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00:00:00Transcription by CastingWords
00:00:30Transcription by CastingWords
00:01:00Transcription by CastingWords
00:01:30Transcription by CastingWords
00:01:59Transcription by CastingWords
00:02:29And so we'd like to take a moment to thank Alexander for his gift
00:02:34and for the family for consenting on his behalf
00:02:37and just take a moment of silence, please.
00:02:39Is everyone okay to go ahead?
00:02:59Yes.
00:03:01Okay, starting please.
00:03:04Can I get my headlight please?
00:03:07Do you want to do the vessel cup change?
00:03:22Yeah.
00:03:23Okay, pancreas is coming out.
00:03:26Do we have the...
00:03:30Yeah.
00:03:31Makes sense.
00:03:32So...
00:03:33Wow, those are some beautiful ones.
00:03:37I don't know, I mean you could split it and sew it together closer.
00:03:52Like you could cut some out of there.
00:03:54I don't know.
00:03:56The next time I see you, you have new lungs, you're in the ICU, okay?
00:04:00I'm gonna hold it snug so you just get oxygen and not room there.
00:04:03Big, slow, easy breaths.
00:04:04Here we go.
00:04:05Big, slow, easy breaths.
00:04:06Here we go.
00:04:10So, what we're gonna do is on the count of three, I'm gonna pull the tube out, okay?
00:04:36But you're gonna have to take in a nice deep breath for me.
00:04:38Does that make sense?
00:04:39Just a nice deep breath, honey.
00:04:42Yeah.
00:04:43Okay, so I'm gonna pull these tapes out behind your head here.
00:04:47Yeah.
00:04:48Okay, you ready?
00:04:52Remember to deep breath, honey.
00:04:55So, on the count of three here, okay?
00:04:58One, two, three.
00:05:00Nice deep breath in.
00:05:02My pleasure there for a while.
00:05:15Yeah, awesome.
00:05:17My pleasure.
00:05:49OK, let's go to E4, print list, and...
00:05:58Are we going to ICU next?
00:06:06Morning, how are you?
00:06:07I'm pretty good.
00:06:08Doing all right?
00:06:09I'm Dr Shapiro. Yeah, we've met before.
00:06:11So we're still planning for Friday, then?
00:06:14Operation Friday?
00:06:15Yeah, yeah.
00:06:16OK.
00:06:16You might need to go back to the dialysis again a little bit after the surgery.
00:06:20It's always a possibility.
00:06:22Yeah, I am happy to see that, yeah.
00:06:24I am happy.
00:06:25You guys, when you come past, you should do this firmly.
00:06:28A quarter of our patients will die waiting for a transplant,
00:06:32and we're desperately short of organ donors.
00:06:34Some of them will wait years for a transplant in certain blood groups.
00:06:43Some of them will go straight, you know, close to the top of the list
00:06:46because they're so sick.
00:06:49Many people will die waiting because a organ doesn't come in time.
00:06:53James Shapiro.
00:06:58The team should be there setting up.
00:07:01And waiting.
00:07:01So we won't lose any time.
00:07:13He's so scared.
00:07:14Yeah.
00:07:19I'm always getting second chance.
00:07:21Mm-mm.
00:07:22Right?
00:07:23Mm-mm.
00:07:24This is it.
00:07:26This is your second chance.
00:07:28Mm-mm.
00:07:29Yeah.
00:07:31Yeah.
00:07:32That's going to go good.
00:07:33Mm-mm.
00:07:36Mm-mm.
00:07:38OK, I think we're ready to go.
00:07:39Are you?
00:07:40Yes, we are.
00:07:42Are you ready?
00:07:46All right, you want another hug?
00:07:48Kiss?
00:07:49Yeah.
00:07:49High five?
00:07:50OK.
00:07:51I love you.
00:07:52Love you, too.
00:07:53OK.
00:07:54It'll be good.
00:07:54Everyone will be good.
00:07:55You've got a good team here.
00:07:56Take really good care of her.
00:07:57Yeah, you've got a good team here.
00:07:59Mm-hmm.
00:08:03All right.
00:08:04Take care of her.
00:08:05Yeah.
00:08:06This patient is very sick.
00:08:09She has what we call a high MELD score, which means that the liver has been very diseased,
00:08:13very scarred, a lot of pressure in the veins, a lot of risk of bleeding.
00:08:18I mean, this isn't unusual for us, but it's, yeah, as with any liver transplant in a sick
00:08:23patient, it's an extra challenge.
00:08:25And flagel.
00:08:28And flagel.
00:08:32Should I have a little nasal in there?
00:08:35So it's flagel.
00:08:36OK.
00:08:37It might smell kind of funny, but you're just using it.
00:08:38That's right.
00:08:40OK.
00:08:40It might smell like a little bit, but it might smell like a little bit, but it's
00:09:06right in the back of my opinion.
00:09:08I think we'll plan and all that.
00:09:15So our plan here, I guess, is just to rehearse things a little bit.
00:09:22Let's just put some fresh fungi there.
00:09:25Can you see how horribly diseased this liver is?
00:09:29It really is. It's horrible, yeah?
00:09:30The only, the end result would be, if she doesn't get this now,
00:09:41within three months, I don't think she would be here anyway.
00:09:44So that's how critical it is.
00:09:46It was a very tight timeline for her.
00:09:49So you can't say that it's definitive that she's going to be all right.
00:09:56Right? There could be lots of problems.
00:09:58And the end result of some of them is death, right?
00:10:02So it's a tough, tough decision, you know?
00:10:06But it's one of those things that you have to do.
00:10:08Either you live or you die.
00:10:10And it's not fair, but these things happen in life,
00:10:14and that's the way it is.
00:10:15So now we can blow the liver in.
00:10:34So now the liver enters the field.
00:10:43When you watch a new organ come to life like this,
00:10:55and you put new blood in it,
00:10:57seeing, you know, a pale brown organ come to life,
00:11:02I'm thinking, what an incredible thing to do.
00:11:05And it never fails to, you know, give me some thrill
00:11:08to see life come back into an organ like this.
00:11:11Crazy high levels.
00:11:21Just, um...
00:11:22We're good.
00:11:26Good job.
00:11:28Good job.
00:11:29Emily?
00:11:33Oh, thank you.
00:11:34Somebody has end-stage liver disease at one moment,
00:11:43you release the cramps,
00:11:44and now they suddenly have a new chance of life again.
00:11:48So it's a wonderful privilege to be a part of that.
00:11:53Okay, good to go.
00:12:06You know I'm here, don't you?
00:12:13You're getting there, Patty.
00:12:16Yeah, you're getting there.
00:12:17It's a long haul, but you'll get there.
00:12:20It's a long haul, but you'll get there.
00:12:47Yeah.
00:12:58I'm going to keep going.
00:13:01We love you, son.
00:13:28You are our boy.
00:13:31Our love boy, our love child.
00:13:35Matthew, Matthew, right now is when we need you the most.
00:13:40The doctors are going to be doing some tests.
00:13:43And these results of these tests are so important, son.
00:13:46This is when we need you to shine like you've never shined before, son.
00:13:51Please.
00:13:53Please shine.
00:13:55Everybody join hands, please.
00:13:58Everybody join hands for our son.
00:14:01Everybody pray.
00:14:06Matthew, please, please.
00:14:09This next couple hours is so important to you.
00:14:13I'm a baptician.
00:14:15Please, I'm a baptician.
