0:00:06 > 0:00:11- A typical night in A&E. It's like a battlefield.- Language!
0:00:11 > 0:00:14Full of twenty-somethings after a big night out.
0:00:14 > 0:00:17Lots of vomit. Lots of unconscious bodies lying around.
0:00:17 > 0:00:19But not everyone's a casualty.
0:00:19 > 0:00:22Squeeze my fingers, please.
0:00:22 > 0:00:26Taking care of them is an army of doctors the same age.
0:00:26 > 0:00:28They've had five years of training.
0:00:28 > 0:00:30Cardiac arrest in A&E.
0:00:30 > 0:00:33And a rigorous induction into hospital life.
0:00:33 > 0:00:40Take full advantage of being in a bloody good city in a bloody good NHS Trust.
0:00:41 > 0:00:47- Never done this before.- Now they face the reality of life on the wards.
0:00:47 > 0:00:49Cardiac arrest.
0:00:49 > 0:00:55- And there's no room for error. - I guess if I really messed up I probably could kill someone.
0:00:55 > 0:00:59- These seven are living together... - To the house.
0:00:59 > 0:01:03..as they start out their professional lives as junior doctors.
0:01:03 > 0:01:10First years Adam, Lucy and Katherine have been working on the wards for just a few weeks.
0:01:10 > 0:01:12One guy was like, "You look about 15.
0:01:12 > 0:01:15"This is like helping my teenage daughter with her homework."
0:01:15 > 0:01:17And Suzi, Andy,
0:01:17 > 0:01:21Keir and Jon have a year's experience under their belts.
0:01:21 > 0:01:23We are the new breed, as it were.
0:01:23 > 0:01:28We're the new ones, so I think some people could be quite surprised, mostly how young we are.
0:01:28 > 0:01:33But when you're only 24, being taken seriously can be tricky.
0:01:33 > 0:01:37You're the best freshly 16 months qualified doctor.
0:01:37 > 0:01:43And sometimes letting your guard down is as important as keeping it up.
0:01:43 > 0:01:47I saw a man that had a toilet brush up his bottom.
0:01:47 > 0:01:51It's a tough transition from student to young professional.
0:01:51 > 0:01:53Trying to impress your bosses.
0:01:53 > 0:01:56I've found his performance has not been consistent.
0:01:56 > 0:01:58I'm scared. I'm scared of him.
0:01:58 > 0:02:01And your patients.
0:02:01 > 0:02:03- Has he ever done this? - Oh, yeah, he's done it before.
0:02:03 > 0:02:07He was looking at my badge as if to say, "Who are you",
0:02:07 > 0:02:08you know. "What do you know?"
0:02:08 > 0:02:12What does it take to fit the image of doctor?
0:02:12 > 0:02:18I think a patient expects a doctor to be always professional.
0:02:18 > 0:02:21And can this group of twenty-somethings live up to it?
0:02:21 > 0:02:23We are expected to be basically boring now.
0:02:23 > 0:02:26It means that everybody's losing their personality.
0:02:26 > 0:02:28I have a stethoscope which isn't pink.
0:02:28 > 0:02:30Maybe that will change things.
0:02:30 > 0:02:33How will they cope with your life in their hands?
0:02:45 > 0:02:48# Wake up
0:02:48 > 0:02:50# It's a beautiful morning... #
0:02:50 > 0:02:53It's early morning at the house and some of the junior doctors
0:02:53 > 0:02:58are getting ready for their hospital shifts.
0:02:58 > 0:03:03Moving from student to young professional requires a whole new image.
0:03:03 > 0:03:09Something 24-year-old Adam's especially aware of as he's only been a doctor for a few weeks.
0:03:09 > 0:03:14I'm growing a beard because I wanted to move away from my days as a student and I have grown up.
0:03:14 > 0:03:17Although I'm an F1, patients are so receptive to everything I do
0:03:17 > 0:03:20and say because to them, I must look
0:03:20 > 0:03:22like what a doctor should look like.
0:03:22 > 0:03:27You know, tall, not super small, don't look super young.
0:03:27 > 0:03:31You know, you can grow some facial hair, wear some decent clothes.
0:03:31 > 0:03:34Everything I can do to look more professional is variable.
0:03:34 > 0:03:4124-year-old Suzi is a second year and likes to personalise her look.
0:03:41 > 0:03:43I have my shoes, which are pink.
0:03:43 > 0:03:48And I have my stethoscope, which is pink and it's got my name on it -
0:03:48 > 0:03:53Dr Suzi Batchelor, which is me, which is hilarious.
0:03:56 > 0:04:04Once at work, Suzi changes into scrubs - the battle uniform for the Accident and Emergency Department.
0:04:04 > 0:04:11She's the first point of contact for patients when they come in, so first impressions count.
0:04:16 > 0:04:21Suzi has only been in A&E for a few weeks and she's had to learn fast.
0:04:21 > 0:04:23Have you had a drink then this evening?
0:04:28 > 0:04:31Anything can come through the door and doctors need to react
0:04:31 > 0:04:36- professionally, whatever they're faced with.- Hello.
0:04:36 > 0:04:38Tell me a bit about what's been going on then.
0:04:38 > 0:04:43- Basically, I went to the bathroom about two-thirty, three o'clock this morning.- Yep.
0:04:43 > 0:04:47I've just moved into the property, so I haven't got carpets throughout.
0:04:47 > 0:04:51My bathroom floor was a bit wet. I slid off the toilet seat.
0:04:51 > 0:04:55Right next to the toilet seat was a toilet brush and I landed literally on it.
0:04:55 > 0:05:00The patient says he's slipped in his bathroom and landed on the toilet brush,
0:05:00 > 0:05:02which is now stuck up his bottom.
0:05:02 > 0:05:05Have you been able to get any of it out?
0:05:05 > 0:05:08Has any of it broken off at all? No.
0:05:08 > 0:05:14- Right. And you just tried kind of pulling at it and things? - I tried easing it in the shower,
0:05:14 > 0:05:17but it just seemed it was catching and... Argh!
0:05:17 > 0:05:20- Oh!- Sorry.
0:05:22 > 0:05:23I'll put that back up again, all right?
0:05:23 > 0:05:25It brings tears to your eyes, I tell you!
0:05:25 > 0:05:30- I'm sure it does.- Argh! Oh! I'm sorry to embarrass you today, ladies.
0:05:30 > 0:05:34- Don't be silly. It's fine. - I'm more embarrassed for myself.
0:05:34 > 0:05:37Back in the second, all right? We'll get you some painkillers.
0:05:37 > 0:05:40There is a danger the toilet brush has torn a hole in the patient's
0:05:40 > 0:05:44bowel and if this is not treated he could die.
0:05:44 > 0:05:50Really fast, James. This man, he's had some PR bleeding around it.
0:05:50 > 0:05:54I can't see how much more of it there is. Do we get him an X-ray first or...?
0:05:54 > 0:05:56Is it...?
0:05:56 > 0:05:59Is it in, actually poking out at the end, or...?
0:05:59 > 0:06:02- Can you see the...?- It's like...with the brush on the end of it.
0:06:02 > 0:06:05Yeah. I think that needs referring to the surgeons.
0:06:05 > 0:06:11That's fine. That's what I thought. We need to pull it out, but if it's been bleeding and stuff then...
0:06:11 > 0:06:14- I would just refer it to them and let them take a look.- That's fine.
0:06:14 > 0:06:19A case like this is not unusual in A&E.
0:06:19 > 0:06:22They see lots of patients with objects stuck in unusual places.
0:06:22 > 0:06:25For Suzi it's a first, but she's managed to keep her composure.
0:06:28 > 0:06:32I mean, it's embarrassing for him and he feels bad that
0:06:32 > 0:06:36it's embarrassing for us having a toilet brush in his bottom.
0:06:36 > 0:06:38But it's the same as anything else.
0:06:38 > 0:06:44Yes, it's a bit weird and I'm not used to seeing toilet brushes coming out of people's bottoms, but
0:06:44 > 0:06:48I'm a professional. This is what I have to do. Just do it in the way I would deal with anything else.
0:06:48 > 0:06:52Hello. I wondered if I could speak to you about one of our patients, please?
0:06:52 > 0:06:59Suzi takes advice from the surgical team. They're suggesting that she pulls the toilet brush out.
