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00:00our job is hardcore it is life and it's death everything we do relies on this bond between us
00:24you have to be comfortable in high stress situations
00:29in this immersive series you're in the hospital how much do you want to tell me what drugs you want
00:38to win we take you into the theaters and wards of sydney's busiest hospitals and into the world
00:45of nurses nurses are the backbone of the hospital through their eyes you'll see life big deep breath
00:52then death unfortunately we can't save her
01:05and everything in between coughs colds and sore holes
01:12welcome to the front line two three of one of the world's toughest it's all right darling we're looking
01:19after you okay and most trusted professions was scary hey good nurses are superheroes without capes
01:29just in scrubs this time on nurses it definitely looks broken to me men in pain oh sucking it up can
01:48you take a nice eat breath Tony's vascular surgery what we're hoping to do is restore the blood flow so
01:55that Tony will be able to walk takes an unexpected turn all right oh that changes things dramatically
02:03plus the nurse don't be alarmed because it looks big but it actually is really really small find time
02:11for Giuseppe the heart pumps allows them to extend their life I'm getting weaker and if I didn't do something
02:18like this I'm done for yeah I mean I became a nurse when I was 17 and I knew that I didn't want to work
02:35on wards and that it was probably going to be theater for me I've always been a caring person so to be a nurse
02:41it's just been easy at the Marta Hospital nurses Megan and Phoebe are clocking on for a busy day in
02:49surgery I sent you how are you I'll just get gloves out Megan and Phoebe are part of the highly
02:57specialized vascular surgical team I'll make up the saline most often I'm blocking and repairing veins
03:05and arteries they sometimes call vascular surgery the plumbers of the medical world because we we
03:12clear out you sometimes they can get blocked so Steve's our head vascular surgeon so it's 7 30 he
03:27usually arrives around this time sodium chloride May 23 Phoebe's a scrub nurse and Megan is the team
03:35leader all right what have we got on today vascular disease affects 1.2 million Australians
03:44one of them is Tony well I have blocked arteries actually I sort of found about 18 months ago just
03:54walking on a slight incline and on the road and all of a sudden I found that I had a pain in my leg now
03:59I'm filled up with plaque and from what I understand anyway Tony could barely walk when she was admitted
04:05there's a danger the artery in her leg could become completely blocked I'm a bit apprehensive I'm a bit
04:14scared unfortunately with operations things can go wrong sometimes and you can have complications so hi I'm
04:24Phoebe I'll be your scrub nurse Tony has a blocked artery in her leg and so what we're hoping to do is
04:31restore the blood flow to that artery so that then Tony will have a lot less pain in her leg surgeon
04:37dr. Steven Dubanek arrives a week ago he identified an artery in Tony's leg that was 75% blocked so we're
04:47going to go and puncture your right groin find the narrowing and then we're going to do a thing called an
04:51atherectomy and we're going to take out some of that plaque and then we're going to balloon it to make it nice and
04:56smooth if we need to we'll put a stent but hopefully we don't need to are we ready all right
05:10so what's happened to you today mate it's footy season in Sydney yeah and that means another busy weekend
05:18for the emergency department team I just got jack for a clavicle x-ray if I can please more than a
05:25third of all sport related injuries in Australia are sustained playing football I was playing rugby and
05:32got tackled landed on my elbow shoulders ranked number one for breaking or popping it's broken in terms of
05:41like stuff we see in emergency there's no predictability in your shifts oh this guy okay I'll
05:46walk him fast-paced bit chaotic I'm the red please I'm gonna get intranasal fentanyl for the guy next
05:52door emergency is all about teamwork everything is about teamwork happy days no worries
05:58hey man do you want to come with me nurse yoon is treating his first weekend warrior do you want a
06:08wheelchair I feel a little comfortable when I just lean straight down okay all right young Daniel is fresh
06:15off the field with a clearly dislocated shoulder I don't think you want to be awake for it when we
06:20pull your shoulder I love when it goes back in do you like it okay patients are usually sedated to
06:26have a shoulder put back in doesn't need the sedation then he just wants nitrous but this is Daniel's
06:32fourth dislocation and he's elected to tough it out big big breath yeah yeah instead he'll have a blast of
