0000 00:00:00:00 00:01:02:12 0001 00:00:41:21 00:00:47:17 RESIDENCY 0002 00:00:57:01 00:01:02:12 The use of exogenous erythropoietin can increase blood pressure 0003 00:01:02:14 00:01:06:04 and the need for antihypertensive drugs. 0004 00:01:19:17 00:01:21:11 Take a deep breath. 0005 00:04:50:04 00:04:53:11 RÉSUMÉ SUMMARY 0006 00:04:58:12 00:05:01:17 SEND 0007 00:05:01:19 00:05:03:00 SENDING... 0008 00:06:09:17 00:06:12:20 WOW! YOUR INBOX IS EMPTY. 0009 00:06:43:17 00:06:45:05 Alright. 0010 00:06:51:21 00:06:53:19 I can't do it. 0011 00:07:02:18 00:07:08:16 My name is Laura, and I'm a first-year resident doctor. An internist. 0012 00:07:09:03 00:07:11:17 And, I don't know... 0013 00:07:11:19 00:07:17:21 I'm supposed to talk about the first nine, almost ten months I've been a resident. 0014 00:07:18:16 00:07:23:03 If I had to sum them up, I could only say... 0015 00:07:23:05 00:07:25:23 Fuck Grey's Anatomy! 0016 00:07:26:12 00:07:30:14 I don't know what else to say besides this is the dumbest thing I've ever done. 0017 00:07:30:16 00:07:33:09 And I'm here talking all alone like an idiot 0018 00:07:33:11 00:07:37:09 because, instead of a normal doctor, I've got Willy Wonka as my tutor. 0019 00:07:39:13 00:07:43:07 So, since I've got nothing else to say... 0020 00:09:21:17 00:09:24:05 Re-si-den-cy. 0021 00:09:24:08 00:09:27:16 These four syllables seem to orbit around my life. 0022 00:09:28:23 00:09:32:23 I could say that I wanted to be a doctor ever since I can remember, 0023 00:09:32:24 00:09:34:23 but that's not true. 0024 00:09:34:24 00:09:40:18 There was a time when I could only think about what's millions of miles away. 0025 00:09:44:09 00:09:49:11 My fascination with the universe started some years ago, during a meteor shower: 0026 00:09:49:13 00:09:52:18 the Perseids, or tears of St. Lawrence. 0027 00:09:53:23 00:10:00:02 I wanted to become an astronaut, and begin a journey to reach the ends of the space. 0028 00:10:00:10 00:10:02:22 I soon got disappointed. 0029 00:10:02:24 00:10:06:12 Only people from a select group could become astronauts, 0030 00:10:06:13 00:10:09:12 and about reaching the ends of the space... 0031 00:10:09:16 00:10:13:21 Well, the farthest point a human being was from the Earth at that moment 0032 00:10:13:23 00:10:16:16 was less than 400 km away over my head, 0033 00:10:16:18 00:10:20:02 in the Soviet space station "Mir". 0034 00:10:34:20 00:10:39:09 Though 400 km are a lot when you're just over one meter tall. 0035 00:10:42:10 00:10:46:16 So, waiting for the stars to give me a chance... 0036 00:11:17:01 00:11:21:15 And you must rest for a few days and take... 0037 00:11:28:10 00:11:31:09 I got you! I got you, stupid earthling! 0038 00:11:31:11 00:11:36:00 My silly brother and his friends had a very different view of space: 0039 00:11:36:02 00:11:40:16 green little monsters, killer robots, astronauts with laser beams... 0040 00:11:53:11 00:11:56:10 We've won! We've won! 0041 00:12:00:08 00:12:02:12 Are you hurt? 0042 00:12:05:01 00:12:07:15 If you're human, I could heal you. 0043 00:12:07:17 00:12:10:16 Shut up. Don't you see I'm dead? 0044 00:12:15:07 00:12:17:21 Can I do an autopsy on you? 0045 00:12:22:12 00:12:26:06 I can't remember when I stopped dreaming about going to the stars. 0046 00:12:27:07 00:12:29:15 I guess that's part of growing up. 0047 00:12:29:17 00:12:33:13 Having your feet on the ground, even if you step on quicksand. 0048 00:12:36:00 00:12:38:16 I think one of the biggest problems doctors have 0049 00:12:38:18 00:12:43:05 is that people forget we're still people even though we wear a white coat. 0050 00:12:43:13 00:12:44:24 God... 0051 00:12:45:17 00:12:49:01 These have been the toughest ten months of my entire life. 0052 00:12:50:08 00:12:53:07 I often doubt what I am. Am I still a student? 0053 00:12:53:09 00:12:56:06 A professional doctor? Neither of them? Both...? 0054 00:12:56:08 00:12:59:03 You get here and you have the duties of a professional, 0055 00:12:59:05 00:13:01:23 but you're treated like a student. 0056 00:13:02:06 00:13:05:15 Every five minutes you doubt about your role in the hospital. 0057 00:13:05:21 00:13:11:11 Hospitals... If only people knew how hospitals actually are. 0058 00:13:11:23 00:13:17:11 They see all those TV series and think that the people who work there are united. 0059 00:13:19:03 00:13:23:07 Germán says we're like a big family, but we don't get along at all. 0060 00:13:23:09 00:13:26:16 And patients? Holy shit! 0061 00:13:26:18 00:13:31:11 Some of them think that treating you like shit it's part of their treatment. 0062 00:13:31:15 00:13:36:20 I don't want you to see me! I want to be seen by a real doctor, damn it! 0063 00:13:37:23 00:13:41:01 - Nurse! - But I don't have a cold. 0064 00:13:41:11 00:13:44:12 - Nurse! - Nobody took an X-ray of me or anything. 0065 00:13:44:14 00:13:49:21 Nurse! Could you take the bedpan and call the doctor, please? 0066 00:13:49:23 00:13:52:14 Oh! And I'm not going to take this. 0067 00:13:52:24 00:13:54:24 Thank you, sweetie. 0068 00:13:55:07 00:13:58:10 Damn it, I pay my taxes! And what for? 0069 00:13:58:24 00:14:01:11 The one time I get sick they send me this kid 0070 00:14:01:13 00:14:04:12 - who can't even finish me off. - Stop it, Manolo. 0071 00:14:04:14 00:14:07:17 - You're scaring the girl! - Fuck the girl and fuck you! 0072 00:14:07:19 00:14:12:08 Sometimes you feel like one more cog in the wheel who could make decisions. 0073 00:14:12:10 00:14:16:10 Then, you're on your way and someone sends you somewhere else. 0074 00:14:16:12 00:14:18:22 "Go there because there's a woman throwing up," 0075 00:14:18:24 00:14:22:08 "come here to give this man a referral for a CT scan," 0076 00:14:22:10 00:14:25:05 "discharge the patient in 132," 0077 00:14:25:07 00:14:29:07 or "go instead to 145, because it's been four days since he last shat." 0078 00:14:29:09 00:14:34:20 It's like being in no man's land, in the damn limbo of medicine. 0079 00:14:35:07 00:14:39:03 But well, I'm just a first-year resident. 0080 00:14:39:05 00:14:42:00 The first few days, you don't even know where you are. 0081 00:14:42:02 00:14:45:15 Where you are, who you are or how you're being assessed. Nothing. 0082 00:14:45:17 00:14:49:23 You're all doubts in a white coat. You feel like... 0083 00:14:50:00 00:14:51:13 I don't know. 0084 00:14:52:16 00:14:54:24 Like Sergei Krikalev. 0085 00:14:58:04 00:15:02:10 The Mir station was one of the most sophisticated devices created by humans. 0086 00:15:02:12 00:15:07:09 It had to endure the most inhospitable environmental conditions to hold inside 0087 00:15:07:11 00:15:12:12 valuable experiments performed by some of the best trained humans in history. 0088 00:15:12:14 00:15:14:22 The vanguard of humankind. 0089 00:15:15:01 00:15:18:10 But nobody had trained Soviet cosmonaut Sergei Krikalev 0090 00:15:18:12 00:15:21:13 for the situation he'd find in space. 0091 00:15:23:09 00:15:27:21 I can't image the loneliness he must have felt in all that silence. 0092 00:15:29:11 00:15:31:05 In the void. 0093 00:15:32:18 00:15:34:10 Loneliness. 0094 00:15:38:02 00:15:40:18 I don't know if it's the worst part, but... 0095 00:15:40:20 00:15:45:07 I had to leave behind the life I knew and made me feel safe. 0096 00:15:45:11 00:15:48:14 My family, my friends, 0097 00:15:49:01 00:15:51:03 everything you think you love. 0098 00:16:13:19 00:16:17:21 You start new things saying goodbye to the ones you love the most. 0099 00:16:20:14 00:16:24:04 And to others you thought you needed the most. 0100 00:16:27:15 00:16:30:22 When I arrived, it was worse. I rented this apartment alone and for seven months 0101 00:16:30:24 00:16:35:01 no one seemed interested in my "looking for a roommate" ad. 0102 00:16:35:05 00:16:37:15 Until Ruth showed up in my life. 0103 00:16:42:14 00:16:46:18 Ruth, what are you doing here? Do you have a relative here? 0104 00:16:46:20 00:16:50:10 No, I just went for a walk, and... Force of habit. 0105 00:16:50:12 00:16:53:21 Right. So, how's everything? 0106 00:16:53:23 00:16:55:11 Boring. 0107 00:16:55:17 00:16:59:13 I see. Well, I'm sure you'll find something and things will get better. 