0:00:02 > 0:00:04'Cardiac arrest, A and E.'
0:00:04 > 0:00:06Emergencies...
0:00:08 > 0:00:10We've got paddles on.
0:00:10 > 0:00:12..bad behaviour...
0:00:12 > 0:00:13No, I'm not going in!
0:00:13 > 0:00:14..bedside battles...
0:00:14 > 0:00:16Alfie, Alfie, Alfie, Alfie!
0:00:16 > 0:00:19..and 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're young.
0:00:26 > 0:00:27Am I right or not?
0:00:27 > 0:00:31I feel like a child really cos in their eyes I think you probably are.
0:00:31 > 0:00:32Untried...
0:00:33 > 0:00:36I don't want to scare you...
0:00:36 > 0:00:39- This is the first time you've done this?- Yes.- ..and inexperienced.
0:00:39 > 0:00:42- 'Everyone's in the same boat...' - Push it through, twiddle, twiddle.
0:00:42 > 0:00:45..no-one knows what they're doing.
0:00:45 > 0:00:48Last summer, eight junior doctors
0:00:48 > 0:00:50moved into this house in west London...
0:00:50 > 0:00:51My coffee maker.
0:00:51 > 0:00:53Essential for nights.
0:00:53 > 0:00:55..all about to start new jobs.
0:00:55 > 0:00:58I work for KFC, I've done a bit of waitering
0:00:58 > 0:01:00but I've never been a doctor.
0:01:00 > 0:01:03At one of London's busiest hospitals.
0:01:03 > 0:01:08I've now got this badge that has my massive name on it and "Dr",
0:01:08 > 0:01:10so there's no hiding it from now on.
0:01:11 > 0:01:15Now, together with previously unseen footage...
0:01:15 > 0:01:17This might be a bit uncomfortable.
0:01:17 > 0:01:20..we look back at the highs...
0:01:20 > 0:01:21This is just awesome!
0:01:21 > 0:01:23..the lows...
0:01:23 > 0:01:26- Oh, my God.- He's dead.- Oh, God.
0:01:26 > 0:01:27..at the good times.
0:01:27 > 0:01:30Oh, well done! Isn't she wonderful?
0:01:30 > 0:01:32..and the bad...
0:01:32 > 0:01:35It's quite scary to see how quickly patients can deteriorate.
0:01:35 > 0:01:37..as over four months our juniors found out
0:01:37 > 0:01:40what it took to be doctors.
0:01:40 > 0:01:42Oh, my God, this is the best job ever!
0:01:55 > 0:02:00# We've got to hold on to what we've got
0:02:00 > 0:02:02# It doesn't make a difference if we make it or not... #
0:02:02 > 0:02:05These eight juniors are coming to the end of their first jobs
0:02:05 > 0:02:09at Chelsea and Westminster Hospital.
0:02:09 > 0:02:11# We'll give it a shot!
0:02:11 > 0:02:15# Whoa we're half way there
0:02:15 > 0:02:17# Whoa... #
0:02:17 > 0:02:18THEY LAUGH
0:02:18 > 0:02:23They have a rare night out all together to celebrate...
0:02:23 > 0:02:27Where in medical school was I taught how to pull spikes out of hands?
0:02:27 > 0:02:31..and reflect on some of the toughest weeks of their lives.
0:02:31 > 0:02:33I've had, you know, LOTS of night shifts,
0:02:33 > 0:02:36lots and lots of on calls and weekends and things
0:02:36 > 0:02:40and I finally feel like I know what I'm doing and that I'm a doctor.
0:02:40 > 0:02:42I don't want to move on!
0:02:42 > 0:02:43THEY CHATTER
0:02:43 > 0:02:48But just a few months ago they weren't feeling so confident.
0:02:51 > 0:02:54Just hours before they started as doctors,
0:02:54 > 0:02:57the juniors were feeling the pressure.
0:02:57 > 0:03:01The first time any of us do anything we're going to be shit.
0:03:01 > 0:03:03There's nothing you can do about it,
0:03:03 > 0:03:06you've just got to get on with it, I guess, haven't you?
0:03:06 > 0:03:08Hopefully they'll be all right.
0:03:08 > 0:03:12Of them all, Milla faced the toughest challenge
0:03:12 > 0:03:17and every junior doctor's biggest fear - the notorious nightshift.
0:03:17 > 0:03:19How do you guys feel about nights?
0:03:19 > 0:03:21How would you feel if you were in my position?
0:03:21 > 0:03:23I feel sorry for you, like, to have to go on nights.
0:03:23 > 0:03:27You know, that's, erm... That's balls!
0:03:27 > 0:03:29It's put my days on call next week into perspective.
0:03:29 > 0:03:31I don't feel so bad about them now.
0:03:31 > 0:03:36- I would say that days are worse than nights.- Oh, blooming heck!
0:03:36 > 0:03:39Can you not keep that to yourself?
0:03:39 > 0:03:43this is a little bit of a medical bungee jump, I guess.
0:03:43 > 0:03:46Of course I'm worried because, you know, we are looking after people
0:03:46 > 0:03:49and it's going to be me who's going to have to, you know,
0:03:49 > 0:03:52do what ever it is to help them throughout the night.
0:04:05 > 0:04:09Sorry to bother you, I'm starting on medical on call tonight.
0:04:09 > 0:04:13Oh, right. Oh, I'm so sorry. Oh, right, OK. So, I'm early?
0:04:13 > 0:04:16OK. OK, thank you.
0:04:17 > 0:04:19I'm going to go and get changed.
0:04:30 > 0:04:34This is by the Queen's hat maker, isn't it? I LOVE this one.
0:04:34 > 0:04:38I think I would describe myself as a bit of a Chelsea girl, yeah.
0:04:38 > 0:04:42- What you think, Mummy? - Oh, I love it!- Fantastic.
0:04:42 > 0:04:44My interest in medicine started
0:04:44 > 0:04:45when I was around about six years old.
0:04:45 > 0:04:47Cos I love my parents so much
0:04:47 > 0:04:50I always wanted them to be alive for ever
0:04:50 > 0:04:53so I wanted to create this medicine of life and to actually...
0:04:53 > 0:04:55Well, have them around for ever, I guess.
0:04:55 > 0:04:59It's a little bit of a shock to suddenly not be at home at all.
0:04:59 > 0:05:01'I'm very, very close to my mother
0:05:01 > 0:05:04'and we do lots and lots of things together.'
0:05:04 > 0:05:07Unfortunately, my father had a stroke a couple of months ago,
0:05:07 > 0:05:09so things have been a little bit difficult
0:05:09 > 0:05:12but because we're such a close unit with coping with things very well.
0:05:12 > 0:05:16I never expected our lives will change so dramatically
0:05:16 > 0:05:18after your daddy's stroke.
0:05:18 > 0:05:20Of course, at the beginning it will be very difficult
0:05:20 > 0:05:22but I am sure that you will do well.
0:05:22 > 0:05:23'It'll be a bit of a shock'
0:05:23 > 0:05:27because I've been going to see Daddy every day at the hospital.
0:05:27 > 0:05:30So, I think I'm just, sort of, trying to get to grips with the fact that
0:05:30 > 0:05:33I'm not going to be able to do that because I'm starting a full-time job.
0:05:36 > 0:05:38- Hello, is it Mr Awar?- Yes.
0:05:38 > 0:05:42Hi, I'm one of the doctors on call tonight.
0:05:42 > 0:05:44- OK, I need to take some blood. - Yes.- Yes...?
0:05:44 > 0:05:48on the nightshift, our junior doctors were part of a skeleton team
0:05:48 > 0:05:50and the first port of call
0:05:50 > 0:05:52for any medical problems across the hospital.
0:05:52 > 0:05:54OK.
0:05:58 > 0:06:04'Cardiac arrest, A and E. Cardiac arrest, A and E...'
0:06:08 > 0:06:10Oh, my God, I don't have a card!
0:06:11 > 0:06:14There was an emergency in A&E.
0:06:14 > 0:06:16'Cardiac Arrest...'
0:06:16 > 0:06:19They called for back up from the night team.
0:06:19 > 0:06:23The patient's heart had stopped and was in cardiac arrest.
0:06:26 > 0:06:27Milla had only recently qualified
0:06:27 > 0:06:31but already she faced her first A&E crash call.
0:07:04 > 0:07:06- Hi, Milla, how's it going?- Hello.