0:06:59 > 0:07:04So if we were to pull it out here and then he bled all over the place, what would we do?
0:07:04 > 0:07:09What do we do then? Do you know what I mean? I think his concern
0:07:09 > 0:07:14is just we don't know how much is kind of bleeding from the inside
0:07:14 > 0:07:20because obviously things can't really get out very easily at the moment because the toilet brush is there.
0:07:20 > 0:07:22- We need to get you an X-ray done... - Right.
0:07:22 > 0:07:28..to make sure that there's no hole in the bowel because that can be quite serious.
0:07:28 > 0:07:31So if I leave you to get sorted and then I'll come back
0:07:31 > 0:07:34and then will get a porter to bring you round to X-ray, OK?
0:07:34 > 0:07:36- Champion.- Is that all right?
0:07:36 > 0:07:39Keeping a straight face when confronted with potentially
0:07:39 > 0:07:44embarrassing cases is something all junior doctors must learn.
0:07:44 > 0:07:48You have to develop that expressionless face where you just
0:07:48 > 0:07:52listen to what they say and inside you may be thinking, "Oh, my God!"
0:07:52 > 0:07:54but you just don't let that show cos at the end of the
0:07:54 > 0:07:58day the patient needs to be treated and you've got to be professional.
0:07:58 > 0:08:02It's embarrassing for the patient and you don't want to make it even worse for them.
0:08:02 > 0:08:06It's probably taken them a lot of courage to present with whatever's gone wrong.
0:08:07 > 0:08:10I'm trying to see if I can see the toilet brush in his bum on this X-ray, but I can't.
0:08:10 > 0:08:12But I don't know if it's just cos it's too far down.
0:08:12 > 0:08:15The patient's X-ray shows that his bowel is still intact.
0:08:15 > 0:08:20But the surgeons decide that an operation under general anaesthetic would be the
0:08:20 > 0:08:23best way to remove the brush.
0:08:23 > 0:08:25I think in terms of the amount of pain he's in
0:08:26 > 0:08:28it's kinder to sort of maybe drift him off.
0:08:28 > 0:08:31I think we're going to plan to transfer him to the theatre unit
0:08:31 > 0:08:34down at the RVI and maybe he'll go to theatre.
0:08:46 > 0:08:49Back at home Suzi and fellow housemates Keir and Andy
0:08:49 > 0:08:54discuss the best way to handle patients with more bizarre problems.
0:08:54 > 0:08:57I saw a man that had burnt himself with curry yesterday.
0:08:57 > 0:09:01I've seen some quite interesting things in A&E, actually.
0:09:01 > 0:09:05- Interesting? What's been secreted in what orifice?- Indeed.
0:09:05 > 0:09:07Oh, no! Not one of those.
0:09:07 > 0:09:15OK, can you beat spoon, mobile phone, stolen goods, garden gnome?
0:09:15 > 0:09:18I've seen a bloody bicycle chain in an X-ray.
0:09:18 > 0:09:20Yeah, mm-hm.
0:09:20 > 0:09:25I saw a man that had a toilet brush up his bottom.
0:09:25 > 0:09:28- Which direction?- Brush end out.
0:09:28 > 0:09:29Right. OK. That makes more sense.
0:09:29 > 0:09:33- Really?- Unless he was trying to have a really good clean up there.- No.
0:09:33 > 0:09:36He said he was in his bathroom and...
0:09:36 > 0:09:37He fell over backwards?
0:09:37 > 0:09:40..the floor was slippy and he just landed on the toilet brush.
0:09:40 > 0:09:43- He had to go to surgery...- Do you believe him?- Do I believe him?
0:09:43 > 0:09:47It's not my job to question how it got there. It's my job to help him.
0:09:47 > 0:09:50It's your job to question how an injury happened.
0:09:50 > 0:09:54Yes, and if he tells me something, it's not my job to pry and say well,
0:09:54 > 0:09:58"Blah, blah, blah". At the end of the day he has a toilet brush in his bum.
0:09:58 > 0:10:02I mean, how much of it was up there if you couldn't get it out?
0:10:02 > 0:10:07Well apparently the surgeon said there was a hook on the end of it, so they couldn't just pull it out.
0:10:07 > 0:10:10And he went to the surgeons and they pulled it out and
0:10:10 > 0:10:15he bled in theatre and then they had to fix him. More beans again for me, for a change.
0:10:15 > 0:10:18- I wondered what the smell was. - Ha-ha(!)
0:10:23 > 0:10:28Like Suzi, Andy is also a second year junior doctor.
0:10:28 > 0:10:33He's had very little contact with young children...
0:10:34 > 0:10:39..but he's now treating them in the Emergency Paediatric Unit.
0:10:39 > 0:10:41I am still very green here
0:10:41 > 0:10:44so I will need a lot of guidance from
0:10:44 > 0:10:48the registrars and consultants, and I'm not afraid to ask.
0:10:51 > 0:10:55Andy's the first point of contact in the Paediatric Assessment Unit.
0:10:55 > 0:10:59It's up to him to assess and treat children who are sent here.
0:10:59 > 0:11:01- Eating and drinking normal?- Yeah.
0:11:01 > 0:11:05He's also part of the crash call team. If his crash phone rings,
0:11:05 > 0:11:12it means that a child is in need of urgent attention and he'll have to drop everything and run.
0:11:14 > 0:11:20In a cardiac arrest situation this is one of the ones which will go off.
0:11:20 > 0:11:26Apparently, if I lose this phone and somebody gets a cardiac arrest
0:11:26 > 0:11:32and had no medical attention and died, I could get into a lot of trouble.
0:11:33 > 0:11:34Hello.
0:11:34 > 0:11:38But junior doctor Andy's finding everyday tasks can be difficult.
0:11:40 > 0:11:42As she's only two-years-old Ruby's veins are much smaller
0:11:42 > 0:11:45than an adult, making it trickier to take blood.
0:11:45 > 0:11:47It's probably the best way to do it.
0:11:47 > 0:11:51We'll get this arm around your back
0:11:51 > 0:11:54and just cuddle her. So she and you can't see what's going on.
0:11:54 > 0:11:56- OK.- Good girl, Ruby.
0:11:56 > 0:11:58Good girl.
0:11:58 > 0:12:00RUBY CRIES
0:12:02 > 0:12:04- Got it?- Yep.
0:12:04 > 0:12:06All done.
0:12:06 > 0:12:09All done. Good girl.
0:12:09 > 0:12:12Good girl. Say bye-bye to the man.
0:12:12 > 0:12:15'Some doctors find it very hard to have a crying child.'
0:12:15 > 0:12:19You're effectively hurting the child by putting a needle in her.
0:12:19 > 0:12:21Some people find it very hard,
0:12:21 > 0:12:26but I just see it as what I'm doing is helping the child get better.
0:12:26 > 0:12:28Practise makes perfect.
0:12:31 > 0:12:35Andy's on his way to see his next patient
0:12:35 > 0:12:36when his crash phone goes off.
0:12:38 > 0:12:42Somewhere in the hospital, a child needs immediate attention.
0:12:44 > 0:12:48Andy must get to the child as quickly as possible.
0:12:48 > 0:12:49Every second counts.
0:12:53 > 0:12:56The patient is a tiny baby. He's just had an operation,
0:12:56 > 0:13:00but there have been complications and his heart has stopped beating.
0:13:02 > 0:13:07In the last year there have been 27 paediatric cardiac arrests at the hospital.
0:13:11 > 0:13:15Fortunately for Andy, some of his seniors are already there.
0:13:18 > 0:13:23A senior doctor uses gentle compressions to try and get the baby's heart going.
0:13:26 > 0:13:29They also help him breathe.
0:13:38 > 0:13:42The team has managed to re-start the baby's heart.
0:13:42 > 0:13:48That was the first crash bleep I've had in paediatrics and two things went through my mind.
0:13:48 > 0:13:51First, I hope this is only a false alarm and the child is doing well,
0:13:51 > 0:13:57and the second thought is "What am I going to do if I'm the first one on the scene?"
0:13:57 > 0:14:02But immediately I saw my boss and that was just a great feeling because he will know what to do
0:14:02 > 0:14:04and I'll... help and learn at the same time.
