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Diary Of A Junior Doctor Season 1 Episode 5 - Full
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00:00I've had to come to terms with the fact that I'm completely throwing myself in
00:13the deep end. There's no better place to work than in the trenches at Middlemore
00:18Hospital. What have we got coming in? It's a beautiful place to be but also
00:24like quite a terrifying place to be. There's life and death every day.
00:28It's too soon to be answering that question, okay? You're getting a contraction? Go for it.
00:33Go, go, go, go, go, go, go. Five, four. Stop, stop, stop, stop. It feels a bit daunting. It feels quite
00:41scary actually. Are we happy on dosage? Time is of the essence and it matters so you have to come
00:49up with something now. You have to think on your feet. Just breathe, just breathe, just breathe.
00:54That's really scary to me and so it should be because it's massive remains of responsibility.
01:00There's no room for any mistakes. I need the CPR to be faster please. Stand up, stand up.
01:09You are having a stroke right now. We needed to resuscitate you. Oh my god.
01:14You do become obsessed with getting it right all the time.
01:17That's what I feel like burnout feels like.
01:23What enables you to keep doing such an unusual job is not always the passion of medicine,
01:38it's actually the people behind you.
01:39What? Go, go, go, go, go. All the way, all the way, all the way, all the way, all the way.
01:47What's the time you're finishing today? Just normal. What, 3.30?
02:05We're rostered on 4.30. Wow. Is there another occupation that works long days and weekends like
02:16it's normal? I feel like that's just like, as it got more brutal in terms of like the amount
02:23of work you have to do, it just gets normal. Like, oh yeah, I work the weekend, I work a long
02:28day. Yeah. You're no longer a student now, you're actually that doctor. You should come
02:37to theater. And you can see we get into the neurovascular bundle. Oh, yeah. I'm excited
02:42about surgery. You have a problem and you're able to fix it. Being a surgeon is so attractive,
02:48but, um, it'll be quite a difficult lifestyle for us, I think. Things are a bit difficult
03:02with Alex at the moment. I haven't really spent that much time together. I've been getting
03:11a bit annoyed. It's hard to match up to, like, a healthcare professional's schedule. Sometimes
03:18you're there until 10.30pm and you're working weekends sometimes and, like, you're there late
03:23and you have to wake up early.
03:29Jasmine? Hey, I'm Shadi. I'm one of the general surgery doctors. Have you even talked about what's
03:34going on? That it's exploded and they have to clean the whole thing? Okay, yeah. Yeah,
03:39so you're just a little appendix at the bottom is just ruptured, unfortunately. Yeah. So we
03:43just need to take you for an operation.
03:50That, yeah, that patient? Yeah. How are you feeling? Are you okay? Yeah, I'm okay. It's
03:56a bit, a bit a lot. It's scary, yeah. Yeah. I do bodybuilding. Hopefully I can get back to it.
04:05We'll get out much scar tissue or whatever. Yeah.
04:11Anna came and saw you, right? Yeah, yeah, yeah. She's really, she's, like, such a boss.
04:16She'll, you'll be well looked after. Yeah. Okay, thank you so much. You're welcome.
04:23She's probably going to be next on the list and you can come to theatre and hold the camera
04:28and help in theatre if you want. Oh, really? Yeah.
04:35Shadi, put one of these on. My dream scenario,
04:38it would be cool to be, like, something surgical related.
04:43Do you get tomorrow off as well? No, I'm working. Oh, you're working tomorrow?
04:46Do you have tomorrow off? No, I don't.
04:49Take your time, I'll see you in there for a minute. Yeah, yeah.
04:53Yeah.
04:57Shadi, see this? Mm-hm.
04:59See how it's got an angle? Yeah.
05:01And so when we turn it left or right, we sort of look sideways as well, so.
05:05Mm-hm. But that's why it's a hard drive, the camera, initially, when you're learning that.
05:10Yeah, can you hold that hand up? A bit more head down, if she'll take it, please.
05:14Nice.
05:15Let's see, Bennett's just starting there. Yeah.
05:17Yeah.
05:18Sort of, like, opening the door here.
05:22Okay, can you hold the grasp like that, Shadi?
05:25I'm going to get a bit. Okay, and hold it like that.
05:27You want to hold it like that? Mm-hm.
05:29Do you want to squeeze the handles together?
05:31Yep.
05:32Are you going to pull it up? Yep.
05:33Like that? Yep. Oh yeah, that's lovely.
05:34Keep pulling.
05:35Pull it up, yep. Don't move. Don't move, yep.
05:36Yeah, nice.
05:37Perfect. Shadi, can you have a look in there, see if you can locate what we've been looking at there?
