Pennod 5

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

0:00:01 > 0:00:04- Our cameras have followed students - from Cardiff University.

0:00:05 > 0:00:09- You see things you wouldn't normally - see. You have to grow up quickly.

0:00:09 > 0:00:12- 15 individuals on an unique course.

0:00:12 > 0:00:14- We get the creme de la creme.

0:00:15 > 0:00:19- I'm the most competitive. - I'm itching for the responsibility.

0:00:19 > 0:00:22- From the classroom - to hospitals across Wales.

0:00:23 > 0:00:28- It's going to be more challenging - than anything they've done before.

0:00:29 > 0:00:33- Entering the medical world - for the first time.

0:00:33 > 0:00:37- Young student doctors - are like little chicks.

0:00:39 > 0:00:42- Do you remember that? - It was hilarious.

0:00:42 > 0:00:45- Facing the greatest challenge - of their young lives.

0:00:46 > 0:00:49- This year was the first time - I saw someone die.

0:00:50 > 0:00:53- It really hit me - because she's not going to recover.

0:00:55 > 0:00:58- I feel like I'm drowning, - that I'm not doing enough work.

0:00:58 > 0:01:01- Medicine is hard. - The course is going to be hard.

0:01:01 > 0:01:06- As we chronicle every step - to become tomorrow's doctors.

0:01:07 > 0:01:10- We'll be the doctor on the scene. - We'll be in charge.

0:01:11 > 0:01:14- This is superb. - What made me choose this path?

0:01:14 > 0:01:17- This is not about elitism.

0:01:18 > 0:01:19- You have been given a gift.

0:01:21 > 0:01:24- You must use that gift to do good.

0:01:33 > 0:01:37- For young students, there is - an unique challenge in Year 3...

0:01:37 > 0:01:39- ..the oncology project.

0:01:42 > 0:01:46- For three months, the students - are assigned to a cancer patient.

0:01:46 > 0:01:49- They chronicle - every clinical step...

0:01:49 > 0:01:52- ..and see how the disease - affects patients and their families.

0:01:53 > 0:01:57- It's the experience of being - the other side of the desk.

0:01:57 > 0:02:01- This term we've been doing - the oncology project.

0:02:01 > 0:02:05- Basically, we're assigned to - patients with some form of cancer.

0:02:06 > 0:02:08- It can be treatable - or they're palliative.

0:02:09 > 0:02:12- We follow them for three months - and write up our project.

0:02:13 > 0:02:17- My patient is Nina. - She used to work as a nurse.

0:02:17 > 0:02:21- She has cancer - - she previously had breast cancer.

0:02:21 > 0:02:24- It's returned - and spread to her lungs.

0:02:24 > 0:02:26- She's palliative.

0:02:27 > 0:02:31- This is Catrin's first experience - of dealing with a cancer patient.

0:02:31 > 0:02:34- When I first met her, - she was receiving chemotherapy.

0:02:35 > 0:02:39- The chemo stopped working - so the cancer was growing back.

0:02:42 > 0:02:44- I'm here to meet - my oncology patient.

0:02:44 > 0:02:47- She's meeting - a thrombosis specialist.

0:02:47 > 0:02:50- She has secondary breast cancer.

0:02:50 > 0:02:55- She had a scan a few weeks ago which - showed her treatment wasn't working.

0:02:55 > 0:02:59- You have a medical student following - you around. Is she behaving?

0:03:00 > 0:03:02- She's not bad.

0:03:02 > 0:03:05- If she weren't full up, - I'd have her as a daughter.

0:03:05 > 0:03:06- That's not bad.

0:03:07 > 0:03:09- They found clots on her lung.

0:03:09 > 0:03:11- And also fluid.

0:03:12 > 0:03:15- They're now deciding on the - best course of treatment for her.

0:03:15 > 0:03:17- If there's a small clot there...

0:03:18 > 0:03:21- ..we want to treat that, - but I also want to make sure...

