Browse content similar to One Year Check Up. Check below for episodes and series from the same categories and more!
Line | From | To | |
---|---|---|---|
Summer, 2011. | 0:00:02 | 0:00:05 | |
Eight junior doctors hit the wards | 0:00:05 | 0:00:08 | |
of the Chelsea and Westminster Hospital. | 0:00:08 | 0:00:11 | |
One year later, as they're about to move on... | 0:00:14 | 0:00:16 | |
ALL: Cheers. | 0:00:16 | 0:00:18 | |
..they are getting together to look back | 0:00:18 | 0:00:20 | |
on the most testing year of their lives. | 0:00:20 | 0:00:23 | |
You don't just develop professionally | 0:00:23 | 0:00:25 | |
but actually you develop quite personally as well. | 0:00:25 | 0:00:28 | |
They'll talk about the hard times... | 0:00:28 | 0:00:30 | |
Starting on nights was shocking. | 0:00:30 | 0:00:32 | |
..the wild times... | 0:00:32 | 0:00:34 | |
CHAMPAGNE CORKS POP | 0:00:34 | 0:00:35 | |
CHEERING | 0:00:35 | 0:00:36 | |
THEY SING | 0:00:36 | 0:00:38 | |
..the things they remember... | 0:00:38 | 0:00:41 | |
Ready? Go. | 0:00:41 | 0:00:43 | |
PATIENT CRIES IN PAIN | 0:00:43 | 0:00:45 | |
Sharp, spiky thing goes in and sharp, spiky thing come out. | 0:00:45 | 0:00:48 | |
BOY CRIES | 0:00:48 | 0:00:50 | |
..and those they'd rather forget. | 0:00:50 | 0:00:52 | |
-Get off my hand! Get off! -Alfie, Alfie, Alfie, Alfie. | 0:00:52 | 0:00:56 | |
Alfie. Alfie, Alfie. Alfie. Boom, there's a needle in your face. | 0:00:56 | 0:01:03 | |
..what they learnt... | 0:01:03 | 0:01:05 | |
There's this myth that doctors make a lot of the decisions. | 0:01:05 | 0:01:09 | |
-Nurses run the show, don't they? -Yeah, the nurses do run the show. | 0:01:09 | 0:01:12 | |
..and where they're going next. | 0:01:12 | 0:01:14 | |
I'm really interested in helping patients who have | 0:01:14 | 0:01:17 | |
disorders of the skin. | 0:01:17 | 0:01:19 | |
I've seen the impact it has on their lives. | 0:01:19 | 0:01:22 | |
12 months ago, these eight young people were about to take on | 0:01:33 | 0:01:37 | |
the biggest challenge they'd ever faced: | 0:01:37 | 0:01:40 | |
becoming junior doctors. | 0:01:40 | 0:01:43 | |
They were joining thousands of other juniors across Britain, | 0:01:43 | 0:01:47 | |
starting work for the first time. | 0:01:47 | 0:01:48 | |
One year on, they're coming together for the last time. | 0:01:50 | 0:01:54 | |
ICE CLINKS | 0:01:54 | 0:01:56 | |
You don't really appreciate how much you've grown | 0:01:56 | 0:01:59 | |
and developed in that short space of time. | 0:01:59 | 0:02:02 | |
Now you go in and the patients are, | 0:02:03 | 0:02:05 | |
"Oh, you know, are you any good at this?" | 0:02:05 | 0:02:08 | |
And I'm, like, "Yeah, I am good at it." | 0:02:08 | 0:02:10 | |
Do it first time and they are, like, "Oh, that was really good, | 0:02:10 | 0:02:13 | |
"some people are rubbish at this." | 0:02:13 | 0:02:15 | |
I think we've accomplished so much. We've learned a lot. | 0:02:17 | 0:02:20 | |
Just about practising medicine. | 0:02:20 | 0:02:24 | |
Until you have to do it and it's your responsibility, | 0:02:26 | 0:02:29 | |
it's completely different. | 0:02:29 | 0:02:31 | |
It's just very satisfying. | 0:02:31 | 0:02:33 | |
Going to a procedure and knowing you are good at it | 0:02:33 | 0:02:35 | |
and you can do it. | 0:02:35 | 0:02:36 | |
12 months ago it was a very different story. | 0:02:36 | 0:02:40 | |
If they work out that you're useless in the first few days | 0:02:40 | 0:02:43 | |
then it's not a good place to be, is it? | 0:02:43 | 0:02:46 | |
24-year-old Priya and 26-year-old Milla were fresh out of med school. | 0:02:48 | 0:02:53 | |
Until you are actually a doctor, you're not a doctor. | 0:02:53 | 0:02:55 | |
You see what I mean? | 0:02:55 | 0:02:57 | |
As were their fellow colleagues, Aki, Andy and Lucy. | 0:02:57 | 0:03:01 | |
I've got an awful memory, | 0:03:01 | 0:03:03 | |
and that really is honestly something I have to work around. | 0:03:03 | 0:03:05 | |
-Make sure you write everything down. -I do, but then I lose my paper! | 0:03:05 | 0:03:09 | |
Sharing a house with the first years were second years Amieth and Ben. | 0:03:09 | 0:03:13 | |
How did you guys feel on your first day, in your first week? | 0:03:13 | 0:03:16 | |
Petrified. | 0:03:16 | 0:03:18 | |
It's terrifying. And then the first set of nights, they are horrible. | 0:03:18 | 0:03:22 | |
Oh, no! I'm not going to ask you any more questions! | 0:03:22 | 0:03:26 | |
PHONE BEEPS AND VIBRATES | 0:03:32 | 0:03:35 | |
With little experience, | 0:03:35 | 0:03:37 | |
all the junior doctors were about to head into the unknown. | 0:03:37 | 0:03:42 | |
See you later. | 0:03:42 | 0:03:44 | |
And anxious about what the day would bring. | 0:03:44 | 0:03:46 | |
-You're new doctors? -Yes, my name is Lucy. | 0:03:48 | 0:03:51 | |
You go straight in. Boom. | 0:03:51 | 0:03:53 | |
Go save that patient's life. | 0:03:53 | 0:03:57 | |
It's not that easy. | 0:03:57 | 0:03:59 | |
At just 22-years-old, Andy was the youngest. | 0:03:59 | 0:04:03 | |
Going in to the first day, yeah, it was really nerve wracking. | 0:04:05 | 0:04:08 | |
And straightaway he came face-to-face | 0:04:08 | 0:04:10 | |
with an age-old challenge. | 0:04:10 | 0:04:13 | |
Fitting a device called a cannula. | 0:04:13 | 0:04:16 | |
Hello, Mister Straw. | 0:04:16 | 0:04:17 | |
OK, so I'm going to have a go at doing a cannula, if that's all right? | 0:04:17 | 0:04:23 | |
The procedure involves first finding a vein. | 0:04:23 | 0:04:27 | |
OK, so sharp scratch coming up. | 0:04:27 | 0:04:31 | |
Then threading a hollow needle through it. | 0:04:31 | 0:04:33 | |
A common task but a nerve-wracking one. | 0:04:33 | 0:04:37 | |
HE TUTS | 0:04:37 | 0:04:39 | |
Right, that's not in. Let's have a look at this arm, shall we? | 0:04:39 | 0:04:43 | |
Basically, he had to endure your lack of skill. | 0:04:43 | 0:04:46 | |
Yeah, yeah, I wasn't very good at cannulas. | 0:04:46 | 0:04:49 | |
-Are you all right there? -Yeah, fine. -Good. | 0:04:49 | 0:04:51 | |
All right, two goes, yeah? | 0:04:55 | 0:04:58 | |
All right. | 0:04:58 | 0:04:59 | |
Mister Straw was a lovely gentleman | 0:05:10 | 0:05:13 | |
who took it for the team, I have to say. | 0:05:13 | 0:05:16 | |
Andy's pincushion. | 0:05:16 | 0:05:18 | |
So I get one more go? Yeah? | 0:05:24 | 0:05:26 | |
He was just on the wrong end of someone who | 0:05:26 | 0:05:29 | |
wasn't very good at doing cannulas. | 0:05:29 | 0:05:30 | |
I felt for Andy. I could really understand his position. | 0:05:47 | 0:05:50 | |
But my God I was, like, that poor man, | 0:05:50 | 0:05:53 | |
having to go through all of that just because we're crap. | 0:05:53 | 0:05:56 | |
-Well, I'm crap. -No, we all were. | 0:05:56 | 0:06:00 | |
HE SIGHS | 0:06:00 | 0:06:02 | |
Yeah, didn't manage to get it in again | 0:06:02 | 0:06:04 | |
so that's kind of annoying but... | 0:06:04 | 0:06:06 | |
I guess I'm glad I persisted because you've just got to do it | 0:06:06 | 0:06:12 | |
and I'm going to get one of the others to come and have a go. | 0:06:12 | 0:06:15 | |
And then, yeah, hey, next time. | 0:06:16 | 0:06:20 | |
I think he took it really well. | 0:06:21 | 0:06:23 | |
It could be the beginning of a downward slope | 0:06:23 | 0:06:25 | |
but I think you took it on the chin, picked himself up and went on. | 0:06:25 | 0:06:31 | |
I basically can't walk around the hospital | 0:06:31 | 0:06:33 | |
without getting cannula jokes everyday. | 0:06:33 | 0:06:37 | |
No, you can't! | 0:06:37 | 0:06:39 | |
It wasn't only the first year doctors who were struggling. | 0:06:42 | 0:06:45 | |
-Who's your favourite Star Wars character? -Darth Vader. | 0:06:45 | 0:06:48 | |
Second year Ben was about to meet a young patient called Alfie. | 0:06:48 | 0:06:52 | |
-All right there, Alfie? -Hi. -Hiya. | 0:06:55 | 0:06:57 | |
Have you still got that magic cream on? | 0:06:57 | 0:07:00 | |
-No. -No, it's all gone, good. | 0:07:00 | 0:07:02 | |
Working with children was Ben's dream job. | 0:07:02 | 0:07:05 | |
So he needed to prove he had a winning way. | 0:07:05 | 0:07:09 | |
I'm going to spray this on your arm, OK, it's just cold spray. Ready? | 0:07:09 | 0:07:12 | |
It will make it go numb in a minute. | 0:07:12 | 0:07:14 | |
Alfie was a young boy who needed a big operation on his bowels, | 0:07:14 | 0:07:18 | |
so he needed part of his intestines taken out. | 0:07:18 | 0:07:23 | |
I essentially had to put a cannula in him. | 0:07:23 | 0:07:25 | |
What's that? | 0:07:25 | 0:07:27 | |
