Boy Critically Underweight and Doctors Don't Know Why | Confessions of a Junior Doctor | Only Human

can we put it in one hello ma'am my name is Morgan I'm one of the

doctor

s there are over 63,000 young

doctor

s working in Britain's hospitals from the age of 23 they are foot soldiers of the NHS how are your bowels and water? yeah, it's not glamorous hey, they will welcome us into the world, they will be there at the end, but they are working in hospitals that treat more patients than ever. There are no beds, there is no space. Everything is on the limit. We don't have much to give and something. needs to change these doctors have become a symbol of the state of the NHS we are making our vats we are working as hard as possible but it's not enough filmed in a regional hospital at the height of the young doctors crisis this series is about young people doctors who are the future of our health service to survive as a

junior

doctor you have to have courage, courage to face what we see day in and day out, encouragement to deal with people in the worst moments of their lives and courage to work in a system that cannot cope with the pressure it is under there is a date that stays in the mind of every Gimli adoption and it is the first Wednesday in August, that date is when they start working at the hospital for the first time, you can ask Any NHS doctor will tell you that's the most important day of their professional life in August 2016.

Around 6,000 medical graduates are starting their careers across the country, so I have butterflies in my stomach because it's just the right thing to do. a stranger. Isn't it obvious that it goes without saying that I'm petrified of disappointing my patients? 30 are registered at Northampton General. Your induction is led by Dr Philip Pearson, my job is to welcome you but also warn you of what is coming - the NHS at the moment is very close to breaking point and young doctors and others are on the frontline. My fear is that it will be harder for them than anyone else. another generation previously welcomed to Northampton and indeed welcomed to doctors, it will be hard work, it will be stressful, in the next 12 months you will be affected physically, emotionally and mentally more than you ever thought possible, you will have patients dying in front of you.

There will be times when all you want to do is burst into tears. There will be times when you will come home dancing, punching the air for things that have happened. There are many good times and there are always people who will help you. Thanks for It's been a long day, but welcome to medicine. There are hundreds of general hospitals like Northampton across the UK. They are the backbone of the NHS, providing care to millions of people every day. This is a haptens hospital. Most of the people who work here live here. Most people. we treat our neighbors there is a lot of pride in the place it does a fabulous job with limited resources but we are not much different from anywhere else we have an increasing number of patients coming through the front door but we do not have an increase in staff numbers to provide that care, we do not have an increase in the number of veterinarians to provide that care and we do not have more money, each new doctor has been assigned to a hospital ward working in a full medical center team for the first time ok sharp scratch I will ask you to one of the other doctors to help me you are right you are sharing it it is scary you don't want to seem like the nervous doctor who doesn't

know

what he is doing they are doing and they make a lot of mistakes and no one trusts them they seem like they don't what does that say ?

Rabbits caught in headlights, that's exactly what it is. I think thank you for Holly, 28, it has been a long journey to get to this day when I found out I had qualified I was shocked. She surprised me because when I was 15 one of my teachers told me that he would never be a doctor because he wasn't smart enough and didn't have Drive left me without confidence. I feel like I've had a lot of jobs to get here. I have been a healthcare system but a pub manager for a while did a bit of security work. It hasn't been easy.

It hasn't been an easy first day for Holly, who works with a consultant and nurses in the emergency assessment unit where acutely ill patients are sent from A and B at midday, the consultant is briefly called in and Holly is left as the

only

female doctor who covers the I think everyone's biggest failure on her Thursday is causing serious harm or killing a patient, which is very difficult to empower, hopefully, but within minutes a patient began to deteriorate. What did Marty have? He's taken a gram, oh baby, but he won't. I no longer beat you until there is a gentleman with pneumonia and despite being treated with antibiotics they have been unsuccessful so at the moment we are trying to explore different treatment programs for him but he is not feeling well.

I'm quite worried. about him right now three hours into his run holly has a patient's life at stake my name is holly i'm one of the doctors on the ward right now and the consultant who came to see you early this morning would like you to stop They put a tube in you, it's one that we put through your nose and into your stomach so we can help you with things like your pain, squeeze my hand if you understand what I said when you see someone very sick for the first time. You suddenly realize the pressure of the position you're in, you

know

it sounds pretty dramatic, but you held it there like in your hands and suddenly it hits you and you realize that all that training, everything you did. they taught, this is what it is for this moment Holly needs to insert a nasal tube that can deliver life-saving antibiotics when measuring an NG is simply dancing an on-call team is there to provide support are you thinking with the engine yourself?