06:44nitrous oxide also known as happy gas nice and deep breath people that have had multiple previous
06:52dislocations usually their shoulders are quite loose which means that we can get them back in
06:56without much difficulty so we try and use minimal amount of drugs which means they can go home quicker
07:01there's no side effect keep taking those deep breaths try and relax down as much as possible shoulders back
07:08Daniel's shoulder is back where it's supposed to be well done you feel okay it's like a million bucks
07:27we're gonna put you in a sling okay mate yeah all right pop time happy gas is also an effective truth
07:36serum Daniel's not promising to follow doctor's orders I'm sure this is gonna go off as soon as you're
07:42outside the hospital but it should stay on in the next couple of days okay just gonna do a blood
07:47pressure man before we send you out make sure you're all good all right mate good you're on yeah what's
07:53the guy let's back in hello how are you back at the martyr Tony's about to go under for her operation a
08:10partially blocked artery in her leg means she struggles to walk my name is Megan by the way nice
08:18to meet you to restore blood flow they need to scrape out the plaque causing the blockage and
08:24widen the affected area are you okay yes okay good we have to wear lead because we're doing constant
08:31x-rays so this is our very fashionable lead gowns we need to know if there's been any bleeding we need to
08:41know where the blockages are and we need to know if what we're doing to that artery is actually working
08:47so it needs to be a continuous x-ray this is the only type of surgery where the use of an x-ray is
08:55continuous limiting that exposure depends on how fast dr. Dubinek and the nurses can get the job done
09:02all right so we're just getting ready to go we have Tony's right groin and we get a good idea what's
09:12going on inside the vessel with ultrasound investigation that big black dot in the middle
09:18that's pulsating is the common femoral artery and you can just see there at the bottom that's atherosclerotic
09:24plaque and here's where the plumbing begins dr. Dubinek will try to scrape and suck out the plaque with a
09:33minute probe and then it will pop there's that vessel we're inside we have pulsatile flow and we
09:41now can put our wire in through that needle pull out the needle and put the sheath over the top this is
09:49our x-ray equipment which is totally necessary for the procedure to take pictures of the inside of the archery
09:55and you can see that the sheath is gently being passed over the aortic bifurcation and into
10:07Iliac vessels let's have 10 mils at 15 mils a second fluid is injected to show contrast on the x-ray
10:17the x-ray shows the blockage is now far worse than it was just a week ago it's completely blocked as
10:37in there is no flow going down to the bottom of her leg this is a little interesting it's where that arrow is now
10:44is where they used to be a narrowing of 75% in that time that tony saw me a week ago that is now blocked
10:52it's totally occluded and blood flow is not going through that superficial femoral artery to the lower
10:59leg and that's something that has only just happened and changes things dramatically I just hate plot plot
11:08just makes everything so much more difficult
11:27St Vincent's Hospital is one of just four heart and lung transplant centers in Australia
11:33all right you tell me when you're ready each year the specialized team performs 25 to 30 heart
11:41transplants but there are many more critically ill patients than there are donor hearts patients wait
11:51on the heart transplant list for more than 300 days on average and for these patients that are critically
11:57ill that come in that cannot wait they will die you never say no or this can't work you find a way of
12:06making it work because you have to because people's life depends on it
12:11my name is Desiree and I'm the clinical nurse consultant for mechanical circulatory support or in
12:27layman's term you can call them artificial hearts there's been no alarms no problems with your battery
12:33charge everything is good yeah the left ventricle assist device or LVAD is offered as a bridge to
12:40transplant patients who would otherwise die waiting for the precious gift of a donor heart
12:48today Desiree is meeting with 58 year old father of three Giuseppe
12:54hello who was diagnosed with an enlarged heart in 2008 and I'm the nurse consultant who works with
13:01the mechanical heart although he was fitted with a pacemaker five years ago sadly his condition has
13:07continued to deteriorate when I was getting these symptoms yeah shortness of breath um uncontrolled
13:15coughing um uncomfortable um lying down because I felt there was pressure on my lungs so I was not
