0:00:07 > 0:00:08Emergencies...
0:00:08 > 0:00:09Have we got pads on?
0:00:09 > 0:00:13..bad behaviour...
0:00:13 > 0:00:14..bedside battles...
0:00:14 > 0:00:17- Alfie, Alfie? - ..and buckets of blood.
0:00:17 > 0:00:20It's a tough job being a doctor.
0:00:23 > 0:00:26It's even tougher when you're young.
0:00:26 > 0:00:27Am I right, or not?
0:00:27 > 0:00:31I feel like a child, because in their eyes you probably are.
0:00:31 > 0:00:36- Untried...- I don't want to scare you. It's my second day.
0:00:36 > 0:00:39- The first time any of us do anything, we're going to be- BLEEP.
0:00:39 > 0:00:41..and inexperienced...
0:00:41 > 0:00:44- Everyone's in the same boat.- Push it through.- Twiddle, twiddle.
0:00:44 > 0:00:47No-one knows what they're doing.
0:00:47 > 0:00:51..but after years of studying...
0:00:51 > 0:00:52Oh dear.
0:00:52 > 0:00:55..it's time to put theory into practice on medicine's front line.
0:00:55 > 0:00:57No-one's died yet,
0:00:57 > 0:01:01which is good, but maybe I'm being a bit too careful.
0:01:02 > 0:01:06Over the past two months, our eight newly qualified doctors
0:01:06 > 0:01:08have been living and working together.
0:01:08 > 0:01:10All right, how you doing?
0:01:13 > 0:01:17Second years, Amieth and Ben have a year's experience behind them.
0:01:17 > 0:01:21That's a serious amount of food for one person!
0:01:21 > 0:01:25While for first years Lucy, Aki and Andy...
0:01:25 > 0:01:27Come on, iron!
0:01:27 > 0:01:31- ..Milla, Sameer and Priya... - I'm so hungry.
0:01:31 > 0:01:33When I get hungry I get moody.
0:01:33 > 0:01:36..it's been a nonstop battle to keep up.
0:01:36 > 0:01:39I've just lost touch with my life. I need to ring people. Crap.
0:01:39 > 0:01:42But having survived eight weeks on the wards...
0:01:42 > 0:01:43Is it done?
0:01:43 > 0:01:46No, not yet. That was just the anaesthetic.
0:01:46 > 0:01:50..they're learning the sacrifices they must make for their careers.
0:01:50 > 0:01:52I'll be here for another half hour.
0:01:52 > 0:01:54I've got to go and stick my finger up someone's bum.
0:01:54 > 0:01:56It's just one of those things.
0:01:56 > 0:01:57And some are beginning to wonder
0:01:57 > 0:02:00if being a doctor's worth the struggle.
0:02:00 > 0:02:04I'm quite tired and almost a bit disinterested.
0:02:04 > 0:02:09I've definitely had days where I've thought is this what I want to do?
0:02:26 > 0:02:30Climbing the career ladder demands hard work,
0:02:30 > 0:02:32focus and determination.
0:02:32 > 0:02:36After weeks of basic ward jobs, the juniors are setting their sights
0:02:36 > 0:02:39on getting their feet off the bottom rung.
0:02:46 > 0:02:51First year Milla has always wanted to specialise in skin disorders.
0:02:51 > 0:02:53My mother had an incredible dermatologist
0:02:53 > 0:02:56who inspired me in dermatology
0:02:56 > 0:02:59and since then I've just been really interested
0:02:59 > 0:03:02and the reason is because it encompasses
0:03:02 > 0:03:06so many different conditions and it actually is a little bit of surgery
0:03:06 > 0:03:11as well as a bit of medicine so I think it's the perfect job for me.
0:03:12 > 0:03:15This is by the Queen's hat maker, isn't it?
0:03:15 > 0:03:18I'd describe myself as a Chelsea Girl, yeah.
0:03:20 > 0:03:25I love this one. I love going to balls. I get invited to many of them.
0:03:25 > 0:03:26Fantastic.
0:03:26 > 0:03:29In her first few weeks as a junior doctor,
0:03:29 > 0:03:31Milla found herself on call
0:03:31 > 0:03:33across the hospital on gruelling night shifts.
0:03:33 > 0:03:37I'm not going to get my jobs done.
0:03:37 > 0:03:40You get so many things to do and then you're bleep starts going off
0:03:40 > 0:03:42again and again just like this.
0:03:42 > 0:03:46Where is this ward? Have I just come from it? Yes. OK.
0:03:49 > 0:03:51Finally, this morning,
0:03:51 > 0:03:54Milla gets the chance to specialise in her dream department.
0:03:54 > 0:03:57Today is my first day in dermatology.
0:03:57 > 0:04:00After having come back after my one-week break
0:04:00 > 0:04:03in the south of France. It's really exciting.
0:04:09 > 0:04:11Let's go and see my patients.
0:04:13 > 0:04:17The dermatology department treats more than 9,000 cases a year.
0:04:17 > 0:04:19From mild eczema...
0:04:19 > 0:04:22I think it's going in the right direction.
0:04:22 > 0:04:24..to badly infected insect bites.
0:04:24 > 0:04:28- Hi, Helen.- Hi there.
0:04:28 > 0:04:31First patient of the day is Helen who was admitted to A&E
0:04:31 > 0:04:36with a vicious outbreak of psoriasis all over her body.
0:04:36 > 0:04:40- You poor thing. It looks so painful. - Milla has come to take blood.
0:04:40 > 0:04:42A sharp scratch coming up.
0:04:45 > 0:04:48I'm in dermatology for four months.
0:04:48 > 0:04:50We move around the different specialities.
0:04:50 > 0:04:53Junior doctors get to experience a bit of everything
0:04:53 > 0:04:56until they make their decisions which is quite good.
0:04:56 > 0:04:59But I'm really interested in dermatology
0:04:59 > 0:05:04so I'm very lucky to have got this job here.
0:05:04 > 0:05:05It's good.
0:05:05 > 0:05:09OK. Lovely. Thank you very much, Helen.
0:05:12 > 0:05:14Can you show me your pretty legs?
0:05:14 > 0:05:17Also suffering with severe psoriasis
0:05:17 > 0:05:18is Milla's next patient,
0:05:18 > 0:05:2162-year-old Mohammed.
0:05:21 > 0:05:23- Gosh, it's quite smelly, isn't it?- Yeah.
0:05:23 > 0:05:25His skin is being treated with coal tar,
0:05:25 > 0:05:27similar to that used on our roads.
0:05:27 > 0:05:29How often do you have this done?
0:05:36 > 0:05:39- So you've had psoriasis for that long?- Yes.
0:05:39 > 0:05:42The tar helps slow down skin growth, as well as easing the pain.
0:05:42 > 0:05:44How does it affect you physically?
0:06:04 > 0:06:06You said both physically and mentally.
0:06:27 > 0:06:29And so 40 years, you said?
0:06:29 > 0:06:31- About, say, 40 years.- Wow.
0:06:31 > 0:06:33And you're still smiling?
0:06:33 > 0:06:34Yeah, I'm still smiling, yes.
0:06:34 > 0:06:36- OK, thank you so much.- Thank you.
0:06:36 > 0:06:38I hope you have a wonderful afternoon
0:06:38 > 0:06:41and I will hopefully see you tomorrow, Mohammed.
0:06:41 > 0:06:44- OK, thank you.- Thank you. Bye.
0:06:45 > 0:06:50With Milla's sights set on a career in dermatology,
0:06:50 > 0:06:54she's beginning to see the effects skin conditions have on lives.
0:06:54 > 0:06:55'I think some people forget
0:06:55 > 0:06:58'that dermatology is a very important speciality'
0:06:58 > 0:07:01because if you had another medical condition that was affecting,
0:07:01 > 0:07:04let's say, your stomach or your lungs or whatever,
0:07:04 > 0:07:09it's not visible to the ordinary person on the bus or on the street,
0:07:09 > 0:07:11so it can affect patients' confidence
0:07:11 > 0:07:13and the way that other people perceive them.
0:07:13 > 0:07:16It's nice to be able to help out with those kinds of things.
0:07:24 > 0:07:28As Milla settles in to the dermatology department...
0:07:28 > 0:07:31Some nice big breaths in and out through your mouth for me.
0:07:31 > 0:07:35..housemate Andy is focusing on a career in the operating theatre.
0:07:35 > 0:07:37- All right, see you soon. Bye.- Bye.