05:50Yep, good. Come back a bit with your camera. Out a bit with the camera. Mm-hm.
05:58That's good, just sit where you are there, that's good. You're doing good.
06:03We'll just see if we can... Ah, perfect.
06:08Excellent. All right. I want to just see if we can peel that stuff off that looks like the remainder of the appendix
06:14that's sort of blown into smithereens. Yeah.
06:17So...
06:27Oh, it's looking better though. It is looking better. Yeah. Much better. Awesome.
06:31Okay.
06:33Do you know how to stitch? Um, I... Yeah.
06:37Really?
06:40Confident.
06:42So watch. Yeah.
06:44And then you can do the two there, right? Mm-hm.
06:46So you pick this up, and then you want to go in that junction as well. Directly opposite where you came out.
06:53Yeah.
06:54Good. And then lift them both up, and you'll cut. There we go. That looks nice.
07:07Being in the theatre was very fun.
07:09And lift this up a bit more like you mean it. That's it.
07:11It was cool seeing how they're kind of bouncing off ideas.
07:16Yep. So one more. You want it to be at the tip of your needle holder and slightly forward spacing like that. Yeah. Okay.
07:23You're doing very well. Lifting up in the air. Yeah, that's it.
07:26They're definitely boss women. They know a lot. They're very experienced.
07:36Beautiful. That's good. Well done.
07:39It makes you think, like, oh, it is possible, because obviously lots of women doctors have made it to consultancy.
07:45So it's, like, quite cool to have those role models.
07:49Thank you for your help. No worries. Thank you for having me.
07:51Good to have seen that after seeing her originally. Yeah, it was nice to see her from the beginning.
07:56Thanks. No problem. Thank you.
08:08Hi, Michaela. This is Keriana here, Med Reg. Just calling about a patient.
08:13It's been only a few weeks since the exam results.
08:18I have the most important exam of my career.
08:21The amount of content that you have to understand means that you have to study for a year.
08:26So I just found a little less public place to open my results.
08:30What will be will be.
08:32Oh, break it. Damn it.
08:35Damn. No.
08:38It feels like grief.
08:43I love my job. I really enjoy coming to work every day.
08:47Hello, hello.
08:49For my whole career, I've loved my job.
08:51But after that exam, it was the first time I was like, I don't want to be here.
08:55And that's what I feel like, what burnout feels like.
08:59It's so hard. Like, nobody should ever be in that position when you're in this job,
09:03because you're not passionate, and therefore you're less likely to be compassionate.
09:09And compassion's a huge part of what we do.
09:12It's going to be really hard to have that ability to manage and care for others,
09:18because you're not okay yourself.
09:21So I really realised that, okay, I really need a holiday.
09:26So we're having a family trip to the South Island for my dad's sixth year.
09:30This is a kind of once in a lifetime, and I also helped organise most of it.
09:34But getting leave can be difficult because of short staffing.
09:40It's hard to leave your teams without cover.
09:44Yeah, for sure. Okay. Thanks. Bye.
09:47Hello.
09:48How are you doing?
09:49Yeah, good. How are you?
09:50I'm good. Um, your dad's birthday.
09:52Yeah.
09:53Still leave.
09:54When do you need to be down there?
09:56I'm flying out on the 19th, come back on the 26th.
09:59What day's the 19th?
10:00That's the Tuesday, I think. Let me have a look.
10:04Okay.
10:05Because what I'm thinking is if we can get a direct swap
10:08for whoever's doing the e-calls for the Thursday to the Sunday week before you.
10:12Okay.
10:13Do you get what I mean?
10:14Yeah. Okay. Yeah, cool. Thank you.
10:16Perfect.
10:17See you, team.
10:18See ya.
10:25It's going to be funny because it's like all of us in our 18-seater van.
10:29I can't wait. It's going to be so nice.
10:33I've got to go.
10:35Yeah, it's just one of those situations where I can't be at work.
10:38I'm sorry.
10:40I'll rise again
10:43Like a tide washing over me
10:48I'll take you up and we'll fly above the dry above the dry above the dry above the tree
10:59See you later.
11:00Bye.
11:01Have a good day.
11:02I'm a married man now. Bye.
11:03Bye.
11:04Bye.
11:05Bye.
11:06Bye.
11:07Bye.
11:08See you later.
11:09Bye. Have a good day.
11:15I'm a married man now. Bye.
11:17Bye.
11:18Bye.
11:26You kind of feel complete, like, after wearing the ring.
11:30I don't know, just something about it feels like,
11:32oh, I'm actually, like, a married man now.
11:37The hardest thing about the emergency department
11:39is there's that uncertainty to it.
