Pennod 2

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0:00:00 > 0:00:00- *

0:00:00 > 0:00:02- I can't wait to be a doctor.

0:00:02 > 0:00:07- Our cameras have been following - students at Cardiff University.

0:00:07 > 0:00:11- You see things you'd never normally - see. It forces you to grow up.

0:00:11 > 0:00:14- 15 individuals on an unique course.

0:00:14 > 0:00:16- We get the creme de la creme.

0:00:17 > 0:00:21- I'm the most competitive. - I'm itching for the responsibility.

0:00:21 > 0:00:24- From the classroom - to hospitals across Wales.

0:00:25 > 0:00:30- It's going to be more challenging - than anything they've done before.

0:00:31 > 0:00:35- Entering the medical world - for the first time.

0:00:35 > 0:00:39- Young medical students - are like little chicks!

0:00:41 > 0:00:44- Do you remember that? - It was hilarious.

0:00:44 > 0:00:47- Facing the greatest challenge - of their young lives.

0:00:48 > 0:00:51- This year was the first time - I saw someone die.

0:00:52 > 0:00:55- It really hit me - because she's not going to recover.

0:00:57 > 0:01:00- I feel like I'm drowning, - that I'm not doing enough work.

0:01:01 > 0:01:03- The course - is going to be difficult.

0:01:04 > 0:01:09- We chronicle every step - to become tomorrow's doctors.

0:01:09 > 0:01:12- We'll be the doctor on the scene. - We'll be the one in charge.

0:01:13 > 0:01:16- This is superb. Why did I - think I was cut out for this?

0:01:16 > 0:01:19- This is not about elitism.

0:01:20 > 0:01:22- You have been given a gift.

0:01:22 > 0:01:26- You must use that gift to do good.

0:01:37 > 0:01:40- The new year offers exciting - opportunities for students...

0:01:40 > 0:01:44- ..as the term of scientific study - is behind them.

0:01:44 > 0:01:47- First-years are looking forward...

0:01:47 > 0:01:50- ..to clinical placements - for the first time.

0:01:50 > 0:01:54- I can't wait to go and visit - real patients in hospital...

0:01:55 > 0:01:57- ..because that's why I'm here.

0:01:57 > 0:02:00- I want to be a doctor - and mix with patients.

0:02:00 > 0:02:04- Come January - and things change, of course.

0:02:05 > 0:02:07- They start to feel like doctors.

0:02:07 > 0:02:12- They start feeling like, - 'This is why I want to be a doctor.'

0:02:15 > 0:02:19- Elin is on placement - at a surgery in Newport.

0:02:19 > 0:02:22- Today she meets her first patient.

0:02:22 > 0:02:25- We've just run through - what we're doing.

0:02:25 > 0:02:30- We're meeting a patient but - we don't know what's wrong with him.

0:02:30 > 0:02:32- We have to offer a diagnosis.

0:02:33 > 0:02:37- Just do that to begin with - and we'll see where we lead to.

0:02:37 > 0:02:40- I don't know what's going to happen. - You're the doctor.

0:02:40 > 0:02:42- You have to introduce yourself.

0:02:42 > 0:02:44- You have to introduce yourself.- - As a doctor? No, as Elin.

0:02:44 > 0:02:48- Do I need to stand up - or shall I just sit here?

0:02:48 > 0:02:50- Who knows? I'm freaking out.

0:02:53 > 0:02:55- KNOCK ON DOOR

0:02:59 > 0:03:02- Hello. Hi, I'm Elin, - I'm a first-year medical student.

0:03:03 > 0:03:05- If you'd like to take a seat.

0:03:05 > 0:03:07- It was nerve-racking at first...

0:03:07 > 0:03:10- ..because - I didn't know what to expect.

0:03:10 > 0:03:13- Could I just check your name, - please?

0:03:13 > 0:03:15- Yes, Martin Pugh.

0:03:15 > 0:03:20- They are regular people - interacting with people who are ill.