0:07:37 > 0:07:41I think at the moment, I want to be an orthopaedic surgeon.
0:07:41 > 0:07:43It's pretty competitive,
0:07:43 > 0:07:46so you have to get plenty of experience doing that.
0:07:46 > 0:07:49She's on teicoplanin for her hip...
0:07:49 > 0:07:53But with so much work to do on the wards, theatre has to wait.
0:07:53 > 0:07:54All right, thanks.
0:07:54 > 0:07:57I've got... one, two, three, four, five,
0:07:57 > 0:07:59six, seven, eight, nine, ten,
0:07:59 > 0:08:0211, 12, 13, 14, 15, 16, 17, 18, 19.
0:08:02 > 0:08:04So I've got about 20 patients.
0:08:04 > 0:08:06Pretty busy day, not ridiculous but pretty busy.
0:08:06 > 0:08:10Hi, my name's Andy. I'm one of the general surgical house officers.
0:08:10 > 0:08:12I'd like to speak to you about one of our patients.
0:08:12 > 0:08:15'If you want to go to theatre as a junior doctor
0:08:15 > 0:08:16'you have to make the time.'
0:08:16 > 0:08:18You have to get all your jobs done
0:08:18 > 0:08:21and hopefully go into theatre in the afternoon,
0:08:21 > 0:08:24but that's easier said than done, really.
0:08:24 > 0:08:26Andy, the youngest of the juniors,
0:08:26 > 0:08:29is driven by a passion to succeed.
0:08:29 > 0:08:30# Bring it on
0:08:30 > 0:08:33# Bring it on, bring it on Come on, bring it on... #
0:08:33 > 0:08:35I'm quite a competitive person.
0:08:35 > 0:08:37I'm going to win...
0:08:37 > 0:08:38I like to do well at stuff.
0:08:41 > 0:08:44I want to do my best and try to do the best for each patient.
0:08:44 > 0:08:47- You can't grow a beard.- That is true.
0:08:47 > 0:08:49How long have you been growing that?
0:08:49 > 0:08:52My biggest weakness is not being able to grow facial hair.
0:08:52 > 0:08:53- Cheers.- Cheers.
0:08:55 > 0:09:00Today, Andy is getting an unexpected opportunity to help out in surgery.
0:09:00 > 0:09:03It's exciting. It's the first time I've been asked to go to theatre,
0:09:03 > 0:09:05which is really cool.
0:09:07 > 0:09:10I hope it's a bit of a reward cos I worked hard in the last few weeks,
0:09:10 > 0:09:14I've done nine days, ten days back-to-back,
0:09:14 > 0:09:16so this is a reward, I guess, getting to go to theatre.
0:09:16 > 0:09:18Hi, you all right?
0:09:18 > 0:09:21The operation requires constant X-ray monitoring
0:09:21 > 0:09:24so Andy needs protective clothing.
0:09:24 > 0:09:27This is a lead apron,
0:09:27 > 0:09:31which I have to wear because of the continuous taking of X-rays,
0:09:31 > 0:09:36which is obviously harmful radiation, so...
0:09:36 > 0:09:39I get to wear a skirt, which is a bit weird, but there you go.
0:09:44 > 0:09:48So we're taking a big metal nail out of someone's leg.
0:09:48 > 0:09:51And hopefully I'll get in to help do it.
0:09:51 > 0:09:55But yeah, it's a massive buzz, getting to go into theatre, for me.
0:09:55 > 0:09:57Really, really exciting.
0:10:00 > 0:10:02- Hi, Ian.- As Andy arrives,
0:10:02 > 0:10:06the operation to remove the nail from the patient's leg is under way.
0:10:06 > 0:10:11I reckon there'll be more bone over the top of that than you know about.
0:10:11 > 0:10:13Skin knife, Andy?
0:10:14 > 0:10:17And for the first time in his life,
0:10:17 > 0:10:19Andy gets a chance to make an incision on a patient.
0:10:24 > 0:10:26That's a good bold cut.
0:10:40 > 0:10:43But just as Andy is getting a taste of surgery...
0:10:43 > 0:10:44PHONE RINGS
0:10:44 > 0:10:46..there's a phone call from the ward.
0:10:52 > 0:10:54Unfortunately for Andy,
0:10:54 > 0:10:58he's being called back to the ward, as his patients need seeing to.
0:11:05 > 0:11:07All right, I'll see you soon, Ian.
0:11:10 > 0:11:14It's a setback, but like all junior doctors,
0:11:14 > 0:11:18Andy's first responsibility is to his patients.
0:11:18 > 0:11:20I got to go into theatre, make the first cut,
0:11:20 > 0:11:23which was awesome, exciting, haven't done that before.
0:11:23 > 0:11:27'But yeah, I had to leave to go and do some stuff on the wards.
0:11:27 > 0:11:28'I felt a little bad'
0:11:28 > 0:11:30but the main job of a junior doctor
0:11:30 > 0:11:32is to look after patients on the ward
0:11:32 > 0:11:35'and going to theatre is really like a bonus.
0:11:35 > 0:11:37'It's something you need to do
0:11:37 > 0:11:39'for experience if you want to do surgery'
0:11:39 > 0:11:43but it has to come second to your ward jobs, really.
0:11:43 > 0:11:45It's back to the wards for Andy.
0:11:45 > 0:11:48- Hello, Mr Watson. Hi.- Hi.
0:11:48 > 0:11:49Good to see you again.
0:11:52 > 0:11:55- You want to get ready first, don't you?- Yeah.
0:11:55 > 0:11:57But for Milla, her day in dermatology
0:11:57 > 0:11:58is proving to be all she had hoped for.
0:11:58 > 0:12:02She'll be carrying out a biopsy on psoriasis patient Helen.
0:12:02 > 0:12:06It's her first big challenge in dermatology,
0:12:06 > 0:12:09and unusually for a doctor with little experience,
0:12:09 > 0:12:11one she will be doing unassisted.
0:12:11 > 0:12:14It's amazing that so soon into the placement,
0:12:14 > 0:12:17I'm being allowed to do biopsies on my own
0:12:17 > 0:12:20because they are actually surgical procedures.
0:12:20 > 0:12:22So my registrar obviously thinks
0:12:22 > 0:12:26that I'm ready to be doing them on my own, which is fantastic.
0:12:26 > 0:12:28Cos that's something you do as a registrar,
0:12:28 > 0:12:32house officers don't get to just go off and do procedures on their own
0:12:32 > 0:12:33so it's very exciting.
0:12:33 > 0:12:35Hi, Helen, hi.
0:12:35 > 0:12:37- I'm going to do your biopsy.- OK.
0:12:37 > 0:12:40The biopsy is needed to find out
0:12:40 > 0:12:43whether Helen has skin diseases other than psoriasis.
0:12:47 > 0:12:50- OK. What we want to do is just take a sample of the skin.- Right.
0:12:50 > 0:12:52So we can send it off to the lab
0:12:52 > 0:12:55for them to look at it under a microscope.
0:12:55 > 0:12:58First, a local anaesthetic.
0:12:58 > 0:13:00- Are you comfortable like that?- Yes.
0:13:00 > 0:13:02All right. Just relax.
0:13:02 > 0:13:04A sharp scratch coming up, OK?
0:13:04 > 0:13:06That was it.
0:13:06 > 0:13:08- OK? Any pain?- No.
0:13:11 > 0:13:15- No stinging or anything? - No, no, it's fine.
0:13:15 > 0:13:16Just relax.
0:13:20 > 0:13:24- So, it's all done?- No, not yet. That was just the anaesthetic.- Oh, right.
0:13:24 > 0:13:26But that was it, I promise you that was the worst.
0:13:26 > 0:13:30You shouldn't feel anything else now. That's fine.
0:13:30 > 0:13:34- Can you feel anything?- No. - Any pain?- No.
0:13:34 > 0:13:38Once the area is numb, Milla extracts a small plug of tissue.
0:13:38 > 0:13:42That was it. I just need to put a little stitch in.
0:13:42 > 0:13:43And that was literally it.
0:13:46 > 0:13:50I think that's pretty good. It will come together quite nicely, I think.
0:13:50 > 0:13:54- You're free to go. Are you feeling OK? You look quite shocked.- I'm fine.
0:13:54 > 0:14:00- Are you OK?- I'm fine.- You're not feeling unwell or anything?- No.
0:14:00 > 0:14:05- Not dizzy or anything?- No. OK, well, I'll see...- Yes. Thank you so much.