11:42You just don't know who's going to walk the door.
11:44It's quite hectic.
11:45I stress non-stop churning through patients.
11:48I don't think it's something that I would want
11:50to continue in the long term.
11:52Flying out on Saturday to Sydney,
11:55getting ready for my wedding next week,
11:57feels pretty surreal at the moment,
11:59but I'm sure it'll kick in when I touch down on Sydney.
12:04Oh, man, yesterday the Sunday Blues was so bad.
12:08Just did not feel like going to work today.
12:11I feel more, like, despondent.
12:13And it was funny, because Fizra noticed it yesterday.
12:19Like, why do you look so down?
12:21I was like, I don't know, maybe I'll start work tomorrow.
12:24If I was to be brutally honest, yes,
12:31I can't wait to finish my ED run and move on.
12:38I don't have, like, too long left of the run.
12:41Maybe, like, another five weeks, six weeks.
12:44And I feel like it will go by pretty quickly.
13:00So it's your left hip.
13:02How many times have you had this happen to you before?
13:05Uh, this is the fifth time.
13:07Okay, quite a few times.
13:09But in the last four years, it hasn't happened at all.
13:12And then suddenly it's popped out again today.
13:15Okay.
13:16Could I have a look at your leg?
13:17Yeah, sure.
13:18Can you wiggle your toes?
13:20Can you feel me touching here?
13:23Yes.
13:24In here?
13:25Yes.
13:26Over here?
13:27Yeah.
13:28So what do you think?
13:29Tell me what you've learned after you've talked to me.
13:31She looks well.
13:33She knows she's done this before.
13:34It's her fifth time.
13:34No other injuries.
13:35No other injuries.
13:36All right, let's go.
13:39And Elizabeth is helping because she's extra strong.
13:46Knock, knock.
13:46So we meet again.
13:48So we're going to give you some oxygen,
13:51put the mood lighting on, give you a medicine
13:53which will put you nice and to sleep.
13:55Mm-hmm.
13:56All right, we're going to give you 20.
13:59You have any dreams you want to have?
14:00Oh, yeah.
14:01Nice tropical island.
14:02Mm-hmm.
14:04You can lean your head back if you want.
14:06Don't have to fight it.
14:11Put your knee there, right?
14:16Yes, Captain.
14:17Wiggle a little.
14:19Wiggle.
14:20See if you can get her femur completely vertical.
14:23Yep.
14:24Nearly.
14:25I've got femoral head.
14:26Ooh, nice.
14:28Okay, just pop it down.
14:29I think you need to go right on the bed and do the, yeah.
14:34Don't step on her leg, watch out.
14:35There.
14:36Lock your fingers underneath her knee.
14:39Little wiggle.
14:40You're doing the tricks.
14:42Twist.
14:43Don't hurt your back, though.
14:44I think this needs the internal rotation that way.
14:48Because it's just sliding on that.
14:51I know, I heard something.
14:52It's moving there, but it's moving.
14:53It grinds along the thing.
14:54Yeah.
14:55Take a rest.
14:56Take a rest.
14:57Take a rest.
14:58I don't know.
14:59I think you guys should switch sides.
15:01Switch jobs.
15:02Sure.
15:03You sure it's not in?
15:04Yeah.
15:05It is now.
15:06Oh, there you go.
15:07Don't worry.
15:08How simple is that?
15:09Good job.
15:10Cool.
15:11Back in.
15:12It was a bit tough, but when we were coming down, then it just slid back into place.
15:25Okay.
15:26So, overall, quite uncomplicated.
15:28Thanks very much.
15:29All good.
15:30I've never done a hip relocation before.
15:33That was quite fun to do, actually.
15:35We were very keen for these sorts of cases that come in.
15:40Okay.
15:41Ready.
15:45I was just texting Alex.
15:47Oftentimes, I think he'll say, like, oh, we haven't really spent that much time together,
15:52because I'll leave before he gets up.
15:55And then, like, when I get back, sometimes we don't see each other until, like, the very end of the evening.
16:03Jumping.
16:04Jumping.
16:05Jumping.
16:06Next one.
16:07Next one.
16:08Catch this.
16:09Shadi.
16:10Coopies.
16:11My mom is from Iran, so we keep the traditional Persian New Year.
16:16Hey, get them out!
16:17Get them out!
16:18Come over here!
16:19We're doing jumping in the fire!
16:20No, jumping over the fire!
16:21Not in the fire!
16:22So, it's a bit of, like, a tradition slash superstition, where you jump over the fire, and then it's
16:23that you give the fire your bad energy.
16:24and then you only have good vibes.