0:07:06 > 0:07:09As Milla arrived, her housemate, second-year Ameith,
0:07:09 > 0:07:10was working late in A&E.
0:07:12 > 0:07:14He and the team had restarted the patient's heart.
0:07:14 > 0:07:19- Would you mind getting a another grey cannula from the...- The grey?
0:07:19 > 0:07:22..and another 20ml syringed as well.
0:07:22 > 0:07:25The team had to get fluid in
0:07:25 > 0:07:28to boost the dangerously low blood pressure.
0:07:28 > 0:07:30Squeeze his leg for me.
0:07:33 > 0:07:37- Is it going in?- Yeah, it's going in. - Because the veins crap, isn't it?
0:07:37 > 0:07:41Ameith injected fluids but the patient crashed again.
0:07:43 > 0:07:45After two cardiac arrests,
0:07:45 > 0:07:49the chances of survival were falling rapidly.
0:07:49 > 0:07:50Can you get adrenaline, please?
0:07:54 > 0:07:57- Adrenaline going in.- Thank you.
0:07:58 > 0:08:05They managed to restart the heart again but the pulse was very weak.
0:08:05 > 0:08:08Let's get one person's finger on the pulse. If they could stay with that.
0:08:08 > 0:08:10Milla checks the heartbeat manually,
0:08:10 > 0:08:13by monitoring the pulse in the wrist.
0:08:13 > 0:08:14PH 6.99...
0:08:15 > 0:08:18It was now her responsibility to call out
0:08:18 > 0:08:21if the patient's heart stopped again.
0:08:21 > 0:08:23I still need to continue. Yes, thank you.
0:08:23 > 0:08:26Are you doing your job? It's the most important job going.
0:08:27 > 0:08:30After almost an hour, against the odds,
0:08:30 > 0:08:33the team stabilised the patient.
0:08:34 > 0:08:36Thank you very much.
0:08:37 > 0:08:42With her first crash call over, Milla could head back to the wards.
0:08:42 > 0:08:46- Anything else I can do?- No. Thank you very much.- Thanks very much.
0:08:46 > 0:08:48'When you get there it's quite overwhelming'
0:08:48 > 0:08:51because, as a medical student, you always, sort of, get there
0:08:51 > 0:08:55and stand back, whereas this is the time that you get in there
0:08:55 > 0:08:57and you do everything that you can.
0:08:57 > 0:09:01So, it's a very different, different...feeling, I think,
0:09:01 > 0:09:02doing it as a doctor.
0:09:12 > 0:09:15It wasn't always life-and-death emergencies
0:09:15 > 0:09:17that the new doctors had to deal with.
0:09:17 > 0:09:20They still had to master the basics.
0:09:20 > 0:09:23We are your new doctors. So, my name is Lucy.
0:09:23 > 0:09:28At 22, Andy was the youngest doctor starting in the hospital.
0:09:28 > 0:09:32- Hi, it's my first day, I'm Andy. - Hi, I'm Sophie, I'm the Sister.
0:09:32 > 0:09:35He joined trauma and orthopaedics on the surgical ward.
0:09:39 > 0:09:41Hello, Mr Straw.
0:09:42 > 0:09:43Right, erm...
0:09:44 > 0:09:49OK, so I'm going to have a go at doing a cannula,
0:09:49 > 0:09:50if that's all right?
0:09:50 > 0:09:51Andy's first challenge
0:09:51 > 0:09:55was to fit a device called a cannula to his patient.
0:09:56 > 0:09:59The tricky but essential procedure.
0:09:59 > 0:10:02OK, so, sharp scratch coming up.
0:10:02 > 0:10:04He had to find a vein
0:10:04 > 0:10:08and insert a hollow needle for medicine to be injected through.
0:10:11 > 0:10:13Right, that's not in.
0:10:13 > 0:10:16So, let's have a look at this arm, shall we?
0:10:16 > 0:10:18- Are you all right there?- Fine.- Good.
0:10:18 > 0:10:20After several failed attempts,
0:10:20 > 0:10:23and worried about hurting the patient, Andy stopped.
0:10:23 > 0:10:25Right, on second thoughts,
0:10:25 > 0:10:28I think you need to a bit of a half an hour break there.
0:10:28 > 0:10:31Just because, obviously, it's quite painful. All right? Is that OK?
0:10:31 > 0:10:34- That's fine.- OK. I'm sorry I didn't manage to get that in there.
0:10:34 > 0:10:35OK?
0:10:38 > 0:10:40I couldn't get it in.
0:10:40 > 0:10:43I think it was four times, so I'm going to come back later.
0:10:43 > 0:10:46Give him a bit of a break because, obviously, is not that nice, erm...
0:10:46 > 0:10:49having someone repeatedly stab you with a needle.
0:10:49 > 0:10:52It is frustrating not being able to do something first-time
0:10:52 > 0:10:55but sometimes you've got to be determined with them
0:10:55 > 0:10:58and, you know, not give up, I guess.
0:11:07 > 0:11:11I grew up in Otley, which is a small market town near Leeds.
0:11:11 > 0:11:16I like to play football, go for a drink, see my friends and stuff.
0:11:18 > 0:11:23I'm 22, erm, so I'm probably one of the youngest,
0:11:23 > 0:11:26if not the youngest doctor starting at Chelsea and Westminster Hospital.
0:11:26 > 0:11:28ALL: Cheers!
0:11:30 > 0:11:34I was the youngest in my year at school, I didn't take a gap year.
0:11:34 > 0:11:37I just really wanted to get straight into it. Get involved, get working.
0:11:37 > 0:11:40- You can't grow a beard?! - It's true, I...
0:11:40 > 0:11:42Mate, how long have you been growing that?
0:11:42 > 0:11:46I think my biggest weakness is not being able to grow any facial hair!
0:11:46 > 0:11:50I'm a competitive person. If were playing on the Xbox, or something,
0:11:50 > 0:11:53I always really get into it and want to win.
0:11:53 > 0:11:57Look, the game is not fun if you lose every time!
0:11:57 > 0:11:59Andrew James Steval.
0:11:59 > 0:12:00I'm so proud of you.
0:12:00 > 0:12:02'I know I should be able to do the job'
0:12:02 > 0:12:04but I am going to be absolutely terrified. It's going to be scary.
0:12:04 > 0:12:08Like everyone starting work for the first time,
0:12:08 > 0:12:10Andy had plenty to prove
0:12:10 > 0:12:14but first he had to find a vein in Mr Straw.
0:12:16 > 0:12:18I'm afraid so but I have done lots in the past.
0:12:22 > 0:12:25OK, erm, if I don't get it in in the first few goes
0:12:25 > 0:12:29then I will get someone else to have a go, if you want?
0:12:31 > 0:12:33Just that, erm...
0:12:33 > 0:12:37sometimes it just helps with a fresh pair of eyes, you know?
0:12:38 > 0:12:39Yeah?
0:12:43 > 0:12:46All right, two goes, yeah?
0:12:46 > 0:12:47All right.
0:13:25 > 0:13:28Yeah, I didn't manage to get it in again,
0:13:28 > 0:13:32so that's kind of annoying but, you know, erm...
0:13:32 > 0:13:34I'm sort, I guess I'm glad I persisted, you know,
0:13:34 > 0:13:36cos you've just got to do it
0:13:36 > 0:13:39and I'm going to get one of the others to come and have a go. Erm...
0:13:39 > 0:13:43and then, yeah. Er...hey, next time!
0:13:44 > 0:13:47Andy wasn't the only one having difficulties.
0:13:49 > 0:13:52All the junior doctors were struggling in one way or another
0:13:52 > 0:13:55in their early weeks.
0:13:57 > 0:14:00- Oh, dear.- Sorry!
0:14:02 > 0:14:04Oh, Ameith.
0:14:04 > 0:14:06If you don't put it on properly,
0:14:06 > 0:14:11- it just opens up and falls out as it's just has done in my hand.- Oh!
0:14:11 > 0:14:13Which trial evidence do you know of
0:14:13 > 0:14:18- for use of atorvastatin in acute coronary syndrome?- Erm...
0:14:22 > 0:14:25There was a time when I knew so many studies.
0:14:26 > 0:14:29- I know this doesn't help.- When was this time?- About two months ago.
0:14:29 > 0:14:32That time has come and gone already!
0:14:32 > 0:14:36It's only your first day! That's not good.
0:14:37 > 0:14:39Well, no, there's a reason for it.