It's a little needle I need to put in your hand | 0:07:27 | 0:07:30 | |
so we can give you some medication. | 0:07:30 | 0:07:31 | |
Do you want to hold mummy's hand and lie back as we do it? | 0:07:31 | 0:07:34 | |
-It's cold. -Just put this down, OK. | 0:07:34 | 0:07:37 | |
So you've got the cream on so it shouldn't hurt, | 0:07:37 | 0:07:40 | |
it should be all right. | 0:07:40 | 0:07:41 | |
Look at mummy, there we go. Alfie. | 0:07:41 | 0:07:44 | |
I can't do it! | 0:07:44 | 0:07:46 | |
HE CRIES | 0:07:46 | 0:07:50 | |
Can't do it! Get off my hand! | 0:07:50 | 0:07:53 | |
Alfie, Alfie, Alfie. | 0:07:53 | 0:07:56 | |
Alfie, Alfie. Alfie, Alfie, Alfie. Alfie. | 0:07:56 | 0:08:00 | |
Boom, there's a needle in your face. | 0:08:00 | 0:08:03 | |
I don't want it on there. I don't want it! | 0:08:03 | 0:08:08 | |
Alfie, we'll do it very quickly, we'll get it over and done with. | 0:08:08 | 0:08:12 | |
It was a nightmare. It was late at night, end of an on-call. | 0:08:12 | 0:08:16 | |
I just did it badly. | 0:08:16 | 0:08:19 | |
Don't be silly. | 0:08:19 | 0:08:22 | |
I don't like it here. | 0:08:22 | 0:08:24 | |
I know, but come here and me and you will go for a walk. | 0:08:24 | 0:08:26 | |
Rather than make sure he was completely still, | 0:08:26 | 0:08:28 | |
I should have found a vein, had him calm and just gone ahead and done it. | 0:08:28 | 0:08:31 | |
He's got local anaesthetic on his hand, | 0:08:31 | 0:08:33 | |
he's not going to feel it anyway so just do it. | 0:08:33 | 0:08:36 | |
Mum. I'm not doing it. | 0:08:36 | 0:08:38 | |
Nowadays I'd just go ahead and put the cannula in the back of his hand | 0:08:39 | 0:08:42 | |
and that would be that, rather than build-up to it and him get stressed. | 0:08:42 | 0:08:45 | |
-It's all right, we're not putting any needles in you today. -Why? | 0:08:45 | 0:08:49 | |
Maybe he needed that one experience where he had that difficult child | 0:08:49 | 0:08:53 | |
and all the future Alfies he has to put the big needle in, | 0:08:53 | 0:08:55 | |
he'll know exactly how to deal with them. | 0:08:55 | 0:08:58 | |
See you later, Alfie. | 0:08:58 | 0:08:59 | |
Alfie, Alfie. | 0:09:01 | 0:09:02 | |
All anyone ever bloody says to me is Alfie, Alfie, Alfie, Alfie. | 0:09:02 | 0:09:06 | |
Alfie, Alfie, Alfie. | 0:09:06 | 0:09:08 | |
All junior doctors have to manage the transition | 0:09:09 | 0:09:12 | |
from textbook knowledge to practical application, and it's not easy. | 0:09:12 | 0:09:16 | |
I had it for a second there. | 0:09:17 | 0:09:19 | |
Learning how to put it into practice is a whole new ballgame. | 0:09:19 | 0:09:22 | |
It's terrifying to encounter that for the first time. | 0:09:22 | 0:09:25 | |
I think your scariest moments are when people expect you to be able | 0:09:27 | 0:09:31 | |
to manage and you feel for the first time that you're on your own. | 0:09:31 | 0:09:34 | |
I was quite confident with my medical knowledge but what I perhaps | 0:09:37 | 0:09:41 | |
was less confident in was how you actually then apply it in real life. | 0:09:41 | 0:09:46 | |
First year Aki tried to brace himself by doing some | 0:09:48 | 0:09:51 | |
last-minute swotting up. | 0:09:51 | 0:09:53 | |
I'm going to be a little bit nervous on the first day | 0:09:53 | 0:09:56 | |
so I just want to make sure that I'm prepared. | 0:09:56 | 0:09:59 | |
At the start of the year I wasn't very confident at all. | 0:09:59 | 0:10:03 | |
I was really worried about not doing my job right. | 0:10:03 | 0:10:06 | |
Pissing all my colleagues off. | 0:10:07 | 0:10:10 | |
SECURITY LOCK BEEPS | 0:10:10 | 0:10:11 | |
Harming patients. | 0:10:11 | 0:10:13 | |
I don't think her blood tests are back | 0:10:13 | 0:10:15 | |
or she might have not had them done this morning. | 0:10:15 | 0:10:18 | |
Just hours into his first shift, | 0:10:18 | 0:10:21 | |
Aki got a grilling by a senior doctor. | 0:10:21 | 0:10:24 | |
Before we do that, which trial evidence do you know of | 0:10:24 | 0:10:27 | |
for use of atorvastatin in acute coronary syndrome? | 0:10:27 | 0:10:30 | |
Erm... | 0:10:30 | 0:10:32 | |
There was a time when I knew so many studies. | 0:10:36 | 0:10:40 | |
-I know this doesn't help. -When was that time? | 0:10:40 | 0:10:42 | |
About two months ago. | 0:10:42 | 0:10:43 | |
That time has come and gone already. It's only your first day. | 0:10:43 | 0:10:48 | |
No one knows that stuff. No one. | 0:10:48 | 0:10:52 | |
I know now. | 0:10:52 | 0:10:53 | |
I happen to have a friend who's quite interested in becoming | 0:10:53 | 0:10:56 | |
a cardiologist and he didn't even know about it until afterwards. | 0:10:56 | 0:11:00 | |
It's an apprenticeship so you get asked by your seniors about, | 0:11:00 | 0:11:04 | |
do you know how to do this, | 0:11:04 | 0:11:06 | |
do you know what drug you're supposed to give this kind of condition. | 0:11:06 | 0:11:09 | |
You are constantly tested. | 0:11:09 | 0:11:11 | |
As well as working together, | 0:11:15 | 0:11:17 | |
the eight junior doctors shared a house in south-west London. | 0:11:17 | 0:11:20 | |
It was a bit like being back in university halls. | 0:11:22 | 0:11:26 | |
It was a very interesting experience living with the guys in the house. | 0:11:28 | 0:11:31 | |
It was a complete range of different characters. | 0:11:31 | 0:11:34 | |
When I'm ill I know I get really princessy and moany. | 0:11:34 | 0:11:37 | |
When you're ill? | 0:11:37 | 0:11:39 | |
SHE LAUGHS | 0:11:39 | 0:11:41 | |
I loved moving in with seven people. | 0:11:41 | 0:11:44 | |
It made the whole thing very entertaining. It was like a sitcom. | 0:11:44 | 0:11:47 | |
Living together allowed the juniors to chew over pressing issues. | 0:11:47 | 0:11:51 | |
Lucy, if it was your last day on earth, who would you sleep with? | 0:11:51 | 0:11:57 | |
You could all relate to each other. | 0:11:59 | 0:12:01 | |
We knew what each other was going through. | 0:12:01 | 0:12:03 | |
Just being able to discuss your day and laugh at things, | 0:12:03 | 0:12:06 | |
I think that was a massive boost. | 0:12:06 | 0:12:09 | |
And just to see you weren't alone in feeling completely inadequate. | 0:12:09 | 0:12:12 | |
It was really nice. | 0:12:12 | 0:12:13 | |
Men should stay at home and do the cooking and women should go out | 0:12:13 | 0:12:16 | |
and become good doctors. | 0:12:16 | 0:12:17 | |
No two colleagues got on better than Andy and Aki. | 0:12:17 | 0:12:22 | |
It's been really hectic on the surgical unit. | 0:12:22 | 0:12:26 | |
-Are you, like, down on men, manpower, as in are people away? -No! | 0:12:26 | 0:12:31 | |
Yeah, no, we've been really busy. | 0:12:31 | 0:12:34 | |
We haven't been down on men, | 0:12:34 | 0:12:36 | |
I certainly haven't been down on any men. | 0:12:36 | 0:12:40 | |
Aki and Andy's bromance was beautiful. | 0:12:40 | 0:12:44 | |
# You're just too good to be true... # | 0:12:44 | 0:12:47 | |
When I was at school, I was in this pop punk band. | 0:12:47 | 0:12:51 | |
Really? That's hilarious. Same. | 0:12:51 | 0:12:54 | |
No, bullshit! | 0:12:54 | 0:12:56 | |
Andy and Aki have a special relationship, don't you? | 0:12:56 | 0:12:58 | |
-I wouldn't say it was a special relationship. -I would. | 0:12:58 | 0:13:00 | |
-Just a friendship. -I would say it was special. -It's a friendship. | 0:13:00 | 0:13:04 | |
-Aki. -What? | 0:13:04 | 0:13:05 | |
Screw being a doctor, let's become rock stars! | 0:13:05 | 0:13:08 | |
-You definitely had a bromance with Aki. -You reckon? -Yeah. | 0:13:11 | 0:13:14 | |
Oh, wow! | 0:13:14 | 0:13:15 | |
-Dude you look... -What? | 0:13:15 | 0:13:17 | |
It's good, we did good. | 0:13:17 | 0:13:19 | |
-Within the house, Andy and I got on very well. -Yeah. | 0:13:19 | 0:13:25 | |
Shall I go blazer or leather jacket? | 0:13:25 | 0:13:27 | |
-There's a lot of man love. -Well... | 0:13:29 | 0:13:32 | |
-There is. -Is there? -Yeah. -All right, take it. | 0:13:32 | 0:13:35 | |
We didn't touch each other if that's what you're asking. | 0:13:35 | 0:13:38 | |
-You look good. -Thanks. | 0:13:40 | 0:13:43 | |
Let's get our game on, bitches. | 0:13:43 | 0:13:44 | |
Whilst live at the house may have been fun, | 0:13:46 | 0:13:50 | |
their jobs were demanding and stressful. | 0:13:50 | 0:13:52 | |
PHONE RINGS | 0:13:52 | 0:13:53 | |
Chelsea. | 0:13:53 | 0:13:55 | |
And none more so than for second year Amieth. | 0:13:55 | 0:13:58 | |
Laid-back by nature, he was working in A&E, | 0:13:58 | 0:14:02 | |
where quick decisions are vital. | 0:14:02 | 0:14:05 | |
