Pennod 4 Doctoriaid Yfory

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-It's a new term and the cameras are

-back at the School of Medicine...

-..following young students...

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

-..on a unique course.

-I'm looking for scrubs.

-Stepping into the medical world

-for the first time.

-I'm opening the airway

-and tilting the head back.

-Facing the emergencies

-of our health service.

-Every bed is taken,

-especially after the bank holiday.

-People are sitting in corridors.

-It's the reality of a busy hospital.

-Is that alcohol free?

-The women's ward is full.

-One casualty patient is waiting.

-It's become so busy

-during the past 20 minutes.

-Treating life-threatening illnesses.

-Is this patient high risk?

-They assessed the patient and

-there's a high risk of fatality.

-Fragile lives.

-How long have I got?

-He's been worried about today

-since the scan three weeks ago.

-What's going to happen

-with my family?

-These are tomorrow's doctors.

-I want to help people.

-I want to help people.

-

-Thank you, Mos.

-Cardiff's School of Medicine

-offers students a pioneering course.

-The emphasis is on education

-outside the classroom.

-It's an opportunity to experience

-life as a real doctor...

-..treating patients in hospitals

-and surgeries across Wales.

-How's it been over the weekend?

-Bad. Really bad.

-Cancer affects one in every three.

-The oncology project is a key part

-of the clinical training...

-..of student doctors.

-You realise

-that you can't help everyone.

-You go through med school wanting to

-make a difference in people's lives.

-The reality is

-you can't help everyone.

-People will die.

-In his third year,

-and a mature student...

-..Mos has already witnessed

-the intensity of the experience.

-Mos.

-I'm a third-year medical student.

-It's Catherine Williams, is it?

-Nice to meet you.

-At the start of the project,

-he met a special patient...

-..who was in a serious condition.

-I'll be able to have radiation...

-..to try and shrink the tumour

-so they can try something.

-Otherwise, it's terminal.

-Unfortunately, soon after,

-Catherine died.

-I'm sad that Catherine died...

-..but I want to experience

-this patient contact.

-When I am a doctor,

-I'll be in situations like this.

-Mos is eager to be part

-of the oncology project.

-He's meeting another patient.

-He hopes to follow his story

-to a positive conclusion this time.

-How was your birthday?

-How was your birthday?

-

-Very good. I went down the pub.

-There's a bigger smile

-on your face today.

-Brian had a liver cancer diagnosis

-six months ago.

-He's already survived

-a life-saving operation.

-He now faces another six months

-of chemotherapy.

-He hopes to get rid of his cancer

-for good.

-Very quickly,

-Mos and Brian have become friends.

-It's funny, you know.

-It's really good and neat by 'ere.

-Down by 'ere, have you seen it?

-I said to Ann, I said...

-.."They must have had a student

-finish me off there, you know."

-Only one patient in ten

-survives the cancer Brian has.

-He's here to receive scan results...

-..to discover if the operation

-was a success or not.

-Here we go.

-D'you know what?

-That is a marvellous relief.

-I'll tell you what,

-all week I've been worrying.

-So that is very good.

-I think he's been worried about

-today for two or three weeks...

-..since he had the scan.

-I can see

-he's not looking forward to it.

-I think he's had

-many sleepless nights.

-He can't sleep

-at the best of times...

-..but I think

-this is playing on his mind.

-You've had four sessions

-of chemotherapy.

-I believe the aim is to get you

-on to six if we can.

-How did you find the last session?

-OK. I can't sleep at night.

-Depression sets in.

-Some days I'm sat there when Ann is

-in work and I'm sat there on my own.

-I have to kick myself

-to get out of that.

-I do take one sleeping tablet.

-Mm-hm. Every night?

-Most nights.

-Just lying in bed, looking around.

-Just...

-But, um...

-..at the end of the day...

-..if the chemotherapy

-is going to do me good...

-..you've got to put up with it.

-When I met Brian for the first time,

-I was scared.

-I was scared he was going to die.

-I didn't know what I'd do.

-Before he had his scan results,

-I was really scared.

-It's only since I've had the can...

-well, the cancer...

-..the depression,

-I get depression bouts.

-Not every day, some days I'm OK.

-But some days when I'm on my own...

-It's harder then.

-You're just sat there

-and your mind is wandering.

-"How long have I got?"

-It's all in... It's the not knowing,

-at the end of the day.

-I feel that being part

-of someone's life...

-..especially at the most

-difficult times in their lives...

-..you feel privileged

-to be part of something like that.

-How long have I got, you know?

-What's going to happen

-to my family if I go, you know?

-It's all, it's...

