0:00:02 > 0:00:03Summer 2010,
0:00:03 > 0:00:07and seven junior doctors hit the wards of Newcastle's hospitals.
0:00:07 > 0:00:08Cardiac arrest.
0:00:08 > 0:00:12One year later, as they're about to move on,
0:00:12 > 0:00:14they're getting together for one last time.
0:00:14 > 0:00:17The sad thing about it all being over is,
0:00:17 > 0:00:20a year down the line, we are all moving apart.
0:00:20 > 0:00:21They'll recall the tough times.
0:00:21 > 0:00:24It was just so daunting on so many levels.
0:00:24 > 0:00:30- I felt like a rabbit in headlights, to be honest.- The fun times.
0:00:30 > 0:00:33- # I really need you tonight! # - Their most memorable moments.
0:00:33 > 0:00:36Someone says, "You're the girl with the toilet brush!"
0:00:36 > 0:00:39And I was like, "I was not WITH the toilet brush!"
0:00:39 > 0:00:44- That is on fire!- It was like, oh, my God, everybody, it's a fire.
0:00:44 > 0:00:46And moments they'd rather forget.
0:00:46 > 0:00:51Suzi is going to murder me, but there is a moment with a chip.
0:00:51 > 0:00:53Cos you know, you've got...
0:00:53 > 0:00:55What they learnt.
0:00:55 > 0:00:58If you're nervous, you have to hide it as much as you can.
0:00:58 > 0:01:01- Has he ever done it? - Oh, yeah, he's done it before.
0:01:01 > 0:01:03The nurses are our lifesavers.
0:01:03 > 0:01:06And where they're going next.
0:01:06 > 0:01:10I think it's time to go back to Hong Kong, where I come from.
0:01:10 > 0:01:13Just to not messing up too badly.
0:01:29 > 0:01:34August 2010, and these seven junior doctors were about to embark
0:01:34 > 0:01:38on one of the most challenging times of their lives.
0:01:38 > 0:01:42They were joining thousands of other junior doctors across the UK
0:01:42 > 0:01:46who were starting work on the wards for the first time.
0:01:48 > 0:01:53One year on, they're coming together for the last time.
0:01:53 > 0:01:56I'm doing a little bit more in terms of seeing patients
0:01:56 > 0:01:58and making decisions.
0:01:58 > 0:02:01Now I do feel more like a doctor than I did.
0:02:01 > 0:02:04At the end of the year you're like, I kind of know what's going on.
0:02:04 > 0:02:08I know what I'm supposed to do and I know how to do it.
0:02:08 > 0:02:12I've changed loads. It's completely different
0:02:12 > 0:02:16- from the start of the year.- I feel more like a doctor, but I think
0:02:16 > 0:02:19that's because as I've improved throughout the year
0:02:19 > 0:02:21people are treating me more like one.
0:02:21 > 0:02:24Maybe you just give the wrong impression.
0:02:24 > 0:02:27I think we've all learned a lot about medicine
0:02:27 > 0:02:30and a lot about ourselves and how we deal with situations,
0:02:30 > 0:02:33- and that's all really good experience.- Yeah.
0:02:33 > 0:02:36Has anyone mastered the art of being in four places at once yet?
0:02:36 > 0:02:41- No, I think you eventually... - Eventually, you'll have a junior doctor underneath and you can.
0:02:41 > 0:02:43You can delegate that.
0:02:43 > 0:02:4712 months earlier, they were far less confident.
0:02:47 > 0:02:50I just keep telling myself that there's literally
0:02:50 > 0:02:53tens of thousands of people in exactly my position
0:02:53 > 0:02:55that will be going on the wards
0:02:55 > 0:02:57and at least one of those people...
0:02:57 > 0:03:00at least one of those people will make a worse mistake than me.
0:03:00 > 0:03:03Fresh out of med school were the first years
0:03:03 > 0:03:07Adam, Lucy and Katherine.
0:03:07 > 0:03:08It's the sort of profession
0:03:08 > 0:03:12where people don't want to know if you're a beginner.
0:03:12 > 0:03:14You'll never be ready. You have to deal with it.
0:03:14 > 0:03:18Sharing a house with them were second years,
0:03:18 > 0:03:21Andy, Suzi, Jon and Keir.
0:03:21 > 0:03:23I'm absolutely scared witless as well.
0:03:23 > 0:03:27And they'd already had a year's experience on the wards.
0:03:27 > 0:03:30You can make mistakes and people can die.
0:03:30 > 0:03:33And that's scary. Scares me quite a lot.
0:03:43 > 0:03:45Day one.
0:03:45 > 0:03:49Adam, Lucy and Katherine had only graduated a few weeks before.
0:03:49 > 0:03:52Would it be possible to take that blood from you?
0:03:52 > 0:03:56One of their first responsibilities was to take blood.
0:03:56 > 0:03:59Just tap on you to see if I can get them to stand up a bit better, OK?
0:03:59 > 0:04:01When you first start to take blood,
0:04:01 > 0:04:04you pray for somebody who's got veins you can see
0:04:04 > 0:04:07from the other side of the room and can practically get with a dart.
0:04:07 > 0:04:09That's kind of how I feel and how I felt
0:04:09 > 0:04:12when I first started taking blood on the wards.
0:04:12 > 0:04:14You dreaded the time the nurses said,
0:04:14 > 0:04:16they're difficult to get blood from.
0:04:16 > 0:04:20And first year Katherine was about to encounter such a case.
0:04:20 > 0:04:25The arm's quite swollen. I think it'll be quite difficult.
0:04:25 > 0:04:28I just can't see or feel the vein at all.
0:04:28 > 0:04:30If you're nervous, you have to try
0:04:30 > 0:04:32and hide it as much as you can.
0:04:32 > 0:04:35I don't think it helps the patient if...
0:04:35 > 0:04:38if it looks like you don't know what you're doing.
0:04:38 > 0:04:40I don't want to take it out of that arm.
0:04:40 > 0:04:42I could do your foot.
0:04:46 > 0:04:50- I can see a little one here. - If you put a tourniquet on...
0:04:50 > 0:04:55Yeah. I'll put a tourniquet on. It's quite small.
0:04:55 > 0:05:00I don't know if I can make it bigger, though, with the tourniquet.
0:05:00 > 0:05:05I'm really not convinced this is going to work.
0:05:05 > 0:05:09'When you've been lying in bed with your feet up for three days
0:05:09 > 0:05:12'it's not so easy to get blood out of.'
0:05:14 > 0:05:18No, that's not going to go. Sorry about that.
0:05:18 > 0:05:21It's quite embarrassing to say I can't get blood.
0:05:21 > 0:05:22She was actually, um,
0:05:22 > 0:05:26a nurse herself, so she completely sympathised with me
0:05:26 > 0:05:31and so, you know, obviously I felt awful about it
0:05:31 > 0:05:34but I tried not to beat myself up too much about it.
0:05:34 > 0:05:39I think Katherine demonstrated one example of something
0:05:39 > 0:05:41that we all struggle with at some point.
0:05:41 > 0:05:44And if it's not blood taking, it might be something else.
0:05:44 > 0:05:47First year Adam HAD managed to take blood.
0:05:47 > 0:05:49Bit of a bruise, sorry.
0:05:49 > 0:05:52But struggled in other areas.
0:05:52 > 0:05:55Do you know what Addison's disease is?
0:05:55 > 0:05:58Do you know what the original Addison's disease was?
0:05:58 > 0:06:00Um... I'm trying to think of whether it was ac...
0:06:00 > 0:06:04Is the original Addis...Addison's disease from, er, the pi...
0:06:04 > 0:06:06- No, it's a primary, isn't it?- Yeah.
0:06:06 > 0:06:08Do you know what I'm thinking of?
0:06:08 > 0:06:11Um, anyway, never mind. Another endocrine.
0:06:11 > 0:06:13Go on. So, it's primary adrenal failure
0:06:13 > 0:06:17and what did Addison describe on postmortem in the adrenal glands?
0:06:17 > 0:06:21What was actually causing adrenal destruction?
0:06:21 > 0:06:24- Was it an au... was it an autoimmune...?- No.
0:06:24 > 0:06:28- It was TB...- TB's... - ..of the adrenal glands. - ..the most worldwide.
0:06:28 > 0:06:31I'm sure I could talk about that in length now.
0:06:31 > 0:06:33However, at the time,
0:06:33 > 0:06:35I was under so much pressure to make a good impression,
0:06:35 > 0:06:39it just went straight out of my head.
0:06:39 > 0:06:43If I am asked on my first day what is Addison's disease,
0:06:43 > 0:06:48I will tell that it's something that Dr Biani does not know what it is.
0:06:48 > 0:06:50I didn't come out with it and it didn't sound right
0:06:50 > 0:06:53and I looked like a fool.
