Pennod 4 Doctoriaid Yfory
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Transcript
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-It's why we're here. We're here -to help you at the end of the day. | 0:00:00 | 0:00:04 | |
-We're here to treat you -but we're also here to lend an ear. | 0:00:05 | 0:00:09 | |
-For eight months, our cameras -have followed students... | 0:00:09 | 0:00:13 | |
-..from Cardiff University. | 0:00:13 | 0:00:15 | |
-You're forced to grow up quickly. | 0:00:16 | 0:00:18 | |
-15 individuals on an unique course. | 0:00:18 | 0:00:21 | |
-We get the creme de la creme. | 0:00:21 | 0:00:24 | |
-I'm the most competitive. -I'm itching for the responsibility. | 0:00:24 | 0:00:28 | |
-From the classroom -to hospitals across Wales. | 0:00:29 | 0:00:31 | |
-It's going to be more challenging -than anything they've done before. | 0:00:32 | 0:00:37 | |
-Entering the medical world -for the first time. | 0:00:38 | 0:00:42 | |
-Young student doctors -are like little chicks. | 0:00:42 | 0:00:46 | |
-Do you remember that? -It was hilarious. | 0:00:48 | 0:00:51 | |
-Facing the greatest challenge -of their young lives. | 0:00:51 | 0:00:54 | |
-This year was the first time -I saw someone die. | 0:00:55 | 0:00:58 | |
-It really hit me -because she's not going to recover. | 0:00:59 | 0:01:02 | |
-I feel like I'm drowning, -that I'm not doing enough work. | 0:01:03 | 0:01:07 | |
-Medicine is hard. -The course is going to be hard. | 0:01:07 | 0:01:10 | |
-As we chronicle every step -to become tomorrow's doctors. | 0:01:11 | 0:01:16 | |
-We'll be the doctor on the scene. -We'll be in charge. | 0:01:16 | 0:01:19 | |
-This is superb. -What made me choose this path? | 0:01:20 | 0:01:23 | |
-This is not about elitism. | 0:01:23 | 0:01:26 | |
-You have been given a gift. | 0:01:27 | 0:01:29 | |
-You must use that gift to do good. | 0:01:30 | 0:01:34 | |
-For the majority of Cardiff's -1,500 medical students... | 0:01:42 | 0:01:46 | |
-..the highlight of the course -is the hospital placement. | 0:01:46 | 0:01:51 | |
-But before -they deal with real patients... | 0:01:51 | 0:01:55 | |
-..they practise their skills -in a classroom setting. | 0:01:55 | 0:01:59 | |
-Today, Elen and Mared -learn how to insert a catheter... | 0:02:01 | 0:02:05 | |
-..into the male anatomy -by practising on plastic dummies. | 0:02:05 | 0:02:09 | |
-We had a clinical skills session -where we had to insert a catheter. | 0:02:13 | 0:02:18 | |
-Hello, Mr Roberts. | 0:02:18 | 0:02:20 | |
-Today I'm going to be... | 0:02:20 | 0:02:24 | |
-Scratch that. | 0:02:26 | 0:02:28 | |
-We shouldn't do it with friends. -It just doesn't work. | 0:02:28 | 0:02:33 | |
-I'll apply some gel... | 0:02:33 | 0:02:35 | |
-..to soothe the pain... | 0:02:35 | 0:02:38 | |
-..and then -I'll insert a tube up your... | 0:02:38 | 0:02:41 | |
-Don't laugh! | 0:02:42 | 0:02:43 | |
-In this situation, we had a partner -sitting on the bed, legs apart... | 0:02:44 | 0:02:49 | |
-..with a block... | 0:02:52 | 0:02:54 | |
-..with a plastic penis -attached to it between their legs. | 0:02:54 | 0:02:59 | |
-It'll be uncomfortable -but it shouldn't hurt. | 0:03:01 | 0:03:04 | |