0:03:21 > 0:03:25- ..that any other clots - are being treated as well.

0:03:25 > 0:03:28- She deteriorated quickly - in next to no time.

0:03:28 > 0:03:32- She became more breathless - and she'd cough a lot more.

0:03:33 > 0:03:36- Just the fluid - building up on her lungs.

0:03:36 > 0:03:39- You can't cure me - but you can keep me going.

0:03:39 > 0:03:41- I think you're doing great.

0:03:41 > 0:03:43- It's very unfair.

0:03:43 > 0:03:45- It is, it is absolutely crap.

0:03:46 > 0:03:49- And it always seems to hit - the nice people.

0:03:49 > 0:03:51- The oncology project is important...

0:03:52 > 0:03:56- ..because the students - get to know the patients...

0:03:56 > 0:04:00- ..at a very vulnerable time - in their lives.

0:04:01 > 0:04:05- In numerous examples, - the student and the patient...

0:04:06 > 0:04:08- ..have become very close.

0:04:08 > 0:04:13- It's odd seeing the other side - and dealing with their families...

0:04:13 > 0:04:18- ..and the social, psychological - and physical aspects.

0:04:20 > 0:04:23- I think it's a privilege - for them to be part...

0:04:24 > 0:04:28- ..of such an unique time...

0:04:28 > 0:04:31- ..and painful time - in a patient's life.

0:04:33 > 0:04:36- While Catrin experiences - the long term effects of cancer...

0:04:37 > 0:04:41- ..Sioned meets a patient who's - been diagnosed for the first time.

0:04:43 > 0:04:44- My patient is Neil.

0:04:45 > 0:04:48- He's coming to Velindre - with his partner Linda.

0:04:48 > 0:04:52- He's been diagnosed - with cancer of the tonsils.

0:04:53 > 0:04:57- I've never really dealt - with cancer patients before.

0:04:57 > 0:04:59- I didn't know how to talk - about cancer.

0:05:00 > 0:05:02- People are frightened - of the word cancer.

0:05:02 > 0:05:07- I felt awkward initially, - I didn't know what I should say.

0:05:09 > 0:05:12- I'm in Velindre this morning - meeting Neil.

0:05:12 > 0:05:15- He comes in every day - for radiotherapy.

0:05:15 > 0:05:17- He started a fortnight ago.

0:05:18 > 0:05:21- He's facing 40 sessions - of radiotherapy.

0:05:22 > 0:05:27- Neil's treatment is intense - - every day without fail.

0:05:27 > 0:05:31- He has a mask fitted - before he starts, to hold him still.

0:05:32 > 0:05:37- The radiotherapy beams must target - the same place on the tumour.

0:05:41 > 0:05:44- Cancer is a terrifying disease - for the whole family.

0:05:45 > 0:05:47- Linda is never far from Neil's side.

0:05:48 > 0:05:50- She's suffered from breast cancer.

0:05:50 > 0:05:53- Because he's had - such a positive prognosis...

0:05:53 > 0:05:58- ..then I suppose the initial shock - is "Oh, it's cancer."

0:05:59 > 0:06:03- And then, you know, coming down - to a place like Velindre...

0:06:03 > 0:06:05- ..and see what work they're doing...

0:06:06 > 0:06:09- ..and you think, - "Oh, yeah, he's gonna be fine."

0:06:09 > 0:06:11- We reassure each other.

0:06:15 > 0:06:17- He's been doing really well.

0:06:17 > 0:06:22- They initially thought - he might lose his oesophagus...

0:06:22 > 0:06:25- ..and he'd have to be fed by tubes.

0:06:25 > 0:06:29- I didn't know what to expect - before starting the project.

0:06:29 > 0:06:34- I hope he'll be OK after the - treatment. It's a positive story.

0:06:34 > 0:06:38- Some students - have very different patients...

0:06:38 > 0:06:41- ..who respond to treatment - differently.

0:06:44 > 0:06:48- Back in Newport, Nina has - an impossible decision to make.