0:06:53 > 0:06:56I just felt like I'd made a really bad first impression.
0:06:56 > 0:06:59- I think you're too harsh on yourself.- Am I? Oh.
0:07:03 > 0:07:09Second year Suzi might have had a year's experience on the wards,
0:07:09 > 0:07:12but her new placement was in A&E and she was scared.
0:07:12 > 0:07:15I woke up that day and I felt terrible
0:07:15 > 0:07:18and I just thought, I do not want to go in today and start in A&E.
0:07:18 > 0:07:20First days are petrifying
0:07:20 > 0:07:25and I think in our job, it's just a million times worse.
0:07:25 > 0:07:28A&E lived up to its reputation.
0:07:28 > 0:07:32Suzi's first case was a cardiac arrest.
0:07:32 > 0:07:33It was like, "Go!
0:07:33 > 0:07:37"Cardiac arrest, go!" And I was like, "Ahhhh! A&E!"
0:07:37 > 0:07:38BEEPING
0:07:38 > 0:07:43We're waiting for a cardiac arrest call to come in
0:07:43 > 0:07:47so everyone's just waiting, ready to go.
0:07:47 > 0:07:51I'm just trying to get all my bits and pieces gathered.
0:07:51 > 0:07:56'Inside I just thought, oh, this is just the scariest thing.'
0:07:56 > 0:07:59- Suzi, are you happy to pulse check? - Yeah.
0:07:59 > 0:08:03- Yeah, OK. Are you happy to shock? - Can do.
0:08:03 > 0:08:05- I haven't shocked anyone before. - You haven't?
0:08:05 > 0:08:09- No.- OK. All right, we'll show you, then. OK.
0:08:11 > 0:08:14Looking back, it seems just getting through A&E
0:08:14 > 0:08:18felt like a very long time. Like a lifetime!
0:08:18 > 0:08:21SIREN WAILS
0:08:21 > 0:08:24He arrested in an ambulance.
0:08:24 > 0:08:28The paramedics shocked him out of ETAC, he's now in sinus rhythm
0:08:28 > 0:08:30with a blood pressure of 114/82, but he's...
0:08:30 > 0:08:32he remains unconscious.
0:08:32 > 0:08:35We're in. I haven't got much blood off.
0:08:35 > 0:08:37I'll get some more on the other side as well.
0:08:37 > 0:08:41The patient was unconscious, but his body was writhing
0:08:41 > 0:08:45because of the shortage of oxygen to his brain, a difficult first case for Suzi.
0:08:45 > 0:08:47If you come round to that side,
0:08:47 > 0:08:49the cricoid ring is underneath the Adam's apple.
0:08:49 > 0:08:53When he starts to go to sleep, direct pressure backwards into the bed.
0:08:53 > 0:08:55HE GROANS
0:08:55 > 0:08:58All right. You're all right, well done.
0:08:58 > 0:09:00OK.
0:09:01 > 0:09:0430 minutes in, the patient was stabilised
0:09:04 > 0:09:08and Suzi had passed her first big challenge.
0:09:08 > 0:09:11I guess it's better to be thrown in at the deep end,
0:09:11 > 0:09:14because you think, if can do that on my first day, I can do anything.
0:09:14 > 0:09:17I think Suzi did really well, you know, kept a cool head,
0:09:17 > 0:09:20did things expected of her and she did them well.
0:09:20 > 0:09:23But I was glad that not every day was as tough as my first day.
0:09:23 > 0:09:27Some of them were, but others weren't as bad, thankfully.
0:09:29 > 0:09:32Some nice deep breaths in and out through the mouth.
0:09:32 > 0:09:37Second year Jon's new role was stressful too.
0:09:37 > 0:09:39I'm Dr Barclay, I'm one of the doctors
0:09:39 > 0:09:41at the Emergency Admissions Unit at the RVI.
0:09:41 > 0:09:44As well as working on one of the most demanding wards
0:09:44 > 0:09:49in the hospital, he was also part of the hospital's crash team.
0:09:49 > 0:09:51That's scary because the first couple of minutes
0:09:51 > 0:09:53of a cardiac arrest are important.
0:09:53 > 0:09:56Cardiac arrest!
0:09:58 > 0:10:02If his alarm went off, it meant a medical emergency
0:10:02 > 0:10:04and he had to get there quickly.
0:10:08 > 0:10:12This time, the patient had gone into cardiac arrest and her heart was failing.
0:10:24 > 0:10:26The patient had no pulse.
0:10:26 > 0:10:29Jon started chest compressions to keep blood flowing around the body.
0:10:29 > 0:10:31Yeah, 29, 30.
0:10:41 > 0:10:44But with no heartbeat, time was running out.
0:11:02 > 0:11:05The team had done everything they could.
0:11:05 > 0:11:07Thanks, guys.
0:11:13 > 0:11:17You go through a range of emotions. There's obviously, sadness,
0:11:17 > 0:11:21that someone's passed away, and someone's life's ended.
0:11:21 > 0:11:24Frustration that you have all this training
0:11:24 > 0:11:26and there's thousands and thousands of pounds
0:11:26 > 0:11:29have been invested in you as a doctor
0:11:29 > 0:11:32and nothing that you can do or, you know, think about,
0:11:32 > 0:11:35will be able to change the outcome for this patient.
0:11:37 > 0:11:41You get your first experience of failing to save somebody
0:11:41 > 0:11:43very quickly and very abruptly.
0:11:44 > 0:11:47First year Lucy was about to learn this herself,
0:11:47 > 0:11:51working with some acutely ill patients on the gastro ward.
0:11:51 > 0:11:54I am quite a sensitive and emotional person
0:11:54 > 0:11:57and I saw some lovely patients who were really unwell
0:11:57 > 0:11:59and I found it very difficult in my first job.
0:11:59 > 0:12:02As part of her ongoing training,
0:12:02 > 0:12:06Lucy would accompany consultant Dr Gun on the ward round.
0:12:06 > 0:12:10And what is it you've been noticing?
0:12:10 > 0:12:12First of all I completely lost my appetite.
0:12:12 > 0:12:16- I think I've lost at least a stone and a half.- OK.
0:12:16 > 0:12:20Your tummy then, when did that start to swell up?
0:12:20 > 0:12:23I'm not sure, but it's got increasingly worse.
0:12:23 > 0:12:28The patient had a number of tests to determine the problem.
0:12:28 > 0:12:31Lucy helped Dr Gun assess the X-ray.
0:12:31 > 0:12:34Bowel-wise there looks like gaseous dilation on the left-hand side.
0:12:34 > 0:12:36But here, there's this...
0:12:36 > 0:12:38this sort of central dilated small bowel.
0:12:38 > 0:12:41And we know she's obstructing radiologically,
0:12:41 > 0:12:43and clinically, cos she's acutely distended.
0:12:43 > 0:12:47So, she's in trouble. I need to assess her clinically,
0:12:47 > 0:12:49but my gut feeling is, we should be conservative -
0:12:49 > 0:12:51this is only going to get worse.
0:12:51 > 0:12:53There isn't an operation to help with this,
0:12:53 > 0:12:55palliative or otherwise.
0:12:55 > 0:13:00Dr Gun made the final diagnosis - pancreatic cancer.
0:13:00 > 0:13:04In this case, the condition was terminal.
0:13:04 > 0:13:06The patient was just a lovely, lovely lady.
0:13:06 > 0:13:08She was cheerful, happy,
0:13:08 > 0:13:12and we were about to literally destroy that glint in her eye.
0:13:12 > 0:13:13I put myself in her shoes and thought,
0:13:13 > 0:13:16how do you deal with someone telling you that information?
0:13:19 > 0:13:24Dr Gun had to break the news, and Lucy accompanied her.
0:13:48 > 0:13:50This poor lady we've seen today
0:13:50 > 0:13:53has been told some of the worst news...
0:13:53 > 0:13:56well, the worst news that she's ever going to hear, ever.
0:13:56 > 0:13:59Her life has literally been taken away from her like that.
0:13:59 > 0:14:02And she's just been told, right, you're going to go home to die.
0:14:02 > 0:14:04It's awful. So...
0:14:05 > 0:14:07Yeah, anyway...
0:14:07 > 0:14:10Is there anything else you want me to do for her today?
0:14:10 > 0:14:12Is it all sorted?
0:14:12 > 0:14:14- You all right?- Yeah. Fine.
0:14:14 > 0:14:17Sure? I know, it's sad, isn't it?
0:14:17 > 0:14:21She's...she's got good family support, which helps a lot,
0:14:21 > 0:14:23and we'll get her feeling better.
0:14:23 > 0:14:26The most important thing now is quality of life,
0:14:26 > 0:14:28which we can definitely improve.