00:14:16Help me, Matthew.
00:14:18You can do it.
00:14:18You can do it, Jesus.
00:14:20I want the whole boy back.
00:14:23I want the whole boy back.
00:14:26You're such a good boy.
00:14:27You're such a good boy.
00:14:29You're so kind.
00:14:30He's a wonderful boy.
00:14:31You're so kind, Matthew.
00:14:33You're so giving.
00:14:34We know how important these tests that are coming up.
00:14:47And what we're trying to do is get something in his brain working so it's worth, give a sign
00:14:54that we can carry on with him.
00:14:57And that's what we are.
00:14:58We're just trying to stimulate him.
00:15:01We're hoping that his brain reacts.
00:15:04And when he goes through this battery, a test is so important of what happens after.
00:15:09The doctor has explained to us that this is a very big decision-making.
00:15:13And we're just praying and hoping that there is enough there that we do move forward with him.
00:15:22We're terrified that if there isn't, the results aren't really what we're just scared.
00:15:31He's going to do it, Les.
00:15:33I know he is.
00:15:34He's going to do it.
00:15:35I know you're going to do it, Matt.
00:15:36He's going to do it.
00:15:37I know you are, Matthew.
00:15:38I believe.
00:15:39I believe.
00:15:40He's going to do it.
00:15:41He's going to do it.
00:15:41You're going to do it, Matt.
00:15:44We're just hoping that by reaching him, it can help him.
00:15:49And we're asking him to give his fight.
00:15:52Even though he doesn't fight, that's what he has to fight.
00:15:57But I hope he beats the hell out of it.
00:16:02Matthew, I'm going to put a hat on your head, okay?
00:16:06So it's going to feel a little snug.
00:16:08How much propofol is he on?
00:16:14300.
00:16:15300?
00:16:15Okay.
00:16:17And he's having jerking?
00:16:20Yeah.
00:16:21Not sure if it's myoclonus or seizure, so...
00:16:25Matthew?
00:16:27Matthew?
00:16:28Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:29Matthew?
00:16:31Matthew?
00:16:31Matthew?
00:16:31Matthew?
00:16:31Matthew?
00:16:33I'm going to do my work.
00:16:34Any response to pain at all?
00:16:35Um, just an abnormal extension.
00:16:36Okay, but nothing...
00:16:37any response to pain at all just abnormal extension okay but nothing
00:16:45matthew i'm gonna just pinch your finger love okay right now
00:16:52yep so we started our myoconic jerking okay well here we go okay there matthew okay i'm all
00:17:03finished matthew hang on there matthew okay honey
00:17:09our whole world was turned upside down just in the matter of 20 minutes my whole life changed
00:17:23my whole life changed
00:17:24apparently uh matthew was getting a tattoo and
00:17:30um the story is a little mixed up and foggy but uh uh he was left and they came back and he was
00:17:38unconscious matthew i'm just gonna do some flashing lights in one minute we were such a content family
00:17:47and just we just felt so lucky they're such a good family and then bang
00:17:54all right matthew we're all done
00:18:03i know it has to be analyzed and i know that is the is the waiting game this is a very scary day for us
00:18:22we do know we were told 72 hours we do know these tests are going to show a lot give some answers
00:18:29i'm very afraid of what the answers could be
00:18:34trying to have more hope but fear is there
00:18:38everybody's going to feel the ramifications of what's happening here so
00:18:44we've lost a lot of very young young members in our family that it's it's it's horrific i don't even
00:18:53understand how we could lose so many young potential amazing people you need that family support that is
00:19:03what a person needs in this scenario there's no real right or wrong way to feel at this time but
00:19:08knowing that you have the love of your family it's very important and i'm so thankful for everybody
00:19:17that we do have
00:19:18and i feel very sad for people that don't have what we have as a family
00:19:26i've been pacing up and down these hallways
00:19:48and all of a sudden it reminded me of when matthew was born and the similarity
00:19:54of me pacing that hallway and it struck me i was waiting for a birth of matthew again
00:20:00that's what i'm waiting for i'm waiting for a birth
00:20:06hello hello hi honey
00:20:21so we're just going to go a little bit over the things that you've been discussing before
00:20:36is everything clear to you do you have concerns something new come up do you know
00:20:41kind of what what you have to expect and you know that um that the perfusion of the heart with
00:20:49blood so oxygen going to the heart itself is dependent on that small chamber that is not
00:20:55properly formed on the right side in her situation i don't think there's much um dispute about which
00:21:02is the right way to go i think we all agree that transplant for sure gives the best chance um to lead
00:21:09a long term as close as possible to normal life you do know however too that it's not going to be a walk
00:21:17in the park we we can go in a very good condition into the surgery and we know that in this condition
00:21:24the babies usually do very well it is it is exchanging a life-threatening situation in which
00:21:30she is now with kind of a chronic disease or chronic abnormality so you know she will lifelong
00:21:39depend on taking medications but realities with the babies the first two years are a bit of a struggle
00:21:46often and in children that are immune suppressed that can cause a lymphoma which is basically a type of
00:21:54leukemia and that's not that uncommon it's hard to even imagine how that feels right like you go through
00:22:02all this you go through a heart transplant everything goes well and then suddenly something like that strikes you
00:22:06but i think it's in all fairness important for you to be aware of that as a possible option but also
00:22:13be aware that 90 of our kids do really really well well so if you have any questions just find us
00:22:21anytime okay i only talked all the time now which is pretty common actually
00:22:27sounds scary yeah hope for the best yeah you think about going through the whole heart transplant and then
00:22:48maybe later on dealing with cancer or something like that it's terrifying it's just something we
00:22:56gotta do we love her and just want her to have the best life she can possibly have
00:23:02so i don't know if we really have many options at this point
00:23:06she should learn
00:23:08so
00:23:10nobody's here
00:23:10you're tired
00:23:11i'm sorry
00:23:16you're sneaky
00:23:22you're sneaky
00:23:27aha
00:23:29aha
00:23:31aha
00:23:35aha
00:23:35aha
00:23:36aha
00:23:36aha
00:23:36aha
00:23:36He's got five beautiful grandchildren that he's living for.
00:23:49He's got to watch them.
00:23:50He's got to bring them up right.
00:23:52I hope so.
00:23:54I didn't make this up last summer.
00:23:56I took my two grandsons, caught their first fish.
00:24:03I'm glad you guys came.
00:24:05No problem.
00:24:05Yes.
00:24:06Give it away.
00:24:06Mm-hmm.
00:24:07I finally talked him out of being stupid.
00:24:10Yeah, no problem.
00:24:10Did you?
00:24:11Mm-hmm.
00:24:12How you doing, Dad?
00:24:16It better.
00:24:19A little bit better?
00:24:25Quite a bit better than I was.
00:24:27Yeah.
00:24:29Looks like he didn't stop sticking, you any?
00:24:32No.
00:24:32No.
00:24:34He was close to having me pretty regularly.
00:24:35Yeah.
00:24:36Yeah.
00:24:37So Bruce and I, gal.
00:24:40Say bold, say bold.
00:24:42Give me some of the chair.
00:24:44I can stand.
00:24:45I just sat for a plane ride and sat on a bench and sat on a truck.
00:24:49I'm good.
00:24:49How are the kids?
00:24:53Good.
00:24:54All of them?
00:24:55Good.
00:24:55Yeah.
00:24:56Oh, yes.
00:24:56Oh, yes.