Could you tell me what happened to you today? | 0:14:05 | 0:14:08 | |
-I fell down about 15 or 20 stairs. -Really? | 0:14:08 | 0:14:12 | |
He ran through the standard checks and decided on a course of action. | 0:14:12 | 0:14:17 | |
I had wanted to get a CT scan on him | 0:14:17 | 0:14:20 | |
to look for any bleeding into the brain | 0:14:20 | 0:14:23 | |
because there were lots of risk factors for that | 0:14:23 | 0:14:26 | |
and he had some slightly alarming clinical signs. | 0:14:26 | 0:14:29 | |
Yeah, I think so. | 0:14:32 | 0:14:34 | |
Yeah. | 0:14:34 | 0:14:36 | |
All right, shall we stitch first then? | 0:14:36 | 0:14:39 | |
Can I do it? | 0:14:39 | 0:14:40 | |
I think we'll be able to make you pretty again. | 0:14:43 | 0:14:45 | |
MAN CHUCKLES | 0:14:45 | 0:14:47 | |
So now we just have to make small talk for a few minutes. | 0:14:47 | 0:14:50 | |
It's very difficult starting off as a doctor | 0:14:53 | 0:14:56 | |
and you need to do everything you can to make your job easier. | 0:14:56 | 0:14:59 | |
Using the nurses and their experience is just one way | 0:14:59 | 0:15:04 | |
of making the job much easier. | 0:15:04 | 0:15:05 | |
It didn't take long for the junior doctors to realise how much | 0:15:07 | 0:15:10 | |
they needed the nurses. | 0:15:10 | 0:15:12 | |
Can I possibly borrow you? | 0:15:12 | 0:15:13 | |
-Am I right or not? -That's right. | 0:15:15 | 0:15:17 | |
It's twist and pull, isn't it? | 0:15:17 | 0:15:19 | |
There's this myth that, you know, doctors make a lot of decisions | 0:15:19 | 0:15:23 | |
and they do a lot of things. | 0:15:23 | 0:15:24 | |
-Nurses run the show, don't they? -Yeah, the nurses do run the show. | 0:15:24 | 0:15:27 | |
What enema do you tend to give? And we'll prescribe the one | 0:15:27 | 0:15:29 | |
that you tend to use, because we're both new. | 0:15:29 | 0:15:31 | |
-Usually phosphate. -Just a phosphate enema, OK. | 0:15:31 | 0:15:33 | |
And we're just like their minions. | 0:15:33 | 0:15:36 | |
We'd go to the nurses a lot in those first few days. | 0:15:37 | 0:15:40 | |
Maybe I wasn't clear enough verbally. I thought I said but... | 0:15:40 | 0:15:43 | |
No, but nurses should still be reading the notes. | 0:15:43 | 0:15:45 | |
-Don't blame yourself. -All right. | 0:15:45 | 0:15:46 | |
I am referring, not I would like to refer, I AM referring. | 0:15:49 | 0:15:52 | |
Make an enemy of a nurse at your peril. | 0:15:52 | 0:15:54 | |
They'll make your life miserable if you start to piss them all off. | 0:15:54 | 0:15:57 | |
But I don't think that happens that often. | 0:15:57 | 0:16:00 | |
Well, not that often. | 0:16:00 | 0:16:02 | |
Don't get too friendly with them either. | 0:16:02 | 0:16:05 | |
Even with the support of a team, the days were taxing. | 0:16:14 | 0:16:18 | |
But more daunting were the nights. | 0:16:18 | 0:16:20 | |
First to run the gauntlet was Milla. | 0:16:23 | 0:16:25 | |
It's not like the daytime when you have your colleagues around you | 0:16:27 | 0:16:31 | |
and it's a lot easier to ask for help. | 0:16:31 | 0:16:34 | |
All doctors on call are given a crash bleep, which alerts them | 0:16:34 | 0:16:37 | |
to medical emergencies. Milla hadn't used one before. | 0:16:37 | 0:16:40 | |
But you just double-press the green button. | 0:16:40 | 0:16:43 | |
-And it's definitely going to go off? -It will definitely go off. | 0:16:43 | 0:16:46 | |
-OK. -Or you'd be very lucky if it never went off. | 0:16:46 | 0:16:49 | |
-So this is how it begins? -This is how it begins. | 0:16:49 | 0:16:51 | |
BEEPING OK. OK. | 0:16:54 | 0:16:56 | |
Starting on nights was, for me, shocking. | 0:16:58 | 0:17:02 | |
BEEPING | 0:17:02 | 0:17:03 | |
Oh my God, I'm not going to get my jobs done! | 0:17:03 | 0:17:06 | |
You're not supported by an entire team so you start on your own | 0:17:06 | 0:17:09 | |
and you have to deal with all the emergencies. | 0:17:09 | 0:17:11 | |
BEEPING | 0:17:11 | 0:17:13 | |
This is my new best friend, Mr Beep. | 0:17:13 | 0:17:15 | |
He basically doesn't stop bothering me. | 0:17:17 | 0:17:20 | |
BEEPING It's just one bleep after another. | 0:17:20 | 0:17:23 | |
Mr Bleep still goes off all the time. You can't get away with it! | 0:17:23 | 0:17:30 | |
I now go to the supermarket | 0:17:30 | 0:17:32 | |
and from the check out I literally think a bleep's going off somewhere. | 0:17:32 | 0:17:36 | |
To run off and answer ten million beeps. | 0:17:36 | 0:17:39 | |
BEEPING | 0:17:39 | 0:17:41 | |
And Milla's difficult night was only just beginning. | 0:17:45 | 0:17:49 | |
Somebody called me up to come and certify, I think, a death. | 0:17:49 | 0:17:52 | |
I had to do some, I think, really quite challenging things. | 0:17:52 | 0:17:57 | |
Things that I would never have experienced before, | 0:17:57 | 0:18:00 | |
including sort of having to certify a death. | 0:18:00 | 0:18:03 | |
I mean, it's my first night. | 0:18:03 | 0:18:05 | |
If you can help me out, I'd be most grateful. | 0:18:05 | 0:18:07 | |
He was still warm. | 0:18:24 | 0:18:25 | |
So I think that's kind of... | 0:18:25 | 0:18:27 | |
It's probably part of the really scary bit | 0:18:27 | 0:18:29 | |
because you kind of... You expect them to have a pulse, | 0:18:29 | 0:18:35 | |
so it's quite weird. | 0:18:35 | 0:18:37 | |
Yeah, just to look into his eyes and stuff... | 0:18:37 | 0:18:40 | |
So, yeah, quite shocking actually. | 0:18:40 | 0:18:43 | |
I guess I didn't really expect that on my first night. | 0:18:43 | 0:18:45 | |
And Milla's stress levels were about to go up a notch. | 0:18:49 | 0:18:52 | |
That's it. Fantastic. OK. | 0:18:54 | 0:18:57 | |
'Cardiac arrest. A&E Resus. Cardiac arrest.' | 0:19:02 | 0:19:06 | |
Oh my God, I don't have a card. Shit! | 0:19:12 | 0:19:14 | |
When your crash bleep goes off you literally see yourself running | 0:19:17 | 0:19:21 | |
to the crash call and you look up in the corridors in the hospital | 0:19:21 | 0:19:24 | |
to see whether there's anyone else running. | 0:19:24 | 0:19:27 | |
A patient was in cardiac arrest. | 0:19:27 | 0:19:31 | |
but Milla was four floors up on the other side of the hospital. | 0:19:31 | 0:19:35 | |
Hello, Milla. How's it going? | 0:19:40 | 0:19:42 | |
Hello. Good, you let me know if you need me to do anything. | 0:19:42 | 0:19:44 | |
Milla arrived just in time to help Amieth and the A&E team. | 0:19:44 | 0:19:48 | |
Point 99. PTO twos. | 0:19:48 | 0:19:51 | |
She was given the job of monitoring the patient's heart rate. | 0:19:51 | 0:19:54 | |
Basically says minus 24. | 0:19:54 | 0:19:56 | |
-I still need to continue. -Are you happy in your job? | 0:19:56 | 0:19:59 | |
-Yeah, I am, thank you. -It's the most important job going. | 0:19:59 | 0:20:02 | |
And after an hour she had helped stabilise them. | 0:20:04 | 0:20:07 | |
-Anything else I can do? -No, thank you very much. -Thanks very much. | 0:20:10 | 0:20:13 | |
You can't take those first few nights back, | 0:20:13 | 0:20:15 | |
you'll never experience them again. | 0:20:15 | 0:20:18 | |
But I don't think that I did anything that I would do differently now | 0:20:18 | 0:20:22 | |
but I think that I can now deal with things much quicker. | 0:20:22 | 0:20:25 | |
At the front line of this intense job, it was crucial to switch off. | 0:20:29 | 0:20:34 | |
But the junior doctors soon realised that their chosen career | 0:20:34 | 0:20:37 | |
was going to have a big impact on their personal lives. | 0:20:37 | 0:20:40 | |
It's really difficult to plan a social life around this rota. | 0:20:46 | 0:20:50 | |
You're supposed to finish at a certain time but you rarely ever do. | 0:20:50 | 0:20:54 | |
Hello, I've just been bleeped. It's Lucy. | 0:20:59 | 0:21:01 | |
Hi, it's Ben, I was just bleeped. | 0:21:01 | 0:21:03 | |
Well, in every job, when you start, you have days where you're just like, | 0:21:08 | 0:21:12 | |
"This is awful, I hate it, I'm miserable." | 0:21:12 | 0:21:14 | |
And it's now 2am, so this is my cereal. | 0:21:15 | 0:21:19 | |
Unfortunately, I think I've lost my life completely in the last year. | 0:21:19 | 0:21:23 | |
I got four bleeps just then. | 0:21:23 | 0:21:25 | |
I just think you get completely immersed in work | 0:21:25 | 0:21:27 | |
and you forget what's outside of it. | 0:21:27 | 0:21:29 | |
I'm already sleepy. | 0:21:31 | 0:21:32 | |
-Can I hand over this patient to you? -Yeah, of course, man, no worries. | 0:21:32 | 0:21:35 | |
I just... I think that I'm so tired now after the ten days. | 0:21:35 | 0:21:39 | |