-It'll feel like a sharp sting -and then it should go numb. | 0:03:04 | 0:03:08 | |
-It's good experience... | 0:03:08 | 0:03:10 | |
-..being able -to practise clinical skills here... | 0:03:11 | 0:03:14 | |
-..but it's so different -doing it on real patients. | 0:03:14 | 0:03:17 | |
-It's fiddlier than you think. | 0:03:17 | 0:03:19 | |
-Inserting catheters are tricky... | 0:03:20 | 0:03:22 | |
-..but everything went... | 0:03:23 | 0:03:25 | |
-Everything went wrong. | 0:03:25 | 0:03:27 | |
-I was quite confident. -I thought, I've done this before. | 0:03:27 | 0:03:31 | |
-It'll be fine. | 0:03:31 | 0:03:33 | |
-But it wasn't. -I found the bags really fiddly. | 0:03:33 | 0:03:37 | |
-There were so many points to follow. | 0:03:38 | 0:03:40 | |
-When someone's behind you, -observing you, it's more difficult. | 0:03:40 | 0:03:45 | |
-Mared loved it. -It made her laugh so much. | 0:03:49 | 0:03:54 | |
-It was hard this time, -though I'd done it before... | 0:03:54 | 0:03:57 | |
-..on a real patient with no problem. | 0:03:57 | 0:04:00 | |
-I'm glad we got to practise, really. | 0:04:00 | 0:04:03 | |
-I hope I get a patient -who goes in for an operation... | 0:04:03 | 0:04:07 | |
-..and I have to insert a catheter -when they're under anaesthetic! | 0:04:07 | 0:04:12 | |
-That'd be a step up -before having to go on the wards. | 0:04:12 | 0:04:16 | |
-Many patients will come -from multicultural backgrounds. | 0:04:21 | 0:04:25 | |
-Doctors will have to treat patients -who speak a variety of languages. | 0:04:26 | 0:04:31 | |
-Elen's on placement, dealing with -a challenging situation... | 0:04:31 | 0:04:36 | |
-..at the A&E department in Newport. | 0:04:37 | 0:04:39 | |
-I'm Elen, -third-year medical student. | 0:04:40 | 0:04:42 | |
-If you could tell me -what's brought you into hospital. | 0:04:43 | 0:04:46 | |
-My grandmother's got a bad eye. -She can't see through it properly. | 0:04:46 | 0:04:51 | |
-One of the patients -couldn't speak English. | 0:04:51 | 0:04:55 | |
-I think she understood more than she -let on but she couldn't converse... | 0:04:55 | 0:05:00 | |
-..so her granddaughter -had to interpret for her. | 0:05:01 | 0:05:04 | |
-We went to the doctor's and -they said she's got a damaged nerve. | 0:05:04 | 0:05:09 | |
-SHE SPEAKS NATIVE LANGUAGE | 0:05:09 | 0:05:11 | |
-They put -a drip on her as well today. | 0:05:16 | 0:05:19 | |
-I have sick tablets. Sick medicine. | 0:05:19 | 0:05:22 | |
-She's had sick medicine -because she kept throwing up. | 0:05:22 | 0:05:26 | |
-It was hard knowing which questions -to ask, how to ask them. | 0:05:27 | 0:05:31 | |
-I felt as though I spoke more to -the granddaughter than the patient. | 0:05:31 | 0:05:36 | |
-It's an easy thing to do but it's -something I shouldn't do either. | 0:05:37 | 0:05:41 | |
-That was hard. | 0:05:42 | 0:05:43 | |
-Do you have a family history of... | 0:05:44 | 0:05:47 | |
-..headaches, any strokes? | 0:05:48 | 0:05:50 | |
-Anything like that? | 0:05:50 | 0:05:52 | |
-Yes, my granddad... | 0:05:52 | 0:05:54 | |
-..he had a few strokes, he did. | 0:05:55 | 0:05:58 | |
-I was enquiring -about her medical history... | 0:05:58 | 0:06:01 | |
-..or if there were any problems -she was aware of... | 0:06:02 | 0:06:05 | |