0108 00:16:59:15 00:17:03:09 Yes, sure. They couldn't get any worse, right? 0109 00:17:03:17 00:17:06:24 But I don't want to distract you, get back to work. 0110 00:17:07:11 00:17:11:03 I was leaving. Say hi to everyone for me. 0111 00:17:11:05 00:17:14:02 Sure, I will. Take care. 0112 00:17:26:16 00:17:30:08 When Ruth became an assistant surgeon, she bought an apartment downtown. 0113 00:17:30:10 00:17:33:13 Her bright future became real. 0114 00:17:33:15 00:17:38:17 But there was a lay-off and, after her first year, she didn't get renewed. 0115 00:17:38:20 00:17:43:17 The unemployment compensation isn't enough to pay mortgages, nor bright futures. 0116 00:17:48:22 00:17:52:18 Shit! She worked in my hospital for six years. 0117 00:17:53:09 00:17:56:12 I can't imagine how it feels to be told... 0118 00:17:56:14 00:17:59:19 I'm sorry, I don't know what else I could tell you. 0119 00:18:00:23 00:18:05:17 Why don't you try telling me that you'll keep all the promises you made me? 0120 00:18:05:19 00:18:10:05 We won't forget about you. You know we'll count on you when something comes up. 0121 00:18:10:06 00:18:13:03 We are completely satisfied with your work here. 0122 00:18:13:05 00:18:16:05 But you're taking the first fucking opportunity to kick me out. 0123 00:18:16:06 00:18:20:02 My hands are tied. We have to stick to the budget. 0124 00:18:20:04 00:18:24:08 I do what I can with what they give me. And what they give me is not enough. 0125 00:18:25:03 00:18:29:02 - So this is it. - This is it. 0126 00:18:29:13 00:18:31:15 But it's not the end of the world. 0127 00:18:31:17 00:18:35:14 You're young, we've trained you perfectly well, 0128 00:18:35:17 00:18:37:19 you're experienced... 0129 00:18:38:05 00:18:41:09 The private health care is looking for people like you. 0130 00:18:43:09 00:18:45:02 Good morning. 0131 00:18:51:07 00:18:52:22 By the way, 0132 00:18:53:14 00:18:57:13 I've trained myself, by studying and working overtime for a few pennies 0133 00:18:57:15 00:19:00:12 so you could stick to the damn budget. 0134 00:19:00:16 00:19:03:23 So the next time you call someone to fire them, don't make them feel 0135 00:19:04:00 00:19:07:13 like an idiot who has to be grateful. 0136 00:19:12:06 00:19:15:14 Thinking about Ruth, I remember Sergei Krikalev again 0137 00:19:15:17 00:19:20:16 and how he must have felt on the 25th December, 1991. 0138 00:19:20:17 00:19:26:11 That day, while he was orbiting on board of the Mir, the Soviet Union collapsed 0139 00:19:26:17 00:19:32:08 and the next mission that would take him back to Earth was unexpectedly canceled. 0140 00:19:33:03 00:19:38:08 I guess, despite being one of the humans who has stayed longer in space, 0141 00:19:38:11 00:19:41:13 he probably felt a certain personal concern 0142 00:19:41:15 00:19:44:14 about the possibility that the tense situation in his nation 0143 00:19:44:16 00:19:48:14 could make his return a non-priority task. 0144 00:19:51:08 00:19:55:09 I imagine him looking around him and the outer space. 0145 00:19:55:14 00:19:57:19 Waiting for news. 0146 00:19:59:01 00:20:01:03 A way out of his situation. 0147 00:20:32:04 00:20:34:08 I'm a sight! 0148 00:21:21:05 00:21:23:17 - Hi, babe! - Shit! Fuck, Ruth! 0149 00:21:23:19 00:21:27:21 Were you self-medicating? You know you shouldn't do that. 0150 00:21:27:23 00:21:30:10 Is it worse than the fright you just gave me? 0151 00:21:30:12 00:21:33:17 If you didn't prescribe yourself strychnine, I guess it isn't. 0152 00:21:33:19 00:21:37:13 Well now I also need Valium. How long have you been at home? 0153 00:21:37:14 00:21:42:12 Enough time to realize after three months that I'm living with a nutcase 0154 00:21:42:14 00:21:46:10 who speaks to herself about astronauts and philosophizes on the void. 0155 00:21:46:12 00:21:49:20 Tell me you're not one of those dangerous loonies who kill people. 0156 00:21:49:23 00:21:52:10 Right now, I do want to kill you. 0157 00:21:52:16 00:21:55:03 Then do it after dinner, because I'm hungry. 0158 00:21:57:23 00:22:02:04 - The food is getting worse everyday. - Yeah, and I ate too much. 0159 00:22:02:08 00:22:05:15 I didn't tell you I went to a seminar the other day and saw Dani. 0160 00:22:05:17 00:22:07:17 Dani, from college? 0161 00:22:07:23 00:22:12:00 Shit, it's been a long time. He was in neurology, right? 0162 00:22:12:02 00:22:16:24 He was attending a seminar to learn to identify more than 200 kinds of headaches. 0163 00:22:18:18 00:22:21:13 Some mornings, I've got almost 300. 0164 00:22:34:08 00:22:38:06 - The poor guy was indignant. - Why? 0165 00:22:38:08 00:22:43:09 He was fed up with his apartment being a mess, so he hired a cleaning lady. 0166 00:22:43:11 00:22:45:21 How much do you think she charges per hour? 0167 00:22:46:04 00:22:48:22 - 13 euros. - You're kidding! 0168 00:22:48:24 00:22:53:09 - That's more than we get for extra hours! - And she's not the most expensive. 0169 00:22:53:11 00:22:58:08 We made a mistake. We took the stethoscope instead of the mop and we screwed up. 0170 00:22:58:10 00:23:00:22 Yeah. Do you know what pisses me off the most? 0171 00:23:00:24 00:23:05:09 That people thinks we finish college and we start living like kings. 0172 00:23:06:08 00:23:10:02 Take advantage of the myth, like I do. It works when it comes to pick up girls. 0173 00:23:13:21 00:23:16:12 - What about coffee? - I'll pass, I'm going to the toilet. 0174 00:23:16:14 00:23:18:04 See you later. 0175 00:23:19:11 00:23:23:03 TOILET 0176 00:24:05:19 00:24:07:23 Not here, Carlos. Not here. 0177 00:24:20:02 00:24:23:11 I will have that coffee. I can hardly stand. 0178 00:24:29:01 00:24:32:10 - What's the matter with them? - Don't mind them. 0179 00:24:44:10 00:24:46:06 Look at those guys. 0180 00:24:46:08 00:24:49:07 - Don't they remind you of us? - The three of us? 0181 00:24:49:09 00:24:53:07 - No, I mean all the residents. - I've never run like that in my life. 0182 00:24:53:09 00:24:56:12 Because running is for cowards and you're a brave guy. 0183 00:24:56:22 00:25:00:18 I'm serious. They swim 4 km, then they get out of the water 0184 00:25:00:20 00:25:03:07 and ride 180 km by bicycle. 0185 00:25:03:09 00:25:07:21 When they get to the line, they change their shoes and run a marathon. 0186 00:25:08:14 00:25:11:21 Now I'm sure they're nothing like me. 0187 00:25:12:10 00:25:14:18 But think about it, guys. 0188 00:25:14:20 00:25:18:10 To get here, we had to get perfect grades at high school, 0189 00:25:18:12 00:25:22:24 a high grade in the entrance examination to study medicine, six years of college 0190 00:25:23:01 00:25:27:03 and then study to get the best grade possible in the In-Training Examination. 0191 00:25:27:05 00:25:31:19 Then these five years of postgraduate, studying by ourselves, working... 0192 00:25:31:21 00:25:34:14 Plus courses, seminars... 0193 00:25:35:09 00:25:39:23 We're just like those guys. When we reach one line, we start another race. 0194 00:25:40:00 00:25:42:20 When you're on duty, you become a real philosopher. 0195 00:25:45:17 00:25:50:06 - The one on the lead looks Spanish. - Then it's the Spanish championship. 0196 00:25:50:08 00:25:55:19 If it's in Spain and they look like us, half of them must be foreigners. 0197 00:25:55:23 00:25:58:16 Since not long ago, they have it even easier. 0198 00:25:58:18 00:26:01:03 Could they make it any easier for them? 0199 00:26:01:17 00:26:05:05 To apply for a position, they just have to start the process to recognize 0200 00:26:05:07 00:26:08:04 their student record, even if it comes from Mordor, 0201 00:26:08:06 00:26:11:11 and have the endorsement of a private academy. 0202 00:26:11:13 00:26:13:03 Holy shit! 0203 00:26:13:15 00:26:17:17 It's like if, in that race, the Spaniards had to follow the rules 0204 00:26:17:19 00:26:20:16 while the foreigners were allowed to take a bike, 0205 00:26:20:18 00:26:23:23 run only half of the marathon and swim on PEDs! 0206 00:26:24:14 00:26:26:12 This is Spain. 0207 00:26:40:02 00:26:42:18 Do you find it difficult? 0208 00:26:43:09 00:26:48:12 More than that. There's no way to separate these croquettes. 0209 00:26:49:17 00:26:52:24 Hey, why don't we cook them like this? 0210 00:26:53:01 00:26:55:17 - The megacroquette. - No, I mean... 0211 00:26:55:19 00:26:59:23 studying to repeat the residency. It'd be five more years. 