0:14:40 > 0:14:45No, no, don't worry, we don't have to talk about it in that case.
0:14:47 > 0:14:49Erm, OK, can I just move on...
0:14:51 > 0:14:55Your line's come out and we need to put a another one in.
0:15:00 > 0:15:01OK. May I ask why.
0:15:07 > 0:15:09OK, I understand.
0:15:09 > 0:15:12Now is the time for a quick blood test.
0:15:12 > 0:15:14A sharp scratch now.
0:15:15 > 0:15:17'I still think I dread practical jobs,
0:15:17 > 0:15:19'but I'm going to have to get used to it, so...'
0:15:19 > 0:15:24Getting in my practice early is probably a good thing.
0:15:26 > 0:15:29If treating adults was tricky,
0:15:29 > 0:15:32then treating kids threw up a whole new set of challenges.
0:15:32 > 0:15:35Hi there, Alfie. Hiya.
0:15:35 > 0:15:3926 year-old Ben was starting in his dream department,
0:15:39 > 0:15:41paediatric surgery.
0:15:41 > 0:15:43Let's see if we can find veins.
0:15:43 > 0:15:45One of his first challenges was to fit a cannula
0:15:45 > 0:15:47to five-year-old Alfie.
0:15:47 > 0:15:51I'm going to spray this on your arm, OK? Cold spray. Ready?
0:15:51 > 0:15:55It should make it all go numb in a minute.
0:16:00 > 0:16:03- What is that? - It's a little needle.
0:16:03 > 0:16:06I need to put in your hand to give you medication.
0:16:06 > 0:16:09Do you want to hold Mummy's hand and lie back while we do it?
0:16:09 > 0:16:12I'll tell you what, let's put this down.
0:16:12 > 0:16:15You have the cream on there, so it shouldn't hurt.
0:16:15 > 0:16:17Look at Mummy, there we go.
0:16:17 > 0:16:21- It hurts.- Lie your head back.
0:16:21 > 0:16:22Look round at Mummy.
0:16:22 > 0:16:27- Think what nice treats she's going to get you for this.- Alfie...
0:16:27 > 0:16:30- I can't do it. - HE SOBS
0:16:30 > 0:16:35- There we go.- Look at Mummy. - I can't...
0:16:35 > 0:16:37HE CRIES
0:16:37 > 0:16:41Alfie, Alfie, Alfie, Alfie.
0:16:41 > 0:16:45- Get off my hand. - Alfie, Alfie, Alfie, Alfie.
0:16:45 > 0:16:47It's going to be very quick, all right?
0:16:47 > 0:16:51- MUM:- Lay down. Lay down. - Alfie, Alfie.
0:16:51 > 0:16:54- Sorry, I'll give him a minute. MUM:- Alfie.
0:16:54 > 0:17:00I don't want it on there. I don't want it.
0:17:00 > 0:17:03We'll do it very quickly, get it over and done with.
0:17:03 > 0:17:06Will you be big and brave and strong for us?
0:17:06 > 0:17:09- Don't be silly. - I don't like it here.
0:17:09 > 0:17:13- I know you don't. Come on.- There we go.
0:17:13 > 0:17:16'He was very keen at the beginning'
0:17:16 > 0:17:19to watch and see what was going on. If I'd been thinking a bit more
0:17:19 > 0:17:21I would probably have got him lying down
0:17:21 > 0:17:23and not watching at all to start with
0:17:23 > 0:17:27so he didn't see the needle the first time and freak out.
0:17:27 > 0:17:29It's frustrating at the end of a long day.
0:17:29 > 0:17:33Ben had to tell his new boss Simon Clark.
0:17:33 > 0:17:38- OK, why was he so difficult? - We had four people holding him down.
0:17:38 > 0:17:40- Thumping you? - Not me, thumping Mum and Dad.
0:17:40 > 0:17:44- We got the cannula in and then... - Welcome to Paediatrics.
0:17:49 > 0:17:51I'll come and see you later.
0:17:51 > 0:17:53When we know, we'll let you know.
0:17:53 > 0:17:55As well as practical skills,
0:17:55 > 0:17:59the doctors also had to learn to build relationships with patients.
0:17:59 > 0:18:03- Something Lucy needed to pick up quickly.- Hello, sir.
0:18:03 > 0:18:05I just need to take a blood test today
0:18:05 > 0:18:08to make sure that your clotting is OK.
0:18:08 > 0:18:10- Is that all right?- That's fine.
0:18:10 > 0:18:13On the general medicine ward she had to learn to cope
0:18:13 > 0:18:16with older patients with long-term conditions.
0:18:18 > 0:18:21I have not done it yet, that's why!
0:18:21 > 0:18:24Sharp scratch now, sir. There we go.
0:18:24 > 0:18:28All good. Right, all done.
0:18:32 > 0:18:36That's very nice. Did you bring these with you?
0:18:36 > 0:18:39Even though she had just started,
0:18:39 > 0:18:42Lucy was already making a good impression.
0:18:42 > 0:18:44'Lucy is doing incredibly well.'
0:18:44 > 0:18:48She is one of those doctors I think were born with
0:18:48 > 0:18:50a stethoscope around the baby neck.
0:18:50 > 0:18:53- Enjoy your dinner. - Thank you very much.
0:18:53 > 0:18:57She is very kind to the patients. She will be fantastic, actually.
0:18:57 > 0:19:01But it wasn't all plain-sailing for Lucy.
0:19:01 > 0:19:04One patient, Robert, was causing her concern.
0:19:04 > 0:19:06How are you feeling at the moment?
0:19:09 > 0:19:11Do you?
0:19:11 > 0:19:14Let me shut the curtains, we'll have a proper chat.
0:19:14 > 0:19:17Still in her early twenties, Lucy was expected
0:19:17 > 0:19:20to be able to offer emotional support
0:19:20 > 0:19:23to patients three times her age.
0:19:29 > 0:19:31What are you nervous about?
0:19:44 > 0:19:46What is just around the corner?
0:19:48 > 0:19:51I don't think so.
0:19:51 > 0:19:55I know it's a little bit miserable being here.
0:19:55 > 0:19:57It's just a matter of keeping going.
0:19:57 > 0:19:59And you look good.
0:20:02 > 0:20:03You do.
0:20:03 > 0:20:07The secret is, Robert, I like having you here.
0:20:07 > 0:20:09We want to keep you.
0:20:11 > 0:20:15But I certainly don't want you to be nervous.
0:20:20 > 0:20:22I know. I know it's human nature.
0:20:22 > 0:20:26I don't think it's very pleasant for anybody being in hospital.
0:20:41 > 0:20:43I'm sorry it's been like that.
0:20:47 > 0:20:48I know you do.
0:20:48 > 0:20:51You've been in here for about two and a half weeks.
0:20:51 > 0:20:54Because you have been in for that long,
0:20:54 > 0:20:57I want to carry on and make sure you get home
0:20:57 > 0:20:59and stay at home and you're well.
0:20:59 > 0:21:03I think we can do that. Honestly, I do.
0:21:10 > 0:21:13'Don't you just want to take him home?'
0:21:13 > 0:21:15I just want to give him a cuddle.
0:21:15 > 0:21:19He's lovely, he's one of my favourites.
0:21:19 > 0:21:23You shouldn't really have favourites, should you? But I do.
0:21:25 > 0:21:26I'll see you later.
0:21:29 > 0:21:31Right, my friends, I'm off.
0:21:35 > 0:21:40After a long day on the wards, the juniors could head home.
0:21:40 > 0:21:43They were all living together in a house in west London...
0:21:43 > 0:21:47- You're crap at table tennis anyway. - ..where they could relax...
0:21:47 > 0:21:49Come on.
0:21:50 > 0:21:53Come on, Lucy.
0:21:53 > 0:21:57- We seriously throw like girls. - ..share their experiences...
0:21:57 > 0:22:01- Long time no see, Andy Pandy. - How's it going?
0:22:01 > 0:22:05It's quite hard work at the moment, and relentless.
0:22:05 > 0:22:08Loads of people around, loads of people I can call,
0:22:08 > 0:22:12but I don't want to keep annoying my SHO and being, like,
0:22:12 > 0:22:13"How do I do this?
0:22:13 > 0:22:16"Can you do this for me?" Do you know what I mean?
0:22:16 > 0:22:18..and let their hair down.
