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00:00:01,160 --> 00:00:03,560
Ambulance. What's the emergency?
Quickly, we're at Southport!
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00:00:03,600 --> 00:00:05,120
OK.
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00:00:06,000 --> 00:00:07,680
The Gold Coast.
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00:00:07,760 --> 00:00:11,480
Where the lights burn bright
and the sunshine never ends.
5
00:00:12,080 --> 00:00:17,560
While many Aussies call it home...
Every year 12 million tourists
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00:00:17,640 --> 00:00:20,880
come to play
on this stretch of golden coastline.
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00:00:22,200 --> 00:00:26,120
He was surfing when he got
bitten on both legs by a shark.
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00:00:26,200 --> 00:00:28,000
I don't think
I'm going in the sea again!
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00:00:28,080 --> 00:00:29,120
(SIRENS)
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00:00:29,200 --> 00:00:31,520
But the good times
can often turn ugly.
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00:00:31,600 --> 00:00:34,120
I want the pelvic binder on him, OK?
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00:00:34,680 --> 00:00:37,520
And when they do...
She's not breathing.
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00:00:37,600 --> 00:00:40,760
..these are the people
you want on your side.
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00:00:40,840 --> 00:00:42,920
There's nothing that we can't fix,
sweetheart.
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00:00:43,000 --> 00:00:45,320
I know.
(CRYING BABY)
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00:00:45,400 --> 00:00:47,320
I'm still very concerned
about this man.
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00:00:47,400 --> 00:00:49,200
There's nothing like Ebola.
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00:00:49,280 --> 00:00:51,800
Whether you're just visiting
or you live here...
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00:00:51,880 --> 00:00:55,600
My baby's life is going to be
cut shorter because of this.
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00:00:55,680 --> 00:00:58,760
They don't want see me die.
She can't be replaced.
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These are the real stories...
Hey, I love you too buddy.
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00:01:04,600 --> 00:01:06,240
..of the cutting edge
medical teams...
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00:01:06,320 --> 00:01:07,920
Do not move your head.
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00:01:08,000 --> 00:01:09,976
We need to go in and get
that clot out straight away.
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00:01:10,000 --> 00:01:11,280
Good work, guys!
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..who pick you up...
OK, let's get moving.
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Best job I've done, anyway!
Nailing things.
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..patch you up...
Superpower!
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The fairy dust is very magical
and it fixes all sorts of things.
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..and put you back in paradise.
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Tonight on 'Gold Coast Medical'.
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An extreme alert when a sick man
arrives from Africa.
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We have sent a sample of blood
to the reference laboratory
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for testing for Ebola.
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When this doctor
isn't dropping in...
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Are you seeing stuff?
Are you hallucinating?
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..she's ducking for cover.
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Alright, OK. Alright.
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Rare twins
in a life-threatening situation.
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00:01:55,600 --> 00:01:58,800
If the cord becomes entangled,
it could potentially
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00:01:58,880 --> 00:02:01,000
compromise their only lifeline.
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00:02:01,080 --> 00:02:04,920
And this young patients injury
is not nearly as painful
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00:02:05,000 --> 00:02:08,280
as the call to his mum.
I have some bad news for you.
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00:02:08,360 --> 00:02:10,360
It's kinda serious.
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00:02:17,240 --> 00:02:21,800
Part of caring for people who are
unwell is dealing with the unknown.
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Hospital staff can be exposed
to microscopic nasties
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00:02:25,240 --> 00:02:30,080
like Staph infections, superbugs and
pathogens from all over the world.
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00:02:31,400 --> 00:02:34,520
Dr John Gerrard understands
the risks better than anyone.
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00:02:34,600 --> 00:02:37,000
He's Director of Infectious Diseases
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00:02:37,080 --> 00:02:40,000
for the Gold Coast University
Hospital and today is going to be
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00:02:40,080 --> 00:02:42,840
a day unlike any he's dealt with
on the Gold Coast.
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00:02:42,920 --> 00:02:44,480
Level 5.
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00:02:44,560 --> 00:02:49,200
Thirty-six-year-old man returned
from West Africa six days ago
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00:02:49,280 --> 00:02:52,840
and now he's been admitted
to hospital with a high fever.
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00:02:52,920 --> 00:02:54,840
About 40 degrees.
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00:02:54,920 --> 00:03:01,200
He's a Gold Coast man working
on a gold mine in rural Mali.
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00:03:01,280 --> 00:03:03,640
About a hundred kilometres
from Guinea border.
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00:03:05,440 --> 00:03:08,840
In recent months,
tens of thousands of people
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00:03:08,920 --> 00:03:12,400
have died in West Africa
from an epidemic of Ebola.
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00:03:13,840 --> 00:03:16,800
John was very close to the problem,
as he was part of
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00:03:16,880 --> 00:03:20,240
the Australian medical aid team
that went to Africa on a mission
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to fight the deadly disease.
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00:03:22,600 --> 00:03:27,080
It was an extraordinary,
exciting, scary experience.
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The worst affected city,
in the worst affected country,
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00:03:31,960 --> 00:03:34,440
in the worst ever epidemic
of the most lethal
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communicable disease known.
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00:03:36,960 --> 00:03:40,000
This wasn't just a humanitarian
mission, it was actually
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in Australia's national interest
to prevent the transmission
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of Ebola virus disease.
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So it could not escape
from there and come here.
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00:03:50,280 --> 00:03:52,440
John is worried he could be
looking at the very first
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case of Ebola in Australia.
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So, every precaution is taken.
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00:03:57,120 --> 00:03:59,520
I'm going to be changing into scrubs
and into my personal
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00:03:59,600 --> 00:04:02,080
protective equipment and going
to speak to and examine him.
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00:04:02,160 --> 00:04:06,760
The hospital's emergency plan is
activated and Daniel is isolated.
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Ebola is transmitted through any
bodily fluid contact.
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In the African epidemic,
half of all cases end
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in a terrible death
from internal haemorrhaging.
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00:04:19,120 --> 00:04:23,840
So anyone approaching Daniel must
cover every part of their body.
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00:04:23,920 --> 00:04:26,200
The hospital is equipped
with a negative pressure
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00:04:26,280 --> 00:04:27,840
quarantine chamber.
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Specially designed air
conditioning... make sure no air
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00:04:30,520 --> 00:04:33,760
escapes into the rest of the
hospital when the airlock is opened.
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Finally, Dr Gerrard
can begin the examination.
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00:04:40,520 --> 00:04:43,520
Along with Ebola's signature rash
and aching joints
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00:04:43,600 --> 00:04:46,920
he checks for signs of any other
infectious diseases.
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00:04:47,000 --> 00:04:49,240
In this sort of patient,
coming back from Africa,
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the commonest cause of fever
is malaria.
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00:04:52,240 --> 00:04:54,280
That's by far and away
the commonest cause
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00:04:54,360 --> 00:04:57,800
but we've already had two malaria
tests which have come back negative.
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00:04:57,880 --> 00:05:00,840
With malaria ruled out,
the likelihood that Daniel
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00:05:00,920 --> 00:05:02,920
has Ebola increases.
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00:05:03,000 --> 00:05:08,880
We have sent a sample of blood
to the reference laboratory
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00:05:08,960 --> 00:05:11,280
for testing for Ebola.
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00:05:11,360 --> 00:05:15,400
The blood samples
are an extreme bio-hazard.
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00:05:15,480 --> 00:05:18,560
Because Daniel is being tested
for Ebola,
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00:05:18,640 --> 00:05:21,760
Dr Gerrard must also notify
authorities in Canberra.
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I don't know if you're aware,
if you've been following the media,
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00:05:24,120 --> 00:05:26,400
there was a surge in Guinea
last week.
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There's a problem.
They've sent in a WHO team.
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Anxiously waiting outside
is Daniel's mum, Jocelyn.
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He phoned me and said,
"Mum you might have to take me
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00:05:38,880 --> 00:05:41,280
to hospital, I feel terrible".
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I was just thinking it was malaria.
And it wouldn't be anything else.
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Ebola is a frightening illness.
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At this point he would be
thinking too,
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00:05:48,880 --> 00:05:51,400
well, this looks more serious
than I think it is.
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I will be another few nervous
hours before the blood test
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00:05:55,160 --> 00:05:59,160
results come back and Daniel knows
if he's carrying the deadly disease.
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00:06:09,600 --> 00:06:11,280
(MARK RONSON'S UPTOWN FUNK PLAYS)
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Dr Claire Roche makes no
secret of why she traded
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the north of England
for a life on the Gold Coast.
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♪ This is that ice cold
Michelle Pfeiffer that white gold. ♪
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00:06:24,480 --> 00:06:26,920
I started surfing in the UK.