It's a very conscious effort to maintain your life outside of work. | 0:21:41 | 0:21:44 | |
So when they did get a chance to go out they really went to town. | 0:21:46 | 0:21:50 | |
-I've been looking forward to tonight so much. -Going to get trashed? | 0:21:50 | 0:21:54 | |
That's the biggest balls up you've made in the last 12 days! | 0:21:55 | 0:21:59 | |
And I think it's absolutely crucial, especially in a job like ours, | 0:21:59 | 0:22:03 | |
to have things to look forward to. | 0:22:03 | 0:22:05 | |
Cos we know how hard we work. | 0:22:07 | 0:22:09 | |
THEY SING KARAOKE | 0:22:09 | 0:22:11 | |
When it came to party planning, Chelsea girl Milla led the way. | 0:22:16 | 0:22:20 | |
Hello. Hi. Thank you for coming. | 0:22:20 | 0:22:24 | |
-Oh, do you remember the bhaji thing? -I do. | 0:22:24 | 0:22:26 | |
-Thank you so much for organising that. -Oh, you're welcome. | 0:22:26 | 0:22:28 | |
CHEERING | 0:22:28 | 0:22:31 | |
She bestowed upon us the honour of teaching us this amazing skill. | 0:22:31 | 0:22:37 | |
Across the bottle. Priya, come on! | 0:22:37 | 0:22:41 | |
CHEERING It was a completely bizarre party with the champagne | 0:22:41 | 0:22:46 | |
and the swords and Milla being...Milla. | 0:22:46 | 0:22:48 | |
Work life balance is hard. | 0:22:50 | 0:22:52 | |
You can end up in hospital all the time, go home, | 0:22:52 | 0:22:54 | |
you carry on working actually | 0:22:54 | 0:22:56 | |
and end up going a little bit crazy and it is hard to balance. | 0:22:56 | 0:23:00 | |
-Ready? -Yeah. | 0:23:01 | 0:23:03 | |
I wouldn't say I've got the work- life balance right just yet, no. | 0:23:03 | 0:23:06 | |
The doctors were bonding with each other. | 0:23:12 | 0:23:14 | |
On the wards they also had to build relationships with patients. | 0:23:14 | 0:23:18 | |
It doesn't look like there's any wax or cotton in there. | 0:23:18 | 0:23:22 | |
It felt as if someone had taken me lungs out, | 0:23:22 | 0:23:25 | |
given them a good kicking and put them back in. | 0:23:25 | 0:23:27 | |
Can you point to where the pain was? | 0:23:27 | 0:23:29 | |
And from day one it was clear that Lucy was a natural | 0:23:30 | 0:23:34 | |
when it came to bedside manner. | 0:23:34 | 0:23:36 | |
I just feel like I need to get older because, at the moment, | 0:23:36 | 0:23:39 | |
when I'm talking to 80-year-olds and telling them | 0:23:39 | 0:23:41 | |
what they should be doing, I feel quite young. | 0:23:41 | 0:23:44 | |
Lucy was based in the General Medical Ward | 0:23:45 | 0:23:49 | |
where she treated mostly older patients. | 0:23:49 | 0:23:51 | |
You're 97 and doing everything on your own. Can't complain. | 0:23:53 | 0:23:56 | |
I shall be 100 soon. | 0:23:56 | 0:23:58 | |
'I think my first job offered me what I enjoy, | 0:23:58 | 0:24:01 | |
'so just the nature of the job' | 0:24:01 | 0:24:03 | |
meant there was a lot of elderly people | 0:24:03 | 0:24:05 | |
that had very long stays in hospital. | 0:24:05 | 0:24:07 | |
At just 25, Lucy had to give advice and support. | 0:24:07 | 0:24:11 | |
I wonder whether I'll be able to manage when I get home. | 0:24:11 | 0:24:13 | |
That's exactly why I want to talk to you. | 0:24:13 | 0:24:15 | |
I manage to kind of foster relationships with people that | 0:24:17 | 0:24:20 | |
actually, they give you quite a lot of slack, | 0:24:20 | 0:24:23 | |
so as a first job, people were very patient with me. | 0:24:23 | 0:24:27 | |
-Do you know where my eyebrows are? -Do I know where they are? | 0:24:27 | 0:24:30 | |
-Yeah. -I think I can probably guess. | 0:24:30 | 0:24:32 | |
'But you slowly gain confidence | 0:24:32 | 0:24:34 | |
'and the fact that you'd go in and people would know you' | 0:24:34 | 0:24:37 | |
and they enjoy seeing you and you would enjoy seeing them | 0:24:37 | 0:24:41 | |
and that kind of stuff I am a completely softy for really. | 0:24:41 | 0:24:44 | |
I just really enjoyed it. | 0:24:44 | 0:24:45 | |
I'll draw the curtain round and have a listen to your breathing. | 0:24:45 | 0:24:48 | |
We've taken him off his oxygen to see what he's saturating at | 0:24:48 | 0:24:51 | |
so he's been a bit better. | 0:24:51 | 0:24:52 | |
From her first day, Lucy cared for a 92-year-old patient | 0:24:52 | 0:24:57 | |
called Robert Beck. | 0:24:57 | 0:24:58 | |
He was suffering from a chest infection. | 0:24:58 | 0:25:01 | |
-Stick your tongue out. Did you have breakfast this morning? -Not yet. | 0:25:01 | 0:25:04 | |
-Oh, you haven't had any breakfast? -No. -Not even a cup of tea? | 0:25:04 | 0:25:09 | |
-I had a cup of tea, yes. -OK, that's what medical students are for. | 0:25:09 | 0:25:12 | |
Would you mind getting some tea and biscuits for Mr Beck, please? | 0:25:12 | 0:25:16 | |
-Thank you. How do you take your teeth? -Milk, no sugar. -Well done. | 0:25:16 | 0:25:21 | |
-No sugar. -OK, it's coming up. | 0:25:21 | 0:25:23 | |
Robert Beck was a patient that was there for a long time | 0:25:23 | 0:25:25 | |
during my first job. | 0:25:25 | 0:25:26 | |
Over that time you get to know things about people, | 0:25:26 | 0:25:29 | |
and he would tell you about... | 0:25:29 | 0:25:31 | |
Well, he'd tell me about his insecurities and about his worries | 0:25:31 | 0:25:35 | |
and you can't help but really grow very fond of somebody | 0:25:35 | 0:25:39 | |
and empathise with them. | 0:25:39 | 0:25:40 | |
Do you? | 0:25:42 | 0:25:43 | |
Let me shut the curtains and we'll have a proper chat. | 0:25:43 | 0:25:46 | |
I'm a bundle of nerves. | 0:25:49 | 0:25:52 | |
Are you? What are you nervous about? | 0:25:52 | 0:25:54 | |
What's just round the corner? | 0:26:09 | 0:26:11 | |
I don't think so. | 0:26:12 | 0:26:14 | |
I know it's a little bit miserable being in here. | 0:26:17 | 0:26:19 | |
It's just a matter of keeping going. | 0:26:19 | 0:26:24 | |
And you look good. | 0:26:24 | 0:26:26 | |
You do. | 0:26:26 | 0:26:27 | |
The secret is, Robert, I like having you here and we want to keep you. | 0:26:29 | 0:26:33 | |
But I certainly don't want you to be nervous. | 0:26:34 | 0:26:37 | |
I know. I know it's human nature. | 0:26:44 | 0:26:47 | |
I don't think it's pleasant for anybody, being in hospital. | 0:26:47 | 0:26:51 | |
I'm sorry it's been like that. | 0:27:06 | 0:27:08 | |
I know you do. | 0:27:11 | 0:27:13 | |
You've been in here now though for about two and a half weeks | 0:27:13 | 0:27:16 | |
and because you've been in for that long I want to carry on | 0:27:16 | 0:27:20 | |
and make sure that you get home and you stay at home and you're well. | 0:27:20 | 0:27:24 | |
Because I think we can do that. Honestly I do. | 0:27:24 | 0:27:28 | |
Yeah. | 0:27:28 | 0:27:31 | |
I feel very privileged when people put their trust in you, actually. | 0:27:36 | 0:27:40 | |
I think it's such a privilege. | 0:27:40 | 0:27:42 | |
I think it still touches me now, actually. | 0:27:42 | 0:27:45 | |
I still think, God, it's a great job for that. | 0:27:45 | 0:27:47 | |
People are in hospital | 0:27:49 | 0:27:50 | |
and that is the worst time of their lives and we forget that. | 0:27:50 | 0:27:53 | |
Oh, yeah, especially when you've got 20 patients. | 0:27:53 | 0:27:56 | |
We just waltz in and waltz out. | 0:27:56 | 0:27:58 | |
You don't have to scratch the surface very far at all with most patients | 0:27:58 | 0:28:02 | |
and they do have massive insecurities | 0:28:02 | 0:28:04 | |
and worries and concerns and stresses | 0:28:04 | 0:28:06 | |
and I think they always appreciate it if you just spend a bit of time. | 0:28:06 | 0:28:10 | |
And are you warm enough? Because you feel quite cold. | 0:28:10 | 0:28:12 | |
My friend asked me, | 0:28:12 | 0:28:13 | |
"If my mum becomes sick, can you make sure Lucy looks after her?" | 0:28:13 | 0:28:17 | |
If my mum's sick, I'll make sure... I would pay Lucy to look after her. | 0:28:17 | 0:28:22 | |
-And I'll see you later. You enjoy that tea. -OK, love. | 0:28:22 | 0:28:25 | |
I'm honoured to be her friend. | 0:28:25 | 0:28:27 | |
Like Lucy, Milla was learning the art | 0:28:30 | 0:28:33 | |
of putting patients at their ease. | 0:28:33 | 0:28:36 | |
In Dermatology, she saw a patient with severe psoriasis. | 0:28:36 | 0:28:40 | |
It's quite smelly, isn't it? | 0:28:40 | 0:28:41 | |
A skin condition which needed treatment with coal tar. | 0:28:41 | 0:28:45 | |
How often do you have this done? | 0:28:45 | 0:28:47 | |
-So you had psoriasis for that long? -Yes. | 0:28:54 | 0:28:58 | |
He was just the most loveliest man who had dealt with this condition | 0:28:58 | 0:29:03 | |
for so many years and I think more shockingly | 0:29:03 | 0:29:06 | |