0:03:20 > 0:03:24- The first time that you have - that interaction, it's scary.

0:03:25 > 0:03:29- It's all about breaking down - that barrier and very rapidly...

0:03:29 > 0:03:32- ..they become - brilliant communicators.

0:03:32 > 0:03:35- OK, so it was an acute attack.

0:03:35 > 0:03:39- You started feeling breathless - suddenly.

0:03:39 > 0:03:43- It's just so helpful. - It makes it more practical.

0:03:43 > 0:03:45- I learn more this way...

0:03:45 > 0:03:49- ..than I do reading about - how to perform an examination.

0:03:49 > 0:03:52- It's so useful. - I'll remember that now.

0:03:52 > 0:03:55- They collapsed - the top part of my lung.

0:03:55 > 0:03:59- What sort of diagnosis - are you thinking of at the moment?

0:03:59 > 0:04:01- Emphysema?

0:04:01 > 0:04:03- Asthma?

0:04:03 > 0:04:06- It's a different way of learning.

0:04:06 > 0:04:10- It's a more dynamic way - and you get to see real patients.

0:04:10 > 0:04:13- People with all these ailments - you've heard of.

0:04:14 > 0:04:16- You realize and you're reminded...

0:04:16 > 0:04:21- ..of how excellent this is and - how hard you've worked to get here.

0:04:21 > 0:04:26- You realize, 'This is why I'm here, - to help these people.'

0:04:26 > 0:04:30- Thanks for coming in today. - You've been really helpful.

0:04:37 > 0:04:40- Following an investment of 18m...

0:04:40 > 0:04:44- ..the students' second home - is Cardiff's School of Medicine.

0:04:45 > 0:04:48- A pioneering centre - offering students a chance...

0:04:48 > 0:04:53- ..to practise their skills - before dealing with real patients.

0:04:55 > 0:05:00- We've been given sessions on - how to break bad news to patients...

0:05:01 > 0:05:03- ..especially those with cancer.

0:05:04 > 0:05:09- It's probably nothing but I think - I've found a lump in my breast.

0:05:09 > 0:05:11- In your breast?

0:05:11 > 0:05:13- It helps, doesn't it?

0:05:13 > 0:05:16- We're practising - with actors, of course...

0:05:16 > 0:05:21- ..and they're given a script, - so we go along with it.

0:05:21 > 0:05:25- If things go wrong - and you say the wrong things...

0:05:26 > 0:05:29- ..they're only actors - at the end of the day.

0:05:29 > 0:05:34- Out on placement, it's not - a case of practising any more.

0:05:35 > 0:05:37- It affects people's lives - in a big way.

0:05:37 > 0:05:40- You have no time to mess it up.

0:05:40 > 0:05:44- You don't have a second chance - to break bad news to someone...

0:05:44 > 0:05:46- ..or their family members.

0:05:46 > 0:05:51- So I've had a look - and I've had a feel.

0:05:51 > 0:05:56- I recommend that we refer you - to the rapid access breast clinic.

0:05:57 > 0:06:00- I do need to warn you...

0:06:00 > 0:06:04- ..that we would be - looking for cancer, potentially.

0:06:04 > 0:06:08- Once you've told them the news - and given them the results...

0:06:08 > 0:06:12- ..all the patient hears after that - is white noise.

0:06:12 > 0:06:15- They don't listen to you afterwards.

0:06:16 > 0:06:18- Once you say the word 'cancer'...

0:06:18 > 0:06:22- ..they won't listen to you - for the rest of the consultation.

0:06:22 > 0:06:26- You have to say everything you - want to say before the diagnosis.

0:06:26 > 0:06:30- I'm Ainsley Richards, - I'm a third-year medical student.

0:06:30 > 0:06:33- We've been practising - breaking bad news to patients.

0:06:34 > 0:06:37- I did - a rectal examination on a dummy...

0:06:38 > 0:06:41- ..and talked the patient - through the process.