16:40So you're leaving your negative energy behind.
16:51Yeah, I just give all positive things of happiness to me.
16:55Okay, go and give your negative energy.
17:00I'm dancing through the night.
17:04Oh, summer set my world alive.
17:08Anything else I want to pop in the fire?
17:10Maybe, hopefully my moodiness, so I'm not so mean to Alex.
17:14I've just been very snappy, like, with him.
17:17Hopefully he gets there in time.
17:19I would love for him to come, but it might not be.
17:23I don't know, maybe he'll arrive soon.
17:26Yeah.
17:27Shadi, where are you?
17:29Oh, I think we're doing a group photo.
17:32I'm coming, I'm coming.
17:34Come for a photo.
17:35Oh, Alex is here.
17:36Oh, Alex is here too.
17:39Shadi, go greet Alex.
17:42From northern stars to satellites,
17:45suddenly it feels all right.
17:48Oh.
17:50Oh.
17:55Feeling free under the sky.
17:58All right, Alex, everybody has jumped over fire.
18:01You haven't.
18:02You're getting the brightness, the happiness.
18:06Fire.
18:07Trying to find the time to spend meaningfully together.
18:13It's a new normal, I guess.
18:16When she works the weekends, I think it's the worst.
18:19Because the energy is, like, down here, and it just means for the next few days it's tough.
18:25On one end, it's also seeing, like, man, how fatigued she is and how tired.
18:31It would be very unfair of me to have some expectations of her not to act with that, you know,
18:39because that's part of her reality, so that's for me to understand as well.
18:42But it's kind of like for both of us to learn how can we accommodate the needs of each other.
18:47The world keeps turning.
18:53Time won't wait for us.
18:55He does try to, like, bring me back to Earth,
18:57and when I'm kind of, like, get angry or get annoyed,
18:59he'll try to, like, calm me down.
19:01Hi, Roman.
19:02How's school been?
19:04I have to learn to be kind to him.
19:09Will you come with me?
19:14Because time won't wait for us.
19:35First day without her, that was a bit like, oh.
19:39Felt like I was missing something, you know?
19:42How is it?
19:48Good.
19:4986-year-old, clinically all right, neck of femur fracture.
19:53She's been walking around for, like, five days?
19:55Yeah, probably.
19:56What? Okay.
19:57Hmm, there you go.
19:59That does not look good.
20:01Definitely broken.
20:02Yeah, that's a broken hip, all right.
20:04All right, so you want to start doing this?
20:07Yeah, sure.
20:08These type of hips almost always need surgery,
20:10so in the ED it's just limited.
20:12We want to take care of her pain
20:13and make sure she's comfortable.
20:14There's a special trick we can do
20:15where we inject, like, a local or regional anesthetic
20:18around the hip,
20:19and our man here will be taught all how to do it.
20:23Have you ever seen one before?
20:25Yeah, I've seen one.
20:26Sounds very nice.
20:27He's a pro. He's all ready.
20:28Was it easy?
20:29It was easy.
20:30Famous nice words.
20:32We'll see what happens.
20:33Yeah.
20:35Hello.
20:36Just got your x-rays and things back.
20:38It does show a broken bone around your hip, okay?
20:41So we're going to put a block in your hip, okay?
20:45That will hopefully just numb up that area in your leg,
20:48just so if we need to move it around
20:51that you won't feel that pain.
20:53It's okay.
20:54So it's a linear probe?
20:55Linear probe.
20:56And then usually there's a nerve setting.
20:58It's like magic.
20:59Oh.
21:00So did you really walk around
21:02for the last couple days with this hip?
21:04Yeah.
21:05I use my walking frame.
21:06So it's all pain.
21:07I bet, I bet.
21:08We'll show you the x-ray,
21:10and everyone will be surprised
21:11that you have been walking around for a week.
21:13How much pain are you in right now?
21:15It's okay.
21:16Very good.
21:17Hopefully this will have you feel a little bit better.
21:19So make sure this is towards you,
21:22because that's where you're going to be putting the needle.
21:24Yeah.
21:25Nice.
21:26Pretty.
21:27So this may have a little bit of sting.
21:29Oh, look at that.
21:31That's like a textbook.
21:33Hold the needle still.
21:34Yeah.
21:35And try to fan it again to see if it pops in there.
21:37And twist it a little bit,
21:39and scan it a little bit.
21:41And then it magically comes in.
21:43It's like surprisingly difficult.
21:45Okay.
21:46And that's almost the perfect angle, right?
21:47Yeah.
21:48So keep going.
21:49Do you feel the magic pop?
21:51Yep.
21:52That was the pop.