0:14:28 > 0:14:29I'm fine.
0:14:29 > 0:14:32I know, it's horrible, and the difficulty is...
0:14:32 > 0:14:35I was all right and suddenly it sort of just came over me.
0:14:35 > 0:14:38That's all right and I won't be nice cos that'll make it worse.
0:14:38 > 0:14:39All right.
0:14:39 > 0:14:42- Thank you. But that's it for today? - Yeah, thanks, Lucy.
0:14:42 > 0:14:45Brilliant, OK, no problem. It's all right.
0:14:45 > 0:14:49What I hoped was I would perhaps be able to hide my emotions a bit more at work.
0:14:49 > 0:14:54You don't expect your doctor on the wards to get upset or to cry over you
0:14:54 > 0:14:57or over their patients, but at the same time
0:14:57 > 0:14:59we all have those emotions and we all really care.
0:14:59 > 0:15:01That's why we do the job.
0:15:01 > 0:15:02Are you OK?
0:15:02 > 0:15:04Just knackered and had a shit day.
0:15:04 > 0:15:08It's one thing caring within yourself and it's another thing
0:15:08 > 0:15:10actually showing that and, you know,
0:15:10 > 0:15:14you could just hug and kiss Lucy when you see her crying about a patient,
0:15:14 > 0:15:16you know, cos she's sincere with it.
0:15:16 > 0:15:18It just left me completely drained.
0:15:18 > 0:15:20I sort of sat there and I was just like...
0:15:20 > 0:15:23So, anyway, that was my day.
0:15:23 > 0:15:25Do you need a hug?
0:15:25 > 0:15:27Maybe. Thanks.
0:15:27 > 0:15:31I honestly think it should get to you.
0:15:31 > 0:15:32I know it sounds weird
0:15:32 > 0:15:35but I think the day that you stop being affected
0:15:35 > 0:15:40by the amount of suffering that's going on around you is probably the day you should leave.
0:15:40 > 0:15:44With more experience of kind of death and dying and people being unwell
0:15:44 > 0:15:52you never accept it, but you find better coping mechanisms.
0:15:52 > 0:15:54So, you... It's not that you care less,
0:15:54 > 0:15:57it's that maybe you deal with it better.
0:15:57 > 0:16:01I now understand more that, you know,
0:16:01 > 0:16:03medicine isn't about being a superhero.
0:16:03 > 0:16:07It's about being a good doctor and doing the best you can for someone,
0:16:07 > 0:16:10even if eventually that means, unfortunately, you can't save their life.
0:16:24 > 0:16:29Being a junior doctor is a very stressful job.
0:16:29 > 0:16:34They worked hard and they played hard too.
0:16:34 > 0:16:37We work weekends and evenings and things like that
0:16:37 > 0:16:40so the time we do have off is quite precious
0:16:40 > 0:16:42and we like to use it wisely.
0:16:45 > 0:16:47And no-one played harder than Jon.
0:16:50 > 0:16:55The thing is, right, Jon Barclay is a rugby player.
0:16:55 > 0:16:57And he's a drummer.
0:17:00 > 0:17:02He's always on an adrenaline rush.
0:17:02 > 0:17:06# Jon Barclay is a horse's arse. #
0:17:06 > 0:17:08THEY CHEER
0:17:08 > 0:17:11I tried to fill my spare time, as it was,
0:17:11 > 0:17:14with as many extracurricular activities as I could.
0:17:25 > 0:17:26Rugby kind of has a bit of a niche
0:17:26 > 0:17:31for people of my size and with my abilities.
0:17:33 > 0:17:37It can be hard to fit in with my schedule sometimes.
0:17:37 > 0:17:41The time constraints of the job make it hard, but my job's my job,
0:17:41 > 0:17:43but this is kind of my fun.
0:17:49 > 0:17:55# Jon Barclay You suffer from morbid obesity
0:17:55 > 0:18:00# And you're gonna die young Jon Barclay! #
0:18:04 > 0:18:09On top of a jam-packed social life, Jon also had to revise.
0:18:09 > 0:18:13I'm studying at the moment for my first part of my surgical exams.
0:18:13 > 0:18:16I've got a pretty thick book
0:18:16 > 0:18:17to revise from,
0:18:17 > 0:18:21and I've got two of these to get through.
0:18:21 > 0:18:23But Jon also worked on
0:18:23 > 0:18:27one of the most demanding wards in the hospital, the Emergency Assessment Unit.
0:18:27 > 0:18:32He needs bloods, he needs bloods, he needs bloods, oh.
0:18:32 > 0:18:35The combination of hectic social life, revision
0:18:35 > 0:18:37and a week of night duty meant one thing.
0:18:37 > 0:18:39Jon was exhausted.
0:18:39 > 0:18:42The time is now quarter to four in the morning.
0:18:42 > 0:18:47Really, it was kind of my decision as to how far I thought I could push myself,
0:18:47 > 0:18:51how much I thought I had left in the tank as to how much extra stuff I could fit in.
0:18:51 > 0:18:55I booked my exam before I knew what my rota was and that was the pro...
0:18:55 > 0:18:59that is the risk you take
0:18:59 > 0:19:03and it came back to bite me in the ass a bit, really.
0:19:05 > 0:19:07Right, I'd better see this lady.
0:19:07 > 0:19:09Where is she?
0:19:11 > 0:19:13Left.
0:19:15 > 0:19:17Hello. My name's Jon, I'm one of the doctors.
0:19:36 > 0:19:41This has been the busiest three days I've had as a doctor, I think.
0:19:43 > 0:19:47In just a few days, Jon would be facing his surgical exam,
0:19:47 > 0:19:49but even that didn't stop him.
0:19:51 > 0:19:53In three hours' time I've got rugby training
0:19:53 > 0:19:56and then I've got my last night.
0:19:56 > 0:20:02So, I'm pretty tired. I might just go and fall asleep.
0:20:12 > 0:20:13Exam results.
0:20:13 > 0:20:18There was a price to pay for Jon's ethos of work hard, play harder.
0:20:18 > 0:20:20Right,
0:20:20 > 0:20:22I didn't pass.
0:20:24 > 0:20:29Priorities have shifted. I'm not captain any more, so that takes a bit of pressure off.
0:20:31 > 0:20:35But then my relationship with my girlfriend's now pretty serious
0:20:35 > 0:20:38so maybe any free time that I could have generated by not doing rugby
0:20:38 > 0:20:41now I'll spend with her, so I'm always...
0:20:41 > 0:20:43I'm always finding stuff to do.
0:20:43 > 0:20:48He might have failed the surgery exam first time around
0:20:48 > 0:20:49but Jon's not giving up.
0:20:49 > 0:20:53I think the future for me, I'm still hoping to become a surgeon,
0:20:53 > 0:20:56so I'll try and do orthopaedics, which is broken bones
0:20:56 > 0:20:59and, you know, mangled knees and things like that.
0:20:59 > 0:21:03And do that for a year and see where that takes me.
0:21:06 > 0:21:11Although most of the housemates knew one another before the series,
0:21:11 > 0:21:13living together cemented their friendship.
0:21:13 > 0:21:19Ultimately, one of the most important traits in any doctor is maturity.
0:21:19 > 0:21:21Take that off.
0:21:21 > 0:21:24I think we all got on really well in the house, actually.
0:21:24 > 0:21:27You're gross.
0:21:27 > 0:21:28Oh...!
0:21:28 > 0:21:32I think the most likely person to keep everyone entertained in the house is Keir.
0:21:32 > 0:21:34I was thinking of opening a bottle of fizzy.
0:21:39 > 0:21:42I think you'd have to say Jon!
0:21:42 > 0:21:44Probably a combination of Keir and Jon together.
0:21:44 > 0:21:47Yeah, yeah, Keir and Jon together,
0:21:47 > 0:21:48cos Keir alone's one thing,
0:21:48 > 0:21:50Jon alone he'll just sit down and eat something,
0:21:50 > 0:21:53but then when they're together, singing, piano.
0:21:53 > 0:21:56- They're a double act. Yeah. - They're a double act.
0:21:56 > 0:22:00# Turn around Every now and then I get... #
0:22:00 > 0:22:02So, it's like Laurel and Hardy, you know.
0:22:02 > 0:22:04Yeah. Hale and Pace.
0:22:04 > 0:22:06Yeah, Trinny and Susannah.
0:22:06 > 0:22:09# Turn around, bright eyes Every now and then... #
0:22:09 > 0:22:11Oh, sorry, sorry.
0:22:11 > 0:22:12That's one for the outtakes.
0:22:12 > 0:22:16Jon actually is a very talented singer.
0:22:16 > 0:22:20Yeah, and he's a pretty good pianist as well. He carried my awful singing.