-..and I was told that a few family -members had suffered strokes. | 0:06:05 | 0:06:09 | |
-He did have one -which was on the left side... | 0:06:09 | 0:06:12 | |
-..but he recovered from that. | 0:06:12 | 0:06:15 | |
-He had a long history of illnesses -for the past couple of years. | 0:06:15 | 0:06:20 | |
-After reading through her notes... | 0:06:20 | 0:06:23 | |
-..there was no evidence of stroke -in the family. | 0:06:23 | 0:06:27 | |
-SHE SPEAKS NATIVE LANGUAGE | 0:06:27 | 0:06:29 | |
-No stroke in the history? -He's never had a stroke? | 0:06:32 | 0:06:36 | |
-Oh, OK, scratch that. | 0:06:36 | 0:06:38 | |
-I enquired if she had -other medical problems... | 0:06:39 | 0:06:42 | |
-..but she said no. | 0:06:42 | 0:06:44 | |
-I checked the notes and there were -lots of entries saying she'd had... | 0:06:44 | 0:06:49 | |
-..investigations for TB. | 0:06:49 | 0:06:52 | |
-AFB is acid-fast bacilli -and is code for TB. | 0:06:52 | 0:06:55 | |
-If she's got TB and I give her -steroids, what'll happen? | 0:06:55 | 0:06:59 | |
-That's bad. | 0:06:59 | 0:07:00 | |
-Translating is hard. | 0:07:01 | 0:07:02 | |
-I'm not surprised -the granddaughter had trouble... | 0:07:03 | 0:07:06 | |
-..because I don't think she fully -understood the native language... | 0:07:06 | 0:07:11 | |
-..which created -a language barrier... | 0:07:12 | 0:07:15 | |
-..between the two of them as well -as between the patient and myself. | 0:07:15 | 0:07:19 | |
-What we're concerned about -is temporal arteritis... | 0:07:19 | 0:07:23 | |
-..which is inflammation of -the temporal artery behind the eye. | 0:07:23 | 0:07:27 | |
-It's a disease of older people. | 0:07:27 | 0:07:30 | |
-It causes significant headache... | 0:07:30 | 0:07:32 | |
-..and if untreated -can cause blindness in that eye. | 0:07:33 | 0:07:36 | |
-It responds very well to treatment. | 0:07:37 | 0:07:39 | |
-The difficulty she's got -is the treatment she needs... | 0:07:39 | 0:07:43 | |
-..which is a steroid tablet which -will knock her diabetes control. | 0:07:43 | 0:07:47 | |
-You give with one hand -and take with the other. | 0:07:48 | 0:07:51 | |
-The patient -will be monitored in hospital... | 0:07:51 | 0:07:54 | |
-..to prevent the medication doing -long-term damage to her sight. | 0:07:54 | 0:07:59 | |
-In Bridgend, Ainsley and David -are back in the surgical theatre. | 0:08:01 | 0:08:07 | |
-The female patient -had surgery two years ago. | 0:08:08 | 0:08:12 | |
-She was very ill. -Part of her colon had burst. | 0:08:13 | 0:08:18 | |
-That part -was removed two years ago... | 0:08:18 | 0:08:21 | |
-..and she was given a colostomy bag. | 0:08:21 | 0:08:24 | |
-We intend to get rid -of the colostomy bag today... | 0:08:25 | 0:08:28 | |
-..and reattach the colon -to the rectum. | 0:08:29 | 0:08:32 | |
-We'll try to get her back -as close as we can to normal. | 0:08:33 | 0:08:36 | |
-It can be a lengthy procedure... | 0:08:42 | 0:08:45 | |
-..if that part of the colon -we need... | 0:08:46 | 0:08:49 | |
-..is loose or stuck -to whatever's surrounding it. | 0:08:49 | 0:08:53 | |
-It may take two hours or six. -We won't know until we start. | 0:08:53 | 0:08:57 | |
