0:00:04 > 0:00:06Emergencies.
0:00:10 > 0:00:13Bad behaviour.
0:00:13 > 0:00:16- Bedside battles. - Alfie, Alfie, Alfie, Alfie.
0:00:16 > 0:00:19And buckets of blood.
0:00:19 > 0:00:22It's a tough job being a doctor.
0:00:22 > 0:00:25It's even tougher when you are young.
0:00:25 > 0:00:27Am I right or not?
0:00:27 > 0:00:31I feel like a child really. In their eyes, I think you probably are.
0:00:31 > 0:00:35- I don't want to scare you. - Untried.- It's my second day.
0:00:35 > 0:00:38- The first time any of us do anything we're going to be- BLEEP.
0:00:38 > 0:00:40And inexperienced.
0:00:40 > 0:00:43- Everyone is in the same boat. - Push it through. Twiddle, twiddle.
0:00:43 > 0:00:45No-one knows what they're doing.
0:00:45 > 0:00:48But after years of studying,
0:00:48 > 0:00:53it's time to put theory into practise on medicine's frontline.
0:00:53 > 0:00:55Clear!
0:00:58 > 0:01:01Oh, my God! That's so close!
0:01:01 > 0:01:04The eight junior doctors are sharing this house.
0:01:04 > 0:01:06That looks really weird, doesn't it?
0:01:07 > 0:01:12While Amieth and Ben already have a year's experience under their belts...
0:01:12 > 0:01:15He's already eaten two lasagnes!
0:01:15 > 0:01:18..newly qualified are Lucy, Aki, and Andy...
0:01:18 > 0:01:22Amieth actually made it, but it was following my plan.
0:01:22 > 0:01:24..Sameer, Milla and Priya.
0:01:24 > 0:01:28- Where's my seat? - You can come and join our side.
0:01:29 > 0:01:34Five years of training can't prepare them for everything.
0:01:35 > 0:01:38She's impaled her hand on the spike.
0:01:38 > 0:01:41But when you're young and inexperienced,
0:01:41 > 0:01:43it's hard to take charge...
0:01:43 > 0:01:48- These are the questions we ask everyone.- It's not helpful. I find it offensive.
0:01:48 > 0:01:50..appear confident...
0:01:50 > 0:01:55I know it's a bit miserable being in here. It's just a matter of keeping going.
0:01:55 > 0:01:57..and on top of things.
0:01:57 > 0:02:01No-one's died yet, which is good, but maybe I'm being a bit too careful.
0:02:15 > 0:02:18# I need a doctor
0:02:18 > 0:02:20# I need a doctor
0:02:20 > 0:02:24# You know I love you. #
0:02:24 > 0:02:29The junior doctors have been living and working together for four weeks now.
0:02:29 > 0:02:34- What's up?- I like your hair, Andy. - What?- I like your hair. - Is it mental?- It's nice.
0:02:39 > 0:02:43Getting on with housemates and colleagues is the easy bit.
0:02:43 > 0:02:47It's relationships with patients that's testing their skills.
0:02:47 > 0:02:48I am running late this morning.
0:02:48 > 0:02:52And when you only 20-something, taking charge can be tricky.
0:02:52 > 0:02:55'I just feel I need to get older'
0:02:55 > 0:02:58because at the moment, when I'm talking to an 80-year-old
0:02:58 > 0:03:02and telling them what they should be doing, I feel quite young.
0:03:15 > 0:03:19Learning to put patients at their ease in difficult situations
0:03:19 > 0:03:23is something all juniors have to learn.
0:03:23 > 0:03:24For second year, Amieth,
0:03:24 > 0:03:27A&E throws up some challenging and unusual cases.
0:03:29 > 0:03:32Tatyana is a 17-year-old barmaid brought in by her manager,
0:03:32 > 0:03:35distressed and in pain.
0:03:35 > 0:03:37And Amieth deals with her care.
0:03:37 > 0:03:42Hello. I've come from resus with a request for a portable hand X-ray.
0:03:42 > 0:03:44A lady has impaled it on a spike.
0:03:44 > 0:03:47She's injured herself at work.
0:03:47 > 0:03:51A spike that holds receipts has gone through her hand.
0:03:51 > 0:03:54With the receipts still on it.
0:03:55 > 0:03:59It's gone almost all the way through to the other side actually.
0:04:00 > 0:04:02It's gone in very deep.
0:04:05 > 0:04:09A month from now when it's no longer painful and it's funny,
0:04:09 > 0:04:12then she'll like the photos by then.
0:04:15 > 0:04:17Tatyana is frightened.
0:04:17 > 0:04:21Amieth needs to calm her down and administer a sedative.
0:04:24 > 0:04:29- Once I get a line in, we can give you some good painkillers. That will help.- I can't.
0:04:30 > 0:04:34Don't look. You've seen enough things going into your hands today.
0:04:34 > 0:04:36You don't need to see anything else.
0:04:36 > 0:04:39SHE MOANS
0:04:39 > 0:04:42- Deep breaths. - That's the worst of it over.
0:04:42 > 0:04:45As soon as the sedatives take an effect and the barmaid is calm,
0:04:45 > 0:04:48Amieth and his registrar can get to work.
0:04:48 > 0:04:52- Make sure you keep all the receipts! - I was going to say.
0:04:52 > 0:04:55Are these the tips or just the counter slips?
0:04:55 > 0:04:58They will need them for their records.
0:04:58 > 0:05:00With the receipts out of the way,
0:05:00 > 0:05:03Amieth's senior comes up with a plan to remove the spike.
0:05:03 > 0:05:06You could just take this out.
0:05:06 > 0:05:11- What we'll do is get a decent pair of pliers.- It's very deep though.
0:05:11 > 0:05:16Once we get her sedated, we'll get the bandage off and we'll have a good look at it.
0:05:16 > 0:05:18To be perfectly honest, a decent pair of B&Q pliers
0:05:18 > 0:05:21will be the most effective thing at yanking it out.
0:05:21 > 0:05:25All right, I'll get my toolbox then!
0:05:28 > 0:05:32Pliers?! You're just going to scare the patient.
0:05:32 > 0:05:35A&E has a box of emergency tools.
0:05:35 > 0:05:39The question for Amieth is which one is best for getting the spike out?
0:05:39 > 0:05:45- A saw?- A saw!- A saw to start with?
0:05:45 > 0:05:48This one? If you just pull it on to there.
0:05:48 > 0:05:54- It's quite large.- Wire cutter. - That's what you'd use to cut bike chains and things!
0:05:54 > 0:05:57- No, I'm just thinking that's going to be too big isn't it?- Yes.
0:05:58 > 0:06:00That looks pretty good.
0:06:00 > 0:06:05Armed with some handyman's pliers, and with his patient sedated
0:06:05 > 0:06:09but still conscious, Amieth will need to be fast and precise.
0:06:09 > 0:06:12Get a good grip. I'll hold the hand.
0:06:12 > 0:06:15- And then it's just, out.- Yes, OK.
0:06:15 > 0:06:17Ready now?