0:22:20 > 0:22:23# We'll only be making it right
0:22:23 > 0:22:25# I really need you tonight... #
0:22:25 > 0:22:31And it seemed that Adam wanted to get to know one of the housemates
0:22:31 > 0:22:32better than the others.
0:22:32 > 0:22:35How does this girl, who was never in my life previously,
0:22:35 > 0:22:37now still not really in my life.
0:22:37 > 0:22:39I think I had good chemistry with Suzi.
0:22:39 > 0:22:42I think she's a nice girl, she had a good personality,
0:22:42 > 0:22:44I got on with her well,
0:22:44 > 0:22:46and she's an attractive girl.
0:22:46 > 0:22:48- Can I have your number? - Can you have...
0:22:48 > 0:22:50OK, I've already got it.
0:22:50 > 0:22:53- You've already got my number. - Can I have a kiss?
0:22:53 > 0:22:57Suzi is, you know, bubbly and cute and good looking and outgoing, so that helps.
0:22:57 > 0:23:02Suzi is going to possibly murder me for bringing this up, but there is a moment with a chip.
0:23:02 > 0:23:04Oh, look at that.
0:23:04 > 0:23:08Which looks a little bit Lady and the Tramp.
0:23:10 > 0:23:11I love pepper.
0:23:27 > 0:23:30Dirty laundry.
0:23:30 > 0:23:31Public.
0:23:34 > 0:23:35Don't look at me.
0:23:35 > 0:23:38- Well, I just... - Don't say Adam and look at me.
0:23:38 > 0:23:41- Well, I don't know because, you know, you've got... - Don't feed me things!
0:23:43 > 0:23:46Just because I ate a chip out of Adam's hand,
0:23:46 > 0:23:50- I got the rumour mill spinning around.- Oh, I know.
0:23:52 > 0:23:55Nothing happened with me and Adam.
0:23:55 > 0:23:56I'm sorry to disappoint everyone.
0:23:59 > 0:24:02Adam's lovely, but he's just not my kind of guy.
0:24:07 > 0:24:12But it wasn't discussions of Suzi's love life that took up most of the time.
0:24:13 > 0:24:16It was discussions about the state of her bedroom.
0:24:18 > 0:24:22Suzi is a delight to live with, an absolute delight,
0:24:22 > 0:24:25as long as you don't go anywhere near her bedroom.
0:24:25 > 0:24:30I mean, I have seldom seen anywhere that has been "tidied"
0:24:30 > 0:24:34and is as suitable for animal habitation.
0:24:34 > 0:24:39There'd be stuff on the floor that wouldn't move because it was superglued to the floor
0:24:39 > 0:24:42because it had been there for so long, it had moulded into the floor.
0:24:42 > 0:24:44Bombsite.
0:24:44 > 0:24:45You can't see your feet.
0:24:45 > 0:24:48Yeah, it was like a pink version of Basra.
0:24:50 > 0:24:51Her parents tidied if for her.
0:24:51 > 0:24:54I haven't had time to tidy.
0:24:54 > 0:24:55Da-daa!
0:24:55 > 0:24:58Oh, Suzi. Oh, Suzi.
0:24:58 > 0:25:00Right, bin liner and skip, Suzi.
0:25:00 > 0:25:04I'm just wondering why I can't find anywhere to walk.
0:25:05 > 0:25:09I've done... I was up till one o'clock tidying last night.
0:25:09 > 0:25:11Wash, wash.
0:25:11 > 0:25:13- What's this here for? - I was cleaning a surface.
0:25:13 > 0:25:17You keep telling us that normal life is impossible.
0:25:17 > 0:25:19Normal life IS impossible.
0:25:19 > 0:25:24Last week I worked five 14-hour shifts and two 12-hour shifts.
0:25:24 > 0:25:27I then came home, went to sleep, got up, had a shower,
0:25:27 > 0:25:31ate, like, some chocolate and then went back to work again.
0:25:31 > 0:25:34- I'm a messy person, OK. - Yes, you are. Yes, you are.
0:25:34 > 0:25:37And I can accept that I am messy and untidy at home.
0:25:37 > 0:25:41I can assure everyone that at work, I'm very organised.
0:25:41 > 0:25:44If I had to choose whether to be organised at work or at home,
0:25:44 > 0:25:47I'd rather be organised at work, so my excuse...
0:25:47 > 0:25:51- Can you not choose whether to be organised or whether to be disorganised?- No...!
0:25:51 > 0:25:55- That's the decision I made. - My mum can't understand how I can be one and not be the other.
0:25:55 > 0:25:57- But it's true.- I'm on her side.
0:25:57 > 0:26:00- You're on my mum's side? Thank you. - Yeah, I'm sorry.
0:26:00 > 0:26:04Oops. Can I just get back into bed for the rest of the day?
0:26:04 > 0:26:07Your room looks like you've spent the last week in bed anyway.
0:26:07 > 0:26:12I don't want you to overdo it today. I don't want you to get stressed out.
0:26:12 > 0:26:16- Let's go and crack this egg open. - Right, Suzi, coffee time.
0:26:16 > 0:26:20I'm messy but I've always been messy and I know that...
0:26:20 > 0:26:24I've had lots of people comment on it and go, "Oh, my god, you're so messy!
0:26:24 > 0:26:28"I can't believe that you're that untidy."
0:26:28 > 0:26:32I am. People need to just get over it!
0:26:36 > 0:26:41Even though some of them were living like teenagers...
0:26:41 > 0:26:45the first years were getting grown-up salaries for the first time.
0:26:45 > 0:26:48The average junior doctor gets paid about £30,000 a year,
0:26:48 > 0:26:51so it is quite nice to be paid, as shallow as that sounds.
0:26:51 > 0:26:54Please be paid, please be paid.
0:26:54 > 0:26:56I'm the only one who hasn't received a pay slip.
0:26:59 > 0:27:04I think that I gave them the wrong...the wrong National Insurance number.
0:27:08 > 0:27:10Yes, I got paid! Sweet.
0:27:10 > 0:27:13Having actually £99 in credit was just awesome.
0:27:13 > 0:27:17I was like, I've not been in credit for years. This is brilliant.
0:27:17 > 0:27:21I have more debt now than I finished medical school with.
0:27:21 > 0:27:24Because as your gains increase, your expenditure increases as well.
0:27:27 > 0:27:32As fully paid up doctors, they had to learn to be professional
0:27:32 > 0:27:36at all times, whatever they encountered.
0:27:36 > 0:27:39Tell me about what's been going on, then.
0:27:39 > 0:27:41Basically, I went to the bathroom about 2.30,
0:27:41 > 0:27:43- 3 o'clock this morning.- Yep.
0:27:43 > 0:27:46I've just moved into the property so I haven't got carpets throughout.
0:27:46 > 0:27:50My bathroom floor was a bit wet, I slid off the toilet seat.
0:27:50 > 0:27:52Right next to the toilet seat was a toilet brush
0:27:52 > 0:27:55and I've landed literally on it.
0:27:55 > 0:27:58The patient said he's slipped in his bathroom
0:27:58 > 0:28:02and landed on the toilet brush, which was now stuck up his bottom.
0:28:02 > 0:28:04Have you been able to get any of it out?
0:28:04 > 0:28:06Has any of it broken off at all?
0:28:06 > 0:28:08No, right.
0:28:08 > 0:28:11And you just tried kind of pulling at it and things?
0:28:11 > 0:28:14Tried easing it in the shower.
0:28:14 > 0:28:17But it just seemed it was catching and...
0:28:17 > 0:28:18HE GROANS IN PAIN
0:28:18 > 0:28:19I'm sorry.
0:28:21 > 0:28:24Back up again, all right?
0:28:24 > 0:28:27- It brings tears to your eyes, I tell you.- I'm sure it does.
0:28:27 > 0:28:29I'm sorry to embarrass you today, ladies.
0:28:29 > 0:28:34- Don't be silly, it's fine. - I'm more embarrassed myself.
0:28:34 > 0:28:37Back in a second, all right. I'll get you some painkillers.
0:28:37 > 0:28:41There was a danger that the toilet brush had torn a hole in his bowel
0:28:41 > 0:28:44and if this wasn't treated, he could have died.
0:28:44 > 0:28:48Really fast, James. This man, he's had some PR bleeding around it.
0:28:48 > 0:28:52- Toilet brush stuck up...- I can't see how much more of it there is.
0:28:52 > 0:28:55- Do we give him an X-ray first? - Is it...? Right...
0:28:55 > 0:28:58- Is it actually poking out the end?- Mmm.
0:28:58 > 0:29:00Can you see the...?
0:29:00 > 0:29:04- It's like...- I think that probably needs referring to the surgeons.
0:29:04 > 0:29:07That's fine, that's what I thought.
0:29:07 > 0:29:10Someone needs to pull it out, but if it's been bleeding...