21:53Nice.
21:54And look at that.
21:55It is like a textbook.
21:57Can you tell any difference?
21:58Can you feel any difference in pain yet?
22:00Yeah, that's probably good.
22:02It's awesome.
22:03Excellent.
22:04You did a great job.
22:05It's done.
22:06It's like a textbook.
22:07It's all done.
22:08It's all done.
22:09Okay, it's a star.
22:10Okay.
22:11I'll give the orthopedic team a call,
22:13and they'll come and see you at some point today, okay?
22:16Okay.
22:17Okay.
22:19Thank you so much.
22:20That's okay.
22:26Hey.
22:27How are you?
22:28I'm good.
22:29How are you?
22:30Oh, great.
22:31The nerve block was successful.
22:33I really enjoyed it.
22:34I'm good.
22:35Yeah.
22:36Felt confident after the procedure.
22:38Nice.
22:39I think I feel like I could, you know, do it again.
22:42Yeah.
22:43Yeah.
22:44Yeah, I thought, well, it went well, so of course, you know,
22:46I can give myself a pat on the back, so.
22:50That's a good thing.
22:51Yeah, I agree.
22:52Yeah.
22:55All right, well, I'll see you, Sam.
22:57Bye.
22:58Bye.
22:59Bye.
23:02Some people would regard me as very work-focused,
23:05and I can be.
23:07But I'm also really trying to balance my life a little bit.
23:10Yeah.
23:11Because I am the type to be more family-oriented.
23:14Okay.
23:15You can put those in there.
23:16Nope.
23:17That's good.
23:18You don't have enough to die.
23:19Yeah, that's fine.
23:20Is that heavy?
23:21It's good.
23:22It smells like a studio.
23:23It's heavy.
23:24Seriously.
23:25I've made up my mind.
23:26I'm gonna make your mind.
23:27When I first met him, one of my main thoughts was whether he would be someone who would spend
23:38all his life at work.
23:40It's very easy to just think about work all the time and bring work home, and if work
23:45would be his life, but he's not.
23:47Make a little heart.
23:48Okay.
23:49Heart open for interpretation.
23:51Looks like a bunny.
23:52Those are the ears.
23:53That was intentional.
23:54Nice one.
23:55It was good that I felt so open and comfortable to share these worries.
24:00And getting to talk to him and talking through this before we got married was really good
24:07and helpful.
24:08Like, we know where we stand.
24:09We know where we're going, any place we'll do, as long as you have me, and I have you.
24:20It's still very early days, that I guess honeymoon period, and also just early days in terms
24:25of the marriage itself.
24:27So there's its own sort of nervous quality associated with that too.
24:31We've got love and that's enough.
24:32How's the study going on?
24:34Um, I failed.
24:35Oh, I'm sorry.
24:36Oh, thank you.
24:37Yeah.
24:38Horrible, actually.
24:39It was so horrible.
24:40It was one of the worst things I've ever been through.
24:41I'm really sorry to hear that.
24:42Oh, thank you.
24:43Oh, thank you.
24:44Yeah.
24:45Everybody knows it's not an exam that defines you.
24:46It's just one of those steps you have to go through.
24:47And also people know that those who failed, they're not less of a doctor in any way.
25:04Any colleagues or other people that I know that might have failed, I would never ever think
25:10lower of them.
25:11But when it's you in that position, it's a completely different story.
25:15You're like, everybody's going to think lower of me, or I think lower of myself.
25:20And just, yeah, you can be very, very self-critical.
25:23So, where's your head at now?
25:24How are you feeling?
25:25I just came back from a holiday with my whanau, which was so nice.
25:28I think they just, like, put everything into perspective for me.
25:31Like, you just have to find the silver lining in these things, which has taken me, like,
25:36four weeks.
25:37But, yeah, you just have to be like, okay, cool.
25:40At some stage, everybody's going to go through some kind of difficulty in their journey
25:45and this thing, and this just happened to be my biggest one.
25:48Yeah.
25:49Just go back to basics.
25:50Yeah.
25:51Yeah.
25:52Just going to race it again in October.
25:54October?
25:55You feel ready?
25:56Yeah.
25:57I reckon you'll be sweet.
25:58Oh, thanks.
25:59You're still a great doctor.
26:01And an awesome person.
26:02Oh, thank you.
26:03All good.
26:04Thanks for the upliftment.
26:05You got it.
26:06You got this.
26:08I enjoy the hospital.
26:10I enjoy the people.
26:11I enjoy the patients.
26:12I enjoy the work.
26:14It is the most important thing.
26:17So I'm staying really focused on that.
26:20Oh, God.
26:22Mr Ned here.