0212 00:27:01:07 00:27:05:15 If I had any other choice... But I have no place in the private health care. 0213 00:27:05:17 00:27:10:14 So either I do another specialty or I leave Spain. I don't have it easy here. 0214 00:27:12:00 00:27:17:03 A friend offered me to go as an aid worker to Africa with other doctors. 0215 00:27:17:17 00:27:21:17 - But that's not for me. - I think it's admirable. 0216 00:27:21:19 00:27:24:08 It is if you do it willingly. 0217 00:27:24:10 00:27:29:13 For me, it'd be like going to the back of beyond just so I could be a surgeon. 0218 00:27:30:00 00:27:34:10 This is my home. If I don't have a place as a surgeon, then I'll be something else. 0219 00:27:34:12 00:27:36:24 And what about opening your own practice? 0220 00:27:37:01 00:27:41:05 Being a surgeon is not like being a dermatologist or any other specialist. 0221 00:27:41:07 00:27:43:07 You'll be able to do it. 0222 00:27:43:09 00:27:47:21 As for me, just to set up a full operating room, I'd need to hold up a bank. 0223 00:27:47:23 00:27:53:15 And then I'd have to hire a medical team, rent a place large enough... 0224 00:27:54:00 00:27:55:23 No, it's crazy. 0225 00:27:56:08 00:28:00:16 I chose the wrong specialty, that's it. I screwed up. It's my fault. 0226 00:28:00:24 00:28:04:06 And which specialty would you choose now? 0227 00:28:04:10 00:28:05:23 I don't know. 0228 00:28:06:18 00:28:09:23 I like dermatology. But I haven't thought it through yet. 0229 00:28:10:00 00:28:14:20 Any specialty that only requires a table and four walls to hang my degrees 0230 00:28:14:22 00:28:18:16 and be able to give the system the finger when it wants to fuck me up again. 0231 00:28:18:18 00:28:21:05 What are these made of? Titanium? 0232 00:28:21:07 00:28:24:20 Leave that to me and take this. 0233 00:28:32:12 00:28:37:05 This is like going round in circles. Hospitals are being closed down every day 0234 00:28:37:07 00:28:41:11 and less surgery positions are being announced, but the patients are the same, 0235 00:28:41:13 00:28:46:14 so they give more work to the residents, who don't have any time left to study. 0236 00:28:46:20 00:28:51:07 So, to sum up: more work hours, more pressure 0237 00:28:51:09 00:28:54:02 and a pathetic theoretical training. 0238 00:28:54:10 00:28:57:03 That's the future of the Spanish surgery. 0239 00:28:57:05 00:29:00:18 A factory of unemployment, and those who are inside, on the verge of suicide. 0240 00:29:00:20 00:29:03:19 They say there are more opportunities in England. 0241 00:29:04:04 00:29:06:08 That was years ago, babe. 0242 00:29:06:10 00:29:09:21 Now every country in Europe wants a public health system with zero deficit. 0243 00:29:09:23 00:29:13:13 There's no place for someone with one year of experience as an assistant. 0244 00:29:14:08 00:29:16:10 How do you want the tomatoes? 0245 00:29:17:07 00:29:21:11 In thin slices. Then what are your choices? 0246 00:29:21:13 00:29:24:18 What I just said. Becoming an aid worker or repeating the residency 0247 00:29:24:20 00:29:27:21 and start all over again, but being six years older. 0248 00:29:28:04 00:29:31:17 And how does that make you feel? 0249 00:29:33:05 00:29:34:22 Frustrated. 0250 00:29:37:09 00:29:42:04 You shouldn't think you've failed or something like that. 0251 00:29:42:06 00:29:46:04 No, I said "frustrated", not a failure. 0252 00:29:46:06 00:29:51:05 You feel frustrated when you're deprived of something you expected. That's my case. 0253 00:29:51:07 00:29:55:01 They've taken away my future and I worked very hard to deserve it. 0254 00:29:55:03 00:29:57:07 Damn it, I'm a good surgeon! 0255 00:29:57:19 00:30:02:16 I would've failed if after so much effort I were a dangerous surgeon 0256 00:30:02:18 00:30:05:09 or if I'd given up after the first blunder. 0257 00:30:05:19 00:30:08:24 The system is a failure, spending a fortune on my education 0258 00:30:09:01 00:30:12:12 and then kicking me out and changing the lock. 0259 00:30:13:05 00:30:15:21 That's what frustrates me and pisses me off. 0260 00:30:16:04 00:30:19:19 By the way, I'm done here. Shall we have dinner? 0261 00:30:32:16 00:30:34:04 Does it hurt? 0262 00:30:38:08 00:30:40:20 - And here? - More. 0263 00:30:41:13 00:30:42:24 More. 0264 00:30:53:01 00:30:57:11 Alright. Get dressed and wait outside. We'll call you again, OK? 0265 00:31:04:10 00:31:06:02 What's this? 0266 00:31:06:20 00:31:11:07 - An authorization for an echo-Doppler. - I know. And what's the reason? 0267 00:31:13:19 00:31:17:01 A 45-year-old patient, obese... 0268 00:31:17:15 00:31:20:04 I suspect a venous thromboembolism. 0269 00:31:21:03 00:31:25:05 - Has he undergone major surgery recently? - No, he hasn't. 0270 00:31:25:07 00:31:27:21 Has he been immobilized for three of more days? 0271 00:31:27:23 00:31:32:02 Paresis? Paresthesia? Has he had cancer? 0272 00:31:32:04 00:31:35:13 No, but he's been on erythropoietin. 0273 00:31:35:15 00:31:40:06 It says he's a builder. He might have hit himself. It's a muscular strain. 0274 00:31:40:08 00:31:44:08 - He says he didn't hit himself. - Maybe he didn't realize. 0275 00:31:44:10 00:31:47:01 He has a diameter increase in relation to the other leg. 0276 00:31:47:03 00:31:50:14 In a muscular strain, there's always a slight inflammation. 0277 00:31:50:16 00:31:54:22 - What are you specializing in, boy? - Cardiology. 0278 00:31:54:24 00:31:59:17 But that's no reason to ignore the risk factors and the positive Homans sign test. 0279 00:31:59:19 00:32:04:08 Do you want to do an echo-Doppler because he complained in the Homans sign test? 0280 00:32:04:10 00:32:09:19 It's very vague, boy. Also, if you do it wrong, anyone would get hurt. 0281 00:32:09:21 00:32:13:03 Then why the hell do we have the machine if we don't use it? 0282 00:32:13:05 00:32:17:03 I just want to get the fuck out of here. I've been awake for 36 hours. 0283 00:32:17:09 00:32:19:15 Call him inside again. 0284 00:32:32:24 00:32:36:02 You can put your clothes back on. It's a muscular strain. 0285 00:32:36:04 00:32:39:21 Take anti-inflammatory drugs and relative rest for a few days. 0286 00:32:39:23 00:32:44:12 His family doctor will follow him up, so you don't need to worry. 0287 00:32:45:09 00:32:49:11 I wouldn't worry if you let me prescribe 0288 00:32:49:13 00:32:52:14 some of these or these... 0289 00:32:52:18 00:32:56:16 to some patient with a cold or a headache. 0290 00:32:56:20 00:32:59:13 Or would you rather supervise it yourself? 0291 00:33:45:09 00:33:48:04 I've got too many obligations, you know that. 0292 00:34:00:00 00:34:03:03 - So, are you gonna tell me? - What do I have to tell you? 0293 00:34:03:05 00:34:07:15 - This thing with the camera. - Germán's weird ideas. 0294 00:34:07:17 00:34:10:22 Do you mean rare or sexually unconventional? 0295 00:34:10:24 00:34:13:21 What are you saying? You're kidding, right? 0296 00:34:14:06 00:34:18:16 I mean what you or anyone would understand by "weird". Maybe not you, you're weird. 0297 00:34:18:18 00:34:21:11 Says the one who talks to herself about astronauts! 0298 00:34:21:21 00:34:25:09 Hey, you don't have to be on duty nor work extra hours for a week. 0299 00:34:25:11 00:34:28:09 That's unusual in a hospital, especially for a resident. 0300 00:34:28:16 00:34:31:01 What else could I think? A first-year pretty young girl, 0301 00:34:31:03 00:34:34:03 plus free time and a video camera, that can only mean sex! 0302 00:34:34:06 00:34:37:07 Well, you're wrong! I swear I would never... 0303 00:34:37:09 00:34:40:00 All social climbers say that, I've seen it lots of times. 0304 00:34:40:02 00:34:43:01 - I can't believe you're saying that! - Just kidding! 0305 00:34:43:05 00:34:46:09 I wasn't serious before, I was kidding. 0306 00:34:46:10 00:34:50:03 - You bitch! - You idiot! 0307 00:34:50:04 00:34:53:13 Now tell me why your tutor wants you to have a video camera at home, 0308 00:34:53:16 00:34:57:01 because "Germán's weird ideas" is not enough to define this. 0309 00:34:57:03 00:34:59:22 Did I tell you that I call him Willy Wonka? 