0:06:19 > 0:06:22Get them further down. Get more in the middle. That's it.
0:06:22 > 0:06:23Right, now, I'll tell you when.
0:06:25 > 0:06:27OK, ready? Go.
0:06:27 > 0:06:29GIRL MOANS
0:06:33 > 0:06:38Big breath, big breath. All done, all done.
0:06:38 > 0:06:40Big breaths. Just relax. Big breaths.
0:06:40 > 0:06:44- Just try and relax a little bit. - It came out very easily.
0:06:44 > 0:06:48Amieth's success impresses his colleagues.
0:06:49 > 0:06:53- Have you finished?- Yes.- You've taken it out?- We managed to get it out.
0:06:53 > 0:06:55Oh, my God! Well done, you!
0:06:55 > 0:06:57The sedation worked pretty well.
0:06:57 > 0:06:59She was sedated enough to pull it out
0:06:59 > 0:07:02but then woke up as soon as we did it, so that was perfect.
0:07:02 > 0:07:05Very impressive. That's very good.
0:07:05 > 0:07:08But before leaving, Amieth makes sure Tatyana is on the mend.
0:07:08 > 0:07:10How are you feeling?
0:07:12 > 0:07:13That's good.
0:07:13 > 0:07:18You might feel a bit drowsy for the rest of the day after the sedatives,
0:07:18 > 0:07:22but hopefully that's the worst of it over now.
0:07:22 > 0:07:24And you've got the spike as well I see.
0:07:24 > 0:07:29- You've put a nice safety cork on the top.- Yes. Thank you.- All the best.
0:07:30 > 0:07:33Amieth's calm bedside manner
0:07:33 > 0:07:35has helped him through a tricky emergency.
0:07:35 > 0:07:39Tatyana can leave the hospital spike free.
0:07:44 > 0:07:46- Do you know how to pop a list down? - No.
0:07:46 > 0:07:50If I show you that, and if you do that all this week when you get in.
0:07:50 > 0:07:55Across the hospital, Sameer has only been a doctor for a few weeks.
0:07:59 > 0:08:01I will. I will talk to you first.
0:08:02 > 0:08:06Just to introduce myself. I'm Sameer. I am one of the doctors.
0:08:06 > 0:08:09Sameer has been called to see a patient with liver disease
0:08:09 > 0:08:12who is demanding immediate medication.
0:08:15 > 0:08:18Where is the pain exactly?
0:08:24 > 0:08:28So does anything make the pain worse or better?
0:08:42 > 0:08:48I just need to make sure I've got the whole story, but I will be as quick as I can.
0:08:48 > 0:08:51It's a real test of Sameer's patient skills.
0:08:51 > 0:08:55The man is an alcoholic and ex drug-user.
0:08:55 > 0:08:58I want to talk a bit about the drug use.
0:08:58 > 0:09:04How long have you been using and what kind of drugs have you...
0:09:16 > 0:09:18It would just be helpful. It's just a question of...
0:09:22 > 0:09:24There's a reason for it.
0:09:36 > 0:09:39Don't worry. We don't have to talk about it in that case.
0:09:41 > 0:09:43Can I just move on to...
0:09:46 > 0:09:50It's a bedside battle that can only be won with experience.
0:09:52 > 0:09:55It can happen that you go to talk to these,
0:09:55 > 0:09:57I guess, difficult patients at times,
0:09:57 > 0:10:00and you almost get hijacked.
0:10:00 > 0:10:04The key is not to get flustered, not to panic,
0:10:04 > 0:10:06and not being too confrontational.
0:10:06 > 0:10:10If the patient or the family members don't have much confidence in you as a doctor,
0:10:10 > 0:10:14then it's going to be very difficult to deal with them on any level.
0:10:14 > 0:10:17The patient is given medication.
0:10:17 > 0:10:21For Sameer, it's been a tough lesson in handling difficult situations.
0:10:21 > 0:10:23I still feel awkward inside
0:10:23 > 0:10:28and I've only dealt with a few patients
0:10:28 > 0:10:31with these kind of problems before.
0:10:31 > 0:10:37I think it just comes with practise, but you never feel completely comfortable with it.
0:10:44 > 0:10:48First-year Andy is also being challenged the on the orthopaedics ward,
0:10:48 > 0:10:51which specialises in broken bones.
0:10:53 > 0:10:55A man is about to have an operation
0:10:55 > 0:10:59but has chosen to ignore Andy's instructions not to eat or drink.
0:11:09 > 0:11:12Did I not communicate to the nurses clearly enough?
0:11:12 > 0:11:15It's not your fault. If you've told the nurse, what more can you do?
0:11:15 > 0:11:18I know, yeah. As long as I made it clear enough.
0:11:19 > 0:11:23You've written it clearly there. They have no excuse.
0:11:23 > 0:11:25They would have seen this yesterday
0:11:25 > 0:11:28because they should be reading the notes.
0:11:28 > 0:11:32But maybe I wasn't clear enough verbally. I thought I said, but...
0:11:32 > 0:11:36Nurses should still be reading the notes, Andy. Don't blame yourself.
0:11:36 > 0:11:37Andy's doing very well.
0:11:37 > 0:11:41The main thing is trying to build up his confidence a bit.
0:11:41 > 0:11:45A lot of the time, he's right, but he doubts himself lot.
0:11:45 > 0:11:48My role is also supporting him and encouraging him in his decisions
0:11:48 > 0:11:52because I think he's quite hesitant, which is completely normal.
0:11:52 > 0:11:54It's a massive responsibility.
0:11:54 > 0:11:58Despite the mix up, the patient knows he shouldn't be eating.
0:11:58 > 0:12:01Andy spots more incriminating evidence.
0:12:01 > 0:12:03A chocolate wrapper by his bed.
0:12:03 > 0:12:07Sophie, he's just been munching away on that as well!
0:12:10 > 0:12:13- He's only had a little bit. - Just say from 9.
0:12:13 > 0:12:16And four milligrams of Milky Way!
0:12:18 > 0:12:19Right.
0:12:20 > 0:12:23Despite being only 22,
0:12:23 > 0:12:27Andy must assert his authority as a doctor and explain the consequences.
0:12:44 > 0:12:47Please don't eat anything else.
0:12:47 > 0:12:50This is the first time I've had this situation, I guess.
0:12:50 > 0:12:53The patient not really cooperating
0:12:53 > 0:12:56with what's needed for the treatment.
0:12:56 > 0:12:59But you know, at the end of the day, it's his choice.
0:12:59 > 0:13:01If he doesn't want it, well, you know...
0:13:01 > 0:13:04You have to really find out if he wants it.
0:13:12 > 0:13:15As soon as we know anything, we'll let you know, OK?
0:13:15 > 0:13:18Junior doctor Lucy is based on the rheumatology ward.
0:13:18 > 0:13:21Would you just sit forward for us so I can have a feel of your neck?
0:13:21 > 0:13:23Just lift your chin up.
0:13:23 > 0:13:27Many of her elderly patients are in hospital for long periods
0:13:27 > 0:13:31and gaining their trust can be crucial.