00:24:57Oh, yes.
00:24:57I think they have a big problem.
00:25:01They haven't had grandpa for a while to treat them right.
00:25:05Yeah.
00:25:06You guys make them follow the rules.
00:25:07Yeah, I know.
00:25:08Nobody's spoiling them.
00:25:09Yeah.
00:25:10You're great.
00:25:12I'll make up for the last time.
00:25:13I know you will.
00:25:16I'll go over here for a minute.
00:25:18Give them some time with the kids.
00:25:21How's things going?
00:25:23Good.
00:25:24Good, good.
00:25:25Waiting sucks.
00:25:27Mm-hmm.
00:25:27Yeah, no doubt.
00:25:29They upped me.
00:25:31I'm a level four now.
00:25:34That's good.
00:25:35No.
00:25:37Huh.
00:25:38Yeah.
00:25:39The trouble is, I'm too big.
00:25:43My heart lungs are too big.
00:25:47Having trouble finding a match?
00:25:49Yeah.
00:25:50They've been getting lots of smaller hearts, but not big enough for me.
00:25:54So, let's see how it goes.
00:26:00When did you get put on level four?
00:26:03Today.
00:26:03Today.
00:26:04They told me about it today, so we'll go with that.
00:26:08Well, that's good that you're next in line, though.
00:26:13Yep.
00:26:13You have to think positive.
00:26:26Yep.
00:26:27That's all you do is you hang on.
00:26:30Well, Mama's always told us that, you know...
00:26:32You hold on quick.
00:26:33Yeah, the difficult you can do now, the impossible, only takes longer.
00:26:39So, this is a little, like, impossible, but it's just going to take longer to have it done.
00:26:47He essentially needs a heart.
00:26:49And, you know, he's going to need a fair bit of rehab afterwards, too.
00:26:52It's not going to be an easy road even after the heart transplant.
00:26:55And I think he acknowledges that, too.
00:26:57Hey, Doc.
00:26:58Hey, Bill.
00:26:58How are you?
00:27:00Good to see you.
00:27:00Better today.
00:27:01A little better today, yeah.
00:27:02Better today?
00:27:03So, one good thing is, you know, the ultrasound for your heart?
00:27:07Didn't show any worsening fluid.
00:27:09Okay, that's good.
00:27:10So, that's at least one possible.
00:27:11Hey, you've got to get something right.
00:27:12Yeah, yeah.
00:27:13So, I cut back your steroids.
00:27:17So, your sugar should be better.
00:27:19I'm hoping that you get some sleep, because that's probably why you're not sleeping as much.
00:27:24Yeah, that's...
00:27:25So, you're probably the highest status person in Alberta right now.
00:27:30Yeah.
00:27:30Your muscles are getting weak.
00:27:32Yeah, and your energy, your sodium.
00:27:34I didn't even start up this morning.
00:27:35Yeah, I heard you had a little fall.
00:27:37Like, my concern is, and I've seen patients like yourself who get weak.
00:27:41You were once a pretty big guy.
00:27:43And I don't mean in the stomach.
00:27:45You keep right up to her motor, not at all.
00:27:47Well, not in that group.
00:27:49I mean, like, you have more muscle.
00:27:51And when you're sick, your body preferentially uses muscle for energy.
00:27:55And if you get too weak, you actually, the outcome for going for a transplant is far worse
00:28:00than being sick and heavy.
00:28:02Does that make sense?
00:28:02So, I want to prevent that from happening.
00:28:06So, I'll just give you a light on.
00:28:07I just want to see your neck here.
00:28:09And then, the other thing with you being weak is just kind of take it easy when you're getting up.
00:28:14I know you're so used to doing everything on your own.
00:28:15I know.
00:28:17The last thing I need you to do is fall either on your chest or your head.
00:28:21And then we've got a whole set of other issues.
00:28:23Okay?
00:28:24Yeah.
00:28:24And I'll be here the whole weekend, so I'll keep you updated every day.
00:28:27Okay?
00:28:28Anything else I can help you with?
00:28:31Fight me hard?
00:28:32I'm on it.
00:28:34Okay.
00:28:35Talk to you later.
00:28:36Okay.
00:28:36Thank you, sir.
00:28:37All right.
00:28:38If you need anything, just have Braden give me a shot.
00:28:40Okay.
00:28:54It would almost make sense that if somebody has viable organs when they pass, that it should just be an automatic thing where, you know, you take them from them and give them to those that need it the most.
00:29:07And then that lessens the strain on the medical system as much as possible.
00:29:12This year, I'll have completed 20 years with the Edmonton Police Service.
00:29:25Right now, I'm on long-term disability, so I've been off work for just about two years now.
00:29:35950.
00:29:36150.
00:29:38Yeah, that's good enough.
00:29:39When you have a family, there's always many things on the go.
00:29:43Like, there's, you know, competitions coming up.
00:29:46She's a competitive diver, so we're hoping that she qualifies for nationals.
00:29:51And with that, we'll come travel.
00:29:53So you're trying to plan for that, but, like, can I get dialysis there?
00:29:58Can I...
00:30:00Am I going to be well enough to travel?
00:30:01Am I going to get the call?
00:30:03Like, am I possibly missing out on getting an organ?
00:30:05And because I had to put myself on hold for a week to go to a competition, because I could get dialysis there.
00:30:10I'm just planning Lana's birthday.
00:30:21Oh.
00:30:21She turns 40 on the 23rd.
00:30:23Oh.
00:30:24I think she'll figure it out when my parents show up at the pool to take Izzy home.
00:30:29Oh.
00:30:30Nobody says anything before then.
00:30:32Why can't I go to dinner, Dad?
00:30:35Uh, because they don't let minors in there.
00:30:39Well, that stinks.
00:30:43And I can just press it.
00:30:45You try and do what you can to be as healthy as possible, or at least as alert and have as much energy as possible.
00:30:53Um, but going from, you know, having a parent that goes to work, is like every other parent in the world, and then hangs out on the weekends, and, you know, you go do stuff, to planning your life around this machine.
00:31:09Um, she came up, and, up one night, and, you know, she saw the, the tubes in the arm, and so, and she had to leave.
00:31:18She couldn't, it just wasn't, you know, tolerable for her to see.
00:31:25See you after.
00:31:26Yeah.
00:31:27Come here, Bea.
00:31:28Love you.
00:31:29Love you.
00:31:29Have a good sleep.
00:31:29I'll see you in the morning.
00:31:36Bye, Daddy.
00:31:38Love you.
00:31:38See you, Bea.
00:31:39Well, it just, it cleans out the blood.
00:31:50I don't know, it's, uh, I don't feel any different, really.
00:31:54I feel kind of wiped the next day.
00:31:56I'm pretty used to it by now.
00:32:15So, it's just kind of, that's, that's my routine.
00:32:18Three times a week, I'm here, Leigh.
00:32:20If I was at home, I'd be in bed already.
00:33:17What I'll need is, um, a 4x4 and, uh, a 4x4.
00:33:22Do you have a flashlight if you have it?
00:33:23Sure. Yep, I do.
00:33:24You may turn on the light now.
00:33:31Uh, you may turn on the light now, so...
00:33:46You're able to... You can come in if you wish.
00:33:55I'm just repeating what we did this morning, okay?
00:33:59You can hold his hand if you wish.
00:34:00Oh, my son, my beautiful boy.
00:34:04You're so blessed, Matthew. You're so blessed.