0310 00:35:00:03 00:35:03:09 - Because he's weird? - And because he calls the residents 0311 00:35:03:11 00:35:07:05 "the hospital's Oompa-Loompas" because of all the hours we work. 0312 00:35:08:03 00:35:12:06 Actually he's known for being eccentric, but he has a good eye. 0313 00:35:12:08 00:35:15:07 I got some of his cases, but I didn't get to know him. 0314 00:35:15:09 00:35:18:14 Then you missed his show. 0315 00:35:19:07 00:35:21:01 You're Laura, right? 0316 00:35:24:24 00:35:31:03 Training program, rotation schedule, assessment system, 0317 00:35:31:05 00:35:36:18 how to write your intern's journal, courses, seminars, conferences... 0318 00:35:36:20 00:35:41:09 But what about him? I've been here for a week and I'd like to meet him. 0319 00:35:41:16 00:35:46:22 He only gave me this for you to check it and said he'd call you when he has time. 0320 00:35:46:24 00:35:50:14 When he has time... Right, thank you. 0321 00:35:53:23 00:35:56:16 Arterial punctures... 0322 00:35:57:09 00:35:59:03 Venous punctures... 0323 00:35:59:15 00:36:01:16 Serous punctures... 0324 00:36:02:08 00:36:04:16 Intradermal punctures, and so on. 0325 00:36:05:21 00:36:08:22 Rectal and vaginal examinations... 0326 00:36:09:09 00:36:11:11 Pulse oximetry... 0327 00:36:14:09 00:36:16:02 Peak flow... 0328 00:36:34:14 00:36:39:16 I have time. 8:30 am. Chief of service's office. 0329 00:36:40:00 00:36:43:22 Be punctual. Germán. What a bastard. 0330 00:36:47:11 00:36:49:05 Good morning. 0331 00:36:50:14 00:36:53:03 If you don't want to lose your tutor too early, 0332 00:36:53:05 00:36:56:18 I'd suggest you to close the door, please. 0333 00:37:00:00 00:37:05:16 This is one of the few places in the hospital where you can open the windows. 0334 00:37:08:00 00:37:09:15 Oh, sorry. 0335 00:37:10:24 00:37:14:03 - Do you smoke? - No, thanks, I don't. 0336 00:37:14:12 00:37:18:24 - Why? - Because it's harmful to your health? 0337 00:37:19:01 00:37:24:03 Right, it's said here. "Health authorities warning: smoking can kill you." 0338 00:37:24:06 00:37:26:22 Shit, they don't beat around the bush. 0339 00:37:26:24 00:37:31:09 Isn't it in bad taste to write this stuff? It's too straightforward, isn't it? 0340 00:37:31:11 00:37:34:06 It's the truth, so it's better not to soften it. 0341 00:37:36:18 00:37:40:16 - Do you mind if I smoke? - I'd rather you didn't smoke here. 0342 00:37:42:08 00:37:45:05 You're just like Luis, the owner of this office. 0343 00:37:45:07 00:37:49:05 One of the things he hates the most is the cigarette smell. 0344 00:37:49:07 00:37:53:05 And one of the things I hate the most is having to be a tutor. 0345 00:37:53:07 00:37:57:03 The difference is that the cigarette smell goes away with an air freshener 0346 00:37:57:05 00:38:00:09 and you'll stay here for five years. 0347 00:38:00:18 00:38:04:14 If I'm a bother for you, maybe you shouldn't be my tutor. 0348 00:38:04:18 00:38:07:13 You're absolutely right, Laura. 0349 00:38:07:22 00:38:11:07 The problem is that Luis is the boss, and the boss gives the orders, 0350 00:38:11:09 00:38:14:24 and the boss says that I have to be your tutor. 0351 00:38:16:04 00:38:17:19 Anyway... 0352 00:38:18:16 00:38:22:14 I'm Germán, and I promise you I'll quit smoking... 0353 00:38:22:20 00:38:24:20 in five years. 0354 00:38:24:22 00:38:28:00 Well, Laura. I only know your name, 0355 00:38:28:02 00:38:30:24 your student record and that you don't smoke. 0356 00:38:31:01 00:38:32:18 - Do you drink? - No, I don't. 0357 00:38:32:20 00:38:36:04 You should know that water is necessary to be alive. 0358 00:38:36:06 00:38:39:16 - I don't drink alcohol. - Oh, I see. 0359 00:38:39:19 00:38:41:23 Grass, hashish, coke, crystal meth? 0360 00:38:42:00 00:38:46:02 I don't do drugs or have any unhealthy vice. I'll fulfill my obligations 0361 00:38:46:03 00:38:48:08 - and I'll try to do my best... - Yes, I understand, 0362 00:38:48:09 00:38:52:20 I know you'll do it. Don't worry, just play along with me, OK? 0363 00:38:52:22 00:38:56:10 Do you sleep eight hours a day? Did you sign up for a gym? 0364 00:38:56:12 00:39:00:03 - I try to take care of myself. - Any hobbies? Do you like cinema? 0365 00:39:00:04 00:39:02:16 Reading? Are you concerned about world issues? 0366 00:39:02:18 00:39:06:20 - I don't follow you. - The Israeli-Palestinian conflict? 0367 00:39:06:22 00:39:10:22 IBEX 35? The elections in Uzbekistan? The risk premium? 0368 00:39:10:24 00:39:14:16 I try to be informed. To relax, I read or go to the cinema. 0369 00:39:14:18 00:39:16:09 Good. 0370 00:39:16:12 00:39:20:09 Oh, I forgot something important. 0371 00:39:20:12 00:39:24:03 - Do you have a boyfriend? - What? That's none of your business. 0372 00:39:24:06 00:39:28:02 That means you do for now. Am I making you feel uncomfortable? 0373 00:39:28:03 00:39:32:03 Yes, a lot. You've made very clear that you're not interested in being my tutor. 0374 00:39:32:06 00:39:36:00 And, honestly, I'm not interested in you being my tutor, sir. 0375 00:39:36:02 00:39:38:20 - Not sir. - What? 0376 00:39:38:22 00:39:41:13 Don't call me sir, be less formal. 0377 00:39:41:16 00:39:46:00 I don't like my co-workers to call me "sir". Look, Laura. 0378 00:39:46:02 00:39:51:01 I'm sorry if my questions made you feel uncomfortable, I'm obsessed with my work. 0379 00:39:51:03 00:39:54:14 The new faces I see in the hospital are patients, so you know... 0380 00:39:54:16 00:39:58:22 - I can't help starting asking questions. - Well, I'm not a patient. 0381 00:39:59:07 00:40:03:19 I'll keep that in mind. Now that we've cleared this up, let's get started. 0382 00:40:05:16 00:40:08:09 Have you read all the information? 0383 00:40:09:17 00:40:12:20 Well, I copied it all from another hospital. 0384 00:40:12:22 00:40:16:06 I can't even remember from which one, but one better than ours for sure. 0385 00:40:16:08 00:40:19:19 So I have no idea of what it says. Any questions? 0386 00:40:19:21 00:40:22:12 - None so far. - Well... 0387 00:40:22:14 00:40:26:20 One of the most important things an R1 must do is asking questions. 0388 00:40:26:22 00:40:32:20 OK. Will you teach me something or just give me photocopies of other programs? 0389 00:40:34:12 00:40:36:04 Look, Laura. 0390 00:40:37:03 00:40:41:05 I didn't bother to make a proper training program for you 0391 00:40:41:07 00:40:45:09 because I refuse to say "continuing attendance" 0392 00:40:45:11 00:40:50:09 when I should be saying "being on duty in casualty at least six times per month, 0393 00:40:50:12 00:40:54:24 with shifts of 17 to 24 hours after your normal shift." 0394 00:40:55:01 00:40:58:00 You'll be so tired that you'll make mistakes. 0395 00:40:58:03 00:41:01:17 Not only in routine tasks, because they're repetitive, 0396 00:41:01:19 00:41:06:06 also in those that require concentration. Because you'll be so exhausted 0397 00:41:06:09 00:41:11:16 and your attention will be so low, that I won't be able to teach you properly. 0398 00:41:11:17 00:41:16:16 You'll ask more and more of yourself because you won't admit your own limits, 0399 00:41:16:18 00:41:22:06 so you'll be slowly consumed by stress, because you'll be working with people 0400 00:41:22:08 00:41:26:18 who will demand emotional responses from you that will wear you out. 0401 00:41:27:09 00:41:31:11 Now you're very enthusiastic, but that will slowly go away 0402 00:41:31:13 00:41:37:03 as you start seeing patients as cases, numbers of medical records. 0403 00:41:37:09 00:41:42:03 Pressure and anxiety. That's what you'll be going through in the next months. 0404 00:41:42:04 00:41:46:09 Forget about sleeping well, taking care of yourself, reading or going to the cinema. 0405 00:41:46:12 00:41:52:03 You won't find time for any of that. You'll live in a constant jet lag. 0406 00:41:52:14 00:41:58:18 Worrying about world issues? This hospital is from now on your world. 0407 00:41:59:01 00:42:01:13 Am I being too straightforward? 0408 00:42:01:17 00:42:06:03 Maybe. But it's the truth, so it's better not to soften it. 0409 00:42:07:05 00:42:10:16 See you tomorrow. Don't be late. 0410 00:42:15:01 00:42:19:17 You were right before, Laura. You're not my patient. 0411 00:42:19:19 00:42:24:03 They are sick, and part of my job as your tutor 0412 00:42:24:06 00:42:26:20 is preventing you from getting sick. 0413 00:42:37:19 00:42:40:12 Damn it, Germán! Not again! 