-It starts playing around

-in your mind.

-So...

-But...

-But...

-

-Yes, we're going to be fine.

-Brian and Ann are in love.

-I want to be like Brian and Ann

-when I'm old.

-It's difficult watching Ann crying.

-Brian knows that he has cancer

-and there's a possibility he'll die.

-He's come to terms

-with his situation.

-I think it's very difficult

-for his family.

-Cancer affects everyone.

-It really is horrible.

-When a family member has cancer,

-you can't do anything.

-You feel helpless.

-By the fifth year, the students

-have plenty of experience...

-..in Welsh hospitals.

-To challenge the young doctors

-even further...

-..the medical school encourages them

-to travel and work around the world.

-Eleri sees this time

-as an opportunity...

-..to expand her medical horizons.

-I didn't know

-where I wanted to go...

-..but I'd chosen

-my medical discipline.

-That was pre-hospital care.

-You're not too tired? Excellent.

-I'm going to do my rounds

-but I'll see you tomorrow.

-From Wales to the Caribbean.

-Eleri will spend two months

-as a doctor in Antigua...

-..in the Atlantic Ocean.

-On the island, the gap between

-rich and poor is exceptionally wide.

-A private health system exists here.

-Eleri's working

-in one of the few clinics...

-..which offers free medical care.

-Antigua & Barbuda

-Search And Rescue, ABSAR.

-They have a clinic and they work

-as the island's search and rescue.

-They are funded by donations,

-they're a charity.

-No-one is paid.

-One of the patients, Sinclair,

-comes here every day...

-..for treatment on an open wound

-on the side of his chest.

-Is that weeping again?

-Painful?

-Itch.

-It's seeped a lot out overnight.

-Yeah?

-Yeah?

-

-Yeah, more than usual.

-I'm not sure

-why he's in the condition he is.

-He went to hospital

-about a year or two ago...

-..and had his lungs drained.

-The wound hasn't healed,

-it hasn't closed since then.

-It's still an open wound.

-I'm going to wash it, Sinclair.

-Is that cold?

-It should get rid

-of the itch for you.

-It's down to us to look after him.

-He comes in every day,

-every morning.

-He's built a relationship

-with all the staff.

-Is that painful at all?

-No? Has the itching gone?

-Yeah.

-Has it gone? That's good.

-This came out of the wound.

-This comes out

-overnight every night.

-We change it every day.

-We're trying to persuade him

-to have an X-ray.

-It would make such a difference

-but he hates hospitals.

-He doesn't think they can help him.

-He's never had the treatment

-he needs.

-He doesn't want to go back -

-he feels we're doing enough here.

-It's quite sad in a way.

-We don't do much - we talk to him,

-look after and change his dressings.

-We check that everything is OK

-but we can't do more than that.

-How's that feeling?

-Good?

-Not itching any more?

-I think it was itching because

-more stuff came out last night.

-It's good now, it looks good.

-It's all cleaned up.

-After spending a month

-on the island...

-..it's become clear to Eleri

-that a lack of young doctors...

-..is as much of a problem here

-as it is in Wales.

-Some days, we were the only doctors.

-It felt as if we were making

-a difference out there.

-We're treating patients

-who have no-one else.

-We are the only ones

-giving them treatment.

-We do what we can with one bed.

-We have a defibrillator, ECGs...

-..most of the medicines we'd have

-in a GP or pharmacy at home.

-We can do minor surgery here -

-we have stitches, anaesthetic...

-..antibiotics,

-everything here's been given to us.

-You have to pay to see a GP,

-pay if you arrive in A&E.

-One of the patients told me

-he went there one day...

-..and since he didn't have

-money to pay, he wasn't seen.

-Under the current health system,

-patients like Sinclair...

-..aren't likely to receive

-the necessary treatment.

-It's really difficult.

-Oh, the emergency phone is ringing.

-It's really difficult

-because one simple chest X-ray...

-..could make such a difference

-to him.

-We could have a diagnosis

-and see what's going on.

-We don't know how much oxygen

-to give him, if he has COPD.

-Sinclair, do you know what's

-going on with your chest? No?

-Do you know why

-you had the operation?

-Is it because of drugs and booze?

-Have you ever smoked before? Smoked?

-You were a dealer.

-He's smoked, he's drunk,

-we don't know what he's taken.

-He's known locally as someone who's

-partied too hard over the years!

-Sinclair, can you go...

-There we are. That's fine.

-He thinks he has 60 children.

-He's not sure, about 60.

-That just about sums up his life

-when he was a young man.

-He's such a lovely man.

-Since we've been here, we've built

-a lovely relationship with him.