00:34:07Yeah, he will be moving.
00:34:09We just stopped the drug for the exam and then...
00:34:12I'm just going to put this in his mouth to check his gag reflex.
00:34:19Don't suffer, my boy. Don't suffer, my boy.
00:34:22I love you, my son. I love you, my son.
00:34:27Okay. Would you like to stay here?
00:34:29I'm, uh, just going out to the family conference room
00:34:33to meet with your family.
00:34:34Would you like to stay here or join me?
00:34:36I want to join you.
00:34:36Okay. We'll come back.
00:34:38Yeah.
00:34:39You have an opportunity to come back, so...
00:34:40Yeah.
00:34:40We'll just go out there now.
00:34:42Okay. So, girls, please stay with him, okay?
00:34:46I'll be back.
00:34:54I love you, Matt.
00:34:57I'll be right back to see you.
00:34:59I love you, I love you, I love you.
00:35:06Oh.
00:35:10I love you, I love you, I love you.
00:35:40I'm scared.
00:35:42There's no need to be.
00:35:43I'm scared.
00:35:47Do we have everyone here that, uh, that you would wish here?
00:35:51Yes.
00:35:52I'm Dr. Kutsianos.
00:35:53I'm the attending intensive care unit physician this week here.
00:35:57I've been caring for Matt, uh, since Monday.
00:36:00As you're aware, he had an episode where his heart stopped
00:36:03for, uh, for a long period of time.
00:36:05It was at least 20 minutes before, uh,
00:36:08he recovered his blood pressure, uh,
00:36:10when we look at everything from start to finish.
00:36:15Um, uh, he's been ill in the ICU.
00:36:18He's been comatose in the ICU.
00:36:19He's had, uh, many irregular movements
00:36:22that we do see sometimes in these circumstances.
00:36:25So, um, I, I examined Matt this morning and this afternoon,
00:36:30and, um, what we look for is different basic reflexes in the brain
00:36:35that, um, are often preserved even though we're not conscious.
00:36:41If the upper part of her, if our upper part of her brain doesn't work,
00:36:44uh, by that I mean we can't communicate, we can't understand.
00:36:49Uh, uh, often the lower part of her brain, which is very primitive, still works.
00:36:55So, we're in a scenario, um, where just by examining him,
00:37:00and, uh, I had mentioned to most of you yesterday
00:37:04that it, it didn't appear that he would recover his brain function,
00:37:07although we can't, uh, tell that just by examining him early on.
00:37:12We have to wait till approximately the third day.
00:37:15For more, um, uh, solid proof that he won't recover his brain function,
00:37:22I had organized another special test yesterday to be done today.
00:37:26Uh, so both examining him,
00:37:28and based on a test, I, I can tell you with a great degree of certainty
00:37:34that he, he will not recover brain function.
00:37:38So, so we're left at this circumstance where
00:37:41I don't think any family would want, um, uh,
00:37:47an individual to be left on life support in this circumstance in the long run.
00:37:53I'll stop here to ask for any questions currently.
00:37:58No, no, no, no, no, no, no.
00:38:03Oh, no, no, no, no, no, no, no, no.
00:38:10You can do it.
00:38:11Oh, no, no, no, no, no, no.
00:38:16Oh, my God.
00:38:18They killed my baby.
00:38:21Oh, my God, what are you doing?
00:38:22Oh, no, no, no, no.
00:38:24They killed my baby.
00:38:26Oh, my God, they can't be saved.
00:38:29This is a nightmare.
00:38:31Oh, my God, this is a nightmare.
00:38:33Oh, my God.
00:38:34Are there any people that were maybe missing here
00:38:35that may want to see him or he would want to visit?
00:38:37Ivy's mother's showing up.
00:38:39Tonight, why is that?
00:38:40Why, why, why, why is that?
00:38:42Well, I think at this stage,
00:38:45I'd recommend that he, in the long term,
00:38:50by that I mean days, not stay on life support
00:38:52because we're really, we're really prolonging the dying process.
00:39:01So what you're also saying, there is no miracle?
00:39:05I'm saying that I can tell you what it's done.
00:39:07Yeah, pretty good.
00:39:09We don't want to make an error in this situation
00:39:11because you can understand it's someone's life.
00:39:13Yes, I understand what you've...
00:39:15There's very few things that we can say in medicine
00:39:33that are fairly solid.
00:39:36And this, I think, from our experience worldwide,
00:39:39is I can give you a good degree of certainty.
00:39:42Yes, I think it'll be best.
00:39:47Les, what do you think?
00:39:49Yeah, I just want to be by Matthew's side.
00:39:53Now I know I'm saying goodbye.
00:39:56He's such a special boy.
00:39:58I personally would like it the sooner the better
00:40:01because I don't want him to be in this state, this comatose.
00:40:04I also find this very hard on all the family and friends.
00:40:07Like, the hurt is just...
00:40:09You're not alone.
00:40:10We see this not infrequently, and it's a common...
00:40:13Yeah.
00:40:13I just see everybody's gut-wrenching feelings,
00:40:17and all I want to do is hold my boy
00:40:20for the last couple of days or hours that I have.
00:40:24Just let us know how many chairs you want in there,
00:40:26and then we can organize that.
00:40:27We can let his arm rest down.
00:40:28I think that's...
00:40:29They're down.
00:40:30Yeah.
00:40:31Oh, boy.
00:40:33We'll be okay.
00:40:34I've got to go be with Matthew.
00:40:35Now, when I walk out, the boys are all going to look at me,
00:40:38and I'm going to go like this,
00:40:39and then I'm walking straight to see Matthew.
00:40:42So good luck with the guys.
00:40:44I have one more thing that I want to discuss.
00:40:48It's an obligation on my part.
00:40:50I know what you're going to talk about.
00:40:51Yes.
00:40:52By law, I have to discuss this.
00:40:54And now after we've discussed the issue of taking him off life support
00:41:01at some point in time in the next few hours or days,
00:41:03and that is the issue of organ and tissue donation.
00:41:08So I think I just plan to open the discussion.
00:41:11I don't think it sounds like the intention is
00:41:13that you would want to take him off life support tonight
00:41:16because he's got other family coming,
00:41:18but it's an introduction to that to think about, to discuss,
00:41:22and we can have another discussion tomorrow.
00:41:24regarding that.
00:41:30Nice thing.
00:41:35I love you.
00:41:41You're welcome.
00:41:54There's no chance.
00:42:05There's no chance.
00:42:09Matthew will leave us.
00:42:12There's no chance.
00:42:14There's no chance.
00:42:15There's no chance.
00:42:16There's no chance.
00:42:18There's no chance.
00:42:19My voice.
00:42:19There's no chance.
00:42:21My voice.
00:42:22There's no chance.
00:42:23There's no chance.
00:42:31So I've been caring for this young man, Matt,
00:42:34a physician.
00:42:35He's 28.
00:42:37He came in Saturday evening after cardiac arrest.
00:42:40He's lost some but not all of his brainstem reflexes.
00:42:43And I had organized for somatosensory potentials today,
00:42:49which were done,
00:42:50and they showed no conduction on either side of his brain.
00:42:54So I finished meeting with his family.
00:42:57It's mother, father, brother that just arrived,
00:43:01and a sister and some cousins
00:43:03and his girlfriend of 10 years.
00:43:08And I talked to them about withdrawing life support
00:43:11because that was really the only option in this circumstance.