0:29:10 > 0:29:13- I would refer it to them and let them take it out.- That's fine.
0:29:13 > 0:29:19Looking back, keeping a straight face was so hard but, you know,
0:29:19 > 0:29:22it's my job to sort out what's going on with that patient.
0:29:22 > 0:29:26- We need to get you an X-ray done, OK?- Right.
0:29:26 > 0:29:28To make sure that there's no hole in the bowel.
0:29:28 > 0:29:31But it was so hard for him to come into A&E.
0:29:31 > 0:29:33'It would have been mean to laugh in his face.'
0:29:33 > 0:29:37So, if I leave you to get sorted and then I'll come back
0:29:37 > 0:29:40and then we'll get a porter to bring you round to X-ray, OK.
0:29:40 > 0:29:42- Champion.- Is that all right?
0:29:42 > 0:29:46'I haven't had anything else kind of embarrassing happen.'
0:29:46 > 0:29:50But there's worse things I could have done in my career, I think.
0:29:50 > 0:29:51Potentially.
0:29:54 > 0:30:00But for first year Adam, who always wanted to be a doctor, the thrills of A&E seemed a long way away.
0:30:00 > 0:30:05I was jealous of Suzi in the thick of it in A&E.
0:30:05 > 0:30:08As a first year doctor, I was doing simpler tasks.
0:30:08 > 0:30:10Oh, God, what's the dose of that?
0:30:10 > 0:30:12I forgot what she said.
0:30:14 > 0:30:15I had massive ambition
0:30:15 > 0:30:19and I wanted to, you know, save the world and do all that kind of stuff
0:30:19 > 0:30:21and I was doing paperwork.
0:30:21 > 0:30:23Um...
0:30:23 > 0:30:25One gram.
0:30:25 > 0:30:28OK, so that's TDS. TDS means three times a day.
0:30:33 > 0:30:34It felt like I was drowning in it.
0:30:34 > 0:30:38At one point, I think I was in a back room for eight hours
0:30:38 > 0:30:40just doing discharges.
0:30:40 > 0:30:42Mm...
0:30:42 > 0:30:44And I did not see a patient all day.
0:30:44 > 0:30:46And that's when I wanted to quit!
0:30:49 > 0:30:5360 to 70% of the job's probably paperwork, I reckon.
0:30:53 > 0:30:57I think people watch Casualty and ER and Holby City and think,
0:30:57 > 0:31:00you know, the life of a junior doctor is running round saving lives
0:31:00 > 0:31:03and actually, most of what we do is pretty mundane.
0:31:05 > 0:31:09And when Adam wasn't doing paperwork, he was taking blood.
0:31:09 > 0:31:10Bloods or paperwork?
0:31:19 > 0:31:22Back at the house, Adam let off steam.
0:31:22 > 0:31:25Guys, I don't think being a doctor's all it's cracked up to be.
0:31:25 > 0:31:28It's just being, you know, like a ward bitch.
0:31:28 > 0:31:31You're saying that you feel experienced enough to be a doctor.
0:31:31 > 0:31:35Do you feel ready to give somebody the diagnosis
0:31:35 > 0:31:38- that they've only got three weeks to live?- Yes.
0:31:38 > 0:31:41Are you sure you can tell someone they've only got weeks to live,
0:31:41 > 0:31:44because that took me a long time
0:31:44 > 0:31:47to actually have the courage to say that to somebody.
0:31:47 > 0:31:48It's not easy.
0:31:48 > 0:31:51There's nothing more I can do without actually being a doctor,
0:31:51 > 0:31:53so yeah, I do feel ready.
0:31:53 > 0:31:58I need the experience now to hone my skills and to..
0:31:58 > 0:32:03I think it's quite dangerous, in a sense, to have that...
0:32:03 > 0:32:08that understandable confidence that says, I'm ready to be a doctor.
0:32:08 > 0:32:13These are the sort of things that you only get from...decades of experience.
0:32:13 > 0:32:15That is on fire!
0:32:22 > 0:32:26It was just a hilarious moment where Keir was like,
0:32:26 > 0:32:30"You think you can tell someone that they have days to live?"
0:32:30 > 0:32:35And, "Oh, my God, it's a fire! Everybody, it's a fire!"
0:32:35 > 0:32:39Everybody, flap, flap, and then he just came with this fire blanket
0:32:39 > 0:32:43and just threw the fire blanket on the sizzling piece of paper.
0:32:43 > 0:32:47It was just the worst and best timing ever.
0:32:47 > 0:32:52A year on, Adam has been doing jobs in intensive care,
0:32:52 > 0:32:56doing all sorts of procedures on very critically ill people
0:32:56 > 0:33:00and learning an awful lot about complex medicine.
0:33:00 > 0:33:02Now I do the same amount of paperwork,
0:33:02 > 0:33:03but my job's really different
0:33:03 > 0:33:07and I feel like I have a lot of clinical responsibilities
0:33:07 > 0:33:11and, you know, that's really nice, so I don't mind.
0:33:11 > 0:33:15It's just the amount of the day it took up and the fact that I was rubbish at it as well.
0:33:15 > 0:33:20Whilst Adam came to terms with the realities of the job,
0:33:20 > 0:33:23all of the junior doctors were beginning to realise
0:33:23 > 0:33:25the benefits of working as a team.
0:33:27 > 0:33:30The nurses are your best friends and they have to be.
0:33:30 > 0:33:33They are life-savers, to be honest.
0:33:33 > 0:33:37They were there to support us, they were there to give you advice.
0:33:37 > 0:33:40I always make a point of saying, "I know you're new,
0:33:40 > 0:33:41"it must be horrible.
0:33:41 > 0:33:44"If there's anything you're unsure of, ask."
0:33:44 > 0:33:49- Did you know you could get medical degrees off iPhones?- Um...
0:33:49 > 0:33:51SHE LAUGHS
0:33:51 > 0:33:56I think any way you can build rapport with the people that you work with is good
0:33:56 > 0:33:59because you need to build relationships
0:33:59 > 0:34:02to kind of work effectively as a team.
0:34:02 > 0:34:04Get your bloods done?
0:34:04 > 0:34:10But good communication skills didn't come naturally for second year Andy.
0:34:10 > 0:34:14I found that I didn't fit in immediately in the beginning
0:34:14 > 0:34:17and it took me a while to understand.
0:34:17 > 0:34:21We work well on here cos we work as part of a team and we expect
0:34:21 > 0:34:24good communication, and if you're not prepared to communicate
0:34:24 > 0:34:27and work within the team then you get pretty short shrift,
0:34:27 > 0:34:29particularly if it's busy.
0:34:29 > 0:34:32When it came to treating his patients,
0:34:32 > 0:34:34Andy knew what he wanted to do
0:34:34 > 0:34:37and had to consult his seniors.
0:34:37 > 0:34:43But he sometimes left the nurses out of the loop.
0:34:43 > 0:34:46What's your plan for him?
0:34:46 > 0:34:48My current plan is to get bloods and get X-ray.
0:34:48 > 0:34:51- Have you spoken to orthopaedics? - Not yet.
0:34:51 > 0:34:55I'm asking our reg to have a look at him first and see what he thinks.
0:34:55 > 0:34:59Then orthopods would ask for an X-ray before they would.
0:34:59 > 0:35:01'I like to have a good idea of the characters around
0:35:01 > 0:35:04'before I interact with them.'
0:35:05 > 0:35:10It, in strange way, helps me be professional.
0:35:12 > 0:35:16Andy tries to come over as very professional
0:35:16 > 0:35:19and, for him, professionalism is kind of being slightly detached.
0:35:19 > 0:35:22Sometimes you've got to grab him by the scruff of the neck
0:35:22 > 0:35:24and say, "For goodness sake lighten up!"
0:35:24 > 0:35:27The nurses on Andy's ward didn't give up on him
0:35:27 > 0:35:31and devised a plan to make him part of the team.
0:35:31 > 0:35:33We're having a ward night out
0:35:33 > 0:35:36and we just wondered if you'd fancy joining us, Andy?
0:35:36 > 0:35:40- You made it sound more scary than it should be.- No, it's not scary.
0:35:40 > 0:35:43No, not just me and you on a night out. An actual ward night out.
0:35:43 > 0:35:46- I got that bit. - There's nothing to be scared about.
0:35:46 > 0:35:50- Yes, I would love to.- A really nice bonding session to get to know you.
0:35:50 > 0:35:54And then you can see what we're like when we're out socially.
0:35:54 > 0:35:57'The ward is very social but he's not been out with us yet.'
0:35:57 > 0:36:00We're going to take him round town and get him into the mood of things.