26:24John?
26:25Yes.
26:26Awesome.
26:27I'm Keriana.
26:28I'm one of the doctors.
26:29All right.
26:30So I had a quick look at the notes.
26:32When did your breathing start causing problems?
26:35About October and November last year.
26:37Okay.
26:38We just finished having a tute session.
26:40Couldn't breathe.
26:42My heart locked up.
26:44Oh, that would have been so scary.
26:46Everything just went boom.
26:48When you did have that boom feeling, was there any pain there?
26:51No.
26:52No.
26:53No.
26:54Okay.
26:55It was just that the breathing was just gone.
26:56Gone.
26:57Any heaviness?
26:59Yeah.
27:00Okay.
27:01Someone just went and put it in a little box.
27:04Did you feel like that kind of sensation, that gripping sensation was going up here?
27:08Straight up.
27:09Straight up there.
27:10Okay.
27:11Did you like fall to the ground or anything like that?
27:14No.
27:15I don't think my vanity would have allowed me.
27:17Okay.
27:18Obviously very tough.
27:21Okay.
27:22Well, I thought I was.
27:23And then since then, the breathing's been a problem, is that right?
27:27Yeah.
27:28Okay.
27:29When you're lying flat, do you get more short of breath?
27:31Instantaneously.
27:32Okay.
27:33Especially from here to there.
27:36It just gets squashed in.
27:38Mmm.
27:39And then my heart just goes .
27:41Kind of like palpitations?
27:43Yeah.
27:44Okay.
27:45Now, I'm going to have a quick look over you if that's okay.
27:47I can just pop in under there.
27:50Okay.
27:51Can you take a breath in and hold?
27:55The heart.
27:56It's a really interesting organ.
27:58It's just so important.
27:59Like, without the heart, there is nothing else.
28:01Once your heart stops, that's the end.
28:03So, the stakes are high.
28:04All right.
28:05Okay.
28:06So, what you have is a thing called heart failure.
28:20So, essentially what I think happened is, back then, you probably had a heart attack.
28:30And then, this happens as a result of that heart attack.
28:35So, first of all, you'll be staying in hospital with us for a little while.
28:41Like, I'd say a few days at least.
28:43Really?
28:44Yeah.
28:45This is pretty important, you know.
28:46Like, the heart's not something to be messed with.
28:54This is my last day of ED.
28:56Today, you know, I kind of felt like I wanted to be here.
29:00I know it's my last job, so I'm really looking, like, seeing patients, seeing, you know, as
29:06much as I can just to get that kind of last bit of experience in the emergency run.
29:13My experience in the emergency department has taught me that I like to see those who
29:18come in with broken bones.
29:21Broken bones and orthopedic complaints.
29:26It's definitely cemented my future plan.
29:30Hi, mate.
29:31How's your shoulder doing?
29:33Good.
29:34We're still waiting on a room to be spared.
29:36Okay.
29:37Won't be too long, hopefully.
29:38You should be the next one.
29:40Oh, that's...
29:41Now, we're just putting him to sleep and hopefully try and attempt the reduction, which
29:46I'm quite excited for.
29:47I've never actually had to do a shoulder reduction before.
29:51How painful do you think it is?
29:54It's quite painful.
29:55Pain's a big factor, so unless he's got any major problems like severe heart problems,
30:00lung problems or anything, we'd probably just propofol him with a bit of fentanyl.
30:04True.
30:06So what we're going to do is we're going to give you some medication to pop you off to sleep.
30:11And then you don't remember it?
30:13Jesus.
30:14Okay.
30:15Cool.
30:18Feeling a bit sleepy on it yet?
30:20Stefan, can you hear us?
30:22Yeah.
30:23Okay.
30:24Let's give that a go.
30:25Just give a gentle traction there.
30:27That's cool.
30:28Just some dental...
30:29Just relax.
30:30Yeah, that's good.
30:31Do you want me to counter-track?
30:33Yeah, counter-track, I think.
30:35I finally feel like I've been able to do some of the procedures that I wanted to do.
30:41And I'm like, whoa, that's super cool.
30:44Are you relaxing a bit more neofascial still?
30:47Just relax there now.
30:49Yeah.
30:50It's about nine degrees now.
30:52Yeah.
30:53So when you can't get any further up, then you can just do the rotation.
30:58Just do the rotation?
30:59Yeah.
31:00I find it's quite exhilarating.
31:03It's all very, very hands-on, and I quite enjoy that.
31:06Move, move, move.
31:10Still not in.
31:14Okay.
31:15I'm going to have to try it.
31:16I'm going to give you a bit more pain raise, and then we'll try that cockers, I think.