he obviously was, you know, was struggling dealing with it. | 0:29:06 | 0:29:12 | |
How does it affect you physically? | 0:29:12 | 0:29:14 | |
You said both physically and mentally. | 0:29:33 | 0:29:35 | |
-And so 40 years, you said? -Yeah, about 40 years now. | 0:29:56 | 0:30:00 | |
-Wow. And you're still smiling. -Yeah, I'm still smiling, yes. Yeah. | 0:30:00 | 0:30:04 | |
It was really quite upsetting, | 0:30:05 | 0:30:06 | |
some of the things that he shared with me regarding his wife | 0:30:06 | 0:30:10 | |
and regarding his children. | 0:30:10 | 0:30:12 | |
I think sometimes we don't realise | 0:30:12 | 0:30:14 | |
how much different medical conditions affect people and their lives. | 0:30:14 | 0:30:19 | |
And Milla has decided that dermatology | 0:30:23 | 0:30:26 | |
is going to be her chosen career path. | 0:30:26 | 0:30:29 | |
-OK? -Is that all done? | 0:30:29 | 0:30:32 | |
-No, not yet, that was just the anaesthetic. -Oh, right. | 0:30:32 | 0:30:34 | |
But that was it, I promise you that was the worst bit, | 0:30:34 | 0:30:37 | |
you shouldn't feel anything else now. | 0:30:37 | 0:30:39 | |
The fact that it's something that people can see | 0:30:40 | 0:30:42 | |
and it's something that, you know, we can do something about... | 0:30:42 | 0:30:45 | |
Because a lot of these conditions are really debilitating for people | 0:30:45 | 0:30:49 | |
because they are visible. | 0:30:49 | 0:30:50 | |
And we can do something about it. | 0:30:50 | 0:30:52 | |
As well as rewarding, patient contact could also be challenging. | 0:30:57 | 0:31:03 | |
Starting out as a junior doctor is very daunting | 0:31:03 | 0:31:05 | |
and there's lots of trepidation about what's going to happen | 0:31:05 | 0:31:09 | |
and how you deal with things as they occur. | 0:31:09 | 0:31:12 | |
And Sameer was about to meet a patient | 0:31:12 | 0:31:15 | |
who would test his bedside manner. | 0:31:15 | 0:31:17 | |
I will. I will talk to you first. | 0:31:20 | 0:31:22 | |
So just to introduce myself - I'm Sameer, I'm one of the doctors. | 0:31:24 | 0:31:28 | |
So where's the pain? | 0:31:28 | 0:31:30 | |
So does anything make the pain worse or better? | 0:31:38 | 0:31:40 | |
I just need to make sure I've got the whole story. | 0:31:55 | 0:31:59 | |
-But I will be as quick as I can. -Of course. | 0:31:59 | 0:32:02 | |
'I knew you'd need to have difficult conversations with patients.' | 0:32:02 | 0:32:06 | |
There's always going to be a couple of patients | 0:32:06 | 0:32:09 | |
that you're not going to... You know. | 0:32:09 | 0:32:12 | |
Perhaps not enjoy talking to, but they're going to be difficult. | 0:32:12 | 0:32:16 | |
I want to talk a bit about the drug use. | 0:32:16 | 0:32:19 | |
How long have you been using and what kind of drugs have you...? | 0:32:19 | 0:32:24 | |
It's just... It would be helpful... | 0:32:36 | 0:32:38 | |
It's just questions we ask everyone. | 0:32:38 | 0:32:40 | |
Well, no, there's a reason for it. | 0:32:43 | 0:32:44 | |
No, no, it's because... | 0:32:47 | 0:32:48 | |
I-I... | 0:32:49 | 0:32:50 | |
OK. | 0:32:53 | 0:32:55 | |
Don't worry, we don't have to talk about it in that case. | 0:32:56 | 0:32:59 | |
OK, can I just move on to...? | 0:33:01 | 0:33:04 | |
'He did take me on a ride a bit and he was quite difficult with me | 0:33:07 | 0:33:10 | |
'and I did feel a bit uncomfortable on the inside,' | 0:33:10 | 0:33:13 | |
but I think sometimes that part of the doctors' job | 0:33:13 | 0:33:17 | |
is to keep control of the situation. | 0:33:17 | 0:33:21 | |
That patient was trying to engage with him | 0:33:24 | 0:33:27 | |
and was just been very challenging. | 0:33:27 | 0:33:29 | |
And he stayed quite calm, and I think he managed him | 0:33:29 | 0:33:32 | |
as well as anyone could have done, to be honest. | 0:33:32 | 0:33:36 | |
'I know exactly what to say now if that were to happen again,' | 0:33:36 | 0:33:39 | |
but I guess I didn't when that did happen. | 0:33:39 | 0:33:42 | |
A lot of the time, difficult patients are being difficult | 0:33:44 | 0:33:47 | |
because of anxiety and fear about being in hospital and being unwell. | 0:33:47 | 0:33:52 | |
And once you kind of get past that | 0:33:52 | 0:33:54 | |
and you address their particular concerns, | 0:33:54 | 0:33:57 | |
then they become a lot easier. | 0:33:57 | 0:33:59 | |
Um, it is something that I'm becoming a bit more used to, | 0:33:59 | 0:34:02 | |
but there are always certain patients that you just find | 0:34:02 | 0:34:05 | |
you don't quite make that connection with. | 0:34:05 | 0:34:08 | |
..a test to a blood stent, please. | 0:34:14 | 0:34:17 | |
For all the junior doctors, | 0:34:17 | 0:34:19 | |
new experiences were coming thick and fast. | 0:34:19 | 0:34:23 | |
Chest drains are quite nasty, OK? So really keep anaesthetic, all right? | 0:34:23 | 0:34:27 | |
OK. Just so you know, I haven't done this before. | 0:34:27 | 0:34:30 | |
-I will talk you through it. -OK. Yep. | 0:34:30 | 0:34:32 | |
Aki was asked to carry out an advanced and difficult chest drain. | 0:34:32 | 0:34:37 | |
-My God. -What's that? | 0:34:38 | 0:34:41 | |
-Chest drain. Have you done one? -Yeah. You'll love it. | 0:34:41 | 0:34:45 | |
I'm sure I will(!) Thanks, see you tomorrow. | 0:34:45 | 0:34:48 | |
I think was really nice that I was given the opportunity | 0:34:48 | 0:34:51 | |
to do something a bit exciting really early on, | 0:34:51 | 0:34:53 | |
because it kind of sets you up for the whole year, really. | 0:34:53 | 0:34:57 | |
The crucial thing was to put the patient at ease. | 0:34:57 | 0:35:02 | |
I'm going to really honest with you, this is... | 0:35:02 | 0:35:05 | |
I don't want to scare you... | 0:35:05 | 0:35:07 | |
-This is the first time you've done this? -Yes. | 0:35:07 | 0:35:10 | |
"I don't want you to worry, but I've never done this before." | 0:35:10 | 0:35:12 | |
"Oh, well, that's fine then, I feel completely at ease about it." | 0:35:12 | 0:35:15 | |
"It's extremely dangerous and you might die. | 0:35:15 | 0:35:17 | |
"But I've never done it before but it's fine." | 0:35:17 | 0:35:19 | |
Aki had to pierce the chest from behind, avoiding vital organs. | 0:35:21 | 0:35:25 | |
So... | 0:35:25 | 0:35:26 | |
Put that in, and then with your needle, | 0:35:26 | 0:35:29 | |
you are going to go straight in, perpendicular to the skin. | 0:35:29 | 0:35:33 | |
-Like that. -Mm-hm. | 0:35:33 | 0:35:35 | |
-We're going to give it a try now. -Can you feel that? -No. | 0:35:35 | 0:35:39 | |
Hold the needle, remember not to let go of that guard. | 0:35:39 | 0:35:43 | |
Push it through, twiddle, twiddle, twiddle. | 0:35:43 | 0:35:45 | |
-Sorry. -How are you doing there? | 0:35:45 | 0:35:48 | |
-It's hurting a bit. -Is that bearable? -Just. -OK. | 0:35:48 | 0:35:52 | |
Take a big breath in for me please? You can see it's swinging, yeah? | 0:35:55 | 0:36:00 | |
Good. Well done. | 0:36:00 | 0:36:02 | |
-Congratulations. -Thank you very much. -Your first drain. | 0:36:03 | 0:36:06 | |
It was my first drain. | 0:36:06 | 0:36:08 | |
I'm really, really proud of Aki, he did really, really well, | 0:36:08 | 0:36:11 | |
and actually the patient was really comfortable as well | 0:36:11 | 0:36:14 | |
and that's really satisfying, so, no, job well done. | 0:36:14 | 0:36:16 | |
# I wanna sing... # | 0:36:16 | 0:36:18 | |
That was...really cool. | 0:36:18 | 0:36:21 | |
# I wanna scream till the words dry out... # | 0:36:21 | 0:36:25 | |
Job done! | 0:36:25 | 0:36:26 | |
'When everyone else is wondering around, | 0:36:27 | 0:36:30 | |
'filling in bits of paper, looking lost,' | 0:36:30 | 0:36:31 | |
you're there, sticking bloody great needles into someone's chest, | 0:36:31 | 0:36:35 | |
and walking around like you own the place! | 0:36:35 | 0:36:39 | |
I think every year I have a moment where I think, | 0:36:42 | 0:36:45 | |
"Oh, my God, this is the best job ever." | 0:36:45 | 0:36:47 | |
I think Aki was somewhat of an excited puppy dog, wasn't he? | 0:36:50 | 0:36:54 | |
-After he'd done that chest drain! -SHE LAUGHS | 0:36:54 | 0:36:56 | |
-How are you? -I am exhausted, | 0:36:56 | 0:36:59 | |
-but I'm really happy, I just put a chest drain in! -Oh my gosh, wow! | 0:36:59 | 0:37:02 | |
That's exciting. | 0:37:02 | 0:37:04 | |
'I was very surprised, slightly jealous,' | 0:37:04 | 0:37:07 | |
because, you know, it's quite a challenging procedure. | 0:37:07 | 0:37:11 | |
-I haven't done one since. -No. Take the opportunity when you get it! | 0:37:11 | 0:37:16 | |