0:36:00 > 0:36:04Working on a ward is all about building relationships
0:36:04 > 0:36:07and whether you do that with a pen in your hand or a drink in your hand
0:36:07 > 0:36:13- is neither here nor there. - I'll be in a bad state tomorrow, but yeah, what the hell.
0:36:16 > 0:36:19And after a few drinks, a very different Andy emerged.
0:36:19 > 0:36:22It's great having Andy out. A good character.
0:36:22 > 0:36:26He's having a great laugh and I think we're getting to know the real Andy.
0:36:31 > 0:36:34I think you had some impressive dance moves there, Andy.
0:36:34 > 0:36:38All I think is, now the whole nation knows I can not dance.
0:36:47 > 0:36:50Andy obviously has his own style, which we appreciate,
0:36:50 > 0:36:54and that's something we'll just have to improve on in the future.
0:36:56 > 0:36:58The night has been amazing.
0:36:58 > 0:37:05I never knew how much fun the people I work with are outside work.
0:37:05 > 0:37:08- OK, one drink.- One drink.
0:37:08 > 0:37:12Andy has now finished his junior doctor training in Newcastle
0:37:12 > 0:37:14and has decided to make a big move.
0:37:14 > 0:37:17I've lived in Britain for 12 years now.
0:37:17 > 0:37:21I love the country, but I think it's time to go back
0:37:21 > 0:37:23to Hong Kong, where I come from.
0:37:23 > 0:37:25I don't think I'll ever leave medicine.
0:37:25 > 0:37:30I just can't think of a career that I would enjoy more
0:37:30 > 0:37:32than what I'm doing right now.
0:37:35 > 0:37:38You're cold? Well, can I open up this blanket a bit for you
0:37:38 > 0:37:40so it's a bit more round you?
0:37:40 > 0:37:42A few months into their rotations,
0:37:42 > 0:37:46the junior doctors were starting to find their place in the team
0:37:46 > 0:37:50and even forge relationships with some of the longer-term patients.
0:37:50 > 0:37:53One of the challenges I faced when I first got onto the wards
0:37:53 > 0:37:55was learning how to communicate with patients.
0:37:55 > 0:37:57You have to learn quickly.
0:37:57 > 0:38:01Margaret, where are you going with your table?
0:38:01 > 0:38:04- Just down there.- I'll take it back for you, if you like.
0:38:04 > 0:38:08'We had a lovely lady on Ward 48 when I was on there called Margaret
0:38:08 > 0:38:13'who had come in with various things but had a background of dementia.'
0:38:13 > 0:38:16Oh, Margaret, come on. Away. Come on.
0:38:16 > 0:38:17He's not breathing.
0:38:17 > 0:38:21'Some days she was really confused and quite distressed.'
0:38:21 > 0:38:24My husband hasn't had anything to eat today, as far as I know.
0:38:24 > 0:38:26'Other days she was clear in her thinking
0:38:26 > 0:38:31'and quite aware of everything that was going on.'
0:38:31 > 0:38:35It's hard to change the way you are with somebody on a day-to-day basis.
0:38:35 > 0:38:38You tailor communication with a patient to how they are on the day.
0:38:38 > 0:38:41Aren't they wonderful pictures?
0:38:41 > 0:38:43Who brought these in for you? Your daughter?
0:38:43 > 0:38:45She brought them in.
0:38:45 > 0:38:47Is this you?
0:38:47 > 0:38:49That's me, yes, when I was 18.
0:38:49 > 0:38:53- Look at your hair.- Loads. - Amazing, isn't it?
0:38:53 > 0:38:56You're opened up and let into someone's life.
0:38:56 > 0:38:59You've been a part of something difficult with them
0:38:59 > 0:39:02and it's such a privilege, really is.
0:39:02 > 0:39:06- Thank you for showing me these. Gorgeous.- Lovely, aren't they?
0:39:06 > 0:39:09Like Adam and Katherine, Lucy's staying in Newcastle
0:39:09 > 0:39:11and will get a chance to try out specialities
0:39:11 > 0:39:14as a second year junior doctor.
0:39:14 > 0:39:18I've enjoyed everything I've done so far and I love learning new things.
0:39:18 > 0:39:21I don't know where I'm going, but in ten years' time
0:39:21 > 0:39:23I still will be working as a doctor.
0:39:27 > 0:39:30Hello. How are you?
0:39:30 > 0:39:35In A&E, second year Suzi also developed a good rapport with her patients.
0:39:35 > 0:39:38But she was learning there were times to put down boundaries.
0:39:38 > 0:39:40When did this happen?
0:39:40 > 0:39:44Probably, like, four hours ago now. I've been sat here for ages.
0:39:44 > 0:39:47That's A&E for you, I'm afraid.
0:39:47 > 0:39:51I've literally never had so much fun in hospital before.
0:39:51 > 0:39:53Well, that's good.
0:39:53 > 0:39:56- Are you a student doctor? - No. Fully qualified.
0:39:56 > 0:39:59Just look over that door handle, please.
0:39:59 > 0:40:02I'm going to shine this into your eyes.
0:40:02 > 0:40:06Where is it most sore, if it's sore anywhere? Nose.
0:40:06 > 0:40:08Nose, yeah, just there.
0:40:08 > 0:40:10- Is it broken? - I think it probably is, yeah.
0:40:10 > 0:40:14- Are you going to break it back for me and put it into place?- No.- Why?
0:40:14 > 0:40:18What we do here is you get seen at the Freeman
0:40:18 > 0:40:20after the swelling has gone down.
0:40:20 > 0:40:22Give them a call and they'll do it for you.
0:40:22 > 0:40:25All right? Do you have any other questions about anything?
0:40:25 > 0:40:28Can I have your phone number?
0:40:29 > 0:40:33- You can't have my phone number. No, sorry.- Ahhhh!
0:40:33 > 0:40:36This has ruined my A&E experience.
0:40:36 > 0:40:39- I'm sorry, I'm sorry. - Is that your phone number?
0:40:39 > 0:40:42No. This is the number that you call about your nose.
0:40:42 > 0:40:47Patients that flirt with you is a weird thing to have to deal with.
0:40:47 > 0:40:51It's very flattering and I kind of thought, wow, you know,
0:40:51 > 0:40:54it's in the middle of the night and I'm wearing scrubs
0:40:54 > 0:40:58and I've been stuffing my face with loads of food and someone thinks
0:40:58 > 0:41:01I'm not like the back end of a bus and that's nice, you know.
0:41:01 > 0:41:06- But it's hard. I didn't know what I should be doing. - You look lovely tonight.
0:41:08 > 0:41:10Suzi, you're the best doctor ever.
0:41:10 > 0:41:13You're the best trainee doctor ever. No, not trainee doctor.
0:41:13 > 0:41:16You're the best freshly 16-month qualified doctor ever.
0:41:16 > 0:41:19OK. That's very kind. Thank you.
0:41:21 > 0:41:23Yeah!
0:41:24 > 0:41:28Oh, bless him. Thank you.
0:41:28 > 0:41:29Yeah!
0:41:29 > 0:41:31I think now sometimes I choose carefully
0:41:31 > 0:41:34if I say that I'm Suzi or if I'm Dr Bachelor.
0:41:34 > 0:41:39I think with some patients, I think I feel as though I need to kind of show that,
0:41:39 > 0:41:43you know, I know more than they do about what's going on.
0:41:43 > 0:41:46As she finishes her time at Newcastle,
0:41:46 > 0:41:49Suzi's moving on to a new job in South Shields.
0:41:49 > 0:41:53I'm going to be doing adult medicine cos I think it's interesting.
0:41:53 > 0:41:57I've got a couple of exams since filming
0:41:57 > 0:42:00so I'm kind of part way there to doing that anyway now.
0:42:00 > 0:42:05It's a job that I can't wait to get stuck into and things.
0:42:05 > 0:42:06Excited!
0:42:06 > 0:42:08It'll be good.
0:42:13 > 0:42:18First year Katherine has another year in Newcastle.
0:42:18 > 0:42:21The past 12 months have increased her confidence.
0:42:21 > 0:42:22One of my patients came in
0:42:22 > 0:42:25to basically have his little finger stitched up.
0:42:25 > 0:42:31And when I took a history, he mentioned he was getting some pain.
0:42:31 > 0:42:33Feel the pain since yesterday morning
0:42:33 > 0:42:35but I think it's just through work.
0:42:35 > 0:42:37I think it's just muscle pain.
0:42:37 > 0:42:40It's quite a problem, having this pain now?
0:42:40 > 0:42:42It's just heavy lifting.
0:42:42 > 0:42:46- Did it come on suddenly or gradually? Do you remember? - Just gradually.
0:42:46 > 0:42:49- Do you smoke at all?- Yeah.
0:42:50 > 0:42:52- Do you drink at all?- Yeah.
0:42:52 > 0:42:54How many units would you say a week?