0:13:31 > 0:13:34I'm going to draw the curtains round and listen to your breathing.
0:13:34 > 0:13:38We've taken him off his oxygen to see what he's saturating at. He's been a bit better.
0:13:38 > 0:13:43Since her first day, Lucy has been caring for 92-year-old Robert Beck,
0:13:43 > 0:13:45who's suffering from a chest infection.
0:13:45 > 0:13:49Stick your tongue out. Did you have some breakfast this morning?
0:13:49 > 0:13:52- Not yet. - You haven't had any breakfast?- No.
0:13:52 > 0:13:55- Not even a cup of tea? - I had a cup of tea, yes.
0:13:55 > 0:13:58That's what medical students are for, so where are you?
0:13:58 > 0:14:01Would you mind getting some tea and biscuits for Mr Beck?
0:14:01 > 0:14:06- Thank you. How do you take your tea? - Milk, no sugar.- Well done.- No sugar.
0:14:06 > 0:14:07OK. It's coming up.
0:14:07 > 0:14:09Building relationships with patients
0:14:09 > 0:14:13is something that has come naturally to Lucy.
0:14:17 > 0:14:20- Hello, sir.- Hi, again.
0:14:20 > 0:14:24Are you the new doctor everybody's excited about?
0:14:24 > 0:14:29- I don't think so. That won't be me. - I thought you were.- No.
0:14:29 > 0:14:32Right, all done.
0:14:32 > 0:14:36- That's an English rose. That's for you.- That's very nice.
0:14:38 > 0:14:40Hello. How are you? Have you been having a sleep?
0:14:40 > 0:14:44After the ward round, Lucy continues to monitor Robert's condition.
0:14:44 > 0:14:48You're looking a bit brighter. Are you feeling a bit better?
0:14:52 > 0:14:56Catch it when you can! Are you warm enough, because you feel quite cold?
0:14:59 > 0:15:03It is cold. I think it's that window. Shall I get you another blanket?
0:15:03 > 0:15:05I can put it round your shoulders then.
0:15:07 > 0:15:08We can do that.
0:15:10 > 0:15:13Milk, no sugar, isn't it? We know your tea order.
0:15:13 > 0:15:18- Then you can have another sleep. - OK, love.- All right?
0:15:18 > 0:15:21I like my patients. You get to know them.
0:15:21 > 0:15:26You see them when they're ill, better, when they go home, come back,
0:15:26 > 0:15:30seeing that journey is interesting.
0:15:30 > 0:15:33I've learned a lot from it.
0:15:33 > 0:15:37Lucy is doing incredibly well
0:15:37 > 0:15:39and she is one of those doctors
0:15:39 > 0:15:42who was born with a stethoscope round their baby neck.
0:15:42 > 0:15:46She's very kind to the patients, she's going to be fantastic.
0:15:46 > 0:15:50I will see you later. You enjoy that tea.
0:15:50 > 0:15:54But Lucy's attachment to her patient will soon be tested.
0:16:01 > 0:16:05MUSIC: "Cheers" by Rihanna
0:16:07 > 0:16:11After a hard day on the wards, the juniors share their experiences.
0:16:11 > 0:16:17We hope to discharge one of my favourite patients in the next few days.
0:16:17 > 0:16:20Why are they your favourite? What's so good about them?
0:16:20 > 0:16:26They've been there for ages. And...he's just as cute as a button.
0:16:26 > 0:16:29You know when you start to know things about somebody
0:16:29 > 0:16:31and get to know them day-to-day?
0:16:31 > 0:16:37Those are the patients I get a soft spot for.
0:16:37 > 0:16:40I don't get that because most of my patients
0:16:40 > 0:16:43are in and out so I don't get time to bond with them.
0:16:43 > 0:16:46I become close to mine because they're there for months.
0:16:46 > 0:16:50You wouldn't realise this but patients that are really nice,
0:16:50 > 0:16:53grateful, get a better standard of care in hospital.
0:16:53 > 0:16:55Do you?
0:16:55 > 0:16:58I think subconsciously the nurses, doctors, everyone around
0:16:58 > 0:17:02gives them more time and is more willing to go
0:17:02 > 0:17:04that extra mile for them because
0:17:04 > 0:17:08they genuinely have affection towards that patient.
0:17:08 > 0:17:11I found it's when you meet people's families you get a feel for them.
0:17:11 > 0:17:15You see a people's families in A&E because they come in with a relative.
0:17:15 > 0:17:19I only really see relatives as a useful means of finding out
0:17:19 > 0:17:21what's been going on with a patient.
0:17:21 > 0:17:25- You are ridiculously practical! - Like a machine!
0:17:25 > 0:17:28In A&E you don't have time to be pally
0:17:28 > 0:17:30and offer a cup of tea to the family.
0:17:30 > 0:17:32I love that. I'd be shit in A&E.
0:17:32 > 0:17:35Do you go up like, "Hello, you're a relative,
0:17:35 > 0:17:40"you must be a communication tool to communicate with the patient. Good to meet you."
0:17:40 > 0:17:42Something like that. In my most robotic voice.
0:17:53 > 0:17:57- Hello.- What time do you start work today?- 11. It's 7am!
0:17:57 > 0:18:00I know, that's why I'm not up.
0:18:01 > 0:18:05The junior doctors are slowly settling into a routine.
0:18:05 > 0:18:11First-year Priya is leaving to start her day in general surgery.
0:18:11 > 0:18:12Work!
0:18:14 > 0:18:16- Handbrake.- There's no handbrake.
0:18:29 > 0:18:32I've got to go see a patient downstairs.
0:18:32 > 0:18:36Junior doctors need to be at the beck and call of their seniors
0:18:36 > 0:18:38- at all times.- Where's my phone?
0:18:38 > 0:18:43Her mobile has vanished, lost somewhere on the wards.
0:18:43 > 0:18:46Crap, I've left my phone upstairs.
0:18:46 > 0:18:51The trouble is she's expecting an important call from her boss, Panos.
0:18:52 > 0:18:54Not there.
0:18:54 > 0:18:58Hi, Andy. I've lost my mobile phone.
0:19:01 > 0:19:03- Celebrations here. - It's not here.
0:19:03 > 0:19:04I'll have to go to AEU.
0:19:07 > 0:19:10No! Maybe I didn't leave it in the loos.
0:19:16 > 0:19:19Whilst Priya is tracking down her phone,
0:19:19 > 0:19:21housemate Andy has equally pressing business.
0:19:23 > 0:19:2824-year-old Jason is constipated after an operation.
0:19:28 > 0:19:29Hi, Mr Potterill.
0:19:29 > 0:19:35I'm just going to pull the curtain round. How is the stomach pain?
0:19:35 > 0:19:39This morning I woke up and it was really bad but it's getting better.
0:19:39 > 0:19:41How are your bowels at the moment?
0:19:41 > 0:19:45- They're still sore but it's getting better.- Have you passed a stool?
0:19:45 > 0:19:49- No.- You still haven't?- No.- I need to do a PR - a rectal examination.
0:19:49 > 0:19:52I need to put my finger up your back passage.