0:14:05 > 0:14:09Let me know if you have any pain and we'll give you some painkillers.
0:14:09 > 0:14:12I'll just help you out.
0:14:14 > 0:14:16I really enjoyed it.
0:14:16 > 0:14:19It was so much fun doing it on your own, yeah.
0:14:19 > 0:14:23Yeah, it feels fantastic. I'm off to drop my sample off.
0:14:28 > 0:14:32It went fine. It was good. I've really enjoyed that, actually.
0:14:32 > 0:14:34It's quite nice to be completely independent.
0:14:36 > 0:14:39So, yeah, no, I'm really quite happy with that.
0:14:43 > 0:14:46I've just got one of your blood results back
0:14:46 > 0:14:48and your potassium is quite low.
0:14:48 > 0:14:52Ten past seven and Andy's struggling to get through his ward rounds.
0:14:52 > 0:14:56I'm going to have to take a blood sample from your artery, there.
0:14:56 > 0:15:02Any chance of getting back into surgery vanished hours ago.
0:15:02 > 0:15:05I was meant to finish about two hours ago.
0:15:05 > 0:15:08But stuff happens to your patients and maybe it's me
0:15:08 > 0:15:11not handing things over but I feel I have to sort it out.
0:15:11 > 0:15:14I like to make sure it's done so I can go in the morning
0:15:14 > 0:15:17and know what's going on with all the patients, be in control.
0:15:17 > 0:15:19So, I never really leave on time, ever.
0:15:21 > 0:15:25But, yeah, I think it's just the way it is, really.
0:15:25 > 0:15:27So, you've had one of those done before?
0:15:27 > 0:15:32Andy's final job, before he can go, is to do an arterial blood gas.
0:15:32 > 0:15:35He needs to find an artery on patient Mark.
0:15:36 > 0:15:38Sharp scratch.
0:15:38 > 0:15:42It's after days on end of long shifts, tiredness has set in,
0:15:42 > 0:15:44and like all junior doctors,
0:15:44 > 0:15:48Andy is discovering that fatigue is the biggest challenge of all.
0:15:48 > 0:15:51I'm going to get my colleague to have a go because I can't get it.
0:15:51 > 0:15:54I'm sorry, I know it's really painful, I apologise.
0:15:58 > 0:16:03Unable to find an artery, Andy asks for help.
0:16:03 > 0:16:08- Yes, mate.- Can I hand over this patient to you?- Course. No worries.
0:16:08 > 0:16:11I just... I think I'm so tired now after ten days...
0:16:11 > 0:16:15- Yeah. All right, mate, go home.- Thank you. See you later.- See you later.
0:16:18 > 0:16:20Tired and with a long way to go before becoming
0:16:20 > 0:16:23a fully fledged surgeon, Andy is realistic
0:16:23 > 0:16:25about the pressures facing a junior doctor.
0:16:25 > 0:16:29I've definitely had days when I have thought, "Is this what I want to do?
0:16:29 > 0:16:32"Is this right for me, medicine?"
0:16:32 > 0:16:35I'm sure in every job at the start, you have days where you're like,
0:16:35 > 0:16:38This is awful, I hate it, I'm miserable."
0:16:38 > 0:16:40But if you take a step back from it,
0:16:40 > 0:16:42actually, compared to a lot of jobs, it's pretty good.
0:16:44 > 0:16:47Back at the hospital, after the being fired up
0:16:47 > 0:16:51by weeks of emergencies, it's a quieter night for Amieth.
0:16:51 > 0:16:54Hello. I've come to take a blood test and put a line in for you. OK?
0:16:54 > 0:16:57And it's revealing just how tired he is.
0:16:57 > 0:17:01I like A&E, I think you get a lot of interesting things
0:17:01 > 0:17:05but at the same time, you get a lot of quite mundane things.
0:17:05 > 0:17:10It's very tiring. And I don't always know what to do with the patients.
0:17:10 > 0:17:13Next, another minor case for Amieth.
0:17:13 > 0:17:1716-year-old Daniella thinks she's lost a contact lens in her eye.
0:17:23 > 0:17:29I can't see the lens. Come with me to the eye room and we can do that.
0:17:32 > 0:17:34Take a seat.
0:17:41 > 0:17:46- Knock knock. - Just irrigated with a litre.
0:17:46 > 0:17:48Struggling to find the lost lens,
0:17:48 > 0:17:51Amieth is joined by senior registrar Dr Cleaver.
0:17:51 > 0:17:53Head back.
0:17:54 > 0:17:57So, how long has this been stuck in there for?
0:17:57 > 0:18:00- I don't really know if it's there. - It's not.
0:18:00 > 0:18:02It's not there.
0:18:02 > 0:18:05It turns out there is no contact lens in Daniella's eye.
0:18:05 > 0:18:09It's not even behind the eyelid. All right?
0:18:09 > 0:18:12You've got a scratch where it was.
0:18:12 > 0:18:16The buzz of working in A&E is wearing thin for Amieth,
0:18:16 > 0:18:19and he is starting to consider other career options.
0:18:21 > 0:18:25I was interested, originally, in emergency medicine
0:18:25 > 0:18:29and I like things that happen quite acutely.
0:18:29 > 0:18:35But much of what happens in places like A&E is less interesting
0:18:35 > 0:18:40and much more routine and also, the hours don't really appeal to me.
0:18:40 > 0:18:43I'm interested in anaesthetics and in critical care
0:18:43 > 0:18:46so I would like to end up in there.
0:18:48 > 0:18:50The next day...
0:18:50 > 0:18:52Have a good day.
0:18:52 > 0:18:55..Amieth is up earlier than usual.
0:18:55 > 0:18:58He's getting the chance to check out a change of direction in his career.
0:18:58 > 0:19:02Today, my shift starts at five in the evening
0:19:02 > 0:19:04but I'm going into the hospital early today
0:19:04 > 0:19:07because I'm meeting with a consultant anaesthetist.
0:19:07 > 0:19:09'I'm really interested in anaesthetics
0:19:09 > 0:19:11'and I would like to do it as a career.
0:19:11 > 0:19:13'It's a really interesting job
0:19:13 > 0:19:16'that involves some really cool drugs, as well.'
0:19:16 > 0:19:18# ..Move like Jagger
0:19:18 > 0:19:19# I've got the moves like Jagger
0:19:19 > 0:19:24# I've got the mo-o-o-oves like Jagger... #
0:19:24 > 0:19:28Today, I will be basically keeping a patient alive
0:19:28 > 0:19:32whilst giving them these drugs that make the surgery possible.
0:19:32 > 0:19:34# ..Move like Jagger I've got the moves like Jagger
0:19:34 > 0:19:39# I've got the mo-o-o-oves like Jagger... #
0:19:39 > 0:19:42Do you know where the admission note would be?
0:19:42 > 0:19:46Also keen to further his career, Andy is back on the ward.
0:19:46 > 0:19:50He wants me to get there or to speak to me. There are some issues.
0:19:50 > 0:19:55And he's got another chance to get scrubbed up and assist in surgery.
0:19:55 > 0:19:58We've got a chap who was playing football yesterday
0:19:58 > 0:20:01and he went to run for the ball and heard a big gunshot at the back.
0:20:01 > 0:20:04Of course, that's not someone shooting him
0:20:04 > 0:20:06but it's classic for your Achilles tendon rupturing,
0:20:06 > 0:20:09so tearing that tendon at the back of your leg.
0:20:09 > 0:20:11So we're going to go in there and open up at the back
0:20:11 > 0:20:14and, basically, stitch it back together again.
0:20:14 > 0:20:19This time, there are no phone calls to pull him away from his dream job.
0:20:20 > 0:20:23So, the suture we put inside is non-absorbable.
0:20:23 > 0:20:27Andy cuts the stitches, repairing the ruptured Achilles tendon.
0:20:27 > 0:20:29That's good. Nice and short again.
0:20:34 > 0:20:35I'm cutting the knot.
0:20:36 > 0:20:41But under his gown, Andy has left his bleep in his pocket.
0:20:41 > 0:20:43So, the concern is that...
0:20:43 > 0:20:44BLEEP! BLEEP!
0:20:44 > 0:20:46..that can be a source of infection.
0:20:46 > 0:20:49Cut that to probably about half a centimetre long. A bit shorter.
0:20:49 > 0:20:51That's good. Good.
0:20:51 > 0:20:52BLEEP! BLEEP!