0414 00:43:21:11 00:43:23:09 I'm tired. 0415 00:43:24:02 00:43:29:19 I'm tired of being tired, of doubting everything and doubting myself. 0416 00:43:32:22 00:43:36:06 Sometimes, too often, 0417 00:43:36:16 00:43:38:09 I'm scared. 0418 00:43:39:11 00:43:44:04 In cases where I deal with things I know I should know, but... 0419 00:43:45:09 00:43:50:10 I doubt everything I've studied, all the knowledge I'm supposed to have. 0420 00:43:51:09 00:43:54:14 Although sometimes I see it clearly, then I think it over and... 0421 00:43:54:16 00:43:59:11 I decide not to take on the responsibility and I question my own ability. 0422 00:44:00:18 00:44:04:08 I end up consulting even the most stupid thing. 0423 00:44:05:09 00:44:07:21 I don't know how Germán can put up with me. 0424 00:44:09:07 00:44:14:06 It's the right thing, but I don't know if I do it for the patient or for myself. 0425 00:44:16:10 00:44:21:09 The most absurd thing about this is that in college they spend years telling you... 0426 00:44:21:13 00:44:25:19 But they will explain you all this during your residency. 0427 00:44:26:08 00:44:30:14 During your residency, you'll see this much more clearly. 0428 00:44:30:16 00:44:34:04 - And now that I'm a resident... - I'll explain it to you tomorrow... 0429 00:44:36:04 00:44:38:02 if we have time. 0430 00:44:38:22 00:44:41:09 And tomorrow there's no time. 0431 00:44:41:11 00:44:45:03 It doesn't matter how good your grades were in college, because... 0432 00:44:45:05 00:44:50:06 those were just images and pieces of text in a book. But this is reality. 0433 00:44:50:08 00:44:54:20 Here, we deal with lives every day, and with fear. 0434 00:44:55:07 00:44:58:22 Fear of making decisions when you never had to do it. 0435 00:44:59:07 00:45:03:13 Fear of making the wrong diagnoses, of prescribing the wrong treatments... 0436 00:45:03:15 00:45:06:20 Fear of complaints, of everything. 0437 00:45:08:10 00:45:11:21 Sometimes I think stress is part of my training program. 0438 00:45:12:10 00:45:15:11 Germán talked about anxiety and pressure... 0439 00:45:16:16 00:45:18:20 He forgot to mention changes. 0440 00:45:19:17 00:45:22:16 Too many changes, happening too fast. 0441 00:45:24:10 00:45:27:19 So fast that it's hard to follow their pace. 0442 00:45:29:23 00:45:33:01 Changes that bring more loneliness and more fear. 0443 00:45:33:19 00:45:40:10 Sergei Krikalev must have felt that in the three months he waited to be rescued. 0444 00:45:41:11 00:45:44:16 He flew through space as a Soviet citizen... 0445 00:45:44:22 00:45:48:06 and landed on the Earth as a Russian citizen. 0446 00:45:48:18 00:45:51:11 Adapting must have been difficult. 0447 00:46:37:11 00:46:40:24 I'm OK! Thanks for asking. 0448 00:46:45:17 00:46:49:09 Traumatic brain injury, neck sprain, 0449 00:46:49:11 00:46:54:02 fracture of the seventh, eighth and ninth ribs, right rib cage. 0450 00:46:54:04 00:47:00:00 Subluxation of the right arm, fractures of nose bones... 0451 00:47:01:11 00:47:03:17 and multiple contusions. 0452 00:47:04:12 00:47:09:07 This hospital is a joke. Who's the genius who wrote that report? 0453 00:47:09:09 00:47:12:20 Apart from the multiple contusions, he got nothing right. 0454 00:47:12:22 00:47:16:24 It's not your medical report, it's the report of the woman you crashed into. 0455 00:47:19:19 00:47:23:13 Then I'll apologize to her, not to you. 0456 00:47:23:17 00:47:26:04 I don't want your apology. 0457 00:47:27:01 00:47:30:16 Then what the hell are you doing here? You're not my tutor anymore. 0458 00:47:30:18 00:47:35:01 Did you wake up this early to rub my nose in the fact that I had an accident? 0459 00:47:35:09 00:47:37:05 Firstly, 0460 00:47:37:19 00:47:41:07 we've been all night trying to balance off the accounts. 0461 00:47:41:09 00:47:43:07 Secondly, 0462 00:47:43:13 00:47:48:10 you didn't have an accident, you caused an accident. 0463 00:47:48:12 00:47:52:16 And thirdly, I want to know if you were drunk or drugged. 0464 00:47:52:20 00:47:57:07 - Why don't you check my tests? - I'd rather ask you. 0465 00:47:58:04 00:48:04:16 I wasn't. And, if I were drunk or high, it'd be my problem, not yours. 0466 00:48:06:04 00:48:09:05 It had been less than 15 minutes since you ended your shift, 0467 00:48:09:07 00:48:12:10 so it is our problem. 0468 00:48:13:05 00:48:16:06 If the results are positive... 0469 00:48:16:12 00:48:19:23 do you think the management will stand idly by and do nothing? 0470 00:48:21:03 00:48:25:19 - This is incredible. - You're the talk of the hospital. 0471 00:48:25:21 00:48:30:02 - You're out of control. - Did any patient complain about me? 0472 00:48:30:04 00:48:34:06 You know you have a complaint for negligence, right? 0473 00:48:34:12 00:48:37:11 Come on! You saw those reports yourself. 0474 00:48:37:13 00:48:42:10 That family only wanted someone to blame. I did a good job, but those bastards... 0475 00:48:42:12 00:48:47:17 - That's not the point. - But you use it to rub it in my face. 0476 00:48:47:23 00:48:52:18 I'm not worried because I did a good job, but you're freaking out. 0477 00:48:52:22 00:48:56:16 You think the more blame I get, the less your screw-ups would be noticed 0478 00:48:56:18 00:49:01:05 if things got ugly and fucked up the nice chair you've just got. 0479 00:49:01:13 00:49:03:19 You're paranoid. 0480 00:49:05:01 00:49:07:21 You do nothing but confronting everyone. 0481 00:49:07:23 00:49:11:17 You think you know everything, that you're irreplaceable. 0482 00:49:12:20 00:49:16:14 Do you think you can do whatever you want whenever you want? 0483 00:49:17:05 00:49:21:07 Your name is on every paper that put a hospital to shame. 0484 00:49:21:19 00:49:25:19 They've begun proceedings against you for accepting money from first-year residents 0485 00:49:25:21 00:49:28:08 to change shifts with them. 0486 00:49:28:16 00:49:32:04 Maybe it's your fault. There aren't enough assistants in the shifts, 0487 00:49:32:06 00:49:34:16 so the newbies freak out. 0488 00:49:35:23 00:49:39:17 You're being investigated for last month's theft in the pharmacy. 0489 00:49:40:02 00:49:42:06 What the hell are you talking about? 0490 00:49:43:09 00:49:46:14 I'm talking about the missing Buprex. 0491 00:49:47:01 00:49:51:13 I have nothing to do with that. You should be more careful with accusations. 0492 00:49:55:07 00:49:57:21 I'm warning you, not accusing you. 0493 00:49:57:23 00:50:01:05 The day I make an actual accusation, it will be because we are sure. 0494 00:50:01:07 00:50:04:14 Then, your future as a cardiologist will be over. 0495 00:50:06:08 00:50:12:02 I've had enough visits, I'll make it easy for you and your nobility colleagues. 0496 00:50:12:04 00:50:16:02 If you want to investigate me for the accident, don't check my blood tests. 0497 00:50:16:04 00:50:20:16 Check my work reports and you'll see I'd been working for more than 40 hours! 0498 00:50:20:22 00:50:25:01 You should use those pretty meeting rooms of yours to make something useful 0499 00:50:25:03 00:50:29:13 instead of investigating if I go around stealing Buprex or worshiping the devil. 0500 00:50:29:15 00:50:33:15 I and the rest of real doctors are fucked up enough 0501 00:50:33:17 00:50:38:12 and you want to fuck us more with your budgetary adjustments 0502 00:50:38:14 00:50:40:20 and your shitty cuts. 0503 00:50:40:24 00:50:45:15 The sickest patient in this hospital is its own system 0504 00:50:45:21 00:50:50:22 and you want to make us accomplices of it, when we really care about our patients. 0505 00:50:54:22 00:50:58:00 The only sick person I can see right now 0506 00:50:58:14 00:51:00:14 is you. 0507 00:51:09:03 00:51:16:04 In 1997, after several years restricting the space program expenses, 0508 00:51:16:06 00:51:20:10 the Mir suffered a fire which led up to a more serious incident. 0509 00:51:22:22 00:51:27:11 An unmanned cargo craft collided with the station and pierced its fuselage, 0510 00:51:27:13 00:51:30:22 causing decompression of one module. 0511 00:51:31:11 00:51:34:24 Vasily Tsibliyev had to make that docking manually 0512 00:51:35:01 00:51:38:12 because he didn't have an essential radar to carry out the maneuver, 0513 00:51:38:14 00:51:41:17 since its installation was too expensive. 