13:23very comfortable at all no without a transplant doctors think that Giuseppe's heart will fail within a
13:30year to be told that under the transplant was confronting and that's still our our goal or aim that's
13:41where we want to get you his only hope until a donor heart becomes available is a mechanical heart or LVAD the
13:49left ventricle assist device when that's implanted all those things should improve now don't be alarmed because
13:56it looks big but it actually is really really small and you can feel it and touch it it's a battery
14:03run pump that's implanted into the heart that takes blood from the heart they put the ring on the heart
14:08make a little hole and then that goes into there and then circulates around the body but that part
14:15goes into the heart you don't even see that all under the skin all under the skin so you you won't see
14:20it or feel it it's all it's there it offloads the heart and you reduce the heart failure symptoms so
14:27people can become medically much better so in this bag is the little computer and the batteries that
14:34runs the pump yeah you like a man bag it's a whole process that they go through to adapt to this to come to
14:44terms with what happened to them but you just have to work with them and just support them just
14:50recognizing that it's human beings we're dealing with it's not a disease process it's not a pump
14:56that underneath all of this is a human being i'm getting weaker right um and if i didn't do something
15:03like this i'd only get weaker if i get weak to the point where they can't do a transplant then i'm done
15:09for you know what i mean we don't want to lose him yet okay we're gonna give you some pain relief
15:21and some medication to make you a bit drowsy okay downstairs in emergency nurse yoon and the team
15:27are tackling a run of shoulder injuries with dislocations the sooner we can get it back in
15:35is better for the patient and the longer that the joint is out of position the muscles get tighter
15:40and tighter and tighter which makes it much more difficult for us to get it back into position
15:54this one's not easy arthur is heavily sedated to relax the muscle
15:59it's taking four sets of hands to pop his shoulder back into place how you going there
16:07you coming around he's a really really muscular guy so all the muscles around the shoulder go super
16:13tight which makes it really difficult for us to put the shoulder back in unless they're really really
16:17relaxed specialist dr john rafters is called in if they can't relocate arthur's shoulder he'll need
16:25surgery surgery surgery comes with its own risks and longer recovery they're going to try again
16:38this time with arthur heavily sedated to relax his muscles which means that you're using much more
16:44drugs you need to put the patient much deeper and there's much more risk of sort of secondary injury
16:48because you're having to use a lot more force so that's why we try when someone comes in with a
16:52uh joint dislocation we try and get it back in like as quickly as we can i can find out with these
16:58big mostly guys so it's a lot of traction then it'll just like flop in yeah and do you want traction
17:05yeah yeah
17:17got it yeah there we go horrible feeling it felt quite crunchy yeah yeah quite crunchy arthur's shoulder is
17:29back in place but because he was sedated he'll be kept in for monitoring and a chance to update his
17:36social media oh you want me to take a photo yeah just for the missus just for the missus stir the pot okay
17:47that's a good one
17:48where there used to be a narrowing of 75 that is now blocked across town at the martyr tony's
18:03artery operation is off to a bad start the blockage is a lot worse than expected
18:10what we have now is not only just a narrowing but we've got thrombus
18:15thrombus means there's a blood clot dr dubenek's priorities have suddenly changed
18:21there's a risk of parts of that thrombus shooting off and going up into your lungs brain
18:30they need to remove the clot plus repair any damage
18:35with tony exposed to x-ray the whole time this is going to take much longer than planned
18:42if the situation changes rapidly it can get quite stressful and now the problem with thrombus and
18:48fresh thrombus is it's very fragile and we can cause it to trash down her left leg on this clot it
18:55can actually damage the artery quite a lot because the clot goes about 20 centimeters down her leg we have
19:02to treat the entire artery which is much bigger and harder than the original procedure which was planned
19:08we're gonna have to use other methods to be able to restore flow back to her legs we'll need the
19:16longer jv1 please you're sort of a little bit more under the pump now because you're trying to get
