Skip to playerSkip to main content
top10mountainbikes
  • 1 week ago

Category

📺
TV
Transcript
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.
00:05:02I'm ready.
00:05:03I'm good.
00:05:08I'm ready to go.
00:05:11Oh, my God.
00:05:12I'm good.
00:05:13You're hot.
00:05:15You're hot.
00:05:16You're hot.
00:05:17I'm good.
00:05:18You're hot.
00:05:19I'm good.
00:05:20Yeah, I'm good.
00:05:51OK, let's go to E4, print list.
00:06:02Are 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.
00:06:11Yeah.
00:06:12So we're still planning for Friday then?
00:06:14Operation Friday?
00:06:15Yeah, yeah.
00:06:16OK.
00:06:17You 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.
00:06:31And we're desperately short of organ donors.
00:06:39Some 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 because they're so sick.
00:06:47Many people will die waiting because there's an adult that doesn't come in time.
00:06:56James Shapiro.
00:06:58The team should be there setting up.
00:07:01And waiting.
00:07:01So we won't lose any time.
00:07:03He's so scared.
00:07:19I'll always get a 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.
00:07:29This is going to go good.
00:07:33Mm-mm.
00:07:36Mm-mm.
00:07:38Okay, I think we're ready to go.
00:07:39Are you?
00:07:40Yes, we are.
00:07:42You ready?
00:07:45Here you go, Pat.
00:07:47All right.
00:07:47You want another hug?
00:07:48Kiss?
00:07:49Yeah.
00:07:49High five?
00:07:50Okay.
00:07:51I love you.
00:07:52Love you, too.
00:07:53Okay.
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-mm.
00:08:03All right.
00:08:04Take care of her.
00:08:05Yep.
00:08:07This patient is very sick.
00:08:09She has what we call a high melt score,
00:08:11which means that the liver has been very diseased,
00:08:13very scarred, a lot of pressure in the veins,
00:08:16a lot of risk of bleeding.
00:08:18I mean, this isn't unusual for us,
00:08:20but it's, yeah, as with any liver transplant
00:08:23in a sick patient, it's an extra challenge.
00:08:25And flagyl.
00:08:33Should we have a little bit of oxygen here?
00:08:35Should we have a little bit of oxygen here?
00:08:35It's a little bit of flagyl.
00:08:36Okay?
00:08:37It might smell kind of funny,
00:08:38but you're just using oxygen.
00:08:39That's right.
00:08:39Okay?
00:08:40Okay.
00:08:40Okay.
00:08:40Okay.
00:08:55So, our plan here, I guess,
00:09:07is just to rehearse things a little bit.
00:09:10Let's just put some fresh fungi there.
00:09:23Can you see how horribly diseased this liver is?
00:09:29It really is.
00:09:29It's horrible, yeah?
00:09:30The only, the end result would be,
00:09:38if she doesn't get this now,
00:09:41within three months,
00:09:42I 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
00:09:53that she's going to be all right, right?
00:09:57There could be lots of problems.
00:09:59And 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 you have to do.
00:10:08Either you live or you die.
00:10:09And it's not fair,
00:10:12but these things happen in life,
00:10:14and that's the way it is.
00:10:27Do you need those?
00:10:30Okay.
00:10:31So, now we can blow the liver in.
00:10:35Yeah.
00:10:39So, now the liver enters the field.
00:10:52When you watch a new organ come to life like this,
00:10:55and you put new blood in it,
00:10:57seeing, you know,
00:10:58a pale brown organ come to life,
00:11:02I'm thinking,
00:11:02what an incredible thing to do.
00:11:05And it never fails to, you know,
00:11:07give me some thrill to see a...
00:11:08Life comes back into an organ like this.
00:11:17Crazy 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.
00:11:34Oh, yeah, more than I had.
00:11:36Yeah.
00:11:37Yeah.
00:11:40Somebody has end-stage liver disease at one moment,
00:11:43you release the clamps,
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.
00:12:00You know I'm here, don't you?
00:12:13You're getting there, Patty.
00:12:14Yeah, you're getting there.
00:12:17It's a long haul, but you'll get there.
00:12:20Here we go.
00:12:50Here we go.
00:13:20These are his friends.
00:13:25We love you, son.
00:13:28You are our boy.
00:13:31You are our 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.
00:13:52Please shine.