0:06:41 > 0:06:45- So, Mr Moses, I'm going to look - just at your back passage, OK?

0:06:45 > 0:06:51- I'm going to have a look to see if I - can see any blood, swelling or pus.

0:06:51 > 0:06:57- I'm just going to be - just having a feel around, OK?

0:06:59 > 0:07:01- Can I ask you to cough, - please, Mr Moses?

0:07:02 > 0:07:06- It's hard to go - straight into intimate examinations.

0:07:07 > 0:07:10- The patient's really vulnerable...

0:07:10 > 0:07:14- ..and you're lacking confidence, - so it's nice having the practice.

0:07:14 > 0:07:17- It's hard - to find the words sometimes.

0:07:17 > 0:07:21- Was that OK, Mr Moses? - I'll just allow you to get dressed.

0:07:21 > 0:07:24- I'll cover you back up, OK? - In your own time.

0:07:24 > 0:07:27- I'm afraid of breaking bad news...

0:07:27 > 0:07:31- ..but we're lucky that we're - being led through the process...

0:07:31 > 0:07:33- ..because it is a process.

0:07:33 > 0:07:38- What I've found, - it wasn't what I was hoping for.

0:07:39 > 0:07:43- Unfortunately, I've found a lump.

0:07:43 > 0:07:45- Oh.

0:07:51 > 0:07:56- As I was breaking the news, I - could tell the patient had cancer.

0:07:56 > 0:08:01- It was scary. I think - I was more scared than the patient.

0:08:01 > 0:08:05- You have to be - both sympathetic and empathetic.

0:08:08 > 0:08:12- Patients are the focus - of the students' education.

0:08:12 > 0:08:17- Third-years go on clinical - placements across Wales...

0:08:17 > 0:08:19- ..proving the reality of the job.

0:08:19 > 0:08:23- I'm loving the third year - at the moment.

0:08:23 > 0:08:26- The placement - has been absolutely fabulous.

0:08:26 > 0:08:30- It really feels like - we're studying medicine.

0:08:31 > 0:08:35- We're on the wards, - we see patients first-hand.

0:08:36 > 0:08:39- Ainsley is on placement in Bridgend.

0:08:39 > 0:08:44- Today she will observe the biopsy - of a patient with kidney cancer.

0:08:47 > 0:08:51- Mr Thomas is really nice. He - lets me ask all kinds of questions.

0:08:52 > 0:08:54- As you can see, - I look like Simon Cowell.

0:08:56 > 0:08:58- Very pretty!

0:08:58 > 0:09:01- I like being in theatre. - I like the excitement.

0:09:02 > 0:09:07- A lot of the time I don't - like just being in the common room.

0:09:07 > 0:09:09- It's so boring.

0:09:09 > 0:09:14- Then again, I don't like wearing - these because I look like an alien.

0:09:14 > 0:09:18- But I have to wear them - because I have long hair...

0:09:18 > 0:09:20- ..so it'd get in the way.

0:09:22 > 0:09:25- As you can see, - I look like a Martian!

0:09:28 > 0:09:29- Will you help me hold a few wires?

0:09:29 > 0:09:31- Will you help me hold a few wires?- - Yes, sounds good.

0:09:33 > 0:09:38- Because she's passed blood each time - she's gone to the toilet...

0:09:38 > 0:09:41- ..they think - she has a tumour in the kidney.

0:09:41 > 0:09:44- See the white here? - That should be all white.

0:09:44 > 0:09:47- That's the tumour there. See that?

0:09:48 > 0:09:50- That darkened area should be white.

0:09:51 > 0:09:53- They've just performed a biopsy.

0:09:54 > 0:09:59- They entered the ureter, which - connects the bladder to the kidney.

0:09:59 > 0:10:02- They took a biopsy of the tumour.

0:10:02 > 0:10:04- These are our instruments.

0:10:05 > 0:10:09- That's the way that that's - going to get up into the kidney.