0:21:05 > 0:21:07BLEEP! BLEEP!
0:21:07 > 0:21:09# Hit me on my beeper, hit me on my beeper
0:21:09 > 0:21:10# Beeper, beeper, beeper, beeper... #
0:21:20 > 0:21:22BLEEPER CONTINUES
0:21:29 > 0:21:31BLEEP! BLEEP! BLEEP!
0:21:31 > 0:21:33# ..Hit me on my beeper, Beeper, beeper, beeper, beeper
0:21:33 > 0:21:35# Hit me on my beeper, hit me on my beeper. #
0:21:35 > 0:21:38Once again, things haven't gone as smoothly in surgery
0:21:38 > 0:21:40as Andy would have liked.
0:21:40 > 0:21:43Cheers, Ian. That was really good.
0:21:43 > 0:21:46I just left by bleep in my pocket, basically.
0:21:46 > 0:21:48I was like, "This is really embarrassing."
0:21:48 > 0:21:53I had set it to auto repeat so it was just one person from the ward
0:21:53 > 0:21:57ringing me but it was obviously just repeating over and over again.
0:21:57 > 0:22:00'Little things like that are the sort of things that happen
0:22:00 > 0:22:01'early on as a junior doctor.'
0:22:01 > 0:22:04I'm sure you learn from every little thing like that
0:22:04 > 0:22:06and I'll leave it on the side next time.
0:22:08 > 0:22:12As Andy leaves surgery, Amieth is about to start.
0:22:12 > 0:22:14Come along in. Come along in.
0:22:14 > 0:22:16OK.
0:22:16 > 0:22:20- So, you're thinking of anaesthesia as a career?- That's right.- OK.
0:22:20 > 0:22:24Senior anaesthetist Dr Kevin Haire has agreed to let Amieth shadow him.
0:22:24 > 0:22:28So this is an anaesthetic room where I spend most of my life.
0:22:28 > 0:22:31Hello, again. This is the young doctor I was telling you about.
0:22:31 > 0:22:33It is nice to meet you.
0:22:33 > 0:22:35So he is going to spend an hour or two with me.
0:22:37 > 0:22:41- I'm focusing on you, yeah. OK. Is that OK?- That's fine.
0:22:41 > 0:22:47The patient, Roxana, is having surgery to remove her gall bladder.
0:22:47 > 0:22:50We're going to give you oxygen to breathe for a minute or so,
0:22:50 > 0:22:52just to fill up your lungs with oxygen.
0:22:52 > 0:22:54That's lovely. Just relax, a bit closer.
0:22:54 > 0:22:56And while you're breathing that,
0:22:56 > 0:23:00I'm just going to give you a little sedative, like a pre-med,
0:23:00 > 0:23:03it might make you feel a little woozy. All right?
0:23:03 > 0:23:04OK.
0:23:06 > 0:23:08- Feeling a little dozy?- Mm.- OK.
0:23:08 > 0:23:11This time, you're going to go right off to sleep.
0:23:11 > 0:23:16Throughout an operation, the anaesthetist's role is crucial.
0:23:16 > 0:23:18As well as putting the patient to sleep, it's their job
0:23:18 > 0:23:21to keep them unconscious and pain free.
0:23:21 > 0:23:24I've given her an intravenous induction agent
0:23:24 > 0:23:28and a muscle relaxant so we're going to have to take over for her,
0:23:28 > 0:23:31so we need to close down the valve and very gently
0:23:31 > 0:23:33squeeze the bag.
0:23:33 > 0:23:34Perfect.
0:23:34 > 0:23:38A world away from dealing with minor injuries in A&E.
0:23:38 > 0:23:41Amieth is now doing the job of Roxana's lungs.
0:23:41 > 0:23:43He's breathing for her and keeping her alive.
0:23:43 > 0:23:45- Am I doing OK?- Perfect.
0:23:45 > 0:23:49Absolutely perfect. The core skill an anaesthetist needs to have
0:23:49 > 0:23:52is to be able to manage an unconscious patient's airway.
0:23:52 > 0:23:55That's an absolute core skill of anaesthesia.
0:23:55 > 0:23:58We're a slightly unusual speciality in that most of us
0:23:58 > 0:24:01are more comfortable once the patient becomes unconscious
0:24:01 > 0:24:04- than we are with them awake.- So...
0:24:04 > 0:24:07Once Roxana is safely anaesthetised,
0:24:07 > 0:24:10she's wheeled into theatre.
0:24:10 > 0:24:12OK. Everyone happy?
0:24:20 > 0:24:23With the operation under way, there's a chance for Amieth
0:24:23 > 0:24:25to find out more about anaesthetics.
0:24:25 > 0:24:28I was wondering what you thought about
0:24:28 > 0:24:31the pros and cons of being an anaesthetist?
0:24:31 > 0:24:34Well, the reason I enjoy anaesthetics is, to some degree,
0:24:34 > 0:24:38I think it's an absolute privilege that...
0:24:38 > 0:24:41within - like this lady here -
0:24:41 > 0:24:47a short time of meeting her,
0:24:47 > 0:24:51I'm actually really completely responsible for her.
0:24:51 > 0:24:53I've taken over everything about her,
0:24:53 > 0:24:55her breathing, her heart, everything.
0:24:55 > 0:25:00She is relying on me completely to do my job so she must trust me.
0:25:00 > 0:25:05I can respond to that by giving my complete attention to her...
0:25:05 > 0:25:06Yeah.
0:25:06 > 0:25:09..and make it my job to make sure
0:25:09 > 0:25:13she gets safely through this procedure, whatever happens.
0:25:13 > 0:25:16That's one of the things I like about anaesthetics, too.
0:25:16 > 0:25:18You have hundreds of people in the hospital
0:25:18 > 0:25:21but this is the only patient that you need to focus on.
0:25:21 > 0:25:23Exactly. Yeah, yeah. Exactly.
0:25:23 > 0:25:26I see it all as positive, all positive.
0:25:26 > 0:25:29The operation is over.
0:25:30 > 0:25:34Dr Haire's final job is to gently bring Roxana back to consciousness.
0:25:34 > 0:25:40So we're coming into land, now. So we've turned off our anaesthetic.
0:25:40 > 0:25:41Start washing it out.
0:25:41 > 0:25:44Everyone does this slightly differently,
0:25:44 > 0:25:46this bit of the procedure, so...
0:25:46 > 0:25:50Well done. Just lift your head a little for me.
0:25:50 > 0:25:55The operation's finished. You're just waking up. There we are.
0:25:55 > 0:25:57Well done.
0:25:59 > 0:26:03- Right, OK. Amieth?- Yeah, thanks a lot.- I hope that was helpful.
0:26:03 > 0:26:05- Yes, that was very good. - Good luck with your shift.
0:26:05 > 0:26:08- Thanks a lot. - I'll think about you tonight
0:26:08 > 0:26:10when I'm at home, watching television.
0:26:10 > 0:26:12- OK?- OK.
0:26:12 > 0:26:16'My impressions of Amieth are he's a clear thinker,'
0:26:16 > 0:26:19I don't think he's scared of hard work,
0:26:19 > 0:26:24he's committed and I think he's thinking about it quite carefully,
0:26:24 > 0:26:27and probably, if you've got all those things on your side,
0:26:27 > 0:26:28you'll probably be fine.
0:26:29 > 0:26:32'It's been quite fun today, actually.
0:26:32 > 0:26:34'It's a very different environment from being in A&E.'
0:26:34 > 0:26:36It's much more calm and relaxed.
0:26:36 > 0:26:39But at the same time, you're always thinking
0:26:39 > 0:26:41and you're always making sure everything is OK.
0:26:41 > 0:26:45So there's a lot going on behind the scenes in there, in theatres
0:26:45 > 0:26:46that a lot of patients
0:26:46 > 0:26:49aren't aware about but I think it's absolutely fascinating.
0:26:49 > 0:26:52I knew I wanted to do anaesthetics
0:26:52 > 0:26:55but coming here has just whet my appetite a little bit more.
0:26:55 > 0:26:58With his day of anaesthetics over,
0:26:58 > 0:27:01it's back to A&E and minor injuries for Amieth.
0:27:03 > 0:27:05Hello, I'm Dr Amieth.
0:27:05 > 0:27:07Could you tell me why you have come in today, please?
0:27:12 > 0:27:15It's the end of another long day for the newly qualified doctors.