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00:06:27,000 --> 00:06:29,080
I think that's what attracted me
to the Gold Coast
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00:06:29,160 --> 00:06:32,880
just cause I wanted to surf
and have it all, basically.
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00:06:32,960 --> 00:06:34,800
Have a nice job. Sunshine.
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00:06:34,880 --> 00:06:37,960
Beach. Surfing.
I'm no Steph Gilmore.
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00:06:38,040 --> 00:06:40,000
In English standards
I'd say I'm pretty good.
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00:06:40,080 --> 00:06:41,800
(LAUGHS)
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00:06:41,880 --> 00:06:44,440
♪ Cause don't believe me just watch!
Come on! ♪
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00:06:44,520 --> 00:06:48,120
Claire also has the
world's coolest doctor's gig.
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00:06:48,200 --> 00:06:49,840
♪ Don't believe me just watch! ♪
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00:06:52,000 --> 00:06:53,760
Over the last few years
been given a job with
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00:06:53,800 --> 00:06:56,320
the World Surfing League, working
as one of the doctors on that.
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00:06:59,120 --> 00:07:01,920
Sharing two loves of surfing
and emergency medicine.
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00:07:02,000 --> 00:07:04,560
And obviously see a lot of
wipe-outs. A lot of reef cuts.
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00:07:04,640 --> 00:07:07,360
There's all sorts of weird
and wonderful tropical stuff.
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00:07:07,440 --> 00:07:10,320
So, yeah, it's different
and exciting. So...
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00:07:13,320 --> 00:07:15,680
When she's not on tour,
the sort of problems Claire
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00:07:15,760 --> 00:07:19,360
deals with are often less glamorous
and more self-inflicted.
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00:07:19,440 --> 00:07:21,720
Roughly, how much
have you drank tonight?
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00:07:21,800 --> 00:07:24,000
It's the start of a holiday gone.
Just tell me. (LAUGHS)
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00:07:24,080 --> 00:07:26,280
About 15? Alright.
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00:07:26,360 --> 00:07:29,680
I can't handle it that well,
but try to keep up with my friends,
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so... Yeah, no it's all good fun.
(LAUGHS)
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00:07:31,960 --> 00:07:35,320
A boozy boys holiday went horribly
wrong when 19-year-old
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00:07:35,400 --> 00:07:40,360
Mitchell's best mate broke his jaw,
after drinking half a slab.
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00:07:40,440 --> 00:07:42,480
Yeah so this is the left
side of his mental.
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00:07:42,560 --> 00:07:43,976
As you can see that's all
mal-aligned.
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00:07:44,000 --> 00:07:46,920
And that's what's poking
up into his mouth as we see it.
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00:07:47,000 --> 00:07:49,040
See, that's another fracture there.
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00:07:49,120 --> 00:07:51,880
So he's basically broken up here
of his jaw and there of his jaw.
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00:07:51,960 --> 00:07:55,000
So... And this bit is kind
of up into his mouth.
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00:07:55,960 --> 00:07:57,120
Nasty injury.
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00:07:57,200 --> 00:08:01,200
Mitch will undergo reconstructive
surgery just 12 hours
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00:08:01,280 --> 00:08:03,760
after stepping off a plane
from New Zealand.
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00:08:03,840 --> 00:08:06,880
Me and my mates
tapped downed here like 6 o'clock.
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00:08:06,960 --> 00:08:09,280
And so we just decided
to have a bit of fun.
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00:08:09,360 --> 00:08:11,720
And... Yeah, here I am.
(LAUGHS)
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It's all good.
Bit of experience.
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00:08:14,840 --> 00:08:17,200
Most of the assaults are alcohol
and drug related.
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00:08:17,280 --> 00:08:19,200
It's not common where we see
assaults where
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00:08:19,280 --> 00:08:23,200
people don't have...
a bit of alcohol on board.
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00:08:28,960 --> 00:08:31,120
Think I just need
constant stimulation
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and emergency gives that to me.
I never know what I'm going to get.
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00:08:34,080 --> 00:08:37,120
I think it's that variety
that's always attracted me.
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And Claire's next patient,
doesn't disappoint.
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Settle down sweetheart, alright.
(YELLS)
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(MUSIC)
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00:08:56,400 --> 00:09:00,600
25-year-old Tami is halfway
through her first pregnancy.
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00:09:00,680 --> 00:09:03,240
While boyfriend Pete,
injured playing footy,
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00:09:03,320 --> 00:09:05,720
looks like he's the one with the
hospital appointment,
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00:09:05,800 --> 00:09:08,880
they're here for their very unusual
pair of twins.
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They're in the same sac together.
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00:09:11,920 --> 00:09:14,680
Whereas normally twins
are in two different sacs.
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Um... So they're sharing everything,
basically.
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(LAUGHS) They share...
They're in one room.
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Yeah... they share the same placenta.
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They're feeding off
the same blood supplies.
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So it's all very dangerous.
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00:09:25,720 --> 00:09:27,080
Hi Tami...
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Today, Tami and Pete are in seeing
specialist obstetrician,
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Dr Adriana Olog, who is an expert
on these unique type of twins.
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These twins are called
monochorionic monoamniotic.
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So, one placenta. One sack.
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These twins are very special because
they are genetically identical.
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But, not only that, they
originated from the same
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fertilised egg
that split quite late.
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Had it been a few days later,
what then would have led to
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is what we call conjoined twins.
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00:09:57,800 --> 00:10:00,440
Where twins can actually
be fused together.
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00:10:00,520 --> 00:10:03,960
Tami and Pete's babies are
so rare that only one
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00:10:04,040 --> 00:10:06,720
in every 60,000 pregnancies
result in these twins.
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00:10:07,680 --> 00:10:11,320
What makes them particularly special
is because they are sharing
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00:10:11,400 --> 00:10:15,640
the same room. They don't...
can't be protected from each other.
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00:10:15,720 --> 00:10:19,520
And so... they're going to have
little fights in there
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00:10:19,600 --> 00:10:23,400
and because of that their cords,
which is really their lifelines,
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00:10:23,480 --> 00:10:24,720
can get entangled.
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00:10:24,800 --> 00:10:27,600
That can sometimes put a little
bit of tension on the cord
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00:10:27,680 --> 00:10:32,600
and potentially increase the risk
for these sort of twins. OK.
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00:10:32,680 --> 00:10:35,760
Because the twins may tangle
in the umbilical cord,
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00:10:35,840 --> 00:10:37,680
they are considered high risk.
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00:10:37,760 --> 00:10:40,600
There's every chance
they'll be born prematurely.
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00:10:40,680 --> 00:10:42,440
So, the soon to be parents,
are getting
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00:10:42,520 --> 00:10:46,120
a tour of the neonatal care
unit from Dr Pita Birch.
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00:10:46,200 --> 00:10:49,040
I'm a Neonatologist,
so that means I'm a paediatrician
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00:10:49,120 --> 00:10:50,960
that looks after new born babies.
200
00:10:51,040 --> 00:10:54,200
So I'll be there in the birthing
room with a team
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00:10:54,280 --> 00:10:56,680
of registrar... for each baby.
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00:10:56,760 --> 00:10:57,840
And a nurse for each baby.
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00:10:57,920 --> 00:10:59,920
And myself, to kind of
oversee things.
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00:11:00,000 --> 00:11:02,096
And then once the babies are out,
if they're breathing
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00:11:02,120 --> 00:11:04,800
is really stable
then even on that first day
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00:11:04,880 --> 00:11:08,040
we can get your babies
out for a cuddle.
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00:11:08,120 --> 00:11:09,200
I love my job.
208
00:11:09,280 --> 00:11:11,280
I love working here
and doing what I'm doing.
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00:11:11,360 --> 00:11:13,760
I love the babies and spending
time with their families.
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00:11:13,840 --> 00:11:16,160
Janelle was just born this morning.
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00:11:16,240 --> 00:11:18,760
She's got the prongs in her nose
to help with her breathing.
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00:11:18,840 --> 00:11:22,320
It can be daunting for first time
parents... and is something
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00:11:22,400 --> 00:11:24,640
Pita can relate to
on a very personal level.
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00:11:24,720 --> 00:11:29,320
My daughter was born at 27 weeks,
which is 13 weeks early.
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00:11:29,400 --> 00:11:33,360
She was less than a kilo born,
so, she was only 2 pounds 2 ounces.
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00:11:33,440 --> 00:11:35,160
And she was pretty sick.
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00:11:35,800 --> 00:11:38,840
And so my wife and I spent
a lot of time by her bedside
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00:11:38,920 --> 00:11:42,600
while she was in hospital for just
a little bit over 10 weeks.
219
00:11:42,680 --> 00:11:46,000
That's so small... I didn't think
it could be that tiny, man.
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00:11:46,080 --> 00:11:50,120
That, I think, influenced me a great
deal, in terms of not only my desire
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00:11:50,200 --> 00:11:56,520
to do neonatology but also using
my experience to help me do my job.
