Pennod 7 Doctoriaid Yfory


Pennod 7

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-It's a privilege being a doctor...

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-..because you take a peek

-into people's lives.

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-There's no better feeling

-than when people say thank you.

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-Our cameras have been following

-students at Cardiff University.

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-You see things you'd never normally

-see. You're forced to grow up.

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-15 individuals on an unique course.

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-We get the creme de la creme.

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-I'm the most competitive person.

-I'm itching for the responsibility.

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-From the classroom

-to hospitals across Wales.

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-It's going to be more challenging

-than anything they've done before.

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-Entering the medical world

-for the first time.

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-Young doctors are like chicks.

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-Remember that? It was hilarious!

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-Facing the greatest challenge

-of their young lives.

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-This year was the first time

-I'd seen someone die.

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-It really hit me

-because she's not going to recover.

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-I feel like I'm drowning,

-that I'm not doing enough work.

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-Medicine is hard,

-the course is hard.

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-We chronicle their every step

-to become the doctors of tomorrow.

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-We'll be the doctor on the scene.

-We'll be in charge.

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-This is superb.

-What made me want to do this?

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-This is not about elitism.

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-You have been given a gift.

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-You must use that gift...

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-..to do good.

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-After five years of hard work,

-the end is in sight...

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-..for senior students.

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-Fifth-years Carys and Guto

-are just weeks away...

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-..from graduating as doctors.

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-They must first complete

-one final clinical placement.

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-The work shadowing placement is

-a chance to gain work experience...

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-..in the position they will fill

-after graduating.

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-I'm currently on

-my final placement of the course.

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-I'm doing geriatric care

-in Carmarthen.

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-That'll be my first job in August...

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-..so I'll learn how things work

-on the ward and shadow the F1...

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-..to see what the role entails.

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-The responsibility I'll shoulder

-in a month's time has hit home.

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-The placement

-is a kind of apprenticeship...

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-..in how to behave on the ward...

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-..how you turn up on a ward

-at eight every morning...

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-..how you

-make a list of your duties...

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-..how you fulfil them

-by the end the day...

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-..and hand over the list

-to the night staff.

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-It's good for them to see...

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-..what's expected of them.

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-What their daily tasks will be.

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-They've passed their exams,

-they just need practical experience.

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-Hello, Caryl.

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-My name's Carys,

-I'm one of the medical students.

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-This was my first choice...

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-..because I wanted

-to start with general medicine.

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-Geriatric care

-deals with a variety of problems.

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-I thought it was a good way

-of getting a broader perspective.

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-My legs swelled...

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-..because I had yellow jaundice.

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-They swelled up immediately.

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-Some have onset dementia whereas

-others have serious dementia.

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-They're not sure

-where they are and who you are.

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-That's a new challenge but you see

-it a lot more on a geriatric ward.

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-So you're getting stronger...

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-..which is great.

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-It's nice getting to know the people

-who work on this ward...

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-..because it's not

-a very big hospital.

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-I'll be working here in August,

-so I'm familiarizing myself...

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-..with how things work.

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-It's an odd feeling now that

-everything's coming to an end.

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-This is our final placement

-and then we graduate.

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-Everyone feels ready to start

-working now. It's quite exciting.

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-With many more years of study

-ahead of them...

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-..third-year students

-are on their hospital placements.

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-Elen and Catrin see a variety

-of patients in the fracture clinic.

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-This block is hospital front door,

-so it's acute medicine...

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-..rather than chronic disease,

-but I'm really enjoying it.

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-This is not something I've

-ever considered specializing in...

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-..but it's interesting

-and it's a different field.

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-Very often, these young people

-haven't had to talk to adults.

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-They haven't had to ask adults

-questions in a respectful way...

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-..or know that it's OK

-to ask personal questions.

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-They must quickly

-get into the rhythm...

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-..of asking the right questions...

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-..and seeing how far they can push

-a patient, which is so important.

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-The science behind it

-provides the foundation...

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-..but we treat people

-on a day-to-day basis.

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-This man has two fractures

-in his little finger...

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-..and he's had to have pins in

-his hands to stabilize the fracture.

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-Did you fall?

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-I fell off my push bike.

-It was pouring down with rain.

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-It was a dropped kerb, and as I went

-up it, the front end went away...

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-..and I landed on the manhole cover

-- it's a double fracture.

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-That's one.

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-That's the other. Alright?

-Still with us?

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-Most of the time

-the patients are really good.

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-They understand

-that this is the way we learn.

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-They're keen to have us there

-and they show us everything.

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-Trust is a big thing,

-and in three years' time...

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-..they're going to have to trust us.

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-I chose this course, knowing

-I couldn't walk out the door...

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-..and forget what I'd done that day

-because it's people's lives.