0:19:52 > 0:19:57- It's uncomfortable but it's got to be done.- I've had one before.
0:19:57 > 0:20:00Then we'll give you senna, a stimulant laxative,
0:20:00 > 0:20:02and that should work.
0:20:02 > 0:20:06- All right?- All right.- There'll be a chaperone with us.- Fine.
0:20:06 > 0:20:09So what are you having done?
0:20:09 > 0:20:13A rectal examination. Sounds like fun(!)
0:20:13 > 0:20:16I just had an enema, I'd had some suppositories
0:20:16 > 0:20:19so what's one more thing?!
0:20:19 > 0:20:25PR, put your finger up their back passage, it's not very comfortable
0:20:25 > 0:20:28for them but it's a really important thing they do in medicine
0:20:28 > 0:20:31and you've just got to let the patient know
0:20:31 > 0:20:36it's like any other investigation. You get on with it, I guess.
0:20:36 > 0:20:41And just find some lubricant.
0:20:41 > 0:20:45Something that patients can find awkward and embarrassing
0:20:45 > 0:20:50must be treated as just another investigation by junior doctors.
0:20:51 > 0:20:54The trick is to get the patient to relax.
0:21:31 > 0:21:33All's well so Andy prescribes laxatives.
0:21:33 > 0:21:37Then lets nature take its course.
0:21:42 > 0:21:46In general surgery, housemate Priya still can't find her phone
0:21:46 > 0:21:49and is missing an urgent call from her boss.
0:21:49 > 0:21:52Hello, I come without a needle but I've lost my phone
0:21:52 > 0:21:54so I'm checking if I left it here.
0:21:58 > 0:22:01Here it is. On the floor.
0:22:02 > 0:22:06Thank you. Seven missed calls.
0:22:08 > 0:22:11Crisis averted indeed.
0:22:11 > 0:22:17Panos, Panos, Panos, Panos. Shoot.
0:22:17 > 0:22:19This is Priya's first ever job.
0:22:19 > 0:22:22Until now she's always depended on her family
0:22:22 > 0:22:25for financial and emotional support.
0:22:26 > 0:22:30- Beautiful.- Thanks, Mum.
0:22:30 > 0:22:34It feels like my family and I are in this jungle
0:22:34 > 0:22:37that is the world together and suddenly
0:22:37 > 0:22:41the baby cub, me, has had to go out and hunt for kill by herself.
0:22:41 > 0:22:44At the beginning it's difficult, but in time
0:22:44 > 0:22:46I will become king of the jungle.
0:22:46 > 0:22:49But winning patients over has sometimes proved challenging,
0:22:49 > 0:22:51especially when taking blood.
0:22:53 > 0:22:56- A sharp scratch coming up.- Ow! Ow!
0:23:03 > 0:23:07Like all the junior doctors, Priya needs opportunities
0:23:07 > 0:23:10to build her confidence and improve her bedside manner.
0:23:10 > 0:23:13She's been invited to perform a small procedure.
0:23:13 > 0:23:17You only put on the sterile gloves when you make the cut?
0:23:17 > 0:23:23- You can do that.- Her job is to drain an abscess from a patient's armpit.
0:23:23 > 0:23:27The patient's aware that it is Priya's first time.
0:23:27 > 0:23:30It's an auxiliary abscess, so it's over here, of course.
0:23:30 > 0:23:35- What you need is a steady hand, all right, you don't shake.- OK.
0:23:35 > 0:23:41You go in, firm, and every single movement is purposeful.
0:23:41 > 0:23:45- You will be supervising me anyway. - Supervising you closely, yes,
0:23:45 > 0:23:47and I will be there if you need any help, OK?
0:23:47 > 0:23:50Try and get the hair out of the way.
0:24:03 > 0:24:05Ouch. That's criticism, Michael.
0:24:05 > 0:24:09- Is that a criticism? - Constructive.- Ah!
0:24:11 > 0:24:15OK. Now I'm going to go ahead with the cut.
0:24:15 > 0:24:18Again, you need to plan your incision, which way you're going to go.
0:24:18 > 0:24:22- So you need to go like that. - Transversely.
0:24:24 > 0:24:27- So from there, like that.- OK.
0:24:27 > 0:24:28Start here?
0:24:28 > 0:24:33No, you go from the centre, from the area of maximum tenderness.
0:24:33 > 0:24:37- Here?- A bit more straight. Don't worry, we're not doing anything.
0:24:37 > 0:24:39We'll tell you when we go.
0:24:39 > 0:24:42Basically, what you need to do, you hold it like that,
0:24:42 > 0:24:45you go in and make a slight cut like that.
0:24:45 > 0:24:49- You don't go... With purposeful movements.- OK.
0:24:49 > 0:24:51I'm going to make the cut now.
0:24:51 > 0:24:53Yes. I'm watching.
0:24:53 > 0:24:56Even with an anaesthetic to numb the area,
0:24:56 > 0:25:00the patient can still feel what's going on.
0:25:00 > 0:25:03- That's fine, stop.- Yep. - Are you in pain?
0:25:03 > 0:25:06- A little bit, yeah.- OK.
0:25:06 > 0:25:07Let me just...
0:25:10 > 0:25:12- HE CRIES OUT IN PAIN - OK, all right.
0:25:12 > 0:25:16OK. Now we'll drain the abscess.
0:25:17 > 0:25:19That's the worst bit over.
0:25:22 > 0:25:26I'm just going to squeeze now, squeeze out the pus.
0:25:28 > 0:25:31- All right, gently.- That OK? - Yeah, yeah.
0:25:36 > 0:25:38You shouldn't concentrate on the abscess,
0:25:38 > 0:25:41you should also be looking at the patient's face.
0:25:41 > 0:25:44If they're in too much agony, you don't keep squeezing.
0:25:44 > 0:25:47- Just clean it up a second. - This is your plaster.
0:25:47 > 0:25:52Sorry it doesn't have a smiley face on it!
0:25:54 > 0:25:58- Job done. Excellent, well done. - Thank you.
0:25:58 > 0:26:00It's a big learning curve for Priya.
0:26:00 > 0:26:03You can make the incision a bit deeper,
0:26:03 > 0:26:07next time, and put a bit more local anaesthetic, but overall,
0:26:07 > 0:26:09- I think you have done very well. - Thank you.
0:26:09 > 0:26:12You did everything systematically and I think, you know,
0:26:12 > 0:26:15- it's a very good start. - Thank you.
0:26:15 > 0:26:19There were a few blips on my part during the course of it,
0:26:19 > 0:26:22but I guess it was my first drainage, so...
0:26:23 > 0:26:24..I can only learn from it.
0:26:31 > 0:26:34MUSIC: "The A Team" by Ed Sheeran
0:26:43 > 0:26:45On the rheumatology ward, Lucy's bedside manner
0:26:45 > 0:26:50is striking the right note with her elderly patients.
0:26:50 > 0:26:53Hello, lovely. What have you got there?
0:26:53 > 0:26:56Is that cake? Very nice.
0:26:56 > 0:26:59But one of her favourite patients, Robert, is causing her concern.