-How do students fare -with long surgeries? | 0:08:57 | 0:09:00 | |
-Depends if they've eaten breakfast. | 0:09:00 | 0:09:04 | |
-Have you eaten breakfast? | 0:09:04 | 0:09:06 | |
-Sorry? | 0:09:06 | 0:09:07 | |
-Sorry? - -Have you eaten breakfast? | 0:09:07 | 0:09:09 | |
-Hopefully they'll be alright, then. | 0:09:10 | 0:09:12 | |
-Otherwise, one or two become wobbly -and some might faint. | 0:09:12 | 0:09:16 | |
-It's a good idea to eat breakfast. | 0:09:16 | 0:09:19 | |
-I've never done it -on a woman before. | 0:09:21 | 0:09:23 | |
-It's alright, it's alright, -I'll help you. | 0:09:24 | 0:09:26 | |
-I've just inserted -my first catheter. | 0:09:27 | 0:09:30 | |
-I was nervous to do it because -I've never done it on a person. | 0:09:31 | 0:09:34 | |
-And also with a female, there's -the risk of UTIs and infections. | 0:09:35 | 0:09:39 | |
-I was quite nervous but the aseptic -technique was OK, wasn't it? | 0:09:39 | 0:09:44 | |
-Yes. You understand what you need -to do and you're aware of the risks. | 0:09:44 | 0:09:49 | |
-You just need to practise. | 0:09:49 | 0:09:51 | |
-Exactly. It was good, though. | 0:09:52 | 0:09:54 | |
-More than an hour -into the surgery... | 0:09:56 | 0:09:58 | |
-..and Miss Dafydd is still cutting -through scars to get to the colon. | 0:09:59 | 0:10:03 | |
-Sometimes these things can take time -because of internal scars. | 0:10:03 | 0:10:09 | |
-That's exactly -what we're finding here. | 0:10:09 | 0:10:12 | |
-It's slow... | 0:10:12 | 0:10:15 | |
-..but we're making progress. | 0:10:15 | 0:10:17 | |
-There's no better opportunity... | 0:10:18 | 0:10:20 | |
-..for the students -to learn about anatomy. | 0:10:20 | 0:10:23 | |
-Surgery is an opportunity to see and -touch what they've been studying. | 0:10:23 | 0:10:29 | |
-Can you feel a pulse? | 0:10:29 | 0:10:31 | |
-Oh, my god, yeah! | 0:10:31 | 0:10:34 | |
-Oh, that's so cool! | 0:10:34 | 0:10:36 | |
-Surgery can be both exciting... | 0:10:37 | 0:10:39 | |
-..and challenging. | 0:10:40 | 0:10:41 | |
-It requires hours of concentration. | 0:10:42 | 0:10:45 | |
-What they're doing now... | 0:10:45 | 0:10:48 | |
-..is reattaching -the large bowel to the rectum. | 0:10:48 | 0:10:51 | |
-They're using -a stapler thing at the moment... | 0:10:52 | 0:10:55 | |
-..but it's a really long operation. | 0:10:58 | 0:11:01 | |
-I'm starving at the moment. -I literally need a cup of tea. | 0:11:01 | 0:11:05 | |
-But they're fine, keep on going. | 0:11:05 | 0:11:08 | |
-I think David's good as well. | 0:11:08 | 0:11:10 | |
-No. | 0:11:12 | 0:11:13 | |
-Catrin is also -on a third-year placement. | 0:11:18 | 0:11:21 | |
-She catches up with a patient... | 0:11:22 | 0:11:24 | |
-..who's undergone -a life-changing operation. | 0:11:24 | 0:11:28 | |
-I met Mr Phillips on my -first day of placement in Newport. | 0:11:29 | 0:11:34 | |
-He was unconscious and was about -to go into theatre for surgery. | 0:11:35 | 0:11:39 | |
-That's when I saw you. | 0:11:39 | 0:11:41 | |
-That's when it all started -to go horribly pear shaped. | 0:11:41 | 0:11:45 | |
-Having already lost one leg... | 0:11:47 | 0:11:49 | |
-..Mr Phillips is now having -problems with his other leg. | 0:11:49 | 0:11:53 | |