0:06:51 > 0:06:55- It was the most difficult - appointment I had with Nina.

0:06:55 > 0:06:59- She'd had a lung biopsy - to determine...

0:06:59 > 0:07:02- ..the next course of treatment.

0:07:02 > 0:07:07- Nina's cancer is spreading - despite her chemotherapy treatment.

0:07:07 > 0:07:10- It's interesting - to see the difference...

0:07:10 > 0:07:13- ..when you're the other side - of the door.

0:07:13 > 0:07:15- I'm sitting there - waiting for the doctor.

0:07:16 > 0:07:19- When you're following a doctor, - you have so much to do.

0:07:19 > 0:07:24- It reminds you when that patient - comes through the door...

0:07:24 > 0:07:28- ..they've been patiently waiting - for the results for hours.

0:07:29 > 0:07:33- They only want to hear good news - but that's not always the case.

0:07:35 > 0:07:38- You're hoping for good news.

0:07:38 > 0:07:42- The emotions are so real by the time - you reach the doctor's room.

0:07:42 > 0:07:46- The patient listens intently - to every word the doctor says.

0:07:47 > 0:07:54- You should reconsider the options. - Up to now, we've given chemotherapy.

0:07:54 > 0:07:56- And that's stopped working.

0:07:57 > 0:08:03- It makes you realise the enormity of - the experience of seeing the doctor.

0:08:03 > 0:08:05- Wow.

0:08:05 > 0:08:07- Tougher every week.

0:08:07 > 0:08:09- I remember the options.

0:08:09 > 0:08:14- One was a clinical trial, the other - was a treatment with side effects.

0:08:14 > 0:08:16- It was awful.

0:08:16 > 0:08:18- I can go on to a clinical trial...

0:08:18 > 0:08:21- ..which involves injections - once a month.

0:08:22 > 0:08:26- ..or I can keep coming here - and have hormone treatment...

0:08:26 > 0:08:29- ..with something else alongside it.

0:08:33 > 0:08:35- That might not work as well.

0:08:35 > 0:08:38- I knew the enormity - of that decision for them.

0:08:39 > 0:08:42- I couldn't make that decision, - just like...

0:08:42 > 0:08:45- They had such a huge decision - in front of them.

0:08:46 > 0:08:49- I've been feeling so well this - last six weeks off of the chemo.

0:08:50 > 0:08:53- I don't know - if I really want to go back on it...

0:08:53 > 0:08:55- ..to be quite honest.

0:08:56 > 0:08:59- But I've got to - if I want to be here.

0:08:59 > 0:09:02- 'Tween the devil - and the deep blue sea really.

0:09:02 > 0:09:05- Back to square one. - It's all back to square one.

0:09:06 > 0:09:10- I think he finds it very difficult. - He knows she doesn't want chemo.

0:09:10 > 0:09:14- I think that's hard - for him to accept.

0:09:14 > 0:09:17- It's her decision - at the end of the day.

0:09:17 > 0:09:19- He has no control.

0:09:19 > 0:09:22- I understand if she's had enough.

0:09:22 > 0:09:25- You don't want... - You want to enjoy life.

0:09:25 > 0:09:29- I was told I had two years and - I've done ten months of that now.

0:09:30 > 0:09:31- So...

0:09:32 > 0:09:34- ..yeah.

0:09:34 > 0:09:38- You know there's no cure, - it's just the best we can do.

0:09:39 > 0:09:40- The best we can do.

0:09:40 > 0:09:45- You're looking now to see is the - treatment worse than the disease?

0:09:46 > 0:09:48- Is the treatment - worse than the disease?

0:09:48 > 0:09:51- Because the last lot really was, - wasn't it?

0:09:51 > 0:09:54- It was horrendous. - I don't want to do that again.

0:09:54 > 0:09:58- Just want to see the kids grow up, - that's the worst bit.

0:09:58 > 0:10:00- The little ones.

0:10:05 > 0:10:07- That was quite overwhelming.