0514 00:51:41:19 00:51:45:19 In spite of that, when he had to return to the Earth because of a heart problem, 0515 00:51:45:21 00:51:49:05 the Russian authority blamed him for everything. 0516 00:51:49:11 00:51:55:05 Miraculously, they didn't have to evacuate the Mir thanks to the ability of its crew, 0517 00:51:55:07 00:51:59:23 but its decline was already unstoppable. 0518 00:52:20:08 00:52:22:18 Wake up, sleepyhead! 0519 00:52:23:09 00:52:25:23 I've got coffee and good news! 0520 00:52:26:20 00:52:30:24 It's too early. Good news doesn't exist this early. 0521 00:52:31:01 00:52:35:11 It does today! I got a call from a private clinic to meet the director. 0522 00:52:35:13 00:52:38:02 - Really? - They were looking for a good surgeon 0523 00:52:38:04 00:52:40:22 and they chose the best: moi. 0524 00:52:40:24 00:52:43:03 But is it for sure? 0525 00:52:43:15 00:52:47:21 They asked me if I could start right away and I said, "What time?" 0526 00:52:47:23 00:52:52:18 I asked if there were more candidates, but they said my résumé was the best 0527 00:52:52:20 00:52:56:10 - and the interview is a mere formality. - I'm so glad for you. 0528 00:52:56:12 00:52:58:14 You deserve it. 0529 00:52:59:15 00:53:05:13 Hey, today... could you do me a favor in the hospital? 0530 00:53:05:23 00:53:09:09 I've seen on Facebook that a doctor friend of mine 0531 00:53:09:11 00:53:12:24 had a car crash tonight, and he's in the hospital. 0532 00:53:13:05 00:53:16:16 They say it's not serious, but would you mind to check on him? 0533 00:53:16:18 00:53:21:13 No, of course. But, if he's your friend, why don't you go to see him? 0534 00:53:21:21 00:53:24:24 It's complicated, it's better if I don't go. 0535 00:53:25:01 00:53:27:19 Look how shy you are for some things. 0536 00:53:27:21 00:53:31:01 It's not what you're thinking. Well, it is, but... 0537 00:53:31:07 00:53:35:17 - Just do it and be discreet, OK? - OK. What's his name? 0538 00:53:35:19 00:53:37:15 Carlos Llorente. 0539 00:53:37:21 00:53:43:03 Well, I'm off now. I have to give a good impression in my new posh operating room. 0540 00:53:50:04 00:53:53:19 By the way, babe. I swear to God that I won't stop until I find out 0541 00:53:53:21 00:53:56:12 what you do when you're alone with the camera. 0542 00:54:07:15 00:54:12:06 Hi, Dr. Fuentes sends me to consult something in Carlos Llorente's report. 0543 00:54:18:00 00:54:19:13 Here. 0544 00:54:21:11 00:54:23:13 Do you know how it happened? 0545 00:54:23:15 00:54:27:03 With his reputation, I wouldn't be surprised if he were smashed. 0546 00:54:31:11 00:54:33:05 There, that's your guy. 0547 00:54:45:21 00:54:47:21 OK, thank you. 0548 00:54:51:01 00:54:56:18 Ruth, I hope you value the trust we're putting in you. Considering your résumé, 0549 00:54:56:20 00:55:00:06 you're the only candidate we considered suitable to work with us. 0550 00:55:00:08 00:55:03:21 - You can be sure I'm the right choice. - I'm more than sure. 0551 00:55:03:23 00:55:08:10 You'll be working under our two permanent surgeons during your traineeship. 0552 00:55:08:12 00:55:11:07 They are Dr. De Sousa and Dr. Morales, and they both are... 0553 00:55:11:09 00:55:14:14 Excuse me, did you just say "traineeship"? 0554 00:55:14:22 00:55:17:21 Are you interviewing me to work for free? 0555 00:55:17:23 00:55:23:07 You'll be paid for the operations when one of our permanent surgeons is on vacation 0556 00:55:23:09 00:55:26:10 or if someone is on leave, but, meanwhile... 0557 00:55:26:24 00:55:28:22 I can't believe this. 0558 00:55:30:08 00:55:36:12 Miss, we have tons of surgeons like you looking forward to getting a call from us. 0559 00:55:46:08 00:55:48:10 Go to hell! 0560 00:55:58:02 00:56:03:07 The Mir station prolonged its useful life from the initial five years 0561 00:56:03:09 00:56:05:05 to more than 11 years. 0562 00:56:08:18 00:56:13:03 Close to its end, some private initiatives wanted to buy it, 0563 00:56:13:05 00:56:17:03 but its situation was too unstable and there was a great concern 0564 00:56:17:05 00:56:20:16 about the possibility of it falling to a populated area of the Earth. 0565 00:56:23:09 00:56:25:17 You should wait until tomorrow. 0566 00:56:26:06 00:56:29:17 I'm alright. I can't stand everybody looking at me as if I were a leper. 0567 00:56:29:19 00:56:32:00 I'm tired of being on everybody's lips. 0568 00:56:32:02 00:56:35:13 And you think signing a voluntary discharge will stop that. 0569 00:56:38:10 00:56:40:22 Did you check that medical history? 0570 00:56:41:05 00:56:44:16 I called. He took some tests in his health center this morning. 0571 00:56:44:24 00:56:46:08 So? 0572 00:56:46:22 00:56:48:22 A muscular strain. 0573 00:56:51:01 00:56:55:11 I thought you'd be glad to know your patient doesn't have a thromboembolism. 0574 00:56:57:03 00:56:59:19 It pisses me off that the bastard was right. 0575 00:57:00:12 00:57:05:15 - Even so, he should have made it sure. - I'm sure the guy prefers his diagnosis. 0576 00:57:09:15 00:57:11:13 Does it hurt when you move? 0577 00:57:14:24 00:57:17:05 What do people say about this? 0578 00:57:18:20 00:57:22:12 I knew it. I wasn't drunk or high, you can check my tests. 0579 00:57:22:14 00:57:25:01 - I don't need to, I trust you. - Because you're my friend. 0580 00:57:25:03 00:57:29:09 I trust what I see, and I see you working. I know you lose control out there, 0581 00:57:29:11 00:57:32:22 but damn it, you're good at your job, you care about your patients. 0582 00:57:33:15 00:57:35:19 When he was here last night... 0583 00:57:36:02 00:57:39:07 I got mad... I lost control. 0584 00:57:39:09 00:57:43:19 It's OK, he came here to piss you off. I'm with you in everything you told him. 0585 00:57:45:01 00:57:47:17 I'm being investigated for the stolen Buprex. 0586 00:57:48:06 00:57:50:24 Shit, should I be worried? 0587 00:57:51:07 00:57:54:06 No, but I know they're coming for me. 0588 00:57:58:20 00:58:01:17 Being a doctor is the only thing I ever cared about. 0589 00:58:02:10 00:58:06:24 When I'm wearing the white coat... it feels like my mind comes back home. 0590 00:58:07:23 00:58:09:23 If they take that away from me... 0591 00:58:10:10 00:58:15:09 If it's so important to you, why don't you focus and stop doing stupid things? 0592 00:58:18:10 00:58:20:00 I don't know. 0593 00:58:20:22 00:58:23:01 In the past months... 0594 00:58:23:03 00:58:27:21 I've just wanted everything to be the way I want, and... 0595 00:58:27:23 00:58:31:17 I don't know, I feel uncomfortable, angry... 0596 00:58:31:23 00:58:33:17 confused. 0597 00:58:34:18 00:58:39:13 I only want time to fly by, I only want to get high and not be alone. 0598 00:58:42:06 00:58:45:11 Have you thought about... seeing a specialist? 0599 00:58:52:00 00:58:55:17 - So you also think that I'm sick? - You're getting me wrong. 0600 00:58:55:19 00:58:58:24 "Have you thought about seeing a specialist?" What's there to get wrong? 0601 00:58:59:01 00:59:01:13 - I only want to help you! - Who said I need help? 0602 00:59:01:15 00:59:05:01 Me, your friend. You're not alright, you've said it yourself! 0603 00:59:05:03 00:59:10:08 But you're so arrogant that you can't admit that another doctor could help you. 0604 00:59:10:10 00:59:14:18 I know how upset you get when a patient dies although you've done it right. 0605 00:59:14:20 00:59:19:17 What will happen if someone dies because you're not in a condition to treat them? 0606 00:59:19:23 00:59:25:09 You're just like them! There won't be any patient I won't be able to see. 0607 00:59:25:11 00:59:30:02 When that happens, no court will keep me away from this, I'll leave myself! 0608 00:59:30:04 00:59:34:04 And now, my dear friend, I'd like you to take your fucking advice 0609 00:59:34:06 00:59:36:20 and get the hell out of here for good! 0610 01:00:05:15 01:00:08:22 I don't need you, asshole! I'm a much better doctor than you 0611 01:00:08:24 01:00:12:24 or anyone else here! I don't need anyone's help! 0612 01:00:17:11 01:00:22:10 On the 23rd March 2001, a controlled deorbit was carried out 0613 01:00:22:12 01:00:27:15 and the space station Mir disintegrated as it reentered the Earth's atmosphere. 