00:13:53Everybody join hands, please.
00:13:58Everybody join hands for our son.
00:14:02Everybody pray.
00:14:06Matthew, please, please.
00:14:09This next couple hours is so important to you.
00:14:13I'm a baptician.
00:14:14Please, I'm a baptician.
00:14:16Help me.
00:14:17You can do it.
00:14:18You can do it, Jesus.
00:14:20It's so playful.
00:14:21I want the whole boy back.
00:14:24I want the whole boy back.
00:14:26You're such a good boy.
00:14:27You're such a good boy.
00:14:30You're so kind.
00:14:30You're so kind, Matthew.
00:14:33You're so giving.
00:14:43Well, we know how important these tests that are coming up.
00:14:48And what we're trying to do is get something in his brain working so it's worth giving a sign that 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.
00:15:14And we're just praying and hoping that there is enough there that we do move forward with him.
00:15:21And we're terrified that if there isn't, the results aren't really one.
00:15:29We're just scared.
00:15:30He's going to do it, Alice.
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.
00:15:42We're just hoping that by reaching him, it can help him.
00:15:48and we're asking him to give his fight even though he doesn't fight this one he has to fight
00:15:55Matthew I'm gonna put a hat on your head okay so it's gonna feel a little snug
00:16:08how much propofol is he on 300 300 okay and he's having jerking yeah I'm sure it's myoclonus or seizure
00:16:23so Matthew Matthew Matthew Matthew
00:16:38any 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 myoclonic jerking okay okay there Matthew okay I'm all finished
00:17:04Matthew 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 apparently uh Matthew is 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 I 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 the waiting game this is a very scary day for us we do know we
00:18:24we were told 72 hours we do know these tests are gonna show a lot give some answers I'm very afraid
00:18:31of what the answers could be trying to have more hope but fear is there everybody's gonna feel the
00:18:41ramifications of what's happening here so we've lost a lot of very young young members in our family that
00:18:51it's it's it's it's horrific I don't even understand how we could lose so many young potential amazing
00:18:59people you need that family support that is what a person needs in this scenario there's no real right
00:19:05or wrong way to feel at this time but knowing that you have the love of your family it's very important
00:19:14and I'm so thankful for everybody that we do have and I feel very sad for people that don't have what we have as a family
00:19:44I've been pacing up and down these hallways and all of a sudden it reminded me of when Matthew was
00:19:52born and the similarity of me pacing that hallway and it struck me I was waiting for a birth of Matthew
00:20:00again that's what I'm waiting for I'm waiting for a birth
00:20:14so we're just gonna go a little bit over the things that you've been discussing before is
00:20:38everything clear to you do you have concerns something new come up do you know kind of what
00:20:42what you have to expect and you know that that the perfusion of the heart with blood so oxygen
00:20:50going to the heart itself is dependent on that small chamber that is not properly formed on the
00:20:57right side in her situation I don't think there's much dispute about which is the right way to go I
00:21:03think we all agree that transplant for sure gives the best chance to lead a long term as close as possible
00:21:11to normal life you do know however to that it's not going to be a walk in the park we can go in a
00:21:20very good condition into the surgery and we know that in this condition the babies usually do very well it
00:21:26is it is exchanging a life-threatening situation in which she is now with kind of a chronic disease or
00:21:34chronic abnormality so you know she will lifelong depend on taking medications but
00:21:41realities with the babies the first two years are a bit of a struggle often and in children that are
00:21:49immune suppressed that can cause a lymphoma which is basically a type of leukemia and that's not that uncommon
00:21:57it's hard to even imagine how that feels right like you go through all this you go through a heart
00:22:03transplant everything goes well and then suddenly something like that strikes you but I think it's in
00:22:08all fairness important for you to be aware of that as a possible option but also be aware that 90% of our
00:22:14kids do really really well well so if you have any questions just find us anytime I only talked all the time
00:22:23I don't know which is pretty common actually
00:22:27sounds scary yeah hope for the best yeah you think about going through the whole heart transplant
00:22:47and then maybe later on dealing with cancer or something like that it's terrifying it's just
00:22:55something we gotta 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
00:23:06no
00:23:08are you tired? are you sleepy?
