Real Doctor Reacts to THIS IS GOING TO HURT

As an NHS junior doctor I thought I'd react to and break down some of the scenes from the latest BBC medical drama This Is Going To Hurt (episode 1)... thank you to everyone that said I should check this out, it brought back some memories from one of my first jobs as an SHO on Obs & Gynae, and trust me it hurt.

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TIMESTAMPS
00:00 Welcome!
00:49 The most mad lift I've ever seen
01:31 Consent
02:15 Riding the trolley to theatre
03:07 Obs & Gynae
03:46 How not to deal with patients
04:39 Totally missed this one; I would be on the Gynae ward trying to review Mrs Buckstar
05:23 How not to deal with patients number 2
06:10 When patients are racist
06:40 Faking a loss of consciousness
07:36 You're doing brilliantly
07:56 Shout out to the midwives
08:18 Careful how we portray patient encounters
09:09 Caesarean section in theatre
09:48 How to get a sanction as a doctor
10:42 Being called in to work
11:17 Non-reassuring trace
11:51 Category 1 c-section
13:00 Pre-eclampsia
13:32 Non-reassuring Trace is very assuring
14:02 How not to document in the notes
14:36 THANK YOU SO MUCH for watching this to the end!

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Clips used under fair use (education and review):

This Is Going To Hurt © 2022 BBC Studios

🎵 Thank you to all the artists that make their music available for these videos:
Song ‘Drown me out’ by Vyen
Song 'Escapists' by The AutoDisko

#DoctorReacts #ThisIsGoingToHurt

[Harrison_J_T]

Personally based on what Adam Kay has said I do believe most of the book was true. He changed some names and dates and combined some patient stories for confidentiality etc. but I do believe that all the stories are true. Maybe some are heightened slightly for effect but I don't think anything is fictionalised or hearsay. The show however, while written by him, I see as a separate thing and more or less completely fictionalised but also the show isn't being presented as the diaries of a junior doctor. It doesn't appear anywhere in the show details and while it says it's based on a memoir I feel like most people can understand it's not meant to be completely real life.

As for the patient being the butt of the joke because she's not smart, based on how the episode goes I think that's the point. Because she's not smart and a bit annoying she's treated poorly and her pre-eclampsia is missed. It highlights how medical descrimination can and does do serious harm.

[Prizzlesticks]

13:45 First off, love how he snaps, "Why would you do that?" and then immediately upon realising he's being a dolt, he says, "Thank you." Also, the framing of the shot is freaking fantastic. Literally seeing his reflection over the blood as he passes, it's just gorgeous and brutal. 10/10 cinematography.

Also... I just adore Ben Whishaw.

[theyoutubeanalyst]

The dolphin tattoo thing was in the book. But he put something like "hey upon my lawyer's advice I need to say that this is definitely a joke and didn't happen", while also implying that it actually happened. I remembered doing a double take after reading that, because if true it's kind of a shocking story.

[lizrochester]

I was a Paeds SHO and got crash called for a cord prolapse and it was scarily accurate to what was on the show, except it was a midwife with a hand inside the patient. Really enjoyed this! I’ve only watched up to episode 4 because some of the things Adam does are difficult to understand.

[JustToFallAsleep]

Having had two C-sections seeing what the doctors have to go through is just...I am so grateful to the brilliant people who go to school for years, spend sleepless weeks to help others and bring our tiny humans into the world.

[myyoutubeaccount]

For the record, later on in the show, Adams more shitty behaviour and not taking patients seriously is shown to be the wrong approach. The show is setting up what seems like standard medical drama behaviour to end up being taken seriously. It's like the anti-House and I think can demonstrate to people the real life issues with seemingly harmless behaviour. Nothing wrong with a bit of gallows humour though!

[bekahnavarro]

One of my good friends had an emergency C-section at 25 or 26 weeks bc of Preclampsia. Her son was 1 pound, 1 oz. A week later she had a brain aneurysm. They are both alive and healthy. What the doctors were able to do is nothing short of miraculous.

[felixhenson]

I really really hope you keep reacting to the next episodes! There are only 7 episodes and it's genuinely so good.