0:10:08 > 0:10:13- She said she wouldn't see - her grandchildren growing up.

0:10:13 > 0:10:15- That really hit me, actually.

0:10:15 > 0:10:18- I was just like... - That's quite like...

0:10:18 > 0:10:20- Sorry.

0:10:22 > 0:10:25- I think now, - she said it hit her today.

0:10:25 > 0:10:28- It's a reminder - that there's no cure.

0:10:28 > 0:10:33- It hit me too because when I speak - to them, and we're having a chat...

0:10:34 > 0:10:37- ..you do forget that...

0:10:37 > 0:10:42- Now that I've got to know them and - I know what's going to happen...

0:10:42 > 0:10:45- ..when she said that, - it really hit me.

0:10:45 > 0:10:49- I felt I had to hold back a little. - It's just such a huge thing.

0:10:50 > 0:10:52- Sorry.

0:11:01 > 0:11:02- .

0:11:07 > 0:11:07- Subtitles

0:11:07 > 0:11:09- Subtitles- - Subtitles

0:11:11 > 0:11:14- With one term remaining - until graduation...

0:11:15 > 0:11:18- ..expectations are high - for final year students.

0:11:19 > 0:11:23- Without warning, Guto and Swyn's - skills will be tested to the fore.

0:11:24 > 0:11:28- Today, we've set up a cardiac arrest - scenario with the students.

0:11:29 > 0:11:31- They don't know - we're going to bleep them.

0:11:31 > 0:11:34- They haven't dealt with this - on their own before.

0:11:34 > 0:11:40- Blood pressure is around 119. - We're quite happy with that.

0:11:43 > 0:11:45- BLEEPS

0:11:46 > 0:11:49- He still needs to do - the end of block reports thing.

0:11:49 > 0:11:51- BLEEPS

0:11:52 > 0:11:54- Guto?

0:11:54 > 0:11:55- Uh?

0:11:55 > 0:11:57- Oh, OK.

0:11:57 > 0:11:59- See you soon.

0:12:08 > 0:12:10- Hiya.

0:12:11 > 0:12:13- OK, what's happened here?

0:12:13 > 0:12:16- Mr Jones...

0:12:18 > 0:12:20- ..he's become unresponsive.

0:12:20 > 0:12:23- There's no pulse. - Carry on with the CPR.

0:12:23 > 0:12:25- I'll get the defib ready.

0:12:26 > 0:12:30- The first time they do it, the - adrenaline has built up on the way.

0:12:30 > 0:12:35- They're out of breath - and they're not sure what to expect.

0:12:36 > 0:12:39- It could be a child, - it could be anything.

0:12:39 > 0:12:41- Just putting the defibs on.

0:12:43 > 0:12:45- I'm switching it on, OK.

0:12:46 > 0:12:48- We're going to shock. OK?

0:12:49 > 0:12:51- I'll turn it up to 150.

0:12:54 > 0:12:57- Charging. OK?

0:12:57 > 0:13:00- When Guto was using the defib, - it's important to realise...

0:13:01 > 0:13:04- ..that these are real defibs, - they're not toys.

0:13:04 > 0:13:06- Off.

0:13:09 > 0:13:11- Carry on.

0:13:11 > 0:13:12- OK, is there IV access?

0:13:13 > 0:13:17- No, we tried earlier. - We couldn't get it in.

0:13:17 > 0:13:19- Are we going IO?

0:13:19 > 0:13:20- IO?

0:13:20 > 0:13:22- Can you get an IO kit out?

0:13:22 > 0:13:23- Can you get an IO kit out?- - There's one to your side.

0:13:24 > 0:13:26- As a rule, there's a team of six.

0:13:26 > 0:13:30- There's enough for one to make - decisions, one to do the defib...

0:13:30 > 0:13:33- ..one to get access, - one to administer drugs...

0:13:33 > 0:13:36- ..someone to swap - for the chest compressions.

0:13:38 > 0:13:41- The ECG looks alright, - check the pulse.