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00:11:56,600 --> 00:11:58,760
Billie and Penny are around 2 kilos.
223
00:11:58,840 --> 00:12:03,160
Billie's exactly 2 kilos
and Penny is 1770 grams.
224
00:12:03,240 --> 00:12:07,880
So, your girls will probably be
around that kind of 18... 2 kilos
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00:12:07,960 --> 00:12:11,000
at 32 weeks, will be around about
the size, if they're well grown.
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00:12:11,080 --> 00:12:13,400
But, despite being well-informed,
Pete has a good
227
00:12:13,480 --> 00:12:16,880
reason to be nervous about the birth
of his twins.
228
00:12:16,960 --> 00:12:20,920
My mum had twins, twin girls,
and she lost one of them.
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00:12:21,000 --> 00:12:25,520
It was a worry factor for me since
we knew that we were having twins.
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00:12:25,600 --> 00:12:27,320
Every day's a worry.
231
00:12:27,400 --> 00:12:30,080
Yeah. Every day we just want
to make sure they're OK.
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00:12:31,000 --> 00:12:33,920
There's now an anxious wait
until their next ultrasound
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00:12:34,000 --> 00:12:37,000
when there will be a very unexpected
turn of events.
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00:12:43,045 --> 00:12:44,399
Tonight in Seven News.
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00:12:44,400 --> 00:12:45,840
(SEAGULL SQWAWK)
236
00:12:47,480 --> 00:12:48,920
(MUSIC)
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00:12:57,480 --> 00:13:00,160
In the emergency department,
Dr Claire Roche
238
00:13:00,240 --> 00:13:03,400
is dealing with a young man
out of it on drugs.
239
00:13:03,480 --> 00:13:05,960
Are you going to the toilet
all normally at the moment?
240
00:13:06,040 --> 00:13:07,240
Yeah...
241
00:13:07,320 --> 00:13:10,840
Yeah? No problems going
for number one and number two? No?
242
00:13:12,000 --> 00:13:14,000
Your speech is a bit slurry
as well isn't it?
243
00:13:14,760 --> 00:13:17,840
The man was arrested for breaching
an apprehended violence order.
244
00:13:17,920 --> 00:13:21,560
But after spending a night
behind bars, he hasn't sobered up.
245
00:13:21,640 --> 00:13:23,680
And police are concerned
for his health.
246
00:13:23,760 --> 00:13:26,040
He's going to have to stay
here for the time being.
247
00:13:26,120 --> 00:13:27,560
Yep.
He's too unwell to go back.
248
00:13:27,640 --> 00:13:30,056
To be honest, I don't like to know
what these patients have done.
249
00:13:30,080 --> 00:13:31,936
I feel like, number one,
it's none of my business,
250
00:13:31,960 --> 00:13:33,400
it's just to treat them.
251
00:13:33,480 --> 00:13:36,120
OK, you're pretty away
with the fairies aren't you?
252
00:13:36,200 --> 00:13:40,920
And I wouldn't want that to encroach
on how I care for patients.
253
00:13:41,000 --> 00:13:44,880
Is it just heroin that you've taken
or have you taken anything else?
254
00:13:44,960 --> 00:13:47,360
Any mushrooms... Anything like that?
255
00:13:47,440 --> 00:13:49,720
(GROANS)
No?
256
00:13:49,800 --> 00:13:52,240
My gut instinct is,
its possibly a drug-related thing
257
00:13:52,320 --> 00:13:55,120
but it's not obviously shouting out
that it's heroin.
258
00:13:55,200 --> 00:13:58,040
But I might just give him a bit of
Narcan, which is the reversal agent.
259
00:13:58,120 --> 00:14:01,080
If it is just opiates, he'll wake up
very quickly with the Narcan.
260
00:14:01,880 --> 00:14:05,720
If it's not, then he is
going to stay as he is.
261
00:14:05,800 --> 00:14:08,016
I'm going to need to pop a little
needle into your veins.
262
00:14:08,040 --> 00:14:09,840
(SLURRING SPEECH)
263
00:14:10,880 --> 00:14:13,480
I think we're going to need to do
some blood tests on you. OK?
264
00:14:13,560 --> 00:14:16,240
(INAUDIBLE)...blood tests?
Would that be OK?
265
00:14:16,320 --> 00:14:19,000
Yeah.
Yeah, I'm a bit worried about you.
266
00:14:19,080 --> 00:14:21,720
Eh? You don't look very well.
(SLURRED SPEECH)
267
00:14:21,800 --> 00:14:23,640
Yeah.
268
00:14:23,720 --> 00:14:27,640
His heart rate about 140 and he's
looking quite unwell at the moment.
269
00:14:27,720 --> 00:14:29,976
And his heart rate should really be
less than half of that
270
00:14:30,000 --> 00:14:33,760
so obviously his body is working
overtime, so it's quite concerning.
271
00:14:43,760 --> 00:14:45,200
(MUSIC)
272
00:14:50,040 --> 00:14:52,840
Today is Tami's 27 week scan to see
how her twin girls are doing.
273
00:14:52,920 --> 00:14:56,320
This time she's brought along her
dad who is also a nurse.
274
00:14:57,040 --> 00:15:00,080
For a couple of days I think I just
worked around in a daze. Huge shock.
275
00:15:00,160 --> 00:15:04,440
Because, we didn't expect it.
We're a fairly traditional family.
276
00:15:04,520 --> 00:15:06,320
We didn't even know...
277
00:15:06,400 --> 00:15:08,840
That she's not married
and we were like, oh, this is...
278
00:15:08,920 --> 00:15:12,560
like... not expected.
But then, of course, exciting.
279
00:15:12,640 --> 00:15:14,880
I mean, we're having grandchildren.
280
00:15:14,960 --> 00:15:17,496
And then we found out it was twins
it was like wow, it's really cool.
281
00:15:17,520 --> 00:15:19,080
So...
Oh, there you go.
282
00:15:19,160 --> 00:15:20,960
Oh, that's good shot there.
Oh, look at that.
283
00:15:21,040 --> 00:15:23,536
That's wonderful, that's lovely.
Trying to suck... Suck her thumb.
284
00:15:23,560 --> 00:15:25,840
Yeah... There's...
There's something going on there.
285
00:15:25,920 --> 00:15:27,320
Suck her thumb.
(CHUCKLES)
286
00:15:27,400 --> 00:15:29,056
And you can see the hand
just in front of the face.
287
00:15:29,080 --> 00:15:30,200
Yeah. It's cute.
288
00:15:30,280 --> 00:15:33,720
While the twins look playful,
Dr Adriana Olog's
289
00:15:33,800 --> 00:15:36,560
greatest fear is that because the
babies are in a single sac,
290
00:15:36,640 --> 00:15:39,720
their umbilical cords could be
extremely tangled.
291
00:15:39,800 --> 00:15:42,240
So here, we can see all of that
colour is really
292
00:15:42,320 --> 00:15:45,320
just the cords all coming
together there.
293
00:15:47,000 --> 00:15:51,080
If the cord becomes entangled
and pulled it could potentially
294
00:15:51,160 --> 00:15:53,360
compromise the blood flow
through the cord.
295
00:15:54,200 --> 00:15:57,800
And that is quite a scary concept
because babies completely
296
00:15:57,880 --> 00:16:01,120
rely on the blood flow that they get
through the cord from the placenta.
297
00:16:01,200 --> 00:16:02,600
It is their only lifeline.
298
00:16:02,680 --> 00:16:05,880
Unmonitored, the chances of these
types of twin
299
00:16:05,960 --> 00:16:09,880
surviving pregnancy, full-term,
can be as low as 50%.
300
00:16:09,960 --> 00:16:14,000
Our recommendations now would
be for you to come into hospital.
301
00:16:14,080 --> 00:16:16,280
OK?
OK.
302
00:16:16,360 --> 00:16:18,200
It's really stressful.
303
00:16:18,280 --> 00:16:22,560
We're quite concerned because...
One, the twins can get into danger
304
00:16:22,640 --> 00:16:23,960
really quick.
305
00:16:24,040 --> 00:16:26,880
And then we're worried for Tami
because... you know,
306
00:16:26,960 --> 00:16:28,600
it's really dangerous for her.
307
00:16:29,560 --> 00:16:31,840
Dr Olog would like
to deliver Tammy's babies
308
00:16:31,920 --> 00:16:33,720
by caesarean section prematurely.
309
00:16:33,800 --> 00:16:36,000
To increase their chances
of survival.
310
00:16:36,080 --> 00:16:39,520
So, I am sorry to frighten you,
but it is that time.
311
00:16:39,600 --> 00:16:42,640
What started as a routine ultrasound
ends with Tami
312
00:16:42,720 --> 00:16:45,200
being admitted to the hospital.