-We'll miss him when we go home.

-We don't usually see the same person

-every day for a month.

-He's special to the people of ABSAR.

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-As part of their medical course,

-Cardiff University students...

-..spend time on location

-in hospitals around the world.

-In a clinic in Antigua, Eleri

-copes with great responsibility...

-..without sufficient resources.

-Sinclair is a patient

-who visits the surgery daily.

-The doctors think

-he has lung cancer.

-Is that painful at all?

-Has the itching gone?

-With a private healthcare system,

-Sinclair can't afford a diagnosis.

-It was a shock for us

-to see someone so ill...

-..not being able to receive

-the necessary treatment.

-As his condition deteriorates...

-..the students help him

-as much as possible.

-OK, Sinclair?

-Shall we see you in the morning?

-Sure.

-Sure, sure, sure.

-Do you want me to see you

-in the morning? See you then.

-Even though we've seen him

-for four or five weeks...

-..it's a shock to see

-his living conditions.

-When he goes into his house, he

-doesn't come out until the next day.

-He has no shower, no toilet.

-The contrast between the people

-who arrive here for a holiday...

-..with plenty of money,

-and how the local community live...

-..it's unbelievable in a way.

-It's really difficult to process.

-There are two different worlds here.

-That's the reality of Antigua.

-Just that one

-has cost seventy million.

-Sinclair doesn't have a step

-to get into his house.

-He's likely to have cancer.

-His conditions deteriorates

-every day.

-While Eleri copes with the lack of

-support for her cancer patient...

-..Mos sees the excellent treatment

-Brian receives...

-..as he fights the same illness.

-After six months of chemotherapy

-and a life-saving operation...

-..Brian returns to Velindre.

-He's having a CT scan today...

-..to find out if 12 months

-of treatment has been successful.

-Brian's getting ready

-for his CT scan.

-He's really nervous.

-After six months of treatment,

-everything comes down to this scan.

-I hope everything's OK.

-Look very nice, Bri.

-Where can I get myself one of them?

-Where can I get myself one of them?

-

-Not bad, is it?

-We'll lock into position and

-then we'll give you that injection.

-They inject a radioactive dye

-into his body.

-It goes through his system

-and you can see it on the scan.

-They can check his abdomen

-and his chest.

-Then the radiologist checks

-and interprets the data.

-I'm looking at the scan and I'm

-trying to remember what I've learnt.

-It's difficult to understand.

-I've seen Brian for three months and

-I've seen a difference in that time.

-He feels better now

-but he's still nervous.

-He doesn't want anymore chemo -

-he's had chemo for six months.

-It's a horrible experience.

-I hope it's good news next week.

-Here he is.

-How are you feeling, Bri?

-Great, Mos, good, good.

-I did ask the question if the lady

-had seen anything that, um...

-She said she's not allowed

-to tell me.

-She said she did look

-at my blood clots on my lungs...

-..and they're not as big.

-That's what she said to me.

-I can see the relief on your face.

-That's one positive.

-I just hope now

-that the cancer one now...

-We'll keep our fingers crossed

-for you.

-That's what we want.

-After a year of worry

-and depression...

-..Brian and Ann will have to wait

-another fortnight...

-..before they receive the results.

-A fortnight later

-Yeah, made me go.

-Hello.

-How are you doing?

-Bit apprehensive at the moment.

-Yeah, sure, sure.

-It's all good.

-Lovely.

-So there's no sign of cancer?

-This last week, my mind

-started going hundred mile an hour.

-I was shaking this morning.

-It's just that

-we saw you early in clinic...

-I told you not to worry!

-I don't think people realise

-that cancer affects everyone...

-..not just the patient.

-I could hit you, aye.

-It affects the family.

-Ann was with Brian

-every time he visited the hospital.

-Every scan, she cried with him.

-I'm... I'm...

-I'm overwhelmed now.

-Some things happen, if you don't

-have a lump in your throat...

-..you really are a hard person.

-You have to wonder

-if you're in the right job.

-I've cried.

-I've cried with patients before.

-I think that showing

-some kind of humanity...

-..reassures the family

-that you're in good hands.

-D'you know what,

-thank you very much.

-Thank you very much.

-Thank you, Mos.

-Phwoah. That's...

-That's such a weight off my mind.

-That's such a weight off my mind.

-Now I can really think

-about getting back to normal life.

-Stay positive.

-Yes, yes.

-Now we can think about

-the holidays next year.

-Yes.

-And we're going on a few next year.

-Yeah.

-I'm looking forward to this now.

-S4C Subtitles by Testun Cyf.

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