0:10:09 > 0:10:12- You pass this instrument - over the wire.

0:10:12 > 0:10:15- You can see - by moving the deflector...

0:10:15 > 0:10:19- ..you can bend the fibre - around many, many angles.

0:10:19 > 0:10:22- You can actually - rotate the instrument...

0:10:23 > 0:10:25- ..and it gets past the kidney.

0:10:25 > 0:10:28- It gets into - lots of nooks and crannies.

0:10:29 > 0:10:31- These cost about 20,000.

0:10:32 > 0:10:33- Oh, my gosh!

0:10:33 > 0:10:35- Oh, my gosh!- - They last about 10 cases per week.

0:10:36 > 0:10:38- Because the tumour was big...

0:10:38 > 0:10:42- ..they have to - remove the kidney and ureter...

0:10:42 > 0:10:45- ..so it doesn't affect the bladder.

0:10:45 > 0:10:48- This'll happen - in a couple of weeks' time.

0:10:49 > 0:10:52- I have a massive interest - in trauma orthopaedics...

0:10:53 > 0:10:56- ..especially after - spending weeks on placement.

0:10:56 > 0:11:02- In the third year, we've performed - examinations and seen X-rays.

0:11:02 > 0:11:04- We've interpreted everything.

0:11:05 > 0:11:09- It's cool having that responsibility - because we've wanted it for so long.

0:11:11 > 0:11:11- .

0:11:12 > 0:11:12- Subtitles

0:11:12 > 0:11:14- Subtitles- - Subtitles

0:11:17 > 0:11:21- Before the third-years go - on their placements across Wales...

0:11:21 > 0:11:27- ..it's an opportunity to practise - their skills in the medical school.

0:11:28 > 0:11:30- This is really hard to push.

0:11:31 > 0:11:32- I don't think it's in.

0:11:32 > 0:11:34- I don't think it's in.- - It's really hard to do.

0:11:34 > 0:11:38- If you did this on a patient, - they'd be drenched in blood.

0:11:38 > 0:11:42- Not many people have experience - of ill health when they're young.

0:11:42 > 0:11:46- Some do, some don't, - but the vast majority don't...

0:11:46 > 0:11:49- ..so they have to learn - how to interact with patients...

0:11:50 > 0:11:51- ..to support and serve them.

0:11:52 > 0:11:54- So now... No!

0:11:56 > 0:11:58- You have to push it all the way in.

0:11:59 > 0:12:00- Before you take it out...

0:12:00 > 0:12:04- ..make sure that's pushed - all the way to the skin.

0:12:04 > 0:12:08- It's a chance to practise - these clinical skills...

0:12:08 > 0:12:13- ..and it allows us an opportunity to - make mistakes and get flustered...

0:12:13 > 0:12:17- ..without having to do it - in front of a patient.

0:12:17 > 0:12:19- I don't want to be - that person in A&E...

0:12:20 > 0:12:23- ..who the doctor shouts at - to get fluids...

0:12:24 > 0:12:27- ..and I've no idea what's going on.

0:12:27 > 0:12:31- Also, these dummies - don't feel any pain.

0:12:31 > 0:12:35- Real patients will say, "Argh!" - and you have to apologise.

0:12:35 > 0:12:39- I'm afraid to do my first ABG.

0:12:39 > 0:12:43- An ABG is when you - insert a needle into an artery...

0:12:44 > 0:12:47- ..to get a sample of the gases - present in the blood.

0:12:47 > 0:12:49- You go in quite deep.

0:12:50 > 0:12:53- They say it's very painful too.

0:12:53 > 0:12:57- It looks painful, but you never get - it the first time, so it's fiddly.

0:12:58 > 0:13:00- And the blood goes everywhere.

0:13:00 > 0:13:05- By the third year, they will have - found the first term challenging.

0:13:06 > 0:13:12- They go from being taught in - a safe, comfortable environment...

0:13:12 > 0:13:17- ..to going on placement - in a hospital in the real world.