00:43:15And I approached them about the possibility for organ donation.
00:43:20And they will be deliberating on it.
00:43:22You know, if they're interested,
00:43:23it wouldn't be till tomorrow
00:43:24because I think they wanted to have more
00:43:29time with him and have more time with him.
00:44:29It's hard to see a human being in the situation that Pat's in, but, you know, we've seen it enough times that we know that we can pull people through.
00:44:48Yes, I can see there's a lot of resources gone into Patricia. You know, she's been on a ventilator, then she's trached and then she's plugged. She's receiving antibiotics. She's sitting in the, you know, in the intensive care unit. And that's expensive if you put a dollar figure to it. But it's a temporary situation and she can pull through.
00:45:09This isn't a, you know, her liver's working really well now. So if we can do one simple maneuver, yes, all right, it's a surgery. It's not complicated for me. It's incision, drain the fluid, close. So that to me is a, it's a no-brainer.
00:45:25You know, it's a big collection. So, you know, the thinking is, take her to the U.R. and drain the collection, wash it out, send some cultures off. Then we can tailor any body towards that if she needs ongoing therapy.
00:45:39You know, from surgery-wise, it's a pretty straightforward surgery to do. I don't think it's going to set her back too much, but, you know, she's got that trach in place. She's going to, she probably is going to spend some more time on the vent.
00:45:50So, Scott, go ahead. We'll do the dual, dual physician consent form. We'll, um, book her as an E6 and we'll, we'll get it done.
00:45:59Thank you. Thank you.
00:46:00Okay. Thanks for good. Yeah. Thanks, Wendy.
00:46:39Surgery is an absolute detail-orientated profession. You know, everything, every detail matters. People have to be thinking, you know, where does the incision go? Where does the retractor go?
00:46:49Mm-hmm. So it's all about the surgeon and the assistant. Very important dynamic.
00:46:57Now, what would you do, Scott? You're into this. And you get a big pool of vial.
00:47:03You get a bunch of vial. Yeah.
00:47:05And leave drains.
00:47:07Don't bother putting the Thompson on. Let's have, uh, five sponges per side. And four towel clips, please.
00:47:14There's a person like Scott, who I've worked with a lot. You know, I know he's, you know, he's done a full surgical residency. He's done, you know, two very intense, uh, years now as a multi-organ transplant fellow.
00:47:23I know that I can trust him. I know that if he's helping me with something difficult, I can trust that he'll, he'll be putting his hands in the right place and exposing things in a way that I need to see.
00:47:33Scott himself had a liver transplant when I first arrived in Edmonton in 1993. And it's incredible. Here he was, you know, 14, 14-year-old boy.
00:47:45Yep. And, um, I spent hours and hours of, not only in his surgery, but by his bedside while he, um, recovered and got to know him and his family very well.
00:47:55And now it's incredible that he is here training exactly the shoes that I was in when, at his stage. And he's going to be a brilliant liver transplant surgeon.
00:48:06Yeah. I learned all about liver transplant from looking after him.
00:48:12It's four more Paxels and maybe two more FFP.
00:48:17When you're set on a journey with transplant, you take in an organ that can save somebody's life and it does save people's lives.
00:48:26So you have a responsibility once you've set off on that journey. I mean, probably the most important thing is making the right decision at the beginning.
00:48:32And once you've made that commitment, you've got to make sure that you do everything possible to get a successful outcome.
00:48:45I knew it was going to be hard. I knew it was going to be hard. For one thing, she was so ill when she came in, then she was in the hospital for five, six weeks before the operations.
00:48:55Um, she was sick. You know, she didn't have much time left. You know, months probably. Probably by now she probably wouldn't be here.
00:49:04So this is a life saving situation for her. Now we've got to get her through the rest of it.
00:49:09Because I know that, uh, Dr. Shapiro has done a good job. He's quite happy with things. Uh, the liver's functioning properly. All her vital signs are good.
00:49:20In Pat's case, very complicated. So, kind of knew it was going to be.
00:49:25Oh, you're not well enough to go home, sweetie. You're going to be a while yet. But you're on the right path. It won't be long now.
00:49:39They got that, they got that infection, everything under control now. Now you can really start to heal.
00:49:45Your new liver is doing very well. Okay. There's lots of pressures. People will, you know, intensive care unit docs, others will approach you and say, this is hopeless.
00:50:00We've been here for three months now. We're on dialysis. We're on this, that and the other. You know, we're making no headway.
00:50:06We should just pull the plug and let the person die. And I can also see the, the till tallying up, you know, every day how much money's gone into it.
00:50:17But, you know, we've got to think more than how much is a person's life worth and how much to give, how much not to give.
00:50:24You've got to think about the value of the organ. You have a huge responsibility to the organ donor family and to the organ to do what it's meant to do, which is to save a life.
00:50:33I think probably the, the list, more so than the dialysis, the list itself becomes the overriding factor on absolutely everything.
00:50:58Because you kind of, you get to that point on the list where you're a year and a half, two years on.
00:51:03You're like, I should be getting close.
00:51:09So you're always just kind of waiting. You always have your phone with you. You don't turn it off in movies.
00:51:13You leave it on at nighttime beside your bed. And you're in that perpetual state of waiting.
00:51:20That's, that's a weird thing to go through.
00:51:25Watch out for the dog.
00:51:37I know.
00:51:39Ideally, it'd be nice to, you know, you get the kidney. The surgery goes well. Recovery goes well.
00:51:45So in about six months or so, you're healed up and life's pretty much back to normal.
00:51:55You want everything to go as fast and as smooth as possible so that there's no disruption on her life.
00:52:02I want to be done with this part. I want to move on and, you know, get to be able to go on holidays and go to work and live a normal life.
00:52:15You're running out of options here, aren't you, Doc? You're staring at me.
00:52:36A lot of us were fearful and we thought we might have to pull the plug and say, no, we can't list them like this.
00:52:41And so that's why, I mean, it came to a head and both the surgical team, the medical team, the ICU team all came together and said, we got to do something or do nothing.
00:52:51So we actually went ahead and implanted a secondary mechanical device, which is a temporary device.
00:52:58It's not a permanent one compared to what he had before.
00:53:01So we've almost essentially bypassed the whole heart.
00:53:06I want a chance at this. I mean, I've already invested how much time and energy into recovering.
00:53:16What am I going to do, quit now? I've worked too hard at this.
00:53:21So, five grandchildren.
00:53:27Yep.
00:53:30That's what it really means to me.
00:53:37It's unbelievable.
00:53:41I want to get out and do things with them.
00:53:44I'm a little fight for that.
00:53:49If it was just for me, I'd have probably gave up.
00:53:55But...
00:53:58I want to be there for my grandkids.
00:54:03I want to be there for my grandkids.
00:54:33Charlie, I'm good to be there right now.
00:54:34It's in the room.
00:54:40Charlie, I'm good to like, Christy speaking.
00:54:42Hi, Christy, it's Karen Wohl.
00:54:44Hi, Karen.
00:54:45Hi.
00:54:46How are you doing?
00:54:47Good, thanks.
00:54:48And who?
00:54:49So, I'm actually calling you with a heart offer, you have a couple high status receipts.
00:54:58Right.
00:54:59Do you want me to email you the chart?
00:55:03Oh, sure. That'd be great.
00:55:05Okay. Do you want me to give you the CTR numbers, too, for your training?
00:55:07Oh, sure. That would be great. Thank you.