0:22:18 > 0:22:20CHEERING
0:22:20 > 0:22:22Thank you.
0:22:23 > 0:22:26CHEERING
0:22:26 > 0:22:28MUSIC: "Part Rock Anthem" by LMFAO
0:22:34 > 0:22:36Hey, how's it going?
0:22:36 > 0:22:42# Happy birthday to you... #
0:22:48 > 0:22:49As the weeks progressed,
0:22:49 > 0:22:53the juniors began to get to grips with the basics.
0:22:53 > 0:22:56Any pain at the moment in your tummy?
0:22:56 > 0:22:59But to succeed, they also had to take on more responsibility
0:22:59 > 0:23:01and build their confidence.
0:23:03 > 0:23:05Something Andy struggled with.
0:23:05 > 0:23:08'Sometimes you're, like, "I'm not sure what's going on here"
0:23:08 > 0:23:11'and it feels like being a student again.'
0:23:11 > 0:23:15I feel like I've learned about that much of what it takes
0:23:15 > 0:23:18to be a doctor out of infinity, you know?
0:23:18 > 0:23:22He was responsible for overseeing patients going into surgery,
0:23:22 > 0:23:26but one had chosen to ignore instructions not to eat or drink.
0:23:35 > 0:23:39- Did I not communicate to the nurses clear enough?- It's not your fault.
0:23:39 > 0:23:42- If you've told the nurse, what can you do?- I know, yeah.
0:23:42 > 0:23:45As long as I made it clear enough.
0:23:45 > 0:23:50Sophie, he's been munching away on that as well.
0:23:53 > 0:23:56- He's only had a little bit. - Just say from nine.
0:23:56 > 0:23:59And four milligrams of Milky Way.
0:23:59 > 0:24:02'Andy's doing very well.'
0:24:02 > 0:24:04All his time he's right with what he's done,
0:24:04 > 0:24:06but he doubts himself a lot.
0:24:06 > 0:24:09My role is supporting him and encouraging him
0:24:09 > 0:24:12in his decisions because he's quite hesitant
0:24:12 > 0:24:15which is normal, it's a massive responsibility.
0:24:18 > 0:24:21Sophie, when I say theatre and operator,
0:24:21 > 0:24:22I just go to theatre?
0:24:22 > 0:24:24Is it like theatre reception, do you think?
0:24:24 > 0:24:27'The nurses are amazing, they're really friendly,'
0:24:27 > 0:24:31know their stuff, yeah, I wouldn't say we rely on them, but...
0:24:31 > 0:24:33No, of course we rely round them.
0:24:33 > 0:24:39But, like, we need their help a lot as junior doctors.
0:24:39 > 0:24:41The juniors quickly found out
0:24:41 > 0:24:45just how much they had to depend on the nurses.
0:24:46 > 0:24:50Can I possibly borrow you? I've never done it before.
0:24:50 > 0:24:53I just want to know exactly what I need to do.
0:24:53 > 0:24:56# Help me, baby... #
0:24:56 > 0:25:01- Am I right or not? - It's twist and pull, isn't it?
0:25:07 > 0:25:11The nurses are will always give you sound advice.
0:25:17 > 0:25:20All right, shall we stitch first them?
0:25:20 > 0:25:22If their diagnosis is completely wrong, we will say,
0:25:22 > 0:25:25"Hang on, don't you think about this."
0:25:27 > 0:25:29The nurses have seen it all before.
0:25:29 > 0:25:32They need to listen to what they're saying.
0:25:32 > 0:25:35What enema do you give and we'll prescribe the one that you use,
0:25:35 > 0:25:37because we are both new.
0:25:37 > 0:25:39- Usually phosphate. - Just phosphate enema?
0:25:39 > 0:25:41You need to voom, voom, voom, quick, quick.
0:25:41 > 0:25:45I have a patient that I'd like to refer to you, please.
0:25:45 > 0:25:49I am referring, not "I would like to refer," I am referring.
0:25:49 > 0:25:52A big mistake they can make is to upset the nurses very early on.
0:25:52 > 0:25:55That makes their life a lot more difficult.
0:25:55 > 0:26:00I don't think it happens that often. Well, not that often.
0:26:07 > 0:26:10It wasn't just the nurses they had to win over,
0:26:10 > 0:26:14the juniors also needed to prove themselves to their new bosses.
0:26:16 > 0:26:19In the Acute Assessment Unit,
0:26:19 > 0:26:23Aki needed to impress registrar, Dr Mukherjee
0:26:23 > 0:26:26- Chest drains are quite nasty. So really deep anaesthetic.- OK.
0:26:26 > 0:26:30- I haven't done this before. - I will talk you through it.- OK.
0:26:30 > 0:26:33She asked him to drain fluid from a patient's chest.
0:26:33 > 0:26:38- An advanced procedure for a junior. - Oh, my God.- What's up?
0:26:38 > 0:26:41Chest drain, have you done one?
0:26:41 > 0:26:44- Yes, you'll love it. - I am sure I will(!)
0:26:44 > 0:26:46See you tomorrow.
0:26:47 > 0:26:50Lucy was one of the first to hear the news.
0:26:50 > 0:26:53Hey, guys.
0:26:53 > 0:26:58- About to do a chest drain?- You are? - Cool.- Excited. See you later.
0:27:00 > 0:27:03Excited(!)
0:27:05 > 0:27:09Aki's first job was to put his patient at her ease.
0:27:09 > 0:27:13I'm not cheating you here. I'm going to be really honest with you.
0:27:13 > 0:27:16This is, I don't want to scare you...
0:27:16 > 0:27:19- This is the first time you have done this.- Yes.
0:27:19 > 0:27:23The patient had breast cancer that had spread to her lungs.
0:27:23 > 0:27:27It caused a dangerous build-up of fluid in her chest.
0:27:27 > 0:27:32It was Aki's job to drain it under the watchful eye of Dr Mukherjee.
0:27:32 > 0:27:35We're going to get some pain relief even before we've started.
0:27:35 > 0:27:37You'll get some Oramorph coming.
0:27:37 > 0:27:41Go straight through. Sharp scratch here.
0:27:41 > 0:27:45First, Aki had to anaesthetise the whole area.
0:27:45 > 0:27:48Stop there, draw back.
0:27:48 > 0:27:51Next, he had to pierce the chest from behind
0:27:51 > 0:27:55avoiding vital organs and several major blood vessels.
0:27:55 > 0:27:59- So...- With your needle, you're going to go straight in,
0:27:59 > 0:28:01perpendicular to the skin.
0:28:03 > 0:28:04- Like that?- Mm-hm.
0:28:04 > 0:28:09- We're going to give it a try now. - Can you feel that?
0:28:09 > 0:28:12Hold the needle. Remember not to let go of that guard.
0:28:12 > 0:28:15Finally, using a wire, he needed to guide the tube
0:28:15 > 0:28:18carefully into the chest.
0:28:18 > 0:28:21- Push it through, twiddle, twiddle, twiddle.- Sorry.
0:28:21 > 0:28:26- How are you doing there? - It's hurting a bit.
0:28:26 > 0:28:29- Is that bearable? - Just. Only just.
0:28:29 > 0:28:33If Aki had got it right, fluid could be drained from the patient's chest.
0:28:37 > 0:28:42Take a big breath in for me, please. You can see it's swinging.
0:28:42 > 0:28:46Good, well done. Congratulations.
0:28:46 > 0:28:49- Thank you very much. - Your first drain.
0:28:49 > 0:28:50It was my first drain.
0:28:50 > 0:28:52I'm really, really proud of Aki.
0:28:52 > 0:28:55He did really well.
0:28:55 > 0:28:56There are bits that can go wrong
0:28:56 > 0:28:59like losing the wire in the chest. He held on to it.
0:28:59 > 0:29:01The patient was comfortable as well
0:29:01 > 0:29:03and that's really satisfying.
0:29:03 > 0:29:04A job well done.
0:29:06 > 0:29:09That was...really cool.
0:29:11 > 0:29:13Job done.
0:29:13 > 0:29:16MUSIC: "Edge Of Glory" by Lady GaGa
0:29:16 > 0:29:19It's really nice to do something for the first time
0:29:19 > 0:29:21and to do it right.
0:29:21 > 0:29:23I am so happy.
0:29:28 > 0:29:31Oh, my God, it's the best job ever.
0:29:39 > 0:29:41It's Lady GaGa and Edge Of Glory
0:29:41 > 0:29:43on Radio Chelsea and Westminster.