19:21everything ready get the machines in get the catheters open red is urokinate and that's our drug that
19:28we're going to deliver into the clot this is injecting that drug through our clot it'll help us break it
19:37down and get a better result when we go to suck it out with this same machine through this catheter
19:44there is a chance that this yeah will not work for tony the most important thing now is a little bit of time
19:49we'll put a drug in and we'll let it start to eat into the clot and then we'll suck it out in surgery
20:04the vascular team is waiting for a drug to start breaking up a clot in patient tony's leg there is
20:11the chance that this yeah will not work for tony after several anxious minutes the news is not good
20:18we've just done an angiogram run to see there's been any effect with your kinase and there hasn't
20:23really unfortunately okay ready plan b is much riskier they will attempt to suck the clot out
20:32you can only use this for a certain amount of time so you've got to be very directed about where we want
20:37to use this device because it not only sucks out clot but it can break up red blood cells and release
20:46these toxic substances to the kidneys
20:57you know i think that's enough let's just see the surgery has already gone three times as long as
21:05planned under x-ray the whole time dr dubenek is satisfied he's removed enough clot to go back to
21:12the job of scraping out and widening the artery he's about to use a atherectomy device it's a little
21:20motorized instrument and then that just sort of eats the plaque he's just basically drilling out the
21:26inside of the vessel trying to create a bigger panel at the beginning of the artery we'll have to see how
21:33this goes but we might have to use a balloon to open up the artery further if there's still some disease
21:41there we might need to use a stent too stents contain nickel tony is allergic to nickel it's not ideal
21:50but dr dubenek may have no choice all right let's stop there over the wire let's take some pictures
21:58there's that narrowing which we've opened with the atherectomy device and now we're just massaging
22:03the rest of it against the wall and smoothing it out however we're still left with some narrowing at the
22:08top and some small linear tears which we called the section in the vessel in that state we would
22:16actually place a stent to make sure that doesn't happen if we can stay away from a stent it would be
22:23in tony's best interest
22:30level nine south of st vincent specializes in haematology
22:35all right lovely amanda i got you your morning tablet and it's home for many patients going
22:41through treatment of cancer and blood diseases i promise i you know have been told that my
22:49little belly injection is quite good oh good my role as a nurse is to make sure that my patients get
22:58to be the best version of themselves today and give them the best chance at a tomorrow that's never
23:07promised you give me a call if you need anything okay under all the treatment and under all the
23:13disease and the diagnosis it's a person another chemo today do you have any question for them my name
23:29is just start up and i work as a cancer care nurse at saint vincent's hospital the nuns would be proud
23:35how the way i make my best jesada is preparing a room for a new cancer patient who was about to arrive
23:43so we've got a young guy 22 with the new um lymphoma oh really yeah yeah treating young patients with
23:54cancer touches a nerve with jesada i've known now for maybe about an hour or two that i will get this young
24:01person obviously there's being a little flashback and i think where was i when i was that young
24:06person but all i know now is that i knew he's coming and i can do it 22 year old luke is a newly
24:13diagnosed patient he's entering his room in the hematology unit where his cancer treatment will begin
24:20they are pretty confident that luke has a diagnosis of hodgkin lymphoma they have said here that you know
24:27is in the intermediate stage and most likely will start chemo within the next couple of days hello
24:34my name is jay i'm gonna be the nurse looking after you this afternoon okay look at those hair i'm a bit
24:39jealous well you gotta take all the photos you can now i was diagnosed with cancer when i was 17 years
24:51old you had uni or anything at the moment oh yeah i graduated last year um actually the um the day i
24:56came in uh to the hospital yeah um i was on my way to a job interview so yeah it was eight o'clock in the
25:02morning mom got a phone call from the gp and they told her that i have to go to the hospital i went
25:08straight to emergency room and by 10 p.m i was diagnosed with burkis lymphoma and i was admitted as an
25:16inpatient i'm always gonna have a soft spot for the young people i've been there i've experienced it