Yes, yes, I have had it. training well, you can have the training, it shouldn't be a problem, it's okay, when it's your first days as a doctor and as expected it happens, that's when doubt takes over. Someone once said, "I can't do this, am I about to?" prove them right if this is uncomfortable just squeeze my hands and hollywoo for good Polly insert you understand perfectly but you won't know until tomorrow if the antibiotics have worked you feel like you're nervous or will this patient talk back and get better and then go home or they will get worse and it's a waiting game.

There are 210

junior

doctors in North Hampton. Do you want to tell me what brought you to the hospital today? Just solve this boss of mine along with care. For patients there is an ongoing training program. When you are the person who makes the diagnosis and begins treatment, when you save someone's life, it stays with you forever, and as their careers progress, they take on more and more responsibilities. My name is Emily. I'm one of the oncologists. I understand that you have been diagnosed with breast cancer. So, do you want to tell me what brought you to the hospital at this time?

Emily, 26, has just started on the cancer ward in her third year. his first opportunity to specialize his training I can take a look at you if that's okay I really don't know why I wanted to be a doctor I just know that I always wanted to be one and I think it was because my mom was one of them and she was an incredible role model and I think that I just saw the difference she made. A couple of years ago she had a normal mammogram and was diagnosed with breast cancer three days before my final white blood cell count.

He had to have a big operation, he retired early from work, but it really made me realize that being a doctor, as much as it's about medicine and medical decisions, really in situations like that it's about the person in your life. Emily's mother made a full recovery, but the experiences led her to choose end-of-life care as a specialty. People seem to wonder why I want to work in palliative care. I think a lot of people just don't see the benefit and maybe those people haven't had family members die or had bad experiences. You might think all deaths are the same, but I'd say it's definitely not and there are a lot of goodies you can make in Emily's Ward. people with complicated or terminal cancers, a patient, Tracy used to work in the hospital.

The chest x-rays are a little bit worse, so it's a little bit like the edge of a knife that you're balancing on. I know that Tracy has lung cancer, but unfortunately she has now spread to other parts of her body, I am also very aware that the liver lesions will likely increase as you stop receiving chemotherapy. Yes, she has a lovely family who really got the kids involved. She's been telling her husband at the weigh-in that he needs to go home and get some rest too, but yeah, the next few days are pretty important, since Emily's mom Tracy's cancer came completely out of nowhere, she wanted Say when he told us we started laughing because it was a bit of disbelief.

Yeah, I didn't really because I never smoked, so I didn't really believe it at the time. I'm in my third year and I'm happy and I've had two and a half fantastic years. doing things I wouldn't have done if this hadn't happened, a lucky thing, yes, but I still left it all. I know you're not going to do all this to be a good doctor, you have to worry because I think when you stop. That's when you become a bad doctor, but I think what worries me is that it's quite demanding and emotionally draining, and it's well known that people suffer from burnout.

I think working in oncology will definitely help me see if it's something I can do every day or if I think it would be too much for me in the assessment unit. Holly's patient has continued to deteriorate. I think the most difficult thing when you start as a new doctor is to understand or realize that you are not going to be able to do it. to be able to help everyone there are some patients no matter what you do they are not going to get better and as a junior it is very difficult to understand we have been giving him a lot of antibiotics and we are still struggling to keep him comfortable this is my second day and I already feel I know him very well later that week the man dies from his infection he is Holly's first patient just for that moment you think there was something I could have done you are there to relieve the pain, the suffering, make the patients better , but death is a consequence of life, it is a privilege to be a doctor, it really is, you are invited into the lives of these patients and you see them there absolutely worse.

I just hope that patient feels just as comfortable. As it may be, Northampton General is serving a growing population, but has not had an increase in the number of doctors in training over the past 15 years. Like many NHS hospitals, it operates at near full capacity most of the time. Right now, we are dealing with the issues of the surge. Patients admitted to the hospital are generally sicker. They are often older. There are more complex problems and therefore they will stay in the hospital longer. Can you take a deep breath in and out so that all staff, whether junior or senior, are under significant pressure to see 20 25 percent more patients than they would see in a couple of years.