0:42:54 > 0:42:59I'm not sure. Um... Probably about 60 pints a week.
0:42:59 > 0:43:02- 60?- Yeah. I don't know what that is.
0:43:02 > 0:43:05- Sorry, 16 or...?- 60. - 60.- Mm-hmm.
0:43:07 > 0:43:09Katherine decided to investigate further.
0:43:11 > 0:43:14I'm just going to tap down from this end now.
0:43:19 > 0:43:20OK. I mean, I...
0:43:20 > 0:43:24- From the history, I'm not worried at all about your heart.- Yeah.
0:43:24 > 0:43:28- The pain's sort of more round there. - Mm-hm.
0:43:28 > 0:43:32- Do you know if you've ever had any tests done on your liver before? - No, I haven't.- OK.
0:43:32 > 0:43:35Just cos when I was...feeling, I thought maybe your liver
0:43:35 > 0:43:37was slightly enlarged.
0:43:37 > 0:43:3899% of your day
0:43:38 > 0:43:42is just doing, you know, the jobs like taking bloods
0:43:42 > 0:43:43and filling in forms.
0:43:43 > 0:43:46'So, it does feel quite nice to be able to say,
0:43:46 > 0:43:49'"I think I know what's wrong with you and it's this."'
0:43:49 > 0:43:52I might just ask one of my senior colleagues what they think.
0:43:52 > 0:43:55If you pop back to the day room...
0:43:55 > 0:43:57- Just come with me.- Cheers.
0:43:57 > 0:44:00I went to see this guy, I think that's his...
0:44:00 > 0:44:02Don't know where his notes are. This guy,
0:44:02 > 0:44:04and I think he's got an enlarged liver.
0:44:04 > 0:44:0860 pints a week is 120 something units, good spot.
0:44:08 > 0:44:11You don't want patients to be ill and you don't want them to be sick
0:44:11 > 0:44:15but when you're the one that spots what's wrong with them,
0:44:15 > 0:44:16it is quite satisfying.
0:44:19 > 0:44:22As she faces the start of her second year,
0:44:22 > 0:44:25Katherine knows where she wants to end up.
0:44:25 > 0:44:31When I started my first year as a junior doctor, I wanted to do surgery.
0:44:31 > 0:44:35In the past few months I've passed my first set of surgical exams, which I'm excited about,
0:44:35 > 0:44:40so I'm on track to make applications in a few months' time.
0:44:42 > 0:44:46While Katherine's confidence was starting to grow,
0:44:46 > 0:44:49Adam finally got the chance to prove himself.
0:44:49 > 0:44:53I felt my first chance to make my mark was during my first on-call.
0:44:53 > 0:44:57That was hugely different to the day job.
0:44:57 > 0:45:00He was covering up to 170 patients over five wards.
0:45:02 > 0:45:04BEEPING
0:45:04 > 0:45:06Hello.
0:45:06 > 0:45:11He was called to see 85-year-old Lester, with a lung complaint.
0:45:11 > 0:45:13Hello.
0:45:15 > 0:45:17His condition had deteriorated.
0:45:19 > 0:45:21Lester was already very, very poorly
0:45:21 > 0:45:25but when I got called to see him, he looked ghastly.
0:45:25 > 0:45:29Honestly, I thought he was on the verge of dying.
0:45:29 > 0:45:32He's not well. He's not well at all.
0:45:32 > 0:45:35Adam decided to investigate further
0:45:35 > 0:45:38and ordered a new X-ray to compare with the first one.
0:45:38 > 0:45:41I could be convinced the new one's worse, actually.
0:45:41 > 0:45:45I think it's the heart that's the problem and it's backed up into the lungs.
0:45:45 > 0:45:49Yeah, I think the new one's definitely worse.
0:45:50 > 0:45:52Definitely.
0:45:52 > 0:45:56Adam thought the patient should be on additional medication,
0:45:56 > 0:45:59but needed to clear this with the senior doctor.
0:45:59 > 0:46:01Do you think I can give him furosemide,
0:46:01 > 0:46:03or is it not a decision I should be making?
0:46:03 > 0:46:07- His renal function... - If you're comfortable and you know what you're doing.
0:46:07 > 0:46:13Cool, sweet. OK... Can we start furosemide?
0:46:13 > 0:46:1640... I'll hand it over and she'll come over.
0:46:16 > 0:46:22- Thanks very much. - This was the first time as a doctor Adam had made a diagnosis.
0:46:22 > 0:46:24Yeah, I'm going to give him furosemide.
0:46:24 > 0:46:27I knew it was... I knew it.
0:46:27 > 0:46:29Goddamn right.
0:46:29 > 0:46:32- Furosemide.- Yes, I'm going to give him furosemide!
0:46:32 > 0:46:35I'm sure everybody knows now. I'll get taken the piss out of for it.
0:46:35 > 0:46:39Now, that is different from the day job.
0:46:39 > 0:46:41That's why you're a doctor.
0:46:41 > 0:46:44The next day I came back and he looked well.
0:46:44 > 0:46:48- I'm so happy about that. - Seriously, good job.
0:46:48 > 0:46:50'The staff were nice and he was nice.
0:46:50 > 0:46:54'It was like one big Care Bear moment. It was just amazing.'
0:46:54 > 0:46:56Hello. How are you feeling today?
0:46:56 > 0:46:59I feel much better than what I did yesterday.
0:46:59 > 0:47:04- OK, good. I'm glad to hear it. - I do, and so am I.
0:47:04 > 0:47:05'I'll never forget that.'
0:47:05 > 0:47:08It just doesn't happen like that in medicine very often.
0:47:08 > 0:47:12Just doesn't. And it was just great, it was a great moment.
0:47:12 > 0:47:14As he enters his second year,
0:47:14 > 0:47:18Adam is learning that responsibility will come in time.
0:47:18 > 0:47:24I see now that I need the transition to go through, but I'm about to start A&E myself in a month,
0:47:24 > 0:47:26and I'm really looking forward to it
0:47:26 > 0:47:30but still really apprehensive, even after a year's training.
0:47:30 > 0:47:32I definitely, in hindsight,
0:47:32 > 0:47:34wouldn't have gone onto it straight away, you know.
0:47:34 > 0:47:37I think it's wise to have at least a year under your belt
0:47:37 > 0:47:39before you go onto something like A&E.
0:47:45 > 0:47:48Hello, it's Keir on call for plastics.
0:47:48 > 0:47:50Wheee, you're flying!
0:47:50 > 0:47:52Do you want to shake my hand?
0:47:52 > 0:47:55Keir had a big decision to make about the direction
0:47:55 > 0:47:57he wanted his career to take.
0:47:57 > 0:48:01When you start off as a junior doctor, you think, right, I've made it,
0:48:01 > 0:48:05this is the end, I've sat my exams, I am now a doctor.
0:48:05 > 0:48:08And then suddenly, 14 months later, someone turns to you
0:48:08 > 0:48:12and goes, "Do you want to be a chemical pathologist or a psychiatrist?"
0:48:12 > 0:48:15I don't know what a chemical pathologist is!
0:48:15 > 0:48:19Keir had to decide whether to become a medic and treat with medicine
0:48:19 > 0:48:23or become a surgeon and wield the surgeon's knife.
0:48:23 > 0:48:27- Hello.- You OK?- Yeah.- My main problem with this is the nail.
0:48:27 > 0:48:33So, we need to remove the nail and then flap the skin over the top.
0:48:33 > 0:48:35- Is it?- Yep. - I've never done this before.
0:48:35 > 0:48:39I'm quite excited and a little trepidatious at the same time.
0:48:43 > 0:48:47When he was in plastic surgery, Keir had the opportunity to assist
0:48:47 > 0:48:51in operating theatres, which gave him real hands-on experience.
0:48:53 > 0:48:56So, have a go.
0:48:56 > 0:48:57- That's the bone.- Mm-hmm.
0:49:00 > 0:49:04And we're just literally nibbling, like that.
0:49:04 > 0:49:09- What I'm hoping to do is preserve a little bit of the joint.- Mm-hmm.
0:49:09 > 0:49:14The operation was performed on a conscious patient
0:49:14 > 0:49:17so he could go home on the same day.
0:49:17 > 0:49:21The bone in his finger was shortened with a bone nibbler.
0:49:21 > 0:49:24- Are we down to that, then? Oh, fantastic.- Wow, look at that!
0:49:24 > 0:49:28AUSTRALIAN ACCENT: That's not a bone nibbler, THIS is a bone nibbler.
0:49:28 > 0:49:33- Right.- You don't mind us talking, do you?- Oh, no.- That's all right.
0:49:33 > 0:49:37At the end of the operation, Keir stitched up
0:49:37 > 0:49:41- the tip of the patient's finger. - Lovely. Well done. Grand.