25:25and i know how hard it truly is just having that conversation with him and kind of see where he's at
25:30i can't help but think oh my god that was me and i was so lucky because i went into remission halfway
25:37through my chemo which means that treatment worked and all of the disease is gone all right i'll get you
25:45to maybe lie down if it's more comfortable for you yep all right texting done thank you when you're
25:57going through something like this it's so important to hold on to the hope you know things will work out
26:05yeah and we can take it day by day don't we exactly yeah yeah the way that i kind of set this wall up
26:13is not to tell my patients about my spirits with cancer it's something quite close to me and it's
26:19something that is probably quite raw and i don't want that to impede on my care to my patient i have
26:29been applying for you know graduate programs and stuff next year it's not like it's putting a stop
26:36no that's a very good outlook man no it's really awesome do you give me a call if you need anything
26:41thank you he had these great hopes and dreams of getting a job and working for the government but
26:47unfortunately things has not worked out that way but we only can do what we can do and i just hope that
26:54he will be okay yeah and we'll take it day by day
27:13cancer clinic nurse jisada is back at work to hear some positive news about patient luke's treatment
27:21he had his first couple of doses of chemotherapy with us here in the hospital and now he's being
27:27treated as an outpatient which is really great especially for a young person to be able to have
27:33treatment available outside of the hospital grounds certain types of cancer or treatment can be given
27:40as an outpatient just because of the way the cancer responds to the chemotherapy i think it's a very
27:49very good outcome for the young man being 22 and having his whole kind of life thrown by the word
27:57cancer and the diagnosis i think it's important to have a little bit of normalcy
28:04whilst it's early days for luke's treatment another one of jisada's patients is an elderly woman
28:10well into her battle with cancer how are you feeling today my lovely not good not the best okay you're
28:22doing well yeah i can't take it i know it feels like that let's just try to focus on today okay don't
28:33focus too much about what's going to happen right because then otherwise i think we'll drive ourselves
28:39crazy isn't it yeah we have those kind of conversations all the time with our patients
28:49it's never really comfortable conversations to have i think and i always feels a bit like you know
28:56kind of thrown back by it because you don't know what's the best thing to say but i think the most
29:00important thing is probably just being there listening you've been fighting very hard for the
29:04last couple of years i'm still saying i'm going to die i'll die well you're here now you know
29:16we all feel like that you know especially when we have fought for a very long time and maybe today
29:22it just feels like it's the worst day and you feel defeated
29:26and it's okay for you to feel that right
29:39this is the most vulnerable time in anyone's life is being in a hospital and as a nurse you also have
29:45to be quite vulnerable but also you need to be strong really strong for the patients
29:50she isn't having a very difficult day today just she feels as if nothing's really happening
29:58and she can't really see that she's improving
30:03i know you've been in a hospital for a long time as well and it's okay to feel
30:08shit it's okay to feel like you don't want to go through with treatment right but
30:16we just got to take it day by day you do feel it all and you do see it all you always
30:29see the good outcomes and you always see the not so good outcomes and i don't think too much into
30:36the future i kind of try to you know focus on the now i try to be in that mindset where
30:44you you might not be here tomorrow so who do you want to be today
30:50i want to see you smile by the end of today
30:55i know you're always smiling
30:56what do i want to achieve out of today and who is the best person that i can be not only to myself
31:06but to the people around me to my friends my family my patients and that you know was definitely shaped
31:15by my experience with cancer
31:29i'll see you downstairs and i'll see you later all right thank you father of three giuseppe
31:34needs an lvac a mechanical pump inserted to keep him alive over the next five hours a team of two
31:44surgeons and six nurses will perform the life-changing surgery the mechanical support or the lvacs that we
31:52do at st vincent's is done as a bridge to transplant as we know donor organs is not readily available