So when I go into my second year, in a new hospital, | 0:37:16 | 0:37:21 | |
everyone's going to be like, "Oh, Aki, chest drain. | 0:37:21 | 0:37:24 | |
"Standard, right? Just whack one out, why don't you?" | 0:37:24 | 0:37:26 | |
I'll be like, "I've never done one since." | 0:37:26 | 0:37:28 | |
I think Aki dealt with the situation really well. | 0:37:28 | 0:37:31 | |
It's difficult. It's nerve wracking. | 0:37:31 | 0:37:32 | |
We've all been in that situation, | 0:37:32 | 0:37:34 | |
where you are doing a procedure for the first time. | 0:37:34 | 0:37:36 | |
Yet you have to exceed confidence | 0:37:36 | 0:37:38 | |
otherwise your patient doesn't have confidence in you. | 0:37:38 | 0:37:40 | |
'It's coming up to a year, now, of being a doctor.' | 0:37:40 | 0:37:43 | |
Some things repeat itself. | 0:37:43 | 0:37:46 | |
And the more you do it, the more confident you become. | 0:37:46 | 0:37:49 | |
'It's a positive spiral.' | 0:37:49 | 0:37:51 | |
And I just hope that continues. | 0:37:52 | 0:37:54 | |
As they gained more experience, | 0:37:55 | 0:37:57 | |
the junior doctors' confidence started growing. | 0:37:57 | 0:38:01 | |
In A&E, Amieth now had a few months under his belt. | 0:38:01 | 0:38:05 | |
PHONE RINGS Hello, A&E resus. | 0:38:05 | 0:38:08 | |
Just as well, given the case he was about to face. | 0:38:08 | 0:38:12 | |
A waitress had been admitted to A&E - | 0:38:13 | 0:38:16 | |
her hand had been impaled with a spike. | 0:38:16 | 0:38:18 | |
Make sure you keep all the receipts. | 0:38:20 | 0:38:22 | |
I was going to say, are these the chits or just the counter slips? | 0:38:22 | 0:38:25 | |
Oh, no, they'll need them for their records! | 0:38:25 | 0:38:29 | |
-I liked your joke as well, "Keep the receipts." -It wasn't a joke. -OK. | 0:38:29 | 0:38:33 | |
I actually wanted... You know, I thought they might be important. | 0:38:33 | 0:38:36 | |
'And if you just throw them away, the whole business goes under,' | 0:38:36 | 0:38:40 | |
so not only is she out of a job, she's also got a spike in her hand. | 0:38:40 | 0:38:44 | |
You can just take this out. | 0:38:44 | 0:38:46 | |
OK. | 0:38:46 | 0:38:48 | |
What we'll do is get a decent pair of pliers. | 0:38:48 | 0:38:51 | |
It's very deep, though... | 0:38:51 | 0:38:52 | |
'I'd actually anticipated sending her to the operating theatre | 0:38:52 | 0:38:56 | |
'to do that, and then the registrar turned around' | 0:38:56 | 0:38:58 | |
and said "Oh, no, you can do it, just go and get some pliers." | 0:38:58 | 0:39:01 | |
Get further down and a bit more in the middle, that's it, | 0:39:01 | 0:39:04 | |
right, now I'll tell you when... | 0:39:04 | 0:39:06 | |
Ready? Go. | 0:39:06 | 0:39:08 | |
PATIENT MOANS | 0:39:08 | 0:39:10 | |
Sharp spiky thing goes in and sharp spiky thing comes out. | 0:39:13 | 0:39:16 | |
-You've taken it out? -I managed to get it out, yeah. | 0:39:16 | 0:39:18 | |
Oh, my God, well done, you! | 0:39:18 | 0:39:20 | |
I've certainly learnt to work on my own a lot more this year, | 0:39:21 | 0:39:25 | |
and I'm certainly much more comfortable in dealing with | 0:39:25 | 0:39:29 | |
many different sorts of problems. | 0:39:29 | 0:39:31 | |
-PRIYA: -'The funny thing is you and I are both doing A&E next year,' | 0:39:32 | 0:39:35 | |
-and I don't know how... -I know. | 0:39:35 | 0:39:37 | |
You get faced with anything and everything. | 0:39:37 | 0:39:39 | |
That's what we've seen with Amieth. | 0:39:39 | 0:39:41 | |
We've seen Amieth go through it, we've learnt a few things from him. | 0:39:41 | 0:39:44 | |
You have to be so versatile. | 0:39:44 | 0:39:45 | |
You have to adapt to the situation | 0:39:45 | 0:39:47 | |
and, you know, get out the toolkit and just get on with it. | 0:39:47 | 0:39:51 | |
Right, let's run through this list, cos I want a good day. | 0:39:54 | 0:39:56 | |
Like Amieth, Andy was being given more responsibility... | 0:39:56 | 0:40:00 | |
on the night shift. | 0:40:00 | 0:40:01 | |
My SHO, he was like, "We're going to get a bit of sleep | 0:40:09 | 0:40:12 | |
"and then you can run the show," so I'm just a bit like, "Oh, God!" | 0:40:12 | 0:40:16 | |
Ah, thank you. Cheers. | 0:40:20 | 0:40:21 | |
On his patient list was 22-year-old Cristobel. | 0:40:21 | 0:40:24 | |
So tell me what's been going on then? | 0:40:24 | 0:40:26 | |
At five o'clock today, some cramps started. | 0:40:26 | 0:40:30 | |
If I move or if I cough, or if I laugh or anything like that, | 0:40:30 | 0:40:33 | |
then it really hurts. | 0:40:33 | 0:40:34 | |
-Point me exactly where? -The middle, just here. | 0:40:34 | 0:40:37 | |
Underneath the belly button, around here. | 0:40:37 | 0:40:39 | |
I need to have a feel of your tummy now. | 0:40:39 | 0:40:41 | |
She had severe abdominal pains. | 0:40:41 | 0:40:43 | |
-Ow. -Sorry. -Ow! | 0:40:44 | 0:40:46 | |
That's painful there, is it? | 0:40:46 | 0:40:47 | |
It could have been appendicitis or just some non-specific pain. | 0:40:47 | 0:40:52 | |
BEEPING | 0:40:52 | 0:40:54 | |
The patient I saw earlier has fainted. | 0:40:56 | 0:41:00 | |
But a few hours later, | 0:41:00 | 0:41:01 | |
her stomach pains had taken a turn for the worse. | 0:41:01 | 0:41:04 | |
Hi. | 0:41:06 | 0:41:08 | |
She just looked awful, and I thought, you know, | 0:41:08 | 0:41:10 | |
"There's really something seriously wrong here." | 0:41:10 | 0:41:13 | |
So we need some gel infusion, get some oxygen as well, please. | 0:41:13 | 0:41:16 | |
That's when the sort of real training kicks in. | 0:41:16 | 0:41:19 | |
OK... | 0:41:19 | 0:41:20 | |
No, what's been happening with your chest? | 0:41:20 | 0:41:22 | |
OK, can we get an ECG as well? Thanks. | 0:41:28 | 0:41:31 | |
'I think the moment where I realised | 0:41:31 | 0:41:34 | |
'that I did have some responsibility there' | 0:41:34 | 0:41:38 | |
was when the nurses have done their bit, | 0:41:38 | 0:41:40 | |
they've got her into bed, called the doctor, and they're standing, | 0:41:40 | 0:41:43 | |
waiting for you to make that decision, "What do we do now?" | 0:41:43 | 0:41:46 | |
Then you think, | 0:41:46 | 0:41:47 | |
"Right, I'd better get on and do something to help this girl." | 0:41:47 | 0:41:52 | |
Andy suspected an internal bleed, and called his senior for back up. | 0:41:52 | 0:41:56 | |
She's had a faint and her blood pressure's dropped, | 0:41:56 | 0:42:00 | |
she's looking very pale, I just thought I'd call you sooner | 0:42:00 | 0:42:04 | |
rather than later about this because I think she looks quite ill. | 0:42:04 | 0:42:06 | |
If Andy was right, the condition could have been fatal. | 0:42:06 | 0:42:10 | |
'So he gave her fluids, he got her comfortable, | 0:42:10 | 0:42:12 | |
'he gave her pain killers, and actually stabilised her | 0:42:12 | 0:42:14 | |
'so that the gynaecology surgeons could come in' | 0:42:14 | 0:42:17 | |
and deal with the problem in a sort of more definitive way. | 0:42:17 | 0:42:21 | |
Based on Andy's diagnosis, | 0:42:24 | 0:42:25 | |
a specialist surgery team took over her care. | 0:42:25 | 0:42:28 | |
I don't think he realises what he's done there, | 0:42:30 | 0:42:32 | |
like, what he's achieved, | 0:42:32 | 0:42:34 | |
because he's being really nonchalant about it, | 0:42:34 | 0:42:37 | |
but that was pretty cool, what he did. | 0:42:37 | 0:42:39 | |
After three months of living together, | 0:42:40 | 0:42:42 | |
the junior doctors were starting to feel like a family... | 0:42:42 | 0:42:46 | |
SHE LAUGHS | 0:42:46 | 0:42:47 | |
..and really getting to know each other's quirks. | 0:42:47 | 0:42:51 | |
There's quite a variety of characters in there. | 0:42:51 | 0:42:53 | |
I think I've only noticed that on reflection. | 0:42:53 | 0:42:55 | |
-No, you definitely mentioned it all the way through. -Did I? -Yeah. | 0:42:55 | 0:42:59 | |
But now... OK, well I had an unusually high tolerance level | 0:42:59 | 0:43:02 | |
over that time. | 0:43:02 | 0:43:03 | |
Sameer is somewhat quirky. He's rather awkward. | 0:43:03 | 0:43:08 | |
If you weren't doctors, what would be your ideal job? | 0:43:08 | 0:43:12 | |
Um, I'd be Batman. | 0:43:12 | 0:43:14 | |
He completely recognises what he's saying is a bit odd | 0:43:15 | 0:43:18 | |
or, you know, a bit satirical, but who cares, he doesn't care. | 0:43:18 | 0:43:22 | |
The stuff he comes out with is magical. | 0:43:22 | 0:43:25 | |
And why, Sameer? Why would you be Batman? | 0:43:25 | 0:43:29 | |
I went into medicine so I could help people from disease, | 0:43:29 | 0:43:34 | |