313
00:16:45,280 --> 00:16:47,840
So her double baby countdown
can begin.
314
00:16:51,200 --> 00:16:52,600
(MUSIC)
315
00:16:52,680 --> 00:16:54,120
(SIRENS)
316
00:16:57,840 --> 00:16:59,320
There's nothing like Ebola.
317
00:16:59,400 --> 00:17:02,080
It's the deadliest
communicable disease known.
318
00:17:03,080 --> 00:17:05,320
Director of infectious diseases
Dr John Gerard
319
00:17:05,400 --> 00:17:08,560
is waiting on pathology tests
to tell him if 36-year-old Daniel
320
00:17:08,640 --> 00:17:13,000
has contracted the deadly
Ebola virus while working in Africa.
321
00:17:13,920 --> 00:17:16,200
We still don't have
a clear diagnosis.
322
00:17:16,280 --> 00:17:18,520
I'm still very concerned
about this man.
323
00:17:18,600 --> 00:17:22,360
He is a little worse this evening.
His temperature is clearly rising.
324
00:17:22,440 --> 00:17:23,880
He's hot.
325
00:17:23,960 --> 00:17:25,920
Feels worse than he was
a couple of hours ago.
326
00:17:26,000 --> 00:17:28,800
With Ebola a very real possibility.
327
00:17:29,520 --> 00:17:31,960
No one is taking any chances.
328
00:17:32,040 --> 00:17:35,480
And Dr Gerard gets a call
from health authorities in Canberra.
329
00:17:35,560 --> 00:17:38,400
A decision has been made
under the Commonwealth
330
00:17:38,480 --> 00:17:41,240
Quarantine Act,
that he needs to be transferred
331
00:17:41,320 --> 00:17:45,160
to the designated quarantine
facility for Queensland.
332
00:17:45,240 --> 00:17:47,960
Which is at the
Royal Brisbane Hospital.
333
00:17:48,040 --> 00:17:50,480
Whilst we await further results.
334
00:17:50,560 --> 00:17:53,880
It's a frightening time for Daniel
and his mother, Jocelyn.
335
00:17:53,960 --> 00:17:56,480
Very worrying.
I was horrified.
336
00:17:56,560 --> 00:17:59,120
He found it all quite alarming.
337
00:18:00,680 --> 00:18:04,960
In Australia, the biggest
risk of Ebola infection
338
00:18:05,040 --> 00:18:06,600
is within the hospital environment.
339
00:18:06,680 --> 00:18:10,120
That is a traveller who has
been to an area where
340
00:18:10,200 --> 00:18:12,200
there is Ebola... infection.
341
00:18:12,280 --> 00:18:14,720
Bringing that virus back
to Australia
342
00:18:14,800 --> 00:18:17,120
and transmitting that
in the hospital environment.
343
00:18:17,200 --> 00:18:20,080
This is the first time
the Queensland Ambulance Service
344
00:18:20,160 --> 00:18:24,000
has ever deployed its mobile
isolation tent.
345
00:18:24,080 --> 00:18:26,120
We exercise extreme caution.
346
00:18:26,200 --> 00:18:28,000
And we are being extremely cautious
with him.
347
00:18:28,080 --> 00:18:31,600
Treating him
as the worst case scenario.
348
00:18:31,680 --> 00:18:34,160
Because it would be a terrible
mistake if we were not to do so.
349
00:18:44,920 --> 00:18:46,640
(MUSIC)
350
00:18:54,240 --> 00:18:56,960
OK, you're pretty away
with the fairies aren't ya?
351
00:18:57,880 --> 00:19:01,080
In the Emergency Department,
Dr Claire Roche
352
00:19:01,160 --> 00:19:03,680
is dealing with
a mystery drug cocktail.
353
00:19:03,760 --> 00:19:06,240
What have you taken all exactly?
(GROANS)
354
00:19:06,320 --> 00:19:08,760
This young man's been brought in
from the Watchhouse today,
355
00:19:08,840 --> 00:19:10,600
not really with it.
Police were concerned
356
00:19:10,680 --> 00:19:12,960
so they brought him into see us.
(YELLS)
357
00:19:13,040 --> 00:19:17,200
Settle down sweetheart.
Alright? You're in the hospital.
358
00:19:17,280 --> 00:19:19,720
As you can see,
quite intermittently agitated.
359
00:19:19,800 --> 00:19:21,480
His pupils are quite small.
360
00:19:21,560 --> 00:19:24,160
We do know that he's taken
intravenous heroin
361
00:19:24,240 --> 00:19:26,416
but it's looking like there's
probably something else going on.
362
00:19:26,440 --> 00:19:28,920
It doesn't look like a
straightforward heroin overdose.
363
00:19:29,000 --> 00:19:30,520
You OK sweetheart?
364
00:19:30,600 --> 00:19:32,760
We're just gonna go for a scan
on your head, OK?
365
00:19:32,840 --> 00:19:35,480
We're gonna be transferring him
straight for a CT scan of his brain
366
00:19:35,560 --> 00:19:37,416
to make sure there's not been
any head injuries prior to him
367
00:19:37,440 --> 00:19:38,480
getting to the Watchhouse.
368
00:19:38,560 --> 00:19:40,640
Make sure there is no
bleeding on the brain
369
00:19:40,720 --> 00:19:42,456
which could be causing
his obtunded kind of picture.
370
00:19:42,480 --> 00:19:44,560
One, two, three.
371
00:19:44,640 --> 00:19:46,080
(FEEBLE WAIL)
372
00:19:46,160 --> 00:19:49,080
Sorry sweetheart. We're just doing
that scan of your head now, OK?
373
00:19:50,880 --> 00:19:52,120
He's totally away with it...
374
00:19:52,200 --> 00:19:55,080
The CT scan clears the man
of a head injury.
375
00:19:55,160 --> 00:19:58,160
So his behaviour is definitely
drug-related.
376
00:19:58,240 --> 00:20:01,160
Claire will neutralise any heroin
still in the man's system
377
00:20:01,240 --> 00:20:03,280
with a drug called Narcan.
378
00:20:03,360 --> 00:20:04,960
Alright, sweetheart.
379
00:20:05,840 --> 00:20:08,600
We'll give him 400 mics of Narcan
and see what he does with that.
380
00:20:12,600 --> 00:20:14,200
There we go.
381
00:20:14,280 --> 00:20:16,200
Just waking him up a bit, isn't it?
382
00:20:16,280 --> 00:20:18,440
The initial signs are good...
Yeah.
383
00:20:21,040 --> 00:20:22,520
..but they're short lived.
384
00:20:22,600 --> 00:20:23,880
(FEEBLE GROANS)
385
00:20:23,960 --> 00:20:26,520
Are you seeing stuff?
Are you hallucinating?
386
00:20:27,360 --> 00:20:29,520
Alright, OK.
Alright.
387
00:20:30,280 --> 00:20:31,776
We've gotta be quick
to dodge the punch.
388
00:20:31,800 --> 00:20:32,880
Clearly not himself.
389
00:20:32,960 --> 00:20:35,800
He clearly doesn't even realise
where he is and...
390
00:20:35,880 --> 00:20:39,240
Yeah, he's obviously acutely under
the influence of some drugs.
391
00:20:39,320 --> 00:20:41,320
(WHINES)
(SLURRED SPEECH)
392
00:20:41,400 --> 00:20:45,000
The Narcan hasn't changed
the man's consciousness level.
393
00:20:45,080 --> 00:20:46,736
You're in the hospital mate,
you're all good.
394
00:20:46,760 --> 00:20:50,560
So Claire is now certain he has
another powerful drug on-board.
395
00:20:50,640 --> 00:20:53,920
With his heart rate going up,
his consciousness level going down,
396
00:20:54,000 --> 00:20:57,000
his bladder is in retention
and not emptying itself.
397
00:20:57,080 --> 00:20:58,936
So, he's got over a litre
of urine in his bladder
398
00:20:58,960 --> 00:21:01,840
and usually we feel the need to go
for a wee at about 200mls.
399
00:21:03,720 --> 00:21:05,760
We're going to need
to drain his bladder.
400
00:21:05,840 --> 00:21:08,280
Which basically means a catheter.
Which is a small tube
401
00:21:08,360 --> 00:21:09,440
up into the bladder.
402
00:21:09,520 --> 00:21:11,936
And I think his agitation is such
that we wouldn't be able to do that.
403
00:21:11,960 --> 00:21:14,200
So, we're going to put him
on a ventilator
404
00:21:14,280 --> 00:21:16,616
and put him to sleep and I think
that's going to be the safest
405
00:21:16,640 --> 00:21:19,240
thing for him, so we can deliver him
the proper care
406
00:21:19,320 --> 00:21:20,960
without agitating him.