0:13:42 > 0:13:44- There's no pulse.

0:13:44 > 0:13:47- We can't shock. Adrenaline.

0:13:49 > 0:13:52- Adrenaline, one milligramme. - One in ten thousand.

0:13:53 > 0:13:55- Adrenaline going in.

0:14:04 > 0:14:06- Hello. Check the pulse.

0:14:07 > 0:14:09- Can we do an ABCDE, please?

0:14:09 > 0:14:11- OK. What's his name?

0:14:11 > 0:14:12- OK. What's his name?- - Robert Jones.

0:14:13 > 0:14:14- Hello, Robert?

0:14:14 > 0:14:18- Can you confirm your date of birth?

0:14:21 > 0:14:23- OK, we can stop there.

0:14:23 > 0:14:25- OK, well done.

0:14:26 > 0:14:29- Right, so, how did you feel - when your bleeper went off?

0:14:29 > 0:14:31- I just panicked.

0:14:31 > 0:14:32- I just panicked.- - Calmed down now.

0:14:33 > 0:14:37- It was the adrenaline first - when it went off.

0:14:38 > 0:14:40- You don't know what's ahead.

0:14:40 > 0:14:42- You were the team leader.

0:14:42 > 0:14:46- What do you think - you should have been doing?

0:14:46 > 0:14:48- Did you feel like a spare part?

0:14:48 > 0:14:51- It felt odd standing there - doing nothing...

0:14:52 > 0:14:55- ..but I think it's important - to have someone...

0:14:55 > 0:15:00- ..whose role is to keep an eye - on what everyone else is doing.

0:15:00 > 0:15:02- It could have been more slick.

0:15:02 > 0:15:06- It's the first time we've done it...

0:15:06 > 0:15:07- It's the first time we've done it...- - Practise, yeah.

0:15:08 > 0:15:10- If I was in that situation - next time...

0:15:11 > 0:15:14- ..at least I'd have an idea - about what to do.

0:15:14 > 0:15:17- For a first time, - that was very good.

0:15:17 > 0:15:18- There we go.

0:15:19 > 0:15:23- It was good to have the experience - of practising something like that.

0:15:27 > 0:15:30- A month into the oncology project...

0:15:31 > 0:15:34- ..Sioned returns - to Velindre Cancer Centre...

0:15:35 > 0:15:38- ..to catch up with Neil after - a difficult chemotherapy session.

0:15:39 > 0:15:42- After the last chemotherapy, - Neil wasn't keen on another course.

0:15:43 > 0:15:46- We'll discuss in the review - whether he takes the final course.

0:15:46 > 0:15:50- He felt very ill - after the previous one.

0:15:50 > 0:15:53- They'll discuss - if it's worth another go.

0:15:57 > 0:15:59- So I would like you to have...

0:15:59 > 0:16:00- So I would like you to have...- - No, you wouldn't.

0:16:01 > 0:16:04- You said the wrong thing - with your tinnitus.

0:16:04 > 0:16:06- I would like, if you will have it...

0:16:06 > 0:16:10- ..there is a benefit to you - having your final chemotherapy.

0:16:10 > 0:16:14- The best treatment is for you - to have all three chemotherapies.

0:16:15 > 0:16:20- Some people come to this stage in - their treatment and they're unwell.

0:16:20 > 0:16:23- Not able to eat or drink, - very severe side effects.

0:16:23 > 0:16:26- We wouldn't give them - the third chemotherapy.

0:16:26 > 0:16:30- You're in good shape - for where you are in your treatment.

0:16:30 > 0:16:31- No, I'm not.

0:16:31 > 0:16:33- On that basis...

0:16:34 > 0:16:37- ..I would like to offer you - the full course of your treatment.

0:16:38 > 0:16:39- That gives us the best chance.

0:16:40 > 0:16:43- You just want to torture me, - don't you?

0:16:46 > 0:16:48- I'm not going to force you - to have it.