0:27:15 > 0:27:20# I never thought today I'd be what I am now. #
0:27:22 > 0:27:26- Hi.- Hi.- How's it going?- Not bad.
0:27:26 > 0:27:29I'm stuck on this. It's doing my head in.
0:27:29 > 0:27:33- Are you all right, today? - Er, yeah, yeah. I'm tired.
0:27:33 > 0:27:36However, for one junior doctor, the day is just beginning.
0:27:36 > 0:27:40First year Priya is battling her way through a week of night shifts.
0:27:40 > 0:27:43'Ever since I've started working, it's been quite difficult for me'
0:27:43 > 0:27:47because my life has revolved around being in hospital.
0:27:47 > 0:27:50'I've had to sacrifice a lot - seeing my family my friends.
0:27:50 > 0:27:53'It's all been a massive adjustment in my life.
0:27:53 > 0:27:56'Because I've just started, I'm willing to invest that time.'
0:27:56 > 0:27:58I just hope that there is light at the end of the tunnel
0:27:58 > 0:27:59and things do get better.
0:28:02 > 0:28:04# So get yourself fixed up
0:28:04 > 0:28:07# I'll take you out one time. #
0:28:07 > 0:28:11Priya's shift is from eight in the evening until eight in the morning.
0:28:11 > 0:28:13Good evening.
0:28:13 > 0:28:15And the strain is beginning to tell.
0:28:17 > 0:28:21- I'm so sleepy already.- Mm? - I'm already sleepy.
0:28:25 > 0:28:29Tonight, I would like a quiet night, to be honest. I'm a bit tired now.
0:28:29 > 0:28:33So, yeah, I want it to be a bit easy-going, to be honest.
0:28:36 > 0:28:38First task for the night team is to deal with the cases
0:28:38 > 0:28:42handed over by the day team.
0:28:42 > 0:28:46The story of my life, I've been handed over loads of bloods.
0:28:46 > 0:28:48Loads and loads and loads of bloods.
0:28:48 > 0:28:51Mm.
0:28:51 > 0:28:53Ah... Right.
0:28:53 > 0:28:57As the only first year junior doctor on shift, Priya's job
0:28:57 > 0:29:00is to be constantly on call for patients across the hospital.
0:29:00 > 0:29:05You're going to go down for a scan but we need to put a cannula in,
0:29:05 > 0:29:06one of the lines.
0:29:06 > 0:29:08With no emergencies to break the monotony,
0:29:08 > 0:29:12most of the night will be spent dealing with simple tasks.
0:29:12 > 0:29:15It is now 1:40am,
0:29:15 > 0:29:17I'm about to go to one of the wards
0:29:17 > 0:29:20to check a patient's antibiotics.
0:29:22 > 0:29:24I'm Priya, one of the surgical doctors.
0:29:24 > 0:29:28- I understand you're to have an operation today.- That's right.
0:29:28 > 0:29:30I need to take a blood test from you, unfortunately.
0:29:30 > 0:29:34CLOCK TICKS
0:29:34 > 0:29:37PRIYA YAWNS
0:29:40 > 0:29:43As a long, slow night draws to a close,
0:29:43 > 0:29:47and her shift is about to end, Priya gets a call.
0:29:47 > 0:29:48When did he come in?
0:29:50 > 0:29:53That's so rude of everybody.
0:29:53 > 0:29:57No, I don't. Has he got his things there?
0:29:57 > 0:30:02It's a call from a ward. They need Priya to prescribe medication.
0:30:02 > 0:30:05OK, I'll come up. That's really annoying. OK, I'll come back. Bye.
0:30:05 > 0:30:08SHE SIGHS WITH EXASPERATION
0:30:08 > 0:30:12Why, oh why? So, this patient is an inpatient. He has an operation today.
0:30:12 > 0:30:17And I just got a bleep saying I haven't prescribed any of his meds.
0:30:17 > 0:30:21I was like, "I was never told to prescribe any meds."
0:30:21 > 0:30:26It's just a bit like, "Oh, OK, really? Was I meant to do that?"
0:30:26 > 0:30:30I know for a fact if it was my patient, I would have done it.
0:30:30 > 0:30:33It would have been sorted in the day.
0:30:36 > 0:30:37Fact.
0:30:46 > 0:30:47Drive.
0:30:47 > 0:30:50Job done. Priya can head home.
0:30:50 > 0:30:53But working nights is taking its toll.
0:30:53 > 0:30:57Now I've done my fifth night in a row, I'm feeling it,
0:30:57 > 0:30:59I'm feeling the crunch.
0:30:59 > 0:31:02I'm quite tired
0:31:02 > 0:31:06and almost a bit disinterested, which is really bad.
0:31:06 > 0:31:09Right now, I'm living for the present.
0:31:09 > 0:31:12I'm not inking about my future career.
0:31:12 > 0:31:15At times, it's fun.
0:31:15 > 0:31:18Other times, I just don't want to be there.
0:31:18 > 0:31:23I just want to chill out and not have to run around, rush around,
0:31:23 > 0:31:24doing things.
0:31:24 > 0:31:27But I guess everyone has that moment in their job.
0:31:27 > 0:31:30Not everyone is supposed to love their job all the time.
0:31:34 > 0:31:35At last, home.
0:31:37 > 0:31:39Well, almost.
0:31:39 > 0:31:41Wrong house!
0:31:41 > 0:31:43SHE LAUGHS
0:31:43 > 0:31:46Oh, dearie, dear.
0:31:53 > 0:31:56# When I come to London I can get lost all day... #
0:31:56 > 0:32:00Over the past nine weeks, our junior doctors have struggled
0:32:00 > 0:32:05to balance getting ahead in medicine with holding on to a social life.
0:32:05 > 0:32:07For once, Andy's thoughts are not on his career.
0:32:07 > 0:32:12He's planning a night out with his housemates to a comedy gig.
0:32:12 > 0:32:15Aki has got some free tickets to Live At The Apollo
0:32:15 > 0:32:21but he can't go so he has given them to me, Ben, Sameer and Milla.
0:32:21 > 0:32:24We should do that this evening which should be pretty awesome.
0:32:24 > 0:32:26It's quite exciting.
0:32:26 > 0:32:29I guess that's one of the things about living in London,
0:32:29 > 0:32:32doing stuff like this, really, um, being in the thick of it all.
0:32:32 > 0:32:35# ..Getting lost in the underground
0:32:35 > 0:32:38# Trying to figure my way round. #
0:32:38 > 0:32:41Enjoy the show tonight. I hope you can get in, by the way.
0:32:41 > 0:32:43How did you come across the tickets?
0:32:43 > 0:32:48I just applied for them a few weeks ago.
0:32:48 > 0:32:50I totally forgot and then,
0:32:50 > 0:32:54I changed my shift and everything and I can't go.
0:32:54 > 0:32:58- Do you think you've chosen the right career?- Yeah, definitely.
0:32:58 > 0:33:02- I can't imagine doing anything else. You?- Yeah, that's true.
0:33:02 > 0:33:05I can't think of anything better to do,
0:33:05 > 0:33:07so everything else must be even worse.
0:33:09 > 0:33:12- See you later.- See you later.
0:33:12 > 0:33:15While Aki and the rest of the juniors head to work,
0:33:15 > 0:33:16Priya can relax.
0:33:16 > 0:33:19Her run of nights finally over,
0:33:19 > 0:33:22she's heading home to Durham for some TLC.
0:33:22 > 0:33:27When things are a bit hard, or you've had a rough time at work,
0:33:27 > 0:33:31because you've been working super hard, the best way for me to relax
0:33:31 > 0:33:34is to be with my family who are so caring and they pamper me.
0:33:38 > 0:33:41They are sympathetic to the way I am. They really, really look after me.
0:33:41 > 0:33:43Since I've started working,
0:33:43 > 0:33:46I've had to make a lot of sacrifices in my day-to-day life.
0:33:46 > 0:33:50Family, food, friends, all the Fs in my life.
0:33:50 > 0:33:56'I do see myself in about ten years, hopefully, being a consultant.
0:33:56 > 0:34:00'And beyond that, being able to have a successful family life,
0:34:00 > 0:34:03'get married, maybe.'
0:34:03 > 0:34:08God, I said married, didn't I? So crazy. But it is important.
0:34:08 > 0:34:11For some people, career is the main thing in their life.
0:34:11 > 0:34:15I really do love medicine and I really do think it's important
0:34:15 > 0:34:18to be committed and involved in your job and your career,
0:34:18 > 0:34:23but not at the expense of the other pleasures in life.