0:14:04 > 0:14:09The baby has been stabilised and is transferred to intensive care
0:14:09 > 0:14:12where the medical team can keep a close eye on him.
0:14:20 > 0:14:25On the children's wards, the nurses play a key role in caring for the young patients.
0:14:25 > 0:14:27Going to get your bloods done?
0:14:27 > 0:14:34If he's going to get on here, Andy must learn to communicate well with the whole team.
0:14:35 > 0:14:38'He's quite quiet. I think he's still got'
0:14:38 > 0:14:39a bit of fitting in to do.
0:14:39 > 0:14:43He needs to talk a bit more and communicate.
0:14:43 > 0:14:46We haven't really had a chance to get to know him.
0:14:46 > 0:14:50But relationship-building isn't one of Andy's strong points.
0:14:53 > 0:14:57I think I'm the kind of person who's difficult to know.
0:14:57 > 0:15:00I'm Chinese.
0:15:00 > 0:15:01Thank you. Bye-bye.
0:15:01 > 0:15:04I came over to this country 12 years ago
0:15:04 > 0:15:07and went to a boarding school for five years.
0:15:07 > 0:15:14They say I have certain traits of a very traditional, 18th-century Englishman.
0:15:19 > 0:15:21That was shit!
0:15:23 > 0:15:25We're not having much luck.
0:15:25 > 0:15:29We had a speedboat very close to us, probably scaring quite a lot of fish away.
0:15:29 > 0:15:32A smile is not cheap.
0:15:32 > 0:15:34We don't just give it out, cheaply.
0:15:38 > 0:15:42Expression on my face takes up my brain power.
0:15:42 > 0:15:45Even my mother's mentioned that I don't smile a lot.
0:15:48 > 0:15:51To do well on the paediatric unit Andy will have to learn to
0:15:51 > 0:15:53get on with the nurses as well as with the young patients.
0:15:53 > 0:15:56Right, have a seat over there.
0:15:56 > 0:15:59His next patient is 11-year-old Nikolas.
0:15:59 > 0:16:01What were you doing when you hurt your leg?
0:16:01 > 0:16:03I was running and I fell on my leg.
0:16:03 > 0:16:07- There was a stone and I fell on the stone.- How big was the bruise?
0:16:09 > 0:16:13It was small to start with. Then every day it got bigger and bigger.
0:16:13 > 0:16:17Does it hurt around it now?
0:16:17 > 0:16:19Not now. Ah!
0:16:21 > 0:16:25I'll speak with my boss and we'll get back to you.
0:16:25 > 0:16:27I've explained to the child and the family
0:16:27 > 0:16:32we will have to do an X-ray to rule out infection on the bone itself.
0:16:32 > 0:16:37It could have a really bad consequence if not treated promptly and properly.
0:16:37 > 0:16:43Andy's decided on a course of treatment and wants to wait to talk it through with his senior -
0:16:43 > 0:16:46but he's leaving the nurses out of the loop.
0:16:46 > 0:16:49What's your plan?
0:16:49 > 0:16:52My current plan is to get bloods and X-ray.
0:16:52 > 0:16:53Have you spoken to Orthopaedics?
0:16:53 > 0:16:59Not yet. I'll ask our Reg to have a look at him first and see what he thinks.
0:17:02 > 0:17:07Andy's style of doctoring is making the nurses feel shut out.
0:17:07 > 0:17:10We work well on here because we work as part of a team.
0:17:10 > 0:17:12We expect good communication.
0:17:12 > 0:17:16If you're not prepared to communicate and work within the team
0:17:16 > 0:17:20then you get pretty short shrift, particuarly if it's busy.
0:17:29 > 0:17:32Only a month into their new jobs,
0:17:32 > 0:17:36all the junior doctors are still trying to fit in.
0:17:36 > 0:17:38Cool, thank you.
0:17:38 > 0:17:43Suzi checks her roster for her name. Something's changed.
0:17:49 > 0:17:51That's funny.
0:17:51 > 0:17:54LAUGHTER
0:17:54 > 0:17:57Someone's changed my name on the computer to Barbie.
0:17:57 > 0:17:59Good, isn't it? It wasn't me!
0:17:59 > 0:18:01And you've made it pink as well!
0:18:05 > 0:18:07It's very fancy of you.
0:18:07 > 0:18:09You're all so funny.
0:18:09 > 0:18:14They really think I have the brain of a Barbie doll, which is very...pleasant.
0:18:14 > 0:18:17Do you know how to change your name to Barbie on the system?
0:18:17 > 0:18:18- It wasn't me!- Was it you?
0:18:18 > 0:18:20- It wasn't me!- Who was it?
0:18:20 > 0:18:23I'll get to the bottom of it and I'll find out how to do it
0:18:23 > 0:18:26and I'll change everyone else's name to something offensive.
0:18:26 > 0:18:28Barbie isn't offensive.
0:18:29 > 0:18:32Right, do you think Barbie is clever, or really stupid?
0:18:34 > 0:18:38I heard people calling me Barbie earlier on and I can understand why.
0:18:38 > 0:18:44I've got blonde hair, I've got a pink stethoscope, I've got a pink hair bobble, pink shoes...
0:18:44 > 0:18:48Yeah... And it's fine and I know that it's all just banter
0:18:48 > 0:18:52but at the end of the day I'm not just a Barbie doll.
0:18:52 > 0:18:55I'm not some stupid blonde who just likes the colour pink.
0:18:55 > 0:18:58I'm a doctor and I want people to take me seriously.
0:19:00 > 0:19:05Suzi puts her concerns to one side and sees her next patient.
0:19:05 > 0:19:08At 24, Andrew's the same age as her.
0:19:08 > 0:19:10I'm off to see a patient who's been assaulted.
0:19:10 > 0:19:12Allegedly.
0:19:12 > 0:19:14Tell me a bit about what's been going on?
0:19:14 > 0:19:17I had a bit of a fight last night.
0:19:17 > 0:19:20- OK.- A few lads jumped on me.
0:19:20 > 0:19:21- OK.- This is what's happened.
0:19:21 > 0:19:26- Andrew was beaten badly outside of a pub.- Just there.- On me jaw.
0:19:26 > 0:19:30He was kicked in the head, which has caused the left side of his head and face to swell up.
0:19:30 > 0:19:32There as well. Ah!
0:19:32 > 0:19:34I'm sorry, but I have to have a good feel.
0:19:34 > 0:19:38I think we're going to need to get some X-rays done. That looks...
0:19:38 > 0:19:41- It's painful. - Quite a big swelling, isn't it?
0:19:41 > 0:19:44- Yeah.- Yeah, that OK?
0:19:45 > 0:19:48Andrew's X-rays are back, but as a junior doctor,
0:19:48 > 0:19:52Suzi's not quite sure how to analyse them.
0:19:52 > 0:19:57She asks her senior, consultant Jim Connelly, for advice.
0:19:57 > 0:19:59He's got a trigonal fracture, I think.
0:19:59 > 0:20:02So basically I think he's broken, it's all misshapen, there, there.
0:20:02 > 0:20:05I bet he's broken it in three places.
0:20:05 > 0:20:10It looks as though, yeah, it's broken maybe in more than one place there.
0:20:10 > 0:20:12How do you feel otherwise?
0:20:17 > 0:20:23OK. Well we might get a scan of the brain, too. Just cos obviously you blacked out a bit. All right?
0:20:23 > 0:20:25- Cheers.- No problem.
0:20:35 > 0:20:40Suzi refers Andrew to the facial team for further tests.
0:20:40 > 0:20:42Thanks again for your help. Bye.
0:20:42 > 0:20:45# Come on Barbie Let's go party
0:20:45 > 0:20:48# I'm a Barbie girl In a Barbie world... #
0:20:48 > 0:20:53At the end of her shift, Suzi heads back to the house.
0:20:53 > 0:20:55I knew I was going to do that.
0:20:55 > 0:20:57You are rubbish!
0:20:58 > 0:21:00That's better, isn't it?
0:21:01 > 0:21:06But the Barbie incident is still on Suzi's mind, so she talks to fellow doctor Keir.
0:21:06 > 0:21:10I've been nicknamed Barbie at work.
0:21:10 > 0:21:15- Which is fine... - Is that not saying that you have an almost perfect figure?
0:21:15 > 0:21:17LAUGHS No.