I think it's almost thinking well. Everything is on the limit. This is the worst I've seen in 36 years. Morale is not very good because it is very difficult to comply. the standard of care that Cleveland has Hello, my name is Sam Pollan. I am a second year doctor and am currently thinking about leaving the NHS for good. Sam is 24 years old and works in the gastroenterology ward dealing with intestinal and stomach problems and much more. of older patients do you know which hospital they were in at the time Hi, I'm Sam, one of the doctors, how are you doing today?

Joyce, you feel good, yeah, okay, and how our intestines and water work, yeah, it's not glamorous, it's not glamorous. I leave work more days covered in poop, blood vomit or a combination of all three Hi Miss Harrison, okay now this is just some local anesthetic. I busted my ass in school to get into medical school. I worked my butt off in medical school to get into it. where now I'm sorry, it's pretty uncomfortable, I know, and then you go out into the real world and you're trying to put all that knowledge and idealism to use in the system that's slowly falling apart in a system that's overstretched and underfunded. and it's a little demoralizing, it kind of sours a lot of what you've worked so hard on all these years.

Sam's Ward is understaffed and today is serving twice as many beds as it should. Ryan, 20, has had numerous hospital visits and lost half his body weight, but no doctor has been able to diagnose his condition. He may have been in and out of here 17 times this year. He originally weighed eight kilos and now I'm down to four kilos, you know, he just looks. like a malnourished perennial and it's horrible hello nice to meet you nice to meet you I can examine you okay just relax so we see patients like Ryan a lot and he will come to the hospital very often what they need from us like Doctors in our time is a bit mysterious right now, but be patient and we'll find out what's wrong.

Greetings, okay. See you atshort, but you physically don't have time to sit with a patient for 20 minutes. and listen to them because I have 50 other patients that I have to see before lunchtime and that's what frustrates me about medicine today is that we physically don't have the opportunity to provide the level of care that I've been trained to provide and so I want to offer and then I should give it to my patient and you feel guilty about it, you feel guilty a lot of the time most of the time the number of young doctorsleaving the NHS is increasing in some hospitals it is now a daily challenge to get enough young people on the wards Lindsay Barone is responsible for Northampton's medical rotor at the moment out of 65 junior doctors we have 10 gaps from today next week and there will be more because Someone leaves with two people, it will be 12.

Hi, I'm just going around the wards, but I know You're one less to see how it goes. There are days when you don't know how to make sure each one. has enough doctors providing safe enough care and that is a very dangerous situation last year almost a third of junior doctors left the NHS after just two years this is your first day on this ward the gap was largely filled by foreign doctors, yes, always quite helpful, quite, give me somewhere to go, so yes, there is no way the NHS will survive without foreign doctors. of the interviews will be Skype interviews, sometimes we get people who haven't done much and it's a bit risky, but you need to assess that in the interview to see if you feel they have enough experience for you to be able to supervise here every year. it's harder and it feels like we're on the verge of things being laugh out loud, a doubt that it's Holly's third week in the hospital one morning with a knee already busy, two of her team didn't show up, we should I might have thought it would happen now, but I've just been told that there's been a bit of confusion with the consultant writer, so there aren't actually any consultants available at the moment and that just means we can't really get things going. with our day and here we have a consultant. to go in and screen people without consultant review, no one can be admitted or discharged from Holly's ward, the department grinds to a halt as people continue to arrive.

In fact, I Nene currently has approximately 70 patients, this is quite a few in the ER at the moment, but I don't know what else I can do because that is a state where they don't have anyone in mind. Wait a minute, this room is full and we're told the hospital is full to capacity. No, it says there are no beds. any ward right now the emergency admission system is working at the absolute limit, it has extended to the point where if a key person doesn't show up for whatever reason then everything can fall apart, it's like no dominoes growing. with just one person leaving everything collapses because the flow stops, a blockage occurs and it backs up to the front door, it just becomes impossible within two hours, hospitals are on red alert as numbers in A&E have doubled, so What Milanovic points, can I check that you're happy with the plan?

So we have to chase the CT chiefs every time a hospital is on alert. All wards are under pressure to discharge Emily's patients. This happens on a day when her team has less than three nurses. Have? any known issues this morning are fine, maybe a pink EULA check from her, you hear me? Any other questions for us, it's a little stressful because I'm the consultant and he wants the room round to speed up. See you bye though the problem is when you trying to see them quickly means the patient is dissatisfied which is understandable and you may miss things you would have learned if you had spent that time ok see you tomorrow morning , okay, he's that kind of patient.