0614 01:00:46:00 01:00:48:20 It seems that I'm the idiot now. 0615 01:00:49:11 01:00:51:11 You shouldn't think that way. 0616 01:00:53:05 01:00:59:01 I looked like a little dog, wagging its tail, with its tongue hanging, 0617 01:00:59:03 01:01:02:06 thinking I was going to get some leftovers. 0618 01:01:03:05 01:01:05:09 How pathetic. 0619 01:01:08:08 01:01:10:08 I checked your friend's report. 0620 01:01:12:16 01:01:16:24 - Is he alright? - Yeah, he just has some contusions. 0621 01:01:17:01 01:01:18:14 Good. 0622 01:01:19:03 01:01:20:22 He's cute. 0623 01:01:21:23 01:01:24:14 - Did you see him? - Hardly. 0624 01:01:24:16 01:01:26:14 May I know who he is? 0625 01:01:36:22 01:01:38:22 A Diet Coke, please. 0626 01:01:44:14 01:01:46:08 A Diet Coke? 0627 01:01:46:10 01:01:49:11 That's how you celebrate your promotion from resident to assistant? 0628 01:01:49:13 01:01:51:11 Do I know you? 0629 01:01:52:00 01:01:56:14 In a pre-surgery meeting, I was in the cardiology team... 0630 01:01:56:20 01:01:59:19 - Sorry, but my memory... - It's OK. 0631 01:01:59:21 01:02:04:10 I didn't say a word, it's just normal you didn't notice me. 0632 01:02:04:12 01:02:06:02 You're Ruth, right? 0633 01:02:06:16 01:02:08:02 I'm Carlos. 0634 01:02:12:06 01:02:17:11 So... You and all of them have survived to the residency. 0635 01:02:17:15 01:02:19:07 Congratulations. 0636 01:02:19:11 01:02:22:16 And what's the number after your R, Carlos? 0637 01:02:22:22 01:02:27:15 A brand new 3. Almost halfway through the desert. 0638 01:02:28:00 01:02:30:20 - How's the change? - We'll see. 0639 01:02:30:22 01:02:35:21 I'm sure it'll be OK. Judging by the recovery of our patient, I'd say that... 0640 01:02:35:23 01:02:38:02 you have very good hands. 0641 01:02:39:03 01:02:43:11 But having good hands is the surgeon's hallmark, right? 0642 01:02:43:13 01:02:47:01 That's right. And what's the cardiologist's hallmark? 0643 01:02:48:06 01:02:52:06 Anatomically... nothing in particular. 0644 01:02:52:20 01:02:57:09 According to everyone in the hospital, I'm known for having... 0645 01:02:57:11 01:02:59:15 a sharp tongue. 0646 01:03:03:01 01:03:06:02 Sincerity usually causes a lot of trouble. 0647 01:03:07:03 01:03:09:21 But it saves everyone a precious time. 0648 01:03:10:00 01:03:12:12 And you don't like to waste your time. 0649 01:03:12:20 01:03:16:00 From what I've heard, surgeons don't like to waste time either. 0650 01:03:43:11 01:03:46:02 Carlos was a mistake in my life, babe. 0651 01:03:46:18 01:03:51:15 Just another mistake I made after the other, and other, and other... 0652 01:03:52:14 01:03:56:04 Do you know why I've never asked if you had a boyfriend? 0653 01:03:56:06 01:04:00:02 - No. - I assumed you had one, but not anymore. 0654 01:04:02:08 01:04:04:04 His name was Jorge. 0655 01:04:04:22 01:04:07:07 We'd been together since high school. 0656 01:04:07:17 01:04:11:15 And when you finished college and moved here, everything went to hell, right? 0657 01:04:11:23 01:04:14:00 I see I'm not the first one. 0658 01:04:16:00 01:04:17:23 It's all because of the changes. 0659 01:04:18:00 01:04:21:23 We change our city, our way of thinking, our situation, our friends... 0660 01:04:22:02 01:04:24:24 In such a short time, there are so many changes in our life, 0661 01:04:25:01 01:04:29:19 it's difficult not to look differently at the things that were always there. 0662 01:04:30:08 01:04:33:23 In my case, ten years with my boyfriend, that went to hell. 0663 01:04:35:21 01:04:38:12 I only wanted not to be alone. 0664 01:04:43:03 01:04:46:06 Sex, parties, drinks... 0665 01:04:47:05 01:04:50:20 Anything would do to help me not think too much. 0666 01:04:52:08 01:04:54:14 But there was a limit to everything. 0667 01:04:55:03 01:04:57:21 Carlos didn't seem to be aware of that. 0668 01:05:11:21 01:05:15:01 Sometimes we continued the party more than we should, 0669 01:05:15:09 01:05:17:19 and I would go to work without sleeping. 0670 01:05:19:15 01:05:22:16 One day, there was an emergency, and... 0671 01:05:46:22 01:05:52:16 After that, I knew I had to get away from Carlos and everything about him. 0672 01:05:52:18 01:05:55:07 And you didn't try to help him? 0673 01:05:56:14 01:06:03:07 Sometimes doctors put so much effort in helping sick strangers, 0674 01:06:03:09 01:06:08:12 that we forget about the people around us just because they seem healthy. 0675 01:06:09:07 01:06:11:01 I guess you're right. 0676 01:06:13:05 01:06:16:24 We weren't good traveling companions for our ex-boyfriends, right? 0677 01:06:18:02 01:06:21:07 I don't know if I miss Jorge or just feeling safe around him. 0678 01:06:21:09 01:06:24:24 Safe? There's no such thing as being safe, babe. 0679 01:06:25:17 01:06:28:22 Whenever you feel safe, 0680 01:06:28:24 01:06:33:01 take a good look around you, because something will hit you right on your head. 0681 01:06:36:00 01:06:38:20 And what happened with Carlos after that? 0682 01:06:40:12 01:06:45:15 From what I've heard in the hospital, he was still in the same bar I met him. 0683 01:08:24:06 01:08:27:19 These days I've been trying to figure out what is happening to me. 0684 01:08:28:24 01:08:33:15 How is it possible that everything I worked so hard for is falling down? 0685 01:08:46:02 01:08:48:06 Not long after taking that photo, 0686 01:08:48:08 01:08:52:24 I read that three climbers had died right there, in an avalanche. 0687 01:08:53:01 01:08:57:03 The only survivor said he'd had trouble with his gear 0688 01:08:57:06 01:09:00:12 when his fellows were already climbing. 0689 01:09:00:14 01:09:05:01 He started calling them at the top of his voice and everything came down. 0690 01:09:11:19 01:09:14:04 He felt guilty for that. 0691 01:09:16:06 01:09:21:09 But millions of tons of rocks don't collapse just because of a shout. 0692 01:09:21:15 01:09:23:17 The shout is just the trigger. 0693 01:09:26:05 01:09:31:13 The collapse of a mountain is caused by hundreds of years of wind, rain... 0694 01:09:31:15 01:09:34:16 or just the animals turning over the ground. 0695 01:09:36:14 01:09:39:01 All those things wear it away little by little, 0696 01:09:39:21 01:09:43:19 until the only thing necessary for it to collapse is... 0697 01:09:44:24 01:09:46:24 just a shout. 0698 01:09:49:07 01:09:52:06 Don't we have trolleys to carry all this? 0699 01:09:52:16 01:09:55:03 Let's see what we have here. 0700 01:09:55:15 01:10:00:06 Male, 82 years old. Oliguria detected in a radiological test with iodized contrast. 0701 01:10:00:07 01:10:04:07 Serum creatinine: 3 ml/dl. Contrasted size of renal silhouettes. 0702 01:10:04:10 01:10:10:12 Hematocrit: 32%; proteinuria: 5; albuminemia: 44; total proteinemia: 108. 0703 01:10:10:14 01:10:14:06 High serum level and normal complementary serum factors. 0704 01:10:14:12 01:10:18:06 Well, my young squire, what's the most likely diagnosis? 0705 01:10:18:24 01:10:22:22 - Multiple myeloma? - You got it right by chance. 0706 01:10:27:19 01:10:29:19 Hello, Ángela. 0707 01:10:33:19 01:10:35:09 I'm coming. 0708 01:10:35:20 01:10:38:00 We'll continue with the round later. 0709 01:10:49:03 01:10:54:18 305. You were right, it's the pancreas. Stage three, almost four. 0710 01:10:54:19 01:10:58:19 A couple of months earlier, maybe less, and we'd have got it on time. 0711 01:10:59:01 01:11:00:18 God... 0712 01:11:01:03 01:11:06:02 - I shouldn't ask this, but are you sure? - We've made the tests twice. 0713 01:11:06:05 01:11:08:06 We got the same result. 0714 01:11:09:09 01:11:11:06 Do you want me to do it? 0715 01:11:11:20 01:11:14:19 No, I'll take care of it. 0716 01:11:14:20 01:11:17:06 Laura, you stay here. 0717 01:12:26:00 01:12:28:02 Who are you? 0718 01:12:28:05 01:12:30:14 My name is Laura. What's yours? 0719 01:12:30:16 01:12:33:21 Raquel. Are you a doctor? 0720 01:12:34:02 01:12:36:14 Yeah. So what's wrong, Raquel? 0721 01:12:36:16 01:12:39:11 My belly hurts all the time. 0722 01:12:39:13 01:12:43:13 Well, you're here to get better so that your belly won't hurt anymore. 0723 01:12:44:10 01:12:47:01 Are you going to cure me too? 0724 01:12:47:23 01:12:49:19 Of course. 0725 01:12:54:16 01:12:56:20 Pancreatic cancer. 0726 01:12:57:17 01:13:00:02 So difficult to diagnose. 