0:29:43 > 0:29:45We are pleased to be joined in the studio
0:29:45 > 0:29:48by some of the hospital's newest recruits.
0:29:48 > 0:29:53After overcoming their first few challenges as doctors,
0:29:53 > 0:29:57Aki and Amieth were asked to share their experiences on hospital radio.
0:29:57 > 0:29:59Which of you has the toughest job?
0:29:59 > 0:30:01A&E, I imagine would be a pretty tough call.
0:30:01 > 0:30:03I mean, A&E's got the tough rota,
0:30:03 > 0:30:06but it's also quite difficult for the first year doctors.
0:30:06 > 0:30:09I'm in my second year, so I have a little bit of experience.
0:30:09 > 0:30:11But for people like Aki,
0:30:11 > 0:30:15it can be tough making that leap to working as a doctor.
0:30:15 > 0:30:18I think I have been thrown in at the deep end.
0:30:18 > 0:30:20Acute Assessment Unit is very busy.
0:30:20 > 0:30:23At the moment, I'm holding my ground...ish.
0:30:23 > 0:30:25If you were in a desk job,
0:30:25 > 0:30:28making a mistake in your first week, it's not the end of the world.
0:30:28 > 0:30:31Here you're dealing with people who are sick
0:30:31 > 0:30:36and the decisions you're making on a daily basis have a real impact.
0:30:36 > 0:30:39Yes, when I started we had to write on one piece of paper
0:30:39 > 0:30:41what we wanted to achieve this year.
0:30:41 > 0:30:44And on another piece of paper what we were dreading.
0:30:44 > 0:30:47I think about 99% of people wrote
0:30:47 > 0:30:51they were dreading that they were going to hurt someone.
0:30:51 > 0:30:53But people who are senior to you supervise you well.
0:30:53 > 0:30:56They're normally very good for answering questions
0:30:56 > 0:30:59and they would rather you asked them for advice
0:30:59 > 0:31:01than just guess on your own.
0:31:01 > 0:31:05What you can do for people like giving them pain relief,
0:31:05 > 0:31:08stopping them feeling sick or feeling unwell,
0:31:08 > 0:31:10is actually really rewarding.
0:31:10 > 0:31:13You see the benefits before you see the problems.
0:31:13 > 0:31:17Amieth, you have selected the next record today.
0:31:17 > 0:31:19Do you want to introduce it for us?
0:31:19 > 0:31:23Yes, I wanted a nice, chilled out song to relax.
0:31:23 > 0:31:26So I picked a nice Bob Marley song, Fussin' And Fighting.
0:31:26 > 0:31:29MUSIC: "Fussin' And Fighting" by Bob Marley
0:31:36 > 0:31:38Just.... Yeah?
0:31:38 > 0:31:42As the juniors began to master the technical skills...
0:31:42 > 0:31:43Do you like the plaster off fast?
0:31:43 > 0:31:45- If you pull it gently it hurts. - OK, fine.
0:31:47 > 0:31:51..they soon found they were in constant demand.
0:31:51 > 0:31:55- I have never used one of these. - Double press the green button.
0:31:55 > 0:31:57And it is definitely going to go off, right?
0:31:57 > 0:31:59It will definitely go off.
0:31:59 > 0:32:02..And at the mercy of their new pagers.
0:32:02 > 0:32:05BLEEPING The bleeping system that we have
0:32:05 > 0:32:06mean that doctors carry a pager
0:32:06 > 0:32:10that can be activated from any of the phones throughout the hospital.
0:32:10 > 0:32:12I've just been bleeped, it's Lucy.
0:32:12 > 0:32:16- Hi, it's Ben, I was just bleeped. - This is my new best friend, Mr Bleep,
0:32:16 > 0:32:18who is constantly ringing.
0:32:18 > 0:32:22He basically doesn't stop bothering me.
0:32:26 > 0:32:28Usually when doctors have bleeps for the first time,
0:32:28 > 0:32:31they feel they are a proper doctor.
0:32:31 > 0:32:35This is too complicated. It is so complicated.
0:32:35 > 0:32:38I am just trying to figure out how it works.
0:32:38 > 0:32:4058522, that's here, isn't it?
0:32:40 > 0:32:42I think I've just bleeped myself.
0:32:42 > 0:32:46On the other hand, they are contactable,
0:32:46 > 0:32:49and normally when it goes off it means they have got to go
0:32:49 > 0:32:52and do something for a patient and that can be quite scary as well.
0:32:52 > 0:32:54BLEEPING
0:32:54 > 0:32:58- For you.- Normally, leave you bleeper on the side.
0:32:58 > 0:33:01BLEEPING
0:33:02 > 0:33:04At the start you're really happy
0:33:04 > 0:33:07when you get bleeped the first few times.
0:33:07 > 0:33:10It's a new experience, it's really fun.
0:33:22 > 0:33:25Now when it goes off, my heart sinks a bit.
0:33:25 > 0:33:29Especially when you get a busy day and the bleep keeps going off.
0:33:29 > 0:33:31You learn to hate the bleep.
0:33:31 > 0:33:32BLEEPING
0:33:32 > 0:33:35I was just bleeped.
0:33:35 > 0:33:36It is the bane of my life.
0:33:36 > 0:33:40I hate the noise it makes, that it interrupts everything that you do.
0:33:40 > 0:33:42I hate how demanding it is.
0:33:45 > 0:33:47Some people have got jobs to do!
0:33:47 > 0:33:49The more patients they saw,
0:33:49 > 0:33:53the more efficient and more experienced the juniors became.
0:33:53 > 0:33:57But they shad to cope with new and challenging experiences every day.
0:33:57 > 0:34:00We have put her on Cetirizine, I think.
0:34:00 > 0:34:04Milla moved from nights to days and started on a new department.
0:34:04 > 0:34:07Dermatology. Treating skin conditions.
0:34:07 > 0:34:09Hi, Catherine.
0:34:09 > 0:34:12Did you find the scaly monsters?
0:34:12 > 0:34:13My name is Dr Marinova.
0:34:13 > 0:34:15I'm one of the dermatology house officers.
0:34:15 > 0:34:18Her patient, Catherine, has had a bad attack of psoriasis
0:34:18 > 0:34:21made worse by emotional stress.
0:34:21 > 0:34:25And they have improved quite a lot, have they, with your therapy?
0:34:25 > 0:34:27They were... Soles of my feet, bleeding.
0:34:27 > 0:34:30When I'd soak them and take them out,
0:34:30 > 0:34:34I could get off nearly a dessert-spoonful of hard skin
0:34:34 > 0:34:38- off the soles of my feet. - Right. Every day?
0:34:38 > 0:34:41Every couple of days. That's how bad they were.
0:34:41 > 0:34:45Milla tried to find out what may have triggered the attack.
0:34:45 > 0:34:48I mean, is the only time this has happened?
0:34:48 > 0:34:52Is this really affecting you?
0:34:52 > 0:34:54Life has never been as cruel as it is.
0:34:54 > 0:34:56My husband, last year, was very sick.
0:34:56 > 0:34:59They put him in the stroke ward,
0:34:59 > 0:35:03they put a nappy on him and a catheter.
0:35:03 > 0:35:05He stayed for the six or eight weeks.
0:35:05 > 0:35:08When he came home to me, that's what he was in, a catheter nappy
0:35:08 > 0:35:12and a Zimmer frame.
0:35:12 > 0:35:15That was a shock. Within six weeks to go from being...
0:35:15 > 0:35:21From being out in the pub having a jig around, to that.
0:35:21 > 0:35:23If it was really, really hard.
0:35:23 > 0:35:27I can actually relate, to be honest with you.
0:35:27 > 0:35:30My dad had a really serious stroke a couple of months ago
0:35:30 > 0:35:34- so I know exactly what you mean. - That's not the end of it.
0:35:34 > 0:35:38Seven months ago, my lovely young son got hit by a car.
0:35:38 > 0:35:40Oh, my God.
0:35:40 > 0:35:42- He's dead.- Oh, God.
0:35:42 > 0:35:44So that's...
0:35:44 > 0:35:47- Everything at once. - That has brought it all back.
0:35:47 > 0:35:50But I'm there or thereabouts.
0:35:53 > 0:35:55Thank you so much for telling me.
0:35:55 > 0:35:56Once it's out of your system,
0:35:56 > 0:35:59it's the best thing that could happen to me today.