00:55:10I know that.
00:55:12I guess you can kind of guess what's going on if we're coming with the big team and not stay at the bedside.
00:55:19So we actually do have an organ for her, which is a pretty good organ, a little bit smaller child than her.
00:55:29And it's going to come from a little bit further away, so we still have a little bit of time today.
00:55:36From what we guess now, it's going to be sometime tonight, probably around somewhere between 8 and 10 that she goes to the operation room.
00:55:48And then coming out sometime tomorrow morning.
00:55:53So I just wanted to give you a heads up. We're pretty happy about it, too.
00:55:58And I think it's actually the perfect time.
00:56:01And it is a very good organ. It's going to be... Everything should be pretty straightforward.
00:56:08Okay.
00:56:15No, it's... The car and the van are for the same purpose.
00:56:18People and equipment.
00:56:20So we are now en route.
00:56:34Okay, great. Thanks, Paul.
00:56:36Okay, bye.
00:56:39What questions do you have?
00:56:42I'm just excited.
00:56:44Very happy. Yes.
00:56:45Yeah, so it's going to be a couple of tough days, of course. It's a surgery.
00:56:49It's a long surgery, and don't be worried if it takes long.
00:56:54So the way it's timed is that we will try to have the heart removed at the time that the other heart comes in the door, pretty much.
00:57:03So she will go into the operation room before, well, maybe around the time that we obtain the heart from the other place.
00:57:13And only if everything is fine, they will go ahead and open the chest.
00:57:17We're doing a pediatric heart recovery to transplant into a little babe in Edmonton.
00:57:30So time is of the essence, and what we call the time from the heart is stopped to the time that it's beating again in the recipient.
00:57:43There's a very finite time, which is, like, for adults, about four hours, where that time is.
00:57:50And then for peds, they may be upwards of six or seven.
00:57:54They don't like that, but sometimes you have no choice.
00:57:56They don't like that, but they don't like it.
00:58:33I prayed for it all week, thought it would happen this week.
00:58:37Did you?
00:58:38I don't know.
00:58:38I don't know.
00:58:39I don't know if I was coming to you.
00:58:41Aw.
00:58:45Okay.
00:58:47So I'm just thinking air out loud.
00:58:49So 10 o'clock, we're done.
00:58:5111, 12, 1, 2.
00:58:54So it looks maybe more like 3 o'clock would be our ETA.
00:58:58So right now the baby's completely asleep.
00:59:02So we're going to breath, and then we open the sternum, put the retractor, and do all dissections.
00:59:11Well, when we open the precardium, we need to see, visualize the heart.
00:59:18Be sure the heart is good.
00:59:19There is no any congenital malformation, and the heart contractility is fine.
00:59:25There is no tumor.
00:59:26There is no any pathology or any problem with the heart.
00:59:30There is no tumor.
01:00:00You make your head nice and greasy for your surgery.
01:00:06You're crying with something.
01:00:07I know.
01:00:16Where's the person?
01:00:16Where's the person?
01:00:17Where's the person?
01:00:18Where's the person?
01:00:19Where's the person?
01:00:20Where's the person?
01:00:21Where's the person?
01:00:22Where's the person?
01:00:23Where's the person?
01:00:24Where's the person?
01:00:25Where's the person?
01:00:26Where's the person?
01:00:27Where's the person?
01:00:28Where's the person?
01:00:29Where's the person?
01:00:30Where's the person?
01:00:31Where's the person?
01:00:32Where's the person?
01:00:33Where's the person?
01:00:34Where's the person?
01:00:35Where's the person?
01:00:36Where's the person?
01:00:37Where's the person?
01:00:38Where's the person?
01:00:39Where's the person?
01:00:40Where's the person?
01:00:41Where's the person?
01:00:42Where's the person?
01:00:43Where's the person?
01:00:44Hello, hello.
01:01:14Single cannula and SVC, what's the ICT?
01:01:29Okay, go on bypass, please.
01:01:32Cool down to 34.
01:01:35Four degrees.
01:01:38Mm-hmm.
01:01:39Were Venus in too far?
01:01:41Yeah, I was in about eight centimeters too far.
01:01:44That's right, yeah.
01:01:46Okay, next turn.
01:01:50You can cut across there.
01:01:56Mm-hmm.
01:02:03Yep.
01:02:05Okay, four 5-0-C-1s.
01:02:12Move it here.
01:02:15That's good.
01:02:16Tag, please.
01:02:17That's good.
01:02:18Tag, please.
01:02:19Another stitch.
01:02:22Okay, that's good.
01:02:25Okay, let's have a look.
01:02:30Pulled off the RPA there.
01:02:32Let's see the new heart.
01:02:35They said no.
01:02:39Okay, that's okay.
01:02:41Good side.
01:02:42Okay, um, thumbs, please.
01:02:45Uh-huh.
01:02:46We can go through the transverse sinus.
01:02:55Okay.
01:02:56Okay, you can tie that knot there.
01:03:00This one?
01:03:01Yep.
01:03:02Yeah.
01:03:03Okay.
01:03:04Okay.
01:03:05Okay, you can tie that knot there.
01:03:12This one?
01:03:13Yep.
01:03:14Okay.
01:03:15This one?
01:03:16Yep.
01:03:17Okay.
01:03:18This is wound around here, so just take that driver off.
01:03:21The tag off.
01:03:22That's nice.
01:03:23Okay, perfect.
01:03:24And I'm gonna take this clamp off the PA for the moment.
01:03:25Pull this over here.
01:03:26And the heart's starting to beat already.
01:03:27That's cool.
01:03:28Okay, we need another clamp tip.
01:03:29Okay, we need another angle clamp.
01:03:30I'll grab one off the other tip.
01:03:31The size difference is not huge.
01:03:53Um, we can go, like, two or three times.
01:03:57We can go, like, two or three times body size in a baby.
01:04:03We've got to be careful it's not too small,
01:04:06because if too small, it won't have enough pumping capacity.
01:04:10So it's a good heart. It just came from a long ways away.
01:04:14So it was in the bucket there for, like, five and a half hours, huh?
01:04:27Okay. Hi. Mr. Burgundy of Men, I'm Dr. Rebecca. How are you?
01:04:40Good. So we're all done. Everything went very, very well.
01:04:44It, um, the heart started up right away,
01:04:48and getting it in wasn't any major issue.
01:04:52So, um, heart's working on its own now,
01:04:55and, uh, we're just going to wait for the bleeding to settle down
01:04:59just a little bit before we close up,
01:05:01and then the baby will go back to the ICU.
01:05:04Uh, first 24 hours is sort of the important time.
01:05:07Heart's got to recover from the operation,
01:05:09and all the bleeding's got to settle down,
01:05:11so it's a bit early to relax completely.
01:05:14But, um, things look pretty good, so I think we're in good shape.
01:05:18Okay? Okay.
01:05:22We don't shake anymore because we're too many germs, huh?
01:05:25Sure enough.
01:05:26Okay.
01:05:28I'll talk later, folks.
01:05:29Thanks.
01:05:30Thanks.
01:05:32Thanks.
01:05:33Thanks, guys.
01:06:04This has been a great big blackout to me.
01:06:13Yep, big blackout.
01:06:17And when I found out I almost died, that was something else.
01:06:24I even saw, you know how they say that you see a figure before you croak?
01:06:30I saw a little Virgin Mary.
01:06:34Oh, is this Dr. Shapiro?