0:21:17 > 0:21:21Blonde and have a wide variety of different accessories
0:21:21 > 0:21:23and is worth £12.99.
0:21:25 > 0:21:28It's fine with staff.
0:21:28 > 0:21:33I'm all up for banter, but I do wish that I looked a bit older with patients sometimes.
0:21:33 > 0:21:39I do feel like they don't take me seriously, and they never think I'm the doctor. Ever.
0:21:39 > 0:21:42As a matter of fact, I say "My name's Suzi, I'm one of the doctors."
0:21:42 > 0:21:45- It's my opening line for every patient.- I wouldn't even do that.
0:21:45 > 0:21:47I would say, "My name is Dr Bachelor."
0:21:47 > 0:21:50That's not me, though.
0:21:50 > 0:21:54I know, but it's a really difficult line to tread
0:21:54 > 0:21:58because you don't want to come over as though you think you're an authority figure,
0:21:58 > 0:22:01but you do want to inspire trust in people very early on.
0:22:01 > 0:22:08'I just associate going by my second name as being kind of older and things,'
0:22:08 > 0:22:13and Suzi's quite a fun name and everything, too,
0:22:13 > 0:22:18and I guess I just don't want to kind of leave that behind too early cos I mean, I'm only going to get older.
0:22:18 > 0:22:24Andy's also worried about how he's coming across on the paediatric ward.
0:22:24 > 0:22:27The hard bit about switching to children's medicine
0:22:27 > 0:22:31is understanding how things should be done.
0:22:31 > 0:22:34Not necessarily medical knowledge related.
0:22:34 > 0:22:39It's just understanding how the people are different in the children's department.
0:22:39 > 0:22:41That could be quite challenging.
0:22:47 > 0:22:50My shoes are leaking, so I've got to fix them.
0:22:51 > 0:22:57This is the most technical procedure I've done in my entire life.
0:22:57 > 0:23:02Every junior doctors knows that looking the part is part and parcel of the job.
0:23:02 > 0:23:07I think it is important to maintain a good smart image when you're working.
0:23:07 > 0:23:10If you're looking smart people at least think you're working there,
0:23:10 > 0:23:12whether or not they know your role is another thing.
0:23:21 > 0:23:25Margaret, where are you going with your table?
0:23:25 > 0:23:2824-year-old Lucy is working on the Gastro ward
0:23:28 > 0:23:31and she's having to learn the best way to communicate
0:23:31 > 0:23:34with the older patients, many of whom have dementia.
0:23:36 > 0:23:4078-year-old Margaret's been on the ward since Lucy first day
0:23:40 > 0:23:43and is waiting for a bed in a residential home.
0:23:43 > 0:23:45- She went for a home assessment visit on Friday.- Yeah.
0:23:45 > 0:23:48If something's quite not right, it gets her really, really down.
0:23:48 > 0:23:51Anxious and down. Yeah, I know.
0:23:51 > 0:23:54Oh, Margaret. Come on.
0:23:57 > 0:24:00At times Margaret's memory loss causes her some distress.
0:24:00 > 0:24:04- You don't remember?- No. - Where's Marcus? Where's Marcus?
0:24:04 > 0:24:07- He's at school, isn't he?- Yes.- Yes.
0:24:07 > 0:24:10But he hasn't had anything to eat today as far as I know.
0:24:10 > 0:24:13I'm sure his mam will have given him something to eat. Come on.
0:24:13 > 0:24:19Margaret's chronically confused. She could probably tell you a childhood story with absolute clarity,
0:24:19 > 0:24:23but her short-term memory, you know, she probably would struggle
0:24:23 > 0:24:25if you asked her to remember a sentence and repeat it back to you.
0:24:25 > 0:24:28There are a lot of patients in hospital with dementia
0:24:28 > 0:24:31and we have our share of them on the ward.
0:24:31 > 0:24:33Some of them are appropriately here
0:24:33 > 0:24:36and some of them you think could be housed better in other places.
0:24:36 > 0:24:40Lucy's learning that helping patients isn't just about medicine.
0:24:40 > 0:24:43It's about having a relationship with them, too.
0:24:43 > 0:24:45Aren't they wonderful pictures?
0:24:45 > 0:24:50- Who bought these in for you? Did your daughter bring them in for you? - She brought them in.
0:24:50 > 0:24:54- Is this you?- That's me, yes. When I was 18.
0:24:54 > 0:24:58- Look at your hair!- Loads. - Amazing, isn't it?
0:24:58 > 0:25:00So who's this?
0:25:00 > 0:25:03- Thats my husband.- Your husband. How old were you when you got married?
0:25:03 > 0:25:06- 21.- 21. Well, thank you for showing me these.
0:25:06 > 0:25:09- They're gorgeous. - They're lovely, aren't they?- Yeah.
0:25:09 > 0:25:12- See you later, OK?- Right.
0:25:12 > 0:25:17The contrast is quite strange and when you sit and talk to someone like Margaret in that capacity
0:25:17 > 0:25:22and she says things like, "Suddenly I'm here and all of a sudden I'm old,"
0:25:22 > 0:25:27you know, it makes you realise where you are in your life,
0:25:27 > 0:25:33and she was once 24 and embarking on, starting a life with her husband or whatever it was,
0:25:33 > 0:25:37and all of a sudden now she feels like life's gone by and she's here.
0:25:45 > 0:25:49In A&E, 24-year-old Suzi is determined
0:25:49 > 0:25:52not to let her age get in the way of being taken seriously.
0:25:54 > 0:25:59Her next patient is a 53-year-old man who has come in with chest pain.
0:25:59 > 0:26:03Hello. Tell me a bit about what's been going on, then.
0:26:03 > 0:26:06The patient has inflammation of the heart.
0:26:06 > 0:26:09It isn't a serious condition, but can be very painful.
0:26:09 > 0:26:13I'm going to have an examination, if that's all right?
0:26:13 > 0:26:16Suzi plans to send the patient home with painkillers,
0:26:16 > 0:26:18and checks with her senior.
0:26:18 > 0:26:21Can I just run this ECG by you?
0:26:21 > 0:26:26- Yeah.- This gentleman is aged 53.
0:26:26 > 0:26:29He's not sweaty, he's not pale.
0:26:29 > 0:26:32He says he feels a bit sickly. The pain's worst lying down.
0:26:32 > 0:26:38He's not short of breath or anything, but I just wanted to make sure. Thank you.
0:26:38 > 0:26:42Suzi goes back to tell the patient he's OK to go home...
0:26:45 > 0:26:48..but something's wrong.
0:26:49 > 0:26:51God!
0:26:51 > 0:26:54I just don't want to talk about it. Seriously.
0:26:54 > 0:26:58They're not happy with the explanation Suzi's given them.
0:26:58 > 0:27:02But I've just told them what Faith told me to go and tell them.
0:27:02 > 0:27:05Let's start again. So they're not...?
0:27:05 > 0:27:07They're not happy with him going home in so much pain still
0:27:07 > 0:27:11and Suzi's gone and told him that we haven't got anything stronger here,
0:27:11 > 0:27:14ie we haven't got tramadol, we haven't got Oramorph.
0:27:14 > 0:27:19- They're not happy with him... - In the sense that those aren't things we're going to give out here
0:27:19 > 0:27:23for a pain that could be going on for months and months and months, which it could be.
0:27:23 > 0:27:27If he's really saying he can't bear the pain, we can't send him home.
0:27:27 > 0:27:30Even if he's completely, you wouldn't even know he was in any pain at all?
0:27:30 > 0:27:33Well, then you'd, um...
0:27:33 > 0:27:35He's chatting and...
0:27:35 > 0:27:37I appreciate that, but if that's what he's saying...
0:27:37 > 0:27:41- I know. We can't say "Well, that isn't true." - We can't say that's not true.
0:27:41 > 0:27:42Let me speak to the patient.
0:27:44 > 0:27:49The ongoing theme of my whole life is that people don't listen to what I say.
0:27:49 > 0:27:54They've asked for my name and they're going to make a complaint against me, because I'm so rubbish.
0:27:54 > 0:27:59Maybe I'm just taking it personally, but it feels as if he was looking at my badge as if to say, "Who are you?"
0:27:59 > 0:28:01"What do you know?"