0:35:59 > 0:36:02It's not a bad thing, it's a good thing to talk about him
0:36:02 > 0:36:05because he was lovely.
0:36:05 > 0:36:09Handling an emotional case like this was a revelation for Milla.
0:36:09 > 0:36:12'I am shocked as to how open patients are.
0:36:12 > 0:36:15'That made me think about my family as well
0:36:15 > 0:36:17'and everything we are going through.'
0:36:17 > 0:36:21Just because you think there's one thing going on in your life,
0:36:21 > 0:36:24you realise that there are worse things that could happen.
0:36:24 > 0:36:27There are more serious things that could happen.
0:36:27 > 0:36:31It is sad. That has done me good, so there you go.
0:36:31 > 0:36:35- I have offloaded my sadness to somebody else.- Thank you so much.
0:36:42 > 0:36:44The doctors were developing the skills
0:36:44 > 0:36:47to communicate with their patients.
0:36:47 > 0:36:50Some were even starting to form bonds.
0:36:50 > 0:36:53You know when you start to know things about somebody,
0:36:53 > 0:36:55you just get to know them day to day?
0:36:55 > 0:36:58Those are the patients I get a soft spot for.
0:36:58 > 0:37:02I don't get that at all because most of my patients are just in and out
0:37:02 > 0:37:04so I don't get much time to bond with them.
0:37:04 > 0:37:07I get overly close to mine because they're there for months.
0:37:07 > 0:37:11You wouldn't realise this, but patients that are really nice,
0:37:11 > 0:37:14grateful, I think get a better standard of care in hospital.
0:37:14 > 0:37:18I think subconsciously the nurses, the doctors,
0:37:18 > 0:37:21everyone around gives them more time.
0:37:21 > 0:37:24And is more willing to go that extra mile for them
0:37:24 > 0:37:28because they genuinely have affection towards that patient.
0:37:28 > 0:37:31I found that it's often when you meet people's families
0:37:31 > 0:37:33that you get a feel for them.
0:37:33 > 0:37:37You'll see people's families in A&E because they come in with a relative.
0:37:37 > 0:37:39I only really see relatives as a useful means
0:37:39 > 0:37:43of finding out what has been going on with patient.
0:37:43 > 0:37:46- You are ridiculously practical. - Like a machine.
0:37:46 > 0:37:48In A&E you don't have time to be all pally,
0:37:48 > 0:37:51"Can now offer you a cup of tea," to the family.
0:37:51 > 0:37:53I love that stuff. I would be shit in A&E.
0:37:53 > 0:37:55Do you go, "Hello, you are a relative.
0:37:55 > 0:37:57"You must be a communication tool,
0:37:57 > 0:38:01"to communicate with the patient, good to me you, sir."
0:38:01 > 0:38:03Something like that. In my most robotic voice.
0:38:11 > 0:38:15While Amieth could stay emotionally detached from his patients in A&E...
0:38:15 > 0:38:17Could you come and look at this man's rash?
0:38:17 > 0:38:21..some of the other juniors found it harder to keep their distance.
0:38:21 > 0:38:24One of Lucy's favourite patients, Robert,
0:38:24 > 0:38:26had taken a turn for the worse.
0:38:26 > 0:38:28He has got a funny rash and he's been...
0:38:28 > 0:38:32He's had funny skin issues since he's come in, but this is different.
0:38:35 > 0:38:38Robert, sweetheart. It's Lucy.
0:38:40 > 0:38:44We're just going to have a quick look at your rash. OK?
0:38:44 > 0:38:46Hello, I'm Kate, I'm another one of the doctors.
0:38:46 > 0:38:50We're all looking at your rash. Just on your tummy.
0:38:55 > 0:39:00It's here. This has changed, this is new. It wasn't like that.
0:39:04 > 0:39:08This is different, this is all new. His arms started like this.
0:39:08 > 0:39:10HE GROANS SOFTLY
0:39:12 > 0:39:14'He's really poorly, isn't he, today?'
0:39:14 > 0:39:17Really poorly.
0:39:21 > 0:39:23He has deteriorated over the last 24 hours
0:39:23 > 0:39:26and he is so much more drowsy than he normally is.
0:39:26 > 0:39:29It's not normal for him to be like that.
0:39:29 > 0:39:31Just keeping an eye on him really
0:39:31 > 0:39:35and getting the right people looking at him as well.
0:39:35 > 0:39:38We'll have to see how he goes.
0:39:39 > 0:39:40All the juniors had struggled
0:39:40 > 0:39:42through their first few months as doctors,
0:39:42 > 0:39:48but now needed to prove they could stand on their own two feet.
0:39:51 > 0:39:54It was Andy's turn to take on the notorious night shift.
0:40:01 > 0:40:04My SHO was like, "We're going to get a bit of sleep
0:40:04 > 0:40:06"and you can run the show."
0:40:06 > 0:40:08I was a bit like, "Oh, God!"
0:40:08 > 0:40:12It was going pretty well until now.
0:40:12 > 0:40:14Now that has been said.
0:40:14 > 0:40:17So, yeah, just hope it will be quiet.
0:40:25 > 0:40:28It wasn't long before Andy was called to an urgent case in A&E.
0:40:28 > 0:40:33- Tell me what's been going on. - At 5:00pm cramp started.
0:40:33 > 0:40:36If I move or cough or laugh or anything like that,
0:40:36 > 0:40:38then it really hurts..
0:40:38 > 0:40:40Point to me where it hurts.
0:40:40 > 0:40:43The middle, just here. Underneath the belly button.
0:40:43 > 0:40:45Let's have a feel of your tummy.
0:40:45 > 0:40:4822 year old Christabel had severe abdominal pains.
0:40:48 > 0:40:50SHE GROANS
0:40:50 > 0:40:53That's painful? I think you should come into hospital.
0:40:53 > 0:40:56You seem to be in a lot of pain. Something might be going on.
0:40:56 > 0:40:59It could be appendicitis, it could be something ovarian, potentially.
0:40:59 > 0:41:02I just want to make sure. Brilliant. See you soon.
0:41:02 > 0:41:07- Some X-rays... - Andy ordered further investigations.
0:41:07 > 0:41:12I have a patient in A&E, I've just requested some X-rays for.
0:41:12 > 0:41:14Cheers, thank you.
0:41:14 > 0:41:18It's quite different to being on days because I'm seeing patients.
0:41:18 > 0:41:20It is actually awesome.
0:41:20 > 0:41:25It won't be awesome when I start getting more patients I'm sure.
0:41:25 > 0:41:27BLEEPING Shit.
0:41:28 > 0:41:32The patient I saw earlier has fainted.
0:41:32 > 0:41:37Christabel's condition was deteriorating rapidly.
0:41:37 > 0:41:41Hi, you had a faint, didn't you?
0:41:41 > 0:41:45As the only doctor on the scene, Andy had to take charge.
0:41:45 > 0:41:49Can we get some fluids? Get some oxygen as well, please.
0:41:49 > 0:41:51All right.
0:41:51 > 0:41:54We're just going to give you a bit of oxygen and some fluids.
0:41:54 > 0:41:57That will help you feel a bit better, all right?
0:41:58 > 0:42:01No. What has been going on with your chest?
0:42:06 > 0:42:07All right. OK.
0:42:07 > 0:42:10Can we get an ECG as well? Thanks. All right.
0:42:15 > 0:42:18- Have you been vomiting at all?- No.
0:42:18 > 0:42:21After stabilising Christabel with fluids,
0:42:21 > 0:42:25Andy called for back-up.
0:42:25 > 0:42:28I thought I'd call you sooner rather than later about this
0:42:28 > 0:42:31because I think she looks quite ill.
0:42:31 > 0:42:34I think she might have bled from somewhere, actually.
0:42:34 > 0:42:37The heart rate is 45.
0:42:37 > 0:42:41BP is lower than before. Think you. See you soon.
0:42:41 > 0:42:46Christabel needed life-saving treatment, urgently.
0:42:48 > 0:42:49This lady is quite unwell,
0:42:49 > 0:42:54we thought at first it could be an appendix or ovarian problem.
0:42:54 > 0:42:56I think it is more likely to be an ovarian
0:42:56 > 0:42:59or gynaecological problem now. Possibly a bleed from a cyst.
0:43:04 > 0:43:06Andy's suspicions were proved right
0:43:06 > 0:43:10and Christabel was sent for emergency surgery.