and if I couldn't do that, I'd like to help them from... | 0:43:34 | 0:43:37 | |
save them from organised crime. | 0:43:37 | 0:43:39 | |
Right. | 0:43:39 | 0:43:41 | |
While Sameer kept the house amused, Priya kept the house fed. | 0:43:42 | 0:43:46 | |
My mum tends to cook a lot of food for me and send it down to London. | 0:43:47 | 0:43:52 | |
Priya could never eat all of it, so she always gave it to us, | 0:43:52 | 0:43:55 | |
and we appreciated that, so thank you, Priya, | 0:43:55 | 0:43:57 | |
and thank you, Priya's mum. | 0:43:57 | 0:43:59 | |
I hope you enjoy my curry attempts. | 0:43:59 | 0:44:02 | |
-LUCY: -This looks so nice. | 0:44:02 | 0:44:04 | |
Priya is so conscientious, can sometimes be a little bit ditzy, | 0:44:05 | 0:44:09 | |
but that combination's lovely. | 0:44:09 | 0:44:10 | |
I think this is my road. | 0:44:13 | 0:44:15 | |
Parking wasn't one of Priya's strong points. | 0:44:15 | 0:44:18 | |
-Oh, man! -Are you still going to park it there? | 0:44:19 | 0:44:23 | |
I always thought, when I was a child, | 0:44:24 | 0:44:26 | |
that I've got very good spatial awareness. | 0:44:26 | 0:44:28 | |
You're quite far away from the curb, Priya. | 0:44:28 | 0:44:31 | |
Maybe my mirrors aren't set right. | 0:44:31 | 0:44:33 | |
You need to go that way a bit and get flush with the curb. | 0:44:33 | 0:44:35 | |
-I don't know what that means. -Right, OK, turn the wheel a bit. | 0:44:35 | 0:44:38 | |
-Which way? -That way. | 0:44:38 | 0:44:40 | |
-You're looking behind, yeah? -Yeah. | 0:44:40 | 0:44:42 | |
OK. Stop! | 0:44:43 | 0:44:45 | |
-Good work, team. -Good work, Andy. High five. -Yeah. | 0:44:47 | 0:44:50 | |
I'm just not very good. | 0:44:50 | 0:44:51 | |
But parking was the least of Priya's problems. | 0:44:55 | 0:44:58 | |
On the wards, she was about to be given | 0:44:58 | 0:45:01 | |
an even bigger test of agility... | 0:45:01 | 0:45:03 | |
I'm going to ask her if she's had bloods. | 0:45:03 | 0:45:06 | |
..by taking blood from a patient with notoriously small veins. | 0:45:06 | 0:45:11 | |
OK. Right. | 0:45:11 | 0:45:12 | |
Throughout their early months, most of the junior doctors found | 0:45:12 | 0:45:16 | |
taking blood a surprisingly difficult task. | 0:45:16 | 0:45:19 | |
When you learn how to take blood, you learn it on models. | 0:45:19 | 0:45:21 | |
You do it a few kinds at medical school, | 0:45:21 | 0:45:24 | |
and then you're expected to go out | 0:45:24 | 0:45:25 | |
-and do it for real on patients aren't you? -Yeah. | 0:45:25 | 0:45:28 | |
And you know, the models you have at medical school, | 0:45:28 | 0:45:31 | |
the veins are literally like... | 0:45:31 | 0:45:34 | |
-Like drainpipes. -Yeah, drainpipes, it's impossible to miss. | 0:45:34 | 0:45:37 | |
And then when you get into the real world you realise that | 0:45:37 | 0:45:40 | |
patients are elderly, they're sick, they're shut down, | 0:45:40 | 0:45:42 | |
you're not going got find veins that easily. | 0:45:42 | 0:45:44 | |
Let's go. | 0:45:44 | 0:45:45 | |
But the juniors were no longer fresh out of med school, | 0:45:45 | 0:45:48 | |
and Priya had to prove herself as a doctor. | 0:45:48 | 0:45:51 | |
She's so difficult to get blood from that the phlebotomists, | 0:45:51 | 0:45:54 | |
who are the trained experts in getting blood, | 0:45:54 | 0:45:56 | |
they would often say to her, "If I get blood from you today, | 0:45:56 | 0:45:59 | |
"you have to take me out on a date." | 0:45:59 | 0:46:01 | |
We've all been in that situation where | 0:46:02 | 0:46:04 | |
patients either have very, very tiny veins or you can't even see them. | 0:46:04 | 0:46:10 | |
I was basically set up for failure. | 0:46:10 | 0:46:13 | |
A sharp scratch. | 0:46:16 | 0:46:18 | |
-You OK? -Ooh. | 0:46:20 | 0:46:22 | |
-OK? -Egads! | 0:46:23 | 0:46:25 | |
-Oh. -It's all right. -What happened? -Keep going. | 0:46:25 | 0:46:28 | |
-No, no, no, no. -You're not stopping it. -I withdrew it. -Why? | 0:46:28 | 0:46:33 | |
You moved a little bit and you screamed! | 0:46:33 | 0:46:35 | |
-Don't be a quitter, cos I'm not quitting. -OK, I will try again. | 0:46:35 | 0:46:39 | |
A sharp scratch. | 0:46:39 | 0:46:40 | |
-Let me know if it hurts too much. -No, it's fine. | 0:46:42 | 0:46:45 | |
Still fishing. | 0:46:47 | 0:46:48 | |
-Have you got it? -I've got some. | 0:46:50 | 0:46:52 | |
Oh, well done! Yes! | 0:46:55 | 0:46:58 | |
-Isn't she wonderful? -YOU'RE wonderful. | 0:47:00 | 0:47:04 | |
For tolerating having a needle stuck... | 0:47:04 | 0:47:06 | |
Did you get enough, though? | 0:47:06 | 0:47:08 | |
Yes, I did. I've got more than enough. | 0:47:08 | 0:47:10 | |
'At that time, it felt like a good achievement,' | 0:47:12 | 0:47:15 | |
simply because everyone else was struggling. | 0:47:15 | 0:47:18 | |
I mean, right now I look back at it | 0:47:18 | 0:47:19 | |
and think that it was just a simple, mundane task, | 0:47:19 | 0:47:22 | |
but, at that time, it felt rewarding | 0:47:22 | 0:47:24 | |
and I felt like I was winning for once. | 0:47:24 | 0:47:26 | |
I just did what is the impossible, | 0:47:26 | 0:47:28 | |
I managed to take blood from Mrs Tristholt. | 0:47:28 | 0:47:31 | |
'Probably one of the most conscientious doctors that...' | 0:47:33 | 0:47:36 | |
I know of, actually. | 0:47:36 | 0:47:37 | |
She's good. She really is good. | 0:47:38 | 0:47:41 | |
But, however, you'll never see me parking in a straight line, ever, | 0:47:41 | 0:47:44 | |
that's one promise I can never make. | 0:47:44 | 0:47:46 | |
Priya's latest placement is in Dermatology. | 0:47:51 | 0:47:54 | |
If you feel any pain let me know, I'll stop straight away | 0:47:56 | 0:47:59 | |
and I'll put a little bit more local anaesthetic to numb it, OK? | 0:47:59 | 0:48:03 | |
It's the area she's decided to specialise in. | 0:48:03 | 0:48:07 | |
'I'm really interested in helping patients | 0:48:07 | 0:48:09 | |
'who have disorders of the skin,' | 0:48:09 | 0:48:11 | |
because I've seen the impact it has on their lives. | 0:48:11 | 0:48:14 | |
It's just a little hole, it looks a bit unsightly now, | 0:48:14 | 0:48:17 | |
but what we'll do is we'll put a stitch in it | 0:48:17 | 0:48:19 | |
and in time it will heal over, OK? | 0:48:19 | 0:48:20 | |
Like Priya, | 0:48:26 | 0:48:28 | |
second year Ben had made some big decisions about the future too. | 0:48:28 | 0:48:32 | |
Probably best if we get you holding her. | 0:48:32 | 0:48:35 | |
After getting a chance to work with children, | 0:48:35 | 0:48:38 | |
Ben wanted to make his dream | 0:48:38 | 0:48:39 | |
of specialising in paediatrics a reality. | 0:48:39 | 0:48:43 | |
Hey there. | 0:48:43 | 0:48:44 | |
Sorry! Sorry. | 0:48:46 | 0:48:48 | |
-That was easier than expected. -Yep. | 0:48:49 | 0:48:51 | |
All built up for it to be a nightmare! | 0:48:51 | 0:48:54 | |
I think you can see his real passion for the job, | 0:48:54 | 0:48:57 | |
I think when you see somebody do that, | 0:48:57 | 0:48:59 | |
you just think, "THAT'S why you should do something that you love." | 0:48:59 | 0:49:02 | |
But he still needed to stand out to get ahead | 0:49:05 | 0:49:08 | |
in this highly competitive field. | 0:49:08 | 0:49:10 | |
Quite a big deal for me, but it's also terrifying. | 0:49:10 | 0:49:14 | |
So he put himself in the limelight, | 0:49:15 | 0:49:17 | |
presenting new research to an audience of top paediatric surgeons. | 0:49:17 | 0:49:22 | |
'I remember Ben having to make a presentation to | 0:49:22 | 0:49:25 | |
'sort of a national conference with lots of different consultants,' | 0:49:25 | 0:49:28 | |
and I just thought, "Wow, that must be really, really exciting." | 0:49:28 | 0:49:31 | |
Anaesthetising a neonate | 0:49:31 | 0:49:33 | |
has a suggested high risk than anaesthetising an older child, | 0:49:33 | 0:49:36 | |
making it even more prudent to try | 0:49:36 | 0:49:38 | |
and avoid a second operation in this patient population. | 0:49:38 | 0:49:40 | |
Thank you very much. | 0:49:40 | 0:49:42 | |
APPLAUSE | 0:49:42 | 0:49:44 | |
This helped land Ben the recognition that enabled him | 0:49:44 | 0:49:47 | |
to clinch a place on a prestigious surgery training programme. | 0:49:47 | 0:49:51 | |
The next step for me is starting what we call | 0:49:51 | 0:49:54 | |
an academic clinical fellowship, | 0:49:54 | 0:49:57 | |
in Oxford, in paediatric surgery. | 0:49:57 | 0:49:59 | |
BABY BURBLES | 0:49:59 | 0:50:00 | |
It's essentially the dream job, this is the best job I could have | 0:50:00 | 0:50:03 | |