32:01the heart pumps allows them to extend their life and wait for their transplant
32:07are you happy for me to unpack the pump yeah yeah sure yeah okay
32:13so i'm just gonna scrub so i can unpack and assemble the pump and then just run it
32:19the surgeon is very very quick so i just need to get going
32:34a bypass machine will act as giuseppe's heart and lungs keeping him alive while the surgeons operate on his heart
32:42the mechanical heart
32:46desiree tests the mechanical heart before it gets implanted
32:51now we'll just refill that it starts okay and we look at the power especially the power will go up
32:57and then it should settle which means your pump is working fine so there you go there's your pump already
33:04with the pump ready to go the surgeon can now begin the implant process
33:15attaching the mechanical pump to the failing left side of giuseppe's heart
33:23so he's put the sewing ring on the left ventricle
33:27and he's taking that piece of the muscle out so the pump can go now go in
33:33ready for the green is off yes i'm starting in here
33:42we'll be ready to start the pump so it shouldn't be too long now be ready to start the pump up
33:46this is the riskiest part of the operation still down you're back up coming up once they start the pump
34:01the heart and lung machine is switched off yep uh 1800 pump elven on
34:10for giuseppe to survive the speed at which the mechanical heart pumps needs to be carefully calibrated
34:23it's a gradual process of starting the pump up and coming off bypass so you need to balance the two
34:30while looking at what's what the heart is doing because that's critical
34:35if you ramp the speed of the pump up too quickly and come up bypassed it quickly
34:50and you can go into right ventricle failure
34:54increased pressure on the right side of giuseppe's heart could lead to catastrophic heart failure and death
35:05in theater giuseppe has been taken off the heart lung bypass machine
35:11desiree and the surgical team are now sweating on the mechanical heart
35:16to take over i was just taking over is it oh that's an 1800
35:23so we off bypass the pump is supporting him now
35:28it's working giuseppe's mechanical heart should keep him alive and healthy long enough for a donor
35:40heart to become available for a transplant the surgery has gone really smooth and there's been
35:45no complications or hiccups along the way
35:51so you're happy yeah all good all good
35:53uh the vat is working perfectly fine so i think we're going to icu
36:09as giuseppe is transferred to the intensive care unit desiree gives his wife diana the cautiously good
36:16news surgery went well there's no hiccups everything went as planned he's in icu he's stable all
36:23right great thanks okay all right no worries you can breathe
36:30giuseppe's recovery is now the focus good good yeah great one in 10 patients receiving a continuous
36:37flow mechanical heart suffer rejection of the implant
36:41all the settings is just the normal but waveform is good flow is sitting at about four so the next
36:52few days are critical to his survival
37:01back on level nine south jasada has had some sad news the woman he was caring for has succumbed to cancer
37:09it's extremely sad and it's extremely unfortunate that she passed away the way that she did
37:18i'm grieving you know every day i come into work and you try to match people's energy and you try to
37:24be there for all of our patient but deep down you're still a person who feels and a person who gets hurt
37:31when someone passed away especially someone who have tried their hardest
37:36when someone passed away you always feel the sense of grief extreme grief i always go home and i kind of
37:49sit with what just happened
37:54there's a nursing side of me to make sure that this patient have the best chance of life
38:00but there's also the human side of me that is just upsetting that a life is lost
38:14there's that narrowing which we've opened with the athorectomy device in surgery dr dubenek has made
38:20a tough call he'll insert a stent to keep tony's artery clear for blood flow
38:26in that state we would actually place a stent to make sure that doesn't happen and i think we need
38:31to do that to the top part of the vessel so we'll open up the 25 centimeter we will cover from the top
38:40of the vessel all the way down it's like essentially like creating a little bypass and lining that bypass
38:45with a smooth lining that's not thrombogenic it's just a it's a self-expanding stem and so then this
38:53will stay in her arteries um the bits of the artery that have sort of dissected this will just help keep
38:59it in place there's the beginning of our stamps it's quite long so we'll go down and watch where it
39:05goes now the most important thing here is that i place it right at the beginning of the artery while