If we just go in and out, he'll be gone for the rest of the day if we don't explain that his anxiety, his depression, he's going to be suicidal again and I'm going to have to call the acute department. I usually don't have long conversations unless I need to have them. What is the next mission? Tracey Simpson, room six. I haven't reviewed her Bloods yet to have another chance. Would you really mind helping me? Sayid taking the notes and stuff because dr. Mallanna wants to speed up but I can't do it all by myself, okay? and now you're short of breath up there, so we'll continue with the nebulizers.

I'm going to order a chest x-ray just to clarify. "I'm sure there's nothing new going on. Okay, see you later. It looks like she hasn't floated today and I want to look into that a little more, but right now it's hard to feel like you're doing the best you can when I'm really busy Hi, Can I help in the afternoon? Staff shortages reach the ward. Rachel, 25, has been waiting for hours to see a specialist nurse. I have a patient sitting here to have his pump changed and I can't do everything. .it's too much, I mean, we were supposed to be here for half an hour today rachel has smothered throat cancer, they've been told she's avoided the 40% chance of survival and how can this happen, how can this be, it's really. stressful because we just haven't had enough doctors or nurses, you can let go of anything when it's a few hours or a few days, but when it's a permanent thing there's never enough staff and you're always running at 110 percent and you can't keep this room going has destroyed, has destroyed me this job has destroyed me in the assessment unit Lindsay Braun has stepped in to make the visit to the consultant room to see if we can, but Holly's day is about to get even busier, find that no not really so I had a cardiac arrest I wouldn't be in the room and today I'm part of the arrest team so it looks like we got there and found out what happened in the next room.

An elderly patient's heart stopped. Polly and her team

only

have a few minutes to save her life. She went into cardiac arrest, we started treatment and then it got to the point where we had already dealt with everything and she was still developing rhythm, so they are actually untreatable, so Medway just made the decision and then I will consult with the team. You have to stop The decision was late, but in the short time she was out of her ward, another patient died. Well, when things get really hectic and the rooms are really busy, you have to become almost like a machine.

Emotion just doesn't come into play if you have time to sit and worry about how you feel. You have more time on your hands than you thought. At the end of your shift. Holly is just beginning the discharge procedures. It's been 25 or not. She had love. I knew to finish in five minutes. In fact, right now I feel like I look really incompetent, so this download will probably take me about an hour, well actually, if I sat down without distractions it would have been less than ten minutes, it's just the fear of not wanna. disappoint anyone I don't want people to think I'm incompetent because I'm not.

Sometimes the NHS is on its knees and it is becoming increasingly clear to me exactly how all our senses are stretched, one of the most important things for me was that I didn't want to get to the point where I forgot about the patient and couldn't tell you anything today. about none of my patients if you line them all up in front of me now I couldn't tell you any of their names because I was in too much of a hurry today I expected it but not to the level of today today has been hectic at the beginning of September the hospital is quiet today we have a full complement of doctors on the ward which means we are each looking after a bay which means I have real time to spend with my patients so yeah today should be a good day.

Sam's team has spent the last week trying to solve Ryan's weight loss problem, but with little success, Ryan The puzzle continues, it's a pretty complex case and all the things I would have tried we've tried and they've come back. to normal, so I'm lost right now, he's not a guy, he's got a life to live, it must be hard for him He's okay, he's okay, and we have an office for you there, if you want it there for me, we can schedule a chat for a moment. Now I have a little time. Solution, yes, I know you looked for time, yes. so go ahead, you wanted to have a child, yes, being in that room is really bothering me, no, wait, I don't want to walk out of here and say, okay, I don't think we're planning on kicking you out quickly anytime soon.

Yeah, not just laughing because just because they'll slur their words over cannabis, that's the main thing I was going to talk to you about today mmm-hmm oh, why not you? Hello, I am a cannabis user, which I am trying to intimidate and I know this for a fact. If I continue next week I'll end up smoking, they go wrong again or I can already see how often you would say you smoke cannabis every day. Okay, it's good that you mentioned that because that means I can talk to the team and we can make sure everyone is informed and that can be taken care of on our end.