0:13:17 > 0:13:22- Patients don't come with a script - and students must cope with that.

0:13:24 > 0:13:27- And there was blood - dripping everywhere.

0:13:27 > 0:13:28- The floor was covered in blood.

0:13:28 > 0:13:30- The floor was covered in blood.- - Seeing blood makes you panic.

0:13:30 > 0:13:34- Everything you're meant to do - goes out the window.

0:13:34 > 0:13:38- I was there with blood on my hands, - going, help, please!

0:13:42 > 0:13:47- Hoping not to spill too much blood - is Mared in Cardiff...

0:13:47 > 0:13:50- ..whose placement - is in the A&E department.

0:13:50 > 0:13:53- Yesterday - was one of the best days I've had.

0:13:54 > 0:13:58- The air ambulance brought in an - 82-year-old who'd been hit by a car.

0:13:59 > 0:14:04- 20 minutes after that, - a trauma call was put out...

0:14:04 > 0:14:09- ..and two more patients who'd been - in a car accident were brought in.

0:14:10 > 0:14:13- I just stood in the corner, - watching everyone...

0:14:13 > 0:14:16- ..but I was still tired afterwards.

0:14:16 > 0:14:18- They took on roles straightaway.

0:14:19 > 0:14:23- Someone was in charge and - they each had their own jobs to do.

0:14:23 > 0:14:24- It was great seeing that.

0:14:24 > 0:14:26- It was great seeing that.- - It's really exciting in A&E.

0:14:27 > 0:14:31- Everything's going on. - There's a buzz in the atmosphere.

0:14:31 > 0:14:35- Back on the ward, the doctor - has given Mared a task to perform.

0:14:36 > 0:14:38- She must take a patient's blood.

0:14:38 > 0:14:42- She was feeling unwell this morning.

0:14:42 > 0:14:44- I'm looking for some bottles.

0:14:45 > 0:14:47- I like getting everything ready.

0:14:47 > 0:14:52- I want to make sure I have enough - cotton wool and tape if they bleed.

0:14:55 > 0:14:58- I'll pop these down here, OK?

0:14:58 > 0:15:01- If it's too tight, - just let me know, OK?

0:15:02 > 0:15:04- There we are.

0:15:05 > 0:15:08- Are you quite hard - to get blood from?

0:15:08 > 0:15:10- Sometimes.

0:15:10 > 0:15:14- I'll try my best. If I fail, I'll - get one of the nurses to help me.

0:15:15 > 0:15:18- A sharp scratch, OK? I'm very sorry.

0:15:23 > 0:15:25- Yay!

0:15:30 > 0:15:33- There we are. - Put some pressure on that.

0:15:33 > 0:15:36- I didn't think I'd get any! Yes!

0:15:38 > 0:15:39- How do you feel?

0:15:39 > 0:15:40- How do you feel?- - Really good.

0:15:40 > 0:15:43- I'll pop some tape on it, OK? - Sorry if I hurt you.

0:15:44 > 0:15:45- No, you're fine.

0:15:45 > 0:15:47- No, you're fine.- - It's hard when you miss.

0:15:47 > 0:15:50- You have to explain to someone, - "I missed."

0:15:50 > 0:15:52- I feel good.

0:15:52 > 0:15:55- During the first week - of my placement...

0:15:55 > 0:15:58- ..I was in A&E and - I took the history of a woman...

0:15:58 > 0:16:00- ..who'd had a heart attack.

0:16:01 > 0:16:05- I thought, wow, OK, this isn't - on TV now, this is real life.

0:16:05 > 0:16:09- I'm actually on placement, - this is happening.

0:16:10 > 0:16:12- That'll always stand out for me.

0:16:13 > 0:16:18- I enjoyed it but I don't think I - could turn up every day and do that.

0:16:18 > 0:16:22- The pace is just...

0:16:22 > 0:16:24- I really enjoyed my week in A&E.

0:16:25 > 0:16:28- After that we had a week - of anaesthetics and I loved it.