407
00:21:21,040 --> 00:21:22,560
I think it's the kindest thing
for him.
408
00:21:23,280 --> 00:21:24,960
Good stats...
409
00:21:26,800 --> 00:21:30,720
The patient is moved to an isolation
ward under police guard
410
00:21:30,800 --> 00:21:33,680
where he'll sleep off the effects
of his drug binge for 24 hours.
411
00:21:33,760 --> 00:21:35,880
And then return to police custody.
412
00:21:36,720 --> 00:21:38,960
You're treating people
when they're very vulnerable
413
00:21:39,040 --> 00:21:41,760
and at their worst and it's...
I feel very honoured to be given
414
00:21:41,840 --> 00:21:44,840
that job and be in
the position of helping people
415
00:21:44,920 --> 00:21:47,200
at some unpleasant points
in their life.
416
00:21:47,280 --> 00:21:49,000
Trying make that time
a little bit easier.
417
00:21:59,920 --> 00:22:03,880
25-year-old mum to be, Tami,
has been bed-bound for a month.
418
00:22:03,960 --> 00:22:07,160
As hospital staff monitor
her troublesome twins.
419
00:22:07,240 --> 00:22:11,000
It's been stressful for Tami because
the type of twins that she has.
420
00:22:11,080 --> 00:22:15,400
The little girls are sharing
the same amniotic sac and placenta.
421
00:22:15,480 --> 00:22:18,200
They're in danger of becoming
entangled in the umbilical cords.
422
00:22:19,400 --> 00:22:22,320
So today, they'll be delivered
eight weeks early.
423
00:22:23,600 --> 00:22:27,840
Dad to be, Pete, and the highly
specialised neonatal team,
424
00:22:27,920 --> 00:22:30,360
led by Pita Birch, are at the ready.
425
00:22:30,440 --> 00:22:32,216
So, we've got to be prepared
for everything really.
426
00:22:32,240 --> 00:22:35,080
Alright, time to have some babies.
427
00:22:35,160 --> 00:22:39,360
Dr Olog makes an incision across
the lower part of Tami's stomach,
428
00:22:39,440 --> 00:22:41,240
down into her uterus.
429
00:22:41,320 --> 00:22:43,040
That'll feel a bit weird.
Yeah.
430
00:22:43,120 --> 00:22:44,560
Because your muscle's contracting.
431
00:22:45,680 --> 00:22:49,200
Although Tami's been anaesthetised
from the waist down...
432
00:22:49,840 --> 00:22:52,240
Bit of stretching.
A little bit strange.
433
00:22:52,320 --> 00:22:56,280
..she can still feel considerable
pain, pressure and tugging.
434
00:22:56,360 --> 00:22:58,440
Stretch.
Ah!
435
00:22:58,520 --> 00:23:01,040
Just some stretching now, Tami.
Just stretching.
436
00:23:02,200 --> 00:23:04,280
That's the most horrible bit.
437
00:23:04,360 --> 00:23:09,160
Next, Dr Olog orders the twins
single sac... to be ruptured.
438
00:23:09,240 --> 00:23:11,920
Yep, just go.
Just break the seal... Good!
439
00:23:14,440 --> 00:23:16,040
Out!
440
00:23:17,760 --> 00:23:19,320
(MOANS)
441
00:23:19,400 --> 00:23:21,240
Pressure, now.
442
00:23:26,240 --> 00:23:28,000
NURSE: Drop the curtain, please.
443
00:23:29,720 --> 00:23:31,560
Ooh!
Hello!
444
00:23:31,640 --> 00:23:34,880
Hello!
Hello!
445
00:23:34,960 --> 00:23:38,200
And baby Jasmine comes
into the world.
446
00:23:38,280 --> 00:23:39,840
(BABY CRIES)
447
00:23:39,920 --> 00:23:41,280
Here we go!
448
00:23:42,680 --> 00:23:44,480
I'm sorry, darling!
449
00:23:47,560 --> 00:23:49,360
She is a darling.
450
00:23:52,040 --> 00:23:55,400
But it looks like there could be
a problem for baby Elia.
451
00:23:55,480 --> 00:23:57,760
And it's the very thing that the
medical team
452
00:23:57,840 --> 00:24:00,240
was most concerned about.
453
00:24:00,320 --> 00:24:02,360
(BABY CRIES)
454
00:24:10,640 --> 00:24:14,440
Dr Olog is delivering Tami
and Pete's twin babies by C-section.
455
00:24:15,400 --> 00:24:16,800
Baby Jasmine is out.
456
00:24:18,760 --> 00:24:20,800
But baby Elia is in danger...
457
00:24:21,680 --> 00:24:24,600
..with the umbilical cord
wrapped around her neck.
458
00:24:24,680 --> 00:24:28,040
And this is the major concern
for these sort of twins
459
00:24:28,120 --> 00:24:31,000
that these movements
can pull on the cord
460
00:24:31,080 --> 00:24:33,000
and impede the blood supply.
461
00:24:33,080 --> 00:24:37,720
Although they untangle her straight
away, she's yet to make a sound.
462
00:24:38,560 --> 00:24:40,840
For dad to be, Pete,
having lost a sister in similar
463
00:24:40,920 --> 00:24:43,280
circumstances... it's frightening.
464
00:24:43,360 --> 00:24:45,296
Just going to give her some breaths.
She hasn't started
465
00:24:45,320 --> 00:24:47,696
breathing properly. We're just gonna
give her some breaths to help.
466
00:24:47,720 --> 00:24:48,920
It's OK.
467
00:24:50,160 --> 00:24:51,400
Come on.
468
00:24:51,480 --> 00:24:54,320
By now, baby Elia should have
taken her first breath.
469
00:25:01,120 --> 00:25:02,840
(WAILS)
470
00:25:02,920 --> 00:25:06,160
Finally, with a mighty wail,
Elia begins her life
471
00:25:06,240 --> 00:25:08,200
in the outside world.
472
00:25:09,920 --> 00:25:13,720
Feels wonderful. Very excited.
Yeah, over the moon.
473
00:25:15,200 --> 00:25:17,400
Both girls have done well.
They've come out
474
00:25:17,480 --> 00:25:19,816
and had good attempts to breathe
and both of them are working
475
00:25:19,840 --> 00:25:21,520
a little bit harder
with their breathing.
476
00:25:21,600 --> 00:25:23,336
Which means they're struggling
to get air in and out.
477
00:25:23,360 --> 00:25:25,016
Which means their lungs
are a little bit stiff.
478
00:25:25,040 --> 00:25:27,136
Part of that will be the prematurity
and part of that will just be
479
00:25:27,160 --> 00:25:29,000
getting rid of fluid
from out of the lungs.
480
00:25:29,080 --> 00:25:30,560
Do you want to see your daughter?
481
00:25:30,640 --> 00:25:34,000
Now that both babies are doing well,
Tami can finally meet her
482
00:25:34,080 --> 00:25:35,520
little bundles of joy.
483
00:25:36,600 --> 00:25:38,720
Hello there.
Is that so?
484
00:25:41,520 --> 00:25:43,920
You look the same.
485
00:25:44,000 --> 00:25:46,040
You're both so tiny.
486
00:25:48,200 --> 00:25:49,960
(LAUGHS) So beautiful.
487
00:25:53,840 --> 00:25:55,720
(ONLY LOVE BY BEN HOWARD PLAYS)
488
00:25:55,800 --> 00:25:59,080
♪ Darling you're with me
Always around me
489
00:25:59,880 --> 00:26:02,160
♪ Only love Only love... ♪
490
00:26:02,240 --> 00:26:03,960
They really do look identical.
491
00:26:04,040 --> 00:26:08,120
A little bit scary and... But, yeah
it's cute at the same time.
492
00:26:08,200 --> 00:26:10,320
It's kind of just sinking in now.
493
00:26:10,400 --> 00:26:12,560
So, can we like, take them out
and cuddle them now?
494
00:26:12,640 --> 00:26:13,960
Yeah.
495
00:26:14,040 --> 00:26:15,976
Well, they're your babies,
so you need to be able...
496
00:26:16,000 --> 00:26:18,056
You're allowed to touch them
and cuddle them when you like.
497
00:26:18,080 --> 00:26:19,480
They've got no medical problems,
498
00:26:19,560 --> 00:26:21,800
the doctors don't need much
to do with them anymore.
499
00:26:21,880 --> 00:26:24,400
She looks so small in your arms.
500
00:26:24,480 --> 00:26:27,960
Hello!
Who's that, huh?
501
00:26:28,040 --> 00:26:30,080
Oh, who's that, huh?
502
00:26:30,160 --> 00:26:32,200
♪ Only Love Only love... ♪
503
00:26:32,280 --> 00:26:33,480
Thanks for your help, Pita.
504
00:26:33,560 --> 00:26:35,696
I haven't done very much at all.
