0:17:06 > 0:17:10- Just that one - has cost seventy million.
0:17:10 > 0:17:14- Sinclair doesn't have a step - to get into his house.
0:17:16 > 0:17:18- He's likely to have cancer.
0:17:19 > 0:17:23- His conditions deteriorates - every day.
0:17:34 > 0:17:39- While Eleri copes with the lack of - support for her cancer patient...
0:17:39 > 0:17:42- ..Mos sees the excellent treatment - Brian receives...
0:17:42 > 0:17:46- ..as he fights the same illness.
0:17:48 > 0:17:52- After six months of chemotherapy - and a life-saving operation...
0:17:52 > 0:17:54- ..Brian returns to Velindre.
0:17:58 > 0:18:00- He's having a CT scan today...
0:18:01 > 0:18:05- ..to find out if 12 months - of treatment has been successful.
0:18:06 > 0:18:10- Brian's getting ready - for his CT scan.
0:18:13 > 0:18:15- He's really nervous.
0:18:15 > 0:18:20- After six months of treatment, - everything comes down to this scan.
0:18:21 > 0:18:23- I hope everything's OK.
0:18:25 > 0:18:27- Look very nice, Bri.
0:18:27 > 0:18:28- Where can I get myself one of them?
0:18:28 > 0:18:30- Where can I get myself one of them?- - Not bad, is it?
0:18:31 > 0:18:36- We'll lock into position and - then we'll give you that injection.
0:18:37 > 0:18:40- They inject a radioactive dye - into his body.
0:18:40 > 0:18:46- It goes through his system - and you can see it on the scan.
0:18:46 > 0:18:51- They can check his abdomen - and his chest.
0:18:54 > 0:18:57- Then the radiologist checks - and interprets the data.
0:18:58 > 0:19:03- I'm looking at the scan and I'm - trying to remember what I've learnt.
0:19:03 > 0:19:05- It's difficult to understand.
0:19:12 > 0:19:18- I've seen Brian for three months and - I've seen a difference in that time.
0:19:19 > 0:19:22- He feels better now - but he's still nervous.
0:19:23 > 0:19:28- He doesn't want anymore chemo - - he's had chemo for six months.
0:19:28 > 0:19:30- It's a horrible experience.
0:19:30 > 0:19:33- I hope it's good news next week.
0:19:35 > 0:19:38- Here he is. - How are you feeling, Bri?
0:19:38 > 0:19:40- Great, Mos, good, good.
0:19:43 > 0:19:47- I did ask the question if the lady - had seen anything that, um...
0:19:47 > 0:19:50- She said she's not allowed - to tell me.
0:19:52 > 0:19:56- She said she did look - at my blood clots on my lungs...
0:19:56 > 0:19:58- ..and they're not as big.
0:19:58 > 0:20:02- That's what she said to me. - I can see the relief on your face.
0:20:03 > 0:20:05- That's one positive.
0:20:05 > 0:20:09- I just hope now - that the cancer one now...
0:20:10 > 0:20:12- We'll keep our fingers crossed - for you.
0:20:12 > 0:20:15- That's what we want.
0:20:15 > 0:20:18- After a year of worry - and depression...
0:20:18 > 0:20:22- ..Brian and Ann will have to wait - another fortnight...
0:20:22 > 0:20:25- ..before they receive the results.
0:20:26 > 0:20:30- A fortnight later
0:20:32 > 0:20:34- Yeah, made me go.
0:20:34 > 0:20:35- Hello.
0:20:35 > 0:20:38- How are you doing?
0:20:40 > 0:20:42- Bit apprehensive at the moment.
0:20:43 > 0:20:44- Yeah, sure, sure.
0:20:48 > 0:20:49- It's all good.
0:20:52 > 0:20:54- Lovely.
0:20:55 > 0:20:59- So there's no sign of cancer?
0:21:04 > 0:21:11- This last week, my mind - started going hundred mile an hour.
0:21:11 > 0:21:13- I was shaking this morning.
0:21:15 > 0:21:18- It's just that - we saw you early in clinic...
0:21:19 > 0:21:21- I told you not to worry!
0:21:24 > 0:21:28- I don't think people realise - that cancer affects everyone...
0:21:29 > 0:21:30- ..not just the patient.
0:21:30 > 0:21:32- I could hit you, aye.
0:21:33 > 0:21:35- It affects the family.
0:21:35 > 0:21:40- Ann was with Brian - every time he visited the hospital.
0:21:40 > 0:21:42- Every scan, she cried with him.
0:21:45 > 0:21:47- I'm... I'm...
0:21:47 > 0:21:49- I'm overwhelmed now.
0:21:51 > 0:21:55- Some things happen, if you don't - have a lump in your throat...
0:21:55 > 0:21:57- ..you really are a hard person.
0:21:57 > 0:22:00- You have to wonder - if you're in the right job.
0:22:00 > 0:22:02- I've cried.
0:22:02 > 0:22:05- I've cried with patients before.
0:22:05 > 0:22:09- I think that showing - some kind of humanity...
0:22:09 > 0:22:14- ..reassures the family - that you're in good hands.
0:22:14 > 0:22:17- D'you know what, - thank you very much.
0:22:17 > 0:22:19- Thank you very much.
0:22:19 > 0:22:21- Thank you, Mos.
0:22:24 > 0:22:28- Phwoah. That's... - That's such a weight off my mind.
0:22:28 > 0:22:30- That's such a weight off my mind.
0:22:30 > 0:22:35- Now I can really think - about getting back to normal life.
0:22:36 > 0:22:38- Stay positive.
0:22:39 > 0:22:40- Yes, yes.
0:22:41 > 0:22:44- Now we can think about - the holidays next year.
0:22:45 > 0:22:49- Yes. - And we're going on a few next year.
0:22:50 > 0:22:52- Yeah. - I'm looking forward to this now.
0:23:15 > 0:23:17- S4C Subtitles by Testun Cyf.
0:23:17 > 0:23:17- .