0:26:59 > 0:27:01How are you feeling at the moment?
0:27:06 > 0:27:10Do you? Let me shut the curtains, we'll have a proper chat.
0:27:13 > 0:27:19Aged just 25, Lucy needs to be able to offer emotional support
0:27:19 > 0:27:21to patients at the other end of life.
0:27:23 > 0:27:27Are you? What are you nervous about?
0:27:40 > 0:27:44What's just round the corner?
0:27:44 > 0:27:46I don't think so.
0:27:48 > 0:27:51I know it's a little bit miserable being in here.
0:27:51 > 0:27:54It's just a matter of keeping going.
0:27:56 > 0:27:59And you look good. You do.
0:28:01 > 0:28:05The secret is, Robert, I like having you here and we want to keep you.
0:28:08 > 0:28:10But I don't want you to be nervous.
0:28:15 > 0:28:19I know. I know it's human nature.
0:28:19 > 0:28:23And I don't think it's very pleasant for anybody being in hospital.
0:28:37 > 0:28:39I'm sorry it's been like that.
0:28:42 > 0:28:44I know you do.
0:28:44 > 0:28:47You've been in here now for about two-and-a-half weeks
0:28:47 > 0:28:52and because you've been in for that long I want to carry on
0:28:52 > 0:28:56and make sure that you get home and you stay at home and you're well.
0:28:56 > 0:29:00Because I think we can do that. Honestly, I do.
0:29:09 > 0:29:13Don't you just want to take him home? I just want to give him a cuddle.
0:29:13 > 0:29:16He's lovely. He's one of my favourites.
0:29:16 > 0:29:19You shouldn't really have favourites, but I do.
0:29:21 > 0:29:27I think it's difficult sometimes to not become too emotionally attached.
0:29:27 > 0:29:31But I wouldn't want her to lose that empathy and warmth she clearly has.
0:29:31 > 0:29:33You need to build a relationship with patients.
0:29:33 > 0:29:36They're often vulnerable when they're in hospital,
0:29:36 > 0:29:40going through a difficult time of their lives and it's important
0:29:40 > 0:29:42they realise and know we're on their side
0:29:42 > 0:29:47and we're working our hardest for them.
0:29:49 > 0:29:50I'll see you later.
0:30:02 > 0:30:06On the orthopaedics ward, patient Jason is due to go home
0:30:06 > 0:30:08but Andy has cause for concern.
0:30:08 > 0:30:11I've noticed some of the tests are a little abnormal
0:30:11 > 0:30:14so I want to basically repeat those before he goes home
0:30:14 > 0:30:18just to rule out anything potentially serious.
0:30:18 > 0:30:22Hi, Mr Potterill, I'm just going to get some bloods quickly,
0:30:22 > 0:30:24if that's all right?
0:30:24 > 0:30:26Sharp scratch.
0:30:29 > 0:30:33Sorry. You've got very wiggly veins. It's hard to keep them down.
0:30:33 > 0:30:38- Is that a good thing?- You've got big veins but they just keep moving.
0:30:38 > 0:30:40I'll run to the laboratory
0:30:40 > 0:30:45and providing they've returned to normal, you can go home. All right?
0:30:45 > 0:30:47- Yep.- See you soon.
0:30:47 > 0:30:50It's not good news...
0:30:53 > 0:30:57Blood results are back and some of them have got a little worse
0:30:57 > 0:31:01and things aren't quite right and it would just be better
0:31:01 > 0:31:05for you to stay in another night and do a few more investigations.
0:31:05 > 0:31:09- OK?- Yep.- All right?- Yep. - See you soon.
0:31:11 > 0:31:14It's the first time Andy has used his powers as a doctor
0:31:14 > 0:31:17to keep a patient in hospital overnight.
0:31:17 > 0:31:21If he doesn't, he risks sending Jason home sick.
0:31:21 > 0:31:23I was stressed because I don't know
0:31:23 > 0:31:25if I'm erring on the side of caution too much.
0:31:25 > 0:31:28I think I probably am but it's not until you get more experience
0:31:28 > 0:31:33that you can make decisions more readily to send people home with things like that.
0:31:41 > 0:31:44All right, guys, I'll see you both soon.
0:31:44 > 0:31:45- Yes.- All right, cheers, bye.
0:31:51 > 0:31:53HE CHUCKLES
0:31:57 > 0:31:58What?!
0:31:58 > 0:32:00There we go.
0:32:00 > 0:32:02It's the end of the shift.
0:32:02 > 0:32:05The junior doctors head back to the house.
0:32:10 > 0:32:11I think this is my road.
0:32:13 > 0:32:17The end of a long day brings a fresh challenge for Priya.
0:32:17 > 0:32:20I don't know how to park.
0:32:23 > 0:32:25Oh, man. Hilarious.
0:32:26 > 0:32:29Right, OK, in theory, I know what to do.
0:32:29 > 0:32:34Luckily, her housemate Andy is around to help.
0:32:34 > 0:32:36Are you struggling to park a bit there?
0:32:38 > 0:32:40You'll stop me if I hit it, right?
0:32:40 > 0:32:43You're quite far away from the kerb, Priya.
0:32:43 > 0:32:46You kind of need to go that way a bit and get flush with the kerb.
0:32:46 > 0:32:49- I don't know what that means. - Turn the wheel a bit.
0:32:49 > 0:32:51- Which way?- That way.
0:32:51 > 0:32:54- You're looking from behind, yeah? - Yeah.
0:32:55 > 0:32:57OK. Stop!
0:32:57 > 0:32:59Don't say "stop" like that! It scares me.
0:32:59 > 0:33:04I don't think our teamwork is working that well!
0:33:04 > 0:33:08OK. You'll be fine this far away from the kerb, you can move it tomorrow.
0:33:08 > 0:33:12- Good work, team. - Good work, Andy. High five.- Yeah!
0:33:15 > 0:33:19While the junior doctors' long hours are limiting the household diet,
0:33:19 > 0:33:22Priya has a personal supply of home cooking.
0:33:22 > 0:33:27We have the delights from Mummy and Daddy Mangat's kitchen.
0:33:27 > 0:33:32My parents, or my mum, tends to cook a lot of food for me
0:33:32 > 0:33:34and send it down to London.
0:33:34 > 0:33:37It's my home away from home.
0:33:37 > 0:33:41Hey, Lu-Lu. I was wondering if you guys know how to cook rice.
0:33:41 > 0:33:44- I think we can maybe stretch to cooking some rice.- Well done!
0:33:47 > 0:33:50I'm more than willing to share my homely delights.
0:33:50 > 0:33:53Oh, my God, that is amazing!
0:33:53 > 0:33:56- Thank you so much.- Don't touch me!
0:33:56 > 0:34:00- I've had such a shit day today, I'm so happy. Look at this!- To see me?
0:34:00 > 0:34:04- Well, that, partly.- And the food that I bring. You're so chauvinist!
0:34:04 > 0:34:06Look at this, Mangatgourmet.com!
0:34:06 > 0:34:10- Forward slash, looks delicious. - You are so lame!- What?!
