Pennod 4 Doctoriaid Yfory


Pennod 4

Mae Eleri yn teithio i ynysoedd y Caribî i weld effaith system iechyd gwbl wahanol. Eleri studies the health system in the Caribbean and Moss follows a cancer patient in Felindr...


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Transcript


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-It's a new term and the cameras are

-back at the School of Medicine...

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-..following young students...

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

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-..on a unique course.

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-I'm looking for scrubs.

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-Stepping into the medical world

-for the first time.

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-I'm opening the airway

-and tilting the head back.

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-Facing the emergencies

-of our health service.

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-Every bed is taken,

-especially after the bank holiday.

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-People are sitting in corridors.

-It's the reality of a busy hospital.

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-Is that alcohol free?

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-The women's ward is full.

-One casualty patient is waiting.

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-It's become so busy

-during the past 20 minutes.

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-Treating life-threatening illnesses.

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-Is this patient high risk?

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-They assessed the patient and

-there's a high risk of fatality.

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-Fragile lives.

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-How long have I got?

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-He's been worried about today

-since the scan three weeks ago.

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-What's going to happen

-with my family?

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-These are tomorrow's doctors.

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-I want to help people.

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-I want to help people.

-

-Thank you, Mos.

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-Cardiff's School of Medicine

-offers students a pioneering course.

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-The emphasis is on education

-outside the classroom.

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-It's an opportunity to experience

-life as a real doctor...

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-..treating patients in hospitals

-and surgeries across Wales.

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-How's it been over the weekend?

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-Bad. Really bad.

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-Cancer affects one in every three.

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-The oncology project is a key part

-of the clinical training...

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-..of student doctors.

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-You realise

-that you can't help everyone.

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-You go through med school wanting to

-make a difference in people's lives.

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-The reality is

-you can't help everyone.

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-People will die.

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-In his third year,

-and a mature student...

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-..Mos has already witnessed

-the intensity of the experience.

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-Mos.

-I'm a third-year medical student.

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-It's Catherine Williams, is it?

-Nice to meet you.

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-At the start of the project,

-he met a special patient...

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-..who was in a serious condition.

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-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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-Otherwise, it's terminal.

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-Unfortunately, soon after,

-Catherine died.

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-I'm sad that Catherine died...

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-..but I want to experience

-this patient contact.

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-When I am a doctor,

-I'll be in situations like this.

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-Mos is eager to be part

-of the oncology project.

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-He's meeting another patient.

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-He hopes to follow his story

-to a positive conclusion this time.

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-How was your birthday?

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-How was your birthday?

-

-Very good. I went down the pub.

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-There's a bigger smile

-on your face today.

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-Brian had a liver cancer diagnosis

-six months ago.

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-He's already survived

-a life-saving operation.

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-He now faces another six months

-of chemotherapy.

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-He hopes to get rid of his cancer

-for good.

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-Very quickly,

-Mos and Brian have become friends.

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-It's funny, you know.

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

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-Down by 'ere, have you seen it?

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-I said to Ann, I said...

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-.."They must have had a student

-finish me off there, you know."

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-Only one patient in ten

-survives the cancer Brian has.

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

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-..to discover if the operation

-was a success or not.

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-Here we go.

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-D'you know what?

-That is a marvellous relief.

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-I'll tell you what,

-all week I've been worrying.

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-So that is very good.

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-I think he's been worried about

-today for two or three weeks...

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-..since he had the scan.

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-I can see

-he's not looking forward to it.

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-I think he's had

-many sleepless nights.

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-He can't sleep

-at the best of times...

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-..but I think

-this is playing on his mind.

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-You've had four sessions

-of chemotherapy.

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-I believe the aim is to get you

-on to six if we can.

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-How did you find the last session?

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-OK. I can't sleep at night.

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-Depression sets in.

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-Some days I'm sat there when Ann is

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

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-I have to kick myself

-to get out of that.

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-I do take one sleeping tablet.

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-Mm-hm. Every night?

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-Most nights.

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-Just lying in bed, looking around.

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-Just...

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-But, um...

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

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-..if the chemotherapy

-is going to do me good...

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

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-When I met Brian for the first time,

-I was scared.

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-I was scared he was going to die.

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

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-Before he had his scan results,

-I was really scared.

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

-well, the cancer...

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-..the depression,

-I get depression bouts.

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

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

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-It's harder then.

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-You're just sat there

-and your mind is wandering.

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-"How long have I got?"

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

-at the end of the day.

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-I feel that being part

-of someone's life...

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-..especially at the most

-difficult times in their lives...

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-..you feel privileged

-to be part of something like that.

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-How long have I got, you know?

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-What's going to happen

-to my family if I go, you know?

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

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-It starts playing around

-in your mind.

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-So...

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-But...

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-But...

-

-Yes, we're going to be fine.

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-Brian and Ann are in love.

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-I want to be like Brian and Ann

-when I'm old.

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-It's difficult watching Ann crying.

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-Brian knows that he has cancer

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

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-He's come to terms

-with his situation.

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-I think it's very difficult

-for his family.

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-Cancer affects everyone.