I'll just relate it to another word, okay, regards. Greetings, so I have Ryan's old notes here. Lifestyle factors are often important and what causes people's symptoms and not. Wasted drug use is often very important, but doctors are very shy about asking and cannabis, which many people consider an appetite stimulant in long-term use, is actually an appetite suppressant, so If all of this coincides with his cannabis use and we might have something on Ward's rounds the next day. Sam can test his theory with Ryan's advisor, so yesterday I chatted with Ryan trying to find out a little more about him and his lifestyle and he told me that he had just smoked quite a large amount. amount of cannabis and he has been for a while.

I'm really surprised. Hi, how are you today? Great, why do you think you've improved here when you weren't improving at home? Any ideas? Because cannabis suppresses appetite, right? Yes, yes. I'm going to continue with cannabis. No, so are you worried that when you come home to start using cannabis again, she'll just bring it now to help me get through the day? Have you been very depressed at home? I was before entering or everything or friend wakes up. upstairs, go smoke, probably Chris. I left it for about two three days and now I will sleep all day.

That's not a great life, no, no, it's a vicious circle, isn't it? You take the cannabis that you don't When you eat you get more tired, you end up skin and bones sometimes it's not the advice you give someone that solves the problem, it's the opportunity to be heard that solves the problem and I don't think anyone has really had time to have these discussions with him. I'm sorry it took us a while to get to this. I should have said it earlier in the day. Brian's medication changed and the drug counselor called and I'm calling him because I have a patient I would like to refer.

If possible, request an inpatient review; He goes through a lot of the work feeling like he hasn't lived up to what's expected of you, and when he actually does something that's spot on, it's really satisfying. Here's Dr. Dee, reminding you why you're here and why you put in all your work and why you sacrifice so much to remain a doctor because of those moments in the cancer ward. Emily's team just received Tracy's latest test results. Tracy is really bad right now, so seeing the x-rays getting worse I guess isn't surprising, but it just confirms that maybe things aren't going in the right direction after years of treatment.

Tracy's body has finally taken its last step, so to me this is One of the things it's about is because the way this whole situation is handled now will greatly affect that family for the rest of their lives. I mean, if Tracy is suffering or distressed and there's more trauma on top of it, then that's going to stick. forever family, as well as grief, and I think it makes grief that much harder to process. It really shows whether you have a good doctor or not, how you handle those situations. How do you feel? Tracy. I just wanted to catch up.

You and see how you are, broken, how does your breathing feel? Do you think the closet has helped you a little? You think he's just knocked you out a little. Well, I've taken a look at some of the returning Bloods. Unfortunately, despite the antibiotic, some blood looks a little worse, we may be entering that zone if the platelets drop more tomorrow, we may not be able to continue the anticoagulant, but I think it's just a little bit. Regarding things not seeming to go in the direction we wanted - did you have any questions for me? It's not okay, it's okay, it's okay, I'm new here, please, Tracy, okay, yeah, it's very difficult to get the balance right when you're having that kind of conversation to give people the information that you need, but I think I managed to address the issue and plant the seed, but it is a very sad situation.

You can clearly see the love between them, so I think. obviously it's going to be incredibly difficult for them for everyone.young people, life as a doctor is 24 hours a day, 7 days a week, okay, honey, you want to open my eyes, hospitals never close and day shifts mix with night shifts. I'm convinced I did the wrong thing, hey she. you didn't do it because she expected us to review the consultants are there for the young people when things get too difficult and you did it in a balanced way, which I think was very good, but in the emergency department Holly's team is still struggling against staff shortages, so I Tony on day 9 of 10 days in a row right now.

I know there are a lot of holes in the rotor and I don't mind helping out where I can and filling in those gaps, but there's a lot we can work on in the When you get tired, the more challenging it gets in your first month Polly has treated over 300 patients , almost a dozen deaths have been certified and, like many NHS staff, he has not once left work on time, my colleague makes a big joke because then Jeremy Hunt said there is no reason why the doctor I shouldn't leave at 5 o'clock and when I arrive at 8:30 my colleague wants to know what my excuse is because my boss Jeremy Hunt says I should leave at 5 o'clock if we also work poorly and start at the time we were supposed to. that it was supposed to start and finish what it was supposed to finish, the NHS would simply be non-existent.