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-If you've done something wrong,

-it can have serious consequences.

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-The responsibility

-is starting to dawn on me.

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-I just hope

-I'll do right by the patients.

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-What's odd about that, do you think?

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-What's odd about that, do you think?

-

-It's, like, sticking out a bit.

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-INAUDIBLE

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-That has basically

-punched up into there.

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-That's a rare injury.

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-Let's go and see how he's doing.

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-I done it in work. I pull cables

-and it caught under the ground.

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-The rope shot out of my hands...

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-..and as I let go,

-it wrapped around my finger.

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-Sounds painful.

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-If I do this...

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-..can you see it goes that way?

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-We can push on with therapy

-for several months.

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-Several months?

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-Several months?

-

-It's going to be a long time...

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-..in terms of

-overcoming the stiffness.

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-The break's still healing...

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-..so I might have to

-take some of the metalwork out.

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-Another operation?

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-Another operation?

-

-You may do, yes.

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-I went over bones this morning...

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-..and I was clueless.

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-..and I was clueless.

-

-I thought I'd revised enough...

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-..but oh, my god!

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-He shows us X-rays and

-then he takes us to the patient...

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-..and we can assess the movement.

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-It's good being able

-to see the fracture on the X-ray.

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-Unlike the third-years,

-Guto's feeling more confident...

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-..in the final months of the course.

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-He's also on his final

-clinical placement in Merthyr.

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-I'm on ward 12...

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-..at Prince Charles Hospital.

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-This is the respiratory ward...

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-..and this is where I'll be working

-from the end of July onwards.

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-The other good thing

-about this placement...

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-..is that it's not

-just about studying the lungs...

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-..and the diseases which

-affect people with lung problems.

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-It's more to do

-with familiarizing myself...

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-..with the environment

-I'll be working in.

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-Knowing the daily routine...

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-..and knowing our responsibilities

-when we take over the job.

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-You need big biceps to do this job.

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-This is a massive pile

-of patients' notes.

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-This placement has shown me

-how stressful it can be...

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-..remembering where all the

-patients are and what's going on...

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-..and making sure everything's

-been done before leaving.

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-I'm familiarizing myself...

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-..and there are no exams

-to fret about.

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-It's stress free, more or less.

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-I'm enjoying it. It's great.

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-I'm glad of this opportunity.

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-Perhaps it's better

-that I make mistakes now...

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-..rather than make them when

-I'm actually paid to do the job.

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-My name is Guto.

-I'm one of the medical students.

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-Your name is Mrs Jones, right?

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-It's nice to meet you.

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-I've been

-having a look through your notes.

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-I was wondering if you could

-talk to me about why you came in.

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-I don't remember a lot about it...

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-..but apparently my husband woke at

-4.00am and I was shaking all over.

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-I didn't know where I was.

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-I take MST and Oramorph...

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-..because I've had

-numerous operations on my stomach.

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-Because I couldn't pass urine,

-the morphine was staying in my body.

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-It wasn't being flushed out. I

-poisoned my body with the morphine.

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-Like a type of overdose thing,

-you know?

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-I've had gangrene in the bowel,

-I've had blockages.

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-I've had stomach abscesses.

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-I've had adhesions

-and scar tissue removed.

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-Plenty of stuff there.

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-Last week we were

-down to one doctor on the ward...

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-..and she had to go

-and see a patient on another ward.

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-I held the bleep for a while.

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-I know what kind of doctor I'll be

-after that day...

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-..because I was so stressed.

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-I can tell what I'll be like,

-especially in the first month.

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-I'll worry

-I've forgotten to do something...

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-..or I've done something wrong.

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-I hope that'll improve but that's

-what I'll be like at the start.

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-Your ankles are a bit swollen.

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-Your ankles are a bit swollen.

-

-Yes, my legs are.

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-You can obviously see...

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-..there's a fluid build-up

-in the legs and ankles.

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-There's not much time left -

-only a few weeks...

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-..before I graduate, and within

-a fortnight I'll be on the ward...

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-..actually doing the job.

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-It's daunting, really...

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-..but I think it's important

-to be confident about it.

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-I'm feeling confident...

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-..and I feel ready.

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-Cheers. I'll see you soon, OK?

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-Elen and Catrin are on placement

-in a fracture clinic.

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-The students

-are treating a patient...

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-..whose fracture

-will have a big impact on his life.

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-There's not enough work,

-so they've laid us off.

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-Obviously now I can't get work.

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-Obviously now I can't get work.

-

-You're only fit for one-handed work.

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-Light duties with your left hand.

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-Light duties with your left hand.

-

-The only other job I do...

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-..I could go back to,

-I've already been there...

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-..is driving a crane,

-and that's with two hands.

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-And labouring,

-which I'll need both hands.

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-Do I need to get a sick note?