0:16:29 > 0:16:33- They got you to insert tubes down - patients' necks. It was really cool.

0:16:34 > 0:16:37- On the other side of the hospital...

0:16:37 > 0:16:41- ..Gwenllian is on placement - on a haematology ward...

0:16:41 > 0:16:44- ..meeting patients with leukaemia.

0:16:44 > 0:16:48- It's an interesting field - and I love the science behind it.

0:16:48 > 0:16:53- In terms of the patients, I think - it'll be incredibly difficult.

0:16:53 > 0:16:58- The highs are really great - and they fill you with joy...

0:16:58 > 0:17:01- ..but when - there's relapse after relapse...

0:17:02 > 0:17:04- ..especially in a young person...

0:17:04 > 0:17:07- ..I find that - very difficult to deal with.

0:17:07 > 0:17:10- I saw people yesterday - the same age as me.

0:17:10 > 0:17:12- I didn't know what to say...

0:17:13 > 0:17:16- ..because my life's been so easy - in comparison.

0:17:18 > 0:17:20- It did upset me.

0:17:20 > 0:17:24- I went home last night and - I couldn't stop thinking about it.

0:17:25 > 0:17:29- There's no denying the course - is difficult because it is...

0:17:29 > 0:17:33- ..especially the science element - and also the emotional element.

0:17:33 > 0:17:38- You see things you'd never see - if you weren't on this course.

0:17:38 > 0:17:42- It's a privilege - to meet patients on placement...

0:17:42 > 0:17:47- ..and when you're with the GPs, - but you have to grow up very fast.

0:17:49 > 0:17:54- There are two or three patients - that stay in my mind.

0:17:54 > 0:17:56- They never go away...

0:17:56 > 0:17:59- ..but I think...

0:17:59 > 0:18:03- ..you have to show - some degree of humanity...

0:18:03 > 0:18:07- ..because it's difficult.

0:18:08 > 0:18:11- Some situations - are easy to leave in work...

0:18:11 > 0:18:15- ..but other situations - touch you in a different way.

0:18:15 > 0:18:18- This year, - since going on placement...

0:18:18 > 0:18:21- ..I've had - some profound experiences...

0:18:21 > 0:18:25- ..and I certainly - take them home with me.

0:18:27 > 0:18:31- To learn more about leukaemia, - Gwenllian is on her way...

0:18:32 > 0:18:36- ..to the hospital's laboratory to - see patients' bone marrow samples.

0:18:37 > 0:18:40- We've got two bone marrows. - This is a patient's.

0:18:40 > 0:18:44- This is what a normal, healthy - bone marrow should look like.

0:18:44 > 0:18:47- There should be - a lot of different cells.

0:18:49 > 0:18:52- Can you see the difference - between the two?

0:18:52 > 0:18:53- Yes.

0:18:53 > 0:18:56- Yes.- - This is a patient with leukaemia.

0:18:57 > 0:19:00- This one is just completely packed.

0:19:00 > 0:19:02- It's really dense.

0:19:03 > 0:19:04- This is a packed particle.

0:19:05 > 0:19:08- The bone marrow's - clogged full of stuff.

0:19:08 > 0:19:10- After seeing - the marrow in the laboratory...

0:19:11 > 0:19:13- ..Gwenllian - is keen to meet the patient.

0:19:14 > 0:19:17- Phillip, yes? - Hi, I'm Gwen. I'm a medical student.

0:19:17 > 0:19:21- Phillip was diagnosed with leukaemia - a month earlier.

0:19:22 > 0:19:26- Up till then he was a fit man - who swam a mile and a half a day.

0:19:27 > 0:19:31- So, on Christmas Eve - they started chemotherapy.

0:19:32 > 0:19:35- I've got to have - some more chemotherapy.

0:19:35 > 0:19:38- But it's like a garden now.

0:19:38 > 0:19:42- There's no weeds in it, - there's no flowers in it.