01:06:40It is.
01:06:41Oh, hello.
01:06:42Pat, how are you?
01:06:44Good.
01:06:45Very nice to see you again.
01:06:48Yeah, nice to see you.
01:06:49Congratulations.
01:06:50Huh?
01:06:51Congratulations to you.
01:06:52It's been a long haul, hasn't it?
01:06:54Too long.
01:06:55Yeah?
01:06:56Yeah.
01:06:56It was a difficult transplant.
01:06:59Yeah.
01:07:00You were very, very, very sick before it.
01:07:02That's what I heard.
01:07:03Yeah.
01:07:04Anyway, times are going to get a lot brighter for you.
01:07:08Yep.
01:07:09You've got a new chance.
01:07:10Yep.
01:07:11It's very lovely to see you, Pat.
01:07:13Yeah.
01:07:13It's nice to have met you.
01:07:15Yeah.
01:07:15My lifesaver.
01:07:17Well, likewise.
01:07:17It's been a pleasure to look after you.
01:07:20We'll see you in the clinic.
01:07:21Okay.
01:07:22Okay, keep your spirits up.
01:07:23Yep, I will.
01:07:24Okay.
01:07:25All right.
01:07:25Love to see you, Pat.
01:07:27Okay.
01:07:27Bye-bye.
01:07:28Okay.
01:07:28Okay.
01:07:28Okay.
01:07:28Sometimes I wished I wouldn't have gone through all this kind of hard, all my wasted days.
01:07:54It would have been better just to, I think anyway, but I thank the person.
01:08:08That's all I can do.
01:08:14That's all I can do.
01:08:18He gave his life to save mine.
01:08:21You know, it was nice.
01:08:27Sorry for the tears.
01:08:29You have every right.
01:08:31You have every right.
01:08:35Yep, you're welcome.
01:08:51Okay, now, say it a bit.
01:08:54Look, it's good.
01:08:55You take a picture?
01:08:56Yeah.
01:08:57Okay.
01:08:57I don't think anyone would call my life balanced, but I certainly have more control over it now than I've ever had before.
01:09:12And I know what the priorities are.
01:09:16It's taken me a while to learn that.
01:09:17When you're young and fresh and trying to prove yourself, it's not quite the same.
01:09:25You know, you feel you have to, every invitation you have to take, every grant you have to apply for, every paper you have to write.
01:09:35Now it's different for me.
01:09:36Well, I had an event two years ago, and I was, um, thought fairly healthy.
01:09:49Running could, you know, run down a quarter every, every day.
01:09:52And one night, in the middle of the night, I got out of bed, and I fainted on the floor.
01:10:01And, um, I went to emergency, and I had a temporary pacemaker put in, and then a permanent pacemaker, and a bunch of tests,
01:10:08and I was found that I had a condition called cardiomyopathy, and I had no idea.
01:10:17It's not bedtime yet.
01:10:19It's too early for bedtime.
01:10:22So I had this pacemaker put in.
01:10:25It happened during a vacation.
01:10:26I don't think I lost a day of work because of it.
01:10:29And I haven't turned back since.
01:10:30I've been able to, you know, do everything that I've done before.
01:10:35So are we reading this one?
01:10:37Yeah.
01:10:38I don't know what this is about.
01:10:39Is this about a...
01:10:41Right here.
01:10:42Look.
01:10:44What I've learned is...
01:10:46Life is precious, and time is precious, and, you know, I want to look after my patients.
01:10:52I want to have fun doing surgery, have fun doing research, and I want to come home early.
01:10:57I want to have it all, and I've learned that actually, by letting go of a lot of things, I can do that.
01:11:02And I feel very lucky.
01:11:13Ready for songs?
01:11:17Turn to bed.
01:11:17Matthew was born here, and it's kind of sad that he started his life.
01:11:47And finished his life in this hospital.
01:11:49We were so proud that he was born here.
01:11:52So, we have all agreed that we will...
01:11:55Matthew's organs are to...
01:11:57It will be donated.
01:11:59That is a given.
01:12:00Which are listed as, like you said.
01:12:02Yeah, I can go through all that specifically.
01:12:04When it comes to the tissue, we did not realize part of the skin part was to the degree, and we did not realize the need for it at the same time.
01:12:19The eyes, not so...
01:12:26I don't know how much Matthew has to give.
01:12:30Matthew's already given his life, and we don't have to...
01:12:34We don't have to love people.
01:12:35We don't have to do it all.
01:12:37You know, we're already...
01:12:40You know, he's already given.
01:12:43But I don't think we have to do it all.
01:12:47Dane, he's your brother?
01:12:50I've said my piece about it.
01:12:52I say do the organs, the essential organs, and leave the tissue.
01:12:57I just...
01:12:58Dane said that hours ago.
01:12:59I don't feel comfortable about the tissue.
01:13:03On my own donor card, I am not...
01:13:05I don't donate my...
01:13:07If that's the case, just my organs.
01:13:10And I just don't...
01:13:11And then, Leslie just said it.
01:13:15Everybody's done enough.
01:13:16Yeah.
01:13:17And Matthew has contributed more than all of us, so...
01:13:23So, basically, what will happen is that if for organ only, there would be a cut...
01:13:27Probably from around Adam's apple for a male, down to the pubic area.
01:13:34And then, usually, just across from the abdomen to abd.
01:13:40And so, other than that, there should be no visible scarring or anything if we go just for organ donation.
01:13:48Now, Leslie, let's do the organs.
01:13:51Part of the process, as well, requires us to take part of the spleen.
01:14:00Pardon me?
01:14:02The spleen.
01:14:02So, the spleen basically is attached to the pancreas.
01:14:06And we use that tissue to determine his tissue typing matching to the recipient.
01:14:15So, yeah, basically, the spleen is just...
01:14:23They take a piece of it just to check his genetic typing versus the recipients.
01:14:30Because what they want to do is match the donor organs to the recipients as closely as possible.
01:14:37So, that there's less chance of rejection or having the organs fail.
01:14:42But it's not really an organ that we're taking or anything like that.
01:14:46It's just basically a tissue sample that we're using to make sure that the matches is the best match possible.
01:14:56Leslie, it's all right.
01:14:57Matthew would be okay with it.
01:15:00He honestly would be.
01:15:01Okay, can I...
01:15:02Okay, let's sign.
01:15:04I have to leave.
01:15:05I want to sign this.
01:15:06I feel nauseous.
01:15:07Can we just...
01:15:08Let's move forward, okay?
01:15:09We're moving too slowly for me.
01:15:11I need...
01:15:11Let's move forward.
01:15:13You know, we're being all this delicate, and I need to get to my son.
01:15:16Let's move forward.
01:15:17Let's do it.
01:15:18Okay.
01:15:19With the giving person that we know Matthew was, we would know that this is what he would have wanted.
01:15:25He would have done it without hesitation.
01:15:31Oh, my God.
01:15:44Oh, my God.
01:15:49Oh, my God.
01:15:53Hello, getting me speaking.
01:15:54Hi, could you tell me who's on call for lung transplant?
01:16:01Hi, Karen speaking.
01:16:04Hey, Karen.
01:16:05Hi, I'm Ali.
01:16:06I have a lung to offer you.
01:16:09Okay.
01:16:10I do not have HLA or serology at this point in time.
01:16:15Okay.
01:16:15But we're trying to rush this as quickly as possible, and we need to go to O.R. today before midnight.