0:28:01 > 0:28:07"Well actually, I've had five years of training and I've been qualified for over a year."
0:28:07 > 0:28:12Junior doctors can find it very difficult when patients look at them
0:28:12 > 0:28:14and see a young 23, 24-year-old,
0:28:14 > 0:28:19and some young female doctors have been called nurses
0:28:19 > 0:28:23and they have been gone through five or six years of highly trained education
0:28:23 > 0:28:27and they are very, very skilled. And I think often people don't give them enough credit for that
0:28:27 > 0:28:30when they are put in such a foreign environment as A&E.
0:28:30 > 0:28:32Don't you worry about it.
0:28:32 > 0:28:34Is that all sorted, then, were they fine?
0:28:34 > 0:28:38They'll no doubt complain.
0:28:38 > 0:28:41Take a chill pill, count to ten.
0:28:47 > 0:28:49It's not fair.
0:28:49 > 0:28:52I've worked as hard as everyone else has.
0:28:52 > 0:28:56It's just like one extra obstacle.
0:28:56 > 0:28:58You don't need any extra obstacles here.
0:28:58 > 0:29:00I have a stethoscope which isn't pink.
0:29:00 > 0:29:02Maybe that would change things.
0:29:11 > 0:29:15The complaint against Suzi is dropped but she's left feeling deflated.
0:29:20 > 0:29:24All the junior doctors are learning that gaining the trust of their patients
0:29:24 > 0:29:27as well as their seniors is a key part of the job.
0:29:27 > 0:29:29You look like you've been in a war-zone.
0:29:29 > 0:29:34For Adam, a good bedside manner comes naturally.
0:29:34 > 0:29:38You've got your arm in a sling, you've got this sticky... Oh, God.
0:29:38 > 0:29:40But it's been harder to convince his senior.
0:29:40 > 0:29:45With Adam, I found his performance has not been consistent.
0:29:45 > 0:29:47His clerking seems to be very good,
0:29:47 > 0:29:51but I think when it comes to management, decision making,
0:29:51 > 0:29:52it's not necessarily there.
0:29:54 > 0:29:58Adam is a confident 24-year-old with high expectations of himself.
0:29:58 > 0:30:00In essence...
0:30:00 > 0:30:02I want to save the world.
0:30:04 > 0:30:08But since becoming a doctor, he's struggled with being a junior.
0:30:09 > 0:30:11I've been demoted from ward round to discharges.
0:30:11 > 0:30:1460, 70% of the job is probably paperwork.
0:30:18 > 0:30:24A few weeks on the job, he knows that the only way to get ahead is to impress his seniors.
0:30:26 > 0:30:29Adam is based on the Emergency Admissions Unit,
0:30:29 > 0:30:34which treats people sent by their GPs or from Accident and Emergency.
0:30:34 > 0:30:38After A&E, it's the ward with the highest turnover of patients.
0:30:41 > 0:30:44So what's been going on?
0:30:44 > 0:30:46I've just been under the weather.
0:30:46 > 0:30:5099-year-old William has been referred by his GP.
0:30:50 > 0:30:52His daughter is with him.
0:30:52 > 0:30:56Last Friday he started feeling poorly and they put him on antibiotics,
0:30:56 > 0:30:59- the doctor put him on antibiotics last Friday.- OK.
0:30:59 > 0:31:04He was on for two-and-a-half days and then he started feeling really sick.
0:31:04 > 0:31:05Can you take a big breath in?
0:31:07 > 0:31:10William's GP has already done some blood tests
0:31:10 > 0:31:13which have shown some abnormalities.
0:31:13 > 0:31:16We want your kidneys back to normal
0:31:16 > 0:31:18and we want your potassium to come down.
0:31:18 > 0:31:22Adam thinks that William's kidneys aren't working properly.
0:31:22 > 0:31:25Sharp scratch.
0:31:25 > 0:31:27We're going to give you some fluids.
0:31:27 > 0:31:32- Whisky? - Yeah, it'll be a bottle of whisky.
0:31:32 > 0:31:36Do you have any preference on which whisky?
0:31:36 > 0:31:40- Glenmorangie. - OK, I'll get you some of that, then.
0:31:42 > 0:31:46Adam makes a plan, which includes several further tests
0:31:46 > 0:31:49and an ultrasound to confirm his diagnosis.
0:31:49 > 0:31:52I think my plan is OK. I really want to run it
0:31:52 > 0:31:56by a senior, though, because I think it's a little tricky.
0:31:56 > 0:31:58- OK, let's go and see him.- OK.
0:32:00 > 0:32:03Hello, my name's Sophie Rutt, I'm one of the registrars.
0:32:03 > 0:32:05There you go.
0:32:05 > 0:32:07Sophie Butt!
0:32:07 > 0:32:11- Rutt.- B-U-T-T.- Very close!
0:32:11 > 0:32:16- Are you all right when you're just sitting still or lying down? - Aye, lying down and sitting still.
0:32:16 > 0:32:22So the main problem that we think you've got at the moment is that your kidney function's really not right.
0:32:22 > 0:32:24There's something wrong there, maybe, aye?
0:32:24 > 0:32:27Anything on examination?
0:32:27 > 0:32:32No, no, it looked normal. He's got a trace of pitting edema in his ankles.
0:32:32 > 0:32:35- His heart sounds all clear and his chest sounded clean.- OK.
0:32:35 > 0:32:38Before they start Adam's proposed tests,
0:32:38 > 0:32:42Dr Rutt asks him to double check the patient's medical history.
0:32:44 > 0:32:45So what was his baseline?
0:32:47 > 0:32:48Er...
0:32:48 > 0:32:51Adam suddenly realises he's made a mistake.
0:32:51 > 0:32:56I'm going to look pretty stupid now, but his base keratin number was 232.
0:32:59 > 0:33:02I thought because it was looking worse that it's worse!
0:33:02 > 0:33:05After checking the records, Adam realises that
0:33:05 > 0:33:09the patient's condition hasn't changed for ten years.
0:33:10 > 0:33:13- Do you still want a renal ultrasound?- No.
0:33:13 > 0:33:15- THEY LAUGH - OK.
0:33:15 > 0:33:19Adam has to cancel all of the tests he's ordered.
0:33:19 > 0:33:21'I basically made a mountain out of a molehill.'
0:33:21 > 0:33:25My ethos is I'd rather make a big deal out of nothing
0:33:25 > 0:33:28and then somebody go, "No, you don't need to do all that,"
0:33:28 > 0:33:33than somebody come in half-dead and me going, "Oh, yeah, they're fine."
0:33:36 > 0:33:41Over in the paediatrics unit, Andy's lack of people skills means that he's struggling to fit in.
0:33:41 > 0:33:45I don't think I'm anywhere near as approachable as someone like Adam,
0:33:45 > 0:33:47or Jon for that matter.
0:33:52 > 0:33:56Andy needs to take a blood sample from seven-year-old Briege.
0:33:56 > 0:33:58Oh, yeah, he's done it before.
0:33:58 > 0:34:01Are you keen to know that he knows what he's doing?
0:34:03 > 0:34:05Right, and you're sure you want to watch?
0:34:05 > 0:34:08- We're a brave girl.- What's that?
0:34:08 > 0:34:12Just a cleaning cloth. Do you want to smell it? It stinks.
0:34:12 > 0:34:16Briege has already had her skin numbed so she won't be able to feel it.
0:34:16 > 0:34:19- Smells a bit like your feet, actually!- Ew!
0:34:22 > 0:34:25Andy tries to distract Briege with a joke.
0:34:25 > 0:34:30Some guy was coming down the corridor and this other guy
0:34:30 > 0:34:36greeting him in the tea room just said to him, "Hey, high five!"
0:34:36 > 0:34:42And anybody just walking towards him by nature would respond to it, "Yeah, high five,"
0:34:42 > 0:34:50and at that moment a ginormous hand just swings across and smacks the guy off the corridor.
0:34:50 > 0:34:53He might have five years of medical training,
0:34:53 > 0:34:56but Andy needs to brush up on his jokes.
0:34:56 > 0:34:58And you're sure you want to watch?
0:34:58 > 0:35:00Why don't we look away?
0:35:00 > 0:35:02Silly Billy.
0:35:02 > 0:35:04You can have a cuddle with Mammy if you want.