0:34:12 > 0:34:15Hope you enjoy my culinary attempt.
0:34:15 > 0:34:18ALL CHEER
0:34:18 > 0:34:21- Poppadoms!- This looks so nice.
0:34:24 > 0:34:29- What's this? This is really nice. It's lentil-y.- I don't really know.
0:34:32 > 0:34:34It's very difficult to maintain a life
0:34:34 > 0:34:37outside of the hospital at the moment.
0:34:37 > 0:34:42I wake up at whatever, 6:30am, I come home at 9pm.
0:34:42 > 0:34:47- Eat, sleep. Cycle starts again.- Amieth, you've been working for a year.
0:34:47 > 0:34:52- Do you find yourself completely limited to medicine?- No.
0:34:52 > 0:34:56It's about finding time to come home at the end of the day
0:34:56 > 0:34:59- and cooking your own meal instead of just getting a sandwich. - Thank you, Priya!
0:34:59 > 0:35:03You'll find that as you get better at the job, everything becomes easier.
0:35:13 > 0:35:16I got up too early.
0:35:18 > 0:35:21That's really annoying. 15 minutes too early.
0:35:23 > 0:35:26It's another early start for Andy.
0:35:26 > 0:35:29Even a few weeks in, I feel like I'm slow.
0:35:29 > 0:35:31OK, no-one's died yet, which is good,
0:35:31 > 0:35:35but maybe I'm being a bit too careful.
0:35:35 > 0:35:38Maybe... Not careful, just a bit more efficient with what I do.
0:35:45 > 0:35:49Back on the ward, Andy's first job is to check on Jason's health,
0:35:49 > 0:35:52the patient he kept in overnight.
0:35:52 > 0:35:55That's really good, his blood results are looking better.
0:35:55 > 0:35:59They were quite high, some of them, but they're coming down,
0:35:59 > 0:36:00so that's really good news.
0:36:04 > 0:36:07Hi, Mr Potterill. I guess good news, really.
0:36:07 > 0:36:10The blood results show that some of the abnormal blood results
0:36:10 > 0:36:13are coming down, which is good, because they were high.
0:36:13 > 0:36:16- I don't think there's any reason why you need to stay.- Sweet.
0:36:16 > 0:36:20- We need to get you home. So I think you should...- Fair enough.
0:36:20 > 0:36:22- We'll discharge you. OK? - Cool, thanks.
0:36:22 > 0:36:27- You need to get dressed and stuff. All right.- Thanks.- No worries.
0:36:27 > 0:36:29'I guess yesterday I was a bit concerned that maybe'
0:36:29 > 0:36:32I'd worried about something that wasn't an issue.
0:36:32 > 0:36:36But even if there was a 1% chance of something serious,
0:36:36 > 0:36:39if it actually happened, it would be catastrophic.
0:36:39 > 0:36:42Speaking to my consultant, she said, you did the right thing
0:36:42 > 0:36:44because you've got to rule these things out.
0:36:44 > 0:36:46And Andy's patient is reassured.
0:36:46 > 0:36:50Andy's been super thorough, I've been here for a long time
0:36:50 > 0:36:51and he wasn't sure what was going on.
0:36:51 > 0:36:54It's been really nice to have a nice doctor, refreshing,
0:36:54 > 0:36:57to have someone keep me in track like that.
0:37:10 > 0:37:13Can you come and look at this man's rash?
0:37:13 > 0:37:17On Lucy's rheumatology ward, Robert has got much worse.
0:37:19 > 0:37:21He's got a really funny rash.
0:37:21 > 0:37:24He's had funny skin issues since he's come in. This is a bit different.
0:37:27 > 0:37:30Robert, sweetheart? It's Lucy.
0:37:32 > 0:37:36We're just going to have a quick look at your rash on your tum. OK?
0:37:36 > 0:37:39Hello, I'm Kate, I'm another one of the doctors.
0:37:39 > 0:37:42We're all looking at your rash. Just on your tummy.
0:37:43 > 0:37:49It's here. This has changed, this is new, this. It wasn't like that.
0:37:53 > 0:37:58This is different. This is all new, his arm started like this.
0:38:01 > 0:38:06He's really poorly, isn't he, today? Really poorly.
0:38:14 > 0:38:18He's just deteriorated, really, over the last 24 hours.
0:38:18 > 0:38:21And he's so much more drowsy than he normally is,
0:38:21 > 0:38:24it's not normal for him to be like that.
0:38:25 > 0:38:27Just keeping an eye on him, really.
0:38:27 > 0:38:31Just getting the right people looking at him as well.
0:38:31 > 0:38:34So we'll have to see how he goes.
0:38:50 > 0:38:53Earlier in the week, Sameer's confidence
0:38:53 > 0:38:56was undermined by a difficult encounter with a patient.
0:38:56 > 0:39:01Now he's meeting with his educational supervisor, Dr Pelly.
0:39:01 > 0:39:07I found that a lot of what you learn in medical school, you just...
0:39:07 > 0:39:10it's just, they're just words, really.
0:39:10 > 0:39:14- And you just know, it's basically how to answer questions.- Sure.
0:39:14 > 0:39:18But when you actually do it in practise, it's a lot different.
0:39:18 > 0:39:21Like everyone who starts a new job, it's a bit of a shock.
0:39:21 > 0:39:23You're a student, suddenly you're qualified.
0:39:23 > 0:39:27Suddenly people expect you to know and do all these things.
0:39:27 > 0:39:31And you look a bit tentative, which, I think I can remember being
0:39:31 > 0:39:35extremely tentative, so I have no problem with that.
0:39:35 > 0:39:39You have to learn to almost slightly act the part in a funny sort of way,
0:39:39 > 0:39:41because that's what's expected of you.
0:39:41 > 0:39:45If you're naturally quite a shy person, which I certainly was,
0:39:45 > 0:39:49and I think you're that end of the spectrum, it's quite a transition
0:39:49 > 0:39:53to go onto being what people would expect you of you.
0:39:53 > 0:39:54So persevere.
0:39:54 > 0:39:56Thank you.
0:39:58 > 0:40:02Sameer returns to the general medicine ward,
0:40:02 > 0:40:04keen to work on his bedside manner.
0:40:04 > 0:40:08We looked at your bloods yesterday, sir, and they've got a lot better.
0:40:08 > 0:40:13- So they're improving all the time. - Bloods, you say? Blood test, yeah.
0:40:13 > 0:40:19- How's your tummy?- It's a little bit tender.- Where is it tender?
0:40:19 > 0:40:21Across here.
0:40:22 > 0:40:25We did an X-ray of your tummy, and that was normal,
0:40:25 > 0:40:29but showed we needed to give you some laxatives.
0:40:30 > 0:40:35And if you can get a sputum sample for us, we'd be even happier.
0:40:35 > 0:40:41- Will do. I'll do my best.- See you later, sir.- Thank you very much.
0:40:41 > 0:40:45Yeah, you know, I feel more comfortable when he comes up.
0:40:45 > 0:40:50He's got a sort of calming effect. He's very good.