-It really is horrible.

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-When a family member has cancer,

-you can't do anything.

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-You feel helpless.

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-By the fifth year, the students

-have plenty of experience...

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-..in Welsh hospitals.

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-To challenge the young doctors

-even further...

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-..the medical school encourages them

-to travel and work around the world.

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-Eleri sees this time

-as an opportunity...

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-..to expand her medical horizons.

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-I didn't know

-where I wanted to go...

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-..but I'd chosen

-my medical discipline.

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-That was pre-hospital care.

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-You're not too tired? Excellent.

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-I'm going to do my rounds

-but I'll see you tomorrow.

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-From Wales to the Caribbean.

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-Eleri will spend two months

-as a doctor in Antigua...

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-..in the Atlantic Ocean.

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-On the island, the gap between

-rich and poor is exceptionally wide.

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-A private health system exists here.

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-Eleri's working

-in one of the few clinics...

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-..which offers free medical care.

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-Antigua & Barbuda

-Search And Rescue, ABSAR.

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-They have a clinic and they work

-as the island's search and rescue.

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-They are funded by donations,

-they're a charity.

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-No-one is paid.

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-One of the patients, Sinclair,

-comes here every day...

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-..for treatment on an open wound

-on the side of his chest.

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-Is that weeping again?

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-Painful?

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-Itch.

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-It's seeped a lot out overnight.

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-Yeah?

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-Yeah?

-

-Yeah, more than usual.

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-I'm not sure

-why he's in the condition he is.

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-He went to hospital

-about a year or two ago...

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-..and had his lungs drained.

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-The wound hasn't healed,

-it hasn't closed since then.

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-It's still an open wound.

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-I'm going to wash it, Sinclair.

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-Is that cold?

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-It should get rid

-of the itch for you.

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

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-He comes in every day,

-every morning.

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-He's built a relationship

-with all the staff.

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-Is that painful at all?

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-No? Has the itching gone?

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-Yeah.

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-Has it gone? That's good.

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-This came out of the wound.

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-This comes out

-overnight every night.

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-We change it every day.

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-We're trying to persuade him

-to have an X-ray.

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-It would make such a difference

-but he hates hospitals.

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-He doesn't think they can help him.

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-He's never had the treatment

-he needs.

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-He doesn't want to go back -

-he feels we're doing enough here.

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-It's quite sad in a way.

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

-look after and change his dressings.

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-We check that everything is OK

-but we can't do more than that.

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-How's that feeling?

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-Good?

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-Not itching any more?

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-I think it was itching because

-more stuff came out last night.

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-It's good now, it looks good.

-It's all cleaned up.

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-After spending a month

-on the island...

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-..it's become clear to Eleri

-that a lack of young doctors...

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-..is as much of a problem here

-as it is in Wales.

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-Some days, we were the only doctors.

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-It felt as if we were making

-a difference out there.

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-We're treating patients

-who have no-one else.

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-We are the only ones

-giving them treatment.

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-We do what we can with one bed.

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-We have a defibrillator, ECGs...

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-..most of the medicines we'd have

-in a GP or pharmacy at home.

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-We can do minor surgery here -

-we have stitches, anaesthetic...

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-..antibiotics,

-everything here's been given to us.

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-You have to pay to see a GP,

-pay if you arrive in A&E.

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-One of the patients told me

-he went there one day...

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-..and since he didn't have

-money to pay, he wasn't seen.

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-Under the current health system,

-patients like Sinclair...

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-..aren't likely to receive

-the necessary treatment.

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-It's really difficult.

-Oh, the emergency phone is ringing.

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-It's really difficult

-because one simple chest X-ray...

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-..could make such a difference

-to him.

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-We could have a diagnosis

-and see what's going on.

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-We don't know how much oxygen

-to give him, if he has COPD.

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-Sinclair, do you know what's

-going on with your chest? No?

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-Do you know why

-you had the operation?

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-Is it because of drugs and booze?

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-Have you ever smoked before? Smoked?

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-You were a dealer.

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-He's smoked, he's drunk,

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

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-He's known locally as someone who's

-partied too hard over the years!

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-Sinclair, can you go...

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-There we are. That's fine.

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-He thinks he has 60 children.

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-He's not sure, about 60.

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-That just about sums up his life

-when he was a young man.

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-He's such a lovely man.

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

-a lovely relationship with him.

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-We'll miss him when we go home.

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-We don't usually see the same person

-every day for a month.

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-He's special to the people of ABSAR.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-As part of their medical course,

-Cardiff University students...

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-..spend time on location

-in hospitals around the world.

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-In a clinic in Antigua, Eleri

-copes with great responsibility...

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-..without sufficient resources.

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-Sinclair is a patient

-who visits the surgery daily.

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-The doctors think

-he has lung cancer.

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-Is that painful at all?

-Has the itching gone?

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-With a private healthcare system,

-Sinclair can't afford a diagnosis.

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-It was a shock for us

-to see someone so ill...

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-..not being able to receive

-the necessary treatment.

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-As his condition deteriorates...

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-..the students help him

-as much as possible.

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-OK, Sinclair?