I would say a large proportion is based on goodwill, the goodwill of the staff. The reason we don't stop is because we care about patients, we put them first, okay why would you be a doctor or a nurse or work anywhere in the NHS if you didn't care about people because of all the stress and the pressure I have felt and to enjoy being a doctor, but there have been days when I have thought twice that being a doctor is the best and brightest job in the world. That is too much. You know, we can't keep expanding the number of hours we work and keep a smile on our face. and keep doing it perfectly, you can't do that, we are reaching our capacity, we don't have much more to give and something has to change by the end of September, the young doctors have been imposed for two months, every day they have seen new patients. arrive and apart from their care, unfortunately Tracy passed away on Friday.

I last saw her on Thursday night or early Friday morning while she was doing the night shift and it was becoming more obvious that she was becoming much more than okay at it. and that she was dying and Tracy said that her last wish really was to die at home and I'm so glad that she managed to get there even if it was just for a few hours on September 23rd. My colleagues were able to quickly get Tracy home where she passed away surrounded by her family. Patients like Tracy. This completely reinforces what I want to do.

Palliative care. She died where she wanted to die. Her pain was under control. I think she died with dignity so that As far as I know, I would say she had a good day, of course that affects me and I cried at work. I cried a few times, but you just have to learn to be able to deal with it and get back up. and it comes back out because as sad as it is, there's always another patient you have to go see, so we have to stay here and they came here to see you asking what could be better, what could be worse, no, I .

I couldn't do this job for the rest of my life, it's too much, but I want to stay in the NHS and hopefully climb the ladder and become a consultant. There is no other job that I can see myself doing because for me it is about making a difference in patient care and there is no other job that I think I could use the skills that I have and make that difference in patients' lives. I'll see you later, okay, in the gastroenterology room. Sam's success with Ryan has done that. reflects on his own career I feel like this is what I came here to do and I'm doing it well, it's a confidence that I'm actually a good doctor since I was under Sam's care, Ryan gained six kilos and now he's ready to go home.

Hello. Ryan, so you're leaving today, how are you feeling? It's been a pleasure meeting you, but I hope to never see you again. Wow, I won't see you again, but it's not in a professional capacity. Okay, behave. I want to stay as a Doctor in the NHS, this is my whole life, this is all I have trained for since I did my GCSEs. This is why I dedicate all my effort, all my time and all my energy to caring for the people who are in this hospital. keep your head still for me wait forward they go away but i have no idea what the future holds because i have no idea what is happening to the NHS no degree of efficiency savings or strategic cuts is going to solve the problem that there are too many patients and not enough people being treated four weeks after discharge Ryan Sam decides not to apply for further training in the NHS I want what everyone wants I want to be able to do the job I'm trying to do I want to be respected and I want I want to be happy, so I have decided to take a year to decide if I want to stay in the UK and continue my training here or if I want to go to Australia and New Zealand somewhere overseas to continue my training there.

Sam is one of 6,000 young doctors who applied to work abroad in 2016, we have a whole generation of the most dedicated and compassionate people I have ever met, doctors, nurses, everyone working in the NHS who are completely disillusioned by a career for which they have worked so hard for. I think we are seeing a slow and painful collapse of an institution for which we should all be grateful and it is a shame that the most accurate word to describe it is that it is a real embarrassment for the emergency assessment unit. Hollies has been a doctor for two months.

From day one until now I believe my content has increased and continues to increase exponentially in the acute rooms. There is no time to stop and look for things. Consult a textbook. Wait for a consultant to arrive. Patients are so sick that decisions need to be made. Quickly and confidently, thirteen years after her teacher said it would never happen. Hollies is firmly established as a hospital doctor. If you want something badly, it doesn't matter what background you have, how much money you have, that's your drive. and the ambition and determination that will get you there and I still have as much passion as I did when I was 15.

Just take a deep breath for me, but there are times when we feel like we can't do any more than we already do. and there are still patients waiting. I'm just at the beginning of my career and I'm worried about what the future holds. I think if nothing changes it just won't be an NHS. I can't see his current level of functioning. it goes on but I still love my job I love everything I do and I couldn't imagine being anything else it's because of you you'll go home next time the onset of winter creates a surge of patients in a and B we're in a A very difficult position here and New recruits must adjust to life in the hospital's busiest department.

I'm starting to wonder why the hell I'm doing this. I need for myself even good enough. Click the screen to see more videos of extraordinary

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