-I saw the operation -to remove the clot... | 0:11:54 | 0:11:57 | |
-..which started from the heart -while he was having arrhythmia. | 0:11:57 | 0:12:01 | |
-Quite a bit came out because my -partner and I were quite shocked. | 0:12:02 | 0:12:06 | |
-I thought his leg -would be better after that... | 0:12:06 | 0:12:09 | |
-..as the blood was squirting out -of the artery when it was removed. | 0:12:10 | 0:12:14 | |
-I then saw him in critical care -and he seemed to be improving... | 0:12:14 | 0:12:18 | |
-..but the blood flow to the foot -wasn't very good. | 0:12:19 | 0:12:22 | |
-They operated on the leg -to try and save it. | 0:12:22 | 0:12:25 | |
-Unfortunately, they couldn't. | 0:12:25 | 0:12:27 | |
-Unfortunately, they couldn't. - -He went back into surgery... | 0:12:27 | 0:12:30 | |
-..to amputate the leg -beneath the knee. | 0:12:30 | 0:12:33 | |
-My leg didn't seem to be -resolving itself... | 0:12:34 | 0:12:37 | |
-..so they just came down and... | 0:12:37 | 0:12:40 | |
-So there you go, that's it. | 0:12:43 | 0:12:45 | |
-Amputating one leg -becomes an awful disability... | 0:12:46 | 0:12:51 | |
-..but once -you amputate both legs... | 0:12:51 | 0:12:54 | |
-It changes your life. | 0:12:54 | 0:12:56 | |
-It changes your life. - -..it changes the person's life. | 0:12:56 | 0:12:58 | |
-This leg has nearly healed, -so this will become my good leg. | 0:12:59 | 0:13:03 | |
-My real leg, if you like. | 0:13:03 | 0:13:05 | |
-I'll be able to pivot on it, -stand on it, jig on it, whatever. | 0:13:05 | 0:13:10 | |
-Once this leg -has been manufactured... | 0:13:11 | 0:13:16 | |
-..I'll be able to... | 0:13:16 | 0:13:18 | |
-..bring the two into line. | 0:13:19 | 0:13:22 | |
-He took it remarkably well. | 0:13:22 | 0:13:24 | |
-He was a retired soldier. | 0:13:24 | 0:13:27 | |
-He'd served in the army and so on. | 0:13:27 | 0:13:29 | |
-He was very stern... | 0:13:29 | 0:13:32 | |
-..and completely accepted -everything the doctors told him. | 0:13:32 | 0:13:36 | |
-He had endless faith in the doctors -and in their advice. | 0:13:37 | 0:13:40 | |
-That scar's looking really good. | 0:13:41 | 0:13:43 | |
-Want to have a butcher's -on that side? | 0:13:43 | 0:13:45 | |
-This is in the process, isn't it? | 0:13:46 | 0:13:48 | |
-This one -is definitely in the process. | 0:13:48 | 0:13:51 | |
-Look at this. | 0:13:51 | 0:13:53 | |
-It's amazing. | 0:13:55 | 0:13:57 | |
-You'll be back on your feet -in no time, won't you? | 0:13:57 | 0:14:01 | |
-Yes. Oh, yes. | 0:14:01 | 0:14:04 | |
-How is your wife coping? -Is she coming to see you? | 0:14:04 | 0:14:07 | |
-Yes, she comes in -and gives me a hard time. | 0:14:07 | 0:14:10 | |
-Wants to know when I'm coming out -because the gutters need cleaning. | 0:14:10 | 0:14:15 | |
-His cup was always half full. | 0:14:18 | 0:14:21 | |
-He was never negative, -he didn't feel sorry for himself. | 0:14:21 | 0:14:25 | |
-He never complained. | 0:14:25 | 0:14:27 | |
-He was great. -I really liked Mr Phillips. | 0:14:27 | 0:14:31 | |
-. | 0:14:34 | 0:14:35 | |
-Subtitles | 0:14:36 | 0:14:36 | |
-Subtitles - -Subtitles | 0:14:36 | 0:14:38 | |
-On her placement in Newport, -Catrin visits patients... | 0:14:43 | 0:14:47 | |