0:43:10 > 0:43:13Yes, that was pretty scary, actually.
0:43:13 > 0:43:15You get a bleed and someone looks like
0:43:15 > 0:43:18they're on the verge of dying. It's crazy.
0:43:19 > 0:43:21It's pretty good, to be honest.
0:43:21 > 0:43:25I would rather do that then do really boring paperwork jobs all day.
0:43:25 > 0:43:27This is just awesome.
0:43:33 > 0:43:35All right. I'll come down as soon as I can.
0:43:35 > 0:43:39Milla was also learning to stand on her own two feet.
0:43:41 > 0:43:42There's a lot to be done.
0:43:44 > 0:43:49Only a few hours after visiting her father recovering from a stroke
0:43:49 > 0:43:53she had to treat patients with similar conditions.
0:43:53 > 0:43:56Are you all right? Are you OK?
0:43:56 > 0:43:59PATIENT WAILS
0:43:59 > 0:44:04Do you have any pain anywhere? Nothing?
0:44:04 > 0:44:09She's deteriorating. She's in peri-arrest.
0:44:09 > 0:44:13The patient was in peri-arrest. Their vital signs were unstable...
0:44:13 > 0:44:18- She was at 156.- ..and could go into full cardiac arrest.
0:44:18 > 0:44:23We can't understand why she's so agitated. Hello.
0:44:23 > 0:44:25Hi, is that Ty?
0:44:25 > 0:44:29Milla called in a senior doctor for back-up.
0:44:29 > 0:44:31I was just doing something else
0:44:31 > 0:44:34and one of the ladies became very distressed.
0:44:34 > 0:44:36Her heart rate has gone up to 156.
0:44:36 > 0:44:41It's all right. Relax. Relax. It's OK. Just relax.
0:44:44 > 0:44:46With no clues to the cause,
0:44:46 > 0:44:51Milla needed to get some tests done as fast as possible.
0:44:53 > 0:44:56These bloods have to be done right now, because they're really urgent.
0:44:56 > 0:45:00So that's why I had to physically bring them down to the lab,
0:45:00 > 0:45:03rather than waiting for somebody to pick them up.
0:45:07 > 0:45:10We need to keep this oxygen on your face.
0:45:10 > 0:45:14It's helping with the breathing, you need to keep it on, OK?
0:45:14 > 0:45:17Milla's quick word had helped stabilise the patient,
0:45:17 > 0:45:20who could now be sent to the intensive care unit
0:45:20 > 0:45:21for further treatment.
0:45:21 > 0:45:24Quite scary to see how quickly patients can deteriorate.
0:45:24 > 0:45:26You just saw the heart rate going up and up.
0:45:26 > 0:45:31It just was happening within a matter of minutes,
0:45:31 > 0:45:33suddenly she was really quite unwell.
0:45:33 > 0:45:37Milla had proved she could now deal with very sick patients.
0:45:37 > 0:45:40But it was also an uncomfortable reminder
0:45:40 > 0:45:42of her own father's condition.
0:45:42 > 0:45:47You can't help but just sort of wonder, you know, that somebody else
0:45:47 > 0:45:52has seen my dad in the hospital in the middle of the night like that.
0:45:52 > 0:45:55It does sort of put things a lot more in perspective,
0:45:55 > 0:45:58especially when you see patients with similar conditions.
0:46:03 > 0:46:05Again.
0:46:05 > 0:46:08All the juniors were starting to take on more responsibility...
0:46:08 > 0:46:11- Bye.- He doesn't want you to go.- No.
0:46:11 > 0:46:15..even when confronted with the unexpected.
0:46:16 > 0:46:19In A&E, a 17-year-old barmaid had arrived
0:46:19 > 0:46:22with her hand impaled on a spike for receipts.
0:46:23 > 0:46:27It's gone almost all the way through to the other side, actually.
0:46:29 > 0:46:31It's gone in very deep.
0:46:34 > 0:46:37A chance for Amit to prove to his colleagues
0:46:37 > 0:46:41that he was ready to take charge in emergency cases.
0:46:41 > 0:46:43Sharp scratch. SHE MOANS
0:46:47 > 0:46:48That the worst of it over.
0:46:48 > 0:46:52As the anaesthetic kicked in, the team got to work.
0:46:54 > 0:46:56Make sure you keep all the receipts.
0:46:57 > 0:47:01Amit and his registrar discussed the plan of action.
0:47:01 > 0:47:03You could just take it out.
0:47:03 > 0:47:07What we'll do is we'll get a decent pair of pliers.
0:47:07 > 0:47:09It's very deep, though.
0:47:09 > 0:47:12Once we get her sedated and get the bandage off,
0:47:12 > 0:47:13we'll have a good look at it.
0:47:14 > 0:47:17To be perfectly honest, a decent pair of B&Q pliers
0:47:17 > 0:47:20- will be the most effective thing in yanking it out.- All right.
0:47:20 > 0:47:22I'll give them a toolbox, then.
0:47:24 > 0:47:27Pliers? You're just going to scare the patient.
0:47:27 > 0:47:32Luckily for Amit, the A&E department had a box of emergency tools.
0:47:32 > 0:47:34Saw.
0:47:34 > 0:47:36A saw?
0:47:36 > 0:47:40- This one? You just put it onto there.- They're quite large.
0:47:40 > 0:47:45- Wire cutters.- That's what you would use to cut, like, bike chains.
0:47:45 > 0:47:47That looks pretty good.
0:47:47 > 0:47:50The patient was sedated, but still conscious.
0:47:50 > 0:47:55Armed with his pliers, Amit had to be fast and accurate.
0:47:56 > 0:48:01- Get a good grip, I'll hold the hand, and...it's out.- Yeah, OK.
0:48:06 > 0:48:08A bit further down and a bit more in the middle.
0:48:08 > 0:48:11That's it. Right, now...
0:48:12 > 0:48:14OK. Ready? Go.
0:48:14 > 0:48:17SHE GROANS
0:48:20 > 0:48:25Big breaths, honey, big breaths. All done. It's all done.
0:48:25 > 0:48:27Big breaths. Just relax. Big breaths.
0:48:27 > 0:48:30Just try and relax a little bit.
0:48:31 > 0:48:35- You've taken it out?- Managed to get it out, yes.- Well done, you.
0:48:35 > 0:48:36And sedation worked pretty well.
0:48:36 > 0:48:38She was sedated enough to pull it out
0:48:38 > 0:48:42but then woke up as soon as we did it, so that was perfect.
0:48:42 > 0:48:44Very impressive. Thank you, that's very good.
0:48:52 > 0:48:55As well as gaining the respect of their colleagues,
0:48:55 > 0:48:59the juniors were experiencing other rewards of the job.
0:48:59 > 0:49:01Seeing their patients get better.
0:49:01 > 0:49:03Hello.
0:49:03 > 0:49:07Lucy's long-term patient Robert had made a full recovery.
0:49:07 > 0:49:13I like your pyjamas, they're snazzy. They're blue.
0:49:13 > 0:49:18- They show every stain. - Oh, yeah, they do, don't they?- Yeah.
0:49:18 > 0:49:21- You'll have to do iron them out later.- Will I?
0:49:22 > 0:49:25- Are you feeling all right? - Not too bad.- Not so bad?
0:49:25 > 0:49:32Are you not so sure? Because you look nice, you got nice rosy cheeks.
0:49:33 > 0:49:36Oh, well, it's thinking about you.
0:49:36 > 0:49:39'I will miss him, because he's lovely.'
0:49:39 > 0:49:41He's always a friendly face on the ward round
0:49:41 > 0:49:43and so grateful for any input.
0:49:43 > 0:49:46- Oh, you're all ready to go.- Yes.
0:49:46 > 0:49:50I will hopefully, in the nicest possible way, not see you again,
0:49:50 > 0:49:52because you'll stay fine.
0:49:55 > 0:49:58You do get fond of patients that have been here so long,
0:49:58 > 0:50:02but he's an old man, he should be enjoying his life,
0:50:02 > 0:50:07so it was actually really nice and satisfying to see him leave.
0:50:07 > 0:50:10After four months in their new jobs,
0:50:10 > 0:50:14the juniors were finally feeling like fully-fledged doctors.
0:50:20 > 0:50:21What's up, Dr Fukutomi?
0:50:21 > 0:50:24Mastering the technical skills...
0:50:25 > 0:50:27Sharp scratch.