0:16:48 > 0:16:52- I'll have it then. If you think it's - best, that's what we'll go with.

0:16:52 > 0:16:57- We discussed whether he'd have - the final chemotherapy.

0:16:57 > 0:16:59- That's booked in for next week.

0:17:00 > 0:17:05- I didn't think he'd take it but - the consultant talked him round.

0:17:05 > 0:17:09- He's having his chemotherapy - next week.

0:17:09 > 0:17:13- That finishes your treatment, - we've done all the treatment we can.

0:17:13 > 0:17:14- We've given it our best shot.

0:17:20 > 0:17:23- It's the final week - of Neil's treatment.

0:17:23 > 0:17:26- He's here - for the final chemotherapy.

0:17:27 > 0:17:28- Hiya.

0:17:29 > 0:17:31- Last week you said - your pain was quite bad.

0:17:31 > 0:17:34- They told you to double - your painkillers.

0:17:37 > 0:17:40- That's because - you are actually taking it.

0:17:40 > 0:17:45- Linda found out that Neil was - refusing to take his painkillers.

0:17:45 > 0:17:48- That's why he was in so much pain.

0:17:48 > 0:17:51- The pain was stopping him eating.

0:17:51 > 0:17:54- How's it been over the weekend?

0:17:54 > 0:17:56- Bad, really bad.

0:17:56 > 0:17:58- And he've stopped eating.

0:17:58 > 0:18:00- Have you?

0:18:04 > 0:18:09- The dietician weighed him and he's - lost more weight since the weekend.

0:18:09 > 0:18:14- She was worried about his weight. - She considered inserting a tube.

0:18:14 > 0:18:18- The tube goes up through the nose - and down to the stomach.

0:18:18 > 0:18:21- That provides him with nutrition.

0:18:22 > 0:18:24- So I can see - a PEG feed coming on here.

0:18:24 > 0:18:26- Can you?

0:18:31 > 0:18:34- Do you think - you can force yourself to eat?

0:18:34 > 0:18:37- They discussed one at the start - of the treatment.

0:18:37 > 0:18:42- He said right from the start that - it was the one thing he opposed.

0:18:43 > 0:18:45- He's had a shock today to hear that.

0:18:46 > 0:18:49- He's been focused - on completing the treatment.

0:18:49 > 0:18:52- To hear that, - it was a setback for him.

0:18:52 > 0:18:55- The oncology project - is about understanding...

0:18:55 > 0:18:59- ..from the diagnosis, - all the way through the treatment...

0:18:59 > 0:19:02- ..and hopefully, - a good resolution...

0:19:02 > 0:19:05- ..in some cases, - not a good resolution.

0:19:05 > 0:19:08- In many cases, - the resolution is not good...

0:19:08 > 0:19:12- ..but every patient, - irrespective of where they get to...

0:19:13 > 0:19:15- ..deserves the same standard - of care.

0:19:16 > 0:19:21- It's an eye opener - about what's ahead for us.

0:19:21 > 0:19:24- You're not human, - you're not in the right job...

0:19:24 > 0:19:27- ..if you turn up for work - every day...

0:19:27 > 0:19:31- ..thinking that person's - just had that diagnosis.

0:19:31 > 0:19:34- I wouldn't want - to be like that either.

0:19:37 > 0:19:38- How are you?

0:19:38 > 0:19:43- Better than I was - but I'm still breathless.

0:19:43 > 0:19:47- Over the weekend, - I was in a bit of a state.

0:19:47 > 0:19:49- I had it drained yesterday...

0:19:49 > 0:19:52- ..and they said - they got a litre of fluid off.

0:19:52 > 0:19:54- It's rapidly accumulating.

0:19:54 > 0:20:00- We've got no choice but - to recommend you go to chemotherapy.

0:20:00 > 0:20:01- OK.

0:20:02 > 0:20:04- We need to get on top of it.

0:20:04 > 0:20:07- I think that's the way - we need to go.

0:20:07 > 0:20:08- OK.