31:20I think it's going to be easy.
31:22It's not the Mr. Easy one to get in.
31:25Yep, okay.
31:26Make sure you're tractioning first.
31:31And just lean all your body weight.
31:34Right, counter-traction, traction, and then just wait.
31:39There you go.
31:40Here we go.
31:41That's all you have to do.
31:42So that's gone in.
31:43Did you feel that and see that?
31:45Yeah, I did, yeah.
31:46Yeah.
31:47So, now why don't you test his range of motion in his shoulder?
31:51And it should feel a lot looser than it was before.
31:56So bring it up.
31:57Put it across his chest.
31:59There was a bit of a click.
32:02On that side.
32:03Well done, fussy.
32:04There you go.
32:06Wasn't the easiest one, but you've done it.
32:08I did it.
32:09Yeah.
32:10My first shoulder dislocation.
32:11Amazing.
32:12Good feeling.
32:14Got a lot of help from my supervisors.
32:16So that was really nice.
32:18Yeah.
32:19Wow.
32:20Never knew I could do it.
32:23Shoulder just popped into place.
32:25I've never seen that before.
32:26So I was like, wow, this is really cool.
32:28It's a nice feeling.
32:29I think just having solved that issue is really, um, it does make you feel like a doctor.
32:43Hello, you can wake up now.
32:45Waking up.
32:46Okay.
32:48How are you doing?
32:49Yeah, good?
32:50All right.
32:51Guys, we'll get the x-ray people to come in.
32:54X-ray the shoulder.
32:55See if it's in, uh, the right place.
32:57Then we can send you on your way home.
32:58Yeah.
32:59Good stuff.
33:00All right.
33:01Take care.
33:05I feel proud of myself that I've come to the end of the run.
33:15I think I've developed myself well personally.
33:18That's where I belong.
33:20And professionally.
33:25So now I'm at a stage where I feel confidence going into the next few runs.
33:41Right now I'm just waiting to go in for my end of run review.
33:45It's kind of assessing whether you pass or fail the rotation.
33:50It's a difficult run for a first year, first run, um, because it's quite busy.
33:55I think that's a jump in the deep end.
33:57You know, not everyone can work in a high pressure environment and still keep you cool.
34:03You've got good communication skills.
34:13You've worked well in the team.
34:15And I've seen you a few times in theatre as well, which is good.
34:18Mm.
34:19But overall I think we've been happy with your performance.
34:20It's been good.
34:21Uh, we don't really have anything negative to say.
34:22I think you've worked hard.
34:23So thank you for the hard work for the run.
34:24So, um, we're just going to sign off on you.
34:25That's it.
34:27Don't forget the karate.
34:28Yes.
34:29I will be there.
34:30I did pass the run.
34:31Um, and I'm happy about the feedback.
34:34My last day.
34:35Bittersweet, I guess.
34:39And nobody said it was easy.
34:41But I think we've worked hard for the hard work for the run.
34:44The hard work for the run.
34:45So, um, we're just going to sign off on you.
34:48That's it.
34:50Don't forget the karate.
34:51Yes.
34:52I will be there.
34:53I did pass the run.
34:55Um, and I'm happy about the feedback.
34:58My last day, bittersweet, I guess.
35:01Nobody said it was easy.
35:04It's going to take everything on me.
35:08Still, I'm fighting for the finish.
35:14I'm going to make it.
35:18Going to make it.
35:20You made this.
35:21Hang on.
35:22Shardy.
35:23Full of surprises.
35:24Right, there you go.
35:25Are you sure?
35:26Yeah.
35:27No, they're for you.
35:28They're literally for you.
35:29They're so beautiful.
35:32I feel quite happy with, you know, how much effort I've put in.
35:36Like, trying to give my 100%.
35:38I don't know, when you're working, you feel more compelled to try your best.
35:42It's more the actual feedback on your performance, you know, as a person.
35:46An extension of yourself as a doctor.
35:48Three, two, one.
35:51I'm going to miss seeing you around.
35:55At the beginning, being called, like, Dr. Shardy, I didn't really associate that with my identity.
36:00But now I do.
36:03So yeah, feel good.
36:04Maybe a surgeon will be the next one.
36:06And this run, I actually learnt something, and it wasn't really to do with the exam.
36:23It was just about learning.
36:24Like, okay, cool, that part's done.
36:25I can just get back to my groove, you know, like, get back to the things that I really like.
36:44And I've realised that I'm interested in cardiology.
36:48Now, you've had some chest pain, is that right?
36:51Like, you light a wick and it just goes straight to here.
36:55It feels like some, you know, just a bit of pressure like this on this side.