They've looked after themselves,
505
00:26:35,720 --> 00:26:36,880
they've been fantastic.
506
00:26:36,960 --> 00:26:39,336
You see families at the end and
they're really appreciative of the
507
00:26:39,360 --> 00:26:41,856
care that they have been given and
they're taking home healthy babies.
508
00:26:41,880 --> 00:26:44,160
It's very satisfying, absolutely.
509
00:26:44,240 --> 00:26:47,480
♪ Darling you're with me
Forever and always... ♪
510
00:27:00,800 --> 00:27:03,760
Dr Harald Puhalla often sees
patients whose
511
00:27:03,840 --> 00:27:05,800
lives are at a crossroads.
512
00:27:05,880 --> 00:27:09,480
When he carries out liver surgery
to remove a cancer
513
00:27:09,560 --> 00:27:12,320
he may be able to stop the illness
in its tracks or he may
514
00:27:12,400 --> 00:27:15,280
discover signs that his patient
is beyond help.
515
00:27:16,120 --> 00:27:18,120
Cancer is a terrible diagnosis.
516
00:27:18,200 --> 00:27:19,600
For everyone.
517
00:27:19,680 --> 00:27:21,096
And no one is really
prepared for it.
518
00:27:21,120 --> 00:27:24,320
So they'll try to deal
as quickly as we can
519
00:27:24,400 --> 00:27:26,880
to come up with
a appropriate treatment.
520
00:27:28,720 --> 00:27:30,840
Dr Puhalla's next patient is Jenny.
521
00:27:30,920 --> 00:27:34,240
Who's about to have her
second major cancer surgery.
522
00:27:34,320 --> 00:27:36,680
I just really want to have the
operation
523
00:27:36,760 --> 00:27:41,200
and get back to just enjoying life
and spending time with my family.
524
00:27:41,280 --> 00:27:44,080
Jenny's illness has brought her
closer to her
525
00:27:44,160 --> 00:27:46,280
two adult kids and her mum, Kathy.
526
00:27:46,360 --> 00:27:48,880
Mum's probably my best friend,
really.
527
00:27:50,760 --> 00:27:54,560
She's faced everything with a lot
of courage and determination.
528
00:27:54,640 --> 00:27:57,040
And she'll come through it fine.
529
00:27:57,120 --> 00:27:59,160
She's breezed through everything.
530
00:27:59,240 --> 00:28:01,360
Where, you know, everybody
was telling her how painful
531
00:28:01,440 --> 00:28:03,840
it was going to be
and how sick she would be.
532
00:28:03,920 --> 00:28:05,560
And she wasn't.
533
00:28:05,640 --> 00:28:09,680
Jenny's battle with cancer
started a bit over a year ago.
534
00:28:09,760 --> 00:28:13,120
It all came about by chance really.
535
00:28:13,200 --> 00:28:16,280
I went to the doctor with a friend
who needed a colonoscopy.
536
00:28:16,920 --> 00:28:21,720
She wasn't very happy to do that,
so I said that I would go with her.
537
00:28:21,800 --> 00:28:24,680
It turned out that I actually
had a tumour.
538
00:28:24,760 --> 00:28:27,600
The tumour in Jenny's bowel
was cancerous
539
00:28:27,680 --> 00:28:29,480
and needed intensive treatment.
540
00:28:29,560 --> 00:28:32,840
Six months of chemotherapy,
radiotherapy,
541
00:28:32,920 --> 00:28:35,880
then had bowel cancer surgery.
542
00:28:35,960 --> 00:28:39,600
Then went back on to
six months of chemotherapy.
543
00:28:39,680 --> 00:28:42,480
Jenny was just getting back on her
feet again
544
00:28:42,560 --> 00:28:44,360
when she got some devastating news.
545
00:28:44,440 --> 00:28:48,280
Oh, I just went for a follow-up
with a blood test
546
00:28:48,360 --> 00:28:52,200
and found out the cancer
has come back.
547
00:28:52,280 --> 00:28:55,640
About 30% of the patients
who have colorectal cancer
548
00:28:55,720 --> 00:28:59,880
or bowel cancer, will develop liver
metastasis at some stage.
549
00:29:00,760 --> 00:29:05,600
This means that cancer cells
move from the bowel into the liver.
550
00:29:05,680 --> 00:29:07,360
I'm 51 and...
551
00:29:09,000 --> 00:29:13,000
..there's a 15% chance
of surviving another
552
00:29:13,080 --> 00:29:14,800
five years from now.
553
00:29:15,960 --> 00:29:20,480
If we focus on the sad side,
that will be the way it is.
554
00:29:21,440 --> 00:29:25,640
Life is a mixture of good times,
bad times, ups,
555
00:29:25,720 --> 00:29:28,800
downs and this is probably
one of the downs.
556
00:29:28,880 --> 00:29:33,360
Today, Jenny's boyfriend, Tony,
is at the hospital to support her
557
00:29:33,440 --> 00:29:36,720
as she has three large tumours
removed from her liver.
558
00:29:36,800 --> 00:29:40,360
If I think about it
I get a little bit scared, you know.
559
00:29:40,440 --> 00:29:42,480
So I try and not to think about it.
560
00:29:42,560 --> 00:29:45,840
No. I'm trying very hard not
to think about it.
561
00:29:45,920 --> 00:29:48,800
She's such a strong person,
you know.
562
00:29:48,880 --> 00:29:53,320
I'm a little bit anxious but, you
know, how it's all going
563
00:29:53,400 --> 00:29:56,040
to pan out but... She'll be right.
564
00:29:56,760 --> 00:29:59,640
The mind played a few
tricks through the night.
565
00:29:59,720 --> 00:30:02,720
So I woke up thinking about things.
566
00:30:03,520 --> 00:30:07,040
Jenny knows that if the cancer has
spread to more of her vital organs
567
00:30:07,120 --> 00:30:10,200
it might already be too late.
568
00:30:10,280 --> 00:30:13,320
There's a small chance I will find
something else in your tummy.
569
00:30:13,400 --> 00:30:17,440
Which would make the operation
not in your interests.
570
00:30:28,680 --> 00:30:31,680
After returning from West Africa
mine worker, Daniel,
571
00:30:31,760 --> 00:30:34,080
was hospitalised with a high fever.
572
00:30:34,680 --> 00:30:38,120
His travel history
and his symptoms rang alarm bells
573
00:30:38,200 --> 00:30:41,800
for Dr John Gerrard who took no
chances with his patient.
574
00:30:41,880 --> 00:30:44,120
There are a number
of different viruses
575
00:30:44,200 --> 00:30:47,040
that one can acquire in Africa.
576
00:30:47,120 --> 00:30:51,840
We have sent a sample of blood
to the reference laboratory
577
00:30:51,920 --> 00:30:53,840
for testing for Ebola.
578
00:30:53,920 --> 00:30:55,520
Fearing that Daniel
may have carried
579
00:30:55,600 --> 00:30:58,520
the Ebola virus from the African
epidemic into Australia...
580
00:30:59,880 --> 00:31:03,800
..Dr Gerrard set in motion
an emergency response.
581
00:31:03,880 --> 00:31:05,760
The decision has been made
that he needs to be
582
00:31:05,840 --> 00:31:10,000
transferred to the designated
quarantine facility.
583
00:31:10,080 --> 00:31:12,320
It's been a harrowing 24 hours
for Daniel.
584
00:31:12,400 --> 00:31:15,760
Sufferers have a 50 per cent
chance of survival.
585
00:31:19,560 --> 00:31:23,480
Finally, the pathology lab has
returned its findings to Dr Gerrard.
586
00:31:24,560 --> 00:31:28,080
Yeah, so this is a list of all
the tests for the various
587
00:31:28,160 --> 00:31:30,880
microbes that we've performed.
588
00:31:30,960 --> 00:31:34,680
Viruses. Bacteria etc.
589
00:31:34,760 --> 00:31:37,360
And all of.
Them have come back negative
590
00:31:37,440 --> 00:31:42,080
So we have been unable to identify
the cause for Daniel's illness.
591
00:31:42,160 --> 00:31:45,520
But Ebola Virus seems unlikely
at this stage.
592
00:31:46,240 --> 00:31:49,960
Whilst Ebola is ruled out,
the mystery continues.
593
00:31:50,040 --> 00:31:51,936
The question really for the
Australian context is
594
00:31:51,960 --> 00:31:55,440
whether this is
potentially communicable.
595
00:31:55,520 --> 00:31:58,720
So that's why we take great
precautions with such cases
596
00:31:58,800 --> 00:32:01,400
when they come to Australia.
Yes, it is a little frustrating.
597
00:32:01,480 --> 00:32:05,120
I like to... I always like to be
able to tell someone what they had
598
00:32:05,200 --> 00:32:06,920
and patients usually
like to know...