0727 01:13:01:01 01:13:03:05 So few symptoms. 0728 01:13:05:05 01:13:07:17 So rare in a little girl. 0729 01:13:10:16 01:13:12:24 I would never have seen it coming. 0730 01:13:15:11 01:13:19:18 It had reached the lymphatic system and now it was all over her little body. 0731 01:13:21:23 01:13:24:12 She barely lived for eight more days. 0732 01:13:28:02 01:13:29:19 Raquel... 0733 01:13:30:07 01:13:34:02 A little shout, and a big mountain collapses. 0734 01:13:37:20 01:13:41:09 This is ridiculous. She wasn't even your patient! 0735 01:13:42:02 01:13:46:19 If I had been relieved just a few minutes later that day, she'd be my patient. 0736 01:13:46:24 01:13:50:10 And I'd have said it wasn't important. 0737 01:13:50:16 01:13:54:14 Do you want to diagnose a pancreatic cancer in your first year? 0738 01:13:54:16 01:13:57:05 It's one of the most difficult things to diagnose! 0739 01:13:57:06 01:14:00:14 But it's not impossible! You saw it, but I didn't! 0740 01:14:00:16 01:14:03:23 I'll never have what it takes to do this properly. 0741 01:14:04:06 01:14:09:05 I'm not good enough, and I'll never be. I don't have the strength to even try! 0742 01:14:09:09 01:14:13:21 Now, when I see a patient, nothing seems a little thing to me. 0743 01:14:13:23 01:14:17:11 If a child comes to the emergency room, I start trembling, because... 0744 01:14:17:13 01:14:20:10 I can't believe this. I can't believe this! 0745 01:14:20:12 01:14:22:22 You don't know what you're saying! 0746 01:14:24:19 01:14:28:16 I thought it through, and... I think this is the best for me. 0747 01:14:28:18 01:14:31:23 Listen, kid, I'm your tutor, 0748 01:14:32:00 01:14:36:04 If I tell you that you don't know what you're saying, that's because it's true! 0749 01:14:36:12 01:14:38:20 You're gonna lose two years! 0750 01:14:44:10 01:14:48:00 - I didn't expect you to give up. - I'm not giving up. 0751 01:14:48:16 01:14:51:06 It's just that this is not my thing. 0752 01:14:51:20 01:14:55:09 I'll do the test again to choose another specialty. 0753 01:14:55:11 01:14:56:24 Which one? 0754 01:14:57:11 01:15:00:12 I don't know... Pharmacology, or... 0755 01:15:00:14 01:15:05:20 Pharmacology, right. Or hospital pharmacy, or microbiology. 0756 01:15:05:23 01:15:09:03 Anything that keeps you away from patients will do, right? 0757 01:15:09:09 01:15:11:11 You're an internist, damn it! 0758 01:15:11:13 01:15:15:15 I thought I should tell you and thank you for the time you gave me these months. 0759 01:15:15:18 01:15:19:01 You mean the time you made me waste these months. 0760 01:15:19:19 01:15:24:12 Very nice! See? It's for shit like this that I don't like to be a tutor. 0761 01:15:24:19 01:15:27:01 I told you it'd be hard! 0762 01:15:27:06 01:15:29:13 What did you think all this was about? 0763 01:15:29:15 01:15:35:23 Most people who die of natural causes, die in hospitals! In our hands! 0764 01:15:36:10 01:15:38:12 In our hands... 0765 01:15:38:24 01:15:41:19 Tell me, Germán. If that girl were your family 0766 01:15:41:20 01:15:45:09 would you let her in my hands or in the hands of any other resident? 0767 01:15:49:06 01:15:54:22 Look, Laura. It's obvious that I'm not the right person to talk to you about this, 0768 01:15:54:24 01:15:57:15 because I'd gladly punch you right now! 0769 01:16:00:06 01:16:05:09 But you must talk about it. Talk about yourself, without thinking. 0770 01:16:05:17 01:16:08:08 Talking out loud helps. I do it all the time. 0771 01:16:08:10 01:16:11:15 You can check my psychiatric record if you want to. 0772 01:16:14:18 01:16:18:00 Look, Laura. If you really want to thank me for my time, 0773 01:16:18:02 01:16:22:24 it's just fair to give me some of yours. Just one week, only that. 0774 01:16:23:01 01:16:26:10 Forget about being on duty, I'll talk to Luis about that. 0775 01:16:26:12 01:16:31:13 Come and spend your shift studying in the library or wherever you want. 0776 01:16:31:15 01:16:36:16 Forget about the patients, just rest. But I need you to talk about it. 0777 01:16:36:19 01:16:41:11 Not to get advice from others, not that. Forget about everyone in a white coat, 0778 01:16:41:13 01:16:44:10 about friends, relatives or acquaintances. 0779 01:16:44:20 01:16:48:16 You need to listen to yourself. 0780 01:16:49:05 01:16:51:15 Do you want me to see a psychologist? 0781 01:16:51:18 01:16:54:14 No, they end up giving their advice. 0782 01:16:54:16 01:16:57:06 I want you to talk to yourself. 0783 01:16:58:04 01:17:01:03 Do you want me to stand in front of a mirror? 0784 01:17:01:05 01:17:04:10 No, I want you to record yourself. 0785 01:17:06:19 01:17:08:16 So here I am. 0786 01:17:09:05 01:17:11:01 Just like in the beginning. 0787 01:17:13:11 01:17:15:21 Without knowing what I'm gonna do. 0788 01:17:36:16 01:17:39:20 - I didn't know if you were sleeping. - Are you OK? 0789 01:17:39:23 01:17:42:22 - May I come in? - Sure, come in. 0790 01:17:55:06 01:18:00:18 I read a saying once, a sort of karma about surgeons. 0791 01:18:01:23 01:18:04:18 "Sometimes they are wrong, but they never doubt." 0792 01:18:06:14 01:18:12:19 I was studying, and I reached a part that explains how to implant a central IV. 0793 01:18:13:11 01:18:18:22 I started reading, but I could only repeat the first paragraph over and over again, 0794 01:18:19:11 01:18:24:14 because my mind was unable to focus on something I already knew unwittingly. 0795 01:18:26:22 01:18:29:13 I don't need to keep on reading that book, 0796 01:18:29:15 01:18:33:19 or to be examined again of something that for me is as natural as breathing. 0797 01:18:41:19 01:18:44:19 I close my eyes and everything is there, Laura. 0798 01:18:45:17 01:18:48:05 I clean the patient's breast with an antiseptic. 0799 01:18:48:06 01:18:51:19 I inject 5 cm³ of lidocaine. 0800 01:18:52:06 01:18:58:00 I puncture the breast entering in acute angle right under the clavicle. 0801 01:18:58:18 01:19:01:20 I can feel how it glides along the fat... 0802 01:19:02:12 01:19:07:07 I feel how the muscle resists and the slight cracking of a vein wall. 0803 01:19:08:02 01:19:11:03 I only have to suture to get the work done. 0804 01:19:12:00 01:19:14:08 I was all confidence. 0805 01:19:14:16 01:19:17:03 There was no room for doubt. 0806 01:19:22:14 01:19:24:12 I'm a surgeon. 0807 01:19:25:19 01:19:27:21 There's nothing else I want to be. 0808 01:19:28:14 01:19:30:10 Then don't be anything else. 0809 01:20:22:12 01:20:27:06 Call an ambulance, damn it! Someone call an ambulance! Look for help! 0810 01:20:37:03 01:20:40:19 - This man is a doctor! - Move away, please. 0811 01:23:12:22 01:23:15:01 Take care, OK? 0812 01:24:58:12 01:24:59:19 I... 0813 01:25:05:23 01:25:07:21 I need help. 0814 01:25:21:15 01:25:23:13 You're late. 0815 01:25:31:13 01:25:34:19 By the way, I've quit smoking. 0816 01:25:37:03 01:25:41:09 My dream of being an astronaut faded away long before the Mir disappeared, 0817 01:25:41:11 01:25:45:13 when I found out that many of the stars I saw shining in the firmament every night 0818 01:25:45:15 01:25:48:19 had died millions of years ago. 0819 01:25:48:20 01:25:50:24 I was shocked by that. 0820 01:25:51:06 01:25:54:18 How could something so beautiful be dead? 0821 01:25:54:19 01:25:59:11 I wanted to put all my hopes and dreams in something that wasn't an illusion. 0822 01:25:59:13 01:26:03:23 So my choice was clear: I chose life. 0823 01:26:04:04 01:26:07:05 "Mir" means "peace" in Russian. 0824 01:26:07:13 01:26:12:00 But, in Spanish, it means "residency". 0825 01:26:15:17 01:26:19:01 MEDICAL EMIGRATION HAS RISEN BY 75% IN A YEAR, 0826 01:26:19:03 01:26:22:08 UP TO 2,405 PROFESSIONALS IN 2012. 0827 01:26:22:10 01:26:27:06 THE PERCENTAGE OF RESIDENTS WHO RESORT TO THE CARE PROGRAM FOR SICK DOCTORS 0828 01:26:27:07 01:26:30:22 IS 9% OF THE TOTAL NUMBER OF USERS OF THIS PROGRAM. 0829 01:26:30:24 01:26:35:05 THIS SECTOR EXPERIENCED THE HIGHEST INCREASE IN THE LAST YEARS. 0830 01:26:35:07 01:26:43:21 4% OF THE DOCTORS WHO STARTED THE RESIDENCY IN 2012 GAVE UP A SPECIALTY. 0831 01:26:44:18 01:26:49:15 HOWEVER, IT IS A PERIOD FULL OF UNIQUE EXPERIENCES IN THE LIFE OF EVERY DOCTOR 0832 01:26:49:18 01:26:55:01 AND MOST PROFESSIONALS GET THROUGH IT SATISFACTORILY.