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-Do I need to get a sick note?

-

-I can give you a sick note.

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-How long is this likely to be?

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-How long is this likely to be?

-

-It's going to be months.

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-It's one of the worse injuries

-you can get to the finger.

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-I've only seen a couple like it.

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-It is a bad injury.

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-Coming to the end

-of the clinical years...

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-..and developing into someone

-who can take a patient's history...

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-..and working out the diagnosis

-and course of treatment...

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-..makes you feel

-as though you've arrived.

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-Putting all that knowledge

-into practice is the highlight.

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-The last one we saw

-was a three-year-old child.

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-A child's X-ray

-differs greatly from an adult's.

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-Do you know

-what type of fractures children get?

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-What's different about a

-child's bone compared to an adult's?

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-Is it softer?

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-Is it softer?

-

-More elastic.

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-If you were to try and snap it,

-a child's bone doesn't snap.

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-An adult's will snap

-and you get a typical fracture.

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-A child will bend.

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-I've never seen

-a child's X-ray before. It was odd.

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-He asked what's different

-about a child's fracture...

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-..but I didn't know where to start.

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-Can I have a look at your arm?

-Do you like red?

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-Is it your favourite colour?

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-It's a bit daunting to think

-that in two years' time...

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-..we'll be

-prescribing stuff for people...

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-..and deciding

-on a course of treatment.

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-She's got a fracture

-of one of the bones in her forearm.

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-That's sometimes associated

-with dislocation but this is not.

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-It means

-we don't have to operate on it...

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-..but she'll need

-another two weeks in plaster.

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-OK, darling?

-Are you going to say bye?

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-Bye.

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-The big day has finally arrived

-for the fifth-year students.

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-Five years after entering

-the university as students...

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-..today they'll step out

-into the world as junior doctors.

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-I'm just picking up my cap and gown.

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-I'm not sure how it works.

-I'll have to work it out.

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-I have a code on my phone.

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-The effort and sacrifice

-over the years...

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-..has been

-leading up to this moment.

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-Graduating as a doctor.

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-Graduating as a doctor.

-

-It feels so weird.

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-Feels like I'm actually graduating

-now I'm wearing the robe.

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-Seeing everyone look smart and happy

-is nice. It's exciting.

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-Today marks the end of a journey

-that began five years ago...

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-..when the students

-moved to Cardiff.

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-I looked forward

-to moving to Cardiff...

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-..but it took me half an hour

-to get to the university.

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-There were

-far more people than I expected.

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-Five years of study scares me.

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-I don't know how I'm

-going to be ready in five years.

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-It sounds a long time but it's not

-nearly long enough to learn it all.

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-They had to

-deal with anatomy lessons.

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-I enjoyed the dissection.

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-I didn't.

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-I remember the first session...

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-..made me feel uneasy.

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-We had to make the first incision.

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-They practised clinical skills

-in the classroom...

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-I'm going to have a look

-at your back passage.

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-So, I'm just going to be having

-a feel around in a second now, OK?

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-..before dealing

-with real patients on placement.

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-They removed the rectum

-and most of the large intestine.

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-The surgery went well,

-but the thing about cancer...

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-..is that it's so unpredictable.

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-They took responsibility

-in an emergency.

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-There are two casualties on

-the floor, a motorbike and a car.

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-There's another patient in the car.

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-They experienced first hand

-the emotional challenge...

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-..of being an oncology patient.

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-I was told I got two years.

-I've had 10 months of that now.

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-She said she won't see

-her grandchildren grow up.

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-That really hit me, actually,

-because...

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-..that's quite, like, sorry....

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-And the harsh reality of the job

-in the A&E department.

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-It's so busy and there are

-lots of beds and trolleys...

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-..where people

-were admitted overnight.

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-There are still

-many waiting outside on chairs...

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-..because there's no room for them.

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-The journey has been eventful...

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-..full of highs...

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-I didn't think I'd manage it. Yes!

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-Really good.

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-..and lows.

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-This year was the first time

-I'd seen someone die.

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-A journey that will continue

-for the majority after today.

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-It makes us realize

-how much pressure we'll be under...

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-..in two and a half years' time.

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-It also makes me realize

-that I do know quite a lot...

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-..and we're only halfway through.

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-Graduating means so much

-to the students and their families.

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-It's a lovely day...

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-..and we're so proud of her -

-you've worked so hard.

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-We're going to

-enjoy the day together.

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-Yes, it's nice

-we can spend it together.

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-I'm really excited because I can

-officially call myself a doctor!

0:18:130:18:17

-The five years have flown, though

-it feels like I've only just begun.

0:18:170:18:22

-It's been an incredible journey.

0:18:220:18:24

-For Guto, the end of the journey

-is a time to reflect...