0:35:04 > 0:35:07You're going to be very brave, then.
0:35:07 > 0:35:10No, I don't want you to do it.
0:35:10 > 0:35:12We need to turn away.
0:35:14 > 0:35:16I want to look,
0:35:16 > 0:35:19- I want to look. - Tell you what, if you want
0:35:19 > 0:35:23to look, that's fine, but you've got to promise me you'll sit uber still.
0:35:23 > 0:35:28If you suddenly move then we might miss it and we'd have to do it again.
0:35:28 > 0:35:32- I'm going to come over this side. - You've got to keep still. Is that all right?
0:35:32 > 0:35:35I'm going to hold your hand nice and still.
0:35:35 > 0:35:39- We don't want to make Andy jump. That's the trick.- I jump quite easy.
0:35:39 > 0:35:43He's a bit of a scaredy cat so he sometimes jumps.
0:35:43 > 0:35:47- Nice and still... - Good girl, you're doing brilliantly
0:35:47 > 0:35:49so far.
0:35:49 > 0:35:54- You can't feel it because it's been numbed.- Oh.- It's that fantastic cream.
0:35:56 > 0:35:58- Well done.- What a brave girl.
0:35:58 > 0:36:01Do I have to have another one?
0:36:01 > 0:36:03No, providing you stay very still.
0:36:03 > 0:36:07- Can't guarantee otherwise. - Don't have to put it in the other arm.
0:36:07 > 0:36:11- Thank you.- Bye.
0:36:11 > 0:36:15There was a joke that he did tell and bless her, the girl was just like...
0:36:15 > 0:36:19It went straight over her head, tumbleweed, it was just really grim.
0:36:19 > 0:36:23I think Andy's quite a formal sort of guy, and so I think
0:36:23 > 0:36:29sometimes some of the younger kids find his manner or his humour kind of quite difficult to understand.
0:36:29 > 0:36:31He probably
0:36:31 > 0:36:37doesn't understand the ins and outs of the latest Disney movie or perhaps CBeebies or whatever.
0:36:37 > 0:36:42But we're educating him slowly and hopefully once he builds his repertoire up,
0:36:42 > 0:36:46his communication will probably get a bit better with the kids.
0:36:46 > 0:36:51If Andy's going to work well within the team, barriers need to come down.
0:36:51 > 0:36:52The nurses have a plan.
0:36:52 > 0:36:57We're having a ward night out and we just wondered if you fancy joining us, Andy?
0:36:57 > 0:37:00You made it sound a little bit more scary than it should be.
0:37:00 > 0:37:04It's not scary! Not just me and you on a night out.
0:37:04 > 0:37:07It's going to be an actual ward night out. There's nothing to be scared about.
0:37:07 > 0:37:09Yes, I'd love to.
0:37:09 > 0:37:15A really nice bonding session so we get to know you, and you can see what we're like when we're out socially.
0:37:15 > 0:37:18The ward is very social but he's not actually been out with the ward as yet,
0:37:18 > 0:37:20but we're going to take him round the town
0:37:20 > 0:37:22and get him into the mood of things.
0:37:27 > 0:37:31Unlike Andy, Adam is taking the initiative to win over his nurses
0:37:31 > 0:37:34by inviting them to a party at the house.
0:37:34 > 0:37:39I at least wanted all you guys to know about it so you could come if you were free.
0:37:39 > 0:37:40You legend!
0:37:40 > 0:37:41What time?
0:37:41 > 0:37:45Any time after work on Friday, pretty much.
0:37:48 > 0:37:52Generally, the standard of nurses on AEU, they're very attractive.
0:37:55 > 0:37:58I'm quite a flirty person by nature.
0:37:58 > 0:38:00On the ward, though, I reckon I've toned it down a lot.
0:38:00 > 0:38:06Nurses in particular, they can get away with having a laugh with the patient, being on a level,
0:38:06 > 0:38:11joking with them, whereas for some reason it's expected that doctors have got to kind of portray this
0:38:11 > 0:38:16conservative image of, "I'm a doctor, blah, blah, blah."
0:38:19 > 0:38:20# Riverside
0:38:20 > 0:38:21# Let's go. #
0:38:23 > 0:38:29It's Saturday night and Andy is getting ready for his night out with the nurses.
0:38:29 > 0:38:31# Me and you
0:38:31 > 0:38:32# Got a date tonight... #
0:38:32 > 0:38:37I don't like doing things that everybody else likes doing.
0:38:37 > 0:38:41People drink too much in this country, which I find is
0:38:41 > 0:38:45a bit upsetting. I don't see the point of it.
0:38:45 > 0:38:47# Let's go, let's go... #
0:38:47 > 0:38:51Meanwhile, Suzi is off to start her night-shift on A&E.
0:38:55 > 0:38:57I'm suddenly really tired.
0:38:59 > 0:39:02I also look terrible.
0:39:05 > 0:39:06She's got a long night ahead.
0:39:13 > 0:39:14# Let's get this party started... #
0:39:17 > 0:39:18I don't get drunk.
0:39:20 > 0:39:25Out on the town, Andy's big night out is getting started.
0:39:25 > 0:39:28I'll be in a bad state tomorrow, but yeah, what the hell.
0:39:38 > 0:39:42In A&E, the casualties are building up.
0:39:42 > 0:39:45Josh has just vomited all over himself.
0:39:45 > 0:39:46He vomited everywhere yesterday.
0:39:46 > 0:39:48I know because you went past him and said well done.
0:39:48 > 0:39:54Someone has come in, a fresher, freshers' week, who was in yesterday, intoxicated - he's returned.
0:39:54 > 0:39:57It's only like 12.20, intoxicated.
0:39:57 > 0:40:04- Getting a hint of kebab in there? - Yeah, I'm getting a hint of that with a hint of vodka-Red Bull.
0:40:04 > 0:40:07# How could it ever come to pass
0:40:07 > 0:40:09# She'll be the first... #
0:40:09 > 0:40:13For Andy, a couple of drinks are helping him loosen up.
0:40:13 > 0:40:15# To describe the way I feel... #
0:40:15 > 0:40:21I think I've been more accepted into...their family, I'd say.
0:40:22 > 0:40:24Working on a ward is like being a family.
0:40:26 > 0:40:29Wild, some people, really.
0:40:30 > 0:40:34The nurses' plan has paid off.
0:40:35 > 0:40:39Yeah, it's great having Andy out. He's a really good character.
0:40:39 > 0:40:40He's having a great laugh and I think we're thoroughly getting to know
0:40:40 > 0:40:42the real Andy when he's out and about.
0:40:42 > 0:40:46# I said I bet that you look good on the dance floor... #
0:40:46 > 0:40:50Andy's dancing is somewhat selective.
0:40:55 > 0:40:58Andy obviously has his own style, which we appreciate,
0:40:58 > 0:41:00and that's something we'll just have to improve on in the future.
0:41:04 > 0:41:06The night has been amazing.
0:41:06 > 0:41:13I never knew how much fun the people I work with are outside work.
0:41:13 > 0:41:16I'm going to have to love you and leave you.
0:41:16 > 0:41:18- Are you?- I have to, yes.
0:41:18 > 0:41:21Don't be daft. You're coming, you're not going home now.
0:41:21 > 0:41:24Come on, Andy.
0:41:24 > 0:41:26No, you've got to let me go.
0:41:26 > 0:41:28Come on. Come out for just five more minutes.
0:41:28 > 0:41:31- One drink.- One drink.
0:41:31 > 0:41:37Andy's learning that letting your guard down can be as important as keeping it up.
0:41:43 > 0:41:46Hello. How are you?
0:41:46 > 0:41:53- In A&E, Suzi is fighting the party revellers a challenge.- Yes. - Come one.
0:41:53 > 0:41:55Her next patient is Nicholas, a 22-year-old student.
0:41:55 > 0:41:59He's been beaten up.
0:41:59 > 0:42:02When did this happen?
0:42:02 > 0:42:04Probably like four hours ago now. I've been sat here for ages.
0:42:04 > 0:42:08That's A&E for you, I'm afraid.
0:42:08 > 0:42:12I've literally never had so much fun in a hospital before.
0:42:12 > 0:42:14Well, that's good.
0:42:14 > 0:42:15Are you a student doctor?