599
00:32:07,000 --> 00:32:10,000
Well, they do like to know what it
was that actually made them ill.
600
00:32:10,080 --> 00:32:12,080
But, Daniel's well,
which is the good news.
601
00:32:12,160 --> 00:32:16,080
And he's actually quite keen
to get back to the mine in Mali.
602
00:32:24,960 --> 00:32:28,160
Gold Coast strata manager Jenny
has spent the last year
603
00:32:28,240 --> 00:32:30,120
recovering from bowel cancer.
604
00:32:30,200 --> 00:32:32,920
Once that was finished,
then I went back to work.
605
00:32:33,000 --> 00:32:34,000
(LAUGHS)
606
00:32:34,080 --> 00:32:36,760
The long rehabilitation was
a financial setback
607
00:32:36,840 --> 00:32:38,480
for this hard-working mother of two.
608
00:32:38,560 --> 00:32:41,640
But I've got really good friends
who leant me money
609
00:32:41,720 --> 00:32:45,440
to pay for car payments
and that type of thing.
610
00:32:45,520 --> 00:32:48,400
So I was very fortunate...
and I owe them a lot of money.
611
00:32:48,480 --> 00:32:49,800
(LAUGHS)
612
00:32:49,880 --> 00:32:52,720
Just when Jenny thought her
life was back on track,
613
00:32:52,800 --> 00:32:56,800
she discovered the cancer
has spread to her liver.
614
00:32:56,880 --> 00:32:59,920
Today, Dr Harald Puhalla
is planning to remove
615
00:33:00,000 --> 00:33:01,560
a large section of Jenny's liver.
616
00:33:01,640 --> 00:33:04,680
Where three malignant tumours
have spawned.
617
00:33:04,760 --> 00:33:07,880
This is her liver on the screens.
618
00:33:07,960 --> 00:33:09,800
You can see that here.
619
00:33:09,880 --> 00:33:11,760
Here on the top.
620
00:33:11,840 --> 00:33:14,320
Can you see over here
is the metastasis.
621
00:33:14,400 --> 00:33:16,680
Here is another one.
622
00:33:16,760 --> 00:33:19,360
This is the left upper
quadrant here.
623
00:33:19,440 --> 00:33:20,560
There's another one...
624
00:33:20,640 --> 00:33:23,520
Removing the tumours could stop
the cancer spreading
625
00:33:23,600 --> 00:33:27,520
but if its already spread,
surgery will be too little too late.
626
00:33:30,240 --> 00:33:33,160
Just have a look around
if I can see anything else.
627
00:33:33,240 --> 00:33:36,160
If lesions are smaller
than a couple of millimetres,
628
00:33:36,240 --> 00:33:38,720
you can't see them on
CT scan or MRI.
629
00:33:38,800 --> 00:33:40,880
This is when we have a look
around with the camera,
630
00:33:40,960 --> 00:33:43,680
because with our eye
we can see that.
631
00:33:43,760 --> 00:33:47,520
The inspection of Jenny's organs
provides a glimmer of hope.
632
00:33:47,600 --> 00:33:51,280
OK.
Ah... It looks OK.
633
00:33:51,360 --> 00:33:53,320
Couldn't see anything else.
634
00:33:53,400 --> 00:33:57,720
Working through four small ports,
Dr Puhalla begins the process
635
00:33:57,800 --> 00:34:00,680
of cutting away the diseased tissue.
636
00:34:00,760 --> 00:34:05,840
So these are the attachments of the
left liver to the body surface.
637
00:34:05,920 --> 00:34:08,760
Liver surgery techniques
have evolved faster
638
00:34:08,840 --> 00:34:12,160
than any other branch of surgery
over the last 20 years.
639
00:34:12,920 --> 00:34:15,320
This technique is the very latest.
640
00:34:15,400 --> 00:34:17,680
He's running the instrument
in his right hand.
641
00:34:17,760 --> 00:34:20,200
And I facilitate the power.
642
00:34:20,280 --> 00:34:21,640
So we have to work as a team.
643
00:34:21,720 --> 00:34:24,040
And you can see here on the screen,
644
00:34:24,120 --> 00:34:26,720
the heart
is just beating next to us.
645
00:34:26,800 --> 00:34:30,160
She had a advanced, primary cancer.
646
00:34:31,160 --> 00:34:36,560
Which usually makes it more likely
that the disease is coming back.
647
00:34:36,640 --> 00:34:39,760
Jenny's surgery today
will buy her some time.
648
00:34:39,840 --> 00:34:43,520
Liver tissue does grow back...
But so do cancer cells.
649
00:34:49,920 --> 00:34:51,200
(SIRENS)
650
00:34:53,520 --> 00:34:55,080
(ROCK MUSIC)
651
00:34:55,160 --> 00:34:59,240
21-year-old Californian,
Jordan and his girlfriend Kenley,
652
00:34:59,320 --> 00:35:00,840
have been living the dream.
653
00:35:02,600 --> 00:35:07,280
Surfing, studying abroad and soaking
up the Gold Coast sunshine.
654
00:35:08,960 --> 00:35:11,680
Ambulance. What's the town
or suburb of the emergency?
655
00:35:11,760 --> 00:35:14,320
Surfers Paradise.
(SIRENS)
656
00:35:14,400 --> 00:35:16,840
But an idea
to make some fast cash...
657
00:35:16,920 --> 00:35:19,440
..has landed Jordan
in hospital.
658
00:35:19,520 --> 00:35:21,496
Well, it sounds like he was
cycling round a roundabout
659
00:35:21,520 --> 00:35:23,080
and got hit by a car.
660
00:35:23,160 --> 00:35:26,160
Trapped his ankle between,
presumably, a bit of bike
661
00:35:26,240 --> 00:35:29,560
that he managed to get most of the
impact on and the bumper of the car.
662
00:35:30,640 --> 00:35:33,720
On the case is emergency doctor,
Louisa Saunders.
663
00:35:33,800 --> 00:35:35,920
Now, can we give you
some painkillers?
664
00:35:36,000 --> 00:35:38,720
Do you think so?
Do I need it?
665
00:35:38,800 --> 00:35:41,400
I don't know.
It's not my ankle. (LAUGHS)
666
00:35:41,480 --> 00:35:44,240
The reason Jordan was helmetless
riding a bike
667
00:35:44,320 --> 00:35:46,560
was because he was on his way
to a pawn shop.
668
00:35:46,640 --> 00:35:49,360
Trying to swap his pushie for cash.
669
00:35:49,440 --> 00:35:51,440
I'm trying to get rid of
all my stuff,
670
00:35:51,520 --> 00:35:54,280
so I can meet my parents in Bali.
671
00:35:55,040 --> 00:35:56,680
Because I haven't seen them
in a while.
672
00:35:57,360 --> 00:35:59,760
If Jordan's foot is broken,
it would wreak havoc
673
00:35:59,840 --> 00:36:02,880
with his planned surfing holiday
in Bali with his family.
674
00:36:03,920 --> 00:36:06,200
You have broken it.
Oh. I have broken it?
675
00:36:06,280 --> 00:36:08,360
But it's not in hundreds of pieces
or anything nasty.
676
00:36:10,160 --> 00:36:12,680
This is not great news at all.
677
00:36:12,760 --> 00:36:14,360
So, he will need surgery.
678
00:36:14,440 --> 00:36:15,440
This is a tetanus jab.
679
00:36:15,960 --> 00:36:19,640
It's a tough break for the young
student and his girlfriend, Kenley.
680
00:36:21,280 --> 00:36:24,920
I might not be able to fly for,
like, at least a week.
681
00:36:25,000 --> 00:36:26,920
Probably not make it to Bali. So...
682
00:36:27,000 --> 00:36:30,280
Because it's likely Jordan's ankle
will be really unstable
683
00:36:30,360 --> 00:36:33,040
he'll probably need screws
to keep it together.
684
00:36:33,120 --> 00:36:36,160
And that means wearing a cast
for at least six weeks.
685
00:36:37,320 --> 00:36:41,160
Like, there's no way he's gonna
be able to fly... in a week?
686
00:36:41,240 --> 00:36:42,960
I would probably
recommend against it.
687
00:36:43,040 --> 00:36:44,160
How dangerous is it?
688
00:36:44,240 --> 00:36:46,400
If you're immobile for a while
in a cast,
689
00:36:46,480 --> 00:36:49,160
your risk of something like a clot
goes up.
690
00:36:49,240 --> 00:36:51,640
Yep.
Sorry mate, it's not great news eh?
691
00:36:51,720 --> 00:36:53,640
Don't get upset.
692
00:36:53,720 --> 00:36:55,240
No.
693
00:36:56,080 --> 00:36:58,160
Were you planning a trip
or something today?