00:23:32he's got five beautiful grandchildren that he's living for he's got to watch
00:23:49them he's got to bring them up right I hope so um I didn't make this up last summer I took my two
00:23:57grandsons caught with their first fish
00:24:04I'm glad you guys no problem yes good away mm-hmm I finally talked to him out of being stupid
00:24:12how you doing dad
00:24:16good better
00:24:17I'm quite a bit better than I was yeah looks like you didn't stop sticking you any no
00:24:33you're still stabbing me pretty regularly yeah
00:24:37still bruising like hell same old same old
00:24:41I can stand I just sat for a plane ride and sat on a bench and sat on a truck
00:24:52how are the kids good all of them yeah oh yes oh yes
00:25:00I think I think they have a big problem they haven't had grandpa for a while to
00:25:04treat them right yeah you guys make them follow the rules yeah I know nobody's spoiling yeah
00:25:11I'll make up for the last time I know you will
00:25:16I'll go over here for a minute give them some time with the kids
00:25:21how's things going good good kids waiting sucks
00:25:26yeah
00:25:39trouble is I'm too big
00:25:43our lungs are too big
00:25:47having trouble finding a match
00:25:48yeah they've been getting lots of smaller hearts but not big enough for me
00:25:54so
00:25:59see how it goes
00:26:01when did you get put on level four
00:26:03today today they told me about it today so
00:26:07we'll go with that
00:26:08well that's
00:26:10it's good that you're next in line though
00:26:13yep
00:26:24you have to think positive
00:26:26yeah that's all you do is you hang on
00:26:30well mama's always told us that you know
00:26:32hold on quick yeah the difficult you can do now the impossible only takes longer so this is a
00:26:39little like impossible but it's just going to take longer to have it done
00:26:43he essentially needs a heart and 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 and I think he acknowledges that
00:26:56too
00:26:57hey doc
00:26:58hey Val how 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 uh you know the ultrasound for your heart didn't show any worsening fluid
00:27:09okay that's good
00:27:10so that's at least one possible
00:27:10you gotta get something right
00:27:12yeah yeah so i cut back your your uh steroids so 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
00:27:26so you're probably the highest status person in alberta right now
00:27:30your muscles are getting weak
00:27:32yeah and your energy your sodium yeah i heard you had a little fall
00:27:36like the my concern is that i've seen patients like yourself who get weak you were once a pretty
00:27:43big guy and i don't mean in the stomach you know well not in that group i mean like you have more
00:27:50muscle and when you when you're sick your body preferentially uses muscle for energy and if you get
00:27:56too weak you actually the outcome for going for transplant is far worse than being sick and heavy
00:28:02does that make sense so i want to prevent that from happening so i'll just give you light on i just
00:28:07want to see your neck here and then the other thing with you being weak is just kind of take
00:28:13it easy when you're getting up i know you're so used to doing everything on your own
00:28:17last thing i need you to do is fall either on your chest or your head and then we got a whole
00:28:22set of other issues okay and i'll be here the whole weekend so i'll keep you updated every day okay
00:28:28anything else i can help you with find me hard i'm on it okay talk to you later thank you sir
00:28:41it would almost make sense that if somebody has viable organs when they pass that it should just
00:29:00be 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
00:29:22this year i'll have completed 20 years with the edmonton police service
00:29:26right now i'm on long-term disability so i've been off work for just about two years now
00:29:30nine fifty one hundred and fifty yeah that's good enough when you have a family there's always
00:29:41many things on the go like there's you know competitions coming up um she's a competitive
00:29:47diver so we're hoping that she qualifies for nationals and with that will come travel so you're
00:29:54trying to plan for that but like can i get dialysis there can i am i going to be well enough to travel
00:30:01am i going to get the call like am i possibly missing out on getting an organ because i had to put myself
00:30:07on hold for a week to go to a competition because i could get dialysis there
00:30:20planning lana's birthday oh she turns 40 on the 23rd so i think she'll figure it out
00:30:25when my parents show up at the pool take izzy home nobody says anything before then
00:30:32why can't i go to dinner dad uh because they don't let minors in there well that stinks
00:30:43and i can just press it you try and do what you can to be as healthy as possible or at least as alert
00:30:51and have as much energy as possible um but going from you know having a parent that