0:20:09 > 0:20:10- Alright?

0:20:10 > 0:20:12- It's good for you, innit?

0:20:12 > 0:20:13- Yeah.

0:20:18 > 0:20:21- Nina was hoping to avoid - more chemotherapy.

0:20:21 > 0:20:24- It's just what I didn't want to do.

0:20:24 > 0:20:28- Just what you didn't want to do. - There's no option, is there?

0:20:29 > 0:20:31- Doesn't sound like it, does it?

0:20:31 > 0:20:33- Doesn't sound like it.

0:20:40 > 0:20:42- Tubes in, tubes out.

0:20:46 > 0:20:49- Makes you feel like - you're shuffling off now.

0:20:50 > 0:20:52- It's for the best at the moment.

0:20:53 > 0:20:56- It's the best of what we've got.

0:20:58 > 0:20:59- Yeah.

0:21:01 > 0:21:03- It's important that we see this...

0:21:04 > 0:21:09- ..so we understand the impact - it has on patients in the future.

0:21:10 > 0:21:13- One traumatic experience for me...

0:21:13 > 0:21:18- ..was having a patient who had - no symptoms before the treatment.

0:21:18 > 0:21:23- What hit her more than anything - was the treatment itself.

0:21:23 > 0:21:27- She had terrible side effects, - it was excruciating watching her.

0:21:27 > 0:21:29- She deteriorated every week.

0:21:30 > 0:21:33- I could see the deterioration - and that was difficult.

0:21:33 > 0:21:36- The pain wasn't coming - from the cancer itself...

0:21:36 > 0:21:40- ..but from the treatment - that was meant to heal her.

0:21:40 > 0:21:44- If it's like the other lot when I - had the first one, I'm not doing it.

0:21:45 > 0:21:47- I'm not that brave.

0:21:51 > 0:21:55- Being a patient - is immensely challenging...

0:21:55 > 0:21:59- ..both for the patient themselves - and for everybody around them.

0:21:59 > 0:22:02- It sounds glib - but it does change your life.

0:22:02 > 0:22:04- It changes your whole life.

0:22:04 > 0:22:09- You need to understand that dynamic - if you're going to be a doctor.

0:22:09 > 0:22:15- It's helped me because no-one in - my family has had that diagnosis.

0:22:15 > 0:22:17- It also scares you.

0:22:17 > 0:22:21- You read in the paper, - "one in two of you."

0:22:22 > 0:22:24- It scares you.

0:22:24 > 0:22:27- I think it's important - for us to have this.

0:22:27 > 0:22:31- I feel as if I've grown up - - it's made me think more...

0:22:32 > 0:22:35- ..about how patients feel - and the fears they have.

0:22:36 > 0:22:39- I think a lot of people think, - "Why me?"

0:22:40 > 0:22:43- The risk factors - are smoking and drinking.

0:22:44 > 0:22:47- My patient had never smoked, - didn't drink much. Why me?

0:22:47 > 0:22:51- You're sitting in a room and you - have no idea what to tell them.

0:22:51 > 0:22:53- If you're a good doctor...

0:22:54 > 0:22:56- ..you have feelings...

0:22:56 > 0:23:02- ..and you can feel the loss - for the family.

0:23:02 > 0:23:07- You need to show - some kind of humanity...

0:23:09 > 0:23:11- ..because it's difficult.

0:23:11 > 0:23:14- If you can't, - if you have no emotions...

0:23:14 > 0:23:17- ..I don't think - you're in the right job.

0:23:22 > 0:23:25- Neil agreed to a tube - to help feed him...

0:23:25 > 0:23:31- ..but since then, he's completed his - treatment and made a full recovery.

0:23:31 > 0:23:34- Nina's chemotherapy - treatment continues...

0:23:35 > 0:23:39- ..in the hope that she will be able - to spend more time with her family.

0:23:55 > 0:23:57- S4C Subtitles by Adnod Cyf.

0:23:57 > 0:23:57- .