39:12tony's allergic to nickel an allergist has pre-cleared dr dubenek to go ahead if necessary
39:18actually see the preferential flow going down her leg through that newly opened vessel rather
39:23than the side branches which is a really good sign she can't flow all the way down to her foot
39:29she should feel like a new woman that's great it looks really good i'm very happy with that tony's
39:38surgery has gone really well so um you can see from the x-ray that flow has been restored down to her
39:45femoral artery which is the best bit of the case when the leg comes off at the end
40:02it took a little bit longer than expected but we got a really good result in the end and tony will
40:08hopefully be up and walking tomorrow so yeah all good it's all it's all gone to plan so that's good
40:16you're okay
40:17it's been three weeks since giuseppe's mechanical heart implant surgery i'm just going to see
40:34giuseppe he's actually going home today so i'm just going to make sure he's got everything he's in need
40:40hey giuseppe look at you you look great you're all packed up and ready to go you've got your
40:46medications they've given that to you in my bag there excellent and you've got all the equipment
40:53do you want to put those last bits in or do you want to wait till day and get here no i'll do it now
40:58but it's going to be a few trips to the car he's doing amazingly well you can imagine freeman's down
41:05the line when he's had time to build up his his muscles and just do some more rehabilitation
41:12he'll really feel the benefits and his quality of life is the thing that's going to change and
41:16it will be much better
41:21it's worked out okay can i get home and see how we adjust them yeah i'll be a mule giuseppe still needs
41:31a heart transplant to survive a donor heart could become available tomorrow or in 18 months in the
41:38meantime his mechanical heart will do the job see you next week it's hard to imagine to get to this
41:44point that we're here now so i'm excited because i'm skinny now oh how much weight did you lose uh from
41:5380 to 64 i said almost 16 kilos it's all right tiny cooking and get your back i'm sure i wait for my
42:02first plate of pasta desirate gave me the confidence to trust them to not worry and that was great i think
42:10if you said this to somebody 30 40 years ago we're going to put a little pump into you you're going to
42:14have a battery pack that you carry over your shoulders and you're going to go home and you're
42:18going to live your life it's amazing engineering and technology it's been five weeks since i've
42:26walked to the hospital now i'm walking out
42:31so nice to see them going home looking well feeling comfortable this is the first step improving the
42:38quality of life while he's waiting for his transplant next week
42:42i'm done okay you did well he's done perfect he is yes be proud bye bye
42:57at the martyr nurse phoebe pays a post-surgery visit to her patient tony hello tony hello hi how are you
43:05going i'm well thanks phoebe after only two days tony is up and ready to go home to
43:12her family look at me walk oh this is just the best yeah it is it is how's it all going oh it's
43:19great it's great got any pain today no no i feel like me i feel happy yeah yeah this is the best
43:27yeah we'll be so pleased i know i'm so pleased to be able to wow give me a walk
43:32should we go yes let's go for a little walk it is super satisfying seeing that look i'm just like
43:42me it's just wow yeah yeah it's it's it's fabulous yeah she's she's definitely a different woman well
43:50it certainly makes it all worthwhile seeing you this this bright this happy you've been so tiny you've
43:56been really gorgeous you have honestly i would look after you any day nursing is just the best job
44:04in the world thank you very much take care bye phoebe you see people on their worst day but you know
44:12what you're doing is to help them it just becomes part of your it comes part of your dna
44:19lolly yeah thank you
44:26it is a rewarding job and it's it's always nice to know that you've helped somebody
44:32you were there for them and you know you held their hand when they were going to sleep and you
44:37were there when they woke up yeah let me help you you do get to know these patients very well it's a
44:46long journey morning you walk the journey with them right from the start we're just waiting for that
44:52call for your transplant it's a very satisfying job good life will throw you a bad bone every now and
45:00then and life isn't always an easy war but human being we're so resilient the greatest joy of being
45:10a nurse is you know you have made a big contribution to the world and you know that you have made
45:17someone's day you know what i mean yeah
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