0:42:15 > 0:42:20No, fully qualified. If you just look over that door handle, please, I'm going to shine this
0:42:20 > 0:42:23into your eyes.
0:42:23 > 0:42:27Where is it most sore, if it's sore anywhere? Nose.
0:42:27 > 0:42:31Yeah, just nose. Is it broken?
0:42:31 > 0:42:34- I think it probably is, yeah. - Are you going to break it back for me and put it into place?- No.
0:42:34 > 0:42:41- Why?- What we do here is you get seen at the Freeman after the swelling and everything has gone down.
0:42:41 > 0:42:45You give them a call and they'll do it for you. Is that all right?
0:42:45 > 0:42:47Do you have any other questions about anything?
0:42:47 > 0:42:49Can have your phone number?
0:42:50 > 0:42:55You can't have my phone number, no, sorry.
0:42:55 > 0:42:58- That's just ruined my A&E experience.- I'm sorry, I'm sorry.
0:42:58 > 0:43:03- Is that your phone number? - No, this is the number that you call about your nose.
0:43:06 > 0:43:07You look lovely tonight.
0:43:10 > 0:43:12Suzi, you're the best doctor ever. You're the best trainee doctor ever.
0:43:12 > 0:43:14You're not a trainee doctor.
0:43:14 > 0:43:18You're the best freshly, 16-month qualified doctor ever.
0:43:18 > 0:43:21OK, OK, that's very kind.
0:43:21 > 0:43:22Thank you.
0:43:24 > 0:43:27Yeah!
0:43:27 > 0:43:29- Oh, bless you.- Thank you.
0:43:29 > 0:43:33- Yeah!- It's unprofessional, so...
0:43:33 > 0:43:39Although quite funny, and I'm quite flattered even though he, yeah,
0:43:39 > 0:43:44I'm sure it was nothing to do with me. Flattered anyway.
0:43:50 > 0:43:52- I'm freezing.- You're cold?
0:43:52 > 0:43:56Can I open up this blanket a bit for you so it's a bit more around you?
0:43:56 > 0:44:01On the gastro ward, Lucy is learning to communicate with the elderly patients.
0:44:01 > 0:44:06Several suffer from dementia so communication is particularly important,
0:44:06 > 0:44:08especially when there's an emergency.
0:44:08 > 0:44:13Lucy's called to see her patient Margaret, who has started bleeding.
0:44:13 > 0:44:16Where's the stinging coming from, Margaret?
0:44:16 > 0:44:19Is it from where you wee from?
0:44:19 > 0:44:21That's where the stinging's from?
0:44:21 > 0:44:25Because of Margaret's dementia, it's hard to find out what's wrong with her.
0:44:27 > 0:44:30Do you think we could get you back to your bed so Lucy can examine you?
0:44:32 > 0:44:34That looks like clots, doesn't it?
0:44:34 > 0:44:37I want you on your bed. I think it's safer on your bed.
0:44:40 > 0:44:45Because Lucy's the junior member of the ward, she looks for her senior.
0:44:45 > 0:44:49I'm just going to find our registrar because I need him to help me with Margaret.
0:44:49 > 0:44:51BJ, have you seen Samir anywhere?
0:44:51 > 0:44:53Is he still here?
0:45:01 > 0:45:07Essentially, in any patient who's a post-menopausal women, a PV bleed is considered
0:45:07 > 0:45:10malignant until proven otherwise.
0:45:10 > 0:45:14Margaret's bleeding could be down to a number of reasons,
0:45:14 > 0:45:18but Lucy needs to rule out the worst case scenario, cancer.
0:45:18 > 0:45:21It's constant, rather than when she's just passing.
0:45:21 > 0:45:27Margaret, I know you're not feeling very well, but do you mind if I take blood from you?
0:45:27 > 0:45:32While she's waiting for the senior doctor, Lucy takes some blood samples.
0:45:33 > 0:45:36Nearly there. OK, Margaret? I'm really sorry.
0:45:36 > 0:45:38Once we've got them, we can send them off.
0:45:38 > 0:45:40That's one stage of the process, isn't it?
0:45:41 > 0:45:43The senior registrar arrives.
0:45:45 > 0:45:48I'll just run those down then I'll come and find you.
0:45:50 > 0:45:53Lucy drops off Margaret's blood samples.
0:45:53 > 0:45:56They'll have to wait for the results before they know what's wrong with her.
0:45:56 > 0:46:01There's not much we can do now until the gynae people have seen her themselves.
0:46:01 > 0:46:04It will be a case of waiting for them and going from there.
0:46:18 > 0:46:22- I'm just winding you up. - You're always complaining about having nothing to do on the ward.
0:46:22 > 0:46:24Andy's back on the ward.
0:46:24 > 0:46:28After his night out with the nurses, he's fitting in much better.
0:46:28 > 0:46:31We'll not be complaining to you, certainly.
0:46:31 > 0:46:35Yeah, first impressions are very wrong, if last Friday is anything to go by.
0:46:35 > 0:46:36I thought he was very shy
0:46:36 > 0:46:40and quite reserved, but them dance moves weren't reserved at all.
0:46:40 > 0:46:43Nothing reserved about them dance moves!
0:46:46 > 0:46:50- He's trying to cheer up a young patient.- I'm not very good at it.
0:46:50 > 0:46:52Are you good at this?
0:46:56 > 0:46:57Unsuccessfully.
0:46:59 > 0:47:04So the nurses give him a masterclass in children's entertainment.
0:47:07 > 0:47:10Just finding bubbles. I have to check your bubble-blowing technique.
0:47:10 > 0:47:13- Do I fail the year?- Yeah.
0:47:13 > 0:47:15We won't sign your competencies.
0:47:15 > 0:47:19Andy had a lot to learn, communicationwise when he first came.
0:47:19 > 0:47:24It's purely not having any experience with children, which he didn't have.
0:47:24 > 0:47:26That's pretty impressive.
0:47:26 > 0:47:28Getting better.
0:47:29 > 0:47:32The staff here have been wonderful.
0:47:32 > 0:47:37I know I wasn't going to dislike it but I didn't know I would like it so much.
0:47:37 > 0:47:39Yay!
0:47:41 > 0:47:49While Andy's won over the nurses, on EAU, Adam's on a mission to impress Dr Jafaar.
0:47:53 > 0:47:58What I really look for in a good junior doctor, an F1, is someone who's not only
0:47:58 > 0:48:03able to make a diagnosis, but also able to make decisions with regard
0:48:03 > 0:48:07to treatment, and that's what's important to the patient, really.
0:48:07 > 0:48:10Jafaar looks for you.
0:48:10 > 0:48:12He does, doesn't he?
0:48:12 > 0:48:15I don't know about him. I'm scared of him.
0:48:15 > 0:48:20Adam's next patient collapsed earlier in the day.
0:48:20 > 0:48:27- What's going on?- Last night I was watching EastEnders and I had
0:48:27 > 0:48:30a bad stomach. I went to bed and I've never been
0:48:30 > 0:48:35- well since.- Was it not just the drama on EastEnders getting you?
0:48:35 > 0:48:37It's not that good!
0:48:37 > 0:48:40Have you ever had anything like this before?
0:48:40 > 0:48:43I've got bad kidneys.
0:48:43 > 0:48:45When you say bad, what do you mean?
0:48:45 > 0:48:48I've got, like, double tubes.
0:48:48 > 0:48:50- Oh, yeah?- It's not double kidneys...
0:48:50 > 0:48:52- Duplex kidney.- Yes, I've got that.
0:48:52 > 0:48:55Have you got any numbness or tingling down your legs at all?
0:48:55 > 0:48:57All the time.
0:48:57 > 0:49:04- All the time I get that. - I just need to find her obs.
0:49:04 > 0:49:10Adam thinks his patient has a urine infection and runs his treatment plan past Dr Jafaar.
0:49:10 > 0:49:13How many types of renal failure do you know?
0:49:13 > 0:49:16- Three broadly, then within each one the different causes.- Yeah.
0:49:16 > 0:49:18So pre-renal, renal, post-renal.
0:49:18 > 0:49:22I don't think she's got a stone.
0:49:22 > 0:49:23Yes, she's passing urine.
0:49:23 > 0:49:25Could that be renal?
0:49:25 > 0:49:27I'm asking the questions.