0:34:26 > 0:34:28# Now you're on your own
0:34:28 > 0:34:31# Won't you come back home... #
0:34:33 > 0:34:36Oh, hello, Priya!
0:34:36 > 0:34:38Hello, my darling.
0:34:38 > 0:34:43Coming from a family of doctors including brother Harpreet...
0:34:43 > 0:34:46- Nice to see you.- ..conversation quickly turns to work.
0:34:46 > 0:34:52- I'd like some naan, please, Mum. - Naan, first, or rice?- Naan, please.
0:34:52 > 0:34:56- Me first, Mum! I asked for it first.- Sorry, darling.
0:34:56 > 0:35:02- So, Priya, how are you finding this job?- First job.- First job.
0:35:02 > 0:35:08Yeah, it's OK. A bit stressful at times. Working very long hours.
0:35:08 > 0:35:11What about your social life?
0:35:11 > 0:35:14- I don't have a social life any more. - Why?
0:35:14 > 0:35:17Because I told you, I come home really late
0:35:17 > 0:35:19and by the time I go into my room, it's half past ten.
0:35:19 > 0:35:23What am I supposed to do? I don't know, it's too tiring.
0:35:23 > 0:35:26But I'm really happy to be home.
0:35:26 > 0:35:32- You're doing really, really very, very well, my Priya.- Aw.
0:35:32 > 0:35:36- She's a doctor.- Thanks, Mum.
0:35:36 > 0:35:40Sensing the doubts Priya might have about a life in medicine,
0:35:40 > 0:35:42her brother offers some guidance.
0:35:42 > 0:35:45I work crazy hours. There aren't enough hours in the day.
0:35:45 > 0:35:47That's the same way I worked,
0:35:47 > 0:35:49the same way people I know have done the job.
0:35:49 > 0:35:51It's a sacrifice you have to make.
0:35:51 > 0:35:54- You have to be prepared...- So, I'm not doing any more than anyone else?
0:35:54 > 0:35:57- So I'm not special? Thanks.- You might be doing more
0:35:57 > 0:36:00but I think it is part of what a normal,
0:36:00 > 0:36:02decent junior doctor should be doing.
0:36:02 > 0:36:07- Yeah.- But always remember, you can always do better, first of all.
0:36:07 > 0:36:10- And in 12 months, you'll be applying for your next job.- I suppose.
0:36:10 > 0:36:13Obviously, I know I have to apply for jobs next year.
0:36:13 > 0:36:16But you're right, the job that I do get next year
0:36:16 > 0:36:19is a job I'm going to be doing for the rest of my life
0:36:19 > 0:36:21so I might have to work super hard for two years
0:36:21 > 0:36:26and make many, many sacrifices but the end point is really good.
0:36:26 > 0:36:29- Exactly.- Fair enough.
0:36:29 > 0:36:34SIREN WAILS
0:36:34 > 0:36:38At the Chelsea and Westminster Hospital,
0:36:38 > 0:36:40Amieth is back in the day job in A&E.
0:36:40 > 0:36:42An emergency is coming in.
0:36:42 > 0:36:45A man has suffered a serious accident on a building site.
0:36:45 > 0:36:50We just got a call through from the ambulance. They're bringing in
0:36:50 > 0:36:55someone who's been injured so there's probably a lot of bleeding.
0:36:55 > 0:36:58The idea, really, is to get everyone prepared,
0:36:58 > 0:37:02the surgical team, the plastics team, A&E team.
0:37:02 > 0:37:04Amieth, can you go to the actual ambulance
0:37:04 > 0:37:07and go to meet the patient on the vehicle?
0:37:09 > 0:37:11Let's go outside.
0:37:15 > 0:37:17The patient's injuries are so severe,
0:37:17 > 0:37:21several different specialist doctors are called in...
0:37:21 > 0:37:24All right, on my count, are we ready? One, two, three.
0:37:25 > 0:37:27Very good, well done.
0:37:27 > 0:37:31..including senior anaesthetist Justine Elliott.
0:37:38 > 0:37:42It's a chance for Amieth to see another anaesthetist in action...
0:37:42 > 0:37:44When did you last eat and drink?
0:37:44 > 0:37:46..this time, in an emergency situation.
0:37:53 > 0:37:54Sharp scratch.
0:37:58 > 0:38:02While Dr Elliott checks the patient's airway
0:38:02 > 0:38:04and prepares him for emergency surgery,
0:38:04 > 0:38:08Amieth swiftly finds a vein for essential blood tests.
0:38:10 > 0:38:12Right, I've got an orange in this side.
0:38:12 > 0:38:15Excellent. OK, good.
0:38:15 > 0:38:19PEOPLE TALK OVER EACH OTHER
0:38:19 > 0:38:22I don't know if that's been flushed, I didn't prepare it.
0:38:22 > 0:38:23Here's the saline.
0:38:23 > 0:38:27- I've got bloods.- Make sure all those bloods are sent away.- Yeah.
0:38:27 > 0:38:30I'll just put this through the machine now. I'll get an HB on it.
0:38:32 > 0:38:36I managed to get a really big, fat, chunky cannula in him,
0:38:36 > 0:38:40took off lots of blood samples so I'm going to send them off to the lab
0:38:40 > 0:38:43and, um...
0:38:43 > 0:38:47that's probably going to be it from my point of view
0:38:47 > 0:38:50because there are quite a lot of people around.
0:38:50 > 0:38:53Really, what he needs is the plastics team or the surgical team
0:38:53 > 0:38:57to look at the wound and decide how to close it properly.
0:38:57 > 0:39:00With the patient out of immediate danger,
0:39:00 > 0:39:04Amieth heads back to the routine of minor injuries.
0:39:04 > 0:39:06But it's been a good opportunity
0:39:06 > 0:39:08to learn more about his chosen career path.
0:39:08 > 0:39:11I do often look at the anaesthetists and I think, you know,
0:39:11 > 0:39:15I'll be there in a few years' time, hopefully.
0:39:15 > 0:39:17I find what they do really interesting.
0:39:17 > 0:39:20So, it is nice to come into close proximity with them
0:39:20 > 0:39:24so I am pretty happy right now, but quite hungry, too.
0:39:27 > 0:39:29While Amieth racks up some vital experience
0:39:29 > 0:39:32for a career in anaesthetics...
0:39:32 > 0:39:35Your skin is looking even better, isn't it?
0:39:35 > 0:39:38..Milla is enjoying the first results of her work in dermatology.
0:39:38 > 0:39:40It looks amazing. You're looking well.
0:39:40 > 0:39:43Your face has improved hugely, hasn't it?
0:39:43 > 0:39:45- Yeah.- Good. It's good to see you.
0:39:45 > 0:39:47Let's keep going that way and in a few weeks,
0:39:47 > 0:39:50we'll have you back to normal again, hopefully.
0:39:50 > 0:39:53- I hope so.- Definitely. OK, thanks, Helen.
0:39:53 > 0:39:57Helen has now been discharged so she is no longer an inpatient.
0:39:57 > 0:40:01She's going to come into daycare to have all of her creams applied.
0:40:01 > 0:40:03She's looking a lot, lot better.
0:40:03 > 0:40:06- How are you?- I'm fine, thank you.
0:40:06 > 0:40:09I wanted to come and see you and see how you are doing.
0:40:09 > 0:40:11Mohammed is back to see Milla
0:40:11 > 0:40:14for more tar treatment for his psoriasis.
0:40:14 > 0:40:16- Can we come and take a look? - Yeah, sure.
0:40:16 > 0:40:20- We'll let him get changed first. - Oh, OK.- Yes.- Sorry.
0:40:20 > 0:40:22- Five minutes.- Perfect.
0:40:23 > 0:40:26I'd love to actually give you a hand with the treatment,
0:40:26 > 0:40:30if that's all right? To actually get to do some applications and things,
0:40:30 > 0:40:31that would be quite cool.
0:40:31 > 0:40:34OK? Good. OK. I'll give him a few minutes.
0:40:36 > 0:40:39- Hello.- Hello. Hi.- Hi. Oh, wow.
0:40:45 > 0:40:46That's fantastic.
0:40:46 > 0:40:48Yeah, so these are the...
0:40:50 > 0:40:53- Has it got better in terms of bending your legs?- Oh, yeah.
0:40:57 > 0:41:00It's so great to see such an improvement, isn't it?