0:49:41 > 0:49:44But it didn't really help Keir come to a decision.
0:49:46 > 0:49:50People say that that decision's the easiest one.
0:49:50 > 0:49:52I find it the hardest one.
0:49:52 > 0:49:54Major choice. Surgeon or medic?
0:49:56 > 0:49:58And you can't tell, can you? Cos you like both.
0:49:58 > 0:50:00Boy did good.
0:50:00 > 0:50:02Just what I expect.
0:50:02 > 0:50:05He has natural ability.
0:50:05 > 0:50:07It'd be a shame to lose him from surgery.
0:50:07 > 0:50:10Obviously surgery is a lot more practical.
0:50:10 > 0:50:14You are physically removing bits of people that have gone wrong.
0:50:14 > 0:50:16So, I can see what I'm dealing with now.
0:50:16 > 0:50:20'Looking at a healthy patient and saying, "I did that", is fulfilling.'
0:50:20 > 0:50:22See you a bit later.
0:50:22 > 0:50:27'Whereas in medicine, you're trying to identify lots of difficult patients'
0:50:27 > 0:50:29with lots of different things wrong with them
0:50:29 > 0:50:31so solving that puzzle is attractive.
0:50:33 > 0:50:38Ultimately, you have to make your career decisions based on experience.
0:50:38 > 0:50:40Right, hello.
0:50:40 > 0:50:45- OK, let's have a look, then. - Let's take them off for you. - That's grand, thank you.
0:50:45 > 0:50:48As part of his training, Keir also treated
0:50:48 > 0:50:52some of Newcastle's youngest outpatients.
0:50:58 > 0:51:01- Is it hurting all the time? It is. - When I move it, it really hurts.
0:51:01 > 0:51:05It's hurting most when you move, OK.
0:51:05 > 0:51:10That's cool. What we do need to do is clean it, OK?
0:51:10 > 0:51:13Are you feeling a bit dizzy and queasy and rotten?
0:51:13 > 0:51:15No? Excellent.
0:51:15 > 0:51:18- I'm just really hungry. - You're really hungry!
0:51:19 > 0:51:23One year on and Keir has made his decision.
0:51:23 > 0:51:27But I've finally made my mind up.
0:51:27 > 0:51:30I'm now going down to Great Ormond Street to do children's medicine,
0:51:30 > 0:51:34which is kind of my...dream, as it were,
0:51:34 > 0:51:36so I'm confident I've made the right decision.
0:51:36 > 0:51:40Plus, I think if/when I have kids,
0:51:40 > 0:51:42- I would love Keir to be my kids' doctor.- Aw!
0:51:42 > 0:51:47Because, I mean, watching him on television and things with kids,
0:51:47 > 0:51:52you put kids at ease so well, you're good at talking to patients
0:51:52 > 0:51:54and I just think that you'll be great at it.
0:51:54 > 0:51:55I'm just immature!
0:51:55 > 0:51:57That's it. BLOWS RASPBERRY
0:51:57 > 0:52:00- How old are you, Alicia?- Six.- Six.
0:52:00 > 0:52:02Are you a bit frightened? Yeah.
0:52:02 > 0:52:04There's no need to be frightened, OK?
0:52:04 > 0:52:07She's gorgeous.
0:52:07 > 0:52:09You're the cutest patient I have had all day.
0:52:09 > 0:52:12He says that to all the girls!
0:52:22 > 0:52:24- See you later, guys.- See ya.
0:52:24 > 0:52:26Six months into the job,
0:52:26 > 0:52:30the junior doctors had a whole new experience to face.
0:52:32 > 0:52:36The programme hit the air and they started to be recognised.
0:52:36 > 0:52:41- Is that why you've cut your hair, so that people don't know who you are any more?- No.
0:52:41 > 0:52:44- That's what the theory is. - I've heard this theory.
0:52:44 > 0:52:46"You know Lucy? She's cut her hair since the show.
0:52:46 > 0:52:48"She's trying to go under the radar."
0:52:48 > 0:52:52Not a day goes by when someone goes, "You've had your hair cut!"
0:52:52 > 0:52:55The one that I get the most is, "Have you passed your exam yet?"
0:52:55 > 0:52:56Or, "Do you still play rugby?"
0:52:56 > 0:52:59I get, like, toilet brush a lot, especially at work.
0:52:59 > 0:53:01"You're the girl with the toilet brush."
0:53:01 > 0:53:04I was like, "Wait a second, I was not WITH the toilet brush!"
0:53:04 > 0:53:09I happened to be there, dealing with the toilet brush but it was nothing to do with me.
0:53:11 > 0:53:17Tonight is the last time the seven junior doctors will all be together
0:53:17 > 0:53:20before they go their separate ways.
0:53:20 > 0:53:24- We might not see each other again for a long time.- Mm.
0:53:24 > 0:53:25You're going down to London.
0:53:25 > 0:53:28You're going to Hong Kong! It'll be more difficult to visit you.
0:53:32 > 0:53:34Out of everything that we've been through,
0:53:34 > 0:53:36what do you reckon you'll be remembered for?
0:53:36 > 0:53:38Me crying, definitely.
0:53:38 > 0:53:42- No doubt.- It's a good thing to be remembered for,
0:53:42 > 0:53:44for actually having emotions.
0:53:44 > 0:53:49- Well, for me, it's the other way round. No emotions.- Yeah!
0:53:49 > 0:53:53- Do you still want to save the world? - Well, I have good intentions.
0:53:53 > 0:53:55What about you, Katherine?
0:53:55 > 0:54:00I certainly felt, at some times, quite isolated and overwhelmed.
0:54:00 > 0:54:04It's important to remember you're not the only person to have gone through that.
0:54:04 > 0:54:08You have to remember as you go from being a first year to a second year,
0:54:08 > 0:54:10having someone underneath you,
0:54:10 > 0:54:13- they're feeling exactly how you used to feel.- Yes.
0:54:13 > 0:54:16When we were all round the table at the start of the year,
0:54:16 > 0:54:19I think some of us were worried
0:54:19 > 0:54:22about potential disasters and we've managed to get through the year
0:54:22 > 0:54:25without anything too bad going wrong.
0:54:25 > 0:54:27So, cheers to not messing up too badly.
0:54:27 > 0:54:30- Cheers.- To not being struck off.
0:54:30 > 0:54:32LAUGHTER
0:54:33 > 0:54:36It's finally hit us, you know.
0:54:36 > 0:54:38We're actual doctors now.
0:54:41 > 0:54:45'I'm really glad my first year's almost over.
0:54:45 > 0:54:49'Don't get me wrong, I've really enjoyed the year, but I'm hoping the next few years'
0:54:49 > 0:54:54are going to be less and less kind of, you know, painful.
0:54:56 > 0:54:59'I think I've still got a long way to go'
0:54:59 > 0:55:01and I think I still have a lot that I've got to learn.
0:55:01 > 0:55:05But I feel ready to move on to the next stage.
0:55:05 > 0:55:07To the left or right?
0:55:07 > 0:55:08Which way?
0:55:10 > 0:55:15There aren't many other jobs that you can go home from at the end of the day
0:55:15 > 0:55:19and feel like you've really made a difference in someone's life.
0:55:19 > 0:55:22'It's weird, because that first day
0:55:22 > 0:55:25'and those first experiences almost feel alien to me now'
0:55:25 > 0:55:30because being a doctor and working as I am just feels to be part of me.
0:55:32 > 0:55:35The most important thing I learned in the last two years
0:55:35 > 0:55:37is how to be professional.
0:55:37 > 0:55:39But I think letting your guard down often,
0:55:39 > 0:55:41from time to time, is important.
0:55:41 > 0:55:43When I say letting the guard down,
0:55:43 > 0:55:47I don't mean just go absolutely bonkers.
0:55:50 > 0:55:54The best thing about being a doctor is actually seeing people
0:55:54 > 0:55:57with problems, putting them right.
0:55:57 > 0:56:00That is, by far, the most amazing thing
0:56:00 > 0:56:02that I could ever imagine doing in my life.
0:56:04 > 0:56:07Take a chill pill, count to ten.
0:56:07 > 0:56:11Even for all the bad hours, you know, and the difficult patients,
0:56:11 > 0:56:15I would not trade in this job for anything else, honestly.
0:56:15 > 0:56:19MUSIC: "Lie Down In Darkness" by Moby
0:56:21 > 0:56:24# No more
0:56:26 > 0:56:29# No more
0:56:35 > 0:56:40# No more, hmmmm
0:56:42 > 0:56:44# No more
0:56:47 > 0:56:48# The sun
0:56:53 > 0:56:56# Will be no more. #
0:56:56 > 0:57:00Subtitles by Red Bee Media Ltd