0:49:27 > 0:49:30- Sorry!- You're thinking renal. - I'm thinking renal.
0:49:30 > 0:49:35Dr Jafaar examines the patient to confirm Adam's diagnosis.
0:49:35 > 0:49:37I'm going to press on your back.
0:49:37 > 0:49:39Tell me if that hurts. Does that hurt?
0:49:39 > 0:49:41- Not really, no.- There?
0:49:41 > 0:49:45- No.- OK. It looks like it's another waterworks infection.
0:49:45 > 0:49:48- We'll carry on with the antibiotics through the vein, OK?- OK.
0:49:48 > 0:49:51- Do you have any questions?- No.- Fine.
0:49:53 > 0:49:59Dr Jafaar, he's a good consultant, he's a strict consultant.
0:49:59 > 0:50:04I heard the words "I agree", and that was amazing.
0:50:04 > 0:50:10Basically, he agreed with my diagnoses and my management plans, essentially, finer points aside.
0:50:10 > 0:50:12So for me that's a great success.
0:50:12 > 0:50:17And it's not just his consultant Adam's managed to impress.
0:50:17 > 0:50:19Doctors are getting better looking!
0:50:19 > 0:50:22Years ago it used to be all oldies, didn't it?
0:50:22 > 0:50:27Now they're all shirted up and dress pants and that. Nice.
0:50:33 > 0:50:36In A&E, Suzi also wants to be taken seriously.
0:50:36 > 0:50:40She's hoping to show that this Barbie has girl power.
0:50:40 > 0:50:45Is that meant to look like a Barbie doll? Ridiculous.
0:50:47 > 0:50:49A tricky case has come in.
0:50:49 > 0:50:53- I've got an interesting lady for you to have a look at.- OK.
0:50:53 > 0:50:5835-year-old Heather has been rushed into A&E with chest pain.
0:50:58 > 0:51:00- This is Heather.- Hello.- This is Suzi.
0:51:00 > 0:51:03Can I ask you about why you've come into hospital today?
0:51:03 > 0:51:06I had palpitations this morning soon after I'd woken up.
0:51:06 > 0:51:09- OK. Anything else? Did you feel short of breath?- A bit.
0:51:09 > 0:51:13Can I look at your hands first of all?
0:51:13 > 0:51:15Is it sore when I press?
0:51:15 > 0:51:17- No.- How does it feel on your chest?
0:51:17 > 0:51:19Any pain?
0:51:19 > 0:51:23- A little bit. - Suzi checks Heather's heart.
0:51:23 > 0:51:27- Down the left side. - Thank you, that's great.
0:51:29 > 0:51:30What do you think?
0:51:30 > 0:51:32The history sounds like...
0:51:32 > 0:51:35Palpitations, something going on with the heart.
0:51:35 > 0:51:40Do you know any weird and wonderful rare cardiovascular problems
0:51:40 > 0:51:46that present with a blue baby, or blue heart disease?
0:51:46 > 0:51:47When they're hypoxic.
0:51:47 > 0:51:50- Fallot's tetrad - Yes, that's what she's got.
0:51:50 > 0:51:51Oh, really? Oh!
0:51:51 > 0:51:53It's a congenital
0:51:53 > 0:51:58anomaly, which has four problems with the heart.
0:51:58 > 0:52:00- VSD.- Yes.
0:52:00 > 0:52:03Pulmonary stenosis. Overriding aorta.
0:52:03 > 0:52:05And right ventricular hypertrophy.
0:52:05 > 0:52:08- Brilliant.- I won't forget that now because I've seen it.
0:52:08 > 0:52:12- Absolutely.- Suzi has correctly diagnosed a rare condition.
0:52:12 > 0:52:16Heather has a congenital heart abnormality.
0:52:16 > 0:52:21I saw her smiling after she'd got the diagnosis right, especially with such a rare problem.
0:52:21 > 0:52:25She got all the clinical signs correct and worked out the diagnosis.
0:52:25 > 0:52:29That's a very satisfying point when you get there. I think she was pleased.
0:52:29 > 0:52:34I don't think anyone thinks I'm stupid but I bet a lot of people see me and think, "She's blonde.
0:52:34 > 0:52:38"Bet she doesn't know anything." But actually I do and it felt nice.
0:52:38 > 0:52:45It felt good. It proves I can do it, and I know I can do it, I've just got to have more confidence.
0:52:50 > 0:52:54On the gastro ward, Lucy's found out there's some good news for Margaret.
0:52:54 > 0:52:59Her blood results have come back negative.
0:52:59 > 0:53:02The other day she did become poorly.
0:53:02 > 0:53:05It was a bit of a worry because it was out of the blue. She'd been well for ages.
0:53:05 > 0:53:09On many levels when we looked at the blood tests and things, actually she was OK. But something was going on.
0:53:09 > 0:53:12It was a worry. It was one of the first times
0:53:12 > 0:53:17since I've started work, really, that I've felt I've had to doctor in some ways and actually do medicine.
0:53:21 > 0:53:23What are you doing with that, honey?
0:53:23 > 0:53:29After five weeks of being on the ward, Margaret is finally able to leave.
0:53:29 > 0:53:34It looks like Margaret has got a placement at an EMI nursing home locally, which is good,
0:53:34 > 0:53:39because it means she's going to be getting a lot more one-on-one care.
0:53:39 > 0:53:41We'll miss you. Uh-huh.
0:53:41 > 0:53:43I bet you look lovely.
0:53:43 > 0:53:46- Have a lovely time.- Bye, everybody.
0:53:46 > 0:53:49You need to look where you're going.
0:53:52 > 0:53:54I think we're all going to find it a bit strange over the next couple of weeks
0:53:54 > 0:53:59to get used to one of our familiar faces having gone home.
0:53:59 > 0:54:02The first time that's really ever happened from my perspective, in terms of a patient who's
0:54:02 > 0:54:07been long-standing going home, the change on the ward, the atmosphere.
0:54:07 > 0:54:09That bay will be a different place.
0:54:09 > 0:54:11People might get some sleep!
0:54:25 > 0:54:31It's the weekend and the doctors are throwing a party.
0:54:31 > 0:54:34We always have fancy dress at any opportunity.
0:54:34 > 0:54:37Medics, for some reason, absolutely love fancy dress.
0:54:37 > 0:54:41It's time off from playing the part of a professional,
0:54:41 > 0:54:47- and a chance to be whoever they want to be.- It's Hawaii Five-O. How are you doing?
0:54:49 > 0:54:52I like to think that I wouldn't change much.
0:54:52 > 0:54:54I'd be pretty much the same.
0:54:54 > 0:54:58Even look pretty much exactly the same in 20 years' time.
0:54:58 > 0:55:01I'm Chinese, I'm going to look young for a long time.
0:55:01 > 0:55:04- I was thinking of opening a bottle of something fizzy.- Sounds good.
0:55:07 > 0:55:10Yeah! Awesome! That's awesome!
0:55:17 > 0:55:21Only Keir Shiels would try to teach someone to cha cha to Lady Gaga.
0:55:22 > 0:55:23# Just dance... #
0:55:26 > 0:55:31We are expected to be boring now, but certainly for me, I'm defying it.
0:55:31 > 0:55:32I'm going to
0:55:32 > 0:55:35get as much of my personality in as possible.
0:55:39 > 0:55:41There's no hurry to grow up and things.
0:55:41 > 0:55:44I guess as I get older I'll be happier being called
0:55:44 > 0:55:50Dr Bachelor, but at the moment I'm Suzi, you know. That's me.
0:55:52 > 0:55:56Next time. Do our junior doctors still think they're up to the job?
0:55:57 > 0:56:01- It's just relentless. - No, you've got a needle sticking out your arm.
0:56:01 > 0:56:04Adam's thrown in at the deep end on the night shift.
0:56:04 > 0:56:07I've never seen this many patients waiting to be seen ever.
0:56:07 > 0:56:12And eight weeks in, can Suzi still cope under the pressure of A&E?
0:56:12 > 0:56:14I don't want to look as though I can't do my job.
0:56:14 > 0:56:17Do you know how that feels? It makes you feel crap.
0:56:17 > 0:56:20Subtitles by Red Bee Media Ltd
0:56:20 > 0:56:24E-mail subtitling@bbc.co.uk