36:59And then I panicked.
37:00Yeah.
37:01Thinking, what the heck?
37:02You've had some pains and breathing problems, I've heard.
37:06Yeah.
37:07A very sharp pain.
37:08The pain from one to ten, it was about a seven.
37:11What's been happening?
37:12Chest pain, shooting in my arm.
37:15Whereabouts in the chest, on the left side.
37:18Okay, good.
37:19I'll just have a listen to your chest.
37:22I just like the heart.
37:25I like the different things that can go wrong, what we call the pathology of the heart.
37:31So it's the kind of different disease conditions and things that affect the heart.
37:35Oh, great.
37:37Very strong.
37:38And I guess I like that pressure of knowing that if you do something here you're making a big difference.
37:45So you had a chest x-ray which was normal.
37:47Palpitations that happen on and off, it could just be that your heart was beating fast, a bit dehydrated and things like that.
37:53The ECG looks okay.
37:54Yeah.
37:55There's nothing on there to say you're having a heart attack or you've had a heart attack recently.
37:58Okay.
37:59That's great.
38:00The heart's like that little bit of extra.
38:02That bit of like caring for the person or finding out that little bit of information about them that takes a consultation.
38:09They're just getting to know and talking about a disease to a personal level.
38:13I've had this a few times and I'm worried now and then.
38:18But even my boss, are you sure it's not panic attacks?
38:21Hmm.
38:22Now I've been a truckie for 52 years.
38:25Wow.
38:26That's a long time.
38:27Yeah.
38:28From Auckland to Wellington.
38:29Wow.
38:30And long trips.
38:31Yes.
38:32And I just retired August last year.
38:35So that'll be about five months ago.
38:37Yes.
38:38And all of a sudden this has been coming on.
38:40You must have just been working, working, working out.
38:42Yeah, I have been.
38:43Not noticed all of these little things.
38:44All this has been happening.
38:46They say like emotions that come from the heart and stuff are very like deep-seated emotions.
38:53Deep traumas and stuff are often felt down here.
38:57All right.
38:58If you get any more chest pain you just have to let the nurses know.
39:01Okay honey.
39:02We'll monitor you for a day or so.
39:03That's good.
39:04Okay.
39:05Thank you very much.
39:06All right.
39:07You're very welcome.
39:09Okay.
39:10I think now like I'm coming out of what I would call the Great Depression.
39:14It's kind of in a way been a learning experience to just be like there's more to life than an exam.
39:20There's more to life than failure and that failure is part of life.
39:25You just have to learn and you have to grow from that experience.
39:40Exam results.
39:42Oh my god.
39:43Fingers crossed.
39:44Downloading one message.
39:45Your results.
39:46Oh I'm like really nervous now to open it.
40:03Trying to be one of those people who fails and gets back up again.
40:07You know.
40:08Just had to go through like the most extreme version of that in order to learn that about
40:12myself I think.
40:13I'd like to say there's nothing that will shake me now after going through that.
40:17Pretty sure that's the hardest thing I'll ever go through in my career.
40:20Definitely I think the biggest hurdle of my career.
40:25For sure.
40:26But it's going to take more than that to take me down.
40:33Okay.
40:35Oh I was successful.
40:38It says congratulations you were successful in the Royal Australasian College of Physicians
40:48Divisional Written Examination.
40:50We acknowledge the hard work and dedication you've put into your training.
40:54This is a significant achievement on your journey to becoming a physician.
40:59Oh I'm so happy.
41:02Oh yay.
41:06Oh my gosh.
41:09I passed.
41:10I passed.
41:11Let me just double check that email.
41:14Oh my gosh.
41:16Yay.
41:19Oh.
41:22I'll just see who this is very quickly.
41:25Hello.
41:26Keriana speaking.
41:28The myopericarditis.
41:30ED Rhesus 3.
41:31Okay.
41:32Let's go.
41:41When you look back now like in reflection you can see there's a bigger picture around being
41:45a doctor.
41:47It's not just me you know you're part of a massive team.
41:51It's very very collective.
41:52Being out working with like-minded people the passions that they have kind of align with
42:07the passions that you have and you want the same things for your patients.
42:11I think one of the key things for the patients is feeling like they mean something.
42:24The service that's provided to them should be in line with what they need and should make
42:30them feel safe.
42:31It should make them feel valued.
42:33Singing.
42:34All our way.
42:35All our way.
42:36That's the importance of what we do every day because at the end of the day it's about
42:43helping people.
42:44The start today.
42:45The start today.
42:46The start today.
42:47The start today.
42:51The start today.
42:52The start today.
42:53The start today.
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41:44
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