-..who undergo dialysis -in the renal unit. | 0:14:47 | 0:14:50 | |
-For most, they receive -four hours of dialysis... | 0:14:50 | 0:14:54 | |
-..to clean the blood -several times a week... | 0:14:54 | 0:14:58 | |
-..whilst awaiting a transplant. | 0:14:58 | 0:15:00 | |
-Sahiba, who's 22 years old, -is a familiar face on the ward. | 0:15:01 | 0:15:05 | |
-I was born with one kidney anyway. | 0:15:05 | 0:15:08 | |
-That failed in 2007... | 0:15:08 | 0:15:12 | |
-..and then I was on dialysis here... | 0:15:12 | 0:15:15 | |
-..and then -I had a transplant in 2010... | 0:15:15 | 0:15:19 | |
-..and that lasted only up to a year. | 0:15:20 | 0:15:22 | |
-So since then, -everything stopped, really. | 0:15:25 | 0:15:28 | |
-I can't do nothing. | 0:15:28 | 0:15:30 | |
-When I went up to her in bed, -she had a notebook... | 0:15:31 | 0:15:35 | |
-..in which she wrote poetry -in a different language. | 0:15:36 | 0:15:39 | |
-I tried to imagine how I'd feel -if I had to have dialysis... | 0:15:40 | 0:15:45 | |
-..and I was miles from home... | 0:15:45 | 0:15:47 | |
-..with no-one around me, -no mother or father. | 0:15:47 | 0:15:51 | |
-She had no-one in the dialysis -unit, she was on her own. | 0:15:51 | 0:15:56 | |
-Are you -a bit anxious about this, or...? | 0:15:56 | 0:15:58 | |
-No, if I didn't have this... | 0:15:58 | 0:16:00 | |
-..I wouldn't be here... | 0:16:01 | 0:16:03 | |
-..so, really, this is -a life-saving opportunity for me... | 0:16:03 | 0:16:07 | |
-..while I get a transplant. | 0:16:08 | 0:16:10 | |
-Sahiba's had -lots of problems with access. | 0:16:10 | 0:16:13 | |
-She's so young and all these veins -are being used... | 0:16:13 | 0:16:17 | |
-..and you run out of places -to insert the lines. | 0:16:17 | 0:16:20 | |
-Can they get -any more lines in your neck? | 0:16:20 | 0:16:23 | |
-I don't know. | 0:16:23 | 0:16:24 | |
-I don't know. - -That was tricky. | 0:16:24 | 0:16:26 | |
-This is a very precious fistula. -We need to look after it. | 0:16:26 | 0:16:30 | |
-So what happens is, -there's two needles that go in... | 0:16:31 | 0:16:34 | |
-..so this one takes blood out -through the machine, blood pumped. | 0:16:35 | 0:16:40 | |
-This is the actual dialyser. -See those tiny tubes? | 0:16:40 | 0:16:44 | |
-They're capillary tubes and inside -every one of those is membrane. | 0:16:44 | 0:16:50 | |
-The blood goes through tubes on -that side and back to the patient. | 0:16:50 | 0:16:54 | |
-But what you have -going the other way is the dialysis. | 0:16:55 | 0:16:58 | |
-So the clean blood -goes back to Sahiba. | 0:16:59 | 0:17:02 | |
-There's always a way. | 0:17:09 | 0:17:11 | |
-I asked her, "What do you -worry about for the future?" | 0:17:11 | 0:17:15 | |
-She could've listed -100 things to worry about. | 0:17:15 | 0:17:18 | |
-Worried about dying, -worried about her kidneys. | 0:17:18 | 0:17:21 | |
-I think about the things -I worry about from day to day. | 0:17:22 | 0:17:26 | |
-Work pressures and this and that. | 0:17:27 | 0:17:29 | |
-It's silly because -when you compare yourself to her... | 0:17:31 | 0:17:34 | |
-..who says, "It'll be fine, -there's always a way"... | 0:17:35 | 0:17:38 | |