[shoosh]

THANK YOU for what you said at 9:04. I am a Special Education teacher, and we need more understanding and empathy when communicating with people who have Learning Disabilities.

[jaybea]

I'm not sure about a 'Scrubs Vending Machine' as depicted, but there is certainly one in which you deposit used scrubs, to be issued a new clean pair. The logic of this has always baffled me, as you either have to deposit the scrubs at the end of your shift to get a clean pair, which you then have to store somewhere(likely not as clean as the machine), or wear the old pair home, and keep them there until your next shift(or store them in your locker), only to have to bring them back, so you can exchange them for a fresh pair, at the start of a new shift.

I am told this is an anti-theft device/policy, which I suppose makes sense given how little Interns/Residents get paid. But honestly, how many pairs of scrubs does one person need for recreational use?

My local hospital combated this by simply giving all staff, required to wear scrubs, a yearly scrub allowance, which means that a lot of the senior staff have some pretty cool scrubs, tailored to their own tastes.

[angelify]

i found the gallows humour quite reassuring tbh, I worked in a very hectic stressful, but thankfully non life-threatening job(unless you count food allergies) back in my early years and I saw a very similar type of humour from the people i worked with to this show.

[SabiAll]

Had a blast watching this series. I wonder how many of the commentators are NHS staff? As a migrant living in the UK, I cannot tell you how precious and special this institution (with and without its flaws) is. It is priceless. The first time I went to A&E and got released without having to pay sounded surreal. I kept asking the receptionist, probably to an annoying degree: are you sure? I couldn't wrap my head around it... pretty sure I still can't.

[johnydl]

My opinion of the book and the series isn't that this is every day in the NHS but that every doctor will have stories like these about their worst days and that the ones that keep working even with all these exceptionally bad days are amazing people, even if they do have to get through it by turning to dark humour or dehumanising their patients in order to cope.

[tuesdaywithjisoo]

10:30 dolphin tattoo thing was real! The book shows that a lot of this isn't dramatised.

[BeerElf]

I had Pre-Eclampsia with my first pregnancy, I'd never heard of it before I was diagnosed! (1985) It's so reassuring that there's more information about it now, even if it is a bit "gritty". Welcome back though, we've missed you!

[QUARTERMASTEREMI]

I remember seeing the promo teaser for this a while ago and I was thinking, “I hope Dr Ed reacts to this”, and well, what do you know! It was as if he was reading my mind here! Thanks Dr Ed and welcome back cause we missed you! 😅❤️

[RhinoBarbarian]

Yay! Dr. Hope has returned! All(most) is right with the world!

[CuteCatOverlords]

Your empathy and compassion are always a joy to watch. Thank you so much

[qienna]

I jokingly call myself a 'professional patient'. I'm in and out of EDs and hospitals a lot because of my rare genetic kidney disease and I can rattle off the standard question answers before they ask and it becomes an amusing thing that breaks the ice for me and whoever's admitting me (are you pregnant, smoking etc). The local ED I go to rotates the junior doctors in and out of the department so often I see a different one each time and, as a result, have seen a wide variety of nationalities. I've also experienced a lot of different nationalities of nurses on wards as well.

Regardless of the colour of their skin, they're all very competent and knowledgeable professionals, but the different bedside manner people from other countries can have certainly makes the experience harder for the patients. Of course, there are NZ European doctors and nurses who could also stand to learn to be a little softer and empathetic. I try to remind myself that half of it is probably my perception and it's not going to impact the quality of my care, but it certainly has an impact on me emotionally and mentally when I'm already struggling with uncertainty.

[Bobcakes]

I had an emergency c section and like the patient in the show, was wheeled into OR with a midwife's hand up there, holding baby in. From the time my water broke and I hit the emergency button to the time my daughter was born was only 20 mins! Awkward as hell and hurt like crazy but I also found it kinda funny. We're running down the hallway, crashing into walls, Midwife asks if I'm ok and all I can do is grunt and give her the thumbs up. Thank you Claire, you did an amazing job!!