694
00:36:58,240 --> 00:37:00,920
We're going to Bali in two days
and it's the first time
695
00:37:01,000 --> 00:37:06,320
I've seen my parents in, like, six
months and... they're super excited.
696
00:37:07,040 --> 00:37:10,600
And my mum's worked really hard
to organise us altogether.
697
00:37:10,680 --> 00:37:12,360
Have you called your parents?
698
00:37:13,200 --> 00:37:15,400
Jordan knows his mum
will be distressed
699
00:37:15,480 --> 00:37:17,680
once she hears he's been involved
in a car accident.
700
00:37:17,760 --> 00:37:20,200
You have to talk to her first
because she needs to know
701
00:37:20,280 --> 00:37:21,680
that you're OK.
702
00:37:21,760 --> 00:37:23,600
Hello?
703
00:37:24,600 --> 00:37:27,760
Mum, I have some bad news for you.
704
00:37:39,640 --> 00:37:43,400
After surviving a brush
with bowel cancer, 51 year old Jenny
705
00:37:43,480 --> 00:37:46,960
discovered she has three
cancerous tumours in her liver.
706
00:37:48,280 --> 00:37:50,960
Dr Harald Puhalla is hoping
that removing the diseased
707
00:37:51,040 --> 00:37:55,400
part of Jenny's liver will stop
the cancer from coming back again.
708
00:37:55,480 --> 00:37:57,800
I think we have achieved
what we wanted to achieve.
709
00:37:57,880 --> 00:37:59,960
Blood loss was really minimal.
710
00:38:00,040 --> 00:38:04,480
Only 50mls and I think,
so far, very good outcome.
711
00:38:04,560 --> 00:38:06,440
Can we give it to Jason, please.
712
00:38:07,400 --> 00:38:09,120
I'm very optimistic.
713
00:38:09,200 --> 00:38:13,320
Up to 85 per cent of the liver can
be removed and it will grow back.
714
00:38:13,400 --> 00:38:16,600
So, Dr Puhalla has left
a big gap of healthy tissue
715
00:38:16,680 --> 00:38:19,800
around each tumour,
to make sure he's got it all.
716
00:38:19,880 --> 00:38:23,440
Here we have clear section margins,
here. There's probably 2cms.
717
00:38:23,520 --> 00:38:25,440
There's more than enough.
718
00:38:25,520 --> 00:38:29,080
At this stage, most people
would suggest to give her
719
00:38:29,160 --> 00:38:31,880
further chemotherapy
after the surgery.
720
00:38:33,120 --> 00:38:34,840
You right, Mum?
721
00:38:34,920 --> 00:38:37,760
Another round of chemotherapy
would be Jenny's third,
722
00:38:37,840 --> 00:38:39,560
in less than two years.
723
00:38:39,640 --> 00:38:41,120
Mum would like me to have it.
724
00:38:41,200 --> 00:38:44,080
And my children
would like me to have it.
725
00:38:44,160 --> 00:38:47,640
And my friend Tony
wants me to have it.
726
00:38:49,200 --> 00:38:52,240
Like, they've said,
they don't want to see me die.
727
00:38:52,320 --> 00:38:54,840
No, I have to ring Mum
between one and three.
728
00:38:54,920 --> 00:38:57,320
It's just purely
a preventative measure.
729
00:38:57,400 --> 00:39:00,280
So, I could have this chemotherapy
and then,
730
00:39:00,360 --> 00:39:04,200
like what happened to me before,
I could still get cancer.
731
00:39:05,360 --> 00:39:09,240
Jenny's my only daughter, so,
of course, she means a lot to me.
732
00:39:09,320 --> 00:39:12,960
And she can't be replaced.
733
00:39:18,080 --> 00:39:20,320
I really don't want to do it.
734
00:39:20,400 --> 00:39:22,800
But... I don't want to
make people upset, you know,
735
00:39:22,880 --> 00:39:25,360
I don't wanna make my mum unhappy...
736
00:39:25,440 --> 00:39:26,920
or my friends or...
737
00:39:28,520 --> 00:39:33,280
Just draw on some inner strength
and see where I come out.
738
00:39:34,480 --> 00:39:37,120
And maybe I can beat it, by myself.
739
00:39:37,200 --> 00:39:40,560
A few days later,
Jenny made the brave decision
740
00:39:40,640 --> 00:39:43,000
not to have chemotherapy.
741
00:39:50,000 --> 00:39:51,480
(ROCK BEAT PLAYS)
742
00:39:52,120 --> 00:39:55,440
Earlier today, Jordan was
mowed down on his pushbike
743
00:39:55,520 --> 00:39:57,120
by a four-wheel-drive.
744
00:39:57,200 --> 00:39:59,640
He's got an open wound
fracture on his ankle.
745
00:39:59,720 --> 00:40:01,680
But, that's not what's bothering him
right now.
746
00:40:01,760 --> 00:40:02,800
Mum?
747
00:40:02,880 --> 00:40:06,440
He's got to break the news
to his mum back home in LA.
748
00:40:06,520 --> 00:40:07,720
I'm really sorry.
749
00:40:07,800 --> 00:40:10,840
I know you had a really rough day
and tomorrow's gonna be
750
00:40:10,920 --> 00:40:11,920
even rougher.
751
00:40:13,080 --> 00:40:14,520
It's kind of serious.
752
00:40:15,120 --> 00:40:19,280
I got hit by a car and...
my ankle's broken.
753
00:40:20,720 --> 00:40:23,600
I know. It couldn't have happened
at a worse time.
754
00:40:23,680 --> 00:40:25,656
Jordan was supposed to be
flying out of the Gold Coast
755
00:40:25,680 --> 00:40:30,000
in two days time to meet his family
in Bali for a holiday.
756
00:40:30,080 --> 00:40:32,800
Most likely,
I'm getting screws in my ankle.
757
00:40:32,880 --> 00:40:36,640
Which means, I won't be able to fly.
758
00:40:39,680 --> 00:40:41,560
Yeah, but you guys should still go.
759
00:40:41,640 --> 00:40:43,760
Just because this happened to me
doesn't mean you guys
760
00:40:43,840 --> 00:40:45,760
have to miss out on a vacation too.
761
00:40:45,840 --> 00:40:48,280
Don't worry...
Don't stress about this. Relax.
762
00:40:48,360 --> 00:40:49,800
Have a good day.
763
00:40:49,880 --> 00:40:52,560
Alright. Bye.
764
00:40:52,640 --> 00:40:55,880
No one likes to upset their mum...
but girlfriend Kenley
765
00:40:55,960 --> 00:40:57,840
helps put things into perspective.
766
00:40:57,920 --> 00:41:01,600
I was expecting the worst, cause
I knew he wasn't wearing a helmet.
767
00:41:01,680 --> 00:41:06,840
So, I'm just glad that it's not
his head that was injured.
768
00:41:08,960 --> 00:41:13,000
Because Jordan has an open wound
fracture, he's off to surgery.
769
00:41:19,560 --> 00:41:23,600
And, as doctors feared...
he needs screws to stabilise
770
00:41:23,680 --> 00:41:26,600
the bones in his ankle
and a cast to keep it all in place.
771
00:41:28,880 --> 00:41:30,880
So we'll just observe him
for another 24 hours.
772
00:41:30,960 --> 00:41:34,080
Keep him on IV anti biotics,
then we'll see him early next week
773
00:41:34,160 --> 00:41:36,400
in the clinic and have a look
at the wound again
774
00:41:36,480 --> 00:41:39,160
just to make sure
that there's no infection.
775
00:41:39,240 --> 00:41:40,840
He's not going to be
weight-bearing on it
776
00:41:40,920 --> 00:41:43,000
for the next six weeks,
at least.
777
00:41:43,080 --> 00:41:47,120
But, the good news is,
a week later he's cleared to fly.
778
00:41:47,200 --> 00:41:49,680
Hi!
Hey.
779
00:41:49,760 --> 00:41:51,760
Got you some balloons.
Thank you.
780
00:41:54,360 --> 00:41:56,760
How are you feeling?
Feeling better.
781
00:41:56,840 --> 00:41:57,960
That's good.
782
00:41:58,040 --> 00:41:59,416
I'm super excited to see my family.
783
00:41:59,440 --> 00:42:01,160
My brothers and my parents.
Yeah.
784
00:42:01,240 --> 00:42:02,240
Yeah.
785
00:42:02,280 --> 00:42:04,480
We just have to be really careful
that you don't get
786
00:42:04,560 --> 00:42:06,920
your cast wet though.
Yeah. I know, right.
787
00:42:07,000 --> 00:42:08,760
On an island.
I know.
788
00:42:08,840 --> 00:42:10,400
(CHUCKLES)
789
00:42:10,480 --> 00:42:14,320
And a family reunion turned out
to be the best medicine possible.
66072
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