0:19:43 > 0:19:45- It's completely bare.

0:19:46 > 0:19:49- I don't want to be here, - I want to be home with my family.

0:19:49 > 0:19:50- Of course you do.

0:19:50 > 0:19:53- Of course you do.- - But with what I've got...

0:19:53 > 0:19:55- ..it's all on time.

0:19:56 > 0:19:58- You've got to wait.

0:19:58 > 0:19:59- It's frustrating for you.

0:19:59 > 0:20:02- It's frustrating for you.- - Yes, but I won't let it get me down.

0:20:02 > 0:20:05- If I let it get me down...

0:20:05 > 0:20:07- ..it'll collapse.

0:20:07 > 0:20:10- The treatment will collapse...

0:20:10 > 0:20:12- ..my family.

0:20:19 > 0:20:22- You're trying.

0:20:22 > 0:20:24- I'm alright.

0:20:26 > 0:20:29- All I needed to do was just listen.

0:20:29 > 0:20:34- For a young person - who's been healthy all my life...

0:20:34 > 0:20:37- ..I don't know what to say.

0:20:37 > 0:20:41- If I say, - I can sympathize with you...

0:20:42 > 0:20:45- ..I don't really know - what that's like at all.

0:20:45 > 0:20:50- It's such - a great privilege being a doctor.

0:20:50 > 0:20:54- People are willing - to put their trust in us.

0:20:54 > 0:20:58- The responsibility we're given - because patients trust us...

0:20:58 > 0:21:01- ..irrespective of their illness...

0:21:02 > 0:21:05- ..in the end, - it's the patient who's important.

0:21:05 > 0:21:08- It's about the trust - that patient has in us...

0:21:08 > 0:21:10- ..and what we do in return.

0:21:11 > 0:21:15- It's important to try and - get that across to the students.

0:21:15 > 0:21:20- In terms of dealing - with someone who's crying...

0:21:20 > 0:21:24- ..or who's becoming emotional, - you can't prepare for that.

0:21:24 > 0:21:30- I just do what feels right. Giving - someone a hug isn't always possible.

0:21:30 > 0:21:36- Getting the balance right is - something I'm still working out.

0:21:36 > 0:21:39- On this block, - I've come to realize...

0:21:40 > 0:21:42- ..what medicine can't do.

0:21:42 > 0:21:48- It can't cure everybody, and that's - something that will always upset me.

0:21:49 > 0:21:52- What we try to do - in the third year...

0:21:52 > 0:21:54- ..is build a good doctor.

0:21:55 > 0:21:58- A good doctor - equipped with basic skills...

0:21:58 > 0:22:01- ..who can communicate, listen...

0:22:01 > 0:22:04- ..talk and explain.

0:22:05 > 0:22:07- It's a big responsibility...

0:22:08 > 0:22:10- ..which is why I work so hard.

0:22:10 > 0:22:13- It's like a clock ticking down...

0:22:13 > 0:22:19- ..until the responsibility - falls on me to treat the patient.

0:22:19 > 0:22:22- It spurs me on to work hard.

0:22:24 > 0:22:28- There are days when you think, - why on earth am I doing this?

0:22:28 > 0:22:31- Of course there are.

0:22:31 > 0:22:34- But when you come back to - what else would I do...

0:22:34 > 0:22:37- ..I can't imagine - doing anything else.

0:22:37 > 0:22:40- That's when you know - you're meant to be a doctor.

0:22:41 > 0:22:44- It hasn't been easy. - It's obviously going to be hard.

0:22:44 > 0:22:48- But it's definitely worth it - because that's what I want to do.

0:22:48 > 0:22:52- If you really want it, then of - course it's going to be worth it.

0:22:56 > 0:23:00- Phillip is doing well, convalescing - at home with his wife...

0:23:01 > 0:23:05- ..while he awaits - a bone marrow transplant.

0:23:21 > 0:23:23- S4C Subtitles by Adnod Cyf.