0:40:50 > 0:40:53That's so nice.
0:40:53 > 0:40:56Someone says that when you're a doctor, that's really good.
0:40:56 > 0:40:59That kind of... I've just had a really busy day,
0:40:59 > 0:41:02and there's been lots of patients who've been a bit grumpy,
0:41:02 > 0:41:05but that just makes it so much better.
0:41:05 > 0:41:08That's kind of why you'd want to be a doctor in the first place.
0:41:18 > 0:41:22It's a big day for Andy, he's one year older.
0:41:22 > 0:41:24Happy birthday!
0:41:24 > 0:41:26I would give you a hug, but...
0:41:26 > 0:41:29The worst thing about birthdays is the morning, we hate mornings.
0:41:32 > 0:41:35I'm 23 today.
0:41:40 > 0:41:43It's an important day for Andy at work too.
0:41:43 > 0:41:46He's the first port of call for any surgical emergency
0:41:46 > 0:41:48across the hospital.
0:41:51 > 0:41:54PAGER BEEPS 58524. Come on, let's ring.
0:41:57 > 0:42:01Hi, it's Andy here, I just got a bleep from this number.
0:42:01 > 0:42:05I've just been called to see a guy who's quite unwell from the sounds of it.
0:42:05 > 0:42:10His blood pressure's dropped. And, yeah...
0:42:10 > 0:42:13PAGER BLEEPS Go and see what's going on.
0:42:30 > 0:42:32There is no time for indecision.
0:42:54 > 0:42:57The patient's thought to have internal bleeding.
0:42:57 > 0:43:00He's dehydrated and at risk of a heart attack.
0:43:05 > 0:43:09Having managed to get urgently needed fluids into the patient,
0:43:09 > 0:43:11Andy wants a second opinion.
0:43:15 > 0:43:16- Hi.- Hello.
0:43:16 > 0:43:19We've got a patient and he's becoming quite unwell this morning.
0:43:19 > 0:43:22His blood pressure's dropping. It's 70 over 40 now.
0:43:22 > 0:43:24His SATs are dropping.
0:43:24 > 0:43:27I had a listen to him and his chest sounds all right, but...
0:43:27 > 0:43:30- I'll look at him now.- That'd be brilliant if you could.- OK, yeah.
0:43:35 > 0:43:39Confident the patient is now in expert hands,
0:43:39 > 0:43:42Andy's still concerned he's losing blood,
0:43:42 > 0:43:46so his next job is to organise a transfusion.
0:43:46 > 0:43:48A suspected GI bleed.
0:43:48 > 0:43:52Drop in haemoglobin, drop in blood pressure,
0:43:52 > 0:43:56so it's fairly urgent, actually.
0:43:57 > 0:44:02Finally, the team manages to stabilise the patient.
0:44:02 > 0:44:05Andy's proved he can make a string of correct decisions under pressure
0:44:05 > 0:44:09and the experience has boosted his confidence.
0:44:09 > 0:44:11'It was pretty scary, really, cos you think,
0:44:11 > 0:44:15'if I don't do something quickly this guy could have a cardiac arrest.'
0:44:15 > 0:44:20So I kept pretty calm and just got on with it. It wasn't too bad.
0:44:20 > 0:44:23Yeah, it was scary definitely.
0:44:23 > 0:44:25You know, exciting as well.
0:44:25 > 0:44:28This is the first time I've had to deal with something which is
0:44:28 > 0:44:29an emergency.
0:44:29 > 0:44:34So, yeah, a mixture of emotions about that.
0:44:41 > 0:44:43Any medical problems in the past?
0:44:43 > 0:44:44Like all the junior doctors,
0:44:44 > 0:44:48housemate Priya has also been lacking confidence.
0:44:48 > 0:44:53But in front of needle-shy Katie she needs to show she's in charge.
0:44:53 > 0:44:58What we're going to do is put in a line to take some bloods.
0:44:58 > 0:45:01I'm just not great with needles. I just won't look. It's fine.
0:45:01 > 0:45:05- Otherwise we'll have to do it twice. - No, I'll go with your option.
0:45:06 > 0:45:11Probably better! Julian's going to take some blood.
0:45:11 > 0:45:15What's more, she's now overseeing a medical student, Julian.
0:45:15 > 0:45:18- Are you happy for him to... - Yeah, that's fine.
0:45:18 > 0:45:21Everyone has to start somewhere.
0:45:23 > 0:45:26- Sharp scratch coming.- Yeah, sure.
0:45:31 > 0:45:32Sorry about that.
0:45:32 > 0:45:36No, you just carry on. Ignore my crazy sounding noises.
0:45:38 > 0:45:41Are you still trying to take blood?
0:45:43 > 0:45:46The needle's out. I'm sorry that it's hurting.
0:45:48 > 0:45:51Try pulling it out a bit. Stop there.
0:45:51 > 0:45:55- How much of the needle have you pulled out?- A tiny bit.
0:45:55 > 0:45:58Yeah, pull a bit more of the needle out.
0:45:58 > 0:46:01Let's see if we get some flash back. Yeah, that's fine.
0:46:01 > 0:46:04OK, it's a lot more painful when you put it in like that
0:46:04 > 0:46:06so it's probably best to just...
0:46:08 > 0:46:11If you lose it, it stings a bit.
0:46:11 > 0:46:12I'm really sorry.
0:46:12 > 0:46:15Julian did a really good job but it slipped a little bit.
0:46:15 > 0:46:20- Do you mind if I have a go on the other side? I'm sorry.- It's fine.
0:46:20 > 0:46:22- Sorry.- No, no. - I feel really rubbish now.
0:46:25 > 0:46:29As with these things, sometimes they don't quite go quite the way
0:46:29 > 0:46:31you want them to but that's completely fine.
0:46:31 > 0:46:33It's good to get some experience.
0:46:33 > 0:46:36He feels a bit bad about it so my job is to reassure him.
0:46:36 > 0:46:42I'll tell him to keep it up and, with practise, he'll become better.
0:46:42 > 0:46:44With the patient, Katie, now agitated,
0:46:44 > 0:46:48it's down to Priya to calm her down and attempt to take blood.
0:46:48 > 0:46:50Something she struggles with herself.
0:46:50 > 0:46:55The needle's the bit I have issues with. That's why I'm not looking.
0:46:55 > 0:46:57If you just keep telling me what you're doing
0:46:57 > 0:46:59cos that really helps me not panic.
0:46:59 > 0:47:04OK. I never use this technique but I might try it.
0:47:04 > 0:47:08No, sorry, this is about cleaning.
0:47:08 > 0:47:11I'm not experimenting on you. Don't worry.
0:47:11 > 0:47:14- My mistake.- That's all right.
0:47:14 > 0:47:18- If I had my eyes open I could see what you were talking about.- Yeah.
0:47:21 > 0:47:24OK, so well done. Deep breath.
0:47:27 > 0:47:32- Sharp scratch.- Yeah, that's fine. - OK?- Yeah, that's fine.
0:47:34 > 0:47:39I've taken it out now. No more needle in now. There we go.