-..it makes you think you should -take a leaf out of her book. | 0:17:39 | 0:17:44 | |
-You shouldn't waste your time -worrying about things. | 0:17:45 | 0:17:48 | |
-It doesn't look likely that -she'll be able to go to Pakistan. | 0:17:51 | 0:17:56 | |
-She's only 22, poor thing. | 0:17:56 | 0:18:00 | |
-But that's her wish. | 0:18:00 | 0:18:02 | |
-She wants to go to college and -go to Pakistan to see her family. | 0:18:02 | 0:18:06 | |
-That's what she wants. She's not -saying, "I want two kidneys now." | 0:18:06 | 0:18:10 | |
-She's making the most -of what she's got. | 0:18:11 | 0:18:13 | |
-Back at university, -exams are looming. | 0:18:17 | 0:18:21 | |
-Once a term, all medical students -sit exams on the same day. | 0:18:21 | 0:18:27 | |
-For first-year Manon... | 0:18:29 | 0:18:32 | |
-..pressure is mounting. | 0:18:32 | 0:18:34 | |
-I have four days, and counting, -until the first exam. | 0:18:34 | 0:18:38 | |
-I've worked really hard but -I've still got so much more to do. | 0:18:39 | 0:18:44 | |
-It's slight panics at the moment. | 0:18:44 | 0:18:47 | |
-I'll have to get up earlier -and go to bed later. | 0:18:47 | 0:18:50 | |
-That's how I revise every year. | 0:18:51 | 0:18:53 | |
-I've just finished -the second exam of three. | 0:18:58 | 0:19:02 | |
-I think it went OK, on the whole. | 0:19:02 | 0:19:05 | |
-There were -a few difficult questions... | 0:19:05 | 0:19:08 | |
-..which made me scratch my head. | 0:19:08 | 0:19:11 | |
-I'm just glad it's over now. | 0:19:11 | 0:19:14 | |
-I'm going back to North Wales. | 0:19:16 | 0:19:19 | |
-I have a long journey ahead of me. | 0:19:19 | 0:19:21 | |
-I'm tired. | 0:19:23 | 0:19:25 | |
-It was a three-hour exam, -140 questions. | 0:19:25 | 0:19:30 | |
-I find it hard stopping myself -thinking about it... | 0:19:33 | 0:19:38 | |
-..about the questions. | 0:19:38 | 0:19:40 | |
-Back in theatre, hours later... | 0:19:43 | 0:19:47 | |
-..Ainsley and David -are still in the middle of surgery. | 0:19:47 | 0:19:51 | |
-They studied dissection -in the first year... | 0:19:54 | 0:19:58 | |
-..but seeing it performed -on a live person is very different. | 0:19:58 | 0:20:02 | |
-As a student, it's nice -seeing and touching things... | 0:20:03 | 0:20:06 | |
-..instead of just observing. | 0:20:06 | 0:20:08 | |
-I always try and find -an opportunity for them. | 0:20:09 | 0:20:11 | |
-This is the ureter - the white tube. | 0:20:12 | 0:20:15 | |
-When Mr Rawat squeezes it, -watch out, it does... | 0:20:15 | 0:20:18 | |
-Oh, yes, like a little worm. | 0:20:19 | 0:20:20 | |
-The lower part, the rectum, -is loose and ready. | 0:20:21 | 0:20:25 | |
-We've pulled the stoma -and loosened the colon... | 0:20:25 | 0:20:29 | |
-..so I can reattach it. | 0:20:29 | 0:20:32 | |
-We're ready -to put the colon back together. | 0:20:33 | 0:20:36 | |
-This is the longest operation -Ainsley has ever observed. | 0:20:37 | 0:20:42 | |
-The strain of the situation -is starting to show. | 0:20:42 | 0:20:45 | |
-Thank you so much. Thank you. | 0:20:46 | 0:20:48 | |
-I'll sit down. I don't mind -just sitting down like that. | 0:20:48 | 0:20:52 | |
-Would you like some water? | 0:20:52 | 0:20:54 | |
-No, I'm fine. I just feel -a bit claustrophobic, a bit warm. | 0:20:54 | 0:20:58 | |