00:30:57goes to work is like every other parent in the world and then hangs out on the weekends and
00:31:05you know you go do stuff to planning your life around this machine um she came up and up one night
00:31:14and you know she saw the the tubes in the arm and she had to leave she couldn't it just wasn't you know
00:31:21tolerable for her to see see after yeah come here be love you love you have a good sleep i'll see you in the morning
00:31:30well it just it cleans out the blood i don't know it's uh i don't feel any different really i feel
00:31:54kind of wiped the next day
00:32:12i'm pretty used to it by now so it's just kind of that's that's my routine three times a week i'm
00:32:20here late if i was at home i'd be in bed already
00:32:50i don't know what i'll need is um
00:33:20four by four and uh right the flashlight if you have sure yep i do
00:33:43you may turn on the light now
00:33:50you're able to you can come in if you wish i'm just repeating what we did this morning okay
00:33:59you can hold his hand if you wish
00:34:02my son my beautiful boy you're so blessed matthew you're so blessed yeah he will be moving we just
00:34:09stopped the drug for the exam and then
00:34:11i'm just gonna put this in his mouth to check his gag reflex
00:34:19okay would you like to stay here i'm just going out to the family conference room
00:34:33to meet with your family would you like to stay here or join me i want to join okay we'll come back
00:34:38yeah you have an opportunity to come back so yeah we'll just go out there now okay so girls please stay with him okay i'll be back
00:34:50i love you
00:34:54i love you matt
00:34:56i'll be right back to see you
00:34:58i love you love you love you
00:35:00i love you
00:35:02i love you
00:35:04yeah
00:35:06oh
00:35:08oh
00:35:10oh
00:35:12i'm so scared
00:35:40i'm so scared
00:35:42there's no need to be
00:35:44i'm scared
00:35:47do we have everyone here that uh
00:35:50that you would wish here yes
00:35:52i'm dr kutsianos i'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 for uh
00:36:04for a long period of time it was at least 20 minutes before uh he recovered his
00:36:09blood pressure um when we look at everything from start to finish
00:36:15um uh he's been ill in the icu he's been comatose in the icu he's had
00:36:21many irregular movements that we do see sometimes in these circumstances
00:36:25um so um i i examined matt this morning and this afternoon and um what we look for is different
00:36:33basic reflexes in the brain that um are often preserved even though we're not conscious the upper
00:36:41part of her if our upper part of her brain doesn't work um by that i mean we can't communicate we can't
00:36:47communicate we can't understand uh often the lower part of our brain which is very primitive still
00:36:53works so we're in a scenario um where just by examining him and i had mentioned to most of you
00:37:03yesterday that it didn't appear that he would recover his brain function although we can't uh tell
00:37:09that just by examining him early on we have to wait till approximately the third day for more um
00:37:16uh solid proof that he won't recover his brain function i had organized another special test
00:37:24yesterday to be done today uh so both examining him and based on the test i i can tell you with a
00:37:33great degree of certainty that he he will not recover brain function so so we're left at this
00:37:40circumstance where i don't think any family would want um uh an individual to be left on life support
00:37:49in this circumstance in the long run
00:37:53i'll stop here to ask for any questions currently
00:37:56no no no no no no no no no oh no no no no no no no no no no you can do it
00:38:14Oh, my baby.
00:38:18Oh, they killed my baby.
00:38:21Oh, my God.
00:38:22Oh, they killed my baby.
00:38:27Oh, 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 see him?
00:38:37I have his mother 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.
00:39:07It's done, yeah.
00:39:08Pretty 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.
00:43:59Amen.
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.
00:54:33I want to be there for my grandkids.
00:54:37Charlie, I'm good to the lights. Christy speaking.
00:54:38Hi, Christy! It's Karen Hall.
00:54:43Hi, Karen.
00:54:45Hi.
00:54:46How are you doing?
00:54:47Good, thanks.
00:54:49Good.
00:54:50And you?
00:54:52So, I'm actually calling you with a heart offer.
00:54:54You have a couple of 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.
00:58:36Did you?
00:58:38I don't know.
00:58:38I don't know.
00:58:39I don't know.
00:58:40I don't know.
00:58:40I don't know.
00:58:40I don't know if it's coming to you.
00:58:40Oh.
00:58:46Okay.
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.
00:59:30So the heart looks good, and our ETA looks closer to 3.
00:59:53Make your head nice and greasy for surgery.
01:00:06Crying with something.
01:00:07I know.
01:00:07I don't know.
01:00:37Hello, hello.