0:41:00 > 0:41:04Before, we used to take an hour to paint, all four of us, didn't we?
0:41:04 > 0:41:08- I love the way you call it... - Painting.- Exactly. Paint.
0:41:08 > 0:41:10It's an art form.
0:41:11 > 0:41:14How long have you had the psoriasis for?
0:41:14 > 0:41:18And this is probably the best your skin has been, in that time?
0:41:18 > 0:41:22- Yeah, yeah. Much better now.- Really? - All done.- Good.- Cup of tea?
0:41:22 > 0:41:24Yes, please.
0:41:24 > 0:41:27The improvement in Mohammed and Helen and the dramatic
0:41:27 > 0:41:29difference dermatology brings
0:41:29 > 0:41:33to people's lives has convinced Milla that it's the career for her.
0:41:33 > 0:41:34Thank you so much. See you in a bit.
0:41:34 > 0:41:37'It's wonderful to come back and see patients'
0:41:37 > 0:41:39and see how much they've improved
0:41:39 > 0:41:42in the little time that they've been with us.
0:41:42 > 0:41:46It's phenomenal how you sometimes see these skin conditions
0:41:46 > 0:41:49that are so widespread and they just improve so rapidly.
0:41:51 > 0:41:54It feels really, really good to be able to see the patients
0:41:54 > 0:41:57and to see their skin improving and to see their spirits improving.
0:41:57 > 0:42:01And obviously, they're becoming more confident.
0:42:11 > 0:42:145:30pm and Ben, who's on a day off,
0:42:14 > 0:42:19has come to meet Sameer, Milla and Andy for their night of comedy.
0:42:19 > 0:42:22I don't even know what time I'll get away.
0:42:22 > 0:42:25But as usual, work is ruining their plan.
0:42:25 > 0:42:26It looks like I'm going to be here
0:42:26 > 0:42:31for about another two hours, um, unfortunately,
0:42:31 > 0:42:35which means I won't really get to go to the Live At The Apollo thing,
0:42:35 > 0:42:37um, which is such a shame.
0:42:37 > 0:42:38Hey, Milla, how are you?
0:42:39 > 0:42:42Are you coming tonight? Oh, really?
0:42:42 > 0:42:44Andy's got his hands full, too.
0:42:44 > 0:42:47I'm still here, too. I'll be here for another half an hour.
0:42:47 > 0:42:49And comedy is the last thing on his mind.
0:42:49 > 0:42:52I've got to go and stick my finger up someone's bum.
0:42:52 > 0:42:53It's just one of those things.
0:42:53 > 0:42:58That leaves Sameer and Ben to enjoy a night of laughs.
0:43:00 > 0:43:03At the venue, it looks bad.
0:43:06 > 0:43:12- What does it say, no admission after 7:15 PM.- And the time now? 20 to.
0:43:12 > 0:43:17Entry is first-come, first-served. And they are late.
0:43:18 > 0:43:20We are not going to get in.
0:43:22 > 0:43:25After an hour of queuing, all the seats are full
0:43:25 > 0:43:28and thanks to their demanding careers, another planned night out
0:43:28 > 0:43:32fails to come together for the junior doctors.
0:43:35 > 0:43:40- How was the thing? - Didn't get in.- What?!
0:43:40 > 0:43:44We hung around for Sameer and you for a bit so we got there,
0:43:44 > 0:43:47queued for like an hour and gave up.
0:43:47 > 0:43:52- That's- BLEEP. It's a bit of a shame.- Yeah, it is.
0:43:52 > 0:43:55There's no way we could go because we never finish in time.
0:43:55 > 0:44:02- Yes, that's the thing. You can't plan to do anything.- No, basically.
0:44:02 > 0:44:05I made the right decision. The patient is still alive.
0:44:05 > 0:44:08And you didn't waste your time!
0:44:14 > 0:44:17Despite failing to make the comedy gig,
0:44:17 > 0:44:20there is hope on the horizon for the junior doctors.
0:44:20 > 0:44:23Milla has invited her housemates to a party
0:44:23 > 0:44:26and Aki is thrilled by the prospect.
0:44:26 > 0:44:31It's to Aki, "Since you are so utterly and completely fabulous,
0:44:31 > 0:44:36"you are totally invited to an unmissable party to celebrate
0:44:36 > 0:44:42"the Take Heart charity". Hopefully I will be able to make it.
0:44:48 > 0:44:52A new day and Andy is off to a good start.
0:44:52 > 0:44:54So far, his attempts to work in surgery
0:44:54 > 0:44:57have been disturbed by unwanted interruptions.
0:44:57 > 0:45:01Today, he is back where he wants to be, in theatre.
0:45:01 > 0:45:04This time with his bleep safely to one side.
0:45:08 > 0:45:10First job for Andy, the aspiring surgeon,
0:45:10 > 0:45:13is something he is not too familiar with.
0:45:13 > 0:45:18I don't know, I haven't grown much facial hair!
0:45:18 > 0:45:22Paul, the patient, has an infected appendix and it needs to be removed.
0:45:22 > 0:45:24Urgently.
0:45:26 > 0:45:30If it isn't, he could develop blood poisoning and die.
0:45:37 > 0:45:41Have you got the forceps?
0:45:41 > 0:45:43Thanks.
0:45:50 > 0:45:52For junior Dr Andy,
0:45:52 > 0:45:55being on the front line of a life-saving surgery is a first.
0:46:06 > 0:46:10With the infected appendix safely removed,
0:46:10 > 0:46:13Andy gets to stitch his first patient.
0:46:13 > 0:46:17- Am I allowed to touch the suture? - Yes.
0:46:20 > 0:46:24- Is that a bit deep, or...? - Yeah, just go underneath the skin.
0:46:28 > 0:46:31- Is that OK?- Let's see.
0:46:34 > 0:46:37- It's OK, good.- And on the other side?- Yes.
0:46:39 > 0:46:44- Does it come out behind the skin? - Yeah, just there.- Just there.
0:46:52 > 0:46:55I will give it a go!
0:46:57 > 0:47:01Thanks, Michael. That was awesome letting me do the suture.
0:47:01 > 0:47:06His first full operation and with full marks from the registrar,
0:47:06 > 0:47:10a future in surgery looks set.
0:47:10 > 0:47:13I got to do a bit of suturing, I've never done that before.
0:47:13 > 0:47:15So, yeah, it was exciting.
0:47:15 > 0:47:20I was a little bit conscious I wanted to make his wound good at the end.
0:47:20 > 0:47:23But I just went for it and it was awesome.
0:47:23 > 0:47:27And to be able to do that and get paid for it is an amazing job.
0:47:27 > 0:47:30It makes me realise that's what I want to do.
0:47:33 > 0:47:38With a tough week coming to a close...
0:47:38 > 0:47:40How are you?
0:47:40 > 0:47:42..and careers starting to take shape,
0:47:42 > 0:47:45Milla's party is looking like the pick-me-up everyone needs.
0:47:45 > 0:47:50- Are you going to this thing tomorrow? - Yeah, I am quite up for it.
0:47:50 > 0:47:55- Although I have no clothes yet. - And the theme is rock'n'Raj.
0:47:56 > 0:48:01- What the hell is that?- W-T-F! - So, yes I am going to go.
0:48:03 > 0:48:05But it's going to be stressful tomorrow evening.
0:48:05 > 0:48:09On the Facebook event there's like hundreds of people going.
0:48:09 > 0:48:11And they are all beautiful.
0:48:11 > 0:48:14Absolutely beautiful. Every single one of them.
0:48:14 > 0:48:19- There'll be 300 Millas walking around.- I'll have to talk posh.
0:48:19 > 0:48:22- And about 300 Hugh Grants. - Really?- Yeah.
0:48:22 > 0:48:25So if you are a fan, you might like it.
0:48:27 > 0:48:32- At the house, Priya's back. - Welcome home.
0:48:32 > 0:48:34And she hasn't come empty-handed.
0:48:34 > 0:48:37- Is this kebabs?- With help from Mum and Grandma, Priya has stocked up
0:48:37 > 0:48:39for the coming weeks.
0:48:39 > 0:48:43- That's chicken.- Yeah.
0:48:43 > 0:48:48- Lamb, yum. I'll have that later. - And your favourite.
0:48:48 > 0:48:52- Kidney beans!- Yum.- That's it.
0:48:52 > 0:48:56The time with her family has given her a new confidence
0:48:56 > 0:48:58as a junior doctor.
0:48:58 > 0:49:00'It was really nice to be home.'