hoped for, it combines paediatric surgery and further training. | 0:50:03 | 0:50:08 | |
Hopefully it'll take me through to consultancy in 20 years' time. | 0:50:08 | 0:50:12 | |
It's scary that you're making such a long-term decision, | 0:50:14 | 0:50:17 | |
and it's something that we'll all have to do in a year's time. | 0:50:17 | 0:50:20 | |
While some of the juniors know exactly | 0:50:23 | 0:50:25 | |
which fields they want to pursue, | 0:50:25 | 0:50:28 | |
as they come to the end of their 12 months, others are still undecided. | 0:50:28 | 0:50:32 | |
I don't know what kind of doctor I want to be, it's, um... | 0:50:32 | 0:50:36 | |
to be announced. | 0:50:36 | 0:50:37 | |
Hello, sir. | 0:50:37 | 0:50:38 | |
Hello again. | 0:50:38 | 0:50:39 | |
I think I learnt over my first job how much I value patient contact. | 0:50:39 | 0:50:45 | |
I just need to take a blood test today, | 0:50:45 | 0:50:47 | |
just to make sure that your clotting's OK. | 0:50:47 | 0:50:49 | |
During her year, | 0:50:49 | 0:50:50 | |
Lucy found that her key talent was really connecting with patients. | 0:50:50 | 0:50:55 | |
-There you go, all good. -That's an English rose. That's for you. | 0:50:55 | 0:50:59 | |
Lucy came across great, she's open, honest and they trust her, | 0:50:59 | 0:51:02 | |
and actually she spent a lot of time going the extra mile to help them, | 0:51:02 | 0:51:06 | |
and that makes a massive difference. | 0:51:06 | 0:51:08 | |
-Thank you very much. Bye! -Bye. | 0:51:08 | 0:51:12 | |
In terms of long-term, I've not really got a plan, | 0:51:12 | 0:51:14 | |
I'm just going to see how it goes. | 0:51:14 | 0:51:16 | |
Now I'm on surgery, one of the doctors at Chelsea tells me | 0:51:16 | 0:51:19 | |
that surgeons are born and not made, and I think that's absolutely true, | 0:51:19 | 0:51:22 | |
I was not born a surgeon, I think I was born a medic. | 0:51:22 | 0:51:24 | |
At the end of their first year, | 0:51:32 | 0:51:34 | |
Andy and Aki have brought their bromance to the work place. | 0:51:34 | 0:51:38 | |
-Have you seen them, Aki, today? -Not yet. -Not yet? | 0:51:38 | 0:51:42 | |
You serious? | 0:51:42 | 0:51:44 | |
They're working together on the same ward. | 0:51:44 | 0:51:47 | |
It's been fun, apart from Aki's managed to avoid | 0:51:47 | 0:51:49 | |
spending any time with me, by constantly being on call. | 0:51:49 | 0:51:52 | |
So basically he's a guy who's got end-stage heart failure. | 0:51:52 | 0:51:55 | |
So me and Aki are doing the ward round today, | 0:51:55 | 0:51:58 | |
so we're basically just going round all of our 18 patients. | 0:51:58 | 0:52:02 | |
Big breaths. | 0:52:02 | 0:52:04 | |
'Generally just...' | 0:52:04 | 0:52:05 | |
..saving lives. | 0:52:06 | 0:52:07 | |
Don't say that. Please don't say that again. | 0:52:07 | 0:52:10 | |
THEY LAUGH | 0:52:10 | 0:52:11 | |
Now, with much more to prove than their early days, | 0:52:13 | 0:52:16 | |
the junior doctors have to show they can go it alone. | 0:52:16 | 0:52:20 | |
..pitting oedema in the knees, but I think that's improved. | 0:52:20 | 0:52:23 | |
I feel a lot more confident at assessing a patient. | 0:52:23 | 0:52:26 | |
We're fine with you medically, | 0:52:26 | 0:52:27 | |
it's just making sure that you're safe at home. | 0:52:27 | 0:52:29 | |
Making a decision on their management. | 0:52:29 | 0:52:31 | |
I'm just going to check your chart. What was his weight? | 0:52:31 | 0:52:35 | |
It's just, isn't it? The more you do it, the better you get. | 0:52:35 | 0:52:38 | |
-Which one of you is coughing? MEN: -Me. | 0:52:38 | 0:52:41 | |
Both of you are coughing? | 0:52:41 | 0:52:43 | |
'Quite incredible what a year can do to you, | 0:52:43 | 0:52:46 | |
'I mean, looking back to the first couple of weeks at work,' | 0:52:46 | 0:52:49 | |
you know, it was a complete nightmare, | 0:52:49 | 0:52:51 | |
I didn't know my left to my right, | 0:52:51 | 0:52:54 | |
but now I actually feel like I can look after the patients a lot better | 0:52:54 | 0:52:58 | |
and in a more confident manner. | 0:52:58 | 0:53:00 | |
Bye. | 0:53:00 | 0:53:01 | |
And, for Andy, there's one basic procedure | 0:53:03 | 0:53:06 | |
he's happy to have finally conquered... | 0:53:06 | 0:53:09 | |
..the cannula. | 0:53:10 | 0:53:11 | |
I'd like to think I'm a bit better now after a lot of practice, | 0:53:16 | 0:53:19 | |
you know, I can do them, I do them, you know, fairly regularly now. | 0:53:19 | 0:53:22 | |
Probably done a good few hundred this year. | 0:53:22 | 0:53:25 | |
Just keep that on, I'm just going to stick that down now. | 0:53:25 | 0:53:29 | |
Everyone knows who we are, it's very weird. | 0:53:29 | 0:53:32 | |
It's going to be sad to go to a new hospital | 0:53:32 | 0:53:34 | |
because suddenly everyone won't, or they will and they'll think, | 0:53:34 | 0:53:37 | |
"You're shit at cannulas, don't come anywhere near me." | 0:53:37 | 0:53:40 | |
THEY LAUGH | 0:53:40 | 0:53:41 | |
12 months on, | 0:53:45 | 0:53:46 | |
all the doctors are leaving to take new positions around the country. | 0:53:46 | 0:53:51 | |
If I had to describe this year in one word, it would be busy. | 0:53:51 | 0:53:54 | |
This is the last time they'll be together. | 0:53:56 | 0:54:00 | |
It almost feels like I'm looking through a dream or something, | 0:54:00 | 0:54:03 | |
it's just so different to how it is now, | 0:54:03 | 0:54:05 | |
and you go into shifts now | 0:54:05 | 0:54:08 | |
and it's just like going to work, it's routine. | 0:54:08 | 0:54:11 | |
Even the hardest times actually turn out to be quite a fond memory, | 0:54:11 | 0:54:14 | |
even those night shifts where you're like, "Gosh, it was awful." | 0:54:14 | 0:54:17 | |
I look back on them now and I almost think, | 0:54:17 | 0:54:19 | |
"Actually, that was pretty great." | 0:54:19 | 0:54:21 | |
I've learnt to work on my own a lot more | 0:54:22 | 0:54:25 | |
and trust my own judgement a lot more. | 0:54:25 | 0:54:28 | |
Ben, where do you see yourself in ten years' time? | 0:54:28 | 0:54:30 | |
-Be outrageous. -"Be outrageous"? | 0:54:30 | 0:54:33 | |
-Great Ormond Street. -Do you? -Yeah. | 0:54:33 | 0:54:36 | |
As Professor Allin? | 0:54:36 | 0:54:37 | |
Well, not in ten years' time - I'll only just be a registrar! | 0:54:37 | 0:54:41 | |
So we're probably won't see each other for a while again. | 0:54:41 | 0:54:44 | |
All going on different directions, | 0:54:44 | 0:54:46 | |
to different parts of the country and scattered all over the place. | 0:54:46 | 0:54:49 | |
Aw, I'm going to miss you all. | 0:54:49 | 0:54:51 | |
To the future. | 0:54:52 | 0:54:54 | |
This year has been probably the most challenging years of my life. | 0:55:02 | 0:55:07 | |
-Get off my arm! Get off! -Alfie, Alfie, Alfie, Alfie. | 0:55:07 | 0:55:11 | |
I've grown in confidence out of any sort of recognition from a year ago. | 0:55:11 | 0:55:15 | |
Yeah, didn't manage to get it in again, so it's kind of annoying. | 0:55:17 | 0:55:21 | |
Definitely feel I can go into the job day to day | 0:55:21 | 0:55:23 | |
and know what I'm doing, and it's not as stressful as before. | 0:55:23 | 0:55:27 | |
I feel a million times more confident now. | 0:55:28 | 0:55:31 | |
That's still not the confidence level that I should be at, | 0:55:31 | 0:55:35 | |
but I am a lot more confident. | 0:55:35 | 0:55:38 | |
PATIENT MOANS | 0:55:38 | 0:55:40 | |
I think I have improved | 0:55:40 | 0:55:41 | |
because I've gained a lot of experience in the last year. | 0:55:41 | 0:55:44 | |
It would just be helpful... It's just the questions we ask... | 0:55:44 | 0:55:47 | |
Our shared experience was starting off at a new hospital | 0:55:50 | 0:55:53 | |
for the first time, | 0:55:53 | 0:55:54 | |
and those challenges actually brought us together. | 0:55:54 | 0:55:57 | |
CHEERING | 0:55:57 | 0:55:59 | |
The people that you work with inevitably become | 0:56:00 | 0:56:03 | |
a huge part of your life. | 0:56:03 | 0:56:05 | |
Oh, my God, that is amazing! | 0:56:05 | 0:56:08 | |
To suddenly have to move on and detach yourself from that. | 0:56:08 | 0:56:12 | |
You're quite far away from the curb, Priya. | 0:56:12 | 0:56:15 | |
Truly and sincerely, I'm sad to be leaving | 0:56:15 | 0:56:17 | |
because I've sort of made it my home. | 0:56:17 | 0:56:20 | |
CHEERING | 0:56:20 | 0:56:21 | |
-ALL: -CHEERS! | 0:56:21 | 0:56:23 | |
Yeah, I'd definitely do it all again, | 0:56:23 | 0:56:25 | |
I mean it's been an amazing experience. | 0:56:25 | 0:56:27 | |
Subtitles by Red Bee Media Ltd | 0:56:44 | 0:56:47 |