-I'll be OK. | 0:20:58 | 0:20:59 | |
-Don't do anything. | 0:21:03 | 0:21:05 | |
-I'm tired now. | 0:21:07 | 0:21:09 | |
-I'm feeling weak. -I haven't eaten since 7.30am. | 0:21:09 | 0:21:13 | |
-It's taken ages, hasn't it? | 0:21:14 | 0:21:17 | |
-It's really taken a long time. | 0:21:17 | 0:21:19 | |
-I've never observed for this long. | 0:21:20 | 0:21:22 | |
-Despite the challenge, Ainsley is -still enthusiastic about surgery. | 0:21:25 | 0:21:30 | |
-It's gone well. It's been a success. | 0:21:30 | 0:21:33 | |
-It's my first time -in a lengthy procedure. | 0:21:33 | 0:21:36 | |
-It's been really interesting... | 0:21:36 | 0:21:39 | |
-..but really draining -at the same time. | 0:21:39 | 0:21:41 | |
-I've still enjoyed it. | 0:21:42 | 0:21:44 | |
-When you're on placement -for eight weeks... | 0:21:47 | 0:21:49 | |
-..you can't follow up on patients. | 0:21:50 | 0:21:52 | |
-I have no idea what's happened -to half the patients I've seen. | 0:21:53 | 0:21:56 | |
-I hope they're all happy and well... | 0:21:57 | 0:21:59 | |
-But they're not, are they? | 0:21:59 | 0:22:01 | |
-Some faces stay in my mind. | 0:22:02 | 0:22:05 | |
-Sometimes you think, -I wonder what happened to her? | 0:22:07 | 0:22:11 | |
-Or, that scan didn't look very -good. How did she take the news? | 0:22:11 | 0:22:16 | |
-Thank goodness -it wasn't me who had to tell her. | 0:22:16 | 0:22:19 | |
-But one day it's going to be us. | 0:22:20 | 0:22:23 | |
-A girl the same age as me -was admitted this morning. | 0:22:25 | 0:22:29 | |
-She was 20 years old and she'd -taken an overdose of paracetamol. | 0:22:29 | 0:22:33 | |
-It made me think -how different her life was... | 0:22:33 | 0:22:36 | |
-..when she woke up this morning -and took those tablets... | 0:22:37 | 0:22:40 | |
-..compared to mine, -when I rolled out of bed. | 0:22:40 | 0:22:43 | |
-We're here to help you, -at the end of the day. | 0:22:43 | 0:22:46 | |
-We're here to treat you and -we're also here to lend an ear. | 0:22:47 | 0:22:51 | |
-If you listen to the patient, -even if they're talking nonsense... | 0:22:53 | 0:22:57 | |
-..usually there's a solution. | 0:22:57 | 0:22:59 | |
-80% of the diagnosis -is in the listening. | 0:22:59 | 0:23:02 | |
-Sit down - the patient thinks -you're paying more attention... | 0:23:03 | 0:23:07 | |
-..when you sit beside them. | 0:23:07 | 0:23:09 | |
-This week we've focused -on listening to patients... | 0:23:09 | 0:23:13 | |
-..even if they have mental issues... | 0:23:13 | 0:23:15 | |
-..to make sure -they don't feel lonely... | 0:23:15 | 0:23:18 | |
-..because when you're -in a very busy department... | 0:23:18 | 0:23:22 | |
-..you can still feel lonely -among 1,000 people. | 0:23:22 | 0:23:26 | |
-Sometimes -we forget how privileged we are... | 0:23:26 | 0:23:29 | |
-..because it's only when -you sit down and reflect... | 0:23:29 | 0:23:33 | |
-..and remember the things you've -seen and the people you've met... | 0:23:33 | 0:23:37 | |
-..that you realize -how lucky we are... | 0:23:38 | 0:23:40 | |
-..to be doing a job we'll hopefully -enjoy for the rest of our lives. | 0:23:41 | 0:23:44 | |
-S4C Subtitles by Adnod Cyf. | 0:24:03 | 0:24:06 |