0:49:00 > 0:49:05Eating good food, just looking out for each other. Goodbye, Mum.
0:49:05 > 0:49:08'I appreciate that and because I appreciate it,
0:49:08 > 0:49:10'I am less sad I am back in London'
0:49:10 > 0:49:13and have to kick-start my gruelling work.
0:49:13 > 0:49:16Love you, bye.
0:49:16 > 0:49:19'Now that I have established myself in my work and routine,'
0:49:19 > 0:49:22I am less daunted by what lies ahead.
0:49:22 > 0:49:24- Bye!- Miss you.
0:49:33 > 0:49:36At Chelsea and Westminster Hospital
0:49:36 > 0:49:38all the juniors are back on the wards.
0:49:38 > 0:49:40It's like painting your nails.
0:49:40 > 0:49:43I'm not allowed to paint my nails because I am a doctor now.
0:49:43 > 0:49:48On the fourth floor, Priya, fired up from her trip home...
0:49:48 > 0:49:51I'm going to ask her if she's had bloods.
0:49:51 > 0:49:54..is determined to make a new start.
0:49:54 > 0:49:58She has to take blood from Bridget which is easier said than done.
0:49:58 > 0:50:01Her veins are legendary throughout the hospital.
0:50:01 > 0:50:04She is very, very difficult to bleed and will tell you
0:50:04 > 0:50:09and me that she has no veins, which anatomically is impossible
0:50:09 > 0:50:13but physically when you see her it's very easy to believe.
0:50:13 > 0:50:16I have been delegated the task of taking blood from her.
0:50:16 > 0:50:20I am set up for failure already but I will give it my best.
0:50:20 > 0:50:22Like other junior doctors,
0:50:22 > 0:50:26Priya has found taking blood a surprisingly tricky job.
0:50:26 > 0:50:29'I am more accepting of difficult situations.
0:50:29 > 0:50:32'Initially, when I would fail something difficult'
0:50:32 > 0:50:35I would beat myself up about it.
0:50:35 > 0:50:37'Now, I have accepted it happens to everybody.
0:50:37 > 0:50:41'And I am less anxious about such situations.'
0:50:44 > 0:50:48- Do you mind if I take blood from you today?- Not at all.- Thank you so much.
0:50:48 > 0:50:53You are looking a lot better, I must say.
0:50:53 > 0:50:56Bridget has been admitted with serious stomach pains.
0:50:56 > 0:50:58Two goes maximum, we agreed on.
0:50:58 > 0:51:00It is vital Priya manages to get blood samples
0:51:00 > 0:51:04to establish how healthy her liver and kidneys are.
0:51:04 > 0:51:06A sharp scratch...
0:51:08 > 0:51:09Are you OK?
0:51:09 > 0:51:11SHE WINCES
0:51:11 > 0:51:13Ye gads!
0:51:13 > 0:51:19- It's all right.- What happened? - Keep going.- No, no, no!
0:51:19 > 0:51:22- I withdrew it.- Why?
0:51:22 > 0:51:26- You moved and screamed.- Don't be a quitter. I'm not quitting.
0:51:26 > 0:51:28I will try again. If you scream,
0:51:28 > 0:51:30I will carry on but if you say "Take it out,"
0:51:30 > 0:51:32that's the only time I will take it out.
0:51:32 > 0:51:35Sharp scratch.
0:51:35 > 0:51:41- Are you OK?- Yes.- Let me know if it hurts too much.- It's fine.
0:51:43 > 0:51:44Still fishing.
0:51:46 > 0:51:49- Have you got it?- I have got some.
0:51:51 > 0:51:54Oh, well done!
0:51:54 > 0:51:58Yes! Isn't she wonderful?
0:51:58 > 0:52:00You are wonderful.
0:52:00 > 0:52:03- For tolerating having a needle started.- Did you get enough?
0:52:03 > 0:52:06Yes, I did. I've got more than enough.
0:52:06 > 0:52:11Thank you so much for giving me some of your blood. See you later. Bye.
0:52:13 > 0:52:18I just did what is the impossible. I managed to take blood.
0:52:18 > 0:52:23I like Priya because of her gentleness. You want to please her.
0:52:23 > 0:52:27She's very gentle and kind. She will be a great doctor.
0:52:27 > 0:52:30When you are working so hard, long hours and moaning
0:52:30 > 0:52:33and whingeing about how tough life is and the sacrifices you make,
0:52:33 > 0:52:38in terms of what you get to do with the limited free time,
0:52:38 > 0:52:43when you come and meet a patient who is so welcoming, so appreciative
0:52:43 > 0:52:45and lovely and a pleasure to be around,
0:52:45 > 0:52:50it makes those sacrifices worth it.
0:53:02 > 0:53:07For juniors Aki, Andy and Lucy, the working day is behind them.
0:53:07 > 0:53:13- And ahead is Milla's fancy dress ball.- Rock'n'Raj, what is that?
0:53:13 > 0:53:16- Lucy is getting a sari on. - You're not!
0:53:16 > 0:53:20Priya lent her one.
0:53:20 > 0:53:22Are you joking? No!
0:53:22 > 0:53:27- What are you wearing?- A turban. - You don't have a turban!
0:53:27 > 0:53:31- What time are we going, guys? - I will need an hour.- An hour.
0:53:31 > 0:53:34I'll go for a nap then!
0:53:34 > 0:53:36# What's she, what's she?
0:53:36 > 0:53:39# The belle of the ball. #
0:53:41 > 0:53:48- It is very '70s, east coast American rock'n'roll.- Wow!
0:53:48 > 0:53:51Giving me the thumbs up there.
0:53:51 > 0:53:55Whereas I am Oriental Justin Bieber!
0:53:55 > 0:53:59- Are you all right, Lucy? - They stress me out, those boys.
0:53:59 > 0:54:04- You look good.- Thanks. You too. - It's getting a bit gay now!
0:54:08 > 0:54:09Once dressed,
0:54:09 > 0:54:14it's a short taxi ride across West London for a night of rock'n'Raj.
0:54:20 > 0:54:24By the time they arrive, the party is in full swing.
0:54:26 > 0:54:30And it's not long before Milla makes her grand entrance.
0:54:30 > 0:54:32- Hello!- Hello, Milla!
0:54:36 > 0:54:38- Nice hair.- Thank you.
0:54:38 > 0:54:41For our newly qualified junior doctors,
0:54:41 > 0:54:44it's their first night out together in weeks.
0:54:44 > 0:54:48Guys, thank you so much for coming. You look incredible.
0:54:48 > 0:54:50It's so good to see everyone dressed up once.
0:54:50 > 0:54:54- We're always in work clothes. - It's true.
0:54:54 > 0:54:56I am still in my work clothes.
0:54:56 > 0:55:00How nice is it to actually be outside of work?
0:55:00 > 0:55:03The job massively compromises your social life.
0:55:03 > 0:55:07Even if you don't intend for it to. You are knackered all the time.
0:55:07 > 0:55:11I think I've sacrificed a lot of my social life over the last few weeks.
0:55:11 > 0:55:14But at the same time, I feel like it's worth it.
0:55:14 > 0:55:18There's a way you can sort of learn how to cope with both.
0:55:18 > 0:55:21I wouldn't change anything.
0:55:21 > 0:55:24Guys, this is what I call a positive opportunity for partying. P-O-P.
0:55:24 > 0:55:28And we have to find some more. Thank you for joining me tonight.
0:55:28 > 0:55:31To a wonderful evening!
0:55:33 > 0:55:38And with that, the young doctors hit the dance floor.
0:55:38 > 0:55:40# I'm losing control What a feeling
0:55:40 > 0:55:43# Just let go You're on top of the world
0:55:43 > 0:55:47# What a feeling What a feeling! #
0:55:51 > 0:55:52Next time...
0:55:52 > 0:55:55It was going pretty well until now.
0:55:55 > 0:55:59..the junior doctors face their biggest challenges yet.
0:55:59 > 0:56:02As they come to the end of their first placements.
0:56:02 > 0:56:05The patient I saw earlier has fainted.
0:56:05 > 0:56:08Have they got what it takes to become fully fledged doctors?
0:56:08 > 0:56:11When was the last time you had a drain?
0:56:11 > 0:56:13I can't stick a needle in without his consent.
0:56:13 > 0:56:16That's assault and I could go to jail for that.
0:56:36 > 0:56:39Subtitles by Red Bee Media Ltd.