01:00:51There we go.
01:01:07Single cannula and SVC.
01:01:27What's the ACT?
01:01:29Okay, go on bypass, please.
01:01:32Cool down to 34.
01:01:35Four degrees.
01:01:37Mm-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.
01:02:12Pull it here.
01:02:15That's good.
01:02:16Tag, please.
01:02:17That's good.
01:02:18Tag, please.
01:02:19Another stitch.
01:02:21Okay, that's good.
01:02:25Okay, let's have a look.
01:02:30Pull off the RPA there.
01:02:32Let's see the new heart.
01:02:34Mm.
01:02:35They said no.
01:02:39Okay, that's okay.
01:02:40Good side.
01:02:41Okay.
01:02:42Um, problems, please.
01:02:46Uh-huh.
01:02:47We can go through the transverse sinus.
01:02:50Okay.
01:02:51Okay.
01:02:52Okay.
01:02:53Okay, you can tie that knot there.
01:02:57This one?
01:02:58Yep.
01:02:59Yeah.
01:03:00Yeah.
01:03:01Okay.
01:03:02Okay.
01:03:03Okay.
01:03:04Okay, you can tie that knot there.
01:03:08This one?
01:03:09Yep.
01:03:10Yeah.
01:03:11Okay.
01:03:12This one?
01:03:13Yep.
01:03:14Okay.
01:03:15This is wound around here, so just take that driver off.
01:03:18The tag off.
01:03:19That's nice.
01:03:20Okay, perfect.
01:03:21And I'm gonna take this clamp off the PA for the moment.
01:03:22Pull this over here.
01:03:23And the heart's starting to beat already.
01:03:24That's cool.
01:03:25You don't have a clamp there.
01:03:26Yeah.
01:03:27Yeah.
01:03:28Okay.
01:03:29Okay.
01:03:30This is wound around here, so just take that driver off, or the tag off.
01:03:35That's nice.
01:03:36Okay, perfect.
01:03:37And I'm gonna take this clamp off the PA for the moment.
01:03:42Pull this over here.
01:03:45And the heart's starting to beat already.
01:03:48That's cool.
01:03:49You need another clamp there?
01:03:51Okay.
01:03:52We need another angled clamp.
01:03:53I'll grab one of the other two.
01:03:55The size difference is not huge.
01:03:58We can go, like, two or three times body size in a baby.
01:04:04We've got to be careful it's not too small, because if it's too small, it won't have enough pumping capacity.
01:04:11So it's a good heart.
01:04:12It just came from a long ways away.
01:04:16So it was in the bucket there for, like, five and a half hours, huh?
01:04:21Okay.
01:04:22Okay.
01:04:23Hi.
01:04:24Mr. Burgundy of Men.
01:04:25I'm Dr. Rebecca.
01:04:26How are you?
01:04:27Good.
01:04:28So we're all done.
01:04:29Everything went very, very well.
01:04:30It, um, the heart started up right away.
01:04:31And, uh, getting it in wasn't any major issue.
01:04:35So, um, heart's working on its own now.
01:04:36And, uh, we're just gonna wait for the bleeding to settle down just a little bit before we close
01:04:40up.
01:04:41And then the baby will go back to the ICU.
01:04:42Uh, first 24 hours is sort of the important time.
01:04:43The heart's gotta recover from the operation, and all the bleeding's gotta settle down.
01:04:44So we're all done.
01:04:45Um, good.
01:04:46So, we're all done.
01:04:47Um, everything went very, very well.
01:04:48It, um, the heart started up right away.
01:04:49And, uh, getting it in wasn't any major issue.
01:04:53So, um, heart's working on its own now.
01:04:56And, uh, we're just gonna wait for the bleeding to settle down just a little bit before we close
01:05:01up.
01:05:02And 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 gotta recover from the operation, and all the bleeding's gotta 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?
01:05:20Okay.
01:05:22We don't shake anymore because there's too many germs, huh?
01:05:25Sure enough.
01:05:26Okay.
01:05:28I'll talk to you later, folks.
01:05:37Thank you so much.
01:05:38Yeah, and before you come to the bathroom is at the house, please get ready for your
01:05:39school.
01:05:40I'll talk to you later, folks.
01:05:45Thank you, sir.
01:05:46Thank you, sir.