01:16:23Okay.
01:16:23Oh, Matthew.
01:16:28Oh, Matthew.
01:16:30You should be filling out that form for me.
01:16:36Why did I have to fill that out for you?
01:16:39So, these lungs sound promising.
01:16:51They have multiple recipients, and liver, I still have to get a hold of that liver recipient, kidneys.
01:17:00That sounded promising, I think.
01:17:02Okay.
01:17:02I think we'll talk to the lab just to see if that serology will be done, and HLA will be done.
01:17:13And then give a couple hours flex, and really confirm that O.R. time.
01:17:17Okay.
01:17:17So that everyone can tee up their recipients.
01:17:20They're going to fix me up.
01:17:33They're going to give me a new heart.
01:17:35They've got a, according to Dr. Sharma, and from what I've heard since I got here,
01:17:41they've got an excellent heart lined up for me.
01:17:43The best.
01:17:43Yeah.
01:17:44Perfect.
01:17:44Yeah.
01:17:46Hi, Mr. Williams.
01:17:47Okay, right here.
01:17:48Please, please.
01:17:48We have found you a very good heart.
01:17:51That's what they tell me.
01:17:52It's a very good quality heart, so I'm very confident you're going to do well.
01:17:55So, of course, there's lots of complications that can occur along the way.
01:17:59Yeah, well, hey, there's nothing done, you're nothing gained, right?
01:18:03Yeah, that's right.
01:18:03But things like meeting your infection, or having trouble with your lung function,
01:18:08or kidney function, or things like that.
01:18:10And any one of those things can contribute to not actually making it through this whole experience.
01:18:13Yeah.
01:18:14Which that risk is probably in the 10 to 15% mark, I would think.
01:18:17Yeah.
01:18:17So it's quite a bit higher than usual.
01:18:19Well, nothing mentioned, nothing gained, right?
01:18:22I think given the fact that we've got this heart for you, we should go ahead.
01:18:25That's why we've gone into all the trouble of getting this organized.
01:18:28It's going to do well.
01:18:29Good?
01:18:30Absolutely.
01:18:31Power of positive thinking.
01:18:33Exactly right.
01:18:34Good.
01:18:34All right.
01:18:35Bet I got a chance to chat with you.
01:18:37Yeah.
01:18:37See you soon.
01:18:38See you soon.
01:18:39Okay.
01:18:39Okay.
01:18:39I'm a little nervous.
01:18:48I'm ready to start the final leg of this journey.
01:18:53It's unbelievable how good that feels.
01:18:57You guys need to sit down over there if you want.
01:19:14You guys need to relax because the best thing is to do so is to do with someone.
01:19:18I'm so upset.
01:19:20This is so bad.
01:19:22You are has delayed.
01:19:25I would like to delay for one hour.
01:19:29Okay.
01:19:31I wonder, can I call you at a different phone, Darren?
01:19:34I can't lose it.
01:19:44I just don't want to lose it.
01:19:46I'm just being so selfish.
01:19:48I just don't want to lose it.
01:19:49This is not abnormal.
01:19:52This is pretty routine.
01:19:53But in this case, it's much more sensitive and the delay is much more, you know, much maybe not received in the same, you know, as it's more difficult for the family.
01:20:11It may be in this situation to have a delay.
01:20:23Are we, are we withdrawing?
01:20:36Not quite.
01:20:37Yep, pretty soon.
01:20:38We're just going to have a minute of, um, silence.
01:20:42This has been an incredibly stressful time for everyone because it's been so busy.
01:20:46But this family has really, really hung in there.
01:20:50And this is, this is a loss of their son.
01:20:53And it's been really, really hard on them.
01:20:55And as always, it's so totally unexpected.
01:20:57So they have graciously agreed to consent for transplantation.
01:21:02So if we can have, like, five seconds of silence to just remember the gift that this family is willing to give through their son.
01:21:18So they're going to withdraw life support, like, any minute now.
01:21:21Okay, what I will need from you in, in, in sequence is the scalpel, followed by the sternal saw.
01:21:29And I'm going to put the, the bakeys and the meth in there.
01:21:33So I have that up already.
01:21:34Sounds like they're coming.
01:22:15Thank you, guys.
01:22:18Go, Matthew.
01:22:19Go save some lives, Matthew.
01:22:21Go do it, Matthew.
01:22:23Goodbye, my son.
01:22:24Goodbye.
01:22:24Goodbye, Matthew.
01:22:26There's water on the floor.
01:22:27Goodbye, my son.
01:22:28Goodbye, my son.
01:22:29I will see you again, Matthew.
01:22:32I'll call you when we're done, okay?
01:22:33I'll see you again, Matthew.
01:22:35I love you, Matthew.
01:22:36I love you, Matthew.
01:22:37Goodbye, Matthew.
01:22:39I love you, Matthew.
01:22:40I love you.
01:22:41I love you, Matthew.
01:22:47Okay, so we're going to go out into the right.
01:22:50Here they come.
01:23:20I love you.
01:23:20I know.
01:23:22Feet first.
01:23:24Feet first?
01:23:25Yeah.
01:23:26Let's see.
01:23:28That's okay.
01:23:29Great, Teresa.
01:23:31Um, who's checking the ID?
01:23:34Uh, can we pass you the...
01:23:39I'm sorry.
01:23:45Yeah, he's a good boy.
01:23:47Okay, suction's up to Dr. White.
01:23:50Give me the skin knife, please.
01:23:52Skin knife.
01:23:53Second place.
01:23:56Knife moving.
01:23:57The liver and...
01:23:58Not the liver.
01:23:59The pancreas can.
01:24:00Okay.
01:24:02Perfusion cannula, Karen.
01:24:04We need our pulmonal pleads, please.
01:24:06Yep.
01:24:08Right away, please.
01:24:09Can we have a lot?
01:24:09It's the, uh, retractor.
01:24:15Yeah, we should go to take the whole thing out.
01:24:22Where's the colonel, please?
01:24:23Of course, yeah.
01:24:24Wonderful.
01:24:25Thank you, Chris.
01:24:26Okay, suction's up to Dr. White.
01:24:27Do you see a knife, please?
01:24:58uh i'd like to thank you all for joining us here tonight as we pay tribute to and remember matthew
01:25:10he lived his life how he wanted to and he lived his life to the fullest with no regrets
01:25:18i love you i miss you
01:25:21you're my friend you're my best friend you're my brother and i'll see you again
01:25:27so um the other thing was matt was really really generous he was really giving
01:25:32that's what made him such a joy even for leslie and i he he's probably put less than i on more
01:25:38adventures than we could uh shake a stick at just by spontaneous taking us out there
01:25:43and have us live life full
01:25:45we want you to know that matthew was an organ donor
01:25:55we knew that he would want to give this gift of life to someone who needed it
01:26:05our load was shared by so many and our son was so loved by so many
01:26:12we want you to know how grateful we are
01:26:18만만 Points
01:26:18be inspired by so many of us
01:26:22we really want you to know how to make a difference here
01:26:24so you can learn how to sing
01:26:25as always
01:26:26but you can learn about how to make fun
01:26:28so you can learn how to make fun
01:26:30cuts for up and to be prepared
01:26:31to learn how to make a purpose
01:26:32so you didn't learn how to make fun
01:26:35um
01:26:36we don't normally miss out
01:26:39i'm not necessarily
01:26:40like
01:26:41and be marked
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