0:50:27 > 0:50:31Fantastic. You all right there?
0:50:33 > 0:50:35..developing their bedside manner...
0:50:35 > 0:50:37- It's getting better.- Looks like it.
0:50:37 > 0:50:41We will keep taking your bloods to make sure it is getting better.
0:50:41 > 0:50:42Say no more.
0:50:42 > 0:50:44- I'm sorry about this. - Don't worry about it, old boy.
0:50:44 > 0:50:46This might be a bit uncomfortable.
0:50:47 > 0:50:51- That it?- Thank you, sir, that's fine.- Thank God for that.
0:50:51 > 0:50:54Your final blood test, we are happy with the result, so therefore,
0:50:54 > 0:50:56we're happy that you can go home.
0:50:56 > 0:50:59..and impressing their colleagues.
0:50:59 > 0:51:01- Well done.- I'll try to get everything done before I go.
0:51:01 > 0:51:03We appreciate it.
0:51:10 > 0:51:14Ben is a logical thinker, he's efficient, and works well in a team,
0:51:14 > 0:51:17so I think he's got all the makings of a good surgeon
0:51:17 > 0:51:21and I hope we've been able to help him over the last few months.
0:51:21 > 0:51:22Have you got it?
0:51:23 > 0:51:25Priya is still learning
0:51:25 > 0:51:28and going through the steps that anyone would do as a junior doctor,
0:51:28 > 0:51:32but day by day, I can see there is improvement, and she will go far.
0:51:33 > 0:51:36Oh, well done. Yes.
0:51:37 > 0:51:39Isn't she wonderful?
0:51:39 > 0:51:41OK, see you later, bye-bye.
0:51:41 > 0:51:43I just did what is the impossible.
0:51:43 > 0:51:48I managed to take blood from Mrs Tristholt. This is like gold dust.
0:51:58 > 0:52:00All too soon, their placements were at an end.
0:52:00 > 0:52:03They don't look like they have reacted.
0:52:03 > 0:52:06And it was time for the juniors to move on.
0:52:08 > 0:52:13It's Lucy's last day today. She's been absolutely amazing.
0:52:13 > 0:52:17Sorry, I'm quite tearful. I'm quite sad to see her go.
0:52:17 > 0:52:23She's just been an amazing member of the team. I'm going to miss her.
0:52:23 > 0:52:27- Are you going? See you! - You've been fantastic.
0:52:27 > 0:52:31I think when I started, I really did doubt my ability to be a good doctor.
0:52:31 > 0:52:34It's just complete shit, basically.
0:52:34 > 0:52:38Four months on, I just feel really privileged, actually.
0:52:38 > 0:52:41And although it's hard work to get here,
0:52:41 > 0:52:43I can't imagine doing anything else.
0:52:43 > 0:52:47Hey, Ben, are you sad to be leaving your favourite job in the world?
0:52:47 > 0:52:49It is my favourite job in the world.
0:52:50 > 0:52:54Starting was terrifying, because I didn't know what I was doing.
0:52:54 > 0:52:55BOY WAILS
0:52:55 > 0:52:59- Alfie, it will be very quick. - I'm not listening.
0:52:59 > 0:53:03It is so lively the whole time, so unpredictable, so varied.
0:53:03 > 0:53:06And the last few months has made me realise
0:53:06 > 0:53:07it's definitely what I want to do.
0:53:09 > 0:53:13- It's been nice working with you. - OK, yeah. Cheers, mate.
0:53:13 > 0:53:17I think I've grown and developed as a doctor, certainly.
0:53:17 > 0:53:20Have you noticed any discharge coming out of the ears?
0:53:20 > 0:53:23'I feel more able to deal with a lot of different problems.'
0:53:23 > 0:53:27I don't really know because I had vodka with cotton.
0:53:27 > 0:53:30I've enjoyed all the hands-on stuff that you get to do.
0:53:30 > 0:53:35It is a very tiring rota, so I am quite glad to get to the end of it.
0:53:35 > 0:53:38- Alison, bye.- Oh, this is sad.
0:53:38 > 0:53:41We're going to miss you, young man.
0:53:41 > 0:53:43Day one, I thought I was a fraud doctor...
0:53:43 > 0:53:47- Clear.- Hang on, oxygen away.
0:53:47 > 0:53:50..and I just thought I was an extension
0:53:50 > 0:53:52of some kind of odd medical student.
0:53:52 > 0:53:56I think my last day there, I do feel like I'm a doctor
0:53:56 > 0:54:01and my next day off, I'm going to go and change my credit card to "Dr".
0:54:01 > 0:54:07As they finished their placements, there was no let-up for the juniors.
0:54:07 > 0:54:10They all started new jobs in new departments.
0:54:10 > 0:54:12Hello.
0:54:12 > 0:54:14I don't know what cardiology will be like.
0:54:14 > 0:54:15I think it'll be interesting.
0:54:15 > 0:54:18BLEEPING First bleep of the day.
0:54:18 > 0:54:22I guess you worry when you are starting work in a job like this.
0:54:22 > 0:54:24Mr McGhee, just be really careful with that...
0:54:24 > 0:54:27'And it's been all right, you know?'
0:54:27 > 0:54:30I can go into work thinking I know what I'm doing.
0:54:30 > 0:54:32If someone gets ill, I can deal with it.
0:54:32 > 0:54:35So I am a lot more confident than I was before.
0:54:35 > 0:54:38- You've got your mask on back to front.- Seriously?- Yeah, serious.
0:54:41 > 0:54:45I've made a lot of progress and I'm more used to the role now.
0:54:45 > 0:54:48Can you say "red lorry, yellow lorry"?
0:54:48 > 0:54:52'And what I've learned most of all is not to take things personally.'
0:54:52 > 0:54:56- I find that offensive. - Well, no, there's a reason for it.
0:54:56 > 0:54:57I know - the reason's offensive.
0:54:57 > 0:55:01When you going to a job that is quite difficult and requires long hours...
0:55:01 > 0:55:04- I'll do my best.- See you later, sir.- Thank you very much.
0:55:04 > 0:55:07..it makes you realise what you're actually capable of
0:55:07 > 0:55:08and makes you feel good inside.
0:55:08 > 0:55:10You've got warm hands.
0:55:10 > 0:55:11There we go.
0:55:11 > 0:55:15'Initially, I felt that maybe medicine isn't for me.'
0:55:15 > 0:55:18- Ouch.- I'm sorry, I know it's painful.
0:55:18 > 0:55:21'I thought I was a bit bumbling.' Shit, where's my phone?
0:55:21 > 0:55:23'Didn't know how to get things done.'
0:55:23 > 0:55:26And now I've grown to love it - and I do - and I, without a doubt,
0:55:26 > 0:55:29can say that medicine is the right vocation for me.
0:55:33 > 0:55:36Great, well, you're my first surgical patient.
0:55:36 > 0:55:38It's been an incredibly steep learning curve
0:55:38 > 0:55:39over the last few months.
0:55:39 > 0:55:43The steepest part has certainly been the on-calls in the night.
0:55:43 > 0:55:45'Cardiac arrest.'
0:55:46 > 0:55:50But I think there's absolutely no comparison
0:55:50 > 0:55:51to where I was on day one.
0:55:51 > 0:55:53There just isn't.
0:55:56 > 0:55:59The last few months have been some of the toughest of their lives.
0:55:59 > 0:56:03- But a major achievement for the juniors.- Job done.
0:56:03 > 0:56:06And after a successful start to their careers,
0:56:06 > 0:56:08there's much to celebrate.
0:56:08 > 0:56:14To the future. To our incredible future in medicine. Cheers.
0:56:14 > 0:56:16Cheers, everybody.
0:56:18 > 0:56:20# Oh
0:56:21 > 0:56:22# Gold
0:56:23 > 0:56:26# Always believe in your soul
0:56:26 > 0:56:28# You've got the power to know
0:56:28 > 0:56:32# You're indestructible
0:56:32 > 0:56:34# Always believe in
0:56:34 > 0:56:37# Cos you are gold Gold
0:56:37 > 0:56:39# Glad that you're bound to return
0:56:39 > 0:56:42# Something I could have learned
0:56:42 > 0:56:44# You're indestructible
0:56:44 > 0:56:49# Always believe in
0:56:49 > 0:56:50# Gold. #
0:56:59 > 0:57:02Subtitles by Red Bee Media Ltd