01:05:47I'll talk to you later…
01:05:48Yes, sir.
01:05:49I'll talk to you later.
01:05:50I'll talk to you later.
01:05:51Thank you very much.
01:05:52Thank you, sir.
01:05:57This 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.
01:06:21I even saw, you know how they say that you see a figure before you croak?
01:06:30I saw a little Virgin Mary.
01:06:37Oh, is this Dr. Shapiro?
01:06:40It is.
01:06:41Oh, hello.
01:06:42How 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.
01:06:57It 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 brighter.
01:07:06Times are going to get brighter.
01:07:07Get 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, it's nice to have met you.
01:07:15Yeah.
01:07:15My lifesaver.
01:07:16Well, likewise.
01:07:17It's been a pleasure to look after you.
01:07:19We'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.
01:07:28Sometimes 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 have gone through all this kind of hard, I think anyway.
01:08:04But I thank the person.
01:08:07That's all I can do.
01:08:10He gave his life to save mine, which was nice.
01:08:25Sorry for the tears.
01:08:29You have every right.
01:08:31You have every right.
01:08:35Yep, you're welcome.
01:08:36Okay, now.
01:08:52Say it a bit.
01:08:54Look, it's full.
01:08:55You take a picture?
01:08:56Yeah.
01:08:56Okay.
01:09:05I don't think anyone would call my life balanced, but I certainly have more control over it now
01:09:12than I've ever had before, and 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 feel you have to, every invitation you have to take, every grant you have to apply
01:09:31for, 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 thought fairly healthy.
01:09:49Running could, you know, run down a quarter 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 I went to emergency, and I had a temporary pacemaker put in, and then a permanent pacemaker,
01:10:07and a bunch of tests, and I was found that I had a condition called cardiomyopathy.
01:10:13And I had no idea.
01:10:17It's not bedtime yet.
01:10:19It's too early for bedtime.
01:10:23So 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 life is precious, and time is precious, and, you know,
01:10:50I 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,
01:11:01I can do that.
01:11:02And I feel very lucky.
01:11:12Ready for songs?
01:11:16Turn to bed.
01:11:17Matthew was born here, and it's kind of sad
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.
01:12:06When it comes to the tissue,
01:12:07we did not realize part of the skin part was to the degree,
01:12:16and we did not realize the need for it at the same time.
01:12:20The eyes...
01:12:23Not so...
01:12:26I don't know how much Matthew has to give.
01:12:30Matthew's already given his life, and...
01:12:34We don't have to...
01:12:34We don't have to do it all.
01:12:37You know, we...
01:12:38We're already...
01:12:40You know, he's already given.
01:12:43And...
01:12:43But I don't think we have to do it all.
01:12:47I...
01:12:47Dane, he's your brother.
01:12:49What...
01:12:49I've said my piece about it.
01:12:52I say do the organs,
01:12:55the essential organs, and leave the tissue.
01:12:58I just...
01:12:59Dane 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.
01:13:08Just my organs.
01:13:10And I just don't...
01:13:11And then...
01:13:12Leslie just said it.
01:13:13Mm-hmm.
01:13:15Everybody's done enough.
01:13:16Yeah.
01:13:17And Matthew has contributed more than all of us, so...
01:13:22So basically what'll happen is that if for organ only, there would be a cut probably from around an Adam's apple for a male, down to the pubic area, and then usually just across from the abdomen to abd.
01:13:38And 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, I...
01:14:21Like, basically the spleen is just, um, they 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 so that there's less chance of rejection or having the organs fail.
01:14:42But it's not really, uh, an organ that we're taking or anything like that.
01:14:46It's just, uh, uh, basically a tissue sample that, uh, 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.
01:15:02Okay, 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...
01:15:11Let's...
01:15:12Let'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.
01:15:26He would have done it without hesitation.
01:15:30Oh, my God.
01:15:45Oh, my God.
01:15:48Oh, my God.
01:15:50Oh, my God.