0:18:270:18:31

-..on this unique course's

-highlights and challenges.

0:18:320:18:35

-The elective

-was definitely the highlight.

0:18:350:18:38

-I went to Tonga

-and worked there for four weeks...

0:18:390:18:43

-..before going travelling -

-it was an incredible experience.

0:18:430:18:47

-Being on the course is incredible

-in itself. It offers so much.

0:18:470:18:52

-You won't experience

-anything like it elsewhere.

0:18:520:18:56

-I'm glad I chose Tonga.

0:18:560:18:58

-The healthcare system

-is different from ours.

0:18:590:19:02

-Heart failure is not something

-you associate with children.

0:19:020:19:06

-You wouldn't see it at home.

0:19:060:19:08

-It was an unforgettable experience.

0:19:090:19:11

-When I reflect

-on my time in Cardiff...

0:19:110:19:14

-..that will definitely stand out

-as the highlight for me.

0:19:150:19:19

-I think there are

-lots of highlights in this job.

0:19:200:19:24

-Though the responsibility

-is stressful...

0:19:240:19:27

-..being responsible for

-helping patients gives you a buzz.

0:19:270:19:31

-It's a great course.

0:19:310:19:34

-Over the five years, I enjoyed it

-a little more every year.

0:19:340:19:40

-The skills you learn, you won't

-get them from any other course.

0:19:420:19:46

-It's not just about

-academic achievement.

0:19:460:19:50

-An important part

-is your interpersonal skills...

0:19:500:19:53

-..and your interaction

-with patients on the ward.

0:19:540:19:58

-It's an unique course

-and despite the stress...

0:19:580:20:02

-..it's been worth

-every single second.

0:20:020:20:06

-For anyone thinking of studying

-medicine, I'd say go for it.

0:20:070:20:10

-It's worth doing.

0:20:110:20:13

-Guto Rhys Hughes.

0:20:140:20:16

-Completing the course

-is a feat in itself.

0:20:220:20:25

-It's been challenging...

0:20:250:20:28

-..and there've been many times

-when I wasn't sure I could do it.

0:20:280:20:32

-Reaching the end

-and knowing I'm almost a doctor...

0:20:330:20:36

-..is a nice feeling.

0:20:370:20:39

-You do feel proud of yourself.

0:20:440:20:46

-You've had to work hard

-to reach this point.

0:20:470:20:49

-There've been days when I thought

-I couldn't carry on...

0:20:500:20:54

-..so I'm happy.

0:20:540:20:56

-It might sound like a cliche...

0:20:560:20:59

-..but now the real work begins.

0:21:000:21:02

-I'm looking forward

-to showing what I can do...

0:21:030:21:07

-..and what I've learned

-over the past five years.

0:21:080:21:11

-It varies from day to day.

0:21:130:21:15

-There are days when I think,

-I'm ready, I'm excited...

0:21:160:21:19

-..and there are other days

-when I don't feel ready.

0:21:190:21:22

-And that's so scary.

0:21:220:21:24

-It's come to a nice closure,

-hasn't it?

0:21:250:21:28

-It's been a brilliant day.

0:21:280:21:30

-We've celebrated

-five years of hard work...

0:21:300:21:34

-..with a bit of fun in the middle.

0:21:340:21:36

-..with a bit of fun in the middle.

-

-Everyone's really happy.

0:21:360:21:39

-We're all celebrating

-the same thing.

0:21:390:21:42

-We've gone through it

-and come out the other end.

0:21:420:21:45

-They don't have to

-make decisions until August.

0:21:470:21:51

-Making decisions

-and the onus being on you...

0:21:510:21:54

-..to discharge a patient or to keep

-a patient in hospital is different.

0:21:550:22:00

-This is

-just the beginning of their journey.

0:22:010:22:05

-There are

-many more exams ahead of them.

0:22:050:22:08

-When I was interviewed

-for a consultant's post...

0:22:080:22:12

-..they asked if I felt I was a fully

-qualified orthopaedic surgeon...

0:22:120:22:16

-..and I said no, I'll be

-fully qualified the day I retire.

0:22:160:22:21

-Starting the job in August is the

-beginning of the journey for them.

0:22:210:22:26

-They've been given the grounding,

-now it's up to them.

0:22:260:22:30

-I wasn't sure if I wanted to do

-medicine when I was at school...

0:22:300:22:34

-..but I went for it

-and I can honestly say...

0:22:350:22:38

-..that I'm very pleased

-I made that decision.

0:22:390:22:42

-It's thanks to Mam, really, for...

0:22:420:22:45

-..I won't say forcing me to do it...

0:22:480:22:50

-..but she was keen for me to do it.

0:22:530:22:55

-And I listened to her.

0:22:560:22:58

-I'm glad I did.

0:22:580:23:00

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