0:47:39 > 0:47:42- All done. Bit of a mess. - That's all right.
0:47:42 > 0:47:45The worst bit is completely over.
0:47:45 > 0:47:49No more stabbings, promise.
0:47:49 > 0:47:52- No looking.- OK. I can see the blood, it's fine.
0:47:52 > 0:47:58It's more the needles than the blood, but I will not look anyway.
0:48:02 > 0:48:06We're done now. We're done, we're done, we're done.
0:48:06 > 0:48:08It's all over. You did it. You survived.
0:48:08 > 0:48:10It's a confidence boost for Priya,
0:48:10 > 0:48:14as she proves she can handle a difficult situation by herself.
0:48:16 > 0:48:19Don't be upset. We'll do plenty more. Your technique is good.
0:48:19 > 0:48:20It happens to all of us.
0:48:20 > 0:48:25- It happens to me as well.- Thank you very much.- You're welcome. Thank you.
0:48:25 > 0:48:26See you later.
0:48:26 > 0:48:31Priya's a hard worker, gets on with the task and is getting
0:48:31 > 0:48:34on well with the rest of the team, so I think it's a promising start.
0:48:44 > 0:48:48Over in Rheumatology, there's some news for Lucy.
0:48:48 > 0:48:51Hello.
0:48:56 > 0:48:58I like your pyjamas. They're snazzy.
0:48:58 > 0:49:03After a worrying decline in his health, Robert's made a recovery.
0:49:03 > 0:49:10- They're blue.- There's a stain.- Yeah, they do actually, don't they?- Yeah.
0:49:10 > 0:49:15- You'll have to iron them out later. - Will I?- Yeah.
0:49:15 > 0:49:19- Are you feeling all right? - Not too bad.
0:49:19 > 0:49:23Are you not so sure? You look nice.
0:49:23 > 0:49:26You've got nice rosy cheeks.
0:49:26 > 0:49:28Thinking about you.
0:49:30 > 0:49:33He was a bit cheeky. That was unexpected.
0:49:33 > 0:49:36Never been like that before. I didn't quite know what to say.
0:49:36 > 0:49:39He's obviously feeling a lot better. I've enjoyed having him here.
0:49:39 > 0:49:42He's been a lovely patient but, in the end,
0:49:42 > 0:49:44they don't belong in hospital.
0:49:44 > 0:49:46They should be at home, so it's good.
0:49:50 > 0:49:54He's actually been quite stable for a while now.
0:49:54 > 0:49:58I think we should make plans now to get him back.
0:49:58 > 0:50:02He's going today at lunchtime, yeah.
0:50:02 > 0:50:04- Everything's ready to go.- OK.
0:50:07 > 0:50:10Here's Mr Beck's medicines to go home with.
0:50:10 > 0:50:13Bless him, he won't be able to carry that bag.
0:50:13 > 0:50:16Quite a lot there.
0:50:17 > 0:50:21Finally, after caring for Robert since she started,
0:50:21 > 0:50:24Lucy's come to say goodbye.
0:50:24 > 0:50:27- Hello, Mr Beck.- Hello.
0:50:27 > 0:50:30- Oh, you're all ready to go.- Yes.
0:50:30 > 0:50:33I will hopefully, in the nicest possible way,
0:50:33 > 0:50:36not see you again because you'll stay fine.
0:50:40 > 0:50:43At last, Robert can go home.
0:50:43 > 0:50:47- Bye, everybody.- Bye!- Bye, smiler!
0:50:51 > 0:50:53'I will miss him cos he was lovely.
0:50:53 > 0:50:56'He was always a friendly face on ward round'
0:50:56 > 0:50:58and so grateful of any input at all.
0:50:58 > 0:51:03You do get fond of patients that have been here so long,
0:51:03 > 0:51:04but, at the at the same time,
0:51:04 > 0:51:07people shouldn't be in hospital for that long.
0:51:07 > 0:51:09He's an old man.
0:51:09 > 0:51:12He should be enjoying his life so it's actually really nice
0:51:12 > 0:51:15and satisfying to see him leave.
0:51:15 > 0:51:19- Are you ready, Mr Beck?- Yes. Goodbye.
0:51:30 > 0:51:33All our juniors are growing into their roles as doctors,
0:51:33 > 0:51:36but the youngest is turning 23.
0:51:40 > 0:51:41It's been a hectic week for Andy
0:51:41 > 0:51:44but tonight he's celebrating his birthday.
0:51:44 > 0:51:47We need more clothes for him. We should give him a hat and stuff.
0:51:47 > 0:51:51We could put Milla's fur coat on him. That would be pretty funny.
0:51:51 > 0:51:53It's his chance to invite friends from home
0:51:53 > 0:51:57and an excuse for all the juniors to let their hair down.
0:52:02 > 0:52:04Hey, how's it going?
0:52:08 > 0:52:10- Hi.- Happy birthday!- Thank you.
0:52:14 > 0:52:18- Oh, mate, leave the medicine. You're at a house party now.- Sorry.
0:52:21 > 0:52:25He seems to be having a good time. He's got a big grin on his face.
0:52:26 > 0:52:32# Happy birthday to you. #
0:52:32 > 0:52:35THEY CHEER AND APPLAUD
0:52:37 > 0:52:39Guys, thank you so much for coming.
0:52:39 > 0:52:44It's been an amazing birthday, seriously. Awesome, awesome.
0:52:44 > 0:52:47Probably the worst speech anyone's ever done.
0:52:47 > 0:52:51THEY CHEER AND APPLAUD
0:52:51 > 0:52:52I'm 23.
0:52:52 > 0:52:56I've definitely learned a hell of a lot in the past few weeks at work
0:52:56 > 0:52:59and I just feel a lot more confident in my job.
0:52:59 > 0:53:01Making decisions.
0:53:01 > 0:53:05Generally more self-assured and grown up as a doctor.
0:53:05 > 0:53:08I'm starting to enjoy it a lot more too.
0:53:08 > 0:53:11'I didn't feel like a doctor at the start.'
0:53:11 > 0:53:14You think once you get your badge you'll feel like a doctor
0:53:14 > 0:53:16but it's not like that.
0:53:16 > 0:53:20As you get experience and feel more comfortable, you feel like a doctor.
0:53:20 > 0:53:24It is a complete change, a revolution in my life.
0:53:24 > 0:53:27I think having to take everything so much more seriously
0:53:27 > 0:53:29has been a bit of a realisation.
0:53:35 > 0:53:40Next time, can the juniors fit the image of a doctor?
0:53:40 > 0:53:43Apart from elevation, I can't offer anything.
0:53:43 > 0:53:47- As they face persistent patients. - Why can't no-one help me?
0:53:47 > 0:53:50- Questioning colleagues.- AMT?
0:53:50 > 0:53:55- I would have thought the AMT would be nine or ten.- You can't guess it.
0:53:55 > 0:53:57And their own high expectations.
0:53:57 > 0:54:00- It's just complete- BLEEP- basically.
0:54:27 > 0:54:30Subtitles by Red Bee Media Ltd