01:15:54speaking hi could you tell me who's on call for lung transplant hi Karen
01:16:03speaking okay hi I'm Ali I have a lung to offer you okay I do not have HLA or
01:16:12serology at this point in time okay but we're trying to rush this as quickly as
01:16:17possible and we need to go to O.R. today before midnight
01:16:26oh that's really you should be filling out that form for me
01:16:35why did I have to fill that out for you
01:16:48so these lungs sound promising they have multiple recipients and liver I still
01:16:56have to get a hold of that liver recipient kidneys that sounded promising I think
01:17:02okay
01:17:07I think we'll talk to the lab just to see that serology will be done and HLA will be
01:17:12done and then give a couple hours flex and really affirm that O.R. time so that
01:17:18everyone can tee up their recipients
01:17:22they're gonna fix me up they're gonna give me a new heart they've got according to Dr. Sharma and from what I've heard since I got here they've got an excellent heart lined up for me
01:17:43we have found you a very good heart
01:17:50that's what they tell me it's a very good quality heart so I'm very confident you're
01:17:54gonna do well so of course there's a bonus lots of complications that can occur
01:17:58along the way yeah there's nothing that you're nothing gained right yeah that's
01:18:03right but things like infection or having trouble lung function or kidney
01:18:08function or things like that and any one of those things can contribute to not
01:18:11actually making it through this whole experience which that risk is probably in
01:18:15the 10 to 15 percent mark I would think yeah so quite a bit higher than usual but
01:18:20but I think that's another game I think given the fact we've got this heart for you
01:18:24we should go ahead that's why we've gone to all the trouble of getting this
01:18:27organized it's gonna do good absolutely our positive thinking exactly right good
01:18:34sorry that I got a chance to chat with you yeah see you soon see you soon okay
01:18:45I'm a little nervous I'm ready to start the final leg this journey it's
01:18:54unbelievable how good that feels
01:18:59oh my god this is so unfair relax because the best thing you do is you do is you do it's the only one
01:19:18this is so bad your war has delayed we would like to delay for one hour
01:19:28okay I wonder can I call you at a different phone Darren
01:19:35this is not abnormal this is pretty routine but in this case it's much more sensitive and the delay is
01:19:58much more you know much from maybe not received in the same you know as it's
01:20:09more difficult for for the family it may be in this situation to have a delay
01:20:28so are we were trying not quite yep pretty soon we're just gonna have a minute of um silence this has been an incredibly stressful time for everyone because it's been so busy but this family has really really hung in there and this is this is a loss of their son and it's been really really hard on them
01:20:58so they have graciously agreed to consent for transplantation so if we can have like five seconds of silence to just remember the gift that this family is willing to give through their son
01:21:10so they're gonna withdraw life support like any minute now okay what I will read from you and in in sequence is the scalpel followed by the sternal saw and I'm gonna put the debakeys and the meth in there so I have that up already
01:21:34ready
01:21:41so
01:22:01Sounds like they're coming.
01:22:14Thank 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, Matthew.
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.
01:22:48Okay, so we're going to go into the right.
01:22:59Here they come.
01:23:20I love you, Matthew.
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?
01:23:34Yeah, I'm checking the ID.
01:23:35Passing the...
01:23:42I'm sorry.
01:23:42Okay, suction's up to Dr. White.
01:23:50Give me the skin knife, please.
01:23:52Skin knife.
01:23:53Second, please.
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.
01:24:09It's the, uh, protractor.
01:24:15Yeah, we should go to take the whole thing out.
01:24:22Where's the colonel?
01:24:23Of course, yeah.
01:24:24Wonderful.
01:24:25Thank you, Chris.
01:24:39Uh, I'd like to thank you all for joining us here tonight.
01:25:07As we pay tribute to and remember Matthew.
01:25:12He lived his life how he wanted to.
01:25:14And he lived his life to the fullest.
01:25:17With no regrets.
01:25:19I love you.
01:25:20I miss you.
01:25:23You're my friend.
01:25:24You're my best friend.
01:25:24You're my brother.
01:25:26And I'll see you again.
01:25:27So, um, the other thing was Matt was really, really generous.
01:25:31He was really giving.
01:25:32That's what made him such a joy, even for Leslie and I.
01:25:36He, he's probably put less than I on more adventures than we could, uh, shake a stick at,
01:25:41just by spontaneous taking us out there and have us live life full.
01:25:45We want you to know that Matthew was an organ donor.
01:25:59We 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.
01:26:13We want you to know how grateful we are.
01:26:18We want you to know how grateful we are.
01:26:48We want you to know how grateful we are.
01:27:18We want you to know how grateful we are.
01:27:19We want you to know how grateful we are.
Be the first to comment
Add your comment