-Shall we see you in the morning?

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-Sure.

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-Sure, sure, sure.

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-Do you want me to see you

-in the morning? See you then.

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-Even though we've seen him

-for four or five weeks...

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-..it's a shock to see

-his living conditions.

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-When he goes into his house, he

-doesn't come out until the next day.

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-He has no shower, no toilet.

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-The contrast between the people

-who arrive here for a holiday...

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-..with plenty of money,

-and how the local community live...

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-..it's unbelievable in a way.

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-It's really difficult to process.

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-There are two different worlds here.

-That's the reality of Antigua.

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-Just that one

-has cost seventy million.

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-Sinclair doesn't have a step

-to get into his house.

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-He's likely to have cancer.

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-His conditions deteriorates

-every day.

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-While Eleri copes with the lack of

-support for her cancer patient...

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-..Mos sees the excellent treatment

-Brian receives...

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-..as he fights the same illness.

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-After six months of chemotherapy

-and a life-saving operation...

0:17:480:17:52

-..Brian returns to Velindre.

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

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-..to find out if 12 months

-of treatment has been successful.

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-Brian's getting ready

-for his CT scan.

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-He's really nervous.

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-After six months of treatment,

-everything comes down to this scan.

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-I hope everything's OK.

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-Look very nice, Bri.

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-Where can I get myself one of them?

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-Where can I get myself one of them?

-

-Not bad, is it?

0:18:280:18:30

-We'll lock into position and

-then we'll give you that injection.

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-They inject a radioactive dye

-into his body.

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-It goes through his system

-and you can see it on the scan.

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-They can check his abdomen

-and his chest.

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-Then the radiologist checks

-and interprets the data.

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

-trying to remember what I've learnt.

0:18:580:19:03

-It's difficult to understand.

0:19:030:19:05

-I've seen Brian for three months and

-I've seen a difference in that time.

0:19:120:19:18

-He feels better now

-but he's still nervous.

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-He doesn't want anymore chemo -

-he's had chemo for six months.

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-It's a horrible experience.

0:19:280:19:30

-I hope it's good news next week.

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-Here he is.

-How are you feeling, Bri?

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-Great, Mos, good, good.

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-I did ask the question if the lady

-had seen anything that, um...

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-She said she's not allowed

-to tell me.

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-She said she did look

-at my blood clots on my lungs...

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-..and they're not as big.

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-That's what she said to me.

-I can see the relief on your face.

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-That's one positive.

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-I just hope now

-that the cancer one now...

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-We'll keep our fingers crossed

-for you.

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-That's what we want.

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-After a year of worry

-and depression...

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-..Brian and Ann will have to wait

-another fortnight...

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-..before they receive the results.

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-A fortnight later

0:20:260:20:30

-Yeah, made me go.

0:20:320:20:34

-Hello.

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-How are you doing?

0:20:350:20:38

-Bit apprehensive at the moment.

0:20:400:20:42

-Yeah, sure, sure.

0:20:430:20:44

-It's all good.

0:20:480:20:49

-Lovely.

0:20:520:20:54

-So there's no sign of cancer?

0:20:550:20:59

-This last week, my mind

-started going hundred mile an hour.

0:21:040:21:11

-I was shaking this morning.

0:21:110:21:13

-It's just that

-we saw you early in clinic...

0:21:150:21:18

-I told you not to worry!

0:21:190:21:21

-I don't think people realise

-that cancer affects everyone...

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-..not just the patient.

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-I could hit you, aye.

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-It affects the family.

0:21:330:21:35

-Ann was with Brian

-every time he visited the hospital.

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-Every scan, she cried with him.

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

0:21:450:21:47

-I'm overwhelmed now.

0:21:470:21:49

-Some things happen, if you don't

-have a lump in your throat...

0:21:510:21:55

-..you really are a hard person.

0:21:550:21:57

-You have to wonder

-if you're in the right job.

0:21:570:22:00

-I've cried.

0:22:000:22:02

-I've cried with patients before.

0:22:020:22:05

-I think that showing

-some kind of humanity...

0:22:050:22:09

-..reassures the family

-that you're in good hands.

0:22:090:22:14

-D'you know what,

-thank you very much.

0:22:140:22:17

-Thank you very much.

0:22:170:22:19

-Thank you, Mos.

0:22:190:22:21

-Phwoah. That's...

-That's such a weight off my mind.

0:22:240:22:28

-That's such a weight off my mind.

0:22:280:22:30

-Now I can really think

-about getting back to normal life.

0:22:300:22:35

-Stay positive.

0:22:360:22:38

-Yes, yes.

0:22:390:22:40

-Now we can think about

-the holidays next year.

0:22:410:22:44

-Yes.

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

0:22:450:22:49

-Yeah.

-I'm looking forward to this now.

0:22:500:22:52

-S4C Subtitles by Testun Cyf.

0:23:150:23:17

-.

0:23:170:23:17

Mae Eleri yn teithio i ynysoedd y Caribî i weld effaith system iechyd gwbl wahanol. Eleri studies the health system in the Caribbean and Moss follows a cancer patient in Felindre, Swansea.